Antihistamines, First Generation

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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
00023429105 LASTACAFT ONCE DAILY RELIEF alcaftadine DROPS 0.25 % N Y PA Document
00023429110 LASTACAFT ONCE DAILY RELIEF alcaftadine DROPS 0.25 % N Y PA Document
47335093890 AZELASTINE HCL azelastine HCl DROPS 0.05 % Y  
60505057804 AZELASTINE HCL azelastine HCl DROPS 0.05 % Y  
61314030802 AZELASTINE HCL azelastine HCl DROPS 0.05 % Y  
62332050606 AZELASTINE HCL azelastine HCl DROPS 0.05 % Y  
70069009101 AZELASTINE HCL azelastine HCl DROPS 0.05 % Y  
72266014101 AZELASTINE HCL azelastine HCl DROPS 0.05 % Y  
00378705535 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
00378705567 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
24208063005 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
24208063010 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
60505611101 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
60505611102 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
62332059805 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
62332059810 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
70069071101 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
70069071201 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
82260063005 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
82260063010 BEPOTASTINE BESILATE bepotastine besilate DROPS 1.5 % Y  
24208062901 BEPREVE bepotastine besilate DROPS 1.5 % Y  
24208062902 BEPREVE bepotastine besilate DROPS 1.5 % Y  
00131100805 CODIMAL-A brompheniramine maleate VIAL 10 mg/mL Y  
64376070516 CARBINOXAMINE carbinoxamine maleate LIQUID 2 mg/5 mL Y  
64376070140 CARBINOXAMINE PD carbinoxamine maleate LIQUID 2 mg/5 mL Y  
64950024304 CARBINOXAMINE MALEATE carbinoxamine maleate LIQUID 4 mg/5 mL Y  
64950024316 CARBINOXAMINE MALEATE carbinoxamine maleate LIQUID 4 mg/5 mL Y  
71085008007 CARBZAH carbinoxamine maleate LIQUID 4 mg/5 mL Y  
62542010105 CARBINOXAMINE MALEATE ER carbinoxamine maleate SUS ER 12H 4 mg/5 mL Y  
23594010105 KARBINAL ER carbinoxamine maleate SUS ER 12H 4 mg/5 mL Y  
44523082501 CARBINOXAMINE MALEATE carbinoxamine maleate TABLET 4 mg Y  
64950021101 CARBINOXAMINE MALEATE carbinoxamine maleate TABLET 4 mg Y  
69315023901 CARBINOXAMINE MALEATE carbinoxamine maleate TABLET 6 mg Y  
73684011060 CARBINOXAMINE MALEATE carbinoxamine maleate TABLET 6 mg Y  
80705012030 CARBINOXAMINE MALEATE carbinoxamine maleate TABLET 6 mg Y  
15370013010 RYVENT carbinoxamine maleate TABLET 6 mg Y  
71776002430 ZERVIATE cetirizine HCl DROPERETTE 0.24 % Y  
82667001524 ZERVIATE cetirizine HCl DROPERETTE 0.24 % Y  
00485009816 ED CHLORPED JR chlorpheniramine maleate SYRUP 2 mg/5 mL Y  
00026998301 CHLO-AMINE chlorpheniramine maleate TAB CHEW 2 mg Y  
00026998302 CHLO-AMINE chlorpheniramine maleate TAB CHEW 2 mg Y  
00536100601 ALLER-CHLOR chlorpheniramine maleate TABLET 4 mg Y  
00536100610 ALLER-CHLOR chlorpheniramine maleate TABLET 4 mg Y  
00904001224 ALLERGY chlorpheniramine maleate TABLET 4 mg Y  
00904001259 ALLERGY chlorpheniramine maleate TABLET 4 mg Y  
00904001261 ALLERGY chlorpheniramine maleate TABLET 4 mg Y  
00904001280 ALLERGY chlorpheniramine maleate TABLET 4 mg Y  
70677000401 ALLERGY chlorpheniramine maleate TABLET 4 mg Y  
46122061862 ALLERGY RELIEF chlorpheniramine maleate TABLET 4 mg Y  
62011031101 ALLERGY RELIEF chlorpheniramine maleate TABLET 4 mg Y  
70000016002 ALLERGY RELIEF chlorpheniramine maleate TABLET 4 mg Y  
70677101601 ALLERGY RELIEF chlorpheniramine maleate TABLET 4 mg Y  
83324006824 ALLERGY RELIEF chlorpheniramine maleate TABLET 4 mg Y  
49483024201 ALLERGY-TIME chlorpheniramine maleate TABLET 4 mg Y  
49483024210 ALLERGY-TIME chlorpheniramine maleate TABLET 4 mg Y  
64950032412 CLEMASTINE FUMARATE clemastine fumarate SYRUP 0.5 mg/5 mL Y  
00093030801 CLEMASTINE FUMARATE clemastine fumarate TABLET 2.68 mg Y  
64950026810 CLEMASTINE FUMARATE clemastine fumarate TABLET 2.68 mg Y  
71085008130 CLEMSZA clemastine fumarate TABLET 2.68 mg Y  
39328054416 CYPROHEPTADINE HCL cyproheptadine HCl SYRUP 2 mg/5 mL Y  
58657069716 CYPROHEPTADINE HCL cyproheptadine HCl SYRUP 2 mg/5 mL Y  
62135094947 CYPROHEPTADINE HCL cyproheptadine HCl SYRUP 2 mg/5 mL Y  
62135094994 CYPROHEPTADINE HCL cyproheptadine HCl SYRUP 2 mg/5 mL Y  
64980050448 CYPROHEPTADINE HCL cyproheptadine HCl SYRUP 2 mg/5 mL Y  
70752010112 CYPROHEPTADINE HCL cyproheptadine HCl SYRUP 2 mg/5 mL Y  
70752018512 CYPROHEPTADINE HCL cyproheptadine HCl SYRUP 2 mg/5 mL Y  
00121478810 CYPROHEPTADINE HCL cyproheptadine HCl SYRUP 4 mg/10 mL Y  
00115175701 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
16571080501 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
16571080510 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
23155070301 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
50268018911 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
50268018915 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
50742019001 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
52817021010 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
