Exempt Prescription Products List
February 21 , 2020
exempt_rx_list
| Exempt Prescription Products |
2/21/2020 |
|||||
| Company | Trade Name | NDC Code | Form | Controlled Substance |
(mg or mg/ml) |
|
| Acella Pharmaceuticals, LLC | Chlordiazepoxide HCl and Clidinium Bromide Capsules | 42192-0336 | CA | Chlordiazepoxide HCl |
5.00 |
|
| Actavis Pharma, Inc. | Butalbital, Acetaminophen and Caffeine Capsules USP 50/300/40 | 0591-2640 | CA | Butalbital |
50.00 |
|
| Actavis Pharma, Inc. | Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 | 0591-3369 | TB | Butalbital |
50.00 |
|
| Actavis Pharma, Inc. | Fioricet (Butalbital, Acetaminophen and Caffeine USP 50/300/40) | 52544-080 | CA | Butalbital |
50.00 |
|
| Alpha Scriptics Inc | Butacet Capsules | 53121-0133 | CA | Butalbital |
50.00 |
|
| Alphagen Laboratories, Inc. | Butalbital and Acetaminophen Capsules 50mg/ 650mg | 00603-2542 | CA | Butalbital |
50.00 |
|
| Alphagen Laboratories, Inc. | Donnaphen Tablets | 59743-0027 | TB | Phenobarbital |
16.20 |
|
| Alphagen Laboratories, Inc. | Geone Capsules | 59743-0004 | CA | Butalbital |
50.00 |
|
| Altana, Inc. | Axocet (Butalbital and Acetaminophen) | 0281-0389 | TB | Butalbital |
50.00 |
|
| Althon Pharmaceuticals, Inc. | Butalbital, Acetaminophen and Caffeine Tablets USP | 66813-074 | TB | Butalbital |
50.00 |
|
| Alvogen, Inc. | Butalbital and AcetaminophenTablets USP 50/325 | 47781-0535 | TB | Butalbital |
50.00 |
|
| Alvogen, Inc. | Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 | 47781-0536 | TB | Butalbital |
50.00 |
|
| Alvogen, Inc. | Butalbital and Acetaminophen Tablets 50/325 | 47781-0628 | TB | Butalbital |
50.00 |
|
| Alvogen, Inc. | Butalbital, Acetaminophen and Caffeine Tablets (50/325/40) | 47781-0625 | TB | Butalbital |
50.00 |
|
| Alvogen, Inc. | Butalbital and Acetaminophen Tablets (50/300) | 47781-0644 | TB | Butalbital |
50.00 |
|
| American Pharmaceuticals, Inc. | AMERICET Tablets | 58605-0501 | TB | Butalbital |
50.00 |
|
| American Urologicals Inc | Butace | 00539-0906 | CA | Butalbital |
50.00 |
|
| Amerisource Health Services Corporation | Butalbital, Acetaminophen and Caffeine Tablets 50/325/40mg | 68084-0396 | TB | Butalbital |
50.00 |
|
| Amide Pharmaceuticals | Bellamine-S Tablets | 52152-0115 | TB | Phenobarbital |
40.00 |
|
| Amide Pharmaceuticals | Bellaspas Tablets | 00603-2424 | TB | Phenobarbital |
40.00 |
|
| Amide Pharmaceuticals | BEL-PHEN-ERGOTS Tablets | 00182-1990 | TB | Phenobarbital |
40.00 |
|
| Amide Pharmaceuticals | Chlordiazepoxide HCl and Clidinium Bromide Capsules | 52152-0018 | CA | Chlordiazepoxide HCl |
5.00 |
|
| Amide Pharmaceuticals | DuraGal-S Tablets | 51285-0907 | TB | Phenobarbital |
40.00 |
|
| Amide Pharmaceuticals | Phenerbel-S Tablets | 00536-4234 | TB | Phenobarbital |
40.00 |
|
| Amide Pharmaceuticals | Theophedrital Tablets | 52152-0035 | TB | Phenobarbital |
8.00 |
|
| Anabolic Laboratories, Inc | Spastrin Tablets | 51991-045 | TB | Phenobarbital |
40.00 |
|
