Resource ValueSet/FHIR Server from package us.cdc.phinvads#0.12.0 (1203 ms)
Package | us.cdc.phinvads |
Type | ValueSet |
Id | Id |
FHIR Version | R4 |
Source | http://fhir.org/packages/us.cdc.phinvads |
Url | http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.16 |
Version | 8 |
Status | active |
Date | 2022-01-10T00:05:00+11:00 |
Name | PHVS_MedicationBrandName_HITSP |
Title | Medication Brand Name Value Set |
Experimental | False |
Realm | us |
Description | This identifies the product brand name of drugs, such as Tylenol, Claritin, etc. Shall contain RxNorm normal forms for concepts type of ?Brand Name? or Brand Name Packs. |
Resources that use this resource
No resources found
Resources that this resource uses
Source
{
"resourceType" : "ValueSet",
"id" : "2.16.840.1.113883.3.88.12.80.16",
"meta" : {
"source" : "https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.113883.3.88.12.80.16"
},
"url" : "http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.16",
"version" : "8",
"name" : "PHVS_MedicationBrandName_HITSP",
"title" : "Medication Brand Name Value Set",
"status" : "active",
"date" : "2022-01-10T00:05:00+11:00",
"description" : "This identifies the product brand name of drugs, such as Tylenol, Claritin, etc. Shall contain RxNorm normal forms for concepts type of ?Brand Name? or Brand Name Packs.",
"compose" : {
"include" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"version" : "04042022",
"concept" : [
{
"code" : "992771",
"display" : "{1 (0.32 OZ) (miconazole nitrate 2 % Vaginal Cream [Monistat]) / 3 (miconazole nitrate 200 MG Vaginal Insert [Monistat]) } Pack [Monistat 3 Day Ovule Combination Pack]"
},
{
"code" : "763622",
"display" : "{1 (0.35 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.4 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.35/0.4]"
},
{
"code" : "791071",
"display" : "{1 (0.35 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.4 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Viscoelastic System 0.35/0.4]"
},
{
"code" : "1098125",
"display" : "{1 (0.35 ML chondroitin sulfates 40 MG/ML / sodium hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.4 ML sodium hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.35/0.4]"
},
{
"code" : "1855527",
"display" : "{1 (0.4 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]) / 1 (0.8 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]) } Pack [Humira Pediatric Crohn's Disease Starter Package (2 count)]"
},
{
"code" : "798353",
"display" : "{1 (0.5 ML Acellular Pertussis Vaccine 0.936 MG/ML / Diphtheria Toxoid Vaccine 13.4 UNT/ML / Tetanus Toxoid Vaccine 10 UNT/ML Injectable Suspension [Tripedia]) / 1 (0.5 ML Haemophilus influenzae b, capsular polysaccharide inactivated tetanus toxoid c"
},
{
"code" : "763626",
"display" : "{1 (0.5 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.55 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.5/0.55]"
},
{
"code" : "791069",
"display" : "{1 (0.5 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.55 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Viscoelastic System 0.5/0.55]"
},
{
"code" : "1098140",
"display" : "{1 (0.5 ML chondroitin sulfates 40 MG/ML / sodium hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.55 ML sodium hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.5/0.55]"
},
{
"code" : "1649605",
"display" : "{1 (0.5 ML peginterferon beta-1a 0.126 MG/ML Auto-Injector [Plegridy]) / 1 (0.5 ML peginterferon beta-1a 0.188 MG/ML Auto-Injector [Plegridy]) } Pack [Plegridy Pen Starter Pack]"
},
{
"code" : "790425",
"display" : "{1 (1 ML Epinephrine 1 MG/ML Prefilled Syringe) / 4 (Chlorpheniramine 2 MG Chewable Tablet [Chlo-Amine]) } Pack [Ana Kit]"
},
{
"code" : "1488619",
"display" : "{1 (1 ML leuprolide acetate 3.75 MG/ML Prefilled Syringe [Lupron]) / 30 (norethindrone acetate 5 MG Oral Tablet) } Pack [Lupaneta Pack 1-Month]"
},
{
"code" : "794083",
"display" : "{1 (1.2 ML) (interferon alfa-2b 15000000 UNT/ML Injectable Solution [Intron A]) / 42 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Rebetol Dose Reduction, Intron A 15,000,000 UNT/ML Multi-Dose Pen / 42 Rebetol Capsules]"
},
{
"code" : "794070",
"display" : "{1 (1.2 ML) (interferon alfa-2b 15000000 UNT/ML Injectable Solution [Intron A]) / 70 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Patients < = 75 KG, Intron A 15,000,000 UNT/ML Multi-Dose Pen / 70 Rebetol Capsules]"
},
{
"code" : "794076",
"display" : "{1 (1.2 ML) (interferon alfa-2b 15000000 UNT/ML Injectable Solution [Intron A]) / 84 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Patients > = 75 KG, Intron A 15,000,000 UNT/ML Multi-Dose Pen / 84 Rebetol Capsules]"
},
{
"code" : "1549690",
"display" : "{1 (1.25 ML hyaluronidase, human recombinant 160 UNT/ML Injection) / 1 (25 ML immunoglobulin G, human 100 MG/ML Injection) } Pack [Hyqvia 2.5 G / 25 ML Kit]"
},
{
"code" : "2587313",
"display" : "{1 (1.5 ML cilgavimab 100 MG/ML Injection) / 1 (1.5 ML tixagevimab 100 MG/ML Injection) } Pack [Evusheld 2 vial carton]"
},
{
"code" : "1488617",
"display" : "{1 (1.5 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron]) / 90 (norethindrone acetate 5 MG Oral Tablet) } Pack [Lupaneta Pack 3-Month]"
},
{
"code" : "1549696",
"display" : "{1 (10 ML hyaluronidase, human recombinant 160 UNT/ML Injection) / 1 (200 ML immunoglobulin G, human 100 MG/ML Injection) } Pack [Hyqvia 20 G / 200 ML Kit]"
},
{
"code" : "1086836",
"display" : "{1 (10 ML sodium nitrite 30 MG/ML Injection) / 1 (50 ML sodium thiosulfate 250 MG/ML Injection) } Pack [Nithiodote]"
},
{
"code" : "1989902",
"display" : "{1 (10 ML) (polyethylene glycol 400 0.004 MG/MG / propylene glycol 0.003 MG/MG Ophthalmic Gel [Systane]) / 1 (10 ML) (polyethylene glycol 400 4 MG/ML / propylene glycol 3 MG/ML Ophthalmic Solution [Systane]) } Pack [Systane Day and Night Pack]"
},
{
"code" : "1549694",
"display" : "{1 (100 ML immunoglobulin G, human 100 MG/ML Injection) / 1 (5 ML hyaluronidase, human recombinant 160 UNT/ML Injection) } Pack [Hyqvia 10 G / 100 ML Kit]"
},
{
"code" : "2479150",
"display" : "{1 (11.1 ML casirivimab 120 MG/ML Injection) / 1 (11.1 ML imdevimab 120 MG/ML Injection) } Pack [REGEN-COV 1/1]"
},
{
"code" : "2479159",
"display" : "{1 (11.1 ML casirivimab 120 MG/ML Injection) / 4 (2.5 ML imdevimab 120 MG/ML Injection) } Pack [REGEN-COV 1/4]"
},
{
"code" : "2479156",
"display" : "{1 (11.1 ML imdevimab 120 MG/ML Injection) / 4 (2.5 ML casirivimab 120 MG/ML Injection) } Pack [REGEN-COV 4/1]"
},
{
"code" : "795397",
"display" : "{1 (113 ML hyaluronate 0.002 MG/MG Topical Gel [Hylira]) / 1 (297 ML Benzoyl Peroxide 40 MG/ML Topical Lotion [Zaclir]) } Pack [Zacare 4/0.2]"
},
{
"code" : "795410",
"display" : "{1 (113 ML hyaluronate 0.002 MG/MG Topical Gel [Hylira]) / 1 (297 ML Benzoyl Peroxide 80 MG/ML Topical Lotion [Zaclir]) } Pack [Zacare 8/0.2]"
},
{
"code" : "884694",
"display" : "{1 (113400 MG ammonium lactate 120 MG/ML Topical Foam) / 1 (50000 MG halobetasol propionate 0.0005 MG/MG Topical Ointment) } Pack [Halonate]"
},
{
"code" : "1191663",
"display" : "{1 (118 ML) (Dextromethorphan Hydrobromide 4 MG/ML Oral Solution [Entex S]) / 30 (Guaifenesin 375 MG / Pseudoephedrine Hydrochloride 60 MG Oral Tablet [Entex T]) } Pack [Entex PAC]"
},
{
"code" : "847497",
"display" : "{1 (12 HR Chlorpheniramine 4 MG / Methscopolamine 2.5 MG Extended Release Tablet [Allerx DF AM]) / 1 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG Extended Release Tablet [AlleRx DF PM]) } Pack [AlleRx DF sample]"
},
{
"code" : "847508",
"display" : "{1 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG / Phenylephrine 10 MG Extended Release Tablet [AlleRx PE PM]) / 1 (12 HR Methscopolamine 2.5 MG / Phenylephrine 40 MG Extended Release Tablet [AlleRx PE AM]) } Pack [AlleRx PE sample]"
},
{
"code" : "847633",
"display" : "{1 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG / Phenylephrine 10 MG Extended Release Tablet [AlleRx PM Reformulated Apr 2008]) / 1 (12 HR Methscopolamine 2.5 MG / Pseudoephedrine 120 MG Extended Release Tablet [AlleRx AM]) } Pack [AlleRx s"
},
{
"code" : "1244579",
"display" : "{1 (12 HR chlorpheniramine maleate 4 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet [Allerx DF AM]) / 1 (12 HR chlorpheniramine maleate 8 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet [AlleRx PM]) } Pack [AlleRx DF Sample]"
},
{
"code" : "793888",
"display" : "{1 (120 ML Urea 100 MG/ML Medicated Shampoo [Carmol]) / 1 (85 ML Sulfacetamide 100 MG/ML Topical Lotion [Carmol Scalp]) } Pack [Carmol Scalp Treatment Kit]"
},
{
"code" : "1359282",
"display" : "{1 (13.5 ML) (Benzoyl Peroxide 100 MG/ML Topical Cream [Clearasil]) / 1 (150 ML) (Salicylic Acid 20 MG/ML Medicated Liquid Soap [Clearasil Acne Control]) / 1 (45 ML) (Salicylic Acid 5 MG/ML Topical Lotion [Clearasil Daily Clear Hydrating Lotion]) } Pack [Clearasil Daily Clear Clear Skin]"
},
{
"code" : "1656293",
"display" : "{1 (13000 MG) (benzoyl peroxide 100 MG/ML Topical Cream [Clearasil Ultra Rapid Action Treatment]) / 1 (200 ML) (salicylic acid 20 MG/ML Medicated Liquid Soap [Clearasil Ultra Rapid Action]) / 90 (salicylic acid 20 MG/ML Medicated Pad [Clearasil Ultra Rapid Action]) } Pack [Clearasil Ultra Rapid Action Clear Skin]"
},
{
"code" : "1482642",
"display" : "{1 (13000 ML) (Benzoyl Peroxide 100 MG/ML Topical Cream [Clearasil]) / 1 (150 ML) (Salicylic Acid 20 MG/ML Medicated Liquid Soap [Clearasil Acne Control]) / 1 (45 ML) (Salicylic Acid 5 MG/ML Topical Lotion [Clearasil Daily Clear Hydrating Lotion]) } Pack [Clearasil Ultra Fast Fix Acne]"
},
{
"code" : "1545034",
"display" : "{1 (133 ML) (benzoyl peroxide 44 MG/ML Medicated Liquid Soap [Benoxyl]) / 30 (doxycycline monohydrate 100 MG Oral Tablet) } Pack [Benoxyldoxy 30]"
},
{
"code" : "1545036",
"display" : "{1 (133 ML) (benzoyl peroxide 44 MG/ML Medicated Liquid Soap [Benoxyl]) / 60 (doxycycline monohydrate 100 MG Oral Tablet) } Pack [Benoxyldoxy 60]"
},
{
"code" : "1789232",
"display" : "{1 (145 ML) (salicylic acid 10 MG/ML Medicated Liquid Soap [Natural Acne Solutions Purifying Gel Cleanser]) / 1 (60 ML) (salicylic acid 10 MG/ML Topical Lotion [Natural Acne Solutions Daily Moisturizing]) / 1 (7.5 ML) (salicylic acid 7.5 MG/ML Topical Solution [Natural Acne Solutions Targeted Spot Treatment]) } Pack [Natural Acne Solutions 3 Step Regimen]"
},
{
"code" : "763531",
"display" : "{1 (15 ML) (ketoconazole 0.02 MG/MG Topical Gel [Xolegel]) / 1 (120 ML) (zinc pyrithione 10 MG/ML Medicated Shampoo [Xolex]) } Pack [Xolegel Duo]"
},
{
"code" : "1039746",
"display" : "{1 (15 ML) (salicylic acid 0.02 MG/MG Topical Gel [Puracne Oxygen]) / 1 (50 ML) (salicylic acid 10 MG/ML Medicated Liquid Soap [Puracne Oxygen Cleansing]) } Pack [GM Collin Acne Kit]"
},
{
"code" : "1368312",
"display" : "{1 (15000 MG) (salicylic acid 0.02 MG/MG Topical Gel [Santalia Spot Treatment]) / 1 (30000 MG) (salicylic acid 0.05 MG/MG Topical Gel [Santalia Daily Serum]) / 1 (120000 MG) (salicylic acid 5 MG/ML Medicated Liquid Soap [Santalia Daily Cleanser]) } Pack [Santalia Clinical Acne Kit]"
},
{
"code" : "847858",
"display" : "{1 (177 ML Acetaminophen 33.3 MG/ML / Dextromethorphan 1 MG/ML / Doxylamine 0.417 MG/ML / Pseudoephedrine 2 MG/ML Oral Solution [NyQuil D]) / 12 (Acetaminophen 250 MG / Dextromethorphan 10 MG / Pseudoephedrine 30 MG Oral Capsule [Dayquil Liquicaps Re"
},
{
"code" : "1549692",
"display" : "{1 (2.5 ML hyaluronidase, human recombinant 160 UNT/ML Injection) / 1 (50 ML immunoglobulin G, human 100 MG/ML Injection) } Pack [Hyqvia 5 G / 50 ML Kit]"
},
{
"code" : "896904",
"display" : "{1 (20 ML Miconazole 20 MG/ML Vaginal Cream [Monistat]) / 3 (Miconazole 200 MG Vaginal Suppository [Monistat]) } Pack [Monistat 3 Day with Suppositories]"
},
{
"code" : "794061",
"display" : "{1 (200 ML Citric Acid 123 MG/ML / magnesium carbonate 816 MEQ/ML / potassium citrate 0.056 MEQ/ML Oral Solution) / 1 (Bisacodyl 10 MG Rectal Suppository) / 4 (Bisacodyl 5 MG Oral Tablet) } Pack [LoSo Prep Bowel Cleansing System]"
},
{
"code" : "826847",
"display" : "{1 (2000 ML POLYETHYLENE GLYCOL 3350 105 MG/ML / Potassium Chloride 0.00497 MEQ/ML / Sodium Bicarbonate 0.017 MEQ/ML / Sodium Chloride 0.0479 MEQ/ML Oral Solution [Halflytely]) / 2 (Bisacodyl 5 MG Enteric Coated Tablet) } Pack [Halflytely and Bisacod"
},
{
"code" : "826912",
"display" : "{1 (2000 ML POLYETHYLENE GLYCOL 3350 105 MG/ML / Potassium Chloride 0.00497 MEQ/ML / Sodium Bicarbonate 0.017 MEQ/ML / Sodium Chloride 0.0479 MEQ/ML Oral Solution [Halflytely]) / 4 (Bisacodyl 5 MG Enteric Coated Tablet) } Pack [HalfLytely and Bisacod"
},
{
"code" : "808354",
"display" : "{1 (22.7 ML) (hydrocortisone 0.01 MG/MG Topical Gel [Xebcort]) / 3 (15 ML) (ketoconazole 0.02 MG/MG Topical Gel [Xolegel]) } Pack [Xolegel CorePak]"
},
{
"code" : "1053854",
"display" : "{1 (225 ML ammonium lactate 12 % Topical Lotion) / 1 (50 ML halobetasol propionate 0.05 % Topical Ointment) } Pack [Halac]"
},
{
"code" : "885888",
"display" : "{1 (225 ML ammonium lactate 120 MG/ML Topical Lotion [Lac-Hydrin]) / 1 (50 ML halobetasol 0.0005 MG/MG Topical Ointment [Ultravate]) } Pack [Ultravate Pac]"
},
{
"code" : "1648647",
"display" : "{1 (24 HR quetiapine 200 MG Extended Release Oral Tablet [Seroquel]) / 11 (24 HR quetiapine 300 MG Extended Release Oral Tablet [Seroquel]) / 3 (24 HR quetiapine 50 MG Extended Release Oral Tablet [Seroquel]) } Pack [Seroquel XR 14-Day Sample Kit]"
},
{
"code" : "1493510",
"display" : "{1 (28000 MG) (benzoyl peroxide 0.05 MG/MG Topical Gel [Clear Proof Acne Treatment]) / 1 (127000 MG) (salicylic acid 20 MG/ML Medicated Liquid Soap [Clear Proof Acne Medication]) / 1 (147 ML) (salicylic acid 20 MG/ML Topical Solution [Clear Proof Acne Medication]) } Pack [Clear Proof Acne System]"
},
{
"code" : "1311810",
"display" : "{1 (28300 MG) (capsaicin 0.33 MG/ML Topical Cream [Zostrix]) / 1 (28300 MG) (menthol 40 MG/ML Topical Cream [Zostrix Cold Therapy]) } Pack [Zostrix Hot and Cold Therapy System]"
},
{
"code" : "1362223",
"display" : "{1 (28400 MG) (hydrocortisone acetate 25 MG/ML / pramoxine hydrochloride 10 MG/ML Rectal Cream [Analpram HC]) / 6 (pramoxine hydrochloride 10 MG/ML Medicated Pad [Prax]) } Pack [Analpram E Kit with 6 Prax Medicated Pad]"
},
{
"code" : "1098151",
"display" : "{1 (297 ML) (benzoyl peroxide 40 MG/ML Medicated Liquid Soap [Zaclir]) / 1 (113 ML) (sodium hyaluronate 0.002 MG/MG Topical Gel [Hylira]) } Pack [Zacare 4/0.2]"
},
{
"code" : "1098155",
"display" : "{1 (297 ML) (benzoyl peroxide 80 MG/ML Medicated Liquid Soap [Zaclir]) / 1 (113 ML) (sodium hyaluronate 0.002 MG/MG Topical Gel [Hylira]) } Pack [Zacare 8/0.2]"
},
{
"code" : "1803903",
"display" : "{1 (3 ML lixisenatide 0.05 MG/ML Pen Injector [Adlyxin]) / 1 (3 ML lixisenatide 0.1 MG/ML Pen Injector [Adlyxin]) } Pack [Adlyxin Starter Kit]"
},
{
"code" : "794079",
"display" : "{1 (3 ML) (interferon alfa-2b 6000000 UNT/ML Injectable Solution [Intron A]) / 42 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Rebetol Dose Reduction, Intron A 6,000,000 UNT/ML Multi-Dose Vial / 42 Rebetol Capsules]"
},
{
"code" : "794065",
"display" : "{1 (3 ML) (interferon alfa-2b 6000000 UNT/ML Injectable Solution [Intron A]) / 70 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Patients < = 75 KG, Intron A 6,000,000 UNT/ML Multi-Dose Vial / 70 Rebetol Capsules]"
},
{
"code" : "794072",
"display" : "{1 (3 ML) (interferon alfa-2b 6000000 UNT/ML Injectable Solution [Intron A]) / 84 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Patients > = 75 KG, Intron A 6,000,000 UNT/ML Multi-Dose Vial / 84 Rebetol Capsules]"
},
{
"code" : "833507",
"display" : "{1 (30 ML) (hydrocortisone 20 MG/ML Topical Lotion [Scalacort]) / 1 (118 ML) (salicylic acid 20 MG/ML / sulfur 20 MG/ML Medicated Shampoo) } Pack [Scalacort DK]"
},
{
"code" : "1592891",
"display" : "{1 (30 ML) (salicylic acid 0.02 MG/MG Topical Gel [Kleer Plex]) / 1 (118 ML) (salicylic acid 20 MG/ML Medicated Liquid Soap [Kleer Plex]) } Pack [Kleer Plex Acne Care]"
},
{
"code" : "1541707",
"display" : "{1 (30 ML) (salicylic acid 0.02 MG/MG Topical Gel [Let Me Clarify]) / 1 (150 ML) (salicylic acid 20 MG/ML Medicated Liquid Soap [Take Control]) } Pack [Erase It]"
},
{
"code" : "1493512",
"display" : "{1 (3000 MG) (benzoyl peroxide 0.05 MG/MG Topical Gel [Clear Proof Acne Treatment]) / 1 (28000 MG) (salicylic acid 20 MG/ML Medicated Liquid Soap [Clear Proof Acne Medication]) / 1 (26 ML) (salicylic acid 20 MG/ML Topical Solution [Clear Proof Acne Medication]) } Pack [Clear Proof Acne To-Go System]"
