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ONCOLOGY DRUG CODES Supplied by: RJ Health Systems

generic (Brand) name cyclophosphamide (Cytoxan)

cyclophosphamide (Cytoxan) cyclophosphamide (Cytoxan) cyclophosphamide (Cytoxan) daunorubicin citrate liposome (DaunoXome) docetaxel (Taxotere) doxorubicin (Adriamycin) doxourubicin HCl liposome (Doxil) epirubicin (Ellence) estradiol (Estrace) etoposide (Vepesid) exemestane (Aromasin) exemestane (Aromasin)

HCPCS code: code description J9080: cyclophosphamide, 200 mg (all 100-mg NDCs inactive: 500-mg NDCs used to calculate code price) J9090: cyclophosphamide, 500 mg J9091: cyclophosphamide, 1 gram J9092: cyclophosphamide, 2 gram J9151: injection, daunorubicin citrate, liposomal formulation, 10 mg J9171: injection, docetaxel, 1 mg J9000: injection, doxorubicin hydrochloride, 10 mg J9001: injection, doxorubicin hydrochloride, all lipid formulations, 10 mg J9178: injection, epirubicin HCl, 2 mg J8499b: prescription drug, oral, non-chemotherapeutic, not otherwise specified J8560: etoposide, oral, 50 mg J8999b: prescription drug, oral, chemotherapeutic, not otherwise specified S0156: exemestane, 25 mg

fluorouracil (Adrucil) fluoxymesterone (Androxy)

J9190: injection fluorouracil, 500 mg J8499b: prescription drug, oral, non-chemotherapeutic, not otherwise specified fulvestrant J9395: injection, fulvestrant, (Faslodex) 25 mg gemcitabine J9201: injection, (Gemzar) gemcitabine hydrochloride, 200 mg goserelin acetate J9202: goserelin acetate (Zoladex 3.6 mg ONLY) implant, per 3.6 mg hydroxyurea J8999b: prescription drug, (Hydrea) oral, chemotherapeutic, not otherwise specified hydroxyurea S0176: hydroxyurea, oral, (Hydrea) 500 mg ifosfamide (Ifex)

J9208: injection, ifosfamide, 1 gram

Current code price (AWP-based pricing), effective 10/1/10 $21.15

$52.87

$29.79

96409, 96413, 96415

$95.21

$59.59

96409, 96413, 96415

$171.35

$119.18

96409, 96413, 96415

$68.00

$57.66

96413

$24.29

$18.01

96413

$13.20

$3.04

96409

$613.03

$486.80

96413

$5.38

$1.80

NDC level pricing $57.33

NDC level pricing $28.48

N/A

$3.37

NDC level pricing S0156: not payable by Medicare $1.74

N/A

NDC level pricing $13.50

NDC level pricing $97.29

NDC level pricing $83.02

96402

$177.83

$148.35

96413

$451.19

$194.29

96372, 96402

FDAapproved for breast cancer

Compendia listed off-label use for breast cancera

✓ ✓

NDC level pricing $1.28

$56.40

Medicare allowable (ASP + 6%), effective 10/1/10-12/31/10 $11.92

CPT ® administration codes 96409, 96413, 96415

96409, 96413

N/A

N/A

96409 N/A

NDC level pricing S0176: not payable by Medicare $34.15

N/A

N/A

96413, 96415

Continued on page 32 www.TheOncologyPharmacist.com

OcTOber 2010 I VOL 3, NO 7

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Profile for The Oncology Pharmacist

OCTOBER 2010, VOL. 3, NO. 7  

THE ONCOLOGY PHARMACIST

OCTOBER 2010, VOL. 3, NO. 7  

THE ONCOLOGY PHARMACIST

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