Women's Health

Pharmaceutical therapies for female health conditions and life stages

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Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Progestins (Female Hormones)
Product: ANNOVERA®
Prescribing Information
Size: 103 mg/17.4 mg Segesterone Acetate & Ethinyl Estradiol Vaginal System
Manufacturer: Mayne Pharma
NDC#: 68308-0752-01
Code*: J7294
RNINo
340BNo
Product: BIJUVA® Capsules
Prescribing Information
Size: 0.5 mg Estradiol/100 mg Progesterone 30 Count
Manufacturer: Mayne Pharma
NDC#: 68308-0751-30
Code*: J8499
RNINo
340BNo
Product: BIJUVA® Capsules
Prescribing Information
Size: 1 mg Estradiol/100 mg Progesterone 30 Count
Manufacturer: Mayne Pharma
NDC#: 68308-0750-30
Code*: J8499
RNINo
340BNo
Product: IMVEXXY®
Prescribing Information
Size: 4 mcg Estradiol Vaginal Inserts Carton of 18 Inserts (Starter Pack)
Manufacturer: Mayne Pharma
NDC#: 68308-0747-18
Code*: J3490
RNINo
340BNo
Product: IMVEXXY®
Prescribing Information
Size: 4 mcg Estradiol Vaginal Inserts Carton of 8 Inserts (Maintenance Pack)
Manufacturer: Mayne Pharma
NDC#: 68308-0747-08
Code*: J3490
RNINo
340BNo
Product: IMVEXXY®
Prescribing Information
Size: 10 mcg Estradiol Vaginal Inserts Carton of 8 Inserts (Maintenance Pack)
Manufacturer: Mayne Pharma
NDC#: 68308-0748-08
Code*: J3490
RNINo
340BNo
Product: IMVEXXY®
Prescribing Information
Size: 10 mcg Estradiol Vaginal Inserts Carton of 18 Inserts (Starter Pack)
Manufacturer: Mayne Pharma
NDC#: 68308-0748-18
Code*: J3490
RNINo
340BNo
Product: NEXTSTELLIS®
Prescribing Information
Size: 3 mg 14.2 mg Drospirenone & Estetrol Tablets
Manufacturer: Mayne Pharma
NDC#: 51862-0258-01
Code*: TBD
RNINo
340BNo
Product: Stoboclo® (denosumab-bmwo) Injection
Prescribing Information
Size: 60 mg 1 mL Single-dose Prefilled Syringe
Manufacturer: Celltrion
NDC#: 72606-0037-01
Code*: J3590
RNINo
340BTBD
Polypeptide Hormone
Product: Pregnyl® (chorionic gonadotropin) Injection
Prescribing Information
Size: 10 mL 10,000 IU Multiple-dose Vial & 10 mL Multiple-dose Vial Solvent Water
Manufacturer: Organon
NDC#: 78206-0150-01
Code*: J0725
RNINo
340BTBD
* All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
2 Call for eligibility.
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