2009 Table of Drugs - NHIA

Adrenalin Chloride, see Adrenalin, epinephrineAdrenalin, epinephrine up to 1 ml ampule SC, IM J0170Adriamycin PFS, see Doxorubicin HClAdriamycin RDF, see Doxorubicin HClAdrucil, see FluorouracilAgalsidase beta 1 mg J0180Aggrastat, see Tirofiban hydrochlorideA-hydroCort, see Hydrocortisone sodium phosphateAkineton, see BiperidenAlatrofloxacin mesylate, injection 100 mg IV J0200Albuterol 0.5 mg INH J7620Albuterol, concentrated form 1 mg INH J7610, J7611Albuterol, unit dose form 1 mg INH J7609, J7613Aldesleukin per single use vial IM, IV J9015Aldomet, see Methyldopate HClAlefacept 0.5 mg J0215Alemtuzumab 10 mg J9010Alferon N, see Interferon alfa-n3Alglucerase per 10 units IV J0205Alglucosidase 10 mg J0220Alkaban-AQ, see Vinblastine sulfateAlkeran, see Melphalan, oralAlpha 1-proteinase inhibitor, human 10 mg IV J0256AlphanateJ7186Alprostadil, injection 1.25 mcg OTH J0270injectionAlprostadil, urethral suppository OTH J0275Alteplase recombinant 1 mg IV J2997Alupent, see Metaproterenol sulfate or Metaproterenol, compoundedAmcort, see Triamcinolone diacetateA-methaPred, see Methylprednisolone sodium succinateAmgen, see Interferon alphacon-1Amifostine 500 mg IV J0207Amikacin sulfate 100 mg J0278Aminolevalinic acid Hcl unit dose (354 mg) OTH J7308Aminophylline/Aminophyllin up to 250 mg IV J0280Amiodarone HCl 30 mg IV J0282Amitriptyline HCl up to 20 mg IM J1320Amobarbital up to 125 mg IM, IV J0300Amphocin, see Amphotericin BAmphotericin B 50 mg IV J0285Amphotericin B, lipid complex 10 mg IV J0287-J0289Ampicillin sodium up to 500 mg IM, IV J0290Ampicillin sodium/sulbactam sodium per 1.5 gm IM, IV J0295Amygdalin, see Laetrile, Amygdalin, vitamin B-17Amytal, see AmobarbitalAnabolin LA 100, see Nandrolone decanoate

Astramorph PF, see Morphine sulfateAtgam, see Lymphocyte immune globulinAtivan, see LorazepamAtropine, concentrated form per mg INH J7635Atropine, unit dose form per mg INH J7636Atropine sulfate up to 0.3 mg IV, IM, SC J0460Atrovent, see Ipratropium bromideAurothioglucose up to 50 mg IM J2910Autologous cultured chondrocytes implantJ7330Autoplex T, see Hemophilia clotting factorsAvonex, see Interferon beta-1aAzacitidine 1 mg J9025Azathioprine 50 mg ORAL J7500Azathioprine, parenteral 100 mg IV J7501Azithromycin, dihydrate 1 gm ORAL Q0144Azithromycin, injection 500 mg IV J0456BBaclofen 10 mg IT J0475Baclofen for intrathecal trial 50 mcg OTH J0476Bactocill, see Oxacillin sodiumBAL in oil, see DimercaprolBanflex, see Orphenadrine citrateBasiliximab 20 mg J0480BCG (Bacillus Calmette and Guérin), live per vial IV J9031instillationBeclomethasone inhalation solution, unit dose form per mg INH J7622Bena-D 10, see Diphenhydramine HClBena-D 50, see Diphenhydramine HClBenadryl, see Diphenhydramine HClBenahist 10, see Diphenhydramine HClBenahist 50, see Diphenhydramine HClBen-Allergin-50, see Diphenhydramine HClBendamustine HCl 1 mg J9033Benefix, see Factor IX, recombinantBenoject-10, see Diphenhydramine HClBenoject-50, see Diphenhydramine HClBentyl, see DicyclomineBenztropine mesylate per 1 mg IM, IV J0515Berubigen, see Vitamin B-12 cyanocobalaminBetalin 12, see Vitamin B-12 cyanocobalaminBetameth, see Betamethasone sodium phosphateBetamethasone acetate& betamethasone sodium phosphate per 3 mg IM J07024

Calphosan, see Calcium glycerophosphate and calcium lactateCamptosar, see IrinotecanCapecitabine 150 mg ORAL J8520Capecitabine 500 mg ORAL J8521Carbocaine with Neo-Cobefrin, see MepivacaineCarbocaine, see MepivacaineCarboplatin 50 mg IV J9045Carmustine 100 mg IV J9050Carnitor, see LevocarnitineCarticel, see Autologous cultured chondrocytesCaspofungin acetate 5 mg IV J0637Cefadyl, see Cephapirin SodiumCefazolin sodium 500 mg IV, IM J0690Cefepime hydrochloride 500 mg IV J0692Cefizox, see Ceftizoxime sodiumCefotaxime sodium per 1 g IV, IM J0698Cefoxitin sodium 1 g IV, IM J0694Ceftazidime per 500 mg IM, IV J0713Ceftizoxime sodium per 500 mg IV, IM J0715Ceftriaxone sodium per 250 mg IV, IM J0696Cefuroxime sodium, sterile per 750 mg IM, IV J0697Celestone Phosphate, see Betamethasone sodium phosphateCelestone Soluspan, see Betamethasone acetateand betamethasone sodium phosphateCellCept, see Mycophenolate mofetilCel-U-Jec, see Betamethasone sodium phosphateCenacort Forte, see Triamcinolone diacetateCenacort A-40, see Triamcinolone acetonideCephalothin sodium up to 1 g IM, IV J1890Cephapirin sodium up to 1 g IV, IM J0710Ceredase, see AlgluceraseCerezyme, see ImigluceraseCerubidine, see Daunorubicin HClCetuximab 10 mg J9055Chealamide, see Endrate ethylenediamine-tetra-acetic acidChloramphenicol sodium succinate up to 1 g IV J0720Chlordiazepoxide HCl up to 100 mg IM, IV J1990Chloromycetin Sodium Succinate, see Chloramphenicol sodium succinateChloroprocaine HCl per 30 ml VAR J2400Chlorpromazine HCl, oral 10 mg ORAL Q017125 mg ORAL Q0172Chloroquine HCl up to 250 mg IM J0390Chlorothiazide sodium per 500 mg IV J1205Chlorpromazine HCl up to 50 mg IM, IV J3230Chorex-5, see Chorionic gonadotropin6

