Generic drugs

Generic drugs are priced much lower than the equivalent brand name versions - usually 30-75 percent less. Why? Generic drugs are less expensive because they do not require the same costly research, development, sales and marketing as brand name drugs. In fact, generic drugs are required to follow the same strict Food and Drug Administration (FDA) guidelines as brand name drugs. Many companies that manufacture brand name drugs also manufacture generic drugs.

Generic drugs have been used for various conditions for a long time with safe and effective results. Newer brand name drugs are more expensive, but they may not be any better. To find out whether a generic exists for your prescription, ask your doctor or pharmacist.

Generic Mandatory Drug Program

Beginning Jan. 1, 2022, a generic mandatory program will apply to prescription benefits. If you purchase a brand-name drug which has an available generic equivalent, you will be responsible for the difference in the allowable charge for the generic versus the brand. This additional cost will be in addition to the copay for the requested brand-name drug. If your prescriber determines that the brand-name drug must be dispensed at the pharmacy, you will not be responsible for the difference in cost between the brand and generic products. Your prescriber must include this information on the prescription which is sent to your pharmacy.

Certain medications are classified as Narrow Therapeutic Index (NTI) drugs. This means that a small change in the dose or concentration of a medication can impact the medication’s effectiveness or potential toxicity. Your specific pharmacy benefits will determine whether or not you will be responsible for the difference in the allowable charge for a brand-name NTI medication when a generic equivalent drug is available.

Note: Prescription benefit plans may vary. Refer to your contract for the specific requirements of your prescription drug coverage.

You may access a list of NTI medications below. This list is subject to change.

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Select and delete the table below. Then copy/paste all content from NTI spreadsheet into empty HTML Body text (it will generate the table automatically but it takes a bit of time). The table should only be rows and columns like a spreadsheet. All processing occurs in client-side script.

Formulary ID GPI GPI Name NDC Brand Name Brand or Generic? MSC NDC Type OTC Indicator Route of Admin Repackage Code FWP NDC Date Eff - mm/dd/yyyy FWP NDC Date Term - mm/dd/yyyy Label Name Obsolete Date AHFS Code NDC Status Strength 3rd Party Exception Code As of Date Therapeutic Category Therapeutic Class Dose Form Modifier Code from Rule 01140? Clinic Pack Code Mfg Abbreviation Mfg Code DESI Code Run Time RxCUI - HIM DAS ANDA Flag DAS BLA Flag DAS NDA Flag
202 28100050000325 THYROID TAB 120 MG (2 GRAIN) 24338000990 ADTHYZA B N 03 R OR N 12/31/2023 12/31/9999 ADTHYZA      TAB 120MG 20391231 68360400 A 120   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000328 THYROID TAB 130 MG 24338011390 ADTHYZA B N 03 R OR N 02/12/2023 12/31/9999 ADTHYZA      TAB 130MG 20391231 68360400 A 130   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000305 THYROID TAB 15 MG (1/4 GRAIN) 24338000590 ADTHYZA B N 03 R OR N 12/31/2023 12/31/9999 ADTHYZA      TAB 15MG 20391231 68360400 A 15   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000308 THYROID TAB 16.25 MG 24338001690 ADTHYZA B N 03 R OR N 02/12/2023 12/31/9999 ADTHYZA      TAB 16.25MG 20391231 68360400 A 16.25   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000310 THYROID TAB 30 MG (1/2 GRAIN) 24338000690 ADTHYZA B N 03 R OR N 12/31/2023 12/31/9999 ADTHYZA      TAB 30MG 20391231 68360400 A 30   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000313 THYROID TAB 32.5 MG 24338003290 ADTHYZA B N 03 R OR N 02/12/2023 12/31/9999 ADTHYZA      TAB 32.5MG 20391231 68360400 A 32.5   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000315 THYROID TAB 60 MG (1 GRAIN) 24338000790 ADTHYZA B N 03 R OR N 12/31/2023 12/31/9999 ADTHYZA      TAB 60MG 20391231 68360400 A 60   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000318 THYROID TAB 65 MG 24338006590 ADTHYZA B N 03 R OR N 02/12/2023 12/31/9999 ADTHYZA      TAB 65MG 20391231 68360400 A 65   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000320 THYROID TAB 90 MG (1 1/2 GRAIN) 24338000890 ADTHYZA B N 03 R OR N 12/31/2023 12/31/9999 ADTHYZA      TAB 90MG 20391231 68360400 A 90   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000322 THYROID TAB 97.5 MG 24338009790 ADTHYZA B N 03 R OR N 02/12/2023 12/31/9999 ADTHYZA      TAB 97.5MG 20391231 68360400 A 97.5   20241001     TABS   N AZURITY PH 65628   75556   0 0 0
202 28100050000325 THYROID TAB 120 MG (2 GRAIN) 00456046101 ARMOUR THYROID B N 03 R OR N 01/01/2017 12/31/9999 ARMOUR THYRO TAB 120MG 20391231 68360400 A 120   20241001     TABS   N ALLERGAN 00023 2 75556   0 0 0
202 28100050000305 THYROID TAB 15 MG (1/4 GRAIN) 00456104501 ARMOUR THYROID B N 03 R OR N 09/22/2024 12/31/9999 ARMOUR THYRO TAB 15MG 20391231 68360400 A 15   20241001     TABS   N ALLERGAN 00023   75556   0 0 0
202 28100050000330 THYROID TAB 180 MG (3 GRAIN) 00456046201 ARMOUR THYROID B N 03 R OR N 01/01/2017 12/31/9999 ARMOUR THYRO TAB 180MG 20391231 68360400 A 180   20241001     TABS   N ALLERGAN 00023 2 75556   0 0 0
202 28100050000335 THYROID TAB 240 MG (4 GRAIN) 00456046301 ARMOUR THYROID B N 03 R OR N 01/01/2017 12/31/9999 ARMOUR THYRO TAB 240MG 20391231 68360400 A 240   20241001     TABS   N ALLERGAN 00023 2 75556   0 0 0
202 28100050000340 THYROID TAB 300 MG (5 GRAIN) 00456046401 ARMOUR THYROID B N 03 R OR N 01/01/2017 12/31/9999 ARMOUR THYRO TAB 300MG 20391231 68360400 A 300   20241001     TABS   N ALLERGAN 00023 2 75556   0 0 0
202 28100050000310 THYROID TAB 30 MG (1/2 GRAIN) 00456045801 ARMOUR THYROID B N 03 R OR N 01/01/2017 12/31/9999 ARMOUR THYRO TAB 30MG 20391231 68360400 A 30   20241001     TABS   N ALLERGAN 00023 2 75556   0 0 0
202 28100050000315 THYROID TAB 60 MG (1 GRAIN) 00456045901 ARMOUR THYROID B N 03 R OR N 01/01/2017 12/31/9999 ARMOUR THYRO TAB 60MG 20391231 68360400 A 60   20241001     TABS   N ALLERGAN 00023 2 75556   0 0 0
202 28100050000320 THYROID TAB 90 MG (1 1/2 GRAIN) 00456046001 ARMOUR THYROID B N 03 R OR N 01/01/2017 12/31/9999 ARMOUR THYRO TAB 90MG 20391231 68360400 A 90   20241001     TABS   N ALLERGAN 00023 2 75556   0 0 0
202 99404080007005 TACROLIMUS CAP ER 24HR 0.5 MG 00469064773 ASTAGRAF XL B N 03 R OR N 08/11/2013 12/31/9999 ASTAGRAF XL  CAP 0.5MG 20391231 92440000 A 0.5 M 20241001 Immunological Agents Immunosuppressants CP24   N ASTELLAS 99909 2 75556   0 0 1
202 99404080007010 TACROLIMUS CAP ER 24HR 1 MG 00469067773 ASTAGRAF XL B N 03 R OR N 08/11/2013 12/31/9999 ASTAGRAF XL  CAP 1MG 20391231 92440000 A 1 M 20241001 Immunological Agents Immunosuppressants CP24   N ASTELLAS 99909 2 75556   0 0 1
202 99404080007020 TACROLIMUS CAP ER 24HR 5 MG 00469068773 ASTAGRAF XL B N 03 R OR N 08/11/2013 12/31/9999 ASTAGRAF XL  CAP 5MG 20391231 92440000 A 5 M 20241001 Immunological Agents Immunosuppressants CP24   N ASTELLAS 99909 2 75556   0 0 1
202 72600020006910 CARBAMAZEPINE CAP ER 12HR 100 MG 54092017112 CARBATROL B O 03 S OR N 06/21/2013 12/31/9999 CARBATROL    CAP 100MG 20391231 28129200 A 100   20241001 Anticonvulsants Sodium Channel Agents CP12   N SHIRE US 54092 2 75556   0 0 1
202 72600020006920 CARBAMAZEPINE CAP ER 12HR 200 MG 54092017212 CARBATROL B O 03 S OR N 06/21/2013 12/31/9999 CARBATROL    CAP 200MG 20391231 28129200 A 200   20241001 Anticonvulsants Sodium Channel Agents CP12   N SHIRE US 54092 2 75556   0 0 1
202 72600020006930 CARBAMAZEPINE CAP ER 12HR 300 MG 54092017312 CARBATROL B O 03 S OR N 06/21/2013 12/31/9999 CARBATROL    CAP 300MG 20391231 28129200 A 300   20241001 Anticonvulsants Sodium Channel Agents CP12   N SHIRE US 54092 2 75556   0 0 1
202 31200010002040 DIGOXIN ORAL SOLN 0.05 MG/ML 00054005746 DIGOXIN B O 03 S OR N 06/21/2013 12/31/9999 DIGOXIN      SOL 50MCG/ML 20391231 24040800 A 0.05   20241001 Cardiovascular Agents Cardiovascular Agents, Other SOLN   N HIKMA PHAR 00054 2 75556   0 0 1
202 72200030200110 PHENYTOIN SODIUM EXTENDED CAP 100 MG 00071036932 DILANTIN B O 03 S OR N 06/21/2013 12/31/9999 DILANTIN     CAP 100MG 20391231 28121200 A 100   20241001 Anticonvulsants Sodium Channel Agents CAPS   N VIATRIS SP 58151 2 75556   1 0 0
202 72200030200105 PHENYTOIN SODIUM EXTENDED CAP 30 MG 00071374066 DILANTIN B N 03 R OR N 06/21/2013 12/31/9999 DILANTIN     CAP 30MG 20391231 28121200 A 30   20241001 Anticonvulsants Sodium Channel Agents CAPS   N VIATRIS SP 58151 2 75556   1 0 0
202 72200030000505 PHENYTOIN CHEW TAB 50 MG 00071000740 DILANTIN INFATABS B O 03 S OR N 06/21/2013 12/31/9999 DILANTIN     CHW 50MG 20391231 28121200 A 50   20241001 Anticonvulsants Sodium Channel Agents CHEW   N VIATRIS SP 58151 2 75556   1 0 0
202 72200030001810 PHENYTOIN SUSP 125 MG/5ML 00071221435 DILANTIN-125 B O 03 S OR N 10/11/2020 12/31/9999 DILANTIN-125 SUS 125/5ML 20391231 28121200 A 125   20241001 Anticonvulsants Sodium Channel Agents SUSP   N VIATRIS SP 58151 2 75556   0 0 1
202 99404080007510 TACROLIMUS TAB ER 24HR 0.75 MG 68992307503 ENVARSUS XR B N 03 R OR N 09/27/2015 12/31/9999 ENVARSUS XR  TAB 0.75MG 20391231 92440000 A 0.75 M 20241001 Immunological Agents Immunosuppressants TB24   N VELOXIS PH 68992 2 75556   0 0 1
202 99404080007515 TACROLIMUS TAB ER 24HR 1 MG 68992301001 ENVARSUS XR B N 03 R OR N 09/27/2015 12/31/9999 ENVARSUS XR  TAB 1MG 20391231 92440000 A 1 M 20241001 Immunological Agents Immunosuppressants TB24   N VELOXIS PH 68992 2 75556   0 0 1
202 99404080007520 TACROLIMUS TAB ER 24HR 4 MG 68992304001 ENVARSUS XR B N 03 R OR N 09/27/2015 12/31/9999 ENVARSUS XR  TAB 4MG 20391231 92440000 A 4 M 20241001 Immunological Agents Immunosuppressants TB24   N VELOXIS PH 68992 2 75556   0 0 1
202 59400015006910 CARBAMAZEPINE (MOOD) CAP ER 12HR 100 MG 30698041912 EQUETRO B N 03 R OR N 07/01/2020 12/31/9999 EQUETRO      CAP 100MG 20391231 28129200 A 100   20241001 Bipolar Agents Bipolar Agents CP12   N VALIDUS PH 30698 2 75556   0 0 1
202 59400015006920 CARBAMAZEPINE (MOOD) CAP ER 12HR 200 MG 30698042112 EQUETRO B N 03 R OR N 07/01/2020 12/31/9999 EQUETRO      CAP 200MG 20391231 28129200 A 200   20241001 Bipolar Agents Bipolar Agents CP12   N VALIDUS PH 30698 2 75556   0 0 1
202 59400015006930 CARBAMAZEPINE (MOOD) CAP ER 12HR 300 MG 30698042312 EQUETRO B N 03 R OR N 07/01/2020 12/31/9999 EQUETRO      CAP 300MG 20391231 28129200 A 300   20241001 Bipolar Agents Bipolar Agents CP12   N VALIDUS PH 30698 2 75556   0 0 1
202 28100010102024 LEVOTHYROXINE SODIUM ORAL SOLUTION 150 MCG/5ML 49502037815 ERMEZA B N 03 R OR N 11/27/2022 12/31/9999 ERMEZA       SOL 150/5ML 20391231 68360400 A 150   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N MYLAN SPEC 49502   75556   0 0 1
202 31200010000303 DIGOXIN TAB 62.5 MCG (0.0625 MG) 59212024055 LANOXIN B O 03 S OR N 10/16/2016 12/31/9999 LANOXIN      TAB 0.0625MG 20391231 24040800 A 62.5   20241001 Cardiovascular Agents Cardiovascular Agents, Other TABS   N CONCORDIA 59212 2 75556   0 0 1
202 31200010000305 DIGOXIN TAB 125 MCG (0.125 MG) 59212024256 LANOXIN B O 03 S OR N 07/23/2017 12/31/9999 LANOXIN      TAB 0.125MG 20391231 24040800 A 125   20241001 Cardiovascular Agents Cardiovascular Agents, Other TABS   N CONCORDIA 59212 2 75556   0 0 1
202 31200010000310 DIGOXIN TAB 250 MCG (0.25 MG) 59212024955 LANOXIN B O 03 S OR N 12/14/2015 12/31/9999 LANOXIN      TAB 0.25MG 20391231 24040800 A 250   20241001 Cardiovascular Agents Cardiovascular Agents, Other TABS   N CONCORDIA 59212 2 75556   0 0 1
202 59500010100103 LITHIUM CARBONATE CAP 150 MG 00054252625 LITHIUM CARBONATE B O 03 S OR N 06/21/2013 12/31/9999 LITHIUM CARB CAP 150MG 20391231 28280000 A 150 D 20241001 Bipolar Agents Bipolar Agents CAPS   N HIKMA PHAR 00054 2 75556   0 0 1
202 59500010100105 LITHIUM CARBONATE CAP 300 MG 00054252725 LITHIUM CARBONATE B O 03 S OR N 06/21/2013 12/31/9999 LITHIUM CARB CAP 300MG 20391231 28280000 A 300 D 20241001 Bipolar Agents Bipolar Agents CAPS   N HIKMA PHAR 00054 2 75556   0 0 1
