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Packageus.nlm.vsac
Resource TypeValueSet
IdValueSet-2.16.840.1.113762.1.4.1078.1336.json
FHIR VersionR4
Sourcehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1078.1336/expansion
URLhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.1336
Version20250904
Statusactive
Date2025-09-04T01:02:46-04:00
NameOIA_Migraine_Meds_PRN
TitleOIA_Migraine_Meds_PRN
Realmus
Authorityhl7
Purpose(Clinical Focus: PRN Abortive and Preventive Migraine Medications as single or combination drugs in varying strengths),(Data Element Scope: DRUG_CLASS_MEMBERS: PHARMACOLOGIC),(Inclusion Criteria: PRN medications only),(Exclusion Criteria: Oral medications)

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
rxnormRxNorm

Narrative

No narrative content found in resource


Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1078.1336",
  "meta": {
    "versionId": "17",
    "lastUpdated": "2025-09-04T01:02:46.000-04:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail": {
        "name": "Optum Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2025-09-04"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2025-09-04"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.1336",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1078.1336"
    }
  ],
  "version": "20250904",
  "name": "OIA_Migraine_Meds_PRN",
  "title": "OIA_Migraine_Meds_PRN",
  "status": "active",
  "date": "2025-09-04T01:02:46-04:00",
  "publisher": "Optum Steward",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: PRN Abortive and Preventive Migraine Medications as single or combination drugs in varying strengths),(Data Element Scope: DRUG_CLASS_MEMBERS: PHARMACOLOGIC),(Inclusion Criteria: PRN medications only),(Exclusion Criteria: Oral medications)",
  "compose": {
    "include": [
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "concept": [
          {
            "code": "1042675",
            "display": "acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / doxylamine succinate 0.417 MG/ML Oral Solution"
          },
          {
            "code": "1042684",
            "display": "acetaminophen 33.3 MG/ML / dextromethorphan hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML Oral Solution"
          },
          {
            "code": "1042695",
            "display": "acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / guaifenesin 13.3 MG/ML Oral Solution"
          },
          {
            "code": "1043400",
            "display": "acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML Oral Solution"
          },
          {
            "code": "1043478",
            "display": "diclofenac sodium 10 MG/ML"
          },
          {
            "code": "1044427",
            "display": "acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution"
          },
          {
            "code": "1046384",
            "display": "acetaminophen 21.7 MG/ML / chlorpheniramine maleate 0.133 MG/ML / dextromethorphan hydrobromide 1 MG/ML Oral Solution"
          },
          {
            "code": "1049580",
            "display": "acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution"
          },
          {
            "code": "1050385",
            "display": "acetaminophen 32 MG/ML / diphenhydramine hydrochloride 1.25 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution"
          },
          {
            "code": "1086750",
            "display": "acetaminophen 32 MG/ML / chlorpheniramine maleate 0.2 MG/ML / dextromethorphan hydrobromide 1 MG/ML Oral Suspension"
          },
          {
            "code": "1092373",
            "display": "acetaminophen 33.3 MG/ML / diphenhydramine hydrochloride 1.67 MG/ML Oral Solution"
          },
          {
            "code": "1092375",
            "display": "acetaminophen 33.3 MG/ML / diphenhydramine hydrochloride 1.67 MG/ML Oral Solution [Tylenol PM]"
          },
          {
            "code": "1094131",
            "display": "acetaminophen 65 MG/ML / dextromethorphan hydrobromide 2 MG/ML / diphenhydramine hydrochloride 2.5 MG/ML Oral Solution"
          },
          {
            "code": "1113397",
            "display": "acetaminophen 32 MG/ML / chlorpheniramine maleate 0.2 MG/ML / dextromethorphan hydrobromide 1 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Suspension"
          },
          {
            "code": "1113522",
            "display": "acetaminophen 32 MG/ML / chlorpheniramine maleate 0.2 MG/ML / dextromethorphan hydrobromide 1.5 MG/ML Oral Solution"
          },
          {
            "code": "1113705",
