Drug Estimates and Characteristics
Drug Estimates and Characteristics
Drug Estimates and Characteristics
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<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BICILLIN L-A 00009 PENICILLIN G BENZATHINE 70046 1 6 1 0346<br />
IPOL 00012 POLIO VACCINE 54575 1 6 1 1180<br />
MYCOPHENOLATE MOFETIL 00013 MYCOPHENOLATE MOFETIL 59635 1 6 1 1181<br />
PSOR-A-SET 00014 SALICYLIC ACID 55160 2 6 1 1266<br />
A.A.S. 00015 ASPIRIN 50410 1 6 1 1722, 1724, 1728<br />
SANGCYA 00016 CYCLOSPORINE 51493 1 6 1 1181<br />
CYSTAGON 00018 CYSTEAMINE BITARTRATE 70104 1 6 1 2087<br />
HAWTHORN 00019 HAWTHORN 70105 2 6 1 2100<br />
PREVNAR 00022 PNEUMOCOCCAL 7-VALENT CONJUGATE VAC 70107 1 6 1 1180<br />
PROLEX DM 00024 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, POTASSIUM GUAIACOLSULFONATE 51670, 54700 1943<br />
A.D.C. VITAMIN DROPS 00025 COMBINATION PRODUCT 51380 2 6 2 FLUORIDE, VITAMIN A, VITAMIN C, VITAMIN D 52318, 56185, 56193, 56194 0913<br />
SYNAGIS 00027 PALIVIZUMAB 70108 1 6 1 1100<br />
DOSTINEX 00029 CABERGOLINE 70110 1 6 1 1371<br />
DURACLON 00031 CLONIDINE 51275 1 6 1 0506, 1722<br />
EXCEDRIN MIGRAINE 00032 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE 50005, 50410, 50745 1723<br />
HYCAMTIN 00033 TOPOTECAN HCL 59703 1 6 1 1479<br />
INTERLEUKIN-2 00034 ALDESLEUKIN 70111 1 6 1 1480<br />
A.P.C. BUFFERED 00035 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, PHENACETIN 50410, 50745, 54350 1720<br />
D-50-W 00043 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, WATER STERILE 51675, 56210 0914<br />
PANLOR DC 00044 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CAFFEINE, DIHYDROCODEINE 50005, 50745, 52647 1721<br />
A.P.C. NO. 2 00045 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350 1721<br />
DONNATAL ELIXIR 00047 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE HYDROBROMIDE, PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE 52723, 54395, 55180, 70120 0877<br />
ORTHO-PREFEST 00049 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, NORGESTIMATE 52070, 57122 1034<br />
SILDENAFIL CITRATE 00052 SILDENAFIL CITRATE 59807 1 6 1 0504<br />
ELDOQUIN FORTE 00057 HYDROQUINONE 52675 1 6 1 1265<br />
RHO IMMUNE GLOBULIN 00059 RHO (D) IMMUNE GLOBULIN 56620 1 6 1 1181<br />
BISMUTH 00061 BISMUTH 70123 1 6 1 0874<br />
CHILDREN'S BACTRIM 00062 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
CREOMULSION 00063 COMBINATION PRODUCT 51380 2 6 2 CASCARA, IPECAC, MENTHOL, WHITE PINE SYRUP, BEECHWOOD CREOSOTE 50935, 52870, 53325, 56225, 70124 1943<br />
A.P.C. W/CODEINE 00065 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350 1721<br />
EPIRUBICIN HCL 00066 EPIRUBICIN HCL 70125 1 6 1 1479<br />
CLEOMYCIN 00068 CLINDAMYCIN 51255 1 6 1 0348<br />
AURODEX 00069 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE 50325, 50530 1670<br />
TAVIST D 00070 COMBINATION PRODUCT 51380 2 6 2 PHENYLPROPANOLAMINE HCL, CLEMASTINE FUMARATE 70254, 70593 1945<br />
LUXIQ 00073 BETAMETHASONE VALERATE 70127 1 6 1 1268<br />
SAL-TROPINE 00075 ATROPINE SULFATE 70120 1 6 1 0878<br />
ZILACTIN-L 00077 LIDOCAINE 53070 2 6 1 0121<br />
CAFCIT 00079 CAFFEINE 50745 2 6 1 0631<br />
LIOTRIX 00082 LIOTRIX 53115 1 6 1 1037<br />
HISTOFREEZER 00086 UNDETERMINED 50000 1 6 3 1265<br />
MEDIGESIC 00087 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1722<br />
MYCINETTE 00088 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, MENTHOL 50530, 53325 1946<br />
PANMIST-DM 00089 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PSEUDOEPHEDRINE 51670, 52490, 54960 1940, 1941, 1943<br />
PROMAX 00090 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, PROTEIN 53805, 57166 0913<br />
A.P.L. 00095 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
PEDIAMIST 00097 SODIUM CHLORIDE 55315 2 6 1 1941, 1945<br />
DIRITHROMYCIN 00103 DIRITHROMYCIN 57224 1 6 1 0348<br />
HAART 00104 COMBINATION PRODUCT 51380 1 6 2 ZIDOVUDINE, LAMIVUDINE, AMPRENAVIR, ABACAVIR SULFATE 56261, 57146, 70020, 70032 0388<br />
A.S.A. & CODEINE 00105 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE 50410, 51340 1721<br />
MAXILIFE 00111 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS 53805 0913<br />
ANDROGEL 00113 TESTOSTERONE 55695 1 3 1 1033<br />
EDEX 00115 ALPROSTADIL 50116 1 6 1 0409, 0508, 2095<br />
MEN'S FORMULA VITAMIN 00116 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS 53805 0913<br />
DURADRIN 00118 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, DICHLORALPHENAZONE, ISOMETHEPTENE MUCATE 50005, 51708, 52908 1723<br />
URIMAX 00120 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, SODIUM BIPHOSPHATE 52720, 53530, 53640, 54440, 59728 0354<br />
GATORADE 00122 UNDETERMINED 50000 2 6 2 0915<br />
POLY-TUSSIN 00124 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, HYDROCODONE, PHENYLEPHRINE 51130, 52650, 54455 1945<br />
DEPROIST EXPECTNT W/ CODEINE 00126 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1943<br />
PROFEN II DM 00129 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 52490, 70254, 70338 1943, 1945<br />
URISTAT 00131 PHENAZOPYRIDINE 54365 2 6 1 0354<br />
CUREL LOTION 00134 COMBINATION PRODUCT 51380 2 6 2 DIMETHICONE, GLYCERIN, METHYLPARABEN, PETROLATUM 51817, 52450, 53650, 54330 2087<br />
A-CILLIN 00135 AMOXICILLIN 50260 1 6 1 0346<br />
M.D. FORTE SKIN REJUVEN LOTION 00137 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, LACTIC ACID, VITAMIN A, GLYCOLIC ACID, AMMONIUM LACTATE 52450, 52980, 56185, 70141, 70142 2087<br />
OIL OF OLAY SOAP 00138 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, MAGNESIUM STEARATE, PARAFFIN, SODIUM COCGLYCERYL, ETHER SULFONATE 52450, 53222, 54193, 70143, 70144 2087<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
A-FIL 00140 COMBINATION PRODUCT 51380 2 6 2 METHYL ANTHRANILATE, TITANIUM DIOXIDE 53328, 70261 1265<br />
A-HYDROCORT 00145 HYDROCORTISONE 52655 3 6 1 1265<br />
PRETZ 00147 SODIUM CHLORIDE 55315 2 6 1 1941<br />
D51/2 NS 00149 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, SODIUM CHLORIDE 51675, 55315 0914<br />
CEREZYME 00152 IMIGLUCERASE 70148 1 6 1 2087<br />
AGGRASTAT 00153 TIROFIBAN 70149 1 6 1 0409<br />
CHILDREN'S IBUPROFEN 00154 IBUPROFEN 52730 2 6 1 1727<br />
A-METHAPRED 00155 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
PROPOXACET-N 00156 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE NAPSYLATE 50005, 70150 1721<br />
SODIUM PHENYLBUTYRATE 00158 SODIUM PHENYLBUTYRATE 70151 1 6 1 0400, 2095<br />
A-POXIDE 00160 UNDETERMINED 50000 3 7 3 2000<br />
A-SPAS 00162 DICYCLOMINE 51730 1 6 1 0875<br />
A/T/S 00163 ERYTHROMYCIN 52065 1 6 1 1271<br />
FIBRINOGEN (HUMAN) 00164 UNDETERMINED 50000 1 7 3 0411<br />
BIER BLOCK 00165 UNDETERMINED 50000 1 7 3 0100<br />
KETOROLAC TROMETHAMINE 00169 KETOROLAC TROMETHAMINE 92502 1 6 1 1727<br />
A-200 PYRINATE 00170 UNDETERMINED 50000 3 7 3 2000<br />
ELA-MAX 00173 LIDOCAINE 53070 2 6 1 0121<br />
NEUROTROPHIN-1 00174 UNDETERMINED 50000 1 7 3 2087<br />
ABBOJECT SODIUM CHLORIDE 00178 UNDETERMINED 50000 3 7 3 2000<br />
COLLOID SILVER 00179 SILVER 70159 2 6 1 2087<br />
ABBOKINASE 00180 UROKINASE 56130 1 6 1 0409<br />
ATUSS MS 00181 COMBINATION PRODUCT 51380 1 3 2 CHLORPHENIRAMINE, HYDROCODONE, PHENYLEPHRINE 51130, 52650, 54455 1943<br />
DURADAL HD 00182 COMBINATION PRODUCT 51380 1 3 2 CHLORPHENIRAMINE, HYDROCODONE, PHENYLEPHRINE 51130, 52650, 54455 1945<br />
ABC COMPOUND W/CODEINE 00183 UNDETERMINED 50000 3 7 3 2000<br />
ABCDG 00185 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
CYDEC 00188 COMBINATION PRODUCT 51380 1 6 2 CARBINOXAMINE, PSEUDOEPHEDRINE 50900, 54960 1941, 1944<br />
ABDEC 00190 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
SPECTRAVITE 00192 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS 53805 0913<br />
ALOSETRON HCL 00193 ALOSETRON HCL 70106 1 6 1 0874<br />
PENICILLIN G BENZATHINE & PROCA 00194 COMBINATION PRODUCT 51380 1 6 2 PENICILLIN G PROCAINE, PENICILLIN G BENZATHINE 54260, 70046 0346<br />
TEMOZOLOMIDE 00195 TEMOZOLOMIDE 70164 1 6 1 1479<br />
BENDROFLUAZIDE 00196 BENDROFLUMETHIAZIDE 50500 1 6 1 0506, 0507<br />
COPROXAMOL 00197 COMBINATION PRODUCT 51380 1 3 2 PARACETAMOL, DEXTROPROPOXYPHENE 70165, 70166 1722<br />
FLEXONASE 00199 FLUTICASONE PROPIONATE 52354 1 6 1 1947<br />
MEPERIDINE HCL 00200 MEPERIDINE 53335 1 2 1 0119, 1721<br />
UROZIDE 00204 HYDROCHLOROTHIAZIDE 52645 1 6 1 0507<br />
VAPONEPHRINE 00205 RACEMIC EPINEPHRINE 70203 2 6 1 1940<br />
LEVALL 5.0 00211 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE, PHENYLEPHRINE 52490, 52650, 54455 1941, 1943<br />
NICOTINAMIDE ADENINE DINUCLEOT 00212 NICOTINAMIDE ADENINE DINUCLEOTIDE 70170 2 6 1 2100<br />
ACCELERASE-PB 00215 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, BILE SALTS, CALCIUM CARBONATE, CELLULASE, PANCRELIPASE 50495, 50613, 50785, 50968, 54165<br />
REGAIN MEDICAL NUTRITION BAR 00216 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS 53805 0914<br />
TEMODAR 00217 TEMOZOLOMIDE 70164 1 6 1 1479<br />
DYCLONINE HCL 00219 DYCLONINE 51990 1 6 1 0121<br />
ACCURBRON 00220 THEOPHYLLINE 55745 1 6 1 1940<br />
DANAPAROID SODIUM 00222 DANAPAROID SODIUM 70171 1 6 1 0409<br />
ACCUTANE 00223 ISOTRETINOIN 52943 1 6 1 1265<br />
MILK AND MOLASSES ENEMA 00224 COMBINATION PRODUCT 51380 2 6 2 MILK SOLIDS NONFAT, MOLASSES 53718, 70172 2100<br />
ACD 00225 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, DEXTROSE, SODIUM CITRATE 51235, 51675, 55320 2087<br />
PEDIACARE INFANTS DECONGESTA 00226 PSEUDOEPHEDRINE 54960 2 6 1 1941<br />
T-2 00227 COMBINATION PRODUCT 51380 1 6 2 CYCLOPHOSPHAMIDE, DACTINOMYCIN, DOXORUBICIN, VINCRISTINE 51485, 51535, 51960, 56180 2087<br />
SOYALAC 00228 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS 53805 0914<br />
CYTOGAM 00229 CYTOMEGALOVIRUS IMMUNE GLOBULIN IV 70173 1 6 1 1181, 1183<br />
FER-GEN-SOL 00231 FERROUS SULFATE 70174 2 6 1 0913<br />
KOGENATE 00232 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0410<br />
NOVOSEVEN 00235 COAGULATION FACTOR VIIIA 70175 1 6 1 0411<br />
SBE PROPHALAXIS 00236 UNDETERMINED 50000 1 6 3 0300<br />
VANIQA 00237 EFLORNITHINE HCL 70176 1 6 1 1265<br />
PROVOCHOLINE 00241 METHACHOLINE CHLORIDE 70177 1 6 1 2095<br />
TIMODINE 00242 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, DIMETICONE 52655, 70178 1268<br />
CLINAC-OC 00243 COMBINATION PRODUCT 51380 2 6 2 METHYLPARABEN, PROPYLENE GLYCOL, ACRYLATE COPOLYMER, CARBOMER 940 53650, 54895, 70179, 70180 1270<br />
ACETA 00245 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
LEUKINE 00246 SARGRAMOSTIM 70182 1 6 1 0410, 0917<br />
PEGINTERFERON ALFA-2B 00247 PEGINTERFERON ALFA-2B 70183 1 6 1 0388, 1479<br />
ACETA W/CODEINE 00250 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
VICODIN ES 00251 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE 50005, 52650 1721<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ACETAGESIC 00255 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
ETHYOL 00258 AMIFOSTINE 70185 1 6 1 0281<br />
GRANISETRON HCL 00261 GRANISETRON 57106 1 6 1 0635, 1671<br />
KAVA-KAVA 00264 KAVA 70186 2 6 1 2100<br />
MP 00266 COMBINATION PRODUCT 51380 1 6 2 MELPHALAN, PREDNISONE 53300, 54775 1479<br />
SUCCINYLCHOLINE CHLORIDE 00269 SUCCINYLCHOLINE 55510 1 6 1 0119<br />
ACETAMINOPHEN NO. 3 00270 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
OXYPURINOL 00271 UNDETERMINED 50000 1 6 3 2087<br />
PREMESISRX 00272 COMBINATION PRODUCT 51380 1 6 2 CALCIUM, FOLIC ACID, VITAMIN B COMPLEX 50776, 52355, 56345 0913<br />
ACETAMINOPHEN NO. 4 00275 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
RADIACARE GEL 00276 ACEMANNAN 70204 2 6 1 2087<br />
RADIACARE ORAL RINSE 00277 ACEMANNAN 70204 2 6 3 2087<br />
RHINARIS LUBRICATING NASAL GEL 00278 COMBINATION PRODUCT 51380 2 6 2 POLYETHYLENE GLYCOL, PROPYLENE GLYCOL 54590, 54895 2087<br />
VERTEPORFIN 00281 VERTEPORFIN 70188 1 6 1 1569<br />
ACETAMINOPHEN W/OXYCODONE 00283 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE 50005, 54094 1721<br />
VIVA-DROPS 00284 COMBINATION PRODUCT 51380 2 6 2 MANNITOL, SODIUM CHLORIDE, POLYSORBATE, EDTA, RETINYL PALMITATE 53245, 55315, 70189, 70190, 70191 1569<br />
ZINECARD 00286 DEXRAZOXANE 70192 1 6 1 0281, 2095<br />
ACETASOL 00288 ACETIC ACID 50025 1 6 1 2095<br />
INTRASITE 00291 GRAFT T STARCH COPOLYMER 70194 2 6 1 1265<br />
TEVETEN 00292 EPROSARTAN MESYLATE 70195 1 6 1 0506<br />
PENLAC 00296 CICLOPIROX 51218 1 6 1 0358<br />
PLEXION 00297 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SODIUM SULFACETAMIDE 55610, 70018 1270<br />
VERSICLEAR 00298 COMBINATION PRODUCT 51380 1 6 2 ISOPROPYL ALCOHOL, SALICYLIC ACID, SODIUM THIOSULFATE 52925, 55160, 55425 1265, 1271<br />
BENZADERM 00299 COMBINATION PRODUCT 51380 2 6 2 BENZOYL PEROXIDE, ALOE VERA 50550, 70197 1265<br />
ACETEST 00300 SODIUM NITROPRUSSIDE 55370 3 6 1 2087<br />
WINRHO SDF 00302 IMMUNE GLOBULIN 52750 1 6 1 1181<br />
ACETIC ACID 00305 ACETIC ACID 50025 1 6 1 2095<br />
METADATE ER 00307 METHYLPHENIDATE 53655 1 2 1 0631<br />
VALNAC OINTMENT 00308 BETAMETHASONE VALERATE 70127 1 6 1 1265<br />
ACETIC ACID GLACIAL 00310 ACETIC ACID 50025 1 6 1 2095<br />
BUPAP 00311 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL 50005, 50728 1722<br />
ACETOHIST 00315 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENACETIN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54350, 54465, 54468 1720, 1728, 1944<br />
LEFLUNOMIDE 00316 LEFLUNOMIDE 59839 1 6 1 1724<br />
NICOTROL INHALER 00317 NICOTINE POLACRILEX 53919 1 6 1 0632<br />
BOSTON REWETTING DROPS 00319 COMBINATION PRODUCT 51380 2 6 2 HYDROXYETHYL CELLULOSE, POLYVINYL ALCOHOL, CATIONIC CELLULOSE 52691, 54610, 70200 1571<br />
ACETONE 00320 ACETONE 50035 2 6 1 2095<br />
PRENATE ADVANCE 00323 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS 53805 0913<br />
ACETYCOL 00330 COMBINATION PRODUCT 51380 1 6 2 COLCHICINE, SALICYLIC ACID, THIAMINE 51345, 55160, 55755 2087<br />
ACETYLCHOLINE 00335 ACETYLCHOLINE CHLORIDE 70464 1 6 1 1566<br />
ACETYLCYSTEINE 00338 ACETYLCYSTEINE 50060 1 6 1 1943<br />
ACHROMYCIN V 00345 TETRACYCLINE 55725 1 6 1 0350<br />
ACIDIFYING AGENT 00353 UNDETERMINED 50000 3 7 3 0354<br />
ACID MANTLE 00360 ALUMINUM ACETATE 50130 3 6 1 1265<br />
ACID-EZE EC 00375 UNDETERMINED 50000 3 7 3 2000<br />
ACIDOPHILUS W/PECTIN 00378 COMBINATION PRODUCT 51380 2 6 2 LACTOBACILLUS ACIDOPHILUS, PECTIN 52985, 54238 0875<br />
ACIDULIN 00385 GLUTAMIC ACID 52435 2 6 1 0877<br />
AVEENOBAR MEDICATED 00390 COMBINATION PRODUCT 51380 2 6 2 OATMEAL, SALICYLIC ACID, SULFUR 54000, 55160, 55610 1265<br />
ACNE-AID 00400 UNDETERMINED 50000 2 6 3 2000<br />
ACNE-DOME 00405 UNDETERMINED 50000 3 7 3 1265<br />
ACNEDERM 00410 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, SULFUR, ZINC TOPICAL AGENTS, EXTERNAL USE, ZINC SULFATE 50090, 55610, 56265, 56285<br />
ACONITE 00440 UNDETERMINED 50000 3 7 3 2000<br />
ACTHAR 00460 CORTICOTROPIN 51400 1 6 1 1035<br />
ACTI-CHAR 00463 UNDETERMINED 50000 3 7 3 2000<br />
ACTICORT 00465 HYDROCORTISONE 52655 1 6 1 1265<br />
ACTIFED-C 00480 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN, PSEUDOEPHEDRINE, TRIPROLIDINE 51340, 52490, 54960, 56020 1943<br />
ACTIN-N 00483 NITROFURAZONE 53935 1 6 1<br />
ACTIVASE 00486 ALTEPLASE 80002 1 6 1 0409<br />
ACTRAPID 00487 INSULIN 52790 1 6 1 1036<br />
AD-CEBRIN W/FLUORIDE DROPS 00490 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, SODIUM FLUORIDE, VITAMIN A, VITAMIN C 52045, 55330, 56185, 56193<br />
ADAPIN 00510 DOXEPIN 51955 1 6 1 0627, 0630<br />
ADAPT 00515 IODINE TOPICAL PREPARATIONS 52820 2 6 1 1569<br />
ADEECON 00520 COMBINATION PRODUCT 51380 3 7 2 ERGOCALCIFEROL, VITAMIN A 52045, 56185 2087<br />
ADEFLOR 00525 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, SODIUM FLUORIDE, VITAMIN A, VITAMIN C 52045, 54990, 55330, 56185, 56193 0913<br />
ADIPEX 00540 PHENTERMINE 54430 1 4 1 0631<br />
ADPHEN 00550 PHENDIMETRAZINE 54370 1 3 1 0631<br />
ADRENERGIC BLOCKING AGENT 00564 UNDETERMINED 50000 3 7 3 0506<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ADRENOSEM 00565 CARBAZOCHROME 50890 1 6 1 0411<br />
ADRIAMYCIN 00570 DOXORUBICIN 51960 1 6 1 1482<br />
ADRUCIL 00580 FLUOROURACIL 52325 1 6 1 1479<br />
ADSORBENT 00583 UNDETERMINED 50000 3 7 3<br />
ADSORBOCARPINE 00585 PILOCARPINE 54500 1 6 1 1566<br />
ADSORBOTEAR 00595 HYDROXYETHYL CELLULOSE 52691 2 6 1 1569<br />
AEROLATE 00600 THEOPHYLLINE 55745 1 6 1 1940<br />
AEROLONE 00605 UNDETERMINED 50000 3 7 3 2000<br />
AEROSEB-HC 00615 HYDROCORTISONE 52655 1 6 1 1265<br />
AEROSPORIN 00620 POLYMYXIN B 70011 1 6 1 1670<br />
AFKO EAR DROPS 00625 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CAMPHOR, EUCALYPTUS OIL, SASSAFRAS, THYMOL 50530, 50845, 52190, 55169, 55815<br />
AFKO-LUBE 00630 DOCUSATE 51935 2 6 1<br />
AFKO-LUBE LAX 00635 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE SODIUM 50933, 70262 0876<br />
AFRINOL REPETAB 00650 PSEUDOEPHEDRINE 54960 2 6 1 1941<br />
AFTATE 00655 TOLNAFTATE 55890 2 6 1 1271<br />
AKNE-KAPULETTE 00693 SULFUR 55610 2 6 1<br />
ALADRINE 00720 COMBINATION PRODUCT 51380 1 3 2 EPHEDRINE SULFATE, SECOBARBITAL SODIUM 70264, 70265 0626<br />
ALAMINE 00730 UNDETERMINED 50000 2 6 3 2087<br />
ALBALON 00735 NAPHAZOLINE 53875 1 6 1 1570<br />
ALBALON-A 00740 COMBINATION PRODUCT 51380 1 6 2 ANTAZOLINE, NAPHAZOLINE 50305, 53875 1568<br />
ALBAMEAD 00745 COMBINATION PRODUCT 51380 2 6 2 SULFUR, WHITE LOTION, ZINC TOPICAL AGENTS, EXTERNAL USE 55610, 56220, 56265<br />
ALBAMYCIN 00750 NOVOBIOCIN 53985 1 6 1 0355<br />
ALBUMINAR 00765 ALBUMIN HUMAN 50085 1 6 1 0410<br />
ALBUTEIN 00780 ALBUMIN HUMAN 50085 1 6 1 0410<br />
ALCAINE 00785 PROPARACAINE 54875 1 6 1 1569<br />
ALCOHOL ISOPROPYL 00800 ISOPROPYL ALCOHOL 52925 2 6 1 1264<br />
ALCOHOL RUBBING 00805 ISOPROPYL ALCOHOL 52925 2 6 1 1264<br />
ALCON 00810 UNDETERMINED 50000 2 6 3 1569<br />
ALCO-RUB 00823 COMBINATION PRODUCT 51380 2 6 2 BENZETHONIUM CHLORIDE, ISOPROPYL ALCOHOL 50520, 52925<br />
ALDOCLOR-250 00840 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, METHYLDOPA 51100, 53635 0506, 0507<br />
ALERBUF 00855 COMBINATION PRODUCT 51380 1 6 2 ALUMINUM HYDROXIDE, EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 50145, 52035, 54395, 55745 1940<br />
ALGENIC ALKA 00867 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
ALKA-SELTZER 00880 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CITRIC ACID, SODIUM BICARBONATE 50410, 51235, 55280 0879<br />
ALKA-SELTZER WITHOUT ASPIRIN 00890 COMBINATION PRODUCT 51380 2 6 2 CITRIC ACID, POTASSIUM ALKALINIZING AGENTS, SODIUM BICARBONATE 51235, 54620, 55280 0874<br />
ALKA-2 00895 CALCIUM CARBONATE 50785 2 6 1 0874<br />
ALKALOL 00905 COMBINATION PRODUCT 51380 2 6 2 BENZOIN, CAMPHOR, EUCALYPTUS OIL, MENTHOL, THYMOL 50540, 50845, 52190, 53325, 55815 1274<br />
ALKETS 00920 CALCIUM CARBONATE 50785 2 6 1 0874<br />
ALLBEE 00925 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53905, 54175, 54990, 55105, 55755 0913<br />
ALLERBID 00950 CHLORPHENIRAMINE 51130 2 6 1<br />
ALLER-CHLOR 00953 CHLORPHENIRAMINE 51130 2 6 1 1944<br />
ALLERCREME 00955 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, LANOLIN, MINERAL OIL, PETROLATUM 52450, 53003, 53720, 54330<br />
ALLEREST NASAL SPRAY 00965 OXYMETAZOLINE 54120 2 6 1 1941<br />
ALLEREST TIME CAPSULE 00970 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254<br />
ALLERFRIN 00975 COMBINATION PRODUCT 51380 2 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256 1941, 1944<br />
ALLERGAN 00976 UNDETERMINED 50000 3 7 3 2087<br />
ALLERGESIC 00978 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 51130, 54465 1941, 1944<br />
ALLERHIST 00982 COMBINATION PRODUCT 51380 2 6 2 BROMPHENIRAMINE, PHENYLPROPANOLAMINE 50690, 54465 1941, 1944<br />
ALLERPHED 00995 COMBINATION PRODUCT 51380 1 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256 1941, 1944<br />
ALLERPHED C EXPECTORANT 01000 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN, PSEUDOEPHEDRINE, TRIPROLIDINE 51340, 52490, 54960, 56020 1900<br />
ANAPROX DS 01003 NAPROXEN SODIUM 70222 1 6 1 1720, 1724, 1727<br />
ATUSS EX 01004 COMBINATION PRODUCT 51380 1 3 2 POTASSIUM GUAIACOLSULFONATE, HYDROCODONE BITARTRATE 54700, 70217 1943<br />
FERRIMIN 01006 FERRIMIN 70223 2 6 1 0913<br />
CORMEX 01013 CLOBETASOL PROPIONATE 51243 1 6 1 1268<br />
CORVERT 01014 IBUTILIDE FUMARATE 70227 1 6 1 0502<br />
ALLERSONE 01015 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, ZINC TOPICAL AGENTS, EXTERNAL USE, DIPERODON HCL 52655, 56265, 70609 1268<br />
ADVIL MIGRAINE 01016 IBUPROFEN 52730 2 6 1 1727<br />
MONSEL'S SOLUTION 01018 FERRIC SUBSULFATE 70228 3 6 1 0411<br />
NIFEDICAL XL 01019 NIFEDIPINE 53922 1 6 1 0503, 0506<br />
BUTORPHANOL TARTRATE 01021 BUTORPHANOL TARTRATE 50740 1 4 1 1721<br />
PHOSPHENYTOIN 01023 FOSPHENYTOIN SODIUM 59701 1 6 1 1374<br />
FENOLDOPAM MESYLATE 01025 FENOLDOPAM MESYLATE 70980 1 6 1 0506<br />
STROMECTOL 01027 IVERMECTIN 70230 1 6 1 1862<br />
TPA 01032 UNDETERMINED 50000 1 7 3 0409<br />
ALL-VIMS 01033 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780<br />
D-2 01035 ERGOCALCIFEROL 52045 3 6 1 0913<br />
ALMA-MAG NO. 4 01040 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
RABEPRAZOLE SODIUM 01041 RABEPRAZOLE SODIUM 70033 1 6 1 0874<br />
ZIPRASIDONE HCL 01043 ZIPRASIDONE HCL 70232 1 6 1 0628<br />
D5 NS W/MAGNESIUM 01045 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, MAGNESIUM CHLORIDE, SODIUM CHLORIDE 51675, 53190, 55315 0915<br />
QUINOLONES 01046 UNDETERMINED 50000 1 6 3 0357<br />
VISICOL 01051 SODIUM PHOSPHATE 55385 1 6 1 0877<br />
TICARCILLIN AND CLAVULANATE POTASSIUM 01054 COMBINATION PRODUCT 51380 1 6 2 CLAVULANATE POTASSIUM, TICARCILLIN DISODIUM 70341, 70595 0346<br />
ORAPRED 01055 PREDNISOLONE SODIUM PHOSPHATE 70237 1 6 1 1032<br />
AL/MG HYDROXIDE-SIMETHICONE 01058 COMBINATION PRODUCT 51380 2 6 2 SIMETHICONE, ALUMINUM ANTACID 55240, 70263<br />
DIMETANE DX 01059 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 51670, 70239, 70256 1945<br />
ALMOCARPINE 01060 PILOCARPINE 54500 1 6 1 1566<br />
LEVULAN KERASTIX 01061 AMINOLEVULINIC ACID HCL 70241 1 6 1 1265<br />
WELLBUTRIN SR 01064 BUPROPION HCL 70242 1 6 1 0630<br />
ALLERX 01067 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PSEUDOEPHEDRINE HCL 70226, 70243, 70256 1941<br />
CENOGEN OB 01068 MULTIVITAMIN COMBINATION 51382 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
GLYQUIN 01069 COMBINATION PRODUCT 51380 1 6 2 HYDROQUINONE, OXYBENZONE, PADIMATE O, OCTYL METHOXYCINNAMATE 52675, 54093, 54157, 70244 1265<br />
LUNELLE 01071 COMBINATION PRODUCT 51380 1 6 2 MEDROXYPROGESTERONE, ESTRADIOL CYPIONATE 53280, 70245 1040<br />
TRIPTANS 01072 UNDETERMINED 50000 1 7 3 1723<br />
MAXALT-MLT 01073 RIZATRIPTAN BENZOATE 59838 1 6 1 1723<br />
THERASEAL 01074 DIMETHICONE 51817 2 6 1 1265<br />
PROTEQUE 01078 COMBINATION PRODUCT 51380 2 6 2 DIMETHICONE, VITAMIN E, ALOE VERA, LONICERA JAPONICA 51817, 56195, 70197, 70247 1265<br />
ALOIN 01079 ALOIN 50109 3 6 1<br />
ALOPHEN PILL 01080 PHENOLPHTHALEIN 54405 2 6 1 0876<br />
RESPAHIST 01081 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1941, 1944<br />
BENZACLIN 01082 COMBINATION PRODUCT 51380 1 6 2 BENZOYL PEROXIDE, CLINDAMYCIN 50550, 51255 1270<br />
BIESTROGEN 01083 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, ESTRIOL 52070, 70248 1034<br />
ALPHA CHYMAR 01085 CHYMOTRYPSIN 51215 1 6 1 1569<br />
PROTOPIC 01087 TACROLIMUS 57214 1 6 1 1265<br />
SINUSTATIN 01088 UNDETERMINED 50000 3 7 3 2100<br />
ALPHA-KERI 01090 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, LANOLIN OIL 53720, 70331 1265<br />
BOTOX 01093 BOTULINUM TOXIN TYPE A 70266 1 6 1 0285<br />
CLINDAGEL 01096 CLINDAMYCIN 51255 1 6 1 0348<br />
CORN PLASTERS 01097 SALICYLIC ACID 55160 2 6 1 1266<br />
DEMEROL/PHEN 01098 COMBINATION PRODUCT 51380 1 2 2 MEPERIDINE HCL, PHENERGAN 70267, 70268 1721<br />
ENDODAN 01099 COMBINATION PRODUCT 51380 1 2 2 ASPIRIN, OXYCODONE HCL 50410, 70269 1721<br />
ALPHADERM 01100 HYDROCORTISONE 52655 1 6 1 1265<br />
GYNAZOLE I 01102 BUTOCONAZOLE NITRATE 50733 1 6 1 0358<br />
LOESTRIN FE 01104 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, ETHINYL ESTRADIOL, NORETHINDRONE ACETATE 52885, 70027, 70238 1040<br />
ALPHADROL 01105 FLUPREDNISOLONE 52340 1 6 1 1032<br />
SPIRULINA 01109 SPIRULINA 70271 2 7 3 2100<br />
ALPHALIN 01110 VITAMIN A 56185 2 6 1 0913<br />
TRI-ESTROGEN 01112 COMBINATION PRODUCT 51380 2 6 2 ESTRADIOL, ESTRONE, ESTRIOL 52070, 52080, 70248 1034<br />
TUSSIBID 01113 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
AXERT 01117 ALMOTRIPTAN MALATE 70278 1 6 1 1723<br />
ALPHA BLOCKER 01118 UNDETERMINED 50000 3 7 3 0513<br />
ALPHAMUL 01120 CASTOR OIL 50940 2 6 1<br />
LESCOL XL 01121 FLUVASTATIN SODIUM 70279 1 6 1 0912<br />
NALTREL 01122 NALTREXONE 70280 3 7 1 2087<br />
ALPHAPRODINE 01125 UNDETERMINED 50000 3 7 3 2000<br />
ACUPRESS 01126 UNDETERMINED 50000 2 6 3 1275<br />
CARAC 01127 FLUOROURACIL 52325 1 6 1 1270<br />
IMMUPLEX 01129 MULTIVITAMIN COMBINATION 51382 2 6 2 FOLIC ACID, MINERALS, VITAMIN A, VITAMIN C, VITAMIN E 52355, 53723, 56185, 56193, 56195 0913<br />
ALPHAREDISOL 01130 HYDROXOCOBALAMIN 52680 1 6 1<br />
NICOMIDE 01131 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, ZINC OXIDE, NICOTINAMIDE 52355, 70052, 70284 1270<br />
SUN CHLORELLA A 01132 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN A, VITAMIN C, CHLORELLA PYRENOIDOSA 52885, 56185, 56193, 70285 2100<br />
ALPHATOCOPHEROL 01135 D-ALPHA TOCOPHERYL 51523 2 6 1 0913<br />
PROMENSIL 01137 RED CLOVER 70294 2 6 1 1034, 2100<br />
ALPHA-ZED 01138 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780<br />
ALPHOSYL HC 01140 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, COAL TAR, HYDROCORTISONE 50103, 51305, 52655 1265<br />
BUCKLEY'S MIXTURE 01142 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, CANADA BALSAM, PINE NEEDLE OIL, TINCTURE OF CAPSICUM 50845, 53325, 70297, 70298, 70299 1943, 2100<br />
LAXCEL 01143 PSYLLIUM 54965 2 6 1 0876<br />
LUSTRA AF 01147 HYDROQUINONE 52675 1 6 1 1265<br />
EUGLUCON 01149 GLIBENCLAMIDE 57144 1 6 1 1036<br />
ECHOTHIOPHATE 01150 PHOSPHOLINE IODIDE 70300 1 6 1 1566<br />
GLYCARE CLS 01152 COMBINATION PRODUCT 51380 2 6 2 GLYCOLIC ACID, AMMONIUM GLYCOLATE, GLYCOLIC COMPOUND, EUCALYPTUS GLOGULUS OIL 70141, 70301, 70302, 70303 1270<br />
ALU-CAP 01155 ALUMINUM HYDROXIDE 50145 2 6 1 0874<br />
MARCAINE/KENALOG 01156 COMBINATION PRODUCT 51380 1 6 2 MARCAINE, TRIAMCINOLONE ACETONIDE 70306, 70307 0121, 1268<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
STRONGSTART CAPLETS 01158 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
CHILDREN"S N-D SUDAFED 01159 PSEUDOEPHEDRINE 54960 2 6 1 1941<br />
PRIMSOL 01163 TRIMETHOPRIM HCL 70311 1 6 1 0353<br />
VEGETABLE OIL 01164 VEGETABLE OIL 56161 2 6 1 2000<br />
ALU-TAB 01165 ALUMINUM HYDROXIDE 50145 2 6 1 0874<br />
AGRYLIN 01169 ANAGRELIDE HYDROCHLORIDE 70315 1 6 1 2087<br />
ALUDINE 01170 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, PHENACETIN, PHENIRAMINE, PHENYLEPHRINE, SALICYLAMIDE 50145, 54350, 54385, 54455, 55150<br />
D5 LR 01173 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, LACTATED RINGERS 51675, 70317 0915<br />
PROACTIVE 01174 BENZOYL PEROXIDE 50550 2 6 1 1270<br />
GENGRAF 01176 CYCLOSPORINE 51493 1 6 1 1181<br />
PODOFILOX 01178 CONDYLOX 70319 1 6 1 1266<br />
ALUM ACETATE SOLUTION (BUROW S) 01180 ALUMINUM ACETATE 50130 2 6 1<br />
DERMAZINC W/ CLOBETASOL 01182 COMBINATION PRODUCT 51380 2 6 2 CLOBETASOL PROPIONATE, ZINC PYRITHIONE 51243, 70320 1265<br />
MOTRIN MIGRAINE 01183 IBUPROFEN 52730 2 6 1 1727<br />
TICE BCG 01184 BCG VACCINE 50485 1 6 1 1180<br />
ALUM AMMONIUM LUMP 01185 ALUMINUM AMMONIUM SULFATE 50135 2 6 1<br />
SUFENTANIL CITRATE 01187 SUFENTANIL CITRATE 55583 1 2 1 1721<br />
BIAXIN XL 01189 CLARITHROMYCIN 51242 1 6 1 0348<br />
CERTIVA 01191 COMBINATION PRODUCT 51380 1 6 2 TETANUS TOXOID, DIPHTHERIA TOXIN, PERTUSSIS TOXOID 55710, 70322, 70323 1100<br />
EMBREX 01194 MULTIVITAMIN COMBINATION 51382 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
ALUM 01195 ALUMINUM AMMONIUM SULFATE 50135 2 6 1 1265<br />
AMBISOME 01197 AMPHOTERICIN B 70324 1 6 1 0358<br />
OXYPERTINE 01198 UNDETERMINED 50000 1 6 3 0628<br />
NEOSURE 01199 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
ALUM POWDER 01200 ALUMINUM AMMONIUM SULFATE 50135 2 6 1<br />
AQUACORT 01202 HYDROCORTISONE 52655 1 6 1 1268<br />
CARRINGTON GEL 01204 ACEMANNAN 70204 2 6 1 1265<br />
ALUMADRINE 01205 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50005, 70226, 70254 1945<br />
MOGADON 01208 NITRAZEPAM 56545 1 6 1 1374<br />
MOTRIN DROPS 01209 IBUPROFEN 52730 2 6 1 1727<br />
ESTROVAN 01212 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, KAVA, BORON, BLACK COHOSH ROOT, ISOFLAVONES 53805, 70186, 70325, 70326, 70327 2100<br />
ALUMINETT 01215 ALUMINUM HYDROXIDE 50145 2 6 1<br />
ALUMINOSTOMY 01218 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM, ZINC TOPICAL AGENTS, EXTERNAL USE 50125, 56265<br />
ALUMINUM ACETATE 01221 ALUMINUM ACETATE 50130 2 6 1 1265<br />
NORDITROPIN 01222 SOMATROPIN 55430 1 6 1 1035<br />
ALUMINUM CHLORIDE 01223 ALUMINUM CHLORIDE 50140 3 6 1 2087<br />
ALOPRIM 01226 ALLOPURINOL 50105 1 6 1 1481, 1725<br />
ANTITHYMOCYTE 01227 ANTITHYMOCYTE GLOBULIN 70347 1 6 1 1183<br />
ALUMINUM HYDROXIDE-MAGNESIUM TRISILICATE 01230 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
ZEPHREX LA 01231 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
MVF 01232 COMBINATION PRODUCT 51380 1 6 2 VINCRISTINE, 5-FLUOROURACIL, MITOXANTRONE 56180, 70363, 80009 1479<br />
RAPAMUNE 01233 SIROLIMUS 70103 1 6 1 1181<br />
ALUMINUM MAGNESIUM HYDROXIDE 01235 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
5-FLUOROURACIL 01237 FLUOROURACIL 52325 1 6 1 1481<br />
ALUMINUM PASTE 01240 ALUMINUM 50125 2 6 1 1265<br />
EDETATE CALCIUM DISODIUM 01241 EDETATE CALCIUM DISODIUM 52010 1 6 1 0281<br />
CEFAZOLIN SODIUM 01242 CEFAZOLIN SODIUM 70364 1 6 1 0347<br />
NATACHEW 01244 MULTIVITAMIN COMBINATION 51382 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
ALUMINUM SUBACETATE SOLUTION USP 01245 ALUMINUM SUBACETATE 50160 2 6 1<br />
RIZATRIPTAN BENZOATE 01246 RIZATRIPTAN BENZOATE 59838 1 6 1 1723<br />
METERED DOSE INHALER 01248 UNDETERMINED 50000 1 7 3 1940<br />
METADATE CD 01249 METHYLPHENIDATE HCL 70374 1 2 1 0631<br />
ALUMINUM-MAGNESIUM HYDROX W/SIMETHICONE 01250 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
VITAMAX 01252 COMBINATION PRODUCT 51380 2 6 2 MINERALS, VITAMINS 53723, 59702 0913<br />
ALUM/MAG HYDROX/SIMETHI 01253 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240<br />
ALUMINUM SULFATE USP 01254 ALUMINUM SULFATE 50163 3 6 1<br />
BENEFIX 01256 COAGULATION FACTOR IX 70383 1 6 1 0411, 2095<br />
MILK THISTLE 01259 SILYBUM 70385 2 6 1 2100<br />
ALURATE ELIXIR 01260 APROBARBITAL 50365 1 3 1 0626<br />
RAVOCAINE 01261 COMBINATION PRODUCT 51380 1 6 2 ACETONE, NOREPINEPHRINE, PROCAINE, SODIUM CHLORIDE, PROPOXYCAINE HCL 50035, 53960, 54815, 55315, 70386 0117<br />
PAROMOMYCIN 01269 PAROMOMYCIN 54225 1 6 1 0352, 0355, 1860<br />
RAPAMYCIN 01272 UNDETERMINED 50000 3 7 3 2087<br />
SUDAL-DM 01273 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
ZONISAMIDE 01275 ZONISAMIDE 70225 1 6 1 1374<br />
MEGAVITAMINS 01277 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
METROLOTION 01278 METRONIDAZOLE 53700 1 6 1 1271<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
FE-TINIC 150 FORTE 01279 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMINS 52885, 59702 0913<br />
ADDERALL XR 01281 COMBINATION PRODUCT 51380 1 2 2 AMPHETAMINE ASPARTATE, AMPHETAMINE SULFATE, DEXTROAMPHETAMINE SACCHARATE, DEXTROAMPHETAMINE SULFATE 70257, 70258, 70259, 70260 0631<br />
ZOMETA 01285 ZOLEDRONIC ACID 70393 1 6 1 2087<br />
ANTIMICROBIAL 01286 UNDETERMINED 50000 1 7 3 0300<br />
AMARIL D 01295 UNDETERMINED 50000 3 7 3 2000<br />
AMCILL 01315 AMPICILLIN 50275 1 6 1 0346<br />
AMCORT 01320 TRIAMCINOLONE 55915 1 6 1 1032<br />
AMEN 01325 MEDROXYPROGESTERONE 53280 1 6 1 1034<br />
AMERICAINE 01335 BENZOCAINE 50530 3 6 1 0121<br />
AMERICAINE DROPS 01340 BENZOCAINE 50530 1 6 1 1670<br />
AMERICAINE FIRST AID SPRAY 01345 BENZOCAINE 50530 2 6 1 0117<br />
AMERICAINE HEMORRHOIDAL 01348 BENZOCAINE 50530 2 6 1 0117<br />
AMERICAINE LUBRICANT 01350 BENZOCAINE 50530 1 6 1 0117<br />
AMERTAN 01360 COMBINATION PRODUCT 51380 2 6 2 TANNIC ACID, THIMEROSAL 55655, 55770 1265<br />
AMICAR 01375 AMINOCAPROIC ACID 50200 1 6 1 0409<br />
AMIDE V.C. VAGINAL 01385 UNDETERMINED 50000 3 7 3 2000<br />
AMIDOXINE 01395 UNDETERMINED 50000 3 7 3 2000<br />
AMIGEN DEXTROSE 01403 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, PROTEIN HYDROLSATE 51675, 54920<br />
AMIKACIN 01405 AMIKACIN 50180 1 6 1 0352<br />
AMIKIN 01410 AMIKACIN 50180 1 6 1 0352<br />
AMIN-AID 01415 DIETARY SUPPLEMENT 51740 2 6 1 0914<br />
AMINO-CERV 01420 COMBINATION PRODUCT 51380 1 6 2 CYSTINE, METHIONINE, UREA 51518, 53550, 56120 1265<br />
AMINOACETIC ACID 01425 AMINOACETIC ACID 50190 1 6 1 0877<br />
AMINOPHYLLINE 01450 AMINOPHYLLINE 50210 1 6 1 1940<br />
AMINOPHYLLINE EPHEDRINE AMOBARBITAL 01470 COMBINATION PRODUCT 51380 1 6 2 AMINOPHYLLINE, AMOBARBITAL SODIUM, EPHEDRINE 50210, 50250, 52035 1940<br />
AMINOSALICYLATE SODIUM 01480 AMINOSALICYLIC ACID 50220 1 6 1<br />
AMINOSALICYLIC ACID ENSEAL 01485 AMINOSALICYLIC ACID 50220 3 6 1 0877, 1720<br />
AMINOSYN 01495 AMINO ACIDS 50185 1 6 1 0914<br />
AMIPAQUE 01505 METRIZAMIDE 53695 1 6 1 0789<br />
AMIRON 01510 COMBINATION PRODUCT 51380 1 6 2 DOCUSATE, FOLIC ACID, IRON PREPARATIONS, VITAMIN B-12, VITAMIN C 51935, 52355, 52885, 56192, 56193 0408<br />
AMITONE 01520 CALCIUM CARBONATE 50785 2 6 1 0877<br />
AMMONIA AROMATIC ASPIROL 01555 AMMONIA SPIRIT AROMATIC 50235 2 6 1 2087<br />
AMMONIA AROMATIC SPIRIT 01560 AMMONIA SPIRIT AROMATIC 50235 2 6 1 2087<br />
AMMONIA INHALANTS 01563 AMMONIA SPIRIT AROMATIC 50235 2 6 1 2087<br />
AMMONIUM BROMIDE 01568 AMMONIUM BROMIDE 50243 3 6 1<br />
AMMONIUM CHLORIDE RED 01575 AMMONIUM CHLORIDE 50245 2 6 1 0507<br />
AMOBARBITAL 01595 AMOBARBITAL SODIUM 50250 1 2 1 0626<br />
AMOBARBITAL-EPHEDRINE 01600 COMBINATION PRODUCT 51380 1 6 2 AMOBARBITAL SODIUM, EPHEDRINE 50250, 52035<br />
AMOLIN 01615 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM ANTACIDS, STARCH, TALC 53175, 55480, 55645 1940<br />
AMONIDRIN 01620 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, EPHEDRINE, GUAIFENESIN 50245, 52035, 52490 1943<br />
AMOXAPINE 01628 AMOXAPINE 50258 1 6 1 0630<br />
AMOXICILLIN TRIHYDRATE 01635 AMOXICILLIN 50260 1 6 1 0346<br />
AMPHICOL 01665 CHLORAMPHENICOL 51050 1 6 1<br />
AMPHOJEL 01670 ALUMINUM HYDROXIDE 50145 2 6 1 0874, 0879<br />
AMPHOJEL W/MINERAL OIL 01675 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MINERAL OIL 50145, 53720<br />
AMPHOTERICIN 01678 AMPHOTERICIN 50270 1 6 1 0358<br />
AMPI-CO 01680 AMPICILLIN 50275 1 6 1 0346<br />
AMPICILLIN TRIHYDRATE 01690 AMPICILLIN 50275 1 6 1 0346<br />
AMQUINTUSSIN 01700 UNDETERMINED 50000 3 7 3 2000<br />
AMSED 01710 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180<br />
AMYL NITRITE 01720 AMYL NITRITE 50280 1 6 1 0503<br />
ANABOL 01735 METHANDRIOL 53490 1 3 1 1033<br />
ANABOLIC AGENT 01738 UNDETERMINED 50000 3 7 3 2087<br />
ANACEL 01750 UNDETERMINED 50000 3 7 3 2000<br />
ANACIN-3 WITH CODEINE 01758 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
ANADROL 01760 OXYMETHOLONE 54130 1 3 1 1033<br />
ANALBALM 01770 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, METHYL SALICYLATE 50845, 53325, 53620<br />
ANALGESIC COMPOUND 01785 COMBINATION PRODUCT 51380 3 7 2 UNDETERMINED 50000 1720<br />
ANALGESIC EMULSION 01790 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE 53325, 53620<br />
ANALGESIC LINIMENT 01795 COMBINATION PRODUCT 51380 3 7 2 CAMPHOR, DIPROPYLENE GLYCOL SALICYLATE, MENTHOL, METHYL SALICYLATE, METHYL NICOTINATE 50845, 51914, 53325, 53620, 53647 1265<br />
ANAMINE 01820 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
ANANASE 01825 UNDETERMINED 50000 3 7 3 2000<br />
ANASPAZ-PB 01845 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, HYOSCYAMINE SULFATE 54395, 70336 0877<br />
ANATUSS W/CODEINE 01853 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, GUAIFENESIN, CODEINE PHOSPHATE, PHENYLPROPANOLAMINE HCL 50005, 52490, 70231, 70254 1941, 1943, 1944<br />
ANAVAR 01855 OXANDROLONE 54080 1 3 1 1033<br />
ANCOBON 01870 FLUCYTOSINE 52290 1 6 1 0355<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ANDO 01878 TESTOSTERONE 55695 1 3 1 1033, 1479<br />
ANDRO CYP 01890 TESTOSTERONE 55695 1 3 1 1033<br />
ANDROID-F 01898 FLUOXYMESTERONE 52330 1 3 1 1033<br />
ANDROID-G 01900 COMBINATION PRODUCT 51380 1 6 2 ESTRONE, NIACIN, RIBOFLAVIN, TESTOSTERONE, THIAMINE 52080, 53905, 55105, 55695, 55755<br />
ANDROID-HCG 01905 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
ANDROID-T 01910 TESTOSTERONE 55695 1 3 1 1033<br />
ANDROID-10 01915 TESTOSTERONE 55695 1 3 1 1033<br />
ANDROID-25 01920 TESTOSTERONE 55695 1 3 1 1033<br />
ANDROLAN AQUEOUS 01930 TESTOSTERONE 55695 1 3 1 1033<br />
ANDROLONE 01935 NANDROLONE 53870 1 3 1 1033<br />
ANDROLONE D 100 01940 NANDROLONE 53870 1 3 1 1033<br />
ANDRONATE 01955 TESTOSTERONE 55695 1 3 1 1033<br />
ANDRYL 200 01960 TESTOSTERONE 55695 1 3 1 1033<br />
ANECAL 01970 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CALAMINE, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 50755, 56265 2087<br />
ANECTINE 01975 SUCCINYLCHOLINE 55510 1 6 1 0119<br />
ANGIO-CONRAY 02010 IOTHALAMATE 52865 1 6 1 0789<br />
RONDEC-DM ORAL DROPS 02011 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR, CARBINOXAMINE MALEATE 70256, 70338, 70401 1943<br />
DRYVAX 02012 SMALLPOX VACCINE 55255 1 6 1 1180<br />
ANHYDRON 02015 CYCLOTHIAZIDE 51495 1 6 1 0507<br />
DREXOPHED 02017 COMBINATION PRODUCT 51380 1 6 2 DEXBROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE SULFATE 70373, 70378 1941<br />
FOCALIN 02018 DEXMETHYLPHENIDATE HCL 70427 1 2 1 0631<br />
PEDIACARE COUGH-COLD LIQUID 02022 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70226, 70256, 70338 1943, 1945<br />
SUPARTZ 02023 SODIUM HYALURONATE 55339 1 6 1 1724<br />
VITAMIN B & E 02024 COMBINATION PRODUCT 51380 2 6 2 VITAMIN E, VITAMIN B 56195, 56340 0913<br />
GLUCAGEN 02027 GLUCAGON 52420 1 6 1 0789, 1036, 2095<br />
ANISOTROPINE W/PHENOBARB 02030 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, ANISOTROPINE METHYLBROMIDE 54395, 70337 0874<br />
RESPERIN 02034 COMBINATION PRODUCT 51380 2 7 2 BURDOCK ROOT, SLIPPERY ELM, SHEEP SORREL, INDIAN RHUBARB ROOT 70436, 70437, 70438, 70439 2100<br />
LO-OGESTREL 02038 COMBINATION PRODUCT 51380 1 6 2 NORGESTREL, ETHINYL ESTRADIOL 53970, 70027 1040<br />
ANODYNOS FORTE 02040 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE, SALICYLAMIDE, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 50005, 50745, 55150, 70226, 70358 1945<br />
D5W W/K ACET & K PHOS 02041 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, POTASSIUM PHOSPHATE, WATER STERILE, POTASSIUM ACETATE 51675, 54733, 56210, 70441 0915<br />
MAGNESIUM SULFATE W/PHENERGAN 02043 COMBINATION PRODUCT 51380 1 6 2 MAGNESIUM SULFATE, PROMETHAZINE HCL 70398, 70411 0635, 0913<br />
NATRECOR 02044 NESIRITIDE 70442 1 6 1 0508<br />
AUGMENTIN ES 02047 COMBINATION PRODUCT 51380 1 6 2 AMOXICILLIN, CLAVULANATE POTASSIUM 50260, 70341 0346<br />
PALGIC DS 02048 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, CARBINOXAMINE MALEATE 70256, 70401 1944<br />
PEDIATEX-D 02049 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, CARBINOXAMINE MALEATE 70256, 70401 1944<br />
ANOQUAN 02050 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 0626, 1720<br />
ANOREXIC AGENT 02053 UNDETERMINED 50000 3 7 3 0631<br />
ANOVO 02055 COMBINATION PRODUCT 51380 2 6 2 CALCIUM GLYCEROPHOSPHATE, POTASSIUM ACIDIFYING AGENTS 50773, 54735 2000<br />
XAP 02056 COMBINATION PRODUCT 51380 1 6 2 XYLOCAINE, ADRENALINE, PONTOCAINE 70305, 70443, 70446 2087<br />
ZEPMAX 02058 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, EPHEDRINE 50410, 50745, 52035 2087<br />
DIAMOX SEQUELS 02060 ACETAZOLAMIDE 50020 1 6 1 0507, 1566<br />
GUAIFENESIN/PSEUDOEPHEDRINE 02061 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
SCHWARTZ COCKTAIL 02063 COMBINATION PRODUCT 51380 1 6 2 LIDOCAINE, DIPHENHYDRAMINE HCL 53070, 70344 0877<br />
TNKASE 02065 TENECTEPLASE 70451 1 6 1 0409<br />
BARBITURATES 02068 UNDETERMINED 50000 1 2 3 0118, 0626, 1374<br />
ANSPOR 02070 CEPHRADINE 51005 1 6 1 0347<br />
BETASEPT 02071 COMBINATION PRODUCT 51380 2 6 2 ISOPROPYL ALCOHOL, CHLORHEXIDINE GLUCONATE 52925, 70453 1271<br />
LUPRON 02074 LEUPROLIDE ACETATE 70455 1 6 1 1042, 1480<br />
ANTABUSE 02075 DISULFIRAM 51925 1 6 1 0600<br />
MEROPENEM 02077 MEROPENEM 70456 1 6 1 0355<br />
NITROGLYCERIN SUBLINGUAL 02079 NITROGLYCERIN 53945 1 6 1 0508<br />
RALLY PAK 02084 MULTIVITAMIN COMBINATION 51382 3 6 2 GUAIFENESIN, MULTIVITAMINS, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 53805, 70256, 70338 1943<br />
ANTACID #6 02085 CALCIUM CARBONATE 50785 2 6 1 0874<br />
Z-COF DM SYRUP 02086 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70256, 70338 1943<br />
SOAPSUDS ENEMA 02087 COMBINATION PRODUCT 51380 1 6 2 SOAP, WATER 55265, 70460 0877<br />
ANTACID AND ADSORBENT 02088 UNDETERMINED 50000 3 7 3<br />
GUGGULBOLIC 02090 GUGGULSTERONES 70461 2 7 1 2100<br />
STAFLEX 02091 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, PHENYLTOLOXAMINE CITRATE 50005, 70255 1720<br />
MUPIROCIN CALCIUM OINTMENT 02092 MUPIROCIN 80011 1 6 1 1271<br />
ANTALGESIC 02095 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
GREEN COCKTAIL 02096 COMBINATION PRODUCT 51380 1 6 2 LIDOCAINE, PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 53070, 54395, 55180, 70120, 70336 0877<br />
GASTROCROM 02097 CROMOLYN SODIUM 51430 1 6 1 1940<br />
ANTAR 02100 UNDETERMINED 50000 3 7 3 2000<br />
GARLIMAX 02101 GARLIC 57142 2 6 1 2100<br />
MIOCHOL-E 02109 ACETYLCHOLINE CHLORIDE 70464 1 6 1 1566<br />
ANTEPAR 02110 UNDETERMINED 50000 3 7 3 2000<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
SUPER OXIDE DISMUTASE 02111 SUPER OXIDE DISMUTASE 70465 2 6 1 2100<br />
ANTHELMINTIC AGENT 02113 UNDETERMINED 50000 3 7 3 1862<br />
DOUBLE ANTIBIOTIC 02114 COMBINATION PRODUCT 51380 2 6 2 POLYMYXIN B, BACITRACIN ZINC 70011, 70213 1271<br />
ANTHRA-DERM 02115 ANTHRALIN 50310 1 6 1 1265<br />
ERYCIN 02116 ERYTHROMYCIN 52065 1 6 1 0348<br />
PLAN B 02117 LEVONORGESTREL 50002 1 6 1 1040<br />
ANTHRALIN 02120 ANTHRALIN 50310 3 6 1 1265<br />
ANDOLEX 02121 BENZYDAMINE 70467 3 7 1 1720<br />
SURAMIN 02123 SURAMIN 70468 1 7 1 1860, 1862<br />
ANTIACID 02125 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50145, 50785, 53175 0874, 0879<br />
BANANA BAG 02127 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, MULTIVITAMINS, SODIUM CHLORIDE, THIAMINE 52355, 53805, 55315, 55755 0913, 0915<br />
ANTI TEN 02130 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE, PHENACETIN 50410, 50728, 50745, 54350 0626, 1720<br />
LORCET-HD 02132 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
NITROGLYCERIN TRANSLINGUAL 02133 NITROGLYCERIN 53945 1 6 1 0503<br />
PEDIALYTE FREEZER POPS 02134 COMBINATION PRODUCT 51380 2 6 2 CHLORIDE ION, POTASSIUM ION, SODIUM ION, CITRATE 51064, 54713, 55348, 70471 0915<br />
VISTIDE 02136 CIDOFOVIR 59642 1 6 1 0388<br />
HRT 02141 UNDETERMINED 50000 1 6 3 1034<br />
ANTAGON 02142 GANIRELIX ACETATE 70472 1 6 1 1035<br />
ORTHO-EVRA 02144 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, NORELGESTROMIN 70027, 70473 1040<br />
ADOXA 02146 DOXYCYCLINE 51965 1 6 1 0350<br />
METHYLIN 02147 METHYLPHENIDATE HCL 70374 1 2 1 0631, 1941<br />
DECADRON/KENALOG 02149 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, TRIAMCINOLONE ACETONIDE 51635, 70307 1032<br />
ANTI-TUSS 02150 GUAIFENESIN 52490 2 6 1 1941, 1943<br />
KENALOG/LIDOCAINE 02152 COMBINATION PRODUCT 51380 1 6 2 LIDOCAINE, TRIAMCINOLONE ACETONIDE 53070, 70307 1032<br />
GLEEVEC 02156 IMATINIB MESYLATE 70475 1 6 1 1479<br />
ANTIANEMIA AGENT 02157 UNDETERMINED 50000 3 7 3 0408<br />
ANTIBIOTIC EAR DROPS 02159 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NEOMYCIN, POLYMYXIN B 52655, 53895, 70011 1670<br />
ANTIBIOPTO 02160 CHLORAMPHENICOL 51050 1 6 1 0351<br />
PRINCIPEN 02161 AMPICILLIN 50275 1 6 1 0346<br />
SABRIL 02162 VIGABATRIN 70476 1 6 1 1374<br />
VITAMIN E & A 02164 COMBINATION PRODUCT 51380 2 6 2 VITAMIN A, VITAMIN E 56185, 56195 0913<br />
ACCUHIST DM PEDIATRIC 02166 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70239, 70256, 70338 1943<br />
BLACK COHOSH 02168 BLACK COHOSH 70477 2 6 1 2100<br />
ANTIHEMOPHILIC FACTOR HUMAN 02170 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0411<br />
BORAGE OIL 02173 BORAGE OIL 70479 2 6 1 2100<br />
ANTILIRIUM 02175 PHYSOSTIGMINE 54490 1 6 1 0281<br />
CAPZASIN P 02177 CAPSAICIN 50867 2 6 1 1275<br />
DECADRON W/XYLOCAINE 02179 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE SODIUM PHOSPHAT, LIDOCAINE HCL 70369, 70370 1032<br />
ANTIMINTH 02180 PYRANTEL 54975 2 6 1 1862<br />
FIBERALL 02182 PSYLLIUM 54965 2 6 1 0876<br />
ANTIMONY POTASSIUMTARTRATE 02183 ANTIMONY POTASSIUM TARTRATE 50323 3 6 1 2000<br />
OGESTREL 0.5/50 02184 COMBINATION PRODUCT 51380 1 6 2 NORGESTREL, ETHINYL ESTRADIOL 53970, 70027 1040<br />
ANTIPHLOGISTINE 02185 UNDETERMINED 50000 2 6 3 2000<br />
ORTHO EVRA 02186 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, NORELGESTROMIN 70027, 70473 1040<br />
ALPHAGAN P 02187 BRIMONIDINE TARTRATE 70065 1 6 1 1566<br />
DEXEDRINE SPANSULES 02188 DEXTROAMPHETAMINE SULFATE 70260 1 2 1 0631<br />
ANTIPRESS 02190 UNDETERMINED 50000 3 7 3 2000<br />
ADULAX 02192 COMBINATION PRODUCT 51380 3 6 2 GLYCERIN, WATER STERILE 52450, 56210 0876<br />
ANTIPYRINE 02195 ANTIPYRINE 50325 1 6 1 1670<br />
LIQUIGEL 02196 CARBOXYMETHYLCELLULOSE SODIUM 70484 2 6 1 1569<br />
NOVASAL 02197 COMBINATION PRODUCT 51380 1 6 2 MAGNESIUM SALICYLATE, PHENYLTOLOXAMINE CITRATE 53220, 70255 1722<br />
PREPARATION H OINTMENT 02199 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PETROLATUM, SHARK LIVER OIL, PHENYLEPHRINE HCL 53720, 54330, 55213, 70358 1272<br />
ANTIRABIES SERUM 02200 ANTIRABIES SERUM 50330 1 6 1 1180<br />
PREPARATION H SUPPOSITORIES 02201 COMBINATION PRODUCT 51380 2 6 2 COCOA BUTTER, SHARK LIVER OIL 51325, 55213 1272<br />
PREPARATION H COOLING GEL 02202 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, PHENYLEPHRINE HCL, WITCH HAZEL 50090, 70358, 70485 1272<br />
ROBAXIN-750 02207 METHOCARBAMOL 53560 1 6 1 1373<br />
MYTUSSIN DAC LIQUID 02208 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1941, 1943<br />
ELIDEL 02213 PIMECROLIMUS 70432 1 6 1 1265<br />
TUSSI-12D S 02218 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE, CARBETAPENTANE TANNATE 70403, 70404, 70493 1943<br />
ULTRA-FREEDA 02219 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
VITAMIN C & E & B 02221 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, VITAMIN E, VITAMIN B 56193, 56195, 56340 0913<br />
Z-COF LA 02222 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
FERGUSON 361 CREAM 02224 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, CAMPHOR, STEARYL ALCOHOL, ZINC OXIDE 50660, 50845, 55490, 70052 1272<br />
FROVA 02226 FROVATRIPTAN SUCCINATE 70495 1 6 1 1723<br />
LACTINOL E 02227 COMBINATION PRODUCT 51380 1 6 2 LACTIC ACID, VITAMIN E 52980, 56195 1265<br />
FASIGYN 02229 TINIDAZOLE 70497 3 7 1 1860<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ANTISPASMODIC COMPOUND 02230 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0877<br />
ADALAT CC 02231 NIFEDIPINE 53922 1 6 1 0510<br />
TRIEST 02236 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, ESTRONE, ESTRIOL 52070, 52080, 70248 1034<br />
CLORPRES 02237 COMBINATION PRODUCT 51380 1 6 2 CHLORTHALIDONE, CLONIDINE HCL 51170, 70357 0506<br />
ANTIVENIN SNAKE BITE 02240 ANTIVENIN SNAKE BITE 55260 2 6 1 0285<br />
HISTEX SR 02242 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1940, 1944<br />
BICALUTAMIDE 02243 BICALUTAMIDE 57228 1 6 1 1033<br />
ANTIVENIN MICRURUS FULVIUS 02245 ANTIVENIN SNAKE BITE 55260 2 6 1<br />
CUTEMOL 02246 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, MINERAL OIL, ACETYLATED LANOLIN, LANOLIN ALCOHOLS EXTRACT 50103, 53720, 70500, 70501 1265<br />
MYOBLOC 02248 BOTULINUM TOXIN TYPE B 70502 1 6 1 0632<br />
PEPCID AC 02249 FAMOTIDINE 52198 2 6 1 0874, 0877<br />
ANAGRELIDE 02254 ANAGRELIDE HYDROCHLORIDE 70315 1 6 1 2087<br />
GLY-SAL PAD 02257 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID, GLYCOLIC ACID, WITCH HAZEL 55160, 70141, 70485 1270<br />
GLYCO-X CLEANSING PADS 02258 GLYCOLIC ACID 70141 2 6 1 1265, 1270<br />
U-LACTIN 02260 COMBINATION PRODUCT 51380 2 6 2 LACTIC ACID, MINERAL OIL, PETROLATUM, PROPYLENE GLYCOL, UREA 52980, 53720, 54330, 54895, 56120 1265<br />
EDATREXATE 02263 EDATREXATE 70509 1 6 1 1479<br />
GLY DERM CONDITIONING SHAMPO 02264 COMBINATION PRODUCT 51380 2 6 2 CITRIC ACID, SODIUM LAURYL SULFATE, COCAMIDOPROPYL HYDROXY SULTAN, ERUCAMIDOPROPYL HYDROXY SULTA, SILK AMINO ACID 51235, 55360, 70510, 70511, 70512 1265<br />
ANTRENYL 02265 OXYPHENOMIUM 54145 1 6 1 0877<br />
GLYFEET 02266 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, GLYCOLIC ACID 50000, 70141 1265<br />
K-DERM CREAM 02267 COMBINATION PRODUCT 51380 2 6 2 CETEARYL OCTANOATE, DIMETHICONE, PHYTONADIONE, UREA, CYCLOMETHICONE 51017, 51817, 54495, 56120, 70513 1265<br />
RITALIN LA 02271 METHYLPHENIDATE HCL 70374 1 2 1 0631<br />
LANACANE 02272 BENZOCAINE 50530 2 6 1 0121<br />
NIACOR 02274 NIACIN 53905 1 6 1 0504, 0912, 0913<br />
ANTROCOL 02275 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, ATROPINE SULFATE 54395, 70120 0877<br />
LID WIPES-SPF 02277 COMBINATION PRODUCT 51380 2 6 2 SODIUM CHLORIDE, GLYCERYL TALLOWATE, GLYCERYL COCOATE, LAURETH-23, COCOAMIDOPROPYLAMINE OXIDE 55315, 70516, 70517, 70518, 70519 1569<br />
NATREXONE HCL 02278 NALTREXONE HYDROCHLORIDE 53868 1 6 1 0281<br />
CHICKEN POX VACCINE 02281 VARICELLA VIRUS VACCINE 70520 1 6 1 1180<br />
5-HYDROXYTRYPTOPHAN 02282 GRIFFONIA SIMPLICIFOLIA 70521 2 6 1 2087, 2100<br />
CITRIMAX BALANCE 02283 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM CHELATE, CHROMIUM PICOLINATE, VANADIUM, VITAMIN B-6 70153, 70155, 70435, 70697 2100<br />
ULTRA FLORA PLUS 02284 COMBINATION PRODUCT 51380 2 6 2 LACTOBACILLUS ACIDOPHILUS, BIFIDOBACTERIUM INFANTIS, GLOBULIN PROTEIN CONCENTRATE 52985, 70523, 70524 2100<br />
ANTURANE 02285 SULFINPYRAZONE 55585 1 6 1 1725<br />
GLYCOMET 02286 METFORMIN HCL 70481 1 6 1 1036<br />
HUMULIN N PREFILLED 02289 ISOPHANE INSULIN 70015 2 6 1 1036<br />
CERVIDIL 02290 DINOPROSTONE 51840 1 6 1 1039<br />
TOTAL ENTERAL NUTRITION 02294 UNDETERMINED 50000 3 6 3 0914<br />
ANUJECT 02295 PROCAINE 54815 1 6 1 0117<br />
BAKING SODA DOUCHE 02296 COMBINATION PRODUCT 51380 2 6 2 WATER, BAKING SODA 70460, 70528 1273<br />
CYCLESSA 02298 COMBINATION PRODUCT 51380 1 6 2 DESOGESTREL, ETHINYL ESTRADIOL 57058, 70027 1040<br />
ANULAN 02300 COMBINATION PRODUCT 51380 2 6 2 BALSAM, BISMUTH OXIDE, BISMUTH ANTI-DIARRHEA AGENTS, BORIC ACID, ZINC TOPICAL AGENTS, EXTERNAL USE 50460, 50632, 50635, 50660, 56265<br />
APO-METFORMIN 02302 METFORMIN HCL 70481 1 6 1 1036<br />
REMIFEMIN 02303 BLACK COHOSH 70477 2 6 1 2100<br />
TWINRIX 02304 COMBINATION PRODUCT 51380 1 6 2 HEPATITIS B VACCINE, HEPATITIS A VACCINE 52548, 59602 1180<br />
ANUPHEN 02305 UNDETERMINED 50000 3 7 3<br />
AXILLERY BLOCK 02309 UNDETERMINED 50000 1 7 3 0117<br />
CABERGOLINE 02312 CABERGOLINE 70110 1 6 1 1371<br />
PRO-BIO GOLD 02317 COMBINATION PRODUCT 51380 2 6 2 LACTOBACILLUS ACIDOPHILUS, LACTOBACILLUS BULGARICUS, LACTOBACILLUS RHAMNOSUS, BIFIDOBACTERIUM BIFIDUM, LACTOBACILLUS CASEI 52985, 52986, 70532, 70533, 70534 2100<br />
SUPER NU-THERA 02318 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
SYMAX-SL 02319 HYOSCYNAMINE SULFATE 70491 1 6 1 0877<br />
APAC 02320 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, PHENACETIN 50410, 50745, 54350 2087<br />
THALOMID 02322 THALIDOMIDE 92511 1 6 1 1181<br />
B-STRESS 02324 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
APACOMP 02325 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE 50005, 50410, 50745<br />
GUAIFENEX G 02328 GUAIFENESIN 52490 1 6 1 1943<br />
MEGAZYME 02330 COMBINATION PRODUCT 51380 2 6 2 AMYLASE, BROMELAINS, PANCREATIN, PAPAIN, TRYPSIN 50283, 50675, 54160, 54180, 56048 2100<br />
CARNOSINE 02337 CARNOSINE 70546 2 6 1 2100<br />
APAP W/CHLORZOXAZONE 02338 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORZOXAZONE 50005, 51175<br />
SOLUMET 02339 SOLUMET 70550 2 6 1 1036, 2100<br />
ARA-C 02341 CYTARABINE 51520 1 6 1 1481<br />
PARACETAMOL 02343 ACETAMINOPHEN 50005 2 6 1 2100<br />
LACTINOL 02344 LACTIC ACID 52980 1 6 1 1265<br />
APAP W/CODEINE ELIXIR 02345 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
LIDOCAINE W/MARCAINE 02349 COMBINATION PRODUCT 51380 1 6 2 MARCAINE, LIDOCAINE HCL 70306, 70370 0117, 0118<br />
APAP W/PHENYLPROPANOLAMINE 02350 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE 50005, 54465 1945<br />
TRIHIBIT 02352 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, TETANUS TOXOID, HAEMOPHILUS B CONJUGATE VACCINE, ACELLULAR PERTUSSIS VACCINE 51910, 55710, 56445, 70440 1180<br />
CALCIUM AND VITAMIN C 02353 COMBINATION PRODUCT 51380 2 6 2 CALCIUM, VITAMIN C 50776, 56193 0913<br />
APATATE 02355 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, THIAMINE, VITAMIN B-12 54990, 55755, 56192 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
NUSKIN 02357 BANDAGE 50465 2 6 1 2095<br />
APHCO HEMORRHOIDAL 02360 COMBINATION PRODUCT 51380 2 6 2 BALSAM, BENZOCAINE, BISMUTH SULFONATE, BISMUTH ANTI-DIARRHEA AGENTS 50460, 50530, 50634, 50635<br />
PROPOFOL W/LIDOCAINE 02362 COMBINATION PRODUCT 51380 1 6 2 PROPOFOL, LIDOCAINE HCL 56605, 70370 0118<br />
BELPH 10 02363 SULFACETAMIDE SODIUM 70214 1 6 1 0353<br />
NUVARING 02367 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, ETONOGESTREL 70027, 70630 1040<br />
KENALOG/XYLOCAINE 02369 COMBINATION PRODUCT 51380 1 6 2 XYLOCAINE, TRIAMCINOLONE ACETONIDE 70305, 70307 1268<br />
SEN-O-TABS 02372 UNDETERMINED 50000 3 6 3 0876<br />
APLITEST 02375 TUBERCULIN 56065 1 6 1 0789<br />
DROXIA 02377 HYDROXYUREA 52710 1 6 1 1479<br />
APOGEN 02378 GENTAMICIN 52400 1 6 1 0352<br />
CLINIMIX E 02380 COMBINATION PRODUCT 51380 1 6 2 AMINO ACIDS, CALCIUM, DEXTROSE, ELECTROLYTES 50185, 50776, 51675, 52023 0914<br />
GLYCERYL TRINITRATE 02381 NITROGLYCERIN 53945 1 6 1 0508<br />
SLEEP SPRAY 02383 DIPHENHYDRAMINE HCL 70344 2 6 1 1944<br />
POLYGAM S/D 02386 IMMUNE GLOBULIN INTRAVENOUS 70657 1 6 1 1183<br />
REMIFENTANIL 02387 REMIFENTANIL HCL 59745 1 2 1 1721<br />
ANDROSTENEDIONE 02388 ANDROSTENEDIONE 70658 2 6 1 1033<br />
XIGRIS 02390 DROTRECOGIN ALFA 70659 1 6 1 2087<br />
NITRIC OXIDE 02391 NITRIC OXIDE 70660 1 6 1 0120<br />
INOMAX 02392 NITRIC OXIDE 70660 1 6 1 0120<br />
NESIRITIDE 02394 NESIRITIDE 70442 1 6 1 0508<br />
VARICELLA VIRUS VACCINE 02396 VARICELLA VIRUS VACCINE 70520 1 6 1 0100, 1180<br />
NEUROPROTECTIVE AGENT 02398 UNDETERMINED 50000 1 6 3 0508<br />
APRESODEX 02400 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, HYDRALAZINE HCL 52645, 70339 0506, 0507<br />
AQUA-TON 02435 PHENAZOPYRIDINE 54365 1 6 1<br />
AQUACARE/HP 02450 UREA 56120 2 6 1 1265<br />
AQUACHLORAL SUPPRETTE 02455 CHLORAL HYDRATE 51040 1 4 1 0626<br />
AQUAMEPHYTON 02465 PHYTONADIONE 54495 1 6 2 0409<br />
AQUAPHYLLIN 02473 THEOPHYLLINE 55745 1 6 1 1940<br />
AQUAPRES 02475 BENZTHIAZIDE 50560 1 6 1 0506, 0507<br />
AQUASERP 02480 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080<br />
AQUASOL A 02485 VITAMIN A 56185 2 6 1 0913<br />
AQUASOL BODY LOTION 02490 UNDETERMINED 50000 2 6 3 1265<br />
AQUASOL E 02495 VITAMIN E 56195 2 6 1 0913<br />
AQUATAG 02505 BENZTHIAZIDE 50560 1 6 1 0507<br />
AQUATENSEN 02510 METHYCLOTHIAZIDE 53610 1 6 1 0507<br />
AQUEOUS BENZALKON CHLOR 02513 BENZALKONIUM CHLORIDE 50515 3 6 1<br />
ARALEN 02520 CHLOROQUINE 51095 1 6 1 1860<br />
ARALEN W/PRIMAQUINE 02530 COMBINATION PRODUCT 51380 1 6 2 CHLOROQUINE, PRIMAQUINE PHOSPHATE 51095, 70340 1860<br />
ARAMINE 02535 METARAMINOL 53455 1 6 1 0505<br />
ARCO-CEE 02540 VITAMIN C 56193 2 6 1<br />
ARCO E 02541 VITAMIN E 56195 2 6 1<br />
ARCORET 02547 COMBINATION PRODUCT 51380 2 6 2 PROTEINASE, THIAMINE, VITAMIN B-12 54923, 55755, 56192<br />
ARCOTINIC 02548 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN C 52885, 53125, 56193<br />
ARGYROL S.S. 02560 SILVER PROTEIN 55230 2 6 1 1568<br />
ARISTO-PAK 02570 TRIAMCINOLONE 55915 1 6 1 1268<br />
ARISTOCORT A 02580 TRIAMCINOLONE 55915 1 6 1 1268<br />
ARISTOCORT HP 02590 TRIAMCINOLONE 55915 1 6 1 1268<br />
ARISTOCORT INTRALESIONAL 02595 TRIAMCINOLONE 55915 1 6 1 1268<br />
ARISTOCORT LP 02600 TRIAMCINOLONE 55915 1 6 1 1268<br />
ARISTOSPAN 02615 TRIAMCINOLONE 55915 1 6 1 1268<br />
ARITHMIN 02620 ANTAZOLINE 50305 1 6 1 2087<br />
ARM-A-MED 02626 ISOPROTERENOL 52930 1 6 1 1940<br />
ARO-PEPSIN 02635 COMBINATION PRODUCT 51380 2 6 2 DIASTASE, HYDROCHLORIC ACID, LACTIC ACID, PANCREATIN, PEPSIN 51688, 52640, 52980, 54160, 54310<br />
AROMATIC SPIRITS OF AMMONIA 02640 COMBINATION PRODUCT 51380 2 6 2 AMMONIA STRONG, AMMONIUM CARBONATE, LAVENDER OIL, LEMON OIL, NUTMEG OIL 50238, 50244, 53010, 53025, 53988 2087<br />
ARTHRALGEN 02650 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, SALICYLAMIDE 50005, 55150 1720<br />
ARTHRITIS PAIN FORMULA 02660 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, ASPIRIN, MAGNESIUM ANTACIDS 50145, 50410, 53175 1722, 1724<br />
ARTHROPAN 02670 CHOLINE SALICYLATE 51200 2 6 1 1720<br />
ARTICULOSE-50 02674 PREDNISOLONE 54770 1 6 1 1032<br />
ARTRA SKIN TONE 02675 HYDROQUINONE 52675 2 6 1<br />
ASAFETIDA 02685 ASAFETIDA TINCTURE 50380 2 6 1<br />
AS-CAFF 02693 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE 50410, 50745 1720<br />
ASCORBIC ACID SYRUP 02710 VITAMIN C 56193 2 6 1 0913<br />
ASCRIPTIN NO. 3 02735 COMBINATION PRODUCT 51380 1 3 2 ALUMINUM HYDROXIDE, ASPIRIN, CODEINE, MAGNESIUM ANTACIDS 50145, 50410, 51340, 53175 1721<br />
ASELLACRIN 02745 SOMATROPIN 55430 1 6 1<br />
ASENDIN 02748 AMOXAPINE 50258 1 6 1 0630<br />
ASMACOL 02765 COMBINATION PRODUCT 51380 1 6 2 ALUMINUM HYDROXIDE, AMINOPHYLLINE, BUTABARBITAL, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50145, 50210, 50720, 51130, 54465 1940<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ASMALIX ELIXIR 02775 THEOPHYLLINE 55745 1 6 1 1940<br />
ASPERGUM 02790 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
ASPIRBAR 02800 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, PHENOBARBITAL 50410, 54395<br />
ASPIRIN W/CODEINE 02803 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE 50410, 51340 1721<br />
ASPIRIN COMPOUND 02810 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, PHENACETIN 50410, 50745, 54350 1720<br />
ASPIRIN COMPOUND #2 02815 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350 1721<br />
ASPIRIN COMPOUND W/CODEINE 02825 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350 1721<br />
ASPIRIN W/OXYCODONE 02828 COMBINATION PRODUCT 51380 1 2 2 ASPIRIN, OXYCODONE 50410, 54094 1721<br />
ASPIRIN-PHENACETIN-CAFFEINE 02835 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, PHENACETIN 50410, 50745, 54350<br />
ASTHMACON 02850 COMBINATION PRODUCT 51380 1 6 2 AMINOPHYLLINE, AMOBARBITAL SODIUM, EPHEDRINE 50210, 50250, 52035 1940<br />
ASTRAMORPH 02852 MORPHINE 53760 1 2 1 1721<br />
ATABRINE 02870 QUINACRINE 55030 1 6 1 1860<br />
ATARAXOID 02880 COMBINATION PRODUCT 51380 1 6 2 HYDROXYZINE, PREDNISOLONE 52715, 54770<br />
ATOKA 02905 UNDETERMINED 50000 3 7 3 2000<br />
ATRIDINE 02910 COMBINATION PRODUCT 51380 1 6 2 TRIPROLIDINE, PSEUDOEPHEDRINE HCL 56020, 70256 1941, 1944<br />
ATROCHOLIN 02920 DEHYDROCHOLIC ACID 51585 2 6 1 0877<br />
ATROMID-S 02925 CLOFIBRATE 51260 1 6 1 0912<br />
ATROPHYSINE 02930 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, PHYSOSTIGMINE 50420, 54490 1373<br />
ATROPINE BUFOPTO 02944 ATROPINE 50420 1 6 1 1567<br />
ATROPINE MURO 02945 ATROPINE 50420 1 6 1 1567<br />
ATROPINE SULFATE 02950 ATROPINE 50420 1 6 1 0119, 0875, 1567<br />
ATROPINE SULFATE & MEPERIDINE HCL 02955 COMBINATION PRODUCT 51380 1 2 2 ATROPINE SULFATE, MEPERIDINE HCL 70120, 70267 0119<br />
ATROPINE SULFATE HT 02960 ATROPINE 50420 1 6 1<br />
ATROPINE SULFATE MUROCOLL 02965 ATROPINE 50420 1 6 1<br />
ATROPINE SULFATE 21 GA 02970 ATROPINE 50420 1 6 1<br />
ATROPINE SULFATE 22 GA 02975 ATROPINE 50420 1 6 1<br />
ATROPISOL 02980 ATROPINE 50420 1 6 1 1567<br />
ATTENUVAX 02985 MEASLES VIRUS VACCINE 53255 1 6 1 1180<br />
VAQTA 03001 HEPATITIS A VACCINE 59602 1 6 1 1180<br />
AUREOMYCIN 03005 CHLORTETRACYCLINE 51165 2 6 1 1265<br />
GI COCKTAIL W/DONNATAL 03006 COMBINATION PRODUCT 51380 1 6 2 ALUMINUM HYDROXIDE, LIDOCAINE, SIMETHICONE, MAGNESIUM HYDROXIDE, DONNATAL 50145, 53070, 55240, 70112, 70676 0877, 0879<br />
PANCOF XP 03008 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE, PSEUDOEPHEDRINE HCL 52490, 70217, 70256 0912, 1943<br />
SUR Q LAX 03009 DOCUSATE SODIUM 70262 2 6 1 0876<br />
GREEN LIZARD 03011 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR, DOXYLAMINE SUCCINATE 50005, 70256, 70338, 70677 2087<br />
SUGAR PILL 03014 DEXTROSE 51675 3 6 1 2087<br />
AURINOL 03015 COMBINATION PRODUCT 51380 2 6 2 ACETIC ACID, CHLOROXYLENOL 50025, 51120 1670<br />
TIGER BALM 03017 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL 50845, 53325 1720<br />
SUNVITE PLATINUM 03022 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
AUTONOMIC AGENT 03023 UNDETERMINED 50000 3 7 3<br />
AUTOPLEX 03024 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0411<br />
AVALGESIC LOTION 03025 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, CAPSICUM, MENTHOL, METHYL SALICYLATE, METHYL NICOTINATE 50845, 50868, 53325, 53620, 53647 1274<br />
ZANFEL 03026 UNDETERMINED 50000 2 6 3 1265<br />
COLD-TUSS-DR 03027 COMBINATION PRODUCT 51380 3 7 2 CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 70226, 70338, 70358 1941, 1943, 1944<br />
NITROSPRAY 03028 NITROGLYCERIN 53945 1 6 1 0508<br />
AVAZYME 03030 CHYMOTRYPSIN 51215 1 6 1 0877<br />
ZYMINE 03031 TRIPROLIDINE HCL 70209 1 6 1 1944<br />
FLAX ENEMA 03032 FLAX SEED OIL 57202 2 6 1 0877<br />
EPOPROSTENOL SODIUM 03034 EPOPROSTENOL SODIUM 70679 1 6 1 0506<br />
AVAZYME-100 03035 CHYMOTRYPSIN 51215 1 6 1<br />
FLOLAN 03036 EPOPROSTENOL SODIUM 70679 1 6 1 0506<br />
PANTIDINE 03038 CIMETIDINE 51220 1 6 1 0874<br />
IMODIUM A-D 03039 LOPERAMIDE 53140 2 6 1 0875<br />
AMEVIVE 03042 ALEFACEPT 70681 1 6 1 1100<br />
AVC/DIENESTROL 03045 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, AMINACRINE, DIENESTROL, SULFANILAMIDE 50103, 50183, 51735, 55565 1265<br />
HYDROGEN BLOCKER 03049 UNDETERMINED 50000 1 6 3 0800<br />
LITTLE NOSES GENTLE FORMULA 03051 PHENYLEPHRINE HCL 70358 2 6 1 1941<br />
XIRAL 03052 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PSEUDOEPHEDRINE HCL 70226, 70243, 70256 1941, 1944<br />
RYNATAN PEDIATRIC SUSPENSION 03054 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE TANNATE, PHENYLEPHRINE TANNATE 70402, 70403 1945<br />
CITROMA 03056 MAGNESIUM CITRATE 70275 2 6 1 0876<br />
TEQPAQ 03059 GATIFLOXACIN 70109 1 6 1 0357<br />
AVEENO OILATED 03060 COMBINATION PRODUCT 51380 2 6 2 OATMEAL, OLIVE OIL, PETROLATUM 54000, 54030, 54330 1265<br />
BETADINE MOUTHWASH/GARGLE 03061 POVIDONE-IODINE 54749 2 6 1 1264<br />
BETAVENT 03062 UNDETERMINED 50000 3 7 3 1943<br />
COX-2 INHIBITOR 03067 UNDETERMINED 50000 1 6 3 1727<br />
LEXAPRIL 03068 UNDETERMINED 50000 3 7 3 0630<br />
A & D OINTMENT 03072 COMBINATION PRODUCT 51380 2 6 2 VITAMIN A, VITAMIN D 56185, 56194 1265, 1270<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
AVITENE 03075 COLLAGEN DERIVATIVE 51365 1 6 1 0411<br />
PANLOR SS 03078 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CAFFEINE, DIHYDROCODEINE 50005, 50745, 52647 1721<br />
CROFAB 03079 CROTALIDAE POLYVALENT IMMUNE FAB 70686 1 6 1 0285<br />
KOVIA 03082 COMBINATION PRODUCT 51380 1 6 2 PAPAIN, UREA 54180, 56120 1265<br />
FLEET PEDIATRIC ENEMA 03083 COMBINATION PRODUCT 51380 1 6 2 DIBASIC SODIUM PHOSPHATE, MONOBASIC SODIUM PHOSPHATE 70688, 70689 0876<br />
AVP-CILLIN 03085 PENICILLIN 54250 1 6 1<br />
EBIXA 03087 MEMANTINE HCL 70692 1 6 1 0633<br />
TUSSI-12 D 03088 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE, CARBETAPENTANE TANNATE 70403, 70404, 70493 1945<br />
AZELASTINE HCL 03091 AZELASTINE HCL 70693 1 6 1 1944, 1945<br />
NALEX DH 03094 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE, PHENYLEPHRINE 52650, 54455 1945<br />
AVP-NATAL-FA 03095 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, PYRIDOXINE, VITAMIN A, VITAMIN C 52355, 52885, 54990, 56185, 56193 0913<br />
NEURODEP-CAPS 03096 COMBINATION PRODUCT 51380 2 6 2 VITAMIN B-12, VITAMIN B-1, VITAMIN B-6 56192, 70696, 70697 0913<br />
VOLTAREN XR 03098 DICLOFENAC SODIUM 80004 1 6 1 1724<br />
DILUTED VINEGAR SOAK 03100 UNDETERMINED 50000 3 6 1 1271<br />
AXINATE 03103 COMBINATION PRODUCT 51380 1 3 2 CAFFEINE, PHENACETIN, SALICYLAMIDE, STYRAMATE 50745, 54350, 55150, 55508<br />
METROCREAM 03104 METRONIDAZOLE 53700 1 6 1 1271<br />
ONE A DAY VITAMIN 03106 MULTIVITAMINS GENERAL 53780 3 7 2 0913<br />
AXOTAL 03110 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, BUTALBITAL 50410, 50728 1720<br />
CARDIOTABS 03111 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, SELENIUM, COENZYME Q10, LUTEIN, LYCOPENE 53805, 57026, 70050, 70270, 70699 0913<br />
GAMMALINOLENIC ACID 03112 GAMMALINOLENIC ACID 70700 2 6 1 2100<br />
LYMPHAZURIN 03114 ISOSULFAN BLUE 70701 1 6 1 0789<br />
XTRAMINS 03118 MULTIVITAMINS 53805 2 6 2 0913<br />
ZOLEDRONATE 03119 ZOLEDRONIC ACID 70393 1 6 1 2087<br />
AZAPEN 03120 METHICILLIN 53535 1 6 1<br />
ALLERCON 03121 COMBINATION PRODUCT 51380 2 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020 1941, 1944<br />
PHYTO-B 03124 UNDETERMINED 50000 2 6 3 2100<br />
AZENE 03125 CLORAZEPATE 51280 1 4 1 0626<br />
AZLIN 03128 AZLOCILLIN SODIUM 50446 1 6 1 0346<br />
DIPROLENE AF 03129 BETAMETHASONE 50585 1 6 1 1268<br />
AZMA-AID 03130 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 1940<br />
PHYTO-ESTROGEN 03133 UNDETERMINED 50000 2 6 3 2100<br />
ACTALIN 03136 UNDETERMINED 50000 2 6 3 2100<br />
CIPRO XR 03138 CIPROFLOXACIN HCL 51229 1 6 1 0355<br />
AZO GANTRISIN 03140 COMBINATION PRODUCT 51380 1 6 2 SULFISOXAZOLE, PHENAZOPYRIDINE HCL 55590, 70342 0353<br />
PERFECT FOOD 03143 UNDETERMINED 50000 2 6 3 2100<br />
SUMANIROLE 03144 UNDETERMINED 50000 1 6 3 0632<br />
FLUSTAT 03146 UNDETERMINED 50000 1 6 3 1180<br />
AVIANE 03148 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1034<br />
ONE A DAY KIDS 03149 MULTIVITAMINS GENERAL 53780 3 6 2 0913<br />
AZO-MANDELAMINE 03150 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE, PHENAZOPYRIDINE HCL 53530, 70342<br />
STERAPRED DS 03151 PREDNISONE 54775 1 6 1 1032<br />
INTENSOL 03152 UNDETERMINED 50000 3 7 3 0916<br />
AVAGE 03153 TAZAROTENE 59825 1 6 1 1270<br />
ZYPLAST 03154 COMBINATION PRODUCT 51380 1 6 2 COLLAGEN, NORMAL SALINE, LIDOCAINE HCL 57084, 70308, 70370 2087<br />
AZO-MED 03155 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFADIAZINE, SULFAMERAZINE, SULFAMETHAZINE 54365, 55540, 55543, 55548 0354<br />
BUPROPION SR 03156 BUPROPION HCL 70242 1 6 1 0630<br />
EPA/DHA ESSENTIALS 03157 COMBINATION PRODUCT 51380 2 6 2 VITAMIN E, EICOSAPENTAENOIC ACID, DOCOSAHEXAENOIC ACID 56195, 70070, 70071 0913<br />
ONE A DAY VITAMINS MEN 03159 MULTIVITAMIN COMBINATION 51382 2 6 2 0913<br />
MICROGESTIN FE 03161 COMBINATION PRODUCT 51380 1 6 2 ESTROGENS, PROGESTERONE 52075, 54845 1034<br />
PEGASYS 03162 PEGINTERFERON ALFA-2B 70183 1 6 1 0388<br />
ROSULA 03163 SODIUM SULFACETAMIDE 70018 1 6 1 1266<br />
SEA SILVER 03164 MULTIVITAMIN COMBINATION 51382 2 6 2 0913<br />
DERMAZINC 03166 ZINC PYRITHIONE 70320 2 6 1 1265<br />
AZO-SULFAMETHOXAZOLE 03168 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, PHENAZOPYRIDINE HCL 55555, 70342 0353<br />
AZO-SULFISOCON 03170 COMBINATION PRODUCT 51380 1 6 2 SULFISOXAZOLE, PHENAZOPYRIDINE HCL 55590, 70342<br />
MAGNAPRIN 03171 ASPIRIN 50410 2 6 1 1722, 1724<br />
NEVACOR 03172 UNDETERMINED 50000 3 7 3 0912<br />
CYTRA-2 03175 COMBINATION PRODUCT 51380 1 6 2 SODIUM CITRATE DIHYDRATE, CITRIC ACID MONOHYDRATE 70704, 70705 2087<br />
RECOMBINANT INTERFERON ALFA-2A 03176 RECOMBINANT INTERFERON ALFA-2A 70706 1 6 1 1479<br />
HYLAGEN 03178 HYALURONIC ACID 70009 2 6 1 1724<br />
NEOPOLYDEX 03182 POLYMYXIN B SULFATE 70212 1 6 1 1568<br />
TUMS E-X 03183 CALCIUM CARBONATE 50785 2 6 1 0879, 0913<br />
SALICYLIC ACID PLASTERS 03186 SALICYLIC ACID 55160 2 6 1 1265<br />
ORTHO-TRICYCLEN LO 03189 COMBINATION PRODUCT 51380 1 6 2 NORGESTIMATE, ETHINYL ESTRADIOL 57122, 70027 1040<br />
ABELCET 03193 AMPHOTERICIN B 70324 1 6 1 0358<br />
AVAR 03194 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SODIUM SULFACETAMIDE 55610, 70018 1270<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
AVAR GEL 03195 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SODIUM SULFACETAMIDE 55610, 70018 1270<br />
BLEACHING CREAM 03196 COMBINATION PRODUCT 51380 2 6 2 AZELAIC ACID, KOJIC ACID 57238, 70712 1265<br />
CLENIA 03198 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SODIUM SULFACETAMIDE 55610, 70018 1270<br />
FML O.S.P. 03200 FLUOROMETHOLONE 52320 1 6 1 1568<br />
RYNA-12 03203 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE 70403, 70404 1941<br />
AZOLID 03205 PHENYLBUTAZONE 54450 1 6 1 1727<br />
ATAZANAVIR SULFATE 03209 ATAZANAVIR SULFATE 70678 1 6 1 0388<br />
AZOSTIX 03210 COMBINATION PRODUCT 51380 3 6 2<br />
CIALIS 03211 TADALAFIL 70713 1 6 1 0504<br />
GLYQUIN-XM 03212 HYDROQUINONE 52675 1 6 1 1265<br />
ROSANIL 03213 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SODIUM SULFACETAMIDE 55610, 70018 1265<br />
BIOS LIFE 2 03215 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, FIBER 53805, 70714 0912, 0913<br />
DEFENDOL 03216 UNDETERMINED 50000 2 7 3 2100<br />
DURAHIST 03217 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PSEUDOEPHEDRINE HCL 70226, 70243, 70256 1943<br />
DYTAN-D 03218 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE TANNATE, DIPHENHYDRAMINE TANNATE 70403, 70715 1941, 1944, 1945<br />
AZOTREX 03220 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFAMETHIZOLE, TETRACYCLINE 54365, 55550, 55725 0350, 0353<br />
ENDOMYCIN 03221 UNDETERMINED 50000 3 7 3 0300<br />
RED YEAST RICE 03229 UNDETERMINED 50000 3 6 3 2100<br />
A5-D-5-W 03230 COMBINATION PRODUCT 51380 1 6 2 ALBUMIN HUMAN, DEXTROSE 50085, 51675<br />
B-13 03233 COMBINATION PRODUCT 51380 1 6 2 THIAMINE, VITAMIN B-12 55755, 56192 0913<br />
TERAZOL 3 03234 TERCONAZOLE 80014 1 6 1 0358<br />
TERAZOL 7 03236 TERCONAZOLE 80014 1 6 1 0358<br />
ATOMOXETINE HCL 03237 ATOMOXETINE HCL 70687 1 6 1 0630<br />
BONTRIL SR 03238 PHENDIMETRAZINE 54370 1 3 1 0631<br />
CLOBEX LOTION 03239 CLOBETASOL PROPIONATE 51243 1 6 1 1265<br />
B & C VITAMIN 03240 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50770, 53915, 54990, 55105, 55755 0913<br />
VERELAN PM 03243 VERAPAMIL HCL 70499 1 6 1 0510<br />
ASTRINGENT 03246 UNDETERMINED 50000 2 6 3 2100<br />
COLESEVELAM HCI 03247 COLESEVELAM 70313 1 6 1 0912<br />
NICOSYN 03249 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SODIUM SULFACETAMIDE 55610, 70018 1270<br />
RANITIDINE HCI 03251 RANITIDINE HCL 70719 1 6 1 0874<br />
AMNESTEEM 03252 ISOTRETINOIN 52943 1 6 1 1265<br />
HIBTITER 03254 HAEMOPHILUS B CONJUGATE VACCINE 56445 1 6 1 1180<br />
PREFEST 03256 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, NORGESTIMATE 52070, 57122 1034<br />
QDALL 03258 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941<br />
R A LOTION 03259 RESORCINOL 55085 2 6 1 1270<br />
ALTINAC 03261 TRETINOIN 55905 1 6 1 1265<br />
B-COMPLEX C W/IRON 03263 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C, VITAMIN B 52885, 56193, 56340 0913<br />
FLAGYL ER 03266 METRONIDAZOLE 53700 1 6 1 1860<br />
PANMIST LA 03268 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1940, 1945<br />
SEASONALE 03269 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1034<br />
EPIQUIN MICRO 03271 HYDROQUINONE 52675 1 6 1 1265<br />
SIMPLY STUFFY 03274 PSEUDOEPHEDRINE HCL 70256 2 6 1 1941<br />
B COMPLEX W/ASCORBIC ACID & B-12 03275 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, VITAMIN B COMPLEX 56193, 56345 0913<br />
XYREM 03277 SODIUM OXYBATE 70722 1 3 1 2087<br />
AMPHETAMINE SALT COMBO 03279 COMBINATION PRODUCT 51380 1 2 2 AMPHETAMINE ASPARTATE, AMPHETAMINE SULFATE, DEXTROAMPHETAMINE SACCHARATE, DEXTROAMPHETAMINE SULFATE 70257, 70258, 70259, 70260 0631<br />
B COMPLEX W/ASCORBIC ACID & B-12-200 03280 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN C 53915, 54990, 55105, 55755, 56193 0913<br />
ANESTACON 03281 LIDOCAINE HCL 70370 1 6 1 0121<br />
CEFDINIR 03283 CEFDINIR 70007 1 6 1 0347<br />
EARSOL-HC 03284 COMBINATION PRODUCT 51380 2 6 2 BENZYL BENZOATE, HYDROCORTISONE 50575, 52655 1670<br />
OVACE 03287 SODIUM SULFACETAMIDE 70018 2 6 1 1265<br />
B COMPLEX W/B-12 VITAMIN C & LIVER 03290 COMBINATION PRODUCT 51380 1 6 2 LIVER DERIVATIVE, VITAMIN C, VITAMIN B COMPLEX 53125, 56193, 56345 0913<br />
ACTIVE JOINTS 03293 UNDETERMINED 50000 2 6 3 2100<br />
ASPARTAME 03294 ASPARTAME 70725 2 6 1 0914<br />
IVERMECTIN 03296 IVERMECTIN 70230 1 6 1 1862<br />
LADY'S CHOICE 03297 UNDETERMINED 50000 2 6 3 2100<br />
RYNA-12 S 03298 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE 70403, 70404 1941<br />
B-NASE SPRAY 03299 COMBINATION PRODUCT 51380 2 6 2 VITAMIN B, CO ENZYME B-12, ATP, ALPHA GPC 56340, 70726, 70727, 70728 0913<br />
B O F 03300 PHENDIMETRAZINE 54370 1 3 1<br />
SOLAGE 03301 COMBINATION PRODUCT 51380 1 6 2 TRETINOIN, MEQUINOL 55905, 70729 1265<br />
VANAMIDE 03302 UREA 56120 1 6 1 1265<br />
RESCON 03303 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
ACRIFLAVINE 03304 ACRIFLAVINE 70730 3 6 1 2087<br />
NOVALOG 03306 INSULIN RECOMBINANT HUMAN 70215 1 6 1 1036<br />
ORALET 03307 FENTANYL TRANSMUCOSAL LOZENGE 70731 1 7 1 0119<br />
PALGIC-D 03308 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, CARBINOXAMINE MALEATE 70256, 70401 1941, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PROVENTIL HFA 03309 ALBUTEROL SULFATE 70359 1 6 1 1940<br />
B.F.I. 03310 BISMUTH FORMIC IODIDE 70644 2 6 1<br />
VITAMIN K5 03315 VITAMIN K5 70733 3 7 1 0913<br />
ONE-A-DAY WEIGHT SMART 03316 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
XYLOCAINE W/ BICARBONATE 03317 COMBINATION PRODUCT 51380 3 7 2 LIDOCAINE, SODIUM BICARBONATE 53070, 55280 0121<br />
HEPARIN SODIUM 03318 HEPARIN 52540 1 6 1 0409<br />
B.P.P.-LEMMON 03320 COMBINATION PRODUCT 51380 1 3 2 BISMUTH ANTI-DIARRHEA AGENTS, KAOLIN, OPIUM, PECTIN, ZINC TOPICAL AGENTS, EXTERNAL USE 50635, 52955, 54035, 54238, 56265 0875<br />
TRIMETHOPRIM SULFATE 03321 TRIMETHOPRIM SULFATE 70445 1 6 1 0355<br />
ARM&HAM DC POWDER 03322 UNDETERMINED 50000 3 7 3 2087<br />
ERWINIA L-ASPARAGINASE 03323 ERWINIA L-ASPARAGINASE 70734 3 7 1 2087<br />
OPTIFAST 03324 UNDETERMINED 50000 3 7 3 0914<br />
RESERPINE W/HCTZ 03326 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080 0506<br />
BIMATOPROST 03327 BIMATOPROST 70249 1 6 1 1566<br />
ENALAPRIL/HCTZ 03328 COMBINATION PRODUCT 51380 1 6 3 ENALAPRIL, HYDROCHLOROTHIAZIDE 52028, 52645 0506, 0507, 0514<br />
AMOXICOT 03331 AMOXICILLIN 50260 1 6 1 0346<br />
B-COMPLEX LIVER & IRON 03340 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, LIVER DERIVATIVE, NIACINAMIDE, RIBOFLAVIN, YEAST 52885, 53125, 53915, 55105, 56250 0913<br />
SUGARDYNE 03342 COMBINATION PRODUCT 51380 2 6 2 POVIDONE-IODINE, SUGAR 54749, 70738 1265, 1271<br />
VANTROM 03344 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
DERMAGRAN WOUND CLEANSERS W/ZINC 03346 COMBINATION PRODUCT 51380 2 6 2 ZINC, VITAMIN B-6 70310, 70697 1264<br />
B-DOX 03348 COMBINATION PRODUCT 51380 1 6 2 PYRIDOXINE, THIAMINE 54990, 55755<br />
DERMAGRAN ZINC-SALINE HYDROGEL 03349 COMBINATION PRODUCT 51380 2 6 2 ZINC, VITAMIN B-6 70310, 70697 1265<br />
B-NUTRON 03350 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50770, 53915, 54990, 55105, 55755<br />
DERMAGRAN HYDROPHILIC GAUZE DRESSING 03351 COMBINATION PRODUCT 51380 2 6 2 ZINC, VITAMIN B-6 70310, 70697 1265<br />
PROLEX PD 03352 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE 52490, 54455 1943<br />
L-LYSINE 03354 L-LYSINE 70161 2 6 1 0913<br />
PARSLEY 03357 UNDETERMINED 50000 2 6 3 2100<br />
ZINC LOZENGES 03358 COMBINATION PRODUCT 51380 2 6 2 ZINC CITRATE, ZINC GLUCONATE 70740, 70741 0913<br />
MODAFINIL 03359 MODAFINIL 70187 1 4 1 0632<br />
TREXALL 03362 METHOTREXATE 53570 1 6 1 1481<br />
CARBIMAZOLE 03363 UNDETERMINED 50000 3 6 3 1037<br />
VALDECOXIB 03366 VALDECOXIB 70425 1 6 1 1727<br />
HYCORT 03367 HYDROCORTISONE 52655 1 6 1 1265<br />
BABY MINS 03370 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, SODIUM FLUORIDE, VITAMIN A, VITAMIN C 52045, 55330, 56185, 56193<br />
DYNACIRC CR 03372 ISRADIPINE 52946 1 6 1 0510<br />
CALMPLEX 03373 UNDETERMINED 50000 2 6 3 2100<br />
ISOVUE-M 300 03374 COMBINATION PRODUCT 51380 1 6 2 IODINE SOLUTIONS, IOPAMIDOL 52830, 52854 0789<br />
ATROPINE-CARE 03375 ATROPINE 50420 1 6 1 1567<br />
CLODRONATE DISODIUM 03377 CLODRONATE DISODIUM 70743 3 7 1 2087<br />
DANDELION 03378 DANDELION 70744 1 6 1 0789<br />
KENALOG IN ORABASE 03379 TRIAMCINOLONE ACETONIDE 70307 1 6 1 1265, 2097<br />
LODRANE 12 D 03380 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1941, 1944<br />
MELOXICAM 03381 MELOXICAM 70121 1 6 1 1727<br />
ST. BENEDICT THISTLE 03383 UNDETERMINED 50000 2 6 3 2100<br />
VITELLE NESTABS OTC 03384 MULTIVITAMIN COMBINATION 51382 2 6 2 CALCIUM ION, IRON PREPARATIONS, MULTIVITAMINS, VITAMIN A, VITAMIN D 50806, 52885, 53805, 56185, 56194 0913<br />
PRALIDOXIME CHLORIDE 03387 PRALIDOXIME 54750 1 6 1 0281<br />
IAMIN 03389 COPPER 51393 3 7 1 1265<br />
BACARATE 03390 PHENDIMETRAZINE 54370 1 3 1 0631<br />
BACI-RX 03393 BACITRACIN 50450 1 6 1<br />
OXYCET 03394 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE HCL 50005, 70269 1721<br />
SALMETEROL XINAFOATE 03396 SALMETROL XINAFOATE 70746 1 6 1 1940<br />
SOY MILK 03397 UNDETERMINED 50000 2 6 3 2100<br />
ADEFOVIR DIPIVOXIL 03398 ADEFOVIR DIPIVOXIL 70117 1 6 1 0388<br />
BROMELAINS 03399 BROMELAINS 50675 2 6 1 1727<br />
BACIGUENT 03400 BACITRACIN 50450 2 6 1 1265<br />
CREON 20 03403 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
PROLINE 03404 PROLINE 70747 2 6 1 0914<br />
SYPRINE 03405 TRIENTINE HYDROCHLORIDE 55953 1 6 1 0281<br />
WELLNESS FORMULA 03406 UNDETERMINED 50000 2 6 3 2100<br />
ASPERGILLUS NIGER ENZYME 03407 ALPHA-GALACTOSIDASE 70748 2 6 1 0877<br />
LODINE XL 03412 ETODOLAC 52186 1 6 1 1720, 1727<br />
MARROW PLUS 03413 UNDETERMINED 50000 2 6 3 2100<br />
METOMIDATE 03414 METOMIDATE 70751 3 6 1 0790<br />
SEACURE 03416 UNDETERMINED 50000 2 6 3 2100<br />
CHIROCAINE 03417 LEVOBUPIVACAINE HCL 70752 1 6 1 0117<br />
VIRAVAN S 03419 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE 70403, 70404 1943, 1945<br />
DESFERRIOXAMINE 03422 DEFEROXAMINE 51575 1 6 1 0281<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BACTERIOSTATIC WATER FOR IRRIG 03424 WATER STERILE 56210 1 6 1 2095<br />
EMTRICITABINE 03428 EMTRICITABINE 70755 1 6 1 0388<br />
LAVOLTIDINE SUCCINATE 03429 LAVOLTIDINE SUCCINATE 70756 3 6 1 0874<br />
CORTANE-B 03433 COMBINATION PRODUCT 51380 1 6 2 BENZALKONIUM CHLORIDE, CHLOROXYLENOL, HYDROCORTISONE, PRAMOXINE HCL 50515, 51120, 52655, 70335 1268<br />
FUZEON 03435 ENFUVIRTIDE 70757 1 6 1 0388<br />
EMEND 03439 APREPITANT 70758 1 6 1 0635<br />
BAFIL 03440 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845<br />
AVLIMIL 03441 UNDETERMINED 50000 2 6 3 0913<br />
AQUACEL AG 03443 SILVER 70159 3 6 1 1271<br />
BAKER'S BEST HAIR LOTION 03445 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, CAPSICUM, GLYCERIN, PROPYLENE GLYCOL, PYRILAMINE 50660, 50868, 52450, 54895, 54995 1200<br />
BAKER'S INFANT FORMULA 03450 INFANT FORMULA 52775 2 6 1 0913<br />
BAKER'S READY-4 BOUILLON 03455 DIETARY SUPPLEMENT 51740 2 6 2<br />
BAKER'S READY-4 COLA WATER 03460 DIETARY SUPPLEMENT 51740 2 6 2<br />
BAKER'S READY-4 GELATIN WATER 03465 DIETARY SUPPLEMENT 51740 2 6 2<br />
BAKER'S READY-4 TEA 03470 DIETARY SUPPLEMENT 51740 2 6 2<br />
BAL IN OIL 03475 DIMERCAPROL 51815 1 6 1 0281<br />
BALNETAR 03485 COAL TAR 51305 2 6 1 1274<br />
BALSAM PERU NF 03490 BALSAM 50460 3 6 1<br />
BANALG LINIMENT 03510 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE 53325, 53620 1265<br />
BANCAP W/CODEINE 03520 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE, SALICYLAMIDE 50005, 51340, 55150 1721<br />
BANESIN 03525 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
BANFLEX 03528 ORPHENADRINE 54050 1 6 1 1373<br />
BANGESIC LINIMENT 03530 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, EUCALYPTUS OIL, MENTHOL, METHYL SALICYLATE 50845, 52190, 53325, 53620 1265<br />
BANIGESIC 03535 UNDETERMINED 50000 3 7 3 2000<br />
BANTHINE 03540 METHANTHELINE 53500 1 6 1 0877<br />
BARBIDONNA NO. 2 03563 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 54395, 55180, 70120, 70336<br />
BARBITA 03570 PHENOBARBITAL 54395 1 4 1<br />
BARBITAL 03575 BARBITAL 50475 2 6 1 0626<br />
BARICON 03577 BARIUM SULFATE 50480 1 6 1 0789<br />
BARISOL DROPS 03580 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
BARIUM ENEMA PREP KIT 03585 COMBINATION PRODUCT 51380 2 6 2 BARIUM SULFATE, BISACODYL 50480, 50630 0789, 0876<br />
BAROCAT 03587 BARIUM SULFATE 50480 1 6 1 0789<br />
BARIUM 03590 BARIUM SULFATE 50480 1 6 1 0789<br />
BAROSPERSE 03615 BARIUM SULFATE 50480 1 6 1 0789<br />
BAROTRAST 03620 BARIUM SULFATE 50480 1 6 1 0789<br />
BARTRATE 03630 COMBINATION PRODUCT 51380 1 3 2 AMOBARBITAL SODIUM, ATROPINE 50250, 50420 2087<br />
BASALJEL 03635 ALUMINUM 50125 2 6 1 0874, 0879<br />
BASIC DROPS 03640 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, VITAMIN A, VITAMIN C 52045, 56185, 56193<br />
BASIS SOAP 03645 SOAP 55265 2 6 1 1265<br />
BASIS SOAP W/GLYCERIN 03650 COMBINATION PRODUCT 51380 2 6 2 COCONUT OIL, GLYCERIN, TALLOW 51330, 52450, 55647<br />
BASIS SOAP W/SULFUR 10% 03655 COMBINATION PRODUCT 51380 2 6 2 PETROLATUM, SODIUM THIOSULFATE, SULFURATED LIME, WAX, ZINC TOPICAL AGENTS, EXTERNAL USE 54330, 55425, 55613, 56213, 56265<br />
BAXIMIN 03665 UNDETERMINED 50000 3 7 3 2000<br />
BC 03675 UNDETERMINED 50000 3 7 3 2000<br />
BCG VACCINE 03685 BCG VACCINE 50485 1 6 1 1180<br />
BE-CE-PLEX FORTE 03690 COMBINATION PRODUCT 51380 3 6 2 VITAMIN C, VITAMIN B COMPLEX 56193, 56345 0913<br />
BECAUSE 03695 NONOXYNOL 9 53955 2 6 1 1040<br />
BECLOVENT 03705 BECLOMETHASONE 50490 1 6 1 1947<br />
BECOLIV T 03706 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53915, 54990, 55105, 55755, 56192<br />
BEECEEPLEX 03730 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN 53915, 54175, 54990, 55105 0913<br />
BEEF IRON AND WINE 03735 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BEEF EXTRACT, IRON PREPARATIONS 50090, 50492, 52885 0913<br />
BEELITH 03740 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM OXIDE, PYRIDOXINE HCL 56495, 70343 0913<br />
BEEPEN VK 03741 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
BEE STING ANTIVENIN 03743 ANTIVENIN BEE STING 50338 1 6 1 0285<br />
BEESIX 03745 PYRIDOXINE 54990 1 6 1 0913<br />
BEE TWEL 03748 VITAMIN B-12 56192 1 6 1<br />
BEEZE W/VITAMIN C 03750 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN C 53915, 54990, 55105, 55755, 56193<br />
BELAP 03770 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, PHENOBARBITAL 50495, 54395 0877<br />
BELEXAL 03775 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACIN, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50811, 53905, 54990, 55105, 55755 2087<br />
BELFER 03780 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C, VITAMIN B COMPLEX 52885, 56193, 56345<br />
BELLADONNA 03800 BELLADONNA 50495 1 6 1 0874<br />
BELLADONNA ALKALOIDS W/PHENOBARBITAL 03805 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE 52720, 54395, 55180, 70120 0874<br />
BELLADONNA EXTRACT 03810 BELLADONNA 50495 1 6 1 0877<br />
BELLADONNA FORMULA W/HYDROCORTISONE 03820 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, BISMUTH IODIDE, BORIC ACID, EPHEDRINE, ZINC TOPICAL AGENTS, EXTERNAL USE 50495, 50638, 50660, 52035, 56265<br />
BELLAFEDROL A-H 03830 COMBINATION PRODUCT 51380 2 6 2 BELLADONNA, CHLORPHENIRAMINE, PHENYLEPHRINE, PYRILAMINE 50495, 51130, 54455, 54995<br />
BELLASPAZ 03843 HYOSCYAMINE 52720 1 6 1 0877<br />
BELLERGAL 03845 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, ERGOTAMINE, PHENOBARBITAL 50495, 52055, 54395 0875<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BELLERGOTAL 03855 COMBINATION PRODUCT 51380 1 6 2 ERGOTAMINE, HYOSCYAMINE, PHENOBARBITAL 52055, 52720, 54395<br />
BELLKATAL 03860 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, KAOLIN, PHENOBARBITAL 50495, 52955, 54395<br />
BEMEX 03880 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54990, 55105, 55755 0913<br />
BEMINAL 03885 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
BEMINAL FORTIFIED W/IRON AND LIVER 03895 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 52885, 53915, 54990, 55105, 55755<br />
BENA-D 03903 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
BENADRYL W/EPHEDRINE SULFATE 03910 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, DIPHENHYDRAMINE HCL 52035, 70344 1941, 1944<br />
BENADYNE DROPS 03915 UREA 56120 2 6 1 2087<br />
BENAHIST 03920 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
BENASEPT VAGINAL GEL 03925 BENZALKONIUM CHLORIDE 50515 1 6 1 1265<br />
BENEGYN 03950 UNDETERMINED 50000 3 7 3 2000<br />
BENISONE 03960 BETAMETHASONE 50585 1 6 1 1265<br />
BENOQUIN 03970 MONOBENZONE 53755 1 6 1 1265<br />
BENOXINATE 03975 BENOXINATE 50505 1 6 1 1569<br />
BENSULFOID 03985 SULFUR 55610 1 6 1 1265<br />
BENSULFOID LOTION 03990 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, RESORCINOL, SULFUR 50090, 55085, 55610 1265<br />
BENTONITE 03998 BENTONITE 50508 2 7 1 2095<br />
NEWDRUG 04001 COMBINATION PRODUCT 51380 2 2 2<br />
BISMATROL 04003 COMBINATION PRODUCT 51380 2 6 1 BISMUTH SUBSALICYLATE 70633 0875<br />
AKWA TEARS OPHTHALMIC OINTMENT 04006 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, MINERAL OIL, PETROLATUM 53003, 53720, 54330 1569<br />
BENYLIN DME 04013 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
BENYLIN SYRUP 04015 DIPHENHYDRAMINE 51860 2 6 1 1943, 1944<br />
BAZA CREAM 04017 COMBINATION PRODUCT 51380 2 6 1 MICONAZOLE NITRATE 92512 0358<br />
BENZAC 04020 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
BENZAC W GEL 04025 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
CARLESTA ADULT SKIN PROTECTANT 04027 COMBINATION PRODUCT 51380 2 6 2 DIMETHICONE, ZINC OXIDE 51817, 70052 1265<br />
BENZAGEL 04030 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
BENZALKONIUM 04035 BENZALKONIUM CHLORIDE 50515 2 6 1 1264, 2087<br />
MITODRINE 04036 MITODRINE 70772 3 6 1 0504<br />
LODOXAMIDE 04037 LODOXAMIDE 57076 1 6 1 1570<br />
BENZEDREX INHALER 04040 PROPYLHEXEDRINE 54900 2 6 1 1941<br />
CLEMASTINE FUMARATE 04045 COMBINATION PRODUCT 51380 1 6 1 CLEMASTINE FUMARATE 70593 1944<br />
BENZO MENTH 04050 BENZOCAINE 50530 2 6 1<br />
BENZOCOL 04060 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CHLOROBUTANOL 50530, 51075 0117<br />
CONSTIPATION MEDICATION 04064 UNDETERMINED 50000 3 6 3 0876<br />
BENZODENT 04065 BENZOCAINE 50530 2 6 1 0117<br />
XOLAIR 04068 OMALIZUMAB 70786 1 6 1 1940<br />
BENZOIN COMPOUND 04075 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZOIN, STORAX, TOLU BALSAM, ALOE VERA 50090, 50540, 55494, 55893, 70197 1265<br />
BENZOMEAD PLUS THROAT DISC 04080 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, SODIUM PROPIONATE 50530, 55393 2087<br />
BENZOYL 04085 BENZOYL PEROXIDE 50550 1 6 1 1265<br />
BENZOYL PEROXIDE 04088 BENZOYL PEROXIDE 50550 3 6 1 1270<br />
BENZTHIAZIDE 04090 BENZTHIAZIDE 50560 1 6 1 0506, 0507<br />
BENZYL 04095 UNDETERMINED 50000 3 7 3 2087<br />
L-GLUTAMINE 04098 L-GLUTAMINE 70795 2 6 1 0913<br />
BEROCCA 04100 MULTIVITAMINS 53805 1 6 2 0913<br />
FORTAMET 04113 METFORMIN HCL 70481 1 6 1 1036<br />
BERUBIGEN 04115 VITAMIN B-12 56192 1 6 1 0408<br />
ALATONE 04116 SPIRONOLACTONE 55460 1 6 1 0506, 0507<br />
MULTREL 04117 UNDETERMINED 50000 2 6 2 2100<br />
BEST-C TIMECELLE 04118 COMBINATION PRODUCT 51380 1 6 2<br />
BETA-B-PLEX 04119 COMBINATION PRODUCT 51380 1 6 2 VITAMIN B COMPLEX 56345 0913<br />
NOVAREL 04121 CHORIONIC GONADOTROPIN 51205 1 6 1 1041<br />
MYCELEX TROCHES 04129 CLOTRIMAZOLE 51290 1 6 1 0358<br />
BETADINE VAGINAL DOUCHE 04130 POVIDONE-IODINE 54749 2 6 1 1264<br />
MEGA VM-80 04131 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
BETADINE VAGINAL GEL 04135 POVIDONE-IODINE 54749 2 6 1 1264<br />
ANTICHOLINERGIC 04141 UNDETERMINED 50000 3 7 3 0878<br />
CATAPRES-TTS-1 04143 CLONIDINE HCL 70357 1 6 1 0506<br />
MARTEN-TAB 04149 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL 50005, 50728 1722<br />
BETALIN COMPLEX F.C. 04150 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54175, 54990, 55105, 55755 0913<br />
SILVER NITRATE STICK 04154 SILVER NITRATE 55225 1 6 1 1264, 1265<br />
ESTRA-L 04159 ESTRADIOL VALERATE 70375 1 6 1 1034<br />
BETALIN 04160 THIAMINE 55755 3 6 1 0913<br />
BETALIN 12 CRYSTALLINE 04165 VITAMIN B-12 56192 1 6 1 0408, 0913<br />
GABA 04172 GAMMA-AMINOBUTRYIC ACID 70836 2 6 1 2087<br />
DURAPHEN DM 04173 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 52490, 70338, 70358 1943<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
METFORMIN HYDROCHLORIDE ER 04175 METFORMIN HCL 70481 1 6 1 0512, 1036<br />
TESSALON 04178 COMBINATION PRODUCT 51380 1 6 2 BENZONATATE, PARABENS 50545, 70391 1943<br />
BETAPEN-VK 04180 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
BETA-VAL 04188 BETAMETHASONE 50585 1 6 1 1200<br />
BEXOMAL-C 04210 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, VITAMIN C 53905, 54175, 54990, 55105, 56193<br />
BEXOPHENE 04215 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PROPOXYPHENE 50410, 50745, 54890 1721<br />
BIAVAX II 04220 COMBINATION PRODUCT 51380 1 6 2 MUMPS VIRUS VACCINE, RUBELLA VIRUS VACCINE 53820, 55130 1180<br />
BICARBONATE OF SODA 04225 SODIUM BICARBONATE 55280 2 6 1 0874<br />
BICHLORACETIC ACID 04230 ACETIC ACID 50025 1 6 1 2095<br />
VP-16 04231 ETOPOSIDE 52189 1 6 1 1479<br />
BICILLIN 04235 PENICILLIN 54250 1 6 1 0346<br />
BICILLIN C-R 04240 COMBINATION PRODUCT 51380 1 6 2 PENICILLIN G PROCAINE, PENICILLIN G BENZATHINE 54260, 70046 0346<br />
ALOXI 04249 PALONOSETRON HCL 70871 1 6 1 0635<br />
H-C TUSSIVE 04252 COMBINATION PRODUCT 51380 3 7 2 CHLORPHENIRAMINE, HYDROCODONE, PHENYLEPHRINE 51130, 52650, 54455 1945<br />
CO-TUSS V 04254 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE 52490, 70217 1943<br />
BICNU 04255 CARMUSTINE 50925 1 6 1 1479<br />
HYDROCODONE GF 04256 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE 52490, 70217 1943<br />
BIFED 20 04260 COMBINATION PRODUCT 51380 2 6 2 CAFFEINE, EPHEDRINE, PHENYLPROPANOLAMINE 50745, 52035, 54465<br />
GARLIC OIL 04266 COMBINATION PRODUCT 51380 2 6 1 GARLIC 57142 2100<br />
BILE ACIDS MIXED 04270 BILE ACIDS 50610 2 6 1<br />
VAZOL-D 04271 COMBINATION PRODUCT 51380 3 7 2 1945<br />
BILE SALTS 04275 BILE SALTS 50613 2 6 1 2087<br />
BILOGEN 04285 COMBINATION PRODUCT 51380 2 6 2 DESOXYCHOLIC ACID, OX BILE EXTRACT, PANCREATIN 51627, 54065, 54160 0877<br />
BILOPAQUE SODIUM 04290 TYROPANOATE SODIUM 56105 1 6 1 0789<br />
BINEX-C 04300 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, RIBOFLAVIN, VITAMIN C 50811, 53915, 55105, 56193<br />
EPIDRIN 04308 COMBINATION PRODUCT 51380 3 7 2 ACETAMINOPHEN, DICHLORALPHENAZONE, ISOMETHEPTENE MUCATE 50005, 51708, 52908 1723<br />
GLIBENDAMIDE 04313 GLIBENDAMIDE 70901 3 7 1 1036<br />
L-HOMOCYSTEINE THIOLACTONE 04314 L-HOMOCYSTEINE THIOLACTONE 70902 3 7 1 0635<br />
BIOFLAVONOIDS 04315 BIOFLAVONOIDS 50615 2 6 1 0913<br />
BIOPAR FORTE 04325 COMBINATION PRODUCT 51380 1 6 2 COBALAMIN, VITAMIN B-12 51308, 56192 0408<br />
BIOSONE 04330 HYDROCORTISONE 52655 1 6 1 1032<br />
ST. JOSEPH ASPIRIN 04331 ASPIRIN 50410 2 6 1 1722, 1724<br />
TEBOKAN 04332 TEBOKAN 70912 3 7 1 2087<br />
BIOTRACE 04348 COMBINATION PRODUCT 51380 1 6 2 CHROMIC CHLORIDE, COPPER, MANGANESE SULFATE, ZINC TOPICAL AGENTS, EXTERNAL USE 51208, 51393, 53242, 56265 0915<br />
BIOTRES 04350 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, POLYMYXIN B 50450, 70011<br />
BIOZYME 04355 COMBINATION PRODUCT 51380 1 6 2 CHYMOTRYPSIN, NEOMYCIN, TRYPSIN 51215, 53895, 56048 1265<br />
BIPECTOL WAFER 04360 COMBINATION PRODUCT 51380 1 3 2 BISMUTH ANTI-DIARRHEA AGENTS, KAOLIN, OPIUM, PECTIN 50635, 52955, 54035, 54238<br />
BIPERIDEN 04363 BIPERIDEN 50625 1 6 1<br />
BIPHETAMINE 04365 COMBINATION PRODUCT 51380 1 2 2 AMPHETAMINE, DEXTROAMPHETAMINE 50265, 51665 0631<br />
BI-PRESS 04366 COMBINATION PRODUCT 51380 1 6 2 RESERPINE, TRICHLORMETHIAZIDE 55080, 55930<br />
CONTRACEPTIVE AGENT 04368 UNDETERMINED 50000 3 7 3 1040<br />
BISACODYL PATIENT PACK 04375 UNDETERMINED 50000 2 6 3<br />
BISCOLAN 04390 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, BISMUTH ANTI-DIARRHEA AGENTS, COD & HALIBUT LIVER OIL, LANOLIN, RESORCINOL 50530, 50635, 51335, 53003, 55085<br />
BISCOLAN HC 04395 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, BISMUTH ANTI-DIARRHEA AGENTS, COD & HALIBUT LIVER OIL, LANOLIN, RESORCINOL 50530, 50635, 51335, 53003, 55085<br />
ANGIOMAX 04400 BIVALIRUDIN 70942 1 6 1 0409<br />
UTOX 04401 UNDETERMINED 50000 3 6 3 2100<br />
NATALCARE GLOSSTABS 04403 MULTIVITAMIN COMBINATION 51382 1 6 2 0913<br />
PRELIEF 04404 UNDETERMINED 50000 2 6 3 2100<br />
ABREVA 04406 DOCOSANOL 70943 2 6 1 0388<br />
GERO VITA 04409 UNDETERMINED 50000 2 7 3 2100<br />
GLYTONE WASH 04410 COMBINATION PRODUCT 51380 2 6 2 COCAMIDOPROPYL BETAINE, GLYCERIN, POTASSIUM HYDROXIDE, STEARIC ACID, GLYCOLIC ACID 51313, 52450, 54705, 55485, 70141 1265<br />
HYDRANORME FACIAL SKIN CARE 04411 UNDETERMINED 50000 2 6 3 1265<br />
MEGA MSM 04412 COMBINATION PRODUCT 51380 2 6 2 GLUCOSAMINE, METHYLSULFONYLMETHANE, MAGNESIUM 70012, 70035, 70799 2100<br />
SOTRET 04413 ISOTRETINOIN 52943 1 6 1 1270<br />
TINEACIDE 04417 UNDETERMINED 50000 3 6 3 1271<br />
VITE E CREAM 04418 VITAMIN E 56195 2 6 1 1265<br />
DENCORUB 04419 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, EUCALYPTUS OIL, METHYL SALICYLATE 50845, 52190, 53620 1275<br />
BISMUTH SUBCARBONATE 04420 BISMUTH ANTI-DIARRHEA AGENTS 50635 2 6 1 0875<br />
BABY SHAMPOO 04422 UNDETERMINED 50000 2 6 3 1265<br />
LETROZOLE 04423 LETROZOLE 70598 1 6 1 1480<br />
BISMUTH SUBGALLATE 04425 BISMUTH SUBGALLATE 70389 2 6 1 0875<br />
KINDERCAL 04426 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL, PROTEIN, CARBOHYDRATE(S), FAT 53780, 57166, 57168, 57170 0914<br />
SCANDICAL 04427 UNDETERMINED 50000 2 6 3 0914<br />
ZOCAL 04429 BENZOCAINE 50530 2 6 1 2087<br />
BISMUTH SUBGALLATE W/COD LIVER OIL 04430 COMBINATION PRODUCT 51380 2 6 2 COD & HALIBUT LIVER OIL, BISMUTH SUBGALLATE 51335, 70389<br />
BISMUTH SUBGALLATE FORMULA W/HYDROCORT 04433 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, BISMUTH SUBGALLATE 52655, 70389<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BI-EST 04434 COMBINATION PRODUCT 51380 3 6 2 ESTRADIOL, ESTRIOL 52070, 70248 1034<br />
BISMUTH SUBGALLATE W/SHARK LIVER OIL 04435 COMBINATION PRODUCT 51380 2 6 2 SHARK LIVER OIL, BISMUTH SUBGALLATE 55213, 70389<br />
LEVICON 04436 LEVAMISOLE 91016 1 6 1 1181<br />
URELLE 04437 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, HYOSCYAMINE SULFATE, MONOBASIC SODIUM PHOSPHATE 53530, 53640, 54440, 70336, 70689 0300<br />
CAYENNE 04438 UNDETERMINED 50000 2 6 3 2100<br />
DHS CONDITIONER 04439 UNDETERMINED 50000 2 6 3 1265<br />
HERBAL ADRENAL 04441 UNDETERMINED 50000 2 6 3 2100<br />
MIGRELIEF 04442 UNDETERMINED 50000 2 6 3 2100<br />
GENASAL 04444 OXYMETAZOLINE HCL 70653 2 6 1 1941<br />
BISMUTH VIOLET 04445 GENTIAN VIOLET 52405 2 6 1<br />
LYCOPENE 04446 LYCOPENE 70699 2 6 1 2100<br />
AMMONIUM LACTATE 04448 AMMONIUM LACTATE 70142 1 6 1 1265<br />
CANDIDA ALBICANS SKIN TEST ANTIGEN 04451 CANDIDA ALBICANS SKIN TEST ANTIGEN 70948 1 6 1 0792<br />
BISODOL 04453 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50785, 53175 0874<br />
NASAL STEROID 04454 UNDETERMINED 50000 3 6 3 1947<br />
OREGANO OIL 04455 UNDETERMINED 50000 2 6 3 2100<br />
CLINDAMAX 04456 COMBINATION PRODUCT 51380 1 6 2 CLINDAMYCIN, METHYL PARABEN 51255, 70147 1271<br />
LOKARA 04457 DESONIDE 51620 1 6 1 1268<br />
TANAFED DM 04458 COMBINATION PRODUCT 51380 1 6 2 METHYLPARABEN, CHLORPHENIRAMINE TANNATE, PSEUDOEPHEDRINE TANNATE, DEXTROMETHORPHAN TANNATE 53650, 70402, 70592, 70716 1941, 1943, 1944<br />
U-CORT CREAM 04459 HYDROCORTISONE ACETATE 70334 3 6 1 1268<br />
BLACK & WHITE BLEACHING 04460 HYDROQUINONE 52675 2 6 1<br />
KERALAC LOTION 04461 COMBINATION PRODUCT 51380 1 6 2 UREA, EDTA 56120, 70190 1265<br />
KERALAC NAIL GEL 04462 COMBINATION PRODUCT 51380 1 6 2 UREA, EDTA 56120, 70190 1265<br />
CHAMOMILE 04464 UNDETERMINED 50000 2 6 3 2100<br />
ACTIFOLATE 04466 FOLIC ACID 52355 2 6 1 0913<br />
ALLATE 04467 UNDETERMINED 50000 2 6 3 2100<br />
CELAPRO 04468 UNDETERMINED 50000 2 6 3 2100<br />
CHILDREN'S BENADRYL ALLERGY FASTMELT 04469 DIPHENHYDRAMINE 51860 2 6 1 1944<br />
BLEACHING PEROXIDE 20 VOLUME 04470 HYDROGEN PEROXIDE 52665 2 6 1 1264<br />
FASLODEX 04471 FULVESTRANT 70949 1 6 1 1480<br />
GLUCOMAX 04472 GLUCOSAMINE 70012 2 6 1 2100<br />
LEVALL-12 04474 UNDETERMINED 50000 3 7 3 1945<br />
LUSONEX 04475 UNDETERMINED 50000 3 7 3 1941, 1945<br />
MODIFIED CITRUS PECTIN 04476 UNDETERMINED 50000 2 6 3 2100<br />
BLEOMYCIN 04478 BLEOMYCIN 50655 1 6 1 1482<br />
OPTIMAX 04481 L-TRYPTOPHANE 52973 1 6 1 0630<br />
OXYMAX 04482 OXYGEN 54115 2 6 1 2087<br />
ONE-A-DAY WITH FOLIC ACID 04484 MULTIVITAMIN COMBINATION 51382 3 6 2 FOLIC ACID, VITAMIN B COMPLEX 52355, 56345 0913<br />
VELCADE 04486 BORTEZOMIB 70950 1 6 1 1400<br />
ELETRIPTAN HYDROBROMIDE 04488 ELETRIPTAN HYDROBROMIDE 70682 1 6 1 1723<br />
BLINK-N-CLEAN 04490 COMBINATION PRODUCT 51380 2 6 2 CHLOROBUTANOL, POLYETHYLENE GLYCOL, POLYOXY 40 STEARATE 51075, 54590, 54599 1569<br />
SYMBICORT 04491 COMBINATION PRODUCT 51380 3 6 2 BUDESONIDE, FORMOTEROL FUMARATE 57124, 70428 1940<br />
CHOP 04492 COMBINATION PRODUCT 51380 1 6 2 CYCLOPHOSPHAMIDE, DOXORUBICIN, PREDNISONE, VINCRISTINE 51485, 51960, 54775, 56180 1479<br />
IMIQUIMOD 04494 IMIQUIMOD 59805 1 6 1 1181, 1265<br />
BLINX 04495 COMBINATION PRODUCT 51380 2 6 2 SODIUM BORATE, SODIUM CHLORIDE, POTASSIUM CHLORIDE 55295, 55315, 56585 1569<br />
TRIMETREXATE GLUCURONATE 04496 TRIMETREXATE CLUCURONATE 70951 1 6 1 1479<br />
VIBRAN-C 04497 UNDETERMINED 50000 1 6 3 2100<br />
ALZARE 04498 UNDETERMINED 50000 2 6 3 2100<br />
MESNEX 04501 MESNA 57116 1 6 1 0281, 0285, 1479<br />
PEDIATEX 04503 CARBINOXAMINE MALEATE 70401 1 6 1 1944<br />
ADVANCED NATALCARE 04504 MULTIVITAMIN COMBINATION 51382 1 6 2 0913<br />
BLISTEX 04505 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, CAMPHOR, LANOLIN, MINERAL OIL, PHENOL 50103, 50845, 53003, 53720, 54400 1265<br />
DEXRAZOXANE 04506 DEXRAZOXANE 70192 1 6 1 0281, 2095<br />
MIRAPHEN PSE 04508 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
MYLOTARG 04509 GEMTUZUMAB OZOGAMICIN 70952 1 6 1 1483<br />
BLOCADREN 04511 TIMOLOL 55845 1 6 1 0512<br />
BLOOD FORMATION AND COAGULATION 04513 UNDETERMINED 50000 3 7 3<br />
TRISPRINTEC 04514 COMBINATION PRODUCT 51380 1 6 2 NORGESTIMATE, ETHINYL ESTRADIOL 57122, 70027 1034<br />
FEOGEN 04516 MULTIVITAMIN COMBINATION 51382 1 6 2 VITAMIN B-12, IRON, DESICCATED STOMACH SUBSTANCE 56192, 70886, 70953 0913<br />
ANAMANTLE HC 04517 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE ACETATE, LIDOCAINE HCL 70334, 70370 2095<br />
MAXIPHEN DM 04519 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 52490, 70338, 70358 1945<br />
BLUE GEL 04520 MENTHOL 53325 2 6 1 1863<br />
SUPER VITA-WOMAN 04521 MULTIVITAMIN COMBINATION 51382 2 6 2 0913<br />
FLAVIX-XR 04524 VENLAFAXINE 57096 1 6 1 0630<br />
BLUE-GRAY 04525 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, BISMUTH OXIDE, BISMUTH ANTI-DIARRHEA AGENTS, RESORCINOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 50632, 50635, 55085, 56265<br />
RENOPLEX 04527 UNDETERMINED 50000 2 6 3 2100<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TAZOBACTAM 04528 TAZOBACTAM 57206 1 6 1 0346<br />
METHYLPREDNISOLONE SODIUM SUCCINATE 04529 METHYLPREDNISOLONE SODIUM SUCCINATE 70955 1 6 1 1032<br />
BLUESTONE 04530 CUPRIC SULFATE 51445 3 6 1<br />
SILADRYL 04532 DIPHENHYDRAMINE HCL 70344 2 6 1 1944<br />
IMIPENEM 04533 IMIPENEM 52743 1 6 1 0355<br />
MEPROZINE 04534 COMBINATION PRODUCT 51380 1 6 2 MEPERIDINE, PROMETHAZINE 53335, 54860 1720<br />
BARIUM SULFATE 04535 BARIUM SULFATE 50480 1 6 1 0789<br />
DEXFERRUM 04537 IRON 70886 1 6 1 0408, 0913<br />
BNC STANDARD 04540 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 50811, 53915, 54990, 55105, 55770 0913<br />
ENTSOL 04542 HYPERTONIC SALINE 57194 2 6 2 1900<br />
HYDRO EYE 04543 COMBINATION PRODUCT 51380 2 6 2 0913<br />
BNC SUPER 04545 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 50811, 53915, 54990, 55105, 55770<br />
MYERS COCKTAIL 04546 MULTIVITAMIN COMBINATION 51382 3 6 2 0913<br />
BETAPACE AF 04548 SOTALOL HCL 70959 1 6 1 0502, 0512<br />
ACECOL 04549 TEMOCAPRIL HYDROCHLORIDE 70960 1 6 1 0514<br />
LOPERAMIDE-SIMETHICONE 04552 COMBINATION PRODUCT 51380 2 6 2 LOPERAMIDE, SIMETHICONE 53140, 55240 0875, 0877<br />
ROBITUSSIN DM INFANT 04553 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
PRESOLOL 04554 UNDETERMINED 50000 1 6 3 0512<br />
BOIL N SOAK 04555 CONTACT LENS SOLUTION 51390 2 6 2 2087<br />
SOMNOTE 04557 CHLORAL HYDRATE 51040 1 4 1 0626<br />
CALCIUM CHANNEL BLOCKER 04558 UNDETERMINED 50000 1 6 1 0510<br />
APO-LEVOCARB 04559 COMBINATION PRODUCT 51380 1 6 2 CARBIDOPA, LEVODOPA 50899, 53050 1371<br />
BON-A-DAY 04560 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185<br />
RAZADYNE 04561 GALANTAMINE HYDROBROMIDE 70296 1 6 1 0633<br />
CALCIPOTRIENE 04562 CALCIPOTRIENE 57094 1 6 1 1265, 1274<br />
DIABETES MEDICATION 04564 UNDETERMINED 50000 3 6 3 1036<br />
HELIXATE 04567 RECOMBINANT HEMOPHILIC FACTOR 70962 1 6 1 0411, 2095<br />
CHEETAH 04568 COMBINATION PRODUCT 51380 1 6 2 BARIUM SULFATE, SACCHARIN, SIMETHICONE, SODIUM BENZOATE, SORBITOL 50480, 55140, 55240, 55275, 55435 0789<br />
BON-A-DAY W/MINERALS 04570 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PANTOTHENIC ACID, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54175, 55105, 55755, 56185<br />
ISTALOL 04571 TIMOLOL MALEATE 70366 3 6 1 1566, 1569<br />
NAPROGESIC 04572 NAPROXEN 53880 3 6 1 1724, 1725, 1727<br />
PEXEVA 04573 PAROXETINE HCL 57150 1 6 1 0630<br />
DULOXETINE 04576 DULOXETINE HCL 70778 1 6 1 0630<br />
HORSE CHESTNUT 04577 UNDETERMINED 50000 2 6 3 2100<br />
OPCXTRA 04579 UNDETERMINED 50000 2 6 3 2100<br />
BONINE 04580 MECLIZINE 53275 2 6 1 1671<br />
PROKARIN 04582 UNDETERMINED 50000 2 6 3 2087<br />
RESCUE REMEDY 04584 UNDETERMINED 50000 1 6 3 2100<br />
TELITHROMYCIN 04586 TELITHROMYCIN 70807 1 6 1 0355<br />
VANA TRACE PLUS 04587 UNDETERMINED 50000 1 6 3 2100<br />
SAVENTARO 04588 UNDETERMINED 50000 2 6 3 2100<br />
BORAX 04590 SODIUM BORATE 55295 2 6 1 2087<br />
BRONCOMAR 04591 UNDETERMINED 50000 3 7 3 1940, 1945<br />
VITEYES 04593 MULTIVITAMIN COMBINATION 51382 3 6 2 COPPER, VITAMIN A, VITAMIN C, VITAMIN E, ZINC OXIDE 51393, 56185, 56193, 56195, 70052 0913<br />
COPEGUS 04594 RIBAVIRIN 70008 1 6 1 0388<br />
BORIC ACID 04595 BORIC ACID 50660 2 6 1 1264<br />
CIMEOSIL 04597 UNDETERMINED 50000 3 6 3 1265<br />
GLYCONUTRIENTS 04598 UNDETERMINED 50000 2 6 3 2087<br />
ELAQUIL 04601 UNDETERMINED 50000 2 6 3 2100<br />
APEXICON 04603 DIFLORASONE DIACETATE 51760 1 6 1 1268<br />
JESSNERS SOLUTION 04604 COMBINATION PRODUCT 51380 2 6 2 CITRIC ACID, LACTIC ACID, SALICYLIC ACID, GREEN TEA EXTRACT, PARAGUAY TEA 51235, 52980, 55160, 70449, 70965 1265<br />
BOULTON'S SOLUTION 04605 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, IODINE SOLUTIONS, PHENOL 52450, 52830, 54400<br />
RESTYLANE 04606 HYALURONIC ACID 70009 1 6 1 1265<br />
ERTACZO 04607 SERTACONAZOLE NITRATE 70966 1 6 1 1271<br />
SODIUM HYALURONATE 04608 SODIUM HYALURONATE 55339 1 6 1 1724<br />
OCUWEL 04609 SPINACH POWER 70967 2 6 1 2100<br />
BOWDRIN 04610 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL 52035, 54395 1720, 1941<br />
DOCETAXEL 04611 DOCETAXEL 70968 1 6 1 1479<br />
IRON SUCROSE 04612 IRON SUCROSE 70526 1 6 1 0913<br />
PHENEX-1 04613 COMBINATION PRODUCT 51380 2 6 2 PROTEIN, FAT, IRON, POTASSIUM, LINOLEIC ACID 57166, 57170, 70886, 70899, 70969 0914<br />
FLETCHER'S CASTORIA 04615 SENNA CONCENTRATE 70837 2 6 1 0876<br />
SILVERAX 04616 UNDETERMINED 50000 2 6 3 2100<br />
ACCUNEB 04617 ALBUTEROL SULFATE 70359 1 6 1 1940<br />
PARAFFIN 04619 PARAFFIN 54193 2 6 1 2095<br />
BOWTUSSIN D.M. SYRUP 04620 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DEXTROMETHORPHAN, GUAIFENESIN 50090, 51670, 52490 1943<br />
ASTRAGALUS 04621 UNDETERMINED 50000 2 6 3 2100<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
EXEMESTANE 04622 EXEMESTANE 70316 1 6 1 1479<br />
PRAZIQUANTEL 04624 PRAZIQUANTEL 70972 1 6 1 1862<br />
BOWTUSSIN SYRUP 04625 GUAIFENESIN 52490 2 6 1<br />
TRAVOPROST 04627 TRAVOPROST 70272 1 6 1 1566<br />
EPOTHILONE D ANALOG 04629 UNDETERMINED 50000 3 6 3 1479<br />
BPN 04630 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011 1568<br />
FOSAMPRENAVIR CALCIUM 04632 FOSAMPRENAVIR CALCIUM 70794 1 6 1 0388<br />
B6-PYRIDOXINE 04633 PYRIDOXINE 54990 1 6 1 0913<br />
HEMIN 04634 HEMIN 52537 1 6 1 0408<br />
BRASIVOL 04635 UNDETERMINED 50000 2 6 3 1265<br />
FEMGLIDE 04636 UNDETERMINED 50000 3 6 3 2095<br />
BREEZEE MIST 04639 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, UNDECYLENIC ACID, ALUMINUM CHLORHYDRATE 53325, 56110, 70618 1265<br />
ACTISORB SILVER 220 04640 COMBINATION PRODUCT 51380 1 6 2 ACTIVATED CHARCOAL, SILVER 70021, 70159 1265<br />
LIQUI-E 04641 VITAMIN E 56195 3 6 1 0913<br />
PANTHENOL 04643 PANTHENOL 54173 2 6 1 0913<br />
AVACOR 04644 UNDETERMINED 50000 2 6 3 2100<br />
FTY720 04647 UNDETERMINED 50000 3 6 1 1181<br />
BREONISIN 04648 GUAIFENESIN 52490 2 6 1 1943<br />
MYFORTIC 04649 MYCOPHENOLIC ACID 70975 1 6 1 1181<br />
RISEDRONATE SODIUM 04652 RISEDRONATE SODIUM 70168 1 6 1 0916<br />
PHLEXY-10 SYSTEM 04653 UNDETERMINED 50000 3 6 3 0914<br />
TRACLEER 04654 BOSENTAN 70976 1 6 1 0506<br />
BOSENTAN 04656 BOSENTAN 70976 1 6 1 0506<br />
BREVIBLOC 04657 ESMOLOL HCL 52067 1 6 1 0502<br />
GALANTAMINE 04659 GALANTAMINE HYDROBROMIDE 70296 1 6 1 0633<br />
BREVICON 04660 COMBINATION PRODUCT 51380 1 6 2 NORETHINDRONE, ETHINYL ESTRADIOL 53965, 70027 1040<br />
SILACE 04661 DOCUSATE SODIUM 70262 2 6 1 0876<br />
ROSAVASTATIN CALCIUM 04662 ROSAVASTATIN CALCIUM 70977 1 6 1 0900<br />
BREVITAL 04665 METHOHEXITAL 53565 1 4 1 0626<br />
ANEFRIN NASAL SPRAY 04666 OXYMETAZOLINE HCL 70653 2 6 1 1941<br />
BUTENAFINE HYDROCHLORIDE 04667 BUTENAFINE HYDROCHLORIDE 59643 2 6 1 0358<br />
B2-RIBOFLAVIN 04669 RIBOFLAVIN 55105 1 6 1 0913<br />
BOVINE WHEY PROTEIN CONCENTRATE 04671 WHEY PROTEIN CONCENTRATE 70881 3 6 1 2087<br />
ETHEZYME 04672 COMBINATION PRODUCT 51380 1 6 2 PAPAIN, UREA 54180, 56120 2095<br />
LOPINAVIR 04673 LOPINAVIR 70152 1 6 1 0388<br />
AMINOGLYCOSIDES 04675 UNDETERMINED 50000 3 6 3 0352<br />
CAMPATH 04676 ALEMTUZUMAB 70978 1 6 1 1479<br />
RENAPHRO 04678 COMBINATION PRODUCT 51380 1 6 2 VITAMIN C, VITAMIN B COMPLEX 56193, 56345 0913<br />
STATINS 04679 UNDETERMINED 50000 3 6 3 0912<br />
PANNAZ S 04681 COMBINATION PRODUCT 51380 1 6 2 METHSCOPOLAMINE NITRATE, PSEUDOEPHEDRINE HCL, CARBINOXAMINE MALEATE 70243, 70256, 70401 1944, 1945<br />
UTIRA 04682 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, SODIUM BIPHOSPHATE 52720, 53530, 53640, 54440, 59728 0354<br />
S-ADENOSYL-L-METHIONINE 04684 S-ADENOSYL-L-METHIONINE 70979 3 6 1 0630<br />
RESPI-TANN 04686 COMBINATION PRODUCT 51380 1 6 2 CARBETAPENTANE TANNATE, PSEUDOEPHEDRINE TANNATE 70493, 70592 1943<br />
BROCON 04705 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465 1944<br />
BROM-CORT-DC EXPECTORANT #2 04720 COMBINATION PRODUCT 51380 1 5 2 BROMPHENIRAMINE, CODEINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 51340, 52490, 54455, 54465<br />
BROM-CORTAPP 04725 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465 1945<br />
BROM-PHENIRAMINE 04730 BROMPHENIRAMINE 50690 1 6 1<br />
BROMALATE D.C. EXPECTORANT 04735 COMBINATION PRODUCT 51380 1 5 2 BROMPHENIRAMINE, CODEINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 51340, 52490, 54455, 54465<br />
BROMALIX ELIXIR 04745 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL 70239, 70254, 70358 1941, 1944<br />
BROMAMINE 04750 UNDETERMINED 50000 3 7 3 2000<br />
BROMANATE 04760 COMBINATION PRODUCT 51380 3 7 2 BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70239, 70254 1944, 2000<br />
BROMAREST 04772 BROMPHENIRAMINE 50690 2 6 1 1944<br />
BROMAREST DC 04773 COMBINATION PRODUCT 51380 1 5 2 BROMPHENIRAMINE, CODEINE, PHENYLPROPANOLAMINE 50690, 51340, 54465 1941, 1943, 1944<br />
BROMEPAPH 04795 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465<br />
BROMEPHEN ELIXIR 04800 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465<br />
BROMFED 04803 COMBINATION PRODUCT 51380 2 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1944<br />
BROMO-SELTZER 04805 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, SODIUM BICARBONATE 50005, 55280 0874, 1722<br />
BROMPHEN DC EXPECTORANT W/CODEINE 04815 COMBINATION PRODUCT 51380 1 5 2 BROMPHENIRAMINE, CODEINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 51340, 52490, 54455, 54465 1941, 1944<br />
BROMPHEN 04820 BROMPHENIRAMINE 50690 2 6 1 1944<br />
BROMPHENIRAMINE COMPOUND EXPECTORANT 04830 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 52490, 54455, 54465 1943<br />
BROMPHENIRAMINE EXPECTORANT SYRUP 04840 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 52490, 54455, 54465<br />
BROMPHENIRAMINE 04845 BROMPHENIRAMINE 50690 3 6 1 1944<br />
BROMPHENIRAMINE MALEATE ELIXIR 04850 BROMPHENIRAMINE 50690 3 6 1 1944<br />
BROMPHENIRAMINE W/PHENYLPROPANOLAMINE 04858 COMBINATION PRODUCT 51380 2 6 2 BROMPHENIRAMINE, PHENYLPROPANOLAMINE 50690, 54465<br />
BROMPHENTAPP T.D. 04860 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465 1945<br />
BRONCHLOFORM SYRUP 04865 UNDETERMINED 50000 3 7 3 2000<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BRONDECON 04875 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, OXTRIPHYLLINE 52490, 54100 1940, 1943<br />
BRONITIN MIST 04890 EPINEPHRINE 52040 1 6 1 1940<br />
BRONKAID DUAL ACTION 04895 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, EPHEDRINE SULFATE 52490, 70264 1940, 1943<br />
BRONKAID MIST 04900 EPINEPHRINE 52040 2 6 1 1940<br />
BRONKODYL 04910 THEOPHYLLINE 55745 1 6 1 1940<br />
BRONKOLIXIR 04915 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, EPHEDRINE, GUAIFENESIN, PHENOBARBITAL, THEOPHYLLINE 50090, 52035, 52490, 54395, 55745 1940<br />
BRONKOMETER 04920 ISOETHARINE 52900 1 6 1 1940<br />
BRONKOSOL 04925 ISOETHARINE 52900 1 6 1 1940<br />
BRONKOTABS 04930 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, GUAIFENESIN, PHENOBARBITAL, THEOPHYLLINE 52035, 52490, 54395, 55745 1940<br />
BSS 04950 COMBINATION PRODUCT 51380 1 6 2 CALCIUM ION, MAGNESIUM CHLORIDE, POTASSIUM ION, SODIUM CHLORIDE 50806, 53190, 54713, 55315 1569<br />
BUF ACNE CLEANSING BAR 04975 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID, SULFUR 55160, 55610 1265<br />
BUFF-A 04990 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
BUFFERED PHARMAPEN 05003 PENICILLIN 54250 1 6 1<br />
BUFFERED SOLUTUON ISOTONIC 05005 SODIUM BISULFITE 55290 2 6 1 2095<br />
BUFFERIN 05010 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50410, 50785, 53175 1722<br />
BUFFERIN ARTHRITIS STRENGTH 05015 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
BUFFERIN W/CODEINE 05018 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUFFERS, CODEINE 50410, 50706, 51340 1721<br />
BUFFEX 05020 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
BUMINATE 05025 ALBUMIN HUMAN 50085 1 6 1 0410<br />
BUPIVACAINE 05035 BUPIVACAINE 50710 1 6 1 0117, 0121<br />
BURO-SOL ANTISEPTIC 05045 BUROW'S SOLUTION 70619 2 6 1 1265<br />
BURROW'S OTIC 05053 ACETIC ACID 50025 1 6 1 2095<br />
BUROW'S SOLUTION 05055 ALUMINUM ACETATE 50130 2 6 1 1265<br />
BUTA-KAY ELIXIR 05065 BUTABARBITAL 50720 1 3 1<br />
BUTABARBITAL 05070 BUTABARBITAL 50720 1 3 1 0626<br />
BUTABARBITAL-BELLADONNA ELIXIR 05075 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, BUTABARBITAL SODIUM 50495, 70352 0874, 2087<br />
BUTABELL-HMB 05080 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, BUTABARBITAL, HYOSCYAMINE, SCOPOLAMINE HBR 50420, 50720, 52720, 55180<br />
BUTALBITAL W/AC 05098 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1720<br />
BUTALIX 05105 BUTABARBITAL 50720 1 3 1 0626<br />
BUTATAB 05107 PHENYLBUTAZONE 54450 1 6 1 1727<br />
BUTATRAN 05108 BUTABARBITAL 50720 1 3 1 0626<br />
BUTAZOLIDIN 05110 PHENYLBUTAZONE 54450 1 6 1 1727<br />
BUTESIN PICRATE 05120 BUTAMBEN 50730 2 6 1 0117<br />
BUTIBEL 05125 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, BUTABARBITAL SODIUM 50495, 70352 0877<br />
BUTICAPS 05135 BUTABARBITAL 50720 1 3 1 0626<br />
BUTSECO 05150 COMBINATION PRODUCT 51380 1 2 2 BUTABARBITAL, PHENOBARBITAL, SECOBARBITAL 50720, 54395, 55185 0626<br />
BUTYN 05155 UNDETERMINED 50000 3 7 3 2000<br />
C & T 05160 COMBINATION PRODUCT 51380 1 6 2 THIAMINE, VITAMIN B-12 55755, 56192 0408<br />
C.D.M. EXPECTORANT 05170 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, DEXTROMETHORPHAN, GUAIFENESIN, PHENYLEPHRINE, SODIUM CITRATE 51130, 51670, 52490, 54455, 55320<br />
C.V.P. 05175 BIOFLAVONOIDS 50615 2 6 1 0913<br />
C-LEXIN 05188 CEPHALEXIN 50980 1 6 1<br />
C-PLEX 05195 COMBINATION PRODUCT 51380 2 6 2 CALCIUM, VITAMIN C, VITAMIN B COMPLEX 50776, 56193, 56345 0913<br />
C-STIX 05215 PHOSPHOMOLYBDATE REAGENT 54475 3 7 1<br />
C-TABS 05220 VITAMIN C 56193 2 6 1 0913<br />
CAFACETIN 05235 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, GELSEMIUM, PHENACETIN 50410, 50745, 52397, 54350 2087<br />
CAFERGOT 05250 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, ERGOTAMINE TARTRATE 50745, 70353 1723<br />
CAFERGOT P-B 05255 UNDETERMINED 50000 3 7 3 2000<br />
CAFERMINE 05257 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, ERGOTAMINE 50745, 52055 1723<br />
CAFETRATE 05260 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, ERGOTAMINE 50745, 52055 1723<br />
CAFFEINE 05265 CAFFEINE 50745 2 6 1 0631<br />
CAFFEINE & SODIUM BENZOATE 05270 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, SODIUM BENZOATE 50745, 55275 0631<br />
CAFFEINE ALKALOID 05275 CAFFEINE 50745 2 6 1<br />
CAFFEINE CITRATED 05280 CAFFEINE 50745 2 6 1 0632<br />
CAL-CREODINE 05298 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, IODINE TOPICAL PREPARATIONS 50770, 52820<br />
CAL-NOR 05300 CALCIUM REPLACEMENT AGENTS 50770 1 6 1 0915<br />
CAL-ZO 05305 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, CAMPHOR, LANOLIN, PHENOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50755, 50845, 53003, 54400, 56265 1265<br />
CALADRYL 05310 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, PRAMOXINE HCL 50755, 70335 1274<br />
