Moisturizers, Topical

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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.

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NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Current Drug Use Criteria
70211070304 COATS ALOE aloe vera extract/allantoin CREAM (G) 0.5 % N Y PA Document
70211070316 COATS ALOE aloe vera extract/allantoin CREAM (G) 0.5 % N Y PA Document
70211070508 COATS ALOE aloe vera extract/allantoin JELLY(ML) 0.5 % Y  
70211070108 COATS ALOE aloe vera extract/allantoin LIQUID Y  
70211070208 COATS ALOE MOISTURIZING aloe vera extract/allantoin LOTION 0.5 % N Y PA Document
70211070233 COATS ALOE MOISTURIZING aloe vera extract/allantoin LOTION 0.5 % N Y PA Document
00003401898 ALOE VESTA aloe vera/petrolatum OINT. (G) Y  
00003401899 ALOE VESTA aloe vera/petrolatum OINT. (G) Y  
00003401865 ALOE VESTA aloe vera/soap LIQ. SOAP Y  
00003401866 ALOE VESTA aloe vera/soap LIQ. SOAP Y  
00003401867 ALOE VESTA aloe vera/soap LIQ. SOAP Y  
45802051377 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y N  
63044040420 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y N  
71399049404 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y N  
45802049326 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y Y  
45802049383 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y Y  
45802049398 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y Y  
51672130100 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y Y  
51672130102 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y Y  
51672130104 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y Y  
71085007203 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y Y  
71085007204 AMMONIUM LACTATE ammonium lactate CREAM (G) 12 % Y Y  
00245002166 AMLACTIN ammonium lactate KIT 12 %-12 % Y  
00245002304 AMLACTIN ammonium lactate LOTION 12 % Y N  
00245002315 AMLACTIN ammonium lactate LOTION 12 % Y N  
00245002320 AMLACTIN ammonium lactate LOTION 12 % Y N  
00245002322 AMLACTIN ammonium lactate LOTION 12 % Y N  
00245002340 AMLACTIN ammonium lactate LOTION 12 % Y N  
54569533600 AMLACTIN ammonium lactate LOTION 12 % Y N  
45802052526 AMMONIUM LACTATE ammonium lactate LOTION 12 % Y N  
45802052555 AMMONIUM LACTATE ammonium lactate LOTION 12 % Y N  
63044048409 AMMONIUM LACTATE ammonium lactate LOTION 12 % Y N  
71399014004 AMMONIUM LACTATE ammonium lactate LOTION 12 % Y N  
71399014008 AMMONIUM LACTATE ammonium lactate LOTION 12 % Y N  
45802041926 AMMONIUM LACTATE ammonium lactate LOTION 12 % Y Y  
45802041954 AMMONIUM LACTATE ammonium lactate LOTION 12 % Y Y  
51672130005 AMMONIUM LACTATE ammonium lactate LOTION 12 % Y Y  
51672130009 AMMONIUM LACTATE ammonium lactate LOTION 12 % Y Y  
50428047796 SKIN TREATMENT ammonium lactate LOTION 12 % Y N  
00884599902 CITRADERM ascorbic acid/cyclometh/dimeth CREAM (G) N Y PA Document
49348013830 BENZOIN benzoin TINCTURE Y  
70677120001 BENZOIN benzoin TINCTURE Y  
00113006334 CALAMINE calamine LOTION Y  
45802013006 CALAMINE calamine LOTION Y  
45802013007 CALAMINE calamine LOTION Y  
45802013008 CALAMINE calamine LOTION Y  
45802093006 CALAMINE calamine LOTION Y  
45802093007 CALAMINE calamine LOTION Y  
45802093008 CALAMINE calamine LOTION Y  
00395040796 CALAMINE PHENOLATED calamine/phenol liquid LOTION Y N  
10939014733 CALAMINE PHENOLATED calamine/phenol liquid LOTION Y N  
45802023482 CALAMINE PHENOLATED calamine/phenol liquid LOTION Y Y  
49348080234 CALAMINE PHENOLATED calamine/phenol liquid LOTION Y Y  
89411000031 BABY ANTI MONKEY BUTT calamine/zinc oxide CREAM (G) 2 %-12 % Y N  
68599020504 THERA CALAZINC calamine/zinc oxide CREAM(ML) 3 %-20 % N Y PA Document
45802013083 CALAMINE calamine/zinc oxide LOTION Y  
00363006330 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
00363022430 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
00363436010 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
00395041396 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
10939014833 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
