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 | Component FWPID (if applicable) | NDC included or excluded? | GPI | GPI Name | NDC | Tier | 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 | PA | QL | ST | NDC Status | Strength | 3rd Party Exception Code | UM Package | Any UM? | As of Date | Therapeutic Category | Therapeutic Class | Dose Form | Modifier Code from Rule 01140? | Clinic Pack Code | Mfg Abbreviation | Mfg Code | DESI Code |
| 202 | 202 | I | 28100050000325 | THYROID TAB 120 MG (2 GRAIN) | 24338000990 | 3 | ADTHYZA | B | N | 03 | R | OR | N | 12/31/2023 | 12/31/9999 | ADTHYZA TAB 120MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 120.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | AZURITY PH | 65628 | |||
| 202 | 202 | I | 28100050000305 | THYROID TAB 15 MG (1/4 GRAIN) | 24338000590 | 3 | ADTHYZA | B | N | 03 | R | OR | N | 12/31/2023 | 12/31/9999 | ADTHYZA TAB 15MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 15.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | AZURITY PH | 65628 | |||
| 202 | 202 | I | 28100050000310 | THYROID TAB 30 MG (1/2 GRAIN) | 24338000690 | 3 | ADTHYZA | B | N | 03 | R | OR | N | 12/31/2023 | 12/31/9999 | ADTHYZA TAB 30MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 30.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | AZURITY PH | 65628 | |||
| 202 | 202 | I | 28100050000315 | THYROID TAB 60 MG (1 GRAIN) | 24338000790 | 3 | ADTHYZA | B | N | 03 | R | OR | N | 12/31/2023 | 12/31/9999 | ADTHYZA TAB 60MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 60.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | AZURITY PH | 65628 | |||
| 202 | 202 | I | 28100050000320 | THYROID TAB 90 MG (1 1/2 GRAIN) | 24338000890 | 3 | ADTHYZA | B | N | 03 | R | OR | N | 12/31/2023 | 12/31/9999 | ADTHYZA TAB 90MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 90.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | AZURITY PH | 65628 | |||
| 202 | 202 | I | 28100050000325 | THYROID TAB 120 MG (2 GRAIN) | 00456046101 | 3 | ARMOUR THYROID | B | N | 03 | R | OR | N | 01/01/2017 | 12/31/9999 | ARMOUR THYRO TAB 120MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 120.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ALLERGAN | 00023 | 2 | ||
| 202 | 202 | I | 28100050000305 | THYROID TAB 15 MG (1/4 GRAIN) | 00456104501 | 3 | ARMOUR THYROID | B | N | 03 | R | OR | N | 09/22/2024 | 12/31/9999 | ARMOUR THYRO TAB 15MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 15.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ALLERGAN | 00023 | |||
| 202 | 202 | I | 28100050000330 | THYROID TAB 180 MG (3 GRAIN) | 00456046201 | 3 | ARMOUR THYROID | B | N | 03 | R | OR | N | 01/01/2017 | 12/31/9999 | ARMOUR THYRO TAB 180MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 180.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ALLERGAN | 00023 | 2 | ||
| 202 | 202 | I | 28100050000335 | THYROID TAB 240 MG (4 GRAIN) | 00456046301 | 3 | ARMOUR THYROID | B | N | 03 | R | OR | N | 01/01/2017 | 12/31/9999 | ARMOUR THYRO TAB 240MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 240.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ALLERGAN | 00023 | 2 | ||
| 202 | 202 | I | 28100050000340 | THYROID TAB 300 MG (5 GRAIN) | 00456046401 | 3 | ARMOUR THYROID | B | N | 03 | R | OR | N | 01/01/2017 | 12/31/9999 | ARMOUR THYRO TAB 300MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 300.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ALLERGAN | 00023 | 2 | ||
| 202 | 202 | I | 28100050000310 | THYROID TAB 30 MG (1/2 GRAIN) | 00456045801 | 3 | ARMOUR THYROID | B | N | 03 | R | OR | N | 01/01/2017 | 12/31/9999 | ARMOUR THYRO TAB 30MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 30.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ALLERGAN | 00023 | 2 | ||
| 202 | 202 | I | 28100050000315 | THYROID TAB 60 MG (1 GRAIN) | 00456045901 | 3 | ARMOUR THYROID | B | N | 03 | R | OR | N | 01/01/2017 | 12/31/9999 | ARMOUR THYRO TAB 60MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 60.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ALLERGAN | 00023 | 2 | ||
| 202 | 202 | I | 28100050000320 | THYROID TAB 90 MG (1 1/2 GRAIN) | 00456046001 | 3 | ARMOUR THYROID | B | N | 03 | R | OR | N | 01/01/2017 | 12/31/9999 | ARMOUR THYRO TAB 90MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 90.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ALLERGAN | 00023 | 2 | ||
| 202 | 202 | I | 99404080007005 | TACROLIMUS CAP ER 24HR 0.5 MG | 00469064773 | 3 | ASTAGRAF XL | B | N | 03 | R | OR | N | 08/11/2013 | 12/31/9999 | ASTAGRAF XL CAP 0.5MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 0.500 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CP24 | N | ASTELLAS | 99909 | 2 | |
| 202 | 202 | I | 99404080007010 | TACROLIMUS CAP ER 24HR 1 MG | 00469067773 | 3 | ASTAGRAF XL | B | N | 03 | R | OR | N | 08/11/2013 | 12/31/9999 | ASTAGRAF XL CAP 1MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 1.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CP24 | N | ASTELLAS | 99909 | 2 | |