Chorex-10, see Chorionic gonadotropinChorignon, see Chorionic gonadotropinChorionic gonadotropin per 1,000 USP units IM J0725Choron 10, see Chorionic gonadotropinCidofovir 375 mg IV J0740Cilastatin sodium, imipenem per 250 mg IV, IM J0743Cipro IV, see CiprofloxacinCiprofloxacin 200 mg IV J0706Cisplatin, powder or solution per 10 mg IV J9060Cisplatin 50 mg IV J9062Cladribine per mg IV J9065Claforan, see Cefotaxime sodiumClofarabine 1 mg J9027Clonidine Hydrochloride 1 mg epidural J0735Cobex, see Vitamin B-12 cyanocobalaminCodeine phosphate per 30 mg IM, IV, SC J0745Codimal-A, see Brompheniramine maleateCogentin, see Benztropine mesylateColchicine per 1 mg IV J0760Colistimethate sodium up to 150 mg IM, IV J0770Coly-Mycin M, see Colistimethate sodiumCompa-Z, see ProchlorperazineCompazine, see ProchlorperazineCophene-B, see Brompheniramine maleateCopper contraceptive, intrauterine OTH J7300Cordarone, see Amiodarone HClCorgonject-5, see Chorionic gonadotropinCorticorelin ovine triflutate 1 mcg J0795Corticotropin up to 40 units IV, IM, SC J0800Cortrosyn, see CosyntropinCosmegen, see DactinomycinCosyntropin per 0.25 mg IM, IV J0835Cotranzine, see ProchlorperazineCromolyn sodium, unit dose form per 10 mg INH J7631,J7632Crysticillin 300 A.S., see Penicillin G procaineCrysticillin 600 A.S., see Penicillin G procaineCyclophosphamide 100 mg IV J9070200 mg IV J9080500 mg IV J90901 g IV J90912 g IV J9092Cyclophosphamide, lyophilized 100 mg IV J9093200 mg IV J9094500 mg IV J90951 g IV J90967

2 g IV J9097Cyclophosphamide, oral 25 mg ORAL J8530Cyclosporine, oral 25 mg ORAL J7515100 mg ORAL J7502Cyclosporine, parenteral 250 mg IV J7516Cytarabine 100 mg SC, IV J9100Cytarabine 500 mg SC, IV J9110Cytarabine liposome 10 mg J9098Cytomegalovirus immune globulin intravenous(human)per vial IV J0850Cytosar-U, see CytarabineCytovene, see Ganciclovir sodiumCytoxan, see Cyclophosphamide; cyclophosphamide, lyophilized; andcyclophosphamide, oralDD-5-W, infusion 1000 cc IV J7070Dacarbazine 100 mg IV J9130200 mg IV J9140Daclizumab 25 mg IV J7513Dactinomycin 0.5 mg IV J9120Dalalone, see Dexamethasone sodium phosphateDalalone L.A., see Dexamethasone acetateDalteparin sodium per 2500 IU SC J1645Daptomycin 1 mg J0878Darbepoetin Alfa 1 mcg J0881, J0882Daunorubicin citrate, liposomal 10 mg IV J9151formulationDaunorubicin HCl 10 mg IV J9150Daunoxome, see Daunorubicin citrateDDAVP, see Desmopressin acetateDecadron Phosphate, see Dexamethasone sodium phosphateDecadron, see Dexamethasone sodium phosphateDecadron-LA, see Dexamethasone acetateDeca-Durabolin, see Nandrolone decanoateDecaject, see Dexamethasone sodium phosphateDecaject-L.A., see Dexamethasone acetateDecitabine 1 mg J0894Decolone-50, see Nandrolone decanoateDecolone-100, see Nandrolone decanoateDe-Comberol, see Testosterone cypionate and estradiol cypionateDeferoxamine mesylate 500 mg IM, SC, IV J0895Dehist, see Brompheniramine maleateDeladumone OB, see Testosterone enanthate and estradiol valerateDeladumone, see Testosterone enanthate and estradiol valerate8

Delatest, see Testosterone enanthateDelatestadiol, see Testosterone enanthate and estradiol valerateDelatestryl, see Testosterone enanthateDelta-Cortef, see Prednisolone, oralDelestrogen, see Estradiol valerateDemadex, see TorsemideDemerol HCl, see Meperidine HClDenileukin diftitox 300 mcg J9160DepAndro 100, see Testosterone cypionateDepAndro 200, see Testosterone cypionateDepAndrogyn, see Testosterone cypionate and estradiol cypionateDepGynogen, see Depo-estradiol cypionateDepMedalone 40, see Methylprednisolone acetateDepMedalone 80, see Methylprednisolone acetateDepo-estradiol cypionate up to 5 mg IM J1000Depogen, see Depo-estradiol cypionateDepoject, see Methyprednisolone acetateDepo-Medrol, see Methylprednisolone acetateDepopred-40, see Methylprednisolone acetateDepopred-80, see Methylprednisolone acetateDepo-Provera, see Medroxyprogesterone acetateDepotest, see Testosterone cypionateDepo-Testadiol, see Testosterone cypionate and estradiol cypionateDepotestogen, see Testosterone cypionate and estradiol cypionateDepo-Testosterone, see Testosterone cypionateDesferal Mesylate, see Deferoxamine mesylateDesmopressin acetate 1 mcg IV, SC J2597Dexacen LA-8, see Dexamethasone acetateDexacen-4, see Dexamethasone sodium phosphateDexamethasone, concentrated form per mg INH J7637Dexamethasone,unit form per mg INH J7638Dexamethasone, oral 0.25 mg J8540Dexamethasone acetate 1 mg IM J1094Dexamethasone sodium phosphate 1 mg IM, IV, OTH J1100Dexasone, see Dexamethasone sodium phosphateDexasone L.A., see Dexamethasone acetateDexferrum, see Iron DextranDexone, see Dexamethasone sodium phosphateDexone LA, see Dexamethasone acetateDexrazoxane hydrochloride 250 mg IV J1190Dextran 40 500 ml IV J7100Dextran 75 500 ml IV J7110Dextrose 5%/normal saline solution, 500 ml = 1 unit IV J7042Dextrose/water (5%) 500 ml = 1 unit IV J7060D.H.E. 45, see Dihydroergotamine9

Diamox, see Acetazolamide sodiumDiazepam up to 5 mg IM, IV J3360Diazoxide up to 300 mg IV J1730Dibent, see Dicyclomine HClDicyclomine HCl up to 20 mg IM J0500Didronel, see Etidronate disodiumDiethylstilbestrol diphosphate 250 mg IV J9165Diflucan, see FluconazoleDigoxin up to 0.5 mg IM, IV J1160Digoxin immune fab (ovine) per vial J1162Dihydrex, see Diphenhydramine HclDihydroergotamine mesylate per 1 mg IM, IV J1110Dilantin, see Phenytoin sodiumDilaudid, see Hydromorphone HClDilocaine, see Lidocaine HClDilomine, see Dicyclomine HClDilor, see DyphyllineDimenhydrinate up to 50 mg IM, IV J1240Dimercaprol per 100 mg IM J0470Dimethyl sulfoxide, see DMSO, DimethylsulfoxideDinate, see DimenhydrinateDioval, see Estradiol valerateDioval 40, see Estradiol valerateDioval XX, see Estradiol valerateDiphenacen-50, see Diphenhydramine HClDiphenhydramine HCl, injection up to 50 mg IV, IM J1200Diphenhydramine HCl, oral 50 mg ORAL Q0163Dipyridamole per 10 mg IV J1245Disotate, see Endrate ethylenediamine-tetra-acetic acidDi-Spaz, see Dicyclomine HClDitate-DS, see Testosterone enanthate and estradiol valerateDiuril Sodium, see Chlorothiazide sodiumD-Med 80, see Methylprednisolone acetateDMSO, Dimethyl sulfoxide 50%, 50 ml OTH J1212Dobutamine HCl per 250 mg IV J1250Dobutrex, see Dobutamine HclDocetaxel 20 mg IV J9170Dolasetron mesylate, injection 10 mg IV J1260Dolasetron mesylate, tablets 100 mg ORAL Q0180Dolophine HCl, see Methadone HclDommanate, see DimenhydrinateDonbax, see DoripenemDopamine HCl 40 mg J1265Doribax, see DoripenemDoripenem 10 mg J126710

