Product Details

AA-Medroxy

Medroxyprogesterone Acetate
5 mg
Tablet


DIN/PIN/NPN

02244727

Manufacturer

A A Pharma Inc.

Formulary Listing Date

2003-01-30  

Unit Price

0.2602

Amount MOH Pays

0.2602

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G03DA02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00030937 Provera 0.5274 0.2602
02244727 AA-Medroxy 0.2602 0.2602
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph