Opioids, Parenteral
Newsletters
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.
| NDC | Brand Name | Generic Name | Form | Strength | PDL Status |
Rebate | Carveout ‐ Bill FFS |
Current Drug Use Criteria |
|---|---|---|---|---|---|---|---|---|
| 00074226652 | ALFENTANIL HYDROCHLORIDE | alfentanil HCl | AMPUL | 500 mcg/mL | Y | N | ||
| 00409201203 | BUPRENORPHINE HCL | buprenorphine HCl | CARTRIDGE | 0.3 mg/mL | Y | N | ||
| 00409201232 | BUPRENORPHINE HCL | buprenorphine HCl | CARTRIDGE | 0.3 mg/mL | Y | N | ||
| 42023017901 | BUPRENORPHINE HCL | buprenorphine HCl | VIAL | 0.3 mg/mL | Y | N | ||
| 42023017905 | BUPRENORPHINE HCL | buprenorphine HCl | VIAL | 0.3 mg/mL | Y | N | ||
| 70069002701 | BUPRENORPHINE HCL | buprenorphine HCl | VIAL | 0.3 mg/mL | Y | N | ||
| 70069002705 | BUPRENORPHINE HCL | buprenorphine HCl | VIAL | 0.3 mg/mL | Y | N | ||
| 00409162301 | BUTORPHANOL TARTRATE | butorphanol tartrate | VIAL | 1 mg/mL | Y | N | ||
| 00409162321 | BUTORPHANOL TARTRATE | butorphanol tartrate | VIAL | 1 mg/mL | Y | N | ||
| 00409162601 | BUTORPHANOL TARTRATE | butorphanol tartrate | VIAL | 2 mg/mL | Y | N | ||
| 00409162602 | BUTORPHANOL TARTRATE | butorphanol tartrate | VIAL | 2 mg/mL | Y | N | ||
| 00409162621 | BUTORPHANOL TARTRATE | butorphanol tartrate | VIAL | 2 mg/mL | Y | N | ||
| 00409162642 | BUTORPHANOL TARTRATE | butorphanol tartrate | VIAL | 2 mg/mL | Y | N | ||
| 00074109702 | CODEINE PHOSPHATE | codeine phosphate | SYRINGE | 15 mg/mL | Y | N | ||
| 00074110202 | CODEINE PHOSPHATE | codeine phosphate | SYRINGE | 30 mg/mL | Y | N | ||
| 00409909309 | FENTANYL CITRATE | fentanyl citrate/PF | AMPUL | 50 mcg/mL | Y | N | ||
| 00409909311 | FENTANYL CITRATE | fentanyl citrate/PF | AMPUL | 50 mcg/mL | Y | N | ||
| 63323081000 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 100 mcg/2 mL (50 mcg/mL) | Y | N | ||
| 63323081020 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 100 mcg/2 mL (50 mcg/mL) | Y | N | ||
| 63323081701 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 100 mcg/2 mL (50 mcg/mL) | Y | N | ||
| 63323081720 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 100 mcg/2 mL (50 mcg/mL) | Y | N | ||
| 00641624901 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 25 mcg/0.5 mL | Y | N | ||
| 00641624910 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 25 mcg/0.5 mL | Y | N | ||
| 00641624801 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 50 mcg/mL | Y | N | ||
| 00641624810 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 50 mcg/mL | Y | N | ||
| 63323080801 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 50 mcg/mL | Y | N | ||
| 63323080811 | FENTANYL CITRATE | fentanyl citrate/PF | SYRINGE | 50 mcg/mL | Y | N | ||
| 00409909412 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409909416 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409909417 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409909418 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409909422 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409909425 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409909428 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409909431 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409909441 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409909461 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00641602701 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00641602725 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00641602801 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00641602810 