methylergonovine 0.2 mg/ml (1 ml) injection solution enoxaparin 100 mg/ml subcutaneous syringe

Transcription

1 Px Code Generic Name NDC Unit Price phenylephrine 1 mg/10 ml (100 mcg/ml) in 0.9 % sod.chloride IV syringe phenylephrine 1 mg/10 ml (100 mcg/ml) in 0.9 % sod.chloride IV syringe dextrose 10 % in water (D10W) intravenous solution dextrose 5 % in water (D5W) intravenous solution electrolyte-p in dextrose 5 % intravenous solution dextrose 5 % in water (D5W) IV dextrose 5 % and 0.45 % sodium chloride IV dextrose 10% in water (D10W) IV Soln dextrose 5 % in water (D5W) intravenous solution etoposide 20 mg/ml intravenous solution ofatumumab 100 mg/5 ml intravenous solution , filgrastim 300 mcg/ml injection solution , fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback heparin (porcine) 1,000 unit/ml injection solution heparin (porcine) 1,000 unit/ml injection solution heparin (porcine) 1,000 unit/ml injection solution heparin (porcine) 1,000 unit/ml injection solution heparin (porcine) 10,000 unit/ml injection solution heparin (porcine) 10,000 unit/ml injection solution heparin (porcine) 10,000 unit/ml injection solution heparin (porcine) 5,000 unit/ml injection solution ifosfamide 1 gram intravenous solution ifosfamide 3 gram intravenous solution interferon alfa-2b 50 million unit (1 ml) solution for injection , LORazepam 2 mg/ml injection solution LORazepam 2 mg/ml injection solution LORazepam 2 mg/ml injection solution LORazepam 2 mg/ml injection solution LORazepam 2 mg/ml injection solution LORazepam 2 mg/ml injection solution triptorelin pamoate 22.5 mg/2 ml intramuscular syringe , cabazitaxel 10 mg/ml (first dilution) intravenous solution ,243.86

2 methylergonovine 0.2 mg/ml (1 ml) injection solution enoxaparin 100 mg/ml subcutaneous syringe midazolam 5 mg/ml injection solution ondansetron HCl (PF) 4 mg/2 ml injection solution ondansetron HCl (PF) 4 mg/2 ml injection solution ondansetron HCl (PF) 4 mg/2 ml injection solution ondansetron HCl (PF) 4 mg/2 ml injection solution ondansetron HCl (PF) 4 mg/2 ml injection solution ondansetron HCl 2 mg/ml intravenous solution DOCEtaxel 20 mg/ml (1 ml) intravenous solution , DOCEtaxel 20 mg/ml (1 ml) intravenous solution DOCEtaxel 20 mg/ml (1 ml) intravenous solution fosaprepitant 150 mg intravenous solution , fosaprepitant 150 mg intravenous solution , ceftaroline fosamil 600 mg intravenous solution fondaparinux 5 mg/0.4 ml subcutaneous solution syringe fondaparinux 5 mg/0.4 ml subcutaneous solution syringe fondaparinux 7.5 mg/0.6 ml subcutaneous solution syringe fondaparinux 7.5 mg/0.6 ml subcutaneous solution syringe fondaparinux 7.5 mg/0.6 ml subcutaneous solution syringe fondaparinux 10 mg/0.8 ml subcutaneous solution syringe darbepoetin alfa 25 mcg/0.42 ml in polysorbate injection syringe darbepoetin alfa 40 mcg/0.4 ml in polysorbate injection syringe , darbepoetin alfa 60 mcg/0.3 ml in polysorbate injection syringe , darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe , darbepoetin alfa 150 mcg/0.3 ml in polysorbate injection syringe , penicillin G benzathine 1,200,000 unit/2 ml intramuscular syringe bevacizumab 25 mg/ml intravenous solution , bevacizumab 25 mg/ml intravenous solution , filgrastim 480 mcg/1.6 ml injection solution , levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback levofloxacin 500 mg/100 ml in 5 % dextrose intravenous piggyback levofloxacin 750 mg/150 ml in 5 % dextrose intravenous piggyback