Dornase alpha, unit dose form per mg INH J7639Doxercalciferol 1 mcg IV J1270Doxil, see Doxorubicin HCL, lipidDoxorubicin HCL 10 mg IV J9000Doxorubicin HCL, all lipid 10 mg IV J9001Dramamine, see DimenhydrinateDramanate, see DimenhydrinateDramilin, see DimenhydrinateDramocen, see DimenhydrinateDramoject, see DimenhydrinateDronabinol, oral 2.5 mg ORAL Q0167Dronabinol, oral 5 mg ORAL Q0168Droperidol up to 5 mg IM, IV J1790Drug administered through a metered dose inhaler INH J3535Droperidol and fentanyl citrate up to 2 ml ampule IM, IV J1810DTIC-Dome, see DacarbazineDua-Gen L.A., see Testosterone enanthate and estradiol valerate cypionateDuoval P.A., see Testosterone enanthate and estradiol valerateDurabolin, see Nandrolone phenpropionateDuraclon, see Clonidine HydrochlorideDura-Estrin, see Depo-estradiol cypionateDuracillin A.S., see Penicillin G procaineDuragen-10, see Estradiol valerateDuragen-20, see Estradiol valerateDuragen-40, see Estradiol valerateDuralone-40, see Methylprednisolone acetateDuralone-80, see Methylprednisolone acetateDuralutin, see Hydroxyprogesterone CaproateDuramorph, see Morphine sulfateDuratest-100, see Testosterone cypionateDuratest-200, see Testosterone cypionateDuratestrin, see Testosterone cypionate and estradiol cypionateDurathate-200, see Testosterone enanthateDymenate, see DimenhydrinateDyphylline up to 500 mg IM J1180EEculizumab 10 mg J1300Edetate calcium disodium up to 1000 mg IV, SC, IM J0600Edetate disodium per 150 mg IV J3520Elavil, see Amitriptyline HClEllence, see Epirubicin HClElliotts b solution 1 ml OTH J9175Elspar, see Asparaginase11

Emend, see FosaprepitantEmete-Con, see BenzquinamideEminase, see AnistreplaseEnbrel, see EtanerceptEndrate ethylenediamine-tetra-acetic acid, see Edetate disodiumEnfuvirtide 1 mg J1324Enovil, see Amitriptyline HClEnoxaparin sodium 10 mg SC J1650Epinephrine, adrenalin up to 1 ml amp SC, IM J0170Epirubicin hydrochloride 2 mg J9178Epoetin alfa 1000 units Q4055Epoprostenol 0.5 mg IV J1325Eptifibatide, injection 5 mg IM, IV J1327Ergonovine maleate up to 0.2 mg IM, IV J1330Ertapenem sodium 500 mg J1335Erythromycin lactobionate 500 mg IV J1364Estra-D, see Depo-estradiol cypionateEstra-L 20, see Estradiol valerateEstra-L 40, see Estradiol valerateEstra-Testrin, see Testosterone enanthate and estradiol valerateEstradiol Cypionate, see Depo-estradiol cypionateEstradiol L.A., see Estradiol valerateEstradiol L.A. 20, see Estradiol valerateEstradiol L.A. 40, see Estradiol valerateEstradiol valerate up to 10 mg IM J1380up to 20 mg IM J1390up to 40 mg IM J0970Estro-Cyp, see Depo-estradiol cypionateEstrogen, conjugated per 25 mg IV, IM J1410Estroject L.A., see Depo-estradiol cypionateEstrone per 1 mg IM J1435Estrone 5, see EstroneEstrone Aqueous, see EstroneEstronol, see EstroneEstronol-L.A., see Depo-estradiol cypionateEtanercept, injection 25 mg IM, IV J1438Ethanolamine 100 mg J1430Ethyol, see AmifostineEtidronate disodium per 300 mg IV J1436Etonogestrel implantJ7307Etopophos, see EtoposideEtoposide 10 mg IV J9181Etoposide, oral 50 mg ORAL J8560EuflexxaJ7323Everone, see Testosterone Enanthate12

FFactor VIIa (coagulation factor, recombinant) 1 mcg IV J7189Factor VIII (anti-hemophilic factor, human) per IU IV J7190Factor VIII (anti-hemophilic factor, porcine) per IU IV J7191Factor VIII (anti-hemophilic factor, recombinant) per IU IV J7192Factor IX (anti-hemophilic factor, purified, per IU IV J7193non-recombinant)Factor IX (anti-hemophilic factor, recombinant) per IU IV J7195Factor IX, complex per IU IV J7194Factors, other hemophilia clotting per IU IV J7196Factrel, see Gonadorelin HClFeiba VH Immuno, see Factors, other hemophilia clottingFentanyl citrate 0.1 mg IM, IV J3010Ferrlecit, see Sodium ferricgluconate complex in sucrose injectionFilgrastim (G-CSF) 300 mcg SC, IV J1440480 mcg SC, IV J1441Flebogamma 500 mg IV J1572Flexoject, see Orphenadrine citrateFlexon, see Orphenadrine citrateFlolan, see EpoprostenolFloxuridine 500 mg IV J9200Fluconazole 200 mg IV J1450Fludara, see Fludarabine phosphateFludarabine phosphate 50 mg IV J9185Flunisolide inhalation solution, unit dose form per mg INH J7641FluocinoloneJ7311Fluorouracil 500 mg IV J9190Folex, see Methotrexate sodiumFolex PFS, see Methotrexate sodiumFollutein, see Chorionic gonadotropinFomepizole 15 mg J1451Fomivirsen sodium 1.65 mg Intraocular J1452Fondaparinux sodium 0.5 mg J1652Formoterol 12 mcg INH J7640Formoterol fumarate 20 mcg J7606Fortaz, see CeftazidimeFosaprepitant 1 mg J1453Foscarnet sodium per 1,000 mg IV J1455Foscavir, see Foscarnet sodiumFosphenytoin 50 mg Q2009FUDR, see FloxuridineFulvestrant 25 mg J9395Fungizone Intravenous, see Amphotericin BFuromide M.D., see Furosemide13

