The Quarterly update is a cumulative listing of any changes to the Non-Insured
Health Benefits (NIHB) Drug Benefit List since last published.
DIN |
MFR |
BRAND NAME |
PTC |
02273918 |
APX |
APO-BENAZEPRIL 20MG TABLET |
24:32.04 |
02246859 |
APX |
APO-FENO-SUPER 100MG TABLET |
24:06.06 |
02246860 |
APX |
APO-FENO-SUPER 160MG TABLET |
24:06.06 |
02279614 |
APX |
APO-TOPIRAMATE 25MG TABLET |
28:12.92 |
02279630 |
APX |
APO-TOPIRAMATE 100MG TABLET |
28:12.92 |
02279649 |
APX |
APO-TOPIRAMATE 200MG TABLET |
28:12.92 |
02274361 |
COB |
CO-MIRTAZAPINE 30MG TABLET |
28:16.04 |
02270749 |
DPC |
DOM-SUMATRIPTAN 25MG TABLET |
28:32.28 |
02264056 |
NOP |
NOVO-ONDANSETRON 4MG TABLET |
56:22.20 |
02264064 |
NOP |
NOVO-ONDANSETRON 8MG TABLET |
56:22.20 |
02258188 |
PMS |
PMS-ONDANSETRON 4MG TABLET |
56:22.20 |
02258196 |
PMS |
PMS-ONDANSETRON 8MG TABLET |
56:22.20 |
02277700 |
RPH |
RATIO-BICAULUTAMIDE 50MG TABLET |
10:00.00 |
02278529 |
PMS |
RATIO-ONDANSETRON 4MG TABLET |
56:22.20 |
02278537 |
PMS |
RATIO-ONDANSETRON 8MG TABLET |
56:22.20 |
02271583 |
RPH |
RATIO-SUMATRIPTAN 50MG TABLET |
28:32.28 |
02271591 |
RPH |
RATIO-SUMATRIPTAN 100MG TABLET |
28:32.28 |
02261766 |
SDZ |
SANDOZ-CALCITONIN 200IU/ML INJECTION |
68:24.00 |
02261855 |
SDZ |
SANDOZ-CARBAMAZEPINE 100MG CHEWABLE TABLET |
28:12.92 |
02261863 |
SDZ |
SANDOZ-CARBAMAZEPINE 200MG CHEWABLE TABLET |
28:12.92 |
02261839 |
SDZ |
SANDOZ-CARBAMAZEPINE CR 200MG EXTENDED RELEASE
TABLET |
28:12.92 |
02261847 |
SDZ |
SANDOZ-CARBAMAZEPINE CR 400MG EXTENDED RELEASE
TABLET |
28:12.92 |
02261952 |
SDZ |
SANDOZ-DICLOFENAC 25MG TABLET |
28:08.04 |
02261960 |
SDZ |
SANDOZ-DICLOFENAC 50MG TABLET |
28:08.04 |
02261901 |
SDZ |
SANDOZ-DICLOFENAC SR 75MG EXTENDED RELEASE
TABLET |
28:08.04 |
02261944 |
SDZ |
SANDOZ-DICLOFENAC SR 100MG EXTENDED RELEASE
TABLET |
28:08.04 |
02274310 |
SDZ |
SANDOZ-ONDANSETRON 4MG TABLET |
56:22.20 |
02274329 |
SDZ |
SANDOZ-ONDANSETRON 8MG TABLET |
56:22.20 |
02261782 |
SDZ |
SANDOZ-PINDOLOL 5MG TABLET |
24:24.00 |
02261790 |
SDZ |
SANDOZ-PINDOLOL 10MG TABLET |
24:24.00 |
02261804 |
SDZ |
SANDOZ-PINDOLOL 15MG TABLET |
24:24.00 |
02262177 |
SDZ |
SANDOZ-TERBINAFINE 250MG TABLET |
08:14.04 |