3 DOCEtaxel 80 mg/4 ml (20 mg/ml) intravenous solution poliovirus vaccine 40 unit-8 unit-32 unit/0.5 ml injection suspension ketorolac 30 mg/ml (1 ml) injection solution ketorolac 30 mg/ml (1 ml) injection solution ketorolac 30 mg/ml (1 ml) injection solution topotecan 4 mg/4 ml (1 mg/ml) intravenous solution topotecan 4 mg/4 ml (1 mg/ml) intravenous solution belimumab 120 mg intravenous solution , belimumab 400 mg intravenous solution , penicillin G benzathine 600,000 unit/ml intramuscular syringe ibandronate 3 mg/3 ml intravenous syringe brentuximab vedotin 50 mg intravenous solution , rifampin 600 mg intravenous solution digoxin 250 mcg/ml injection solution digoxin 250 mcg/ml injection solution acetazolamide 500 mg solution for injection fluoride 0.25 mg (0.55 mg sodium fluoride)/drop oral drops terbutaline 1 mg/ml subcutaneous solution HYDROmorphone 2 mg/ml injection syringe HYDROmorphone 2 mg/ml injection syringe pneumococcal 23 polyvalent vaccine 25 mcg/0.5 ml injection syringe linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HYDROmorphone 1 mg/ml injection syringe HYDROmorphone 1 mg/ml injection syringe HYDROmorphone 1 mg/ml injection syringe oxytocin 20 unit/1000 ml in 0.9 % sodium chloride intravenous oxytocin 20 unit/1000 ml in 0.9 % sodium chloride intravenous oxytocin 20 unit/1000 ml in 0.9 % sodium chloride intravenous meperidine (PF) 25 mg/ml injection syringe meperidine (PF) 50 mg/ml injection syringe meperidine (PF) 100 mg/ml injection syringe BCG live 50 mg intravesical suspension h papillomavirus vac,qval(pf) 20mcg-40mcg-40mcg-20mcg/0.5mL IM susp

4 h papillomavirus vac,qval(pf) 20mcg-40mcg-40mcg-20mcg/0.5mL IM susp etanercept 50 mg/ml (0.98 ml) subcutaneous pen injector , hepatitis B immune globulin 220 unit/ml intramuscular solution hepatitis B immune globulin 110 unit/0.5 ml intramuscular syringe , hepatitis A virus vaccine (PF) 720 ELISA unit/0.5 ml IM suspension hepatitis A vaccine (PF) 1,440 ELISA unit/ml intramuscular syringe hepatitis A virus vaccine (PF) 50 unit/ml intramuscular syringe hepatitis A virus vaccine (PF) 50 unit/ml intramuscular syringe hepatitis A virus vaccine (PF) 1,440 ELISA unit/ml IM suspension triptorelin pamoate mg/2 ml intramuscular syringe , methylprednisolone sod succ (PF) 40 mg/ml solution for injection methylprednisolone sod succ (PF) 125 mg/2 ml solution for injection amikacin 500 mg/2 ml injection solution glucagon (human recombinant) 1 mg/ml solution for injection succinylcholine chloride 140 mg/7 ml (20 mg/ml) intravenous syringe succinylcholine chloride 140 mg/7 ml (20 mg/ml) intravenous syringe octreotide acetate 100 mcg/ml (1 ml) injection syringe EPINEPHrine 1 mg/ml (1 ml) injection solution EPINEPHrine 1 mg/ml (1 ml) injection solution EPINEPHrine 1 mg/ml (1 ml) injection solution ropivacaine (PF) 5 mg/ml (0.5 %) injection solution calcium gluconate 100 mg/ml (10 %) intravenous solution calcium gluconate 100 mg/ml (10 %) intravenous solution calcium gluconate 100 mg/ml (10 %) intravenous solution calcium gluconate 100 mg/ml (10 %) intravenous solution cefazolin 1 gram solution for injection cefazolin 1 gram solution for injection cefazolin 1 gram solution for injection cefazolin 10 gram solution for injection cefazolin 10 gram solution for injection cytomegalovirus immune globulin 50 mg/ml intravenous solution , epoetin alfa 20,000 unit/ml injection solution , prochlorperazine Edisylate 10 mg/2 ml (5 mg/ml) injection solution prochlorperazine Edisylate 10 mg/2 ml (5 mg/ml) injection solution

5 bupivacaine liposome(pf) 1.3 %(13.3 mg/ml) suspension for infiltration HYDROmorphone 0.5 mg/ml in 0.9 % sodium chloride intravenous syringe pertuzumab 420 mg/14 ml (30 mg/ml) intravenous solution , hepatitis A virus vaccine (PF) 25 unit/0.5 ml intramuscular syringe morphine (PF) 1 mg/ml injection solution carfilzomib 60 mg intravenous solution , ziv-aflibercept 100 mg/4 ml (25 mg/ml) intravenous solution , ziv-aflibercept 200 mg/8 ml (25 mg/ml) intravenous solution , morphine 2 mg/ml intravenous cartridge morphine 2 mg/ml intravenous cartridge morphine 4 mg/ml intravenous cartridge morphine 4 mg/ml intravenous cartridge levonorgestrel 14 mcg/24 hour (3 years) intrauterine device , baclofen 40,000 mcg/20 ml (2,000 mcg/ml) intrathecal syringe , baclofen 40,000 mcg/20 ml (2,000 mcg/ml) intrathecal syringe , goserelin 10.8 mg subcutaneous implant , ado-trastuzumab emtansine 100 mg intravenous solution , ado-trastuzumab emtansine 160 mg intravenous solution , cefepime 1 gram solution for injection cefepime 1 gram solution for injection cefepime 2 gram solution for injection cefepime 2 gram solution for injection HYDROmorphone 0.5 mg/0.5 ml injection syringe HYDROmorphone 0.5 mg/0.5 ml injection syringe neostigmine methylsulfate 1 mg/ml intravenous solution neostigmine methylsulfate 1 mg/ml intravenous solution neostigmine methylsulfate 1 mg/ml intravenous solution chlorpromazine 25 mg/ml injection solution DOCEtaxel 140 mg/7 ml (20 mg/ml) intravenous solution , copper 380 square mm intrauterine device , tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe diph,pertus(acel),tet,polio(pf) 15 Lf-48 mcg-5 Lf unit/0.5 ml IM susp vedolizumab 300 mg intravenous solution , oritavancin 400 mg intravenous solution ,528.33

