Adrenergics

← Back to Class List

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.

< Return to summary view

NDC Brand Name Generic Name Form Strength PDL
Status
Rebate Current Drug Use Criteria
00074581916 DOPAMINE HCL dopamine HCl SYRINGE 40 mg/mL Y  
00074910518 DOPAMINE HCL dopamine HCl SYRINGE 40 mg/mL Y  
00074426618 DOPAMINE HCL ADDITIVE SYRINGE dopamine HCl SYRINGE 80 mg/mL Y  
00143925201 DOPAMINE HCL dopamine HCl VIAL 200 mg/5 mL (40 mg/mL) Y  
00143925225 DOPAMINE HCL dopamine HCl VIAL 200 mg/5 mL (40 mg/mL) Y  
00409582001 DOPAMINE HCL dopamine HCl VIAL 200 mg/5 mL (40 mg/mL) Y  
00409582011 DOPAMINE HCL dopamine HCl VIAL 200 mg/5 mL (40 mg/mL) Y  
00143925401 DOPAMINE HCL dopamine HCl VIAL 400 mg/10 mL (40 mg/mL) Y  
00143925425 DOPAMINE HCL dopamine HCl VIAL 400 mg/10 mL (40 mg/mL) Y  
00409910420 DOPAMINE HCL dopamine HCl VIAL 400 mg/10 mL (40 mg/mL) Y  
00409910421 DOPAMINE HCL dopamine HCl VIAL 400 mg/10 mL (40 mg/mL) Y  
00264514810 DOPAMINE IN 5% DEXTROSE dopamine HCl in dextrose 5 % INFUS. BTL 1,600 mcg/mL Y  
00264514820 DOPAMINE IN 5% DEXTROSE dopamine HCl in dextrose 5 % INFUS. BTL 1,600 mcg/mL Y  
00074414103 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % INFUS. BTL 400 mg/500 mL (800 mcg/mL) Y  
00264514410 DOPAMINE HCL IN D5W dopamine HCl in dextrose 5 % INFUS. BTL 800 mcg/mL Y  
00264514420 DOPAMINE IN 5% DEXTROSE dopamine HCl in dextrose 5 % INFUS. BTL 800 mcg/mL Y  
00074414203 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % INFUS. BTL 800 mg/500 mL (1,600 mcg/mL) Y  
00338100502 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 200 mg/250 mL (800 mcg/mL) Y  
00338100702 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 400 mg/250 mL (1,600 mcg/mL) Y  
00409780911 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 400 mg/250 mL (1,600 mcg/mL) Y  
00409780922 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 400 mg/250 mL (1,600 mcg/mL) Y  
00338100503 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 400 mg/500 mL (800 mcg/mL) Y  
00338101102 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 6,400 mcg/mL Y  
00338100902 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 800 mg/250 mL (3,200 mcg/mL) Y  
00409781011 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 800 mg/250 mL (3,200 mcg/mL) Y  
00409781022 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 800 mg/250 mL (3,200 mcg/mL) Y  
00338100703 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 800 mg/500 mL (1,600 mcg/mL) Y  
00409780924 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 800 mg/500 mL (1,600 mcg/mL) Y  
00409780931 DOPAMINE HCL IN 5% DEXTROSE dopamine HCl in dextrose 5 % PLAST. BAG 800 mg/500 mL (1,600 mcg/mL) Y  
00904739289 DROXIDOPA droxidopa CAPSULE 100 mg Y PA Document
27241019990 DROXIDOPA droxidopa CAPSULE 100 mg Y PA Document
31722001490 DROXIDOPA droxidopa CAPSULE 100 mg Y PA Document
50228042990 DROXIDOPA droxidopa CAPSULE 100 mg Y PA Document
63304008690 DROXIDOPA droxidopa CAPSULE 100 mg Y PA Document
67877070490 DROXIDOPA droxidopa CAPSULE 100 mg Y PA Document
70710138909 DROXIDOPA droxidopa CAPSULE 100 mg Y PA Document
72205007290 DROXIDOPA droxidopa CAPSULE 100 mg Y PA Document
82249055190 DROXIDOPA droxidopa CAPSULE 100 mg Y PA Document
67386082019 NORTHERA droxidopa CAPSULE 100 mg Y PA Document
00904739389 DROXIDOPA droxidopa CAPSULE 200 mg Y PA Document
31722001590 DROXIDOPA droxidopa CAPSULE 200 mg Y PA Document
50228043090 DROXIDOPA droxidopa CAPSULE 200 mg Y PA Document
63304010490 DROXIDOPA droxidopa CAPSULE 200 mg Y PA Document
67877070590 DROXIDOPA droxidopa CAPSULE 200 mg Y PA Document
70710139009 DROXIDOPA droxidopa CAPSULE 200 mg Y PA Document
72205007390 DROXIDOPA droxidopa CAPSULE 200 mg Y PA Document
82249055290 DROXIDOPA droxidopa CAPSULE 200 mg Y PA Document
67386082119 NORTHERA droxidopa CAPSULE 200 mg Y PA Document
00904739489 DROXIDOPA droxidopa CAPSULE 300 mg Y PA Document
27808020101 DROXIDOPA droxidopa CAPSULE 300 mg Y PA Document
31722001090 DROXIDOPA droxidopa CAPSULE 300 mg Y PA Document
50228043190 DROXIDOPA droxidopa CAPSULE 300 mg Y PA Document
63304011290 DROXIDOPA droxidopa CAPSULE 300 mg Y PA Document
67877070690 DROXIDOPA droxidopa CAPSULE 300 mg Y PA Document
70710139109 DROXIDOPA droxidopa CAPSULE 300 mg Y PA Document
72205007490 DROXIDOPA droxidopa CAPSULE 300 mg Y PA Document
82249055490 DROXIDOPA droxidopa CAPSULE 300 mg Y PA Document
67386082219 NORTHERA droxidopa CAPSULE 300 mg Y PA Document
51754425001 AKOVAZ ephedrine sulfate SYRINGE 25 mg/5 mL (5 mg/mL) Y  
51754425003 AKOVAZ ephedrine sulfate SYRINGE 25 mg/5 mL (5 mg/mL) Y  
14789025109 EMERPHED ephedrine sulfate SYRINGE 25 mg/5 mL (5 mg/mL) Y  
14789025110 EMERPHED ephedrine sulfate SYRINGE 25 mg/5 mL (5 mg/mL) Y  
00641623601 EPHEDRINE SULFATE ephedrine sulfate SYRINGE 25 mg/5 mL (5 mg/mL) Y  
00641623610 EPHEDRINE SULFATE ephedrine sulfate SYRINGE 25 mg/5 mL (5 mg/mL) Y  
65219054601 EPHEDRINE SULFATE ephedrine sulfate SYRINGE 25 mg/5 mL (5 mg/mL) Y  
65219054605 EPHEDRINE SULFATE ephedrine sulfate SYRINGE 25 mg/5 mL (5 mg/mL) Y  
14789025209 EMERPHED ephedrine sulfate SYRINGE 50 mg/10 mL (5 mg/mL) Y  
14789025210 EMERPHED ephedrine sulfate SYRINGE 50 mg/10 mL (5 mg/mL) Y  
65219054801 EPHEDRINE SULFATE ephedrine sulfate SYRINGE 50 mg/10 mL (5 mg/mL) Y  
65219054810 EPHEDRINE SULFATE ephedrine sulfate SYRINGE 50 mg/10 mL (5 mg/mL) Y  
14789025007 EMERPHED ephedrine sulfate VIAL 50 mg/10 mL (5 mg/mL) Y  
14789025010 EMERPHED ephedrine sulfate VIAL 50 mg/10 mL (5 mg/mL) Y  
42023024301 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/10 mL (5 mg/mL) Y  
42023024399 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/10 mL (5 mg/mL) Y  
14789001401 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL Y  
51754420001 AKOVAZ ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
51754420004 AKOVAZ ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
68001033059 AKOVAZ ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
68001033060 AKOVAZ ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
00641623801 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
00641623825 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
00781326971 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
00781326995 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
25021083601 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
42023021601 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
42023021625 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
42023021683 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
42023021689 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