DIN |
MFR |
BRAND NAME |
PTC |
02275538 |
APX |
APO-FLECAINIDE 50MG TABLET |
24:04.04 |
02275546 |
APX |
APO-FLECAINIDE 100MG TABLET |
24:04.04 |
02278677 |
APX |
APO-MIDODRINE 2.5MG TABLET |
12:12.04 |
02278685 |
APX |
APO-MIDODRINE 5MG TABLET |
12:12.04 |
02282119 |
APX |
APO-RISPERIDONE 0.25MG TABLET |
28:16.08 |
02282127 |
APX |
APO-RISPERIDONE 0.5MG TABLET |
28:16.08 |
02282135 |
APX |
APO-RISPERIDONE 1MG TABLET |
28:16.08 |
02280396 |
APX |
APO-RISPERIDONE 1MG/ML SOLUTION |
28:16.08 |
02282143 |
APX |
APO-RISPERIDONE 2MG TABLET |
28:16.08 |
02282151 |
APX |
APO-RISPERIDONE 3MG TABLET |
28:16.08 |
02282178 |
APX |
APO-RISPERIDONE 4MG TABLET |
28:16.08 |
02282585 |
COB |
CO-RISPERIDONE 0.25MG TABLET |
28:16.08 |
02282593 |
COB |
CO-RISPERIDONE 0.5MG TABLET |
28:16.08 |
02282607 |
COB |
CO-RISPERIDONE 1MG TABLET |
28:16.08 |
02282615 |
COB |
CO-RISPERIDONE 2MG TABLET |
28:16.08 |
02282623 |
COB |
CO-RISPERIDONE 3MG TABLET |
28:16.08 |
02282631 |
COB |
CO-RISPERIDONE 4MG TABLET |
28:16.08 |
02241347 |
DPC |
DOM-FLUVOXAMINE 50MG TABLET |
28:16.04 |
02241348 |
DPC |
DOM-FLUVOXAMINE 100MG TABLET |
28:16.04 |
02271141 |
DPC |
DOM-TOPIRAMATE 25MG TABLET |
28:12.92 * |
02271168 |
DPC |
DOM-TOPIRAMATE 100MG TABLET |
28:12.92 * |
02271176 |
DPC |
DOM-TOPIRAMATE 200MG TABLET |
28:12.92 * |
02268892 |
SAC |
ELIGARD 56.3MG/VIAL INJECTION |
10:00.00 |
02265133 |
GEN |
GEN-DIVALPROEX 125MG DELAYED RELEASE TABLET |
28:12.92 |
02265141 |
GEN |
GEN-DIVALPROEX 250MG DELAYED RELEASE TABLET |
28:12.92 |
02265168 |
GEN |
GEN-DIVALPROEX 500MG DELAYED RELEASE TABLET |
28:12.92 |
02282240 |
GEN |
GEN-RISPERIDONE 0.25MG TABLET |
28:16.08 |
02282259 |
GEN |
GEN-RISPERIDONE 0.5MG TABLET |
28:16.08 |
02282267 |
GEN |
GEN-RISPERIDONE 1MG TABLET |
28:16.08 |
02282275 |
GEN |
GEN-RISPERIDONE 2MG TABLET |
28:16.08 |
02282283 |
GEN |
GEN-RISPERIDONE 3MG TABLET |
28:16.08 |
02282291 |
GEN |
GEN-RISPERIDONE 4MG TABLET |
28:16.08 |
02239214 |
VAE |
GLYCON 850MG TABLET |
68:20.04 * |
02245703 |
PFR |
HYDROMORPH-IR 2MG TABLET |
28:08.08 |
02245704 |
PFR |
HYDROMORPH-IR 4MG TABLET |
28:08.08 |
02245705 |
PFR |
HYDROMORPH-IR 8MG TABLET |
28:08.08 |
02257912 |
PMT |
IBUPROFEN 200MG TABLET |