| Aphena Pharma Solutions | Butalbital, Acetaminophen and Caffeine Tablets (50/325/40mg | 71610-0042 | TB | Butalbital |
50.00 |
|
| Apotheca | Theophen | 12634-0101 | TB | Phenobarbital |
8.00 |
|
| Apothecon Florida | Phenobarbital with Belladonna Alkaloids Tablets | 72768-7010 | TB | Phenobarbital |
16.20 |
|
| Apothecon Florida | Phenobarbital with Belladonna Alkaloids Oral Solution (Grape) | 72768-9011 | LQ | Phenobarbital |
16.20 |
|
| Apothecon Florida | Phenobarbital with Belladonna Alkaloids Oral Solution (Mint) | 72768-9012 | LQ | Phenobarbital |
16.20 |
|
| Arco Pharmaceuticals | Arco-Lase Plus | 00275-0045 | TB | Phenobarbital |
8.00 |
|
| Arlo Interamerican | Espasmotex | 11475-0835 | TB | Phenobarbital |
20.00 |
|
| Ascher and Co | Anaspaz PB | 00225-0300 | TB | Phenobarbital |
15.00 |
|
| Ascot Pharmaceuticals | Antispasmodic Tablets | 47679-0158 | TB | Phenobarbital |
16.20 |
|
| Ascot Pharmaceuticals | Chlordiazepoxide Hydrochloride + Clidinium Bromide | 47679-0268 | CA | Chlordiazepoxide HCl |
5.00 |
|
| Atlantic Biologicals Corp. | Donnatal Elixir-Grape | 17856-0423 | EL | Phenobarbital |
3.24 |
|
| Atley Pharmaceuticals | Butalbital, Acetaminophen and Caffeine Tablets | 59702-661 | TB | Butalbital |
50.00 |
|
| Aurobindo Pharma Inc. | Butalbital, Acetaminophen and Caffeine Capsules USP 50/325/40 | 13107-075 | CA | Butalbital |
50.00 |
|
| AvKare, Inc. | Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 | 50268-139 | TB | Butalbital |
50.00 |
| Exempt Prescription Products |
2/21/2020 |
||||||
| Company | Trade Name | NDC Code | Form | Controlled Substance |
(mg or mg/ml) |
||
| AvKare, Inc. | Butalbital, Acetaminophen and Caffeine Capsules USP 50/300/40 | 42291-181 | CA | Butalbital |
50.00 |
||
| AvKare, Inc | (Manuf. by Belcher Pharmaceuticals, LLC) | Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg | 42291-214 | CA | Chlordiazepoxide HCl |
5.00 |
|
| AvKare, Inc | (Manuf. by IriSys Inc.) | Donnatal Elixir | 42291-244 | EL | Phenobarbital |
3.24 |
|
| AvKare, Inc | (Manuf. by IriSys Inc.) | Donnatal Tablets | 42291-245 | TB | Phenobarbital |
16.20 |
|
| Ayerst Laboratories | PMB-200 | 00046-0880 | TB | Meprobamate |
200.00 |
||
| Ayerst Laboratories | PMB-400 | 00046-0881 | TB | Meprobamate |
400.00 |
||
| Barre Drug Co | Barophen | 00472-0981 | EL | Phenobarbital |
3.24 |
||
| Barre Drug Co | Isolate Compound | 00472-0929 | EL | Phenobarbital |
0.40 |
||
| Baucum Laboratories Inc | Butalbital, Acetaminophen and Caffeine Tablets | 54696-0513 | TB | Butalbital |
50.00 |
||
| Beecham Laboratories | Hybephen | 00029-2360 | TB | Phenobarbital |
15.00 |
||
| Belcher Pharmaceuticals (Manufactured for Virtus Pharma) | Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg | 76439-302 | CA | Chlordiazepoxide HCl |
5.00 |
||
| Bi-Coastal Pharmaceutical Corp. (Manuf. By Andapharm LLC) | Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg | 42582-301 | CA | Chlordiazepoxide HCl |
5.00 |
||
| Bioline Labs Inc | Anti-Spas Elixir | 00719-4090 | EL | Phenobarbital |