43598072511 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
43598072525 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
55150037301 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
55150037325 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
65145015801 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
65145015825 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
65219025700 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
65219025701 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
70069081901 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
70069081910 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
70121163701 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
70121163707 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
70700024922 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
70700024923 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
70700024925 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
70756061125 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
70756061182 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
72572015001 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
72572015010 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
72572015101 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
72572015110 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
72603020301 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
72603020325 EPHEDRINE SULFATE ephedrine sulfate VIAL 50 mg/mL (1 mL) Y  
00338002420 EPINEPHRINE-0.9% NACL epineph bitart in 0.9% sod chl PLAST. BAG 16 mg/250 mL (64 mcg/mL) Y  
00409493301 EPINEPHRINE epinephrine SYRINGE 0.1 mg/mL Y  
00409493305 EPINEPHRINE epinephrine SYRINGE 0.1 mg/mL Y  
00409493310 EPINEPHRINE epinephrine SYRINGE 0.1 mg/mL Y  
00409493311 EPINEPHRINE epinephrine SYRINGE 0.1 mg/mL Y  
76329331801 EPINEPHRINE epinephrine SYRINGE 0.1 mg/mL Y  
42023016801 ADRENALIN epinephrine VIAL 1 mg/mL Y  
42023016889 ADRENALIN epinephrine VIAL 1 mg/mL Y  
42023016899 ADRENALIN epinephrine VIAL 1 mg/mL Y  
00517303001 EPINEPHRINE epinephrine VIAL 1 mg/mL Y  
60793040111 EPINEPHRINE epinephrine VIAL 1 mg/mL Y  
63323069830 EPINEPHRINE epinephrine VIAL 1 mg/mL Y  
68462076010 EPINEPHRINE epinephrine VIAL 1 mg/mL Y  
76329906000 EPINEPHRINE epinephrine VIAL 1 mg/mL Y  
42023015901 ADRENALIN epinephrine VIAL 1 mg/mL (1 mL) Y  
42023015925 ADRENALIN epinephrine VIAL 1 mg/mL (1 mL) Y  
63323069602 EPINEPHRINE epinephrine VIAL 1 mg/mL (1 mL) Y  
63323069625 EPINEPHRINE epinephrine VIAL 1 mg/mL (1 mL) Y  
68462093301 EPINEPHRINE epinephrine HCl/PF AMPUL 1 mg/mL (1 mL) Y  
68462093310 EPINEPHRINE epinephrine HCl/PF AMPUL 1 mg/mL (1 mL) Y  
42023072101 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 10 mg/250 mL (40 mcg/mL) Y  
42023072110 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 10 mg/250 mL (40 mcg/mL) Y  
42023027301 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 2 mg/250 mL (8 mcg/mL) Y  
42023027310 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 2 mg/250 mL (8 mcg/mL) Y  
42023031501 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 4 mg/250 mL (16 mcg/mL) Y  
42023031510 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 4 mg/250 mL (16 mcg/mL) Y  
42023043401 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 5 mg/250 mL (20 mcg/mL) Y  
42023043410 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 5 mg/250 mL (20 mcg/mL) Y  
42023050001 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 8 mg/250 mL (32 mcg/mL) Y  
42023050010 ADRENALIN epinephrine in 0.9 % sod chlor PLAST. BAG 8 mg/250 mL (32 mcg/mL) Y  
72485011301 ISOPROTERENOL HCL isoproterenol HCl AMPUL 0.2 mg/mL Y  
72485011310 ISOPROTERENOL HCL isoproterenol HCl AMPUL 0.2 mg/mL Y  
00548950100 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
00548950200 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
10702036405 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
10702036451 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
14789001101 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
14789001107 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
14789001505 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
14789001507 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
23155066031 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
23155066043 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
23155066131 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
23155066142 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
25021032401 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
25021032405 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
69918073101 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
69918073102 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
69918073110 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
69918073111 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
69918073501 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
69918073502 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
69918073510 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
69918073511 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
83634030301 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
83634030305 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
83634030341 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
83634030342 ISOPROTERENOL HCL isoproterenol HCl VIAL 0.2 mg/mL Y  
00006322210 ARAMINE metaraminol bitartrate VIAL 10 mg/mL Y  
00245021311 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
00378190301 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
00904681907 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
49884087401 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
50268056311 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
50268056315 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
52817032510 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
59651024801 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
60505132501 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
60687040925 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
60687040995 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
62332034031 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
64980043501 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
68382073901 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
70700015901 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
70756005011 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
72603060701 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
72888011401 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
