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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 (Ascending) Package Discontinuation Date Status
00555-0484-02 00555-0484 Leucovorin Calcium Leucovorin Calcium 5.0 mg/1 Ancillary Therapy Chemoprotective Antidote Oral June 30, 1990 In Use
00555-0484-05 00555-0484 Leucovorin Calcium Leucovorin Calcium 5.0 mg/1 Ancillary Therapy Chemoprotective Antidote Oral June 30, 1990 In Use
00555-0484-18 00555-0484 Leucovorin Calcium Leucovorin Calcium 5.0 mg/1 Ancillary Therapy Chemoprotective Antidote Oral June 30, 1990 Feb. 6, 2012 In Use
00052-0602-02 00052-0602 BACILLUS CALMETTE-GUERIN TICE BCG 50.0 mg/50mL Immunotherapy Biological Response Modifier Live Vaccine Intravesical Aug. 24, 1990 In Use
00703-3524-01 00703-3524 Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Aug. 31, 1990 March 31, 2011 No Longer Used
00703-3524-03 00703-3524 Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Aug. 31, 1990 March 31, 2011 No Longer Used
61703-0303-46 61703-0303 Cytarabine Cytarabine 20.0 mg/mL Chemotherapy Antimetabolite Pyrimidine Analog Intravenous Aug. 31, 1990 In Use
00310-0604-60 00310-0604 Tamoxifen Citrate Nolvadex Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Sept. 1, 1990 March 31, 2008 No Longer Used
00013-2526-86 00013-2526 Idarubicin Hydrochloride Idamycin Chemotherapy Antitumor Antibiotic Anthracycline Intravenous Sept. 27, 1990 June 1, 2010 No Longer Used
68682-0085-31 68682-0085 Fluorouracil Fluorouracil Chemotherapy Antimetabolite Pyrimidine Analog Topical Sept. 30, 1990 Jan. 31, 2010 No Longer Used

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