3.24 |
||
| Bioline Labs Inc | Anti-Spas Tablets | 00719-1091 | TB | Phenobarbital |
16.20 |
||
| Bioline Labs Inc | Bel-Phen-Ergot-S Tablets | 00719-1686 | TB | Phenobarbital |
40.00 |
||
| Bioline Labs Inc | Chlordinium | 00719-1208 | CA | Chlordiazepoxide HCl |
5.00 |
||
| Bio-Pharm Inc. | E-Caff-PB Suppository | 59879-0501 | SU | Pentobarbital |
60.00 |
||
| Bio-Pharm Inc. | Ergocaff-PB Suppository | 59741-0315 | SU | Pentobarbital |
60.00 |
||
| Bio-Pharm Inc. | Ergocaff-PB Suppository | 00182-7007 | SU | Pentobarbital |
60.00 |
||
| Bio-Pharm Inc. | Migercet-PB Suppository | 00144-0633 | SU | Pentobarbital |
60.00 |
||
| BioRamo, LLC. | Phenobarbital, Hyoscyamine,Atropine, & Scopolamine Oral Solution | 54932-211 | LQ | Phenobarbital |
16.20 |
||
| BioRamo, LLC. | Phenobarbital, Hyoscyamine,Atropine, & Scopolamine Oral Solution | 54932-212 | LQ | Phenobarbital |
16.20 |
||
| Blaine Co | Spaslin | 00165-0029 | TB | Phenobarbital |
16.20 |
||
| Blansett Pharm Co | Anolor 300 Capsules | 51674-0009 | CA | Butalbital |
50.00 |
||
| Bock Pharmacal Co | Broncholate | 00563-0277 | CA | Phenobarbital |
8.00 |
||
| Bowman Pharmaceutical | Private Formula No 3095 | 00252-3095 | TB | Phenobarbital Sodium |
15.00 |
||
| Brandywine Pharmaceuticals LLC. | Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg | 71321-700 | CA | Chlordiazepoxide HCl |
5.00 |
||
| Breon Labs | Isuprel Compound | 00057-0874 | EL | Phenobarbital |
0.40 |
||
| Caldwell & Bloor Co | Hyosital White | 00361-2131 | TB | Phenobarbital |
16.20 |
||
| Cameron Pharmaceuticals, LLC. | Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg | 42494-409 | CA | Chlordiazepoxide HCl |
5.00 |
||
| Cardinal Health | Butalbital, Acetaminophen and Caffeine Tablets 50mg/325mg/40mg | 0904-6538 | TB | Butalbital |
50.00 |
||
| Carnrick Labs Inc | Phrenilin | 00086-0050 | TB | Butalbital |
50.00 |
||
| Carpenter Pharmacal Co | ALAGESIC Tablets | 55726-0300 | TB | Butalbital |
50.00 |
||
| Chelsea Laboratories | Chlordiazepoxide with Clidinium Bromide | 46193-0948 | CA | Chlordiazepoxide HCl |
5.00 |
||
| Cody Laboratories, Inc | BU-TAB AC | 65893-100 | TB | Butalbital |
50.00 |
||
| Columbia Drug Co | Isopap Capsules | 11735-0400 | CA | Butalbital |
50.00 |
||
| Concordia Pharmaceuticals Inc. | Donnatal Elixir-Mint Flavored | 59212-0422 | EL | Phenobarbital |
3.24 |
||
| Concordia Pharmaceuticals Inc. | Donnatal Elixir-Grape Flavored | 59212-0423 | EL | Phenobarbital |
3.24 |
||
| Concordia Pharmaceuticals Inc. | Donnatal Tablets | 59212-0425 | TB | Phenobarbital |
16.20 |
||
| Consolidated Midland | Bellalphen | 00223-0425 | TB | Phenobarbital |
16.20 |
||
3
| Exempt Prescription Products |
2/21/2020 |
|||||
| Company | Trade Name | NDC Code | Form | Controlled Substance |
(mg or mg/ml) |
|
| Contract Pharmacal Corp. | Pyrelle HB | 66663-702-01 | TB | Butabarbital |
15.00 |
|
| CTEX Pharmaceuticals, Inc. | Butex Forte Capsules | 62022-0070 | CA | Butalbital |
50.00 |
