What's New at FFF

New Pharmaceutical Products Recently Added to FFF Enterprises' Growing Portfolio

FFF Enterprises, the nation's most trusted specialty drug distributor since 1988, offers a portfolio of hundreds of current and newly available critical-care products and pharmaceuticals. Secure the products you need for your customers on the BioSupply ecommerce site, powered by FFF Enterprises.

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Biosimilar Products

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Oncology - (bevacizumab) - Avastin®
Product: Jobevne™ (bevacizumab-nwgd) Injection
Prescribing Information
Size: 100 mg/4 mL (25 mg/mL) Single-dose Vial
Manufacturer: Biocon
NDC#: 83257-0009-11
Code*: Q5160
RNINo
340BYes
Product: Jobevne™ (bevacizumab-nwgd) Injection
Prescribing Information
Size: 400 mg/16 mL (25 mg/mL) Single-dose Vial
Manufacturer: Biocon
NDC#: 83257-0010-11
Code*: Q5160
RNINo
340BYes
Oncology - (bortezomib)
Product: BORUZU® (bortezomib) Injection
Prescribing Information
Size: 3.5 mg/1.4 mL (2.5 mg/mL) Single-dose Vial
Manufacturer: Amneal
NDC#: 70121-2484-01
Code*: J9054
RNINo
340BTBD
Oncology - (filgrastim-ayow) - NEUPOGEN®
Product: RELEUKO® (Filgrastim-ayow) Injection
Prescribing Information
Size: 300 mcg/0.5 mL Single-dose Prefilled Syringe with UltraSafe Plus™ Needle Guard
Manufacturer: Amneal
NDC#: 70121-1568-01
Code*: Q5125
RNINo
340BTBD
Product: RELEUKO® (Filgrastim-ayow) Injection
Prescribing Information
Size: 300 mcg/0.5 mL Single-dose Prefilled Syringe with UltraSafe Plus™ Needle Guard Pack of 10
Manufacturer: Amneal
NDC#: 70121-1568-07
Code*: Q5125
RNINo
340BTBD
Product: RELEUKO® (Filgrastim-ayow) Injection
Prescribing Information
Size: 480 mcg/0.8 mL Single-dose Prefilled Syringe with UltraSafe Plus™ Needle Guard Pack of 10
Manufacturer: Amneal
NDC#: 70121-1570-01
Code*: Q5125
RNINo
340BTBD
Product: RELEUKO® (Filgrastim-ayow) Injection
Prescribing Information
Size: 480 mcg/0.8 mL Single-dose Prefilled Syringe with UltraSafe Plus™ Needle Guard Pack of 10
Manufacturer: Amneal
NDC#: 70121-1570-07
Code*: Q5125
RNINo
340BTBD
Product: Bosaya™ (denosumab-kyqq) Injection
Prescribing Information
Size: 60 mg/mL Single-dose Prefilled Syringe
Manufacturer: Biocon
NDC#: 83257-0029-41
Code*: J3590
RNINo
340BTBD
Product: Enoby™ (denosumab-qbde) Injection
Prescribing Information
Size: 60 mg/mL Single-dose Prefilled Syringe
Manufacturer: HIKMA
NDC#: 00143-9165-01
Code*: J3590
RNINo
340BTBD
Oncology Supportive Care – (denosumab) - XGEVA®
Product: Aukelso™ (denosumab-kyqq) Injection
Prescribing Information
Size: 120 mg/1.7 mL (70 mg/mL) Single-dose Vial
Manufacturer: Biocon
NDC#: 83257-0030-11
Code*: J3590
RNINo
340BTBD
Product: Xtrenbo™ (denosumab-qbde) Injection
Prescribing Information
Size: 120 mg/1.7 mL (70 mg/mL) Single-dose Vial
Manufacturer: HIKMA
NDC#: 00143-9166-01
Code*: J3590
RNINo
340BTBD
Oncology Supportive Care - (pegfilgrastim) - Neulasta®
Product: Fylnetra® (Pegfilgrastim-pbbk) Injection
Prescribing Information
Size: 6 mg/0.6 mL Prefilled Syringe
Manufacturer: Amneal
NDC#: 70121-1627-01
Code*: Q5130
RNINo
340BTBD
Oncology - (trastuzumab) - Herceptin®
Product: OGIVRI® (trastuzumab-dkst)
Prescribing Information
Size: 150 mg Single-dose Vial
Manufacturer: Biocon
NDC#: 83257-0001-11
Code*: Q5114
RNINo
340BYes
Product: OGIVRI® (trastuzumab-dkst)
Prescribing Information
Size: 420 mg Multiple-dose Vial, 20 mL Bacteriostatic Water for Injection
Manufacturer: Biocon
NDC#: 83257-0004-12
Code*: Q5114
RNINo
340BYes
Product: ONTRUZANT® (trastuzumab-dttb) for Injection
Prescribing Information
Size: 150 mg Single-Dose Vial
Manufacturer: Organon
NDC#: 78206-0147-01
Code*: Q5112
RNINo
340BTBD
Product: ONTRUZANT® (trastuzumab-dttb) for Injection
Prescribing Information
Size: 420 mg Multi-Dose Vial & 20 mL Water for Injection
Manufacturer: Organon
NDC#: 78206-0148-01
Code*: Q5112
RNINo
340BTBD