6 bendamustine 180 mg/2 ml intravenous solution , bendamustine 45 mg/0.5 ml intravenous solution , human papillomavirus vaccine,9-valent (PF) 0.5 ml IM suspension human papillomavirus vaccine,9-valent(pf) 0.5 ml intramuscular syringe ceftolozane-tazobactam 1.5 gram intravenous solution nivolumab 40 mg/4 ml intravenous solution , nivolumab 100 mg/10 ml intravenous solution , pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector , pembrolizumab 25 mg/ml intravenous solution , octreotide,microspheres ER 20 mg intramuscular susp, extended release , octreotide,microspheres ER 30 mg intramuscular susp, extended release , octreotide,microspheres ER 10 mg intramuscular susp, extended release , trabectedin 1 mg intravenous solution , morphine 4 mg/ml intravenous solution topotecan 4 mg intravenous solution , meropenem 500 mg intravenous solution meropenem 1 gram intravenous solution idarucizumab 2.5 gram/50 ml intravenous solution , neostigmine methylsulfate 3 mg/3 ml (1 mg/ml) intravenous syringe neostigmine methylsulfate 3 mg/3 ml (1 mg/ml) intravenous syringe neostigmine methylsulfate 3 mg/3 ml (1 mg/ml) intravenous syringe succinylcholine(pf)200 mg/10 ml(20 mg/ml)-nacl,iso intravenous syringe infliximab-dyyb 100 mg intravenous solution , levonorgestrel 17.5 mcg/24 hour (5 years) intrauterine device , trastuzumab 150 mg intravenous solution , hemin 350 mg intravenous powder for solution , varicella-zoster glycoe vacc-as01b adj(pf) 50 mcg/0.5 ml IM susp, kit varicella-zoster glycoe vacc-as01b adj(pf) 50 mcg/0.5 ml IM susp, kit varicella-zoster glycop E vaccine (vial 2 of 2) 50 mcg IM suspension varicella-zoster glycop E vaccine (vial 2 of 2) 50 mcg IM suspension nivolumab 240 mg/24 ml intravenous solution , piperacillin-tazobactam 4.5 gram intravenous solution piperacillin-tazobactam 4.5 gram intravenous solution piperacillin-tazobactam 4.5 gram intravenous solution

7 piperacillin-tazobactam 4.5 gram intravenous solution piperacillin-tazobactam 4.5 gram intravenous solution piperacillin-tazobactam gram intravenous solution piperacillin-tazobactam gram intravenous solution piperacillin-tazobactam gram intravenous solution piperacillin-tazobactam gram intravenous solution piperacillin-tazobactam gram intravenous solution piperacillin-tazobactam gram intravenous solution piperacillin-tazobactam 2.25 gram intravenous solution piperacillin-tazobactam 2.25 gram intravenous solution piperacillin-tazobactam 2.25 gram intravenous solution piperacillin-tazobactam 2.25 gram intravenous solution piperacillin-tazobactam 2.25 gram intravenous solution cyanocobalamin (vit B-12) 1,000 mcg/ml injection solution azithromycin 500 mg intravenous solution fomepizole 1 gram/ml intravenous solution , morphine (PF) 30 mg/30 ml PCA intravenous solution morphine (PF) 30 mg/30 ml PCA intravenous solution morphine (PF) 30 mg/30 ml PCA intravenous solution morphine (PF) 30 mg/30 ml PCA intravenous solution ketorolac 15 mg/ml injection solution ketorolac 15 mg/ml injection solution dexamethasone 10 mg/ml injection solution dexamethasone 4 mg/ml injection solution dexamethasone 4 mg/ml injection solution dicyclomine 10 mg/ml intramuscular solution dicyclomine 20 mg tablet thyrotropin alfa 1.1 mg intramuscular solution , sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous diphenhydramine 50 mg/ml injection solution methacholine chloride 100 mg solution for inhalation morphine 10 mg/ml intravenous solution DOXOrubicin, pegylated liposomal 2 mg/ml intravenous suspension ,842.31

