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BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
A & D OINTMENT VITAMIN A & D OINTMENT 2OZ/TB OTC 52471-0100-04 1100611
A & D OINTMENT VITAMIN A & D OINTMENT 4OZ/TB OTC 52471-0100-04 5164667
A & D OINTMENT VITAMIN A & D OINTMENT FOIL 144x5GM OTC 9004790
A&D OINTMENT VITAMIN A&D OINTMENT 13OZ/JR OTC 52471-0100-13 7096246
A/T/S 2%, T-STAT SOLUTION ERYTHROMYCIN TOPICAL SOLUTION 2% 60ML/BT RX 00168-0215-60 2378131
ACCUNEB LIQUID ALBUTEROL SULFATE INHAL SOLN 0.63MG/3ML 25x3ML RX 00591-3467-53 1093443
ACCUPRIL TABS QUINAPRIL HCL TABLETS 10MG 90/BT RX 55111-0622-90 1141120
ACCUPRIL TABS QUINAPRIL HCL TABLETS 20MG 90/BT RX 68180-0558-09 1146796
ACCUPRIL TABS QUINAPRIL HCL TABLETS 40MG 90/BT RX 68180-0559-09 1141292
ACETONE LIQUID ACETONE HZ LIQUID 1GAL OTC 00395-0019-28 1029799
ACETONE LIQUID ACETONE OD LIQUID 16OZ/BT OTC 00395-0019-16 1029716
ACHROMYCIN CAPS TETRACYCLINE CAPSULES 250MG 100/BT RX 00172-2416-60 1023888
ACHROMYCIN CAPS TETRACYCLINE CAPSULES 250MG 1000/BT RX 00172-2416-80 1101353
ACHROMYCIN CAPS TETRACYCLINE CAPSULES 500MG 100/BT RX 00172-2407-60 1101352
ACHROMYCIN CAPS TETRACYCLINE CAPSULES 500MG 1000/BT RX 00172-2407-80 1049940
ACLOVATE CREAM ALCLOMETASONE DIPROPIONATE CREAM 0.05% 60GM/TB RX 51672-1306-03 1118878
ACLOVATE CREAM ALCLOMETASONE DIPROPIONATE CREAM 0.05% 45GM/TB RX 51672-1306-06 1118879
ACLOVATE CREAM ALCLOMETASONE DIPROPIONATE CREAM 0.05% 15GM/TB RX 68462-0300-17 1158070
ACLOVATE OINT ALCLOMETASONE DIPROPIONATE OINTMENT 0.05% 15GM/TB RX 51672-1316-01 1118881
ACTIFED LIQUID TRIPROLIDINE HCL/PSEUDOEPHEDRINE HCL SYRUP 1.25/30MG 4OZ/BT OTC 54838-0101-40 4739177
ACTIFED TABLETS PSEUDOEPHEDRINE/TRIPROLIDINE TABS 60/2.5MG 100 OTC 00904-0250-59 1135326
ACTIGALL CAPS URSODIOL CAPSULES 300MG 100/BT RX 00591-3159-01 1048376
ACTIQ TRANSMUCOSAL FENTANYL CITRATE ORAL TRANSMUCOSAL 400MCG 30/BX C2 RX 00555-1081-01 1101065
ACTIVELLA TABS ESTRADIOL/NORETHINDRONE ACE TABS 1.0/0.5MG 1X28/BX RX 51991-0474-28 1147274
ACULAR OPHTHALMIC SOLUTION KETOROLAC OPHTHALMIC SOLUTION 0.5% 3ML/BT RX 41616-0219-90 1144422
ACULAR OPHTHALMIC SOLUTION KETOROLAC OPHTHALMIC SOLUTION 0.5% 5ML/BT RX 41616-0220-90 1144423
ACULAR OPHTHALMIC SOLUTION KETOROLAC OPHTHALMIC SOLUTION 0.5% 10ML/BT RX 41616-0221-90 1144421
ADALAT CC TABS NIFEDIPINE ER TABLETS (ADALAT CC) 30MG 100/BT RX 67767-0153-01 1086965
ADALAT CC TABS NIFEDIPINE ER TABLETS (ADALAT CC) 60MG 100/BT RX 67767-0151-01 1086964
ADDERALL TABS DEXTROAMPHETAMINE COMBO TABS 10MG 100/BT C2 RX 00555-0972-02 1152866
ADDERALL TABS DEXTROAMPHETAMINE COMBO TABS 20MG 100/BT C2 RX 00555-0973-02 1147826
ADDERALL TABS DEXTROAMPHETAMINE COMBO TABS 30MG 100/BT C2 RX 00555-0974-02 1147827
ADDERALL TABS DEXTROAMPHETAMINE COMBO TABS 5MG 100/BT C2 RX 63304-0908-01 1085583
ADENOCARD INJ ADENOSINE INJ SDV 2ML 3MG/ML EACH INJ 55390-0067-10 2489255
ADENOCARD INJ ADENOSINE INJ SDV 2ML 3MG/ML 10/BX INJ 55390-0067-10 7482727
ADENOCARD INJ ADENOSINE INJ SDV 4ML 3MG/ML EACH INJ 55390-0068-01 1046577
ADENOCARD INJ ADENOSINE INJ SYRINGE 2ML 3MG/ML EACH INJ 25021-0301-72 1123813
ADENOCARD INJ ADENOSINE INJ SYRINGE 2ML 3MG/ML 10/BX INJ 64679-0630-07 1147085
ADENOCARD INJ ADENOSINE INJ SYRINGE 4ML 3MG/ML EACH INJ 25021-0301-76 1127804
ADIPEX-P CAPS PHENTERMINE HCL CAPSULES WHITE/BLUE 37.5MG 100/BT C4 RX 10702-0029-01 1147328
ADIPEX-P TABS PHENTERMINE HCL TABLETS WHT/BLUE SPECK 37.5MG 100/BT C4 RX 00603-5192-21 1075934
ADIPEX-P TABS PHENTERMINE HCL TABLETS WHT/BLUE SPECK 37.5MG 1000/BT C4 RX 00603-5192-32 1074034
ADRENACLICK INJ EPINEPHRINE AUTO INJECTOR ADULT 0.3MG 1/PK INJ 59762-0171-01 1155207
ADRENACLICK INJ EPINEPHRINE AUTO INJECTOR ADULT 0.3MG 2/PK INJ 59762-0171-02 1155208
ADRENACLICK INJ EPINEPHRINE AUTO INJECTOR JR 0.15MG 1/PK INJ 59762-0172-01 1155210
ADRENACLICK INJ EPINEPHRINE AUTO INJECTOR JR 0.15MG 2/PK INJ 59762-0172-02 1155211
ADRENALIN INJ EPINEPHRINE INJ AMPULE 1ML 1:1000 25/BX INJ 00409-7241-01 1047057
ADRENALIN INJ EPINEPHRINE INJ AMPULE 1ML 1:1000 5/BX INJ 00409-7241-01 2589483
ADRENALIN INJ EPINEPHRINE INJ AMPULE 1ML SULFITE FREE 1:1000 25/BX INJ 00517-1071-25 6010109
ADRENALIN INJ EPINEPHRINE INJ MDV 30ML 1MG/ML 5/BX INJ 00517-1130-05 1030990
ADRENALIN INJ EPINEPHRINE INJ MDV 30ML 1MG/ML EACH INJ 00548-9061-00 1099438
ADRENALIN INJ EPINEPHRINE INJ SYRINGE (ABBJCT) 10ML 18Gx3.5" 1:10M 10/BX INJ 00409-4901-18 1046900
ADRENALIN INJ EPINEPHRINE INJ SYRINGE (ABBJCT) 10ML 18Gx3.5" 1:10M EACH INJ 52584-0001-18 2488166
ADRENALIN INJ EPINEPHRINE INJ SYRINGE (ABBOJECT LFS) 10ML 1:10M 10/BX INJ 00409-4921-34 1046844
ADRENALIN INJ EPINEPHRINE INJ SYRINGE (ABBOJECT LFS) 10ML 1:10M EACH INJ 52584-0004-34 2488175
ADRENALIN INJ EPINEPHRINE INJ SYRINGE 10ML 1:10M 10/BX INJ 00548-3316-00 1157839
ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 5ML 10MG/VL 10/BX INJ 00703-5043-03 1104524
ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 5ML 10MG/VL EACH INJ 63323-0883-05 1104912
ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 10ML 20MG/VL EACH INJ 63323-0883-10 1106350
ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 25ML 50MG/VL EACH INJ 63323-0883-30 2580109
Page 1 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 100ML 200MG/VL EACH INJ 00703-5040-01 1108725
ADRUCIL INJ FLUOROURACIL INJ SDV 10ML 50MG/ML 10/BX INJ 66758-0044-03 1146392
ADRUCIL INJ FLUOROURACIL INJ SDV 20ML 50MG/ML 10/BX INJ 10139-0063-12 1114990
ADVIL SUSP IBUPROFEN ORAL SUSPENSION CHERRY 100MG/5ML 120ML/BT OTC 00472-1255-94 1105812
ADVIL SUSP IBUPROFEN ORAL SUSPENSION ORANGE 100MG/5ML 120ML/BT OTC 45802-0952-26 1086771
ADVIL TABS IBUPROFEN TABLETS 200MG 50/BT OTC 57896-0941-05 1044368
ADVIL TABS IBUPROFEN TABLETS 200MG 100/BT OTC 57896-0941-01 1136960
ADVIL TABS IBUPROFEN TABLETS 200MG 500/BT OTC 00113-0604-90 1136961
ADVIL TABS IBUPROFEN TABLETS 200MG 1000/BT OTC 00113-0604-93 1136962
ADVIL TABS IBUPROFEN TABLETS MEDI-FIRST 200MG 250x2/BX OTC 9004691
ADVIL TABS I-PRIN TABLETS INDUSTRIAL 200MG 100x2/BX OTC 47682-0100-47 1516958
ADVIL TABS I-PRIN TABLETS INDUSTRIAL 200MG 250x2/BX OTC 47682-0100-13 1003380
AFRIN SPRAY OXYMETAZOLINE HCL NASAL SPRAY 0.05% 0.5OZ/BT OTC 00904-5711-35 1077098
AFRIN SPRAY OXYMETAZOLINE HCL NASAL SPRAY 0.05% 1OZ/BT OTC 45802-0410-59 1100650
AGRYLIN CAPS ANAGRELIDE HCL CAPSULES 0.5MG 100/BT RX 00172-5241-60 1047747
ALCOHOL, DEHYDRATED DEHYDRATED ALCOHOL INJ AMPULE 1ML 98% 10/BX INJ 00517-8571-10 3753870
ALCOHOL, DEHYDRATED DEHYDRATED ALCOHOL INJ AMPULE 5ML 98% 10/BX INJ 00517-8575-10 6758111
ALDACTAZIDE TABS SPIRONOLACTONE/HCTZ TABS 25/25MG 100/BT RX 53489-0144-01 1146492
ALDACTAZIDE TABS SPIRONOLACTONE/HCTZ TABS 25/25MG 1000/BT RX 53489-0144-10 4051302
ALDACTONE TABS SPIRONOLACTONE TABLETS 100MG 100/BT RX 00603-5765-21 1101504
ALDACTONE TABS SPIRONOLACTONE TABLETS 25MG 100/BT RX 00603-5763-21 4080182
ALDACTONE TABS SPIRONOLACTONE TABLETS 25MG 1000/BT RX 00603-5763-32 4080183
ALDACTONE TABS SPIRONOLACTONE TABLETS 25MG 500/BT RX 00603-5763-28 1084055
ALDACTONE TABS SPIRONOLACTONE TABLETS 50MG 100/BT RX 00603-5764-21 4080184
ALDACTONE TABS SPIRONOLACTONE TABLETS 50MG 500/BT RX 00603-5764-28 4080185
ALDOMET INJ METHYLDOPATE HCL INJ SDV 5ML 50MG/ML 10/BX INJ 00517-8905-10 1146459
ALDOMET TABS METHYLDOPA TABLETS 250MG 100/BT RX 00093-2931-01 1124501
ALDORIL TABS METHYLDOPA W/HCTZ TABLETS 250/25MG 100/BT RX 00378-0711-01 1021556
ALESSE TABS LEVONORGESTREL/ETHINYL ESTRADIOL OC TABLETS 0.1/0.02MG 6x28 RX 00555-9045-58 1102269
ALEVE TABS MEDIPROXEN TABLETS 220MG 100x1/BX OTC 47682-0237-33 1519200
ALEVE TABS MEDIPROXEN TABLETS 220MG 50/BX OTC 47682-0237-50 9930948
ALEVE TABS NAPROXEN SODIUM TABLETS 220MG 100/BT OTC 00113-9490-78 1136964
ALEVE TABS NAPROXEN SODIUM TABLETS 220MG 50/BT OTC 00113-9490-71 1161793
ALLEGRA TABS FEXOFENADINE TABLETS 30MG 100/BT RX 00093-7251-01 1100724
ALLEGRA TABS FEXOFENADINE TABLETS 60MG 100/BT RX 00093-7252-01 1088799
ALLEGRA TABS FEXOFENADINE TABLETS 180MG 100/BT RX 00093-7253-01 1100725
ALPHA REDISOL INJ HYDROXOCOBALAMIN INJ MDV 30ML 1000MCG EACH INJ 00591-2888-30 1047194
ALPHAGAN P OPHTHALMIC SOLN BRIMONIDINE TARTRATE OPHTHALMIC SOLUTION 0.15% 5ML/BT RX 61314-0144-05 1148520
ALPHAGAN SOLUTION BRIMONIDINE TARTRATE OPHTHALMIC SOLUTION 2% 5ML/BT RX 17478-0715-10 1142027
ALTACE CAPS RAMIPRIL CAPSULES 1.25MG 100/BT RX 31722-0271-01 1109128
ALTACE CAPS RAMIPRIL CAPSULES 10MG 100/BT RX 00093-7438-01 1160678
ALTACE CAPS RAMIPRIL CAPSULES 2.5MG 100/BT RX 00054-0107-25 1147034
ALTACE CAPS RAMIPRIL CAPSULES 5MG 100/BT RX 31722-0273-01 1109131
ALUPENT LIQUID METAPROTERENOL SULFATE ORAL SYRUP 10MG/5ML 480ML/BT RX 54838-0507-80 4080017
AMARYL TABS GLIMEPIRIDE TABLETS 2MG 100/BT RX 45802-0822-78 1101028
AMARYL TABS GLIMEPIRIDE TABLETS 4MG 100/BT RX 45802-0947-78 1118693
AMBIEN CR TABS ZOLPIDEM TARTRATE CR TABLETS 6.25MG 100/BT C4 RX 00228-2481-11 1158445
AMBIEN CR TABS ZOLPIDEM TARTRATE CR TABLETS 12.5MG 100/BT C4 RX 10370-0116-10 1158446
AMBIEN TABS ZOLPIDEM TARTRATE TABLETS 5MG 100/BT C4 RX 00603-6468-21 1153103
AMBIEN TABS ZOLPIDEM TARTRATE TABLETS 5MG 500/BT C4 RX 64679-0714-04 1101337
AMBIEN TABS ZOLPIDEM TARTRATE TABLETS 10MG 100/BT C4 RX 00603-6469-21 1153107
AMBIEN TABS ZOLPIDEM TARTRATE TABLETS 10MG 500/BT C4 RX 00603-6469-28 1153108
AMERGE TABLETS NARATRIPTAN TABLETS 1 MG 9/BT RX 00574-0214-09 1156815
AMERGE TABLETS NARATRIPTAN TABLETS 2.5 MG 9/BT RX 00574-0215-09 1156818
AMICAR INJ AMINOCAPROIC ACID MDV 20ML 250MG/ML 25/BX INJ 00409-4346-73 2588632
AMIDATE INJ ETOMIDATE INJ SDV 10ML 2MG/ML 10/BX INJ 55390-0762-10 8709984
AMIDATE INJ ETOMIDATE INJ SDV 20ML 2MG/ML 10/BX INJ 55390-0763-20 1042444
AMINOPHYLLINE INJ AMINOPHYLLINE INJ AMPULE 20ML 25MG/ML 25/BX INJ 00409-7386-01 1047003
AMINOPHYLLINE INJ AMINOPHYLLINE INJ SDV 10ML 25MG/ML 25/BX INJ 00409-5921-01 1049495
AMINOPHYLLINE INJ AMINOPHYLLINE INJ SDV 10ML 25MG/ML EACH INJ 00409-5921-01 2482037
Page 2 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
AMINOPHYLLINE INJ AMINOPHYLLINE INJ SDV 20ML 25MG/ML 25/BX INJ 00409-5922-01 2582664
AMINOPHYLLINE TABS AMINOPHYLLINE TABLETS 100MG 100/BT RX 00143-1020-01 4000401
AMINOPHYLLINE TABS AMINOPHYLLINE TABLETS 100MG 1000/BT RX 00143-1020-10 4000402
AMINOPHYLLINE TABS AMINOPHYLLINE TABLETS 200MG 100/BT RX 00143-1025-01 4000501
AMINOPHYLLINE TABS AMINOPHYLLINE TABLETS 200MG 1000/BT RX 00143-1025-10 4000502
AM-LACTIN LOTION AMMONIUM LACTATE TOPICAL LOTION OTC 12% 225GM/BT OTC 45802-0525-55 1089878
AM-LACTIN LOTION AMMONIUM LACTATE TOPICAL LOTION OTC 12% 400GM/BT OTC 45802-0525-26 1027725
AMMONIUM MOLY INJ AMMONIUM MOLYBDATE INJ SDV 10ML 25MCG/ML 25/BX INJ 00517-6610-25 1100476
AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 200MG/5ML 50ML/BT RX 59762-1022-02 1146524
AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 200MG/5ML 100ML/BT RX 59762-1022-07 1146591
AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 400MG/5ML 50ML/BT RX 59762-1023-04 1146431
AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 400MG/5ML 75ML/BT RX 65862-0071-75 1146764
AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 400MG/5ML 100ML/BT RX 59762-1023-06 1146040
AMOXIL BID TABS AMOXICILLIN BID TABLETS 500MG 20/BT RX 00781-5060-20 1115486
AMOXIL BID TABS AMOXICILLIN BID TABLETS 875MG 100/BT RX 00143-9951-01 1085908
AMOXIL BID TABS AMOXICILLIN BID TABLETS 875MG 20/BT RX 00143-9951-20 4080042
AMOXIL CAPS AMOXICILLIN CAPSULES 250MG 100/BT RX 00143-9938-01 1114719
AMOXIL CAPS AMOXICILLIN CAPSULES 250MG 500/BT RX 65862-0016-05 1100708
AMOXIL CAPS AMOXICILLIN CAPSULES 500MG 50/BT RX 00093-3109-53 4204150
AMOXIL CAPS AMOXICILLIN CAPSULES 500MG 100/BT RX 59762-1021-07 1145373
AMOXIL CAPS AMOXICILLIN CAPSULES 500MG 500/BT RX 00143-9939-05 1106497
AMOXIL CAPS AMOXICILLIN CAPSULES UD 500MG 100/BX RX 00093-3109-93 1148894
AMOXIL CHEW TABS AMOXICILLIN CHEW TABLETS 125MG 100/BT RX 00093-2267-01 1088094
AMOXIL CHEW TABS AMOXICILLIN CHEW TABLETS 250MG 100/BT RX 00093-2268-01 1119480
AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION 250MG/5ML 80ML/BT RX 00143-9889-80 1083198
AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION 250MG/5ML 150ML/BT RX 67253-0143-15 1049470
AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION DYE-FREE 125MG/5ML 100ML/BT RX 00143-9888-01 1082315
AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION DYE-FREE 125MG/5ML 150ML/BT RX 00143-9888-15 1145877
AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION DYE-FREE 125MG/5ML 80ML/BT RX 00143-9888-80 1082068
AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION DYE-FREE 250MG/5ML 100ML/BT RX 00143-9889-01 1089886
AMPHOJEL LIQUID ALUMINUM HYDROXIDE SUSPENSION 320/5ML 355ML/BT OTC 00121-0733-12 1108161
AMPHOJEL LIQUID ALUMINUM HYDROXIDE SUSPENSION 320/5ML 480ML/BT OTC 00121-0733-16 1048937
ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 25MG 30/BT RX 51672-4011-06 1048037
ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 25MG 100/BT RX 00093-0956-01 1096792
ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 50MG 30/BT RX 51672-4012-06 1047044
ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 50MG 100/BT RX 00093-0958-01 1094686
ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 75MG 30/BT RX 51672-4013-06 1047766
ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 75MG 100/BT RX 00093-0960-01 1097895
ANAPROX TABS NAPROXEN SODIUM TABLETS 275MG 100/BT RX 53746-0193-01 1048966
ANAPROX TABS NAPROXEN SODIUM TABLETS 550MG 100/BT RX 53746-0194-01 1145672
ANAPROX TABS NAPROXEN SODIUM TABLETS 550MG 500/BT RX 53746-0194-05 1141589
ANBESOL,ORA-JEL GEL ORAL GEL ANESTETIC 0.5OZ/BT OTC 83152-7004-90 1156980
ANBESOL,ORA-JEL GEL ORAL GEL ANESTHETIC 29GM OTC 54162-0926-29 1086369
ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 500MG/VL 10/BX INJ 00781-3450-95 1088846
ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 500MG/VL 25/BX INJ 00069-0310-20 1153272
ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 500MG/VL EACH INJ 10019-0610-01 2584481
ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 1GM/VL 25/BX INJ 00409-0805-01 1145603
ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 1GM/VL EACH INJ 25021-0101-10 2584716
ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 100ML 10GM/VL 10/BX INJ 00143-9983-03 1075837
ANSAID TABS FLURBIPROFEN TABLETS 100MG 100/BT RX 00093-0711-01 1101109
ANSAID TABS FLURBIPROFEN TABLETS 50MG 100/BT RX 57664-0164-08 1034167
ANSAID TABS FLURBIPROFEN TABLETS 100MG 500/BT RX 00093-0711-05 1026969
ANTIOXIDANT PLUS CAPS ANTIOXIDANT PLUS SOFTGEL CAPSULES 60/BT OTC 1025551
ANTISEPTIC SPRAY ANTISEPTIC PUMP SPRAY 3OZ/BT OTC 47682-0244-17 1514814
ANTIVERT TABS MECLIZINE HCL MULTI LAYERED TABLETS 12.5MG 100/BT RX 49884-0034-01 2487227
ANTIVERT TABS MECLIZINE HCL MULTI LAYERED TABLETS 12.5MG 1000/BT RX 49884-0034-10 1049997
ANTIVERT TABS MECLIZINE HCL MULTI LAYERED TABLETS 25MG 100/BT RX 49884-0035-01 1118868
ANTIVERT TABS MECLIZINE HCL MULTI LAYERED TABLETS 25MG 1000/BT RX 49884-0035-10 1108920
ANUSOL HC CREAM HYDROCORTISONE RECTAL CREAM 2.5% 30GM/TB RX 64980-0301-30 6758572
ANUSOL-HC SUPP HYDROCORTISONE ACETATE SUPPOSITORIES 25MG 12/BX RX 00713-0503-12 1046008
Page 3 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
ANUSOL-HC SUPP HYDROCORTISONE ACETATE SUPPOSITORIES 25MG 24/BX RX 00713-0503-24 1046009
APRESOLINE TABS HYDRALAZINE HCL TABLETS 10MG 100/BT RX 31722-0519-01 1118836
APRESOLINE TABS HYDRALAZINE HCL TABLETS 25MG 100/BT RX 23155-0002-01 1119226
APRESOLINE TABS HYDRALAZINE HCL TABLETS 25MG 1000/BT RX 50111-0327-03 1026042
APRESOLINE TABS HYDRALAZINE HCL TABLETS 50MG 100/BT RX 31722-0521-01 1118837
APRESOLINE TABS HYDRALAZINE HCL TABLETS 100MG 100/BT RX 50111-0397-01 4069601
ARALEN TABS CHLOROQUINE PHOSPHATE TABLETS 500MG 25/BT RX 00143-2125-22 1047757
AREDIA INJ PAMIDRONATE DISODIUM INJ LYOPH 10ML 30MG/VL EACH INJ 55390-0127-01 1034798
AREDIA INJ PAMIDRONATE DISODIUM INJ LYOPH 20ML 90MG/VL EACH INJ 55390-0129-01 1030904
AREDIA INJ PAMIDRONATE DISODIUM INJ SDV 10ML 9MG/ML EACH INJ 61703-0326-18 1094500
ARICEPT TABS DONEPEZIL HCL TABLETS 5MG 30/BT RX 63304-0128-30 1162461
ARICEPT TABS DONEPEZIL HCL TABLETS 5MG 90/BT RX 63304-0128-09 1162458
ARICEPT TABS DONEPEZIL HCL TABLETS 10MG 30/BT RX 63304-0129-30 1162507
ARICEPT TABS DONEPEZIL HCL TABLETS 10MG 90/BT RX 63304-0129-90 1162462
ARIMIDEX TABLETS ANASTROZOLE TABLETS 1MG 30/BT RX 68382-0209-06 1157646
ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.025% 15GM/TB RX 00603-7861-74 1158071
ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.025% 80GM/TB RX 00168-0003-80 4721160
ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.025% LB RX 45802-0063-05 1088210
ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.1% 15GM/TB RX 00168-0004-15 4721272
ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.1% 80GM/TB RX 00603-7862-90 1148598
ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.1% LB RX 45802-0064-05 1145928
ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.5% 15GM/TB RX 00168-0002-15 4721372
ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.025% 15GM/TB RX 45802-0054-35 1029150
ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.025% 80GM/TB RX 00168-0005-80 1026907
ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.1% 15GM/TB RX 00168-0006-15 4736072
ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.1% 80GM/TB RX 45802-0055-36 1147330
ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.1% LB RX 00168-0006-16 1047112
ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.5% 15GM/TB RX 45802-0049-35 1024574
ARTANE TABS TRIHEXYPHENIDYL HCL TABLETS 2MG 100/BT RX 00143-1764-01 4040801
ARTANE TABS TRIHEXYPHENIDYL HCL TABLETS 5MG 100/BT RX 00603-6241-21 1161278
ASENDIN TABS AMOXAPINE TABLETS 100MG 100/BT RX 05254-4381-01 7293932
ATARAX INJ HYDROXYZINE HCL INJ SDV 1ML 25MG/ML 25/BX INJ 00517-4201-25 2485627
ATARAX INJ HYDROXYZINE HCL INJ SDV 1ML 25MG/ML EACH INJ 52584-4201-25 2480232
ATARAX INJ HYDROXYZINE HCL INJ SDV 1ML 50MG/ML 25/BX INJ 00517-5601-25 1049928
ATARAX INJ HYDROXYZINE HCL INJ SDV 1ML 50MG/ML EACH INJ 00517-5601-25 2480233
ATARAX INJ HYDROXYZINE HCL INJ SDV 2ML 50MG/ML 25/BX INJ 00517-5602-25 1049591
ATARAX INJ HYDROXYZINE HCL INJ SDV 2ML 50MG/ML EACH INJ 00517-5602-25 2480231
ATARAX INJ HYDROXYZINE HCL INJ MDV 10ML 50MG/ML 25/BX INJ 00517-5610-25 1049331
ATARAX INJ HYDROXYZINE HCL INJ MDV 10ML 50MG/ML EACH INJ 00517-5610-25 2588101
ATARAX LIQUID HYDROXYZINE HCL ORAL SYRUP 10MG/5ML 120ML/BT RX 60432-0150-04 1104746
ATARAX LIQUID HYDROXYZINE HCL ORAL SYRUP 10MG/5ML 480ML/BT RX 10702-0052-16 1118720
ATARAX TABS HYDROXYZINE HCL TABLETS 10MG 100/BT RX 23155-0105-01 1146198
ATARAX TABS HYDROXYZINE HCL TABLETS 10MG 500/BT RX 67405-0575-50 1130859
ATARAX TABS HYDROXYZINE HCL TABLETS 25MG 100/BT RX 23155-0106-01 1145590
ATARAX TABS HYDROXYZINE HCL TABLETS 25MG 500/BT RX 10702-0011-50 1100900
ATARAX TABS HYDROXYZINE HCL TABLETS 25MG 1000/BT RX 00591-5523-10 4049502
ATARAX TABS HYDROXYZINE HCL TABLETS 50MG 100/BT RX 23155-0107-01 1146643
ATARAX TABS HYDROXYZINE HCL TABLETS 50MG 500/BT RX 67405-0577-50 1158340
ATIVAN INJ LORAZEPAM INJ MDV 10ML 2MG/ML 10/BX C4 INJ 10019-0102-10 1138784
ATIVAN INJ LORAZEPAM INJ MDV GLASS 1ML 2MG 10/PK C4 INJ 00409-6778-02 1133167
ATIVAN INJ LORAZEPAM INJ MDV GLASS 1ML 4MG 10/PK C4 INJ 00409-6779-02 1133166
ATIVAN INJ LORAZEPAM INJ SDV 1ML 2MG/ML 25/BX C4 INJ 10019-0102-01 1132934
ATIVAN TABS LORAZEPAM TABLETS 0.5MG 100/BT C4 RX 00228-2057-10 1025710
ATIVAN TABS LORAZEPAM TABLETS 1MG 100/BT C4 RX 00228-2059-10 1025910
ATIVAN TABS LORAZEPAM TABLETS 1MG 10x10UD C4 RX 00904-5981-61 1156311
ATIVAN TABS LORAZEPAM TABLETS 1MG 500/BT C4 RX 63304-0773-05 1045823
ATIVAN TABS LORAZEPAM TABLETS 2MG 100/BT C4 RX 00228-2063-10 1026310
ATIVAN TABS LORAZEPAM TABLETS 2MG 500/BT C4 RX 63304-0774-05 1045817
ATROPEN INJ ATROPINE SULFATE INJ SYRINGE 5ML 0.05MG/ML EACH INJ 00409-9630-05 2487959
ATROPEN INJ ATROPINE SULFATE INJ AMPULE 0.5ML 0.4MG/0.5ML 25/BX INJ 00517-0805-25 1135314
Page 4 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
ATROPEN INJ ATROPINE SULFATE INJ AMPULE 0.5ML 0.4MG/0.5ML EACH INJ 00517-0805-25 2480295
ATROPEN INJ ATROPINE SULFATE INJ ANSYR SYRINGE 10ML 0.1MG/ML 5/BX INJ 00409-1630-10 2580091
ATROPEN INJ ATROPINE SULFATE SYRINGE ABBOJ LFS 5ML 0.1MG/ML 10/BX INJ 00409-4910-34 1047053
ATROPEN INJ ATROPINE SULFATE SYRINGE ABBOJ LFS 5ML 0.1MG/ML EACH INJ 00409-4910-34 2487960
ATROPEN INJ ATROPINE SULFATE SYRINGE ABBOJ LFS 10ML 0.1MG/ML 10/BX INJ 00409-4911-34 1046860
ATROPEN INJ ATROPINE SULFATE SYRINGE ABBOJ LFS 10ML 0.1MG/ML EACH INJ 52584-0002-34 2484141
ATROPEN INJ ATROPINE SULFATE INJ PF SYRINGE 10ML 0.1MG/ML 10/BX INJ 00548-3339-00 1158219
ATROPEN INJ ATROPINE SULFATE INJ MDV 20ML 0.4MG/ML 10/BX INJ 10019-0250-20 2484260
ATROPEN INJ ATROPINE SULFATE INJ MDV 20ML 0.4MG/ML EACH INJ 10019-0250-20 2580067
ATROPEN INJ ATROPINE SULFATE INJ SDV 1ML 0.4MG/ML 25/BX INJ 00517-0401-25 6047216
ATROPEN INJ ATROPINE SULFATE INJ SDV 1ML 0.4MG/ML EACH INJ 00517-0401-25 2580069
ATROPEN INJ ATROPINE SULFATE INJ AMPULE 1ML 1MG/ML 25/BX INJ 00517-0101-25 1049652
ATROPEN INJ ATROPINE SULFATE INJ AMPULE 1ML 1MG/ML EACH INJ 00517-0101-25 2586261
ATROPEN INJ ATROPINE SULFATE INJ SDV 1ML 1MG/ML 25/BX INJ 00517-1010-25 1023626
ATROVENT SOLUTION IPRATROPIUM BROMIDE INHAL SOLUTION 0.02% 25x2.5ML RX 16252-0098-22 1146769
ATROVENT SOLUTION IPRATROPIUM BROMIDE INHAL SOLUTION 0.02% 30x2.5ML RX 16252-0098-33 4250002
ATROVENT SOLUTION IPRATROPIUM BROMIDE INHAL SOLUTION 0.02% 60x2.5ML RX 16252-0098-66 1146770
ATROVENT SPRAY IPRATROPIUM BROMIDE NASAL SPRAY 0.3% 30ML/BT RX 24208-0398-30 1105863
ATROVENT SPRAY IPRATROPIUM BROMIDE NASAL SPRAY 0.6% 15ML/BT RX 24208-0399-15 1100609
AUGMENTIN CHEW TABS AMOXICILLIN/CLAVUL CHEW TABLETS 200/28.5MG 20/BT RX 00093-2270-34 1100719
AUGMENTIN CHEW TABS AMOXICILLIN/CLAVUL CHEW TABLETS 400/57MG 20/BT RX 00093-2272-34 1100720
AUGMENTIN ES LIQUID AMOXICILLIN/CLAVUL ORAL SUSPENSION 600/42.9MG 200ML/BT RX 00093-8675-74 1145961
AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 200/28.5MG 100ML/BT RX 00143-9981-01 1115155
AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 200/28.5MG 50ML/BT RX 00143-9981-50 1100624
AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 200/28.5MG 75ML/BT RX 00143-9981-75 1115160
AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 400/57MG 100ML/BT RX 00143-9982-01 1146104
AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 400/57MG 50ML/BT RX 00143-9982-50 1141424
AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 600/42.9MG 75ML/BT RX 00143-9853-75 1146593
AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSPENSION 400/57MG 75ML/BT RX 00143-9982-75 1154709
AUGMENTIN TABS AMOXICILLIN/CLAVUL TABLETS 500/125MG 20/BT RX 00093-2274-34 1119187
AUGMENTIN TABS AMOXICILLIN/CLAVUL TABLETS 875/125MG 20/BT RX 00093-2275-34 1119260
AUGMENTIN TABS AMOXICILLIN/CLAVUL TABLETS 875/125MG 100/BT RX 66685-1001-01 1148895
AURALGAN SOLUTION ANTIPYRENE/BENZOCAINE OTIC SOLUTION 15ML/BT RX 64376-0438-15 1145507
AZULFIDINE EN TABS SULFASALAZINE DELAYED RELEASE TABLETS 500MG 100/BT RX 00603-5803-21 1087243
AZULFIDINE EN TABS SULFASALAZINE DELAYED RELEASE TABLETS 500MG 300/BT RX 00603-5803-25 1157426
AZULFIDINE TABS SULFASALAZINE TABLETS 500MG 100/BT RX 00603-5801-21 1101505
AZULFIDINE TABS SULFASALAZINE TABLETS 500MG 500/BT RX 00603-5801-28 1101506
B COMPLEX W/C TABS B-COMPLEX W/VIT C TR TABLETS 100/BT OTC 1047915
BACIGUENT OINT BACITRACIN W/O ZINC OINTMENT 500U/GM 0.5OZ/TB OTC 831527-00496-3 1086909
BACIGUENT OINT BACITRACIN W/O ZINC OINTMENT 500U/GM 1OZ/TB OTC 00713-0280-31 1083028