Brand Pharmaceuticals & Pharmaceutical Products

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Pharmaceuticals
Product: Cathflo® Activase® (Alteplase)
Prescribing Information
Size: Lyophilized Powder 2 mg Vial Carton of 1
Manufacturer: Genentech
NDC#: 50242-0041-64
Code*: J2997
RNINo
340BNo
Product: Karbinal® ER (Carbinoxamine Maleate)
Prescribing Information
Size: 4 mg/5 mL 16 oz Bottle
Manufacturer: Aytu BioPharma
NDC#: 23594-0101-05
Code*: J8499
RNINo
340BTBD
Product: Nitrofurantoin Capsules
Prescribing Information
Size: (Monohydrate/ Macrocrystals) 100 mg Bottle of 100 Capsules
Manufacturer: Trigen Laboratories
NDC#: 13811-0719-10
Code*: J8499
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 15 mg Tab (1/4 grain; 9.5 mcg T4 and 2.25 mcg T3) Bottle of 30 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0327-30
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 15 mg Tab (1/4 grain; 9.5 mcg T4 and 2.25 mcg T3) Bottle of 100 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0327-01
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 30 mg (1/2 grain; 19 mcg T4 and 4.5 mcg T3) Bottle of 30 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0329-30
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 30 mg (1/2 grain; 19 mcg T4 and 4.5 mcg T3) Bottle of 100 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0329-01
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 30 mg (1/2 grain; 19 mcg T4 and 4.5 mcg T3) Bottle of 1,000 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0329-10
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 60 mg (1 grain; 38 mcg T4 and 9 mcg T3) Bottle of 30 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0330-30
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 60 mg (1 grain; 38 mcg T4 and 9 mcg T3) Bottle of 100 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0330-01
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 60 mg (1 grain; 38 mcg T4 and 9 mcg T3) Bottle of 1,000 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0330-10
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 90 mg (1 1/2 grains; 57 mcg T4 and 13.5 mcg T3) Bottle of 30 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0331-30
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 90 mg (1 1/2 grains; 57 mcg T4 and 13.5 mcg T3) Bottle of 100 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0331-01
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 90 mg (1 1/2 grains; 57 mcg T4 and 13.5 mcg T3) Bottle of 1,000 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0331-10
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 120 mg (2 grains; 76 mcg T4 and 18 mcg T3) Bottle of 30 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0328-30
Code*: TBD
RNINo
340BTBD
Product: NP Thyroid® (Thyroid Tablets, USP)
Prescribing Information
Size: 120 mg (2 grains; 76 mcg T4 and 18 mcg T3) Bottle of 100 Tabs
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0328-01
Code*: TBD
RNINo
340BTBD
Product: PASATRU™ (garetosmab-grts) Injection
Prescribing Information
Size: 300 mg/5 mL (60 mg/mL) Solution Single-dose Vial
Manufacturer: Regeneron
NDC#: 61755-0012-01
Code*: J3490
RNINo
340BTBD
Product: PEMRYDI RTU® (Pemetrexed Injection)
Prescribing Information
Size: 500 mg/50 mL (10 mg/mL) Single-dose Vial
Manufacturer: Amneal
NDC#: 70121-2461-01
Code*: J9324
RNINo
340BTBD

