Resource ValueSet/FHIR Server from package us.cdc.phinvads#0.12.0 (1516 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 0.02 MG / Norethindrone 1 MG Oral Tablet) / 4 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Loestrin 24 Fe 28 Day]"
},
{
"code" : "1944656",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Chewable Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Melodetta 24 Fe Chewable 28 Day]"
},
{
"code" : "1873704",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Chewable Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Mibelas 24 Fe Chewable 28 Day]"
},
{
"code" : "1426601",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Chewable Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Minastrin 24 Fe Chewable 28 Day]"
},
{
"code" : "2463741",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Capsule) / 4 (ferrous fumarate 75 MG Oral Capsule) } Pack [Gemmily 28 Day]"
},
{
"code" : "2595466",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Capsule) / 4 (ferrous fumarate 75 MG Oral Capsule) } Pack [Merzee 28 Day]"
},
{
"code" : "1421462",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Capsule) / 4 (ferrous fumarate 75 MG Oral Capsule) } Pack [Minastrin 24 Fe 28 Day]"
},
{
"code" : "2566439",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Capsule) / 4 (ferrous fumarate 75 MG Oral Capsule) } Pack [Taysofy 28 Day]"
},
{
"code" : "1809905",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Capsule) / 4 (ferrous fumarate 75 MG Oral Capsule) } Pack [Taytulla 28 Day]"
},
{
"code" : "1927957",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Aurovela Fe 24 1/20 28 Day]"
},
{
"code" : "1722680",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Blisovi 24 Fe 1/20 28 Day]"
},
{
"code" : "1595453",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Gildess 24 Fe 28 Day]"
},
{
"code" : "1989507",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Hailey 24 Fe 28 Day]"
},
{
"code" : "1652084",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Junel Fe 24 1/20 28 Day]"
},
{
"code" : "1605091",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Larin 24 Fe 1/20]"
},
{
"code" : "1359118",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Loestrin 24 Fe 28 Day]"
},
{
"code" : "1486801",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Lomedia 24 Fe]"
},
{
"code" : "1721965",
"display" : "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Microgestin 24 Fe 28 Day]"
},
{
"code" : "1099897",
"display" : "{24 (ethinyl estradiol 0.025 MG / norethindrone 0.8 MG Chewable Tablet) / 4 (ferrous fumarate 75 MG Chewable Tablet) } Pack [Generess Fe 28]"
},
{
"code" : "1727521",
"display" : "{24 (ethinyl estradiol 0.025 MG / norethindrone 0.8 MG Chewable Tablet) / 4 (ferrous fumarate 75 MG Chewable Tablet) } Pack [Kaitlib Fe 28 Day]"
},
{
"code" : "1650201",
"display" : "{24 (ethinyl estradiol 0.025 MG / norethindrone 0.8 MG Chewable Tablet) / 4 (ferrous fumarate 75 MG Chewable Tablet) } Pack [Layolis Fe 28]"
},
{
"code" : "1541224",
"display" : "{24 (methotrexate 2.5 MG Oral Tablet [Rheumatrex]) } Pack [Rheumatrex Dose Pack 24]"
},
{
"code" : "1357416",
"display" : "{25 (calcium carbonate 500 MG Chewable Tablet [Tums]) / 140 (calcium carbonate 750 MG Chewable Tablet [Tums]) } Pack [Tums Freshers and Extra Strength]"
