CIBMTR Reporting Implementation Guide
0.1.6 - Trial Use 1
CIBMTR Reporting Implementation Guide
0.1.6 - Trial Use 1
This page is part of the CIBMTR Reporting Implementation Guide (v0.1.6: Release Draft) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
| Active as of 2023-05-05 |
{
"resourceType" : "ValueSet",
"id" : "med-gvhd-prophylaxis-vs",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://www.nlm.nih.gov/research/umls/rxnorm\"><code>http://www.nlm.nih.gov/research/umls/rxnorm</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>105585</td><td>methotrexate 2.5 MG Oral Tablet</td></tr><tr><td>105586</td><td>methotrexate 10 MG Oral Tablet</td></tr><tr><td>105589</td><td>methotrexate 100 MG/ML Injectable Solution</td></tr><tr><td>108513</td><td>tacrolimus 1 MG Oral Capsule [Prograf]</td></tr><tr><td>108514</td><td>tacrolimus 5 MG Oral Capsule [Prograf]</td></tr><tr><td>108515</td><td>1 ML tacrolimus 5 MG/ML Injection [Prograf]</td></tr><tr><td>1093172</td><td>cyclosporine 0.002 MG/MG</td></tr><tr><td>1093173</td><td>cyclosporine Ophthalmic Ointment</td></tr><tr><td>1093174</td><td>cyclosporine 0.002 MG/MG Ophthalmic Ointment</td></tr><tr><td>1093175</td><td>Optimmune</td></tr><tr><td>1093176</td><td>cyclosporine 0.002 MG/MG [Optimmune]</td></tr><tr><td>1093177</td><td>cyclosporine Ophthalmic Ointment [Optimmune]</td></tr><tr><td>1093178</td><td>cyclosporine 0.002 MG/MG Ophthalmic Ointment [Optimmune]</td></tr><tr><td>1145927</td><td>abatacept 125 MG/ML</td></tr><tr><td>1145928</td><td>abatacept Prefilled Syringe</td></tr><tr><td>1145929</td><td>1 ML abatacept 125 MG/ML Prefilled Syringe</td></tr><tr><td>1145930</td><td>abatacept 125 MG/ML [Orencia]</td></tr><tr><td>1145931</td><td>abatacept Prefilled Syringe [Orencia]</td></tr><tr><td>1145932</td><td>1 ML abatacept 125 MG/ML Prefilled Syringe [Orencia]</td></tr><tr><td>1151834</td><td>daclizumab Injectable Product</td></tr><tr><td>1156181</td><td>cyclophosphamide Injectable Product</td></tr><tr><td>1156182</td><td>cyclophosphamide Oral Product</td></tr><tr><td>1156183</td><td>cyclophosphamide Pill</td></tr><tr><td>1156186</td><td>cyclosporine Injectable Product</td></tr><tr><td>1156187</td><td>cyclosporine Ophthalmic Product</td></tr><tr><td>1156188</td><td>cyclosporine Oral Liquid Product</td></tr><tr><td>1156189</td><td>cyclosporine Oral Product</td></tr><tr><td>1156190</td><td>cyclosporine Pill</td></tr><tr><td>1157869</td><td>mycophenolate mofetil Injectable Product</td></tr><tr><td>1157870</td><td>mycophenolate mofetil Oral Liquid Product</td></tr><tr><td>1157871</td><td>mycophenolate mofetil Oral Product</td></tr><tr><td>1157872</td><td>mycophenolate mofetil Pill</td></tr><tr><td>1158757</td><td>sirolimus Oral Liquid Product</td></tr><tr><td>1158758</td><td>sirolimus Oral Product</td></tr><tr><td>1158759</td><td>sirolimus Pill</td></tr><tr><td>1161488</td><td>temsirolimus Injectable Product</td></tr><tr><td>1162235</td><td>methotrexate Injectable Product</td></tr><tr><td>1162236</td><td>methotrexate Oral Product</td></tr><tr><td>1162237</td><td>methotrexate Pill</td></tr><tr><td>1162729</td><td>tocilizumab Injectable Product</td></tr><tr><td>1163066</td><td>abatacept Injectable Product</td></tr><tr><td>1163075</td><td>bortezomib Injectable Product</td></tr><tr><td>1163655</td><td>tacrolimus Injectable Product</td></tr><tr><td>1164202</td><td>tacrolimus Oral Product</td></tr><tr><td>1164203</td><td>tacrolimus Pill</td></tr><tr><td>1164204</td><td>tacrolimus Topical Product</td></tr><tr><td>1165075</td><td>maraviroc Oral Product</td></tr><tr><td>1165076</td><td>maraviroc Pill</td></tr><tr><td>1166213</td><td>Cellcept Injectable Product</td></tr><tr><td>1166214</td><td>Cellcept Oral Liquid Product</td></tr><tr><td>1166215</td><td>Cellcept Oral Product</td></tr><tr><td>1166216</td><td>Cellcept Pill</td></tr><tr><td>1169167</td><td>Actemra Injectable Product</td></tr><tr><td>1169824</td><td>Gengraf Oral Liquid Product</td></tr><tr><td>1169825</td><td>Gengraf Oral Product</td></tr><tr><td>1169826</td><td>Gengraf Pill</td></tr><tr><td>1172882</td><td>Atopica Oral Product</td></tr><tr><td>1172883</td><td>Atopica Pill</td></tr><tr><td>1177701</td><td>Rapamune Oral Liquid Product</td></tr><tr><td>1177702</td><td>Rapamune Oral Product</td></tr><tr><td>1177703</td><td>Rapamune Pill</td></tr><tr><td>1178366</td><td>Selzentry Oral Product</td></tr><tr><td>1178367</td><td>Selzentry Pill</td></tr><tr><td>1179677</td><td>Trexall Oral Product</td></tr><tr><td>1179678</td><td>Trexall Pill</td></tr><tr><td>1180662</td><td>Prograf Injectable Product</td></tr><tr><td>1180663</td><td>Prograf Oral Product</td></tr><tr><td>1180664</td><td>Prograf Pill</td></tr><tr><td>1181672</td><td>Neoral Oral Liquid Product</td></tr><tr><td>1181673</td><td>Neoral Oral Product</td></tr><tr><td>1181674</td><td>Neoral Pill</td></tr><tr><td>1182342</td><td>Optimmune Ophthalmic Product</td></tr><tr><td>1182458</td><td>Protopic Topical Product</td></tr><tr><td>1182527</td><td>Restasis Ophthalmic Product</td></tr><tr><td>1183963</td><td>Orencia Injectable Product</td></tr><tr><td>1185408</td><td>Sandimmune Injectable Product</td></tr><tr><td>1185409</td><td>Sandimmune Oral Liquid Product</td></tr><tr><td>1185410</td><td>Sandimmune Oral Product</td></tr><tr><td>1185411</td><td>Sandimmune Pill</td></tr><tr><td>1187756</td><td>Velcade Injectable Product</td></tr><tr><td>1193325</td><td>ruxolitinib phosphate</td></tr><tr><td>1193326</td><td>ruxolitinib</td></tr><tr><td>1193327</td><td>ruxolitinib 10 MG</td></tr><tr><td>1193328</td><td>ruxolitinib Oral Product</td></tr><tr><td>1193329</td><td>ruxolitinib Pill</td></tr><tr><td>1193330</td><td>ruxolitinib Oral Tablet</td></tr><tr><td>1193331</td><td>ruxolitinib 10 MG Oral Tablet</td></tr><tr><td>1193332</td><td>Jakafi</td></tr><tr><td>1193333</td><td>ruxolitinib 10 MG [Jakafi]</td></tr><tr><td>1193334</td><td>ruxolitinib Oral Tablet [Jakafi]</td></tr><tr><td>1193335</td><td>Jakafi Oral Product</td></tr><tr><td>1193336</td><td>Jakafi Pill</td></tr><tr><td>1193337</td><td>ruxolitinib 10 MG Oral Tablet [Jakafi]</td></tr><tr><td>1193338</td><td>ruxolitinib 5 MG</td></tr><tr><td>1193339</td><td>ruxolitinib 5 MG Oral Tablet</td></tr><tr><td>1193340</td><td>ruxolitinib 5 MG [Jakafi]</td></tr><tr><td>1193341</td><td>ruxolitinib 5 MG Oral Tablet [Jakafi]</td></tr><tr><td>1193342</td><td>ruxolitinib 15 MG</td></tr><tr><td>1193343</td><td>ruxolitinib 15 MG Oral Tablet</td></tr><tr><td>1193344</td><td>ruxolitinib 15 MG [Jakafi]</td></tr><tr><td>1193345</td><td>ruxolitinib 15 MG Oral Tablet [Jakafi]</td></tr><tr><td>1193346</td><td>ruxolitinib 20 MG</td></tr><tr><td>1193347</td><td>ruxolitinib 20 MG Oral Tablet</td></tr><tr><td>1193348</td><td>ruxolitinib 20 MG [Jakafi]</td></tr><tr><td>1193349</td><td>ruxolitinib 20 MG Oral Tablet [Jakafi]</td></tr><tr><td>1193350</td><td>ruxolitinib 25 MG</td></tr><tr><td>1193351</td><td>ruxolitinib 25 MG Oral Tablet</td></tr><tr><td>1193352</td><td>ruxolitinib 25 MG [Jakafi]</td></tr><tr><td>1193353</td><td>ruxolitinib 25 MG Oral Tablet [Jakafi]</td></tr><tr><td>1233905</td><td>cyclosporine, modified 100 MG/ML [Atopica]</td></tr><tr><td>1233906</td><td>cyclosporine Oral Solution [Atopica]</td></tr><tr><td>1233907</td><td>Atopica Oral Liquid Product</td></tr><tr><td>1233908</td><td>cyclosporine, modified 100 MG/ML Oral Solution [Atopica]</td></tr><tr><td>1431970</td><td>tacrolimus Extended Release Oral Capsule</td></tr><tr><td>1431971</td><td>24 HR tacrolimus 0.5 MG Extended Release Oral Capsule</td></tr><tr><td>1431972</td><td>Astagraf</td></tr><tr><td>1431973</td><td>tacrolimus 0.5 MG [Astagraf]</td></tr><tr><td>1431974</td><td>tacrolimus Extended Release Oral Capsule [Astagraf]</td></tr><tr><td>1431975</td><td>Astagraf Oral Product</td></tr><tr><td>1431976</td><td>Astagraf Pill</td></tr><tr><td>1431977</td><td>24 HR tacrolimus 0.5 MG Extended Release Oral Capsule [Astagraf]</td></tr><tr><td>1431980</td><td>24 HR tacrolimus 1 MG Extended Release Oral Capsule</td></tr><tr><td>1431981</td><td>tacrolimus 1 MG [Astagraf]</td></tr><tr><td>1431982</td><td>24 HR tacrolimus 1 MG Extended Release Oral Capsule [Astagraf]</td></tr><tr><td>1431985</td><td>24 HR tacrolimus 5 MG Extended Release Oral Capsule</td></tr><tr><td>1431986</td><td>tacrolimus 5 MG [Astagraf]</td></tr><tr><td>1431987</td><td>24 HR tacrolimus 5 MG Extended Release Oral Capsule [Astagraf]</td></tr><tr><td>1437967</td><td>cyclophosphamide Oral Capsule</td></tr><tr><td>1437968</td><td>cyclophosphamide 25 MG Oral Capsule</td></tr><tr><td>1437969</td><td>cyclophosphamide 50 MG Oral Capsule</td></tr><tr><td>1441402</td><td>0.4 ML methotrexate 25 MG/ML Auto-Injector</td></tr><tr><td>1441403</td><td>Otrexup</td></tr><tr><td>1441404</td><td>methotrexate 25 MG/ML [Otrexup]</td></tr><tr><td>1441406</td><td>Otrexup Injectable Product</td></tr><tr><td>1441407</td><td>0.4 ML methotrexate 25 MG/ML Auto-Injector [Otrexup]</td></tr><tr><td>1441410</td><td>methotrexate 37.5 MG/ML</td></tr><tr><td>1441411</td><td>0.4 ML methotrexate 37.5 MG/ML Auto-Injector</td></tr><tr><td>1441412</td><td>methotrexate 37.5 MG/ML [Otrexup]</td></tr><tr><td>1441413</td><td>0.4 ML methotrexate 37.5 MG/ML Auto-Injector [Otrexup]</td></tr><tr><td>1441416</td><td>0.4 ML methotrexate 50 MG/ML Auto-Injector</td></tr><tr><td>1441417</td><td>methotrexate 50 MG/ML [Otrexup]</td></tr><tr><td>1441418</td><td>0.4 ML methotrexate 50 MG/ML Auto-Injector [Otrexup]</td></tr><tr><td>1441421</td><td>methotrexate 62.5 MG/ML</td></tr><tr><td>1441422</td><td>0.4 ML methotrexate 62.5 MG/ML Auto-Injector</td></tr><tr><td>1441423</td><td>methotrexate 62.5 MG/ML [Otrexup]</td></tr><tr><td>1441424</td><td>0.4 ML methotrexate 62.5 MG/ML Auto-Injector [Otrexup]</td></tr><tr><td>1441525</td><td>tocilizumab 180 MG/ML</td></tr><tr><td>1441526</td><td>tocilizumab Prefilled Syringe</td></tr><tr><td>1441527</td><td>0.9 ML tocilizumab 180 MG/ML Prefilled Syringe</td></tr><tr><td>1441528</td><td>tocilizumab 180 MG/ML [Actemra]</td></tr><tr><td>1441529</td><td>tocilizumab Prefilled Syringe [Actemra]</td></tr><tr><td>1441530</td><td>0.9 ML tocilizumab 180 MG/ML Prefilled Syringe [Actemra]</td></tr><tr><td>152633</td><td>Cellcept</td></tr><tr><td>1544378</td><td>0.2 ML methotrexate 50 MG/ML Auto-Injector</td></tr><tr><td>1544379</td><td>Rasuvo</td></tr><tr><td>1544380</td><td>methotrexate 50 MG/ML [Rasuvo]</td></tr><tr><td>1544382</td><td>Rasuvo Injectable Product</td></tr><tr><td>1544383</td><td>0.2 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]</td></tr><tr><td>1544385</td><td>0.25 ML methotrexate 50 MG/ML Auto-Injector</td></tr><tr><td>1544386</td><td>0.25 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]</td></tr><tr><td>1544387</td><td>0.3 ML methotrexate 50 MG/ML Auto-Injector</td></tr><tr><td>1544388</td><td>0.3 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]</td></tr><tr><td>1544389</td><td>0.35 ML methotrexate 50 MG/ML Auto-Injector</td></tr><tr><td>1544390</td><td>0.35 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]</td></tr><tr><td>1544394</td><td>0.4 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]</td></tr><tr><td>1544395</td><td>0.45 ML methotrexate 50 MG/ML Auto-Injector</td></tr><tr><td>1544396</td><td>0.45 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]</td></tr><tr><td>1544397</td><td>0.5 ML methotrexate 50 MG/ML Auto-Injector</td></tr><tr><td>1544398</td><td>0.5 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]</td></tr><tr><td>1544401</td><td>0.6 ML methotrexate 50 MG/ML Auto-Injector</td></tr><tr><td>1544402</td><td>0.6 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]</td></tr><tr><td>1544403</td><td>0.15 ML methotrexate 50 MG/ML Auto-Injector</td></tr><tr><td>1544404</td><td>0.15 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]</td></tr><tr><td>1545988</td><td>cyclophosphamide anhydrous</td></tr><tr><td>1655203</td><td>methotrexate Auto-Injector</td></tr><tr><td>1655205</td><td>methotrexate Auto-Injector [Otrexup]</td></tr><tr><td>1655252</td><td>methotrexate Auto-Injector [Rasuvo]</td></tr><tr><td>1655955</td><td>methotrexate Injection</td></tr><tr><td>1655956</td><td>40 ML methotrexate 25 MG/ML Injection</td></tr><tr><td>1655959</td><td>10 ML methotrexate 25 MG/ML Injection</td></tr><tr><td>1655960</td><td>2 ML methotrexate 25 MG/ML Injection</td></tr><tr><td>1655967</td><td>4 ML methotrexate 25 MG/ML Injection</td></tr><tr><td>1655968</td><td>8 ML methotrexate 25 MG/ML Injection</td></tr><tr><td>1656681</td><td>methotrexate 1000 MG</td></tr><tr><td>1657973</td><td>tocilizumab Injection</td></tr><tr><td>1657974</td><td>4 ML tocilizumab 20 MG/ML Injection</td></tr><tr><td>1657975</td><td>tocilizumab Injection [Actemra]</td></tr><tr><td>1657976</td><td>4 ML tocilizumab 20 MG/ML Injection [Actemra]</td></tr><tr><td>1657979</td><td>10 ML tocilizumab 20 MG/ML Injection</td></tr><tr><td>1657980</td><td>10 ML tocilizumab 20 MG/ML Injection [Actemra]</td></tr><tr><td>1657981</td><td>20 ML tocilizumab 20 MG/ML Injection</td></tr><tr><td>1657982</td><td>20 ML tocilizumab 20 MG/ML Injection [Actemra]</td></tr><tr><td>1659771</td><td>abatacept 250 MG</td></tr><tr><td>1659772</td><td>abatacept Injection</td></tr><tr><td>1659774</td><td>abatacept 250 MG [Orencia]</td></tr><tr><td>1659775</td><td>abatacept Injection [Orencia]</td></tr><tr><td>1664432</td><td>tacrolimus 4 MG</td></tr><tr><td>1664433</td><td>tacrolimus Extended Release Oral Tablet</td></tr><tr><td>1664434</td><td>24 HR tacrolimus 4 MG Extended Release Oral Tablet</td></tr><tr><td>1664435</td><td>Envarsus</td></tr><tr><td>1664436</td><td>tacrolimus 4 MG [Envarsus]</td></tr><tr><td>1664437</td><td>tacrolimus Extended Release Oral Tablet [Envarsus]</td></tr><tr><td>1664438</td><td>Envarsus Oral Product</td></tr><tr><td>1664439</td><td>Envarsus Pill</td></tr><tr><td>1664440</td><td>24 HR tacrolimus 4 MG Extended Release Oral Tablet [Envarsus]</td></tr><tr><td>1664455</td><td>tacrolimus 0.75 MG</td></tr><tr><td>1664456</td><td>24 HR tacrolimus 0.75 MG Extended Release Oral Tablet</td></tr><tr><td>1664457</td><td>tacrolimus 0.75 MG [Envarsus]</td></tr><tr><td>1664458</td><td>24 HR tacrolimus 0.75 MG Extended Release Oral Tablet [Envarsus]</td></tr><tr><td>1664461</td><td>24 HR tacrolimus 1 MG Extended Release Oral Tablet</td></tr><tr><td>1664462</td><td>tacrolimus 1 MG [Envarsus]</td></tr><tr><td>1664463</td><td>24 HR tacrolimus 1 MG Extended Release Oral Tablet [Envarsus]</td></tr><tr><td>1724304</td><td>temsirolimus Injection</td></tr><tr><td>1724306</td><td>temsirolimus Injection [Torisel]</td></tr><tr><td>1726176</td><td>mycophenolate mofetil Injection</td></tr><tr><td>1726179</td><td>mycophenolate mofetil Injection [Cellcept]</td></tr><tr><td>1732364</td><td>cyclosporine Injection</td></tr><tr><td>1732366</td><td>cyclosporine Injection [Sandimmune]</td></tr><tr><td>1734915</td><td>cyclophosphamide 500 MG</td></tr><tr><td>1734916</td><td>cyclophosphamide Injection</td></tr><tr><td>1734917</td><td>cyclophosphamide 500 MG Injection</td></tr><tr><td>1734918</td><td>cyclophosphamide 1000 MG</td></tr><tr><td>1734919</td><td>cyclophosphamide 1000 MG Injection</td></tr><tr><td>1734920</td><td>cyclophosphamide 2000 MG</td></tr><tr><td>1734921</td><td>cyclophosphamide 2000 MG Injection</td></tr><tr><td>1738334</td><td>tacrolimus Injection</td></tr><tr><td>1738336</td><td>tacrolimus Injection [Prograf]</td></tr><tr><td>1747178</td><td>methotrexate 31.3 MG/ML</td></tr><tr><td>1747179</td><td>0.4 ML methotrexate 31.3 MG/ML Auto-Injector</td></tr><tr><td>1747180</td><td>methotrexate 31.3 MG/ML [Otrexup]</td></tr><tr><td>1747181</td><td>0.4 ML methotrexate 31.3 MG/ML Auto-Injector [Otrexup]</td></tr><tr><td>1747184</td><td>methotrexate 43.8 MG/ML</td></tr><tr><td>1747185</td><td>0.4 ML methotrexate 43.8 MG/ML Auto-Injector</td></tr><tr><td>1747186</td><td>methotrexate 43.8 MG/ML [Otrexup]</td></tr><tr><td>1747187</td><td>0.4 ML methotrexate 43.8 MG/ML Auto-Injector [Otrexup]</td></tr><tr><td>1747191</td><td>methotrexate 56.3 MG/ML</td></tr><tr><td>1747192</td><td>0.4 ML methotrexate 56.3 MG/ML Auto-Injector</td></tr><tr><td>1747193</td><td>methotrexate 56.3 MG/ML [Otrexup]</td></tr><tr><td>1747194</td><td>0.4 ML methotrexate 56.3 MG/ML Auto-Injector [Otrexup]</td></tr><tr><td>1799227</td><td>abatacept Auto-Injector</td></tr><tr><td>1799228</td><td>1 ML abatacept 125 MG/ML Auto-Injector</td></tr><tr><td>1799229</td><td>abatacept Auto-Injector [Orencia]</td></tr><tr><td>1799230</td><td>1 ML abatacept 125 MG/ML Auto-Injector [Orencia]</td></tr><tr><td>1804993</td><td>bortezomib 3.5 MG</td></tr><tr><td>1804994</td><td>bortezomib Injection</td></tr><tr><td>1804996</td><td>bortezomib 3.5 MG [Velcade]</td></tr><tr><td>1804997</td><td>bortezomib Injection [Velcade]</td></tr><tr><td>1857910</td><td>maraviroc 25 MG</td></tr><tr><td>1857911</td><td>maraviroc 25 MG Oral Tablet</td></tr><tr><td>1857912</td><td>maraviroc 25 MG [Selzentry]</td></tr><tr><td>1857913</td><td>maraviroc 25 MG Oral Tablet [Selzentry]</td></tr><tr><td>1857914</td><td>maraviroc 75 MG</td></tr><tr><td>1857915</td><td>maraviroc 75 MG Oral Tablet</td></tr><tr><td>1857916</td><td>maraviroc 75 MG [Selzentry]</td></tr><tr><td>1857917</td><td>maraviroc 75 MG Oral Tablet [Selzentry]</td></tr><tr><td>1857918</td><td>maraviroc 20 MG/ML</td></tr><tr><td>1857919</td><td>maraviroc Oral Liquid Product</td></tr><tr><td>1857920</td><td>maraviroc Oral Solution</td></tr><tr><td>1857921</td><td>maraviroc 20 MG/ML Oral Solution</td></tr><tr><td>1857922</td><td>maraviroc 20 MG/ML [Selzentry]</td></tr><tr><td>1857923</td><td>maraviroc Oral Solution [Selzentry]</td></tr><tr><td>1857924</td><td>Selzentry Oral Liquid Product</td></tr><tr><td>1857925</td><td>maraviroc 20 MG/ML Oral Solution [Selzentry]</td></tr><tr><td>190353</td><td>daclizumab</td></tr><tr><td>1921590</td><td>methotrexate Oral Liquid Product</td></tr><tr><td>1921591</td><td>methotrexate Oral Solution</td></tr><tr><td>1921592</td><td>methotrexate 2.5 MG/ML Oral Solution</td></tr><tr><td>1921593</td><td>Xatmep</td></tr><tr><td>1921594</td><td>methotrexate 2.5 MG/ML [Xatmep]</td></tr><tr><td>1921595</td><td>methotrexate Oral Solution [Xatmep]</td></tr><tr><td>1921596</td><td>Xatmep Oral Liquid Product</td></tr><tr><td>1921597</td><td>Xatmep Oral Product</td></tr><tr><td>1921598</td><td>methotrexate 2.5 MG/ML Oral Solution [Xatmep]</td></tr><tr><td>1925254</td><td>0.4 ML abatacept 125 MG/ML Prefilled Syringe</td></tr><tr><td>1925255</td><td>0.4 ML abatacept 125 MG/ML Prefilled Syringe [Orencia]</td></tr><tr><td>1925256</td><td>0.7 ML abatacept 125 MG/ML Prefilled Syringe</td></tr><tr><td>1925257</td><td>0.7 ML abatacept 125 MG/ML Prefilled Syringe [Orencia]</td></tr><tr><td>1946772</td><td>methotrexate 25 MG/ML Injectable Solution</td></tr><tr><td>196463</td><td>Prograf</td></tr><tr><td>197549</td><td>cyclophosphamide 25 MG Oral Tablet</td></tr><tr><td>197550</td><td>cyclophosphamide 50 MG Oral Tablet</td></tr><tr><td>197552</td><td>cyclosporine 100 MG Oral Capsule [Sandimmune]</td></tr><tr><td>197553</td><td>cyclosporine 25 MG Oral Capsule</td></tr><tr><td>198377</td><td>tacrolimus 1 MG Oral Capsule</td></tr><tr><td>198378</td><td>tacrolimus 5 MG Oral Capsule</td></tr><tr><td>198379</td><td>1 ML tacrolimus 5 MG/ML Injection</td></tr><tr><td>199058</td><td>mycophenolate mofetil 250 MG Oral Capsule</td></tr><tr><td>200060</td><td>mycophenolate mofetil 500 MG Oral Tablet</td></tr><tr><td>202816</td><td>Sandimmune</td></tr><tr><td>202817</td><td>Neoral</td></tr><tr><td>205168</td><td>cyclosporine 50 MG Oral Capsule</td></tr><tr><td>205175</td><td>5 ML cyclosporine 50 MG/ML Injection</td></tr><tr><td>2052503</td><td>tacrolimus 0.2 MG</td></tr><tr><td>2052603</td><td>tacrolimus Granule Product</td></tr><tr><td>2052604</td><td>tacrolimus Granules for Oral Suspension</td></tr><tr><td>2052605</td><td>tacrolimus 0.2 MG Granules for Oral Suspension</td></tr><tr><td>2052606</td><td>tacrolimus 0.2 MG [Prograf]</td></tr><tr><td>2052607</td><td>tacrolimus Granules for Oral Suspension [Prograf]</td></tr><tr><td>2052608</td><td>Prograf Granule Product</td></tr><tr><td>2052609</td><td>tacrolimus 0.2 MG Granules for Oral Suspension [Prograf]</td></tr><tr><td>2052703</td><td>tacrolimus 1 MG Granules for Oral Suspension</td></tr><tr><td>2052704</td><td>tacrolimus 1 MG Granules for Oral Suspension [Prograf]</td></tr><tr><td>2055019</td><td>cyclosporine 0.9 MG/ML</td></tr><tr><td>2055020</td><td>cyclosporine Ophthalmic Solution</td></tr><tr><td>2055021</td><td>cyclosporine 0.9 MG/ML Ophthalmic Solution</td></tr><tr><td>2055022</td><td>Cequa</td></tr><tr><td>2055023</td><td>cyclosporine 0.9 MG/ML [Cequa]</td></tr><tr><td>2055024</td><td>cyclosporine Ophthalmic Solution [Cequa]</td></tr><tr><td>2055025</td><td>Cequa Ophthalmic Product</td></tr><tr><td>2055026</td><td>cyclosporine 0.9 MG/ML Ophthalmic Solution [Cequa]</td></tr><tr><td>2106072</td><td>tocilizumab Auto-Injector</td></tr><tr><td>2106073</td><td>0.9 ML tocilizumab 180 MG/ML Auto-Injector</td></tr><tr><td>2106074</td><td>tocilizumab Auto-Injector [Actemra]</td></tr><tr><td>2106075</td><td>0.9 ML tocilizumab 180 MG/ML Auto-Injector [Actemra]</td></tr><tr><td>212810</td><td>cyclosporine 25 MG Oral Capsule [Sandimmune]</td></tr><tr><td>212844</td><td>5 ML cyclosporine 50 MG/ML Injection [Sandimmune]</td></tr><tr><td>212957</td><td>cyclosporine 100 MG/ML Oral Solution [Sandimmune]</td></tr><tr><td>213394</td><td>mycophenolate mofetil 500 MG Injection [Cellcept]</td></tr><tr><td>221085</td><td>cyclophosphamide lyophilized</td></tr><tr><td>235991</td><td>anhydrous tacrolimus</td></tr><tr><td>236077</td><td>cyclosporine, modified</td></tr><tr><td>237112</td><td>mycophenolate mofetil hydrochloride</td></tr><tr><td>2377332</td><td>methotrexate Prefilled Syringe</td></tr><tr><td>2377333</td><td>0.4 ML methotrexate 25 MG/ML Prefilled Syringe</td></tr><tr><td>2377334</td><td>Reditrex</td></tr><tr><td>2377335</td><td>methotrexate 25 MG/ML [Reditrex]</td></tr><tr><td>2377336</td><td>methotrexate Prefilled Syringe [Reditrex]</td></tr><tr><td>2377337</td><td>Reditrex Injectable Product</td></tr><tr><td>2377338</td><td>0.4 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]</td></tr><tr><td>2377341</td><td>0.5 ML methotrexate 25 MG/ML Prefilled Syringe</td></tr><tr><td>2377342</td><td>0.5 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]</td></tr><tr><td>2377343</td><td>0.6 ML methotrexate 25 MG/ML Prefilled Syringe</td></tr><tr><td>2377344</td><td>0.6 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]</td></tr><tr><td>2377345</td><td>0.7 ML methotrexate 25 MG/ML Prefilled Syringe</td></tr><tr><td>2377346</td><td>0.7 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]</td></tr><tr><td>2377347</td><td>0.8 ML methotrexate 25 MG/ML Prefilled Syringe</td></tr><tr><td>2377348</td><td>0.8 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]</td></tr><tr><td>2377349</td><td>0.9 ML methotrexate 25 MG/ML Prefilled Syringe</td></tr><tr><td>2377350</td><td>0.9 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]</td></tr><tr><td>2377351</td><td>1 ML methotrexate 25 MG/ML Prefilled Syringe</td></tr><tr><td>2377352</td><td>1 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]</td></tr><tr><td>2377353</td><td>0.3 ML methotrexate 25 MG/ML Prefilled Syringe</td></tr><tr><td>2377354</td><td>0.3 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]</td></tr><tr><td>2386858</td><td>cyclophosphamide 200 MG/ML</td></tr><tr><td>2386859</td><td>cyclophosphamide 200 MG/ML Injectable Solution</td></tr><tr><td>241834</td><td>cyclosporine, modified 100 MG Oral Capsule</td></tr><tr><td>2470532</td><td>Cyclavance</td></tr><tr><td>2470533</td><td>cyclosporine, modified 100 MG/ML [Cyclavance]</td></tr><tr><td>2470534</td><td>cyclosporine Oral Solution [Cyclavance]</td></tr><tr><td>2470535</td><td>Cyclavance Oral Liquid Product</td></tr><tr><td>2470536</td><td>Cyclavance Oral Product</td></tr><tr><td>2470537</td><td>cyclosporine, modified 100 MG/ML Oral Solution [Cyclavance]</td></tr><tr><td>2568661</td><td>5 ML cyclophosphamide 200 MG/ML Injection</td></tr><tr><td>2568663</td><td>2.5 ML cyclophosphamide 200 MG/ML Injection</td></tr><tr><td>2570749</td><td>ruxolitinib 15 MG/ML</td></tr><tr><td>2570750</td><td>ruxolitinib Topical Product</td></tr><tr><td>2570751</td><td>ruxolitinib Topical Cream</td></tr><tr><td>2570752</td><td>ruxolitinib 15 MG/ML Topical Cream</td></tr><tr><td>2570753</td><td>Opzelura</td></tr><tr><td>2570754</td><td>ruxolitinib 15 MG/ML [Opzelura]</td></tr><tr><td>2570755</td><td>Opzelura Topical Product</td></tr><tr><td>2570756</td><td>ruxolitinib Topical Cream [Opzelura]</td></tr><tr><td>2570757</td><td>ruxolitinib 15 MG/ML Topical Cream [Opzelura]</td></tr><tr><td>2572292</td><td>0.4 ML cyclosporine 0.5 MG/ML Ophthalmic Suspension</td></tr><tr><td>2572293</td><td>0.4 ML cyclosporine 0.5 MG/ML Ophthalmic Suspension [Restasis]</td></tr><tr><td>258355</td><td>Rapamune</td></tr><tr><td>2586860</td><td>sirolimus 100 MG</td></tr><tr><td>2586861</td><td>sirolimus Injectable Product</td></tr><tr><td>2586862</td><td>sirolimus Injection</td></tr><tr><td>2586863</td><td>sirolimus 100 MG Injection</td></tr><tr><td>2586864</td><td>Fyarro</td></tr><tr><td>2586865</td><td>sirolimus 100 MG [Fyarro]</td></tr><tr><td>2586866</td><td>Fyarro Injectable Product</td></tr><tr><td>2586867</td><td>sirolimus Injection [Fyarro]</td></tr><tr><td>2586868</td><td>sirolimus 100 MG Injection [Fyarro]</td></tr><tr><td>2590607</td><td>cyclosporine 1 MG/ML</td></tr><tr><td>2590608</td><td>cyclosporine 1 MG/ML Ophthalmic Suspension</td></tr><tr><td>2590609</td><td>Verkazia</td></tr><tr><td>2590610</td><td>cyclosporine 1 MG/ML [Verkazia]</td></tr><tr><td>2590611</td><td>Verkazia Ophthalmic Product</td></tr><tr><td>2590612</td><td>cyclosporine Ophthalmic Suspension [Verkazia]</td></tr><tr><td>2590613</td><td>cyclosporine 1 MG/ML Ophthalmic Suspension [Verkazia]</td></tr><tr><td>2596861</td><td>sirolimus 0.002 MG/MG</td></tr><tr><td>2596862</td><td>sirolimus Topical Product</td></tr><tr><td>2596863</td><td>sirolimus Topical Gel</td></tr><tr><td>2596864</td><td>sirolimus 0.002 MG/MG Topical Gel</td></tr><tr><td>2596865</td><td>Hyftor</td></tr><tr><td>2596866</td><td>sirolimus 0.002 MG/MG [Hyftor]</td></tr><tr><td>2596867</td><td>Hyftor Topical Product</td></tr><tr><td>2596868</td><td>sirolimus Topical Gel [Hyftor]</td></tr><tr><td>2596869</td><td>sirolimus 0.002 MG/MG Topical Gel [Hyftor]</td></tr><tr><td>2601541</td><td>bortezomib 1 MG</td></tr><tr><td>2601542</td><td>bortezomib 1 MG Injection</td></tr><tr><td>2601543</td><td>bortezomib 2.5 MG</td></tr><tr><td>2601544</td><td>bortezomib 2.5 MG Injection</td></tr><tr><td>261134</td><td>tacrolimus 0.5 MG Oral Capsule [Prograf]</td></tr><tr><td>261530</td><td>Gengraf</td></tr><tr><td>283510</td><td>methotrexate 15 MG Oral Tablet</td></tr><tr><td>283511</td><td>methotrexate 5 MG Oral Tablet</td></tr><tr><td>283671</td><td>methotrexate 7.5 MG Oral Tablet</td></tr><tr><td>284520</td><td>tacrolimus 0.001 MG/MG Topical Ointment [Protopic]</td></tr><tr><td>284521</td><td>tacrolimus 0.0003 MG/MG Topical Ointment [Protopic]</td></tr><tr><td>284592</td><td>methotrexate 5 MG Oral Tablet [Trexall]</td></tr><tr><td>284593</td><td>methotrexate 10 MG Oral Tablet [Trexall]</td></tr><tr><td>284594</td><td>methotrexate 7.5 MG Oral Tablet [Trexall]</td></tr><tr><td>284595</td><td>methotrexate 15 MG Oral Tablet [Trexall]</td></tr><tr><td>284848</td><td>Protopic</td></tr><tr><td>284900</td><td>Trexall</td></tr><tr><td>287734</td><td>methotrexate sodium</td></tr><tr><td>3002</td><td>cyclophosphamide</td></tr><tr><td>3008</td><td>cyclosporine</td></tr><tr><td>309632</td><td>cyclosporine 100 MG/ML Oral Solution</td></tr><tr><td>311625</td><td>methotrexate 1000 MG Injection</td></tr><tr><td>311880</td><td>mycophenolate mofetil 200 MG/ML Oral Suspension</td></tr><tr><td>311881</td><td>mycophenolate mofetil 500 MG Injection</td></tr><tr><td>313189</td><td>tacrolimus 0.0003 MG/MG Topical Ointment</td></tr><tr><td>313190</td><td>tacrolimus 0.5 MG Oral Capsule</td></tr><tr><td>314230</td><td>sirolimus 1 MG/ML Oral Solution</td></tr><tr><td>314266</td><td>tacrolimus 0.001 MG/MG Topical Ointment</td></tr><tr><td>315148</td><td>methotrexate 2.5 MG/ML Injectable Solution</td></tr><tr><td>315746</td><td>cyclophosphamide 25 MG</td></tr><tr><td>315747</td><td>cyclophosphamide 50 MG</td></tr><tr><td>315749</td><td>cyclosporine 100 MG</td></tr><tr><td>315750</td><td>cyclosporine 100 MG/ML</td></tr><tr><td>315751</td><td>cyclosporine 25 MG</td></tr><tr><td>315752</td><td>cyclosporine 50 MG</td></tr><tr><td>315753</td><td>cyclosporine 50 MG/ML</td></tr><tr><td>316316</td><td>mycophenolate mofetil 250 MG</td></tr><tr><td>316317</td><td>mycophenolate mofetil 500 MG</td></tr><tr><td>316758</td><td>tacrolimus 1 MG</td></tr><tr><td>316759</td><td>tacrolimus 5 MG</td></tr><tr><td>317510</td><td>tacrolimus 5 MG/ML</td></tr><tr><td>328160</td><td>cyclosporine 100 MG Oral Capsule</td></tr><tr><td>328404</td><td>methotrexate 50 MG/ML</td></tr><tr><td>328406</td><td>methotrexate 25 MG/ML</td></tr><tr><td>328407</td><td>methotrexate 2.5 MG</td></tr><tr><td>330028</td><td>methotrexate 2.5 MG/ML</td></tr><tr><td>330404</td><td>tacrolimus 0.5 MG</td></tr><tr><td>331549</td><td>tacrolimus 0.001 MG/MG</td></tr><tr><td>331550</td><td>tacrolimus 0.0003 MG/MG</td></tr><tr><td>331568</td><td>methotrexate 10 MG</td></tr><tr><td>331569</td><td>methotrexate 15 MG</td></tr><tr><td>331587</td><td>mycophenolate mofetil 200 MG/ML</td></tr><tr><td>332454</td><td>methotrexate 5 MG</td></tr><tr><td>332455</td><td>methotrexate 7.5 MG</td></tr><tr><td>333296</td><td>sirolimus 1 MG/ML</td></tr><tr><td>334294</td><td>cyclosporine, modified 100 MG</td></tr><tr><td>349208</td><td>sirolimus 1 MG Oral Tablet</td></tr><tr><td>350512</td><td>sirolimus 1 MG</td></tr><tr><td>351291</td><td>cyclosporine 0.5 MG/ML Ophthalmic Suspension</td></tr><tr><td>351901</td><td>sirolimus 1 MG/ML Oral Solution [Rapamune]</td></tr><tr><td>351989</td><td>sirolimus 1 MG Oral Tablet [Rapamune]</td></tr><tr><td>352951</td><td>Restasis</td></tr><tr><td>35302</td><td>sirolimus</td></tr><tr><td>353400</td><td>cyclosporine 0.5 MG/ML</td></tr><tr><td>356733</td><td>Velcade</td></tr><tr><td>358258</td><td>bortezomib</td></tr><tr><td>360110</td><td>sirolimus 2 MG Oral Tablet</td></tr><tr><td>360318</td><td>sirolimus 2 MG</td></tr><tr><td>360547</td><td>methotrexate 100 MG/ML</td></tr><tr><td>363914</td><td>cyclosporine Oral Solution [Gengraf]</td></tr><tr><td>363942</td><td>cyclosporine Oral Solution [Neoral]</td></tr><tr><td>364904</td><td>sirolimus Oral Solution [Rapamune]</td></tr><tr><td>366173</td><td>cyclosporine Oral Capsule [Gengraf]</td></tr><tr><td>366273</td><td>tacrolimus Oral Capsule [Prograf]</td></tr><tr><td>366479</td><td>cyclosporine Oral Capsule [Neoral]</td></tr><tr><td>366488</td><td>cyclosporine Oral Capsule [Sandimmune]</td></tr><tr><td>367339</td><td>tacrolimus Topical Ointment [Protopic]</td></tr><tr><td>368138</td><td>methotrexate Oral Tablet [Trexall]</td></tr><tr><td>368672</td><td>sirolimus Oral Tablet [Rapamune]</td></tr><tr><td>371664</td><td>cyclophosphamide Oral Tablet</td></tr><tr><td>371666</td><td>cyclosporine Oral Capsule</td></tr><tr><td>371667</td><td>cyclosporine Oral Solution</td></tr><tr><td>372835</td><td>methotrexate Injectable Solution</td></tr><tr><td>372836</td><td>methotrexate Oral Tablet</td></tr><tr><td>374015</td><td>tacrolimus Oral Capsule</td></tr><tr><td>374667</td><td>mycophenolate mofetil Oral Tablet</td></tr><tr><td>374670</td><td>mycophenolate mofetil Oral Suspension</td></tr><tr><td>375278</td><td>sirolimus Oral Solution</td></tr><tr><td>376666</td><td>cyclophosphamide Injectable Solution</td></tr><tr><td>378277</td><td>sirolimus Oral Tablet</td></tr><tr><td>378766</td><td>cyclosporine Ophthalmic Suspension</td></tr><tr><td>379060</td><td>mycophenolate mofetil Oral Capsule</td></tr><tr><td>379082</td><td>tacrolimus Topical Ointment</td></tr><tr><td>402092</td><td>cyclosporine 0.5 MG/ML Ophthalmic Suspension [Restasis]</td></tr><tr><td>402243</td><td>bortezomib 3.5 MG Injection</td></tr><tr><td>402244</td><td>bortezomib 3.5 MG Injection [Velcade]</td></tr><tr><td>402330</td><td>cyclosporine Ophthalmic Suspension [Restasis]</td></tr><tr><td>404432</td><td>sirolimus 2 MG Oral Tablet [Rapamune]</td></tr><tr><td>42316</td><td>tacrolimus</td></tr><tr><td>484288</td><td>tacrolimus monohydrate</td></tr><tr><td>484788</td><td>cyclosporine microemulsion</td></tr><tr><td>486331</td><td>cyclosporine 100 MG/ML [Sandimmune]</td></tr><tr><td>539497</td><td>Atopica</td></tr><tr><td>539499</td><td>cyclosporine Oral Capsule [Atopica]</td></tr><tr><td>564557</td><td>tacrolimus 1 MG [Prograf]</td></tr><tr><td>564558</td><td>tacrolimus 5 MG [Prograf]</td></tr><tr><td>564559</td><td>tacrolimus 5 MG/ML [Prograf]</td></tr><tr><td>565430</td><td>cyclosporine 100 MG [Sandimmune]</td></tr><tr><td>572889</td><td>cyclosporine 25 MG [Sandimmune]</td></tr><tr><td>572915</td><td>cyclosporine 50 MG/ML [Sandimmune]</td></tr><tr><td>574378</td><td>tacrolimus 0.5 MG [Prograf]</td></tr><tr><td>574948</td><td>tacrolimus 0.001 MG/MG [Protopic]</td></tr><tr><td>574949</td><td>tacrolimus 0.0003 MG/MG [Protopic]</td></tr><tr><td>575019</td><td>methotrexate 5 MG [Trexall]</td></tr><tr><td>575020</td><td>methotrexate 10 MG [Trexall]</td></tr><tr><td>575021</td><td>methotrexate 7.5 MG [Trexall]</td></tr><tr><td>575022</td><td>methotrexate 15 MG [Trexall]</td></tr><tr><td>575659</td><td>sirolimus 1 MG/ML [Rapamune]</td></tr><tr><td>575733</td><td>sirolimus 1 MG [Rapamune]</td></tr><tr><td>576100</td><td>cyclosporine 0.5 MG/ML [Restasis]</td></tr><tr><td>576390</td><td>sirolimus 2 MG [Rapamune]</td></tr><tr><td>612865</td><td>tocilizumab</td></tr><tr><td>614391</td><td>abatacept</td></tr><tr><td>616011</td><td>Orencia</td></tr><tr><td>616015</td><td>abatacept 250 MG Injection</td></tr><tr><td>616018</td><td>abatacept 250 MG Injection [Orencia]</td></tr><tr><td>616433</td><td>mycophenolate mofetil 500 MG [Cellcept]</td></tr><tr><td>616434</td><td>mycophenolate mofetil Oral Tablet [Cellcept]</td></tr><tr><td>616435</td><td>mycophenolate mofetil 500 MG Oral Tablet [Cellcept]</td></tr><tr><td>616442</td><td>mycophenolate mofetil 200 MG/ML [Cellcept]</td></tr><tr><td>616443</td><td>mycophenolate mofetil Oral Suspension [Cellcept]</td></tr><tr><td>616444</td><td>mycophenolate mofetil 200 MG/ML Oral Suspension [Cellcept]</td></tr><tr><td>616445</td><td>mycophenolate mofetil 250 MG [Cellcept]</td></tr><tr><td>616446</td><td>mycophenolate mofetil Oral Capsule [Cellcept]</td></tr><tr><td>616447</td><td>mycophenolate mofetil 250 MG Oral Capsule [Cellcept]</td></tr><tr><td>620216</td><td>maraviroc</td></tr><tr><td>657797</td><td>temsirolimus</td></tr><tr><td>68149</td><td>mycophenolate mofetil</td></tr><tr><td>6851</td><td>methotrexate</td></tr><tr><td>690313</td><td>cyclophosphamide / mannitol</td></tr><tr><td>722287</td><td>temsirolimus 25 MG/ML</td></tr><tr><td>722289</td><td>1.2 ML temsirolimus 25 MG/ML Injection</td></tr><tr><td>725106</td><td>temsirolimus 25 MG/ML [Torisel]</td></tr><tr><td>725108</td><td>1.2 ML temsirolimus 25 MG/ML Injection [Torisel]</td></tr><tr><td>728221</td><td>maraviroc 150 MG</td></tr><tr><td>728222</td><td>maraviroc Oral Tablet</td></tr><tr><td>728223</td><td>maraviroc 150 MG Oral Tablet</td></tr><tr><td>728224</td><td>maraviroc 300 MG</td></tr><tr><td>728225</td><td>maraviroc 300 MG Oral Tablet</td></tr><tr><td>728648</td><td>Selzentry</td></tr><tr><td>729199</td><td>maraviroc 150 MG [Selzentry]</td></tr><tr><td>729200</td><td>maraviroc Oral Tablet [Selzentry]</td></tr><tr><td>729201</td><td>maraviroc 150 MG Oral Tablet [Selzentry]</td></tr><tr><td>729202</td><td>maraviroc 300 MG [Selzentry]</td></tr><tr><td>729203</td><td>maraviroc 300 MG Oral Tablet [Selzentry]</td></tr><tr><td>835787</td><td>cyclosporine, modified 100 MG [Gengraf]</td></tr><tr><td>835835</td><td>cyclosporine, modified 100 MG Oral Capsule [Gengraf]</td></tr><tr><td>835885</td><td>cyclosporine, modified 100 MG/ML</td></tr><tr><td>835886</td><td>cyclosporine, modified 100 MG/ML Oral Solution</td></tr><tr><td>835887</td><td>cyclosporine, modified 100 MG/ML [Gengraf]</td></tr><tr><td>835892</td><td>cyclosporine, modified 100 MG/ML Oral Solution [Gengraf]</td></tr><tr><td>835893</td><td>cyclosporine, modified 25 MG</td></tr><tr><td>835894</td><td>cyclosporine, modified 25 MG Oral Capsule</td></tr><tr><td>835895</td><td>cyclosporine, modified 25 MG [Gengraf]</td></tr><tr><td>835896</td><td>cyclosporine, modified 25 MG Oral Capsule [Gengraf]</td></tr><tr><td>835897</td><td>cyclosporine, modified 100 MG/ML [Neoral]</td></tr><tr><td>835899</td><td>cyclosporine, modified 100 MG/ML Oral Solution [Neoral]</td></tr><tr><td>835900</td><td>cyclosporine, modified 100 MG [Neoral]</td></tr><tr><td>835901</td><td>cyclosporine, modified 25 MG [Neoral]</td></tr><tr><td>835909</td><td>cyclosporine, modified 25 MG Oral Capsule [Neoral]</td></tr><tr><td>835911</td><td>cyclosporine, modified 100 MG Oral Capsule [Neoral]</td></tr><tr><td>835916</td><td>cyclosporine, modified 100 MG [Atopica]</td></tr><tr><td>835917</td><td>cyclosporine, modified 100 MG Oral Capsule [Atopica]</td></tr><tr><td>835918</td><td>cyclosporine, modified 10 MG</td></tr><tr><td>835919</td><td>cyclosporine, modified 10 MG Oral Capsule</td></tr><tr><td>835920</td><td>cyclosporine, modified 10 MG [Atopica]</td></tr><tr><td>835921</td><td>cyclosporine, modified 10 MG Oral Capsule [Atopica]</td></tr><tr><td>835922</td><td>cyclosporine, modified 25 MG [Atopica]</td></tr><tr><td>835923</td><td>cyclosporine, modified 25 MG Oral Capsule [Atopica]</td></tr><tr><td>835924</td><td>cyclosporine, modified 50 MG</td></tr><tr><td>835925</td><td>cyclosporine, modified 50 MG Oral Capsule</td></tr><tr><td>835926</td><td>cyclosporine, modified 50 MG [Atopica]</td></tr><tr><td>835927</td><td>cyclosporine, modified 50 MG Oral Capsule [Atopica]</td></tr><tr><td>895758</td><td>tocilizumab 20 MG/ML</td></tr><tr><td>895761</td><td>Actemra</td></tr><tr><td>895762</td><td>tocilizumab 20 MG/ML [Actemra]</td></tr><tr><td>905157</td><td>sirolimus 0.5 MG</td></tr><tr><td>905158</td><td>sirolimus 0.5 MG Oral Tablet</td></tr><tr><td>905159</td><td>sirolimus 0.5 MG [Rapamune]</td></tr><tr><td>905160</td><td>sirolimus 0.5 MG Oral Tablet [Rapamune]</td></tr><tr><td>94035</td><td>cyclosporine Oral Solution [Sandimmune]</td></tr></table></li></ul></div>"
},
"url" : "http://fhir.nmdp.org/ig/cibmtr-reporting/ValueSet/med-gvhd-prophylaxis-vs",
"version" : "0.1.6",
"name" : "RxNormGVHDProphylaxisVS",
"title" : "RxNorm - GVHD Prophylaxis",
"status" : "active",
"experimental" : true,
"date" : "2023-05-05T10:50:04-05:00",
"publisher" : "The Medical College of Wisconsin, Inc. and the National Marrow Donor Program",
"contact" : [
{
"name" : "The Medical College of Wisconsin, Inc. and the National Marrow Donor Program",
"telecom" : [
{
"system" : "url",
"value" : "http://www.cibmtr.org"
}
]
},
{
"name" : "Bob Milius",
"telecom" : [
{
"system" : "email",
"value" : "bmilius@nmdp.org"
}
]
}
],
"description" : "RxNorm codes for GVHD Prophylaxis",
"compose" : {
"include" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"concept" : [
{
"code" : "105585",
"display" : "methotrexate 2.5 MG Oral Tablet"
},
{
"code" : "105586",
"display" : "methotrexate 10 MG Oral Tablet"
},
{
"code" : "105589",
"display" : "methotrexate 100 MG/ML Injectable Solution"
},
{
"code" : "108513",
"display" : "tacrolimus 1 MG Oral Capsule [Prograf]"
},
{
"code" : "108514",
"display" : "tacrolimus 5 MG Oral Capsule [Prograf]"
},
{
"code" : "108515",
"display" : "1 ML tacrolimus 5 MG/ML Injection [Prograf]"
},
{
"code" : "1093172",
"display" : "cyclosporine 0.002 MG/MG"
},
{
"code" : "1093173",
"display" : "cyclosporine Ophthalmic Ointment"
},
{
"code" : "1093174",
"display" : "cyclosporine 0.002 MG/MG Ophthalmic Ointment"
},
{
"code" : "1093175",
"display" : "Optimmune"
},
{
"code" : "1093176",
"display" : "cyclosporine 0.002 MG/MG [Optimmune]"
},
{
"code" : "1093177",
"display" : "cyclosporine Ophthalmic Ointment [Optimmune]"
},
{
"code" : "1093178",
"display" : "cyclosporine 0.002 MG/MG Ophthalmic Ointment [Optimmune]"
},
{
"code" : "1145927",
"display" : "abatacept 125 MG/ML"
},
{
"code" : "1145928",
"display" : "abatacept Prefilled Syringe"
},
{
"code" : "1145929",
"display" : "1 ML abatacept 125 MG/ML Prefilled Syringe"
},
{
"code" : "1145930",
"display" : "abatacept 125 MG/ML [Orencia]"
},
{
"code" : "1145931",
"display" : "abatacept Prefilled Syringe [Orencia]"
},
{
"code" : "1145932",
"display" : "1 ML abatacept 125 MG/ML Prefilled Syringe [Orencia]"
},
{
"code" : "1151834",
"display" : "daclizumab Injectable Product"
},
{
"code" : "1156181",
"display" : "cyclophosphamide Injectable Product"
},
{
"code" : "1156182",
"display" : "cyclophosphamide Oral Product"
},
{
"code" : "1156183",
"display" : "cyclophosphamide Pill"
},
{
"code" : "1156186",
"display" : "cyclosporine Injectable Product"
},
{
"code" : "1156187",
"display" : "cyclosporine Ophthalmic Product"
},
{
"code" : "1156188",
"display" : "cyclosporine Oral Liquid Product"
},
{
"code" : "1156189",
"display" : "cyclosporine Oral Product"
},
{
"code" : "1156190",
"display" : "cyclosporine Pill"
},
{
"code" : "1157869",
"display" : "mycophenolate mofetil Injectable Product"
},
{
"code" : "1157870",
"display" : "mycophenolate mofetil Oral Liquid Product"
},
{
"code" : "1157871",
"display" : "mycophenolate mofetil Oral Product"
},
{
"code" : "1157872",
"display" : "mycophenolate mofetil Pill"
},
{
"code" : "1158757",
"display" : "sirolimus Oral Liquid Product"
},
{
"code" : "1158758",
"display" : "sirolimus Oral Product"
},
{
"code" : "1158759",
"display" : "sirolimus Pill"
},
{
"code" : "1161488",
"display" : "temsirolimus Injectable Product"
},
{
"code" : "1162235",
"display" : "methotrexate Injectable Product"
},
{
"code" : "1162236",
"display" : "methotrexate Oral Product"
},
{
"code" : "1162237",
"display" : "methotrexate Pill"
},
{
"code" : "1162729",
"display" : "tocilizumab Injectable Product"
},
{
"code" : "1163066",
"display" : "abatacept Injectable Product"
},
{
"code" : "1163075",
"display" : "bortezomib Injectable Product"
},
{
"code" : "1163655",
"display" : "tacrolimus Injectable Product"
},
{
"code" : "1164202",
"display" : "tacrolimus Oral Product"
},
{
"code" : "1164203",
"display" : "tacrolimus Pill"
},
{
"code" : "1164204",
"display" : "tacrolimus Topical Product"
},
{
"code" : "1165075",
"display" : "maraviroc Oral Product"
},
{
"code" : "1165076",
"display" : "maraviroc Pill"
},
{
"code" : "1166213",
"display" : "Cellcept Injectable Product"
},
{
"code" : "1166214",
"display" : "Cellcept Oral Liquid Product"
},
{
"code" : "1166215",
"display" : "Cellcept Oral Product"
},
{
"code" : "1166216",
"display" : "Cellcept Pill"
},
{
"code" : "1169167",
"display" : "Actemra Injectable Product"
},
{
"code" : "1169824",
"display" : "Gengraf Oral Liquid Product"
},
{
"code" : "1169825",
"display" : "Gengraf Oral Product"
},
{
"code" : "1169826",
"display" : "Gengraf Pill"
},
{
"code" : "1172882",
"display" : "Atopica Oral Product"
},
{
"code" : "1172883",
"display" : "Atopica Pill"
},
{
"code" : "1177701",
"display" : "Rapamune Oral Liquid Product"
},
{
"code" : "1177702",
"display" : "Rapamune Oral Product"
},
{
"code" : "1177703",
"display" : "Rapamune Pill"
},
{
"code" : "1178366",
"display" : "Selzentry Oral Product"
},
{
"code" : "1178367",
"display" : "Selzentry Pill"
},
{
"code" : "1179677",
"display" : "Trexall Oral Product"
},
{
"code" : "1179678",
"display" : "Trexall Pill"
},
{
"code" : "1180662",
"display" : "Prograf Injectable Product"
},
{
"code" : "1180663",
"display" : "Prograf Oral Product"
},
{
"code" : "1180664",
"display" : "Prograf Pill"
},
{
"code" : "1181672",
"display" : "Neoral Oral Liquid Product"
},
{
"code" : "1181673",
"display" : "Neoral Oral Product"
},
{
"code" : "1181674",
"display" : "Neoral Pill"
},
{
"code" : "1182342",
"display" : "Optimmune Ophthalmic Product"
},
{
"code" : "1182458",
"display" : "Protopic Topical Product"
},
{
"code" : "1182527",
"display" : "Restasis Ophthalmic Product"
},
{
"code" : "1183963",
"display" : "Orencia Injectable Product"
},
{
"code" : "1185408",
"display" : "Sandimmune Injectable Product"
},
{
"code" : "1185409",
"display" : "Sandimmune Oral Liquid Product"
},
{
"code" : "1185410",
"display" : "Sandimmune Oral Product"
},
{
"code" : "1185411",
"display" : "Sandimmune Pill"
},
{
"code" : "1187756",
"display" : "Velcade Injectable Product"
},
{
"code" : "1193325",
"display" : "ruxolitinib phosphate"
},
{
"code" : "1193326",
"display" : "ruxolitinib"
},
{
"code" : "1193327",
"display" : "ruxolitinib 10 MG"
},
{
"code" : "1193328",
"display" : "ruxolitinib Oral Product"
},
{
"code" : "1193329",
"display" : "ruxolitinib Pill"
},
{
"code" : "1193330",
"display" : "ruxolitinib Oral Tablet"
},
{
"code" : "1193331",
"display" : "ruxolitinib 10 MG Oral Tablet"
},
{
"code" : "1193332",
"display" : "Jakafi"
},
{
"code" : "1193333",
"display" : "ruxolitinib 10 MG [Jakafi]"
},
{
"code" : "1193334",
"display" : "ruxolitinib Oral Tablet [Jakafi]"
},
{
"code" : "1193335",
"display" : "Jakafi Oral Product"
},
{
"code" : "1193336",
"display" : "Jakafi Pill"
},
{
"code" : "1193337",
"display" : "ruxolitinib 10 MG Oral Tablet [Jakafi]"
},
{
"code" : "1193338",
"display" : "ruxolitinib 5 MG"
},
{
"code" : "1193339",
"display" : "ruxolitinib 5 MG Oral Tablet"
},
{
"code" : "1193340",
"display" : "ruxolitinib 5 MG [Jakafi]"
},
{
"code" : "1193341",
"display" : "ruxolitinib 5 MG Oral Tablet [Jakafi]"
},
{
"code" : "1193342",
"display" : "ruxolitinib 15 MG"
},
{
"code" : "1193343",
"display" : "ruxolitinib 15 MG Oral Tablet"
},
{
"code" : "1193344",
"display" : "ruxolitinib 15 MG [Jakafi]"
},
{
"code" : "1193345",
"display" : "ruxolitinib 15 MG Oral Tablet [Jakafi]"
},
{
"code" : "1193346",
"display" : "ruxolitinib 20 MG"
},
{
"code" : "1193347",
"display" : "ruxolitinib 20 MG Oral Tablet"
},
{
"code" : "1193348",
"display" : "ruxolitinib 20 MG [Jakafi]"
},
{
"code" : "1193349",
"display" : "ruxolitinib 20 MG Oral Tablet [Jakafi]"
},
{
"code" : "1193350",
"display" : "ruxolitinib 25 MG"
},
{
"code" : "1193351",
"display" : "ruxolitinib 25 MG Oral Tablet"
},
{
"code" : "1193352",
"display" : "ruxolitinib 25 MG [Jakafi]"
},
{
"code" : "1193353",
"display" : "ruxolitinib 25 MG Oral Tablet [Jakafi]"
},
{
"code" : "1233905",
"display" : "cyclosporine, modified 100 MG/ML [Atopica]"
},
{
"code" : "1233906",
"display" : "cyclosporine Oral Solution [Atopica]"
},
{
"code" : "1233907",
"display" : "Atopica Oral Liquid Product"
},
{
"code" : "1233908",
"display" : "cyclosporine, modified 100 MG/ML Oral Solution [Atopica]"
},
{
"code" : "1431970",
"display" : "tacrolimus Extended Release Oral Capsule"
},
{
"code" : "1431971",
"display" : "24 HR tacrolimus 0.5 MG Extended Release Oral Capsule"
},
{
"code" : "1431972",
"display" : "Astagraf"
},
{
"code" : "1431973",
"display" : "tacrolimus 0.5 MG [Astagraf]"
},
{
"code" : "1431974",
"display" : "tacrolimus Extended Release Oral Capsule [Astagraf]"
},
{
"code" : "1431975",
"display" : "Astagraf Oral Product"
},
{
"code" : "1431976",
"display" : "Astagraf Pill"
},
{
"code" : "1431977",
"display" : "24 HR tacrolimus 0.5 MG Extended Release Oral Capsule [Astagraf]"
},
{
"code" : "1431980",
"display" : "24 HR tacrolimus 1 MG Extended Release Oral Capsule"
},
{
"code" : "1431981",
"display" : "tacrolimus 1 MG [Astagraf]"
},
{
"code" : "1431982",
"display" : "24 HR tacrolimus 1 MG Extended Release Oral Capsule [Astagraf]"
},
{
"code" : "1431985",
"display" : "24 HR tacrolimus 5 MG Extended Release Oral Capsule"
},
{
"code" : "1431986",
"display" : "tacrolimus 5 MG [Astagraf]"
},
{
"code" : "1431987",
"display" : "24 HR tacrolimus 5 MG Extended Release Oral Capsule [Astagraf]"
},
{
"code" : "1437967",
"display" : "cyclophosphamide Oral Capsule"
},
{
"code" : "1437968",
"display" : "cyclophosphamide 25 MG Oral Capsule"
},
{
"code" : "1437969",
"display" : "cyclophosphamide 50 MG Oral Capsule"
},
{
"code" : "1441402",
"display" : "0.4 ML methotrexate 25 MG/ML Auto-Injector"
},
{
"code" : "1441403",
"display" : "Otrexup"
},
{
"code" : "1441404",
"display" : "methotrexate 25 MG/ML [Otrexup]"
},
{
"code" : "1441406",
"display" : "Otrexup Injectable Product"
},
{
"code" : "1441407",
"display" : "0.4 ML methotrexate 25 MG/ML Auto-Injector [Otrexup]"
},
{
"code" : "1441410",
"display" : "methotrexate 37.5 MG/ML"
},
{
"code" : "1441411",
"display" : "0.4 ML methotrexate 37.5 MG/ML Auto-Injector"
},
{
"code" : "1441412",
"display" : "methotrexate 37.5 MG/ML [Otrexup]"
},
{
"code" : "1441413",
"display" : "0.4 ML methotrexate 37.5 MG/ML Auto-Injector [Otrexup]"
},
{
"code" : "1441416",
"display" : "0.4 ML methotrexate 50 MG/ML Auto-Injector"
},
{
"code" : "1441417",
"display" : "methotrexate 50 MG/ML [Otrexup]"
},
{
"code" : "1441418",
"display" : "0.4 ML methotrexate 50 MG/ML Auto-Injector [Otrexup]"
},
{
"code" : "1441421",
"display" : "methotrexate 62.5 MG/ML"
},
{
"code" : "1441422",
"display" : "0.4 ML methotrexate 62.5 MG/ML Auto-Injector"
},
{
"code" : "1441423",
"display" : "methotrexate 62.5 MG/ML [Otrexup]"
},
{
"code" : "1441424",
"display" : "0.4 ML methotrexate 62.5 MG/ML Auto-Injector [Otrexup]"
},
{
"code" : "1441525",
"display" : "tocilizumab 180 MG/ML"
},
{
"code" : "1441526",
"display" : "tocilizumab Prefilled Syringe"
},
{
"code" : "1441527",
"display" : "0.9 ML tocilizumab 180 MG/ML Prefilled Syringe"
},
{
"code" : "1441528",
"display" : "tocilizumab 180 MG/ML [Actemra]"
},
{
"code" : "1441529",
"display" : "tocilizumab Prefilled Syringe [Actemra]"
},
{
"code" : "1441530",
"display" : "0.9 ML tocilizumab 180 MG/ML Prefilled Syringe [Actemra]"
},
{
"code" : "152633",
"display" : "Cellcept"
},
{
"code" : "1544378",
"display" : "0.2 ML methotrexate 50 MG/ML Auto-Injector"
},
{
"code" : "1544379",
"display" : "Rasuvo"
},
{
"code" : "1544380",
"display" : "methotrexate 50 MG/ML [Rasuvo]"
},
{
"code" : "1544382",
"display" : "Rasuvo Injectable Product"
},
{
"code" : "1544383",
"display" : "0.2 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]"
},
{
"code" : "1544385",
"display" : "0.25 ML methotrexate 50 MG/ML Auto-Injector"
},
{
"code" : "1544386",
"display" : "0.25 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]"
},
{
"code" : "1544387",
"display" : "0.3 ML methotrexate 50 MG/ML Auto-Injector"
},
{
"code" : "1544388",
"display" : "0.3 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]"
},
{
"code" : "1544389",
"display" : "0.35 ML methotrexate 50 MG/ML Auto-Injector"
},
{
"code" : "1544390",
"display" : "0.35 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]"
},
{
"code" : "1544394",
"display" : "0.4 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]"
},
{
"code" : "1544395",
"display" : "0.45 ML methotrexate 50 MG/ML Auto-Injector"
},
{
"code" : "1544396",
"display" : "0.45 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]"
},
{
"code" : "1544397",
"display" : "0.5 ML methotrexate 50 MG/ML Auto-Injector"
},
{
"code" : "1544398",
"display" : "0.5 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]"
},
{
"code" : "1544401",
"display" : "0.6 ML methotrexate 50 MG/ML Auto-Injector"
},
{
"code" : "1544402",
"display" : "0.6 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]"
},
{
"code" : "1544403",
"display" : "0.15 ML methotrexate 50 MG/ML Auto-Injector"
},
{
"code" : "1544404",
"display" : "0.15 ML methotrexate 50 MG/ML Auto-Injector [Rasuvo]"
},
{
"code" : "1545988",
"display" : "cyclophosphamide anhydrous"
},
{
"code" : "1655203",
"display" : "methotrexate Auto-Injector"
},
{
"code" : "1655205",
"display" : "methotrexate Auto-Injector [Otrexup]"
},
{
"code" : "1655252",
"display" : "methotrexate Auto-Injector [Rasuvo]"
},
{
"code" : "1655955",
"display" : "methotrexate Injection"
},
{
"code" : "1655956",
"display" : "40 ML methotrexate 25 MG/ML Injection"
},
{
"code" : "1655959",
"display" : "10 ML methotrexate 25 MG/ML Injection"
},
{
"code" : "1655960",
"display" : "2 ML methotrexate 25 MG/ML Injection"
},
{
"code" : "1655967",
"display" : "4 ML methotrexate 25 MG/ML Injection"
},
{
"code" : "1655968",
"display" : "8 ML methotrexate 25 MG/ML Injection"
},
{
"code" : "1656681",
"display" : "methotrexate 1000 MG"
},
{
"code" : "1657973",
"display" : "tocilizumab Injection"
},
{
"code" : "1657974",
"display" : "4 ML tocilizumab 20 MG/ML Injection"
},
{
"code" : "1657975",
"display" : "tocilizumab Injection [Actemra]"
},
{
"code" : "1657976",
"display" : "4 ML tocilizumab 20 MG/ML Injection [Actemra]"
},
{
"code" : "1657979",
"display" : "10 ML tocilizumab 20 MG/ML Injection"
},
{
"code" : "1657980",
"display" : "10 ML tocilizumab 20 MG/ML Injection [Actemra]"
},
{
"code" : "1657981",
"display" : "20 ML tocilizumab 20 MG/ML Injection"
},
{
"code" : "1657982",
"display" : "20 ML tocilizumab 20 MG/ML Injection [Actemra]"
},
{
"code" : "1659771",
"display" : "abatacept 250 MG"
},
{
"code" : "1659772",
"display" : "abatacept Injection"
},
{
"code" : "1659774",
"display" : "abatacept 250 MG [Orencia]"
},
{
"code" : "1659775",
"display" : "abatacept Injection [Orencia]"
},
{
"code" : "1664432",
"display" : "tacrolimus 4 MG"
},
{
"code" : "1664433",
"display" : "tacrolimus Extended Release Oral Tablet"
},
{
"code" : "1664434",
"display" : "24 HR tacrolimus 4 MG Extended Release Oral Tablet"
},
{
"code" : "1664435",
"display" : "Envarsus"
},
{
"code" : "1664436",
"display" : "tacrolimus 4 MG [Envarsus]"
},
{
"code" : "1664437",
"display" : "tacrolimus Extended Release Oral Tablet [Envarsus]"
},
{
"code" : "1664438",
"display" : "Envarsus Oral Product"
},
{
"code" : "1664439",
"display" : "Envarsus Pill"
},
{
"code" : "1664440",
"display" : "24 HR tacrolimus 4 MG Extended Release Oral Tablet [Envarsus]"
},
{
"code" : "1664455",
"display" : "tacrolimus 0.75 MG"
},
{
"code" : "1664456",
"display" : "24 HR tacrolimus 0.75 MG Extended Release Oral Tablet"
},
{
"code" : "1664457",
"display" : "tacrolimus 0.75 MG [Envarsus]"
},
{
"code" : "1664458",
"display" : "24 HR tacrolimus 0.75 MG Extended Release Oral Tablet [Envarsus]"
},
{
"code" : "1664461",
"display" : "24 HR tacrolimus 1 MG Extended Release Oral Tablet"
},
{
"code" : "1664462",
"display" : "tacrolimus 1 MG [Envarsus]"
},
{
"code" : "1664463",
"display" : "24 HR tacrolimus 1 MG Extended Release Oral Tablet [Envarsus]"
},
{
"code" : "1724304",
"display" : "temsirolimus Injection"
},
{
"code" : "1724306",
"display" : "temsirolimus Injection [Torisel]"
},
{
"code" : "1726176",
"display" : "mycophenolate mofetil Injection"
},
{
"code" : "1726179",
"display" : "mycophenolate mofetil Injection [Cellcept]"
},
{
"code" : "1732364",
"display" : "cyclosporine Injection"
},
{
"code" : "1732366",
"display" : "cyclosporine Injection [Sandimmune]"
},
{
"code" : "1734915",
"display" : "cyclophosphamide 500 MG"
},
{
"code" : "1734916",
"display" : "cyclophosphamide Injection"
},
{
"code" : "1734917",
"display" : "cyclophosphamide 500 MG Injection"
},
{
"code" : "1734918",
"display" : "cyclophosphamide 1000 MG"
},
{
"code" : "1734919",
"display" : "cyclophosphamide 1000 MG Injection"
},
{
"code" : "1734920",
"display" : "cyclophosphamide 2000 MG"
},
{
"code" : "1734921",
"display" : "cyclophosphamide 2000 MG Injection"
},
{
"code" : "1738334",
"display" : "tacrolimus Injection"
},
{
"code" : "1738336",
"display" : "tacrolimus Injection [Prograf]"
},
{
"code" : "1747178",
"display" : "methotrexate 31.3 MG/ML"
},
{
"code" : "1747179",
"display" : "0.4 ML methotrexate 31.3 MG/ML Auto-Injector"
},
{
"code" : "1747180",
"display" : "methotrexate 31.3 MG/ML [Otrexup]"
},
{
"code" : "1747181",
"display" : "0.4 ML methotrexate 31.3 MG/ML Auto-Injector [Otrexup]"
},
{
"code" : "1747184",
"display" : "methotrexate 43.8 MG/ML"
},
{
"code" : "1747185",
"display" : "0.4 ML methotrexate 43.8 MG/ML Auto-Injector"
},
{
"code" : "1747186",
"display" : "methotrexate 43.8 MG/ML [Otrexup]"
},
{
"code" : "1747187",
"display" : "0.4 ML methotrexate 43.8 MG/ML Auto-Injector [Otrexup]"
},
{
"code" : "1747191",
"display" : "methotrexate 56.3 MG/ML"
},
{
"code" : "1747192",
"display" : "0.4 ML methotrexate 56.3 MG/ML Auto-Injector"
},
{
"code" : "1747193",
"display" : "methotrexate 56.3 MG/ML [Otrexup]"
},
{
"code" : "1747194",
"display" : "0.4 ML methotrexate 56.3 MG/ML Auto-Injector [Otrexup]"
},
{
"code" : "1799227",
"display" : "abatacept Auto-Injector"
},
{
"code" : "1799228",
"display" : "1 ML abatacept 125 MG/ML Auto-Injector"
},
{
"code" : "1799229",
"display" : "abatacept Auto-Injector [Orencia]"
},
{
"code" : "1799230",
"display" : "1 ML abatacept 125 MG/ML Auto-Injector [Orencia]"
},
{
"code" : "1804993",
"display" : "bortezomib 3.5 MG"
},
{
"code" : "1804994",
"display" : "bortezomib Injection"
},
{
"code" : "1804996",
"display" : "bortezomib 3.5 MG [Velcade]"
},
{
"code" : "1804997",
"display" : "bortezomib Injection [Velcade]"
},
{
"code" : "1857910",
"display" : "maraviroc 25 MG"
},
{
"code" : "1857911",
"display" : "maraviroc 25 MG Oral Tablet"
},
{
"code" : "1857912",
"display" : "maraviroc 25 MG [Selzentry]"
},
{
"code" : "1857913",
"display" : "maraviroc 25 MG Oral Tablet [Selzentry]"
},
{
"code" : "1857914",
"display" : "maraviroc 75 MG"
},
{
"code" : "1857915",
"display" : "maraviroc 75 MG Oral Tablet"
},
{
"code" : "1857916",
"display" : "maraviroc 75 MG [Selzentry]"
},
{
"code" : "1857917",
"display" : "maraviroc 75 MG Oral Tablet [Selzentry]"
},
{
"code" : "1857918",
"display" : "maraviroc 20 MG/ML"
},
{
"code" : "1857919",
"display" : "maraviroc Oral Liquid Product"
},
{
"code" : "1857920",
"display" : "maraviroc Oral Solution"
},
{
"code" : "1857921",
"display" : "maraviroc 20 MG/ML Oral Solution"
},
{
"code" : "1857922",
"display" : "maraviroc 20 MG/ML [Selzentry]"
},
{
"code" : "1857923",
"display" : "maraviroc Oral Solution [Selzentry]"
},
{
"code" : "1857924",
"display" : "Selzentry Oral Liquid Product"
},
{
"code" : "1857925",
"display" : "maraviroc 20 MG/ML Oral Solution [Selzentry]"
},
{
"code" : "190353",
"display" : "daclizumab"
},
{
"code" : "1921590",
"display" : "methotrexate Oral Liquid Product"
},
{
"code" : "1921591",
"display" : "methotrexate Oral Solution"
},
{
"code" : "1921592",
"display" : "methotrexate 2.5 MG/ML Oral Solution"
},
{
"code" : "1921593",
"display" : "Xatmep"
},
{
"code" : "1921594",
"display" : "methotrexate 2.5 MG/ML [Xatmep]"
},
{
"code" : "1921595",
"display" : "methotrexate Oral Solution [Xatmep]"
},
{
"code" : "1921596",
"display" : "Xatmep Oral Liquid Product"
},
{
"code" : "1921597",
"display" : "Xatmep Oral Product"
},
{
"code" : "1921598",
"display" : "methotrexate 2.5 MG/ML Oral Solution [Xatmep]"
},
{
"code" : "1925254",
"display" : "0.4 ML abatacept 125 MG/ML Prefilled Syringe"
},
{
"code" : "1925255",
"display" : "0.4 ML abatacept 125 MG/ML Prefilled Syringe [Orencia]"
},
{
"code" : "1925256",
"display" : "0.7 ML abatacept 125 MG/ML Prefilled Syringe"
},
{
"code" : "1925257",
"display" : "0.7 ML abatacept 125 MG/ML Prefilled Syringe [Orencia]"
},
{
"code" : "1946772",
"display" : "methotrexate 25 MG/ML Injectable Solution"
},
{
"code" : "196463",
"display" : "Prograf"
},
{
"code" : "197549",
"display" : "cyclophosphamide 25 MG Oral Tablet"
},
{
"code" : "197550",
"display" : "cyclophosphamide 50 MG Oral Tablet"
},
{
"code" : "197552",
"display" : "cyclosporine 100 MG Oral Capsule [Sandimmune]"
},
{
"code" : "197553",
"display" : "cyclosporine 25 MG Oral Capsule"
},
{
"code" : "198377",
"display" : "tacrolimus 1 MG Oral Capsule"
},
{
"code" : "198378",
"display" : "tacrolimus 5 MG Oral Capsule"
},
{
"code" : "198379",
"display" : "1 ML tacrolimus 5 MG/ML Injection"
},
{
"code" : "199058",
"display" : "mycophenolate mofetil 250 MG Oral Capsule"
},
{
"code" : "200060",
"display" : "mycophenolate mofetil 500 MG Oral Tablet"
},
{
"code" : "202816",
"display" : "Sandimmune"
},
{
"code" : "202817",
"display" : "Neoral"
},
{
"code" : "205168",
"display" : "cyclosporine 50 MG Oral Capsule"
},
{
"code" : "205175",
"display" : "5 ML cyclosporine 50 MG/ML Injection"
},
{
"code" : "2052503",
"display" : "tacrolimus 0.2 MG"
},
{
"code" : "2052603",
"display" : "tacrolimus Granule Product"
},
{
"code" : "2052604",
"display" : "tacrolimus Granules for Oral Suspension"
},
{
"code" : "2052605",
"display" : "tacrolimus 0.2 MG Granules for Oral Suspension"
},
{
"code" : "2052606",
"display" : "tacrolimus 0.2 MG [Prograf]"
},
{
"code" : "2052607",
"display" : "tacrolimus Granules for Oral Suspension [Prograf]"
},
{
"code" : "2052608",
"display" : "Prograf Granule Product"
},
{
"code" : "2052609",
"display" : "tacrolimus 0.2 MG Granules for Oral Suspension [Prograf]"
},
{
"code" : "2052703",
"display" : "tacrolimus 1 MG Granules for Oral Suspension"
},
{
"code" : "2052704",
"display" : "tacrolimus 1 MG Granules for Oral Suspension [Prograf]"
},
{
"code" : "2055019",
"display" : "cyclosporine 0.9 MG/ML"
},
{
"code" : "2055020",
"display" : "cyclosporine Ophthalmic Solution"
},
{
"code" : "2055021",
"display" : "cyclosporine 0.9 MG/ML Ophthalmic Solution"
},
{
"code" : "2055022",
"display" : "Cequa"
},
{
"code" : "2055023",
"display" : "cyclosporine 0.9 MG/ML [Cequa]"
},
{
"code" : "2055024",
"display" : "cyclosporine Ophthalmic Solution [Cequa]"
},
{
"code" : "2055025",
"display" : "Cequa Ophthalmic Product"
},
{
"code" : "2055026",
"display" : "cyclosporine 0.9 MG/ML Ophthalmic Solution [Cequa]"
},
{
"code" : "2106072",
"display" : "tocilizumab Auto-Injector"
},
{
"code" : "2106073",
"display" : "0.9 ML tocilizumab 180 MG/ML Auto-Injector"
},
{
"code" : "2106074",
"display" : "tocilizumab Auto-Injector [Actemra]"
},
{
"code" : "2106075",
"display" : "0.9 ML tocilizumab 180 MG/ML Auto-Injector [Actemra]"
},
{
"code" : "212810",
"display" : "cyclosporine 25 MG Oral Capsule [Sandimmune]"
},
{
"code" : "212844",
"display" : "5 ML cyclosporine 50 MG/ML Injection [Sandimmune]"
},
{
"code" : "212957",
"display" : "cyclosporine 100 MG/ML Oral Solution [Sandimmune]"
},
{
"code" : "213394",
"display" : "mycophenolate mofetil 500 MG Injection [Cellcept]"
},
{
"code" : "221085",
"display" : "cyclophosphamide lyophilized"
},
{
"code" : "235991",
"display" : "anhydrous tacrolimus"
},
{
"code" : "236077",
"display" : "cyclosporine, modified"
},
{
"code" : "237112",
"display" : "mycophenolate mofetil hydrochloride"
},
{
"code" : "2377332",
"display" : "methotrexate Prefilled Syringe"
},
{
"code" : "2377333",
"display" : "0.4 ML methotrexate 25 MG/ML Prefilled Syringe"
},
{
"code" : "2377334",
"display" : "Reditrex"
},
{
"code" : "2377335",
"display" : "methotrexate 25 MG/ML [Reditrex]"
},
{
"code" : "2377336",
"display" : "methotrexate Prefilled Syringe [Reditrex]"
},
{
"code" : "2377337",
"display" : "Reditrex Injectable Product"
},
{
"code" : "2377338",
"display" : "0.4 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]"
},
{
"code" : "2377341",
"display" : "0.5 ML methotrexate 25 MG/ML Prefilled Syringe"
},
{
"code" : "2377342",
"display" : "0.5 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]"
},
{
"code" : "2377343",
"display" : "0.6 ML methotrexate 25 MG/ML Prefilled Syringe"
},
{
"code" : "2377344",
"display" : "0.6 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]"
},
{
"code" : "2377345",
"display" : "0.7 ML methotrexate 25 MG/ML Prefilled Syringe"
},
{
"code" : "2377346",
"display" : "0.7 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]"
},
{
"code" : "2377347",
"display" : "0.8 ML methotrexate 25 MG/ML Prefilled Syringe"
},
{
"code" : "2377348",
"display" : "0.8 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]"
},
{
"code" : "2377349",
"display" : "0.9 ML methotrexate 25 MG/ML Prefilled Syringe"
},
{
"code" : "2377350",
"display" : "0.9 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]"
},
{
"code" : "2377351",
"display" : "1 ML methotrexate 25 MG/ML Prefilled Syringe"
},
{
"code" : "2377352",
"display" : "1 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]"
},
{
"code" : "2377353",
"display" : "0.3 ML methotrexate 25 MG/ML Prefilled Syringe"
},
{
"code" : "2377354",
"display" : "0.3 ML methotrexate 25 MG/ML Prefilled Syringe [Reditrex]"
},
{
"code" : "2386858",
"display" : "cyclophosphamide 200 MG/ML"
},
{
"code" : "2386859",
"display" : "cyclophosphamide 200 MG/ML Injectable Solution"
},
{
"code" : "241834",
"display" : "cyclosporine, modified 100 MG Oral Capsule"
},
{
"code" : "2470532",
"display" : "Cyclavance"
},
{
"code" : "2470533",
"display" : "cyclosporine, modified 100 MG/ML [Cyclavance]"
},
{
"code" : "2470534",
"display" : "cyclosporine Oral Solution [Cyclavance]"
},
{
"code" : "2470535",
"display" : "Cyclavance Oral Liquid Product"
},
{
"code" : "2470536",
"display" : "Cyclavance Oral Product"
},
{
"code" : "2470537",
"display" : "cyclosporine, modified 100 MG/ML Oral Solution [Cyclavance]"
},
{
"code" : "2568661",
"display" : "5 ML cyclophosphamide 200 MG/ML Injection"
},
{
"code" : "2568663",
"display" : "2.5 ML cyclophosphamide 200 MG/ML Injection"
},
{
"code" : "2570749",
"display" : "ruxolitinib 15 MG/ML"
},
{
"code" : "2570750",
"display" : "ruxolitinib Topical Product"
},
{
"code" : "2570751",
"display" : "ruxolitinib Topical Cream"
},
{
"code" : "2570752",
"display" : "ruxolitinib 15 MG/ML Topical Cream"
},
{
"code" : "2570753",
"display" : "Opzelura"
},
{
"code" : "2570754",
"display" : "ruxolitinib 15 MG/ML [Opzelura]"
},
{
"code" : "2570755",
"display" : "Opzelura Topical Product"
},
{
"code" : "2570756",
"display" : "ruxolitinib Topical Cream [Opzelura]"
},
{
"code" : "2570757",
"display" : "ruxolitinib 15 MG/ML Topical Cream [Opzelura]"
},
{
"code" : "2572292",
"display" : "0.4 ML cyclosporine 0.5 MG/ML Ophthalmic Suspension"
},
{
"code" : "2572293",
"display" : "0.4 ML cyclosporine 0.5 MG/ML Ophthalmic Suspension [Restasis]"
},
{
"code" : "258355",
"display" : "Rapamune"
},
{
"code" : "2586860",
"display" : "sirolimus 100 MG"
},
{
"code" : "2586861",
"display" : "sirolimus Injectable Product"
},
{
"code" : "2586862",
"display" : "sirolimus Injection"
},
{
"code" : "2586863",
"display" : "sirolimus 100 MG Injection"
},
{
"code" : "2586864",
"display" : "Fyarro"
},
{
"code" : "2586865",
"display" : "sirolimus 100 MG [Fyarro]"
},
{
"code" : "2586866",
"display" : "Fyarro Injectable Product"
},
{
"code" : "2586867",
"display" : "sirolimus Injection [Fyarro]"
},
{
"code" : "2586868",
"display" : "sirolimus 100 MG Injection [Fyarro]"
},
{
"code" : "2590607",
"display" : "cyclosporine 1 MG/ML"
},
{
"code" : "2590608",
"display" : "cyclosporine 1 MG/ML Ophthalmic Suspension"
},
{
"code" : "2590609",
"display" : "Verkazia"
},
{
"code" : "2590610",
"display" : "cyclosporine 1 MG/ML [Verkazia]"
},
{
"code" : "2590611",
"display" : "Verkazia Ophthalmic Product"
},
{
"code" : "2590612",
"display" : "cyclosporine Ophthalmic Suspension [Verkazia]"
},
{
"code" : "2590613",
"display" : "cyclosporine 1 MG/ML Ophthalmic Suspension [Verkazia]"
},
{
"code" : "2596861",
"display" : "sirolimus 0.002 MG/MG"
},
{
"code" : "2596862",
"display" : "sirolimus Topical Product"
},
{
"code" : "2596863",
"display" : "sirolimus Topical Gel"
},
{
"code" : "2596864",
"display" : "sirolimus 0.002 MG/MG Topical Gel"
},
{
"code" : "2596865",
"display" : "Hyftor"
},
{
"code" : "2596866",
"display" : "sirolimus 0.002 MG/MG [Hyftor]"
},
{
"code" : "2596867",
"display" : "Hyftor Topical Product"
},
{
"code" : "2596868",
"display" : "sirolimus Topical Gel [Hyftor]"
},
{
"code" : "2596869",
"display" : "sirolimus 0.002 MG/MG Topical Gel [Hyftor]"
},
{
"code" : "2601541",
"display" : "bortezomib 1 MG"
},
{
"code" : "2601542",
"display" : "bortezomib 1 MG Injection"
},
{
"code" : "2601543",
"display" : "bortezomib 2.5 MG"
},
{
"code" : "2601544",
"display" : "bortezomib 2.5 MG Injection"
},
{
"code" : "261134",
"display" : "tacrolimus 0.5 MG Oral Capsule [Prograf]"
},
{
"code" : "261530",
"display" : "Gengraf"
},
{
"code" : "283510",
"display" : "methotrexate 15 MG Oral Tablet"
},
{
"code" : "283511",
"display" : "methotrexate 5 MG Oral Tablet"
},
{
"code" : "283671",
"display" : "methotrexate 7.5 MG Oral Tablet"
},
{
"code" : "284520",
"display" : "tacrolimus 0.001 MG/MG Topical Ointment [Protopic]"
},
{
"code" : "284521",
"display" : "tacrolimus 0.0003 MG/MG Topical Ointment [Protopic]"
},
{
"code" : "284592",
"display" : "methotrexate 5 MG Oral Tablet [Trexall]"
},
{
"code" : "284593",
"display" : "methotrexate 10 MG Oral Tablet [Trexall]"
},
{
"code" : "284594",
"display" : "methotrexate 7.5 MG Oral Tablet [Trexall]"
},
{
"code" : "284595",
"display" : "methotrexate 15 MG Oral Tablet [Trexall]"
},
{
"code" : "284848",
"display" : "Protopic"
},
{
"code" : "284900",
"display" : "Trexall"
},
{
"code" : "287734",
"display" : "methotrexate sodium"
},
{
"code" : "3002",
"display" : "cyclophosphamide"
},
{
"code" : "3008",
"display" : "cyclosporine"
},
{
"code" : "309632",
"display" : "cyclosporine 100 MG/ML Oral Solution"
},
{
"code" : "311625",
"display" : "methotrexate 1000 MG Injection"
},
{
"code" : "311880",
"display" : "mycophenolate mofetil 200 MG/ML Oral Suspension"
},
{
"code" : "311881",
"display" : "mycophenolate mofetil 500 MG Injection"
},
{
"code" : "313189",
"display" : "tacrolimus 0.0003 MG/MG Topical Ointment"
},
{
"code" : "313190",
"display" : "tacrolimus 0.5 MG Oral Capsule"
},
{
"code" : "314230",
"display" : "sirolimus 1 MG/ML Oral Solution"
},
{
"code" : "314266",
"display" : "tacrolimus 0.001 MG/MG Topical Ointment"
},
{
"code" : "315148",
"display" : "methotrexate 2.5 MG/ML Injectable Solution"
},
{
"code" : "315746",
"display" : "cyclophosphamide 25 MG"
},
{
"code" : "315747",
"display" : "cyclophosphamide 50 MG"
},
{
"code" : "315749",
"display" : "cyclosporine 100 MG"
},
{
"code" : "315750",
"display" : "cyclosporine 100 MG/ML"
},
{
"code" : "315751",
"display" : "cyclosporine 25 MG"
},
{
"code" : "315752",
"display" : "cyclosporine 50 MG"
},
{
"code" : "315753",
"display" : "cyclosporine 50 MG/ML"
},
{
"code" : "316316",
"display" : "mycophenolate mofetil 250 MG"
},
{
"code" : "316317",
"display" : "mycophenolate mofetil 500 MG"
},
{
"code" : "316758",
"display" : "tacrolimus 1 MG"
},
{
"code" : "316759",
"display" : "tacrolimus 5 MG"
},
{
"code" : "317510",
"display" : "tacrolimus 5 MG/ML"
},
{
"code" : "328160",
"display" : "cyclosporine 100 MG Oral Capsule"
},
{
"code" : "328404",
"display" : "methotrexate 50 MG/ML"
},
{
"code" : "328406",
"display" : "methotrexate 25 MG/ML"
},
{
"code" : "328407",
"display" : "methotrexate 2.5 MG"
},
{
"code" : "330028",
"display" : "methotrexate 2.5 MG/ML"
},
{
"code" : "330404",
"display" : "tacrolimus 0.5 MG"
},
{
"code" : "331549",
"display" : "tacrolimus 0.001 MG/MG"
},
{
"code" : "331550",
"display" : "tacrolimus 0.0003 MG/MG"
},
{
"code" : "331568",
"display" : "methotrexate 10 MG"
},
{
"code" : "331569",
"display" : "methotrexate 15 MG"
},
{
"code" : "331587",
"display" : "mycophenolate mofetil 200 MG/ML"
},
{
"code" : "332454",
"display" : "methotrexate 5 MG"
},
{
"code" : "332455",
"display" : "methotrexate 7.5 MG"
},
{
"code" : "333296",
"display" : "sirolimus 1 MG/ML"
},
{
"code" : "334294",
"display" : "cyclosporine, modified 100 MG"
},
{
"code" : "349208",
"display" : "sirolimus 1 MG Oral Tablet"
},
{
"code" : "350512",
"display" : "sirolimus 1 MG"
},
{
"code" : "351291",
"display" : "cyclosporine 0.5 MG/ML Ophthalmic Suspension"
},
{
"code" : "351901",
"display" : "sirolimus 1 MG/ML Oral Solution [Rapamune]"
},
{
"code" : "351989",
"display" : "sirolimus 1 MG Oral Tablet [Rapamune]"
},
{
"code" : "352951",
"display" : "Restasis"
},
{
"code" : "35302",
"display" : "sirolimus"
},
{
"code" : "353400",
"display" : "cyclosporine 0.5 MG/ML"
},
{
"code" : "356733",
"display" : "Velcade"
},
{
"code" : "358258",
"display" : "bortezomib"
},
{
"code" : "360110",
"display" : "sirolimus 2 MG Oral Tablet"
},
{
"code" : "360318",
"display" : "sirolimus 2 MG"
},
{
"code" : "360547",
"display" : "methotrexate 100 MG/ML"
},
{
"code" : "363914",
"display" : "cyclosporine Oral Solution [Gengraf]"
},
{
"code" : "363942",
"display" : "cyclosporine Oral Solution [Neoral]"
},
{
"code" : "364904",
"display" : "sirolimus Oral Solution [Rapamune]"
},
{
"code" : "366173",
"display" : "cyclosporine Oral Capsule [Gengraf]"
},
{
"code" : "366273",
"display" : "tacrolimus Oral Capsule [Prograf]"
},
{
"code" : "366479",
"display" : "cyclosporine Oral Capsule [Neoral]"
},
{
"code" : "366488",
"display" : "cyclosporine Oral Capsule [Sandimmune]"
},
{
"code" : "367339",
"display" : "tacrolimus Topical Ointment [Protopic]"
},
{
"code" : "368138",
"display" : "methotrexate Oral Tablet [Trexall]"
},
{
"code" : "368672",
"display" : "sirolimus Oral Tablet [Rapamune]"
},
{
"code" : "371664",
"display" : "cyclophosphamide Oral Tablet"
},
{
"code" : "371666",
"display" : "cyclosporine Oral Capsule"
},
{
"code" : "371667",
"display" : "cyclosporine Oral Solution"
},
{
"code" : "372835",
"display" : "methotrexate Injectable Solution"
},
{
"code" : "372836",
"display" : "methotrexate Oral Tablet"
},
{
"code" : "374015",
"display" : "tacrolimus Oral Capsule"
},
{
"code" : "374667",
"display" : "mycophenolate mofetil Oral Tablet"
},
{
"code" : "374670",
"display" : "mycophenolate mofetil Oral Suspension"
},
{
"code" : "375278",
"display" : "sirolimus Oral Solution"
},
{
"code" : "376666",
"display" : "cyclophosphamide Injectable Solution"
},
{
"code" : "378277",
"display" : "sirolimus Oral Tablet"
},
{
"code" : "378766",
"display" : "cyclosporine Ophthalmic Suspension"
},
{
"code" : "379060",
"display" : "mycophenolate mofetil Oral Capsule"
},
{
"code" : "379082",
"display" : "tacrolimus Topical Ointment"
},
{
"code" : "402092",
"display" : "cyclosporine 0.5 MG/ML Ophthalmic Suspension [Restasis]"
},
{
"code" : "402243",
"display" : "bortezomib 3.5 MG Injection"
},
{
"code" : "402244",
"display" : "bortezomib 3.5 MG Injection [Velcade]"
},
{
"code" : "402330",
"display" : "cyclosporine Ophthalmic Suspension [Restasis]"
},
{
"code" : "404432",
"display" : "sirolimus 2 MG Oral Tablet [Rapamune]"
},
{
"code" : "42316",
"display" : "tacrolimus"
},
{
"code" : "484288",
"display" : "tacrolimus monohydrate"
},
{
"code" : "484788",
"display" : "cyclosporine microemulsion"
},
{
"code" : "486331",
"display" : "cyclosporine 100 MG/ML [Sandimmune]"
},
{
"code" : "539497",
"display" : "Atopica"
},
{
"code" : "539499",
"display" : "cyclosporine Oral Capsule [Atopica]"
},
{
"code" : "564557",
"display" : "tacrolimus 1 MG [Prograf]"
},
{
"code" : "564558",
"display" : "tacrolimus 5 MG [Prograf]"
},
{
"code" : "564559",
"display" : "tacrolimus 5 MG/ML [Prograf]"
},
{
"code" : "565430",
"display" : "cyclosporine 100 MG [Sandimmune]"
},
{
"code" : "572889",
"display" : "cyclosporine 25 MG [Sandimmune]"
},
{
"code" : "572915",
"display" : "cyclosporine 50 MG/ML [Sandimmune]"
},
{
"code" : "574378",
"display" : "tacrolimus 0.5 MG [Prograf]"
},
{
"code" : "574948",
"display" : "tacrolimus 0.001 MG/MG [Protopic]"
},
{
"code" : "574949",
"display" : "tacrolimus 0.0003 MG/MG [Protopic]"
},
{
"code" : "575019",
"display" : "methotrexate 5 MG [Trexall]"
},
{
"code" : "575020",
"display" : "methotrexate 10 MG [Trexall]"
},
{
"code" : "575021",
"display" : "methotrexate 7.5 MG [Trexall]"
},
{
"code" : "575022",
"display" : "methotrexate 15 MG [Trexall]"
},
{
"code" : "575659",
"display" : "sirolimus 1 MG/ML [Rapamune]"
},
{
"code" : "575733",
"display" : "sirolimus 1 MG [Rapamune]"
},
{
"code" : "576100",
"display" : "cyclosporine 0.5 MG/ML [Restasis]"
},
{
"code" : "576390",
"display" : "sirolimus 2 MG [Rapamune]"
},
{
"code" : "612865",
"display" : "tocilizumab"
},
{
"code" : "614391",
"display" : "abatacept"
},
{
"code" : "616011",
"display" : "Orencia"
},
{
"code" : "616015",
"display" : "abatacept 250 MG Injection"
},
{
"code" : "616018",
"display" : "abatacept 250 MG Injection [Orencia]"
},
{
"code" : "616433",
"display" : "mycophenolate mofetil 500 MG [Cellcept]"
},
{
"code" : "616434",
"display" : "mycophenolate mofetil Oral Tablet [Cellcept]"
},
{
"code" : "616435",
"display" : "mycophenolate mofetil 500 MG Oral Tablet [Cellcept]"
},
{
"code" : "616442",
"display" : "mycophenolate mofetil 200 MG/ML [Cellcept]"
},
{
"code" : "616443",
"display" : "mycophenolate mofetil Oral Suspension [Cellcept]"
},
{
"code" : "616444",
"display" : "mycophenolate mofetil 200 MG/ML Oral Suspension [Cellcept]"
},
{
"code" : "616445",
"display" : "mycophenolate mofetil 250 MG [Cellcept]"
},
{
"code" : "616446",
"display" : "mycophenolate mofetil Oral Capsule [Cellcept]"
},
{
"code" : "616447",
"display" : "mycophenolate mofetil 250 MG Oral Capsule [Cellcept]"
},
{
"code" : "620216",
"display" : "maraviroc"
},
{
"code" : "657797",
"display" : "temsirolimus"
},
{
"code" : "68149",
"display" : "mycophenolate mofetil"
},
{
"code" : "6851",
"display" : "methotrexate"
},
{
"code" : "690313",
"display" : "cyclophosphamide / mannitol"
},
{
"code" : "722287",
"display" : "temsirolimus 25 MG/ML"
},
{
"code" : "722289",
"display" : "1.2 ML temsirolimus 25 MG/ML Injection"
},
{
"code" : "725106",
"display" : "temsirolimus 25 MG/ML [Torisel]"
},
{
"code" : "725108",
"display" : "1.2 ML temsirolimus 25 MG/ML Injection [Torisel]"
},
{
"code" : "728221",
"display" : "maraviroc 150 MG"
},
{
"code" : "728222",
"display" : "maraviroc Oral Tablet"
},
{
"code" : "728223",
"display" : "maraviroc 150 MG Oral Tablet"
},
{
"code" : "728224",
"display" : "maraviroc 300 MG"
},
{
"code" : "728225",
"display" : "maraviroc 300 MG Oral Tablet"
},
{
"code" : "728648",
"display" : "Selzentry"
},
{
"code" : "729199",
"display" : "maraviroc 150 MG [Selzentry]"
},
{
"code" : "729200",
"display" : "maraviroc Oral Tablet [Selzentry]"
},
{
"code" : "729201",
"display" : "maraviroc 150 MG Oral Tablet [Selzentry]"
},
{
"code" : "729202",
"display" : "maraviroc 300 MG [Selzentry]"
},
{
"code" : "729203",
"display" : "maraviroc 300 MG Oral Tablet [Selzentry]"
},
{
"code" : "835787",
"display" : "cyclosporine, modified 100 MG [Gengraf]"
},
{
"code" : "835835",
"display" : "cyclosporine, modified 100 MG Oral Capsule [Gengraf]"
},
{
"code" : "835885",
"display" : "cyclosporine, modified 100 MG/ML"
},
{
"code" : "835886",
"display" : "cyclosporine, modified 100 MG/ML Oral Solution"
},
{
"code" : "835887",
"display" : "cyclosporine, modified 100 MG/ML [Gengraf]"
},
{
"code" : "835892",
"display" : "cyclosporine, modified 100 MG/ML Oral Solution [Gengraf]"
},
{
"code" : "835893",
"display" : "cyclosporine, modified 25 MG"
},
{
"code" : "835894",
"display" : "cyclosporine, modified 25 MG Oral Capsule"
},
{
"code" : "835895",
"display" : "cyclosporine, modified 25 MG [Gengraf]"
},
{
"code" : "835896",
"display" : "cyclosporine, modified 25 MG Oral Capsule [Gengraf]"
},
{
"code" : "835897",
"display" : "cyclosporine, modified 100 MG/ML [Neoral]"
},
{
"code" : "835899",
"display" : "cyclosporine, modified 100 MG/ML Oral Solution [Neoral]"
},
{
"code" : "835900",
"display" : "cyclosporine, modified 100 MG [Neoral]"
},
{
"code" : "835901",
"display" : "cyclosporine, modified 25 MG [Neoral]"
},
{
"code" : "835909",
"display" : "cyclosporine, modified 25 MG Oral Capsule [Neoral]"
},
{
"code" : "835911",
"display" : "cyclosporine, modified 100 MG Oral Capsule [Neoral]"
},
{
"code" : "835916",
"display" : "cyclosporine, modified 100 MG [Atopica]"
},
{
"code" : "835917",
"display" : "cyclosporine, modified 100 MG Oral Capsule [Atopica]"
},
{
"code" : "835918",
"display" : "cyclosporine, modified 10 MG"
},
{
"code" : "835919",
"display" : "cyclosporine, modified 10 MG Oral Capsule"
},
{
"code" : "835920",
"display" : "cyclosporine, modified 10 MG [Atopica]"
},
{
"code" : "835921",
"display" : "cyclosporine, modified 10 MG Oral Capsule [Atopica]"
},
{
"code" : "835922",
"display" : "cyclosporine, modified 25 MG [Atopica]"
},
{
"code" : "835923",
"display" : "cyclosporine, modified 25 MG Oral Capsule [Atopica]"
},
{
"code" : "835924",
"display" : "cyclosporine, modified 50 MG"
},
{
"code" : "835925",
"display" : "cyclosporine, modified 50 MG Oral Capsule"
},
{
"code" : "835926",
"display" : "cyclosporine, modified 50 MG [Atopica]"
},
{
"code" : "835927",
"display" : "cyclosporine, modified 50 MG Oral Capsule [Atopica]"
},
{
"code" : "895758",
"display" : "tocilizumab 20 MG/ML"
},
{
"code" : "895761",
"display" : "Actemra"
},
{
"code" : "895762",
"display" : "tocilizumab 20 MG/ML [Actemra]"
},
{
"code" : "905157",
"display" : "sirolimus 0.5 MG"
},
{
"code" : "905158",
"display" : "sirolimus 0.5 MG Oral Tablet"
},
{
"code" : "905159",
"display" : "sirolimus 0.5 MG [Rapamune]"
},
{
"code" : "905160",
"display" : "sirolimus 0.5 MG Oral Tablet [Rapamune]"
},
{
"code" : "94035",
"display" : "cyclosporine Oral Solution [Sandimmune]"
}
]
}
]
}
}
IG © 2020+ The Medical College of Wisconsin, Inc. and the National Marrow Donor Program
Package nmdp.fhir.cibmtr-reporting#0.1.6 based on FHIR 4.0.1. Generated 2023-05-05
Links: Table of Contents |
QA Report
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