202 59500010100110 LITHIUM CARBONATE CAP 600 MG 00054253125 LITHIUM CARBONATE B O 03 S OR N 06/21/2013 12/31/9999 LITHIUM CARB CAP 600MG 20391231 28280000 A 600 D 20241001 Bipolar Agents Bipolar Agents CAPS   N HIKMA PHAR 00054 2 75556   0 0 1
202 59500010100405 LITHIUM CARBONATE TAB ER 300 MG 62559028001 LITHOBID B O 03 S OR N 07/07/2014 12/31/9999 LITHOBID     TAB 300MG CR 20391231 28280000 A 300 D 20241001 Bipolar Agents Bipolar Agents TBCR   N ANI PHARMA 62559 2 75556   0 0 1
202 72600060000310 PRIMIDONE TAB 250 MG 66490069110 MYSOLINE B O 03 S OR N 01/01/2016 12/31/9999 MYSOLINE     TAB 250MG 20391231 28120400 A 250   20241001 Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents TABS   N BAUSCH HEA 00187 2 75556   0 0 1
202 72600060000305 PRIMIDONE TAB 50 MG 66490069010 MYSOLINE B O 03 S OR N 01/01/2016 12/31/9999 MYSOLINE     TAB 50MG 20391231 28120400 A 50   20241001 Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents TABS   N BAUSCH HEA 00187 2 75556   0 0 1
202 99402020300150 CYCLOSPORINE MODIFIED CAP 100 MG 00078024861 NEORAL B O 03 S OR N 06/21/2013 12/31/9999 NEORAL       CAP 100MG 20391231 90282892 A 100 M 20241001 Immunological Agents Immunosuppressants CAPS   N NOVARTIS 00078 2 75556   0 0 1
202 99402020300120 CYCLOSPORINE MODIFIED CAP 25 MG 00078024661 NEORAL B O 03 S OR N 06/21/2013 12/31/9999 NEORAL       CAP 25MG 20391231 90282892 A 25 M 20241001 Immunological Agents Immunosuppressants CAPS   N NOVARTIS 00078 2 75556   0 0 1
202 99402020302020 CYCLOSPORINE MODIFIED ORAL SOLN 100 MG/ML 00078027422 NEORAL B O 03 S OR N 06/21/2013 12/31/9999 NEORAL       SOL 100MG/ML 20391231 90282892 A 100 M 20241001 Immunological Agents Immunosuppressants SOLN   N NOVARTIS 00078 2 75556   0 0 1
202 28100050000325 THYROID TAB 120 MG (2 GRAIN) 75834031401 NIVA THYROID B N 03 R OR N 08/06/2023 12/31/9999 NIVA THYROID TAB 120MG 20391231 68360400 A 120   20241001     TABS   N NIVAGEN PH 75834   75556   0 0 0
202 28100050000305 THYROID TAB 15 MG (1/4 GRAIN) 75834031001 NIVA THYROID B N 03 R OR N 08/06/2023 12/31/9999 NIVA THYROID TAB 15MG 20391231 68360400 A 15   20241001     TABS   N NIVAGEN PH 75834   75556   0 0 0
202 28100050000310 THYROID TAB 30 MG (1/2 GRAIN) 75834031101 NIVA THYROID B N 03 R OR N 08/06/2023 12/31/9999 NIVA THYROID TAB 30MG 20391231 68360400 A 30   20241001     TABS   N NIVAGEN PH 75834   75556   0 0 0
202 28100050000315 THYROID TAB 60 MG (1 GRAIN) 75834031201 NIVA THYROID B N 03 R OR N 08/06/2023 12/31/9999 NIVA THYROID TAB 60MG 20391231 68360400 A 60   20241001     TABS   N NIVAGEN PH 75834   75556   0 0 0
202 28100050000320 THYROID TAB 90 MG (1 1/2 GRAIN) 75834031301 NIVA THYROID B N 03 R OR N 08/06/2023 12/31/9999 NIVA THYROID TAB 90MG 20391231 68360400 A 90   20241001     TABS   N NIVAGEN PH 75834   75556   0 0 0
202 35100010100105 DISOPYRAMIDE PHOSPHATE CAP 100 MG 00025275231 NORPACE B O 03 S OR N 06/21/2013 12/31/9999 NORPACE      CAP 100MG 20391231 24040404 A 100   20241001 Cardiovascular Agents Antiarrhythmics CAPS   N PFIZER US 99907 2 75556   0 0 1
202 35100010106910 DISOPYRAMIDE PHOSPHATE CAP ER 12HR 100 MG 00025273231 NORPACE CR B N 03 R OR N 06/21/2013 12/31/9999 NORPACE      CAP 100MG CR 20391231 24040404 A 100   20241001 Cardiovascular Agents Antiarrhythmics CP12   N PFIZER US 99907 2 75556   0 0 1
202 35100010100110 DISOPYRAMIDE PHOSPHATE CAP 150 MG 00025276231 NORPACE B O 03 S OR N 06/21/2013 12/31/9999 NORPACE      CAP 150MG 20391231 24040404 A 150   20241001 Cardiovascular Agents Antiarrhythmics CAPS   N PFIZER US 99907 2 75556   0 0 1
202 35100010106915 DISOPYRAMIDE PHOSPHATE CAP ER 12HR 150 MG 00025274231 NORPACE CR B N 03 R OR N 06/21/2013 12/31/9999 NORPACE      CAP 150MG CR 20391231 24040404 A 150   20241001 Cardiovascular Agents Antiarrhythmics CP12   N PFIZER US 99907 2 75556   0 0 1
202 28100050000325 THYROID TAB 120 MG (2 GRAIN) 42192032801 NP THYROID 120 B N 03 R OR N 05/28/2017 12/31/9999 NP THYROID   TAB 120MG 20391231 68360400 A 120   20241001     TABS   N ACELLA PH 42192 2 75556   0 0 0
202 28100050000305 THYROID TAB 15 MG (1/4 GRAIN) 42192032701 NP THYROID 15 B N 03 R OR N 01/01/2017 12/31/9999 NP THYROID   TAB 15MG 20391231 68360400 A 15   20241001     TABS   N ACELLA PH 42192 2 75556   0 0 0