| 202 | 202 | I | 99404080007020 | TACROLIMUS CAP ER 24HR 5 MG | 00469068773 | 3 | ASTAGRAF XL | B | N | 03 | R | OR | N | 08/11/2013 | 12/31/9999 | ASTAGRAF XL CAP 5MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 5.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CP24 | N | ASTELLAS | 99909 | 2 | |
| 202 | 202 | I | 72600020000510 | CARBAMAZEPINE CHEW TAB 200 MG | 51672405001 | 3 | CARBAMAZEPINE | B | N | 03 | R | OR | N | 10/27/2024 | 12/31/9999 | CARBAMAZEPIN CHW 200MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 200.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | CHEW | N | SUN PHARMA | 99746 | |||
| 202 | 202 | I | 72600020006910 | CARBAMAZEPINE CAP ER 12HR 100 MG | 54092017112 | 2 | CARBATROL | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | CARBATROL CAP 100MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | CP12 | N | SHIRE US | 54092 | 2 | ||
| 202 | 202 | I | 72600020006920 | CARBAMAZEPINE CAP ER 12HR 200 MG | 54092017212 | 2 | CARBATROL | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | CARBATROL CAP 200MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 200.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | CP12 | N | SHIRE US | 54092 | 2 | ||
| 202 | 202 | I | 72600020006930 | CARBAMAZEPINE CAP ER 12HR 300 MG | 54092017312 | 2 | CARBATROL | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | CARBATROL CAP 300MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 300.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | CP12 | N | SHIRE US | 54092 | 2 | ||
| 202 | 202 | I | 31200010002040 | DIGOXIN ORAL SOLN 0.05 MG/ML | 00054005746 | 2 | DIGOXIN | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | DIGOXIN SOL 50MCG/ML | 20391231 | 24040800 | 0 | 0 | 0 | A | 0.050 | 0 | N | 20251101 | Cardiovascular Agents | Cardiovascular Agents, Other | SOLN | N | HIKMA PHAR | 00054 | 2 | ||
| 202 | 202 | I | 72200030200110 | PHENYTOIN SODIUM EXTENDED CAP 100 MG | 58151011001 | 2 | DILANTIN | B | O | 03 | S | OR | N | 12/15/2024 | 12/31/9999 | DILANTIN CAP 100MG | 20391231 | 28121200 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | CAPS | N | VIATRIS SP | 58151 | |||
| 202 | 202 | I | 72200030200105 | PHENYTOIN SODIUM EXTENDED CAP 30 MG | 58151011801 | 3 | DILANTIN | B | N | 03 | R | OR | N | 01/19/2025 | 12/31/9999 | DILANTIN CAP 30MG | 20391231 | 28121200 | 0 | 0 | 0 | A | 30.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | CAPS | N | VIATRIS SP | 58151 | |||
| 202 | 202 | I | 72200030000505 | PHENYTOIN CHEW TAB 50 MG | 00071000724 | 2 | DILANTIN INFATABS | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | DILANTIN CHW 50MG | 20391231 | 28121200 | 0 | 0 | 0 | A | 50.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | CHEW | N | VIATRIS SP | 58151 | 2 | ||
| 202 | 202 | I | 99404080007510 | TACROLIMUS TAB ER 24HR 0.75 MG | 68992307501 | 3 | ENVARSUS XR | B | N | 03 | R | OR | N | 09/27/2015 | 12/31/9999 | ENVARSUS XR TAB 0.75MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 0.750 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | TB24 | N | VELOXIS PH | 68992 | 2 | |
| 202 | 202 | I | 99404080007515 | TACROLIMUS TAB ER 24HR 1 MG | 68992301001 | 3 | ENVARSUS XR | B | N | 03 | R | OR | N | 09/27/2015 | 12/31/9999 | ENVARSUS XR TAB 1MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 1.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | TB24 | N | VELOXIS PH | 68992 | 2 | |
| 202 | 202 | I | 99404080007520 | TACROLIMUS TAB ER 24HR 4 MG | 68992304001 | 3 | ENVARSUS XR | B | N | 03 | R | OR | N | 09/27/2015 | 12/31/9999 | ENVARSUS XR TAB 4MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 4.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | TB24 | N | VELOXIS PH | 68992 | 2 | |
| 202 | 202 | I | 59400015006910 | CARBAMAZEPINE (MOOD) CAP ER 12HR 100 MG | 30698041912 | 3 | EQUETRO | B | N | 03 | R | OR | N | 07/01/2020 | 12/31/9999 | EQUETRO CAP 100MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Bipolar Agents | Bipolar Agents | CP12 | N | VALIDUS PH | 30698 | 2 | ||
| 202 | 202 | I | 59400015006920 | CARBAMAZEPINE (MOOD) CAP ER 12HR 200 MG | 30698042112 | 3 | EQUETRO | B | N | 03 | R | OR | N | 07/01/2020 | 12/31/9999 | EQUETRO CAP 200MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 200.000 | 0 | N | 20251101 | Bipolar Agents | Bipolar Agents | CP12 | N | VALIDUS PH | 30698 | 2 | ||
| 202 | 202 | I | 59400015006930 | CARBAMAZEPINE (MOOD) CAP ER 12HR 300 MG | 30698042312 | 3 | EQUETRO | B | N | 03 | R | OR | N | 07/01/2020 | 12/31/9999 | EQUETRO CAP 300MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 300.000 | 0 | N | 20251101 | Bipolar Agents | Bipolar Agents | CP12 | N | VALIDUS PH | 30698 | 2 | ||
