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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 (Ascending) Status
55390-0047-01 55390-0047 Ifosfamide Ifosfamide Chemotherapy Alkylating Agent Nitrogen Mustard Aug. 31, 2010 Sept. 1, 2010 No Longer Used
55390-0048-01 55390-0048 Ifosfamide Ifosfamide Chemotherapy Alkylating Agent Nitrogen Mustard Aug. 31, 2010 Sept. 1, 2010 No Longer Used
00603-9388-58 00603-9388 Prednisolone Sodium Phosphate Prednisolone Sodium Phosphate 15.0 mg/5mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral May 26, 2009 Sept. 13, 2010 No Longer Used
00310-0720-25 00310-0720 Fulvestrant Faslodex 50.0 mg/mL Hormonal Therapy Estrogen Receptor Antagonist Intramuscular Nov. 1, 2010 Sept. 21, 2010 In Use
00015-3070-97 00015-3070 Cisplatin Platinol Chemotherapy Alkylating Agent Platinum Compound Intravenous June 30, 2006 Sept. 26, 2010 No Longer Used
00015-3072-20 00015-3072 Cisplatin Platinol Chemotherapy Alkylating Agent Platinum Compound Intravenous Jan. 1, 2005 Sept. 26, 2010 No Longer Used
60505-0744-01 60505-0744 Ondansetron Ondansetron Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Intramuscular, Intravenous Dec. 26, 2006 Sept. 30, 2010 No Longer Used
00085-1235-01 00085-1235 Interferon alfa-2b Intron A Immunotherapy Cytokine Interferon June 4, 1986 Oct. 3, 2010 No Longer Used
00378-6868-01 00378-6868 Anagrelide Hydrochloride Anagrelide Hydrochloride Ancillary Therapy Platelet-Reducing Agent PDE-3 Inhibitor Oral Feb. 28, 2011 Oct. 29, 2010 No Longer Used
55154-6349-00 55154-6349 Cyclosporine Cyclosporine 100.0 mg/1 Ancillary Therapy Immunomodulator Calcineurin Inhibitor Oral Sept. 1, 2010 Oct. 31, 2010 No Longer Used
10768-7283-04 10768-7283 Prednisone Perrigo Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral May 19, 2006 Nov. 1, 2010 No Longer Used
10768-7733-04 10768-7733 Prednisone Perrigo Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral May 19, 2006 Nov. 1, 2010 No Longer Used
60505-1311-01 60505-1311 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Nov. 11, 2008 Nov. 1, 2010 No Longer Used
60505-1311-03 60505-1311 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Nov. 11, 2008 Nov. 1, 2010 No Longer Used
60505-1311-04 60505-1311 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Nov. 11, 2008 Nov. 1, 2010 No Longer Used
60505-1312-01 60505-1312 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Nov. 11, 2008 Nov. 1, 2010 No Longer Used
60505-1312-03 60505-1312 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Nov. 11, 2008 Nov. 1, 2010 No Longer Used
60505-1312-04 60505-1312 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Nov. 11, 2008 Nov. 1, 2010 No Longer Used
60505-1312-05 60505-1312 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Nov. 11, 2008 Nov. 1, 2010 No Longer Used
00182-1864-00 00182-1864 Megestrol Acetate Megestrol Acetate Hormonal Therapy Progestin Analog Oral June 3, 2010 Nov. 30, 2010 No Longer Used
00182-1864-89 00182-1864 Megestrol Acetate Megestrol Acetate Hormonal Therapy Progestin Analog Oral June 3, 2010 Nov. 30, 2010 No Longer Used
00085-1242-01 00085-1242 Interferon alfa-2b Intron A Immunotherapy Cytokine Interferon June 4, 1986 Dec. 4, 2010 No Longer Used
00085-1254-01 00085-1254 Interferon alfa-2b Intron A Immunotherapy Cytokine Interferon June 4, 1986 Dec. 12, 2010 No Longer Used
00004-0155-49 00004-0155 Isotretinoin Accutane Hormonal Therapy Immunomodulator Retinoic Acid Derivative May 7, 1982 Dec. 22, 2010 No Longer Used
00004-0156-49 00004-0156 Isotretinoin Accutane Hormonal Therapy Immunomodulator Retinoic Acid Derivative May 7, 1982 Dec. 22, 2010 No Longer Used
00004-0169-49 00004-0169 Isotretinoin Accutane Hormonal Therapy Immunomodulator Retinoic Acid Derivative May 7, 1982 Dec. 22, 2010 No Longer Used