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00641602825 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00641602901 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00641603001 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00641624701 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00641624725 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 63323080601 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 63323080602 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 63323080605 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 63323080611 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 63323080612 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 63323080613 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 63323080614 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 63323080620 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 63323080650 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 72572017001 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 72572017025 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 72572017101 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 72572017110 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 72572017201 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 81565020501 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 81565020502 | FENTANYL CITRATE | fentanyl citrate/PF | VIAL | 50 mcg/mL | Y | N | ||
| 00409128303 | HYDROMORPHONE HCL | hydromorphone HCl | CARTRIDGE | 1 mg/mL | Y | N | ||
| 00409128331 | HYDROMORPHONE HCL | hydromorphone HCl | CARTRIDGE | 1 mg/mL | Y | N | ||
| 00409131203 | HYDROMORPHONE HCL | hydromorphone HCl | CARTRIDGE | 2 mg/mL | Y | N | ||
| 00409131230 | HYDROMORPHONE HCL | hydromorphone HCl | CARTRIDGE | 2 mg/mL | Y | N | ||
| 00409130403 | HYDROMORPHONE HCL | hydromorphone HCl | CARTRIDGE | 4 mg/mL | Y | N | ||
| 00409130431 | HYDROMORPHONE HCL | hydromorphone HCl | CARTRIDGE | 4 mg/mL | Y | N | ||
| 00409180501 | HYDROMORPHONE HCL | hydromorphone HCl | SYRINGE | 0.25 mg/0.5 mL | Y | N | ||
| 00409180510 | HYDROMORPHONE HCL | hydromorphone HCl | SYRINGE | 0.25 mg/0.5 mL | Y | N | ||
| 00409426401 | HYDROMORPHONE HCL | hydromorphone HCl | SYRINGE | 0.5 mg/0.5 mL | Y | N | ||
| 00409426411 | HYDROMORPHONE HCL | hydromorphone HCl | SYRINGE | 0.5 mg/0.5 mL | Y | N | ||
| 00409128317 | HYDROMORPHONE HCL | hydromorphone HCl | SYRINGE | 1 mg/mL | Y | N | ||
| 00409128337 | HYDROMORPHONE HCL | hydromorphone HCl | SYRINGE | 1 mg/mL | Y | N | ||
| 00409131216 | HYDROMORPHONE HCL | hydromorphone HCl | SYRINGE | 2 mg/mL | Y | N | ||
| 00409131236 | HYDROMORPHONE HCL | hydromorphone HCl | SYRINGE | 2 mg/mL | Y | N | ||
| 00409336510 | HYDROMORPHONE HCL | hydromorphone HCl | VIAL | 2 mg/mL | Y | N | ||
| 00409336511 | HYDROMORPHONE HCL | hydromorphone HCl | VIAL | 2 mg/mL | Y | N | ||
| 00641234139 | HYDROMORPHONE HCL | hydromorphone HCl | VIAL | 2 mg/mL | Y | N | ||
| 00641234141 | HYDROMORPHONE HCL | hydromorphone HCl | VIAL | 2 mg/mL | Y | N | ||
| 00641625401 | HYDROMORPHONE HCL | hydromorphone HCl | VIAL | 2 mg/mL | Y | N | ||
| 76045012101 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 0.2 mg/mL | Y | N | ||
| 76045012111 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 0.2 mg/mL | Y | N | ||
| 00641625901 | HYDROMORPHONE HCL | hydromorphone HCl/PF | SYRINGE | 0.2 mg/mL | Y | N | ||
| 00641625910 | HYDROMORPHONE HCL | hydromorphone HCl/PF | SYRINGE | 0.2 mg/mL | Y | N | ||
| 76045000903 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 0.5 mg/0.5 mL | Y | N | ||
