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Why is fioricet exempt ? Exempt Prescription Products List (1)

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

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