Furosemide up to 20 mg IM, IV J1940GGallium nitrate 1 mg J1457Galsulfase 1 mg J1458Gamastan, see Gamma globulin and Immune globulinGammagard Liquid 500 mg J1569Gamma globulin 1 cc IM J14602 cc IM J14703 cc IM J14804 cc IM J14905 cc IM J15006 cc IM J15107 cc IM J15208 cc IM J15309 cc IM J154010 cc IM J1550over 10 cc IM J1560Gammar, see Gamma globulin and Immune globulinGammar-IV, see Immune globulin intravenous (human)Gamulin RH, see Rho(D) immune globulinGamunex 500 mg J1561Ganciclovir, implant 4.5 mg OTH J7310Ganciclovir sodium 500 mg IV J1570Garamycin, gentamicin up to 80 mg IM, IV J1580Gatifloxacin 10 mg IV J1590Gefitinib 250 mg J8565Gemcitabine HCl 200 mg IV J9201Gemsar, see Gemcitabine HclGemtuzumab ozogamicin 5 mg IV J9300Gentamicin Sulfate, see Garamycin, gentamicinGentran, see Dextran 40Gentran 75, see Dextran 75Gesterol 50, see ProgesteroneGlatiramer Acetate 20 mg J1595Glucagon Hcl per 1 mg SC, IM, IV J1610Glukor, see Chorionic gonadotropinGlycopyrrolate, concentrated form per 1 mg INH J7642Glycopyrrolate, unit dose form per 1 mg INH J7643Gold sodium thiomalate up to 50 mg IM J1600Gonadorelin HCl per 100 mcg SC, IV J162014

Gonic, see Chorionic gonadotropinGoserelin acetate implant per 3.6 mg SC J9202Granisetron HCl, injection 100 mcg IV J1626Granisetron HCl, oral 1 mg ORAL Q0166Gynogen L.A. A10,@ see Estradiol valerateGynogen L.A. A20,@ see Estradiol valerateGynogen L.A. A40,@ see Estradiol valerateHHaldol, see HaloperidolHaloperidol up to 5 mg IM, IV J1630Haloperidol decanoate per 50 mg IM J1631Hectoral, see DoxercalciferolHemin 1 mg J1640Hemofil M, see Factor VIIIHemophilia clotting factors(e.g., anti-inhibitors) per IU IV J7198Hemophilia clotting factors, NOC per IU IV J7199Hepagam B 0.5 ml IM J15710.5 ml IV J1573Hep-Lock, see Heparin sodium (heparin lock flush)Hep-Lock U/P, see Heparin sodium (heparin lock flush)Heparin sodium 1,000 units IV, SC J1644Heparin sodium (heparin lock flush) 10 units IV J1642Herceptin, see TrastuzumabHexadrol Phosphate, see Dexamethasone sodium phosphateHistaject, see Brompheniramine maleateHisterone 50, see Testosterone suspensionHisterone 100, see Testosterone suspensionHistrelin acetate 10 mcg J1675Histrelin implant 50 mg J9225HyalganJ7321Hyaluronidase up to 150 units SC, IV J3470Hyaluronidase, ovine up to 999 units J3471Hyaluronidase, ovine per 1000 units J3472Hyaluronidase recombinant 1 usp J3473Hyate:C, see Factor VIII (anti-hemophilic factor (porcine))Hybolin Improved, see Nandrolone phenpropionateHybolin Decanoate, see Nandrolone decanoateHycamtin, see TopotecanHydralazine HCl up to 20 mg IV, IM J0360Hydrate, see DimenhydrinateHydrocortisone acetate up to 25 mg IV, IM, SC J1700Hydrocortisone sodium phosphate up to 50 mg IV, IM, SC J1710Hydrocortisone succinate sodium up to 100 mg IV, IM, SC J172015

Hydrocortone Acetate, see Hydrocortisone acetateHydrocortone Phosphate, see Hydrocortisone sodium phosphateHydromorphone HCl up to 4 mg SC, IM, IV J1170Hydroxyzine HCl up to 25 mg IM J3410Hydroxyzine Pamoate 25 mg ORAL Q017750 mg ORAL Q0178Hylan G-F 20J7322Hyoscyamine sulfate up to 0.25 mg SC, IM, IV J1980Hyperstat IV, see DiazoxideHyper-Tet, see Tetanus immune globulin, humanHypRho-D, see Rho(D) immune globulinHyrexin-50, see Diphenhydramine HClHyzine-50, see Hydroxyzine HClIIbandronate sodium 1 mg J1740Ibutilide fumarate 1 mg IV J1742Idamycin, see Idarubicin HClIdarubicin HCl 5 mg IV J9211Idursulfase 1 mg J1743Ifex, see IfosfamideIfosfamide 1 g IV J9208Ilotycin, see Erythromycin gluceptateImferon, see Iron dextranImiglucerase per unit IV J1785Imitrex, see Sumatriptan succinateImmune globulinFlebogamma 500 mg IV J1572Gammagard Liquid 500 mg IV J1569Gamunex 500 mg IV J1561HepaGam B 0.5 ml IM J1571HepaGam B 0.5 ml IV J1573NOS 500 mg IV J1566Octagam 500 mg IV J1568Privigen 500 mg IV J1459Rhophylac 100 IU IM J2791Subcutaneous 100 mg J1562Immunosuppressive drug, not otherwise classifiedJ7599Imuran, see AzathioprineInapsine, see DroperidolInderal, see Propranolol HClInfed, see Iron DextranInfergen, see Interferon alfa-1Infliximab, injection 10 mg IM, IV J1745Innohep, see Tinzarparin16

Innovar, see Droperidol with fentanyl citrateInsulin 5 units SC J1815Insulin lispro 50 units SC J1817Intal, see Cromolyn sodium or Cromolyn sodium, compoundedIntegrilin, injection, see EptifibatideInterferon alphacon-1, recombinant 1 mcg SC J9212Interferon alfa-2a, recombinant 3 million units SC, IM J9213Interferon alfa-2b, recombinant 1 million units SC, IM J9214Interferon alfa-n3 (human leukocyte derived) 250,000 IU IM J9215Interferon beta-1a 33 mcg IM J1825Interferon beta-1a 11 mcg IM Q3025Interferon beta-1a 11 mcg SC Q3026Interferon beta-1b 0.25 mg SC J1830Interferon gamma-1b 3 million units SC J9216Intrauterine copper contraceptive, see Copper contraceptive, intrauterineIpratropium bromide, unit dose form per mg INH J7644, J7645Irinotecan 20 mg IV J9206Iron dextran 50 mg J1750Iron sucrose 1 mg IV J1756Irrigation solution for Tx of bladder calculi per 50 ml OTH Q2004Isocaine HCl, see MepivacaineIsoetharine HCl, concentrated form per mg INH J7647, J7648Isoetharine Hcl, unit dose form per mg INH J7649, J7650Isoproterenol HCl, concentrated form per mg INH J7657, J7658Isoproterenol Hcl, unit dose form per mg INH J7659, J7660Isuprel, see Isoproterenol HClItraconazole 50 mg IV J1835Ixabepilone 1 mg J9207Ixempra, see IxabepiloneJJenamicin, see Garamycin, gentamicinKKabikinase, see StreptokinaseKaleinate, see Calcium gluconateKanamycin sulfate up to 75 mg IM, IV J1850Kanamycin sulfate up to 500 mg IM, IV J1840Kantrex, see Kanamycin sulfateKeflin, see Cephalothin sodiumKefurox, see Cufuroxime sodiumKefzol, see Cefazolin sodiumKenaject-40, see Triamcinolone acetonide17