},
{
"code" : "2387356",
"display" : "{25 (dexamethasone 1.5 MG Oral Tablet) } Pack [Zcort 7 Day Taper]"
},
{
"code" : "2169320",
"display" : "{28 (alpelisib 200 MG Oral Tablet [Piqray]) / 28 (alpelisib 50 MG Oral Tablet [Piqray]) } Pack [Piqray 250 MG Daily Dose]"
},
{
"code" : "2169314",
"display" : "{28 (alpelisib 200 MG Oral Tablet [Piqray]) } Pack [Piqray 200 MG Daily Dose]"
},
{
"code" : "1363410",
"display" : "{28 (cabozantinib 20 MG Oral Capsule [Cometriq]) / 28 (cabozantinib 80 MG Oral Capsule [Cometriq]) } Pack [Cometriq 100 MG Daily Dose Carton]"
},
{
"code" : "2540432",
"display" : "{28 (cenobamate 100 MG Oral Tablet [Xcopri]) / 28 (cenobamate 150 MG Oral Tablet [Xcopri]) } Pack [Xcopri 250 MG Maintenance Pack - 100 MG (28), 150 MG (28) 56 Count]"
},
{
"code" : "2283515",
"display" : "{28 (cenobamate 200 MG Oral Tablet [Xcopri]) / 28 (cenobamate 50 MG Oral Tablet [Xcopri]) } Pack [Xcopri 250 MG Maintenance Pack]"
},
{
"code" : "748858",
"display" : "{28 (drospirenone 0.5 MG / Ethinyl Estradiol 1 MG Oral Tablet) } Pack [Angeliq 28 Day]"
},
{
"code" : "2371768",
"display" : "{28 (elagolix 300 MG / estradiol 1 MG / norethindrone 0.5 MG Oral Capsule) / 28 (elagolix 300 MG Oral Capsule) } Pack [Oriahnn 28 Day Kit]"
},
{
"code" : "795710",
"display" : "{28 (Estradiol 0.5 MG / Norethindrone 0.1 MG Oral Tablet [Activella]) } Pack [Activella 28 0.1/0.5 Day]"
},
{
"code" : "883733",
"display" : "{28 (Estradiol 0.5 MG / Norethindrone 0.1 MG Oral Tablet) } Pack [Activella 0.5/0.1 28 Day]"
},
{
"code" : "1359125",
"display" : "{28 (estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack [Activella 0.5/0.1 28 Day]"
},
{
"code" : "1806683",
"display" : "{28 (estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack [Amabelz 0.5/0.1 28 Day]"
},
{
"code" : "1550964",
"display" : "{28 (estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack [Lopreeza 0.5/0.1 28 Day]"
},
{
"code" : "1539190",
"display" : "{28 (estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack [Mimvey Lo 28 Day]"
},
{
"code" : "795711",
"display" : "{28 (Estradiol 1 MG / Norethindrone 0.5 MG Oral Tablet [Activella]) } Pack [Activella 0.5/1 Day]"
},
{
"code" : "883735",
"display" : "{28 (Estradiol 1 MG / Norethindrone 0.5 MG Oral Tablet) } Pack [Activella 1/0.5 28 Day]"
},
{
"code" : "1359128",
"display" : "{28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Activella 1/0.5 28 Day]"
},
{
"code" : "1806684",
"display" : "{28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Amabelz 1/0.5 28 Day]"
},
{
"code" : "1550965",
"display" : "{28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Lopreeza 1/0.5 28 Day]"
},
{
"code" : "1359129",
"display" : "{28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Mimvey]"
},
{
"code" : "751004",
"display" : "{28 (Estrogens, Conjugated (USP) 0.3 MG / Medroxyprogesterone 1.5 MG Oral Tablet) } Pack [Prempro 0.3/1.5 28 Day]"
},
{
"code" : "1000491",
"display" : "{28 (estrogens, conjugated (USP) 0.3 MG / medroxyprogesterone acetate 1.5 MG Oral Tablet) } Pack [Prempro 0.3/1.5 28 Day]"
},
{
"code" : "751007",
"display" : "{28 (Estrogens, Conjugated (USP) 0.45 MG / Medroxyprogesterone 1.5 MG Oral Tablet) } Pack [Prempro 0.45/1.5 28 Day]"