11822043529 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
11917013120 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
11917015812 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
35515094507 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
36800006330 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
46036000662 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
52569013499 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
63868031706 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
75981006330 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
87701040092 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y N  
00904253321 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y Y  
24385041396 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y Y  
49348001134 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y Y  
62011011401 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y Y  
70677119601 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y Y  
83324024806 CALAMINE calamine/zinc oxide LOTION 8 %-8 % Y Y  
24385040796 CALAMINE calamine/zinc oxide/phenol liq SUSPENSION 8 %-8 %-1 % Y  
70677119701 CALAMINE-ZINC OXIDE-PHENOL calamine/zinc oxide/phenol liq SUSPENSION 8 %-8 %-1 % Y  
00644002112 CERAVE ceramides 1,3,6-II LOTION Y N  
00299392001 CETAPHIL cetyl alc/stearyl alc/pg/sls CREAM (G) Y Y  
00168004516 COLD CREAM cold cream CREAM (G) N Y PA Document
00168004531 COLD CREAM cold cream CREAM (G) N Y PA Document
45802009405 COLD CREAM cold cream CREAM (G) N Y PA Document
45802009429 COLD CREAM cold cream CREAM (G) N Y PA Document
45802009495 COLD CREAM cold cream CREAM (G) N Y PA Document
45802060440 COLD CREAM cold cream CREAM (G) N Y PA Document
46287050216 DERMACLOUD cold cream/zinc oxide/star/lan OINT. (G) N Y PA Document
08137101845 AVEENO BABY colloidal oatmeal CREAM (G) 1 % Y N  
08137116934 AVEENO ECZEMA NIGHT ITCH RLF colloidal oatmeal CREAM (G) 1 % Y N  
08137101842 AVEENO MOISTURIZING CREAM colloidal oatmeal CREAM (G) 1 % Y N  
08137115105 AVEENO MOISTURIZING CREAM colloidal oatmeal CREAM (G) 1 % Y N  
50428042817 ECZEMA RELIEF colloidal oatmeal CREAM (G) 1 % Y N  
72140001521 EUCERIN BABY ECZEMA RELIEF colloidal oatmeal CREAM (G) 1 % Y N  
72140001522 EUCERIN BABY ECZEMA RELIEF colloidal oatmeal CREAM (G) 1 % Y N  
72140002664 EUCERIN BABY ECZEMA RELIEF colloidal oatmeal CREAM (G) 1 % Y N  
72140001187 EUCERIN ECZEMA RELIEF colloidal oatmeal CREAM (G) 1 % Y N  
41167006626 GOLD BOND MEDICATED ECZEMA RLF colloidal oatmeal CREAM (G) 2 % Y N  
41167006639 GOLD BOND MEDICATED ECZEMA RLF colloidal oatmeal CREAM (G) 2 % Y N  
41167006621 GOLD BOND ULTIMATE ECZEMA RLF colloidal oatmeal CREAM (G) 2 % Y N  
71521002513 ADVANCED ECZEMA CARE colloidal oatmeal CREAM(ML) 1 % Y N  
50428058200 ECZEMA CARE colloidal oatmeal CREAM(ML) 1 % Y N  
71521002590 ITCH-ECZEMA RELIEF colloidal oatmeal CREAM(ML) 1 % Y N  
37875058862 LIPIKAR ECZEMA colloidal oatmeal CREAM(ML) 1 % Y N  
00299011504 CETAPHIL ECZEMA RESTORADERM colloidal oatmeal LOTION 1 % Y  
00299412800 CETAPHIL ECZEMA RESTORADERM colloidal oatmeal LOTION 1 % Y  
00299412810 CETAPHIL ECZEMA RESTORADERM colloidal oatmeal LOTION 1 % Y  
41167006638 GOLD BOND MEDICATED ECZEMA RLF colloidal oatmeal LOTION 2 % Y N  
00088500002 ENVISAN dextranomer KIT Y  
00088500008 ENVISAN dextranomer KIT Y  
41100081128 A AND D DIAPER RASH dimethic/zinc ox/vits A,D/aloe CREAM (G) 1 %-10 % Y N  
41100081132 A AND D DIAPER RASH dimethic/zinc ox/vits A,D/aloe CREAM (G) 1 %-10 % Y N  
65197040200 A AND D DIAPER RASH dimethic/zinc ox/vits A,D/aloe CREAM (G) 1 %-10 % Y N  
50428034761 DIAPER CREAM dimethic/zinc ox/vits A,D/aloe CREAM (G) 1 %-10 % Y N  
61924020804 4-N-1 dimethicone CREAM (G) 1 % Y N  
50952000101 COOL BOTTOMS dimethicone CREAM (G) 1 % Y N  
50952000201 NEUTRAPHOR dimethicone CREAM (G) 1 % Y N  
00064085010 PROSHIELD GLOVE dimethicone CREAM (G) 1 % Y N  
68599020401 THERA MOISTURIZING dimethicone CREAM (G) 1.5 % N Y PA Document
66977002204 NORMLSHIELD dimethicone CREAM (G) 4.5 % Y N  
