Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
MITOMYCIN
APP
63323-0191-40
PDS
20 MG
ea
227.50
182.00
MITOMYCIN
APP
63323-0190-20
PDS
5 MG
ea
70.00
56.00
MITOMYCIN
Bedford
55390-0252-01
PDS
20 MG
ea
218.40
182.00
MITOMYCIN
Bedford
55390-0253-01
PDS
40 MG
ea
300.00
250.00
MITOMYCIN
Bedford
55390-0251-01
PDS
5 MG
ea
67.20
56.00
MITOMYCIN
Medisca
38779-0553-07
POW
0.01 gm
399.00
MITOMYCIN
Medisca
38779-0553-09
POW
0.1 gm
2907.00
MITOMYCIN
PCCA
51927-3642-00
POW
1 gm
255.00
MITOMYCIN
Spectrum Pharmacy Pr
49452-4785-02
POW
0.1 gm
3402.00
MITOMYCIN
Supergen
62701-0010-01
PDS
5 MG
ea
134.11
MITOMYCIN
Supergen
62701-0011-01
PDS
20 MG
ea
452.91
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
MITOMYCIN
MANUFACTURER:
APP
FORM:
POWDER FOR SOLUTION
STRENGTH:
20 MG
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
ADD'L DESC:
(VIAL)
GENERIC NAME:
MITOMYCIN
NDC:
63323-0191-40
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
227.50
227.5000
2/21/2002
DIR
HCFA
PRODUCT:
MITOMYCIN
MANUFACTURER:
APP
FORM:
POWDER FOR SOLUTION
STRENGTH:
5 MG
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
AP
ADD'L DESC:
GENERIC NAME:
MITOMYCIN
NDC:
63323-0190-20
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
70.00
70.0000
7/1/2004
DIR
HCFA
PRODUCT:
MITOMYCIN
MANUFACTURER:
Bedford
FORM:
POWDER FOR SOLUTION
STRENGTH:
20 MG
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
AP
ADD'L DESC:
(S.D.V.,PF)
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
GENERIC NAME:MITOMYCIN
NDC:
55390-0252-01
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
218.40
218.4000
3/7/2003
DIR
HCFA
PRODUCT:
MITOMYCIN
MANUFACTURER:
Bedford
FORM:
POWDER FOR SOLUTION
STRENGTH:
40 MG
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
AP
ADD'L DESC:
(S.D.V.,PF)
GENERIC NAME:
MITOMYCIN
NDC:
55390-0253-01
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
300.00
300.0000
3/7/2003
DIR
HCFA
PRODUCT:
MITOMYCIN
MANUFACTURER:
Bedford
FORM:
POWDER FOR SOLUTION
STRENGTH:
5 MG
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
AP
ADD'L DESC:
(S.D.V.,PF)
GENERIC NAME:
MITOMYCIN
NDC:
55390-0251-01
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
67.20
67.2000
3/7/2003
DIR
HCFA
PRODUCT:
MITOMYCIN
MANUFACTURER:
Medisca
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
GENERIC NAME:
MITOMYCIN
NDC:
38779-0553-07
SIZE:
0.01 gm
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
399.00
39900.0000
10/9/2003
DIR
HCFA
PRODUCT:
MITOMYCIN
MANUFACTURER:
Medisca
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
GENERIC NAME:
MITOMYCIN
NDC:
38779-0553-09
SIZE:
0.1 gm
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
2907.00
29070.0000
3/29/2004
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 3
Red Book(TM) for Windows®
Release: APRIL, 2006
PRODUCT: MITOMYCIN
MANUFACTURER:
PCCA
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(USP)
GENERIC NAME:
MITOMYCIN
NDC:
51927-3642-00
SIZE:
1 gm
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
255.00
255.0000
8/19/2004
DIR
HCFA
PRODUCT:
MITOMYCIN
MANUFACTURER:
Spectrum Pharmacy Pr
FORM:
POWDER
STRENGTH:
ROUTE OF ADMIN:
ROUTE NOT APPLICABLE
ORANGE BOOK CODE:
ADD'L DESC:
(U.S.P.)
GENERIC NAME:
MITOMYCIN
NDC:
49452-4785-02
SIZE:
0.1 gm
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
3402.00
34020.0000
1/1/2005
DIR
HCFA
PRODUCT:
MITOMYCIN
MANUFACTURER:
Supergen
FORM:
POWDER FOR SOLUTION
STRENGTH:
5 MG
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
AP
ADD'L DESC:
(VIAL)
GENERIC NAME:
MITOMYCIN
Copyright © 2006, Thomson PDR.
Page 4
Red Book(TM) for Windows®
Release: APRIL, 2006
NDC:
62701-0010-01
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
134.11
134.1100
6/10/1998
DIR
HCFA
PRODUCT:
MITOMYCIN
MANUFACTURER:
Supergen
FORM:
POWDER FOR SOLUTION
STRENGTH:
20 MG
ROUTE OF ADMIN:
INTRAVENOUS
ORANGE BOOK CODE:
AP
ADD'L DESC:
(VIAL)
GENERIC NAME:
MITOMYCIN
NDC:
62701-0011-01
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
452.91
452.9100
6/10/1998
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 5
