Controlled Substance Products

Narcotics and Schedule II Controlled Drugs

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Product
Size
ManufacturerMfgr
NDC#
Code*
VIP
340B
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
VIPNo
340BYes
Product: Diazepam Injection 1
Prescribing Information
Size: 50 mg/10 mL Multi-dose Fliptop Vial Box of 10
Manufacturer: Pfizer
NDC#: 00409-3213-12
Code*: J3360
VIPNo
340BYes
Analgesic Narcotic
Product: Dilaudid® Injection 1
Prescribing Information
Size: 0.5 mg/0.5 mL Single-dose Pre-filled Syringe 10 Box
Manufacturer: Fresenius Kabi
NDC#: 76045-0009-06
Code*: J1170
VIPNo
340BYes
Product: Dilaudid® Injection 1
Prescribing Information
Size: 1 mg/1 mL Single-dose Pre-filled Syringe 10 Box
Manufacturer: Fresenius Kabi
NDC#: 76045-0009-11
Code*: J1170
VIPNo
340BYes
Product: Dilaudid® Injection 1
Prescribing Information
Size: 2 mg/1 mL Single-dose Pre-filled Syringe 10 Box
Manufacturer: Fresenius Kabi
NDC#: 76045-0010-11
Code*: J1170
VIPNo
340BYes
Product: Fentanyl Citrate Injection 1
Prescribing Information
Size: 100 mcg/2 mL Single-dose Fliptop Vial Box of 25
Manufacturer: Pfizer
NDC#: 00409-9094-22
Code*: J3010
VIPNo
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
VIPNo
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
VIPNo
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
VIPNo
340BYes
Product: Morphine Sulfate Injection 1
Prescribing Information
Size: 2 mg/1 mL Single-dose Pre-filled Syringe 10 Box
Manufacturer: Fresenius Kabi
NDC#: 76045-0004-11
Code*: J2270
VIPNo
340BYes
Product: Morphine Sulfate Injection 1
Prescribing Information
Size: 4 mg/1 mL Single-dose Pre-filled Syringe 10 Box
Manufacturer: Fresenius Kabi
NDC#: 76045-0005-11
Code*: J2270
VIPNo
340BYes
Product: Lorazepam 1
Prescribing Information
Size: 2 mg/1 mL Single-dose CARPUJECT™ Syringe System 10 Pack
Manufacturer: Pfizer
NDC#: 00409-1985-03
Code*: J2060
VIPNo
340BYes
* All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
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