},
{
"code" : "864756",
"display" : "{1 (30000 MG Hydrocortisone 25 MG/ML / pramoxine 10 MG/ML Topical Cream [Analpram HC]) / 6 (pramoxine 10 MG/ML Medicated Pad) } Pack [Analpram E Topical Cream with 6 Medicated Pads]"
},
{
"code" : "1429568",
"display" : "{1 (354 ML) (bismuth subsalicylate 17.5 MG/ML Oral Suspension [Pepto-bismol]) / 12 (bismuth subsalicylate 262 MG Chewable Tablet [Pepto-bismol]) } Pack [Pepto-Bismol To-Go Combo Pack]"
},
{
"code" : "1858844",
"display" : "{1 (354 ML) (Diphenhydramine Hydrochloride 1.67 MG/ML Oral Solution [Zzzquil]) / 24 (Diphenhydramine Hydrochloride 25 MG Oral Capsule [Zzzquil]) } Pack [Vicks ZzzQuil Liquid and Liquicaps Combo Kit]"
},
{
"code" : "1362221",
"display" : "{1 (4000 MG) (hydrocortisone acetate 25 MG/ML / pramoxine hydrochloride 10 MG/ML Rectal Cream [Analpram HC]) / 1 (pramoxine hydrochloride 10 MG/ML Medicated Pad [Prax]) } Pack [Analpram E Kit with 1 Prax Medicated Pad]"
},
{
"code" : "1014367",
"display" : "{1 (42500 MG) (hydrocortisone 0.01 MG/MG Topical Gel) / 1 (60000 MG) (ketoconazole 20 MG/ML Topical Cream) } Pack [Ketocon Plus]"
},
{
"code" : "1370688",
"display" : "{1 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) / 1 (2000 ML) (polyethylene glycol 3350 210000 MG / potassium chloride 740 MG / sodium bicarbonate 2860 MG / sodium chloride 5600 MG Powder for Oral Solution) } Pack [Suclear]"
},
{
"code" : "2170249",
"display" : "{1 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 2 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 3.6 - 4.0 kg]"
},
{
"code" : "2170289",
"display" : "{1 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 3 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 5.1 - 5.5 kg]"
},
{
"code" : "2170295",
"display" : "{1 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 4 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 6.6 - 7.0 kg]"
},
{
"code" : "2170279",
"display" : "{1 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 5 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 8.1 - 8.5 kg]"
},
{
"code" : "2170259",
"display" : "{1 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 6 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 9.6 - 10.0 kg]"
},
{
"code" : "2170265",
"display" : "{1 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 7 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 11.1 - 11.5 kg]"
},
{
"code" : "2170297",
"display" : "{1 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 8 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 12.6 - 13.0 kg]"
},
{
"code" : "1113536",
"display" : "{1 (50 ML) (salicylic acid 15 MG/ML Topical Lotion [Olay Professional Skin Clearing Treatment]) / 1 (75 ML) (salicylic acid 18 MG/ML Medicated Liquid Soap [Olay Professional Pore Clarifying Cleanser]) } Pack [Olay Professional Acne Protocol]"
},
{
"code" : "1301696",
"display" : "{1 (50000 MG) (halobetasol propionate 0.0005 MG/MG Topical Ointment) / 1 (225000 MG) (lactic acid 100 MG/ML Topical Cream) } Pack [Ultravate X Ointment]"
},
{
"code" : "1301694",
"display" : "{1 (50000 MG) (halobetasol propionate 0.5 MG/ML Topical Cream) / 1 (225000 MG) (lactic acid 100 MG/ML Topical Cream) } Pack [Ultravate X Cream]"
},
{
"code" : "1053426",
"display" : "{1 (5100 MG) (benzocaine 0.075 MG/MG Oral Gel [Orajel]) / 1 (5100 MG) (benzocaine 0.1 MG/MG Oral Gel [Orajel]) } Pack [Orajel Daytime and Nighttime Formula]"
},
{
"code" : "1549099",
"display" : "{1 (59 ML) (benzoyl peroxide 30 MG/ML Topical Lotion [Acnefree BP]) / 1 (118 ML) (salicylic acid 15 MG/ML Medicated Liquid Soap [Acnefree SA]) } Pack [Acnefree Sensitive Kit]"
},
{
"code" : "750155",
"display" : "{1 (60 ML Azithromycin 16.7 MG/ML Oral Suspension [Zithromax]) / 1 (trovafloxacin 100 MG Oral Tablet [Trovan]) } Pack [Trovan/Zithromax Compliance Pak]"
},
{
"code" : "1049759",
"display" : "{1 (60 ML) (benzalkonium chloride 1 MG/ML Topical Solution [Pronto Plus Lice Egg Remover]) / 1 (60 ML) (piperonyl butoxide 40 MG/ML / pyrethrins 3.3 MG/ML Medicated Shampoo [Pronto Plus]) } Pack [Pronto Plus Complete Lice Remover System]"
},
{
"code" : "1043389",
"display" : "{1 (60000 MG) (clobetasol propionate 0.0005 MG/MG Topical Ointment) / 1 (100 ML) (coal tar 23 MG/ML Topical Solution [Psorent]) } Pack [Clobeta Plus Ointment]"
},
{
"code" : "1014379",
"display" : "{1 (60000 MG) (clobetasol propionate 0.5 MG/ML Topical Cream) / 1 (100 ML) (coal tar 23 MG/ML Topical Solution [Psorent]) } Pack [Clobeta Plus]"
},
{
"code" : "883501",
"display" : "{1 (60000 MG) (salicylic acid 0.06 MG/MG Topical Gel [Keralyt]) / 1 (160 ML) (salicylic acid 60 MG/ML Medicated Shampoo [Keralyt]) } Pack [Keralyt Scalp]"
},
{
"code" : "1247825",
"display" : "{1 (70000 MG) (salicylic acid 60 MG/ML Topical Foam [Salvax]) / 1 (150000 MG) (urea 350 MG/ML Topical Foam [Hydro 35]) } Pack [Salvax Duo Plus]"
},
{
"code" : "880890",
"display" : "{1 (70000 MG) (salicylic acid 60 MG/ML Topical Foam [Salvax]) / 1 (70000 MG) (urea 400 MG/ML Topical Foam [Hydro 40]) } Pack [Salvax Duo]"
},
{
"code" : "896906",
"display" : "{1 (9 ML Miconazole 20 MG/ML Vaginal Cream [Monistat]) / 1 (Miconazole 1200 MG Vaginal Suppository [Monistat]) } Pack [Monistat 1 Day with Suppositories]"
},
{
"code" : "896846",
"display" : "{1 (9 ML Miconazole 20 MG/ML Vaginal Cream [Monistat]) / 7 (Miconazole 100 MG Vaginal Suppository [Monistat]) } Pack [Monistat 7 Day with Suppositories]"
},
{
"code" : "896914",
"display" : "{1 (9 ML Miconazole 20 MG/ML Vaginal Cream [Vagistat]) / 3 (Miconazole 200 MG Vaginal Suppository [Vagistat]) } Pack [Vagistat 3 Combination Pack]"
},
{
"code" : "896836",
"display" : "{1 (9000 MG Miconazole 20 MG/ML Vaginal Cream [Monistat]) / 3 (Miconazole 200 MG Vaginal Suppository [Monistat]) } Pack [Monistat 3 Combination Pack]"
},
{
"code" : "997621",
"display" : "{1 (9000 MG) (Miconazole Nitrate 20 MG/ML Topical Cream) / 1 (35000 MG) (Miconazole Nitrate 20 MG/ML Vaginal Cream) } Pack [Monistat 7 Vaginal Cream Combination Pack]"
},
{
"code" : "1536462",
"display" : "{1 (9000 MG) (Miconazole Nitrate 20 MG/ML Vaginal Cream [Monistat]) / 1 (25000 MG) (Miconazole Nitrate 40 MG/ML Vaginal Cream [Monistat]) } Pack [Monistat 3 Vaginal Cream Combination Pack]"
},
{
"code" : "992784",
"display" : "{1 (9000 MG) (miconazole nitrate 20 MG/ML Vaginal Cream [Monistat]) / 1 (45000 MG) (miconazole nitrate 20 MG/ML Vaginal Cream [Monistat]) } Pack [Monistat 7 Vaginal Cream Combination Pack]"
},
{
"code" : "1536604",
"display" : "{1 (9000 MG) (miconazole nitrate 20 MG/ML Vaginal Cream [Monistat]) / 3 (5000 MG) (miconazole nitrate 40 MG/ML Vaginal Cream [Monistat]) } Pack [Monistat 3 Vaginal Cream Combination Pack with Vaginal Creams]"
},
{
"code" : "1536610",
"display" : "{1 (9000 MG) (miconazole nitrate 20 MG/ML Vaginal Cream [Monistat]) / 7 (5000 MG) (miconazole nitrate 20 MG/ML Vaginal Cream [Monistat]) } Pack [Monistat 7 Vaginal Cream Combination Pack with Vaginal Creams]"
},
{
"code" : "992792",
"display" : "{1 (9000 MG) (miconazole nitrate 20 MG/ML Vaginal Cream [Vagistat]) / 3 (miconazole nitrate 200 MG Vaginal Insert [Vagistat]) } Pack [Vagistat 3 Day Combination Pack]"
},
{
"code" : "754509",
"display" : "{1 (aprepitant 125 MG Oral Capsule [Emend]) / 2 (aprepitant 80 MG Oral Capsule [Emend]) } Pack [Emend Tri-Fold Pack]"
},
{
"code" : "763127",
"display" : "{1 (Benzalkonium 1 MG/ML Topical Solution [Pronto Plus Lice Egg Remover]) / 1 (Piperonyl Butoxide 40 MG/ML / Pyrethrins 3.3 MG/ML Medicated Shampoo [Pronto Plus]) } Pack [Pronto Plus Complete Lice Remover System]"
},
{
"code" : "1300908",
"display" : "{1 (benzoyl peroxide 42.5 MG/ML Topical Foam [Clarifoam Clear]) / 1 (salicylic acid 20 MG/ML Medicated Liquid Soap [Clarifoam Pure]) / 1 (salicylic acid 20 MG/ML Topical Cream [Clarifoam Fast]) } Pack [BeyondClear]"
},
{
"code" : "999477",
"display" : "{1 (benzoyl peroxide 50 MG/ML Medicated Pad) / 1 (salicylic acid 20 MG/ML Medicated Pad) } Pack [Cleanse and Treat]"
},
{
"code" : "847269",
"display" : "{1 (Benzoyl Peroxide 55 MG/ML Topical Cream [NeoBenz Micro]) / 1 (Benzoyl Peroxide 70 MG/ML Medicated Liquid Soap [NeoBenz Micro]) } Pack [NeoBenz Micro Pack]"
},
{
"code" : "1101748",
"display" : "{1 (bisacodyl 10 MG Rectal Suppository [Dulcolax]) / 4 (bisacodyl 5 MG Delayed Release Oral Tablet [Dulcolax]) } Pack [Dulcolax Bowel Prep kit]"
},
{
"code" : "1718991",
"display" : "{1 (bisacodyl 5 MG Delayed Release Oral Tablet) / 1 (2000 ML) (polyethylene glycol 3350 210000 MG / potassium chloride 740 MG / sodium bicarbonate 2860 MG / sodium chloride 5600 MG Powder for Oral Solution [Gavilyte-H]) } Pack [Gavilyte-H and Bisacodyl]"
},
{
"code" : "1741747",
"display" : "{1 (cariprazine 1.5 MG Oral Capsule [Vraylar]) / 6 (cariprazine 3 MG Oral Capsule [Vraylar]) } Pack [Vraylar 1.5/3 Mixed Pack]"
},
{
"code" : "763198",
"display" : "{1 (Hydrocortisone 10 MG/ML / Lidocaine 30 MG/ML Rectal Cream [Xyralid]) / 1 (Psyllium 1000 MG/ML Oral Solution [Konsyl]) } Pack [Xyralid RC Kit]"
},
{
"code" : "2279445",
"display" : "{1 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 1 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 120 MG (Level 7)]"
},
{
"code" : "2279447",
"display" : "{1 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 3 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 160 MG (Level 8)]"
},
{
"code" : "2279437",
"display" : "{1 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 20 MG (Level 4)]"
},
{
"code" : "2279457",
"display" : "{1 (peanut (Arachis hypogaea) allergen-dnfp 300 MG Oral Powder [Palforzia]) } Pack [Palforzia 300 MG (Level 11)]"
},
{
"code" : "847525",
"display" : "{10 (12 HR Chlorpheniramine 4 MG / Methscopolamine 2.5 MG Extended Release Tablet [Allerx DF AM]) / 10 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG Extended Release Tablet [AlleRx DF PM]) } Pack [AlleRx DF Dose Pack 10]"
},
{
"code" : "801728",
"display" : "{10 (12 HR Chlorpheniramine 4 MG / Methscopolamine 2.5 MG Extended Release Tablet) / 10 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG Extended Release Tablet) } Pack [RespiVent DF Dosepack 10]"
},
{
"code" : "847526",
"display" : "{10 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG / Phenylephrine 10 MG Extended Release Tablet [AlleRx PE PM]) / 10 (12 HR Methscopolamine 2.5 MG / Phenylephrine 40 MG Extended Release Tablet [AlleRx PE AM]) } Pack [AlleRx PE Dose Pack 10]"
},
{
"code" : "847623",
"display" : "{10 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG / Phenylephrine 10 MG Extended Release Tablet [AlleRx PM Reformulated Apr 2008]) / 10 (12 HR Methscopolamine 2.5 MG / Pseudoephedrine 120 MG Extended Release Tablet [AlleRx AM]) } Pack [AlleRx"
},
{
"code" : "847599",
"display" : "{10 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG Extended Release Tablet [AlleRx PM]) / 10 (12 HR Methscopolamine 2.5 MG / Pseudoephedrine 120 MG Extended Release Tablet [AlleRx AM]) } Pack [AlleRx Dose Pack 10]"
},
{
"code" : "762006",
"display" : "{10 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG Extended Release Tablet) / 10 (12 HR Methscopolamine 2.5 MG / Pseudoephedrine 120 MG Extended Release Tablet) } Pack [AllePak Dose Pack 10]"
},
{
"code" : "1244581",
"display" : "{10 (12 HR chlorpheniramine maleate 4 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet [Allerx DF AM]) / 10 (12 HR chlorpheniramine maleate 8 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet [AlleRx PM]) } Pack [AlleRx DF Dose Pack 10]"
},
{
"code" : "1311824",
"display" : "{10 (12 HR chlorpheniramine maleate 4 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet) / 10 (12 HR chlorpheniramine maleate 8 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet) } Pack [Allergy DN II]"
},
{
"code" : "1311820",
"display" : "{10 (12 HR chlorpheniramine maleate 4 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet) / 10 (12 HR chlorpheniramine maleate 8 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet) } Pack [RespiVent DF Dosepack 10]"
},
{
"code" : "1244592",
"display" : "{10 (12 HR chlorpheniramine maleate 8 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet [AlleRx PM]) / 10 (12 HR methscopolamine nitrate 2.5 MG / pseudoephedrine hydrochloride 120 MG Extended Release Oral Tablet [AlleRx AM]) } Pack [AlleRx Dose Pack 10]"
},
{
"code" : "1368965",
"display" : "{10 (12 HR chlorpheniramine maleate 8 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet) / 10 (12 HR methscopolamine nitrate 2.5 MG / pseudoephedrine hydrochloride 120 MG Extended Release Oral Tablet) } Pack [AllePak Dose Pack 10]"
},
{
"code" : "1368966",
"display" : "{10 (12 HR chlorpheniramine maleate 8 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet) / 10 (12 HR methscopolamine nitrate 2.5 MG / pseudoephedrine hydrochloride 120 MG Extended Release Oral Tablet) } Pack [Vaso Dose Pack 10]"
},
{
"code" : "1310589",
"display" : "{10 (12 HR clonidine hydrochloride 0.1 MG Extended Release Oral Tablet [Kapvay]) / 10 (12 HR clonidine hydrochloride 0.2 MG Extended Release Oral Tablet [Kapvay]) } Pack [Kapvay Dose Pack]"
},
{
"code" : "835333",
"display" : "{10 (24 HR Clarithromycin 500 MG Extended Release Tablet [Biaxin]) } Pack [ABBO-PAC 10 Tablet Pack]"
},
{
"code" : "749758",
"display" : "{10 (Acetaminophen 325 MG / Chlorpheniramine 2 MG / Dextromethorphan 10 MG / Phenylephrine 5 MG Oral Tablet [Comtrex Cold and Cough Nighttime]) / 10 (Acetaminophen 325 MG / Dextromethorphan 10 MG / Phenylephrine 5 MG Oral Tablet [Comtrex Cold and Cou"
},
{
"code" : "809591",
"display" : "{10 (Acetaminophen 325 MG / Chlorpheniramine 2 MG / Phenylephrine 5 MG Oral Tablet) / 10 (Acetaminophen 325 MG / Phenylephrine 5 MG Oral Tablet) } Pack [Comtrex Flu Therapy Day and Night]"
},
{
"code" : "807385",
"display" : "{10 (Acetaminophen 325 MG / Chlorpheniramine 2 MG / Phenylephrine 5 MG Oral Tablet) / 10 (Acetaminophen 325 MG / Phenylephrine 5 MG Oral Tablet) } Pack [Comtrex Severe Cold and Sinus Day and Night]"
},
{
"code" : "884785",
"display" : "{10 (Acetaminophen 325 MG / Dextromethorphan 10 MG / Guaifenesin 100 MG / Phenylephrine 5 MG Oral Tablet) / 10 (Acetaminophen 325 MG / Diphenhydramine 25 MG / Phenylephrine 5 MG Oral Tablet) } Pack [Sudafed PE Day & Night Cold]"
},
{
"code" : "2045959",
"display" : "{10 (avatrombopag 20 MG Oral Tablet [Doptelet]) } Pack [Doptelet 40 MG Daily Dose Carton]"
},
{
"code" : "762894",
"display" : "{10 (cefdinir 300 MG Oral Capsule [Omnicef]) } Pack [Omni-Pac]"
},
{
"code" : "748768",
"display" : "{10 (Chlorpheniramine 8 MG / Methscopolamine 2.5 MG Extended Release Tablet) / 10 (Methscopolamine 2.5 MG / Pseudoephedrine 120 MG Extended Release Tablet) } Pack [VisRx Dosepack 10]"
},
{
"code" : "762379",
"display" : "{10 (Chlorpheniramine 8 MG / Methscopolamine 2.5 MG Oral Tablet) / 10 (Methscopolamine 2.5 MG / Pseudoephedrine 120 MG Oral Tablet) } Pack [RhinaClear Dose Pack 10]"
},
{
"code" : "1310931",
"display" : "{10 (chlorpheniramine maleate 8 MG / methscopolamine nitrate 2.5 MG Extended Release Oral Tablet) / 10 (methscopolamine nitrate 2.5 MG / pseudoephedrine hydrochloride 120 MG Extended Release Oral Tablet) } Pack [VisRx Dosepack 10]"
},
{
"code" : "1310946",
"display" : "{10 (chlorpheniramine maleate 8 MG / methscopolamine nitrate 2.5 MG Oral Tablet) / 10 (methscopolamine nitrate 2.5 MG / pseudoephedrine hydrochloride 120 MG Oral Tablet) } Pack [RhinaClear Dose Pack 10]"
},
{
"code" : "795767",
"display" : "{10 (dirithromycin 250 MG Delayed Release Oral Tablet [Dynabac]) } Pack [Dynabac D5]"
},
{
"code" : "763418",
"display" : "{10 (ethinyl estradiol 0.03 MG / levonorgestrel 0.125 MG Oral Tablet) / 5 (ethinyl estradiol 0.04 MG / levonorgestrel 0.075 MG Oral Tablet) / 6 (levonorgestrel 0.05 MG Oral Tablet) } Pack [Tri-Levlen 21 Day]"
},
{
"code" : "762005",
"display" : "{10 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 11 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Necon 10/11 28 Day]"
},
{
"code" : "749857",
"display" : "{10 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 11 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ortho-Novum 10/11 28 Day]"
},
{
"code" : "749875",
"display" : "{10 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 11 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) } Pack [Ortho-Novum 10/11 21 Day]"
},
{
"code" : "827417",