28:08.04 |
02279320 |
HLR |
INVIRASE 500MG TABLET |
08:18.08 |
02269074 |
FOU |
LIPIDIL EZ 48MG TABLET |
24:06.06 |
02269082 |
FOU |
LIPIDIL EZ 145MG TABLET |
24:06.06 |
09853464 |
AMG |
NEUPOGEN 480MCG/1.6ML INJECTION |
20:16.00 |
02279894 |
NOP |
NOVO-MIRTAZAPINE 15MG ORALLY DISINTEGRATING
TABLET |
28:16.04 |
02279908 |
NOP |
NOVO-MIRTAZAPINE 30MG ORALLY DISINTEGRATING
TABLET |
28:16.04 |
02279916 |
NOP |
NOVO-MIRTAZAPINE 45MG ORALLY DISINTEGRATING
TABLET |
28:16.04 |
02282690 |
NOP |
NOVO-RISPERIDONE 0.25MG TABLET |
28:16.08 |
02264188 |
NOP |
NOVO-RISPERIDONE 0.5MG TABLET |
28:16.08 |
02264196 |
NOP |
NOVO-RISPERIDONE 1MG TABLET |
28:16.08 |
02264218 |
NOP |
NOVO-RISPERIDONE 2MG TABLET |
28:16.08 |
02264226 |
NOP |
NOVO-RISPERIDONE 3MG TABLET |
28:16.08 |
02264234 |
NOP |
NOVO-RISPERIDONE 4MG TABLET |
28:16.08 |
02252007 |
PMS |
PMS-RISPERIDONE 0.25MG TABLET |
28:16.08 |
02252015 |
PMS |
PMS-RISPERIDONE 0.5MG TABLET |
28:16.08 |
02252023 |
PMS |
PMS-RISPERIDONE 1MG TABLET |
28:16.08 |
02279266 |
PMS |
PMS-RISPERIDONE 1MG/ML SOLUTION |
28:16.08 |
02252031 |
PMS |
PMS-RISPERIDONE 2MG TABLET |
28:16.08 |
02252058 |
PMS |
PMS-RISPERIDONE 3MG TABLET |
28:16.08 |
02252066 |
PMS |
PMS-RISPERIDONE 4MG TABLET |
28:16.08 |
02280906 |
RBY |
RAN-RISPERIDONE 0.25MG TABLET |
28:16.08 |
02280914 |
RBY |
RAN-RISPERIDONE 0.5MG TABLET |
28:16.08 |
02280922 |
RBY |
RAN-RISPERIDONE 1MG TABLET |
28:16.08 |
02280930 |
RBY |
RAN-RISPERIDONE 2MG TABLET |
28:16.08 |
02280949 |
RBY |
RAN-RISPERIDONE 3MG TABLET |
28:16.08 |
02280957 |
RBY |
RAN-RISPERIDONE 4MG TABLET |
28:16.08 |
02264757 |
RPH |
RATIO-RISPERIDONE 0.25MG TABLET |
28:16.08 |
02264765 |
RPH |
RATIO-RISPERIDONE 0.5MG TABLET |
28:16.08 |
02264773 |
RPH |
RATIO-RISPERIDONE 1MG TABLET |
28:16.08 |
02264781 |
RPH |
RATIO-RISPERIDONE 2MG TABLET |
28:16.08 |
02264803 |
RPH |
RATIO-RISPERIDONE 3MG TABLET |
28:16.08 |
02264811 |
RPH |
RATIO-RISPERIDONE 4MG TABLET |
28:16.08 |
02268086 |
JNO |
RISPERDAL-M 3MG ORALLY DISINTEGRATTING TABLET |
28:16.08 |
02268094 |
JNO |
RISPERDAL-M 4MG ORALLY DISINTEGRATTING TABLET |
28:16.08 |
02279509 |
SDZ |
SANDOZ-RISPERIDONE 0.25MG TABLET |
28:16.08 |
02279495 |