54868-0955-00 54868-0955 Isotretinoin Accutane Hormonal Therapy Immunomodulator Retinoic Acid Derivative Aug. 7, 1995 Dec. 29, 2010 No Longer Used
54868-4716-00 54868-4716 Methotrexate Sodium Methotrexate Chemotherapy Antimetabolite Folic Acid Analog Intravenous, subcutaneous, intramuscular Dec. 16, 2002 Dec. 31, 2010 No Longer Used
55390-0809-01 55390-0809 Cytarabine Cytarabine Chemotherapy Antimetabolite Pyrimidine Analog Intravenous, subcutaneous, intrathecal June 28, 1996 Dec. 31, 2010 No Longer Used
00013-1116-83 00013-1116 Doxorubicin Hydrochloride Doxorubicin Hydrochloride Chemotherapy Antitumor Antibiotic Anthracycline Intravenous Dec. 23, 1987 Jan. 1, 2011 No Longer Used
00013-1136-91 00013-1136 Doxorubicin Hydrochloride Doxorubicin Hydrochloride Chemotherapy Antitumor Antibiotic Anthracycline Intravenous Dec. 23, 1987 Jan. 1, 2011 No Longer Used
00013-1146-91 00013-1146 Doxorubicin Hydrochloride Doxorubicin Hydrochloride Chemotherapy Antitumor Antibiotic Anthracycline Intravenous Dec. 23, 1987 Jan. 1, 2011 No Longer Used
00013-1156-79 00013-1156 Doxorubicin Hydrochloride Doxorubicin Hydrochloride Chemotherapy Antitumor Antibiotic Anthracycline Intravenous Dec. 23, 1987 Jan. 1, 2011 No Longer Used
00013-1176-87 00013-1176 Doxorubicin Hydrochloride Doxorubicin Hydrochloride Chemotherapy Antitumor Antibiotic Anthracycline Intravenous Dec. 23, 1987 Jan. 1, 2011 No Longer Used
00013-1266-83 00013-1266 Doxorubicin Hydrochloride Doxorubicin Hydrochloride Chemotherapy Antitumor Antibiotic Anthracycline Intravenous Dec. 23, 1987 Jan. 1, 2011 No Longer Used
00013-1286-83 00013-1286 Doxorubicin Hydrochloride Doxorubicin Hydrochloride Chemotherapy Antitumor Antibiotic Anthracycline Intravenous Dec. 23, 1987 Jan. 1, 2011 No Longer Used
00002-4165-34 00002-4165 Raloxifene Hydrochloride Evista 60.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Jan. 6, 1998 Jan. 25, 2011 No Longer Used
00002-4165-79 00002-4165 Raloxifene Hydrochloride Evista 60.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Jan. 6, 1998 Jan. 25, 2011 No Longer Used
00555-0886-01 00555-0886 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Oct. 28, 1997 Jan. 26, 2011 In Use
00555-0886-14 00555-0886 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Oct. 28, 1997 Jan. 26, 2011 In Use
00555-0887-01 00555-0887 Estradiol Estradiol 2.0 mg/1 Hormonal Therapy Estrogen Oral Oct. 28, 1997 Jan. 26, 2011 In Use
00555-0887-14 00555-0887 Estradiol Estradiol 2.0 mg/1 Hormonal Therapy Estrogen Oral Oct. 28, 1997 Jan. 26, 2011 In Use
00003-0852-11 00003-0852 Dasatinib Sprycel 100.0 mg/1 Chemotherapy Tyrosine Kinase Inhibitor BCR-ABL Oral June 3, 2009 Jan. 26, 2011 In Use
00555-0779-01 00555-0779 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Dec. 4, 1996 Jan. 26, 2011 In Use
00555-0779-05 00555-0779 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Dec. 4, 1996 Jan. 26, 2011 In Use
00555-0872-01 00555-0872 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 2.5 mg/1 Hormonal Therapy Progestin Oral Dec. 4, 1996 Jan. 26, 2011 In Use
00555-0872-05 00555-0872 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 2.5 mg/1 Hormonal Therapy Progestin Oral Dec. 4, 1996 Jan. 26, 2011 In Use
00555-0873-01 00555-0873 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 5.0 mg/1 Hormonal Therapy Progestin Oral Dec. 3, 1996 Jan. 26, 2011 In Use
00555-0873-05 00555-0873 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 5.0 mg/1 Hormonal Therapy Progestin Oral Dec. 3, 1996 Jan. 26, 2011 In Use
00555-0606-03 00555-0606 Megestrol Acetate Megestrol Acetate 20.0 mg/1 Hormonal Therapy Progestin Analog Oral Oct. 25, 1996 Jan. 29, 2011 In Use
00555-0606-04 00555-0606 Megestrol Acetate Megestrol Acetate 20.0 mg/1 Hormonal Therapy Progestin Analog Oral Oct. 25, 1996 Jan. 29, 2011 In Use