| 76045000906 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 0.5 mg/0.5 mL | Y | N | ||
| 76045000996 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 0.5 mg/0.5 mL | Y | N | ||
| 00641620601 | HYDROMORPHONE HCL | hydromorphone HCl/PF | SYRINGE | 0.5 mg/0.5 mL | Y | N | ||
| 00641620610 | HYDROMORPHONE HCL | hydromorphone HCl/PF | SYRINGE | 0.5 mg/0.5 mL | Y | N | ||
| 76045000900 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 1 mg/mL | Y | N | ||
| 76045000901 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 1 mg/mL | Y | N | ||
| 76045000911 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 1 mg/mL | Y | N | ||
| 00641616901 | HYDROMORPHONE HCL | hydromorphone HCl/PF | SYRINGE | 1 mg/mL | Y | N | ||
| 00641616910 | HYDROMORPHONE HCL | hydromorphone HCl/PF | SYRINGE | 1 mg/mL | Y | N | ||
| 76045001000 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 2 mg/mL | Y | N | ||
| 76045001001 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 2 mg/mL | Y | N | ||
| 76045001011 | DILAUDID | hydromorphone HCl/PF | SYRINGE | 2 mg/mL | Y | N | ||
| 00641617001 | HYDROMORPHONE HCL | hydromorphone HCl/PF | SYRINGE | 2 mg/mL | Y | N | ||
| 00641617010 | HYDROMORPHONE HCL | hydromorphone HCl/PF | SYRINGE | 2 mg/mL | Y | N | ||
| 63323085203 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 1 mg/mL | Y | N | ||
| 63323085225 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 1 mg/mL | Y | N | ||
| 00409263401 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00409263405 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00409263410 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00409263425 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00409263450 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00703001801 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00703011001 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00703011003 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00703011301 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00703011303 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 63323085103 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 63323085107 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 63323085110 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 63323085115 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 63323085150 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 10 mg/mL | Y | N | ||
| 00641615101 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 2 mg/mL | Y | N | ||
| 00641615125 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 2 mg/mL | Y | N | ||
| 63323085303 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 2 mg/mL | Y | N | ||
| 63323085325 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 2 mg/mL | Y | N | ||
| 63323085403 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 4 mg/mL | Y | N | ||
| 63323085410 | HYDROMORPHONE HCL | hydromorphone HCl/PF | VIAL | 4 mg/mL | Y | N | ||
| 00074127102 | DEMEROL | meperidine HCl | AMPUL | 50 mg/mL | Y | N | ||
| 00409118130 | DEMEROL | meperidine HCl | VIAL | 50 mg/mL | Y | N | ||
| 00074126601 | DEMEROL | meperidine HCl/PF | AMPUL | 25 mg/0.5 mL | Y | N | ||
| 00409118059 | DEMEROL | meperidine HCl/PF | CARTRIDGE | 100 mg/mL | Y | N | ||
| 00409118069 | DEMEROL | meperidine HCl/PF | CARTRIDGE | 100 mg/mL | Y | N | ||
| 00409117603 | DEMEROL | meperidine HCl/PF | CARTRIDGE | 25 mg/mL | Y | N | ||
| 00409117630 | DEMEROL | meperidine HCl/PF | CARTRIDGE | 25 mg/mL | Y | N | ||
| 00409117803 | DEMEROL | meperidine HCl/PF | CARTRIDGE | 50 mg/mL | Y | N | ||
| 00409117830 | DEMEROL | meperidine HCl/PF | CARTRIDGE | 50 mg/mL | Y | N | ||
| 00074117921 | DEMEROL | meperidine HCl/PF | CARTRIDGE | 75 mg/mL | Y | N | ||
| 00409117903 | DEMEROL | meperidine HCl/PF | CARTRIDGE | 75 mg/mL | Y | N | ||
| 00409117930 | DEMEROL | meperidine HCl/PF | CARTRIDGE | 75 mg/mL | Y | N | ||
| 00409136201 | DEMEROL | meperidine HCl/PF | SYRINGE | 25 mg/mL | Y | N | ||
| 00409136211 | DEMEROL | meperidine HCl/PF | SYRINGE | 25 mg/mL | Y | N | ||
| 00409141801 | DEMEROL | meperidine HCl/PF | SYRINGE | 50 mg/mL | Y | N | ||
| 00409141811 | DEMEROL | meperidine HCl/PF | SYRINGE | 50 mg/mL | Y | N | ||
| 00641605401 | MEPERIDINE HCL | meperidine HCl/PF | VIAL | 100 mg/mL | Y | N | ||
| 00641605425 | MEPERIDINE HCL | meperidine HCl/PF | VIAL | 100 mg/mL | Y | N | ||
| 00641605201 | MEPERIDINE HCL | meperidine HCl/PF | VIAL | 25 mg/mL | Y | N | ||
| 00641605225 | MEPERIDINE HCL | meperidine HCl/PF | VIAL | 25 mg/mL | Y | N | ||
| 00641605301 | MEPERIDINE HCL | meperidine HCl/PF | VIAL | 50 mg/mL | Y | N | ||
| 00641605325 | MEPERIDINE HCL | meperidine HCl/PF | VIAL | 50 mg/mL | Y | N | ||
| 00641626601 | METHADONE HCL | methadone HCl | VIAL | 10 mg/mL | Y | N | ||
| 51991000298 | METHADONE HCL | methadone HCl | VIAL | 10 mg/mL | Y | N | ||
| 67457021720 | METHADONE HCL | methadone HCl | VIAL | 10 mg/mL | Y | N | ||
| 81298750001 | METHADONE HCL | methadone HCl | VIAL | 10 mg/mL | Y | N | ||
| 00409189301 | MORPHINE SULFATE | morphine sulfate | CARTRIDGE | 10 mg/mL | Y | N | ||
| 00409189303 | MORPHINE SULFATE | morphine sulfate | CARTRIDGE | 10 mg/mL | Y | N | ||
| 00409189001 | MORPHINE SULFATE | morphine sulfate | CARTRIDGE | 2 mg/mL | Y | N | ||
| 00409189003 | MORPHINE SULFATE | morphine sulfate | CARTRIDGE | 2 mg/mL | Y | N | ||
| 00409189101 | MORPHINE SULFATE | morphine sulfate | CARTRIDGE | 4 mg/mL | Y | N | ||
| 00409189103 | MORPHINE SULFATE | morphine sulfate | CARTRIDGE | 4 mg/mL | Y | N | ||
| 68094004501 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 10 mg/0.5 mL | N | Y | N | Quantity Limit |
| 68094004558 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 10 mg/0.5 mL | N | Y | N | Quantity Limit |
| 68094005601 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 10 mg/0.5 mL | N | Y | N | Quantity Limit |
| 68094005658 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 10 mg/0.5 mL | N | Y | N | Quantity Limit |
| 00409189313 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 10 mg/mL | Y | N | ||
| 00409189323 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 10 mg/mL | Y | N | ||
| 00409189013 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 2 mg/mL | Y | N | ||
| 00409189023 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 2 mg/mL | Y | N | ||
| 00641619101 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 2 mg/mL | Y | N | ||
| 00641619110 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 2 mg/mL | Y | N | ||
| 76045000401 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 2 mg/mL | Y | N | ||
| 76045000411 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 2 mg/mL | Y | N | ||
| 68094035601 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 20 mg/mL | N | Y | N | Quantity Limit |
| 68094035658 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 20 mg/mL | N | Y | N | Quantity Limit |
| 00409189113 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 4 mg/mL | Y | N | ||
| 00409189123 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 4 mg/mL | Y | N | ||
| 00641619201 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 4 mg/mL | Y | N | ||