52817021050 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
62135023690 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
64380079506 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
64380079508 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
69367024601 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
69367024610 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
70710111000 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
70710111001 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
70752010710 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
70752010711 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
76385013001 CYPROHEPTADINE HCL cyproheptadine HCl TABLET 4 mg Y  
50991078360 ALA-HIST IR dexbrompheniramine maleate TABLET 2 mg Y  
15370015004 RYCLORA dexchlorpheniramine maleate SOLUTION 2 mg/5 mL Y  
10267131101 DEXCHLORPHENIRAMINE MALEATE dexchlorpheniramine maleate TABLET ER 6 mg Y  
70000020701 ALLERGY diphenhydramine HCl CAPSULE 25 mg Y  
70000059802 ALLERGY diphenhydramine HCl CAPSULE 25 mg Y  
46122044062 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
46122044078 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
46122069962 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
49348028208 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
70000058501 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
70677000202 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
70677101501 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
70677101502 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
83324008701 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
83324011824 ALLERGY RELIEF diphenhydramine HCl CAPSULE 25 mg Y  
00904723724 BANOPHEN diphenhydramine HCl CAPSULE 25 mg Y  
00904723760 BANOPHEN diphenhydramine HCl CAPSULE 25 mg Y  
00904723761 BANOPHEN diphenhydramine HCl CAPSULE 25 mg Y  
00904723780 BANOPHEN diphenhydramine HCl CAPSULE 25 mg Y  
62584067533 DIPHENHYDRAMINE HCL diphenhydramine HCl CAPSULE 25 mg Y  
00904530760 BANOPHEN diphenhydramine HCl CAPSULE 50 mg Y  
00904530780 BANOPHEN diphenhydramine HCl CAPSULE 50 mg Y  
00904205661 DIPHENHYDRAMINE HCL diphenhydramine HCl CAPSULE 50 mg Y  
62584067601 DIPHENHYDRAMINE HCL diphenhydramine HCl CAPSULE 50 mg Y  
62584067633 DIPHENHYDRAMINE HCL diphenhydramine HCl CAPSULE 50 mg Y  
00121048900 DIPHENHYDRAMINE HCL diphenhydramine HCl ELIXIR 12.5 mg/5 mL Y  
00121048905 DIPHENHYDRAMINE HCL diphenhydramine HCl ELIXIR 12.5 mg/5 mL Y  
00121097800 DIPHENHYDRAMINE HCL diphenhydramine HCl ELIXIR 12.5 mg/5 mL Y  
00121097810 DIPHENHYDRAMINE HCL diphenhydramine HCl ELIXIR 12.5 mg/5 mL Y  
46122068526 ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
54859081116 ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00113037926 CHILDREN'S ALLERGY diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
46122067426 CHILDREN'S ALLERGY diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904753315 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
46122079329 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
70000047401 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
70000049201 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
70000069301 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
70000070101 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
70677101201 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
70677101202 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
70677126801 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
70677126802 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
83324001604 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
24385037926 DIPHEDRYL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00121086500 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00121086505 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00121173000 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00121173010 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904698516 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904698520 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904732341 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904732370 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904732466 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904732472 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904755966 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904755972 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904756041 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
00904756070 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
57237030512 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
57237030516 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
57237031705 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
57237031751 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
57237031801 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
57237031811 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
60687082940 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