            "display": "acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / phenylephrine hydrochloride 0.333 MG/ML Oral Solution"
          },
          {
            "code": "1116568",
            "display": "acetaminophen 32.5 MG/ML / guaifenesin 20 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution"
          },
          {
            "code": "1116572",
            "display": "acetaminophen 32.5 MG/ML / dextromethorphan hydrobromide 1 MG/ML / guaifenesin 20 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution"
          },
          {
            "code": "1189316",
            "display": "acetaminophen 500 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Granules for Oral Solution"
          },
          {
            "code": "1237110",
            "display": "acetaminophen 33.3 MG/ML / dextromethorphan hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML / pseudoephedrine hydrochloride 2 MG/ML Oral Solution"
          },
          {
            "code": "1291951",
            "display": "acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / pseudoephedrine hydrochloride 2 MG/ML Oral Solution"
          },
          {
            "code": "1292342",
            "display": "acetaminophen 43.3 MG/ML / chlorpheniramine maleate 0.267 MG/ML / dextromethorphan hydrobromide 2 MG/ML Oral Solution"
          },
          {
            "code": "1298348",
            "display": "acetaminophen 21.7 MG/ML / diphenhydramine hydrochloride 0.833 MG/ML / phenylephrine hydrochloride 0.333 MG/ML Oral Solution"
          },
          {
            "code": "1357553",
            "display": "acetaminophen 32 MG/ML / chlorpheniramine maleate 0.2 MG/ML / dextromethorphan hydrobromide 1 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution"
          },
          {
            "code": "1359455",
            "display": "acetaminophen 33.3 MG/ML / dextromethorphan hydrobromide 1 MG/ML Oral Solution"
          },
          {
            "code": "1367384",
            "display": "acetaminophen 32 MG/ML / pheniramine maleate 0.8 MG/ML / phenylephrine hydrochloride 0.8 MG/ML Oral Solution"
          },
          {
            "code": "1369842",
            "display": "acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / guaifenesin 13.3 MG/ML / phenylephrine hydrochloride 0.333 MG/ML Oral Solution"
          },
          {
            "code": "1370113",
            "display": "acetaminophen 32 MG/ML / dextromethorphan hydrobromide 1 MG/ML Oral Suspension"
          },
          {
            "code": "1370285",
            "display": "acetaminophen 16.7 MG/ML / caffeine 1.08 MG/ML Oral Solution"
          },
          {
            "code": "1372312",
            "display": "acetaminophen 32 MG/ML / chlorpheniramine maleate 0.2 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Suspension"
          },
          {
            "code": "1375932",
            "display": "acetaminophen 32.5 MG/ML / diphenhydramine hydrochloride 1.25 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution"
          },
          {
            "code": "1431245",
            "display": "acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / doxylamine succinate 0.417 MG/ML / phenylephrine hydrochloride 0.333 MG/ML Oral Solution"
          },
          {
            "code": "1442445",
            "display": "acetaminophen 20 MG/ML / hydrocodone bitartrate 0.667 MG/ML Oral Solution [Lortab]"
          },
          {
            "code": "1483676",
            "display": "zolmitriptan 2.5 MG/ACTUAT"
          },
          {
            "code": "1483677",
            "display": "zolmitriptan 2.5 MG/ACTUAT Nasal Spray"
          },
          {
            "code": "1483678",
            "display": "zolmitriptan 2.5 MG/ACTUAT [Zomig]"
          },
          {
            "code": "1483679",
            "display": "zolmitriptan 2.5 MG/ACTUAT Nasal Spray [Zomig]"
          },
          {
            "code": "1487074",
            "display": "diclofenac sodium 20 MG/ML Topical Solution"
          },
          {
            "code": "1487076",
            "display": "diclofenac sodium 20 MG/ML Topical Solution [Pennsaid]"
          },
          {
            "code": "1494766",
            "display": "Sprinkle 24 HR topiramate 100 MG Extended Release Oral Capsule [Qudexy]"
          },
          {
            "code": "1494769",
            "display": "Sprinkle 24 HR topiramate 150 MG Extended Release Oral Capsule"
          },
          {
            "code": "1494771",
            "display": "Sprinkle 24 HR topiramate 150 MG Extended Release Oral Capsule [Qudexy]"
          },
          {
            "code": "1494775",