|
| CTEX Pharmaceuticals, Inc. | Butex Forte Capsules | 62022-0074 | CA | Butalbital |
50.00 |
|
| D.M. Graham Laboratories, Inc. | Butalbital, Acetaminophen and Caffeine Tablets | 00756-0111 | TB | Butalbital |
50.00 |
|
| D.S.C. Laboratories | MICOMP-PB Suppository | 55053-0290 | SU | Pentobarbital USP |
60.00 |
|
| Diversified Health Care Services | Geone Capsules | 59743-004 | CA | Butalbital |
50.00 |
|
| Dorasol Laboratories | Donalixir | 00471-0095 | EL | Phenobarbital |
3.24 |
|
| Dunhall Pharmacal Inc | Triaprin | 00217-2811 | CA | Butalbital |
50.00 |
|
| Duramed Pharmaceuticals | Butalbital, Acetaminophen and Caffeine Tablets | 51285-0849 | TB | Butalbital |
50.00 |
|
| ECI Pharmaceuticals, LLC | Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Tablets | 51293-665 | TB | Phenobarbital |
16.20 |
|
| ECI Pharmaceuticals, LLC | Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg | 51293-607 | CA | Chlordiazepoxide HCl |
5.00 |
|
| Econolab | Micomp-PB Tablets | 55053-0525 | TB | Pentobarbital Sodium |
30.00 |
|
| EconoMed Pharmaceuticals, Inc. | ARCET Capsules | 38130-0325 | CA | Butalbital |
50.00 |
|
| EconoMed Pharmaceuticals, Inc. | ARCET Compound Tablets | 38130-0111 | TB | Butalbital |
50.00 |
|
| Elge, Inc. | Donnaphen Elixer | 58298-0432 | EL | Phenobarbital |
16.20 |
|
| Elge, Inc. | Mednatal Elixer | 51285-0735 | EL | Phenobarbital |
16.20 |
|
| Elge, Inc. | MICOMP-PB Suppositories | 55053-0290 | SU | Pentobarbital |
60.00 |
|
| Equipharm Corp | EQUI-CET Tablets | 57779-0111 | TB | Butalbital |
50.00 |
|
| Everett Laboratories, Inc | Repan Capsules | 00642-0164 | CA | Butalbital |
50.00 |
|
| Everett Laboratories, Inc | Repan Capsules | 00642-0163 | CA | Butalbital |
50.00 |
|
| Everett Laboratories, Inc | Repan Tablets | 00642-0162-10 | TB | Butalbital |
50.00 |
|
| Forest Pharmacal Inc | Acetaminophen 325 mg/Butalbital 50 mg | 00456-0674 | TB | Butalbital |
50.00 |
|
| Forest Pharmacal Inc | Acetaminophen 500 mg/Butalbital 50 mg | 00456-0671 | TB | Butalbital |
50.00 |
|
| Forest Pharmacal Inc | Bancap | 00456-0546 | CA | Butalbital |
50.00 |
|
| Forest Pharmacal Inc | Esgic Capsules | 00456-0631 | CA | Butalbital |
50.00 |
|
| Forest Pharmacal Inc | ESGIC PLUS Capsules | 00456-0679 | CA | Butalbital |
50.00 |
|
| Forest Pharmacal Inc | Esgic Tablets | 00456-0630 | TB | Butalbital |
50.00 |
|
| Forest Pharmacal Inc | ESGIC-PLUS | 00456-0678 | TB | Butalbital |
50.00 |
|
| Forest Pharmacal Inc | G.B.S. | 00456-0281 | TB | Phenobarbital |
8.00 |
|
| Forest Pharmacal Inc | Soniphen | 00456-0429 | ET | Phenobarbital |
16.00 |
|
| Genetco Inc | Butalbital, Apap and Caffeine | 00302-0490 | TB | Butalbital |
50.00 |
|
| Geneva Generics | Phenobarbital, Ergotamine and Belladonna Tablets | 00781-1701 | TB | Phenobarbital |
40.00 |
|
| Geneva Pharmaceuticals, Inc. | Butalbital, Acetaminophen and Caffeine Tablets | 00781-1901 | TB | Butalbital |
50.00 |
|
| Geneva Pharmaceuticals, Inc. | T.E.P. Tablets | 00781-1325 | TB | Phenobarbital |