SDZ |
SANDOZ-RISPERIDONE 0.5MG TABLET |
28:16.08 |
02279800 |
SDZ |
SANDOZ-RISPERIDONE 1MG TABLET |
28:16.08 |
02279819 |
SDZ |
SANDOZ-RISPERIDONE 2MG TABLET |
28:16.08 |
02279827 |
SDZ |
SANDOZ-RISPERIDONE 3MG TABLET |
28:16.08 |
02279835 |
SDZ |
SANDOZ-RISPERIDONE 4MG TABLET |
28:16.08 |
DIN |
MFR |
BRAND NAME |
PTC |
00807745 |
SDR |
ACETAMINOPHEN 160MG CHEWABLE TABLET |
28:08.92 |
00361046 |
SDR |
ACETAMINOPHEN 325MG TABLET |
28:08.92 |
01924613 |
AVT |
ALBERT-TIAFEN 200MG TABLET |
28:08.04 |
01924621 |
AVT |
ALBERT-TIAFEN 300MG TABLET |
28:08.04 |
00061387 |
BEN |
ALLERGENIC EXTRACT POLLENS INJECTION |
80:04.00 |
00249920 |
BOE |
ALUPENT 2MG/ML SYRUP |
12:12.08 |
00603279 |
APX |
APO-AMPICILLIN 250MG CAPSULE |
08:12.16 |
00603295 |
APX |
APO-AMPICILLIN 500MG CAPSULE |
08:12.16 |
02242329 |
APX |
APO-CHLORHEXIDINE 0.12% RINSE |
52:28.00 |
02243085 |
APX |
APO-CIMETIDINE 60MG/ML ORAL LIQUID |
56:28.12 |
02244324 |
APX |
APO-CYCLOSPORINE 100MG/ML SOLUTION |
92:00.00 |
02244166 |
APX |
APO-FLUPHENAZINE 25MG/ML INJECTION |
28:16.08 |
02245698 |
APX |
APO-TOBRAMYCIN 0.3% OPHTH SOLUTION |
52:04.04 |
00005525 |
NVR |
APRESOLINE 10MG TABLET |
24:08.20 |
00005533 |
NVR |
APRESOLINE 25MG TABLET |
24:08.20 |
00005541 |
NVR |
APRESOLINE 50MG TABLET |
24:08.20 |
00724912 |
SDR |
ASA 325MG ENTERIC COATED TABLET |
28:08.04 |
00092746 |
DCL |
ASA 325MG ENTERIC COATED TABLET |
28:08.04 |
00576158 |
BOE |
ATROVENT 20MCG INHALATION INHALER |
12:08.08 |
00588180 |
DCL |
BARBILIXIR 4MG/ML LIQUID |
28:12.04 |
00291315 |
RPH |
BRONCHO-GRIPPOL-DM 3MG/ML SYRUP |
48:08.00 |
00579947 |
STI |
BURO-SOL 0.35% & 0.023% POWDER |
84:12.00 |
00640360 |
SDR |
CALCIUM 500MG TABLET |
40:12.00 |
00590983 |
RPH |
CALMYLIN #1 3MG/ML SYRUP |
48:08.00 |
00461733 |
VAE |
CARBOLITH 150MG CAPSULE |
28:28.00 |
00027898 |
SCH |
CELESTODERM V/2 0.05% CREAM |
84:06.00 |
00732915 |
SDR |
CHILDREN PEDIATRIC VITAMINS DROPS |
88:28.00 |
02230644 |
PED |
CHILDREN VITAMIN DROPS |
88:28.00 |
00690805 |
RPH |
CHLORPROMANYL 40 40MG/ML DROP |
28:16.08 |
00530492 |
DCL |
COAL TAR 20% LIQUID |
84:32.00 |
00093114 |
DCL |
CODEINE POSPHATE 5MG/ML SYRUP |
28:08.08 |
00016128 |
FRS |
COGENTIN 1MG/ML INJECTION |