| 202 | 202 | I | 28100010102024 | LEVOTHYROXINE SODIUM ORAL SOLUTION 150 MCG/5ML | 49502037815 | 3 | ERMEZA | B | N | 03 | R | OR | N | 11/27/2022 | 12/31/9999 | ERMEZA SOL 150/5ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 150.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | VIATRIS SP | 58151 | |||
| 202 | 202 | I | 28100050000325 | THYROID TAB 120 MG (2 GRAIN) | 73352069910 | 3 | EVEXITHROID | B | N | 03 | R | OR | N | 10/26/2025 | 12/31/9999 | EVEXITHROID TAB 120MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 120.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | TRIFLUENT | 73352 | |||
| 202 | 202 | I | 28100050000305 | THYROID TAB 15 MG (1/4 GRAIN) | 73352069310 | 3 | EVEXITHROID | B | N | 03 | R | OR | N | 10/26/2025 | 12/31/9999 | EVEXITHROID TAB 15MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 15.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | TRIFLUENT | 73352 | |||
| 202 | 202 | I | 28100050000330 | THYROID TAB 180 MG (3 GRAIN) | 73352070010 | 3 | EVEXITHROID | B | N | 03 | R | OR | N | 10/26/2025 | 12/31/9999 | EVEXITHROID TAB 180MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 180.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | TRIFLUENT | 73352 | |||
| 202 | 202 | I | 28100050000310 | THYROID TAB 30 MG (1/2 GRAIN) | 73352069410 | 3 | EVEXITHROID | B | N | 03 | R | OR | N | 10/26/2025 | 12/31/9999 | EVEXITHROID TAB 30MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 30.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | TRIFLUENT | 73352 | |||
| 202 | 202 | I | 28100050000316 | THYROID TAB 45 MG (3/4 GRAIN) | 73352069510 | 3 | EVEXITHROID | B | N | 03 | R | OR | N | 10/26/2025 | 12/31/9999 | EVEXITHROID TAB 45MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 45.000 | 0 | N | 20251101 | TABS | N | TRIFLUENT | 73352 | |||||
| 202 | 202 | I | 28100050000315 | THYROID TAB 60 MG (1 GRAIN) | 73352069610 | 3 | EVEXITHROID | B | N | 03 | R | OR | N | 10/26/2025 | 12/31/9999 | EVEXITHROID TAB 60MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 60.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | TRIFLUENT | 73352 | |||
| 202 | 202 | I | 28100050000321 | THYROID TAB 75 MG (1 1/4 GRAIN) | 73352069710 | 3 | EVEXITHROID | B | N | 03 | R | OR | N | 10/26/2025 | 12/31/9999 | EVEXITHROID TAB 75MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 75.000 | 0 | N | 20251101 | TABS | N | TRIFLUENT | 73352 | |||||
| 202 | 202 | I | 28100050000320 | THYROID TAB 90 MG (1 1/2 GRAIN) | 73352069810 | 3 | EVEXITHROID | B | N | 03 | R | OR | N | 10/26/2025 | 12/31/9999 | EVEXITHROID TAB 90MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 90.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | TRIFLUENT | 73352 | |||
| 202 | 202 | I | 31200010000303 | DIGOXIN TAB 62.5 MCG (0.0625 MG) | 59212024055 | 2 | LANOXIN | B | O | 03 | S | OR | N | 10/16/2016 | 12/31/9999 | LANOXIN TAB 0.0625MG | 20391231 | 24040800 | 0 | 0 | 0 | A | 62.500 | 0 | N | 20251101 | Cardiovascular Agents | Cardiovascular Agents, Other | TABS | N | ADVANZ PHA | 59212 | 2 | ||
| 202 | 202 | I | 31200010000305 | DIGOXIN TAB 125 MCG (0.125 MG) | 59212024255 | 2 | LANOXIN | B | O | 03 | S | OR | N | 03/27/2016 | 12/31/9999 | LANOXIN TAB 0.125MG | 20391231 | 24040800 | 0 | 0 | 0 | A | 125.000 | 0 | N | 20251101 | Cardiovascular Agents | Cardiovascular Agents, Other | TABS | N | ADVANZ PHA | 59212 | 2 | ||
| 202 | 202 | I | 31200010000310 | DIGOXIN TAB 250 MCG (0.25 MG) | 59212024955 | 2 | LANOXIN | B | O | 03 | S | OR | N | 12/14/2015 | 12/31/9999 | LANOXIN TAB 0.25MG | 20391231 | 24040800 | 0 | 0 | 0 | A | 250.000 | 0 | N | 20251101 | Cardiovascular Agents | Cardiovascular Agents, Other | TABS | N | ADVANZ PHA | 59212 | 2 | ||
| 202 | 202 | I | 59500010100103 | LITHIUM CARBONATE CAP 150 MG | 00054252625 | 2 | LITHIUM CARBONATE | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | LITHIUM CARB CAP 150MG | 20391231 | 28280000 | 0 | 0 | 0 | A | 150.000 | D | 0 | N | 20251101 | Bipolar Agents | Mood Stabilizers | CAPS | N | HIKMA PHAR | 00054 | 2 | |
| 202 | 202 | I | 59500010100105 | LITHIUM CARBONATE CAP 300 MG | 00054252725 | 2 | LITHIUM CARBONATE | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | LITHIUM CARB CAP 300MG | 20391231 | 28280000 | 0 | 0 | 0 | A | 300.000 | D | 0 | N | 20251101 | Bipolar Agents | Mood Stabilizers | CAPS | N | HIKMA PHAR | 00054 | 2 | |
| 202 | 202 | I | 59500010100110 | LITHIUM CARBONATE CAP 600 MG | 00054253125 | 2 | LITHIUM CARBONATE | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | LITHIUM CARB CAP 600MG | 20391231 | 28280000 | 0 | 0 | 0 | A | 600.000 | D | 0 | N | 20251101 | Bipolar Agents | Mood Stabilizers | CAPS | N | HIKMA PHAR | 00054 | 2 | |
| 202 | 202 | I | 59500010100405 | LITHIUM CARBONATE TAB ER 300 MG | 62559028001 | 2 | LITHOBID | B | O | 03 | S | OR | N | 07/07/2014 | 12/31/9999 | LITHOBID TAB 300MG CR | 20391231 | 28280000 | 0 | 0 | 0 | A | 300.000 | D | 0 | N | 20251101 | Bipolar Agents | Mood Stabilizers | TBCR | N | ANI PHARMA | 62559 | 2 | |