Coagulation Products

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Congenital Factor VIII/IX Deficiency (without Inhibitors)
Product: HYMPAVZI™ (marstacimab-hncq) Injection
Prescribing Information
Size: 75 mg/0.5 mL Single-dose Prefilled Pen
Manufacturer: Pfizer
NDC#: 00069-0775-01
Code*: J3590
RNINo
340BYes
Fibrinogen Concentrate (Human)
Product: FESILTY™ (Fibrinogen, Human - chmt)
Prescribing Information
Size: 1 gm Lyophilized Powder Kit, 50 mL Single-Dose Vial Sterile Water for Injection, nextaro® v, 20/20 Sterile Transfer System
Manufacturer: Grifols
NDC#: 13533-0502-01
Code*: J7176
RNIRNI
340BYes

Controlled Substance Products

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Opioid Analgesic Narcotic
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: 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
Central Nervous System (CNS) Stimulant
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: 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

Dermatology Medications & Treatment

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Acne Vulgaris
Product: AZELEX® (azelaic acid cream) 20%
Prescribing Information
Size: 30 gm Tube
Manufacturer: Almirall
NDC#: 16110-0869-30
Code*: J3590
RNINo
340BNo
Product: AZELEX® (azelaic acid cream) 20%
Prescribing Information
Size: 50 gm Tube
Manufacturer: Almirall
NDC#: 16110-0869-50
Code*: J3590
RNINo
340BNo
Product: Oxymetazoline Hydrochloride (HCl) Cream 1%
Prescribing Information
Size: 30 gm Tube
Manufacturer: Mayne Pharma
NDC#: 68308-0766-30
Code*: J3490
RNINo
340BNo
Product: Retin-A Micro® (tretinoin) Gel 0.06%
Prescribing Information
Size: 50 gm Pump
Manufacturer: Bausch Health
NDC#: 00187-5146-50
Code*: J3490
RNINo
340BNo
Product: Retin-A Micro® (tretinoin) Gel 0.08%
Prescribing Information
Size: 50 gm Pump
Manufacturer: Bausch Health
NDC#: 00187-5148-50
Code*: J3490
RNINo
340BNo
Product: SEYSARA® (sarecycline) Tablets
Prescribing Information
Size: 60 mg Capsule-Shaped, Film-Coated Tablets Bottle of 30
Manufacturer: Almirall
NDC#: 16110-0245-30
Code*: TBD
RNINo
340BNo
Product: SEYSARA® (sarecycline) Tablets
Prescribing Information
Size: 100 mg Capsule-Shaped, Film-Coated Tablets Bottle of 30
Manufacturer: Almirall
NDC#: 16110-0246-30
Code*: TBD
RNINo
340BNo
Product: SEYSARA® (sarecycline) Tablets
Prescribing Information
Size: 150 mg Capsule-Shaped, Film-Coated Tablets Bottle of 30
Manufacturer: Almirall
NDC#: 16110-0247-30
Code*: TBD
RNINo
340BNo
Actinic Keratosis
Product: KLISYRI® (tirbanibulin) Ointment 1%
Prescribing Information
Size: 250 mg Unit-dose Packet, Pack of 5
Manufacturer: Almirall
NDC#: 16110-0391-05
Code*: J9999
RNINo
340BNo
Product: KLISYRI® (tirbanibulin) Ointment 1%
Prescribing Information
Size: 350 mg Unit-dose Packet, Pack of 5
Manufacturer: Almirall