"display" : "{10 (Ifosfamide 50 MG/ML Injectable Solution [Ifex]) / 10 (Mesna 20 MG/ML Injectable Solution [Mesnex]) } Pack [Ifex / Mesnex Kit 10]"
},
{
"code" : "795737",
"display" : "{11 (varenicline 0.5 MG Oral Tablet [Chantix]) / 42 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix First Month of Therapy]"
},
{
"code" : "758020",
"display" : "{112 (bismuth subsalicylate 262 MG Chewable Tablet) / 56 (metroNIDAZOLE 250 MG Oral Tablet) / 56 (tetracycline hydrochloride 500 MG Oral Capsule) } Pack [Helidac Theapy]"
},
{
"code" : "749773",
"display" : "{12 (Acetaminophen 325 MG / Chlorpheniramine 2 MG / Dextromethorphan 10 MG / Phenylephrine 5 MG Oral Tablet [Tylenol Cold Head Congestion Nighttime]) / 12 (Acetaminophen 325 MG / Dextromethorphan 10 MG / Phenylephrine 5 MG Oral Tablet [Tylenol Cold H"
},
{
"code" : "896325",
"display" : "{12 (Acetaminophen 325 MG / Chlorpheniramine 2 MG / Dextromethorphan 10 MG / Phenylephrine 5 MG Oral Tablet [Tylenol Cold Multi-Symptom Nighttime]) / 12 (Acetaminophen 325 MG / Dextromethorphan 10 MG / Phenylephrine 5 MG Oral Tablet [Tylenol Cold Mul"
},
{
"code" : "749771",
"display" : "{12 (Acetaminophen 325 MG / Chlorpheniramine 2 MG / Dextromethorphan 15 MG / Pseudoephedrine 30 MG Oral Tablet [Tylenol Cold Complete Formula]) / 12 (Acetaminophen 325 MG / Dextromethorphan 15 MG / Pseudoephedrine 30 MG Oral Tablet [Tylenol Cold No D"
},
{
"code" : "749581",
"display" : "{12 (Acetaminophen 325 MG / Chlorpheniramine 2 MG / Phenylephrine 5 MG Oral Tablet [Tylenol Allergy Multi-Symptom]) / 12 (Acetaminophen 325 MG / Phenylephrine 5 MG Oral Tablet [Tylenol Sinus Congestion and Pain Daytime]) } Pack [Tylenol Sinus Congest"
},
{
"code" : "749769",
"display" : "{12 (Acetaminophen 500 MG / Chlorpheniramine 2 MG / Pseudoephedrine 30 MG Oral Tablet [Tylenol Allergy Sinus Caplet]) / 12 (Acetaminophen 500 MG / Diphenhydramine 25 MG / Pseudoephedrine 30 MG Oral Tablet [Tylenol Allergy Sinus NightTime]) } Pack [Ty"
},
{
"code" : "749583",
"display" : "{12 (Acetaminophen 500 MG / Dextromethorphan 15 MG / Pseudoephedrine 30 MG Oral Tablet [Tylenol Flu Maximum Strength]) / 12 (Acetaminophen 500 MG / Diphenhydramine 25 MG / Pseudoephedrine 30 MG Oral Tablet [Tylenol Nightime Flu Gelcap Maximum Strengt"
},
{
"code" : "749228",
"display" : "{12 (Acetaminophen 500 MG / Doxylamine 6.25 MG / Pseudoephedrine 30 MG Oral Tablet [Tylenol Sinus NightTime]) / 12 (Acetaminophen 500 MG / Pseudoephedrine 30 MG Oral Tablet [Tylenol Sinus Maximum Strength]) } Pack [Tylenol Sinus Day and Night Conveni"
},
{
"code" : "795716",
"display" : "{12 (dexamethasone 0.75 MG Oral Tablet [Decadron]) } Pack [Decadron 5-12]"
},
{
"code" : "1089918",
"display" : "{12 (diphenhydramine hydrochloride 25 MG / phenylephrine hydrochloride 10 MG Oral Tablet) / 18 (phenylephrine hydrochloride 10 MG Oral Tablet) } Pack [Sudafed PE Day & Night Tablet]"
},
{
"code" : "750267",
"display" : "{12 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 9 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Aranelle 28]"
},
{
"code" : "749148",
"display" : "{12 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 9 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Leena 28 Day]"
},
{
"code" : "749151",
"display" : "{12 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 9 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Norinyl 28 Day]"
},
{
"code" : "749760",
"display" : "{12 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 9 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) } Pack [Tri-Norinyl 21 Day]"
},
{
"code" : "1541216",
"display" : "{12 (methotrexate 2.5 MG Oral Tablet [Rheumatrex]) } Pack [Rheumatrex Dose Pack 12]"
},
{
"code" : "795855",
"display" : "{12 (prednisone 5 MG Oral Tablet [Sterapred]) } Pack [Sterapred Uni-Pak 12 Day]"
},
{
"code" : "877302",
"display" : "{12 (Risedronate 35 MG Oral Tablet [Actonel]) } Pack [Actonel 35 12-Week]"
},
{
"code" : "759495",
"display" : "{14 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG / Phenylephrine 25 MG Extended Release Tablet [Omnihist II L.A.]) / 14 (Brompheniramine 6 MG / Pseudoephedrine 45 MG Extended Release Tablet [Sinuhist]) } Pack [SymPak II]"
},
{
"code" : "759499",
"display" : "{14 (12 HR Chlorpheniramine 8 MG / Methscopolamine 2.5 MG / Phenylephrine 25 MG Extended Release Tablet [Omnihist II L.A.]) / 28 (12 HR Guaifenesin 600 MG / Phenylephrine 15 MG Extended Release Tablet [SINUvent PE]) } Pack [SymPak]"
},
{
"code" : "835342",
"display" : "{14 (24 HR clarithromycin 500 MG Extended Release Oral Tablet [Biaxin]) } Pack [BIAXIN XL PAC 14 Tablet Pack]"
},
{
"code" : "850204",
"display" : "{14 (24 HR lamotrigine 100 MG Extended Release Tablet [Lamictal]) / 7 (24 HR lamotrigine 200 MG Extended Release Tablet [Lamictal]) / 14 (24 HR lamotrigine 50 MG Extended Release Tablet [Lamictal]) } Pack [Lamictal XR Green Patient Titration Kit (for"
},
{
"code" : "1116369",
"display" : "{14 (24 HR naproxen 500 MG Extended Release Oral Tablet [Naprelan]) / 6 (24 HR naproxen 750 MG Extended Release Oral Tablet [Naprelan]) } Pack [Naprelan Dose Card]"
},
{
"code" : "866222",
"display" : "{14 (24 HR Naproxen sodium 550 MG Extended Release Tablet [Naprelan]) / 6 (24 HR Naproxen sodium 825 MG Extended Release Tablet [Naprelan]) } Pack [Naprelan Dose Card]"
},
{
"code" : "1098618",
"display" : "{14 (anastrozole 1 MG Oral Tablet [Arimidex]) } Pack [Arimidex 14 Day]"
},
{
"code" : "2283536",
"display" : "{14 (cenobamate 100 MG Oral Tablet [Xcopri]) / 14 (cenobamate 50 MG Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 50 MG (14), 100 MG (14) 28 Count]"
},
{
"code" : "2283538",
"display" : "{14 (cenobamate 12.5 MG Oral Tablet [Xcopri]) / 14 (cenobamate 25 MG Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 12.5 MG (14), 25 MG (14) 28 Count]"
},
{
"code" : "759497",
"display" : "{14 (Chlorpheniramine 2 MG / Methscopolamine 1.5 MG / Phenylephrine 10 MG Chewable Tablet [Ah-Chew]) / 14 (Chlorpheniramine 2 MG / Methscopolamine 1.5 MG Chewable Tablet [Dexodryl]) } Pack [SymPak PDX]"
},
{
"code" : "807387",
"display" : "{14 (Chlorpheniramine 8 MG / Methscopolamine 2.5 MG / Phenylephrine 20 MG Extended Release Tablet [Omnihist]) / 28 (Dextromethorphan 30 MG / Guaifenesin 600 MG / Phenylephrine 15 MG Extended Release Tablet [Sinutuss DM Reformulated Feb 2008]) } Pack"
},
{
"code" : "2541519",
"display" : "{14 (deutetrabenazine 12 MG Oral Tablet [Austedo]) / 28 (deutetrabenazine 6 MG Oral Tablet [Austedo]) / 28 (deutetrabenazine 9 MG Oral Tablet [Austedo]) } Pack [Austedo 12 MG Starting Dose, 4 Week Titration Pack]"
},
{
"code" : "2281115",
"display" : "{14 (deutetrabenazine 6 MG Oral Tablet [Austedo]) / 14 (deutetrabenazine 9 MG Oral Tablet [Austedo]) } Pack [Austedo 12 MG Starting Dose Pack]"
},
{
"code" : "1373498",
"display" : "{14 (dimethyl fumarate 120 MG Delayed Release Oral Capsule [Tecfidera]) / 46 (dimethyl fumarate 240 MG Delayed Release Oral Capsule [Tecfidera]) } Pack [Tecfidera 30-Day Starter Pack]"
},
{
"code" : "751009",
"display" : "{14 (Estrogens, Conjugated (USP) 0.625 MG / Medroxyprogesterone 5 MG Oral Tablet) / 14 (Estrogens, Conjugated (USP) 0.625 MG Oral Tablet) } Pack [Premphase 28 Day]"
},
{
"code" : "1000487",
"display" : "{14 (estrogens, conjugated (USP) 0.625 MG / medroxyprogesterone acetate 5 MG Oral Tablet) / 14 (estrogens, conjugated (USP) 0.625 MG Oral Tablet) } Pack [Premphase 28 Day]"
},
{
"code" : "881272",
"display" : "{14 (lacosamide 100 MG Oral Tablet [Vimpat]) / 14 (lacosamide 50 MG Oral Tablet [Vimpat]) } Pack [Vimpat 2 Week Starter Kit]"
},
{
"code" : "795778",
"display" : "{14 (lamoTRIgine 100 MG Oral Tablet [LaMICtal]) / 84 (lamoTRIgine 25 MG Oral Tablet [LaMICtal]) } Pack [LaMICtal Green (For Patients Taking carBAMazepine, Phenytoin, PHENobarbital, Primidone, or rifAMPin and Not Taking Valproate)]"
},
{
"code" : "2003797",
"display" : "{14 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 84 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Green (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone and Not Taking Valproate)]"
},
{
"code" : "2054275",
"display" : "{14 (migalastat 123 MG Oral Capsule [Galafold]) } Pack [Galafold 28 Day Wallet]"
},
{
"code" : "763195",
"display" : "{14 (nefazodone 100 MG Oral Tablet [Serzone]) / 14 (nefazodone 200 MG Oral Tablet [Serzone]) / 14 (nefazodone 50 MG Oral Tablet [Serzone]) } Pack [Serzone Starter Pack]"
},
{
"code" : "1098682",
"display" : "{14 (nefazodone hydrochloride 100 MG Oral Tablet [Serzone]) / 14 (nefazodone hydrochloride 200 MG Oral Tablet [Serzone]) / 14 (nefazodone hydrochloride 50 MG Oral Tablet [Serzone]) } Pack [Serzone Starter Pack]"
},
{
"code" : "2059282",
"display" : "{14 (omadacycline 150 MG Oral Tablet [Nuzyra]) } Pack [Nuzyra 7-Day Oral Pack]"
},
{
"code" : "757600",
"display" : "{14 (Ribavirin 400 MG Oral Tablet) } Pack [RibaPak 800mg/day]"
},
{
"code" : "757598",
"display" : "{14 (Ribavirin 600 MG Oral Tablet) } Pack [RibaPak 1200mg/day]"
},
{
"code" : "1747580",
"display" : "{14 (venetoclax 10 MG Oral Tablet [Venclexta]) / 21 (venetoclax 100 MG Oral Tablet [Venclexta]) / 7 (venetoclax 50 MG Oral Tablet [Venclexta]) } Pack [Venclexta Starting Pack]"
},
{
"code" : "1729076",
"display" : "{140 (selexipag 0.2 MG Oral Tablet [Uptravi]) / 60 (selexipag 0.8 MG Oral Tablet [Uptravi]) } Pack [Uptravi Titration Pack]"
},
{
"code" : "2045961",
"display" : "{15 (avatrombopag 20 MG Oral Tablet [Doptelet]) } Pack [Doptelet 60 MG Daily Dose Carton]"
},
{
"code" : "751883",
"display" : "{15 (estradiol 1 MG / norgestimate 0.09 MG Oral Tablet) / 15 (estradiol 1 MG Oral Tablet) } Pack [Prefest 28 Day]"
},
{
"code" : "762394",
"display" : "{15 (estradiol 1 MG / norgestimate 0.09 MG Oral Tablet) / 15 (estradiol 1 MG Oral Tablet) } Pack [Prefest 30 Day]"
},
{
"code" : "846101",
"display" : "{150 (doxycycline monohydrate 100 MG Oral Tablet [Avidoxy]) / 1 (118 ML) (salicylic acid 20 MG/ML Medicated Liquid Soap) } Pack [Avidoxy Pack]"
},
{
"code" : "1541218",
"display" : "{16 (methotrexate 2.5 MG Oral Tablet [Rheumatrex]) } Pack [Rheumatrex Dose Pack 16]"
},
{
"code" : "2059284",
"display" : "{16 (omadacycline 150 MG Oral Tablet [Nuzyra]) } Pack [Nuzyra 7-Day Oral Pack including loading dose]"
},
{
"code" : "2382991",
"display" : "{16 (selinexor 20 MG Oral Tablet [Xpovio]) } Pack [Xpovio 40 MG Twice Weekly (80 MG total weekly dose) Carton]"
},
{
"code" : "1356302",
"display" : "{160 (calcium carbonate 1000 MG Chewable Tablet [Tums]) / 25 (calcium carbonate 500 MG Chewable Tablet [Tums]) } Pack [Tums Freshers and Ultra Strength]"
},
{
"code" : "967897",
"display" : "{180 (acamprosate calcium 333 MG Delayed Release Oral Tablet [Campral]) } Pack [Campral Dose Pak]"
},
{
"code" : "763080",
"display" : "{180 (insulin human, rDNA origin 1 MG Inhalation Powder [Exubera]) / 90 (insulin human, rDNA origin 3 MG Inhalation Powder [Exubera]) } Pack [Exubera Kit]"
},
{
"code" : "1921468",
"display" : "{2 (0.4 ML adalimumab 100 MG/ML Auto-Injector [Humira]) / 1 (0.8 ML adalimumab 100 MG/ML Auto-Injector [Humira]) } Pack [Humira Pen 80 MG/0.8 ML and 40 MG/0.4 ML - Psoriasis/Uveitis Starter Package]"
},
{
"code" : "2166143",
"display" : "{2 (0.83 ML risankizumab-rzaa 90.4 MG/ML Prefilled Syringe [Skyrizi]) } Pack [Skyrizi 150 MG Dose Pack]"
},
{
"code" : "2056670",
"display" : "{2 (1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig]) } Pack [Aimovig Autoinjector (140 MG Dose)]"
},
{
"code" : "2056681",
"display" : "{2 (1 ML erenumab-aooe 70 MG/ML Prefilled Syringe [Aimovig]) } Pack [Aimovig Prefilled Syringe (140 MG Dose)]"
},
{
"code" : "2123191",
"display" : "{2 (1.17 ML romosozumab-aqqg 89.7 MG/ML Prefilled Syringe [Evenity]) } Pack [Evenity 210 MG Dose]"
},
{
"code" : "830500",
"display" : "{2 (118 ML Chlorpheniramine 0.4 MG/ML / Methscopolamine 0.25 MG/ML / Phenylephrine 2 MG/ML Oral Solution [Zinx PCM]) / 15 (Zinc Acetate 14 MG Lozenge [Zinx]) } Pack [Zinx Kids Sneeze Kit]"
},
{
"code" : "809222",
"display" : "{2 (21000 MG) (benzoyl peroxide 0.05 MG/MG Medicated Bar Soap [PanOxyl]) / 1 (170 ML) (benzoyl peroxide 40 MG/ML Medicated Liquid Soap [Brevoxyl]) } Pack [Brevoxyl-4 Complete Pack]"
},
{
"code" : "809218",
"display" : "{2 (21000 MG) (benzoyl peroxide 0.05 MG/MG Medicated Bar Soap [PanOxyl]) / 1 (170 ML) (benzoyl peroxide 80 MG/ML Medicated Liquid Soap [Brevoxyl]) } Pack [Brevoxyl-8 Complete Pack]"
},
{
"code" : "1374397",
"display" : "{2 (354 ML) (bismuth subsalicylate 17.5 MG/ML Oral Suspension [Pepto-bismol]) / 30 (bismuth subsalicylate 262 MG Chewable Tablet [Pepto-bismol]) } Pack [Pepto-bismol InstaCool Pack]"
},
{
"code" : "2390768",
"display" : "{2 (355 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Pediatric Bowel Prep Kit]"
},
{
"code" : "1373124",
"display" : "{2 (473 ML) (bismuth subsalicylate 17.5 MG/ML Oral Suspension [Pepto-bismol]) / 48 (bismuth subsalicylate 262 MG Chewable Tablet [Pepto-bismol]) } Pack [Pepto-bismol Pack]"
},
{
"code" : "1001690",
"display" : "{2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit]"
},
{
"code" : "2170247",
"display" : "{2 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 1 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 3.1 - 3.5 kg]"
},
{
"code" : "2170253",
"display" : "{2 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 2 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 4.6 - 5.0 kg]"
},
{
"code" : "2170293",
"display" : "{2 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 3 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 6.1 - 6.5 kg]"
},
{
"code" : "2170276",
"display" : "{2 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 4 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 7.6 - 8.0 kg]"
},
{
"code" : "2170284",
"display" : "{2 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 5 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 9.1 - 9.5 kg]"
},
{
"code" : "2170263",
"display" : "{2 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 6 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 10.6 - 11.0 kg]"
},
{
"code" : "2170274",
"display" : "{2 (5.5 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) / 7 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 12.1 - 12.5 kg]"
},
{
"code" : "2170255",
"display" : "{2 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 2.6 - 3.0 kg]"
},
{
"code" : "2371068",
"display" : "{2 (apomorphine hydrochloride 10 MG Sublingual Film [Kynmobi]) / 2 (apomorphine hydrochloride 15 MG Sublingual Film [Kynmobi]) / 2 (apomorphine hydrochloride 20 MG Sublingual Film [Kynmobi]) / 2 (apomorphine hydrochloride 25 MG Sublingual Film [Kynmobi]) / 2 (apomorphine hydrochloride 30 MG Sublingual Film [Kynmobi]) } Pack [Kynmobi Titration Kit]"
},
{
"code" : "1087521",
"display" : "{2 (benzoyl peroxide 0.05 MG/MG Medicated Bar Soap) / 1 (170100 MG) (benzoyl peroxide 40 MG/ML Medicated Liquid Soap) } Pack [Acne Treatment Pack]"
},
{
"code" : "1087524",
"display" : "{2 (benzoyl peroxide 0.05 MG/MG Medicated Bar Soap) / 1 (170100 MG) (benzoyl peroxide 80 MG/ML Medicated Liquid Soap) } Pack [Acne Treatment]"
},
{
"code" : "795877",
"display" : "{2 (carbetapentane 6 MG/ML / Phenylephrine 5 MG/ML Oral Suspension [Zinx D-Tuss]) / 15 (Zinc Acetate 14 MG Lozenge [Zinx]) } Pack [Zinx Cold Kit]"
},
{
"code" : "1740008",
"display" : "{2 (fentaNYL 0.6 MG/ACTUAT Mucosal Spray [Subsys]) } Pack [Subsys 1200 MCG]"
},
{
"code" : "1740010",
"display" : "{2 (fentanyl 0.8 MG/ACTUAT Mucosal Spray [Subsys]) } Pack [Subsys 1600 MCG]"
},
{
"code" : "762583",
"display" : "{2 (Hydrocortisone 10 MG/ML Topical Cream [Dermarest Dricort]) } Pack [Dermarest DriCort Creme Pack]"
},
{
"code" : "827733",
"display" : "{2 (Ifosfamide 50 MG/ML Injectable Solution [Ifex]) / 6 (Mesna 20 MG/ML Injectable Solution [Mesnex]) } Pack [Ifex / Mesnex Kit 2/6]"
},
{
"code" : "848752",
"display" : "{2 (iloperidone 1 MG Oral Tablet [Fanapt]) / 2 (iloperidone 2 MG Oral Tablet [Fanapt]) / 2 (iloperidone 4 MG Oral Tablet [Fanapt]) / 2 (iloperidone 6 MG Oral Tablet [Fanapt]) } Pack [Fanapt Titration Pack]"
},
{
"code" : "854861",
"display" : "{2 (levonorgestrel 0.75 MG Oral Tablet) } Pack [Next Choice]"
},
{
"code" : "763089",
"display" : "{2 (levonorgestrel 0.75 MG Oral Tablet) } Pack [Plan B]"
},
{
"code" : "759674",
"display" : "{2 (lomustine 10 MG Oral Capsule [CeeNU]) / 2 (lomustine 100 MG Oral Capsule [CeeNU]) / 2 (lomustine 40 MG Oral Capsule [CeeNU]) } Pack [CeeNU Dosepack]"
