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NDC-11 (Package) NDC-9 (Product) (Ascending) Generic Name Brand Name Strength SEER*Rx Category Major Class Minor Class Administration Route Package Effective Date Package Discontinuation Date Status
54868-0109-07 54868-0109 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral July 6, 1994 In Use
54868-0109-08 54868-0109 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral July 6, 1994 In Use
54868-0173-00 54868-0173 methotrexate Methotrexate 25.0 mg/mL Chemotherapy Antimetabolite Folic Acid Analog Intra-arterial, Intramuscular, Intrathecal, Intravenous March 26, 2003 In Use
54868-0218-00 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0218-01 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0218-02 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0218-03 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0218-04 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0218-05 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0218-06 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0218-07 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0218-08 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0218-09 54868-0218 Dexamethasone Dexamethasone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 19, 1994 In Use
54868-0234-00 54868-0234 Triamcinolone Acetonide Kenalog-10 10.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intralesional May 2, 2000 In Use
54868-0235-00 54868-0235 Triamcinolone Acetonide Kenalog-40 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intramuscular June 11, 1996 In Use
54868-0235-01 54868-0235 Triamcinolone Acetonide Kenalog-40 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intramuscular June 11, 1996 In Use
54868-0235-02 54868-0235 Triamcinolone Acetonide Kenalog-40 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intramuscular June 11, 1996 In Use
54868-0258-00 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 In Use
54868-0258-01 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 In Use
54868-0258-02 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 In Use
54868-0258-03 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 In Use
54868-0258-04 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 In Use
54868-0258-05 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 In Use
54868-0258-06 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 In Use
54868-0258-07 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 In Use
54868-0258-08 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 In Use
54868-0258-09 54868-0258 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral March 12, 2002 Sept. 6, 2012 In Use
54868-0284-00 54868-0284 Triamcinolone Acetonide Triamcinolone Acetonide Hormonal Therapy Adrenal Glucocorticoid Corticosteroid May 27, 2009 Feb. 28, 2010 No Longer Used
54868-0290-00 54868-0290 Medroxyprogesterone Acetate Provera Hormonal Therapy Progestin Oral June 3, 1959 June 30, 2011 No Longer Used
54868-0290-02 54868-0290 Medroxyprogesterone Acetate Provera Hormonal Therapy Progestin Oral June 3, 1959 June 30, 2011 No Longer Used
54868-0290-03 54868-0290 Medroxyprogesterone Acetate Provera Hormonal Therapy Progestin Oral June 3, 1959 June 30, 2011 No Longer Used
54868-0290-04 54868-0290 Medroxyprogesterone Acetate Provera Hormonal Therapy Progestin Oral June 3, 1959 June 30, 2011 No Longer Used
54868-0365-00 54868-0365 Estrogens, Conjugated Premarin Hormonal Therapy Estrogen Oral July 26, 1995 June 30, 2012 No Longer Used
54868-0365-01 54868-0365 Estrogens, Conjugated Premarin Hormonal Therapy Estrogen Oral July 26, 1995 July 6, 2010 No Longer Used
54868-0365-02 54868-0365 Estrogens, Conjugated Premarin Hormonal Therapy Estrogen Oral July 26, 1995 June 30, 2012 No Longer Used
54868-0365-03 54868-0365 Estrogens, Conjugated Premarin Hormonal Therapy Estrogen Oral July 26, 1995 June 30, 2012 No Longer Used
54868-0451-00 54868-0451 conjugated estrogens Premarin 0.625 mg/1 Hormonal Therapy Estrogen Oral Feb. 8, 2005 May 12, 2014 In Use
54868-0451-02 54868-0451 conjugated estrogens Premarin 0.625 mg/1 Hormonal Therapy Estrogen Oral Feb. 8, 2005 In Use
54868-0451-06 54868-0451 conjugated estrogens Premarin 0.625 mg/1 Hormonal Therapy Estrogen Oral Feb. 8, 2005 In Use
54868-0452-02 54868-0452 Estrogens, Conjugated Premarin Hormonal Therapy Estrogen Oral Sept. 22, 1992 Feb. 1, 2007 No Longer Used
54868-0453-00 54868-0453 Estrogens, Conjugated Premarin Hormonal Therapy Estrogen Oral June 24, 2005 June 30, 2013 No Longer Used
54868-0590-00 54868-0590 Methylprednisolone Acetate Methylprednisolone Acetate 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intramuscular, Soft Tissue, Intrasynovial July 26, 2012 In Use
54868-0605-00 54868-0605 Hydrocortisone Sodium Succinate Solu-Cortef Hormonal Therapy Adrenal Glucocorticoid Corticosteroid April 27, 1955 June 1, 2013 No Longer Used
54868-0768-00 54868-0768 Methylprednisolone Sodium Succinate Solu-Medrol Hormonal Therapy Adrenal Glucocorticoid Corticosteroid April 16, 2013 June 30, 2012 No Longer Used
54868-0776-01 54868-0776 Methylprednisolone Medrol Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Nov. 28, 1994 June 30, 2011 No Longer Used
54868-0821-00 54868-0821 Prednisolone Sodium Phosphate OrapredODT ODT Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral June 1, 2006 June 30, 2012 No Longer Used
54868-0836-00 54868-0836 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral April 15, 2002 In Use
54868-0836-01 54868-0836 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral April 15, 2002 In Use
54868-0836-02 54868-0836 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral April 15, 2002 In Use
54868-0836-03 54868-0836 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral April 15, 2002 In Use

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