CALADRYL HYDROCORTISONE 05311 HYDROCORTISONE 52655 2 6 1<br />
CALAHIST 05313 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, CAMPHOR, DIPHENHYDRAMINE HCL 50755, 50845, 70344 1265<br />
CALAMED 05318 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, DIPHENHYDRAMINE 50755, 51860 1265<br />
CALAMINE 05320 CALAMINE 50755 2 6 1 1274<br />
CALAMINE COMPOUND PASTE 05325 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CALAMINE, LANOLIN, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 50755, 53003, 56265<br />
CALAMINE LINIMENT 05330 CALAMINE 50755 2 6 1<br />
CALAMINE LOTION W/PHENOL 05340 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, PHENOL 50755, 54400 1265<br />
CALAMINE OINTMENT 05345 CALAMINE 50755 2 6 1<br />
CALAMOX 05346 CALAMINE 50755 2 6 1 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
CALCET 05355 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045 0913<br />
CALCICAPS W/IRON 05365 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, IRON PREPARATIONS, PHOSPHORUS 50770, 52045, 52885, 57034<br />
CALCIDRINE 05370 COMBINATION PRODUCT 51380 1 5 2 CALCIUM IODIDE, CODEINE 50802, 51340 1943<br />
CALCIHAB 05380 IODINE SOLUTIONS 52830 2 6 1<br />
CALCILAC 05385 COMBINATION PRODUCT 51380 2 6 2 AMINOACETIC ACID, CALCIUM CARBONATE 50190, 50785 0874<br />
CALCIPARINE 05392 HEPARIN 52540 1 6 1 0409<br />
CALCITREL 05394 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50785, 53175 0874<br />
CALCIUM ACETATE 05395 CALCIUM ACETATE 50775 3 6 1 0915<br />
CALCIUM CHLORIDE 05418 CALCIUM REPLACEMENT AGENTS 50770 3 6 1 0915<br />
CALCIUM DISODIUM VERSENATE 05420 EDETATE CALCIUM DISODIUM 52010 1 6 1 0281<br />
CALCIUM GLUCONATE W/VITAMIN D 05435 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045 0913<br />
CALCIUM IODIZED 05440 IODINE SOLUTIONS 52830 2 6 1 0913<br />
CALCIUM LACTATE 05445 CALCIUM REPLACEMENT AGENTS 50770 2 6 1 0915<br />
CALCIUM LEVULINATE 05448 CALCIUM REPLACEMENT AGENTS 50770 1 6 1 0916<br />
CALCIUM SALTS/VITAMIN D 05453 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045 0913<br />
CALCIUM STEARATE NF 05455 CALCIUM REPLACEMENT AGENTS 50770 3 7 1<br />
CALCIUM-AMINO 05460 COMBINATION PRODUCT 51380 2 6 2 AMINOACETIC ACID, CALCIUM CARBONATE 50190, 50785<br />
CALCIUM, PHOSPHATE & VITAMIN D 05470 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, PHOSPHORUS 50770, 52045, 57034 0913<br />
CALCIWAFERS 05475 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045<br />
CALDECORT 05480 HYDROCORTISONE 52655 2 6 1 1265<br />
CALDEROL 05483 CALCIFEDIOL 50758 1 6 1 0913<br />
CALDWELL'S (OR) LAXATIVE 05488 SENNA 55200 2 6 1<br />
CALFOS D 05495 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045<br />
CALOCARB 05515 CALCIUM CARBONATE 50785 2 6 1 0913<br />
CALOMEL 05520 MERCUR0US CHLORIDE 53425 1 6 1 2000<br />
CALOR-AID INSTANT DRINK 05523 FOOD SUPPLEMENT 52358 2 6 1<br />
CALOXOL LOTION 05525 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, PHENOL, RESORCINOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50755, 54400, 55085, 56265<br />
CALPHOSAN 05530 CALCIUM REPLACEMENT AGENTS 50770 1 6 1 0913<br />
CALORIC AGENT 05533 UNDETERMINED 50000 3 7 3 0914<br />
CALSCORBATE 05535 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, VITAMIN C 50770, 52045, 56193 0913<br />
CAL-SUP 05538 CALCIUM REPLACEMENT AGENTS 50770 2 6 1 0915<br />
CAMA 05550 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
CAMPHO-PHENIQUE 05565 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, PHENOL 50845, 54400 1264<br />
CAMPHOR 05570 CAMPHOR 50845 2 6 1 1265<br />
CAMPHOR & SOAP LINIMENT 05575 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, SOAP 50845, 55265 1265<br />
CAMPHORATED OIL 05580 CAMPHOR 50845 2 6 1<br />
CANDEX 05590 NYSTATIN 53995 1 6 1 1271<br />
CANKAID 05593 UREA 56120 2 6 1<br />
CANTRI 05610 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, AMINACRINE, SULFISOXAZOLE 50103, 50183, 55590 1265<br />
CAPADE 05620 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, ISOPROPAMIDE, PHENYLPROPANOLAMINE 51130, 52920, 54465 2000<br />
CAPEX 05630 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE 50005, 54465 1265<br />
CAPITAL 05635 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
CAPITAL W/CODEINE 05640 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
CAQUIN 05660 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845 1265<br />
CARAMEL 05665 CARAMEL 50870 3 7 1<br />
CARAMIPHEN W/PP 05668 COMBINATION PRODUCT 51380 1 6 2 CARAMIPHEN, PHENYLPROPANOLAMINE 50873, 54465<br />
CARBACEL 05670 CARBACHOL 50875 1 6 1 1566<br />
CARBACHOL 05675 CARBACHOL 50875 1 6 1 1567<br />
CARBARSONE 05685 CARBARSONE 50885 1 6 1 1860<br />
CARBENICILLIN 05690 CARBENICILLIN 50895 1 6 1 0346<br />
CARBOCAINE 05695 MEPIVACAINE 53360 1 6 1 0117<br />
CARBOL-FUCHSIN 05700 CARBOL-FUCHSIN 50905 1 6 1<br />
CARBON TETRACHLORIDE 05715 CARBON TETRACHLORIDE 50910 3 6 1<br />
CARBONIS DETERGENS USP 05720 COAL TAR 51305 2 6 1 1200<br />
CARDABID 05740 NITROGLYCERIN 53945 1 6 1 0503<br />
CARDAMOM COMPOUND 05745 UNDETERMINED 50000 3 7 3 2087<br />
CARDEC-DM 05750 UNDETERMINED 50000 3 7 3 2000<br />
CARDEC-S SYRUP 05755 UNDETERMINED 50000 1 6 3 2000<br />
CARDILATE 05760 ERYTHRITYL TETRANITRATE 52060 1 6 1 0503<br />
CARDILATE-P 05765 COMBINATION PRODUCT 51380 1 6 2 ERYTHRITYL TETRANITRATE, PHENOBARBITAL 52060, 54395 2087<br />
CARDIO-GREEN 05770 INDOCYANINE GREEN 52765 1 6 1 0789<br />
CARDIOGRAFIN 05780 MEGLUMINE 53298 1 6 1 0789<br />
CARDIOQUIN 05785 QUINIDINE 55045 1 6 1 0502<br />
CARDIOVASCULAR AGENT 05788 UNDETERMINED 50000 1 6 3 0500<br />
CARDUI 05795 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PAMABRON, PYRILAMINE 50005, 54158, 54995 1722, 1944<br />
CARI-TAB SOFTAB 05800 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, SODIUM FLUORIDE, VITAMIN A, VITAMIN C 52045, 55330, 56185, 56193 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
CARISOPRODOL W/ASPIRIN 05818 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CARISOPRODOL 50410, 50920 1373<br />
CAROID 05830 COMBINATION PRODUCT 51380 2 6 2 CASCARA, PHENOLPHTHALEIN 50935, 54405 0876<br />
CAROID AND BILE SALTS 05835 COMBINATION PRODUCT 51380 2 6 2 BILE ACIDS, CAPSICUM, CASCARA, PAPAIN, PHENOLPHTHALEIN 50610, 50868, 50935, 54180, 54405 0877<br />
CARTER'S LITTLE PILLS 05840 BISACODYL 50630 2 6 1 0876<br />
CAS-EVAC 05850 CASCARA 50935 2 6 1 0876<br />
CASEC 05875 DIETARY SUPPLEMENT 51740 2 6 1 0914<br />
CASTADERM 05880 COMBINATION PRODUCT 51380 1 6 2 ACETONE, BORIC ACID, CARBOL-FUCHSIN, RESORCINOL 50035, 50660, 50905, 55085 1271<br />
CASYLLIUM 05890 COMBINATION PRODUCT 51380 2 6 2 CASCARA, PSYLLIUM 50935, 54965 0876<br />
CATARASE 05900 CHYMOTRYPSIN 51215 1 6 1 1569<br />
CATHARTIC AGENT 05903 UNDETERMINED 50000 3 6 3 0876<br />
CE-VI-SOL 05915 VITAMIN C 56193 2 6 1 0913<br />
CEBENASE 05925 COMBINATION PRODUCT 51380 1 6 2 PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN C, VITAMIN B COMPLEX 54990, 55105, 55770, 56193, 56345 0913<br />
CEBETINIC 05930 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN C 52885, 53915, 55105, 55755, 56193<br />
CEBRALAN 05950 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN A, VITAMIN B-12 54990, 55105, 55770, 56185, 56192<br />
CECON DROPS 05960 VITAMIN C 56193 2 6 1 0913<br />
CEDILANID 05965 LANATOSIDE C 53000 1 6 1 0501<br />
CEDILANID-D 05970 DESLANOSIDE 51610 1 6 1 0501<br />
CEETOLAN 05980 CETALKONIUM CHLORIDE 51015 2 6 1<br />
CEFADROXIL 05983 CEFADROXIL 50950 1 6 1 0347<br />
CEFADYL 05985 CEPHAPIRIN 51000 1 6 1 0347<br />
CEFOBID 05988 CEFOPERAZONE 50962 1 6 1 0347<br />
CELESTONE 06005 BETAMETHASONE 50585 1 6 1 1268<br />
CELESTONE PHOSPHATE 06010 BETAMETHASONE 50585 1 6 1 1032<br />
CELL STIMULANT AND PROLIFERANT 06023 UNDETERMINED 50000 3 7 3 2000<br />
CEN-E 06035 VITAMIN E 56195 2 6 1<br />
CENA K 10% SUGAR-FREE 06040 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1<br />
CENAFED 06050 PSEUDOEPHEDRINE 54960 1 6 1 1941<br />
CENAID 06060 COMBINATION PRODUCT 51380 2 6 2 CAFFEINE, CHLORPHENIRAMINE, PHENACETIN, PHENYLEPHRINE, SALICYLAMIDE 50745, 51130, 54350, 54455, 55150<br />
CENALAX 06065 BISACODYL 50630 2 6 1 0876<br />
CENALENE 06070 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PENTYLENETETRAZOL, THIMEROSAL, VITAMIN B-12 53915, 54300, 55770, 56192 0631, 0913<br />
CENALONE 06075 PREDNISOLONE 54770 1 6 1<br />
CENOCORT 06080 TRIAMCINOLONE 55915 1 6 1 1268<br />
CENOLATE 06085 VITAMIN C 56193 1 6 1 0913<br />
CENTET-250 06090 TETRACYCLINE 55725 1 6 1 0350<br />
CENTRAX 06095 PRAZEPAM 54760 1 4 1 0626<br />
CEO-TWO 06105 COMBINATION PRODUCT 51380 2 6 2 POTASSIUM BITARTRATE, SODIUM BICARBONATE 54640, 55280 0876<br />
CEPASTAT 06120 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, PHENOL 53325, 54400 1275<br />
CEPHALORIDINE 06127 CEPHALORIDINE 50990 1 6 1 2087<br />
CEPHALOSPORINS 06128 UNDETERMINED 50000 1 6 3 0347<br />
CEPHALOTHIN 06130 CEPHALOTHIN 50995 1 6 1 0347<br />
CEPHAPIRIN 06131 CEPHAPIRIN 51000 1 6 1 0347<br />
CEPHRADINE 06133 CEPHRADINE 51005 1 6 1 0347<br />
CERIUM 06155 CERIUM OXALATE 51010 2 6 1 2100<br />
CERUBIDINE 06165 DAUNORUBICIN 51560 1 6 1 1479<br />
CERYLIN 06175 UNDETERMINED 50000 3 7 3 2000<br />
CESAMET 06177 NABILONE 53838 1 2 1 1671<br />
CETACAINE 06180 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, TETRACAINE, BUTYL AMINOBENZOATE 50530, 55715, 70620 0121<br />
CETAMIDE 06190 SULFACETAMIDE 55525 1 6 1 1568<br />
CETANE 06195 VITAMIN C 56193 1 6 1 0913<br />
CETANE W/PRESERVATIVE 06200 VITAMIN C 56193 1 6 1<br />
CETANE-NO PRESERVATIVE 06205 VITAMIN C 56193 1 6 1<br />
CETAPHIL 06210 OINTMENT HYDROPHILIC 54015 2 6 1 1265<br />
CETAPRED 06215 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE ACETATE, SULFACETAMIDE SODIUM 70158, 70214 1568<br />
CETRO-CIROSE 06220 COMBINATION PRODUCT 51380 2 5 2 CITRIC ACID, CODEINE, IPECAC, POTASSIUM GUAIACOLSULFONATE, SODIUM CITRATE 51235, 51340, 52870, 54700, 55320 1941, 1943, 1944<br />
CETYL ALCOHOL 06225 CETYL ALCOHOL 51020 3 6 1<br />
CEVI-BID 06240 VITAMIN C 56193 2 6 1<br />
CEVITA 06245 VITAMIN C 56193 1 6 1 0913, 2087<br />
CEVITA KAYKAP 06250 VITAMIN C 56193 2 6 1 0913<br />
CHARCOAL 06260 CHARCOAL 51025 2 6 1 0877<br />
CHARCOCAPS 06265 CHARCOAL 51025 2 6 1 0283<br />
CHARCODATE 06270 CHARCOAL 51025 3 6 1 0283<br />
CHARCOTABS 06275 CHARCOAL 51025 2 6 1<br />
CHARDONNA-2 06280 COMBINATION PRODUCT 51380 1 4 2 BELLADONNA, PHENOBARBITAL 50495, 54395 0877<br />
CHEALAMIDE 06285 EDETATE DISODIUM 52015 1 6 1 0281, 0916, 1569<br />
CHELATED ZINC 06293 ZINC SULFATE 56285 2 6 1 0913<br />
CHEMOTHERAPY 06294 UNDETERMINED 50000 3 6 3 1479<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
CHEL-IRON 06295 IRON PREPARATIONS 52885 2 6 1<br />
CHERACOL COUGH 06300 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE 52490, 70231 1943<br />
CHERACOL D COUGH SYRUP 06305 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
CHERATUSSIN 06318 COMBINATION PRODUCT 51380 2 5 2 AMMONIUM CHLORIDE, DEXTROMETHORPHAN HBR 50245, 70338 1943<br />
CHERRALEX 06320 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, AMMONIUM CHLORIDE, POTASSIUM GUAIACOLSULFONATE, WHITE PINE SYRUP, WILD CHERRY SYRUP 50090, 50245, 54700, 56225, 56230<br />
CHEWABLE VITAMIN W/FLUORIDE 06338 COMBINATION PRODUCT 51380 1 6 2 FLUORIDE, MULTIVITAMINS GENERAL 52318, 53780 0913<br />
CHEW E 06340 VITAMIN E 56195 2 6 1<br />
CHEW-VITE 06355 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIMEROSAL, VITAMIN A, VITAMIN C 52045, 55105, 55770, 56185, 56193<br />
CHEXIT TIMED-RELEASE 06360 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE, TERPIN HYDRATE 51670, 54385, 54465, 54995, 55675 1941, 1943, 1944<br />
CHIGGERTOX 06370 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, BENZYL BENZOATE 50530, 50575<br />
CHILDREN'S PANADOL 06371 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
CHILDREN'S S/F D/F COUGH 06373 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PSEUDOEPHEDRINE 51670, 52490, 54960<br />
CHILDREN'S TYLENOL 06374 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
CHLOR MAL SYRUP 06375 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
CHLOR-NIRAMINE 06383 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
CHLOR-PHED 06385 OXYMETAZOLINE HCL 70653 1 6 1<br />
CHLOR-PHENTERMINE 06390 PHENTERMINE 54430 1 4 1 0631<br />
CHLOR-RES 06395 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, RESERPINE 51100, 55080 1941, 1944<br />
CHLOR-TRIMETON DECONGESTANT 06405 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PSEUDOEPHEDRINE 51130, 54960 1941, 1944<br />
CHLOR-TRIMETON REPETAB 06415 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
CHLOR-TRIMETON SYRUP 06420 CHLORPHENIRAMINE 51130 2 6 1 1944<br />
CHLOR-100 06425 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
CHLORAFED TIMECELLE 06435 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
CHLORAL-METHYLOL 06445 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE 53325, 53620<br />
CHLORAMEAD 06460 CHLORPROMAZINE 51150 1 6 1 0628<br />
CHLORAMPHENICOL 06465 CHLORAMPHENICOL 51050 1 6 1 0351<br />
CHLORASEPTIC DM 06480 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, MENTHOL, PHENOL, SODIUM PHENOXIDE, THYMOL 51670, 53325, 54400, 55383, 55815 0121, 1264<br />
CHLORASEPTIC GEL 06485 PHENOL 54400 2 6 1 0121, 1264<br />
CHLORESIUM 06505 CHLOROPHYLL 51085 2 6 1 1265<br />
CHLORMALEATE 06506 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
CHLORMEZANONE 06508 CHLORMEZANONE 51066 1 7 1 0627<br />
CHLOROBUTANOL 06510 CHLOROBUTANOL 51075 3 7 1 0121, 0626, 1264<br />
CHLOROBUTANOL HYDROUS 06515 CHLOROBUTANOL 51075 3 7 1<br />
CHLOROFORM 06525 CHLOROFORM 51080 1 6 1 0118<br />
CHLOROMYCETIN 06535 CHLORAMPHENICOL 51050 1 6 1 0351<br />
CHLOROMYCETIN PALMITATE 06545 CHLORAMPHENICOL 51050 1 6 1 0351<br />
CHLOROMYCETIN SODIUM SUCCINATE 06550 CHLORAMPHENICOL 51050 1 6 1 0351<br />
CHLOROMYXIN 06560 COMBINATION PRODUCT 51380 1 6 2 CHLORAMPHENICOL, POLYMYXIN B SULFATE 51050, 70212 1568<br />
CHLOROPTIC-P 06575 COMBINATION PRODUCT 51380 1 6 2 CHLORAMPHENICOL, PREDNISOLONE 51050, 54770 1568<br />
CHLOROQUINE 06580 CHLOROQUINE 51095 1 6 1 1860<br />
CHLOROTHIAZIDE 06590 CHLOROTHIAZIDE 51100 1 6 1 0506, 0507<br />
CHLOROTHIAZIDE W/RESERPINE 06595 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, RESERPINE 51100, 55080 0506, 0507<br />
CHLOROTHYMOL 06600 CHLOROTHYMOL 51105 3 6 1<br />
CHLORPHENIRAMINE/ASPIRIN 06613 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CHLORPHENIRAMINE 50410, 51130<br />
CHLORPRO 06615 CHLORPHENIRAMINE 51130 2 6 1 1944<br />
CHLORPROPAMIDE 06625 CHLORPROPAMIDE 51155 1 6 1 1036<br />
CHLORPROPHEN LANACAPS 06628 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 51130, 54465<br />
CHLORSPAN-12 06630 CHLORPHENIRAMINE 51130 1 6 1<br />
CHLORTAB-4 06635 CHLORPHENIRAMINE 51130 2 6 1<br />
CHLORTAB-8 06640 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
CHLORULAN 06650 CHLOROTHIAZIDE 51100 1 6 1 0507<br />
CHLORZONE FORTE 06660 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORZOXAZONE 50005, 51175 1373<br />
CHLORZOXAZONE W/APAP 06665 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORZOXAZONE 50005, 51175 1373<br />
CHOLAN 06675 DEHYDROCHOLIC ACID 51585 2 6 1 0876<br />
CHOLAN V 06685 COMBINATION PRODUCT 51380 1 6 2 DEHYDROCHOLIC ACID, HOMATROPINE 51585, 52615<br />
CHOLEDYL 06695 OXTRIPHYLLINE 54100 1 6 1 1940<br />
CHOLERA VACCINE 06700 CHOLERA VACCINE 51180 1 6 1 1180<br />
CHOLINE 06720 CHOLINE 51195 2 6 1 0912, 0913<br />
CHOLINE CHLORIDE 06725 CHOLINE 51195 1 6 1<br />
CHOLINE SALICYLATE 06730 CHOLINE SALICYLATE 51200 2 6 1 1720<br />
CHOLINERGIC AGENT 06733 UNDETERMINED 50000 3 7 3<br />
CHOLINERGIC BLOCKING AGENT 06734 UNDETERMINED 50000 3 7 3 2087<br />
CHOLOGRAFIN 06740 IODIPAMIDE MEGLUMINE 52835 1 6 1 0789<br />
CHOLOXIN 06745 DEXTROTHYROXINE 51685 1 6 1 0912<br />
CHOOZ 06750 CALCIUM CARBONATE 50785 2 6 1 0874<br />
CHORIONIC G 06760 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
CHORIONIC GONADOTROPIN 06765 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
CHORIONIC SPECIAL DILUENT 06770 COMBINATION PRODUCT 51380 1 6 2 GLUTAMIC ACID, NIACIN, SODIUM SUCCINATE 52435, 53905, 55400<br />
CHROMAGEN-D 06785 IRON PREPARATIONS 52885 1 6 1 0408, 2087<br />
CHYMORAL 06805 COMBINATION PRODUCT 51380 1 6 2 CHYMOTRYPSIN, TRYPSIN 51215, 56048 0877<br />
CIBALITH-S SYRUP 06808 LITHIUM 53120 1 6 1 0628<br />
CIN-QUIN 06820 QUINIDINE 55045 1 6 1 0502<br />
CINNAMON OIL USP 06825 CINNAMON OIL 51225 3 6 1<br />
CINOBAC PULVULE 06838 CINOXACIN 51227 1 6 1 0355<br />
CITANEST 06855 PRILOCAINE 54785 1 6 1 0117<br />
CITROCARBONATE GRANULAR EFFERVESCENT 06870 COMBINATION PRODUCT 51380 2 6 2 SODIUM BICARBONATE, SODIUM CITRATE 55280, 55320 0874<br />
CITROLITH 06873 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM ALKALINIZING AGENTS, SODIUM CITRATE 54620, 55320 0915<br />
CLEANING & SOAKING SOLUTION BARNES HIND 06890 CONTACT LENS SOLUTION 51390 2 6 1 2087<br />
CLEARASIL 06900 UNDETERMINED 50000 2 6 3 1265<br />
CLEOCIN T 06913 CLINDAMYCIN 51255 1 6 1 1271<br />
CLINDAMYCIN (PHOSPHATE) 06925 CLINDAMYCIN 51255 1 6 1 0348<br />
CLISTIN 06945 CARBINOXAMINE 50900 1 6 1 1944<br />
CLISTIN EXPECTORANT 06950 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, AMMONIUM CHLORIDE, CARBINOXAMINE, POTASSIUM GUAIACOLSULFONATE, SODIUM CITRATE 50090, 50245, 50900, 54700, 55320<br />
CLISTIN-D 06960 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CARBINOXAMINE, PHENYLEPHRINE 50005, 50900, 54455 1944<br />
CLOXACILLIN 06963 CLOXACILLIN 51300 1 6 1 0346<br />
CLOCREAM 06965 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, VITAMIN A 52045, 56185 1265<br />
CLODERM 06968 CLOCORTOLONE 51257 1 6 1 1268<br />
CLOFIBRATE 06970 CLOFIBRATE 51260 1 6 1 0912<br />
CLOMID 06975 CLOMIPHENE 51265 1 6 1 1041<br />
CLONIDINE HCL W/CHLORTHALIDONE 06988 COMBINATION PRODUCT 51380 1 6 2 CHLORTHALIDONE, CLONIDINE HCL 51170, 70357 0506, 0507<br />
CLORPACTIN 07000 OXYCHLOROSENE 54110 2 6 1 1264<br />
CLOVE OIL 07005 CLOVE OIL 51295 3 6 1 2100<br />
CLOXAPEN 07015 CLOXACILLIN 51300 1 6 1 0346<br />
CLUSIVOL 07020 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIMEROSAL, VITAMIN A, VITAMIN C 52045, 55105, 55770, 56185, 56193 0913<br />
CLUSIVOL SYRUP 07025 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, THIAMINE, VITAMIN A, VITAMIN B-12, VITAMIN C 52045, 55755, 56185, 56192, 56193 0913<br />
CLYSODRAST 07030 BISACODYL 50630 1 6 1 0876<br />
CO-GEL 07050 COMBINATION PRODUCT 51380 2 6 2 AMINOACETIC ACID, AMYLASE, CALCIUM CARBONATE, CELLULASE, PROTEINASE 50190, 50283, 50785, 50968, 54923<br />
CO-LU-GEL M-T 07055 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
CO-PYRONIL 07060 COMBINATION PRODUCT 51380 1 6 2 CYCLOPENTAMINE, PYRROBUTAMINE 51478, 55023 1941, 1944<br />
CO-TRIMOXAZOLE 07067 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
COAL TAR 07075 COAL TAR 51305 2 6 1 1274<br />
COASTALDYNE 07080 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340<br />
COASTALGESIC 07085 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTABARBITAL, CAFFEINE 50005, 50720, 50745 1721, 1943<br />
COBALASINE 07095 ADENOSINE 50080 1 6 1 2087<br />
COBALPHAMEAD 07105 HYDROXOCOBALAMIN 52680 1 6 1<br />
COCAINE 07110 COCAINE HCL 51310 1 2 1 0117<br />
COCILLANA 07120 COCILLANA 51320 2 6 1<br />
COCOA BUTTER 07140 COCOA BUTTER 51325 2 6 1 1265<br />
COCONUT OIL 07145 COCONUT OIL 51330 3 6 1 2100<br />
CODALAN 07155 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CAFFEINE, CODEINE, SALICYLAMIDE 50005, 50745, 51340, 55150 1945<br />
CODALAN 1 07156 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CAFFEINE, CODEINE, SALICYLAMIDE 50005, 50745, 51340, 55150 1721<br />
CODALAN 2 07157 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CAFFEINE, CODEINE, SALICYLAMIDE 50005, 50745, 51340, 55150 1721<br />
CODALAN 3 07158 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CAFFEINE, CODEINE, SALICYLAMIDE 50005, 50745, 51340, 55150 1721<br />
CODANOL 07160 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, HEXACHLOROPHENE, VITAMIN A, ZINC TOPICAL AGENTS, EXTERNAL USE 52045, 52560, 56185, 56265 2000<br />
CODAP 07165 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231<br />
CODEINE PHOSPHATE 07185 CODEINE 51340 1 2 1 1721<br />
CODEINE SULFATE 07190 CODEINE 51340 1 2 1 1721<br />
CODIMAL L.A. 07215 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1944<br />
CODIMAL PH SYRUP 07220 COMBINATION PRODUCT 51380 1 5 2 CODEINE PHOSPHATE, PHENYLEPHRINE HCL, PYRILAMINE MALEATE 70231, 70358, 70394 1943, 1944<br />
CODITRATE 07225 COMBINATION PRODUCT 51380 1 3 2 DIHYDROCODEINE, POTASSIUM GUAIACOLSULFONATE 52647, 54700<br />
CODIVAL 07230 COMBINATION PRODUCT 51380 3 7 2 BENZOCAINE, COD & HALIBUT LIVER OIL, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 51335, 56265 2000<br />
CODROXOMIN 07240 HYDROXOCOBALAMIN 52680 1 6 1 0408<br />
CODYLAX 07245 UNDETERMINED 50000 3 6 3 2000<br />
COHIDRATE 07255 CHLORAL HYDRATE 51040 1 4 1 0626<br />
COL-DECON 07258 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 51130, 54455, 54465, 54468<br />
COLBENEMID 07270 COMBINATION PRODUCT 51380 1 6 2 COLCHICINE, PROBENECID 51345, 54800 1725<br />
COLCHICUM 07280 COLCHICINE 51345 2 6 1 1725<br />
COLD CAPSULE 07285 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, HYOSCYAMINE, PHENIRAMINE, PHENYLPROPANOLAMINE, SCOPOLAMINE HBR 51130, 52720, 54385, 54465, 55180 1941, 1944<br />
COLD RELIEF 07293 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 50005, 70226, 70254, 70338 1945<br />
COLDRINE 07313 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL 50005, 70256 1943<br />
COLLAGENASE ABC 07320 COLLAGEN DERIVATIVE 51365 1 6 1 1265<br />
COLLODION 07325 COLLODION 51375 2 6 1 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
COLLYRIUM 07330 BORIC ACID 50660 2 6 1 1569<br />
COLLYRIUM W/EPHEDRINE 07335 COMBINATION PRODUCT 51380 2 6 2 ANTIPYRINE, BORIC ACID, EPHEDRINE, SODIUM BORATE 50325, 50660, 52035, 55295<br />
COLOCTYL 07340 DOCUSATE 51935 2 6 1<br />
COLOGEL 07345 METHYLCELLULOSE 53630 2 6 1 0876<br />
COLREX 07355 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLEPHRINE 50005, 51130, 54455 1945<br />
COLREX COMPOUND 07360 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CHLORPHENIRAMINE, CODEINE, PHENYLEPHRINE 50005, 51130, 51340, 54455 1941, 1943, 1944<br />
COLREX COMPOUND ELIXIR 07365 COMBINATION PRODUCT 51380 1 5 2 ACETAMINOPHEN, ALCOHOL, CHLORPHENIRAMINE, CODEINE, PHENYLEPHRINE 50005, 50090, 51130, 51340, 54455 1945<br />
COLREX TROCHE 07385 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CETYLPYRIDINIUM 50530, 51023 0117<br />
COLSALIDE 07390 COLCHICINE 51345 1 6 1<br />
COLSPAN 07395 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, HYOSCYAMINE, PHENIRAMINE, PHENYLPROPANOLAMINE, SCOPOLAMINE HBR 51130, 52720, 54385, 54465, 55180<br />
COLTAB 07400 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70226, 70358<br />
COLY-MYCIN 07405 COLISTIN 51360 1 6 1 0349<br />
COLY-MYCIN S 07410 COMBINATION PRODUCT 51380 1 6 2 THONZONIUM BROMIDE, HYDROCORTISONE ACETATE, NEOMYCIN SULFATE, COLISTIN SULFATE 55801, 70334, 70362, 70621 1670<br />
COLY-MYCIN S PEDIATRIC 07415 COLISTIN 51360 1 6 1<br />
COM-PRO-SAN 07418 COMBINATION PRODUCT 51380 1 6 2 ISOPROPAMIDE, PROCHLORPERAZINE 52920, 54830 2087<br />
COMBID 07430 COMBINATION PRODUCT 51380 1 6 2 ISOPROPAMIDE, PROCHLORPERAZINE 52920, 54830 0874<br />
COMBIPRES 07435 COMBINATION PRODUCT 51380 1 6 2 CHLORTHALIDONE, CLONIDINE HCL 51170, 70357 0506<br />
COMFORT DROPS 07458 NAPHAZOLINE 53875 2 6 1 1569<br />
COMFORTINE 07460 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, LANOLIN, VITAMIN A, ZINC TOPICAL AGENTS, EXTERNAL USE 52045, 53003, 56185, 56265 1265<br />
COMPOUND W 07478 SALICYLIC ACID 55160 2 6 1 1266<br />
CONACETOL 07490 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
CONAR-A 07498 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PHENYLEPHRINE 51670, 52490, 54455 1941, 1943, 1944<br />
CONCEPTROL 07500 NONOXYNOL 9 53955 2 6 1 1040<br />
CONEX D.A. 07510 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
CONEX W/CODEINE 07520 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN, PHENYLPROPANOLAMINE 51340, 52490, 54465 1943, 1944<br />
CONGESPIRIN SYRUP 07525 DEXTROMETHORPHAN 51670 2 6 1 1943<br />
CONGESS 07528 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
CONGO RED 07530 CONGO RED 51385 1 6 1<br />
CONHIST 07535 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50420, 51130, 54465 1944<br />
CONJUGATED ESTROGENS 07543 ESTROGENS 52075 1 6 1 1034<br />
CONRAY 07545 IOTHALAMATE 52865 1 6 1 0789<br />
CONSTANT-T 07553 THEOPHYLLINE 55745 1 6 1 1940<br />
CONSTIBAN 07555 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935<br />
CONTAC-12 HOUR 07560 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
CONTAC NASAL MIST 07570 PHENYLEPHRINE 54455 2 6 1<br />
CONTACTISOL 07575 HYDROXYPROPYL METHYLCELLULOSE 52700 2 6 1<br />
CONTIQUE 07580 BENZALKONIUM CHLORIDE 50515 2 6 1 2087<br />
CONTIQUE CLEANING + SOAKING 07585 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, EDETATE DISODIUM, TROLAMINE 50515, 52015, 56030 2087<br />
CONTIQUE SOAKING 07590 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, EDETATE DISODIUM 50515, 52015 2087<br />
CONVERSPAZ IMPROVED 07610 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, CELLULASE, HYOSCYAMINE, LIPASE, PROTEINASE 50283, 50968, 52720, 53118, 54923<br />
COPAN 07618 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1720<br />
COPAVIN 07620 COMBINATION PRODUCT 51380 1 3 2 CODEINE SULFATE, PAPAVERINE HCL 70360, 70361 1943<br />
COPPER 07623 COPPER 51393 3 6 1 0915<br />
COPPER SULFATE 07624 COPPER 51393 1 6 1 0915<br />
COPPERTONE 07625 COMBINATION PRODUCT 51380 2 6 2 HOMOSALATE, LANOLIN, PARAFFIN, PETROLATUM, WAX 52617, 53003, 54193, 54330, 56213 1269<br />
COPROBATE 07630 MEPROBAMATE 53370 1 4 1 0627, 1373<br />
CORACIN 07640 COMBINATION PRODUCT 51380 1 6 2 POLYMYXIN B SULFATE, BACITRACIN ZINC, HYDROCORTISONE ACETATE, NEOMYCIN SULFATE 70212, 70213, 70334, 70362 1568<br />
CORDRAN 07660 FLURANDRENOLIDE 52345 1 6 1 1268<br />
CORDRAN-N 07665 COMBINATION PRODUCT 51380 1 6 2 FLURANDRENOLIDE, NEOMYCIN SULFATE 52345, 70362 1265<br />
CORICIDIN D 07685 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50005, 70226, 70254 1945<br />
CORICIDIN MIST 07695 PHENYLEPHRINE 54455 2 6 1 1941<br />
CORN HUSKERS 07723 GLYCERIN 52450 2 6 1 1265<br />
CORRECTIVE MIXTURE 07730 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BISMUTH SALICYLATE, PEPSIN, PHENYL SALICYLATE, ZINC TOPICAL AGENTS, EXTERNAL USE 50090, 50640, 54310, 54440, 56265 0875<br />
CORRECTIVE MIXTURE W/PAREGORIC 07735 COMBINATION PRODUCT 51380 2 5 2 BISMUTH SALICYLATE, PAREGORIC, PEPSIN, PHENYL SALICYLATE, ZINC TOPICAL AGENTS, EXTERNAL USE 50640, 54215, 54310, 54440, 56265 0875<br />
CORT-DOME 07745 HYDROCORTISONE 52655 1 6 1 1265<br />
CORT-QUIN 07750 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOQUINOL 52655, 52850 2087<br />
CORTAID 07755 HYDROCORTISONE 52655 2 6 1 1268<br />
CORTICAINE 07775 HYDROCORTISONE ACETATE 70334 1 6 1 1268, 1275<br />
CORTIFOAM 07780 HYDROCORTISONE 52655 1 6 1 1268<br />
CORTIGEL 07785 CORTICOTROPIN 51400 1 6 1 1035<br />
CORTONE 07805 CORTISONE 51405 1 6 1 1032<br />
CORTRIL 07810 HYDROCORTISONE 52655 2 6 1 1265<br />
CORTROPHIN 07815 UNDETERMINED 50000 3 7 3 2000<br />
CORTROPHIN-ZINC ACTH 07818 CORTICOTROPIN 51400 1 6 1 1032<br />
CORTROSYN 07820 COSYNTROPIN 51410 1 6 1 2087<br />
CORYBAN-D 07825 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 51130, 54465 1941, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
COSANYL 07860 COMBINATION PRODUCT 51380 1 5 2 ALCOHOL, CODEINE, PSEUDOEPHEDRINE 50090, 51340, 54960 1941, 1943<br />
COSMEGEN 07870 DACTINOMYCIN 51535 1 6 1 1479<br />
COTAZYM 07875 COMBINATION PRODUCT 51380 1 6 2 CALCIUM CARBONATE, PANCRELIPASE 50785, 54165 0877<br />
COTAZYM-B 07880 COMBINATION PRODUCT 51380 2 6 2 BILE SALTS, CELLULASE, PANCRELIPASE 50613, 50968, 54165 0877<br />
COTRIM 07888 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
COTROPIC GEL 07895 CORTICOTROPIN 51400 1 6 1<br />
COTTONSEED OIL USP 07900 COTTONSEED OIL 51415 3 6 1<br />
COTUSSIS SYRUP 07905 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, CODEINE, TERPIN HYDRATE 50090, 51340, 55675 1943<br />
COTYLENOL 07910 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 50005, 70226, 70256 1945<br />
COUGHINE SYRUP 07925 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, GUAIFENESIN 51130, 52490<br />
COVERLET 07950 BANDAGE 50465 3 6 1 2000<br />
COVICONE 07955 UNDETERMINED 50000 3 7 3 2000<br />
CPA 07960 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1944<br />
CPD HAEMO-PAK W/STANDARD DONOR TUBE 07970 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, DEXTROSE, SODIUM CITRATE, SODIUM PHOSPHATE 51235, 51675, 55320, 55385<br />
CPD HAEMO-PAK W/7ML IN-LINE PILOT TUBE 07975 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, DEXTROSE, SODIUM CITRATE, SODIUM PHOSPHATE 51235, 51675, 55320, 55385<br />
CP2 07980 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE 50410, 50745 1720<br />
CPI 07983 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, ISOPROPAMIDE, PHENYLPROPANOLAMINE 51130, 52920, 54465<br />
CREAM OF TARTAR 07985 POTASSIUM BITARTRATE 54640 2 6 1 0876<br />
CREAMALIN 07990 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
CREOSOTE NF XII 08000 CRESOL 51425 3 7 1<br />
CRESOL COMPOUND 08010 CRESOL 51425 2 6 1<br />
CRITICARE HN 08013 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
CRUEX 08020 CALCIUM UNDECYLENATE 50823 2 6 1 1265<br />
CRYSTI-12 GEL 08025 VITAMIN B-12 56192 1 6 1 0408<br />
CRYSTICILLIN 08030 PENICILLIN G PROCAINE 54260 1 6 1 0346<br />
CRYSTODIGIN 08040 DIGITOXIN 51775 1 6 1 0501<br />
CUPRIC CHLORIDE 08048 CHROMIC CHLORIDE 51208 1 6 1 0915<br />
CUPRIC SULFATE ANHYDROUS REAGENT POWDER 08055 CUPRIC SULFATE 51445 3 7 1 2087<br />
CUPRIMINE 08060 PENICILLAMINE 54245 1 6 1 0281<br />
CUPRI-PAK 08063 COPPER 51393 1 6 1<br />
CURRETAB 08065 MEDROXYPROGESTERONE 53280 1 6 1 1034<br />
CYANAMINE FORTE 08073 COMBINATION PRODUCT 51380 1 6 2 THIAMINE, VITAMIN B-12 55755, 56192<br />
CYANIDE ANTIDOTE PACKAGE 08075 COMBINATION PRODUCT 51380 1 6 2 AMYL NITRITE, SODIUM THIOSULFATE, SODIUM NITRITE 50280, 55425, 57236 0281<br />
CYANOCOB 08085 VITAMIN B-12 56192 1 6 1<br />
CYANOCOBALAMIN NEO-VADRIN 08095 VITAMIN B-12 56192 2 6 1<br />
CYANOCOBALAMIN REPOSITORY 08100 VITAMIN B-12 56192 1 6 1<br />
CYANOJECT 08105 VITAMIN B-12 56192 1 6 1 0408<br />
CYCLACILLIN 08113 CYCLACILLIN 51460 1 6 1 0346<br />
CYCLAINE 08115 HEXYLCAINE 52590 1 6 1 0117<br />
CYCLOCEN 08133 UNDETERMINED 50000 1 6 3 2000<br />
CYCLOGYL 08140 CYCLOPENTOLATE 51480 1 6 1 1567<br />
CYCLOMYDRIL 08145 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE HCL, CYCLOPENTOLATE HCL 70358, 70367 1567<br />
CYCLOPAR 08150 TETRACYCLINE 55725 1 6 1 0350<br />
CYCLOPHOSPHAMIDE 08153 CYCLOPHOSPHAMIDE 51485 1 6 1 1483<br />
CYCLOSPASMOL 08160 CYCLANDELATE 51465 1 6 1 0508<br />
CYSTEX 08190 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE, SODIUM SALICYLATE 53530, 56325 0354<br />
CYSTOGRAFIN 08200 MEGLUMINE 53298 1 6 1 0789<br />
CYSTOSPAZ-SR 08210 HYOSCYAMINE 52720 1 3 1<br />
CYTADREN 08213 AMINOGLUTETHIMIDE 50203 1 6 1 1032<br />
CYTOFERIN 08225 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C 52885, 56193 0913<br />
CYTOSAR 08240 CYTARABINE 51520 1 6 1 1479<br />
D.H.E. 45 08270 DIHYDROERGOTAMINE 51785 1 6 1 1723<br />
D.P.X.L. 08275 COMBINATION PRODUCT 51380 1 5 2 ATROPINE, DIPHENOXYLATE 50420, 51868 0875<br />
D.S.S. W/CASANTHRANOL 08285 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE SODIUM 50933, 70262<br />
D-FEDA 08290 PSEUDOEPHEDRINE 54960 2 6 1<br />
D-S-S 08295 DOCUSATE 51935 2 6 1 0876<br />
D-S-S PLUS 08300 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
D-SEB GEL 08305 COMBINATION PRODUCT 51380 2 6 2 CHLOROXYLENOL, DETERGENT, ISOPROPYL ALCOHOL 51120, 51633, 52925<br />
D-10 08315 DEXTROSE 51675 1 6 1 0914<br />
D-20-W 08325 DEXTROSE 51675 1 6 2 0914<br />
D-3.3-1/3S 08330 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, SODIUM CHLORIDE 51675, 55315 0914<br />
D-50 08340 DEXTROSE 51675 1 6 1 0914<br />
DACARBAZINE 08342 DACARBAZINE 51530 1 6 1 1479<br />
DAILY MULTIPLE VITAMIN W/IRON 08355 MULTIVITAMIN COMBINATION 51382 2 6 2 IRON PREPARATIONS, MULTIVITAMINS 52885, 53805 0913<br />
DAILY VITAMIN FLAVORED SYRUP 08360 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
DALALONE 08368 DEXAMETHASONE 51635 1 6 1 1032<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DALCAINE 08369 LIDOCAINE 53070 1 6 1 0117, 1275<br />
DALOLONE 08395 DEXAMETHASONE 51635 1 6 1 1032<br />
DAMASON-P 08397 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, HYDROCODONE BITARTRATE 50410, 70217 1721<br />
DANAZOL 08400 DANAZOL 51540 1 6 1 1035<br />
DANOCRINE 08410 DANAZOL 51540 1 6 1 1035<br />
DANTHRON 08415 DANTHRON 51545 2 6 1 0876<br />
DARANIDE 08445 DICHLORPHENAMIDE 51715 1 6 1 1566<br />
DARBID 08455 ISOPROPAMIDE 52920 1 6 1 0877<br />
DARICON 08460 OXYPHENCYCLIMINE 54095 1 6 1 0878<br />
DARICON PB 08465 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, OXYPHENCYCLIMINE HCL 54395, 70368 0877<br />
DARVON COMPOUND 08480 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PROPOXYPHENE HCL 50410, 50745, 70377 1721<br />
DARVON-N 08490 PROPOXYPHENE 54890 1 4 1 1721<br />
DARVON-N W/A.S.A. 08495 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, PROPOXYPHENE NAPSYLATE 50410, 70150 1721<br />
DASIN 08505 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, CAMPHOR, IPECAC, ATROPINE SULFATE 50410, 50745, 50845, 52870, 70120 0877<br />
DAYALETS 08520 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, MULTIVITAMINS GENERAL 52045, 53780 0913<br />
DAYALETS PLUS IRON 08523 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, IRON PREPARATIONS, MULTIVITAMINS GENERAL 52045, 52885, 53780 0913<br />
DDS COMPOUND 08540 DAPSONE 51555 2 6 1 0356<br />
DE CAL 08545 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045<br />
DEAPRIL-ST 08555 ERGOLOID MESYLATES 52048 1 6 1<br />
DEBRISAN 08560 DEXTRANOMER 51660 2 6 1 1265<br />
DECADERM 08575 DEXAMETHASONE 51635 1 6 1 1265<br />
DECADRON ELIXIR 08590 DEXAMETHASONE 51635 1 6 1 1032<br />
DECADRON-LA 08605 DEXAMETHASONE 51635 1 6 1 1032<br />
DECADRON TURBINAIRE 08608 DEXAMETHASONE 51635 1 6 1 1032<br />
DECASPRAY 08625 DEXAMETHASONE 51635 1 6 1 1265<br />
DECAVITAMIN 08630 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
DECHOLIN 08635 DEHYDROCHOLIC ACID 51585 2 6 1 0876<br />
DECOBEL LANACAP 08650 COMBINATION PRODUCT 51380 2 6 2 BELLADONNA, CHLORPHENIRAMINE, PHENIRAMINE, PHENYLPROPANOLAMINE 50495, 51130, 54385, 54465 2087<br />
DECOHIST SYRUP 08655 COMBINATION PRODUCT 51380 2 6 2 CAFFEINE, SALICYLAMIDE, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50745, 55150, 70226, 70254 1944<br />
DECON-AID 08659 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
DECONAMINE CX LIQUID 08660 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, HYDROCODONE BITARTRATE, PSEUDOEPHEDRINE HCL 52490, 70217, 70256 1943<br />
DECONGEST DH 08668 UNDETERMINED 50000 3 7 3 2000<br />
DECONGESTANT 08670 UNDETERMINED 50000 2 6 3 1941<br />
DECONGESTANT ELIXIR 08680 UNDETERMINED 50000 2 6 3 1941<br />
DECONGESTCAPS 08690 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE HCL, PHENYLTOLOXAMINE CITRATE, PHENYLEPHRINE HCL 51130, 70254, 70255, 70358 1941<br />
DECONGEX 08695 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50420, 51130, 54465 1941, 1944<br />
DEHYDROCHOLATE 08710 DEHYDROCHOLIC ACID 51585 1 6 1<br />
DEHYDROCHOLIC ACID 08715 DEHYDROCHOLIC ACID 51585 1 6 1 0876<br />
DELADUMONE 08720 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
DELALUTIN 08725 UNDETERMINED 50000 2 7 3 2000<br />
DELAXIN 08735 METHOCARBAMOL 53560 1 6 1 1373<br />
DELCID 08740 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
DELFEN 08750 NONOXYNOL 9 53955 2 6 1 1040<br />
DELTA-CORTEF 08760 PREDNISOLONE 54770 1 6 1 1032<br />
DEMAZIN 08775 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
DEMSER 08800 METYROSINE 53710 1 6 1 0506<br />
DENOREX 08823 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, MENTHOL 51305, 53325 1265<br />
DENTAVITE 08830 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185 0913<br />
DEPANDRO 08838 TESTOSTERONE 55695 1 3 1 1033<br />
DEPEN 08840 PENICILLAMINE 54245 1 6 1 0281<br />
DEPLETITE-25 08850 DIETHYLPROPION 51750 1 4 1<br />
DEPO PRED 08855 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
DEPO-TESTADIOL 08875 COMBINATION PRODUCT 51380 1 3 2 ESTRADIOL CYPIONATE, TESTOSTERONE CYPIONATE 70245, 70372 1033, 1034<br />
DEPOGEN 08885 ESTRADIOL 52070 1 6 1 1034<br />
DEPOPRED 08890 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
DEPOTEST 08895 TESTOSTERONE 55695 1 3 1 1033<br />
DEPROIC 08902 VALPROIC ACID 56145 1 6 1 1374<br />
DEPROLUTIN 08908 HYDROXYPROGESTERONE 52695 1 6 1 1034<br />
DERFULE 08910 COMBINATION PRODUCT 51380 1 3 2 ATROPINE, OPIUM, PHENACETIN, SALICYLAMIDE 50420, 54035, 54350, 55150 1721<br />
DERMA MEDICONE-HC 08925 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, EPHEDRINE, HYDROCORTISONE, MENTHOL, OXYQUINOLONE 50530, 52035, 52655, 53325, 54148 2087<br />
DERMA PACK 08930 COMBINATION PRODUCT 51380 2 6 2 HEXACHLOROPHENE, SULFUR 52560, 55610<br />
DERMA SOAP 08940 CHLOROALLYLHEXAMINIUM CHLORIDE 51070 2 6 1<br />
DERMA-COVER 08945 COMBINATION PRODUCT 51380 2 6 2 ISOPROPYL ALCOHOL, SALICYLIC ACID, SULFUR 52925, 55160, 55610 1265<br />
DERMACOAT SPRAY 08950 BENZOCAINE 50530 2 6 1<br />
DERMACORT 08955 HYDROCORTISONE 52655 1 6 1 1265<br />
DERMASSAGE 08970 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, MINERAL OIL, PROPYLENE GLYCOL, STEARIC ACID, TROLAMINE 53325, 53720, 54895, 55485, 56030 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DERMAVAL 08975 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, CAMPHOR, MENTHOL, PHENOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50755, 50845, 53325, 54400, 56265<br />
DERMOCAINE 08977 TETRACAINE 55715 2 6 1 1265<br />
DERMOLATE 08985 HYDROCORTISONE 52655 2 6 1 1265<br />
DERMOLIN 08995 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, ISOPROPYL ALCOHOL, MENTHOL, METHYL SALICYLATE, MUSTARD OIL 50845, 52925, 53325, 53620, 53825 1265<br />
DERMOPLAST 09000 BENZOCAINE 50530 2 6 1 1265<br />
DESFERAL 09015 DEFEROXAMINE 51575 1 6 1 0281<br />
DESO-CREME 09030 UNDETERMINED 50000 3 7 3 2000<br />
DESOWEN 09033 DESONIDE 51620 1 6 1 1268<br />
DESOXYCORTICOSTERONE 09035 DESOXYCORTICOSTERONE 51630 1 6 1 1032<br />
DESOXYN 09040 METHAMPHETAMINE 53485 1 2 1 0631<br />
DESQUAM-X 09045 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
DESQUAM-X WASH 09050 BENZOYL PEROXIDE 50550 1 6 1 1265<br />
DETUSSIN LIQUID 09060 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, PSEUDOEPHEDRINE HCL 70217, 70256 1941, 1943<br />
DEX-IRON 09064 FERROUS SULFATE 70174 1 6 1 0914<br />
DEX-SALT 09065 COMBINATION PRODUCT 51380 2 6 2 DEXTROSE, SODIUM CHLORIDE, THIAMINE 51675, 55315, 55755<br />
DEXACEN 09070 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXAMETHASONE ELIXIR 09085 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXAMETHASONE OPHTH 09088 DEXAMETHASONE 51635 1 6 1 1568<br />
DEXAMETHASONE SODIUM PHOSPHATE 09095 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXAMPEX 09100 DEXTROAMPHETAMINE 51665 1 2 1 0631<br />
DEXASONE 09115 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXBROMPHENI/PSEUDOEPHED 09117 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, DEXBROMPHENIRAMINE MALEATE 54960, 70373 1941, 1944<br />
DEXCHLORPHENIRAMINE 09118 DEXCHLORPHENIRAMINE 51640 1 6 1 1944<br />
DEXEDRINE 09120 DEXTROAMPHETAMINE 51665 1 2 1 0631<br />
DEXON 09125 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXPANTHENOL 09135 DEXPANTHENOL 51645 1 6 1 0877<br />
DEXSONE 09145 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXSONE II 09150 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE 51635<br />
DEXTRAN DEXTROSE 09163 DEXTRAN 51647 1 6 1 0410<br />
DEXTRAN SODIUM CHLORIDE 09164 DEXTRAN 51647 1 6 1 0410<br />
DEXTRO-TUSSIN SYRUP 09165 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, CHLORPHENIRAMINE, DEXTROMETHORPHAN, PHENYLEPHRINE 50245, 51130, 51670, 54455<br />
DEXTROSE 09175 DEXTROSE 51675 3 6 1 0914<br />
DEXTROSE W/ELECTROLYTE 09180 COMBINATION PRODUCT 51380 1 6 2 UNDETERMINED, DEXTROSE 50000, 51675 0914<br />
DEZONE 09190 DEXAMETHASONE 51635 1 6 1 2087<br />
DEY-DOSE 09191 ISOPROTERENOL 52930 1 6 1 1940<br />
DHT 09194 DIHYDROTACHYSTEROL 51790 1 6 1 0916<br />
DI PHEN 09195 PHENYTOIN 54470 1 6 1 1374<br />
DI-CALCIUM PHOSPHATE W/D 09205 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045<br />
DI-PHOS-D 09233 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, CHLORPHENIRAMINE, ERGOCALCIFEROL 50785, 51130, 52045<br />
DI-SPAZ 09240 DICYCLOMINE 51730 1 6 1 0874<br />
DIA-QUEL 09245 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, HOMATROPINE, OPIUM, PECTIN 50090, 52615, 54035, 54238 0875<br />
DIABISMUL 09255 COMBINATION PRODUCT 51380 1 3 2 BISMUTH ANTI-DIARRHEA AGENTS, CALCIUM CARBONATE, OPIUM 50635, 50785, 54035 0875<br />
DIAGARD 09273 COMBINATION PRODUCT 51380 2 6 2 CARMELLOSE, CASANTHRANOL, DOCUSATE 50923, 50933, 51935<br />
DIALOSE 09290 DOCUSATE 51935 2 6 1 0876<br />
DIALUME 09295 ALUMINUM HYDROXIDE 50145 2 6 1 0874<br />
DIALYTE DEXTROSE 09298 COMBINATION PRODUCT 51380 1 6 2 UNDETERMINED, DEXTROSE 50000, 51675 0915<br />
DIAPA KARE 09325 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, SODIUM BICARBONATE, STARCH 50515, 55280, 55480 1569<br />
DIAPARENE 09330 METHYLBENZETHONIUM CHLORIDE 53625 2 6 1 1265<br />
DIAPID 09335 LYPRESSIN 53155 1 6 1 1038<br />
DIAQUA 09340 HYDROCHLOROTHIAZIDE 52645 1 6 1 0507<br />
DIARAL 09343 UNDETERMINED 50000 3 7 3 2000<br />
DIASONE SODIUM ENTERAB 09350 SULFOXONE SODIUM 55605 1 6 1 0356<br />
DIASORB 09352 ATTAPULGITE 50430 2 6 1 0875<br />
DIBENT 09375 DICYCLOMINE 51730 1 6 1 0877<br />
DIBENT PB 09380 COMBINATION PRODUCT 51380 1 6 2 DICYCLOMINE, PHENOBARBITAL 51730, 54395 0626, 0874<br />
DIBUCAINE 09390 DIBUCAINE 51705 3 6 1 0117<br />
DICAL-D 09395 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, PHOSPHORUS 50770, 52045, 57034 0913<br />
DICAL-D WAFER 09402 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, PHOSPHORUS 50770, 52045, 57034<br />
DICAL-PHOS CALCIUM & D 09403 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, PHOSPHORUS 50770, 52045, 57034<br />
DICALCIUM 09405 CALCIUM REPLACEMENT AGENTS 50770 2 6 1<br />
DICALCIUM PHOSPHATE 09410 CALCIUM REPLACEMENT AGENTS 50770 2 6 1 0915<br />
DICALCIUM PHOS, CAL GLUC & VIOSTEROL 09413 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, VITAMIN A 50770, 52045, 56185<br />
DICALCIUM PHOSPHATE W/VITAMIN D 09415 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045 0913<br />
DICALCIUM PHOS W/VIT D & VIT C 09423 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, VITAMIN C 50770, 52045, 56193<br />
DICARBOSIL 09425 CALCIUM CARBONATE 50785 2 6 1 0915<br />
DICEN 09430 DICYCLOMINE 51730 1 6 1 0874<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DICUMAROL 09445 DICUMAROL 51725 1 6 1 0409<br />
DICYCLOMINE HCL W/PHENOBARBITAL 09460 COMBINATION PRODUCT 51380 1 6 2 DICYCLOMINE, PHENOBARBITAL 51730, 54395 0877<br />
DIDREX 09465 BENZPHETAMINE 50555 1 3 1 0631<br />
DIET GARD 09488 PHENYLPROPANOLAMINE 54465 2 6 1<br />
DIET-EASE APPETITE CNTRL 09489 PHENYLPROPANOLAMINE 54465 2 6 1<br />
DIETHYLPROPION 09495 DIETHYLPROPION 51750 1 4 1 0631<br />
DIETHYLSTILBESTROL 09500 DIETHYLSTILBESTROL 51755 1 6 1 1034<br />
DIGIFORTIS 09525 DIGITALIS 51770 1 6 1 0501<br />
DIGIGLUSIN 09530 DIGITALIS 51770 1 6 1 0501<br />
DIGITALIS 09535 DIGITALIS 51770 1 6 1 0501<br />
DIGITOXIN 09540 DIGITOXIN 51775 1 6 1 0501<br />
DIHISTINE 09550 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PHENYLPROPANOLAMINE, PSEUDOEPHEDRINE 51340, 54465, 54960 1943<br />
DIHISTINE ELIXIR 09555 COMBINATION PRODUCT 51380 1 5 2 CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70226, 70358 1941, 1943, 1944<br />
DIHYDRERGOTOXINE MESYLATE 09573 ERGOLOID MESYLATES 52048 1 6 1 0504<br />
DIHYDROCODEINE 09574 DIHYDROCODEINE BITARTRATE 70405 1 3 1 1721<br />
DIHYDROTACHYSTEROL 09575 DIHYDROTACHYSTEROL 51790 1 6 1 0913<br />
DIIODOHYDROXYQUIN 09580 IODOQUINOL 52850 1 6 1 1860<br />
DILANTIN W/PHENOBARBITAL 09590 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, PHENYTOIN 54395, 54470 1374<br />
DILAUDID COUGH SYRUP 09595 COMBINATION PRODUCT 51380 1 2 2 GUAIFENESIN, HYDROMORPHONE HCL 52490, 70623 1943<br />
DILAX 09605 UNDETERMINED 50000 3 7 3 2087<br />
DILOCAINE 09615 LIDOCAINE 53070 1 6 1 0117, 1275<br />
DILOR 09625 DYPHYLLINE 52000 1 6 1 1940<br />
DILOR-G 09630 COMBINATION PRODUCT 51380 1 6 2 DYPHYLLINE, GUAIFENESIN 52000, 52490 1940, 1943<br />
DIMENHYDRINATE 09640 DIMENHYDRINATE 51810 2 6 1 1671<br />
DIMETANE 09660 BROMPHENIRAMINE 50690 2 6 1 1944<br />
DIMETANE ELIXIR 09665 BROMPHENIRAMINE 50690 2 6 1 1944<br />
DIMETANE EXTENTAB 09680 BROMPHENIRAMINE 50690 1 6 1 1944<br />
DIMETANE-TEN 09685 BROMPHENIRAMINE 50690 1 6 1 1944<br />
DINATE 09699 DIMENHYDRINATE 51810 1 6 1 1671<br />
DIO SUL 09700 DOCUSATE 51935 2 6 1 0876<br />
DIOCTOCAL 09713 DOCUSATE 51935 2 6 1 0876<br />
DIOCTO PLUS 09715 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE, METHYLCELLULOSE 50933, 51935, 53630 0876<br />
DIOCTO SYRUP 09720 DOCUSATE 51935 2 6 1 0876<br />
DIOCTO-C SYRUP 09725 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE SODIUM 50933, 70262 0876<br />
DIOCTYL SODIUM SULFOSUCC W/CASANTHRANOL 09730 COMBINATION PRODUCT 51380 3 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
DIOCTYL W/CASANTHRANOL 09740 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
DIOCTYL W/DANTHRON 09745 COMBINATION PRODUCT 51380 2 6 2 DANTHRON, DOCUSATE 51545, 51935<br />
DIOEZE 09750 DOCUSATE 51935 2 6 1<br />
DIONEX 09765 DOCUSATE 51935 2 6 1 0876<br />
DIONIN 09770 ETHYL CHLORIDE 52155 1 6 1 1943<br />
DIOSTATE D 09775 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, PHOSPHORUS 50770, 52045, 57034 0913<br />
DIOSUCCIN 09780 DOCUSATE 51935 2 6 1<br />
DIOSUCCIN SYRUP 09790 DOCUSATE 51935 2 6 1<br />
DIOTHRON 09800 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
DIPH TET TOXOIDS PERTUSSIS 09820 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, PERTUSSIS VACCINE, TETANUS TOXOID 51910, 54328, 55710 1180<br />
DIPHENADRIL 09823 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
DIPHENALLIN COUGH SYRUP 09830 DIPHENHYDRAMINE 51860 1 6 1<br />
DIPHENATOL 09835 COMBINATION PRODUCT 51380 1 5 2 ATROPINE SULFATE, DIPHENOXYLATE HCL 70120, 70211 0875<br />
DIPHENCEN 09838 DIPHENHYDRAMINE 51860 1 6 1<br />
DIPHENHYDRAMINE COMPOUND EXPECTORANT 09840 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
DIPHENHYDRAMINE COUGH SYRUP 09845 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
DIPHENHYDRAMINE HCL ELIXIR 09860 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
DIPHENHYDRAMINE HCL EXPECTORANT 09865 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
DIPHENYLAN SODIUM 09885 PHENYTOIN 54470 1 6 1 1374<br />
DIPHENYLHYDANTOIN SODIUM 09890 PHENYTOIN 54470 1 6 1 1374<br />
DIPHTHERIA ANTITOXIN 09895 DIPHTHERIA ANTITOXIN 51900 1 6 1 1180<br />
DIPHTHERIA TETANUS TOXOIDS 09900 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, TETANUS TOXOID 51910, 55710 1180<br />
DIPROSONE 09915 BETAMETHASONE 50585 1 6 1 1268<br />
DISANTHROL 09930 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935<br />
DISIPAL 09935 ORPHENADRINE 54050 1 6 1 1371<br />
DISODAN 09943 COMBINATION PRODUCT 51380 2 6 2 DANTHRON, DOCUSATE 51545, 51935 2087<br />
DISOLAN 09945 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, PHENOLPHTHALEIN 51935, 54405<br />
DISONATE 09950 DOCUSATE 51935 2 6 1<br />
DISOPLEX 09960 COMBINATION PRODUCT 51380 2 6 2 CARMELLOSE, DOCUSATE 50923, 51935<br />
DISOTATE 09965 EDETATE DISODIUM 52015 1 6 1 0281<br />
DISPATABS 09970 VITAMIN A 56185 2 6 1 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DISULFIRAM 09975 DISULFIRAM 51925 1 6 1 0632<br />
DITATE 09985 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL VALERATE, TESTOSTERONE ENANTHATE 70375, 70376 1033, 1034<br />
DIPHTHERIA TOXOID 09993 DIPHTHERIA TOXOID 51910 1 6 1 1180<br />
DIUCARDIN 10000 HYDROFLUMETHIAZIDE 52660 1 6 1 0507<br />
DIUMEAD 10010 COMBINATION PRODUCT 51380 2 6 2 BUCHU, CAFFEINE, JUNIPER, UVA URSI, ZEA 50698, 50745, 52948, 56134, 56262<br />
DIURETIC 10020 UNDETERMINED 50000 3 7 3 0507<br />
DIZMISS 10035 MECLIZINE 53275 1 6 1 1671<br />
DM-PLUS COUGH SYRUP 10040 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CHLORPHENIRAMINE, DEXTROMETHORPHAN, GUAIFENESIN, PHENYLEPHRINE 50090, 51130, 51670, 52490, 54455 1943<br />
DOBUTREX 10055 DOBUTAMINE 51930 1 6 1 0505<br />
DOCA ACETATE 10060 DESOXYCORTICOSTERONE 51630 1 6 1 1032<br />
DOCTIENT 10080 COMBINATION PRODUCT 51380 2 6 2 BALSAM, BENZOCAINE, BISMUTH ANTI-DIARRHEA AGENTS, COD & HALIBUT LIVER OIL, RESORCINOL 50460, 50530, 50635, 51335, 55085<br />
DOCTIENT W/HYDROCORTISONE 10085 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, BISMUTH ANTI-DIARRHEA AGENTS, COD & HALIBUT LIVER OIL, HYDROCORTISONE, RESORCINOL 50530, 50635, 51335, 52655, 55085<br />
DOCUATE SODIUM W/CASANTHRANOL 10086 COMBINATION PRODUCT 51380 3 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
DOKTORS NOSE DROPS 10100 PHENYLEPHRINE 54455 2 6 1 1941<br />
DOLANEX ELIXIR 10110 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
DOLENE 10115 PROPOXYPHENE HCL 70377 1 4 1 1721<br />
DOLOMITE 10127 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50785, 53175 0915<br />
DOLO-PAP 10128 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, DIHYDROCODEINE 50005, 52647<br />
DOLOPHINE 10130 METHADONE 53475 1 2 1 1721<br />
DOMEFORM-HC 0.5% 10155 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845 1265<br />
DOMERINE MEDICATED SHAMPOO 10160 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, SALICYLIC ACID 50103, 55160 1264<br />
DOMMANATE 10165 DIMENHYDRINATE 51810 1 6 1 1671<br />
DONATUSSIN 10180 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 52490, 70226, 70358 1943, 1944<br />
DONATUSSIN SYRUP 10185 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 52490, 70226, 70338, 70358 1941, 1943, 1944<br />
DONNA-SED ELIXIR 10195 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE HYDROBROMIDE, PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE 52723, 54395, 55180, 70120 0626, 0874<br />
DONNAGEL 10200 ATTAPULGITE 50430 2 6 1 0878<br />
DONNAGEL-PG 10205 UNDETERMINED 50000 3 7 3 2000<br />
DONNATAL NO.2 10213 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 54395, 55180, 70120, 70336 0877<br />
DONNAZYME 10215 COMBINATION PRODUCT 51380 1 6 2 PANCREATIN, PEPSIN, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 54160, 54310, 55180, 70120, 70336 0878<br />
DOPAR 10230 LEVODOPA 53050 1 6 1 1371<br />
DOPASTAT 10233 DOPAMINE 51945 1 6 1 0505<br />
DORBANE 10240 DANTHRON 51545 2 6 1 0876<br />
DORBANTYL 10245 COMBINATION PRODUCT 51380 2 6 2 DANTHRON, DOCUSATE 51545, 51935 0876<br />
DORCOL CHILD FEV/PAIN REDUCER 10252 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
DORCOL CHILDREN'S CALCIUM 10253 CALCIUM REPLACEMENT AGENTS 50770 2 6 1 0915<br />
DORCOL 10254 UNDETERMINED 50000 2 6 3 2000<br />
DORIDEN 10255 UNDETERMINED 50000 3 7 3 2000<br />
DORMALIN 10257 QUAZEPAM 55028 1 4 1<br />
DORMTABS 10265 GLUTETHIMIDE 52445 1 3 1<br />
DOSS COMPOUND PLUS 10273 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
DOSS 300 10275 DOCUSATE 51935 2 6 1 0876<br />
DOUBLE-A 10278 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN 50005, 50410<br />
DOUBLE SAL 10283 SODIUM SALICYLATE 56325 2 6 1<br />
DOVERIN 10300 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CAMPHOR, OPIUM, PHENACETIN 50410, 50745, 50845, 54035, 54350 2000<br />
DOVERLYN 10305 COMBINATION PRODUCT 51380 1 2 2 CAFFEINE, CAMPHOR, OPIUM, PHENACETIN 50745, 50845, 54035, 54350<br />
DOW-ISONIAZID 10315 ISONIAZID 52915 1 6 1 0356<br />
DOXINATE 10335 DOCUSATE 51935 2 6 1 0876<br />
DOXINE 10336 PYRIDOXINE 54990 1 6 1 0913<br />
DOXY C 10340 DOXYCYCLINE 51965 1 6 1 0350<br />
DOXY-CAPS 10343 DOXYCYCLINE 51965 1 6 1 0350<br />
DOXY 6 10345 COMBINATION PRODUCT 51380 1 6 2 DOXYLAMINE, PYRIDOXINE 51970, 54990<br />
DOXYCHEL 10350 DOXYCYCLINE 51965 1 6 1 0350<br />
DOXYLAMINE B-6 10358 COMBINATION PRODUCT 51380 2 6 2 DOXYLAMINE, PYRIDOXINE 51970, 54990 0635<br />
DOXY-TABS 10364 DOXYCYCLINE 51965 1 6 1<br />
DRAMABAN 10378 DIMENHYDRINATE 51810 2 6 1<br />
DRAMAMINE SUPPOSICONE 10385 DIMENHYDRINATE 51810 1 6 1<br />
DRAMILIN 10390 DIMENHYDRINATE 51810 1 6 1 1671<br />
DRAMOJECT 10400 DIMENHYDRINATE 51810 1 6 1 1671<br />
DRAWING PASTE 10405 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, MAGNESIUM CATHARTICS 50530, 53195<br />
DREST GEL 10410 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZALKONIUM CHLORIDE, ISOQUINOLINIUM BROMIDE 50090, 50515, 52933 1265<br />
DRINOPHEN 10430 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, PHENYLPROPANOLAMINE 50005, 50410, 54465<br />
DRISTAMEAD LONG ACTING MIST 10450 XYLOMETAZOLINE 56240 2 6 1<br />
DRISTAN 10455 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, PHENYLEPHRINE 50000, 54455 1900<br />
DRISTAN COUGH FORMULA 10460 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CHLORPHENIRAMINE, DEXTROMETHORPHAN, PHENYLEPHRINE, SODIUM CITRATE 50090, 51130, 51670, 54455, 55320 1941, 1943, 1944<br />
DRISTAN INHALER 10465 PROPYLHEXEDRINE 54900 2 6 1<br />
DRISTAN VAPOR SPRAY 10480 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, METHYL SALICYLATE, PHENIRAMINE, PHENYLEPHRINE, THIMEROSAL 50515, 53620, 54385, 54455, 55770<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DRIXORAL 10485 COMBINATION PRODUCT 51380 2 6 2 DEXBROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE SULFATE 70373, 70378 1944<br />
DRIZE 10490 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
DROLBAN 10495 DROMOSTANOLONE 51980 1 6 1 1033<br />
DROPERIDOL 10500 DROPERIDOL 51985 1 6 1 0628<br />
DRYSOL 10518 ALUMINUM CHLORIDE 50140 1 6 1 1265<br />
DTIC 10535 DACARBAZINE 51530 1 6 1 1479<br />
DTIC DOME 10537 DACARBAZINE 51530 1 6 1<br />
DUADACIN 10550 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50005, 70226, 70254 1945<br />
DUO CYP 10590 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL CYPIONATE, TESTOSTERONE CYPIONATE 70245, 70372 0627<br />
DUO-C.V.P. 10605 BIOFLAVONOIDS 50615 2 6 1 0913<br />
DUO-K 10615 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
DUO-MEDIHALER 10620 COMBINATION PRODUCT 51380 1 6 2 ISOPROTERENOL HCL, PHENYLEPHRINE BITARTRATE 70379, 70380 1940<br />
DUOBARBITAL 10625 COMBINATION PRODUCT 51380 1 2 2 AMOBARBITAL SODIUM, SECOBARBITAL 50250, 55185 0626<br />
DUO-CORT 10628 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE 54770 1032, 1479, 1724<br />
DUOGEN 10635 COMBINATION PRODUCT 51380 1 6 2 ESTRONE, TESTOSTERONE 52080, 55695 1033, 1040, 2087<br />
DUOSCORB 10655 VITAMIN C 56193 2 6 1<br />
DUOSOL 10660 DOCUSATE 51935 2 6 1<br />
DUOTRATE 10665 PENTAERYTHRITOL 54275 1 6 1 0503<br />
DURA ESTRIN 10695 ESTRADIOL 52070 1 6 1 1034<br />
DURABOLIN 10700 NANDROLONE 53870 1 3 1 1033<br />
DURACILLIN 10705 PENICILLIN G PROCAINE 54260 1 6 1 0346<br />
DURAGEN 10720 ESTRADIOL 52070 1 6 1 1034<br />
DURALONE 10730 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
DURALUTIN 10740 HYDROXYPROGESTERONE 52695 1 6 1 1034<br />
DURAMORPH 10743 MORPHINE 53760 1 2 1 1721<br />
DURANEST 10745 ETIDOCAINE 52175 1 6 1 0117<br />
DURANEST HCL W/EPINEPHRINE 10750 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE BITARTRATE, ETIDOCAINE HCL 70381, 70382 0117<br />
DURAQUIN 10755 QUINIDINE 55045 1 6 1 0502<br />
DURASIL 10758 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, CALCIUM PANTOTHENATE, MAGNESIUM ANTACIDS 50145, 50811, 53175 0874<br />
DURATION DROPS 10785 OXYMETAZOLINE 54120 2 6 1<br />
DURATION SPRAY 10790 OXYMETAZOLINE 54120 2 6 1 1941<br />
DUREZE 10795 COMBINATION PRODUCT 51380 1 6 2 ACETIC ACID, CHLOROXYLENOL, HYDROCORTISONE, PRAMOXINE, PROPYLENE GLYCOL 50025, 51120, 52655, 54755, 54895<br />
DURRAX 10803 HYDROXYZINE 52715 1 6 1 0626<br />
DV 10810 DIENESTROL 51735 1 6 1 1034<br />
DXO-5 10812 DEXTROAMPHETAMINE 51665 1 2 1<br />
DYCILL 10820 DICLOXACILLIN 51720 1 6 1 0346<br />
DYCLONE 10825 DYCLONINE 51990 1 6 1 1265<br />
DYLLINE 10830 DYPHYLLINE 52000 1 6 1 1940<br />
DYMENATE 10840 DIMENHYDRINATE 51810 1 6 1 1671<br />
DYNOSAL 10850 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE 50005, 50410, 50745 1723<br />
E.E.S. 10875 ERYTHROMYCIN 52065 1 6 1 0348<br />
E-FEROL 10895 VITAMIN E 56195 2 6 1 0913<br />
E-IONATE P.A. 10900 ESTRADIOL 52070 1 6 1 1034<br />
E-PILO 10910 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE, PILOCARPINE 52040, 54500 1566<br />
E-VITES 10920 VITAMIN E 56195 2 6 1<br />
EAR DROPS 10925 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE 50325, 50530 1670<br />
EAR DROPS FORMULA #2 10930 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE, GLYCERIN 50325, 50530, 52450 1670<br />
EAROCOL 10945 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE, QXYQUINOLONE SULFATE 50325, 50530, 70545<br />
ECEE 10950 COMBINATION PRODUCT 51380 1 6 2 VITAMIN A, VITAMIN C, VITAMIN E, ZINC SULFATE, MAGNESIUM SULFATE 56185, 56193, 56195, 56285, 70398 0913<br />
ECLIPSE 10960 COMBINATION PRODUCT 51380 2 6 2 CANDELILLA WAX, CASTOR OIL, CERESIN WAX, ISOPROPYL MYRISTATE, OCTYL DIMETHYL PABA 50848, 50940, 51008, 52928, 54005<br />
ECONOCHLOR 10965 CHLORAMPHENICOL 51050 1 6 1 1568<br />
EDECRIN 10985 ETHACRYNIC ACID 52085 1 6 1 0507<br />
EDETATE DISODIUM 10988 EDETATE DISODIUM 52015 1 6 1 0281<br />
EFEDRON 10995 EPHEDRINE 52035 2 6 1 1941<br />
EFFACOL 11000 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DEXTROMETHORPHAN, DOXYLAMINE, SODIUM CITRATE 50090, 51670, 51970, 55320 2087<br />
EFFERSYLLIUM 11005 PSYLLIUM 54965 2 6 1 0876<br />
EFODINE 11010 POVIDONE-IODINE 54749 2 6 1 1264<br />
EFRICEL 11015 PHENYLEPHRINE 54455 2 6 1<br />
ELAQUA XX 11043 UREA 56120 2 6 1 1265<br />
ELASE 11045 COMBINATION PRODUCT 51380 1 6 2 DESOXYRIBONUCLEASE, FIBRINOLYSIN 51598, 52270 1265<br />
ELASE-CHLOROMYCETIN 11050 COMBINATION PRODUCT 51380 1 6 2 CHLORAMPHENICOL, DESOXYRIBONUCLEASE, FIBRINOLYSIN 51050, 51598, 52270 1265<br />
ELASTOMULL 11055 BANDAGE 50465 2 6 1<br />
ELASTOPATCH 11060 BANDAGE 50465 3 6 1<br />
ELDEFED 11085 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020<br />
ELDER COLD TABLETS 11088 COMBINATION PRODUCT 51380 3 6 2 CAFFEINE, PHENACETIN, PHENYLEPHRINE, PYRILAMINE 50745, 54350, 54455, 54995 1946<br />
ELDERCAPS 11095 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ELDOPAQUE 11115 HYDROQUINONE 52675 2 6 1 1265<br />
ELIXICON 11135 THEOPHYLLINE 55745 1 6 1 1940<br />
ELIXOPHYLLIN-KI 11150 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM IODIDE, THEOPHYLLINE 54710, 55745 1940, 1943<br />
ELSPAR 11155 ASPARAGINASE 50400 1 6 1 1479<br />
EMAGRIN IMPROVED 11170 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, SALICYLAMIDE 50410, 50745, 55150<br />
EMBOLEX 11173 COMBINATION PRODUCT 51380 1 6 2 LIDOCAINE HCL, DIHYDROERGOTAMINE MESYLATE, HEPARIN SODIUM 70370, 70627, 70628 0409<br />
EMBRON 11175 COMBINATION PRODUCT 51380 1 6 2 DYPHYLLINE, GUAIFENESIN 52000, 52490 1945<br />
EMETE-CON 11180 BENZQUINAMIDE 50558 1 6 1 1671<br />
EMETIC AGENT 11183 UNDETERMINED 50000 3 7 3<br />
EMETINE 11185 EMETINE 52025 1 6 1 1860<br />
EMKO FOAM 11205 NONOXYNOL 9 53955 2 6 1 1040<br />
EMPIRIN 11210 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
EMPIRIN COMPOUND 11215 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
EMPIRIN COMPOUND #3 11230 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE PHOSPHATE 50410, 70231 1721<br />
EMPIRIN COMPOUND #4 11235 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE PHOSPHATE 50410, 70231 1721<br />
EMPIRIN NO. #2 11245 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE PHOSPHATE 50410, 70231<br />
EMPIRIN NO. #3 11250 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE PHOSPHATE 50410, 70231 1721<br />
ALUM MAG SIMETHICONE 11252 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0879<br />
EMPIRIN NO. #4 11255 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE PHOSPHATE 50410, 70231<br />
EMPIRIN W/CODEINE 11260 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE PHOSPHATE 50410, 70231 1721<br />
EMUL-O-BALM 11280 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, METHYL SALICYLATE 50845, 53325, 53620 1265<br />
EMULSOIL 11290 CASTOR OIL 50940 2 6 1 0876<br />
EN-CEBRIN 11295 UNDETERMINED 50000 3 7 3 2000<br />
EN-CEBRIN F 11300 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN A 53915, 54990, 55105, 55770, 56185 0913<br />
ENCAPRIN 11308 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
END-AKE 11313 COMBINATION PRODUCT 51380 2 6 2 CAPSICUM, DIPROPYLENE GLYCOL SALICYLATE, HISTAMINE, METHYL NICOTINATE, SALICYLAMIDE 50868, 51914, 52600, 53647, 55150<br />
END-A-KOFF 11315 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, DEXTROMETHORPHAN, GUAIFENESIN, SODIUM CITRATE 50245, 51670, 52490, 55320<br />
ENDEP 11325 AMITRIPTYLINE 50230 1 6 1 0630<br />
ENDRATE 11335 EDETATE DISODIUM 52015 1 6 1 0281<br />
ENDURON 11340 METHYCLOTHIAZIDE 53610 1 6 1 0507<br />
ENDURONYL 11345 COMBINATION PRODUCT 51380 1 6 2 DESERPIDINE, METHYCLOTHIAZIDE 51600, 53610 0506, 0507<br />
ENDURONYL FORTE 11350 COMBINATION PRODUCT 51380 1 6 2 DESERPIDINE, METHYCLOTHIAZIDE 51600, 53610 0506, 0507<br />
ENFAMIL 11355 INFANT FORMULA 52775 2 6 1 0914<br />
ENFAMIL W/IRON 11360 INFANT FORMULA 52775 2 6 1 0913<br />
ENGRAN 11365 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN A 52045, 54990, 55105, 55770, 56185 0913<br />
ENKAID 11372 ENCAINIDE HCL 52024 1 6 1 0502<br />
ENO 11375 COMBINATION PRODUCT 51380 2 6 2 SODIUM BICARBONATE, SODIUM CITRATE, SODIUM TARTRATE 55280, 55320, 55407 0874<br />
ENOVID 11380 COMBINATION PRODUCT 51380 1 6 2 MESTRANOL, NORETHYNODREL 53438, 53968 1040<br />
ENTOZYME 11400 COMBINATION PRODUCT 51380 1 6 2 BILE SALTS, PANCREATIN, PEPSIN 50613, 54160, 54310 0877<br />
ENTUSS 11405 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE 52490, 70217 1943<br />
ENUCLENE 11410 TYLOXAPOL 56090 2 6 1 1569<br />
ENVISAN TREATMENT MULTIPACK 11415 DEXTRANOMER 51660 3 7 1 1265<br />
ENZOBILE 11425 COMBINATION PRODUCT 51380 1 6 2 CELLULASE, OX BILE EXTRACT, PANCREATIN, PEPSIN 50968, 54065, 54160, 54310 2087<br />
ENZYMET 11435 COMBINATION PRODUCT 51380 2 6 2 PANCREATIN, PEPSIN 54160, 54310<br />
ENZYPAN 11440 COMBINATION PRODUCT 51380 2 6 2 OX BILE EXTRACT, PANCREATIN, PEPSIN 54065, 54160, 54310<br />
EPHEDRINE & PHENOBARBITAL 11460 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL 52035, 54395 0626, 1940<br />
EPHEDRINE & SODIUM PHENOBARBITAL 11470 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL 52035, 54395<br />
EPHEDRINE SULFATE 11480 EPHEDRINE 52035 1 6 1 0505, 1940, 1941<br />
EPHEDRINE SULFATE & AMOBARBITAL 11485 COMBINATION PRODUCT 51380 1 3 2 AMOBARBITAL SODIUM, EPHEDRINE 50250, 52035<br />
EPHEDSOL 11500 EPHEDRINE 52035 2 6 1<br />
EPHENYLLIN 11505 COMBINATION PRODUCT 51380 2 5 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 0626, 1940<br />
EPI-C 11507 BARIUM SULFATE 50480 1 6 1 0789<br />
EPIFRIN 11525 EPINEPHRINE 52040 1 6 1 1566<br />
EPINAL 11530 EPINEPHRINE 52040 1 6 1 1566<br />
EPINEPHRINE 11540 EPINEPHRINE 52040 3 6 1 0505, 1567, 1940<br />
EPINEPHRINE MUROCOLL 11545 UNDETERMINED 50000 3 7 3 2000<br />
EPIPEN 11548 EPINEPHRINE 52040 1 6 1 0505<br />
EPITOL 11549 CARBAMAZEPINE 50880 1 6 1 1374<br />
EPITRATE 11550 EPINEPHRINE 52040 1 6 1 1567<br />
EPPY 11555 UNDETERMINED 50000 3 7 3 2000<br />
EPPY-N 11557 EPINEPHRINE 52040 1 6 1 1567<br />
EQUAGESIC 11580 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, MEPROBAMATE 50410, 53370 0627<br />
EQUANIL 11585 MEPROBAMATE 53370 1 4 1 0627<br />
EQUILET 11595 CALCIUM CARBONATE 50785 2 6 1 0874<br />
ERGOMAR 11620 ERGOTAMINE 52055 1 6 1 1723<br />
ERGONOVINE 11625 ERGONOVINE 52050 1 6 1 1039<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ERGOPHENE 11630 COMBINATION PRODUCT 51380 2 6 2 ERGOT, PHENOL, SODIUM BORATE, ZINC TOPICAL AGENTS, EXTERNAL USE 52053, 54400, 55295, 56265<br />
ERGOSTAT 11635 ERGOTAMINE 52055 1 6 1 1723<br />
ERGOTAMINE 11640 ERGOTAMINE TARTRATE 70353 1 6 1 1723<br />
ERIDIUM 11648 PHENAZOPYRIDINE 54365 1 6 1<br />
ERO FORTE 11650 BENZOCAINE 50530 1 6 1 1275<br />
ERYC 11651 ERYTHROMYCIN 52065 1 6 1 0348<br />
ERYDERM 11653 ERYTHROMYCIN 52065 1 6 1 1265<br />
ERYGEL 11654 ERYTHROMYCIN 52065 1 6 1 1271<br />
ERYPAR 11655 ERYTHROMYCIN 52065 1 6 1 0348<br />
ERYPED 11657 ERYTHROMYCIN 52065 1 6 1 0348<br />
ERYTHROCIN 11660 ERYTHROMYCIN 52065 1 6 1 0348<br />
ERYTHRO-RX 11667 UNDETERMINED 50000 3 7 3 2000<br />
ESEMGESIC 11675 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, SALICYLAMIDE 50005, 50410, 50745, 55150 2087<br />
ESERINE 11680 PHYSOSTIGMINE 54490 1 6 1 1566<br />
ESERINE ALKALOID 11685 PHYSOSTIGMINE 54490 1 6 1 1566<br />
ESOPHOTRAST CREAM 11710 BARIUM SULFATE 50480 1 6 1 0789<br />
ESOTERICA 11713 HYDROQUINONE 52675 2 6 1 1265<br />
ESTAR 11715 COAL TAR 51305 2 6 1 1265<br />
ESTINYL 11725 ESTRADIOL 52070 1 6 1 1034<br />
ESTIVIN 11730 ROSA GALLICA EXTRACT 55120 2 6 1 1569<br />
ESTOMUL-M 11735 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
ESTRAGUARD 11755 DIENESTROL 51735 1 6 1 1034<br />
ESTRO CYP 11775 ESTRADIOL 52070 1 6 1 1034<br />
ESTROCON 11785 UNDETERMINED 50000 3 7 3 2000<br />
ESTROFEM 11790 ESTRADIOL 52070 1 6 1 1034<br />
ESTROFOL 11795 ESTRONE 52080 1 6 1<br />
ESTROJECT-L.A. 11810 ESTRADIOL 52070 1 6 1 1034<br />
ESTRONE 11815 ESTRONE 52080 1 6 1 1034<br />
ESTRONE & POTASSIUM ESTRONE SULFATE 11820 COMBINATION PRODUCT 51380 1 6 2 ESTRONE, POTASSIUM ESTRONE SULFATE 52080, 70670 1040<br />
ESTRONE AQUEOUS 11825 ESTRONE 52080 1 6 1 1034<br />
ESTRONE 5 11835 ESTRONE 52080 1 6 1<br />
ESTRONOL AQUEOUS 11840 ESTRONE 52080 1 6 1 1034<br />
ESTROVIS 11845 QUINESTROL 55035 1 6 1 1034<br />
ETHAMIDE 11855 UNDETERMINED 50000 3 7 3 2000<br />
ETHAQUIN 11860 ETHAVERINE 52095 1 6 1 0504<br />
ETHAVERINE HCL 11870 ETHAVERINE 52095 1 6 1 0504<br />
ETHCHLORVYNOL 11873 ETHCHLORVYNOL 52100 1 4 1 0626<br />
ETHER 11875 ETHER 52105 1 6 1 0118<br />
ETHIODOL 11890 IODINE TOPICAL PREPARATIONS 52820 1 6 1 0789<br />
ETHOSUXAMIDE 11898 ETHOSUXIMIDE 52130 1 6 1<br />
ETHRANE 11900 ENFLURANE 52030 1 6 1 0118<br />
ETHYL ACETATE 11910 ETHYL ACETATE 52150 3 6 1<br />
ETHYL CHLORIDE 11915 ETHYL CHLORIDE 52155 3 6 1 1275<br />
EUCALYPTOL 11925 EUCALYPTUS OIL 52190 3 7 1<br />
EUCALYPTUS OIL NF 11930 EUCALYPTUS OIL 52190 3 6 1 1265<br />
EUGENOL USP 11955 EUGENOL 52195 2 6 1<br />
EUTHROID 11965 UNDETERMINED 50000 3 7 3 2000<br />
EUTONYL 11970 PARGYLINE 54220 1 6 1 0506<br />
EUTRON 11975 COMBINATION PRODUCT 51380 1 6 2 METHYCLOTHIAZIDE, PARGYLINE HCL 53610, 70663 0506, 0507<br />
EVAC-Q-KWIK 11985 COMBINATION PRODUCT 51380 2 6 2 BISACODYL, POTASSIUM CITRATE, MAGNESIUM CITRATE 50630, 56590, 70275 0876<br />
EVAC-U-LAX 11990 PHENOLPHTHALEIN 54405 2 6 1<br />
EVERONE 12005 TESTOSTERONE 55695 1 3 1 1033<br />
EX APAP 12015 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, SALICYLAMIDE 50005, 50410, 50745, 55150 0504, 2087<br />
EX-OBESE 12030 PHENDIMETRAZINE 54370 1 3 1 0631<br />
EXNA-R 12045 COMBINATION PRODUCT 51380 1 6 2 BENZTHIAZIDE, RESERPINE 50560, 55080<br />
EXSEL LOTION 12050 SELENIUM SULFIDE 55195 1 6 1 1265<br />
EXTENDRYL 12055 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PHENYLEPHRINE HCL 70226, 70243, 70358 1671, 1940, 1944<br />
EXZIT 12075 COMBINATION PRODUCT 51380 2 6 2 RESORCINOL, SULFUR 55085, 55610<br />
EYE-CORT 12076 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NEOMYCIN 52655, 53895<br />
EYE-STREAM 12085 COMBINATION PRODUCT 51380 2 6 2 CALCIUM ION, MAGNESIUM CHLORIDE, POTASSIUM ION, SODIUM CHLORIDE 50806, 53190, 54713, 55315 1569<br />
E1 12095 EPINEPHRINE 52040 1 6 1 0505, 1940<br />
F-E-P 12120 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, PRAMOXINE 52655, 54755 0117<br />
FACTORATE 12125 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0410<br />
FAMILY VITAMIN W/IRON 12133 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
FANSIDAR 12134 COMBINATION PRODUCT 51380 1 6 2 PYRIMETHAMINE, SULFADOXINE 55000, 70664 0353<br />
FAST GREEN FCF 12135 FAST GREEN FCF 52210 3 7 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
FASTIN 12140 PHENTERMINE 54430 1 4 1 0631<br />
FAT EMULSION 12143 FAT EMULSION 52213 1 6 1 0914<br />
FEBRINOL 12150 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
FEDAHIST EXPECTORANT 12165 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
FEDAHIST SYRUP 12170 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PSEUDOEPHEDRINE 51130, 54960 1941, 1944<br />
FEDRAZIL 12175 COMBINATION PRODUCT 51380 2 6 2 CHLORCYCLIZINE, PSEUDOEPHEDRINE 51053, 54960 1941, 1944<br />
FEDRINAL 12185 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL, POTASSIUM IODIDE, THEOPHYLLINE 52035, 54395, 54710, 55745 1940<br />
FEMGUARD 12205 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, AMINACRINE, SULFANILAMIDE 50103, 50183, 55565 0353, 1860<br />
FEMIRON 12225 IRON PREPARATIONS 52885 2 6 1 0408<br />
FEMIRON W/VITAMINS 12226 MULTIVITAMIN COMBINATION 51382 2 6 2 IRON PREPARATIONS, MULTIVITAMINS 52885, 53805 0913<br />
FENOPROFEN 12245 FENOPROFEN 52220 1 6 1 1724, 1727<br />
FENYLHIST 12250 DIPHENHYDRAMINE 51860 1 6 1 1371, 1671, 1944<br />
FEOSOL SPANSULE 12270 IRON PREPARATIONS 52885 2 6 1 0408<br />
FEOSTAT 12275 IRON PREPARATIONS 52885 2 6 1 0408<br />
FER-IN-SOL 12285 IRON PREPARATIONS 52885 2 6 1 0408<br />
FER-REGULES 12288 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, IRON PREPARATIONS 51935, 52885<br />
FERGON ELIXIR 12305 IRON PREPARATIONS 52885 2 6 1 0408<br />
FERINATE 12315 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, IRON PREPARATIONS 51935, 52885<br />
FERMALOX 12320 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, IRON PREPARATIONS, MAGNESIUM ANTACIDS 50145, 52885, 53175 0408<br />
FERNCORT 12323 HYDROCORTISONE 52655 2 6 1 1265<br />
FERNDEX 12325 DEXTROAMPHETAMINE 51665 1 2 1 0631<br />
FERRACOMP 12363 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 54990, 55105, 55755, 56192<br />
FERRALYN LANACAP 12375 IRON PREPARATIONS 52885 2 6 1<br />
FERRIC AMMONIUM 12380 IRON PREPARATIONS 52885 3 6 1<br />
FERRIC AMMONIUM SULFATE 12385 IRON PREPARATIONS 52885 3 6 1<br />
FERRO PLUS 12405 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, PROCAINE, VITAMIN B-12 52355, 52885, 54815, 56192 0408<br />
FERRO 12410 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, IRON PREPARATIONS 51935, 52885 0408<br />
FERROCTYL 12425 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, IRON PREPARATIONS 51935, 52885 0408<br />
FERROLIP 12430 IRON PREPARATIONS 52885 2 6 1<br />
FERROUS FUMARATE W/DSS 12470 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, IRON PREPARATIONS 51935, 52885 0408<br />
FERROUS G ELIXIR 12475 IRON PREPARATIONS 52885 2 6 1 0408<br />
FERROUS PLUS 12485 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 54990, 55105, 55755, 56192 0913<br />
FERROUS SULFATE W/THIAMINE 12500 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, THIAMINE 52885, 55755<br />
FESTAL 12510 PANCREATIN 54160 3 6 1 0877<br />
FEVERNOL 12518 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
FEVER REDUCER ST JOSEPH 12520 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
FILIBON F.A. 12530 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN A 52045, 54990, 55105, 55770, 56185 0913<br />
FILIBON FORTE 12535 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIMEROSAL, VITAMIN A 52045, 53915, 55105, 55770, 56185 0913<br />
FIOGESIC 12545 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBASPIRIN, PHENYLPROPANOLAMINE HCL, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 50887, 70254, 70394, 70407 1945<br />
FIORINAL W/CODEINE 12570 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE, CODEINE PHOSPHATE 50410, 50728, 50745, 70231 1721, 1723<br />
FIRST AID SPRAY 12575 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZALKONIUM CHLORIDE, BENZOCAINE, CHLOROBUTANOL, MENTHOL 50090, 50515, 50530, 51075, 53325<br />
FLATULENCE 12588 COMBINATION PRODUCT 51380 2 6 2 ASAFETIDA TINCTURE, CAPSICUM, GINGER, NUX VOMICA, CASCARA SAGRADA 50380, 50868, 52408, 53989, 70400<br />
FLAVITAB 12590 COMBINATION PRODUCT 51380 2 6 2 HESPERIDIN, VITAMIN C 52550, 56193<br />
FLAXEDIL 12595 GALLAMINE 52390 1 6 1 1373<br />
FLEET BAGENEMA 12600 UNDETERMINED 50000 2 6 3 0876<br />
FLEET BARIUM ENEMA 12605 COMBINATION PRODUCT 51380 2 6 2 BARIUM SULFATE, BISACODYL 50480, 50630 0789, 0876<br />
FLEET BAROBAG 12610 BARIUM SULFATE 50480 1 6 1<br />
FLEET BISACODYL 12615 BISACODYL 50630 1 6 1 0876<br />
FLEET GLYCERIN SUPPOSITORY 12622 GLYCERIN 52450 2 6 1 0876<br />
FLEET RELIEF 12623 PRAMOXINE 54755 2 6 1 1272<br />
FLEX CARE 12630 CONTACT LENS SOLUTION 51390 2 6 1 2087<br />
FLEXOJECT 12645 ORPHENADRINE 54050 1 6 1 1373<br />
FLEXON 12650 ORPHENADRINE 54050 1 6 1 1373<br />
FLORONE 12670 DIFLORASONE DIACETATE 51760 1 6 1 1268<br />
FLOXURIDINE 12678 FLOXURIDINE 52280 1 6 1 1479<br />
FLUOGEN 12695 INFLUENZA VIRUS VACCINE 52780 1 6 1 1180<br />
FLUOGEN-B MONOVALENT 12700 INFLUENZA VIRUS VACCINE 52780 1 6 1<br />
FLUONID 12705 FLUOCINOLONE 52305 1 6 1 1265<br />
FLUOR-I-STRIP 12710 FLUORESCEIN 52315 3 6 1 1569<br />
FLUORESCITE 12720 FLUORESCEIN 52315 1 6 1 1569<br />
FLUORI-METHANE SPRAY 12730 COMBINATION PRODUCT 51380 2 6 2 DICHLORODIFLUOROMETHANE, TRICHLOROMONOFLUOROMETHANE 51709, 70665 1265<br />
FLUORIDENT 12740 SODIUM FLUORIDE 55330 1 6 1 2087<br />
FLUORINSE 12750 SODIUM FLUORIDE 55330 1 6 1 0913<br />
FLUORITAB 12755 SODIUM FLUORIDE 55330 1 6 1 0913<br />
FLUORODEX 12760 SODIUM FLUORIDE 55330 1 6 1 2087<br />
FLUOROURACIL 12770 FLUOROURACIL 52325 1 6 1 1481<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
FLURA-DROPS 12785 SODIUM FLUORIDE 55330 1 6 1 0913<br />
FLURANDRENOLIDE 12793 FLURANDRENOLIDE 52345 1 6 1 1268<br />
FLURA-PREN 12795 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, VITAMIN A 52045, 53915, 55105, 56185 2097<br />
FLURA-TABLETS 12800 SODIUM FLUORIDE 55330 1 6 1<br />
FLURAZEPAM 12810 FLURAZEPAM 52350 1 4 1 0626<br />
FLURO-ETHYL SPRAY 12820 COMBINATION PRODUCT 51380 1 6 2 DICHLOROTETRAFLUOROETHANE, ETHYL CHLORIDE 51710, 52155 1265<br />
FLUROSYN 12825 FLUOCINOLONE 52305 1 6 1 1265<br />
FLUZONE 12830 INFLUENZA VIRUS VACCINE 52780 1 6 1 1180<br />
FLUZONE-CONNAUGHT TYPE A,B 12840 INFLUENZA VIRUS VACCINE 52780 1 6 1<br />
FOILLE 12855 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, BENZYL ALCOHOL 50530, 50570 0117<br />
FOLLESTROL 12870 ESTRONE 52080 1 6 1<br />
FOLLUTEIN 12875 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
FORANE ANESTHETIC 12893 ISOFLURANE 52904 1 6 1 0118<br />
FORCOLD SYRUP 12905 COMBINATION PRODUCT 51380 1 5 2 CHLORPHENIRAMINE, CODEINE, EPHEDRINE, MENTHOL, SODIUM CITRATE 51130, 51340, 52035, 53325, 55320 1945<br />
FORMALDEHYDE 12915 FORMALDEHYDE 52360 3 6 1 2087<br />
FORMALIN 12920 FORMALDEHYDE 52360 1 6 1 1265<br />
FORMIC ACID 12930 FORMIC ACID 52365 3 6 1<br />
FORMULA #81 12935 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PANTHENOL, RIBOFLAVIN, VITAMIN B-12 53915, 54173, 55105, 56192<br />
FORMULA 2 12940 DIETARY SUPPLEMENT 51740 2 6 2<br />
FORMULA 44-D COUGH MIXTURE 12955 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50090, 52490, 70256, 70338 1943<br />
FORMULA-T 12960 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 50811, 53915, 54990, 55105, 55770 2087<br />
FORTA 12963 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
FORTESPAN 12970 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53915, 54990, 55105, 55755, 56192<br />
FOSTEX 12980 BENZOYL PEROXIDE 50550 2 6 1 1265<br />
FOSTEX BPO GEL 12985 BENZOYL PEROXIDE 50550 1 6 1 1265<br />
FOSTEX MEDICATED CLEANSER 12990 SALICYLIC ACID 55160 2 6 1 1265<br />
FREAMINE 13005 AMINO ACIDS 50185 1 6 1 0914<br />
FREPP 13010 SOAP 55265 2 6 1<br />
FRUCTOSE 13020 FRUCTOSE 52370 1 6 1 0914<br />
FRUCTOSE 10-W 13025 FRUCTOSE 52370 1 6 1<br />
FUL-GLO 13035 FLUORESCEIN 52315 2 6 1 1569<br />
FULLER'S EARTH POWDER 13040 FULLER'S EARTH 52375 3 6 1 2087<br />
FUMARAL SPANCAP 13050 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C 52885, 56193<br />
FUMASORB 13055 IRON PREPARATIONS 52885 2 6 1 0408<br />
FUMATRIN FORTE 13065 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, LIVER DERIVATIVE, THIMEROSAL, VITAMIN B-12 52355, 52885, 53125, 55770, 56192 0913<br />
FUMERIN 13070 IRON PREPARATIONS 52885 2 6 1 0408<br />
FUNDUSCEIN 13075 FLUORESCEIN 52315 1 6 1 0789<br />
FUNGICIDE 13083 UNDETERMINED 50000 3 7 3 0358<br />
FUNGIZONE 13085 AMPHOTERICIN 50270 1 6 1 1265<br />
FUNGIZONE INTRAVENOUS 13090 AMPHOTERICIN 50270 1 6 1 0358<br />
FUNGOID 13096 ZINC SULFATE 56285 1 6 1 0358<br />
FURACIN 13100 NITROFURAZONE 53935 1 6 1 0354<br />
FURADANTIN 13105 NITROFURANTOIN 53930 1 6 1 0354<br />
FURATOIN 13115 NITROFURANTOIN 53930 1 6 1 0354<br />
FUROXONE 13120 FURAZOLIDONE 52380 1 6 1 0355<br />
FYNEX 13125 DIPHENHYDRAMINE 51860 1 6 1<br />
G-TUSSIN 13142 GUAIFENESIN 52490 2 6 1<br />
G-TUSSIN DM SYRUP 13145 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490<br />
G-TUSSIN SYRUP 13150 GUAIFENESIN 52490 2 6 1<br />
G-2 13152 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, BUTALBITAL, CODEINE 50005, 50728, 51340 1721<br />
GALLBLADDER MEDICATION 13153 UNDETERMINED 50000 3 7 3 2000<br />
GAMASTAN 13155 IMMUNE GLOBULIN 52750 1 6 1 1180<br />
GAMIMUNE 13158 IMMUNE GLOBULIN 52750 1 6 1 1183<br />
GAMMA BENZENE HEXACHLORIDE 13160 LINDANE 53095 1 6 1<br />
GAMULIN RH 13180 IMMUNE GLOBULIN 52750 1 6 1 1180<br />
GANTANOL 13195 SULFAMETHOXAZOLE 55555 1 6 1 0353<br />
GANTRISIN 13200 SULFISOXAZOLE 55590 1 6 1 0353<br />
GASTRIC AGENT 13209 UNDETERMINED 50000 3 7 3 0800<br />
GASTROSED 13212 HYOSCYAMINE 52720 1 6 1<br />
GAYSAL S 13230 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ALUMINUM HYDROXIDE, SODIUM SALICYLATE 50005, 50145, 56325<br />
GEBAUER NO. 114 13238 DICHLOROTETRAFLUOROETHANE 51710 2 6 1 2087<br />
GEE-GEE 13240 GUAIFENESIN 52490 2 6 1 1943<br />
GEL-KAM 13245 STANNOUS FLUORIDE 55465 1 6 1 0913<br />
GELAZINE 13255 COMBINATION PRODUCT 51380 1 6 2 SULFADIAZINE, SULFAMERAZINE, SULFAMETHAZINE 55540, 55543, 55548 0353<br />
GELCOID 13265 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, GELSEMIUM, PHENACETIN 50410, 50745, 52397, 54350 2087<br />
GELFILM 13270 GELATIN 52395 2 6 1 0411<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
GELUMINA 13290 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
GELUSIL 13295 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
GEMONIL 13300 METHARBITAL 53515 1 3 1 1374<br />
GEMNISYN 13303 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN 50005, 50410 1720<br />
GENEBS 13308 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
GENORA 13313 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, NORETHINDRONE 52070, 53965 1040<br />
GENTIAN VIOLET 13325 GENTIAN VIOLET 52405 2 6 1 1271<br />
GENTLAX 13330 COMBINATION PRODUCT 51380 2 6 2 MALT SOUP EXTRACT, SENNA 53235, 55200 0876<br />
GENTRAN 13340 DEXTRAN 51647 1 6 1 0410<br />
GEOPEN 13355 CARBENICILLIN 50895 1 6 1 0346<br />
GER O FOAM 13360 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, METHYL SALICYLATE 50530, 53620<br />
GERATIC FORTE 13370 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, ESTRONE, RIBOFLAVIN, TESTOSTERONE, THIAMINE 51645, 52080, 55105, 55695, 55755<br />
GERIAMIC 13385 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACINAMIDE, PANTOTHENIC ACID, RIBOFLAVIN, THIAMINE 52885, 53915, 54175, 55105, 55755<br />
GERIATRIC ELIXIR 13390 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51195, 53915, 54990, 55105, 55755 0913<br />
GERIATRIC FORMULA 13395 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIMEROSAL, VITAMIN A, VITAMIN C 52045, 55105, 55770, 56185, 56193 1033, 1479<br />
GERIFORT 13410 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12 53915, 54990, 55105, 56192 2087<br />
GERILETS 13420 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
GERILIQUID 13425 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, AMINOACETIC ACID, NIACIN 50090, 50190, 53905 0913<br />
GERIMAL 13429 ERGOLOID MESYLATES 52048 1 6 1 0504<br />
GERIX ELIXIR 13465 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 52885, 53915, 54990, 55105, 55755 0913<br />
GERIZYME 13470 COMBINATION PRODUCT 51380 2 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755<br />
GERMICIDAL SOLUTION BARNES-HIND 13475 BENZALKONIUM CHLORIDE 50515 2 6 1<br />
GERMICIN 13478 BENZALKONIUM CHLORIDE 50515 3 6 1 0355<br />
GESTEROL 13485 PROGESTERONE 54845 1 6 1 1034<br />
GEVRAL 13500 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN A, VITAMIN E 54990, 55105, 56185, 56195 0913<br />
GG 13510 GUAIFENESIN 52490 2 6 1 1943<br />
GINSENG 13515 GINSENG 52410 2 6 1 2087<br />
GLUCOLA 13540 UNDETERMINED 50000 3 7 3 2087<br />
GLUTAMIC ACID 13565 GLUTAMIC ACID 52435 2 6 1 0877<br />
GLUTETHIMIDE 13575 GLUTETHIMIDE 52445 1 3 1 0626<br />
GLUTOFAC 13580 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50811, 53915, 54990, 55105, 55755 0913<br />
GLUTOSE 13590 GLUCOSE 52425 2 6 1 0914<br />
GLY-OXIDE 13595 UREA 56120 2 6 1 0117<br />
GLYCATE 13605 CALCIUM CARBONATE 50785 2 6 1 0874<br />
GLYCERIN (FLAVORED) 13610 GLYCERIN 52450 1 6 1 1265<br />
GLYCERYL GUAIACOLATE AC SYRUP 13625 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, CODEINE, GUAIFENESIN 50090, 51340, 52490<br />
GLYCERYL GUAIACOLATE SYRUP 13630 GUAIFENESIN 52490 2 6 1<br />
GLYCERYL-T 13635 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940, 1943<br />
GLYCINE 13640 AMINOACETIC ACID 50190 1 6 1 2087<br />
GLYCOGEL 13650 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50145, 50785, 53175<br />
GLYCOTUSS 13675 GUAIFENESIN 52490 1 6 1<br />
GLYCOTUSS DM 13680 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338<br />
GLYCOTUSS SYRUP 13690 GUAIFENESIN 52490 2 6 1<br />
GLYCOTUSSIN 13695 GUAIFENESIN 52490 2 6 1<br />
GLYC-POS-GLYCERIN 13698 GLYCERIN 52450 2 6 1<br />
GLYCYRRHIZA FLUIDEXTRACT USP 13700 GLYCYRRHIZA 52465 3 6 1<br />
GLYDM SYRUP 13710 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DEXTROMETHORPHAN, GUAIFENESIN 50090, 51670, 52490 1943<br />
GLYNAZAN 13720 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940, 1943<br />
GLYNAZAN ELIXIR 13725 THEOPHYLLINE 55745 1 6 1<br />
GLYROL 13735 GLYCERIN 52450 1 6 1 2087<br />
GLYTUSS 13745 GUAIFENESIN 52490 2 6 1 1943<br />
GOLD SODIUM THIOSULFATE 13750 GOLD SODIUM THIOSULFATE 52475 1 6 1 1724<br />
GONIO GEL 13760 METHYLCELLULOSE 53630 2 6 1<br />
GONIOSOL 13765 HYDROXYPROPYL METHYLCELLULOSE 52700 2 6 1 1569<br />
GREEN SOAP 13780 GREEN SOAP 70632 2 6 1 1264<br />
GRIFULVIN 13785 GRISEOFULVIN 52480 1 6 1 0355<br />
GUAIACOL 13810 GUAIACOL 52485 3 6 1 1943<br />
GUAIADEX SYRUP 13815 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490<br />
GUAIFED 13818 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
GUAIATRATE SYRUP 13825 COMBINATION PRODUCT 51380 1 5 2 CODEINE, IPECAC, MENTHOL, POTASSIUM GUAIACOLSULFONATE, SODIUM CITRATE 51340, 52870, 53325, 54700, 55320 2087<br />
GUAIFENESIN W/CODEINE 13838 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN 51340, 52490 1943<br />
GUANETHIDINE 13845 GUANETHIDINE 52495 1 6 1 0506<br />
GUANIDINE 13850 GUANIDINE 52500 1 6 1 2087<br />
GUIALYN W/CODEINE COUGH SYRUP 13860 COMBINATION PRODUCT 51380 1 5 2 AMMONIUM CHLORIDE, CODEINE, POTASSIUM GUAIACOLSULFONATE 50245, 51340, 54700<br />
GUAITEX 13865 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL 52490, 70254, 70358 1941, 1943, 1944<br />
GUIATUSCON 13870 GUAIFENESIN 52490 2 6 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
GUIATUSSIN 13885 GUAIFENESIN 52490 2 6 1 1941, 1943<br />
GUIATUSSIN W/CODEINE 13890 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE 52490, 70231 1943<br />
GUIOSAN SYRUP 13898 COMBINATION PRODUCT 51380 1 2 2 ALCOHOL, MORPHINE, POTASSIUM ALKALINIZING AGENTS, POTASSIUM GUAIACOLSULFONATE, WHITE PINE SYRUP 50090, 53760, 54620, 54700, 56225<br />
GUSTALAC 13905 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MILK SOLIDS NONFAT 50785, 53718<br />
GYNE-LOTRIMIN 13930 CLOTRIMAZOLE 51290 1 6 1 1271<br />
GYNEX 13942 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, NORETHINDRONE 52070, 53965 1040<br />
H.H.R. 13955 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE, HYDRALAZINE HCL 52645, 55080, 70339<br />
H.R.H. 13965 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080 0504, 0506, 0507<br />
H.T. FACTORATE 13967 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0411<br />
H.V.B. 13970 COMBINATION PRODUCT 51380 1 6 2 COAL TAR, HYDROCORTISONE, IODOCHLORHYDROXYQUIN 51305, 52655, 52845<br />
H-BIG 13975 HEPATITIS B IMMUNE GLOBULIN 52545 1 6 1 1183<br />
H-H 13980 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, HYDRALAZINE HCL 52645, 70339 0507, 0508<br />
H-R LUBRICATING JELLY 13985 COMBINATION PRODUCT 51380 2 6 2 HYDROXYPROPYL METHYLCELLULOSE, PARABENS 52700, 70391 1265<br />
HALERCOL 14010 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
HALIBUT LIVER OIL 14020 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805<br />
HALLS COUGH SYRUP 14025 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DEXTROMETHORPHAN, PHENYLPROPANOLAMINE 50090, 51670, 54465 1943<br />
HALODRIN 14030 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, FLUOXYMESTERONE 52070, 52330 1033, 1034<br />
HALOTEX 14050 HALOPROGIN 52525 1 6 1 1265<br />
HALOTHANE 14055 HALOTHANE 52530 1 6 1 0118<br />
HC 14080 HYDROCORTISONE 52655 1 6 1 1268<br />
HCV 14085 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845 1271, 1275<br />
HEALON 14091 SODIUM HYALURONATE 55339 1 6 1 1569<br />
HEB CREAM BASE 14095 OINTMENT HYDROPHILIC 54015 3 6 1 1265<br />
HEET SPRAY 14109 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, METHYL SALICYLATE, METHYL NICOTINATE 50845, 53325, 53620, 53647<br />
HEMAFERRIN 14115 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, IRON PREPARATIONS, LIVER DERIVATIVE, MINERALS, MULTIVITAMINS GENERAL 51935, 52885, 53125, 53723, 53780 0876, 0913<br />
HEMASTIX 14125 ORTHOTOLIDINE REAGENT 54055 3 6 1 2087<br />
HEMATEST 14130 ORTHOTOLIDINE REAGENT 54055 3 6 1 2087<br />
HEMATOVALS 14155 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53915, 54990, 55105, 55755, 56192 0913<br />
HEMATRAN 14160 DEXTROSE 51675 1 6 1 0408<br />
HEMOCAINE 14165 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, EPHEDRINE, PHENOL, TANNIC ACID, THYMOL 50530, 52035, 54400, 55655, 55815 1272<br />
HEMOCCULT HOME TEST 14168 OCCULT BLOOD TEST KIT 80005 3 7 1 2087<br />
HEMOFIL 14170 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0410<br />
HEMORRHOIDAL CPI 14185 COMBINATION PRODUCT 51380 2 6 2 BALSAM, BISMUTH ANTI-DIARRHEA AGENTS, IODINE TOPICAL PREPARATIONS, ZINC TOPICAL AGENTS, EXTERNAL USE 50460, 50635, 52820, 56265<br />
HEMORRHOIDAL HC 14190 HYDROCORTISONE ACETATE 70334 1 6 1 0877<br />
HEMORRHOIDAL SUPPOSITORY 14195 COMBINATION PRODUCT 51380 2 6 2 BENZYL BENZOATE, ZINC TOPICAL AGENTS, EXTERNAL USE, BISMUTH, BALSAM PERU 50575, 56265, 70123, 70418 1265<br />
HEM-PREP 14201 UNDETERMINED 50000 2 6 2<br />
HEMOSTATIC AGENT 14203 UNDETERMINED 50000 3 7 3 0411<br />
HEP-B GAMMAGEE 14215 HEPATITIS B IMMUNE GLOBULIN 52545 1 6 1 1180<br />
HEP-FLUSH 14217 HEPARIN 52540 1 6 1 2000<br />
HEPFOMIN 500 14255 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, NIACINAMIDE, VITAMIN B-12 52355, 53915, 56192 0408, 0913<br />
HEPRON 14275 UNDETERMINED 50000 3 7 3 2000<br />
HEPTAMINE 14278 AMINO ACIDS 50185 1 6 1<br />
HEPTAVAX-B 14279 HEPATITIS B VACCINE 52548 1 6 1 1180<br />
HESPER 14295 HESPERIDIN 52550 2 6 1 2087<br />
HESPERIDIN C 14300 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
HETRAZAN 14305 COMBINATION PRODUCT 51380 3 7 2 2000<br />
HEXA-BETALIN 14310 PYRIDOXINE 54990 1 6 1 0913<br />
HEXACHLOROPHENE 14320 HEXACHLOROPHENE 52560 1 6 1 1264, 1265<br />
HEXADROL 14340 DEXAMETHASONE 51635 1 6 1 1032<br />
HEXADROL ELIXIR 14345 DEXAMETHASONE 51635 1 6 1 1032<br />
HEXADROL PHOSPHATE 14350 DEXAMETHASONE 51635 1 6 1<br />
HEXESTROL 14375 HEXESTROL 52575 1 6 1<br />
HHR 14378 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE, HYDRALAZINE HCL 52645, 55080, 70339 0504, 0506, 0507<br />
HI BEE W/C 14385 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, VITAMIN C 53915, 54175, 54990, 55105, 56193<br />
HI BEECO 14390 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755 2087<br />
HI POTENCY VITAMIN B-COMPLEX W/VITAMIN C 14395 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12 53915, 54990, 55105, 56192 0913<br />
HI-TEN 14410 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM NITRATE, SODIUM BICARBONATE, SODIUM NITRATE 54715, 55280, 55365 2087<br />
HI-610 HUMULIN U ULTRALENTE 14412 INSULIN 52790 1 6 1<br />
HIGH POTENCY B-VITAMINS W/C NEO-VADRIN 14425 COMBINATION PRODUCT 51380 3 6 2 UNDETERMINED, VITAMIN C, VITAMIN B COMPLEX 50000, 56193, 56345 0913<br />
HIGH POTENCY VITAMIN NEO-VADRIN 14435 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185 0913<br />
HISPRIL SPANSULE 14455 DIPHENYLPYRALINE 51885 1 6 1 1944<br />
HIST-A-BALM 14458 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, CAMPHOR, DIPERODON, MENTHOL, PHENYLTOLOXAMINE 50515, 50845, 51848, 53325, 54468 2087<br />
HISTA-DERFULE 14470 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50005, 51130, 54465 1720, 1941, 1944<br />
HISTA-VADRIN 14475 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL 70226, 70254, 70358 1941, 1944<br />
HISTADYL & ASA 14488 BROMPHENIRAMINE 50690 1 6 1 1945, 2087<br />
HISTAFED C 14489 COMBINATION PRODUCT 51380 1 3 2 CODEINE, PSEUDOEPHEDRINE, TRIPROLIDINE 51340, 54960, 56020 1941, 1943, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
HISTAJECT 14495 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50420, 51130, 54465 1945<br />
HISTALET 14500 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PYRILAMINE 51130, 54455, 54465, 54995 1941, 1943<br />
HISTALET X 14515 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1943<br />
HISTALET-DM SYRUP 14525 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, DEXTROMETHORPHAN, PSEUDOEPHEDRINE 51130, 51670, 54960 1941, 1943, 1944<br />
HISTALOG 14530 BETAZOLE 50590 1 6 1 0789<br />
HISTAMINE PHOSPHATE 14540 HISTAMINE 52600 1 6 1 2000<br />
HISTASPAN 14545 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, METHSCOPOLAMINE, PHENYLEPHRINE 51130, 53600, 54455 1945<br />
HISTASPAN-D 14550 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, METHSCOPOLAMINE, PHENYLEPHRINE 51130, 53600, 54455 1945<br />
HISTATAB PLUS 14560 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70226, 70358<br />
HISTATAPP 14565 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 54455, 54465 1945<br />
HISTEFRIN 14570 COMBINATION PRODUCT 51380 2 6 2 PHENIRAMINE, PHENYLEPHRINE 54385, 54455<br />
HISTERONE 14575 TESTOSTERONE 55695 1 3 1 1033<br />
HISTEX 14580 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
HISTODRIX 14590 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PSEUDOEPHEDRINE 50690, 54960 1941, 1944<br />
HISTOPLASMIN DILUTED SOLUTION 14595 HISTOPLASMIN 52610 1 6 1<br />
HISTREY 14605 CHLORPHENIRAMINE 51130 2 6 1 1944<br />
HISTREY KERNEL-KAP 14610 CHLORPHENIRAMINE 51130 1 6 1 2087<br />
HISTREY SYRUP 14615 CHLORPHENIRAMINE 51130 1 6 1<br />
HOLD 14630 DEXTROMETHORPHAN HBR 70338 2 6 1 1943<br />
HOMALYN 14635 COMBINATION PRODUCT 51380 1 6 2 HOMATROPINE, PHENOBARBITAL 52615, 54395 2087<br />
HOMATROCEL 14640 HOMATROPINE 52615 1 6 1<br />
HOMATROPINE HYDROBROMIDE 14648 HOMATROPINE 52615 1 6 1 1567<br />
HOMATROPINE MUROCOLL 14650 HOMATROPINE 52615 1 6 1<br />
HOMICEBRIN 14655 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 53915, 54990, 55105, 55755, 56185 0913<br />
HORMOGEN DEPOT 14670 ESTRADIOL 52070 1 6 1 1034<br />
HORMOGEN R-A 14675 COMBINATION PRODUCT 51380 1 6 2 ESTRONE 52080 1034<br />
HORMOGEN-A 14680 ESTRONE 52080 1 6 1 1040<br />
HORMONE 14683 UNDETERMINED 50000 3 7 3 1000<br />
HU-TET 14705 TETANUS IMMUNE GLOBULIN 55705 1 6 1 1180<br />
HUMAFAC 14710 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0411<br />
HUMAN CHORIONIC GONADOTROPIN 14713 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
HUMATIN 14715 PAROMOMYCIN 54225 1 6 1 1860<br />
HUMATROPE 14717 SOMATROPIN 55430 1 6 1 1035<br />
HUMORSOL 14725 DEMECARIUM 51590 1 6 1 1566<br />
HURRICAINE 14730 BENZOCAINE 50530 2 6 1 0117<br />
HY-GESTRONE 14745 HYDROXYPROGESTERONE 52695 1 6 1 1034<br />
HYALURONIDASE 14750 HYALURONIDASE 52625 1 6 1 2095<br />
HYBALAMIN 14755 HYDROXOCOBALAMIN 52680 1 6 1<br />
HYBOLIN 14765 METHANDRIOL 53490 1 3 1 1033<br />
HYCODAPHEN 14768 UNDETERMINED 50000 3 7 3 2000<br />
HYCOFF 14790 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, DEXTROMETHORPHAN, PSEUDOEPHEDRINE 51130, 51670, 54960<br />
HYDELTRA-T.B.A. 14810 PREDNISOLONE 54770 1 6 1 1032<br />
HYDELTRASOL 14815 PREDNISOLONE 54770 1 6 1 1568<br />
HYDRALAZINE COMPLEX 14845 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080 0504, 0506, 0507<br />
HYDRALAZINE THIAZIDE 14850 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, HYDRALAZINE HCL 52645, 70339 0506, 0507<br />
HYDRAMINE 14860 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
HYDRATE 14870 DIMENHYDRINATE 51810 1 6 1 1671<br />
HYDRIODIC ACID 14880 HYDRIODIC ACID 52635 2 6 1 1943<br />
HYDRISEA LOTION 14883 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, MAGNESIUM CHLORIDE, POTASSIUM REPLACEMENT SOLUTIONS, PROPYLENE GLYCOL, SODIUM CHLORIDE 50770, 53190, 54655, 54895, 55315 1265<br />
HYDRISINOL 14884 CASTOR OIL 50940 2 6 1 1265<br />
HYDRO-ERGOT 14888 ERGOLOID MESYLATES 52048 1 6 1 0504<br />
HYDRO-CHLOR 14895 HYDROCHLOROTHIAZIDE 52645 1 6 1 0506, 0507<br />
HYDROCORT 14903 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN, PRAMOXINE 52655, 52845, 54755 0121, 0358, 1268<br />
HYDRO-Z 14910 HYDROCHLOROTHIAZIDE 52645 1 6 1 0507<br />
HYDROBEXAN 14915 HYDROXOCOBALAMIN 52680 1 6 1 0408, 0913<br />
HYDROCET 14917 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
HYDROCHLORIC ACID 14920 HYDROCHLORIC ACID 52640 3 6 1 0874<br />
HYDROCHLORIC ACID 1/500 14925 HYDROCHLORIC ACID 52640 1 6 1<br />
HYDROCHLOROTHIAZIDE W/RESERPINE 14935 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080 0506, 0507<br />
HYDROCHLORULAN 14940 HYDROCHLOROTHIAZIDE 52645 1 6 1 0507<br />
HYDROCORTISONE IODOCHLORHYDROXYQUIN 14970 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845 1265, 2087<br />
HYDROCORTISONE W/NEOMYCIN 14975 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NEOMYCIN 52655, 53895 1265<br />
HYDROGEN PEROXIDE 14990 HYDROGEN PEROXIDE 52665 2 6 1 1264<br />
HYDROMAL 15000 HYDROCHLOROTHIAZIDE 52645 1 6 1 0506, 0507<br />
HYDROMOX 15010 QUINETHAZONE 55040 1 6 1 0507<br />
HYDROMOX R 15015 COMBINATION PRODUCT 51380 1 6 2 QUINETHAZONE, RESERPINE 55040, 55080 0506, 0507<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
HYDROPHED 15020 COMBINATION PRODUCT 51380 1 6 2 THEOPHYLLINE, EPHEDRINE SULFATE, HYDROXYZINE HCL 55745, 70264, 70371 1940, 1941, 1944<br />
HYDROPHILIC OINTMENT 15025 PETROLATUM 54330 2 6 1 1265<br />
HYDROQUINONE 15040 HYDROQUINONE 52675 3 7 1 1265<br />
HYDROSERPINE 15045 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080 0506<br />
HYDROSTERONE 15050 HYDROXYPROGESTERONE 52695 1 6 1 1034<br />
HYDROTENSIN 15055 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080 0506<br />
HYDROXACEN 15058 HYDROXYZINE 52715 1 6 1 0626<br />
HYDROXY-PROGESTERONE 15065 HYDROXYPROGESTERONE 52695 1 6 1 1040, 1479<br />
HYDROXYPROGESTERONE CAP W/ESTRADIOL VAL 15075 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, HYDROXYPROGESTERONE 52070, 52695 1033, 1040<br />
HYDROXYSTILBAMIDINE 15085 HYDROXYSTILBAMIDINE 52705 1 6 1 0358<br />
HYDROXYZINE PAMOATE 15105 HYDROXYZINE 52715 1 6 1 0626, 1944<br />
HYLIVER 15130 VITAMIN B-12 56192 1 6 1 0408, 0913, 2087<br />
HYLOREL 15138 GUANADREL 52493 1 6 1 0506<br />
HYLUTIN 15140 HYDROXYPROGESTERONE 52695 1 6 1 1034<br />
HYMETIC 15148 TRIMETHOBENZAMIDE 56000 1 6 1 1671<br />
HYONATOL-B ELIXIR 15150 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, ATROPINE, BUTABARBITAL, HYOSCYAMINE, SCOPOLAMINE HBR 50090, 50420, 50720, 52720, 55180 0877<br />
HYOSOPHEN 15160 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE HYDROBROMIDE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52723, 54395, 55180 0878<br />
HYPAQUE 15165 DIATRIZOATE MEGLUMINE 59624 1 6 1 0789<br />
HYPAQUE-M 15170 DIATRIZOATE MEGLUMINE 59624 1 6 1<br />
HYPERAB 15195 RABIES IMMUNE GLOBULIN 55055 1 6 1 1180<br />
HYPERHEP 15200 HEPATITIS B IMMUNE GLOBULIN 52545 1 6 1 1180<br />
HYPERSAL 15215 UNDETERMINED 50000 3 7 3 2000<br />
HYPERTABS 15225 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, SODIUM NITRATE 54395, 55365<br />
HYPERTUSSIS 15230 PERTUSSIS IMMUNE GLOBULIN 54325 1 6 1 1180<br />
HYPNALDYNE 15235 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180<br />
HYPNOTIC AGENT 15238 UNDETERMINED 50000 3 7 3 0626<br />
HYPRHO-D 15245 IMMUNE GLOBULIN 52750 1 6 1 1180<br />
HYPROVAL P.A. 15255 HYDROXYPROGESTERONE 52695 1 6 1<br />
HYREXIN 15265 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
HYSKON 15275 DEXTRAN 51647 1 6 1 0410<br />
HYTAKEROL 15285 DIHYDROTACHYSTEROL 51790 1 6 1 0916<br />
HYTONATOL-B 15300 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, BUTABARBITAL, HYOSCYAMINE, SCOPOLAMINE HBR 50420, 50720, 52720, 55180<br />
HYTUSS 15310 GUAIFENESIN 52490 2 6 1 1943<br />
HYVA GENTIAN VIOLET VAGINAL TABLET 15315 GENTIAN VIOLET 52405 1 6 1 0358<br />
HYZINE 15320 HYDROXYZINE 52715 1 6 1 0626<br />
I.D. 50 15325 DEXTROSE 51675 1 6 1<br />
IBAMEAD FOLIC 500 15368 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, MULTIVITAMINS GENERAL 52885, 53780<br />
IBEROL 15385 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 52885, 55105, 56192, 56193 0913<br />
IBEROL-F 15390 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 52885, 55105, 56192, 56193 0913<br />
ICBR NO.2 15398 VITAMIN C 56193 2 6 1<br />
ICHTHAMMOL 15400 ICHTHAMMOL 52735 2 6 1 1264<br />
ICHTHYOL 15410 ICHTHAMMOL 52735 2 6 1 1264<br />
ICN AZEPOX 15425 CHLORDIAZEPOXIDE 51055 1 4 1 0627<br />
ICN HYTHIDE 15430 HYDROCHLOROTHIAZIDE 52645 1 6 1<br />
ICN ISOX 15435 ISOXSUPRINE 52945 1 6 1<br />
ICN TOLAM 15440 UNDETERMINED 50000 3 7 3 2000<br />
IDENAL 15460 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE, PHENACETIN 50410, 50728, 50745, 54350 1721<br />
IDOXURIDINE 15470 IDOXURIDINE 52740 1 6 1 1568<br />
ILETIN 15475 INSULIN 52790 2 6 1 1036<br />
ILOPAN 15480 DEXPANTHENOL 51645 1 6 1 0877<br />
ILOPAN-CHOLINE 15485 COMBINATION PRODUCT 51380 1 6 2 CHOLINE BITARTRATE, ILOPAN 70556, 70557 0877<br />
ILOSONE 15490 ERYTHROMYCIN 52065 1 6 1 0348<br />
ILOTYCIN GLUCEPTATE I.V. 15500 ERYTHROMYCIN 52065 1 6 1 0348<br />
IMOGAM RABIES 15508 RABIES IMMUNE GLOBULIN 55055 1 6 1 1180, 1181, 1183<br />
IMAVATE 15510 IMIPRAMINE 52745 1 6 1 0630<br />
IMMUGLOBIN 15535 UNDETERMINED 50000 3 7 3 2000<br />
IMMUNE SERUM GLOBULIN 15540 IMMUNE GLOBULIN 52750 1 6 1 1180, 1183<br />
IMOVAX RABIES 15548 RABIES VACCINE 55060 1 6 1 1180<br />
INDIGO CARMINE 15585 INDIGOINDISULFONATE 52755 1 6 1 0789<br />
INDOMED 15598 INDOMETHACIN 52770 1 6 1 1724, 1727<br />
INFRARUB ANALGESIC CREAM 15625 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE 53325, 53620<br />
INHISTON 15635 PHENIRAMINE 54385 2 6 1<br />
INNOVAR 15650 COMBINATION PRODUCT 51380 1 2 2 DROPERIDOL, FENTANYL CITRATE 51985, 70452 1721<br />
INOCOR 15653 AMRINONE LACTATE 50278 1 6 1 0501<br />
INPERSOL 15665 DEXTROSE 51675 1 6 1 0915<br />
INSULATARD NPH 15678 INSULIN 52790 2 6 1 1036<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
INTENSIN 15690 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PSEUDOEPHEDRINE 50005, 51130, 54960 1945<br />
INTERCEPT 15693 NONOXYNOL 9 53955 2 6 1 1040<br />
INTRINSITINIC 15700 COMBINATION PRODUCT 51380 2 6 2 COBALAMIN, FOLIC ACID, IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN C 51308, 52355, 52885, 53125, 56193 0913<br />
INTROPIN 15705 DOPAMINE 51945 1 6 1 0505<br />
INVERSINE 15720 MECAMYLAMINE 53265 1 6 1 0506<br />
IODIDES TINCTURE 15725 IODINE TOPICAL PREPARATIONS 52820 2 6 1 1264<br />
IODINATED GLYCEROL W/CODEINE 15727 COMBINATION PRODUCT 51380 1 5 2 IODINATED GLYCEROL, CODEINE PHOSPHATE 52825, 70231 1943<br />
IODINATED GLYCEROL W/DM 15728 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, IODINATED GLYCEROL 51670, 52825 1943<br />
IODINE 15730 IODINE TOPICAL PREPARATIONS 52820 2 6 1 1264<br />
IODIZED LIME 15735 IODINE SOLUTIONS 52830 2 6 1<br />
IODO-NIACIN 15745 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, POTASSIUM IODIDE 53915, 54710 1943<br />
IODOCHLOR 15750 IODOCHLORHYDROXYQUIN 52845 2 6 1 1271<br />
IODOCHLOR W/HYDROCORTISONE 15755 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845<br />
IODOCHLORHYDROXYQUIN HYDROCORTISONE 15765 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845 1265<br />
IODOPEN 15774 IODINE SOLUTIONS 52830 1 6 1 0913<br />
IODOSONE 15775 UNDETERMINED 50000 3 7 3 2087<br />
IONAMIN 15780 PHENTERMINE 54430 1 4 1 0631<br />
IONOSOL 15795 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, ELECTROLYTES 51675, 52023 0915<br />
IPECAC 15810 IPECAC 52870 2 6 1 0283<br />
IPRENOL 15815 ISOPROTERENOL 52930 1 6 1 2087<br />
IPSATOL 15825 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 52490, 70254, 70338 1943<br />
IPSATOL/DM SYRUP 15830 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 52490, 70254, 70338 1943<br />
IRCON-FA 15840 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS 52355, 52885 0408<br />
IRODEX 15845 DEXTROSE 51675 1 6 1 0408<br />
IRON & B COMPLEX PLUS 15865 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN B COMPLEX 52885, 56345 0913<br />
IRON CACODYLATE 15868 IRON PREPARATIONS 52885 1 6 1 2087<br />
IRON PEDIATRIC 15873 IRON PREPARATIONS 52885 2 6 1 0913<br />
IRONATE-B PLUS 15890 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, RIBOFLAVIN, THIAMINE 52885, 55105, 55755<br />
IRONCO B 15895 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, IRON PREPARATIONS, NIACIN, RIBOFLAVIN, THIAMINE 52045, 52885, 53905, 55105, 55755<br />
IRONIZED YEAST 15900 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN B COMPLEX 52885, 56345<br />
IROPHOS-D 15905 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, IRON PREPARATIONS 50770, 52045, 52885<br />
IRRIGATING SOLUTION 15910 UNDETERMINED 50000 3 7 3 2000<br />
ISMELIN 15920 GUANETHIDINE 52495 1 6 1 0506<br />
ISMOTIC 15925 ISOSORBIDE 52935 1 6 1 0915<br />
ISO-LO DROPS 15933 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, BORIC ACID, PHENYLEPHRINE, POTASSIUM REPLACEMENT SOLUTIONS, ZINC SULFATE 50515, 50660, 54455, 54655, 56285<br />
ISOCAL 15940 DIETARY SUPPLEMENT 51740 2 6 1 0914<br />
ISODINE 15960 POVIDONE-IODINE 54749 2 6 1 1264<br />
ISOETHARINE 15965 ISOETHARINE 52900 1 6 1 1940<br />
ISOLATE COMPOUND ELIXIR 15970 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, ISOPROTERENOL, PHENOBARBITAL, POTASSIUM IODIDE, THEOPHYLLINE 52035, 52930, 54395, 54710, 55745 1940, 1941, 1943<br />
ISOLLYL 15980 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE 50410, 50728, 50745 1720<br />
ISOLLYL W/CODEINE 15983 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE, CODEINE 50410, 50728, 50745, 51340 1721<br />
ISOLYTE 15985 COMBINATION PRODUCT 51380 1 6 2 CALCIUM ION, CHLORIDE ION, MAGNESIUM ANTACIDS, POTASSIUM ION, SODIUM ION 50806, 51064, 53175, 54713, 55348 0915<br />
ISOPHANE INSULIN SUSPENSION 16003 INSULIN 52790 2 6 1 1036<br />
ISOPHRIN 16005 PHENYLEPHRINE 54455 2 6 1 1941<br />
ISOPROPAZINE 16015 COMBINATION PRODUCT 51380 1 6 2 ISOPROPAMIDE, PROCHLORPERAZINE 52920, 54830 2087<br />
ISOPROPYL ALCOHOL 16020 ISOPROPYL ALCOHOL 52925 3 6 1 1264<br />
ISOPROTERENOL 16025 ISOPROTERENOL 52930 1 6 1 1940<br />
ISOPTO ALKALINE 16030 HYDROXYPROPYL METHYLCELLULOSE 52700 2 6 1 1569<br />
ISOPTO CARBACHOL 16040 CARBACHOL 50875 1 6 1 1566<br />
ISOPTO CARPINE 16045 PILOCARPINE 54500 1 6 1 1566<br />
ISOPTO CETAMIDE 16050 SULFACETAMIDE 55525 1 6 1 1568<br />
ISOPTO ESERINE 16060 PHYSOSTIGMINE 54490 1 6 1 1566<br />
ISOPTO FRIN 16065 PHENYLEPHRINE 54455 1 6 1 1569<br />
ISOPTO HOMATROPINE 16070 HOMATROPINE 52615 1 6 1 1567<br />
ISOPTO PLAIN 16085 HYDROXYPROPYL METHYLCELLULOSE 52700 2 6 1 1569<br />
ISORDIL W/PHENOBARBITAL 16100 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, ISOSORBIDE DINITRATE 54395, 70130 0503<br />
ISOTRATE 16110 ISOSORBIDE 52935 1 6 1 0503<br />
ISOXSUPRINE 16115 ISOXSUPRINE 52945 1 6 1 0508<br />
ISUPREL COMPOUND ELIXIR 16125 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL, POTASSIUM IODIDE, THEOPHYLLINE, ISOPROTERENOL HCL 52035, 54395, 54710, 55745, 70379 1940, 1941, 1943<br />
ISUPREL 16130 ISOPROTERENOL 52930 1 6 1 1940<br />
ISUPREL HCL GLOSSET 16135 ISOPROTERENOL 52930 1 6 1 1940<br />
IVADANTIN 16145 NITROFURANTOIN 53930 1 6 1 0354<br />
IVY-CHEX 16150 PVP / VA COPOLYMER 54967 2 6 1 1265<br />
IVY-RID LOTION 16155 PVP / VA COPOLYMER 54967 2 6 2 1265<br />
JEL DROX 16176 COMBINATION PRODUCT 51380 2 6 2<br />
JENAMICIN 16177 GENTAMICIN 52400 1 6 1 0352<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
JERI-BATH 16180 BATH OIL 70560 2 6 1 1265<br />
JEVERON 16185 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53915, 54990, 55105, 55755, 56192<br />
K-C 16195 COMBINATION PRODUCT 51380 2 6 2 BISMUTH ANTI-DIARRHEA AGENTS, KAOLIN, PECTIN 50635, 52955, 54238 0875<br />
K-G ELIXIR 16205 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
K-LYTE/CL 16220 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
K-P 16225 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, PECTIN 52955, 54238<br />
K-PEN 16235 PENICILLIN 54250 1 6 1 0346<br />
K-PHOS (MODIFIED) 16250 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM ACIDIFYING AGENTS, SODIUM ACID PHOSPHATE 54735, 70561 2087<br />
K-PHOS NEUTRAL 16255 COMBINATION PRODUCT 51380 2 6 2 POTASSIUM ACIDIFYING AGENTS, SODIUM ACID PHOSPHATE 54735, 70561 0915<br />
K-PHOS NO. 2 16260 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM ACIDIFYING AGENTS, SODIUM ACID PHOSPHATE 54735, 70561 2087<br />
KABIKINASE 16278 STREPTOKINASE 55495 1 6 1 0409<br />
KALCINATE 16290 CALCIUM REPLACEMENT AGENTS 50770 1 6 1 0916<br />
KANAMYCIN 16305 KANAMYCIN 52950 1 6 1 0352<br />
KANK-A 16308 BENZOCAINE 50530 2 6 1 1265<br />
KANTREX 16310 KANAMYCIN 52950 1 6 1 0352<br />
KANULASE 16315 COMBINATION PRODUCT 51380 2 6 2 CELLULASE, GLUTAMIC ACID, OX BILE EXTRACT, PANCREATIN, PEPSIN 50968, 52435, 54065, 54160, 54310 0877<br />
KAO NOR 16320 POTASSIUM REPLACEMENT SOLUTIONS 54655 2 6 1<br />
KAOCHLOR-EFF 16330 ELECTROLYTES 52023 1 6 1 0915<br />
KAOLIN 16335 KAOLIN 52955 3 6 1 0875<br />
KAOLIN & PECTIN 16340 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, PECTIN 52955, 54238 0875<br />
KAOLIN/PECTIN W/PAREGORIC 16344 COMBINATION PRODUCT 51380 1 5 2 KAOLIN, PAREGORIC, PECTIN 52955, 54215, 54238 0875<br />
KAOMEAD 16345 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, PECTIN 52955, 54238<br />
KAOPHEN 16370 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, KAOLIN, PHENOBARBITAL 50495, 52955, 54395<br />
KAOPHIL 16375 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, PECTIN 52955, 54238<br />
KAPECTOLIN 16380 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, PECTIN 52955, 54238 0875<br />
KAPECTOLIN PG 16385 COMBINATION PRODUCT 51380 2 5 2 ATROPINE, HYOSCYAMINE, KAOLIN, PECTIN, SCOPOLAMINE HBR 50420, 52720, 52955, 54238, 55180 0875<br />
KAPECTOLIN W/PAREGORIC 16395 COMBINATION PRODUCT 51380 2 5 2 KAOLIN, PAREGORIC, PECTIN 52955, 54215, 54238<br />
KARAYA GUM 16405 KARAYA GUM 52965 2 6 1 1265<br />
KARIDIUM 16415 SODIUM FLUORIDE 55330 1 6 1 0913<br />
KARIGEL 16420 SODIUM FLUORIDE 55330 1 6 1 0913<br />
KASOF 16425 DOCUSATE 51935 2 6 1 0876<br />
KATO 16430 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
KAYBOVITE 16450 VITAMIN B-12 56192 1 6 1 0408, 0913<br />
KAYLIXIR 16460 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 2095<br />
KAYSINE 16463 ADENOSINE 50080 1 6 1<br />
KAYTRATE-30 KAYKAP 16465 PENTAERYTHRITOL 54275 1 6 1 0503<br />
KEFLIN 16480 CEPHALOTHIN 50995 1 6 1 0347<br />
KEFTAB 16482 CEPHALEXIN 50980 1 6 1 0347<br />
KEMADRIN 16495 PROCYCLIDINE 54835 1 6 1 1371<br />
KENACORT 16500 TRIAMCINOLONE 55915 1 6 1 1032<br />
KENPECTIN 16510 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, KAOLIN, PECTIN 50145, 52955, 54238<br />
KERALYT 16520 SALICYLIC ACID 55160 1 6 1 1266<br />
KERI 16525 COMBINATION PRODUCT 51380 2 6 2 GLYCERYL, MINERAL OIL, PROPYLENE GLYCOL, LANOLIN OIL 52452, 53720, 54895, 70331 1265<br />
KERID DROPS 16530 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, PROPYLENE GLYCOL, UREA 52450, 54895, 56120 1670<br />
KERODEX 16535 UNDETERMINED 50000 2 6 3 1265<br />
KESSO-BAMATE 16545 MEPROBAMATE 53370 1 4 1<br />
KESSO-PEN 16555 PENICILLIN 54250 1 6 1 0346<br />
KESSO-TETRA 16560 TETRACYCLINE 55725 1 6 1 0350<br />
KESSODRATE 16565 CHLORAL HYDRATE 51040 1 4 1 0600<br />
KESSOTAPP 16568 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465 1941, 1944<br />
KESTRIN 16570 ESTROGENS 52075 1 6 1 1034, 2087<br />
KESTRONE 16575 ESTRONE 52080 1 6 1 1034<br />
KETAJECT 16580 KETAMINE 52970 1 6 1 0118<br />
KETALAR 16585 KETAMINE 52970 1 6 1 0118<br />
KETOSTIX 16605 SODIUM NITROPRUSSIDE 55370 3 6 1 2087<br />
KEY-PLEX 16610 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755 0913<br />
KIE 16635 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, POTASSIUM IODIDE 52035, 54710 1943<br />
KINEVAC 16645 SINCALIDE 55245 1 6 1 0789<br />
KLARON 16650 SULFACETAMIDE SODIUM 70214 2 6 1 1265<br />
KLEER EXPECTORANT 16670 COMBINATION PRODUCT 51380 1 5 2 CHLORPHENIRAMINE, CODEINE, GUAIFENESIN, PHENYLEPHRINE 51130, 51340, 52490, 54455<br />
KLEER EXPECTORANT DH 16675 COMBINATION PRODUCT 51380 1 4 2 CHLORPHENIRAMINE, CODEINE, PHENYLEPHRINE 51130, 51340, 54455<br />
KLEER IMPROVED 16680 COMBINATION PRODUCT 51380 1 6 2 ATROPINE SULFATE, CHLORPHENIRAMINE MALEATE 70120, 70226<br />
KLEER SYRUP 16690 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE 51130, 52490, 54455<br />
KLEER-MILD 16695 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 51130, 54455, 54465 1945<br />
KLIX 16705 COMBINATION PRODUCT 51380 2 6 2 ATROPINE, CHLORPHENIRAMINE, PHENIRAMINE, PHENYLPROPANOLAMINE, SCOPOLAMINE HBR 50420, 51130, 54385, 54465, 55180 2087<br />
KLORVESS 16720 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
KOLANTYL 16740 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
KOLDEZE 16745 COMBINATION PRODUCT 51380 2 6 2 ATROPINE, CHLORPHENIRAMINE, PHENIRAMINE, PHENYLPROPANOLAMINE, SCOPOLAMINE HBR 50420, 51130, 54385, 54465, 55180 1945<br />
KOLYUM 16750 COMBINATION PRODUCT 51380 1 6 2 CHLORIDE ION, POTASSIUM ION 51064, 54713 0915<br />
KOMED 16765 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, ISOPROPYL ALCOHOL, MENTHOL, SALICYLIC ACID, SODIUM THIOSULFATE 52655, 52925, 53325, 55160, 55425 1265<br />
KOMEX 16775 COMBINATION PRODUCT 51380 2 6 2 SODIUM BORATE, SURFACTANT 55295, 55623 1265<br />
KONAKION 16780 PHYTONADIONE 54495 1 6 1 0411<br />
KONDREMUL W/CASCARA 16790 COMBINATION PRODUCT 51380 2 6 2 CASCARA, MINERAL OIL 50935, 53720 0876<br />
KONYNE 16805 FACTOR IX COMPLEX HUMAN 52203 1 6 1 0410<br />
KORO-SULF 16815 SULFISOXAZOLE 55590 1 6 1 0353<br />
KOROSTATIN 16825 NYSTATIN 53995 1 6 1 1271<br />
KU-ZYME 16845 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, CELLULASE, LIPASE, PROTEASE 50283, 50968, 53118, 70054 0877<br />
KU-ZYME HP 16850 PANCRELIPASE 54165 1 6 1 0877<br />
KUDROX 16855 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
KUTAPRESSIN 16860 LIVER DERIVATIVE 53125 1 6 1 0408<br />
KWELL 16870 LINDANE 53095 1 6 1 1863<br />
L.A.E. 16873 ESTRADIOL 52070 1 6 1 1034<br />
L.A. FORMULA 16875 PSYLLIUM 54965 2 6 1 0876<br />
L.F.B.-12-100 16880 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, VITAMIN B-12 52355, 56192<br />
LA-12 16900 HYDROXOCOBALAMIN 52680 1 6 1 0408<br />
LABID 16905 UNDETERMINED 50000 3 7 3 2000<br />
LACRIL 16920 METHYLCELLULOSE 53630 2 6 1 1569<br />
LACRISERT OPHTH 16923 HYDROXYPROPYL METHYLCELLULOSE 52700 1 6 1 1569<br />
LACTATED PEPSIN ELIXIR 16930 PEPSIN 54310 2 6 1 0877<br />
LACTATED RINGER'S (HARTMANN'S) 16935 LACTATED RINGERS 70317 1 6 1 0915<br />
LACTIC ACID 16940 LACTIC ACID 52980 3 6 1 2095<br />
LACTOCAL-F 16965 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
LANABARB NO.1 16985 COMBINATION PRODUCT 51380 1 2 2 AMOBARBITAL SODIUM, SECOBARBITAL 50250, 55185 0626<br />
LANABARB NO.2 16986 COMBINATION PRODUCT 51380 1 2 2 AMOBARBITAL SODIUM, SECOBARBITAL 50250, 55185<br />
LANABEE-C 16990 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 50811, 53915, 54990, 55105, 55770 0913<br />
LANACILLIN VK 17005 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
LANAMINS 17010 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN A 52045, 54990, 55105, 55770, 56185 0913<br />
LANATOSIDE 17020 LANATOSIDE C 53000 1 6 1 2087<br />
LANAURINE 17035 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE, GLYCERIN 50325, 50530, 52450<br />
LANAZETS 17045 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CETYLPYRIDINIUM 50530, 51023 2000<br />
LANIAZID 17055 ISONIAZID 52915 1 6 1 0356<br />
LANNATES ELIXIR 17060 COMBINATION PRODUCT 51380 2 6 2 CALCIUM GLYCEROPHOSPHATE, PHOSPHORIC ACID, SODIUM GLYCERPHOSPHATE, WINE 50773, 54480, 55338, 56235<br />
LANOKALIN 17065 COMBINATION PRODUCT 51380 1 6 2 HOMATROPINE, KAOLIN, PHENOBARBITAL 52615, 52955, 54395 0800<br />
LANOLINE 17075 UNDETERMINED 50000 2 6 3 1265<br />
LANOLOR 17080 LANOLIN 53003 2 6 1 1265<br />
LANOPHYLLIN 17085 DYPHYLLINE 52000 1 6 1 1940<br />
LANOPLEX 17090 COMBINATION PRODUCT 51380 1 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50811, 53915, 54990, 55105, 55755 0913<br />
LANOPLEX FORTE 17100 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 50811, 53915, 54990, 55105, 55770 0913<br />
LANORINAL 17105 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE 50410, 50728, 50745 1720<br />
LANOXICAPS 17113 DIGOXIN 51780 1 6 1 0501<br />
LANTEEN JELLY 17120 COMBINATION PRODUCT 51380 2 6 2 CHLOROTHYMOL, GLYCERIN, HEXYLRESORCINOL, RICINOLEIC ACID, SODIUM BENZOATE 51105, 52450, 52595, 55108, 55275 2087<br />
LANVISONE 17130 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845 1265<br />
LARGON 17135 PROPIOMAZINE 54885 1 6 1 0626<br />
LARYLGAN (D/C) 17155 UNDETERMINED 50000 2 6 3 1264<br />
LASAN 17160 ANTHRALIN 50310 1 6 1 1265<br />
LAUD-IRON 17175 IRON PREPARATIONS 52885 2 6 1<br />
LAUD-IRON FOLIC 17180 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN C 52355, 52885, 56193<br />
LAUD-IRON FORTE 17185 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 52885, 53915, 54990, 55105, 55755 0913<br />
LAVACOL 17200 ISOPROPYL ALCOHOL 52925 2 6 1 1264<br />
LAVATAR 17205 COAL TAR 51305 2 6 1 1266, 1274<br />
LAVENDER OIL 17210 LAVENDER OIL 53010 3 6 1 2100<br />
LAX-HERB 17220 SENNA 55200 2 6 1 0876<br />
LAXADANE SUPULE 17230 BISACODYL 50630 2 6 1<br />
LAXAMEAD P.H.M. 17235 PSYLLIUM 54965 2 6 1<br />
LAXINATE 100 17240 DOCUSATE 51935 2 6 1 0876<br />
LAXOGEN 17245 COMBINATION PRODUCT 51380 2 6 2 BISMUTH ANTI-DIARRHEA AGENTS, PHENOLPHTHALEIN, SALICYLAMIDE 50635, 54405, 55150 0875, 0876<br />
LC-65 CLEANING 17250 THIMEROSAL 55770 2 6 1 1569<br />
LEDERCILLIN VK 17270 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
LEDERPLEX 17275 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN B-12 53915, 54990, 55105, 55770, 56192 0913<br />
LEMON OIL 17285 LEMON OIL 53025 2 6 1<br />
LENSINE 17295 CONTACT LENS SOLUTION 51390 2 6 1 1569<br />
LENSRINS 17300 SODIUM CHLORIDE 55315 2 6 1 1569<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
LENTARD 17303 INSULIN 52790 2 6 1 1036<br />
LENTE INSULIN SUSPENSION 17304 INSULIN 52790 2 6 1 1036<br />
LEUCINE 17315 LEUCINE 53030 3 7 1 2087<br />
LEUKERAN 17325 CHLORAMBUCIL 51045 1 6 1 1483<br />
LEVAMINE 17330 HYOSCYAMINE 52720 1 6 1 0877<br />
LEVATOL 17333 PENBUTOLOL SULFATE 80013 1 6 1 0512<br />
LEVOPHED 17355 NOREPINEPHRINE 53960 1 6 1 0505<br />
LEVORPHANOL TARTRATE 17362 LEVORPHANOL 53055 1 2 1 1721<br />
LEVSIN-PB DROPS 17380 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, HYOSCYAMINE SULFATE 54395, 70336 0875<br />
LEVSINEX/PHENOBARBITAL 17395 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, HYOSCYAMINE SULFATE 54395, 70336 0877<br />
LEXTRON 17415 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
LFB D/S 17418 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, LIVER DERIVATIVE, VITAMIN B-12 52355, 53125, 56192<br />
LI-BAN SPRAY 17420 COMBINATION PRODUCT 51380 2 6 2 PETROLEUM DISTILLATE, PYRETHROID 54332, 54984 1863<br />
LICOPLEX DS 17455 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, VITAMIN B COMPLEX 52885, 56345 0408, 0913<br />
LIDAFORM-HC 17473 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN, LIDOCAINE 52655, 52845, 53070 1265<br />
LIDINIUM 17480 COMBINATION PRODUCT 51380 1 6 2 CHLORDIAZEPOXIDE, CLIDINIUM BROMIDE 51055, 51250 0627, 0877<br />
LIDOCAINE HCL 17490 LIDOCAINE 53070 3 6 1 0117, 1275<br />
LIDOCAINE HCL W/EPINEPHRINE 17495 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE, LIDOCAINE HCL 52040, 70370 0117<br />
LIDOJECT 17500 LIDOCAINE 53070 1 6 1 0117, 1275<br />
LIDOXIDE 17513 COMBINATION PRODUCT 51380 1 6 2 CHLORDIAZEPOXIDE, CLIDINIUM BROMIDE 51055, 51250 0874<br />
LIFOLBEX 17525 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, LIVER DERIVATIVE, VITAMIN B-12 52355, 53125, 56192 0408<br />
LIFOLEX 17528 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, LIVER DERIVATIVE, VITAMIN B-12 52355, 53125, 56192 0409<br />
LIME WATER 17535 CALCIUM HYDROXIDE 50800 2 6 1<br />
LINCOCIN 17540 LINCOMYCIN 53090 1 6 1 0348<br />
LINCOMYCIN 17545 LINCOMYCIN 53090 1 6 1 0348<br />
LINOLESTROL 17550 UNDETERMINED 50000 3 7 3 2000<br />
LINSEED OIL 17555 LINSEED OIL 53105 2 6 1<br />
LIP GARD 17568 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, HEXACHLOROPHENE, LANOLIN, MENTHOL, SKIN RESP FACTOR YEAST 50845, 52560, 53003, 53325, 55253 1265<br />
LIPO GANTRISIN 17570 SULFISOXAZOLE 55590 1 6 1 0353<br />
LIPO-ADRENEX IN OIL 17580 HYDROCORTISONE 52655 1 6 1<br />
LIPOFLAVONOID 17600 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
LIPOGEN 17605 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, COBALAMIN, INOSITOL, RIBOFLAVIN, THIAMINE 51195, 51308, 52785, 55105, 55755 0913<br />
LIPOMEAD 17608 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, MULTIVITAMINS GENERAL 51195, 53780<br />
LIPOMUL-ORAL 17610 CORN OIL 51395 2 6 1 0914<br />
LIPOTROL 17633 UNDETERMINED 50000 3 7 3 2000<br />
LIQUAEMIN 17640 HEPARIN 52540 1 6 1 0409<br />
LIQUAMAR 17650 PHENPROCOUMON 54420 1 6 1 0409<br />
LIQUID PRED 17668 PREDNISONE 54775 1 6 1 1032<br />
LIQUIMAT 17675 SULFUR 55610 2 6 1 1265<br />
LIQUIPRIN 17680 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
LISTEREX 17700 COMBINATION PRODUCT 51380 2 6 2 POLYETHYLENE GLYCOL, SALICYLIC ACID, SURFACTANT 54590, 55160, 55623 1265<br />
LISTERINE 17705 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, EUCALYPTUS OIL, MENTHOL, METHYL SALICYLATE, THYMOL 50090, 52190, 53325, 53620, 55815 1264<br />
LISTERMINT 17708 MOUTHWASH 53775 2 6 1 0913<br />
LITHANE 17710 LITHIUM 53120 1 6 1 0628<br />
LITHONATE 17730 LITHIUM 53120 1 6 1 0628<br />
LITHOTABS 17735 LITHIUM 53120 1 6 1 0628<br />
LIVER DESICCATED W/B-12 NEO-VADRIN 17745 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, VITAMIN B-12, LIVER DESSICATED 53805, 56192, 70563 0913<br />
LIVER, FOLIC ACID & B-12 17753 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, VITAMIN B-12, LIVER DESSICATED 52355, 56192, 70563 0408<br />
LIVER 17755 VITAMIN B-12 56192 1 6 1 0408, 0913<br />
LIVIFOL W/VITAMIN C B-12 & IRON 17785 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 55105, 55755, 56192<br />
LIXAGESIC ELIXIR 17800 UNDETERMINED 50000 3 7 3 2000<br />
LIXAMINOL AT ELIXIR 17805 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, AMINOPHYLLINE, DEXTROMETHORPHAN 50090, 50210, 51670 1940<br />
LIXOLIN 17808 THEOPHYLLINE 55745 1 6 1 1940<br />
LIXAMINOL 17810 AMINOPHYLLINE 50210 1 6 1 1940<br />
LMD 17815 DEXTRAN 51647 1 6 1 0410<br />
LO-SAL 17816 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50785, 53175 0874<br />
LO-TUSSIN SYRUP 17820 UNDETERMINED 50000 3 7 3 2000<br />
LOBAC 17828 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, PHENYLTOLOXAMINE, SALICYLAMIDE 50005, 54468, 55150 1373<br />
LOBANA HOSPITAL LOTION 17830 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, MENTHOL, STEARIC ACID 53003, 53325, 55485<br />
LOCOID 17834 HYDROCORTISONE 52655 1 6 1 1268<br />
LODRANE 17838 THEOPHYLLINE 55745 1 6 1 1940<br />
LOESTRIN 17840 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, NORETHINDRONE ACETATE 70027, 70238 1040<br />
LOFENE 17850 COMBINATION PRODUCT 51380 1 5 2 ATROPINE, DIPHENOXYLATE 50420, 51868 0875<br />
LOFLO 17855 COMBINATION PRODUCT 51380 1 5 2 ATROPINE, DIPHENOXYLATE 50420, 51868 2087<br />
LOK-PAK-N 17858 COMBINATION PRODUCT 51380 1 6 2 HEPARIN, SODIUM CHLORIDE 52540, 55315<br />
LOMUSTINE 17868 LOMUSTINE 53135 1 6 1 1482<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
LONALAC 17870 DIETARY SUPPLEMENT 51740 2 6 1 0914<br />
LORFAN 17895 LEVALLORPHAN 53040 1 6 1 0281<br />
LOTUSATE 17930 UNDETERMINED 50000 3 7 3 2000<br />
LOWILA 17935 LAURYL SULFOACETATE 53005 2 6 1 1265<br />
LOXAPINE 17940 LOXAPINE 53150 1 6 1 0627<br />
LUBATH 17955 UNDETERMINED 50000 2 6 3 2087<br />
LUBRASEPTIC 17960 COMBINATION PRODUCT 51380 2 6 2 AMYL PHENYL PHENOL, PHENYLMERCURIC NITRATE 50281, 54460<br />
LUBRASOL BATH OIL 17965 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, MINERAL OIL, OXYBENZONE, PEG-4 DILAURATE 53003, 53720, 54093, 54237 1265<br />
LUDIOMIL 17978 MAPROTILINE 53248 1 6 1 0630<br />
LUFYLLIN-EPG 17995 COMBINATION PRODUCT 51380 1 6 2 DYPHYLLINE, GUAIFENESIN, PHENOBARBITAL, EPHEDRINE HCL 52000, 52490, 54395, 70350 1940<br />
LUFYLLIN-GG 18000 COMBINATION PRODUCT 51380 1 6 2 DYPHYLLINE, GUAIFENESIN 52000, 52490 1940<br />
LUFYLLIN-400 18005 DYPHYLLINE 52000 1 6 1 1940<br />
LUMINAL 18015 PHENOBARBITAL 54395 1 4 1 0626<br />
LUMINUM HYDROXIDE 18018 ALUMINUM HYDROXIDE 50145 2 6 1<br />
LURIDE DROPS 18020 SODIUM FLUORIDE 55330 1 6 1 0913<br />
LYCOLAN ELIXIR 18030 COMBINATION PRODUCT 51380 2 6 2 AMINOACETIC ACID, LYSINE, WINE 50190, 53160, 56235 2000<br />
LYNETUSS 18040 GUAIFENESIN 52490 2 6 1 2087<br />
LYPHOCIN 18047 VANCOMYCIN 56150 1 6 1 0355<br />
LYSODREN 18055 MITOTANE 53745 1 6 1 1479<br />
LYTEERS 18065 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, EDETATE DISODIUM, HYDROXYPROPYL METHYLCELLULOSE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE 50515, 52015, 52700, 54655, 55315 1569<br />
M.A.H. #2 18075 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
M.V.C. PLUS 18083 MULTIVITAMINS 53805 1 6 2 0913<br />
M-CILLIN 18095 PENICILLIN 54250 1 6 1 0346<br />
M-R-VAX II 18105 COMBINATION PRODUCT 51380 1 6 2 MEASLES VIRUS VACCINE, RUBELLA VIRUS VACCINE 53255, 55130 1180<br />
M-S 650 18108 UNDETERMINED 50000 3 7 3 2000<br />
M-TETRA 250 18110 TETRACYCLINE 55725 1 6 1 0350<br />
MAGALUMINA PLUS SIMETH 18138 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240<br />
MAGAN 18145 MAGNESIUM SALICYLATE 53220 1 6 1 1720<br />
MAGNA C-7 FORTE 18158 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, MINERALS, MULTIVITAMINS GENERAL 52355, 53723, 53780 0913<br />
MAGNACAL 18159 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
MAGNAGEL 18160 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
MAGNALOX 18165 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
MAGNATRIL 18175 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
MAGNESIA 18180 MAGNESIUM ANTACIDS 53175 2 6 1 0874<br />
MAGNESIA & ALUMINA 18185 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
MAGNESIA ALUMINA/SIMETH 18188 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
MAGNESIUM CARBONATE 18189 MAGNESIUM ANTACIDS 53175 2 6 1 0874<br />
MAGNESIUM TRISILICATE 18220 MAGNESIUM ANTACIDS 53175 2 6 1 0874<br />
MALLAMINT 18240 CALCIUM CARBONATE 50785 2 6 1<br />
MALLERGAN SYRUP PLAIN 18255 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, IPECAC, POTASSIUM GUAIACOLSULFONATE, PROMETHAZINE, SODIUM CITRATE 51235, 52870, 54700, 54860, 55320 1943<br />
MALLERGAN W/CODEINE SYRUP 18260 COMBINATION PRODUCT 51380 1 5 2 CODEINE PHOSPHATE, PHENYLEPHRINE HCL, PROMETHAZINE HCL 70231, 70358, 70411 1941, 1943, 1944<br />
MALLISOL SURGICAL SCRUB 18265 POVIDONE-IODINE 54749 2 6 1<br />
MALLOPRESS 18275 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080 0504, 0506, 0507<br />
MALOGEL 18280 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
MALOTUSS SYRUP 18290 GUAIFENESIN 52490 2 6 1<br />
MANAGEN LA 18302 UNDETERMINED 50000 3 7 3 2000<br />
MAN-AGIN 18303 TESTOSTERONE 55695 1 3 1 1033<br />
MANDELETS 18318 METHENAMINE 53530 1 6 1<br />
MANDEX 18320 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, METHENAMINE, SALICYLAMIDE 50495, 53530, 55150 0355<br />
MANDL'S 18323 IODINATED GLYCEROL 52825 1 6 1<br />
MANGA-PAK 18335 MANGANESE SULFATE 53242 1 6 1 0915<br />
MANITERA MULTIPLE VITAMIN 18343 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, MULTIVITAMINS GENERAL, NIACIN 50811, 53780, 53905<br />
MANNITOL 18345 MANNITOL 53245 1 6 1 0789<br />
MANNITOL HEXANITRATE 18350 MANNITOL 53245 1 6 1 0503<br />
MANNITOL HEXANITRATE W/PHENOBARBITAL 18355 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, MANNITOL HEXANITRATE 54395, 70566 0508<br />
MANNITOL 18 GA 18360 MANNITOL 53245 1 6 1<br />
MAOLATE 18370 CHLORPHENESIN 51125 1 6 1 1373<br />
MAPROTILINE 18373 MAPROTILINE 53248 1 6 1 0630<br />
MARAX 18375 COMBINATION PRODUCT 51380 1 6 2 THEOPHYLLINE, EPHEDRINE SULFATE, HYDROXYZINE HCL 55745, 70264, 70371 1940<br />
MARBAXIN 18385 METHOCARBAMOL 53560 1 6 1<br />
MARBLEN 18390 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50785, 53175 0874<br />
MARCAINE HCL W/EPINEPHRN 18400 COMBINATION PRODUCT 51380 1 6 2 BUPIVACAINE HCL, EPINEPHRINE BITARTRATE 70351, 70381 0117<br />
MAREZINE 18405 CYCLIZINE 51500 1 6 1 1671<br />
MARFLEX 18410 ORPHENADRINE 54050 1 6 1 1373<br />
MARMINE 18435 DIMENHYDRINATE 51810 2 6 1 1671<br />
MARPLAN 18445 ISOCARBOXAZID 52895 1 6 1 0630<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
MARUATE SPANTAB 18450 DIETHYLPROPION 51750 1 4 1<br />
MASSE 18455 COMBINATION PRODUCT 51380 2 6 2 CETYL ALCOHOL, GLYCERIN, GLYCERYL, LANOLIN 51020, 52450, 52452, 53003 1265<br />
MASSENGILL DISPOSABLE DOUCHE-VINEGAR 18465 ACETIC ACID 50025 2 6 1 2095<br />
MASSENGILL LIQUID CONCENTRATE 18470 COMBINATION PRODUCT 51380 2 6 2 LACTIC ACID, OCTOXYNOL 52980, 54003 1264<br />
MATINEX 18483 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, FOLIC ACID, VITAMIN A, VITAMIN C, VITAMIN E 52045, 52355, 56185, 56193, 56195 2087<br />
MATROPINAL 18485 COMBINATION PRODUCT 51380 1 6 2 HOMATROPINE, PHENOBARBITAL 52615, 54395 0877, 1671<br />
MAXAMAG 18500 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
MAXIBOLIN 18510 ETHYLESTRENOL 52160 1 6 1 1033<br />
MAXIFLOR 18518 DIFLORASONE DIACETATE 51760 1 6 1 1265<br />
MAZANOR 18526 MAZINDOL 53250 1 4 1 0631<br />
MAZINDOL 18528 MAZINDOL 53250 3 3 1<br />
MCT OIL 18530 TRIGLYCERIDES 55970 2 6 1 0914<br />
MEADLAX-DSS 18535 COMBINATION PRODUCT 51380 2 6 2 CARMELLOSE, CASANTHRANOL, DOCUSATE 50923, 50933, 51935<br />
MEASLES VIRUS VACCINE 18540 MEASLES VIRUS VACCINE 53255 1 6 1 1180<br />
MEBARAL 18550 MEPHOBARBITAL 53355 1 4 1 1374<br />
MEBENDAZOLE 18552 MEBENDAZOLE 53260 1 6 1 1862<br />
MECLAN 18553 MECLOCYCLINE 57040 1 6 1 1271<br />
MECLOMEN 18558 MECLOFENAMATE 53277 1 6 1 1724, 1727<br />
MED-DEPO 18565 METHYLPREDNISOLONE 53660 1 6 1 1032, 1479, 1724<br />
MEDAPED 18575 COMBINATION PRODUCT 51380 2 6 2 UNDECYLENIC ACID, ZINC TOPICAL AGENTS, EXTERNAL USE 56110, 56265<br />
MEDI MARKER 18580 METHYLENE BLUE 53640 1 6 1 0281, 0354<br />
MEDI-TUSS 18592 GUAIFENESIN 52490 2 6 1 1943<br />
MEDIATRIC 18595 COMBINATION PRODUCT 51380 1 3 2 ESTROGENS, METHYLTESTOSTERONE, THIMEROSAL, VITAMIN B-12, VITAMIN C 52075, 53670, 55770, 56192, 56193 0913<br />
MEDICONE DRESSING 18610 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, MENTHOL, OXYQUINOLONE, ZINC TOPICAL AGENTS, EXTERNAL USE, COD LIVER OIL 50530, 53325, 54148, 56265, 70396 1265<br />
MEDIHALER-EPI 18620 EPINEPHRINE 52040 1 6 1 1940<br />
MEDIHALER-ISO 18630 ISOPROTERENOL 52930 1 6 1 1940<br />
MEDRALONE 18635 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
MEFENAMIC ACID 18644 MEFENAMIC ACID 53290 1 6 1 1724, 1727<br />
MEFOXIN 18645 CEFOXITIN SODIUM 50965 1 6 1 0347<br />
MEGADOSE 18660 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185 0913<br />
MEGAVITE-75 18661 COMBINATION PRODUCT 51380 2 6 2 AMINO ACIDS, MINERALS, MULTIVITAMINS GENERAL 50185, 53723, 53780 0913<br />
MELANEX 18664 HYDROQUINONE 52675 1 6 1 1265<br />
MELFIAT 18665 PHENDIMETRAZINE 54370 1 3 1 0631<br />
MENADIONE 18690 VITAMIN K 56198 1 6 1 0411<br />
MENEST 18695 ESTROGENS 52075 1 6 1 1034<br />
MENOMUNE A/C 18715 COMBINATION PRODUCT 51380 1 6 2 MENINGOCOCCAL VACCINE 53315 1180<br />
MENOMUNE 18720 MENINGOCOCCAL VACCINE 53315 1 6 1 1180<br />
MENOMUNE-C 18725 MENINGOCOCCAL VACCINE 53315 1 6 1 1264<br />
MENRIUM 18735 COMBINATION PRODUCT 51380 1 6 2 CHLORDIAZEPOXIDE, ESTROGENS 51055, 52075 1034<br />
MEPERGAN 18755 COMBINATION PRODUCT 51380 1 2 2 MEPERIDINE HCL, PROMETHAZINE HCL 70267, 70411 1721, 1944<br />
MEPHOBARBITAL 18765 MEPHOBARBITAL 53355 1 4 1 1374<br />
ME-PREDNISOLONE 18781 METHYLPREDNISOLONE 53660 1 6 1<br />
MEPROSPAN 18800 MEPROBAMATE 53370 1 4 1 0627<br />
MERBROMIN 18815 MERBROMIN 53375 2 6 1 2087<br />
MERCAPTOPURINE 18820 MERCAPTOPURINE 53385 1 6 1 1479<br />
MERCRESIN 18830 COMBINATION PRODUCT 51380 2 6 2 ACETONE, ALCOHOL, HYDROXYPHENYLMERCURIC CHLORIDE, AMYLTRICRESOLS 50035, 50090, 52693, 56310<br />
MERCURIC CHLORIDE 18835 MERCURIC CHLORIDE 53395 3 7 1<br />
MERCURIC IODIDE 18840 MERCURIC IODIDE 53405 3 6 1<br />
MERCURIC PREPARATION 18845 MERCURIC OXIDE 53410 2 6 1<br />
MERCURIC SULFIDE 18850 MERCURIC SULFIDE 53415 3 7 1<br />
MERCUROCHROME 18855 MERBROMIN 53375 2 6 1 1264<br />
MERCUROPHYLLINE 18860 MERCUROPHYLLINE 53420 1 6 1<br />
MERCURY OXIDE 18865 MERCURIC OXIDE 53410 2 6 1<br />
MERCUTHEOLIN 18870 COMBINATION PRODUCT 51380 1 6 2 MERSALYL, THEOPHYLLINE 53431, 55745 0507, 1940<br />
MERPHOL 18875 THIMEROSAL 55770 2 6 1<br />
MERSOL 18895 THIMEROSAL 55770 2 6 1<br />
MERTHEO 18898 COMBINATION PRODUCT 51380 1 6 2 MERSALYL, THEOPHYLLINE 53431, 55745 0507<br />
MERTHIOLATE 18900 THIMEROSAL 55770 2 6 1 1264<br />
MERUVAX II 18905 RUBELLA VIRUS VACCINE 55130 1 6 1 1180<br />
MERVALDIN 18910 MEPHENESIN 53340 1 6 1<br />
MESANTOIN 18915 MEPHENYTOIN 53350 1 6 1 1374<br />
METAHYDRIN 18925 TRICHLORMETHIAZIDE 55930 1 6 1 0506, 0507<br />
METAPREL 18940 METAPROTERENOL 53450 1 6 1 1940<br />
METARAMINOL 18950 METARAMINOL 53455 1 6 1 0505<br />
METASEP 18955 CHLOROXYLENOL 51120 2 6 1<br />
METHACHOLINE 18980 METHACHOLINE 53465 1 6 1 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
METHALATE 18995 METHENAMINE 53530 1 6 1 0355<br />
METHAMPHETAMINE 19005 METHAMPHETAMINE 53485 1 2 1 0631<br />
METHANDRIOL 19008 METHANDRIOL 53490 1 3 1 1033<br />
METHANDROSTENOLONE 19009 METHANDROSTENOLONE 53495 1 3 1 1033<br />
METHANOL 19010 METHYL ALCOHOL 53615 3 6 1<br />
METHAPYRILENE HCL POWDER 19015 METHAPYRILENE 53505 1 6 1<br />
METHAQUALONE 19019 METHAQUALONE 53510 1 2 1<br />
METHERGINE 19045 METHYLERGONOVINE 53645 1 6 1 1039<br />
METHICILLIN 19050 METHICILLIN 53535 1 6 1<br />
METHIONINE 19055 RACEMETHIONINE 55061 1 6 1 2087<br />
METHISCHOL 19060 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, INOSITOL, METHIONINE, RIBOFLAVIN, THIAMINE 51195, 52785, 53550, 55105, 55755 0913<br />
METHOCARBAMOL W/ASPIRIN 19080 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, METHOCARBAMOL 50410, 53560 1373<br />
METHOSARB 19085 CALUSTERONE 50840 1 6 1<br />
METHOXANOL 19100 SULFAMETHOXAZOLE 55555 1 6 1<br />
METHULOSE 19115 METHYLCELLULOSE 53630 2 6 1<br />
METHYCLOTHIAZIDE 19118 METHYCLOTHIAZIDE 53610 1 6 1 0506, 0507<br />
METHYL ALCOHOL 19120 METHYL ALCOHOL 53615 3 6 1 1264<br />
METHYL SALICYLATE 19130 METHYL SALICYLATE 53620 3 6 1 1275<br />
METHYL-CYST 19135 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, GELSEMIUM, HYOSCYAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50420, 52397, 52720, 53640, 54440 2087<br />
METHYLCELLULOSE 1500 CPS 19145 METHYLCELLULOSE 53630 1 6 1<br />
METHYLCELLULOSE 4000 CPS 19150 METHYLCELLULOSE 53630 1 6 1<br />
METHYLENE BLUE 19160 METHYLENE BLUE 53640 3 6 1 0281<br />
METHYLONE 19165 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
METHYLPARABEN 19170 METHYLPARABEN 53650 3 7 1<br />
METHYLPRED-40 19178 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
METICORTEN 19200 PREDNISONE 54775 1 6 1 1032<br />
METOPIRONE 19215 METYRAPONE 53705 1 6 1 0789<br />
METRA 19220 PHENDIMETRAZINE 54370 1 3 1 0631<br />
METRO 19231 METRONIDAZOLE 53700 1 6 1 0355<br />
METRYL 19234 METRONIDAZOLE 53700 1 6 1 0355<br />
METUBINE 19235 METOCURINE 53685 1 6 1 1371<br />
MEZLIN 19263 MEZLOCILLIN 53713 1 6 1 0346<br />
MG-BLUE 19265 COMBINATION PRODUCT 51380 1 6 2 MAGNESIUM ANTACIDS, METHYLENE BLUE 53175, 53640<br />
MGW 19267 MAGNESIUM GLUCONATE 53180 2 6 1<br />
MI-CEBRIN 19270 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54175, 54990, 55105, 55755 0913<br />
MICATIN 19280 MICONAZOLE 53715 2 6 1 1271<br />
MICO-ONE 19285 COMBINATION PRODUCT 51380 2 6 2 THIAMINE, VITAMIN B-12 55755, 56192 0913<br />
MICRAININ 19295 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, MEPROBAMATE 50410, 53370 1720<br />
MICRHOGAM 19300 IMMUNE GLOBULIN 52750 1 6 1 1181<br />
MICRIN PLUS 19305 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CETYLPYRIDINIUM, MENTHOL, PEPPERMINT 50090, 51023, 53325, 54305<br />
MICRO-K EXTENCAPS 19313 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
MICROLIPID 19314 FAT EMULSION 52213 2 6 1 0914<br />
MICRONOR 19320 NORETHINDRONE 53965 1 6 1 1040<br />
MICROSTIX 19325 UNDETERMINED 50000 3 7 3 2087<br />
MICROSULFON 19330 SULFADIAZINE 55540 1 6 1<br />
MICROX 19337 UNDETERMINED 50000 3 7 3 2000<br />
MIGERGOT P-B 19363 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, CAFFEINE, ERGOTAMINE, PENTOBARBITAL 50495, 50745, 52055, 54295 1723<br />
MILK OF MAGNESIA-MINERAL OIL 19385 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM ANTACIDS, MINERAL OIL 53175, 53720 0876<br />
MILK SKIM BAKER'S READY-4 19390 INFANT FORMULA 52775 2 6 1<br />
MILONTIN 19400 PHENSUXIMIDE 54425 1 6 1 1374<br />
MILPATH 19405 COMBINATION PRODUCT 51380 1 6 2 MEPROBAMATE, TRIDIHEXETHYL CHLORIDE 53370, 55950 0627<br />
MILPREM 19410 COMBINATION PRODUCT 51380 1 6 2 ESTROGENS, MEPROBAMATE 52075, 53370 0626<br />
MILTOWN 19415 MEPROBAMATE 53370 1 4 1 0627<br />
MILTRATE 19420 COMBINATION PRODUCT 51380 1 6 2 MEPROBAMATE, PENTAERYTHRITOL 53370, 54275 0627<br />
MIN-HEMA 19430 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN B-12, VITAMIN C 52885, 56192, 56193<br />
MIN-PLEX 300 19440 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 50811, 53915, 54990, 55105, 55770 0913<br />
MINI-GAMULIN RH 19448 IMMUNE GLOBULIN 52750 1 6 1 1180<br />
MINIZIDE 5 19458 COMBINATION PRODUCT 51380 1 6 2 POLYTHIAZIDE, PRAZOSIN HCL 54605, 70346 0506<br />
MINRO-PLEX 19480 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185 0913<br />
MIOSTAT 19505 CARBACHOL 50875 1 6 1 1566<br />
MIOTIC AGENT 19508 UNDETERMINED 50000 3 7 3 1500<br />
MISSION PRENATAL 19515 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
MISSION PRE-SURGICAL 19528 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780<br />
MITEY VITES 19540 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
MITHRAMYCIN 19550 MITHRAMYCIN 53735 1 6 1 1400<br />
MITY-MYCIN 19555 COMBINATION PRODUCT 51380 1 6 2 BACITRACIN, DIPERODON, NEOMYCIN, POLYMYXIN B 50450, 51848, 53895, 70011 0300<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
MITY-QUIN 19560 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845 1265<br />
MIXTARD 19568 INSULIN 52790 2 6 1 1036<br />
MOBIDIN 19580 MAGNESIUM SALICYLATE 53220 2 6 1 1720<br />
MOBIGESIC 19585 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM SALICYLATE, PHENYLTOLOXAMINE CITRATE 53220, 70255 1720<br />
MOBISYL 19590 TROLAMINE 56030 2 6 1 1275<br />
MODANE 19595 DANTHRON 51545 2 6 1 0876<br />
MODERIL 19600 RESCINNAMINE 55075 1 6 1 0506<br />
MODIFIED PROTEIN HYDROLYSATE 19615 INFANT FORMULA 52775 2 6 1<br />
MODUCAL 19616 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
MOEBIQUIN 19620 IODOQUINOL 52850 1 6 1<br />
MOL-IRON 19625 IRON PREPARATIONS 52885 2 6 1 0408<br />
MOL-IRON W/VITAMIN C 19630 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C 52885, 56193 0408<br />
MOLYBDENUM 19631 MOLYBDENUM 53753 1 6 1 0915<br />
MOMENTUM 19633 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, PHENYLTOLOXAMINE CITRATE 50410, 70255 1720<br />
MICONAZOLE NITRATE 19635 MICONAZOLE 53715 3 6 1 1271<br />
MONISTAT 7 19640 MICONAZOLE 53715 1 6 1 1271<br />
MONO-GESIC 19644 SALICYLIC ACID 55160 1 6 1 0354<br />
MONOCLATE 19647 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0410<br />
MONOTARD 19648 INSULIN 52790 1 6 1 1036<br />
MORRHUATE 19660 MORRHUATE SODIUM 53770 1 6 1 0504, 2087<br />
MOTIC SOLUTION 19670 COMBINATION PRODUCT 51380 1 6 2 BENZALKONIUM CHLORIDE, HYDROCORTISONE, PARACHOLOROMETAXYLENOL, PRAMOXINE 50515, 52655, 54191, 54755 0121, 1268<br />
MOTOFEN 19673 COMBINATION PRODUCT 51380 1 4 2 ATROPINE SULFATE, DIFENOXIN HCL 70120, 70567 0875<br />
MOUTHWASH ASTRINGENT 19690 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, FORMALDEHYDE, ZINC TOPICAL AGENTS, EXTERNAL USE 50090, 52360, 56265 1264, 2087<br />
MOVICOL GRANULE 19695 COMBINATION PRODUCT 51380 2 6 2 FRANGULA, KARAYA GUM 52363, 52965 0876<br />
MOXAM 19698 MOXALACTAM 53778 1 6 1 0347<br />
MUCILLIUM 19708 PSYLLIUM 54965 2 6 1<br />
MUCILOSE 19710 PSYLLIUM 54965 2 6 1 0876<br />
MUCOMYST W/ISOPROTERENOL 19720 COMBINATION PRODUCT 51380 1 6 2 ACETYLCYSTEINE, ISOPROTERENOL 50060, 52930 1940, 1943<br />
MUCOMYST-10 19725 ACETYLCYSTEINE 50060 1 6 1<br />
MULTE-PAK 19753 COMBINATION PRODUCT 51380 1 6 2 CHROMIC CHLORIDE, COPPER, MANGANESE SULFATE, ZINC SULFATE 51208, 51393, 53242, 56285 0915<br />
MULTI-B-PLEX 19755 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54175, 54990, 55105, 55755 0913<br />
MULTI-CHEWZ W/IRON 19763 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
MULTI-HEMA 19765 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
MULTI-SYMPTOM 19770 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70226, 70256, 70338<br />
MULTI-VI-FLOR DROPS 19780 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
MULTICEBRIN 19795 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54175, 54990, 55105, 55755 0913<br />
MULTIFUGE SYRUP 19800 PIPERAZINE 54510 1 6 1<br />
MULTILYTE 19807 COMBINATION PRODUCT 51380 1 6 2 ACETATE ION, CALCIUM REPLACEMENT AGENTS, MAGNESIUM ANTACIDS, POTASSIUM ION, SODIUM ION 50018, 50770, 53175, 54713, 55348 0915<br />
MULTIPLE B-C 19810 COMBINATION PRODUCT 51380 1 6 2 RIBOFLAVIN, THIAMINE, VITAMIN C 55105, 55755, 56193<br />
MULTIVITAMIN CONCENTRATE 19845 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
MULTIVITAMIN FORMULA 19850 COMBINATION PRODUCT 51380 2 6 2 COBALAMIN, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 51308, 54990, 55105, 55755, 56185 0913<br />
MULTIVITAMIN/FLUORIDE 19853 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL, SODIUM FLUORIDE 53780, 55330 0913<br />
MULTIVITAMIN THERAPEUTIC 19855 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
MULTIVITAMINS ROWELL 19875 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, VITAMIN A 52045, 53915, 55105, 56185 0913<br />
MULVIDREN 19885 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
MUMPS VIRUS VACCINE LIVE 19905 MUMPS VIRUS VACCINE 53820 1 6 1 1180<br />
MUMPSVAX JERYL LYNN (B LEVEL) STRAIN 19910 MUMPS VIRUS VACCINE 53820 1 6 1 1180<br />
MURI-LUBE 19920 MINERAL OIL 53720 2 6 1 0876<br />
MURINE 19925 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED 50000 2000<br />
MURIPSIN 19930 COMBINATION PRODUCT 51380 2 6 2 GLUTAMIC ACID, PEPSIN 52435, 54310<br />
MUROCEL 19940 METHYLCELLULOSE 53630 2 6 1 1569<br />
MUSTARD OIL 19950 MUSTARD OIL 53825 2 6 1 2100<br />
MUSTARGEN 19955 MECHLORETHAMINE 53270 1 6 1 1479<br />
MY-CORT 19975 UNDETERMINED 50000 3 7 3 2000<br />
MY-CORT #1 19980 COMBINATION PRODUCT 51380 1 6 2 DIPERODON, HYDROCORTISONE, NEOMYCIN, PROPYLENE GLYCOL, POLYMYXIN B 51848, 52655, 53895, 54895, 70011 1265<br />
MYCHEL 20015 CHLORAMPHENICOL 51050 1 6 1 0351<br />
MYCI SPRAY 20020 COMBINATION PRODUCT 51380 2 6 2 PHENYLEPHRINE HCL, PYRILAMINE MALEATE 70358, 70394 1941<br />
MYCIFRADIN SULFATE 20025 NEOMYCIN 53895 1 6 1 0352<br />
MYCIGUENT 20030 NEOMYCIN 53895 2 6 1 1265<br />
MYCO ARICIN 20038 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NEOMYCIN, NYSTATIN, TRIAMCINOLONE 52478, 53895, 53995, 55915 1265<br />
MYCO TRIACET 20045 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NYSTATIN, TRIAMCINOLONE ACETONIDE, NEOMYCIN SULFATE 52478, 53995, 70307, 70362 1265, 2087<br />
MYDFRIN 20065 PHENYLEPHRINE 54455 1 6 1 1570<br />
MYDRIACYL 20075 TROPICAMIDE 56045 1 6 1 1567<br />
MYDRIATIC AGENT 20078 UNDETERMINED 50000 3 7 3 1500<br />
MYLERAN 20090 BUSULFAN 50715 1 6 1 1479<br />
MYOBID DIALSPAN 20100 PAPAVERINE 54190 1 6 1 0504<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
MYOTONACHOL 20120 BETHANECHOL 50595 1 6 1 0509<br />
MYRINGACAINE 20125 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, EPHEDRINE, HYDROXYPHENYLMERCURIC CHLORIDE 50530, 52035, 52693 1670<br />
MYRRH 20130 MYRRH 53835 2 6 1 1265<br />
MYTELASE 20145 AMBENONIUM 50170 1 6 1 1372<br />
MYTRATE 20150 EPINEPHRINE 52040 1 6 1<br />
N-MULTISTIX 20155 UNDETERMINED 50000 3 6 3<br />
N-N COUGH SYRUP 20158 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, AMMONIUM CHLORIDE, COCILLANA, MENTHOL, POTASSIUM GUAIACOLSULFONATE 50090, 50245, 51320, 53325, 54700 1943<br />
N-URISTIX 20160 COMBINATION PRODUCT 51380 3 6 2<br />
NABILENE 20165 BANDAGE 50465 3 6 1<br />
NAFTIN 20185 NAFTIFINE 80012 1 6 1 1271<br />
NALDEGESIC 20195 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL 50005, 70256 1941<br />
NALIDIXIC ACID 20215 NALIDIXIC ACID 53860 1 6 1 0354<br />
NALLPEN 20218 NAFCILLIN 53845 1 6 1 0346<br />
NAMIDE 20220 NIACINAMIDE 53915 1 6 1 0913<br />
NAMIDE-C 20225 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, VITAMIN C 53915, 56193<br />
NANDROBOLIC 20228 NANDROLONE 53870 1 3 1 1033<br />
NANDROLATE 20230 NANDROLONE 53870 1 3 1 1033<br />
NANDROLONE 20240 NANDROLONE 53870 1 3 1 1033<br />
NAPAL 20250 COMBINATION PRODUCT 51380 2 5 2 ACETAMINOPHEN, HYOSCYAMINE, PHENYLTOLOXAMINE 50005, 52720, 54468 2087<br />
NAPHCON FORTE 20265 NAPHAZOLINE 53875 1 6 1 1570<br />
NAPLOPAN 20275 DEXPANTHENOL 51645 1 6 1 0913<br />
NAPTRATE 20295 PENTAERYTHRITOL 54275 1 6 1 0503<br />
NAQUIVAL 20305 UNDETERMINED 50000 3 7 3 2000<br />
NARCOTIC ANTAGONIST 20313 UNDETERMINED 50000 1 7 3 0281<br />
NASAHIST 20320 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL 70226, 70254, 70358 1941, 1944<br />
NASAL DECONGESTANT 20325 UNDETERMINED 50000 3 6 3 1941<br />
NASAL DECONGESTANT NEO-VADRIN 20335 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, CHLOROBUTANOL, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50515, 51075, 54455, 54465<br />
NASALIDE 20338 FLUNISOLIDE 52304 1 6 1 1947<br />
NATABEC RX 20365 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIMEROSAL, VITAMIN A, VITAMIN C 52045, 55105, 55770, 56185, 56193 0913<br />
NATACYN 20380 NATAMYCIN 53885 1 6 1 0410<br />
NATAFORT 20385 COMBINATION PRODUCT 51380 1 6 2 DOCUSATE, ERGOCALCIFEROL, NIACIN, VITAMIN A, VITAMIN C 51935, 52045, 53905, 56185, 56193 0913<br />
NATURE'S REMEDY 20410 COMBINATION PRODUCT 51380 2 6 2 ALOE VERA, CASCARA SAGRADA 70197, 70400 0876<br />
NATURETIN 20415 BENDROFLUMETHIAZIDE 50500 1 6 1 0507<br />
NATURETIN W/K 20420 COMBINATION PRODUCT 51380 1 6 2 BENDROFLUMETHIAZIDE, POTASSIUM REPLACEMENT SOLUTIONS 50500, 54655 0507<br />
NAUSATROL 20425 COMBINATION PRODUCT 51380 2 6 2 DEXTROSE, FRUCTOSE, ORTHOPHOSPHORIC ACID 51675, 52370, 70547 1671<br />
ND-GESIC 20445 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL, PYRILAMINE MALEATE 50005, 70226, 70358, 70394 1945<br />
ND-HIST 20448 UNDETERMINED 50000 3 7 3 2000<br />
ND-STAT 20450 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50420, 51130, 54465 1944<br />
NEBCIN 20455 TOBRAMYCIN 55850 1 6 1 0352<br />
NECTA SWEET 20470 SACCHARIN 55140 2 6 1 2087<br />
NEET DEPILATORY 20478 CALCIUM THIOGLYCOLLATE 50818 2 6 1 2087<br />
NEGATAN 20485 NEGATOL 53890 1 6 1 1265<br />
NEGGRAM 20490 NALIDIXIC ACID 53860 1 6 1 0354<br />
NEMBUTAL 20505 PENTOBARBITAL 54295 1 2 1 0626<br />
NEO-CORT-DOME OTIC 20525 COMBINATION PRODUCT 51380 1 6 2 ACETIC ACID, HYDROCORTISONE, NEOMYCIN 50025, 52655, 53895 1670<br />
NEO-CORTEF 20530 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NEOMYCIN 52655, 53895 1265<br />
NEO-CULTOL 20535 MINERAL OIL 53720 2 6 1 0876<br />
NEO-DELTA-CORTEF 20540 COMBINATION PRODUCT 51380 1 6 2 NEOMYCIN, PREDNISOLONE 53895, 54770 1265<br />
NEO-MEDROL 20555 COMBINATION PRODUCT 51380 1 6 2 METHYLPREDNISOLONE, NEOMYCIN 53660, 53895 1265<br />
NEO-MIST 20560 PHENYLEPHRINE 54455 2 6 1<br />
NEO-OXYLONE 20575 COMBINATION PRODUCT 51380 1 6 2 FLUOROMETHOLONE, NEOMYCIN 52320, 53895 1268, 1271<br />
NEO-POLYCIN 20580 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011 1265<br />
NEO-RX 20583 NEOMYCIN 53895 1 6 1 1265<br />
NEO-SYNEPHRINE COMPOUND COLD 20590 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE, PHENYLEPHRINE, THENYLDIAMINE 50005, 50745, 54455, 55733<br />
NEO-SYNEPHRINE 20595 PHENYLEPHRINE 54455 2 6 1 1941<br />
NEO-SYNEPHRINE II 20600 XYLOMETAZOLINE 56240 1 6 1 1941<br />
NEO-SYNEPHRINE MENTHOLATED SPRAY 20605 PHENYLEPHRINE 54455 2 6 1 1941<br />
NEOCASTADERM 20625 COMBINATION PRODUCT 51380 1 6 2 ACETONE, BORIC ACID, RESORCINOL 50035, 50660, 55085<br />
NEOCET 20630 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, SALICYLAMIDE, PYRILAMINE MALEATE 50005, 55150, 70394 1720, 1944<br />
NEOCURTASAL 20640 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, CALCIUM SILICATE, GLUTAMIC ACID, POTASSIUM REPLACEMENT SOLUTIONS, POTASSIUM GLUTAMATE 50770, 50805, 52435, 54655, 54703 2087<br />
NEODECADRON 20655 COMBINATION PRODUCT 51380 1 6 2 NEOMYCIN SULFATE, DEXAMETHASONE SODIUM PHOSPHAT 70362, 70369 1568<br />
NEOFED 20665 PSEUDOEPHEDRINE 54960 1 6 1 1940<br />
NEOMIXIN 20685 COMBINATION PRODUCT 51380 2 6 2 POLYMYXIN B SULFATE, BACITRACIN ZINC, NEOMYCIN SULFATE 70212, 70213, 70362 1271<br />
NEOM/POLY M GRAMICIDIN OPHTH 20688 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 52478, 70212, 70362 1568<br />
NEOPAP 20700 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
NEOPHAM 20708 AMINO ACIDS 50185 1 6 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
NEOQUESS 20710 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, BUTABARBITAL, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 50720, 52720, 54395, 55180 0877<br />
NEOSAR 20714 CYCLOPHOSPHAMIDE 51485 1 6 1 1483<br />
NEOSTIGMINE 20735 NEOSTIGMINE 53900 1 6 1 1372<br />
NEOTABS 20745 NEOMYCIN SULFATE 70362 2 6 2<br />
NEOTEP 20755 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE 51130, 54455 1941, 1944<br />
NEOTHYLLINE 20760 DYPHYLLINE 52000 1 6 1 1940<br />
NEOVICAPS 20775 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN C 53915, 54990, 55105, 55755, 56193 0913<br />
NEPHRAMINE 20795 AMINO ACIDS 50185 1 6 1 0914<br />
NEPHROX 20800 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MINERAL OIL 50145, 53720 0874<br />
NERVOCAINE 20810 LIDOCAINE 53070 1 6 1 0117, 1275<br />
NESACAINE 20815 CHLOROPROCAINE 51090 1 6 1 0117<br />
NETROMYCIN 20818 NETILMICIN 53903 1 6 1 0352<br />
NEUROVAL ELIXIR 20825 COMBINATION PRODUCT 51380 1 4 2 PHENOBARBITAL, POTASSIUM BROMIDE, SODIUM BROMIDE 54395, 54645, 55300 0626<br />
NEUT 20830 SODIUM BICARBONATE 55280 1 6 1 0914<br />
NEUTROGENA 20855 UNDETERMINED 50000 2 6 3 1265<br />
NFR PARENTERAL NUTRITION 20863 COMBINATION PRODUCT 51380 3 6 2 AMINO ACIDS, DEXTROSE 50185, 51675<br />
NI-SPAN 20870 NIACIN 53905 1 6 1 0913<br />
NIAC 20875 NIACIN 53905 1 6 1 0913<br />
NIACINAMIDE 20890 NIACINAMIDE 53915 3 6 1 0913<br />
NIASCORB 20915 COMBINATION PRODUCT 51380 2 6 2 NIACIN, VITAMIN C 53905, 56193<br />
NICO-VERT 20940 DIMENHYDRINATE 51810 1 6 1 1944<br />
NICO-400 20945 NIACIN 53905 1 6 1 0913<br />
NICOBID 20950 NIACIN 53905 2 6 1 0912, 0913<br />
NICOLAR 20960 NIACIN 53905 1 6 1 0504, 0912, 0913<br />
NICOTINYL ALCOHOL 20985 NICOTINYL ALCOHOL 53920 1 6 1 2087<br />
NICOTINYL ALCOHOL TARTRATE 20990 NICOTINYL ALCOHOL 53920 1 6 1 0504<br />
NIFEREX-PN 21020 COMBINATION PRODUCT 51380 1 2 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
NIFEREX-150 21025 IRON PREPARATIONS 52885 2 6 1 0408<br />
NIKETHAMIDE 21040 NIKETHAMIDE 53925 1 6 1 0119<br />
NIL VAGINAL 21045 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, AMINACRINE, SULFANILAMIDE 50103, 50183, 55565<br />
NILAIN 21050 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE 50005, 50410, 50745<br />
NILCOL 21055 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, DEXTROMETHORPHAN, GUAIFENESIN, PHENYLPROPANOLAMINE 51130, 51670, 52490, 54465 1941, 1943, 1944<br />
NILPRIN 21060 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
NILSTAT 21065 NYSTATIN 53995 1 6 1 1271<br />
NINE VITAMIN 21070 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
NIPRIDE 21090 UNDETERMINED 50000 3 7 3 0506<br />
NISENTIL 21095 ALPHAPRODINE 50110 1 2 1 1721<br />
NITROFURAZONE 21150 NITROFURAZONE 53935 1 6 1 1265<br />
NITROGEN 21155 NITROGEN 53940 1 6 1 0120<br />
NITROLIN 21175 NITROGLYCERIN 53945 1 6 1 0503<br />
NITROPRESS 21178 SODIUM NITROPRUSSIDE 55370 1 6 1 0506<br />
NITROSPAN 21180 NITROGLYCERIN 53945 1 6 1 0503<br />
NITROUS OXIDE 21195 NITROUS OXIDE 53950 1 6 1 0118<br />
NOCTEC 21205 CHLORAL HYDRATE 51040 1 4 1 0626<br />
NODOZ 21210 CAFFEINE 50745 2 6 1 0631<br />
NOLUDAR 21220 METHYPRYLON 53675 1 3 1 0626<br />
NONSUL VAGINAL JELLY 21227 BENZALKONIUM CHLORIDE 50515 1 6 1 1860<br />
NORDETTE 21228 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040<br />
NOR LIEF 21230 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, VITAMIN C 51130, 54455, 56193<br />
NOR PRES 21240 HYDRALAZINE 52630 1 6 1<br />
NOR-Q.D. 21245 NORETHINDRONE 53965 1 6 1 1040<br />
NOR-TET 21250 TETRACYCLINE 55725 1 6 1 0350<br />
NORAFED 21255 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020 1945<br />
NORAVITE PLUS 21265 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
NORAZINE 21270 UNDETERMINED 50000 3 7 3 2000<br />
NORFORMS 21283 COMBINATION PRODUCT 51380 2 6 2 METHYLBENZETHONIUM CHLORIDE, METHYLPARABEN, POLYETHYLENE GLYCOL 53625, 53650, 54590 2087<br />
NORFRANIL 21285 IMIPRAMINE 52745 1 6 1 0630<br />
NORIMEX PLUS 21295 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
NORISODRINE SULFATE AEROHALER 21310 ISOPROTERENOL 52930 1 6 1 1940<br />
NORISODRINE SYRUP W/CALCIUM IODIDE 21315 COMBINATION PRODUCT 51380 1 6 2 CALCIUM IODIDE, ISOPROTERENOL SULFATE 50802, 70652 1940<br />
NORLAC RX 21325 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
NORLESTRIN 21330 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, NORETHINDRONE ACETATE 70027, 70238 1040<br />
NORLUTIN 21340 NORETHINDRONE 53965 1 6 1 1034<br />
NORMADERM 21350 LACTIC ACID 52980 2 6 1 1265<br />
NORMAL SALINE/ISOETHARINE 21354 COMBINATION PRODUCT 51380 1 6 2 ISOETHARINE, SODIUM CHLORIDE 52900, 55315 2087<br />
NORMATANE T.D. 21370 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465 1945<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
NORMOSOL 21380 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, MAGNESIUM ACETATE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE 51675, 53173, 54655, 55315 0915<br />
NORMOZIDE 21382 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, LABETALOL HCL 52645, 52979 0506<br />
NORPANTH 21395 PROPANTHELINE 54870 1 6 1 0874<br />
NORPRAMIN 21400 DESIPRAMINE 51605 1 6 1 0630<br />
NORWICH HEAD & CHEST 21404 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE 52490, 54465<br />
NOSE DROPS 21405 UNDETERMINED 50000 3 7 3 2000<br />
NOSTRILLA 21413 OXYMETAZOLINE 54120 2 6 1 1941<br />
NOVAFED A 21430 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PSEUDOEPHEDRINE 51130, 54960 1945<br />
NOVAHISTINE 21440 COMBINATION PRODUCT 51380 1 5 2 UNDETERMINED, PSEUDOEPHEDRINE 50000, 54960 1941, 1943<br />
NOVAHISTINE DH 21450 COMBINATION PRODUCT 51380 2 5 2 CHLORPHENIRAMINE, CODEINE, PHENYLPROPANOLAMINE 51130, 51340, 54465 1941, 1943, 1944<br />
NOVAHISTINE DMX 21455 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PSEUDOEPHEDRINE 51670, 52490, 54960 1941, 1943<br />
NOVAHISTINE ELIXIR 21460 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE 51130, 54455 1941, 1944<br />
NOVAHISTINE FORTIS 21470 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE 51130, 54455 1944<br />
NOVAHISTINE MELET 21480 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE 51130, 54455<br />
NOVAHISTINE SINUS 21485 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PSEUDOEPHEDRINE 50005, 51130, 54960<br />
NOVALAX 21490 UNDETERMINED 50000 3 7 3 2000<br />
NOVAMINE 21492 AMINO ACIDS 50185 1 6 1 0914<br />
NOVANTRONE 21494 MITOXANTRONE 80009 1 6 1 1482<br />
NP-27 21510 COMBINATION PRODUCT 51380 2 6 2 BENZOIC ACID, EUCALYPTUS OIL, OXYQUINOLONE, SALICYLIC ACID, THYMOL 50538, 52190, 54148, 55160, 55815 1265<br />
NTZ 21515 OXYMETAZOLINE HCL 70653 2 6 1 1941<br />
NU-FLOW SHAMPOO 21525 COMBINATION PRODUCT 51380 2 6 2 CHLOROXYLENOL, DETERGENT 51120, 51633<br />
NU-IRON ELIXIR 21535 IRON PREPARATIONS 52885 2 6 1 0408<br />
NU-IRON-V 21540 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193 0913<br />
NUBAIN 21550 NALBUPHINE 53855 1 6 1 1721<br />
NUMORPHAN 21575 OXYMORPHONE 54135 1 2 1 1721<br />
NUMZIDENT 21580 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE 50530 1265<br />
NUPERCAINAL 21585 UNDETERMINED 50000 2 6 3 2000<br />
NUPERCAINE 21590 DIBUCAINE 51705 1 6 1 0121<br />
NUTRACORT 21605 HYDROCORTISONE 52655 1 6 1 1268<br />
NUTRADERM 21610 OINTMENT HYDROPHILIC 54015 2 6 1 1265<br />
NUTRAPLUS 21625 UREA 56120 2 6 1 1265<br />
NUTRASPA BATH OIL 21628 COMBINATION PRODUCT 51380 2 6 2 BUTYLPARABEN, LANOLIN, MINERAL OIL, OXYBENZONE, PEG-4 DILAURATE 50742, 53003, 53720, 54093, 54237 1265<br />
NYCRALAN 21640 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, THIAMINE 50770, 55755<br />
NYDRAZID 21645 ISONIAZID 52915 1 6 1 0356<br />
NYLIDRIN 21650 NYLIDRIN 53990 1 6 1 2087<br />
NYLMERATE 21655 COMBINATION PRODUCT 51380 1 6 2 ACETIC ACID, ALCOHOL, BORIC ACID, SODIUM ACETATE 50025, 50090, 50660, 55270 1265<br />
NYRAL 21675 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CETYLPYRIDINIUM CL 50530, 70412 0117<br />
NYSTAFORM 21690 UNDETERMINED 50000 3 7 3 2000<br />
NYSTATIN/NEO/GRAMICD/TRIAMCIN 21698 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NEOMYCIN, NYSTATIN, TRIAMCINOLONE 52478, 53895, 53995, 55915 1265<br />
NYSTATIN VAGINAL TABLET 21700 NYSTATIN 53995 1 6 1 1271<br />
NYSTEX 21703 NYSTATIN 53995 1 6 1 1271<br />
O.B. VITAMIN 21710 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, PYRIDOXINE, VITAMIN A, VITAMIN C 52045, 53915, 54990, 56185, 56193 0913<br />
O'FLEX 21718 PHENDIMETRAZINE 54370 1 3 1 1373<br />
OBALAN 21720 PHENDIMETRAZINE 54370 1 3 1 0631<br />
OBCT S.R. CAPSULE 21723 COMBINATION PRODUCT 51380 2 6 2 CAFFEINE, PHENYLPROPANOLAMINE 50745, 54465 0631<br />
OBERMINE 21731 PHENTERMINE 54430 1 4 1 0631<br />
OBESTROL 21734 PHENDIMETRAZINE 54370 1 3 1<br />
OBEVAL 21735 PHENDIMETRAZINE 54370 1 3 1 0631<br />
OBEZINE 21736 PHENDIMETRAZINE 54370 1 3 1<br />
OCUCLEAR 21753 OXYMETAZOLINE 54120 2 6 1 1569<br />
OCUSOL 21755 UNDETERMINED 50000 3 7 3 2000<br />
OIL-O-SOL 21768 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, CASTOR OIL, CORN OIL, HEXYLRESORCINOL 50845, 50940, 51395, 52595<br />
OILATUM SOAP 21775 SOAP 55265 2 6 1 1265<br />
OLEIC ACID 21780 OLEIC ACID 54025 3 6 1 0790<br />
OLIVE OIL 21785 OLIVE OIL 54030 2 6 1 2087<br />
OMNIPEN 21795 AMPICILLIN 50275 1 6 1 0346<br />
ONE SOLUTION 21801 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, DETERGENT, EDETATE DISODIUM 50515, 51633, 52015 1569<br />
ONE-A-DAY PLUS IRON 21803 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN E 52045, 55105, 55755, 56185, 56195 0913<br />
OPASAL 21815 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE 50005, 54465<br />
OPHTHA LIPO 21825 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, INOSITOL, RIBOFLAVIN, THIAMINE, VITAMIN B-12 51195, 52785, 55105, 55755, 56192 0913<br />
OPHTHA P/S 21830 COMBINATION PRODUCT 51380 1 6 2 SODIUM SULFACETAMIDE, PREDNISOLONE ACETATE 70018, 70158 1568<br />
OPHTHETIC 21845 PROPARACAINE 54875 1 6 1 0117<br />
OPHTHOCHLOR 21850 CHLORAMPHENICOL 51050 1 6 1<br />
OPIUM 21860 OPIUM 54035 1 2 1 1721<br />
OPIUM CAMPHORATED 21870 PAREGORIC 54215 1 3 1<br />
OPIUM EXTRACT 21875 OPIUM 54035 1 2 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
OPIUM POWDERED 21880 OPIUM 54035 1 2 1<br />
OPTI-CLEAN 21891 CONTACT LENS SOLUTION 51390 2 6 1 2087<br />
OPTICROM 21893 CROMOLYN SODIUM 51430 1 6 1 1570<br />
OPTIMINE 21900 AZATADINE 50440 1 6 1 1944<br />
OPTISED 21910 COMBINATION PRODUCT 51380 2 6 2 PHENYLEPHRINE, ZINC SULFATE 54455, 56285 1569<br />
ORABASE HCA PASTE 21920 HYDROCORTISONE 52655 1 6 1 1265<br />
ORABASE W/BENZOCAINE PASTE 21930 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CARMELLOSE, GELATIN, MINERAL OIL, PECTIN 50530, 50923, 52395, 53720, 54238 0117<br />
ORACIN 21935 BENZOCAINE 50530 2 6 1 0117<br />
ORAGRAFIN 21940 IPODATE CALCIUM 52880 1 6 1<br />
ORALPHYLLIN 21945 THEOPHYLLINE 55745 1 6 1<br />
ORANGE OIL 21955 ORANGE OIL 54045 3 6 1<br />
ORAP 21958 PIMOZIDE 54504 1 6 1 0628<br />
ORAPHEN-PD 21965 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
ORATRAST 21975 BARIUM SULFATE 50480 1 6 1 0789<br />
ORENZYME 21990 COMBINATION PRODUCT 51380 1 6 2 CHYMOTRYPSIN, TRYPSIN 51215, 56048 1265<br />
ORETICYL 22000 COMBINATION PRODUCT 51380 1 6 2 DESERPIDINE, HYDROCHLOROTHIAZIDE 51600, 52645 0506, 0507<br />
ORETON 22005 METHYLTESTOSTERONE 53670 1 3 1 1033<br />
OREXIN 22010 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, VITAMIN B-12 54990, 56192 0913<br />
ORGAPHEN 22020 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, VITAMIN A, VITAMIN C 52045, 56185, 56193 2087<br />
ORGATRAX 22023 HYDROXYZINE 52715 1 6 1 0627<br />
ORMAZINE 22045 CHLORPROMAZINE 51150 1 6 1 0628<br />
ORNADE 22055 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
ORNEX 22060 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE HCL 50005, 70254 1941<br />
ORTHO PERSONAL LUBRICANT 22075 HYDROCOLLOID GEL 70414 2 6 2 1265<br />
ORTHO-CREME 22080 NONOXYNOL 9 53955 2 6 1 1040<br />
ORTHOCLONE OKT-3 22093 MURONAB 80010 1 6 1 1181<br />
OS-CAL-GESIC 22130 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, SALICYLAMIDE 50770, 52045, 55150 0916, 1720<br />
OS-CAL-MONE 22135 UNDETERMINED 50000 3 7 3 2000<br />
OSMITROL 22140 MANNITOL 53245 1 6 1 0507<br />
OSMOGLYN 22145 GLYCERIN 52450 1 6 1 0876<br />
OSTEOLATE 22150 SODIUM THIOSALICYLATE 55420 1 6 1 1722, 1724<br />
OTIC DROPS 22160 UNDETERMINED 50000 3 7 3 1670<br />
OTIC PLAIN DROPS 22165 COMBINATION PRODUCT 51380 1 6 2 CHLOROXYLENOL, PRAMOXINE 51120, 54755 0117<br />
OTOBIOTIC 22180 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, POLYMYXIN B SULFATE 52655, 70212 1670<br />
OTOCORT 22185 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 52655, 70212, 70362 1670<br />
OTOFAIR-B 22187 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NEOMYCIN, POLYMYXIN B 52655, 53895, 70011<br />
OUABAIN 22205 OUABAIN 54060 1 6 1<br />
OUTGRO 22208 COMBINATION PRODUCT 51380 1 6 2 CHLOROBUTANOL, ISOPROPYL ALCOHOL, TANNIC ACID 51075, 52925, 55655<br />
OVRETTE 22220 NORGESTREL 53970 1 6 1 1040<br />
OVULEN 22225 COMBINATION PRODUCT 51380 1 6 2 MESTRANOL, ETHYNODIOL DIACETATE 53438, 70028 1040<br />
OXALIC ACID 22240 OXALIC ACID 54075 3 6 1 2087<br />
OXALID 22245 OXYPHENBUTAZONE 54140 1 6 1 1722, 1724<br />
OXIPOR 22253 COAL TAR 51305 2 6 1 1265<br />
OXO-THALEIN 22260 COMBINATION PRODUCT 51380 2 6 2 ALOIN, CASCARA, PHENOLPHTHALEIN 50109, 50935, 54405<br />
OXTRIPHYLLINE 22273 OXTRIPHYLLINE 54100 1 6 1 1940<br />
OXY-LOTION 22280 BENZOYL PEROXIDE 50550 2 6 1 1265<br />
OXY-SCRUB 22285 UNDETERMINED 50000 2 6 3<br />
OXYCEL GAUZE-TYPE PAD 22295 CELLULOSE 50975 1 6 1 0411<br />
OXYCHINOL 22300 POTASSIUM OXYQUINOLINE SULFATE 54720 2 6 1 1264<br />
OXYCODONE HCL & ACETAMINOPHEN 22305 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE 50005, 54094 1721<br />
OXYCODONE W/ASPIRIN 22308 COMBINATION PRODUCT 51380 1 2 2 ASPIRIN, OXYCODONE 50410, 54094 1721<br />
OXYDESS 22310 DEXTROAMPHETAMINE 51665 1 2 1 0631<br />
OXYFENESIN 22313 UNDETERMINED 50000 3 7 3 2000<br />
OXYMETA-12 22322 OXYMETAZOLINE 54120 2 6 1 1941<br />
OXYMETAZOLINE HCL 22323 OXYMETAZOLINE 54120 2 6 1 1941<br />
OXYMYCIN 22328 OXYTETRACYCLINE 51450 1 6 1 0350<br />
OXYQUINOLINE 22335 OXYQUINOLONE 54148 1 6 1<br />
OXYSTAT 22338 UNDETERMINED 50000 3 7 3 2000<br />
OXYTETRACYCLINE 22340 OXYTETRACYCLINE 51450 1 6 1 0350<br />
OXYTOCIN 22345 OXYTOCIN 54155 1 6 1 1039<br />
P.E.T.N. W/PHENOBARBITAL 22370 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, PENTAERYTHRITOL TETRANITRATE 54395, 70573 2100<br />
P.H. 22375 COMBINATION PRODUCT 51380 2 6 2 AMINOACETIC ACID, CALCIUM CARBONATE 50190, 50785 2087<br />
P.H. MIXTURE 22380 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
P.H. 1500 22390 COMBINATION PRODUCT 51380 2 6 2 AMINOACETIC ACID, CALCIUM CARBONATE 50190, 50785<br />
P.T.E.-4 22398 COMBINATION PRODUCT 51380 1 6 2 MANGANESE SULFATE, ZINC SULFATE, CHROMIUM CHLORIDE, COPPER SULFATE 53242, 56285, 70415, 70416 0913<br />
P.V. CARPINE LIQUIFILM 22400 PILOCARPINE 54500 1 6 1 1566<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
P.V.M. 22403 PHENYLPROPANOLAMINE 54465 2 6 1<br />
P&S 22405 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PHENOL 53720, 54400 1266<br />
P-A-C COMPOUND 22410 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, PHENACETIN 50410, 50745, 54350<br />
P-A-V 22420 PAPAVERINE 54190 1 6 1 0504<br />
P-B-SAL 22425 COMBINATION PRODUCT 51380 1 6 2 AMINOBENZOIC ACID, SALICYLIC ACID 50195, 55160<br />
P-I-N FORTE 22430 UNDETERMINED 50000 3 7 3 2000<br />
P-W VERMIFUGE 22440 GENTIAN VIOLET 52405 2 6 1 1862<br />
P-200 22445 PAPAVERINE 54190 1 6 1 0504<br />
PABALATE 22470 COMBINATION PRODUCT 51380 2 6 2 SODIUM AMINOBENZOATE, SODIUM SALICYLATE 55274, 56325 1720<br />
PAGITANE 22485 CYCRIMINE 51505 1 6 1 1371<br />
PAIN RELIEVER-E 22490 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, SALICYLAMIDE 50005, 50410, 50745, 55150<br />
PAMPRIM 22530 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PAMABRON, PYRILAMINE MALEATE 50005, 54158, 70394 1722<br />
PAN-B-6 22550 PYRIDOXINE 54990 2 6 1<br />
PAN-KLORIDE ELIXIR 22555 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1<br />
PAN-SONE 22560 PREDNISONE 54775 1 6 1<br />
PANACID 22570 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0913<br />
PANADOL 22578 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
PANALGESIC 22595 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, ASPIRIN, CAMPHOR, MENTHOL, METHYL SALICYLATE 50090, 50410, 50845, 53325, 53620 1265<br />
PANAMIN 22600 AMINOPHYLLINE 50210 1 6 1<br />
PANAQUIN 22605 IODOQUINOL 52850 1 6 1<br />
PANASCORB 22610 VITAMIN C 56193 2 6 1<br />
PANASOL 22613 PREDNISONE 54775 1 6 1 1032<br />
PANAZID 22615 ISONIAZID 52915 1 6 1<br />
PANAZID W/B-6 22620 COMBINATION PRODUCT 51380 1 6 2 ISONIAZID, THIAMINE 52915, 55755<br />
PANCREATIC HORMONE 22635 UNDETERMINED 50000 3 7 3 0877<br />
PANCREATIN 22640 PANCREATIN 54160 2 6 1 0877<br />
PANCURONIUM BROMIDE 22644 PANCURONIUM 54170 1 6 1 1373<br />
PANEX 22645 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
PANHYDROSONE 22660 HYDROCORTISONE 52655 1 6 1<br />
PANISOLONE 22665 PREDNISOLONE 54770 1 6 1<br />
PANMYCIN 22670 TETRACYCLINE 55725 1 6 1 0350<br />
PANOL 22673 DEXPANTHENOL 51645 1 6 1<br />
PANOXYL 22675 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
PANTERIC 22690 PANCREATIN 54160 2 6 1 0877<br />
PANTHODERM LOTION 22700 DEXPANTHENOL 51645 2 6 1 1265<br />
PANTHOLIN 22705 CALCIUM PANTOTHENATE 50811 1 6 1 1265<br />
PANTOPAQUE 22715 IOPHENDYLATE 52860 1 6 1 0789<br />
PANTOPON 22720 OPIUM 54035 1 2 1 1721<br />
PANTOTHENOL (D) ALCOHOL 22730 DEXPANTHENOL 51645 1 6 1<br />
PANWARFIN 22740 WARFARIN SODIUM 56205 1 6 1 0409<br />
PANZYME 22745 COMBINATION PRODUCT 51380 1 6 2 HOMATROPINE, HYOSCYAMINE, PANCREATIN, PHENOBARBITAL, SCOPOLAMINE HBR 52615, 52720, 54160, 54395, 55180 0877<br />
PAPACON CONCAP 22750 PAPAVERINE 54190 1 6 1 0504<br />
PAPASE 22755 PAPAIN 54180 1 6 1 0877<br />
PAPAVATRAL W/PHENOBARBITAL 22765 COMBINATION PRODUCT 51380 1 6 2 ETHAVERINE, PENTAERYTHRITOL, PHENOBARBITAL 52095, 54275, 54395 0877<br />
PARA-AMINOSALICYLIC ACID 22790 AMINOSALICYLIC ACID 50220 1 6 1 0356, 2087<br />
PARA-BOLIC 22793 METHANDRIOL 53490 1 3 1 1033<br />
PARADIONE 22800 PARAMETHADIONE 54200 1 6 1 1374<br />
PARAL 22815 PARALDEHYDE 54195 1 4 1 0626<br />
PARALDEHYDE 22820 PARALDEHYDE 54195 1 4 1 0626, 1374<br />
PARASYMPATHOLYTIC AGENTS 22827 UNDETERMINED 50000 3 7 3<br />
PARASYMPATHOMIMETICGAGENTS 22828 UNDETERMINED 50000 3 7 3<br />
PAREDRINE W/BORIC ACID 22840 HYDROXYAMPHETAMINE 52685 1 6 1 1567<br />
PAREGORIC & SODA COMPOUND 22850 COMBINATION PRODUCT 51380 1 3 2 PAREGORIC, SODIUM BICARBONATE 54215, 55280<br />
PARELIXIR 22855 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, OPIUM, PECTIN 50090, 54035, 54238 0875<br />
PARENTERAL NUTRITION/VIA FLEX 22858 COMBINATION PRODUCT 51380 3 6 2 AMINO ACIDS, DEXTROSE 50185, 51675 0914<br />
PAREPECTOLIN 22860 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, PAREGORIC, PECTIN 52955, 54215, 54238 0875<br />
PARSIDOL 22890 ETHOPROPAZINE 52125 1 6 1<br />
PAS 22900 AMINOSALICYLIC ACID 50220 1 6 1<br />
PATCHOULY OIL 22905 PATCHOULI OIL 54230 2 6 1 2000<br />
PATHIBAMATE 22910 COMBINATION PRODUCT 51380 1 6 2 MEPROBAMATE, TRIDIHEXETHYL CHLORIDE 53370, 55950 0627<br />
PATHILON SEQUEL 22920 TRIDIHEXETHYL CHLORIDE 55950 1 6 1 0878<br />
PATHOCIL 22935 DICLOXACILLIN 51720 1 6 1 0346<br />
PAVA-MEAD 22940 PAPAVERINE 54190 1 6 1<br />
PAVABID 22945 PAPAVERINE 54190 1 6 1 0504<br />
PAVACEN 22955 PAPAVERINE 54190 1 6 1 0504<br />
PAVADUR 22960 PAPAVERINE 54190 1 6 1 0504<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PAVARINE 22975 PAPAVERINE 54190 1 6 1 0504<br />
PAVASULE PELLSULE 22985 PAPAVERINE 54190 1 6 1 0504<br />
PAVEROLAN LANACAP 23000 PAPAVERINE 54190 1 6 1 0504<br />
PAZINE 23008 PROCHLORPERAZINE 54830 1 6 1 0628, 1671<br />
PAZO HEMORRHOID 23010 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, ZINC TOPICAL AGENTS, EXTERNAL USE, EPHEDRINE SULFATE 50845, 56265, 70264 0117<br />
PBZ ELIXIR 23020 TRIPELENNAMINE 56015 1 6 1<br />
PBZ LONTAB 23025 TRIPELENNAMINE 56015 1 6 1<br />
PBZ W/EPHEDRINE 23035 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, TRIPELENNAMINE HCL 52035, 70549 1945<br />
PBZ W/EPHEDRINE EXPECTORANT 23040 COMBINATION PRODUCT 51380 1 6 2 AMMONIUM CHLORIDE, EPHEDRINE, TRIPELENNAMINE 50245, 52035, 56015<br />
PCE 23047 ERYTHROMYCIN 52065 1 6 1 0348<br />
PDM 23050 PHENDIMETRAZINE 54370 1 3 1<br />
PE-DE-EM 23055 PHENDIMETRAZINE 54370 1 3 1<br />
PEANUT OIL USP 23060 PEANUT OIL 54235 3 7 1 2087<br />
PEATON 23065 PENTAERYTHRITOL 54275 1 6 1<br />
PECTOKAY 23080 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, PECTIN 52955, 54238<br />
PEDI-DRI 23091 COMBINATION PRODUCT 51380 2 6 2 NYSTATIN, ALUMINUM CHLORHYDROXIDE 53995, 70654 1265<br />
PEDI-VIT A 23092 VITAMIN A 56185 2 6 1 1265<br />
PEDIACON 23105 UNDETERMINED 50000 3 7 3 2000<br />
PEDIACON W/IRON 23110 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, THIAMINE, VITAMIN B-12 52885, 55755, 56192<br />
PEDIAFLOR DROPS 23115 SODIUM FLUORIDE 55330 1 6 1 0913<br />
PEDIAMYCIN 23125 ERYTHROMYCIN 52065 1 6 1 0348<br />
PEDIATROL 23140 COMBINATION PRODUCT 51380 2 6 2 VITAMIN B COMPLEX 56345 0913<br />
PEDIAZOLE 23150 COMBINATION PRODUCT 51380 1 6 2 ERYTHROMYCIN ETHYLSUCCINATE, SULFISOXAZOLE ACETYL 70577, 70578 0348, 0353<br />
PEDICULICIDE 23158 UNDETERMINED 50000 3 7 3<br />
PEDIOTIC 23159 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 52655, 70212, 70362 1670<br />
PEDTE-PAK 23161 COMBINATION PRODUCT 51380 1 6 2 CHROMIC CHLORIDE, COPPER, MANGANESE SULFATE, ZINC SULFATE 51208, 51393, 53242, 56285 0915<br />
PEDTRACE 23162 COMBINATION PRODUCT 51380 1 6 2 CHROMIC CHLORIDE, COPPER, MANGANESE SULFATE, ZINC SULFATE 51208, 51393, 53242, 56285 0915<br />
PEGANONE 23170 ETHOTOIN 52135 1 6 1 1374<br />
PEMOLINE 23178 PEMOLINE 54240 1 4 1 0632<br />
PENAMP 23195 AMPICILLIN 50275 1 6 1 0346<br />
PENAPAR VK 23200 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
PENECORT 23208 HYDROCORTISONE 52655 1 6 1 1268<br />
PENICILLIN G 23220 PENICILLIN 54250 1 6 1 0346<br />
PENICILLIN G PROCAINE 23222 PENICILLIN 54250 1 6 1 0346<br />
PENICILLIN PROCAINE 23223 PENICILLIN G PROCAINE 54260 1 6 1 0346<br />
PENICILLIN V POTASSIUM 23228 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
PENICILLIN VK 23230 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
PENTAERYTHRITOL TETRANIT-PHENOBARB 23245 PENTAERYTHRITOL 54275 1 6 1 0626, 2087<br />
PENTAERYTHRITOL 23250 PENTAERYTHRITOL 54275 1 6 1 0503<br />
PENTAZINE 23270 PROMETHAZINE 54860 1 6 1 0626<br />
PENTAZINE EXPECTORANT 23275 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, IPECAC, POTASSIUM GUAIACOLSULFONATE, PROMETHAZINE, SODIUM CITRATE 51235, 52870, 54700, 54860, 55320 1943<br />
PENTETRA 23295 PENTAERYTHRITOL 54275 1 6 1 0503<br />
PENTHRANE 23300 METHOXYFLURANE 53590 1 6 1 0118<br />
PENTIDS 23305 PENICILLIN 54250 1 6 1 0346<br />
PENTOBARBITAL 23310 PENTOBARBITAL 54295 1 2 1 0626, 1374<br />
PENTOLAIR 23313 UNDETERMINED 50000 3 7 3 2000<br />
PENTOTHAL 23315 THIOPENTAL 55780 1 3 1 0118<br />
PENTRASPAN-80 23320 PENTAERYTHRITOL 54275 1 6 1<br />
PENTRAX 23325 COAL TAR 51305 2 6 1 1274<br />
PENTRITOL 23330 PENTAERYTHRITOL 54275 1 6 1 0503<br />
PEPPERMINT OIL 23340 PEPPERMINT 54305 3 6 1 2095<br />
PEPPERMINT SPIRIT 23345 PEPPERMINT 54305 2 6 1<br />
PEPPERMINT WATER 23350 PEPPERMINT 54305 2 6 1 2095<br />
PEPSIN & PANCREATIN 23358 COMBINATION PRODUCT 51380 2 6 2 PANCREATIN, PEPSIN 54160, 54310<br />
PEPTALAC ELIXIR 23360 PEPSIN 54310 2 6 1<br />
PEPTAVLON 23365 PENTAGASTRIN 54280 1 6 1 0789<br />
PEPTENZYME ELIXIR 23368 ALCOHOL 50090 2 6 1 2000<br />
PERCHLORACAP 23375 POTASSIUM PERCHLORATE 54725 1 6 1 2087<br />
PERCORTEN ACETATE 23405 DESOXYCORTICOSTERONE 51630 1 6 1 1032<br />
PERCORTEN PIVALATE 23410 DESOXYCORTICOSTERONE 51630 1 6 1 1032<br />
PERESTAN 23420 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE SODIUM 50933, 70262 0876<br />
PERGONAL 23425 MENOTROPINS 53320 1 6 1 1035<br />
PERI-DOSS 23435 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE SODIUM 50933, 70262 0876<br />
PERIDIN-C 23450 COMBINATION PRODUCT 51380 1 6 2 HESPERIDIN, VITAMIN C 52550, 56193 0913<br />
PERIFOAM 23460 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, LANOLIN, METHYLPARABEN, PRAMOXINE 50103, 53003, 53650, 54755 0117<br />
PERISINE 23478 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENTOLAMINE 50005, 54435<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PERITONEAL DIALYSIS W/DEXTROSE 23485 COMBINATION PRODUCT 51380 1 6 2 ACETATE ION, CALCIUM ION, CHLORIDE ION, MAGNESIUM ANTACIDS, SODIUM ION 50018, 50806, 51064, 53175, 55348 0915<br />
PERITRATE 23490 PENTAERYTHRITOL 54275 1 6 1 0503<br />
PERITRATE W/PHENOBARBITAL 23495 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, PENTAERYTHRITOL TETRANITRATE 54395, 70573 0503<br />
PERMAPEN AQUEOUS SUSPENSION 23500 PENICILLIN 54250 1 6 1 0346<br />
PERMITIL 23505 FLUPHENAZINE 52335 1 6 1 0628<br />
PERNAEMON 23510 VITAMIN B-12 56192 1 6 1 0408<br />
PERNOX 23520 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED 50000 1265<br />
PEROXYL 23521 HYDROGEN PEROXIDE 52665 2 6 1 1264<br />
PERSA-GEL 23525 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
PERTOFRANE 23550 DESIPRAMINE 51605 1 6 1 0630<br />
PERTROPIN 23555 LINOLENIC ACID 53100 2 6 1 2087<br />
PERTUSSIN 23560 DEXTROMETHORPHAN 51670 2 6 1 1943<br />
PETRO-PHYLIC SOAP 23570 SOAP 55265 1 6 1<br />
PETRO-SYLLIUM 23575 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PLANTAGO SEED 53720, 54545<br />
PETROLATUM 23585 PETROLATUM 54330 2 6 1 1265, 1569<br />
PETROZIN 23595 COMBINATION PRODUCT 51380 2 6 2 PETROLATUM, WAX, ZINC TOPICAL AGENTS, EXTERNAL USE 54330, 56213, 56265<br />
PFIZER-E 23603 ERYTHROMYCIN 52065 1 6 1 0348<br />
PFIZERPEN 23605 PENICILLIN 54250 1 6 1 0346<br />
PHARMALGEN WASP 23608 HYMENOPTERA ALLERGENIC EXTRACT 52718 3 6 1<br />
PHARMALGEN WHITE HORNET 23609 HYMENOPTERA ALLERGENIC EXTRACT 52718 3 6 1<br />
PHAZYME PB 23615 COMBINATION PRODUCT 51380 1 4 2 PANCREATIN, PHENOBARBITAL, SIMETHICONE 54160, 54395, 55240 1670<br />
PHAZYME-95 23620 SIMETHICONE 55240 2 6 1 0877<br />
PHEMITHYN 23640 BENZETHONIUM CHLORIDE 50520 2 6 1<br />
PHEN-DIMETRAZINE 23645 PHENDIMETRAZINE 54370 1 3 1 0631<br />
PHENACETIN 23650 PHENACETIN 54350 3 6 1 1700<br />
PHENAGESIC 23658 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, PHENYLTOLOXAMINE 50005, 54468 2087<br />
PHENAPHEN 23660 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
PHENAPHEN NO. 2 23665 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
PHENAPHEN NO. 4 23675 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
PHENAPHEN W/CODEINE 23680 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
PHENATE 23700 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50005, 70226, 70254 1945<br />
PHENAZODINE 23710 PHENAZOPYRIDINE 54365 1 6 1 2087<br />
PHENAZOPYRIDINE 23715 PHENAZOPYRIDINE 54365 1 6 1 0354<br />
PHENAZOPYRIDINE-SULFISOXAZOLE 23720 COMBINATION PRODUCT 51380 1 6 2 SULFISOXAZOLE, PHENAZOPYRIDINE HCL 55590, 70342<br />
PHENCEN-50 23730 PROMETHAZINE 54860 1 6 1 0626<br />
PHENDIMEAD 23740 PHENDIMETRAZINE 54370 1 3 1<br />
PHENDIMETRAZINE 23745 PHENDIMETRAZINE 54370 1 3 1 0631<br />
PHENEEN 23747 BENZALKONIUM CHLORIDE 50515 2 6 1 1264<br />
PHENELZINE 23753 PHENELZINE 54375 1 6 1 0630<br />
PHENERGAN COMPOUND 23760 COMBINATION PRODUCT 51380 1 7 2 UNDETERMINED 50000 1944<br />
PHENERGAN EXPECTORANT PLAIN 23765 PROMETHAZINE 54860 1 6 1 1671, 1944<br />
PHENERGAN SYRUP 23780 PROMETHAZINE 54860 1 6 1 1944<br />
PHENETRON 23800 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
PEDI-BORO 23802 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM SULFATE, CALCIUM ACETATE 50163, 50775 1265<br />
PEDI-CORT V 23803 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, CLIOQUINOL 52655, 70554 1265<br />
PHENETRON COMPOUND 23805 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, CHLORPHENIRAMINE 50410, 50745, 51130 1944<br />
PHENETRON LANACAP 23810 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
PHENETRON LANATAB 23815 CHLORPHENIRAMINE 51130 1 6 1<br />
PHENETRON SYRUP 23820 CHLORPHENIRAMINE 51130 1 6 1<br />
PHENHIST 23823 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN, PSEUDOEPHEDRINE 51340, 52490, 54960 1941, 1944<br />
PHENHIST DH W/CODEINE 23825 COMBINATION PRODUCT 51380 1 5 2 CHLORPHENIRAMINE MALEATE, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 70226, 70231, 70256 1941, 1943, 1944<br />
PHENISTIX 23830 IRON PREPARATIONS 52885 3 6 1<br />
PHENMETRAZINE 23833 PHENMETRAZINE 54390 1 2 1 0631<br />
PHENO NUX 23835 COMBINATION PRODUCT 51380 1 4 2 CALCIUM CARBONATE, NUX VOMICA, PHENOBARBITAL 50785, 53989, 54395<br />
PHENOBARBITAL & BELLADONNA 23855 COMBINATION PRODUCT 51380 1 3 2 BELLADONNA, PHENOBARBITAL 50495, 54395 0626, 0874<br />
PHENOBARBITAL ELIXIR 23870 PHENOBARBITAL 54395 1 4 1 0626<br />
PHENOBELLA 23920 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, PHENOBARBITAL 50495, 54395 0875<br />
PHENOJECT-50 23930 PROMETHAZINE 54860 1 6 1 0626<br />
PHENOL 23935 PHENOL 54400 3 6 1 1264<br />
PHENOLAX WAFER 23940 PHENOLPHTHALEIN 54405 2 6 1 0876<br />
PHENOLPHTHALEIN 23945 PHENOLPHTHALEIN 54405 2 6 1 0876<br />
PHENSPRAY 23965 COMBINATION PRODUCT 51380 2 6 2 CETALKONIUM CHLORIDE, PHENYLEPHRINE, PYRILAMINE 51015, 54455, 54995<br />
PHENTERMINE 23970 PHENTERMINE 54430 1 4 1 0631<br />
PHENTRIDE 23973 PHENTERMINE 54430 1 4 1<br />
PHENTROL 23975 PHENTERMINE 54430 1 4 1 0631, 2087<br />
PHENURONE 23980 PHENACEMIDE 54345 1 6 1 1374<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PHENYL SALICYLATE 23985 PHENYL SALICYLATE 54440 3 6 1 0354<br />
PHENYLALANINE 23995 PHENYLALANINE 54445 3 7 1 2087<br />
PHENYLAZO 24000 PHENAZOPYRIDINE 54365 2 6 1 0354<br />
PHENYLBUTAZONE ALKA 24010 COMBINATION PRODUCT 51380 1 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, PHENYLBUTAZONE 50145, 53175, 54450 1724<br />
PHENYLPROPANOLAMINE 24025 PHENYLPROPANOLAMINE 54465 2 6 1 1941<br />
PHENYLZIN 24035 COMBINATION PRODUCT 51380 2 6 2 ZINC SULFATE, PHENYLEPHRINE HCL 56285, 70358 1569<br />
PHENZINE 24050 PHENDIMETRAZINE 54370 1 3 1 0631<br />
PHILJECT 24055 COMBINATION PRODUCT 51380 1 6 2 BENZYL ALCOHOL, BUTAMBEN, PROCAINE 50570, 50730, 54815 0117<br />
PHILLIPS MILK OF MAGNESIA 24058 MAGNESIUM ANTACIDS 53175 2 6 1 0876<br />
PHILLIPS OINTMENT 24060 BISMUTH TRIBROMOPHENATE 50650 2 6 1<br />
PHISODERM 24075 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, PETROLATUM 53003, 54330 1265<br />
PHISOHEX 24080 HEXACHLOROPHENE 52560 1 6 1 1264<br />
PHISOSCRUB 24085 HEXACHLOROPHENE 52560 1 6 1 1264<br />
PHOS-CAL W/VITAMIN D 24090 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045 0913<br />
PHOS-CAL W/VITAMIN D & IRON 24095 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, IRON PREPARATIONS 50770, 52045, 52885 0913<br />
PHOSPHACAL-D 24110 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045 0916<br />
PHOSPHATE ENEMA 24120 SODIUM PHOSPHATE 55385 2 6 1 0876<br />
PHOSPHOLINE 24130 ECHOTHIOPHATE 52005 1 6 1 1566<br />
PHOSPHORIC ACID 24135 PHOSPHORIC ACID 54480 3 6 1<br />
PHRENILIN W/CODEINE NO.3 24143 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, BUTALBITAL, CODEINE PHOSPHATE 50005, 50728, 70231<br />
PHYLLOCONTIN 24150 AMINOPHYLLINE 50210 1 6 1 1940<br />
PHYSIOLOGICAL SALT 24153 RINGERS LACTATED 55115 1 6 1 0915<br />
PHYSIOLYTE 24154 PHYSIOLOGIC IRRIGATING SOLUTION 54488 1 6 1 0915<br />
PHYSOSTIGMINE 24160 PHYSOSTIGMINE 54490 3 6 1 1566<br />
PHYSOSTIGMINE SULFATE 24165 PHYSOSTIGMINE 54490 3 7 1 1566<br />
PHYTONADIONE 24175 PHYTONADIONE 54495 1 6 1 0411<br />
PILAGAN 24178 PILOCARPINE 54500 1 6 1 1566<br />
PILO 24185 UNDETERMINED 50000 3 7 3 2000<br />
PILO-40 24188 PILOCARPINE 54500 1 6 1 1566<br />
PILOMIOTIN 24210 PILOCARPINE 54500 1 6 1 1566<br />
PIMA SYRUP 24220 POTASSIUM IODIDE 54710 1 6 1 1037<br />
PINOVAL 24223 UNDETERMINED 50000 3 7 3 2000<br />
PIPRACIL 24228 PIPERACILLIN 54508 1 6 1 0346<br />
PITOCIN 24255 OXYTOCIN 54155 1 6 1 1039<br />
PITUITARY POSTERIOR 24265 PITUITARY POSTERIOR 54530 1 6 1<br />
PITUITRIN 24270 PITUITARY POSTERIOR 54530 1 6 1 1035<br />
PLACIDYL 24285 ETHCHLORVYNOL 52100 1 4 1 0626<br />
PLAGUE VACCINE 24290 PLAGUE VACCINE 54540 1 6 1 1180<br />
PLASMA-LYTE 24310 ELECTROLYTES 52023 1 6 1 0915<br />
PLASMA-PLEX 24315 PLASMA PROTEIN FRACTION 54550 1 6 1<br />
PLASMATEIN 24325 PLASMA PROTEIN FRACTION 54550 1 6 1 0410<br />
PLASMODICIDE 24328 UNDETERMINED 50000 3 7 3<br />
PLATINOL 24330 CISPLATIN 51230 1 6 1 1479<br />
PLEGINE 24340 PHENDIMETRAZINE 54370 1 3 1 0631<br />
PMB 24350 COMBINATION PRODUCT 51380 1 6 2 ESTROGENS, MEPROBAMATE 52075, 53370 0626<br />
PNU IMUNE 24360 PNEUMOCOCCAL VACCINE 54555 1 6 1 1180<br />
PODOPHYLLIN 24365 PODOPHYLLUM 54560 3 6 1 1266<br />
PODOPHYLLUM 24370 PODOPHYLLUM 54560 3 6 1 1266<br />
POINT-TWO 24375 SODIUM FLUORIDE 55330 1 6 1 0913<br />
POISON ANTIDOTE KIT 24380 COMBINATION PRODUCT 51380 2 6 2 CHARCOAL, IPECAC 51025, 52870 0283<br />
POISON IVY 24385 UNDETERMINED 50000 3 7 3 2000<br />
POISON IVY EXTRACT 24390 POISON IVY EXTRACT 54565 1 6 1 1182<br />
POLIOMYELITIS VACCINE 24405 POLIO VACCINE 54575 1 6 1 1180<br />
POLLEN ANTIGEN 24410 POLLEN ANTIGEN 54585 1 6 1 1182<br />
POLY-LUTIN 24413 HYDROXYPROGESTERONE 52695 1 6 1 1034<br />
POLY-RX 24414 POLYMYXIN B 70011 1 6 1<br />
POLY-VI-FLOR W/IRON 24418 COMBINATION PRODUCT 51380 1 6 2 FLUORIDE, IRON PREPARATIONS, MULTIVITAMINS GENERAL 52318, 52885, 53780 0913, 0916<br />
POLY-VI-SOL W/IRON & ZINC 24421 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN E 52045, 55105, 55755, 56185, 56195 0913<br />
POLY-VITAMIN FLUORIDE 24422 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL, SODIUM FLUORIDE 53780, 55330 0913<br />
POLYCILLIN-PRB 24440 COMBINATION PRODUCT 51380 1 6 2 PROBENECID, AMPICILLIN TRIHYDRATE 54800, 70584 0346<br />
POLYCITRA 24445 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, POTASSIUM ALKALINIZING AGENTS, SODIUM CITRATE 51235, 54620, 55320 0915<br />
POLYDINE 24455 POVIDONE-IODINE 54749 2 6 1 1271<br />
POLYMOX 24465 AMOXICILLIN 50260 1 6 1 0346<br />
POLYMYXIN 24470 POLYMYXIN B 70011 1 6 1 0349<br />
POLY-PRED 24478 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE ACETATE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 70158, 70212, 70362 1568<br />
POLYSORB 24485 PETROLATUM 54330 3 6 1 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
POLYTRACIN 24520 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, POLYMYXIN B 50450, 70011 1568<br />
POLYVITAMIN FLUORIDE 24535 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
POLYVITAMIN W/IRON 24543 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, MULTIVITAMINS GENERAL 52885, 53780 0913<br />
PONSTEL 24550 MEFENAMIC ACID 53290 1 6 1 1724, 1727<br />
PONTOCAINE HCL 24560 TETRACAINE 55715 1 6 1 0117<br />
PONTOCAINE W/DEXTROSE 24570 TETRACAINE 55715 1 6 1 0117<br />
POSTERISAN 24585 COMBINATION PRODUCT 51380 2 6 2 COLIFORM VACCINE, PHENOL 51358, 54400 1272<br />
POT CHLOR 24590 POTASSIUM CHLORIDE 56585 1 6 1 0915<br />
POTABA 24595 POTASSIUM AMINOBENZOATE 54625 1 6 1 0913<br />
POTABA ENVULE 24600 POTASSIUM AMINOBENZOATE 54625 1 6 1<br />
POTABA POWDER 24605 POTASSIUM AMINOBENZOATE 54625 1 6 1<br />
POTABA+6 24610 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM AMINOBENZOATE, PYRIDOXINE 54625, 54990<br />
POTAGE,CHICKEN 24612 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
POTASALAN ELIXIR 24615 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1<br />
POTASSIUM & IODINE 24620 COMBINATION PRODUCT 51380 2 6 2 IODINE SOLUTIONS, POTASSIUM REPLACEMENT SOLUTIONS 52830, 54655 0915<br />
POTASSIUM ACETATE 24625 POTASSIUM ALKALINIZING AGENTS 54620 1 6 1 0915<br />
POTASSIUM BITARTRATE 24635 POTASSIUM BITARTRATE 54640 2 6 1<br />
POTASSIUM BROMIDE 24640 POTASSIUM BROMIDE 54645 3 6 1 2000<br />
POTASSIUM CARBONATE 24645 POTASSIUM CARBONATE 54650 3 6 1<br />
POTASSIUM CHLORIDE MEQ D5-W 24660 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, WATER STERILE, POTASSIUM CHLORIDE 51675, 56210, 56585 0915<br />
POTASSIUM CHLORIDE 20 MEQ D5-W 24670 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, WATER STERILE, POTASSIUM CHLORIDE 51675, 56210, 56585 0915<br />
POTASSIUM CHLORIDE 40 MEQ D5-W 24680 COMBINATION PRODUCT 51380 1 6 2 GLUCOSE, WATER STERILE, POTASSIUM CHLORIDE 52425, 56210, 56585 0915<br />
POTASSIUM ESTRONE SULFATE 24690 ESTRONE 52080 1 6 1 2087<br />
POTASSIUM GLUCONATE 24695 POTASSIUM REPLACEMENT SOLUTIONS 54655 2 6 1 0915<br />
POTASSIUM GUAIACOLSULFONATE 24700 POTASSIUM GUAIACOLSULFONATE 54700 2 6 1<br />
POTASSIUM HYDROXIDE 24705 POTASSIUM HYDROXIDE 54705 2 6 1 2095<br />
POTASSIUM NITRATE 24715 POTASSIUM NITRATE 54715 3 6 1<br />
POTASSIUM PERCHLORATE 24720 POTASSIUM PERCHLORATE 54725 1 6 1<br />
POTASSIUM PERMANGANATE 24725 POTASSIUM PERMANGANATE 54730 3 6 1 1264<br />
POTASSIUM SODIUM TARTRATE AR 24735 POTASSIUM SODIUM TARTRATE 54740 3 6 1<br />
POTASSIUM THIOCYANATE 24740 POTASSIUM THIOCYANATE 54745 1 6 1<br />
POTASSIUM TRIPLEX 24745 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM ALKALINIZING AGENTS, POTASSIUM REPLACEMENT SOLUTIONS 54620, 54655<br />
POTASSIUM 99 24750 POTASSIUM REPLACEMENT SOLUTIONS 54655 2 6 1<br />
POVAN 24755 PYRVINIUM 55025 1 6 1 1862<br />
POVIDONE 24765 POVIDONE-IODINE 54749 2 6 1 1264<br />
POYAMIN 24775 VITAMIN B-12 56192 1 6 1<br />
PP-O 24778 UNDETERMINED 50000 3 7 3 2000<br />
PRAMILET FA 24790 MULTIVITAMIN COMBINATION 51382 1 6 2 IRON PREPARATIONS, MULTIVITAMINS 52885, 53805 0913<br />
PRAMOXINE HC 24798 UNDETERMINED 50000 3 7 3 2000<br />
PRAX LOTION 24803 PRAMOXINE 54755 2 6 1 0117<br />
PRAZEPAM 24804 PRAZEPAM 54760 1 4 1 1373<br />
PRE-PEN 24835 PENICILLOYL 54270 1 6 1 0789<br />
PRE-SERT 24845 POLYVINYL ALCOHOL 54610 2 6 1<br />
PRECEF 24848 CEFORANIDE 50963 1 6 1 0347<br />
PREDALONE R.P. 24865 UNDETERMINED 50000 3 7 3 2000<br />
PREDCOR 24875 PREDNISOLONE 54770 1 6 1 1032<br />
PREDIGESTED PROTEIN 24883 AMINO ACIDS 50185 2 6 1 0913<br />
PREDULOSE 24900 PREDNISOLONE 54770 1 6 1 1032<br />
PREFLEX 24905 CONTACT LENS SOLUTION 51390 2 6 1 2087<br />
PREFRIN 24910 PHENYLEPHRINE 54455 2 6 1 1566<br />
PREGNYL 24925 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
PRELAN 24930 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
PRELUDIN 24945 PHENMETRAZINE 54390 1 2 1 0631<br />
PREMARIN INTRAVENOUS 24955 ESTROGENS 52075 1 6 1 1034<br />
PREMARIN W/METHYLTESTOSTERONE 24965 COMBINATION PRODUCT 51380 1 6 2 ESTROGENS, METHYLTESTOSTERONE 52075, 53670 1033, 1034<br />
PRENATAL FORMULA (VITAMINS) 24975 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
PRENATAL W/FOLIC ACID 24985 COMBINATION PRODUCT 51380 1 6 2 CALCIUM CARBONATE, FOLIC ACID, IRON PREPARATIONS, MULTIVITAMINS GENERAL, NIACIN 50785, 52355, 52885, 53780, 53905 0913<br />
PRENATAL W/FOLIC ACID & IRON 24988 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, MULTIVITAMINS GENERAL 52355, 52885, 53780 0913<br />
PRENATAL 1+1 24989 COMBINATION PRODUCT 51380 1 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
PREPARATION H CREAM 24995 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, PETROLATUM, SHARK LIVER OIL, PHENYLEPHRINE HCL 52450, 54330, 55213, 70358 1272<br />
PREPODYNE 25000 IODINE TOPICAL PREPARATIONS 52820 2 6 1 1264<br />
PRESALIN 25015 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ALUMINUM HYDROXIDE, ASPIRIN, SALICYLAMIDE 50005, 50145, 50410, 55150<br />
PRESUN 25025 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED 50000 1265<br />
PRIMAQUINE 25035 PRIMAQUINE 54790 1 6 1 1860<br />
PRIMATENE MIST 25040 EPINEPHRINE 52040 2 6 1 1940<br />
PRIMOLINE 25060 PRIMIDONE 54795 1 6 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PRINCIPEN/N 25075 AMPICILLIN 50275 1 6 1 0346<br />
PRIODERM 25083 MALATHION 53224 1 6 1 1863<br />
PRIVINE 25090 NAPHAZOLINE 53875 2 6 1 1570, 1941<br />
PRO-BANTHINE W/DARTAL 25105 COMBINATION PRODUCT 51380 1 6 2 THIOPROPAZATE, PROPANTHELINE BROMINE 55783, 70587<br />
PRO-BANTHINE W/PHENOBARBITAL 25110 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, PROPANTHELINE BROMINE 54395, 70587 0877<br />
PRO-CORT M 25113 HYDROCORTISONE 52655 2 6 1<br />
PRO-PHEN 25115 UNDETERMINED 50000 3 7 3 2087<br />
PROAQUA 25120 BENZTHIAZIDE 50560 1 6 1 0507<br />
PROBALAN 25125 PROBENECID 54800 1 6 1 1725<br />
PROBAMPACIN 25130 COMBINATION PRODUCT 51380 1 6 2 AMPICILLIN, PROBENECID 50275, 54800 0346<br />
PROBEN-C 25140 COMBINATION PRODUCT 51380 1 6 2 COLCHICINE, PROBENECID 51345, 54800 1725<br />
PROBENCILIN 25148 COMBINATION PRODUCT 51380 1 6 2 AMPICILLIN, PROBENECID 50275, 54800 0346<br />
PROBENECID W/COLCHICINE 25155 COMBINATION PRODUCT 51380 1 6 2 COLCHICINE, PROBENECID 51345, 54800 1725<br />
PROBENIMEAD 25160 PROBENECID 54800 1 6 1 1725<br />
PROBENIMEAD W/COLCHICINE 25165 COMBINATION PRODUCT 51380 1 6 2 COLCHICINE, PROBENECID 51345, 54800 1724, 1725<br />
PROCAINAMIDE 25180 PROCAINAMIDE 54810 1 6 1 0502<br />
PROCAPAN 25205 PROCAINAMIDE 54810 1 6 1<br />
PROCARBAZINE 25210 PROCARBAZINE 54825 1 6 1 1479<br />
PROCHLORPERAZINE W/ISOPROPAMIDE 25223 COMBINATION PRODUCT 51380 1 6 2 ISOPROPAMIDE, PROCHLORPERAZINE 52920, 54830 1671<br />
PROCTOCORT 25240 HYDROCORTISONE 52655 1 6 1 1268, 1272<br />
PROCTOCREAM-HC 25243 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE ACETATE, PRAMOXINE HCL 70334, 70335 1032<br />
PROCTOFOAM-HC 25255 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE ACETATE, PRAMOXINE HCL 70334, 70335 1272<br />
PROFAC-D 25268 PROGESTERONE 54845 1 6 1 1034<br />
PROFASI HP 25270 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
PROFERDEX 25273 DEXTROSE 51675 1 6 1 0408<br />
PROFILATE 25275 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1<br />
PROFILNINE 25278 FACTOR IX COMPLEX HUMAN 52203 1 6 1 0410<br />
PROGESTAJECT 25293 PROGESTERONE 54845 1 6 1 1034<br />
PROGLYCEM 25310 DIAZOXIDE 51700 1 6 1 0506<br />
PROGYNON 25315 ESTRADIOL 52070 1 6 1<br />
PROHIBIT 25318 HAEMOPHILUS B CONJUGATE VACCINE 56445 1 6 1 1180<br />
PROKLAR 25325 SULFAMETHIZOLE 55550 1 6 1 0353<br />
PROLASTIN 25328 ALPHA-1-PROTEINASE INHIBITOR 80001 1 6 1 1940<br />
PROLOID 25335 THYROGLOBULIN 55820 1 6 1 1037<br />
PROMAPAR 25345 CHLORPROMAZINE 51150 1 6 1 0628<br />
PROMAZ 25350 CHLORPROMAZINE 51150 1 6 1 0628<br />
PROMAZINE 25355 PROMAZINE 54850 1 6 1 0628<br />
PROMETH W/COD 25359 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PROMETHAZINE HCL 51340, 70411 1941, 1943, 1944<br />
PROMETHAZINE COMPOUND PLAIN 25370 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE HCL, PROMETHAZINE HCL 70358, 70411 1941, 1944<br />
PROMETHAZINE COMPOUND W/CODEINE 25375 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PROMETHAZINE HCL 51340, 70411 1941, 1943, 1944<br />
PROMETHAZINE EXPECTORANT 25380 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE HCL, PROMETHAZINE HCL 70358, 70411 1941, 1944<br />
PROMETHAZINE EXPECTORANT W/CODEINE 25390 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PHENYLEPHRINE HCL, PROMETHAZINE HCL 51340, 70358, 70411 1941, 1943, 1944<br />
PROMETHAZINE HCL EXPECTORANT 25395 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN HBR, PROMETHAZINE HCL 70338, 70411 1941, 1943, 1944<br />
PROMETHAZINE HCL EXPECTORANT W/CODEINE 25400 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PHENYLEPHRINE HCL, PROMETHAZINE HCL 51340, 70358, 70411 1941, 1943, 1944<br />
PROMETHAZINE HCL VC EXPECTORANT 25410 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE HCL, PROMETHAZINE HCL 70358, 70411 1671, 1943, 1944<br />
PROMETHAZINE W/CODEINE 25432 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PROMETHAZINE HCL 51340, 70411 1943, 1944<br />
PROMETHAZINE W/DM 25433 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN HBR, PROMETHAZINE HCL 70338, 70411 1943, 1944<br />
PROMETHAZINE W/PHENYLEPHRINE HCL 25435 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE HCL, PROMETHAZINE HCL 70358, 70411 1941, 1944<br />
PROMOX 25448 PRAMOXINE 54755 2 6 1<br />
PROMPT 25449 COMBINATION PRODUCT 51380 2 6 2 PLANTAGO SEED, SENNA 54545, 55200<br />
PROPAC 25459 PROTEIN SUPPLEMENT 54922 2 6 1 0914<br />
PROPADRINE 25460 PHENYLPROPANOLAMINE 54465 2 6 1 1941<br />
PROPANTHELINE BROMIDE W/PHENOBARBITAL 25480 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, PROPANTHELINE BROMINE 54395, 70587 0626, 0874<br />
PROPARACAINE 25485 PROPARACAINE 54875 1 6 1 0117<br />
PROPION GEL 25495 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, SODIUM PROPIONATE 50770, 55393<br />
PROPOXYPHENE COMPOUND 6 25505 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PROPOXYPHENE HCL 50410, 50745, 70377 1721<br />
PROPOXYPHENE 25510 PROPOXYPHENE 54890 1 4 1 1721<br />
PROPOXYPHENE HCL COMPOUND 25515 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PROPOXYPHENE HCL 50410, 50745, 70377 1721<br />
PROPYLENE GLYCOL 25550 PROPYLENE GLYCOL 54895 3 6 1 2095<br />
PROPYLPARABEN 25555 PROPYLPARABEN 54905 3 7 1<br />
PROSOBEE 25570 INFANT FORMULA 52775 2 6 1 0914<br />
PROSTAPHLIN 25575 OXACILLIN 54070 1 6 1 0346<br />
PROSTIN 25585 UNDETERMINED 50000 1 6 3 2000<br />
PROTAPHANE 25598 INSULIN 52790 1 6 1 1036<br />
PROTENATE 25600 PLASMA PROTEIN FRACTION 54550 1 6 1 0410<br />
PROTHAZINE 25610 PROMETHAZINE 54860 1 6 1 1671, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PROTOPAM 25615 PRALIDOXIME 54750 1 6 1 0281<br />
PROTOSTAT 25618 METRONIDAZOLE 53700 1 6 1 0355<br />
PROVAL 25635 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
PROVIGAN 25645 PROMETHAZINE 54860 1 6 1 0626<br />
PROXENE 25660 PROPOXYPHENE 54890 1 4 1 1721<br />
PROXIGEL 25670 UREA 56120 2 6 1 1265<br />
PROXINE HEMORRHOIDAL 25673 PRAMOXINE 54755 2 6 1<br />
PROZINE 50 25680 PROMAZINE 54850 1 6 1 1944, 2087<br />
PRULET 25685 PHENOLPHTHALEIN 54405 2 6 1 0876<br />
PSEUDOEPHEDRINE W/TRIPROLIDINE 25696 COMBINATION PRODUCT 51380 1 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256 1941, 1944<br />
PSEUDO-MAL 25698 COMBINATION PRODUCT 51380 1 6 2 DEXBROMPHENIRAMINE, PSEUDOEPHEDRINE 51638, 54960<br />
PSORIASIS CREAM 25705 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, COAL TAR, SALICYLIC ACID, SQUALENE 50103, 51305, 55160, 55461 1200<br />
PSORIGEL 25710 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, COAL TAR 50090, 51305 1265<br />
PSYLLIUM SEED BLONDE 25725 PLANTAGO SEED 54545 2 6 1<br />
PURETANE 25730 BROMPHENIRAMINE 50690 1 6 1 2087<br />
PURGATIVE 25748 UNDETERMINED 50000 3 7 3<br />
PURODIGIN 25755 DIGITOXIN 51775 1 6 1 0501<br />
PURPOSE 25760 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED 50000 1265<br />
PYOCIDIN 25775 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, POLYMYXIN B SULFATE 52655, 70212 1670<br />
PYOPEN 25780 CARBENICILLIN 50895 1 6 1 0346<br />
PYRADYNE COMPOUND 25795 UNDETERMINED 50000 3 7 3 2000<br />
PYRIDIATE 25805 PHENAZOPYRIDINE 54365 1 6 1 0509<br />
PYRILAMINE 25830 PYRILAMINE 54995 2 6 1 1944<br />
PYRIN-AID 25835 COMBINATION PRODUCT 51380 2 6 2 PETROLEUM DISTILLATE, PIPERONYL, PYRETHRINS 54332, 54523, 54983<br />
PYRINAL 25840 COMBINATION PRODUCT 51380 2 6 2 PIPERONYL, PYRETHRINS 54523, 54983 1863<br />
PYRINYL 25845 COMBINATION PRODUCT 51380 2 6 2 PYRETHRINS, PIPERONYL BUTOXIDE, DEODORIZED KEROSENE 54983, 70408, 70669 1863<br />
PYROGALLOL REAGENT CRYSTAL 25860 PYROGALLOL 55015 3 6 1<br />
PYROXINE 25865 PYRIDOXINE 54990 1 6 1 0913<br />
PYRROXATE W/CODEINE PHOSPHATE 25880 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50005, 51340, 70226, 70254<br />
P1E1 25885 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE BITARTRATE, PILOCARPINE HCL 70381, 70574 1566<br />
P2E1 25890 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE BITARTRATE, PILOCARPINE HCL 70381, 70574 1566<br />
P6E1 25905 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE BITARTRATE, PILOCARPINE HCL 70381, 70574 1566<br />
QUADRA HIST 25920 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 51130, 54455, 54465, 54468 1941, 1944<br />
QUADRINAL 25930 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL, POTASSIUM IODIDE, THEOPHYLLINE 52035, 54395, 54710, 55745 1940<br />
QUARZAN 25945 CLIDINIUM BROMIDE 51250 1 6 1 0875<br />
QUELICIN 25950 SUCCINYLCHOLINE 55510 1 6 1 0119<br />
QUIBRON 25970 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940, 1943<br />
QUIBRON PLUS 25985 COMBINATION PRODUCT 51380 1 6 2 BUTABARBITAL, GUAIFENESIN, THEOPHYLLINE, EPHEDRINE HCL 50720, 52490, 55745, 70350 1940, 1943<br />
QUIBRON PLUS ELIXIR 25990 COMBINATION PRODUCT 51380 1 6 2 BUTABARBITAL, GUAIFENESIN, THEOPHYLLINE, EPHEDRINE HCL 50720, 52490, 55745, 70350 1940, 1943<br />
QUIDE 26005 PIPERACETAZINE 54505 1 6 1 0628<br />
QUIESS 26010 COMBINATION PRODUCT 51380 1 2 2 ALLOBARBITAL, PHENOBARBITAL 50104, 54395 0626<br />
QUIET WORLD 26013 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, PYRILAMINE MALEATE 50005, 50410, 70394 1720<br />
QUINE 26025 UNDETERMINED 50000 3 7 3 2000<br />
QUINIDEX EXTENTAB 26030 QUINIDINE 55045 1 6 1 0502<br />
QUININE & UREA 26043 QUININE & UREA HCL 55053 1 6 1 0507, 1373, 1864<br />
QUINOLOR COMPOUND 26055 COMBINATION PRODUCT 51380 2 6 2 BENZOYL PEROXIDE, EUGENOL, HEMICELLULASE, MENTHOL, METHYL SALICYLATE 50550, 52195, 52533, 53325, 53620 2087<br />
QUINSONE 26065 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN, PRAMOXINE 52655, 52845, 54755 2087<br />
QUIPHILE 26073 QUININE 55050 1 6 1 1864<br />
QUOTANE 26075 DIMETHISOQUIN 51825 2 6 1 1265<br />
R-TANNATE 26089 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE TANNATE, PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE 70402, 70403, 70404 1941, 1944<br />
RABIES VACCINE 26090 RABIES VACCINE 55060 1 6 1 1180<br />
RACEPHEDRINE 26095 RACEPHEDRINE 55063 1 6 1 1940, 1941<br />
RAGWEED & RELATED POLLENS ALLERGENIC 26105 POLLEN ANTIGEN 54585 1 6 1 1182<br />
RANTEX CLOTH WIPE 26115 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZALKONIUM CHLORIDE, HAMAMELIS WATER, LANOLIN, METHYLPARABEN 50090, 50515, 52535, 53003, 53650 1265<br />
RATIO 26125 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50785, 53175 0874<br />
RAUDIXIN 26135 RAUWOLFIA 55070 1 6 1 0506<br />
RAUPOID 26145 RAUWOLFIA 55070 1 6 1 0506<br />
RAUTRAX 26170 COMBINATION PRODUCT 51380 1 6 2 FLUMETHIAZIDE, POTASSIUM REPLACEMENT SOLUTIONS, RAUWOLFIA 52303, 54655, 55070 0506, 0507<br />
RAUVAL 26175 RAUWOLFIA 55070 1 6 1 0504, 0506<br />
RAUWILOID 26180 ALSEROXYLON 50120 1 6 1 0506<br />
RCF 26196 LACTOSE 52990 2 6 1 0914<br />
RECOMBIVAX-HB 26199 HEPATITIS B VACCINE 52548 1 6 1 1180<br />
RECTAL MEDICONE 26210 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, MENTHOL, ZINC OXIDE, BALSAM PERU, HYDROXYQUINOLINE SULFATE 50530, 53325, 70052, 70418, 70420 0117, 0355<br />
RECTAL OINTMENT 26220 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, NUTMEG OIL, PETROLATUM, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 53988, 54330, 56265 1265<br />
REDISOL 26240 VITAMIN B-12 56192 1 6 1 0408<br />
REGITINE 26250 PHENTOLAMINE 54435 1 6 1 0506<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
REGROTON 26265 COMBINATION PRODUCT 51380 1 6 2 CHLORTHALIDONE, RESERPINE 51170, 55080 0506<br />
REGUL-AID SYRUP 26270 DOCUSATE 51935 2 6 1<br />
REGUL-AIDS 26275 DOCUSATE 51935 2 6 1<br />
REGULAR STRENGTH ANACIN-3 26278 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE 50005, 50745<br />
REGUTOL 26285 DOCUSATE 51935 2 6 1 0876<br />
REIDAMINE 26295 DIMENHYDRINATE 51810 1 6 1 1671<br />
RELA 26300 CARISOPRODOL 50920 1 6 1 1373<br />
RELAX-U-CAPS 26303 PYRILAMINE 54995 2 6 1<br />
RELAXADON 26305 COMBINATION PRODUCT 51380 1 6 2 UNDETERMINED 50000 0875<br />
RELEFACT TRH 26310 PROTIRELIN 54935 1 6 1 0789<br />
REMSED 26315 PROMETHAZINE 54860 1 6 1 0626<br />
RENAMIN 26328 AMINO ACIDS 50185 1 6 1 0914<br />
RENESE 26335 POLYTHIAZIDE 54605 1 6 1 0506, 0507<br />
RENO-M 26345 MEGLUMINE 53298 1 6 1 0789<br />
RENOGRAFIN 26350 COMBINATION PRODUCT 51380 1 6 2 DIATRIZOATE SODIUM, DIATRIZOATE MEGLUMINE 51689, 59624 0789<br />
RENOQUID 26355 SULFACYTINE 55535 1 6 1 0353<br />
RENOVIST 26360 COMBINATION PRODUCT 51380 1 6 2 DIATRIZOATE SODIUM, DIATRIZOATE MEGLUMINE 51689, 59624 0789<br />
RENU 26368 FOOD SUPPLEMENT 52358 2 6 1 0913<br />
REP-PRED 26375 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
REPESTROGEN 26390 UNDETERMINED 50000 3 7 3 1034<br />
REPSTRONE 26410 COMBINATION PRODUCT 51380 1 6 2 ESTRONE 52080<br />
RESERPINE/HYDRALAZINE/HCTZ 26428 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080 0506, 0507<br />
RESOLVE GEL 26433 DYCLONINE 51990 2 6 1<br />
RESORCINOL 26435 RESORCINOL 55085 3 6 1 1266<br />
RESPBID 26438 THEOPHYLLINE 55745 1 6 1 1940<br />
RESPIROL 26445 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 1940<br />
RETET 26460 TETRACYCLINE 55725 1 6 1 0350<br />
RETICULOGEN 26470 COMBINATION PRODUCT 51380 1 6 2 THIAMINE, VITAMIN B-12 55755, 56192 0408<br />
RETIN-A 26475 TRETINOIN 55905 1 6 1 1265<br />
REXOLATE 26485 SODIUM THIOSALICYLATE 55420 1 6 1 1722, 1724<br />
REZAMID 26490 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, RESORCINOL, SULFUR 50090, 55085, 55610 1265<br />
RHEABAN 26495 ATTAPULGITE 50430 2 6 1 0875<br />
RHEI-MINT ELIXIR 26500 RHUBARB & SODA 55095 2 6 1<br />
RHEOMACRODEX 10% IN DEXTROSE 5% 26505 COMBINATION PRODUCT 51380 1 6 2 DEXTRAN, DEXTROSE 51647, 51675 0410<br />
RHEOMACRODEX IN DEXTROSE 26506 ERGONOVINE 52050 1 6 1<br />
RHEOMACRODEX IN NORMAL SALINE 26507 COMBINATION PRODUCT 51380 1 6 2 DEXTRAN, SODIUM CHLORIDE 51647, 55315 0410<br />
RHINALL 26515 PHENYLEPHRINE 54455 2 6 1 1941<br />
RHINDECON 26540 PHENYLPROPANOLAMINE 54465 2 6 1 0631, 1941<br />
RHINICOMP JR. 26560 COMBINATION PRODUCT 51380 2 6 2 CAFFEINE, CHLORPHENIRAMINE, PHENACETIN, PHENYLEPHRINE, SALICYLAMIDE 50745, 51130, 54350, 54455, 55150 2087<br />
RHINIDRIN 26565 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENACETIN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54350, 54465, 54468<br />
RHINOGESIC 26585 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLEPHRINE, SALICYLAMIDE 50005, 51130, 54455, 55150<br />
RHINOGESIC GG 26590 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, SALICYLAMIDE 50005, 51130, 52490, 54455, 55150 2087<br />
RHINOLAR 26598 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1671, 1941, 1944<br />
RHINOSYN 26600 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1945<br />
RHUBARB & SODA MIXTURE 26635 RHUBARB & SODA 55095 2 6 1<br />
RHULICREAM 26645 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CAMPHOR, MENTHOL, ZIRCONIUM 50530, 50845, 53325, 56288 1265<br />
RHULIGEL GEL 26650 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZYL ALCOHOL, CAMPHOR, MENTHOL, PHENYLCARBINOL 50090, 50570, 50845, 53325, 70423 1274<br />
RHUS TOX ANTIGEN 26665 POISON IVY EXTRACT 54565 1 6 1 1182<br />
RHUSTOX HC 26668 HYDROCORTISONE 52655 2 6 1<br />
RHUSTICON LOTION 26670 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, CAMPHOR, DIPHENHYDRAMINE 50755, 50845, 51860<br />
RIBOFLAVIN 26685 RIBOFLAVIN 55105 2 6 1 0913<br />
RID-A-COL 26700 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, CHLORPHENIRAMINE 50410, 50745, 51130<br />
RIFAMATE 26710 COMBINATION PRODUCT 51380 1 6 2 ISONIAZID, RIFAMPIN 52915, 55110 0358<br />
RIMACTANE 26720 RIFAMPIN 55110 1 6 1 0358<br />
RINGER'S 26735 RINGERS LACTATED 55115 1 6 1 0915<br />
RIOPAN CHEW 26745 MAGALDRATE 53170 2 6 1 0874<br />
RITODRINE 26761 RITODRINE 55117 1 6 1 1039<br />
RMS-SUPPOSITORY 26763 MORPHINE 53760 1 2 1 1721<br />
RO-BILE 26765 COMBINATION PRODUCT 51380 1 6 2 DEHYDROCHOLIC ACID, LIPASE, OX BILE EXTRACT, PANCREATIN, PEPSIN 51585, 53118, 54065, 54160, 54310 2087<br />
ROBATHOL BATH OIL 26780 COMBINATION PRODUCT 51380 2 6 2 ALKYL ARYL POLYETHER ALCOHOL, COTTONSEED OIL 50097, 51415 1265<br />
ROBAXISAL 26790 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, METHOCARBAMOL 50410, 53560 1373<br />
ROBICILLIN VK 26795 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
ROBIMYCIN 26800 ERYTHROMYCIN 52065 1 6 1 0348<br />
ROBINUL FORTE 26810 GLYCOPYRROLATE 52455 1 6 1 0877<br />
ROBINUL-PH FORTE 26820 COMBINATION PRODUCT 51380 1 6 2 GLYCOPYRROLATE, PHENOBARBITAL 52455, 54395<br />
ROBITET 26825 TETRACYCLINE 55725 1 6 1 0350<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ROBITUSSIN A-C SYRUP 26835 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE 52490, 70231 1943<br />
ROBITUSSIN-DAC SYRUP 26850 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1941, 1943<br />
ROBITUSSIN-DM COUGH CALMERS 26855 DEXTROMETHORPHAN HBR 70338 2 6 1 1943<br />
ROCHELLE SALT 26875 POTASSIUM SODIUM TARTRATE 54740 3 6 1<br />
ROGAINE 26883 MINOXIDIL 53730 1 6 1 1265<br />
ROGENIC 26885 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, PYRIDOXINE, VITAMIN B-12 52885, 54990, 56192 0408<br />
ROLOX 26895 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
ROME-TUSS-DM 26899 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
ROMILAR CHILDREN'S COUGH SYRUP 26910 DEXTROMETHORPHAN 51670 2 6 1<br />
ROMILAR COUGH & COLD 26915 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, DEXTROMETHORPHAN, PHENYLEPHRINE 50005, 51130, 51670, 54455<br />
ROMILAR III 26920 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DEXTROMETHORPHAN, PHENYLPROPANOLAMINE 50090, 51670, 54465<br />
RONASE 26928 TOLAZAMIDE 55870 1 6 1 1036<br />
RONDOMYCIN 26940 METHACYCLINE HCL 53470 1 6 1 0350<br />
RONIACOL 26945 NICOTINYL ALCOHOL 53920 1 6 1 0504<br />
ROSE WATER 26955 ROSE WATER 55125 2 6 1<br />
RP-MYCIN 26960 ERYTHROMYCIN 52065 1 6 1 0348<br />
RU-A-DRON 26965 PREDNISOLONE 54770 1 6 1 1032<br />
RU-CORT 26975 PREDNISOLONE 54770 1 6 1 1032<br />
RU-CORT SPAN 26980 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE 54770<br />
RU-EST 26985 ESTRONE 52080 1 6 1 1034<br />
RU-EST-SPAN 26990 ESTRADIOL 52070 1 6 1 1040<br />
RU-EST-TEST-SPAN 26995 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695<br />
RU-TUSS 27045 UNDETERMINED 50000 3 7 3 2000<br />
RU-TUSS PLAIN 27055 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE HCL 51130, 70358 1941, 1944<br />
RU-VERT 27065 COMBINATION PRODUCT 51380 1 6 2 NIACIN, PENTYLENETETRAZOL, PHENIRAMINE 53905, 54300, 54385 0631<br />
RUBBING ALCOHOL 27070 ISOPROPYL ALCOHOL 52925 2 6 1 1264<br />
RUBELLA VIRUS VACCINE LIVE 27075 RUBELLA VIRUS VACCINE 55130 1 6 1 1180<br />
RUBESOL 27080 VITAMIN B-12 56192 1 6 1 0408, 0913<br />
RUBRAMIN PC 27085 VITAMIN B-12 56192 1 6 1 0408<br />
RUBRAPLEX 27090 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN 50811, 53915, 54990, 55105<br />
RUFEN 27103 IBUPROFEN 52730 1 6 1 1724, 1727<br />
RUM-K SYRUP 15% 27125 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
RUPHENAMIN 27128 COMBINATION PRODUCT 51380 1 6 2 AMINOPHYLLINE, PHENOBARBITAL, RUTIN 50210, 54395, 55135 2000<br />
RUTIN & ASCORBIC ACID 27135 COMBINATION PRODUCT 51380 2 6 2 RUTIN, VITAMIN C 55135, 56193<br />
RUTIN W/C 27140 COMBINATION PRODUCT 51380 2 6 2 RUTIN, VITAMIN C 55135, 56193<br />
RV PABA STICK 27150 COMBINATION PRODUCT 51380 2 6 2 AMINOBENZOIC ACID, PETROLATUM 50195, 54330 1265<br />
RVP 27155 PETROLATUM 54330 2 6 1 1265<br />
RYMED-TR 27168 BROMPHENIRAMINE 50690 1 6 1 1945<br />
RYNA-C 27175 COMBINATION PRODUCT 51380 1 5 2 CHLORPHENIRAMINE MALEATE, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 70226, 70231, 70256 1941, 1943, 1944<br />
RYNA-CX 27180 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1943<br />
RYNATAN 27190 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE TANNATE, PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE 70402, 70403, 70404 1944<br />
S.A.S.-500 27210 SULFASALAZINE 55575 1 6 1 0353<br />
S.T. 37 27225 HEXYLRESORCINOL 52595 2 6 1 1862<br />
S-A-C 27230 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE, SALICYLAMIDE 50005, 50745, 55150 1722<br />
S-B-T 27240 UNDETERMINED 50000 2 6 3 0353<br />
SAFFLOWER OIL 27275 SAFFLOWER OIL 55145 2 6 1 2100<br />
SAFFLOWER OIL W/B-6 27280 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, SAFFLOWER OIL 54990, 55145<br />
SALACTIC FILM 27298 SALICYLIC ACID 55160 2 6 1 1265<br />
SALATAR 27305 COMBINATION PRODUCT 51380 1 6 2 COAL TAR, SALICYLIC ACID 51305, 55160 1265<br />
SALATIN W/CODEINE 27315 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350<br />
SALETO 27320 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, SALICYLAMIDE 50005, 50410, 50745, 55150 1722<br />
SALETO-D 27325 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE, SALICYLAMIDE, PHENYLPROPANOLAMINE HCL 50005, 50745, 55150, 70254<br />
SALFLEX 27327 SALSALATE 55165 1 6 1 1720<br />
SALICYLAMIDE 27335 SALICYLAMIDE 55150 2 6 1<br />
SALICYLIC ACID 27345 SALICYLIC ACID 55160 3 6 1 1266<br />
SALICYLIC ACID & SULFUR SOAP 27350 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID, SULFUR 55160, 55610 1265<br />
SALICYLIC ACID SOAP 27355 SALICYLIC ACID 55160 2 6 1 1266<br />
SALIGEL 27360 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, SALICYLIC ACID 50090, 55160 1266<br />
SALIMEPH FORTE 27365 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, SALICYLAMIDE 50005, 55150 1720<br />
SALOL & BISMUTH COMPOUND W/OPIUM 27380 COMBINATION PRODUCT 51380 1 3 2 BISMUTH ANTI-DIARRHEA AGENTS, CAMPHOR, OPIUM, PHENYL SALICYLATE 50635, 50845, 54035, 54440<br />
SALOMENTH 27385 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE 53325, 53620<br />
SALPABA W/VITAMIN C 27390 COMBINATION PRODUCT 51380 2 6 2 POTASSIUM AMINOBENZOATE, POTASSIUM SALICYLATE, VITAMIN C 54625, 54737, 56193 0913<br />
SALPHENINE 27395 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, PHENACETIN 50410, 50745, 54350 2087<br />
SALPHENYL 27400 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLEPHRINE, SALICYLAMIDE 50005, 51130, 54455, 55150 1945<br />
SALTPETER 27410 POTASSIUM NITRATE 54715 2 6 1<br />
SALURON 27415 HYDROFLUMETHIAZIDE 52660 1 6 1 0507<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
SANGUIS 27428 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, LIVER DERIVATIVE, VITAMIN B-12 52355, 53125, 56192<br />
SANI-SUPP 27429 GLYCERIN 52450 2 6 1 0876<br />
SANSERT 27440 METHYSERGIDE 53680 1 6 1 1723<br />
SARATOGA 27455 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, EUCALYPTUS OIL, PETROLATUM, ZINC TOPICAL AGENTS, EXTERNAL USE 50660, 52190, 54330, 56265 1264<br />
SAROCYCLINE 27465 TETRACYCLINE 55725 1 6 1 0350<br />
SAROLAX 27480 COMBINATION PRODUCT 51380 2 6 2 DEHYDROCHOLIC ACID, DOCUSATE, PHENOLPHTHALEIN 51585, 51935, 54405<br />
SASTID 27495 SULFUR 55610 2 6 1 1270<br />
SATRIC 27498 METRONIDAZOLE 53700 1 6 1 0355<br />
SCABICIDE 27513 UNDETERMINED 50000 3 6 3 1863<br />
SCARLET RED 27520 SCARLET RED 55170 1 6 1 1265<br />
SCLAVOTEST PPD 27530 TUBERCULIN 56065 1 6 1 0789<br />
SCOPODEX PELLET 27540 SCOPOLAMINE HBR 55180 1 6 1<br />
SCOPOLAMINE MUROCOLL NO. 19 27555 SCOPOLAMINE HBR 55180 1 6 1<br />
SCORBEX-R 27558 COMBINATION PRODUCT 51380 1 6 2 NIACIN, PANTHENOL, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53905, 54173, 54990, 55105, 55755<br />
SCOTT'S EMULSION 27560 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, VITAMIN A 52045, 56185<br />
SCRIP SPRAY 27565 UNDETERMINED 50000 3 7 3 2000<br />
SCRIP STICK 27570 BENZOIN 50540 2 6 1<br />
SCRIP-LAX 27585 COMBINATION PRODUCT 51380 2 6 2 CARMELLOSE, DANTHRON, DOCUSATE 50923, 51545, 51935<br />
SEBA-NIL 27590 COMBINATION PRODUCT 51380 2 6 2 ACETONE, ALCOHOL 50035, 50090 1265<br />
SEBASORB LOTION 27600 COMBINATION PRODUCT 51380 2 6 2 ATTAPULGITE, SALICYLIC ACID 50430, 55160<br />
SEBASUM CLEANSER 27605 COMBINATION PRODUCT 51380 2 6 2 ACETONE, ISOPROPYL ALCOHOL 50035, 52925<br />
SEBAVEEN SHAMPOO 27610 COMBINATION PRODUCT 51380 2 6 2 OATMEAL, SALICYLIC ACID, SULFUR 54000, 55160, 55610<br />
SEBEX SHAMPOO 27615 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, SALICYLIC ACID, SULFUR 53003, 55160, 55610 1266<br />
SEBIZON LOTION 27625 SULFACETAMIDE 55525 1 6 1 1271<br />
SEBULON 27638 PYRITHIONE 55005 2 6 1 1266<br />
SEBUTONE 27640 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, SALICYLIC ACID, SULFUR 51305, 55160, 55610 1265<br />
SECONAL 27650 SECOBARBITAL 55185 1 2 1 0626<br />
SECRAN PRENATAL 27665 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, NIACINAMIDE, VITAMIN A, VITAMIN C, VITAMIN E 52045, 53915, 56185, 56193, 56195 0913<br />
SECRETIN-BOOTS 27670 SECRETIN 55190 1 6 1 0789<br />
SEDABAMATE 27680 MEPROBAMATE 53370 1 4 1 0876<br />
SEDADYNE 27690 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, PHENYLTOLOXAMINE 50005, 54468<br />
SEDAPAP ELIXIR 27700 UNDETERMINED 50000 3 7 3 2000<br />
SEDATIVE 27708 UNDETERMINED 50000 3 7 3 0626<br />
SEDRAGESIC 27713 COMBINATION PRODUCT 51380 1 3 2 AMPHETAMINE, BUTABARBITAL, HEXOBARBITAL, PHENOBARBITAL, SECOBARBITAL 50265, 50720, 52580, 54395, 55185<br />
SELE-PAK 27727 SELENIUM SULFIDE 55195 1 6 1<br />
SELEPEN 27728 SELENIUM SULFIDE 55195 1 6 1 0915<br />
SELESTOJECT 27729 BETAMETHASONE 50585 1 6 1 1032<br />
SEMETS TROCHE 27740 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CETYLPYRIDINIUM 50530, 51023 0117<br />
SEMICID 27745 NONOXYNOL 9 53955 2 6 1 1040<br />
SEMITARD 27748 INSULIN 52790 1 6 1<br />
SENNA EXTRACT 27760 SENNA 55200 2 6 1<br />
SENNA PODS,WHOLE 27775 SENNA 55200 2 6 1<br />
SENOKOT GRANULE 27790 SENNA 55200 2 6 1 0876<br />
SENOKOT SYRUP 27800 SENNA 55200 2 6 1 0876<br />
SENOKOT W/PSYLLIUM 27805 COMBINATION PRODUCT 51380 2 6 2 PSYLLIUM, SENNA 54965, 55200<br />
SENORAL-M ELIXIR 27815 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PENTYLENETETRAZOL, THIAMINE, VITAMIN B-12 53915, 54300, 55755, 56192 0631, 2087<br />
SENSORCAINE S-D W/EPINEPHRINE 27817 COMBINATION PRODUCT 51380 1 6 2 BUPIVACAINE HCL, EPINEPHRINE BITARTRATE 70351, 70381 0117<br />
SEPP ANTISEPTIC APPLICATOR 27820 ISOPROPYL ALCOHOL 52925 2 6 1<br />
SER-AP-ES 27845 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE, HYDRALAZINE HCL 52645, 55080, 70339 0506<br />
SERALAZIDE 27848 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080 0506<br />
SERFOLIA 27870 RAUWOLFIA 55070 1 6 1 0628<br />
SERPALAN 27880 RESERPINE 55080 1 6 1 0506<br />
SERPANRAY 27885 RESERPINE 55080 1 6 1 0504, 0506<br />
SERPASIL ELIXIR 27895 RESERPINE 55080 1 6 1 0506<br />
SERPASIL-ESIDRIX 27905 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080 0506, 0507<br />
SERUTAN GRANULE 27915 PSYLLIUM 54965 2 6 1 0876<br />
SESAME OIL 27920 SESAME OIL 55210 3 6 1<br />
SHEPARD'S CREAM LOTION 27928 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, PROPYLENE GLYCOL, SESAME OIL, STEARIC ACID 52450, 54895, 55210, 55485 1265<br />
SHEPARD'S SOAP 27929 UNDETERMINED 50000 2 6 3 1265<br />
SHUR-SEAL GEL 27948 NONOXYNOL 9 53955 2 6 1 1040<br />
SIBLIN 27950 PSYLLIUM 54965 2 6 1 0876<br />
SILICIC ACID REAGENT 27975 SILICIC ACID 55215 3 6 1<br />
SILICONE SKIN SPRAY 27978 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, SILICONE 50000, 55218 1265<br />
SILVER NITRATE 27995 SILVER NITRATE 55225 1 6 1 1264, 1265, 1568<br />
SILVER NITRATE TOUGHENED STICKS 28000 SILVER NITRATE 55225 2 6 1 1200<br />
SILVER NITRATE WAX AMPUL 28005 SILVER NITRATE 55225 1 6 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
SILVER PROTEIN MILD NF 28010 SILVER PROTEIN 55230 3 6 1 1568<br />
SILVER SULFADIAZINE 28015 SILVER SULFADIAZINE 55235 1 6 1 1271<br />
SIMAAL GEL 28020 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
SIMECO 28025 UNDETERMINED 50000 3 7 3<br />
SIMETHOX 28033 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240<br />
SIMPLE SYRUP 28040 SYRUP 55635 3 6 1 2095<br />
SIMRON 28045 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
SINAREST 28055 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50005, 51130, 54465 1941<br />
SINE-OFF 28065 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50410, 51130, 54465 1945<br />
SINE-OFF SPRAY 28070 XYLOMETAZOLINE 56240 1 6 1<br />
SINE-OFF W/APAP 28075 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL 50005, 70256<br />
SINEX LONG ACTING SPRAY 28090 XYLOMETAZOLINE 56240 2 6 1 1941<br />
SINOZE 28125 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54465, 54468 2000<br />
SINU-CLEAR 28127 COMBINATION PRODUCT 51380 2 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020 1941, 1944<br />
SINU-LETS 28130 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54465, 54468<br />
SINUBID 28135 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54465, 54468 1945<br />
SINULIEF 28143 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50420, 51130, 54465 2087<br />
SINUNIL PELLSULE 28150 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, METHSCOPOLAMINE, PHENYLEPHRINE 51130, 53600, 54455<br />
SINUS RELIEF 28155 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL 50005, 70256 1941<br />
SINUS EXCEDRIN 28156 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL 50005, 70256 1720, 1941<br />
SINUSOL-D 28158 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE 50420, 51130<br />
SINUSTAT 28159 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54465, 54468<br />
SINUTAB LONG ACTING SINUS SPRAY 28175 XYLOMETAZOLINE 56240 2 6 1<br />
SINUTAB-II 28185 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE 50005, 54465 1945<br />
SIROIL EMULSION 28195 COMBINATION PRODUCT 51380 2 6 2 CRESOL, MERCURIC OLEATE 51425, 53407<br />
SK-AMPICILLIN 28205 AMPICILLIN 50275 1 6 1 0346<br />
SK-APAP 28210 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
SK-APAP W/CODEINE 28215 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
SK-CHLORAL HYDRATE 28230 CHLORAL HYDRATE 51040 1 4 1 0626<br />
SK-DEXAMETHASONE 28240 DEXAMETHASONE 51635 1 6 1 1032<br />
SK-DIGOXIN 28245 DIGOXIN 51780 1 6 1<br />
SK-DIPHENOXYLATE 28255 COMBINATION PRODUCT 51380 1 5 2 ATROPINE, DIPHENOXYLATE 50420, 51868 0875<br />
SK-DOXYCYCLINE HYCLATE 28258 DOXYCYCLINE 51965 1 6 1 0350<br />
SK-ERYTHROMYCIN 28260 ERYTHROMYCIN 52065 1 6 1 0348<br />
SK-FUROSEMIDE 28263 FUROSEMIDE 52385 1 6 1 0507<br />
SK-HYDROCHLOROTHIAZIDE 28265 HYDROCHLOROTHIAZIDE 52645 1 6 1 0507<br />
SK-LYGEN 28270 CHLORDIAZEPOXIDE 51055 1 4 1 0627<br />
SK-OXYCODONE W/ACETAMINOPHEN 28272 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE 50005, 54094 1721<br />
SK-METRONIDAZOLE 28273 METRONIDAZOLE 53700 1 6 1 0355<br />
SK-NIACIN 28275 NIACIN 53905 2 6 1<br />
SK-PENICILLIN G 28280 PENICILLIN 54250 1 6 1 0346<br />
SK-PENICILLIN VK 28285 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
SK-PHENOBARBITAL 28290 PHENOBARBITAL 54395 1 4 1 0626, 1374<br />
SK-PRAMINE 28295 IMIPRAMINE 52745 1 6 1 0630<br />
SK-PREDNISONE 28300 PREDNISONE 54775 1 6 1 1032<br />
SK-PROBENECID 28301 PROBENECID 54800 1 6 1 1725<br />
SK-QUINIDINE SULFATE 28305 QUINIDINE 55045 1 6 1 0502<br />
SK-RESERPINE 28310 RESERPINE 55080 1 6 1 0506<br />
SK-SOXAZOLE 28315 SULFISOXAZOLE 55590 1 6 1 0353<br />
SK-TETRACYCLINE 28320 TETRACYCLINE 55725 1 6 1 0350<br />
SK-TOLBUTAMIDE 28325 TOLBUTAMIDE 55880 1 6 1 1036<br />
SK-TRIAMCINOLONE 28330 TRIAMCINOLONE 55915 1 6 1 1268<br />
SK-65 APAP 28340 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE 50005, 54890 1721<br />
SKIN FREEZE 28356 COMBINATION PRODUCT 51380 1 6 2 DICHLORODIFLUOROMETHANE, TRICHLOROFLUOROMETHANE 51709, 55943<br />
SLEEP EZE 28363 PYRILAMINE 54995 2 6 1 1944<br />
SLEEPWELL 28364 PYRILAMINE 54995 2 6 1 1944<br />
SLO-PHYLLIN 28365 THEOPHYLLINE 55745 1 6 1 1940<br />
SLO-NIACIN 28366 NIACIN 53905 2 6 1 0913<br />
SLO-PHYLLIN GYROCAP 28375 THEOPHYLLINE 55745 1 6 1 1940<br />
SLOPRIN 28382 ASPIRIN 50410 1 6 1 1722, 1724, 1728<br />
SLYN-LL 28393 PHENDIMETRAZINE 54370 1 3 1 0631<br />
SMALLPOX VACCINE 28395 SMALLPOX VACCINE 55255 1 6 1 1180<br />
SMA LO IRON 28398 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
SMZ 28399 UNDETERMINED 50000 3 7 3 2000<br />
SOAKARE SOAKING 28405 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, EDETATE DISODIUM 50515, 52015 2087<br />
SOAP LINIMENT 28410 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CAMPHOR, ROSEMARY OIL, SOAP 50090, 50845, 55126, 55265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
SODA MINT 28420 SODIUM BICARBONATE 55280 2 6 1 0874<br />
SODANUX 28425 COMBINATION PRODUCT 51380 1 6 2 SODIUM BICARBONATE, STRYCHNINE 55280, 55505<br />
SODESTRIN 28430 ESTROGENS 52075 1 6 1 1034<br />
SODIUM ACETATE 28435 SODIUM ACETATE 55270 1 6 1 0915<br />
SODIUM AMINOSALICYCLATE 28440 AMINOSALICYLIC ACID 50220 1 6 1<br />
SODIUM BIPHOSPHATE 28460 SODIUM PHOSPHATE 55385 3 6 1 0876<br />
SODIUM BISULFATE 28465 SODIUM BISULFATE 55285 3 6 1<br />
SODIUM BISULFITE REAGENT 28470 SODIUM BISULFITE 55290 3 6 1<br />
SODIUM BORATE 28475 SODIUM BORATE 55295 3 6 1 2087<br />
SODIUM EROMIDE 28480 SODIUM BROMIDE 55300 1 6 1<br />
SODIUM CACODYLATE 28485 SODIUM CACODYLATE 55305 1 6 1<br />
SODIUM CHLORIDE (BENZYL ALCOHOL PRESERV) 28500 SODIUM CHLORIDE 55315 1 6 1 2095<br />
SODIUM CHLORIDE (PARABEN PRESERVED) 28505 SODIUM CHLORIDE 55315 1 6 1<br />
SODIUM CHLORIDE (PHYSIOLOGICAL SALINE) 28510 SODIUM CHLORIDE 55315 1 6 1 0915<br />
SODIUM CHLORIDE BACTERIOSTATIC 28520 SODIUM CHLORIDE 55315 1 6 1<br />
SODIUM CHLORIDE CONCENTRATE 28525 SODIUM CHLORIDE 55315 1 6 1<br />
SODIUM CHLORIDE DISPOS-A-VIAL 28530 SODIUM CHLORIDE 55315 1 6 1<br />
SODIUM CHLORIDE ENSEAL 28535 SODIUM CHLORIDE 55315 2 6 1<br />
SODIUM CHLORIDE FLIP TOP 28540 SODIUM CHLORIDE 55315 1 6 1<br />
SODIUM CHLORIDE HAEMO-VAC 28550 SODIUM CHLORIDE 55315 1 6 1<br />
SODIUM CHLORIDE INFLEX UNIT 28555 SODIUM CHLORIDE 55315 1 6 1<br />
SODIUM CHLORIDE IRRIGATION 28560 SODIUM CHLORIDE 55315 1 6 1 2095<br />
SODIUM CHLORIDE MURO 128 28565 SODIUM CHLORIDE 55315 1 6 1 1569<br />
SODIUM CITRATE 28575 SODIUM CITRATE 55320 1 6 1 0409<br />
SODIUM CITRATE W/BELLADONNA 28580 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, SODIUM CITRATE 50495, 55320<br />
SODIUM DEHYDROCHOLATE 28585 DEHYDROCHOLIC ACID 51585 1 6 1<br />
SODIUM DICHROMATE 28590 SODIUM DICHROMATE 55325 3 6 1<br />
SODIUM GLUTAMATE 28600 SODIUM GLUTAMATE 55335 3 7 1<br />
SODIUM HYPOCHLORITE 28610 SODIUM HYPOCHLORITE 55345 2 6 1 2087<br />
SODIUM IODIDE 28620 IODINE TOPICAL PREPARATIONS 52820 1 6 1 1037<br />
SODIUM LACTATE 28625 SODIUM LACTATE 55355 1 6 1 0915<br />
SODIUM LAURYL SULFATE 28630 SODIUM LAURYL SULFATE 55360 3 6 1 2095<br />
SODIUM LIO-THYRONINE 28635 LIOTHYRONINE 53110 1 6 1<br />
SODIUM NICOTINATE 28645 NIACIN 53905 1 6 1<br />
SODIUM NITRITE 28650 SODIUM NITRITE 57236 3 7 1 0281, 2095<br />
SODIUM PERBORATE 28660 SODIUM PERBORATE 55380 3 6 1<br />
SODIUM PHOSPHATE 28665 SODIUM PHOSPHATE 55385 1 6 1 0915<br />
SODIUM PHOSPHATE & BIPHOSPHATE 28670 COMBINATION PRODUCT 51380 2 6 2 SODIUM PHOSPHATE, SODIUM BIPHOSPHATE 55385, 59728 2087<br />
SODIUM SUCCINATE 28680 SODIUM SUCCINATE 55400 1 6 1<br />
SODIUM SULFACETAMIDE OPHTH 28683 SULFACETAMIDE 55525 1 6 1 1568<br />
SODIUM SULFATE 28685 SODIUM SULFATE 55405 2 6 1 0876<br />
SODIUM SULFITE 28690 SODIUM SULFITE 55410 3 6 1<br />
SODIUM THIOSALICYLATE 28695 SODIUM THIOSALICYLATE 55420 1 6 1 1720<br />
SODIUM THIOSULFATE 28700 SODIUM THIOSULFATE 55425 1 6 1<br />
SODIUM VERSENATE 28705 EDETATE DISODIUM 52015 1 6 1 0281, 0916, 1569<br />
SOFNER 28715 DOCUSATE 51935 2 6 1<br />
SOFT CARE 28718 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, POVIDONE, SODIUM BORATE, SODIUM CHLORIDE 50660, 54748, 55295, 55315<br />
SOFT MATE 28719 SODIUM CHLORIDE 55315 2 6 1 1569<br />
SOFTNER 28730 DOCUSATE 51935 2 6 1 0876<br />
SOLATENE 28745 BETA CAROTENE 50580 1 6 1 0913<br />
SOLFOTON 28755 PHENOBARBITAL 54395 1 4 1 0626<br />
SOLGANAL SUSPENSION 28760 AUROTHIOGLUCOSE 50435 1 6 1 1724<br />
SOLU-B MIX-O-VIAL 28775 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL, VITAMIN B 53780, 56340 0913<br />
SOLU-B-FORTE W/TRANSFER NEEDLE 28785 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN C 53915, 54990, 55105, 55755, 56193<br />
SOLU-CORTEF 28790 HYDROCORTISONE 52655 1 6 1 1032<br />
SOLUREX 28810 DEXAMETHASONE 51635 1 6 1 1032<br />
SOMA COMPOUND 28815 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CARISOPRODOL 50410, 50920 1373<br />
SOMA COMPOUND W/CODEINE 28820 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CARISOPRODOL, CODEINE PHOSPHATE 50410, 50920, 70231 1373<br />
SOMLYN W/PHENOBARBITAL 28835 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, PASSIFLORA EXTRACT, PHENOBARBITAL 52720, 54227, 54395<br />
SOMOPHYLLIN 28840 UNDETERMINED 50000 3 7 3 2000<br />
SONACIDE 28845 GLUTARALDEHYDE 52440 2 6 1<br />
SONIPHEN 28860 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, SODIUM NITRATE 54395, 55365 0504<br />
SOOTHE EYE 28865 PHENYLEPHRINE 54455 2 6 1 1569<br />
SOOTHOCAINE 28870 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, GLYCYRRHIZA, MENTHOL 50530, 52465, 53325<br />
SOPRODOL 28885 CARISOPRODOL 50920 1 6 1<br />
SOPRONOL 28895 COMBINATION PRODUCT 51380 2 6 2 SODIUM CAPRYLATE, SODIUM PROPIONATE 55308, 55393 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
SOQUETTE 28900 POLYVINYL ALCOHOL 54610 2 6 1 1569<br />
SORBIDE T.D. 28905 ISOSORBIDE 52935 1 6 1 0503<br />
SORETTS 28925 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, GLYCYRRHIZA, MENTHOL 50530, 52465, 53325<br />
SORQUAD 28930 ISOSORBIDE 52935 1 6 1<br />
SOSOL 28935 SULFISOXAZOLE 55590 1 6 1<br />
SOTRADECOL 28940 SODIUM SULFATE 55405 1 6 1 2087<br />
SOY-DOME CLEANSER 28950 COMBINATION PRODUCT 51380 1 6 2 HEXACHLOROPHENE, POVIDONE, SOYBEAN OIL 52560, 54748, 55440<br />
SOYBEAN OIL 28965 SOYBEAN OIL 55440 2 6 1 2100<br />
SPAN NIACIN 28975 NIACIN 53905 2 6 1<br />
SPANCAP C 28985 VITAMIN C 56193 2 6 1<br />
SPANCAP NO. 1 28990 DEXTROAMPHETAMINE 51665 1 2 1 0631<br />
SPANTUSS 29010 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, DEXTROMETHORPHAN, PHENYLEPHRINE 51130, 51670, 54455<br />
SPARINE 29015 PROMAZINE 54850 1 6 1 0628<br />
SPASMOJECT 29030 DICYCLOMINE 51730 1 6 1 0877<br />
SPASMOLIN 29035 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 54395, 55180, 70120, 70336 0874<br />
SPASMOLYTIC AGENT 29038 UNDETERMINED 50000 3 7 3<br />
SPASQUID ELIXIR 29045 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50090, 50420, 52720, 54395, 55180 0877<br />
SPASTOSED 29055 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50785, 53175<br />
SPEARMINT OIL 29065 SPEARMINT OIL 55445 2 6 1<br />
SPEC-T ANESTHETIC 29070 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CETYLPYRIDINIUM 50530, 51023 0117<br />
SPEC-T DECONGESTANT 29073 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL 50530, 70254, 70358 0117<br />
SPECTRO-BIOTIC 29075 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 50450, 70212, 70362 1271<br />
SPECTROBID 29078 BACAMPICILLIN 50447 1 6 1 0346<br />
SPECTROCIN 29080 COMBINATION PRODUCT 51380 2 6 2 GRAMICIDIN, NEOMYCIN 52478, 53895 1265<br />
SPEN-COLD IMPROVED 29095 COMBINATION PRODUCT 51380 2 6 2 ATROPINE, CHLORPHENIRAMINE, HYOSCYAMINE, PHENYLPROPANOLAMINE, SCOPOLAMINE HBR 50420, 51130, 52720, 54465, 55180<br />
SPEN-COLD PEDIATRIC COUGH SYRUP 29100 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PSEUDOEPHEDRINE 51670, 52490, 54960<br />
SPEN-COLD SPRAY 29105 COMBINATION PRODUCT 51380 2 6 2 CETALKONIUM CHLORIDE, PHENYLEPHRINE, PYRILAMINE 51015, 54455, 54995<br />
SPEN-HISTINE EXPECTORANT 29120 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, CODEINE, GUAIFENESIN, PHENYLPROPANOLAMINE 50090, 51340, 52490, 54465<br />
SPEN-IRON DROPS 29125 IRON PREPARATIONS 52885 2 6 1<br />
SPEN-O-LETS M 29130 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185<br />
SPENAXIN 29140 METHOCARBAMOL 53560 1 6 1<br />
SPENCORT 29150 TRIAMCINOLONE 55915 1 6 1<br />
SPENCORT FORTIFIED 29155 TRIAMCINOLONE 55915 1 6 1<br />
SPENCORT H.P. 29160 TRIAMCINOLONE 55915 1 6 1<br />
SPENDEC DM 29165 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, CARBINOXAMINE, DEXTROMETHORPHAN, GUAIFENESIN, PSEUDOEPHEDRINE 50090, 50900, 51670, 52490, 54960<br />
SPENDEPIOL 29170 ESTRADIOL 52070 1 6 1<br />
SPENDRISIN 29175 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54465, 54468<br />
SPENDUO 29180 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695<br />
SPENGINE 29185 ERGOLOID MESYLATES 52048 1 6 1<br />
SPENIACOL 29190 NICOTINYL ALCOHOL 53920 1 6 1<br />
SPENOX 29195 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
SPENSOMIDE 29205 BENZALKONIUM CHLORIDE 50515 2 6 1<br />
SPENTANE 29215 BROMPHENIRAMINE 50690 1 6 1<br />
SPENTANE EXPECTORANT 29225 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 52490, 54455, 54465<br />
SPENZIDE 29235 TRICHLORMETHIAZIDE 55930 1 6 1<br />
SPERTI 29238 COMBINATION PRODUCT 51380 2 6 2 PHENYLMERCURIC NITRATE, SHARK LIVER OIL, SKIN RESP FACTOR YEAST 54460, 55213, 55253 1265<br />
SPIRONAZIDE 29245 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, SPIRONOLACTONE 52645, 55460 0507<br />
SPIRONOLACTONE W/HYDROCHLOROTHIAZIDE 29255 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, SPIRONOLACTONE 52645, 55460 0507<br />
SSKI 29275 POTASSIUM IODIDE 54710 1 6 1 1943<br />
ST JOSEPH ASPIRIN CHILDREN 29277 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
ST JOSEPH DROPS FOR CHILDREN 29280 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
STANDARD CHEW 29295 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193<br />
STANOZOLOL 29308 STANOZOLOL 55470 1 3 1 1033<br />
STAPHAGE LYSATE BACTERIAL ANTIGEN 29310 STAPHAGE LYSATE 56333 1 6 1 1180<br />
STAPHCILLIN 29315 METHICILLIN 53535 1 6 1 0346<br />
STAPHYLOCOCCUS TOXOID DIGEST MODIFIED 29320 STAPHYLOCOCCUS TOXOID 55475 1 6 1<br />
STATICIN 29328 ERYTHROMYCIN 52065 1 6 1 1265<br />
STATOBEX 29330 PHENDIMETRAZINE 54370 1 3 1 0631<br />
STATOMIN MALEATE 29335 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE, CHLORPHENIRAMINE MALEATE 50005, 50745, 70226<br />
STEARIC ACID 29355 STEARIC ACID 55485 3 6 1<br />
STEARYL ALCOHOL USP 29360 STEARYL ALCOHOL 55490 3 6 1<br />
STERABEL 29375 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, ERGOTAMINE, PHENOBARBITAL 50495, 52055, 54395<br />
STERACHOL 29380 BETHANECHOL 50595 1 6 1<br />
STERADRIN 29385 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, SALICYLAMIDE 50005, 50410, 50745, 55150<br />
STERAFED 29390 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020 1945<br />
STERAFED SYRUP 29395 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
STERAHEX 29405 HEXACHLOROPHENE 52560 1 6 1<br />
STERAMINE 29420 COMBINATION PRODUCT 51380 1 6 2 ACETIC ACID, BENZALKONIUM CHLORIDE, CHLOROXYLENOL, HYDROCORTISONE, PRAMOXINE 50025, 50515, 51120, 52655, 54755 1670<br />
STERANE 29425 PREDNISOLONE 54770 1 6 1 1032<br />
STERAPHENATE 29430 BROMPHENIRAMINE 50690 1 6 1<br />
STERAPRED 29435 PREDNISONE 54775 1 6 1 1032<br />
STERASOL T.D. 29445 IRON PREPARATIONS 52885 2 6 1<br />
STERASOLINE 29450 PRIMIDONE 54795 1 6 1<br />
STERASPASMOL 29455 CYCLANDELATE 51465 1 6 1<br />
STERATANE 29460 TRIHEXYPHENIDYL 55975 1 6 1<br />
STERATAP PA 29465 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465<br />
STERAZYME 29475 COMBINATION PRODUCT 51380 1 6 2 BILE SALTS, PANCREATIN, PEPSIN 50613, 54160, 54310<br />
STERIDIUM 29485 PHENAZOPYRIDINE 54365 1 6 1<br />
STERINAL-200 29490 COMBINATION PRODUCT 51380 2 6 2 PETROLEUM DISTILLATE, PIPERONYL, PYRETHRINS 54332, 54523, 54983<br />
STEROTATE 29500 TESTOSTERONE 55695 1 3 1 1033<br />
STILBESTROL 29505 DIETHYLSTILBESTROL 51755 1 6 1 1034<br />
STILPHOSTROL 29510 DIETHYLSTILBESTROL 51755 1 6 1 1034<br />
STIMATE 29513 DESMOPRESSIN 51615 1 6 1 1038<br />
STIMULANT 29518 UNDETERMINED 50000 3 7 3 0631<br />
STIMULAX 29520 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
STOKES EXPECTORANT MIXTURE 29525 COMBINATION PRODUCT 51380 2 5 2 AMMONIUM CARBONATE, PAREGORIC, SENEGA FLUID EXTRACT, SQUILL, TOLU BALSAM 50244, 54215, 55198, 55463, 55893 1943<br />
STOP 29535 STANNOUS FLUORIDE 55465 1 6 1 0913<br />
STREPTASE 29560 STREPTOKINASE 55495 1 6 1 0409<br />
STREPTOMYCIN 29565 STREPTOMYCIN 55500 1 6 1 0352<br />