| 202 | 202 | I | 72600060000310 | PRIMIDONE TAB 250 MG | 66490069110 | 2 | MYSOLINE | B | O | 03 | S | OR | N | 01/01/2016 | 12/31/9999 | MYSOLINE TAB 250MG | 20391231 | 28120400 | 0 | 0 | 0 | A | 250.000 | 0 | N | 20251101 | Anticonvulsants | Gamma-aminobutyric Acid (GABA) Modulating Agents | TABS | N | BAUSCH HEA | 00187 | 2 | ||
| 202 | 202 | I | 72600060000305 | PRIMIDONE TAB 50 MG | 66490069010 | 2 | MYSOLINE | B | O | 03 | S | OR | N | 01/01/2016 | 12/31/9999 | MYSOLINE TAB 50MG | 20391231 | 28120400 | 0 | 0 | 0 | A | 50.000 | 0 | N | 20251101 | Anticonvulsants | Gamma-aminobutyric Acid (GABA) Modulating Agents | TABS | N | BAUSCH HEA | 00187 | 2 | ||
| 202 | 202 | I | 99402020300150 | CYCLOSPORINE MODIFIED CAP 100 MG | 00078024815 | 2 | NEORAL | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | NEORAL CAP 100MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 100.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CAPS | N | NOVARTIS | 00078 | 2 | |
| 202 | 202 | I | 99402020300120 | CYCLOSPORINE MODIFIED CAP 25 MG | 00078024615 | 2 | NEORAL | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | NEORAL CAP 25MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 25.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CAPS | N | NOVARTIS | 00078 | 2 | |
| 202 | 202 | I | 99402020302020 | CYCLOSPORINE MODIFIED ORAL SOLN 100 MG/ML | 00078027422 | 2 | NEORAL | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | NEORAL SOL 100MG/ML | 20391231 | 90282892 | 0 | 0 | 0 | A | 100.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | SOLN | N | NOVARTIS | 00078 | 2 | |
| 202 | 202 | I | 28100050000325 | THYROID TAB 120 MG (2 GRAIN) | 75834031401 | 3 | NIVA THYROID | B | N | 03 | R | OR | N | 08/06/2023 | 12/31/9999 | NIVA THYROID TAB 120MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 120.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | NIVAGEN PH | 75834 | |||
| 202 | 202 | I | 28100050000305 | THYROID TAB 15 MG (1/4 GRAIN) | 75834031001 | 3 | NIVA THYROID | B | N | 03 | R | OR | N | 08/06/2023 | 12/31/9999 | NIVA THYROID TAB 15MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 15.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | NIVAGEN PH | 75834 | |||
| 202 | 202 | I | 28100050000310 | THYROID TAB 30 MG (1/2 GRAIN) | 75834031101 | 3 | NIVA THYROID | B | N | 03 | R | OR | N | 08/06/2023 | 12/31/9999 | NIVA THYROID TAB 30MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 30.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | NIVAGEN PH | 75834 | |||
| 202 | 202 | I | 28100050000315 | THYROID TAB 60 MG (1 GRAIN) | 75834031201 | 3 | NIVA THYROID | B | N | 03 | R | OR | N | 08/06/2023 | 12/31/9999 | NIVA THYROID TAB 60MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 60.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | NIVAGEN PH | 75834 | |||
| 202 | 202 | I | 28100050000320 | THYROID TAB 90 MG (1 1/2 GRAIN) | 75834031301 | 3 | NIVA THYROID | B | N | 03 | R | OR | N | 08/06/2023 | 12/31/9999 | NIVA THYROID TAB 90MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 90.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | NIVAGEN PH | 75834 | |||
| 202 | 202 | I | 35100010100105 | DISOPYRAMIDE PHOSPHATE CAP 100 MG | 00025275231 | 2 | NORPACE | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | NORPACE CAP 100MG | 20391231 | 24040404 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Cardiovascular Agents | Antiarrhythmics | CAPS | N | PFIZER US | 99907 | 2 | ||
| 202 | 202 | I | 35100010106910 | DISOPYRAMIDE PHOSPHATE CAP ER 12HR 100 MG | 00025273231 | 3 | NORPACE CR | B | N | 03 | R | OR | N | 06/21/2013 | 12/31/9999 | NORPACE CAP 100MG CR | 20391231 | 24040404 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Cardiovascular Agents | Antiarrhythmics | CP12 | N | PFIZER US | 99907 | 2 | ||
| 202 | 202 | I | 35100010100110 | DISOPYRAMIDE PHOSPHATE CAP 150 MG | 00025276231 | 2 | NORPACE | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | NORPACE CAP 150MG | 20391231 | 24040404 | 0 | 0 | 0 | A | 150.000 | 0 | N | 20251101 | Cardiovascular Agents | Antiarrhythmics | CAPS | N | PFIZER US | 99907 | 2 | ||
| 202 | 202 | I | 35100010106915 | DISOPYRAMIDE PHOSPHATE CAP ER 12HR 150 MG | 00025274231 | 3 | NORPACE CR | B | N | 03 | R | OR | N | 06/21/2013 | 12/31/9999 | NORPACE CAP 150MG CR | 20391231 | 24040404 | 0 | 0 | 0 | A | 150.000 | 0 | N | 20251101 | Cardiovascular Agents | Antiarrhythmics | CP12 | N | PFIZER US | 99907 | 2 | ||
| 202 | 202 | I | 28100050000325 | THYROID TAB 120 MG (2 GRAIN) | 42192032830 | 3 | NP THYROID 120 | B | N | 03 | R | OR | N | 04/06/2025 | 12/31/9999 | NP THYROID TAB 120MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 120.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ACELLA PH | 42192 | 2 | ||
| 202 | 202 | I | 28100050000305 | THYROID TAB 15 MG (1/4 GRAIN) | 42192032701 | 3 | NP THYROID 15 | B | N | 03 | R | OR | N | 01/01/2017 | 12/31/9999 | NP THYROID TAB 15MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 15.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ACELLA PH | 42192 | 2 | ||