8.00 |
|
| Gen-King Products | Antispasmodic | 03547-0777 | TB | Phenobarbital |
16.20 |
|
| Geriatric Pharmacal Corp | Bilezyme Plus | 00249-1112 | TB | Phenobarbital |
8.00 |
|
| Geriatric Pharmacal Corp | Gustase Plus | 00249-1121 | TB | Phenobarbital |
8.00 |
|
| Glenlawn Laboratories | Chlordinium Sealets | 00580-0084 | CA | Chlordiazepoxide HCl |
5.00 |
|
| GM Pharmaceuticals (Manufactured by Mikart, Inc.) | Vanatol S (Butalbital, Acetaminophen, & Caffeine Soln 50/325/40 | 58809-359 | LQ | Butalbital |
50.00 |
|
| GM Pharmaceuticals (Manufactured by Mikart, Inc.) | Vanatol LQ (Butalbital, Acetaminophen, & Caffeine Soln 50/325/40 | 58809-820 | LQ | Butalbital |
50.00 |
4
| Exempt Prescription Products |
2/21/2020 |
|||||
| Company | Trade Name | NDC Code | Form | Controlled Substance |
(mg or mg/ml) |
|
| Goldline Laboratories | Antispasmodic Elixir | 00182-0686 | EL | Phenobarbital |
3.24 |
|
| Goldline Laboratories | Antispasmodic Tablets | 00182-0129 | TB | Phenobarbital |
16.20 |
|
| Goldline Laboratories | Bel-phen-ergot s Tablets | 00182-1847 | TB | Phenobarbital |
40.00 |
|
| Goldline Laboratories | Butalbital, APAP and Caffeine Tablets | 00182-1274 | TB | Butalbital |
50.00 |
|
| Goldline Laboratories | CDP Plus Capsules | 00182-1856 | CA | Chlordiazepoxide HCL |
5.00 |
|
| Goldline Laboratories | Tedrigan Tablets | 00182-1002 | TB | Phenobarbital |
8.00 |
|
| Granules Pharmaceuticals Inc. | Butalbital, Acetaminiphen and Caffeine Capsules 50mg/300mg/40mg | 70010-044 | CA | Butalbital |
50.00 |
|
| Granules Pharmaceuticals Inc. | Butalbital and Acetaminiphen Capsules 50 mg/300 mg | 70010-054 | CA | Butalbital |
50.00 |
|
| GSMS Incorporated | Butalbital, Acetaminophen and Caffeine Tablets USP (50/325/40) | 60429-589 | TB | Butalbital |
50.00 |
|
| GSMS Incorporated | Butalbital, Acetaminophen and Caffeine Capsules USP (50/300/40) | 51407-200 | CA | Butalbital |
50.00 |
|
| Halsey Drug Co Inc | Blue Cross Butalbital, APAP and Caffeine Tablets | 00879-0567 | TB | Butalbital |
50.00 |
|
| Halsey Drug Co Inc | Butalbital and Acetaminophen Tablets | 00879-0543 | TB | Butalbital |
50.00 |
|
| Halsey Drug Co Inc | Clinoxide | 00879-0501 | CA | Chlordiazepoxide HCl |
5.00 |
|
| Halsey Drug Co Inc | Susano | 00879-0058 | TB | Phenobarbital |
16.20 |
|
| Halsey Drug Co Inc | Susano | 00879-0059 | EL | Phenobarbital |
3.24 |
|
| HL Moore | Chlordiazepoxide HCl and Clidinium Bromide Capsules | 00839-6211 | CA | Chlordiazepoxide Hydrochloride |
5.00 |
|
| HL Moore Drug Exchange | Antispasmodic Tablets | 00839-5055 | TB | Phenobarbital |
16.00 |
|
| HL Moore Drug Exchange | Bellamor Tablets | 00839-7370 | TB | Phenobarbital |
40.00 |
|
| HL Moore Drug Exchange | Theophenyllin | 00839-5111 | TB | Phenobarbital |
8.00 |
|
| Hyrex Pharmaceutical | Panzyme | 00314-0310 | TB | Phenobarbital |
8.10 |
|
| Hyrex Pharmaceutical | Two-Dyne Revised | 00314-2229 | TB | Butalbital |
50.00 |
|
| Integrity Pharmaceutical Corporation | Bellatal | 64731-0754 | TB | Phenobarbital |