8 EPINEPHrine 0.1 mg/ml injection syringe DACTINomycin 0.5 mg intravenous solution , typhoid vaccine,live,attenuated 2 billion unit capsule,delayed release typhoid vaccine,live,attenuated 2 billion unit capsule,delayed release levonorgestrel 20 mcg/24 hr (5 years) intrauterine device , levonorgestrel 20 mcg/24 hr (5 years) intrauterine device , bivalirudin 250 mg intravenous solution fentanyl (PF) 50 mcg/ml injection solution fentanyl (PF) 50 mcg/ml injection solution fentanyl (PF) 50 mcg/ml injection solution fentanyl (PF) 50 mcg/ml injection solution fentanyl (PF) 50 mcg/ml injection solution fentanyl (PF) 50 mcg/ml injection solution fentanyl (PF) 50 mcg/ml injection solution fentanyl (PF) 50 mcg/ml injection solution fentanyl (PF) 50 mcg/ml injection solution ipratropium-albuterol 0.5 mg-3 mg(2.5 mg base)/3 ml nebulization soln alteplase 2 mg intra-catheter solution fondaparinux 2.5 mg/0.5 ml subcutaneous solution syringe fondaparinux 2.5 mg/0.5 ml subcutaneous solution syringe pegfilgrastim 6 mg/0.6 ml subcutaneous syringe , ampicillin-sulbactam 1.5 gram solution for injection ampicillin-sulbactam 1.5 gram solution for injection ampicillin-sulbactam 3 gram solution for injection ampicillin-sulbactam 3 gram solution for injection ampicillin-sulbactam 3 gram solution for injection ampicillin-sulbactam 3 gram solution for injection ampicillin-sulbactam 3 gram solution for injection onabotulinumtoxina 100 unit solution for injection furosemide 10 mg/ml injection solution furosemide 10 mg/ml injection solution furosemide 10 mg/ml injection solution furosemide 10 mg/ml injection solution furosemide 10 mg/ml injection solution

9 furosemide 10 mg/ml injection solution rasburicase 1.5 mg intravenous solution , midazolam 1 mg/ml in 0.9 % sodium chloride intravenous bortezomib 3.5 mg solution for injection , haloperidol lactate 5 mg/ml injection solution omalizumab 150 mg subcutaneous solution , alpha-1-proteinase inhibitor (human) 1,000 mg intravenous solution alpha-1-proteinase inhibitor (human) 1,000 mg intravenous solution palonosetron 0.25 mg/5 ml intravenous solution palonosetron 0.25 mg/5 ml intravenous solution hydralazine 20 mg/ml injection solution hydralazine 20 mg/ml injection solution hydralazine 20 mg/ml injection solution DAPTOmycin 500 mg intravenous solution , DAPTOmycin 500 mg intravenous solution , DAPTOmycin 500 mg intravenous solution , sodium hyaluronate 30 mg/2 ml intra-articular syringe rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe fludarabine 50 mg/2 ml intravenous solution tigecycline 50 mg intravenous solution measles,mumps,rubel,varicel liv(pf)10e tcid50/0.5 ml subcut measles,mumps,rubel,varicel liv(pf)10e tcid50/0.5 ml subcut lidocaine 10 mg/ml (1 %) injection solution ampicillin 1 gram solution for injection ampicillin 2 gram solution for injection magnesium sulfate 4 meq/ml (50 %) injection solution ampicillin 250 mg solution for injection ampicillin 250 mg solution for injection

10 ampicillin 500 mg solution for injection mannitol 25 % intravenous solution meperidine (PF) 25 mg/ml injection solution meperidine (PF) 50 mg/ml injection solution metoclopramide 5 mg/ml injection solution metoclopramide 5 mg/ml injection solution oxacillin 2 gram solution for injection , penicillin G potassium 5 million unit solution for injection PHENobarbital sodium 130 mg/ml injection solution PHENobarbital sodium 65 mg/ml injection solution phenylephrine 10 mg/ml injection solution phenytoin sodium 50 mg/ml intravenous solution phenytoin sodium 50 mg/ml intravenous solution phenytoin sodium 50 mg/ml intravenous solution potassium chloride 2 meq/ml intravenous solution potassium chloride 2 meq/ml intravenous solution potassium chloride 2 meq/ml intravenous solution pralidoxime 1 gram solution for injection promethazine 25 mg/ml injection solution promethazine 25 mg/ml injection solution