00555-0607-03 00555-0607 Megestrol Acetate Megestrol Acetate 40.0 mg/1 Hormonal Therapy Progestin Analog Oral Nov. 30, 1995 Jan. 29, 2011 In Use
10768-7085-01 10768-7085 Prednisone Perrigo Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Oct. 11, 2006 Feb. 4, 2011 No Longer Used
00378-3151-05 00378-3151 Finasteride Finasteride Ancillary Therapy Protective Agent 5-alpha Reductase Inhibitor Oral July 30, 2010 Feb. 4, 2011 No Longer Used
68788-0823-01 68788-0823 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 25, 2007 Feb. 15, 2011 No Longer Used
68788-0823-03 68788-0823 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 25, 2007 Feb. 15, 2011 No Longer Used
55390-0307-01 55390-0307 Ondansetron Ondansetron Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Intramuscular, Intravenous Dec. 26, 2006 Feb. 28, 2011 No Longer Used
55390-0307-10 55390-0307 Ondansetron Ondansetron Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Intramuscular, Intravenous Dec. 26, 2006 Feb. 28, 2011 No Longer Used
00378-6869-01 00378-6869 Anagrelide Hydrochloride Anagrelide Hydrochloride Ancillary Therapy Platelet-Reducing Agent PDE-3 Inhibitor Oral Feb. 28, 2011 March 4, 2011 No Longer Used
16714-0522-02 16714-0522 Finasteride Finasteride Ancillary Therapy Protective Agent 5-alpha Reductase Inhibitor Oral March 2, 2011 March 4, 2011 No Longer Used
60505-0744-06 60505-0744 Ondansetron Ondansetron Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Intramuscular, Intravenous Dec. 26, 2006 March 11, 2011 No Longer Used
66758-0055-01 66758-0055 Idarubicin Hydrochloride Idarubicin Hydrochloride 1.0 mg/mL Chemotherapy Antitumor Antibiotic Anthracycline Intravenous March 29, 2011 March 29, 2011 In Use
66758-0055-03 66758-0055 Idarubicin Hydrochloride Idarubicin Hydrochloride 1.0 mg/mL Chemotherapy Antitumor Antibiotic Anthracycline Intravenous March 29, 2011 March 29, 2011 In Use
66758-0055-05 66758-0055 Idarubicin Hydrochloride Idarubicin Hydrochloride 1.0 mg/mL Chemotherapy Antitumor Antibiotic Anthracycline Intravenous March 29, 2011 March 29, 2011 In Use
55390-0134-01 55390-0134 Cytarabine Cytarabine Chemotherapy Antimetabolite Pyrimidine Analog Intravenous, subcutaneous, intrathecal May 1, 1996 March 31, 2011 No Longer Used
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
00703-7239-31 00703-7239 Ondansetron and Dextrose Ondansetron and Dextrose Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Intramuscular, Intravenous Nov. 22, 2006 March 31, 2011 No Longer Used
00703-7239-39 00703-7239 Ondansetron and Dextrose Ondansetron and Dextrose Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Intramuscular, Intravenous Nov. 22, 2006 March 31, 2011 No Longer Used
00703-4014-11 00703-4014 Leuprolide Acetate Leuprolide Acetate Hormonal Therapy GnRH Agonist Subcutaneous Nov. 6, 2000 March 31, 2011 No Longer Used
00703-4014-18 00703-4014 Leuprolide Acetate Leuprolide Acetate Hormonal Therapy GnRH Agonist Subcutaneous Nov. 6, 2000 March 31, 2011 No Longer Used
00781-3243-75 00781-3243 Triamcinolone Acetonide Triamcinolone Acetonide 10.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intrabursal, Intradermal, Intralesional May 27, 2009 April 30, 2011 In Use
00781-3245-72 00781-3245 Triamcinolone Acetonide Triamcinolone Acetonide 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intramuscular May 27, 2009 April 30, 2011 In Use
00555-0446-05 00555-0446 Tamoxifen Citrate Tamoxifen Citrate Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Feb. 20, 2003 April 30, 2011 No Longer Used
00555-0446-09 00555-0446 Tamoxifen Citrate Tamoxifen Citrate Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Feb. 20, 2003 April 30, 2011 No Longer Used