            "display": "Sprinkle 24 HR topiramate 200 MG Extended Release Oral Capsule [Qudexy]"
          },
          {
            "code": "1494778",
            "display": "Sprinkle 24 HR topiramate 25 MG Extended Release Oral Capsule [Qudexy]"
          },
          {
            "code": "1494781",
            "display": "Sprinkle 24 HR topiramate 50 MG Extended Release Oral Capsule [Qudexy]"
          },
          {
            "code": "1495058",
            "display": "propranolol hydrochloride 4.28 MG/ML Oral Solution"
          },
          {
            "code": "1495064",
            "display": "propranolol hydrochloride 4.28 MG/ML Oral Solution [Hemangeol]"
          },
          {
            "code": "1534835",
            "display": "acetaminophen 650 MG / dextromethorphan hydrobromide 20 MG / doxylamine succinate 12.5 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution"
          },
          {
            "code": "1550968",
            "display": "acetaminophen 500 MG / dextromethorphan hydrobromide 20 MG / guaifenesin 400 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution"
          },
          {
            "code": "1593450",
            "display": "acetaminophen 32.5 MG/ML / dextromethorphan hydrobromide 1 MG/ML / guaifenesin 20 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Suspension"
          },
          {
            "code": "1593765",
            "display": "acetaminophen 32 MG/ML / chlophedianol hydrochloride 2.5 MG/ML / pyrilamine maleate 2.5 MG/ML Oral Solution"
          },
          {
            "code": "1593771",
            "display": "acetaminophen 32 MG/ML / chlophedianol hydrochloride 2.5 MG/ML / pyrilamine maleate 2.5 MG/ML Oral Solution [Ninjacof A]"
          },
          {
            "code": "1600382",
            "display": "diclofenac sodium 10 MG/ML / fluorouracil 50 MG/ML Topical Cream"
          },
          {
            "code": "1648584",
            "display": "acetaminophen 21.7 MG/ML / butalbital 3.33 MG/ML / caffeine 2.67 MG/ML Oral Solution [Vanatol]"
          },
          {
            "code": "1657151",
            "display": "0.5 ML sumatriptan 12 MG/ML Auto-Injector"
          },
          {
            "code": "1657160",
            "display": "0.5 ML sumatriptan 12 MG/ML Cartridge"
          },
          {
            "code": "1657173",
            "display": "0.5 ML sumatriptan 8 MG/ML Cartridge"
          },
          {
            "code": "1659175",
            "display": "acetaminophen 500 MG / diphenhydramine hydrochloride 25 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution"
          },
          {
            "code": "1659960",
            "display": "acetaminophen 650 MG / diphenhydramine hydrochloride 25 MG / phenylephrine hydrochloride 10 MG Granules for Oral Solution"
          },
          {
            "code": "1659964",
            "display": "acetaminophen 650 MG / pheniramine maleate 20 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution"
          },
          {
            "code": "1659967",
            "display": "acetaminophen 650 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Granules for Oral Solution"
          },
          {
            "code": "1661683",
            "display": "acetaminophen 16.7 MG/ML Oral Solution"
          },
          {
            "code": "1738576",
            "display": "0.5 ML sumatriptan 6 MG/ML Auto-Injector"
          },
          {
            "code": "1738581",
            "display": "0.5 ML sumatriptan 6 MG/ML Auto-Injector [Zembrace]"
          },
          {
            "code": "1739332",
            "display": "sumatriptan 11 MG Nasal Powder"
          },
          {
            "code": "1739337",
            "display": "sumatriptan 11 MG Nasal Powder [Onzetra]"
          },
          {
            "code": "1793916",
            "display": "0.5 ML sumatriptan 8 MG/ML Auto-Injector"
          },
          {
            "code": "1796460",
            "display": "acetaminophen 325 MG / pheniramine maleate 20 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution"
          },
          {
            "code": "1796708",
            "display": "acetaminophen 32 MG/ML / dextromethorphan hydrobromide 1 MG/ML Oral Solution"
          },
          {
            "code": "1804384",
            "display": "{1 (acetaminophen 500 MG / dextromethorphan hydrobromide 20 MG / guaifenesin 400 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution) / 1 (acetaminophen 650 MG / dextromethorphan hydrobromide 20 MG / doxylamine succinate 12.5 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution) } Pack"
          },
          {