NDC#: 16110-0391-55
Code*: J9999
RNINo
340BNo
Dermatoses
Product: Cordran Tape (Flurandrenolide Tape, USP)
Prescribing Information
Size: 4 mcg/sq cm - Small Roll, 24 inch x 3 inch (60 cm x 7.5 cm) in a Flip-Top Vial
Manufacturer: Almirall
NDC#: 16110-0587-80
Code*: A4450
RNINo
340BYes
Onychomycosis
Product: JUBLIA® Topical Solution 10%
Prescribing Information
Size: 8 mL Plastic Bottle
Manufacturer: Bausch Health
NDC#: 00187-5400-08
Code*: TBD
RNINo
340BNo
Product: TAZORAC® (tazarotene) Cream, 0.05%
Prescribing Information
Size: 30 gm Collapsible Aluminum Tube
Manufacturer: Almirall
NDC#: 16110-0915-30
Code*: S0117
RNINo
340BNo
Product: TAZORAC® (tazarotene) Cream, 0.05%
Prescribing Information
Size: 60 gm Collapsible Aluminum Tube
Manufacturer: Almirall
NDC#: 16110-0915-60
Code*: S0117
RNINo
340BNo
Skin Treatments
Product: CLn® HandWash (Advanced Clean)
Prescribing Information
Size: 8 fl. oz Bottle
Manufacturer: CLn Skin Care
NDC#: 85644-7003-40
Code*: N/A
RNINo
340BNo
Product: CLn® BodyWash
Prescribing Information
Size: 3 fl. oz Tube
Manufacturer: CLn Skin Care
NDC#: 85644-7003-08
Code*: N/A
RNINo
340BNo
Product: CLn® BodyWash
Prescribing Information
Size: 8 fl. oz Bottle
Manufacturer: CLn Skin Care
NDC#: 85644-7003-27
Code*: N/A
RNINo
340BNo
Product: CLn® SportWash
Prescribing Information
Size: 12 fl. oz Bottle (Full Size)
Manufacturer: CLn Skin Care
NDC#: 85644-7003-28
Code*: N/A
RNINo
340BNo
Product: CLn® SportWash
Prescribing Information
Size: 3.4 fl. oz Bottle (Travel Size)
Manufacturer: CLn Skin Care
NDC#: 85644-7003-11
Code*: N/A
RNINo
340BNo
Product: CLn® ProStrength Wash
Prescribing Information
Size: 8 fl. oz Bottle
Manufacturer: CLn Skin Care
NDC#: 85644-7003-63
Code*: N/A
RNINo
340BNo
Product: CLn® Body Moisturizer
Prescribing Information
Size: 8 fl. oz Tube
Manufacturer: CLn Skin Care
NDC#: 85644-7003-57
Code*: N/A
RNINo
340BNo
Product: CLn® 2-in-1 Gentle Wash & Shampoo Body Cleanser
Prescribing Information
Size: 8 fl. oz Bottle
Manufacturer: CLn Skin Care
NDC#: 85644-7003-45
Code*: N/A
RNINo
340BNo
Product: CLn® Shampoo
Prescribing Information
Size: 8 fl. oz Bottle
Manufacturer: CLn Skin Care
NDC#: 85644-7003-20
Code*: N/A
RNINo
340BNo
Product: CLn® Acne Cleanser
Prescribing Information
Size: 8 fl. oz Bottle
Manufacturer: CLn Skin Care
NDC#: 85644-7003-15
Code*: N/A
RNINo
340BNo
Product: CLn® Facial Cleanser
Prescribing Information
Size: 3.4 fl. oz Bottle
Manufacturer: CLn Skin Care
NDC#: 85644-7003-07
Code*: N/A
RNINo
340BNo
Product: CLn® Facial Moisturizer
Prescribing Information
Size: 3.4 fl. oz Tube
Manufacturer: CLn Skin Care
NDC#: 85644-7003-35
Code*: N/A
RNINo
340BNo
Product: CLn® Hypochlorous Spray
Prescribing Information
Size: 3 fl. oz Pump Spray Bottle
Manufacturer: CLn Skin Care
NDC#: 85644-7003-62
Code*: N/A
RNINo
340BNo

Generic Pharmaceutical Products

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Generic Pharmaceuticals
Product: Carbinoxamine Maleate Tablets
Prescribing Information
Size: 4 mg (Scored) Bottle of 100 Tabs
Manufacturer: Aytu BioPharma
NDC#: 62542-0101-05
Code*: J8499
RNINo
340BTBD
Product: Desvenlafaxine Extended-Release Tablets
Prescribing Information
Size: 25 mg Film Coated Tablet Bottle of 30 Tablets
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0036-04
Code*: J3490
RNINo
340BTBD
Product: Desvenlafaxine Extended-Release Tablets
Prescribing Information
Size: 50 mg Film Coated Tablet Bottle of 30 Tablets
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0012-04
Code*: J3490
RNINo
340BTBD
Product: Desvenlafaxine Extended-Release Tablets
Prescribing Information
Size: 50 mg Film Coated Tablet Bottle of 90 Tablets
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0012-06
Code*: J3490
RNINo
340BTBD
Product: Desvenlafaxine Extended-Release Tablets
Prescribing Information
Size: 100 mg Film Coated Tablet Bottle of 30 Tablets
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0013-04
Code*: J3490
RNINo
340BTBD
Product: Desvenlafaxine Extended-Release Tablets
Prescribing Information
Size: 100 mg Film Coated Tablet Bottle of 90 Tablets
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0013-06
Code*: J3490
RNINo
340BTBD
Product: Hyoscyamine Sulfate Tablet
Prescribing Information
Size: 0.125 mg Bottle of 100 Tablets (Peppermint Flavored)
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0340-01
Code*: J1980
RNINo
340BTBD
Product: Hyoscyamine Sulfate SL Sublingual Tablet
Prescribing Information
Size: 0.125 mg Bottle of 100 Tablets (Peppermint Flavored)
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0339-01
Code*: J1980
RNINo
340BTBD
Product: Hyoscyamine Sulfate ODT Orally Disintegrating Tablet
Prescribing Information
Size: 0.125 mg Bottle of 100 Tablets (Peppermint Flavored)
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0338-01
Code*: J1980
RNINo
340BTBD
Product: Guanfacine Extended-Release Tablets
Prescribing Information
Size: 1 mg Biconvex Round Tablet Bottle of 100 Tablets
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0039-01
Code*: J8499
RNINo
340BTBD
Product: Guanfacine Extended-Release Tablets
Prescribing Information
Size: 2 mg Biconvex Caplet Bottle of 100 Tablets
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0040-01
Code*: J8499
RNINo
340BTBD
Product: Guanfacine Extended-Release Tablets
Prescribing Information
Size: 3 mg Biconvex Caplet Bottle of 100 Tablets
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0041-01
Code*: J8499
RNINo
340BTBD
Product: Guanfacine Extended-Release Tablets
Prescribing Information
Size: 4 mg Biconvex Caplet Bottle of 100 Tablets
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0042-01
Code*: J8499
RNINo
340BTBD
Product: Memantine Hydrochloride Extended-Release Capsule
Prescribing Information
Size: 7 mg Bottle of 30 Capsules
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0054-04
Code*: J8499
RNINo
340BTBD
Product: Memantine Hydrochloride Extended-Release Capsule
Prescribing Information
Size: 14 mg Bottle of 30 Capsules
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0055-04
Code*: J8499
RNINo
340BTBD
Product: Memantine Hydrochloride Extended-Release Capsule
Prescribing Information
Size: 14 mg Bottle of 90 Capsules
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0055-06
Code*: J8499
RNINo
340BTBD
Product: Memantine Hydrochloride Extended-Release Capsule
Prescribing Information
Size: 21 mg Bottle of 30 Capsules
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0056-04
Code*: J8499
RNINo
340BTBD
Product: Memantine Hydrochloride Extended-Release Capsule
Prescribing Information
Size: 28 mg Bottle of 30 Capsules
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0057-04
Code*: J8499
RNINo
340BTBD
Product: Memantine Hydrochloride Extended-Release Capsule
Prescribing Information
Size: 28 mg Bottle of 90 Capsules
Manufacturer: Slate Run Pharmaceuticals
NDC#: 70436-0057-06
Code*: J8499
RNINo
340BTBD
Product: Phenytoin Sodium Injection
Prescribing Information
Size: 100 mg/2 mL (50 mg/mL) Single-dose Vial Carton of 10
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0614-10
Code*: J3430
RNINo
340BTBD
Product: Phenytoin Sodium Injection
Prescribing Information
Size: 250 mg/5 mL (50 mg/mL) Single-dose Vial Carton of 10
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0614-30
Code*: J1165
RNINo
340BNo
Product: Pyridostigmine Bromide Oral Solution
Prescribing Information
Size: 60 mg (5 mL) in 5% Alcohol 16 oz Bottle
Manufacturer: Acella Pharmaceuticals
NDC#: 42192-0626-16
Code*: J0585
RNINo
340BNo
Product: Rocuronium Bromide
Prescribing Information
Size: 50 mg per 5 mL (10 mg per mL) Single-Dose Vial Pack of 10
Manufacturer: Fresenius Kabi
NDC#: 65219-0442-05
Code*: J3490
RNINo
340BYes
Product: Rocuronium Bromide
Prescribing Information
Size: 100 mg per 10 mL (10 mg per mL) Single-Dose Vial Pack of 10
Manufacturer: Fresenius Kabi
NDC#: 65219-0444-10
Code*: J3490
RNINo
340BYes
Product: Triamcinolone Acetonide Injectable Suspension 1
Prescribing Information
Size: 40 mg/mL, 1 mL Single-dose Vial Carton of 1
Manufacturer: Amneal Pharmaceuticals
NDC#: 70121-1049-02
Code*: J3301
RNINo
340BTBD
Product: Triamcinolone Acetonide Injectable Suspension 1
Prescribing Information
Size: 40 mg/mL, 1 mL Single-dose Vial Carton of 25
Manufacturer: Amneal Pharmaceuticals
NDC#: 70121-1049-05
Code*: J3301
RNINo
340BTBD
Product: Triamcinolone Acetonide Injectable Suspension 1
Prescribing Information
Size: 40 mg/mL, 5 mL (200 mg per 5 mL) Multi-dose Vial Carton of 1
Manufacturer: Amneal Pharmaceuticals
NDC#: 70121-1168-01
Code*: J3301
RNINo
340BTBD
Product: Vasopressin in Sodium Chloride Injection 1
Prescribing Information
Size: 100 mL at 20 units/100 mL Single-dose Vial Carton of 10
Manufacturer: Long Grove Pharmaceuticals
NDC#: 81298-8552-03
Code*: J2598
RNINo
340BYes
Product: Vasopressin in Sodium Chloride Injection 1
Prescribing Information
Size: 100 mL at 40 units/100 mL Single-dose Vial Carton of 10
Manufacturer: Long Grove Pharmaceuticals
NDC#: 81298-8554-03
Code*: J2596
RNINo
340BYes