60687082986 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
60687083008 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
60687083042 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
60687083056 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
69339015105 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
69339015117 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
69339015119 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
69339015201 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
69339015217 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
69339015219 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
71800005819 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
81033002916 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
83035107009 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
83720050208 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
83720050216 DIPHENHYDRAMINE HCL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
58657052804 M-DRYL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
58657052816 M-DRYL diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
54838013440 SILADRYL DAS diphenhydramine HCl LIQUID 12.5 mg/5 mL Y  
76045010210 DIPHENHYDRAMINE HCL diphenhydramine HCl SYRINGE 50 mg/mL Y  
00113033326 ANTITUSSIVE COUGH SYRUP diphenhydramine HCl SYRUP 12.5 mg/5 mL Y  
00472123228 HYDRAMINE diphenhydramine HCl SYRUP 12.5 mg/5 mL Y  
46122042589 CHILDREN'S ALLERGY RELIEF diphenhydramine HCl TAB CHEW 12.5 mg Y  
49483006101 ALLER-G-TIME diphenhydramine HCl TABLET 25 mg Y  
49483006110 ALLER-G-TIME diphenhydramine HCl TABLET 25 mg Y  
24385047978 ALLERGY diphenhydramine HCl TABLET 25 mg Y  
00113047962 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
00113047978 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
00113047979 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
46122044162 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
50844032907 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
70000013601 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
70000013602 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
70000013603 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
70677101401 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
70677123801 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
83324008801 ALLERGY RELIEF diphenhydramine HCl TABLET 25 mg Y  
00904555124 BANOPHEN diphenhydramine HCl TABLET 25 mg Y  
00904555159 BANOPHEN diphenhydramine HCl TABLET 25 mg Y  
00536121429 DIPHENHYDRAMINE HCL diphenhydramine HCl TABLET 25 mg Y  
51079086201 DIPHENHYDRAMINE HCL diphenhydramine HCl TABLET 25 mg Y  
68094001859 DIPHENHYDRAMINE HCL diphenhydramine HCl TABLET 25 mg Y  
68094001861 DIPHENHYDRAMINE HCL diphenhydramine HCl TABLET 25 mg Y  
71800004801 DIPHENHYDRAMINE HCL diphenhydramine HCl TABLET 25 mg Y  
00641037621 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
00641037625 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
00641628201 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
00641628225 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
23155026431 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
23155026441 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
25021048101 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
63323066400 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
63323066401 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
63323066416 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
63323066441 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
67457012410 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
72485010101 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
72485010105 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
72485010125 DIPHENHYDRAMINE HCL diphenhydramine HCl VIAL 50 mg/mL Y  
60505058401 EPINASTINE HCL epinastine HCl DROPS 0.05 % Y  
70069000801 EPINASTINE HCL epinastine HCl DROPS 0.05 % Y  
00121103416 HYDROXYZINE HCL hydroxyzine HCl SOLUTION 10 mg/5 mL Y  
54838050280 HYDROXYZINE HCL hydroxyzine HCl SOLUTION 10 mg/5 mL Y  
62135050247 HYDROXYZINE HCL hydroxyzine HCl SOLUTION 10 mg/5 mL Y  
62135075047 HYDROXYZINE HCL hydroxyzine HCl SOLUTION 10 mg/5 mL Y  
69452039588 HYDROXYZINE HCL hydroxyzine HCl SOLUTION 10 mg/5 mL Y  
83745023216 HYDROXYZINE HCL hydroxyzine HCl SOLUTION 10 mg/5 mL Y  
62135005024 HYDROXYZINE HCL hydroxyzine HCl SOLUTION 50 mg/25 mL Y  
62135005052 HYDROXYZINE HCL hydroxyzine HCl SOLUTION 50 mg/25 mL Y  
00093506001 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
00093506005 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
00904737740 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
00904737780 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
10702001001 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
10702001050 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
11534020401 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
11534020403 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
16571011301 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