            "code": "1812419",
            "display": "Sprinkle 24 HR topiramate 200 MG Extended Release Oral Capsule"
          },
          {
            "code": "1812421",
            "display": "Sprinkle 24 HR topiramate 25 MG Extended Release Oral Capsule"
          },
          {
            "code": "1812425",
            "display": "Sprinkle 24 HR topiramate 50 MG Extended Release Oral Capsule"
          },
          {
            "code": "1812427",
            "display": "Sprinkle 24 HR topiramate 100 MG Extended Release Oral Capsule"
          },
          {
            "code": "1919076",
            "display": "acetaminophen 32.5 MG/ML / dextromethorphan hydrobromide 1 MG/ML Oral Solution"
          },
          {
            "code": "197803",
            "display": "ibuprofen 20 MG/ML Oral Suspension"
          },
          {
            "code": "1996081",
            "display": "acetaminophen 32.5 MG/ML / dextromethorphan hydrobromide 1 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution"
          },
          {
            "code": "204442",
            "display": "ibuprofen 40 MG/ML Oral Suspension"
          },
          {
            "code": "2045627",
            "display": "1 ML erenumab-aooe 70 MG/ML Prefilled Syringe"
          },
          {
            "code": "2045632",
            "display": "1 ML erenumab-aooe 70 MG/ML Prefilled Syringe [Aimovig]"
          },
          {
            "code": "2045636",
            "display": "1 ML erenumab-aooe 70 MG/ML Auto-Injector"
          },
          {
            "code": "2045638",
            "display": "1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig]"
          },
          {
            "code": "2056669",
            "display": "{2 (1 ML erenumab-aooe 70 MG/ML Auto-Injector) } Pack"
          },
          {
            "code": "2056670",
            "display": "{2 (1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig]) } Pack [Aimovig Autoinjector (140 MG Dose)]"
          },
          {
            "code": "2056695",
            "display": "1.5 ML fremanezumab-vfrm 150 MG/ML Prefilled Syringe"
          },
          {
            "code": "2056700",
            "display": "1.5 ML fremanezumab-vfrm 150 MG/ML Prefilled Syringe [Ajovy]"
          },
          {
            "code": "2058872",
            "display": "1 ML galcanezumab-gnlm 120 MG/ML Auto-Injector"
          },
          {
            "code": "2058877",
            "display": "1 ML galcanezumab-gnlm 120 MG/ML Auto-Injector [Emgality]"
          },
          {
            "code": "2058885",
            "display": "1 ML galcanezumab-gnlm 120 MG/ML Prefilled Syringe"
          },
          {
            "code": "2058887",
            "display": "1 ML galcanezumab-gnlm 120 MG/ML Prefilled Syringe [Emgality]"
          },
          {
            "code": "206878",
            "display": "ibuprofen 20 MG/ML Oral Suspension [Advil]"
          },
          {
            "code": "207093",
            "display": "naproxen 25 MG/ML Oral Suspension [Naprosyn]"
          },
          {
            "code": "209397",
            "display": "acetaminophen 32 MG/ML Oral Solution [Mapap]"
          },
          {
            "code": "209417",
            "display": "acetaminophen 33.3 MG/ML Oral Solution [Mapap]"
          },
          {
            "code": "209425",
            "display": "acetaminophen 33.3 MG/ML Oral Solution [Redutemp]"
          },
          {
            "code": "2105822",
            "display": "acetaminophen 60 MG/ML / oxycodone hydrochloride 2 MG/ML Oral Solution"
          },
          {
            "code": "2120193",
            "display": "1 ML erenumab-aooe 140 MG/ML Auto-Injector"
          },
          {
            "code": "2120195",
            "display": "1 ML erenumab-aooe 140 MG/ML Auto-Injector [Aimovig]"
          },
          {
            "code": "2120198",
            "display": "1 ML erenumab-aooe 140 MG/ML Prefilled Syringe"
          },
          {
            "code": "2120199",
            "display": "1 ML erenumab-aooe 140 MG/ML Prefilled Syringe [Aimovig]"
          },
          {
            "code": "2121065",
            "display": "acetaminophen 65 MG/ML / chlorpheniramine maleate 0.4 MG/ML / dextromethorphan hydrobromide 1.3 MG/ML / phenylephrine hydrochloride 1 MG/ML Oral Solution"
          },
          {
            "code": "2170611",
            "display": "1 ML galcanezumab-gnlm 100 MG/ML Prefilled Syringe"
          },
          {
            "code": "2170613",
            "display": "1 ML galcanezumab-gnlm 100 MG/ML Prefilled Syringe [Emgality]"
          },
          {