STRESS-VITES 29575 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 54990, 55105, 56192, 56193<br />
STRESS TABLETS PLUS IRON 29582 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12, VITAMIN C 54990, 55105, 55755, 56192, 56193 0913<br />
STRYCHNINE POWDER 29600 STRYCHNINE 55505 3 6 1<br />
STUART FORMULA 29605 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
STUARTINIC 29610 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, RIBOFLAVIN, THIMEROSAL, VITAMIN C 52885, 55105, 55770, 56193 0913<br />
STULEX 29625 DOCUSATE 51935 2 6 1<br />
SUBLIMAZE 29645 FENTANYL 52225 1 2 1 1721<br />
SUBY'S SOLUTION G 29650 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, SODIUM CARBONATE, MAGNESIUM OXIDE 51235, 55310, 56495 2095<br />
SUCARYL 29655 SACCHARIN 55140 2 6 1 2087<br />
SUCCINYLCHOLINE 29660 SUCCINYLCHOLINE 55510 1 6 1 0119<br />
SUCCINYLSULFATHIAZOLE 29665 SUCCINYLSULFATHIAZOLE 55515 3 7 1<br />
SUCRETS COLD DECONGESTANT 29685 PHENYLPROPANOLAMINE HCL 70254 2 6 1 1941<br />
SUCRETS COUGH CONTROL 29690 DEXTROMETHORPHAN HBR 70338 2 6 1 1943<br />
SUCROSE 29695 SUCROSE 55520 3 6 1 2095<br />
SUDAFED S.A. 29720 PSEUDOEPHEDRINE 54960 1 6 1 1941<br />
SUDAFED SYRUP 29725 PSEUDOEPHEDRINE 54960 2 6 1 1941<br />
SUDDEN TAN BRONZING FOAM 29735 COMBINATION PRODUCT 51380 2 6 2 DIHYDROXYACETONE, PADIMATE O 51792, 54157<br />
SUFEDRIN 29760 PSEUDOEPHEDRINE 54960 1 6 1 1941<br />
SUFEDRIN SYRUP 29765 PSEUDOEPHEDRINE 54960 2 6 1<br />
SUL-BLUE SHAMPOO 29775 SELENIUM SULFIDE 55195 2 6 1<br />
SULADYNE 29780 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFADIAZINE, SULFAMETHIZOLE 54365, 55540, 55550 0353<br />
SULF-10 29795 SULFACETAMIDE 55525 1 6 1 1568<br />
SULFA VAGINAL 29800 COMBINATION PRODUCT 51380 1 6 2 SULFACETAMIDE, SULFATHIAZOLE, SULFABENZAMIDE 55525, 55580, 57028 1265<br />
SULFACEL-15 29805 SULFACETAMIDE 55525 1 6 1 1568<br />
SULFACET-R LOTION 29810 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SULFACETAMIDE SODIUM 55610, 70214 1270<br />
SULFACETAMID 29815 SULFACETAMIDE 55525 1 6 1 1568<br />
SULFALAR 29830 SULFISOXAZOLE 55590 1 6 1<br />
SULFALOID 29835 COMBINATION PRODUCT 51380 1 6 2 SULFADIAZINE, SULFAMERAZINE, SULFAMETHAZINE 55540, 55543, 55548 0353<br />
SULFAMETHOPRIM 29838 UNDETERMINED 50000 1 6 3 0353<br />
SULFAMIDE OPHTHALMIC 29844 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE ACETATE, SULFACETAMIDE SODIUM 70158, 70214 1568<br />
SULFAMYLON 29845 MAFENIDE 53165 1 6 1 1265<br />
SULFAPYRIDINE 29860 SULFAPYRIDINE 55570 1 6 1 1265<br />
SULFASOX 29870 SULFISOXAZOLE 55590 1 6 1 0353<br />
SULFATHALIDINE 29880 PHTHALYLSULFATHIAZOLE 54485 1 6 1 2087<br />
SULFATHIAZOLE 29885 SULFATHIAZOLE 55580 1 6 1 0353<br />
SULFEM 29895 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, AMINACRINE, SULFANILAMIDE 50103, 50183, 55565 1860<br />
SULFINPYRAZONE 29898 SULFINPYRAZONE 55585 1 6 1 1725<br />
SULFISOXAZOLE 29900 SULFISOXAZOLE 55590 1 6 1 0353<br />
SULFISOXAZOLE W/PHENAZOPYRIDINE HCL 29905 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFISOXAZOLE 54365, 55590 0353, 0509<br />
SULFOBROMOPHTHALEIN 29920 SULFOBROMOPHTHALEIN 55595 1 6 1<br />
SULFONAMIDES DUPLEX 29925 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, SULFADIAZINE, SULFAMERAZINE 50090, 55540, 55543 0353<br />
SULFORCIN BASE 29930 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, RESORCINOL, SULFUR 50090, 55085, 55610 1265<br />
SULFOSALICYLIC ACID 29935 SULFOSALICYLIC ACID 55600 3 7 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
SULFOXYL LOTION REGULAR 29945 COMBINATION PRODUCT 51380 1 6 2 BENZOYL PEROXIDE, SULFUR 50550, 55610 1270<br />
SULFUR 29955 SULFUR 55610 3 6 1 1271<br />
SULFUR COLLOIDAL POWDER 29965 SULFUR 55610 2 6 1<br />
SULFUR FLOWERS 29970 SULFUR 55610 2 6 1<br />
SULFUR PRECIPITATED 29975 SULFUR 55610 2 6 1 1265<br />
SULFUR SUBLIMED 29985 SULFUR 55610 2 6 1 1265<br />
SULFUR W/CREAM OF TARTAR 29990 COMBINATION PRODUCT 51380 2 6 2 POTASSIUM BITARTRATE, SULFUR 54640, 55610<br />
SULFURATED POTASH USP 30000 POTASH SULFURATED 54615 3 6 1<br />
SULPHRIN 30008 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE, SULFACETAMIDE 54770, 55525 1568<br />
SULTRIN 30015 COMBINATION PRODUCT 51380 1 6 2 SULFACETAMIDE, SULFATHIAZOLE, SULFABENZAMIDE 55525, 55580, 57028 1271<br />
SUMACAL 30018 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
SUNSCREEN 30030 UNDETERMINED 50000 2 6 3 1269<br />
SUMYCIN 30035 TETRACYCLINE 55725 1 6 1 0350<br />
SUNDARE CLEAR LOTION 30045 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CINOXATE, METHYLCELLULOSE, PROPYLENE GLYCOL 50090, 51228, 53630, 54895<br />
SUNGARD 30055 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, OCTYL DIMETHYL PABA, OXYBENZONE 50090, 54005, 54093<br />
SUNSTICK LIP PROTECTANT 30065 DIGALLOYL TRIOLEATE 51765 2 6 1<br />
SUNSWEPT 30070 DIGALLOYL TRIOLEATE 51765 2 6 1<br />
SUPEN 30080 AMPICILLIN 50275 1 6 1 0346<br />
SUPER AFKO-HIST 30085 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, CHLORPHENIRAMINE, PHENACETIN 50410, 50745, 51130, 54350<br />
SUPER ANAHIST 30090 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE 50005, 54465<br />
SUPER ANAHIST SPRAY 30095 PHENYLEPHRINE 54455 2 6 1<br />
SUPER B COMPLEX W/C LIVER IRON & B-12 30100 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12 53915, 54990, 55105, 56192 0913<br />
SUPER C-500 30103 VITAMIN C 56193 2 6 1 0913<br />
SUPER DOSS 30110 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, YEAST 51935, 56250<br />
SUPER STRESS 600 30121 MULTIVITAMINS 53805 2 6 2 0913<br />
SUPER STRESS 600 W/IRON 30122 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PANTOTHENIC ACID, RIBOFLAVIN, THIAMINE, VITAMIN E 53905, 54175, 55105, 55755, 56195<br />
SUPER WESTVITE 30123 COMBINATION PRODUCT 51380 2 6 2 BIOTIN, FOLIC ACID, IRON PREPARATIONS, MINERALS, MULTIVITAMINS GENERAL 50620, 52355, 52885, 53723, 53780<br />
SUPERCITIN 30133 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, DEXTROMETHORPHAN 50005, 51130, 51670<br />
SUPPAP 30140 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
SUPPORT 30145 DIETARY SUPPLEMENT 51740 2 6 1 0913<br />
SUPPRESSATE 30150 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
SURBEX 30155 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
SURBEX 750 W/ZINC 30170 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53905, 54990, 55105, 55755, 56192 0913<br />
SURBEX-T W/DEXTROSE 5% 30180 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN C 51675, 53915, 55105, 55755, 56193<br />
SURFACAINE 30185 CYCLOMETHYCAINE 51475 2 6 1 1265<br />
SURFADIL 30190 DIPHENHYDRAMINE 51860 2 6 1 1265<br />
SURFOL BATH OIL 30200 COMBINATION PRODUCT 51380 2 6 2 ISOPROPYL MYRISTATE, ISOSTEARIC ACID, MINERAL OIL 52928, 52936, 53720 1265<br />
SURGI-SEP 30210 POVIDONE-IODINE 54749 2 6 1<br />
SURGICEL 30215 CELLULOSE 50975 1 6 1 0411<br />
SURGILUBE 30220 UNDETERMINED 50000 2 6 3 1265<br />
SURIN 30225 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, METHACHOLINE, METHYL SALICYLATE 50845, 53325, 53465, 53620 2087<br />
SURITAL 30230 THIAMYLAL 55760 1 3 1 0118<br />
SURMONTIL 30235 TRIMIPRAMINE 56005 1 6 1 0630<br />
SUSTAGEN 30250 DIETARY SUPPLEMENT 51740 2 6 1 0914<br />
SUSTAIRE 30255 THEOPHYLLINE 55745 1 6 1 1940<br />
SUX-CERT 30265 UNDETERMINED 50000 3 7 3 2000<br />
SWEETER 30285 SACCHARIN 55140 2 6 1 2087<br />
SYLLACT 30295 PSYLLIUM 54965 2 6 1 0876<br />
SYMPATHOLYTIC AGENT 30308 UNDETERMINED 50000 3 7 3<br />
SYMPTROL 30328 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 51130, 54465 1945<br />
SYNACORT 30329 HYDROCORTISONE 52655 1 6 1 1265<br />
SYNALGOS 30335 UNDETERMINED 50000 3 7 3 2000<br />
SYNALGOS-DC 30340 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, DIHYDROCODEINE BITARTRATE 50410, 50745, 70405 1721<br />
SYNCELAX 30350 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 2087<br />
SYNEMOL 30365 FLUOCINOLONE 52305 1 6 1 1268<br />
SYNKAYVITE 30370 VITAMIN K 56198 1 6 1 0411<br />
SYNOPHYLATE 30375 THEOPHYLLINE 55745 1 6 1 1940<br />
SYNTHETAR 30390 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, ZINC TOPICAL AGENTS, EXTERNAL USE 51305, 56265 1200<br />
SYNTHROX 30398 LEVOTHYROXINE 53065 1 6 1 1037<br />
SYRACOL 30410 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, PHENYLEPHRINE HCL 51670, 70358 1941, 1945<br />
T CAINE 30420 BENZOCAINE 50530 2 6 1<br />
T.E.P. 30435 COMBINATION PRODUCT 51380 2 5 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 1940<br />
T.H.P. 30440 TRIHEXYPHENIDYL 55975 1 6 1 1371<br />
T-E-P 30450 COMBINATION PRODUCT 51380 2 5 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 1940<br />
T/SAL 30472 UNDETERMINED 50000 3 7 3 2000<br />
TABRON 30475 COMBINATION PRODUCT 51380 1 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TACARYL 30480 METHDILAZINE 53525 1 6 1 1944<br />
TACE 30485 CHLOROTRIANISENE 51110 1 6 1 1034<br />
TALACEN 30513 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PENTAZOCINE HCL 50005, 70591 1721<br />
TALWIN COMPOUND 30530 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, PENTAZOCINE HCL 50410, 70591 1721<br />
TALWIN 30535 PENTAZOCINE 54290 1 4 1 1721<br />
TALWIN LACTATE 30540 PENTAZOCINE 54290 1 4 1 1721<br />
TANDEARIL 30555 OXYPHENBUTAZONE 54140 1 6 1<br />
TANNIC ACID 30565 TANNIC ACID 55655 2 6 1 1275<br />
TAO 30575 OLEANDOMYCIN 54020 1 6 1 0348<br />
TAPAR 30580 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
TAR 30590 COAL TAR 51305 3 6 1 1274<br />
TARACTAN 30595 CHLORPROTHIXENE 51160 1 6 1 0628<br />
TARPASTE 30610 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, HYDROCORTISONE, ZINC TOPICAL AGENTS, EXTERNAL USE 51305, 52655, 56265<br />
TARTARIC ACID 30615 TARTARIC ACID 55665 3 6 1<br />
TAUROPHYLLIN 30625 COMBINATION PRODUCT 51380 2 6 2 CASCARA, OX BILE EXTRACT, PHENOLPHTHALEIN 50935, 54065, 54405<br />
TAXOL 30635 PACLITAXEL 56795 1 6 1 1479<br />
TAYSTRON 30640 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, THIMEROSAL, VITAMIN B-12, VITAMIN C 52885, 55770, 56192, 56193<br />
TEARS PLUS 30660 POLYVINYL ALCOHOL 54610 2 6 1 1569<br />
TEDRAL 30670 COMBINATION PRODUCT 51380 2 6 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 1940<br />
TEDRAL EXPECTORANT 30685 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, GUAIFENESIN, PHENOBARBITAL, THEOPHYLLINE 52035, 52490, 54395, 55745<br />
TEEBACIN 30700 AMINOSALICYLIC ACID 50220 1 6 1 0356<br />
TEEBACONIN 30705 ISONIAZID 52915 1 6 1 0356<br />
TEEV 30720 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL VALERATE, TESTOSTERONE ENANTHATE 70375, 70376 1033, 1034<br />
TEGAMIDE 30723 TRIMETHOBENZAMIDE 56000 1 6 1 1671<br />
TEGOPEN 30725 CLOXACILLIN 51300 1 6 1 0346<br />
TEGRIN 30735 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, COAL TAR 50000, 51305 1265<br />
TELDRIN 30740 CHLORPHENIRAMINE 51130 2 6 1 1944<br />
TEMARIL 30755 TRIMEPRAZINE 55985 1 6 1 1944<br />
TENAX 30775 UNDETERMINED 50000 3 7 3 2000<br />
TENOL 30780 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
TENUATE 30790 DIETHYLPROPION 51750 1 4 1 0631<br />
TEPANIL 30795 DIETHYLPROPION 51750 1 4 1 0631<br />
TERAZOL 30800 TERCONAZOLE 80014 1 6 1 0358<br />
TERFONYL 30810 COMBINATION PRODUCT 51380 1 6 2 SULFADIAZINE, SULFAMERAZINE, SULFAMETHAZINE 55540, 55543, 55548 0353<br />
TERPHAN ELIXIR 30815 COMBINATION PRODUCT 51380 2 6 2 TERPIN HYDRATE, DEXTROMETHORPHAN HBR 55675, 70338<br />
TERPIN HYDRATE ELIXIR 30835 TERPIN HYDRATE 55675 2 6 1<br />
TERPIN HYDRATE W/DEXTROMETHORPHAN 30840 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, TERPIN HYDRATE 51670, 55675<br />
TERRA-CORTRIL 30845 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE ACETATE, OXYTETRACYCLINE HCL 70334, 70594 1670<br />
TERRAMYCIN W/POLYMYXIN B SULFATE 30855 COMBINATION PRODUCT 51380 2 6 2 POLYMYXIN B, POLYMYXIN B SULFATE 70011, 70212 1670<br />
TERSASEPTIC 30865 TRICLOSAN 55947 1 6 1<br />
TESIONATE 30873 TESTOSTERONE 55695 1 3 1 1033<br />
TESTA ESTRA C 30885 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695<br />
TESTA-C 30890 TESTOSTERONE 55695 1 3 1 1033<br />
TESTADIATE DEPO 30895 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
TESTAQUA 30900 TESTOSTERONE 55695 1 3 1 1033, 1479<br />
TESTOJECT 30910 TESTOSTERONE 55695 1 3 1 1033<br />
TESTOLIN SUSPENSION 30914 TESTOSTERONE 55695 1 3 1 1033, 1479<br />
TESTOSTERONE ENANTHATE 30930 TESTOSTERONE 55695 1 3 1 1033<br />
TESTOSTERONE METHYL 30945 METHYLTESTOSTERONE 53670 1 3 1 1033<br />
TESTOSTERONE PROPIONATE 30950 TESTOSTERONE 55695 1 3 1 1033<br />
TESTOSTERONE SUSPENSION 30955 TESTOSTERONE 55695 1 3 1 1033<br />
TESTOSTERONE-ESTRONE 30960 COMBINATION PRODUCT 51380 1 6 2 ESTRONE, TESTOSTERONE 52080, 55695 1033<br />
TESTOSTERONE-25 30970 TESTOSTERONE 55695 1 3 1 1033<br />
TESTOSTERONE/ESTRADIOL 30972 UNDETERMINED 50000 1 6 3 1033, 1034<br />
TESTRED 30980 METHYLTESTOSTERONE 53670 1 3 1 1033<br />
TESTRIN-P.A. 30985 TESTOSTERONE ENANTHATE 70376 1 3 1 1033<br />
TETANUS ANTITOXIN 31000 TETANUS ANTITOXIN 55700 1 6 1 1180<br />
TETANUS DIPHTHERIA TOXOID 31005 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, TETANUS TOXOID 51910, 55710 1180<br />
TETANUS IMMUNE GLOBULIN 31010 TETANUS IMMUNE GLOBULIN 55705 1 6 1 1180, 1183<br />
TETRA 31020 TETRACYCLINE 55725 1 6 1 0350<br />
TETRACAINE 31025 TETRACAINE 55715 1 6 1 0117, 1275, 1569<br />
TETRACON 31040 TETRACYCLINE 55725 1 6 1 0350<br />
TETRACYN 31055 TETRACYCLINE 55725 1 6 1 0350<br />
TETRAHYDROZOLINE HCL 31058 TETRAHYDROZOLINE 55730 2 6 1 1570<br />
TETRASINE 31068 TETRAHYDROZOLINE 55730 2 6 1 1570<br />
TETREX 31075 TETRACYCLINE 55725 1 6 1 0350<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
THALITONE 31093 CHLORTHALIDONE 51170 1 6 1 0507<br />
THANTIS 31105 COMBINATION PRODUCT 51380 2 6 2 MERALEIN SODIUM, SALICYL ALCOHOL 53373, 55148 1265<br />
THEO-LIX 31130 UNDETERMINED 50000 3 7 3 2000<br />
THEOBID 31145 THEOPHYLLINE 55745 1 6 1 1940<br />
THEOBROMINE 31150 THEOBROMINE 55735 1 6 1 0626, 2087<br />
THEOBROMINE SODIUM SALICYLATE 31155 THEOBROMINE 55735 1 6 1<br />
THEOCLEAR 31165 THEOPHYLLINE 55745 1 6 1 1940<br />
THEODRINE 31175 COMBINATION PRODUCT 51380 1 5 2 THEOPHYLLINE, EPHEDRINE HCL 55745, 70350 1940<br />
THEOFEDRAL 31185 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 1940<br />
THEOFENAL 31190 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745<br />
THEOGEN 31193 ESTROGENS 52075 1 6 1 1034<br />
THEOKIN 31195 UNDETERMINED 50000 3 7 3 2000<br />
THEOLATE 31205 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940<br />
THEOLIXIR 31210 THEOPHYLLINE 55745 1 6 1 1940<br />
THEOPHOZINE 31220 UNDETERMINED 50000 3 7 3 2000<br />
THEOPHYLLIN ELIXIR 31230 THEOPHYLLINE 55745 1 6 1 1940<br />
THEOPHYLLINE COMPOUND 31240 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745<br />
THEOPHYLLINE ELIXIR 31245 THEOPHYLLINE 55745 1 6 1 1940<br />
THEOPHYLLINE KI ELIXIR 31250 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM IODIDE, THEOPHYLLINE 54710, 55745 1940<br />
THEOPHYLLINE T.D. 31255 THEOPHYLLINE 55745 1 6 1<br />
THEOPHYLLINE EPHEDRINE HYDROXYZINE 31258 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, HYDROXYZINE, THEOPHYLLINE 52035, 52715, 55745<br />
THEOPHYLLINE-EPHEDRINE-PHENOBARBITAL 31260 COMBINATION PRODUCT 51380 2 5 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 1940<br />
THEOPHYLLINE/GUAIFENESIN 31263 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940, 1943<br />
THEOSPAN 31265 THEOPHYLLINE 55745 1 6 1 1940<br />
THEOVENT 31275 THEOPHYLLINE 55745 1 6 1 1940<br />
THEOZINE 31280 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, HYDROXYZINE, THEOPHYLLINE 52035, 52715, 55745 1940, 1941, 1944<br />
THERA SPANCAP 31285 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53905, 54990, 55105, 55755, 56192<br />
THERA-COMBEX 31295 COMBINATION PRODUCT 51380 2 6 2 PANTHENOL, VITAMIN C, VITAMIN B COMPLEX 54173, 56193, 56345 0913<br />
THERABID 31315 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
THERA-GESIC BALM 31318 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE 53325, 53620 1200<br />
THERACEBRIN 31320 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN 53915, 54175, 54990, 55105 0913<br />
THERAGRAN HEMATINIC 31330 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, MULTIVITAMINS GENERAL 52885, 53780 0913<br />
THERAGRAN-Z 31340 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN B-12 54990, 55105, 55755, 56185, 56192<br />
THERALAX 31345 BISACODYL 50630 2 6 1 0876<br />
THERAMEAD 31360 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193<br />
THERAPADS 31365 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, SALICYLIC ACID 50090, 55160<br />
THERAPAX 31373 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
THERAPEUTIC FORMULA VITAMIN 31380 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
THERAPEUTIC HEMATINIC 31383 UNDETERMINED 50000 1 6 3 0913<br />
THERAPEUTIC MULTIVITAMIN 31390 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN A, VITAMIN B-12 54990, 55105, 56185, 56192 0913<br />
THERAVIM 31408 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL, NIACINAMIDE 53780, 53915 0913<br />
THEREGRAN JR 31412 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, FOLIC ACID, VITAMIN A, VITAMIN C, VITAMIN E 52045, 52355, 56185, 56193, 56195 0913<br />
THEX FORTE 31428 MULTIVITAMINS 53805 2 6 2 0913<br />
THI-CIN 31430 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID, SODIUM BENZOATE, SODIUM BICARBONATE, SODIUM BORATE, SODIUM CHLORIDE 55160, 55275, 55280, 55295, 55315<br />
THI-CO-LIX ELIXIR 31435 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50811, 53915, 54990, 55105, 55755<br />
THIAMINE ELIXIR 31450 THIAMINE 55755 2 6 1 0913<br />
THIAMINE HCL ELIXIR 31460 THIAMINE 55755 2 6 1 0913<br />
THIAPHYLL 31470 COMBINATION PRODUCT 51380 3 6 2 CHLOROPHYLL, SULFATHIAZOLE 51085, 55580 1265<br />
THIMEROSAL 31480 THIMEROSAL 55770 2 6 1 1264<br />
THIOCYL 31483 SODIUM THIOSALICYLATE 55420 1 6 1 1722, 1724<br />
THIODYNE 31485 SODIUM THIOSALICYLATE 55420 1 6 1 1722, 1724<br />
THIOGUANINE 31490 THIOGUANINE 55775 1 6 1 1479<br />
THIOPENTAL 31505 THIOPENTAL 55780 1 6 1 0118<br />
THIOSULFIL 31515 SULFAMETHIZOLE 55550 1 6 1 0353<br />
THIOSULFIL DUO-PAK 31520 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFAMETHIZOLE 54365, 55550 0353<br />
THIOSULFIL-A 31530 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFAMETHIZOLE 54365, 55550 0353<br />
THIOSULFIL-A FORTE 31535 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFAMETHIZOLE 54365, 55550 0353<br />
THIOTEPA 31540 THIOTEPA 55790 1 6 1 1482<br />
THREE BROMIDES ELIXIR 31565 UNDETERMINED 50000 2 7 3 2000<br />
THROAT DISC 31580 COMBINATION PRODUCT 51380 2 6 2 CAPSICUM, MINERAL OIL, PEPPERMINT 50868, 53720, 54305 1265<br />
THROAT LOZENGE NEO-VADRIN 31585 UNDETERMINED 50000 2 6 3 0913<br />
THROAT PREPARATION 31588 UNDETERMINED 50000 3 7 3 1200<br />
THROMBIN TOPICAL 31590 THROMBIN 55810 1 6 1 1265<br />
THROMBINAR 31593 THROMBIN 55810 1 6 1 0411<br />
THROMBOGEN 31594 THROMBIN 55810 1 6 1<br />
THROMBOLYSIN 31595 FIBRINOLYSIN 52270 1 6 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
THROMBOSTAT 31599 THROMBIN 55810 1 6 1 0411<br />
THYMOL 31600 THYMOL 55815 3 6 1 2095<br />
THYMOL IODIDE 31605 THYMOL 55815 3 6 1<br />
THYPINONE 31610 PROTIRELIN 54935 1 6 1 1037<br />
THYRO-TERIC 31620 THYROID 55825 1 6 1 1037<br />
THYROGLOBULIN 31625 UNDETERMINED 50000 3 7 3 2000<br />
THYROLAR 31635 LIOTRIX 53115 1 6 1 1037<br />
TICAR 31645 TICARCILLIN 55835 1 6 1 0346<br />
TICARCILLIN 31650 TICARCILLIN 55835 1 6 1 0346<br />
TIMED COLD CAPSULE 31657 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 51130, 54465 1945<br />
TIMOLIDE 31659 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, TIMOLOL MALEATE 52645, 70366 0506<br />
TING 31680 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZOIC ACID, BORIC ACID, ZINC TOPICAL AGENTS, EXTERNAL USE 50090, 50538, 50660, 56265 1265<br />
TING SOAP 31685 UNDECYLENIC ACID 56110 2 6 1<br />
TINVER LOTION 31695 COMBINATION PRODUCT 51380 1 6 2 ISOPROPYL ALCOHOL, SALICYLIC ACID, SODIUM THIOSULFATE 52925, 55160, 55425 1265<br />
TIREND 31700 CAFFEINE 50745 2 6 1 0631<br />
TITAN 31715 CONTACT LENS SOLUTION 51390 2 6 1 1571<br />
TITRALAC 31720 CALCIUM CARBONATE 50785 2 6 1 0874<br />
TOCOPHER 31730 VITAMIN E 56195 2 6 1<br />
TOCOPHERYL 31735 D-ALPHA TOCOPHERYL 51523 2 6 1 0913<br />
TOLECTIN 31760 TOLMETIN SODIUM 55885 1 6 1 1724, 1727<br />
TOLMETIN 31780 TOLMETIN SODIUM 55885 1 6 1 1727<br />
TOLU-SED 31785 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, GUAIFENESIN, CODEINE PHOSPHATE 50090, 52490, 70231 1943<br />
TONAVITE M 31795 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53915, 54990, 55105, 55755, 56192 0913<br />
TONEBEC 31800 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN 53915, 54175, 54990, 55105<br />
TONECOL 31805 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, DEXTROMETHORPHAN, GUAIFENESIN, PHENYLEPHRINE, SODIUM CITRATE 51130, 51670, 52490, 54455, 55320<br />
TONO B WAFER 31820 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, RIBOFLAVIN, THIAMINE 52885, 55105, 55755<br />
TOPICORT EMOLLIENT 31830 DESOXIMETASONE 51625 1 6 1 1265<br />
TOPICYCLINE 31835 TETRACYCLINE 55725 1 6 1 1265<br />
TORA 31845 PHENTERMINE 54430 1 4 1 0631<br />
TORECAN 31850 THIETHYLPERAZINE 55765 1 6 1 1671<br />
TOTACILLIN 31870 AMPICILLIN 50275 1 6 1 0346<br />
TOTAL 31875 CONTACT LENS SOLUTION 51390 2 6 1 1571<br />
TOTAL B W/C 31880 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53905, 54175, 54990, 55105, 55755 0913<br />
TOTAL ECLIPSE 31885 COMBINATION PRODUCT 51380 2 6 2 OCTYL DIMETHYL PABA, OXYBENZONE, PADIMATE O 54005, 54093, 54157<br />
TRACE METAL 31903 MINERALS 53723 1 6 1 0915<br />
TRAGACANTH 31910 TRAGACANTH 55895 3 6 1<br />
TRAL 31915 HEXOCYCLIUM 52585 1 6 1 0877<br />
TRANCAPS 31923 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465 2087<br />
TRANCOPAL 31925 CHLORMEZANONE 51066 1 6 1 0627<br />
TRANMEP 31930 MEPROBAMATE 53370 1 4 1 0627<br />
TRANTOIN 31940 NITROFURANTOIN 53930 1 6 1 0354<br />
TRAV-AREX 31955 DIMENHYDRINATE 51810 2 6 1 1944<br />
TRAVAD PREFILLED B.E. 31965 BARIUM SULFATE 50480 1 6 1 0915<br />
TRAVAMULSION I.V. FAT EMULSION 31968 FAT EMULSION 52213 1 6 1 0914<br />
TRAVASOL 31975 AMINO ACIDS 50185 1 6 1 0914<br />
TRAVASOL NUTRITION KIT 31980 COMBINATION PRODUCT 51380 1 6 2 AMINO ACIDS, DEXTROSE 50185, 51675<br />
TRAVASOL W/ELECTROLYTE 31985 COMBINATION PRODUCT 51380 1 6 2 ACETATE ION, AMINO ACIDS, POTASSIUM ION, SODIUM ION, MAGNESIUM ION 50018, 50185, 54713, 55348, 57024 0914<br />
TRAVERT 10% IN SODIUM CHLORIDE 0.9% 31995 COMBINATION PRODUCT 51380 1 6 2 ELECTROLYTES, INVERT SUGAR 52023, 52800<br />
TREMIN 32005 TRIHEXYPHENIDYL 55975 1 6 1 1371<br />
TRENDAR 32010 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PAMABRON 50005, 54158 1722<br />
TREXAN 32017 NALTREXONE HYDROCHLORIDE 53868 1 6 1 0281<br />
TRI HIST 32030 COMBINATION PRODUCT 51380 1 6 2 PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE MALEATE 54385, 54465, 70394 1941, 1944<br />
TRI HIST DM SYRUP 32035 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, DEXTROMETHORPHAN, PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE 50245, 51670, 54385, 54465, 54995 1941, 1943, 1944<br />
TRI KORT 32045 TRIAMCINOLONE 55915 1 6 1 1032<br />
TRI OPH 32048 COMBINATION PRODUCT 51380 1 6 2 BORIC ACID, PREDNISOLONE, SODIUM BORATE, SULFACETAMIDE 50660, 54770, 55295, 55525 1568<br />
TRI TINIC 32050 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN B-12, VITAMIN C 52355, 52885, 53125, 56192, 56193 0913<br />
TRI-CLEAR 32052 UNDETERMINED 50000 2 6 3 1941, 1943<br />
TRI-HYDROSERPINE 32065 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE, HYDRALAZINE HCL 52645, 55080, 70339 0507, 0508<br />
TRI-K 32075 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM ALKALINIZING AGENTS 54620 0915<br />
TRI-MINE 32090 COMBINATION PRODUCT 51380 1 6 2 PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE 54385, 54465, 54995<br />
TRI-MINE EXPECTORANT 32095 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE 52490, 54385, 54465, 54995 1941, 1943, 1944<br />
TRI-THALMIC 32130 COMBINATION PRODUCT 51380 1 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011 1568<br />
TRI-VERT 32135 COMBINATION PRODUCT 51380 1 6 2 DIMENHYDRINATE, NIACIN, PENTYLENETETRAZOL 51810, 53905, 54300 1671<br />
TRI-VI-SOL 32145 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
TRIACET 32150 TRIAMCINOLONE 55915 1 6 1 1265<br />
TRIAFED 32175 COMBINATION PRODUCT 51380 2 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256 1945<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TRIAFED C EXPECTORANT 32180 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN, PSEUDOEPHEDRINE, TRIPROLIDINE 51340, 52490, 54960, 56020 1941, 1943, 1944<br />
TRIAFED SYRUP 32185 COMBINATION PRODUCT 51380 2 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256<br />
TRIAMCINOLONE ACETONIDE 32200 TRIAMCINOLONE 55915 1 6 1 1265<br />
TRIAMCINOLONE DIACETATE 32205 TRIAMCINOLONE 55915 1 6 1 1032<br />
TRIAMCINOLONE NYSTATIN 32210 COMBINATION PRODUCT 51380 1 6 2 NYSTATIN, TRIAMCINOLONE ACETONIDE 53995, 70307 1200<br />
TRIAMINIC DM 32215 COMBINATION PRODUCT 51380 2 6 2 PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 70254, 70338 1941, 1943<br />
TRIAMINIC INFANT DROPS 32235 COMBINATION PRODUCT 51380 1 6 2 PHENYLPROPANOLAMINE HCL, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 70254, 70394, 70407 1941, 1944<br />
TRIAMINIC 32245 COMBINATION PRODUCT 51380 2 6 2 PHENYLPROPANOLAMINE HCL, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 70254, 70394, 70407 1941, 1944<br />
TRIAMINIC TIMED-RELEASE 32250 COMBINATION PRODUCT 51380 1 6 2 PHENYLPROPANOLAMINE HCL, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 70254, 70394, 70407<br />
TRIAMINICIN 32255 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50005, 51130, 54465 1945<br />
TRIAMINICOL SYRUP 32265 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 70226, 70254, 70338 1941, 1943, 1944<br />
TRIAMTERENE 32273 TRIAMTERENE 55925 1 6 1 0507<br />
TRIANIDE 32274 TRIAMCINOLONE 55915 1 6 1 1032<br />
TRIBARB 32295 COMBINATION PRODUCT 51380 1 2 2 BUTABARBITAL, PHENOBARBITAL, SECOBARBITAL 50720, 54395, 55185<br />
TRIBIOTIC OPHTHALMIC 32298 COMBINATION PRODUCT 51380 1 6 2 BACITRACIN, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 50450, 70212, 70362 1568<br />
TRICHLOREX 32299 TRICHLORMETHIAZIDE 55930 1 6 1 0506<br />
TRICHLORMETHIAZIDE 32300 TRICHLORMETHIAZIDE 55930 1 6 1 0506, 0507<br />
TRICHLORMETHIAZIDE W/RESERPINE 32305 COMBINATION PRODUCT 51380 1 6 2 RESERPINE, TRICHLORMETHIAZIDE 55080, 55930 0506<br />
TRICHLOROETHYLENE 32315 TRICHLOROETHYLENE 55940 3 6 1 2000<br />
TRICHOLAN 32320 UNDETERMINED 50000 3 7 3 2000<br />
TRICHOMONACIDE 32323 UNDETERMINED 50000 3 7 3<br />
TRICHOTINE 32325 COMBINATION PRODUCT 51380 2 6 2 SODIUM BORATE, SODIUM LAURYL SULFATE, SODIUM PERBORATE 55295, 55360, 55380 1265<br />
TRICONOL 32340 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, AMINACRINE, SULFANILAMIDE 50103, 50183, 55565<br />
TRIDESILON 32345 DESONIDE 51620 1 6 1 1268<br />
TRIDIHEXETHYL CL 25MG MEPROBAMATE 200MG 32350 COMBINATION PRODUCT 51380 1 6 2 MEPROBAMATE, TRIDIHEXETHYL CHLORIDE 53370, 55950<br />
TRIDIL 32353 NITROGLYCERIN 53945 1 6 1 0503<br />
TRIDIONE 32355 TRIMETHADIONE 55990 1 6 1 1374<br />
TRIETHANOLAMINE 32360 TROLAMINE 56030 3 6 1 1275<br />
TRIFED 32361 COMBINATION PRODUCT 51380 1 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256 1941, 1944<br />
TRIGESIC 32365 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE 50005, 50410, 50745 1723<br />
TRIHEXIDYL 32380 TRIHEXYPHENIDYL 55975 1 6 1 1371<br />
TRILION 32400 UNDETERMINED 50000 3 7 3 2000<br />
TRILOG 32410 TRIAMCINOLONE 55915 1 6 1 1032<br />
TRILONE 32415 TRIAMCINOLONE 55915 1 6 1 1032<br />
TRIMCAPS 32422 PHENDIMETRAZINE 54370 1 3 1 0631<br />
TRIMETHOPRIM W/SULFASOXAZOLE 32423 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
TRIMINOL COUGH SYRUP 32425 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 70226, 70254, 70338 1941, 1943, 1944<br />
TRIMOX 32430 AMOXICILLIN 50260 1 6 1 0346<br />
TRIMTABS 32440 PHENDIMETRAZINE 54370 1 3 1 0631<br />
TRINALIN REPETABS 32443 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, AZATADINE MALEATE 70256, 70597 1944<br />
TRIND SYRUP 32445 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
TRIOSULFON DMM 32475 COMBINATION PRODUCT 51380 1 6 2 SULFADIAZINE, SULFAMERAZINE, SULFAMETHAZINE 55540, 55543, 55548<br />
TRIPALGEN SYRUP 32485 COMBINATION PRODUCT 51380 2 6 2 PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE 54385, 54465, 54995 1941, 1944<br />
TRIPELENNAMINE 32490 TRIPELENNAMINE 56015 1 6 1 1944<br />
TRIPLE SULFOID 32535 TRISULFAPYRIMIDINES 70640 1 6 1 0353<br />
TRIPLE VITAMIN DROPS 32540 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, VITAMIN A, VITAMIN C 52045, 56185, 56193 0913<br />
TRIPLEX 32543 COMBINATION PRODUCT 51380 2 6 2 PIPERONYL, PYRETHRINS 54523, 54983 1863<br />
TRIPLEN 32545 TRIPELENNAMINE 56015 1 6 1 1944<br />
TRIPTAZINE 32565 COMBINATION PRODUCT 51380 1 6 2 AMITRIPTYLINE, PERPHENAZINE 50230, 54320 0630<br />
TRISTOJECT 32595 TRIAMCINOLONE 55915 1 6 1 1032<br />
TRISULFAM 32597 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997<br />
TRISULFAPYRIMIDINES 32600 COMBINATION PRODUCT 51380 1 6 2 TRISULFAPYRIMIDINES 70640<br />
TRIVITAMIN DROPS 32610 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, VITAMIN A, VITAMIN C 52045, 56185, 56193 0913<br />
TROBICIN 32615 SPECTINOMYCIN 55450 1 6 1 0355<br />
TROCAINE 32620 BENZOCAINE 50530 2 6 1 1946<br />
TROCAL 32625 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
TROCINATE 32630 THIPHENAMIL 55800 1 6 1 0874<br />
TROFAN 32635 TRYPTOPHAN 56050 2 6 1 2087<br />
TROPH-IRON 32650 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, THIAMINE, VITAMIN B-12 52885, 55755, 56192 0913<br />
TROPHITE 32655 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN B COMPLEX 52885, 56345 0913<br />
TROPICAMIDE 32658 TROPICAMIDE 56045 1 6 1 1567<br />
TRYLONE 32659 TRIAMCINOLONE 55915 1 6 1<br />
TRYMEX 32661 TRIAMCINOLONE 55915 1 6 1 1268, 1274<br />
TRYSUL VAGINAL 32665 COMBINATION PRODUCT 51380 1 6 2 SULFACETAMIDE, SULFANILYLBENZAMIDE, SULFATHIAZOLE, UREA 55525, 55567, 55580, 56120 1265<br />
TU-CILLIN 32670 PENICILLIN 54250 1 6 1<br />
TURGEX 32745 HEXACHLOROPHENE 52560 1 6 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TURPENTINE 32750 TURPENTINE 56080 2 6 1<br />
TUS ORAMINIC SPANCAP 32760 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE, DEXTROMETHORPHAN, PHENYLPROPANOLAMINE 50420, 51130, 51670, 54465<br />
TUSAL 32765 SODIUM THIOSALICYLATE 55420 1 6 1 1720<br />
TUSS ADE 32766 UNDETERMINED 50000 3 7 3 2000<br />
TUSS-ORNADE 32770 COMBINATION PRODUCT 51380 1 6 2 CARAMIPHEN, PHENYLPROPANOLAMINE 50873, 54465 1941, 1943<br />
TUSSADON T.D. 32775 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, DEXTROMETHORPHAN, ISOPROPAMIDE, PHENYLPROPANOLAMINE 51130, 51670, 52920, 54465 1943<br />
TUSSANIL EXPECTORANT 32790 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, HYDROCODONE BITARTRATE, PHENYLEPHRINE HCL 52490, 70217, 70358 1945, 2087<br />
TUSSAR-2 SYRUP 32810 COMBINATION PRODUCT 51380 2 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1941, 1943, 1944<br />
TUSSCAPINE 32815 NOSCAPINE 53980 2 6 1<br />
TUSSEND 32825 UNDETERMINED 50000 3 7 3 2000<br />
TUSSEND EXPECTORANT 32830 COMBINATION PRODUCT 51380 1 3 2 DIHYDROCODEINE, PSEUDOEPHEDRINE 52647, 54960 1943<br />
TUSSI-ORGANIDIN DM 32840 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
TUSSI-ORGANIDIN 32845 COMBINATION PRODUCT 51380 1 5 2 CODEINE, IODINATED GLYCEROL 51340, 52825 1943<br />
TUSSIHAB SYRUP 32850 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, CHLORPHENIRAMINE, POTASSIUM GUAIACOLSULFONATE 50245, 51130, 54700<br />
TUSSTAT EXPECTORANT 32860 DIPHENHYDRAMINE 51860 1 6 1 1943, 1944<br />
TUZON 32870 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORZOXAZONE 50005, 51175<br />
TWIN-K 32880 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
TWO-DYNE 32890 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1720<br />
TYLENOL NO. 1 32910 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
TYLOSTERONE 32940 COMBINATION PRODUCT 51380 1 6 2 DIETHYLSTILBESTROL, METHYLTESTOSTERONE 51755, 53670 1033<br />
TYPHOID VACCINE 32960 TYPHOID VACCINE 56095 1 6 1 1180<br />
TYPHUS VACCINE 32965 TYPHUS VACCINE 56100 1 6 1 1180<br />
TYROBENZ 32970 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CETALKONIUM CHLORIDE 50530, 51015<br />
TYROHIST SPRAY 32980 COMBINATION PRODUCT 51380 2 6 2 CETALKONIUM CHLORIDE, PHENYLEPHRINE, PYRILAMINE 51015, 54455, 54995 2087<br />
TYROSUM CLEANSER 32985 COMBINATION PRODUCT 51380 2 6 2 ACETONE, ISOPROPYL ALCOHOL 50035, 52925 1270<br />
TYZINE 32990 TETRAHYDROZOLINE 55730 1 6 1 1567, 1570<br />
U-TRACT 33010 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50420, 52720, 53530, 53640, 54440 2087<br />
UB 33020 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50420, 52720, 53530, 53640, 54440<br />
ULTAR 33040 COAL TAR 51305 2 6 1 1274<br />
ULTRA MIDE LOTION 33050 UREA 56120 2 6 1 1265<br />
ULTRACAINE W/EPINEPHRINE 33065 LIDOCAINE 53070 1 6 1<br />
ULTRACEF 33068 CEFADROXIL 50950 1 6 1 0347<br />
ULTRATARD 33078 INSULIN 52790 1 6 1<br />
UNAVIT 33095 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
UNDECYLENIC ACID 33100 UNDECYLENIC ACID 56110 2 6 1<br />
UNDECYLENIC ACID COMPOUND 33105 COMBINATION PRODUCT 51380 2 6 2 UNDECYLENIC ACID, ZINC TOPICAL AGENTS, EXTERNAL USE 56110, 56265<br />
UNGUENTUM BOSSI 33115 COMBINATION PRODUCT 51380 1 6 2 AMMONIATED MERCURY, COAL TAR, PETROLATUM, METHAMINE, DOOK OIL 50240, 51305, 54330, 70542, 70543 1265<br />
UNIBASE 33130 OINTMENT HYDROPHILIC 54015 3 6 1 1941, 1943<br />
UNIDOTE 33145 COMBINATION PRODUCT 51380 2 6 2 CHARCOAL, MAGNESIUM ANTACIDS, TANNIC ACID 51025, 53175, 55655<br />
UNI-DUR 33146 THEOPHYLLINE 55745 1 6 1 1940<br />
UNI-GINE 33147 ERGOLOID MESYLATES 52048 1 6 1 0504<br />
UNI NATAL PLUS 33149 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, MINERALS, MULTIVITAMINS GENERAL 52885, 53723, 53780 0913<br />
UNIPEN 33155 NAFCILLIN 53845 1 6 1 0346<br />
UNISOL 33165 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, SODIUM CHLORIDE 50660, 55315 1569<br />
UNISOM 33170 DOXYLAMINE 51970 2 6 1 0626, 1944<br />
UNITENSEN 33175 CRYPTENAMINE 51440 1 6 1<br />
UNIVIT C 33178 VITAMIN C 56193 1 6 1<br />
URACEL 33190 SODIUM SALICYLATE 56325 2 6 1<br />
URANAP 33205 RACEMETHIONINE 55061 1 6 1 0914<br />
UREA 33215 UREA 56120 3 6 1 1265<br />
UREAPHIL 33220 UREA 56120 1 6 1 0507<br />
UREMIDE 33230 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFAMETHIZOLE 54365, 55550 0353<br />
URICON S.C. 33243 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, BENZOIC ACID, HYOSCYAMINE, METHENAMINE, PHENYL SALICYLATE 50420, 50538, 52720, 53530, 54440<br />
URIDON 33250 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, ATROPINE SULFATE 52720, 53530, 53640, 54440, 70120 0354<br />
URIHAB 33265 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50420, 52720, 53530, 53640, 54440<br />
URINARY ANTISEPTIC 33275 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, ATROPINE SULFATE 52720, 53530, 53640, 54440, 70120 0354<br />
URISEDAMINE 33285 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, METHENAMINE MANDELATE 52720, 70273 0354<br />
URITHOL 33325 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, BENZOIC ACID, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE 50420, 50538, 52720, 53530, 53640 0354<br />
URITIN 33330 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE, METHYLENE BLUE, ATROPINE SULFATE, HYOSCYAMINE SULFATE, SALOL 53530, 53640, 70120, 70336, 70544 0355<br />
URO-PHOSPHATE 33340 COMBINATION PRODUCT 51380 2 6 2 SODIUM BIPHOSPHATE, METHENAMINE MANDELATE 59728, 70273 0354<br />
URO-VES 33345 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50420, 52720, 53530, 53640, 54440 0355<br />
UROBILISTIX 33350 DIMETHYLAMINOBENZALDEHYDE 51835 3 6 1 2087<br />
UROLENE BLUE 33370 METHYLENE BLUE 53640 1 6 1 0354<br />
URSINUS 33385 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, PSEUDOEPHEDRINE HCL 50410, 70256<br />
UTICILLIN VK 33400 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
UTICORT 33405 BETAMETHASONE 50585 1 6 1 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
UTIMOX 33410 AMOXICILLIN 50260 1 6 1 0346<br />
V GAN 33415 PROMETHAZINE 54860 1 6 1 0626<br />
V-CILLIN 33425 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
V-FLUORODEX 33437 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, FOLIC ACID, VITAMIN A, VITAMIN C, VITAMIN E 52045, 52355, 56185, 56193, 56195<br />
V-LAX 33440 PSYLLIUM 54965 2 6 1<br />
VA-TRO-NOL DROPS 33445 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, EPHEDRINE, EUCALYPTUS OIL, MENTHOL, METHAPYRILENE 50845, 52035, 52190, 53325, 53505<br />
VACCINATION 33448 UNDETERMINED 50000 1 6 3 1180<br />
VACON 33450 PHENYLEPHRINE 54455 2 6 1 1941<br />
VAGILIA 33470 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, AMINACRINE, SULFISOXAZOLE 50103, 50183, 55590 1860<br />
VAGISEC 33480 POLYOXYETHYLENE NONYLPHENOL 70641 2 6 1 1265<br />
VAL TEP 33490 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 2087<br />
VALADOL 33500 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
VALCAINE 33510 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CAMPHOR, MENTHOL, PHENOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 50845, 53325, 54400, 56265 2000<br />
VALDRENE 33515 DIPHENHYDRAMINE 51860 1 6 1 1371, 1671, 1944<br />
VALERGEN 33525 ESTRADIOL 52070 1 6 1 1034<br />
VALERTEST 33535 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL VALERATE, TESTOSTERONE ENANTHATE 70375, 70376 1033, 1034<br />
VALESIN 33538 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, SALICYLAMIDE 50005, 50410, 55150 1720<br />
VALMID 33560 UNDETERMINED 50000 3 7 3 2000<br />
VALPIN 50 33570 UNDETERMINED 50000 3 7 3 2000<br />
VALRELEASE 33574 DIAZEPAM 51695 1 4 1 0627<br />
VANCOCIN HCL 33585 VANCOMYCIN 56150 1 6 1 0355<br />
VANOXIDE 33600 BENZOYL PEROXIDE 50550 1 6 1 1265<br />
VANOXIDE-HC LOTION 33605 COMBINATION PRODUCT 51380 1 6 2 BENZOYL PEROXIDE, HYDROCORTISONE 50550, 52655 1265<br />
VANQUISH 33610 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ALUMINUM HYDROXIDE, ASPIRIN, CAFFEINE, MAGNESIUM ANTACIDS 50005, 50145, 50410, 50745, 53175 1720<br />
VANSEB LOTION 33615 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID, SULFUR 55160, 55610 1265<br />
VAPONEFRIN 33625 EPINEPHRINE 52040 2 6 1 1940<br />
VAS-O-SPAN 33655 PAPAVERINE 54190 1 6 1 0504<br />
VASELINE GAUZE 33675 PETROLATUM 54330 2 6 1 1265<br />
VASOCLEAR 33690 NAPHAZOLINE 53875 2 6 1 1570<br />
VASOCOL SYRUP 33695 COMBINATION PRODUCT 51380 1 6 2 AMMONIUM CHLORIDE, DEXTROMETHORPHAN, PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE 50245, 51670, 54385, 54465, 54995<br />
VASODILATOR 33713 UNDETERMINED 50000 1 6 3 0508<br />
VASOMIDE 33725 COMBINATION PRODUCT 51380 2 5 2 COBALAMIN, METHAMPHETAMINE, NIACIN, SALICYLAMIDE, THIAMINE 51308, 53485, 53905, 55150, 55755 2087<br />
VASOMINIC T.D. 33730 COMBINATION PRODUCT 51380 1 6 2 PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE 54385, 54465, 54995 1945<br />
VASOPRESSIN 33735 LYPRESSIN 53155 1 6 1 1035<br />
VASOPRINE 33740 ISOXSUPRINE 52945 1 6 1 0504<br />
VASOSULF 33750 COMBINATION PRODUCT 51380 1 6 2 SULFACETAMIDE SODIUM, PHENYLEPHRINE HCL 70214, 70358 1568<br />
VASOXYL 33765 METHOXAMINE 53580 1 6 1 0505<br />
VEETIDS 33780 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
VELBAN 33800 VINBLASTINE 56175 1 6 1 1483<br />
VELSAR 33803 VINBLASTINE 56175 1 6 1 1479<br />
VELOSULIN 33808 INSULIN 52790 2 6 1 1036<br />
VELTANE 33810 BROMPHENIRAMINE 50690 1 6 1 1944<br />
VELTAP 33820 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 54455, 54465 1941, 1944<br />
VELVACHOL 33825 OINTMENT HYDROPHILIC 54015 3 6 1 1265<br />
VENSTAT 33828 BROMPHENIRAMINE MALEATE 70239 1 6 1 1944<br />
VERACOLATE 33855 COMBINATION PRODUCT 51380 2 6 2 CAPSICUM, CASCARA, PHENOLPHTHALEIN 50868, 50935, 54405 0876<br />
VERATRUM VIRIDE 33860 VERATRUM VIRIDE 56165 1 6 1<br />
VERAZINC 33865 ZINC SULFATE 56285 1 6 1<br />
VERCYTE 33870 PIPOBROMAN 54525 1 6 1 1479<br />
VERMIZINE SYRUP 33890 PIPERAZINE 54510 1 6 1 1862<br />
VERMOX 33895 MEBENDAZOLE 53260 1 6 1 1862<br />
VERSAL 33905 COMBINATION PRODUCT 51380 2 6 2 BALSAM, BENZYL BENZOATE, BISMUTH, EXTERNAL, ZINC TOPICAL AGENTS, EXTERNAL USE 50460, 50575, 50637, 56265 1265<br />
VERSAPEN 33910 AMPICILLIN 50275 1 6 1 0346<br />
VERSAPEN-K 33915 AMPICILLIN 50275 1 6 1 0346<br />
VERV 33930 CAFFEINE 50745 2 6 1<br />
VESICHOLINE 33935 BETHANECHOL 50595 1 6 1 0509<br />
VESPRIN 33940 TRIFLUOPERAZINE 55960 1 6 1 0628<br />
VI-AQUAMIN 33950 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN B-12 52045, 55105, 55755, 56185, 56192 0913<br />
VI-DAYLIN F ADC DROPS 33980 COMBINATION PRODUCT 51380 1 6 2 FLUORIDE, MULTIVITAMINS GENERAL 52318, 53780 0913<br />
VI-DAYLIN F ADC PLUS IRON DROPS 33985 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, FLUORIDE, IRON PREPARATIONS, VITAMIN A, VITAMIN C 52045, 52318, 52885, 56185, 56193 0913<br />
VI-DAYLIN F PLUS IRON DROPS 33995 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
VI-DAYLIN OVER 4 34000 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185<br />
VI-DAYLIN PLUS IRON 34010 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, MULTIVITAMINS GENERAL 52885, 53780 0913<br />
VI-DAYLIN PLUS IRON ADC DROPS 34015 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, IRON PREPARATIONS, VITAMIN A, VITAMIN C 52045, 52885, 56185, 56193 0913<br />
VI-DAYLIN PLUS IRON SYRUP 34025 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
VI-PENTA F 34035 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
VI-PENTA F MULTIVITAMIN DROPS 34045 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
VI-PENTA 34055 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
VI-ZAC 34075 COMBINATION PRODUCT 51380 2 6 2 VITAMIN A, VITAMIN C, VITAMIN E, ZINC 56185, 56193, 56195, 70310 0913<br />
VIBRA 34085 DOXYCYCLINE 51965 1 6 1 0350<br />
VICKS INHALER 34105 LEVODESOXYEPHEDRINE 53045 2 6 1 1941<br />
VICON 34115 COMBINATION PRODUCT 51380 3 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
VICON-T 34135 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 2087<br />
VICON W/IRON 34136 COMBINATION PRODUCT 51380 1 6 2 NIACIN, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53905, 54175, 54990, 55105, 55755<br />
VIDARABINE 34138 VIDARABINE 56170 1 6 1 1568<br />
VIFEX 34140 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, VITAMIN B-12 52355, 56192 0913, 2087<br />
VIGRAN PLUS IRON 34150 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
VIMAH 34155 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, METHYLTESTOSTERONE, PYRIDOXINE, RIBOFLAVIN 52070, 53670, 54990, 55105 0913, 1034<br />
VINBLASTINE 34158 VINBLASTINE 56175 1 6 1 1479<br />
VINCRISTINE 34160 VINCRISTINE 56180 1 6 1 1483<br />
VINI-RUB 34170 ISOPROPYL ALCOHOL 52925 2 6 1<br />
VIO-BEC FORTE 34180 COMBINATION PRODUCT 51380 1 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN 50811, 53915, 54990, 55105 0913<br />
VIO-HYDROCORT 34190 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845<br />
VIO-HYDROSONE 34195 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN, PRAMOXINE 52655, 52845, 54755 0117<br />
VIOFORM 34210 IODOCHLORHYDROXYQUIN 52845 2 6 1 1264<br />
VIOFORM-HYDROCORTISONE 34215 UNDETERMINED 50000 3 7 3 2000<br />
VIRA-A 34235 VIDARABINE 56170 1 6 1 1568<br />
VIRILON 34240 METHYLTESTOSTERONE 53670 1 3 1 1033<br />
VIROPTIC 34248 TRIFLURIDINE 55967 1 6 1 1568<br />
VISALENS WETTING 34250 CONTACT LENS SOLUTION 51390 2 6 1<br />
VISCULOSE 34255 METHYLCELLULOSE 53630 2 6 1 0876<br />
VISTAJECT 34268 HYDROXYZINE 52715 1 7 1 0626<br />
VISTRAX 34280 COMBINATION PRODUCT 51380 1 6 2 HYDROXYZINE, OXYPHENCYCLIMINE 52715, 54095 0626<br />
VITA TOT 34290 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
VITA-FLOR 34293 COMBINATION PRODUCT 51380 1 6 2 FLUORIDE, VITAMIN A, VITAMIN C, VITAMIN D 52318, 56185, 56193, 56194 0913<br />
VITA-GLEN 34295 UNDETERMINED 50000 2 6 3<br />
VITA-KAPS 34300 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185 0913<br />
VITA-METRAZOL 34305 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PENTYLENETETRAZOL, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54300, 54990, 55105, 55755 0632<br />
VITABEE 34310 THIAMINE 55755 1 6 1 0913<br />
VITACEE 34315 VITAMIN C 56193 1 6 1<br />
VITACEE SYRUP 34320 VITAMIN C 56193 2 6 1<br />
VITAGETT 34335 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
VITAKAPS-M 34340 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185 0913<br />
VITALITY-E 34350 WHEAT GERM 56214 2 6 1<br />
VITAMIN A + VITAMIN D 34365 COMBINATION PRODUCT 51380 3 6 2 VITAMIN A, VITAMIN D 56185, 56194 0913<br />
VITAMIN A & D HI-POTENCY 34375 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, VITAMIN A 52045, 56185<br />
VITAMIN A NATURAL 34380 VITAMIN A 56185 2 6 1 0913<br />
VITAMIN A NATURAL NEO-VADRIN 34385 VITAMIN A 56185 2 6 1<br />
VITAMIN A PALMITATE 34390 VITAMIN A 56185 2 6 1 0913<br />
VITAMIN A PLUS D 34395 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, VITAMIN A 52045, 56185<br />
VITAMIN A SOLUBILIZED 34400 VITAMIN A 56185 1 6 1 0913<br />
VITAMIN A SOLUBLE NEO-VADRIN 34410 VITAMIN A 56185 2 6 1 0913<br />
VITAMIN A SYNTHETIC 34415 VITAMIN A 56185 1 6 1 0913<br />
VITAMIN A WATER SOLUBLE 34420 VITAMIN A 56185 1 6 1 0913<br />
VITAMIN B COMPLEX B-12 W/C 34430 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755 0913<br />
VITAMIN B COMPLEX HI POTENCY 34440 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50811, 53915, 54990, 55105, 55755 0913<br />
VITAMIN B COMPLEX W/VITAMIN C 34450 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755 0913<br />
VITAMIN B-1 & B-12 TONIC 34465 COMBINATION PRODUCT 51380 2 6 2 VITAMIN B-12, THIAMINE HCL 56192, 70603<br />
VITAMIN B-1 & B-12 W/IRON 34470 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, THIAMINE, VITAMIN B-12 52885, 55755, 56192<br />
VITAMIN B-1 ELIXIR 34475 THIAMINE 55755 2 6 1 0913<br />
VITAMIN B-1 NEO-VADRIN 34480 THIAMINE 55755 2 6 1 0913<br />
VITAMIN B-1 W/B-6 & B-12 34490 COMBINATION PRODUCT 51380 1 6 2 PYRIDOXINE, THIAMINE, VITAMIN B-12 54990, 55755, 56192 0913<br />
VITAMIN B-6 NEO-VADRIN 34515 PYRIDOXINE 54990 2 6 1 0913<br />
VITAMIN C & E 34525 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, VITAMIN E 56193, 56195 0913<br />
VITAMIN C CRYSTAL 34530 VITAMIN C 56193 2 6 1 0913<br />
VITAMIN C FLAVORED 34535 VITAMIN C 56193 2 6 1<br />
VITAMIN C NEO-VADRIN 34540 VITAMIN C 56193 2 6 1<br />
VITAMIN C PLUS E 34545 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, VITAMIN E 56193, 56195<br />
VITAMIN D-2 IN OIL 34570 ERGOCALCIFEROL 52045 1 6 1 0913<br />
VITAMIN E & C 34580 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, VITAMIN E 56193, 56195 0913<br />
VITAMIN E NATURAL 34585 VITAMIN E 56195 2 6 1 0913<br />
VITAMIN E NATURAL NEO-VADRIN 34590 VITAMIN E 56195 2 6 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
VITAMIN E NATURAL SOLUBLE 34595 VITAMIN E 56195 2 6 1<br />
VITAMIN E NEO-VADRIN 34600 VITAMIN E 56195 2 6 1<br />
VITAMIN E SYNTHETIC 34610 VITAMIN E 56195 2 6 1 0913<br />
VITAMIN E WAFER 34615 D-ALPHA TOCOPHERYL 51523 2 6 1<br />
VITAMIN E ZESTAB 34620 VITAMIN E 56195 2 6 1<br />
VITANEED 34636 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
VITORMAINS 34673 MULTIVITAMINS 53805 1 6 2 0913<br />
VITRON-C PLUS 34680 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN C 52355, 52885, 56193 0408<br />
VIVACTIL 34685 PROTRIPTYLINE HCL 54950 1 6 1 0630<br />
VIVARIN 34690 CAFFEINE 50745 2 6 1 0631<br />
VIVIKON 34693 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755 0913<br />
VLEMASQUE 34698 SULFURATED LIME 55613 2 6 1 1265<br />
VLEM-DOME LIQUID CONCENTRATE 34700 COMBINATION PRODUCT 51380 2 6 2 CALCIUM POLYSULFIDE, CALCIUM THIOSULFATE 50803, 50821<br />
VLEMINCKX' SOLUTION 34705 SULFURATED LIME 55613 2 6 1<br />
VOLEX IN SODIUM CHLORIDE 34720 COMBINATION PRODUCT 51380 1 6 2 HETASTARCH, SODIUM CHLORIDE 52555, 55315 0915<br />
VONTROL 34730 DIPHENIDOL 51865 1 6 1 1671<br />
VOSOL OTIC 34740 COMBINATION PRODUCT 51380 2 6 2 ACETIC ACID, SODIUM ACETATE, PROPYLENE GLYCOL DIACETATE 50025, 55270, 70673 1670<br />
VOXIN 34748 COMBINATION PRODUCT 51380 3 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE 52490, 54465 1945<br />
WART OFF 34780 SALICYLIC ACID 55160 2 6 1 1266<br />
WASH 'N DRI TOWELETTE 34785 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZALKONIUM CHLORIDE, CHLOROTHYMOL, PROPYLENE GLYCOL 50090, 50515, 51105, 54895<br />
WATER DISTILLED 34790 WATER STERILE 56210 1 6 1 2095<br />
WATER FOR INJECTION 34795 WATER STERILE 56210 1 6 1<br />
WATER FOR IRRIGATION 34800 WATER STERILE 56210 1 6 1 2087<br />
WEHAMINE 34810 DIMENHYDRINATE 51810 1 6 1 1671<br />
WEHDRYL 34815 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
WEHGEN 34820 ESTRONE 52080 1 6 1 1034<br />
WEHVERT 34830 MECLIZINE 53275 2 6 1 1671<br />
WEIGHTROL 34835 PHENDIMETRAZINE 54370 1 3 1 0631<br />
WESTHROID 34856 THYROID 55825 1 6 1<br />
WESTRIM 34857 PHENYLPROPANOLAMINE HCL 70254 2 6 1<br />
WETTING & SOAKING 34865 COMBINATION PRODUCT 51380 2 6 2 CHLORHEXIDINE, POLYVINYL ALCOHOL 51060, 54610 1571<br />
WETTING SOLUTION BARNES HIND 34870 POLYVINYL ALCOHOL 54610 2 6 1<br />
WHITFIELD S 34885 COMBINATION PRODUCT 51380 2 6 2 BENZOIC ACID, SALICYLIC ACID 50538, 55160 1266<br />
WIGRAINE 34890 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, ERGOTAMINE TARTRATE 50745, 70353 1723<br />
WILD CHERRY SYRUP 34895 COMBINATION PRODUCT 51380 3 6 2 ALCOHOL, GLYCERIN, SUCROSE, WILD CHERRY SYRUP 50090, 52450, 55520, 56230<br />
WINGEL 34905 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
WINTERGREEN OIL 34915 METHYL SALICYLATE 53620 3 6 1 1265<br />
WITCH HAZEL 34920 HAMAMELIS WATER 52535 2 6 1 1264<br />
WOLFINA 34925 RAUWOLFIA 55070 1 6 1 0506<br />
WOOD ALCOHOL 34930 METHYL ALCOHOL 53615 3 6 1<br />
WUN-TABS 34935 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185<br />
WYAMINE SULFATE 34945 MEPHENTERMINE 53345 1 6 1 0505<br />
WYAMYCIN 34950 ERYTHROMYCIN 52065 1 6 1 0348<br />
WYANOIDS 34960 COMBINATION PRODUCT 51380 2 6 2 COCOA BUTTER, CORN OIL, SHARK LIVER OIL 51325, 51395, 55213 0877<br />
WYCILLIN 34970 PENICILLIN G PROCAINE 54260 1 6 1 0346<br />
WYDASE 34980 HYALURONIDASE 52625 1 6 1 2095<br />
WYGESIC 34985 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE HCL 50005, 70377 1721<br />
WYMOX 34990 AMOXICILLIN 50260 1 6 1 0346<br />
W/W-ANTI-SPAS 34991 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180<br />
W/W-FED 34992 COMBINATION PRODUCT 51380 2 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020<br />
X SEB SHAMPOO 35000 SALICYLIC ACID 55160 2 6 1 1266<br />
X SEB T SHAMPOO 35005 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, SALICYLIC ACID 51305, 55160<br />
X-CAINE 35008 LIDOCAINE 53070 1 6 1<br />
X-PREP 35015 SENNA 55200 2 6 1 0876<br />
XERAC AC 35025 ALUMINUM CHLORIDE 50140 1 6 1 1267<br />
XERAC BP5 35035 BENZOYL PEROXIDE 50550 1 6 1 1265<br />
XERAC GEL 35040 COMBINATION PRODUCT 51380 2 6 2 ISOPROPYL ALCOHOL, SULFUR 52925, 55610 1265<br />
XEROFOAM DRESSING 35050 UNDETERMINED 50000 3 7 3 2000<br />
XYLOCAINE FLAVORED 35065 LIDOCAINE 53070 1 6 1<br />
XYLOCAINE HCL 35070 LIDOCAINE 53070 1 6 1 0117<br />
XYLOCAINE HCL W/EPINEPHRINE 35080 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE, LIDOCAINE HCL 52040, 70370 0117<br />
XYLOMET SPRAY 35090 XYLOMETAZOLINE 56240 2 6 1 1941<br />
XYLOMETAZOLINE 35095 XYLOMETAZOLINE 56240 2 6 1 1941<br />
YEAST 35105 YEAST 56250 2 6 1 0913<br />
YELLOW FEVER VACCINE 35110 YELLOW FEVER VACCINE 56255 1 6 1 1180<br />
YODOXIN 35115 IODOQUINOL 52850 1 6 1 1860<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
YOHIMBINE 35120 YOHIMBINE 56260 1 6 1 2087<br />
YUTOPAR 35123 RITODRINE 55117 1 6 1 1039<br />
Z.B.T. BABY POWDER 35125 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM STEARATE, MINERAL OIL, TALC 53222, 53720, 55645<br />
Z-TEC 35138 DEXTROSE 51675 1 6 1 0408<br />
ZANOSAR 35148 STREPTOZOCIN 55503 1 6 1 1479<br />
ZBT BABY POWDER 35163 UNDETERMINED 50000 1 6 3 1265<br />
ZEMALO SKIN CLEANSER 35185 COMBINATION PRODUCT 51380 1 6 2 CAMPHOR, SULFUR, ZINC OXIDE 50845, 55610, 70052 1265<br />
ZENIVITES M 35195 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193<br />
ZENTRON 35205 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12 52885, 54990, 55105, 56192 0913<br />
ZEPHIRAN CHLORIDE 35210 BENZALKONIUM CHLORIDE 50515 2 6 1 1264<br />
ZETRAN 35230 DIAZEPAM 51695 1 4 1 0627, 1373, 1374<br />
ZIBA-RX 35233 BACITRACIN 50450 1 6 1<br />
ZIDE 35235 HYDROCHLOROTHIAZIDE 52645 1 6 1 0506, 0507<br />
ZINC SULFATE MUROCOLL NO. 35270 ZINC SULFATE 56285 2 6 1<br />
ZINC SULFATE NEO-VADRIN 35275 ZINC SULFATE 56285 2 6 1<br />
ZINC SULFIDE COMPOUND LOTION 35280 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 2 6 1<br />
ZINC 15 35283 ZINC SULFATE 56285 2 6 1<br />
ZINC-20 35285 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 2 6 1<br />
ZINC 25 35288 ZINC SULFATE 56285 2 6 1<br />
ZINC-220 35290 ZINC SULFATE 56285 1 6 1 2087<br />
ZINCA-PAK 35293 ZINC SULFATE 56285 1 6 1 0915<br />
ZINCFRIN 35300 COMBINATION PRODUCT 51380 2 6 2 ZINC SULFATE, PHENYLEPHRINE HCL 56285, 70358 1569<br />
ZINCON 35310 PYRITHIONE 55005 2 6 1 1265<br />
ZNG 35323 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 2 6 1 1265, 1272<br />
ZOLINE-M 35325 NAPHAZOLINE 53875 2 6 1 1570<br />
ZOLYSE 35335 CHYMOTRYPSIN 51215 1 6 1 1569<br />
ZOMAX 35338 ZOMEPIRAC 56275 1 6 1 1720, 1724<br />
ZONIUM CHLORIDE 35340 BENZALKONIUM CHLORIDE 50515 2 6 1<br />
ZWOLFE 35344 HYDROXOCOBALAMIN 52680 1 6 1<br />
ZYLAN 35345 UNDETERMINED 50000 1 7 3 2000<br />
ZYMASE 35357 UNDETERMINED 50000 1 6 3 0877<br />
ZYMENOL 35375 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, YEAST 53720, 56250<br />
2-PROPANOL 35385 ISOPROPYL ALCOHOL 52925 3 7 1 1271<br />
2/G 35390 UNDETERMINED 50000 2 7 3 2000<br />
2G/DM 35395 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
4-WAY LONG ACTING NASAL SPRAY 35400 OXYMETAZOLINE HCL 70653 2 6 1 1941<br />
4-WAY FAST ACTING NASAL SPRAY 35405 COMBINATION PRODUCT 51380 2 6 2 PHENYLEPHRINE HCL, PYRILAMINE MALEATE, NAPHAZOLINE HCL 70358, 70394, 70395 1941, 1944<br />
ANTIDIARRHEAL AGENT 35425 UNDETERMINED 50000 3 7 3 0875<br />
ANTIEMETIC AGENT 35430 UNDETERMINED 50000 3 7 3 1671<br />
ANTIFLATULENT AGENT 35440 UNDETERMINED 50000 3 7 3 0877<br />
ANTIINFECTIVE AGENT 35455 UNDETERMINED 50000 3 7 3 0300<br />
ANTIINFLAMMATORY AGENT 35460 UNDETERMINED 50000 3 7 3 2000<br />
ANTILIPEMIC AGENT 35465 UNDETERMINED 50000 1 7 3 0912<br />
ANTIMALARIAL AGENT 35470 UNDETERMINED 50000 1 7 3 1860<br />
ANTINEOPLASTIC AGENT 35480 UNDETERMINED 50000 1 7 3 1479<br />
ANTIOBESITY AGENT 35483 UNDETERMINED 50000 3 7 3 0631<br />
ANTIPROTOZOAL AGENT 35485 UNDETERMINED 50000 3 7 3<br />
ANTIPYRETIC AGENT 35495 UNDETERMINED 50000 3 7 3 1728<br />
ANTITHYROID AGENT 35500 UNDETERMINED 50000 3 7 3 1037<br />
ANTIVIRAL AGENT 35510 UNDETERMINED 50000 1 7 3 0388<br />
ALGINIC ACID 35515 ALGINIC ACID 50096 2 6 1 2095<br />
ARCORET W/IRON 35520 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, PROTEINASE, THIAMINE, VITAMIN B-12 52885, 54923, 55755, 56192<br />
BACTINE 35530 UNDETERMINED 50000 3 7 3 1200<br />
DEPATESONE 35540 TESTOSTERONE 55695 1 3 1 1033<br />
DEXBROMPHENIRAMINE 35545 DEXBROMPHENIRAMINE MALEATE 70373 2 6 1 1944<br />
MAXIMUM STRENGTH ASPIRIN 35555 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE 50410, 50745<br />
OBESTIN 35560 PHENTERMINE 54430 1 3 1 0631<br />
PALMIRON 35565 IRON PREPARATIONS 52885 2 6 1 0408<br />
PALMIRON-C 35566 UNDETERMINED 50000 3 7 3 2000<br />
PHARMALGEN YELLOW HORNET 35570 HYMENOPTERA ALLERGENIC EXTRACT 52718 3 6 1<br />
PURIFIED BEEF INSULIN 35575 INSULIN 52790 2 6 1 1036<br />
PURIFIED PORK INSULIN 35576 INSULIN 52790 2 6 1 1036<br />
TRIMEPRAZINE TARTRATE 35585 TRIMEPRAZINE 55985 1 6 1 1944<br />
TRIMETHOBENZAMIDE HCL 35590 TRIMETHOBENZAMIDE 56000 1 6 1 1671<br />
WYTENSIN 35603 GUANABENZ ACETATE 52492 1 6 1 0506<br />
WYVAC 35604 RABIES VACCINE 55060 1 6 1 1180<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PHARMALGEN HONEY BEE 35625 HYMENOPTERA ALLERGENIC EXTRACT 52718 3 6 1<br />
PHARMALGEN MIXED VESPIDS 35630 HYMENOPTERA ALLERGENIC EXTRACT 52718 3 6 1 1182<br />
A.C.A. #4 40005 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, PHENACETIN 50005, 50410, 50745, 54350<br />
ABC W/CODEINE 40020 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE, CODEINE 50410, 50728, 50745, 51340 1721<br />
ACETA ACID W/HYDRO 40040 COMBINATION PRODUCT 51380 1 6 2 ACETIC ACID, HYDROCORTISONE 50025, 52655<br />
ADC W/FLUORIDE 40045 UNDETERMINED 50000 1 6 3 0913<br />
ALBUSTIX 40050 BROMOPHENOL 50687 3 6 1 2087<br />
ALCOHOL & DEXTROSE 40055 COMBINATION PRODUCT 51380 1 6 1 ALCOHOL, DEXTROSE 50090, 51675 0914<br />
ALMOND OIL 40065 ALMOND OIL 50107 3 6 1<br />
ALUMINUM POTASSIUM SULFATE 40070 ALUMINUM POTASSIUM SULFATE 50157 3 6 1<br />
AMMONIUM CARBONATE 40080 AMMONIUM CARBONATE 50244 3 6 1<br />
AMOSAN 40085 SODIUM PERBORATE 55380 2 6 1 1265<br />
AMPAK LUBRICANT 40090 MINERAL OIL 53720 3 6 1 0876<br />
AMYL NITRATE 40095 AMYL NITRITE 50280 2 6 1 0503<br />
ANTI-RUST 40115 COMBINATION PRODUCT 51380 3 6 2 SODIUM BICARBONATE, SODIUM NITRATE 55280, 55365<br />
ARM-A-CHAR 40120 CHARCOAL 51025 2 6 1 0283<br />
ARM-A-VIAL 40125 WATER FOR INHALATION 56211 1 6 1 1940<br />
AROMATIC CASCARA 40130 CASCARA 50935 2 6 1 0876<br />
ATCH 40155 CORTICOTROPIN 51400 1 6 1 1035<br />
BACT-WATER 40175 WATER STERILE 56210 1 6 1<br />
BAYER ASPIRIN 40185 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
BENZENE 40195 BENZENE 50516 3 6 1 2087<br />
BENZOIC ACID 40200 BENZOIC ACID 50538 3 6 1<br />
BI-K 40210 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM ALKALINIZING AGENTS, POTASSIUM REPLACEMENT SOLUTIONS 54620, 54655 0915<br />
BILI-LABSTIX 40220 COMBINATION PRODUCT 51380 3 6 2<br />
BIOCYCLINE 40225 TETRACYCLINE 55725 1 6 1 0350<br />
BLOOD CULTURE PREP KIT 40235 COMBINATION PRODUCT 51380 2 6 2 ACETONE, ISOPROPYL ALCOHOL, POVIDONE-IODINE 50035, 52925, 54749 2087<br />
BOROFAIR 40240 ACETIC ACID 50025 2 6 1 2095<br />
BROMINE 40245 BROMINE 50679 3 6 1 2087<br />
C-PLEX IRON 40255 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, MULTIVITAMINS GENERAL 52885, 53780<br />
C-SPAN 40260 VITAMIN C 56193 2 6 1 0913<br />
CAFER-G 40270 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, ERGOTAMINE 50745, 52055<br />
CALCIUM PHOSPHATE 40280 CALCIUM REPLACEMENT AGENTS 50770 3 6 1 0913<br />
CARBODEC 40290 COMBINATION PRODUCT 51380 1 6 2 CARBINOXAMINE, PSEUDOEPHEDRINE 50900, 54960 1941<br />
CE & ZINC W/B COMPLEX 40300 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, ZINC SULFATE, VITAMIN B 56193, 56285, 56340<br />
CEEBATE 40305 SODIUM ASCORBATE 56320 1 6 1<br />
CEFIZOX 40310 CEFTIZOXIME 57032 1 6 1 0347<br />
CEL-U-JEC 40315 BETAMETHASONE 50585 1 6 1<br />
CENTABS 40320 MULTIVITAMINS 53805 2 6 2<br />
CHARDOSE 40325 CHARCOAL 51025 2 6 1 0283<br />
CHENIX 40340 DEOXYCHOLIC ACID 51597 1 6 1 0877<br />
CHLORAMPHENICOL SOD SUCCINATE 40355 CHLORAMPHENICOL 51050 1 6 1<br />
CHLORO-RES 40360 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, RESERPINE 51100, 55080<br />
CHLOROFAIR 40365 CHLORAMPHENICOL 51050 1 6 1 1568<br />
CHYMEX 40380 BENTIROMIDE 50507 1 6 1 0789<br />
CHYMODIACTIN 40383 CHYMOPAPAIN 51211 1 6 1 2087<br />
CITROTEIN 40395 COMBINATION PRODUCT 51380 2 6 2 FOOD SUPPLEMENT, MINERALS, MULTIVITAMINS 52358, 53723, 53805 0914<br />
CLEAR BY DESIGN 40400 BENZOYL PEROXIDE 50550 2 6 1 1265<br />
CLINITEST 40410 CUPRIC SULFATE 51445 3 6 1 2087<br />
COD LIVER OIL W/VIT C 40420 COMBINATION PRODUCT 51380 2 6 2 COD & HALIBUT LIVER OIL, VITAMIN C 51335, 56193 0913<br />
CYCLOPENTOLATE 40455 CYCLOPENTOLATE 51480 1 6 1 1567<br />
DAILY MULTIVITAMIN W/IRON 40470 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, IRON PREPARATIONS, MULTIVITAMINS GENERAL 52355, 52885, 53780 0913<br />
DCS UNIT-DOSE 40475 DOCUSATE 51935 2 6 1 0876<br />
DECA-P 40485 PREDNISOLONE 54770 1 6 1<br />
DEEP RUB 40490 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, METHYL SALICYLATE 50845, 53325, 53620<br />
DELACORT LOTION 40495 HYDROCORTISONE 52655 1 6 1 1268<br />
DEPO-NANDROLONE 40510 NANDROLONE 53870 1 3 1 1033<br />
DEXAIR 40525 DEXAMETHASONE 51635 1 6 1 1568<br />
DEXO-LA 40535 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXTROSE W/VITAMINS 40550 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, MULTIVITAMINS GENERAL 51675, 53780<br />
DEXTROSE W/POTASSIUM CHL 40555 COMBINATION PRODUCT 51380 3 6 2 DEXTROSE, POTASSIUM REPLACEMENT SOLUTIONS 51675, 54655 0914<br />
DEXTROSE VIT B COMPLEX 40560 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, VITAMIN B COMPLEX 51675, 56345<br />
DEY-VIAL 40575 SODIUM CHLORIDE 55315 1 6 1<br />
DILATAIR 40590 PHENYLEPHRINE 54455 2 6 1 1569<br />
DILONE 40595 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE, PHENYLTOLOXAMINE 50005, 50745, 54468 1720<br />
DIOCTO/DIOSUCCIN 40600 DOCUSATE 51935 2 6 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DIPHENOXY/ATROP 40605 COMBINATION PRODUCT 51380 1 5 2 ATROPINE SULFATE, DIPHENOXYLATE HCL 70120, 70211 0875<br />
DIPHENOXYLATE 40610 DIPHENOXYLATE 51868 1 5 1 0875<br />
DIPROLENE 40615 BETAMETHASONE 50585 1 6 1 1268<br />
DISPOS-A-MED 40620 ISOETHARINE 52900 1 6 1<br />
DOCUSATE POTASSIUM 40625 DOCUSATE 51935 2 6 1 0876<br />
DOCUSATE POT/CASANTHRANOL 40630 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
DSMC 40645 DOCUSATE 51935 2 6 1<br />
DURAPHYL 40650 THEOPHYLLINE 55745 1 6 1 1940<br />
EAR-EZE 40665 HYDROCORTISONE 52655 1 6 1 1670<br />
ED-DEXTRAN 40675 IRON PREPARATIONS 52885 1 6 1<br />
ED-PRED 40680 PREDNISOLONE 54770 1 6 1<br />
ED-TEST 40685 TESTOSTERONE 55695 1 3 1 1033<br />
EDLOR 40690 DYPHYLLINE 52000 1 6 1 2087<br />
EDNADRYL 40695 DIPHENHYDRAMINE 51860 1 6 1<br />
EDOLATE 40700 SODIUM THIOSALICYLATE 55420 1 6 1<br />
EDREX 40705 PROMETHAZINE 54860 1 6 1<br />
EDROGEN 40710 ESTRADIOL 52070 1 6 1<br />
EDROL 40715 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
EDRON 40720 DEXAMETHASONE 51635 1 6 1<br />
ESTROGENIC SUBSTANCE 40730 ESTRONE 52080 1 6 1 1034<br />
FORTABS 40760 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE 50410, 50728, 50745 1723<br />
G-3 40765 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, BUTABARBITAL, CODEINE 50005, 50720, 51340 1721<br />
GENTACIDIN 40775 GENTAMICIN 52400 1 6 1 1568<br />
H.E.A. 40785 ERGOLOID MESYLATES 52048 1 6 1 1723<br />
HIBISTAT 40800 CHLORHEXIDINE 51060 2 6 1 1264<br />
HUMULIN A 40815 INSULIN 52790 2 6 1 1036<br />
HYDRA MAG 40825 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, KAOLIN, MAGNESIUM ANTACIDS 50145, 52955, 53175 0874<br />
HYDRALAZINE W/HCTZ 40830 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, HYDRALAZINE HCL 52645, 70339 0506, 0507<br />
HYDRO-FLUSERPINE 40835 COMBINATION PRODUCT 51380 1 6 2 HYDROFLUMETHIAZIDE, RESERPINE 52660, 55080 0506, 0507<br />
HYDRO-SERP 40840 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080 0506, 0507<br />
HYDROFLUMETHAZIDE 40850 HYDROFLUMETHIAZIDE 52660 1 6 1 0507<br />
HYDROFLUMETHAZIDE/RESERPINE 40855 COMBINATION PRODUCT 51380 1 6 2 HYDROFLUMETHIAZIDE, RESERPINE 52660, 55080 0506, 0507<br />
HYDROGESIC 40860 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
HYPLEX 40870 MULTIVITAMINS 53805 1 6 2 0913<br />
IOCON TAR 40880 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, COAL TAR 50515, 51305 1265<br />
IOPHYLLINE 40890 COMBINATION PRODUCT 51380 1 6 2 IODINATED GLYCEROL, THEOPHYLLINE 52825, 55745 1940, 1943<br />
IROMAL 40895 IRON PREPARATIONS 52885 2 6 1<br />
L-TRYPTOPHANE 40908 L-TRYPTOPHANE 52973 2 6 1 0913<br />
LEMISERP 40930 RESERPINE 55080 1 6 1 0504, 0506<br />
LIQUOPHYLLINE 40935 THEOPHYLLINE 55745 1 6 1 1940<br />
LITHOSTAT 40940 ACETOHYDROXAMIC ACID 50032 1 6 1 2087<br />
LIVER IRON VITS AMINO ACIDS 40945 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, IRON PREPARATIONS, NIACINAMIDE, RIBOFLAVIN, VITAMIN B-12 51645, 52885, 53915, 55105, 56192 0913<br />
MANGANESE SULFATE 40965 MANGANESE SULFATE 53242 1 6 1 0915<br />
MEGATON 40975 MULTIVITAMIN COMBINATION 51382 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
MERCURIC OXIDE 40980 MERBROMIN 53375 2 6 1<br />
METRONID 40985 UNDETERMINED 50000 3 7 3 2000<br />
MILES NERVINE 41000 PYRILAMINE 54995 2 6 1 1944<br />
MOLYPEN 41005 MOLYBDENUM 53753 1 6 1 0915<br />
MULTI VIT 41115 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN C, VITAMIN E 53915, 55105, 55755, 56193, 56195 0913<br />
MULTICON 41120 COMBINATION PRODUCT 51380 2 6 2 MINERALS, VITAMIN C, VITAMIN B COMPLEX 53723, 56193, 56345 0913<br />
MURO'S OPCON-A 41135 COMBINATION PRODUCT 51380 1 6 2 NAPHAZOLINE HCL, PHENIRAMINE MALEATE 70395, 70407 1569<br />
NATURACIL 41155 PLANTAGO SEED 54545 2 6 1 0876<br />
NEOSTIGMINE BROMIDE 41160 NEOSTIGMINE 53900 1 6 1 1372<br />
NEOSTIGMINE METHYL/ATROP 41165 COMBINATION PRODUCT 51380 1 6 2 ATROPINE SULFATE, NEOSTIGMINE METHYLSULFATE 70120, 70569 1372<br />
NEWCAINE 41170 LIDOCAINE 53070 1 6 1 2087<br />
NILORIC 41180 ERGOLOID MESYLATES 52048 1 6 1 0504<br />
NOSTRIL 41200 PHENYLEPHRINE 54455 2 6 1 1941<br />
NU-TEARS 41205 POLYVINYL ALCOHOL 54610 2 6 1 1569<br />
OCUGESTRIN 41210 PHENYLEPHRINE 54455 2 6 1 1569<br />
OTICAIR 41220 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 52655, 70212, 70362 1670<br />
OTO-SOL 41225 ACETIC ACID 50025 1 6 1 2095<br />
OXTRIPHYLLINE W/GUAIFENESIN 41230 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, OXTRIPHYLLINE 52490, 54100 1940<br />
PALLACE 41240 MEGESTROL 53295 1 6 1 1479<br />
PANHEMATIN 41250 HEMIN 52537 1 6 1 0411<br />
PARNATAL 41255 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
PERCOGESIC W/CODEINE 41260 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE, PHENYLTOLOXAMINE CITRATE 50005, 51340, 70255 1721, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PETRO-SYLLIUM W/PHENOLPHTHALEIN 41270 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PHENOLPHTHALEIN, PLANTAGO SEED 53720, 54405, 54545<br />
PERUVIAN BALSAM 41275 BALSAM 50460 2 6 1<br />
PHENYLPROPANOLAMINE W/CPM 41280 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE HCL 51130, 70254 1941, 1944<br />
PILOKAIR 41295 PILOCARPINE 54500 1 6 1 1566<br />
PLEGISOL 41305 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, MAGNESIUM CHLORIDE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE 50770, 53190, 54655, 55315 0915<br />
PRAMASONE 41330 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, PRAMOXINE 52655, 54755 1265<br />
PRECISION HIGH NITROGEN 41340 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
PREDAIR 41345 PREDNISOLONE 54770 1 6 1 1568<br />
PREDSULFAIR 41350 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE ACETATE, SULFACETAMIDE SODIUM 70158, 70214 1568<br />
PRO-2 41360 PROCAINAMIDE 54810 1 6 1 0502<br />
PROBEC-T 41365 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, VITAMIN B COMPLEX 56193, 56345 0913<br />
PROPOXYPHENE W/ASP, CAFF 41375 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, PROPOXYPHENE 50410, 50745, 54890<br />
PROTAMINE ZINC INSULIN 41380 INSULIN 52790 2 6 1 1036<br />
QUINATIME 41390 QUINIDINE 55045 1 6 1 0502<br />
RESICORT HYDROCORTISONE 41400 HYDROCORTISONE 52655 2 6 1 1268<br />
RONDEC W/HYDROCODONE 41415 COMBINATION PRODUCT 51380 1 3 2 CARBINOXAMINE, HYDROCODONE, PSEUDOEPHEDRINE 50900, 52650, 54960 1721, 1943<br />
SELENITRACE 41435 MINERALS 53723 1 6 1 0915<br />
SENILEZOL 41445 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, VITAMIN B COMPLEX 52885, 56345 0913<br />
SIMILAC W/IRON 41450 INFANT FORMULA 52775 2 6 1 0914<br />
SK-DIPYRIDAMOLE 41455 DIPYRIDAMOLE 51915 1 6 1 0504<br />
SK-PROPANTHELINE BROMIDE 41460 PROPANTHELINE 54870 1 6 1 0877<br />
SMA IRON FORTIFIED 41475 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
SODIUM BROMIDE 41480 SODIUM BROMIDE 55300 1 6 1 0626<br />
SODIUM L-THYROXINE 41485 LEVOTHYROXINE 53065 1 6 1 1037<br />
SPIRON W/HCTZ 41510 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, SPIRONOLACTONE 52645, 55460 0506, 0507<br />
SRC 41515 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE, PSEUDOEPHEDRINE HCL 52490, 70217, 70256 1941, 1943<br />
STERILE AMPICILLIN SODIUM 41525 AMPICILLIN 50275 1 6 1<br />
STERILE CHLORAMPHENICOL 41530 CHLORAMPHENICOL 51050 1 6 1<br />
STRESSAID 41535 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, MULTIVITAMINS GENERAL, NIACIN 50811, 53780, 53905<br />
STRESSTABS W/IRON 41550 COMBINATION PRODUCT 51380 2 6 2 BIOTIN, IRON PREPARATIONS, MULTIVITAMINS GENERAL 50620, 52885, 53780 0913<br />
STUART HEMATINIC 41560 MULTIVITAMINS 53805 2 6 2<br />
SULFA-GYN 41565 COMBINATION PRODUCT 51380 1 6 2 SULFACETAMIDE, SULFANILYLBENZAMIDE, SULFATHIAZOLE 55525, 55567, 55580 1265<br />
SULTEN 41575 SULFACETAMIDE 55525 1 6 1 1568<br />
SUPER STRESS 600 W/ZINC 41580 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL, ZINC TOPICAL AGENTS, EXTERNAL USE 53780, 56265 0913<br />
TBA PRED 41585 PREDNISOLONE 54770 1 6 1<br />
TEMPO 41595 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, CALCIUM CARBONATE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 50785, 53175, 55240 0874<br />
TETRA-CO 41605 TETRACYCLINE 55725 1 6 1<br />
THEOSTAT 41615 THEOPHYLLINE 55745 1 6 1 1940<br />
THERALETS-M 41620 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185<br />
THERAMEAD VITS W/MINERALS 41625 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780<br />
THERAMEAD VITS W/ZINC 41630 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780<br />
THIA-100 41635 THIAMINE 55755 1 6 1 0913<br />
TOCOPHER-M 41640 VITAMIN E 56195 2 6 1<br />
TRAVASORB HEPATIC DIET 41650 DIETARY SUPPLEMENT 51740 1 6 1 0914<br />
TRAVASORB MCT PROTEIN DIET 41655 PROTEIN SUPPLEMENT 54922 1 6 1 0914<br />
TRI-VI-FLOR W/IRON 41680 COMBINATION PRODUCT 51380 1 6 2 FLUORIDE, IRON PREPARATIONS, VITAMIN A, VITAMIN C, VITAMIN D 52318, 52885, 56185, 56193, 56194 0913<br />
TRI-VI-SOL W/IRON 41685 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, IRON PREPARATIONS, VITAMIN A, VITAMIN C 52045, 52885, 56185, 56193 0913<br />
TRINALONE 41690 TRIAMCINOLONE 55915 1 6 1 1032<br />
TRIOFED 41695 COMBINATION PRODUCT 51380 2 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256 1941, 1944<br />
TRIPLE ANTIBIOTIC W/DIPERODON 41700 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, DIPERODON, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 50450, 51848, 70212, 70362<br />
TRONOLANE 41715 PRAMOXINE 54755 2 6 1 0117<br />
UNI B-PLEX 41725 VITAMIN B COMPLEX 56345 1 6 1 0913<br />
URITABS 41750 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, BENZOIC ACID, HYOSCYAMINE, METHENAMINE, PHENYL SALICYLATE 50420, 50538, 52720, 53530, 54440 0355<br />
VEPESID 41755 ETOPOSIDE 52189 1 6 1 1479<br />
VERSA-QUAT 41760 SOAP 55265 2 6 1<br />
VIST-ED 41765 HYDROXYZINE 52715 1 6 1 1274, 1944<br />
WELLCOVORIN 41770 LEUCOVORIN 53035 1 6 1 0281<br />
ZINACEF 41785 CEFUROXIME SODIUM 50967 1 6 1 0347<br />
ZINC CHLORIDE 41790 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 3 6 1 1265, 1272<br />
ZINC STEARATE 41795 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 3 6 1 1265<br />
AKARPINE 41825 PILOCARPINE 54500 3 6 1 1566<br />
HYOSCINE 41840 SCOPOLAMINE HBR 55180 1 6 1 0875<br />
AK-SPORE 41870 COMBINATION PRODUCT 51380 1 6 2 UNDETERMINED, NEOMYCIN, POLYMYXIN B SULFATE 50000, 53895, 70212 1568<br />
L/DOPA 41890 LEVODOPA 53050 1 6 1 1371<br />
TRIHEXY-2 41900 TRIHEXYPHENIDYL 55975 1 6 1<br />
ANDROLAN IN OIL 41965 TESTOSTERONE 55695 1 3 1 1033<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ANGIOVIST 282 41970 MEGLUMINE 53298 1 6 1 0789<br />
ASCRIPTIN A/D 41980 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, ASPIRIN, CALCIUM CARBONATE, MAGNESIUM HYDROXIDE 50145, 50410, 50785, 70112 0874<br />
AURAFAIR OTIC 42005 UNDETERMINED 50000 1 6 3 1670<br />
B-CAPSA I VACCINE 42020 HAEMOPHILUS B CONJUGATE VACCINE 56445 1 6 1 1180<br />
STRESS-VITES W/FOLIC ACID 42028 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, MULTIVITAMINS GENERAL 52355, 53780<br />
STRESS-VITES W/ZINC 42038 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 54990, 55105, 56192, 56193<br />
BAXIMIN TRIPLE ANTIBIOTIC 42040 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011<br />
CALCIUM HYDROXIDE 42125 CALCIUM HYDROXIDE 50800 3 7 1<br />
TRACE ELEMENTS 42143 UNDETERMINED 50000 1 6 3 0915<br />
VISIDEX II 42228 DIABETIC SUPPLIES, MISCELL 51686 2 6 1 2087<br />
DI-GESIC 42245 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, HYDROCODONE 50005, 50410, 50745, 52650 1721<br />
X-SEB 42258 SALICYLIC ACID 55160 2 6 1 1266<br />
DILUENT ORAL 42265 SACCHARIN 55140 2 6 1 2087<br />
CHLOROPROCAINE 42273 CHLOROPROCAINE 51090 1 6 1 0117<br />
DUO-TRACH 42290 LIDOCAINE 53070 3 6 1 0117, 1275<br />
ESERINE OPHTHALMIC 42330 PHYSOSTIGMINE 54490 1 6 1 1566<br />
H-R LEMON/GLYCERIN SWABS 42445 COMBINATION PRODUCT 51380 3 6 2 GLYCERIN, LEMON OIL 52450, 53025<br />
HEPFLUSH-10 42460 HEPARIN 52540 1 6 1 0409<br />
HISTIDINE MONOHYDROCHLORIDE 42480 HISTIDINE MONOHYDROCHLORIDE 52598 1 6 1<br />
ILETIN LENTE 42515 INSULIN 52790 2 6 1<br />
ISMATIC 42550 ISOSORBIDE 52935 1 6 1<br />
MINIZIDE 42705 COMBINATION PRODUCT 51380 1 6 2 POLYTHIAZIDE, PRAZOSIN HCL 54605, 70346 0506, 0507<br />
MONISTAT-DERM 42720 MICONAZOLE 53715 1 6 1 1271<br />
MUCOSOL 42730 ACETYLCYSTEINE 50060 1 6 1 1943<br />
N.B.P. OPHTHALMIC 42755 COMBINATION PRODUCT 51380 1 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011<br />
NEOSPORIN OPHTHALMIC 42780 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NEOMYCIN, POLYMYXIN B 52478, 53895, 70011 1568<br />
OCTICAIR 42835 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NEOMYCIN, POLYMYXIN B 52655, 53895, 70011 1670<br />
OVUTIME 42860 OVULATION TEST KIT 54063 3 6 1 2087<br />
PALADINE 42880 POVIDONE-IODINE 54749 2 6 1 1264<br />
PROPRANOLOL W/HCTZ 42990 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, PROPRANOLOL 52645, 54865 0506, 0507<br />
BRETHAIRE 50000 TERBUTALINE 55670 1 6 1 1940<br />
ELECTROLYTE FRUCTOSE 50015 COMBINATION PRODUCT 51380 3 6 2 ELECTROLYTES, FRUCTOSE 52023, 52370 0915<br />
FAMILY TABS 50020 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACIN, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53905, 55105, 55755, 56185 0913<br />
KRONOFED-A 50030 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1944<br />
MONOCID 50036 CEFTRIAXONE 50961 1 6 1 0347<br />
SUFENTA 50040 SUFENTANIL CITRATE 55583 1 2 1 1721<br />
TUSS AID 50045 COMBINATION PRODUCT 51380 1 6 2 CARAMIPHEN, ISOPROPAMIDE, PHENYLPROPANOLAMINE 50873, 52920, 54465<br />
UNIFAST UNICELLES 53148 COMBINATION PRODUCT 51380 1 6 2 DANTHRON, DOCUSATE 51545, 51935 0631<br />
ABEROKE 60015 COMBINATION PRODUCT 51380 1 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 50811, 53915, 54990, 55105, 55770 0913<br />
ACETIC ACID OTIC 60025 ACETIC ACID 50025 1 6 1 2095<br />
ACHROMYCIN OPHTHALMIC 60030 TETRACYCLINE 55725 1 6 1 1568<br />
ACLOVATE 60035 ACLOMETASONE 57042 1 6 1 1268<br />
ADEFLOR M 60045 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, FLUORIDE, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 52318, 55105, 56185, 56193 0913<br />
ADPHEN-G 60055 PHENDIMETRAZINE 54370 1 3 1 0631<br />
ADSORBOCARPINE OPHTHALMIC 60060 PILOCARPINE 54500 1 6 1 1566<br />
ADSORBONAC OPHTHALMIC 60065 SODIUM CHLORIDE 55315 2 6 1 1569<br />
AMINOCAPROIC ACID 60080 AMINOCAPROIC ACID 50200 1 6 1 0411<br />
ANGIOVIST 60085 MEGLUMINE 53298 1 6 1 0789<br />
ANTIVENIN (LATRODECTUS MACTANS) 60090 SPIDER-BITE ANTIVENIN 55455 1 6 1 0285<br />
ANTIVENIN CROTALIDAE POLYVALENT 60095 ANTIVENIN SNAKE BITE 55260 2 6 1 0285<br />
AQUATAR THERAPEUTIC 60100 COAL TAR 51305 2 6 1 1265<br />
ATGAM 60105 LYMPHOCYTE IMMUNE GLOBULIN 53154 1 6 1 0410, 1181, 1183<br />
AUGMENTIN 500 60125 COMBINATION PRODUCT 51380 1 6 2 AMOXICILLIN, CLAVULANATE POTASSIUM 50260, 70341 0346<br />
AURAFAIR OTIC SOLUTION 60130 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE, GLYCERIN 50325, 50530, 52450 1670<br />
AZO-PHENAZOPYRIDINE 60135 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFISOXAZOLE 54365, 55590 0354<br />
B.P.P. 60145 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465 1941, 1944<br />
BAGENEMA FLEET 60160 SOAP 55265 2 6 1<br />
BENYLIN DECONGESTANT COUGH FORMULA 60170 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DIPHENHYDRAMINE, PSEUDOEPHEDRINE 50090, 51860, 54960 1941, 1944<br />
BETALIN S 60190 THIAMINE 55755 2 6 1 0913<br />
BETAMETHASONE SOD PHOSPHATE 60195 BETAMETHASONE 50585 1 6 1 1032<br />
BILIVIST 60210 IPODATE SODIUM 52881 1 6 1 0789<br />
BISMUTH SUBNITRATE NF 60215 BISMUTH ANTI-DIARRHEA AGENTS 50635 3 6 1<br />
BORIC ACID OPHTHALMIC 60225 BORIC ACID 50660 2 6 1 1569<br />
BRANCHAMIN 60230 AMINO ACIDS 50185 1 6 1 0914<br />
BRETHANCER 60235 INHALER 52752 1 6 1 2095<br />
BRETYLIUM TOSYLATE/DEXTROSE 60245 COMBINATION PRODUCT 51380 1 6 2 BRETYLIUM, DEXTROSE 50665, 51675 0502<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BUFFERIN ANALGESIC 60255 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, DIHYDROXYALUMINUM AMINOACETATE, MAGNESIUM ANTACIDS 50410, 51795, 53175<br />
BUGS BUNNY VIT PLUS MINERALS 60260 MULTIVITAMINS 53805 2 6 2 0913<br />
BUPRENEX 60265 BUPRENORPHINE HCL 50711 1 5 1 1721<br />
C-B TIME 500 60280 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54175, 54990, 55105, 55755<br />
CALEL-D 60285 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, VITAMIN D 50785, 56194 0913<br />
CEFOTAN 60295 CEFOTETAN DISODIUM 50969 1 6 1 0347<br />
CHLORPHENIRAMINE W/PHENYLPROPANOLAMINE 60310 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 51130, 54465<br />
CHROMIC CHLORIDE 60315 CHROMIC CHLORIDE 51208 1 6 1 0915<br />
CIBA-CALCIN 60320 CALCITONIN 50760 1 6 1 0916<br />
CLINITAR 60330 COAL TAR 51305 2 6 1<br />
CO-GESIC 60340 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
COLLYRIUM W/TETRAHYDROZOLINE 60350 TETRAHYDROZOLINE 55730 2 6 1 1569<br />
COLYTE 60355 POLYETHYLENE GLYCOL 54590 1 6 1 0876<br />
COPPER TRACE METAL 60365 COPPER 51393 1 6 1 0915<br />
CORTAID W/ALOE 60375 COMBINATION PRODUCT 51380 2 6 2 HYDROCORTISONE, ALOE 52655, 56300 1265<br />
CORTIFAIR 60380 HYDROCORTISONE 52655 1 6 1 1265<br />
CORTISPORIN OPHTHALMIC 60385 COMBINATION PRODUCT 51380 1 6 2 BACITRACIN, HYDROCORTISONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 50450, 52655, 70212, 70362 1568<br />
CUPRID 60390 TRIENTINE HYDROCHLORIDE 55953 1 6 1<br />
CVC HEPARIN FLUSH KIT 60395 HEPARIN SODIUM 70628 1 6 1 0409<br />
DEXACIDIN OPHTHALMIC 60410 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, NEOMYCIN, POLYMYXIN B SULFATE 51635, 53895, 70212 1568<br />
DEXTRO-TUSS GG SYRUP 60425 UNDETERMINED 50000 2 6 3<br />
DEY-ISOETHARINE 60430 ISOETHARINE 52900 1 6 1 1940<br />
DHS ZINC 60435 PYRITHIONE 55005 2 6 1 1265<br />
DIANEAL W/DEXTROSE 60440 UNDETERMINED 50000 1 6 3 0915, 2087<br />
DIGIBIND 60450 DIGOXIN 51780 1 6 1 0281<br />
DILATAIR OPHTHALMIC 60455 PHENYLEPHRINE 54455 2 6 1<br />
DIOSUCCIN CALCIUM 60465 DOCUSATE 51935 2 6 1<br />
DOCUSATE-K 60480 DOCUSATE 51935 2 6 1 0876<br />
DORYX 60485 DOXYCYCLINE 51965 1 6 1 0350<br />
DOXY-100 60500 DOXYCYCLINE 51965 1 6 1 0350<br />
DOXY-200 60505 DOXYCYCLINE 51965 1 6 1 0350<br />
DURATHATE-200 60515 TESTOSTERONE 55695 1 3 1 1033<br />
ED-B12 60520 VITAMIN B-12 56192 1 6 1<br />
ERYTHRITYL TETRANITRATE 60540 ERYTHRITYL TETRANITRATE 52060 1 6 1 0508<br />
EYE WASH 60555 SODIUM CHLORIDE 55315 2 6 1 1569<br />
FENTANYL CITRATE 60565 FENTANYL 52225 1 2 1 1721<br />
FERRIC AMMONIUM CITRATE 60570 IRON PREPARATIONS 52885 3 7 1<br />
FERRO BC 60575 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACINAMIDE, PANTOTHENIC ACID, RIBOFLAVIN, THIAMINE 52885, 53915, 54175, 55105, 55755 0913<br />
FERRO-DSS 60580 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, DOCUSATE SODIUM 52885, 70262 0408<br />
FLINT SSD 60600 SILVER SULFADIAZINE 55235 1 6 1 1271<br />
GAMMAGARD 60615 IMMUNE GLOBULIN 52750 1 6 1 1181<br />
GASTROLYTE 60620 COMBINATION PRODUCT 51380 2 6 2 DEXTROSE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE, SODIUM CITRATE 51675, 54655, 55315, 55320 0915<br />
GELFILM,OPHTHALMIC 60630 GELATIN 52395 2 6 1 1569<br />
GENTAFAIR 60635 GENTAMICIN 52400 1 6 1 1568<br />
GG TUSSIN 60655 GUAIFENESIN 52490 2 6 1 1943<br />
GG-CEN 60660 GUAIFENESIN 52490 2 6 1 1943<br />
HALOG-E 60675 HALCINONIDE 52510 1 6 1 1265<br />
HALTRAN 60680 IBUPROFEN 52730 2 6 1 1724, 1727<br />
HIB-IMUNE 60695 HAEMOPHILUS B CONJUGATE VACCINE 56445 1 6 1 1180<br />
HIB-VAX 60700 HAEMOPHILUS B CONJUGATE VACCINE 56445 1 6 1 1180<br />
HYPAQUE SODIUM 60715 DIATRIZOATE SODIUM 51689 1 6 1 0789<br />
I-TRYPTOPHANE 60720 L-TRYPTOPHANE 52973 2 6 1<br />
ILETIN & PROTAMINE ZINC 60725 INSULIN 52790 2 6 1 1036<br />
ILETIN II 60730 INSULIN 52790 2 6 1<br />
INVERT SUGAR 60745 INVERT SUGAR 52800 1 6 1 0914<br />
IOPHEN 60750 IODINATED GLYCEROL 52825 1 6 1 1943<br />
IRIGATE ISOTONIC BUFFERED 60760 COMBINATION PRODUCT 51380 2 6 2 SODIUM CHLORIDE, SODIUM PHOSPHATE 55315, 55385 1569<br />
ISOVUE 60765 IOPAMIDOL 52854 1 6 1 0789<br />
KESSO-PEN-VK 60785 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
LENS-WET 60810 POLYVINYL ALCOHOL 54610 2 6 1 1569<br />
LEVLEN 60815 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040<br />
LEVSIN/PHENOBARBITAL 60820 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, HYOSCYAMINE SULFATE 54395, 70336 0877<br />
LIVER IRON & B-12 ELIXIR 60825 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, LIVER DERIVATIVE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 53125, 55105, 55755, 56192 0913<br />
LUBRIFAIR 60840 HYDROXYPROPYL METHYLCELLULOSE 52700 2 6 1 1569<br />
MAGALDRATE 60850 MAGALDRATE 53170 2 6 1 0874<br />
MALLISOL 60855 POVIDONE-IODINE 54749 2 6 1<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
MANGANESE TRACE METAL 60860 MANGANESE GLUCONATE 53240 1 6 1<br />
MAXIVATE 60875 BETAMETHASONE 50585 1 6 1 1265<br />
MEDIPLAST PLASTERS 60885 SALICYLIC ACID 55160 2 6 1 1266<br />
MEDIPREN 60890 IBUPROFEN 52730 2 6 1 1727<br />
METHYLDOPATE HCL 60910 METHYLDOPATE 53638 1 6 1 0506<br />
MINIZIDE 1 60925 COMBINATION PRODUCT 51380 1 6 2 POLYTHIAZIDE, PRAZOSIN HCL 54605, 70346 0506<br />
MINIZIDE 2 60930 COMBINATION PRODUCT 51380 1 6 2 POLYTHIAZIDE, PRAZOSIN HCL 54605, 70346 0506<br />
MODRASTANE 60935 TRILOSTANE 55978 1 6 1 2087<br />
MURINE EAR DROPS 60950 CARBAMIDE PEROXIDE 57018 2 6 1 1670<br />
MURO TEARS 60955 COMBINATION PRODUCT 51380 2 6 2 HYDROXYPROPYL METHYLCELLULOSE, DEXTRAN 40 52700, 70568 1569<br />
MYCITRACIN OPHTHALMIC 60960 COMBINATION PRODUCT 51380 1 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011 1568<br />
MYDRIAFAIR 60965 TROPICAMIDE 56045 1 6 1 1567<br />
MYELO-KIT 60970 IOHEXOL 52853 3 6 1 0792<br />
N D CLEAR 60975 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
NALBUPHINE HCL 60990 NALBUPHINE 53855 1 6 1 1721<br />
NALOXONE HCL 60995 NALOXONE 53865 1 6 1 0281<br />
NEO-CORT-DOME 61010 UNDETERMINED 50000 1 6 3 1670<br />
NICORETTE 61025 NICOTINE POLACRILEX 53919 1 6 1 0632<br />
NITROGARD 61030 NITROGLYCERIN 53945 1 6 1 0503<br />
NUPRIN 61060 IBUPROFEN 52730 2 6 1 1727<br />
OCTICAIR SOLUTION 61070 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NEOMYCIN, POLYMYXIN B 52655, 53895, 70011<br />
OCUMYCIN 61075 COMBINATION PRODUCT 51380 1 6 2 POLYMYXIN B SULFATE, BACITRACIN ZINC 70212, 70213 1568<br />
OMNIPAQUE 61080 IOHEXOL 52853 1 6 1 0789<br />
OMNIPEN-N 61085 AMPICILLIN 50275 1 6 1 0346<br />
OP-THAL-ZIN 61090 ZINC SULFATE 56285 2 6 1 1569<br />
OPHTHAINE 61095 PROPARACAINE 54875 1 6 1 1569<br />
OXYCOVER 61110 BENZOYL PEROXIDE 50550 2 6 1<br />
P.H. PLUS 61115 COMBINATION PRODUCT 51380 1 4 2 ALUMINUM HYDROXIDE, ATROPINE, MAGNESIUM ANTACIDS, PHENOBARBITAL 50145, 50420, 53175, 54395<br />
P-A-C 61125 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, PHENACETIN 50410, 50745, 54350 1720<br />
PEDIACARE 61135 UNDETERMINED 50000 2 6 3 1900<br />
PENNTUSS 61145 COMBINATION PRODUCT 51380 1 5 2 CHLORPHENIRAMIN POLISTIREX, CODEINE POLISTIREX 70579, 70580 1943, 1944<br />
PENTAM 300 61150 PENTAMIDINE ISETHIONATE 54278 1 6 1 1860<br />
PENTRASPAN 61155 PENTAERYTHRITOL 54275 1 6 1<br />
PERSA 61170 BENZOYL PEROXIDE 50550 1 6 1 1265<br />
PETROGALAR W/PHENOLPHTHALEIN 61175 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PHENOLPHTHALEIN 53720, 54405<br />
PLURI-BEX-R 61195 COMBINATION PRODUCT 51380 1 6 2 NIACIN, PANTHENOL, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53905, 54173, 54990, 55105, 55755 0913<br />
POSTURE 61200 CALCIUM REPLACEMENT AGENTS 50770 2 6 1 0913<br />
POVIDONE-IODINE 61205 POVIDONE-IODINE 54749 2 6 1 1264<br />
PREDAJECT-50 61210 PREDNISOLONE 54770 1 6 1 1032<br />
PROFAC-O 61220 PROGESTERONE 54845 1 6 1 1034<br />
PROGESTAMATE 61225 MEDROXYPROGESTERONE 53280 1 6 1 1034<br />
PROMIT 61235 DEXTRAN 51647 1 6 1 0410<br />
PSORCON 61260 DIFLORASONE DIACETATE 51760 1 6 1 1268<br />
PYLORA 61270 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180<br />
R & C 61275 COMBINATION PRODUCT 51380 2 6 2 PIPERONYL, PYRETHRINS 54523, 54983 1863<br />
RIDAURA 61290 AURANOFIN 50433 1 6 1 1724<br />
S-M-A 61310 INFANT FORMULA 52775 2 6 1 0914<br />
SANDOGLOBULIN 61315 IMMUNE GLOBULIN 52750 1 6 1 1180, 1181, 1183<br />
SECRETIN 61325 SECRETIN 55190 1 6 1<br />
SEFFIN 61335 CEPHALOTHIN 50995 1 6 1 0347<br />
SERUTAN 61345 PSYLLIUM 54965 2 6 1 0876<br />
SMA-LO IRON 61355 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
STERILE OTIC SOLUTION 61365 UNDETERMINED 50000 3 7 3 1670<br />
STRESS-VITES 600 W/IRON 61370 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 54990, 55105, 56192, 56193<br />
STRESS-VITES 600 W/ZINC 61375 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN B-12, VITAMIN C 54990, 55105, 55770, 56192, 56193<br />
STUART PRENATAL 61380 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
SULPRED 61390 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE, SULFACETAMIDE 54770, 55525 1568<br />
SUPROL 61395 SUPROFEN 55618 1 6 1 1727<br />
TEEV XX 61430 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1040<br />
TEGISON 61435 ETRETINATE 52169 1 6 1 1274<br />
TERRAMYCIN W/POLYMYXIN OPHTHAL 61455 COMBINATION PRODUCT 51380 1 6 2 POLYMYXIN B SULFATE, OXYTETRACYCLINE HCL 70212, 70594 1568<br />
THEOPH, EPHEDRINE, & PHENOB 61460 COMBINATION PRODUCT 51380 2 6 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 0626, 1940, 1941<br />
THEREVAC 61465 UNDETERMINED 50000 2 6 3 0876<br />
TOLNAFTATE 61480 TOLNAFTATE 55890 2 6 1 1271<br />
TOPISPORIN 61500 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011 1265<br />
TORNALATE 61505 BITOLTEROL MESYLATE 50653 1 6 1 1940<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TRIAMCIN/NEO/GRAMICID/NYSTATIN 61520 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NEOMYCIN, NYSTATIN, TRIAMCINOLONE ACETONIDE 52478, 53895, 53995, 70307 1265<br />
TRIAMCINOLONE NYSTATIN GRAMICIDIN NEOMYC 61525 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NEOMYCIN, NYSTATIN, TRIAMCINOLONE ACETONIDE 52478, 53895, 53995, 70307<br />
TRIPLE SULFA VAGINAL 61535 TRIPLE SULFA 70639 1 6 1 0353<br />
VERSED 61570 MIDAZOLAM HCL 53716 1 4 1 0626<br />
VIBRAMYCIN CALCIUM SYRUP 61575 DOXYCYCLINE 51965 1 6 1 0350<br />
VINCASAR 61580 VINCRISTINE 56180 1 6 1 1483<br />
VITACARN 61585 CARNITINE 50929 1 6 1 0913<br />
VITAMIN B-12 W/THIAMINE HCL 61590 COMBINATION PRODUCT 51380 1 6 2 VITAMIN B-12, THIAMINE HCL 56192, 70603<br />
WANS SUPPRETTE NO.2 61600 COMBINATION PRODUCT 51380 1 3 2 PENTOBARBITAL, PYRILAMINE 54295, 54995 1944<br />
ZYDONE 61610 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
MAXIMUM STRENGTH ANACIN-3 61615 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE 50410, 50745<br />
NORWICH ASPIRIN 61620 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
COCAINE (ILLICIT) 70102 COCAINE HCL 51310 4 2 1 2220<br />
CRACK 70114 COCAINE HCL 51310 4 2 1 2220<br />
GAMMA-HYDROXYBUTYRATE 70193 GAMMA-HYDROXYBUTYRATE 92507 4 1 1 2230<br />
GASOLINE 70195 PETROLEUM HYDROCARBONS 92508 4 7 1 2240<br />
HEROIN 70214 MORPHINE 53760 4 1 1 2250<br />
MARIJUANA 70268 CANNABIS SATIVA 92505 4 1 1 2210<br />
PCP 70353 PHENCYCLIDINE 92509 4 1 1 2260<br />
POLISH REMOVER 70375 UNDETERMINED 50000 4 7 3 2240<br />
RUBBER CEMENT 70417 TOLUENE 92510 4 7 1 2240<br />
SPEED 70438 METHAMPHETAMINE 53485 4 2 1 2220<br />
WEED 70494 CANNABIS SATIVA 92505 4 1 1 2210<br />
ACIDOSE WITH SORBITOL 89001 ACTIVATED CHARCOAL 70021 2 6 1 0877<br />
AMINOSYN II 89005 AMINO ACIDS 50185 1 6 1 0914<br />
AMINOSYN II IN DEXTROSE 89006 COMBINATION PRODUCT 51380 1 6 2 AMINO ACIDS, DEXTROSE 50185, 51675 0914<br />
AMINOSYN II W/ELEC IN DEX W/CA 89007 COMBINATION PRODUCT 51380 1 6 2 AMINO ACIDS, DEXTROSE, ELECTROLYTES 50185, 51675, 52023 0914<br />
AMINOSYN-PF 89008 AMINO ACIDS 50185 1 6 1 0914<br />
BETAMETHASONE DIPROPIONATE 89010 BETAMETHASONE DIPROPIONATE 70565 1 6 1 1265<br />
BLEM-DERM 89011 BENZOYL PEROXIDE 50550 2 6 1 1265<br />
BUPIVACAINE W/EPINEPHRINE 89014 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE, BUPIVACAINE HCL 52040, 70351 0117<br />
CEFANEX 89015 CEPHALEXIN 50980 1 6 1 0347<br />
CHARCOAL, ACTIVATED W/ SORBITOL 89016 ACTIVATED CHARCOAL 70021 2 6 1 0283<br />
CHILDREN'S ADVIL 89017 IBUPROFEN 52730 1 6 1 1727<br />
CLINDAMYCIN HCL 89018 CLINDAMYCIN 51255 1 6 1 0348<br />
CYKLOKAPRON 89021 TRANEXAMIC ACID 57009 1 6 1 0411<br />
CYTOVENE 89022 GANCICLOVIR SODIUM 57004 1 6 1 0388<br />
DEY-DOSE ISOETHARINE HCL 89023 ISOETHARINE 52900 1 6 1 1940<br />
ERGOCOMP-PB 89026 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, CAFFEINE, ERGOTAMINE, PENTOBARBITAL 50495, 50745, 52055, 54295 1723<br />
ERYTHROMYCIN ETHYLSUCCINATE 89028 ERYTHROMYCIN 52065 1 6 1 0348<br />
ERYTHROMYCIN STEARATE 89029 ERYTHROMYCIN 52065 1 6 1 0348<br />
FENOPROFEN CALCIUM 89033 FENOPROFEN 52220 1 6 1 1724, 1727<br />
FENTANYL W/DROPERIDOL 89034 COMBINATION PRODUCT 51380 1 2 2 DROPERIDOL, FENTANYL CITRATE 51985, 70452 1721<br />
HYDROCORTISONE ACETATE 89040 HYDROCORTISONE 52655 1 6 1 1032<br />
HYDROCORTISONE SOD SUCCINATE 89041 HYDROCORTISONE 52655 1 6 1 1032<br />
HYDROXYPROGESTERONE CAPROATE 89042 HYDROXYPROGESTERONE 52695 1 6 1 1034<br />
INFLAMASE FORTE 89043 PREDNISOLONE 54770 1 6 1 1568<br />
INSPIREASE 89044 INHALER 52752 1 6 1 2087<br />
LIDOCAINE HCL VISCOUS 89045 LIDOCAINE 53070 1 6 1 0117, 0502<br />
LIPOSYN II 89046 FAT EMULSION 52213 1 6 1 0914<br />
LOSEC 89047 OMEPRAZOLE 57006 1 6 1 0874<br />
MEPIVICAINE HCL 89048 MEPIVACAINE 53360 1 6 1 0117<br />
NIACELS 89052 NIACIN 53905 2 6 1 0913<br />
PFIZERPEN-AS 89059 PENICILLIN G PROCAINE 54260 1 6 1 0346<br />
PHOTOPLEX 89060 COMBINATION PRODUCT 51380 2 6 2 PADIMATE O, BUTYL METHOXYDIBEZOYL METHANE 54157, 70583 1265<br />
PROCHLORPERAZINE EDISYLATE 89068 PROCHLORPERAZINE 54830 1 6 1 1671<br />
PROCHLORPERAZINE MALEATE 89069 PROCHLORPERAZINE 54830 1 6 1 1671<br />
PROPOXYPHENE HCL W/APAP 89071 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE HCL 50005, 70377 1721<br />
ROBITUSSIN NIGHT RELIEF 89073 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR, PYRILAMINE MALEATE 50005, 70256, 70338, 70394 1945<br />
ROWASA 89074 MESALAMINE 57005 1 6 1 0877<br />
SUPRAX 89076 CEFIXIME 57044 1 6 1 0347<br />
TENORMIN I.V. 89077 ATENOLOL 50418 1 6 1 0506<br />
TOBRAMYCIN SULFATE 89081 TOBRAMYCIN 55850 1 6 1 0352<br />
TUSSI-R-GEN 89082 COMBINATION PRODUCT 51380 1 5 2 CODEINE, IODINATED GLYCEROL 51340, 52825 1943<br />
ALFERON N 91001 INTERFERON ALFA-N3 52796 1 6 1 1181<br />
ANTIPYRINE W/BENZOCAINE 91003 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE 50325, 50530 1670<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ARM-A-MED ISOETHARINE HCL 91004 ISOETHARINE 52900 1 6 1 1940<br />
ARM-A-MED METAPROTERENOL 91005 METAPROTERENOL 53450 1 6 1 1940<br />
ARM-A-VIAL SODIUM CHLORIDE 91006 SODIUM CHLORIDE 55315 2 6 1 2087<br />
BROMATANE DX 91008 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70239, 70256, 70338 1941, 1943, 1944<br />
BUTALBITAL/APAP/CAFFAINE 91009 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1723<br />
CODAPHEN 91010 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
DALGAN 91012 DEZOCINE 57046 1 6 1 1721<br />
DOXORUBICIN HCL 91014 DOXORUBICIN 51960 1 6 1 1482<br />
DOXYCYCLINE HYCLATE 91015 DOXYCYCLINE 51965 1 6 1 0350<br />
ERGAMISOL 91016 LEVAMISOLE 91016 1 6 1 1181<br />
ERYTHROCIN STEARATE FILMTAB 91017 ERYTHROMYCIN 52065 1 6 1 0348<br />
FOLEX PFS 91022 METHOTREXATE 53570 1 6 1 1479<br />
FORTAZ IN DEX 91023 CEFTAZIDIME 50966 1 6 1 0347<br />
GUAIFENESIN AC 91027 COMBINATION PRODUCT 51380 2 5 2 CODEINE, GUAIFENESIN 51340, 52490 1943<br />
IFEX/MESNEX COMBO PACK 91030 UNDETERMINED 50000 1 6 3 1479<br />
K-LEASE 91032 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
ONE TOUCH TEST STRIPS 91040 BLOOD SUGAR DIAGNOSTIC 57001 3 7 1 2087<br />
OTITRICIN OTIC 91041 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NEOMYCIN, POLYMYXIN B 52655, 53895, 70011 1670<br />
PHENYLFENESIN LA 91042 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1941, 1943<br />
ROXANOL RESCUDOSE 91046 MORPHINE 53760 1 2 1 1721<br />
ROXILOX 91048 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE HCL 50005, 70269 1721<br />
RU-TUSS DE 91049 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
THEO-SAV 91054 THEOPHYLLINE 55745 1 6 1 1940<br />
THERACYS 91055 BCG VACCINE 50485 1 6 1 1479<br />
ZEFAZONE 91059 CETEARETH 51016 1 6 1 0347<br />
AZTREONAM 91064 AZTREONAM 50444 1 6 1 0355<br />
CEFMETAZOLE 91067 CEFMETAZOLE SODIUM 92504 1 6 1 0347<br />
CEFTAZIDIME 91068 CEFTAZIDIME 50966 1 6 1 0347<br />
CEFTRIAXONE 91069 CEFTRIAXONE 50961 1 6 1 0347<br />
DIMETHYL SULFOXIDE 91073 DIMETHYL SULFOXIDE 51830 1 6 1 1265<br />
ENCAINIDE 91075 ENCAINIDE HCL 52024 1 6 1 0502<br />
ETHANOLAMINE 91077 ETHANOLAMINE OLEATE 91018 1 6 1 2087<br />
GONADORELIN ACETATE 91082 GONADORELIN 52472 3 7 1 1035<br />
LEUPROLIDE ACETATE 91086 LEUPROLIDE 57012 3 7 1 1480<br />
LEVAMISOLE HCL 91087 LEVAMISOLE 91016 1 6 1 1181<br />
MORICIZINE HCL 91093 MORICIZINE 91019 1 6 1 0502<br />
NORFLOXACIN 91094 NORFLOXACIN 53969 1 6 1 0355<br />
PROCYCLIDINE 91098 PROCYCLIDINE 54835 1 6 1 1371<br />
SPECTINOMYCIN 91100 SPECTINOMYCIN 55450 1 6 1 0355<br />
TRANYLCYPROMINE 91101 TRANYLCYPROMINE 55900 1 6 1 0630<br />
ACETIC ACID W/HC 92001 COMBINATION PRODUCT 51380 1 6 2 ACETIC ACID, HYDROCORTISONE 50025, 52655 1670<br />
ACTIDOSE-AQUA 92002 ACTIVATED CHARCOAL 70021 2 6 1 0283, 0877<br />
AMPICILLIN SODIUM 92004 AMPICILLIN SODIUM 70235 1 6 1 0346<br />
BREVOXYL 92007 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
BROMADINE 92008 BROMPHENIRAMINE MALEATE 70239 1 6 1 1941, 1944<br />
CHIBROXIN 92014 NORFLOXACIN 53969 1 6 1 1568<br />
CUTIVATE 92017 FLUTICASONE PROPIONATE 52354 1 6 1 1268<br />
DESOXIMETASONE 92018 DESOXIMETASONE 51625 1 6 1 1265<br />
DEXTROSE 5%-LACTATED RINGERS 92020 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, RINGERS LACTATED 51675, 55115 0914<br />
DOPAMINE HCL 92021 DOPAMINE 51945 1 6 1 0505<br />
DORAL 92022 QUAZEPAM 55028 1 4 1 0626<br />
DUPHALAC 92023 LACTULOSE 52995 1 6 1 0876<br />
EDTA 92026 EDETATE DISODIUM 52015 1 6 1 0281<br />
EMGEL 92027 ERYTHROMYCIN 52065 1 6 1 1271<br />
ERYTHROMYCIN ESTOLATE 92029 ERYTHROMYCIN 52065 1 6 1 0348<br />
FLUPHENAZINE DECANOATE 92033 FLUPHENAZINE 52335 1 6 1 0628<br />
FOSCAVIR 92034 FOSCARNET SODIUM 52361 1 6 1 0388<br />
G-MYTICIN 92036 GENTAMICIN 52400 1 6 1 1265<br />
GENATUSS DM 92037 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
GUAIFENESIN/P-EPHED/CODEINE 92039 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN, PSEUDOEPHEDRINE 51340, 52490, 54960 1941, 1943<br />
GUAITAB 92040 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
INFUMORPH 92044 MORPHINE 53760 1 2 1 1721<br />
INSULATARD HUMAN N 92045 INSULIN 52790 2 6 1 1036<br />
INSULATARD N 92046 INSULIN 52790 2 6 1 1036<br />
MEPROBAMATE W/ASPIRIN 92053 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, MEPROBAMATE 50410, 53370 1720<br />
METAMUCIL WAFER 92054 PSYLLIUM 54965 2 6 1 0876<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
MIOCHOL W/IOCARE 92056 COMBINATION PRODUCT 51380 1 6 2 MAGNESIUM CHLORIDE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE, ACETYLCHOLINE CHLORIDE 53190, 54655, 55315, 70464 1566<br />
MOTION SICKNESS 92058 DIMENHYDRINATE 51810 2 6 1 1671<br />
MURO'S OPCON 92060 NAPHAZOLINE 53875 1 6 1 1570<br />
NEOMYCIN/POLYMYXIN/DEXAMETH 92063 COMBINATION PRODUCT 51380 1 6 2 POLYMYXIN B SULFATE, NEOMYCIN SULFATE, DEXAMETHASONE SODIUM PHOSPHAT 70212, 70362, 70369 1568<br />
NITROGLYCERIN IN D5W 92064 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, NITROGLYCERIN 51675, 53945 0503<br />
NORPLANT 92066 LEVONORGESTREL 50002 1 6 1 1040<br />
NUROMAX 92068 DOXACURIUM CHLORIDE 51947 1 6 1 0119<br />
PEDIA-PROFEN 92071 IBUPROFEN 52730 1 6 1 1727<br />
PODOCON-25 92074 PODOPHYLLUM 54560 1 6 1 1266<br />
POLYCILLIN-N 92075 AMPICILLIN 50275 1 6 1 0346<br />
PRISCOLINE 92077 TOLAZOLINE 55875 1 6 1 0504<br />
PROSED/DS 92079 COMBINATION PRODUCT 51380 1 6 2 BENZOIC ACID, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, ATROPINE SULFATE 50538, 53530, 53640, 54440, 70120 0354<br />
PSEUD/APAP/CPM 92081 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 50005, 70226, 70256 1945<br />
RINGERS 92083 RINGERS LACTATED 55115 1 6 1 0915<br />
ROBITUSSIN PEDIATRIC 92085 DEXTROMETHORPHAN 51670 2 6 1 1943<br />
STERILE WATER 92087 WATER STERILE 56210 1 6 1 2095<br />
SULFACETAMIDE W/PREDNISOLONE 92088 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE, SULFACETAMIDE SODIUM 54770, 70214 1568<br />
T-PHYL 92090 THEOPHYLLINE 55745 1 6 1 1940<br />
TOLMETIN SODIUM 92093 TOLMETIN SODIUM 55885 1 6 1 1724, 1727<br />
TROPHAMINE 92095 AMINO ACIDS 50185 1 6 1 0914<br />
TUMS PLUS 92096 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, SIMETHICONE 50785, 55240 0874<br />
TUSSAR-2 92099 COMBINATION PRODUCT 51380 2 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1941, 1943<br />
VELOSULIN HUMAN R 92101 INSULIN 52790 2 6 1 1036<br />
VELOSULIN R 92102 INSULIN 52790 2 6 1 1036<br />
ZEASORB-AF 92104 TOLNAFTATE 55890 2 6 1 1271<br />
AZT 92106 ZIDOVUDINE 56261 1 6 1 0388<br />
BERACTANT 92108 BERACTANT 50577 1 6 1 2087<br />
CEFACLOR 92109 CEFACLOR 50945 1 6 1 0347<br />
CLOFAZIMINE 92113 CLOFAZIMINE 57036 1 6 1 0356<br />
CLOMIPHENE 92114 CLOMIPHENE 51265 1 6 1 1041<br />
DIDANOSINE 92117 DIDANOSINE 51732 1 6 1 0388<br />
DOXACURIUM 92119 DOXACURIUM CHLORIDE 51947 1 6 1 0119<br />
DRITHOCREME 92121 ANTHRALIN 50310 1 6 1 1265<br />
ESTAZOLAM 92123 ESTAZOLAM 52068 1 4 1 0627<br />
FOSCARNET 92127 FOSCARNET SODIUM 52361 1 6 1 0388<br />
HALOBETASOL 92130 HALOBETASOL PROPIONATE 52504 1 6 1 1265<br />
HEPATITIS B VACCINE 92131 HEPATITIS B VACCINE 52548 1 6 1 1180<br />
LEROBUNOLOL 92133 LEVOBUNOLOL HCL 53043 1 6 1 1569<br />
LEVONORGESTREL 92134 LEVONORGESTREL 50002 3 7 1 1040<br />
ONDANSETRON 92141 ONDANSETRON HYDROCHLORIDE 54032 1 6 1 1671<br />
PENTAMIDINE ISETHIONATE 92142 PENTAMIDINE ISETHIONATE 54278 1 6 1 1860<br />
PIMOZIDE 92144 PIMOZIDE 54504 1 6 1 0627<br />
SUPROFEN 92151 SUPROFEN 55618 1 6 1 1568<br />
TRANEXAMIC ACID 92153 TRANEXAMIC ACID 57009 1 6 1 0411<br />
ANSAID 92155 FLURBIPROFEN SODIUM 52353 1 6 1 1724, 1727<br />
ELIMITE 92157 PERMETHRIN 54315 1 6 1 1271<br />
DECONSAL SPRINKLE 92167 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE 52490, 54455 1941, 1943<br />
DUOPLANT 92168 SALICYLIC ACID 55160 3 6 1 1266<br />
DURA-VENT A 92170 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
ENDAFED 92172 COMBINATION PRODUCT 51380 2 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1941, 1944<br />
LORTAB-ASA 92181 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, HYDROCODONE BITARTRATE 50410, 70217 1721<br />
POLYHISTINE 92183 COMBINATION PRODUCT 51380 1 6 2 PHENYLTOLOXAMINE CITRATE, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 70255, 70394, 70407 1944<br />
POLYHISTINE-CS 92184 COMBINATION PRODUCT 51380 1 5 2 CODEINE PHOSPHATE, BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70231, 70239, 70254 1941, 1943, 1944<br />
PRENATE 92187 UNDETERMINED 50000 3 7 3 2000<br />
THERAMYCIN 92188 ERYTHROMYCIN 52065 1 6 1 1264<br />
ZEPHREX 92190 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
ACUTRIM 93001 PHENYLPROPANOLAMINE 54465 2 6 1 0631<br />
AK-PRED 93004 PREDNISOLONE 54770 1 6 1 1568<br />
AK-TAINE 93006 PROPARACAINE 54875 1 6 1 1569<br />
AK-TROL 93007 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 51635, 70212, 70362 1568<br />
AKNE-MYCIN 93008 ERYTHROMYCIN 52065 1 6 1 1271<br />
ALIMENTUM 93010 COMBINATION PRODUCT 51380 2 6 2 AMINO ACIDS, CASEIN, COCONUT OIL, SUCROSE, TAPIOCA 50185, 50938, 51330, 55520, 70388 0914<br />
ALKYLATING AGENT 93011 UNDETERMINED 50000 1 6 3 1479<br />
ALLERGY MEDICATION 93014 UNDETERMINED 50000 3 7 3 1944<br />
AMI-TEX 93015 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1941, 1943<br />
ANTIMETABOLITE 93018 UNDETERMINED 50000 1 6 3 2000<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ANTIPARKINSOIAN AGENT 93019 UNDETERMINED 50000 1 7 3 1371<br />
ARDUAN 93021 PIPECURONIUM 56570 1 6 1 0119, 1373<br />
ATROHIST PLUS 93025 COMBINATION PRODUCT 51380 1 6 2 ATROPINE SULFATE, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, HYOSCYAMINE SULFATE, PHENYLEPHRINE HCL 70120, 70226, 70254, 70336, 70358 1941, 1944<br />
AXSAIN 93026 CAPSAICIN 50867 2 6 1 1275<br />
BENZASHAVE 93028 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
BRONCHO SALINE 93032 SODIUM CHLORIDE 55315 2 6 1 2095<br />
BUCET 93034 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL 50005, 50728 1723<br />
CARNITINE 93037 LEVOCARNITINE 57049 1 6 1 0913<br />
CELLUFRESH 93039 CARBOXYMETHYLCELLULOSE 50912 2 6 1 1569<br />
CONDYLOX 93042 PODOFILOX 56575 1 6 1 1266<br />
CRESYLATE 93044 M-CRESYL ACETATE 57057 1 6 1 1670<br />
DEPO PREDATE 93045 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
DEXATRIM 93047 PHENYLPROPANOLAMINE 54465 2 6 1 0631<br />
DIPHEN 93049 PHENYTOIN 54470 1 6 1 1374<br />
DURA-VENT 93052 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1943<br />
EMINASE 93055 ANISTREPLASE 56360 1 6 1 0409<br />
ENLON 93056 EDROPHONIUM 52020 1 6 1 1372<br />
FENESIN 93061 GUAIFENESIN 52490 1 6 1 1943<br />
FLEXALL 93064 MENTHOL 53325 2 6 1 1275<br />
GENTAK 93067 GENTAMICIN 52400 1 6 1 1568<br />
GLYCOLIC ACID 93068 UNDETERMINED 50000 3 7 3 2000<br />
GROWTH HORMONE 93070 UNDETERMINED 50000 1 6 3 1035<br />
HEMASPAN 93072 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C, DOCUSATE SODIUM 52885, 56193, 70262 0408, 0913<br />
HEMORRHOID PREPARATION 93073 UNDETERMINED 50000 3 6 3 0877<br />
HY-PHEN 93077 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
ISOCOM 93081 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, DICHLORALPHENAZONE, ISOMETHEPTENE MUCATE 50005, 51708, 52908 1723<br />
ISOMIL 93082 INFANT FORMULA 52775 2 6 1 0914<br />
LACTISOL 93085 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID 55160 1265<br />
LEGATRIN 93086 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, DIPHENHYDRAMINE 50005, 51860 1373, 1864<br />
MAX-EPA 93092 COMBINATION PRODUCT 51380 2 6 2 0912<br />
MAXAQUIN 93093 LOMEFLOXACIN 56480 1 6 1 0357<br />
ROMAZICON (MAZICON) 93094 FLUMAZENIL 56435 1 6 1 0281<br />
METED 93095 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID, SULFUR 55160, 55610 1265<br />
MIVACRON 93096 MIVACURIUM 56515 1 6 1 0119<br />
MOISTUREL 93097 COMBINATION PRODUCT 51380 2 6 2 BENZYL ALCOHOL, DIMETHICONE, PETROLATUM 50570, 51817, 54330 1265<br />
MONODOX 93098 DOXYCYCLINE 51965 1 6 1 0350<br />
MYCOGEN 93099 COMBINATION PRODUCT 51380 1 6 2 NYSTATIN, TRIAMCINOLONE ACETONIDE 53995, 70307 1860<br />
NESTREX 93103 PYRIDOXINE 54990 2 6 1 0913<br />
NOVA-DEC 93108 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, MULTIVITAMINS GENERAL 52885, 53780 0913<br />
OBE-NIX 93110 PHENTERMINE 54430 1 4 1 0631<br />
OMINIFLOX 93114 UNDETERMINED 50000 3 7 3 2087<br />
ORAGEL 93116 BENZOCAINE 50530 2 6 1 1275<br />
ORTH-CYCLEN 93117 COMBINATION PRODUCT 51380 1 6 2 NORGESTIMATE, ETHINYL ESTRADIOL 57122, 70027 1040<br />
OXY-10 93119 BENZOYL PEROXIDE 50550 2 6 1 1270<br />
PHOS-EX 93123 CALCIUM 50776 2 6 1 0915<br />
PREDICORT 93126 PREDNISOLONE 54770 1 6 1 1032<br />
PROSTEP 93128 NICOTINE TRANSDERMAL 56540 1 6 1 1265<br />
Q-VEL 93129 QUININE 55050 2 6 1 1864<br />
QUINALAN 93130 QUINIDINE 55045 1 6 1 0502<br />
REPLENS 93133 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, METHYLPARABEN, MINERAL OIL, WATER STERILE 52450, 53650, 53720, 56210 1200<br />
RETINOIC ACID 93135 RETINOIC ACID 56615 1 6 1 1265<br />
RHOGAM 93136 RHO (D) IMMUNE GLOBULIN 56620 1 6 1 1181, 1183<br />
SALAC 93137 SALICYLIC ACID 55160 2 6 1 1266<br />
SALACID 93138 SALICYLIC ACID 55160 1 6 1 1266<br />
SEROPHENE 93141 CLOMIPHENE 51265 1 6 1 1035<br />
SHUR-CLENS 93143 POLOXAMER 188 56580 2 6 1 2087<br />
SLEEPING PILL 93144 UNDETERMINED 50000 3 7 3 0626<br />
SMOKING DETERRENT 93145 UNDETERMINED 50000 3 7 3 2087<br />
SOLUVITE 93146 COMBINATION PRODUCT 51380 1 6 2 FLUORIDE, MULTIVITAMINS GENERAL 52318, 53780 0913<br />
SULFO-LO 93149 UNDETERMINED 50000 3 7 3 2087<br />
SULFONYLUREAS 93150 UNDETERMINED 50000 3 7 3 1036<br />
THERAPLEX T 93153 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED 50000 1265<br />
TODAY SPONGE 93155 NONOXYNOL 9 53955 2 6 1 1040<br />
TRANS-PLANTAR 93157 SALICYLIC ACID 55160 2 6 1 1266<br />
TRANS-VER-SAL 93158 SALICYLIC ACID 55160 2 6 1 1266<br />
TROPICACYL 93160 TROPICAMIDE 56045 1 6 1 1567<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TUSSAFED 93161 UNDETERMINED 50000 3 7 3 2087<br />
UAD CREAM 93162 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, CLIOQUINOL 52655, 70554 1670<br />
VAGISIL 93164 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, RESORCINOL 50530, 55085 0117<br />
VAGISTAT 93165 TIOCONAZOLE 56765 1 6 1 1860<br />
VARICELLA-ZOSTER IMMUNE GLOBULIN 93167 VARICELLA-ZOSTER IMMUNE GLOBULIN 56770 1 6 1 1180, 1183<br />
VIRANOL 93170 SALICYLIC ACID 55160 2 6 1 1265<br />
VISCOAT 93171 COMBINATION PRODUCT 51380 1 6 2 SODIUM HYALURONATE, SODIUM CHONDROITIN SULFATE 55339, 70602 1569<br />
VIVOTIF 93172 THYPOID VACCINE 56685 1 6 1 1180<br />
WART TREATMENT 93173 UNDETERMINED 50000 3 7 3 1265<br />
YOCON 93174 YOHIMBINE 56260 1 6 1 2087<br />
YOHIMEX 93175 YOHIMBINE 56260 1 6 1 2087<br />
ZANTRYL 93176 PHENTERMINE 54430 1 4 1 0631<br />
ZONE- A 93184 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, PRAMOXINE 52655, 54755 1265<br />
ANTIHYPERTENSIVE AGENT 93186 UNDETERMINED 50000 1 7 3 0506<br />
NALTREXONE 93188 NALTREXONE HYDROCHLORIDE 53868 3 6 1 0281<br />
ACTINEX 93189 MASOPROCOL 56500 1 6 1 1265, 1479<br />
ASTEMIZOLE 93191 ASTEMIZOLE 92501 1 6 1 1944<br />
ANTUSSIVE 93194 UNDETERMINED 50000 3 7 3 1943<br />
HISTAMINE H-2 BLOCKER/ANTAGONIST 93195 UNDETERMINED 50000 2 6 3 0874<br />
OCULINUM 93198 BOTULISM TOXIN 56365 1 6 1 0285<br />
ASTHMA MEDICATION 93199 UNDETERMINED 50000 3 6 3 1940<br />
TURBINAIRE DECADRON PHOSPHATE 93205 DEXAMETHASONE 51635 1 6 1 1032<br />
MYCOLYTICS 93206 UNDETERMINED 50000 3 7 3 1943<br />
NALSPAN 93207 UNDETERMINED 50000 3 7 3 2087<br />
ANTIPSYCHOTIC MEDICATION 93209 UNDETERMINED 50000 1 7 3 0628<br />
DRITHO-SCALP 93216 ANTHRALIN 50310 1 6 1 1265<br />
DAIRY EASE 93217 LACTASE ENZYME 56470 2 6 1 0877<br />
FLUORESOFT 93219 FLUOREXON 56440 1 6 1 0789, 1569<br />
FELBAMATE 93221 FELBAMATE 56415 1 6 1 1374<br />
CISPLATIN 93223 CISPLATIN 51230 1 6 1 1479<br />
XANTHINES 93229 UNDETERMINED 50000 3 7 3 1940<br />
DYNACIN 93230 MINOCYCLINE 53725 1 6 1 0350<br />
BOTULISM TOXIN 93232 BOTULISM TOXIN 56365 1 6 1 0285, 1569<br />
KERLONE 93234 BETAXOLOL HCL 50588 1 6 1 0506<br />
MANOPLAX 93235 UNDETERMINED 50000 3 7 3 2000<br />
DRY EYE THERAPY 93236 GLYCERIN 52450 2 6 1 1569<br />
PSEUDOGEST 93241 PSEUDOEPHEDRINE 54960 2 6 1 1945<br />
PEN-KERA 93244 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, MINERAL OIL, TRIETHANOLAMINE, UREA, WHEAT GERM 52450, 53720, 55955, 56120, 56214 1265<br />
RIFABUTIN 93246 RIFABUTIN 56625 3 6 1 0358<br />
HIVID 93247 ZALCITABINE 57055 1 6 1 0388<br />
VALPROATE 93249 VALPROIC ACID 56145 1 6 1 1374<br />
ROXIPRIN 93250 COMBINATION PRODUCT 51380 1 2 2 ASPIRIN, OXYCODONE 50410, 54094 1721<br />
VANEX-FORTE 93251 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL, PYRILAMINE MALEATE 70226, 70254, 70358, 70394 1941, 1944<br />
PHENTOLAMINE 93252 PHENTOLAMINE 54435 1 6 1 0506<br />
TILADE 93254 NEDOCROMIL 56530 1 6 1 1940<br />
PNEUMOCOCCAL VACCINE 93256 PNEUMOCOCCAL VACCINE 54555 1 6 1 1180<br />
CARBOPLATIN 93258 CARBOPLATIN 56375 1 6 1 1483<br />
PARAPLATIN 93259 CARBOPLATIN 56375 1 6 1 1483<br />
CARMUSTINE 93260 CARMUSTINE 50925 1 6 1 1479<br />
CISAPRIDE 93261 CISAPRIDE 56395 1 6 1 0874<br />
MIDAZOLAM HCL 93262 MIDAZOLAM HCL 53716 1 4 1 0118<br />
MEZLOCILLIN 93301 MEZLOCILLIN 53713 1 6 1 0346<br />
CEFOTAXIME 93303 CEFOTAXIME SODIUM 50964 1 6 1 0347<br />
ENGERIX-B 93307 HEPATITIS B VACCINE 52548 1 6 1 1180<br />
PEDVAX HIB 93311 HAEMOPHILUS B CONJUGATE VACCINE 56445 1 6 1 1180<br />
DOBUTAMINE 93313 DOBUTAMINE 51930 1 6 1 0505<br />
MEFLOQUINE 93316 MEFLOQUINE 56505 1 6 1 1860<br />
NITRAZEPAM 93321 NITRAZEPAM 56545 3 7 1 0626<br />
DIDEOXYCYTIDINE 93324 DIDEOXYCYTIDINE 57052 1 6 1 0388<br />
EMLA 93325 COMBINATION PRODUCT 51380 1 6 2 LIDOCAINE, PRILOCAINE 53070, 54785 1275<br />
INJECTION 93326 UNDETERMINED 50000 3 7 3 2087<br />
ITRACONAZOLE 93327 ITRACONAZOLE 56465 1 6 1 1860<br />
DAUNORUBICIN 93329 DAUNORUBICIN 51560 1 6 1 1479<br />
ASPARAGINASE 93330 ASPARAGINASE 50400 1 6 1 1479<br />
VP 93331 COMBINATION PRODUCT 51380 1 7 2 PREDNISONE, VINCRISTINE 54775, 56180 1479<br />
DIDEHYDRODIDEOXYTHYMIDINE.. 93336 STAVUDINE 56790 1 6 1 0388<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
B 50 93340 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, VITAMIN B COMPLEX 52355, 56345 0913<br />
SOAP 93344 UNDETERMINED 50000 3 7 3 1265<br />
DIPRIVAN 93345 PROPOFOL 56605 1 6 1 0118<br />
PHENCHLOR S.H.A. 93350 COMBINATION PRODUCT 51380 1 6 2 ATROPINE SULFATE, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, HYOSCYAMINE SULFATE, PHENYLEPHRINE HCL 70120, 70226, 70254, 70336, 70358 1945<br />
PROGESTIN 93353 UNDETERMINED 50000 3 7 3 1034, 1040, 1479<br />
ANTIGEN 93356 UNDETERMINED 50000 3 7 3 1180<br />
SCLEROSING AGENT 93358 UNDETERMINED 50000 1 6 3 0504, 2087<br />
ANTITOXIN 93364 UNDETERMINED 50000 1 7 3 0285<br />
PROPULSID 93366 CISAPRIDE 56395 1 6 1 0874<br />
RESAID 93367 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1945<br />
LORACARBEF 93369 LORACARBEF 56485 1 6 1 0347<br />
ALGLUCERASE 93370 ALGLUCERASE 56350 1 6 1 0914<br />
IMMUNIZATION 93383 UNDETERMINED 50000 1 6 3 1180<br />
GI COCKTAIL 93386 UNDETERMINED 50000 3 7 3 0877<br />
CEFOXITIN 93387 CEFOXITIN SODIUM 50965 1 6 1 0347<br />
IFOSFAMIDE 93389 IFOSFAMIDE 56455 1 6 1 1479<br />
SARGRAMOSTIN 93391 SARGRAMOSTIN 56760 1 6 1 0408<br />
PINK LADY 93393 UNDETERMINED 50000 3 7 3 0800<br />
AEROSOL THERAPY 93394 UNDETERMINED 50000 3 7 3 1940<br />
BALMEX 93397 COMBINATION PRODUCT 51380 2 6 2 BALSAM, BISMUTH, EXTERNAL, MINERAL OIL, SILICONE, ZINC TOPICAL AGENTS, EXTERNAL USE 50460, 50637, 53720, 55218, 56265 1265<br />
ITCH-X 93403 PRAMOXINE 54755 2 6 1 0117<br />
SANDOSTATIN 93405 OCTREOTIDE ACETATE 56750 1 6 1 2087<br />
ACTINOMYCIN D 93407 DACTINOMYCIN 51535 1 6 1 1479<br />
CALVULANIC ACID/AMOXICILLIN 93416 COMBINATION PRODUCT 51380 1 6 2 AMOXICILLIN, CLAVULANATE POTASSIUM 50260, 70341 0346<br />
CEFPROZIL 93417 CEFPROZIL 56390 1 6 1 0347<br />
NEVIRAPINE 93420 NEVIRAPINE 59715 1 6 1 0388<br />
SELENIUM SULFIDE SHAMPOO 93421 SELENIUM SULFIDE 55195 3 6 1 1265<br />
SUCCIMER 93423 SUCCIMER 56665 1 6 1 0281<br />
CEREDASE 93426 ALGLUCERASE 56350 1 6 1 0914<br />
INSECT/BUG REPELLANT 93427 UNDETERMINED 50000 2 6 3 2087<br />
INJECTION (GANGLION/NERVE BLOCK) 93430 UNDETERMINED 50000 1 7 3 0117<br />
AZATADINE 93431 AZATADINE 50440 1 6 1 1944<br />
ALPROSTADIL 93433 ALPROSTADIL 50116 1 6 1 0508<br />
THIAZIDE 93437 UNDETERMINED 50000 1 6 3 0506, 0507<br />
GREEN GRASSHOPPER 93438 UNDETERMINED 50000 3 7 3 2000<br />
CONDOMS 93440 NONOXYNOL 9 53955 2 6 1 1040<br />
HAEMOPHILUS B CONJUGATE VACCINE 93442 HAEMOPHILUS B CONJUGATE VACCINE 56445 1 6 1 1180<br />
NIMODIPINE 93443 NIMODIPINE 56780 1 6 1 0510<br />
AMINOGLUTETHIMIDE 93445 AMINOGLUTETHIMIDE 50203 1 6 1 1032<br />
VECURONIUM 93448 VECURONIUM BROMIDE 56162 1 6 1 0119<br />
RABIES IMMUNE GLOBULIN 93449 RABIES IMMUNE GLOBULIN 55055 1 6 1 1180, 1181, 1183<br />
ANTISEBORRHEIC AGENT 93452 UNDETERMINED 50000 3 7 3 1264<br />
BOTULISM ANTITOXIN 93454 BOTULISM ANTITOXIN 56845 1 6 1 0285<br />
PERTUSSIS IMMUNE GLOBULIN 93455 PERTUSSIS IMMUNE GLOBULIN 54325 1 6 1 1180<br />
MEDICATION(S) - CONTINUE/MONITOR/REVIEW 93980 UNDETERMINED 50000 3 7 3 2087<br />
MEDICATION(S) -PRESCRIBED/PROVIDED/OTC 93981 UNDETERMINED 50000 3 7 3 2087<br />
BENZONATE 94002 BENZONATATE 50545 1 6 1 1943<br />
TUBERCULIN MEDICATION 94005 UNDETERMINED 50000 1 7 3 1800<br />
ENEMA 94007 UNDETERMINED 50000 3 6 3 2087<br />
CATAFLAM 94011 DICLOFENAC POTASSIUM 57082 1 6 1 1724, 1727<br />
ORTHO-EST 94012 ESTROPIPATE 52082 1 6 1 1040<br />
NYTOL 94015 DIPHENHYDRAMINE 51860 2 6 1 0626<br />
BABY OIL 94018 MINERAL OIL 53720 2 6 1 1265<br />
BROMODIPHENHYDRAMINE W/ CODEINE 94019 COMBINATION PRODUCT 51380 1 5 2 CODEINE PHOSPHATE, BROMODIPHEHYDRAMINE HCL 70231, 70349 1943, 1944<br />
AQUASITE 94021 COMBINATION PRODUCT 51380 2 6 2 DEXTRAN, POLYCARBOPHIL, SODIUM CHLORIDE 51647, 54587, 55315 1569<br />
CATAFLEEN 94023 UNDETERMINED 50000 3 7 3 2087<br />
DERMATOP 94025 PREDNICARBATE 57090 1 6 1 1268<br />
MONOCHLORACETIC ACID 94028 MONOCHLOREACETIC ACID 57118 1 6 1 1265<br />
NEUTRODERM CLEANSER 94032 UNDETERMINED 50000 3 7 3 1265<br />
NEUTRODERM LOTION 94033 UNDETERMINED 50000 3 6 3 1265<br />
AQUANIL 94036 COMBINATION PRODUCT 51380 2 6 2 CETYL ALCOHOL, GLYCERIN 51020, 52450 1265<br />
ERAMYCIN 94037 ERYTHROMYCIN 52065 1 6 1 0348<br />
FACTOR VIII 94038 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0410<br />
MAG-TAB 94039 MAGNESIUM LACTATE 57114 2 6 1 0915<br />
PINK COCKTAIL 94041 COMBINATION PRODUCT 51380 1 6 2 ALUMINUM HYDROXIDE, PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 50145, 54395, 55180, 70120, 70336 0877<br />
LACTOSE-FREE FORMULA 94046 UNDETERMINED 50000 3 7 3 2000<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
MESNA 94047 MESNA 57116 1 6 1 0509<br />
METROGEL VAGINAL 94048 METRONIDAZOLE 53700 1 6 1 1265<br />
SOLAQUIN FORTE 94051 HYDROQUINONE 52675 1 6 1 1265<br />
TRIAMETERNE 94052 TRIAMTERENE 55925 1 6 1 0507<br />
BETA BLOCKER 94053 UNDETERMINED 50000 1 6 3 2087<br />
AK DILATE 94056 PHENYLEPHRINE 54455 1 6 1 1941<br />
CLINOXIDE 94057 COMBINATION PRODUCT 51380 1 6 2 CLIDINIUM BROMIDE, CHLORDIAZEPOXIDE HCL 51250, 70356 0878<br />
COLLAGEN 94058 COLLAGEN 57084 3 6 1 1265<br />
ISOVEX 94061 ETHAVERINE 52095 1 6 1 0504<br />
MONOKET 94062 ISOSORBIDE 52935 1 6 1 0503<br />
PROSTAGLANDIN(S) 94065 UNDETERMINED 50000 3 7 3 1039<br />
PROSTAGLANDIN E1 94066 ALPROSTADIL 50116 1 6 1 0508<br />
PIRBUTEROL ACETATE 94068 PIRBUTEROL ACETATE 57038 1 6 1 1940<br />
URSODEOXYCHOLIC ACID 94069 URSODIOL 56695 1 6 1 0877<br />
NSAID 94072 UNDETERMINED 50000 3 7 3 1727<br />