202 28100050000310 THYROID TAB 30 MG (1/2 GRAIN) 42192032901 NP THYROID 30 B N 03 R OR N 01/01/2017 12/31/9999 NP THYROID   TAB 30MG 20391231 68360400 A 30   20241001     TABS   N ACELLA PH 42192 2 75556   0 0 0
202 28100050000315 THYROID TAB 60 MG (1 GRAIN) 42192033001 NP THYROID 60 B N 03 R OR N 01/01/2017 12/31/9999 NP THYROID   TAB 60MG 20391231 68360400 A 60   20241001     TABS   N ACELLA PH 42192 2 75556   0 0 0
202 28100050000320 THYROID TAB 90 MG (1 1/2 GRAIN) 42192033101 NP THYROID 90 B N 03 R OR N 01/01/2017 12/31/9999 NP THYROID   TAB 90MG 20391231 68360400 A 90   20241001     TABS   N ACELLA PH 42192 2 75556   0 0 0
202 72600060000307 PRIMIDONE TAB 125 MG 52817011710 PRIMIDONE B N 03 R OR N 04/16/2023 12/31/9999 PRIMIDONE    TAB 125MG 20391231 28120400 A 125   20241001 Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents TABS   N TRUPHARMA 52817   75556   1 0 0
202 99404080000105 TACROLIMUS CAP 0.5 MG 00469060773 PROGRAF B O 03 S OR N 06/21/2013 12/31/9999 PROGRAF      CAP 0.5MG 20391231 92440000 A 0.5 M 20241001 Immunological Agents Immunosuppressants CAPS   N ASTELLAS 99909 2 75556   0 0 1
202 99404080000110 TACROLIMUS CAP 1 MG 00469061773 PROGRAF B O 03 S OR N 06/21/2013 12/31/9999 PROGRAF      CAP 1MG 20391231 92440000 A 1 M 20241001 Immunological Agents Immunosuppressants CAPS   N ASTELLAS 99909 2 75556   0 0 1
202 99404080000120 TACROLIMUS CAP 5 MG 00469065773 PROGRAF B O 03 S OR N 06/21/2013 12/31/9999 PROGRAF      CAP 5MG 20391231 92440000 A 5 M 20241001 Immunological Agents Immunosuppressants CAPS   N ASTELLAS 99909 2 75556   0 0 1
202 99404080003010 TACROLIMUS PACKET FOR SUSP 0.2 MG 00469123050 PROGRAF B N 03 R OR N 03/17/2019 12/31/9999 PROGRAF      GRA 0.2MG 20391231 92440000 A 0.2 M 20241001 Immunological Agents Immunosuppressants PACK   N ASTELLAS 99909 2 75556   0 0 1
202 99404080003030 TACROLIMUS PACKET FOR SUSP 1 MG 00469133050 PROGRAF B N 03 R OR N 03/17/2019 12/31/9999 PROGRAF      GRA 1MG 20391231 92440000 A 1 M 20241001 Immunological Agents Immunosuppressants PACK   N ASTELLAS 99909 2 75556   0 0 1
202 35100030300310 QUINIDINE SULFATE TAB 200 MG 42806051330 QUINIDINE SULFATE B N 03 R OR N 12/26/2021 12/31/9999 QUINIDINE SU TAB 200MG 20391231 24040404 A 200   20241001 Cardiovascular Agents Antiarrhythmics TABS   N EPIC PHARM 42806 2 75556   1 0 0
202 35100030300315 QUINIDINE SULFATE TAB 300 MG 42806051230 QUINIDINE SULFATE B N 03 R OR N 12/26/2021 12/31/9999 QUINIDINE SU TAB 300MG 20391231 24040404 A 300   20241001 Cardiovascular Agents Antiarrhythmics TABS   N EPIC PHARM 42806 2 75556   1 0 0
202 99404070002020 SIROLIMUS ORAL SOLN 1 MG/ML 00008103006 RAPAMUNE B O 03 S OR N 07/01/2020 12/31/9999 RAPAMUNE     SOL 1MG/ML 20391231 90282492 A 1 M 20241001 Immunological Agents Immunosuppressants SOLN   N PFIZER US 99907 2 75556   0 0 1
202 99404070000310 SIROLIMUS TAB 0.5 MG 00008104005 RAPAMUNE B O 03 S OR N 07/01/2020 12/31/9999 RAPAMUNE     TAB 0.5MG 20391231 90282492 A 0.5 M 20241001 Immunological Agents Immunosuppressants TABS   N PFIZER US 99907 2 75556   0 0 1
202 99404070000320 SIROLIMUS TAB 1 MG 00008104105 RAPAMUNE B O 03 S OR N 07/01/2020 12/31/9999 RAPAMUNE     TAB 1MG 20391231 90282492 A 1 M 20241001 Immunological Agents Immunosuppressants TABS   N PFIZER US 99907 2 75556   0 0 1
202 99404070000330 SIROLIMUS TAB 2 MG 00008104205 RAPAMUNE B O 03 S OR N 07/01/2020 12/31/9999 RAPAMUNE     TAB 2MG 20391231 90282492 A 2 M 20241001 Immunological Agents Immunosuppressants TABS   N PFIZER US 99907 2 75556   0 0 1
202 99402020000140 CYCLOSPORINE CAP 100 MG 00078024115 SANDIMMUNE B O 03 S OR N 06/21/2013 12/31/9999 SANDIMMUNE   CAP 100MG 20391231 90282892 A 100 M 20241001 Immunological Agents Immunosuppressants CAPS   N NOVARTIS 00078 2 75556   0 0 1
202 99402020000110 CYCLOSPORINE CAP 25 MG 00078024061 SANDIMMUNE B O 03 S OR N 06/21/2013 12/31/9999 SANDIMMUNE   CAP 25MG 20391231 90282892 A 25 M 20241001 Immunological Agents Immunosuppressants CAPS   N NOVARTIS 00078 2 75556   0 0 1