12:08.04 |
00607126 |
BMS |
CORGARD 40MG TABLET |
24:24.00 |
00523372 |
BMS |
CORGARD 160MG TABLET |
24:24.00 |
00497894 |
FRS |
CUPRIME 125MG TABLET |
64:00.00 |
00632600 |
PFI |
CYTOTEC 200MCG TABLET |
56:28.28 |
00705519 |
AZC |
DIMENHYDRINATE 50MG/ML INJECTION |
56:22.08 |
00598860 |
PDL |
DIPYRIDAMOLE 75MG TABLET |
24:12.92 |
00579955 |
STI |
DOAK-OIL 2% LIQUID |
84:32.00 |
00579971 |
STI |
DOAK-OIL FORTE 10% LIQUID |
84:32.00 |
00000299 |
ABB |
EES-200 40MG/ML SUSPENSION |
08:12.12 |
00453617 |
ABB |
EES-400 80MG/ML SUSPENSION |
08:12.12 |
00893862 |
ABB |
ERYBID 500MG TABLET |
08:12.12 |
00094714 |
DCL |
FERROUS GLUCONATE 300MG TABLET |
20:04.04 |
00179639 |
SDR |
FERROUS GLUCONATE 300MG TABLET |
20:04.04 |
00284149 |
ICN |
FOLIC ACID 5MG TABLET |
88:08.00 |
00028282 |
SCH |
FULVICIN U/F 500MG TABLET |
08:14.92 |
00093947 |
DCL |
HEAVY MINERAL OIL 100% LIQUID |
56:12.00 |
00061379 |
BEN |
HOUSE DUST TREATMENT SET INJECTION |
80:04.00 |
00733075 |
LIL |
HUMULIN U 100U/ML INJECTION |
68:20.08 |
00514551 |
LIL |
ILENTIN II NPH 100U/ML INJECTION |
68:20.08 |
00513644 |
LIL |
ILENTIN II REGULAR 100U/ML INJECTION |
68:20.08 |
01939165 |
SDR |
INFANT'S MULTIPLE VITAMIN DROPS |
88:28.00 |
00093858 |
DCL |
IPECAC SYRUP |
56:20.00 |
00004405 |
GSK |
KEMADRIN 0.5MG/ML ELIXIR |
12:08.04 |
00004758 |
GSK |
KEMADRIN 5MG TABLET |
12:08.04 |
01929984 |
AVT |
LARGACTIL 25MG/ML INJECTION |
28:06.08 |
00682314 |
HLR |
LECTOPAM 1.5MG TABLET |
28:24.08 |
02181509 |
LIN |
LIN-AMOX 25MG/ML SUSPENSION |
08:12.16 |
00386391 |
BMS |
MEGACE 40MG TABLET |
10:00.00 |
00093815 |
DCL |
MILK OF MAGNESIA 300MG TABLET |
56:12.00 |
00093807 |
DCL |
MILK OF MAGNESIA 80MG/ML LIQUID |
56:12.00 |
00349917 |
BMS |
MODECATE 25MG/ML INJECTION |
28:16.08 |
00379727 |
VAE |
MULTI-TAR PLUS SHAMPOO |
84:32.00 |
00295973 |
BMS |
MYCOSTATIN 25,000IU VAGINAL CREAM |
84:04.08 |
00236691 |
ICN |
NEMASOL SODIUM 500MG TABLET |
08:16.04 |
00021423 |
NOP |
NOVO-DIMENATE 50MG TABLET |
56:22.08 |
00784419 |
NOP |
NOVO-DIPIRADOL 25MG TABLET |
24:12.92 |
00784427 |
NOP |
NOVO-DIPIRADOL 50MG TABLET |
24:12.92 |
00784435 |
NOP |
NOVO-DIPIRADOL 75MG TABLET |
12:12.92 |
00756830 |
NOP |
