| Source HCPCS Code |
|
Target NDC Code |
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00002-4483-54
VERZENIO 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/10/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00002-4815-54
VERZENIO 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/10/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00002-5337-54
VERZENIO 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/06/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00002-6216-54
VERZENIO 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/09/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-0524-11
SPRYCEL 70 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-0527-11
SPRYCEL 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-0528-11
SPRYCEL 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-0830-50
HYDREA 500 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-0852-22
SPRYCEL 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-0855-22
SPRYCEL 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/21/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-0857-22
SPRYCEL 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/21/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-6335-17
DROXIA 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-6336-17
DROXIA 300 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
05/31/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00003-6337-17
DROXIA 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
05/31/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00006-0568-40
ZOLINZA 100 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00007-4205-11
TOPOTECAN HYDROCHLORIDE
|
| Detail Information |
| Relationship Start Date |
9/16/2008 |
| Relationship End Date |
6/30/2009 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
PG |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00007-4207-11
TOPOTECAN HYDROCHLORIDE
|
| Detail Information |
| Relationship Start Date |
9/16/2008 |
| Relationship End Date |
6/30/2009 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
PG |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00008-4117-01
TRECATOR 250 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
11/30/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00009-7663-04
AROMASIN 25 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00013-0132-02
EMCYT 140 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00013-5301-17
MYCOBUTIN 150 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
07/01/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00015-0508-42
MEGACE 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2017 |
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00015-0595-01
MEGACE 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/30/2002 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00015-0596-41
MEGACE 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/30/2002 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00015-3030-20
CEENU 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/4/2013 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00015-3031-20
CEENU 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/4/2013 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00015-3032-20
CEENU 100 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/4/2013 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00015-3034-10
CEENU (DOSE PACK,2X10,40,100MG) 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/19/2008 |
| Number Of Items In Ndc Package |
6 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
DP |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00024-5820-05
OFORTA (INNER PACK) 10 MG
|
| Detail Information |
| Relationship Start Date |
11/12/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00024-5820-20
OFORTA (4X5 STRIP,FILM COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
11/12/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00037-6050-93
EDLUAR 5 MG SL TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
SL |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-0080-13
EXEMESTANE 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-0249-13
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
10/05/2018 |
| Relationship End Date |
07/31/2020 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-0399-25
BEXAROTENE 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/25/2020 |
| Relationship End Date |
04/30/2023 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00054-0812-21
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/07/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00054-0812-22
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/07/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00054-0812-25
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/07/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00054-0812-29
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/07/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-2247-25
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/5/2004 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-3542-58
MEGESTROL ACETATE (LEMON,LIME) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
04/11/2002 |
| Relationship End Date |
06/30/2021 |
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4496-13
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4496-25
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4497-05
LEUCOVORIN CALCIUM 10 MG TA
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
12 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4497-10
LEUCOVORIN CALCIUM 10 MG TA
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
24 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4498-10
LEUCOVORIN CALCIUM 15 MG TA
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
24 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4499-11
LEUCOVORIN CALCIUM 25 MG TA
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4581-11
MERCAPTOPURINE (USP) 50 MG
|
| Detail Information |
| Relationship Start Date |
02/19/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4581-27
MERCAPTOPURINE (USP) 50 MG
|
| Detail Information |
| Relationship Start Date |
02/19/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4603-25
MEGESTROL ACETATE 20 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
01/31/2020 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4604-25
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
01/31/2020 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4831-21
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
2/21/2003 |
| Relationship End Date |
4/17/2007 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4831-26
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
2/21/2003 |
| Relationship End Date |
4/17/2007 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4834-13
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
2/21/2003 |
| Relationship End Date |
6/20/2007 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-4834-22
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
2/21/2003 |
| Relationship End Date |
4/17/2007 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-8247-25
HYDROXYUREA (10X10) 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/13/2004 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-8496-19
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-8603-25
MEGESTROL ACETATE (10X10) 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-8604-25
MEGESTROL ACETATE (10X10) 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-8831-25
TAMOXIFEN CITRATE (BLISTER PACK 10X10) 10 MG
|
| Detail Information |
| Relationship Start Date |
2/21/2003 |
| Relationship End Date |
4/17/2007 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00054-8834-25
TAMOXIFEN CITRATE (BLISTER PACK 10X10) 20 MG
|
| Detail Information |
| Relationship Start Date |
2/21/2003 |
| Relationship End Date |
2/5/2007 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0135-01
BOSULIF 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/24/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0136-01
BOSULIF 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/19/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0145-01
INLYTA 1 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/07/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0151-11
INLYTA 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/07/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0187-21
IBRANCE 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/03/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0188-21
IBRANCE 100 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/03/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0189-21
IBRANCE 125 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/03/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0193-01
BOSULIF 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
12/18/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0197-30
VIZIMPRO 15 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0227-01
LORBRENA 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/19/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0227-03
LORBRENA 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/19/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0231-01
LORBRENA 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/19/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0251-60
XALKORI 20 MG PELLET
|
| Detail Information |
| Relationship Start Date |
02/05/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0252-30
TALZENNA 0.1 MG SOFTGEL
|
| Detail Information |
| Relationship Start Date |
06/04/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0284-03
IBRANCE 75 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/30/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0284-07
IBRANCE 75 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/30/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0296-30
TALZENNA 0.25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/29/2018 |
| Relationship End Date |
02/28/2026 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0353-30
TALZENNA 0.25 MG SOFTGEL
|
| Detail Information |
| Relationship Start Date |
06/04/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0454-30
TALZENNA 0.35 MG SOFTGEL
|
| Detail Information |
| Relationship Start Date |
06/04/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0486-03
IBRANCE 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/30/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0486-07
IBRANCE 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/30/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0504-30
BOSULIF 50 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0507-60
XALKORI 50 MG PELLET
|
| Detail Information |
| Relationship Start Date |
01/11/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0546-30
TALZENNA 0.5 MG SOFTGEL
|
| Detail Information |
| Relationship Start Date |
06/04/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0550-38
SUTENT 12.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0655-30
TALZENNA 0.75 MG SOFTGEL
|
| Detail Information |
| Relationship Start Date |
06/04/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0688-03
IBRANCE 125 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0688-07
IBRANCE 125 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/30/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-0757-30
TALZENNA 1 MG SOFTGEL
|
| Detail Information |
| Relationship Start Date |
06/04/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0770-38
SUTENT 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0830-38
SUTENT 37.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
07/21/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-0980-38
SUTENT 50 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-1014-15
BOSULIF 100 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-1031-30
TALZENNA 0.1 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
06/29/2023 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-1195-30
TALZENNA 1 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/29/2018 |
| Relationship End Date |
02/28/2026 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-1198-30
VIZIMPRO 30 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-1235-30
TALZENNA 0.35 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
06/29/2023 |
| Relationship End Date |
10/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00069-1500-60
XALKORI 150 MG PELLET
|
| Detail Information |
| Relationship Start Date |
01/11/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-1501-30
TALZENNA 0.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/14/2022 |
| Relationship End Date |
02/28/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-1751-30
TALZENNA 0.75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/14/2022 |
| Relationship End Date |
11/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-2299-30
VIZIMPRO 45 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-8140-20
XALKORI 250 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/29/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00069-8141-20
XALKORI 200 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/29/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00074-0576-30
VENCLEXTA 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/14/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00074-0576-34
VENCLEXTA 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/14/2016 |
| Relationship End Date |
06/10/2024 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0249-15
FEMARA 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0373-66
GLEEVEC 100 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/2/2003 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0401-34
GLEEVEC 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/16/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0438-15
GLEEVEC (FILM-COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
4/12/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0649-13
GLEEVEC FILM-COATED 400 MG
|
| Detail Information |
| Relationship Start Date |
09/17/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00078-0649-26
GLEEVEC 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/12/2005 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0649-30
GLEEVEC 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/16/2017 |
| Relationship End Date |
09/17/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0666-15
MEKINIST 0.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/17/2013 |
| Relationship End Date |
10/03/2023 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0668-15
MEKINIST 2 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/17/2013 |
| Relationship End Date |
04/30/2024 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0670-66
VOTRIENT 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0671-19
TYKERB 250 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0681-66
TAFINLAR 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
06/10/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0682-66
TAFINLAR 50 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
06/10/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0694-84
ZYKADIA 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/14/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0698-02
RYDAPT 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/01/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0698-19
RYDAPT 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/01/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
112 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0698-51
RYDAPT 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/01/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0698-99
RYDAPT 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/01/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
56 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
