Antispasm Anticholinergics

← 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
00409163010 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
00409163015 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
00409491011 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
00409491034 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
00409491111 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
00409491134 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
16729048403 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
16729048445 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
70121170501 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
70121170507 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
70121170601 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
70121170602 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
70121170604 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
76329334001 ATROPINE SULFATE atropine sulfate SYRINGE 0.1 mg/mL Y  
00409963005 ATROPINE SULFATE atropine sulfate SYRINGE 0.25 mg/5 mL (0.05 mg/mL) Y  
00409963015 ATROPINE SULFATE atropine sulfate SYRINGE 0.25 mg/5 mL (0.05 mg/mL) Y  
00517100401 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
00517100425 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
00641625101 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
00641625110 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
16729051205 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
16729051243 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
16729052508 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
16729052563 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
63323058003 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
63323058020 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
70069048101 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
70069048110 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
70069063101 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
70069063125 ATROPINE SULFATE atropine sulfate VIAL 0.4 mg/mL Y  
00517100101 ATROPINE SULFATE atropine sulfate VIAL 1 mg/mL Y  
00517100125 ATROPINE SULFATE atropine sulfate VIAL 1 mg/mL Y  
16729052608 ATROPINE SULFATE atropine sulfate VIAL 1 mg/mL Y  
16729052663 ATROPINE SULFATE atropine sulfate VIAL 1 mg/mL Y  
70069064101 ATROPINE SULFATE atropine sulfate VIAL 1 mg/mL Y  
70069064125 ATROPINE SULFATE atropine sulfate VIAL 1 mg/mL Y  
70069044101 DICYCLOMINE HCL dicyclomine HCl AMPUL 10 mg/mL Y  
70069044105 DICYCLOMINE HCL dicyclomine HCl AMPUL 10 mg/mL Y  
00054074825 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00054074831 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00527058601 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00527058610 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00591079401 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00591079410 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00832605310 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00832605311 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00904698761 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00904789680 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
24979020101 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
24979020103 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
31722005201 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
31722005210 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
43547063410 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
43547063411 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
50268019911 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
50268019915 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
59651071901 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
59651071999 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
60687036901 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
60687036911 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
62135071890 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
73473080001 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
73473080010 DICYCLOMINE HCL dicyclomine HCl CAPSULE 10 mg Y  
00054062263 DICYCLOMINE HCL dicyclomine HCl SOLUTION 10 mg/5 mL Y  
00603116158 DICYCLOMINE HCL dicyclomine HCl SOLUTION 10 mg/5 mL Y  
70954026110 DICYCLOMINE HCL dicyclomine HCl SOLUTION 10 mg/5 mL Y  
00143122701 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
00143122710 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
00527128201 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
00527128210 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
00591079501 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
00591079510 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
00832605210 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
00832605211 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
00904698861 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
16571025901 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
16571025910 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
24979020001 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
24979020003 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
31722007901 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
31722007910 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
59651072001 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
59651072099 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
60687038001 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
60687038011 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
62135042801 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
62135042812 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
69452031120 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
69452031132 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
72888011900 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
72888011901 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
73473090201 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
73473090210 DICYCLOMINE HCL dicyclomine HCl TABLET 20 mg Y  
73352011960 DICYCLOMINE HCL dicyclomine HCl TABLET 40 mg Y  
00517198001 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
00517198005 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
00641617301 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
00641617310 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
14789001002 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
14789001007 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
31722096331 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
