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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
55390-0209-10 55390-0209 Methylprednisolone Sodium Succinate Methylprednisolone Sodium Succinate Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Mar 1, 2007 Jun 30, 2009 No Longer Used
55390-0164-01 55390-0164 Octreotide Acetate Octreotide Acetate Hormonal Therapy Somatostatin Analog Apr 8, 2005 Dec 31, 2014 No Longer Used
00074-3473-03 00074-3473 Leuprolide Acetate Lupron Depot Hormonal Therapy GnRH Agonist Dec 23, 1995 In Use
55390-0162-10 55390-0162 Octreotide Acetate Octreotide Acetate Hormonal Therapy Somatostatin Analog Apr 4, 2005 Mar 31, 2015 No Longer Used
55390-0161-10 55390-0161 Octreotide Acetate Octreotide Acetate Hormonal Therapy Somatostatin Analog Apr 4, 2005 Apr 30, 2013 No Longer Used
55390-0160-10 55390-0160 Octreotide Acetate Octreotide Acetate Hormonal Therapy Somatostatin Analog Apr 4, 2005 Feb 28, 2013 No Longer Used
55513-0096-01 55513-0096 Darbepoetin alfa Aranesp Ancillary Therapy Erythropoiesis-Stimulating Agent Sep 25, 2006 Feb 28, 2009 No Longer Used
55390-0060-02 55390-0060 Dexrazoxane Dexrazoxane Ancillary Therapy Chemoprotective Detoxifying Agent Mar 31, 2005 May 31, 2013 No Longer Used
00944-2656-03 00944-2656 Human Immunoglobulin G Gammagard S/D Ancillary Therapy Immunostimulant Human Immunoglobulin G May 10, 1994 In Use
00085-4349-01 00085-4349 Peginterferon alfa-2b Sylatron Immunotherapy Cytokine Interferon Mar 29, 2011 Oct 18, 2020 In Use
00944-2655-03 00944-2655 Human Immunoglobulin G Gammagard S/D Ancillary Therapy Immunostimulant Human Immunoglobulin G May 10, 1994 May 10, 1994 In Use
00074-3683-03 00074-3683 Leuprolide Acetate Lupron Depot Hormonal Therapy GnRH Agonist Dec 23, 1995 In Use
55513-0041-04 55513-0041 Darbepoetin alfa Aranesp Ancillary Therapy Erythropoiesis-Stimulating Agent Jul 23, 2003 Feb 28, 2009 No Longer Used
54868-5867-00 54868-5867 Darbepoetin alfa Aranesp Ancillary Therapy Erythropoiesis-Stimulating Agent Mar 20, 2008 Jun 30, 2013 No Longer Used
00944-2655-04 00944-2655 Human Immunoglobulin G Gammagard S/D Ancillary Therapy Immunostimulant Human Immunoglobulin G Jan 3, 2011 Aug 26, 2015 In Use
55390-0014-02 55390-0014 Dexrazoxane Dexrazoxane Ancillary Therapy Chemoprotective Detoxifying Agent Mar 31, 2005 May 31, 2012 No Longer Used
54868-5229-00 54868-5229 Pegfilgrastim Neulasta Ancillary Therapy Immunostimulant Granulocyte Colony-Stimulating Factor Feb 23, 2006 Dec 31, 2011 No Longer Used
00944-2627-04 00944-2627 Human Immunoglobulin G, Immune Globulin Intravenous (Human) GAMMAGARD Ancillary Therapy Immunostimulant Human Immunoglobulin G May 10, 1994 Jun 21, 2014 In Use
55390-0051-10 55390-0051 Leucovorin Calcium Leucovorin Calcium Ancillary Therapy Chemoprotective Antidote May 1, 1996 Aug 31, 2013 No Longer Used
55390-0052-10 55390-0052 Leucovorin Calcium Leucovorin Calcium Ancillary Therapy Chemoprotective Antidote May 1, 1996 Aug 31, 2014 No Longer Used
00085-1388-01 00085-1388 Peginterferon alfa-2b Sylatron Immunotherapy Cytokine Interferon Mar 29, 2011 Jan 13, 2016 No Longer Used
55390-0148-01 55390-0148 Granisetron Hydrochloride Granisetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oct 28, 2014 Nov 30, 2009 No Longer Used
55390-0148-10 55390-0148 Granisetron Hydrochloride Granisetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oct 28, 2014 Nov 30, 2009 No Longer Used
00944-2625-03 00944-2625 Human Immunoglobulin G, Immune Globulin Intravenous (Human) GAMMAGARD Ancillary Therapy Immunostimulant Human Immunoglobulin G May 10, 1994 Jun 21, 2014 In Use
55390-0210-10 55390-0210 Methylprednisolone Sodium Succinate Methylprednisolone Sodium Succinate Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Mar 1, 2007 Jun 30, 2009 No Longer Used

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