BACIGUENT OINT BACITRACIN W/O ZINC OINTMENT FOIL PK 0.9GM 144/BX 12BX/CA OTC 52471-0114-09 1140960
BACIGUENT OINT BACITRACIN W/O ZINC OINTMENT TUBE 500U/GM 144x0.5OZ OTC 45802-0060-01 8401111
BACIGUENT OINT BACITRACIN ZINC OINTMENT 500U/GM 0.5OZ/TB OTC 14428-0088-08 1089692
BACIGUENT OINT BACITRACIN ZINC OINTMENT 500U/GM 1OZ/TB OTC 00472-1105-56 1082912
BACIGUENT OINT BACITRACIN ZINC OINTMENT 500U/GM LB OTC 00168-0011-16 4729120
BACIGUENT OINT BACITRACIN ZINC OINTMENT FOIL PK 500U/GM 144X0.9GM OTC 59898-0720-01 1045669
BACIGUENT OINT BACITRACIN ZINC OINTMENT FOIL PK 500U/GM 25x0.9GM OTC 59898-0721-03 1049124
BACIGUENT OINT BACITRACIN ZINC OINTMENT TUBE 500U/GM 4OZ/TB OTC 00168-0011-04 4709924
BACITRACIN INJ BACITRACIN POWDER FOR INJ 50MU/VL 10/BX INJ 00009-0233-03 9080016
BACITRACIN INJ BACITRACIN POWDER FOR INJ 50MU/VL EACH INJ 00009-0233-01 9088136
BACITRACIN OINT BACITRACIN OPHTH OINTMENT 500U/GM 3.5GM/TB RX 48102-0007-35 1144195
BACK PAIN-OFF TABS BACK PAIN-OFF TABLETS 290/250/50 250x2/BX OTC 47682-0073-13 1516410
BACTOCILL INJ OXACILLIN SODIUM INJ STER PWD SDV 20ML 2GM/VL 10/BX INJ 00781-3101-95 1112201
BACTRIM DS TABS SMZ-TMP DS TABLETS 800/160MG 100/BT RX 00603-5781-21 1145508
BACTRIM DS TABS SMZ-TMP DS TABLETS 800/160MG 500/BT RX 00603-5781-28 1145878
BACTRIM PED SUSP SMZ-TMP PEDIATRIC ORAL SUSPENSION CHERRY 200/40MG/5ML 480ML/BT RX 50383-0823-16 1024704
BACTRIM PED SUSP SMZ-TMP PEDIATRIC ORAL SUSPENSION GRAPE 200/40MG/5ML 480ML/BT RX 50383-0824-16 4207716
BACTRIM SS TABS SMZ-TMP TABLETS 400/80MG 100/BT RX 00603-5780-21 1145510
BACTRIM SS TABS SMZ-TMP TABLETS 400/80MG 500/BT RX 53746-0271-05 1088407
BACTROBAN OINT MUPIROCIN OINTMENT 2% 22GM/TB RX 45802-0112-22 1118857
Page 5 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
BAYER ASPIRIN ASPIRIN TABLETS 325MG 2/PK OTC 04768-2116-13 2950031
BAYER CHILD TABS ASPIRIN CHILD'S CHEW TABLETS 1 1/4GR 36/BT OTC 57896-0911-36 1022336
BAYER SUPP ASPIRIN SUPPOSITORY UD 300MG 12/PKG OTC 00574-7034-12 2484411
BAYER TABS ASPIRIN TABLETS 325MG 100/BT OTC 57896-0901-01 4080253
BAYER TABS ASPIRIN TABLETS 325MG 500/BT OTC 00904-2009-40 1087443
BAYER TABS ASPIRIN TABLETS 325MG 1000/BT OTC 49483-0011-10 1146092
BAYER TABS ASPIRIN TABLETS 325MG 100x2/BX OTC 47682-0116-47 9193573
BAYER TABS ASPIRIN TABLETS 325MG 250x2/BX OTC 47682-0805-13 1518336
BAYER TABS ASPIRIN TABLETS 325MG 250x2/BX OTC 9004688
B-COMPLEX INJ B COMPLEX 100 INJ MDV 30ML EACH INJ 67457-0146-30 1047089
B-COMPLEX TABS B- 50 COMPLEX TABLETS 100/BT OTC 1118924
B-COMPLEX TABS B-100 COMPLEX TABLETS 50/BT OTC 1042700
BENADRYL CAPS DIPHENHYDRAMINE HCL CAPSULES RX 25MG 100/BT RX 00182-2092-01 2488658
BENADRYL CREAM DIPHENHYDRAMINE HCL CREAM OTC 1% 1OZ/TB OTC 83152-0704-95 1145929
BENADRYL CREAM DIPHENHYDRAMINE HCL CREAM OTC 2% 1OZ/TB OTC 00713-0295-31 1026999
BENADRYL INJ DIPHENHYDRAMINE HCL INJ MDV 10ML 50MG/ML EACH INJ 67457-0124-10 1084899
BENADRYL INJ DIPHENHYDRAMINE HCL INJ SDV 1ML 50MG/ML 25/BX INJ 00641-0376-25 3759452
BENADRYL INJ DIPHENHYDRAMINE HCL INJ SDV 1ML 50MG/ML EACH INJ 00641-0376-25 2585924
BENADRYL INJ DIPHENHYDRAMINE HCL INJ SYRINGE (CARPJCT) 1ML 50MG/ML 10/BX INJ 00409-2290-31 9212678
BENADRYL INJ DIPHENHYDRAMINE HCL INJ SYRINGE (CARPJCT) 1ML 50MG/ML EACH RX 00409-2290-31 2489358
BENADRYL LIQUID DIPHENHYDRAMINE HCL ORAL ELIXIR 12.5MG/5ML 4OZ/BT OTC 00603-0823-94 1100859
BENADRYL LIQUID DIPHENHYDRAMINE HCL ORAL ELIXIR 12.5MG/5ML 8OZ/BT OTC 00603-0823-81 1089331
BENADRYL LIQUID DIPHENHYDRAMINE HCL ORAL ELIXIR 12.5MG/5ML 16OZ/BT OTC 00603-0823-58 4080019
BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 25MG 100/BT OTC 00603-3339-21 1147332
BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 25MG 1000/BT OTC 00603-3339-32 1136108
BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 25MG 200x1/BX OTC 47682-0182-47 1517628
BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 50MG 100/BT OTC 00603-3340-21 1147070
BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 50MG 1000/BT OTC 00603-3340-32 1147853
BENADRYL SPRAY DIPHENHYDRAMINE HCL SPRAY 2% 2OZ/BT OTC 59898-0810-13 1047215
BENADRYL TABS DIPHENHYDRAMINE HCL TABLETS 25MG 24/BT OTC 00904-2035-24 1086319
BENADRYL TABS DIPHENHYDRAMINE HCL TABLETS 25MG 100/BT OTC 49483-0061-01 1145436
BENADRYL TABS DIPHENHYDRAMINE HCL TABLETS 25MG 1000/BT OTC 49483-0061-10 1146341
BENEMID TABS PROBENECID TABLETS 500MG 100/BT RX 00527-1367-01 4080168
BEN-GAY ANALGESIC BALM GREASELESS 3OZ/TB OTC 45802-0174-53 4235209
BEN-GAY ANALGESIC BALM GREASELESS ULTRA STRENGTH 4OZ/TB OTC 00713-0625-04 1100462
BEN-GAY ORIGINAL ANALGESIC BALM 1OZ/TB OTC 54162-0555-01 1085429
BEN-GAY ORIGINAL ANALGESIC BALM LB OTC 54162-0555-14 1084439
BENTYL CAPS DICYCLOMINE HCL CAPSULES 10MG 100/BT RX 00527-0586-01 4029201
BENTYL TABS DICYCLOMINE HCL TABLETS 20MG 100/BT RX 00527-1282-01 2481464
BENTYL TABS DICYCLOMINE HCL TABLETS 20MG 1000/BT RX 00527-1282-10 1088142
BENYLIN SYRUP OLD FORM DIPHENHYDRAMINE HCL ORAL SYRUP 12.5MG/5ML 4OZ/BT OTC 54838-0154-40 1089223
BENYLIN SYRUP OLD FORM DIPHENHYDRAMINE HCL ORAL SYRUP 12.5MG/5ML 16OZ/BT OTC 54838-0154-80 1083038
BENZAC AC GEL BENZOYL PEROXIDE AQUEOUS BASE GEL 5% 90GM/TB RX 45802-0910-01 1140570
BENZAC AC GEL BENZOYL PEROXIDE AQUEOUS BASE GEL 10% 90GM/TB RX 45802-0915-01 1141108
BENZAC AC WASH BENZOYL PEROXIDE WASH 5% 8OZ/BT RX 67405-0425-08 1118851
BENZAMYCIN GEL ERYTHROMYCIN/BENZOYL PEROX TOPICAL GEL 3%/5% 46.6GM/JR RX 45802-0083-86 1087069
BENZOIN COMP TINCTURE BENZOIN COMPOUND TINCTURE 60ML/BT OTC 54162-0100-02 1086500
BENZOIN COMP TINCTURE BENZOIN COMPOUND TINCTURE 118ML/BT OTC 54162-0100-04 1085926
BENZOIN TINCTURE BENZOIN TINCTURE 2OZ 72/CS OTC 00395-0247-92 8297778
BEROCCA PLUS TABS B-COMPLEX PLUS C TABLETS 100/BT RX 00603-5970-21 1118922
BEROCCA TABS B-COMPLEX TABLETS 100/BT RX 00603-5969-21 1118921
BETA CAROTENE SG CAPS BETA CAROTENE SOFTGELS 25M IU 100/BT OTC 66386049020 1141581
BETADINE OINT POVIDONE-IODINE OINTMENT 10% 30GM/TB OTC 00904-1102-31 1088496
BETADINE SCRUB POVIDONE-IODINE SURGICAL SCRUB 7.5% 1GAL OTC 50730-8328-06 1020399
BETADINE SCRUB POVIDONE-IODINE SURGICAL SCRUB 7.5% 4OZ/BT OTC 50730-8304-02 6114253
BETADINE SOLUTION POVIDONE-IODINE SOLUTION USP 10% 16OZ/BT OTC 50730-8216-06 3733818
BETADINE SOLUTION POVIDONE-IODINE SOLUTION USP 10% 1GAL OTC 50730-8228-08 1020299
BETADINE SOLUTION POVIDONE-IODINE SOLUTION USP 10% 4OZ/BT OTC 50730-8204-04 3737885
BETADINE SOLUTION POVIDONE-IODINE SOLUTION USP 10% 8OZ/BT OTC 80730-8208-08 1027204
BETAGAN SOLUTION LEVOBUNOLOL HCL OPHTH SOLUTION 0.5% 10ML/BT RX 24208-0505-10 4306969
Page 6 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
BETAPACE TABS SOTALOL HCL TABLETS 120MG 100/BT RX 00603-5770-21 1087575
BETAPACE TABS SOTALOL HCL TABLETS 80MG 100/BT RX 00603-5769-21 1078712
BIAXIN TABS CLARITHROMYCIN TABLETS 250MG 60/BT RX 00781-1961-60 1142098
BIAXIN TABS CLARITHROMYCIN TABLETS 500MG 60/BT RX 68774-0122-60 4080245
BIAXIN XL TABS CLARITHROMYCIN ER TABLETS 500MG 60/BT RX 62037-0777-60 1117171
BICITRA LIQUID CITRIC ACID/SODIUM CITRATE SOLUTION 480ML/BT RX 00121-0595-16 1048957
BIOTIN TABS BIOTIN TABLETS 300MCG 100/BT OTC 00536-6659-01 1134740
BLOCADREN TABS TIMOLOL MALEATE TABLETS 5MG 100/BT RX 00378-0055-01 3852895
BONINE TABS MECLIZINE HCL CHEWABLE TABLETS OTC 25MG 100/BT OTC 00536-3990-01 1109646
BONINE TABS MECLIZINE HCL CHEWABLE TABLETS OTC 25MG 1000/BT OTC 00536-3990-10 1109285
BRETHINE TERBUTALINE INJ AMPULE 1ML 1MG/ML EACH RX 05539-1010-10 2950044
BRETHINE INJ TERBUTALINE SULFATE INJ VIALS 1ML 1MG/ML 10/BX INJ 17478-0933-01 1153674
BRETHINE INJ TERBUTALINE SULFATE INJ VIALS 2ML 1MG/ML 10/BX INJ 55390-0101-10 1046164
BRETHINE TABS TERBUTALINE SULFATE TABLETS 2.5MG 100/BT RX 00527-1318-01 4080166
BRETHINE TABS TERBUTALINE SULFATE TABLETS 5MG 100/BT RX 00527-1311-01 1085867
BREVIBLOC INJ ESMOLOL HCL ISOTONIC INJ SDV 10ML 10MG/ML 10/BX INJ 55390-0062-10 1049493
BREVIBLOC INJ ESMOLOL HCL ISOTONIC INJ SDV 10ML 10MG/ML EACH INJ 00641-2965-45 2580065
BSS, ENDOSOL LIQUID BALANCED SALT SOLUTION STERILE 18ML/BT RX 17478-0920-19 2452282
BUFFERIN TABS ASPIRIN BUFFERED TABLETS 325MG 100/BT OTC 57896-0931-01 4615964
BUFFERIN TABS ASPIRIN TRI-BUFFERED TABLETS 325MG 125x2/BX OTC 47682-0119-48 9209512
BUFFERIN TABS ASPIRIN TRI-BUFFERED TABLETS 325MG 250x2/BX OTC 47682-0119-13 1518608
BUMEX BUMETANIDE INJ MDV 4ML 0.25MG/ML EACH INJ 05539-0500-05 2950045
BUMEX BUMETANIDE INJ MDV 10ML 0.25MG/ML EACH INJ 05539-0500-10 2950033
BUMEX INJ BUMETANIDE INJ SDV 2ML 0.25MG/ML 10/BX INJ 55390-0500-02 1023280
BUMEX INJ BUMETANIDE INJ SDV 4ML 0.25MG/ML 10/BX INJ 00409-1412-04 1118848
BUMEX INJ BUMETANIDE INJ MDV 10ML 0.25MG/ML 10/BX INJ 10019-0506-10 1106867
BUMEX TABS BUMETANIDE TABLETS 0.5MG 100/BT RX 00093-4232-01 1137466
BUMEX TABS BUMETANIDE TABLETS 2MG 100/BT RX 00093-4234-01 1146963
BUPRENEX INJ BUPRENORPHINE HCL INJ SDV 1ML 0.3MG/ML 10/BX C3 INJ 55390-0100-10 1048721
BUPRENEX INJ BUPRENORPHINE HCL INJ SYRINGE (CRPJCT) 1ML 0.3MG/ML 10/BX C3 INJ 00409-2012-32 1084825
BURN SPRAY BURN PUMP SPRAY 3OZ/BT OTC 47682-0225-17 1514680
BUSPAR TABS BUSPIRONE HCL TABLETS 5MG 100/BT RX 00591-0657-01 1027955
BUSPAR TABS BUSPIRONE HCL TABLETS 7.5MG 100/BT RX 49884-0725-01 1023404
BUSPAR TABS BUSPIRONE HCL TABLETS 10MG 100/BT RX 00591-0658-01 1026074
BUSPAR TABS BUSPIRONE HCL TABLETS 15MG 100/BT RX 00093-1003-01 1100826
CAFCIT ORAL SOLUTION CAFFEINE CITRATE ORAL SOLUTION 3ML 20MG/ML 10x3ML/BX INJ 00574-0152-10 1100853
CAFFEINE INJ CAFFEINE/SODIUM BENZOATE INJ SDV 2ML 250MG/ML 10/BX INJ 00517-2502-10 8600615
CALADRYL CLEAR LOTION PRAMOXINE ZINC LOTION CLEAR 6OZ/BT OTC 00395-0400-96 1145737
CALADRYL LOTION CALAMINE LOTION MEDICATED 6OZ/BT OTC 00395-0420-96 1100647
CALAMINE PLAIN CALAMINE LOTION PLAIN 4OZ/BT OTC 00904-2533-00 1118728
CALAN SR TABS VERAPAMIL ER TABLETS 180MG 100/BT RX 00172-4286-60 1021343
CALAN SR TABS VERAPAMIL ER TABLETS 240MG 100/BT RX 00172-4280-60 4256701
CALAN SR TABS VERAPAMIL ER TABLETS 240MG 500/BT RX 63304-0490-05 1118941
CALAN TABS VERAPAMIL HCL TABLETS 120MG 100/BT RX 00591-0345-01 1045546
CALAN TABS VERAPAMIL HCL TABLETS 120MG 500/BT RX 00591-0345-05 1146797
CALAN TABS VERAPAMIL HCL TABLETS 80MG 100/BT RX 00591-0343-01 1042571
CALAN TABS VERAPAMIL HCL TABLETS 80MG 500/BT RX 00591-0343-05 1047736
CALCIJEX INJ CALCITRIOL INJ AMPULE 1ML 1MCG/ML 25/BX INJ 00517-0132-25 1100842
CALCIONATE LIQUID CALCIONATE ORAL SYRUP 16OZ/BT OTC 00536-2770-85 1043210
CALCIUM ACETATE CAPS CALCIUM ACETATE CAPSULES 667MG 200/BT RX 00054-0088-26 1117793
CALCIUM CARB TABS CALCIUM CARBONATE TABLETS 10GR 1000/BT OTC 00536-3414-10 1146879
CALCIUM CARB TABS CALCIUM CARBONATE TABLETS 600MG 60/BT OTC 1027406
CALCIUM CARB W/ D TABS CALCIUM CARB W/VIT D TABLETS 600MG 60/BT OTC 4564148
CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SDV 10ML 10% 25/BX INJ 00517-2710-25 3758441
CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SDV 10ML 10% EACH INJ 00517-2710-25 2482310
CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (ABBJ LFS) 10ML 10% 10/BX INJ 00409-4928-34 1106869
CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (ABBJ LFS) 10ML 10% EACH INJ 00409-4928-34 2480241
CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (ANSYR) 10ML 10% 10/BX INJ 00409-1631-10 1046889
CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (ANSYR) 10ML 10% EACH INJ 00409-1631-10 2487214
CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (LUER LOCK) 10ML 10% 10/BX INJ 00548-3304-00 1157834
Page 7 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ SDV 10ML 10% 25/BX INJ 63323-0311-10 1106014
CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ SDV 10ML 10% EACH INJ 63323-0311-10 2489765
CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ SDV 50ML 10% 25/BX INJ 00517-3950-25 9031010
CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ SDV 50ML 10% EACH INJ 00517-3950-25 1147374
CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ PBP 100ML 10% 25/BX INJ 00517-3900-25 3757176
CALCIUM LACTATE TABS CALCIUM LACTATE TABLETS 10GR 100/BT OTC 00536-3422-01 1100850
CAPOTEN TABS CAPTOPRIL TABLETS 12.5MG 100/BT RX 64679-0902-01 4080224
CAPOTEN TABS CAPTOPRIL TABLETS 25MG 100/BT RX 64679-0903-01 4080224
CAPOTEN TABS CAPTOPRIL TABLETS 25MG 1000/BT RX 64679-0903-02 4080226
CAPOTEN TABS CAPTOPRIL TABLETS 50MG 100/BT RX 64679-0904-01 4080227
CAPOTEN TABS CAPTOPRIL TABLETS 50MG 1000/BT RX 64679-0904-02 4080228
CAPOTEN TABS CAPTOPRIL TABLETS 100MG 100/BT RX 00143-1174-01 1135318
CARAFATE TABS SUCRALFATE TABLETS 1GM 100/BT RX 00093-2210-01 4080267
CARAFATE TABS SUCRALFATE TABLETS 1GM 500/BT RX 29033-0003-05 1134485
CARDIZEM DILTIAZEM HCL INJ SDV 5ML 5MG/ML EACH RX 00409-1171-01 2950036
CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 120MG 30/BT RX 00228-2588-73 1089089
CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 120MG 90/BT RX 00228-2588-09 1089765
CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 180MG 30/BT RX 00228-2577-73 1089090
CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 180MG 90/BT RX 00228-2577-09 1026533
CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 240MG 30/BT RX 00228-2578-03 1134489
CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 240MG 90/BT RX 00228-2578-09 1160356
CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 300MG 90/BT RX 00228-2579-09 1088781
CARDIZEM INJ DILTIAZEM HCL INJ SDV 5ML 5MG/ML 10/BX INJ 10019-0510-01 1022339
CARDIZEM INJ DILTIAZEM HCL INJ SDV 10ML 5MG/ML 10/BX INJ 10019-0510-02 1025250
CARDIZEM INJ DILTIAZEM HCL INJ SDV 25ML 5MG/ML 10/BX INJ 10019-0510-04 1115538
CARDIZEM INJ DILTIAZEM HCL INJ STER PWD 15ML ADD VIAL 100MG/VL 10/BX INJ 00409-4350-03 1088625
CARDIZEM LA TABS DILTIAZEM HCL LA TABLETS 180MG 30/BT RX 62037-0691-30 1148107
CARDIZEM LA TABS DILTIAZEM HCL LA TABLETS 240MG 30/BT RX 62037-0692-30 1148108
CARDIZEM LA TABS DILTIAZEM HCL LA TABLETS 300MG 30/BT RX 62037-0693-30 1148109
CARDIZEM LA TABS DILTIAZEM HCL LA TABLETS 360MG 30/BT RX 62037-0694-30 1148110
CARDIZEM SR CAPS DILTIAZEM HCL SR CAPSULES 90MG 100/BT RX 00378-6090-01 1028408
CARDIZEM SR CAPS DILTIAZEM HCL SR CAPSULES 120MG 100/BT RX 00378-6120-01 1028960
CARDIZEM TABS DILTIAZEM HCL TABLETS 30MG 100/BT RX 00093-0318-01 1048321
CARDIZEM TABS DILTIAZEM HCL TABLETS 60MG 100/BT RX 00093-0319-01 1048352
CARDIZEM TABS DILTIAZEM HCL TABLETS 60MG 500/BT RX 00093-0319-05 1119182
CARDIZEM TABS DILTIAZEM HCL TABLETS 90MG 100/BT RX 00093-0320-01 1100885
CARDIZEM TABS DILTIAZEM HCL TABLETS 120MG 100/BT RX 00093-0321-01 1100886
CARDURA TABS DOXAZOSIN MESYLATE TABLETS 2MG 100/BT RX 00093-8121-01 4000004
CARDURA TABS DOXAZOSIN MESYLATE TABLETS 4MG 100/BT RX 00093-8122-01 1147331
CARDURA TABS DOXAZOSIN MESYLATE TABLETS 8MG 100/BT RX 00093-8123-01 1147066
CARMOL 40 CREAM UREA CREAM 40% 1OZ/TB RX 50383-0664-30 1101500
CARMOL 40 CREAM UREA CREAM 40% 3OZ/TB RX 45802-0170-53 4080119
CARNITOR INJ LEVOCARNITINE ACETATE INJ SDV 12.5ML 200MG/ML 25/BX INJ 00517-1045-25 1154038
CASODEX TABS BICALUTAMIDE TABLETS 50MG 30/BT RX 41616-0485-83 1136149
CASODEX TABS BICALUTAMIDE TABLETS 50MG 100/BT RX 41616-0485-88 1136152
CATAFLAM TABS DICLOFENAC POTASSIUM TABLETS 50MG 100/BT RX 00093-0948-01 1100888
CATAPRES TABS CLONIDINE HCL TABLETS 0.1MG 100/BT RX 00603-2957-21 1118823
CATAPRES TABS CLONIDINE HCL TABLETS 0.1MG 10x10UD RX 00904-5656-61 1047920
CATAPRES TABS CLONIDINE HCL TABLETS 0.1MG 500/BT RX 00603-2957-28 1118824
CATAPRES TABS CLONIDINE HCL TABLETS 0.1MG EACH RX 00904-5656-61 2487968
CATAPRES TABS CLONIDINE HCL TABLETS 0.2MG 100/BT RX 00603-2958-21 1118825
CATAPRES TABS CLONIDINE HCL TABLETS 0.2MG 500/BT RX 00603-2958-28 1118826
CATAPRES TABS CLONIDINE HCL TABLETS 0.3MG 100/BT RX 00603-2959-21 1118827
CCP CAFFEINE FREE TABS CCP CAFFEINE FREE TABLETS 325/200/10 250x2/BX OTC 47682-0105-13 1518754
CECLOR CAPS CEFACLOR CAPSULES 500MG 100/BT RX 00143-9986-01 1047928
CEFOTAN INJ CEFOTETAN DISODIUM INJ STER PWD SDV 10ML 1GM/VL 10/BX INJ 63323-0385-10 1096944
CEFTIN SUSP CEFUROXIME AXETIL ORAL SUSPENSION 125MG/5ML 100ML/BT RX 63304-0963-04 1102961
CEFTIN SUSP CEFUROXIME AXETIL ORAL SUSPENSION 250MG/5ML 100ML/BT RX 63304-0964-04 1104788
CEFTIN SUSP CEFUROXIME AXETIL ORAL SUSPENSION 250MG/5ML 50ML/BT RX 63304-0964-03 1108937
CEFTIN TABS CEFUROXIME AXETIL TABLETS 250MG 20/BT RX 59762-1081-01 1146091
Page 8 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
CEFTIN TABS CEFUROXIME AXETIL TABLETS 500MG 20/BT RX 65862-0035-20 1085830
CEFZIL TABS CEFPROZIL TABLETS 250MG 100/BT RX 64679-0712-03 1100869
CEFZIL TABS CEFPROZIL TABLETS 500MG 50/BT RX 64679-0713-01 1138317
CELESTONE SOLUSPAN BETAMETHASONE COMBO INJ MDV 5ML 6MG/ML EACH INJ 00517-0720-01 1148668
CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 10MG 30/BT RX 55111-0342-30 1118896
CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 10MG 100/BT RX 31722-0206-01 1156625
CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 10MG 500/BT RX 13668-0009-05 1104608
CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 20MG 30/BT RX 55111-0343-30 1118897
CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 20MG 100/BT RX 31722-0207-01 1153986
CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 20MG 500/BT RX 13668-0010-05 1104604
CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 40MG 30/BT RX 55111-0344-30 1118899
CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 40MG 100/BT RX 31722-0208-01 1146156
CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 40MG 500/BT RX 13668-0011-05 1109594
CELLCEPT TABLETS MYCOPHENOLATE MOFETIL TABS 250MG 100/BT RX 68382-0131-01 1138694
CELLCEPT TABLETS MYCOPHENOLATE MOFETIL TABS 500MG 100/BT RX 68382-0130-01 1138696
CEPACOL LOZENGES SEPASOOTHE LOZENGES CHERRY 125x2/BX OTC 47682-0180-48 1519620
CEPACOL LOZENGES SEPASOOTHE LOZENGES CHERRY 250x2/BX OTC 47682-0180-13 1518630
CEPHULAC LIQUID LACTULOSE ORAL SYRUP 10GM/15ML 480ML/BT RX 00603-1378-58 4080034
CEPHULAC LIQUID LACTULOSE ORAL SYRUP 10GM/15ML 1920ML/BT RX 00603-1378-65 4080035
CETAPHIL SOAP NU SOAP HYPOALLERGENIC SOAP SUB 240ML/BT OTC 54162-0750-01 1086807
CEVALIN INJ ASCORBIC ACID PRES FREE VIAL 50ML 500MG/ML EACH INJ 67457-0118-50 1049052
CHILDS CHEW VITS TABS CHILDS VITAMINS CHEWABLE TABLETS 100/BT OTC 4565489
CHILDS CHEW VITS/IRON TABS CHILDS VITAMINS/IRON CHEWABLE TABLETS 100/BT OTC 4561597
CHLOROMYCETIN INJ CHLORAMPHENICOL SUCC INJ LYOPH SDV 15ML 1GM/VL 10/BX INJ 63323-0011-15 1043340
CHLORTRIMETON TABS CHLORPHENIRAMINE TABLETS 4MG 100/BT OTC 57896-0784-01 1026401
CHLORTRIMETON TABS CHLORPHENIRAMINE TABLETS 4MG 1000/BT OTC 57896-0784-10 8405686
CHLORTRIMETON TABS CHLORPHENIRAMINE TABLETS 4MG 250x1/BX OTC 47682-0241-48 1518148
CHROMIUM CHLORIDE INJ CHROMIUM TRACE METAL ADDITIVE 10ML FTV 4MCG/ML 25/BX INJ 00409-4093-01 2589152
CHROMIUM PICOLINATE CHROMIUM PICOLINATE TABLETS 200MCG 100/BT OTC 1161340
CHRONULAC LIQUID LACTULOSE ORAL SYRUP 10GM/15ML 240ML/BT RX 00121-0577-08 4080025
CHRONULAC LIQUID LACTULOSE ORAL SYRUP 10GM/15ML 960ML/BT RX 00603-1378-59 1119220
CILOXAN SOLUTION CIPROFLOXACIN HCL OPHTH SOLUTION 0.3% 2.5ML/BT RX 50383-0282-02 1048628
CILOXAN SOLUTION CIPROFLOXACIN HCL OPHTH SOLUTION 0.3% 5ML/BT RX 17478-0714-10 1045884
CILOXAN SOLUTION CIPROFLOXACIN HCL OPHTH SOLUTION 0.3% 10ML/BT RX 50383-0282-10 1048632
CIPRO IV CIPROFLOXACIN INJ SDV 20ML 200MG 10/BX INJ 00703-0956-03 1087063
CIPRO IV CIPROFLOXACIN INJ SDV 20ML 200MG EACH INJ 36000-0010-01 1153101
CIPRO IV CIPROFLOXACIN INJ SDV 20ML 200MG EACH INJ 00069-3241-15 1153273
CIPRO IV CIPROFLOXACIN INJ SDV 40ML 400MG 10/BX INJ 00703-0958-03 1087236
CIPRO IV CIPROFLOXACIN INJ SDV 40ML 400MG EACH INJ 36000-0011-01 1153102
CIPRO TABS CIPROFLOXACIN HCL TABLETS 250MG 100/BT RX 00143-9927-01 1048343
CIPRO TABS CIPROFLOXACIN HCL TABLETS 500MG 100/BT RX 55111-0127-01 1118894
CIPRO TABS CIPROFLOXACIN HCL TABLETS 500MG 10X14/BT RX 66336-0903-14 2583727
CIPRO TABS CIPROFLOXACIN HCL TABLETS 750MG 50/BT RX 00143-9929-50 1048719
CITROMA LIQUID CITRATE OF MAGNESIA LIQUID LEMMON 10OZ/BT OTC 80869-2605-08 7618434
CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 500MG/VL 10/BX INJ 00143-9930-03 1100819
CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 1GM/VL 10/BX INJ 64679-0986-02 1084572
CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 1GM/VL 25/BX INJ 64679-0986-03 1082732
CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 2GM/VL 10/BX INJ 00069-0037-21 1154453
CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 2GM/VL 25/BX INJ 00143-9933-22 1100820
CLARITIN D 24 TABS OTC LORATADINE W/PSEUDOEPHEDRINE TABLETS 10/240MG 10UD OTC 51660-0724-69 1162401
CLARITIN LIQUID LORATADINE CHILDREN'S SYRUP OTC 5MG/ML 4OZ/BT OTC 00904-5727-20 1158093
CLARITIN TABS OTC LORATADINE TABLETS OTC 10MG 10UD OTC 00904-5728-15 1075466
CLARITIN TABS OTC LORATADINE TABLETS OTC 10MG 3x10UD OTC 00904-5728-87 1075427
CLARITIN TABS OTC LORATADINE TABLETS OTC 10MG 500/BT OTC 51660-0526-05 1138244
CLARITIN TABS OTC LORATADINE TABLETS OTC 10MG 90/BT OTC 00904-5728-89 1047735
CLEOCIN CAPS CLINDAMYCIN HCL CAPSULES 150MG 100/BT RX 63304-0692-01 1082533
CLEOCIN CAPS CLINDAMYCIN HCL CAPSULES 300MG 16/BT RX 63304-0693-16 1067035
CLEOCIN CAPS CLINDAMYCIN HCL CAPSULES 300MG 100/BT RX 63304-0693-01 1089896
CLEOCIN INJ CLINDAMYCIN PHOS INJ 2ML ADDVAN VIAL 150MG/ML 25/BX INJ 00409-4053-03 1049622
CLEOCIN INJ CLINDAMYCIN PHOS INJ PBP 60ML 150MG/ML EACH INJ 63323-0282-60 1141684
Page 9 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
CLEOCIN INJ CLINDAMYCIN PHOS INJ SDV 2ML 150MG/ML 25/BX INJ 00409-4050-01 1046899
CLEOCIN INJ CLINDAMYCIN PHOS INJ SDV 4ML 150MG/ML 25/BX INJ 00409-4051-01 1046972
CLEOCIN INJ CLINDAMYCIN PHOS INJ SDV 4ML 150MG/ML EACH INJ 00409-4051-01 2484843
CLEOCIN INJ CLINDAMYCIN PHOS INJ SDV 6ML 150MG/ML 25/BX INJ 00409-4052-01 1085614
CLEOCIN ORAL SOLUTION CLINDAMYCIN PALMITATE HCL ORAL SOLUTION 75MG/5ML 100ML/BT RX 00574-0129-01 1155695
CLEOCIN T GEL CLINDAMYCIN TOPICAL GEL 1% 30GM/TB RX 00168-0202-30 1135319
CLEOCIN T GEL CLINDAMYCIN TOPICAL GEL 1% 60GM/TB RX 00168-0202-60 1082500
CLEOCIN VAGINAL CREAM CLINDAMYCIN VAGINAL CREAM 2% 40GM/TB RX 00168-0277-40 1133247
CLEOCIN-T LOTION CLINDAMYCIN TOPICAL LOTION 1% 60ML/BT RX 00168-0203-60 1026382
CLEOCIN-T PLEDGETS CLINDAMYCIN PHOSPHATE PLEDGETS 1% 60/BX RX 59762-3728-03 1139817
CLEOCIN-T SOLUTION CLINDAMYCIN TOPICAL SOLUTION 1% 30ML/BT RX 59762-3728-01 1158890
CLEOCIN-T SOLUTION CLINDAMYCIN TOPICAL SOLUTION 1% 60ML/BT RX 59762-3728-02 1158891
CLINORIL TABS SULINDAC TABLETS 150MG 100/BT RX 53489-0478-01 4055091
CLINORIL TABS SULINDAC TABLETS 200MG 100/BT RX 23155-0006-01 1119248
CLOMID TABS CLOMIPHENE CITRATE TABLETS 50MG 10/BT RX 49884-0701-54 1118869
COCAINE TOPICAL COCAINE HCL TOPICAL SOLUTION 10% 4ML/BT C2 RX 00527-1729-74 1117891
COCAINE TOPICAL COCAINE HCL TOPICAL SOLUTION 4% 4ML/BT C2 RX 00527-1728-74 1117892
COD LIVER CAPS COD LIVER OIL CAPSULES 10MIN 100/BT OTC 00904-4225-60 1025601
COENZYME Q10 CAPS COENZYME-Q10 SOFTGELS 30MG 30/BT OTC 1118723
COENZYME Q10 CAPS COENZYME-Q10 SOFTGELS 30MG 50/BT OTC 1029151
COGENTIN TABS BENZTROPINE TABLETS 0.5MG 100/BT RX 00603-2433-21 1118777
COGENTIN TABS BENZTROPINE TABLETS 1MG 100/BT RX 00603-2434-21 1118778
COGENTIN TABS BENZTROPINE TABLETS 2MG 100/BT RX 00603-2435-21 1118779
COLACE CAPS DOCUSATE SODIUM CAPSULES 100MG 100/BT OTC 57896-0401-01 1135901
COLACE CAPS DOCUSATE SODIUM CAPSULES 100MG 1000/BT OTC 57896-0401-10 1026566
COLACE CAPS DOCUSATE SODIUM CAPSULES 250MG 100/BT OTC 57896-0425-01 4080116
COLACE LIQUID DOCUSATE SODIUM ORAL LIQUID 150MG/15ML 16OZ/BT OTC 50383-0771-16 1119199
COLACE SYRUP DOCUSATE SODIUM ORAL SYRUP 60MG/15ML 16OZ/BT OTC 00121-0743-16 1145950
COLACE TABS DOCUSATE SODIUM TABLETS 100MG 100/BT OTC 57896-0421-01 1047706
COLACE TABS DOCUSATE SODIUM TABLETS 100MG 1000/BT OTC 57896-0421-10 1046915
COLD RELIEF TABS NON-PSEUDO COLD RELIEF TABLETS 325MG 125x2/BX OTC 47682-0822-48 8380004
COLD RELIEF TABS NON-PSEUDO COLD RELIEF TABLETS 325MG 250x2/BX OTC 47682-0822-13 8380003
COLD RELIEF TABS NON-PSEUDO COLD RELIEF TABLETS 325MG 50x2/BX OTC 47682-0822-33 8380005
COLD SPRAY TOPICAL COLD SPRAY TOPICAL MEDI-FIRST 4OZ/BT OTC 47682-0230-17 1517396
COLYTE GAVILYTE-C FOR ORAL SOLUTION 236GM/BT RX 43386-0060-19 1148171
COMPAZINE INJ PROCHLORPERAZINE EDISYLATE INJ MDV 10ML 5MG/ML EACH INJ 55390-0077-01 1042844
COMPAZINE INJ PROCHLORPERAZINE EDISYLATE INJ SDV 2ML 5MG/ML 10/BX INJ 55390-0077-10 1043836
COMPAZINE INJ PROCHLORPERAZINE EDISYLATE INJ SDV 2ML 5MG/ML EACH INJ 55390-0077-10 2481878
COMPAZINE SUPP PROCHLORPERAZINE SUPPOSITORIES 25MG 12/BX RX 00713-0135-12 1047642
COMPAZINE TABS PROCHLORPERAZINE MALEATE TABLETS 10MG 100/BT RX 59746-0113-06 1146027
COMPAZINE TABS PROCHLORPERAZINE MALEATE TABLETS 5MG 100/BT RX 59746-0115-06 1146501
CORDARONE IV AMIODARONE HCL INJ AMPULE 3ML 50MG/ML 10/BX INJ 00409-4348-35 1047056
CORDARONE IV AMIODARONE HCL INJ AMPULE 3ML 50MG/ML EACH INJ 00409-4348-35 2485924
CORDARONE IV AMIODARONE HCL INJ LL SYRINGE 3ML 50MG/ML EACH INJ 25021-0302-73 1148597
CORDARONE IV AMIODARONE HCL INJ SDV 3ML 50MG/ML 10/BX INJ 00143-9875-10 1118748
CORDARONE IV AMIODARONE HCL INJ SDV 9ML 50MG/ML 10/BX INJ 67457-0153-09 1047693
CORDARONE IV AMIODARONE HCL INJ SDV 18ML 50MG/ML EACH INJ 67457-0153-18 1049860
CORDARONE TABS AMIODARONE HCL TABLETS 200MG 60/BT RX 51672-4025-04 1146103
CORDARONE TABS AMIODARONE HCL TABLETS 400MG 30/BT RX 51672-4057-06 1142117
COREG TABS CARVEDILOL TABLETS 12.5MG 100/BT RX 65862-0144-01 1146603
COREG TABS CARVEDILOL TABLETS 3.125MG 100/BT RX 65862-0142-01 1119144
COREG TABS CARVEDILOL TABLETS 6.25MG 100/BT RX 65862-0143-01 1146025
COREG TABS CARVEDILOL TABLETS 25MG 100/BT RX 65862-0145-01 1146023
CORGARD TABS NADOLOL TABLETS 20MG 100/BT RX 00378-0028-01 1118789
CORGARD TABS NADOLOL TABLETS 40MG 100/BT RX 00093-4236-01 1147242
CORGARD TABS NADOLOL TABLETS 80MG 100/BT RX 00378-1132-01 1089023
CORLOPAM INJ FENOLDOPAM MESYLATE INJ AMP 1ML 10MG/ML EACH INJ 00781-3005-71 1078943
CORTAID CREAM OTC HYDROCORTISONE CREAM FL PK 1/32 OZ OTC 1% 144/CS OTC 59898-0800-03 4843522
CORTAID CREAM OTC HYDROCORTISONE CREAM FL PK 1/32 OZ OTC 1% 25/BX OTC 59898-0800-01 3265489
CORTAID CREAM OTC HYDROCORTISONE CREAM OTC 0.5% 1OZ/TB OTC 00168-0014-31 4080053
Page 10 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
CORTAID CREAM OTC HYDROCORTISONE CREAM OTC 1% 1OZ/TB OTC 51672-2069-02 1028756
CORTAID CREAM OTC HYDROCORTISONE CREAM OTC 1OZ 1% 6/PK OTC 01680-1254-31 1161994
CORTAID CREAM OTC HYDROCORTISONE CREAM OTC FOIL 1% 48x1.5GM OTC 01500-370-34 1146022
CORTAID INTENSIVE CREAM HYDROCORTISONE CREAM RX 1% 30GM/TB RX 00168-0015-31 1026420
CORTAID LOTION OTC HYDROCORTISONE LOTION OTC 1% 4OZ/BT OTC 45802-0283-06 1101025
CORTAID LOTION RX HYDROCORTISONE LOTION RX 2.5% 60ML/BT RX 00603-7785-52 1087617
CORTAID OINT OTC HYDROCORTISONE OINTMENT OTC 0.5% 1OZ/TB OTC 00168-0016-31 1025955
CORTAID OINT OTC HYDROCORTISONE OINTMENT OTC 1% 1OZ/TB OTC 51672-2018-02 4078556
CORTAID W/ALOE CREAM HYDROCORTISONE CREAM W/ALOE OTC 0.5% 1OZ/TB OTC 51672-2010-02 1025061
CORTEF TABS HYDROCORTISONE TABLETS 20MG 100/BT RX 00143-1254-01 2481865
CORTISPORIN OPHTH OINT BACITRACIN ZINC/POLY/NEO/HC OPHTH OINT 3.5GM/TB RX 24208-0785-55 1140621
CORTISPORIN OPHTH SUSP NEOMYCIN/POLY/HC OPHTH SUSPENSION 7.5ML/BT RX 61314-0641-75 1043444
CORTISPORIN OTIC SOLN NEOMYCIN/POLY/HC OTIC SOLUTION 10ML/BT RX 61314-0646-10 1148418
CORTISPORIN OTIC SUSP NEOMYCIN/POLY/HC OTIC SUSPENSION 10ML/BT RX 61314-0645-11 1148419
CORTIZONE CREAM OTC HYDROCORTISONE CREAM W/ALOE OTC 1% 1OZ/TB OTC 45802-0438-03 1119206
CORTIZONE CREAM OTC HYDROCORTISONE CREAM W/ALOE OTC 1% LB OTC 45802-0438-05 1101026
CORTONE YABS CORTISONE ACETATE TABLETS 25MG 100/BT RX 00143-1202-01 1082672
COSOPT DORZOLAMIDE HCL/TIMOLOL MAL OPHTH SOL 10ML/BT RX 50383-0233-10 1117003
COUMADIN TABS WARFARIN SODIUM TABLETS 10MG 100/BT RX 51672-4035-01 1133464
COUMADIN TABS WARFARIN SODIUM TABLETS 1MG 100/BT RX 51672-4027-01 1133473
COUMADIN TABS WARFARIN SODIUM TABLETS 2.5MG 100/BT RX 51672-4029-01 4063901
COUMADIN TABS WARFARIN SODIUM TABLETS 2MG 100/BT RX 51672-4028-01 2485507
COUMADIN TABS WARFARIN SODIUM TABLETS 3MG 100/BT RX 51672-4030-01 1133475
COUMADIN TABS WARFARIN SODIUM TABLETS 4MG 100/BT RX 51672-4031-01 1133476
COUMADIN TABS WARFARIN SODIUM TABLETS 5MG 100/BT RX 51672-4032-01 4064001
COUMADIN TABS WARFARIN SODIUM TABLETS 6MG 100/BT RX 51672-4033-01 1133477
COUMADIN TABS WARFARIN SODIUM TABLETS 7.5MG 100/BT RX 51672-4034-01 1133478
COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 25MG 90/BT RX 68382-0135-16 1162729
COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 50MG 30/BT RX 68382-0136-06 1162731
COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 50MG 90/BT RX 68382-0136-16 1162732
COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 100MG 30/BT RX 68382-0137-06 1167527
COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 100MG 90/BT RX 68382-0137-16 1162720
CRAMP TABLETS CRAMP TABS MEDI-FIRST 125x2/BX OTC 47682-0810-48 8390255
CROLOM SOLUTION CROMOLYN SODIUM OPHTH SOLUTION 4% 10ML/BT RX 61314-0237-10 1102615
CUPRIC ACID INJ CUPRIC SULFATE INJ SDV 10ML 0.4MG/ML 25/BX INJ 00517-6210-25 2580830
CUTIVATE OINT FLUTICASONE PROPIONATE OINTMENT 0.005% 15GM/TB RX 45802-0221-35 1101023
CYANIDE ANTIDOTE CYANIDE ANTIDOTE KIT EACH RX 11098-0507-01 1044157
CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) SDV 1ML 1000MCG/ML 25/BX INJ 00517-0031-25 2441902
CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) MDV 10ML 1000MCG/ML 25/BX INJ 00517-0032-25 8709048
CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) MDV 10ML 1000MCG/ML EACH INJ 00517-0032-25 2484301
CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) MDV 30ML 1000MCG/ML 5/BX INJ 00517-0130-05 1039497
CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) MDV 30ML 1000MCG/ML EACH INJ 00517-0130-05 1116120
CYCLOGYL SOLUTION CYCLOPENTOLATE HCL OPHTH SOLUTION 1% 2ML/BT RX 61314-0396-01 1100864
CYCLOGYL SOLUTION CYCLOPENTOLATE HCL OPHTH SOLUTION 1% 2ML/BT RX 24208-0735-01 6295439
CYCLOGYL SOLUTION CYCLOPENTOLATE HCL OPHTH SOLUTION 1% 15ML/BT RX 17478-0100-12 1161960
CYTOMEL TABLETS LIOTHYRONINE SODIUM TABLETS 25MCG 100/BT RX 00574-0222-01 1134538
CYTOMEL TABLETS LIOTHYRONINE SODIUM TABLETS 5MCG 100/BT RX 00574-0220-01 1134536
CYTOSAR-U INJ CYTARABINE INJ MDV 50ML AQUEOUS PBP 20MG/ML EACH INJ 61703-0303-46 1042888
CYTOSAR-U INJ CYTARABINE INJ SDV 5ML LYOPH PRESERV FREE 100MG/VL 10/BX INJ 55390-0131-10 1024578
CYTOTEC TABS MISOPROSTOL TABLETS 100MCG 60/BT RX 00172-4430-49 1025129
CYTOTEC TABS MISOPROSTOL TABLETS 200MCG 60/BT RX 00172-4431-49 1029527
CYTOVENE CAPS GANCICLOVIR CAPSULES 250MG 180/BT RX 63304-0636-28 1045879
CYTOXAN INJ CYCLOPHOSPHAMIDE INJ LYOPH SDV 50ML 500MG/VL EACH RX 10019-0955-01 1045491
CYTOXAN INJ CYCLOPHOSPHAMIDE INJ LYOPH SDV 75ML 1GM/VL EACH RX 10019-0956-01 1047861
CYTOXAN INJ CYCLOPHOSPHAMIDE INJ LYOPH SDV 100ML 2GM/VL EACH RX 10019-0957-01 1108939
CYTOXAN TABS CYCLOPHOSPHAMIDE TABLETS 25MG 100/BT RX 00054-4129-25 1028664
CYTOXAN TABS CYCLOPHOSPHAMIDE TABLETS 50MG 100/BT RX 00054-4130-25 1027148
D.H.E. 45 INJ DIHYDROERGOTAMINE MES INJ AMPULE 1ML 1MG/ML 5/BX INJ 00574-0850-05 1100854
D.H.E. 45 INJ DIHYDROERGOTAMINE MES INJ AMPULE 1ML 1MG/ML 10/BX INJ 00574-0850-10 1100855
D.H.E. 45 INJ DIHYDROERGOTAMINE MES INJ SDV 1ML 1MG/ML 10/BX INJ 55390-0013-10 1042246
Page 11 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
DACRIOSE SOLUTION EYE WASH SOLUTION 0.5OZ/BT OTC 59390-0175-13 1044374
DACRIOSE SOLUTION EYE WASH SOLUTION 1OZ/BT OTC 59390-0175-18 1044375
DACRIOSE SOLUTION EYE WASH SOLUTION 4OZ/BT OTC 59390-0175-35 1101011
DACRIOSE SOLUTION EYE WASH SOLUTION 16OZ/BT OTC 59390-0175-46 1049586
DACRIOSE, COLLYRIUM MEDI-WASH EYE IRRIGANT MEDI-FIRST 4OZ/BT OTC 47682-0198-19 1514399
DACRIOSE, COLLYRIUM MEDI-WASH EYE IRRIGANT TWIST CAP MEDI-FIRST NON- RESEAL 1OZ/BT OTC 47682-0198-28 1107545
DALMANE CAPS FLURAZEPAM HCL CAPSULES 15MG 100/BT C4 RX 00143-3367-01 1023213
DALMANE CAPS FLURAZEPAM HCL CAPSULES 30MG 100/BT C4 RX 00143-3370-01 1027598
DALMANE CAPS FLURAZEPAM HCL CAPSULES 30MG 500/BT C4 RX 00143-3370-05 1023212
DANOCRINE CAPS DANAZOL CAPSULES 100MG 100/BT RX 00527-1368-01 1119746
DANOCRINE CAPS DANAZOL CAPSULES 200MG 60/BT RX 00527-1369-06 1142025
DANTRIUM CAPS DANTROLENE SODIUM CAPSULES 25MG 100/BT RX 00115-4411-01 1100619
DANTRIUM INJ DANTROLENE INJ LYOPH SDV 20MG/VL 6/BX INJ 27505-0001-65 1155107
DAYQUIL LIQUICAPS DAY TIME LIQUID CAPS 12/BX OTC 00904-5763-12 1140417
DDAVP INJ DESMOPRESSIN ACETATE INJ MDV 10ML 4MCG/ML EACH INJ 00703-5054-01 2585847
DDAVP INJ DESMOPRESSIN ACETATE INJ W/PRES 1ML 4MCG/ML 10/BX INJ 00703-5051-03 2581694
DDAVP NASAL SPRAY DESMOPRESSIN ACETATE NASAL SPRAY 0.01% 5ML/BT RX 60505-0815-00 1100862
DEBROX LIQUID CARBAMIDE EAR WAX DROPS 6.5% 15ML/BT OTC 00536-3000-94 1100849
DECADRON INJ DEXAMETHASONE SOD PHO INJ SDV 1ML 4MG/ML 25/BX INJ 00517-4901-25 8700288
DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 5ML 4MG/ML 25/BX INJ 00517-4905-25 8703329
DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 5ML 4MG/ML EACH INJ 00517-4905-25 1113174
DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 30ML 4MG/ML 25/BX INJ 00517-4930-25 8708528
DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 30ML 4MG/ML EACH INJ 00517-4930-25 2581970
DECADRON INJ DEXAMETHASONE SOD PHO INJ SDV 1ML 10MG/ML 25/BX INJ 00641-0367-25 1386758
DECADRON INJ DEXAMETHASONE SOD PHO INJ SDV 1ML PF 10MG/ML 25/BX INJ 63323-0506-01 4067616
DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 10ML 10MG/ML 10/BX INJ 63323-0516-10 1123411
DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 10ML 10MG/ML EACH RX 63323-0516-10 2489101
DECADRON LIQUID DEXAMETHASONE ORAL CONCENTRATE 1MG/ML 30ML/BT RX 00054-3176-44 2487057
DECADRON LIQUID DEXAMETHASONE ORAL ELIXIR 0.5MG/5ML 500ML/BT RX 00054-3177-63 1089735
DECADRON SOLUTION DEXAMETHASONE SOD PHOS OPHTH SOLUTION 0.1% 5ML/BT RX 61314-0294-05 1153319
DECADRON TABS DEXAMETHASONE TABLETS 0.5MG 100/BT RX 00054-4179-25 1026392
DECADRON TABS DEXAMETHASONE TABLETS 0.75MG 100/BT RX 49884-0085-01 1024017
DECADRON TABS DEXAMETHASONE TABLETS 1MG 100/BT RX 00054-4181-25 1089451
DECADRON TABS DEXAMETHASONE TABLETS 1.5MG 100/BT RX 00054-4182-25 1031077
DECADRON TABS DEXAMETHASONE TABLETS 2MG 100/BT RX 00054-4183-25 1084329
DECADRON TABS DEXAMETHASONE TABLETS 4MG 100/BT RX 00054-4184-25 1030810
DECADRON TABS DEXAMETHASONE TABLETS 6MG 100/BT RX 00054-4186-25 1086280
DECLOMYCIN TABS DEMECLOCYCLINE HCL TABLETS 150MG 100/BT RX 65162-0554-10 1107457
DECLOMYCIN TABS DEMECLOCYCLINE HCL TABLETS 300MG 48/BT RX 65162-0555-48 1107456
DECOREL FORTE TABS DECOREL FORTE PLUS TABLETS W EXPECTORANT 250x2/BX OTC 47682-0425-13 1045615
DELATESTRYL INJ TESTOSTERONE ENANTHATE INJ MDV 5ML 200MG/ML EACH 3N INJ 00591-3221-26 1045565
DELESTROGEN INJ ESTRADIOL VALERATE MDV INJ 20MG/ML EACH INJ 00574-0870-05 1148090
DELTASONE LIQUID PREDNISONE ORAL CONCENTRATE 5MG/ML 30ML/BT RX 00054-3721-44 1085489
DELTASONE LIQUID PREDNISONE ORAL SOLUTION 5MG/5ML 500ML/BT RX 00054-3722-63 2381336
DELTASONE TABS PREDNISONE TABLETS 1MG 100/BT RX 59746-0171-06 1118923
DELTASONE TABS PREDNISONE TABLETS 2.5MG 100/BT RX 00054-4742-25 1101325
DELTASONE TABS PREDNISONE TABLETS 5MG 100/BT RX 00603-5337-21 1145438
DELTASONE TABS PREDNISONE TABLETS 5MG 1000/BT RX 00143-1475-10 1145511
DELTASONE TABS PREDNISONE TABLETS 10MG 100/BT RX 00603-5338-21 1049401
DELTASONE TABS PREDNISONE TABLETS 10MG 500/BT RX 00603-5338-28 1086147
DELTASONE TABS PREDNISONE TABLETS 10MG 1000/BT RX 00603-5338-32 4080169
DELTASONE TABS PREDNISONE TABLETS 10MG 10x10UD RX 00054-0017-20 1101324
DELTASONE TABS PREDNISONE TABLETS 20MG 100/BT RX 00603-5339-21 1145442
DELTASONE TABS PREDNISONE TABLETS 20MG 500/BT RX 00603-5339-28 1119237
DELTASONE TABS PREDNISONE TABLETS 20MG 1000/BT RX 00603-5339-32 1146195
DELTASONE TABS PREDNISONE TABLETS 20MG 10x10UD RX 00054-0018-20 2483138
DELTASONE TABS PREDNISONE TABLETS 50MG 100/BT RX 00054-0019-25 1049482
DEMADEX INJ TORSEMIDE INJ SDV 2ML 10MG/ML EACH INJ 00517-0770-10 2580090
DEMADEX INJ TORSEMIDE INJ SDV 5ML 10MG/ML EACH INJ 00517-0771-10 2580089
DEMADEX TABS TORSEMIDE TABLETS 20MG 100/BT RX 00054-0077-25 1082711
Page 12 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
DEMEROL 50MG MEPERIDINE HCL TABLETS UD 50MG 25/PK C2 RX 00054-8595-11 1115925
DEMEROL INJ MEPERIDINE HCL INJ SDV 1ML 100MG/ML 25/BX C2 INJ 10019-0162-01 1042956
DEMEROL INJ MEPERIDINE HCL INJ SDV 1ML 25MG/ML 25/BX C2 INJ 10019-0159-01 1042954
DEMEROL INJ MEPERIDINE HCL INJ SDV 1ML 50MG/ML 25/BX C2 INJ 10019-0160-01 1045990
DEMEROL LIQUID MEPERIDINE HCL ORAL SYRUP 50MG/5ML 500ML/BT C2 RX 00054-3545-63 1098414
DEMEROL TABS MEPERIDINE HCL TABLETS 100MG 100/BT C2 RX 00603-4416-21 1101076
DEMEROL TABS MEPERIDINE HCL TABLETS 50MG 100/BT C2 RX 00603-4415-21 1101075
DENTURE CLEANSING TABS DENTURE CLEANSING TABLETS 42/BX OTC 80707-0437-01 1144205
DEPACON INJ VALPROATE SODIUM INJ SDV 5ML 100MG/ML 10/BX INJ 55390-0007-10 1044056
DEPAKENE CAPS VALPROIC ACID CAPSULES 250MG 100/BT RX 00591-4012-01 4082201
DEPAKENE LIQUID VALPROIC ACID ORAL SYRUP 250MG/5ML 480ML/BT RX 50383-0792-16 1048625
DEPAKOTE ER TABLETS DIVALPROEX SODIUM DR TABLETS 250MG 100/BT RX 62756-0797-88 1146807
DEPAKOTE ER TABLETS DIVALPROEX SODIUM DR TABLETS 500MG 100/BT RX 62756-0798-88 1134632
DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ SDV 1ML 40MG/ML 10/BX INJ 00781-3131-95 1140807
DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ SDV 1ML 40MG/ML EACH INJ 00703-0031-01 1044687
DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ MDV 10ML 40MG/ML EACH INJ 00781-3136-70 1147427
DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ SDV 1ML 80MG/ML 10/BX INJ 00781-3132-95 1145059
DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ SDV 1ML 80MG/ML EACH INJ 00703-0051-01 1048514
DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ MDV 5ML 80MG/ML EACH INJ 00781-3137-75 1140808
DEPO-PROVERA INJ MEDROXYPROGESTERONE ACETATE INJ SDV 1ML 150MG/ML 25/BX INJ 59762-4537-02 1082357
DEPO-PROVERA INJ MEDROXYPROGESTERONE ACETATE INJ SDV 1ML 150MG/ML EACH INJ 59762-4537-01 1083517
DEPO-PROVERA INJ MEDROXYPROGESTERONE ACETATE INJ SYRINGE PF 1ML 150MG/ML EACH INJ 59762-4538-01 1087694
DEPO-TESTOSTERONE INJ TESTOSTERONE CYPIONATE INJ MDV 10ML 200MG/ML EACH 3N INJ 00591-3223-79 1045953
DEPO-TESTOSTERONE INJ TESTOSTERONE CYPIONATE INJ MDV 10ML 200MG/ML EACH 3N INJ 00574-0820-10 1105416
DEPO-TESTOSTERONE INJ TESTOSTERONE CYPIONATE INJ SDV 1ML 200MG/ML EACH 3N INJ 00574-0820-01 6020010
DEPO-TESTOSTERONE INJ TESTOSTERONE CYPIONATE INJ SDV 10ML 100MG/ML EACH 3N INJ 00781-3073-70 1086949
DESFERAL INJ DEFEROXAMINE MESYLATE INJ SDV 500MG/VL 4/BX INJ 00591-3974-04 1157189
DESFERAL INJ DEFEROXAMINE MESYLATE INJ SDV 30ML 2GM/VL EACH INJ 00591-3975-30 1157188
DESITIN OINT DIAPER RASH OINTMENT 4OZ/TB OTC 00713-0258-04 1153574
DESOGEN; ORTHO-CEPT TABS DESOGESTREL/ETHINYL ESTRADIOL OC TABLETS 0.15/0.03MG 6x28 RX 52544-0954-28 1100848
DESOWEN LOTION DESONIDE TOPICAL LOTION 0.05% 118ML/BT RX 00472-0803-04 1146795
DESYREL TABS TRAZODONE HCL TABLETS 100MG 100/BT RX 00603-6161-21 1154445
DESYREL TABS TRAZODONE HCL TABLETS 150MG 100/BT RX 50111-0441-01 1085521
DESYREL TABS TRAZODONE HCL TABLETS 50MG 100/BT RX 00603-6160-21 1154452
DESYREL TABS TRAZODONE HCL TABLETS 50MG 1000/BT RX 00603-6160-32 1154444
DEXEDRINE SPANSULES DEXTROAMPHETAMINE SULFATE TABLETS 10MG 100/BT C2 RX 00555-0953-02 1119245
DEXEDRINE SPANSULES DEXTROAMPHETAMINE SULFATE TABLETS 5MG 100/BT C2 RX 00555-0952-02 1119244
DEXTRAN DEXTROSE INJ DEXTRAN 40 10% IN 5% DEXTROSE 500ML 12BG/CA INJ 00409-7418-03 1113914
DEXTRAN SOD INJ DEXTRAN 10% IN 0.9 NACL 500ML 12BG/CA INJ 00409-7419-03 1109540
DEXTROSE IN WATER DEXTROSE 5% IN WATER 250ML 1/BT RX 00409-1522-02 2950035
DEXTROSE INJ DEXTROSE INJ FTV 50ML (ADDITIVE) 50% 25/BX INJ 00409-6648-02 1046864
DEXTROSE INJ DEXTROSE INJ FTV 50ML (ADDITIVE) 50% EACH INJ 00409-6648-02 2486614
DEXTROSE INJ DEXTROSE INJ SYRINGE (ABBOJ) 50ML 18Gx1.5" 50% 10/BX INJ 00409-4902-34 2583728
DEXTROSE INJ DEXTROSE INJ SYRINGE (ABBOJ) 50ML 18Gx1.5" 50% EACH INJ 00409-4902-34 2480297
DEXTROSE INJ DEXTROSE INJ SYRINGE (ANSYR 2) 50ML 50% 10/BX INJ 00409-7517-16 1046862
DEXTROSE INJ DEXTROSE INJ SYRINGE (ANSYR 2) 50ML 50% EACH INJ 00409-7517-16 2480724
DEXTROSE INJ DEXTROSE INJ SYRINGE (ANSYR) 10ML 25% 10/BX INJ 00409-1775-10 1140577
DEXTROSE INJ DEXTROSE INJ SYRINGE (ANSYR) 10ML 25% EACH INJ 00409-1775-10 2486407
DIABETA TABS GLYBURIDE TABLETS (D) 1.25MG 50/BT RX 00093-9477-53 1025075
DIABETA TABS GLYBURIDE TABLETS (D) 2.5MG 100/BT RX 00093-9433-01 1027496
DIABETA TABS GLYBURIDE TABLETS (D) 5MG 100/BT RX 00093-9364-01 1024450
DIABETA TABS GLYBURIDE TABLETS (D) 5MG 500/BT RX 00093-9364-05 1026326
DIAMOX INJ ACETAZOLAMIDE SODIUM INJ STER PWD SDV 10ML 500MG/VL EACH INJ 39822-0190-01 1161041
DIAMOX SEQUELS ACETAZOLAMIDE ER CAPSULES UD BLISTERPACK 500MG 30/BX RX 68084-0401-21 1162441
DIAMOX TABS ACETAZOLAMIDE TABLETS 125MG 100/BT RX 51672-4022-01 1088488
DIAMOX TABS ACETAZOLAMIDE TABLETS 250MG 100/BT RX 00527-1050-01 1020001
DICKINSONS LIQUID WITCH HAZEL LIQUID 16OZ/BT OTC 01033-1000-16 1010955
DIDREX TABS BENZPHETAMINE HCL TABLETS 50MG 100/BT C3 RX 64376-0650-01 1089856
DIFLUCAN INJ FLUCONAZOLE W/NACL INJ FLEX BAGS 100ML 2MG/ML 6/BX INJ 00409-4688-23 1099304
DIFLUCAN SUSP FLUCONAZOLE FOR ORAL SUSPENSION 10MG/ML 35ML/BT RX 59762-5029-01 1147451
Page 13 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
DIFLUCAN SUSP FLUCONAZOLE FOR ORAL SUSPENSION 40MG/ML 35ML/BT RX 00054-0003-85 1148379
DIFLUCAN TABS FLUCONAZOLE TABLETS 50MG 30/BT RX 00172-5410-46 1114781
DIFLUCAN TABS FLUCONAZOLE TABLETS 100MG 30/BT RX 00172-5411-46 1047945
DIFLUCAN TABS FLUCONAZOLE TABLETS 100MG 100/BT RX 00172-5411-60 1147410
DIFLUCAN TABS FLUCONAZOLE TABLETS 150MG 12/BL PK RX 00172-5412-11 1118691
DIFLUCAN TABS FLUCONAZOLE TABLETS 200MG 30/BT RX 00172-5413-46 1047946
DILANTIN EX CAPS PHENYTOIN SODIUM ER CAPSULES 100MG 100/BT RX 62756-0402-01 1100696
DILANTIN EX CAPS PHENYTOIN SODIUM ER CAPSULES 100MG 1000/BT RX 51672-4111-03 1088004
DILANTIN INJ PHENYTOIN SODIUM INJ AMPULE 2ML 50MG/ML 25/BX INJ 00409-1317-01 1046993
DILANTIN INJ PHENYTOIN SODIUM INJ SDV 5ML 50MG/ML 25/BX INJ 00143-9881-25 1100623
DILANTIN INJ PHENYTOIN SODIUM INJ SDV 5ML 50MG/ML EACH INJ 00143-9881-25 6023288
DILANTIN INJ PHENYTOIN SODIUM INJ SDV 2ML 50MG/ML 25/BX INJ 00143-9882-25 1104047
DILANTIN INJ PHENYTOIN SODIUM INJ SDV 2ML 50MG/ML EACH INJ 00641-0493-21 2482309
DILANTIN SUSP PHENYTOIN ORAL SUSPENSION 125MG/5ML 240ML/BT RX 51672-4069-01 1131016
DILAUDID INJ HYDROMORPHONE HCL INJ MDV 20ML 2MG/ML EACH C2 INJ 00641-2341-41 1087957
DILAUDID INJ HYDROMORPHONE HCL INJ SYR (CARPJT LL SLMPK) 1ML 1MG/ML 10/BX C2 INJ 00409-1283-31 1046409
DILAUDID INJ HYDROMORPHONE HCL INJ SYR (CARPJT LL SLMPK) 1ML 2MG/ML 10/BX C2 INJ 00409-1312-30 1046543
DILAUDID TABS HYDROMORPHONE HCL TABLETS 2MG 100/BT C2 RX 00406-3243-01 1046691
DILAUDID TABS HYDROMORPHONE HCL TABLETS 4MG 100/BT C2 RX 00527-1354-01 1049609
DILAUDID TABS HYDROMORPHONE HCL TABLETS 4MG 4X25/PK C2 RX 00054-0264-24 1155070
DIMETAPP DM ELIXIR BROMPHENIRAMINE/PSEUDO/DEXTRO ORAL ELIXIR 4OZ/BT OTC 00603-0852-94 1081958
DIMETAPP DM ELIXIR BROMPHENIRAMINE/PSEUDO/DEXTRO ORAL ELIXIR 8OZ/BT OTC 54838-0136-70 1029107
DIMETAPP ELIXIR NF BROMPHENIRAMINE/PSEUDO ORAL ELIXIR 16OZ/BT OTC 54838-0125-80 1028995
DIMETAPP ELIXIR NF BROMPHENIRAMINE/PSEUDO ORAL ELIXIR 4OZ/BT OTC 00603-0851-94 1087017
DIMETAPP ELIXIR NF BROMPHENIRAMINE/PSEUDO ORAL ELIXIR 8OZ/BT OTC 54838-0125-70 1027039
DIPRIVAN INJ PROPOFOL INJ EMULSION SDV 100ML 10MG/ML 10/BX INJ 63323-0270-65 1146134
DIPRIVAN INJ PROPOFOL INJ EMULSION SDV 20ML 10MG/ML 5/BX INJ 63323-0270-20 1142569
DIPRIVAN INJ PROPOFOL INJ EMULSION SDV 50ML 10MG/ML 20/BX INJ 63323-0270-50 1146133
DIPROLENE AF CREAM BETAMETHASONE DIP CREAM AUGMNTD 0.05% 15GM/TB RX 45802-0376-35 1089009
DIPROLENE OINT BETAMETHASONE DIP OINTMENT AUGMNTD 0.05% 45GM/TB RX 00472-0382-45 1158119
DIPROSONE CREAM BETAMETHASONE DIP CREAM 0.05% 15GM/TB RX 00168-0055-15 1026809
DIPROSONE CREAM BETAMETHASONE DIP CREAM 0.05% 45GM/TB RX 00168-0055-46 1029509
DIPROSONE LOTION BETAMETHASONE DIP LOTION 0.05% 60ML/BT RX 00168-0057-60 4210258
DIPROSONE OINT BETAMETHASONE DIP OINTMENT 0.05% 15GM/TB RX 00472-0381-15 1022436
DIPROSONE OINT BETAMETHASONE DIP OINTMENT 0.05% 45GM/TB RX 00472-0381-45 1028125
DISALCID TABS SALSALATE TABLETS 750MG 100/BT RX 65162-0513-10 1141753
DITROPAN LIQUID OXYBUTYNIN CHLORIDE ORAL SYRUP 5MG/5ML 480ML/BT RX 54838-0507-80 4080017
DITROPAN TABS OXYBUTYNIN CHLORIDE TABLETS 5MG 100/BT RX 00603-4975-21 1085203
DIURIL TABS CHLOROTHIAZIDE TABLETS 250MG 100/BT RX 00143-1209-01 1027167
DIURIL TABS CHLOROTHIAZIDE TABLETS 500MG 100/BT RX 00143-1210-01 1118738
DOBUTREX INJ DOBUTAMINE HCL INJ SDV 20ML 12.5MG/ML 10/BX INJ 55390-0560-90 1023139
DOBUTREX INJ DOBUTAMINE HCL INJ SDV 20ML 12.5MG/ML EACH INJ 55390-0560-90 2487964
DOBUTREX INJ DOBUTAMINE IN 5% DEXTROSE INJ 250ML 250MG 12/BX INJ 00409-2346-32 9285998
DOBUTREX INJ DOBUTAMINE IN 5% DEXTROSE INJ 250ML 500MG 12/BX INJ 00409-2347-32 1049507
DOBUTREX INJ DOBUTAMINE INJ FVT SDV 20ML 12.5MG/ML EACH INJ 00409-2344-01 1078342
DOLOBID TABS DIFLUNISAL TABLETS 500MG 60/BT RX 00093-0755-06 4253706
DOLOPHINE TABS METHADONE HCL TABLETS 10MG 100/BT C2 RX 00406-5771-01 4080114
DOMEBORO LIQUID ACETIC ACID/ALUM OTIC SOLUTION 2% 60ML/BT RX 24208-0615-77 1137241
DONNATAL TABS BELLADONNA ALK/PHENO TABLETS 1000/BT RX 00143-1140-10 4002002
DOPRAM INJ DOXAPRAM HCL MDV INJ 20ML 20MG/ML EACH INJ 55390-0035-01 1111500
DOSTINEX TABS CABERGOLINE TABLETS 0.5MG 8/BT RX 49884-0673-14 1118793
DRAMAMINE INJ DIMENHYDRINATE INJ SDV 1 ML 50MG/ML 25/BX INJ 63323-0366-01 1044189
DRAMAMINE TABS DIMENHYDRINATE TABLETS 50MG 100/BT OTC 00904-2051-59 1146112
DRAMAMINE TABS DIMENHYDRINATE TABLETS 50MG 1000/BT OTC 00603-3327-32 1088727
DRAMAMINE TABS DIMENHYDRINATE TABLETS 50MG 12UD OTC 00904-2051-12 1087666
DRISDOL CAPSULES VITAMIN D CAPSULES 50M IU 100/BT RX 50111-0990-01 1119817
DULCOLAX SUPP BISACODYL SUPPOSITORIES 10MG 12/BX OTC 57896-0444-12 1048640
DULCOLAX SUPP BISACODYL SUPPOSITORIES 10MG 100/BX OTC 00713-0109-01 1100615
DULCOLAX TABS BISACODYL EC TABLETS 5MG 100/BT OTC 00904-7927-60 1024176
DULCOLAX TABS BISACODYL EC TABLETS 5MG 1000/BT OTC 49483-0003-10 1118737
Page 14 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
DULCOLAX TABS BISACODYL EC TABLETS 5MG 10X10UD OTC 00904-7927-61 1082754
DUONEB INH SOLUTION IPRATROPIUM/ALBUTEROL INHAL SOLUTION 0.5/3MG 30x3ML RX 00591-3433-30 1118918
DUONEB INH SOLUTION IPRATROPIUM/ALBUTEROL INHAL SOLUTION 0.5/3MG 60x3ML RX 16252-0547-66 4250003
DURACLON INJ CLONIDINE HCL INJ SDV 10ML 100MCG/ML EACH INJ 00517-0730-01 1148416
DURAGESIC PATCH FENTANYL TRANSDERMAL RES PATCH 25MCG/HR 5/BX C2 RX 67767-0120-18 1047359
DURAGESIC PATCH FENTANYL TRANSDERMAL RES PATCH 50MCG/HR 5/BX C2 RX 67767-0121-18 1049868
DURAGESIC PATCH FENTANYL TRANSDERMAL RES PATCH 75MCG/HR 5/BX C2 RX 67767-0122-18 1047362
DURAGESIC PATCH FENTANYL TRANSDERMAL RES PATCH 100MCG/HR 5/BX C2 RX 67767-0123-18 1047327
DURICEF CAPS CEFADROXIL CAPSULES 500MG 50/BT RX 59762-2000-01 1146982
DURICEF CAPS CEFADROXIL CAPSULES 500MG 100/BT RX 65862-0085-01 1157494
