Controlled Substance Products

Narcotics and Schedule II Controlled Drugs

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Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Opioid Analgesic Narcotic
Product: Dilaudid® Injection 1
Prescribing Information
Size: 0.2 mg/1 mL Single-dose Pre-filled Syringe Box of 10
Manufacturer: Fresenius Kabi
NDC#: 76045-0121-11
Code*: J1170
RNINo
340BYes
Product: Dilaudid® Injection 1
Prescribing Information
Size: 0.5 mg/0.5 mL Single-dose Pre-filled Syringe Box of 10
Manufacturer: Fresenius Kabi
NDC#: 76045-0009-06
Code*: J1170
RNINo
340BYes
Product: Dilaudid® Injection 1
Prescribing Information
Size: 1 mg/1 mL Single-dose Pre-filled Syringe Box of 10
Manufacturer: Fresenius Kabi
NDC#: 76045-0009-11
Code*: J1170
RNINo
340BYes
Product: Fentanyl Citrate Injection
Prescribing Information
Size: 50 mcg 1 mL Single-dose Pre-filled Syringe
Manufacturer: Fresenius Kabi
NDC#: 63323-0808-11
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 50 mcg 1 mL Single-dose Vial 25 Count
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6247-25
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 100 mcg 2 mL Single-dose Vial 25 Count
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6027-25
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection
Prescribing Information
Size: 250 mcg 5 mL Single-dose Vial Count of 10
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6028-10
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 1,000 mcg 20 mL Single-dose Vial
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6029-01
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 2,500 mcg 50 mL Single-dose Vial
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6030-01
Code*: J3010
RNINo
340BTBD
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 100 mcg/2 mL (50 mcg/1 mL) Single-dose Fliptop Vial Box of 25
Manufacturer: Pfizer
NDC#: 00409-9094-22
Code*: J3010
RNINo
340BYes
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 250 mcg/5 mL (50 mcg/1 mL) Single-dose Fliptop Vial Tray of 25
Manufacturer: Pfizer
NDC#: 00409-9094-25
Code*: J3010
RNINo
340BYes
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 500 mcg/10 mL Single-dose Fliptop Vial Box of 25
Manufacturer: Pfizer
NDC#: 00409-9094-28
Code*: J3010
RNINo
340BYes
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 1000 mcg/20 mL Single-dose Fliptop Vial Box of 25
Manufacturer: Pfizer
NDC#: 00409-9094-31
Code*: J3010
RNINo
340BYes
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 2500 mcg/50 mL Single-dose Fliptop Vial Box of 25
Manufacturer: Pfizer
NDC#: 00409-9094-61
Code*: J3010
RNINo
340BYes
Product: Hydromorphone HCL Injection 1
Prescribing Information
Size: 0.5 mL fill in 1.5 mL (0.25 mg/0.5 mL) NEXJECT® Single-dose Prefilled Syringe with Luer Lock Carton of 10
Manufacturer: Pfizer
NDC#: 00409-1805-01
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection 1
Prescribing Information
Size: 0.5 mL fill in 1.5 mL (0.5 mg/0.5 mL) NEXJECT® Single-dose Prefilled Syringe with Luer Lock Carton of 10
Manufacturer: Pfizer
NDC#: 00409-4264-01
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection 1
Prescribing Information
Size: 1 mL fill in 1.5 mL (1 mg/mL) NEXJECT® Single-dose Prefilled Syringe with Luer Lock Carton of 10
Manufacturer: Pfizer
NDC#: 00409-1283-37
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection 1
Prescribing Information
Size: 1 mL fill in 1.5 mL (2 mg/mL) NEXJECT® Single-dose Prefilled Syringe with Luer Lock Carton of 10
Manufacturer: Pfizer
NDC#: 00409-1312-36
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection 1
Prescribing Information
Size: 1 mL fill in 2.5 mL (1 mg/mL) Carpuject™ Single-dose cartridge with Luer Lock for use with the Carpuject™ Syringe System Carton of 10
Manufacturer: Pfizer
NDC#: 00409-1283-31
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection 1
Prescribing Information
Size: 1 mL fill in 2.5 mL (2 mg/mL) Carpuject™ Single-dose cartridge with Luer Lock for use with the Carpuject™ Syringe System Carton of 10
Manufacturer: Pfizer