202 99402020002010 CYCLOSPORINE ORAL SOLN 100 MG/ML 00078011022 SANDIMMUNE B N 03 R OR N 06/21/2013 12/31/9999 SANDIMMUNE   SOL 100MG/ML 20260703 90282892 I 100 M 20241001 Immunological Agents Immunosuppressants SOLN   N NOVARTIS 00078 2 75556   0 0 1
202 28100010100320 LEVOTHYROXINE SODIUM TAB 100 MCG 00074662411 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 100MCG 20391231 68360400 A 100   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100322 LEVOTHYROXINE SODIUM TAB 112 MCG 00074929619 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 112MCG 20391231 68360400 A 112   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100325 LEVOTHYROXINE SODIUM TAB 125 MCG 00074706819 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 125MCG 20391231 68360400 A 125   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100327 LEVOTHYROXINE SODIUM TAB 137 MCG 00074372719 SYNTHROID B O 03 S OR N 06/28/2015 12/31/9999 SYNTHROID    TAB 137MCG 20391231 68360400 A 137   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100330 LEVOTHYROXINE SODIUM TAB 150 MCG 00074706911 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 150MCG 20391231 68360400 A 150   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100335 LEVOTHYROXINE SODIUM TAB 175 MCG 00074707090 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 175MCG 20391231 68360400 A 175   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100340 LEVOTHYROXINE SODIUM TAB 200 MCG 00074714819 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 200MCG 20391231 68360400 A 200   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100305 LEVOTHYROXINE SODIUM TAB 25 MCG 00074434190 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 25MCG 20391231 68360400 A 25   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100345 LEVOTHYROXINE SODIUM TAB 300 MCG 00074714919 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 300MCG 20391231 68360400 A 300   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100310 LEVOTHYROXINE SODIUM TAB 50 MCG 00074455219 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 50MCG 20391231 68360400 A 50   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100315 LEVOTHYROXINE SODIUM TAB 75 MCG 00074518290 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 75MCG 20391231 68360400 A 75   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 28100010100317 LEVOTHYROXINE SODIUM TAB 88 MCG 00074659419 SYNTHROID B O 03 S OR N 06/21/2013 12/31/9999 SYNTHROID    TAB 88MCG 20391231 68360400 A 88   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) TABS   N ABBVIE 00074 2 75556   0 0 1
202 72600020001810 CARBAMAZEPINE SUSP 100 MG/5ML 00078050883 TEGRETOL B O 03 S OR N 06/21/2013 12/31/9999 TEGRETOL     SUS 100/5ML 20391231 28129200 A 100   20241001 Anticonvulsants Sodium Channel Agents SUSP   N NOVARTIS 00078 2 75556   0 0 1
202 72600020000305 CARBAMAZEPINE TAB 200 MG 00078050905 TEGRETOL B O 03 S OR N 06/21/2013 12/31/9999 TEGRETOL     TAB 200MG 20391231 28129200 A 200   20241001 Anticonvulsants Sodium Channel Agents TABS   N NOVARTIS 00078 2 75556   0 0 1
202 72600020007410 CARBAMAZEPINE TAB ER 12HR 100 MG 00078051005 TEGRETOL-XR B O 03 S OR N 06/21/2013 12/31/9999 TEGRETOL-XR  TAB 100MG 20391231 28129200 A 100   20241001 Anticonvulsants Sodium Channel Agents TB12   N NOVARTIS 00078 2 75556   0 0 1
202 72600020007420 CARBAMAZEPINE TAB ER 12HR 200 MG 00078051105 TEGRETOL-XR B O 03 S OR N 06/21/2013 12/31/9999 TEGRETOL-XR  TAB 200MG 20391231 28129200 A 200   20241001 Anticonvulsants Sodium Channel Agents TB12   N NOVARTIS 00078 2 75556   0 0 1
202 72600020007440 CARBAMAZEPINE TAB ER 12HR 400 MG 00078051205 TEGRETOL-XR B O 03 S OR N 06/21/2013 12/31/9999 TEGRETOL-XR  TAB 400MG 20391231 28129200 A 400   20241001 Anticonvulsants Sodium Channel Agents TB12   N NOVARTIS 00078 2 75556   0 0 1
202 44300040007020 THEOPHYLLINE CAP ER 24HR 100 MG 52244010010 THEO-24 B N 03 R OR N 09/21/2014 12/31/9999 THEO-24      CAP 100MG CR 20391231 86160000 A 100   20241001 Respiratory Tract/ Pulmonary Agents Phosphodiesterase Inhibitors, Airways Disease CP24   N ENDO USA 99826 2 75556   1 0 0
