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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
69189-4138-01 69189-4138 Granisetron Hydrochloride Granisetron Hydrochloride 1.0 mg/1 Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Mar 2, 2015 May 24, 2017 No Longer Used
69189-0382-01 69189-0382 Cyclophosphamide Cyclophosphamide 25.0 mg/1 Chemotherapy Alkylating Agent Nitrogen Mustard Oral Aug 18, 2015 May 24, 2017 No Longer Used
69189-0383-01 69189-0383 Cyclophosphamide Cyclophosphamide 50.0 mg/1 Chemotherapy Alkylating Agent Nitrogen Mustard Oral Apr 23, 2015 May 24, 2017 No Longer Used
69189-2367-01 69189-2367 Raloxifene Hydrochloride Raloxifene 60.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral May 9, 2016 May 24, 2017 No Longer Used
69189-0464-01 69189-0464 Tretinoin Tretinoin 10.0 mg/1 Hormonal Therapy Immunomodulator Retinoic Acid Derivative Oral Jan 8, 2016 May 24, 2017 No Longer Used
69189-0487-01 69189-0487 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Jun 23, 2015 May 24, 2017 No Longer Used
69189-0608-01 69189-0608 Megestrol Acetate Megestrol Acetate 40.0 mg/1 Hormonal Therapy Progestin Analog Oral Mar 2, 2015 May 24, 2017 No Longer Used
69189-4581-01 69189-4581 Mercaptopurine Mercaptopurine 50.0 mg/1 Chemotherapy Antimetabolite Purine Analog Oral Mar 1, 2015 May 24, 2017 No Longer Used
69189-0063-01 69189-0063 Erlotinib Hydrochloride Tarceva 100.0 mg/1 Chemotherapy Tyrosine Kinase Inhibitor EGFR Oral Apr 1, 2015 May 24, 2017 No Longer Used
69189-4186-01 69189-4186 Dexamethasone Dexamethasone 6.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 22, 2016 May 24, 2017 No Longer Used
69189-0075-01 69189-0075 Hydrocortisone Hydrocortisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Mar 23, 2015 May 24, 2017 No Longer Used
69189-3320-01 69189-3320 Hydrocortisone Hydrocortisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jul 22, 2015 May 24, 2017 No Longer Used
69189-0712-01 69189-0712 Dutasteride Avodart 0.5 mg/1 Ancillary Therapy Protective Agent 5-alpha Reductase Inhibitor Oral Mar 23, 2015 May 24, 2017 No Longer Used
69189-0679-01 69189-0679 Dolasetron mesylate Anzemet 100.0 mg/1 Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Jul 26, 2016 May 24, 2017 No Longer Used
69189-0035-01 69189-0035 Anastrozole Anastrozole 1.0 mg/1 Hormonal Therapy Aromatase Inhibitor Oral Mar 1, 2015 May 24, 2017 No Longer Used
69189-0899-01 69189-0899 Estradiol Estradiol 0.5 mg/1 Hormonal Therapy Estrogen Oral Oct 29, 2015 May 24, 2017 No Longer Used
69189-1105-01 69189-1105 Estrogens, Conjugated Premarin 0.9 mg/1 Hormonal Therapy Estrogen Oral Aug 3, 2015 May 24, 2017 No Longer Used
69189-0403-01 69189-0403 Imatinib Mesylate Gleevec 100.0 mg/1 Chemotherapy Tyrosine Kinase Inhibitor BCR-ABL Oral Mar 1, 2015 May 24, 2017 No Longer Used
69189-0418-01 69189-0418 Raloxifene Hydrochloride Raloxifene Hydrochloride 60.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Mar 1, 2015 May 24, 2017 No Longer Used
69189-0090-01 69189-0090 Finasteride Finasteride 5.0 mg/1 Ancillary Therapy Protective Agent 5-alpha Reductase Inhibitor Oral Mar 1, 2015 May 24, 2017 No Longer Used
69189-0678-01 69189-0678 Raloxifene Hydrochloride Raloxifene Hydrochloride 60.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Jul 21, 2016 May 24, 2017 No Longer Used
69189-7620-01 69189-7620 Letrozole Letrozole 2.5 mg/1 Hormonal Therapy Aromatase Inhibitor Oral Feb 17, 2016 May 24, 2017 No Longer Used
69189-0298-01 69189-0298 Bicalutamide Bicalutamide 50.0 mg/1 Hormonal Therapy Androgen Receptor Inhibitor Non-Steroidal Oral Mar 1, 2015 May 24, 2017 No Longer Used
69189-0078-01 69189-0078 esterified estrogens Menest 0.625 mg/1 Hormonal Therapy Estrogen Oral Nov 23, 2015 May 24, 2017 No Longer Used
69189-0886-01 69189-0886 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Jul 14, 2015 May 24, 2017 No Longer Used

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