NDC#: 00409-1312-30
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection 1
Prescribing Information
Size: 1 mL fill in 2.5 mL (4 mg/mL) Carpuject™ Single-dose cartridge with Luer Lock for use with the Carpuject™ Syringe System Carton of 10
Manufacturer: Pfizer
NDC#: 00409-1304-31
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection 1
Prescribing Information
Size: 1 mL fill in 2 mL (2 mg/mL) Single-dose Vial Carton of 10
Manufacturer: Pfizer
NDC#: 00409-3365-10
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection [High Potency Formulation (HPF)] 1
Prescribing Information
Size: 1 mL (10 mg/mL) Single-dose Vial Box of 10
Manufacturer: Pfizer
NDC#: 00409-2634-01
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection [High Potency Formulation (HPF)] 1
Prescribing Information
Size: 5 mL [50 mg/5 mL (10 mg/mL)] Single-dose Vial Box of 10
Manufacturer: Pfizer
NDC#: 00409-2634-05
Code*: J1171
RNINo
340BTBD
Product: Hydromorphone HCL Injection [High Potency Formulation (HPF)] 1
Prescribing Information
Size: 50 mL [500 mg/50 mL (10 mg/mL)] Single-dose Vial
Manufacturer: Pfizer
NDC#: 00409-2634-50
Code*: J1171
RNINo
340BTBD
Product: Morphine Sulfate Injection 1
Prescribing Information
Size: 2 mg/mL Concentration - 1 mL Fill in 2.5 mL CARPUJECT® Single-dose Cartridge with Luer Lock for the CARPUJECT® Syringe System, Carton of 10
Manufacturer: Pfizer
NDC#: 00409-1890-01
Code*: J2270
RNINo
340BTBD
Product: Morphine Sulfate Injection 1
Prescribing Information
Size: 1 mL Fill in 2.5 mL CARPUJECT® Single-dose Cartridge with Luer Lock for the CARPUJECT® Syringe System, Carton of 10
Manufacturer: Pfizer
NDC#: 00409-1891-01
Code*: J2270
RNINo
340BTBD
Product: Morphine Sulfate Injection 1
Prescribing Information
Size: 2 mg/mL Solution - 1 mL Fill in 1.5 mL NEXJECT® Single-dose Pre-filled Syringe with Luer Lock, Clamshell of 10
Manufacturer: Pfizer
NDC#: 00409-1890-23
Code*: J2270
RNINo
340BTBD
Product: Morphine Sulfate Injection 1
Prescribing Information
Size: 1,000 mg/20 mL (50 mg/mL) Concentration Single-dose Flip-Top Vial
Manufacturer: Pfizer
NDC#: 00409-1896-20
Code*: J2270
RNINo
340BTBD
Product: Morphine Sulfate Injection 1
Prescribing Information
Size: 2,500 mg/50 mL (50 mg/mL) Concentration Single-dose Flip-Top Vials
Manufacturer: Pfizer
NDC#: 00409-2022-01
Code*: J2270
RNINo
340BTBD
Product: Morphine Sulfate Injection Preservative-Free 1
Prescribing Information
Size: 5 mg 10 mL (0.5 mg/mL) Concentration Single-dose Flip-Top Vials, Carton of 5
Manufacturer: Pfizer
NDC#: 00409-3814-12
Code*: J2270
RNINo
340BTBD
Product: Morphine Sulfate Injection Preservative-Free 1
Prescribing Information
Size: 10 mg 10 mL (1 mg/mL) Concentration Single-dose Flip-Top Vials, Carton of 5
Manufacturer: Pfizer
NDC#: 00409-3815-12
Code*: J2270
RNINo
340BTBD
Product: RoxyBond™ (Oxycodone Hydrochloride)1
Prescribing Information
Size: 5 mg Coated Tablets Bottle of 100
Manufacturer: Protega Pharmaceuticals
NDC#: 81140-0101-10
Code*: J8499
RNINo
340BNo
Product: RoxyBond™ (Oxycodone Hydrochloride)1
Prescribing Information
Size: 10 mg Coated Tablets Bottle of 100
Manufacturer: Protega Pharmaceuticals
NDC#: 81140-0104-10
Code*: J8499
RNINo
340BNo
Product: RoxyBond™ (Oxycodone Hydrochloride)1
Prescribing Information
Size: 15 mg Coated Tablets Bottle of 100
Manufacturer: Protega Pharmaceuticals
NDC#: 81140-0102-10
Code*: J8499
RNINo
340BNo
Product: RoxyBond™ (Oxycodone Hydrochloride)1
Prescribing Information
Size: 30 mg Coated Tablets Bottle of 100
Manufacturer: Protega Pharmaceuticals
NDC#: 81140-0103-10
Code*: J8499
RNINo
340BNo
Product: Sufentanil Citrate Injection Solution1
Prescribing Information
Size: 50 mcg 1 mL Single-dose Fliptop Vial Carton of 10
Manufacturer: Pfizer
NDC#: 00409-3382-21
Code*: J3490
RNINo
340BYes
Anesthetic (General Nonbarbiturate)
Product: Ketamine Hydrochloride Injection
Prescribing Information
Size: 200 mg 20 mL (10 mg/mL) Multiple-dose Vial Pack of 10
Manufacturer: Fresenius Kabi
NDC#: 65219-0184-20
Code*: J3490
RNINo
340BYes
Product: Ketamine Hydrochloride Injection
Prescribing Information