Oncology

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Oncology
Product: Imkeldi® (Imatinib) Oral Solution
Prescribing Information
Size: 80 mg 140 mL Child-resistant PET Bottle
Manufacturer: Shorla Oncology
NDC#: 81927-0201-01
Code*: J8999
RNINo
340BYes
Product: JYLAMVO™ (Methotrexate) Oral Solution
Prescribing Information
Size: 2 mg 60 mL Child-resistant Glass Bottle
Manufacturer: Shorla Oncology
NDC#: 81927-0204-01
Code*: J8611
RNINo
340BYes
Product: OPDIVO® (nivolumab) Injection
Prescribing Information
Size: 40 mg/4 mL (10 mg/1 mL) Solution Single-dose Vial
Manufacturer: Bristol Myers Squibb
NDC#: 00003-3772-11
Code*: J9289
RNITBD
340BTBD
Product: OPDIVO® (nivolumab) Injection
Prescribing Information
Size: 100 mg/10 mL (10 mg/1 mL) Solution Single-dose Vial
Manufacturer: Bristol Myers Squibb
NDC#: 00003-3774-12
Code*: J9289
RNITBD
340BTBD
Product: OPDIVO® (nivolumab) Injection
Prescribing Information
Size: 120 mg/12 mL (10 mg/1 mL) Solution Single-dose Vial
Manufacturer: Bristol Myers Squibb
NDC#: 00003-3756-14
Code*: J9289
RNITBD
340BTBD
Product: OPDIVO® (nivolumab) Injection
Prescribing Information
Size: 240 mg/24 mL (10 mg/1 mL) Solution Single-dose Vial
Manufacturer: Bristol Myers Squibb
NDC#: 00003-3734-13
Code*: J9289
RNITBD
340BTBD
Product: TEPYLUTE® (Thiotepa) Injection
Prescribing Information
Size: 15 mg 1.5 mL (10 mg/mL) Single-dose Vial
Manufacturer: Shorla Oncology
NDC#: 81927-0105-01
Code*: J9341
RNINo
340BYes
Product: TEPYLUTE® (Thiotepa) Injection
Prescribing Information
Size: 100 mg 10 mL (10 mg/mL) Multi-dose Vial
Manufacturer: Shorla Oncology
NDC#: 81927-0106-01
Code*: J9341
RNINo
340BYes