ALPHA HYDROXY 94076 UNDETERMINED 50000 3 7 3 2087<br />
CHARCOAL PLUS 94077 CHARCOAL 51025 2 6 1 0877<br />
COMPLEX 15 LOTION 94078 COMBINATION PRODUCT 51380 2 6 2 CAPRYLIC ACID, GLYCERIN, SQUALENE, UREA 50866, 52450, 55461, 56120 1265<br />
GLAUCOMA MEDICATION 94082 UNDETERMINED 50000 1 6 3 1566<br />
ANTIFLAULENCE MEDICATION 94085 UNDETERMINED 50000 3 7 3 0877<br />
ATUSS HD 94086 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70217, 70226, 70358 1944<br />
VAGINAL LUBRICANT 94091 UNDETERMINED 50000 3 7 3 1200<br />
DORNASE ALFA 94093 RECOMBINANT HUMAN DEOXYRIBONUCLEASE 57092 1 6 1 1900<br />
MEPRON 94097 ATOVAQUONE 57120 1 6 1 0355<br />
NEDOCROMIL 94098 NEDOCROMIL 56530 1 6 1 1940<br />
VANCENASE AQ 94105 BECLOMETHASONE 50490 1 6 1 1947<br />
SILICONE INJECTION 94106 SILICONE 55218 1 6 1 2000<br />
TECHNETIUM 94108 TECHNETIUM 57158 1 6 1 0789<br />
TERFENADINE 94109 TERFENADINE 55673 1 6 1 1944<br />
ASTHMANEFRIN 94111 EPINEPHRINE 52040 2 6 1 1940<br />
AURO EAR DROPS 94112 CARBAMIDE PEROXIDE 57018 2 6 1 1670<br />
DIFLUNISAL 94113 DIFLUNISAL 51763 1 6 1 1724, 1727<br />
HALFAN 94115 HALOFANTRINE 57104 1 6 1 1860<br />
NAPHAZOLINE/PHENIRAMINE 94118 COMBINATION PRODUCT 51380 1 6 2 NAPHAZOLINE HCL, PHENIRAMINE MALEATE 70395, 70407 1941, 1944<br />
NORETHINDRONE ACETATE 94119 NORETHINDRONE 53965 1 6 1 1034<br />
OTOMYCIN 94120 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 52655, 70212, 70362 1670<br />
RINGWORM MEDICINE 94121 UNDETERMINED 50000 3 7 3 1800<br />
DAYQUIL 94128 COMBINATION PRODUCT 51380 2 6 2 BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70239, 70254 1944<br />
DOXY 94129 DOXYCYCLINE 51965 1 6 1 0350<br />
DURASCREEN 94130 COMBINATION PRODUCT 51380 2 6 2 OXYBENZONE 54093 1269<br />
NICE 94135 MENTHOL 53325 2 5 1 1275<br />
LAMIVUDINE 94136 LAMIVUDINE 57146 1 7 1 0388<br />
SULFA 94137 UNDETERMINED 50000 3 7 3 2087<br />
SYNAREL 94140 NAFARELIN ACETATE 57134 1 6 1 1035<br />
EXIDINE 94142 CHLORHEXIDINE 51060 2 6 1 1264<br />
DEPO INJECTION 94143 UNDETERMINED 50000 3 7 3 1940<br />
OINTMENT 94145 UNDETERMINED 50000 3 7 3 2087<br />
MEDICATION(S) - IM 94147 UNDETERMINED 50000 3 7 3 2000<br />
UROKINASE 94148 UROKINASE 56130 1 6 1 0409<br />
FLUDARA 94150 FLUDARABINE PHOSPHATE 57098 1 6 1 1481<br />
FLUDARABINE 94151 FLUDARABINE PHOSPHATE 57098 1 6 1 1479<br />
DNase 94152 RECOMBINANT HUMAN DEOXYRIBONUCLEASE 57092 1 6 1 1900<br />
ZONALON 94153 DOXEPIN 51955 1 6 1 1264<br />
MEDIPLAST 94155 SALICYLIC ACID 55160 2 6 1 1266<br />
LURLINE PMS 94156 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PAMABRON, PYRIDOXINE 50005, 54158, 54990 1722<br />
KYTRIL 94160 GRANISETRON 57106 1 6 1 1671<br />
DACTINOMYCIN 94161 DACTINOMYCIN 51535 1 6 1 1479<br />
AZACITIDINE 94162 AZACITIDINE 57138 1 6 1 1479<br />
SICKLEDEX 94165 SICKLE CELL TEST 57156 1 6 1 0789<br />
PSORALENS 94166 UNDETERMINED 50000 3 6 3 2000<br />
ED A-HIST 94167 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70226, 70358 1941, 1944, 1945<br />
CEFOPERAZONE 94169 CEFOPERAZONE 50962 1 6 1 0347<br />
CENTURION 94170 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
IMMUNOSUPPRESIVE DRUG 94172 UNDETERMINED 50000 1 6 3 1181<br />
NOVOBIOCIN 94178 NOVOBIOCIN 53985 1 6 1 0355<br />
SORBSAN 94181 HYDROACTIVE DRESSING 57050 2 6 1 1264<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
FUNGI NAIL 94183 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CHLOROXYLENOL, RESORCINOL, SALICYLIC ACID 50530, 51120, 55085, 55160 1271<br />
P-V-TUSSIN TABLETS 94184 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE 70217 1941, 1943<br />
ERCAF 94187 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, ERGOTAMINE TARTRATE 50745, 70353 1723<br />
MG 94190 UNDETERMINED 50000 3 7 3 2000<br />
HIV MEDICATION 94192 UNDETERMINED 50000 1 6 3 0388<br />
RECEPTIN 94195 CD4 57154 1 6 1 0388<br />
ECONAZOLE 95003 ECONAZOLE 52008 1 6 1 1271<br />
LUBRIN 95007 GLYCERIN 52450 2 6 1 1273<br />
MONOLAURIN 95008 MONOLAURINE 57066 1 6 1 1265<br />
HUMULIN SR 95010 INSULIN 52790 2 6 1 1036<br />
GONIOSCOPIC 95012 HYDROXYETHYL CELLULOSE 52691 1 6 1 1569<br />
GREEN GODDESS 95013 UNDETERMINED 50000 3 7 3 2000<br />
QUINACRINE 95014 QUINACRINE 55030 1 6 1 1864<br />
ADDERALL 95016 COMBINATION PRODUCT 51380 1 2 2 AMPHETAMINE ASPARTATE, AMPHETAMINE SULFATE, DEXTROAMPHETAMINE SACCHARATE, DEXTROAMPHETAMINE SULFATE 70257, 70258, 70259, 70260 0631<br />
NASAL WASH 95018 UNDETERMINED 50000 3 7 3 2000<br />
FENFLURAMINE 95019 FENFLURAMINE 52215 1 4 1 0631<br />
NICARDIPINE 95020 NICARDIPINE 56535 1 6 1 0510<br />
ARTHRITIS MEDICATION 95021 UNDETERMINED 50000 3 7 3 1724<br />
CHILDRENs MOTRIN 95023 IBUPROFEN 52730 2 6 1 1727<br />
MINERAL ICE 95026 MENTHOL 53325 2 6 1 1275<br />
DOK 95029 DOCUSATE 51935 2 6 1 0876<br />
DEXTROSE/SODIUM CHLORIDE/0.9 NS 95030 ELECTROLYTES 52023 1 6 1 0914<br />
MAC 95033 COMBINATION PRODUCT 51380 1 6 2 CYCLOPHOSPHAMIDE, DOXORUBICIN, MITOMYCIN 51485, 51960, 53740 1481, 1482<br />
ANTIDOTE 95034 UNDETERMINED 50000 3 7 3 0200<br />
BUPRENORPHINE 95036 BUPRENORPHINE HCL 50711 1 6 1 1721<br />
FACTOR IX COMPLEX 95038 FACTOR IX COMPLEX HUMAN 52203 1 6 1 0411<br />
GUAIFENEX PSE 95039 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
NITROPRUSSIDE 95041 NITROPRUSSIDE 57068 1 6 1 0506<br />
NOREPINEPHRINE 95042 NOREPINEPHRINE 53960 1 6 1 0505<br />
NOVAGEST 95043 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1941, 1943<br />
ROBITUSSIN W/ CODEINE 95044 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE 52490, 70231 1943<br />
AMYLASE 95046 AMYLASE 50283 1 6 1 0877<br />
ATOVAQUONE 95047 ATOVAQUONE 57120 1 6 1 1860<br />
DUOFILM PATCH 95048 SALICYLIC ACID 55160 2 6 1 1266<br />
VASCOR 95051 BEPRIDIL HCL 57162 1 6 1 0508<br />
REGULAR 95053 INSULIN 52790 2 6 1 1036<br />
ACTHIB 95054 HAEMOPHILUS B CONJUGATE VACCINE 56445 1 6 1 1180<br />
DESFLURANE 95055 DESFLURANE 57164 1 6 1 0118<br />
ISOFLURANE 95058 ISOFLURANE 52904 1 6 1 0118<br />
ISOTOPE 95059 UNDETERMINED 50000 1 6 1 0700<br />
SUPRANE 95063 DESFLURANE 57164 1 6 1 0118<br />
ZIDOVUDINE 95064 ZIDOVUDINE 56261 1 6 1 0388<br />
ZEMURON 95065 ROCURONIUM 57172 1 6 1 0119<br />
GASTROINTESTINAL AGENT 95066 UNDETERMINED 50000 3 7 3 0800<br />
PENICILLIN ALUMINUM MONOSTEARATE 95068 PENICILLIN 54250 1 6 1 0346<br />
SAFE TUSSIN 95070 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
ZERIT 95071 STAVUDINE 56790 1 6 1 0388<br />
DIMETAPP DM 95074 COMBINATION PRODUCT 51380 2 6 2 BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 70239, 70254, 70338 1945<br />
AURANOFIN 95076 AURANOFIN 50433 1 6 1 1724<br />
PHENOXYBENZAMINE 95079 PHENOXYBENZAMINE HCL 54415 1 6 1 0506<br />
VICKS FORMULA 44 95081 DEXTROMETHORPHAN 51670 2 6 1 1943<br />
PAMIDRONATE 95082 PAMIDRONATE DISODIUM 57078 1 6 1 0916<br />
STAVUDINE 95084 STAVUDINE 56790 1 6 1 0388<br />
LIQUID NITROGEN 95086 NITROGEN 53940 1 6 1 1264<br />
TAR PREPARATION SHAMPOO 95090 COAL TAR 51305 2 6 1 1265<br />
CURARE 95094 CURARE 57190 1 6 1 1300, 1569<br />
CARDIOLITE 95097 TECHNETIUM 57158 1 6 1 0789<br />
AXOCET 95099 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL 50005, 50728 1722<br />
OCUSERT 95103 PILOCARPINE 54500 1 6 1 1566<br />
OXY-WASH 95104 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
ANTIOX 95105 COMBINATION PRODUCT 51380 2 6 2 0913<br />
CROLOM 95109 CROMOLYN SODIUM 51430 1 6 1 1570<br />
HYPERTONIC SALINE 95112 HYPERTONIC SALINE 57194 2 6 1 2000<br />
NUTROPIN 95115 SOMATROPIN 55430 1 6 1 1042<br />
HEPATITIS A VACCINE 95118 HEPATITIS A VACCINE 59602 1 6 1 1180<br />
VITAMIN C & D 95123 COMBINATION PRODUCT 51380 2 6 2 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
METHYLENE DIPHOSPHONATE 95126 UNDETERMINED 50000 1 6 3 2087<br />
SALICYLIC W/ AQUAPHOR 95127 COMBINATION PRODUCT 51380 2 6 2 PETROLATUM, SALICYLIC ACID 54330, 55160 1265<br />
PRECARE 95135 UNDETERMINED 50000 1 6 3 0913<br />
THEO 95136 THEOPHYLLINE 55745 1 6 1 1940<br />
AK-FLUOR 95138 FLUORESCEIN 52315 1 6 1 1569<br />
APPETITE DEPRESSANT 95139 UNDETERMINED 50000 3 7 3 0631<br />
FLUVASTATIN 95140 FLUVASTATIN 57108 2 6 1 0912<br />
SYN-RX 95143 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
MENINGOCOCCAL VACCINE 95145 MENINGOCOCCAL VACCINE 53315 1 6 1 1180<br />
HEPATITIS C VACCINE 95148 HEPATITIS C VACCINE 57204 1 6 1 1180<br />
ADVERA 95150 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
RADIOACTIVE IODINE 95151 IODINE SOLUTIONS 52830 1 6 1 0791<br />
QUERCETIN 95154 QUERCETIN 57210 2 6 1 0913<br />
MYCOCIDE 95156 BENZALKONIUM CHLORIDE 50515 1 6 1 1264<br />
COLESTIPOL 95157 COLESTIPOL 51355 1 6 1 0912<br />
AQUA-BAN 95158 COMBINATION PRODUCT 51380 1 6 2 AMMONIUM CHLORIDE, CAFFEINE 50245, 50745 0507<br />
GENABID 95161 PAPAVERINE 54190 1 6 1 0504<br />
MECHLORETHAMINE 95162 MECHLORETHAMINE 53270 1 6 1 1482<br />
MONONINE 95165 FACTOR IX COMPLEX HUMAN 52203 1 6 1 0411<br />
ACYCLOGUANOSINE 95166 ACYCLOVIR 50078 1 6 1 0388<br />
BIOMOX 95167 AMOXICILLIN 50260 1 6 1 0346<br />
OCUSULF-10 95170 SULFACETAMIDE 55525 1 6 1 1568<br />
EFIDAC 95172 UNDETERMINED 50000 2 6 3 2000<br />
DICHLOROACETIC ACID 95176 DICHLOROACETIC ACID 57216 1 6 1 0411<br />
FIORICET/ CODEINE 95178 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE, CODEINE PHOSPHATE 50005, 50728, 50745, 70231 1721, 1723<br />
VARIVAX 95182 VARICELLA VIRUS VACCINE 70520 1 6 1 1180<br />
CLIDINIUM BROMIDE 95184 CLIDINIUM BROMIDE 51250 1 6 1 0878<br />
ESMOLOL 95186 ESMOLOL HCL 52067 1 6 1 0512<br />
DYNABAC 95187 DIRITHROMYCIN 57224 1 6 1 0348<br />
PREMPHASE 95188 COMBINATION PRODUCT 51380 1 6 2 ESTROGENS, MEDROXYPROGESTERONE ACETATE 52075, 70586 1034<br />
OcuCoat 95190 COMBINATION PRODUCT 51380 1 6 2 UNDETERMINED, HYDROXYPROPYL METHYLCELLULOSE 50000, 52700 1569<br />
ETHIONAMIDE 95193 ETHIONAMIDE 52115 1 6 1 0356<br />
DEFEN-LA 96002 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
PHRENILIN FORTE 96004 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL 50005, 50728 0626, 1722<br />
AZELEX 96006 AZELAIC ACID 57238 1 6 1 1270<br />
BENZOCAINE 96009 BENZOCAINE 50530 3 6 1 1275<br />
ACTRON 96011 KETOPROFEN 52978 2 6 1 1724, 1727<br />
EFLONE 96015 FLUOROMETHOLONE 52320 1 6 1 1569<br />
TOURO EX 96019 GUAIFENESIN 52490 1 6 1 1943<br />
ALBENDAZOLE 96029 ALBENDAZOLE 59600 1 6 1 1862<br />
DAUNOXOME 96030 DAUNORUBICIN 51560 1 6 1 1483<br />
DRONABINOL 96031 DRONABINOL 51978 1 2 1 0635<br />
RIFAPENTINE 96034 RIFAPENTINE 56914 3 6 1 0355<br />
SAQUINAVIR 96035 SAQUINAVIR MESYLATE 59601 1 6 1 0388<br />
PIRACETAM 96039 PIRACETAM 59607 1 6 1 0631<br />
SENSODYNE TOOTHPASTE 96040 UNDETERMINED 50000 2 6 3 2098<br />
NEORAL 96042 CYCLOSPORINE 51493 1 6 1 1181<br />
STAGESIC 96047 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
ORAL RINSE 96048 UNDETERMINED 50000 3 7 3 2087<br />
HOMEOPATHICS 96050 UNDETERMINED 50000 3 6 3 2100<br />
OCUCAPS 96051 COMBINATION PRODUCT 51380 2 6 2 VITAMIN A, VITAMIN C, VITAMIN E 56185, 56193, 56195 0913<br />
REV-EYES 96052 DAPIPRAZOLE HCL 59609 1 6 1 1567<br />
BETACHRON 96056 PROPRANOLOL 54865 1 6 1 0512<br />
LANACORT 96057 HYDROCORTISONE 52655 2 6 1 1268<br />
SEVOFLURANE 96060 SEVOFLURANE 59610 1 6 1 0118<br />
ULTANE 96062 SEVOFLURANE 59610 1 6 1 0118<br />
GEMCITABINE 96065 GEMCITABINE HCL 59604 1 6 1 1483<br />
TRIAZ 96068 TRIAZOLAM 55928 2 4 1 0626<br />
HALOTUSSIN 96071 GUAIFENESIN 52490 1 5 1 1943<br />
TOLEREX 96073 COMBINATION PRODUCT 51380 2 6 2 AMINO ACIDS, MULTIVITAMINS, SAFFLOWER OIL, CARBOHYDRATE(S) 50185, 53805, 55145, 57168 0914<br />
AMRINONE 96078 AMRINONE LACTATE 50278 1 6 1 0508<br />
CRIXIVAN 96080 INDINAVIR 59620 2 6 1 0388<br />
NAPRELAN 96083 NAPROXEN 53880 1 6 1 1727<br />
REDUX 96085 DEXFENFLURAMINE 59621 1 4 1 0631<br />
VIBRA-TABS 96087 DOXYCYCLINE 51965 1 6 1 0350<br />
HYDANTOINS 96090 UNDETERMINED 50000 1 6 3 1374<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
HEXALEN 96092 ALTRETAMINE 59623 1 6 1 1479<br />
RITONAVIR 96093 RITONAVIR 59606 1 6 1 0388<br />
ACARBOSE 96094 UNDETERMINED 50000 1 6 3 1036<br />
ETOMIDATE 96095 UNDETERMINED 50000 1 6 3 0626<br />
SECOBARBITAL 96096 SECOBARBITAL 55185 1 2 1 0626<br />
MECAMYLAMINE 96098 MECAMYLAMINE 53265 1 6 1 0506<br />
MOLINDONE 96099 MOLINDONE 53750 1 6 1 0628<br />
VENOSET 96101 UNDETERMINED 50000 1 7 3 2087<br />
EC-NAPROSYN 96102 NAPROXEN 53880 1 6 1 1727<br />
MAXITUSSIN 96103 UNDETERMINED 50000 1 7 3 2087<br />
PNU-IMMUNE 96104 UNDETERMINED 50000 1 6 3 1180<br />
ADRENALINE CHLORIDE 96106 EPINEPHRINE 52040 1 6 1 1032<br />
PNEUMOTUSSIN 96108 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE 52490, 70217 1943<br />
SPINAL 96117 UNDETERMINED 50000 1 6 3 2087<br />
CAVERJECT 96119 ALPROSTADIL 50116 2 6 1 1041<br />
CLEAR AWAY 96120 UNDETERMINED 50000 1 5 3 1270<br />
HAVRIX 96124 HEPATITIS A VACCINE 59602 1 6 1 1180<br />
CORTASTAT 96127 UNDETERMINED 50000 1 7 3 2087<br />
DNCB 96132 DINITROCHLOROBENZENE 59628 3 6 1 2087<br />
ADAPALENE 96133 UNDETERMINED 50000 1 6 3 1270<br />
THIOLA 96134 TIOPRONIN 59631 1 6 1 0900<br />
CORMAX 96136 CLOBETASOL PROPIONATE 51243 1 6 1 1268<br />
TANAFED 96140 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE TANNATE, PSEUDOEPHEDRINE TANNATE 70402, 70592 1944<br />
VIVELLE 96141 UNDETERMINED 50000 1 6 3 1034<br />
CERTAIN DRI 96142 UNDETERMINED 50000 3 7 3 2087<br />
ALFENTANIL 96145 ALFENTANIL HYDROCHLORIDE 50093 1 2 1 1721<br />
INDINAVIR 96150 INDINAVIR 59620 2 6 1 0388<br />
RILUZOLE 96153 RILUZOLE 59636 1 6 1 1300<br />
SOMATROPIN 96154 SOMATROPIN 55430 1 6 1 1042<br />
TRIAMINIC ALLERGY 96155 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70226, 70358 1941, 1944<br />
AEROCHAMBER 96157 UNDETERMINED 50000 3 7 3 2087<br />
BENZYL BENZOATE 96160 BENZYL BENZOATE 50575 2 6 1 2095<br />
PROVISC 96162 UNDETERMINED 50000 3 7 3 2087<br />
VITRAX 96163 SODIUM HYALURONATE 55339 1 6 1 2096<br />
RENOVA 96166 TRETINOIN 55905 1 6 1 1270<br />
CIDOFOVIR 96170 CIDOFOVIR 59642 1 6 1 0388<br />
TRITEC 96175 RANITIDINE 55064 1 6 1 0874<br />
DIFFERIN 96176 ADAPALENE 59630 1 6 1 1270<br />
IMMUNO THERAPY 96177 UNDETERMINED 50000 3 7 3 1100<br />
CEFOTETAN 97004 CEFOTETAN DISODIUM 50969 1 6 1 0347<br />
FEIBA VH IMMUNO 97006 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0409<br />
AUROLATE 97009 GOLD SODIUM THIOMALATE 52470 1 6 1 1724<br />
GAMMA GLOBULIN 97010 IMMUNE GLOBULIN 52750 1 6 1 1183<br />
MIGRAINE AGENT 97011 UNDETERMINED 50000 3 6 3 1723<br />
PROFEN LA 97014 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1943<br />
TOPOTECAN 97015 TOPOTECAN HCL 59703 1 6 1 1480<br />
PROTUSS 97022 COMBINATION PRODUCT 51380 1 3 2 POTASSIUM GUAIACOLSULFONATE, HYDROCODONE BITARTRATE 54700, 70217 1943<br />
FEN-PHEN 97023 COMBINATION PRODUCT 51380 1 4 2 FENFLURAMINE, PHENTERMINE 52215, 54430 0631<br />
DHS W SALICYLIC ACID 97025 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, SALICYLIC ACID 51305, 55160 1266<br />
BENADRYL W LIDOCAINE 97026 COMBINATION PRODUCT 51380 1 6 2 LIDOCAINE, DIPHENHYDRAMINE HCL 53070, 70344 1944<br />
FLINTSTONES VITAMINS 97027 MULTIVITAMINS 53805 2 6 2 0913<br />
PNEUMOMIST 97032 GUAIFENESIN 52490 1 6 1 1943<br />
ZYBAN 97034 BUPROPION 50714 1 6 1 2095<br />
GEMZAR 97038 GEMCITABINE HCL 59604 1 6 1 1479<br />
POLOXAMER 97039 POLOXAMER 59742 1 6 1 2000<br />
TRIM-SULFA 97040 UNDETERMINED 50000 1 6 3 2087<br />
ANTI-ARRHYTHMIC 97042 UNDETERMINED 50000 3 6 3 0502<br />
BROMFED PD 97043 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1944<br />
I-SCRUB 97044 GLYCERYL 52452 2 6 1 1569<br />
VISIPAQUE 97050 IODINE SOLUTIONS 52830 1 6 1 0789<br />
ACTAGEN 97053 COMBINATION PRODUCT 51380 2 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256 1944<br />
DELAVIRDINE 97054 DELAVIRDINE MESYLATE 59711 1 6 1 0388<br />
ESTROSTEP 97055 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, NORETHINDRONE ACETATE 70027, 70238 1040<br />
RESCRIPTOR 97058 DELAVIRDINE MESYLATE 59711 1 6 1 0388<br />
FAMCICLOVIR 97060 FAMCICLOVIR 59712 1 6 1 0388<br />
NAROPIN 97061 ROPIVACAINE HCL 59718 1 6 1 0117<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
CLAVULANIC ACID 97063 CLAVULANATE POTASSIUM 70341 3 6 1 0346<br />
ZYLFO 97064 ZILEUTON 59706 1 6 1 1940<br />
MULTIPLE VITAMIN WITH CALCIUM 97065 MULTIVITAMIN COMBINATION 51382 2 6 2 CALCIUM, MULTIVITAMINS 50776, 53805 0913<br />
TOURO DM 97067 COMBINATION PRODUCT 51380 1 7 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
CAPREOMYCIN 97071 CAPREOMYCIN 50865 1 6 1 0356<br />
MICONAL 97076 ANTHRALIN 50310 1 6 1 1265<br />
TILUDRONATE 97077 TILUDRONATE SODIUM 59722 1 6 1 0916<br />
ANDRODERM PATCHES 97078 ANDROGENS 59717 1 3 1 1033<br />
CAMPTOSAR 97079 IRINOTECAN HCL 59723 1 6 1 1480<br />
DA II 97080 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PHENYLEPHRINE HCL 70226, 70243, 70358 1945<br />
TOMOCAT 97083 BARIUM SULFATE 50480 1 6 1 0789<br />
ROCURONIUM 97084 ROCURONIUM 57172 1 6 1 0119<br />
CORTANE B OTIC DROPS 97087 COMBINATION PRODUCT 51380 1 6 2 CHLOROXYLENOL, HYDROCORTISONE, PRAMOXINE 51120, 52655, 54755 1568, 1670<br />
ISO-TARP 97088 UNDETERMINED 50000 2 6 3 2087<br />
MESCOLOR 97090 COMBINATION PRODUCT 51380 1 6 2 METHSCOPOLAMINE, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 53600, 70226, 70256 1944<br />
THIABENDAZOLE 97091 THIABENDAZOLE 55750 1 6 1 1568, 1862<br />
ZOTO 97094 COMBINATION PRODUCT 51380 1 6 2 CHLOROXYLENOL, HYDROCORTISONE, PRAMOXINE 51120, 52655, 54755 1670<br />
IFEX 97100 IFOSFAMIDE 56455 1 6 1 1480<br />
ALA-CORT 97103 HYDROCORTISONE 52655 1 6 1 1265<br />
DAPIPRAZOLE 97106 DAPIPRAZOLE HCL 59609 1 6 1 1567<br />
DURACT 97107 BROMFENAC SODIUM 59726 1 6 1 1727<br />
REVIA 97109 NALTREXONE HYDROCHLORIDE 53868 1 6 1 0281<br />
RINADE 97110 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PSEUDOEPHEDRINE HCL 70226, 70243, 70256 1940, 1941<br />
TAURINE 97114 UNDETERMINED 50000 1 6 3 2087<br />
LANEX 97116 UNDETERMINED 50000 2 6 3 2000<br />
FLEET PHOSPHO-SODA 97118 SODIUM PHOSPHATE 55385 2 6 1 0876<br />
NISOLDIPINE 97120 NISOLDIPINE 59622 1 6 1 0510<br />
POSICOR 97121 MIBEFRADIL DIHYDROCHLORIDE 59730 1 6 1 0510<br />
PANDEL 97127 HYDROCORTISONE 52655 1 6 1 1268<br />
RESPIGAM 97131 IMMUNE GLOBULIN 52750 1 6 1 1183<br />
NIMBEX 97133 CISATRACURIUM BESYLATE 59733 1 6 1 0119<br />
PLASMA 97134 PLASMA PROTEIN FRACTION 54550 1 6 1 0410<br />
VALACYCLOVIR 97135 VALACYCLOVIR 59619 1 6 1 0388<br />
TYLENOL COLD & FLU 97139 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50005, 70226, 70256, 70338 1943<br />
MITOMYCIN 97148 MITOMYCIN 53740 1 6 1 1482<br />
NILUTAMIDE 97149 NILUTAMIDE 59720 1 6 1 1033<br />
COMVAX 97153 COMBINATION PRODUCT 51380 1 6 2 HEPATITIS B VACCINE, HAEMOPHILUS B CONJUGATE VACCINE 52548, 56445 1180<br />
NOREL PLUS 97156 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLTOLOXAMINE CITRATE 50005, 70226, 70254, 70255 1945<br />
BEPERDIL 97158 BEPRIDIL HCL 57162 1 6 1 0510<br />
CRINONE 97160 PROGESTERONE 54845 1 6 1 1034<br />
FOSPHENYTOIN 97162 FOSPHENYTOIN SODIUM 59701 1 6 1 1374<br />
WATER PILL 97164 UNDETERMINED 50000 3 7 3 0507<br />
HEMABATE 97165 CARBOPROST TROMETHAMINE 59738 1 6 1 1039<br />
PREPIDIL 97172 DINOPROSTONE 51840 1 6 1 1000<br />
IMMUNEX 97176 OCCULT BLOOD TEST KIT 80005 3 6 1 2087<br />
DENAVIR 97179 PENCICLOVIR 59740 1 6 1 0388<br />
JAPANESE ENCEPHALITIS VIR VACC 97180 JAPANESE ENCEPHALITIS VIRUS VACCINE 59741 1 6 1 1180<br />
OPTI-FREE 98004 CONTACT LENS SOLUTION 51390 2 6 1 1571<br />
MED-RX 98012 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1943<br />
BEE POLLEN 98013 BEE POLLEN 59800 2 6 1 2100<br />
MARTHRITIC 98020 SALSALATE 55165 1 6 1 1720<br />
CARRISYN 98021 CARRISYN 59801 1 6 1 0388, 1181<br />
ZOMIG 98022 ZOLMITRIPTAN 59804 1 6 1 1723<br />
MONUROL 98025 FOSFOMYCIN TROMETHAMINE 59815 1 6 1 0354<br />
ACNE MEDICATION 98026 UNDETERMINED 50000 3 7 3 1270<br />
PANCOF 98028 COMBINATION PRODUCT 51380 1 3 2 CHLORPHENIRAMINE, PSEUDOEPHEDRINE, HYDROCODONE BITARTRATE 51130, 54960, 70217 1943<br />
TROVAN 98029 TROVAFLOXACIN/ALTROFLOXAVIN 59842 1 6 1 0357<br />
ECHINACEA 98030 UNDETERMINED 50000 2 6 3 2100<br />
LEVOCABASTINE 98032 LEVOCARBASTINE HCL 57110 1 6 1 1570<br />
RHO VACCINE 98037 RHO (D) IMMUNE GLOBULIN 56620 1 6 1 1180<br />
SINUvent 98039 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE 52490, 54465 1943<br />
PROTUSS DM 98045 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70256, 70338 1943<br />
PHENERBEL-S 98052 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, PHENOBARBITAL, ERGOTAMINE TARTRATE 50495, 54395, 70353 0878<br />
TAZORAC 98054 TAZAROTENE 59825 1 6 1 1270<br />
FOLLISTIM 98055 FOLLITROPIN BETA 59813 1 6 1 1039<br />
GONAL-F 98056 FOLLITROPIN ALPHA 59814 1 6 1 1039<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
HYALAGAN 98057 SODIUM HYALURONATE 55339 1 6 1 1724<br />
RAXAR 98061 GREPAFLOXACIN HCL 70202 1 6 1 0357<br />
ZALCITABINE 98064 ZALCITABINE 57055 1 6 1 0388<br />
METHACYCLINE 98066 METHACYCLINE HCL 53470 1 6 1 0350<br />
ANALGESIC-NARCOTIC 98067 UNDETERMINED 50000 1 7 3 1721<br />
EAR WASH 98069 UNDETERMINED 50000 2 6 3 1670<br />
THERAFLU 98071 COMBINATION PRODUCT 51380 2 6 3 ACETAMINOPHEN, CHLORPHENIRAMINE, PSEUDOEPHEDRINE 50005, 51130, 54960 1945<br />
ZAFIRLUKAST 98072 ZAFIRLUKAST 59634 1 6 1 1940<br />
ANDROID 98074 METHYLTESTOSTERONE 53670 1 6 1 1033<br />
TUBERCULOSIS VACCINE 98076 TUBERCULIN 56065 1 6 1 1180<br />
TRI-TANNATE 98077 COMBINATION PRODUCT 51380 1 7 2 CHLORPHENIRAMINE TANNATE, PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE 70402, 70403, 70404 1943<br />
TROVAFLOXACIN 98082 TROVAFLOXACIN/ALTROFLOXAVIN 59842 1 6 1 0357<br />
HUMEGON 98084 MENOTROPINS 53320 1 6 1 1034<br />
TERBINAFINE 98089 TERBINAFINE 57054 1 6 1 0358<br />
CHEMET 98091 SUCCIMER 56665 1 6 1 0281<br />
DOXIL 98092 DOXORUBICIN 51960 1 6 1 0346<br />
TOBI 98096 TOBRAMYCIN 55850 1 6 1 0352<br />
AMERGE 98097 NARATRIPTAN HYDROCHLORIDE 59808 1 6 1 1723<br />
MIGRANAL 98100 DIHYDROERGOTAMINE 51785 1 6 1 1723<br />
VICODIN TUSS 98104 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE 52490, 52650 1721, 1943<br />
IRINOTECAN 98107 IRINOTECAN HCL 59723 1 6 1 1480<br />
HI-COR 98108 HYDROCORTISONE 52655 1 6 1 1032<br />
AVITA 98112 TRETINOIN 55905 1 6 1 1270<br />
BAYCOL 98113 CERIVASTATIN SODIUM 59828 1 6 1 0912<br />
ACTIDOSE WITH SORBITOL 98122 COMBINATION PRODUCT 51380 2 6 2 SORBITOL, ACTIVATED CHARCOAL 55435, 70021 0283<br />
MYCOPHENLATE 98125 MYCOPHENOLATE MOFETIL 59635 1 6 1 1181<br />
FLUVIRIN 98126 INFLUENZA VIRUS VACCINE 52780 1 6 1 1180<br />
ROTASHIELD 98129 ROTAVIRUS VACCINE 59832 1 6 1 1180<br />
ZENAPAX 98133 DACLIZUMAB 59834 1 6 1 1181<br />
CF 98134 COMBINATION PRODUCT 51380 1 6 2 CISPLATIN, FLUOROURACIL, CARBOPLATIN 51230, 52325, 56375 1400<br />
NEUMEGA 98135 RECOMBINANT HUMAN INTERLEUKIN ELEVE 59835 1 6 1 0409<br />
TRIMAZIDE 98137 TRIMETHOBENZAMIDE 56000 1 6 1 0635<br />
FACTOR VII-A 98145 RECOMBINANT HUMAN DEOXYRIBONUCLEASE 57092 1 6 1 0411<br />
EFAVIRENZ 98146 EFAVIRENZ 59823 1 6 1 0388<br />
GENOTROPIN 98151 SOMATROPIN 55430 1 6 1 1042<br />
METHOXYPSORALEN 98152 METHOXSALEN 53585 1 6 1 1274<br />
REBETRON 98154 INTERFERON ALFA-2B 52792 1 6 1 1479<br />
MAXALT 98156 RIZATRIPTAN BENZOATE 59838 1 6 1 1723<br />
NOLAHIST 98157 PHENINDAMINE 54378 2 6 1 1944<br />
ACETOHYDROXAMIC ACID 98159 ACETOHYDROXAMIC ACID 50032 1 6 1 0354<br />
CLINDETS 98162 CLINDAMYCIN 51255 1 6 1 1270<br />
GUANABENZ 98163 GUANABENZ ACETATE 52492 1 6 1 0506<br />
GRAPESEED EXTRACT 98167 GRAPESEED 59841 2 6 1 2100<br />
T-GESIC 98168 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
LUSTRA CREAM 99003 HYDROQUINONE 52675 1 6 1 1265<br />
SEBA GEL 10 99004 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
REMICADE 99005 INFLIXIMAB 70003 1 6 1 1181<br />
ROPIVACAINE HCL 99007 ROPIVACAINE HCL 59718 1 6 1 0117<br />
BIOHIST-LA 99009 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944, 1945<br />
MIRCETTE 99010 COMBINATION PRODUCT 51380 1 6 2 DESOGESTREL, ETHINY ESTRADIOL 57058, 70005 1040<br />
ORTHO-NOVUM 7/7/7 99015 COMBINATION PRODUCT 51380 1 6 2 NORETHINDRONE, ETHINYL ESTRADIOL 53965, 70027 1040<br />
PRIMROSE OIL 99016 OIL OF EVENING PRIMROSE 70048 2 6 1 2100<br />
RIBAVIRIN 99017 RIBAVIRIN 70008 1 6 1 0388<br />
ROTAVIRUS VACCINE 99018 ROTAVIRUS VACCINE 59832 1 6 1 1180<br />
SYNVISC 99019 HYALURONIC ACID 70009 1 6 1 1724<br />
SEROTONIN 99020 SEROTONIN 70010 1 6 1 1723<br />
CECLOR CD 99022 CEFACLOR 50945 1 6 1 0347<br />
C/T/S 99024 CLINDAMYCIN 51255 1 6 1 1271<br />
ACITRETIN 99025 ACITRETIN 59827 1 6 1 1265<br />
LID SCRUB 99027 UNDETERMINED 50000 2 6 2 1569<br />
DEFED 99034 PSEUDOEPHEDRINE 54960 2 6 1 1941<br />
LYMERIX 99040 LYME DISEASE VACCINE 70016 1 6 1 1180<br />
MAXIFED 99041 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943<br />
PROTUSS-D 99044 COMBINATION PRODUCT 51380 1 3 2 POTASSIUM GUAIACOLSULFONATE, HYDROCODONE BITARTRATE, PSEUDOEPHEDRINE HCL 54700, 70217, 70256 1945<br />
RITUXAN 99046 RITUXIMAB 70017 1 6 1 1100, 1480<br />
SODIUM SULFACETAMIDE AND SULFUR 99048 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SODIUM SULFACETAMIDE 55610, 70018 1270<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
XENICAL 99049 ORLISTAT 70019 1 6 1 0631<br />
AGENERASE 99050 AMPRENAVIR 70020 1 6 1 0388<br />
FLUROX 99055 COMBINATION PRODUCT 51380 1 6 2 BENOXINATE, FLUORESCEIN 50505, 52315 1569<br />
PRENATE ULTRA 99061 MULTIVITAMINS 53805 1 6 2 0913<br />
PRIMACOR 99062 MILRINONE LACTATE 70024 1 6 1 0504, 0508<br />
RYNATAN-S 99063 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE TANNATE, PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE 70402, 70403, 70404 1945<br />
AQUATAB D 99070 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE 52490, 54465 1941, 1943<br />
AK-CIDE 99071 COMBINATION PRODUCT 51380 1 6 2 SODIUM SULFACETAMIDE, PREDNISOLONE ACETATE 70018, 70158 1568<br />
GLUCOSAMINE SULFATE 99076 GLUCOSAMINE 70012 1 6 1 2100<br />
HALOPROGIN 99077 HALOPROGIN 52525 1 6 1 1271<br />
KEROTOLYTIC EMOLLIENT 99078 UNDETERMINED 50000 2 6 3 1266<br />
PANRETIN 99082 ALITRETINOIN 70030 1 6 1 1265<br />
HYCOMINE PEDIATRIC 99083 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, PHENYLPROPANOLAMINE HCL 70217, 70254 1941, 1943<br />
T/SCALP 99086 HYDROCORTISONE 52655 2 6 1 1274<br />
AMPRENAVIR 99091 AMPRENAVIR 70020 1 6 1 0388<br />
ARTHRO-7 99092 COMBINATION PRODUCT 51380 2 6 2 COLLAGEN, METHYLSULFONYLMETHANE, CETYLMYRISTOLEATE 57084, 70035, 70036 2100<br />
AUTOLYMPHOCYTE THERAPY 99093 UNDETERMINED 50000 1 7 3 1400<br />
BI-MIX 99094 COMBINATION PRODUCT 51380 1 6 2 ALPROSTADIL, PRAZOSIN HCL 50116, 70346 2087<br />
HERCEPTIN 99095 TRASTUZUMAB 70037 1 6 1 1479<br />
HYDRATED PETROLEUM 99096 PETROLEUM 70038 2 6 1 1265<br />
PREDNICARBATE 99100 PREDNICARBATE 57090 1 6 1 1268<br />
TUBEX 99103 EPINEPHRINE 52040 1 6 1 0505<br />
TUSSI-12 99104 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE TANNATE, PHENYLEPHRINE TANNATE, CARBETAPENTANE TANNATE 70402, 70403, 70493 1945<br />
ULTRA MEGA ONE 99105 MULTIVITAMINS 53805 2 6 2 0913<br />
BETA AGONIST 99108 UNDETERMINED 50000 1 7 3 1940<br />
BUFFERED LIDOCAINE 99109 LIDOCAINE 53070 1 6 1 0117<br />
D-5-W 99112 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, WATER STERILE 51675, 56210 0914<br />
DOAN'S PILLS 99113 MAGNESIUM SALICYLATE 53220 2 6 1 1727<br />
LACTOFREE FORMULA 99116 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0914<br />
LIDOCAINE BICARBONATE 99117 LIDOCAINE 53070 1 6 1 0117<br />
PHENADEX CHILDREN COUGH/COLD 99120 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PHENYLPROPANOLAMINE 51670, 52490, 54465 1943, 1945<br />
TRI-CHLOR 99121 TRICHLOROACETIC ACID 55935 1 6 1 1265<br />
NASAL DROPS 99124 UNDETERMINED 50000 3 7 3 1941<br />
NITRODRIP 99125 NITROGLYCERIN 53945 1 6 1 0503, 0506<br />
LIDOCAINE/EPINEPHRINE/TETRACAINE 99127 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE, LIDOCAINE, TETRACAINE 52040, 53070, 55715 0121<br />
SINEX 99130 PHENYLEPHRINE 54455 2 6 1 1941<br />
ALLFEN-DM 99134 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
HELIOX 99136 COMBINATION PRODUCT 51380 1 6 2 OXYGEN, HELIUM 54115, 70047 1940<br />
MORNING-AFTER PILL 99140 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040, 2095<br />
PIN-X 99141 PYRANTEL 54975 2 6 1 0300<br />
RACEMIC EPINEPHRINE 99144 EPINEPHRINE 52040 1 6 1 1940<br />
UROGESIC BLUE 99145 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, SODIUM BIPHOSPHATE, HYOSCYAMINE SULFATE 53530, 53640, 54440, 59728, 70336 0354<br />
EVENING PRIMROSE OIL 99152 OIL OF EVENING PRIMROSE 70048 2 6 1 2100<br />
FLEXTRA-DS 99153 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, PHENYLTOLOXAMINE CITRATE 50005, 70255 1722, 1944<br />
LIPID LOWERING AGENT 99156 UNDETERMINED 50000 1 6 3 0912<br />
LOPIDINE 99157 APRACLONIDINE 80003 1 6 1 1566<br />
PROCUREN 99159 UNDETERMINED 50000 1 6 3 2087<br />
REDITABS 99160 LORATADINE 56490 1 6 1 1944<br />
TOPV 99162 POLIO VACCINE 54575 1 6 1 1180<br />
ANAPLEX DM 99163 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, DEXTROMETHORPHAN, PSEUDOEPHEDRINE 50690, 51670, 54960 1945<br />
CHILDRENS MYLANTA 99164 CALCIUM CARBONATE 50785 2 6 1 0879<br />
CODAMINE SYRUP 99166 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, PHENYLPROPANOLAMINE HCL 70217, 70254 1943<br />
CREATINE 99168 CREATINE 70051 2 6 1 2000<br />
DEPO-MEDROXYPROGESTERONE 99169 MEDROXYPROGESTERONE 53280 1 6 1 1034, 1040<br />
DR. SMITH'S OINTMENT 99170 ZINC OXIDE 70052 2 6 1 1265<br />
NETTLE 99171 NETTLE EXTRACT 70053 2 6 1 2100<br />
PHOSPHORUS 99174 PHOSPHORUS 57034 3 6 1 0913<br />
PILOGEL 99175 PILOCARPINE 54500 1 6 1 1569<br />
PLEDGETS 99176 ERYTHROMYCIN 52065 1 6 1 0348, 1270<br />
PORCELANA 99178 HYDROQUINONE 52675 2 6 1 1265<br />
PREVEN 99179 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040<br />
RICOLA 99182 COMBINATION PRODUCT 51380 2 6 2 LEMON OIL, MENTHOL, PEPPERMINT, ELDER, THYME 53025, 53325, 54305, 70055, 70056 1946<br />
TRIVORA 99184 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040<br />
UNIRECTIC 99185 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, MOEXIPRIL HCL 52645, 57226 0506<br />
CORTIC 99190 COMBINATION PRODUCT 51380 1 6 2 CHLOROXYLENOL, HYDROCORTISONE, PRAMOXINE HCL 51120, 52655, 70335 1670<br />
MULTIDEX 99191 COMBINATION PRODUCT 51380 2 6 2 MALTODEXTRIN NF, ASCORBIC ACID 70057, 70058 2095<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ABACAVIR SULFATE 99194 ABACAVIR SULFATE 70032 1 6 1 0388<br />
BLUE STAR OINTMENT 99195 CAMPHOR 50845 2 6 1 1265<br />
CISATRACURIUM BESYLATE 99196 CISATRACURIUM BESYLATE 59733 1 6 1 0119<br />
DOLASETRON MESYLATE 99197 DOLASETRON MESYLATE 70060 1 6 1 0635<br />
METHOHEXITAL 99200 METHOHEXITAL 53565 1 4 1 0118<br />
ORTHO-CYCLEN 99201 COMBINATION PRODUCT 51380 1 6 2 NORGESTIMATE, ETHINYL ESTRADIOL 57122, 70027 1040<br />
PRENATAL VITAMINS W/ CALCIUM 99202 MULTIVITAMIN COMBINATION 51382 2 6 2 CALCIUM, MULTIVITAMINS 50776, 53805 0913<br />
REOPRO 99204 ABCIXIMAB 70063 1 6 1 0409<br />
TETRABENAZINE 99205 TETRABENAZINE 70064 1 6 1 2087<br />
ACETYLSALICYLIC ACID 99206 ASPIRIN 50410 2 6 1 1720<br />
BROMADINE-DM 99208 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR 70239, 70338 1943, 1945<br />
CALENDULA CREAM 99209 COMBINATION PRODUCT 51380 2 6 2 OLIVE OIL, CALENDULA, PLANTAIN, OREGON GRAPE, ALOE VERA 54030, 70066, 70067, 70068, 70197 1265, 2100<br />
DIASTAT 99213 DIAZEPAM 51695 1 4 1 1374<br />
FEXOFENADINE 99216 FEXOFENADINE 59645 1 6 1 1944<br />
GLYDERM PEEL 99220 UNDETERMINED 50000 3 7 3 1265<br />
IV SEDATION 99222 UNDETERMINED 50000 1 7 3 0626<br />
SCANDISHAKE 99226 UNDETERMINED 50000 2 6 3 0914<br />
ILLEGIBLE 99999 UNDETERMINED 50000 3 7 3 2087<br />
LASIX 17165 377050 2527 FUROSEMIDE 52385 1 6 1 0507<br />
MULTIPLE VITAMINS 19825 290017 1944 COMBINATION PRODUCT 51380 3 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
COLACE 07265 288851 1936 DOCUSATE 51935 2 6 1 0876<br />
TYLENOL 32905 288549 1934 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
SYNTHROID 30395 198337 1329 LEVOTHYROXINE 53065 1 6 1 1037<br />
ARICEPT 97016 178893 1199 DONEPEZIL HCL 59704 1 6 1 0633<br />
FERROUS SULFATE 12490 152173 1020 IRON PREPARATIONS 52885 2 6 1 0408<br />
CITALOPRAM 99074 144964 0971 CITALOPRAM HYDROBRIMIDE 59829 1 6 1 0630<br />
ZOLOFT 93183 144401 0968 SERTRALINE 56635 1 6 1 0630<br />
PREVACID 95122 138763 0930 LANSOPRAZOLE 59629 1 6 1 0874<br />
PLAVIX 98086 137634 0922 CLOPIDOGEL 59816 1 6 1 0409<br />
PROTONIX 00042 137484 0921 PANTOPRAZOLE SODIUM 70118 1 6 1 0874<br />
COUMADIN 07930 136872 0917 WARFARIN SODIUM 56205 1 6 1 0409<br />
VITAMIN C 34520 133925 0897 VITAMIN C 56193 3 6 1 0913<br />
ZYPREXA 96173 126220 0846 OLANZAPINE 59644 1 6 1 0628<br />
RISPERDAL 94158 122525 0821 RISPERIDONE 57126 1 6 1 0628<br />
ZANTAC 41780 113657 0762 RANITIDINE 55064 1 6 1 0874<br />
LIPITOR 97020 112160 0752 ATORVASTATIN CALCIUM 59705 1 6 1 0912<br />
CELEBREX 99002 102496 0687 CELECOXIB 70169 1 6 1 1724, 1727<br />
POTASSIUM 24650 95394 0639 POTASSIUM REPLACEMENT SOLUTIONS 54655 3 6 1 0915<br />
PRILOSEC 91043 94010 0630 OMEPRAZOLE 57006 1 6 1 0874<br />
LOPRESSOR 17885 93382 0626 METOPROLOL 53445 1 6 1 0513<br />
NEURONTIN 94099 92064 0617 GABAPENTIN 57102 1 6 1 1374<br />
ATENOLOL 91063 84840 0569 ATENOLOL 50418 1 6 1 0512<br />
BABY ASPIRIN 97174 84230 0564 ASPIRIN 50410 2 6 1 1720<br />
ATIVAN 02900 82398 0552 LORAZEPAM 53145 1 4 1 0627<br />
DILANTIN 09585 79849 0535 PHENYTOIN 54470 1 6 1 1374<br />
DIGOXIN 09545 78897 0529 DIGOXIN 51780 1 6 1 0501<br />
DEPAKOTE 08836 77422 0519 DIVALPROEX SODIUM 51927 1 6 1 1374<br />
POTASSIUM CHLORIDE 24653 77291 0518 POTASSIUM REPLACEMENT SOLUTIONS 54655 3 6 1 0915<br />
ARTIFICIAL TEAR SOLUTION 93022 76344 0512 UNDETERMINED 50000 2 6 3 1569<br />
PAXIL 93212 76194 0511 PAROXETINE HCL 57150 1 6 1 0630<br />
LANOXIN 17115 70970 0476 DIGOXIN 51780 1 6 1 0501<br />
TOPROL XL 93156 68826 0461 METOPROLOL 53445 1 6 1 0506, 0512<br />
INSULIN 15680 66543 0446 INSULIN 52790 2 6 1 1036<br />
SINEMET 28080 66435 0445 COMBINATION PRODUCT 51380 1 6 2 CARBIDOPA, LEVODOPA 50899, 53050 1371<br />
VITAMIN E 34575 66149 0443 VITAMIN E 56195 2 6 1 0913<br />
MIACALCIN 92055 63266 0424 CALCITONIN 50760 1 6 1 0916<br />
MIRALAX 99080 62536 0419 POLYETHYLENE GLYCOL 54590 1 6 1 0876<br />
PEPCID 61160 62354 0418 FAMOTIDINE 52198 1 6 1 0874<br />
ALBUTEROL 99133 59814 0401 ALBUTEROL SULFATE 70359 1 6 1 1940<br />
IMDUR 94031 59352 0398 ISOSORBIDE 52935 1 6 1 0503<br />
TRAZODONE 31997 58937 0395 TRAZODONE 55903 1 6 1 0630<br />
PREDNISONE 24890 57234 0384 PREDNISONE 54775 1 6 1 1032<br />
FOLIC ACID 12865 56810 0381 FOLIC ACID 52355 1 6 1 0408<br />
NAMENDA 04011 55200 0370 COMBINATION PRODUCT 51380 1 6 1 MEMANTINE HCL 70692 0633<br />
LACTULOSE 16975 52962 0355 LACTULOSE 52995 1 6 1 0876<br />
K-DUR 60775 52531 0352 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ACTONEL 00206 52014 0349 RISEDRONATE SODIUM 70168 1 6 1 0916<br />
DULCOLAX 10575 51004 0342 BISACODYL 50630 2 6 1 0876<br />
KCL 41850 49873 0334 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
GLUCOPHAGE 95111 48596 0326 METFORMIN 57192 1 6 1 1036<br />
CELEXA 98115 45483 0305 CITALOPRAM HYDROBRIMIDE 59829 1 6 1 0630<br />
CARDIZEM 05789 45193 0303 DILTIAZEM 51803 1 6 1 0510<br />
FLOMAX 97126 44917 0301 TAMSULOSIN HYDROCHLORIDE 59731 1 6 1 0506, 0513<br />
XALATAN 96167 44913 0301 LATANOPROST 59639 1 6 1 1566<br />
MEGACE 18655 44810 0300 MEGESTROL 53295 1 6 1 1479<br />
EFFEXOR 94070 44419 0298 VENLAFAXINE 57096 1 6 1 0630<br />
PROZAC 25674 43293 0290 FLUOXETINE HYDROCHLORIDE 80006 1 6 1 0630<br />
DETROL 98065 41794 0280 TOLTERODINE TARITRATE 59811 1 6 1 0354<br />
DOCUSATE SODIUM 96027 38942 0261 DOCUSATE 51935 1 6 1 0877<br />
DARVOCET-N 08470 38785 0260 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE NAPSYLATE 50005, 70150 1721<br />
HYDROCHLOROTHIAZIDE 14930 38271 0256 HYDROCHLOROTHIAZIDE 52645 1 6 1 0506, 0507<br />
FUROSEMIDE 13118 38243 0256 FUROSEMIDE 52385 1 6 1 0507<br />
METAMUCIL 18930 37654 0252 PSYLLIUM 54965 2 6 1 0876<br />
REMINYL 01141 36589 0245 GALANTAMINE HYDROBROMIDE 70296 1 6 1 0633<br />
AMBIEN 93347 36554 0245 ZOLPIDEM TARTRATE 57048 1 4 1 0626<br />
DITROPAN 09995 36232 0243 OXYBUTYNIN 54105 1 6 1 0509<br />
ADVAIR DISKUS 01034 36095 0242 COMBINATION PRODUCT 51380 1 6 2 FLUTICASONE PROPIONATE, SALMETEROL 52354, 57130 1940<br />
XANAX 35023 36034 0241 ALPRAZOLAM 50113 1 4 1 0627<br />
EXELON 00081 35773 0240 RIVASTIGMINE TARTRATE 70129 1 6 1 0633<br />
VASOTEC 61565 35090 0235 ENALAPRIL 52028 1 6 1 0514<br />
GLYBURIDE 93305 35054 0235 GLYBURIDE 52447 1 6 1 1036<br />
VITAMIN B-12 34495 34592 0232 VITAMIN B-12 56192 1 6 1 0408, 0913<br />
COREG 97142 34052 0228 CARVEDILOL 59734 1 6 1 0512, 0513<br />
HCTZ 41800 33791 0226 HYDROCHLOROTHIAZIDE 52645 1 6 1 0507<br />
LANTUS 01214 33504 0225 INSULIN GLARGINE 70328 1 6 1 1036<br />
RANITIDINE 91099 33049 0221 RANITIDINE 55064 1 6 1 0874<br />
AVANDIA 99030 31829 0213 ROSIGLITAZONE MALEATE 70013 1 6 1 1036<br />
GLUCOTROL 13553 31700 0212 GLIPIZIDE 52417 1 6 1 1036<br />
ALDACTONE 00830 31488 0211 SPIRONOLACTONE 55460 1 6 1 0507<br />
ACETAMINOPHEN 00260 31303 0210 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
LEVOTHROID 17365 31030 0208 LEVOTHYROXINE 53065 1 6 1 1037<br />
OS-CAL 500 22120 30761 0206 CALCIUM CARBONATE 50785 2 6 1 0913<br />
CLARITIN 93224 30057 0201 LORATADINE 56490 1 6 1 1944<br />
PRINIVIL 25078 29949 0201 LISINOPRIL 80007 1 6 1 0514<br />
CATAPRES 05895 29620 0198 CLONIDINE 51275 1 6 1 0513<br />
BACLOFEN 03423 29302 0196 BACLOFEN 50455 1 6 1 1373<br />
TUMS 32735 28589 0192 CALCIUM CARBONATE 50785 2 6 1 0879, 0913<br />
FOSAMAX 95183 28137 0189 ALENDRONATE 57222 1 6 1 0916<br />
GLIPIZIDE 91081 27447 0184 GLIPIZIDE 52417 1 6 1 1036<br />
LEVOXYL 96020 27390 0184 LEVOTHYROXINE 53065 1 6 1 1037<br />
ULTRAM 95050 27374 0183 TRAMADOL 57160 1 6 1 1722<br />
OYSTER SHELL CALCIUM 94049 27109 0182 CALCIUM CARBONATE 50785 3 6 1 2000<br />
CALCIUM CARBONATE 05405 26787 0180 CALCIUM CARBONATE 50785 3 6 1 0915<br />
ALPHAGAN 97028 26446 0177 BRIMONIDINE 59707 1 6 1 1566<br />
LEVOTHYROXINE 17370 25815 0173 LEVOTHYROXINE 53065 1 6 1 1037<br />
BUSPAR 60270 25784 0173 BUSPIRONE HCL 50713 1 6 1 0627<br />
ECOTRIN 10975 25267 0169 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
SINGULAIR 98038 24459 0164 MONTELUKAST SODIUM 58002 1 6 1 1940<br />
COZAAR 95152 23538 0158 LOSARTAN 57208 1 6 1 0506<br />
ALLOPURINOL 01030 23509 0158 ALLOPURINOL 50105 1 6 1 1725<br />
KLOR-CON 16710 22857 0153 POTASSIUM CHLORIDE 56585 1 6 1 0915<br />
TENORMIN 30782 22743 0152 ATENOLOL 50418 1 6 1 0512<br />
CLONIDINE 06985 21863 0147 CLONIDINE 51275 1 6 1 0513<br />
NITRO-DUR 21143 21712 0146 NITROGLYCERIN 53945 1 6 1 0503<br />
TEGRETOL 30730 21407 0143 CARBAMAZEPINE 50880 1 6 1 1374<br />
DSS 10525 21376 0143 DOCUSATE 51935 2 6 1 0876<br />
ALTACE 92003 21095 0141 RAMIPRIL 57016 1 6 1 0514<br />
ISOSORBIDE 16105 21047 0141 ISOSORBIDE 52935 1 6 1 0503<br />
DILTIAZEM HCL 91072 20184 0135 DILTIAZEM 51803 1 6 1 0510<br />
BEXTRA 02014 19644 0132 VALDECOXIB 70425 1 6 1 1727<br />
VIOXX 99067 19492 0131 ROFECOXIB 70026 1 6 1 1727<br />
BISACODYL 04370 19490 0131 BISACODYL 50630 2 6 1 0876<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
AMARYL 96138 19378 0130 GLIMEPRIDE 59633 1 6 1 1036<br />
VITAMINS AND MINERALS 34628 18761 0126 COMBINATION PRODUCT 51380 3 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
HALDOL 14000 18571 0124 HALOPERIDOL 52520 1 6 1 0628<br />
SENOKOT S 27795 18439 0124 COMBINATION PRODUCT 51380 2 6 2 SENNA, DOCUSATE SODIUM 55200, 70262 0876<br />
LORAZEPAM 17888 18149 0122 LORAZEPAM 53145 1 4 1 0627<br />
RESTORIL 26453 18051 0121 TEMAZEPAM 55668 1 4 1 0626<br />
WELLBUTRIN 61605 18019 0121 BUPROPION 50714 1 6 1 0630<br />
PRAVACHOL 92076 17869 0120 PRAVASTATIN SODIUM 54757 1 6 1 0912<br />
VITAMIN D 34565 17700 0119 ERGOCALCIFEROL 52045 2 6 1 0913<br />
FLOVENT 96091 17360 0116 FLUTICASONE PROPIONATE 52354 1 6 1 1947<br />
OXYCONTIN 96109 17269 0116 OXYCODONE 54094 1 2 1 1721<br />
NOVOLIN 61045 16859 0113 INSULIN 52790 2 6 1 1036<br />
AMIODARONE 93211 16609 0111 AMIODARONE HCL 50223 1 6 1 0502<br />
ENALAPRIL 91074 16319 0109 ENALAPRIL 52028 1 6 1 0514<br />
OCUVITE 93113 15864 0106 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
VERAPAMIL 33858 15791 0106 VERAPAMIL 56163 1 6 1 0510<br />
TIMOPTIC 31660 15730 0105 TIMOLOL 55845 1 6 1 1566<br />
CRANBERRY 00117 15609 0105 CRANBERRY 70133 2 6 1 2100<br />
SURFAK 30195 15371 0103 DOCUSATE 51935 2 6 1 0876<br />
COGENTIN 07250 15302 0103 BENZTROPINE 50565 1 6 1 1371<br />
TIMOLOL 31658 14676 0098 TIMOLOL 55845 1 6 1 0512<br />
EVISTA 99132 14447 0097 RALOXIFENE 70045 1 6 1 1034<br />
PREMARIN 24950 14345 0096 ESTROGENS 52075 1 6 1 1034<br />
PROMOD 97161 14216 0095 PROTEIN 57166 2 6 1 0914<br />
ABILIFY 02203 14168 0095 ARIPIPRAZOLE 70486 1 6 1 0628<br />
FIBERCON 12521 13823 0093 POLYCARBOPHIL 54587 2 6 1 0876<br />
BUMEX 05024 13763 0092 BUMETANIDE 50708 1 6 1 0507<br />
ROBITUSSIN 26830 13761 0092 GUAIFENESIN 52490 2 6 1 1943<br />
TRAVATAN 01111 13649 0091 TRAVOPROST 70272 1 6 1 1566<br />
NOVOLIN N 00167 13544 0091 ISOPHANE INSULIN 70015 2 6 1 1036<br />
OMEPRAZOLE 91096 13402 0090 OMEPRAZOLE 57006 1 6 1 0874<br />
IBUPROFEN 15395 12897 0086 IBUPROFEN 52730 3 6 1 1727<br />
ALLEGRA 96174 12886 0086 FEXOFENADINE 59645 1 6 1 1944<br />
LOVENOX 94117 12867 0086 ENOXAPARIN SODIUM 57112 1 6 1 0409<br />
PROSCAR 93127 12831 0086 FINASTERIDE 57218 1 6 1 1033<br />
CENTRUM 06100 12801 0086 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
LOTENSIN 92052 12773 0086 BENAZEPRIL HYDROCHLORIDE 50498 1 6 1 0514<br />
ZAROXOLYN 35155 12748 0085 METOLAZONE 53690 1 6 1 0507<br />
OS-CAL 22110 12641 0085 CALCIUM CARBONATE 50785 2 6 1 0913<br />
HYDROCODONE W/ACETAMINOPHEN 89039 12621 0085 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
OTHER 99980 12372 0083 UNDETERMINED 50000 3 7 3 2087<br />
ZYRTEC 96022 12219 0082 CETIRIZINE 57240 1 6 1 1944<br />
TRENTAL 32013 12204 0082 PENTOXIFYLLINE 54297 1 6 1 0504<br />
AGGRENOX 00078 12127 0081 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, DIPYRIDAMOLE 50410, 51915 0409<br />
FERROUS GLUCONATE 12480 12126 0081 IRON PREPARATIONS 52885 2 6 1 0408<br />
DESYREL 40520 12061 0081 TRAZODONE 55903 1 6 1 0630<br />
NEXIUM 01002 12004 0080 ESOMEPRAZOLE MAGNESIUM 70221 1 6 1 0874<br />
ATARAX 02875 11985 0080 HYDROXYZINE 52715 1 6 1 0626, 1265<br />
METFORMIN 95133 11974 0080 METFORMIN 57192 3 6 1 1036<br />
HYDRALAZINE 14840 11841 0079 HYDRALAZINE 52630 1 6 1 0506<br />
MYLANTA 20080 11776 0079 CALCIUM CARBONATE 50785 2 6 1 0879<br />
HEPARIN 14240 11757 0079 HEPARIN 52540 1 6 1 0409<br />
VITAMIN(S) 34625 11733 0079 COMBINATION PRODUCT 51380 3 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
ACCUPRIL 92000 11717 0079 QUINAPRIL 55032 1 6 1 0514<br />
HYTRIN 15307 11652 0078 TERAZOSIN HCL 56290 1 6 1 0513<br />
DEMADEX 94126 11595 0078 TORSEMIDE 57088 1 6 1 0507<br />
ELAVIL 11065 11370 0076 AMITRIPTYLINE 50230 1 6 1 0630<br />
CARDURA 92012 11365 0076 DOXAZOSIN MESYLATE 51953 1 6 1 0513<br />
CENTRUM SILVER 97170 11271 0076 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
DOCUSATE CALCIUM 10089 11195 0075 DOCUSATE 51935 2 6 1 0876<br />
CARBIDOPA-LEVODOPA 00080 11180 0075 COMBINATION PRODUCT 51380 1 6 1 CARBIDOPA, LEVODOPA 50899, 53050 1371<br />
CITRUCEL 60325 10993 0074 METHYLCELLULOSE 53630 2 6 1 0876<br />
METOCLOPRAMIDE 19208 10965 0073 METOCLOPRAMIDE 53688 1 6 1 0874<br />
CARAFATE 05663 10950 0073 SUCRALFATE 55518 1 6 1 0874<br />
THIAMINE 31455 10892 0073 THIAMINE 55755 3 6 1 0913<br />
LACRI-LUBE 16915 10694 0072 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, MINERAL OIL, PETROLATUM 53003, 53720, 54330 1569<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
INDERAL 15575 10636 0071 PROPRANOLOL 54865 1 6 1 0512<br />
ANTIVERT 02250 10492 0070 MECLIZINE 53275 1 6 1 1671<br />
DYAZIDE 10815 10337 0069 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, TRIAMTERENE 52645, 55925 0506<br />
CAPOTEN 05648 10180 0068 CAPTOPRIL 50869 1 6 1 0514<br />
KEFLEX 16475 10175 0068 CEPHALEXIN 50980 1 6 1 0347<br />
GLUCOSAMINE 99026 10008 0067 GLUCOSAMINE 70012 1 6 1 2100<br />
MONOPRIL 92057 9965 0067 FOSINOPRIL SODIUM 52367 1 6 1 0514<br />
A.S.A. 00100 9896 0066 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
LUMIGAN 01084 9865 0066 BIMATOPROST 70249 1 6 1 1566<br />
ASCORBIC ACID 02705 9835 0066 VITAMIN C 56193 2 6 1 0913<br />
KEPPRA 00184 9668 0065 LEVETIRACETAM 70160 1 6 1 1374<br />
PROCARDIA 25213 9576 0064 NIFEDIPINE 53922 1 6 1 0510<br />
BENADRYL 03905 9384 0063 DIPHENHYDRAMINE 51860 2 6 1 1944<br />
CLONAZEPAM 06980 9280 0062 CLONAZEPAM 51270 1 4 1 1374<br />
CAPTOPRIL 41875 9202 0062 CAPTOPRIL 50869 1 6 1 0514<br />
IMODIUM 15545 9148 0061 LOPERAMIDE 53140 3 6 1 0875<br />
WARFARIN 34775 9129 0061 WARFARIN SODIUM 56205 1 6 1 0409<br />
MACRODANTIN 18130 9035 0061 NITROFURANTOIN 53930 1 6 1 0354<br />
VALIUM 33555 9008 0060 DIAZEPAM 51695 1 4 1 0627, 1373, 1374<br />
PROVENTIL 25638 8819 0059 ALBUTEROL 50088 1 6 1 1940<br />
CLARINEX 02016 8806 0059 DESLORATADINE 70426 1 6 1 1944<br />
TYLENOL NO. 3 32920 8795 0059 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
MIRAPEX 97152 8744 0059 PRAMIPEXOLE 59725 1 6 1 1371<br />
ULTRACET 01124 8612 0058 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, TRAMADOL HCL 50005, 70282 1720<br />
BETOPTIC 60205 8558 0057 BETAXOLOL HCL 50588 1 6 1 1566<br />
GEODON 01036 8331 0056 ZIPRASIDONE HCL 70232 1 6 1 0628<br />
VALPROIC ACID 33573 8314 0056 VALPROIC ACID 56145 1 6 1 1374<br />
PLENDIL 92073 8080 0054 FELODIPINE 52219 1 6 1 0510<br />
BACTRIM 03430 8045 0054 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
NITRO T.D. 21125 8015 0054 NITROGLYCERIN 53945 1 6 1 0503<br />
ARGINAID 04008 7960 0053 COMBINATION PRODUCT 51380 2 6 2 ARGININE, VITAMIN C, VITAMIN E, POTASSIUM CITRATE, CARBOHYDRATE(S) 50370, 56193, 56195, 56590, 57168 0914<br />
PLETAL 99099 7922 0053 CILOSTAZOL 70039 1 6 1 0504<br />
XOPENEX 99106 7802 0052 LEVALBUTEROL HCL 70040 1 6 1 1940<br />
NAPROSYN 20285 7632 0051 NAPROXEN 53880 1 6 1 1727<br />
NUTRITIONAL SUPPLEMENT 93109 7564 0051 UNDETERMINED 50000 3 7 3 0913<br />
PHOSLO 93348 7537 0051 CALCIUM 50776 1 6 1 0913<br />
MAGNESIUM OXIDE 18205 7526 0050 MAGNESIUM ANTACIDS 53175 2 6 1 0879, 0913<br />
TRUSOPT 95114 7493 0050 DORZOLAMIDE HCL 57186 1 6 1 1566<br />
TRIAMTERENE W/HCTZ 61625 7484 0050 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, TRIAMTERENE 52645, 55925 0506<br />
ADALAT 60040 7478 0050 NIFEDIPINE 53922 1 6 1 0510<br />
OXYBUTYNIN CHLORIDE 22287 7471 0050 OXYBUTYNIN 54105 1 6 1 0509<br />
REQUIP 97150 7339 0049 ROPINROLE HCL 59737 1 6 1 1371<br />
CALTRATE 40285 7311 0049 CALCIUM CARBONATE 50785 2 6 1 0915<br />
NIFEDIPINE 91039 7282 0049 NIFEDIPINE 53922 1 6 1 0510<br />
LIDODERM PATCH 00004 7195 0048 LIDOCAINE 53070 1 6 1 0121<br />
THEOPHYLLINE 31235 7169 0048 THEOPHYLLINE 55745 1 6 1 1940<br />
MEVACOR 19242 7130 0048 LOVASTATIN 53148 1 6 1 0912<br />
MECLIZINE 18555 7046 0047 MECLIZINE 53275 3 6 1 1671<br />
NEPHROCAPS 20798 6909 0046 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
NPH INSULIN 41855 6867 0046 INSULIN 52790 2 6 1 1036<br />
PAMELOR 22520 6820 0046 NORTRIPTYLINE 53975 1 6 1 0630<br />
TRICOR 98158 6794 0046 FENOFIBRATE 59831 1 6 1 0912<br />
CYANOCOBALAMIN 08090 6781 0045 VITAMIN B-12 56192 1 6 1 0408, 0913<br />
TRANSDERM-NITRO 31938 6710 0045 NITROGLYCERIN 53945 1 6 1 0503<br />
TAMOXIFEN 30553 6705 0045 TAMOXIFEN 55650 1 6 1 1480<br />
FLEXERIL 12635 6689 0045 CYCLOBENZAPRINE 51470 1 6 1 1373<br />
PERIACTIN 23440 6607 0044 CYPROHEPTADINE 51510 1 6 1 1944<br />
SIMETHICONE 28030 6523 0044 SIMETHICONE 55240 2 6 1 0877<br />
OXYGEN 22315 6517 0044 OXYGEN 54115 1 6 1 0119, 0120<br />
PROTEIN SUPPLEMENT 95100 6495 0044 PROTEIN SUPPLEMENT 54922 2 6 1 0914<br />
MIRTAZAPINE 97056 6464 0043 MIRTAZAPINE 59714 1 6 1 0630<br />
MULTIPLE VITAMINS W/MINERALS 19835 6441 0043 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
HUMULIN R 94116 6401 0043 INSULIN 52790 2 6 1 1036<br />
BENEFIBER 02232 6391 0043 GUAR GUM 52502 2 6 1 0876<br />
LOVASTATIN 91088 6360 0043 LOVASTATIN 53148 1 6 1 0912<br />
MELATONIN 96125 6343 0043 MELATONIN 59627 1 6 1 0626<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
AMITRIPTYLINE 01530 6238 0042 AMITRIPTYLINE 50230 1 6 1 0630<br />
K-TAB 16268 6235 0042 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
ZYLOPRIM 35350 6183 0041 ALLOPURINOL 50105 1 6 1 1725<br />
PRED FORTE 24850 6160 0041 PREDNISOLONE 54770 1 6 1 1568<br />
MS CONTIN 19699 6151 0041 MORPHINE 53760 1 2 1 1721<br />
ACIPHEX 99089 6065 0041 RABEPRAZOLE SODIUM 70033 1 6 1 0874<br />
TOPAMAX 97049 6003 0040 TOPIRAMATE 59744 1 6 1 1374<br />
DIGITEK 00313 5990 0040 DIGOXIN 51780 1 6 1 0501<br />
AMOXICILLIN 01630 5961 0040 AMOXICILLIN 50260 1 6 1 0346<br />
TRILEPTAL 00076 5898 0040 OXCARBAZEPINE 70128 1 6 1 1374<br />
MORPHINE 19650 5873 0039 MORPHINE 53760 1 2 1 1721<br />
PATANOL 97037 5851 0039 OLOPATADINE HCL 59721 1 6 1 1568<br />
CARDIZEM CD 01094 5835 0039 DILTIAZEM 51803 1 6 1 0510<br />
HUMULIN N 96008 5764 0039 ISOPHANE INSULIN 70015 2 6 1 1036<br />
MICRONASE 50035 5740 0038 GLYBURIDE 52447 1 6 1 1036<br />
MUCINEX 03188 5736 0038 GUAIFENESIN 52490 2 6 1 1943<br />
NITRO-BID 21130 5709 0038 NITROGLYCERIN 53945 1 6 1 0503<br />
FAMOTIDINE 93352 5695 0038 FAMOTIDINE 52198 1 6 1 0874<br />
HOUSE SUPPLEMENT/SHAKE 04343 5532 0037 COMBINATION PRODUCT 51380 2 6 2 0914<br />
PHENYTOIN 24045 5496 0037 PHENYTOIN 54470 1 6 1 1374<br />
PILOCARPINE 24195 5484 0037 PILOCARPINE 54500 3 6 1 1566<br />
LOPID 17883 5415 0036 GEMFIBROZIL 52398 1 6 1 0912<br />
CARBAMAZEPINE 05680 5338 0036 CARBAMAZEPINE 50880 1 6 1 1374<br />
LITHIUM CARBONATE 01207 5298 0036 LITHIUM 53120 1 6 1 0628<br />
RITALIN 26760 5281 0035 METHYLPHENIDATE 53655 1 2 1 0631<br />
PRANDIN 98101 5244 0035 REPAGLINIDE 59817 1 6 1 1036<br />
MAGNESIUM CITRATE 18195 5169 0035 MAGNESIUM CATHARTICS 53195 2 6 1 0876<br />
SPIRIVA 04042 5150 0035 TIOTROPIUM BROMIDE 70774 1 6 1 1940<br />
DEPAKENE 08835 5133 0034 VALPROIC ACID 56145 1 6 1 1374<br />
OXYCODONE HCL 22303 5116 0034 OXYCODONE 54094 1 2 1 1721<br />
STROVITE 95062 5050 0034 COMBINATION PRODUCT 51380 1 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
METHADONE 18985 5001 0034 METHADONE 53475 1 2 1 1721<br />
FLAGYL 12585 5000 0034 METRONIDAZOLE 53700 1 6 1 1860<br />
BENZTROPINE MESYLATE 60180 4999 0034 BENZTROPINE 50565 1 6 1 1371<br />
PULMICORT 02279 4955 0033 BUDESONIDE 57124 1 6 1 1032<br />
LACT-AID 16925 4882 0033 LACTASE 52975 2 6 1 0877<br />
LESCOL 94154 4878 0033 FLUVASTATIN 57108 1 6 1 0912<br />
ZELNORM 02373 4873 0033 TEGASEROD MALEATE 70642 1 6 1 0877<br />
MYSOLINE 20135 4868 0033 PRIMIDONE 54795 1 6 1 1374<br />
FLUOXETINE 91079 4856 0033 FLUOXETINE HYDROCHLORIDE 80006 1 6 1 0630<br />
COMTAN 00054 4842 0032 ENTACAPONE 70122 1 6 1 0632<br />
CERTAGEN 04031 4775 0032 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
TERAZOSIN 94133 4759 0032 TERAZOSIN HCL 56290 1 6 1 0513<br />
HUMIBID LA 01026 4747 0032 GUAIFENESIN 52490 1 6 1 1943<br />
LAMICTAL 95181 4730 0032 LAMOTRIGINE 57220 1 6 1 1374<br />
ALPRAZOLAM 91062 4712 0032 ALPRAZOLAM 50113 1 4 1 0627<br />
HEMOCYTE 93074 4709 0032 IRON PREPARATIONS 52885 2 6 1 0408<br />
EPOGEN 93059 4586 0031 EPOETIN ALFA 52042 1 6 1 0917<br />
HYZAAR 95171 4516 0030 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, LOSARTAN POTASSIUM 52645, 70555 0506<br />
NORTRIPTYLINE 21403 4512 0030 NORTRIPTYLINE 53975 1 6 1 0630<br />
MARINOL 60870 4509 0030 DRONABINOL 51978 1 2 1 1671<br />
AZMACORT 02059 4401 0029 TRIAMCINOLONE ACETON 70006 1 6 1 1940<br />
RHINOCORT 94174 4365 0029 BUDESONIDE 57124 1 6 1 1947<br />
VITAMIN B-6 34510 4363 0029 PYRIDOXINE 54990 3 6 1 0913<br />
AMANTADINE 01290 4347 0029 AMANTADINE 50165 1 6 1 0388<br />
HYDROCORTISONE 14965 4344 0029 HYDROCORTISONE 52655 3 6 1 1265<br />
ARTANE 02645 4235 0028 TRIHEXYPHENIDYL 55975 1 6 1 1371<br />
QUESTRAN 25965 4232 0028 CHOLESTYRAMINE 51190 1 6 1 0912<br />
OPHTHALMIC DROPS 00187 4222 0028 UNDETERMINED 50000 3 7 3 1500<br />
TEMAZEPAM 30756 4129 0028 TEMAZEPAM 55668 1 4 1 0627<br />
NITREK 04134 4112 0028 NITROGLYCERINE 70811 1 6 1 0503<br />
BETAPACE 93238 4074 0027 SOTALOL 56660 1 6 1 0512<br />
ATACAND 99031 4066 0027 CANDESARTAN CILEXETIL 70014 1 6 1 0506<br />
PACERONE 99042 3976 0027 AMIODARONE HCL 50223 1 6 1 0502<br />
TWOCAL HN HIGH NITROGEN LIQUID NUTRITION 04007 3962 0027 COMBINATION PRODUCT 51380 2 6 1 NITROGEN 53940 0914<br />
HYPOTEARS 15240 3930 0026 UNDETERMINED 50000 3 7 3 1569<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
VICON FORTE 34120 3925 0026 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
FLEET ENEMA 12620 3896 0026 COMBINATION PRODUCT 51380 2 6 2 SODIUM PHOSPHATE, SODIUM BIPHOSPHATE 55385, 59728 0876<br />
LOMOTIL 17865 3888 0026 COMBINATION PRODUCT 51380 1 5 2 DIPHENOXYLATE, ATROPINE SULFATE 51868, 70120 0875<br />
METHOTREXATE 19090 3819 0026 METHOTREXATE 53570 1 6 1 1481<br />
MOBIC 00048 3779 0025 MELOXICAM 70121 1 6 1 1724, 1727<br />
SULAR 96086 3743 0025 NISOLDIPINE 59622 1 6 1 0510<br />
PERIDEX 93121 3735 0025 CHLORHEXIDINE 51060 1 6 1 1264<br />
THERAVIT HEMATINIC 31410 3717 0025 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
VANCOMYCIN 33588 3707 0025 VANCOMYCIN 56150 1 6 1 0355<br />
IPRATROPIUM BROMIDE 91084 3658 0025 IPRATROPIUM BROMIDE 52883 1 6 1 1940<br />
EYE PREPARATION 12078 3629 0024 UNDETERMINED 50000 3 7 3 1500<br />
BENICAR 02013 3618 0024 OLMESARTAN MEDOXOMIL 70424 1 6 1 0506<br />
TIAZAC 96072 3584 0024 DILTIAZEM 51803 1 6 1 0510<br />
MURO 128 92059 3537 0024 SODIUM CHLORIDE 55315 2 6 1 1569<br />
NITROSTAT 21185 3496 0023 NITROGLYCERIN 53945 1 6 1 0503<br />
DIFLUCAN 92156 3490 0023 FLUCONAZOLE 56730 1 6 1 1860<br />
ZITHROMAX 93179 3464 0023 AZITHROMYCIN 56710 1 6 1 0348<br />
SODIUM CHLORIDE 28495 3400 0023 SODIUM CHLORIDE 55315 2 6 1 0915<br />
BRIMONIDINE 99207 3374 0023 BRIMONIDINE TARTRATE 70065 1 6 1 1566<br />
NAPROXEN 20290 3364 0023 NAPROXEN 53880 1 6 1 1727<br />
BACTRIM DS 01017 3356 0022 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
XENADERM 04187 3334 0022 COMBINATION PRODUCT 51380 1 6 2 CASTOR OIL, TRYPSIN, BALSAM PERU 50940, 56048, 70418 1265<br />
ARIMIDEX 98090 3293 0022 ANASTROZOLE 59809 1 6 1 1479<br />
DIAZEPAM 09370 3258 0022 DIAZEPAM 51695 1 4 1 0627<br />
SLOW-MAG 28391 3256 0022 MAGNESIUM CHLORIDE 53190 2 6 1 0913<br />
GLUCERNA 95180 3232 0022 MULTIVITAMINS 53805 2 6 2 0914<br />
ALEVE 94125 3205 0021 NAPROXEN 53880 2 6 1 1727<br />
PROCARDIA XL 89067 3154 0021 NIFEDIPINE 53922 1 6 1 0510<br />
CELLUVISC 93040 3150 0021 CARBOXYMETHYLCELLULOSE 50912 2 6 1 1569<br />
MAVIK 96168 3114 0021 TRANDOLAPRIL 59640 1 6 1 0514<br />
THERAVITE 99183 3102 0021 MULTIVITAMINS 53805 2 6 2 0913<br />
CRESTOR 03187 3097 0021 ROSUVASTATIN CALCIUM 70711 1 6 1 0900<br />
AZOPT 98083 3076 0021 BRINZOLAMIDE 59810 1 6 1 1566<br />
ATROPINE 02940 3070 0021 ATROPINE 50420 1 6 1 0119, 0878, 1567<br />
NOLVADEX 21225 3070 0021 TAMOXIFEN 55650 1 6 1 1480<br />
LUVOX 95025 3066 0021 FLUVOXAMINE 57064 1 6 1 0630<br />
THEO-DUR 31120 3048 0020 THEOPHYLLINE 55745 1 6 1 1940<br />
CALCIUM ANTACID 92011 2989 0020 CALCIUM CARBONATE 50785 2 6 1 0874<br />
COMPAZINE 07470 2968 0020 PROCHLORPERAZINE 54830 1 6 1 0635, 1671<br />
DEBROX 08565 2965 0020 CARBAMIDE PEROXIDE 57018 2 6 1 1670<br />
KAOPECTATE 16365 2951 0020 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, PECTIN 52955, 54238 0875<br />
CHRONULAC SYRUP 06800 2932 0020 LACTULOSE 52995 1 6 1 0876<br />
CITRACAL 93041 2891 0019 CALCIUM CITRATE 56370 2 6 1 0913<br />
CASODEX 95192 2886 0019 BICALUTAMIDE 57228 1 6 1 1480<br />
APRESOLINE 02405 2883 0019 HYDRALAZINE 52630 1 6 1 0506<br />
VISTARIL 34270 2882 0019 HYDROXYZINE 52715 1 6 1 0626, 1671, 1944<br />
HYDRODIURIL 14985 2880 0019 HYDROCHLOROTHIAZIDE 52645 1 6 1 0506, 0507<br />
DOXEPIN HCL 89025 2864 0019 DOXEPIN 51955 1 6 1 0630<br />
AVINZA 03228 2859 0019 MORPHINE SULFATE 70044 1 2 1 1720<br />
ROBITUSSIN-DM SYRUP 26860 2853 0019 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
HYDROXYZINE HCL 91029 2850 0019 HYDROXYZINE 52715 1 6 1 0627, 1944<br />
URECHOLINE 33225 2839 0019 BETHANECHOL 50595 1 6 1 0509<br />
STARLIX 01076 2820 0019 NATEGLINIDE 70246 1 6 1 1036<br />
BENTYL 04000 2815 0019 DICYCLOMINE 51730 1 6 1 0875<br />
Z-BEC 35130 2787 0019 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
DOXYCYCLINE 10355 2780 0019 DOXYCYCLINE 51965 1 6 1 0350<br />
APAP 02335 2772 0019 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
RIFAMPIN 26715 2727 0018 RIFAMPIN 55110 1 6 1 0358<br />
NEPHRO-VITE 93304 2708 0018 COMBINATION PRODUCT 51380 2 6 2 BIOTIN, VITAMIN C, VITAMIN B COMPLEX 50620, 56193, 56345 0913<br />
CLOZARIL 92016 2695 0018 CLOZAPINE 51303 1 6 1 0628<br />
NASACORT 92061 2631 0018 TRIAMCINOLONE 55915 1 6 1 1940, 1947<br />
GLUCOVANCE 00209 2602 0017 COMBINATION PRODUCT 51380 1 6 2 GLYBURIDE, METFORMIN 52447, 57192 1036<br />
LANSOPRAZOLE 96130 2586 0017 LANSOPRAZOLE 59629 1 6 1 0874<br />
FIBER-LAX 02336 2581 0017 CALCIUM POLYCARBOPHIL 56715 2 6 1 0876<br />
FISH OIL 93062 2573 0017 OMEGA-3 FATTY ACIDS 57053 2 6 1 0912<br />
MICARDIS 99059 2555 0017 TELMISARTAN 70023 1 6 1 0506<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ALBUTEROL SULFATE 91000 2546 0017 ALBUTEROL SULFATE 70359 1 6 1 1940<br />
GABAPENTIN 94114 2511 0017 GABAPENTIN 57102 1 6 1 1374<br />
VITAMIN A 34360 2508 0017 VITAMIN A 56185 3 6 1 0913<br />
LORATADINE 93257 2476 0017 LORATADINE 56490 1 6 1 1944<br />
LAMISIL 93243 2443 0016 TERBINAFINE 57054 1 6 1 1271<br />
SENNA-GEN 02299 2441 0016 SENNA 55200 2 6 1 0876<br />
SYMMETREL 30305 2435 0016 AMANTADINE 50165 1 6 1 0388<br />
LIDOCAINE 17485 2423 0016 LIDOCAINE 53070 3 6 1 0117, 1275<br />
SYSTANE 03084 2364 0016 COMBINATION PRODUCT 51380 2 6 2 POLYETHYLENE GLYCOL, PROPYLENE GLYCOL, HP GUAR, BORATE 54590, 54895, 70690, 70691 1569<br />
ROCEPHIN 61295 2360 0016 CEFTRIAXONE 50961 1 6 1 0347<br />
RESTASIS 03134 2325 0016 CYCLOSPORINE 51493 1 6 1 1569<br />
HALOPERIDOL 14040 2309 0015 HALOPERIDOL 52520 1 6 1 0628<br />
AEROBID 00598 2279 0015 FLUNISOLIDE 52304 1 6 1 1947<br />
PROMETHAZINE 25365 2252 0015 PROMETHAZINE 54860 1 6 1 0626, 1671, 1944<br />
GLYCOLAX 04079 2238 0015 POLYETHYLENE GLYCOL SOLN 70787 1 6 1 0876<br />
TIZANIDINE 98139 2223 0015 TIZANIDINE HCL 59727 1 6 1 1373<br />
ASTELIN 97035 2215 0015 AZELASTINE 59709 1 6 1 1944<br />
MULTIVITAMIN W/ IRON 95119 2208 0015 COMBINATION PRODUCT 51380 3 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
SLOW FE 41470 2202 0015 IRON PREPARATIONS 52885 2 6 1 0408<br />
AVELOX 00125 2196 0015 MOXIFLOXACIN HCL 70138 1 6 1 0357<br />
SERAX 27855 2189 0015 OXAZEPAM 54085 1 4 1 0627<br />
PROVERA 25640 2182 0015 MEDROXYPROGESTERONE 53280 1 6 1 1034<br />
SEPTRA 27835 2168 0015 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
PROLIXIN 25330 2152 0014 FLUPHENAZINE 52335 1 6 1 0628<br />
PRIMIDONE 25055 2144 0014 PRIMIDONE 54795 1 6 1 1374<br />
OXYTROL 03071 2128 0014 OXYBUTYNIN 54105 1 6 1 0509<br />
ZYVOX 01116 2115 0014 LINEZOLID 70277 1 6 1 0355<br />
LIBRIUM 17450 2106 0014 CHLORDIAZEPOXIDE 51055 1 4 1 0627<br />
ALDACTAZIDE 00825 2087 0014 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, SPIRONOLACTONE 52645, 55460 0506<br />
KAYEXALATE 16455 2085 0014 SODIUM POLYSTYRENE SULFONATE 55390 1 6 1 0281<br />
MOM 41865 2084 0014 MAGNESIUM ANTACIDS 53175 2 6 1 0876<br />
CALTRATE W/VITAMIN D 05541 2064 0014 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, ERGOCALCIFEROL 50785, 52045 0913<br />
DECADRON 08585 2059 0014 DEXAMETHASONE 51635 1 6 1 1268<br />
LOPERAMIDE 17880 2052 0014 LOPERAMIDE 53140 3 6 1 0875<br />
UNIVASC 95189 2050 0014 MOEXIPRIL HCL 57226 1 6 1 0514<br />
PERSANTINE 23535 2048 0014 DIPYRIDAMOLE 51915 1 6 1 0409, 0503<br />
DILAUDID 09600 2039 0014 HYDROMORPHONE 52670 1 2 1 1721<br />
PROAMATINE 99043 2016 0014 MIDODRINE 56510 1 6 1 0505<br />
LIORESAL 17560 2004 0013 BACLOFEN 50455 1 6 1 1373<br />
ANUSOL 02310 1990 0013 COMBINATION PRODUCT 51380 2 6 2 BENZYL ALCOHOL, SOYBEAN OIL, STARCH 50570, 55440, 55480 0123<br />
NTG 21513 1982 0013 NITROGLYCERIN 53945 1 6 1 0503<br />
CLINDAMYCIN 06920 1957 0013 CLINDAMYCIN 51255 1 6 1 0348<br />
LIQUIFILM 17670 1922 0013 POLYVINYL ALCOHOL 54610 2 6 1 1569<br />
ASACOL 93023 1908 0013 MESALAMINE 57005 1 6 1 0877<br />
L-THYROXINE 16895 1894 0013 LEVOTHYROXINE 53065 1 6 1 1037<br />
TETRACYCLINE 31045 1892 0013 TETRACYCLINE 55725 1 6 1 0350<br />
FOSINOPRIL 92128 1873 0013 FOSINOPRIL SODIUM 52367 1 6 1 0514<br />
GENFIBER 03073 1862 0012 PSYLLIUM HYDROPHILIC MUCILLOID FIBE 70684 2 6 1 0876<br />
ARMOUR THYROID 02627 1860 0012 THYROID 55825 1 6 1 1037<br />
ACIDOPHILUS 96169 1855 0012 ACIDOPHILUS 59641 2 6 1 0875<br />
HEALTH SHAKE BY RESOURCE 04084 1853 0012 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, WHEY, MILK 53805, 70764, 70790 0914<br />
ISOSORBIDE DINITRATE 00101 1843 0012 ISOSORBIDE DINITRATE 70130 1 6 1 0503<br />
LAXATIVE 17243 1837 0012 UNDETERMINED 50000 3 6 3 0876<br />
BETAGAN LIQUIFILM 60185 1828 0012 LEVOBUNOLOL HCL 53043 1 6 1 1566<br />
VITAMIN B-1 34455 1826 0012 THIAMINE 55755 3 6 1 0913<br />
MELLARIL 18670 1803 0012 THIORIDAZINE 55785 1 6 1 0628<br />
ISOPTO TEARS 16090 1790 0012 HYDROXYPROPYL METHYLCELLULOSE 52700 2 6 1 1569<br />
LACTINEX 16950 1772 0012 COMBINATION PRODUCT 51380 2 6 2 LACTOBACILLUS ACIDOPHILUS, LACTOBACILLUS BULGARICUS 52985, 52986 0875<br />
OCEAN MIST 21750 1769 0012 SODIUM CHLORIDE 55315 2 6 1 1941<br />
GEMFIBROZIL 93213 1758 0012 GEMFIBROZIL 52398 1 6 1 0912<br />
CHOLESTYRAMINE 94124 1743 0012 CHOLESTYRAMINE 51190 1 6 1 0912<br />
LOTRIMIN 17925 1740 0012 CLOTRIMAZOLE 51290 1 6 1 1271<br />
NORMODYNE 21373 1737 0012 LABETALOL HCL 52979 1 6 1 0512<br />
NORCO 98036 1725 0012 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
CORGARD 07670 1712 0011 NADOLOL 53840 1 6 1 0512<br />
MEMANTINE 03201 1712 0011 MEMANTINE HCL 70692 1 6 1 0633<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TAGAMET 30495 1705 0011 CIMETIDINE 51220 1 6 1 0874<br />
ACTIGALL 93200 1693 0011 URSODIOL 56695 1 6 1 0877<br />
ZYMAR 03108 1691 0011 GATIFLOXACIN 70109 1 6 1 0355<br />
CEFTIN 05993 1688 0011 CEFUROXIME AXETIL 91060 1 6 1 0347<br />
MINERAL SUPPLEMENT 00058 1678 0011 COMBINATION PRODUCT 51380 3 6 2 MINERALS 53723 0913<br />
ELDEPRYL 93054 1665 0011 SELEGILINE 56630 1 6 1 1371<br />
CALCITONIN 05393 1641 0011 CALCITONIN 50760 1 6 1 0916<br />
IMIPRAMINE 15520 1638 0011 IMIPRAMINE 52745 1 6 1 0630<br />
TRIHEXYPHENIDYL 32390 1633 0011 TRIHEXYPHENIDYL 55975 1 6 1 1371<br />
SCOPOLAMINE 27545 1631 0011 SCOPOLAMINE HBR 55180 1 6 1 1567, 1671<br />
LORCET 93089 1625 0011 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
DIOCTO 09710 1619 0011 DOCUSATE 51935 2 6 1 0876<br />
THERAPEUTIC VITAMIN 31395 1613 0011 MULTIVITAMIN COMBINATION 51382 1 6 2 MULTIVITAMINS 53805 0913<br />
UNIFIBER 33150 1598 0011 CELLULOSE 50975 2 6 1 0876<br />
NIASPAN 98085 1597 0011 NIACIN 53905 1 6 1 0913<br />
FERREX 04063 1595 0011 POLYSACCHARIDE IRON COMPLEX 70781 1 6 1 0913<br />
GLYNASE 93069 1582 0011 GLYBURIDE 52447 1 6 1 1036<br />
TOBREX OPHTHALMIC 31728 1579 0011 TOBRAMYCIN 55850 1 6 1 1568<br />
GRANULEX 13775 1564 0010 COMBINATION PRODUCT 51380 2 6 2 BALSAM, CASTOR OIL, TRYPSIN 50460, 50940, 56048 1265<br />
THYROID 31630 1563 0010 THYROID 55825 1 6 1 1037<br />
AXID 03101 1560 0010 NIZATIDINE 80008 1 6 1 0874<br />
ADVIL 00597 1557 0010 IBUPROFEN 52730 2 6 1 1727<br />
STALEVO 03214 1548 0010 COMBINATION PRODUCT 51380 1 6 2 CARBIDOPA, LEVODOPA, ENTACAPONE 50899, 53050, 70122 1371<br />
GERIVITES 41815 1545 0010 MULTIVITAMINS 53805 2 6 1 0913<br />
LIQUI-DOSS 17660 1542 0010 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL 53720 0876<br />
LOZOL 40955 1541 0010 INDAPAMIDE 52753 1 6 1 0507<br />
NIZORAL 21203 1527 0010 KETOCONAZOLE 52972 1 6 1 0355<br />
AVODART 03002 1516 0010 DUTASTERIDE 70675 1 6 1 1033<br />
PREMPRO 95142 1505 0010 COMBINATION PRODUCT 51380 1 6 2 ESTROGENS, MEDROXYPROGESTERONE ACETATE 52075, 70586 1034<br />
FENTANYL 94188 1495 0010 FENTANYL 52225 1 2 1 1721<br />
EUCERIN 11945 1494 0010 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PETROLATUM, MINERAL WAX, WOOLWAX ALCOHOL 53720, 54330, 70667, 70668 1265<br />
ARANESP 02217 1472 0010 DARBEPOETIN ALFA 70492 1 6 1 0408<br />
ACCOLATE 96144 1471 0010 UNDETERMINED 50000 1 6 3 1940<br />
AMPICILLIN 01685 1467 0010 AMPICILLIN 50275 1 6 1 0346<br />
CITRACAL + D 99211 1462 0010 COMBINATION PRODUCT 51380 2 6 2 CALCIUM, VITAMIN D 50776, 56194 0913<br />
CYTOTEC 40460 1460 0010 MISOPROSTOL 91011 1 6 1 0874<br />
FRUIT LOG 04106 1448 0010 COMBINATION PRODUCT 51380 2 6 2 SUGAR, FRUIT (DRIED) 70738, 70803 2087<br />
CEPHULAC 06135 1435 0010 LACTULOSE 52995 1 6 1 0876<br />
FERGON 12300 1429 0010 IRON PREPARATIONS 52885 2 6 1 0408<br />
PANTOPRAZOLE SODIUM 00213 1427 0010 PANTOPRAZOLE SODIUM 70118 1 6 1 0874<br />
ANTACID 02080 1412 0009 UNDETERMINED 50000 3 7 3 0879<br />
ROBAXIN 26785 1398 0009 METHOCARBAMOL 53560 1 6 1 1373<br />
MIDODRINE 93371 1393 0009 MIDODRINE 56510 3 6 1 0500<br />
NOVASOURCE 2.0 04132 1392 0009 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, WATER, CALCIUM CASEINATE, SOY LECITHIN 53723, 53805, 70460, 70761, 70798 0914<br />
TESSALON PERLE 30880 1389 0009 BENZONATATE 50545 1 6 1 1943<br />
HIPREX 14440 1382 0009 METHENAMINE 53530 1 6 1 0354<br />
ZINC GLUCONATE 35245 1376 0009 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 1 6 1 0913<br />
DYNACIRC 92025 1375 0009 ISRADIPINE 52946 1 6 1 0510<br />
TORSEMIDE 97085 1374 0009 TORSEMIDE 57088 1 6 1 0507<br />
MUCOMYST 19715 1374 0009 ACETYLCYSTEINE 50060 1 6 1 1943<br />
BUSPIRONE HCL 91066 1360 0009 BUSPIRONE HCL 50713 1 6 1 0627<br />
GLUCOSAMINE CHONDROITIN 99036 1355 0009 COMBINATION PRODUCT 51380 2 6 2 CHONDROITIN SULFATE, GLUCOSAMINE 57072, 70012 2100<br />
SENNA-S 04176 1354 0009 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE SODIUM, SENNA CONCENTRATE 70262, 70837 0876<br />
TYLENOL ARTHRITIS 99028 1342 0009 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
ROCALTROL 26870 1339 0009 VITAMIN D 56194 1 6 1 0916<br />
ICAPS 94089 1326 0009 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
GLYTROL 04081 1319 0009 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS THERAPEUTIC 53723, 53785 0914<br />
ISMO 93080 1307 0009 ISOSORBIDE 52935 1 6 1 0503<br />
LEVOXINE 93087 1303 0009 LEVOTHYROXINE 53065 1 6 1 1037<br />
COPAXONE 98143 1297 0009 GLATITAMER ACETATE 59837 1 6 1 1480<br />
NASAL SPRAY 93101 1295 0009 UNDETERMINED 50000 3 7 3 1900<br />
BENEPROTEIN INSTANT PROTEIN POWDER 04022 1294 0009 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS THERAPEUTIC, WHEY 53785, 70764 0914<br />
DIPHENHYDRAMINE 09850 1287 0009 DIPHENHYDRAMINE 51860 2 6 1 1943, 1944<br />
SALSALATE 27405 1282 0009 SALSALATE 55165 1 6 1 1720, 1724<br />
KENALOG 16505 1273 0009 TRIAMCINOLONE 55915 1 6 1 1268<br />
SUDAFED 29705 1266 0008 PSEUDOEPHEDRINE 54960 2 6 1 1941<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
RYTHMOL 93197 1264 0008 PROPAFENONE 56600 1 6 1 0502<br />
TRINSICON 32460 1262 0008 COMBINATION PRODUCT 51380 1 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
NASAREL 96044 1260 0008 FLUNISOLIDE 52304 1 6 1 1947<br />
PERMAX 89058 1255 0008 PERGOLIDE MESYLATE 57008 1 6 1 1371<br />
COMBIVIR 97141 1247 0008 COMBINATION PRODUCT 51380 1 6 2 ZIDOVUDINE, LAMIVUDINE 56261, 57146 0388<br />
CARBATROL 98114 1247 0008 CARBAMAZEPINE 50880 1 6 1 1374<br />
STELAZINE 29365 1244 0008 TRIFLUOPERAZINE 55960 1 6 1 0628<br />
SLOW-K 28390 1228 0008 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
METOLAZONE 19210 1216 0008 METOLAZONE 53690 1 6 1 0507<br />
BACTROBAN 03438 1216 0008 MUPIROCIN 80011 1 6 1 1271<br />
DIPYRIDAMOLE 09920 1208 0008 DIPYRIDAMOLE 51915 1 6 1 0409, 0503<br />
SKIN PREPARATION 28358 1206 0008 UNDETERMINED 50000 3 7 3 1200<br />
LIDEX 17475 1204 0008 FLUOCINONIDE 52310 1 6 1 1268<br />
PLAQUENIL 24300 1204 0008 HYDROXYCHLOROQUINE 52690 1 6 1 1864<br />
CLOZAPINE 92115 1199 0008 CLOZAPINE 51303 1 6 1 0630<br />
ZONEGRAN 01008 1192 0008 ZONISAMIDE 70225 1 6 1 1374<br />
THERAPEUTIC M 04179 1191 0008 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS THERAPEUTIC 53723, 53785 0913<br />
VIGAMOX 03192 1188 0008 MOXIFLOXACIN HCL 70138 1 6 1 0355<br />
ZESTORETIC 92163 1180 0008 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, LISINOPRIL 52645, 80007 0514<br />
GARAMYCIN 13205 1175 0008 GENTAMICIN 52400 1 6 1 0352<br />
ZEBETA 96123 1175 0008 UNDETERMINED 50000 1 6 3 0514<br />
KADIAN 98144 1168 0008 MORPHINE 53760 1 6 1 1721<br />
FORADIL AEROLIZER 02019 1166 0008 FORMOTEROL FUMARATE 70428 1 6 1 1940<br />
DARVON 08475 1156 0008 PROPOXYPHENE 54890 1 4 1 1721<br />
FLUDROCORTISONE ACETATE 93424 1153 0008 FLUDROCORTISONE ACETATE 52295 1 6 1 1032<br />
LEVOBUNOLOL 96033 1143 0008 LEVOBUNOLOL HCL 53043 1 6 1 1566<br />
PRECOSE 96058 1143 0008 ACARBOSE 59608 1 6 1 1036<br />
TRILISATE 32405 1132 0008 CHOLINE MAGNESIUM TRISALICYLATE 70596 1 6 1 1722<br />
ISOSORBIDE MONONITRATE 00102 1130 0008 ISOSORBIDE MONONITRATE 70131 1 6 1 0503<br />
SINEMET CR 99066 1124 0008 COMBINATION PRODUCT 51380 1 6 2 CARBIDOPA, LEVODOPA 50899, 53050 1371<br />
NABUMETONE 94179 1123 0008 NABUMETONE 56525 1 6 1 1724, 1727<br />
DOCUSATE 10087 1122 0008 DOCUSATE 51935 2 6 1 0876<br />
SOMA 28825 1103 0007 CARISOPRODOL 50920 1 6 1 1373<br />
ESTRACE 11740 1099 0007 ESTRADIOL 52070 1 6 1 1034<br />
CYPROHEPTADINE 08180 1094 0007 CYPROHEPTADINE 51510 1 6 1 1944<br />
BUPROPION 93355 1086 0007 BUPROPION 50714 1 6 1 0630<br />
EYE DROPS 60550 1085 0007 UNDETERMINED 50000 3 7 1 1500<br />
ILOTYCIN 15495 1083 0007 ERYTHROMYCIN 52065 1 6 1 0348<br />
BECONASE AQ 94123 1066 0007 BECLOMETHASONE 50490 1 6 1 1947<br />
OXANDRIN 98058 1065 0007 OXANDROLONE 54080 1 3 1 1033<br />
TRIMETHOPRIM 32438 1052 0007 TRIMETHOPRIM 55997 1 6 1 0353<br />
CILOXAN 92015 1038 0007 CIPROFLOXACIN HCL 51229 1 6 1 1568<br />
TOBRAMYCIN 31725 1037 0007 TOBRAMYCIN 55850 1 6 1 0352<br />
ASCRIPTIN 02725 1037 0007 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, ASPIRIN, MAGNESIUM ANTACIDS 50145, 50410, 53175 1722<br />
NEOSPORIN 20730 1033 0007 COMBINATION PRODUCT 51380 2 6 2 POLYMYXIN B SULFATE, NEOMYCIN SULFATE 70212, 70362 0355<br />
HERBAL TEA 02301 1029 0007 UNDETERMINED 50000 2 6 3 2100<br />
ZOFRAN 92105 1029 0007 ONDANSETRON HYDROCHLORIDE 54032 1 6 1 1671<br />
THIORIDAZINE 31543 1027 0007 THIORIDAZINE 55785 1 6 1 0628<br />
LODINE 92051 1025 0007 ETODOLAC 52186 1 6 1 1724, 1727<br />
METAPROTERENOL 18945 1024 0007 METAPROTERENOL 53450 1 6 1 1940<br />
MEGESTROL 18663 1013 0007 MEGESTROL 53295 1 6 1 1480<br />
PREVIDENT LIME 25033 1013 0007 SODIUM FLUORIDE 55330 1 6 1 0913<br />
PENTOXIFYLLINE 92143 1010 0007 PENTOXIFYLLINE 54297 1 6 1 0504<br />
BETHANECHOL 04190 1004 0007 BETHANECHOL 50595 1 6 1 0509, 0874<br />
LATANOPROST 01282 1003 0007 XALATAN 70392 1 6 1 1566<br />
KALETRA 00159 1003 0007 COMBINATION PRODUCT 51380 1 6 2 RITONAVIR, LOPINAVIR 59606, 70152 0388<br />
NEUPOGEN 93104 1003 0007 FILGRASTIM 56420 2 6 1 0917<br />
TYLOX 32945 1001 0007 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE HCL 50005, 70269 1721<br />
DAILY VITE W/IRON & MINERALS TABLETS 04233 999 0007 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
GEVRABON 13495 996 0007 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
MESTINON 18920 996 0007 PYRIDOSTIGMINE 54985 1 6 1 1372<br />
BENAZEPRIL 92107 995 0007 BENAZEPRIL HYDROCHLORIDE 50498 1 6 1 0514<br />
REGULOID 26280 995 0007 PSYLLIUM 54965 2 6 1 0876<br />
VIOGEN-C 04272 993 0007 MULTIVITAMIN COMBINATION 51382 2 6 2 TARTRAZINE, VITAMIN C, ZINC SULFATE, VITAMIN B COMPLEX, MAGNESIUM 55666, 56193, 56285, 56345, 70799 0913<br />
MINOCYCLINE 19465 982 0007 MINOCYCLINE 53725 1 6 1 0350<br />
LACTOBACILLUS ACIDOPHILUS 16955 980 0007 LACTOBACILLUS ACIDOPHILUS 52985 1 6 1 0914<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
CYMBALTA 04051 978 0007 COMBINATION PRODUCT 51380 1 6 1 DULOXETINE HCL 70778 0630<br />
PSYLLIUM 41830 978 0007 PSYLLIUM 54965 2 6 1 0876<br />
SOTALOL 94001 978 0007 SOTALOL 56660 1 6 1 0512<br />
PRINZIDE 92160 972 0007 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, LISINOPRIL 52645, 80007 0506<br />
TYLENOL PM 95045 965 0006 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, DIPHENHYDRAMINE 50005, 51860 1722, 1728, 1943<br />
MINOXIDIL 19478 964 0006 MINOXIDIL 53730 1 6 1 0506, 1265<br />
FOLEX 40755 964 0006 METHOTREXATE 53570 1 6 1 1479<br />
M.V.I. 18080 959 0006 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
CORTISPORIN OPHTHALMIC SOLUTION 07800 957 0006 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 52655, 70212, 70362 1271<br />
DDAVP 08535 956 0006 DESMOPRESSIN 51615 1 6 1 1038<br />
INDERAL LA 01119 951 0006 PROPRANOLOL 54865 1 6 1 0502<br />
D.O.S. 01265 948 0006 DOCUSATE 51935 2 6 1 0876<br />
NEOMYCIN 20690 942 0006 NEOMYCIN 53895 1 6 1 0352<br />
SULINDAC 29998 933 0006 SULINDAC 55615 1 6 1 1724, 1727<br />
DITROPAN XL 00003 931 0006 OXYBUTYNIN 54105 1 6 1 0509<br />
DERIFIL 08915 927 0006 CHLOROPHYLL 51085 2 6 1 2087<br />
REFRESH 93131 925 0006 POLYVINYL ALCOHOL 54610 2 6 1 1569<br />
SELSUN BLUE 27735 916 0006 SELENIUM SULFIDE 55195 2 6 1 1265<br />
ATORVASTATIN 97157 915 0006 ATORVASTATIN CALCIUM 59705 1 6 1 0506<br />
ISOSOURCE 92048 913 0006 LACTOSE 52990 2 6 1 0914<br />
SULFAMETHOXAZOLE 29840 907 0006 SULFAMETHOXAZOLE 55555 1 6 1 0353<br />
ACCUZYME 99147 901 0006 COMBINATION PRODUCT 51380 1 6 2 PAPAIN, UREA 54180, 56120 1265<br />
ARAVA 98160 898 0006 LEFLUNOMIDE 59839 1 6 1 1724<br />
METHYLDOPA 19155 890 0006 METHYLDOPA 53635 1 6 1 0513<br />
ENDOCET 99114 880 0006 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE HCL 50005, 70269 1721<br />
CEPHALEXIN 06125 875 0006 CEPHALEXIN 50980 1 6 1 0347<br />
DRISDOL 10440 869 0006 ERGOCALCIFEROL 52045 1 6 1 0913<br />
ALAVERT 03208 868 0006 LORATADINE 56490 2 6 1 1944<br />
ZYPREXA ZYDIS 02137 867 0006 OLANZAPINE 59644 1 6 1 0628<br />
CITRATE OF MAGNESIA 06860 862 0006 MAGNESIUM CATHARTICS 53195 2 6 1 0876<br />
DICLOFENAC 92116 862 0006 DICLOFENAC SODIUM 80004 1 6 1 1724, 1727<br />
UROXATRAL 04138 860 0006 ALFUZOSIN HCL 70814 1 6 1 2087<br />
ZOVIRAX 35341 858 0006 ACYCLOVIR 50078 1 6 1 0388<br />
PROPOXYPHENE W/APAP 25545 857 0006 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE 50005, 54890 1721<br />
CHLORASEPTIC 06470 853 0006 PHENOL 54400 2 6 1 0121, 1264<br />
REFRESH PM 04167 852 0006 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PETROLATUM, SODIUM CHLORIDE, LANOLIN ALCOHOL 53720, 54330, 55315, 70834 1569<br />
PYRIDIUM 25810 850 0006 PHENAZOPYRIDINE 54365 1 6 1 0117<br />
RISPERIDONE 94104 848 0006 RISPERIDONE 57126 1 6 1 0628<br />
DANTRIUM 08420 843 0006 DANTROLENE 51550 1 6 1 1373<br />
VITAPLEX 99146 842 0006 MULTIVITAMIN COMBINATION 51382 2 6 2 FOLIC ACID, VITAMIN C, VITAMIN B COMPLEX 52355, 56193, 56345 0913<br />
GLYCERIN 60665 840 0006 GLYCERIN 52450 2 6 1 2095<br />
KRISTALOSE 01167 834 0006 LACTULOSE 52995 1 6 1 0877<br />
SODIUM POLYSTYRENE SULFON 41495 834 0006 SODIUM POLYSTYRENE SULFONATE 55390 1 6 1 0915<br />
FLAX SEED OIL 95155 834 0006 FLAX SEED OIL 57202 2 6 1 2087<br />
NICOTINE TRANDERMAL SYSTEM 93106 833 0006 NICOTINE TRANSDERMAL 56540 3 6 1 1265<br />
CEPACOL 06110 827 0006 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CETYLPYRIDINIUM 50090, 51023 1264<br />
RENAL CAPS 03044 826 0006 MULTIVITAMIN COMBINATION 51382 2 6 2 0913<br />
LUPRON DEPOT 91035 824 0006 LEUPROLIDE 57012 1 6 1 1480<br />
OPTIVAR 01020 811 0005 AZELASTINE 59709 1 6 1 1570<br />
ACEON 00037 808 0005 PERINDOPRIL ERBUMINE 70113 1 6 1 0514<br />
OLANZAPINE 97002 808 0005 OLANZAPINE 59644 1 6 1 0628<br />
THERAGRAN-M 31335 800 0005 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN A, VITAMIN B-12 54990, 55105, 56185, 56192 0913<br />
TIGAN 31655 796 0005 TRIMETHOBENZAMIDE 56000 1 6 1 1671<br />
GINKGO BILOBA 99219 796 0005 GINKGO 70069 2 6 1 2100<br />
DIOVAN HCT 99214 796 0005 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, VALSARTAN 52645, 59710 0506<br />
TAZTIA XT 02234 795 0005 DILTIAZEM HCL 70498 1 6 1 0510<br />
DURICEF 10800 794 0005 CEFADROXIL 50950 1 6 1 0347<br />
VALTREX 96043 793 0005 VALACYCLOVIR 59619 1 5 1 0388<br />
HALCION 13999 791 0005 TRIAZOLAM 55928 1 4 1 0627<br />
EX-LAX 12025 783 0005 PHENOLPHTHALEIN 54405 2 6 1 0876<br />
PSEUDOEPHEDRINE 25695 782 0005 PSEUDOEPHEDRINE 54960 2 6 1 1941<br />
ANTIFUNGAL AGENT 35445 781 0005 UNDETERMINED 50000 3 7 3 0356<br />
FORTEO 04071 778 0005 TERIPARATIDE INJECTION 70785 1 6 1 0916<br />
AMLODIPINE 93396 773 0005 AMLODIPINE 56355 1 6 1 0510<br />
HYDROXYUREA 15090 767 0005 HYDROXYUREA 52710 1 6 1 1479<br />
SEPTRA DS 27840 767 0005 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PILOCAR 24190 766 0005 PILOCARPINE 54500 1 6 1 1566<br />
FELDENE 12193 762 0005 PIROXICAM 54528 1 6 1 1724, 1727<br />
DESIPRAMINE 09020 761 0005 DESIPRAMINE 51605 1 6 1 0630<br />
HYGROTON 15115 759 0005 CHLORTHALIDONE 51170 1 6 1 0507<br />
VERAPAMIL SR 01236 757 0005 VERAPAMIL 56163 1 6 1 0510<br />
CIPROFLOXACIN 92111 754 0005 CIPROFLOXACIN HCL 51229 1 6 1 0357<br />
NEUTRA-PHOS 20835 743 0005 COMBINATION PRODUCT 51380 2 6 2 POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE, PHOSPHORUS 54655, 55315, 57034 0915<br />
SERZONE 95080 740 0005 NEFAZODONE HCL 57176 1 6 1 0630<br />
WELCHOL 01166 734 0005 COLESEVELAM 70313 1 6 1 0912<br />
HALDOL DECANOATE 01038 732 0005 HALOPERIDOL 52520 1 6 1 0628<br />
VERELAN 91058 732 0005 VERAPAMIL 56163 1 6 1 0510<br />
ANTIBIOTIC AGENT 02158 729 0005 UNDETERMINED 50000 3 7 3 0300<br />
EFFEXOR XR 01029 728 0005 VENLAFAXINE 57096 1 6 1 0630<br />
CARDENE 93036 728 0005 NICARDIPINE 56535 1 6 1 0510<br />
PROBALANCE 99180 719 0005 UNDETERMINED 50000 2 6 3 0914<br />
PHENYTEK 03207 714 0005 PHENYTOIN 54470 1 6 1 1374<br />
PRED MILD 24855 712 0005 PREDNISOLONE 54770 1 6 1 1568<br />
PREDNISOLONE 24885 710 0005 PREDNISOLONE 54770 1 6 1 1032<br />
NITROPASTE 99119 710 0005 NITROGLYCERIN 53945 1 6 1 0503<br />
DONEPEZIL HCL 98049 707 0005 DONEPEZIL HCL 59704 1 6 1 0628<br />
VALSARTAN 98141 703 0005 VALSARTAN 59710 1 6 1 0506<br />
FLUNISOLIDE 93422 701 0005 FLUNISOLIDE 52304 1 6 1 1947<br />
DICLOXACILLIN 09433 701 0005 DICLOXACILLIN 51720 1 6 1 0346<br />
SULFADIAZINE 29825 697 0005 SULFADIAZINE 55540 1 6 1 0353<br />
TRIMPEX 32433 694 0005 TRIMETHOPRIM 55997 1 6 1 0353<br />
BETASERON 93372 694 0005 INTERFERON BETA 56740 1 6 1 1482<br />
ROXICET 26958 694 0005 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE HCL 50005, 70269 1721<br />
PROBENECID 25150 693 0005 PROBENECID 54800 1 6 1 1725<br />
CIMETIDINE 06815 693 0005 CIMETIDINE 51220 1 6 1 0874<br />
INFED 93078 690 0005 IRON PREPARATIONS 52885 1 6 1 0408, 0914<br />
TRIAVIL 32290 688 0005 COMBINATION PRODUCT 51380 1 6 2 PERPHENAZINE, AMITRIPTYLINE HCL 54320, 70333 0628, 0630<br />
JUVEN 04093 684 0005 COMBINATION PRODUCT 51380 2 6 2 ARGININE, GLUTAMINE, HMB 50370, 70181, 70792 0914<br />
MAPAP 02076 684 0005 ACETAMINOPHEN 50005 2 6 1 1727<br />
KETOPROFEN 93312 681 0005 KETOPROFEN 52978 1 6 1 1724, 1727<br />
POLYSACCHARIDE-IRON COMPLEX 04379 679 0005 POLYSACCHARIDE-IRON COMPLEX 70934 2 6 1 0913<br />
ACYCLOVIR 91061 675 0005 ACYCLOVIR 50078 1 6 1 0388<br />
SULFACETAMIDE SODIUM 61385 675 0005 SULFACETAMIDE 55525 1 6 1 1568<br />
DECLOMYCIN 08640 672 0005 DEMECLOCYCLINE 51595 1 6 1 0350<br />
SERTRALINE 93193 669 0004 SERTRALINE 56635 3 6 1 0630<br />
TIMOLOL MALEATE 89080 669 0004 TIMOLOL 55845 1 6 1 0506<br />
ESIDRIX 11690 665 0004 HYDROCHLOROTHIAZIDE 52645 1 6 1 0506, 0507<br />
CLONOPIN 06990 665 0004 CLONAZEPAM 51270 1 4 1 1374<br />
MICROZIDE 98046 664 0004 HYDROCHLOROTHIAZIDE 52645 1 6 1 0507<br />
DEMEROL 96045 658 0004 MEPERIDINE 53335 1 2 1 1721<br />
SELENIUM 27725 656 0004 SELENIUM SULFIDE 55195 1 6 1 0914<br />
ARTHROTEC 98006 652 0004 COMBINATION PRODUCT 51380 1 6 2 DICLOFENAC SODIUM, MISOPROSTOL 80004, 91011 1727<br />
NAVANE 20435 643 0004 THIOTHIXENE 55795 1 6 1 0628<br />
GUIATUSS 13875 641 0004 GUAIFENESIN 52490 1 5 1 1943<br />
PROPRANOLOL 42985 634 0004 PROPRANOLOL 54865 1 6 1 0512<br />
POLYSPORIN 24510 633 0004 COMBINATION PRODUCT 51380 1 6 2 POLYMYXIN B, BACITRACIN ZINC 70011, 70213 1271<br />
ONE-A-DAY PLUS MINERALS 21804 630 0004 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN E 52045, 55105, 55755, 56185, 56195 0913<br />
VIRAMUNE 97052 629 0004 NEVIRAPINE 59715 1 6 1 0388<br />
OSMOLYTE 41810 622 0004 DIETARY SUPPLEMENT 51740 2 6 1 0914<br />
BECLOMETHASONE 03700 622 0004 BECLOMETHASONE 50490 1 6 1 1947<br />
DEXAMETHASONE 09075 622 0004 DEXAMETHASONE 51635 1 6 1 1032<br />
AZULFIDINE 03225 618 0004 SULFASALAZINE 55575 1 6 1 0877<br />
HUMULIN 14727 617 0004 INSULIN 52790 2 6 1 1036<br />
KONSYL 16800 613 0004 PSYLLIUM 54965 2 6 1 0876<br />
MSIR 60940 606 0004 MORPHINE 53760 1 2 1 1721<br />
BETIMOL 96164 604 0004 TIMOLOL 55845 1 6 1 1566<br />
BIAXIN 92006 603 0004 CLARITHROMYCIN 51242 1 6 1 0348<br />
CALTRATE PLUS 04201 600 0004 MULTIVITAMIN COMBINATION 51382 2 6 2 CALCIUM, COPPER, VITAMIN D, ZINC, MAGNESIUM 50776, 51393, 56194, 70310, 70799 0913<br />
SODIUM CHLORIDE TEAR TOP 28570 599 0004 SODIUM CHLORIDE 55315 1 6 1<br />
INDOCIN 15590 598 0004 INDOMETHACIN 52770 1 6 1 1724, 1727<br />
PRUNE JUICE 04164 595 0004 PRUNE JUICE 70823 2 6 1 2100<br />
MIGHTY SHAKES 04126 589 0004 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, MILK PROTEIN CONCENTRATE, SKIM MILK 53723, 53805, 70806, 70810 0914<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
CLINORIL 06935 589 0004 SULINDAC 55615 1 6 1 1724, 1727<br />
CANASA 03282 579 0004 MESALAMINE 57005 1 6 1 0877<br />
IMURAN 15555 578 0004 AZATHIOPRINE 50445 1 6 1 1181<br />
TAMSULOSIN HYDROCHLORIDE 00053 577 0004 TAMSULOSIN HYDROCHLORIDE 59731 1 6 1 0506<br />
INDAPAMIDE 94071 575 0004 INDAPAMIDE 52753 1 6 1 0507<br />
CALCIMAR 05390 574 0004 CALCITONIN 50760 1 6 1 0916<br />
ELECTROLYTE 11130 571 0004 UNDETERMINED 50000 3 7 3 0915<br />
DEMECLOCYCLINE 93338 569 0004 DEMECLOCYCLINE 51595 1 6 1 0350<br />
FLUVOXAMINE 95024 567 0004 FLUVOXAMINE 57064 1 6 1 0630<br />
BETADINE 04120 566 0004 POVIDONE-IODINE 54749 2 6 1 1264<br />
THYROXINE 41905 557 0004 THYROID 55825 1 6 1 1037<br />
DIAZOXIDE 09373 557 0004 DIAZOXIDE 51700 1 6 1 0506, 0914<br />
UNITHROID 02083 554 0004 LEVOTHYROXINE SODIUM 70459 1 6 1 1037<br />
CARTEOLOL HCL 04028 554 0004 COMBINATION PRODUCT 51380 1 6 1 CARTEOLOL HCL 70768 1566<br />
QUINIDINE GLUCONATE 41395 551 0004 QUINIDINE 55045 1 6 1 0502<br />
MAXIDEX 18515 551 0004 DEXAMETHASONE 51635 1 6 1 1568<br />
EPIVIR 95191 551 0004 LAMIVUDINE 57146 1 6 1 0388<br />
REFRESH TEARS 04168 550 0004 CARBOXYMETHYLCELLULOSE 50912 2 6 1 1569<br />
CLOPIDOGREL 99033 546 0004 CLOPIDOGEL 59816 1 6 1 0409<br />
NASACORT AQ 99013 544 0004 TRIAMCINOLONE ACETON 70006 1 6 1 1947<br />
PEPTO-BISMOL 23370 541 0004 BISMUTH SALICYLATE 50640 2 6 1 0875, 0877<br />
FELODIPINE 92125 540 0004 FELODIPINE 52219 1 6 1 0510<br />
METROGEL 92137 538 0004 METRONIDAZOLE 53700 1 6 1 1265<br />
VIBRAMYCIN 34090 536 0004 DOXYCYCLINE 51965 1 6 1 0350<br />
TYLENOL NO. 4 32925 532 0004 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
OCUPRESS 93112 531 0004 CARTEOLOL 56380 1 6 1 1566<br />
CLEOCIN 06905 527 0004 CLINDAMYCIN 51255 1 6 1 0348<br />
RAMIPRIL 92150 525 0004 RAMIPRIL 57016 1 6 1 0514<br />
MYCOSTATIN 20060 520 0003 NYSTATIN 53995 1 6 1 1271<br />
BUMETANIDE 96107 518 0003 UNDETERMINED 50000 1 6 3 0506, 0507<br />
THERATEARS 99102 517 0003 UNDETERMINED 50000 2 6 3 1500<br />
CLIMARA 95160 516 0003 ESTRADIOL 52070 1 6 1 1034<br />
ANALPRAM HC 93016 516 0003 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE ACETATE, PRAMOXINE HCL 70334, 70335 1268<br />
ESTRADIOL 11745 514 0003 ESTRADIOL 52070 3 6 1 1034, 1040<br />
METHIMAZOLE 91089 514 0003 METHIMAZOLE 53540 1 6 1 1037<br />
OXY IR 97181 513 0003 OXYCODONE 54094 1 2 1 1721<br />
CEROVITE SR 04039 512 0003 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
CROMOLYN 08015 511 0003 CROMOLYN SODIUM 51430 1 6 1 1570, 1940<br />
SALIVA SUBSTITUTE 27374 511 0003 CARBOXYMETHYLCELLULOSE 50912 2 6 1 0877<br />
ZINC OXIDE 35250 510 0003 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 2 6 1 1274<br />
MINOCIN 19460 508 0003 MINOCYCLINE 53725 1 6 1 0350<br />
NULLO 04137 508 0003 CHLOROPHYLL 51085 2 6 1 2100<br />
URISPAS 33300 507 0003 FLAVOXATE 52275 1 6 1 0509<br />
MINIPRESS 19455 506 0003 PRAZOSIN 54765 1 6 1 0513<br />
NICODERM CQ PATCH 00150 505 0003 NICOTINE TRANSDERMAL 56540 2 6 1 1265<br />
TEQUIN 00028 504 0003 GATIFLOXACIN 70109 1 6 1 0357<br />
LUTEIN 01106 502 0003 LUTEIN 70270 2 6 1 0913<br />
DICYCLOMINE 09455 498 0003 DICYCLOMINE 51730 1 6 1 0878<br />
XELODA 98103 496 0003 CAPECITABINE 59840 1 6 1 1481<br />
SUCRALFATE 93404 494 0003 SUCRALFATE 55518 1 6 1 0874<br />
SIMVASTATIN 93237 494 0003 SIMVASTATIN 56640 1 6 1 0912<br />
KONDREMUL 16785 491 0003 MINERAL OIL 53720 2 6 1 0876<br />
CAPSAICIN 95116 487 0003 CAPSAICIN 50867 2 6 1 1275<br />
ALBUTEROL/ATROVENT 04041 484 0003 COMBINATION PRODUCT 51380 1 6 2 IPRATROPIUM BROMIDE, ALBUTEROL SULFATE 52883, 70359 1940<br />
PULMICORT RESPULES 01211 483 0003 BUDESONIDE 57124 1 6 1 1032<br />
CALCIFEROL 05375 482 0003 ERGOCALCIFEROL 52045 2 6 1 0913<br />
SCOT-TUSSIN ORIGINAL 93140 481 0003 COMBINATION PRODUCT 51380 2 6 2 CAFFEINE, SODIUM CITRATE, SODIUM SALICYLATE, PHENYLEPHRINE HCL, PHENIRAMINE MALEATE 50745, 55320, 56325, 70358, 70407 1941, 1944<br />
UROQID-ACID 33380 480 0003 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE MANDELATE, SODIUM ACID PHOSPHATE MONOHYDR 70273, 70274 0354<br />
ORETIC 21995 479 0003 HYDROCHLOROTHIAZIDE 52645 1 6 1 0507<br />
LITHIUM CITRATE SYRUP 17720 477 0003 LITHIUM 53120 1 6 1 0628<br />
MEPROBAMATE 18795 470 0003 MEPROBAMATE 53370 1 4 1 0627, 1373<br />
DILACOR-XR 93048 470 0003 DILTIAZEM 51803 1 6 1 0510<br />
ENDAL 92175 466 0003 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE HCL 52490, 70358 1941, 1943<br />
POLYETHYLENE GLYCOL 41315 466 0003 PENICILLOYL 54270 2 6 1 2095<br />
PENTASA 94010 463 0003 MESALAMINE 57005 1 6 1 0877<br />
LODOSYN 98050 459 0003 CARBIDOPA 50899 1 6 1 1371<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
NUTREN 93328 455 0003 COMBINATION PRODUCT 51380 2 6 2 CASEIN, COCONUT OIL, CORN OIL, MULTIVITAMINS GENERAL, SUCROSE 50938, 51330, 51395, 53780, 55520 0914<br />
ENBREL 99075 452 0003 ETANERCEPT 70029 1 6 1 1724<br />
FIBER TABLETS 04067 452 0003 CALCIUM POLYCARBOPHIL 56715 2 6 1 0876<br />
ECONOPRED 10970 450 0003 PREDNISOLONE 54770 1 6 1 1568<br />
VITRON-C 34675 449 0003 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C 52885, 56193 0408, 0913<br />
DARAPRIM 08450 447 0003 PYRIMETHAMINE 55000 1 6 1 1864<br />
SENNOSIDES 04307 444 0003 CALCIUM SENNOSIDE 70900 2 6 1 0876<br />
METIPRANOLOL 92136 444 0003 METIPRANOLOL 53683 1 6 1 1566<br />
I-CAR C PLUS 04089 444 0003 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, VITAMIN B-12, VITAMIN C, IRON CARBONYL 52355, 56192, 56193, 70791 0913<br />
MAXI VISION WHOLE BODY FORMULA 04101 442 0003 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS, LUTEIN, ZEAXANTHIN 53805, 70270, 70797 0913<br />
LISPRO 00253 440 0003 INSULIN ANALOG 70184 1 6 1 1036<br />
THERA H TABS 04217 435 0003 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS THERAPEUTIC 53723, 53785 0913<br />
POLY-VI-SOL 24420 434 0003 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
NITROQUICK 99098 434 0003 NITROGLYCERIN 53945 1 6 1 0503, 0508<br />
EYE-VITE 04092 432 0003 COMBINATION PRODUCT 51380 2 6 2 BETA CAROTENE, VITAMIN E, LUTEIN, BILBERRY EXTRACT, LYCOPENE 50580, 56195, 70270, 70487, 70699 2100<br />
AVONEX 96128 432 0003 INTERFERON 57174 1 5 1 1181<br />
PROPINE 25493 431 0003 DIPIVEFRIN 51913 1 6 1 1566<br />
NARCAN 20310 431 0003 NALOXONE 53865 1 6 1 0281<br />
ASPERCREME 93024 425 0003 TROLAMINE 56030 2 6 1 1275<br />
GARLIC PILL 94131 424 0003 GARLIC 57142 3 7 1 0875<br />
CEROVITE LIQUID 04222 424 0003 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
MYCELEX 20010 424 0003 CLOTRIMAZOLE 51290 3 6 1 1271<br />
QUETIAPINE FUMARATE 99101 422 0003 QUETIAPINE FUMARATE 59739 1 6 1 0628<br />
VIOKASE 34220 421 0003 PANCREATIN 54160 1 6 1 0877<br />
DILTIA XT 00114 420 0003 DILTIAZEM 51803 1 6 1 0510<br />
DIPIVEFRIN 95056 420 0003 DIPIVEFRIN 51913 1 6 1 1566<br />
SARNA 27459 420 0003 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, PHENOL 50845, 53325, 54400 1265<br />
LITHIUM 17715 419 0003 LITHIUM 53120 1 6 1 0628<br />
NEPTAZANE 20805 418 0003 METHAZOLAMIDE 53520 1 6 1 0511<br />
FLUTICASONE 92126 416 0003 FLUTICASONE PROPIONATE 52354 1 6 1 1268<br />
REBIF 02145 414 0003 INTERFERON BETA-1A 70474 1 6 1 1479<br />
MODURETIC 19618 413 0003 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, AMILORIDE HCL 52645, 70332 0506<br />
BLEPHAMIDE 04485 412 0003 COMBINATION PRODUCT 51380 1 6 2 SULFACETAMIDE SODIUM, PREDNISOLONE SODIUM PHOSPHATE 70214, 70237 1568<br />
SORIATANE 98111 411 0003 ACITRETIN 59827 1 6 1 1269<br />
LOSARTAN 97073 411 0003 LOSARTAN 57208 1 6 1 0506<br />
L-TONIC 04357 408 0003 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
PRENAVITE 96059 407 0003 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
BRETHINE 04650 406 0003 TERBUTALINE 55670 1 6 1 1940<br />
DOCUSATE -SENNA 04059 406 0003 COMBINATION PRODUCT 51380 2 6 2 SENNA, DOCUSATE SODIUM 55200, 70262 0876<br />
CHLOR-TRIMETON 06400 403 0003 CHLORPHENIRAMINE 51130 3 6 1 1944<br />
ESTROPIPATE 95088 403 0003 ESTROPIPATE 52082 1 6 1 1034<br />
MEDROXYPROGESTERONE 18643 399 0003 MEDROXYPROGESTERONE 53280 1 6 1 1034<br />
SENOLAX 27810 399 0003 SENNA 55200 2 6 1 0876<br />
CREON 07997 399 0003 PANCREATIN 54160 1 6 1 0877<br />
NITROLINGUAL 21176 393 0003 NITROGLYCERIN 53945 1 6 1 0503<br />
DUODERM 93368 393 0003 HYDROACTIVE DRESSING 57050 2 6 1 1264<br />
NUTRIFOCUS 04374 392 0003 COMBINATION PRODUCT 51380 2 6 2 MINERALS, WATER, SOY PROTEIN, MILK PROTEIN CONCENTRATE, SODIUM CASEINATE 53723, 70460, 70782, 70806, 70923 0914<br />
PAXIL CR 02316 391 0003 PAROXETINE HCL 57150 1 6 1 0630<br />
DIPENTUM 91013 390 0003 OLSALAZINE 91013 1 6 1 0877<br />
DAYPRO 94127 388 0003 OXAPROZIN 57086 1 6 1 1724, 1727<br />
UREX 33240 388 0003 METHENAMINE 53530 1 6 1 0354<br />
CYCLOBENZAPRINE HCL 89020 388 0003 CYCLOBENZAPRINE 51470 1 6 1 1373<br />
CERTAGEN SENIOR TABLET 03043 385 0003 MULTIVITAMIN COMBINATION 51382 2 6 2 0913<br />
DESMOPRESSIN 94080 383 0003 DESMOPRESSIN 51615 1 6 1 1038<br />
BEN-GAY 03900 382 0003 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE 53325, 53620 1265<br />
PIROXICAM 92145 381 0003 PIROXICAM 54528 1 6 1 1724, 1727<br />
KAOCHLOR 16325 381 0003 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
ORAMORPH 00085 377 0003 MORPHINE SULFATE 70044 1 2 1 1721<br />
MI-ACID GELCAPS 03063 375 0003 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MAGNESIUM CARBONATE 50785, 70611 0879<br />
CARTIA 99210 373 0003 DILTIAZEM 51803 1 6 1 0510<br />
HECTOROL 03139 372 0002 DOXERCALCIFEROL 70703 1 6 1 0913, 0916<br />
PERGOLIDE 91097 372 0002 PERGOLIDE MESYLATE 57008 1 6 1 1371<br />
CELLCEPT 96147 371 0002 MYCOPHENOLATE MOFETIL 59635 1 6 1 1181<br />
LACTRASE 60805 369 0002 LACTASE 52975 2 6 1 0875<br />
STRATTERA 03080 369 0002 ATOMOXETINE HCL 70687 1 6 1 0630<br />
SOLOSITE 04293 368 0002 COMBINATION PRODUCT 51380 2 6 2 HYDROGEL 70891 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
HYDROXYCHLOROQUINE 15070 367 0002 HYDROXYCHLOROQUINE 52690 1 6 1 1864<br />
PURALUBE 02366 366 0002 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PETROLEUM 53720, 70038 1569<br />
LEVOFLOXACIN 97163 366 0002 LEVOFLOXACIN 59716 1 6 1 0357<br />
ALTOPREV 04012 364 0002 COMBINATION PRODUCT 51380 1 6 1 LOVASTATIN 53148 0912<br />
CERTAVITE 00071 363 0002 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS 53805 0913<br />
MANDELAMINE 18315 360 0002 METHENAMINE 53530 1 6 1 0354<br />
OGEN 21765 360 0002 ESTROPIPATE 52082 1 6 1 1034<br />
ZOSTRIX 93185 359 0002 CAPSAICIN 50867 2 6 1 1275<br />
PREDNISOLONE ACETATE 00176 358 0002 PREDNISOLONE ACETATE 70158 1 6 1 1032<br />
ARISTOCORT 02575 354 0002 TRIAMCINOLONE 55915 1 6 1 1268<br />
DOXEPIN 10325 354 0002 DOXEPIN 51955 1 6 1 0630<br />
FLORASTOR 04246 353 0002 SACCHAROMYCES BOULARDII 70866 2 6 1 2100<br />
FLOXIN 92031 348 0002 OFLOXACIN 54009 1 6 1 0357<br />
IRON PREPARATION 15870 348 0002 IRON PREPARATIONS 52885 3 6 1 0408<br />
DISALCID 09925 345 0002 SALSALATE 55165 1 6 1 1720<br />
OMEGA-3 99224 345 0002 OMEGA-3 FATTY ACIDS 57053 2 6 1 0913<br />
ZADITOR 99107 345 0002 KETOTIFEN FUMARATE 70041 1 6 1 1570<br />
MONISTAT 94191 344 0002 MICONAZOLE 53715 3 6 1 1271<br />
QUIXIN 01108 343 0002 LEVOFLOXACIN 59716 1 6 1 0355<br />
GUAIFENEX 97144 342 0002 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1943<br />
OXAZEPAM 22242 342 0002 OXAZEPAM 54085 1 4 1 0627<br />
ACTIFED 00475 341 0002 COMBINATION PRODUCT 51380 1 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256 1944<br />
ANAPROX 01838 341 0002 NAPROXEN 53880 1 6 1 1727<br />
PROPOXYPHENE HCL COMPOUND 65 25520 340 0002 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PROPOXYPHENE HCL 50410, 50745, 70377<br />
NEFAZODONE 95141 340 0002 NEFAZODONE HCL 57176 1 6 1 0630<br />
ETHAMBUTOL 11850 338 0002 ETHAMBUTOL 52090 1 6 1 0358<br />
OYSCO 500 22348 336 0002 CALCIUM CARBONATE 50785 2 6 1 0915<br />
DRAMAMINE 10380 334 0002 DIMENHYDRINATE 51810 2 6 1 1671<br />
LIPODERM 17595 333 0002 COMBINATION PRODUCT 51380 2 6 2 PANCREATIN, PYRIDOXINE 54160, 54990 1265<br />
PHAZYME 23610 330 0002 SIMETHICONE 55240 2 6 1 0877<br />
PAPAVERINE 22770 330 0002 PAPAVERINE 54190 1 6 1 0504<br />
ANTIBACTERIAL AGENT 94175 329 0002 UNDETERMINED 50000 2 6 3 0356<br />
VOSPIRE ER 04273 329 0002 ALBUTEROL EXTENDED-RELEASE 70880 1 6 1 1940<br />
VINEGAR 97154 328 0002 UNDETERMINED 50000 2 6 3 1273<br />
APLISOL 02370 326 0002 TUBERCULIN 56065 1 6 1 0789<br />
UROCIT K 93373 324 0002 POTASSIUM CITRATE 56590 1 6 1 0509<br />
TPN ELECTROLYTES 31895 324 0002 ELECTROLYTES 52023 1 6 1 0915<br />
CORTISONE 07795 323 0002 CORTISONE 51405 1 6 1 1032<br />
DAPSONE 08440 322 0002 DAPSONE 51555 1 6 1 0356<br />
ALUMINUM HYDROXIDE 01225 322 0002 ALUMINUM HYDROXIDE 50145 2 6 1 0874<br />
ALUPENT 01255 322 0002 METAPROTERENOL 53450 1 6 1 1940<br />
COLAZAL 02108 320 0002 BALSALAZIDE DISODIUM 70463 1 6 1 0877<br />
ORUDIS 61100 320 0002 KETOPROFEN 52978 1 6 1 1724, 1727<br />
ANCEF 01865 316 0002 CEFAZOLIN 50960 1 6 1 0347<br />
LIQUID TEARS 00267 315 0002 COMBINATION PRODUCT 51380 2 6 2 1569<br />
BENEMID 03955 315 0002 PROBENECID 54800 1 6 1 1725<br />
ROBINUL 26805 314 0002 GLYCOPYRROLATE 52455 1 6 1 0878<br />
ALREX 98142 313 0002 LOTEPREDNOL ETABONATE 59836 1 6 1 1570<br />
DIDRONEL 09470 312 0002 ETIDRONATE DISODIUM 52185 1 6 1 0916<br />
DEXTRAN 92019 312 0002 DEXTRAN 51647 2 6 1 0410<br />
JOINT-RITIS 03047 312 0002 MENTHOL 53325 2 6 1 1720, 1724<br />
CODEINE 07180 310 0002 CODEINE 51340 1 2 1 1721<br />
CHLORTHALIDONE 06645 310 0002 CHLORTHALIDONE 51170 1 6 1 0506, 0507<br />
RHINOCORT AQUA 01062 308 0002 BUDESONIDE 57124 1 6 1 1032, 1947<br />
UNIPHYL 41745 308 0002 THEOPHYLLINE 55745 1 6 1 1940<br />
ELOCON 11152 308 0002 MOMETASONE FUROATE MONOHYDRATE 53754 1 6 1 1271<br />
PERDIEM GRANULE 23415 307 0002 COMBINATION PRODUCT 51380 2 6 2 PSYLLIUM, SENNA 54965, 55200 0876<br />
LEVBID 95173 307 0002 HYOSCYAMINE 52720 1 6 1 0878<br />
TOLTERODINE TARTRATE 01050 306 0002 TOLTERODINE TARITRATE 59811 1 6 1 0509<br />
VASELINE 33670 305 0002 PETROLATUM 54330 2 6 1 1265<br />
SYNALAR 30330 304 0002 FLUOCINOLONE 52305 1 6 1 1268<br />
ESTROVITE 04104 304 0002 COMBINATION PRODUCT 51380 2 6 2 GENISTEIN, DAIDZEIN, INDOL-3 CARBINOL 70800, 70801, 70802 2100<br />
TEARS NATURALE FREE 04248 304 0002 COMBINATION PRODUCT 51380 2 6 2 HYDROXYPROPYL METHYLCELLULOSE, SODIUM BORATE, SODIUM CHLORIDE, POTASSIUM CHLORIDE, DEXTRAN 70 52700, 55295, 55315, 56585, 70870 1569<br />
SENSIPAR 04292 304 0002 CINACALCET HCL 70890 1 6 1 0916<br />
ETRAFON 11920 304 0002 COMBINATION PRODUCT 51380 1 6 2 PERPHENAZINE, AMITRIPTYLINE HCL 54320, 70333 0627, 0630<br />
TONOCARD 61490 304 0002 TOCAINIDE HYDROCHLORIDE 55860 1 6 1 0502<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ZALEPLON 02107 304 0002 ZALEPLON 70115 1 4 1 0626<br />
NOROXIN 21385 304 0002 NORFLOXACIN 53969 1 6 1 0357<br />
BENADRYL ALLERGY 03332 303 0002 DIPHENHYDRAMINE HCL 70344 2 6 1 1944<br />
BILBERRY EXTRACT 02204 302 0002 BILBERRY EXTRACT 70487 2 6 1 2100<br />
SECTRAL 61330 302 0002 ACEBUTOLOL HYDROCHLORIDE 50008 1 6 1 0512<br />
BLEPH-10 93030 300 0002 SULFACETAMIDE 55525 1 6 1 1568<br />
CEFUROXIME SODIUM 91070 300 0002 CEFUROXIME SODIUM 50967 1 6 1 0347<br />
ALMORA 01070 300 0002 MAGNESIUM GLUCONATE 53180 1 6 1 0915<br />
PENTOXIL 04381 300 0002 PENTOXIFYLLINE 54297 1 6 1 0504<br />
BISAC-EVAC 04324 300 0002 BISACODYL 50630 2 6 1 0876<br />
LEXAPRO 02119 300 0002 ESCITALOPRAM OXALATE 70466 1 7 1 0630<br />
COVERA HS 96131 300 0002 VERAPAMIL 56163 1 6 1 0510<br />
FML 00259 298 0002 FLUOROMETHOLONE 52320 1 6 1 1568<br />
OMNICEF 99014 298 0002 CEFDINIR 70007 1 6 1 0347<br />
CARTIA XT 00254 295 0002 DILTIAZEM 51803 1 6 1 0510<br />
KETOCONAZOLE 91085 295 0002 KETOCONAZOLE 52972 1 6 1 0355<br />
CLEAR EYES 06895 295 0002 NAPHAZOLINE 53875 2 6 1 1570<br />
POLYCOSE 24450 295 0002 GLUCOSE 52425 2 6 1 0914<br />
NEPHRON 00006 294 0002 EPINEPHRINE 52040 2 6 1 1940<br />
METHAZOLAMIDE 19025 294 0002 METHAZOLAMIDE 53520 1 6 1 0507<br />
ISOPTIN S.R. 91031 292 0002 VERAPAMIL 56163 1 6 1 0510<br />
PTU 41845 291 0002 PROPYLTHIOURACIL 54910 1 6 1 1037<br />
TEMOVATE 61440 290 0002 CLOBETASOL PROPIONATE 51243 1 6 1 1268<br />
LONOX 17878 289 0002 COMBINATION PRODUCT 51380 1 5 2 DIPHENOXYLATE, ATROPINE SULFATE 51868, 70120 0875<br />
BIDEX DM 01217 288 0002 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
SOLU-MEDROL 28800 288 0002 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
HUMULIN INSULIN 41895 287 0002 INSULIN 52790 2 6 1 1036<br />
VANCENASE 35600 286 0002 BECLOMETHASONE 50490 1 6 1 1947<br />
CERTAGEN LIQUID 04032 286 0002 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
GLUCAGON 13535 285 0002 GLUCAGON 52420 1 6 1 1036<br />
LORABID 93088 284 0002 LORACARBEF 56485 1 6 1 0347<br />
ORTHO-NOVUM 22090 284 0002 COMBINATION PRODUCT 51380 1 6 2 UNDETERMINED, NORETHINDRONE 50000, 53965 1040<br />
QUINAMM 26020 282 0002 QUININE 55050 1 6 1 1373, 1864<br />
CONSTULOSE 98011 282 0002 LACTULOSE 52995 1 6 1 0876<br />
BRONTEX 95169 282 0002 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, CODEINE PHOSPHATE 52490, 70231 1943<br />
RIOPAN PLUS 26750 281 0002 COMBINATION PRODUCT 51380 2 6 2 MAGALDRATE, SIMETHICONE 53170, 55240 0874, 0879<br />
PROCTOFOAM 25250 279 0002 PRAMOXINE 54755 2 6 1 0123<br />
OCUFEN 21754 277 0002 FLURBIPROFEN SODIUM 52353 1 6 1 1568<br />
K-LOR 16210 275 0002 POTASSIUM CHLORIDE 56585 1 6 1 0915<br />
PENICILLIN 23215 273 0002 PENICILLIN 54250 1 6 1 0346<br />
DORZOLAMIDE 95164 272 0002 DORZOLAMIDE HCL 57186 1 6 1 1566<br />
METRONIDAZOLE 19233 271 0002 METRONIDAZOLE 53700 1 6 1 0355<br />
CHLORDIAZEPOXIDE 06495 270 0002 CHLORDIAZEPOXIDE 51055 1 4 1 0627<br />
NOVOLIN R 03273 270 0002 INSULIN 52790 2 6 1 1036<br />
CALCIUM CITRATE 98075 269 0002 CALCIUM CITRATE 56370 3 7 1 0913<br />
MINITRAN 92159 269 0002 NITROGLYCERIN 53945 1 6 1 0503<br />
BUTISOL 05145 269 0002 BUTABARBITAL 50720 1 3 1 0626<br />
I-VITE PROTECT 04346 268 0002 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
B COMPLEX 03250 268 0002 COMBINATION PRODUCT 51380 3 6 2 VITAMIN B COMPLEX 56345 0913<br />
VITAMIN K 34623 267 0002 VITAMIN K 56198 1 6 1 0411, 0913<br />
MESALAMINE 92135 266 0002 MESALAMINE 57005 1 6 1 0877<br />
PRAVASTATIN 95092 266 0002 PRAVASTATIN SODIUM 54757 1 6 1 0912<br />
PROPANTHELINE 25475 266 0002 PROPANTHELINE 54870 1 6 1 0877<br />
ERYTHROMYCIN OPHTHALMIC 11668 266 0002 ERYTHROMYCIN 52065 1 6 1 1568<br />
PARAFON FORTE 22810 265 0002 CHLORZOXAZONE 51175 1 6 1 1373<br />
CYSTOSPAZ 08205 265 0002 HYOSCYAMINE 52720 1 6 1 0875<br />
NEPRO 03046 264 0002 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0914<br />
VIAGRA 98041 263 0002 SILDENAFIL CITRATE 59807 1 6 1 0504<br />
VICOPROFEN 98043 263 0002 COMBINATION PRODUCT 51380 1 3 2 IBUPROFEN, HYDROCODONE BITARTRATE 52730, 70217 1721<br />
DESOGEN 93363 263 0002 COMBINATION PRODUCT 51380 1 6 2 DESOGESTREL, ETHINYL ESTRADIOL 57058, 70027 1040<br />
MOXIFLOXACIN 01196 263 0002 MOXIFLOXACIN HCL 70138 1 6 1 0357<br />
CITRUS CALCIUM 04211 262 0002 CALCIUM SALTS 70853 2 6 1 0913<br />
TUCKS 32710 262 0002 COMBINATION PRODUCT 51380 2 6 2 HAMAMELIS WATER 52535 1272<br />
ARTHRITIC BALM 04392 262 0002 UNDETERMINED 50000 2 6 3<br />
DEEP SEA NASAL SPRAY 04236 260 0002 SODIUM CHLORIDE 55315 2 6 1 1941<br />
URSO 03116 260 0002 URSODIOL 56695 1 6 1 0877<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
AMINODYNE ELIXIR 01440 259 0002 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
URSODIOL 00109 259 0002 URSODIOL 56695 1 6 1 0877<br />
WATER PURIFIED 34805 259 0002 WATER STERILE 56210 1 6 1<br />
THIOTHIXENE 31542 258 0002 THIOTHIXENE 55795 1 6 1 0628<br />
SANTYL 27445 257 0002 COLLAGEN DERIVATIVE 51365 1 6 1 1265<br />
CRANACTIN 04046 257 0002 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, CRANBERRY 56193, 70133 2100<br />
CECLOR 05955 256 0002 CEFACLOR 50945 1 6 1 0347<br />
ENOXAPARIN SODIUM 00198 254 0002 ENOXAPARIN SODIUM 57112 1 6 1 0409<br />
AMOXIL 01640 253 0002 AMOXICILLIN 50260 1 6 1 0346<br />
BION TEARS 95073 253 0002 COMBINATION PRODUCT 51380 2 6 2 DEXTRAN, HYDROXYPROPYL METHYLCELLULOSE, SODIUM BICARBONATE, SODIUM CHLORIDE, POTASSIUM CHLORIDE 51647, 52700, 55280, 55315, 56585 1569<br />
CARBAMIDE PEROXIDE 00218 252 0002 CARBAMIDE PEROXIDE 57018 2 6 1 0877, 1265<br />
PROSIGHT LUTEIN 04193 252 0002 MULTIVITAMIN COMBINATION 51382 2 6 2 CALCIUM, VITAMIN C, VITAMIN E, LUTEIN, ZINC 50776, 56193, 56195, 70270, 70310 0913<br />
PERCODAN 23390 251 0002 COMBINATION PRODUCT 51380 1 2 2 ASPIRIN, OXYCODONE HCL, OXYCODONE TEREPHTHALATE 50410, 70269, 70582 1721<br />
BAG BALM 02368 250 0002 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, PETROLEUM, HYDROXYQUINOLINE SULFATE 53003, 70038, 70420 1265<br />
OFLOXACIN 92140 250 0002 OFLOXACIN 54009 1 6 1 0357<br />
PYRIMETHAMINE 94102 250 0002 PYRIMETHAMINE 55000 1 6 1 1864<br />
ROXICODONE 02333 249 0002 OXYCODONE HCL 70269 1 2 1 1721<br />
VISINE 34260 249 0002 TETRAHYDROZOLINE 55730 2 6 1 1570<br />
COENZYME (UNSPECIFIED) 04212 248 0002 UNDETERMINED 50000 2 6 1 2100<br />
CARDIZEM LA 03127 248 0002 DILTIAZEM 51803 1 6 1 0510<br />
AFRIN 00645 248 0002 OXYMETAZOLINE 54120 2 6 1 1941<br />
MAXAIR 18498 245 0002 PIRBUTEROL ACETATE 57038 1 6 1 1940<br />
DOVONEX 94059 244 0002 CALCIPOTRIENE 57094 1 6 1 1274<br />
NIMOTOP 93435 243 0002 NIMODIPINE 56780 1 6 1 0510<br />
SULFAMETHOX W/TRIMETHOPRIM 29843 240 0002 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
MYADEC 19995 240 0002 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193 0913<br />
MEXILITENE 91090 240 0002 MEXILETINE HCL 53712 1 6 1 0502<br />
IMITREX 93231 238 0002 SUMATRIPTAN 56670 1 6 1 1723<br />
CURASOL 00108 238 0002 UNDETERMINED 50000 2 6 3 1265<br />
CIPRODEX 03197 236 0002 COMBINATION PRODUCT 51380 1 6 2 CIPROFLOXACIN HCL, DEXAMETHASONE 51229, 51635 0355<br />
PILOPINE 93317 236 0002 PILOCARPINE 54500 1 6 1 1566<br />
FORTAZ 12967 236 0002 CEFTAZIDIME 50966 1 6 1 0347<br />
GLIMEPIRIDE 99056 235 0002 GLIMEPRIDE 59633 1 6 1 1036<br />
CANDESARTAN 00133 234 0002 CANDESARTAN CILEXETIL 70014 1 6 1 0506<br />
MEGA DELAY 04103 233 0002 MAGNESIUM 70799 2 6 1 0913<br />
SAW PALMETTO 97019 233 0002 UNDETERMINED 50000 2 6 3 2100<br />
HALFPRIN 93245 233 0002 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
METHYLCELLULOSE 19140 233 0002 METHYLCELLULOSE 53630 2 6 1 0876<br />
PROTOX 04191 232 0002 POLOXAMER 331 70841 1 6 1 2087<br />
HYDROXYZINE 15100 232 0002 HYDROXYZINE 52715 1 6 1 0627, 1671, 1944<br />
OVRAL 22215 232 0002 COMBINATION PRODUCT 51380 1 6 2 NORGESTREL, ETHINYL ESTRADIOL 53970, 70027 1040<br />
ZEASORB MEDICATED 35165 232 0002 MICONAZOLE NITRATE 92512 2 6 1 1271<br />
VIDEX 92103 231 0002 DIDANOSINE 51732 1 6 1 0388<br />
LONITEN 17875 230 0002 MINOXIDIL 53730 1 6 1 0506<br />
FRUIT MIX 04107 228 0002 COMBINATION PRODUCT 51380 2 6 2 FRUIT (DRIED), FRUIT JUICE 70803, 70804 2087<br />
FLUOCINOLONE 12690 228 0002 FLUOCINOLONE 52305 1 6 1 1268<br />
HYTONE 15305 228 0002 HYDROCORTISONE 52655 1 6 1 1268<br />
QUINAPRIL 92149 228 0002 QUINAPRIL 55032 1 6 1 0506<br />
ANTITUSSIVE 97041 228 0002 UNDETERMINED 50000 3 6 3 1943<br />
PREVPAC 98053 226 0002 COMBINATION PRODUCT 51380 1 6 2 AMOXICILLIN, CLARITHROMYCIN, LANSOPRAZOLE 50260, 51242, 59629 0877<br />
PROGESTERONE 25305 225 0002 PROGESTERONE 54845 1 6 1 1034<br />
PROCAINE 25185 224 0002 PROCAINE 54815 3 6 1 0117<br />
KLOTRIX 16728 224 0002 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
CHOICE DM 04208 224 0002 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, PROTEIN, CARBOHYDRATE(S), FAT 53723, 53805, 57166, 57168, 57170 0914<br />
NADOLOL 92138 224 0002 NADOLOL 53840 1 6 1 0512<br />
DEPONIT 60400 224 0002 NITROGLYCERIN 53945 1 6 1 0503<br />
PHOSPHOLINE IODIDE 61180 222 0001 ECHOTHIOPHATE 52005 1 6 1 1566<br />
COD LIVER OIL 07150 222 0001 COD LIVER OIL 70396 2 6 1 0913<br />
RETROVIR 26477 221 0001 ZIDOVUDINE 56261 1 6 1 0388<br />
MERREM IV 02078 221 0001 MEROPENEM 70456 1 6 1 0355<br />
TESTOSTERONE 30915 221 0001 TESTOSTERONE 55695 1 3 1 1033<br />
TEARS RENEWED SOLUTION 04268 221 0001 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, HYDROXYPROPYL METHYLCELLULOSE, SODIUM CHLORIDE, DEXTRAN 70 50515, 52700, 55315, 70870 1569<br />
ICAR-C 04087 220 0001 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, IRON CARBONYL 56193, 70791 0913<br />
CEFEPIME 99001 220 0001 CEFEPIME 70001 1 6 1 0347<br />
AZATHIOPRINE 03123 219 0001 AZATHIOPRINE 50445 1 6 1 1181<br />
ESTRATAB 11760 219 0001 ESTROGENS 52075 1 6 1 1034<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DIABINESE 09250 218 0001 CHLORPROPAMIDE 51155 1 6 1 1036<br />
CASCARA 05860 218 0001 CASCARA 50935 2 6 1 0876<br />
CULTURELLE 04049 218 0001 COMBINATION PRODUCT 51380 2 6 2 LACTOBACILLUS GG, CHICORY ROOT EXTRACT 70776, 70777 2100<br />
COMPLEAT-B 40430 218 0001 FOOD SUPPLEMENT 52358 2 6 1 0914<br />
POLY-VI-SOL W/IRON 41310 217 0001 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, MULTIVITAMINS GENERAL 52885, 53780 0913<br />
DANTROLENE 08425 217 0001 DANTROLENE 51550 1 6 1 1373<br />
AVEENO-BAR 03065 217 0001 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, OATMEAL 53003, 54000 1265<br />
AVEENO LOTION 03055 217 0001 OATMEAL 54000 2 6 1 1265<br />
CALCIONATE 03311 217 0001 CALCIUM GLUBIONATE 70167 2 6 1 0913<br />
POLYVITAMIN 24525 217 0001 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
KEFZOL 16485 217 0001 CEFAZOLIN 50960 1 6 1 0347<br />
NEBULIZER 93400 217 0001 UNDETERMINED 50000 3 7 3 1940<br />
MAG TAB SR 01177 216 0001 MAGNESIUM L-LACTATE DIHYDRATE 70318 2 6 1 0913<br />
ACEBUTOLOL 94173 214 0001 ACEBUTOLOL HYDROCHLORIDE 50008 1 6 1 0512<br />
FE-TINIC 03262 214 0001 IRON SUCROSE 70526 1 6 1 0913<br />
DALMANE 08390 214 0001 FLURAZEPAM 52350 1 4 1 0626<br />
COQ-10 99167 214 0001 COENZYME Q10 70050 2 6 1 2100<br />
ALOE VERA 94163 213 0001 ALOE VERA 70197 2 6 1 1269<br />
QUININE 94103 212 0001 QUININE 55050 3 6 1 1864<br />
MAGNESIUM HYDROXIDE 02104 212 0001 MAGNESIUM HYDROXIDE 70112 3 6 1 0877<br />
CELONTIN 06030 212 0001 METHSUXIMIDE 53605 1 6 1 1374<br />
GLUTAMINE 00244 211 0001 GLUTAMINE 70181 2 6 1 0914<br />
LIMBITROL 17530 211 0001 COMBINATION PRODUCT 51380 1 4 2 CHLORDIAZEPOXIDE, AMITRIPTYLINE HCL 51055, 70333 0627, 0630<br />
METHENAMINE 19035 210 0001 METHENAMINE 53530 3 6 1 0355<br />
VIRACEPT 97051 210 0001 NELFINAVIR MESYLATE 59719 1 6 1 0388<br />
QUINIDINE 26035 210 0001 QUINIDINE 55045 1 6 1 0502<br />
LEVOTHYROID 96055 209 0001 LEVOTHYROXINE 53065 1 6 1 1037<br />
INFLAMASE 15615 208 0001 PREDNISOLONE 54770 1 6 1 1568<br />
BEANO 94045 206 0001 ALPHA-D-GALACTOSIDASE 57140 2 6 1 0877<br />
ANTIDIABETIC AGENT 35420 206 0001 UNDETERMINED 50000 3 7 3 1036<br />
TRIAZOLAM 93419 205 0001 TRIAZOLAM 55928 3 4 1 0626<br />
ANBESOL 01860 205 0001 BENZOCAINE 50530 2 6 1 1265<br />
MEXITIL 60920 203 0001 MEXILETINE HCL 53712 1 6 1 0502<br />
ALFALFA 95137 203 0001 ALFALFA 70759 2 6 1 2100<br />
LACLOTION 04094 201 0001 COMBINATION PRODUCT 51380 1 6 2 CETYL ALCOHOL, MINERAL OIL, AMMONIUM LACTATE, PARABENS, GLYCERYL STEARATE 51020, 53720, 70142, 70391, 70793 1265<br />
KAY CIEL 16440 201 0001 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
ALOMIDE 94020 200 0001 LODOXAMIDE 57076 1 6 1 1570<br />
GLUCOSE 13550 199 0001 DEXTROSE 51675 3 6 1 0914<br />
DIULO 10005 198 0001 METOLAZONE 53690 1 6 1 0507<br />
PYRIDOSTIGMINE 25820 198 0001 PYRIDOSTIGMINE 54985 1 6 1 1372<br />
TUSSIONEX 32855 197 0001 COMBINATION PRODUCT 51380 1 3 2 CHLORPHENIRAMIN POLISTIREX, HYDROCODONE POLISTIREX 70579, 70599 1943, 1944<br />
VIREAD 02359 197 0001 TENOFOVIR DISOPROXIL FUMARATE 70535 1 6 1 1483<br />
ALTOCOR 02262 196 0001 LOVASTATIN 53148 1 6 1 0912<br />
DI-GEL 09220 196 0001 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
ELIDEL CREAM 02031 195 0001 PIMECROLIMUS 70432 1 6 1 1274<br />
PRAVASTAN 92146 195 0001 PRAVASTATIN SODIUM 54757 1 6 1 0912<br />
SULFAIR 41570 195 0001 SULFACETAMIDE 55525 1 6 1 1568<br />
URISED 33280 194 0001 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, ATROPINE SULFATE 52720, 53530, 53640, 54440, 70120 0354<br />
CEFAZOLIN 05995 194 0001 CEFAZOLIN 50960 1 6 1 0347<br />
CEFZIL 93038 193 0001 CEFPROZIL 56390 1 6 1 0347<br />
REYATAZ 03019 192 0001 ATAZANAVIR SULFATE 70678 1 6 1 0388<br />
ENTOCORT EC 02154 191 0001 BUDESONIDE 57124 1 6 1 1032<br />
KETOROLAC 93220 191 0001 KETOROLAC TROMETHAMINE 92502 1 6 1 1727<br />
DEPAKOTE SPRINKLE 03012 190 0001 DIVALPROEX SODIUM 51927 1 6 1 1374<br />
MYCOBUTIN 93428 186 0001 RIFABUTIN 56625 1 6 1 0358<br />
INDOMETHACIN 15600 185 0001 INDOMETHACIN 52770 1 6 1 1724, 1727<br />
BIOTIN 04345 185 0001 BIOTIN 50620 2 6 1 0913<br />
MONTELUKAST 98093 184 0001 MONTELUKAST SODIUM 58002 1 6 1 1940<br />
VITAMIN A & D 34370 184 0001 COMBINATION PRODUCT 51380 3 6 2 VITAMIN A, VITAMIN D 56185, 56194 0913<br />
BISCO LAX 04380 183 0001 BISACODYL 50630 2 6 1 0876<br />
PROPECIA 98017 183 0001 FINASTERIDE 57218 1 6 1 1033<br />
CUBICIN 04054 183 0001 DAPTOMYCIN 70981 1 6 1 0348<br />
VANICREAM 98018 182 0001 COMBINATION PRODUCT 51380 2 6 2 CETEARETH, PETROLATUM, PROPYLENE GLYCOL, SORBITOL 51016, 54330, 54895, 55435 1265<br />
OPTIPRANOLOL 92069 182 0001 METIPRANOLOL 53683 1 6 1 1566<br />
ETODOLAC 92124 181 0001 ETODOLAC 52186 1 6 1 1724, 1727<br />
HYDROMORPHONE 15005 181 0001 HYDROMORPHONE 52670 1 2 1 1721<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TEARISOL 30650 179 0001 METHYLCELLULOSE 53630 2 6 1 1569<br />
AMPHETAMINE 01660 179 0001 AMPHETAMINE 50265 1 2 1 0631<br />
PAMINE 22525 178 0001 METHSCOPOLAMINE 53600 1 6 1 0877<br />
TRIAM 32190 178 0001 TRIAMCINOLONE 55915 1 6 1 1032<br />
LOPURIN 17889 178 0001 ALLOPURINOL 50105 1 6 1 1725<br />
TETRA-MAG 04309 178 0001 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM SALICYLATE, PHENYLTOLOXAMINE 53220, 54468 0913<br />
MOTRIN IB 89050 178 0001 IBUPROFEN 52730 2 6 1 1727<br />
DOVE SOAP 02239 177 0001 UNDETERMINED 50000 2 6 2 1265<br />
WELLBUTRIN XL 03184 177 0001 BUPROPION HCL 70242 1 6 1 0630<br />
HIBICLENS 14415 177 0001 CHLORHEXIDINE 51060 2 6 1 1264<br />
S.S.S. TONIC 04297 177 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 NIACIN, RIBOFLAVIN, THIAMINE, IRON 53905, 55105, 55755, 70886 0913<br />
NELFINAVIR 97057 177 0001 NELFINAVIR MESYLATE 59719 1 6 1 0388<br />
PROGRAF 95174 177 0001 TACROLIMUS 57214 1 6 1 1181<br />
ULTRAVATE 92100 176 0001 HALOBETASOL PROPIONATE 52504 1 6 1 1268<br />
SWEET OIL 30275 176 0001 OLIVE OIL 54030 3 6 1 2087<br />
WESTCORT 34855 176 0001 HYDROCORTISONE 52655 1 6 1 1268<br />
BEE-ZEE TABLETS 04399 176 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
FERROUS FUMARATE 12465 176 0001 IRON PREPARATIONS 52885 2 6 1 0408<br />
COMBIPATCH 00312 176 0001 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, NORETHINDRONE 52070, 53965 1034<br />
PILOSTAT 92072 175 0001 PILOCARPINE 54500 1 6 1 1566<br />
ESTRADERM 60545 175 0001 ESTRADIOL 52070 1 6 1 1034<br />
FLAVOXATE HCl 04069 175 0001 FLAVOXATE HCL 70784 1 6 1 0878<br />
NAPHAZOLINE 20255 175 0001 NAPHAZOLINE 53875 1 6 1 1570<br />
MYAMBUTOL 20000 175 0001 ETHAMBUTOL 52090 1 6 1 0358<br />
DEXTROAMPHETAMINE 09170 175 0001 DEXTROAMPHETAMINE 51665 1 2 1 0631<br />
ASTRAGLALUS 04319 175 0001 ASTRAGALUS 70904 2 6 1 2100<br />
TURMERIC 04299 175 0001 TURMERIC 70894 2 6 1 2100<br />
VISKEN 34263 175 0001 PINDOLOL 54501 1 6 1 0512<br />
SPECTAZOLE 41505 175 0001 ECONAZOLE 52008 1 6 1 1271<br />
INSULIN GLARGINE 01266 174 0001 INSULIN GLARGINE 70328 1 6 1 1036<br />
EXELDERM 92176 174 0001 SULCONAZOLE NITRATE 57232 1 6 1 1271<br />
VITA-BEE WITH C 04284 174 0001 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, VITAMIN B-1, VITAMIN B-2, VITAMIN B-3, VITAMIN B-5 56193, 70696, 70867, 70868, 70869 0913<br />
CHELATED MAGNESIUM 04033 173 0001 COMBINATION PRODUCT 51380 2 6 1 MAGNESIUM AMINO ACIDS CHELATE 70769 0913<br />
DELTA 04140 173 0001 CHOLECALCIFEROL 51177 2 6 1 0916<br />
DEVROM 04056 173 0001 BISMUTH SUBGALLATE 70780 2 6 1 2087<br />
ARNICA 02630 173 0001 ARNICA TINCTURE 50375 3 6 1 1265<br />
METAXALONE 95089 173 0001 METAXALONE 53460 1 6 1 1373<br />
REFRESH LIQUIGEL 04305 172 0001 CARBOXYMETHYLCELLULOSE SODIUM 70484 2 6 1 1569<br />
TRUVADA 04393 172 0001 COMBINATION PRODUCT 51380 1 6 2 EMTRICITABINE, TENOFOVIR 70755, 70938 0388<br />
NYSTOP 03069 172 0001 NYSTATIN 53995 1 6 1 0358<br />
DARBEPOETIN ALFA 03421 172 0001 DARBEPOETIN ALFA 70492 1 6 1 0408, 0917<br />
SWEEN CREAM 03343 172 0001 COMBINATION PRODUCT 51380 2 6 2 CETYL ALCOHOL, PROPYLENE GLYCOL, LANOLIN OIL, COD LIVER OIL, PURIFIED WATER 51020, 54895, 70331, 70396, 70739 1265<br />
FUMATINIC 13060 172 0001 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN B-12, VITAMIN C 52355, 52885, 56192, 56193 0408<br />
NASCOBAL 04367 171 0001 COMBINATION PRODUCT 51380 1 6 2 BENZALKONIUM CHLORIDE, CYANOCOBALAMIN 50515, 70858 0408, 0913<br />
AMINO ACID(S) 94044 171 0001 AMINO ACIDS 50185 1 6 1 0914<br />
TAVIST 30630 170 0001 CLEMASTINE 51245 1 6 1 1944<br />
FLUCONAZOLE 93215 168 0001 FLUCONAZOLE 56730 1 6 1 1860<br />
DIPHENOXYLATE HCL & ATROPINE SULFATE 09880 168 0001 COMBINATION PRODUCT 51380 1 5 2 ATROPINE, DIPHENOXYLATE 50420, 51868 0875<br />
LANTISEPTIC THERAPEUTIC CREAM 03339 168 0001 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, BEESWAX 53003, 70737 1265<br />
AQUAPHOR 02470 167 0001 PETROLATUM 54330 2 6 1 1265<br />
LECITHIN 17265 167 0001 LECITHIN 53020 2 6 1 0913<br />
PAXIPAM 23006 165 0001 HALAZEPAM 52503 1 4 1 0627<br />
ENNDS 04263 164 0001 CHLOROPHYLL 51085 2 6 1 2100<br />
MYOFLEX 20110 164 0001 TROLAMINE 56030 2 6 1 1275<br />
MEGA OMEGA FISH OIL SOFTGELS 04356 164 0001 COMBINATION PRODUCT 51380 2 6 2 EICOSAPENTAENOIC ACID, DOCOSAHEXAENOIC ACID 70070, 70071 2100<br />
INVANZ 02064 164 0001 COMBINATION PRODUCT 51380 1 6 2 SODIUM BICARBONATE, SODIUM HYDROXIDE, ERTAPENEM SODIUM 55280, 55340, 70450 0355<br />
SANDIMMUNE SANDOPAK 27423 164 0001 CYCLOSPORINE 51493 1 6 1 1181<br />
SULAMYD SODIUM 29785 164 0001 SULFACETAMIDE 55525 1 6 1 1568<br />
