Injection Solution APP 100 mg/ml MULTI-DOSE IN 1VIAL, MULTI-DOSE / 20 ml IN 1 VIAL, MULTI-DOSE

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1 Please use the product information below as a reference when considering your answers to the following items regarding your institution s pharmacy stock of cytarabine. Product NDC Dosage Form Labeler Name Strength Package Description Injection, Powder Bedford Laboratories 100 mg/5 ml 10 VIAL in 1 BOX / 5 ml in 1 VIAL Injection, Powder Bedford Laboratories 500 mg/10 ml 10 VIAL in 1 BOX / 10 ml in 1 VIAL Injection, Powder Bedford Laboratories 1 g/10 ml 1 VIAL in 1 BOX / 10 ml in 1 VIAL Injection, Powder Bedford Laboratories 2 g/20 ml 1 VIAL in 1 BOX / 20 ml in 1 VIAL Injection, Powder Bedford Laboratories 100 mg/5 ml 10 VIAL in 1 BOX / 5 ml in 1 VIAL Injection, Powder Bedford Laboratories 500 mg/10 ml 10 VIAL in 1 BOX / 10 ml in 1 VIAL Injection, Powder Bedford Laboratories 1 g/10 ml 1 VIAL in 1 BOX / 10 ml in 1 VIAL Injection, Powder Bedford Laboratories 2 g/20 ml 1 VIAL in 1 BOX / 20 ml in 1 VIAL Injection Solution Hospira, Inc. 20 mg/ml PHARMACY BULK PACKAGE / 50 ml in 1 VIAL Solution Hospira, Inc. 20 mg/ml MULTI-DOSE in 1 VIAL, MULTI-DOSE / 25 ml in 1 VIAL, MULTI-DOSE Injection Solution Hospira, Inc. 20 mg/ml SINGLE-DOSE in 1 CARTON / 5 ml in 1 VIAL, SINGLE-DOSE Injection Solution Hospira, Inc. 100 mg/ml SINGLE-DOSE in 1 CARTON / 20 ml in 1 VIAL, SINGLE-DOSE Injection Solution APP 100 mg/ml MULTI-DOSE IN 1VIAL, MULTI-DOSE / 20 ml IN 1 VIAL, MULTI-DOSE Please note that this package contains 10 vials.

2 Study Title: The Impact of Drug Shortage on Racial and Ethnic Disparities in the Receipt of Chemotherapy Care Site ID: XX Cytarabine Pharmacy Stock Data Collection Form Please complete the tables below regarding the number of FULL, SEALED vials of cytarabine within your institution's pharmacy. You will be asked to collect data for two 6-month timeframes from January 1 - July 1, 2008 and January 1 - July 1, January, 2008 January 1, 2008 From January 1-31, 2008 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

3 February, 2008 February 1, 2008 From February 1-29, 2008 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

4 March, 2008 March 1, 2008 From March 1-31, 2008 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

5 April, 2008 April 1, 2008 From April 1-30, 2008 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

6 May, 2008 May 1, 2008 From May 1-31, 2008 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

7 June, 2008 June 1, 2008 From June 1-30, 2008 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

8 July, 2008 July 1, 2008 In stock If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

9 January, 2011 January 1, 2011 From January 1-31, 2011 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

10 February, 2011 February 1, 2011 From February 1-28, 2011 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

11 March, 2011 March 1, 2011 From March 1-31, 2011 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

12 April, 2011 April 1, 2011 From April 1-30, 2011 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

13 May, 2011 May 1, 2011 From May 1-31, 2011 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

14 June, 2011 June 1, 2011 From June 1-30, 2011 If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

15 July, 2011 July 1, 2011 In stock If "", please provide Product NDC, Labeler, Dosage Form, Strength, and Package Description

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