po |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0701-51
PIQRAY 200 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/29/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0701-84
PIQRAY 200 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/29/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0708-02
PIQRAY 300 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/29/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
56 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0708-51
PIQRAY 300 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/29/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0715-02
PIQRAY 250 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/29/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
56 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0715-61
PIQRAY 250 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/29/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0867-14
KISQALI 400 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
03/20/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0874-21
KISQALI 600 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0909-61
KISQALI FEMARA 200 MG CO-PA
|
| Detail Information |
| Relationship Start Date |
05/18/2017 |
| Relationship End Date |
06/28/2025 |
| Number Of Items In Ndc Package |
49 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0916-61
KISQALI FEMARA 400 MG CO-PA
|
| Detail Information |
| Relationship Start Date |
05/18/2017 |
| Relationship End Date |
06/28/2025 |
| Number Of Items In Ndc Package |
70 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0923-61
KISQALI FEMARA 600 MG CO-PA
|
| Detail Information |
| Relationship Start Date |
05/18/2017 |
| Relationship End Date |
06/28/2025 |
| Number Of Items In Ndc Package |
91 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-0951-66
TASIGNA 50 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/04/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00078-1077-66
VOTRIENT 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00078-1105-15
MEKINIST 0.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/17/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00078-1112-15
MEKINIST 2 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/17/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00078-1154-21
TAFINLAR 10 MG TABLET FOR SUSP
|
| Detail Information |
| Relationship Start Date |
05/23/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00078-1161-47
MEKINIST 0.05 MG/ML SOLUTION
|
| Detail Information |
| Relationship Start Date |
05/25/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00085-0525-03
EULEXIN 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/30/2004 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00085-0525-05
EULEXIN 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/30/2005 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00085-0525-06
EULEXIN 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/30/2005 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-0782-01
TAMOXIFEN CITRATE (FILM COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
10/20/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-0782-05
TAMOXIFEN CITRATE (FILM COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
1/9/2008 |
| Relationship End Date |
10/20/2016 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-0782-10
TAMOXIFEN CITRATE (FILM COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
1/9/2008 |
| Relationship End Date |
10/20/2016 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-0782-56
TAMOXIFEN CITRATE (FILM COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
7/17/2016 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-0784-05
TAMOXIFEN CITRATE (FILM COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
1/9/2008 |
| Relationship End Date |
10/20/2016 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-0784-06
TAMOXIFEN CITRATE (FILM COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
7/17/2016 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-0784-10
TAMOXIFEN CITRATE (FILM COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
1/9/2008 |
| Relationship End Date |
10/20/2016 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-0784-86
TAMOXIFEN CITRATE (FILM COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
8/2/2016 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-5510-06
MERCAPTOPURINE (USP) 50 MG
|
| Detail Information |
| Relationship Start Date |
4/27/2005 |
| Relationship End Date |
3/26/2015 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-7120-05
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/26/2006 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-7120-86
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/26/2006 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-7620-56
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/03/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-7662-56
ERLOTINIB HCL 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-7663-56
ERLOTINIB HCL 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/09/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-7664-56
ERLOTINIB HCL 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/09/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00093-7769-19
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/21/2023 |
| Relationship End Date |
09/30/2026 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00093-7769-24
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/21/2023 |
| Relationship End Date |
09/30/2026 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8199-28
SUNITINIB MALATE 12.5 MG CA
|
| Detail Information |
| Relationship Start Date |
01/04/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8224-28
SUNITINIB MALATE 25 MG CAPS
|
| Detail Information |
| Relationship Start Date |
01/04/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8229-28
SUNITINIB MALATE 37.5 MG CA
|
| Detail Information |
| Relationship Start Date |
01/04/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8231-28
SUNITINIB MALATE 50 MG CAPS
|
| Detail Information |
| Relationship Start Date |
01/04/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-9634-87
MEGESTROL ACETATE (APRICOT) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/13/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00121-0945-00
MEGESTROL ACETATE (USP,LATEX-FREE) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/10/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00121-0945-10
MEGESTROL 400 MG/10 ML SUSPENSION CUP
|
| Detail Information |
| Relationship Start Date |
07/25/2001 |
| Relationship End Date |
02/28/2027 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CUP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00121-0945-40
MEGESTROL ACETATE (USP,LATEX-FREE) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/10/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00121-1038-00
MEGESTROL ACETATE USP,LEMON-LIME 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/19/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00121-1038-10
MEGESTROL 400 MG/10 ML SUSP CUP
|
| Detail Information |
| Relationship Start Date |
07/16/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CUP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00121-1038-40
MEGESTROL ACETATE USP,LEMON-LIME 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
09/19/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00121-4776-10
MEGESTROL ACETATE (40X10ML CUPS,APRICOT) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
07/07/2006 |
| Relationship End Date |
04/30/2023 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-4960-58
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2016 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-4960-70
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2016 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-5656-49
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
1/8/2008 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-5656-58
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
1/8/2008 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-5656-70
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
1/8/2008 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-5656-80
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
1/8/2008 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-5657-46
TAMOXIFEN CITRATE (USP) 20 MG
|
| Detail Information |
| Relationship Start Date |
2/11/2004 |
| Relationship End Date |
11/30/2011 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-5657-60
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
10/10/2007 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-5657-70
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
1/8/2008 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-5657-80
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
4/28/2003 |
| Relationship End Date |
1/8/2008 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00173-0635-35
LEUKERAN 2 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/21/2012 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00173-0807-25
PURINETHOL 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/9/2003 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00173-0807-65
PURINETHOL 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/12/2003 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00182-1864-89
MEGESTROL ACETATE (10X10) 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/16/2009 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00185-1125-05
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/18/2012 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00185-1125-18
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/18/2012 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00185-1125-88
FLUTAMIDE (BLISTER PACK,10X10) 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/18/2012 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00187-5526-75
TARGRETIN 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
10/01/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0201-30
ARIMIDEX 1 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0201-37
ARIMIDEX (FILM-COATED) 1 MG
|
| Detail Information |
| Relationship Start Date |
5/2/2008 |
| Relationship End Date |
10/20/2008 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
DP |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0512-60
CALQUENCE 100 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/01/2017 |
| Relationship End Date |
07/31/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0600-18
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/24/2003 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0600-60
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2006 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0600-75
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/24/2003 |
| Number Of Items In Ndc Package |
2500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0604-12
NOLVADEX 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/24/2003 |
| Number Of Items In Ndc Package |
1250 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0604-30
NOLVADEX 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2006 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0604-90
NOLVADEX 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/24/2003 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0668-12
LYNPARZA 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/18/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0668-60
LYNPARZA 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/18/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0679-12
LYNPARZA 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/18/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0679-60
LYNPARZA 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/18/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0730-60
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
10/21/2002 |
| Relationship End Date |
2/20/2003 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-0731-30
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
10/21/2002 |
| Relationship End Date |
2/20/2003 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-1349-30
TAGRISSO 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/19/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00310-1350-30
TAGRISSO 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/23/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00310-3512-60
CALQUENCE 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/16/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-0144-05
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-0144-91
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
02/20/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-0274-01
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
7/12/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-0274-93
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
02/20/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1935-28
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/07/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1936-01
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1936-28
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1937-01
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1937-28
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1940-01
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1940-21
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1941-01
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1941-21
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/06/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00378-1942-01
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/07/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-1942-21
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/07/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-2245-77
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
09/28/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-2246-93
IMATINIB MESYLATE 400 MG TA
|
| Detail Information |
| Relationship Start Date |
09/28/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-3099-32
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/01/2023 |
| Relationship End Date |
02/28/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00378-3099-85
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/01/2023 |
| Relationship End Date |
02/28/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-3547-25
MERCAPTOPURINE (U.S.P.) 50 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2005 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-3547-52
MERCAPTOPURINE (U.S.P.) 50 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2005 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-6678-28
SUNITINIB MALATE 12.5 MG CA
|
| Detail Information |
| Relationship Start Date |
01/05/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-6679-28
SUNITINIB MALATE 25 MG CAPS
|
| Detail Information |
| Relationship Start Date |
01/05/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-6680-28
SUNITINIB MALATE 50 MG CAPS
|
| Detail Information |
| Relationship Start Date |
01/05/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-6681-28
SUNITINIB MALATE 37.5 MG CA
|
| Detail Information |
| Relationship Start Date |
01/05/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-6955-01
BEXAROTENE 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
07/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00469-0125-99
XTANDI 40 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/12/2012 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00469-1425-90
XOSPATA 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
12/03/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00480-1241-28
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/08/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00480-1242-28
