ALABAMA MEDICAID AGENCY Cough and Cold List
ALABAMA MEDICAID AGENCY Cough and Cold List
ALABAMA MEDICAID AGENCY Cough and Cold List
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<strong>ALABAMA</strong> <strong>MEDICAID</strong> <strong>AGENCY</strong><br />
<strong>Cough</strong> <strong>and</strong> <strong>Cold</strong> <strong>List</strong><br />
by Generic Name (continued)<br />
Br<strong>and</strong> Name Generic Name Dosage Form<br />
GUAIFENESIN DM SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
GUIATUSS DM SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
Q‐TUSSIN DM SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
Q‐TUSSIN‐DM SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
ROBAFEN‐DM CLEAR SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
ROBAFEN‐DM SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
ROBITUSSIN‐COUGH‐CHEST‐CONG LQ GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
ROBITUSSIN‐DM COUGH SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
ROBITUSSIN‐DM SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
SB COUGH CONTROL DM SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
SILTUSSIN DM COUGH SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
SM TUSSIN CLEAR SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
SM TUSSIN DM GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
TUSSIN DM CLEAR SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
TUSSIN DM COUGH SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
TUSSIN DM SYRUP GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
VICKS PEDIATRIC 44E LIQUID GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐10MG/5 SYRUP SYRUP<br />
CHILD MUCUS RELIEF COUGH LIQ GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐5MG/5 LIQUID LIQUID<br />
CHILDREN'S MUCINEX COUGH LIQ GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐5MG/5 LIQUID LIQUID<br />
MUCUS RELIEF COUGH LIQUID GUAIFENESIN/D‐METHORPHAN HB ORAL 100‐5MG/5 LIQUID LIQUID<br />
DIABETIC TUSSIN MAX‐STR LIQ GUAIFENESIN/D‐METHORPHAN HB ORAL 200‐10MG/5 LIQUID LIQUID<br />
HT‐TUSS DM ELIXIR GUAIFENESIN/D‐METHORPHAN HB ORAL 200‐20/5ML ELIXIR ELIXIR<br />
HYDRO‐TUSSIN DM LIQUID GUAIFENESIN/D‐METHORPHAN HB ORAL 200‐20/5ML ELIXIR ELIXIR<br />
SU‐TUSS DM ELIXIR GUAIFENESIN/D‐METHORPHAN HB ORAL 200‐20/5ML ELIXIR ELIXIR<br />
SIMUC‐DM ELIXIR GUAIFENESIN/D‐METHORPHAN HB ORAL 225‐25MG/5 SOLUTION SOLUTION<br />
DEX‐TUSS DM LIQUID GUAIFENESIN/D‐METHORPHAN HB ORAL 300‐10MG/5 LIQUID LIQUID<br />
DM 10 MG‐GUAI 300 MG LIQUID GUAIFENESIN/D‐METHORPHAN HB ORAL 300‐10MG/5 LIQUID LIQUID<br />
CHEST CONGEST‐COUGH RELIEF TAB GUAIFENESIN/D‐METHORPHAN HB ORAL 400MG‐20MG TABLET TABLET<br />
MUCUS RELIEF DM TABLET GUAIFENESIN/D‐METHORPHAN HB ORAL 400MG‐20MG TABLET TABLET<br />
MUCINEX DM TABLET GUAIFENESIN/D‐METHORPHAN HB ORAL 600MG‐30MG TAB.SR 12H TABLET 12H<br />
PV TUSSIN CF LIQUID GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 100‐10‐5MG LIQUID LIQUID<br />
ROBITUSSIN COUGH‐COLD CF SYR GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 100‐10‐5MG LIQUID LIQUID<br />
TUSSIN CF LIQUID GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 100‐10‐5MG LIQUID LIQUID<br />
Z‐DEX SYRUP GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 100‐20‐10 SYRUP SYRUP<br />
DYNATUSS‐EX SYRUP GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 200‐30‐10 SYRUP SYRUP<br />
PDM GG SYRUP GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 200‐30‐10 SYRUP SYRUP<br />
DACEX‐DM SYRUP GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 25‐12.5/5 SYRUP SYRUP<br />
TRITUSS SYRUP GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 25‐12.5/5 SYRUP SYRUP<br />
Z‐DEX PEDIATRIC DROPS GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 35‐3‐2.5/1 DROPS DROPS<br />
AMBI 10PEH‐400GFN‐20DM TABLET GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 400‐20‐10 TABLET TABLET<br />
SINUTUSS DM TABLET SA GUAIFENESIN/D‐METHORPHAN HB/PE ORAL 600‐30‐15 TABLET TABLET<br />
PSEUDOEPHEDRINE GG SYRUP GUAIFENESIN/P‐EPHED HCL ORAL 200‐40MG/5 LIQUID LIQUID<br />
PSEUDOVENT CAPSULE SA GUAIFENESIN/P‐EPHED HCL ORAL 250‐120MG CPMP 12HR CAPSULE<br />
PSEUDOVENT PED CAPSULE SA GUAIFENESIN/P‐EPHED HCL ORAL 300MG‐60MG CPMP 12HR CAPSULE<br />
PSEUDOVENT 400 CAPSULE GUAIFENESIN/P‐EPHED HCL ORAL 400‐120MG CPMP 12HR CAPSULE<br />
AMBI 40PSE‐400GFN TABLET GUAIFENESIN/P‐EPHED HCL ORAL 400MG‐40MG TABLET TABLET<br />
SUDATEX G TABLET GUAIFENESIN/P‐EPHED HCL ORAL 400MG‐40MG TABLET TABLET<br />
AMBI 60PSE‐400GFN TABLET GUAIFENESIN/P‐EPHED HCL ORAL 400MG‐60MG TABLET TABLET<br />
5 Effective 7/1/09