11 promethazine 25 mg/ml injection solution promethazine 12.5 mg tablet antihemophilic factor-vwf 500 unit-1,200 unit intravenous solution , antihemophilic factor-vwf 1,000 unit-2,400 unit intravenous solution , atropine 0.4 mg/ml injection solution succinylcholine chloride 20 mg/ml injection solution alglucosidase alfa 50 mg intravenous solution , decitabine 50 mg intravenous solution , zoster vaccine live (PF) 19,400 unit/0.65 ml subcutaneous suspension darbepoetin alfa 25 mcg/ml in polysorbate injection etonogestrel 68 mg subdermal implant , levetiracetam 500 mg/5 ml intravenous solution levetiracetam 500 mg/5 ml intravenous solution levetiracetam 500 mg/5 ml intravenous solution levetiracetam 500 mg/5 ml intravenous solution arformoterol 15 mcg/2 ml solution for nebulization thiamine HCl (vitamin B1) 100 mg/ml injection solution fluorouracil 2.5 gram/50 ml intravenous solution fluorouracil 500 mg/10 ml intravenous solution fluorouracil 500 mg/10 ml intravenous solution fluorouracil 1 gram/20 ml intravenous solution temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln , vancomycin 1,000 mg intravenous injection vancomycin 1,000 mg intravenous injection vancomycin 1,000 mg intravenous injection vancomycin 1,000 mg intravenous injection vancomycin 1,000 mg intravenous injection vancomycin 500 mg intravenous solution lanreotide 120 mg/0.5 ml subcutaneous syringe , fosphenytoin 500 mg PE/10 ml injection solution fosphenytoin 100 mg PE/2 ml injection solution fosphenytoin 100 mg PE/2 ml injection solution methotrexate sodium (PF) 25 mg/ml injection solution methotrexate sodium (PF) 25 mg/ml injection solution

12 methotrexate sodium (PF) 25 mg/ml injection solution yellow fever vaccine live(pf) 10 exp4.74 unit/0.5 ml subcutaneous susp ixabepilone 15 mg intravenous solution , ixabepilone 45 mg intravenous solution , albumin, human 25 % intravenous solution albumin, human 25 % intravenous solution alteplase 100 mg intravenous solution , alteplase 50 mg intravenous solution , hepatitis A virus vaccine (PF) 720 ELISA unit/0.5 ml IM syringe hepatitis A virus vaccine (PF) 25 unit/0.5 ml intramuscular suspension secretin (human) 16 mcg intravenous solution , ketorolac 60 mg/2 ml intramuscular solution ketorolac 60 mg/2 ml intramuscular solution azathioprine 50 mg tablet azathioprine 50 mg tablet benztropine 2 mg/2 ml injection solution benztropine 2 mg/2 ml injection solution betamethasone acetate and sodium phos 6 mg/ml suspension for injection amiodarone 50 mg/ml intravenous solution amiodarone 50 mg/ml intravenous solution amiodarone 50 mg/ml intravenous solution midazolam 1 mg/ml injection solution midazolam 1 mg/ml injection solution midazolam 1 mg/ml injection solution C1 esterase inhibitor 500 unit (5 ml) intravenous solution , C1 esterase inhibitor 500 unit (5 ml) intravenous solution , cefotaxime 1 gram solution for injection cefotaxime 500 mg solution for injection ceftriaxone 1 gram solution for injection ceftriaxone 1 gram solution for injection ceftriaxone 1 gram solution for injection ceftriaxone 250 mg solution for injection ceftriaxone 250 mg solution for injection ceftriaxone 10 gram solution for injection

13 cosyntropin 0.25 mg solution for injection cyclosporine 100 mg capsule cyclosporine 25 mg capsule desmopressin 4 mcg/ml injection solution desmopressin 4 mcg/ml injection solution tobramycin 40 mg/ml injection solution dextrose 5 % and 0.2 % sodium chloride intravenous solution dextrose 5 % and 0.2 % sodium chloride intravenous solution fluorouracil 5 gram/100 ml intravenous solution digoxin 100 mcg/ml injection solution DOBUTamine 250 mg/20 ml (12.5 mg/ml) intravenous solution epoetin alfa 10,000 unit/ml injection solution epoetin alfa 10,000 unit/ml injection solution epoetin alfa 2,000 unit/ml injection solution epoetin alfa 3,000 unit/ml injection solution epoetin alfa 4,000 unit/ml injection solution oxaliplatin 50 mg/10 ml (5 mg/ml) intravenous solution oxaliplatin 100 mg/20 ml intravenous solution famotidine 20 mg tablet famotidine 20 mg tablet famotidine 20 mg tablet fat emulsion 20 % intravenous fat emulsion 20 % intravenous finasteride 5 mg tablet finasteride 5 mg tablet fluconazole 200 mg tablet EPINEPHrine 0.3 mg/0.3 ml injection, auto-injector EPINEPHrine 0.3 mg/0.3 ml injection, auto-injector fludrocortisone 0.1 mg tablet FLUoxetine 10 mg capsule FLUoxetine 10 mg capsule FLUoxetine 20 mg capsule FLUoxetine 20 mg capsule glipizide 10 mg tablet