Kenalog-10, see Triamcinolone acetonideKenalog-40, see Triamcinolone acetonideKeppra, see LevetiracetamKestrone 5, see EstroneKetorolac tromethamine per 15 mg IM, IV J1885Key-Pred 25, see Prednisolone acetateKey-Pred 50, see Prednisolone acetateKey-Pred-SP, see Prednisolone sodium phosphateK-Flex, see Orphenadrine citrateKlebcil, see Kanamycin sulfateKoate-HP, see Factor VIIIKogenate, see Factor VIIIKonakion, see Vitamin K, phytonadione, etc.Konyne-80, see Factor IX, complexKytril, see Granisetron HClLL.A.E. 20, see Estradiol valerateLaetrile, Amygdalin, vitamin B-17J3570Lanoxin, see DigoxinLanreotide 1 mg J1930Largon, see Propiomazine HClLaronidase 0.1 mg J1931Lasix, see FurosemideL-Caine, see Lidocaine HClLepirudin 50 mg J1945Leucovorin calcium per 50 mg IM, IV J0640Leukine, see Sargramostim (GM-CSF)Leuprolide acetate (for depot suspension) per 3.75 mg IM J19507.5 mg IM J9217Leuprolide acetate per 1 mg IM J9218Leuprolide acetate implant 65 mg J9219Leustatin, see CladribineLevalbuterol HCl, concentrated form 0.5 mg INH J7607, J7612Levalbuterol HCl, unit dose form 0.5 mg INH J7614, J7615Levaquin I.U., see LevofloxacinLevetiracetam 10 mg J1953Levocarnitine per 1 gm IV J1955Levo-Dromoran, see Levorphanol tartrateLevofloxacin 250 mg IV J1956Levoleucovorin calcium 0.5 mg J0641Levonorgestrel implantJ7306Levonorgestrel releasing intrauterin contraceptive 52 mg OTH J7302Levorphanol tartrate up to 2 mg SC, IV J196018

Levsin, see Hyoscyamine sulfateLevulan Kerastick, see Aminolevulinic acid HClLexiscan, see RegadenosonLibrium, see Chlordiazepoxide HClLidocaine HCl 10 mg IV J2001Lidoject-1, see Lidocaine HClLidoject-2, see Lidocaine HClLincocin, see Lincomycin HClLincomycin HCl up to 300 mg IV J2010Linezolid 200 mg IV J2020Liquaemin Sodium, see Heparin sodiumLioresal, see BaclofenLMD (10%), see Dextran 40Lovenox, see Enoxaparin sodiumLorazepam 2 mg IM, IV J2060Lufyllin, see DyphyllineLuminal Sodium, see Phenobarbitol sodiumLunelle, see Medroxyprogesterone acetate/estradiol cypionateLupron, see Leuprolide acetateLymphocyte immune globulin,anti-thymocyte globulin, equine 250 mg IV J7504anti-thymocyte globulin, rabbit 25 mg IV J7511Lyophilized, see Cyclophosphamide, lyophilizedMMagnesium sulfate 500 mg J3475Mannitol 25% in 50 ml IV J2150Marmine, see DimenhydrinateMaxipime, see Cefepime hydrochlorideMecasermin 1 mg J2170Mechlorethamine HCl (nitrogen mustard), HN2 10 mg IV J9230Medralone 40, see Methylprednisolone acetateMedralone 80, see Methylprednisolone acetateMedrol, see MethylprednisoloneMedroxyprogesterone acetate 50 mg IM J1051150 mg IM J1055Medroxyprogesterone acetate/estradiol cypionate 5 mg/25 mg IM J1056Mefoxin, see Cefoxitin sodiumMelphalan HCl 50 mg IV J9245Melphalan, oral 2 mg ORAL J8600Menoject LA, see Testosterone cypionate and estradiol cypionateMepergan Injection, see Meperdine and promethazine HClMeperidine HCl per 100 mg IM, IV, SC J2175Meperidine and promethazine HCl up to 50 mg IM, IV J218019

Mepivacaine HCL per 10 ml VAR J0670Meropenem 100 mg J2185Mesna 200 mg IV J9209Mesnex, see MesnaMetaprel, see Metaproterenol sulfateMetaproterenol sulfate, concentrated form per 10 mg INH J7667, J7668Metaproterenol sulfate, unit dose form per 10 mg INH J7669, J7670Metaraminol bitartrate per 10 mg IV, IM, SC J0380Metastron, see Strontium-89 chlorideMethacholine chloride 1 mg J7674Methadone HCl up to 10 mg IM, SC J1230Methergine, see Methylergonovine maleateMethocarbamol up to 10 ml IV, IM J2800Methotrexate, oral 2.5 mg ORAL J8610Methotrexate sodium 5 mg IV, IM, IT, IA J925050 mg IV, IM, IT, IA J9260Methotrexate LPF, see Methotrexate sodiumMethyldopate HCl up to 250 mg IV J0210Methylene blue 1 ml A9535Methylprednisolone, oral per 4 mg ORAL J7509Methylprednisolone acetate 20 mg IM J102040 mg IM J103080 mg IM J1040Methylprednisolone sodium succinate up to 40 mg IM, IV J2920up to 125 mg IM, IV J2930Metoclopramide HCl up to 10 mg IV J2765Miacalcin, see Calcitonin-salmonMicafungin sodium 1 mg J2248Midazolam HCl per 1 mg IM, IV J2250Milrinone lactate 5 mg IV J2260Mirena, see Levonorgestrel releasing intrauterine contraceptiveMithracin, see PlicamycinMitomycin 5 mg IV J928020 mg IV J929040 mg IV J9291Mitoxantrone HCl per 5 mg IV J9293Monocid, see Cefonicic sodiumMonoclate-P, see Factor VIIIMonoclonal antibodies, parenteral 5 mg IV J7505Mononine, see Factor IX, purified, non-recombinantMorphine sulfate up to 10 mg IM, IV, SC J2270100 mg IM, IV, SC J2271Morphine sulfate, preservative-free per 10 mg SC, IM, IV J2275Moxifloxacin 100 mg J2280M-Prednisol-40, see Methylprednisolone acetate20

M-Prednisol-80, see Methylprednisolone acetateMucomyst, see Acetylcysteine or Acetylcysteine, compoundedMucosol, see AcetylcysteineMuromonab-CD3 5 mg IV J7505Muse, see AlprostadilMustargen, see Mechlorethamine HClMutamycin, see MitomycinMycophenolic acid 180 mg J7518Mycophenolate Mofetil 250 mg ORAL J7517Myleran, see BusulfanMylotarg, see Gemtuzumab ozogamicinMyobloc, see Botulinum toxin type BMyochrysine, see Gold sodium thiomalateMyolin, see Orphenadrine citrateNNabilone 1 mg ORAL J8650Nalbuphine HCl per 10 mg IM, IV, SC J2300Naloxone HCl per 1 mg IM, IV, SC J2310Naltrexone, depot form 1 mg J2315Nandrobolic L.A., see Nandrolone decanoateNandrolone decanoate up to 50 mg IM J2320up to 100 mg IM J2321up to 200 mg IM J2322Narcan, see Naloxone HClNaropin, see Ropivacaine HClNasahist B, see Brompheniramine maleateNasal vaccine inhalation INH J3530Natalizumab 1 mg J2323Navane, see ThiothixeneNavelbine, see Vinorelbine tartrateND Stat, see Brompheniramine maleateNebcin, see Tobramycin sulfateNebuPent, see Pentamidine isethionateNelarabine 50 mg J9261Nembutal Sodium Solution, see Pentobarbital sodiumNeocyten, see Orphenadrine citrateNeo-Durabolic, see Nandrolone decanoateNeoquess, see Dicyclomine HClNeosar, see CyclophosphamideNeostigmine methylsulfate up to 0.5 mg IM, IV, SC J2710Neo-Synephrine, see Phenylephrine HClNervocaine 1%, see Lidocaine HClNervocaine 2%, see Lidocaine HCl21

Nesacaine, see Chloroprocaine HCLNesacaine-MPF, see Chloroprocaine HClNesiritide 0.1 mg J2325Neumega, see OprelvekinNeupogen, see Filgrastim (G-CSF)Neutrexin, see Trimetrexate glucuronateNipent, see PentostatinNordryl, see Diphenhydramine HClNorflex, see Orphenadrine citrateNorzine, see Thiethylperazine maleateNot otherwise classified drugsJ3490Not otherwise classified drugs other than INH J7799administered thru DMENot otherwise classified drugs INH J7699administered thru DMENot otherwise classified drugs, anti-neoplasticJ9999Not otherwise classified drugs, chemotherapeutic ORAL J8999Not otherwise classified drugs, immunosuppressiveJ7599Not otherwise classified drugs, nonchemotherapeutic ORAL J8499Novantrone, see Mitoxantrone HClNovo Seven, see Factor VIIaNPH, see InsulinNubain, see Nalbuphine HClNulicaine, see Lidocaine HClNumorphan, see Oxymorphone HClNumorphan H.P., see Oxymorphone HClOOctagam 500 mg J1568Octreotide Acetate, injection 1 mg IM J235325 mcg IV,SQ J2354Oculinum, see Botulinum toxin type AO-Flex, see Orphenadrine citrateOmalizumab 5 mg J2357Omnipen-N, see AmpicillinOncaspar, see PegaspargaseOncovin, see Vincristine sulfateOndansetron HCI 1 mg IV J2405Ondansetron HCl, oral 8 mg ORAL Q0179Oprelvekin 5 mg SC J2355Oraminic II, see Brompheniramine maleateOrmazine, see Chlorpromazine HClOrphenadrine citrate up to 60 mg IV, IM J2360Orphenate, see Orphenadrine citrateOrthoviscJ732422

Or-Tyl, see DicyclomineOxacillin sodium up to 250 mg IM, IV J2700Oxaliplatin 0.5 mg J9263Oxymorphone HCl up to 1 mg IV, SC, IM J2410Oxytetracycline HCl up to 50 mg IM J2460Oxytocin up to 10 units IV, IM J2590PPaclitaxel 30 mg IV J9265Paclitaxel protein-bound particles 1 mg J9264Palifermin 50 mcg J2425Palonosetron HCl 25 mcg J2469Pamidronate disodium per 30 mg IV J2430Panitumumab 10 mg J9303Papaverine HCl up to 60 mg IV, IM J2440Paragard T 380 A, see Copper contraceptive, intrauterineParaplatin, see CarboplatinParicalcitol, injection 1 mcg IV, IM J2501Pegademase bovine 25 iu J2504Pegaptinib 0.3 mg J2503Pegaspargase per single dose vial IM, IV J9266Pegfilgrastim 6 mg J2505Pemetrexed 10 mg J9305Penicillin G benzathine up to 600,000 units IM J0560up to 1,200,000 units IM J0570up to 2,400,000 units IM J0580Penicillin G benzathine and penicillin G procaineup to 600,000 units IM J0530up to 1,200,000 units IM J0540up to 2,400,000 units IM J0550Penicillin G potassium up to 600,000 units IM, IV J2540Penicillin G procaine, aqueous up to 600,000 units IM, IV J2510Pentamidine isethionate per 300 mg INH J2545,J7676Pentastarch, 10% 100 ml J2513Pentazocine HCl 30 mg IM, SC, IV J3070Pentobarbital sodium per 50 mg IM, IV, OTH J2515Pentostatin per 10 mg IV J9268Peforomist, see Formoterol fumaratePermapen, see Penicillin G benzathinePerphenazine, injection up to 5 mg IM, IV J3310Perphenazine, tablets 4 mg ORAL Q01758 mg ORAL Q0176Persantine IV, see DipyridamolePfizerpen, see Penicillin G potassium23

Pfizerpen A.S., see Penicillin G procainePhenazine 25, see Promethazine HClPhenazine 50, see Promethazine HClPhenergan, see Promethazine HClPhenobarbital sodium up to 120 mg IM, IV J2560Phentolamine mesylate up to 5 mg IM, IV J2760Phenylephrine HCl up to 1 ml SC, IM, IV J2370Phenytoin sodium per 50 mg IM, IV J1165Photofrin, see Porfimer sodiumPhytonadione (Vitamin K) per 1 mg IM, SC, IV J3430Piperacillin/Tazobactam Sodium, injection 1.125 g IV J2543Pitocin, see OxytocinPlantinol AQ, see CisplatinPlas+SD, see Plasma, pooled multiple donorPlasma, cryoprecipitate reduced each unit P9044Plasma, pooled multiple donor, frozen, each unit IV P9023Platinol, see CisplatinPlicamycin 2,500 mcg IV J9270Polocaine, see MepivacainePolycillin-N, see AmpicillinPorfimer Sodium 75 mg IV J9600Potassium chloride per 2 mEq IV J3480Pralidoxime chloride up to 1 g IV, IM, SC J2730Predalone-50, see Prednisolone acetatePredcor-25, see Prednisolone acetatePredcor-50, see Prednisolone acetatePredicort-50, see Prednisolone acetatePrednisone per 5 mg ORAL J7506Prednisolone, oral 5 mg ORAL J7510Prednisolone acetate up to 1 ml IM J2650Predoject-50, see Prednisolone acetatePregnyl, see Chorionic gonadotropinPremarin Intravenous, see Estrogen, conjugatedPrescription,chemotherapeutic,not otherwise specified ORAL J8999Prescription,nonchemotherapeutic,not otherwise specified ORAL J8499Primacor, see Milrinone lactatePrimaxin I.M., see Cilastatin sodium, imipenemPrimaxin I.V., see Cilastatin sodium, imipenemPriscoline HCl, see Tolazoline HClPrivigen 500 mg J1459Pro-Depo, see Hydroxyprogesterone CaproateProcainamide HCl up to 1 g IM, IV J2690Prochlorperazine up to 10 mg IM, IV J0780Prochlorperazine maleate, oral 5 mg ORAL Q016410 mg ORAL Q016524

Profasi HP, see Chorionic gonadotropinProfilnine Heat-Treated, see Factor IXProgestaject, see ProgesteroneProgesterone per 50 mg J2675Prograf, see Tacrolimus, oral or parenteralProkine, see Sargramostim (GM-CSF)Prolastin, see Alpha 1-proteinase inhibitor, humanProleukin, see AldesleukinProlixin Decanoate, see Fluphenazine decanoatePromazine HCl up to 25 mg IM J2950Promethazine HCl, injection up to 50 mg IM, IV J2550Promethazine HCl, oral 12.5 mg ORAL Q016925 mg ORAL Q0170Pronestyl, see Procainamide HClProplex T, see Factor IXProplex SX-T, see Factor IXPropranolol HCl up to 1 mg IV J1800Prorex-25, see Promethazine HClProrex-50, see Promethazine HClProstaphlin, see Procainamide HClProstigmin, see Neostigmine methylsulfateProtamine sulfate per 10 mg IV J2720Protein C Concentrate 10 IU J2724Protirelin per 250 mcg IV J2725Prothazine, see Promethazine HClProtopam Chloride, see Pralidoxime chlorideProventil, see Albuterol sulfate, compoundedProzine-50, see Promazine HClPulmicort Respules, see BudesonidePyridoxine HCl 100 mg J3415QQuelicin, see Succinylcholine chlorideQuinupristin/dalfopristin 500 mg(150/350) IV J2770RRanibizumab 0.1 mg J2778Ranitidine HCL, injection 25 mg IV, IM J2780Rapamune, see SirolimusRasburicase 0.5 mg J2783Reclast 1 mg J3488Recombinate, see Factor VIIIRedisol, see Vitamin B-12 cyanocobalamin25

Regadenoson 0.1 mg J2785Regitine, see Phentolamine mesylateReglan, see Metoclopramide HClRegular, see InsulinRelefact TRH, see ProtirelinRemicade, see Infliximab, injectionReo Pro, see AbciximabRep-Pred 40, see Methylprednisolone acetateRep-Pred 80, see Methylprednisolone acetateRespiGam, see Respiratory Syncytial VirusRespiratory Syncytial Virus Immuneglobulin 50 mg IV J1565Retavase, see ReteplaseReteplase 18.8 mg IV J2993Retrovir, see ZidovudineRheomacrodex, see Dextran 40Rhesonativ, see Rho(D) immune globulin, humanRheumatrex Dose Pack, see Methotrexate, oralRho(D) immune globulinJ2791Rho(D) immune globulin, human 1 dose package, 300 mcg IM J279050 mg J2788Rho(D)immune globulin, human,solvent detergent 100 IU IV J2792RhoGAM, see Rho(D) immune globulin, humanRhophylac 100 IU J2791Ringers lactate infusion up to 1,000 cc IV J7120Risperidone 0.5 mg J2794Rituxan, see RituximabRituximab 100 mg IV J9310Robaxin, see MethocarbamolRocephin, see Ceftriaxone sodiumRoferon-A, see Interferon alfa-2A, recombinantRopivacaine Hydrochloride 1 mg J2795Rubex, see Doxorubicin HClRubramin PC, see Vitamin B-12 cyanocobalaminSSaline solution 5% dextrose, 500 ml IV J7042infusion, 250 cc IV J7050infusion, 1,000 cc IV J7030Saline solution, sterile 500 ml = 1 unit IV, OTH J7040Sandimmune, see CyclosporineSandoglobulin, see Immune globulin intravenous (human)Sandostatin Lar Depot, see OctreotideSargramostim (GM-CSF) 50 mcg IV J2820Selestoject, see Betamethasone sodium phosphateSermorelin acetate 1 mcg Q051526

Sincalide 5 mcg J2805Sinusol-B, see Brompheniramine maleateSirolimus 1 mg Oral J7520Sodium ferricgluconate in sucrose 12.5 mg J2916Sodium HyaluronateEuflexxaJ7323HyalganJ7321OrthoviscJ7324SupartzJ7321Solganal, see AurothioglucoseSolu-Cortef, see Hydrocortisone sodium phosphate (J1710)Solu-Medrol, see Methylprednisolone sodium succinateSolurex, see Dexamethasone sodium phosphateSolurex LA, see Dexamethasone acetateSomatrem 1 mg J2940Somatropin 1 mg J2941Somatulin Depot, see LanreotideSparine, see Promazine HClSpasmoject, see Dicyclomine HClSpectinomycin HCl up to 2 g IM J3320Sporanox, see ItraconazoleStaphcillin, see Methicillin sodiumStilphostrol, see Diethylstilbestrol diphosphateStreptase, see StreptokinaseStreptokinase per 250,000 IU IV J2995Streptomycin Sulfate, see StreptomycinStreptomycin up to 1 g IM J3000Streptozocin 1 gm IV J9320Strontium-89 chloride per millicurie A9600Sublimaze, see Fentanyl citrateSuccinylcholine chloride up to 20 mg IV, IM J0330Sumatriptan succinate 6 mg SC J3030SupartzJ7321Surostrin, see Succinycholine chlorideSus-Phrine, see Adrenalin, epinephrineSynercid, see Quinupristin/dalfopristinSynkavite, see Vitamin K, phytonadione, etc.Syntocionon, see OxytocinSynviscJ7322Sytobex, see Vitamin B-12 cyanocobalaminTTacrolimus, oral per 1 mg ORAL J7507Tacrolimus, parenteral 5 mg J7525Talwin, see Pentazocine Hcl27

