Product Details

AA-Medroxy

Medroxyprogesterone Acetate
2.5 mg
Tablet


DIN/PIN/NPN

02244726

Manufacturer

A A Pharma Inc.

Formulary Listing Date

2003-01-30  

Unit Price

0.1183

Amount MOH Pays

0.1183

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
02221284 Teva-Medroxyprogesterone 0.1183 0.1183
00708917 Provera 0.2567 0.1183
02244726 AA-Medroxy 0.1183 0.1183
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph