Generic Name(s) | Strength | Dosage Form | ICD Code |
Darbepoetin Alfa | 25, 40, 60, 100, 200, 300, and 500 mcg Aranesp/1 mL | Injection | |
Eltrombopag | 12.5mg, 25mg, 50mg, 75mg, | Tablets | |
Eltrombopag Tablets | 12.5mg, 25mg, 50mg, 75mg | Tablets | |
Erythropoietin | 2000 Units/mL, 3000 Units/mL, 4000 Units/mL, 10,000 Units/mL | Injection | |
Lenograstim | D70 | ||
Lenograstrim | 300mcg | Injection | D70 |
Lusutrombopag | 3 mg | Tablet | |
Peginesatide | 2mg/0.5 mL, 3mg/0.5 mL, 4mg/0.5 mL, 5mg/0.5 mL, and 6mg/0.5 mL | Injection |