16.20 |
|
| International Ethical Laboratories, Inc. | Tencon Tablets | 11584-029-01 | TB | Butalbital |
50.00 |
|
| Interstate Drug Exchange | IDE-Cet Tablets | 00814-3820 | TB | Butalbital |
50.00 |
|
| Interstate Drug Exchange | Spastolate | 00814-7088 | TB | Phenobarbital |
16.20 |
|
| Intetlab | CON-TEN | 11584-1029 | CA | Butalbital |
50.00 |
|
| Inwood Laboratories, Inc. | Butalbital, Acetaminophen and Caffeine Tablets, USP | 0258-3657 | TB | Butalbital |
50.00 |
|
| IriSys Inc | Donnatal Elixir | 66213-0423 | EL | Phenobarbital |
3.24 |
|
| IriSys Inc | Donnatal Elixir-Mint | 66213-0422 | EL | Phenobarbital |
3.24 |
|
| IriSys Inc (Manufactured for PBM Pharmaceuticals) | Donnatal Tablets | 66213-0425 | TB | Phenobarbital |
16.20 |
|
| IriSys Inc (Manufactured for Concordia Pharmaceuticals Inc.) | Donnatal Elixir-Mint Flavored | 59212-0422 | EL | Phenobarbital |
3.24 |
|
| IriSys Inc (Manufactured for Concordia Pharmaceuticals Inc.) | Donnatal Elixir-Grape Flavored | 59212-0423 | EL | Phenobarbital |
3.24 |
|
| IriSys Inc (Manufactured for Concordia Pharmaceuticals Inc.) | Donnatal Tablets | 59212-0425 | TB | Phenobarbital |
16.20 |
|
| JMI-Canton Pharmaceuticals, Inc. | Belladonna Alkaloids and Phenobarbital Tablets | 00182-1048 | TB | Phenobarbital |
16.20 |
|
| JMI-Canton Pharmaceuticals, Inc. | Hyonatal-PB | 52604-6792 | TB | Phenobarbital |
16.20 |
|
| Kaiser Foundation Hospitals | Donnatal Elixir | 00179-0088 | EL | Phenobarbital |
16.20 |
|
| Kaiser Foundation Hospitals | Donnatal Tablet | 00179-0132 | TB | Phenobarbital |
16.20 |
|
| Keene Pharmacal Inc | Endolar | 00588-7777 | CA | Butalbital |
50.00 |
|
| kenco | Axotal | 00013-1301 | TB | Butalbital |
50.00 |
|
| Knoll Pharmaceutical | Quadrinal Suspension | 00044-4580 | SS | Phenobarbital |
2.40 |
5
| Exempt Prescription Products |
2/21/2020 |
|||||
| Company | Trade Name | NDC Code | Form | Controlled Substance |
(mg or mg/ml) |
|
| Knoll Pharmaceutical | Quadrinal Tablets | 00044-4520 | TB | Phenobarbital |
24.00 |
|
| Kraft Pharmacal Co Inc | Digestokraft | 00796-0237 | TB | Butabarbital Sodium |
8.00 |
|
| Kremers Urban Co | Levsin with Phenobarbital Elixir | 00091-4530 | EL | Phenobarbital |
3.00 |
|
| Kremers Urban Co | Levsin with Phenobarbital Tablets | 00091-3534 | TB | Phenobarbital |
15.00 |
|
| Kremers Urban Co | Levsinex with Phenobarbital | 00091-3539 | XC | Phenobarbital |
45.00 |
|
| Kremers Urban Co | Levsin-PB | 00091-4536 | DP | Phenobarbital |
15.00 |
|
| KVK Tech | Butalbital, Acetaminophen & Caffeine Tablets (50mg/325mg/40mg) | 10702-253 | TB | Butalbital |
50.00 |
|
| Landry Pharmacal Inc | Febridyne Plain Capsules | 05383-001 | CA | Butalbital |
50.00 |
|
| Lannett Company, Inc. | Butalbital, Acetaminophen & Caffeine Tablets (50mg/325mg/40mg) | 00527-1695 | TB | Butalbital |
50.00 |
|
| Lannett Company, Inc. | Butalbital, Acetaminophen & Caffeine Capsules (50mg/325mg/40mg) | 00527-4094 | CA | Butalbital |
50.00 |
|