DURICEF SUSP CEFADROXIL ORAL SUSPENSION 250MG/5ML 100ML/BT RX 68180-0181-02 1118773
DURICEF SUSP CEFADROXIL ORAL SUSPENSION 500MG/5ML 100ML/BT RX 68180-0182-03 1118774
DURICEF SUSP CEFADROXIL ORAL SUSPENSION 500MG/5ML 75ML/BT RX 68180-0182-02 1137054
DYAZIDE NF CAPS TRIAMTERENE/HCTZ CAPSULES 37.5MG/25MG 100/BT RX 00781-2074-01 1119176
DYNACIN TABS MINOCYCLINE TABLETS 75MG 100/BT RX 63304-0695-01 1046474
DYNAPEN CAPS DICLOXACILLIN CAPSULES 250MG 100/BT RX 00781-2248-01 1147166
DYNAPEN CAPS DICLOXACILLIN CAPSULES 500MG 100/BT RX 00781-2258-01 1146629
E.E.S. TABS ERYTHROMYCIN ETHYLSUCC TABLETS 400MG 100/BT RX 00074-2589-13 2990026
EC NAPROSYN TABS NAPROXEN EC TABLETS 375MG 100/BT RX 00093-1005-01 1119184
EC NAPROSYN TABS NAPROXEN EC TABLETS 500MG 100/BT RX 00093-1006-01 1119185
ECHINACEA CAPS ECHINACEA CAPSULES 400MG 100/BT OTC 1118730
ECOTRIN LOW DOSE TABS ASPIRIN EC TABLETS 81MG 120/BT OTC 00603-0026-22 1118781
ECOTRIN LOW DOSE TABS ASPIRIN EC TABLETS 81MG 1000/BT OTC 49483-0054-10 1118772
ECOTRIN TABS ASPIRIN EC TABLETS 325MG 100/BT OTC 49483-0052-01 1145881
ECOTRIN TABS ASPIRIN EC TABLETS 325MG 1000/BT OTC 49483-0052-10 1146032
EFFEXOR TABS VENLAFAXINE HCL TABLETS 37.5MG 100/BT RX 68382-0019-01 1118815
EFFEXOR XR VENLAFAXINE HCL ER CAPS 150MG 30/BT RX 00093-7386-56 1155580
EFFEXOR XR VENLAFAXINE HCL ER CAPS 150MG 90/BT RX 00093-7386-98 1155581
EFFEXOR XR VENLAFAXINE HCL ER CAPS 37.5MG 30/BT RX 00093-7384-56 1155577
EFFEXOR XR VENLAFAXINE HCL ER CAPS 75MG 30/BT RX 00093-7385-56 1155578
EFFEXOR XR VENLAFAXINE HCL ER CAPS 75MG 90/BT RX 00093-7385-98 1155579
ELAVIL TABS AMITRIPTYLINE TABLETS 10MG 100/BT RX 00603-2212-21 1049144
ELAVIL TABS AMITRIPTYLINE TABLETS 10MG 1000/BT RX 00603-2212-32 1049916
ELAVIL TABS AMITRIPTYLINE TABLETS 25MG 100/BT RX 00603-2213-21 1049146
ELAVIL TABS AMITRIPTYLINE TABLETS 25MG 1000/BT RX 00603-2213-32 1049917
ELAVIL TABS AMITRIPTYLINE TABLETS 50MG 100/BT RX 00603-2214-21 1049147
ELAVIL TABS AMITRIPTYLINE TABLETS 50MG 1000/BT RX 00603-2214-32 1049921
ELAVIL TABS AMITRIPTYLINE TABLETS 75MG 100/BT RX 00603-2215-21 1049153
ELAVIL TABS AMITRIPTYLINE TABLETS 100MG 100/BT RX 00603-2216-21 1049148
ELAVIL TABS AMITRIPTYLINE TABLETS 150MG 100/BT RX 00603-2217-21 1049149
ELDEPRYL CAPS SELEGILINE HCL CAPSULES 5MG 60/BT RX 67253-0700-06 1082865
ELDOQUIN FORTE CREAM HYDROQUINONE CREAM 4% 30GM/TB RX 45802-0980-64 1118863
ELIMITE CREAM PERMETHRIN CREAM 5% 60GM/TB RX 45802-0269-37 1041033
ELOCON CREAM MOMETASONE FUROATE CREAM 0.1% 15GM/TB RX 45802-0257-35 1155219
ELOCON CREAM MOMETASONE FUROATE CREAM 45GM 0.1% 6/PK RX 00168-0270-46 1114823
ELOCON OINT MOMETASONE FUROATE OINTMENT 0.1% 15GM/TB RX 45802-0119-37 1101022
ELOCON OINT MOMETASONE FUROATE OINTMENT 0.1% 45GM/TB RX 00713-0635-37 1146733
EMLA CREAM LIDOCAINE W/PRILOCAINE CREAM 2.5%/2.5% 30GM/TB RX 00168-0357-30 4706229
EMLA CREAM LIDOCAINE W/PRILOCAINE CREAM 5GM TUBE 2.5%/2.5% 5/BX RX 00168-0357-55 1100902
EMLA CREAM WITH DRESSINGS LIDOCAINE/PRILOCAINE CREAM WITH DRESSING 2.5%/2.5% 5X10/CA RX 00168-0357-56 1161317
ENDURON TABS METHYCLOTHIAZIDE TABLETS 5MG 100/BT RX 00378-0160-01 1088076
EPHEDRINE SULFATE INJ EPHEDRINE SULFATE INJ SDV 1ML 25MG/ML 25/BX INJ 66758-0008-02 1089109
EPHEDRINE SULFATE INJ EPHEDRINE SULFATE INJ AMPULES 1ML 50MG/ML 10/BX INJ 17478-0515-00 1147033
EPHEDRINE SULFATE INJ EPHEDRINE SULFATE INJ AMPULES 1ML 50MG/ML 50/BX INJ 00409-3073-31 1046891
EPSOM SALT EPSOM SALTS CARTON 16OZ OTC 1086779
EPSOM SALT EPSOM SALTS CARTON 2LB OTC 1086785
EPSOM SALT EPSOM SALTS CARTON 4LB OTC 1086790
EQUANIL TABS MEPROBAMATE TABLETS 200MG 100/BT C4 RX 00591-5239-01 1028279
EQUANIL TABS MEPROBAMATE TABLETS 400MG 100/BT C4 RX 23155-0129-01 1146627
ERYC CAPS ERYTHROMYCIN DR CAPSULES 250MG 100/BT RX 00074-6301-13 2990025
Page 15 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
ERYGEL 2%, EMGEL ERYTHROMYCIN TOPICAL GEL 2% 30GM/TB RX 00168-0216-30 1134576
ERYTHROCIN INJ ERYTHROMYCIN LACTOB INJ 10ML 500MG 10/BX INJ 00409-6482-01 1047000
ERYTHROCIN TABS ERYTHROMYCIN STEARATE TABLETS 250MG 100/BT RX 00074-6346-20 2990038
ERYTHROMYCIN TABS ERYTHROMYCIN BASE FILMTABS 250MG 100/BT RX 00074-6326-13 2586136
ERYTHROMYCIN TABS ERYTHROMYCIN BASE FILMTABS 500MG 100/BT RX 00074-6227-13 2990037
ESGIC CAPS BUTALBITAL/APAP/CAFFEINE CAPSULES 50/325/40MG 100/BT RX 00603-2546-21 1081995
ESGIC PLUS TABS BUTALBITAL/APAP/CAFFEINE TABLETS 50/500/40MG 100/BT RX 00603-2545-21 1081994
ESKALITH CAPS LITHIUM CARBONATE CAPSULES 150MG 100/BT RX 00054-2526-25 1101048
ESKALITH CAPS LITHIUM CARBONATE CAPSULES 300MG 100/BT RX 00143-3189-01 1087234
ESKALITH CAPS LITHIUM CARBONATE CAPSULES 300MG 1000/BT RX 00143-3189-10 1081346
ESKALITH CAPS LITHIUM CARBONATE CAPSULES 600MG 100/BT RX 00054-2531-25 1087291
ESKALITH CR TABS LITHIUM CARBONATE ER TABLETS 450MG 100/BT RX 00143-1277-01 4080036
ESTRACE TABS ESTRADIOL TABLETS 0.5MG 100/BT RX 00555-0899-02 1101060
ESTRACE TABS ESTRADIOL TABLETS 1MG 100/BT RX 00555-0886-02 1101058
ESTRACE TABS ESTRADIOL TABLETS 2MG 100/BT RX 00555-0887-02 1101059
ETHRANE INH SOLUTION ENFLURANE INH COMPOUND 250ML 6/CASE RX 66794-0010-25 1137831
ETHYL ALCOHOL ALCOHOL ETHYL 70% 16OZ/BT OTC 30869-1056-10 1088152
EXCEDRIN TABS ASPIRIN-CAFFEINE ADULT STR TABLETS 100/BT OTC 00182-1455-01 1100466
EXCEDRIN TABS PAIN-OFF TABLETS 250/250/65 100x2/BX OTC 47682-0228-47 1519333
EXELON CAPSULES RIVASTIGMINE TARTRATE CAPSULES 1.5MG 60/BT RX 62756-0146-86 1155582
EXELON CAPSULES RIVASTIGMINE TARTRATE CAPSULES 3MG 60/BT RX 62756-0145-87 1155583
EXELON CAPSULES RIVASTIGMINE TARTRATE CAPSULES 4.5MG 60/BT RX 62756-0147-86 1155584
EXELON CAPSULES RIVASTIGMINE TARTRATE CAPSULES 6MG 60/BT RX 62756-0148-86 1155585
FASTIN CAPS PHENTERMINE HCL CAPSULES BLUE/CLEAR 30MG 100/BT C4 RX 10702-0028-01 1107400
FASTIN CAPS PHENTERMINE HCL CAPSULES BLUE/CLEAR 30MG 1000/BT C4 RX 10702-0028-10 1107403
FELDENE CAPS PIROXICAM CAPSULES 10MG 100/BT RX 29033-0012-01 1153921
FELDENE CAPS PIROXICAM CAPSULES 20MG 100/BT RX 00093-0757-01 1101346
FEOSOL LIQUID FERROUS SULFATE ORAL ELIXIR 220MG/5ML 16OZ/BT OTC 50383-0778-16 1119235
FER-IN-SOL LIQUID FERROUS SULFATE ORAL DROPS 125MG/ML 50ML/BT OTC 54838-0002-50 1147164
FERROUS GLUC TABS FERROUS GLUCONATE TABLETS 27MG 100/BT OTC 57896-0724-01 1146031
FERROUS SULF TABS FERROUS SULFATE TABLETS GREEN 5GR 100/BT OTC 49483-0063-01 1118734
FERROUS SULF TABS FERROUS SULFATE TABLETS GREEN 5GR 1000/BT OTC 49483-0063-10 1146074
FIBERCON TABS POLYCARBOPHIL-CALC LAXATIVE TABLETS 90/BT OTC 00113-0477-75 1136958
FIORICET TABS BUTALBITAL/APAP/CAFFEINE TABLETS 50/325/40MG 100/BT RX 00603-2544-21 4080071
FIORICET TABS BUTALBITAL/APAP/CAFFEINE TABLETS 50/325/40MG 500/BT RX 00603-2544-28 4080072
FIORICET/CODEINE CAPS BUTALBITAL/APAP/CAFFEINE/CODEINE CAPSULES 50/325/40/30MG 100/BT C3 RX 00603-2553-21 4080073
FIORINAL CAPS BUTALBITAL/ASPIRINA/CAFFEINE CAPSULES 50/325/40MG 100/BT C3N RX 00591-3219-01 1146884
FIORINAL TABS BUTALBITAL/ASPIRIN/CAFFEINE TABLETS 50/325/40MG 100/BT C3N RX 00143-1785-01 1021941
FIORINAL TABS BUTALBITAL/ASPIRIN/CAFFEINE TABLETS 50/325/40MG 1000/BT C3N RX 00143-1785-10 1024249
FIORINAL/COD #3 CAPS BUTALBITAL/ASPIRIN/CAFFEINE/CODEINE CAPSULES 50/325/40/30MG 100/BT C3 RX 00527-1312-01 1024582
FIRST AID CREAM FIRST AID CREAM W/ ALOE FOIL PK 0.9GM 144/BX OTC 59898-0901-03 4501204
FIRST AID CREAM FIRST AID CREAM W/ ALOE FOIL PK 0.9GM 25/BX OTC 59898-0901-01 3260880
FLAGYL INJ METRONIDAZOLE INJ BAG 100ML 500MG 24/BX INJ 00409-7811-24 1046971
FLAGYL TABS METRONIDAZOLE TABLETS 250MG 100/BT RX 50111-0333-01 1048586
FLAGYL TABS METRONIDAZOLE TABLETS 250MG 250/BT RX 50111-0333-06 1043644
FLAGYL TABS METRONIDAZOLE TABLETS 250MG 500/BT RX 50111-0333-02 4210613
FLAGYL TABS METRONIDAZOLE TABLETS 500MG 100/BT RX 50111-0334-01 4041401
FLAGYL TABS METRONIDAZOLE TABLETS 500MG 50/BT RX 00591-3970-50 1133726
FLAGYL TABS METRONIDAZOLE TABLETS 500MG 500/BT RX 50111-0334-02 1101034
FLEET ENEMA PHOSPHATE ENEMAS 4.5OZ EACH OTC 00536-7415-51 1106344
FLEXERIL TABS CYCLOBENZAPRINE TABLETS 5MG 100/BT RX 00603-3078-21 1118830
FLEXERIL TABS CYCLOBENZAPRINE TABLETS 10MG 100/BT RX 00603-3079-21 1145518
FLEXERIL TABS CYCLOBENZAPRINE TABLETS 10MG 500/BT RX 65162-0541-50 1106544
FLEXERIL TABS CYCLOBENZAPRINE TABLETS 10MG 1000/BT RX 00603-3079-32 1146749
FLOMAX CAPSULES TAMSULOSIN HCL CAPSULES 0.4MG 100/BT RX 00228-2996-11 4210001
FLONASE SPRAY FLUTICASONE PROPIONATE NASAL SPRAY 50MCG 16GM RX 00054-3270-99 1049096
FLORINEF TABS FLUDROCORTISONE ACETATE TABLETS 0.1MG 100/BT RX 00555-0997-02 1101064
FLUMADINE TABS RIMANTADINE HCL TABLETS 100MG 100/BT RX 00115-1911-01 1145146
FLUORESCITE INJ FLUORESCEIN SOD INJ OPHTH SOL SDV 5ML 10% 12/BX INJ 17478-0253-10 2452955
FLUORETS STRIPS FLUORESCEIN SOD OPHTH STRIPS 1MG 100/BX RX 17478-0404-01 1043735
Page 16 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
FLUORETS STRIPS FLUORESCEIN SOD OPHTH STRIPS 1MG 100/BX RX 24208-0391-82 1103506
FLUORETS STRIPS FLUORESCEIN SOD OPHTH STRIPS 1MG 300/BX RX 17478-0403-03 2451894
FLURACAINE SOLUTION FLUORESCEIN/PROPARACAINE OPHTH SOLUTION 0.25%/0.5% 5ML/BT RX 59390-0205-05 1045670
FLURESS SOLUTION FLUORESCEIN/BENOXINATE OPHTH SOLUTION 0.25%/0.4% 5ML/BT RX 24208-0732-05 1027149
FML SUSP FLUOROMETHOLONE OPHTH SUSPENSION 0.1% 5ML/BT RX 60758-0880-05 1107070
FML SUSP FLUOROMETHOLONE OPHTH SUSPENSION 0.1% 15ML/BT RX 60758-0880-15 1107067
FOLVITE INJ FOLIC ACID INJ MDV 10ML 5MG/ML EACH INJ 63323-0184-10 1049941
FOLVITE OTC TABS FOLIC ACID TABLETS OTC 400MCG 100/BT OTC 00536-3844-01 1106679
FOLVITE OTC TABS FOLIC ACID TABLETS OTC 800MCG 1000/BT OTC 1082196
FOLVITE TABS FOLIC ACID TABLETS 1MG 100/BT RX 64125-0127-10 1154912
FOLVITE TABS FOLIC ACID TABLETS 1MG 1000/BT RX 64125-0127-10 1154913
FORANE LIQUID ISOFLURANE LIQUID INHAL 100ML 99.9% EACH INJ 66794-0011-10 1084258
FORANE LIQUID ISOFLURANE LIQUID INHAL 250ML 99.9% EACH INJ 66794-0011-25 1084262
FORTAZ, TAZICEF INJ CEFTAZIDIME INJ STER PWD PBP 6GM 6/BX INJ 10019-0693-04 1105639
FORTAZ, TAZICEF INJ CEFTAZIDIME INJ STER PWD SDV 1GM/VL 25/BX INJ 10019-0691-02 1108251
FORTAZ, TAZICEF INJ CEFTAZIDIME INJ STER PWD SDV 2GM/VL 10/BX INJ 00409-5084-11 1154188
FOSAMAX TABS ALENDRONATE SODIUM TABLETS 35MG 4/PK RX 00093-5172-44 1145931
FOSAMAX TABS ALENDRONATE SODIUM TABLETS 70MG 4/PK RX 00591-3173-04 1145824
FUDR INJ FLOXURIDINE INJ LYOPH STER PWD 5ML 500MG/VL EACH INJ 55390-0135-01 1043249
GARAMYCIN CREAM GENTAMICIN SULFATE CREAM 0.1% 15GM/TB RX 00168-0071-15 1020572
GARAMYCIN CREAM GENTAMICIN SULFATE CREAM 0.1% 30GM/TB RX 45802-0056-11 1087056
GARAMYCIN INJ GENTAMICIN SULFATE 0.9% BAG 80MG/50ML 24/CA INJ 00264-5816-31 1118187
GARAMYCIN INJ GENTAMICIN SULFATE INJ 0.9% NACL 100ML 0.8MG/ML 24/PK INJ 00409-7884-23 1117945
GARAMYCIN INJ GENTAMICIN SULFATE INJ PED MDV 2ML 10MG/ML 25/BX INJ 63323-0513-02 1048366
GARAMYCIN INJ GENTAMICIN SULFATE INJ PED SDV 2ML 10MG/ML 25/BX INJ 63323-0173-02 1135797
GARAMYCIN INJ GENTAMICIN SULFATE INJ SDV 2ML 40MG/ML 25/BX INJ 00409-1207-03 1049944
GARAMYCIN INJ GENTAMICIN SULFATE INJ SDV 2ML 40MG/ML EACH INJ 00409-1207-03 2489959
GARAMYCIN INJ GENTAMICIN SULFATE INJ MDV 20ML 40MG/ML 25/BX INJ 63323-0010-20 1131602
GARAMYCIN OINT GENTAMICIN SULFATE OINTMENT 0.1% 15GM/TB RX 00168-0078-15 4733872
GARAMYCIN OINT GENTAMICIN SULFATE OINTMENT 0.1% 30GM/TB RX 45802-0046-11 1026373
GARAMYCIN OINT GENTAMICIN SULFATE OPHTH OINTMENT 0.3% 3.5GM/TB RX 17478-0284-35 2455255
GARAMYCIN SOLUTION GENTAMICIN SULFATE OPHTH SOLUTION 0.3% 15ML/BT RX 24208-0580-64 1142773
GARAMYCIN SOLUTION GENTAMICIN SULFATE OPHTH SOLUTION 0.3% 5ML/BT RX 61314-0633-05 1023752
GARLIC OIL SG CAPS GARLIC OIL SOFTGELS 1000MG 100/BT OTC 1025300
GEMZAR INJ GEMCITABINE HCL INJ 200ML 200MG EACH INJ 00781-3282-75 1162882
GEMZAR INJ GEMCITABINE HCL INJ 50ML 1GM EACH INJ 00781-3283-79 1162883
GENTAMYCIN SULFATE ISOTONIC GENTAMYCIN SULFATE ISOTONIC IV BAG 100MG/BAG 24X50ML/CA INJ 00338-0511-41 1140708
GINKGOBILOBA CAPS GINKGOBILOBA CAPSULES 60MG 60/BT OTC 4013475
GLUCAGON INJ GLUCAGON DIAGNOSTIC KIT 2ML 1MG EACH INJ 55390-0004-01 1042145
GLUCOPHAGE TABS METFORMIN HCL TABLETS 500MG 100/BT RX 57664-0397-51 1116257
GLUCOPHAGE TABS METFORMIN HCL TABLETS 500MG 1000/BT RX 57664-0397-58 1155001
GLUCOPHAGE TABS METFORMIN HCL TABLETS 500MG 500/BT RX 57664-0397-53 1139723
GLUCOPHAGE TABS METFORMIN HCL TABLETS 850MG 100/BT RX 57664-0435-51 1119146
GLUCOPHAGE TABS METFORMIN HCL TABLETS 850MG 1000/BT RX 57664-0435-58 1109359
GLUCOPHAGE TABS METFORMIN HCL TABLETS 850MG 500/BT RX 57664-0435-53 1117884
GLUCOPHAGE TABS METFORMIN HCL TABLETS 1000MG 100/BT RX 57664-0474-51 1116320
GLUCOPHAGE TABS METFORMIN HCL TABLETS 1000MG 1000/BT RX 57664-0474-58 1146594
GLUCOPHAGE TABS METFORMIN HCL TABLETS 1000MG 500/BT RX 57664-0474-53 1116252
GLUCOPHAGE XR TABS METFORMIN HCL ER TABLETS 500MG 100/BT RX 53746-0178-01 1119208
GLUCOPHAGE XR TABS METFORMIN HCL ER TABLETS 500MG 500/BT RX 53746-0178-05 1118889
GLUCOSAMINE CAPS GLUCOSAMINE SULFATE CAPSULES 500MG 60/BT OTC 4568623
GLUCOSAMINE TABS GLUCOSAMINE/CHONDROITIN/MSM TABLETS 60/BT OTC 4563748
GLUCOTROL TABS GLIPIZIDE TABLETS 5MG 100/BT RX 00172-3649-60 1044897
GLUCOTROL TABS GLIPIZIDE TABLETS 5MG 500/BT RX 00591-0460-05 1139826
GLUCOTROL TABS GLIPIZIDE TABLETS 5MG 1000/BT RX 00591-0460-10 1089101
GLUCOTROL TABS GLIPIZIDE TABLETS 10MG 100/BT RX 00591-0461-01 1021689
GLUCOTROL TABS GLIPIZIDE TABLETS 10MG 500/BT RX 00591-0461-05 1021982
GLUCOTROL XL TABS GLIPIZIDE ER TABLETS 2.5MG 30/BT RX 00591-0900-30 1155537
GLUCOTROL XL TABS GLIPIZIDE ER TABLETS 5MG 100/BT RX 00228-2899-10 1114994
GLUCOTROL XL TABS GLIPIZIDE ER TABLETS 10MG 100/BT RX 00228-2990-10 1109333
Page 17 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
GLUCOVANCE TABS GLYBURIDE/METFORMIN TABLETS 1.25/250MG 100/BT RX 00093-5710-01 1105028
GLUCOVANCE TABS GLYBURIDE/METFORMIN TABLETS 2.5/500MG 100/BT RX 65862-0081-01 1146798
GLUCOVANCE TABS GLYBURIDE/METFORMIN TABLETS 5/500MG 100/BT RX 65862-0082-01 1146090
GLYCERIN SUPP GLYCERIN ADULT SUPPOSITORIES 50/JR OTC 00713-0101-51 4712250
GLYCERIN SUPP GLYCERIN ADULT SUPPOSITORIES 100/JR OTC 00713-0101-02 1023010
GLYCERIN SUPP GLYCERIN PEDIATRIC SUPPOSITORIES 12/JR OTC 00713-0102-13 6474393
GLYCERIN SUPP GLYCERIN PEDIATRIC SUPPOSITORIES 25/JR OTC 00713-0102-26 4712325
GLYNASE TABS GLYBURIDE MICRO TABLETS 1.5MG 100/BT RX 67253-0460-10 1084182
GLYNASE TABS GLYBURIDE MICRO TABLETS 3MG 100/BT RX 67253-0461-10 1082824
GLYNASE TABS GLYBURIDE MICRO TABLETS 6MG 100/BT RX 67253-0462-10 4080243
GOLYTELY GAVILYTE-G FOR ORAL SOLUTION 236GM/BT RX 43383-0090-19 1148170
GONIOSOL SOLUTION HYDROXYPROPYLENE METHYL OPHTH SOLUTION 2.5% 15ML/BT RX 59390-0182-13 1049229
GONIOSOL SOLUTION HYDROXYPROPYLENE METHYL OPHTH SOLUTION 2.5% 15ML/BT RX 17478-0064-12 2453090
GREEN SOAP TINCT GREEN SOAP TINCTURE OD 16OZ/BT OTC 1029916
GREEN SOAP TINCT GREEN SOAP TINCTURE OD 1GAL OTC 1029999
GRIFULVIN SUSP GRISEOFULVIN ORAL SUSPENSION 125MG/5ML 4OZ/BT RX 45802-0968-26 1118862
Guaifenesin DM IR Tablets GUAIFENESIN DM IR TABLETS 400/20MG 60/BT OTC 49488-0280-06 1155383
Guaifenesin IR Tablets GUAIFENESIN IR TABLERS 400MG 60/BT OTC 49488-0272-06 1155384
GYNE-LOTRIMIN- 3 CREAM CLOTRIMAZOLE VAGINAL CREAM 3DAY 2% 0.74OZ/TB OTC 51672-6708-00 1106356
GYNE-LOTRIMIN- 7 CREAM CLOTRIMAZOLE VAGINAL CREAM 7DAY 1% 1.5OZ/TB OTC 00472-0220-41 1100838
HABITROL PATCH NICOTINE TRANSDERMAL PATCH 21MG/24HR 7/BX OTC 00067-5126-07 2485580
HALCION TABS TRIAZOLAM TABLETS 0.125MG 10x10UD C4 RX 59762-3717-04 1146768
HALCION TABS TRIAZOLAM TABLETS 0.25MG 10x10UD C4 RX 59762-3718-04 1157463
HALCION TABS TRIAZOLAM TABLETS 0.25MG 500/BT C4 RX 59762-3718-03 1145815
HALDOL DECONATE INJ HALOPERIDOL DEC INJ SDV 1ML 50MG/ML 10/BX INJ 00703-7011-03 1119174
HALDOL DECONATE INJ HALOPERIDOL DEC INJ SDV 1ML 50MG/ML EACH INJ 63323-0469-01 3752605
HALDOL DECONATE INJ HALOPERIDOL DEC INJ MDV 5ML 50MG/ML EACH INJ 63323-0469-05 3759847
HALDOL DECONATE INJ HALOPERIDOL DEC INJ MDV 5ML 100MG/ML EACH INJ 63323-0471-05 3753918
HALDOL INJ HALOPERIDOL LACTATE INJ 1ML SDV 5MG/ML 10/BX INJ 55390-0147-10 1155150
HALDOL LIQUID HALOPERIDOL ORAL CONCENTRATE 2MG/ML 120ML/BT RX 00121-0581-04 4080027
HALDOL TABS HALOPERIDOL TABLETS 0.5MG 100/BT RX 00378-0351-01 6015457
HALDOL TABS HALOPERIDOL TABLETS 10MG 100/BT RX 00781-1397-01 1080199
HALDOL TABS HALOPERIDOL TABLETS 2MG 100/BT RX 00781-1393-01 1118736
HALDOL TABS HALOPERIDOL TABLETS 5MG 100/BT RX 00781-1396-01 1138079
HALLS MEDIKOFF DROPS CLEAR CHERRY 75/PK OTC 47682-0050-22 1515867
HALLS MEDIKOFF DROPS REFILL IND CHERRY 600BULK OTC 47682-0506-01 1514400
HALLS MEDIKOFF DROPS W/APOTHECARY JAR CHERRY 600/JAR OTC 47682-0050-60 1511036
HALLS MEDIKOFF DROPS-SUGAR FREE CHERRY 300/BX OTC 47682-0109-03 1518400
HEPARIN INJ HEPARIN LK/FL SOLUTION SDV 1ML PF 10U/ML 25/BX INJ 63323-0547-01 1158045
HEPARIN INJ HEPARIN LK/FL SOLUTION MDV 1ML 10U/ML 25/BX INJ 63323-0544-01 1046598
HEPARIN INJ HEPARIN LK/FL SOLUTION MDV 10ML 10U/ML 25/BX INJ 00409-1151-70 1133457
HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE (CRPJT LL) 1ML 10U/ML 50/BX INJ 00409-1280-31 1049623
HEPARIN INJ HEPARIN LK/FL SOLUTION MDV 1ML 100U/ML 25/BX INJ 63323-0545-01 1069252
HEPARIN INJ HEPARIN LK/FL SOLUTION MDV 5ML 100U/ML 25/PK INJ 63323-0545-05 3787903
HEPARIN INJ HEPARIN LK/FL SOLUTION SDV 2ML 100U/ML 25/BX INJ 63323-0549-01 1158035
HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE 10ML 100U/ML 30X8/CA INJ 63807-0600-31 1155547
HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE 5ML 100U/ML 100/BX INJ 63807-0100-51 2311295
HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE 5ML 100U/ML 1000/CA INJ 63807-0600-51 1136496
HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE (CRPJT LL) 3ML 100U/ML 25/BX INJ 00409-1281-33 1103695
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 1MU/ML 25/BX INJ 63323-0540-01 3758394
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 1MU/ML EACH INJ 63323-0540-01 2480992
HEPARIN INJ HEPARIN SODIUM (PORK) INJ SDV 1ML 1MU/ML 25/BX INJ 00409-2720-01 1162402
HEPARIN INJ HEPARIN SODIUM (PORK) INJ SDV 2ML 1MU/ML 25/BX INJ 63323-0276-02 1046025
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 10ML 1MU/ML 25/BX INJ 00409-2720-02 2580105
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 30ML 1MU/ML 25/BX INJ 00409-2720-03 1162406
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 5MU/ML 25/BX INJ 63323-0262-01 3753086
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 5MU/ML EACH INJ 63323-0262-01 2485236
HEPARIN INJ HEPARIN SODIUM (PORK) INJ SDV 1ML 5MU/ML 25/BX INJ 00409-2723-01 1162408
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 10ML 5MU/ML 25/BX INJ 00409-2723-02 1162409
HEPARIN INJ HEPARIN SODIUM (PORK) INJ SYR (CRPJ LL SLMPK) 1ML 5MU 10/BX INJ 00409-1402-31 1103696
Page 18 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
HEPARIN INJ HEPARIN SODIUM (PORK) INJ SYRINGE (CRPJT LL) 0.5ML 5MU 50/BX INJ 00409-1316-32 1108697
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 10MU/ML 25/BX INJ 63323-0542-01 4548971
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 5ML 10MU/ML 25/BX INJ 63323-0542-07 3756848
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 10MU/ML EACH INJ 63323-0542-01 2488148
HEPARIN INJ HEPARIN SODIUM (PORK) INJ SDV 1ML 10MU/ML 25/BX INJ 00409-2721-01 1162411
HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 20MU/ML 25/BX INJ 63323-0915-01 2728768
HEPARIN INJ HEPARIN SODIUM (PORK) SYRINGE (ISECURE) 2ML 5MU/0.5ML 10/BX RX INJ 00409-1316-25 1106787
HESPAN INJ HETASTARCH SOD CHLOR INJ 6% 500ML/BAG INJ 00409-7248-03 2586013
HYCAMTIN INJ TOPTECAN HCL INJ VIAL 4MG/VL 5/BX INJ 63323-0762-10 1163019
HYCAMTIN INJ TOPTECAN HCL INJ VIAL 4MG/VL EACH INJ 63323-0762-17 1163018
HYCODAN LIQUID HYDROCODONE/HOMATROPINE ORAL SYRUP 5/1.5MG/5ML 480ML/BT C3 RX 50383-0043-16 1145926
HYDRALAZINE INJ HYDRALAZINE HCL INJ SDV 1ML 20MG/ML 25/BX INJ 00517-0901-25 8811045
HYDRALAZINE INJ HYDRALAZINE HCL INJ SDV 1ML 20MG/ML EACH INJ 00517-0901-25 1104258
HYDREA CAPS HYDROXYUREA CAPSULES 500MG 100/BT RX 00555-0882-02 1048006
HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 12.5MG 100/BT RX 00228-2820-11 1088449
HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 25MG 100/BT RX 00603-3856-21 1049381
HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 25MG 1000/BT RX 00603-3856-32 1049383
HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 50MG 100/BT RX 00603-3857-21 1049384
HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 50MG 1000/BT RX 29300-0129-10 1146349
HYDROGEN PEROXIDE HYDROGEN PEROXIDE 8OZ/BT OTC 30869-4704-10 4718454
HYDROGEN PEROXIDE HYDROGEN PEROXIDE PUMP SPRAY 2OZ/BT OTC 59898-0403-13 3262414
HYDROGEN PEROXIDE HYDROGEN PEROXIDE PUMP SPRAY 4OZ/BT OTC 47682-0257-06 1512773
HYGROTON TABS CHLORTHALIDONE TABLETS 25MG 100/BT RX 00378-0222-01 1115701
HYGROTON TABS CHLORTHALIDONE TABLETS 50MG 100/BT RX 00378-0213-01 1109295
HYTONE CREAM RX HYDROCORTISONE CREAM RX 2.5% 20GM/TB RX 00472-0337-20 1101029
HYTONE CREAM RX HYDROCORTISONE CREAM RX 2.5% 30GM/TB RX 00603-7781-78 1145434
HYTONE CREAM RX HYDROCORTISONE CREAM RX 2.5% LB RX 00168-0080-16 6879243
HYTONE OINT RX HYDROCORTISONE OINTMENT RX 1% 30GM/TB RX 00168-0020-31 1022031
HYTONE OINT RX HYDROCORTISONE OINTMENT RX 1% LB RX 00168-0020-16 4725533
HYTONE OINT RX HYDROCORTISONE OINTMENT RX 2.5% 20GM/TB RX 45802-0014-02 1080813
HYTONE OINT RX HYDROCORTISONE OINTMENT RX 2.5% 30GM/TB RX 00168-0146-30 1024630
HYTONE POWDER RX HYDROCORTISONE TOPICAL POWDER USP 25GM/BT RX 00574-0420-25 1099825
HYTRIN CAPS TERAZOSIN HCL CAPSULES 10MG 100/BT RX 59746-0386-06 1145803
HYTRIN CAPS TERAZOSIN HCL CAPSULES 1MG 100/BT RX 59746-0383-06 1135920
HYTRIN CAPS TERAZOSIN HCL CAPSULES 1MG 10x10UD RX 51079-0936-20 2484154
HYTRIN CAPS TERAZOSIN HCL CAPSULES 2MG 100/BT RX 59746-0384-06 1146500
HYTRIN CAPS TERAZOSIN HCL CAPSULES 5MG 100/BT RX 59746-0385-06 1145802
HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 100/12.5MG 30/BT RX 00093-7369-56 1148765
HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 100/12.5MG 90/BT RX 00093-7369-98 1148790
HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 100/25MG 30/BT RX 00093-7368-56 1148766
HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 100/25MG 90/BT RX 00093-7368-98 1148896
HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 50/12.5MG 30/BT RX 00093-7367-56 1148764
HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 50/12.5MG 90/BT RX 00093-7367-98 1148789
IDAMYCIN PFS INJ IDARUBICIN HCL INJ SDV 10ML 1MG/ML EACH INJ 00703-4155-11 7226691
IDAMYCIN PFS INJ IDARUBICIN HCL INJ SDV 20ML 1MG/ML EACH INJ 00703-4156-11 9101093
IDAMYCIN PFS INJ IDARUBICIN HCL INJ SDV 5ML 1MG/ML EACH INJ 55390-0215-01 1155163
IFEX INJ IFOSFAMIDE INJ STER PWD SDV 30ML 1GM/VL EACH INJ 10019-0925-01 1162042
ILOPAN INJ DEXPANTHENOL INJ SDV 2ML 250MG/ML 25/BX INJ 00517-0131-25 4217948
ILOTYCIN OINT ERYTHROMYCIN OPHTH OINTMENT 0.5% 3.5GM/TB RX 17478-0070-35 1152741
ILOTYCIN OINT ERYTHROMYCIN OPHTH OINTMENT 0.5% 50x1GM/BX RX 48102-0008-11 1156508
IMDUR TABS ISOSORBIDE MONONITRATE ER TABLETS 30MG 100/BT RX 00143-2230-01 1086885
IMDUR TABS ISOSORBIDE MONONITRATE ER TABLETS 60MG 100/BT RX 00143-2260-01 4080040
IMITREX INJ SUMATRIPTAN INJ REFILL 6MG EACH INJ 49884-0483-52 1117765
IMITREX INJ SUMATRIPTAN INJ SDV 6MG 5/PK INJ 42023-0121-05 8905241
IMITREX TABLETS SUMATRIPTAN TABLETS 100MG 9/BT RX 62756-0522-69 1137997
IMITREX TABLETS SUMATRIPTAN TABLETS 25MG 9/BT RX 62756-0520-69 1145336
IMITREX TABLETS SUMATRIPTAN TABLETS 50MG 9/BT RX 62756-0521-69 1137993
IMODIUM AD CAPLETS LOPERAMIDE HCL CAPLETS 2MG 12/BX OTC 51660-0123-12 1119201
