Hormones - Therapeutic Classification

Hormones - Drugs


Generic Name(s)	Strength	Dosage Form	ICD Code
Calcitonin - Salmon	200iu/Puff	Nasal Spray	Y42
Chorionic Gonadotropin	10,000 USP Units	Injection	Y42
Desmopressin	4 mcg/mL	Injection	Y42
Desogestrel/ Ethinyl Estradiol	0.15/0.03mg	Tablets	Y42
Drospirenone/Ethinyl Estradiol			Y42
Estrogen	0.3mg, 0.45mg, 0.9mg,	Tablets	Y42.5
Etonogestrel	4cm/2mm	Implant	Y42
Gonadorelin	100mcg/2ml	Injection	Y42
Lynestrenol			Y42
Medroxyprogesterone	10mg, 100mg	Tablets	Y42
Menotropins	2 mL of 0.9 %	Injection	Y42
Mesterolone	25mg,	Tablet	Y42
Oxymetholone	50mg	Tablet, Capsule	Y42
Oxytocin	10IU/1ml, 5IU/1ml	Injection	Y42
Secretin	16mcg/vial	Injection	Y42
Somatostatin	3mg/vial, 250mcg/vial	Injection	Y42
Somatrem	5mg, 10mg/vial	Injection	Y42
Testosterone Cypionate Injection	100mg/mL, 200mg/mL	Injection	Y42

Estrogens
Generic Name(s)	Strength	Dosage Form	ICD Code
Chlorotrianisene			Y42.5
Conjugated Estrogen, Synthetic	0.625mg, 0.9mg, 1.25mg, .45mg	Tablet	Y42.5
Estradiol	7.5mcg/24hr	Ring	Y42.5
Estradiol	25mcg	Vaginal Tablet	Y42.5
Estradiol, Oral	0.5mg, 1mg, 2mg	Tablet	Y42.5
Estradiol, Transdermal	0.05mg/24h, 0.075mg/24h, 0.1mg/24h	Patch	Y42.5
Estradiol, Transdermal	0.0375/24h, 0.05mg/24h, 0.075mg/24h,0.1mg/24h	Patch	Y42.5
Estradiol, Transdermal	0.05mg/24h, 0.1mg/24h	Patch	Y42.5
Estramustine Phospate	140mg	Capsule	Y42.5
Estrogens, Conjugated	0.3mg, 0.625mg, 0.9mg, 1.25mg, 2.5mg	Tablet	Y42.5
Estrogens, Conjugated	0.625mg/gm	Cream	Y42.5
Estrogens, Esterified	0.3mg, 0.625mg, 2.5mg	Tablet	Y42.5
Estropipate	0.625mg, 1.25mg, 2.5mg, 5mg	Tablet	Y42.5