XYLOCAINE 35060 164 0001 LIDOCAINE 53070 1 6 1 1275<br />
NATURAL FIBER 92062 164 0001 PSYLLIUM 54965 2 6 1 0876<br />
NARDIL 20315 163 0001 PHENELZINE 54375 1 6 1 0630<br />
ANTISEPTIC SOLUTION 02215 163 0001 UNDETERMINED 50000 3 7 3 1264<br />
FLUMADINE 94003 163 0001 RIMANTADINE HCL 57100 1 6 1 0388<br />
AROMASIN 01171 162 0001 EXEMESTANE 70316 1 6 1 1480<br />
LOTRONEX 00021 161 0001 ALOSETRON HCL 70106 1 6 1 0874<br />
INTERFERON-BETA 95001 161 0001 INTERFERON BETA 56740 1 6 1 1181<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
Q-TUSSIN 04311 161 0001 GUAIFENESIN 52490 2 6 1 1943<br />
CALCIUM-D 05465 161 0001 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, VITAMIN D 50770, 56194 0913<br />
HYCODAN 14770 161 0001 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, HOMATROPINE METHYL BROMIDE 70217, 70218 1943<br />
PANFIL G 04142 161 0001 COMBINATION PRODUCT 51380 1 6 2 DYPHYLLINE, GUAIFENESIN 52000, 52490 1940, 1943, 1945<br />
PROCTOZONE HC CREAM 04383 159 0001 HYDROCORTISONE 52655 1 6 1 1268<br />
LIQUIBID 93359 159 0001 GUAIFENESIN 52490 1 6 1 1943<br />
DESONIDE 94134 159 0001 DESONIDE 51620 1 6 1 1268<br />
ALPHA LIPOIC ACID 02176 159 0001 ALPHA LIPOIC ACID 70480 2 6 1 2100<br />
GENERLAC 04333 158 0001 LACTULOSE 52995 2 6 1 0876<br />
STOOL SOFTENER 29533 158 0001 UNDETERMINED 50000 3 7 3 0876<br />
LOZENGES 94110 158 0001 UNDETERMINED 50000 3 7 3 2000<br />
PROCHLORPERAZINE 25220 158 0001 PROCHLORPERAZINE 54830 1 6 1 1671<br />
SHAMPOO 94027 156 0001 UNDETERMINED 50000 3 7 3 1265<br />
BETAXOLOL 93446 156 0001 BETAXOLOL HCL 50588 1 6 1 1566, 1569<br />
EQUALACTIN 93060 155 0001 CALCIUM POLYCARBOPHIL 56715 2 6 1 0875<br />
OXCARBAZEPINE 01216 155 0001 OXCARBAZEPINE 70128 1 6 1 1374<br />
METHYLDOPA W/HCTZ 60905 153 0001 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, METHYLDOPA 52645, 53635 0506<br />
ASPIRIN/DIPYRIDAMOLE 04329 153 0001 ASPIRIN/DIPYRIDAMOLE 70911 1 6 2 0409<br />
THERMOTABS 04216 153 0001 COMBINATION PRODUCT 51380 2 6 2 SODIUM CHLORIDE, POTASSIUM CHLORIDE 55315, 56585 2100<br />
K-PEC 16828 153 0001 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, PECTIN 52955, 54238<br />
GINKGO 98099 152 0001 GINKGO 70069 2 6 3 2100<br />
ESCITALOPRAM OXALATE 02256 151 0001 ESCITALOPRAM OXALATE 70466 1 6 1 0630<br />
DOC-Q-LACE 02384 151 0001 DOCUSATE SODIUM 70262 2 6 1 0876<br />
B & O SUPPRETTE 03245 151 0001 COMBINATION PRODUCT 51380 1 2 2 BELLADONNA, OPIUM 50495, 54035 0878, 1721<br />
LACTOSE 16970 151 0001 LACTOSE 52990 3 6 1 0876<br />
BETAMETHASONE 04170 150 0001 BETAMETHASONE 50585 1 6 1 1268<br />
THEOPHYL 31225 150 0001 THEOPHYLLINE 55745 1 6 1 1940<br />
CHOLINE MAGNESIUM TRISALICYLATE 04209 149 0001 CHOLINE MAGNESIUM TRISALICYLATE 70596 1 6 2 1724, 1727<br />
THEO-24 41610 148 0001 THEOPHYLLINE 55745 1 6 1 1940<br />
CLOMIPRAMINE 93451 148 0001 CLOMIPRAMINE 92503 1 6 1 0630<br />
E-MYCIN 10905 147 0001 ERYTHROMYCIN 52065 1 6 1 0348<br />
FLORANEX TABS 04245 146 0001 LACTOBACILLUS ACIDOPHILUS 52985 2 6 1 2100<br />
TIKOSYN 01007 145 0001 DOFETILIDE 70224 1 6 1 0502<br />
CETIRIZINE 96007 145 0001 CETIRIZINE 57240 1 6 1 1944<br />
INOSITOL 15655 145 0001 INOSITOL 52785 1 6 1 2087<br />
IBERET-FOLIC-500 15375 145 0001 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, MULTIVITAMINS GENERAL 52355, 52885, 53780 0913<br />
ENZYME 11433 145 0001 UNDETERMINED 50000 3 6 3 0877<br />
EMOLLIENT / LOTION / CREAM /MOISTURIZER 93447 145 0001 UNDETERMINED 50000 3 7 3 1265<br />
NORFLEX 21280 145 0001 ORPHENADRINE 54050 1 6 1 1373<br />
INTERFERON 95067 144 0001 UNDETERMINED 50000 1 6 3 1181<br />
VALCYTE 02293 143 0001 VALGANCICLOVIR HCL 70527 1 6 1 0388<br />
EULEXIN 89032 143 0001 FLUTAMIDE 57003 1 6 1 1480<br />
VASOCON 33700 143 0001 NAPHAZOLINE 53875 1 6 1 1570<br />
VALISONE 33550 143 0001 BETAMETHASONE 50585 1 6 1 1268<br />
ZIAGEN 99088 143 0001 ABACAVIR SULFATE 70032 1 6 1 0388<br />
TUBERSOL 32695 142 0001 TUBERCULIN 56065 1 6 1 0789<br />
ERGOLOID MESYLATES 11616 142 0001 ERGOLOID MESYLATES 52048 1 6 1 0504<br />
ALLERGY RELIEF OR SHOTS 00980 141 0001 UNDETERMINED 50000 3 7 3 1182<br />
NAFCILLIN 20175 141 0001 NAFCILLIN 53845 1 6 1 0346<br />
THALIDOMIDE 93408 141 0001 THALIDOMIDE 92511 1 6 1 1181<br />
VENLAFAXINE 94014 140 0001 VENLAFAXINE 57096 1 6 1 0630<br />
HYDROGEL 96075 140 0001 UNDETERMINED 50000 2 7 3 1571<br />
RESCULA 01123 140 0001 UNOPROSTONE ISOPROPYL 70281 1 6 1 1566<br />
PEG-INTRON 01229 140 0001 PEGINTERFERON ALFA-2B 70183 1 6 1 1181<br />
EPOETIN ALFA 92122 140 0001 EPOETIN ALFA 52042 1 6 1 0917<br />
EMTRIVA 04171 140 0001 EMTRICITABINE 70755 1 6 1 0388<br />
RIBASPHERE 04277 140 0001 RIBAVIRIN 70008 1 6 1 0388<br />
STRESS FORMULA 29570 140 0001 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 54990, 55105, 56192, 56193 0913<br />
BLEPH 04480 140 0001 SULFACETAMIDE 55525 1 6 1 1568<br />
MOEXIPRIL 97018 138 0001 MOEXIPRIL HCL 57226 1 6 1 0506, 0514<br />
PAPAYA ENZYME 95061 137 0001 COMBINATION PRODUCT 51380 2 6 2 AMYLASE, PAPAIN 50283, 54180 0877<br />
INH 15630 137 0001 ISONIAZID 52915 1 6 1 0358<br />
NEO-CALGLUCON 00201 137 0001 CALCIUM GLUBIONATE 70167 2 6 1 0913<br />
HEMATINIC 14135 136 0001 IRON PREPARATIONS 52885 2 6 1 0408<br />
NEUTRA-PHOS-K 20840 136 0001 COMBINATION PRODUCT 51380 2 6 2 POTASSIUM ACIDIFYING AGENTS, PHOSPHORUS 54735, 57034 0913<br />
CARBIDOPA 93035 135 0001 CARBIDOPA 50899 1 6 1 1371<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
K-PHOS 16245 135 0001 POTASSIUM ACIDIFYING AGENTS 54735 1 6 1 0283, 0915<br />
ERGOCALCIFEROL 11615 135 0001 ERGOCALCIFEROL 52045 1 6 1 0913<br />
DOCUSATE CALCIUM W/DANTHRON 10090 133 0001 COMBINATION PRODUCT 51380 2 6 2 DANTHRON, DOCUSATE 51545, 51935 0876<br />
BERPLEX 98124 133 0001 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, VITAMIN A, VITAMIN C, VITAMIN E, VITAMIN B COMPLEX 52885, 56185, 56193, 56195, 56345 0408, 0913<br />
GENASYME 91026 133 0001 SIMETHICONE 55240 2 6 1 0877<br />
PROPAFENONE 93315 133 0001 PROPAFENONE 56600 1 6 1 0502<br />
ZETAR 95096 132 0001 COAL TAR 51305 2 6 1 1264<br />
AVENTYL HCL 03070 132 0001 NORTRIPTYLINE 53975 1 6 1 0630<br />
PRO-BANTHINE 25100 131 0001 PROPANTHELINE 54870 1 6 1 0874<br />
IRBESARTAN 01047 131 0001 IRBESARTAN 59735 1 6 1 0506<br />
AYR NASAL GEL 96111 131 0001 UNDETERMINED 50000 2 6 3 1941<br />
FORMULA B 04247 130 0001 MULTIVITAMIN COMBINATION 51382 1 6 2 FOLIC ACID, VITAMIN B-1, VITAMIN B-2, VITAMIN B-3, VITAMIN B-5 52355, 70696, 70867, 70868, 70869 0913<br />
CLEMASTINE 93334 130 0001 CLEMASTINE 51245 1 6 1 1944<br />
HISMANAL 92158 130 0001 ASTEMIZOLE 92501 1 6 1 1944<br />
VICKS 44E 94193 129 0001 COMBINATION PRODUCT 51380 2 7 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
LIPASE 99128 129 0001 LIPASE 53118 1 6 1 0877<br />
INTAL 15685 129 0001 CROMOLYN SODIUM 51430 1 6 1 1570, 1940<br />
MENTHOLATUM 18750 129 0001 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, PETROLATUM 50845, 53325, 54330 1265<br />
FAMVIR 95017 128 0001 FAMVIR 57062 1 6 1 0388<br />
TIMOPTIC XE 97155 128 0001 TIMOLOL 55845 1 6 1 1566<br />
PREVALITE 97013 127 0001 CHOLESTYRAMINE 51190 1 6 1 0506<br />
FILIBON 12525 127 0001 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN A 52045, 54990, 55105, 55770, 56185 0913<br />
ARGININE 02555 127 0001 ARGININE 50370 3 6 1 2087<br />
LANOLIN 17070 127 0001 LANOLIN 53003 2 6 1 1265<br />
LOTENSIN HCT 99039 126 0001 COMBINATION PRODUCT 51380 1 6 2 BENAZEPRIL HYDROCHLORIDE, HYDROCHLOROTHIAZIDE 50498, 52645 0506<br />
AYGESTIN 03113 126 0001 NORETHINDRONE 53965 1 6 1 1034<br />
NICOTINAMIDE 20970 126 0001 NIACINAMIDE 53915 2 6 1 0913<br />
SALSITAB 27407 125 0001 SALSALATE 55165 1 6 1 1722<br />
ORINASE 22030 125 0001 TOLBUTAMIDE 55880 1 6 1 1036<br />
UNIRETIC 99227 124 0001 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, MOEXIPRIL HCL 52645, 57226 0506<br />
AKWA TEARS LUBRICANT EYE DROPS 04004 124 0001 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, POLYVINYL ALCOHOL, SODIUM CHLORIDE, SODIUM PHOSPHATE, EDTA 50515, 54610, 55315, 55385, 70190 1569<br />
MYTAB GAS 04127 124 0001 SIMETHICONE 55240 2 6 1 0877<br />
RESERPINE 26425 123 0001 RESERPINE 55080 1 6 1 0506<br />
GLAUCON 13530 123 0001 EPINEPHRINE 52040 1 6 1 1566<br />
ESTROGEN 11800 123 0001 ESTROGENS 52075 1 6 1 1034<br />
PRAMIPEXOLE 97098 123 0001 PRAMIPEXOLE 59725 1 6 1 1371<br />
GENAPAP 91025 123 0001 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
TERRAMYCIN 30850 123 0001 OXYTETRACYCLINE 51450 1 6 1 0350<br />
CELLULAR DETOX 04034 122 0001 COMBINATION PRODUCT 51380 2 6 2 GREEN TEA EXTRACT, CALCIUM D-GLUCARATE, CITRUS BIOFLAVONOIDS 70449, 70770, 70771 2100<br />
DOMEBORO 10145 122 0001 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM SULFATE, CALCIUM ACETATE 50163, 50775 1274<br />
MILK OF MAGNESIA-CASCARA SAGRADA 19380 122 0001 COMBINATION PRODUCT 51380 2 6 2 CASCARA, MAGNESIUM ANTACIDS 50935, 53175 0876<br />
MSM 01086 122 0001 METHYLSULFONYLMETHANE 70035 2 6 1 2000<br />
CENESTIN 00287 122 0001 SYNTHETIC CONJUGATED ESTROGENS 70193 1 6 1 1034<br />
COENZYME Q10 01206 122 0001 UNDETERMINED 50000 1 7 3 2100<br />
TRANDOLAPRIL 97092 121 0001 TRANDOLAPRIL 59640 1 6 1 0506<br />
FRUIT LAXATIVE 04259 121 0001 COMBINATION PRODUCT 51380 2 6 2 2100<br />
CEREFOLIN 04221 121 0001 COMBINATION PRODUCT 51380 1 6 2 PYRIDOXINE, RIBOFLAVIN, L-METHYLFOLATE, CYANOCOBALAMIN 54990, 55105, 70857, 70858 0914<br />
FIBERICH 04262 120 0001 GLUCOTAMINE 70878 2 6 1 2100<br />
FLORAJEN 04244 120 0001 LACTOBACILLUS ACIDOPHILUS 52985 2 6 1 2100<br />
DEPAKOTE ER 02099 118 0001 VALPROIC ACID 56145 1 6 1 1374<br />
REFRESH ENDURA 04312 118 0001 CARBOXYMETHYLCELLULOSE SODIUM 70484 2 6 1 1569<br />
VANCERIL 33575 118 0001 BECLOMETHASONE 50490 1 6 1 1947<br />
COLOSTROM 04223 117 0001 BOVINE COLOSTRUM 70859 2 6 1 2100<br />
MICARDIS HCT 03222 116 0001 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, TELMISARTAN 52645, 70023 0506<br />
CANCIDAS 04206 116 0001 CASPOFUNGIN ACETATE 70850 1 6 1 0358<br />
GERITONIC 13460 116 0001 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53905, 54990, 55105, 55755, 56192<br />
PULMICORT TURBUHALER 97178 116 0001 BUDESONIDE 57124 1 6 1 1032<br />
CARNITOR 96110 116 0001 UNDETERMINED 50000 1 6 3 0913<br />
NECON 99118 116 0001 COMBINATION PRODUCT 51380 1 6 2 NORETHINDRONE, ETHINYL ESTRADIOL 53965, 70027 1040<br />
MEDICATED COUGH DROPS 18600 116 0001 COMBINATION PRODUCT 51380 2 6 2 BENZYL ALCOHOL, MENTHOL, PEPPERMINT 50570, 53325, 54305 1943<br />
FRUIT-EZE 04258 115 0001 COMBINATION PRODUCT 51380 2 6 2 PRUNES, PRUNE JUICE, RAISINS, DATES 70822, 70823, 70872, 70873 2100<br />
PLACEBO 24280 114 0001 PLACEBO 54535 2 6 1 2087<br />
MAALOX PLUS 00036 114 0001 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, SIMETHICONE, MAGNESIUM HYDROXIDE 50145, 55240, 70112 0879<br />
DOLOBID 10126 114 0001 DIFLUNISAL 51763 1 6 1 1724, 1727<br />
RESOL 61280 114 0001 ELECTROLYTES 52023 2 6 1 0915<br />
NIX 61035 114 0001 PERMETHRIN 54315 1 6 1 1271<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
LISINOPRIL/HCTZ 03141 113 0001 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, LISINOPRIL 52645, 80007 0506<br />
KWELCOF 93083 112 0001 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE 52490, 70217 1943<br />
BANALG LOTION 00098 112 0001 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, METHYL SALICYLATE 50845, 53325, 53620 1275<br />
FEEN-A-MINT 12190 112 0001 PHENOLPHTHALEIN 54405 2 6 1 0876<br />
DIURIL 10025 112 0001 CHLOROTHIAZIDE 51100 1 6 1 0507<br />
KELP 99138 112 0001 KELP 52968 2 6 1 2100<br />
LOXITANE 17945 111 0001 LOXAPINE 53150 1 6 1 0627<br />
DELSYM 08753 110 0001 DEXTROMETHORPHAN 51670 2 6 1 1943<br />
COUGH SYRUP 07920 109 0001 UNDETERMINED 50000 3 7 3 1943<br />
ESTEROL ESTER-C 02307 109 0001 COMBINATION PRODUCT 51380 2 6 2 CALCIUM, RUTIN, VITAMIN C, QUERCETIN, PROANTHOCYANIDINS 50776, 55135, 56193, 57210, 70530 0913<br />
ANAFRANIL 92154 109 0001 CLOMIPRAMINE 92503 1 6 1 0630<br />
SODIUM FLUORIDE 28595 108 0001 SODIUM FLUORIDE 55330 1 6 1 0913<br />
PHOSPHO-SODA 24125 108 0001 SODIUM PHOSPHATE 55385 2 6 1 0876<br />
EXSEL SHAMPOO 95077 108 0001 SELENIUM SULFIDE 55195 1 6 1 1265<br />
EXTRA STRENGTH TYLENOL 02036 108 0001 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
IOPIDINE 15805 107 0001 APRACLONIDINE 80003 1 6 1 1566<br />
MUCI LAX 19705 107 0001 PSYLLIUM 54965 2 6 1 0876<br />
PAREGORIC 22845 107 0001 PAREGORIC 54215 1 3 1 0875<br />
DUVOID 10805 106 0001 BETHANECHOL 50595 1 6 1 0509<br />
INTRON-A 60740 106 0001 INTERFERON ALFA-2B 52792 1 6 1 1181<br />
ULTRACAL 03242 104 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 0913<br />
BENYLIN 92005 104 0001 UNDETERMINED 50000 2 6 3 1900<br />
EFFERVESCENT POTASSIUM 11008 104 0001 POTASSIUM ALKALINIZING AGENTS 54620 1 6 1 0915<br />
VANTIN 93166 104 0001 CEFPODOXIME PROXETIL 70251 1 6 1 0347<br />
BENYLIN DM COUGH SYRUP 04010 104 0001 DEXTROMETHORPHAN 51670 2 6 1 1943<br />
CYTOMEL 08230 103 0001 LIOTHYRONINE 53110 1 6 1 1037<br />
CYCRIN 08163 103 0001 MEDROXYPROGESTERONE 53280 1 6 1 1034<br />
DESLORATADINE 04055 103 0001 DESLORATADINE 70779 2 6 1 1940<br />
ORUVAIL 93432 103 0001 KETOPROFEN 52978 1 6 1 1724, 1727<br />
AMILORIDE HCL W/HCTZ 89004 102 0001 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, AMILORIDE HCL 52645, 70332 0507<br />
LIQUID CALCIUM-MAGNESIUM 04362 101 0001 COMBINATION PRODUCT 51380 2 6 2 CHOLECALCIFEROL, CALCIUM CITRATE, MAGNESIUM CITRATE, BORON 51177, 56370, 70275, 70325 0913<br />
STRESS FORMULA PLUS IRON 29573 101 0001 UNDETERMINED 50000 2 6 3 0913<br />
DACODYL 04214 100 0001 BISACODYL 50630 2 6 1 0876<br />
CHROMIUM PICOLINATE 01146 100 0001 CHROMIUM PICOLINATE 70155 2 6 1 1036, 2100<br />
METHYLPHENIDATE 19175 99 0001 METHYLPHENIDATE 53655 1 2 1 0631<br />
GENTAMICIN SULFATE 92038 98 0001 GENTAMICIN 52400 1 6 1 0352<br />
HALEY'S MO 14015 98 0001 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM ANTACIDS, MINERAL OIL 53175, 53720 0876<br />
PROMOTE W/FIBER 04163 98 0001 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, WATER, CALCIUM CASEINATE, OAT FIBER 53723, 53805, 70460, 70761, 70833 0914<br />
FERREX 150 FORTE 04242 98 0001 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, POLYSACCHARIDE IRON COMPLEX 52355, 70781 0913<br />
OXISTAT 94101 97 0001 OXICONAZOLE 57148 1 6 1 1265<br />
FERO-GRAD-500 12345 97 0001 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C 52885, 56193 0408<br />
PNEUMOVAX 24355 97 0001 PNEUMOCOCCAL VACCINE 54555 1 6 1 1180<br />
JUICE (UNSPECIFIED) 04111 96 0001 JUICE 70808 2 6 1 0913<br />
METHENAMINE MANDELATE 19040 96 0001 METHENAMINE 53530 1 6 1 0354<br />
BUDESONIDE 01012 96 0001 BUDESONIDE 57124 1 6 1 1940<br />
CEBO-CAPS 05940 96 0001 PLACEBO 54535 2 6 1 2087<br />
BISMUTH SUBSALICYLATE 04440 94 0001 BISMUTH SALICYLATE 50640 1 6 1 0355<br />
SIBERIAN ELEUTHERO 04291 94 0001 COMBINATION PRODUCT 51380 2 6 2 ELEUTHEROSIDE E, SIBERIAN ELEUTHERO 70888, 70889 2100<br />
VEINICIN 04302 94 0001 COMBINATION PRODUCT 51380 2 6 2 DIOSMIN COMPLEX, HESPERIDIN COMPLEX 70895, 70896 2100<br />
PIPERACILLIN 61185 94 0001 PIPERACILLIN 54508 1 6 1 0346<br />
TOLBUTAMIDE 31755 94 0001 TOLBUTAMIDE 55880 1 6 1 1036<br />
ST JOHNS WORT 97129 94 0001 UNDETERMINED 50000 3 7 3 2100<br />
LEVALBUTEROL HCL 02103 93 0001 LEVALBUTEROL HCL 70040 1 6 1 1940<br />
B COMPLEX W/VITAMIN C 03295 93 0001 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN C 53915, 54990, 55105, 55755, 56193 0913<br />
MAGNESIUM ASCORBATE 04361 93 0001 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, MAGNESIUM, MAGNESIUM ASCORBATE 56193, 70799, 70929 0913<br />
SPECTRACEF 04156 93 0001 CEFDITOREN PIVOXIL 70831 1 6 1 0347<br />
AKINETON 00685 93 0001 BIPERIDEN 50625 1 6 1 1371<br />
POLYTRIM 89061 92 0001 COMBINATION PRODUCT 51380 1 6 2 POLYMYXIN B SULFATE, TRIMETHOPRIM SULFATE 70212, 70445 1568<br />
FERATE C 12295 90 0001 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C, DOCUSATE SODIUM 52885, 56193, 70262<br />
CHEWABLE VITAMINS 02297 90 0001 VITAMINS 59702 2 6 1 0913<br />
MULTIPLE VITAMIN 19815 90 0001 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
INNOHEP 04347 90 0001 COMBINATION PRODUCT 51380 1 6 2 BENZYL ALCOHOL, TINZAPARIN SODIUM, SODIUM METABISULFITE 50570, 70925, 70926 0409<br />
PHOS-FLUR 24100 89 0001 SODIUM FLUORIDE 55330 1 6 1 0876<br />
ZOLADEX 93182 88 0001 GOSERELIN ACETATE 56735 1 6 1 1480<br />
NICOTROL 93107 88 0001 NICOTINE TRANSDERMAL 56540 1 6 1 1265<br />
PRAZOSIN 24805 88 0001 PRAZOSIN 54765 1 6 1 0513<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
THERAGENERIX 31324 87 0001 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN E 52045, 55105, 55755, 56185, 56195 0913<br />
ABH 93390 86 0001 UNDETERMINED 50000 3 7 3 2000<br />
AZITHROMYCIN 93214 86 0001 AZITHROMYCIN 56710 1 6 1 0348<br />
PERIOGARD 98153 86 0001 COMBINATION PRODUCT 51380 1 6 2 CHLORHEXIDINE GLUCONATE 70453 1264<br />
Z-PAK 01044 86 0001 AZITHROMYCIN 56710 1 6 1 0348<br />
NALFON 20210 86 0001 FENOPROFEN 52220 1 6 1 1724, 1727<br />
GERI-MOX SUSPENSION 04078 86 0001 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM HYDROXIDE 50145, 70112 0879<br />
GERI-LANTA 04077 86 0001 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, SIMETHICONE, MAGNESIUM HYDROXIDE 50145, 55240, 70112 0879<br />
INZO ZINC OXIDE BARRIER CREAM 04091 85 0001 COMBINATION PRODUCT 51380 2 6 2 DIMETHICONE, VITAMIN A, VITAMIN D, VITAMIN E, ZINC OXIDE 51817, 56185, 56194, 56195, 70052 1265<br />
ZOLPIDEM TARTRATE 94035 85 0001 ZOLPIDEM TARTRATE 57048 1 4 1 0626<br />
CHROMIUM 06798 85 0001 CHROMIUN 51209 1 6 1 0914<br />
NATURAL VEGETABLE LAXATIVE 20405 85 0001 PSYLLIUM 54965 2 6 1 0876<br />
GLYCOPYRROLATE 13655 85 0001 GLYCOPYRROLATE 52455 1 6 1 0875<br />
PROLIXIN D 00148 85 0001 FLUPHENAZINE 52335 1 6 1 0628<br />
DALYVITE 04052 83 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
VIGORTOL 04286 83 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 CHOLINE, VITAMIN B COMPLEX, ZINC, MAGNESIUM, IRON 51195, 56345, 70310, 70799, 70886 0913<br />
GLYCERIN SUPPOSITORIES 41820 83 0001 GLYCERIN 52450 2 6 1 0876<br />
HYOSCYAMINE SULFATE 92043 82 0001 HYOSCYAMINE 52720 1 6 1 0877<br />
P-V TUSSIN SYRUP 22435 82 0001 COMBINATION PRODUCT 51380 1 3 2 CHLORPHENIRAMINE, HYDROCODONE, PSEUDOEPHEDRINE 51130, 52650, 54960 1944<br />
VASOCIDIN 33685 82 0001 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE, SULFACETAMIDE SODIUM 54770, 70214 1568<br />
JANTOVEN 04351 82 0001 WARFARIN SODIUM 56205 1 6 1 0409<br />
ORTHO-TRICYCLEN 94034 81 0001 COMBINATION PRODUCT 51380 1 6 2 NORGESTIMATE, ETHINYL ESTRADIOL 57122, 70027 1040<br />
CHROMAGEN FORTE 01157 81 0001 MULTIVITAMIN COMBINATION 51382 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN B-12, VITAMIN C 52355, 52885, 56192, 56193 0913<br />
SUPER GLA/DHA 04177 81 0001 COMBINATION PRODUCT 51380 2 6 2 DOCOSAHEXAENOIC ACID, GAMMALINOLENIC ACID, ROSEMARY EXTRACT 70071, 70700, 70838 2100<br />
VANADRYX TR 04218 81 0001 COMBINATION PRODUCT 51380 1 6 2 DEXBROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE SULFATE 70373, 70378 1941, 1944<br />
OS-CAL +D 98051 81 0001 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, VITAMIN D 50785, 56194 0913<br />
TUSSIN DM 97138 81 0001 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
ALCOHOL 00790 80 0001 ALCOHOL 50090 1 6 1 2000<br />
METAGLIP 03181 80 0001 COMBINATION PRODUCT 51380 1 6 2 GLIPIZIDE, METFORMIN HCL 52417, 70481 1036<br />
MECLOFENAMATE SODIUM 18556 80 0001 MECLOFENAMATE 53277 1 6 1 1724, 1727<br />
TIMENTIN 61470 79 0001 COMBINATION PRODUCT 51380 1 6 2 CLAVULANATE POTASSIUM, TICARCILLIN DISODIUM 70341, 70595 0346<br />
MENTAX 96171 78 0001 BUTENAFINE HYDROCHLORIDE 59643 1 6 1 1271<br />
CASTOR OIL 05885 78 0001 CASTOR OIL 50940 2 6 1 0876<br />
FLURBIPROFEN 93239 78 0001 FLURBIPROFEN SODIUM 52353 1 6 1 1568, 1727<br />
MOISTURE EYE PM LUBRICANT EYE OINTMENT 03391 77 0001 UNDETERMINED 50000 2 6 3 1500<br />
TETRACYCLINE HCL 31050 77 0001 TETRACYCLINE 55725 1 6 1 0350<br />
VANCOCIN 33580 76 0001 VANCOMYCIN 56150 1 6 1 0355<br />
PEDIASURE 93120 76 0001 COMBINATION PRODUCT 51380 2 6 2 CASEIN, MULTIVITAMINS GENERAL, SAFFLOWER OIL, SOYBEAN OIL, SUCROSE 50938, 53780, 55145, 55440, 55520 0914<br />
MOISTURE EYES LIQUID GEL 04354 76 0001 COMBINATION PRODUCT 51380 2 6 2 DEXTRAN, HYDROXYPROPYL METHYLCELLULOSE 51647, 52700 1569<br />
RILUTEK 96152 76 0001 RILUZOLE 59636 1 6 1 1300<br />
FOLABEE 04073 76 0001 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, VITAMIN B-12 52355, 56192 0408<br />
SENEXON 27749 75 0001 SENNA 55200 2 6 1 0876<br />
KUTRASE 16865 75 0001 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0878<br />
POLY-VI-FLOR 24415 74 0000 COMBINATION PRODUCT 51380 1 6 2 FLUORIDE, MULTIVITAMINS GENERAL 52318, 53780 0913, 0916<br />
LAMOTRIGINE 97136 74 0000 LAMOTRIGINE 57220 1 6 1 1374<br />
ANTIOXIDANTS 96067 73 0000 UNDETERMINED 50000 3 6 3 0913<br />
REBETOL 02374 72 0000 RIBAVIRIN 70008 1 6 1 0388<br />
SAM-E 99193 70 0000 COMBINATION PRODUCT 51380 2 6 2 METHIONINE, ADENOSYL-TRIPHOSPHATE 53550, 70059 2100<br />
VITABASIC 04183 70 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 BETA CAROTENE, CHOLECALCIFEROL, MINERALS, VITAMIN A, ASCORBIC ACID 50580, 51177, 53723, 56185, 70058 0913<br />
ORAZINC 21983 69 0000 ZINC SULFATE 56285 1 6 1 0915<br />
PREVACID NAPRAPAC 04382 69 0000 COMBINATION PRODUCT 51380 1 6 2 NAPROXEN, LANSOPRAZOLE 53880, 59629 0874, 0877<br />
DAKIN'S SOLUTION 93308 69 0000 SODIUM HYPOCHLORITE 55345 2 6 1 1264<br />
PROLEX DH 03033 69 0000 COMBINATION PRODUCT 51380 1 3 2 POTASSIUM GUAIACOLSULFONATE, HYDROCODONE BITARTRATE 54700, 70217 1943<br />
CALCITRATE 02364 68 0000 CALCIUM 50776 2 6 1 0913<br />
DIOCTYL SODIUM SULFOSUCCINATE 09735 68 0000 DOCUSATE 51935 2 6 1 0876<br />
DEXFOL 04227 67 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
ACEPHEN 00240 67 0000 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
FLANDERS BUTTOCKS OINTMENT 01128 66 0000 COMBINATION PRODUCT 51380 2 6 2 PETROLEUM, ZINC OXIDE, PERUVIAN BALSAM 70038, 70052, 70283 1265<br />
FELBATOL 93341 65 0000 FELBAMATE 56415 1 6 1 1374<br />
MITROLAN 19553 65 0000 POLYCARBOPHIL 54587 2 6 1 0876<br />
NITROCINE 21137 65 0000 NITROGLYCERIN 53945 1 6 1 0503<br />
EMADINE 99198 64 0000 EMEDASTINE DIFUMARATE 70061 1 6 1 1570<br />
DAILY MULTIVITAMIN 40465 64 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
NORITATE 98047 64 0000 METRONIDAZOLE 53700 1 6 1 1270<br />
FIORINAL 12550 63 0000 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE 50410, 50728, 50745 1722, 1723<br />
PHENERGAN W/CODEINE 23798 63 0000 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PROMETHAZINE 51340, 54860 1943, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
UROGESIC 33365 63 0000 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE HYDROBROMIDE, SCOPOLAMINE HBR, ATROPINE SULFATE, PHENAZOPYRIDINE HCL 52723, 55180, 70120, 70342 0509<br />
WINE 34900 63 0000 WINE 56235 2 6 1 0626<br />
LOPROX 40950 62 0000 CICLOPIROX 51218 1 6 1 1265<br />
BANCAP HC 03518 62 0000 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
PHENYLEPHRINE 24015 62 0000 PHENYLEPHRINE 54455 2 6 1 1941<br />
HYDERGINE 14820 61 0000 ERGOLOID MESYLATES 52048 1 6 1 0504<br />
NICOTINIC ACID 20980 61 0000 NIACIN 53905 3 6 1 0913<br />
ALORA 98048 61 0000 ESTROGENS 52075 1 6 1 1034<br />
DAILY MULTIPLE VITAMIN 08350 61 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185 0913<br />
CHLORAL HYDRATE 06440 61 0000 CHLORAL HYDRATE 51040 1 4 1 0626<br />
AMOXICILLIN AND CLAVULANATE POTASSIUM 03081 61 0000 COMBINATION PRODUCT 51380 1 6 2 AMOXICILLIN, CLAVULANATE POTASSIUM 50260, 70341 0346<br />
FLAX SEED 03411 61 0000 UNDETERMINED 50000 2 6 3 2100<br />
METOPROLOL SUCCINATE 03272 61 0000 METOPROLOL SUCCINATE 70721 1 6 1 0503, 0506<br />
MYTUSSIN 03231 61 0000 GUAIFENESIN 52490 2 6 1 1943<br />
PRODERM 25265 60 0000 COMBINATION PRODUCT 51380 2 6 2 BALSAM, CASTOR OIL 50460, 50940 1265<br />
POTASSIUM IODIDE 24710 60 0000 POTASSIUM IODIDE 54710 3 6 1 1037<br />
RIOPAN 26740 60 0000 MAGALDRATE 53170 2 6 1 0877, 0879<br />
PROMETRIUM 98136 60 0000 PROGESTERONE 54845 1 6 1 1034<br />
FENOFIBRATE 98117 60 0000 FENOFIBRATE 59831 1 6 1 0912<br />
VENOFER 02292 60 0000 IRON SUCROSE 70526 1 6 1 0913<br />
LINEZOLID 03368 60 0000 LINEZOLID 70277 1 6 1 0355<br />
PONARIS 02081 60 0000 COMBINATION PRODUCT 51380 2 6 2 COTTONSEED OIL, EUCALYPTUS OIL, PEPPERMINT, OIL OF PINE, CAJEPUT 51415, 52190, 54305, 70457, 70458 2100<br />
SUPPOSITORY 93151 60 0000 UNDETERMINED 50000 3 7 3 0877<br />
RHEUMATREX 26510 59 0000 METHOTREXATE 53570 1 6 1 1274, 1479, 1724<br />
HEP-LOCK 14225 59 0000 HEPARIN 52540 1 6 1 0409<br />
FARESTON 01219 59 0000 TOREMIFENE CITRATE 70329 1 6 1 1479<br />
CONCERTA 00233 58 0000 METHYLPHENIDATE 53655 1 2 1 0631<br />
OXYFAST 01288 58 0000 OXYCODONE 54094 1 2 1 1721<br />
HERBAVISION 04086 58 0000 COMBINATION PRODUCT 51380 2 6 2 LUTEIN, BILBERRY EXTRACT 70270, 70487 2100<br />
BUFFERED ASPIRIN 04194 58 0000 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, BUFFERS 50410, 50706 1720<br />
TORADOL 92161 58 0000 KETOROLAC TROMETHAMINE 92502 1 6 1 1727<br />
MOBAN 19575 58 0000 MOLINDONE 53750 1 6 1 0628<br />
URIMAR-T 93163 58 0000 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, HYOSCYAMINE SULFATE 53530, 53640, 54440, 70336 0509<br />
DYPHYLLINE 10860 58 0000 DYPHYLLINE 52000 1 6 1 1940<br />
ENZYMATIC DIGESTANT 11430 58 0000 COMBINATION PRODUCT 51380 2 6 2 BETAINE, DIASTASE, OX BILE EXTRACT, PANCREATIN, PAPAIN 50583, 51688, 54065, 54160, 54180 0877<br />
ALMACONE TABLETS 04317 58 0000 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, SIMETHICONE, MAGNESIUM HYDROXIDE 50145, 55240, 70112 0879<br />
CARMOL 05820 58 0000 UREA 56120 2 6 1 1265<br />
SYMAX SR 04294 58 0000 HYOSCYAMINE SULFATE 70336 1 6 1 0877<br />
ACULAR LS 04386 58 0000 KETOROLAC TROMETHAMINE 92502 1 6 1 1720<br />
WHOLE DESICCATED SPLEEN 04303 58 0000 COMBINATION PRODUCT 51380 2 6 2 OVINE SPLEEN, DESICCATED BOVINE SPLEEN 70897, 70898 2100<br />
BECONASE 03709 58 0000 BECLOMETHASONE 50490 1 6 1 1947<br />
THIAMINE HCL 02140 58 0000 THIAMINE 55755 2 6 1 0913<br />
HUMIRA 03427 57 0000 ADALIMUMAB 70754 1 6 1 1181<br />
TINACTIN 31670 57 0000 TOLNAFTATE 55890 2 6 1 1271<br />
REPLETE WITH FIBER 04169 57 0000 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MALTODEXTRIN NF, WATER, SOY LECITHIN, CALCIUM-POTASSIUM CASEINATE 53723, 70057, 70460, 70798, 70835 0914<br />
DERMA MEDICONE 08920 57 0000 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, MENTHOL, OXYQUINOLONE, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 53325, 54148, 56265 1269, 1271<br />
QUINAGLUTE 26015 56 0000 QUINIDINE 55045 1 6 1 0502<br />
ROLAIDS 26890 56 0000 UNDETERMINED 50000 3 7 3 0874<br />
PROTEGRA 95069 56 0000 MULTIVITAMINS 53805 2 6 2 0913<br />
HYDROCOLLOID DRESSINGS 96077 56 0000 UNDETERMINED 50000 1 6 3 2087<br />
BANCAP 03515 56 0000 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL 50005, 50728 0626, 1720<br />
MAXIVITE 04364 56 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
ZNP 93180 56 0000 PYRITHIONE 55005 2 6 1 1265<br />
DURATUSS 94008 56 0000 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
EMETROL 11190 55 0000 COMBINATION PRODUCT 51380 2 6 2 DEXTROSE, FRUCTOSE, PHOSPHORIC ACID 51675, 52370, 54480 1671<br />
DILEX -G 04237 54 0000 GUAIFENESIN 52490 1 6 1 1940, 1943<br />
LEXXEL 97069 54 0000 ENALAPRIL 52028 1 6 1 0506<br />
VYTONE 34755 54 0000 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOQUINOL 52655, 52850 1268, 1271<br />
PENICILLAMINE 23210 54 0000 PENICILLAMINE 54245 1 6 1 0281<br />
ALLERGINE 00979 54 0000 UNDETERMINED 50000 3 7 3 1944<br />
DEPO-MEDROL 08865 54 0000 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
CHLORDIAZEPOXIDE HCL W/CLIDINIUM BROMIDE 06500 54 0000 COMBINATION PRODUCT 51380 1 6 2 CLIDINIUM BROMIDE, CHLORDIAZEPOXIDE HCL 51250, 70356 0877<br />
PEDIALYTE 23120 53 0000 COMBINATION PRODUCT 51380 2 6 2 CALCIUM ION, CHLORIDE ION, MAGNESIUM ANTACIDS, POTASSIUM ION, SODIUM ION 50806, 51064, 53175, 54713, 55348 0915<br />
LEMON DROPS 04096 53 0000 COMBINATION PRODUCT 51380 2 6 2 LEMON OIL, SUGAR 53025, 70738 2100<br />
NASALCROM 41150 53 0000 CROMOLYN SODIUM 51430 1 6 1 1570, 1941<br />
TRIFLUOPERAZINE 32363 53 0000 TRIFLUOPERAZINE 55960 1 6 1 0628<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
NULEV 02214 53 0000 HYOSCYNAMINE SULFATE 70491 1 6 1 0878<br />
AMITRIPTYLINE HCL W/PERPHENAZINE 01535 53 0000 COMBINATION PRODUCT 51380 1 6 2 PERPHENAZINE, AMITRIPTYLINE HCL 54320, 70333 0630<br />
DURATEARS 10760 53 0000 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, MINERAL OIL, PETROLATUM 53003, 53720, 54330 1569<br />
GLUTOL 13585 53 0000 DEXTROSE 51675 2 6 1 0789<br />
CARBINOXAMINE MALEATE 04232 52 0000 CARBINOXAMINE MALEATE 70401 1 6 1 1944<br />
SURFOL POST-IMMERSION BATH OIL 04298 52 0000 COMBINATION PRODUCT 51380 2 6 2 ISOSTEARIC ACID, MINERAL OIL, PEG-40 SORBITAN, DROMETRIZOLE 52936, 53720, 55434, 70893 1265<br />
BIAFINE WOUND DRESSING EMULSION 04397 52 0000 COMBINATION PRODUCT 51380 2 6 2 PROPYLENE GLYCOL, PURIFIED WATER, LIQUID PARAFFIN, AVOCADO OIL, TROLAMINE/SODIUM ALGINATE 54895, 70739, 70939, 70940, 70941 1265<br />
ATENOLOL/CHLORTHALIDONE 04320 52 0000 ATENOLOL/CHLORTHALIDONE 70905 1 6 2 0506, 0507, 0512<br />
HUMALOG MIX 75/25 01267 52 0000 INSULIN ANALOG 70184 1 6 1 1036<br />
VISUDYNE 00282 52 0000 VERTEPORFIN 70188 1 6 1 1569<br />
ULTRALENTE INSULIN 33073 52 0000 INSULIN 52790 2 6 1 1036<br />
LINDANE 17548 52 0000 LINDANE 53095 1 6 1 1863<br />
AMMENS 01550 50 0000 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, TALC, ZINC TOPICAL AGENTS, EXTERNAL USE 50660, 55645, 56265 1265<br />
PROSTATE ASSIST 04152 50 0000 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, LYCOPENE, BETA SISTEROL, SAW PALMETTO BERRY, PYGEUM AFRICANUM 53805, 70699, 70827, 70828, 70829 2100<br />
ETOPOSIDE 93225 50 0000 ETOPOSIDE 52189 1 6 1 1483<br />
MICONAZOLE 19290 49 0000 MICONAZOLE 53715 3 6 1 1271<br />
JOINT ADVANTAGE 04352 49 0000 COMBINATION PRODUCT 51380 2 6 2 GLUCOSAMINE, CHONDROITIN SULFATE 70012, 70927 2100<br />
APAP W/OXYCODONE HCL 02348 49 0000 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE 50005, 54094 1721<br />
IODOSORB 02194 48 0000 COMBINATION PRODUCT 51380 1 6 2 POLYETHYLENE GLYCOL, CADEXOMER IODINE 54590, 70483 1265<br />
AMBROTOSE 02212 48 0000 COMBINATION PRODUCT 51380 2 6 2 ACACIA GUM, ALOE VERA, BROWN RICE FLOUR, GUM GHATTI 50004, 70197, 70488, 70490 2100<br />
LEVLITE 00322 48 0000 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040<br />
RUTIN 27130 48 0000 RUTIN 55135 1 6 1 2087<br />
K+ CARE 02163 47 0000 POTASSIUM CHLORIDE 56585 1 6 1 0915<br />
OXAPROZIN 93399 47 0000 OXAPROZIN 57086 1 6 1 1724, 1727<br />
OSTEOSHIELD 04376 47 0000 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CITRATE, CALCIUM AMINO ACIDE CHELATE, MICROCRYSTALLINE HYDROXYAPATITE 56370, 70932, 70933 0913<br />
BIOFREEZE 04322 47 0000 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, ILEX 53325, 70906<br />
FIBER TAB 04243 46 0000 POLYCARBOPHIL 54587 2 6 1 0876<br />
SIL-OPHTHO 04296 44 0000 SILICONE (LIQUID) 70892 2 6 1 2087<br />
MASANTI DOUBLE STRENGTH 04398 44 0000 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM ANTACIDS, ALUMINUM ANTACID 53175, 70263 0879<br />
POLYCARBOPHIL 04396 44 0000 POLYCARBOPHIL 54587 2 6 1 0876<br />
TEARS AGAIN 04304 44 0000 POLYVINYL ALCOHOL 54610 2 6 1 1569<br />
NITROCOT 03341 44 0000 NITROGLYCERIN 53945 1 6 1 0503<br />
PSEUDOVENT 03202 44 0000 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943, 1945<br />
VAGINAL CREAM 95147 44 0000 UNDETERMINED 50000 3 6 3 2087<br />
ERYTHROPOIETIN 93226 43 0000 ERYTHROPOIETIN 57014 1 6 1 0917<br />
THERA-PLUS 04539 43 0000 MULTIVITAMIN COMBINATION 51382 3 6 2 0913<br />
CYTOXAN 08245 43 0000 CYCLOPHOSPHAMIDE 51485 1 6 1 1483<br />
OAT BRAN 04161 42 0000 OAT BRAN 70832 2 6 1 2100<br />
MATERNA 18480 42 0000 COMBINATION PRODUCT 51380 1 6 2 CALCIUM ION, IRON PREPARATIONS, MULTIVITAMINS 50806, 52885, 53805 0913<br />
MASSENGILL DISPOSABLE DOUCHE 18460 42 0000 COMBINATION PRODUCT 51380 2 6 2 LACTIC ACID, OCTOXYNOL, SODIUM LACTATE, CETYLPYRIDINIUM CL 52980, 54003, 55355, 70412 1265<br />
INAPSINE 15560 42 0000 DROPERIDOL 51985 1 6 1 0118<br />
DIVALPROEX SODIUM 94081 41 0000 DIVALPROEX SODIUM 51927 1 6 1 1374<br />
NAPHCON 20260 41 0000 NAPHAZOLINE 53875 2 6 1 1570<br />
TACROLIMUS 97130 41 0000 TACROLIMUS 57214 1 6 1 1181<br />
EVOXAC 03227 40 0000 CEVIMELINE HCL 70718 1 6 1 2087<br />
CALCIUM GLUBIONATE 02326 39 0000 CALCIUM GLUBIONATE 70167 2 6 1 0913<br />
LEVETIRACETAM 02037 39 0000 LEVETIRACETAM 70160 1 6 1 1374<br />
TOPIRAMATE 98131 39 0000 TOPIRAMATE 59744 1 6 1 1374<br />
MAXIPIME 97132 38 0000 CEFEPIME HCL 59732 1 6 1 0347<br />
MGN-3 04123 38 0000 ARABINOXYLANE COMPOUND 70809 2 6 1 2100<br />
PREDNISOLONE ACETATE OPHTHALMIC 99029 37 0000 PREDNISOLONE 54770 1 6 1 1568<br />
BARLEY GRASS 96159 37 0000 UNDETERMINED 50000 3 7 3 2087<br />
BARRIER OINTMENT 01257 37 0000 COMBINATION PRODUCT 51380 2 6 2 GINSENG, PETROLATUM, SAFFLOWER OIL, SESAME OIL, MEADOWFOAM OIL 52410, 54330, 55145, 55210, 70384 1265<br />
ZINCATE 35295 37 0000 ZINC SULFATE 56285 1 6 1 0913<br />
TUSSI-ORGANIDIN NR 03097 37 0000 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN 51340, 52490 1943<br />
PROCANBID 97122 35 0000 PROCAINAMIDE 54810 1 6 1 0502<br />
GUANFACINE 97089 35 0000 GUANFACINE HCL 52498 1 6 1 0506<br />
LITHOBID 17725 35 0000 LITHIUM 53120 1 6 1 0628<br />
NITROGLYN 21165 34 0000 NITROGLYCERIN 53945 1 6 1 0503<br />
VASODILAN 33710 34 0000 ISOXSUPRINE 52945 1 6 1 0504<br />
MULTIGENICS 04359 34 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
RISPERDAL CONSTA 04278 34 0000 RISPERDAL INJECTION 70884 1 6 1 0628<br />
DELTASONE 08770 34 0000 PREDNISONE 54775 1 6 1 1032<br />
NORVIR 96066 34 0000 RITONAVIR 59606 1 6 1 0388<br />
EXCEL 04241 34 0000 COMBINATION PRODUCT 51380 2 6 2 VITAMIN E, CIWUJIA EXTRACT 56195, 70865 2100<br />
ORGANIDIN 22015 34 0000 IODINATED GLYCEROL 52825 1 6 1 1943<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ZEMPLAR 04282 32 0000 PARICALCITOL 70885 1 6 1 0913<br />
Z-GEN 04310 32 0000 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
B-50 99150 32 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
KETEK 04109 32 0000 TELITHROMYCIN 70807 1 6 1 0355<br />
FINACEA 03132 31 0000 AZELAIC ACID 57238 1 6 1 1270<br />
HYDRAJOINT 03244 31 0000 UNDETERMINED 50000 2 6 3 2100<br />
KARO 99126 31 0000 UNDETERMINED 50000 2 6 3 2087<br />
FOSFREE 12975 30 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
GRISEOFULVIN 13800 29 0000 GRISEOFULVIN 52480 1 6 1 0355<br />
GREENS+ 04336 29 0000 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, FIBER, SOY LECITHIN, WHEAT GRASS POWDER, ROYAL JELLY 53805, 70714, 70798, 70914, 70915 2100<br />
GENTAMICIN OPHTHALMIC 60640 29 0000 GENTAMICIN 52400 1 6 1 1568<br />
SENNALAX 04288 28 0000 SENNA 55200 2 6 1 0876<br />
KINERET 04358 28 0000 ANAKINRA 70928 1 6 1 1181<br />
IPRIFLAVONE 04349 28 0000 ISOFLAVONES 70327 2 6 1 2100<br />
HERBAL DRUG (UNSPECIFIED) 04339 28 0000 UNDETERMINED 50000 2 6 1 2100<br />
CYCLOCORT 08135 28 0000 AMCINONIDE 50175 1 6 1 1268<br />
PRO FLORA PLUS 04384 28 0000 COMBINATION PRODUCT 51380 2 6 2 LACTOBACILLUS ACIDOPHILUS, LACTOBACILLUS RHAMNOSUS, BIFIDOBACTERIUM BIFIDUM 52985, 70532, 70533 2100<br />
NEUROBOOST 04369 28 0000 COMBINATION PRODUCT 51380 2 6 2 SELENIUM, L-LYSINE, ZINC, MAGNESIUM 57026, 70161, 70310, 70799 0913<br />
ANTIARTHRITIC AGENT 98079 28 0000 UNDETERMINED 50000 3 7 3 1724<br />
DERMA ZINC 01181 28 0000 ZINC PYRITHIONE 70320 2 6 1 1265<br />
CORTIZONE-5 04224 28 0000 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, HYDROCORTISONE, MINERAL OIL, PETROLATUM 52450, 52655, 53720, 54330 1268<br />
SALICYLATE 27340 28 0000 SODIUM SALICYLATE 56325 2 6 1 1275<br />
HUMIBID 92178 27 0000 GUAIFENESIN 52490 1 6 1 1943<br />
ANZEMET 98106 27 0000 DOLAESTRON MESYLATE 59826 1 6 1 0635<br />
PROVON SKIN MOISTURIZER W/ ALOE & VITS 04394 27 0000 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, MINERAL OIL, ALOE, WATER 52450, 53720, 56300, 70460 1265<br />
DHEA 96137 27 0000 DEHYDROEPIANDROSTERENE 59632 1 6 1 0388<br />
BETAGEN 95002 26 0000 POVIDONE-IODINE 54749 2 6 1 1264<br />
NITROL 21170 25 0000 NITROGLYCERIN 53945 1 6 1 0503<br />
ZARONTIN 35150 25 0000 ETHOSUXIMIDE 52130 1 6 1 1374<br />
I-SENSE OCCUSHIELD 04387 25 0000 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
ESKALITH CR 00144 24 0000 LITHIUM 53120 1 6 1 0628<br />
NORPACE 21390 24 0000 DISOPYRAMIDE 51920 1 6 1 0502<br />
ENEMEEZ 04061 24 0000 DOCUSATE SODIUM 70262 2 6 1 0876<br />
ROFECOXIB 01048 23 0000 ROFECOXIB 70026 1 6 1 1727<br />
VITAMIN B-2 34505 23 0000 RIBOFLAVIN 55105 2 6 1 0913<br />
TALC 30515 22 0000 TALC 55645 3 6 1 1265<br />
HALOG 14035 22 0000 HALCINONIDE 52510 1 6 1 1268<br />
FOLTRIN 12878 21 0000 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN B-12, VITAMIN C 52355, 52885, 53125, 56192, 56193 0913<br />
HEPARIN LOCK FLUSH SOLUTION 14245 20 0000 HEPARIN 52540 1 6 1 0409<br />
SINUTAB EXTRA STRENGTH 28170 20 0000 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 50005, 70226, 70256 1945<br />
MISOPROSTOL 91091 19 0000 MISOPROSTOL 91011 1 6 1 0874<br />
SEMPREX-D 00324 19 0000 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, ACRIVASTINE 54960, 57128 1945<br />
ROSIGLITAZONE MALEATE 00107 18 0000 ROSIGLITAZONE MALEATE 70013 1 6 1 1036<br />
NITROFURANTOIN MACROCRYSTALS 89053 18 0000 NITROFURANTOIN 53930 1 6 1 0354<br />
OXACILLIN 22233 17 0000 OXACILLIN 54070 1 6 1 0346<br />
CEREBYX 97005 17 0000 FOSPHENYTOIN SODIUM 59701 1 6 1 1374<br />
LEXIVA 04097 17 0000 FOSAMPRENAVIR CALCIUM 70794 1 6 1 0388<br />
DEPACON 01264 17 0000 VALPROIC ACID 56145 1 6 1 1374<br />
VIDEX EC 01263 17 0000 DIDANOSINE 51732 1 6 1 0388<br />
ACTIVATED CHARCOAL 99052 17 0000 ACTIVATED CHARCOAL 70021 2 6 1 0283<br />
RIFADIN 26705 16 0000 RIFAMPIN 55110 1 6 1 0358<br />
CLAFORAN 06883 16 0000 CEFOTAXIME SODIUM 50964 1 6 1 0347<br />
TOPICORT 61495 15 0000 DESOXIMETASONE 51625 1 6 1 1268<br />
FOLVITE 12880 15 0000 FOLIC ACID 52355 1 6 1 0408<br />
CHONDROITIN SULFATE 97151 15 0000 CHONDROITIN SULFATE 57072 1 6 1 2096, 2100<br />
FERRLECIT 03329 15 0000 SODIUM FERRIC GLUCONATE COMPLEX 70736 1 6 1 0408<br />
DISOPYRAMIDE PHOSPHATE 60470 14 0000 DISOPYRAMIDE 51920 1 6 1 0502<br />
DYNAPEN 10845 14 0000 DICLOXACILLIN 51720 1 6 1 0346<br />
SYMADINE 30302 14 0000 AMANTADINE 50165 1 6 1 0388<br />
PIOGLITAZONE HCL 02311 9 0000 PIOGLITAZONE HCL 70034 1 6 1 1036<br />
DOMPERIDONE 98073 9 0000 DOMPERIDONE 59812 1 7 1 0635<br />
ESTRA 11738 5 0000 UNDETERMINED 50000 1 6 3 1034<br />
METHYLPREDNISOLONE 19180 5 0000 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
CELLULOSE W/HEXACHLOROPHENE 04229 5 0000 COMBINATION PRODUCT 51380 2 6 2 CELLULOSE, HEXACHLOROPHENE 50975, 52560 1265<br />
A & D VITAMIN 00005 COMBINATION PRODUCT 51380 2 6 2 VITAMIN A, VITAMIN D 56185, 56194 0913<br />
A.P.C. NO. 4 00055 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350 1721<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
IONIL T 00072 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, SALICYLIC ACID 51305, 55160 1265<br />
SBR LIPOCREAM 00139 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PETROLATUM, CETOSTEARYL ALCOHOL, CETETH-20, METHYL PARABEN 53720, 54330, 70145, 70146, 70147 2087<br />
METABOLIFE 356 00171 COMBINATION PRODUCT 51380 2 6 2 VITAMIN E, MAGNESIUM CHELATE, ZINC CHELATE, CHROMIUM PICOLINATE, GUARANA 56195, 70153, 70154, 70155, 70156 2100<br />
ACCELERASE 00210 COMBINATION PRODUCT 51380 2 6 2 BILE SALTS, CALCIUM CARBONATE, CELLULASE, PANCRELIPASE 50613, 50785, 50968, 54165 0877<br />
LIQUI-HISTINE-D 00249 COMBINATION PRODUCT 51380 1 6 2 PHENYLPROPANOLAMINE HCL, PHENYLTOLOXAMINE CITRATE, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 70254, 70255, 70394, 70407 1941, 1944, 1945<br />
ACETAMINOPHEN NO. 2 00265 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
CANTHACUR-PS 00294 COMBINATION PRODUCT 51380 1 6 2 CANTHARIDIN, SALICYLIC ACID, PODOPHYLLIN 50860, 55160, 70196 1266<br />
ZYDERM 00304 COMBINATION PRODUCT 51380 1 6 2 COLLAGEN, NORMAL SALINE, LIDOCAINE HCL 57084, 70308, 70370 2087<br />
ACI-JEL 00355 COMBINATION PRODUCT 51380 1 6 2 RICINOLEIC ACID, GLACIAL ACETIC ACID, OXYQUINOLONE SULFATE 55108, 70606, 70607 1273<br />
ACTION B-100 00484 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, VITAMIN B 52355, 56340<br />
ALERSULE 00863 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70226, 70358 1941, 1944<br />
ALLERPHED SYRUP 01005 COMBINATION PRODUCT 51380 1 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256<br />
REPAN 01031 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 2087<br />
AMPICILLIN AND SULBACTAM 01053 COMBINATION PRODUCT 51380 1 6 2 SULBACTIN SODIUM, AMPICILLIN SODIUM 55521, 70235 0346<br />
ALMOPHEN 01065 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, CAMPHOR, EUCALYPTUS OIL, ICHTHAMMOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50145, 50845, 52190, 52735, 56265<br />
ATROHIST 01091 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PYRILAMINE 51130, 54455, 54995 1941, 1945<br />
HERBAL INHALER 01103 COMBINATION PRODUCT 51380 2 6 2 EUCALYPTUS OIL, MENTHOL 52190, 53325 2100<br />
XYLOCAINE/MARCAINE 01154 COMBINATION PRODUCT 51380 1 6 2 XYLOCAINE, MARCAINE 70305, 70306 0117<br />
MYOXIN 01188 COMBINATION PRODUCT 51380 2 6 2 CALCIUM, MAGNESIUM ACETATE, VALERIAN, PASSION FLOWER POWER 50776, 53173, 56135, 70321 2100<br />
BACILLIN C-R 01203 COMBINATION PRODUCT 51380 1 6 2 PENICILLIN G PROCAINE, PENICILLIN G BENZATHINE 54260, 70046 0346<br />
ANEMAGEN FA 01239 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, VITAMIN B-12, FERROUS FUMARATE, ASCORBIC ACID 52355, 56192, 70042, 70058 0913<br />
BENEDRYL ITCH RELIEF CHILDREN 01243 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, ALOE VERA, DIPHENHYDRAMINE HCL, ZINC ACETATE 50090, 70197, 70344, 70365 1265<br />
CORICIDIN HBP COUGH & COLD 01262 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR 70226, 70338 1943<br />
NOREL DM 01284 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 70226, 70338, 70358 1945<br />
AMESEC 01365 COMBINATION PRODUCT 51380 1 6 2 AMINOPHYLLINE, EPHEDRINE 50210, 52035 1940<br />
AMITRIPTYLINE/CHLORDIAZEPOXIDE 01532 COMBINATION PRODUCT 51380 1 4 2 AMITRIPTYLINE, CHLORDIAZEPOXIDE 50230, 51055 0627<br />
ANA EMERGENCY INSECT STING KIT 01730 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, EPINEPHRINE 51130, 52040 1940<br />
YASMIN 02026 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, DROSPIRENONE 70027, 70431 1040<br />
DTAP-HIB 02039 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, TETANUS TOXOID, HAEMOPHILUS B CONJUGATE VACCINE, ACELLULAR PERTUSSIS VACCINE 51910, 55710, 56445, 70440 1180<br />
LAT 02046 COMBINATION PRODUCT 51380 1 6 2 LIDOCAINE, TETRACAINE, ADRENALINE 53070, 55715, 70443 0121<br />
ANTAR II 02105 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240<br />
ANTI-ITCH 02135 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, PHENOL, BUROW'S SOLUTION 50845, 53325, 54400, 70619 1265<br />
VITAMIN B12/FOLIC ACID 02153 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, VITAMIN B-12 52355, 56192 0913<br />
VITAMIN A & C & E 02198 COMBINATION PRODUCT 51380 2 6 2 VITAMIN A, VITAMIN C, VITAMIN E 56185, 56193, 56195 0913<br />
PEDIOX 02211 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1944<br />
AHA REVITALIZING GEL 02253 COMBINATION PRODUCT 51380 2 6 2 PROPYLENE GLYCOL, GLYCOLIC ACID, AMMONIUM HYDROXIDE, POLYQUATERNIUM-10 54895, 70141, 70503, 70504 1265<br />
ANTUSSAL SYRUP 02288 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, AMMONIUM CHLORIDE, PHENYLPROPANOLAMINE, PYRILAMINE, TOLU BALSAM 50090, 50245, 54465, 54995, 55893 1943<br />
LORTAB ELIXIR 02314 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721, 1943<br />
DI-TONE 02327 COMBINATION PRODUCT 51380 2 6 2 ANISE OIL, TARRAGON OIL, GINGER OIL, PEPPERMINT OIL, JUNIPER OIL 50290, 70537, 70538, 70539, 70540 2100<br />
APAP W/CODEINE 02340 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
CALMAX 02354 COMBINATION PRODUCT 51380 2 6 2 ASCORBIC ACID, CALCIUM GLUCONATE, MAGNESIUM CARBONATE 70058, 70610, 70611 0879, 0913<br />
SCALPICIN SOLUTION 02371 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, SALICYLIC ACID, VITAMIN E, ALOE VERA, TEA TREE OIL 53325, 55160, 56195, 70197, 70634 1274<br />
AQUA-TON-S 02440 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFISOXAZOLE 54365, 55590<br />
ASMA SYRUP 02750 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE SULFATE 52490, 54395, 55745, 70264 1940, 1943<br />
ASPIRIN COMPOUND #3 02820 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE 50410, 51340 1721<br />
ASTRING-O-SOL 02855 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, METHYL SALICYLATE, MYRRH, ZINC TOPICAL AGENTS, EXTERNAL USE 50090, 53620, 53835, 56265 1200<br />
ATROPINE AND DEMEROL 02943 COMBINATION PRODUCT 51380 1 2 2 ATROPINE, MEPERIDINE HCL 50420, 70267 0119<br />
AUROTO DROPS 03020 COMBINATION PRODUCT 51380 2 6 2 ANTIPYRINE, BENZOCAINE, OXYQUINOLONE SULFATE 50325, 50530, 70607 1670<br />
PROFEN FORTE DM 03058 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70256, 70338 1943<br />
CARBINOXAMINE ORAL DROPS 03066 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, CARBINOXAMINE MALEATE 70256, 70401 1944<br />
AZO GANTANOL 03135 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, PHENAZOPYRIDINE HCL 55555, 70342 0353<br />
DERMAZENE 03167 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOQUINOL 52655, 52850 1265<br />
PEDIARIX 03179 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, TETANUS TOXOID, PERTUSSIS TOXIN, FILAMENTOUS HEMAGGLUTININ, PERTACTIN 51910, 55710, 70707, 70708, 70709 1180<br />
PRENATE GT 03191 MULTIVITAMIN COMBINATION 51382 1 6 2 MULTIVITAMINS 53805 0913<br />
BALAMINE DM 03206 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR, CARBINOXAMINE MALEATE 70256, 70338, 70401 1943<br />
B & A HYGIENIC 03235 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM SULFATE, EUCALYPTUS OIL, METHYL SALICYLATE, SODIUM BICARBONATE, SODIUM BORATE 50163, 52190, 53620, 55280, 55295<br />
B COMPLEX #100 03255 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755 0913, 2087<br />
SUBOXONE 03276 COMBINATION PRODUCT 51380 1 3 2 BUPRENORPHINE HCL, NALOXONE 50711, 53865 0281, 1721<br />
B VITAMINS W/C 03305 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN C 53915, 54990, 55105, 55755, 56193 0913<br />
B-COMPLEX W/B-12 & VITAMIN C 03345 COMBINATION PRODUCT 51380 1 6 2 PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12, VITAMIN C 54990, 55105, 55755, 56192, 56193 0913<br />
B-12 THIAMINE 03360 COMBINATION PRODUCT 51380 1 6 2 THIAMINE, VITAMIN B-12 55755, 56192 0913<br />
CREON 5 03401 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
BARBELOID 03555 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 54395, 55180, 70120, 70336 0626, 0878<br />
BAROPLEX ELIXIR 03610 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54990, 55105, 55755 0913<br />
BAXINETS 03670 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CETYLPYRIDINIUM 50530, 51023<br />
BECOTIN W/VITAMIN C 03720 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54175, 54990, 55105, 55755 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BELLADONNA FORMULA 03815 COMBINATION PRODUCT 51380 2 6 2 BELLADONNA, BISMUTH ANTI-DIARRHEA AGENTS, BORIC ACID, EPHEDRINE, ZINC TOPICAL AGENTS, EXTERNAL USE 50495, 50635, 50660, 52035, 56265<br />
BELLALPHEN 03840 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0877<br />
BENTYL W/PHENOBARBITAL 04005 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, DICYCLOMINE HCL 54395, 70345 0626, 0874<br />
RONDEC ORAL DROPS 04048 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, CARBINOXAMINE MALEATE 70256, 70401 1941, 1944<br />
BETALIN COMPLEX ELIXIR 04145 COMBINATION PRODUCT 51380 2 6 2 PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 54175, 54990, 55105, 55755, 56192 0913<br />
BETULINE LINIMENT 04195 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, METHYL SALICYLATE, PEPPERMINT 50845, 53325, 53620, 54305 1265<br />
BIOTIC-O 04340 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011 1568<br />
POLY-IRON PN FORTE 04378 COMBINATION PRODUCT 51380 1 6 2 MINERALS, MULTIVITAMINS THERAPEUTIC 53723, 53785 0913<br />
B-TUSS 04432 COMBINATION PRODUCT 51380 1 3 2 CHLORPHENIRAMINE, HYDROCODONE, PHENYLEPHRINE 51130, 52650, 54455 1943<br />
BISMUTH VIOLET-SALICYLIC & BENZOIC ACIDS 04450 COMBINATION PRODUCT 51380 2 6 2 BENZOIC ACID, SALICYLIC ACID, BISMUTH VIOLET 50538, 55160, 70645<br />
ICAR-C PLUS 04465 COMBINATION PRODUCT 51380 3 6 2 MULTIVITAMINS, IRON 53805, 70886 0913<br />
NORMASOL R 04479 COMBINATION PRODUCT 51380 3 6 2 ACETATE ION, SODIUM CHLORIDE 50018, 55315 0915, 2095<br />
BLISTAID COLD SORE LOTION 04500 COMBINATION PRODUCT 51380 2 6 2 BENZOIN, CAMPHOR, ISOPROPYL ALCOHOL, MENTHOL 50540, 50845, 52925, 53325<br />
BLUBORO 04515 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM SULFATE, BORIC ACID, CALCIUM ACETATE 50163, 50660, 50775 1265<br />
BON-A-DAY W/IRON 04565 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
BONATE 04575 COMBINATION PRODUCT 51380 2 6 2 BALSAM, BENZOCAINE, ZINC OXIDE, BISMUTH SUBGALLATE 50460, 50530, 70052, 70389<br />
EPZICOM 04631 COMBINATION PRODUCT 51380 1 6 2 LAMIVUDINE, ABACAVIR SULFATE 57146, 70032 0388<br />
BREXIN 04668 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943<br />
SANCURA 04685 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, BENZOIC ACID, CHLOROBUTANOL, CHLOROTHYMOL, SALICYLIC ACID 50530, 50538, 51075, 51105, 55160 0117<br />
BROMALATE 04740 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 52490, 54455, 54465<br />
BROWN MIXTURE 04940 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, ANTIMONY POTASSIUM TARTRATE, GLYCYRRHIZA, PAREGORIC 50090, 50323, 52465, 54215 1943<br />
BUTALBITAL W/A.P.C. 05100 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE, PHENACETIN 50410, 50728, 50745, 54350 2087<br />
C-RON 05200 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C 52885, 56193 0408<br />
CAL PRENAL RX 05290 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185<br />
CALCICAPS 05360 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045 0913<br />
CALINATE-FA 05505 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, NIACINAMIDE, PYRIDOXINE, VITAMIN A, VITAMIN C 52045, 53915, 54990, 56185, 56193 0913<br />
CANTHARONE 05598 COMBINATION PRODUCT 51380 1 6 2 CANTHARIDIN, PODOPHYLLUM, SALICYLIC ACID 50860, 54560, 55160 1265<br />
CASTELLANI'S PAINT 05883 COMBINATION PRODUCT 51380 1 6 2 ACETONE, ALCOHOL, FUCHSIN, PHENOL, RESORCINOL 50035, 50090, 52373, 54400, 55085 1265<br />
CE-B ZINC 05910 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53905, 54175, 54990, 55105, 55755<br />
CEFOL 05990 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
CEPACOL ANESTHETIC TROCHE 06115 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CETYLPYRIDINIUM 50530, 51023 1265<br />
CHERALIN W/CODEINE 06315 COMBINATION PRODUCT 51380 2 5 2 AMMONIUM CHLORIDE, ANTIMONY POTASSIUM TARTRATE, POTASSIUM GUAIACOLSULFONATE, WHITE PINE SYRUP, WILD CHERRY SYRUP 50245, 50323, 54700, 56225, 56230<br />
CHERRI-B 06330 COMBINATION PRODUCT 51380 2 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755<br />
CHOLINOL 06735 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, COBALAMIN, INOSITOL, RACEMETHIONINE, THIMEROSAL 51195, 51308, 52785, 55061, 55770 2087<br />
CLINDEX 06930 COMBINATION PRODUCT 51380 1 6 2 CHLORDIAZEPOXIDE, CLIDINIUM BROMIDE 51055, 51250 0877<br />
COBIOTIC OTIC SOLUTION 07108 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NEOMYCIN, POLYMYXIN B 52655, 53895, 70011<br />
COCILLANA COMPOUND SYRUP 07125 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, COCILLANA, EUPHORBIA, SENEGA FLUID EXTRACT, SQUILL 50933, 51320, 52194, 55198, 55463 1943<br />
COLAX LAXATIVE 07268 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, PHENOLPHTHALEIN 51935, 54405 0876<br />
COLD TABLET 07300 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLEPHRINE HCL 50005, 51130, 70358 1945<br />
COLONAID 07350 COMBINATION PRODUCT 51380 1 5 2 ATROPINE SULFATE, DIPHENOXYLATE HCL 70120, 70211 0875<br />
COMHIST 07465 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLTOLOXAMINE CITRATE, PHENYLEPHRINE HCL 70226, 70255, 70358 1941, 1944<br />
CONDRIN-LA 07503 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941<br />
CONJEC 07540 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE 50420, 51130<br />
CONTE-PAK-4 07578 COMBINATION PRODUCT 51380 1 6 2 CHROMIC CHLORIDE, COPPER, MANGANESE SULFATE, ZINC SULFATE 51208, 51393, 53242, 56285 0915<br />
CONVERSPAZ 07605 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, CELLULASE, LIPASE, PROTEASE, HYOSCYAMINE SULFATE 50283, 50968, 53118, 70054, 70336 0877<br />
CORYZA 07835 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL 50005, 70256 1720, 1941<br />
CORYZA BRENGLE 07840 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL 50005, 70256<br />
CPD HAEMO-PAK W/IN-LINE PILOT TUBE NEEDL 07965 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, DEXTROSE, SODIUM CITRATE, SODIUM PHOSPHATE 51235, 51675, 55320, 55385<br />
CREO-TERPIN COMPOUND 07995 COMBINATION PRODUCT 51380 2 6 2 TERPIN HYDRATE, DEXTROMETHORPHAN HBR 55675, 70338 1943<br />
CYLANA SYRUP 08170 COMBINATION PRODUCT 51380 2 6 2 COCILLANA, EUPHORBIA, LACTUCA, SENEGA FLUID EXTRACT, SQUILL 51320, 52194, 52992, 55198, 55463 0117<br />
DALLERGY 08385 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PHENYLEPHRINE HCL 70226, 70243, 70358 1944<br />
DASIKON 08500 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, ATROPINE, CAFFEINE, CHLORPHENIRAMINE, PHENACETIN 50410, 50420, 50745, 51130, 54350 1720, 1944<br />
DECLOSTATIN 08645 COMBINATION PRODUCT 51380 1 6 2 DEMECLOCYCLINE, NYSTATIN 51595, 53995<br />
DEEP DOWN 08698 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, METHYL SALICYLATE 50845, 53325, 53620 1265<br />
DETUSSIN EXPECTORANT 09058 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE, PSEUDOEPHEDRINE HCL 52490, 70217, 70256 1941, 1943<br />
DIA-EZE 09243 COMBINATION PRODUCT 51380 2 6 2 BISMUTH ANTI-DIARRHEA AGENTS, KAOLIN 50635, 52955 0875<br />
DIAMULSIN IMPROVED 09310 COMBINATION PRODUCT 51380 1 5 2 BISMUTH SALICYLATE, KAOLIN, OPIUM, PECTIN, ZINC TOPICAL AGENTS, EXTERNAL USE 50640, 52955, 54035, 54238, 56265 2087<br />
DICAL-D W/IRON 09400 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, IRON PREPARATIONS, PHOSPHORUS 50770, 52045, 52885, 57034 0913<br />
DIMALIX 09638 COMBINATION PRODUCT 51380 1 2 2 ALCOHOL, BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 54455, 54465 1945<br />
DISOPHROL 09955 COMBINATION PRODUCT 51380 2 6 2 PSEUDOEPHEDRINE HCL, DEXBROMPHENIRAMINE MALEATE 70256, 70373 1944<br />
DIUTENSEN 10030 COMBINATION PRODUCT 51380 1 6 2 METHYCLOTHIAZIDE, RESERPINE 53610, 55080 0506<br />
DOB OIL 10048 COMBINATION PRODUCT 51380 2 6 2 ISOPROPYL MYRISTATE, LANOLIN, LAURETH, MINERAL OIL 52928, 53003, 53004, 53720 1200<br />
DOXYLAMINE SUCCINATE & PYRIDOXINE HCL 10360 COMBINATION PRODUCT 51380 2 6 2 DOXYLAMINE, PYRIDOXINE HCL 51970, 70343 0913, 1944<br />
DRISTAMEAD 10445 COMBINATION PRODUCT 51380 2 6 2 CAFFEINE, CHLORPHENIRAMINE, PHENYLEPHRINE, SALICYLAMIDE, VITAMIN C 50745, 51130, 54455, 55150, 56193<br />
DROTIC 10505 COMBINATION PRODUCT 51380 1 6 2 CHLOROXYLENOL, HYDROCORTISONE, NEOMYCIN, POLYMYXIN B SULFATE 51120, 52655, 53895, 70212 1670<br />
DSS W/CASANTHRANOL 10530 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DUOFILM 10630 COMBINATION PRODUCT 51380 2 6 2 LACTIC ACID, SALICYLIC ACID 52980, 55160 1266<br />
DUPHRENE 10690 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PYRILAMINE 51130, 54455, 54995 2087<br />
DURATHESIA 10780 COMBINATION PRODUCT 51380 1 6 2 BENZYL ALCOHOL, BUTAMBEN, PROCAINE 50570, 50730, 54815<br />
EAR-DRY 10940 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, ISOPROPYL ALCOHOL 50660, 52925 1670<br />
ELDER COMPOUND 65 11090 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PHENACETIN, PROPOXYPHENE 50410, 50745, 54350, 54890 1721<br />
EMPIRIN COMPOUND #2 11225 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350<br />
ENDOTUSSIN-NN 11330 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, DEXTROMETHORPHAN 50245, 51670 1943<br />
ENTOLASE 11398 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
EPHEDRINE & SECONAL SODIUM 11465 COMBINATION PRODUCT 51380 1 3 2 EPHEDRINE, SECOBARBITAL SODIUM 52035, 70265 0626, 1940<br />
EPHEDRINE AND NEMBUTAL-25 11475 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PENTOBARBITAL 52035, 54295 0626, 1940<br />
ESTROJECT 11805 COMBINATION PRODUCT 51380 1 6 2 ESTRONE, NIACINAMIDE, RIBOFLAVIN, TESTOSTERONE, THIAMINE 52080, 53915, 55105, 55695, 55755 1034<br />
EUCAPHEN 11935 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, EUCALYPTUS OIL, MENTHOL, METHYL SALICYLATE 50845, 52190, 53325, 53620<br />
F.C.A.H. 12110 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, SALICYLAMIDE, CHLORPHENIRAMINE MALEATE 50005, 55150, 70226 1720, 1944<br />
FEDAHIST 12160 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
FERRITRINSIC 12400 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, LIVER DERIVATIVE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 53125, 55105, 55755, 56192 0913<br />
FIORINAL NO. 2 12560 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE, PHENACETIN, CODEINE PHOSPHATE 50410, 50728, 50745, 54350, 70231 1721<br />
FLURA-VITE 12805 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185 0913<br />
FOLTINIC 12876 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN B-12, VITAMIN C 52355, 52885, 53125, 56192, 56193 2087<br />
FOSTRIL 12995 COMBINATION PRODUCT 51380 2 6 2 SULFUR, ZINC TOPICAL AGENTS, EXTERNAL USE 55610, 56265 1265<br />
FUMERON 13071 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, THIAMINE 52885, 55755<br />
GELUMAG 13288 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
GENTZ WIPE 13345 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM CHLORHYDROXYALLANTOINATE, HAMAMELIS WATER, PROPYLENE GLYCOL, PRAMOXINE HCL 50138, 52535, 54895, 70335 0117<br />
GERAVITE 13375 COMBINATION PRODUCT 51380 2 6 2 LYSINE, NIACINAMIDE, PENTYLENETETRAZOL, RIBOFLAVIN, THIAMINE 53160, 53915, 54300, 55105, 55755 0631, 0913<br />
GERIPLEX 13440 COMBINATION PRODUCT 51380 2 6 2 RIBOFLAVIN, VITAMIN A, VITAMIN B-12, VITAMIN C 55105, 56185, 56192, 56193 0913<br />
GUAIPHENYL 13840 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE 51130, 52490, 54455 1943, 1944<br />
GUIATUSS A.C. SYRUP 13880 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE 52490, 70231 1943<br />
GYLANPHEN 13920 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, GUAIFENESIN, HYOSCYAMINE, PHENOBARBITAL, TERPIN HYDRATE 50770, 52490, 52720, 54395, 55675<br />
HEMATINIC #1 14145 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN B-12 52355, 52885, 53125, 56192 0408, 0913<br />
HIGH POTENCY DROPS 14430 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
HISTABID 14480 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 51130, 54465 1941, 1944<br />
HI-VITES 14618 COMBINATION PRODUCT 51380 2 6 2 AMINO ACIDS, MINERALS, MULTIVITAMINS GENERAL 50185, 53723, 53780<br />
HYBEPHEN 14760 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0877<br />
HYDRISALIC GEL 14882 COMBINATION PRODUCT 51380 1 6 2 HYDROXYPROPYL METHYLCELLULOSE, ISOPROPYL ALCOHOL, PROPYLENE GLYCOL, SALICYLIC ACID 52700, 52925, 54895, 55160 1265<br />
HYDROSERPALAN 15044 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080<br />
HYPERLYTE CONCENTRATE 15210 COMBINATION PRODUCT 51380 1 6 2 ACETATE ION, CALCIUM ION, MAGNESIUM ANTACIDS, POTASSIUM ION, SODIUM ION 50018, 50806, 53175, 54713, 55348 0915<br />
HYSONE 15280 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, CLIOQUINOL 52655, 70554 1265<br />
IBERET 15370 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
IPSATOL P SYRUP 15820 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, IPECAC, PHENYLPROPANOLAMINE 50245, 52870, 54465 1943<br />
IRON QUININE & STRYCHNINE ELIXIR 15880 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, IRON PREPARATIONS, QUININE, STRYCHNINE 50090, 52885, 55050, 55505 1860<br />
ISOCLOR EXPECTORANT 15950 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1943<br />
JERI-LOTION 16183 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, MINERAL OIL 53003, 53720 1265<br />
K-LYTE DS 16215 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM ALKALINIZING AGENTS, CITRATE 54620, 70471 0915<br />
KAOMEAD PG 16350 COMBINATION PRODUCT 51380 2 5 2 ATROPINE, HYOSCYAMINE, KAOLIN, PECTIN, SCOPOLAMINE HBR 50420, 52720, 52955, 54238, 55180 0875<br />
KEELAMIN 16468 COMBINATION PRODUCT 51380 3 6 2 COPPER, MANGANESE (PROTEIN COMPLEX), ZINC ( PROTEIN COMPEX) 51393, 53241, 56271 0913<br />
KINESED 16640 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0878<br />
KLEER JUNIOR 16685 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, METHSCOPOLAMINE, PHENYLPROPANOLAMINE 51130, 53600, 54465<br />
KOMED MILD LOTION 16770 COMBINATION PRODUCT 51380 2 6 2 ISOPROPYL ALCOHOL, RESORCINOL, SALICYLIC ACID, SODIUM THIOSULFATE 52925, 55085, 55160, 55425 1265<br />
LACTOCAL 16960 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
LANASED 17015 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50420, 52720, 53530, 53640, 54440 0354<br />
LANOPLEX ELIXIR 17095 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 53915, 54990, 55105, 55770<br />
LAROBEC 17140 COMBINATION PRODUCT 51380 1 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, RIBOFLAVIN, THIMEROSAL, VITAMIN B-12 50811, 53915, 55105, 55770, 56192 0913<br />
LEAD & OPIUM WASH LOTION 17255 COMBINATION PRODUCT 51380 1 5 2 ALCOHOL, LEAD ACETATE, OPIUM 50090, 53015, 54035 2087<br />
LIFOJECT 17520 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, VITAMIN B-12 52355, 56192 0408<br />
LIPONOID 17615 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, COBALAMIN, INOSITOL, RIBOFLAVIN, THIAMINE 51195, 51308, 52785, 55105, 55755 0913<br />
LOMANATE 17860 COMBINATION PRODUCT 51380 1 5 2 ATROPINE SULFATE, DIPHENOXYLATE HCL 70120, 70211 0875<br />
LUFA 17980 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, INOSITOL, METHIONINE, RIBOFLAVIN, THIAMINE 51195, 52785, 53550, 55105, 55755 0913<br />
M.T.E. 18078 COMBINATION PRODUCT 51380 1 6 2 CHROMIUN, COPPER, MANGANESE GLUCONATE, ZINC SULFATE 51209, 51393, 53240, 56285 0915<br />
MALATAL 18235 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0626, 0874<br />
MANTADIL 18365 COMBINATION PRODUCT 51380 1 6 2 CHLORCYCLIZINE, HYDROCORTISONE, MINERAL OIL, PETROLATUM 51053, 52655, 53720, 54330 1268, 1274, 1275<br />
MARGESIC COMPOUND NO. 65 18425 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PHENACETIN, PROPOXYPHENE 50410, 50745, 54350, 54890 1721<br />
MAXAFIL 18495 COMBINATION PRODUCT 51380 2 6 2 CINOXATE, GLYCERYL, METHYL ANTHRANILATE, MINERAL OIL, SORBITOL 51228, 52452, 53328, 53720, 55435 1265<br />
MEDI-TRATING 18590 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CAMPHOR, CETYLPYRIDINIUM, EUCALYPTUS OIL, MENTHOL 50530, 50845, 51023, 52190, 53325 2087<br />
MENOJECT 18710 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL CYPIONATE, TESTOSTERONE CYPIONATE 70245, 70372 1033, 1034<br />
MEVANIN-C 19245 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
MEXSANA 19260 COMBINATION PRODUCT 51380 2 6 2 KAOLIN, TRICLOSAN, ZINC TOPICAL AGENTS, EXTERNAL USE, CORN STARCH 52955, 55947, 56265, 70413 1265<br />
MIN-HEMA-PLUS 19435 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, NIACINAMIDE, RACEMETHIONINE, RIBOFLAVIN, VITAMIN B-12 51645, 53915, 55061, 55105, 56192 2087<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
MISSION PRENATAL H.P. 19525 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
MODICUM 19610 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN 53915, 54175, 54990, 55105 0913<br />
MUCOPLEX 19730 COMBINATION PRODUCT 51380 2 6 2 LIVER DERIVATIVE, RIBOFLAVIN, VITAMIN B-12 53125, 55105, 56192 0913<br />
MULTIGEST 19805 COMBINATION PRODUCT 51380 1 6 2 BETAINE, CHOLIC ACID, DESOXYCHOLIC ACID, PANCREATIN, PAPAIN 50583, 51193, 51627, 54160, 54180 2087<br />
MULTIVITAMIN THERAPEUTIC W/MINERALS 19860 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
MYDRAPRED 20070 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, PREDNISOLONE 50420, 54770 1567<br />
NALDECON 20190 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 51130, 54455, 54465, 54468 1941, 1944<br />
NASAL DECONGESTANT ELIXIR 20330 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 54455, 54465 1941, 1944<br />
NATALINS 20390 COMBINATION PRODUCT 51380 1 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
NATALINS RX 20395 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, VITAMIN A, VITAMIN C, VITAMIN E 52045, 56185, 56193, 56195 0913<br />
NEO COLD 20523 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE, VITAMIN C 51130, 54465, 54995, 56193<br />
NEOCYLATE 20645 COMBINATION PRODUCT 51380 2 6 2 AMINOBENZOIC ACID, POTASSIUM SALICYLATE 50195, 54737 1720<br />
NEOLAX 20675 COMBINATION PRODUCT 51380 1 6 2 DEHYDROCHOLIC ACID, DOCUSATE 51585, 51935 0876<br />
NEOTRACE-4 PLUS 20768 COMBINATION PRODUCT 51380 1 6 2 CHROMIC CHLORIDE, COPPER, MANGANESE SULFATE, ZINC SULFATE 51208, 51393, 53242, 56285<br />
NIGROIDS 21035 COMBINATION PRODUCT 51380 2 6 2 GLYCYRRHIZA, MENTHOL 52465, 53325 1943<br />
NOLAMINE 21215 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENINDAMINE TARTRATE 70226, 70254, 70650 1941, 1944<br />
NOVACEBRIN W/FLUORIDE 21417 COMBINATION PRODUCT 51380 1 6 2 FLUORIDE, VITAMIN A, VITAMIN C, VITAMIN D, VITAMIN B COMPLEX 52318, 56185, 56193, 56194, 56345 0913<br />
NOVAHISTINE LP 21475 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE 51130, 54455 1941, 1944<br />
NUM ZIT 21570 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, MENTHOL 50530, 53325 1265<br />
NYSOLONE 21680 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NEOMYCIN, NYSTATIN, TRIAMCINOLONE 52478, 53895, 53995, 55915 1271<br />
OPTILETS 21895 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, VITAMIN A 52045, 53915, 55105, 56185 0913<br />
OPTIMYD 21905 COMBINATION PRODUCT 51380 1 6 2 SODIUM SULFACETAMIDE, PREDNISOLONE PHOSPHATE 70018, 70570 1568<br />
OXYCODONE W/ASA 22307 COMBINATION PRODUCT 51380 1 2 2 ASPIRIN, OXYCODONE 50410, 54094 1721<br />
OXYNITRAL W/VERATRUM VIRIDE 22330 COMBINATION PRODUCT 51380 1 6 2 SODIUM NITRATE, VERATRUM VIRIDE 55365, 56165<br />
P.R. SYRUP 22395 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE 51130, 52490, 54455 1945<br />
PALBAR 22508 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE HYDROBROMIDE, PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE 52723, 54395, 55180, 70120 0877<br />
PARAZONE 22833 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORZOXAZONE 50005, 51175 2087<br />
PATHILON W/PHENOBARBITAL 22925 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, TRIDIHEXETHYL CHLORIDE 54395, 55950<br />
PBZ W/CODEINE & EPHEDRINE EXPECTORANT 23030 COMBINATION PRODUCT 51380 1 5 2 AMMONIUM CHLORIDE, CODEINE, EPHEDRINE, TRIPELENNAMINE HCL 50245, 51340, 52035, 70549 1945<br />
PEDI-BATH 23081 COMBINATION PRODUCT 51380 2 6 2 BALSAM, SULFUR 50460, 55610 1265<br />
PEECE 23165 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180<br />
PERCODAN-DEMI 23395 COMBINATION PRODUCT 51380 1 2 2 ASPIRIN, OXYCODONE HCL, OXYCODONE TEREPHTHALATE 50410, 70269, 70582 1721<br />
PERITINIC 23480 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, IRON PREPARATIONS, PYRIDOXINE, RIBOFLAVIN 51935, 52885, 54990, 55105 0913<br />
PERPHENAZINE W/AMITRIPTYLINE 23524 COMBINATION PRODUCT 51380 1 6 2 AMITRIPTYLINE, PERPHENAZINE 50230, 54320 0630<br />
PHENASEPTIC MOUTHWASH 23685 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, MENTHOL, PHENOL, SODIUM PHENOXIDE, THYMOL 52450, 53325, 54400, 55383, 55815 1265<br />
PHENERGEN W/DEXTROMETHORPHAN 23792 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN HBR, PROMETHAZINE HCL 70338, 70411 1943<br />
PHENOBARBITAL & HEXESTROL 23860 COMBINATION PRODUCT 51380 1 3 2 HEXESTROL, PHENOBARBITAL 52575, 54395<br />
PHENYLPROPANOLAMINE W/CAFFEINE 24030 COMBINATION PRODUCT 51380 2 6 2 CAFFEINE, PHENYLPROPANOLAMINE HCL 50745, 70254<br />
PHISOAC 24065 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, RESORCINOL, SULFUR 50090, 55085, 55610 1265<br />
PHRENILIN 24140 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL 50005, 50728 0626, 1722<br />
POLYMAGMA 24460 COMBINATION PRODUCT 51380 2 6 2 ATTAPULGITE, PECTIN 50430, 54238 0875<br />
PRELAN F.A. 24935 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
PRIMATENE-M 25045 COMBINATION PRODUCT 51380 2 6 2 THEOPHYLLINE, EPHEDRINE HCL, PYRILAMINE MALEATE 55745, 70350, 70394 1940, 1944<br />
PROCHLORBID LANACAP 25218 COMBINATION PRODUCT 51380 1 6 2 ISOPROPAMIDE, PROCHLORPERAZINE 52920, 54830 2087<br />
PRONEMIA 25450 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, INTRINSIC FACTOR CONCENTRATE, IRON PREPARATIONS, VITAMIN B-12, VITAMIN C 52355, 52793, 52885, 56192, 56193 0913<br />
PSEUDO-DRIX 25692 COMBINATION PRODUCT 51380 2 6 2 DEXBROMPHENIRAMINE, PSEUDOEPHEDRINE 51638, 54960<br />
PURETANE EXPECTORANT 25735 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 52490, 54455, 54465 1943<br />
QUIBRON ELIXIR 25980 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940<br />
QUINITE 26050 COMBINATION PRODUCT 51380 1 6 2 AMINOPHYLLINE, QUININE 50210, 55050<br />
RENALGIN 26325 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, PHENYL SALICYLATE 50420, 52720, 53530, 54440 0355<br />
RESPINOL-G 26440 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 52490, 54455, 54465 1941, 1943<br />
RHINEX D-LAY 26550 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE, SALICYLAMIDE 50005, 51130, 54465, 55150 1945<br />
RHINOGESIC JUNIOR 26595 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLEPHRINE, SALICYLAMIDE 50005, 51130, 54455, 55150<br />
RHULISPRAY 26660 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CALAMINE, CAMPHOR, MENTHOL, PHENYLCARBINOL 50530, 50755, 50845, 53325, 70423 1265<br />
ROBINUL-PH 26815 COMBINATION PRODUCT 51380 1 6 2 GLYCOPYRROLATE, PHENOBARBITAL 52455, 54395<br />
ROBITUSSIN-PE SYRUP 26865 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
ROERIBEC 26880 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN C 53915, 54990, 55105, 55755, 56193 0913<br />
RONDEC SYRUP 26930 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, CARBINOXAMINE MALEATE 70256, 70401 1941<br />
RUFOLEX 27105 COMBINATION PRODUCT 51380 1 6 2 COBALAMIN, IRON PREPARATIONS, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN 51308, 52885, 53915, 54990, 55105<br />
RYNA 27170 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PSEUDOEPHEDRINE HCL 51130, 70256 1944<br />
SAL HEPATICA 27290 COMBINATION PRODUCT 51380 2 6 2 CITRIC ACID, SODIUM BICARBONATE, SODIUM PHOSPHATE 51235, 55280, 55385<br />
SALICRESIN FLUID 27330 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, SALICYLIC ACID, AMYLTRICRESOLS 50090, 55160, 56310 2087<br />
SALIVART 27373 COMBINATION PRODUCT 51380 2 6 2 CARBOXYMETHYLCELLULOSE, POTASSIUM PHOSPHATE, SODIUM CHLORIDE, SORBITOL, CALCIUM CHLORIDE DIHYDRATE 50912, 54733, 55315, 55435, 70163 1265<br />
SCODONNAR 27535 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180<br />
SEBACIDE 27595 COMBINATION PRODUCT 51380 2 6 2 CASTOR OIL, COCONUT OIL, LANOLIN, LECITHIN, PINE OIL 50940, 51330, 53003, 53020, 54502 1265<br />
SEBUCARE LOTION 27630 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, LAURETH, SALICYLIC ACID 50090, 53004, 55160 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
SEDRALEX 27715 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0878<br />
SINUGESIC 28140 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54465, 54468<br />
SINUTAB NON-DRYING 28165 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
SLO-PHYLLIN GG 28370 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940<br />
SODIUM CHLORIDE & DEXTROSE 28515 COMBINATION PRODUCT 51380 2 6 2 DEXTROSE, SODIUM CHLORIDE 51675, 55315 0914<br />
SOLU-B W/ASCORBIC ACID MIX-O-VIAL+NEEDLE 28780 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, SODIUM PANTOTHENATE, THIAMINE 53915, 54990, 55105, 55378, 55755<br />
SOPRODOL COMPOUND 28890 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, CARISOPRODOL, PHENACETIN 50745, 50920, 54350 1373<br />
SPASTOLATE 29050 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0877<br />
SPEN-HISTINE DH 29110 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, CHLORPHENIRAMINE, CODEINE, PHENYLPROPANOLAMINE 50090, 51130, 51340, 54465<br />
SPENAURAL DROPS 29135 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE, GLYCERIN 50325, 50530, 52450<br />
SPENPATH 29200 COMBINATION PRODUCT 51380 1 6 2 MEPROBAMATE, TRIDIHEXETHYL CHLORIDE 53370, 55950<br />
SPENTACID 29210 COMBINATION PRODUCT 51380 2 6 2 AMINOACETIC ACID, CALCIUM CARBONATE 50190, 50785<br />
STANBACK ANALGESIC 29290 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, SALICYLAMIDE 50410, 50745, 55150 1720<br />
STERA-FORM 29370 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN, PRAMOXINE 52655, 52845, 54755 0117<br />
STERAPRES 29440 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080<br />
STRESSCAPS 29580 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 54990, 55105, 56192, 56193 0913<br />
SULFUR-8 HAIR & SCALP CONDITIONER 29995 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, SULFUR, TRICLOSAN 53325, 55610, 55947<br />
SUMMER'S EVE DISPOSABLE 30020 COMBINATION PRODUCT 51380 2 6 2 CITRIC ACID 51235<br />
SUPAC 30075 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE 50005, 50410, 50745 1723<br />
SUPER POTENCY B-COMPLEX W/C NEO-VADRIN 30120 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50770, 53915, 54990, 55105, 55755<br />
SURBEX-T 30175 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12 53915, 54990, 55105, 56192 0913<br />
SYRVITE 30413 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
TAMINE 30545 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL 70239, 70254, 70358 1941, 1944<br />
TARBONIS 30600 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, LANOLIN, MENTHOL 51305, 53003, 53325 1265<br />
TERPIN HYDRATE & DEXTROMETHORPHAN 30830 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, TERPIN HYDRATE 51670, 55675 1943<br />
THEOCLIMAN 31170 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745<br />
THEOPHENYLLINE 31219 COMBINATION PRODUCT 51380 2 6 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 1940<br />
THEOTABS 31270 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745<br />
THERA-9 31305 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50811, 53915, 54990, 55105, 55755<br />
THERAPEUTIC LIQUID 31385 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185<br />
THIAHEP 31445 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, NIACINAMIDE, PYRIDOXINE, VITAMIN B-12 52885, 53915, 54990, 56192<br />
TONACON 31790 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 54990, 55105, 55755, 56192<br />
TRI STATIN 32049 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NYSTATIN, TRIAMCINOLONE ACETONIDE, NEOMYCIN SULFATE 52478, 53995, 70307, 70362 1265<br />
TRI-IMMUNOL 32070 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, PERTUSSIS VACCINE, TETANUS TOXOID 51910, 54328, 55710 1180<br />
TRI-VI-FLOR 32140 COMBINATION PRODUCT 51380 1 6 2 FLUORIDE, VITAMIN A, VITAMIN C, VITAMIN D 52318, 56185, 56193, 56194 0913<br />
TRIPHENYL 32505 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
TRIPLE DYE 32525 COMBINATION PRODUCT 51380 1 6 2 BRILLIANT GREEN, GENTIAN VIOLET, PROFLAVINE, HEMISULFATE 50670, 52405, 54840, 70638 1265<br />
TUSSEX COUGH SYRUP 32835 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 52490, 70338, 70358 1941, 1943<br />
TVM VITAMIN MINERAL 32873 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780<br />
U-EZE 33006 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 52720, 53530, 53640, 54440<br />
UNGUENTINE 33110 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, PHENOL 50000, 54400 1265<br />
UNIBON 33135 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
UNPROCO 33185 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
URIMED 33270 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, BENZOIC ACID, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE 50420, 50538, 52720, 53530, 53640 0354<br />
URISEPTIC 33295 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50420, 52720, 53530, 53640, 54440 0354<br />
V-M 33443 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
VALAX 33505 COMBINATION PRODUCT 51380 2 6 2 DANTHRON, DOCUSATE 51545, 51935 2087<br />
VALOPHEN 33568 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, GELSEMIUM, PHENACETIN 50410, 50745, 52397, 54350 2087<br />
VEINAMINE 33795 COMBINATION PRODUCT 51380 1 6 2 AMINO ACIDS, CHLORIDE ION, MAGNESIUM ANTACIDS, POTASSIUM ION, SODIUM ION 50185, 51064, 53175, 54713, 55348 0915<br />
VENTACOL 33830 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PYRILAMINE 50420, 51130, 54455, 54465, 54995 1945<br />
VI-DAYLIN PLUS IRON DROPS 34020 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
VIO-PRAMOSONE 34200 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN, PRAMOXINE 52655, 52845, 54755 0117<br />
VITADEX-B 34325 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51675, 53915, 54990, 55105, 55755 0913<br />
VITAMIN B COMPLEX ELIXIR 34435 COMBINATION PRODUCT 51380 2 6 2 DEXPANTHENOL, NIACIN, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53905, 54990, 55105, 55755<br />
VITAMIN B-1 W/B-6 34485 COMBINATION PRODUCT 51380 1 6 2 PYRIDOXINE HCL, THIAMINE HCL 70343, 70603 0913<br />
VITAMIN E W/SELENIUM 34618 COMBINATION PRODUCT 51380 2 6 2 SELENIUM SULFIDE, VITAMIN E 55195, 56195<br />
VITAZIN 34642 COMBINATION PRODUCT 51380 2 6 2 MINERALS, VITAMIN C, VITAMIN B, MAGNESIUM SULFATE 53723, 56193, 56340, 70398 0913<br />
VOSOL HC 34745 COMBINATION PRODUCT 51380 1 6 2 ACETIC ACID, HYDROCORTISONE, SODIUM ACETATE, PROPYLENE GLYCOL DIACETATE 50025, 52655, 55270, 70673 1670<br />
WUN-TABS W/IRON 34940 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
XYLOCAINE HCL W/DEXTROSE 35075 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, LIDOCAINE HCL 51675, 70370 0117<br />
ZENI-B W/C 35190 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACIN, PYRIDOXINE, RIBOFLAVIN 50811, 53905, 54990, 55105<br />
ZOXAPHEN 35342 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORZOXAZONE 50005, 51175 1373<br />
BESTA UNIT-DOSE 35535 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PANTOTHENIC ACID, RIBOFLAVIN, THIAMINE, VITAMIN E 53905, 54175, 55105, 55755, 56195 0913<br />
ABDEC W/FLUORIDE 40025 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
CORZIDE 40445 COMBINATION PRODUCT 51380 1 6 2 BENDROFLUMETHIAZIDE, NADOLOL 50500, 53840 0507, 0512<br />
DEXTROSE SODIUM CHLORIDE 40540 COMBINATION PRODUCT 51380 3 6 2 DEXTROSE, SODIUM CHLORIDE 51675, 55315 0914<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
E-TAPP 40660 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL 70239, 70254, 70358 1941, 1944<br />
HYONATOL 40865 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, ATROPINE, BUTABARBITAL, HYOSCYAMINE, SCOPOLAMINE HBR 50090, 50420, 50720, 52720, 55180 0877<br />
PANADOL W/CODEINE 41245 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
PLASMA-LYTE W/ DEXTROSE 41300 COMBINATION PRODUCT 51380 1 6 2 CALCIUM ION, CHLORIDE ION, MAGNESIUM ANTACIDS, POTASSIUM ION, SODIUM ION 50806, 51064, 53175, 54713, 55348 0915<br />
RESPAIRE 41405 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
SPECT-T COUGH SUPPRESSANT 41500 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, DEXTROMETHORPHAN HBR 50530, 70338 0117, 1943<br />
TRI-STATIN 41675 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NYSTATIN, TRIAMCINOLONE, NEOMYCIN SULFATE 52478, 53995, 55915, 70362 1265<br />
UNICAP PLUS IRON 41740 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIMEROSAL, VITAMIN A, VITAMIN C 52045, 55105, 55770, 56185, 56193 0913<br />
MULTIVITAMIN W/B12 41920 MULTIVITAMIN COMBINATION 51382 2 6 1 MULTIVITAMINS, VITAMIN B-12 53805, 56192 0913<br />
TANNIC SPRAY 42063 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BENZOCAINE, MENTHOL, TANNIC ACID 50090, 50530, 53325, 55655<br />
IRRIGATE ISOTONIC OPHTHALMIC 42545 COMBINATION PRODUCT 51380 1 6 2 SODIUM CHLORIDE, SODIUM PHOSPHATE 55315, 55385<br />
AUGMENTIN 250 60120 COMBINATION PRODUCT 51380 1 6 2 AMOXICILLIN, CLAVULANATE POTASSIUM 50260, 70341 0346<br />
BENZAMYCIN 60175 COMBINATION PRODUCT 51380 1 6 2 BENZOYL PEROXIDE, ERYTHROMYCIN 50550, 52065 1270<br />
DEXAMETHASONE/NEOMYCIN/POLYMIX 60415 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, NEOMYCIN, POLYMYXIN B SULFATE 51635, 53895, 70212 1268, 1271<br />
IOPHEN DM 60755 COMBINATION PRODUCT 51380 1 6 2 IODINATED GLYCEROL, DEXTROMETHORPHAN HBR 52825, 70338 1943<br />
NEODEXAIR 61015 COMBINATION PRODUCT 51380 1 6 2 NEOMYCIN SULFATE, DEXAMETHASONE SODIUM PHOSPHAT 70362, 70369 1568<br />
PAIN RELIEVER 61130 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE 50005, 50410, 50745 1722<br />
PROMETH EXPECT VC W/COD U-D 61230 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PHENYLEPHRINE HCL, PROMETHAZINE HCL 51340, 70358, 70411 1941, 1943, 1944<br />
URINARY NO 2 61540 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, BENZOIC ACID, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50495, 50538, 53530, 53640, 54440<br />
ACITIFED PLUS 89002 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 50005, 70209, 70256 1945<br />
HYDROCODONE BITARTRATE W/APAP 89038 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
AURAFAIR 91007 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE 50325, 50530 1670<br />
EXOSURF 91020 COMBINATION PRODUCT 51380 1 6 2 CETYL ALCOHOL, TYLOXAPOL, COLFOSCERIL PALMITATE 51020, 56090, 70631 2087<br />
RETIN-A REGIMEN 91045 COMBINATION PRODUCT 51380 3 7 2 CINOXATE, MINERAL OIL, OXYBENZONE, TRETINOIN 51228, 53720, 54093, 55905 1265<br />
JENEST 92049 COMBINATION PRODUCT 51380 1 6 2 NORETHINDRONE, ETHINYL ESTRADIOL 53965, 70027 1040<br />
TUSS-TAN 92097 COMBINATION PRODUCT 51380 1 6 2 CARBETAPENTANE, CHLORPHENIRAMINE, EPHEDRINE, PHENYLEPHRINE 50898, 51130, 52035, 54455 1941, 1943, 1944<br />
TRIPHASIL 92162 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040<br />
ZENATE 92189 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
DML 93050 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, PETROLATUM 50000, 54330 1265<br />
IOTUSS 93079 COMBINATION PRODUCT 51380 1 3 2 CODEINE, IODINATED GLYCEROL 51340, 52825 1943<br />
NESTAB 93102 COMBINATION PRODUCT 51380 3 6 2 CALCIUM ION, IRON PREPARATIONS, VITAMIN A, VITAMIN D, VITAMIN B COMPLEX 50806, 52885, 56185, 56194, 56345 0408, 0913<br />
TRIAD 93159 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1723<br />
FLUOROCAINE 93190 COMBINATION PRODUCT 51380 1 6 2 FLUORESCEIN, PROPARACAINE 52315, 54875 0789, 1569<br />
PREMYSN 93310 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PAMABRON, PYRILAMINE MALEATE 50005, 54158, 70394 1720<br />
ULTRABROM PD 93354 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, BROMPHENIRAMINE MALEATE 54960, 70239 1941, 1944<br />
PROPOXYPHENE/ACETAMINOPHEN 93411 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE 50005, 54890 1721<br />
APRODINE 93450 COMBINATION PRODUCT 51380 2 6 2 TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 70209, 70256 1941, 1944<br />
TYLENOL ALLERGY SINUS 94043 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, DIPHENHYDRAMINE, PSEUDOEPHEDRINE 50005, 51860, 54960 1944<br />
ASTROGLIDE 94176 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, PROPYLENE GLYCOL 52450, 54895 1273<br />
PROGESTIMIL 94197 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS THERAPEUTIC 53785 0913<br />
TANNATE 95049 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PYRILAMINE, TRAMADOL 51130, 54455, 54995, 57160 1941, 1944<br />
DEMEROL W/ VISTARIL 95085 COMBINATION PRODUCT 51380 1 2 2 MEPERIDINE HCL, HYDROXYZINE HCL 70267, 70371 1721<br />
Ti-SCREEN 95102 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED 50000 1269<br />
TOURO LA 95175 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
MEPERGAN FORTIS 96012 COMBINATION PRODUCT 51380 1 2 2 MEPERIDINE HCL, PROMETHAZINE HCL 70267, 70411 1721, 1944<br />
ACETAMINOPHEN-HYDROCODONE 96028 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE 50005, 52650 1721<br />
BARIUM ENEMA 96074 COMBINATION PRODUCT 51380 2 6 2 BARIUM SULFATE, BISACODYL 50480, 50630 0789, 0876<br />
DIMETAPP COLD/ALLERGY 96121 COMBINATION PRODUCT 51380 2 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1941, 1944<br />
PEPTAMEN 96151 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
NEOCATE 97030 COMBINATION PRODUCT 51380 2 6 2 AMINO ACIDS, MULTIVITAMINS, PROTEIN, CARBOHYDRATE(S), FAT 50185, 53805, 57166, 57168, 57170 0914<br />
TEARS NATURALE II 97070 COMBINATION PRODUCT 51380 2 6 2 DEXTRAN, METHYLCELLULOSE 51647, 53630 1569<br />
SUDAL 97112 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1943<br />
TRIOTANN 98024 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE TANNATE, PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE 70402, 70403, 70404 1943<br />
D.A. CHEWABLE 98068 COMBINATION PRODUCT 51380 3 6 2 CHLORPHENIRAMINE, METHSCOPOLAMINE NITRATE, PHENYLEPHRINE HCL 51130, 70243, 70358 1944<br />
RONDAMINE-DM 98070 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, DEXTROMETHORPHAN HBR, CARBINOXAMINE MALEATE 54960, 70338, 70401 1943<br />
MARCOF EXPECTORANT 98165 COMBINATION PRODUCT 51380 1 3 2 POTASSIUM GUAIACOLSULFONATE, HYDROCODONE BITARTRATE 54700, 70217 1943<br />
ALLEGRA D 99008 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, FEXOFENADINE HCL 70256, 70330 1944<br />
CORTISPORIN OTIC 99023 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 52655, 70212, 70362 1670<br />
BROMFENEX 99032 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1941, 1944, 1945<br />
A & E CREAM 99149 COMBINATION PRODUCT 51380 2 6 2 VITAMIN A, VITAMIN E 56185, 56195 1265<br />
FLORVITE W/ IRON 99217 MULTIVITAMIN COMBINATION 51382 1 6 2 FLUORIDE, MULTIVITAMINS 52318, 53805 0913<br />
COSOPT 98098 14467 0097 COMBINATION PRODUCT 51380 1 6 2 DORZOLAMIDE HCL, TIMOLOL MALEATE 57186, 70366 1566<br />
RESOURCE STANDARD 97003 10557 0071 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, PROTEIN, CARBOHYDRATE(S), FAT 53805, 57166, 57168, 57170 0914<br />
MED PASS 2.0 04102 10237 0069 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS, MALTODEXTRIN NF, WATER, SOY LECITHIN 53723, 53805, 70057, 70460, 70798 0913<br />
CEROVITE TABLETS 04029 3617 0024 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
STRESSTABS W/ZINC 41555 3389 0023 COMBINATION PRODUCT 51380 2 6 2 BIOTIN, NIACINAMIDE, VITAMIN E, ZINC TOPICAL AGENTS, EXTERNAL USE 50620, 53915, 56195, 56265 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BACMIN 93412 1742 0012 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, MINERALS, MULTIVITAMINS 52885, 53723, 53805 0913<br />
HUMULIN 50/50 99037 1426 0010 COMBINATION PRODUCT 51380 2 6 2 INSULIN RECOMBINANT HUMAN, INSULIN SUSP ISO RECOMB HUMAN 70215, 70216 1036<br />
VHC 2.25 04184 1262 0008 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, WATER, CALCIUM-POTASSIUM CASEINATE 53723, 53805, 70460, 70835 0913<br />
DONNATAL 10210 1137 0008 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 54395, 55180, 70120, 70336 0878<br />
THEREMS 93154 977 0007 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN A, VITAMIN C, VITAMIN D, VITAMIN E 52885, 56185, 56193, 56194, 56195 0913<br />
POWER PUDDING 04147 808 0005 COMBINATION PRODUCT 51380 2 6 2 BRAN, PRUNES, PRUNE JUICE, APPLE JUICE 50663, 70822, 70823, 70824 2100<br />
BEN-GAY ULTRA STRENGTH CREAM 03334 772 0005 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, METHYL SALICYLATE 50845, 53325, 53620 1265<br />
NUBASICS 04371 616 0004 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, WATER, CALCIUM CASEINATE 53723, 53805, 70460, 70761 0914<br />
TRIPLE ANTIBIOTIC 32515 578 0004 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 50450, 70212, 70362 1271<br />
NUTRA/SHAKE 04373 536 0004 COMBINATION PRODUCT 51380 2 6 2 WATER, SOY LECITHIN, MILK PROTEIN CONCENTRATE, SOY OIL, CALCIUM SULFATE 70460, 70798, 70806, 70930, 70931 0914<br />
LIPRAM-CR5 02334 442 0003 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
RESOURCE DIABETIC 04057 359 0002 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS THERAPEUTIC, CORN STARCH, WATER 53723, 53785, 70413, 70460<br />
USEPT 04301 304 0002 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50420, 52720, 53530, 53640, 54440 0354, 0878<br />
DESITIN 09025 273 0002 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, PETROLATUM, TALC, ZINC TOPICAL AGENTS, EXTERNAL USE, COD LIVER OIL 53003, 54330, 55645, 56265, 70396 1269, 1274<br />
CALGEST 04026 249 0002 COMBINATION PRODUCT 51380 2 6 2 VITAMIN C, CALCIUM CHLORIDE, VITAMIN B-6, CALCIUM PHOSPHATE, MG GLYCEROPHOSPHATE 56193, 70390, 70697, 70766, 70767 0913<br />
SEBULEX 27635 228 0002 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID, SULFUR 55160, 55610 1266<br />
DIABETIC TUSSIN 04228 221 0001 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, MENTHOL, PHENYLALANINE, PARABENS, ACESULFAME K 52490, 53325, 54445, 70391, 70860 1943<br />
ALAMAG 00725 203 0001 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
CARMEX 04204 196 0001 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL, SALICYLIC ACID, ALUM, PHENOL FRAGRANCE 50845, 53325, 55160, 70848, 70849 2099<br />
CALCARB 600 WITH VITAMIN D 04197 184 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 CALCIUM CARBONATE, CHOLECALCIFEROL 50785, 51177 0913<br />
GARLIQUE 04257 174 0001 COMBINATION PRODUCT 51380 2 6 1 GARLIC 57142 2100<br />
RESINOL 98080 159 0001 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, RESORCINOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50755, 55085, 56265 1274<br />
DOXIDAN 10330 155 0001 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE SODIUM 50933, 70262 0876<br />
ZYRTEC-D 12 HOUR TABLETS 02191 152 0001 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, CETIRIZINE HCL 70256, 70482 1944<br />
FRUITY CHEWS 04074 143 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
HEALZ-PLUS 04083 136 0001 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, CLOTRIMAZOLE, VITAMIN A, ZINC OXIDE, VITAMIN D2 50450, 51290, 56185, 70052, 70789 1265<br />
CAPOZIDE 60290 127 0001 COMBINATION PRODUCT 51380 1 6 2 CAPTOPRIL, HYDROCHLOROTHIAZIDE 50869, 52645 0514<br />
ATROVENT/XOPENEX 04321 127 0001 COMBINATION PRODUCT 51380 1 6 2 IPRATROPIUM BROMIDE, LEVALBUTEROL HCL 52883, 70040 1940<br />
PANGESTYME 04388 118 0001 COMBINATION PRODUCT 51380 2 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
HERBOLAX 04338 114 0001 COMBINATION PRODUCT 51380 2 6 2 TERMINALIA CHEBULA, ZINGIBER OFFICINALE, CHICORIUM INTYBUS, IPOMOEA TURPETHUM, GLYCYRRHIZA GLABRA 70918, 70919, 70920, 70921, 70922 2100<br />
COLON CLENZ 04213 113 0001 COMBINATION PRODUCT 51380 2 6 2 SENNA, ALOE, CASCARA SAGRADA, RHUBARB, BLACK WALNUT 55200, 56300, 70400, 70854, 70855 2100<br />
OXYCODONE W/APAP 22306 99 0001 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE 50005, 54094 1721<br />
PROPACET 61240 94 0001 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE NAPSYLATE 50005, 70150 1721<br />
BONE-UP 04024 81 0001 COMBINATION PRODUCT 51380 2 6 2 CALCIUM, MULTIVITAMINS THERAPEUTIC, MAGNESIUM OXIDE, GLUCOSAMINE, METHYLCOBALAMIN 50776, 53785, 56495, 70012, 70765 0913<br />
MYLANTA/BENADRYL TOPICAL SOLUTION 04128 67 0000 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, SIMETHICONE, MAGNESIUM HYDROXIDE, DIPHENHYDRAMINE HCL 50145, 55240, 70112, 70344 0121<br />
ACETAMINOPHEN W/CODEINE 00280 65 0000 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
XERO-LUBE 35045 61 0000 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM CHLORIDE, POTASSIUM REPLACEMENT SOLUTIONS, POTASSIUM ACIDIFYING AGENTS, SODIUM FLUORIDE 53190, 54655, 54735, 55330 1265<br />
NIFEREX FORTE 97101 60 0000 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, VITAMIN B COMPLEX 52885, 56345 0408<br />
JUICE PLUS+ 00321 58 0000 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS 53805 0913<br />
NIVEA 21200 57 0000 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, MINERAL OIL, PARAFFIN, PETROLATUM, WOOL ALCOHOLS 52450, 53720, 54193, 54330, 56238 1265<br />
PROMOTE 04267 54 0000 COMBINATION PRODUCT 51380 2 6 2 MINERALS, VITAMINS, WATER, SOY PROTEIN, SOY LECITHIN 53723, 59702, 70460, 70782, 70798 0914<br />
APRESAZIDE 02395 54 0000 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, HYDRALAZINE HCL 52645, 70339 0506<br />
MULTIVITAMINS & MINERALS 19870 48 0000 COMBINATION PRODUCT 51380 3 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
BOUDREAUX'S BUTT PASTE 04327 37 0000 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, CASTOR OIL, PETROLATUM, ZINC OXIDE, PERUVIAN BALSAM 50660, 50940, 54330, 70052, 70283 1265<br />
PROANGENOL 04389 28 0000 COMBINATION PRODUCT 51380 2 6 2 COENZYME Q10, BILBERRY EXTRACT, ANTIOXIDANTS, GRAPE SEED EXTRACT, PINE BARK EXTRACT 70050, 70487, 70856, 70935, 70936 2100<br />
ACTIVELLA 01056 24 0000 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, NORETHINDRONE ACETATE 52070, 70238 1034<br />
VAPORUB 33630 19 0000 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, CEDAR LEAF OIL, EUCALYPTUS OIL, MENTHOL, NUTMEG OIL 50845, 50943, 52190, 53325, 53988<br />
NOXZEMA MEDICATED SKIN CREAM 00026 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, CLOVE OIL, EUCALYPTUS OIL, MENTHOL, PHENOL 50845, 51295, 52190, 53325, 54400 1265<br />
A.P.C. NO. 3 00050 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350 1721<br />
NIFEREX-PN FORTE 00083 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS 53805 0913<br />
A.R.M. 00093 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70226, 70254 1941, 1944<br />
K-MAG 00119 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM ASPARTATE, POTASSIUM ASPARTATE, ASPARTIC ACID 70134, 70135, 70136 0913<br />
PROFEN II 00128 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1941, 1943<br />
HEALTHY JOINT 00136 COMBINATION PRODUCT 51380 2 6 2 BROMELAINS, MULTIVITAMINS, GLUCOSAMINE, BOSWELLIN, SEA CUCUMBER 50675, 53805, 70012, 70139, 70140 2100<br />
VITAMIN E & D 00141 COMBINATION PRODUCT 51380 2 6 2 VITAMIN D, VITAMIN E 56194, 56195 0913<br />
SALT WATER 00177 COMBINATION PRODUCT 51380 2 6 2 SODIUM CHLORIDE, WATER STERILE 55315, 56210 2087<br />
AMO ENDOSOL 00189 COMBINATION PRODUCT 51380 1 6 2 MAGNESIUM CHLORIDE, SODIUM ACETATE, SODIUM CHLORIDE, POTASSIUM CHLORIDE, CALCIUM CHLORIDE DIHYDRATE 53190, 55270, 55315, 56585, 70163 1569<br />
DECONSAL II 00257 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943<br />
AH-CHEW 00289 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, METHSCOPOLAMINE, PHENYLEPHRINE 51130, 53600, 54455 1941, 1945<br />
MEDENT LD 00306 COMBINATION PRODUCT 51380 1 6 1 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943<br />
ACTIHIST 00482 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020 1941, 1944<br />
AGORAL 00660 COMBINATION PRODUCT 51380 2 6 2 SENNOSIDES A, SENNOSIDES B 70671, 70672 0876<br />
ALDOCLOR 00835 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, METHYLDOPA 51100, 53635 0506<br />
ALKA-SELTZER PLUS 00885 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE BITARTRATE 50410, 70226, 70608 0874<br />
ALLBEE-T 00940 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, VITAMIN C 53915, 54175, 54990, 55105, 56193 0913<br />
ALLERNADE T.D. IMPROVED 00990 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, ISOPROPAMIDE, PHENYLPROPANOLAMINE 51130, 52920, 54465 2087<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ALLERPROP T.D. 01010 COMBINATION PRODUCT 51380 2 6 2 BELLADONNA, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50495, 51130, 54465 1941, 1944<br />
KAYEXALATE W/SORBITOL 01039 COMBINATION PRODUCT 51380 1 6 2 SODIUM POLYSTYRENE SULFONATE, SORBITOL 55390, 55435 0915<br />
TECNU POISON OAK-N-IVY ARMOR 01049 COMBINATION PRODUCT 51380 2 6 2 POLYETHYLENE GLYCOL, PROPYLENE GLYCOL, SOAP, MINERAL SPIRITS, OCTYLPHENOXY-POLYETHOXYETHANO 54590, 54895, 55265, 70233, 70234 1265<br />
ZEBUTAL 01066 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1723<br />
ALO TUSS IMPROVED 01075 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, DEXTROMETHORPHAN, PHENYLEPHRINE, SALICYLAMIDE 50005, 51130, 51670, 54455, 55150 1722, 1943, 1944<br />
ATUSS G 01092 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE, PSEUDOEPHEDRINE HCL 52490, 70217, 70256 1943<br />
ESTRIOL CREAM 01101 COMBINATION PRODUCT 51380 2 6 2 ESTROGENS, PROGESTERONE 52075, 54845 1034<br />
UTROPHIN PMG 01134 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM CITRATE, CALCIUM LACTATE, BOVINE UTERUS PMG EXTRACT, CALCIUM STEARATE 70275, 70290, 70291, 70292 2100<br />
ALBOLENE 01151 COMBINATION PRODUCT 51380 2 6 2 BETA CAROTENE, CERESIN WAX, MINERAL OIL, PETROLATUM 50580, 51008, 53720, 54330 1265<br />
ACCURETIC 01161 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, QUINAPRIL HCL 52645, 70309 0506<br />
CHROMAGEN OB 01192 MULTIVITAMIN COMBINATION 51382 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
ALUMINA W/MAGNESIUM CARBONATE 01213 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
PROFEN FORTE 01251 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1943<br />
ALUSIL 01270 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
XYLOCAINE W/WYDASE 01280 COMBINATION PRODUCT 51380 1 7 2 HYALURONIDASE, XYLOCAINE 52625, 70305 1265<br />
LODRANE LD 01283 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1945<br />
AMI-SULFA 01368 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, AMINACRINE, SULFANILAMIDE 50103, 50183, 55565<br />
AMQUINTUSSIN DM 01705 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
ANAIDS 01765 COMBINATION PRODUCT 51380 1 4 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, PHENOBARBITAL 50145, 53175, 54395 0877<br />
ANATUSS 01850 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PHENYLEPHRINE 51670, 52490, 54455 1941, 1944<br />
ANEXSIA W/CODEINE 01990 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350 1721<br />
GLYSOLID 02021 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, DIMETHICONE, GLYCERIN, CILICA, DECYLOLEATE 50103, 51817, 52450, 70429, 70430 1265<br />
ANOCAINE 02035 COMBINATION PRODUCT 51380 2 6 2 BALSAM, BENZOCAINE, BISMUTH OXIDE, BISMUTH ANTI-DIARRHEA AGENTS, RESORCINOL 50460, 50530, 50632, 50635, 55085<br />
TRIMETHOPRIM SULFATE/POLYMYXIN B SULFATE 02054 COMBINATION PRODUCT 51380 1 6 2 POLYMYXIN B SULFATE, TRIMETHOPRIM SULFATE 70212, 70445 1568<br />
MAXIDONE 02082 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
RESCON-GG 02094 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENYLEPHRINE HCL 52490, 70358 1941, 1943<br />
TRIAMINIC VAPOR PATCH 02106 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL 50845, 53325 1943<br />
ANTI ACID NO. 1 02122 COMBINATION PRODUCT 51380 2 6 2 BISMUTH ANTI-DIARRHEA AGENTS, CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50635, 50785, 53175 0874<br />
ANTI-TUSS DM 02155 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
RESCON-MX 02171 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PSEUDOEPHEDRINE HCL 70226, 70243, 70256 1944<br />
CARBATUSS 02178 COMBINATION PRODUCT 51380 1 6 2 CARBETAPENTANE, GUAIFENESIN, PHENYLEPHRINE BITARTRATE 50898, 52490, 70380 2087<br />
HIB/HEP B 02193 COMBINATION PRODUCT 51380 1 6 2 HEPATITIS B VACCINE, HAEMOPHILUS B CONJUGATE VACCINE 52548, 56445 1180<br />
ANTISEPTIC MOUTHWASH 02205 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, CHLOROTHYMOL, EUCALYPTUS OIL, MENTHOL, THYMOL 50660, 51105, 52190, 53325, 55815 1264<br />
OIL OF OLAY DAILY UV PROTECTANT 02210 COMBINATION PRODUCT 51380 2 6 2 OCTYL METHOXYCINNAMATE, TITANIUM DIOXIDE 70244, 70261 1269<br />
MALARONE 02228 COMBINATION PRODUCT 51380 1 6 2 ATOVAQUONE, PROGUANIL HCL 57120, 70496 1864<br />
ULTRASE MT 12 02238 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
INVISI-BLEACH GEL 02255 COMBINATION PRODUCT 51380 2 6 2 HYDROGEN PEROXIDE, WATER, ACRYLATES/STEARETH-20, ITACONATE COPOLYMER 52665, 70460, 70505, 70506 1265<br />
ESTRATEST W/IRON 02308 COMBINATION PRODUCT 51380 1 6 2 METHYLTESTOSTERONE, FERROUS SULFATE, ESTERIFIED ESTROGENS 53670, 70174, 70531 1033, 1034<br />
ALKA-SELTZER GOLD 02323 COMBINATION PRODUCT 51380 2 6 2 CITRIC ACID, SODIUM BICARBONATE, POTASSIUM BICARBONATE 51235, 55280, 70536 0879<br />
PANCRECARB MS-8 02332 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
CHILDREN'S VITAMIN W/IRON 02365 MULTIVITAMIN COMBINATION 51382 2 6 2 IRON PREPARATIONS, VITAMINS 52885, 59702 0913<br />
TRIPLE PASTE 02379 COMBINATION PRODUCT 51380 2 6 2 STEARYL ALCOHOL, PETROLEUM, ZINC OXIDE, CORN STARCH, ANHYDROUS LANOLIN 55490, 70038, 70052, 70413, 70643 1265<br />
APRESOLINE-ESIDRIX 02410 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, HYDRALAZINE HCL 52645, 70339 0506<br />
ASBRON G 02690 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940<br />
ASCRIPTIN W/CODEINE 02740 COMBINATION PRODUCT 51380 1 3 2 ALUMINUM HYDROXIDE, ASPIRIN, CODEINE, MAGNESIUM HYDROXIDE 50145, 50410, 51340, 70112 1721<br />
ASPIRIN-SECOBARBITAL SODIUM 02840 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, SECOBARBITAL SODIUM 50410, 70265<br />
AUGMENTIN 125 02987 COMBINATION PRODUCT 51380 1 6 2 AMOXICILLIN, CLAVULANATE POTASSIUM 50260, 70341 0346<br />
CORTISPORIN OINTMENT 03003 COMBINATION PRODUCT 51380 2 6 2 LEVONORGESTREL, ACACIA GUM, POLYMYXIN B SULFATE, HYDROCORTISONE ACETATE, NEOMYCIN SULFATE 50002, 50004, 70212, 70334, 70362 1032<br />
MOTRIN CHILDREN'S COLD SUSP 03021 COMBINATION PRODUCT 51380 2 6 2 IBUPROFEN, PSEUDOEPHEDRINE HCL 52730, 70256 1945<br />
MULTI FERROUS FOLIC 03077 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, VITAMIN C, VITAMIN B COMPLEX, IRON SULFATE 52355, 56193, 56345, 70685 0913<br />
MSM W/GLUCOSAMINE 03093 COMBINATION PRODUCT 51380 2 6 2 GLUCOSAMINE, METHYLSULFONYL-METHANE 70012, 70695 2100<br />
AZO METHALATE 03145 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE, PHENAZOPYRIDINE HCL 53530, 70342<br />
MAXIFED DM 03158 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE, DEXTROMETHORPHAN HBR 52490, 54960, 70338 1941, 1943<br />
AZPAN 03223 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 1940<br />
B COMPLEX B-12 W/C 03260 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 53915, 54990, 55105, 56192, 56193 0913<br />
B COMPLEX HIGH POTENCY 03270 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755<br />
KARIVA 03286 COMBINATION PRODUCT 51380 1 6 2 DESOGESTREL, ETHINYL ESTRADIOL 57058, 70027 1040<br />
URO BLUE 03292 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, METHYLENE BLUE, PHENYL SALICYLATE, SODIUM BIPHOSPHATE, METHENAMINE SULFATE 52720, 53640, 54440, 59728, 70724 0354<br />
HISTA-VENT DA 03314 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PHENYLEPHRINE HCL 70226, 70243, 70358 0877, 1941, 1944<br />
B-C-BID 03330 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54990, 55105, 55755 0631<br />
DERMAGRAN TRI-ZINC INCONTINENT WASH 03347 COMBINATION PRODUCT 51380 2 6 2 ZINC, VITAMIN B-6 70310, 70697 1265<br />
TRITAN 03353 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE TANNATE, PHENYLEPHRINE TANNATE, PYRILAMINE TANNATE 70402, 70403, 70404 1941, 1944<br />
BABY COUGH SYRUP 03365 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, SODIUM CITRATE 50245, 55320 1943<br />
CHLORAZENE 03408 COMBINATION PRODUCT 51380 2 6 2 CHLORAMINE-T, SODIUM P-TOLUENE-SULFONCHLORA 70749, 70750 1264<br />
BALANCED SALT SOLUTION 03477 COMBINATION PRODUCT 51380 1 6 2 CALCIUM ION, MAGNESIUM CHLORIDE, POTASSIUM ION, SODIUM CHLORIDE 50806, 53190, 54713, 55315 1569<br />
BAROPHEN ELIXIR 03605 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50090, 50420, 52720, 54395, 55180 0877<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BAUMODYNE 03660 COMBINATION PRODUCT 51380 2 6 2 EUCALYPTUS OIL, MENTHOL, METHYL SALICYLATE 52190, 53325, 53620<br />
BECOTIN 03715 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54175, 54990, 55105, 55755 0913<br />
BELLADENAL-S 03790 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, PHENOBARBITAL 50495, 54395 0877<br />
BELLADONNA W/PHENOBARBITAL 03825 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE 52720, 54395, 55180, 70120 0877<br />
BENEDICT'S QUALITATIVE SOLUTION 03945 COMBINATION PRODUCT 51380 2 6 2 CUPRIC SULFATE, SODIUM CARBONATE, SODIUM CITRATE 51445, 55310, 55320 0914<br />
CALCIUM-MAGNESIUM-ZINC SUPPLEMENT 04002 MULTIVITAMIN COMBINATION 51382 2 6 2 CALCIUM CARBONATE, CALCIUM CITRATE, MAGNESIUM OXIDE, ZINC CHELATE, MAGNESIUM CITRATE 50785, 56370, 56495, 70154, 70275 0913<br />
ED-FLEX 04062 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, SALICYLAMIDE, PHENYLTOLOXAMINE CITRATE 50005, 55150, 70255 1720, 1944<br />
DURAPHEN II 04112 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE HCL 52490, 70358 1941, 1943<br />
NEW BASICS 04192 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
DECONAMINE 04226 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1944, 1945<br />
EAR-GESIC 04251 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, ISOPROPYL ALCOHOL 50660, 52925 1670<br />
BILAMIDE 04265 COMBINATION PRODUCT 51380 1 6 2 DEHYDROCHOLIC ACID, HOMATROPINE, OX BILE EXTRACT, PHENOBARBITAL 51585, 52615, 54065, 54395 0877<br />
BILEZYME 04280 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, DEHYDROCHOLIC ACID, DESOXYCHOLIC ACID, PROTEINASE 50283, 51585, 51627, 54923 0877<br />
BIOTRUM 04353 COMBINATION PRODUCT 51380 2 6 2 BIOTIN, FOLIC ACID, IRON PREPARATIONS, MULTIVITAMINS GENERAL 50620, 52355, 52885, 53780 0913<br />
BISMAPEC 04405 COMBINATION PRODUCT 51380 2 6 2 BISMUTH ANTI-DIARRHEA AGENTS, KAOLIN, PECTIN 50635, 52955, 54238<br />
BISMUTH & PAREGORIC 04415 COMBINATION PRODUCT 51380 1 5 2 BISMUTH ANTI-DIARRHEA AGENTS, PAREGORIC 50635, 54215<br />
BROMHIST DM PEDIATRIC SYRUP 04431 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, BROMPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR 52490, 70239, 70338 1940<br />
ALENOL 04443 COMBINATION PRODUCT 51380 2 6 2 CYSTEINE, MULTIVITAMINS, SELENIUM, ALOE VERA, GRAPE SEED EXTRACT 51515, 53805, 57026, 70197, 70935 2100<br />
HYDRO-TUSSIN HC 04452 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70217, 70226, 70256 1945<br />
DUKE'S MAGIC MOUTHWASH FORMULA 04487 COMBINATION PRODUCT 51380 3 6 2 HYDROCORTISONE, NYSTATIN, DIPHENHYDRAMINE HCL 52655, 53995, 70344 1200<br />
TRINESSA 04512 COMBINATION PRODUCT 51380 1 6 2 NORGESTIMATE, ETHINYL ESTRADIOL 57122, 70027 1034<br />
ABSORBINE ARTHRITIS 04522 COMBINATION PRODUCT 51380 2 6 2 ACETONE, CAPSAICIN, MENTHOL, CALENDULA, ECHINACEA 50035, 50867, 53325, 70066, 70954 1724<br />
BO-CAR-AL 04550 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM POTASSIUM SULFATE, BORIC ACID, MENTHOL, METHYL SALICYLATE, PHENOL 50157, 50660, 53325, 53620, 54400<br />
MULTIFOL 04566 MULTIVITAMIN COMBINATION 51382 1 6 2 FOLIC ACID, VITAMIN A, VITAMIN C, VITAMIN D, VITAMIN B COMPLEX 52355, 56185, 56193, 56194, 56345 0913<br />
BREACOL COUGH 04638 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 70226, 70254, 70338 1941, 1943, 1944<br />
TOURO CC 04651 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70256, 70338 1941, 1943<br />
MAGNOX 04680 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM CHLORIDE, MAGNESIUM CHLORIDE 50140, 53190 0913<br />
BROMANATE EXPECTORANT 04765 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 52490, 54455, 54465<br />
BROMOPHEN T.D. 04810 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL 70239, 70254, 70358 1941, 1944<br />
BROMPHENIRAMINE W/CODEINE DC EXPECTORANT 04855 COMBINATION PRODUCT 51380 1 5 2 BROMPHENIRAMINE, CODEINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 51340, 52490, 54455, 54465 1943<br />
BROWN MIXTURE AMMONIATED 04945 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, AMMONIUM CHLORIDE, ANTIMONY POTASSIUM TARTRATE, GLYCYRRHIZA, PAREGORIC 50090, 50245, 50323, 52465, 54215<br />
BURN SPRAY 05044 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZOCAINE, ISOPROPYL MYRISTATE, POLYETHYLENE GLYCOL 50090, 50530, 52928, 54590<br />
BUTALBITAL W/CODEINE 05103 COMBINATION PRODUCT 51380 1 3 2 BUTALBITAL, CODEINE 50728, 51340 1721<br />
C TUSSIN EXPECTORANT 05165 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256<br />
C-FLAVONOIDS 05185 COMBINATION PRODUCT 51380 2 6 2 BIOFLAVONOIDS, VITAMIN C 50615, 56193<br />
C-100 PLUS 05225 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PYRIDOXINE, RIBOFLAVIN, RUTIN, VITAMIN C 53905, 54990, 55105, 55135, 56193<br />
CAL PRENAL 05285 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
CALAMATUM 05315 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CALAMINE, CAMPHOR, PHENOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 50755, 50845, 54400, 56265 1265<br />
CALCEE 05350 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, DEXTROSE, VITAMIN C 50770, 51675, 56193 0915<br />
CALDESENE 05485 COMBINATION PRODUCT 51380 2 6 2 VITAMIN A, VITAMIN D, ZINC TOPICAL AGENTS, EXTERNAL USE 56185, 56194, 56265 1265<br />
CALSUXAPHEN 05540 COMBINATION PRODUCT 51380 1 6 2 CALCIUM SUCCINATE, PHENOBARBITAL, SALICYLAMIDE, VITAMIN C 50810, 54395, 55150, 56193<br />
CANTIL W/PHENOBARBITAL 05605 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, MEPENZOLATE BROMIDE 54395, 70354<br />
CAPRON 05650 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, PHENACETIN 50005, 50410, 50745, 54350<br />
CARBROGESIC 05735 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, PHENACETIN 50410, 50745, 54350 1720, 2087<br />
CASCARA COMPOUND 05865 COMBINATION PRODUCT 51380 2 6 2 ALOIN, BELLADONNA, CASCARA, GINGER, PODOPHYLLUM 50109, 50495, 50935, 52408, 54560 0876<br />
CEBEFORTIS 05920 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN C 53915, 54990, 55105, 55770, 56193 0913<br />
CEROSE 06160 COMBINATION PRODUCT 51380 2 5 2 CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 70226, 70338, 70358 1945<br />
CETYLCIDE 06230 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, ISOPROPYL ALCOHOL, CETYLDIMETHYLETHYL AMMONIUM BR 50515, 52925, 70661 1265<br />
CHERALIN 06310 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, ANTIMONY POTASSIUM TARTRATE, POTASSIUM GUAIACOLSULFONATE, WHITE PINE SYRUP, WILD CHERRY SYRUP 50245, 50323, 54700, 56225, 56230<br />
CHERRALEX W/CODEINE 06325 COMBINATION PRODUCT 51380 2 5 2 AMMONIUM CHLORIDE, CODEINE, POTASSIUM GUAIACOLSULFONATE, WHITE PINE SYRUP, WILD CHERRY SYRUP 50245, 51340, 54700, 56225, 56230 1943<br />
CHLOR-TRIMETON EXPECTORANT 06410 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, CHLORPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, SODIUM CITRATE 50245, 51130, 52490, 54455, 55320 1944<br />
CHLORZOXAZONE W/ACETAMINOPHEN 06663 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORZOXAZONE 50005, 51175 1373<br />
CLIPOXIDE 06940 COMBINATION PRODUCT 51380 1 6 2 CLIDINIUM BROMIDE, CHLORDIAZEPOXIDE HCL 51250, 70356 0877<br />
CO-APAP 07045 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50005, 70226, 70256, 70338 1945<br />
COCILLANA COMPOUND SYRUP W/CODEINE 07130 COMBINATION PRODUCT 51380 2 5 2 COCILLANA, EUPHORBIA, LACTUCA, SENEGA FLUID EXTRACT, SQUILL 51320, 52194, 52992, 55198, 55463 1943<br />
CODEHIST 07175 COMBINATION PRODUCT 51380 1 4 2 PSEUDOEPHEDRINE, CHLORPHENIRAMINE MALEATE, CODEINE PHOSPHATE 54960, 70226, 70231 1941, 1943, 1944<br />
CODIMAL EXPECTORANT 07210 COMBINATION PRODUCT 51380 2 6 2 CITRIC ACID, PHENYLPROPANOLAMINE, POTASSIUM GUAIACOLSULFONATE, SODIUM CITRATE 51235, 54465, 54700, 55320 1941, 1943<br />
COLD CREAM 07290 COMBINATION PRODUCT 51380 3 6 2 COLD CREAM 70646 1265<br />
COLD TABLETS 07305 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CHLORPHENIRAMINE 50410, 51130 1945<br />
COLREX DECONGESTANT 07370 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, TRIPELENNAMINE 51130, 54455, 54465, 56015 1941, 1944<br />
COMBINATE 07433 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
CONAR 07495 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PHENYLEPHRINE 51670, 52490, 54455 1943<br />
CONEX PLUS 07515 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50005, 70226, 70254 1945<br />
CONTAC JR. 07565 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50005, 70256, 70338 1945<br />
CONTIQUE WETTING 07595 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, EDETATE DISODIUM, HYDROXYPROPYL METHYLCELLULOSE, POLYVINYL ALCOHOL 50515, 52015, 52700, 54610 1569<br />
CORILIN 07705 COMBINATION PRODUCT 51380 1 6 2 SODIUM SALICYLATE, CHLORPHENIRAMINE MALEATE 56325, 70226 1720, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
CORYZAID 07845 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, CHLORPHENIRAMINE, PHENYLEPHRINE, SALICYLAMIDE 50745, 51130, 54455, 55150 1945<br />
COVANGESIC 07945 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL, PYRILAMINE MALEATE 50005, 70226, 70254, 70358, 70394 1945<br />
CYTAL 08215 COMBINATION PRODUCT 51380 1 6 2 MANNITOL, SORBITOL 53245, 55435 2095<br />
D-SINUS 08310 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE 50005, 54465 1941<br />
DAINITE 08365 COMBINATION PRODUCT 51380 1 6 2 ALUMINUM HYDROXIDE, AMINOPHYLLINE, EPHEDRINE, PHENOBARBITAL, POTASSIUM IODIDE 50145, 50210, 52035, 54395, 54710 1940<br />
DAYCARE 08525 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ALCOHOL, GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50005, 50090, 52490, 70256, 70338<br />
DECADRON PHOSPHATE W/XYLOCAINE 08600 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE SODIUM PHOSPHAT, LIDOCAINE HCL 70369, 70370 1032<br />
DECONEX 08665 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE 50005, 54465 1941<br />
DEHIST 08705 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 51130, 54465 1941, 1944<br />
DEMULEN-28 08810 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, ETHYNODIOL DIACETATE 70027, 70028 1040<br />
DERMA PH LOTION 08935 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, BENZETHONIUM CHLORIDE, GLYCERIN, MONOETHANOLAMINE 50103, 50520, 52450, 53758<br />
DERMOLATUM 08990 COMBINATION PRODUCT 51380 3 6 2 CETYL ALCOHOL, MINERAL OIL, PETROLATUM, PROPYLENE GLYCOL, STEARYL ALCOHOL 51020, 53720, 54330, 54895, 55490<br />
DEXAPED 09110 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185<br />
DI-CAL MEAD 09200 COMBINATION PRODUCT 51380 2 6 1 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, VITAMIN D 50770, 52045, 56194 0913<br />
DIASPORAL 09355 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID, SULFUR 55160, 55610<br />
DICAL-D W/VITAMIN C 09401 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, VITAMIN C, PHOSPHORUS 50770, 52045, 56193, 57034 0913<br />
DICALCIUM PHOSPHATE W/VITAMIN D & IRON 09420 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, IRON PREPARATIONS 50770, 52045, 52885<br />
DIGESTALIN 09510 COMBINATION PRODUCT 51380 2 6 2 BISMUTH ANTI-DIARRHEA AGENTS, CHARCOAL, HYDRASTIS, PEPSIN 50635, 51025, 52634, 54310<br />