IMODIUM AD CAPLETS LOPERAMIDE HCL CAPLETS 2MG 24/BX OTC 57896-0381-24 1107075
IMODIUM AD TABS DIAMODE ANTIDIARRHEAL TABLETS 2MG 100x1/BX OTC 47682-0200-33 1519780
Page 19 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
IMODIUM CAPS LOPERAMIDE HCL CAPSULES 2MG 100/BT RX 00093-0311-01 1101108
IMODIUM CAPS LOPERAMIDE HCL CAPSULES 2MG 500/BT RX 00093-0311-05 1082577
IMODIUM SOLUTION LOPERAMIDE HCL ORAL SOLUTION 1MG/5ML 120ML/BT OTC 50383-0618-04 1025535
IMURAN INJ AZATHIOPRINE SODIUM LYOPH VIAL 20ML 100MG/VL EACH INJ 55390-0600-20 1025174
IMURAN TABS AZATHIOPRINE TABLETS 50MG 100/BT RX 00054-4084-25 9031003
INAPSINE INJ DROPERIDOL INJ AMPULE 2ML 2.5MG/ML 10/BX INJ 00409-1187-01 1046881
INAPSINE INJ DROPERIDOL INJ SDV 2ML 2.5MG/ML 25/BX INJ 00517-9702-25 1093092
INDERAL INJ PROPRANOLOL HCL INJ SDV 1ML 1MG/ML 10/BX INJ 00143-9872-01 1118747
INDERAL INJ PROPRANOLOL HCL INJ SDV 1ML 1MG/ML EACH INJ 55390-0003-10 2484690
INDERAL LA CAPS PROPRANOLOL HCL ER CAPSULES 60 MG 100/BT RX 00228-2778-11 1118802
INDERAL LA CAPS PROPRANOLOL HCL ER CAPSULES 80 MG 100/BT RX 00228-2779-11 1092504
INDERAL LA CAPS PROPRANOLOL HCL ER CAPSULES 120 MG 100/BT RX 00228-2780-11 1092397
INDERAL LA CAPS PROPRANOLOL HCL ER CAPSULES 160 MG 100/BT RX 00228-2781-11 1106988
INDERAL LIQUID PROPRANOLOL HCL ORAL SOLUTION 20MG/5ML 500ML/BT RX 00054-3727-63 1085117
INDERAL LIQUID PROPRANOLOL HCL ORAL SOLUTION 40MG/5ML 500ML/BT RX 00054-3730-63 1085328
INDERAL TABS PROPRANOLOL HCL TABLETS 10MG 100/BT RX 23155-0110-01 1146685
INDERAL TABS PROPRANOLOL HCL TABLETS 10MG 1000/BT RX 23155-0110-10 1147186
INDERAL TABS PROPRANOLOL HCL TABLETS 20MG 100/BT RX 23155-0111-01 1146683
INDERAL TABS PROPRANOLOL HCL TABLETS 20MG 1000/BT RX 23155-0111-10 1141456
INDERAL TABS PROPRANOLOL HCL TABLETS 40MG 100/BT RX 23155-0112-01 1146037
INDERAL TABS PROPRANOLOL HCL TABLETS 40MG 1000/BT RX 23155-0112-10 1118724
INDERAL TABS PROPRANOLOL HCL TABLETS 60MG 100/BT RX 23155-0113-01 1118726
INDERAL TABS PROPRANOLOL HCL TABLETS 80MG 100/BT RX 23155-0114-01 1146717
INDERAL TABS PROPRANOLOL HCL TABLETS 80MG 500/BT RX 23155-0114-05 1146343
INDOCIN CAPS INDOMETHACIN CAPSULES 25MG 100/BT RX 00093-4029-01 1103301
INDOCIN CAPS INDOMETHACIN CAPSULES 25MG 1000/BT RX 00093-4029-10 1104705
INDOCIN CAPS INDOMETHACIN CAPSULES 50MG 100/BT RX 00093-4030-01 1107408
INDOCIN CAPS INDOMETHACIN CAPSULES 50MG 500/BT RX 00093-4030-05 1106488
INFLAMASE FORTE SOLN PREDNISOLONE SODIUM PHOSPHATE OPHTH SOLN 1% 10ML/BT RX 24208-0715-10 4300000
INGIGO CARMINE INJ INDIGOTINDISULFONATE SOD INJ AMP 0.8% 8MG/ML 10/BX INJ 17478-0508-01 1142663
INTAL SOLUTION CROMOLYN SODIUM NEBULIZER 20MG/2ML 120x2ML/BT RX 00172-6406-59 1134997
INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 40MG/ML 25/BX INJ 00409-5820-01 1047076
INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 40MG/ML EACH INJ 00517-1805-25 2584556
INTROPINE INJ DOPAMINE HCL INJ FTV 10ML 40MG/ML 25/BX INJ 00409-9104-20 1106692
INTROPINE INJ DOPAMINE HCL INJ FTV 10ML 40MG/ML EACH INJ 00409-9104-20 2480993
INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 80MG/ML 25/BX INJ 00517-1905-25 4740285
INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 80MG/ML EACH INJ 00517-1905-25 1147375
INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 160MG/ML 25/BX INJ 00517-1305-25 1047180
IOPIDINE OPHTH SOLUTION APRACLONIDINE OPHTHALMIC SOLUTION 0.5% 5ML/BT RX 17478-0716-10 1138159
ISONIAZID TABS ISONIAZID TABLETS 100MG 100/BT RX 00143-1260-01 1100621
ISONIAZID TABS ISONIAZID TABLETS 300MG 100/BT RX 00143-1261-01 1101002
ISOPROPYL ALCOHOL ALCOHOL ISOPROPYL 50% 16OZ/BT OTC 70068-0003-10 1100613
ISOPROPYL ALCOHOL ALCOHOL ISOPROPYL 70% 16OZ/BT OTC 30869-1156-10 1028806
ISOPROPYL ALCOHOL ALCOHOL ISOPROPYL 99% 16OZ/BT OTC 30869-1156-10 1100614
ISOPROPYL ALCOHOL ALCOHOL ISOPROPYL WINTERGREEN 70% 12x16OZ/BT OTC 30869-1306-10 2480000
ISOPTIN INJ VERAPAMIL HCL INJ AMPULES 2ML 2.5MG/ML 5/BX INJ 00409-4011-01 1047052
ISOPTIN INJ VERAPAMIL HCL INJ SDV 2ML 2.5MG/ML 5/BX INJ 00409-1144-01 1046863
ISOPTIN INJ VERAPAMIL HCL INJ SDV 2ML 2.5MG/ML EACH INJ 00409-1144-01 2485836
ISOPTIN INJ VERAPAMIL HCL INJ SDV 4ML 2.5MG/ML 5/BX INJ 00409-1144-02 2484912
ISOPTIN INJ VERAPAMIL HCL INJ SDV 4ML 2.5MG/ML EACH INJ 00409-1144-02 2488365
ISOPTIN INJ VERAPAMIL HCL INJ SYRINGE (ANSYR) 4ML 2.5MG/ML EACH RX 00409-9633-05 2489359
ISOPTIN INJ VERAPAMIL HCL INJ SYRINGE (ANSYR) 4ML 2.5MG/ML 10/BX INJ 00409-9633-05 1105477
ISOPTO ATROPINE LIQUID ATROPINE SULFATE OPHTH SOLUTION 1% 5ML/BT RX 24208-0750-60 1100461
ISOPTO ATROPINE LIQUID ATROPINE SULFATE OPHTH SOLUTION 1% 15ML/BT RX 24208-0750-06 1027783
ISOPTO ATROPINE OINT ATROPINE SULFATE OPHTH OINTMENT 0.1% 3.5GM/TB RX 24208-0825-55 1024270
ISOPTOCARPINE SOLUTION PILOCARPINE OPHTH SOLUTION 1% 15ML/BT RX 61314-0203-15 1118933
ISOPTOCARPINE SOLUTION PILOCARPINE OPHTH SOLUTION 2% 15ML/BT RX 24208-0681-15 1119214
ISOPTOCARPINE SOLUTION PILOCARPINE OPHTH SOLUTION 4% 15ML/BT RX 24208-0686-15 1101117
ISORDIL CR TABS ISOSORBIDE DINITRATE CR TABLETS 40MG 100/BT RX 00258-3613-01 1020101
ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 5MG 100/BT RX 00143-1769-01 4034001
Page 20 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 10MG 100/BT RX 00143-1771-01 4034101
ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 10MG 1000/BT RX 00143-1771-10 1089987
ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 20MG 100/BT RX 00143-1772-01 4050901
ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 20MG 1000/BT RX 00143-1772-10 4050902
J&J BABY OIL BABY OIL 16OZ/BT OTC 30869-8394-10 1161805
J&J BABY POWDER BABY POWDER 4OZ/BT OTC 1026441
KANTREX INJ KANAMYCIN SULFATE INJ SDV 3ML 333MG/ML 10/BX INJ 63323-0359-03 3104908
KAOPECTATE LIQUID KAOPECTOLIN ORAL SYRUP 12OZ/BT OTC 57896-0391-12 1082733
KAY CIEL LIQUID POTASSIUM CHLORIDE SF ORAL LIQUID 10% 480ML/BT RX 00603-1534-58 1084333
KAY CIEL LIQUID POTASSIUM CHLORIDE SF ORAL LIQUID 20% 480ML/BT RX 00121-0466-16 1145875
K-DUR TABS POTASSIUM CHLORIDE ER TABS (K-DUR) 10MEQ 100/BT RX 00781-5710-01 1136098
K-DUR TABS POTASSIUM CHLORIDE ER TABS (K-DUR) 20MEQ 100/BT RX 62037-0999-01 1101334
K-DUR TABS POTASSIUM CHLORIDE ER TABS (K-DUR) 20MEQ 500/BT RX 62037-0999-05 1101335
KEFLET TABS CEPHALEXIN TABLETS 250MG 100/BT RX 00093-2238-01 1029203
KEFLET TABS CEPHALEXIN TABLETS 500MG 100/BT RX 00093-2240-01 1029301
KEFLEX CAPS CEPHALEXIN CAPSULES 250MG 100/BT RX 00143-9898-01 1155332
KEFLEX CAPS CEPHALEXIN CAPSULES 250MG 500/BT RX 00143-9898-05 1155331
KEFLEX CAPS CEPHALEXIN CAPSULES 500MG 100/BT RX 42043-0141-01 1116624
KEFLEX CAPS CEPHALEXIN CAPSULES 500MG 500/BT RX 00143-9897-05 4080041
KEFLEX SUSP CEPHALEXIN ORAL SUSPENSION 125MG/5ML 100ML/BT RX 42043-0142-38 1118433
KEFLEX SUSP CEPHALEXIN ORAL SUSPENSION 125MG/5ML 200ML/BT RX 42043-0142-58 1117977
KEFLEX SUSP CEPHALEXIN ORAL SUSPENSION 250MG/5ML 100ML/BT RX 42043-0143-38 1117978
KEFLEX SUSP CEPHALEXIN ORAL SUSPENSION 250MG/5ML 200ML/BT RX 42043-0143-58 1117969
KENALOG IN ORABASE TRIAMCINALONE ACETONIDE DENTAL PASTE 0.1% 5GM/TB RX 51672-1267-05 4221853
KERI LOTION MOISTURIZING LOTION 8OZ/BT OTC 92771-0769-08 1086380
KETALAR INJ KETAMINE HCL INJ MDV 5ML 100MG/ML 10/BX C3N INJ 00409-2051-05 1044102
KETALAR INJ KETAMINE HCL INJ MDV 10ML 100MG/ML 10/BX C3N INJ 67457-0108-10 1049007
KETALAR INJ KETAMINE HCL INJ MDV 10ML 50MG/ML 10/BX C3N INJ 67457-0001-10 1049006
KETALAR INJ KETAMINE HCL INJ MDV 20ML 10MG/ML 10/BX INJ 67457-0181-20 1129300
KLONOPIN TABS CLONAZEPAM ORAL DISINTIGRATING TABLETS UD 0.125MG 10X6/PK C4 RX 00555-0094-96 1119533
KLONOPIN TABS CLONAZEPAM ORAL DISINTIGRATING TABLETS UD 0.25MG 10X6/PK C4 RX 49884-0307-02 1156661
KLONOPIN TABS CLONAZEPAM TABLETS 0.5MG 100/BT C4 RX 00603-2948-21 4080076
KLONOPIN TABS CLONAZEPAM TABLETS 0.5MG 500/BT C4 RX 00603-2948-28 1083430
KLONOPIN TABS CLONAZEPAM TABLETS 1MG 100/BT C4 RX 00603-2949-21 4080077
KLONOPIN TABS CLONAZEPAM TABLETS 1MG 500/BT C4 RX 00603-2949-28 1088293
KLONOPIN TABS CLONAZEPAM TABLETS 2MG 100/BT C4 RX 00603-2950-21 4080078
KLONOPIN TABS CLONAZEPAM TABLETS 2MG 500/BT C4 RX 00603-2950-28 1081979
K-LYTE TABS POTASSIUM BICARB EFFERVES TABLETS ORANGE 25MEQ 30/BT RX 50201-2400-02 1146868
KYTRIL INJ GRANISETRON HCL INJ SDV 1ML 0.1MG/ML 5/BX INJ 66758-0035-01 1153718
KYTRIL INJ GRANISETRON HCL INJ SDV 1ML 1MG/ML EACH INJ 64679-0661-03 1109871
KYTRIL INJ GRANISETRON HCL INJ MDV 4ML 1MG/ML EACH INJ 64679-0661-02 1109872
LAC-HYDRIN CREAM AMMONIUM LACTATE CREAM PUMP BOTTLE RX 12% 385GM/BT RX 45802-0493-26 1089066
LAC-HYDRIN CREAM AMMONIUM LACTATE CREAM RX 12% 2x140GM RX 45802-0493-83 1026194
LAC-HYDRIN LOTION AMMONIUM LACTATE TOPICAL LOTION RX 12% 400GM/BT RX 45802-0419-26 1083104
LACTASE ENZYME CAPLET LACTASE ENZYME CAPLETS 60/BT OTC 00904-5224-52 1082946
LACTATED RINGERS LACTATED RINGERS 250ML EACH INJ 00409-7953-02 2587100
LACTATED RINGERS LACTATED RINGERS 500ML EACH INJ 00409-7953-03 2588050
LACTATED RINGERS LACTATED RINGERS 1000ML EACH INJ 00409-7953-09 1048833
LAMICTAL TABS LAMOTRIGINE TABLETS 25MG 100/BT RX 13668-0045-01 1134212
LAMICTAL TABS LAMOTRIGINE TABLETS 100MG 100/BT RX 51672-4131-01 1146773
LAMICTAL TABS LAMOTRIGINE TABLETS 200MG 60/BT RX 13668-0049-60 1134213
LAMISIL AT CREAM TERBINAFINE HCL CREAM 1% 0.5OZ/TB RX 51672-2080-01 1117954
LAMISIL AT CREAM TERBINAFINE HCL CREAM 1% 1OZ/TB RX 51672-2080-02 1117956
LAMISIL TABS TERBINAFINE HCL TABLETS 250MG 100/BT RX 31722-0209-01 1138825
LAMISIL TABS TERBINAFINE HCL TABLETS 250MG 30/BT RX 67405-0543-03 1145816
LANOLIN OINT LANOLIN HYDROUS 1OZ/TB OTC 54162-0595-01 1118715
LANOXIN INJ DIGOXIN INJ AMPULE 2ML 0.25MG/ML 25/BX INJ 00641-1410-35 3751035
LANOXIN INJ DIGOXIN INJ AMPULE 2ML 0.25MG/ML EACH INJ 00641-1410-31 2481659
LANOXIN INJ DIGOXIN INJ SYRINGE 1ML 0.25MG/ML 10/BX INJ 00781-3059-95 1100880
LANOXIN LIQUID DIGOXIN ORAL SOLUTION USP 0.05MG/ML 60ML/BT RX 00054-0057-46 1047349
Page 21 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
LANOXIN TABS DIGOXIN TABLETS 0.125MG 100/BT RX 00527-1324-01 2795706
LANOXIN TABS DIGOXIN TABLETS 0.125MG 1000/BT RX 00527-1324-10 1153751
LANOXIN TABS DIGOXIN TABLETS 0.25MG 100/BT RX 00527-1325-01 1027664
LANOXIN TABS DIGOXIN TABLETS 0.25MG 1000/BT RX 00527-1325-10 4011102
LARIAM TABS MEFLOQUINE HCL TABLETS 250MG 25/BT RX 00555-0171-78 1101053
LASIX INJ FUROSEMIDE INJ SDV 2ML 10MG/ML 25/BX INJ 00409-6102-02 1135927
LASIX INJ FUROSEMIDE INJ SDV 2ML 10MG/ML EACH INJ 00409-6102-02 1813332
LASIX INJ FUROSEMIDE INJ SDV 4ML 10MG/ML 25/BX INJ 00409-6102-04 1139733
LASIX INJ FUROSEMIDE INJ SDV 4ML 10MG/ML EACH INJ 00409-6102-04 1819898
LASIX INJ FUROSEMIDE INJ SDV 10ML 10MG/ML 25/BX INJ 00409-6102-10 1046898
LASIX INJ FUROSEMIDE INJ SDV 10ML 10MG/ML EACH INJ 00409-6102-10 2481014
LASIX INJ FUROSEMIDE INJ SYRINGE (ANSYR) 4ML 10MG/ML 10/BX INJ 00409-9631-04 1047055
LASIX INJ FUROSEMIDE INJ SYRINGE (ANSYR) 10ML 10MG/ML 10/BX INJ 00409-1639-10 1047077
LASIX INJ FUROSEMIDE INJ SYRINGE (ANSYR) 10ML 10MG/ML EACH INJ 00409-1639-10 2489356
LASIX SOLUTION FUROSEMIDE ORAL SOLUTION 10MG/ML 60ML/BT RX 60432-0613-60 1021496
LASIX SOLUTION FUROSEMIDE ORAL SOLUTION 10MG/ML 120ML/BT RX 60432-0613-04 1029882
LASIX SOLUTION FUROSEMIDE SOLUTION 5ML U.D. 40MG/5ML 40/BX RX 00054-8298-16 1049705
LASIX TABS FUROSEMIDE TABLETS 20MG 100/BT RX 63304-0624-01 1154207
LASIX TABS FUROSEMIDE TABLETS 20MG 1000/BT RX 63304-0624-10 1154208
LASIX TABS FUROSEMIDE TABLETS 40MG 100/BT RX 63304-0625-01 1154209
LASIX TABS FUROSEMIDE TABLETS 40MG 1000/BT RX 63304-0625-10 1154217
LASIX TABS FUROSEMIDE TABLETS 80MG 100/BT RX 00603-3741-21 1049528
LASIX TABS FUROSEMIDE TABLETS 80MG 500/BT RX 63304-0626-05 1154218
LECITHIN SG CAPS LECITHIN SOFTGELS 1200MG 100/BT OTC 66386-0134-20 4562796
LEUSTATIN INJ CLADRIBINE INJ SDV 10ML 1MG/ML EACH INJ 55390-0124-01 1102175
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.025MG 100/BT RX 00527-1341-01 1027117
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.05MG 100/BT RX 00527-1342-01 1027122
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.05MG 1000/BT RX 00527-1342-10 1152822
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.075MG 100/BT RX 00527-1343-01 1084007
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.088MG 100/BT RX 00527-1344-01 1089329
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.1MG 100/BT RX 00527-1345-01 1027124
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.1MG 1000/BT RX 00527-1345-10 1101044
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.112MG 100/BT RX 00527-1346-01 1085306
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.15MG 100/BT RX 00527-1349-01 1027130
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.125MG 100/BT RX 00527-1347-01 1027127
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.175MG 100/BT RX 00527-1350-01 1085124
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.2MG 100/BT RX 00527-1351-01 1027886
LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.3MG 100/BT RX 00527-1352-01 1028141
LEVSIN LIQUID HYOSCYAMINE ORAL DROPS 0.125MG/ML 15ML/BT RX 54838-0506-15 1047244
LEVSIN LIQUID HYOSCYAMINE ORAL ELIXIR .125MG/5ML 480ML/BT RX 54838-0511-80 1045370
LEVSIN OD TABS HYOSCYAMINE SULF OD TABLETS 0.125MG 100/BT RX 00574-0247-01 1138502
LEVSIN S/L TABS HYOSCYAMINE SUBLINGUAL TABLETS 0.125MG 100/BT RX 00574-0250-01 1138504
LEVSIN TABS HYOSCYAMINE ORAL TABLETS 0.125MG 100/BT RX 00574-0246-01 1138499
LIBRAX CAPS CHLORDIAZEPOXIDE/CLIDINIUM CAPSULES 5/2.5MG 100/BT RX 64376-0808-01 1146433
LIBRAX CAPS CHLORDIAZEPOXIDE/CLIDINIUM CAPSULES 5/2.5MG 1000/BT RX 64376-0808-10 1146442
LIBRIUM CAPS CHLORDIAZEPOXIDE CAPSULES 5MG 100/BT C4 RX 00555-0158-02 1022013
LIBRIUM CAPS CHLORDIAZEPOXIDE CAPSULES 10MG 100/BT C4 RX 00555-0033-02 1021651
LIBRIUM CAPS CHLORDIAZEPOXIDE CAPSULES 10MG 1000/BT C4 RX 00555-0033-05 1155106
LIBRIUM CAPS CHLORDIAZEPOXIDE CAPSULES 25MG 100/BT C4 RX 00555-0159-02 1113877
LIDEX CREAM FLUOCINONIDE CREAM 0.05% 15GM/TB RX 51672-1253-01 4085772
LIDEX CREAM FLUOCINONIDE CREAM 0.05% 30GM/TB RX 51672-1253-02 4085756
LIDEX CREAM FLUOCINONIDE CREAM 0.05% 60GM/TB RX 51672-1253-03 4085758
LIDEX CREAM FLUOCINONIDE CREAM 0.05% 120GM/TB RX 51672-1253-04 1083962
LIDEX GEL FLUOCINONIDE TOPICAL GEL 0.05% 15GM/TB RX 00168-0135-15 1089108
LIDEX OINT FLUOCINONIDE OINTMENT 0.05% 15GM/TB RX 00093-0264-15 1133424
LIDEX OINT FLUOCINONIDE OINTMENT 0.05% 30GM/TB RX 00093-0264-30 1139606
LIDEX OINT FLUOCINONIDE OINTMENT 0.05% 60GM/TB RX 00093-0264-92 1139608
LIDEX SOLUTION FLUOCINONIDE TOPICAL SOLUTION 0.05% 60ML/BT RX 00168-0134-60 1026362
LIORESAL TABS BACLOFEN TABLETS 10MG 100/BT RX 00603-2406-21 4080069
LIORESAL TABS BACLOFEN TABLETS 20MG 100/BT RX 00603-2407-21 4080070
Page 22 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
LIQUIFILM SOLUTION ARTIFICIAL TEARS OPHTH SOLUTION 15ML/BT OTC 00536-1970-72 1137835
LISTERINE LIQUID MOUTHWASH ANTISEPTIC AMBER 1.5 LITER/BT OTC 30869-9000-94 1021384
LISTERINE LIQUID MOUTHWASH ANTISEPTIC BL/MINT 1.5 LITER/BT OTC 30869-9000-99 1026821
LITHIUM CARB TAB LITHIUM CARBONATE TABLETS 300MG 100/BT RX 00054-4527-25 1146845
LITHOBID SR TABS LITHIUM CARBONATE ER TABLETS 300MG 100/BT RX 00054-0021-25 1139648
LOCOID CREAM HYDROCORTISONE BUTYRATE CREAM 0.1% 15GM/TB RX 43478-0270-15 1155287
LOCOID CREAM HYDROCORTISONE BUTYRATE CREAM 0.1% 45GM/TB RX 51672-4074-06 2480324
LODINE CAPS ETODOLAC CAPSULES 200MG 100/BT RX 51672-4016-01 1085505
LODINE CAPS ETODOLAC CAPSULES 300MG 100/BT RX 00093-8397-01 1089402
LODINE TABS ETODOLAC TABLETS 400MG 100/BT RX 00093-0892-01 1087242
LODINE TABS ETODOLAC TABLETS 400MG 500/BT RX 00228-2599-50 1026639
LODINE TABS ETODOLAC TABLETS 500MG 100/BT RX 51672-4036-01 1101038
LODINE XL TABS ETODOLAC ER TABLETS 500MG 60/BT RX 51672-4052-04 1158728
LODRANE 12D TABS BROMPHENIRAMINE/PSEUDOEPHEDRINE TABS 6/45MG 100/BT OTC 64376-0544-01 1170365
LOMOTIL LIQUID DIPHENOXYLATE/ATROPINE ORAL SOLUTION 2MG/ML 60ML/BT C5 RX 00054-3194-46 1089277
LOMOTIL TABS DIPHENOXYLATE/ATROPINE TABLETS 2.5MG 100/BT C5 RX 00378-0415-01 1118915
LOMOTIL TABS DIPHENOXYLATE/ATROPINE TABLETS 2.5MG 1000/BT C5 RX 00378-0415-10 1134430
LONITEN TABS MINOXIDIL TABLETS 10MG 100/BT RX 00591-5643-01 1118920
LONITEN TABS MINOXIDIL TABLETS 10MG 500/BT RX 00591-5643-05 4080208
LONITEN TABS MINOXIDIL TABLETS 2.5MG 100/BT RX 53489-0386-01 1138697
LO-OVERAL 28 DAY TABS NORGESTREL/ ETHINYL ESTRADIOL OC TABLETS 0.3/0.03MG 6x28 RX 52544-0847-28 1101043
LOPID TABS GEMFIBROZIL TABLETS 600MG 60/BT RX 31722-0225-60 1118833
LOPID TABS GEMFIBROZIL TABLETS 600MG 500/BT RX 31722-0225-05 1145151
LOPRESSOR INJ METOPROLOL TARTRATE INJ AMPULE 5ML 1MG/ML 12/BX INJ 00409-2285-05 1109730
LOPRESSOR INJ METOPROLOL TARTRATE INJ AMPULE 5ML 1MG/ML EACH INJ 00409-2285-05 2488794
LOPRESSOR INJ METOPROLOL TARTRATE INJ SDV 5ML 1MG/ML 10/BX INJ 00143-9873-10 1100622
LOPRESSOR TABS METOPROLOL TARTRATE TABLETS 25MG 100/BT RX 65862-0062-01 1119140
LOPRESSOR TABS METOPROLOL TARTRATE TABLETS 50MG 100/BT RX 00093-0733-01 1119183
LOPRESSOR TABS METOPROLOL TARTRATE TABLETS 50MG 1000/BT RX 57664-0477-58 1146775
LOPRESSOR TABS METOPROLOL TARTRATE TABLETS 100MG 100/BT RX 00591-0463-01 6290922
LOPROX CREAM CICLOPIROX CREAM 0.77% 15GM/TB RX 45802-0138-35 4080118
LOPROX CREAM CICLOPIROX CREAM 0.77% 90GM/TB RX 00168-0313-90 1109567
LOPROX LOTION CICLOPIROX TOPICAL SUSPENSION 0.77% 30ML/BT RX 00168-0314-30 1048929
LORCET 10 TABS HYDROCODONE/APAP TABLETS 10/650MG 100/BT C3 RX 53746-0114-01 4080008
LORCET 10 TABS HYDROCODONE/APAP TABLETS 10/650MG 500/BT C3 RX 00603-3885-28 1119557
LORCET PLUS TABS HYDROCODONE/APAP TABLETS 7.5/650MG 100/BT C3 RX 00603-3884-21 1049387
LORTAB 2.5 TABS HYDROCODONE/APAP TABLETS 2.5/500MG 100/BT C3 RX 00603-3880-21 4080088
LORTAB 7 TABS HYDROCODONE/APAP TABLETS 7.5/500MG 100/BT C3 RX 00603-3882-21 1080255
LORTAB 7 TABS HYDROCODONE/APAP TABLETS 7.5/500MG 10x10UD C3 RX 00406-0358-62 1049157
LORTAB 7 TABS HYDROCODONE/APAP TABLETS 7.5/500MG 500/BT C3 RX 00603-3882-28 1145593
LORTAB 10 TABS HYDROCODONE/APAP TABLETS 10/500MG 100/BT C3 RX 00603-3888-21 1049392
LORTAB 10 TABS HYDROCODONE/APAP TABLETS 10/500MG 500/BT C3 RX 00603-3888-28 1049393
LORTAB LIQUID HYDROCODONE/APAP ORAL ELIXIR 7.5/500MG 480ML/BT C3 RX 00603-1295-58 1101074
LOTENSIN HCTZ TABS BENAZEPRIL HCL/ HCTZ TABLETS 20/12.5MG 100/BT RX 00378-4745-01 1049866
LOTENSIN HCTZ TABS BENAZEPRIL HCL/ HCTZ TABLETS 20/25MG 100/BT RX 00185-0277-01 1087019
LOTENSIN TABS BENAZEPRIL HCL TABLETS 5MG 100/BT RX 00093-5124-01 1123555
LOTENSIN TABS BENAZEPRIL HCL TABLETS 10MG 100/BT RX 00093-5125-01 1129272
LOTENSIN TABS BENAZEPRIL HCL TABLETS 20MG 100/BT RX 00093-5126-01 1123365
LOTENSIN TABS BENAZEPRIL HCL TABLETS 40MG 100/BT RX 65862-0118-01 1146093
LOTREL CAPS AMLODIPINE BESYLATE/BENAZEPRIL CAPSULES 5/10MG 100/BT RX 00591-3758-01 1161821
LOTREL CAPS AMLODIPINE BESYLATE/BENAZEPRIL CAPSULES 5/20MG 100/BT RX 00781-2273-01 1157490
LOTREL CAPS AMLODIPINE BESYLATE/BENAZEPRIL CAPSULES 10/20MG 100/BT RX 00093-7373-01 1100493
LOTRIMIN AF CREAM CLOTRIMAZOLE TOPICAL CREAM OTC 1% 1OZ/TB OTC 83152-7005-05 1146113
LOTRIMIN CREAM CLOTRIMAZOLE TOPICAL CREAM 1% 15GM/TB RX 00168-0133-15 1145674
LOTRIMIN CREAM CLOTRIMAZOLE TOPICAL CREAM 1% 30GM/TB RX 00168-0133-30 1145953
LOTRIMIN CREAM CLOTRIMAZOLE TOPICAL CREAM 1% 45GM/TB RX 00168-0133-46 1146628
LOTRIMIN SOLUTION CLOTRIMAZOLE TOPICAL SOLUTION 1% 10ML/BT OTC 00093-0248-43 1100884
LOTRIMIN SOLUTION CLOTRIMAZOLE TOPICAL SOLUTION 1% 30ML/BT RX 00093-0248-31 1100883
LOTRISONE CREAM CLOTRIMAZOLE/BETAMETHASONE DIPROP CREAM 1%/0.05% 15GM/TB RX 00472-0379-15 1118864
LOTRISONE CREAM CLOTRIMAZOLE/BETAMETHASONE DIPROP CREAM 1%/0.05% 45GM/TB RX 00472-0379-45 1118865
Page 23 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
LOTRISONE LOTION CLOTRIMAZOLE/BETAMETHASONE DIPROP LOTION 1%/0.05% 30ML/BT RX 51672-1308-03 1064020
LOZOL TABS INDAPAMIDE TABLETS 1.25MG 100/BT RX 00228-2597-11 1049560
LOZOL TABS INDAPAMIDE TABLETS 2.5MG 100/BT RX 00228-2571-11 1049561
LUFYLLIN GG LIQUID DYPHYLLIN/GUIAFENESIN ORAL ELIXIR 100/100MG 480ML/BT RX 54838-0513-80 1101049
LUPRON INJ LEUPROLIDE ACETATE INJ MDV 2.8ML 1MG/0.2ML 6/BX INJ 41616-0936-40 1163192
LUVOX TABS FLUVOXAMINE MALEATE TABLETS 50MG 100/BT RX 42769-1225-00 1144770
LYSINE TABS LYSINE TABLETS 500MG 100/BT OTC 1101003
MAALOX LIQUID ANTACID ORAL LIQUID 12OZ/BT OTC 57896-0639-12 1044798
MAALOX PLUS LIQUID ANTACID PLUS ORAL LIQUID 12OZ/BT OTC 00113-0588-40 1145963
MAALOX PLUS TABS ALAMAG PLUS TABLETS 200/200/25 100x2/BX OTC 47682-0247-47 1511849
MAALOX PLUS TABS ALAMAG PLUS TABLETS 200/200/25 250x2/BX OTC 47682-0247-13 1510721
MAALOX TABS ALAMAG TABLETS 300/150MG 50x2/BX OTC 47682-0103-33 1518760
MAALOX TABS ALAMAG TABLETS 300/150MG 250x2/BX OTC 47682-0103-13 1517242
MACROBID CAPS NITROFURANTOIN MONOHY MACRO CAPS 100MG 100/BT RX 00185-0122-01 1136859
MACRODANTIN CAPS NITROFURANTOIN MACRO CAPSULES 100MG 100/BT RX 00093-2131-01 1134486
MACRODANTIN CAPS NITROFURANTOIN MACRO CAPSULES 50MG 100/BT RX 00093-2130-01 1118809
MAGNESIUM CHL INJ MAGNESIUM CHLORIDE INJ MDV 50ML 200MG/ML 25/PK INJ 67157-0102-50 1117033
MAGNESIUM CHL INJ MAGNESIUM CHLORIDE INJ MDV 50ML 200MG/ML EACH INJ 67457-0134-50 1047560
MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 2ML 50% 25/BX INJ 00517-2602-25 2583331
MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 2ML 50% EACH INJ 00517-2602-25 2582820
MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 10ML 50% 25/BX INJ 00517-2610-25 2583624
MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 20ML 50% 25/BX INJ 00409-2168-02 2588049
MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 20ML 50% EACH INJ 00409-2168-02 2580220
MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 50ML 50% 25/BX INJ 00517-2650-25 2580020
MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SYRINGE 10ML 50% 10/BX INJ 00074-1754-10 2587918
MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SYRINGE 10ML 50% EACH INJ 00409-1754-10 2488793
MAGNESIUM SUL INJ MAGNESIUM SULFATE PREMIX 100ML 40MG/ML 24/BX INJ 00409-6729-23 1049567
MAGNESIUM SUL INJ MANGANESE SULFATE INJ SDV 10ML 0.1MG/ML 25/BX INJ 00517-6410-25 2582002
MAGOX 400 TABS MAGNESIUM OXIDE TABLETS 400MG 120/BT OTC 37864-0002-93 1087241
MANNITOL INJ MANNITOL INJ SDV 50ML 25% 25/BX INJ 00409-4031-01 1045397
MANNITOL INJ MANNITOL INJ SDV 50ML 25% EACH INJ 00409-4031-01 2480312
MARCAINE INJ BUPIVACAINE HCL INJ SDV 10ML 0.25% 25/BX INJ 00409-1159-01 1046897
MARCAINE INJ BUPIVACAINE HCL AMPULE 20ML STERILE PK 0.25% 5X5/BX INJ 00409-4272-01 1153436
MARCAINE INJ BUPIVACAINE HCL INJ SDV 30ML 0.25% 25/BX INJ 00409-1159-02 1046982
MARCAINE INJ BUPIVACAINE HCL INJ MDV 50ML 0.25% 25/BX INJ 00409-1160-01 1046963
MARCAINE INJ BUPIVACAINE HCL INJ MDV 50ML 0.25% EACH INJ 00409-1160-01 6023287
MARCAINE INJ BUPIVACAINE HCL INJ SDV 10ML 0.5% 25/BX INJ 00409-1162-01 1107661
MARCAINE INJ BUPIVACAINE HCL INJ AMPULE 30ML 0.5% 5/BX INJ 00409-1161-01 1049839
MARCAINE INJ BUPIVACAINE HCL INJ SDV 30ML 0.5% 25/BX INJ 00409-1162-02 1147523
MARCAINE INJ BUPIVACAINE HCL INJ MDV 50ML 0.5% 25/BX INJ 00409-1163-01 1046883
MARCAINE INJ BUPIVACAINE HCL INJ MDV 50ML 0.5% EACH INJ 00409-1163-01 2488072
MARCAINE INJ BUPIVACAINE HCL INJ SDV 10ML 0.75% 25/BX INJ 00409-1165-01 1100834
MARCAINE INJ BUPIVACAINE HCL INJ SDV 30ML 0.75% 25/BX INJ 00409-1165-02 1046990
MARCAINE W/DEXTROSE INJ BUPIVACAINE/DEXTROSE INJ AMPULE 2ML 0.75% 10/BX INJ 00409-3613-01 1106845
MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 10ML 0.25%/1:200M 10/BX INJ 00409-9042-01 1089063
MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 30ML 0.25%/1:200M 10/BX INJ 00409-9042-02 1086286
MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 30ML 0.25%/1:200M EACH INJ 00409-9042-02 6023286
MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ MDV 50ML 0.25%/1:200M 25/BX INJ 00409-9043-01 1047069
MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 10ML 0.5%/1:200M 10/BX INJ 00409-9045-01 1081933
MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 30ML 0.5%/1:200M 10/BX INJ 00409-9045-02 1046896
MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ MDV 50ML 0.5%/1:200M 25/BX INJ 00409-9046-01 1106507
MAXIDONE TABS HYDROCODONE/APAP TABLETS 10/750MG 100/BT C3 RX 00591-3228-01 1048681
MAXIPIME INJ CEFEPIME HCL INJ STER SDV 20ML 1GM/VL 10/BX INJ 25021-0121-20 1145255
MAXIPIME INJ CEFEPIME HCL INJ STER SDV 50ML 2GM/VL 10/BX INJ 25021-0122-50 1144826
MAXITROL OPHTH OINT NEOMYCIN/POLY/DEX OPHTH OINTMENT 0.1% 3.5GM/TB RX 61314-0631-36 1027770
MAXITROL OPHTH SUSP NEOMYCIN/POLY/DEX OPHTH SUSPENSION 0.1% 5ML/BT RX 61314-0630-06 1022697
MAXZIDE TABS TRIAMTERENE/HCTZ TABLETS 37.5MG/25MG 100/BT RX 00591-0424-01 1042428
MAXZIDE TABS TRIAMTERENE/HCTZ TABLETS 75MG/50MG 100/BT RX 60505-2657-01 1101513
MAXZIDE TABS TRIAMTERENE/HCTZ TABLETS 75MG/50MG 500/BT RX 00591-0348-05 1087747
MECLOMEN CAPS MECLOFENAMATE SODIUM CAPSULES 100MG 100/BT RX 00378-3000-01 1027514
Page 24 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
MEDICIDIN-D TABLETS MEDICIDIN-D TABLETS 325/2/5 250x2/BX OTC 47682-0120-13 1513101
MEDICIDIN-D TABLETS MEDICIDIN-D TABLETS 325/2/5 50x2/BX OTC 47682-0120-33 1510717
MEDI-LYTE TABLETS MEDI-LYTE TABLETS 40/18/9 250x2/BX OTC 47682-0030-13 1511327
MEDROL DOSEPACK METHYLPREDNISOLONE TABLETS 4MG 21/DS-PK RX 00603-4593-15 1085694
MEDROL TABS METHYLPREDNISOLONE TABLETS 4MG 100/BT RX 00603-4593-21 4080133
MEFOXIN INJ CEFOXITIN SODIUM INJ STER PWD SDV 10ML 1GM/VL 25/BX INJ 63323-0341-20 3758574
MEFOXIN INJ CEFOXITIN SODIUM INJ STER PWD SDV 20ML 2GM/VL 25/BX INJ 63323-0342-20 3754474
MEFOXIN INJ CEFOXITIN SODIUM INJ STER PWD SDV 100ML 10GM PBP 10/BX INJ 63323-0343-61 1088952
MEGA 80 VITAMIN TAS MEGA 80 VITAMIN TABLETS 60/BT OTC 1045315
MEGACE SUSPENSION MEGESTROL ACETATE ORAL SUSPENSION 40MG/ML 240ML/BT RX 00054-3542-58 1082749
MEGACE TABS MEGESTROL ACETATE TABLETS 20MG 100/BT RX 00054-4603-25 4080175
MEGACE TABS MEGESTROL ACETATE TABLETS 40MG 100/BT RX 00054-4604-25 4080176
MELATONIN TABS MELATONIN TABLETS 3MG 60/BT OTC 00904-5182-52 1084576
MELLARIL TABS THIORIDAZINE TABLETS 10MG 100/BT RX 53489-0148-01 4231701
MELLARIL TABS THIORIDAZINE TABLETS 25MG 100/BT RX 53489-0149-01 1026201
MELLARIL TABS THIORIDAZINE TABLETS 50MG 100/BT RX 53489-0150-01 4231801
MELLARIL TABS THIORIDAZINE TABLETS 100MG 100/BT RX 53489-0500-01 1133517
MEPHYTON PHYTONADIONE INJ (VIT K) 1MG EACH INJ 00548-1140-00 2580068
MESNEX INJ MESNA INJ MDV 10ML 100MG/ML EACH INJ 10019-0953-01 1081263
METAMUCIL POWDER PSYLLIUM POWDER NATURAL 19OZ/BT OTC 00904-5199-66 4738014
METAMUCIL POWDER PSYLLIUM POWDER ORANGE 13OZ/BT OTC 57896-0471-01 1044262
METHADONE LIQUID METHADONE HCL ORAL CONCENTRATE 10MG/ML 30ML/BT C2 RX 00054-3553-44 1087594
METHADONE LIQUID METHADONE HCL ORAL SOLUTION 10MG/5ML 500ML/BT C2 RX 00054-3556-63 1084973
METHADONE LIQUID METHADONE HCL ORAL SOLUTION 5MG/5ML 500ML/BT C2 RX 00054-3555-63 1089555
METHERGINE INJ METHYLERGONOVINE MALEATE INJ SDV 1ML 0.2MG/ML 20/BX INJ 00517-0740-20 1154735
METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 2ML 25MG/ML 10/BX INJ 55390-0031-10 1046188
METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 2ML 25MG/ML EACH INJ 10139-0062-02 1101526
METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 4ML 25MG/ML 10/BX INJ 55390-0032-10 7277730
METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 8ML 25MG/ML 10/BX INJ 55390-0033-10 1046185
METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 10ML 25MG/ML 10/BX INJ 55390-0034-10 1014815
METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ W/PRES MDV 2ML 25MG/ML 5/BX INJ 61703-0350-38 1047026
METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ W/PRES SDV 10ML 25MG/ML EACH INJ 63323-0123-10 1026487
METHYLENE BLUE INJ METHYLENE BLUE AMPULE 10ML 1% 25/BX INJ 00517-0373-70 1023783
METHYLENE BLUE INJ METHYLENE BLUE AMPULE 1ML 1% 25/BX INJ 00517-0372-71 1028253
METHYLENE BLUE INJ METHYLENE BLUE SDV 10ML 1% 10/BX INJ 00517-0310-10 1067434
METHYLENE BLUE INJ METHYLENE BLUE SDV 1ML 1% 10/BX INJ 00517-0301-10 1117913
METROCREAM METRONIDAZOLE CREAM 0.75% 45GM/TB RX 67405-0110-45 1118722
METROGEL METRONIDAZOLE TOPICAL GEL 0.75% 45GM/TB RX 51672-4116-06 1084259
METROLOTION METRONIDAZOLE TOPICAL LOTION 0.75% 59ML/BT RX 00168-0383-60 1146837
MEVACOR TABS LOVASTATIN TABLETS 10MG 60/BT RX 00228-2633-06 1024462
MEVACOR TABS LOVASTATIN TABLETS 10MG 500/BT RX 00228-2633-50 1109105
MEVACOR TABS LOVASTATIN TABLETS 20MG 60/BT RX 00228-2634-06 1029189
MEVACOR TABS LOVASTATIN TABLETS 40MG 60/BT RX 00228-2635-06 1024463
MEXITIL CAPS MEXILETINE HCL CAPSULES 150MG 100/BT RX 00093-8739-01 3214273
MEXITIL CAPS MEXILETINE HCL CAPSULES 200MG 100/BT RX 00093-8740-01 1103781
MICATIN CREAM MICONAZOLE NITRATE CREAM 2% 0.5OZ/TB OTC 51672-2001-01 1026381
MICATIN CREAM MICONAZOLE NITRATE CREAM 2% 1.5OZ/TB OTC 00472-0735-42 1023283
MICATIN CREAM MICONAZOLE NITRATE CREAM 2% 1OZ/TB OTC 00603-7805-50 1101078
MICRO-K CAPS POTASSIUM CHLORIDE ER CAPSULES 10MEQ 100/BT RX 62037-0560-01 1125684
MICRO-K CAPS POTASSIUM CHLORIDE ER CAPSULES 10MEQ 500/BT RX 62037-0560-05 1126597
MICRONASE TABS GLYBURIDE TABLETS (M) 1.25MG 100/BT RX 00093-8342-01 1026538
MICRONASE TABS GLYBURIDE TABLETS (M) 2.5MG 100/BT RX 00093-8343-01 1025770
MICRONASE TABS GLYBURIDE TABLETS (M) 5MG 100/BT RX 00093-8344-01 1029615
MICRONASE TABS GLYBURIDE TABLETS (M) 5MG 500/BT RX 00093-8344-05 1027619
MICROZIDE CAPS HYDROCHLOROTHIAZIDE CAPSULES 12.5MG 100/BT RX 00603-3855-21 1049286
MINERAL ICE BLUE GEL ICE CHIRO FORMULA 8OZ/JR OTC 66467-0230-38 1048865
MINERAL OIL MINERAL OIL HEAVY 16OZ/BT OTC 30869-0206-10 1118716
MINERAL OIL MINERAL OIL LIGHT 16OZ/BT OTC 54162-0185-16 1084443
MINIPRESS CAPS PRAZOSIN HCL CAPSULES 1MG 100/BT RX 00093-4067-01 1088775
MINIPRESS CAPS PRAZOSIN HCL CAPSULES 2MG 100/BT RX 00093-4068-01 1088773
Page 25 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
MINIPRESS CAPS PRAZOSIN HCL CAPSULES 5MG 100/BT RX 00093-4069-01 1156234
MINOCIN CAPS MINOCYCLINE HCL CAPSULES 100MG 50/BT RX 00115-7018-06 1026878
MINOCIN CAPS MINOCYCLINE HCL CAPSULES 100MG 500/BT RX 63304-0696-05 1142121
MINOCIN CAPS MINOCYCLINE HCL CAPSULES 50MG 100/BT RX 00115-7017-01 1026877
MINOCIN CAPS MINOCYCLINE HCL CAPSULES 75MG 100/BT RX 63304-0695-01 1101087
MIRALAX POWDER POLYETHYLENE GLYCOL 3350 POWDER 17GM/DOSE 255GM/BT RX 51991-0457-58 1146405
MIRAPEX TABLETS PRAMIPEXOLE TABLETS 1.5MG 90/BT RX 00555-0615-14 1157546
MOBIC SUSPENSION MELOXICAM ORAL SUSPENSION 7.5MG/5ML 100ML/BT RX 00054-0228-49 1086245
MOBIC TABS MELOXICAM TABLETS 7.5MG 100/BT RX 68180-0501-01 1100711
MOBIC TABS MELOXICAM TABLETS 15MG 100/BT RX 29300-0125-01 1147185
MODURETIC TABS AMILORIDE HCL/HCTZ TABLETS 5MG/50MG 100/BT RX 00555-0483-02 1026374
MONISTAT 7 CREAM MICONAZOLE NITRATE VAGINAL CREAM 2% 45GM/7APP OTC 51672-2035-06 1023230
MONISTAT 7 SUPP MICONAZOLE NITRATE VAGINAL SUPPOSITORIES 100MG 7/BX OTC 00713-0197-57 1100991
MONODOX CAPS DOXYCYCLINE MONOHYDRATE CAPSULES 50MG 100/BT RX 49884-0726-01 1028247
MONOKET TABS ISOSORBIDE MONONITRATE ER TABLETS 10MG 100/BT RX 00228-2631-11 1101020
MONOPRIL TABS FOSINOPRIL SODIUM TABLETS 20MG 90/BT RX 00093-7223-98 1119285
MORPHINE INJ MORPHINE SULFATE INJ AMPULE 1ML 10MG/ML 25/BX C2 INJ 10019-0178-68 1049335
MORPHINE INJ MORPHINE SULFATE INJ FTV 50ML 50MG/ML EACH C2 RX 00409-1134-05 1099591
MORPHINE INJ MORPHINE SULFATE INJ MDV 20ML 15MG/ML EACH C2 INJ 10019-0179-63 1047338
MORPHINE INJ MORPHINE SULFATE INJ SDV 1ML 10MG/ML 25/BX C2 INJ 10019-0178-44 1046646
MORPHINE INJ MORPHINE SULFATE INJ SDV 1ML 5MG/ML 25/BX C2 INJ 10019-0176-44 1104293
MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 10ML 1MG/ML 10/BX C2 INJ 00548-3391-10 1158222
MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 15MG/ML 10/BX C2 INJ 00409-1264-31 1046551
MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 2MG/ML 10/BX C2 INJ 00409-1762-30 1046544
MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 4MG/ML 10/BX C2 INJ 00409-1258-30 1048914
MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 8MG/ML 10/BX C2 INJ 00409-1260-69 1048469
MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 10MG/ML 10/BX C2 INJ 00409-1261-30 1046550
MOTRIN CHILDREN'S CHEWABLE TABS IBUPROFEN JR CHEWABLE TABLETS 100MG 24/BT OTC 00113-0461-62 1139843
MOTRIN SUSP IBUPROFEN ORAL SUSPENSION BERRY 100MG/5ML 120ML/BT OTC 00904-5309-20 1158286
MOTRIN SUSP IBUPROFEN ORAL SUSPENSION ORANGE 100MG/5ML 480ML/BT RX 45802-0952-43 1088440
MOTRIN TABS IBUPROFEN TABLETS 400MG 100/BT RX 53746-0464-01 1124221
MOTRIN TABS IBUPROFEN TABLETS 400MG 100UD/BX RX 00904-5853-61 1117792
MOTRIN TABS IBUPROFEN TABLETS 400MG 500/BT RX 67877-0119-05 1145411
MOTRIN TABS IBUPROFEN TABLETS 600MG 100/BT RX 53746-0465-01 1119238
MOTRIN TABS IBUPROFEN TABLETS 600MG 500/BT RX 67877-0120-05 1145414
MOTRIN TABS IBUPROFEN TABLETS 800MG 100/BT RX 53746-0466-01 1119240
MOTRIN TABS IBUPROFEN TABLETS 800MG 500/BT RX 67877-0121-05 1145408
MS CONTIN TABS MORPHINE SULFATE ER TABLETS 15MG 100/BT C2 RX 00406-8315-01 1049965
MS CONTIN TABS MORPHINE SULFATE ER TABLETS 30MG 100/BT C2 RX 00591-3741-01 1158047
MUCOMYST LIQUID ACETYLCYSTEINE SOLUTION 4ML 10% 25/BX RX 00517-7504-25 1100477
MUCOMYST LIQUID ACETYLCYSTEINE SOLUTION 10ML 10% 3/BX RX 00054-3027-02 1029094
MUCOMYST LIQUID ACETYLCYSTEINE SOLUTION 30ML 10% 3/BX RX 00054-3025-02 1084224
MUCOMYST LIQUID ACETYLCYSTEINE SOLUTION 4ML 20% 25/BX RX 00517-7604-25 1100478
MUCOSIL LIQUID ACETYLCYSTEINE SOLUTION 10ML 20% 3/BX RX 00054-3028-02 1026655
MUCOSIL LIQUID ACETYLCYSTEINE SOLUTION 30ML 20% 3/BX RX 00409-3308-03 1077346
MULTITRACE INJ MULTITRACE-4 INJ REG MDV 10ML 25/BX INJ 00517-7410-25 9926748
MULTITRACE INJ MULTITRACE-5 INJ CONCENTRATE 10ML 25/PK INJ 00517-8210-25 1230662
MULTITRACE INJ MULTITRACE-5 INJ CONCENTRATE SDV 1ML 25/PK INJ 00517-8201-25 1084875
MULTITRACE INJ MULTITRACE-5 INJ REG MDV 10ML 25/BX INJ 00517-8510-25 1067914
MURO 128 OINT SODIUM CHLORIDE HYPERTONICITY OINTMENT 5% 3.5GM/TB OTC 59390-0184-50 1048609
MURO 128 SOLUTION SODIUM CHLORIDE HYPERTONICITY SOLUTION 5% 15ML/BT OTC 59390-0183-13 4080066
MUTIMYCIN INJ MITOMYCIN INJ LYOPH SDV 15ML 5MG/VL EACH INJ 16729-0115-05 1133958
MUTIMYCIN INJ MITOMYCIN INJ LYOPH SDV 50ML 20MG/VL EACH INJ 16729-0108-11 1133233
MUTIMYCIN INJ MITOMYCIN INJ LYOPH SDV 100ML 40MG/VL EACH INJ 55390-0253-01 1444123
MVI INJ MVI INJ (MULTI-VITAMIN) SDV 2X5ML ADULT 10/BX INJ 61703-0422-82 1049852
MVI INJ MVI INJ (MULTI-VITAMIN) SDV 5ML PED 10/BX INJ 61703-0421-53 1089653
MYCELEX TROUCHE CLOTRIMAZOLE ORAL TROCHES 10MG 70/PK RX 00054-4146-22 1086234
MYCOLOG II CREAM NYSTATIN/TRIAMCINOLONE ACETONIDE CREAM 100MU/GM;0.1% 15GM/TB RX 51672-1263-01 1119134
MYCOLOG II CREAM NYSTATIN/TRIAMCINOLONE ACETONIDE CREAM 100MU/GM;0.1% 30GM/TB RX 51672-1263-02 1029639
MYCOLOG II CREAM NYSTATIN/TRIAMCINOLONE ACETONIDE CREAM 100MU/GM;0.1% 60GM/TB RX 51672-1263-03 1027258
Page 26 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
MYCOLOG II OINT NYSTATIN/TRIAMCINOLONE ACETONIDE OINTMENT 100MU/GM;0.1% 15GM/TB RX 00168-0089-15 1119222
MYCOLOG II OINT NYSTATIN/TRIAMCINOLONE ACETONIDE OINTMENT 100MU/GM;0.1% 30GM/TB RX 51672-1272-02 1028456
MYCOLOG II OINT NYSTATIN/TRIAMCINOLONE ACETONIDE OINTMENT 100MU/GM;0.1% 60GM/TB RX 51672-1272-03 1100640
MYCOSTATIN CREAM NYSTATIN CREAM 100MU 15GM/TB RX 51672-1289-01 1021072
MYCOSTATIN CREAM NYSTATIN CREAM 100MU 30GM/TB RX 51672-1289-02 1021056
MYCOSTATIN OINT NYSTATIN OINTMENT 100MU 15GM/TB RX 00168-0007-15 1027972
MYCOSTATIN OINT NYSTATIN OINTMENT 100MU 30GM/TB RX 00168-0007-30 1119149
MYCOSTATIN POWDER FOR SUSP NYSTATIN POWDER FOR ORAL SUSPENSION 150MU/GM 30GM/BT RX 00574-0404-15 4536221
MYCOSTATIN POWDER FOR SUSP NYSTATIN POWDER FOR ORAL SUSPENSION 50MU/GM 10GM/BT RX 00574-4040-05 7295924
MYCOSTATIN SUSP NYSTATIN ORAL SUSPENSION 100MU 480ML/BT RX 00603-1481-58 4080048
MYCOSTATIN SUSP NYSTATIN ORAL SUSPENSION 100MU 60ML/BT RX 00603-1481-49 4080047
MYCOSTATIN TABS NYSTATIN TABLETS 500MU 100/BT RX 53489-0400-01 1141399
MYCOSTATIN TOP PWD NYSTATIN TOPICAL POWDER 100MU/GM 15GM RX 00574-2008-15 1156624
MYDRIACYL SOLUTION TROPICAMIDE OPHTH DROPS 1% 3ML RX 61314-0355-01 1131368
MYDRIACYL SOLUTION TROPICAMIDE OPHTH SOLUTION 0.5% 15ML/BT RX 24208-0590-64 3244748
MYDRIACYL SOLUTION TROPICAMIDE OPHTH SOLUTION 1% 12x2ML/BT RX 24208-0585-59 1027737
MYDRIACYL SOLUTION TROPICAMIDE OPHTH SOLUTION 1% 15ML/BT RX 24208-0585-64 1024663
MYLANTA DS LIQUID SIMETHICONE II ORAL LIQUID 12OZ/BT OTC 57896-0619-12 1162306
MYLANTA GAS RELIEF TABS SIMETHICONE TABLETS 80MG 100/BT OTC 00603-0210-21 1119227
MYLANTA LIQUID SIMETHICONE ORAL LIQUID 12OZ/BT OTC 57896-0629-12 1044373MYLANTA ULIMATE STRENGTH CHEW
TABS CALCIUM CARBONATE MAGNESIUM CHEW TABS CHERRY 700/300MG 70/BT OTC 49488-0278-70 1155387MYLANTA ULIMATE STRENGTH CHEW
TABS CALCIUM CARBONATE MAGNESIUM CHEW TABS MINT 700/300MG 70/BT OTC 49488-0279-70 1155389
MYLICON DROPS GAS RELIEF ORAL DROPS 40/0.6ML 1OZ/BT OTC 00603-0894-50 1101073
MYSOLINE TABS PRIMIDONE TABLETS 250MG 100/BT RX 00603-5372-21 4080171
MYSOLINE TABS PRIMIDONE TABLETS 50MG 100/BT RX 65162-0544-10 1119138
NAPHCON FORTE SOLUTION NAPHAZOLINE HCL OPHTH SOLUTION 0.1% 15ML/BT RX 17478-0216-12 1044422
NAPROSYN TABS NAPROXEN TABLETS 250MG 100/BT RX 53746-0188-01 1029602
NAPROSYN TABS NAPROXEN TABLETS 250MG 500/BT RX 53746-0188-05 4080009
NAPROSYN TABS NAPROXEN TABLETS 375MG 100/BT RX 53746-0189-01 1029702
NAPROSYN TABS NAPROXEN TABLETS 375MG 500/BT RX 53746-0189-05 4080010
NAPROSYN TABS NAPROXEN TABLETS 500MG 100/BT RX 53746-0190-01 1029802
NAPROSYN TABS NAPROXEN TABLETS 500MG 500/BT RX 53746-0190-05 1029805
NARCAN INJ NALOXONE HCL INJ MDV 10ML 0.4MG/ML EACH INJ 00409-1219-01 2587295
NARCAN INJ NALOXONE HCL INJ SDV 1ML 0.4MG/ML 10/BX INJ 00409-1215-01 1046876
NARCAN INJ NALOXONE HCL INJ SDV 1ML 0.4MG/ML EACH INJ 00409-1215-01 2489568
NARCAN INJ NALOXONE HCL INJ SYRINGE 1ML 1MG/ML 10/BX INJ 00409-1782-69 1049657
NARCAN INJ NALOXONE HCL INJ SYRINGE 1ML 1MG/ML EACH INJ 00409-1782-69 2489357
NARCAN INJ NALOXONE HCL INJ SYRINGE 21Gx1.5" 2ML 1MG/ML 25/BX INJ 00548-1469-00 1161803
NARCAN INJ NALOXONE HCL INJ SYRINGE 21Gx1.5" 2ML 1MG/ML EACH INJ 00548-1469-00 5415211
NARCAN INJ NALOXONE HCL INJ SYRINGE NEEDLELESS 2ML 1MG/ML 10/BX INJ 00548-3369-00 9298759
NASAL DECONGEST TABS MEDI-PHENYL DECONGESTANT TABLETS 5MG 50x2/BX OTC 47682-0205-33 1518254
NASAL DECONGEST TABS MEDI-PHENYL DECONGESTANT TABS 5MG 250x2/BX OTC 47682-0205-13 1515513
NASALCROM SOLUTION CROMOLYN SODIUM NASAL SOLUTION 26ML/BT RX 57782-0397-26 1100856
NASALIDE, NASAREL FLUNISOLIDE NASAL SOLUTION 0.025% 25ML/BT RX 64980-0506-25 1148435
NATURAL VEGETABLE LAXATIVE NATURAL VEGETABLE LAXATIVE POWDER REG FLV 13OZ/BT OTC 57896-0461-01 1115328
NAVELBINE INJ VINORELBINE TARTRATE INJ SDV 5ML 10MG/ML EACH INJ 61703-0341-09 2580058
NEBCIN INJ TOBRAMYCIN SULFATE INJ MDV 2ML 40MG/ML 25/BX INJ 23360-0014-02 1156317
NEOMYCIN TABS NEOMYCIN SULFATE TABLETS 500MG 100/BT RX 00093-1177-01 4200601
NEORAL CAPS CYCLOSPORINE SG CAPSULES 100MG 30/BT RX 00172-7312-46 1048740
NEORAL CAPS CYCLOSPORINE SG CAPSULES 25MG 30/BT RX 00591-2222-15 4259631
NEOSPORIN OINT TRIPLE ANTIBIOTIC OINTMENT 0.5OZ/TB OTC 51672-2016-01 1023589
NEOSPORIN OINT TRIPLE ANTIBIOTIC OINTMENT 1/32 OZ FLPK 144/CS OTC 9004788
NEOSPORIN OINT TRIPLE ANTIBIOTIC OINTMENT 1/32 OZ FLPK 25/BX OTC 59898-0740-03 3261327
NEOSPORIN OPHTH OINT TRIPLE ANTIBIOTIC OPHTH OINTMENT 3.5GM/TB RX 24208-0780-55 1025170
NEOSPORIN OPHTH OINT TRIPLE ANTIBIOTIC OPHTH SOLUTION 10ML/BT RX 24208-0790-62 1148431
NEOSPORIN PLUS OINT TRIPLE ANTIBIOTIC PLUS OINTMENT 1OZ/TB OTC 00713-0622-31 1101351
NEO-SYNEPHRINE INJ PHENYLEPHRINE HCL INJ PBP 10ML 1% EACH INJ 66758-0017-01 1048653
NEO-SYNEPHRINE INJ PHENYLEPHRINE HCL INJ SDV 1ML 1% 25/BX INJ 10019-0163-12 1047605
NEO-SYNEPHRINE INJ PHENYLEPHRINE HCL INJ SDV 1ML 1% EACH INJ 10019-0163-39 2485768
NEO-SYNEPHRINE SOLUTION PHENYLEPHRINE HCL OPHTH SOLUTION 10% 5ML/BT RX 17478-0205-10 7076894
Page 27 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
NEO-SYNEPHRINE, MYDFRIN PHENYLEPHRINE HCL OPHTH SOLUTION 2.5% 15ML/BT RX 17478-0200-12 1546151
NEO-SYNEPHRINE, MYDFRIN PHENYLEPHRINE HCL OPHTH SOLUTION 2.5% 2ML/BT RX 17478-0200-20 1162492
NEO-SYNEPHRINE, MYDFRIN PHENYLEPHRINE HCL OPHTH SOLUTION 2.5% 5ML/BT RX 61314-0342-02 1146036
NEPTAZANE TABS METHAZOLAMIDE TABLETS 25MG 100/BT RX 00781-1072-01 1162728
NEPTAZANE TABS METHAZOLAMIDE TABLETS 50MG 100/BT RX 00781-1071-01 1144204
NESACAINE INJ CHLOROPROCAINE HCL INJ SDV 20ML 2% EACH INJ 55390-0403-20 1045383
NESACAINE INJ CHLOROPROCAINE HCL INJ SDV 30ML 2% 25/BX INJ 55390-0403-20 1045383
NESACAINE INJ CHLOROPROCAINE HCL INJ SDV 20ML 3% EACH INJ 55390-0404-20 1045381
NEURONTIN CAPS GABAPENTIN CAPSULES 100MG 100/BT RX 53746-0101-01 1145893
NEURONTIN CAPS GABAPENTIN CAPSULES 300MG 100/BT RX 53746-0102-01 1124826
NEURONTIN CAPS GABAPENTIN CAPSULES 400MG 100/BT RX 53746-0103-01 1157746
NEURONTIN TABS GABAPENTIN TABLETS 600MG 100/BT RX 00228-2636-11 1098515
NEURONTIN TABS GABAPENTIN TABLETS 800MG 100/BT RX 00228-2637-11 1098615
NIACIN TABS NIACIN TABLETS 100MG 100/BT OTC 00536-4076-01 1147380
NIACIN TABS NIACIN TABLETS 500MG 1000/BT OTC 00536-4078-10 1100661
NIACIN VEGIECAPS NIACIN NO FLUSH CAPSULES 500MG 60/BT OTC 1157320
NICOBID CAPS NIACIN CR CAPSULES 250MG 100/BT OTC 00182-0811-01 1100633
NICOBID CAPS NIACIN CR CAPSULES 500MG 100/BT OTC 49483-0018-01 1119172
NICOBID ER TABS NIACIN ER TABLETS 500MG 100/BT OTC 00536-7030-01 1146584
NICOBID ER TABS NIACIN ER TABLETS 750MG 100/BT OTC 00536-7033-01 1100662
NIPENT INJ PENTOSTATIN INJ LYOPH SDV 5ML 10MG/VL EACH INJ 55390-0244-01 1109616
NITRO-BID CAPS NITROGLYCERIN ER CAPULES 2.5MG 60/BT RX 49483-0221-06 1146876
NITRO-BID CAPS NITROGLYCERIN ER CAPULES 6.5MG 100/BT RX 49483-0222-10 1146983
NITRO-BID INJ NITROGLYCERIN INJ SDV 10ML 5MG/ML 25/BX INJ 00517-4810-25 1048257
NITRO-BID INJ NITROGLYCERIN INJ SDV 10ML 5MG/ML EACH INJ 00517-4810-25 2485055
NIX LICE TREATMENT PERMETHRIN TOPICAL LOTION 1% 2OZ/BT OTC 00472-5242-67 1087275
NIX LICE TREATMENT PERMETHRIN TOPICAL LOTION 1% 2x2OZ/BT OTC 00472-5242-69 1089714
NIZORAL CREAM KETOCONAZOLE CREAM 2% 15GM/TB RX 00168-0099-15 1113098
NIZORAL CREAM KETOCONAZOLE CREAM 2% 30GM/TB RX 51672-1298-02 1026763
NIZORAL CREAM KETOCONAZOLE CREAM 2% 60GM/TB RX 51672-1298-03 1026768
NIZORAL SHAMPOO KETOCONAZOLE SHAMPOO 2% 4OZ/BT RX 45802-0465-64 1084003
NIZORAL TABS KETOCONAZOLE TABLETS 200MG 100/BT RX 00093-0900-01 4080262
NOCTEC SG CAPS CHLORAL HYDRATE SG CAPSULES 500MG 50/BT C4 RX 51991-0080-52 1109287
NOLVADEX TABS TAMOXIFEN CITRATE TABLETS 10MG 60/BT RX 00591-2232-60 1141455
NOLVADEX TABS TAMOXIFEN CITRATE TABLETS 20MG 30/BT RX 00591-2233-30 1146350
NORCO 5 TABS HYDROCODONE/APAP TABLETS 5/325MG 100/BT C3 RX 00603-3890-21 4080090
NORCO 7.5 TABS HYDROCODONE/APAP TABLETS 7.5/325MG 100/BT C3 RX 00603-3891-21 1080440
NORCO 10 TABS HYDROCODONE/APAP TABLETS 10/325MG 100/BT C3 RX 00603-3887-21 1049391
NORCO 10 TABS HYDROCODONE/APAP TABLETS 10/325MG 500/BT C3 RX 00603-3887-28 4080089
NORCURON INJ VECURONIUM BROMIDE INJ STER PWD SDV 10ML 10MG/VL 10/BX INJ 41616-0931-44 1140420
NORCURON INJ VECURONIUM BROMIDE INJ STER PWD SDV 20ML 20MG/VL 10/BX INJ 41616-0932-44 1156235
NORFLEX INJ ORPHENADRINE CITRATE INJ AMP 2ML 30MG/ML 10/BX INJ 00591-3222-47 1047066
NORFLEX INJ ORPHENADRINE CITRATE INJ SDV 2ML 30MG/ML 10/BX INJ 55390-0059-10 1027177
NORMODYNE TABS LABETALOL TABLETS 100MG 100/BT RX 00172-4364-60 1049352
NORMODYNE TABS LABETALOL TABLETS 200MG 100/BT RX 00591-0606-01 4080195
NORMODYNE/TRANDATE LABETALOL HCL INJ MDV 20ML 5MG/ML EACH INJ 55390-0130-20 9856594
NORMODYNE/TRANDATE LABETALOL HCL INJ MDV 40ML 5MG/ML EACH INJ 55390-0130-40 1047914
NORMODYNE/TRANDATE LABETALOL HCL INJ SYRINGE 4ML 5MG/ML 10/BX INJ 00409-2339-34 1049653
NORPRAMIN TABS DESIPRAMINE HCL TABLETS 25MG 100/BT RX 52152-0342-02 1049237
NORPRAMIN TABS DESIPRAMINE HCL TABLETS 100MG 100/BT RX 52152-0345-02 1155051
NORPRAMIN TABS DESIPRAMINE HCL TABLETS 150MG 50/BT RX 52152-0346-50 1155052
NORVASC TABS AMLODIPINE BESYLATE TABLETS 10MG 10x10UD RX 59762-1540-04 1083796
NORVASC TABS AMLODIPINE BESYLATE TABLETS 10MG 90/BT RX 31722-0239-90 1118835
NORVASC TABS AMLODIPINE BESYLATE TABLETS 2.5MG 90/BT RX 64679-0421-01 1106909
NORVASC TABS AMLODIPINE BESYLATE TABLETS 5MG 10x10UD RX 59762-1530-05 1083819
NORVASC TABS AMLODIPINE BESYLATE TABLETS 5MG 90/BT RX 64679-0422-01 1104218
NUBAIN INJ NALBUPHINE INJ AMPULE 1ML 10MG/ML 10/BX INJ 00409-1463-01 1046858
NUBAIN INJ NALBUPHINE INJ AMPULE 1ML 10MG/ML EACH INJ 00409-1463-01 2480314
NUBAIN INJ NALBUPHINE INJ AMPULE 1ML 20MG/ML 10/BX INJ 00409-1465-01 1047310
NUBAIN INJ NALBUPHINE INJ MDV 10ML 10MG/ML EACH INJ 00409-1464-01 1098957
Page 28 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
NUBAIN INJ NALBUPHINE INJ MDV 10ML 20MG/ML EACH INJ 00409-1467-01 1098962
NULYTELY GAVILYTE-N FOR ORAL SOLUTION 236GM/BT RX 43386-0050-19 1148169
NUPERCAINAL OINT DIBUCAINE OINTMENT 1% 1OZ/TB OTC 45802-0050-03 1100837
NYQUIL LIQUICAPS NIGHT TIME LIQUID CAPS 12/BX OTC 00904-5764-12 1140418
NYQUIL LIQUID NYTE-TIME COUGH ORAL SYRUP CHERRY 6OZ/BT OTC 00904-5776-21 1087279
NYQUIL LIQUID NYTE-TIME COUGH ORAL SYRUP MINT 6OZ/BT OTC 00904-5777-21 1085280
OCEAN SPRAY SALINE NASAL SPRAY 44ML/BT OTC 00904-3865-75 1107468
OCEAN SPRAY SALINE NASAL SPRAY 45ML/BT OTC 57896-0501-01 4233982
OCUFEN SOLUTION FLURBIPROFEN SODIUM OPHTH SOLUTION 0.03% 2.5ML/BT RX 24208-0314-25 6298620
OCUFLOX SOLUTION OFLOXACIN OPHTHALMIC SOLUTION 0.3% 10ML/BT RX 40042-0012-10 1118841
OCUFLOX SOLUTION OFLOXACIN OPHTHALMIC SOLUTION 0.3% 5ML/BT RX 00517-0760-01 2580096
OFLOXIN OTIC SOLUTION OFLOXACIN OTIC SOLUTION 0.3% 10ML/BT RX 61314-0015-10 1106533
OFLOXIN OTIC SOLUTION OFLOXACIN OTIC SOLUTION 0.3% 5ML/BT RX 61314-0015-05 1106531
OGEN TABS ESTROPIPATE TABLETS 0.75MG 100/BT RX 00591-0414-01 2480900
OGEN TABS ESTROPIPATE TABLETS 1.5MG 100/BT RX 00555-0728-02 1101055
OGEN TABS ESTROPIPATE TABLETS 3MG 100/BT RX 00591-0416-01 1101068
OMEGA-3 EPA SG CAPS OMEGA-3 EPA SOFTGELS 1000MG 100/BT OTC 4569753
OMEGA-3 EPA SG CAPS OMEGA-3 EPA SOFTGELS 1000MG 250/BT OTC 1047952
OMNICEF CAPS CEFDINIR CAPSULES 300MG 60/BT RX 65862-0177-60 1136306
OMNICEF SUSP CEFDINIR PWD FOR ORAL SUSPENSION 250MG/5ML 60ML/BT RX 65862-0219-60 1157532
OMNICEF SUSP CEFDINIR PWD FOR ORAL SUSPENSION 250MG/5ML 100ML/BT RX 65862-0219-01 1147777
OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 3ML 125MG/VL 10/BX INJ 00781-3400-95 1100468
OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 10ML 250MG/VL 10/BX INJ 03600-0070-10 1154350
OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 10ML 500MG/VL 10/BX INJ 03600-0071-10 1154351
OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 10ML 1GM/VL 10/BX INJ 00463-1118-11 1158200
OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 10ML 1GM/VL EACH INJ 63323-0389-10 2580059
OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 20ML 2GM/VL 10/BX INJ 03600-0073-10 1154353
ONCOVIN INJ VINCRISTINE SULFATE INJ PF SDV 1ML 1MG/ML EACH INJ 61703-0309-06 1025145
ONCOVIN INJ VINCRISTINE SULFATE INJ PF SDV 2ML 1MG/ML EACH INJ 00703-4412-11 1081836
ONE-A-DAY TABS DAILY MULTI VITAMIN TABLETS 100/BT OTC 57896-0501-01 4233982
ONE-A-DAY TABS DAILY MULTI VITAMIN TABLETS 1000/BT OTC 57896-0501-10 1048458
ONE-A-DAY/IRON TABS DAILY MULTI VITAMIN/IRON TABLETS 100/BT OTC 1088705