14 glipizide 5 mg tablet glipizide 5 mg tablet hydroxychloroquine 200 mg tablet hydroxychloroquine 200 mg tablet hydroxyurea 500 mg capsule labetalol 5 mg/ml intravenous solution labetalol 200 mg tablet lidocaine (PF) 10 mg/ml (1 %) injection solution lidocaine (PF) 10 mg/ml (1 %) injection solution lidocaine (PF) 10 mg/ml (1 %) injection solution lidocaine (PF) 20 mg/ml (2 %) injection solution tamsulosin 0.4 mg capsule levothyroxine 88 mcg tablet levothyroxine 175 mcg tablet lidocaine 20 mg/ml (2 %)-epinephrine 1:100,000 injection solution lidocaine-prilocaine 2.5 %-2.5 % topical cream lidocaine-prilocaine 2.5 %-2.5 % topical cream lidocaine-prilocaine 2.5 %-2.5 % topical cream lisinopril 40 mg tablet lisinopril 40 mg tablet lisinopril 5 mg tablet lisinopril 5 mg tablet lisinopril 5 mg tablet lisinopril 5 mg tablet metformin 500 mg tablet metformin 500 mg tablet methimazole 5 mg tablet bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution bupivacaine-epinephrine (PF) 0.25 %-1:200,000 injection solution bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution lidocaine (PF) 5 mg/ml (0.5 %) injection solution

15 bupivacaine (PF) 0.5 % (5 mg/ml) injection solution bupivacaine (PF) 0.5 % (5 mg/ml) injection solution methylergonovine 0.2 mg tablet metolazone 5 mg tablet midodrine 2.5 mg tablet midodrine 5 mg tablet midodrine 5 mg tablet misoprostol 100 mcg tablet misoprostol 200 mcg tablet nimodipine 30 mg capsule nimodipine 30 mg capsule nitrofurantoin monohydrate/macrocrystals 100 mg capsule norepinephrine bitartrate 1 mg/ml intravenous solution norepinephrine bitartrate 1 mg/ml intravenous solution balanced salt solution combination no.2 intraocular irrigation electrolytes-dextrose oral solution oxycodone 5 mg/5 ml oral solution oxycodone 5 mg tablet PARoxetine 20 mg tablet sodium nitrite-sodium thiosulfate 300 mg/10 ml-12.5 gram/50 ml IV soln phenytoin 50 mg chewable tablet fidaxomicin 200 mg tablet iodine-potassium iodide 5 %-10 % topical solution prochlorperazine 25 mg rectal suppository promethazine 12.5 mg rectal suppository promethazine 25 mg rectal suppository promethazine 25 mg rectal suppository propafenone 150 mg tablet argatroban 50 mg/50 ml (1 mg/ml) in sodium chloride (iso-osmotic) IV argatroban 50 mg/50 ml (1 mg/ml) in sodium chloride (iso-osmotic) IV argatroban 50 mg/50 ml (1 mg/ml) in sodium chloride (iso-osmotic) IV propofol 10 mg/ml intravenous emulsion propofol 10 mg/ml intravenous emulsion propofol 10 mg/ml intravenous emulsion

16 pyridostigmine bromide 5 mg/ml injection solution pyridostigmine bromide 60 mg tablet pyridostigmine bromide 60 mg tablet iodine strong (Lugols) 5 % oral solution acetazolamide 250 mg tablet ostomy supplies powder bupivacaine 0.25 % (2.5 mg/ml) injection solution bupivacaine 0.25 % (2.5 mg/ml) injection solution indigotindisulfonate sodium 8 mg/ml (0.8 %) injection solution indigotindisulfonate sodium 8 mg/ml (0.8 %) injection solution dexamethasone 1 mg/ml drops (concentrate) sertraline 100 mg tablet sertraline 100 mg tablet sertraline 100 mg tablet sertraline 50 mg tablet silver nitrate applicators 75 %-25 % topical stick sodium bicarbonate 4.2 % intravenous solution sodium bicarbonate 4.2 % intravenous solution phenylephrine 1 % nasal spray sodium bicarbonate 4 % intravenous solution sodium chloride 0.9 % irrigation solution lidocaine 2 % mucosal solution lidocaine 2 % mucosal solution lidocaine 2 % mucosal solution sotalol 80 mg tablet sucralfate 100 mg/ml oral suspension sucralfate 1 gram tablet sucralfate 1 gram tablet iodoform 1/2" X 5 yard bandage iodoform 1" X 5 yard bandage terbutaline 5 mg tablet timolol maleate 0.5 % eye drops verapamil ER (SR) 120 mg tablet,extended release verapamil ER (SR) 120 mg tablet,extended release