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00480-1243-28
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00480-1244-21
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00480-1245-21
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/08/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00480-1246-21
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00480-3237-51
LAPATINIB 250 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/27/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00480-3523-56
DASATINIB 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/23/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00480-3524-56
DASATINIB 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/03/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00480-4184-89
PAZOPANIB HCL 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/20/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00480-5101-06
DASATINIB 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/13/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00480-5102-06
DASATINIB 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/24/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00480-5103-06
DASATINIB 70 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/17/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00480-5104-56
DASATINIB 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/24/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00480-5425-89
SORAFENIB 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/17/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0066-02
ISONIAZID 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/04/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0071-01
ISONIAZID 300 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/04/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0071-02
ISONIAZID 300 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/04/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0446-05
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
10/11/2005 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0446-09
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/22/2008 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0446-63
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/22/2008 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0484-01
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0484-02
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0485-27
LEUCOVORIN CALCIUM 25 MG TA
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0606-02
MEGESTROL ACETATE 20 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0607-02
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0607-03
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/13/2002 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0607-04
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/27/2013 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0808-02
TRETINOIN 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0870-04
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/7/2007 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0870-63
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/22/2008 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0882-02
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0904-01
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/22/2008 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0904-05
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
2/20/2003 |
| Relationship End Date |
10/11/2005 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00555-0904-14
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/22/2008 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-2472-18
TAMOXIFEN 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/10/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-2472-60
TAMOXIFEN 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/10/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-2473-19
TAMOXIFEN 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/08/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-2473-30
TAMOXIFEN 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/08/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-2832-01
BEXAROTENE 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/17/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
00591-4365-60
ABIRATERONE ACETATE 500 MG TAB
|
| Detail Information |
| Relationship Start Date |
07/18/2023 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00597-0137-30
GILOTRIF 30 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/26/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00597-0138-30
GILOTRIF 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/26/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00597-0141-30
GILOTRIF 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/26/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00603-3946-21
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/30/2002 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00615-3570-53
MEGESTROL ACETATE (31X10,CARDED) 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/31/2003 |
| Number Of Items In Ndc Package |
31 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00615-3570-63
MEGESTROL ACETATE (31X10) 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/31/2003 |
| Number Of Items In Ndc Package |
31 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00677-1680-01
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/23/2002 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00832-0285-00
BEXAROTENE 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/16/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
00832-0532-09
IMATINIB MESYLATE 100 MG TAB
|
| Detail Information |
| Relationship Start Date |
06/21/2022 |
| Relationship End Date |
12/05/2026 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00832-0533-03
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
07/26/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00832-0595-30
EXEMESTANE 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/03/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-3570-60
MEGESTROL ACETATE 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/6/2002 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-3571-60
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/6/2002 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-3571-61
MEGESTROL ACETATE (10X10) 40 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
03/04/2022 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-6019-46
BICALUTAMIDE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/28/2024 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-6621-04
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
04/08/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-6703-10
LEUCOVORIN CALCIUM 25 MG TA
|
| Detail Information |
| Relationship Start Date |
12/27/2018 |
| Relationship End Date |
05/05/2026 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-6867-04
TRETINOIN 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/24/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-6901-04
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
04/25/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-6939-61
HYDROXYUREA (10X10, USP) 500 MG
|
| Detail Information |
| Relationship Start Date |
04/15/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-7236-61
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
06/15/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-7577-18
Megestrol Acetate USP,LEMON-LIME 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/12/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-7577-72
Megestrol Acetate USP,LEMON-LIME 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/12/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
10135-0702-01
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
02/01/2022 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
10370-0268-01
TRETINOIN 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/06/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
12280-0346-30
ARIMIDEX 1 MG
|
| Detail Information |
| Relationship Start Date |
1/9/2008 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
13632-0123-01
SOLTAMOX (SF,LICORICE) 10 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
7/10/2006 |
| Relationship End Date |
1/1/2008 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
13668-0682-12
SORAFENIB 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/14/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
13668-0735-30
PAZOPANIB HCL 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/10/2025 |
| Relationship End Date |
02/13/2027 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0178-01
FLUOROURACIL 5% CREAM
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
GR |
| Ndc Package Type |
TUBE |
| Route Of Administration |
TP |
| Billing Units |
GM |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0676-01
SUNITINIB MALATE 12.5 MG CA
|
| Detail Information |
| Relationship Start Date |
06/13/2022 |
| Relationship End Date |
09/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0677-01
SUNITINIB MALATE 25 MG CAPS
|
| Detail Information |
| Relationship Start Date |
06/13/2022 |
| Relationship End Date |
09/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0678-01
SUNITINIB MALATE 37.5 MG CA
|
| Detail Information |
| Relationship Start Date |
06/14/2022 |
| Relationship End Date |
09/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0679-01
SUNITINIB MALATE 50 MG CAPS
|
| Detail Information |
| Relationship Start Date |
06/14/2022 |
| Relationship End Date |
09/30/2026 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0705-01
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
02/23/2018 |
| Relationship End Date |
01/31/2023 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0816-01
BICALUTAMIDE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0816-02
BICALUTAMIDE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0963-01
ABIRATERONE ACETATE 250 MG
|
| Detail Information |
| Relationship Start Date |
11/25/2020 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16729-0023-01
BICALUTAMIDE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16729-0023-10
BICALUTAMIDE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16729-0034-10
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/03/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
16729-0034-15
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/03/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOT OTHERWISE SPECIFIED
|
⇄
|
16729-0035-15
ANASTROZOLE (FILM-COATED) 1 MG
|
| Detail Information |
| Relationship Start Date |
02/08/2011 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
17236-0495-01
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
10/1/2002 |
| Relationship End Date |
4/1/2003 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
17236-0697-01
MEGESTROL ACETATE 20 MG
|
| Detail Information |
| Relationship Start Date |
10/1/2002 |
| Relationship End Date |
4/1/2003 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
23155-0857-03
ANASTROZOLE 1 MG
|
| Detail Information |
| Relationship Start Date |
07/19/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
23155-0857-05
ANASTROZOLE 1 MG
|
| Detail Information |
| Relationship Start Date |
07/19/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
23155-0857-09
ANASTROZOLE 1 MG
|
| Detail Information |
| Relationship Start Date |
07/19/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
23155-0875-03
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/20/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
23155-0875-09
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/20/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
23155-0875-10
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/20/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
24979-0715-44
SORAFENIB 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
12/27/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
31722-0257-28
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/30/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
31722-0258-28
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/30/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
31722-0259-28
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/30/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
31722-0260-21
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/30/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
31722-0261-21
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/30/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
31722-0262-21
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/30/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
31722-0263-30
ERLOTINIB HCL 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/14/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
31722-0264-30
ERLOTINIB HCL 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
31722-0265-30
ERLOTINIB HCL 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/09/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
31722-0296-90
IMATINIB MESYLATE 100 MG TAB
|
| Detail Information |
| Relationship Start Date |
12/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
31722-0297-30
IMATINIB MESYLATE FILM COATED 400 MG
|
| Detail Information |
| Relationship Start Date |
10/16/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
31722-0380-01
BEXAROTENE 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/05/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
31722-0774-60
CAPECITABINE USP,FILM COATED 150 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
31722-0775-12
CAPECITABINE USP,FILM COATED 500 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
31722-0775-60
CAPECITABINE USP,FILM COATED 500 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42291-0016-30
ANASTROZOLE 1 MG
|
| Detail Information |
| Relationship Start Date |
02/06/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42291-0016-90
ANASTROZOLE 1 MG
|
| Detail Information |
| Relationship Start Date |
02/06/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42291-0085-30
ANASTROZOLE (FILM-COATED) 1 MG
|
| Detail Information |
| Relationship Start Date |
02/13/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42291-0085-90
ANASTROZOLE (USP,FILM-COATED) 1 MG
|
| Detail Information |
| Relationship Start Date |
09/23/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42292-0043-01
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
09/28/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42292-0043-03
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
09/28/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42292-0044-01
IMATINIB MESYLATE 400 MG TA
|
| Detail Information |
| Relationship Start Date |
09/28/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42292-0044-03
IMATINIB MESYLATE 400 MG TA
|
| Detail Information |
| Relationship Start Date |
09/28/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42388-0011-14
COMETRIQ 140 MG DAILY-DOSE PK
|
| Detail Information |
| Relationship Start Date |
01/23/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42388-0012-14
COMETRIQ 100 MG DAILY-DOSE PK
|
| Detail Information |
| Relationship Start Date |
01/23/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42388-0013-14
COMETRIQ 60 MG DAILY-DOSE PACK
|
| Detail Information |
| Relationship Start Date |
01/23/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42388-0023-26
CABOMETYX 60 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/28/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
42388-0023-46
CABOMETYX 60 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/28/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42388-0024-26
CABOMETYX 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/28/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
42388-0024-46