ONE-A-DAY/IRON TABS DAILY MULTI VITAMIN/IRON TABLETS 1000/BT OTC 57896-0521-10 1045728
ONE-A-DAY/MINERALS DAILY MULTI VITAMIN/MINERAL TABLETS 12/CS OTC 9949071
OPHTHAINE SOLUTION PROPARACAINE HCL OPHTH SOLUTION 0.5% 15ML/BT RX 24208-0730-06 6291871
ORAPRED LIQUID PREDNISOLONE SODIUM PHOSPHATE ORAL SOLN 15MG/5ML 237ML/BT RX 60432-0212-08 1147128
ORASEPTIC LIQUID THROAT SPRAY - CHERRY 6OZ/BT OTC 00113-0328-30 1146526
ORASEPTIC LIQUID THROAT SPRAY - MENTHOL 6OZ/BT OTC 00113-0343-30 1146527
ORGANIDIN NR TABS GUAIFENESIN NR TABLETS 200MG 100/BT RX 00603-4886-21 1081261
ORINASE TABS TOLBUTAMIDE TABLETS 500MG 100/BT RX 00378-0215-01 1027701
ORTHO TRI-CYCLEN TABS NORGESTIMATE/ETHINYL ESTRADIOL OC TABLETS 6x28 RX 00555-9018-58 1101066
ORUDIS CAPS KETOPROFEN CAPSULES 50MG 100/BT RX 00093-3193-01 4257101
ORUDIS CAPS KETOPROFEN CAPSULES 75MG 100/BT RX 00093-3195-01 4257201
OSCAL TABS OYSTER SHELL CALCIUM TABLETS 500MG 60/BT OTC 1048075
OVRAL 28 DAY TABS NORGESTREL/ ETHINYL ESTRADIOL OC TABLETS 500/50MCG 3X28 RX 52544-0848-28 6006229
OXY- 5 GEL BENZOYL PEROXIDE GEL 5% 1.5OZ/TB OTC 00536-4089-56 1142899
OXY-10 GEL BENZOYL PEROXIDE GEL 10% 1.5OZ/TB OTC 59390-0030-22 1046320
OXY-10 LOTION BENZOYL PEROXIDE LOTION 10% 1OZ/BT OTC 00536-0815-95 1100480
PAMELOR CAPS NORTRIPTYLINE HCL CAPSULES 10MG 100/BT RX 00093-0810-01 4250801
PAMELOR CAPS NORTRIPTYLINE HCL CAPSULES 25MG 100/BT RX 00093-0811-01 4250901
PAMELOR CAPS NORTRIPTYLINE HCL CAPSULES 50MG 100/BT RX 00093-0812-01 4251001
PAMELOR CAPS NORTRIPTYLINE HCL CAPSULES 75MG 100/BT RX 00093-0813-01 4251101
PAMELOR LIQUID NORTRIPTYLINE HCL ORAL SOLUTION 10MG/5ML 480ML/BT RX 63304-0202-01 1084075
PANLOR SS TABS APAP/CAFF/DIHYDROCODEINE TABLETS 712.8/60/32MG 30/BT C3 RX 64376-0611-31 1087249
PAPAVERINE INJ PAPAVERINE HCL INJ MDV 10ML 30MG/ML EACH INJ 00517-4010-01 2580070
PARAFON DSC TABS CHLORZOXAZONE TABLETS 500MG 100/BT RX 00555-0585-02 1157001
PARAFON DSC TABS CHLORZOXAZONE TABLETS 500MG 500/BT RX 00591-3968-05 1146604
PARAPLATIN INJ CARBOPLATIN INJ SDV 5ML 10MG/ML EACH INJ 61703-0339-18 1049134
PARAPLATIN INJ CARBOPLATIN INJ MDV 15ML 10MG/ML EACH INJ 66758-0047-02 1119150
PARAPLATIN INJ CARBOPLATIN INJ MDV 45ML 10MG/ML EACH INJ 61703-0339-50 1044541
Page 29 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
PARAPLATIN INJ CARBOPLATIN INJ MDV 60ML 10MG/ML EACH INJ 61703-0339-56 1075005
PARLODEL TABS BROMOCRIPTINE TABLETS 2.5MG 30/BT RX 00781-5325-31 1153575
PAVULON INJ PANCURONIUM BROMIDE INJ MDV 10ML 1MG/ML 25/BX INJ 00409-4646-01 1047058
PAXIL TABS PAROXETINE HCL TABLETS 10MG 30/BT RX 65862-0154-30 1142662
PAXIL TABS PAROXETINE HCL TABLETS 20MG 30/BT RX 13107-0155-30 1145148
PAXIL TABS PAROXETINE HCL TABLETS 40MG 30/BT RX 65862-0157-30 1142660
PEDIACARE COUGH-COLD CHLORPHENIRAMINE/DM/PSEUDO LIQUID 1/5/15MG/5ML 118ML/BT OTC 54838-0115-40 1086580
PEDIAPRED LIQUID PREDNISOLONE SODIUM PHOSPHATE ORAL SOLN 5MG/5ML 4OZ/BT RX 50383-0040-04 1108170
PEDIAZOLE SUSP EES/SULFISOX ORAL SUSPENSION 200/600/5ML 100ML/BT RX 52185-0445-22 1098512
PENLAC TOPICAL SOLUT CICLOPIROX TOPICAL SOLUTION 8% 6.6ML/BT RX 50383-0419-06 1118770
PEN-VK SOLUTION PENICILLN VK ORAL SOLUTION 125MG/5ML 100ML/BT RX 00093-4125-73 1088296
PEN-VK SOLUTION PENICILLN VK ORAL SOLUTION 125MG/5ML 200ML/BT RX 00093-4125-74 1138232
PEN-VK SOLUTION PENICILLN VK ORAL SOLUTION 250MG/5ML 100ML/BT RX 00093-4127-73 1089668
PEN-VK SOLUTION PENICILLN VK ORAL SOLUTION 250MG/5ML 200ML/BT RX 00093-4127-74 1080953
PEN-VK TABS PENICILLN VK TABLETS 250MG 100/BT RX 59762-1534-01 1136884
PEN-VK TABS PENICILLN VK TABLETS 250MG 1000/BT RX 59762-1534-02 1136900
PEN-VK TABS PENICILLN VK TABLETS 500MG 100/BT RX 59762-1537-01 1136877
PEN-VK TABS PENICILLN VK TABLETS 500MG 1000/BT RX 59762-1537-03 1136879
PEN-VK TABS PENICILLN VK TABLETS 500MG 500/BT RX 59762-1537-02 1136897
PEPCID AC TABS FAMOTIDINE TABLETS 10MG 30/BT OTC 00172-2662-46 1154223
PEPCID AC TABS FAMOTIDINE TABLETS 10MG 70/BT OTC 00182-2662-22 1146180
PEPCID INJ FAMOTIDINE INJ MDV 4ML 10MG/ML 10/BX INJ 55390-0028-10 1027274
PEPCID INJ FAMOTIDINE INJ MDV 20ML 10MG/ML EACH INJ 55390-0027-01 1023911
PEPCID INJ FAMOTIDINE INJ MDV 50ML 10MG/ML EACH INJ 55390-0026-01 1023913
PEPCID INJ FAMOTIDINE INJ SDV 2ML 10MG/ML 10/BX INJ 55390-0029-10 1025021
PEPCID ORAL SUSPENSION FAMOTIDINE FOR ORAL SUSPENSION 40MG/5ML 50ML/BT RX 00574-0147-04 1154221
PEPCID TABS FAMOTIDINE TABLETS 20MG 100/BT RX 64679-0936-02 4080233
PEPCID TABS FAMOTIDINE TABLETS 20MG 1000/BT RX 64679-0936-03 1101096
PEPCID TABS FAMOTIDINE TABLETS 40MG 30/BT RX 64679-0937-01 1082680
PEPCID TABS FAMOTIDINE TABLETS 40MG 100/BT RX 64679-0937-02 4080234
PEPTO BISMOL CHEW TABS DIOTAME TABLETS 262MG 50x2/BX OTC 47682-0220-33 1515172
PEPTO BISMOL CHEW TABS DIOTAME TABLETS 262MG 250x2/BX OTC 47682-0220-13 1511593
PEPTO BISMOL LIQUID PINK BISMUTH ORAL LIQUID MAX STR 8OZ/BT OTC 00904-1314-09 1083107
PEPTO BISMOL LIQUID PINK BISMUTH ORAL LIQUID REGULAR 8OZ/BT OTC 00904-1313-09 2487173
PEPTO BISMOL TABS PINK BISMUTH CHEW TABLETS 30/BT OTC 57896-0262-03 1118913
PERCOCET TABS OXYCODONE HCL/APAP TABLETS 10/325MG 100/BT C2 RX 53746-0204-01 1118891
PERCOCET TABS OXYCODONE HCL/APAP TABLETS 5/325MG 100/BT C2 RX 00603-4998-21 1145678
PERCOCET TABS OXYCODONE HCL/APAP TABLETS 5/325MG 10x10UD C2 RX 00406-0512-62 1046601
PERCOCET TABS OXYCODONE HCL/APAP TABLETS 5/325MG 500/BT C2 RX 00603-4998-28 1087869
PERCOCET TABS OXYCODONE HCL/APAP TABLETS 7.5/325MG 100/BT C2 RX 00406-0522-01 1049330
PERCODAN TABS OXYCODONE HCL/ASPIRIN TABLETS 4.5/325MG 100/BT C2 RX 00591-0820-01 1048030
PERIACTIN TABS CYPROHEPTADINE TABLETS 4MG 100/BT RX 64980-0123-01 4080238
PERIACTIN TABS CYPROHEPTADINE TABLETS 4MG 1000/BT RX 64980-0123-10 4080239
PERI-COLACE NF TABS DOCUSATE SODIUM/SENNA TABLETS 50/8.6MG 100/BT OTC 00603-0149-21 1088701
PERIDEX LIQUID CHLORHEXIDINE GLUCONATE ORAL SOLUTION 0.12% 480ML/BT RX 50383-0720-16 1046634
PERIOSTAT TABS DOXYCYCLINE HYCLATE TABLETS 20MG 100/BT RX 00527-1336-01 4080167
PERSANTINE INJ DIPYRIDAMOLE INJ SDV 10ML 5MG/ML 5/BX INJ 00641-2569-44 1088193
PERSANTINE INJ DIPYRIDAMOLE INJ SDV 10ML 5MG/ML EACH INJ 00641-2569-41 2587057
PERSANTINE TABS DIPYRIDAMOLE TABLETS 25MG 100/BT RX 64980-0133-01 1147271
PERSANTINE TABS DIPYRIDAMOLE TABLETS 50MG 100/BT RX 64980-0134-01 1147273
PERSANTINE TABS DIPYRIDAMOLE TABLETS 75MG 100/BT RX 64980-0135-01 1147272
PFIZERPEN G INJ PENICILLIN G POT INJECTION 20MMU EACH INJ 00781-6136-94 7952108
PFIZERPEN G INJ PENICILLIN G POT INJECTION 30ML/VL 5MU 10/BX INJ 00781-6135-95 1162776
PFIZERPEN G INJ PENICILLIN G SOD INJECTION 50ML 5MU 10/BX INJ 00781-6153-95 7953516
PHENERGAN DM LIQUID PROMETHAZINE HCL ORAL SYRUP DM 120ML/BT RX 00603-1586-54 1084313
PHENERGAN DM LIQUID PROMETHAZINE HCL ORAL SYRUP DM 480ML/BT RX 00603-1586-58 4080052
PHENERGAN INJ PROMETHAZINE HCL INJ AMPULES 1ML 25MG/ML 25/BX INJ 00143-9869-22 1118746
PHENERGAN INJ PROMETHAZINE HCL INJ AMPULES 1ML 25MG/ML EACH INJ 00641-1495-31 2584249
PHENERGAN INJ PROMETHAZINE HCL INJ AMPULES 1ML 50MG/ML 25/BX INJ 00143-9868-22 1118743
PHENERGAN INJ PROMETHAZINE HCL INJ AMPULES 1ML 50MG/ML EACH INJ 00641-1496-35 2484638
Page 30 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
PHENERGAN INJ PROMETHAZINE HCL INJ SDV 1ML 25MG/ML 25/BX INJ 00641-0928-25 1027248
PHENERGAN INJ PROMETHAZINE HCL INJ SDV 1ML 50MG/ML 25/BX INJ 00641-0929-25 1028895
PHENERGAN LIQUID PROMETHAZINE HCL ORAL SYRUP 6.25MG/5ML 120ML/BT RX 00603-1584-54 1082155
PHENERGAN LIQUID PROMETHAZINE HCL ORAL SYRUP 6.25MG/5ML 480ML/BT RX 50383-0801-16 1043341
PHENERGAN SUPP PROMETHAZINE HCL SUPPOSITORIES 12.5MG 12/BX RX 45802-0758-30 1049744
PHENERGAN SUPP PROMETHAZINE HCL SUPPOSITORIES 25MG 12/BX RX 45802-0759-30 1049745
PHENERGAN SUPP PROMETHAZINE HCL SUPPOSITORIES 50MG 12/BX RX 00713-0132-12 1153513
PHENERGAN TABS PROMETHAZINE HCL TABLETS 25MG 100/BT RX 00603-5438-21 4080173
PHENERGAN TABS PROMETHAZINE HCL TABLETS 50MG 100/BT RX 00115-1042-01 1118727
PHENERGAN VC LIQUID PROMETHAZINE HCL VC ORAL SYRUP 6.25/5MG/5ML 120ML/BT RX 00603-1587-54 1083963
PHENERGAN VC LIQUID PROMETHAZINE HCL VC ORAL SYRUP 6.25/5MG/5ML 480ML/BT RX 00603-1587-58 1082089
PHENERGAN VC/COD LIQUID PROMETHAZINE HCL VC W/CODEINE ORAL SYRUP 480ML/BT C5 RX 00603-1588-58 1101332
PHENERGAN/COD LIQUID PROMETHAZINE HCL/CODEINE ORAL SYRUP 6.25/10MG/5ML 120ML/BT C5 RX 00603-1585-54 4080050
PHENERGAN/COD LIQUID PROMETHAZINE HCL/CODEINE ORAL SYRUP 6.25/10MG/5ML 480ML/BT C5 RX 00472-1627-16 1024231
PHENOBARBITAL INJ PHENOBARBITAL SODIUM INJ SDV 1ML 130MG/ML 25/BX C4 INJ 00641-0477-25 3752725
PHENOBARBITAL LIQUID PHENOBARBITAL ORAL ELIXIR 20MG/5ML 480ML/BT C4 RX 00603-1508-58 1086712
PHENOBARBITAL TABS PHENOBARBITAL TABLETS 15MG 1000/BT C4 RX 00143-1445-10 1024510
PHENOBARBITAL TABS PHENOBARBITAL TABLETS 32.4MG 1000/BT C4 RX 00603-5166-32 1086358
PHENOBARBITAL TABS PHENOBARBITAL TABLETS 64.8MG 1000/BT C4 RX 00603-5167-32 1075320
PHENOBARBITAL TABS PHENOBARBITAL TABLETS 97.2MG 100/BT C4 RX 00603-5168-21 1147165
PHENOBARBITAL TABS PHENOBARBITAL TABLETS 97.2MG 1000/BT C4 RX 00603-5168-32 1077161
PHENTERMINE CAPS PHENTERMINE HCL CAPSULES GREY/YELLOW 15MG 100/BT C4 RX 10702-0026-01 1107404
PHENTERMINE CAPS PHENTERMINE HCL CAPSULES GREY/YELLOW 15MG 1000/BT C4 RX 10702-0026-10 1146847
PHENTERMINE CAPS PHENTERMINE HCL CAPSULES YELLOW 30MG 100/BT C4 RX 10702-0027-01 1146496
PHENTERMINE CAPS PHENTERMINE HCL CAPSULES YELLOW 30MG 1000/BT C4 RX 00527-1310-10 1155408
PHILLIPS LIQUID MILK OF MAGNESIA ORAL LIQUID MINT 12OZ/BT OTC 00904-0789-14 1080905
PHILLIPS LIQUID MILK OF MAGNESIA ORAL LIQUID REGULAR 12OZ/BT OTC 00904-0788-14 1089095
PHILLIPS LIQUID MILK OF MAGNESIA ORAL LIQUID REGULAR 16OZ/BT OTC 00904-0788-16 1119228
PHRENILIN TABS BUTALBITAL/APAP TABLETS 50/325MG 100/BT RX 00603-2540-21 1082644
PHYSOSTIGMINE INJ PHYSOSTIGMINE SALICYLATE INJ AMPULE 2ML 1MG/ML 10/BX INJ 17478-0510-02 2450002
PITOCIN INJ OXYTOCIN INJ MDV 10ML 10U/ML 25/BX INJ 10019-0291-04 1153533
PITOCIN INJ OXYTOCIN INJ SDV 1ML 10U/ML 25/BX INJ 10019-0291-02 1153532
PITRESSIN INJ VASOPRESSIN INJ MDV 0.5ML 10 U/ML 25/BX INJ 00517-0510-25 8374313
PITRESSIN INJ VASOPRESSIN INJ MDV 10ML 20 U/ML 10/BX INJ 00517-0410-10 1048822
PITRESSIN INJ VASOPRESSIN INJ MDV 10ML 20 U/ML EACH INJ 00517-0410-10 2487969
PITRESSIN INJ VASOPRESSIN INJ MDV 1ML 20 U/ML 25/BX INJ 00517-1020-25 1026767
PLAN-B TABLETS RX/OTC LEVONORGESTREL TABLETS RX/OTC 0.75MG 1X2/BX RX 52544-0275-36 1138471
PLAQUENIL TABS HYDROXYCHLOROQUINE TABLETS 200MG 100/BT RX 00143-2128-01 1118742
PLATINOL AQ INJ CISPLATIN AQ INJ MDV 50ML 1MG/ML EACH INJ 63323-0103-51 1161958
PLATINOL AQ INJ CISPLATIN AQ INJ MDV 200ML 1MG/ML EACH INJ 63323-0103-64 3752175
PLEGINE TABS PHENDIMETRAZINE TABLETS BLUE 35MG 1000/BT C3N RX 10702-0078-10 1160250
PLEGINE TABS PHENDIMETRAZINE TABLETS WHITE 35MG 1000/BT C3N RX 10702-0045-10 1160251
PLEGINE TABS PHENDIMETRAZINE TABLETS YELLOW 35MG 1000/BT C3N RX 10702-0077-10 1160249
PLENDIL TABS FELODIPINE ER TABLETS 5MG 100/BT RX 53489-0369-01 1148234
PLETAL TABS CILOSTAZOL TABLETS 50MG 60/BT RX 64720-0158-06 1157158
PLETAL TABS CILOSTAZOL TABLETS 100MG 60/BT RX 64720-0159-06 1118805
PODOCON 25, PODOFIN PODOPHYLLIN BENZOIN TINCTURE 25% 15ML/BT RX 00574-0601-15 1105643
POLYCILLIN CAPS AMPICILLIN CAPSULES 250MG 100/BT RX 00781-2144-01 1137003
POLYCILLIN CAPS AMPICILLIN CAPSULES 250MG 500/BT RX 00781-2144-05 1137006
POLYCILLIN CAPS AMPICILLIN CAPSULES 500MG 100/BT RX 67253-0181-10 1100710
POLYCILLIN CAPS AMPICILLIN CAPSULES 500MG 500/BT RX 67253-0181-50 1049216
POLYCILLIN LIQUID AMPICILLIN ORAL SUSPENSION 125MG/5ML 100ML/BT RX 67253-0182-10 1049795
POLYCILLIN LIQUID AMPICILLIN ORAL SUSPENSION 125MG/5ML 200ML/BT RX 67253-0182-20 1100489
POLYCILLIN LIQUID AMPICILLIN ORAL SUSPENSION 250MG/5ML 100ML/BT RX 67253-0183-10 1049514
POLYCILLIN LIQUID AMPICILLIN ORAL SUSPENSION 250MG/5ML 200ML/BT RX 67253-0183-20 1060599
POLYMYXIN INJ POLYMYXIN-B SULFATE INJ LYOPH SDV 10ML 500MU/VL 10/BX INJ 55390-0139-10 1029338
POLYSPORIN OINT BACITRACIN ZINC /POLYMYXIN B TOPICAL OINT 500U/10MU/GM 144x3.5GM OTC 00168-0021-09 1146589
POLYSPORIN OINT BACITRACIN ZINC /POLYMYXIN B TOPICAL OINT 500U/10MU/GM 0.5OZ/TB OTC 00168-0021-35 1082598
POLYSPORIN OINT BACITRACIN ZINC /POLYMYXIN B TOPICAL OINT 500U/10MU/GM 1OZ/TB OTC 00168-0021-31 1026564
POLYSPORIN OPHTH OINT BACITRACIN ZINC /POLYMYXIN B OPHTH OINT 500U/10MU/GM 3.5GM/TB RX 24208-0555-55 6290058
Page 31 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
POLYTRIM OPHTH SOLN TRIMETHOPRIM SULF/POLYMYXN B OPHTH SOLN 1MG/10MU/ML 10ML/BT RX 61314-0628-10 1028748
POLY-VI-FLOR & IRON DROPS MULTI-VIT/FL & IRON ORAL DROPS 0.25MG/ML 50ML/BT RX 00603-1452-47 2480319
POLY-VI-FLOR CHEW TABS MULTI-VIT/FL CHEW TABLETS 0.25MG 100/BT RX 00603-4381-21 1139972
POLY-VI-FLOR CHEW TABS MULTI-VIT/FL CHEW TABLETS 0.5MG 100/BT RX 64376-0814-01 1157621
POLY-VI-FLOR CHEW TABS MULTI-VIT/FL CHEW TABLETS 1MG 100/BT RX 64376-0815-01 1157622
POLY-VI-FLOR DROPS MULTI-VIT/FL ORAL DROPS 0.25MG/ML 50ML/BT RX 00603-1449-47 2480320
POLY-VI-FLOR DROPS MULTI-VIT/FL ORAL DROPS 0.5MG/ML 50ML/BT RX 50383-0641-50 4717057
PONTOCAINE HCL INJ TETRACAINE HCL INJ AMPULES 2ML 1% 25/BX INJ 17478-0045-32 1156385
PONTOCAINE HCL SOLN TETRACAINE HCL OPHTH SOLUTION 0.5% 15ML/BT RX 24208-0920-64 1029069
POTASSIUM ACETATE INJ POTASSIUM ACETATE INJ FTV 20ML 40MEQ 4x25/BX INJ 00409-8183-01 1105390
POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 5ML 2MEQ/ML EACH INJ 63323-0965-05 2487119
POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 10ML 2MEQ/ML 25/BX INJ 00409-6651-06 1046852
POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 10ML 2MEQ/ML EACH INJ 63323-0965-10 2480240
POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 20ML 2MEQ/ML 25/BX INJ 00409-6653-05 1046859
POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 20ML 2MEQ/ML EACH INJ 00409-6653-05 2485307
POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 5ML 2MEQ/ML 25/BX INJ 63323-0965-05 1097969
POTASSIUM CHL INJ POTASSIUM CHLORIDE/DEXTROSE/NACL INJ 1000ML 5%/0.9% 12/BX INJ 00409-7107-09 1049650
POTASSIUM GLUC TABS POTASSIUM GLUCONATE TABLETS 500MG 100/BT OTC 4560980
POTASSIUM GLUC TABS POTASSIUM GLUCONATE TABLETS 500MG 1000/BT OTC 4563049
POTASSIUM PHOS INJ POTASSIUM PHOSPHATE INJ SDV 15ML 3MG/ML 25/BX INJ 00517-2315-25 1100659
PRAVACHOL TABS PRAVASTATIN SODIUM TABLETS 10MG 90/BT RX 68462-0195-90 1141575
PRAVACHOL TABS PRAVASTATIN SODIUM TABLETS 20MG 90/BT RX 68462-0196-90 1141576
PRAVACHOL TABS PRAVASTATIN SODIUM TABLETS 40MG 90/BT RX 68462-0197-90 1142591
PRED FORTE SUSP PREDNISOLONE ACETATE OPHTH SUSPENSION 1% 10ML/BT RX 61314-0637-10 1119211
PRED FORTE SUSP PREDNISOLONE ACETATE OPHTH SUSPENSION 1% 5ML/BT RX 61314-0637-05 1119210
PREGNYL, A.P.L. INJ CHORIONIC GONADATROPIN INJ MDV 10ML 10MU EACH INJ 63323-0025-10 2486963
PRELONE LIQUID PREDNISOLONE ORAL SOLUTION 15MG/5ML 240ML/BT RX 50383-0042-24 1138135
PRELONE LIQUID PREDNISOLONE ORAL SOLUTION 15MG/5ML 480ML/BT RX 50383-0042-48 1048618
PRELU-2 CAPS PHENDIMETRAZINE CAPSULES BLUE 105MG 1000/BT C3N RX 00185-5254-10 1099526
PREPARATION H OINT HEMORRHOIDAL OINTMENT TUBE 2OZ/TB OTC 00713-0298-32 1156626
PREVACID DR CAPSULES LANSOPRAZOLE DR CAPSULES 15MG 30/BT RX 00093-7350-56 1146087
PREVACID DR CAPSULES LANSOPRAZOLE DR CAPSULES 30MG 30/BT RX 00093-7351-56 1146088
PRILOSEC CAPS OMEPRAZOLE ER CAPSULES 20MG 100/BT RX 00781-2233-01 1145354
PRILOSEC CAPS OMEPRAZOLE ER CAPSULES 20MG 30/BT RX 00781-2233-31 1049473
PRILOSEC TABS OTC OMEPRAZOLE TABLETS OTC 20MG 28/BX OTC 45802-0888-30 1118861
PRIMACOR INJ MILRINONE LACTATE INJ SDV 10ML 1MG/ML 10/BX INJ 55390-0019-10 1086473
PRIMACOR INJ MILRINONE LACTATE INJ SDV 20ML 1MG/ML 10/BX INJ 10019-0070-02 2480249
PRINZIDE, ZESTORETIC TABS LISINOPRIL/HCTZ TABLETS 10/12.5MG 100/BT RX 68180-0518-01 1101102
PRINZIDE, ZESTORETIC TABS LISINOPRIL/HCTZ TABLETS 20/12.5MG 100/BT RX 68180-0519-01 1101103
PRINZIDE, ZESTORETIC TABS LISINOPRIL/HCTZ TABLETS 20/25MG 100/BT RX 68180-0520-01 1101104
PRO BANTHINE TABS PROPANTHELINE BROMIDE TABLETS 15MG 100/BT RX 00054-4721-25 4030401
PROAMTINE TABS MIDODRINE HCL TABLETS 2.5MG 100/BT RX 00115-4211-01 1100836
PROAMTINE TABS MIDODRINE HCL TABLETS 10MG 100/BT RX 00115-4233-01 1158181
PROCARDIA CAPS NIFEDIPINE CAPSULES 10MG 100/BT RX 43386-0440-24 1146587
PROCARDIA CAPS NIFEDIPINE CAPSULES 20MG 100/BT RX 00228-2530-10 4237701
PROCARDIA-XL TABS NIFEDIPINE ER TABLETS (PROCARDIA XL) 30MG 100/BT RX 62175-0260-37 1119816
PROCARDIA-XL TABS NIFEDIPINE ER TABLETS (PROCARDIA XL) 90MG 100/BT RX 62175-0262-37 1162591
PROGESTERONE INJ PROGESTERONE OIL INJ MDV 10ML 50MG/ML EACH INJ 00591-3128-79 1048230
PROGRAF CAPSULES TACROLIMUS CAPSULES 0.5MG 100/BT RX 00781-2102-01 1138002
PROGRAF CAPSULES TACROLIMUS CAPSULES 1MG 100/BT RX 00781-2103-01 1138004
PROGRAF CAPSULES TACROLIMUS CAPSULES 5MG 100/BT RX 00781-2104-01 1138013
PROLIXIN DECONATE INJ FLUPHENAZINE DECAN INJ MDV 5ML 25MG/ML EACH INJ 63323-0272-05 8708834
PROLIXIN TABS FLUPHENAZINE HCL TABLETS 10MG 100/BT RX 00781-1439-01 1144858
PRONESTYL INJ PROCAINAMIDE HCL INJ MDV 10ML 100MG/ML EACH INJ 00409-1902-01 2587296
PRONESTYL INJ PROCAINAMIDE HCL INJ SDV 2ML 500MG/ML EACH INJ 00409-1903-01 1132836
PROSCAR TABS FINASTERIDE TABLETS 5MG 30/BT RX 65862-0149-30 1119147
PROSCAR TABS FINASTERIDE TABLETS 5MG 100/BT RX 65862-0149-01 1119145
PROSOM TABS ESTAZOLAM TABLETS 2MG 100/BT C4 RX 00093-0130-01 1158118
PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 0.5MG/ML 10/BX INJ 10019-0271-10 1100998
PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 0.5MG/ML 25/BX INJ 00517-0034-25 1029784
Page 32 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 1MG/ML 10/BX INJ 10019-0270-10 1100618
PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 1MG/ML 25/BX INJ 00517-0033-25 1025584
PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 1MG/ML EACH INJ 00517-0033-25 2589609
PROTAMINE INJ PROTAMINE SULFATE INJ SDV 25ML 10MG/ML EACH INJ 63323-0229-30 6037674
PROVENTIL/VENTOLIN LIQU ALBUTEROL NEBULIZED SOLN STERILE 0.083% 25x3ML RX 00487-9501-25 1161818
PROVENTIL/VENTOLIN LIQU ALBUTEROL NEBULIZED SOLN STERILE INDIV WRAP 0.083% 30x3ML RX 00487-9501-01 1161820
PROVENTIL/VENTOLIN LIQU ALBUTEROL NEBULIZED SOLN STERILE 0.083% 60x3ML RX 00487-9501-60 1161819
PROVENTIL/VENTOLIN LIQU ALBUTEROL SULFATE INHAL SOLN 0.5% 20ML/BT RX 24208-0347-20 1154206
PROVENTIL/VENTOLIN LIQU ALBUTEROL SULFATE ORAL SYRUP 2MG/5ML 480ML/BT RX 00603-1008-58 1100688
PROVENTIL/VENTOLIN TABS ALBUTEROL SULFATE TABLETS 2MG 100/BT RX 53489-0176-01 1026364
PROVENTIL/VENTOLIN TABS ALBUTEROL SULFATE TABLETS 4MG 100/BT RX 53489-0177-01 1029444
PROVENTIL/VENTOLIN TABS ALBUTEROL SULFATE TABLETS 4MG 500/BT RX 53489-0177-05 1049449
PROVERA TABS MEDROXYPROGESTERONE ACETATE TABLETS 10MG 100/BT RX 00555-0779-02 3624532
PROVERA TABS MEDROXYPROGESTERONE ACETATE TABLETS 2.5MG 100/BT RX 00555-0872-02 1101057
PROVERA TABS MEDROXYPROGESTERONE ACETATE TABLETS 5MG 100/BT RX 59762-3741-01 1049947
PROZAC CAPS FLUOXETINE HCL CAPSULES 10MG 100/BT RX 65862-0192-01 1145879
PROZAC CAPS FLUOXETINE HCL CAPSULES 20MG 100/BT RX 65862-0193-01 1145517
PROZAC CAPS FLUOXETINE HCL CAPSULES 20MG 500/BT RX 65862-0193-05 1145611
PROZAC CAPS FLUOXETINE HCL CAPSULES 40MG 100/BT RX 65862-0194-01 1140945
PROZAC SOLUTION FLUOXETINE HCL ORAL SOLUTION 20MG/5ML 120ML/BT RX 54838-0523-40 1101050
PROZAC TABS FLUOXETINE HCL TABLETS 10MG 100/BT RX 49884-0734-01 1086982
PROZAC TABS FLUOXETINE HCL TABLETS 10MG 30/BT RX 00093-7188-56 1119195
PROZAC TABS FLUOXETINE HCL TABLETS 20MG 100/BT RX 49884-0735-01 1080939
PSORCON OINT DIFLORASONE OINTMENT 0.05% 15GM/TB RX 00168-0243-15 1088059
PTU TABS PROPYLTHIOURACIL TABLETS 50MG 100/BT RX 00143-1480-01 2485949
PULMICORT SUSPENSION BUDESONIDE INHALATION SUSPENSION 2ML 0.25MG 30/BX RX 00093-6815-73 1162235
PULMICORT SUSPENSION BUDESONIDE INHALATION SUSPENSION 2ML 0.5MG 30/BX RX 00093-6816-73 1142937
PURALUBE OINT PURALUBE PETROLEUM OPHTH OINT 1/8OZ/TB OTC 59390-0198-50 6050059
PYRAZINAMIDE TABS PYRAZINAMIDE TABLETS 500MG 100/BT RX 67253-0660-10 1044048
PYRIDIUM TABS PHENAZOPYRIDINE TABLETS 100MG 100/BT RX 64376-0811-01 1157623
PYRIDIUM TABS PHENAZOPYRIDINE TABLETS 200MG 100/BT RX 64376-0812-01 1157644
QUELICIN SUCCINYLCHOLINE INJ MDV 10ML 20MG/ML EACH RX 00409-6629-02 2950043
QUELICIN INJ SUCCINYLCHOLINE INJ MDV 10ML 20MG/ML 25/BX INJ 00409-6629-02 1046965
QUESTRAN POWDER CHOLESTYRAMINE POWDER CAN 4GM 378GM RX 49884-0465-66 1116263
QUESTRAN POWDER CHOLESTYRAMINE POWDER PACKETS 4GM 60/BX RX 49884-0465-65 4080151
QUINAGLUTE TABS QUINIDINE GLUONATE ER TABLETS 324MG 100/BT RX 00591-5538-01 4080204
QUINIDINE TABS QUINIDINE SULFATE TABLETS 200MG 100/BT RX 00591-5438-01 1101503
QUINIDINE TABS QUINIDINE SULFATE TABLETS 200MG 1000/BT RX 00185-4346-10 1154166
REFRESH PM OINT ARTIFICIAL TEARS OINTMENT
PET WHITE,
LIGHT MIN OIL 3.5GM/TB OTC 00536-6550-91 1147474
REGITINE INJ PHENTOLAMINE MESYLATE INJ LYOPH SDV 2ML 5MG/VL EACH INJ 55390-0113-01 1025231
REGLAN INJ METOCLOPRAMIDE HCL INJ SDV 2ML 5MG/ML 25/BX INJ 00409-3414-01 1146842
REGLAN INJ METOCLOPRAMIDE HCL INJ SDV 2ML 5MG/ML EACH INJ 00409-3414-01 1148940
REGLAN LIQUID METOCLOPRAMIDE HCL ORAL SYRUP 5MG/5ML 480ML/BT RX 54838-0508-80 1136638
REGLAN TABS METOCLOPRAMIDE HCL TABLETS 10MG 100/BT RX 00603-4615-21 4080136
REGLAN TABS METOCLOPRAMIDE HCL TABLETS 10MG 500/BT RX 00603-4615-28 4080137
REGLAN TABS METOCLOPRAMIDE HCL TABLETS 5MG 100/BT RX 00603-4614-21 4080134
RELAFEN TABS NABUMETONE TABLETS 500MG 100/BT RX 00093-1015-01 1024331
RELAFEN TABS NABUMETONE TABLETS 750MG 100/BT RX 68462-0359-01 1146910
REMERON TABS MIRTAZAPINE TABLETS 15MG 30/BT RX 65862-0031-30 1118817
REMERON TABS MIRTAZAPINE TABLETS 30MG 30/BT RX 13107-0003-30 1153576
REMERON TABS MIRTAZAPINE TABLETS 45MG 30/BT RX 13107-0032-30 1154298
RENOVA CREAM TRETINOIN EMOLLIENT CREAM 0.05% 60GM/TB RX 66530-0411-60 1157212
RENOVA GEL TRETINOIN GEL 0.025% 15GM/TB RX 45802-0363-35 1085060
REQUIP TABLETS ROPINIROLE HCL TABLETS 0.5MG 100/BT RX 23155-0122-01 1162101
REQUIP TABLETS ROPINIROLE HCL TABLETS 1MG 100/BT RX 23155-0123-01 1162102
REQUIP TABLETS ROPINIROLE HCL TABLETS 5MG 100/BT RX 23155-0127-01 1162875
RESTORIL CAPS TEMAZEPAM CAPSULES 15MG 100/BT C4 RX 67877-0146-01 1146684
RESTORIL CAPS TEMAZEPAM CAPSULES 15MG 500/BT C4 RX 67877-0146-05 1146632
RESTORIL CAPS TEMAZEPAM CAPSULES 30MG 100/BT C4 RX 67877-0147-01 1146089
RESTORIL CAPS TEMAZEPAM CAPSULES 30MG 500/BT C4 RX 67877-0147-05 1146352
Page 33 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
RETIN-A TRETIN X TRETINOIN 0.1% 35GM/TB RX 14290-0350-97 1147107
RETIN-A CREAM TRETINOIN CREAM 0.025% 20GM/TB RX 45802-0182-02 1088828
RETIN-A CREAM TRETINOIN CREAM 0.025% 45GM/TB RX 45802-0182-42 1083524
RETIN-A CREAM TRETINOIN CREAM 0.05% 20GM/TB RX 45802-0361-02 1083339
RETIN-A CREAM TRETINOIN CREAM 0.05% 45GM/TB RX 45802-0361-42 1080441
RETIN-A CREAM TRETINOIN CREAM 0.1% 20GM/TB RX 45802-0183-02 1088889
RETIN-A CREAM TRETINOIN CREAM 0.1% 45GM/TB RX 45802-0183-42 1116710
REVIA TABS NALTREXONE HCL TABLETS 50MG 30/BT RX 00406-1170-03 1107681
RIFADIN CAPS RIFAMPIN CAPSULES 300MG 30/BT RX 00527-1315-30 4089418
RIFADIN INJ RIFAMPIN INJ LYOPH SDV 30ML 600MG/VL EACH INJ 23360-0051-42 1119751
RIFADIN INJ RIFAMPIN INJ LYOPH SDV 30ML 600MG/VL EACH INJ 55390-0123-01 1155166
RISPERDAL M-TABS RISPERDONE ORALLY DISINTIGRATING TABS 3MG 28/BT RX 49884-0402-91 1135970
RISPERDAL M-TABS RISPERDONE ORALLY DISINTIGRATING TABS 4MG 28/BT RX 49884-0403-91 1135972
RISPERDAL TABLETS RISPERIDONE TABLETS 1MG 60/BT RX 00603-5685-20 1145839
RISPERDAL TABLETS RISPERIDONE TABLETS 2MG 60/BT RX 00603-5686-20 1157468