Size: 500 mg 5 mL (100 mg/mL) Multiple-dose Vial Box of 10
Manufacturer: Fresenius Kabi
NDC#: 65219-0186-05
Code*: J3490
RNINo
340BYes
Product: Ketamine Hydrochloride Injection
Prescribing Information
Size: 500 mg 10 mL (50 mg/mL) Multiple-dose Vial Box of 10
Manufacturer: Fresenius Kabi
NDC#: 65219-0188-10
Code*: J3490
RNINo
340BYes
Anxiolytic / Sedative
Product: Diazepam Injection 1
Prescribing Information
Size: 10 mg/2 mL Single-dose Carpuject™ Syringe Pack of 10
Manufacturer: Pfizer
NDC#: 00409-1273-32
Code*: J3360
RNINo
340BYes
Product: Diazepam Injection 1
Prescribing Information
Size: 10 mg/2 mL Pre-filled Syringe Carton of 24
Manufacturer: Fresenius Kabi
NDC#: 76045-0204-20
Code*: J3360
RNINo
340BYes
Product: Lorazepam Injection 1
Prescribing Information
Size: 1 mL (2 mg/mL) Single-dose Vial Carton of 25
Manufacturer: Fresenius Kabi
NDC#: 65219-0368-02
Code*: J2060
RNINo
340BYes
Product: Lorazepam Injection1
Prescribing Information
Size: 2 mg/1 mL Single-dose Vial - Pack of 25
Manufacturer: Hikma Pharmaceuticals
NDC#: 00641-6044-25
Code*: J2060
RNINo
340BYes
Central Nervous System (CNS) Stimulant - Attention Deficit Hyperactivity Disorder (ADHD) Treatment
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 3.1 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0005-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 6.3 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0010-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 9.4 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0015-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 12.5 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0020-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 15.7 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0025-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 18.8 mg Extended-release Orally Disintegrating Tablet CII (5 Blister Cards/6 Tablets) Carton of 30
Manufacturer: Aytu BioPharma
NDC#: 70165-0030-30
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 3.1 mg Extended-Release Orally Disintegrating Tablet Bottle of 30 Tablets
Manufacturer: Neos Therapeutics
NDC#: 70165-0005-31
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 6.3 mg Extended-Release Orally Disintegrating Tablet Bottle of 30 Tablets
Manufacturer: Neos Therapeutics
NDC#: 70165-0010-31
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 9.4 mg Extended-Release Orally Disintegrating Tablet Bottle of 30 Tablets
Manufacturer: Neos Therapeutics
NDC#: 70165-0015-31
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 12.5 mg Extended-Release Orally Disintegrating Tablet Bottle of 30 Tablets
Manufacturer: Neos Therapeutics
NDC#: 70165-0020-31
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 15.7 mg Extended-Release Orally Disintegrating Tablet Bottle of 30 Tablets
Manufacturer: Neos Therapeutics
NDC#: 70165-0025-31
Code*: J3490
RNINo
340BNo
Product: ADZENYS XR-ODT®
Prescribing Information
Size: 18.8 mg Extended-Release Orally Disintegrating Tablet Bottle of 30 Tablets
Manufacturer: Neos Therapeutics
NDC#: 70165-0030-31
Code*: J3490
RNINo
340BNo
Product: AMPHETAMINE XR-ODT
Prescribing Information
Size: 3.1 mg Tablets Carton of 30 Tabs
Manufacturer: Aytu BioPharma
NDC#: 62542-0005-30
Code*: TBD
RNINo
340BNo
Product: AMPHETAMINE XR-ODT
Prescribing Information
Size: 6.3 mg Tablets Carton of 30 Tabs
Manufacturer: Aytu BioPharma
NDC#: 62542-0010-30
Code*: TBD
RNINo
340BNo
Product: AMPHETAMINE XR-ODT
Prescribing Information
Size: 9.4 mg Tablets Carton of 30 Tabs
Manufacturer: Aytu BioPharma
NDC#: 62542-0015-30
Code*: TBD
RNINo
340BNo
Product: AMPHETAMINE XR-ODT
Prescribing Information
Size: 12.5 mg Tablets Carton of 30 Tabs
Manufacturer: Aytu BioPharma
NDC#: 62542-0020-30
Code*: TBD
RNINo
340BNo
Product: AMPHETAMINE XR-ODT
Prescribing Information
Size: 15.7 mg Tablets Carton of 30 Tabs
Manufacturer: Aytu BioPharma
NDC#: 62542-0025-30
Code*: TBD
RNINo
340BNo
Product: AMPHETAMINE XR-ODT
Prescribing Information
Size: 18.8 mg Tablets Carton of 30 Tabs
Manufacturer: Aytu BioPharma
NDC#: 62542-0030-30