31722096332 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
63323084202 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
63323084221 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
70069043101 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
70069043105 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
70436014780 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
70436014781 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
72266012701 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
72266012705 DICYCLOMINE HCL dicyclomine HCl VIAL 10 mg/mL Y  
00259050116 CUVPOSA glycopyrrolate SOLUTION 1 mg/5 mL (0.2 mg/mL) Y  
31722001647 GLYCOPYRROLATE glycopyrrolate SOLUTION 1 mg/5 mL (0.2 mg/mL) Y  
49884004233 GLYCOPYRROLATE glycopyrrolate SOLUTION 1 mg/5 mL (0.2 mg/mL) Y  
51672531609 GLYCOPYRROLATE glycopyrrolate SOLUTION 1 mg/5 mL (0.2 mg/mL) Y  
59651043547 GLYCOPYRROLATE glycopyrrolate SOLUTION 1 mg/5 mL (0.2 mg/mL) Y  
62135096147 GLYCOPYRROLATE glycopyrrolate SOLUTION 1 mg/5 mL (0.2 mg/mL) Y  
71656006116 GLYCOPYRROLATE glycopyrrolate SOLUTION 1 mg/5 mL (0.2 mg/mL) Y  
72205007072 GLYCOPYRROLATE glycopyrrolate SOLUTION 1 mg/5 mL (0.2 mg/mL) Y  
72603024001 GLYCOPYRROLATE glycopyrrolate SOLUTION 1 mg/5 mL (0.2 mg/mL) Y  
68094007301 GLYCOPYRROLATE glycopyrrolate SYRINGE 1 mg/5 mL Y  
68094007358 GLYCOPYRROLATE glycopyrrolate SYRINGE 1 mg/5 mL Y  
82111051801 DARTISLA glycopyrrolate TAB RAPDIS 1.7 mg Y  
00904670961 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
13107001401 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
16571074309 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
23155060601 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
49884006501 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
50268036311 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
50268036315 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
60687045801 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
60687045811 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
62135073460 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
69076047501 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
69315013901 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
70752010810 GLYCOPYRROLATE glycopyrrolate TABLET 1 mg Y  
70199000790 ROBINUL glycopyrrolate TABLET 1 mg Y  
80056016010 GLYCATE glycopyrrolate TABLET 1.5 mg Y  
13107001501 GLYCOPYRROLATE glycopyrrolate TABLET 2 mg Y  
16571074409 GLYCOPYRROLATE glycopyrrolate TABLET 2 mg Y  
23155060701 GLYCOPYRROLATE glycopyrrolate TABLET 2 mg Y  
49884006601 GLYCOPYRROLATE glycopyrrolate TABLET 2 mg Y  
62135073560 GLYCOPYRROLATE glycopyrrolate TABLET 2 mg Y  
69076047601 GLYCOPYRROLATE glycopyrrolate TABLET 2 mg Y  
69315014001 GLYCOPYRROLATE glycopyrrolate TABLET 2 mg Y  
70752010910 GLYCOPYRROLATE glycopyrrolate TABLET 2 mg Y  
70199000890 ROBINUL FORTE glycopyrrolate TABLET 2 mg Y  
00143967901 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00143967910 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00143968001 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00143968025 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00143968101 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00143968125 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00143968201 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00143968225 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00517460101 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00517460125 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00517460225 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00517460525 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00517462025 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00781382571 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00781382596 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00781382772 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00781382796 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00781382975 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00781382996 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00781383180 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
00781383195 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
16714053601 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
16714053625 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
25021079601 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
25021079602 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
25021079605 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
43547054325 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
43547054425 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
43547063901 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
43547063925 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
43547064001 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
43547064025 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
60505617900 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
60505617905 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
60505618000 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
60505618005 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
60505618100 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
60505618105 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
60505618200 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
60505618204 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
62332060701 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
62332060725 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
62332062702 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
62332062725 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
62332062805 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
62332062825 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
62332062910 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
62332062920 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057801 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057802 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057803 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057804 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057805 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057807 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057811 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057812 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057841 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
63323057842 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