202 44300040007030 THEOPHYLLINE CAP ER 24HR 200 MG 52244020010 THEO-24 B N 03 R OR N 09/21/2014 12/31/9999 THEO-24      CAP 200MG CR 20391231 86160000 A 200   20241001 Respiratory Tract/ Pulmonary Agents Phosphodiesterase Inhibitors, Airways Disease CP24   N ENDO USA 99826 2 75556   1 0 0
202 44300040007040 THEOPHYLLINE CAP ER 24HR 300 MG 52244030010 THEO-24 B N 03 R OR N 09/21/2014 12/31/9999 THEO-24      CAP 300MG CR 20391231 86160000 A 300   20241001 Respiratory Tract/ Pulmonary Agents Phosphodiesterase Inhibitors, Airways Disease CP24   N ENDO USA 99826 2 75556   1 0 0
202 44300040007050 THEOPHYLLINE CAP ER 24HR 400 MG 52244040010 THEO-24 B N 03 R OR N 09/21/2014 12/31/9999 THEO-24      CAP 400MG ER 20391231 86160000 A 400   20241001 Respiratory Tract/ Pulmonary Agents Phosphodiesterase Inhibitors, Airways Disease CP24   N ENDO USA 99826 2 75556   1 0 0
202 44300040007420 THEOPHYLLINE TAB ER 12HR 100 MG 29033005701 THEOPHYLLINE ER B N 03 R OR N 08/27/2023 12/31/9999 THEOPHYLLINE TAB 100MG ER 20391231 86160000 A 100   20241001 Respiratory Tract/ Pulmonary Agents Phosphodiesterase Inhibitors, Airways Disease TB12   N NOSTRUM 29033   75556   1 0 0
202 44300040007430 THEOPHYLLINE TAB ER 12HR 200 MG 29033005801 THEOPHYLLINE ER B N 03 R OR N 08/27/2023 12/31/9999 THEOPHYLLINE TAB 200MG ER 20391231 86160000 A 200   20241001 Respiratory Tract/ Pulmonary Agents Phosphodiesterase Inhibitors, Airways Disease TB12   N NOSTRUM 29033   75556   1 0 0
202 28100010102023 LEVOTHYROXINE SODIUM ORAL SOLUTION 100 MCG/5ML 66689010504 THYQUIDITY B N 03 R OR N 01/10/2021 12/31/9999 THYQUIDITY   SOL 100MCG 20250709 68360400 I 100   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N AZURITY PH 65628 2 75556   0 0 1
202 28100050000325 THYROID TAB 120 MG (2 GRAIN) 62559074401 THYROID B N 03 R OR N 06/25/2023 12/31/9999 THYROID      TAB 120MG 20391231 68360400 A 120   20241001     TABS   N ANI PHARMA 62559   75556   0 0 0
202 28100050000305 THYROID TAB 15 MG (1/4 GRAIN) 62559074001 THYROID B N 03 R OR N 06/25/2023 12/31/9999 THYROID      TAB 15MG 20391231 68360400 A 15   20241001     TABS   N ANI PHARMA 62559   75556   0 0 0
202 28100050000310 THYROID TAB 30 MG (1/2 GRAIN) 62559074101 THYROID B N 03 R OR N 06/25/2023 12/31/9999 THYROID      TAB 30MG 20391231 68360400 A 30   20241001     TABS   N ANI PHARMA 62559   75556   0 0 0
202 28100050000315 THYROID TAB 60 MG (1 GRAIN) 62559074201 THYROID B N 03 R OR N 06/25/2023 12/31/9999 THYROID      TAB 60MG 20391231 68360400 A 60   20241001     TABS   N ANI PHARMA 62559   75556   0 0 0
202 28100050000320 THYROID TAB 90 MG (1 1/2 GRAIN) 62559074301 THYROID B N 03 R OR N 06/25/2023 12/31/9999 THYROID      TAB 90MG 20391231 68360400 A 90   20241001     TABS   N ANI PHARMA 62559   75556   0 0 0
202 28100010100111 LEVOTHYROXINE SODIUM CAP 37.5 MCG 71858001204 TIROSINT B N 03 R OR N 04/03/2023 12/31/9999 TIROSINT     CAP 37.5MCG 20391231 68360400 A 37.5   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) CAPS   N IBSA PHARM 71858   75556   0 0 1
202 28100010100113 LEVOTHYROXINE SODIUM CAP 44 MCG 71858001304 TIROSINT B N 03 R OR N 04/03/2023 12/31/9999 TIROSINT     CAP 44MCG 20391231 68360400 A 44   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) CAPS   N IBSA PHARM 71858   75556   0 0 1
202 28100010100117 LEVOTHYROXINE SODIUM CAP 62.5 MCG 71858001704 TIROSINT B N 03 R OR N 04/03/2023 12/31/9999 TIROSINT     CAP 62.5MCG 20391231 68360400 A 62.5   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) CAPS   N IBSA PHARM 71858   75556   0 0 1