| 00641619210 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 4 mg/mL | Y | N | ||
| 76045000501 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 4 mg/mL | Y | N | ||
| 76045000511 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 4 mg/mL | Y | N | ||
| 68094055601 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 5 mg/0.25 mL | N | Y | N | Quantity Limit |
| 68094055658 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 5 mg/0.25 mL | N | Y | N | Quantity Limit |
| 00074126011 | MORPHINE SULFATE | morphine sulfate | SYRINGE | 8 mg/mL | Y | N | ||
| 00074617814 | MORPHINE SULFATE | morphine sulfate | VIAL | 10 mg/mL | Y | N | ||
| 00641612701 | MORPHINE SULFATE | morphine sulfate | VIAL | 10 mg/mL | Y | N | ||
| 00641612725 | MORPHINE SULFATE | morphine sulfate | VIAL | 10 mg/mL | Y | N | ||
| 63323045100 | MORPHINE SULFATE | morphine sulfate | VIAL | 10 mg/mL | Y | N | ||
| 63323045101 | MORPHINE SULFATE | morphine sulfate | VIAL | 10 mg/mL | Y | N | ||
| 63323045200 | MORPHINE SULFATE | morphine sulfate | VIAL | 2 mg/mL | Y | N | ||
| 63323045201 | MORPHINE SULFATE | morphine sulfate | VIAL | 2 mg/mL | Y | N | ||
| 60793009340 | MORPHINE SULFATE | morphine sulfate | VIAL | 25 mg/mL | Y | N | ||
| 00641612501 | MORPHINE SULFATE | morphine sulfate | VIAL | 4 mg/mL | Y | N | ||
| 00641612525 | MORPHINE SULFATE | morphine sulfate | VIAL | 4 mg/mL | Y | N | ||
| 63323045400 | MORPHINE SULFATE | morphine sulfate | VIAL | 4 mg/mL | Y | N | ||
| 63323045401 | MORPHINE SULFATE | morphine sulfate | VIAL | 4 mg/mL | Y | N | ||
| 72572044001 | MORPHINE SULFATE | morphine sulfate | VIAL | 4 mg/mL | Y | N | ||
| 72572044025 | MORPHINE SULFATE | morphine sulfate | VIAL | 4 mg/mL | Y | N | ||
| 63323045500 | MORPHINE SULFATE | morphine sulfate | VIAL | 5 mg/mL | Y | N | ||
| 63323045501 | MORPHINE SULFATE | morphine sulfate | VIAL | 5 mg/mL | Y | N | ||
| 00409113403 | MORPHINE SULFATE | morphine sulfate | VIAL | 50 mg/mL | Y | N | ||
| 00409113405 | MORPHINE SULFATE | morphine sulfate | VIAL | 50 mg/mL | Y | N | ||
| 00409189620 | MORPHINE SULFATE | morphine sulfate | VIAL | 50 mg/mL | Y | N | ||
| 00409202201 | MORPHINE SULFATE | morphine sulfate | VIAL | 50 mg/mL | Y | N | ||
| 00641612601 | MORPHINE SULFATE | morphine sulfate | VIAL | 8 mg/mL | Y | N | ||
| 00641612625 | MORPHINE SULFATE | morphine sulfate | VIAL | 8 mg/mL | Y | N | ||
| 00641602001 | DURAMORPH | morphine sulfate/PF | AMPUL | 0.5 mg/mL | Y | N | ||
| 00641602010 | DURAMORPH | morphine sulfate/PF | AMPUL | 0.5 mg/mL | Y | N | ||
| 00641601901 | DURAMORPH | morphine sulfate/PF | AMPUL | 1 mg/mL | Y | N | ||
| 00641601910 | DURAMORPH | morphine sulfate/PF | AMPUL | 1 mg/mL | Y | N | ||
| 00641603901 | INFUMORPH | morphine sulfate/PF | AMPUL | 10 mg/mL | Y | N | ||
| 00641604001 | INFUMORPH | morphine sulfate/PF | AMPUL | 25 mg/mL | Y | N | ||
| 76329191201 | MORPHINE SULFATE | morphine sulfate/PF | PCA VIAL | 30 mg/30 mL (1 mg/mL) | Y | N | ||
| 00409381411 | MORPHINE SULFATE | morphine sulfate/PF | VIAL | 0.5 mg/mL | Y | N | ||
| 00409381412 | MORPHINE SULFATE | morphine sulfate/PF | VIAL | 0.5 mg/mL | Y | N | ||
| 00409381511 | MORPHINE SULFATE | morphine sulfate/PF | VIAL | 1 mg/mL | Y | N | ||
| 00409381512 | MORPHINE SULFATE | morphine sulfate/PF | VIAL | 1 mg/mL | Y | N | ||
| 66794016002 | MITIGO | morphine sulfate/PF | VIAL | 10 mg/mL | Y | N | ||
| 66794016202 | MITIGO | morphine sulfate/PF | VIAL | 25 mg/mL | Y | N | ||
| 00409146301 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 10 mg/mL | Y | N | ||