Vaccines - COVID-19 Vaccine Products

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
2026-27 Season Formula
mRNA Vaccine
Product: COMIRNATY® (COVID-19 Vaccine, mRNA) 2026-27
Prescribing Information
Size: 0.3 mL Single-dose Prefilled Syringe Carton of 10
Manufacturer: Pfizer
NDC#: 00069-2631-10
Code*: 91320
RNINo
340BNo
Product: mNEXSPIKE® 2026-27
Prescribing Information
Size: 0.2 mL Single-dose Pre-filled Syringe Carton of 10
Manufacturer: Moderna
NDC#: 99999-9999-99
Code*: 91321
RNINo
340BNo
Product: Spikevax® [6 Mo-11 Yrs] 2026-27
Prescribing Information
Size: 0.25 mL Single-dose, Pre-filled Syringe Carton of 10
Manufacturer: Moderna
NDC#: 99999-9999-99
Code*: 91322
RNINo
340BNo
Product: Spikevax® [12+] 2026-27
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled Syringe Box of 10
Manufacturer: Moderna
NDC#: 99999-9999-99
Code*: 91322
RNINo
340BNo
Protein Subunit/Adjuvanted Vaccine
Product: Nuvaxovid™ COVID-19 Vaccine 2026-27
Prescribing Information
Size: 0.5 mL Pre-filled Syringe Box of 10
Manufacturer: Sanofi
NDC#: 49281-0026-50
Code*: 91304
RNINo
340BNo

Vaccines - Influenza Vaccine Products

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
2026-27 Flu Season Products
Trivalent Vaccines
Product: Fluad® Trivalent 2026-27
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled Syringe Carton of 10
Manufacturer: Seqirus
NDC#: 70461-0026-03
Code*: 90694
RNINo
340BNo
Product: FLUARIX® Trivalent 2026-27
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled Disposable TIP-LOK Syringe Box of 10
Manufacturer: GSK
NDC#: 58160-0725-52
Code*: 90686
RNINo
340BNo
Product: Flucelvax® Trivalent 2026-27
Prescribing Information
Size: 0.5 mL Pre-Filled Syringe Carton of 10
Manufacturer: Seqirus
NDC#: 70461-0656-03
Code*: 90674
RNINo
340BNo
Product: Flublok® Trivalent 2026-27
Prescribing Information
Size: 0.5 mL Single-dose Pre-Filled Syringe Carton of 10
Manufacturer: Sanofi
NDC#: 49281-0726-10
Code*: 90686
RNINo
340BNo
Product: FLULAVAL® Trivalent 2026-27
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled TIP-LOK Syringe Box of 10
Manufacturer: GSK
NDC#: 19515-0822-52
Code*: 90686
RNINo
340BNo
Product: FluMist® Trivalent 2026-27
Prescribing Information
Size: 0.2 mL Single-dose Intranasal Spray Carton of 10
Manufacturer: AstraZeneca
NDC#: 66019-0113-10
Code*: 90672
RNINo
340BNo
Product: Fluzone® Trivalent 2026-27
Prescribing Information
Size: 0.5 mL Single-dose Pre-filled Syringe Without Needles Pack of 10
Manufacturer: Sanofi
NDC#: 49281-0426-50
Code*: 90686
RNINo
340BNo
Product: Fluzone® Trivalent 2026-27
Prescribing Information
Size: 5 mL Multi-dose Vial (10 Doses/Vial)
Manufacturer: Sanofi
NDC#: 49281-0645-15
Code*: 90685
RNINo
340BNo
Product: Fluzone® High-Dose Trivalent 2026-27
Prescribing Information
Size: 0.5 mL Pre-Filled Syringe Without Needle Package of 10
Manufacturer: Sanofi
NDC#: 49281-0126-65
Code*: 90662
RNINo
340BNo
Product: mFLUSIVA® (mRNA-1010) Trivalent 2026-27
Prescribing Information
Size: 0.38 mL Single-dose Pre-filled Syringe Carton of 10
Manufacturer: Moderna
NDC#: 80777-0500-20
Code*: G0008
RNINo
340BNo