11701006313 SWEEN 24 dimethicone CREAM (G) 6 % Y N  
11701006314 SWEEN 24 dimethicone CREAM (G) 6 % Y N  
11701006323 SWEEN 24 dimethicone CREAM (G) 6 % Y N  
68599020404 THERA MOISTURIZING dimethicone CREAM(ML) 1.5 % Y  
68599021801 THERA MOISTURIZING dimethicone CREAM(ML) 1.75 % Y  
68599021804 THERA MOISTURIZING dimethicone CREAM(ML) 1.75 % Y  
68599021808 THERA MOISTURIZING dimethicone CREAM(ML) 1.75 % Y  
59088062308 DERMACINRX DIMOPAIR dimethicone CREAM(ML) 5 % Y  
59088033308 DERMACINRX SKIN REPAIR COMPLEX dimethicone CREAM(ML) 5 % Y  
59088021207 DERMACINRX EXEMAX dimethicone/allantoin CREAM (G) 5 %-2 % N Y PA Document
59088032607 SCARTRATE dimethicone/allantoin CREAM (G) 5 %-2.25 % N Y PA Document
81370003601 AVEENO DAILY MOISTURIZING dimethicone/colloidal oatmeal LOTION 1.2 % Y N  
81370003602 AVEENO DAILY MOISTURIZING dimethicone/colloidal oatmeal LOTION 1.2 % Y N  
08137003600 AVEENO DAILY MOISTURIZING dimethicone/colloidal oatmeal LOTION 1.25 % Y N  
08137003844 AVEENO DAILY MOISTURIZING dimethicone/colloidal oatmeal LOTION 1.25 % Y N  
08137004267 AVEENO dimethicone/colloidal oatmeal LOTION 1.3 % Y N  
67777040802 DYNASHIELD-DIMETHICONE dimethicone/zinc oxide CREAM (G) 1.8 %-2 % Y N  
67777040803 DYNASHIELD-DIMETHICONE dimethicone/zinc oxide CREAM (G) 1.8 %-2 % Y N  
41167005367 GOLD BOND ULTIMATE DIABETIC emollient combination no.116 LOTION Y N  
00299391408 CETAPHIL emollient combination no.40 LOTION Y Y  
00299391416 CETAPHIL emollient combination no.40 LOTION Y Y  
43538043009 KERADAN emollient combination no.65 CREAM (G) N Y PA Document
00072910014 MOISTUREL gly/benzyl alc/petrolat,wht LOTION Y N  
00299391702 CETAPHIL gly/dimeth/petrolat,wht/water CREAM (G) Y Y  
00299391742 CETAPHIL gly/dimeth/petrolat,wht/water CREAM (G) Y Y  
00299391756 CETAPHIL gly/dimeth/petrolat,wht/water CREAM (G) Y Y  
00113089126 GLYCERIN glycerin LIQUID Y  
31722093947 GLYCERIN glycerin LIQUID Y  
37205001126 GLYCERIN glycerin LIQUID Y  
31722013747 GLYCERIN glycerin SOLUTION 99.5 % Y  
37205001130 GLYCERIN glycerin SOLUTION 99.5 % Y  
08333338401 ONE-STEP glycerin/dimeth/surfactants LOTION Y N  
45802060006 EXTRA CARE SKIN LOTION glycerin/mineral oil LOTION Y  
45802060093 EXTRA CARE SKIN LOTION glycerin/mineral oil LOTION Y  
00299590030 CANDERMYL glycerin/propylene glycol CREAM (G) N Y PA Document
00884205145 OSTIDERM glycerin/zinc oxide/phenol liq LOTION Y  
00259601801 AQUA GLYCOLIC herbal drugs LOTION Y  
00259601808 AQUA GLYCOLIC herbal drugs LOTION Y  
00259601708 AQUA LACTEN lactic acid/urea LOTION Y Y  
12090001601 LANTISEPTIC lanolin CREAM (G) 30 % Y N  
12090000091 LANTISEPTIC lanolin CREAM (G) 50 % Y N  
12090001901 LANTISEPTIC lanolin CREAM (G) 50 % Y N  
12090001902 LANTISEPTIC lanolin CREAM (G) 50 % Y N  
12090001903 LANTISEPTIC lanolin CREAM (G) 50 % Y N  
12090001904 LANTISEPTIC lanolin CREAM (G) 50 % Y N  
12090001906 LANTISEPTIC lanolin CREAM (G) 50 % Y N  
12090001907 LANTISEPTIC lanolin CREAM (G) 50 % Y N  
68599620201 SKIN PROTECTANT lanolin CREAM (G) 50 % Y Y  
68599620202 SKIN PROTECTANT lanolin CREAM (G) 50 % Y Y  
68599620301 SKIN PROTECTANT lanolin CREAM (G) 50 % Y Y  
45802009105 LANOLIN HYDROUS lanolin OINT. (G) Y  
45802009195 LANOLIN HYDROUS lanolin OINT. (G) Y  
67777041003 LANASHIELD lanolin OINT. (G) 50 % Y N  
67777041004 LANASHIELD lanolin OINT. (G) 50 % Y N  
53329004277 SOOTHE & COOL MEDSEPTIC lanolin OINT. (G) 50 % Y N  
80196074510 SOOTHE & COOL MEDSEPTIC lanolin OINT. (G) 50 % Y N  
53329004244 SOOTHE AND COOL MEDSEPTIC lanolin OINT. (G) 50 % Y N  
80196074508 SOOTHE AND COOL MEDSEPTIC lanolin OINT. (G) 50 % Y N  
45802092608 THERAPEUTIC BATH lanolin/mineral oil LIQUID Y  
45802092647 THERAPEUTIC BATH lanolin/mineral oil LIQUID Y  
45802092651 THERAPEUTIC BATH lanolin/mineral oil LIQUID Y  
61924015512 DERMAVANTAGE lanolin/mineral oil LOTION Y N  
45802012516 EXTRA CARE HAND AND BODY lanolin/mineral oil LOTION Y Y  
45802012517 EXTRA CARE HAND AND BODY lanolin/mineral oil LOTION Y Y  
45802012518 EXTRA CARE HAND AND BODY lanolin/mineral oil LOTION Y Y  
45802054409 HAND & BODY lanolin/mineral oil LOTION Y Y  
45802059351 THERA-P lanolin/mineral oil LOTION Y Y  
45802059308 THERA-P HAND AND BODY LOTION lanolin/mineral oil LOTION Y Y  
45802059395 THERA-P HAND AND BODY LOTION lanolin/mineral oil LOTION Y Y  
45802060709 BATH OIL lanolin/mineral oil OIL Y  
45802060747 BATH OIL lanolin/mineral oil OIL Y  
45802060751 BATH OIL lanolin/mineral oil OIL Y  
45802012608 THERAPEUTIC BATH OIL lanolin/mineral oil OIL Y  
45802012647 THERAPEUTIC BATH OIL lanolin/mineral oil OIL Y  
45802012651 THERAPEUTIC BATH OIL lanolin/mineral oil OIL Y  
45802012683 THERAPEUTIC BATH OIL lanolin/mineral oil OIL Y  
45802017517 PH SKIN CLEANSER lanolin/petrolatum,white LIQUID Y  
45802017582 PH SKIN CLEANSER lanolin/petrolatum,white LIQUID Y  
45802061317 PH SKIN CLEANSER lanolin/petrolatum,white LIQUID Y  
45802061318 PH SKIN CLEANSER lanolin/petrolatum,white LIQUID Y  
45802061382 PH SKIN CLEANSER lanolin/petrolatum,white LIQUID Y  
00024152108 PHISODERM lanolin/petrolatum,white LIQUID Y  
00024152124 PHISODERM lanolin/petrolatum,white LIQUID Y  
00024152148 PHISODERM lanolin/petrolatum,white LIQUID Y  
00116085102 D.R.C. PERI-RECTAL lanolin/zinc oxide CREAM (G) Y  
00085410025 COMPLEX 15 lecithin/glycerin/dimethicone CREAM (G) N Y PA Document
00085411508 COMPLEX 15 lecithin/glycerin/dimethicone LOTION Y Y  
16784012751 CALASOOTHE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
16784012753 CALASOOTHE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
67777023403 CALASOOTHE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
67777023404 CALASOOTHE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
00799000102 CALMOSEPTINE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
00799000103 CALMOSEPTINE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
00799000104 CALMOSEPTINE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
46876000025 CALMOSEPTINE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
46876000030 CALMOSEPTINE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
46876000040 CALMOSEPTINE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
69618006782 CALPROTECT menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
71399674301 HYDROSEPTINE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
10135070104 MENTHOL-ZINC OXIDE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
00363368004 MOISTURE BARRIER OINTMENT menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
11917017045 MOISTURE BARRIER OINTMENT menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y N  
64980032212 RISAMINE menthol/zinc oxide OINT. (G) 0.44 %-20.6 % Y Y  
51028000100 CHAMOSYN menthol/zinc/aloe/chamomil oil OINT. (G) 0.45 %-20 % Y N  
51028000101 CHAMOSYN menthol/zinc/aloe/chamomil oil OINT. (G) 0.45 %-20 % Y N  
54162090001 I.S.P. min oil/petrolatum/castor oil LOTION Y N  
00259600508 MAPO mineral oil OIL Y  
45802061817 MOISTURIN mineral oil/i-prop myr/water LOTION Y Y  
45802059176 DERMALINE FORMULA mineral oil/petrolatum,white CREAM (G) Y Y  
45802059177 DERMALINE FORMULA mineral oil/petrolatum,white CREAM (G) Y Y  
45802059274 DERMALINE FORMULA mineral oil/petrolatum,white LOTION Y  
45802059275 DERMALINE FORMULA mineral oil/petrolatum,white LOTION Y  
00187167814 VELVACHOL mineral oil/w.pet/alcohols/sls CREAM (G) N Y PA Document
67777014730 D-CERIN petrolatum,white CREAM (G) 33 % Y N  
67777014731 D-CERIN petrolatum,white CREAM (G) 33 % Y N  
61924017404 DERMACERIN petrolatum,white CREAM (G) 33 % Y N  
61924017416 DERMACERIN petrolatum,white CREAM (G) 33 % Y N  
53329007681 CARRINGTON MOISTURE BARRIER petrolatum,white CREAM (G) 61 % Y N  
84389010068 CARRINGTON MOISTURE BARRIER petrolatum,white CREAM (G) 61 % Y N  
08333338701 A & D BARRIER petrolatum,white OINT. (G) Y N  
00263508501 PROPHYLLIN CCC petrolatum,white OINT. (G) Y N  
63921016004 PROTECTIVE OINTMENT petrolatum,white OINT. (G) Y N  
63921016015 PROTECTIVE OINTMENT petrolatum,white OINT. (G) Y N  
67777000510 WHITE PETROLATUM petrolatum,white OINT. (G) Y N  
67777000511 WHITE PETROLATUM petrolatum,white OINT. (G) Y N  
67777000550 WHITE PETROLATUM petrolatum,white OINT. (G) Y N  
67777000551 WHITE PETROLATUM petrolatum,white OINT. (G) Y N  
67777000552 WHITE PETROLATUM petrolatum,white OINT. (G) Y N  
67777000570 WHITE PETROLATUM petrolatum,white OINT. (G) Y N  
67777000571 WHITE PETROLATUM petrolatum,white OINT. (G) Y N  
60001011221 FLANDERS HEALING OINTMENT petrolatum,white OINT. (G) 40 % Y N  
50428031690 ADVANCED HEALING petrolatum,white OINT. (G) 41 % Y N  
50428034566 ADVANCED HEALING petrolatum,white OINT. (G) 41 % Y N  
50428058951 ADVANCED HEALING petrolatum,white OINT. (G) 41 % Y N  
67777001403 AQUAGARD petrolatum,white OINT. (G) 41 % Y N  
67777001404 AQUAGARD petrolatum,white OINT. (G) 41 % Y N  
67777001463 AQUAGARD petrolatum,white OINT. (G) 41 % Y N  
67777001464 AQUAGARD petrolatum,white OINT. (G) 41 % Y N  
72140000375 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140000401 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140001419 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140001637 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140001715 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140001726 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140001945 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140002044 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140002435 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140003147 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140003263 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140003711 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140003712 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140011047 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140045231 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140063377 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140063608 AQUAPHOR petrolatum,white OINT. (G) 41 % Y N  
72140000314 AQUAPHOR BABY HEALING petrolatum,white OINT. (G) 41 % Y N  
72140000707 AQUAPHOR BABY HEALING petrolatum,white OINT. (G) 41 % Y N  
72140001388 AQUAPHOR BABY HEALING petrolatum,white OINT. (G) 41 % Y N  
72140001946 AQUAPHOR BABY HEALING petrolatum,white OINT. (G) 41 % Y N  
72140063386 AQUAPHOR BABY HEALING petrolatum,white OINT. (G) 41 % Y N  
70000007901 BABY SKIN PROTECTANT petrolatum,white OINT. (G) 41 % Y Y  
11822077007 DAYLOGIC ADVANCED HEALING petrolatum,white OINT. (G) 41 % Y N  
49022042696 DRY SKIN TREATMENT petrolatum,white OINT. (G) 41 % Y N  
71399510101 HYDROPHOR petrolatum,white OINT. (G) 42 % Y N  
71399510102 HYDROPHOR petrolatum,white OINT. (G) 42 % Y N  
00536114397 PETROLATUM petrolatum,white OINT. (G) 42 % Y Y  
00536114398 PETROLATUM petrolatum,white OINT. (G) 42 % Y Y  
61924018408 DERMAPHOR petrolatum,white OINT. (G) 44 % Y N  
69375000454 SKIN PROTECTANT petrolatum,white OINT. (G) 44 % Y N  
41167003923 GOLD BOND ADVANCED HEALING petrolatum,white OINT. (G) 45 % Y N  
41167003927 GOLD BOND ADVANCED HEALING petrolatum,white OINT. (G) 45 % Y N  
06000053784 CERAVE BABY HEALING petrolatum,white OINT. (G) 46.5 % Y N  
06000053721 CERAVE HEALING petrolatum,white OINT. (G) 46.5 % Y N  
06000053748 CERAVE HEALING petrolatum,white OINT. (G) 46.5 % Y N  
06000053764 CERAVE HEALING petrolatum,white OINT. (G) 46.5 % Y N  
06000055471 CERAVE HEALING petrolatum,white OINT. (G) 46.5 % Y N  
53329016610 REMEDY CLEAR-AID petrolatum,white OINT. (G) 50 % Y N  
80196031110 REMEDY CLEAR-AID petrolatum,white OINT. (G) 50 % Y N  
30103004300 BALMEX petrolatum,white OINT. (G) 51.1 % Y N  
12547003491 DESITIN MULTI-PURPOSE petrolatum,white OINT. (G) 71.3 % Y N  
11701008333 CRITIC-AID CLEAR petrolatum,white OINT. (G) 86.5 % Y N  
41167006750 GOLD BOND ULTIMATE petrolatum/vits A,C,E/aloe xt OINT.(ML) 45 % Y N  
45802060347 DERMALUBE sod chlord/lanolin/min.oil/pet LOTION Y  
45802061755 DERMALUBE sod chlord/lanolin/min.oil/pet LOTION Y  
00245001910 AMLACTIN sod,ammonium,potassium lactate CREAM (G) N Y PA Document
00884237704 HYDRISEA sodium chloride/potass/cal/mag LOTION Y  
00884619604 TI-BABY titanium dioxide LOTION Y  