},
{
"code" : "795745",
"display" : "{2 (Methotrexate 2.5 MG Oral Tablet [Rheumatrex]) } Pack [Rheumatrex Dose Pack 2]"
},
{
"code" : "2279419",
"display" : "{2 (peanut (Arachis hypogaea) allergen-dnfp 0.5 MG Oral Powder [Palforzia]) / 11 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia Initial Dose Escalation]"
},
{
"code" : "2279435",
"display" : "{2 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) / 1 (peanut (Arachis hypogaea) allergen-dnfp 10 MG Oral Powder [Palforzia]) } Pack [Palforzia 12 MG (Level 3)]"
},
{
"code" : "2279451",
"display" : "{2 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 2 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 240 MG (Level 10)]"
},
{
"code" : "2279449",
"display" : "{2 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) } Pack [Palforzia 200 MG (Level 9)]"
},
{
"code" : "2279425",
"display" : "{2 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 40 MG (Level 5)]"
},
{
"code" : "759671",
"display" : "{2 (Risedronate 75 MG Oral Tablet [Actonel]) } Pack [Actonel 75]"
},
{
"code" : "753147",
"display" : "{2 (Risedronate 75 MG Oral Tablet [Actonel]) } Pack [Actonel]"
},
{
"code" : "763160",
"display" : "{2 (ropinirole 0.25 MG Oral Tablet [Requip]) / 5 (ropinirole 0.5 MG Oral Tablet [Requip]) / 7 (ropinirole 1 MG Oral Tablet [Requip]) } Pack [Requip 2-Week Starter Kit]"
},
{
"code" : "2554805",
"display" : "{2 (thyrotropin alfa 0.9 MG Injection [Thyrogen]) } Pack [Thyrogen Kit (0.9 MG Vial)]"
},
{
"code" : "2166579",
"display" : "{2 (thyrotropin alfa 1.1 MG Injection [Thyrogen]) } Pack [Thyrogen Kit]"
},
{
"code" : "847848",
"display" : "{20 (Acetaminophen 325 MG / Dextromethorphan 15 MG / Doxylamine 6.25 MG Oral Capsule [NyQuil Cold/Flu Relief]) / 24 (Acetaminophen 325 MG / Dextromethorphan 15 MG / Pseudoephedrine 30 MG Oral Capsule [Dayquil Liquicaps Reformulated Apr 2009]) } Pack"
},
{
"code" : "1541221",
"display" : "{20 (methotrexate 2.5 MG Oral Tablet [Rheumatrex]) } Pack [Rheumatrex Dose Pack 20]"
},
{
"code" : "2587899",
"display" : "{20 (nirmatrelvir 150 MG Oral Tablet) / 10 (ritonavir 100 MG Oral Tablet) } Pack [Paxlovid 5-Day]"
},
{
"code" : "858140",
"display" : "{200 (beclomethasone dipropionate 1 MG Delayed Release Oral Tablet) / 200 (beclomethasone dipropionate 1 MG Oral Tablet) } Pack [orBec]"
},
{
"code" : "1092571",
"display" : "{21 (24 HR guanfacine 1 MG Extended Release Oral Tablet [Intuniv]) / 28 (24 HR guanfacine 2 MG Extended Release Oral Tablet [Intuniv]) } Pack [Intuniv Kit 21/28]"
},
{
"code" : "850103",
"display" : "{21 (24 HR lamotrigine 25 MG Extended Release Tablet [Lamictal]) / 7 (24 HR lamotrigine 50 MG Extended Release Tablet [Lamictal]) } Pack [Lamictal XR Blue Patient Titration Kit (for Patients Taking Valproate)]"
},
{
"code" : "831872",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 5 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Azurette 28 Day]"
},
{
"code" : "1716037",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 5 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Bekyree 28 Day]"
},
{
"code" : "762001",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 5 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Kariva 28 Day]"
},
{
"code" : "1655489",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 5 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Kimidess 28 Day]"
},
{
"code" : "1438778",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 5 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Pimtrea Pack]"
},
{
"code" : "1876810",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 5 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Simliya 28 Day]"
},
{
"code" : "1252016",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 5 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Viorele 28 Day]"
},
{
"code" : "2001756",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 5 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Volnea 28 Day]"
},
{
"code" : "1252015",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 5 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (inert ingredients 1 MG Oral Tablet) } Pack [Vorele 28 Day]"
},
{
"code" : "753482",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Apri 28 Day]"
},
{
"code" : "1660690",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Cyred 28 Day]"
},
{
"code" : "753367",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Desogen 28 Day]"
},
{
"code" : "1091828",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Emoquette]"
},
{
"code" : "1422081",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Enskyce 28 Day]"
},
{
"code" : "1866047",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Isibloom 28 Day]"
},
{
"code" : "1605086",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Juleber 28 Day]"
},
{
"code" : "1923421",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Kalliga 28 Day]"
},
{
"code" : "753543",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Reclipsen 28 Day]"
},
{
"code" : "750261",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Solia 28 Day]"
},
{
"code" : "749865",
"display" : "{21 (desogestrel 0.15 MG / ethinyl estradiol 0.03 MG Oral Tablet) } Pack [Ortho-Cept 21 Day]"
},
{
"code" : "2281117",
"display" : "{21 (deutetrabenazine 6 MG Oral Tablet [Austedo]) } Pack [Austedo 6 MG Starting Dose Pack]"
},
{
"code" : "1945071",
"display" : "{21 (dexamethasone 1.5 MG Oral Tablet [Decadron]) } Pack [Decadron DP 6 Day]"
},
{
"code" : "847225",
"display" : "{21 (dexamethasone 1.5 MG Oral Tablet) } Pack [DexPak TaperPak 6 Day]"
},
{
"code" : "1998482",
"display" : "{21 (dexamethasone 1.5 MG Oral Tablet) } Pack [TaperDex 6 Day Taper]"
},
{
"code" : "895526",
"display" : "{21 (dexamethasone 1.5 MG Oral Tablet) } Pack [Zema Pak 6 Day]"
},
{
"code" : "1943549",
"display" : "{21 (dexamethasone 1.5 MG Oral Tablet) } Pack [ZoDex 6 Day Taper]"
},
{
"code" : "1050494",
"display" : "{21 (drospirenone 3 MG / ethinyl estradiol 0.03 MG / levomefolate calcium 0.451 MG Oral Tablet) / 7 (levomefolate calcium 0.451 MG Oral Tablet) } Pack [Safyral 28 Day]"
},
{
"code" : "1999724",
"display" : "{21 (drospirenone 3 MG / ethinyl estradiol 0.03 MG / levomefolate calcium 0.451 MG Oral Tablet) / 7 (levomefolate calcium 0.451 MG Oral Tablet) } Pack [Tydemy 28 Day]"
},
{
"code" : "801185",
"display" : "{21 (drospirenone 3 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ocella 28 Day]"
},
{
"code" : "1099269",
"display" : "{21 (drospirenone 3 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Syeda 28 Day]"
},
{
"code" : "748857",
"display" : "{21 (drospirenone 3 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Yasmin 28 Day]"
},
{
"code" : "1011081",
"display" : "{21 (drospirenone 3 MG / ethinyl estradiol 0.03 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Zarah]"
},
{
"code" : "853172",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Glidess FE 1/20 28 Day]"
},
{
"code" : "1860414",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Afirmelle 28 Day]"
},
{
"code" : "748869",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Alesse 28 Day]"
},
{
"code" : "750268",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Aviane 28]"
},
{
"code" : "1999026",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Balcoltra 28 Day]"
},
{
"code" : "1538130",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Delyla 28 Day]"
},
{
"code" : "1304988",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Falmina 28 Day]"
},
{
"code" : "1795598",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Larissia 28 Day Pack]"
},
{
"code" : "751885",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Lessina 28 Day]"
},
{
"code" : "753485",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Levlite 28 Day]"
},
{
"code" : "751884",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Lutera 28 Day]"
},
{
"code" : "1428933",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Orsythia 28 Day]"
},
{
"code" : "753544",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Sronyx 28 Day]"
},
{
"code" : "1720616",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Vienva 28 Day]"
},
{
"code" : "749569",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) } Pack [Alesse 21 Day]"
},
{
"code" : "1099097",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) } Pack [Lessina 21 Day]"
},
{
"code" : "753486",
"display" : "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) } Pack [Levlite 21 Day]"
},
{
"code" : "853606",
"display" : "{21 (Ethinyl Estradiol 0.02 MG / Norethindrone 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Gildess FE 1/20 28 Day]"
},
{
"code" : "853169",
"display" : "{21 (Ethinyl Estradiol 0.02 MG / Norethindrone 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Gildess FE 1/20]"
},
{
"code" : "748385",
"display" : "{21 (Ethinyl Estradiol 0.02 MG / Norethindrone 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Junel Fe 1/20 28 Day]"
},
{
"code" : "751888",
"display" : "{21 (Ethinyl Estradiol 0.02 MG / Norethindrone 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Loestrin Fe 1/20 28 Day]"
},
{
"code" : "753539",
"display" : "{21 (Ethinyl Estradiol 0.02 MG / Norethindrone 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Microgestin Fe 1/20 28 Day]"
},
{
"code" : "748026",
"display" : "{21 (Ethinyl Estradiol 0.02 MG / Norethindrone 1 MG Oral Tablet) } Pack [Junel 1/20 21 Day]"
},
{
"code" : "751889",
"display" : "{21 (Ethinyl Estradiol 0.02 MG / Norethindrone 1 MG Oral Tablet) } Pack [Loestrin 1/20 21 Day]"
},
{
"code" : "753540",
"display" : "{21 (Ethinyl Estradiol 0.02 MG / Norethindrone 1 MG Oral Tablet) } Pack [Microgestin 1/20 21 Day]"
},
{
"code" : "1926946",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Aurovela Fe 1/20 28 Day]"
},
{
"code" : "1724801",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Blisovi 21 Fe 1/20 28 Day Pack]"
},
{
"code" : "1358764",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Gildess FE 1/20 28 Day]"
},
{
"code" : "1989873",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Hailey Fe 1/20 28 Day]"
},
{
"code" : "1358765",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Junel Fe 1/20 28 Day]"
},
{
"code" : "1440183",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Larin Fe 1/20]"
},
{
"code" : "1358770",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Loestrin Fe 1/20 28 Day]"
},
{
"code" : "1358775",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Microgestin Fe 1/20 28 Day]"
},
{
"code" : "1550536",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Tarina Fe 1/20 28 Day]"
},
{
"code" : "1927366",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Aurovela 1/20 21 Day]"
},
{
"code" : "1358780",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Junel 1/20 21 Day]"
},
{
"code" : "1487086",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Larin 1/20]"
},
{
"code" : "1358781",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Loestrin 1/20 21 Day]"
},
{
"code" : "1359020",
"display" : "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Microgestin 1/20 21 Day]"
},
{
"code" : "1006065",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Altavera 28 Day]"
},
{
"code" : "1812279",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ayuna 28 Day Pack]"
},
{
"code" : "1364848",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Chateal 28 Day]"
},
{
"code" : "1356074",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Kurvelo]"
},
{
"code" : "753532",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Levlen 28 Day]"
},
{
"code" : "748879",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Levora 0.15/30 28 Day]"
},
{
"code" : "1805273",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Lillow 28 Day]"
},
{
"code" : "1245919",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Marlissa 28 Day]"
},
{
"code" : "748886",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Nordette 28 Day]"
},
{
"code" : "751890",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Portia 28 Day]"
},
{
"code" : "753533",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Levlen 21 Day]"
},
{
"code" : "749572",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Levora 0.15/30 21 Day]"
},
{
"code" : "1090054",
"display" : "{21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Portia 21 Day]"
},
{
"code" : "853170",
"display" : "{21 (Ethinyl Estradiol 0.03 MG / Norethindrone 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Gildess FE 1.5/30 28 Day]"
},
{
"code" : "853168",
"display" : "{21 (Ethinyl Estradiol 0.03 MG / Norethindrone 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Gildess FE 1.5/30]"
},
{
"code" : "748386",
"display" : "{21 (Ethinyl Estradiol 0.03 MG / Norethindrone 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Junel Fe 1.5/30 28 Day]"
},
{
"code" : "748383",
"display" : "{21 (Ethinyl Estradiol 0.03 MG / Norethindrone 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Junel Fe 28 Day]"
},
{
"code" : "751903",
"display" : "{21 (Ethinyl Estradiol 0.03 MG / Norethindrone 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Loestrin Fe 1.5/30 28 Day]"
},
{
"code" : "753542",
"display" : "{21 (Ethinyl Estradiol 0.03 MG / Norethindrone 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Microgestin Fe 1.5/30 28 Day]"
},
{
"code" : "748020",
"display" : "{21 (Ethinyl Estradiol 0.03 MG / Norethindrone 1.5 MG Oral Tablet) } Pack [Junel 1.5/30 21 Day]"
},
{
"code" : "751904",
"display" : "{21 (Ethinyl Estradiol 0.03 MG / Norethindrone 1.5 MG Oral Tablet) } Pack [Loestrin 1.5/30 21 Day]"
},
{
"code" : "753541",
"display" : "{21 (Ethinyl Estradiol 0.03 MG / Norethindrone 1.5 MG Oral Tablet) } Pack [Microgestin 1.5/30 21 Day]"
},
{
"code" : "1986791",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Aurovela Fe 1.5/30 28 Day]"
},
{
"code" : "1729516",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Blisovi 21 Fe 1.5/30 28 Day Pack]"
},
{
"code" : "1359024",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Gildess FE 1.5/30 28 Day]"
},
{
"code" : "1359025",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Junel Fe 1.5/30 28 Day]"
},
{
"code" : "1440937",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Larin Fe 1.5/30]"
},
{
"code" : "1359026",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Loestrin Fe 1.5/30 28 Day]"
},
{
"code" : "1359027",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (ferrous fumarate 75 MG Oral Tablet) } Pack [Microgestin Fe 1.5/30 28 Day]"
},
{
"code" : "1928007",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Aurovela 1.5/30 21 Day]"
},
{
"code" : "1359029",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Gildess 1.5/30 21 Day]"
},
{
"code" : "1359030",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Junel 1.5/30 21 Day]"
},
{
"code" : "1537209",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Larin 1.5/30]"
},
{
"code" : "1359031",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Loestrin 1.5/30 21 Day]"
},
{
"code" : "1359032",
"display" : "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Microgestin 1.5/30 21 Day]"
},
{
"code" : "750265",
"display" : "{21 (ethinyl estradiol 0.03 MG / norgestrel 0.3 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Cryselle 28]"
},
{
"code" : "1305089",
"display" : "{21 (ethinyl estradiol 0.03 MG / norgestrel 0.3 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Elinest 28 Day]"
},
{
"code" : "749787",
"display" : "{21 (ethinyl estradiol 0.03 MG / norgestrel 0.3 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Lo/Ovral 28 Day]"
},
{
"code" : "750244",
"display" : "{21 (ethinyl estradiol 0.03 MG / norgestrel 0.3 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Low-Ogestrel 28 Day]"
},
{
"code" : "749160",
"display" : "{21 (ethinyl estradiol 0.03 MG / norgestrel 0.3 MG Oral Tablet) } Pack [Lo/Ovral 21 Day]"
},
{
"code" : "750245",
"display" : "{21 (ethinyl estradiol 0.03 MG / norgestrel 0.3 MG Oral Tablet) } Pack [Low-Ogestrel 21 Day]"
},
{
"code" : "899866",
"display" : "{21 (ethinyl estradiol 0.035 MG / ethynodiol diacetate 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Demulen 1/35 28 Day]"
},
{
"code" : "753483",
"display" : "{21 (ethinyl estradiol 0.035 MG / ethynodiol diacetate 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Kelnor 1/35 28 Day]"
},
{
"code" : "748859",