65219080100 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
65219080101 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
66794020202 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
66794020242 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
66794020302 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
66794020342 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
66794020402 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
66794020442 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
66794020502 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
66794020541 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069001101 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069001125 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069001201 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069001225 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069001301 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069001325 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069061601 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069061610 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069061701 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069061725 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069061801 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069061825 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069061901 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70069061925 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700016522 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700016525 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700016622 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700016625 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700016722 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700016725 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700016822 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700016823 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700090222 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700090225 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700090322 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70700090323 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70860078101 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70860078102 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70860078105 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70860078141 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70860078142 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70860078143 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70860078144 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041401 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041402 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041403 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041404 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041491 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041492 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041493 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041494 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041505 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041506 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041520 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041521 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041595 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71288041596 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71839012301 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71839012325 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71839012401 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71839012425 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71839012501 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
71839012525 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
72572022501 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
72572022525 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
72572022601 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
72572022625 GLYCOPYRROLATE glycopyrrolate VIAL 0.2 mg/mL Y  
70121169801 GLYCOPYRROLATE glycopyrrolate in water/PF SYRINGE 0.2 mg/mL Y  
70121169807 GLYCOPYRROLATE glycopyrrolate in water/PF SYRINGE 0.2 mg/mL Y  
76045020301 GLYCOPYRROLATE glycopyrrolate in water/PF SYRINGE 0.2 mg/mL Y  
76045020310 GLYCOPYRROLATE glycopyrrolate in water/PF SYRINGE 0.2 mg/mL Y  
76045020601 GLYCOPYRROLATE glycopyrrolate in water/PF SYRINGE 0.2 mg/mL Y  
76045020610 GLYCOPYRROLATE glycopyrrolate in water/PF SYRINGE 0.2 mg/mL Y  
70121169901 GLYCOPYRROLATE glycopyrrolate in water/PF SYRINGE 0.4 mg/2 mL (0.2 mg/mL) Y  
70121169907 GLYCOPYRROLATE glycopyrrolate in water/PF SYRINGE 0.4 mg/2 mL (0.2 mg/mL) Y  
76045020302 GLYCOPYRROLATE glycopyrrolate/PF SYRINGE 0.4 mg/2 mL (0.2 mg/mL) Y  
76045020320 GLYCOPYRROLATE glycopyrrolate/PF SYRINGE 0.4 mg/2 mL (0.2 mg/mL) Y  
76045020802 GLYCOPYRROLATE glycopyrrolate/PF SYRINGE 0.4 mg/2 mL (0.2 mg/mL) Y  
76045020820 GLYCOPYRROLATE glycopyrrolate/PF SYRINGE 0.4 mg/2 mL (0.2 mg/mL) Y  
76045002300 GLYCOPYRROLATE glycopyrrolate/PF SYRINGE 0.6 mg/3 mL (0.2 mg/mL) Y  
76045002330 GLYCOPYRROLATE glycopyrrolate/PF SYRINGE 0.6 mg/3 mL (0.2 mg/mL) Y  
76045022303 GLYCOPYRROLATE glycopyrrolate/PF SYRINGE 0.6 mg/3 mL (0.2 mg/mL) Y  
76045022330 GLYCOPYRROLATE glycopyrrolate/PF SYRINGE 0.6 mg/3 mL (0.2 mg/mL) Y  
51754601501 GLYRX-PF glycopyrrolate/PF SYRINGE 1 mg/5 mL (0.2 mg/mL) Y  
51754601503 GLYRX-PF glycopyrrolate/PF SYRINGE 1 mg/5 mL (0.2 mg/mL) Y  
51754600001 GLYRX-PF glycopyrrolate/PF VIAL 0.2 mg/mL Y  
51754600004 GLYRX-PF glycopyrrolate/PF VIAL 0.2 mg/mL Y  
51754600101 GLYRX-PF glycopyrrolate/PF VIAL 0.2 mg/mL Y  
51754600104 GLYRX-PF glycopyrrolate/PF VIAL 0.2 mg/mL Y  
51991019101 METHSCOPOLAMINE BROMIDE methscopolamine bromide TABLET 2.5 mg Y  
72319002904 METHSCOPOLAMINE BROMIDE methscopolamine bromide TABLET 2.5 mg Y  
76385010001 METHSCOPOLAMINE BROMIDE methscopolamine bromide TABLET 2.5 mg Y  
51991019206 METHSCOPOLAMINE BROMIDE methscopolamine bromide TABLET 5 mg Y  
72319003002 METHSCOPOLAMINE BROMIDE methscopolamine bromide TABLET 5 mg Y  
76385010160 METHSCOPOLAMINE BROMIDE methscopolamine bromide TABLET 5 mg Y  
00254232038 BELLADONNA W/PHENOBARBITAL phenobarb/hyoscy/atropine/scop TABLET 16.2 mg-0.1037 mg-0.0194 mg-0.0065 mg Y  
75826011810 PHENOHYTRO phenobarb/hyoscy/atropine/scop TABLET 16.2 mg-0.1037 mg-0.0194 mg-0.0065 mg Y  
00054873725 PROPANTHELINE BROMIDE propantheline bromide TABLET 15 mg Y  
54092007301 PRO-BANTHINE propantheline bromide TABLET 7.5 mg Y