00884169604 TI-SCREEN titanium dioxide LOTION Y  
61924020404 PERIGUARD vit A/vitamin D3/E/aloe v/zinc OINT. (G) Y N  
61924020405 PERIGUARD vit A/vitamin D3/E/aloe v/zinc OINT. (G) Y N  
61924020408 PERIGUARD vit A/vitamin D3/E/aloe v/zinc OINT. (G) Y N  
61924020415 PERIGUARD vit A/vitamin D3/E/aloe v/zinc OINT. (G) Y N  
61924020416 PERIGUARD vit A/vitamin D3/E/aloe v/zinc OINT. (G) Y N  
00299024132 CETAPHIL vit E acet/gly/dimeth/water LOTION Y Y  
00299024133 CETAPHIL vit E acet/gly/dimeth/water LOTION Y Y  
00299391808 CETAPHIL vit E acet/gly/dimeth/water LOTION Y Y  
00299391816 CETAPHIL vit E acet/gly/dimeth/water LOTION Y Y  
49158013410 VITAMIN E vitamin E CREAM (G) Y N  
87701035286 VITAMIN E vitamin E CREAM (G) Y N  
45802050843 VITAMIN E vitamin E CREAM (G) Y Y  
45802058543 VITAMIN E vitamin E CREAM (G) 10,000 unit Y  
45802050443 VITAMIN E vitamin E CREAM (G) 100 unit/gram Y  
45802050604 VITAMIN E vitamin E CREAM (G) 100 unit/gram Y  
45802050627 VITAMIN E vitamin E CREAM (G) 100 unit/gram Y  
45802050643 VITAMIN E vitamin E CREAM (G) 100 unit/gram Y  
45802050804 VITAMIN E vitamin E CREAM (G) 30 unit/gram Y  
45802050827 VITAMIN E vitamin E CREAM (G) 30 unit/gram Y  
45802054043 VITAMIN E vitamin E CREAM (G) 50 unit/gram Y  
00904512230 VITAMIN E vitamin E OIL Y  
45802056350 VITAMIN E vitamin E OIL Y  
45802058109 ALOE E vitamin E/aloe vera CREAM (G) Y  
79854010040 VITAMIN E WITH VIT A&D vitamin E/vitamins A and D CREAM (G) Y N  
11701000203 SWEEN CREAM vitamins A and D CREAM (G) Y N  
11701000213 SWEEN CREAM vitamins A and D CREAM (G) Y N  
11701000214 SWEEN CREAM vitamins A and D CREAM (G) Y N  
11701000223 SWEEN CREAM W/VITAMIN A & D vitamins A and D CREAM (G) Y N  
45802054809 VITAMIN A AND D vitamins A and D CREAM (G) Y Y  
24385007044 VITAMIN A AND D vitamins A and D OINT. (G) Y  
45802007001 VITAMIN A AND D vitamins A and D OINT. (G) Y  
45802007004 VITAMIN A AND D vitamins A and D OINT. (G) Y  
45802007005 VITAMIN A AND D vitamins A and D OINT. (G) Y  
41100081122 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
41100081124 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
41100081134 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
41100081163 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
65197040010 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
65197040012 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
65197040101 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
65197040300 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
65197040716 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
65197040735 A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
50428051090 SKIN PROTECTANT A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
11822472990 VITAMIN A & D vits A and D/white pet/lanolin OINT. (G) Y N  
54868287702 VITAMIN A & D vits A and D/white pet/lanolin OINT. (G) Y N  
87701055392 VITAMIN A & D vits A and D/white pet/lanolin OINT. (G) Y N  
11822023770 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
16784011571 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
50428041539 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
51824003305 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
51824003315 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
51824006515 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
51824009504 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
51824009515 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
67777021401 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
67777021402 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
67777021403 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
67777021405 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
67777021406 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
67777021410 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
67777021411 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
69396001805 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
71101021301 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