DIMOTAL 09697 COMBINATION PRODUCT 51380 1 5 2 ATROPINE, DIPHENOXYLATE 50420, 51868 0875<br />
DIOSUCCIN C SYRUP 09785 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935<br />
DIPHTHERIA TETNUS TOXOIDS PERTUSSIS 09990 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, PERTUSSIS VACCINE, TETANUS TOXOID 51910, 54328, 55710 1180<br />
DOBELL'S SOLUTION 10050 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, PHENOL, SODIUM BICARBONATE, SODIUM BORATE 52450, 54400, 55280, 55295 1265<br />
DOLACET 10105 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
DOMOL 10170 COMBINATION PRODUCT 51380 2 6 2 ISOPROPYL MYRISTATE, MINERAL OIL, ISOPROPYL SEBACATE 52928, 53720, 70625 1265<br />
DONNA-PHEN ELIXIR 10190 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, ATROPINE SULFATE, HYOSCYAMINE SULFATE, HYOSCINE HBR 54395, 70120, 70336, 70647 0875<br />
DONPHEN 10220 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0877<br />
DOUBLE K 10280 COMBINATION PRODUCT 51380 1 6 2 CHLORIDE ION, POTASSIUM ION 51064, 54713<br />
DOVOSAL 10310 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CAMPHOR, OPIUM, PHENACETIN 50410, 50745, 50845, 54035, 54350 1720<br />
DRAWING SALVE 10407 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, BENZOCAINE, CAMPHOR, ICHTHAMMOL 50515, 50530, 50845, 52735 1265<br />
DUALEX 10560 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, POTASSIUM IODIDE 52490, 54710 2087<br />
DURADYNE D.H.C. 10715 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, DIHYDROCODEINE 50005, 50410, 50745, 52647 1721<br />
DURATESTRIN 10770 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
E-R-O 10915 COMBINATION PRODUCT 51380 2 6 2 PROPYLENE GLYCOL, GLYCEROL 54895, 70629<br />
EAZOL 10949 COMBINATION PRODUCT 51380 2 6 2 DEXTROSE, FRUCTOSE, ORTHOPHOSPHORIC ACID 51675, 52370, 70547<br />
ELDEC 11075 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
ELIMINAL 11133 COMBINATION PRODUCT 51380 2 6 2 GINGER, PANCREATIN, PAPAIN, SODIUM BICARBONATE 52408, 54160, 54180, 55280 0877<br />
EMPIRIN COMPOUND #1 11220 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350<br />
EMPRACET 11265 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340<br />
ENARAX 11305 COMBINATION PRODUCT 51380 1 6 2 HYDROXYZINE, OXYPHENCYCLIMINE 52715, 54095 0626<br />
ENDECON 11320 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE HCL 50005, 70254 1720, 1941<br />
EPIFOAM 11520 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE ACETATE, PRAMOXINE HCL 70334, 70335 1265<br />
ESGIC W/CODEINE 11689 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE, CODEINE 50005, 50728, 50745, 51340 1721<br />
EVAC-Q-KIT 11980 COMBINATION PRODUCT 51380 2 6 2 BISACODYL, ELECTROLYTES 50630, 52023 0876<br />
EXPECTORANT COMPOUND SYRUP 12048 COMBINATION PRODUCT 51380 1 5 2 COCILLANA, ETHYLMORPHINE, LACTUCA, SENEGA FLUID EXTRACT, SQUILL 51320, 52165, 52992, 55198, 55463 1943<br />
FAMILY VITAMIN 12130 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACIN, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53905, 55105, 55755, 56185 0913<br />
FEBRO-BAR 12155 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, PHENACETIN, PHENOBARBITAL 50410, 50745, 54350, 54395 1720, 2087<br />
FENDOL 12235 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE, SALICYLAMIDE, PHENYLEPHRINE HCL 50005, 50745, 55150, 70358 1720<br />
FERRALET PLUS 12370 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN B-12, VITAMIN C 52355, 52885, 56192, 56193<br />
FERROUS SULFATE W/BREWER'S YEAST 12495 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, YEAST 52885, 56250 0408<br />
FILIBON OT 12540 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN A 52045, 54990, 55105, 55770, 56185 0913<br />
FIORINAL NO. 3 12565 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE, CODEINE PHOSPHATE 50410, 50728, 50745, 70231 1721, 1723<br />
FLORICAL 12663 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, SODIUM FLUORIDE 50770, 55330 0913<br />
FOMAC 12890 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID, SULFUR 55160, 55610 1265<br />
FORMULA 44 DISC 12950 COMBINATION PRODUCT 51380 2 6 2 ANETHOLE, BENZOCAINE, DEXTROMETHORPHAN, MENTHOL, PEPPERMINT 50284, 50530, 51670, 53325, 54305 1945, 1946<br />
FREEZONE 13008 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, COLLODION, ETHER, SALICYLIC ACID, ZINC TOPICAL AGENTS, EXTERNAL USE 50090, 51375, 52105, 55160, 56265 2087<br />
G.B.S. 13135 COMBINATION PRODUCT 51380 1 6 2 DEHYDROCHOLIC ACID, PHENOBARBITAL, HOMATROPINE METHYL BROMIDE 51585, 54395, 70218 0876<br />
GELCIMISAL 13260 COMBINATION PRODUCT 51380 2 6 2 CILASTATIN SODIUM, GELSEMIUM, POTASSIUM IODIDE, SALICYLIC ACID 51219, 52397, 54710, 55160<br />
GER-I-BON 13365 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACINAMIDE, PANTOTHENIC ACID, RIBOFLAVIN, THIAMINE 52885, 53915, 54175, 55105, 55755 2087<br />
GERIATRIC VITAMINS 13400 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIMEROSAL, VITAMIN A, VITAMIN C 52045, 55105, 55770, 56185, 56193 0913<br />
GERILITE 13428 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACIN, PANTHENOL, VITAMIN C, VITAMIN B 52885, 53905, 54173, 56193, 56340 2087<br />
GLUCOVITE 13555 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, MULTIVITAMINS, RIBOFLAVIN, THIAMINE, VITAMIN C 52885, 53805, 55105, 55755, 56193 0913<br />
GLUTAVITE 13570 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACIN, PYRIDOXINE, RIBOFLAVIN 52885, 53905, 54990, 55105 2087<br />
GLYCOTUSS DM SYRUP 13685 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338<br />
GUSTASE 13910 COMBINATION PRODUCT 51380 2 6 2 AMYLASE, CELLULASE, PROTEASE 50283, 50968, 70054 0877<br />
GUSTASE PLUS 13915 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, CELLULASE, PHENOBARBITAL, PROTEASE, HOMATROPINE METHYL BROMIDE 50283, 50968, 54395, 70054, 70218 0877<br />
HEET LINIMENT 14108 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CAMPHOR, CAPSAICIN, METHYL SALICYLATE 50090, 50845, 50867, 53620 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
HEMATINIC (STUART) 14140 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 54990, 55105, 55755, 56192 0913<br />
HEMORRHOIDAL OINTMENT 14180 COMBINATION PRODUCT 51380 2 6 2 PHENYLMERCURIC NITRATE, SHARK LIVER OIL, LIVE YEAST CELL 54460, 55213, 70666 1272<br />
HEPICEBRIN 14260 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193 0913<br />
HI B-COMPLEX W/C 14380 COMBINATION PRODUCT 51380 1 6 2 VITAMIN C, VITAMIN B COMPLEX 56193, 56345 0913<br />
HI POTENCY VITAMIN-MINER-IRON NEO-VADRIN 14400 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, IRON PREPARATIONS, NIACINAMIDE, RIBOFLAVIN, VITAMIN A 52045, 52885, 53915, 55105, 56185 0913<br />
HISTAGESIC 14490 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 50005, 70226, 70358 1945<br />
HISTALET SYRUP 14510 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
HISTASPAN-PLUS 14555 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE 51130, 54455 1941, 1944<br />
HOSPITAL RUB 14695 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, LANOLIN, MENTHOL 50103, 53003, 53325 1200<br />
HYCOMINE 14795 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, PHENYLPROPANOLAMINE HCL 70217, 70254 1941, 1943<br />
HYDRO PROPANOLAMINE SYRUP 14890 COMBINATION PRODUCT 51380 1 3 2 DIHYDROCODEINE, PHENYLPROPANOLAMINE 52647, 54465 1941, 1943<br />
HYDROPRES 15035 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080 0506<br />
HYTINIC-PLUS 15295 COMBINATION PRODUCT 51380 1 6 2 VITAMIN B COMPLEX, FERROUS GLUCONATE 56345, 70410 0408, 0913<br />
INCREMIN W/IRON 15570 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, LYSINE, PYRIDOXINE, THIAMINE, VITAMIN B-12 52885, 53160, 54990, 55755, 56192 0913<br />
INFANTOL PINK 15610 COMBINATION PRODUCT 51380 2 5 2 BISMUTH SALICYLATE, CHONDRUS, PAREGORIC, PECTIN, ZINC TOPICAL AGENTS, EXTERNAL USE 50640, 51203, 54215, 54238, 56265 0875<br />
IOPHEN-C 15798 COMBINATION PRODUCT 51380 1 5 2 IODINATED GLYCEROL, CODEINE PHOSPHATE 52825, 70231 1943<br />
IROMIDE 15855 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, LIVER DERIVATIVE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 53125, 55105, 55755, 56192 2087<br />
IRON W/VITAMIN C 15885 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C 52885, 56193 0408, 0913<br />
IRRIGOL 15915 COMBINATION PRODUCT 51380 2 6 2 SODIUM BICARBONATE, SODIUM BORATE, SODIUM CHLORIDE, THYMOL 55280, 55295, 55315, 55815<br />
ISOCLOR TIMESULE 15955 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE, CODEINE PHOSPHATE 52490, 54960, 70231 1941, 1944<br />
ISOLYTE W/DEXTROSE 15988 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, POTASSIUM SODIUM TARTRATE, SODIUM CHLORIDE 51675, 54740, 55315 0914<br />
ISOPTO P-ES 16080 COMBINATION PRODUCT 51380 1 6 2 HYDROXYPROPYL METHYLCELLULOSE, PHYSOSTIGMINE, PILOCARPINE 52700, 54490, 54500 1566<br />
JACOBSON'S SOLUTION 16160 COMBINATION PRODUCT 51380 1 6 2 BENZYL ALCOHOL, BENZYL CINNAMATE, OLIVE OIL, VITAMIN A, ETHYL CINNAMATE 50570, 50576, 54030, 56185, 60025 0913<br />
K-B-P W/OPIUM 16190 COMBINATION PRODUCT 51380 1 3 2 BISMUTH ANTI-DIARRHEA AGENTS, KAOLIN, OPIUM, PECTIN 50635, 52955, 54035, 54238<br />
K-PHOS W/S.A.P. 16265 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM ACIDIFYING AGENTS, SODIUM PHOSPHATE 54735, 55385 2087<br />
KANALKA 16300 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, CALCIUM CARBONATE, MAGNESIUM ANTACIDS, PHENOBARBITAL 50530, 50785, 53175, 54395<br />
KAOMEAD W/BELLADONNA ALKALOIDS 16355 COMBINATION PRODUCT 51380 2 6 2 ATROPINE, HYOSCYAMINE, KAOLIN, PECTIN, SCOPOLAMINE HBR 50420, 52720, 52955, 54238, 55180 0875<br />
KENPECTIN-P 16515 COMBINATION PRODUCT 51380 2 5 2 ALUMINUM HYDROXIDE, KAOLIN, PAREGORIC, PECTIN 50145, 52955, 54215, 54238 0875<br />
KLEER 16660 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, DEXTROMETHORPHAN, PHENYLEPHRINE, VITAMIN C 51130, 51670, 54455, 56193 1945<br />
KLEER COMPOUND 16665 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, GUAIFENESIN, PHENYLPROPANOLAMINE HCL 50005, 52490, 70254 1720, 1941, 1943<br />
KLEER-TUSS 16700 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, DEXTROMETHORPHAN, METHSCOPOLAMINE, PHENYLEPHRINE 51130, 51670, 53600, 54455<br />
KOMED HC LOTION 16760 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, ISOPROPYL ALCOHOL, MENTHOL, SALICYLIC ACID, SODIUM THIOSULFATE 52655, 52925, 53325, 55160, 55425 1265<br />
LACTICARE LOTION 16945 COMBINATION PRODUCT 51380 2 6 2 LACTIC ACID, SODIUM PYRROLIDONE CARBOXYLATE 52980, 70562 1265<br />
LANABURN 17000 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM SUBACETATE, BORIC ACID, EUCALYPTUS OIL, PHENOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50160, 50660, 52190, 54400, 56265 2087<br />
LANATUSS EXPECTORANT 17030 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, CITRIC ACID, GUAIFENESIN, PHENYLPROPANOLAMINE, SODIUM CITRATE 51130, 51235, 52490, 54465, 55320 1943<br />
LANTRISUL 17125 COMBINATION PRODUCT 51380 1 6 2 SULFADIAZINE, SULFAMERAZINE, SULFAMETHAZINE 55540, 55543, 55548 0353<br />
LAXADANE 17225 COMBINATION PRODUCT 51380 2 6 2 BISACODYL, DOCUSATE 50630, 51935 0876<br />
LENS-MATE 17290 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, EDETATE DISODIUM, HYDROXYPROPYL METHYLCELLULOSE, POLYVINYL ALCOHOL 50515, 52015, 52700, 54610 1569<br />
LIDA-MANTLE-HC 17470 COMBINATION PRODUCT 51380 1 6 2 LIDOCAINE, HYDROCORTISONE ACETATE 53070, 70334 1265<br />
LIPO THREE 17575 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, COBALAMIN, INOSITOL, RIBOFLAVIN, THIAMINE 51195, 51308, 52785, 55105, 55755 0913<br />
LIVITAMIN 17765 COMBINATION PRODUCT 51380 2 6 2 COPPER, IRON PREPARATIONS, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 51393, 52885, 54990, 55105, 55770 0913<br />
LIVITAMIN W/INTRINSIC FACTOR 17780 COMBINATION PRODUCT 51380 1 6 2 COPPER, IRON PREPARATIONS, LIVER DERIVATIVE, RIBOFLAVIN, THIMEROSAL 51393, 52885, 53125, 55105, 55770 0913<br />
LUBRICATING JELLY 17970 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, PROPYLENE GLYCOL 52450, 54895 1265<br />
M-M-R 18100 COMBINATION PRODUCT 51380 1 6 2 MEASLES VIRUS VACCINE, MUMPS VIRUS VACCINE, RUBELLA VIRUS VACCINE 53255, 53820, 55130 1180<br />
MAGMALIN 18155 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
MAGNALUM 18170 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
MAGNESIUM/ALUMINUM HYDROXIDE 18221 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
MALLENZYME 18245 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, BELLADONNA, CELLULASE, LIPASE, PROTEINASE 50283, 50495, 50968, 53118, 54923 2087<br />
MAMMOL 18300 COMBINATION PRODUCT 51380 2 6 2 BALSAM, CASTOR OIL, CERESIN WAX, LANOLIN, BISMUTH 50460, 50940, 51008, 53003, 70123 1265<br />
MARFLEX PLUS 18415 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, ORPHENADRINE, PHENACETIN 50410, 50745, 54050, 54350<br />
MEDICONET 18615 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, GLYCERIN, HAMAMELIS WATER, LANOLIN, METHYLPARABEN 50515, 52450, 52535, 53003, 53650 1265<br />
MEPROGESIC 18798 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, MEPROBAMATE 50410, 53370 1720<br />
METHOCARBAMOL W/ASA 19075 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, METHOCARBAMOL 50410, 53560 1373<br />
MEVATINIC-C 19250 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, HESPERIDIN, IRON PREPARATIONS, VITAMIN B-12, VITAMIN C 52355, 52550, 52885, 56192, 56193<br />
MILKINOL 19395 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, MINERAL OIL 51935, 53720 0876<br />
MIN-GERA 19425 COMBINATION PRODUCT 51380 1 6 2 ESTRONE, TESTOSTERONE, THIAMINE, VITAMIN B-12 52080, 55695, 55755, 56192<br />
MISSION PRENATAL F.A. 19520 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
MOUTHWASH & GARGLE 19685 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CETYLPYRIDINIUM, MENTHOL 50090, 51023, 53325 1264<br />
MULTA-GEN 12 19745 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193 0913<br />
MULTI-CHEWZ 19760 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
MULTI-VITAMIN 19785 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
MULTI-VITES 19790 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
MYAMEAD 20005 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
MYSTECLIN F 20140 COMBINATION PRODUCT 51380 1 6 2 AMPHOTERICIN, TETRACYCLINE 50270, 55725 0350, 0355<br />
NALDELATE SYRUP 20200 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLTOLOXAMINE CITRATE, PHENYLEPHRINE HCL 70226, 70254, 70255, 70358 1941, 1944<br />
NATABEC 20360 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
NATABEC-FA 20375 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193 0913<br />
NAZAC DECONGESTANT 20440 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, CHLORPHENIRAMINE, PHENIRAMINE, PHENYLPROPANOLAMINE 50495, 51130, 54385, 54465<br />
NELOVA 20497 COMBINATION PRODUCT 51380 1 6 2 NORETHINDRONE, ETHINYL ESTRADIOL 53965, 70027 1040<br />
NEO-FLO 20545 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, BORIC ACID, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CARBONATE, SODIUM CHLORIDE 50515, 50660, 54655, 55310, 55315 2087<br />
NEO-TEARS 20610 COMBINATION PRODUCT 51380 2 6 2 HYDROXYETHYL CELLULOSE, POLYVINYL ALCOHOL, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE, SODIUM PHOSPHATE 52691, 54610, 54655, 55315, 55385 1569<br />
NEONIC 20695 COMBINATION PRODUCT 51380 1 6 2 NIACIN, VITAMIN C 53905, 56193 0913<br />
NIACAL 20880 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, NIACIN 50770, 53905 0913<br />
NIFEREX-150 FORTE 21030 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN B-12 52355, 52885, 56192 0408<br />
NINE VITAMIN W/IRON 21075 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
NOR MIL 21235 COMBINATION PRODUCT 51380 1 5 2 ATROPINE, DIPHENOXYLATE 50420, 51868 0875<br />
NORETHIN 21278 COMBINATION PRODUCT 51380 1 6 2 UNDETERMINED, NORETHINDRONE 50000, 53965 1040<br />
NORMATANE ELIXIR 21360 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 54455, 54465 1941, 1944<br />
NOVACEBRIN 21415 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
NOVAHISTINE EXPECTORANT 21465 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN, PSEUDOEPHEDRINE 51340, 52490, 54960 1941, 1943<br />
NU THERA 21520 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 55105, 56185, 56193 0913<br />
NYQUIL LIQUI-CAPS 21670 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR, DIPHENHYDRAMINE HCL 50005, 70256, 70338, 70344 1722, 1941, 1944<br />
OPHTHOCORT 21855 COMBINATION PRODUCT 51380 1 6 2 CHLORAMPHENICOL, HYDROCORTISONE, POLYMYXIN B 51050, 52655, 70011 1568<br />
ORABASE 21925 COMBINATION PRODUCT 51380 2 6 2 CARMELLOSE, GELATIN, MINERAL OIL, PECTIN 50923, 52395, 53720, 54238 1265<br />
ORNACOL 22050 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, PHENYLPROPANOLAMINE 51670, 54465 1941, 1943<br />
ORTHOXICOL 22095 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 70226, 70254, 70338 1941, 1943<br />
P N S 22355 COMBINATION PRODUCT 51380 2 6 2 BISMUTH ANTI-DIARRHEA AGENTS, PHENYLEPHRINE, TETRACAINE, TYLOXAPOL 50635, 54455, 55715, 56090<br />
P-A-C COMPOUND W/CODEINE SULFATE 22415 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, CODEINE, PHENACETIN 50410, 50745, 51340, 54350<br />
PANSCOL 22680 COMBINATION PRODUCT 51380 2 6 2 LACTIC ACID, PHENOL, SALICYLIC ACID 52980, 54400, 55160 1265<br />
PAPZANS 22780 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PHENYLEPHRINE 50005, 51130, 54455 1720, 1941, 1944<br />
PAROTHYL 22888 COMBINATION PRODUCT 51380 1 6 2 MEPROBAMATE, TRIDIHEXETHYL CHLORIDE 53370, 55950 0874<br />
PECTOCOMP 23075 COMBINATION PRODUCT 51380 1 6 2 KAOLIN, PECTIN, ZINC TOPICAL AGENTS, EXTERNAL USE 52955, 54238, 56265<br />
PEDICRAN W/IRON 23155 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACINAMIDE, THIAMINE, VITAMIN B-12 52885, 53915, 55755, 56192 0913<br />
PENTATHYN 23265 COMBINATION PRODUCT 51380 1 3 2 CALCIUM REPLACEMENT AGENTS, PENTOBARBITAL, SALICYLAMIDE 50770, 54295, 55150<br />
PENTAZINE EXPECTORANT W/CODEINE 23280 COMBINATION PRODUCT 51380 1 5 2 CITRIC ACID, IPECAC, POTASSIUM GUAIACOLSULFONATE, CODEINE PHOSPHATE, PROMETHAZINE HCL 51235, 52870, 54700, 70231, 70411 1943<br />
PERIHEMIN 23470 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, INTRINSIC FACTOR CONCENTRATE, IRON PREPARATIONS, VITAMIN B-12, VITAMIN C 52355, 52793, 52885, 56192, 56193 0408<br />
PERTINEX 23545 COMBINATION PRODUCT 51380 2 6 2 DICHLOROPHENE, HEXACHLOROPHENE, TETRACAINE, UNDECYLENIC ACID, ZINC TOPICAL AGENTS, EXTERNAL USE 51712, 52560, 55715, 56110, 56265 1200<br />
PHENAPHEN NO. 3 23670 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
PHENATAPP ELIXIR 23695 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465 1945<br />
PHENERGAN-D 23795 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, PROMETHAZINE HCL 70256, 70411 1943, 1944<br />
PHENOBARBITAL & ATROPINE 23850 COMBINATION PRODUCT 51380 1 3 2 ATROPINE, PHENOBARBITAL 50420, 54395 0877<br />
PHISODAN 24070 COMBINATION PRODUCT 51380 2 6 2 SULFUR, SODIUM SALICYLATE 55610, 56325 1265<br />
PHOS-PHAID 24105 COMBINATION PRODUCT 51380 1 6 2 AMMONIUM PHOSPHATE, SODIUM PHOSPHATE, SODIUM PYROPHOSPHATE 50249, 55385, 55395 0915<br />
PHYSIOSOL IRRIGATION 24155 COMBINATION PRODUCT 51380 1 6 2 MAGNESIUM CHLORIDE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM ACETATE, SODIUM CHLORIDE, SODIUM GLUCONATE 53190, 54655, 55270, 55315, 55331 2087<br />
PLANTAMUCIN GRANULE 24295 COMBINATION PRODUCT 51380 2 6 2 KARAYA GUM, PLANTAGO SEED, PSYLLIUM, YEAST 52965, 54545, 54965, 56250<br />
POISON IVY SPRAY 24395 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CALAMINE, CAMPHOR, MENTHOL, ZIRCONIUM 50530, 50755, 50845, 53325, 56288 1265<br />
POLYSAL 24480 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, MAGNESIUM ANTACIDS, POTASSIUM ACIDIFYING AGENTS, SODIUM CHLORIDE 50770, 53175, 54735, 55315 0914<br />
POSTACNE LOTION 24580 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, SULFUR 50090, 55610 1265<br />
POTASSIUM CHLORIDE & SOD CHLOR 24655 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE 54655, 55315 0915<br />
PRENABEX 24970 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACIN, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53905, 55105, 55755, 56185 0913<br />
PRENATAMIN 24990 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, NIACIN, PYRIDOXINE, VITAMIN A, VITAMIN C 52045, 53905, 54990, 56185, 56193 0913<br />
PRINCIPEN W/PROBENECID 25070 COMBINATION PRODUCT 51380 1 6 2 AMPICILLIN, PROBENECID 50275, 54800 0346<br />
PROCAINE HCL W/EPINEPHRINE 25190 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE, PROCAINE HCL 52040, 70588 1268, 1272<br />
PROCUTE LOTION 25260 COMBINATION PRODUCT 51380 2 6 2 CETRIMONIUM BROMIDE, CETYL ALCOHOL, GLYCERIN, ISOPROPYL PALMITATE, STEARIC ACID 51018, 51020, 52450, 52927, 55485 2087<br />
PROMETHAZINE VC W/CODEINE 25430 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PHENYLEPHRINE HCL, PROMETHAZINE HCL 51340, 70358, 70411 1941, 1943, 1944<br />
PROPHYLLIN 25490 COMBINATION PRODUCT 51380 2 6 2 CHLOROPHYLL, SODIUM PROPIONATE 51085, 55393 2087<br />
PRUNICODEINE 25690 COMBINATION PRODUCT 51380 1 5 2 SANGUINARIA, TERPIN HYDRATE, WHITE PINE SYRUP, WILD CHERRY SYRUP, CODEINE SULFATE 55171, 55675, 56225, 56230, 70360 1721, 1943<br />
PYRROXATE 25875 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50005, 70226, 70254<br />
P4E1 25900 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE BITARTRATE, PILOCARPINE HCL 70381, 70574 1566<br />
QUELTUSS 25960 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
QUICK TANNING 26000 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CETYL ALCOHOL, HOMOSALATE 50090, 51020, 52617<br />
R-HCTZ-H 26088 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080<br />
RASPBERRY SYRUP 26120 COMBINATION PRODUCT 51380 3 6 2 ALCOHOL, RASPBERRY SYRUP, SUCROSE 50090, 55065, 55520<br />
RECTACORT 26205 COMBINATION PRODUCT 51380 1 6 2 ZINC OXIDE, HYDROCORTISONE ACETATE, BISMUTH SUBGALLATE, BALSAM PERU, BISMUTH RESORCIN 70052, 70334, 70389, 70418, 70419 1272<br />
REDUCETS 26245 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN B-12 52045, 55105, 55755, 56185, 56192 2087<br />
REPBIMONE 26380 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
RETICULEX 26465 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN B-12, VITAMIN C 52355, 52885, 53125, 56192, 56193 0408<br />
RHINATE 26535 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CHLORPHENIRAMINE 50410, 51130 1941<br />
RHINIHAB JR. 26570 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE 51130, 54455 1941, 1944, 1945<br />
RICOR 26690 COMBINATION PRODUCT 51380 1 3 2 CAMPHOR, GELSEMIUM, OPIUM, POTASSIUM IODIDE, SODIUM SALICYLATE 50845, 52397, 54035, 54710, 56325 2087<br />
ROMEX DECONGESTANT COUGH & COLD 26900 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL, PYRILAMINE MALEATE 52490, 70226, 70338, 70358, 70394<br />
RUBRAVITE 27095 COMBINATION PRODUCT 51380 2 6 2 THIAMINE, VITAMIN B-12 55755, 56192<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
RVPAQUE 27160 COMBINATION PRODUCT 51380 2 6 2 CINOXATE, PETROLATUM, ZINC TOPICAL AGENTS, EXTERNAL USE 51228, 54330, 56265 1265<br />
RYNA-TUSSADINE EXPECTORANT 27185 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PYRILAMINE 51130, 52490, 54455, 54465, 54995 1941, 1943, 1944<br />
SALATIN 27310 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE 50005, 50410, 50745 1720<br />
SALOCOL 27375 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE, SALICYLAMIDE 50005, 50410, 50745, 55150 1720<br />
SALUTENSIN 27420 COMBINATION PRODUCT 51380 1 6 2 HYDROFLUMETHIAZIDE, RESERPINE 52660, 55080 0506<br />
SAROFLEX 27475 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORZOXAZONE 50005, 51175<br />
SCRIP ZINC COMPOUND 27575 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50770, 53915, 54990, 55105, 55755<br />
SEDATANS 27705 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, PHENOBARBITAL, THIAMINE, VALERIAN 52720, 54395, 55755, 56135<br />
SENNA COMPOUND 27755 COMBINATION PRODUCT 51380 2 6 2 FENNEL OIL, GLYCYRRHIZA, SENNA, SUCROSE, SULFUR 52218, 52465, 55200, 55520, 55610<br />
SERATHIDE 27850 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080 0506, 0507<br />
SILMAGEL 27980 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
SINE-AID 28060 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, PHENYLPROPANOLAMINE 50410, 54465 1941<br />
SINOPHEN 28120 COMBINATION PRODUCT 51380 2 6 1 PARACETAMOL, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70165, 70226, 70254 1941, 1945<br />
SINULIN 28145 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50005, 70226, 70254 1945<br />
SINUTAB W/CODEINE 28180 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE, PHENACETIN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 51340, 54350, 54465, 54468<br />
SK-65 COMPOUND 28345 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PROPOXYPHENE 50410, 50745, 54890 1721<br />
SLOAN'S LINIMENT 28385 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, CAPSICUM, METHYL SALICYLATE, PINE OIL, TURPENTINE 50845, 50868, 53620, 54502, 56080 1275<br />
SOFT'N SOOTHE 28725 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, LANOLIN, MENTHOL, MINERAL OIL, WOOL ALCOHOLS 50530, 53003, 53325, 53720, 56238 1265<br />
SOLU-SONE 28803 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE 54770 1032<br />
SOOTHOGEL 28875 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, CAMPHOR, PHENOL, ZINC TOPICAL AGENTS, EXTERNAL USE 50755, 50845, 54400, 56265<br />
SPASMOPHEN 29040 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0877<br />
SPEN-COLD ADULT COUGH SYRUP 29090 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PHENYLEPHRINE 51670, 52490, 54455<br />
SPEN-HISTINE ELIXIR 29115 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 50090, 51130, 54465<br />
SPENCON C 29148 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780<br />
SPENGAN 29183 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, TRIMETHOBENZAMIDE 50530, 56000 2087<br />
SPENTAPP 29230 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465<br />
STANDARD DROPS 29300 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
STATROL 29340 COMBINATION PRODUCT 51380 1 6 2 NEOMYCIN, POLYMYXIN B 53895, 70011 1568<br />
STERAFED-C EXPECTORANT 29400 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN, PSEUDOEPHEDRINE, TRIPROLIDINE 51340, 52490, 54960, 56020<br />
STERAMAG #1 29415 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
STERAZIDE 29470 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080 2087<br />
STOMASEPTINE 29530 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE, SODIUM BICARBONATE, SODIUM CHLORIDE, SODIUM PERBORATE 53325, 53620, 55280, 55315, 55380 1264<br />
STRESSVICON 29590 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 54990, 55105, 56192, 56193<br />
SUL TRIO-MM NO. 2 29770 COMBINATION PRODUCT 51380 1 6 2 SULFADIAZINE, SULFAMERAZINE, SULFAMETHAZINE 55540, 55543, 55548 0353<br />
SULFAPRED 29855 COMBINATION PRODUCT 51380 1 6 2 METHYLCELLULOSE, PHENYLEPHRINE, PREDNISOLONE, SULFACETAMIDE 53630, 54455, 54770, 55525<br />
SULFUR & RESORCIN COMPOUND 29960 COMBINATION PRODUCT 51380 1 6 2 JUNIPER, RESORCINOL, SULFUR, THYMOL, ZINC TOPICAL AGENTS, EXTERNAL USE 52948, 55085, 55610, 55815, 56265 1200<br />
SUNDOWN 30050 COMBINATION PRODUCT 51380 2 6 2 OCTYL DIMETHYL PABA, PADIMATE O 54005, 54157 1200<br />
SUPER D PERLE 30105 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, VITAMIN A 52045, 56185 0913<br />
SUPER Z STRESS 600 30124 COMBINATION PRODUCT 51380 2 6 2 NIACIN, PANTOTHENIC ACID, RIBOFLAVIN, THIAMINE, VITAMIN E 53905, 54175, 55105, 55755, 56195<br />
SYLLAMALT 30300 COMBINATION PRODUCT 51380 2 6 2 MALT SOUP EXTRACT, PSYLLIUM 53235, 54965 0876<br />
SYNOPHYLATE-GG 30380 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940, 1943<br />
T-PLEX 30465 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIMEROSAL 50811, 53915, 54990, 55105, 55770<br />
TASHAN 30620 COMBINATION PRODUCT 51380 2 6 2 DEXPANTHENOL, ERGOCALCIFEROL, VITAMIN A, VITAMIN E 51645, 52045, 56185, 56195 1265<br />
TEDRAL SA 30690 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 1940<br />
TERPIN HYDRATE & CODEINE ELIXIR 30825 COMBINATION PRODUCT 51380 1 5 2 CODEINE, TERPIN HYDRATE 51340, 55675 1943<br />
THAM-E 31100 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE, TROMETHAMINE 54655, 55315, 56040 0914<br />
THEO-COL ELIXIR 31115 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, GUAIFENESIN, THEOPHYLLINE 50090, 52490, 55745 1940<br />
THEOPHEDRIZINE 31218 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, HYDROXYZINE, THEOPHYLLINE 52035, 52715, 55745<br />
THERA-AMCAPS 31290 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185<br />
THERACOMIN 31323 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, IRON PREPARATIONS, THIAMINE, VITAMIN A, VITAMIN E 52045, 52885, 55755, 56185, 56195<br />
THERAPEUTIC B COMPLEX W/VITAMIN C 31375 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN 50811, 53915, 54990, 55105 0913<br />
THERI-CARE 31418 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, MINERAL OIL 53003, 53720 1265<br />
THI-TWEL 31438 COMBINATION PRODUCT 51380 1 6 2 RIBOFLAVIN, THIAMINE 55105, 55755<br />
THIASERP 31475 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, RESERPINE 51100, 55080<br />
THREAMINE 31560 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 70226, 70254, 70338 1944<br />
THREE AMINE 31563 COMBINATION PRODUCT 51380 1 6 2 PHENYLPROPANOLAMINE HCL, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 70254, 70394, 70407<br />
TING SPRAY 31690 COMBINATION PRODUCT 51380 2 6 2 UNDECYLENIC ACID, ZINC TOPICAL AGENTS, EXTERNAL USE 56110, 56265<br />
TOLFRINIC 31770 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, VITAMIN C, VITAMIN B COMPLEX 52885, 56193, 56345 0408<br />
TONELAX 31810 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, DANTHRON 50811, 51545<br />
TRAC 31900 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, ATROPINE SULFATE, HYOSCYAMINE SULFATE 53530, 53640, 54440, 70120, 70336 0355<br />
TRAVERT 31990 COMBINATION PRODUCT 51380 1 6 2 ELECTROLYTES, INVERT SUGAR 52023, 52800 0914, 0915<br />
TRI-HEMIC 600 32060 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, INTRINSIC FACTOR CONCENTRATE, VITAMIN B-12, VITAMIN C, VITAMIN E 52355, 52793, 56192, 56193, 56195 0913<br />
TRI-MINE SYRUP 32100 COMBINATION PRODUCT 51380 2 6 2 PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE 54385, 54465, 54995<br />
TRIACIN 32155 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE HCL 54960, 70209 1944<br />
TRIACIN-C 32160 COMBINATION PRODUCT 51380 1 5 2 TRIPROLIDINE HCL, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 70209, 70231, 70256 1941, 1943, 1944<br />
TRIAMINIC JUVELET TIMED-RELEASE 32240 COMBINATION PRODUCT 51380 1 6 2 PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE 54385, 54465, 54995 1941, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TRIAMINICIN SPRAY 32260 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, PHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PYRILAMINE 50515, 54385, 54455, 54465, 54995<br />
TRIASYN B 32280 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, RIBOFLAVIN, THIAMINE 53915, 55105, 55755 2087<br />
TRICODENE PEDIATRIC 32335 COMBINATION PRODUCT 51380 2 6 2 PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 70254, 70338 1945<br />
TRIMAGEL 32421 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 2087<br />
TRINSITRATE 32465 COMBINATION PRODUCT 51380 2 6 2 COBALAMIN, IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN C 51308, 52885, 53125, 56193<br />
TRIPROLIDINE W/PSEUDOEPHEDRINE 32555 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020 1941, 1944<br />
TROFEDRIN 32638 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020<br />
TUINAL 32720 COMBINATION PRODUCT 51380 1 2 2 AMOBARBITAL SODIUM, SECOBARBITAL 50250, 55185 0626<br />
TURGASEPT SPRAY 32737 COMBINATION PRODUCT 51380 2 6 2 BENZETHONIUM CHLORIDE, ISOPROPYL ALCOHOL, METHYLPARABEN, TRIETHYLENE GLYCOL, DIPROPYLENE GLYCOL 50520, 52925, 53650, 55952, 60020<br />
TUSSANIL-DH 32795 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70217, 70226, 70358 1945<br />
TUSSCAPS 32820 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CHLORPHENIRAMINE, DEXTROMETHORPHAN, PHENYLPROPANOLAMINE 50420, 51130, 51670, 54465<br />
TYMPAGESIC 32955 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE, PHENYLEPHRINE HCL 50325, 50530, 70358 1670<br />
ULTRA DERM BATH 33045 COMBINATION PRODUCT 51380 2 6 2 ISOPROPYL MYRISTATE, LANOLIN, MINERAL OIL 52928, 53003, 53720 1265<br />
UNICAP 33140 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
UNIPRES 33160 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080 0506, 0507<br />
URIFON-FORTE 33260 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHIZOLE, PHENAZOPYRIDINE HCL 55550, 70342<br />
URISEP 33290 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE 50420, 52720, 53530, 53640, 54440 0354<br />
V-CORT 33435 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN, PRAMOXINE 52655, 52845, 54755<br />
VAGITROL 33485 COMBINATION PRODUCT 51380 1 6 2 ALLANTOIN, AMINACRINE, SULFANILAMIDE 50103, 50183, 55565 1860<br />
VALIMENT LINIMENT 33540 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, EUCALYPTUS OIL, MENTHOL, METHYL SALICYLATE, MUSTARD OIL 50845, 52190, 53325, 53620, 53825<br />
VASCORAY 33665 COMBINATION PRODUCT 51380 1 6 2 IOTHALAMATE MEGLUMINE, IOTHALAMATE SODIUM 70252, 70253 0789<br />
VENTACOL EXPECTORANT 33835 COMBINATION PRODUCT 51380 1 5 2 AMMONIUM CHLORIDE, CHLORPHENIRAMINE, CITRIC ACID, GUAIFENESIN, PHENYLEPHRINE 50245, 51130, 51235, 52490, 54455<br />
VI-AQUA 33945 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN E 52045, 55105, 55755, 56185, 56195 0913<br />
VI-DAYLIN F DROPS 33990 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193<br />
VI-DAYLIN OVER 4 PLUS IRON 34005 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185<br />
VI-PENTA F INFANT DROPS 34040 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, SODIUM FLUORIDE, VITAMIN A, VITAMIN C, VITAMIN E 52045, 55330, 56185, 56193, 56195 0913<br />
VICON-PLUS 34130 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 53915, 54990, 55105, 56185 0913<br />
VIO-GERIC 34185 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185<br />
VIROMED 34245 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50005, 70226, 70256, 70338 1941, 1943, 1944<br />
VITADYE 34330 COMBINATION PRODUCT 51380 2 6 2 BRILLIANT BLUE, DIHYDROXYACETONE, FUCHSIN, TARTRAZINE 50668, 51792, 52373, 55666 1265<br />
VITAMIN B COMPLEX W/B-12 34445 COMBINATION PRODUCT 51380 1 6 2 DEXPANTHENOL, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53915, 54990, 55105, 55755 0913<br />
VITASOL 34641 COMBINATION PRODUCT 51380 2 6 2 DEXPANTHENOL, NIACIN, PYRIDOXINE, RIBOFLAVIN, THIAMINE 51645, 53905, 54990, 55105, 55755 0913<br />
VOCALZONES 34710 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, MYRRH, PEPPERMINT OIL 53325, 53835, 70539 1946<br />
VULVAELINE 34750 COMBINATION PRODUCT 51380 1 6 2 BENZOIC ACID, BORIC ACID, PHENOL, SALICYLIC ACID, ZINC TOPICAL AGENTS, EXTERNAL USE 50538, 50660, 54400, 55160, 56265 1200<br />
WIBI LOTION 34888 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, GLYCERIN, POLYETHYLENE GLYCOL 50000, 52450, 54590 1265<br />
W/W-HISTINE 34993 COMBINATION PRODUCT 51380 1 5 2 CHLORPHENIRAMINE, CODEINE, PHENYLPROPANOLAMINE 51130, 51340, 54465<br />
Z-PRO-C 35135 COMBINATION PRODUCT 51380 1 6 2 VITAMIN C, ZINC TOPICAL AGENTS, EXTERNAL USE 56193, 56265 0913<br />
ZINC PASTE (LASSARS) 35255 COMBINATION PRODUCT 51380 2 6 2 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 1265<br />
ZINC SULFATE COMPOUND 35265 COMBINATION PRODUCT 51380 2 6 2 EUCALYPTUS OIL, MENTHOL, PHENOL, SALICYLIC ACID, ZINC SULFATE 52190, 53325, 54400, 55160, 56285 1265<br />
ZYMACAP 35355 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
C-TUSSIN 40265 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256<br />
CO-GESTIC 40415 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, DIHYDROCODEINE 50005, 52647 1721<br />
DEXTROSE IN ASCOR-B-SOL 40545 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, VITAMIN C, VITAMIN B COMPLEX 51675, 56193, 56345<br />
DEY-SOL 40570 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, MAGNESIUM CHLORIDE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM ACETATE, SODIUM CHLORIDE 50770, 53190, 54655, 55270, 55315 2000<br />
IONOSOL W/DEXTROSE 40885 COMBINATION PRODUCT 51380 1 6 2 MAGNESIUM CHLORIDE, POTASSIUM REPLACEMENT SOLUTIONS, POTASSIUM ACIDIFYING AGENTS, SODIUM CHLORIDE, SODIUM PHOSPHATE 53190, 54655, 54735, 55315, 55385 0915<br />
MG-AL HYDROX W/SIMETH 40990 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240<br />
N.B.P. 41140 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011 1265<br />
QUIAGEL PG 41385 COMBINATION PRODUCT 51380 1 5 2 KAOLIN, PECTIN, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 52955, 54238, 55180, 70120, 70336 0875<br />
TESTRADIOL 41600 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL CYPIONATE, TESTOSTERONE CYPIONATE 70245, 70372 1033, 1034<br />
TRI-NORINYL 41670 COMBINATION PRODUCT 51380 1 6 2 NORETHINDRONE, ETHINYL ESTRADIOL 53965, 70027 1040<br />
UNI-ADE 41735 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLPROPANOLAMINE 51130, 54465 1941, 1944<br />
ALUMID 41910 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175<br />
STRESS-VITES W/IRON 42033 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 54990, 55105, 56192, 56193<br />
TRIPLE ANTIBIOTIC OPHTH 42178 COMBINATION PRODUCT 51380 1 6 2 BACITRACIN, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 50450, 70212, 70362 1265<br />
IOCARE SALT 42535 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, MAGNESIUM CHLORIDE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE 50770, 53190, 54655, 55315<br />
CALPHOSAN W/B-12 50005 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, VITAMIN B-12 50770, 56192 0408, 0916<br />
SK-OXYCODONE W/ASPIRIN 58273 COMBINATION PRODUCT 51380 1 2 2 ASPIRIN, OXYCODONE 50410, 54094 1721<br />
BARIUM ORAL FLEET 60165 COMBINATION PRODUCT 51380 1 6 2 BARIUM SULFATE, BISACODYL 50480, 50630 0789, 0876<br />
C-B TIME 60275 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54175, 54990, 55105, 55755<br />
DIBASIC CALCIUM PHOSPHATE W/VIT D 60445 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL 50770, 52045 0913<br />
DOCUSATE-C 60475 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935<br />
G-TUSSIN W/CODEINE 60610 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN 51340, 52490<br />
GERITOL MEGA VITAMIN 60650 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 50811, 53915, 55105, 55755, 56185 0913<br />
K-DEC JR 60770 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
LOBANA 60830 COMBINATION PRODUCT 51380 2 6 2 BENZETHONIUM CHLORIDE, SODIUM BICARBONATE, STARCH 50520, 55280, 55480 1265<br />
MEDICATED PADS 60880 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, PHENACETIN, SALICYLAMIDE, SALICYLIC ACID 50090, 54350, 55150, 55160<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
NU'LEVEN 61055 COMBINATION PRODUCT 51380 2 6 2 CELLULASE, OX BILE EXTRACT, PANCREATIN, PEPSIN 50968, 54065, 54160, 54310 0877<br />
RESPINOL LA 61285 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 52490, 54455, 54465 1941, 1943<br />
SINUBID PHENACETIN-FREE 61350 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54465, 54468<br />
TEARFAIR 61420 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, MINERAL OIL, PETROLATUM 53003, 53720, 54330 1569<br />
VALPIN 50 PB 61550 COMBINATION PRODUCT 51380 1 6 2 ANISOTROPINE, PHENOBARBITAL 50300, 54395<br />
PROPOXYPHENE NAPSYLATE W/APAP 89072 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE NAPSYLATE 50005, 70150 1721<br />
THERAFLU FLU, COLD, & COUGH 89079 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50005, 70226, 70256, 70338 1945<br />
KUDROX DOUBLE STRENGTH 91033 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
ENTUSS-D 92028 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, PSEUDOEPHEDRINE, HYDROCODONE BITARTRATE 52490, 54960, 70217 1941, 1943<br />
ISOCET 92047 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1723<br />
NUCOTUSS 92067 COMBINATION PRODUCT 51380 1 3 2 CODEINE, GUAIFENESIN, PSEUDOEPHEDRINE 51340, 52490, 54960 1941, 1943<br />
TRAVASOL W/DEXTROSE 92094 COMBINATION PRODUCT 51380 1 6 2 AMINO ACIDS, DEXTROSE 50185, 51675 0914<br />
DURAVENT-DA 92171 COMBINATION PRODUCT 51380 1 6 2 METHSCOPOLAMINE, METHSCOPOLAMINE NITRATE, PHENYLEPHRINE HCL 53600, 70243, 70358 1941, 1944<br />
BRONKOTUSS 93033 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, HYDRIODIC ACID, CHLORPHENIRAMINE MALEATE, EPHEDRINE SULFATE 52490, 52635, 70226, 70264 1940, 1943<br />
E-LOR 93053 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE 50005, 54890 1721<br />
HISTOSAL 93075 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE, PHENYLPROPANOLAMINE HCL, PYRILAMINE MALEATE 50005, 50745, 70254, 70394 1941, 1944, 1945<br />
OPTIVITE 93115 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, IRON PREPARATIONS, MULTIVITAMINS GENERAL 52355, 52885, 53780 0913<br />
STAMOIST E 93148 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
ZEROXIN 93177 COMBINATION PRODUCT 51380 1 6 2 ACETONE, BENZOYL PEROXIDE 50035, 50550 1265<br />
TETRAMUNE 93253 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, PERTUSSIS IMMUNE GLOBULIN, TETANUS TOXOID, HAEMOPHILUS B CONJUGATE VACCINE 51910, 54325, 55710, 56445 1180<br />
DOAN'S PM EXTRA STRENGTH 93339 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM SALICYLATE, DIPHENHYDRAMINE HCL 53220, 70344 0874, 0876, 1944<br />
DHC PLUS 93351 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CAFFEINE, DIHYDROCODEINE BITARTRATE 50005, 50745, 70405 1721<br />
CAM-AP-ES 93414 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE, HYDRALAZINE HCL 52645, 55080, 70339 0506<br />
NULYTELY 94029 COMBINATION PRODUCT 51380 1 6 2 ELECTROLYTES, POLYETHYLENE GLYCOL 52023, 54590 0876<br />
ACEI-IMUNE 94055 COMBINATION PRODUCT 51380 1 6 2 DIPH PERTUSSIS TETANUS VACCINE 51903 1180<br />
NASABID 94090 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
METHYLDOPA/CHLOROTHIAZIDE 94171 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, METHYLDOPA 51100, 53635 0506<br />
LIPISORB 95060 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL, PROTEIN, CARBOHYDRATE(S), FAT 53780, 57166, 57168, 57170 0913<br />
TRIPEDIA 95091 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, TETANUS TOXOID, ACELLULAR PERTUSSIS VACCINE 51910, 55710, 70440 1180<br />
PAREMYD 95132 COMBINATION PRODUCT 51380 1 6 2 TROPICAMIDE, HYDROXYAMPHETAMINE HBR 56045, 70576 1567<br />
IMIPENEM-CILASTATIN SODIUM 96149 COMBINATION PRODUCT 51380 1 6 2 CILASTATIN SODIUM, IMIPENEM 51219, 52743 0355<br />
OMNIHIST 97046 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE, CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE 54455, 70226, 70243 1945<br />
PRENATAL ULTRA 97074 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL, MULTIVITAMINS 53780, 53805 0913<br />
HELIDAC 97108 COMBINATION PRODUCT 51380 1 6 2 METRONIDAZOLE, TETRACYCLINE, BISMUTH SUBSALICYLATE 53700, 55725, 70633 0874<br />
DURATUSS HD 97166 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE, PSEUDOEPHEDRINE HCL 52490, 70217, 70256 1943<br />
RESCON DM 98063 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70226, 70256, 70338 1943<br />
ADVIL COLD AND SINUS 98078 COMBINATION PRODUCT 51380 2 6 2 IBUPROFEN, PSEUDOEPHEDRINE HCL 52730, 70256 1941<br />
TYCOLENE P.M. 99021 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, DIPHENHYDRAMINE 50005, 51860 0626<br />
VANEX-HD 99038 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70217, 70226, 70358 1941, 1943<br />
ZOVIA 1/35E 99068 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, ETHYNODIOL DIACETATE 70027, 70028 1040<br />
MULTIVITAMINS W/ FOLIC ACID 99081 MULTIVITAMIN COMBINATION 51382 2 6 2 FOLIC ACID, MULTIVITAMINS 52355, 53805 0913<br />
CONTRIN 99111 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, INTRINSIC FACTOR CONCENTRATE, VITAMIN B-12, VITAMIN C, FERROUS FUMARATE 52355, 52793, 56192, 56193, 70042 0408<br />
PRENATAL VITAMINS W/ IRON 99142 MULTIVITAMIN COMBINATION 51382 3 6 2 IRON PREPARATIONS, MULTIVITAMINS 52885, 53805 0913<br />
OCUHIST 99158 COMBINATION PRODUCT 51380 2 6 2 NAPHAZOLINE, PHENIRAMINE 53875, 54385 1570<br />
POLY-DM 99177 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, DEXTROMETHORPHAN, PHENYLPROPANOLAMINE 50690, 51670, 54465 1945<br />
VICKS PEDIATRIC FORMULA 44M MS 99186 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50005, 70226, 70256, 70338 1945<br />
BOOST PLUS 99188 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, PROTEIN SUPPLEMENT, CARBOHYDRATE(S) 53805, 54922, 57168 0914<br />
LEVORA 99223 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040<br />
MULTIVITAMIN 19840 181088 1214 COMBINATION PRODUCT 51380 3 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
LORTAB 92180 34319 0230 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
PERCOCET-5 23385 22930 0154 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, OXYCODONE HCL 50005, 70269 1721<br />
VITAMIN B COMPLEX 34425 12690 0085 COMBINATION PRODUCT 51380 3 6 2 VITAMIN B COMPLEX 56345 0913<br />
MAALOX 18125 11989 0080 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM HYDROXIDE 50145, 70112 0879<br />
TEARS NATURALE 30655 8708 0058 COMBINATION PRODUCT 51380 2 6 2 DEXTRAN, METHYLCELLULOSE 51647, 53630 1569<br />
LOTREL 95144 8023 0054 COMBINATION PRODUCT 51380 1 6 2 BENAZEPRIL HYDROCHLORIDE, AMLODIPINE BESYLATE 50498, 70564 0506, 0510, 0514<br />
HUMULIN 70/30 89037 6764 0045 COMBINATION PRODUCT 51380 2 6 2 INSULIN RECOMBINANT HUMAN, INSULIN SUSP ISO RECOMB HUMAN 70215, 70216 1036<br />
PROSTAT 64 04151 5752 0039 COMBINATION PRODUCT 51380 2 6 2 CITRIC ACID, TRYPTOPHAN, WATER, COLLAGEN PROTEIN, POTASSIUM SORBATE 51235, 56050, 70460, 70882, 70883 0914<br />
AUGMENTIN 60115 4934 0033 COMBINATION PRODUCT 51380 1 6 2 AMOXICILLIN, CLAVULANATE POTASSIUM 50260, 70341 0346<br />
ELDERTONIC ELIXIR 11100 4582 0031 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54990, 55105, 55755 0913<br />
CHROMAGEN 06780 3015 0020 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
JEVITY 93208 2885 0019 COMBINATION PRODUCT 51380 2 6 2 CASEIN, CORN OIL, LECITHIN, MULTIVITAMINS GENERAL, SODIUM ION 50938, 51395, 53020, 53780, 55348 0914<br />
TYLENOL W/CODEINE 32930 2780 0019 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
GAVISCON 13220 2170 0015 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0879<br />
MAXITROL 18520 2054 0014 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, NEOMYCIN, POLYMYXIN B SULFATE 51635, 53895, 70212 1568<br />
FIBER SOURCE 04066 2007 0013 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS THERAPEUTIC, SOY PROTEIN, SOY FIBER 53723, 53785, 70782, 70783 0914<br />
BOOST 98130 1597 0011 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, PROTEIN SUPPLEMENT, CARBOHYDRATE(S) 53805, 54922, 57168 0914<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
LIBRAX 17440 1521 0010 COMBINATION PRODUCT 51380 1 6 2 CLIDINIUM BROMIDE, CHLORDIAZEPOXIDE HCL 51250, 70356 0878<br />
LOTRISONE 60835 1297 0009 COMBINATION PRODUCT 51380 1 6 2 CLOTRIMAZOLE, BETAMETHASONE DIPROPIONATE 51290, 70565 0358<br />
VIACTIV 00008 1215 0008 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, VITAMIN D, VITAMIN K 50785, 56194, 56198 0916<br />
PRE-NATAL VITAMINS 24830 1090 0007 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
CLARITIN D 01001 982 0007 COMBINATION PRODUCT 51380 1 7 2 PSEUDOEPHEDRINE, LORATADINE 54960, 56490 1941, 1944<br />
LANTISEPTIC SKIN PROTECTANT 03338 942 0006 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, PETROLATUM, BEESWAX 53003, 54330, 70737 1265<br />
ENLIVE 04239 877 0006 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, WATER, MALTODEXTRIN, WHEY PROTEIN ISOLATE 53723, 53805, 70460, 70863, 70864 0914<br />
DOCUSATE SOD & CASANTHRANOL 40635 732 0005 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE 50933, 51935 0876<br />
OCCUSOFT LID SCRUB 04139 682 0005 COMBINATION PRODUCT 51380 2 6 2 DEONIZED WATER, PEG-150, SODIUM TRIDECETH SULFATE, DISTEARATE, SODIUM LAURETH-13 CARBOX 70815, 70816, 70817, 70818, 70819 1569<br />
KEMPS PLUS 2 04108 668 0004 COMBINATION PRODUCT 51380 2 6 2 MILK, CREAM, MILK PROTEIN CONCENTRATE 70790, 70805, 70806<br />
TARKA 97111 550 0004 COMBINATION PRODUCT 51380 1 6 2 TRANDOLAPRIL, VERAPAMIL HCL 59640, 70499 0514<br />
FOLGARD 03102 511 0003 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, VITAMIN B-12, VITAMIN B-6 52355, 56192, 70697 0913<br />
HI-CAL 04341 456 0003 COMBINATION PRODUCT 51380 2 6 2 MINERALS, WATER, SOY LECITHIN, SODIUM CASEINATE, CHOLINE CHLORIDE 53723, 70460, 70798, 70923, 70924 0914<br />
PANAFIL 22585 437 0003 COMBINATION PRODUCT 51380 1 6 2 PAPAIN, UREA, CHLOROPHYLLIN COPPER COMPLEX 54180, 56120, 70575 1265<br />
ADVICOR 02029 421 0003 COMBINATION PRODUCT 51380 1 6 2 LOVASTATIN, NIACIN 53148, 53905 0912<br />
CALMOSEPTINE 02347 397 0003 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, ZINC OXIDE 53325, 70052 1265<br />
ENTEX LA 99215 377 0003 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1941, 1943<br />
ARIPIPRAZOLE 04014 347 0002 COMBINATION PRODUCT 51380 1 6 1 ARIPIPRAZOLE 70486 0628<br />
AQUAPHILIC 03386 325 0002 COMBINATION PRODUCT 51380 2 6 2 PROPYLENE GLYCOL, SODIUM LAURYL SULFATE, SORBITOL, STEARYL ALCOHOL, ISOPROPYL PLAMITATE 54895, 55360, 55435, 55490, 70745 1265<br />
VI-STRESS 04186 304 0002 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
CENTRAL VITE 04219 292 0002 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS GENERAL, ANTIOXIDANTS 53723, 53780, 70856 0913<br />
VASERETIC 33677 290 0002 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, ENALAPRIL MALEATE 52645, 70600 0506<br />
ALLBEE C 800 PLUS IRON 00930 269 0002 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACIN, PYRIDOXINE, RIBOFLAVIN, THIAMINE 52885, 53905, 54990, 55105, 55755 0913<br />
MAGIC MOUTHWASH 99139 261 0002 COMBINATION PRODUCT 51380 1 6 2 ALUMINUM HYDROXIDE, DIPHENHYDRAMINE, LIDOCAINE, MAGNESIUM ANTACIDS 50145, 51860, 53070, 53175 0879, 1200, 1275<br />
CODIMAL 07195 255 0002 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 50005, 70226, 70256 1945<br />
VICON-C 34125 242 0002 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, RIBOFLAVIN, VITAMIN C 50811, 53915, 55105, 56193 0913<br />
FIBER-7 04261 229 0002 COMBINATION PRODUCT 51380 2 6 2 SOY, OATS, CORN, LEGUME, APPLE FIBERS 70116, 70874, 70875, 70876, 70877 2100<br />
RESOURCE ICE CREAM PLUS 04276 227 0002 COMBINATION PRODUCT 51380 2 6 2 MINERALS, VITAMINS, CALCIUM CASEINATE, MILK, WHEY PROTEIN CONCENTRATE 53723, 59702, 70761, 70790, 70881<br />
VITAMIN CHEWABLE CHILDREN'S 34560 217 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
BENICAR HCT 04021 199 0001 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, OLMESARTAN MEDOXOMIL 52645, 70424 0506<br />
BACITRACIN-POLYMYXIN 03420 188 0001 COMBINATION PRODUCT 51380 3 6 2 BACITRACIN, POLYMYXIN B SULFATE 50450, 70212 1265<br />
PERCOGESIC 23400 179 0001 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLTOLOXAMINE CITRATE 50005, 70255 1944<br />
SHOHL'S SOLUTION 93142 176 0001 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, SODIUM CITRATE, SODIUM ION 51235, 55320, 55348 0915<br />
NUBASICS PLUS 04372 176 0001 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, WATER, CALCIUM CASEINATE 53723, 53805, 70460, 70761 0914<br />
RULOX PLUS 91050 171 0001 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
ACCUHIST LA 02167 160 0001 COMBINATION PRODUCT 51380 1 6 2 SCOPOLAMINE HBR, ATROPINE SULFATE, CHLORPHENIRAMINE MALEATE, HYOSCYAMINE SULFATE, PHENYLEPHRINE HCL 55180, 70120, 70226, 70336, 70358 1944<br />
PLARETASE 8000 04377 130 0001 COMBINATION PRODUCT 51380 2 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
BISOPROLOL/HCTZ 04023 127 0001 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, BISOPROLOL FUMARATE 52645, 57136 0506<br />
ROSAC CREAM 04279 125 0001 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SODIUM SULFACETAMIDE 55610, 70018 1270, 1274<br />
SEPTRA I.V. 89075 123 0001 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
ANALGESIC BALM 01780 121 0001 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE 53325, 53620 1265<br />
MULTIVITAMIN W/D 02376 117 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS, VITAMIN D 53805, 56194 0913<br />
LIQUID ANTACID W/SIMETHICONE 17662 111 0001 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
ALENIC ALKA 04009 94 0001 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM TRISILICATE 50145, 70760 0879<br />
HAIR NUTRIENTS WITH L-CYSTEINE 04082 91 0001 COMBINATION PRODUCT 51380 2 6 2 INOSITOL, MINERALS, MULTIVITAMINS THERAPEUTIC, CHOLINE BITARTRATE, L-CYSTEINE 52785, 53723, 53785, 70556, 70788 0913<br />
NORGESIC 21290 86 0001 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, ORPHENADRINE CITRATE 50410, 50745, 70651 1373<br />
RONDEC-DM SYRUP 26935 85 0001 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70239, 70256, 70338 1941, 1943<br />
TMG TABLETS 04181 81 0001 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM STEARATE, TRIMETHYLGLYCINE, DICALCIUM PHOSPHATE 53222, 70839, 70840 2100<br />
LIPOTRIAD 17630 61 0000 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, INOSITOL, RIBOFLAVIN, THIAMINE, VITAMIN B-12 51195, 52785, 55105, 55755, 56192 0913<br />
ALDORIL 00850 60 0000 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, METHYLDOPA 52645, 53635 0506, 0507<br />
CODICLEAR-DH 92165 60 0000 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE 52490, 70217 1943<br />
MULTIPLE VITAMINS W/IRON 19830 58 0000 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, MULTIVITAMINS GENERAL 52885, 53780 0913<br />
STRESS FORMULA W/ZINC 29574 56 0000 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
METAPROTERENOL-THEOPHYLLINE 04153 54 0000 COMBINATION PRODUCT 51380 1 6 2 THEOPHYLLINE ANHYDROUS, METAPROTERENOL SULFATE 70406, 70830 1940<br />
OPTIGENE 03436 54 0000 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, SODIUM CHLORIDE, DIBASIC SODIUM PHOSPHATE, MONOBASIC SODIUM PHOSPHATE 50515, 55315, 70688, 70689 1569<br />
NOVOLOG MIX 70/30 04136 52 0000 COMBINATION PRODUCT 51380 1 6 2 INSULIN ASPART INJECTION, INSULIN ASPART PROTAMINE 70812, 70813 1036<br />
GLUCONASE 02032 51 0000 COMBINATION PRODUCT 51380 2 7 2 PYRIDOXINE, MAGNESIUM CITRATE, GYMNEMA SYLVESTRE, LIPOIC ACID, VANADIUM 54990, 70275, 70433, 70434, 70435 1036<br />
DALYVITE LIQUID 04053 47 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
CALCIUM ZINC MAGNESIUM 04200 43 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 MAGNESIUM STEARATE, STEARIC ACID, HORSETAIL 53222, 55485, 70843 0913<br />
FERRO-SEQUEL 12415 41 0000 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, DOCUSATE SODIUM 52885, 70262 0408<br />
LO/OVRAL 17825 34 0000 COMBINATION PRODUCT 51380 1 6 2 NORGESTREL, ETHINYL ESTRADIOL 53970, 70027 1040<br />
CARDIO-PLUS 04203 31 0000 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, CALCIUM LACTATE, CHOLINE BITARTRATE, BOVINE HEART PMG EXTRACT, SELENIUM YEAST 53915, 70290, 70556, 70846, 70847 2100<br />
BRAIN PROTEX 04328 28 0000 COMBINATION PRODUCT 51380 2 6 2 LYCOPENE, SOYBEAN LECITHIN COMPLEX, GINKGO BILOBA, HUPERZINE, RHODODENDRON CAUCASICUM 70699, 70907, 70908, 70909, 70910 2100<br />
TYLENOL NO. 2 32915 24 0000 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
A.S.A. COMPOUND 00110 COMBINATION PRODUCT 51380 3 7 2 UNDETERMINED, ASPIRIN 50000, 50410 1720<br />
CAL-MAG 00132 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, MAGNESIUM GLUCONATE, MAGNESIUM OXIDE 50785, 53180, 56495 2100<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ACNOMEL 00425 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, RESORCINOL, SULFUR 50090, 55085, 55610 1265<br />
ALLBEE W/C 00935 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, VITAMIN C 53915, 54175, 54990, 55105, 56193 0913<br />
AMOGEL PG 01610 COMBINATION PRODUCT 51380 2 5 2 BISMUTH ANTI-DIARRHEA AGENTS, KAOLIN, OPIUM, PECTIN, ZINC TOPICAL AGENTS, EXTERNAL USE 50635, 52955, 54035, 54238, 56265 0875<br />
NOTUSS 02066 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70217, 70226, 70256 1944<br />
NEOSTRATA AHA LIP CONDITIONER 02269 COMBINATION PRODUCT 51380 2 6 2 ZINC OXIDE, TITANIUM DIOXIDE, ETHYLHEXYL METHOXYCINNAMATE, ETHYLHEXYL SALICYLATE 70052, 70261, 70514, 70515 1265<br />
ASCRIPTIN NO. 2 02730 COMBINATION PRODUCT 51380 1 3 2 ALUMINUM HYDROXIDE, ASPIRIN, CODEINE, MAGNESIUM ANTACIDS 50145, 50410, 51340, 53175 1721<br />
AVP-NATAL 03090 COMBINATION PRODUCT 51380 2 6 3 CALCIUM REPLACEMENT AGENTS, IRON PREPARATIONS, PYRIDOXINE, VITAMIN A, VITAMIN C 50770, 52885, 54990, 56185, 56193<br />
TANAFED DMX 03224 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE TANNATE, DEXTROMETHORPHAN TANNATE, DEXCHLORPHENIRAMINE TANNATE 70592, 70716, 70717 1941, 1943, 1944<br />
POLYETHYLENE GLYCOL-ELECTROLYTE SOLUTION 03437 COMBINATION PRODUCT 51380 1 6 2 POLYETHYLENE GLYCOL, SODIUM BICARBONATE, SODIUM CHLORIDE, SODIUM SULFATE, POTASSIUM CHLORIDE 54590, 55280, 55315, 55405, 56585 0876<br />
BEMINAL STRESS PLUS W/IRON 03897 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACIN, RIBOFLAVIN, THIAMINE, VITAMIN E 52885, 53905, 55105, 55755, 56195 0913<br />
BILOCOMP 04283 COMBINATION PRODUCT 51380 2 6 2 BILE SALTS, CAPSICUM, CASCARA, PHENOLPHTHALEIN 50613, 50868, 50935, 54405<br />
CATRIX CORRECTION 04408 COMBINATION PRODUCT 51380 2 6 2 CETEARETH, SESAME OIL, CATRIX, DIPENTAERYTHRITYL, HEXACAPRYLATE 51016, 55210, 70944, 70945, 70946 1265<br />
VESSEL CARE 04547 MULTIVITAMIN COMBINATION 51382 3 6 2 VITAMIN B-12, VITAMIN B-6, FOLATE 56192, 70697, 70917 0913<br />
ACCUPEP HPF 04618 COMBINATION PRODUCT 51380 2 6 2 CORN OIL, MULTIVITAMINS, MALTODEXTRIN, HYDROLYZED LATALBUMIN, MCT OIL 51395, 53805, 70863, 70970, 70971 0914<br />
CAMALOX 05555 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, CALCIUM CARBONATE, MAGNESIUM ANTACIDS 50145, 50785, 53175 0874<br />
CARISOPRODOL COMPOUND 05815 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CARISOPRODOL 50410, 50920 1373<br />
CEVI-FER TIMED-RELEASE 06243 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN C 52355, 52885, 56193<br />
CHLORAFED 06430 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
CHLOROFON-F 06520 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORZOXAZONE 50005, 51175 1373<br />
CO TINIC 07040 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, NIACINAMIDE, RIBOFLAVIN, VITAMIN B-12 52885, 53915, 55105, 56192 0913<br />
CORICIDIN COUGH SYRUP 07690 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DEXTROMETHORPHAN, GUAIFENESIN, PHENYLPROPANOLAMINE 50090, 51670, 52490, 54465 1941, 1943<br />
COTROL-D 07890 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PSEUDOEPHEDRINE 51130, 54960<br />
CYTARABINE 08218 COMBINATION PRODUCT 51380 1 6 2 CYTARABINE, DAUNORUBICIN 51520, 51560 1479<br />
DECONGESTANT EXPECTORANT 08685 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1941, 1943<br />
DEXTROSE RINGERS 09178 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, DEXTROSE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE 50770, 51675, 54655, 55315 0914<br />
DIPH TET TOXIODS 09815 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, TETANUS TOXOID 51910, 55710 1180<br />
DORCOL PEDIATRIC COUGH SYRUP 10250 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70256, 70338 1941, 1943<br />
EFRICON EXPECTORANT 11020 COMBINATION PRODUCT 51380 2 5 2 CHLORPHENIRAMINE, CODEINE, PHENYLEPHRINE, POTASSIUM GUAIACOLSULFONATE, SODIUM CITRATE 51130, 51340, 54455, 54700, 55320<br />
ESCOT 11670 COMBINATION PRODUCT 51380 2 6 2 BISMUTH ALUMINATE, MAGALDRATE, MAGNESIUM ANTACIDS 50631, 53170, 53175 0874<br />
FEOSOL PLUS 12265 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, RIBOFLAVIN, THIAMINE, VITAMIN C 52355, 52885, 55105, 55755, 56193 0913<br />
FESTALAN 12515 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, CELLULASE, LIPASE, PROTEASE, ATROPINE METHYLNITRATE 50283, 50968, 53118, 70054, 70399 0877<br />
GLYDEINE SYRUP 13705 COMBINATION PRODUCT 51380 1 5 2 ALCOHOL, CODEINE, GUAIFENESIN 50090, 51340, 52490 1943<br />
HAND'S (DR.) TEETHING LOTION 14060 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CLOVE OIL, HAMAMELIS WATER, MENTHOL, PELLITORY ROOT 50090, 51295, 52535, 53325, 54239 2087<br />
HEMTREX HC 14202 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, HYDROCORTISONE 50530, 52655<br />
HISTALET FORTE 14505 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PYRILAMINE 51130, 54455, 54465, 54995 1941, 1944<br />
HYDROCIL FORTIFIED 14950 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DEXTROSE, PSYLLIUM 50933, 51675, 54965<br />
IODIZED OINT 15740 COMBINATION PRODUCT 51380 2 6 2 IODINE TOPICAL PREPARATIONS, METHYL SALICYLATE, OLEIC ACID, PARAFFIN, PETROLATUM 52820, 53620, 54025, 54193, 54330 1265<br />
K-Y STERILE LUBRICATING JELLY 16270 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, CARMELLOSE, GLYCERIN, PROPYLENE GLYCOL, SODIUM ALGINATE 50660, 50923, 52450, 54895, 55273 1265<br />
KRUSCHEN SALTS 16840 COMBINATION PRODUCT 51380 2 6 2 CITRIC ACID, POTASSIUM REPLACEMENT SOLUTIONS, POTASSIUM SULFATE, SODIUM CHLORIDE, SODIUM SULFATE 51235, 54655, 54743, 55315, 55405 2087<br />
LICORICE COMPOUND 17460 COMBINATION PRODUCT 51380 2 6 2 FENNEL OIL, GLYCYRRHIZA, SENNA, SUCROSE, SULFUR 52218, 52465, 55200, 55520, 55610 2100<br />
LIVITAMIN PRENATAL 17775 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, PYRIDOXINE, VITAMIN A, VITAMIN C 52045, 53915, 54990, 56185, 56193 0913<br />
METATENSIN 18960 COMBINATION PRODUCT 51380 1 6 2 RESERPINE, TRICHLORMETHIAZIDE 55080, 55930 0504<br />
MIDRAN DECONGESTANT 19355 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CAFFEINE, CHLORPHENIRAMINE, PHENYLEPHRINE, SALICYLAMIDE 50005, 50745, 51130, 54455, 55150 1723<br />
MULTALAN 19750 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
MY-CORT #2 19985 COMBINATION PRODUCT 51380 1 6 2 ACETIC ACID, BENZALKONIUM CHLORIDE, CHLOROXYLENOL, HYDROCORTISONE, PRAMOXINE 50025, 50515, 51120, 52655, 54755 1265<br />
NECHLORIN 20460 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 51130, 54455, 54465, 54468<br />
NEOTAL 20750 COMBINATION PRODUCT 51380 1 6 2 POLYMYXIN B SULFATE, BACITRACIN ZINC, NEOMYCIN SULFATE 70212, 70213, 70362<br />
NORMATANE DC EXPECTORANT 21355 COMBINATION PRODUCT 51380 1 5 2 BROMPHENIRAMINE, GUAIFENESIN, MENTHOL, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 52490, 53325, 54455, 54465 1943<br />
ONE-A-DAY-ESSENTIAL 21802 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN E 52045, 55105, 55755, 56185, 56195 0913<br />
PABANOL LOTION 22475 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, AMINOBENZOIC ACID 50090, 50195 1265<br />
PEDIATROL W/IRON 23145 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, THIAMINE, VITAMIN B-12 52885, 55755, 56192<br />
POXY COMPOUND-65 24770 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PHENACETIN, PROPOXYPHENE 50410, 50745, 54350, 54890 1721<br />
PRENATAL STUART 24980 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL, PYRIDOXINE, RIBOFLAVIN 53723, 53780, 54990, 55105 0913<br />
PROPOXYPHENE HCL W/A.P.C. 25525 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PHENACETIN, PROPOXYPHENE HCL 50410, 50745, 54350, 70377 1721<br />
P3E1 25895 COMBINATION PRODUCT 51380 1 6 2 EPINEPHRINE BITARTRATE, PILOCARPINE HCL 70381, 70574 1566<br />
RECTAL MEDICONE-HC 26215 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, HYDROCORTISONE, MENTHOL, OXYQUINOLONE, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 52655, 53325, 54148, 56265 1032<br />
RID 26695 COMBINATION PRODUCT 51380 2 6 2 PYRETHRINS, PIPERONYL BUTOXIDE 54983, 70408 1863<br />
RU-TUSS W/HYDROCODONE 27060 COMBINATION PRODUCT 51380 1 3 2 DIHYDROCODEINE, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 52647, 70254, 70358, 70394, 70407 1721, 1943<br />
SERPASIL-APRESOLINE 27900 COMBINATION PRODUCT 51380 1 6 2 RESERPINE, HYDRALAZINE HCL 55080, 70339 0506<br />
SINGLET 28100 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 50005, 70226, 70256 1945<br />
SOFT THERM 28720 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, EDETATE DISODIUM, SODIUM BORATE, SODIUM CHLORIDE 50660, 52015, 55295, 55315<br />
SPD ANALGESIC 29060 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, CAPSICUM, DIPROPYLENE GLYCOL SALICYLATE, METHYL SALICYLATE, METHYL NICOTINATE 50845, 50868, 51914, 53620, 53647<br />
STRI-DEX PADS 29595 COMBINATION PRODUCT 51380 2 6 2 SALICYLIC ACID 55160 1265<br />
SWIM-EAR 30290 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BORIC ACID 50090, 50660 1670<br />
TEDRAL ANTI-H 30675 COMBINATION PRODUCT 51380 2 5 2 CHLORPHENIRAMINE, EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 51130, 52035, 54395, 55745<br />
THERALETS 31350 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TRALMAG 31920 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, DIHYDROXYALUMINUM AMINOACETATE, MAGNESIUM ANTACIDS 50145, 51795, 53175 0874<br />
TRIATROPHENE 32285 COMBINATION PRODUCT 51380 2 5 2 ATROPINE, MAGNESIUM ANTACIDS, PHENOBARBITAL 50420, 53175, 54395<br />
TYROHIST 32975 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, BENZOCAINE, CAMPHOR, MENTHOL, PYRILAMINE 50515, 50530, 50845, 53325, 54995 1945<br />
VASOCON-A 33705 COMBINATION PRODUCT 51380 1 6 2 NAPHAZOLINE HCL, ANTAZOLINE PHOSPHATE 70395, 70601 1569<br />
VI-DAYLIN DROPS 33970 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
VICAM 34100 COMBINATION PRODUCT 51380 1 6 2 VITAMIN C, VITAMIN B COMPLEX 56193, 56345 0913<br />
VITA IRON 34285 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
WHITE PINE COMPOUND 34880 COMBINATION PRODUCT 51380 2 6 2 ARALIA, POPLAR BUD, SANGUINARIA, WHITE PINE SYRUP, WILD CHERRY SYRUP 50367, 54613, 55171, 56225, 56230<br />
A.C.A. #5 40010 COMBINATION PRODUCT 51380 2 6 2 ATROPINE, CAMPHOR, GELSEMIUM, PHENACETIN, SALICYLAMIDE 50420, 50845, 52397, 54350, 55150<br />
MD 40970 COMBINATION PRODUCT 51380 1 6 2 DIATRIZOATE SODIUM, IODINE SOLUTIONS, DIATRIZOATE MEGLUMINE 51689, 52830, 59624 0789<br />
STRESSAIDS W/IRON 41540 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, IRON PREPARATIONS, METHOXSALEN, MULTIVITAMINS GENERAL, PANTHENOL 52355, 52885, 53585, 53780, 54173<br />
ELECTROLYTE DEXTROSE 50010 COMBINATION PRODUCT 51380 1 6 2 CHLORIDE ION, DEXTROSE, MAGNESIUM ANTACIDS, POTASSIUM ION, SODIUM ION 51064, 51675, 53175, 54713, 55348<br />
GASTROVIST 60625 COMBINATION PRODUCT 51380 1 6 2 DIATRIZOATE SODIUM, DIATRIZOATE MEGLUMINE 51689, 59624 0789<br />
ENDAL-HD 92174 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70217, 70226, 70358 1944<br />
VERREX 93168 COMBINATION PRODUCT 51380 1 6 2 ACETONE, CASTOR OIL, COLLODION, PODOPHYLLUM, SALICYLIC ACID 50035, 50940, 51375, 54560, 55160 1266<br />
VICKS 44D 94144 COMBINATION PRODUCT 51380 2 6 2 PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70256, 70338 1941, 1943<br />
GUAIPAX 97007 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1945<br />
ANAPLEX HD 98005 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70217, 70239, 70256 1944<br />
PANNAZ 98138 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, METHSCOPOLAMINE, PHENYLPROPANOLAMINE 51130, 53600, 54465 1944<br />
KINERASE 99058 COMBINATION PRODUCT 51380 2 6 2 CETYL ALCOHOL, GLYCERIN, SAFFLOWER OIL, STEARYL ALCOHOL, ALOE VERA 51020, 52450, 55145, 55490, 70197 1265<br />
TRIBIOTIC 99131 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, LIDOCAINE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 50450, 53070, 70212, 70362 1482<br />
AVALIDE 99051 1347 0009 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, IRBESARTAN 52645, 59735 0506<br />
PULMOCARE 04166 997 0007 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, WATER, CALCIUM CASEINATE 53723, 53805, 70460, 70761 0914<br />
PROPASS PROTEIN SUPPLEMENT 04274 698 0005 COMBINATION PRODUCT 51380 2 6 2 SOY LECITHIN, WHEY PROTEIN CONCENTRATE 70798, 70881 0914<br />
CETAPHIL MOISTURIZER 95108 469 0003 COMBINATION PRODUCT 51380 2 6 2 CETYL ALCOHOL, PROPYLENE GLYCOL, SODIUM LAURYL SULFATE, STEARYL ALCOHOL 51020, 54895, 55360, 55490 1265<br />
TRIZIVIR 01274 260 0002 COMBINATION PRODUCT 51380 1 6 2 ZIDOVUDINE, LAMIVUDINE, ABACAVIR SULFATE 56261, 57146, 70032 0388<br />
RE/NEPH 04306 207 0001 COMBINATION PRODUCT 51380 2 6 2 PHOSPHORUS, PROTEIN, CARBOHYDRATE(S), FAT, POTASSIUM 57034, 57166, 57168, 57170, 70899 0914<br />
GERITOL 13455 165 0001 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53915, 54990, 55105, 55755, 56192 0913<br />
BENECALORIE 04019 131 0001 COMBINATION PRODUCT 51380 2 6 2 OLEIC ACID, ZINC SULFATE, CALCIUM CASEINATE, MONOGLYCERIDE, DIGLYCERIDE 54025, 56285, 70761, 70762, 70763 0914<br />
UNASYN 33092 85 0001 COMBINATION PRODUCT 51380 1 6 2 SULBACTIN SODIUM, AMPICILLIN SODIUM 55521, 70235 0346<br />
UTA 04182 76 0001 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, METHENAMINE, METHYLENE BLUE, PHENYL SALICYLATE, SODIUM BIPHOSPHATE 52720, 53530, 53640, 54440, 59728 0354<br />
CATAPLEX G 04207 58 0000 COMBINATION PRODUCT 51380 2 5 2 ALLANTOIN, CALCIUM LACTATE, CHOLINE BITARTRATE, BOVINE LIVER POWDER, PORCINE STOMACH 50103, 70290, 70556, 70851, 70852 2100<br />
HUMIBID DM 92179 33 0000 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
TMP-SMZ DS 00007 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
SIROLIMUS 00017 SIROLIMUS 70103 1 6 1 1181<br />
A.C.A. 00020 UNDETERMINED 50000 3 7 3 2000<br />
A.P.C. 00030 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, PHENACETIN 50410, 50745, 54350 1720<br />
PREVEON 00041 ADEFOVIR DIPIVOXIL 70117 1 7 1 2087<br />
ANTITHROMBIN III 00046 ANTITHROMBIN III 70119 1 6 1 0409<br />
SCLEROVEIN 00051 POLIDOCANOL 70201 1 7 1 0504, 2087<br />
D5 1/2 NS WITH KCL 00064 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, SODIUM CHLORIDE, POTASSIUM CHLORIDE 51675, 55315, 56585 0914<br />
INTEGRILIN 00067 EPTIFIBATIDE 70126 1 6 1 0409, 0508<br />
SCLEROMATE 00074 MORRHUATE SODIUM 53770 1 6 1 0504, 2087<br />
PREGABALIN 00084 UNDETERMINED 50000 1 6 3 1374, 1700<br />
NESTABS CBF 00094 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS 53805 0913<br />
ALOCRIL 00099 NEDOCROMIL 56530 1 6 1 1570<br />
ORLISTAT 00106 ORLISTAT 70019 1 6 1 0631<br />
BRONCHIAL MIST 00121 UNDETERMINED 50000 1 7 3 1940<br />
MONISTAT 3 00127 MICONAZOLE 53715 1 6 1 0358<br />
A-CAINE 00130 COMBINATION PRODUCT 51380 2 6 2 BISMUTH, EXTERNAL, DIPERODON, PHENYLEPHRINE, PYRILAMINE, ZINC TOPICAL AGENTS, EXTERNAL USE 50637, 51848, 54455, 54995, 56265 0117<br />
GUAIFED-PD 00146 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943, 1945<br />
RETEPLASE 00157 RETEPLASE RECOMBINANT 59821 1 6 1 0409, 0504, 2095<br />
GOOD START FORMULA 00166 INFANT FORMULA 52775 2 6 2 0914<br />
TRIMO-SAN 00168 OXYQUINOLONE SULFATE 70607 2 6 1 0355, 1273<br />
PEDIA-POP 00175 COMBINATION PRODUCT 51380 2 6 2 DEXTROSE, SODIUM CHLORIDE, SODIUM CITRATE, POTASSIUM CHLORIDE, SODIUM CARBOXYMETHYLCELLULOS 51675, 55315, 55320, 56585, 70157 0915<br />
HAPONAL 00191 COMBINATION PRODUCT 51380 1 6 2 HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE 52720, 54395, 55180, 70120 0877, 0878<br />
PENCICLOVIR 00202 PENCICLOVIR 59740 1 6 1 0388<br />
AMINOSALICYLIC ACID 00207 AMINOSALICYLIC ACID 50220 1 6 1 0356<br />
PROFIBER 00214 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS 53805 0914<br />
CHINESE HERBAL MEDS 00221 UNDETERMINED 50000 2 6 3 2100<br />
ETIDRONATE DISODIUM 00234 ETIDRONATE DISODIUM 52185 1 6 1 0916<br />
ZOLMITRIPTAN 00238 ZOLMITRIPTAN 59804 1 6 1 1723<br />
POLYDOCINOL 00248 UNDETERMINED 50000 1 6 3 1265<br />
DIZAC 00252 DIAZEPAM 51695 1 4 1 0627, 1373, 1374<br />
INDOCYANINE GREEN 00262 INDOCYANINE GREEN 52765 1 6 1 2087<br />
MOMETASONE FUROATE 00268 MOMETASONE FUROATE MONOHYDRATE 53754 1 6 1 1032, 1265, 1268<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ULCEREASE 00279 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, PHENOL 52450, 54400 2099<br />
ACETANILID 00285 ACETANILID 50015 1 6 1 2100<br />
ACETATED RINGER'S 00290 COMBINATION PRODUCT 51380 1 6 2 ACETATE ION, CALCIUM ION, CHLORIDE ION, POTASSIUM ION, SODIUM ION 50018, 50806, 51064, 54713, 55348 0915<br />
ZICAM 00303 ZINCUM GLUCONICUM 70198 2 6 1 2100<br />
AMINO-MAG 00309 MAGNESIUM GLYCINATE 70199 2 6 1 0913<br />
DILATING DROPS 00314 UNDETERMINED 50000 1 6 3 1567<br />
SARAFEM 00318 FLUOXETINE HYDROCHLORIDE 80006 1 6 1 0630, 0632<br />
ACHROMYCIN 00340 TETRACYCLINE 55725 1 6 1 1568<br />
ACID-EZE 00370 UNDETERMINED 50000 3 7 3 2000<br />
ACIDULATED PHOSPHATE FLUORIDE 00380 FLUORIDE 52318 1 6 1 2097<br />
ACNE 00395 UNDETERMINED 50000 3 7 3 1270<br />
ACNOMEAD 00420 UNDETERMINED 50000 3 7 3 2000<br />
ACTH 00455 CORTICOTROPIN 51400 1 6 1 1035<br />
ACTIDIL 00470 TRIPROLIDINE 56020 2 6 1 1944<br />
ACTIFED WITH CODEINE 00481 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PSEUDOEPHEDRINE, TRIPROLIDINE 51340, 54960, 56020 1941, 1943, 1944<br />
ACTOL 00485 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, NOSCAPINE 52490, 53980 1943<br />
ADENOSINE 00535 ADENOSINE 50080 1 6 1 0502<br />
ADRENAL CORTEX 00555 HYDROCORTISONE 52655 1 6 1 1032<br />
ADRENERGIC AGENT 00563 UNDETERMINED 50000 3 7 3 2087<br />
ADSORBONAC 00590 SODIUM CHLORIDE 55315 2 6 1 1569<br />
AEROSEB-DEX 00610 DEXAMETHASONE 51635 1 6 1 1265<br />
AFKO-LUBE SYRUP 00640 DOCUSATE 51935 2 6 1 0876<br />
AHF 00668 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 1373<br />
AKNE DRYING LOTION 00690 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, SALICYLIC ACID, SULFUR, UREA, ZINC TOPICAL AGENTS, EXTERNAL USE 50090, 55160, 55610, 56120, 56265 1265<br />
ALCOHOL ABSOLUTE 00795 ALCOHOL 50090 1 6 1 2000<br />
ALFENTA 00866 ALFENTANIL HYDROCHLORIDE 50093 1 2 1 1721<br />
ALKALINE AROMATIC 00900 COMBINATION PRODUCT 51380 2 6 2 SODIUM BENZOATE, SODIUM BICARBONATE, SODIUM BORATE, SODIUM CHLORIDE, SODIUM SALICYLATE 55275, 55280, 55295, 55315, 56325 2000<br />
ALKERAN 00915 MELPHALAN 53300 1 6 1 1479<br />
ALLEREST 00960 UNDETERMINED 50000 2 6 3 1941<br />
LIMBITROL DS 10-25 01009 COMBINATION PRODUCT 51380 1 4 2 AMITRIPTYLINE, CHLORDIAZEPOXIDE 50230, 51055 0630<br />
RABAVERT 01024 RABIES VACCINE 55060 1 6 1 1180<br />
CODEINE COUGH SYRUP 01028 CODEINE PHOSPHATE 70231 1 2 1 1943<br />
REPAGLINIDE 01042 REPAGLINIDE 59817 1 6 1 1036<br />
BENYLIN DM 01052 DEXTROMETHORPHAN 51670 2 6 1 1943<br />
TEGRETOL XR 01063 CARBAMAZEPINE 50880 1 6 1 1374<br />
PROLEX 01077 COMBINATION PRODUCT 51380 1 3 2 POTASSIUM GUAIACOLSULFONATE, HYDROCODONE BITARTRATE 54700, 70217 1943<br />
APTHASOL PASTE 01089 AMLEXANOX 70250 1 6 1 2099<br />
ALPHA-RUVITE 01095 HYDROXOCOBALAMIN 52680 1 6 1 0408, 0913<br />
NEOFRIN 01107 PHENYLEPHRINE 54455 3 6 1 1570<br />
UROQUID 01114 COMBINATION PRODUCT 51380 1 6 2 METHENAMINE MANDELATE, SODIUM ACID PHOSPHATE MONOHYDR 70273, 70274 0354<br />
ACETRETIN 01136 ACETRETIN 70293 3 7 1 1270<br />
PUMPKIN SEED OIL 01139 PUMPKIN SEED OIL 70295 2 6 1 2100<br />
OLUX 01144 CLOBETASOL PROPIONATE 51243 1 6 1 1268<br />
ALTOCO 01148 VITAMIN E 56195 1 6 1 0913<br />
VAGIFEM 01153 ESTRADIOL HEMIHYDRATE 70304 1 6 1 1034<br />
COSAMIN DS 01168 COMBINATION PRODUCT 51380 2 6 2 CHONDROITIN SULFATE, GLUCOSAMINE, MANGANESE ASCORBATE 57072, 70012, 70314 2100<br />
Q-BID 01186 GUAIFENESIN 52490 1 6 1 1943<br />
ALUM AMMONIUM POWDER 01190 ALUMINUM AMMONIUM SULFATE 50135 2 6 1 1265<br />
NYSTATIN W/HYDROCORTISONE 01210 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, NYSTATIN 52655, 53995 0358, 1268<br />
ACUVITE 01224 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
AMIFOSTINE 01238 AMIFOSTINE 70185 1 6 1 0281<br />
PROGESTERONE/ESTROGEN PATCH 01247 COMBINATION PRODUCT 51380 1 6 2 ESTROGENS, PROGESTERONE 52075, 54845 1034<br />
ALUPRIN 01258 UNDETERMINED 50000 3 6 3 2000<br />
POSACONAZOLE 01271 POSACONAZOLE 70387 1 7 1 0358<br />
BIOTIN FORTE 01276 MULTIVITAMIN COMBINATION 51382 2 6 2 BIOTIN, FOLIC ACID, VITAMIN C, VITAMIN B COMPLEX, ZINC ACETATE 50620, 52355, 56193, 56345, 70365 0913<br />
CORLOPAM 01289 FENOLDOPAM MESYLATE 70980 1 6 3 0506<br />
AMBENYL 01305 COMBINATION PRODUCT 51380 1 5 2 BROMODIPHENHYDRAMINE, CODEINE PHOSPHATE 50685, 70231 1943, 1944<br />
AMIDATE 01378 ETOMIDATE 52188 1 6 1 0118<br />
AMIGEN 01400 PROTEIN HYDROLSATE 54920 1 6 1 0914<br />
AMINESS 01418 AMINO ACIDS 50185 1 6 1 0914<br />
AMINOHIPPURATE 01445 AMINOHIPPURATE SODIUM 50205 1 6 1 0789<br />
AMINOPHYLLINE PHENOBARBITAL 01475 COMBINATION PRODUCT 51380 1 6 2 AMINOPHYLLINE, PHENOBARBITAL 50210, 54395 0626, 1940<br />
AMITRIL 01525 AMITRIPTYLINE 50230 1 6 1 0630<br />
AMMONIUM CHLORIDE 01570 AMMONIUM CHLORIDE 50245 3 6 1 0507, 0509<br />
AMPHENOL 01655 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
AMQUIN KCL 10% SUGAR-FREE 01695 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
AMYTAL 01725 AMOBARBITAL SODIUM 50250 1 2 1 0626<br />
ANABOLIN 01740 METHANDRIOL 53490 1 3 1 1033<br />
ANALGESIC 01775 UNDETERMINED 50000 3 7 3 1720<br />
ANALGETS WAFER 01810 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
ANDRO-FEM 01895 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
ANDROID-5 BUCCAL 01925 METHYLTESTOSTERONE 53670 1 3 1 1033<br />
ANDROLONE D 50 01945 NANDROLONE 53870 1 3 1 1033<br />
ANDROPOSITORY 01958 TESTOSTERONE 55695 1 3 1 1033<br />
ANESTHETIC 01983 UNDETERMINED 50000 3 7 3 0100<br />
ANISE OIL 02020 ANISE OIL 50290 3 6 1 2000<br />
ANISOTROPINE 02025 ANISOTROPINE 50300 1 6 1 0877<br />
ANISOTROPINE METHYLBROMIDE 02028 ANISOTROPINE 50300 1 6 1 0877<br />
STUGERON 02051 CINNARIZINE 70444 1 6 1 0635, 1671, 1944<br />
TRILUMA 02062 COMBINATION PRODUCT 51380 1 6 2 FLUOCINOLONE, HYDROQUINONE, TRETINOIN 52305, 52675, 55905 2087<br />
FLAMAZINE C 02072 COMBINATION PRODUCT 51380 3 6 2 SILVER SULFADIAZINE, CHLORHEXIDINE DIGLUCONATE 55235, 70454 1271<br />
TENECTEPLASE 02089 TENECTEPLASE 70451 1 6 1 0409<br />
OATMEAL BATH 02093 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, OATMEAL 53720, 54000 1274<br />
LEUSTATIN 02098 CLADRIBINE 70462 1 6 1 1479<br />
GATIFLOXACIN 02102 GATIFLOXACIN 70109 1 6 1 0357<br />
DIAPER RASH 02112 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, METHYLPARABEN, PETROLATUM, ZINC OXIDE, COD LIVER OIL 53003, 53650, 54330, 70052, 70396 1265<br />
VAPO-PATCHES 02118 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, EUCALYPTUS OIL 50845, 52190 2100<br />
FOXGLOVE 02126 FOXGLOVE 70469 2 6 1 2100<br />
CLORAZEPATE DIPOTASSIUM 02129 CLORAZEPATE DIPOTASSIUM 70470 1 4 1 0627, 1374<br />
CARBOFED DM SYRUP 02139 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70239, 70256, 70338 1943<br />
ESCLIM 02151 ESTRADIOL 52070 1 6 1 1034<br />
ANTICOAGULANT 02165 UNDETERMINED 50000 3 7 3 0409<br />
ARISTOCORT/XYLOCAINE 02172 COMBINATION PRODUCT 51380 1 6 2 XYLOCAINE, TRIAMCINOLONE ACETONIDE 70305, 70307 1032<br />
CLARIPEL 02174 HYDROQUINONE 52675 1 6 1 1265<br />
DRIXOMED 02181 COMBINATION PRODUCT 51380 1 6 2 DEXBROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE SULFATE 70373, 70378 1944<br />
GLUCOPHAGE XR 02189 METFORMIN HCL 70481 1 6 1 1036<br />
ECONOPRED PLUS 02206 PREDNISOLONE ACETATE 70158 1 6 1 1032, 1568<br />
ANTISPAS 02220 DICYCLOMINE 51730 1 6 1 0875<br />
ANTISPASMODIC 02225 UNDETERMINED 50000 3 7 3 0878<br />
ANTIVENIN SPIDER BITE 02235 SPIDER-BITE ANTIVENIN 55455 1 6 1 0285<br />
FINEVIN 02241 AZELAIC ACID 57238 1 6 1 1265<br />
CALAN SR 02244 VERAPAMIL HCL 70499 1 6 1 0503, 0506, 0510<br />
FLOXIN OTIC 02247 OFLOXACIN 54009 1 6 1 0355, 1568, 1670<br />
VORICONAZOLE 02261 VORICONAZOLE 70508 1 6 1 0358<br />
ANTRIN 02270 UNDETERMINED 50000 3 7 3 2000<br />
LIDEX-E 02273 FLUOCINONIDE 52310 1 6 1 1032, 1265, 1268<br />
APRI 02280 COMBINATION PRODUCT 51380 1 6 2 DESOGESTREL, ETHINYL ESTRADIOL 57058, 70027 1040<br />
PHOSPHATE 02287 PHOSPHATE 70525 1 6 1 0913<br />
CONGESTAC TABLETS 02291 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
CANVAXIN 02306 MELANOMA VACCINE 70529 1 7 1 2000<br />
DALLERGY ER 02313 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, DEXTROSE, CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PHENYLEPHRINE HCL 50090, 51675, 70226, 70243, 70358 0915, 1944<br />
TENOFOVIR DISOPROXIL FUMARATE 02321 TENOFOVIR DISOPROXIL FUMARATE 70535 1 6 1 1483<br />
IMMUNOMAX 02329 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS 53805 0913<br />
NEOMYCIN/POLYMYXIN B SULFATES/HYDROCORTI 02331 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, POLYMYXIN B, NEOMYCIN SULFATE 52655, 70011, 70362 1670<br />
BARIDIUM 02346 PHENAZOPYRIDINE HCL 70342 2 6 2 0354<br />
PLATELET PHERESIS 02361 PLATELET PHERESIS 70622 1 6 1 0410<br />
SIMULECT 02385 BASILIXIMAB 70656 1 6 1 1480<br />
DROTRECOGIN ALFA 02389 DROTRECOGIN ALFA 70659 1 6 1 2087<br />
APPI-PLEX 02393 PHENTERMINE 54430 1 4 1 0631<br />
PLATELET INHIBITOR 02397 UNDETERMINED 50000 1 6 3 0409<br />
AQUABASE 02443 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PETROLATUM, MINERAL WAX, WOOLWAX ALCOHOL, SORBITAN SESQUIOLEATE 53720, 54330, 70667, 70668, 70957 1265<br />
AQUAZIDE 02512 TRICHLORMETHIAZIDE 55930 1 6 1 0506, 0507<br />
ARALEN PHOSPHATE 02525 CHLOROQUINE 51095 1 6 1 1860<br />
ARFONAD 02550 TRIMETHAPHAN 55995 1 6 1 0506<br />
ARISTOCORT FORTE 02585 TRIAMCINOLONE 55915 1 6 1 1268<br />
ARISTOCORT R 02605 TRIAMCINOLONE 55915 1 6 1 1268<br />
ARLIDIN 02625 UNDETERMINED 50000 3 7 3 2000<br />
ARTICULOSE LA 02673 TRIAMCINOLONE 55915 1 6 1 1268<br />
ASCORBICAP 02715 VITAMIN C 56193 2 6 1 0913<br />
ASMA-LIEF 02755 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 1940<br />
ASPIRIN W/PHENOBARBITAL 02830 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, PHENOBARBITAL 50410, 54395 0626, 1720, 2087<br />
ATROPINE & PHENOBARBITAL 02935 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, PHENOBARBITAL 50420, 54395 0119, 0875, 1567<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
AURASOL 03000 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE, GLYCERIN, OXYQUINOLONE 50325, 50530, 52450, 54148 0117<br />
DITHRANOL 03004 ANTHRALIN 50310 1 6 1 1266<br />
HEPSERA 03007 ADEFOVIR DIPIVOXIL 70117 1 6 1 0388<br />
AUREOMYCIN STERILE 03010 CHLORTETRACYCLINE 51165 1 6 1 0350<br />
BI-EUGLUCON 03016 GLYBURIDE 52447 1 6 1 1036<br />
NORMAL SALINE/MULTIVITAMIN 03018 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS, NORMAL SALINE 53805, 70308 0913, 0915<br />
IRESSA 03037 GEFITINIB 70680 1 6 1 1479<br />
AVC 03040 SULFANILAMIDE 55565 1 6 1 0353<br />
RELPAX 03048 ELETRIPTAN HYDROBROMIDE 70682 1 6 1 1723<br />
CITRA PH 03053 SODIUM CITRATE 55320 2 6 1 0879<br />
DEODORIZED OPIUM TINCTURE 03064 OPIUM 54035 1 2 1 1721<br />
HISTEX PD 03074 CARBINOXAMINE MALEATE 70401 1 6 1 1944<br />
CONTAC COLD 12 HOUR RELIEF 03086 PSEUDOEPHEDRINE HCL 70256 2 6 1 1945<br />
CHOLESTENE 03092 RED YEAST RICE FORMULA 70694 2 6 1 2100<br />
CILOSTAZOL 03099 CILOSTAZOL 70039 1 6 1 0400, 0504<br />
PROLEX D 03107 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE 52490, 54455 1941, 1943<br />
GINGER 03122 UNDETERMINED 50000 2 6 3 2100<br />
BOWEL PREP 03126 BISACODYL 50630 1 6 1 0876<br />
DUAC 03131 BENZOYL PEROXIDE 50550 1 6 1 0348, 1265<br />
NIFEDIPINE ER 03142 NIFEDIPINE 53922 1 6 1 0503, 0506<br />
AVAPRO W/HCTZ 03147 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, IRBESARTAN 52645, 59735 0506<br />
AZO-SOXAZOLE 03160 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFISOXAZOLE 54365, 55590 0353<br />
FEVERFEW 03169 UNDETERMINED 50000 2 6 3 2100<br />
BIOGLO 03173 FLUORESCEIN 52315 2 6 1 1569<br />
LEVITRA 03180 VARDENAFIL HCL 70710 1 6 1 0504<br />
XANAX XR 03185 ALPRAZOLAM 50113 1 4 1 0627<br />
AZO-100 03190 PHENAZOPYRIDINE 54365 2 6 1 0354<br />
DERMAZINC SPRAY 03199 ZINC PYRITHIONE 70320 2 6 1 1265<br />
ALACOL DM 03204 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, DEXTROMETHORPHAN, PHENYLEPHRINE 50690, 51670, 54455 1941, 1943, 1944<br />
ELIGARD 03219 LEUPROLIDE ACETATE 70455 1 6 1 1479<br />
ENALAPRIL MALEATE 03226 ENALAPRIL MALEATE 70600 1 6 1 0506, 0514<br />
PORTIA 03232 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1034<br />
TESTIM 03241 TESTOSTERONE 55695 1 3 1 1033<br />
NATURE'S MADE 03248 MULTIVITAMIN COMBINATION 51382 2 6 2 0913<br />
PRIMACARE 03257 MULTIVITAMIN COMBINATION 51382 1 6 2 0913<br />
FIBER CHOICE 03264 FIBER 70714 2 6 1 0876<br />
INDOCIN SR 03267 INDOMETHACIN 52770 1 6 1 1724, 1727<br />
ALAMAST 03278 PEMIROLAST POTASSIUM 70723 1 6 1 1568, 1569<br />
TRI-MIX 03291 COMBINATION PRODUCT 51380 1 6 2 UNDETERMINED, PHENTOLAMINE 50000, 54435 0504<br />
EPIDURAL ANESTHESIA TRAY 03313 EPIDURAL 70732 1 6 1 0117, 2096<br />
TRAMADOL HCL 03319 TRAMADOL HCL 70282 1 6 1 1722, 1728<br />
SOMATOMEDIN-C 03325 INSULIN LIKE GROWTH FACTOR 1 70735 3 7 1 0792<br />
CORN STARCH 03336 CORN STARCH 70413 2 6 1 1265<br />
MARYS MAGIC POTION 03356 UNDETERMINED 50000 2 6 3 1264<br />
PASSION FLOWER 03361 UNDETERMINED 50000 2 6 3 2100<br />
DPM-300 03364 DIPYRIDAMOLE 51915 1 6 1 0409, 0503<br />
ALTEPLASE 03371 ALTEPLASE 80002 1 6 1 0409, 0410<br />
RED CLOVER 03382 UNDETERMINED 50000 2 6 3 2100<br />
ELFIN 03388 UNDETERMINED 50000 3 7 3 2100<br />
CREON 10 03402 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
ELOXATIN 03409 OXALIPLATIN 59833 1 6 1 1479<br />
BACITRACIN-NEOMYCIN-POLYMYXIN 03415 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, NEOMYCIN, POLYMYXIN B 50450, 53895, 70011 1265<br />
GONAK 03418 HYDROXYPROPYL METHYLCELLULOSE 52700 2 6 1 1569<br />
BACTOCILL 03425 OXACILLIN 54070 1 6 1 0346<br />
MYKROX 03431 METOLAZONE 53690 1 6 1 0507<br />
HYOSCYAMINE 03434 HYOSCYAMINE 52720 1 6 1 0877<br />
BALNEOL LOTION 03480 COMBINATION PRODUCT 51380 2 6 2 LANOLIN, MINERAL OIL 53003, 53720 1272<br />
BARBATOSE #2 03545 COMBINATION PRODUCT 51380 1 6 2 BARBITAL, PASSIFLORA EXTRACT, VALERIAN, HYOSCYAMINE SULFATE 50475, 54227, 56135, 70336 0626<br />
BARSEB 03625 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, ISOPROPYL ALCOHOL, ISOPROPYL MYRISTATE, PROPYLENE GLYCOL, SALICYLIC ACID 52655, 52925, 52928, 54895, 55160 1265<br />
BCO 03688 VITAMIN B COMPLEX 56345 2 6 1 0913<br />
BECOTIN-T 03725 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN 53915, 54175, 54990, 55105 0913<br />
BELLADENAL 03785 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, PHENOBARBITAL 50495, 54395 0877<br />
BELLAFOLINE 03835 BELLADONNA 50495 1 6 1 0877<br />
BELLOPHEN 03870 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, PHENOBARBITAL 50495, 54395 0626, 0874<br />
BENOJECT 03965 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
BENOXYL 03980 BENZOYL PEROXIDE 50550 2 6 1 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BENSULFOID POWDER 03995 SULFUR 55610 1 6 1 1265<br />
BAZA PROTECTANT OINTMENT 04018 COMBINATION PRODUCT 51380 2 6 2 PETROLATUM, VITAMIN A, VITAMIN D 54330, 56185, 56194 1265<br />
SNURON 04038 SNURON 70773 2 6 1 2100<br />
CIPROFLOXACIN EYE SOLUTION 04044 COMBINATION PRODUCT 51380 1 6 1 CIPROFLOXACIN 70775 0351, 1568<br />
BEROCCA-C 04105 COMBINATION PRODUCT 51380 1 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54990, 55105, 55755 0913<br />
BETADINE PERINEAL WASH CONCENTRATE 04125 POVIDONE-IODINE 54749 2 6 1 1264<br />
ZOXAN 04157 CIPROFLOXACIN 70775 1 6 1 0357<br />
FLUMIST 04162 INFLUENZA VIRUS VACCINE 52780 1 6 1 1180<br />
BEXIBEE 04205 COMBINATION PRODUCT 51380 1 6 2 THIAMINE, VITAMIN B-12 55755, 56192 0408<br />
ZAGAM 04264 SPARFLOXACIN 70879 1 6 1 0357<br />
ANOREX 04281 PHENDIMETRAZINE 54370 1 3 1 0631<br />
BILRON 04295 IRON BILE SALTS 52890 2 6 1 0877<br />
BIONATE 04323 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL CYPIONATE, TESTOSTERONE CYPIONATE 70245, 70372 1033, 1034<br />
BIOTHESIN 04335 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, CERIUM OXALATE, BISMUTH SUBNITRATE 50530, 51010, 70617 0635<br />
CLIOQUINOL 04402 CLIOQUINOL 70554 2 6 1 1265<br />
CAPTOPRIL/HCTZ 04407 COMBINATION PRODUCT 51380 1 6 2 CAPTOPRIL, HYDROCHLOROTHIAZIDE 50869, 52645 0506, 0507, 0514<br />
AMIBID LA 04416 GUAIFENESIN 52490 1 6 1 1943<br />
ERTAPENEM 04421 ERTAPENEM SODIUM 70450 1 6 1 0355<br />
TRIFLURIDINE 04424 TRIFLURIDINE 55967 1 6 1 1568<br />
SUDODRIN 04428 PSEUDOEPHEDRINE HCL 70256 2 6 1 1941<br />
TRITUSSIN COUGH 04447 COMBINATION PRODUCT 51380 1 5 2 CITRIC ACID, CODEINE PHOSPHATE, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 51235, 70231, 70394, 70407 1943, 1944<br />
LORTUSS DM 04463 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, DEXTROMETHORPHAN, PHENYLEPHRINE 50690, 51670, 54455 1941, 1943, 1944<br />
IOPAMIDOL 04473 IOPAMIDOL 52854 1 6 1 0789<br />
N-ACETYLCYSTEINE 04477 ACETYLCYSTEINE 50060 1 6 1 0281, 1943<br />
ULTRA INFLAMEX 04483 UNDETERMINED 50000 2 6 3 2100<br />
METADATE 04489 METHYLPHENIDATE HCL 70374 1 2 1 0631<br />
MAXOLON 04493 METOCLOPRAMIDE 53688 1 6 1 0635, 0874, 1671<br />
FOLBEE 04499 MULTIVITAMIN COMBINATION 51382 1 6 2 FOLIC ACID, VITAMIN B-12, VITAMIN B-6 52355, 56192, 70697 0913<br />
HORSETAIL 04507 UNDETERMINED 50000 2 6 3 2100<br />
BLISTIK BALM 04510 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, CAMPHOR, LANOLIN, MINERAL OIL, PHENOL 50103, 50845, 53003, 53720, 54400 1265<br />
JOINT LUBE 04518 UNDETERMINED 50000 2 6 3 2100<br />
CALNA 04523 MULTIVITAMIN COMBINATION 51382 3 6 2 MINERALS, MULTIVITAMINS 53723, 53805 0913<br />
NUGEL 04526 SODIUM ALGINATE 55273 3 6 1 1265<br />
SULBACTAM SODIUM STERILE 04531 SULBACTAM SODIUM STERILE 70956 1 6 1 0346, 0347<br />
ABX OINTMENT 04536 UNDETERMINED 50000 3 6 3 1264, 1569<br />
TYLENOL INFANT'S 04541 ACETAMINOPHEN 50005 2 6 1 1720<br />
HYDROCORTISONE VALERATE 04544 HYDROCORTISONE VALERATE 70958 1 6 1 1265, 1268, 2097<br />
GEREF 04551 SERMORELIN ACETATE 70961 1 6 1 0789, 0792, 2096<br />
SEVELAMER HYDROCHLORIDE 04556 SEVELAMER HCL 70004 1 6 1 0915<br />
VITA-LEA OCEAN WONDERS 04563 MULTIVITAMIN COMBINATION 51382 2 6 2 0913<br />
INNOPRAN XL 04569 PROPRANOLOL HCL 70559 1 6 1 0502, 0503, 0512<br />
BORON 04574 BORON 70325 2 6 1 0913<br />
L-ARGININE 04578 L-ARGININE 70963 3 6 1 0914<br />
POLICOSANOL 04581 UNDETERMINED 50000 2 6 3 2100<br />
BONTRIL PDM 04585 PHENDIMETRAZINE 54370 1 3 1 0631<br />
TIOTROPIUM BROMIDE 04589 TIOTROPIUM BROMIDE 70774 1 6 1 1940<br />
VIMAR 04592 MULTIVITAMIN COMBINATION 51382 3 6 2 0913<br />
BODY SMART 04596 MULTIVITAMIN COMBINATION 51382 2 6 2 1270<br />
BOROFAX 04600 BORIC ACID 50660 2 6 1 1265<br />
CRYSELLE 04614 COMBINATION PRODUCT 51380 1 6 2 NORGESTREL, ETHINYL ESTRADIOL 53970, 70027 1034, 1040<br />
NICOTINE NASAL SPRAY 04623 NICOTINE 70137 1 6 1 0632<br />
B-PLEX 04628 VITAMIN B COMPLEX 56345 1 6 1 0913<br />
PROSHIELD 04637 UNDETERMINED 50000 2 6 3 1265<br />
OYST-CAL 04642 CALCIUM CARBONATE 50785 2 6 1 0913<br />
BREOKINASE 04645 UROKINASE 56130 1 6 1 0409<br />
BRETYLOL 04655 BRETYLIUM 50665 1 6 1 0502<br />
DOLOTIC 04658 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE 50325, 50530 1670<br />
MIRENA 04664 LEVONORGESTREL 50002 1 6 1 1034, 1040<br />
BRICANYL 04670 TERBUTALINE 55670 1 6 1 1940<br />
NATEGLINIDE 04674 NATEGLINIDE 70246 1 6 1 1036<br />
DALTEPARIN SODIUM 04677 DALTEPARIN SODIUM 59724 1 6 1 0409<br />
NARATRIPTAN HYDROCHLORIDE 04683 NARATRIPTAN HYDROCHLORIDE 59808 1 6 1 1723<br />
BRO-TAPP 04700 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 54455, 54465 1945<br />
BROMANATE DC EXPECTORANT 04755 COMBINATION PRODUCT 51380 1 5 2 BROMPHENIRAMINE, CODEINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 51340, 52490, 54455, 54465 1943<br />
BRONCHODILATOR 04873 UNDETERMINED 50000 3 7 3 1940<br />
BRONITIN 04885 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, THEOPHYLLINE, EPHEDRINE HCL, PYRILAMINE MALEATE 52490, 55745, 70350, 70394 1940, 1943, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BUFF-A-COMP 04995 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE 50410, 50728, 50745 0626, 1720<br />
BUMINTEST 05030 SULFOSALICYLIC ACID 55600 3 6 1 2087<br />
BURN OINTMENT 05043 NITROFURAZONE 53935 1 6 1 1265<br />
BUSULFAN 05060 BUSULFAN 50715 1 6 1 0915<br />
BUTALBITAL 05095 BUTALBITAL 50728 1 3 1 0626<br />
BUTAZOLIDIN ALKA 05115 PHENYLBUTAZONE 54450 1 6 1 1727<br />
BUTIBEL-ZYME 05130 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, BELLADONNA, BUTABARBITAL, CELLULASE, PROTEINASE 50283, 50495, 50720, 50968, 54923 0877<br />
C-RON FORTE 05210 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C 52885, 56193 0408<br />
CALAMINE LOTION 05335 CALAMINE 50755 2 6 1 1274<br />
CALCIBIND 05357 SODIUM PHOSPHATE 55385 1 6 1 0347<br />
CALCIUM BROMIDE 05400 CALCIUM BROMIDE 50780 3 6 1 0626, 1374<br />
CALCIUM GLUCEPTATE 05425 CALCIUM REPLACEMENT AGENTS 50770 1 6 1 0915<br />
CALCIUM OROTATE 05449 CALCIUM REPLACEMENT AGENTS 50770 2 6 1 0915<br />
CALMOL 4 05510 COMBINATION PRODUCT 51380 2 6 2 COCOA BUTTER, ZINC TOPICAL AGENTS, EXTERNAL USE, PARABENS 51325, 56265, 70391 1265<br />
CALTRO 05543 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, ERGOCALCIFEROL 50785, 52045 0913<br />
CANTHARIDIN 05595 CANTHARIDIN 50860 3 6 1 1265<br />
CAPASTAT 05625 CAPREOMYCIN 50865 1 6 1 0356<br />
CAPITROL 05645 CHLOROXINE 51115 1 6 1 1265<br />
CARBON DIOXIDE 05710 CARBON DIOXIDE 50908 3 6 1 0119, 0120<br />
CARDIAC AGENT 05758 UNDETERMINED 50000 1 6 3 0500<br />
CARDIO-PULMONARY RESUSCITATION DRUG KIT 05775 COMBINATION PRODUCT 51380 1 6 2 0500<br />
CASCARA SAGRADA 05870 CASCARA 50935 2 6 1 0876<br />
CASTORIA FLETCHERS 05888 SENNA 55200 2 6 1 0876<br />
CDP PLUS 05908 UNDETERMINED 50000 1 3 3 2087<br />
CEBRAL 05945 ETHAVERINE 52095 1 6 1 0504<br />
CEENU 05975 LOMUSTINE 53135 1 6 1 1479<br />
CELBENIN 06000 METHICILLIN 53535 1 6 1 0346<br />
CELLOTHYL 06020 METHYLCELLULOSE 53630 2 6 1 0876<br />
CENAHIST 06055 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, METHSCOPOLAMINE, PHENYLEPHRINE 51130, 53600, 54455 1941, 1944<br />
CEREBID 06140 PAPAVERINE 54190 1 6 1 0504<br />
CERUMENEX 06170 TRIETHANOLAMINE POLYPEPTIDE OLEATE- 70208 1 6 1 1670<br />
CETACORT 06185 HYDROCORTISONE 52655 1 6 1 1268<br />
CEVALIN 06235 VITAMIN C 56193 2 6 1 0913<br />
CHAP STICK 06255 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MINERAL OIL, PETROLATUM, WAX 50845, 53720, 54330, 56213 1265<br />
CHERACOL PLUS 06298 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
CHERRY SYRUP 06335 CHERRY SYRUP 51030 2 6 1 2095<br />
CHIGGEREX 06365 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, CAMPHOR, CLOVE OIL, MENTHOL, OLIVE OIL 50530, 50845, 51295, 53325, 54030 1265<br />
CHLORAMBUCIL 06455 CHLORAMBUCIL 51045 1 6 1 1483<br />
CHLORAMPHENICOL OPHTHALMIC 06468 CHLORAMPHENICOL 51050 1 6 1 1568<br />
CHLORASEPTIC CHILDREN'S 06475 BENZOCAINE 50530 2 6 1 0121, 1264<br />
CHLORDINIUM SALTS 06503 COMBINATION PRODUCT 51380 1 6 2 CLIDINIUM BROMIDE, CHLORDIAZEPOXIDE HCL 51250, 70356 0877<br />
CHLOROMYCETIN OTIC 06540 CHLORAMPHENICOL 51050 1 6 1 1670<br />
CHLOROMYCETIN-HYDROCORTISONE 06555 COMBINATION PRODUCT 51380 1 6 2 CHLORAMPHENICOL, HYDROCORTISONE ACETATE 51050, 70334 1568<br />
CHLOROPTIC 06570 CHLORAMPHENICOL 51050 1 6 1 1568<br />
CHLORPHENIRAMINE 2 MG W/SPC 06610 COMBINATION PRODUCT 51380 2 6 2 CAFFEINE, CHLORPHENIRAMINE, PHENACETIN, SALICYLAMIDE 50745, 51130, 54350, 55150 1945<br />
CHLORZOXAZONE 06661 CHLORZOXAZONE 51175 1 6 1 1373<br />
CHOLEBRINE 06690 IOCETAMIC ACID 52810 1 6 1 0789<br />
CHOLESTEROL 06705 CHOLESTEROL 51185 2 6 1 0914<br />
CHOLYBAR 06748 CHOLESTYRAMINE 51190 1 6 1 0912<br />
CHOREX 06755 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
CHROMA-PAK 06775 CHROMIC CHLORIDE 51208 1 6 1 0915<br />
CIDEX 06810 GLUTARALDEHYDE 52440 2 6 1 1264<br />
CIRCANOL SUBLINGUAL 06845 ERGOLOID MESYLATES 52048 1 6 1 1723<br />
CITRIC ACID 06865 CITRIC ACID 51235 3 6 1 2087<br />
CITRONELLA OIL 06875 CITRONELLA OIL 51240 3 6 1 2087<br />
CLEOCIN PHOSPHATE 06910 CLINDAMYCIN 51255 1 6 1 0348<br />
CLISTIN R-A 06955 CARBINOXAMINE 50900 1 6 1 1944<br />
COCCIDIOIDIN SKIN TEST 07115 COCCIDIOIDIN 51315 1 6 1 0789<br />
CODIMAL DH SYRUP 07200 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, PHENYLEPHRINE HCL, PYRILAMINE MALEATE 70217, 70358, 70394 1941, 1943, 1944<br />
COLD SORE LOTION 07295 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM CHLORIDE, BENZOIN, CAMPHOR 50140, 50540, 50845 1265<br />
COLREX EXPECTORANT SYRUP 07375 GUAIFENESIN 52490 2 6 1 1943<br />
CONEX 07505 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PYRILAMINE 51130, 54455, 54465, 54995 1941, 1944<br />
CONSOTUSS 07550 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DEXTROMETHORPHAN, DOXYLAMINE 50090, 51670, 51970 1943, 1944<br />
CONVERZYME 07615 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, CELLULASE, LIPASE, PROTEINASE 50283, 50968, 53118, 54923 0877<br />
COPPERTRACE 07628 COPPER 51393 1 6 1 0915<br />
CORAMINE 07650 NIKETHAMIDE 53925 1 6 1 0119<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
CORGONJECT-5 07675 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
CORTENEMA 07770 HYDROCORTISONE 52655 1 6 1 0877<br />
CORTICOTROPIN 07778 CORTICOTROPIN 51400 1 6 1 1035<br />
CORYBAN-D COUGH SYRUP 07830 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ALCOHOL, DEXTROMETHORPHAN, GUAIFENESIN, PHENYLEPHRINE 50005, 50090, 51670, 52490, 54455 1941, 1943, 1944<br />
COUGH FORMULA 07913 GUAIFENESIN 52490 2 6 1 1943<br />
COUNTERPAIN RUB 07935 COMBINATION PRODUCT 51380 2 6 2 EUGENOL, MENTHOL, METHYL SALICYLATE 52195, 53325, 53620 1265<br />
CRESCORMON 08005 SOMATROPIN 55430 1 6 1 1035<br />
CRYSTIMIN 08035 VITAMIN B-12 56192 1 6 1 0408<br />
CUPRIC SULFATE 08050 CUPRIC SULFATE 51445 3 6 1 0915<br />
CYANO 08080 VITAMIN B-12 56192 1 6 1 0408, 0913<br />
CYCLANDELATE 08120 CYCLANDELATE 51465 1 6 1 0504<br />
CYCLONIL 08148 DICYCLOMINE 51730 1 6 1 0877<br />
CYSTO-CONRAY 08195 IOTHALAMATE 52865 1 6 1 0789<br />
D.S.S. 08280 DOCUSATE 51935 2 6 1 0876<br />
D-2.5 08320 DEXTROSE 51675 1 6 1 0914<br />
D-5 08335 DEXTROSE 51675 1 6 1 0914<br />
DANEX SHAMPOO 08405 PYRITHIONE 55005 2 6 1 1265<br />
DATRIL 08510 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
DECA-DURABOLIN 08570 NANDROLONE 53870 1 3 1 1033<br />
DECAJECT 08610 DEXAMETHASONE 51635 1 6 1 1032<br />
DECOMIST 08658 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE 51130, 54455 1941, 1944<br />
DECONGESTANT AT 08675 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, CHLORPHENIRAMINE, CODEINE, PHENYLPROPANOLAMINE 50090, 51130, 51340, 54465 1941, 1943, 1944<br />
DEGEST 2 08700 NAPHAZOLINE HCL 70395 2 6 1 1569<br />
DELATESTRYL 08730 TESTOSTERONE 55695 1 3 1 1033<br />
DELESTROGEN 08745 ESTRADIOL 52070 1 6 1 1034<br />
DEMEROL SYRUP 08785 MEPERIDINE 53335 1 2 1 1721<br />
DEMI-REGROTON 08795 COMBINATION PRODUCT 51380 1 6 2 CHLORTHALIDONE, RESERPINE 51170, 55080 0506<br />
DEPO-ESTRADIOL 08860 ESTRADIOL 52070 1 6 1 1034<br />
DEPO-TESTOSTERONE 08880 TESTOSTERONE 55695 1 3 1 1033<br />
DEPOTESTOGEN 08900 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL CYPIONATE, TESTOSTERONE CYPIONATE 70245, 70372 1033, 1034<br />
DERMACAINE 08918 TETRACAINE 55715 2 6 1 1265<br />
DERMUSPRAY 09007 COMBINATION PRODUCT 51380 1 6 2 CASTOR OIL, TRYPSIN, BALSAM PERU 50940, 56048, 70418 1265<br />
DESQUAM-E 09043 BENZOYL PEROXIDE 50550 1 6 1 1270<br />
DEXAMETHASONE ACETATE 09080 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXAMETHASONE SODIUM 09090 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXASPORIN OPHTHALMIC 09116 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 51635, 70212, 70362 1568<br />
DEXONE 09130 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXSONE L.A. 09155 DEXAMETHASONE 51635 1 6 1 1032<br />
DEXTROMETHORPHAN COUGH 09173 DEXTROMETHORPHAN 51670 2 6 1 1943<br />
DEY-LUTE 09192 ISOETHARINE 52900 1 6 1 1940<br />
DHS SHAMPOO 09193 COMBINATION PRODUCT 51380 2 6 2 SURFACTANT 55623 1265<br />
DIAHIST ELIXIR 09275 DIPHENHYDRAMINE 51860 1 6 1 1371, 1671, 1944<br />
DIANEAL 09320 COMBINATION PRODUCT 51380 1 6 2 CALCIUM ION, CHLORIDE ION, DEXTROSE, SODIUM ION, MAGNESIUM ION 50806, 51064, 51675, 55348, 57024 0915<br />
DIBENZYLINE 09385 PHENOXYBENZAMINE HCL 54415 1 6 1 0506<br />
DICODID 09435 HYDROCODONE 52650 1 2 1 1721<br />
DIETHYL-PROPION 09490 DIETHYLPROPION 51750 1 4 1 0631<br />
DIGESTOZYME 09520 COMBINATION PRODUCT 51380 1 6 2 BILE SALTS, PANCREATIN, PEPSIN 50613, 54160, 54310 0877<br />
DILATRATE 09593 ISOSORBIDE 52935 1 6 1 0503<br />
DILIN 09610 DYPHYLLINE 52000 1 6 1 1940<br />
DILOCOL 09620 UNDETERMINED 50000 3 7 3 2000<br />
DIMACOL 09635 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70256, 70338 1941, 1943<br />
DIMENTABS 09650 DIMENHYDRINATE 51810 2 6 1 1671<br />
DIMETANE EXPECTORANT-DC 09675 UNDETERMINED 50000 3 7 3 2000<br />
DIOCTALOSE 09705 DOCUSATE POTASSIUM 70624 2 6 1 0876<br />
DIOLAX 09755 UNDETERMINED 50000 3 7 3 2000<br />
DIOVAL 09805 ESTRADIOL 52070 1 6 1 1034<br />
DIPHENHIST 09839 DIPHENHYDRAMINE 51860 2 6 1 1944<br />
DIPHENHYDRAMINE HCL COUGH SYRUP 09855 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
DIPHENHYDRAMINE HCL 22 GA 09875 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
DIPHTHERIA TOXOID ADULT 09905 DIPHTHERIA TOXOID 51910 1 6 1 1180<br />
DITAN 09980 UNDETERMINED 50000 3 7 3 2000<br />
DIUPRES 10015 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, RESERPINE 51100, 55080 0506<br />
DOKTORS NASAL MIST 10095 PHENYLEPHRINE 54455 2 6 1 1941<br />
DOLENE COMPOUND-65 10120 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, CAFFEINE, PROPOXYPHENE HCL 50410, 50745, 70377 1721<br />
DOME-PASTE BANDAGE 10140 COMBINATION PRODUCT 51380 2 6 2 CALAMINE, ZINC TOPICAL AGENTS, EXTERNAL USE 50755, 56265 1265<br />
DONDRIL 10188 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 70226, 70338, 70358 1943<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DOPAMINE 10225 DOPAMINE 51945 1 6 1 0505<br />
DOPRAM 10235 DOXAPRAM 51950 1 6 1 0119<br />
DOVACET 10285 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CAFFEINE, DOVER'S POWDER 50410, 50745, 70648 1720<br />
DOXY-LEMMON 10363 DOXYCYCLINE 51965 1 6 1 0350<br />
DRAMOCEN 10395 DIMENHYDRINATE 51810 1 6 1 1671<br />
DRISTAN NASAL MIST 10470 COMBINATION PRODUCT 51380 2 6 2 PHENYLEPHRINE HCL, PHENIRAMINE MALEATE 70358, 70407 1941<br />
DRY & CLEAR 10517 BENZOYL PEROXIDE 50550 2 6 1 1265<br />
DUAL WET 10555 COMBINATION PRODUCT 51380 2 6 2 BENZALKONIUM CHLORIDE, EDETATE DISODIUM, POLYVINYL ALCOHOL 50515, 52015, 54610 1569<br />
DUOVENT 10675 UNDETERMINED 50000 3 7 3 2000<br />
DURADYNE 10710 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, CAFFEINE 50005, 50410, 50745 1723<br />
DURATEST 10765 TESTOSTERONE 55695 1 3 1 1033<br />
DX-10 10811 UNDETERMINED 50000 3 7 3 2000<br />
DYMELOR 10835 ACETOHEXAMIDE 50030 1 6 1 1036<br />
DYPAP ELIXIR 10855 ACETAMINOPHEN 50005 1 6 1 1722, 1728<br />
DYRENIUM 10865 TRIAMTERENE 55925 1 6 1 0506, 0507<br />
E-VISTA 10918 HYDROXYZINE 52715 1 6 1 0626<br />
EASPRIN 10948 ASPIRIN 50410 1 6 1 1722, 1724, 1728<br />
EFUDEX 11025 FLUOROURACIL 52325 1 6 1 1479<br />
ELDECORT 11080 HYDROCORTISONE 52655 1 6 1 1265<br />
ELIXOPHYLLIN S.R. 11145 THEOPHYLLINE 55745 1 6 1 1940<br />
ELOXYL 11153 UNDETERMINED 50000 3 7 3 2000<br />
EMCYT 11178 ESTRAMUSTINE 52072 1 6 1 1480<br />
EMFASEEM 11200 COMBINATION PRODUCT 51380 1 6 2 DYPHYLLINE, GUAIFENESIN 52000, 52490 1940<br />
EMPIRIN COMPOUND W/CODEINE 11240 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, CODEINE PHOSPHATE 50410, 70231 1721<br />
EMPRACET W/CODEINE 11268 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CODEINE 50005, 51340 1721<br />
ENCARE OVAL 11310 NONOXYNOL 9 53955 2 6 1 1040<br />
ENISYL 11370 LYSINE 53160 2 6 1 2087<br />
ENOVIL 11383 AMITRIPTYLINE 50230 1 6 1 0630<br />
ENZACTIN 11420 TRIACETIN 55910 2 6 1 1265<br />
EPHEDRINE 11450 EPHEDRINE 52035 3 6 1 0505, 1940, 1941<br />
EPHEDRINE SULFATE SYRUP 11490 EPHEDRINE 52035 1 6 1 1941<br />
EPI-STAT 11512 BARIUM SULFATE 50480 1 6 1 1265<br />
EPINEPHRICAINE 11535 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, EPINEPHRINE, ZINC TOPICAL AGENTS, EXTERNAL USE, AMYLTRICRESOLS 50530, 52040, 56265, 56310 0117, 1265<br />
E.P. MYCIN 11553 OXYTETRACYCLINE 51450 1 6 1 0350<br />
EPROLIN GELSEAL 11565 VITAMIN E 56195 2 6 1 0913<br />
ERGOCAFFEIN 11610 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, ERGOTAMINE 50745, 52055 1723<br />
ERGOTRATE 11645 ERGONOVINE 52050 1 6 1 1039<br />
ERY-TAB 11658 ERYTHROMYCIN 52065 1 6 1 0348<br />
ERYTHROMYCIN W/SULFISOXAZOLE 11669 COMBINATION PRODUCT 51380 1 6 2 ERYTHROMYCIN, SULFISOXAZOLE 52065, 55590 0348, 0353<br />
ESTRADURIN 11750 ESTRADIOL 52070 1 6 1 1034<br />
ESTRATEST 11765 COMBINATION PRODUCT 51380 1 6 2 ESTROGENS, METHYLTESTOSTERONE 52075, 53670 1033, 1034<br />
ESTRONE SUSPENSION 11830 ESTRONE 52080 1 6 1 1034<br />
ETHATAB 11865 ETHAVERINE 52095 1 6 1 0504<br />
ETHINYL ESTRADIOL 11880 ESTRADIOL 52070 1 6 1 1034<br />
ETHRIL 11905 ERYTHROMYCIN 52065 1 6 1 0348<br />
EURAX 11960 CROTAMITON 51435 1 6 1 1863<br />
EXPECTORANT 11978 UNDETERMINED 50000 3 7 3 1943<br />
EXNA 12040 BENZTHIAZIDE 50560 1 6 1 0506, 0507<br />
EYE-SED 12080 ZINC SULFATE 56285 2 6 1 1569<br />
E2 12100 DINOPROSTONE 51840 1 6 1 1039<br />
FACTREL 12128 GONADORELIN 52472 1 6 1 1035<br />
FEMINONE 12220 ESTRADIOL 52070 1 6 1 1034<br />
FENDON 12240 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
FEOSOL ELIXIR 12260 IRON PREPARATIONS 52885 2 6 1 0408<br />
FERRALET 12365 IRON PREPARATIONS 52885 2 6 1 0408<br />
FERRONEX 12450 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 54990, 55105, 55755, 56192 0408<br />
FIBERMED 12523 UNDETERMINED 50000 3 7 3 2000<br />
FIORINAL NO. 1 12555 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE, CODEINE PHOSPHATE 50410, 50728, 50745, 70231 1721, 1723<br />
FLOROPRYL 12675 ISOFLUROPHATE 52905 1 6 1 1566<br />
FLUIDIL 12683 CYCLOTHIAZIDE 51495 1 6 1 0506, 0507<br />
FLUORESCEIN 12715 FLUORESCEIN 52315 3 6 1 1569<br />
FLUORIGARD 12745 SODIUM FLUORIDE 55330 1 6 1 2087<br />
FLUOROPLEX 12765 FLUOROURACIL 52325 1 6 1 1479<br />
FLUOTHANE 12775 HALOTHANE 52530 1 6 1 0118<br />
FLURA-LOZ 12790 SODIUM FLUORIDE 55330 1 6 1 0913<br />
FLURESS 12815 FLUORESCEIN 52315 1 6 1 1569<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
FLUZONE-TRIVALENT TYPE A,B 12835 INFLUENZA VIRUS VACCINE 52780 1 6 1 1180<br />
FORMULA 44 COUGH MIXTURE 12945 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR 70226, 70338 1943, 1944<br />
FOTOTAR 12998 COAL TAR 51305 2 6 1 1274<br />
FUDR 13030 FLOXURIDINE 52280 1 6 1 1479<br />
FULVICIN 13045 GRISEOFULVIN 52480 1 6 1 0356<br />
FUNGACETIN 13080 TRIACETIN 55910 2 6 1 1265<br />
FUNGIZONE LOTION 13095 AMPHOTERICIN 50270 1 6 1 1265<br />
FURALAN 13110 NITROFURANTOIN 53930 1 6 1 0354<br />
G-1 13151 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1720<br />
GARGLE 13208 UNDETERMINED 50000 3 7 3 2000<br />
GASTROGRAFIN 13215 DIATRIZOATE SODIUM 51689 1 6 1 0789<br />
GELFOAM 13275 GELATIN 52395 1 6 1 0411<br />
GENAPAX 13305 GENTIAN VIOLET 52405 1 6 1 0358<br />
GENOPTIC 13310 GENTAMICIN 52400 1 6 1 1568<br />
GEOCILLIN 13350 CARBENICILLIN 50895 1 6 1 0346<br />
GITALIGIN 13525 GITALIN 52415 1 6 1 0501<br />
GLUKOR 13560 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
GLYATE SYRUP 13600 GUAIFENESIN 52490 2 6 1 1943<br />
GLYCEROL 13615 GLYCERIN 52450 3 6 1 1265<br />
GLYESTRIN 13715 ESTROGENS 52075 1 6 1 1034, 1479<br />
GLYNAZAN EXPECTORANT 13730 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE, SODIUM CITRATE, THEOPHYLLINE 52490, 54455, 55320, 55745 1940, 1943<br />
GRIS-PEG 13790 GRISEOFULVIN 52480 1 6 1 0355<br />
GUAIFENESIN & DEXTROMETHORPHAN HBR 13830 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
GUISTREY FORTIS 13900 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 52490, 70226, 70358 1941, 1943, 1944<br />
H & I 13950 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845 1265<br />
HALAZONE 13995 HALAZONE 52505 2 6 1 2087<br />
HARMONYL 14065 DESERPIDINE 51600 1 6 1 0506<br />
HEAD & SHOULDERS 14090 PYRITHIONE 55005 2 6 1 1200<br />
HEMATINICAPS 14150 COMBINATION PRODUCT 51380 2 6 2 COBALAMIN, FOLIC ACID, IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN C 51308, 52355, 52885, 53125, 56193 0913<br />
HEPATIC-AID 14250 DIETARY SUPPLEMENT 51740 2 6 2 0914<br />
HESPAN 14293 HETASTARCH SODIUM 70207 1 6 1 0410<br />
HEXABRIX 14317 COMBINATION PRODUCT 51380 1 6 2 IOXAGLATE MEGLUMINE, IOXAGLATE SODIUM 70219, 70220 0789<br />
HIBITANE 14420 CHLORHEXIDINE 51060 2 6 1 1264<br />
HISTADYL E.C. 14485 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, AMMONIUM CHLORIDE, CHLORPHENIRAMINE, CODEINE, EPHEDRINE 50090, 50245, 51130, 51340, 52035 1941, 1943, 1944<br />
HISTALET X SYRUP 14520 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
HOMO-TET 14660 UNDETERMINED 50000 3 7 3 2000<br />
HOUSE DUST CONCENTRATE BULK TREATMENT 14700 HOUSE DUST ALLERGENIC EXTRACT 52620 1 6 1 1182<br />
HUMATE-P 14714 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0410<br />
HUMIST SPRAY 14720 SODIUM CHLORIDE 55315 2 6 1 2087<br />
HY-GESTRADOL 14740 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, HYDROXYPROGESTERONE 52070, 52695 1033, 1040<br />
HYCOTUSS 14805 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE 52490, 70217 1943<br />
HYDRALAZINE-HYDROCHLOROTHIAZIDE-RESERPIN 14855 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE, HYDRALAZINE HCL 52645, 55080, 70339 0506, 0507<br />
HYDRO ERGOLOID 14885 ERGOLOID MESYLATES 52048 1 6 1 0504<br />
HYDRO-RESERPINE 14905 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, RESERPINE 52645, 55080 0506, 0507<br />
HYDROCO 14953 HYDROCORTISONE 52655 1 6 1 1032<br />
HYDROCORTONE 14980 HYDROCORTISONE 52655 1 6 1 1265<br />
HYDROMINE 15002 COMBINATION PRODUCT 51380 1 3 2 DIHYDROCODEINE, PHENYLPROPANOLAMINE 52647, 54465 1941, 1943<br />
HYDROPINE 15028 COMBINATION PRODUCT 51380 1 6 2 HYDROFLUMETHIAZIDE, RESERPINE 52660, 55080 0506<br />
HYDROXOCOBALAMIN 15060 HYDROXOCOBALAMIN 52680 1 6 1 0408, 0913<br />
HYDROXYZINE COMPOUND SYRUP 15095 COMBINATION PRODUCT 51380 1 6 2 THEOPHYLLINE, EPHEDRINE SULFATE, HYDROXYZINE HCL 55745, 70264, 70371 1940, 1944<br />
HYLIVER PLUS 15135 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, LIVER DERIVATIVE, VITAMIN B-12 52355, 53125, 56192 0408<br />
HYPER-TET 15190 TETANUS IMMUNE GLOBULIN 55705 1 6 1 1180<br />
HYPERSTAT I.V. 15220 DIAZOXIDE 51700 1 6 1 0506<br />
HYREX-105 15263 PHENDIMETRAZINE 54370 1 3 1 0631<br />
HYTINIC 15290 IRON PREPARATIONS 52885 2 6 1 0408<br />
I-10-W 15360 INVERT SUGAR 52800 1 6 1 0914<br />
ICHTHYMALL 15405 ICHTHAMMOL 52735 1 6 1 1264<br />
ICTOTEST 15450 BILAZO REAGENT 50605 3 6 1 2087<br />
ILOZYME 15505 PANCRELIPASE 54165 1 6 1 0877<br />
IMFERON 15515 IRON PREPARATIONS 52885 1 6 1 0408<br />
INSTA GLUCOSE 15670 GLUCOSE 52425 2 6 1 0914<br />
INTRALIPID 15695 SOYBEAN OIL 55440 1 6 1 0914<br />
INULIN 15710 INULIN 52795 1 6 1 0789<br />
IODINATED GLYCEROL 15726 IODINATED GLYCEROL 52825 1 6 1 1943<br />
IODINE SOLUTION STRONG 15733 IODINE SOLUTIONS 52830 1 6 1 1264<br />
IODOCHLORHYDROXYQUIN 15760 IODOCHLORHYDROXYQUIN 52845 2 6 1 1271<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
IONIL 15790 UNDETERMINED 50000 2 6 1 1266<br />
IRCON 15835 IRON PREPARATIONS 52885 2 6 1 0408<br />
IROMIN-G 15860 COMBINATION PRODUCT 51380 2 6 2 CALCIUM, FOLIC ACID, MULTIVITAMINS GENERAL, FERROUS GLUCONATE 50776, 52355, 53780, 70410 0913<br />
IRON DEXTRAN 15875 IRON PREPARATIONS 52885 1 6 1 0408<br />
ISO-BID 15930 ISOSORBIDE 52935 1 6 1 0503<br />
ISOLEUCINE 15975 ISOLEUCINE 52910 3 7 1 0900<br />
ISONICOTINIC ACID 15995 ISONIAZID 52915 1 6 1 0356<br />
ISOPTO ATROPINE 16035 ATROPINE 50420 1 6 1 1567<br />
ISOPTO CETAPRED 16055 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE ACETATE, SULFACETAMIDE SODIUM 70158, 70214 1568<br />
ISUPREL HCL MISTOMETER 16140 ISOPROTERENOL 52930 1 6 1 1940<br />
JANIMINE 16165 IMIPRAMINE 52745 1 6 1 0630<br />
KAOLIN PECTIN BELLADONNA 16343 COMBINATION PRODUCT 51380 2 6 2 ATROPINE, HYOSCYAMINE, KAOLIN, PECTIN, SCOPOLAMINE HBR 50420, 52720, 52955, 54238, 55180 0875<br />
KAPECTOLIN W/BELLADONNA 16390 COMBINATION PRODUCT 51380 2 6 2 ATROPINE, HYOSCYAMINE, KAOLIN, PECTIN, SCOPOLAMINE HBR 50420, 52720, 52955, 54238, 55180 0875<br />
KEFLET 16472 CEPHALEXIN 50980 1 6 1 0347<br />
KELEX 16490 UNDETERMINED 50000 3 7 3 2000<br />
KERASOL 16523 COMBINATION PRODUCT 51380 2 6 2 BENZOPHENONE, LANOLIN, MINERAL OIL, PEG-4 DILAURATE 50548, 53003, 53720, 54237 1265<br />
KETAMINE 16590 KETAMINE 52970 1 6 1 0118<br />
KEY-PRED 16615 PREDNISOLONE 54770 1 6 1 1032, 2087<br />
KLEBCIL 16655 KANAMYCIN 52950 1 6 1 0352<br />
KOATE 16735 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0410<br />
KONDREMUL W/PHENOLPHTHALEIN 16795 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PHENOLPHTHALEIN 53720, 54405 0876<br />
KRONOHIST KRONOCAP 16835 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PYRILAMINE MALEATE 70226, 70254, 70394 1941, 1944<br />
L-EPINEPHRINE 16887 EPINEPHRINE 52040 1 6 1 0505, 1567, 1940<br />
LAMPRENE 16977 CLOFAZIMINE 57036 1 6 1 0356<br />
LANAVITE 17040 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 54990, 55105, 55755, 56185 0913<br />
LARODOPA 17145 LEVODOPA 53050 1 6 1 1371<br />
LASSAR'S PASTE 17170 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 2 6 1 1265<br />
LAUD-IRON PLUS 17190 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, SORBITOL, VITAMIN B-12 52885, 55435, 56192 0408<br />
LEAD ACETATE 17260 LEAD ACETATE 53015 2 6 1 0789<br />
LEUKOVORIN CALCIUM 17322 LEUCOVORIN 53035 1 6 1 0408<br />
LEVO-DROMORAN 17340 LEVORPHANOL 53055 1 2 1 1721<br />
LEVOPROME 17360 METHOTRIMEPRAZINE 53575 1 6 1 0626<br />
LEXOR 17410 HYDROCHLOROTHIAZIDE 52645 1 6 1 0506, 0507<br />
LIBRITABS 17445 CHLORDIAZEPOXIDE 51055 1 4 1 0627<br />
LIDA-MANTLE 17465 LIDOCAINE 53070 1 6 1 0117, 1275<br />
LIDOCAINE HCL/DEXTROSE 17493 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, LIDOCAINE HCL 51675, 70370 0502<br />
LIOTHYRONINE SODIUM 17563 LIOTHYRONINE 53110 1 6 1 1037<br />
LIPOSYN 17625 SAFFLOWER OIL 55145 1 6 1 0914<br />
LIQUID LUBRICATING JELLY 17665 COMBINATION PRODUCT 51380 2 6 2 BORIC ACID, GLYCERIN, METHYLPARABEN, PROPYLENE GLYCOL, PROPYLPARABEN 50660, 52450, 53650, 54895, 54905 1265<br />
LIVER EXTRACT 17750 VITAMIN B-12 56192 1 6 1 0408, 0913<br />
LIVER, IRON AND VITAMINS 17760 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12 52885, 53915, 54990, 55105, 56192 0408, 0913<br />
LIVTRINSIC 17798 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN B-12, VITAMIN C 52885, 53125, 56192, 56193 0408<br />
LOCORTEN 17835 FLUMETHASONE 52300 1 6 1 1265<br />
LOFENALAC 17845 DIETARY SUPPLEMENT 51740 2 6 1 0914<br />
LORELCO 17890 PROBUCOL 54805 1 6 1 0912<br />
LOTIO ALSULFA 17920 SULFUR 55610 2 6 1 1265<br />
LOWSIUM 17938 MAGALDRATE 53170 2 6 1 0874<br />
LUFYLLIN 17990 DYPHYLLINE 52000 1 6 1 1940<br />
LUGOL'S SOLUTION 18010 IODINE SOLUTIONS 52830 1 6 1 1265<br />
LYNAPAP 18035 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
LYSOL 18057 CRESOL 51425 2 6 1 2087<br />
LYTREN 18070 ELECTROLYTES 52023 2 6 1 0915<br />
MACRODEX 18135 DEXTRAN 51647 1 6 1 0410<br />
MALTSUPEX 18295 MALT SOUP EXTRACT 53235 2 6 1 0876<br />
MANDOL 18325 CEFAMANDOLE 50955 1 6 1 0347<br />
MANGATRACE 18338 MANGANESE GLUCONATE 53240 1 6 1 0915<br />
MAOX 18371 MAGNESIUM ANTACIDS 53175 2 6 1 0913<br />
MARAZIDE 18380 UNDETERMINED 50000 3 7 3 2000<br />
MARCAINE 18395 BUPIVACAINE 50710 1 6 1 0117<br />