00555-0446-63 00555-0446 Tamoxifen Citrate Tamoxifen Citrate Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Feb. 20, 2003 April 30, 2011 No Longer Used
66758-0054-01 66758-0054 Fluorouracil Fluorouracil 50.0 mg/mL Chemotherapy Antimetabolite Pyrimidine Analog Intravenous May 2, 2011 May 2, 2011 In Use
66758-0054-02 66758-0054 Fluorouracil Fluorouracil 50.0 mg/mL Chemotherapy Antimetabolite Pyrimidine Analog Intravenous May 2, 2011 May 2, 2011 In Use
00006-4109-06 00006-4109 Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant GARDASIL 40.0 ug/.5mL, 40.0 ug/.5mL, 20.0 ug/.5mL, 20.0 ug/.5mL Ancillary Therapy Protective Agent HPV Vaccine Intramuscular June 8, 2006 May 6, 2011 In Use
68788-0822-01 68788-0822 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 25, 2007 May 10, 2011 No Longer Used
68788-0822-03 68788-0822 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 25, 2007 May 10, 2011 No Longer Used
68788-1823-01 68788-1823 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral April 28, 2011 May 10, 2011 No Longer Used
68788-1823-03 68788-1823 Ondansetron Hydrochloride Ondansetron Hydrochloride Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral April 28, 2011 May 10, 2011 No Longer Used
54868-0923-01 54868-0923 Prednisone Deltasone Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Dec. 1, 1992 May 31, 2011 No Longer Used
17478-0546-01 17478-0546 Granisetron Hydrochloride Granisetron Hydrochloride 1.0 mg/mL Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Intravenous Oct. 1, 2009 June 1, 2011 In Use
17478-0546-04 17478-0546 Granisetron Hydrochloride Granisetron Hydrochloride 1.0 mg/mL Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Intravenous Oct. 1, 2009 June 1, 2011 In Use
58177-0931-03 58177-0931 Prednisolone Sodium Phosphate Prednisolone Sodium Phosphate Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jan. 1, 2009 June 22, 2011 No Longer Used
29336-0610-24 29336-0610 Imiquimod Aldara Immunotherapy Immunomodulator Dermatological Agent Topical June 24, 2011 June 24, 2011 No Longer Used
58177-0363-22 58177-0363 Ondansetron Ondansetron Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Aug. 1, 2009 June 28, 2011 No Longer Used
58177-0364-22 58177-0364 Ondansetron Ondansetron Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Aug. 1, 2009 June 28, 2011 No Longer Used
58177-0364-56 58177-0364 Ondansetron Ondansetron Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Aug. 1, 2009 June 28, 2011 No Longer Used
54868-3896-00 54868-3896 Methylprednisolone Acetate Depo-Medrol Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Jan. 7, 1997 June 30, 2011 No Longer Used
54868-3896-02 54868-3896 Methylprednisolone Acetate Depo-Medrol Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Jan. 7, 1997 June 30, 2011 No Longer Used
54868-5089-00 54868-5089 Ondansetron Zofran ODT Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 9, 2004 June 30, 2011 No Longer Used
54868-5089-01 54868-5089 Ondansetron Zofran ODT Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 9, 2004 June 30, 2011 No Longer Used
54868-5089-02 54868-5089 Ondansetron Zofran ODT Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 9, 2004 June 30, 2011 No Longer Used
54868-5089-03 54868-5089 Ondansetron Zofran ODT Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 9, 2004 June 30, 2011 No Longer Used
54868-5089-04 54868-5089 Ondansetron Zofran ODT Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 9, 2004 June 30, 2011 No Longer Used
54868-5089-05 54868-5089 Ondansetron Zofran ODT Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral June 9, 2004 June 30, 2011 No Longer Used
54868-3344-00 54868-3344 Triamcinolone Hexacetonide Aristospan Hormonal Therapy Adrenal Glucocorticoid Corticosteroid July 12, 1994 June 30, 2011 No Longer Used

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