Antibiotics, Topical
PDL Reference Documents
PDL Status Values
Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the
Non-Preferred Drugs in Select PDL Classes prior authorization criteria.
New drugs will be listed as N until reviewed by the P&T Committee and are subject to the
New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.
To request a Prior Authorization, please use this form.
| NDC | Brand Name | Generic Name | Form | Strength | PDL Status |
Rebate | Current Drug Use Criteria |
|---|---|---|---|---|---|---|---|
| 00363007564 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 00713028031 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 00927009430 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 11673007358 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 11917005749 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 11917018788 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 12810006003 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011631 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 37097006003 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 41280020078 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 43072000638 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 49158012206 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 49158012208 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 49999014215 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 50090081500 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 51672200503 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 52959021706 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 52959133703 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 52959133706 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 52959137603 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 52959137605 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 54868326900 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 59390002617 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 59779053664 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 66267098830 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 66267098915 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 67777011620 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 67777011621 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 67777011630 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 67777011631 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 67777021901 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 71205005701 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 87701095027 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 94441020078 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 00536125628 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 00574402235 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | N | Y | |
| 45802006001 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 45802006003 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 45802006004 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 45802006005 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 45802006010 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 45802006023 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 45802006044 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 45861007303 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 68001047746 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 68001047747 | BACITRACIN | bacitracin | OINT. (G) | 500 unit/gram | Y | Y | |
| 14428000003 | BACITRAYCIN PLUS | bacitracin | OINT. (G) | 500 unit/gram | Y | N | |
| 00904740267 | BACITRACIN | bacitracin | PACKET | 500 unit/gram | N | Y | |
| 45802006000 | BACITRACIN | bacitracin | PACKET | 500 unit/gram | N | Y | |
| 45802006070 | BACITRACIN | bacitracin | PACKET | 500 unit/gram | N | Y | |
| 68001047745 | BACITRACIN | bacitracin | PACKET | 500 unit/gram | N | Y | |
| 68001047748 | BACITRACIN | bacitracin | PACKET | 500 unit/gram | N | Y | |
| 00904702367 | BACITRACIN ZINC | bacitracin zinc | OINT PACK | 500 unit/gram | N | Y | |
| 10939056433 | ANTIBIOTIC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 49348015472 | ANTIBIOTIC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 70677121101 | ANTIBIOTIC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 00179801230 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 11822031378 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 11822110505 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 11917011354 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 11917016394 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 11917016408 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 14428000888 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 14428000944 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011721 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011722 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011723 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011731 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011733 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011751 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011752 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011753 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011761 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 16784011763 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 49035051026 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 50090276600 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 50090470600 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 50428021963 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 50428036435 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 51824000301 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 52569013463 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 52959011330 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 52959144200 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 52959144203 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 58980001110 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 59779050156 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777000820 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777000821 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777000830 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777000831 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777000850 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777000851 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777000860 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777000861 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777022002 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 67777022007 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 79503010730 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 81131015699 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 87701055389 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | N | |