| 202 | 202 | I | 28100050000310 | THYROID TAB 30 MG (1/2 GRAIN) | 42192032910 | 3 | NP THYROID 30 | B | N | 03 | R | OR | N | 04/06/2025 | 12/31/9999 | NP THYROID TAB 30MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 30.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ACELLA PH | 42192 | 2 | ||
| 202 | 202 | I | 28100050000315 | THYROID TAB 60 MG (1 GRAIN) | 42192033010 | 3 | NP THYROID 60 | B | N | 03 | R | OR | N | 04/06/2025 | 12/31/9999 | NP THYROID TAB 60MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 60.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ACELLA PH | 42192 | 2 | ||
| 202 | 202 | I | 28100050000320 | THYROID TAB 90 MG (1 1/2 GRAIN) | 42192033110 | 3 | NP THYROID 90 | B | N | 03 | R | OR | N | 04/06/2025 | 12/31/9999 | NP THYROID TAB 90MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 90.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ACELLA PH | 42192 | 2 | ||
| 202 | 202 | I | 72600060000307 | PRIMIDONE TAB 125 MG | 52817011710 | 3 | PRIMIDONE | B | N | 03 | R | OR | N | 04/16/2023 | 12/31/9999 | PRIMIDONE TAB 125MG | 20391231 | 28120400 | 0 | 0 | 0 | A | 125.000 | 0 | N | 20251101 | Anticonvulsants | Gamma-aminobutyric Acid (GABA) Modulating Agents | TABS | N | TRUPHARMA | 52817 | |||
| 202 | 202 | I | 99404080000105 | TACROLIMUS CAP 0.5 MG | 00469060773 | 2 | PROGRAF | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | PROGRAF CAP 0.5MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 0.500 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CAPS | N | ASTELLAS | 99909 | 2 | |
| 202 | 202 | I | 99404080000110 | TACROLIMUS CAP 1 MG | 00469061773 | 2 | PROGRAF | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | PROGRAF CAP 1MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 1.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CAPS | N | ASTELLAS | 99909 | 2 | |
| 202 | 202 | I | 99404080000120 | TACROLIMUS CAP 5 MG | 00469065773 | 2 | PROGRAF | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | PROGRAF CAP 5MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 5.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CAPS | N | ASTELLAS | 99909 | 2 | |
| 202 | 202 | I | 99404080003010 | TACROLIMUS PACKET FOR SUSP 0.2 MG | 00469123050 | 3 | PROGRAF | B | N | 03 | R | OR | N | 03/17/2019 | 12/31/9999 | PROGRAF GRA 0.2MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 0.200 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | PACK | N | ASTELLAS | 99909 | 2 | |
| 202 | 202 | I | 99404080003030 | TACROLIMUS PACKET FOR SUSP 1 MG | 00469133050 | 3 | PROGRAF | B | N | 03 | R | OR | N | 03/17/2019 | 12/31/9999 | PROGRAF GRA 1MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 1.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | PACK | N | ASTELLAS | 99909 | 2 | |
| 202 | 202 | I | 35100030300310 | QUINIDINE SULFATE TAB 200 MG | 42806051330 | 3 | QUINIDINE SULFATE | B | N | 03 | R | OR | N | 12/26/2021 | 12/31/9999 | QUINIDINE SU TAB 200MG | 20391231 | 24040404 | 0 | 0 | 0 | A | 200.000 | 0 | N | 20251101 | Cardiovascular Agents | Antiarrhythmics | TABS | N | EPIC PHARM | 42806 | 2 | ||
| 202 | 202 | I | 35100030300315 | QUINIDINE SULFATE TAB 300 MG | 42806051230 | 3 | QUINIDINE SULFATE | B | N | 03 | R | OR | N | 12/26/2021 | 12/31/9999 | QUINIDINE SU TAB 300MG | 20391231 | 24040404 | 0 | 0 | 0 | A | 300.000 | 0 | N | 20251101 | Cardiovascular Agents | Antiarrhythmics | TABS | N | EPIC PHARM | 42806 | 2 | ||
| 202 | 202 | I | 28100050000325 | THYROID TAB 120 MG (2 GRAIN) | 64950017401 | 3 | RENTHYROID | B | N | 03 | R | OR | N | 05/04/2025 | 12/31/9999 | RENTHYROID TAB 120MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 120.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | GENUS LIFE | 64950 | |||
| 202 | 202 | I | 28100050000305 | THYROID TAB 15 MG (1/4 GRAIN) | 64950017001 | 3 | RENTHYROID | B | N | 03 | R | OR | N | 05/04/2025 | 12/31/9999 | RENTHYROID TAB 15MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 15.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | GENUS LIFE | 64950 | |||
| 202 | 202 | I | 28100050000310 | THYROID TAB 30 MG (1/2 GRAIN) | 64950017101 | 3 | RENTHYROID | B | N | 03 | R | OR | N | 05/04/2025 | 12/31/9999 | RENTHYROID TAB 30MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 30.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | GENUS LIFE | 64950 | |||
| 202 | 202 | I | 28100050000315 | THYROID TAB 60 MG (1 GRAIN) | 64950017201 | 3 | RENTHYROID | B | N | 03 | R | OR | N | 05/04/2025 | 12/31/9999 | RENTHYROID TAB 60MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 60.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | GENUS LIFE | 64950 | |||
| 202 | 202 | I | 28100050000320 | THYROID TAB 90 MG (1 1/2 GRAIN) | 64950017301 | 3 | RENTHYROID | B | N | 03 | R | OR | N | 05/04/2025 | 12/31/9999 | RENTHYROID TAB 90MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 90.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | GENUS LIFE | 64950 | |||