| Lannett Company, Inc. | Butalbital, Acetaminophen & Caffeine Capsules (50mg/300mg/40mg) | 00527-4095 | CA | Butalbital |
50.00 |
|
| Lanpar Co | PB Phe-Bell | 12908-7006 | TB | Phenobarbital |
16.20 |
|
| Larken Laboratories, Inc. | Butalbital and Acetaminophen Tablets (25 mg/325 mg) | 68047-722 | TB | Butalbital |
25.00 |
|
| Larken Laboratories, Inc. | Butalbital and Acetaminophen Tablets (50 mg/325 mg) | 68047-721 | TB | Butalbital |
50.00 |
|
| Lasalle Laboratories | Pacaps Modified Formula | 48534-0884 | CA | Butalbital |
50.00 |
|
| Lazarus Pharmaceuticals, Inc. | Phenobarbital and Belladonna Alkaloids Tablets | 71914-162 | TB | Phenobarbital |
16.20 |
|
| Lazarus Pharmaceuticals, Inc. | Phenobarbital and Belladonna Alkaloids Elixir | 71914-162 | EL | Phenobarbital |
16.20 |
|
| Lehigh Valley Technologies, Inc. | Phenazopyridine Plus | 51881-251 | TB | Butabarbital |
15.00 |
|
| Lemmon Company | Acetaminophen/Butalbital/Caffeine Tablets | 00093-0854 | TB | Butalbital |
50.00 |
|
| Lemmon Pharmacal Co | Donphen | 00093-0205 | TB | Phenobarbital |
15.00 |
|
| Libertas Pharma, Inc. | Butalbital, Acetaminophen and Caffeine Capsules USP | 51862-179 | CA | Butalbital |
50.00 |
|
| Life Laboratories | Belladonna Alkaloids with Phenobarbital | 00737-1283 | EL | Phenobarbital |
3.00 |
|
| Lunsco Inc | Pacaps Capsules | 10892-0116 | CA | Butalbital |
50.00 |
|
| Major Pharmaceuticals | Belladona w/ Phenobarbital | 00904-3741 | TB | Phenobarbital |
16.20 |
|
| Major Pharmaceuticals | Bellamine Tablets | 00904-2548 | TB | Phenobarbital |
40.00 |
|
| Major Pharmaceuticals | Butalbital, Acetaminophen and Caffeine Tablets (50/325/40mg) | 0904-6938 | TB | Butalbital |
50.00 |
|
| Major Pharmaceuticals | Cafatine-PB Tablets | 00904-1750 | TB | Pentobarbital Sodium |
30.00 |
|
| Major Pharmaceuticals | Fabophen Tablets | 00904-3280 | TB | Butalbital |
50.00 |
|
| Major Pharmaceuticals | Theotal Tablets | 00904-0774 | TB | Phenobarbital |
8.00 |
|
| Mallard Consumer Products | Anaquan Tablets | 59441-0343 | TB | Butalbital |
50.00 |
|
| Mallard Inc | Anoquan Modified Formula | 00166-0881 | CA | Butalbital |
50.00 |
|
| Mallard Inc | Malatal | 00166-0748 | TB | Phenobarbital |
16.20 |
|
| Mallinckrodt Inc. | Butalbital, Acetaminophen, and Caffeine (“BAC”) Tablets USP | 00406-0970 | TB | Butalbital |
50.00 |
|
| Marlop Pharmacal Inc | Broncomar | 12939-0128 | EL | Butabarbital |
1.00 |
|
| Marlop Pharmacal Inc | Dolmar | 12939-0812 | CA | Butalbital |
50.00 |
|
| Marnel Pharmaceuticals | Margesic Capsules | 00682-0804 | CA | Butalbital |
50.00 |
|
| Marnel Pharmaceuticals | Marten-Tab Tablets | 00682-1400 | TB | Butalbital |
50.00 |
|
| Martec Pharmacal Inc | Butalbital, Acetaminophen and Caffeine Tablets | 52555-0079 | TB | Butalbital |
50.00 |
|
| Mayne Pharma | Butalbital, Acetaminophen, & Caffeine Capsules 50/300/40 | 51842-542 | CA | Butalbital |
50.00 |
|
| Mayrand Pharmaceuticals, Inc | Sedapap-10 Tablets | 00259-1278 | TB | Butalbital |
50.00 |
6.