16571011350 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
16714008110 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
16714008111 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
23155050001 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
23155050005 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
23155050010 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
24658078105 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
42806015901 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
42806015905 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
42806015910 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
59651049901 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
59651049905 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
60687066401 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
60687066411 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
62135057305 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
62135057312 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
63739048310 HYDROXYZINE HCL hydroxyzine HCl TABLET 10 mg Y  
00093506101 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
00093506105 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
00093506110 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
00904661761 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
00904737840 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
00904737880 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
10702001101 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
10702001110 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
10702001150 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
11534020501 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
11534020503 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
16571011401 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
16571011410 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
16571011450 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
16714008210 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
16714008211 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
16714008212 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
23155050101 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
23155050105 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
23155050110 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
24658078210 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
42806016001 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
42806016005 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
42806016010 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
59651050001 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
59651050005 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
59651050099 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
60687067501 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
60687067511 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
62135057405 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
62135057412 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
63739048610 HYDROXYZINE HCL hydroxyzine HCl TABLET 25 mg Y  
00093506201 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
00093506205 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
00904661861 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
00904737940 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
00904737980 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
11534020601 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
11534020603 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
16571011501 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
16571011510 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
16571011550 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
16714008310 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
16714008311 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
23155050201 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
23155050205 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
23155050210 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
24658078310 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
42806016101 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
42806016105 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
42806016110 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
59651050101 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
59651050105 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
59651050199 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
60687087501 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
60687087511 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
62135057505 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
62135057512 HYDROXYZINE HCL hydroxyzine HCl TABLET 50 mg Y  
00517420101 HYDROXYZINE HCL hydroxyzine HCl VIAL 25 mg/mL Y  
00517420125 HYDROXYZINE HCL hydroxyzine HCl VIAL 25 mg/mL Y  
00517560101 HYDROXYZINE HCL hydroxyzine HCl VIAL 50 mg/mL Y  