| 202 | 202 | I | 99402020000140 | CYCLOSPORINE CAP 100 MG | 00078024115 | 2 | SANDIMMUNE | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SANDIMMUNE CAP 100MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 100.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CAPS | N | NOVARTIS | 00078 | 2 | |
| 202 | 202 | I | 99402020000110 | CYCLOSPORINE CAP 25 MG | 00078024015 | 2 | SANDIMMUNE | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SANDIMMUNE CAP 25MG | 20391231 | 90282892 | 0 | 0 | 0 | A | 25.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | CAPS | N | NOVARTIS | 00078 | 2 | |
| 202 | 202 | I | 28100010100320 | LEVOTHYROXINE SODIUM TAB 100 MCG | 00074662411 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 100MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100322 | LEVOTHYROXINE SODIUM TAB 112 MCG | 00074929619 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 112MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 112.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100325 | LEVOTHYROXINE SODIUM TAB 125 MCG | 00074706811 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 125MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 125.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100327 | LEVOTHYROXINE SODIUM TAB 137 MCG | 00074372790 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 137MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 137.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100330 | LEVOTHYROXINE SODIUM TAB 150 MCG | 00074706911 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 150MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 150.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100335 | LEVOTHYROXINE SODIUM TAB 175 MCG | 00074707019 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 175MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 175.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100340 | LEVOTHYROXINE SODIUM TAB 200 MCG | 00074714811 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 200MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 200.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100305 | LEVOTHYROXINE SODIUM TAB 25 MCG | 00074434119 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 25MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 25.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100345 | LEVOTHYROXINE SODIUM TAB 300 MCG | 00074714919 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 300MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 300.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100310 | LEVOTHYROXINE SODIUM TAB 50 MCG | 00074455219 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 50MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 50.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100315 | LEVOTHYROXINE SODIUM TAB 75 MCG | 00074518211 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 75MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 75.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 28100010100317 | LEVOTHYROXINE SODIUM TAB 88 MCG | 00074659419 | 2 | SYNTHROID | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | SYNTHROID TAB 88MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 88.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | ABBVIE | 00074 | 2 | ||
| 202 | 202 | I | 72600020001810 | CARBAMAZEPINE SUSP 100 MG/5ML | 00078050883 | 2 | TEGRETOL | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | TEGRETOL SUS 100/5ML | 20391231 | 28129200 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | SUSP | N | NOVARTIS | 00078 | 2 | ||
| 202 | 202 | I | 72600020000305 | CARBAMAZEPINE TAB 200 MG | 00078050905 | 2 | TEGRETOL | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | TEGRETOL TAB 200MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 200.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | TABS | N | NOVARTIS | 00078 | 2 | ||
| 202 | 202 | I | 72600020007410 | CARBAMAZEPINE TAB ER 12HR 100 MG | 00078051005 | 2 | TEGRETOL-XR | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | TEGRETOL-XR TAB 100MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | TB12 | N | NOVARTIS | 00078 | 2 | ||
| 202 | 202 | I | 72600020007420 | CARBAMAZEPINE TAB ER 12HR 200 MG | 00078051105 | 2 | TEGRETOL-XR | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | TEGRETOL-XR TAB 200MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 200.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | TB12 | N | NOVARTIS | 00078 | 2 | ||
| 202 | 202 | I | 72600020007440 | CARBAMAZEPINE TAB ER 12HR 400 MG | 00078051205 | 2 | TEGRETOL-XR | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | TEGRETOL-XR TAB 400MG | 20391231 | 28129200 | 0 | 0 | 0 | A | 400.000 | 0 | N | 20251101 | Anticonvulsants | Sodium Channel Agents | TB12 | N | NOVARTIS | 00078 | 2 | ||
