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NDC-11 (Package) NDC-9 (Product) Generic Name Brand Name Strength SEER*Rx Category Major Class Minor Class Administration Route Package Effective Date Package Discontinuation Date Status
85866-0223-04 85866-0223 Allogeneic regulatory T cell immunotherapy with HSPC and T cells-vldq TREGZI 3500000.0 /100ml, 1000000.0 /100ml, 6900000.0 /15ml Ancillary Therapy Allogeneic Regulatory T cells Treg, Tcon, HSPC Intravenous Jun 30, 2026 In Use
80005-0139-10 80005-0139 Letrozole Letrozole 2.5 mg/1 Hormonal Therapy Aromatase Inhibitor Oral Jun 30, 2026 In Use
70709-0192-12 70709-0192 Nilotinib CAVHANZA 80.0 mg/1 Chemotherapy Tyrosine Kinase Inhibitor BCR-ABL Oral Jun 30, 2026 In Use
70709-0191-12 70709-0191 Nilotinib CAVHANZA 60.0 mg/1 Chemotherapy Tyrosine Kinase Inhibitor BCR-ABL Oral Jun 30, 2026 In Use
42023-0259-00 42023-0259 LEUPROLIDE ACETATE LEUPROLIDE ACETATE 1.0 mg/.2mL Hormonal Therapy GnRH Agonist Subcutaneous Jun 30, 2026 In Use
60505-6423-00 60505-6423 Trabectedin EVDI 0.05 mg/mL Chemotherapy Alkylating Agent Natural Product Intravenous Jun 30, 2026 In Use
80005-0139-08 80005-0139 Letrozole Letrozole 2.5 mg/1 Hormonal Therapy Aromatase Inhibitor Oral Jun 30, 2026 In Use
87441-0064-01 87441-0064 Ondansetron Hydrochloride Ondansetron Hydrochloride 4.0 mg/1 Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Jun 30, 2026 In Use
69448-0008-63 69448-0008 Filgrastim-laha FILKRI 300.0 ug/.5mL Ancillary Therapy Immunostimulant Granulocyte Colony-Stimulating Factor Intravenous, Subcutaneous Jun 29, 2026 In Use
70518-4685-00 70518-4685 Ondansetron Ondansetron 8.0 mg/1 Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Jun 29, 2026 In Use
00121-1100-04 00121-1100 PrednisoLONE Sodium Phosphate PrednisoLONE Sodium Phosphate 5.0 mg/5mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 26, 2026 In Use
73536-0511-01 73536-0511 ROPEGINTERFERON ALFA-2B BESREMi Pen 500.0 ug/.5mL Immunotherapy Cytokine Interferon Subcutaneous Jun 25, 2026 In Use
71390-0250-02 71390-0250 Pemetrexed Pemfexy 25.0 mg/mL Chemotherapy Antimetabolite Folic Acid Analog Intravenous Jun 22, 2026 In Use
60505-6411-00 60505-6411 Hydrocortisone sodium succinate Hydrocortisone sodium succinate 100.0 mg/2mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intramuscular, Intravenous Jun 19, 2026 In Use
51407-0989-60 51407-0989 Abiraterone acetate Abiraterone Acetate 500.0 mg/1 Hormonal Therapy Androgen Receptor Inhibitor CYP17 Inhibitor Oral Jun 17, 2026 In Use
71332-0007-30 71332-0007 Vepdegestrant VEPPANU 100.0 mg/1 Hormonal Therapy Proteolysis Targeting Chimera (PROTAC) ER, Cereblon/CRBN Oral Jun 16, 2026 In Use
71332-0008-30 71332-0008 Vepdegestrant VEPPANU 200.0 mg/1 Hormonal Therapy Proteolysis Targeting Chimera (PROTAC) ER, Cereblon/CRBN Oral Jun 16, 2026 In Use
67046-1242-03 67046-1242 Ondansetron Hydrochloride Ondansetron Hydrochloride 8.0 mg/1 Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Jun 16, 2026 In Use
87063-0224-30 87063-0224 Anastrozole Tablets Anastrozole 1.0 mg/1 Hormonal Therapy Aromatase Inhibitor Oral Jun 15, 2026 In Use
87063-0224-05 87063-0224 Anastrozole Tablets Anastrozole 1.0 mg/1 Hormonal Therapy Aromatase Inhibitor Oral Jun 15, 2026 In Use
87063-0224-60 87063-0224 Anastrozole Tablets Anastrozole 1.0 mg/1 Hormonal Therapy Aromatase Inhibitor Oral Jun 15, 2026 In Use
87063-0224-90 87063-0224 Anastrozole Tablets Anastrozole 1.0 mg/1 Hormonal Therapy Aromatase Inhibitor Oral Jun 15, 2026 In Use
75907-0405-30 75907-0405 Bosutinib Bosutinib 400.0 mg/1 Chemotherapy Tyrosine Kinase Inhibitor BCR-ABL Oral Jun 12, 2026 In Use
82249-0611-30 82249-0611 Everolimus Yulithira 5.0 mg/1 Chemotherapy Enzyme Inhibitor mTOR Oral Jun 11, 2026 In Use
82249-0613-30 82249-0613 Everolimus Yulithira 10.0 mg/1 Chemotherapy Enzyme Inhibitor mTOR Oral Jun 11, 2026 In Use

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