CABOMETYX 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/28/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42388-0025-26
CABOMETYX 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/28/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
42388-0025-46
CABOMETYX 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/28/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
42747-0327-30
FARESTON 60 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
42806-0101-01
ETHAMBUTOL HCL 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/16/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
42806-0133-21
LEUCOVORIN CALCIUM 10 MG TAB
|
| Detail Information |
| Relationship Start Date |
02/20/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
12 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
42806-0133-24
LEUCOVORIN CALCIUM 10 MG TAB
|
| Detail Information |
| Relationship Start Date |
02/20/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
24 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
42806-0134-24
LEUCOVORIN CALCIUM 15 MG TAB
|
| Detail Information |
| Relationship Start Date |
02/24/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
24 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
42806-0358-01
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
08/06/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
42806-0358-30
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
08/06/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
42806-0359-25
LEUCOVORIN CALCIUM 25 MG TAB
|
| Detail Information |
| Relationship Start Date |
08/06/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0045-63
SUNITINIB MALATE 12.5 MG CAP
|
| Detail Information |
| Relationship Start Date |
01/16/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0046-63
SUNITINIB MALATE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/16/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0047-63
SUNITINIB MALATE 37.5 MG CAP
|
| Detail Information |
| Relationship Start Date |
12/27/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0048-63
SUNITINIB MALATE 50 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/20/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
43598-0344-79
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
04/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
43598-0344-90
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
09/27/2018 |
| Relationship End Date |
05/31/2025 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
43598-0345-30
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
09/27/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
43598-0345-79
IMATINIB MESYLATE 400 MG TA
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0468-60
ABIRATERONE ACETATE 500 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/22/2023 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0511-63
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0512-63
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0513-21
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0514-21
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0515-21
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
43598-0516-63
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
43598-0599-60
DASATINIB 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/04/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
43598-0600-60
DASATINIB 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/04/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
43598-0601-60
DASATINIB 70 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/04/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
43598-0602-30
DASATINIB 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/04/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
43598-0603-30
DASATINIB 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/04/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
43598-0604-30
DASATINIB 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/04/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
43975-0315-10
BEXAROTENE 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
06/06/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
46287-0009-01
ISONIAZID 50 MG/5 ML SOLUTI
|
| Detail Information |
| Relationship Start Date |
07/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
47335-0303-83
ODOMZO 200 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/19/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
47335-0401-81
YONSA 125 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/25/2018 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
47335-0472-81
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
02/01/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
47335-0475-83
IMATINIB MESYLATE 400 MG TA
|
| Detail Information |
| Relationship Start Date |
02/01/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
47335-0485-83
BICALUTAMIDE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/23/2018 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
47335-0485-88
BICALUTAMIDE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/23/2018 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0483-28
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/10/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0484-01
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0484-28
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0485-01
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0485-28
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0486-01
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0486-77
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0487-77
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/10/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0488-01
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
47781-0488-77
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
49884-0128-52
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/29/2022 |
| Relationship End Date |
01/31/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
49884-0128-91
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/29/2022 |
| Relationship End Date |
01/31/2026 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0289-01
MEGESTROL ACETATE 20 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
08/30/2024 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0290-01
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0290-04
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0290-05
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0724-01
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0753-05
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
1/26/2006 |
| Relationship End Date |
9/12/2008 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0753-13
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
01/26/2006 |
| Relationship End Date |
01/31/2023 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0907-38
MEGESTROL ACETATE 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2023 |
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0907-61
MEGESTROL ACETATE 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
05/01/2004 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
480 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0922-02
MERCAPTOPURINE 50 MG
|
| Detail Information |
| Relationship Start Date |
2/9/2004 |
| Relationship End Date |
10/30/2014 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0922-04
MERCAPTOPURINE 50 MG
|
| Detail Information |
| Relationship Start Date |
11/18/2004 |
| Relationship End Date |
10/30/2014 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0986-30
AROMASIN 25 MG
|
| Detail Information |
| Relationship Start Date |
6/14/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50242-0062-01
TARCEVA 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
07/31/2024 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50242-0063-01
TARCEVA 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
04/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50242-0064-01
TARCEVA 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50242-0090-02
ZELBORAF 240 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/22/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
112 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50242-0140-01
ERIVEDGE 150 MG
|
| Detail Information |
| Relationship Start Date |
01/31/2012 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50242-0717-01
COTELLIC 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/16/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
63 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50268-0075-11
ANASTROZOLE 1 MG TABLET
|
| Detail Information |
| Relationship Start Date |
12/10/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50268-0075-15
ANASTROZOLE AVPAK (5X10) 1 MG
|
| Detail Information |
| Relationship Start Date |
10/15/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50268-0476-11
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50419-0171-01
STIVARGA 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/27/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50419-0171-03
STIVARGA 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/27/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50419-0171-05
STIVARGA 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50419-0171-06
STIVARGA 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/27/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50419-0390-01
VITRAKVI 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50419-0391-01
VITRAKVI 100 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/26/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50419-0392-01
VITRAKVI 20 MG/ML SOLUTION
|
| Detail Information |
| Relationship Start Date |
11/26/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50419-0393-02
VITRAKVI 20 MG/ML SOLUTION
|
| Detail Information |
| Relationship Start Date |
11/26/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50419-0393-03
VITRAKVI 20 MG/ML SOLUTION
|
| Detail Information |
| Relationship Start Date |
11/26/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50419-0488-58
NEXAVAR 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
10/31/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
50419-0489-01
NEXAVAR 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
12/20/2005 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50742-0181-01
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/29/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50742-0181-30
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/29/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50742-0182-12
LEUCOVORIN CALCIUM 10 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/29/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50742-0182-24
LEUCOVORIN CALCIUM 10 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/29/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50742-0183-24
LEUCOVORIN CALCIUM 15 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/29/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
50742-0184-25
LEUCOVORIN CALCIUM 25 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/29/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50881-0005-60
JAKAFI 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/22/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50881-0010-60
JAKAFI 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/22/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50881-0015-60
JAKAFI 15 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/22/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50881-0020-60
JAKAFI 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/22/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
50881-0025-60
JAKAFI 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
11/22/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0083-01
ISONIAZID 300 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
11/30/2026 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0083-20
ISONIAZID 300 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
11/30/2026 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0434-01
MEGESTROL ACETATE (USP) 20 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
03/31/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0434-20
MEGESTROL ACETATE (10X10) 20 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
03/31/2021 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0435-01
MEGESTROL ACETATE (USP) 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0435-19
MEGESTROL ACETATE (ROBOT READY 25X1) 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/2/2008 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0435-20
MEGESTROL ACETATE (10X10) 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0582-01
LEUCOVORIN CALCIUM 25 MG TA
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0582-05
LEUCOVORIN CALCIUM 25 MG TA
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51407-0095-60
CAPECITABINE 150 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
10/23/2024 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51407-0096-12
CAPECITABINE 500 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
10/23/2024 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51862-0447-18
TAMOXIFEN CITRATE (FILM COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
09/10/2018 |
| Relationship End Date |
05/31/2021 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51862-0642-10
TAMOXIFEN CITRATE (FILM-COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
07/21/2021 |
| Relationship End Date |
05/31/2025 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51862-0642-60
TAMOXIFEN CITRATE (FILM-COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
07/21/2021 |
| Relationship End Date |
10/31/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51862-0643-10
TAMOXIFEN CITRATE (FILM-COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
07/21/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51862-0643-30
TAMOXIFEN CITRATE (FILM-COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
07/21/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51862-0682-01
SOLTAMOX 20 MG/10 ML SOLN
|
| Detail Information |
| Relationship Start Date |
06/15/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51991-0005-33
EXEMESTANE (FILM-COATED) 25 MG
|
| Detail Information |
| Relationship Start Date |
12/19/2019 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51991-0005-90
EXEMESTANE (FILM-COATED) 25 MG
|
| Detail Information |
| Relationship Start Date |
06/01/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51991-0377-33
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
08/06/2019 |
| Relationship End Date |
07/01/2023 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51991-0620-90
ANASTROZOLE 1 MG
|
| Detail Information |
| Relationship Start Date |
02/06/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51991-0759-10
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/04/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
51991-0759-33
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/04/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
51991-0759-90
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/04/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
51991-0821-33
EVEROLIMUS 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/13/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
51991-0821-99
EVEROLIMUS 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/13/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
51991-0822-33
EVEROLIMUS 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/13/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
51991-0822-99
EVEROLIMUS 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/13/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
51991-0823-33
EVEROLIMUS 7.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/13/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
51991-0823-99
