Red Book(TM) for Windows®

Release: APRIL, 2006

Product Information

Product

Manuf/Dist

Identifier

Form

Strength

Size

UD

AWP

WAC

BLEOMYCIN SULFATE

Bedford

55390-0005-01

PDS

15 U

ea

192.00

160.00

BLEOMYCIN SULFATE

Bedford

55390-0006-01

PDS

30 U

ea

336.00

280.00

BLEOMYCIN SULFATE

Mayne Pharma

61703-0332-18

PDS

15 U

ea

309.00

70.50

BLEOMYCIN SULFATE

Mayne Pharma

61703-0323-22

PDS

30 U

ea

619.00

141.00

BLEOMYCIN SULFATE

Sicor Pharm., Inc.

00703-3155-01

PDS

30 U

ea

165.00

132.00

BLEOMYCIN SULFATE

Sicor Pharm., Inc.

00703-3154-01

PDS

15 U

ea

85.00

68.00

Copyright © 2006, Thomson PDR.

Page 1

Red Book(TM) for Windows®

Release: APRIL, 2006

Detailed Product Information

PRODUCT:

BLEOMYCIN SULFATE

MANUFACTURER:

Bedford

FORM:

POWDER FOR SOLUTION

STRENGTH:

15 U

ROUTE OF ADMIN:

INJECTION

ORANGE BOOK CODE:

AP

ADD'L DESC:

(S.D.V.,USP)

GENERIC NAME:

BLEOMYCIN SULFATE

NDC:

55390-0005-01

SIZE:

ea

DEA Class:

RX

UNIT DOSE (Y/N):

N

SINGLE SOURCE (Y/N):

N

REPACKAGER (Y/N):

N

GENERIC (Y/N):

Y

Current Pricing Information

PKG

UNIT

EFF. DATE

AWP

192.00

192.0000

3/10/2003

DIR

HCFA

PRODUCT:

BLEOMYCIN SULFATE

MANUFACTURER:

Bedford

FORM:

POWDER FOR SOLUTION

STRENGTH:

30 U

ROUTE OF ADMIN:

INJECTION

ORANGE BOOK CODE:

AP

ADD'L DESC:

(S.D.V.,USP)

GENERIC NAME:

BLEOMYCIN SULFATE

NDC:

55390-0006-01

SIZE:

ea

DEA Class:

RX

UNIT DOSE (Y/N):

N

SINGLE SOURCE (Y/N):

N

REPACKAGER (Y/N):

N

GENERIC (Y/N):

Y

Current Pricing Information

PKG

UNIT

EFF. DATE

AWP

336.00

336.0000

3/10/2003

DIR

HCFA

PRODUCT:

BLEOMYCIN SULFATE

MANUFACTURER:

Mayne Pharma

FORM:

POWDER FOR SOLUTION

STRENGTH:

15 U

ROUTE OF ADMIN:

INJECTION

ORANGE BOOK CODE:

AP

ADD'L DESC:

Copyright © 2006, Thomson PDR.

Page 1

Red Book(TM) for Windows®

Release: APRIL, 2006

GENERIC NAME:BLEOMYCIN SULFATE

NDC:

61703-0332-18

SIZE:

ea

DEA Class:

RX

UNIT DOSE (Y/N):

N

SINGLE SOURCE (Y/N):

N

REPACKAGER (Y/N):

N

GENERIC (Y/N):

Y

Current Pricing Information

PKG

UNIT

EFF. DATE

AWP

309.00

309.0000

4/1/2000

DIR

HCFA

PRODUCT:

BLEOMYCIN SULFATE

MANUFACTURER:

Mayne Pharma

FORM:

POWDER FOR SOLUTION

STRENGTH:

30 U

ROUTE OF ADMIN:

INJECTION

ORANGE BOOK CODE:

AP

ADD'L DESC:

GENERIC NAME:

BLEOMYCIN SULFATE

NDC:

61703-0323-22

SIZE:

ea

DEA Class:

RX

UNIT DOSE (Y/N):

N

SINGLE SOURCE (Y/N):

N

REPACKAGER (Y/N):

N

GENERIC (Y/N):

Y

Current Pricing Information

PKG

UNIT

EFF. DATE

AWP

619.00

619.0000

4/1/2000

DIR

HCFA

PRODUCT:

BLEOMYCIN SULFATE

MANUFACTURER:

Sicor Pharm., Inc.

FORM:

POWDER FOR SOLUTION

STRENGTH:

30 U

ROUTE OF ADMIN:

INJECTION

ORANGE BOOK CODE:

AP

ADD'L DESC:

(S.D.V.)

GENERIC NAME:

BLEOMYCIN SULFATE

NDC:

00703-3155-01

SIZE:

ea

DEA Class:

RX

UNIT DOSE (Y/N):

N

SINGLE SOURCE (Y/N):

N

REPACKAGER (Y/N):

N

GENERIC (Y/N):

Y

Copyright © 2006, Thomson PDR.

Page 2

Red Book(TM) for Windows®

Release: APRIL, 2006

Current Pricing Information

PKG

UNIT

EFF. DATE

AWP

165.00

165.0000

11/1/2005

DIR

HCFA

PRODUCT:

BLEOMYCIN SULFATE

MANUFACTURER:

Sicor Pharm., Inc.

FORM:

POWDER FOR SOLUTION

STRENGTH:

15 U

ROUTE OF ADMIN:

INJECTION

ORANGE BOOK CODE:

AP

ADD'L DESC:

(S.D.V.)

GENERIC NAME:

BLEOMYCIN SULFATE

NDC:

00703-3154-01

SIZE:

ea

DEA Class:

RX

UNIT DOSE (Y/N):

N

SINGLE SOURCE (Y/N):

N

REPACKAGER (Y/N):

N

GENERIC (Y/N):

Y

Current Pricing Information

PKG

UNIT

EFF. DATE

AWP

85.00

85.0000

11/1/2005

DIR

HCFA

Copyright © 2006, Thomson PDR.

Page 3