Product Details

AA-Medroxy

Medroxyprogesterone Acetate
10 mg
Tablet


DIN/PIN/NPN

02277298

Manufacturer

A A Pharma Inc.

Formulary Listing Date

2007-03-09  

Unit Price

0.1670

Amount MOH Pays

0.1670

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
02221306 Teva-Medroxyprogesterone 0.1670 0.1670
00729973 Provera 1.0271 0.1670
02277298 AA-Medroxy 0.1670 0.1670
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph