Antipsychotics, 1st Gen

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PDL Reference Documents

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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.

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NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Current Drug Use Criteria
00054314658 CHLORPROMAZINE HCL chlorpromazine HCl ORAL CONC 100 mg/mL Y Y Age Restriction
00781402822 CHLORPROMAZINE HCL chlorpromazine HCl ORAL CONC 100 mg/mL Y Y Age Restriction
24338041024 CHLORPROMAZINE HCL chlorpromazine HCl ORAL CONC 100 mg/mL Y Y Age Restriction
00054314450 CHLORPROMAZINE HCL chlorpromazine HCl ORAL CONC 30 mg/mL Y Y Age Restriction
00781402753 CHLORPROMAZINE HCL chlorpromazine HCl ORAL CONC 30 mg/mL Y Y Age Restriction
24338040312 CHLORPROMAZINE HCL chlorpromazine HCl ORAL CONC 30 mg/mL Y Y Age Restriction
00527296137 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
00603280821 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
00832601700 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
00904712961 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
16714004701 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
23155080301 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
50268016211 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
50268016215 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
60687041901 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
60687041911 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
62135042090 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
62332073531 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
63304018501 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
63304018510 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
68462086101 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
69238105401 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
70710112901 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 10 mg V Y Age Restriction
00527296437 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
00832602000 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
00832602001 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
00832602010 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
00832602089 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
00904713261 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
16714005001 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
23155080601 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
50268016511 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
50268016515 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
60687045201 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
60687045211 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
62135042390 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
62332073831 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
63304011401 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
63304011410 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
68462086401 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
69238106001 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
70710113201 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
72205010691 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 100 mg V Y Age Restriction
00007507720 THORAZINE chlorpromazine HCl TABLET 100 mg V Y Age Restriction
00527296537 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
00832602100 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
00832602101 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
00832602110 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
00832602189 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
00904713361 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
16714005101 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
23155080701 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
50268016611 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
50268016612 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
60687046301 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
60687046311 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
62135042490 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
62332073931 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
63304008301 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
63304008310 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
68462086501 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
69238106201 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
70710113301 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
72205010791 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 200 mg V Y Age Restriction
00527296237 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
00832601800 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
00832601810 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
00904713006 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
00904713061 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
16714004801 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
23155080401 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
50268016311 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
50268016315 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
60687043001 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
60687043011 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
60687043065 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
62135042190 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
62332073631 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
63304014301 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
63304014310 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
68462086201 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
69238105601 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
70710113001 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
72205010491 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 25 mg V Y Age Restriction
00007507420 THORAZINE chlorpromazine HCl TABLET 25 mg V Y Age Restriction
00527296337 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
00832601900 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
00832601901 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
00832601910 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
00832601989 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
00904713161 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
16714004901 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
23155080501 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
50268016411 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
50268016415 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
60687044101 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
60687044111 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
62135042290 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
62332073731 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
63304012201 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
63304012210 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
68462086301 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
69238105801 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
70710113101 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
72205010591 CHLORPROMAZINE HCL chlorpromazine HCl TABLET 50 mg V Y Age Restriction
00007507620 THORAZINE chlorpromazine HCl TABLET 50 mg V Y Age Restriction
00121065402 FLUPHENAZINE HCL fluphenazine HCl ELIXIR 2.5 mg/5 mL Y Y Age Restriction
00121065416 FLUPHENAZINE HCL fluphenazine HCl ELIXIR 2.5 mg/5 mL Y Y Age Restriction
00093963012 FLUPHENAZINE HCL fluphenazine HCl ORAL CONC 5 mg/mL Y Y Age Restriction
00121065304 FLUPHENAZINE HCL fluphenazine HCl ORAL CONC 5 mg/mL Y Y Age Restriction
00527178801 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
00832600311 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
00904715761 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
16571088909 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
16571088950 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
24979013601 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
27241025501 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
43598003401 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
50268036611 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
50268036615 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
51672423301 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
59651068601 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
60505476801 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
62135041590 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
62332078831 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
69238167801 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
70954027310 FLUPHENAZINE HCL fluphenazine HCl TABLET 1 mg Y Y Age Restriction
00003086350 PROLIXIN fluphenazine HCl TABLET 1 mg Y Y Age Restriction
00527179101 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
00527179105 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
00832600611 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
00904716061 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
16571089209 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
16571089250 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
24979013901 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
27241025201 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
43598003701 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
50268036911 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
50268036915 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
51672423601 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
59651068901 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
59651068905 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
60505477101 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
60687076101 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
60687076111 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
62135041990 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
62332079131 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
68462033801 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
69238168101 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
70710149101 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
70710149105 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
70954027610 FLUPHENAZINE HCL fluphenazine HCl TABLET 10 mg Y Y Age Restriction
00527178901 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
00832600411 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
00904715861 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
16571089009 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
16571089050 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
24979013701 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
27241025401 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
43598003501 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
50268036711 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
50268036715 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
51672423401 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
59651068701 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
60505476901 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
62135041690 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
62332078931 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
68462033601 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
69238167901 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
70710148901 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
70954027410 FLUPHENAZINE HCL fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
00003086450 PROLIXIN fluphenazine HCl TABLET 2.5 mg Y Y Age Restriction
00527179001 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
00527179005 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
00832600511 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
00904715961 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
16571089109 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
16571089150 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
24979013801 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
27241025301 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
43598003601 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
50268036811 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
50268036815 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
51079048717 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
51672423501 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
59651068801 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
59651068805 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
60505477001 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
60687074901 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
60687074911 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
62135041890 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
62332079031 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
68462033701 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
69238168001 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
70710149001 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
70710149005 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
70954027510 FLUPHENAZINE HCL fluphenazine HCl TABLET 5 mg Y Y Age Restriction
00378035101 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
00378035110 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
00832151011 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
00904738961 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
51079073301 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
51079073320 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
58657070001 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
58657090001 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
58657090010 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
59651078901 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
68382040701 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
69292058001 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
70756000111 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
70756000112 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
71247015001 HALOPERIDOL haloperidol TABLET 0.5 mg Y Y Age Restriction
00378025701 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
00378025710 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
00832152001 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
00832152011 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
00832152089 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
00904739061 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
51079073401 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