EVEROLIMUS 7.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/13/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
51991-0824-33
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/05/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
51991-0824-99
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/05/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
51991-0990-28
EVEROLIMUS 2 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
51991-0990-77
EVEROLIMUS 2 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
51991-0990-99
EVEROLIMUS 2 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
51991-0991-28
EVEROLIMUS 3 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
51991-0991-77
EVEROLIMUS 3 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
51991-0991-99
EVEROLIMUS 3 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
51991-0992-28
EVEROLIMUS 5 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
51991-0992-77
EVEROLIMUS 5 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
51991-0992-99
EVEROLIMUS 5 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
52652-2001-01
XATMEP 2.5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
52652-2001-06
XATMEP 2.5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0928-30
MEGESTROL ACETATE 20 MG
|
| Detail Information |
| Relationship Start Date |
05/15/2008 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54482-0053-01
MATULANE 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54482-0054-01
MATULANE 50 MG
|
| Detail Information |
| Relationship Start Date |
03/30/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-0378-00
HYDREA 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/10/2003 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-3765-00
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/13/2005 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-3765-01
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
10/20/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-5715-00
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
7/15/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-5716-00
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
7/15/2005 |
| Relationship End Date |
10/1/2007 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-5731-00
ARIMIDEX 1 MG
|
| Detail Information |
| Relationship Start Date |
8/3/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-5732-00
AROMASIN 25 MG
|
| Detail Information |
| Relationship Start Date |
8/3/2005 |
| Relationship End Date |
4/11/2008 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-5857-00
TAMOXIFEN CITRATE 20 MG
|
| Detail Information |
| Relationship Start Date |
11/6/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1126-00
LEUKERAN 2 MG
|
| Detail Information |
| Relationship Start Date |
8/11/2003 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1126-01
LEUKERAN 2 MG
|
| Detail Information |
| Relationship Start Date |
11/22/2005 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1126-02
LEUKERAN 2 MG
|
| Detail Information |
| Relationship Start Date |
11/22/2005 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1126-03
LEUKERAN 2 MG
|
| Detail Information |
| Relationship Start Date |
11/22/2005 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1126-04
LEUKERAN 2 MG
|
| Detail Information |
| Relationship Start Date |
5/23/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1126-05
LEUKERAN 2 MG
|
| Detail Information |
| Relationship Start Date |
10/17/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1366-00
MATULANE 50 MG
|
| Detail Information |
| Relationship Start Date |
04/06/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1367-00
HYDREA 500 MG
|
| Detail Information |
| Relationship Start Date |
8/8/2003 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1629-00
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
10/3/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1629-01
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
10/3/2005 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-1629-02
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
7/6/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3004-01
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3004-02
TAMOXIFEN CITRATE 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3004-03
TAMOXIFEN CITRATE (USP) 10 MG
|
| Detail Information |
| Relationship Start Date |
2/2/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3004-04
TAMOXIFEN CITRATE (USP) 10 MG
|
| Detail Information |
| Relationship Start Date |
4/10/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3004-05
TAMOXIFEN CITRATE (USP) 10 MG
|
| Detail Information |
| Relationship Start Date |
4/13/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3099-01
MEGACE 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4287-00
TAMOXIFEN CITRATE (FILM COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
1/17/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4287-01
TAMOXIFEN CITRATE (FILM COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
1/17/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4287-02
TAMOXIFEN CITRATE (FILM COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
2/14/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4287-03
TAMOXIFEN CITRATE (FILM COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
9/22/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4287-04
TAMOXIFEN CITRATE (FILM COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
1/18/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4628-00
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
6/12/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4773-00
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
4/10/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4773-01
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
8/6/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4773-02
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
7/7/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-4773-03
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
7/14/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-5000-00
ARIMIDEX 1 MG
|
| Detail Information |
| Relationship Start Date |
2/19/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-5261-00
AROMASIN 25 MG
|
| Detail Information |
| Relationship Start Date |
6/29/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-5282-00
MERCAPTOPURINE 50 MG
|
| Detail Information |
| Relationship Start Date |
5/23/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-5282-01
MERCAPTOPURINE 50 MG
|
| Detail Information |
| Relationship Start Date |
5/23/2005 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-5389-00
MEGESTROL ACETATE 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
9/1/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-5389-01
MEGESTROL ACETATE 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/14/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
480 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54879-0001-01
ETHAMBUTOL HCL 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
12/31/2012 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
54879-0002-01
ETHAMBUTOL HCL 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
12/01/2012 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0585-30
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/14/2006 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57844-0522-06
PURINETHOL 50 MG
|
| Detail Information |
| Relationship Start Date |
5/14/2004 |
| Relationship End Date |
3/26/2015 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57844-0522-07
PURINETHOL 50 MG
|
| Detail Information |
| Relationship Start Date |
9/11/2003 |
| Relationship End Date |
5/13/2004 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57866-4436-01
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
4/15/2002 |
| Relationship End Date |
1/1/2008 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57866-4822-01
MEGESTROL ACETATE 20 MG
|
| Detail Information |
| Relationship Start Date |
4/15/2002 |
| Relationship End Date |
5/25/2011 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57866-6615-01
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
4/15/2002 |
| Relationship End Date |
9/1/2006 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57866-6618-01
NOLVADEX 20 MG
|
| Detail Information |
| Relationship Start Date |
4/15/2002 |
| Relationship End Date |
9/1/2006 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57884-0522-07
PURINETHOL 50 MG
|
| Detail Information |
| Relationship Start Date |
9/10/2003 |
| Relationship End Date |
9/10/2003 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57894-0150-12
ZYTIGA 250 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/09/2011 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57894-0195-06
ZYTIGA 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/15/2017 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
57962-0007-12
IMBRUVICA 70 MG/ML SUSPENSION
|
| Detail Information |
| Relationship Start Date |
09/12/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
108 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57962-0014-28
IMBRUVICA 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/21/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57962-0070-28
IMBRUVICA 70 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/26/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57962-0140-09
IMBRUVICA 140 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57962-0140-12
IMBRUVICA 140 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57962-0280-28
IMBRUVICA 280 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/21/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57962-0420-28
IMBRUVICA 420 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/21/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
57962-0560-28
IMBRUVICA 560 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/21/2018 |
| Relationship End Date |
02/28/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0170-00
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0170-30
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0170-60
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0170-90
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0170-99
FLUTAMIDE 125 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0657-60
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2006 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
58063-0979-09
MYLOCEL (UNIT OF USE,CAPLET) 1 GM
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/1/2002 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
58468-7820-03
CAPRELSA 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/25/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
58468-7840-03
CAPRELSA 300 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/25/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0205-14
THALOMID 50 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0210-15
THALOMID 100 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0215-13
THALOMID 150 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
08/31/2024 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0220-16
THALOMID 200 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0402-00
REVLIMID 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/16/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0402-28
REVLIMID 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/16/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0405-00
REVLIMID 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0405-28
REVLIMID 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0410-00
REVLIMID 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0410-28
REVLIMID 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0415-00
REVLIMID 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0415-21
REVLIMID 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0420-00
REVLIMID 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
06/18/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0420-21
REVLIMID 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
06/18/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0425-00
REVLIMID 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0425-21
REVLIMID 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0501-00
POMALYST 1 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0501-21
POMALYST 1 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0502-00
POMALYST 2 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0502-21
POMALYST 2 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0503-00
POMALYST 3 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0503-21
POMALYST 3 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0504-00
POMALYST 4 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0504-21
POMALYST 4 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0705-30
IDHIFA 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/11/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59572-0710-30
IDHIFA 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/01/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59651-0180-30
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/12/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59651-0236-30
ANASTROZOLE (USP,FILM COATED) 1 MG
|
| Detail Information |
| Relationship Start Date |
10/05/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59651-0236-90
ANASTROZOLE (USP,FILM COATED) 1 MG
|
| Detail Information |
| Relationship Start Date |
10/05/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59651-0241-30
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
10/08/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59651-0299-60
TAMOXIFEN CITRATE (USP,FILM-COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
11/10/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59651-0300-30
TAMOXIFEN CITRATE (USP,FILM-COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
08/14/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59651-0300-90
TAMOXIFEN CITRATE (USP,FILM-COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
06/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
59651-0342-28
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/02/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
59651-0343-28
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/02/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
59651-0344-28
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/02/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
59651-0345-21
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/02/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
59651-0346-21
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/02/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
59651-0347-21
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/02/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0464-28
SUNITINIB MALATE 12.5 MG CAP
|
| Detail Information |
| Relationship Start Date |
05/13/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0465-28
SUNITINIB MALATE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/18/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0466-28
SUNITINIB MALATE 37.5 MG CAP
|
| Detail Information |
| Relationship Start Date |
02/05/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0467-28
SUNITINIB MALATE 50 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/13/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59651-0516-30
EXEMESTANE 25 MG
|
| Detail Information |
| Relationship Start Date |
08/04/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0542-60
DASATINIB 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0543-60
DASATINIB 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0544-60
DASATINIB 70 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0545-30
DASATINIB 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0546-30
DASATINIB 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0547-30