202 28100010102050 LEVOTHYROXINE SODIUM ORAL SOLUTION 100 MCG/ML 71858013005 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 100MCG 20391231 68360400 A 100   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102055 LEVOTHYROXINE SODIUM ORAL SOLUTION 112 MCG/ML 71858013505 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 112MCG 20391231 68360400 A 112   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102060 LEVOTHYROXINE SODIUM ORAL SOLUTION 125 MCG/ML 71858014005 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 125MCG 20391231 68360400 A 125   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102065 LEVOTHYROXINE SODIUM ORAL SOLUTION 137 MCG/ML 71858014505 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 137MCG 20391231 68360400 A 137   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102025 LEVOTHYROXINE SODIUM ORAL SOLUTION 13 MCG/ML 71858010505 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 13MCG/ML 20391231 68360400 A 13   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102070 LEVOTHYROXINE SODIUM ORAL SOLUTION 150 MCG/ML 71858015005 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 150MCG 20391231 68360400 A 150   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102075 LEVOTHYROXINE SODIUM ORAL SOLUTION 175 MCG/ML 71858015505 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 175MCG 20391231 68360400 A 175   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102080 LEVOTHYROXINE SODIUM ORAL SOLUTION 200 MCG/ML 71858016005 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 200MCG 20391231 68360400 A 200   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102030 LEVOTHYROXINE SODIUM ORAL SOLUTION 25 MCG/ML 71858011005 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 25MCG/ML 20391231 68360400 A 25   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102032 LEVOTHYROXINE SODIUM ORAL SOLUTION 37.5 MCG/ML 71858011204 TIROSINT-SOL B N 03 R OR N 07/18/2021 12/31/9999 TIROSINT-SOL SOL 37.5/ML 20391231 68360400 A 37.5   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102033 LEVOTHYROXINE SODIUM ORAL SOLUTION 44 MCG/ML 71858011305 TIROSINT-SOL B N 03 R OR N 07/18/2021 12/31/9999 TIROSINT-SOL SOL 44MCG/ML 20391231 68360400 A 44   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102035 LEVOTHYROXINE SODIUM ORAL SOLUTION 50 MCG/ML 71858011505 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 50MCG/ML 20391231 68360400 A 50   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102038 LEVOTHYROXINE SODIUM ORAL SOLUTION 62.5 MCG/ML 71858011705 TIROSINT-SOL B N 03 R OR N 07/18/2021 12/31/9999 TIROSINT-SOL SOL 62.5/ML 20391231 68360400 A 62.5   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102040 LEVOTHYROXINE SODIUM ORAL SOLUTION 75 MCG/ML 71858012005 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 75MCG/ML 20391231 68360400 A 75   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 28100010102045 LEVOTHYROXINE SODIUM ORAL SOLUTION 88 MCG/ML 71858012505 TIROSINT-SOL B N 03 R OR N 02/17/2019 12/31/9999 TIROSINT-SOL SOL 88MCG/ML 20391231 68360400 A 88   20241001 Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) Hormonal Agents, Stimulant/ Replacement/ Modifying  (Thyroid) SOLN   N IBSA PHARM 71858 2 75556   0 0 1
202 72400010000105 ETHOSUXIMIDE CAP 250 MG 00071023724 ZARONTIN B O 03 S OR N 06/21/2013 12/31/9999 ZARONTIN     CAP 250MG 20391231 28122000 A 250   20241001 Anticonvulsants Calcium Channel Modifying Agents CAPS   N PFIZER US 99907 2 75556   0 0 1
202 72400010002005 ETHOSUXIMIDE SOLN 250 MG/5ML 00071241819 ZARONTIN B O 03 S OR N 06/12/2022 12/31/9999 ZARONTIN     SOL 250/5ML 20391231 28122000 A 250   20241001 Anticonvulsants Calcium Channel Modifying Agents SOLN   N PFIZER US 99907 2 75556   1 0 0
202 99404035000320 EVEROLIMUS TAB 0.25 MG 00078041761 ZORTRESS B O 03 S OR N 07/01/2020 12/31/9999 ZORTRESS     TAB 0.25MG 20391231 92440000 A 0.25 M 20241001 Immunological Agents Immunosuppressants TABS   N NOVARTIS 00078 2 75556   0 0 1
202 99404035000325 EVEROLIMUS TAB 0.5 MG 00078041461 ZORTRESS B O 03 S OR N 07/01/2020 12/31/9999 ZORTRESS     TAB 0.5MG 20391231 92440000 A 0.5 M 20241001 Immunological Agents Immunosuppressants TABS   N NOVARTIS 00078 2 75556   0 0 1
202 99404035000330 EVEROLIMUS TAB 0.75 MG 00078041520 ZORTRESS B O 03 S OR N 07/01/2020 12/31/9999 ZORTRESS     TAB 0.75MG 20391231 92440000 A 0.75 M 20241001 Immunological Agents Immunosuppressants TABS   N NOVARTIS 00078 2 75556   0 0 1
202 99404035000335 EVEROLIMUS TAB 1 MG 00078042220 ZORTRESS B O 03 S OR N 07/01/2020 12/31/9999 ZORTRESS     TAB 1MG 20391231 92440000 A 1 M 20241001 Immunological Agents Immunosuppressants TABS   N NOVARTIS 00078 2 75556   0 0 1