"display" : "{21 (ethinyl estradiol 0.035 MG / ethynodiol diacetate 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Zovia 1/35E 28 Day]"
},
{
"code" : "750249",
"display" : "{21 (ethinyl estradiol 0.035 MG / ethynodiol diacetate 1 MG Oral Tablet) } Pack [Demulen 1/35 21 Day]"
},
{
"code" : "1244908",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Chewable Tablet) / 7 (ferrous fumarate 75 MG Chewable Tablet) } Pack [Femcon Fe 28 Day]"
},
{
"code" : "1869047",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Chewable Tablet) / 7 (ferrous fumarate 75 MG Chewable Tablet) } Pack [Nexesta Fe 28 Day]"
},
{
"code" : "1244909",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Chewable Tablet) / 7 (ferrous fumarate 75 MG Chewable Tablet) } Pack [Ovcon 35 Fe 28 Day]"
},
{
"code" : "1486452",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Chewable Tablet) / 7 (ferrous fumarate 75 MG Chewable Tablet) } Pack [Wymzya Fe 28 Day]"
},
{
"code" : "1483558",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Chewable Tablet) / 7 (ferrous fumarate 75 MG Chewable Tablet) } Pack [Zenchent Fe 28 Day]"
},
{
"code" : "1095225",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Chewable Tablet) / 7 (ferrous fumarate 75 MG Chewable Tablet) } Pack [Zeosa 28 Day]"
},
{
"code" : "753480",
"display" : "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.4 MG Chewable Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Femcon FE 28 Day]"
},
{
"code" : "751873",
"display" : "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.4 MG Chewable Tablet) / 7 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Ovcon 35 Fe 28 Day]"
},
{
"code" : "750270",
"display" : "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.4 MG Oral Tablet) / 21 (Inert Ingredients 1 MG Oral Tablet) } Pack [Balziva 28]"
},
{
"code" : "1095362",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Balziva 28 Day]"
},
{
"code" : "1094543",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Briellyn 28 Day]"
},
{
"code" : "1367691",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Gildagia]"
},
{
"code" : "749737",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ovcon 35 28 Day]"
},
{
"code" : "1235874",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Philith 28 Day]"
},
{
"code" : "1485332",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Vyfemla 28 Day]"
},
{
"code" : "753536",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Zenchent 28 Day]"
},
{
"code" : "748998",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.4 MG Oral Tablet) } Pack [Ovcon 35 21 Day]"
},
{
"code" : "749880",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Brevicon 28 Day]"
},
{
"code" : "1856398",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Cyonanz 28 Day]"
},
{
"code" : "761983",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Genora 0.5/35 28 Day]"
},
{
"code" : "753396",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Modicon 28 Day]"
},
{
"code" : "751875",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Necon 0.5/35 28 Day]"
},
{
"code" : "751868",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Nortrel 0.5/35 28 Day]"
},
{
"code" : "1300911",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Wera 28 Day]"
},
{
"code" : "753264",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) } Pack [Brevicon 21 Day]"
},
{
"code" : "753398",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) } Pack [Modicon 21 Day]"
},
{
"code" : "751877",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) } Pack [Necon 0.5/35 21 Day]"
},
{
"code" : "1020407",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) } Pack [Nortrel 0.5/35 21 Day]"
},
{
"code" : "1242786",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Alyacen 1/35]"
},
{
"code" : "1047040",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Cyclafem 1/35 28 Day]"
},
{
"code" : "1300538",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Dasetta 1/35 28 Day]"
},
{
"code" : "761985",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Genora 1/35 28 Day]"
},
{
"code" : "751879",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Necon 1/35 28 Day]"
},
{
"code" : "753550",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Norethin 1/35 E 28 Day]"
},
{
"code" : "749881",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Norinyl 1/35 28 Day]"
},
{
"code" : "751870",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Nortrel 1/35 28 Day]"
},
{
"code" : "1856402",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Nylia 1/35 28 Day]"
},
{
"code" : "749859",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ortho-Novum 1/35 28 Day]"
},
{
"code" : "1427300",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Pirmella 1/35 28 Day]"
},
{
"code" : "751880",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) } Pack [Necon 1/35 21 Day]"
},
{
"code" : "753549",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) } Pack [Norethin 1/35 E 21 Day]"
},
{
"code" : "753273",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) } Pack [Norinyl 1+35 21 Day]"
},
{
"code" : "751871",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) } Pack [Nortrel 1/35 21 Day]"
},
{
"code" : "749870",
"display" : "{21 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) } Pack [Ortho-Novum 1/35 21 Day]"
},
{
"code" : "1369737",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Estarylla 28 Day]"
},
{
"code" : "1796922",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Femynor 28 Day]"
},
{
"code" : "1800499",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Mili 28 Day]"
},
{
"code" : "1365899",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Mono-Linyah 28 Day]"
},
{
"code" : "762003",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [MonoNessa 28 Day]"
},
{
"code" : "2468058",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Nymyo 28 Day]"
},
{
"code" : "749861",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ortho-Cyclen 28 Day]"
},
{
"code" : "753478",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Previfem 28 Day]"
},
{
"code" : "1994758",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [VyLibra 28 Day]"
},
{
"code" : "749867",
"display" : "{21 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) } Pack [Ortho-Cyclen 21 Day]"
},
{
"code" : "750255",
"display" : "{21 (ethinyl estradiol 0.05 MG / ethynodiol diacetate 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Demulen 1/50 28 Day]"
},
{
"code" : "2000695",
"display" : "{21 (ethinyl estradiol 0.05 MG / ethynodiol diacetate 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Kelnor 1/50 28 Day]"
},
{
"code" : "748864",
"display" : "{21 (ethinyl estradiol 0.05 MG / ethynodiol diacetate 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Zovia 1/50E 28 Day]"
},
{
"code" : "750254",
"display" : "{21 (ethinyl estradiol 0.05 MG / ethynodiol diacetate 1 MG Oral Tablet) } Pack [Demulen 1/50 21 Day]"
},
{
"code" : "807790",
"display" : "{21 (ethinyl estradiol 0.05 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Norethin 1/50 M 28 Day]"
},
{
"code" : "753477",
"display" : "{21 (ethinyl estradiol 0.05 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ovcon 50 28 Day]"
},
{
"code" : "763390",
"display" : "{21 (ethinyl estradiol 0.05 MG / norethindrone 1 MG Oral Tablet) } Pack [Norethin 1/50 21 Day]"
},
{
"code" : "750243",
"display" : "{21 (ethinyl estradiol 0.05 MG / norgestrel 0.5 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ogestrel 28 Day]"
},
{
"code" : "762008",
"display" : "{21 (ethinyl estradiol 0.05 MG / norgestrel 0.5 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ovral 28 Day]"
},
{
"code" : "762813",
"display" : "{21 (ethinyl estradiol 0.05 MG / norgestrel 0.5 MG Oral Tablet) } Pack [Ovral 21 Day]"
},
{
"code" : "2551217",
"display" : "{21 (infigratinib 100 MG Oral Capsule [Truseltiq]) / 21 (infigratinib 25 MG Oral Capsule [Truseltiq]) } Pack [Truseltiq 125 MG Daily Dose Carton]"
},
{
"code" : "2551012",
"display" : "{21 (infigratinib 100 MG Oral Capsule [Truseltiq]) } Pack [Truseltiq 100 MG Daily Dose Carton]"
},
{
"code" : "754514",
"display" : "{21 (Memantine 10 MG Oral Tablet [Namenda]) / 28 (Memantine 5 MG Oral Tablet [Namenda]) } Pack [Namenda Tritration Pak]"
},
{
"code" : "996634",
"display" : "{21 (memantine hydrochloride 10 MG Oral Tablet [Namenda]) / 28 (memantine hydrochloride 5 MG Oral Tablet [Namenda]) } Pack [Namenda 49 Titration Pack]"
},
{
"code" : "762677",
"display" : "{21 (mestranol 0.05 MG / norethindrone 1 MG Oral Tablet) } Pack [Necon 1/50 21 Day]"
},
{
"code" : "749872",
"display" : "{21 (mestranol 0.05 MG / norethindrone 1 MG Oral Tablet) } Pack [Ortho-Novum 1/50 21 Day]"
},
{
"code" : "834023",
"display" : "{21 (methylprednisolone 4 MG Oral Tablet [Medrol]) } Pack [Medrol Dosepak]"
},
{
"code" : "1235042",
"display" : "{21 (prednisolone 5 MG Oral Tablet [MILLIPRED]) } Pack [Millipred DP 6 Day]"
},
{
"code" : "845494",
"display" : "{21 (prednisone 10 MG Oral Tablet [Sterapred DS]) } Pack [Sterapred DS Uni-Pak]"
},
{
"code" : "845492",
"display" : "{21 (prednisone 5 MG Oral Tablet [Sterapred]) } Pack [Sterapred 5 MG Uni-Pak]"
},
{
"code" : "1873991",
"display" : "{21 (ribociclib 200 MG Oral Tablet [Kisqali]) } Pack [Kisqali 200 MG Daily Dose Carton]"
},
{
"code" : "1374574",
"display" : "{224 (tobramycin 28 MG Inhalation Powder [Tobi]) } Pack [TOBI Podhaler Kit]"
},
{
"code" : "1988786",
"display" : "{23 (brigatinib 180 MG Oral Tablet [Alunbrig]) / 7 (brigatinib 90 MG Oral Tablet [Alunbrig]) } Pack [Alunbrig Initiation Pack]"
},
{
"code" : "2044646",
"display" : "{24 (Acetaminophen 160 MG Chewable Tablet [Tylenol]) / 1 (120 ML) (Acetaminophen 32 MG/ML Oral Suspension [Tylenol]) } Pack [Tylenol be Ready Kit]"
},
{
"code" : "749589",
"display" : "{24 (Acetaminophen 500 MG / Diphenhydramine 25 MG Oral Tablet [Tylenol Extra Strength P.M.]) / 50 (Acetaminophen 500 MG Oral Tablet [Tylenol]) } Pack [Tylenol Extra Strength Day and Night Value Pack]"
},
{
"code" : "1092412",
"display" : "{24 (acetaminophen 500 MG / diphenhydramine hydrochloride 25 MG Oral Tablet [Tylenol PM]) / 50 (acetaminophen 500 MG Oral Tablet [Tylenol]) } Pack [Tylenol Extra Strength Day and Night Pack]"
},
{
"code" : "1011470",
"display" : "{24 (aluminum hydroxide 300 MG Oral Tablet) / 24 (magnesium hydroxide 150 MG Oral Tablet) } Pack [Mintox]"
},
{
"code" : "759468",
"display" : "{24 (Calcium Carbonate 1250 MG Oral Tablet) / 4 (Risedronate 35 MG Oral Tablet [Actonel]) } Pack [Actonel with Calcium]"
},
{
"code" : "905095",
"display" : "{24 (calcium carbonate 1250 MG Oral Tablet) / 4 (risedronate sodium 35 MG Oral Tablet [Actonel]) } Pack [Actonel with Calcium]"
},
{
"code" : "2539032",
"display" : "{24 (drospirenone 3 MG / estetrol 14.2 MG Oral Tablet) / 4 (inert ingredients 1 MG Oral Tablet) } Pack [Nextstellis 28 Day]"
},
{
"code" : "1013630",
"display" : "{24 (drospirenone 3 MG / ethinyl estradiol 0.02 MG / levomefolate calcium 0.451 MG Oral Tablet) / 4 (levomefolate calcium 0.451 MG Oral Tablet) } Pack [Beyaz 28 Day]"
},
{
"code" : "1813112",
"display" : "{24 (drospirenone 3 MG / ethinyl estradiol 0.02 MG / levomefolate calcium 0.451 MG Oral Tablet) / 4 (levomefolate calcium 0.451 MG Oral Tablet) } Pack [Rajani 28 Day]"
},
{
"code" : "993804",
"display" : "{24 (drospirenone 3 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 4 (inert ingredients 1 MG Oral Tablet) } Pack [Gianvi 28-Day]"
},
{
"code" : "1099026",
"display" : "{24 (drospirenone 3 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 4 (inert ingredients 1 MG Oral Tablet) } Pack [Loryna 28 Day]"
},
{
"code" : "2003375",
"display" : "{24 (drospirenone 3 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 4 (inert ingredients 1 MG Oral Tablet) } Pack [Lo-Zumandimine 28 Day]"
},
{
"code" : "1543553",
"display" : "{24 (drospirenone 3 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 4 (inert ingredients 1 MG Oral Tablet) } Pack [Nikki 28 Day]"
},
{
"code" : "1233850",
"display" : "{24 (drospirenone 3 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 4 (inert ingredients 1 MG Oral Tablet) } Pack [Vestura]"
},
{
"code" : "748856",
"display" : "{24 (drospirenone 3 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 4 (inert ingredients 1 MG Oral Tablet) } Pack [Yaz 28 Day]"
},
{
"code" : "1484903",
"display" : "{24 (ethinyl estradiol 0.01 MG / norethindrone acetate 1 MG Chewable Tablet) / 2 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (ferrous fumarate 75 MG Oral Tablet) } Pack [Lo Minastrin Fe 28 Day]"
},
{
"code" : "1037185",
"display" : "{24 (ethinyl estradiol 0.01 MG / norethindrone acetate 1 MG Oral Tablet) / 2 (ethinyl estradiol 0.01 MG Oral Tablet) / 2 (ferrous fumarate 75 MG Oral Tablet) } Pack [Lo Loestrin Fe 28 Day]"
},
{
"code" : "751887",
"display" : "{24 (Ethinyl Estradiol [Biaxin XL Pac]"
},
{
"code" : "2169322",
"display" : "{56 (alpelisib 150 MG Oral Tablet [Piqray]) } Pack [Piqray 300 MG Daily Dose]"
},
{
"code" : "2257013",
"display" : "{56 (elexacaftor 100 MG / ivacaftor 75 MG / tezacaftor 50 MG Oral Tablet) / 28 (ivacaftor 150 MG Oral Tablet) } Pack [Trikafta (100 MG / 50 MG / 75 MG; 150 MG)]"
},
{
"code" : "2557216",
"display" : "{56 (elexacaftor 50 MG / ivacaftor 37.5 MG / tezacaftor 25 MG Oral Tablet) / 28 (ivacaftor 75 MG Oral Tablet) } Pack [Trikafta (50 MG / 37.5 MG / 25 MG; 75 MG)]"
},
{
"code" : "2594742",
"display" : "{56 (mitapivat 20 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 20 MG 4-Week]"
},
{
"code" : "2594744",
"display" : "{56 (mitapivat 5 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 5 MG 4-Week]"
},
{
"code" : "2594795",
"display" : "{56 (mitapivat 50 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 50 MG 4-Week]"
},
{
"code" : "1661560",
"display" : "{56 (tobramycin 28 MG Inhalation Powder [Tobi]) } Pack [TOBI Podhaler Weekly Kit]"
},
{
"code" : "2274816",
"display" : "{56 (tolvaptan 15 MG Oral Tablet [Jynarque]) } Pack [Jynarque 15/15 Carton]"
},
{
"code" : "795735",
"display" : "{56 (varenicline 1 MG Oral Tablet [Chantix]) } Pack [Chantix Continuing Months Of Therapy]"
},
{
"code" : "1650282",
"display" : "{6 (0.2 ML interferon beta-1a 0.044 MG/ML Auto-Injector [Rebif]) / 6 (0.5 ML interferon beta-1a 0.044 MG/ML Auto-Injector [Rebif]) } Pack [Rebif Rebidose]"
},
{
"code" : "795749",
"display" : "{6 (0.2 ML interferon beta-1a 0.044 MG/ML Prefilled Syringe [Rebif]) / 6 (0.5 ML interferon beta-1a 0.044 MG/ML Prefilled Syringe [Rebif]) } Pack [Rebif Titration]"
},
{
"code" : "1872984",
"display" : "{6 (0.4 ML adalimumab 100 MG/ML Auto-Injector [Humira]) } Pack [Humira Pen 40 MG/0.4 ML Starter Pack - Crohn's Disease]"
},
{
"code" : "794081",
"display" : "{6 (0.5 ML) (interferon alfa-2b 6000000 UNT/ML Injectable Solution [Intron A]) / 42 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Rebetol Dose Reduction, Intron A 6,000,000 UNT/ML Single Dose Vials / 42 Rebetol Capsules]"
},
{
"code" : "794066",
"display" : "{6 (0.5 ML) (interferon alfa-2b 6000000 UNT/ML Injectable Solution [Intron A]) / 70 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Patients < = 75 KG, Intron A 6,000,000 UNT/ML Single Dose Vials / 70 Rebetol Capsules]"
},
{
"code" : "794074",
"display" : "{6 (0.5 ML) (interferon alfa-2b 6000000 UNT/ML Injectable Solution [Intron A]) / 84 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Patients > = 75 KG, Intron A 6,000,000 UNT/ML Single Dose Vials / 84 Rebetol Capsules]"
},
{
"code" : "1594352",
"display" : "{6 (0.8 ML adalimumab 50 MG/ML Prefilled Syringe [Humira]) } Pack [Humira Pediatric Crohn's Disease Starter Package (6 count)]"
},
{
"code" : "2170282",
"display" : "{6 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 8.6 - 9.0 kg]"
},
{
"code" : "847736",
"display" : "{6 (artemether 20 MG / lumefantrine 120 MG Oral Tablet [Coartem]) } Pack [Coartem 3-Day Treatment]"
},
{
"code" : "1102207",
"display" : "{6 (ascorbic acid 100 MG / biotin 0.3 MG / calcium carbonate 100 MG / calcium pantothenate 7 MG / folic acid 1 MG / niacin 25 MG / pyridoxine hydrochloride 30 MG / riboflavin 5 MG / succinic acid 150 MG / thiamine hydrochloride 5 MG / vitamin B12 0.01 MG Oral Tablet) / 24 (ascorbic acid 100 MG / biotin 0.3 MG / calcium pantothenate 0.3 MG / ferrous bisglycinate 65 MG / folic acid 1 MG / formic acid 155 MG / iron-dextran complex 65 MG / niacin 25 MG / pyridoxine hydrochloride 30 MG / riboflavin 5 MG / thiamine hydrochloride 5 MG / vitamin B12 0."