| 202 | 202 | I | 44300040007020 | THEOPHYLLINE CAP ER 24HR 100 MG | 52244010010 | 3 | THEO-24 | B | N | 03 | R | OR | N | 09/21/2014 | 12/31/9999 | THEO-24 CAP 100MG CR | 20391231 | 86160000 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Respiratory Tract/ Pulmonary Agents | Phosphodiesterase Inhibitors, Airways Disease | CP24 | N | ENDO USA | 99826 | 2 | ||
| 202 | 202 | I | 44300040007030 | THEOPHYLLINE CAP ER 24HR 200 MG | 52244020010 | 3 | THEO-24 | B | N | 03 | R | OR | N | 09/21/2014 | 12/31/9999 | THEO-24 CAP 200MG CR | 20391231 | 86160000 | 0 | 0 | 0 | A | 200.000 | 0 | N | 20251101 | Respiratory Tract/ Pulmonary Agents | Phosphodiesterase Inhibitors, Airways Disease | CP24 | N | ENDO USA | 99826 | 2 | ||
| 202 | 202 | I | 44300040007040 | THEOPHYLLINE CAP ER 24HR 300 MG | 52244030010 | 3 | THEO-24 | B | N | 03 | R | OR | N | 09/21/2014 | 12/31/9999 | THEO-24 CAP 300MG CR | 20391231 | 86160000 | 0 | 0 | 0 | A | 300.000 | 0 | N | 20251101 | Respiratory Tract/ Pulmonary Agents | Phosphodiesterase Inhibitors, Airways Disease | CP24 | N | ENDO USA | 99826 | 2 | ||
| 202 | 202 | I | 44300040007050 | THEOPHYLLINE CAP ER 24HR 400 MG | 52244040010 | 3 | THEO-24 | B | N | 03 | R | OR | N | 09/21/2014 | 12/31/9999 | THEO-24 CAP 400MG ER | 20391231 | 86160000 | 0 | 0 | 0 | A | 400.000 | 0 | N | 20251101 | Respiratory Tract/ Pulmonary Agents | Phosphodiesterase Inhibitors, Airways Disease | CP24 | N | ENDO USA | 99826 | 2 | ||
| 202 | 202 | I | 28100010102023 | LEVOTHYROXINE SODIUM ORAL SOLUTION 100 MCG/5ML | 82685036002 | 3 | THYQUIDITY | B | N | 03 | R | OR | N | 07/13/2025 | 12/31/9999 | THYQUIDITY SOL 100/5ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | OLIVA THER | 82685 | |||
| 202 | 202 | I | 28100050000325 | THYROID TAB 120 MG (2 GRAIN) | 69680016900 | 3 | THYROID | B | N | 03 | R | OR | N | 12/15/2024 | 12/31/9999 | THYROID TAB 120MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 120.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | VITRUVIAS | 69680 | |||
| 202 | 202 | I | 28100050000305 | THYROID TAB 15 MG (1/4 GRAIN) | 69680016500 | 3 | THYROID | B | N | 03 | R | OR | N | 12/15/2024 | 12/31/9999 | THYROID TAB 15MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 15.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | VITRUVIAS | 69680 | |||
| 202 | 202 | I | 28100050000310 | THYROID TAB 30 MG (1/2 GRAIN) | 69680016600 | 3 | THYROID | B | N | 03 | R | OR | N | 12/15/2024 | 12/31/9999 | THYROID TAB 30MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 30.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | VITRUVIAS | 69680 | |||
| 202 | 202 | I | 28100050000315 | THYROID TAB 60 MG (1 GRAIN) | 69680016700 | 3 | THYROID | B | N | 03 | R | OR | N | 12/15/2024 | 12/31/9999 | THYROID TAB 60MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 60.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | VITRUVIAS | 69680 | |||
| 202 | 202 | I | 28100050000320 | THYROID TAB 90 MG (1 1/2 GRAIN) | 69680016800 | 3 | THYROID | B | N | 03 | R | OR | N | 12/15/2024 | 12/31/9999 | THYROID TAB 90MG | 20391231 | 68360400 | 0 | 0 | 0 | A | 90.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | TABS | N | VITRUVIAS | 69680 | |||
| 202 | 202 | I | 28100010100111 | LEVOTHYROXINE SODIUM CAP 37.5 MCG | 71858001204 | 3 | TIROSINT | B | N | 03 | R | OR | N | 04/03/2023 | 12/31/9999 | TIROSINT CAP 37.5MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 37.500 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | CAPS | N | IBSA PHARM | 71858 | |||
| 202 | 202 | I | 28100010100113 | LEVOTHYROXINE SODIUM CAP 44 MCG | 71858001304 | 3 | TIROSINT | B | N | 03 | R | OR | N | 04/03/2023 | 12/31/9999 | TIROSINT CAP 44MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 44.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | CAPS | N | IBSA PHARM | 71858 | |||
| 202 | 202 | I | 28100010100117 | LEVOTHYROXINE SODIUM CAP 62.5 MCG | 71858001704 | 3 | TIROSINT | B | N | 03 | R | OR | N | 04/03/2023 | 12/31/9999 | TIROSINT CAP 62.5MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 62.500 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | CAPS | N | IBSA PHARM | 71858 | |||