},
{
"code" : "751059",
"display" : "{28 (Estrogens, Conjugated (USP) 0.625 MG / Medroxyprogesterone 2.5 MG Oral Tablet) } Pack [Prempro 0.625/2.5 28 Day]"
},
{
"code" : "751061",
"display" : "{28 (Estrogens, Conjugated (USP) 0.625 MG / Medroxyprogesterone 5 MG Oral Tablet) } Pack [Prempro 0.625/5 28 Day]"
},
{
"code" : "1000499",
"display" : "{28 (estrogens, conjugated (USP) 0.625 MG / medroxyprogesterone acetate 2.5 MG Oral Tablet) } Pack [Prempro 0.625/2.5 28 Day]"
},
{
"code" : "1000500",
"display" : "{28 (estrogens, conjugated (USP) 0.625 MG / medroxyprogesterone acetate 5 MG Oral Tablet) } Pack [Prempro 0.625/5 28 Day]"
},
{
"code" : "751184",
"display" : "{28 (Ethinyl Estradiol 0.0025 MG / Norethindrone 0.5 MG Oral Tablet) } Pack [Femhrt 0.5/2.5 28 Day]"
},
{
"code" : "1251335",
"display" : "{28 (ethinyl estradiol 0.0025 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Femhrt 0.5/2.5 28 Day]"
},
{
"code" : "751231",
"display" : "{28 (Ethinyl Estradiol 0.005 MG / Norethindrone 1 MG Oral Tablet) } Pack [Femhrt 1/5 28 Day]"
},
{
"code" : "1251337",
"display" : "{28 (ethinyl estradiol 0.005 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Femhrt 1/5 28 Day]"
},
{
"code" : "1112715",
"display" : "{28 (ethinyl estradiol 0.02 MG / levonorgestrel 0.09 MG Oral Tablet) } Pack [Amethyst 28 Day]"
},
{
"code" : "2472307",
"display" : "{28 (ethinyl estradiol 0.02 MG / levonorgestrel 0.09 MG Oral Tablet) } Pack [Dolishale 28 Day]"
},
{
"code" : "751554",
"display" : "{28 (ethinyl estradiol 0.02 MG / levonorgestrel 0.09 MG Oral Tablet) } Pack [Lybrel 28]"
},
{
"code" : "845521",
"display" : "{28 (everolimus 10 MG Oral Tablet [Afinitor]) } Pack [Afinitor 10]"
},
{
"code" : "845519",
"display" : "{28 (everolimus 5 MG Oral Tablet [Afinitor]) } Pack [Afinitor 5]"
},
{
"code" : "833173",
"display" : "{28 (Itraconazole 100 MG Oral Capsule [Sporanox]) } Pack [Sporanox PulsePak]"
},
{
"code" : "1999389",
"display" : "{28 (ivacaftor 150 MG / tezacaftor 100 MG Oral Tablet) / 28 (ivacaftor 150 MG Oral Tablet) } Pack [Symdeko (100 MG / 150 MG; 150 MG)]"
},
{
"code" : "2174390",
"display" : "{28 (ivacaftor 75 MG / tezacaftor 50 MG Oral Tablet) / 28 (ivacaftor 75 MG Oral Tablet) } Pack [Symdeko (50 MG / 75 MG; 75 MG)]"
},
{
"code" : "1923056",
"display" : "{28 (letrozole 2.5 MG Oral Tablet [Femara]) / 42 (ribociclib 200 MG Oral Tablet [Kisqali]) } Pack [Kisqali Femara Co-Pack 400]"
},
{
"code" : "1923058",
"display" : "{28 (letrozole 2.5 MG Oral Tablet [Femara]) / 63 (ribociclib 200 MG Oral Tablet [Kisqali]) } Pack [Kisqali Femara Co-Pack 600]"
},
{
"code" : "1541226",
"display" : "{28 (methotrexate 2.5 MG Oral Tablet [Rheumatrex]) } Pack [Rheumatrex Dose Pack 28]"
},
{
"code" : "748962",
"display" : "{28 (norethindrone 0.35 MG Oral Tablet) } Pack [Camila 28 Day]"
},
{
"code" : "1539953",
"display" : "{28 (norethindrone 0.35 MG Oral Tablet) } Pack [Deblitane 28 Day]"
},
{
"code" : "831533",
"display" : "{28 (norethindrone 0.35 MG Oral Tablet) } Pack [Errin 28 Day]"
},
{
"code" : "977836",
"display" : "{28 (norethindrone 0.35 MG Oral Tablet) } Pack [Heather 28 Day]"
},
{
"code" : "1422896",
"display" : "{28 (norethindrone 0.35 MG Oral Tablet) } Pack [Jencycla 28 Day]"
&