71399012201 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
71399012202 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
71399012204 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
87701040663 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y N  
46122072626 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y Y  
70000035801 VITAMIN A AND D vits A and D/white pet/lanolin OINT. (G) Y Y  
67777040703 DYNASHIELD zinc oxide CREAM (G) 1.8 % Y N  
67777040704 DYNASHIELD zinc oxide CREAM (G) 1.8 % Y N  
67777040710 DYNASHIELD zinc oxide CREAM (G) 1.8 % Y N  
67777040711 DYNASHIELD zinc oxide CREAM (G) 1.8 % Y N  
12547003436 DESITIN DAILY DEFENSE zinc oxide CREAM (G) 13 % Y N  
74300000300 DESITIN DAILY DEFENSE zinc oxide CREAM (G) 13 % Y N  
74300000301 DESITIN DAILY DEFENSE zinc oxide CREAM (G) 13 % Y N  
74300049516 DESITIN DAILY DEFENSE zinc oxide CREAM (G) 13 % Y N  
11917015504 DIAPER RASH zinc oxide CREAM (G) 13 % Y N  
50428052632 DIAPER RASH zinc oxide CREAM (G) 13 % Y N  
72140000250 AQUAPHOR BABY DIAPER RASH zinc oxide CREAM (G) 15 % Y N  
58809037504 Z-BUM zinc oxide CREAM (G) 22 % N Y PA Document
69367018804 ZINC OXIDE zinc oxide CREAM (G) 22 % N Y PA Document
58809045004 COZIMA zinc oxide CREAM (G) 24 % N Y PA Document
68599531206 SKIN PROTECTANT zinc oxide CREAM(ML) 5 % N Y PA Document
11086002001 TRIPLE PASTE zinc oxide OINT. (G) Y N  
11086002002 TRIPLE PASTE zinc oxide OINT. (G) Y N  
11086002003 TRIPLE PASTE zinc oxide OINT. (G) Y N  
11822313870 ZINC OXIDE zinc oxide OINT. (G) Y N  
11917000451 ZINC OXIDE zinc oxide OINT. (G) Y N  
87701095046 ZINC OXIDE zinc oxide OINT. (G) Y N  
87701040582 DIAPER RASH zinc oxide OINT. (G) 10 % Y N  
00178033003 DR. SMITH'S DIAPER zinc oxide OINT. (G) 10 % Y Y  
00178033008 DR. SMITH'S DIAPER zinc oxide OINT. (G) 10 % Y Y  
71269000602 DR. SMITH'S DIAPER zinc oxide OINT. (G) 10 % Y Y  
71269000603 DR. SMITH'S DIAPER zinc oxide OINT. (G) 10 % Y Y  
71269000608 DR. SMITH'S DIAPER zinc oxide OINT. (G) 10 % Y Y  
16864000104 TRIPLE PASTE zinc oxide OINT. (G) 12.8 % Y N  
16864002101 TRIPLE PASTE zinc oxide OINT. (G) 12.8 % Y N  
16864002105 TRIPLE PASTE zinc oxide OINT. (G) 12.8 % Y N  
62103000014 BOUDREAUXS zinc oxide OINT. (G) 16 % Y N  
62103000018 BOUDREAUXS zinc oxide OINT. (G) 16 % Y N  
62103033302 BOUDREAUXS zinc oxide OINT. (G) 16 % Y N  
62103033304 BOUDREAUXS zinc oxide OINT. (G) 16 % Y N  
62103033306 BOUDREAUXS zinc oxide OINT. (G) 16 % Y N  
62103033440 BOUDREAUXS zinc oxide OINT. (G) 16 % Y N  
62103000001 BOUDREAUXS RASH KICKING zinc oxide OINT. (G) 16 %-40 % Y N  
64068000002 ENDIT zinc oxide OINT. (G) 20 % Y N  
64068000004 ENDIT zinc oxide OINT. (G) 20 % Y N  
64068000008 ENDIT zinc oxide OINT. (G) 20 % Y N  
64068000016 ENDIT zinc oxide OINT. (G) 20 % Y N  
41280023139 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
50428032005 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
51824003203 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
51824003204 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
51824003215 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
54868296800 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
67777022301 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
67777022302 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
67777022303 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
67777022304 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
67777022305 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
67777022306 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
67777022311 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
67777022313 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
71399024502 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
71399024503 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
71399024506 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
87701041133 ZINC OXIDE zinc oxide OINT. (G) 20 % Y N  
00536131625 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
00536131628 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
