Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
ETHYOL
Medimmune Oncology
58178-0017-01
PDS
500 MG
ea
558.04
446.43
ETHYOL
Medimmune Oncology
58178-0017-03
PDS
500 MG
3s ea
1674.10
1339.28
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
ETHYOL
MANUFACTURER:
Medimmune Oncology
FORM:
POWDER FOR SOLUTION
STRENGTH:
500 MG
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
ADD'L DESC:
(S.D.V.)
GENERIC NAME:
AMIFOSTINE
NDC:
58178-0017-01
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
558.04
558.0400
10/3/2005
DIR
HCFA
PRODUCT:
ETHYOL
MANUFACTURER:
Medimmune Oncology
FORM:
POWDER FOR SOLUTION
STRENGTH:
500 MG
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
ADD'L DESC:
(S.D.V.)
GENERIC NAME:
AMIFOSTINE
NDC:
58178-0017-03
SIZE:
3s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
1674.10
558.0333
10/3/2005
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 1