17 verapamil ER (SR) 120 mg tablet,extended release verapamil ER (SR) 180 mg tablet,extended release verapamil ER (SR) 180 mg tablet,extended release warfarin 1 mg tablet zolpidem 10 mg tablet zolpidem 5 mg tablet zolpidem 5 mg tablet ostomy adhesive paste paraben-cetyl alcohol-stearyl alcohol-propy glycol-sls topical cleaner benzethonium chloride 0.13 % topical cleanser candida albicans skin test FDA STANDARD intradermal diltiazem 125 mg/125 ml (1 mg/ml) in dextrose 5 % IV modified lanolin topical ointment famotidine (PF) 20 mg/2 ml intravenous solution venlafaxine 37.5 mg tablet dornase alfa 1 mg/ml solution for inhalation bupivacaine (PF) 0.25 % (2.5 mg/ml) injection solution bupivacaine (PF) 0.25 % (2.5 mg/ml) injection solution bupivacaine (PF) 0.25 % (2.5 mg/ml) injection solution bupivacaine (PF) 0.25 % (2.5 mg/ml) injection solution bupivacaine 0.5 % (5 mg/ml) injection solution lidocaine HCl (bulk) 100 % powder ephedrine (PF) 25 mg/5 ml (5 mg/ml) in 0.9% sodium chloride IV syringe ephedrine (PF) 25 mg/5 ml (5 mg/ml) in 0.9% sodium chloride IV syringe ephedrine (PF) 25 mg/5 ml (5 mg/ml) in 0.9% sodium chloride IV syringe rocuronium 50 mg/5 ml (10 mg/ml) intravenous syringe rocuronium 50 mg/5 ml (10 mg/ml) intravenous syringe rocuronium 50 mg/5 ml (10 mg/ml) intravenous syringe rocuronium 50 mg/5 ml (10 mg/ml) intravenous syringe lipase-protease-amylase 5,000-17,000-27,000 unit capsule,delayed rel carbidopa ER 25 mg-levodopa 100 mg tablet,extended release midazolam 10 mg/5 ml (2 mg/ml) syrup midazolam 10 mg/5 ml (2 mg/ml) syrup tetracaine HCl (PF) 0.5 % eye drops

18 tetracaine HCl (PF) 0.5 % eye drops ketamine 50 mg/ml (1 ml) intravenous syringe ketamine 50 mg/ml (1 ml) intravenous syringe benzocaine-menthol 15 mg-2.6 mg lozenges triamterene 37.5 mg-hydrochlorothiazide 25 mg capsule lisinopril 2.5 mg tablet carbamazepine 100 mg chewable tablet carbamazepine 200 mg tablet carbamazepine 200 mg tablet fluconazole 150 mg tablet carbamide peroxide 6.5 % ear drops carbamide peroxide 6.5 % ear drops lamotrigine 25 mg tablet lamotrigine 25 mg tablet lamotrigine 100 mg tablet lamotrigine 100 mg tablet tramadol 50 mg tablet tramadol 50 mg tablet metformin 850 mg tablet metformin 850 mg tablet tizanidine 4 mg tablet losartan 25 mg tablet losartan 50 mg tablet fosfomycin tromethamine 3 gram oral packet SUMAtriptan 25 mg tablet labetalol 20 mg/4 ml (5 mg/ml) intravenous syringe valproic acid (as sodium salt) 250 mg/5 ml (5 ml) oral solution tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution morphine (PF) 30 mg/30 ml(1 mg/ml) in 0.9% sod.chloride IV PCA Syringe sodium citrate-citric acid 500 mg-334 mg/5 ml oral solution calcitonin (salmon) 200 unit/actuation nasal spray bicalutamide 50 mg tablet carvedilol 6.25 mg tablet

19 carvedilol 12.5 mg tablet carvedilol 12.5 mg tablet heparin (porcine) 25,000 unit/500 ml in 0.45 % sodium chloride IV soln morphine concentrate 20 mg/ml oral syringe (FOR ORAL USE ONLY) isopropyl alcohol 70 % solution megestrol 400 mg/10 ml (10 ml) oral suspension glucose 4 gram chewable tablet melatonin 1 mg/ml oral liquid cisatracurium 2 mg/ml intravenous solution cisatracurium 2 mg/ml intravenous solution chlordiazepoxide 25 mg capsule chlordiazepoxide 5 mg capsule glimepiride 2 mg tablet glimepiride 4 mg tablet ferric subsulfate 0.2 gram to 0.22 gram/ml topical soln and applicator chlorpromazine 25 mg tablet chlorthalidone 25 mg tablet factor IX recomb, Fc fusion protein 3,000 unit intravenous solution , vasopressin 20 unit/ml intravenous solution saliva stimulant combination no.5 lozenges glycopyrrolate 0.4 mg/2 ml (0.2 mg/ml) intravenous syringe glycopyrrolate 0.4 mg/2 ml (0.2 mg/ml) intravenous syringe clorazepate dipotassium 7.5 mg tablet ephedrine sulfate 50 mg/ml intravenous solution ephedrine sulfate 50 mg/ml intravenous solution methylene blue (antidote) 5 mg/ml (0.5 %) intravenous solution glycopyrrolate (PF) 1 mg/5 ml (0.2 mg/ml) in sterile water IV syringe torsemide 20 mg tablet torsemide 20 mg tablet torsemide 5 mg tablet lipase-protease-amylase 5,000-17,000-24,000 unit capsule, delayed rel gabapentin 400 mg capsule gabapentin 400 mg capsule gabapentin 400 mg capsule