| 202 | 202 | I | 28100010102050 | LEVOTHYROXINE SODIUM ORAL SOLUTION 100 MCG/ML | 71858013005 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 100MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 100.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102055 | LEVOTHYROXINE SODIUM ORAL SOLUTION 112 MCG/ML | 71858013505 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 112MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 112.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102060 | LEVOTHYROXINE SODIUM ORAL SOLUTION 125 MCG/ML | 71858014005 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 125MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 125.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102065 | LEVOTHYROXINE SODIUM ORAL SOLUTION 137 MCG/ML | 71858014505 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 137MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 137.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102025 | LEVOTHYROXINE SODIUM ORAL SOLUTION 13 MCG/ML | 71858010505 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 13MCG/ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 13.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102070 | LEVOTHYROXINE SODIUM ORAL SOLUTION 150 MCG/ML | 71858015005 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 150MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 150.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102075 | LEVOTHYROXINE SODIUM ORAL SOLUTION 175 MCG/ML | 71858015505 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 175MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 175.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102080 | LEVOTHYROXINE SODIUM ORAL SOLUTION 200 MCG/ML | 71858016005 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 200MCG | 20391231 | 68360400 | 0 | 0 | 0 | A | 200.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102030 | LEVOTHYROXINE SODIUM ORAL SOLUTION 25 MCG/ML | 71858011005 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 25MCG/ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 25.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102032 | LEVOTHYROXINE SODIUM ORAL SOLUTION 37.5 MCG/ML | 71858011204 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 07/18/2021 | 12/31/9999 | TIROSINT-SOL SOL 37.5/ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 37.500 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102033 | LEVOTHYROXINE SODIUM ORAL SOLUTION 44 MCG/ML | 71858011304 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 07/18/2021 | 12/31/9999 | TIROSINT-SOL SOL 44MCG/ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 44.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102035 | LEVOTHYROXINE SODIUM ORAL SOLUTION 50 MCG/ML | 71858011505 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 50MCG/ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 50.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102038 | LEVOTHYROXINE SODIUM ORAL SOLUTION 62.5 MCG/ML | 71858011704 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 07/18/2021 | 12/31/9999 | TIROSINT-SOL SOL 62.5/ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 62.500 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102040 | LEVOTHYROXINE SODIUM ORAL SOLUTION 75 MCG/ML | 71858012005 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 75MCG/ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 75.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 28100010102045 | LEVOTHYROXINE SODIUM ORAL SOLUTION 88 MCG/ML | 71858012505 | 3 | TIROSINT-SOL | B | N | 03 | R | OR | N | 02/17/2019 | 12/31/9999 | TIROSINT-SOL SOL 88MCG/ML | 20391231 | 68360400 | 0 | 0 | 0 | A | 88.000 | 0 | N | 20251101 | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid) | SOLN | N | IBSA PHARM | 71858 | 2 | ||
| 202 | 202 | I | 72400010000105 | ETHOSUXIMIDE CAP 250 MG | 00071023724 | 2 | ZARONTIN | B | O | 03 | S | OR | N | 06/21/2013 | 12/31/9999 | ZARONTIN CAP 250MG | 20391231 | 28122000 | 0 | 0 | 0 | A | 250.000 | 0 | N | 20251101 | Anticonvulsants | Calcium Channel Modifying Agents | CAPS | N | PFIZER US | 99907 | 2 | ||
| 202 | 202 | I | 72400010002005 | ETHOSUXIMIDE SOLN 250 MG/5ML | 00071241819 | 2 | ZARONTIN | B | O | 03 | S | OR | N | 06/12/2022 | 12/31/9999 | ZARONTIN SOL 250/5ML | 20391231 | 28122000 | 0 | 0 | 0 | A | 250.000 | 0 | N | 20251101 | Anticonvulsants | Calcium Channel Modifying Agents | SOLN | N | PFIZER US | 99907 | 2 | ||
| 202 | 202 | I | 99404035000320 | EVEROLIMUS TAB 0.25 MG | 00078041720 | 2 | ZORTRESS | B | O | 03 | S | OR | N | 07/01/2020 | 12/31/9999 | ZORTRESS TAB 0.25MG | 20391231 | 90000000 | 0 | 0 | 0 | A | 0.250 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | TABS | N | NOVARTIS | 00078 | 2 | |
| 202 | 202 | I | 99404035000325 | EVEROLIMUS TAB 0.5 MG | 00078041420 | 2 | ZORTRESS | B | O | 03 | S | OR | N | 07/01/2020 | 12/31/9999 | ZORTRESS TAB 0.5MG | 20391231 | 90000000 | 0 | 0 | 0 | A | 0.500 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | TABS | N | NOVARTIS | 00078 | 2 | |
| 202 | 202 | I | 99404035000330 | EVEROLIMUS TAB 0.75 MG | 00078041520 | 2 | ZORTRESS | B | O | 03 | S | OR | N | 07/01/2020 | 12/31/9999 | ZORTRESS TAB 0.75MG | 20391231 | 90000000 | 0 | 0 | 0 | A | 0.750 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | TABS | N | NOVARTIS | 00078 | 2 | |
| 202 | 202 | I | 99404035000335 | EVEROLIMUS TAB 1 MG | 00078042220 | 2 | ZORTRESS | B | O | 03 | S | OR | N | 07/01/2020 | 12/31/9999 | ZORTRESS TAB 1MG | 20391231 | 90000000 | 0 | 0 | 0 | A | 1.000 | M | 0 | N | 20251101 | Immunological Agents | Immunosuppressants | TABS | N | NOVARTIS | 00078 | 2 |