Code*: TBD
RNINo
340BNo
Product: Cotempla XR-ODT®
Prescribing Information
Size: 8.6 mg Methylphenidate Extended-release Orally Disintegrating Tablet (5 Blister Cards/6 Tablets) Carton of 30 Reusable Travel Case
Manufacturer: Aytu BioPharma
NDC#: 70165-0100-30
Code*: TBD
RNINo
340BNo
Product: Cotempla XR-ODT®
Prescribing Information
Size: 17.3 mg Methylphenidate Extended-release Orally Disintegrating Tablet (5 Blister Cards/6 Tablets) Carton of 30 Reusable Travel Case
Manufacturer: Aytu BioPharma
NDC#: 70165-0200-30
Code*: TBD
RNINo
340BNo
Product: Cotempla XR-ODT®
Prescribing Information
Size: 25.9 mg Methylphenidate Extended-release Orally Disintegrating Tablet (5 Blister Cards/6 Tablets) Carton of 30 Reusable Travel Case
Manufacturer: Aytu BioPharma
NDC#: 70165-0300-30
Code*: TBD
RNINo
340BNo
Product: RELEXXII® (Methylphenidate Hydrochloride Extended-Release ER Tablets)
Prescribing Information
Size: 18 mg Tablet Bottle of 30 Tabs
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0095-30
Code*: J3490
RNINo
340BTBD
Product: RELEXXII® (Methylphenidate Hydrochloride Extended-Release ER Tablets)
Prescribing Information
Size: 27 mg Tablet Bottle of 30 Tabs
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0096-30
Code*: J3490
RNINo
340BTBD
Product: RELEXXII® (Methylphenidate Hydrochloride Extended-Release ER Tablets)
Prescribing Information
Size: 36 mg Tablet Bottle of 30 Tabs
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0097-30
Code*: J3490
RNINo
340BTBD
Product: RELEXXII® (Methylphenidate Hydrochloride Extended-Release ER Tablets)
Prescribing Information
Size: 45 mg Tablet Bottle of 30 Tabs
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0088-30
Code*: J3490
RNINo
340BTBD
Product: RELEXXII® (Methylphenidate Hydrochloride Extended-Release ER Tablets)
Prescribing Information
Size: 63 mg Tablet Bottle of 30 Tabs
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0089-30
Code*: J3490
RNINo
340BTBD
Product: RELEXXII® (Methylphenidate Hydrochloride Extended-Release ER Tablets)
Prescribing Information
Size: 72 mg Tablet Bottle of 30 Tabs
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0084-30
Code*: J3490
RNINo
340BTBD
Product: Metadate CD®
Prescribing Information
Size: 10 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0579-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 20 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0580-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 30 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0581-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 40 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0582-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 50 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0583-30
Code*: J8499
RNINo
340BNo
Product: Metadate CD®
Prescribing Information
Size: 60 mg Extended-release Capsules CII Bottle of 30
Manufacturer: Aytu BioPharma
NDC#: 69654-0584-30
Code*: J8499
RNINo
340BNo
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 8.6 mg Count of 30 Tablets
Manufacturer: Neos Therapeutics
NDC#: 62542-0100-31
Code*: G0480
RNINo
340BNo
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 17.3 mg Count of 30 Tablets
Manufacturer: Neos Therapeutics
NDC#: 62542-0250-31
Code*: G0480
RNINo
340BNo
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 25.9 mg Count of 30 Tablets
Manufacturer: Neos Therapeutics
NDC#: 62542-0350-31
Code*: G0480
RNINo
340BNo
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 18 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0706-10
Code*: J3490
RNINo
340BTBD
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 27 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0707-10
Code*: J3490
RNINo
340BTBD
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 36 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0708-10
Code*: J3490
RNINo
340BTBD
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 45 mg Bottle of 30 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0711-30
Code*: J3490
RNINo
340BTBD