| 00409146349 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 10 mg/mL | Y | N | ||
| 00409146369 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 10 mg/mL | Y | N | ||
| 00409146371 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 10 mg/mL | Y | N | ||
| 70069067101 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 10 mg/mL | Y | N | ||
| 70069067110 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 10 mg/mL | Y | N | ||
| 00409146501 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 20 mg/mL | Y | N | ||
| 00409146571 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 20 mg/mL | Y | N | ||
| 70069067201 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 20 mg/mL | Y | N | ||
| 70069067210 | NALBUPHINE HCL | nalbuphine HCl | AMPUL | 20 mg/mL | Y | N | ||
| 00409146401 | NALBUPHINE HCL | nalbuphine HCl | VIAL | 10 mg/mL | Y | N | ||
| 00409146461 | NALBUPHINE HCL | nalbuphine HCl | VIAL | 10 mg/mL | Y | N | ||
| 70069066101 | NALBUPHINE HCL | nalbuphine HCl | VIAL | 10 mg/mL | Y | N | ||
| 70069066110 | NALBUPHINE HCL | nalbuphine HCl | VIAL | 10 mg/mL | Y | N | ||
| 00409146701 | NALBUPHINE HCL | nalbuphine HCl | VIAL | 20 mg/mL | Y | N | ||
| 00409146761 | NALBUPHINE HCL | nalbuphine HCl | VIAL | 20 mg/mL | Y | N | ||
| 70069066201 | NALBUPHINE HCL | nalbuphine HCl | VIAL | 20 mg/mL | Y | N | ||
| 70069066210 | NALBUPHINE HCL | nalbuphine HCl | VIAL | 20 mg/mL | Y | N | ||
| 00074194111 | TALWIN | pentazocine lactate | AMPUL | 30 mg/mL | Y | N | ||
| 00143939101 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 00143939110 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 63323072301 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 63323072303 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 63323072304 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 63323072306 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 67457091200 | ULTIVA | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 67457091201 | ULTIVA | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 72078003400 | ULTIVA | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 72078003401 | ULTIVA | remifentanil HCl | VIAL | 1 mg | Y | N | ||
| 00143939201 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 2 mg | Y | N | ||
| 00143939210 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 2 mg | Y | N | ||
| 63323072401 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 2 mg | Y | N | ||
| 63323072405 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 2 mg | Y | N | ||
| 67457091300 | ULTIVA | remifentanil HCl | VIAL | 2 mg | Y | N | ||
| 67457091302 | ULTIVA | remifentanil HCl | VIAL | 2 mg | Y | N | ||
| 72078003500 | ULTIVA | remifentanil HCl | VIAL | 2 mg | Y | N | ||
| 72078003502 | ULTIVA | remifentanil HCl | VIAL | 2 mg | Y | N | ||
| 00143939301 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 5 mg | Y | N | ||
| 00143939310 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 5 mg | Y | N | ||
| 63323072501 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 5 mg | Y | N | ||
| 63323072510 | REMIFENTANIL HCL | remifentanil HCl | VIAL | 5 mg | Y | N | ||
| 67457091400 | ULTIVA | remifentanil HCl | VIAL | 5 mg | Y | N | ||
| 67457091405 | ULTIVA | remifentanil HCl | VIAL | 5 mg | Y | N | ||
| 72078003600 | ULTIVA | remifentanil HCl | VIAL | 5 mg | Y | N | ||
| 72078003605 | ULTIVA | remifentanil HCl | VIAL | 5 mg | Y | N | ||
| 00409338211 | SUFENTANIL CITRATE | sufentanil citrate | VIAL | 50 mcg/mL | Y | N | ||
| 00409338221 | SUFENTANIL CITRATE | sufentanil citrate | VIAL | 50 mcg/mL | Y | N |