},
{
"code" : "750149",
"display" : "{6 (azithromycin 250 MG Oral Tablet [Zithromax]) } Pack [Z-PAK]"
},
{
"code" : "761977",
"display" : "{6 (ethinyl estradiol 0.03 MG / levonorgestrel 0.05 MG Oral Tablet) / 10 (ethinyl estradiol 0.03 MG / levonorgestrel 0.125 MG Oral Tablet) / 5 (ethinyl estradiol 0.04 MG / levonorgestrel 0.075 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Enpresse 28 Day]"
},
{
"code" : "1095227",
"display" : "{6 (ethinyl estradiol 0.03 MG / levonorgestrel 0.05 MG Oral Tablet) / 10 (ethinyl estradiol 0.03 MG / levonorgestrel 0.125 MG Oral Tablet) / 5 (ethinyl estradiol 0.04 MG / levonorgestrel 0.075 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Levonest 28 Day]"
},
{
"code" : "1241901",
"display" : "{6 (ethinyl estradiol 0.03 MG / levonorgestrel 0.05 MG Oral Tablet) / 10 (ethinyl estradiol 0.03 MG / levonorgestrel 0.125 MG Oral Tablet) / 5 (ethinyl estradiol 0.04 MG / levonorgestrel 0.075 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Myzilra 28 Day]"
},
{
"code" : "762332",
"display" : "{6 (ethinyl estradiol 0.03 MG / levonorgestrel 0.05 MG Oral Tablet) / 10 (ethinyl estradiol 0.03 MG / levonorgestrel 0.125 MG Oral Tablet) / 5 (ethinyl estradiol 0.04 MG / levonorgestrel 0.075 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Levlen 28 Day]"
},
{
"code" : "749565",
"display" : "{6 (ethinyl estradiol 0.03 MG / levonorgestrel 0.05 MG Oral Tablet) / 10 (ethinyl estradiol 0.03 MG / levonorgestrel 0.125 MG Oral Tablet) / 5 (ethinyl estradiol 0.04 MG / levonorgestrel 0.075 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Triphasil 28 Day]"
},
{
"code" : "748867",
"display" : "{6 (ethinyl estradiol 0.03 MG / levonorgestrel 0.05 MG Oral Tablet) / 10 (ethinyl estradiol 0.03 MG / levonorgestrel 0.125 MG Oral Tablet) / 5 (ethinyl estradiol 0.04 MG / levonorgestrel 0.075 MG Oral Tablet) } Pack [Triphasil 21 Day]"
},
{
"code" : "795892",
"display" : "{6 (Methotrexate 2.5 MG Oral Tablet [Rheumatrex]) } Pack [Rheumatrex Dose Pack 6]"
},
{
"code" : "2279429",
"display" : "{6 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia 6 MG (Level 2)]"
},
{
"code" : "795861",
"display" : "{6 (prednisone 10 MG Oral Tablet [Sterapred DS]) } Pack [Sterapred DS Uni-Pak 6 Day]"
},
{
"code" : "795857",
"display" : "{6 (prednisone 5 MG Oral Tablet [Sterapred]) } Pack [Sterapred Uni-Pak 6 Day]"
},
{
"code" : "891748",
"display" : "{60 (Bupropion 150 MG Extended Release Tablet [Zyban]) } Pack [Zyban Advantage Pack]"
},
{
"code" : "851212",
"display" : "{60 (Caffeine 65 MG / Riboflavin 6.25 MG / Thiamine 25 MG / Vitamin B 12 0.125 MG / Vitamin B6 25 MG Oral Capsule) / 60 (Ibuprofen 800 MG Oral Tablet) } Pack [IC 800 Kit]"
},
{
"code" : "851210",
"display" : "{60 (caffeine 65 MG / riboflavin 6.25 MG / thiamine 25 MG / vitamin B12 0.125 MG / vitamin B6 25 MG Oral Capsule) / 60 (ibuprofen 400 MG Oral Tablet) } Pack [IC 400 Kit]"
},
{
"code" : "795871",
"display" : "{60 (Chlorpheniramine 8 MG / Pseudoephedrine 120 MG Extended Release Capsule [Zinx Chlor-D]) / 15 (Zinc Acetate 14 MG Lozenge [Zinx]) } Pack [Zinx Allergy Kit]"
},
{
"code" : "795712",
"display" : "{60 (doxycycline monohydrate 100 MG Oral Tablet [Adoxa]) } Pack [Adoxa Pak 2/100]"
},
{
"code" : "852869",
"display" : "{60 (doxycycline monohydrate 150 MG Oral Capsule [Adoxa]) } Pack [Adoxa Pak 2/150]"
},
{
"code" : "795883",
"display" : "{60 (Guaifenesin 1000 MG / Phenylephrine 30 MG Extended Release Tablet [Zinx Congestion]) / 15 (Zinc Acetate 14 MG Lozenge [Zinx]) } Pack [Zinx Congestion Kit]"
},
{
"code" : "1862102",
"display" : "{60 (insulin, regular, human 12 UNT Inhalation Powder [Afrezza]) / 60 (insulin, regular, human 4 UNT Inhalation Powder [Afrezza]) / 60 (insulin, regular, human 8 UNT Inhalation Powder [Afrezza]) } Pack [Afrezza 180 Titration Pack- 60 (4 UNT), 60 (8 UNT), 60 (12 UNT)]"
},
{
"code" : "1544569",
"display" : "{60 (insulin, regular, human 4 UNT Inhalation Powder [Afrezza]) / 30 (insulin, regular, human 8 UNT Inhalation Powder [Afrezza]) } Pack [Afrezza 90 - 60 (4 UNT), 30 (8 UNT)]"
},
{
"code" : "1796665",
"display" : "{60 (lenvatinib 4 MG Oral Capsule [Lenvima]) } Pack [Lenvima 8]"
},
{
"code" : "763084",
"display" : "{60 (Methscopolamine 5 MG Oral Tablet [Pamine Forte]) } Pack [Pamine Forte Dose Pack 60]"
},
{
"code" : "2551212",
"display" : "{63 (infigratinib 25 MG Oral Capsule [Truseltiq]) } Pack [Truseltiq 75 MG Daily Dose Carton]"
},
{
"code" : "1873995",
"display" : "{63 (ribociclib 200 MG Oral Tablet [Kisqali]) } Pack [Kisqali 600 MG Daily Dose Carton]"
},
{
"code" : "1858971",
"display" : "{7 (24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 14 MG Extended Release Oral Capsule [Namzaric]) / 7 (24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 21 MG Extended Release Oral Capsule [Namzaric]) / 7 (24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 28 MG Extended Release Oral Capsule [Namzaric]) / 7 (24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 7 MG Extended Release Oral Capsule [Namzaric]) } Pack [Namzaric Titration Pack]"
},
{
"code" : "1092567",
"display" : "{7 (24 HR guanfacine 1 MG Extended Release Oral Tablet [Intuniv]) / 7 (24 HR guanfacine 2 MG Extended Release Oral Tablet [Intuniv]) } Pack [Intuniv Kit 7/7]"
},
{
"code" : "850101",
"display" : "{7 (24 HR lamotrigine 100 MG Extended Release Tablet [Lamictal]) / 14 (24 HR lamotrigine 25 MG Extended Release Tablet [Lamictal]) / 14 (24 HR lamotrigine 50 MG Extended Release Tablet [Lamictal]) } Pack [Lamictal XR Orange Patient Titration Kit (for"
},
{
"code" : "996633",
"display" : "{7 (24 HR memantine hydrochloride 14 MG Extended Release Oral Capsule [Namenda]) / 7 (24 HR memantine hydrochloride 21 MG Extended Release Oral Capsule [Namenda]) / 7 (24 HR memantine hydrochloride 28 MG Extended Release Oral Capsule [Namenda]) / 7 (24 HR memantine hydrochloride 7 MG Extended Release Oral Capsule [Namenda]) } Pack [Namenda 28 Titration Pack]"
},
{
"code" : "1241496",
"display" : "{7 (24 HR pramipexole dihydrochloride 0.375 MG Extended Release Oral Tablet [Mirapex]) / 7 (24 HR pramipexole dihydrochloride 0.75 MG Extended Release Oral Tablet [Mirapex]) / 7 (24 HR pramipexole dihydrochloride 1.5 MG Extended Release Oral Tablet [Mirapex]) } Pack [Mirapex ER Starter Kit]"
},
{
"code" : "830255",
"display" : "{7 (24 HR Rotigotine 0.0833 MG/HR Transdermal Patch [Neupro]) / 7 (24 HR Rotigotine 0.167 MG/HR Transdermal Patch [Neupro]) / 7 (24 HR Rotigotine 0.25 MG/HR Transdermal Patch [Neupro]) } Pack [Neupro Titration Kit]"
},
{
"code" : "1360633",
"display" : "{7 (24 HR rotigotine 0.0833 MG/HR Transdermal System [Neupro]) / 7 (24 HR rotigotine 0.167 MG/HR Transdermal System [Neupro]) } Pack [Neupro Kit]"
},
{
"code" : "2170261",
"display" : "{7 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 10.1 - 10.5 kg]"
},
{
"code" : "834768",
"display" : "{7 (desogestrel 0.1 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (desogestrel 0.125 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (desogestrel 0.15 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Caziant 28 Day]"
},
{
"code" : "761973",
"display" : "{7 (desogestrel 0.1 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (desogestrel 0.125 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (desogestrel 0.15 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Cesia 28 Day]"
},
{
"code" : "761974",
"display" : "{7 (desogestrel 0.1 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (desogestrel 0.125 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (desogestrel 0.15 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Cyclessa 28 Day]"
},
{
"code" : "762334",
"display" : "{7 (desogestrel 0.1 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (desogestrel 0.125 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (desogestrel 0.15 MG / ethinyl estradiol 0.025 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Velivet 28 Day]"
},
{
"code" : "1491643",
"display" : "{7 (eslicarbazepine acetate 400 MG Oral Tablet [Aptiom]) / 7 (eslicarbazepine acetate 800 MG Oral Tablet [Aptiom]) } Pack [Aptiom Titration Sample Pack]"
},
{
"code" : "1874537",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 42 (ethinyl estradiol 0.02 MG / levonorgestrel 0.15 MG Oral Tablet) / 21 (ethinyl estradiol 0.025 MG / levonorgestrel 0.15 MG Oral Tablet) / 21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Fayosim 91 Day]"
},
{
"code" : "1373504",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 42 (ethinyl estradiol 0.02 MG / levonorgestrel 0.15 MG Oral Tablet) / 21 (ethinyl estradiol 0.025 MG / levonorgestrel 0.15 MG Oral Tablet) / 21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Quartette 91 Day Pack]"
},
{
"code" : "1876397",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 42 (ethinyl estradiol 0.02 MG / levonorgestrel 0.15 MG Oral Tablet) / 21 (ethinyl estradiol 0.025 MG / levonorgestrel 0.15 MG Oral Tablet) / 21 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Rivelsa 91 Day]"
},
{
"code" : "1244632",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) } Pack [Amethia Lo 91 Day]"
},
{
"code" : "1921723",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) } Pack [Lo Simpesse 91 Day]"
},
{
"code" : "2117770",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) } Pack [Lojaimiess 28 Day]"
},
{
"code" : "810097",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) } Pack [LoSeasonique]"
},
{
"code" : "1112687",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Amethia 91 Day]"
},
{
"code" : "1603861",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Ashlyna 91 Day]"
},
{
"code" : "1149667",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Camrese 91 Day]"
},
{
"code" : "1423123",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Daysee 91 Day]"
},
{
"code" : "2001751",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Jaimiess 91 Day]"
},
{
"code" : "749762",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Seasonique]"
},
{
"code" : "1918056",
"display" : "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) } Pack [Simpesse 91 Day]"
},
{
"code" : "749158",
"display" : "{7 (ethinyl estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ortho Tri-Cyclen Lo 28 Day]"
},
{
"code" : "1722676",
"display" : "{7 (ethinyl estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Lo- Estarylla 28 Day]"
},
{
"code" : "856466",
"display" : "{7 (ethinyl estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Lo_Sprintec]"
},
{
"code" : "1305757",
"display" : "{7 (ethinyl estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Lo-Marzia 28-Day]"
},
{
"code" : "1858836",
"display" : "{7 (ethinyl estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Lo-Mili]"
},
{
"code" : "856467",
"display" : "{7 (ethinyl estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Lo-Sprintec 28 Day]"
},
{
"code" : "1728768",
"display" : "{7 (ethinyl estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.025 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Trinessa Lo 28 Day]"
},
{
"code" : "750251",
"display" : "{7 (Ethinyl Estradiol 0.035 MG / ethynodiol 1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Demulen 1/35 28 Day]"
},
{
"code" : "761999",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 14 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Jenest 28 Day]"
},
{
"code" : "1242787",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Alyacen 7/7/7]"
},
{
"code" : "1047041",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Cyclafem 7/7/7 28 Day]"
},
{
"code" : "1235867",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Dasetta 7/7/7 28 Day]"
},
{
"code" : "750264",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Necon 7/7/7 28 Day]"
},
{
"code" : "762007",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Nortrel 7/7/7 28 Day]"
},
{
"code" : "1856424",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Nylia 7/7/7 28 Day]"
},
{
"code" : "749853",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Ortho-Novum 7/7/7 28 Day]"
},
{
"code" : "1427301",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Pirmella 7/7/7 28 Day]"
},
{
"code" : "824312",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) } Pack [Nortrel 7/7/7 21 Day]"
},
{
"code" : "749855",
"display" : "{7 (ethinyl estradiol 0.035 MG / norethindrone 0.5 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 0.75 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norethindrone 1 MG Oral Tablet) } Pack [Ortho-Novum 7/7/7 21 Day]"
},
{
"code" : "1862600",
"display" : "{7 (ethinyl estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri Femynor 28 Day]"
},
{
"code" : "1369770",
"display" : "{7 (ethinyl estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Estarylla 28 Day]"
},
{
"code" : "1311535",
"display" : "{7 (ethinyl estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [TRI-LINYAH]"
},
{
"code" : "1800500",
"display" : "{7 (ethinyl estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Mili 28 Day]"
},
{
"code" : "751905",
"display" : "{7 (ethinyl estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Trinessa 28 Day]"
},
{
"code" : "2471314",
"display" : "{7 (ethinyl estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Nymyo 28 Day Pack]"
},
{
"code" : "753479",
"display" : "{7 (ethinyl estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Previfem 28 Day]"
},
{
"code" : "762333",
"display" : "{7 (ethinyl estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-Sprintec 28 Day]"
},
{
"code" : "1994764",
"display" : "{7 (ethinyl estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.215 MG Oral Tablet) / 7 (ethinyl estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Tri-VyLibra 28 Day]"
},
{
"code" : "761986",
"display" : "{7 (inert ingredients 1 MG Oral Tablet) / 21 (mestranol 0.05 MG / norethindrone 1 MG Oral Tablet) } Pack [Genora 1/50 28 Day]"
},
{
"code" : "762004",
"display" : "{7 (inert ingredients 1 MG Oral Tablet) / 21 (mestranol 0.05 MG / norethindrone 1 MG Oral Tablet) } Pack [Necon 1/50 28 Day]"
},
{
"code" : "749863",
"display" : "{7 (inert ingredients 1 MG Oral Tablet) / 21 (mestranol 0.05 MG / norethindrone 1 MG Oral Tablet) } Pack [Ortho-Novum 1/50 28 Day]"
},
{
"code" : "2003798",
"display" : "{7 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 42 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Orange (for Patients Not Taking Carbamazepine, Phenytoin, Phenobarbital, Primidone, or Valproate)]"
},
{
"code" : "810015",
"display" : "{7 (lansoprazole 15 MG Delayed Release Oral Capsule [Prevacid]) / 14 (naproxen 250 MG Oral Tablet [Naprosyn]) } Pack [PREVACID NapraPAC 250]"
},
{
"code" : "758487",
"display" : "{7 (lansoprazole 15 MG Delayed Release Oral Capsule [Prevacid]) / 14 (naproxen 375 MG Oral Tablet [Naprosyn]) } Pack [Prevacid NapraPac 375]"
},
{
"code" : "758498",
"display" : "{7 (lansoprazole 15 MG Delayed Release Oral Capsule [Prevacid]) / 14 (naproxen 500 MG Oral Tablet [Naprosyn]) } Pack [Prevacid NapraPac 500]"
},
{
"code" : "2594748",
"display" : "{7 (mitapivat 20 MG Oral Tablet [Pyrukynd]) / 7 (mitapivat 5 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 5 MG / 20 MG Taper]"
},
{
"code" : "2594750",
"display" : "{7 (mitapivat 20 MG Oral Tablet [Pyrukynd]) / 7 (mitapivat 50 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 20 MG / 50 MG Taper]"
},
{
"code" : "2594746",
"display" : "{7 (mitapivat 5 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 5 MG Taper]"
},
{
"code" : "763171",
"display" : "{7 (niacin 375 MG Extended Release Oral Tablet [Niaspan]) / 7 (niacin 500 MG Extended Release Oral Tablet [Niaspan]) / 7 (niacin 750 MG Extended Release Oral Tablet [Niaspan]) } Pack [Niaspan Starter Pack]"
},
{
"code" : "1359011",
"display" : "{7 (perampanel 2 MG Oral Tablet [FYCOMPA]) / 7 (perampanel 4 MG Oral Tablet [FYCOMPA]) } Pack [Fycompa 2/4 Sample Pack]"
},
{
"code" : "1721313",
"display" : "{7 (perampanel 4 MG Oral Tablet [FYCOMPA]) / 7 (perampanel 6 MG Oral Tablet [FYCOMPA]) } Pack [Fycompa 4/6 Sample Pack]"
},
{
"code" : "795742",
"display" : "{7 (Ribavirin 400 MG Oral Tablet) / 7 (Ribavirin 600 MG Oral Tablet) } Pack [RibaPak 1000mg/day]"
},
{
"code" : "2594797",
"display" : "{7 (siponimod 0.25 MG Oral Tablet [Mayzent]) } Pack [Mayzent 1 MG Starter Pack]"
},
{
"code" : "847389",
"display" : "{7 (Thyroxine 0.013 MG Oral Capsule [Tirosint]) } Pack [Tirosint 0.013]"
},
{
"code" : "847391",
"display" : "{7 (Thyroxine 0.025 MG Oral Capsule [Tirosint]) } Pack [Tirosint 0.025]"
},
{
"code" : "847393",
"display" : "{7 (Thyroxine 0.05 MG Oral Capsule [Tirosint]) } Pack [Tirosint 0.05]"
},
{
"code" : "847395",
"display" : "{7 (Thyroxine 0.075 MG Oral Capsule [Tirosint]) } Pack [Tirosint 0.075]"
},
{
"code" : "847397",
"display" : "{7 (Thyroxine 0.1 MG Oral Capsule [Tirosint]) } Pack [Tirosint 0.1]"
},
{
"code" : "847399",
"display" : "{7 (Thyroxine 0.125 MG Oral Capsule [Tirosint]) } Pack [Tirosint 0.125]"
},
{
"code" : "847401",
"display" : "{7 (Thyroxine 0.15 MG Oral Capsule [Tirosint]) } Pack [Tirosint 0.15]"
},
{
"code" : "2054269",
"display" : "{7 (valbenazine 40 MG Oral Capsule [Ingrezza]) / 21 (valbenazine 80 MG Oral Capsule [Ingrezza]) } Pack [Ingrezza]"
},
{
"code" : "1653470",
"display" : "{7 (vilazodone hydrochloride 10 MG Oral Tablet [Viibryd]) / 23 (vilazodone hydrochloride 20 MG Oral Tablet [Viibryd]) } Pack [Viibryd Starter Pack 10/20 30 Day Pack]"
},
{
"code" : "1099646",
"display" : "{7 (vilazodone hydrochloride 10 MG Oral Tablet [Viibryd]) / 7 (vilazodone hydrochloride 20 MG Oral Tablet [Viibryd]) } Pack [Viibryd 14]"
},
{
"code" : "1421878",
"display" : "{72 (calcium carbonate 1000 MG Chewable Tablet [Tums]) / 8 (calcium carbonate 750 MG Chewable Tablet [Tums]) } Pack [Tums 750 MG 8 ct - 1000 72 ct Kit]"
},
{
"code" : "1992428",
"display" : "{74 (apixaban 5 MG Oral Tablet [Eliquis]) } Pack [Eliquis 30-Day Starter Pack]"
},
{
"code" : "2170267",