00517560125 HYDROXYZINE HCL hydroxyzine HCl VIAL 50 mg/mL Y  
00517560225 HYDROXYZINE HCL hydroxyzine HCl VIAL 50 mg/mL Y  
00555032402 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 100 mg Y  
00115180301 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
00115180302 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
00185067401 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
00185067405 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
00555032302 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
00555032304 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
00904706561 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
14539067401 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
14539067405 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
50268039811 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
50268039850 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
60687069601 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
60687069611 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
62135081612 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 25 mg Y  
00069541066 VISTARIL hydroxyzine pamoate CAPSULE 25 mg Y  
00115180401 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
00115180402 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
00185067601 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
00185067605 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
00555030202 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
00555030204 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
14539067501 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
14539067505 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
50268039911 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
50268039950 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
60687070701 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
60687070711 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
60687070765 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
62135081712 HYDROXYZINE PAMOATE hydroxyzine pamoate CAPSULE 50 mg Y  
24208060110 ALAWAY ketotifen fumarate DROPS 0.025 % (0.035 %) Y  
24208060105 CHILDREN'S ALAWAY ketotifen fumarate DROPS 0.025 % (0.035 %) Y  
00536125240 EYE ITCH RELIEF ketotifen fumarate DROPS 0.025 % (0.035 %) Y  
70000052201 EYE ITCH RELIEF ketotifen fumarate DROPS 0.025 % (0.035 %) Y  
72485061710 KETOTIFEN FUMARATE ketotifen fumarate DROPS 0.025 % (0.035 %) Y  
76385010617 KETOTIFEN FUMARATE ketotifen fumarate DROPS 0.025 % (0.035 %) Y  
00065401105 ZADITOR ketotifen fumarate DROPS 0.025 % (0.035 %) Y  
00065401106 ZADITOR ketotifen fumarate DROPS 0.025 % (0.035 %) Y  
70000005401 EYE ALLERGY ITCH-REDNESS RLF olopatadine HCl DROPS 0.1 % Y  
70677115601 EYE ALLERGY ITCH-REDNESS RLF olopatadine HCl DROPS 0.1 % Y  
70677128001 EYE ALLERGY ITCH-REDNESS RLF olopatadine HCl DROPS 0.1 % Y  
00536130840 OLOPATADINE HCL olopatadine HCl DROPS 0.1 % Y  
16571088205 OLOPATADINE HCL olopatadine HCl DROPS 0.1 % Y  
43598076507 OLOPATADINE HCL olopatadine HCl DROPS 0.1 % Y  
46122067264 OLOPATADINE HCL olopatadine HCl DROPS 0.1 % Y  
70000071701 OLOPATADINE HCL olopatadine HCl DROPS 0.1 % Y  
70069000701 OLOPATADINE HCL olopatadine HCl DROPS 0.1 % Y  
70069001701 OLOPATADINE HCL olopatadine HCl DROPS 0.1 % Y  
70512052005 OLOPATADINE HCL olopatadine HCl DROPS 0.1 % Y  
00065427401 PATADAY TWICE DAILY RELIEF olopatadine HCl DROPS 0.1 % Y  
24208061701 ADVANCED EYE RELIEF olopatadine HCl DROPS 0.2 % Y  
70000005301 EYE ALLERGY ITCH RELIEF olopatadine HCl DROPS 0.2 % Y  
70677115501 EYE ALLERGY ITCH RELIEF olopatadine HCl DROPS 0.2 % Y  
00536130723 OLOPATADINE HCL olopatadine HCl DROPS 0.2 % Y  
16571086125 OLOPATADINE HCL olopatadine HCl DROPS 0.2 % Y  
43598076402 OLOPATADINE HCL olopatadine HCl DROPS 0.2 % Y  
46122067127 OLOPATADINE HCL olopatadine HCl DROPS 0.2 % Y  
68001053069 OLOPATADINE HCL olopatadine HCl DROPS 0.2 % Y  
70000071601 OLOPATADINE HCL olopatadine HCl DROPS 0.2 % Y  
70069049101 OLOPATADINE HCL olopatadine HCl DROPS 0.2 % Y  
70677012201 OLOPATADINE HCL olopatadine HCl DROPS 0.2 % Y  
83324012025 OLOPATADINE HCL olopatadine HCl DROPS 0.2 % Y  
00065815001 PATADAY ONCE DAILY RELIEF olopatadine HCl DROPS 0.2 % Y  
00065815003 PATADAY ONCE DAILY RELIEF olopatadine HCl DROPS 0.2 % Y  
00065081601 PATADAY ONCE DAILY RELIEF olopatadine HCl DROPS 0.7 % Y  
00065081604 PATADAY ONCE DAILY RELIEF olopatadine HCl DROPS 0.7 % Y  
58809077008 PEDIACLEAR-8 pyrilamine maleate LIQUID 12.5 mg/15 mL Y  
58809065150 PEDIACLEAR PD triprolidine HCl DROPS 0.625 mg/mL Y  
71321070150 TRIPROLIDINE HCL triprolidine HCl DROPS 0.625 mg/mL Y  
28595080130 HISTEX PD triprolidine HCl DROPS 0.938 mg/mL Y  
69367025330 TRIPROLIDINE HCL triprolidine HCl DROPS 0.938 mg/mL Y  
28595080930 HISTEX PD triprolidine HCl DROPS 1.25 mg/mL N Y PA Document
28595080830 HISTEX PDX triprolidine HCl DROPS 1.25 mg/mL N Y PA Document
28595080208 HISTEX triprolidine HCl LIQUID 2.5 mg/5 mL Y  
28595080560 HISTEX triprolidine HCl TAB CHEW 1.25 mg N Y PA Document
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