DASATINIB 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
59651-0582-08
PAZOPANIB HCL 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/25/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59676-0030-56
BALVERSA 3 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/24/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
56 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59676-0030-84
BALVERSA 3 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/24/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
84 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59676-0040-28
BALVERSA 4 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/24/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59676-0040-56
BALVERSA 4 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/24/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
56 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59676-0050-28
BALVERSA 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/24/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59676-0600-12
ERLEADA 60 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/20/2018 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59762-1350-01
RIFABUTIN 150 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59762-2858-01
EXEMESTANE 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
59923-0724-30
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
05/01/2020 |
| Relationship End Date |
09/20/2021 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60219-1165-07
ABIRATERONE ACETATE 250 MG TAB
|
| Detail Information |
| Relationship Start Date |
01/28/2021 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60219-1754-06
ABIRATERONE ACETATE 500 MG TAB
|
| Detail Information |
| Relationship Start Date |
01/28/2021 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60219-2279-01
EVEROLIMUS 2 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/03/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60219-2279-02
EVEROLIMUS 2 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/03/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60219-2280-01
EVEROLIMUS 3 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
01/31/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60219-2280-02
EVEROLIMUS 3 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
01/31/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60219-2281-01
EVEROLIMUS 5 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/03/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60219-2281-02
EVEROLIMUS 5 MG TAB FOR SUSP
|
| Detail Information |
| Relationship Start Date |
02/03/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60432-0126-08
MEGESTROL ACETATE (LEMON-LIME) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
11/17/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60432-0126-16
MEGESTROL ACETATE (LEMON-LIME) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
480 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-0368-01
MEGESTROL ACETATE (USP,LEMON-LIME) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/23/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-2900-09
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
08/05/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-2901-03
IMATINIB MESYLATE 400 MG TA
|
| Detail Information |
| Relationship Start Date |
08/05/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60505-3628-06
DASATINIB 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/03/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60505-3629-06
DASATINIB 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/03/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60505-3630-06
DASATINIB 70 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/03/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60505-3631-03
DASATINIB 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/03/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60505-3801-03
NILOTINIB HCL 150 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/23/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60505-3802-03
NILOTINIB HCL 200 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
05/23/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60505-3816-03
DASATINIB 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/03/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60505-3817-03
DASATINIB 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/03/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-4327-01
ABIRATERONE ACETATE 250 MG
|
| Detail Information |
| Relationship Start Date |
11/23/2018 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60505-4532-02
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/25/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60505-4533-02
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60505-4534-02
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60505-4535-02
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60505-4536-02
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/25/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60505-4537-02
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-4764-06
ABIRATERONE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/26/2021 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60505-4779-07
PAZOPANIB HCL 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/19/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0112-11
ANASTROZOLE 1 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/05/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0112-21
ANASTROZOLE 1 MG TABLET
|
| Detail Information |
| Relationship Start Date |
02/05/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0192-11
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
02/24/2016 |
| Relationship End Date |
12/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0192-21
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
02/24/2016 |
| Relationship End Date |
12/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0203-25
IMATINIB MESYLATE 400 MG TA
|
| Detail Information |
| Relationship Start Date |
02/24/2016 |
| Relationship End Date |
08/31/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0203-95
IMATINIB MESYLATE 400 MG TA
|
| Detail Information |
| Relationship Start Date |
02/24/2016 |
| Relationship End Date |
08/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0227-11
LEUCOVORIN CALCIUM 25 MG TA
|
| Detail Information |
| Relationship Start Date |
02/20/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0227-94
LEUCOVORIN CALCIUM 25 MG TA
|
| Detail Information |
| Relationship Start Date |
02/20/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60687-0553-01
ISONIAZID 300 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/01/2020 |
| Relationship End Date |
02/05/2026 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
60687-0553-11
ISONIAZID 300 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/01/2020 |
| Relationship End Date |
02/05/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60687-0789-01
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/26/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60687-0789-11
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/26/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60687-0790-11
ABIRATERONE ACETATE 250 MG TAB
|
| Detail Information |
| Relationship Start Date |
08/01/2024 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60687-0790-21
ABIRATERONE ACETATE 250 MG TAB
|
| Detail Information |
| Relationship Start Date |
08/01/2024 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60687-0882-11
IMATINIB MESYLATE 100 MG TAB
|
| Detail Information |
| Relationship Start Date |
02/24/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
60687-0882-21
IMATINIB MESYLATE 100 MG TAB
|
| Detail Information |
| Relationship Start Date |
02/24/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0916-08
Megestrol Acetate 3X10,LEMON-LIME 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/08/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
60687-0916-56
Megestrol Acetate 10X10,LEMON-LIME 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/08/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61269-0402-60
DROXIA 200 MG
|
| Detail Information |
| Relationship Start Date |
04/26/2023 |
| Relationship End Date |
09/14/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61269-0403-60
DROXIA 300 MG
|
| Detail Information |
| Relationship Start Date |
04/26/2023 |
| Relationship End Date |
09/14/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61269-0404-60
DROXIA 400 MG
|
| Detail Information |
| Relationship Start Date |
04/26/2023 |
| Relationship End Date |
09/14/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61269-0835-10
HYDREA 500 MG
|
| Detail Information |
| Relationship Start Date |
04/26/2023 |
| Relationship End Date |
09/14/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61748-0012-01
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61748-0012-05
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61748-0012-06
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61748-0012-09
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61748-0012-11
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61958-1701-01
ZYDELIG 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/24/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
61958-1702-01
ZYDELIG 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/24/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0490-30
ANASTROZOLE 1 MG
|
| Detail Information |
| Relationship Start Date |
01/24/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0490-90
ANASTROZOLE 1 MG
|
| Detail Information |
| Relationship Start Date |
01/24/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0491-30
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
Bottle |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0491-90
LETROZOLE 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0659-30
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
03/25/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
62332-0565-30
ERLOTINIB HCL 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/28/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
62332-0566-30
ERLOTINIB HCL 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/28/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
62332-0567-30
ERLOTINIB HCL 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/28/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62484-0020-02
PURIXAN 20 MG/ML ORAL SUSP
|
| Detail Information |
| Relationship Start Date |
06/25/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62559-0173-31
NILUTAMIDE 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/24/2016 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62559-0670-30
ARIMIDEX (FILM-COATED) 1 MG
|
| Detail Information |
| Relationship Start Date |
06/26/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62559-0680-30
CASODEX 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62559-0890-30
BICALUTAMIDE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0704-05
LENVIMA 4 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/20/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0704-30
LENVIMA 4 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/20/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0708-05
LENVIMA 8 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/23/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0708-30
LENVIMA 8 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/23/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0710-05
LENVIMA 10 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
02/24/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0710-30
LENVIMA 10 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
02/24/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0712-05
LENVIMA 12 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
08/20/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0712-30
LENVIMA 12 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
08/20/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0714-05
LENVIMA 14 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
02/24/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0714-30
LENVIMA 14 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
02/24/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0718-05
LENVIMA 18 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/23/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0718-30
LENVIMA 18 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
05/23/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0720-05
LENVIMA 20 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
02/24/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0720-30
LENVIMA 20 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
02/24/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0724-05
LENVIMA 24 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
02/24/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
62856-0724-30
LENVIMA 24 MG DAILY DOSE
|
| Detail Information |
| Relationship Start Date |
02/24/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0090-07
ALUNBRIG 90 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/11/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
7 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0090-30
ALUNBRIG 90 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/11/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0113-30
ALUNBRIG 30 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/09/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0180-23
ALUNBRIG 180 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/11/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
23 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0180-30
ALUNBRIG 180 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/11/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0198-30
ALUNBRIG 90 MG-180 MG TAB P
|
| Detail Information |
| Relationship Start Date |
01/11/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0230-01
NINLARO 2.3 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
12/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0230-02
NINLARO 2.3 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
12/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
63020-0230-03
NINLARO 2.3 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
12/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0390-01
NINLARO 3 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
12/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0390-02
NINLARO 3 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
12/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
63020-0390-03
NINLARO 3 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
12/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0400-01
NINLARO 4 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
12/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0400-02
NINLARO 4 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
12/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
63020-0400-03
NINLARO 4 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
12/09/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0534-30
ICLUSIG 45 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/13/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63020-0535-30
ICLUSIG 15 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/03/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
63304-0041-27
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
63304-0042-27
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
63304-0043-27
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
63304-0044-22
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
63304-0045-22
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
63304-0046-22