NOVO-NIFEDIN 10MG CAPSULE |
24:28.08 |
00549657 |
NOP |
NOVO-PRANOL 120MG TABLET |
24:24.00 |
00021784 |
NOP |
NOVO-RESERPINE 0.25MG TABLET |
24:08.32 |
00620955 |
NOP |
NOVO-SALMOL 2MG TABLET |
12:12.00 |
00620963 |
NOP |
NOVO-SALMOL 4MG TABLET |
12:12.00 |
00458686 |
NOP |
NOVO-SORBIDE 10MG TABLET |
24:12.08 |
01927701 |
AVT |
NOZINAN 40MG/ML DROP |
28:16.08 |
01926411 |
AVT |
ORUDIS 100MG SUPPOSITORY |
28:08.04 |
01926381 |
AVT |
ORUDIS E 50MG ENTERIC COATED TABLET |
28:08.04 |
00483915 |
DCL |
OXAZEPAM 15MG TABLET |
28:24.08 |
02243159 |
PFR |
PALLADONE XL 12MG CONTROLLED RELEASE CAPSULE |
28:08.08 |
02243160 |
PFR |
PALLADONE XL 16MG CONTROLLED RELEASE CAPSULE |
28:08.08 |
02243161 |
PFR |
PALLADONE XL 24MG CONTROLLED RELEASE CAPSULE |
28:08.08 |
00796492 |
MTI |
PARA SHAMPOO |
84:04.12 |
00568643 |
NVR |
PARLODEL 5MG CAPSULE |
92:00.00 |
00568449 |
RPH |
PEPTOL 400MG TABLET |
56:28.12 |
00584282 |
RPH |
PEPTOL 600MG TABLET |
56:28.12 |
01916556 |
BMS |
PERCODAN DEMI 325MG & 2.5MG TABLET |
28:08.08 |
00067385 |
BOE |
PERSANTINE 25MG TABLET |
24:12.92 |
00093505 |
DCL |
PHENOBARBITAL 15MG TABLET |
28:12.04 |
00093521 |
DCL |
PHENOBARBITAL 30MG TABLET |
28:12.04 |
00093556 |
DCL |
PHENOBARBITAL 60MG TABLET |
28:12.04 |
00093564 |
DCL |
PHENOBARBITAL 90MG TABLET |
28:12.04 |
01926675 |
AVT |
PIPORTOL L4 50MG/ML INJECTION |
28:16.08 |
00306290 |
ICN |
PROCYCLID 5MG TABLET |
12:08.04 |
00503320 |
SCH |
PROGLYCEM 50MG/ML SUSPENSION |
24:08.20 |
00639885 |
BMS |
PRONESTYL SR 500MG SUSTAINED RELEASE TABLET |
24:04.04 |
00254363 |
RPH |
PROVIODINE 1% OINTMENT |
84:04.92 |
00634093 |
BMS |
QUESTRAN 4G POWDER |
24:06.04 |
00464880 |
BMS |
QUESTRAN 4G POWDER |
24:06.04 |
00653217 |
RPH |
RATIO-ECTSONE 0.1% SCALP LOTION |
84:06.00 |
02240249 |
RPH |
RATIO-TIMOLOL 0.5% OPHTH SOLUTION |
52:92.00 |
00761699 |
RHO |
RHODIS 100MG SUPPOSITORY |
28:08.04 |
00761664 |
RHO |
RHODIS 50MG CAPSULE |
08:08.04 |
00761672 |
RHO |
RHODIS EC 50MG ENTERIC COATED TABLET |
28:08.04 |
00761605 |
RHO |
RHOTRIMINE 12.5MG TABLET |
28:16.04 |
00761613 |
RHO |
RHOTRIMINE 25MG TABLET |
28:16.04 |
00761621 |
RHO |
RHOTRIMINE 50MG TABLET |
28:16.04 |
02240622 |
RHO |
RHOXAL-FAMOTIDINE 20MG TABLET |