Vitamins & Dietary Supplements

Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Multi-Vitamin / Multimineral
Product: OB Complete® Prenatal Multivitamin
Prescribing Information
Size: Capsule Shaped Caplet in Blister Pack, Carton of 100 Caplets
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0010-10
Code*: S0197
RNINo
340BNo
Product: OB Complete® Premier Prenatal Multivitamin
Prescribing Information
Size: Tablet in Child-Resistant Unit-dose Blister Cards, Carton of 30 Tablets
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0043-30
Code*: S0197
RNINo
340BNo
Product: OB Complete® with DHA Prenatal Multivitamin/​Multimineral
Prescribing Information
Size: Softgel Capsule Bottle of 60
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0049-60
Code*: S0197
RNINo
340BNo
Product: OB Complete® One Prenatal Multivitamin/​Multimineral
Prescribing Information
Size: Softgel Capsules in Child-Resistant Unit-dose Blister Cards, Carton of 30 Capsules
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0044-30
Code*: S0197
RNINo
340BNo
Product: OB Complete® Petite Prenatal Multivitamin/​Multimineral
Prescribing Information
Size: Softgel Capsule Bottle of 30
Manufacturer: Vertical Pharmaceuticals
NDC#: 68025-0059-30
Code*: S0197
RNINo
340BNo
Multi-Vitamin (With Flouride)
Product: Multi-Vitamin Drops with Fluoride, Arcofolin®
Prescribing Information
Size: 0.25 mg (Fruity Flavor) 50 mL Bottle
Manufacturer: Aytu BioPharma
NDC#: 62542-0805-50
Code*: A9153
RNINo
340BNo
Product: Multi-Vitamin with Flouride Chewable Tablet, Metafolin®
Prescribing Information
Size: 0.25 mg (Berry Flavor) Bottle of 30 Tablets
Manufacturer: Aytu BioPharma
NDC#: 62542-0200-30
Code*: A9153
RNINo
340BNo
Product: Multi-Vitamin with Flouride Chewable Tablet, Metafolin®
Prescribing Information
Size: 0.5 mg (Berry Flavor) Bottle of 30 Tablets
Manufacturer: Aytu BioPharma
NDC#: 62542-0300-30
Code*: A9153
RNINo
340BNo
Product: Multi-Vitamin with Flouride Chewable Tablet, Metafolin®
Prescribing Information
Size: 1 mg (Berry Flavor) Bottle of 30 Tablets
Manufacturer: Aytu BioPharma
NDC#: 62542-0400-30
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin Drops with Fluoride, Arcofolin®
Prescribing Information
Size: 0.25 mg 50 mL Bottle (Fruit Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0805-50
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin with Fluoride, Arcofolin® Chewable Tablet
Prescribing Information
Size: 0.25 mg Bottle of 30 Tablets (Berry Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0225-30
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin with Fluoride, Arcofolin® Chewable Tablet
Prescribing Information
Size: 0.5 mg Bottle of 30 Tablets (Berry Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0325-30
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin with Fluoride, Arcofolin® Chewable Tablet
Prescribing Information
Size: 1 mg Bottle of 30 Tablets (Berry Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0425-30
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin with Fluoride Chewable Tablet, Arcofolin® With Iron
Prescribing Information
Size: 0.5 mg Bottle of 30 Tablets (Berry Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0525-30
Code*: A9153
RNINo
340BNo
Product: Tri-Vi-Flor® Multivitamin Drops with Fluoride Metafolin®
Prescribing Information
Size: 0.25 mg 50 mL Bottle (Fruity Flavor)
Manufacturer: Aytu BioPharma
NDC#: 62542-0700-50
Code*: A9153
RNINo
340BNo
Product: Tri-Vitamin Drops with Flouride Multivitamin Metafolin®
Prescribing Information
Size: 0.25 mg (Fruity Flavor) 50 mL Bottle
Manufacturer: Aytu BioPharma
NDC#: 62542-0700-50
Code*: A9153
RNINo
340BNo
Vitamin Supplement
Product: TriphroCaps Softgels
Prescribing Information
Size: Bottle of 100 Capsules
Manufacturer: Trigen Laboratories
NDC#: 13811-0525-01
Code*: A9153
RNINo
340BNo
* All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
2 Call for eligibility.
+Call (800) 843-7477 or check ordering screen for RCo values.
RNI - RightNow Inventory™ Eligible Products | 340B - Public Health Services 340B Pricing Available.

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