"display" : "{8 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 11.6 - 12.0 kg]"
},
{
"code" : "857535",
"display" : "{8 (acetaminophen 500 MG / hydrocodone bitartrate 5 MG Oral Tablet) } Pack [ComfortPak]"
},
{
"code" : "1926602",
"display" : "{8 (Diphenhydramine Hydrochloride 25 MG / Phenylephrine Hydrochloride 10 MG Oral Tablet [Sudafed PE Sinus Congestion plus Allergy]) / 12 (Phenylephrine Hydrochloride 10 MG Oral Tablet [Sudafed PE]) } Pack [Sudafed PE Day Plus Night Sinus Congestion K"
},
{
"code" : "1745457",
"display" : "{8 (Glycerin 200 MG/ML / Lidocaine 50 MG/ML / Phenylephrine Hydrochloride 2.5 MG/ML Medicated Pad [RectiCare Advanced Wipes]) / 1 (15000 MG) (Lidocaine 50 MG/ML / Mineral Oil 170 MG/ML / Petrolatum 370 MG/ML / Phenylephrine Hydrochloride 2.5 MG/ML To"
},
{
"code" : "1150118",
"display" : "{8 (methotrexate 2.5 MG Oral Tablet [Rheumatrex]) } Pack [Rheumatrex Dose Pack 8]"
},
{
"code" : "2382993",
"display" : "{8 (selinexor 20 MG Oral Tablet [Xpovio]) } Pack [Xpovio 40 MG Once Weekly Carton]"
},
{
"code" : "2548767",
"display" : "{8 (selinexor 40 MG Oral Tablet [Xpovio]) } Pack [Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton]"
},
{
"code" : "2548766",
"display" : "{8 (selinexor 40 MG Oral Tablet [Xpovio]) } Pack [Xpovio 80 MG Once Weekly Carton-40 MG Tablets]"
},
{
"code" : "2548742",
"display" : "{8 (selinexor 50 MG Oral Tablet [Xpovio]) } Pack [Xpovio 100 MG Once Weekly Carton-50 MG Tablets]"
},
{
"code" : "1661567",
"display" : "{8 (tobramycin 28 MG Inhalation Powder [Tobi]) } Pack [TOBI Podhaler Daily Kit]"
},
{
"code" : "1364581",
"display" : "{84 (cabozantinib 20 MG Oral Capsule [Cometriq]) } Pack [Cometriq 60 MG Daily Dose Carton]"
},
{
"code" : "1020155",
"display" : "{84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Introvale 91 Day]"
},
{
"code" : "762663",
"display" : "{84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Jolessa 91 Day]"
},
{
"code" : "759469",
"display" : "{84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Quasense 91 Day]"
},
{
"code" : "751902",
"display" : "{84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Seasonale 91 Day]"
},
{
"code" : "1661092",
"display" : "{84 (ethinyl estradiol 0.03 MG / levonorgestrel 0.15 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Setlakin 91 Day]"
},
{
"code" : "2170257",
"display" : "{9 (8.3 ML onasemnogene abeparvovec-xioi 20000000000000 VECTOR-GENOMES/ML Injection [Zolgensma]) } Pack [Zolgensma Kit 13.1 - 13.5 kg]"
},
{
"code" : "2398512",
"display" : "{9 (Once-Daily gabapentin 300 MG Oral Tablet [Gralise]) / 24 (Once-Daily gabapentin 600 MG Oral Tablet [Gralise]) } Pack [Gralise Sample Pack]"
},
{
"code" : "763019",
"display" : "{90 (insulin human, rDNA origin 1 MG Inhalation Powder [Exubera]) / 90 (insulin human, rDNA origin 3 MG Inhalation Powder [Exubera]) } Pack [Exubera Combination Pack 12]"
},
{
"code" : "1798388",
"display" : "{90 (insulin, regular, human 4 UNT Inhalation Powder [Afrezza]) / 90 (insulin, regular, human 8 UNT Inhalation Powder [Afrezza]) } Pack [Afrezza Titration Pack]"
},
{
"code" : "2054159",
"display" : "{90 (lenvatinib 4 MG Oral Capsule [Lenvima]) } Pack [Lenvima 12]"
},
{
"code" : "214892",
"display" : "1 Plus 1 F"
},
{
"code" : "393519",
"display" : "1/2 Halfprin"
},
{
"code" : "91628",
"display" : "10 Benzagel"
},
{
"code" : "214895",
"display" : "12 Hour Cold"
},
{
"code" : "214897",
"display" : "12 Hour Nasal Tablet"
},
{
"code" : "1013676",
"display" : "300 PRO LA"
},
{
"code" : "544008",
"display" : "4 Face Up"
},
{
"code" : "214899",
"display" : "40 Winks"
},
{
"code" : "672535",
"display" : "4-Way"
},
{
"code" : "1044287",
"display" : "4-Way Fast Acting"
},
{
"code" : "214898",
"display" : "4-Way Fast Acting Nasal Spray"
},
{
"code" : "1044569",
"display" : "4-Way Moisturizing"
},
{
"code" : "707252",
"display" : "4-Way Saline"
},
{
"code" : "1536545",
"display" : "4XLA Activator"
},
{
"code" : "1655067",
"display" : "4XLA Base"
},
{
"code" : "91627",
"display" : "5 Benzagel"
},
{
"code" : "544015",
"display" : "5 Face Up"
},
{
"code" : "1421158",
"display" : "5-Way Calf Scour Bolus"
},
{
"code" : "630067",
"display" : "60 Second"
},
{
"code" : "1650691",
"display" : "60 Second Taste"
},
{
"code" : "705301",
"display" : "666 Cold Preparation"
},
{
"code" : "902295",
"display" : "8-1 Marvel Aid"
},
{
"code" : "227713",
"display" : "8-MOP"
},
{
"code" : "1370740",
"display" : "A & L Laboratories 10 Mix 10"
},
{
"code" : "1370735",
"display" : "A & L Laboratories Protect"
},
{
"code" : "645872",
"display" : "A Tan-12X"
},
{
"code" : "605082",
"display" : "A.E.R. Witch Hazel"
},
{
"code" : "214909",
"display" : "A.P.L."
},
{
"code" : "214910",
"display" : "A.R.M. Allergy Relief"
},
{
"code" : "543851",
"display" : "A.T.O."
},
{
"code" : "544072",
"display" : "A.T.O. epinephrine lidocaine combination"
},
{
"code" : "544062",
"display" : "A.T.O. Mepivacaine"
},
{
"code" : "214911",
"display" : "A/B Otic"
},
{
"code" : "214912",
"display" : "A/Fish Oil"
},
{
"code" : "214913",
"display" : "A/T/S"
},
{
"code" : "1117240",
"display" : "A+D Diaper Rash"
},
{
"code" : "705892",
"display" : "A+D Original"
},
{
"code" : "214901",
"display" : "A-200 Lice Control"
},
{
"code" : "214903",
"display" : "A-25"
},
{
"code" : "214914",
"display" : "AA&C"
},
{
"code" : "1358725",
"display" : "Aardora Anti-Fungal Maximum Strength"
},
{
"code" : "204209",
"display" : "Abbokinase"
},
{
"code" : "91663",
"display" : "Abbokinase Open-Cath"
},
{
"code" : "2536435",
"display" : "Abecma"
},
{
"code" : "544991",
"display" : "ABG Pulsator"
},
{
"code" : "352393",
"display" : "Abilify"
},
{
"code" : "360398",
"display" : "Able brand of nitroglycerin"
},
{
"code" : "1363395",
"display" : "Abletex"
},
{
"code" : "602822",
"display" : "Abletex PSE"
},
{
"code" : "1046885",
"display" : "ABR-90"
},
{
"code" : "589511",
"display" : "Abraxane"
},
{
"code" : "285039",
"display" : "Abreva"
},
{
"code" : "1095369",
"display" : "Abridge Cold Sore"
},
{
"code" : "1427375",
"display" : "Abridge Maximum Strength Cold Sore"
},
{
"code" : "658745",
"display" : "Absorbine"
},
{
"code" : "214951",
"display" : "Absorbine Athletes Foot"
},
{
"code" : "214952",
"display" : "Absorbine Jock Itch"
},
{
"code" : "214953",
"display" : "Absorbine Jr."
},
{
"code" : "214954",
"display" : "Absorbine Jr. Antifungal"
},
{
"code" : "1863550",
"display" : "Absorbine Lidocaine"
},
{
"code" : "993827",
"display" : "Absorbine Veterinary"
},
{
"code" : "1361213",
"display" : "Absorbine Veterinary Liniment"
},
{
"code" : "1299198",
"display" : "Absorica"
},
{
"code" : "1053648",
"display" : "Abstral"
},
{
"code" : "833083",
"display" : "ACAM2000"
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{
"code" : "810005",
"display" : "Acanya"
},
{
"code" : "1047095",
"display" : "Acarexx"
},
{
"code" : "545692",
"display" : "Acclean"
},
{
"code" : "828393",
"display" : "Acclean APF"
},
{
"code" : "2539944",
"display" : "Accrufer"
},
{
"code" : "583344",
"display" : "Accu"
},
{
"code" : "583535",
"display" : "Accu Fluro"
},
{
"code" : "584543",
"display" : "Accu Gentamicin"
},
{
"code" : "584585",
"display" : "Accu Phenylephrine"
},
{
"code" : "584194",
"display" : "Accu Tetracaine"
},
{
"code" : "582950",
"display" : "Accuhist"
},
{
"code" : "405757",
"display" : "AccuHist DM Pediatric"
},
{
"code" : "404823",
"display" : "AccuHist DM Pediatric Drops"
},
{
"code" : "578912",
"display" : "Accuhist Drops"
},
{
"code" : "900609",
"display" : "Accuhist Drops Reformulated Feb 2010"
},
{
"code" : "807431",
"display" : "Accuhist Drops Reformulated Sep 2008"
},
{
"code" : "630318",
"display" : "Accuhist PC"
},
{
"code" : "579552",
"display" : "AccuHist PDX"
},
{
"code" : "604522",
"display" : "Accuhist PDX Drops"
},
{
"code" : "758528",
"display" : "Accuhist PDX Drops Reformulated Feb 2008"
},
{
"code" : "404824",
"display" : "AccuHist Pediatric"
},
{
"code" : "352394",
"display" : "Accuneb"
},
{
"code" : "72210",
"display" : "Accupril"
},
{
"code" : "151292",
"display" : "Accupro"
},
{
"code" : "151293",
"display" : "Accuretic"
},
{
"code" : "809851",
"display" : "Accuretic 10/12.5"
},
{
"code" : "809855",
"display" : "Accuretic 20/12.5"
},
{
"code" : "882556",
"display" : "Accuretic 20/25"
},
{
"code" : "202795",
"display" : "Accutane"
},
{
"code" : "631431",
"display" : "Accu-Tropicamide"
},
{
"code" : "214956",
"display" : "Accuzyme"
},
{
"code" : "224904",
"display" : "ACEL-IMUNE"
},
{
"code" : "261438",
"display" : "Aceon"
},
{
"code" : "225064",
"display" : "Acephen"
},
{
"code" : "151294",
"display" : "Acepril"
},
{
"code" : "214957",
"display" : "Acerola"
},
{
"code" : "214958",
"display" : "Acerola C"
},
{
"code" : "5459",
"display" : "Acerola C, 500 mg oral tablet, chewable"
},
{
"code" : "214959",
"display" : "Aceta"
},
{
"code" : "404825",
"display" : "Acetadote"
},
{
"code" : "1245481",
"display" : "Acetadrink"
},
{
"code" : "1116529",
"display" : "Acetadryl"
},
{
"code" : "214960",
"display" : "Aceta-Gesic"
},
{
"code" : "604549",
"display" : "Acetaminophen Child"
},
{
"code" : "214962",
"display" : "Acetaminophen Jr"
},
{
"code" : "214963",
"display" : "Acetaminophen PM"
},
{
"code" : "603131",
"display" : "Acetaminophen Quickmelt"
},
{
"code" : "8587",
"display" : "acetaminophen/dextromethorphan/PSE 325 mg-10 mg-30 mg oral capsule"
},
{
"code" : "114221",
"display" : "Acetaminophen/Pamabrom/Pyridoxine Hydrochloride 325 MG-25 MG-1 MG Oral Tablet"
},
{
"code" : "214968",
"display" : "Acetasol"
},
{
"code" : "214969",
"display" : "Acetasol HC"
},
{
"code" : "214972",
"display" : "Acetocot"
},
{
"code" : "385387",
"display" : "Acetoxyl"
},
{
"code" : "227789",
"display" : "Achromycin"
},
{
"code" : "196201",
"display" : "Achromycin V"
},
{
"code" : "352396",
"display" : "Acid Gone"
},
{
"code" : "214974",
"display" : "Acid Gone Antacid"
},
{
"code" : "261439",
"display" : "Acid Jelly"
},
{
"code" : "214976",
"display" : "Acid Phos Fluor Rinse"
},
{
"code" : "214977",
"display" : "Acid Relief"
},
{
"code" : "352397",
"display" : "Acidic Vaginal Jelly"
},
{
"code" : "214978",
"display" : "ACIDOPHILUS"
},
{
"code" : "214973",
"display" : "Aci-Jel"
},
{
"code" : "214904",
"display" : "A-Cillin"
},
{
"code" : "261440",
"display" : "Aciphex"
},
{
"code" : "115666",
"display" : "Aciphex Sprinkle 10mg Delayed-Release Capsule"
},
{
"code" : "226169",
"display" : "Acitak 200"
},
{
"code" : "226170",
"display" : "Acitak 400"
},
{
"code" : "226171",
"display" : "Acitak 800"
},
{
"code" : "151296",
"display" : "Aclacin"
},
{
"code" : "545084",
"display" : "Aclaro"
},
{
"code" : "214979",
"display" : "Aclovate"
},
{
"code" : "214980",
"display" : "Acne brand of benozyl peroxide"
},
{
"code" : "214981",
"display" : "Acne Medication"
},
{
"code" : "214982",
"display" : "Acne Treatment"
},
{
"code" : "57766",
"display" : "Acne Treatment Cream"
},
{
"code" : "214983",
"display" : "Acne-10"
},
{
"code" : "214984",
"display" : "Acne-5"
},
{
"code" : "11177",
"display" : "Acne-5"
},
{
"code" : "385755",
"display" : "Acnecide"
},
{
"code" : "214986",
"display" : "Acne-Clear"
},
{
"code" : "1087771",
"display" : "Acneclir"
},
{
"code" : "1541250",
"display" : "Acnefree BP"
},
{
"code" : "2048988",
"display" : "AcneFree BP Oil Free Acne Clearing System Kit"
},
{
"code" : "2048990",
"display" : "AcneFree BP Severe Acne Kit (AcneFree BP 10 % Topical Lotion / AcneFree BP 2.5 % Medicated Liquid Soap Pack)"
},
{
"code" : "1541263",
"display" : "Acnefree SA"
},
{
"code" : "385389",
"display" : "Acnegel"
},
{
"code" : "226173",
"display" : "Acnegel Forte"
},
{
"code" : "997961",
"display" : "Acnevir"
},
{
"code" : "1043188",
"display" : "AcneWorx"
},
{
"code" : "214987",
"display" : "Acnigel"
},
{
"code" : "214988",
"display" : "Acnomel"
},
{
"code" : "214989",
"display" : "Acnotex"
},
{
"code" : "728461",
"display" : "A-Cof DH"
},
{
"code" : "226419",
"display" : "Acoflam"
},
{
"code" : "226421",
"display" : "Acoflam Retard"
},
{
"code" : "226420",
"display" : "Acoflam SR"
},
{
"code" : "284648",
"display" : "Acova"
},
{
"code" : "1091597",
"display" : "Acpuris Intensive Spot Treatment"
},
{
"code" : "1600731",
"display" : "ACT Advanced Care"
},
{
"code" : "214916",
"display" : "ACT Fluoride Rinse"
},
{
"code" : "214991",
"display" : "Actacin"
},
{
"code" : "214992",
"display" : "Actagen"
},
{
"code" : "214993",
"display" : "Actahist"
},
{
"code" : "214994",
"display" : "Actamin"
},
{
"code" : "214995",
"display" : "Actamine"
},
{
"code" : "214996",
"display" : "Actedril"
},
{
"code" : "895761",
"display" : "Actemra"
},
{
"code" : "94677",
"display" : "ACTH Gel"
},
{
"code" : "214917",
"display" : "ACTH-40 HP"
},
{
"code" : "214918",
"display" : "ACTH-80"
},
{
"code" : "1040019",
"display" : "Acthar"
},
{
"code" : "214997",
"display" : "Acthar Gel"
},
{
"code" : "637866",
"display" : "ActHIB"
},
{
"code" : "214990",
"display" : "ActHib with DPT"
},
{
"code" : "74669",
"display" : "Acthrel"
},
{
"code" : "91677",
"display" : "Actibine"
},
{
"code" : "214998",
"display" : "Acticin"
},
{
"code" : "1543946",
"display" : "Acticlate"
},
{
"code" : "541741",
"display" : "Acticon"
},
{
"code" : "214999",
"display" : "Acticort 100"
},
{
"code" : "203887",
"display" : "Actidil"
},
{
"code" : "1251406",
"display" : "Actidose"
},
{
"code" : "215000",
"display" : "Actidose Plus Sorbitol"
},
{
"code" : "215001",
"display" : "Actidose-Aqua"
},
{
"code" : "16886",
"display" : "Actifed"
},
{
"code" : "215002",
"display" : "Actifed Allergy Day/Night"
},
{
"code" : "700603",
"display" : "Actifed Cold & Allergy"
},
{
"code" : "602381",
"display" : "Actifed Cold & Sinus"
},
{
"code" : "215004",
"display" : "Actifed Plus"
},
{
"code" : "215006",
"display" : "Actifed with Codeine"
},
{
"code" : "215007",
"display" : "Actigall"
},
{
"code" : "196453",
"display" : "Actilyse"
},
{
"code" : "258348",
"display" : "Actimmune"
},
{
"code" : "227238",
"display" : "Actinex"
},
{
"code" : "215008",
"display" : "Actiq"
},
{
"code" : "352628",
"display" : "Actiron"
},
{
"code" : "231828",
"display" : "Actisite"
},
{
"code" : "204210",
"display" : "Activase"
},
{
"code" : "215010",
"display" : "Active brand of pseudoephedrine-triprolidine"
},
{
"code" : "1085416",
"display" : "Active Q"
},
{
"code" : "261441",
"display" : "Activella"
},
{
"code" : "1248586",
"display" : "ActiveOxy"
},
{
"code" : "2119850",
"display" : "ActivICE"
},
{
"code" : "707399",
"display" : "ActivOn Arthritis"
},
{
"code" : "707406",
"display" : "ActivOn Joint & Muscle"
},
{
"code" : "753143",
"display" : "Actonel"
},
{
"code" : "905101",
"display" : "Actonel 35 12-Week Once Weekly Dosepack"
},
{
"code" : "905093",
"display" : "Actonel 35 4-Week Once Weekly Dosepack"
},
{
"code" : "905087",
"display" : "Actonel 75 Dosepack"
},
{
"code" : "215011",
"display" : "Actonel brand of risedronate sodium"
},
{
"code" : "602411",
"display" : "Actoplus Met"
},
{
"code" : "731440",
"display" : "Actoplus Met 15/500"
},
{
"code" : "731423",
"display" : "Actoplus Met 15/850"
},
{
"code" : "261442",
"display" : "Actos"
},
{
"code" : "215012",
"display" : "Actron"
},
{
"code" : "540514",
"display" : "Acuflex"
},
{
"code" : "1439852",
"display" : "Acuguard"
},
{
"code" : "152819",
"display" : "Acular"
},
{
"code" : "404828",
"display" : "Acular LS"
},
{
"code" : "154993",
"display" : "Acupan"
},
{
"code" : "215014",
"display" : "Acuprin 81"
},
{
"code" : "215015",
"display" : "Acutrim 16 Hour"
},
{
"code" : "358281",
"display" : "Acutrim II"
},
{
"code" : "215017",
"display" : "Acutrim Late Day"
},
{
"code" : "285041",
"display" : "Acutuss DM Pediatric"
},
{
"code" : "858359",
"display" : "Acuvail"
},
{
"code" : "541149",
"display" : "Acylovir"
},
{
"code" : "215018",
"display" : "Acys-5"
},
{
"code" : "605173",
"display" : "Aczone"
},
{
"code" : "605718",
"display" : "Adacel"
},
{
"code" : "215019",
"display" : "Adagen"
},
{
"code" : "2262426",
"display" : "Adakveo"
},
{
"code" : "151131",
"display" : "Adalat"
},
{
"code" : "226176",
"display" : "Adalat AR"
},
{
"code" : "215020",
"display" : "Adalat CC"
},
{
"code" : "151133",
"display" : "Adalat LA"
},
{
"code" : "226177",
"display" : "Adalat Retard 10"
},
{
"code" : "226178",
"display" : "Adalat Retard 20"
},
{
"code" : "151300",
"display" : "Adalate"
},
{
"code" : "151301",
"display" : "Adalate LP"
},
{
"code" : "759751",
"display" : "Adandamet 2/500"
},
{
"code" : "224914",
"display" : "Adapin"
},
{
"code" : "1364415",
"display" : "Adasuve"
},
{
"code" : "215021",
"display" : "Adbeon"
},
{
"code" : "2589380",
"display" : "Adbry"
},
{
"code" : "1147324",
"display" : "Adcetris"
},
{
"code" : "849863",
"display" : "Adcirca"
},
{
"code" : "151302",
"display" : "Adcortyl"
},
{
"code" : "900431",
"display" : "Addaprin"
},
{
"code" : "352398",
"display" : "Adderall-XR"
},
{
"code" : "1666386",
"display" : "Addyi"
},
{
"code" : "1439889",
"display" : "Adempas"
},
{
"code" : "258345",
"display" : "Adenocard"
},
{
"code" : "215024",
"display" : "Adeno-jec"
},
{
"code" : "215025",
"display" : "Adenoscan"
},
{
"code" : "1085959",
"display" : "Adequan"
},
{
"code" : "215027",
"display" : "Adgan"
},
{
"code" : "2119550",
"display" : "Adhansia"
},
{
"code" : "701181",
"display" : "Adidas"
},
{
"code" : "151304",
"display" : "Adifax"
},
{
"code" : "226182",
"display" : "Adipine MR 10"
},
{
"code" : "226183",
"display" : "Adipine MR 20"
},
{
"code" : "215028",
"display" : "Adipost"
},
{
"code" : "151143",
"display" : "Adizem"
},
{
"code" : "151144",
"display" : "Adizem-SR"
},
{
"code" : "151145",
"display" : "Adizem-XL"
},
{
"code" : "215029",
"display" : "Adlone-40"
},
{
"code" : "215030",
"display" : "Adlone-80"
},
{
"code" : "1803887",
"display" : "Adlyxin"
},
{
"code" : "1992165",
"display" : "Admelog"
},
{
"code" : "353445",
"display" : "Adoxa"
},
{
"code" : "215031",
"display" : "Adprin B"
},
{
"code" : "891434",
"display" : "Adrenaclick"
},
{
"code" : "1490053",
"display" : "Adrenalin"
},
{
"code" : "215032",
"display" : "Adrenocot"
},
{
"code" : "215033",
"display" : "Adrenocot L.A."