20 gabapentin 300 mg capsule gabapentin 300 mg capsule gabapentin 300 mg capsule gabapentin 100 mg capsule gabapentin 100 mg capsule gabapentin 100 mg capsule gabapentin 100 mg capsule gabapentin 100 mg capsule sterile talc 3 gram intrapleural aerosol powder sterile talc 3 gram intrapleural aerosol powder bupropion HCl SR 150 mg tablet,12 hr sustained-release carvedilol mg tablet diphenhydramine 25 mg-acetaminophen 500 mg tablet sodium nitroprusside 25 mg/ml intravenous solution , topiramate 25 mg tablet topiramate 100 mg tablet hydrochlorothiazide 12.5 mg capsule atorvastatin 10 mg tablet atorvastatin 10 mg tablet atorvastatin 20 mg tablet atorvastatin 20 mg tablet warfarin 3 mg tablet ofloxacin 0.3 % eye drops ofloxacin 0.3 % eye drops sertraline 25 mg tablet sertraline 25 mg tablet sertraline 25 mg tablet cyclobenzaprine 10 mg tablet cyproheptadine 4 mg tablet etomidate 2 mg/ml intravenous solution etomidate 2 mg/ml intravenous solution valproate sodium 500 mg/5 ml (100 mg/ml) intravenous solution morphine ER 15 mg tablet,extended release morphine ER 15 mg tablet,extended release

21 morphine ER 30 mg tablet,extended release azithromycin 250 mg tablet azithromycin 250 mg tablet azithromycin 250 mg tablet azithromycin 250 mg tablet citalopram 20 mg tablet QUEtiapine 25 mg tablet QUEtiapine 100 mg tablet montelukast 10 mg tablet montelukast 10 mg tablet montelukast 10 mg tablet diazepam 10 mg tablet diazepam 2 mg tablet diazepam 5 mg tablet dicloxacillin 250 mg capsule dicloxacillin 500 mg capsule dicyclomine 10 mg capsule isosorbide mononitrate ER 60 mg tablet,extended release 24 hr digoxin 125 mcg tablet digoxin 250 mcg tablet celecoxib 100 mg capsule celecoxib 200 mg capsule isosorbide mononitrate ER 30 mg tablet,extended release 24 hr ciprofloxacin 250 mg tablet ciprofloxacin 500 mg tablet divalproex 250 mg tablet,delayed release divalproex 250 mg tablet,delayed release risperidone 0.5 mg tablet pioglitazone 15 mg tablet pioglitazone 15 mg tablet doxapram 20 mg/ml intravenous solution doxepin 10 mg capsule doxepin 25 mg capsule doxepin 50 mg capsule

22 pantoprazole 40 mg tablet,delayed release pantoprazole 40 mg tablet,delayed release pantoprazole 40 mg tablet,delayed release pantoprazole 40 mg intravenous solution pantoprazole 40 mg intravenous solution pantoprazole 40 mg intravenous solution doxycycline hyclate 100 mg tablet doxycycline hyclate 100 mg tablet levetiracetam 250 mg tablet levetiracetam 500 mg tablet levetiracetam 500 mg tablet levetiracetam 500 mg tablet dofetilide 125 mcg capsule nitroglycerin 400 mcg/spray translingual nitroglycerin 400 mcg/spray translingual dexmedetomidine 100 mcg/ml intravenous solution dexmedetomidine 100 mcg/ml intravenous solution dexmedetomidine 100 mcg/ml intravenous solution montelukast 4 mg chewable tablet montelukast 4 mg chewable tablet NIFEdipine ER 30 mg tablet,extended release 24 hr NIFEdipine ER 30 mg tablet,extended release 24 hr NIFEdipine ER 90 mg tablet,extended release 24 hr estradiol 0.05 mg/24 hr semiweekly transdermal patch estradiol 0.1 mg/24 hr semiweekly transdermal patch estradiol 0.1 mg/24 hr semiweekly transdermal patch dextrose 40 % oral gel dinoprostone ER 10 mg vaginal insert,controlled release , dinoprostone ER 10 mg vaginal insert,controlled release , nitroglycerin 0.1 mg/hr transdermal 24 hour patch nitroglycerin 0.2 mg/hr transdermal 24 hour patch nitroglycerin 0.3 mg/hr transdermal 24 hour patch nitroglycerin 0.3 mg/hr transdermal 24 hour patch nitroglycerin 0.4 mg/hr transdermal 24 hour patch