| Exempt Prescription Products |
2/21/2020 |
|||||
| Company | Trade Name | NDC Code | Form | Controlled Substance |
(mg or mg/ml) |
|
| Mead Johnson Pharmacal | Quibron Plus Capsules | 00087-0518 | CA | Butabarbital |
20.00 |
|
| Mead Johnson Pharmacal | Quibron Plus Elixir | 00087-0511 | EL | Butabarbital |
1.33 |
|
| Medco Supply Co | Phenobarbital & Hyoscyamine Sulfate | 00764-2057 | TB | Phenobarbital |
16.20 |
|
| Medicopharma, Inc. | DUO-SPAZ Capsules | 53404-0350 | CA | Chlordiazepoxide |
5.00 |
|
| Merrell Pharmaceuticals Inc. | Chlordiazepoxide HCl and Clidinium Capsules | 00536-3490 | CA | Chlordiazepoxide HCl |
5.00 |
|
| Midlothian Laboratories (Manufactured by Mikart, Inc.) | Esgic (Butalbital, Acetaminophen, & Caffeine Capsules 50/325/40 | 68308-219 | CA | Butalbital |
50.00 |
|
| Midlothian Laboratories (Manufactured by Mikart, Inc.) | Esgic (Butalbital, Acetaminophen, & Caffeine Tablets 50/325/40 | 68308-220 | TB | Butalbital |
50.00 |
|
| Midlothian Laboratories (Manufactured by Mikart, Inc.) | Zebutal (Butalbital, Acetaminophen, & Caffeine Capsules 50/325/40 | 68308-554 | CA | Butalbital |
50.00 |
|
| Mikart, Inc. | Alagesic Capsules | 50991-302 | CA | Butalbital |
50.00 |
|
| Mikart, Inc. | Bupap | 00095-0240 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital and Acetaminophen Tablets 50/325 | 46672-0099 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital and Acetaminophen Tablets 50/650 | 11584-0029 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital and Acetaminophen Tablets 50/650 | 46672-0098 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Capsules | 46672-0228 | CA | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Capsules | 00588-7788 | CA | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Eilixer | 46672-0633 | EL | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Tablets | 52555-0647 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Tablets | 46672-0053 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Tablets USP | 49884-0811 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Tablets USP | 00258-3665 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Tablets USP (50/325/40) | 51862-540 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Tablets, USP | 0591-3416 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital and Acetaminophen Capsules 50/300 | 46672-286 | CA | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital and Acetaminophen Tablets 50/300 | 46672-856 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen and Caffeine Tablets, USP | 46672-184 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen, and Caffeine Oral Solution | 66813-073 | LQ | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen, and Caffeine Tablets | 51432-0034 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Butalbital, Acetaminophen, and Caffeine Tablets | 46672-0059 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Capacet (Butalbital, Acetaminophen, and Caffeine 50/325/40) | 58407-534 | CA | Butalbital |
50.00 |
|
| Mikart, Inc. | Cephadyn Tablets | 59702-0650 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Dolgic Plus Tablets | 68453-074 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Dolgic Tablets | 62022-0073 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | DOLMAR Tablets | 12939-0811 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Esgic Capsules | 00535-0012 | CA | Butalbital |
50.00 |
|
| Mikart, Inc. | Esgic Tablets | 00535-0011 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Promacet | 58605-524 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. | Sedapap Tablets | 00259-0392 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. (on behalf of Mayne Pharma) | Butalbital and Acetaminophen Capsules 50/300 | 51862-544 | CA | Butalbital |
50.00 |
|
| Mikart, Inc. (on behalf of Mayne Pharma) | Butalbital and Acetaminophen Tablets 50/300 | 51862-538 | TB | Butalbital |
50.00 |
|
| Mikart, Inc. (on behalf of Monarch PCM, LLC) | Vtol LQ (Butalbital, Acetaminophen, Caffeine Oral Solution) | 70154-111 | LQ | Butalbital |
50.00 |
Come From:
https://www.deadiversion.usdoj.gov/schedules/exempt/exempt_rx_list.pdf