},
{
"code" : "91697",
"display" : "Adriamycin PFS"
},
{
"code" : "91698",
"display" : "Adriamycin RDF"
},
{
"code" : "202632",
"display" : "Adrucil"
},
{
"code" : "215034",
"display" : "Adsorbocarpine"
},
{
"code" : "215035",
"display" : "Adsorbonac"
},
{
"code" : "2557225",
"display" : "Aduhelm"
},
{
"code" : "215036",
"display" : "Adult Pain"
},
{
"code" : "204196",
"display" : "Adult Severe Congestion and Cough"
},
{
"code" : "215037",
"display" : "Adult Strength"
},
{
"code" : "226185",
"display" : "Adult's Decongestant"
},
{
"code" : "301543",
"display" : "Advair"
},
{
"code" : "896162",
"display" : "Advair 100/50"
},
{
"code" : "896240",
"display" : "Advair 115/21"
},
{
"code" : "896268",
"display" : "Advair 230/21"
},
{
"code" : "896187",
"display" : "Advair 250/50"
},
{
"code" : "896232",
"display" : "Advair 45/21"
},
{
"code" : "896219",
"display" : "Advair 500/50"
},
{
"code" : "284649",
"display" : "Advair Diskus"
},
{
"code" : "746719",
"display" : "Advair Diskus 100/50"
},
{
"code" : "746735",
"display" : "Advair Diskus 250/50"
},
{
"code" : "746726",
"display" : "Advair Diskus 500/50"
},
{
"code" : "643325",
"display" : "Advair HFA"
},
{
"code" : "884620",
"display" : "Advanced Eye Relief Night Time"
},
{
"code" : "1098363",
"display" : "Advanced Eye Relief Redness Instant Relief"
},
{
"code" : "215038",
"display" : "Advanced Formula Di-Gel"
},
{
"code" : "284650",
"display" : "Advanced Pain Relief"
},
{
"code" : "1098343",
"display" : "Advanced Zinc-Oxyde Plus Ointment"
},
{
"code" : "215039",
"display" : "Advantage 24 Contraceptive"
},
{
"code" : "1251583",
"display" : "Advantage Multi"
},
{
"code" : "326625",
"display" : "Advantage-S"
},
{
"code" : "1942526",
"display" : "Advantus"
},
{
"code" : "669348",
"display" : "Advate"
},
{
"code" : "327008",
"display" : "Advicor"
},
{
"code" : "757733",
"display" : "Advicor 1000 mg/20 mg"
},
{
"code" : "757737",
"display" : "Advicor 1000 mg/40 mg"
},
{
"code" : "791831",
"display" : "Advicor 1000/20"
},
{
"code" : "791843",
"display" : "Advicor 1000/40"
},
{
"code" : "791835",
"display" : "Advicor 500/20"
},
{
"code" : "757745",
"display" : "Advicor 750 mg/20 mg"
},
{
"code" : "791839",
"display" : "Advicor 750/20"
},
{
"code" : "153010",
"display" : "Advil"
},
{
"code" : "404831",
"display" : "Advil Allergy Sinus"
},
{
"code" : "215040",
"display" : "Advil Childrens"
},
{
"code" : "23371",
"display" : "Advil Children's 100mg/5ml Suspension (Grape)"
},
{
"code" : "702198",
"display" : "Advil Children's Cold"
},
{
"code" : "215041",
"display" : "Advil Cold and Sinus"
},
{
"code" : "993800",
"display" : "Advil Congestion Relief"
},
{
"code" : "226186",
"display" : "Advil Extra Strength"
},
{
"code" : "215042",
"display" : "Advil Junior Strength"
},
{
"code" : "215043",
"display" : "Advil Liquigel"
},
{
"code" : "284651",
"display" : "Advil Migraine"
},
{
"code" : "602194",
"display" : "Advil Multi-Symptom Cold"
},
{
"code" : "215044",
"display" : "Advil Pediatric"
},
{
"code" : "643061",
"display" : "Advil PM"
},
{
"code" : "902630",
"display" : "Advil PM Liqui Gels"
},
{
"code" : "1722328",
"display" : "Advil Sinus Congestion and Pain"
},
{
"code" : "1487199",
"display" : "Advocin"
},
{
"code" : "1741392",
"display" : "Adynovate"
},
{
"code" : "1739804",
"display" : "Adzenys"
},
{
"code" : "2106357",
"display" : "Aemcolo"
},
{
"code" : "1091601",
"display" : "Aero Florafree"
},
{
"code" : "631036",
"display" : "Aero Otic HC"
},
{
"code" : "215046",
"display" : "Aeroaid"
},
{
"code" : "215045",
"display" : "AeroBid"
},
{
"code" : "215047",
"display" : "Aerodine"
},
{
"code" : "541299",
"display" : "Aerohist"
},
{
"code" : "602204",
"display" : "Aerohist Plus"
},
{
"code" : "604142",
"display" : "Aerokid"
},
{
"code" : "203399",
"display" : "Aerolate"
},
{
"code" : "215048",
"display" : "Aerolate III"
},
{
"code" : "215049",
"display" : "Aerolate JR"
},
{
"code" : "91710",
"display" : "Aerolate Sr."
},
{
"code" : "226190",
"display" : "Aerolin"
},
{
"code" : "361818",
"display" : "Aerolin-400"
},
{
"code" : "203713",
"display" : "Aeroseb-Dex"
},
{
"code" : "202641",
"display" : "Aeroseb-HC"
},
{
"code" : "1245271",
"display" : "Aerospan"
},
{
"code" : "202404",
"display" : "Aerosporin"
},
{
"code" : "215050",
"display" : "Aerozoin"
},
{
"code" : "542720",
"display" : "Afeditab CR"
},
{
"code" : "214905",
"display" : "A-Fil"
},
{
"code" : "845509",
"display" : "Afinitor"
},
{
"code" : "352399",
"display" : "Aflaxen"
},
{
"code" : "805507",
"display" : "Afluria 2008-2009 Formula"
},
{
"code" : "857925",
"display" : "Afluria 2009-2010 Formula"
},
{
"code" : "1006306",
"display" : "Afluria 2010-2011 Formula"
},
{
"code" : "1116690",
"display" : "Afluria 2011-2012 Formula"
},
{
"code" : "1303861",
"display" : "Afluria 2012-2013 Formula"
},
{
"code" : "1431428",
"display" : "Afluria 2013-2014 Formula"
},
{
"code" : "1537481",
"display" : "Afluria 2014-2015 Formula"
},
{
"code" : "1661803",
"display" : "Afluria 2015-2016"
},
{
"code" : "1799399",
"display" : "Afluria 2016-2017"
},
{
"code" : "1942128",
"display" : "Afluria 2017-2018"
},
{
"code" : "2050767",
"display" : "Afluria 2018-2019"
},
{
"code" : "203674",
"display" : "Afluria Preservative-Free 2013-2014"
},
{
"code" : "1858959",
"display" : "Afluria Quadrivalent 2016-2017 Formula"
},
{
"code" : "1942162",
"display" : "Afluria Quadrivalent 2017-2018"
},
{
"code" : "2050791",
"display" : "Afluria Quadrivalent 2018-2019"
},
{
"code" : "2178781",
"display" : "Afluria Quadrivalent 2019-2020"
},
{
"code" : "2380596",
"display" : "Afluria Quadrivalent 2020-2021"
},
{
"code" : "2564017",
"display" : "Afluria Quadrivalent 2021-2022"
},
{
"code" : "226191",
"display" : "Afrazine"
},
{
"code" : "1543203",
"display" : "Afrezza"
},
{
"code" : "2100029",
"display" : "afrezza 180 Inhalation Cartridge Pack - 90 (8 UNT), 90 (12 UNT)"
},
{
"code" : "1095365",
"display" : "African Formula Skin Lightening"
},
{
"code" : "215051",
"display" : "Afrin"
},
{
"code" : "215052",
"display" : "Afrin 4 Hour Extra Moisturizing"
},
{
"code" : "352400",
"display" : "Afrin Nasal"
},
{
"code" : "215054",
"display" : "Afrin Nasal Sinus"
},
{
"code" : "215056",
"display" : "Afrinol"
},
{
"code" : "1796380",
"display" : "Afstyla"
},
{
"code" : "594450",
"display" : "Aftate"
},
{
"code" : "215057",
"display" : "Aftate For Athletes Foot"
},
{
"code" : "215058",
"display" : "Aftate For Jock Itch"
},
{
"code" : "1874004",
"display" : "After Sting"
},
{
"code" : "1598653",
"display" : "Aftera"
},
{
"code" : "1745094",
"display" : "After-bug"
},
{
"code" : "1545298",
"display" : "Afterpill"
},
{
"code" : "2047723",
"display" : "AfterPlan"
},
{
"code" : "214906",
"display" : "A-G Tussin"
},
{
"code" : "228655",
"display" : "Agenerase"
},
{
"code" : "187024",
"display" : "Aggrastat"
},
{
"code" : "284652",
"display" : "Aggrastat Concentrate"
},
{
"code" : "226718",
"display" : "Aggrenox"
},
{
"code" : "541671",
"display" : "Agistam"
},
{
"code" : "215059",
"display" : "Agoral"
},
{
"code" : "688666",
"display" : "Agoral Plain"
},
{
"code" : "1090038",
"display" : "Agri-Cillin"
},
{
"code" : "883713",
"display" : "Agriflu 2009-2010 Formula"
},
{
"code" : "1012194",
"display" : "Agriflu 2010-2011 Formula"
},
{
"code" : "1304365",
"display" : "Agriflu 2012-2013 Formula"
},
{
"code" : "1050948",
"display" : "Agrimectin"
},
{
"code" : "993773",
"display" : "Agri-Mectin"
},
{
"code" : "1812269",
"display" : "Agrimycin"
},
{
"code" : "1423464",
"display" : "Agro Dip Concentrate"
},
{
"code" : "215060",
"display" : "Agrylin"
},
{
"code" : "215061",
"display" : "Ah-Chew"
},
{
"code" : "215062",
"display" : "Ah-Chew D"
},
{
"code" : "1363771",
"display" : "Ah-Chew D Suspension"
},
{
"code" : "602504",
"display" : "Ah-Chew II"
},
{
"code" : "692691",
"display" : "Ah-chew Ultra"
},
{
"code" : "761151",
"display" : "Ah-Chew Ultra Tannate"
},
{
"code" : "214921",
"display" : "AHF-M"
},
{
"code" : "540349",
"display" : "Ahist"
},
{
"code" : "1366495",
"display" : "Ahist Antihistamine"
},
{
"code" : "203594",
"display" : "A-Hydrocort"
},
{
"code" : "215063",
"display" : "Aid to Sleep"
},
{
"code" : "2045628",
"display" : "Aimovig"
},
{
"code" : "1088043",
"display" : "Air Salonpas"
},
{
"code" : "900446",
"display" : "Airacof"
},
{
"code" : "1918195",
"display" : "AirDuo"
},
{
"code" : "215064",
"display" : "Airet"
},
{
"code" : "1241480",
"display" : "Airmit"
},
{
"code" : "151310",
"display" : "Airomir"
},
{
"code" : "541372",
"display" : "Air-Raid"
},
{
"code" : "2056696",
"display" : "Ajovy"
},
{
"code" : "215065",
"display" : "Akarpine"
},
{
"code" : "214922",
"display" : "AK-Beta"
},
{
"code" : "214923",
"display" : "AK-Chlor"
},
{
"code" : "214924",
"display" : "AK-Cide"
},
{
"code" : "204182",
"display" : "AK-Con"
},
{
"code" : "91638",
"display" : "AK-Con-A"
},
{
"code" : "214925",
"display" : "AK-Dex"
},
{
"code" : "214926",
"display" : "AK-Dilate"
},
{
"code" : "214927",
"display" : "AK-Fluor"
},
{
"code" : "151311",
"display" : "Akineton"
},
{
"code" : "25455",
"display" : "Akineton 2mg Tablet"
},
{
"code" : "215066",
"display" : "Akineton HCl"
},
{
"code" : "2205643",
"display" : "Aklief"
},
{
"code" : "214928",
"display" : "AK-NaCl"
},
{
"code" : "214929",
"display" : "AK-Nefrin"
},
{
"code" : "151312",
"display" : "Aknemin"
},
{
"code" : "214930",
"display" : "AK-Neo-Dex"
},
{
"code" : "1442281",
"display" : "Aknetrol"
},
{
"code" : "1796726",
"display" : "Akovaz"
},
{
"code" : "91648",
"display" : "AK-Pentolate"
},
{
"code" : "214931",
"display" : "AK-Poly-Bac"
},
{
"code" : "91650",
"display" : "AK-Pred"
},
{
"code" : "214932",
"display" : "AK-Pro"
},
{
"code" : "214934",
"display" : "AK-Spore HC"
},
{
"code" : "688660",
"display" : "AK-Spore HC Ointment"
},
{
"code" : "224910",
"display" : "AK-Sulf"
},
{
"code" : "203757",
"display" : "AK-Taine"
},
{
"code" : "214936",
"display" : "AK-T-Caine"
},
{
"code" : "809470",
"display" : "Akten"
},
{
"code" : "1876665",
"display" : "Aktipak"
},
{
"code" : "214937",
"display" : "AK-Tob"
},
{
"code" : "214938",
"display" : "Ak-Tracin"
},
{
"code" : "214939",
"display" : "AK-Trol"
},
{
"code" : "704846",
"display" : "Akurza"
},
{
"code" : "215067",
"display" : "Akwa Tears"
},
{
"code" : "91658",
"display" : "Akwa Tears Solution"
},
{
"code" : "1552344",
"display" : "Akynzeo"
},
{
"code" : "880408",
"display" : "Ala Seb"
},
{
"code" : "1942753",
"display" : "Ala Seb T"
},
{
"code" : "108238",
"display" : "Alacol"
},
{
"code" : "540148",
"display" : "Alacol"
},
{
"code" : "546853",
"display" : "Alacol DM"
},
{
"code" : "895957",
"display" : "Alacort"
},
{
"code" : "215068",
"display" : "Ala-Cort"
},
{
"code" : "544119",
"display" : "Alacortin"
},
{
"code" : "215072",
"display" : "Alagesic"
},
{
"code" : "753121",
"display" : "Ala-Hist"
},
{
"code" : "828323",
"display" : "Alahist AC"
},
{
"code" : "761158",
"display" : "Ala-Hist AC"
},
{
"code" : "2286593",
"display" : "Alahist D"
},
{
"code" : "753117",
"display" : "Ala-Hist D"
},
{
"code" : "761987",
"display" : "Ala-Hist DHC"
},
{
"code" : "761156",
"display" : "Alahist DM"
},
{
"code" : "761991",
"display" : "Ala-Hist DM"
},
{
"code" : "1041509",
"display" : "Ala-Hist IR"
},
{
"code" : "762586",
"display" : "Ala-Hist LQ"
},
{
"code" : "1041505",
"display" : "Ala-Hist PE"
},
{
"code" : "215073",
"display" : "Alamag"
},
{
"code" : "215074",
"display" : "Alamag Plus"
},
{
"code" : "903976",
"display" : "Alamag Plus Reformulated Mar 2010"
},
{
"code" : "261443",
"display" : "Alamast"
},
{
"code" : "215069",
"display" : "Ala-Quin"
&