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/27/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63304-0091-27
SUNITINIB MALATE 12.5 MG CA
|
| Detail Information |
| Relationship Start Date |
08/16/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63304-0092-27
SUNITINIB MALATE 25 MG CAPS
|
| Detail Information |
| Relationship Start Date |
08/16/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63304-0093-27
SUNITINIB MALATE 37.5 MG CA
|
| Detail Information |
| Relationship Start Date |
08/16/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63304-0094-27
SUNITINIB MALATE 50 MG CAPS
|
| Detail Information |
| Relationship Start Date |
08/16/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
63304-0116-13
PAZOPANIB HCL 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/19/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1262-01
AROMASIN 25 MG
|
| Detail Information |
| Relationship Start Date |
11/01/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0143-10
TAMOXIFEN 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
07/31/2024 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0165-01
MEGESTROL ACETATE (BLISTER PACK) 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/30/2007 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0165-03
MEGESTROL ACETATE (PUNCH CARD 25X30) 40 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/30/2007 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0165-10
MEGESTROL ACETATE (USP) 40 MG
|
| Detail Information |
| Relationship Start Date |
02/27/2007 |
| Relationship End Date |
12/31/2020 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0165-15
MEGESTROL ACETATE 40 MG
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
10/3/2008 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0269-10
TAMOXIFEN CITRATE (USP) 10 MG
|
| Detail Information |
| Relationship Start Date |
02/27/2007 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0269-15
TAMOXIFEN CITRATE (FILM COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
2/15/2005 |
| Relationship End Date |
10/3/2008 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0549-72
MEGESTROL ACET 400 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
03/13/2013 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CUP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0549-73
MEGESTROL ACET 400 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
03/13/2013 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CUP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64380-0158-01
MEGESTROL ACETATE 20 MG
|
| Detail Information |
| Relationship Start Date |
03/21/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64380-0160-01
MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/21/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64380-0160-02
MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/21/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
480 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64380-0752-16
METHOXSALEN 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
07/11/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64679-0021-01
ABIRATERONE ACETATE 250 MG
|
| Detail Information |
| Relationship Start Date |
05/28/2019 |
| Relationship End Date |
08/31/2023 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64679-0794-01
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
01/17/2019 |
| Relationship End Date |
09/18/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64679-0794-02
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
01/17/2019 |
| Relationship End Date |
09/18/2025 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64679-0794-03
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
01/17/2019 |
| Relationship End Date |
09/18/2025 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64842-1020-01
LONSURF 20 MG-8.19 MG TABLE
|
| Detail Information |
| Relationship Start Date |
10/14/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64842-1020-02
LONSURF 20 MG-8.19 MG TABLE
|
| Detail Information |
| Relationship Start Date |
10/14/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64842-1020-03
LONSURF 20 MG-8.19 MG TABLE
|
| Detail Information |
| Relationship Start Date |
10/14/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64842-1025-01
LONSURF 15 MG-6.14 MG TABLE
|
| Detail Information |
| Relationship Start Date |
10/14/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64842-1025-02
LONSURF 15 MG-6.14 MG TABLE
|
| Detail Information |
| Relationship Start Date |
10/14/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64842-1025-03
LONSURF 15 MG-6.14 MG TABLE
|
| Detail Information |
| Relationship Start Date |
10/14/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
64980-0404-03
TOREMIFENE CITRATE 60 MG TA
|
| Detail Information |
| Relationship Start Date |
01/18/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
66105-0832-01
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
09/13/2006 |
| Relationship End Date |
05/28/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
66105-0832-03
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
09/13/2006 |
| Relationship End Date |
05/28/2024 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
66105-0832-06
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
09/13/2006 |
| Relationship End Date |
05/28/2024 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
66105-0832-09
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
09/13/2006 |
| Relationship End Date |
05/28/2024 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
66105-0832-10
NOLVADEX 10 MG
|
| Detail Information |
| Relationship Start Date |
09/13/2006 |
| Relationship End Date |
05/28/2024 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
66993-0212-38
NILUTAMIDE 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
66993-0233-60
DASATINIB 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/03/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
66993-0234-60
DASATINIB 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/03/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
66993-0235-60
DASATINIB 70 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/03/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
66993-0236-30
DASATINIB 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/21/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
66993-0237-30
DASATINIB 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/02/2008 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
66993-0238-30
DASATINIB 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/21/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
67108-3565-09
MESNEX 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
67877-0634-30
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
01/18/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68001-0490-05
IMATINIB MESYLATE 100 MG TA
|
| Detail Information |
| Relationship Start Date |
07/21/2021 |
| Relationship End Date |
11/30/2025 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68001-0491-04
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
04/05/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
68001-0622-05
IMATINIB MESYLATE 100 MG TAB
|
| Detail Information |
| Relationship Start Date |
03/03/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68001-0623-04
IMATINIB MESYLATE FILM COATED 400 MG
|
| Detail Information |
| Relationship Start Date |
11/05/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
68001-0660-06
DASATINIB 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
68001-0661-06
DASATINIB 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/29/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
68001-0662-06
DASATINIB 70 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
68001-0663-04
DASATINIB 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
68001-0664-04
DASATINIB 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
68001-0665-04
DASATINIB 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/22/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68084-0075-11
TRETINOIN 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
07/18/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68084-0075-21
TRETINOIN 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
07/18/2013 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68084-0280-01
ETHAMBUTOL HCL 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68084-0280-11
ETHAMBUTOL HCL 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68084-0284-01
HYDROXYUREA 500 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68084-0284-11
HYDROXYUREA 500 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
68094-0063-59
MEGESTROL 400 MG/10 ML CUP
|
| Detail Information |
| Relationship Start Date |
03/21/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CUP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68094-0063-61
MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/09/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68094-0063-62
MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/09/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
68094-0174-59
MEGESTROL 800 MG/20 ML SUSPENSION CUP
|
| Detail Information |
| Relationship Start Date |
03/21/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CUP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68094-0174-62
MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/09/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68094-0518-59
MEGESTROL ACETATE (1X20ML,LEMON-LIME) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
7/1/2007 |
| Relationship End Date |
4/30/2015 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68094-0518-61
MEGESTROL ACETATE (100X20ML,LEMON-LIME) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
11/28/2006 |
| Relationship End Date |
3/1/2008 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68094-0518-62
MEGESTROL ACETATE (30X20ML,LEMON-LIME) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
11/28/2006 |
| Relationship End Date |
4/30/2015 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68094-0528-59
MEGESTROL ACETATE (1X10ML,LEMON-LIME) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
7/1/2007 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68094-0528-61
MEGESTROL ACETATE (10X10) 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
2/26/2004 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68094-0528-62
MEGESTROL ACETATE 40 MG/ML
|
| Detail Information |
| Relationship Start Date |
2/26/2004 |
| Relationship End Date |
12/31/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68180-0280-01
ETHAMBUTOL HCL 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68180-0281-01
ETHAMBUTOL HCL 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68180-0391-06
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
06/24/2019 |
| Relationship End Date |
01/19/2021 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68382-0383-06
EXEMESTANE (FILM COATED) 25 MG
|
| Detail Information |
| Relationship Start Date |
11/08/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68382-0826-14
TAMOXIFEN CITRATE (FILM-COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
03/23/2018 |
| Relationship End Date |
03/25/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68382-0827-01
TAMOXIFEN CITRATE (FILM-COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
03/23/2018 |
| Relationship End Date |
03/25/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68382-0827-06
TAMOXIFEN CITRATE (FILM-COATED) 20 MG
|
| Detail Information |
| Relationship Start Date |
03/23/2018 |
| Relationship End Date |
03/25/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68462-0792-01
TRETINOIN 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
02/08/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68462-0882-60
ABIRATERONE ACETATE 500 MG
|
| Detail Information |
| Relationship Start Date |
06/22/2022 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68682-0003-10
BEXAROTENE 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68850-0012-01
MYAMBUTOL 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
05/31/2024 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
68850-0012-02
MYAMBUTOL 400 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69076-0913-02
MERCAPTOPURINE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/22/2016 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69076-0913-25
MERCAPTOPURINE 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/22/2016 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
69097-0030-08
NILOTINIB TARTRATE 50 MG CAP
|
| Detail Information |
| Relationship Start Date |
06/26/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
69097-0031-74
NILOTINIB TARTRATE 150 MG CAP
|
| Detail Information |
| Relationship Start Date |
06/26/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
112 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
69097-0032-74
NILOTINIB TARTRATE 200 MG CAP
|
| Detail Information |
| Relationship Start Date |
06/26/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
112 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69097-0316-02
EXEMESTANE (FILM COATED) 25 MG
|
| Detail Information |
| Relationship Start Date |
06/01/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69097-0381-73
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69097-0382-73
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69097-0383-81
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69097-0384-81
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/11/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69097-0385-81
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69097-0604-73
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/11/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69117-0003-01
ANASTROZOLE 1 MG
|
| Detail Information |
| Relationship Start Date |
02/28/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69238-1165-07
ABIRATERONE ACETATE 250 MG
|
| Detail Information |
| Relationship Start Date |
01/21/2019 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69238-1250-01
BEXAROTENE 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
11/08/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69315-0164-01
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
02/01/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69315-0184-01
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
05/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69315-0184-03
LEUCOVORIN CALCIUM 5 MG TAB
|
| Detail Information |
| Relationship Start Date |
05/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69315-0185-12
LEUCOVORIN CALCIUM 10 MG TAB
|
| Detail Information |
| Relationship Start Date |
05/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69315-0185-24
LEUCOVORIN CALCIUM 10 MG TAB
|
| Detail Information |
| Relationship Start Date |
05/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69315-0186-24
LEUCOVORIN CALCIUM 15 MG TAB
|
| Detail Information |
| Relationship Start Date |
04/15/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69315-0187-25
LEUCOVORIN CALCIUM 25 MG TAB
|
| Detail Information |
| Relationship Start Date |
05/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69339-0160-01
MEGESTROL 400 MG/10 ML CUP
|
| Detail Information |
| Relationship Start Date |
04/25/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CUP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69339-0160-16
MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/31/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69339-0160-17
MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/31/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69339-0160-18
MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/31/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69339-0160-19
MEGESTROL ACETATE (LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/31/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69656-0103-30
ZEJULA 100 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/24/2017 |