00536131698 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
45802008623 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
45802008629 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
45802008695 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
45861008206 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
46122067646 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
68001053245 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
68001053246 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
68001053350 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
70000033401 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
75834017001 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
75834017002 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
75834017015 ZINC OXIDE zinc oxide OINT. (G) 20 % Y Y  
16784011901 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
16784011903 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
16784011911 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
16784011913 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
16784011921 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
16784011923 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
67777011901 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
67777011902 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
67777011910 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
67777011912 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
67777011920 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
67777011921 ZINC OXIDE zinc oxide OINT. (G) 25 % Y N  
70000048801 ZINC OXIDE zinc oxide OINT. (G) 25 % Y Y  
52410802000 PERISHIELD zinc oxide OINT. (G) 3.8 % Y N  
63921050035 PERISHIELD zinc oxide OINT. (G) 3.8 % Y N  
72140002661 AQUAPHOR BABY DIAPER RASH zinc oxide OINT. (G) 40 % Y N  
62103000194 BOUDREAUXS zinc oxide OINT. (G) 40 % Y N  
62103032302 BOUDREAUXS zinc oxide OINT. (G) 40 % Y N  
62103032304 BOUDREAUXS zinc oxide OINT. (G) 40 % Y N  
11917013235 DIAPER RASH zinc oxide OINT. (G) 40 % Y N  
30142002026 DIAPER RASH zinc oxide OINT. (G) 40 % Y N  
32953021020 DIAPER RASH zinc oxide OINT. (G) 40 % Y N  
41163002026 DIAPER RASH zinc oxide OINT. (G) 40 % Y N  
50428037569 DIAPER RASH zinc oxide OINT. (G) 40 % Y N  
50428038550 DIAPER RASH zinc oxide OINT. (G) 40 % Y N  
50804007901 DIAPER RASH zinc oxide OINT. (G) 40 % Y N  
11527005841 DIAPER RASH zinc oxide OINT. (G) 40 % Y Y  
70000046901 DIAPER RASH zinc oxide OINT. (G) 40 % Y Y  
11822333520 DIAPER RASH OINTMENT zinc oxide OINT. (G) 40 % Y N  
16864000093 TRIPLE PASTE zinc oxide OINT. (G) 40 % Y N  
00363677157 ZINC OXIDE zinc oxide OINT. (G) 40 % Y N  
00363714201 ZINC OXIDE zinc oxide OINT. (G) 40 % Y N  
11917010108 ZINC OXIDE zinc oxide OINT. (G) 40 % Y N  
11917016771 ZINC OXIDE zinc oxide OINT. (G) 40 % Y N  
59088062705 ZINCTRAL zinc oxide PASTE (G) 20 % Y  
45802008495 LASSAR'S PASTE zinc oxide PASTE (G) 25 % Y  
45802008403 ZINC OXIDE zinc oxide PASTE (G) 25 % Y  
45802008405 ZINC OXIDE zinc oxide PASTE (G) 25 % Y  
00132060707 YEAST-X zinc oxide POWDER Y  
51672531803 BEBE BOTTOMS DIAPER RASH zinc oxide SPRAY 10 % Y  
51672531807 BEBE BOTTOMS DIAPER RASH zinc oxide SPRAY 10 % Y  
87701095075 DIAPER RELIEF zinc oxide/cod liver oil OINT. (G) Y N  
50428213066 PEDIATRIC OINTMENT zinc oxide/cod liver oil OINT. (G) Y N  
45802017905 DIAPER RELIEF zinc oxide/cod liver oil OINT. (G) 40 % Y  
12090003204 LANTISEPTIC zinc oxide/menthol/calamine OINT. (G) 20 %-0.45 %-2 % Y N  
30103004500 BALMEX ADULT CARE zinc oxide/panthenol/vitamin E CREAM (G) 11.3 % Y N  
30103004600 BALMEX ADULT CARE zinc oxide/panthenol/vitamin E CREAM (G) 11.3 % Y N  
30103004000 BALMEX COMPLETE PROTECTION zinc oxide/panthenol/vitamin E CREAM (G) 11.3 % Y N  
30103004100 BALMEX COMPLETE PROTECTION zinc oxide/panthenol/vitamin E CREAM (G) 11.3 % Y N  
30103004200 BALMEX COMPLETE PROTECTION zinc oxide/panthenol/vitamin E CREAM (G) 11.3 % Y N  
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