| 00536126328 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 24385006003 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 51672207501 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 51672207502 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 68001053145 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 68001053146 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 70000054701 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 83324004001 | BACITRACIN ZINC | bacitracin zinc | OINT. (G) | 500 unit/gram | Y | Y | |
| 00179870730 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 10939056833 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 11822358770 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 52569013466 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 58980001205 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 69396002930 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 49348027472 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | Y | |
| 51672204402 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | Y | |
| 62011009701 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | Y | |
| 70677121201 | DOUBLE ANTIBIOTIC | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | Y | |
| 50428042917 | POLY BACITRACIN | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 59779000356 | POLY BACITRACIN | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 70000007001 | POLY BACITRACIN | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | Y | |
| 70000009301 | POLY BACITRACIN | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | Y | |
| 00810079887 | POLYSPORIN | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 11917005099 | WAL-SPORIN | bacitracin zinc/polymyxin B | OINT. (G) | 500 unit-10,000 unit/gram | Y | N | |
| 52959139003 | BACITRACIN/POLYMYXIN | bacitracin/polymyxin B sulfate | OINT. (G) | Y | N | ||
| 52959139007 | BACITRACIN/POLYMYXIN | bacitracin/polymyxin B sulfate | OINT. (G) | Y | N | ||
| 45802027503 | BACITRACIN/POLYMYXIN | bacitracin/polymyxin B sulfate | OINT. (G) | Y | Y | ||
| 00884368415 | G-MYTICIN | gentamicin sulfate | CREAM (G) | 0.1 % | Y | Y | |
| 45802005605 | GENTAMICIN SULFATE | gentamicin sulfate | CREAM (G) | 0.1 % | Y | Y | |
| 45802005611 | GENTAMICIN SULFATE | gentamicin sulfate | CREAM (G) | 0.1 % | Y | Y | |
| 45802005635 | GENTAMICIN SULFATE | gentamicin sulfate | CREAM (G) | 0.1 % | Y | Y | |
| 45802004611 | GENTAMICIN SULFATE | gentamicin sulfate | OINT. (G) | 0.1 % | N | Y | |
| 45802004635 | GENTAMICIN SULFATE | gentamicin sulfate | OINT. (G) | 0.1 % | N | Y | |
| 43538031030 | CENTANY AT | mupirocin | KIT | 2 % | N | Y | |
| 43538030030 | CENTANY | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 00093101042 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 00904728454 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 21922002804 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 21922002825 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 21922007304 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 21922007325 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 45802011214 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 45802011222 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 50268056811 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 50268056815 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 51672131200 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 51672131201 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 68462018022 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 81033002001 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 81033002050 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 81033002099 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 81033003201 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 81033003250 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 81033003299 | MUPIROCIN | mupirocin | OINT. (G) | 2 % | Y | Y | |
| 16714005501 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 16714005502 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 21922002904 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 21922002905 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 51672137001 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 51672137002 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 62332062415 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 62332062430 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 68462056417 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 68462056435 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 69238202903 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 69238202905 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 82429031015 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 82429031130 | MUPIROCIN | mupirocin calcium | CREAM (G) | 2 % | N | Y | |
| 45802007301 | ANTIBIOTIC | neomycin sulf/polymyxin B sulf | CREAM (G) | N | Y | ||
| 45802007303 | ANTIBIOTIC | neomycin sulf/polymyxin B sulf | CREAM (G) | N | Y | ||
| 45802005803 | NEOMYCIN SULFATE | neomycin sulfate | OINT. (G) | 0.5 % | N | Y | |
| 45802005844 | NEOMYCIN SULFATE | neomycin sulfate | OINT. (G) | 0.5 % | N | Y | |
| 45802001101 | TRIPLE ANTIBIOTIC W/LIDOCAINE | neomycin/bacitracin/poly/lido | OINT. (G) | N | Y | ||
| 45802001103 | TRIPLE ANTIBIOTIC W/LIDOCAINE | neomycin/bacitracin/poly/lido | OINT. (G) | N | Y | ||
| 45802001123 | TRIPLE ANTIBIOTIC W/LIDOCAINE | neomycin/bacitracin/poly/lido | OINT. (G) | N | Y | ||
| 45802028403 | TRIPLE ANTIBIOTIC W/LIDOCAINE | neomycin/bacitracin/poly/lido | OINT. (G) | N | Y | ||
| 00904880567 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT PACK | 3.5 mg-400 unit-5,000 unit/gram | N | Y | |
| 45802014300 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT PACK | 3.5 mg-400 unit-5,000 unit/gram | N | Y | |
| 45802014370 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT PACK | 3.5 mg-400 unit-5,000 unit/gram | N | Y | |
| 11673040564 | ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 50428021962 | ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 59779006764 | ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 69842019916 | ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 69842019958 | ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 41163020958 | FIRST AID ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 41163020964 | FIRST AID ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 41163025145 | FIRST AID ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 50090725900 | FIRST AID ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 00113008464 | FIRST AID ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 00810073087 | NEOSPORIN | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 00810073088 | NEOSPORIN | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 69968005602 | NEOSPORIN | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 10960073619 | TRIPLE ANTI | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 00713026831 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 10939083744 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 11822064240 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 11917005095 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 11917005491 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 11917009752 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 11917009753 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 11917016407 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 11917017956 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 30142006764 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 32953006903 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 32953007901 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 32953022005 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 41280020077 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 41415004975 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 43072000401 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 49035006716 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 49035006764 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 49158012306 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 50090185900 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 51824005201 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 52959134103 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 52959134105 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 54868058200 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 59390002714 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 59390002717 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 63187003901 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 63187003915 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 66267093030 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 67777021710 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 67777021711 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 67777021712 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 67777021713 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 69396000205 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 69396000220 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 69396001505 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 71205000628 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 79503010830 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 81131002776 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 81131073198 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 87701042952 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 87701055390 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 87701089430 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 87701094539 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 87701095033 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | N | |
| 00536110094 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 00904073431 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 00904880531 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 11527016247 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 11527016251 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 11527016255 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 45802006105 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 45802006109 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 45802006110 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 45802006195 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 45802006197 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 45802014301 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 45802014303 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 45802024003 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 46122041403 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 46122041405 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 51672212001 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 51672212002 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 68001048345 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 68001048346 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 70000005801 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 70000009401 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 70677001301 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 70677121701 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 83324005001 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 83324005005 | TRIPLE ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-400 unit-5,000 unit/gram | Y | Y | |
| 11917005092 | FIRST AID ANTIBIOTIC | neomycin/bacitracin/polymyxinB | OINT. (G) | 3.5 mg-500 unit-10,000 unit/gram | Y | N | |
| 49348069069 | ANTIBIOTIC PLUS | neomycin/polymyxin B/pramoxine | CREAM (G) | 0.35 %-10,000 unit-10 mg/gram | N | Y | |
| 46122024403 | ANTIBIOTIC PLUS PAIN RELIEF | neomycin/polymyxin B/pramoxine | CREAM (G) | 0.35 %-10,000 unit-10 mg/gram | N | Y | |
| 70677121801 | ANTIBIOTIC PLUS PAIN RELIEF | neomycin/polymyxin B/pramoxine | CREAM (G) | 0.35 %-10,000 unit-10 mg/gram | N | Y | |
| 24385014303 | TRIPLE ANTIBIOTIC PLUS | neomycn/bacitrc/polymyx/pramox | OINT. (G) | 3.5 mg-500 unit-10,000 unit-10 mg/gram | N | Y | |
| 49348060072 | TRIPLE ANTIBIOTIC PLUS | neomycn/bacitrc/polymyx/pramox | OINT. (G) | 3.5 mg-500 unit-10,000 unit-10 mg/gram | N | Y | |
| 51672202701 | TRIPLE ANTIBIOTIC PLUS | neomycn/bacitrc/polymyx/pramox | OINT. (G) | 3.5 mg-500 unit-10,000 unit-10 mg/gram | N | Y | |
| 51672202702 | TRIPLE ANTIBIOTIC PLUS | neomycn/bacitrc/polymyx/pramox | OINT. (G) | 3.5 mg-500 unit-10,000 unit-10 mg/gram | N | Y | |
| 83324003601 | TRIPLE ANTIBIOTIC PLUS | neomycn/bacitrc/polymyx/pramox | OINT. (G) | 3.5 mg-500 unit-10,000 unit-10 mg/gram | N | Y | |
| 70677121901 | TRIPLE ANTIBIOTIC-PAIN RELIEF | neomycn/bacitrc/polymyx/pramox | OINT. (G) | 3.5 mg-500 unit-10,000 unit-10 mg/gram | N | Y | |
| 70621010301 | XEPI | ozenoxacin | CREAM (G) | 1 % | N | Y | |
| 70621010310 | XEPI | ozenoxacin | CREAM (G) | 1 % | N | Y |