            "code": "2173662",
            "display": "acetaminophen 32.5 MG/ML / dextromethorphan hydrobromide 1 MG/ML / phenylephrine hydrochloride 0.5 MG/ML / triprolidine hydrochloride 0.125 MG/ML Oral Solution"
          },
          {
            "code": "2173667",
            "display": "acetaminophen 32.5 MG/ML / dextromethorphan hydrobromide 1 MG/ML / triprolidine hydrochloride 0.125 MG/ML Oral Solution"
          },
          {
            "code": "2178073",
            "display": "sumatriptan 10 MG/ACTUAT Nasal Spray [Tosymra]"
          },
          {
            "code": "2261403",
            "display": "acetaminophen 21.7 MG/ML / butalbital 3.33 MG/ML / caffeine 2.67 MG/ML Oral Solution [Vtol]"
          },
          {
            "code": "2281851",
            "display": "acetaminophen 60 MG/ML / oxycodone hydrochloride 2 MG/ML Oral Solution [Prolate]"
          },
          {
            "code": "2287903",
            "display": "1.5 ML fremanezumab-vfrm 150 MG/ML Auto-Injector"
          },
          {
            "code": "2287905",
            "display": "1.5 ML fremanezumab-vfrm 150 MG/ML Auto-Injector [Ajovy]"
          },
          {
            "code": "2372911",
            "display": "Once-Daily diclofenac epolamine 0.013 MG/MG Medicated Patch [Licart]"
          },
          {
            "code": "2374554",
            "display": "acetaminophen 32.5 MG/ML / diphenhydramine hydrochloride 1.25 MG/ML Oral Solution"
          },
          {
            "code": "238159",
            "display": "acetaminophen 100 MG/ML Oral Solution"
          },
          {
            "code": "2385118",
            "display": "diclofenac epolamine 0.013 MG/MG [Licart]"
          },
          {
            "code": "243675",
            "display": "acetaminophen 100 MG/ML Oral Suspension"
          },
          {
            "code": "2550740",
            "display": "diclofenac sodium 0.01 MG/MG Topical Gel [Aleve Arthritis Pain]"
          },
          {
            "code": "2569836",
            "display": "dihydroergotamine mesylate 0.725 MG/ACTUAT Metered Dose Nasal Spray"
          },
          {
            "code": "2569842",
            "display": "dihydroergotamine mesylate 0.725 MG/ACTUAT Metered Dose Nasal Spray [Trudhesa]"
          },
          {
            "code": "2586427",
            "display": "topiramate 25 MG/ML Oral Solution"
          },
          {
            "code": "2586433",
            "display": "topiramate 25 MG/ML Oral Solution [Eprontia]"
          },
          {
            "code": "2600049",
            "display": "diclofenac sodium 0.01 MG/MG / lidocaine hydrochloride 0.045 MG/MG Topical Gel"
          },
          {
            "code": "2604561",
            "display": "acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML Oral Solution"
          },
          {
            "code": "2604562",
            "display": "acetaminophen 33.3 MG/ML / chlorpheniramine maleate 0.133 MG/ML / dextromethorphan hydrobromide 1 MG/ML Oral Solution"
          },
          {
            "code": "2637974",
            "display": "zavegepant 10 MG Nasal Spray"
          },
          {
            "code": "2637980",
            "display": "zavegepant 10 MG Nasal Spray [Zavzpret]"
          },
          {
            "code": "307668",
            "display": "acetaminophen 32 MG/ML Oral Suspension"
          },
          {
            "code": "307675",
            "display": "acetaminophen 32 MG/ML Oral Solution"
          },
          {
            "code": "307684",
            "display": "acetaminophen 33.3 MG/ML Oral Solution"
          },
          {
            "code": "311913",
            "display": "naproxen 25 MG/ML Oral Suspension"
          },
          {
            "code": "313159",
            "display": "sumatriptan 5 MG/ACTUAT Nasal Spray"
          },
          {
            "code": "314227",
            "display": "sumatriptan 20 MG/ACTUAT Nasal Spray"
          },
          {
            "code": "402000",
            "display": "zolmitriptan 5 MG/ACTUAT Nasal Spray"
          },
          {
            "code": "402169",
            "display": "zolmitriptan 5 MG/ACTUAT Nasal Spray [Zomig]"
          },
          {
            "code": "402391",
            "display": "zolmitriptan 5 MG/ACTUAT"
          },
          {
            "code": "544393",
            "display": "ibuprofen 20 MG/ML Oral Suspension [Motrin]"
          },
          {
            "code": "576112",
            "display": "zolmitriptan 5 MG/ACTUAT [Zomig]"
          },
          {
            "code": "582328",
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