Taractan, see ChlorprothixeneTaxol, see PaclitaxelTaxotere, see DocetaxelTazidime, see Ceftazidime Technetium TC Sestambi per doseA9500TEEV, see Testosterone enanthate and estradiol valerateTemozolmide 5 mg ORAL J8700Temsirolimus 1 mg J9330Tenecteplase 1 mg J3101Teniposide 50 mg Q2017Tequin, see GatifloxacinTerbutaline sulfate up to 1 mg SC, IV J3105Terbutaline sulfate, concentrated form per 1 mg INH J7680Terbutaline sulfate, unit dose form per 1 mg INH J7681Teriparatide 10 mcg J3110Terramycin IM, see Oxytetracycline HClTesta-C, see Testosterone cypionateTestadiate, see Testosterone enanthate and estradiol valerateTestadiate-Depo, see Testosterone cypionateTestaject-LA, see Testosterone cypionateTestaqua, see Testosterone suspensionTest-Estro Cypionates, see Testosterone cypionate and estradiol cypionateTest-Estro-C, see Testosterone cypionate and estradiol cypionateTestex, see Testosterone propionateTestoject-50, see Testosterone suspensionTestoject-LA, see Testosterone cypionateTestone LA 200, see Testosterone enanthateTestone LA 100, see Testosterone enanthateTestosterone Aqueous, see Testosterone suspensionTestosterone enanthate and estradiol valerate up to 1 cc IM J0900Testosterone enanthate up to 100 mg IM J3120up to 200 mg IM J3130Testosterone cypionate up to 100 mg IM J10701 cc, 200 mg IM J1080Testosterone cypionate and estradiol cypionate up to 1 ml IM J1060Testosterone propionate up to 100 mg IM J3150Testosterone suspension up to 50 mg IM J3140Testradiol 90/4, see Testosterone enanthate and estradiol valerateTestrin PA, see Testosterone enanthateTetanus immune globulin, human up to 250 units IM J1670Tetracycline up to 250 mg IM, IV J0120Thallous Chloride TL 201 per MCI A9505Theelin Aqueous, see EstroneTheophylline per 40 mg IV J2810TheraCys, see BCG liveThiamine HCl 100 mg J341128

Thiethylperazine maleate, injection up to 10 mg IM J3280Thiethylperazine maleate, oral 10 mg ORAL Q0174Thiotepa 15 mg IV J9340Thorazine, see Chlorpromazine HClThymoglobulin, see Immune globulin, anti-thymocyteThypinone, see ProtirelinThyrogen, see Thyrotropin AlfaThyrotropin Alfa, injection 0.9 mg IM, SC J3240Tice BCG, see BCG liveTicon, see Trimethobenzamide HClTigan, see Trimethobenzamide HClTigecycline 1 mg J3243Tiject-20, see Trimethobenzamide HClTinzaparin 1000 IU SC J1655Tirofiban Hydrochloride, injection 0.25 mg IM, IV J3246TNKase, see TenecteplaseTobi, see Tobramycin, inhalation solutionTobramycin, inhalation solution 300 mg INH J7682, J7685Tobramycin sulfate up to 80 mg IM, IV J3260Tofranil, see Imipramine HClTolazoline HCl up to 25 mg IV J2670Topotecan 0.25 mg Oral J87054 mg IV J9350Toradol, see Ketorolac tromethamineTorecan, see Thiethylperazine maleateTorisel, see TemsirolimusTornalate, see Bitolterol mesylateTorsemide 10 mg/ml IV J3265Totacillin-N, see AmpicillinTrastuzumab 10 mg IV J9355Treanda, see Bendamustine HClTreprostinil 1 mg J3285Tri-Kort, see Triamcinolone acetonideTriam-A, see Triamcinolone acetonideTriamcinolone, concentrated form per 1 mg INH J7683Triamcinolone, unit dose per 1 mg INH J7684Triamcinolone acetonide 1 mg J3300per 10 mg IM J3301Triamcinolone diacetate per 5 mg IM J3302Triamcinolone hexacetonide per 5 mg VAR J3303Triesence, see Triamcinolone acetonideTriflupromazine HCl up to 20 mg IM, IV J3400Trilafon, see PerphenazineTrilog, see Triamcinolone acetonideTrilone, see Triamcinolone diacetate29

Trimethobenzamide HCl, injection up to 200 mg IM J3250Trimethobenzamide HCl, oral 250 mg ORAL Q0173Trimetrexate glucuronate per 25 mg IV J3305Triptorelin Pamoate 3.75 mg J3315Trisenox, see Arsenic trioxideTrobicin, see Spectinomycin HClTrovan, see Alatrofloxacin mesylateTysabri, see NatalizumabUUltrazine-10, see ProchlorperazineUnasyn, see Ampicillin sodium/sulbactam sodiumUnclassified drugs (see also Not elsewhere classified)J3490Unspecified oral antiemeticQ0181Urea up to 40 g IV J3350Ureaphil, see UreaUrecholine, see Bethanechol chlorideUrofollitropin 75 iu J3355Urokinase 5,000 IU vial IV J3364250,000 IU vial IV J3365VV-Gan 25, see Promethazine HClV-Gan 50, see Promethazine HClValergen 10, see Estradiol valerateValergen 20, see Estradiol valerateValergen 40, see Estradiol valerateValertest No. 1, see Testosterone enanthate and estradiol valerateValertest No. 2, see Testosterone enanthate and estradiol valerateValium, see DiazepamValrubicin, intravesical 200 mg OTH J9357Valstar, see ValrubicinVancocin, see Vancomycin HClVancoled, see Vancomycin HClVancomycin HCl 500 mg IV, IM J3370Vasoxyl, see Methoxamine HClVelban, see Vinblastine sulfateVelsar, see Vinblastine sulfateVenofer, see Iron sucroseVentolin, see Albuterol sulfateVePesid, see Etoposide and Etoposide, oral30

Versed, see Midazolam HClVerteporfin 0.1 mg IV J3396Vesprin, see Triflupromazine HClViadur, see Leuprolide acetate implantVinblastine sulfate 1 mg IV J9360Vincasar PFS, see Vincristine sulfateVincristine sulfate 1 mg IV J93702 mg IV J93755 mg IV J9380Vinorelbine tartrate per 10 mg IV J9390Vistaject-25, see Hydroxyzine HClVistaril, see Hydroxyzine HClVistide, see cidofovirVisudyne, see VerteporfinVitamin K, phytonadione, menadione,menadiol sodium diphosphate per 1 mg IM, SC, IV J3430Vitamin B-12 cyanocobalamin up to 1,000 mcg IM, SC J3420Von Willebrand Factor Complex, human per IU VWF:RCo IV J7187Voriconazole 10 mg J3465WWehamine, see DimenhydrinateWehdryl, see Diphenhydramine HClWellcovorin, see Leucovorin calciumWin Rho SD, see Rho(D)immuglobulin, human, solvent detergentWyamine Sulfate, see Mephentermine sulfateWycillin, see Penicillin G procaineWydase, see HyaluronidaseXXeloda, see CapecitabineXopenex, see AlbuterolXylocaine HCl, see Lidocaine HClZZanosar, see StreptozocinZantac, see Ranitidine HCLZemplar, see ParicalcitolZenapax, see DaclizumabZetran, see DiazepamZiconotide 1 mcg J227831

Zidovudine 10 mg IV J3485Zinacef, see Cefuroxime sodiumZiprasidone Mesylate 10 mg J3486Zithromax, see Azithromycin dihydrateZithromax I.V., see Azithromycin, injectionZofran, see Ondansetron HClZoladex, see Goserelin acetate implantZoledronic Acid 1 mg J3487Zolicef, see Cefazolin sodiumZometa 1 mg J3487Zosyn, see PiperacillinZyvox, see LinezolidLast Updated November 3, 200832