82293000510 MIDODRINE HCL midodrine HCl TABLET 10 mg Y  
00245021111 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
00378190101 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
00904681706 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
00904681761 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
49884081401 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
50268056111 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
50268056115 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
52817032310 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
59651024601 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
60505132001 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
60687038701 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
60687038711 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
62332033831 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
64980043301 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
68382073701 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
70700015701 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
70756001011 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
72603060501 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
72888011201 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
82293000310 MIDODRINE HCL midodrine HCl TABLET 2.5 mg Y  
00245021201 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
00245021211 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
00245021289 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
00378190201 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
00904681806 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
00904681861 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
49884084901 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
50268056211 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
50268056215 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
51079045301 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
51079045320 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
52817032410 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
59651024701 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
60505132101 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
60687039801 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
60687039811 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
62332033931 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
63739014510 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
64980043401 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
68382073801 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
70700015801 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
70756004911 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
72603060601 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
72888011301 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
82293000410 MIDODRINE HCL midodrine HCl TABLET 5 mg Y  
44567064201 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 16 mg/250 mL (64 mcg/mL) Y  
44567064210 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 16 mg/250 mL (64 mcg/mL) Y  
81298965801 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 16 mg/250 mL (64 mcg/mL) Y  
81298965803 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 16 mg/250 mL (64 mcg/mL) Y  
44567064001 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 4 mg/250 mL (16 mcg/mL) Y  
44567064010 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 4 mg/250 mL (16 mcg/mL) Y  
81298965901 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 4 mg/250 mL (16 mcg/mL) Y  
81298965903 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 4 mg/250 mL (16 mcg/mL) Y  
44567064101 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 8 mg/250 mL (32 mcg/mL) Y  
44567064110 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 8 mg/250 mL (32 mcg/mL) Y  
81298965501 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 8 mg/250 mL (32 mcg/mL) Y  
81298965503 NOREPINEPHRINE BITAR-0.9% NACL norepinephrine bit/0.9 % NaCl PLAST. BAG 8 mg/250 mL (32 mcg/mL) Y  
00409016101 LEVOPHED norepinephrine bitartrate VIAL 1 mg/mL Y  
00409016110 LEVOPHED norepinephrine bitartrate VIAL 1 mg/mL Y  
00409337504 LEVOPHED norepinephrine bitartrate VIAL 1 mg/mL Y  
00409337514 LEVOPHED norepinephrine bitartrate VIAL 1 mg/mL Y  
00143931801 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
00143931810 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
00781375575 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
00781375595 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
25021031604 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
43066099701 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
43066099710 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
47335061540 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
47335061544 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
51991098317 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
51991098399 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
63323094004 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
63323094021 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
64980063004 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
64980063041 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
65145013301 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
65145013310 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
65219014002 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
65219014004 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
67457085200 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
67457085204 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
70121157601 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
70121157607 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
70377012111 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
70377012112 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
71288043904 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
71288043905 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
71839014301 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
71839014325 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
72078000200 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
72078000204 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
72572048101 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
72572048110 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
72603018001 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