56:28.12 |
02240623 |
RHO |
RHOXAL-FAMOTIDINE 40MG TABLET |
56:28.12 |
00006173 |
DES |
RUBION 1,000MCG/ML INJECTION |
88:08.00 |
00026042 |
PFR |
SENOKOT 5MG/G POWDER |
56:12.00 |
00534579 |
NVR |
SLOW TRASICOR 80MG SLOW RELEASE TABLET |
24:24.00 |
00534587 |
NVR |
SLOW TRASICOR 160MG SLOW RELEASE TABLET |
24:24.00 |
00624748 |
AZC |
SODIUM CHLORIDE 0.9% INJECTION |
40:12.00 |
00483923 |
BMS |
SOTACOR 160MG TABLET |
24:24.00 |
01927752 |
AVT |
STEMETIL 5MG TABLET |
28:16.08 |
01927760 |
AVT |
STEMETIL 10MG TABLET |
28:16.08 |
00478423 |
PDL |
SULFINPYRAZONE 200MG TABLET |
40:40.00 |
01926357 |
AVT |
SURMONTIL 12.5MG TABLET |
28:16.04 |
01926330 |
AVT |
SURMONTIL 50MG TABLET |
28:16.04 |
00675369 |
RPH |
SYNFLEX 275MG TABLET |
28:08.04 |
00579963 |
VAO |
TAR DISTILLATE 100% LIQUID |
96:00.00 |
01959638 |
NVR |
TEAR DROPS 1.4% & 0.6% OPHTH SOLUTION |
52:92.00 |
00532223 |
RPH |
THEOPHYLLINE 5.33MG/ML ELIXIR |
86:16.00 |
02162776 |
HLR |
TICLID 250MG TABLET |
20:12.18 |
00238678 |
SDR |
TRAVELTABS 50MG TABLET |
56:22.08 |
00603317 |
MCL |
TYLENOL CHILDREN'S 32MG/ML LIQUID |
28:08.92 |
02133342 |
NVR |
VASOCIDIN 0.25% & 10% SOLUTION |
52:08.08 |
02133350 |
NVR |
VASOCON 0.1% OPHTH SOLUTION |
52:32.00 |
00179515 |
SDR |
VIT B12 25MCG TABLET |
88:08.00 |
00561568 |
VTH |
VITAMIN B12 25MCG TABLET |
88:08.00 |
00508977 |
PED |
VITAMIN B12 25MCG TABLET |
88:08.00 |
00464325 |
PED |
VITAMIN B6 100MG TABLET |
88:08.00 |
00557455 |
VTH |
VITAMIN B6 250MG TABLET |
88:08.00 |
00325287 |
VTH |
VITAMIN B6 25MG TABLET |
88:08.00 |
00361054 |
SDR |
VITAMIN C 1000MG TABLET |
88:12.00 |
00840777 |
VLB |
VITAMIN C 250MG CHEWABLE TABLET |
88:12.00 |
00094641 |
DCL |
VITAMIN C 250MG TABLET |
88:12.00 |
00036161 |
PED |
VITAMIN C 250MG TABLET |
88:12.00 |
00179566 |
SDR |
VITAMIN C 250MG TABLET |
88:12.00 |
00179574 |
SDR |
VITAMIN C 500MG TABLET |
88:12.00 |
00094668 |
DCL |
VITAMIN C 500MG TABLET |
88:12.00 |
00355046 |
HOR |
VOSOL OTIC SOLUTION |
52:92.00 |
00809136 |
RPH |
ZINADERM 15% CREAM |
84:24.12 |
00093661 |
DCL |
ZINC 15% OINTMENT |
84:24.12 |
Effective July 1, 2006, Kaletra changed listing status from a limited
use benefit to an open benefit.