| Relationship End Date |
08/11/2024 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69660-0201-91
RUBRACA 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/17/2017 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69660-0202-91
RUBRACA 250 MG TABLET
|
| Detail Information |
| Relationship Start Date |
05/31/2017 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
69660-0203-91
RUBRACA 300 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/17/2017 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69784-0610-25
LEUKERAN 2 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/18/2016 |
| Relationship End Date |
06/01/2024 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
69784-0630-25
TABLOID 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/18/2016 |
| Relationship End Date |
06/01/2024 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70069-0820-01
HYDROXYUREA 500 MG
|
| Detail Information |
| Relationship Start Date |
05/29/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70255-0010-02
MEKTOVI 15 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70255-0025-01
BRAFTOVI 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70255-0025-02
BRAFTOVI 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70255-0025-03
BRAFTOVI 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70255-0025-04
BRAFTOVI 75 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0010-11
EVEROLIMUS 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0010-23
EVEROLIMUS 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0011-11
EVEROLIMUS 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0011-23
EVEROLIMUS 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
70377-0012-11
EVEROLIMUS 7.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0012-23
EVEROLIMUS 7.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
70377-0013-11
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0013-23
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0049-13
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/13/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
F2 |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
AHF |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0050-13
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/13/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0051-13
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/13/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0052-11
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/13/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0053-11
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/13/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0054-11
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/13/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0083-11
DASATINIB 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/05/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0084-11
DASATINIB 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/05/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0085-11
DASATINIB 70 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/05/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0086-11
DASATINIB 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/05/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0087-11
DASATINIB 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/05/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70377-0088-11
DASATINIB 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/05/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70437-0240-18
NERLYNX 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/31/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70437-0240-33
NERLYNX 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/31/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
133 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
70710-1030-07
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/16/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
70710-1031-07
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/19/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
70710-1032-07
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/19/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
70710-1033-08
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/19/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
70710-1034-08
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
03/16/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
70710-1035-08
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/19/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70710-1741-06
DASATINIB 20 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/10/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70710-1742-06
DASATINIB 50 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/06/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70710-1743-06
DASATINIB 70 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/06/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70710-1744-03
DASATINIB 80 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/06/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70710-1745-03
DASATINIB 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/06/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
70710-1746-03
DASATINIB 140 MG TABLET
|
| Detail Information |
| Relationship Start Date |
03/06/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
70954-0041-10
RIFABUTIN 150 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
01/10/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70954-0484-20
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/14/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70954-0484-30
PYRAZINAMIDE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
09/14/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70954-0896-10
MEGESTROL ACETATE (USP,LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/02/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
240 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
70954-0896-20
MEGESTROL ACETATE (USP,LEMON-LIME) 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/02/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
480 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
71334-0100-01
TIBSOVO 250 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/31/2018 |
| Relationship End Date |
02/13/2024 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
71921-0177-06
ABIRATERONE ACETATE 500 MG TAB
|
| Detail Information |
| Relationship Start Date |
05/08/2023 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
71921-0178-20
ABIRATERONE ACETATE 250 MG TAB
|
| Detail Information |
| Relationship Start Date |
10/25/2022 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
71921-0190-33
EXEMESTANE FILM-COATED 25 MG
|
| Detail Information |
| Relationship Start Date |
04/22/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72205-0030-92
ABIRATERONE ACETATE 250 MG
|
| Detail Information |
| Relationship Start Date |
08/07/2019 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72205-0050-30
TOREMIFENE CITRATE 60 MG TA
|
| Detail Information |
| Relationship Start Date |
10/13/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72205-0080-30
ERLOTINIB HCL 25 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72205-0081-30
ERLOTINIB HCL 100 MG TABLET
|
| Detail Information |
| Relationship Start Date |
07/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72205-0082-30
ERLOTINIB HCL 150 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
72205-0116-28
SUNITINIB MALATE 12.5 MG CAP
|
| Detail Information |
| Relationship Start Date |
08/20/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
72205-0117-28
SUNITINIB MALATE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/20/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
72205-0118-28
SUNITINIB MALATE 37.5 MG CAP
|
| Detail Information |
| Relationship Start Date |
08/20/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
72205-0119-28
SUNITINIB MALATE 50 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/20/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72237-0101-04
XPOVIO 80 MG TWICE WEEKLY D
|
| Detail Information |
| Relationship Start Date |
07/18/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
32 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72485-0203-30
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
05/06/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72603-0110-01
ABIRATERONE ACETATE 250 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2022 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72603-0111-01
ABIRATERONE ACETATE 500 MG
|
| Detail Information |
| Relationship Start Date |
06/15/2022 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
72603-0254-01
EVEROLIMUS 2.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
72603-0255-01
EVEROLIMUS 5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
72603-0256-01
EVEROLIMUS 7.5 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
72603-0257-01
EVEROLIMUS 10 MG TABLET
|
| Detail Information |
| Relationship Start Date |
10/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72603-0329-01
EXEMESTANE 25 MG
|
| Detail Information |
| Relationship Start Date |
02/07/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72606-0557-01
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
11/08/2019 |
| Relationship End Date |
03/05/2021 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72606-0573-01
ABIRATERONE 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
11/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
72694-0617-60
TIBSOVO 250 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
72819-0185-09
IMATINIB MESYLATE 100 MG TAB
|
| Detail Information |
| Relationship Start Date |
12/01/2022 |
| Relationship End Date |
08/01/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
72819-0186-03
IMATINIB MESYLATE 400 MG TAB
|
| Detail Information |
| Relationship Start Date |
12/01/2022 |
| Relationship End Date |
08/01/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
73116-0215-56
COPIKTRA 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
10/07/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BLIST PACK |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
75907-0058-10
TAMOXIFEN CITRATE (USP,FILM-COATED) 10 MG
|
| Detail Information |
| Relationship Start Date |
08/09/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
75907-0058-60
TAMOXIFEN CITRATE USP,FILM-COATED 10 MG
|
| Detail Information |
| Relationship Start Date |
10/30/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
75907-0059-10
TAMOXIFEN CITRATE FILM-COATED 20 MG
|
| Detail Information |
| Relationship Start Date |
01/08/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
75907-0059-30
TAMOXIFEN CITRATE FILM-COATED 20 MG
|
| Detail Information |
| Relationship Start Date |
01/08/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
76282-0696-48
LENALIDOMIDE 2.5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/11/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
76282-0697-48
LENALIDOMIDE 5 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
76282-0698-48
LENALIDOMIDE 10 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
76282-0699-47
LENALIDOMIDE 15 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
76282-0700-47
LENALIDOMIDE 20 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
04/11/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
76282-0701-47
LENALIDOMIDE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
09/08/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
76336-0080-60
LYSODREN 500 MG TABLET
|
| Detail Information |
| Relationship Start Date |
08/01/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
76388-0635-25
LEUKERAN 2 MG TABLET
|
| Detail Information |
| Relationship Start Date |
06/21/2012 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
76388-0635-50
LEUKERAN (FILM-COATED) 2 MG
|
| Detail Information |
| Relationship Start Date |
6/22/2012 |
| Relationship End Date |
10/31/2017 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
76388-0880-25
TABLOID 40 MG TABLET
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/30/2024 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
80725-0143-18
EULEXIN 125 MG
|
| Detail Information |
| Relationship Start Date |
01/10/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
80725-0600-18
EULEXIN (USP) 125 MG
|
| Detail Information |
| Relationship Start Date |
10/28/2021 |
| Relationship End Date |
01/09/2025 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
80725-0810-10
HYDREA 500 MG
|
| Detail Information |
| Relationship Start Date |
09/15/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BT |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
80725-0820-60
DROXIA 200 MG
|
| Detail Information |
| Relationship Start Date |
09/15/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BT |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
80725-0830-60
DROXIA 300 MG
|
| Detail Information |
| Relationship Start Date |
09/15/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BT |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
80725-0840-60
DROXIA 400 MG
|
| Detail Information |
| Relationship Start Date |
09/15/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BT |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
81033-0150-43
MEGESTROL ACETATE LEMON-LIME 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/20/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
81033-0150-44
MEGESTROL ACETATE LEMON-LIME 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/20/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
81033-0150-52
MEGESTROL ACETATE LEMON-LIME 40 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/20/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CP |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
81927-0204-01
JYLAMVO (ORANGE) 2 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/21/2023 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
82009-0086-90
IMATINIB MESYLATE 100 MG TAB
|
| Detail Information |
| Relationship Start Date |
12/16/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS
|
⇄
|
82009-0087-30
IMATINIB MESYLATE (FILM COATED) 400 MG
|
| Detail Information |
| Relationship Start Date |
08/12/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
82009-0139-12
ABIRATERONE ACETATE 250 MG TAB
|
| Detail Information |
| Relationship Start Date |
12/16/2021 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
82009-0140-60
ABIRATERONE ACETATE 500 MG TAB
|
| Detail Information |
| Relationship Start Date |
11/04/2024 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
82249-0010-12
ABIRATERONE ACETATE 250 MG TAB
|
| Detail Information |
| Relationship Start Date |
09/26/2022 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
82293-0001-10
ABIRATERONE ACETATE 250 MG TAB
|
| Detail Information |
| Relationship Start Date |
08/19/2022 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription Drug, Oral, Chemotherapeutic, NOS
|
⇄
|
82293-0002-10
ABIRATERONE ACETATE 500 MG TAB
|
| Detail Information |
| Relationship Start Date |
08/19/2022 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
82293-0014-10
SUNITINIB MALATE 12.5 MG CAP
|
| Detail Information |
| Relationship Start Date |
08/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
82293-0015-10
SUNITINIB MALATE 25 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
82293-0016-10
SUNITINIB MALATE 37.5 MG CAP
|
| Detail Information |
| Relationship Start Date |
08/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
82293-0017-10
SUNITINIB MALATE 50 MG CAPSULE
|
| Detail Information |
| Relationship Start Date |
08/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
CAP |
|
|
|
J8999
Prescription drug, oral, chemotherapeutic, nos
|
⇄
|
82293-0022-10
PAZOPANIB HCL 200 MG TABLET
|
| Detail Information |
| Relationship Start Date |
04/26/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|