51079073420 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
58657070101 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
58657090101 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
58657090110 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
59651079001 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
68382040801 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
69292058201 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
70756000211 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
70756000212 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
71247015101 HALOPERIDOL haloperidol TABLET 1 mg Y Y Age Restriction
00378033401 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
00832155001 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
00832155011 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
00832155089 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
00904673361 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
35573044202 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
51079043101 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
51079043120 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
58657070401 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
58657090401 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
58657090410 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
59651079301 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
68084024901 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
68084024911 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
68382008001 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
68382008010 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
69292058801 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
70756024211 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
70756024212 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
71247015401 HALOPERIDOL haloperidol TABLET 10 mg Y Y Age Restriction
00378021401 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
00378021410 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
00832153011 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
00904739161 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
00904750461 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
51079073501 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
51079073520 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
58657070201 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
58657090201 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
58657090210 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
59651079101 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
68382040901 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
69292058401 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
70756000311 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
70756000312 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
71247015201 HALOPERIDOL haloperidol TABLET 2 mg Y Y Age Restriction
00378033501 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
00832156011 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
00904666104 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
58657070501 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
58657090501 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
58657090503 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
58657090510 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
59651079401 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
68084025011 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
68084025021 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
68382008101 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
69292059001 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
70756023611 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
70756023612 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
71247015501 HALOPERIDOL haloperidol TABLET 20 mg Y Y Age Restriction
00378032701 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
00378032710 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
00832154001 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
00832154011 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
00832154089 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
00904678261 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
35573044102 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
51079073601 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
51079073620 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
58657070301 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
58657070310 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
58657090301 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
58657090310 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
59651079201 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
59651079299 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
60687016101 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
60687016111 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
68382007901 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
68382007910 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
69292058601 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
69292058610 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
70756000411 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
70756000412 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
71247015301 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
71247015310 HALOPERIDOL haloperidol TABLET 5 mg Y Y Age Restriction
00121058104 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
00121058105 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
00121058115 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
00904711241 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
00904711270 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
54838050115 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
54838050140 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
60687079917 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
60687079940 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
72888017347 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
72888017348 HALOPERIDOL LACTATE haloperidol lactate ORAL CONC 2 mg/mL Y Y Age Restriction
51097000101 ADASUVE loxapine AER POW BA 10 mg V Y Age Restriction
51097000102 ADASUVE loxapine AER POW BA 10 mg V Y Age Restriction
00527139501 LOXAPINE loxapine succinate CAPSULE 10 mg Y Y Age Restriction
00591037001 LOXAPINE loxapine succinate CAPSULE 10 mg Y Y Age Restriction
62135049360 LOXAPINE loxapine succinate CAPSULE 10 mg Y Y Age Restriction
64850089101 LOXAPINE loxapine succinate CAPSULE 10 mg Y Y Age Restriction
00527139601 LOXAPINE loxapine succinate CAPSULE 25 mg Y Y Age Restriction
00591037101 LOXAPINE loxapine succinate CAPSULE 25 mg Y Y Age Restriction
64850089201 LOXAPINE loxapine succinate CAPSULE 25 mg Y Y Age Restriction
00527139401 LOXAPINE loxapine succinate CAPSULE 5 mg Y Y Age Restriction
00591036901 LOXAPINE loxapine succinate CAPSULE 5 mg Y Y Age Restriction
51079090001 LOXAPINE loxapine succinate CAPSULE 5 mg Y Y Age Restriction
62135049260 LOXAPINE loxapine succinate CAPSULE 5 mg Y Y Age Restriction
64850089001 LOXAPINE loxapine succinate CAPSULE 5 mg Y Y Age Restriction
00527139701 LOXAPINE loxapine succinate CAPSULE 50 mg Y Y Age Restriction
00591037201 LOXAPINE loxapine succinate CAPSULE 50 mg Y Y Age Restriction
64850089301 LOXAPINE loxapine succinate CAPSULE 50 mg Y Y Age Restriction
00254494328 PERPHENAZINE perphenazine TABLET 16 mg Y Y Age Restriction
00591410401 PERPHENAZINE perphenazine TABLET 16 mg Y Y Age Restriction
00603506321 PERPHENAZINE perphenazine TABLET 16 mg Y Y Age Restriction
00781804901 PERPHENAZINE perphenazine TABLET 16 mg Y Y Age Restriction
23155080201 PERPHENAZINE perphenazine TABLET 16 mg Y Y Age Restriction
33342045111 PERPHENAZINE perphenazine TABLET 16 mg Y Y Age Restriction
52536017001 PERPHENAZINE perphenazine TABLET 16 mg Y Y Age Restriction
64980029301 PERPHENAZINE perphenazine TABLET 16 mg Y Y Age Restriction
68382059401 PERPHENAZINE perphenazine TABLET 16 mg Y Y Age Restriction
00254494028 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
00254494035 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
00591410101 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
00603506021 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
00781804601 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
00904659961 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
23155079901 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
33342044811 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
52536016201 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
64980029001 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
68382059101 PERPHENAZINE perphenazine TABLET 2 mg Y Y Age Restriction
00254494128 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
00254494135 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
00591410201 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
00603506121 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
00603506128 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
00781804701 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
00904660061 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
23155080001 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
33342044911 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
52536016401 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
62135079990 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
64980029101 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
68084060201 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
68084060211 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
68382059201 PERPHENAZINE perphenazine TABLET 4 mg Y Y Age Restriction
00254494228 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
00254494235 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
00591410301 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
00603506221 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
00603506228 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
00781804801 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
00904660161 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
23155080101 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
33342045011 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
52536016801 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
64980029201 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
68084060701 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
68084060711 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
68382059301 PERPHENAZINE perphenazine TABLET 8 mg Y Y Age Restriction
49884034701 PIMOZIDE pimozide TABLET 1 mg V Y Age Restriction
49884034801 PIMOZIDE pimozide TABLET 2 mg V Y Age Restriction
00054386150 THIORIDAZINE HCL thioridazine HCl ORAL CONC 100 mg/mL Y Y Age Restriction
00121066204 THIORIDAZINE HCL thioridazine HCl ORAL CONC 100 mg/mL Y Y Age Restriction
00121066104 THIORIDAZINE HCL thioridazine HCl ORAL CONC 30 mg/mL Y Y Age Restriction
00378061201 THIORIDAZINE HCL thioridazine HCl TABLET 10 mg Y Y Age Restriction
51079056501 THIORIDAZINE HCL thioridazine HCl TABLET 10 mg Y Y Age Restriction
51079056517 THIORIDAZINE HCL thioridazine HCl TABLET 10 mg Y Y Age Restriction
51079056520 THIORIDAZINE HCL thioridazine HCl TABLET 10 mg Y Y Age Restriction
62135093490 THIORIDAZINE HCL thioridazine HCl TABLET 10 mg Y Y Age Restriction
00378061801 THIORIDAZINE HCL thioridazine HCl TABLET 100 mg Y Y Age Restriction
51079058001 THIORIDAZINE HCL thioridazine HCl TABLET 100 mg Y Y Age Restriction
51079058020 THIORIDAZINE HCL thioridazine HCl TABLET 100 mg Y Y Age Restriction
62135093990 THIORIDAZINE HCL thioridazine HCl TABLET 100 mg Y Y Age Restriction
62584089601 THIORIDAZINE HCL thioridazine HCl TABLET 100 mg Y Y Age Restriction
00378061401 THIORIDAZINE HCL thioridazine HCl TABLET 25 mg Y Y Age Restriction
51079056601 THIORIDAZINE HCL thioridazine HCl TABLET 25 mg Y Y Age Restriction
51079056620 THIORIDAZINE HCL thioridazine HCl TABLET 25 mg Y Y Age Restriction
62135093690 THIORIDAZINE HCL thioridazine HCl TABLET 25 mg Y Y Age Restriction
00378061601 THIORIDAZINE HCL thioridazine HCl TABLET 50 mg Y Y Age Restriction
51079056701 THIORIDAZINE HCL thioridazine HCl TABLET 50 mg Y Y Age Restriction
51079056720 THIORIDAZINE HCL thioridazine HCl TABLET 50 mg Y Y Age Restriction
62135093890 THIORIDAZINE HCL thioridazine HCl TABLET 50 mg Y Y Age Restriction
60219167301 THIOTHIXENE thiothixene CAPSULE 1 mg Y Y Age Restriction
62584087501 THIOTHIXENE thiothixene CAPSULE 1 mg Y Y Age Restriction
70954001410 THIOTHIXENE thiothixene CAPSULE 1 mg Y Y Age Restriction
60219167601 THIOTHIXENE thiothixene CAPSULE 10 mg Y Y Age Restriction
62584087801 THIOTHIXENE thiothixene CAPSULE 10 mg Y Y Age Restriction
70954001710 THIOTHIXENE thiothixene CAPSULE 10 mg Y Y Age Restriction
60219167401 THIOTHIXENE thiothixene CAPSULE 2 mg Y Y Age Restriction
62584087601 THIOTHIXENE thiothixene CAPSULE 2 mg Y Y Age Restriction
70954001510 THIOTHIXENE thiothixene CAPSULE 2 mg Y Y Age Restriction
60219167501 THIOTHIXENE thiothixene CAPSULE 5 mg Y Y Age Restriction
62584087701 THIOTHIXENE thiothixene CAPSULE 5 mg Y Y Age Restriction
70954001610 THIOTHIXENE thiothixene CAPSULE 5 mg Y Y Age Restriction
00093961312 THIOTHIXENE HCL thiothixene HCl ORAL CONC 5 mg/mL Y Y Age Restriction
00904289930 THIOTHIXENE HCL thiothixene HCl ORAL CONC 5 mg/mL Y Y Age Restriction
00378240101 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 1 mg Y Y Age Restriction
00781802801 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 1 mg Y Y Age Restriction
51079057201 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 1 mg Y Y Age Restriction
51079057220 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 1 mg Y Y Age Restriction
00378241001 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 10 mg Y Y Age Restriction
00781803601 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 10 mg Y Y Age Restriction
51079057501 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 10 mg Y Y Age Restriction
51079057520 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 10 mg Y Y Age Restriction
00378240201 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 2 mg Y Y Age Restriction
00781803201 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 2 mg Y Y Age Restriction
51079057301 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 2 mg Y Y Age Restriction
51079057320 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 2 mg Y Y Age Restriction
00378240501 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 5 mg Y Y Age Restriction
00781803401 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 5 mg Y Y Age Restriction
51079057401 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 5 mg Y Y Age Restriction
51079057420 TRIFLUOPERAZINE HCL trifluoperazine HCl TABLET 5 mg Y Y Age Restriction
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