72603018010 NOREPINEPHRINE BITARTRATE norepinephrine bitartrate VIAL 1 mg/mL Y  
00338011620 NOREPINEPHRINE BITARTRATE-D5W norepinephrine bitartrate/D5W PLAST. BAG 16 mg/250 mL (64 mcg/mL) Y  
00338011220 NOREPINEPHRINE BITARTRATE-D5W norepinephrine bitartrate/D5W PLAST. BAG 4 mg/250 mL (16 mcg/mL) Y  
00338010820 NOREPINEPHRINE BITARTRATE-D5W norepinephrine bitartrate/D5W PLAST. BAG 8 mg/250 mL (32 mcg/mL) Y  
00641614201 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00641614225 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00641618801 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00641618810 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00641618901 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00641618910 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00641622901 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00641622925 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00781342271 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00781342292 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00781345875 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00781345895 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00781346670 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00781922775 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00781922795 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
00781922870 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
23155062031 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
23155062041 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
25021031501 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
25021031598 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
25021031599 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
31722034331 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
31722034333 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
31722034405 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
31722034431 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
31722034510 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
31722034531 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
42023021301 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
42023021325 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
42023021401 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
42023021410 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
42023021501 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
55150030001 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
55150030025 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
55150030101 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
55150030110 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
55150030201 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
61990021100 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
61990021103 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
61990021200 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
61990021202 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
61990021300 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
61990021301 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
63323075100 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
63323075101 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
63323075103 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
63323075105 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
63323075110 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
63323075113 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
66758001602 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069080101 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069080125 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069080201 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069080210 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069080301 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069081101 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069081125 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069081201 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069081210 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70069081301 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70121157701 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70121157705 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70121157801 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70121157807 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70121157901 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70756062125 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70756062182 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70756062210 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70756062285 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
70756062386 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
71288080701 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
71288080702 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
71288080875 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
71288080876 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
71288080877 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72205026401 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72205026425 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72205026501 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72205026507 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72205026601 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72205026607 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72485050401 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72485050425 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72485050501 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72485050510 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72485050601 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72572057001 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72572057010 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72572057101 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
72572057125 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
81284021100 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
81284021125 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
81284021200 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
81284021210 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
81284021300 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
81284021301 PHENYLEPHRINE HCL phenylephrine HCl VIAL 10 mg/mL Y  
51754402001 VAZCULEP phenylephrine HCl VIAL 10 mg/mL Y