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 54 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0709-10
Code*: J3490
RNINo
340BTBD
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 63 mg Bottle of 30 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0700-30
Code*: J3490
RNINo
340BTBD
Product: Methylphenidate Extended-Release Orally Disintegrating Tablets
Prescribing Information
Size: 72 mg Bottle of 30 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0710-30
Code*: J3490
RNINo
340BTBD
Product: XELSTRYM® (Dextroamphetamine)
Prescribing Information
Size: Transdermal System CII 4.5 mg/9 hours (4.76 cm2) Carton of 30
Manufacturer: Prasco
NDC#: 68968-0205-03
Code*: J3490
RNINo
340BTBD
Product: XELSTRYM® (Dextroamphetamine)
Prescribing Information
Size: Transdermal System CII 9 mg/9 hours (9.52 cm2) Carton of 30
Manufacturer: Prasco
NDC#: 68968-0210-03
Code*: J3490
RNINo
340BTBD
Product: XELSTRYM® (Dextroamphetamine)
Prescribing Information
Size: Transdermal System CII 13.5 mg/9 hours (14.29 cm2) Carton of 30
Manufacturer: Prasco
NDC#: 68968-0215-03
Code*: J3490
RNINo
340BTBD
Product: XELSTRYM® (Dextroamphetamine)
Prescribing Information
Size: Transdermal System CII 18 mg/9 hours (19.05 cm2) Carton of 30
Manufacturer: Prasco
NDC#: 68968-0220-03
Code*: J3490
RNINo
340BTBD
Functionalized Amino Acid
Product: Lacosamide Injection
Prescribing Information
Size: 200 mg 20 mL Single-dose Vial Carton of 10
Manufacturer: Trigen Laboratories
NDC#: 13811-0207-40
Code*: C9254
RNINo
340BNo
Nonselective Central Nervous System (CNS) Depressant - Barbiturate
Product: Phenobarbital Elixir
Prescribing Information
Size: 20.0 mg/5 mL 16 oz Bottle (Grape Flavored)
Manufacturer: Trigen Laboratories
NDC#: 13811-0299-08
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 15 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0300-10
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 15 mg Bottle of 500 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0300-50
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 30 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0301-10
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 30 mg Bottle of 500 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0301-50
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 60 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0302-10
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 60 mg Bottle of 500 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0302-50
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 100 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0303-10
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 16.2 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0304-10
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 16.2 mg Bottle of 1,000 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0304-52
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 32.4 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0305-10
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 32.4 mg Bottle of 1,000 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0305-52
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 64.8 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0306-10
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 64.8 mg Bottle of 1,000 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0306-52
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 97.2 mg Bottle of 100 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0307-10
Code*: J2560
RNINo
340BNo
Product: Phenobarbital Tablets
Prescribing Information
Size: 97.2 mg Bottle of 1,000 Tablets
Manufacturer: Trigen Laboratories
NDC#: 13811-0307-52
Code*: J2560
RNINo
340BNo
Testosterone Replacement Therapy
Product: Natesto® (testosterone) Nasal Gel
Prescribing Information
Size: 11 grams (5.5 mg testosterone Per 0.122 grams of Gel), 60 Metered Dose Pump
Manufacturer: Acerus Biopharma
NDC#: 42667-5511-01
Code*: J3490
RNINo
340BNo
* All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
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