MARGESIC 18430 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1723<br />
MASSENGILL POWDER 18475 ALUMINUM AMMONIUM SULFATE 50135 2 6 1 1265<br />
MATULANE 18490 PROCARBAZINE 54825 1 6 1 1479<br />
MAXIMUM BAYER ASPIRIN 18519 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
MEASURIN 18545 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
MEDICATED FOOT POWDER 18605 COMBINATION PRODUCT 51380 2 6 2 TALC, ZINC TOPICAL AGENTS, EXTERNAL USE 55645, 56265 0358, 1265<br />
MEDIHALER-ERGOTAMINE 18625 ERGOTAMINE 52055 1 6 1 1723<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
MEGA-B 18650 COMBINATION PRODUCT 51380 2 6 2 VITAMIN B COMPLEX 56345 0913<br />
MELPHALAN 18685 MELPHALAN 53300 1 6 1 1479<br />
MENINGOVAX-C 18705 MENINGOCOCCAL VACCINE 53315 1 6 1 1180<br />
MENTHOL 18745 MENTHOL 53325 2 6 1 2095<br />
MEPHYTON 18775 PHYTONADIONE 54495 1 6 1 0411<br />
MERCAPTOMERIN 18818 MERCAPTOMERIN 53380 1 6 1 1481<br />
MERPHYLLINE 18878 COMBINATION PRODUCT 51380 1 6 2 MERSALYL, THEOPHYLLINE 53431, 55745 0507<br />
METANDREN 18935 METHYLTESTOSTERONE 53670 1 3 1 1033<br />
METH 18965 COMBINATION PRODUCT 51380 1 6 2 CHOLINE, INOSITOL, METHIONINE 51195, 52785, 53550 0914<br />
METHSCOPOLAMINE 19110 METHSCOPOLAMINE 53600 1 6 1 0877<br />
METHYLTESTOSTERONE 19185 METHYLTESTOSTERONE 53670 1 3 1 1033<br />
METOCURINE IODINE 19209 METOCURINE 53685 1 6 1 1371<br />
METRETON 19230 PREDNISOLONE 54770 1 6 1 1568, 1670<br />
MEXATE 19255 METHOTREXATE 53570 1 6 1 1479<br />
MGP 19266 MAGNESIUM GLUCONATE 53180 2 6 1 0913, 0915<br />
MICRONEFRIN 19315 EPINEPHRINE 52040 2 6 1 1940<br />
MIDOL 19350 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE, CINNAMEDRINE 50410, 50745, 51223 1720<br />
MINTEZOL 19490 THIABENDAZOLE 55750 1 6 1 1862<br />
MIRADON 19510 ANISINDIONE 50295 1 6 1 0409<br />
MITHRACIN 19545 MITHRAMYCIN 53735 1 6 1 1479<br />
MIVERT 19565 COMBINATION PRODUCT 51380 1 6 2 BENZOCAINE, NIACIN, PENTYLENETETRAZOL, PHENIRAMINE 50530, 53905, 54300, 54385 0631, 2087<br />
MODICON 19605 COMBINATION PRODUCT 51380 1 6 2 NORETHINDRONE, ETHINYL ESTRADIOL 53965, 70027 1040<br />
MOLY-PAK 19632 MOLYBDENUM 53753 1 6 1 0915<br />
MONOCETE 19643 CHLOROACETIC ACID 51068 1 6 1 1265<br />
MORPHINE & ATROPINE 19655 COMBINATION PRODUCT 51380 1 2 2 ATROPINE, MORPHINE 50420, 53760 1721<br />
MUDRANE 19735 COMBINATION PRODUCT 51380 1 6 2 AMINOPHYLLINE, PHENOBARBITAL, POTASSIUM IODIDE, EPHEDRINE HCL 50210, 54395, 54710, 70350 1940<br />
MULVIDREN-F SOFTAB 19890 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
MUTAMYCIN 19960 MITOMYCIN 53740 1 6 1 1479<br />
MY-CORT LOTION 19990 HYDROCORTISONE 52655 1 6 1 1265<br />
MYCITRACIN 20035 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, POLYMYXIN B, NEOMYCIN SULFATE 50450, 70011, 70362 0355<br />
MYLAXEN 20085 HEXAFLUORENIUM 52565 1 6 1 0119<br />
MYOCHRYSINE 20105 GOLD SODIUM THIOMALATE 52470 1 6 1 1724<br />
MYOSAL 20128 SODIUM THIOSALICYLATE 55420 1 6 1 1722, 1724<br />
NAFEEN 20180 SODIUM FLUORIDE 55330 1 6 1 2087<br />
NANDROLONE PHENPROPIONATE 20245 NANDROLONE 53870 1 3 1 1033<br />
NAQUA 20300 TRICHLORMETHIAZIDE 55930 1 6 1 0506, 0507<br />
NATABEC W/FLUORIDE 20370 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, FLUORIDE, RIBOFLAVIN, VITAMIN A, VITAMIN C 52045, 52318, 55105, 56185, 56193 0913<br />
NAUSETROL 20430 COMBINATION PRODUCT 51380 2 6 2 DEXTROSE, FRUCTOSE, ORTHOPHOSPHORIC ACID 51675, 52370, 70547 1671<br />
NEOBIOTIC 20620 NEOMYCIN 53895 1 6 1 0352<br />
NEOCYTEN 20650 ORPHENADRINE 54050 1 6 1 1373<br />
NEOLOID 20680 CASTOR OIL 50940 2 6 1 0876<br />
NEOMYCIN-POLYMYXIN B 20693 COMBINATION PRODUCT 51380 1 6 2 NEOMYCIN, POLYMYXIN B 53895, 70011 1670<br />
NEOSTIGMINE METHYLSULFATE 20740 NEOSTIGMINE 53900 1 6 1 0119, 0509, 1372<br />
NEOTHYLLINE-GG 20765 COMBINATION PRODUCT 51380 1 6 2 DYPHYLLINE, GUAIFENESIN 52000, 52490 1940, 1943<br />
NEUROSIN 20820 CALCIUM GLYCEROPHOSPHATE 50773 1 6 1 0913<br />
NEVROTOSE 20860 COMBINATION PRODUCT 51380 1 4 2 BARBITAL, HYOSCYAMINE, PEG-3 DISTERATE, VALERIAN 50475, 52720, 54228, 56135 0626<br />
NICO-SPAN 20935 NIACIN 53905 1 6 1 0504<br />
NICOCAP 20955 NIACIN 53905 1 6 1 0504<br />
NICOTINEX ELIXIR 20975 NIACIN 53905 2 6 1 0913<br />
NIFEREX W/VITAMIN C 21015 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C 52885, 56193 0408<br />
NISAVAL 21093 PYRILAMINE 54995 2 6 1 2087<br />
NITRAZINE PAPER 21105 PHENAPHTHAZINE 54360 3 6 1 0789<br />
NITROSULE 21190 NITROGLYCERIN 53945 1 6 1 0503, 2087<br />
NOLEX LA 21218 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE 52490, 54465 1941, 1943<br />
NORISODRINE 21305 ISOPROTERENOL 52930 1 6 1 1940<br />
NORLUTATE 21335 NORETHINDRONE 53965 1 6 1 1034<br />
NORMATANE 21365 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE, GUAIFENESIN, MENTHOL, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 52490, 53325, 54455, 54465 1943<br />
NOVAFED 21425 PSEUDOEPHEDRINE 54960 1 6 1 1940<br />
NOVAHISTINE COUGH FORMULA 21445 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1941, 1943, 1944<br />
NOVOCAIN 21500 PROCAINE 54815 1 6 1 0117<br />
NULICAINE 21565 LIDOCAINE 53070 1 6 1 0117, 0502<br />
NURSOY 21600 INFANT FORMULA 52775 2 6 1 0914<br />
NUTRAMIGEN 21620 INFANT FORMULA 52775 2 6 1 0914<br />
NYST-OLONE 21685 COMBINATION PRODUCT 51380 1 6 2 GRAMICIDIN, NEOMYCIN, NYSTATIN, TRIAMCINOLONE 52478, 53895, 53995, 55915 1265<br />
OBEPHEN 21730 PHENTERMINE 54430 1 4 1 0631<br />
OCTAMIDE 21752 METOCLOPRAMIDE 53688 1 6 1 0877<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ODOR-SCRIP 21760 RACEMETHIONINE 55061 1 6 1 0914, 2087<br />
ONCOVIN 21800 VINCRISTINE 56180 1 6 1 1483<br />
OPT-EASE 21885 TETRAHYDROZOLINE 55730 2 6 1 1570<br />
ORA-TESTRYL 21915 FLUOXYMESTERONE 52330 1 3 1 1033<br />
ORAMINIC 21950 BROMPHENIRAMINE MALEATE 70239 1 6 1 1945<br />
ORASONE 21970 PREDNISONE 54775 1 6 1 1032<br />
ORATUSS 21981 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, CARAMIPHEN EDISYLATE, ISOPROPAMIDE IODIDE 70226, 70254, 70571, 70572 1941, 1943<br />
ORIMUNE POLIOVIRUS VAC LIVE ORAL 22025 POLIO VACCINE 54575 1 6 1 1180<br />
ORPHENADRINE 22065 ORPHENADRINE 54050 1 6 1 1373<br />
ORTHO-GYNOL 22085 DIISOBUTYLPHENOXYPOLYETHOXYETHAN 51805 2 6 1 1040<br />
OTIC-HC 22170 COMBINATION PRODUCT 51380 1 6 2 CHLOROXYLENOL, HYDROCORTISONE, PRAMOXINE HCL 51120, 52655, 70335 1670<br />
OTRIVIN 22200 XYLOMETAZOLINE 56240 2 6 1 1941<br />
OX BILE EXTRACT 22230 OX BILE EXTRACT 54065 2 6 1 0877<br />
OXSORALEN 22270 METHOXSALEN 53585 1 6 1 1274<br />
OXYCAP 22288 GUAIFENESIN 52490 2 6 1 1940, 1943<br />
OXYLONE 22320 FLUOROMETHOLONE 52320 1 6 1 1265<br />
OXYMETHOLONE 22325 OXYMETHOLONE 54130 1 3 1 1033<br />
P-D-M 22428 PHENDIMETRAZINE 54370 1 3 1 0631<br />
PABA 22450 AMINOBENZOIC ACID 50195 1 6 1 1720, 1724<br />
PAN-B-1 22545 THIAMINE 55755 2 6 1 0913<br />
PANADYL 22580 COMBINATION PRODUCT 51380 1 6 2 PHENYLPROPANOLAMINE HCL, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 70254, 70394, 70407 1941, 1944<br />
PANGYN 22650 MAGNESIUM GLUCONATE 53180 1 6 1 0913<br />
PANTHODERM 22695 DEXPANTHENOL 51645 2 6 1 1265<br />
PANTISONE 22710 UNDETERMINED 50000 3 7 3 2000<br />
PANTOTHENIC ACID 22725 PANTOTHENIC ACID 54175 2 6 1 0913<br />
PARA AMINOBENZOIC ACID 22785 AMINOBENZOIC ACID 50195 3 7 1 1265<br />
PARAFLEX 22805 CHLORZOXAZONE 51175 1 6 1 1373<br />
PARASAL SODIUM 22825 AMINOSALICYLIC ACID 50220 1 6 1 0356<br />
PARNATE 22885 TRANYLCYPROMINE 55900 1 6 1 0630<br />
PATHILON 22915 TRIDIHEXETHYL CHLORIDE 55950 1 6 1 0878<br />
PAVACAP 22950 PAPAVERINE 54190 1 6 1 0504<br />
PAVAGEN 22965 UNDETERMINED 50000 3 7 3 2000<br />
PAVASED 22980 PAPAVERINE 54190 1 6 1 0504<br />
PAVULON 23005 PANCURONIUM 54170 1 6 1 0119<br />
PBZ 23015 TRIPELENNAMINE 56015 1 6 1 1200<br />
PBZ-SR 23045 TRIPELENNAMINE 56015 1 6 1 1944<br />
PEDAMETH 23085 RACEMETHIONINE 55061 1 6 1 2087<br />
PEDIACOF 23100 COMBINATION PRODUCT 51380 1 5 2 POTASSIUM IODIDE, CHLORPHENIRAMINE MALEATE, CODEINE PHOSPHATE, PHENYLEPHRINE HCL 54710, 70226, 70231, 70358 1941, 1943, 1944<br />
PEDIATRIC COUGH SYRUP 23135 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, SODIUM CITRATE 50245, 55320 1941, 1943<br />
PEKTAMALT 23175 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, KAOLIN, PECTIN, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CITRATE 50090, 52955, 54238, 54655, 55320 0876<br />
PENICILLIN G POTASSIUM 23221 PENICILLIN 54250 1 6 1 0346<br />
PENTACRESOL ORAL 23240 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CALCIUM REPLACEMENT AGENTS, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE, AMYLTRICRESOLS 50090, 50770, 54655, 55315, 56310 2087<br />
PENTYLAN 23335 PENTAERYTHRITOL 54275 1 6 1 0503<br />
PEPSIN 23355 PEPSIN 54310 2 6 1 0914<br />
PERIES 23455 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, HAMAMELIS WATER 52450, 52535 1272<br />
PERSISTIN 23540 UNDETERMINED 50000 3 7 3 2000<br />
PETROGALAR 23580 MINERAL OIL 53720 2 6 1 0876<br />
PETROLEUM ETHER 23590 BENZIN 50525 3 7 1 2087<br />
PHEDRAL 23630 COMBINATION PRODUCT 51380 1 4 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 1940<br />
PHENAZINE 23705 PROMETHAZINE 54860 1 6 1 0631<br />
PHENCOID 23735 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, PHENACETIN, PHENOBARBITAL 50410, 50745, 54350, 54395 1723<br />
PHENERGAN EXPECTORANT W/CODEINE 23770 COMBINATION PRODUCT 51380 1 5 2 CODEINE PHOSPHATE, PROMETHAZINE HCL 70231, 70411 1943, 1944<br />
PHENO-SQUAR 23840 UNDETERMINED 50000 3 7 3 2000<br />
PHENOBARBITAL SODIUM 23905 PHENOBARBITAL 54395 1 4 1 0626, 1374<br />
PHENOLSULFONPHTHALEIN 23950 PHENOLSULFONPHTHALEIN 54410 1 6 1 0789<br />
PHENYLBUTAZONE 24005 PHENYLBUTAZONE 54450 1 6 1 1727<br />
PHENYLPROPYLAMINE/GUAIFENESIN 24033 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1941, 1943<br />
PHOSPHALJEL 24115 ALUMINUM PHOSPHATE 50155 2 6 1 0874<br />
PILOCARPINE NITRATE 24200 PILOCARPINE 54500 1 6 1 1566<br />
PIPERAZINE 24225 PIPERAZINE 54510 3 7 1 1862<br />
PITRESSIN 24260 LYPRESSIN 53155 1 6 1 1038<br />
PLASBUMIN 24305 ALBUMIN HUMAN 50085 1 6 1 0410<br />
PLASMANATE 24320 PLASMA PROTEIN FRACTION 54550 1 6 1 0410<br />
PLURI-B-R 24348 COMBINATION PRODUCT 51380 1 6 2 NIACIN, PANTHENOL, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53905, 54173, 54990, 55105, 55755 0913<br />
POLARAMINE 24400 DEXCHLORPHENIRAMINE 51640 1 6 1 1944<br />
POLOCAINE 24411 MEPIVACAINE 53360 1 6 1 0117<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
POLYCILLIN 24435 AMPICILLIN 50275 1 6 1 0346<br />
POLYTAR 24515 POLYTAR 70551 2 6 1 1265<br />
PONDIMIN 24545 FENFLURAMINE 52215 1 4 1 0631<br />
PORTAGEN 24575 INFANT FORMULA 52775 2 6 1 0914<br />
POTAGE,BEEF 24611 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
POTASSIUM BICARBONATE 24630 POTASSIUM ALKALINIZING AGENTS 54620 3 6 1 0915<br />
POTASSIUM CHLORIDE W/DEXTROSE 24665 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 2 0915<br />
POVIDINE 24760 POVIDONE-IODINE 54749 2 6 1 1264<br />
PRAGMATAR 24780 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, SALICYLIC ACID, SULFUR 51305, 55160, 55610 1265<br />
PRE-INE 24820 CHORIONIC GONADOTROPIN 51205 1 6 1 1035, 1041<br />
PREDOXINE 24895 PREDNISOLONE 54770 1 6 1 1032, 1724<br />
PREGESTIMIL 24920 INFANT FORMULA 52775 2 6 1 0914<br />
PRELU-2 24943 PHENDIMETRAZINE 54370 1 3 1 0631<br />
PREPRO 25005 AMINO ACIDS 50185 2 6 1 0914<br />
PRIMATENE-P 25050 COMBINATION PRODUCT 51380 2 5 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 1940<br />
PROBAMIDE 25128 TOLAZOLINE 55875 1 6 1 0513<br />
PROCAN SR 25200 PROCAINAMIDE 54810 1 6 1 0502<br />
PROCOLIN 25230 UNDETERMINED 50000 3 7 3 2000<br />
PROGESTASERT 25300 PROGESTERONE 54845 1 6 1 1040<br />
PROKETAZINE 25320 CARPHENAZINE 50930 1 6 1 0628<br />
PROMETH 25358 PROMETHAZINE 54860 1 6 1 1941, 1944<br />
PROMETHAMEAD 25360 PROMETHAZINE 54860 1 6 1 1671, 1944<br />
PROMETHAZINE EXPECTORANT DM PEDIATRIC 25385 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, PROMETHAZINE HCL 51670, 70411 1941, 1943, 1944<br />
PROMETHAZINE HCL SYRUP 25405 PROMETHAZINE 54860 1 6 1 1671, 1944<br />
PROMETHAZINE SYRUP FORTIS 25425 PROMETHAZINE 54860 1 6 1 0626, 1671, 1944<br />
PRONESTYL 25455 PROCAINAMIDE 54810 1 6 1 0502<br />
PROPAGEST 25463 PHENYLPROPANOLAMINE 54465 2 6 1 1941<br />
PROPLEX 25500 FACTOR IX COMPLEX HUMAN 52203 1 6 1 0410<br />
PROREX 25565 PROMETHAZINE 54860 1 6 1 0626<br />
PROSTIGMIN 25580 NEOSTIGMINE 53900 1 6 1 1372<br />
PROTAMINE SULFATE 25595 PROTAMINE SULFATE 54915 1 6 1 0281<br />
PROTEXIN 25608 COMBINATION PRODUCT 51380 2 6 2 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 1200<br />
PROZEX 25675 UNDETERMINED 50000 3 7 3 2000<br />
PSEUDO-CAR DM 25691 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR, CARBINOXAMINE MALEATE 70256, 70338, 70401 1941, 1943, 1944<br />
PURGE 25749 CASTOR OIL 50940 2 6 1 0876<br />
PVPI 25765 POVIDONE-IODINE 54749 2 6 1 1271<br />
PYRI 25803 PYRIDOXINE 54990 1 6 1 0913<br />
PYRIDIUM PLUS 25815 UNDETERMINED 50000 3 7 3 2000<br />
PYRODINE 25855 PHENAZOPYRIDINE 54365 2 6 1 0509<br />
QUIBRON BIDCAP 25975 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940<br />
QUIBRON-300 25995 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, THEOPHYLLINE 52490, 55745 1940, 1943<br />
QUINORA 26060 QUINIDINE 55045 1 6 1 0502<br />
R-GENE 10 26085 ARGININE 50370 1 6 1 0789, 0915<br />
RAMSES CONTRACEPTIVE VAGINAL 26113 NONOXYNOL 9 53955 2 6 1 1040<br />
RAUWOLFIA 26185 RAUWOLFIA 55070 1 6 1 0504, 0506<br />
REGONOL 26260 PYRIDOSTIGMINE 54985 1 6 1 1372<br />
RENESE-R 26340 COMBINATION PRODUCT 51380 1 6 2 POLYTHIAZIDE, RESERPINE 54605, 55080 0506, 0507<br />
RENOVUE 26365 IODAMIDE MEGLUMINE 52815 1 6 1 0789<br />
REPOSTERONE #2 26400 TESTOSTERONE 55695 1 3 1 1033<br />
RESPITAL 26450 RESERPINE 55080 1 6 1 0504, 0506, 2087<br />
RHINALL-10 26530 PHENYLEPHRINE 54455 2 6 1 1941<br />
RHINOCAPS 26580 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, ASPIRIN, PHENYLPROPANOLAMINE 50005, 50410, 54465 1720, 1941<br />
RHULICORT 26643 HYDROCORTISONE 52655 2 6 1 1265<br />
RIMSO-50 26730 DIMETHYL SULFOXIDE 51830 1 6 1 0509<br />
RIOPAN SWALLOW 26755 MAGALDRATE 53170 2 6 1 0874<br />
ROBALATE 26770 UNDETERMINED 50000 3 7 3 2000<br />
ROBITUSSIN-CF 26840 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 52490, 70254, 70338 1941, 1943<br />
ROMILAR 26905 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DEXTROMETHORPHAN, PHENYLPROPANOLAMINE 50090, 51670, 54465 1943<br />
RU-ANDROSPAN 26970 TESTOSTERONE 55695 1 3 1 1033<br />
RU-PHEN 27030 PROMETHAZINE 54860 1 6 1 0626<br />
RU-TUSS EXPECTORANT 27050 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70256, 70338 1941, 1943, 1944<br />
RULOX 27120 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
RYNATUSS 27195 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE TANNATE, CARBETAPENTANE TANNATE, EPHEDRINE TANNATE 70226, 70403, 70493, 70552 1941, 1943, 1944<br />
SAL DEX 27285 COMBINATION PRODUCT 51380 2 6 2 ISOPROPYL ALCOHOL, PROPYLENE GLYCOL, SALICYLIC ACID, UNDECYLENIC ACID 52925, 54895, 55160, 56110 2000<br />
SANDRIL 27425 RESERPINE 55080 1 6 1 0504<br />
SANOREX 27435 MAZINDOL 53250 1 4 1 0631<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
SARENIN 27458 SARALASIN 55168 1 6 1 0506<br />
SCABENE 27512 LINDANE 53095 1 6 1 1863<br />
SCHAMBERG LOTION 27525 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, PEANUT OIL, PHENOL, ZINC TOPICAL AGENTS, EXTERNAL USE, LIME WATER 53325, 54235, 54400, 56265, 70541 1265<br />
SECRAN 27660 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, NIACINAMIDE, THIMEROSAL, VITAMIN B-12 50090, 53915, 55770, 56192 0913<br />
SELSUN 27730 SELENIUM SULFIDE 55195 1 6 1 1265<br />
SENNA LEAF FLUIDEXTRACT 27765 SENNA 55200 2 6 1 2100<br />
SENSORCAINE 27816 BUPIVACAINE 50710 1 6 1 0117<br />
SEROMYCIN 27875 CYCLOSERINE 51490 1 6 1 0356<br />
SERPASIL 27890 RESERPINE 55080 1 6 1 0506<br />
SERPATE 27910 RESERPINE 55080 1 6 1 0504, 0506<br />
SIGTAB 27960 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
SIMILAC 28035 INFANT FORMULA 52775 2 6 1 0914<br />
SINOGRAFIN 28115 COMBINATION PRODUCT 51380 1 6 2 IODIPAMIDE MEGLUMINE, DIATRIZOATE MEGLUMINE 52835, 59624 0789<br />
SK-AMITRIPTYLINE 28200 AMITRIPTYLINE 50230 1 6 1 0630<br />
SK-BAMATE 28220 MEPROBAMATE 53370 1 4 1 0627<br />
SK-DIPHENHYDRAMINE 28250 DIPHENHYDRAMINE 51860 1 6 1 1371, 1671, 1944<br />
SK-METHOCARBAMOL 28271 METHOCARBAMOL 53560 1 6 1 1373<br />
SK-POTASSIUM CHLORIDE 28293 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
SK-TERPIN HYDRATE & CODEINE 28318 COMBINATION PRODUCT 51380 2 5 2 CODEINE, TERPIN HYDRATE 51340, 55675 1943<br />
SLO-PHYLLIN SYRUP 28380 THEOPHYLLINE 55745 1 6 1 1940<br />
SLO-SALT 28383 SODIUM CHLORIDE 55315 2 6 1 0915<br />
SOAP LIQUID 28415 SOAP 55265 2 6 1 1265<br />
SODIUM ASCORBATE 28445 SODIUM ASCORBATE 56320 3 7 1 0913<br />
SODIUM CARBONATE 28490 SODIUM CARBONATE 55310 2 6 1 2095<br />
SODIUM CHLORIDE FOR IRRIGATION 28545 SODIUM CHLORIDE 55315 1 6 1 2000<br />
SODIUM INDIGOTINDISULFONATE 28615 INDIGOINDISULFONATE 52755 1 6 1 0789<br />
SOFLENS CLEANER 28710 PAPAIN 54180 2 6 1 2087<br />
SOLARCAINE 28740 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, TRICLOSAN 50530, 55947 0121<br />
SOLBAR 28750 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, OXYBENZONE 50000, 54093 1269<br />
SOMINEX 28833 PYRILAMINE 54995 2 6 1 1944<br />
SONAZINE 28850 UNDETERMINED 50000 3 7 3 2000<br />
SOPOR 28880 UNDETERMINED 50000 3 7 3 2000<br />
SORBITRATE 28920 ISOSORBIDE 52935 1 6 1 0503<br />
SPARINE SYRUP 29020 PROMAZINE 54850 1 6 1 0628<br />
STADOL 29285 BUTORPHANOL TARTRATE 50740 1 6 1 1721<br />
STEROID(S) 29498 UNDETERMINED 50000 3 7 3 1268<br />
STOXIL 29555 IDOXURIDINE 52740 1 6 1 1568<br />
STRESSTABS 600 29585 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
SUCOSTRIN 29670 SUCCINYLCHOLINE 55510 1 6 1 0119<br />
SUDRIN 29750 PSEUDOEPHEDRINE 54960 2 6 1 1941<br />
SULDIAZO 29790 COMBINATION PRODUCT 51380 1 6 2 PHENAZOPYRIDINE, SULFISOXAZOLE 54365, 55590 0353<br />
SULFACYTINE 29820 SULFACYTINE 55535 1 6 1 0353<br />
SULFANILAMIDE 29850 SULFANILAMIDE 55565 1 6 1 1265<br />
SULFASOXAZOLE 29875 SULFISOXAZOLE 55590 1 6 1 0353<br />
SULFIMYCIN 29897 UNDETERMINED 50000 1 6 3 0348, 0353<br />
SULFUR SOAP 29980 SULFUR 55610 2 6 1 1265<br />
SULPHUR 30010 SULFUR 55610 2 6 1 1271<br />
SUMOX 30025 AMOXICILLIN 50260 1 6 1 0346<br />
SUNRIL 30060 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PAMABRON, PYRILAMINE 50005, 54158, 54995 1720, 1944<br />
SURBEX 750 W/IRON 30165 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53915, 54990, 55105, 55755, 56192 0913<br />
SUSADRIN 30238 NITROGLYCERIN 53945 1 6 1 0503<br />
SUSTACAL 30245 DIETARY SUPPLEMENT 51740 2 6 1 0914<br />
SWEETA 30280 SACCHARIN 55140 2 6 1 2087<br />
SYMPATHOMIMETC AGENT 30309 UNDETERMINED 50000 3 7 3 2000<br />
SYTOBEX 30415 VITAMIN B-12 56192 1 6 1 0408<br />
T-STAT 30468 ERYTHROMYCIN 52065 1 6 1 1271<br />
TAC-3 30478 TRIAMCINOLONE 55915 1 6 1 1032<br />
TALOIN 30520 UNDETERMINED 50000 3 7 3 2000<br />
TAMINE DC 30550 COMBINATION PRODUCT 51380 1 5 2 BROMPHENIRAMINE, CODEINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50690, 51340, 52490, 54455, 54465 1941, 1943, 1944<br />
TEDRAL ELIXIR 30680 COMBINATION PRODUCT 51380 2 5 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 1940, 1943<br />
TEEBACONIN W/VITAMIN B-6 30710 COMBINATION PRODUCT 51380 1 6 2 ISONIAZID, PYRIDOXINE HCL 52915, 70343 0356<br />
TELEPAQUE 30745 IOPANOIC ACID 52855 1 6 1 0789<br />
TENSILON 30785 EDROPHONIUM 52020 1 6 1 0789<br />
TERPIN HYDRATE 30820 TERPIN HYDRATE 55675 1 6 1 1943<br />
TESLAC 30875 TESTOLACTONE 55690 1 3 1 1033, 1479<br />
TESTO NATE 30913 TESTOSTERONE 55695 1 3 1 1033<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TESTOSTERONE DEPOT 30925 TESTOSTERONE 55695 1 3 1 1033<br />
TESTOSTERONE IN OIL 30940 TESTOSTERONE 55695 1 3 1 1033, 1479<br />
TESTOSTERONE-100 30965 TESTOSTERONE 55695 1 3 1 1033, 1479<br />
TETANUS TOXOID 31015 TETANUS TOXOID 55710 1 6 1 1180<br />
TETRACAINE HCL 31030 TETRACAINE 55715 1 6 1 0117<br />
TETRALAN 31060 TETRACYCLINE 55725 1 6 1 0350<br />
TEXACORT 31085 HYDROCORTISONE 52655 1 6 1 1268<br />
THAM 31095 TROMETHAMINE 56040 1 6 1 0915<br />
THEELIN AQUEOUS SUSPENSION 31110 ESTRONE 52080 1 6 1 1034<br />
THEO-ORGANIDIN 31140 COMBINATION PRODUCT 51380 1 6 2 IODINATED GLYCEROL, THEOPHYLLINE ANHYDROUS 52825, 70406 1940, 1943<br />
THEOLAIR 31200 THEOPHYLLINE 55745 1 6 1 1940<br />
THEOPHED 31215 COMBINATION PRODUCT 51380 2 5 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 1940<br />
THEOPHYLLINE W/DEXTROSE 31264 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, THEOPHYLLINE 51675, 55745 1940<br />
THERA-FLUR GEL-DROPS 31300 SODIUM FLUORIDE 55330 1 6 1 0913<br />
THIACIDE 31440 UNDETERMINED 50000 3 7 3 2000<br />
THIORAL 31507 SODIUM THIOSALICYLATE 55420 1 6 1 1720<br />
THIOSULFIL FORTE 31525 SULFAMETHIZOLE 55550 1 6 1 0353<br />
THIURETIC 31545 HYDROCHLOROTHIAZIDE 52645 1 6 1 0507<br />
THROMBOLYTIC AGENT 31598 UNDETERMINED 50000 3 7 3 0409<br />
THYRAR 31615 THYROID 55825 1 6 1 1037<br />
TIJECT-20 31656 TRIMETHOBENZAMIDE 56000 1 6 1 1671<br />
TINDAL 31675 ACETOPHENAZINE 50040 1 6 1 0628<br />
TIS-U-SOL 31705 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM PHOSPHATE, SODIUM CHLORIDE, SODIUM PHOSPHATE, POTASSIUM CHLORIDE, MAGNESIUM SULFATE 54733, 55315, 55385, 56585, 70398 2087<br />
TOPIC 31825 BENZYL ALCOHOL 50570 2 6 1 1265<br />
TOPSYN GEL 31840 FLUOCINONIDE 52310 1 6 1 1265<br />
TRANQUILIZER 31933 UNDETERMINED 50000 3 7 3 0600<br />
TRAUM-AID HBC DIET 31953 FOOD SUPPLEMENT 52358 2 6 1 0915, 2087<br />
TRAVASE 31970 SUTILAINS 55630 1 6 1 1265<br />
TRECATOR-SC 32000 ETHIONAMIDE 52115 1 6 1 0356<br />
TREXIN 32020 TETRACYCLINE 55725 1 6 1 0350<br />
TRI-CONE 32055 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEINASE, SIMETHICONE 50283, 53118, 54923, 55240 0877<br />
TRI-PHEN-CHLOR 32110 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLTOLOXAMINE CITRATE, PHENYLEPHRINE HCL 70226, 70254, 70255, 70358 1941, 1944<br />
TRIAMONIDE 32271 TRIAMCINOLONE 55915 1 6 1 1032<br />
TRICHLOROACETIC ACID 32310 TRICHLOROACETIC ACID 55935 3 6 1 1265<br />
TRICLOS 32330 TRICLOFOS 55945 1 5 1 0626<br />
TRIHEXANE 32375 TRIHEXYPHENIDYL 55975 1 6 1 1371<br />
TRIKATES 32393 POTASSIUM ALKALINIZING AGENTS 54620 1 6 1 0915<br />
TRIMIPRAMINE 32424 TRIMIPRAMINE 56005 1 6 1 0630<br />
TRIMSTAT 32435 PHENDIMETRAZINE 54370 1 3 1 0631<br />
TRIOVAL 32478 MAGNESIUM ANTACIDS 53175 2 6 1 0874<br />
TRIPHED 32495 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE, TRIPROLIDINE 54960, 56020 1941, 1944<br />
TRIPLE SULFA 32530 TRIPLE SULFA 70639 1 6 1 0353<br />
TRISORALEN 32580 TRIOXSALEN 56010 1 6 1 1265<br />
TRONOTHANE 32645 PRAMOXINE 54755 2 6 1 0117<br />
TRYPTOPHAN 32660 TRYPTOPHAN 56050 2 6 1 0914<br />
TUBOCURARINE CHLORIDE 32700 TUBOCURARINE 56075 1 6 1 1373<br />
TUSSAGESIC 32780 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, PHENIRAMINE, PHENYLPROPANOLAMINE, PYRILAMINE, TERPIN HYDRATE 51670, 54385, 54465, 54995, 55675 1941, 1943, 1944<br />
TUSSAR DM 32800 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 70226, 70338, 70358 1943, 1944<br />
TYBATRAN 32895 TYBAMATE 56085 1 6 1 0626<br />
TYMATRO 32950 UNDETERMINED 50000 3 7 3 2000<br />
ULTRA TEARS 33055 HYDROXYPROPYL METHYLCELLULOSE 52700 2 6 1 1569<br />
UNILAX 33148 COMBINATION PRODUCT 51380 2 6 2 DANTHRON, DOCUSATE 51545, 51935 0876<br />
UNNA'S GELATIN PASTE 33180 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 2 6 1 1200<br />
URACIL MUSTARD 33195 URACIL 56115 1 6 1 1479<br />
UREACIN 33218 UREA 56120 2 6 1 1265<br />
URIFON 33255 SULFAMETHIZOLE 55550 1 6 1 0353<br />
URODINE 33360 PHENAZOPYRIDINE 54365 1 6 1 0354<br />
V-CILLIN K 33430 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
VAGINAL SULFA 33478 UNDETERMINED 50000 3 7 3 2000<br />
VALERIAN 33530 VALERIAN 56135 2 6 1 2000<br />
VALIUM RX PAK 33558 DIAZEPAM 51695 1 4 1 0627, 1373, 1374<br />
VANCOR 33590 VANCOMYCIN 56150 1 6 1 0355<br />
VAPO-ISO 33620 ISOPROTERENOL 52930 1 6 1 1940<br />
VELOSEF 33805 CEPHRADINE 51005 1 6 1 0347<br />
VENTAB 33829 UNDETERMINED 50000 3 7 3 2000<br />
VERSACAPS 33903 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943, 1944<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
VI-DAYLIN F 33975 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
VICALTEIN 34092 COMBINATION PRODUCT 51380 2 6 2 CALCIUM REPLACEMENT AGENTS, ERGOCALCIFEROL, THIAMINE, VITAMIN A, YEAST 50770, 52045, 55755, 56185, 56250 2087<br />
VIO-BEC 34175 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN 50811, 53915, 54990, 55105 0913<br />
VISTACON 34265 HYDROXYZINE 52715 1 6 1 0626<br />
VISTAZINE 34275 HYDROXYZINE 52715 1 6 1 0626, 1671, 1944<br />
VITAL 34345 FOOD SUPPLEMENT 52358 2 6 1 0631, 0913<br />
VITAMIN A SOLUBLE 34405 VITAMIN A 56185 1 6 1 0913<br />
VITAMIN B-1 & B-12 34460 COMBINATION PRODUCT 51380 2 6 2 VITAMIN B-12, THIAMINE HCL 56192, 70603 0913<br />
VITAMIN B-12 CRYSTALLINE 34500 VITAMIN B-12 56192 1 6 1 0913<br />
VITAMIN C SYRUP 34550 VITAMIN C 56193 2 6 1 0913<br />
VITAMIN E SKIN OIL 34605 VITAMIN E 56195 2 6 1 1265<br />
VIVONEX 34695 COMBINATION PRODUCT 51380 2 6 2 LINOLENIC ACID, PHENYLALANINE, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM ACETATE, TRYPTOPHAN 53100, 54445, 54655, 55270, 56050 0914<br />
WEHLESS 34825 PHENDIMETRAZINE 54370 1 3 1 0631<br />
WESCOHEX SURGICAL SCRUB 34840 HEXACHLOROPHENE 52560 1 6 1 1265, 2087<br />
WHEAT GERM OIL 34875 WHEAT GERM 56214 2 6 1 0913<br />
WOMAGEN 34928 COMBINATION PRODUCT 51380 1 6 2 1034, 2087<br />
WYCILLIN INJECTION & PROBENECID TABLET 34975 COMBINATION PRODUCT 51380 1 6 2 PENICILLIN G PROCAINE, PROBENECID 54260, 54800 0346<br />
XERAC BP10 35030 BENZOYL PEROXIDE 50550 1 6 1 1265<br />
XYLO-PFAN 35055 XYLOSE 56245 1 6 1 0789<br />
XYLOCAINE VISCOUS 35085 LIDOCAINE 53070 1 6 1 0117<br />
YF-VAX 35113 YELLOW FEVER VACCINE 56255 1 6 1 1180<br />
ZENTINIC 35200 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, IRON PREPARATIONS, PYRIDOXINE, RIBOFLAVIN 52355, 52885, 54990, 55105 0913<br />
ZINCTRACE 35313 ZINC TOPICAL AGENTS, EXTERNAL USE 56265 1 6 1 0915<br />
ZOLINE-S 35330 NAPHAZOLINE 53875 1 6 1 1570<br />
ZYMME 35380 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, CELLULASE, DIMETHICONE, LIPASE, PROTEINASE 50283, 50968, 51817, 53118, 54923 0877<br />
ANTIEPILEPSY AGENT 35435 UNDETERMINED 50000 3 7 3 2087<br />
ANTINAUSEANT AGENT 35475 UNDETERMINED 50000 3 7 3 0635<br />
ANTIPRURITIC AGENT 35490 UNDETERMINED 50000 3 7 3 1274<br />
ANTITUBERCULAR AGENT 35505 UNDETERMINED 50000 1 7 3 0356<br />
DEXBROMPHENIRAMINE/D-ISOEPHED 35550 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, DEXBROMPHENIRAMINE MALEATE 70256, 70373 1941, 1944<br />
TRIMETHOPRIM/SULFAMETHOXAZOLE 35595 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
ACACIA 40035 ACACIA GUM 50004 2 6 1 2100<br />
AMINO PH 40075 AMINOPHYLLINE 50210 1 6 1 1940<br />
ARQUEL 40135 MECLOFENAMIC ACID 53278 1 6 1 1724, 1727<br />
ASPERBUF 40145 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, BUFFERS 50410, 50706 1720<br />
ATROPAIR 40160 ATROPINE 50420 1 6 1 1567<br />
BETATREX 40205 BETAMETHASONE 50585 1 6 1 1268<br />
BLANEX 40230 ORPHENADRINE 54050 1 6 1 1373<br />
CCK 40295 CERULETIDE DIETHYLAMINE 51012 1 6 1 0509<br />
CHLOR-PRO 40350 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
CHROMETRACE 40375 CHROMIC CHLORIDE 51208 1 6 1 0915<br />
DE-COMBEROL 40480 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
DYLINE 40655 DYPHYLLINE 52000 1 6 1 1940, 1943<br />
ERYMAX 40725 ERYTHROMYCIN 52065 1 6 1 1271<br />
FLUORAL 40750 SODIUM FLUORIDE 55330 1 6 1 2087<br />
GEL CLEAN 40770 UNDETERMINED 50000 2 6 3 1569<br />
HEP-PAK 40790 HEPARIN SODIUM 70628 1 6 1 0409<br />
HISTOPED 40805 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, VITAMIN E 51130, 54455, 56195 0913, 1941, 1944<br />
KAINAIR 40910 PROPARACAINE 54875 1 6 1 0502, 0503, 0506<br />
MANGANESE 40960 MANGANESE SULFATE 53242 1 6 1 0915<br />
MICROCULT GC TEST 40995 NEISSERIA 53891 2 6 1 0790<br />
MONO-PRESS 41110 UNDETERMINED 50000 3 7 3 2087<br />
MULTIPLE TRACE ELEMENT 41125 COMBINATION PRODUCT 51380 1 6 2 CHROMIUN, COPPER, MANGANESE GLUCONATE, ZINC TOPICAL AGENTS, EXTERNAL USE 51209, 51393, 53240, 56265 0915<br />
NAFAZAIR 41145 NAPHAZOLINE 53875 1 6 1 1570<br />
NEWGEN 41175 UNDETERMINED 50000 3 7 3 2000<br />
NORCURON 41185 VECURONIUM BROMIDE 56162 1 6 1 0119<br />
OCUTRICIN 41215 COMBINATION PRODUCT 51380 1 6 2 POLYMYXIN B SULFATE, BACITRACIN ZINC, NEOMYCIN SULFATE 70212, 70213, 70362 1568<br />
PRECISION DIET ISOTONIC 41335 DIETARY SUPPLEMENT 51740 2 6 1 0914<br />
PROPOX-PHENACETIN FREE 41370 UNDETERMINED 50000 3 7 3 2000<br />
REZIDE 41410 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080 0506, 0507<br />
SECRAN FE ELIXIR 41430 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACINAMIDE, VITAMIN B-12 52885, 53915, 56192 0913<br />
SK-THIORIDAZINE 41465 THIORIDAZINE 55785 1 6 1 0628<br />
SODIUM NITROPRUSSIDE 41490 SODIUM NITROPRUSSIDE 55370 1 6 1 0506<br />
ST. JOSEPH ADULT ASPIRIN FREE 41520 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
TRACRIUM 41645 ATRACURIUM BESYLATE 50419 1 6 1 1373<br />
TRAXIN 41665 UNDETERMINED 50000 3 7 3 2000<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
UNI LOM 41730 COMBINATION PRODUCT 51380 1 5 2 ATROPINE, DIPHENOXYLATE 50420, 51868 0875<br />
XYLOCAINE W/GLUCOSE 41775 COMBINATION PRODUCT 51380 1 6 2 GLUCOSE, LIDOCAINE HCL 52425, 70370 0117<br />
ZINC TRACE METAL 42263 ZINC SULFATE 56285 1 6 1 0915<br />
GYNOGEN 42433 ESTRONE 52080 1 6 1 1034<br />
MONISTAT VAGINAL 42715 MICONAZOLE 53715 1 6 1 1271<br />
MUMPSVAX VACCINE 42735 MUMPS VIRUS VACCINE 53820 1 6 1 1180<br />
NS W/KCL 42815 COMBINATION PRODUCT 51380 1 6 2 POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE 54655, 55315 0915<br />
FAMILY TABS WITH IRON 50025 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, IRON PREPARATIONS, MULTIVITAMINS GENERAL 52355, 52885, 53780 0913<br />
ACETA-GESIC 60020 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLTOLOXAMINE CITRATE 50005, 70255 1720, 1944<br />
ALPHA-TREX 60070 BETAMETHASONE DIPROPIONATE 70565 1 6 1 1265<br />
ATROPAIR OPHTHALMIC 60110 ATROPINE 50420 1 6 1 1567<br />
BACITRACIN OPHTHALMIC 60150 BACITRACIN 50450 1 6 1 1568<br />
BLENOXANE 60220 BLEOMYCIN 50655 1 6 1 1482<br />
BRETYLIUM TOSYLATE 60240 BRETYLIUM 50665 1 6 1 0502<br />
COACTIN 60345 AMDINOCILLIN 50178 1 6 1 0346<br />
COM-VI FORTE 60360 COMBINATION PRODUCT 51380 1 6 2 PYRIDOXINE, RIBOFLAVIN, THIMEROSAL, VITAMIN A 54990, 55105, 55770, 56185 0874<br />
DEXAMYCIN OPHTHALMIC 60420 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, NEOMYCIN, POLYMYXIN B SULFATE 51635, 53895, 70212 1568<br />
ERYCETTE 60535 ERYTHROMYCIN 52065 1 6 1 1271<br />
FEMSTAT 60560 BUTOCONAZOLE NITRATE 50733 1 6 1 1271<br />
FERROUS-DS 60590 COMBINATION PRODUCT 51380 2 6 2 DOCUSATE, IRON PREPARATIONS 51935, 52885 0408<br />
GYNOL II 60670 NONOXYNOL 9 53955 2 6 1 1040<br />
HEMOPAD 60685 COLLAGEN HEMOSTAT 70409 1 6 1 0411<br />
HYDEGINE LIQUID CAPSULE 60710 ERGOLOID MESYLATES 52048 1 6 1 0632<br />
KEFUROX 60780 CEFUROXIME SODIUM 50967 1 6 1 0347<br />
LACTATED RINGER'S 60800 RINGERS LACTATED 55115 1 6 1 0915<br />
MANNEST 60865 ESTROGENS 52075 1 6 1 1034<br />
MERITAL 60895 UNDETERMINED 50000 3 7 3 2000<br />
METRODIN 60915 UROFOLLITROPIN 56123 1 6 1 1035<br />
NA SAL 60985 SODIUM CHLORIDE 55315 2 6 1 2000<br />
NEOSPORIN-G 61020 RAUWOLFIA 55070 1 6 1 1265<br />
NUTRI-AID 61065 UNDETERMINED 50000 3 7 3 2000<br />
PEDIAPRED 61140 PREDNISOLONE 54770 1 6 1 1032<br />
PERIPHERAL NUTRITION W/EL-D10W 61165 COMBINATION PRODUCT 51380 3 6 2 AMINO ACIDS, DEXTROSE, ELECTROLYTES 50185, 51675, 52023 0915<br />
PROTHAR 61250 FACTOR IX COMPLEX HUMAN 52203 1 6 1 0409<br />
ROFERON-A 61300 INTERFERON ALFA-2A 52791 1 6 1 1479<br />
RYMED 61305 BROMPHENIRAMINE 50690 1 6 1 1941, 1943<br />
SELDANE 61340 TERFENADINE 55673 1 6 1 1944<br />
SPRX-105 61360 PHENDIMETRAZINE 54370 1 3 1 0631<br />
TAZICEF 61410 CEFTAZIDIME 50966 1 6 1 0347<br />
TEN-K 61445 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
TOLAZAMIDE 61475 TOLAZAMIDE 55870 1 6 1 1036<br />
TRIDILSET 61530 NITROGLYCERIN 53945 1 6 1 0503<br />
VANCOLED 61555 VANCOMYCIN 56150 1 6 1 0355<br />
VITEC 61595 VITAMIN E 56195 2 6 1 0913<br />
CANNABIS 70078 CANNABIS SATIVA 92505 4 1 1 2210<br />
ECSTASY 70159 METHYLENEDIOXYMETHAMPHETAMINE 92506 4 1 1 2220<br />
METHAMPHETAMINE (ILLICIT) 70295 METHAMPHETAMINE 53485 4 2 1 2220<br />
THC 70461 CANNABIS SATIVA 92505 4 1 1 2210<br />
ALAMAG PLUS 89003 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
ANUCORT-HC 89009 HYDROCORTISONE 52655 1 6 1 1268<br />
BROMPHEN DX 89013 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70239, 70256, 70338 1941, 1943, 1944<br />
ERYTHROCIN LACTOBIONATE 89027 ERYTHROMYCIN 52065 1 6 1 0348<br />
ESTRADIOL VALERATE 89031 ESTRADIOL 52070 1 6 1 1034<br />
FML-S LIQUIFILM 89036 COMBINATION PRODUCT 51380 1 6 2 FLUOROMETHOLONE, SULFACETAMIDE SODIUM 52320, 70214 1568<br />
METHYLPREDNISOLONE ACETATE 89049 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
PRELONE 89066 PREDNISOLONE 54770 1 6 1 1032<br />
PROFENAL 89070 SUPROFEN 55618 1 6 1 1568<br />
TUSSI-R-GEN DM 89083 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, IODINATED GLYCEROL 51670, 52825 1943<br />
ETHAMOLIN 91018 ETHANOLAMINE OLEATE 91018 1 6 1 1265<br />
GENACOTE 91024 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
LOTRIMIN AF 91034 CLOTRIMAZOLE 51290 2 6 1 1271<br />
LUTREPULSE 91036 GONADORELIN 52472 3 7 1 1035<br />
ROXICODONE INTENSOL 91047 OXYCODONE 54094 1 2 1 1721<br />
SSD 91052 SILVER SULFADIAZINE 55235 1 6 1 1271<br />
VENOGLOBULIN 91057 IMMUNE GLOBULIN 52750 1 6 1 1181<br />
BENZPHETAMINE 91065 BENZPHETAMINE 50555 1 6 1 0631<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DEZOCINE 91071 DEZOCINE 57046 1 6 1 1721<br />
FLECAINIDE ACETATE 91078 FLECAINIDE ACETATE 52278 1 6 1 0502<br />
INTERFERON-ALFA 91083 INTERFERON ALFA 52794 1 6 1 1181<br />
MITOMYCIN-C 91092 MITOMYCIN 53740 1 6 1 1482<br />
OLSALAZINE 91095 OLSALAZINE 91013 1 6 1 0877<br />
TRETINOIN 91102 TRETINOIN 55905 1 6 1 1265<br />
C.C.E.P. 92010 COMBINATION PRODUCT 51380 1 6 2 CARBETAPENTANE, CHLORPHENIRAMINE, EPHEDRINE, PHENYLEPHRINE 50898, 51130, 52035, 54455 1941, 1943, 1944<br />
FLUONEX 92032 FLUOCINONIDE 52310 1 6 1 1265<br />
FREAMINE III W/ELECTROLYTES 92035 COMBINATION PRODUCT 51380 1 6 2 AMINO ACIDS, ELECTROLYTES 50185, 52023 0914<br />
HYDROCODONE COMPOUND 92041 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, HOMATROPINE METHYL BROMIDE 70217, 70218 1721, 1943<br />
NITRONG 92065 NITROGLYCERIN 53945 1 6 1 0503<br />
ORAMORPH SR 92070 MORPHINE 53760 1 2 1 1721<br />
ROBITUSSIN COUGH CALMERS 92084 DEXTROMETHORPHAN 51670 2 6 1 1943, 1946<br />
SURVANTA 92089 BERACTANT 50577 1 6 1 2087<br />
THEOX 92092 THEOPHYLLINE 55745 1 6 1 1940<br />
TUSSAR-SF 92098 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 52490, 70231, 70256 1941, 1943<br />
CLARITHROMYCIN 92112 CLARITHROMYCIN 51242 1 6 1 0348<br />
DIDEOXYINOSINE 92118 DIDANOSINE 51732 1 6 1 0388<br />
GANCICLOVIR 92129 GANCICLOVIR SODIUM 57004 1 6 1 0388<br />
ISRADIPINE 92132 ISRADIPINE 52946 1 6 1 0510<br />
NORGESTREL 92139 NORGESTREL 53970 1 6 1 1040<br />
QUAZEPAM 92148 QUAZEPAM 55028 1 4 1 0627<br />
TERCONAZOLE 92152 TERCONAZOLE 80014 1 6 1 1265<br />
DECONSAL 92166 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943<br />
AK-SULF 93005 SULFACETAMIDE 55525 1 6 1 1568<br />
ALBUMIN 93009 ALBUMIN HUMAN 50085 1 6 1 0410<br />
AZDONE 93027 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, HYDROCODONE BITARTRATE 50410, 70217 1721<br />
COPHENE-B 93043 BROMPHENIRAMINE 50690 1 6 1 1944<br />
DERMA-SMOOTHE 93046 COMBINATION PRODUCT 51380 1 6 2 MINERAL OIL, PEANUT OIL 53720, 54235 1265<br />
ENZONE 93058 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE ACETATE, PRAMOXINE HCL 70334, 70335 1265<br />
HABITROL 93071 NICOTINE TRANSDERMAL 56540 1 6 1 0632<br />
HISTUSSIN D 93076 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, PSEUDOEPHEDRINE HCL 70217, 70256 1941, 1943<br />
MAGSAL 93091 COMBINATION PRODUCT 51380 1 6 2 MAGNESIUM SALICYLATE, PHENYLTOLOXAMINE CITRATE 53220, 70255 1722, 1944<br />
MYPHETANE 93100 COMBINATION PRODUCT 51380 1 5 2 BROMPHENIRAMINE, CODEINE, PHENYLPROPANOLAMINE 50690, 51340, 54465 1941, 1943, 1944<br />
OXY CLEAN FACIAL 93118 SODIUM TETRABORATE DECAHYDRATE 56800 2 6 1 1265<br />
PRAMEGEL 93125 PRAMOXINE 54755 2 6 1 0117, 1265<br />
RESCON-ED 93134 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
STAHIST 93147 COMBINATION PRODUCT 51380 1 6 2 ATROPINE SULFATE, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, HYOSCYAMINE SULFATE, PHENYLEPHRINE HCL 70120, 70226, 70254, 70336, 70358 1945<br />
VERRUSOL 93169 COMBINATION PRODUCT 51380 1 6 2 CANTHARIDIN, PODOPHYLLUM, SALICYLIC ACID 50860, 54560, 55160 1265<br />
ZILACTIN 93178 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, ALCOHOL 50000, 50090 1264<br />
TICILID 93192 TICLOPIDINE 56690 1 6 1 0409<br />
CUTAR BATH OIL 93196 COAL TAR 51305 2 6 1 1265<br />
BRONCHOLATE 93201 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, EPHEDRINE HCL 52490, 70350 1940, 1943<br />
ORTHO-CEPT 93218 COMBINATION PRODUCT 51380 1 6 2 DESOGESTREL, ETHINYL ESTRADIOL 57058, 70027 1040<br />
SPORANOX 93222 ITRACONAZOLE 56465 1 6 1 1860<br />
GUAIMAX-D 93227 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1941, 1943<br />
SUMATRIPTAN 93248 SUMATRIPTAN 56670 1 6 1 1723<br />
STREPTOKINASE 93302 STREPTOKINASE 55495 1 6 1 0409<br />
BENZODIAZEPINES 93309 UNDETERMINED 50000 1 4 3 0626<br />
RICELYTE 93322 COMBINATION PRODUCT 51380 2 6 2 ELECTROLYTES, MINERALS 52023, 53723 0915<br />
PROPOFOL 93337 PROPOFOL 56605 1 6 1 0118<br />
COGNEX 93357 TACRINE 56675 1 6 1 0633<br />
TACRINE 93361 TACRINE 56675 1 6 1 0632<br />
MITOXANTRONE 93365 MITOXANTRONE 80009 1 6 1 0300, 1479<br />
LOGEN 93385 COMBINATION PRODUCT 51380 1 5 2 ATROPINE SULFATE, DIPHENOXYLATE HCL 70120, 70211 0875<br />
TAXOTERE 93392 PACLITAXEL 56795 1 6 1 1479<br />
URO-MAG 93398 MAGNESIUM OXIDE 56495 2 6 1 0874, 0915<br />
REZINE 93415 HYDROXYZINE 52715 1 6 1 0627, 1671, 1944<br />
FILGRASTIM 93418 FILGRASTIM 56420 1 6 1 0410<br />
TAR DERIVATIVE SHAMPOO 93425 COAL TAR 51305 2 6 1 1265<br />
INJECTION (EPIDURAL) 93429 UNDETERMINED 50000 1 7 3 0117<br />
DINOPROSTONE 93434 DINOPROSTONE 51840 1 6 1 1039<br />
PEG 93441 UNDETERMINED 50000 3 7 3 2087<br />
BEL-PHEN-ERGOT 93444 COMBINATION PRODUCT 51380 1 6 2 BELLADONNA, PHENOBARBITAL, ERGOTAMINE TARTRATE 50495, 54395, 70353 0877<br />
RH IMMUNE GLOBUIN 93453 RHO (D) IMMUNE GLOBULIN 56620 1 6 1 1180<br />
MEDICATION(S) - IV 93982 UNDETERMINED 50000 3 7 3 2087<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ULCER MEDICATION 94006 UNDETERMINED 50000 3 7 3 0800<br />
ETRETINATE 94013 ETRETINATE 52169 1 6 1 1274<br />
ENCONOPRED PLUS 94017 PREDNISOLONE 54770 1 6 1 1568<br />
CONTACT LENS SOLUTION 94024 UNDETERMINED 50000 2 6 3 1571<br />
EXGEST LA 94030 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1941, 1943<br />
OXY-5 94040 BENZOYL PEROXIDE 50550 2 6 1 1264<br />
TEBAMIDE 94042 TRIMETHOBENZAMIDE 56000 1 6 1 1671<br />
PHENOTHIAZINE 94050 PHENOTHIAZINE 57152 1 6 1 0626<br />
ACE INHIBITOR 94054 UNDETERMINED 50000 1 6 3 0506<br />
EPILYT 94060 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, LACTIC ACID, OLEIC ACID, PROPYLENE GLYCOL 52450, 52980, 54025, 54895 1265<br />
SODIUM TETRADECYL 94063 SODIUM TETRADECYL 57132 1 6 1 2087<br />
PROSTAGLANDIN E2 94067 DINOPROSTONE 51840 1 6 1 1039<br />
PULMOZYME 94074 RECOMBINANT HUMAN DEOXYRIBONUCLEASE 57092 1 6 1 1900<br />
CORTICOSTEROID(S) 94079 UNDETERMINED 50000 3 7 3 2087<br />
COL-PROBENECID 94087 COMBINATION PRODUCT 51380 1 6 2 COLCHICINE, PROBENECID 51345, 54800 1725<br />
GLIBENCLAMIDE 94094 GLIBENCLAMIDE 57144 1 6 1 1036<br />
SUDEX 94107 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943<br />
BEE STING KIT 94122 UNDETERMINED 50000 3 7 3 1944<br />
VITAMIN B5 94132 VITAMIN B 56340 2 6 1 0913<br />
CEFPODOXIME 94139 CEFPODOXIME 57070 1 6 1 0347<br />
BACTIGEN 94141 UNDETERMINED 50000 1 6 3 0789<br />
PENICILLIN G BENZATHINE 94146 PENICILLIN G BENZATHINE 70046 1 6 1 0346<br />
ESGIC PLUS 94149 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 2095<br />
LIVOSTIN 94157 LEVOCARBASTINE HCL 57110 1 6 1 1570<br />
HISTUSSIN HC 94164 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70217, 70226, 70358 1945<br />
HUMAN RECOMBINANT 94168 CD4 57154 3 6 1 2000<br />
AREDIA 94177 PAMIDRONATE DISODIUM 57078 1 6 1 0916<br />
FLU-SHIELD 94182 INFLUENZA VIRUS VACCINE 52780 1 6 1 1180<br />
SEIZURE MEDICATION 94185 UNDETERMINED 50000 2 6 3 1374<br />
FLUMAZENIL 94189 FLUMAZENIL 56435 1 6 1 0281<br />
ESTRAMUSTINE 94194 ESTRAMUSTINE 52072 1 6 1 1479<br />
OCTREOTIDE 94196 OCTREOTIDE ACETATE 56750 1 6 1 1035, 1479<br />
DEXACORT 95011 DEXAMETHASONE 51635 1 6 1 1940<br />
TESTODERM 95015 TESTOSTERONE 55695 1 3 1 1033<br />
ALTRACIN 95027 BACITRACIN 50450 1 6 1 0355<br />
NITRATES 95032 UNDETERMINED 50000 1 6 3 0503<br />
ATRACURIUM 95035 ATRACURIUM BESYLATE 50419 1 6 1 0119<br />
MIVACURIUM 95040 MIVACURIUM 56515 1 6 1 0119<br />
OPTIRAY 95052 LOVERSOL 57188 1 6 1 0789<br />
DTaP 95057 COMBINATION PRODUCT 51380 1 6 2 DIPHTHERIA TOXOID, PERTUSSIS VACCINE, TETANUS VACCINE 51910, 54328, 70626 1180<br />
PANCREASE MT 95078 PANCRELIPASE 54165 1 6 1 0877<br />
PROPHYLAXIS 95087 UNDETERMINED 50000 3 7 3 2000<br />
LARIAM 95095 MEFLOQUINE 56505 1 6 1 1864<br />
ADENOSINE PHOSPHATE 95098 ADENOSINE 50080 1 6 1 0502<br />
DANDRUFF SHAMPOO 95106 UNDETERMINED 50000 3 6 3 1265<br />
LACTICARE HC 95113 HYDROCORTISONE 52655 1 6 1 1265<br />
VM-26 95124 TENPOSIDE 57198 1 6 1 1483<br />
ULTRASE 95130 UNDETERMINED 50000 1 6 3 0879<br />
NUCOCHEM 95134 COMBINATION PRODUCT 51380 1 5 2 CODEINE, GUAIFENESIN, PSEUDOEPHEDRINE 51340, 52490, 54960 1941, 1943<br />
MESORIDAZINE 95146 MESORIDAZINE 53435 1 6 1 0628<br />
EUDAL 95153 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943<br />
CALCIUM BLOCKER 95159 UNDETERMINED 50000 1 6 3 0510<br />
NAPA 95163 UNDETERMINED 50000 1 6 3 0502<br />
PHOSPHOCYSTEAMINE 95194 PHOSPHOCYSTEAMINE 57230 1 6 1 0900<br />
PERMETHRIN 96003 PERMETHRIN 54315 1 6 1 1863<br />
VAPORIZER 96010 UNDETERMINED 50000 3 6 3 2095<br />
PROXACOL 96016 HYDROGEN PEROXIDE 52665 2 6 1 1264<br />
TSH 96021 THYROID STIMULATING HORMONE 59611 1 6 1 1037<br />
INVIRASE 96032 SAQUINAVIR MESYLATE 59601 1 6 1 0388<br />
SEPTISOL 96036 HEXACHLOROPHENE 52560 3 5 1 1264<br />
GOUT MEDICATION 96046 UNDETERMINED 50000 3 6 3 1725<br />
HEPATITIS VACCINE 96049 HEPATITIS VACCINE 59603 1 6 1 1180<br />
NAVELBINE 96054 VINORELBINE 59605 1 6 1 1482<br />
SOMATOSTATIN 96061 SOMATOSTATIN 59615 3 6 1 0877<br />
CEDAX 96070 CEFTIBUTEN 59612 2 6 1 0347<br />
FLUCYTOSINE 96076 FLUCYTOSINE 52290 2 6 1 0358<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
DECOFED 96081 PSEUDOEPHEDRINE 54960 2 6 1 1941<br />
DEFEROXAMINE 96089 DEFEROXAMINE 51575 1 6 1 0281<br />
COSYNTROPIN 96097 UNDETERMINED 50000 1 6 3 1032<br />
ORTHO DIENESTROL 96100 UNDETERMINED 50000 1 6 3 1034<br />
TEGADERM 96105 UNDETERMINED 50000 2 6 3 2095<br />
ELIXOMIN 96114 THEOPHYLLINE 55745 2 6 1 1940<br />
FEROCYL 96126 IRON PREPARATIONS 52885 1 6 1 0913<br />
OTOCAIN 96139 UNDETERMINED 50000 1 6 3 1670<br />
VANEX GRAPE 96143 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE, PSEUDOEPHEDRINE 52490, 52650, 54960 1941, 1943<br />
DIFLORASONE DIACETATE 96161 DIFLORASONE DIACETATE 51760 1 6 1 1268<br />
OXANDROLONE 96172 OXANDROLONE 54080 1 3 1 1033<br />
CEFTIBUTEN 97001 CEFTIBUTEN 59612 1 6 1 0347<br />
AQUASOL 97008 VITAMINS 59702 2 6 1 0913<br />
PACLITAXEL 97012 PACLITAXEL 56795 1 6 1 1479<br />
MUSE 97021 ALPROSTADIL 50116 1 6 1 0508<br />
ZYFLO 97024 ZILEUTON 59706 1 6 1 1940<br />
ATUSS DM 97029 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 51670, 70226, 70358 1943<br />
NILANDRON 97048 NILUTAMIDE 59720 1 6 1 1000<br />
TROGLITAZONE 97059 TROGLITAZONE 59743 1 6 1 1036<br />
ULTIVA 97062 REMIFENTANIL HCL 59745 1 6 1 1721<br />
PANCREATIC ENZYME 97066 UNDETERMINED 50000 3 7 3 0877<br />
DEXTROSTAT 97068 DEXTROAMPHETAMINE 51665 1 2 1 0630<br />
HYDROXPROPYL METHYCELLULOSE 97072 HYDROXYPROPYL METHYLCELLULOSE 52700 3 6 1 1569, 2096<br />
GUAIFENEX LA 97082 GUAIACOL 52485 1 6 1 1943<br />
ZILEUTON 97093 ZILEUTON 59706 1 6 1 1940<br />
GENERAL ANESTHESIC 97099 UNDETERMINED 50000 1 6 3 0118<br />
CEZIN-S 97104 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
NASATAB 97125 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1943<br />
ESTRING 97146 ESTROGENS 52075 1 6 1 1034<br />
OXICONAZOLE 97171 OXICONAZOLE 57148 1 6 1 1271<br />
DURATUSS G 97177 GUAIFENESIN 52490 1 6 1 1943<br />
NEUTROGENA T/GEL 98016 COAL TAR 51305 2 6 1 1266, 1274<br />
MERIDIA 98023 SIBUTRAMINE 59802 1 4 1 0631<br />
RETAVASE 98027 RETEPLASE RECOMBINANT 59821 1 6 1 0409<br />
FEMPATCH 98031 ESTROGENS 52075 1 6 1 1034<br />
FORTOVASE 98034 SAQUINAVIR MESYLATE 59601 1 6 1 0388<br />
REPRONEX 98062 MENOTROPINS 53320 1 6 1 1039<br />
REVEX 98081 NALMEFENE 59822 1 6 1 0283<br />
SULFOIL 98087 CASTOR OIL 50940 1 6 1 1264<br />
REGRANEX 98094 BECAPLERMIN 59818 1 6 1 1265<br />
SLEEPINAL 98102 DIPHENHYDRAMINE 51860 2 6 1 0634<br />
VERR-CANTH 98105 CANTHARIDIN 50860 1 6 1 1266<br />
PROTRIPTYLINE 98110 PROTRIPTYLINE HCL 54950 1 6 1 0630<br />
ANTIRETROVIRAL AGENT 98123 UNDETERMINED 50000 3 7 3 0388<br />
OXALIPLATIN 98132 OXALIPLATIN 59833 1 6 1 1480<br />
TOLCAPONE 98140 TOLCAPONE 59824 1 6 1 1371<br />
DEHYDROEPIANDROSTERONE 98150 DEHYDROEPIANDROSTERENE 59632 1 6 1 1033<br />
SEROSTIM 98155 SOMATROPIN 55430 1 6 1 1042<br />
CAPECITABINE 98161 CAPECITABINE 59840 1 6 1 1481<br />
RONDEC TR 98166 COMBINATION PRODUCT 51380 1 6 2 CARBINOXAMINE, PSEUDOEPHEDRINE HCL 50900, 70256 1941, 1944<br />
NALEX-A 99012 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLTOLOXAMINE 51130, 54455, 54468 1941, 1944, 1945<br />
DURATUSS DM 99035 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
SARNOL HC 99047 HYDROCORTISONE 52655 2 6 1 1032, 1265<br />
EMBELINE E 99053 CLOBETASOL PROPIONATE 51243 1 6 1 1265, 1268<br />
AQUATAB C 99069 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, GUAIFENESIN, PHENYLPROPANOLAMINE 51670, 52490, 54465 1941, 1943<br />
MENOPLEX 99079 ACETAMINOPHEN 50005 2 6 1 1722<br />
RELAXIN 99084 UNDETERMINED 50000 1 7 3 2087<br />
TRICODENE 99087 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PYRILAMINE 51340, 54995 1945<br />
LYME DISEASE VACCINE 99097 LYME DISEASE VACCINE 70016 1 6 1 1180<br />
GINSANA 99122 GINSENG 52410 2 6 1 2100<br />
Q-PAP 99129 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
HERBS 99137 UNDETERMINED 50000 2 6 3 2100<br />
PROSTIN E2 99143 DINOPROSTONE 51840 1 6 1 1039<br />
ARMIDEX 99148 ANASTROZOLE 59809 1 6 1 1479<br />
ADENOSINE TRIPHOSPHATE 99151 ADENOSINE 50080 1 6 1 0502<br />
ISOCAINE HCL 99154 MEPIVACAINE 53360 1 6 1 0117<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
ROPINIROLE HCL 99161 ROPINIROLE HCL 70049 1 6 1 0632<br />
CHILDRENS NYQUIL 99165 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70226, 70256, 70338 1570, 1943, 1944<br />
REACTIN 99181 CETIRIZINE 57240 1 6 1 1944<br />
ACTICIN 99187 PERMETHRIN 54315 1 6 1 1863<br />
NORGESIC FORTE 99192 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, CAFFEINE, ORPHENADRINE CITRATE 50410, 50745, 70651 1373<br />
RITUXIMAB 99203 RITUXIMAB 70017 1 6 1 1100, 1480<br />
FORMULA SUPPLEMENT 99218 UNDETERMINED 50000 3 7 3 0913<br />
RALOXIFENE 99225 RALOXIFENE 70045 1 6 1 1034<br />
ASPIRIN 02805 357770 2398 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
REMERON 96122 138199 0926 MIRTAZAPINE 59714 1 6 1 0630<br />
NORVASC 93187 136791 0917 AMLODIPINE 56355 1 6 1 0510<br />
LISINOPRIL 92164 121337 0813 LISINOPRIL 80007 1 6 1 0514<br />
SEROQUEL 97168 98823 0662 QUETIAPINE FUMARATE 59739 1 6 1 0628<br />
MILK OF MAGNESIA 19375 92065 0617 MAGNESIUM ANTACIDS 53175 2 6 1 0876<br />
OS-CAL 500+D 89056 81673 0547 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, VITAMIN D 50785, 56194 0913<br />
CALCIUM 05415 69540 0466 CALCIUM REPLACEMENT AGENTS 50770 3 6 1 0915<br />
REGLAN 26255 63264 0424 METOCLOPRAMIDE 53688 1 6 1 0874<br />
METOPROLOL 19218 58427 0392 METOPROLOL 53445 1 6 1 0512<br />
ZESTRIL 35224 54389 0364 LISINOPRIL 80007 1 6 1 0514<br />
DURAGESIC 92024 53890 0361 FENTANYL 52225 1 2 1 1721<br />
ZOCOR 93181 51250 0343 SIMVASTATIN 56640 1 6 1 0912<br />
VICODIN 34110 48738 0327 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
DIOVAN 97036 42326 0284 VALSARTAN 59710 1 6 1 0506<br />
ZINC 35240 37168 0249 ZINC SULFATE 56285 3 6 1 0915<br />
ATROVENT 02982 35196 0236 IPRATROPIUM BROMIDE 52883 1 6 1 1940<br />
COMBIVENT 97105 33249 0223 COMBINATION PRODUCT 51380 1 6 2 IPRATROPIUM BROMIDE, ALBUTEROL SULFATE 52883, 70359 1940<br />
SORBITOL 28910 29689 0199 SORBITOL 55435 3 6 1 0509, 2095<br />
ACTOS 99090 29057 0195 PIOGLITAZONE HCL 70034 1 6 1 1036<br />
FLONASE 95005 27399 0184 FLUTICASONE PROPIONATE 52354 1 6 1 1947<br />
NITROGLYCERIN 21160 26717 0179 NITROGLYCERIN 53945 1 6 1 0503<br />
KLONOPIN 60790 24519 0164 CLONAZEPAM 51270 1 4 1 1374<br />
ZINC SULFATE 35260 23616 0158 ZINC SULFATE 56285 2 6 1 0915<br />
THERAGRAN 31325 21950 0147 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
LEVAQUIN 97045 20395 0137 LEVOFLOXACIN 59716 1 6 1 0357<br />
MICRO-K 10 99060 18973 0127 POTASSIUM CHLORIDE 56585 1 6 1 0915<br />
PHENOBARBITAL 23845 17853 0120 PHENOBARBITAL 54395 1 4 1 0626, 0875, 1374<br />
ISORDIL 16095 16067 0108 ISOSORBIDE 52935 1 6 1 0503<br />
NIFEREX 21010 15809 0106 IRON PREPARATIONS 52885 2 6 1 0408, 0913<br />
DUONEB 02042 14361 0096 COMBINATION PRODUCT 51380 1 6 2 IPRATROPIUM BROMIDE, ALBUTEROL SULFATE 52883, 70359 1940<br />
FEOSOL 12255 13152 0088 IRON PREPARATIONS 52885 2 6 1 0408<br />
HUMALOG 97017 12756 0085 INSULIN 52790 1 6 1 1036<br />
CIPRO 06839 12036 0081 CIPROFLOXACIN HCL 51229 1 6 1 0357<br />
OPHTHALMIC OINTMENT 00172 11907 0080 UNDETERMINED 50000 3 7 3 1500<br />
B-12 03355 11664 0078 VITAMIN B-12 56192 2 6 1 0408<br />
PHENERGAN 23755 10828 0073 PROMETHAZINE 54860 1 6 1 0626, 1671, 1944<br />
PROCRIT 92078 9678 0065 EPOETIN ALFA 52042 1 6 1 0917<br />
NASONEX 98010 9182 0062 MOMETASONE FUROATE MONOHYDRATE 53754 1 6 1 1947<br />
MACROBID 93090 8856 0059 NITROFURANTOIN 53930 1 6 1 0354<br />
AVAPRO 97145 8665 0058 IRBESARTAN 59735 1 6 1 0506<br />
RENAGEL 99006 8124 0054 SEVELAMER HCL 70004 1 6 1 0915<br />
MOTRIN 19675 7809 0052 IBUPROFEN 52730 3 6 1 1727<br />
LABETALOL 93203 7085 0047 LABETALOL HCL 52979 1 6 1 0512<br />
ENULOSE 93057 6836 0046 LACTULOSE 52995 1 6 1 0876<br />
SALINE 27368 6825 0046 SODIUM CHLORIDE 55315 2 6 1 0915, 1569, 1945<br />
GUAIFENESIN 13835 6567 0044 GUAIFENESIN 52490 2 6 1 1943<br />
COLCHICINE 07275 6489 0043 COLCHICINE 51345 1 6 1 1725<br />
ROXANOL 41420 6366 0043 MORPHINE 53760 1 2 1 1721<br />
MAG-OX 98001 6286 0042 MAGNESIUM OXIDE 56495 2 6 1 0879, 0915<br />
SEREVENT 94075 5796 0039 SALMETEROL 57130 1 6 1 1940<br />
ERYTHROMYCIN 11665 5498 0037 ERYTHROMYCIN 52065 3 6 1 0348, 1265, 1568<br />
ZANAFLEX 97113 5095 0034 TIZANIDINE HCL 59727 1 6 1 0632<br />
MORPHINE SULFATE 99123 4904 0033 MORPHINE SULFATE 70044 1 2 1 0119, 1721<br />
BACITRACIN 03410 4788 0032 BACITRACIN 50450 1 6 1 0355<br />
PROPRANOLOL HCL 61245 4697 0031 PROPRANOLOL 54865 1 6 1 0502, 0503, 0506<br />
CALAN 05347 4364 0029 VERAPAMIL 56163 1 6 1 0510<br />
DIABETA 40580 4193 0028 GLYBURIDE 52447 1 6 1 1036<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
RELAFEN 93132 4053 0027 NABUMETONE 56525 1 6 1 1724, 1727<br />
PROVIGIL 00273 3914 0026 MODAFINIL 70187 1 6 1 0632<br />
FOLTX 02143 3779 0025 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, VITAMIN B-12, VITAMIN B 52355, 56192, 56340 0913<br />
PAROXETINE 94004 3563 0024 PAROXETINE HCL 57150 1 6 1 0630<br />
VENTOLIN 33843 3479 0023 ALBUTEROL 50088 1 6 1 1940<br />
GENTEAL 97075 3372 0023 UNDETERMINED 50000 2 6 3 1569<br />
TRIAMCINOLONE 32195 3286 0022 TRIAMCINOLONE 55915 1 6 1 1032<br />
SKELAXIN 28350 3199 0021 METAXALONE 53460 1 6 1 1373<br />
SODIUM BICARBONATE 28455 3097 0021 SODIUM BICARBONATE 55280 2 6 1 0283, 0874, 0915<br />
TRAMADOL 96041 2979 0020 TRAMADOL 57160 1 6 1 1722<br />
TOBRADEX 31723 2877 0019 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, TOBRAMYCIN 51635, 55850 1568<br />
ACULAR 93233 2789 0019 KETOROLAC TROMETHAMINE 92502 1 6 1 1568<br />
LEVSIN 17375 2710 0018 HYOSCYAMINE 52720 1 6 1 0878<br />
MINERAL OIL 19445 2645 0018 MINERAL OIL 53720 2 6 1 0876, 1265, 2095<br />
BEROCCA PLUS 97167 2546 0017 COMBINATION PRODUCT 51380 1 6 2 MULTIVITAMINS 53805 0913<br />
DIAMOX 09305 2453 0016 ACETAZOLAMIDE 50020 1 6 1 0511<br />
PARLODEL 22875 2412 0016 BROMOCRIPTINE 50680 1 6 1 1035<br />
NOVOLOG 02209 2155 0014 INSULIN ANALOG 70184 1 6 1 1036<br />
CLONIDINE HCL 89019 2050 0014 CLONIDINE 51275 1 6 1 0506<br />
NITROFURANTOIN 21145 2024 0014 NITROFURANTOIN 53930 1 6 1 0354<br />
LOTEMAX 98164 1903 0013 LOTEPREDNOL ETABONATE 59836 1 6 1 1568<br />
GABITRIL 98116 1846 0012 TIAGABINE HCL 59830 1 6 1 1374<br />
TRANSDERM-SCOP 31939 1815 0012 SCOPOLAMINE HBR 55180 1 6 1 1671<br />
GENTAMICIN 13320 1781 0012 GENTAMICIN 52400 1 6 1 0352, 1568<br />
PYRIDOXINE HCL 25825 1688 0011 PYRIDOXINE 54990 3 6 1 0913<br />
ZIAC 94016 1635 0011 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, BISOPROLOL FUMARATE 52645, 57136 0506<br />
MAGNESIUM SULFATE 18215 1600 0011 MAGNESIUM SULFATE 70398 1 6 1 0502, 0915, 1374<br />
CHLORHEXIDINE GLUCONATE 98109 1527 0010 CHLORHEXIDINE 51060 3 6 1 1264<br />
CHLOROPHYLL 06565 1489 0010 CHLOROPHYLL 51085 2 6 1 0877<br />
SINEQUAN 28085 1455 0010 DOXEPIN 51955 1 6 1 0630<br />
TRANXENE 31945 1396 0009 CLORAZEPATE 51280 1 4 1 0627<br />
PROSOURCE PROTEIN SUPPLEMENT 04148 1386 0009 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CASEINATE, WHEY 70761, 70764 0914<br />
QVAR 00274 1337 0009 BECLOMETHASONE 50490 1 6 1 1940<br />
PREMARIN VAGINAL 24960 1301 0009 ESTROGENS 52075 1 6 1 1034<br />
TRILAFON 32395 1286 0009 PERPHENAZINE 54320 1 6 1 0628<br />
SONATA 00039 1264 0008 ZALEPLON 70115 1 4 1 0626<br />
THORAZINE 31550 1248 0008 CHLORPROMAZINE 51150 1 6 1 0628<br />
ISONIAZID 15990 1208 0008 ISONIAZID 52915 1 6 1 0358<br />
CARVEDILOL 98008 1205 0008 CARVEDILOL 59734 1 6 1 0512, 0513<br />
SOY 00040 1187 0008 SOY 70116 2 6 1 2100<br />
FIBER SUPPLEMENT 93210 1120 0008 UNDETERMINED 50000 3 6 3 0875, 0876, 0877<br />
SILVADENE 27985 1074 0007 SILVER SULFADIAZINE 55235 1 6 1 1271<br />
METHOCARBAMOL 19070 1045 0007 METHOCARBAMOL 53560 1 6 1 1373<br />
BISOPROLOL 00161 1015 0007 BISOPROLOL FUMARATE 57136 1 6 1 0506<br />
NU-IRON 21530 1008 0007 IRON PREPARATIONS 52885 2 6 1 0408<br />
PROPOXYPHENE HCL W/ACETAMINOPHEN 25530 1001 0007 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, PROPOXYPHENE HCL 50005, 70377 1721<br />
NITREX 21110 988 0007 NITROFURANTOIN 53930 1 6 1 0354<br />
LACHYDRIN 60795 963 0006 LACTIC ACID 52980 1 6 1 1265<br />
AQUA GLYCOLIC 93020 944 0006 UNDETERMINED 50000 3 7 3 2000<br />
FLUPHENAZINE 12780 925 0006 FLUPHENAZINE 52335 1 6 1 0628<br />
TAPAZOLE 30585 912 0006 METHIMAZOLE 53540 1 6 1 1037<br />
FRAGMIN 97081 893 0006 DALTEPARIN SODIUM 59724 1 6 1 0409<br />
SULFASALAZINE 29865 856 0006 SULFASALAZINE 55575 1 6 1 0353<br />
CHLORPROMAZINE 06620 849 0006 CHLORPROMAZINE 51150 1 6 1 0628<br />
MULTIVITAMIN W/ZINC 01162 843 0006 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS, ZINC 53805, 70310 0913<br />
INFLUENZA VIRUS VACC 60735 830 0006 INFLUENZA VIRUS VACCINE 52780 1 6 1 1180<br />
GAS-X 93065 822 0006 SIMETHICONE 55240 2 6 1 0877<br />
ACETAZOLAMIDE 00295 806 0005 ACETAZOLAMIDE 50020 1 6 1 0511<br />
CORTEF 07760 795 0005 HYDROCORTISONE 52655 1 6 1 1032<br />
FLUOCINONIDE 89035 782 0005 FLUOCINONIDE 52310 1 6 1 1265<br />
FLUOROMETHOLONE 12763 779 0005 FLUOROMETHOLONE 52320 1 6 1 1568<br />
MEDROL 18640 765 0005 METHYLPREDNISOLONE 53660 1 6 1 1032<br />
BICITRA 04250 745 0005 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, SODIUM CITRATE, SODIUM ION 51235, 55320, 55348 0915<br />
PRAZOSIN HCL 89062 717 0005 PRAZOSIN 54765 1 6 1 0513<br />
TICLOPIDINE 93362 708 0005 TICLOPIDINE 56690 1 6 1 0409<br />
COLESTID 07315 700 0005 COLESTIPOL 51355 1 6 1 0912<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
NIACIN 20885 685 0005 NIACIN 53905 3 6 1 0913<br />
MAGNESIUM GLUCONATE 18200 679 0005 MAGNESIUM GLUCONATE 53180 3 6 1 0915<br />
TOFRANIL 31740 667 0004 IMIPRAMINE 52745 1 6 1 0630<br />
LEUCOVORIN 17320 665 0004 LEUCOVORIN 53035 1 6 1 0408<br />
FEMARA 02351 641 0004 LETROZOLE 70598 1 6 1 1480<br />
TAMBOCOR 61405 628 0004 FLECAINIDE ACETATE 52278 1 6 1 0502<br />
HYDREA 14875 622 0004 HYDROXYUREA 52710 1 6 1 1479<br />
HEMOCYTE PLUS 99057 610 0004 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, VITAMINS 52885, 59702 0408, 0913<br />
PROPYLTHIOURACIL 25560 598 0004 PROPYLTHIOURACIL 54910 1 6 1 1037<br />
VEXOL 96112 587 0004 RIMEXOLONE 59626 1 6 1 1568<br />
OCUFLOX 94073 561 0004 OFLOXACIN 54009 1 6 1 1568<br />
TUSSIN 00151 553 0004 GUAIFENESIN 52490 2 6 1 1943<br />
NORMAL SALINE 42800 547 0004 SODIUM CHLORIDE 55315 2 6 1 0915, 2095, 2096<br />
LEVODOPA 17345 532 0004 LEVODOPA 53050 1 6 1 1371<br />
TRANDATE 31927 520 0003 LABETALOL HCL 52979 1 6 1 0512<br />
LUBRIDERM 17975 517 0003 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, PETROLATUM 53720, 54330 1265<br />
CYLERT 08175 511 0003 PEMOLINE 54240 1 4 1 0631<br />
TENEX 30777 511 0003 GUANFACINE HCL 52498 1 6 1 0513<br />
THEREMS-M 04269 503 0003 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, VITAMINS 53723, 59702 0913<br />
ALENDRONATE SODIUM 96005 485 0003 ALENDRONATE 57222 1 6 1 0916<br />
LEVSINEX 17390 481 0003 HYOSCYAMINE 52720 1 6 1 0878<br />
HYDROCIL 14945 473 0003 PSYLLIUM 54965 2 6 1 0876<br />
HUMULIN L 95075 468 0003 INSULIN 52790 1 6 1 1036<br />
ANEXSIA 01995 464 0003 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
K-LYTE 41915 454 0003 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
THERAPEUTIC VITAMIN & MINERAL - 31400 446 0003 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, VITAMIN A, VITAMIN B-12 54990, 55105, 56185, 56192 0913<br />
A AND D 00010 442 0003 COMBINATION PRODUCT 51380 2 6 2 VITAMIN A, VITAMIN D 56185, 56194 0913<br />
BENADRYL ALLERGY & COLD 03333 429 0003 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PSEUDOEPHEDRINE HCL, DIPHENHYDRAMINE HCL 50005, 70256, 70344 1727, 1941, 1944<br />
HYPROMELLOSE 04344 422 0003 HYDROXYPROPYL METHYLCELLULOSE 52700 2 6 1 1569<br />
CLORAZEPATE 06993 419 0003 CLORAZEPATE 51280 1 4 1 0627<br />
GLYSET 00038 415 0003 MIGLITOL 70114 1 6 1 1036<br />
ALDOMET 00845 412 0003 METHYLDOPA 53635 1 6 1 0513<br />
DILANTIN INFATABS 03013 410 0003 PHENYTOIN 54470 1 6 1 1374<br />
METOPROLOL TARTRATE 01022 403 0003 METOPROLOL 53445 1 6 1 0506, 0512<br />
CHLORPHENIRAMINE 06605 396 0003 CHLORPHENIRAMINE 51130 2 6 1 1944<br />
PINDOLOL 93124 392 0003 PINDOLOL 54501 1 6 1 0506<br />
BACID 03395 389 0003 LACTOBACILLUS ACIDOPHILUS 52985 2 6 1 0877<br />
AZO CRANBERRY 04016 378 0003 COMBINATION PRODUCT 51380 2 6 1 CRANBERRY 70133 0914<br />
FIORICET 60595 371 0002 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 0626, 1722<br />
MAGNESIUM 97047 364 0002 MAGNESIUM ION 57024 3 6 1 0914<br />
MEGESTROL ACETATE 03057 356 0002 MEGESTROL ACETATE 70683 1 6 1 1034, 1479<br />
FINASTERIDE 95177 349 0002 FINASTERIDE 57218 1 6 1 1033<br />
NYSTATIN W/TRIAMCINOLONE 21701 345 0002 COMBINATION PRODUCT 51380 1 6 2 NYSTATIN, TRIAMCINOLONE ACETONIDE 53995, 70307 1265<br />
PANCRELIPASE 22643 340 0002 PANCRELIPASE 54165 3 6 1 0877<br />
CLOBETASOL 96024 332 0002 CLOBETASOL PROPIONATE 51243 1 6 1 1268<br />
INHALER 93395 329 0002 UNDETERMINED 50000 3 7 3 1940<br />
HEXAVITAMIN 14370 327 0002 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACINAMIDE, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53915, 55105, 55755, 56185 0913<br />
BETA CAROTENE 93029 317 0002 BETA CAROTENE 50580 3 6 1 0913<br />
DEPO-PROVERA 08870 314 0002 MEDROXYPROGESTERONE 53280 1 6 1 1034<br />
CADUET 04196 309 0002 COMBINATION PRODUCT 51380 1 6 2 AMLODIPINE, ATORVASTATIN CALCIUM 56355, 59705 0510, 0513<br />
SLO-BID 35580 304 0002 THEOPHYLLINE 55745 1 6 1 1940<br />
DACRIOSE 08345 304 0002 COMBINATION PRODUCT 51380 2 6 2 POTASSIUM ION, SODIUM CHLORIDE 54713, 55315 1569<br />
BENZTROPINE 95072 297 0002 BENZTROPINE 50565 1 6 1 1371<br />
OPIUM AND BELLADONNA 21865 295 0002 COMBINATION PRODUCT 51380 1 2 2 BELLADONNA, OPIUM 50495, 54035 0875<br />
SUSTIVA 98095 288 0002 EFAVIRENZ 59823 1 6 1 0388<br />
VOLMAX 94009 287 0002 ALBUTEROL 50088 1 6 1 1940<br />
BROMOCRIPTINE 04808 286 0002 BROMOCRIPTINE 50680 1 6 1 1035<br />
ELESTAT 04238 276 0002 EPINASTINE HCL 70862 1 6 1 1569<br />
TASMAR 98088 272 0002 TOLCAPONE 59824 1 6 1 1371<br />
PRIMAXIN 61215 266 0002 COMBINATION PRODUCT 51380 1 6 2 CILASTATIN SODIUM, IMIPENEM 51219, 52743 0355<br />
CLOTRIMAZOLE 07003 259 0002 CLOTRIMAZOLE 51290 1 6 1 1268<br />
FLUTAMIDE 91080 258 0002 FLUTAMIDE 57003 1 6 1 1480<br />
GUIATUSSIN W/DEXTROMETHORPHAN 13895 252 0002 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, DEXTROMETHORPHAN HBR 52490, 70338 1943<br />
DIALYVITE 04058 244 0002 MULTIVITAMIN COMBINATION 51382 1 6 2 FOLIC ACID, VITAMIN C, VITAMIN B COMPLEX 52355, 56193, 56345 0913<br />
MAGNESIUM CHLORIDE 18190 240 0002 MAGNESIUM CHLORIDE 53190 3 6 1 0915<br />
HYOSCYAMUS 15155 235 0002 HYOSCYAMINE 52720 1 6 1 0875<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
AVEENO 03050 232 0002 OATMEAL 54000 2 6 1 1265<br />
AFEDITAB CR 04122 229 0002 NIFEDIPINE 53922 1 6 1 0503, 0506, 0510<br />
STRESS COMPLETE 29568 224 0002 MULTIVITAMINS 53805 2 6 2 0913<br />
FLUOR-OP 60605 221 0001 FLUOROMETHOLONE 52320 1 6 1 1568<br />
FLAREX 92030 218 0001 FLUOROMETHOLONE 52320 1 6 1 1568<br />
TEMPRA 30760 215 0001 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
REZULIN 97033 212 0001 TROGLITAZONE 59743 1 6 1 1036<br />
QUINIDINE SULFATE 26040 207 0001 QUINIDINE 55045 1 6 1 0502<br />
PROBIOTICA 04133 205 0001 UNDETERMINED 50000 2 6 3 2100<br />
PENICILLIN V 23225 200 0001 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
ARIXTRA 04316 197 0001 FONDAPARINUX SODIUM 70903 1 6 1 0409<br />
GLUCOTROL XL 01037 194 0001 GLIPIZIDE 52417 1 6 1 1036<br />
PYRAZINAMIDE 25800 182 0001 PYRAZINAMIDE 54980 1 6 1 0358<br />
VI-DAYLIN 33965 179 0001 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
CALCIUM GLUCONATE 05430 177 0001 CALCIUM REPLACEMENT AGENTS 50770 3 6 1 0915<br />
SHARK CARTILAGE 96053 175 0001 UNDETERMINED 50000 3 6 3 2087<br />
MAGONATE 18223 174 0001 MAGNESIUM GLUCONATE 53180 1 6 1 0915<br />
CALCI-CHEW 96079 173 0001 CALCIUM 50776 2 6 1 0913<br />
CORTISONE ACETATE 99212 172 0001 CORTISONE 51405 1 6 1 1032<br />
SEA-OMEGA 04287 170 0001 OMEGA-3 FATTY ACIDS 57053 2 6 1 2100<br />
ANTIANXIETY MEDICATION 00142 166 0001 UNDETERMINED 50000 1 7 3 0627<br />
CARISOPRODOL 05810 164 0001 CARISOPRODOL 50920 1 6 1 1373<br />
ZORPRIN 41880 164 0001 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
SUCRETS 29675 160 0001 UNDETERMINED 50000 3 6 3 2000<br />
NICOTINE 00123 158 0001 NICOTINE 70137 1 6 1 0632<br />
SALINEX 00203 156 0001 SODIUM CHLORIDE 55315 2 6 1 1900<br />
ANUSOL-HC 02315 154 0001 HYDROCORTISONE 52655 1 6 1 0877, 1268<br />
TEARS FREE SHAMPOO 02252 151 0001 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED 50000 2087<br />
FERATAB 99054 149 0001 FERROUS SULFATE EXSICCATED 70022 2 6 1 0913<br />
PROSOM 92080 146 0001 ESTAZOLAM 52068 1 4 1 0627<br />
NEULASTA 02259 146 0001 PEGFILGRASTIM 70507 1 6 1 0408<br />
APRACLONIDINE 93335 145 0001 APRACLONIDINE 80003 1 6 1 1566<br />
ESTROSTEP FE 00092 144 0001 COMBINATION PRODUCT 51380 1 6 2 ETHINYL ESTRADIOL, FERROUS FUMARATE, NORETHINDRONE ACETATE 70027, 70042, 70238 1040<br />
ESOMEPRAZOLE MAGNESIUM 02131 142 0001 ESOMEPRAZOLE MAGNESIUM 70221 1 6 1 0874<br />
PERPHENAZINE 23523 141 0001 PERPHENAZINE 54320 1 6 1 0628, 1671<br />
KALTOSTAT 04198 140 0001 CALCIUM-SODIUM ALGINATE FIBE 70842 2 6 1 1265<br />
OVCON 22210 138 0001 COMBINATION PRODUCT 51380 1 6 2 NORETHINDRONE, ETHINYL ESTRADIOL 53965, 70027 1040<br />
PHENERGAN DM 96135 135 0001 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN HBR, PROMETHAZINE HCL 70338, 70411 1943, 1944<br />
DECONAMINE SR 95009 131 0001 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
SALMETEROL 96115 129 0001 UNDETERMINED 50000 1 6 3 1940<br />
SERENTIL 27865 127 0001 MESORIDAZINE 53435 1 6 1 0628<br />
MUPIROCIN 96038 123 0001 MUPIROCIN 80011 1 6 1 0355<br />
AYR SALINE MIST 03115 122 0001 SODIUM CHLORIDE 55315 2 6 1 1941<br />
ICAR 02169 120 0001 CARBONYL IRON 70478 2 6 1 0913<br />
GERIATON LIQUID 04076 118 0001 MULTIVITAMIN COMBINATION 51382 2 6 2 MINERALS, MULTIVITAMINS THERAPEUTIC 53723, 53785 0913<br />
ACT 00091 116 0001 FLUORIDE 52318 2 6 1 2097<br />
GOLYTELY 42425 116 0001 COMBINATION PRODUCT 51380 1 6 2 POLYETHYLENE GLYCOL, SODIUM BICARBONATE, SODIUM CHLORIDE, SODIUM SULFATE, POTASSIUM CHLORIDE 54590, 55280, 55315, 55405, 56585 0877<br />
CIPRO HC 99073 109 0001 COMBINATION PRODUCT 51380 1 6 2 CIPROFLOXACIN HCL, HYDROCORTISONE 51229, 52655 0357, 1268, 1670<br />
CORAL CALCIUM DAILY 03312 108 0001 MULTIVITAMIN COMBINATION 51382 1 6 2 CALCIUM, MULTIVITAMINS 50776, 53805 0913<br />
AZO-STANDARD 03165 105 0001 PHENAZOPYRIDINE 54365 1 6 1 0354<br />
DOMEBORO OTIC 10150 104 0001 COMBINATION PRODUCT 51380 1 6 2 ACETIC ACID, ALUMINUM ACETATE 50025, 50130 1670<br />
ARGIMENT 04326 104 0001 COMBINATION PRODUCT 51380 2 6 3 0914<br />
NICODERM 93105 101 0001 NICOTINE TRANSDERMAL 56540 1 6 1 1265<br />
POLY-IRON 150 Capsules 04144 99 0001 POLYSACCHARIDE IRON COMPLEX 70821 2 6 1 0913<br />
LORCET PLUS 01268 96 0001 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721<br />
GERI-KOT 04334 94 0001 SENNOSIDES 70913 2 6 1 0876<br />
ROBAFEN 04174 94 0001 GUAIFENESIN 52490 2 6 1 1943<br />
ESKALITH 11700 90 0001 LITHIUM 53120 1 6 1 0632<br />
HOMATROPINE 14645 89 0001 HOMATROPINE 52615 1 6 1 1567<br />
FML FORTE OPHTHALMIC 12847 86 0001 FLUOROMETHOLONE 52320 1 6 1 1568<br />
MUCO-FEN 98009 83 0001 GUAIFENESIN 52490 1 6 1 1943<br />
PANCOF HC 01011 82 0001 COMBINATION PRODUCT 51380 1 3 2 PSEUDOEPHEDRINE, HYDROCODONE BITARTRATE, CHLORPHENIRAMINE MALEATE 54960, 70217, 70226 1941, 1943<br />
RENACIDIN 26320 81 0001 COMBINATION PRODUCT 51380 1 6 2 CALCIUM CARBONATE, CITRIC ACID, GLUCONIC ACID, MAGNESIUM ACID CITRATE, MAGNESIUM HYDROXYCARBONATE 50785, 51235, 52422, 70421, 70422 0877<br />
EVAC-U-GEN 41885 80 0001 PHENOLPHTHALEIN 54405 2 6 1 0876<br />
FEVERALL 95022 78 0001 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
ANASPAZ 01840 77 0001 HYOSCYAMINE 52720 1 6 1 0878<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
BROVEX 03137 76 0001 BROMPHENIRAMINE TANNATE 70702 1 6 1 1944<br />
ANACIN 01755 76 0001 COMBINATION PRODUCT 51380 2 6 2 ASPIRIN, CAFFEINE 50410, 50745 1722<br />
PROLOPRIM 25338 73 0000 TRIMETHOPRIM 55997 1 6 1 0353<br />
KAON 16360 72 0000 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
NITROCAP 21135 69 0000 NITROGLYCERIN 53945 1 6 1 0503<br />
MOUTHWASH 19680 68 0000 UNDETERMINED 50000 3 6 2 1264<br />
AMLACTIN 00293 64 0000 COMBINATION PRODUCT 51380 2 6 2 MINERAL OIL, AMMONIUM LACTATE 53720, 70142 1265<br />
POTASSIUM CITRATE 24685 61 0000 POTASSIUM ALKALINIZING AGENTS 54620 2 6 1 0916<br />
PROACTAZYME 04391 61 0000 COMBINATION PRODUCT 51380 2 6 2 AMYLASE, CELLULASE, LIPASE, PROTEASE, GLUCOAMYLASE 50283, 50968, 53118, 70054, 70937 2100<br />
VYTORIN 04114 60 0000 COMBINATION PRODUCT 51380 1 6 2 SIMVASTATIN, EZETIMIBE 56640, 70494 0912<br />
HALOPERIDOL LACTATE 91028 60 0000 HALOPERIDOL 52520 1 6 1 0628<br />
TAC 93152 59 0000 TRIAMCINOLONE 55915 1 6 1 1032<br />
MAGNA PAC FOR DAILY BASICS 04099 58 0000 MULTIVITAMIN COMBINATION 51382 2 6 2 LECITHIN, MINERALS, MULTIVITAMINS, DIGESTIVE ENZYMES 53020, 53723, 53805, 70796 0913<br />
DEXACIDIN 60405 58 0000 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 51635, 70212, 70362 1568<br />
VIADUR 04185 57 0000 LEUPROLIDE ACETATE 70455 1 6 1 1480<br />
AMILORIDE HCL 91002 56 0000 AMILORIDE HCL 70332 1 6 1 0506, 0507<br />
DECUBITEX 04234 55 0000 COMBINATION PRODUCT 51380 2 6 2 CASTOR OIL, SODIUM PROPIONATE, ZINC OXIDE, BALSAM PERU, BIEBRICH SCARLET RED SULFONATED 50940, 55393, 70052, 70418, 70861 1265<br />
CARMOL-HC 05825 53 0000 COMBINATION PRODUCT 51380 1 6 2 UREA, HYDROCORTISONE ACETATE 56120, 70334 1265<br />
I-RON 15345 53 0000 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, NIACIN, PYRIDOXINE, RIBOFLAVIN, THIAMINE 52885, 53905, 54990, 55105, 55755 0913<br />
MIDAMOR 19343 52 0000 AMILORIDE 50182 1 6 1 0506, 0507<br />
FLUORIDE 12735 49 0000 SODIUM FLUORIDE 55330 1 6 1 0913<br />
THEOCHRON 92091 48 0000 THEOPHYLLINE 55745 1 6 1 1940<br />
BENZONATATE 02128 47 0000 BENZONATATE 50545 1 6 1 1943<br />
GENASOFT 93066 44 0000 DOCUSATE SODIUM 70262 2 6 1 0876<br />
BELLERGAL-S 03850 43 0000 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, ERGOTAMINE TARTRATE, BELLAFOLINE 54395, 70353, 70612 0877<br />
CHOLESTYRAMINE RESIN DRIED 06710 39 0000 CHOLESTYRAMINE 51190 1 6 1 0912<br />
GOSERELIN 99221 38 0000 GOSERELIN ACETATE 56735 1 6 1 1035, 1480<br />
VICKS VAPORUB 34103 36 0000 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL 50845, 53325 1265<br />
HEMAGENICS 04337 34 0000 COMBINATION PRODUCT 51380 2 6 2 THIAMINE, VITAMIN B-12, VITAMIN B-6, IRON GLYCINATE, FOLATE 55755, 56192, 70697, 70916, 70917 0913<br />
CRANTABS 04047 30 0000 COMBINATION PRODUCT 51380 2 6 1 CRANBERRY 70133 2100<br />
GRISACTIN 13795 28 0000 GRISEOFULVIN 52480 1 6 1 0355<br />
AQUATAB DM 00143 26 0000 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, GUAIFENESIN 51670, 52490 1943<br />
BENZOIN 04070 24 0000 BENZOIN 50540 3 6 1 1265<br />
ELMIRON 96165 22 0000 PENTOSAN 59638 1 6 1 0409<br />
HALOPERIDOL DECONATE 01193 19 0000 HALOPERIDOL 52520 1 6 1 0628<br />
PROCAMIDE 25195 18 0000 UNDETERMINED 50000 3 7 3 2000<br />
DUOLUBE 10650 17 0000 PETROLATUM 54330 2 6 1 1569<br />
ETHMOZINE 91019 16 0000 MORICIZINE 91019 1 6 1 0502<br />
PURINETHOL 25750 15 0000 MERCAPTOPURINE 53385 1 6 1 1479<br />
ICY HOT ANALGESIC BALM 15455 7 0000 COMBINATION PRODUCT 51380 2 6 2 MENTHOL, METHYL SALICYLATE 53325, 53620 1265<br />
FEMHRT 00239 COMBINATION PRODUCT 51380 1 6 2 NORETHINDRONE, ETHINYL ESTRADIOL 53965, 70027 1034<br />
D5NS 01160 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, NORMAL SALINE 51675, 70308 0915<br />
ANDOIN 01880 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, ERGOCALCIFEROL, VITAMIN A 50103, 52045, 56185 0913<br />
XENADRINE EFX 02057 COMBINATION PRODUCT 51380 2 6 2 PANTOTHENIC ACID, VITAMINS, 1-TYROSINE, ACETYL-1-TYROSINE, GREEN TEA EXTRACT 54175, 59702, 70447, 70448, 70449 2087<br />
EMERGEN-C 02233 COMBINATION PRODUCT 51380 2 6 2 ELECTROLYTES, MINERALS, VITAMIN C, VITAMIN B COMPLEX 52023, 53723, 56193, 56345 0913, 0915<br />
ARCO-LASE 02545 COMBINATION PRODUCT 51380 2 6 2 AMYLASE, CELLULASE, LIPASE, PROTEASE 50283, 50968, 53118, 70054 0877<br />
B-C-E & ZINC 03335 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 53915, 54990, 55105, 55755, 56192 0913<br />
BELLAMINE 03376 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, ERGOTAMINE TARTRATE, L-ALKALOIDS OF BELLADONNA 54395, 70353, 70742 0877, 1723<br />
HEMOCYTE-F 04253 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN B-12 52355, 52885, 56192 0408<br />
VITAMIN/FLUORIDE 04414 MULTIVITAMIN COMBINATION 51382 3 6 2 FLUORIDE, MULTIVITAMINS 52318, 53805 0913<br />
TALWIN NX 04538 COMBINATION PRODUCT 51380 1 4 2 NALOXONE, PENTAZOCINE HCL 53865, 70591 1720, 1721<br />
PEDITUSS COUGH 04599 COMBINATION PRODUCT 51380 1 5 2 ALCOHOL, POTASSIUM IODIDE, CHLORPHENIRAMINE MALEATE, CODEINE PHOSPHATE, PHENYLEPHRINE HCL 50090, 54710, 70226, 70231, 70358 1941, 1943, 1944<br />
CHLOROSERPINE 06585 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, RESERPINE 51100, 55080 0506, 0507<br />
DERMAREX 08965 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN, PRAMOXINE 52655, 52845, 54755 0121, 1268, 1271<br />
DONATUSSIN DC 10183 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, HYDROCODONE BITARTRATE, PHENYLEPHRINE HCL 52490, 70217, 70358 1941, 1943<br />
EMULAVE 11285 COMBINATION PRODUCT 51380 2 6 2 GLYCERIN, LANOLIN, OATMEAL, VEGETABLE OIL 52450, 53003, 54000, 56161 1265<br />
HEXALOL 14360 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, METHENAMINE, METHYLENE BLUE 50420, 52720, 53530, 53640 0354<br />
INFALYTE 15606 COMBINATION PRODUCT 51380 2 6 2 ELECTROLYTES, RICE 52023, 70635 0915<br />
ISOPRO T.D. 16010 COMBINATION PRODUCT 51380 1 6 2 ISOPROPAMIDE, PROCHLORPERAZINE 52920, 54830 1671<br />
LIVER, IRON & VITAMINS W/B-12 17763 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, LIVER DERIVATIVE, RIBOFLAVIN, THIAMINE, VITAMIN B-12 52885, 53125, 55105, 55755, 56192 0913<br />
MULTI-V 19775 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
NEO-SYNALAR 20585 COMBINATION PRODUCT 51380 1 6 2 FLUOCINOLONE, NEOMYCIN 52305, 53895 1268, 1271<br />
OS-CAL-FORTE 22125 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, PYRIDOXINE, RIBOFLAVIN, VITAMIN A 52045, 54990, 55105, 56185 0913<br />
PAPAVATRAL 22760 COMBINATION PRODUCT 51380 1 6 2 ETHAVERINE, PENTAERYTHRITOL 52095, 54275 0504, 2087<br />
PROMETHAZINE HCL W/CODEINE EXPECTORANT 25415 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PROMETHAZINE HCL 51340, 70411 1941, 1943, 1944<br />
RACET 26100 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE, IODOCHLORHYDROXYQUIN 52655, 52845 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
S.B.P. PLUS 27215 COMBINATION PRODUCT 51380 1 3 2 BUTABARBITAL, HOMATROPINE, PHENOBARBITAL, SECOBARBITAL 50720, 52615, 54395, 55185 0626<br />
SILAIN-GEL 27965 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS, SIMETHICONE 50145, 53175, 55240 0874<br />
SINUTREX 28190 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 50005, 54465, 54468 1945<br />
TISIT 31710 COMBINATION PRODUCT 51380 2 6 2 PETROLEUM DISTILLATE, PYRETHRINS, PIPERONYL BUTOXIDE 54332, 54983, 70408 1800<br />
TRIAMINIC EXPECTORANT W/CODEINE 32230 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, CODEINE PHOSPHATE, PHENYLPROPANOLAMINE HCL 52490, 70231, 70254 1941, 1943<br />
TUSS ALLERGINE 32767 COMBINATION PRODUCT 51380 1 6 2 PHENYLPROPANOLAMINE HCL, CARAMIPHEN EDISYLATE 70254, 70571 1941, 1943<br />
VIGRAN 34145 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, NIACIN, RIBOFLAVIN, THIAMINE, VITAMIN A 52045, 53905, 55105, 55755, 56185 0913<br />
BUTALBITAL/ASPIRIN/CAFFEINE 40250 COMBINATION PRODUCT 51380 1 3 2 ASPIRIN, BUTALBITAL, CAFFEINE 50410, 50728, 50745 1720<br />
HYDROCHLOR/RESERPINE/HYDRAL 40845 COMBINATION PRODUCT 51380 1 6 2 HYDRALAZINE, HYDROCHLOROTHIAZIDE, RESERPINE 52630, 52645, 55080 0504, 0506, 0507<br />
AMBENYL EXPECTORANT 60075 COMBINATION PRODUCT 51380 1 5 2 AMMONIUM CHLORIDE, BROMODIPHENHYDRAMINE, CODEINE, DIPHENHYDRAMINE, POTASSIUM GUAIACOLSULFONATE 50245, 50685, 51340, 51860, 54700 1943<br />
BSS OPHTHALMIC 60250 COMBINATION PRODUCT 51380 1 6 2 MAGNESIUM CHLORIDE, SODIUM CHLORIDE, POTASSIUM CHLORIDE, CALCIUM CHLORIDE 53190, 55315, 56585, 70390 1569<br />
BROMFED-DM 89012 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 70239, 70256, 70338 1941, 1943, 1944<br />
RINDAL-HD 92082 COMBINATION PRODUCT 51380 1 3 2 CHLORPHENIRAMINE, DIHYDROCODEINE, PHENYLEPHRINE 51130, 52647, 54455 1941, 1943, 1944<br />
DURA-TAP PD 94026 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PSEUDOEPHEDRINE 51130, 54960 1941, 1944<br />
ERYZOLE 95037 COMBINATION PRODUCT 51380 1 6 2 ERYTHROMYCIN ETHYLSUCCINATE, SULFISOXAZOLE ACETYL 70577, 70578 0348, 0353<br />
LIQUIBID-D 97097 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE HCL 52490, 70358 1941, 1943<br />
CARBOFED DM ORAL DROPS 99110 COMBINATION PRODUCT 51380 1 6 2 PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR, CARBINOXAMINE MALEATE 70256, 70338, 70401 1943<br />
OPCON-A 96084 400 0003 COMBINATION PRODUCT 51380 2 6 2 NAPHAZOLINE HCL, PHENIRAMINE MALEATE 70395, 70407 1567, 1569<br />
PANMIST 97115 170 0001 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1940<br />
MIDRIN 19360 79 0001 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, DICHLORALPHENAZONE, ISOMETHEPTENE MUCATE 50005, 51708, 52908 1723<br />
A.C.N. 00023 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, VITAMIN A, VITAMIN C 53915, 56185, 56193 0913<br />
DYNEX 00230 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 52490, 54455, 54465 1941, 1943<br />
CMF 00263 COMBINATION PRODUCT 51380 1 6 2 CYCLOPHOSPHAMIDE, FLUOROURACIL, METHOTREXATE 51485, 52325, 53570 1479<br />
VENOCAP 01115 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM CITRATE, MILK THISTLE EXTRACT 70275, 70276 2100<br />
ALUDROX 01175 COMBINATION PRODUCT 51380 2 6 2 ALUMINUM HYDROXIDE, MAGNESIUM ANTACIDS 50145, 53175 0874<br />
D5 1/4 NS 02069 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, SODIUM CHLORIDE 51675, 55315 0915<br />
AMINO-CERV PH 5.5 02276 COMBINATION PRODUCT 51380 1 6 2 CYSTINE, INOSITOL, METHIONINE, SODIUM PROPIONATE, UREA 51518, 52785, 53550, 55393, 56120 1273<br />
AUGMENTIN XR 03109 COMBINATION PRODUCT 51380 1 6 2 AMOXICILLIN, CLAVULANATE POTASSIUM 50260, 70341 0346<br />
BAC-NEO-POLY 03385 COMBINATION PRODUCT 51380 2 6 2 BACITRACIN, POLYMYXIN B SULFATE, NEOMYCIN SULFATE 50450, 70212, 70362 1271<br />
BARBIDONNA 03560 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, SCOPOLAMINE HBR, ATROPINE SULFATE, HYOSCYAMINE SULFATE 54395, 55180, 70120, 70336 0877<br />
BETALIN COMPOUND 04155 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PANTOTHENIC ACID, PYRIDOXINE, RIBOFLAVIN, THIAMINE 53915, 54175, 54990, 55105, 55755 0913<br />
MEDENT-DM 04502 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70256, 70338 1941, 1943<br />
BROM-CORT EXPECTORANT #1 04715 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 52490, 54455, 54465 1943<br />
BRONDELATE 04880 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, OXTRIPHYLLINE 52490, 54100 1940, 1943<br />
CELESTONE SOLUSPAN 06015 COMBINATION PRODUCT 51380 1 6 2 BETAMETHASONE ACETATE, BETAMETHASONE SODIUM PHOSPHATE 70205, 70206 1032<br />
CHLOROSERP 06583 COMBINATION PRODUCT 51380 1 6 2 CHLOROTHIAZIDE, RESERPINE 51100, 55080 0504, 0506, 0507<br />
CO-XAN SYRUP 07070 COMBINATION PRODUCT 51380 1 5 2 GUAIFENESIN, THEOPHYLLINE, CODEINE PHOSPHATE, EPHEDRINE HCL 52490, 55745, 70231, 70350 1940, 1941, 1943<br />
COMTREX 07480 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50005, 70226, 70256, 70338 1945<br />
COUGH SILENCERS 07915 COMBINATION PRODUCT 51380 2 6 2 ANETHOLE, BENZOCAINE, DEXTROMETHORPHAN, MENTHOL, PEPPERMINT 50284, 50530, 51670, 53325, 54305 0121, 1943<br />
DARVON W/A.S.A. 08485 COMBINATION PRODUCT 51380 1 4 2 ASPIRIN, PROPOXYPHENE NAPSYLATE 50410, 70150 1721<br />
DIHISTINE EXPECTORANT 09560 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, GUAIFENESIN, CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 50090, 52490, 70231, 70256 1941, 1943<br />
DRISTAN ROOM VAPORIZER 10475 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, EUCALYPTUS OIL, MENTHOL, THYMOL, DIPROPYLENE GLYCOL 50845, 52190, 53325, 55815, 60020 2087<br />
ENTEX 11395 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL, PHENYLEPHRINE HCL 52490, 70254, 70358 1941, 1943<br />
EPHEDRINE & AMYTAL 11455 COMBINATION PRODUCT 51380 1 2 2 AMOBARBITAL SODIUM, EPHEDRINE 50250, 52035 1940<br />
FERGON PLUS 12310 COMBINATION PRODUCT 51380 1 6 2 IRON PREPARATIONS, VITAMIN C, VITAMIN B COMPLEX 52885, 56193, 56345 0913<br />
GUIAPHED 13858 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE SULFATE 52490, 54395, 55745, 70264 1940, 1941, 1943<br />
HISTA COMPOUND NO. 5 14460 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, SALICYLAMIDE 50005, 51130, 55150 1720, 1944<br />
HISTOR-D 14598 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, CHLORPHENIRAMINE, PHENYLEPHRINE, PYRILAMINE 50090, 51130, 54455, 54995 1941, 1944<br />
I-L-X W/B-12 15330 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, LIVER DERIVATIVE, VITAMIN C, VITAMIN B COMPLEX 52885, 53125, 56193, 56345 0913<br />
LIPOVITE 17635 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, INOSITOL, RIBOFLAVIN, THIAMINE, VITAMIN B-12 51195, 52785, 55105, 55755, 56192 0913<br />
MULTIVITAMIN/MULTIMINERAL 19865 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN B-12 54990, 55105, 55755, 56185, 56192 0913<br />
NEOTRIZINE 20770 COMBINATION PRODUCT 51380 1 6 2 SULFADIAZINE, SULFAMERAZINE, SULFAMETHAZINE 55540, 55543, 55548 0353<br />
NUCOFED 21555 COMBINATION PRODUCT 51380 1 3 2 CODEINE PHOSPHATE, PSEUDOEPHEDRINE HCL 70231, 70256 1941, 1943<br />
OTOREID-HC 22195 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, DIBUCAINE, HYDROCORTISONE, NEOMYCIN, POLYMYXIN B 50325, 51705, 52655, 53895, 70011 1670<br />
PALMINATE-FA 22509 COMBINATION PRODUCT 51380 1 6 2 VITAMIN A, VITAMIN C, VITAMIN D, VITAMIN B COMPLEX, FERROUS FUMARATE 56185, 56193, 56194, 56345, 70042 0913<br />
PRAMOSONE 24795 COMBINATION PRODUCT 51380 1 6 2 HYDROCORTISONE ACETATE, PRAMOXINE HCL 70334, 70335 1268<br />
PROLENS WETTING SOLUTION 25329 COMBINATION PRODUCT 51380 2 6 2 METHYLCELLULOSE, POLYVINYL ALCOHOL, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM CHLORIDE 53630, 54610, 54655, 55315 1569<br />
QUELIDRINE 25955 COMBINATION PRODUCT 51380 2 6 2 AMMONIUM CHLORIDE, IPECAC, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL 50245, 52870, 70226, 70338, 70358 1941, 1943, 1944<br />
RHINOSYN-X SYRUP 26620 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 52490, 70256, 70338 1941, 1943<br />
ROBITUSSIN-CF SYRUP 26845 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 52490, 70254, 70338 1941, 1943<br />
SUDAFED PLUS 29710 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1944<br />
SURBEX W/C 30160 COMBINATION PRODUCT 51380 2 6 2 NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, VITAMIN B-12, VITAMIN C 53915, 54990, 55105, 56192, 56193 0913<br />
TEDRAL-25 30695 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, THEOPHYLLINE, EPHEDRINE HCL 54395, 55745, 70350 1940<br />
TRI HIST SYRUP 32040 COMBINATION PRODUCT 51380 2 6 2 PHENYLPROPANOLAMINE, PYRILAMINE, PHENIRAMINE MALEATE 54465, 54995, 70407 1941, 1944<br />
TRIAMINIC EXPECTORANT DH 32225 COMBINATION PRODUCT 51380 1 3 2 GUAIFENESIN, DIHYDROCODEINE, PHENYLPROPANOLAMINE HCL, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 52490, 52647, 70254, 70394, 70407 1943<br />
UROBIOTIC-250 33355 COMBINATION PRODUCT 51380 1 6 2 OXYTETRACYCLINE, PHENAZOPYRIDINE, SULFAMETHIZOLE 51450, 54365, 55550 0354<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
VELTANE EXPECTORANT 33815 COMBINATION PRODUCT 51380 1 6 2 ALCOHOL, BROMPHENIRAMINE, GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE 50090, 50690, 52490, 54455, 54465 1941, 1943, 1944<br />
WYANOID 34955 COMBINATION PRODUCT 51380 2 6 2 COCOA BUTTER, SHARK LIVER OIL 51325, 55213 0877, 1265<br />
DEXAMYCIN 40530 COMBINATION PRODUCT 51380 1 6 2 DEXAMETHASONE, NEOMYCIN, POLYMYXIN B SULFATE 51635, 53895, 70212 1568<br />
PHRESH 41290 COMBINATION PRODUCT 51380 2 6 2 COCAMIDOPROPYL BETAINE, HYDROXYETHYL CELLULOSE, LACTIC ACID, PEG-4 DILAURATE, SODIUM PHOSPHATE 51313, 52691, 52980, 54237, 55385 1265<br />
STRESSAIDS W/ZINC 41545 COMBINATION PRODUCT 51380 2 6 2 FOLIC ACID, MULTIVITAMINS GENERAL, NIACIN, PANTHENOL, ZINC SULFATE 52355, 53780, 53905, 54173, 56285 0913<br />
CEROSE DM EXPECTORANT 60300 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN, GLYCERIN, IPECAC, PHENINDAMINE, PHENYLEPHRINE 51670, 52450, 52870, 54378, 54455 1941, 1943, 1944<br />
P.T.E.-5 61120 COMBINATION PRODUCT 51380 1 6 2 MANGANESE SULFATE, ZINC SULFATE, CHROMIUM CHLORIDE, COPPER SULFATE, SELENIOUS ACID 53242, 56285, 70415, 70416, 70417 0913<br />
TRI-LEVLEN 61515 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040<br />
BROMPHEN-DC 92009 COMBINATION PRODUCT 51380 1 5 2 CODEINE PHOSPHATE, BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 70231, 70239, 70254 1941, 1943, 1944<br />
ANDROGYN 93017 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
NOVACET 94064 COMBINATION PRODUCT 51380 1 6 2 SULFUR, SODIUM SULFACETAMIDE 55610, 70018 1271<br />
PALGIC 96013 COMBINATION PRODUCT 51380 1 6 2 CARBINOXAMINE, PSEUDOEPHEDRINE 50900, 54960 1941, 1944<br />
CALCIUM W/ VITAMIN D 99189 35244 0236 COMBINATION PRODUCT 51380 2 6 2 CALCIUM, VITAMIN D 50776, 56194 0913<br />
PERI-COLACE 23430 5365 0036 COMBINATION PRODUCT 51380 2 6 2 CASANTHRANOL, DOCUSATE SODIUM 50933, 70262 0876<br />
MYCOLOG 20055 1001 0007 COMBINATION PRODUCT 51380 1 6 2 NYSTATIN, TRIAMCINOLONE ACETONIDE 53995, 70307 0358<br />
LANTISEPTIC ALL BODY WASH 03337 507 0003 COMBINATION PRODUCT 51380 2 6 2 DETERGENT, LANOLIN 51633, 53003 1265<br />
NAPHCON-A 20270 241 0002 COMBINATION PRODUCT 51380 1 6 2 NAPHAZOLINE HCL, PHENIRAMINE MALEATE 70395, 70407 1567<br />
POLYVITAMIN DROPS 24530 217 0001 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
PLUS-2 04342 174 0001 COMBINATION PRODUCT 51380 2 6 2 MILK, CREAM, MILK PROTEIN CONCENTRATE, MALTODEXTRIN 70790, 70805, 70806, 70863 0914<br />
XIRATUSS 04189 96 0001 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE TANNATE, PHENYLEPHRINE TANNATE, CARBETAPENTANE TANNATE 70402, 70403, 70493 1941, 1943, 1944<br />
HYDROMET 92042 65 0000 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, HOMATROPINE METHYL BROMIDE 70217, 70218 1941, 1943<br />
NSC-24 00186 COMBINATION PRODUCT 51380 2 6 2 MAGNESIUM CHLORIDE, POTASSIUM REPLACEMENT SOLUTIONS, VITAMIN C, L-LYSINE, BETA-GLUCAN 53190, 54655, 56193, 70161, 70162 2100<br />
PRE-HIST-D 03289 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, METHSCOPOLAMINE NITRATE, PHENYLEPHRINE HCL 70226, 70243, 70358 0877, 1941, 1944<br />
BROMANYL EXPECTORANT 04770 COMBINATION PRODUCT 51380 1 5 2 AMMONIUM CHLORIDE, BROMODIPHENHYDRAMINE, CODEINE, DIPHENHYDRAMINE, POTASSIUM GUAIACOLSULFONATE 50245, 50685, 51340, 51860, 54700 1943<br />
DEMULEN 08805 COMBINATION PRODUCT 51380 1 6 2 ETHNODIOL DIACETATE, ETHINYL ESTRADIOL 52168, 70027 1040<br />
GAYSAL 13225 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, ALUMINUM HYDROXIDE, BUTABARBITAL, PHENOBARBITAL, SALICYLIC ACID 50005, 50145, 50720, 54395, 55160 0626<br />
PHENA-CHLOR COMPOUND 23647 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE, PHENYLEPHRINE, PHENYLPROPANOLAMINE, PHENYLTOLOXAMINE 51130, 54455, 54465, 54468 1941, 1944<br />
SCADAN SCALP LOTION 27515 COMBINATION PRODUCT 51380 2 6 2 CETRIMONIUM BROMIDE, STEARYL CHLORIDE 51018, 55491 1265<br />
TESTOSTERONE CYPIONATE W/ESTRADIOL 30920 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
PRED-G 89063 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE ACETATE, GENTAMICIN SULFATE 70158, 70585 1568<br />
VICKS 44M 94159 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL, DEXTROMETHORPHAN HBR 50005, 70226, 70256, 70338 1941, 1943<br />
STRESS TABLETS 29581 4118 0028 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN B-12, VITAMIN C 54990, 55105, 55755, 56192, 56193 0913<br />
ATACAND HCT 03089 96 0001 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, CANDESARTAN CILEXETIL 52645, 70014 0506<br />
BIOCLATE 00011 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0411<br />
CELECOXIB 00208 CELECOXIB 70169 1 6 1 1724, 1727<br />
CAF 00256 COMBINATION PRODUCT 51380 1 6 2 CYCLOPHOSPHAMIDE, DOXORUBICIN, FLUOROURACIL 51485, 51960, 52325 1479<br />
HISTEX HC 00301 COMBINATION PRODUCT 51380 1 3 2 CARBINOXAMINE, HYDROCODONE, PSEUDOEPHEDRINE 50900, 52650, 54960 1945<br />
ADRENALIN 00560 EPINEPHRINE 52040 1 6 1 0505, 1940<br />
AL-R 00715 CHLORPHENIRAMINE 51130 1 6 1 1944<br />
ALKALINIZING AGENT 00903 UNDETERMINED 50000 3 7 3 0915<br />
ALTERNAGEL 01145 ALUMINUM HYDROXIDE 50145 2 6 1 0874, 0879<br />
CIPRIL 01172 COMBINATION PRODUCT 51380 1 7 2 HYDROCHLOROTHIAZIDE, LISINOPRIL 52645, 80007 0506, 0507, 0514<br />
CYDEC DM 01179 COMBINATION PRODUCT 51380 1 6 2 CARBINOXAMINE, DEXTROMETHORPHAN, PSEUDOEPHEDRINE HCL 50900, 51670, 70256 1943<br />
ALUMINUM 01220 ALUMINUM 50125 2 6 1 1265<br />
RITALIN-SR 01234 METHYLPHENIDATE 53655 1 2 1 0631, 0632<br />
ASP 01287 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, PHENYLTOLOXAMINE, SALICYLAMIDE 50005, 54468, 55150 1722<br />
ANDRONAQ-50 01950 TESTOSTERONE 55695 1 3 1 1033<br />
GYNODIOL 02033 ESTRADIOL 52070 1 6 1 1034<br />
SUPRADOL 02052 NAPROXEN 53880 1 6 1 1724, 1727<br />
CHLORDRINE SR 02073 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1944<br />
EPHEDRA 02124 COMBINATION PRODUCT 51380 2 6 2 EPHEDRINE, PSEUDOEPHEDRINE 52035, 54960 1941, 2100<br />
TRI-NASAL 02216 TRIAMCINOLONE ACETONIDE 70307 1 6 1 1947<br />
TRIAMCINOLONE ACETONIDE W/ CAMPHOR 02251 COMBINATION PRODUCT 51380 1 6 2 CAMPHOR, TRIAMCINOLONE ACETONIDE 50845, 70307 2087<br />
RETIN-A MICRO GEL 02268 TRETINOIN 55905 1 6 1 1265, 1270<br />
DENATURED ALCOHOL 02342 ALCOHOL 50090 2 6 1 1264<br />
INSPIREX 02356 COMBINATION PRODUCT 51380 2 6 2 WRINKLED GIANT HYSSOP, ANGELICA ROOT, ARECA PEEL, PERILLA LEAF 70613, 70614, 70615, 70616 2100<br />
ASMINYL 02785 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 1940<br />
OVIDE 03041 MALATHION 53224 1 6 1 1863<br />
AZACTAM 03117 AZTREONAM 50444 1 6 1 0355<br />
CARBONYL IRON 03174 CARBONYL IRON 70478 2 6 1 0913<br />
B COMPLEX FORTE 03265 COMBINATION PRODUCT 51380 2 6 2 CALCIUM PANTOTHENATE, NIACINAMIDE, PYRIDOXINE, RIBOFLAVIN, THIAMINE 50811, 53915, 54990, 55105, 55755 0913<br />
B COMPLEX W/B-12 03285 COMBINATION PRODUCT 51380 3 6 2 VITAMIN B-12, VITAMIN B COMPLEX 56192, 56345 0913<br />
PANMIST JR 03288 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE HCL 52490, 70256 1940, 1941, 1943<br />
PANOKASE 03369 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
SULFAMETIN 03432 UNDETERMINED 50000 3 6 3 0300<br />
SILVASORB 03442 SILVER 70159 3 6 1 1271<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
NASAL SALINE 04072 COMBINATION PRODUCT 51380 2 6 2 SODIUM BICARBONATE, SODIUM CHLORIDE 55280, 55315 1945<br />
CENTANY 04124 MUPIROCIN 80011 1 6 1 1271<br />
EZETIMIBE 04146 EZETIMIBE 70494 1 6 1 0912<br />
BETADEX 04449 BETADEX 70947 3 6 1 2095<br />
PARATHYROID HORMONE 04583 PARATHYROID HORMONE 70964 3 7 1 2087<br />
SILICONE OIL 04626 POLYDIMETHYLSILOXANE 70973 1 6 1 1569<br />
ATRA 04646 TRETINOIN 55905 1 6 1 1479<br />
TOCAINIDE 04663 TOCAINIDE HYDROCHLORIDE 55860 1 6 1 0502<br />
BRONKEPHRINE 04905 ETHYLNOREPINEPHRINE 52170 1 6 1 1940<br />
BUTAL 05085 UNDETERMINED 50000 3 7 3 2000<br />
C-RON FA 05205 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN C 52355, 52885, 56193 0408<br />
CAL-C-BATE 05295 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, DEXTROSE, VITAMIN C 50770, 51675, 56193 0916, 2087<br />
CALCIJEX 05382 VITAMIN D 56194 1 6 1 0913<br />
CANTIL 05600 MEPENZOLATE 53330 1 6 1 0874<br />
CARBOLIC ACID SOAP 05705 PHENOL 54400 2 6 1 1264<br />
CERESPAN 06150 PAPAVERINE 54190 1 6 1 0504<br />
CHOLAN HMB 06680 COMBINATION PRODUCT 51380 1 6 2 DEHYDROCHOLIC ACID, HOMATROPINE, PHENOBARBITAL 51585, 52615, 54395 0877<br />
COMPAL 07467 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, CAFFEINE, DIHYDROCODEINE 50005, 50745, 52647 1721<br />
CONGESTANT-D 07529 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL 50005, 70226, 70254 1941, 1944<br />
CORICIDIN 07680 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE 50005, 70226 1945<br />
CYCLAPEN 08130 CYCLACILLIN 51460 1 6 1 0346<br />
DAPEX 08438 PHENTERMINE 54430 1 4 1 0631<br />
DECADROL 08580 DEXAMETHASONE 51635 1 6 1 1032<br />
DEMEROL-APAP 08790 COMBINATION PRODUCT 51380 1 2 2 ACETAMINOPHEN, MEPERIDINE HCL 50005, 70267 1721<br />
DEPROL 08905 COMBINATION PRODUCT 51380 1 4 2 BENACTYZINE, MEPROBAMATE 50499, 53370 0627<br />
DESENEX 09010 TOTAL UNDECYLENATE 70674 2 6 1 1271<br />
DIATRIZOATE 09365 MEGLUMINE 53298 1 6 1 0789<br />
DIENESTROL 09475 DIENESTROL 51735 1 6 1 1034<br />
DIMETANE EXPECTORANT 09670 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PHENYLEPHRINE, PHENYLPROPANOLAMINE, BROMPHENIRAMINE MALEATE 52490, 54455, 54465, 70239 1941, 1944<br />
DIPHENHYDRAMINE HCL SYRUP 09870 DIPHENHYDRAMINE 51860 1 6 1 1944<br />
DOAK OIL 10045 COAL TAR 51305 2 6 1 1266<br />
DULCOLAX BOWEL PREP KIT 10580 UNDETERMINED 50000 2 6 3 0876<br />
DUOVAL-P.A. 10670 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
ELIXOPHYLLIN 11140 THEOPHYLLINE 55745 1 6 1 1940<br />
EPSOM SALT 11575 MAGNESIUM SULFATE 70398 2 6 1 0876<br />
ESIMIL 11695 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, GUANETHIDINE MONOSULFATE 52645, 70662 0506, 0507<br />
ESTRAVAL 11770 ESTRADIOL 52070 1 6 1 1034<br />
FERO-GRADUMET 12350 IRON PREPARATIONS 52885 2 6 1 0408<br />
FLUOXYMESTERONE 12778 FLUOXYMESTERONE 52330 1 3 1 1033<br />
GAMMAR 13170 IMMUNE GLOBULIN 52750 1 6 1 1183<br />
HALDRONE 14005 PARAMETHASONE 54205 1 6 1 1032<br />
HALOTESTIN 14045 FLUOXYMESTERONE 52330 1 3 1 1033<br />
HEPAFOLIC 12 FORTE 14230 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, VITAMIN B-12 52355, 56192 0913<br />
HERPLEX LIQUIFILM 14290 IDOXURIDINE 52740 1 6 1 1568<br />
HYPOTENSIVE AGENT 15243 UNDETERMINED 50000 3 7 3 0506<br />
IBERET-500 15380 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
ISOPTO HYOSCINE 16075 SCOPOLAMINE HBR 55180 1 6 1 1567<br />
ISTRIAN NUTGALLS, BENZOCINE, ZINC OXIDE 16120 COMBINATION PRODUCT 51380 2 6 2 BENZOCAINE, NUTGALL, ZINC TOPICAL AGENTS, EXTERNAL USE 50530, 53991, 56265 2087<br />
KOROMEX 16820 OCTOXYNOL 54003 2 6 1 1040<br />
L-CYSTEINE 16886 CYSTEINE 51515 1 6 1 0914<br />
LANESTRIN 17050 ESTRONE 52080 1 6 1 1034<br />
LOROXIDE 17905 BENZOYL PEROXIDE 50550 2 6 1 1265<br />
MALLERGAN 18250 PROMETHAZINE 54860 1 6 1 1671, 1944<br />
MARNAL 18440 COMBINATION PRODUCT 51380 1 6 2 ASPIRIN, BUTALBITAL, CAFFEINE 50410, 50728, 50745 0626, 1720<br />
MENI-D 18698 MECLIZINE 53275 1 6 1 0632<br />
MEPERIDINE 18760 MEPERIDINE 53335 1 2 1 1721<br />
METHAMPEX 19000 METHAMPHETAMINE 53485 1 2 1 0631<br />
METHOXSALEN 19105 METHOXSALEN 53585 1 6 1 1274<br />
METIMYD 19205 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE ACETATE, SULFACETAMIDE SODIUM 70158, 70214 1568<br />
MI-THERIC 19275 COMBINATION PRODUCT 51380 2 6 2 PYRIDOXINE, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN B-12 54990, 55105, 55755, 56185, 56192 0913<br />
MILONE R/A 19398 COMBINATION PRODUCT 51380 1 6 2 PREDNISOLONE, SODIUM CHLORIDE 54770, 55315 1032, 2087<br />
MUSCLE RELAXANT 19948 UNDETERMINED 50000 3 6 3 1373<br />
NEO-CALGLUCON SYRUP 20515 CALCIUM REPLACEMENT AGENTS 50770 2 6 1 0915<br />
NORDRYL 21275 DIPHENHYDRAMINE 51860 1 6 1 1371, 1671, 1944<br />
NOVENE DH 21493 COMBINATION PRODUCT 51380 1 5 2 CHLORPHENIRAMINE, CODEINE, PHENYLEPHRINE 51130, 51340, 54455 1941, 1943, 1944<br />
NYTILAX 21705 SENNA 55200 2 6 1 0876<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
OPHTHALGAN 21840 GLYCERIN 52450 1 6 1 1569<br />
P.E.T.N. 22365 PENTAERYTHRITOL 54275 1 6 1 0503<br />
PATHILON W/PHENOBARBITAL SEQUEL 22930 COMBINATION PRODUCT 51380 1 6 2 PHENOBARBITAL, TRIDIHEXETHYL CHLORIDE 54395, 55950 0626, 0874<br />
PENTAZOCINE 23285 PENTAZOCINE 54290 1 4 1 1721<br />
PHENERGAN VC EXPECTORANT W/CODEINE 23790 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PHENYLEPHRINE, PROMETHAZINE 51340, 54455, 54860 1941, 1943, 1944<br />
PONTOCAINE HCL NIPHANOID 24565 TETRACAINE 55715 1 6 1 0117<br />
POTASSIUM CHLORIDE 30 MEQ D5-W 24675 COMBINATION PRODUCT 51380 1 6 2 DEXTROSE, WATER STERILE, POTASSIUM CHLORIDE 51675, 56210, 56585 0915<br />
PROCALAMINE 25193 COMBINATION PRODUCT 51380 1 6 2 AMINO ACIDS, ELECTROLYTES 50185, 52023 0914<br />
PROGEST-50 25291 PROGESTERONE 54845 1 6 1 1034<br />
PROTABOLIN 25590 METHANDRIOL 53490 1 3 1 1033, 1372<br />
RAUZIDE 26190 COMBINATION PRODUCT 51380 1 6 2 BENDROFLUMETHIAZIDE, RAUWOLFIA SERPENTINA 50500, 70590 0506, 0507<br />
RESECTISOL 26415 MANNITOL 53245 1 6 1 2087<br />
RHULICAINE 26640 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZOCAINE, MENTHOL, TRICLOSAN 50090, 50530, 53325, 55947 1265<br />
SCOPOLAMINE HYDROBROMIDE 27550 SCOPOLAMINE HBR 55180 1 6 1 1671<br />
SENSORCAINE W/DEXTROSE 27818 UNDETERMINED 50000 1 6 3 0117<br />
SK-65 28335 PROPOXYPHENE 54890 1 4 1 1721<br />
SODIUM BENZOATE 28450 SODIUM BENZOATE 55275 3 6 1 2087<br />
SORBITOL-MANNITOL IRRIGATION 28915 COMBINATION PRODUCT 51380 1 6 2 MANNITOL, SORBITOL 53245, 55435 2087<br />
SPALIX 28970 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, HYOSCYAMINE, PHENOBARBITAL, SCOPOLAMINE HBR 50420, 52720, 54395, 55180 0626, 0874<br />
STARCH 29325 STARCH 55480 3 7 1 2087<br />
STERILE WATER FOR IRRIGATION 29488 WATER STERILE 56210 1 6 1 1032<br />
STUARTNATAL 1+1 29615 COMBINATION PRODUCT 51380 1 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
SUS-PHRINE AQUEOUS SUSPENSION 30240 EPINEPHRINE 52040 1 6 1 1940<br />
SYNTOCINON 30400 OXYTOCIN 54155 1 6 1 1039<br />
TESTOSTERONE ENANTHATE W/ESTRADIOL 30935 COMBINATION PRODUCT 51380 1 6 2 ESTRADIOL, TESTOSTERONE 52070, 55695 1033, 1034<br />
THEOFED 31180 COMBINATION PRODUCT 51380 1 6 2 EPHEDRINE, PHENOBARBITAL, THEOPHYLLINE 52035, 54395, 55745 1940, 1941<br />
THIAMINE-PYRIDOXINE 31465 COMBINATION PRODUCT 51380 1 6 2 PYRIDOXINE, THIAMINE 54990, 55755 0913<br />
TRIAMINIC EXPECTORANT 32220 COMBINATION PRODUCT 51380 2 6 2 GUAIFENESIN, PHENYLPROPANOLAMINE HCL 52490, 70254 1941, 1943<br />
TRIAMOLONE 40 32270 TRIAMCINOLONE 55915 1 6 1 1032<br />
TRIPROLIDINE PSEUDOEPHED W/CODEINE 32558 COMBINATION PRODUCT 51380 1 5 2 CODEINE, TRIPROLIDINE HCL, PSEUDOEPHEDRINE HCL 51340, 70209, 70256 1941, 1943, 1944<br />
TYLENOL W/CODEINE ELIXIR 32935 COMBINATION PRODUCT 51380 1 5 2 ACETAMINOPHEN, CODEINE PHOSPHATE 50005, 70231 1721<br />
ULTRACAINE 33060 LIDOCAINE 53070 1 6 1 0117<br />
VASOTRATE SUBLINGUAL 33760 ISOSORBIDE 52935 1 6 1 0503<br />
VI-PENTA INFANT DROPS 34050 COMBINATION PRODUCT 51380 2 6 2 ERGOCALCIFEROL, VITAMIN A, VITAMIN C, VITAMIN E 52045, 56185, 56193, 56195 0913<br />
X-PREP BOWEL EVACUANT KIT 35020 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, SENNA 50000, 55200 0876<br />
ZIRADRYL LOTION 35320 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, DIPHENHYDRAMINE, ZINC TOPICAL AGENTS, EXTERNAL USE 50090, 51860, 56265 1265<br />
ANTICONVULSANT AGENT 35410 UNDETERMINED 50000 3 7 3 1374<br />
ANTIHISTAMINE 35450 UNDETERMINED 50000 3 7 3 1944<br />
ASPIR-10 40150 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
CHYMOPAPAIN 40385 CHYMOPAPAIN 51211 1 6 1 0632<br />
DIHYDROERGOTOXINE MESYLATE 40585 ERGOLOID MESYLATES 52048 1 6 1 0504<br />
ESTROGENS 40735 ESTROGENS 52075 1 6 1 1034, 1479<br />
ISOPTIN 40905 VERAPAMIL 56163 1 6 1 0510<br />
TRAVASORB RENAL DIET 41660 DIETARY SUPPLEMENT 51740 1 6 1 0914<br />
GYNOL 42435 NONOXYNOL 9 53955 2 6 1 1040<br />
A.S.A. ENSEAL 60000 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
BACTER, SODIUM CHLORIDE 60155 SODIUM CHLORIDE 55315 1 6 1 2095<br />
BETAMETHASONE VALERATE 60200 BETAMETHASONE VALERATE 70127 1 6 1 1265<br />
DIMENSYN 60460 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, PAMABRON, PYRILAMINE 50005, 54158, 54995 0507, 1720, 1944<br />
HIGH POTENCY VITAMINS/MINERALS 60705 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS GENERAL 53723, 53780 0913<br />
METH CHOLINE 60900 COMBINATION PRODUCT 51380 2 6 2 CHOLINE, COBALAMIN, INOSITOL, METHIONINE 51195, 51308, 52785, 53550 0913<br />
TAZIDIME 61415 CEFTAZIDIME 50966 1 6 1 0347<br />
TEC 61425 COMBINATION PRODUCT 51380 1 6 2 CHROMIUN, COPPER, MANGANESE SULFATE, ZINC SULFATE 51209, 51393, 53242, 56285 0915<br />
DEY-DOSE METAPROTERENOL SULF 89024 METAPROTERENOL 53450 1 6 1 1940<br />
ESTIVIN II 89030 NAPHAZOLINE 53875 2 6 1 1570<br />
NEBUPENT 89051 PENTAMIDINE ISETHIONATE 54278 1 6 1 1860<br />
THERAFLU FLU & COLD 89078 COMBINATION PRODUCT 51380 2 6 2 ACETAMINOPHEN, CHLORPHENIRAMINE, PSEUDOEPHEDRINE 50005, 51130, 54960 1945<br />
CEPTAZ 92013 COMBINATION PRODUCT 51380 1 6 2 CEFTAZIDIME, ARGININE HCL 50966, 70355 0347<br />
CEFIXIME 92110 CEFIXIME 57044 1 6 1 0347<br />
OCCLUSAL 92182 SALICYLIC ACID 55160 3 6 1 1266<br />
AK-CON 93003 NAPHAZOLINE 53875 1 6 1 1570<br />
FLATULEX 93063 COMBINATION PRODUCT 51380 2 6 2 CHARCOAL, SIMETHICONE 51025, 55240 0877<br />
SALINEX X 93139 SODIUM CHLORIDE 55315 2 6 1 1900<br />
ADENOCARD 93306 ADENOSINE 50080 1 6 1 0502<br />
PROTROPIN 93320 SOMATREM 56655 1 6 1 2087<br />
ADEKS 94092 MULTIVITAMIN COMBINATION 51382 2 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
TARSUM 94186 COMBINATION PRODUCT 51380 2 6 2 COAL TAR, SALICYLIC ACID 51305, 55160 1266<br />
NITROGEN MUSTARD 94198 NITROGEN MUSTARD 59625 3 7 1 1482<br />
CEFTIZOXIME 95028 CEFTIZOXIME 57032 1 6 1 0347<br />
SAL PLANT 95129 SALICYLIC ACID 55160 2 6 1 1266<br />
CROTAMITON 95185 CROTAMITON 51435 1 6 1 1274<br />
PROBUCOL 96063 PROBUCOL 54805 3 6 1 0912<br />
VITAFOL 96156 MULTIVITAMINS 53805 1 6 2 0913<br />
ALCLOMETASONE DIPROPRIONATE 96158 ALCLOMETASONE 59637 1 6 1 1268<br />
DYNAFED 97031 UNDETERMINED 50000 2 6 3 1727, 1941, 1943<br />
FERTINEX 97096 UROFOLLITROPIN 56123 1 6 1 1035<br />
MELARSOPROL 97119 MELARSOPROL 59729 1 6 1 0355<br />
MEDRYSONE 97169 MEDRYSONE 53285 1 6 1 1032<br />
ALDARA 98033 IMIQUIMOD 58001 1 6 1 1271<br />
VECTRIN 98040 MINOCYCLINE 53725 1 6 1 0350<br />
NALEX 99011 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1941, 1943<br />
RESCON JR 99045 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941, 1945<br />
PROMETH W/ CODEINE 99072 COMBINATION PRODUCT 51380 1 5 2 CODEINE, PROMETHAZINE HCL 51340, 70411 1941, 1943, 1944<br />
RELENZA 99085 ZANAMIVIR 70031 1 6 1 0388<br />
FENRETINIDE 99199 FENRETINIDE 70062 1 6 1 2087<br />
SENOKOT 27785 121929 0817 SENNA 55200 2 6 1 0876<br />
SENNA 27770 82274 0551 SENNA 55200 2 6 1 0876<br />
NOVOLIN 70/30 99172 21266 0143 COMBINATION PRODUCT 51380 2 6 2 INSULIN, ISOPHANE INSULIN 52790, 70015 1036<br />
SPIRONOLACTONE 29250 15893 0107 SPIRONOLACTONE 55460 1 6 1 0506, 0507<br />
MAXZIDE 18523 14201 0095 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, TRIAMTERENE 52645, 55925 0506<br />
DETROL LA 01057 13294 0089 TOLTERODINE TARITRATE 59811 1 6 1 0509<br />
NYSTATIN 21695 5769 0039 NYSTATIN 53995 1 6 1 1271<br />
FLORINEF ACETATE 12665 4751 0032 FLUDROCORTISONE ACETATE 52295 1 6 1 1032<br />
ZETIA 02223 4467 0030 EZETIMIBE 70494 1 6 1 0912<br />
CALCARB 600 03177 3148 0021 CALCIUM CARBONATE 50785 2 6 1 0913<br />
FOLATE 41860 2748 0018 FOLIC ACID 52355 3 6 1 0408<br />
DOXAZOSIN MESYLATE 92120 2494 0017 DOXAZOSIN MESYLATE 51953 1 6 1 0513<br />
NITRODISC 21144 2162 0014 NITROGLYCERIN 53945 1 6 1 0503<br />
SELEGILINE 93204 1788 0012 SELEGILINE 56630 1 6 1 1371<br />
PANCREASE 22630 1624 0011 PANCRELIPASE 54165 1 6 1 0877<br />
CALCITRIOL 97159 1089 0007 CALCITRIOL 59736 1 6 1 0913<br />
MYLICON 20095 989 0007 SIMETHICONE 55240 2 6 1 0877<br />
ZOSYN 95149 883 0006 COMBINATION PRODUCT 51380 1 6 2 PIPERACILLIN SODIUM, TAZOBACTAM SODIUM 70604, 70605 0346<br />
TENORETIC 30781 790 0005 COMBINATION PRODUCT 51380 1 6 2 ATENOLOL, CHLORTHALIDONE 50418, 51170 0512<br />
TOLINASE 31775 600 0004 TOLAZAMIDE 55870 1 6 1 1036<br />
SYMBYAX 04043 516 0003 COMBINATION PRODUCT 51380 1 6 2 OLANZAPINE, FLUOXETINE HYDROCHLORIDE 59644, 80006 0628, 0630<br />
OSTEO-BIFLEX 00096 494 0003 COMBINATION PRODUCT 51380 2 6 2 CHONDROITIN SULFATE, GLUCOSAMINE 57072, 70012 2100<br />
EXCEDRIN 12035 414 0003 COMBINATION PRODUCT 51380 2 6 2 UNDETERMINED, ACETAMINOPHEN 50000, 50005 1722<br />
ESGIC 11688 393 0003 COMBINATION PRODUCT 51380 1 6 2 ACETAMINOPHEN, BUTALBITAL, CAFFEINE 50005, 50728, 50745 1722, 1723<br />
L-CARNITINE 99155 355 0002 LEVOCARNITINE 57049 2 6 1 0914<br />
CORRECTOL 07740 312 0002 BISACODYL 50630 2 6 1 0876<br />
PENETREX 93360 276 0002 ENOXACIN 56720 1 6 1 0357<br />
KAON-CL 10 92050 268 0002 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
PERIOSTAT 02382 241 0002 DOXYCYCLINE HYCLATE 70655 1 6 1 0350<br />
SOLARAZE 02148 220 0001 DICLOFENAC SODIUM 80004 1 6 1 1727<br />
T-GEL SHAMPOO 95101 200 0001 SALICYLIC ACID 55160 2 6 1 1266<br />
SAF GEL 04289 195 0001 COMBINATION PRODUCT 51380 2 6 2 ALGINATE 70887 1265<br />
ADAVITE 04318 173 0001 COMBINATION PRODUCT 51380 2 6 2 BETA CAROTENE, VITAMIN A, VITAMIN D, VITAMIN E, VITAMIN B COMPLEX 50580, 56185, 56194, 56195, 56345 0913<br />
ACTIQ 02067 153 0001 FENTANYL CITRATE 70452 1 2 1 1721<br />
ENTEX PSE 00056 127 0001 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1945<br />
CARNATION GOOD START 98149 123 0001 COMBINATION PRODUCT 51380 2 6 2 MULTIVITAMINS, PROTEIN, CARBOHYDRATE(S), FAT 53805, 57166, 57168, 57170 0914<br />
PROCTOSOL 02358 95 0001 HYDROCORTISONE ACETATE 70334 1 6 1 1268, 1272<br />
HYDROCODONE 14955 91 0001 HYDROCODONE 52650 1 2 1 1721, 1943<br />
SALAGEN 27300 78 0001 ASPIRIN 50410 2 6 1 1722, 1724, 1728<br />
AURALGAN 02995 65 0000 COMBINATION PRODUCT 51380 1 6 2 ANTIPYRINE, BENZOCAINE 50325, 50530 1670<br />
CARRAKLENZ WOUND CLEANSER 04202 61 0000 COMBINATION PRODUCT 51380 2 6 2 METHYL PARABEN, DIBASIC SODIUM PHOSPHATE, PURIFIED WATER, ACEMANNAN HYDROGEL, IMIDURA 70147, 70688, 70739, 70844, 70845 1264<br />
FML LIQUIFILM 12845 58 0000 FLUOROMETHOLONE 52320 1 6 1 1568<br />
PEN-VEE K 23185 53 0000 PENICILLIN V POTASSIUM 54268 1 6 1 0346<br />
BREWERS YEAST 94022 50 0000 VITAMIN B COMPLEX 56345 2 6 1 0913<br />
ANTIDEPRESSANT AGENT 35415 46 0000 UNDETERMINED 50000 1 7 3 0630<br />
PHENERGAN VC EXPECTORANT PLAIN 23785 16 0000 COMBINATION PRODUCT 51380 1 6 2 PHENYLEPHRINE HCL, PROMETHAZINE HCL 70358, 70411 1941, 1943<br />
MEDERMA 00112 COMBINATION PRODUCT 51380 2 6 2 ALLANTOIN, METHYLPARABEN, POLYETHYLENE GLYCOL, SORBIC ACID, ALLIUM CEPA 50103, 53650, 54590, 55433, 70132 1265<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
AL-AY 00705 COMBINATION PRODUCT 51380 2 6 2 AMINOACETIC ACID, ASPIRIN, CAFFEINE, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 50190, 50410, 50745, 70226, 70358 1720, 1941, 1944<br />
BROMOTUSS W/CODEINE 04813 COMBINATION PRODUCT 51380 1 6 2 BROMODIPHENHYDRAMINE, CODEINE 50685, 51340 1941, 1943, 1944<br />
CODIMAL DM SYRUP 07205 COMBINATION PRODUCT 51380 2 6 2 DEXTROMETHORPHAN HBR, PHENYLEPHRINE HCL, PYRILAMINE MALEATE 70338, 70358, 70394 1941, 1943, 1944<br />
ERGO-CAFF/PENTOBARBITAL 11613 COMBINATION PRODUCT 51380 1 6 2 CAFFEINE, ERGOTAMINE, PENTOBARBITAL 50745, 52055, 54295 1723<br />
LIPO-NICIN 17590 COMBINATION PRODUCT 51380 1 6 2 NIACIN, NIACINAMIDE, PYRIDOXINE, THIAMINE, VITAMIN C 53905, 53915, 54990, 55755, 56193 0913<br />
NORINYL 21300 COMBINATION PRODUCT 51380 1 6 2 UNDETERMINED, NORETHINDRONE 50000, 53965 1040<br />
POLYVITAMIN FLUORIDE DROPS 24540 COMBINATION PRODUCT 51380 1 6 2 ERGOCALCIFEROL, RIBOFLAVIN, THIAMINE, VITAMIN A, VITAMIN C 52045, 55105, 55755, 56185, 56193 0913<br />
SUDAFED PLUS SYRUP 29715 COMBINATION PRODUCT 51380 2 6 2 CHLORPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70226, 70256 1941<br />
ALLENT 93012 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PSEUDOEPHEDRINE HCL 70239, 70256 1941, 1944, 1945<br />
PANCRON 99173 COMBINATION PRODUCT 51380 1 6 2 AMYLASE, LIPASE, PROTEASE 50283, 53118, 70054 0877<br />
CALCIUM MAGNESIUM CHELATED 04199 257 0002 COMBINATION PRODUCT 51380 2 6 2 CALCIUM, MAGNESIUM 50776, 70799 0913<br />
ISOSOURCE VHN 04110 52 0000 COMBINATION PRODUCT 51380 2 6 2 MINERALS, MULTIVITAMINS, CORN STARCH, WATER, CALCIUM CASEINATE 53723, 53805, 70413, 70460, 70761 0914<br />
ACNO LOTION 00415 COMBINATION PRODUCT 51380 3 7 2 SULFUR 55610 1265<br />
STROVITE FORTE 01201 MULTIVITAMIN COMBINATION 51382 1 6 2 MULTIVITAMINS GENERAL 53780 0913<br />
MAALOX W/ VISCOUS LIDOCAINE 02138 COMBINATION PRODUCT 51380 1 6 2 ALUMINUM HYDROXIDE, SIMETHICONE, MAGNESIUM HYDROXIDE, LIDOCAINE HCL 50145, 55240, 70112, 70370 0877<br />
CALCIUM CARBONATE W/ATROPINE 05410 COMBINATION PRODUCT 51380 1 6 2 ATROPINE, CALCIUM CARBONATE 50420, 50785 0878, 0913<br />
HYDROCODONE PA SYRUP 14960 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, PHENYLPROPANOLAMINE HCL 70217, 70254 1941, 1943<br />
MEDI-QUIK SPRAY 18585 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, BENZALKONIUM CHLORIDE, LIDOCAINE 50090, 50515, 53070 0117<br />
MIOCEL 19495 COMBINATION PRODUCT 51380 1 6 2 METHYLCELLULOSE, PHYSOSTIGMINE, PILOCARPINE 53630, 54490, 54500 1566<br />
MULTIPLE ELECTROLYTE ADDITIVE 19813 COMBINATION PRODUCT 51380 1 6 2 CALCIUM REPLACEMENT AGENTS, MAGNESIUM CATHARTICS, POTASSIUM REPLACEMENT SOLUTIONS, SODIUM ACETATE, SODIUM CHLORIDE 50770, 53195, 54655, 55270, 55315 0915<br />
NORLAC 21320 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, ERGOCALCIFEROL, IRON PREPARATIONS, VITAMIN A, VITAMIN C 50785, 52045, 52885, 56185, 56193 0913<br />
POLYHISTINE-D 92185 COMBINATION PRODUCT 51380 1 6 2 PHENYLPROPANOLAMINE HCL, PHENYLTOLOXAMINE CITRATE, PYRILAMINE MALEATE, PHENIRAMINE MALEATE 70254, 70255, 70394, 70407 1941, 1943, 1944<br />
POLYHISTINE-DM 92186 COMBINATION PRODUCT 51380 1 6 2 BROMPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, DEXTROMETHORPHAN HBR 70239, 70254, 70338 1941, 1943, 1944<br />
NALGEST 97123 COMBINATION PRODUCT 51380 1 6 2 CHLORPHENIRAMINE MALEATE, PHENYLPROPANOLAMINE HCL, PHENYLTOLOXAMINE CITRATE, PHENYLEPHRINE HCL 70226, 70254, 70255, 70358 1941, 1944<br />
DIATX 03426 1685 0011 MULTIVITAMIN COMBINATION 51382 1 6 2 FOLIC ACID, VITAMIN C, VITAMIN B COMPLEX, D-BIOTIN 52355, 56193, 56345, 70753 0913<br />
TRAUMEEL 01133 COMBINATION PRODUCT 51380 2 6 2 BELLADONNA, ARNICA MONTANA, ACONITUM NAPELLUS, CHAMOMILLA, SYMPHYTUM OFFICINALE 50495, 70286, 70287, 70288, 70289 2100<br />
COLREX SYRUP 07380 COMBINATION PRODUCT 51380 2 6 2 ALCOHOL, CHLORPHENIRAMINE, DEXTROMETHORPHAN, PHENYLEPHRINE 50090, 51130, 51670, 54455 1941, 1943, 1944<br />
THERMAZENE 00060 SILVER SULFADIAZINE 55235 1 6 1 0353, 1265<br />
BECLOMETHASONE DIPROPIONATE 01228 BECLOMETHASONE DIPROPIONATE 70348 1 6 1 1032, 1940, 1947<br />
ANAPHYLATIC SHOCK DRUG KIT 01835 COMBINATION PRODUCT 51380 1 6 2 CHLOROBUTANOL, EPINEPHRINE, SODIUM BISULFITE, SODIUM CHLORIDE 51075, 52040, 55290, 55315 1940, 1944<br />
ORACIT 03029 COMBINATION PRODUCT 51380 1 6 2 CITRIC ACID, SODIUM CITRATE 51235, 55320 0915<br />
MILRINONE LACTATE 03076 MILRINONE LACTATE 70024 1 6 1 0504, 0508<br />
GREEN TEA EXTRACT 03253 UNDETERMINED 50000 2 6 3 2100<br />
TYLENOL ELIXIR 03392 ACETAMINOPHEN 50005 1 6 1 1722, 1728<br />
MIGRATINE 04602 COMBINATION PRODUCT 51380 1 4 2 ACETAMINOPHEN, DICHLORALPHENAZONE, ISOMETHEPTENE MUCATE 50005, 51708, 52908 0877, 1723, 1724<br />
BUCLADIN-S SOFTAB 04970 BUCLIZINE 50705 1 6 1 1671<br />
CLORAZINE 06995 CHLORPROMAZINE 51150 1 6 1 0119, 0628, 1671<br />
CORTISOL 07793 HYDROCORTISONE 52655 3 6 1 1265, 1271, 1274<br />
DAPA 08430 ACETAMINOPHEN 50005 2 6 1 1722, 1728<br />
DECADRON PHOSPHATE 08595 DEXAMETHASONE 51635 1 6 1 1032<br />
EFED 10990 EPHEDRINE SULFATE 70264 1 3 1 1940, 1941<br />
ELDOQUIN 11120 HYDROQUINONE 52675 2 6 1 1265<br />
FEBRIGESIC 12148 ACETAMINOPHEN 50005 1 6 1 1722, 1728<br />
FERANCEE 12290 COMBINATION PRODUCT 51380 2 6 2 IRON PREPARATIONS, VITAMIN C, SODIUM ASCORBATE 52885, 56193, 56320 0408, 0913<br />
GLYCOFED 13648 COMBINATION PRODUCT 51380 1 6 2 GUAIFENESIN, PSEUDOEPHEDRINE 52490, 54960 1943<br />
GONIC 13755 CHORIONIC GONADOTROPIN 51205 1 6 1 1035<br />
HIWOLFIA 14620 RAUWOLFIA 55070 1 6 1 0504, 0506<br />
INDERIDE 15580 COMBINATION PRODUCT 51380 1 6 2 HYDROCHLOROTHIAZIDE, PROPRANOLOL HCL 52645, 70559 0502, 0503, 0506<br />
K-NORM 16222 POTASSIUM REPLACEMENT SOLUTIONS 54655 1 6 1 0915<br />
KADALEX 16280 COMBINATION PRODUCT 51380 1 6 2 CHLORIDE ION, DEXTROSE, POTASSIUM ION 51064, 51675, 54713 0913, 0915<br />
LIPO-HEPIN 17573 HEPARIN 52540 1 6 1 0409<br />
LOCAL ANESTHETIC 17833 UNDETERMINED 50000 3 6 3 0117<br />
MAGNESIUM PHOSPHATE TRIBASIC 18210 MAGNESIUM ANTACIDS 53175 2 6 1 0874<br />
METHIOKAP 19053 RACEMETHIONINE 55061 1 6 1 0914, 2087<br />
NEO-DURABOLIC 20543 NANDROLONE 53870 1 3 1 1033<br />
P.A.S. SODIUM 22360 AMINOSALICYLIC ACID 50220 1 6 1 0356<br />
PONTOCAINE 24555 TETRACAINE 55715 1 6 1 0117, 1275, 1569<br />
REHYDRALYTE 26287 ELECTROLYTES 52023 2 6 1 0915<br />
SODIUM MORRHUATE 28640 MORRHUATE SODIUM 53770 1 6 1 0504, 2087<br />
TERBUTALINE 30805 TERBUTALINE 55670 1 6 1 1940<br />
THYTROPAR 31640 THYROTROPIN 55830 1 6 1 1037<br />
TRIPROLIDINE 32550 TRIPROLIDINE HCL 70209 1 6 1 1944<br />
UCEPHAN 33025 UNDETERMINED 50000 1 6 3 2087<br />
VICKS VAPOSTEAM 33635 COMBINATION PRODUCT 51380 2 6 2 CAMPHOR, MENTHOL 50845, 53325 1941, 1943<br />
WINSTROL 34910 STANOZOLOL 55470 1 3 1 1033<br />
ANDRO L.A. 200 40110 TESTOSTERONE 55695 1 3 1 1033<br />
<strong>Drug</strong> Class<br />
Codes
<strong>Drug</strong> Name<br />
<strong>Drug</strong><br />
Name<br />
Code<br />
<strong>Drug</strong><br />
Estimate<br />
<strong>Drug</strong> Rate<br />
per 10,000<br />
Residents Generic Name<br />
Generic<br />
Name<br />
Code<br />
Rx<br />
Status<br />
DEA<br />
Status<br />
Comp<br />
Status <strong>Drug</strong> Ingredients Ingredient Codes<br />
PSEUDOEPHED/DM 41928 COMBINATION PRODUCT 51380 1 6 2 DEXTROMETHORPHAN, PSEUDOEPHEDRINE HCL 51670, 70256 1941, 1943<br />
ADIPOST 93002 PHENDIMETRAZINE 54370 1 3 1 0631, 1944<br />
FS SHAMPOO 93242 FLUOCINOLONE 52305 1 6 1 1268, 1863<br />
NIZATIDINE 94100 NIZATIDINE 80008 1 6 1 0874<br />
RECOMBINATE 95083 ANTIHEMOPHILIC FACTOR HUMAN 50320 1 6 1 0411<br />
HISTINEX HC 95168 COMBINATION PRODUCT 51380 1 3 2 HYDROCODONE BITARTRATE, CHLORPHENIRAMINE MALEATE, PHENYLEPHRINE HCL 70217, 70226, 70358 1941, 1943, 1944<br />
ALESSE 97086 COMBINATION PRODUCT 51380 1 6 2 LEVONORGESTREL, ETHINYL ESTRADIOL 50002, 70027 1040<br />
FLEET BABYLAX 98059 GLYCERIN 52450 2 6 1 0876<br />
INTERLEUKIN 11 99115 OPRELVEKIN 70043 1 6 1 1479, 2087, 2095<br />
QUININE SULFATE 26045 11089 0074 QUININE 55050 3 6 1 1373, 1860, 1864<br />
ENSURE 11390 7559 0051 COMBINATION PRODUCT 51380 2 6 1 MULTIVITAMINS, PROTEIN SUPPLEMENT, CARBOHYDRATE(S) 53805, 54922, 57168 0914<br />
CORDARONE 60370 5862 0039 AMIODARONE HCL 50223 1 6 1 0502<br />
OYSTER SHELL & VITAMIN D 22350 2214 0015 COMBINATION PRODUCT 51380 2 6 2 CALCIUM CARBONATE, VITAMIN D 50785, 56194 0913<br />
VOLTAREN 34725 1435 0010 DICLOFENAC SODIUM 80004 1 6 1 1724, 1727<br />
LACTASE ENZYME 04158 1143 0008 LACTASE 52975 2 6 1 0877<br />
CYCLOSPORINE 93202 301 0002 CYCLOSPORINE 51493 1 6 1 1181<br />
DIMETAPP 09690 210 0001 UNDETERMINED 50000 2 6 3 1941<br />
SULFATRIM 29888 175 0001 COMBINATION PRODUCT 51380 1 6 2 SULFAMETHOXAZOLE, TRIMETHOPRIM 55555, 55997 0353<br />
MYTREX 20153 126 0001 COMBINATION PRODUCT 51380 1 6 2 NYSTATIN, TRIAMCINOLONE ACETONIDE 53995, 70307 1268, 1271<br />
LYSINE 18050 111 0001 LYSINE 53160 3 6 1 2087<br />
POTASSIUM PHOSPHATE 24730 88 0001 POTASSIUM PHOSPHATE 54733 3 6 1 0915<br />
AVANDAMET 03105 885 0006 COMBINATION PRODUCT 51380 1 6 2 METFORMIN, ROSIGLITAZONE MALEATE 57192, 70013 0914, 1036<br />
ANODYNOS-DHC 02045 COMBINATION PRODUCT 51380 1 3 2 ACETAMINOPHEN, HYDROCODONE BITARTRATE 50005, 70217 1721, 1943<br />
PHENYLHISTINE DH 24018 COMBINATION PRODUCT 51380 2 5 2 ALCOHOL, CHLORPHENIRAMINE, CODEINE, PHENYLPROPANOLAMINE 50090, 51130, 51340, 54465 1941, 1943, 1944<br />
FERO-FOLIC-500 12340 333 0002 COMBINATION PRODUCT 51380 1 6 2 FOLIC ACID, IRON PREPARATIONS, VITAMIN C 52355, 52885, 56193 0408, 0913<br />
LICE SHAMPOO 00001 UNDETERMINED 50000 3 6 3 1863<br />
TAMIFLU 00002 OSELTAMIVIR PHOSPHATE 70102 1 6 1 0388<br />
<strong>Drug</strong> Class<br />
Codes
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