RITALIN TABS METHYLPHENIDATE TABLETS 10MG 100/BT C2 RX 00406-1122-01 1024647
RITALIN TABS METHYLPHENIDATE TABLETS 20MG 100/BT C2 RX 00406-1124-01 1026137
ROBAXIN TABS METHOCARBAMOL TABLETS 500MG 100/BT RX 00603-4485-21 1118852
ROBAXIN TABS METHOCARBAMOL TABLETS 500MG 500/BT RX 00603-4485-28 1118853
ROBAXIN TABS METHOCARBAMOL TABLETS 750MG 100/BT RX 00603-4486-21 1118854
ROBAXIN TABS METHOCARBAMOL TABLETS 750MG 500/BT RX 00603-4486-28 1118855
ROBINUL INJ GLYCOPYRROLATE INJ SDV 1ML 0.2MG/ML 25/BX INJ 10019-0016-81 1100993
ROBINUL INJ GLYCOPYRROLATE INJ SDV 1ML 0.2MG/ML 25/BX INJ 00517-4601-25 1606703
ROBINUL INJ GLYCOPYRROLATE INJ SDV 2ML 0.2MG/ML 25/BX INJ 10019-0016-17 1084264
ROBINUL INJ GLYCOPYRROLATE INJ MDV 5ML 0.2MG/ML 25/BX INJ 00517-4605-25 1106895
ROBINUL INJ GLYCOPYRROLATE INJ MDV 5ML 0.2MG/ML EACH INJ 00641-0016-36 2480234
ROBINUL INJ GLYCOPYRROLATE INJ MDV 20ML 0.2MG/ML 25/BX INJ 00517-4620-25 1028623
ROBITUSSIN AC LIQUID GUIATUSS AC ORAL SYRUP 10-100/5ML 120ML/BT C5 RX 00603-1075-54 1118721
ROBITUSSIN AC LIQUID GUIATUSS AC ORAL SYRUP 10-100/5ML 480ML/BT C5 RX 00603-1075-58 1089621
ROBITUSSIN CF LIQUID GUAIFENESIN CF ORAL SYRUP 120ML/BT OTC 00113-0516-26 1146528
ROBITUSSIN DAC LIQUID GUIATUSS DAC ORAL SYRUP 100/30/10/5ML 480ML/BT C5 RX 16571-0301-16 1147244
ROBITUSSIN DM LIQUID GUAIFENESIN DM ORAL SYRUP 100/10MG/5ML 4OZ/BT OTC 00603-0855-94 4080021
ROBITUSSIN DM LIQUID GUAIFENESIN DM ORAL SYRUP 100/10MG/5ML 16OZ/BT OTC 00121-0638-16 1138230
ROBITUSSIN DM LIQUID GUAIFENESIN DM ORAL SYRUP 100/10MG/5ML 1GAL OTC 00904-0053-28 1133394
ROBITUSSIN DM SYRUP UD CUPS GUAIFENESIN DM SYRUP UD CUPS 5ML 100/CA OTC 00121-0638-05 1101544
ROBITUSSIN LIQUID GUAIFENESIN ORAL SYRUP 100MG/5ML 4OZ/BT OTC 00603-0857-94 4080022
ROBITUSSIN LIQUID GUAIFENESIN ORAL SYRUP 100MG/5ML 8OZ/BT OTC 00121-0744-08 1118732
ROBITUSSIN LIQUID GUAIFENESIN ORAL SYRUP 100MG/5ML 16OZ/BT OTC 00121-0744-16 1118733
ROCALTROL CAPS CALCITRIOL CAPSULES 0.25MCG 30/BT RX 00054-0007-13 1088286
ROCALTROL CAPS CALCITRIOL CAPSULES 0.25MCG 100/BT RX 00054-0007-25 1082689
ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 250MG/VL 10/BX INJ 68180-0611-10 7840052
ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 250MG/VL EACH INJ 68180-0611-01 7864282
ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 500MG/VL 10/BX INJ 68180-0622-10 7848231
ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 500MG/VL EACH INJ 68180-0622-01 7862424
ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 1GM/VL 10/BX INJ 00409-4282-01 7846100
ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 1GM/VL EACH INJ 68180-0633-01 7847810
ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 2GM/VL 10/BX INJ 68180-0644-10 7848917
ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 2GM/VL EACH INJ 68180-0644-01 7848917
ROGAINE EX STR SOLUTION MINOXIDIL TOPICAL SOLUTION 5% 2x60ML OTC 00472-0094-75 1023678
ROGAINE EX STR SOLUTION MINOXIDIL TOPICAL SOLUTION 5% 60ML/BT OTC 00472-0094-73 1028437
ROGAINE SOLUTION MINOXIDIL TOPICAL SOLUTION MENS 2% 2x60ML OTC 00472-0066-75 1021396
ROGAINE SOLUTION MINOXIDIL TOPICAL SOLUTION MENS 2% 60ML/BT OTC 00472-0066-73 1027613
ROMAZICON INJ FLUMAZENIL INJ MDV 5ML 0.1MG/ML 10/BX INJ 10019-0321-01 1049072
ROMAZICON INJ FLUMAZENIL INJ MDV 5ML 0.1MG/ML EACH INJ 10019-0321-01 2480244
ROMAZICON INJ FLUMAZENIL INJ MDV 10ML 0.1MG/ML 10/BX INJ 55390-0093-10 1155089
ROMAZICON INJ FLUMAZENIL INJ MDV 10ML 0.1MG/ML EACH INJ 10019-0321-62 2583737
ROWASA RECTAL SUSP MESALAMINE RECTAL SUSPENSION 4GM/60ML 7x60ML/BT RX 45802-0098-51 1086657
ROXICODONE TABS OXYCODONE HCL TABLETS 10MG 100/BT C2 RX 10702-0056-01 1148791
ROXICODONE TABS OXYCODONE HCL TABLETS 15MG 100/BT C2 RX 00603-4991-21 1118872
ROXICODONE TABS OXYCODONE HCL TABLETS 20MG 100/BT C2 RX 10702-0057-01 1148792
Page 34 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
ROXICODONE TABS OXYCODONE HCL TABLETS 30MG 100/BT C2 RX 00603-4992-21 1118873
ROXICODONE TABS OXYCODONE HCL TABLETS 5MG 100/BT C2 RX 00603-4990-21 1146808
RYTHMOL TABS PROPAFENONE HCL TABLETS 150MG 100/BT RX 00603-5448-21 1161566
RYTHMOL TABS PROPAFENONE HCL TABLETS 225MG 100/BT RX 00603-5449-21 1084464
SALAGEN TABS PILOCARPINE HCL TABLETS 5MG 100/BT RX 00115-5922-01 1156232
SALINE FLUSH SYRINGE SALINE FLUSH SYRINGE 10ML 0.9% 100/BX INJ 63807-0100-11 2318865
SALINE FLUSH SYRINGE SALINE FLUSH SYRINGE 3ML 0.9% 1000/CA INJ 63807-0100-33 1109342
SALINE INJ NORMAL SALINE INJ PLASTIC BAG 1000ML 0.9% EACH INJ 00409-7983-09 1046816
SANCTURA TABS TROSPIUM HCL TABLETS 20MG 60/BT RX 68462-0461-60 2480327
SANDIMMUNE INJ CYCLOSPORINE INJ SDV 5ML 50MG/ML 10/BX INJ 55390-0122-10 1100667
SANDOSTATIN INJ OCTREOTIDE ACETATE INJ SDV 1ML 100MCG/ML 10/BX INJ 55390-0161-10 1155151
SARNA LOTION CAMPHOR W/ MENTHOL ANTI ITCH LOTION 7.5OZ/BT OTC 54162-0550-07 1100814
SAW PALMETTO CAPS SAW PALMETTO CAPSULES 450MG 100/BT OTC 1043108
SCLEROMATE INJ MORRHUATE SODIUM INJ MDV 30ML 50MG/ML EACH INJ 00517-3065-01 2486829
SCOPE LIQUID MOUTHWASH & GARGLE GREEN 1 LITER/BT OTC 30869-4002-06 1027960
SCOPOLAMINE INJ SCOPOLAMINE HYDROBR INJ MDV 1ML 0.4MG/ML 25/BX INJ 63323-0268-01 8704341
SECTRAL CAPS ACEBUTOLOL HCL CAPSULES 200MG 100/BT RX 65162-0669-10 1131751
SECTRAL CAPS ACEBUTOLOL HCL CAPSULES 400MG 100/BT RX 65162-0670-10 1144556
SELENIUM INJ SELENIUM INJ SDV 10ML 40MCG/ML 25/BX INJ 00517-6510-25 1028088
SELSUN LOTION SELENIUM SULFIDE LOTION/SHAMPOO 2.5% 120ML/BT RX 45802-0040-64 1086274
SENOKOT LIQUID LAXATIVE NATURAL SENNA SYRUP 8OZ/BT OTC 00121-0722-08 1135980
SENOKOT TABS LAXATIVE NATURAL SENNA TABLETS 100/BT OTC 49483-0080-01 1145625
SENOKOT TABS LAXATIVE NATURAL SENNA TABLETS 1000/BT OTC 49483-0080-10 1146094
SERAX CAPS OXAZEPAM CAPSULES 10MG 100/BT C4 RX 00228-2067-10 1101122
SERAX CAPS OXAZEPAM CAPSULES 15MG 100/BT C4 RX 00172-4805-60 1023517
SERAX CAPS OXAZEPAM CAPSULES 30MG 100/BT C4 RX 00228-2073-10 1101123
SERZONE TABS NEFAZODONE HCL TABLETS 200MG 60/BT RX 00093-1025-06 1112948
SERZONE TABS NEFAZODONE HCL TABLETS 250MG 60/BT RX 00093-1026-06 1118501
SILVADENE CREAM SILVER SULFADIAZENE CREAM JAR 1% 400GM/JR RX 67877-0124-40 1107801
SILVADENE CREAM SILVER SULFADIAZENE CREAM JAR 1% 50GM/JR RX 49884-0600-36 2322405
SILVADENE CREAM SILVER SULFADIAZENE CREAM JAR 1% 85GM/JR RX 00591-0810-85 1088492
SILVADENE CREAM SILVER SULFADIAZENE CREAM TUBE 1% 25GM/TB RX 00591-0810-83 4250006
SILVADENE CREAM SILVER SULFADIAZENE CREAM TUBE 1% 85GM/TB RX 49884-0600-85 1126440
SINEMET TABS CARBIDOPA/LEVODOPA TABLETS 10/100MG 100/BT RX 00228-2538-10 4080002
SINEMET TABS CARBIDOPA/LEVODOPA TABLETS 25/100MG 100/BT RX 62756-0518-88 1141956
SINEMET TABS CARBIDOPA/LEVODOPA TABLETS 25/250MG 100/BT RX 62756-0519-88 1146844
SINEMET-CR TABS CARBIDOPA/LEVODOPA ER TABLETS 50/200MG 100/BT RX 00115-3911-01 1155026
SINEQUAN CAPS DOXEPIN HCL CAPSULES 10MG 100/BT RX 00378-1049-01 2480248
SINEQUAN CAPS DOXEPIN HCL CAPSULES 25MG 100/BT RX 00378-3125-01 2480250
SINEQUAN CAPS DOXEPIN HCL CAPSULES 50MG 100/BT RX 00378-4250-01 1145355
SINEQUAN CAPS DOXEPIN HCL CAPSULES 100MG 100/BT RX 00378-6410-01 1152828
SINEQUAN LIQUID DOXEPIN HCL ORAL CONCENTRATE 10MG/ML 120ML/BT RX 00093-9612-12 1119198
SINUS DECON TABS NON-PSEUDO SINUS DEC PHEN HCL TABLETS 100MG 250x1/BX OTC 47682-0809-48 8380008
SINUS DECON TABS NON-PSEUDO SINUS DEC PHEN HCL TABS 100MG 100x1/BX OTC 47682-0809-33 8380009
SINUS DECON TABS NON-PSEUDO SINUS DEC PHEN HCL TABS 100MG 500x1/BX OTC 47682-0809-13 8380007
SINUS PAIN TABS NON-PSEUDO SINUS PAIN & PRESSURE 500MG 125x2/BX OTC 47682-0819-48 8380001
SINUS PAIN TABS NON-PSEUDO SINUS PAIN & PRESSURE 500MG 250x2/BX OTC 47682-0819-13 8380000
SINUS PAIN TABS NON-PSEUDO SINUS PAIN & PRESSURE TABLETS 500MG 50x2/BX OTC 47682-0819-33 8380002
SODIUM ACETATE INJ SODIUM ACETATE INJ SDV 20ML 2MEQ/ML 25/BX INJ 00517-2096-25 1107239
SODIUM BICARB INJ SODIUM BICARB INJ LUER LOK SYRINGE 50ML 7.5% 10/BX INJ 00548-3352-00 1157838
SODIUM BICARB INJ SODIUM BICARB INJ PEDIATRIC SYRINGE 10ML 8.4% 10/BX INJ 00409-4900-34 1047072
SODIUM BICARB INJ SODIUM BICARB INJ PEDIATRIC SYRINGE 10ML 8.4% EACH INJ 00409-4900-34 2488473
SODIUM BICARB INJ SODIUM BICARB INJ SDV 5ML 4% 25/BX INJ 00409-6609-02 2586163
SODIUM BICARB INJ SODIUM BICARB INJ SDV 5ML 4.2% 25/BX INJ 63323-0026-05 1101516
SODIUM BICARB INJ SODIUM BICARB INJ SDV 50ML 7.5% 25/BX INJ 00517-0639-25 2581809
SODIUM BICARB INJ SODIUM BICARB INJ SDV 50ML 8.4% 25/BX INJ 00409-6625-02 1046823
SODIUM BICARB INJ SODIUM BICARB INJ SDV 50ML 8.4% EACH INJ 00409-6625-02 2488109
SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE (ABBOJ LFS) 50ML 8.4% 10/BX INJ 00409-6637-34 1046895
SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE (ABBOJ LFS) 50ML 8.4% EACH INJ 00409-6637-34 2481288
SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE 10ML 4.2% 10/BX INJ 00409-5534-34 1046988
Page 35 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE 10ML 4.2% EACH INJ 00409-5534-34 2487957
SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE 50ML 7.5% 10/BX INJ 00409-4916-34 1047060
SODIUM CHLORIDE INHAL SODIUM CHLORIDE INHALATION NEBULIZER 0.9% 100x3ML RX 00487-9301-03 1161826
SODIUM CHLORIDE INHAL SODIUM CHLORIDE INHALATION NEBULIZER 0.9% 30x3ML RX 00487-9301-33 1161827
SODIUM CHLORIDE INJ SODIUM CHLORIDE FOR IRRIG BOTTLE 500ML 0.9% 24/BX INJ 00409-6138-03 1049665
SODIUM CHLORIDE INJ SODIUM CHLORIDE FOR IRRIGATION 0.9% 12/BX RX 00409-7138-09 1093041
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ 100ML 0.45% 80/CS INJ 00409-7730-37 1117147
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ ADD-VAN 50ML 0.9% 5/BX INJ 00409-7101-66 1047073
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ ADD-VAN 100ML 0.9% 50/BX INJ 00409-7101-67 1049663
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ ADD-VAN 250ML 0.9% 24/BX INJ 00409-7101-02 2586377
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO LF MDV 10ML 0.9% EACH INJ 00409-1966-12 1162590
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO LF MDV 10ML 0.9% 25/BX INJ 00409-1966-12 1046851
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO MDV 10ML 0.9% EACH INJ 00409-1966-04 2480246
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO MDV 30ML 0.9% 25/BX INJ 00409-1966-07 1048583
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO MDV 30ML 0.9% EACH INJ 00409-1966-07 2580040
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ GLASS BOTTLE 250ML 0.9% 12/BX INJ 00409-1583-02 1047047
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ LIFECARE BAG 250ML 0.9% 24/BX INJ 00409-7983-02 1049523
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 2ML 0.9% 25/BX INJ 00409-2102-02 1100637
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 5ML 0.9% 25/BX INJ 00409-2102-05 2486689
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 100ML 0.9% 16x25/BX INJ 63323-0186-00 1093359
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 10ML 0.9% 25/BX INJ 00409-4888-10 1049943
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 10ML 0.9% EACH INJ 00409-4888-10 2484457
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 10ML GLASS 0.9% 25/BX INJ 00517-2810-25 1146695
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 20ML 0.9% 25/BX INJ 00409-4888-20 1048688
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 20ML 0.9% EACH INJ 00409-4888-20 1816472
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 30ML 23.4% 25/BX INJ 00517-2930-25 1025956
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 30ML 23.4% EACH INJ 63323-0187-30 3238156
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 50ML 0.9% 25/BX INJ 00409-4888-50 1046989
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 50ML 0.9% EACH INJ 00409-4888-50 2482785
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV PF 20ML 14.6% 25/BX INJ 00409-6657-73 1047065
SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SYRINGE 5ML 0.9% 25/BX INJ 00409-1918-35 2582959
SODIUM CHLORIDE/PHENOL INJ SODIUM CHLORIDE W/PHENOL INJ 30ML 0.9% 25/BX INJ 5457500101 7867217
SODIUM CLORIDE INJ SODIUM CHLORIDE FOR IRRIG BAG 250ML 0.9% 1/BG RX 00409-7983-02 2950041
SODIUM CLORIDE IRRIG SODIUM CHLORIDE FOR IRRIG BOTTLE 1000ML 0.9% 1/BT RX 00409-7138-09 2950042
SODIUM SULAMYD SOLN SULFACETAMIDE SODIUM OPHTH SOLUTION 10% 15ML/BT RX 24208-0670-04 1148423
SODIUM THIOSULFATE INJ SODIUM THIOSULFATE INJ SDV 10ML 10% 5/BX INJ 00517-1019-05 1074040
SODIUM THIOSULFATE INJ SODIUM THIOSULFATE INJ SDV 50ML 25% EACH INJ 00517-5019-01 6596968
SODIUMCHLORIDE INJ SODIUM CHLORIDE INJ SYRINGE PF 10ML 0.9% 400/CS INJ 00409-1078-20 1144594
SOLAQUIN FORTE HYDROQUINONE CREAM W/SUNSCREEN JAR 4%/SPF15 1OZX12/BX RX 45802-0984-64 1124386
SOLAQUIN FORTE HYDROQUINONE WITH SUNSCREENS 4% 30GM/TB RX 45802-0975-64 1126895
SOLU-MEDROL ACTIVIAL METHYLPREDNISOLONE SOD SUCC INJ UNIVIAL 1ML 40MG/ML 10/BX INJ 00409-5684-23 1137827
SOMA TABS CARISOPRODOL TABLETS 350MG 100/BT RX 00603-2582-21 1078393
SOMA TABS CARISOPRODOL TABLETS 350MG 500/BT RX 00603-2582-28 1078989
SOMA TABS CARISOPRODOL TABLETS 350MG 1000/BT RX 00603-2582-32 1133188
SONATA CAPSULES ZALEPLON CAPSULES 5MG 100/BT C4 RX 29300-0131-01 1154592
SONATA CAPSULES ZALEPLON CAPSULES 10MG 100/BT C4 RX 29300-0132-01 1158673
SPECTAZOLE CREAM ECONAZOLE NITRATE CREAM 1% 15GM/TB RX 45802-0466-35 1081903
SPECTAZOLE CREAM ECONAZOLE NITRATE CREAM 1% 30GM/TB RX 45802-0466-11 1083163
SPECTAZOLE CREAM ECONAZOLE NITRATE CREAM 1% 85GM/TB RX 45802-0466-53 1101027
SPORANOX CAPS ITRACONAZOLE CAPSULES 100MG 30/BT RX 10147-1700-03 1161650
STADOL BUTORPHANOL TARTRATE INJ SDV 1ML 2MG/ML EACH C4 INJ 05539-0184-01 2950034
STADOL INJ BUTORPHANOL TARTRATE INJ SDV 1ML 1MG/ML 10/BX C4 INJ 00409-1623-01 1118849
STADOL INJ BUTORPHANOL TARTRATE INJ SDV 1ML 2MG/ML 10/BX C4 INJ 00409-1626-01 1139785
STADOL INJ BUTORPHANOL TARTRATE INJ SDV 2ML 2MG/ML 10/BX C4 INJ 00409-1626-02 1146345
STADOL INJ BUTORPHANOL TARTRATE INJ MDV 10ML 2MG/ML EACH C4 INJ 55390-0185-10 1049796
STADOL INJ BUTORPHANOL TARTRATE NASAL SPRAY 10MG/ML 2.5ML/BT C4 RX 00054-3090-36 1025662
STERILE, WATER INJ WATER FOR INJ SDV STERILE 100ML STERILE EACH INJ 00409-4887-99 2584971
STRESS TABS STRESS FORMULA TABLETS 60/BT OTC 1043165
STRESS TABS W/IRON STRESS FORMULA W/IRON TABLETS 60/BT OTC 1081634
STRESS TABS W/ZINC STRESS FORMULA 500 W/ZINC TABLETS 60/BT OTC 1046754
Page 36 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
STUART NATAL OLD FORM TABS PRENATAL TABLETS OLD FORMULA LOWER DOSE 100/BT OTC 00904-5313-60 1158742
STUART PRENATAL TABS PRENATAL TABLETS 100/BT OTC 4568856
STUARTNATAL PLUS TABS PRENATAL PLUS TABLETS 100/BT OTC 65162-0668-10 1119254
SUBLIMAZE INJ FENTANYL CITRATE INJ AMPULES 2ML 50MCG/ML 10/BX C2 INJ 00409-9093-32 1046530
SUBLIMAZE INJ FENTANYL CITRATE INJ AMPULES 5ML 50MCG/ML 10/BX C2 INJ 00409-9093-35 1046535
SUBLIMAZE INJ FENTANYL CITRATE INJ AMPULES 20ML 50MCG/ML 5/BX C2 INJ 10019-0035-74 1101435
SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 2ML 50MCG/ML 25/BX C2 INJ 00409-9094-22 1046538
SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 5ML 50MCG/ML 25/BX C2 INJ 00409-9094-25 1046541
SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 10ML 50MCG/ML 25/BX C2 INJ 00409-9094-28 1046542
SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 20ML 50MCG/ML 25/BX C2 INJ 00409-9094-31 1106559
SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 50ML 50MCG/ML EACH C2 INJ 10019-0037-83 1042322
SUBLIMAZE INJ FENTANYL CITRATE INJ SYRINGE (CARPJCT) 2ML 50MCG/ML 10/BX C2 INJ 00409-1276-32 1047851
SUDAFED PED LIQUID PSEUDOEPHEDRINE HCL ORAL LIQUID 30MG/5ML 4OZ/BT OTC 00121-0421-04 1313421
SUDAFED TABS PSEUDOEPHEDRINE HCL TABLETS 30MG 24/BX OTC 45802-0432-62 1147086
SUN TAN LOTION SPF15 SUN TAN LOTION SPF15 4OZ/BT OTC 79608-0030-42 1155549
SUN TAN LOTION SPF30 SUN TAN LOTION SPF30 4OZ/BT OTC 79608-0030-41 1155401
SURFAK CAPS DOCUSATE CALCIUM CAPSULES 240MG 100/BT OTC 57896-0424-01 1082393
SURGEONS SKIN SECRET SURGEONS SKIN SECRET 4OZ 4OZ/BT OTC 1021185
SWIM-EAR DROPS SWIM-EAR OTIC DROPS 1OZ/BT OTC 00168-0126-91 1136949
SYMMETREL CAPS AMANTADINE HCL CAPSULES 100MG 100/BT RX 00527-1704-01 1118883
SYMMETREL LIQUID AMANTADINE HCL ORAL SYRUP 50MG/5ML 480ML/BT RX 00121-0646-16 4080028
SYNALAR CREAM FLUOCINOLONE ACETONIDE CREAM 0.01% 15GM/TB RX 00168-0058-15 1028968
SYNALAR CREAM FLUOCINOLONE ACETONIDE CREAM 0.01% 60GM/TB RX 00168-0058-60 4726258
SYNALAR CREAM FLUOCINOLONE ACETONIDE CREAM 0.025% 15GM/TB RX 00168-0060-15 4726372
SYNALAR CREAM FLUOCINOLONE ACETONIDE CREAM 0.025% 60GM/TB RX 00168-0060-60 1026358
SYNALAR OINT FLUOCINOLONE ACETONIDE OINTMENT 0.025% 15GM/TB RX 00168-0064-15 1087055
SYNALAR OINT FLUOCINOLONE ACETONIDE OINTMENT 0.025% 60GM/TB RX 00168-0064-60 1026963
SYNALAR SOLUTION FLUOCINOLONE ACETONIDE SOLUTION 0.01% 60ML/BT RX 00168-0059-60 1024358
TAGAMET SOL CIMETIDINE ORAL SOLUTION 300MG/5ML 240ML/BT RX 00121-0649-08 4080029
TAGAMET SOL CIMETIDINE ORAL SOLUTION 300MG/5ML 480ML/BT RX 00121-0649-16 1048956
TAGAMET TABS CIMETIDINE TABLETS 300MG 100/BT RX 00172-7117-60 1011834
TAGAMET TABS CIMETIDINE TABLETS 300MG 500/BT RX 00093-8192-05 1162710
TAGAMET TABS CIMETIDINE TABLETS 400MG 100/BT RX 00172-7171-60 1047269
TAGAMET TABS CIMETIDINE TABLETS 400MG 500/BT RX 00093-8204-05 3210051
TAGAMET TABS CIMETIDINE TABLETS 800MG 100/BT RX 00172-7711-60 1042638
TAMBOCOR TABS FLECAINIDE ACETATE TABLETS 100MG 100/BT RX 63304-0795-01 1147871
TAPAZOLE TABS METHIMAZOLE TABLETS 10MG 100/BT RX 49884-0641-01 1138371
TAPAZOLE TABS METHIMAZOLE TABLETS 5MG 100/BT RX 49884-0640-01 1138372
TAVIST TABS CLEMASTINE TABLETS 1.34MG 100/BT OTC 00781-1358-01 4252001
TAVIST TABS CLEMASTINE TABLETS 2.68MG 100/BT RX 00781-1359-01 4252101
TAXOL INJ PACLITAXEL INJ MDV 100MG/16.7ML 6MG/ML EACH INJ 61703-0342-22 1045481
TAXOL INJ PACLITAXEL INJ MDV 300MG/50ML 6MG/ML EACH INJ 61703-0342-50 1047809
TAXOL INJ PACLITAXEL INJ MDV 30MG/5ML 6MG/ML EACH INJ 61703-0342-09 1046379
TEARS NATURALE ARTIFICIAL TEARS ISOTONIC LIQUID (BOXED) 0.5OZ/BT OTC 00904-5018-35 1026515
TEGRETOL LIQUID CARBAMAZEPINE ORAL SUSPENSION 100MG/5ML 450ML/BT RX 51672-4047-09 1085512
TEGRETOL TABS CARBAMAZEPINE TABLETS 200MG 100/BT RX 00093-0109-01 1100882
TEGRETOL TABS CARBAMAZEPINE TABLETS 200MG 500/BT RX 51672-4005-02 1137164
TEGRETOL TABS CARBAMAZEPINE TABLETS 200MG 1000/BT RX 00093-0109-10 1118807
TEGRETOL XR TABS CARBAMAZEPINE XR TABLETS 200MG 100/BT RX 00781-5087-01 1138780
TEGRETOL XR TABS CARBAMAZEPINE XR TABLETS 400MG 100/BT RX 00781-5088-01 1138781
TEMOVATE CREAM CLOBETASOL PROPIONATE CREAM 0.05% 15GM/TB RX 00168-0163-15 1020039
TEMOVATE CREAM CLOBETASOL PROPIONATE CREAM 0.05% 30GM/TB RX 00168-0163-30 1133798
TEMOVATE CREAM CLOBETASOL PROPIONATE CREAM 0.05% 45GM/TB RX 00168-0163-46 1026525
TEMOVATE E CREAM CLOBETASOL PROPIONATE CREAM(EMOLLIENT) 0.05% 15GM/TB RX 00168-0301-15 1084565
TEMOVATE GEL CLOBETASOL PROPIONATE GEL 0.05% 15GM/TB RX 45802-0925-14 1106617
TEMOVATE OINT CLOBETASOL PROPIONATE OINTMENT 0.05% 30GM/TB RX 00168-0162-30 1024518
TEMOVATE OINT CLOBETASOL PROPIONATE OINTMENT 0.05% 45GM/TB RX 00168-0162-46 1025133
TEMOVATE OINT CLOBETASOL PROPIONATE OINTMENT 0.05% 60GM/TB RX 00168-0162-60 1107642
TEMOVATE SOLUTION CLOBETASOL PROPIONATE TOPICAL SOLUTION 0.05% 25ML/BT RX 60432-0133-25 1100881
TEMOVATE SOLUTION CLOBETASOL PROPIONATE TOPICAL SOLUTION 0.05% 50ML/BT RX 60432-0133-50 1147543
Page 37 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
TENEX TABS GUANFACINE TABLETS 2MG 100/BT RX 00591-0453-01 4080194
TENORETIC TABS ATENOLOL/CHLORTHALIDONE TABLETS 50/25MG 100/BT RX 00591-5782-01 1078976
TENORETIC TABS ATENOLOL/CHLORTHALIDONE TABLETS 100/25MG 100/BT RX 00591-5783-01 1074931
TENORMIN TABS ATENOLOL TABLETS 25MG 100/BT RX 63304-0621-01 1118945
TENORMIN TABS ATENOLOL TABLETS 25MG 1000/BT RX 63304-0621-10 1118949
TENORMIN TABS ATENOLOL TABLETS 50MG 100/BT RX 63304-0622-01 1118950
TENORMIN TABS ATENOLOL TABLETS 50MG 1000/BT RX 63304-0622-10 1118953
TENORMIN TABS ATENOLOL TABLETS 100MG 100/BT RX 63304-0623-01 1118957
TENUATE TABS DIETHYLPROPRION TABLETS 25MG 100/BT C4 RX 00591-0783-01 1028684
TERAZOL CREAM TERCONAZOLE VAGINAL CREAM 0.4% 45GM/TB RX 51672-1304-06 1131863
TERAZOL CREAM TERCONAZOLE VAGINAL CREAM 0.8% 20GM/TB RX 51672-1302-00 1131866
TESSALON PERLES CAPS BENZONATATE CAPSULES 100MG 100/BT RX 67877-0105-01 1145223
TESSALON PERLES CAPS BENZONATATE CAPSULES 200MG 100/BT RX 67877-0106-01 1142722
THEO-DUR TABS THEOPHYLLINE CR TABLETS 100MG 100/BT RX 50111-0483-01 1118347
THEO-DUR TABS THEOPHYLLINE CR TABLETS 100MG 500/BT RX 50111-0483-02 1117338
THEO-DUR TABS THEOPHYLLINE CR TABLETS 200MG 100/BT RX 50111-0482-01 1116854
THEO-DUR TABS THEOPHYLLINE CR TABLETS 200MG 500/BT RX 50111-0482-02 1116274
THEO-DUR TABS THEOPHYLLINE CR TABLETS 300MG 100/BT RX 50111-0459-01 1101497
THEO-DUR TABS THEOPHYLLINE CR TABLETS 300MG 1000/BT RX 50111-0459-03 1117260
THEO-DUR TABS THEOPHYLLINE CR TABLETS 300MG 500/BT RX 50111-0459-02 1115965
THEO-DUR TABS THEOPHYLLINE CR TABLETS 450MG 100/BT RX 50111-0518-01 1101499
THERAGRAN M TABS THERAVITE M DIETARY TABLETS 1000/BT OTC 1080613
THERAGRAN M TABS THERAVITE M PLUS TABLETS 130/BT OTC 1089536
THIOPLEX INJ THIOTEPA INJ LYOPH SDV 2ML 15MG/VL EACH INJ 55390-0030-10 2486309
THORAZINE INJ CHLORPROMAZINE HCL INJ AMP 1ML 50MG/2ML 25/BX INJ 00641-1397-35 1045726
THORAZINE INJ CHLORPROMAZINE HCL INJ AMP 2ML 50MG/2ML 25/BX INJ 00641-1398-35 4218042
THORAZINE TABS CHLORPROMAZINE HCL TABLETS 10MG 100/BT RX 00781-1715-01 1118755
THORAZINE TABS CHLORPROMAZINE HCL TABLETS 25MG 100/BT RX 00781-1716-01 1109953
THORAZINE TABS CHLORPROMAZINE HCL TABLETS 50MG 100/BT RX 00781-1717-01 1118756
THORAZINE TABS CHLORPROMAZINE HCL TABLETS 100MG 100/BT RX 00781-1718-01 1118757
THORAZINE TABS CHLORPROMAZINE HCL TABLETS 200MG 100/BT RX 00781-1719-01 4038401
TIGAN CAPS TRIMETHOBENZAMIDE HCL CAPSULES 300MG 100/BT RX 53489-0376-01 4080170
TIGAN INJ TRIMETHOBENZAMIDE HCL INJ SYRINGE 2ML 100MG/ML 10/BX INJ 00409-1952-02 1085629
TIGAN INJ TRIMETHOBENZAMIDE HCL INJ SYRINGE 2ML 100MG/ML EACH INJ 00409-1952-32 2487958
TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.25% 10ML/BT RX 61314-0226-10 1139879
TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.25% 15ML/BT RX 60758-0802-15 1157568
TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.25% 5ML/BT RX 60505-0552-02 1101511
TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.5% 10ML/BT RX 61314-0227-10 1028115
TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.5% 15ML/BT RX 61314-0227-15 1029018
TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.5% 5ML/BT RX 61314-0227-05 1027357
TIMOPTIC XE GEL TIMOLOL MALEATE OPHTH GEL 0.5% 5ML/BT RX 61314-0225-05 1147926
TINACTIN CREAM TOLNAFTATE CREAM 1% 0.5OZ/TB OTC 51672-2020-01 7406717
TINACTIN CREAM TOLNAFTATE CREAM 1% 1OZ/TB OTC 00713-0292-31 1119734
TINACTIN POWDER TOLNAFTATE DUSTING POWDER 1% 45GM/BT OTC 45802-0034-86 4740880
TINACTIN SOLUTION TOLNAFTATE TOPICAL SOLUTION USP 1% 10ML/BT OTC 45802-0033-85 1081137
TOBRADEX SUSPENSION TOBRAMYCIN/DEXAMETHASONE OPHTH SOLUTION 0.3/0.1% 2.5ML/BT RX 24208-0295-25 1119814
TOBRADEX SUSPENSION TOBRAMYCIN/DEXAMETHASONE OPHTH SOLUTION 0.3/0.1% 5ML/BT RX 24208-0295-05 1119806
TOBREX SOLUTION TOBRAMYCIN OPHTH SOLUTION 0.3% 5ML/BT RX 61314-0643-05 1020707
TOFRANIL TABS IMIPRAMINE HCL TABLETS 10MG 100/BT RX 53489-0330-01 1139087
TOFRANIL TABS IMIPRAMINE HCL TABLETS 25MG 100/BT RX 53489-0331-01 1139861
TOFRANIL TABS IMIPRAMINE HCL TABLETS 50MG 100/BT RX 53489-0332-01 1131684
TOPAMAX TABLETS TOPIRAMATE TABLETS 100MG 60/BT RX 62756-0711-86 1146351
TOPAMAX TABLETS TOPIRAMATE TABLETS 200MG 60/BT RX 13668-0034-60 1147220
TOPAMAX TABLETS TOPIRAMATE TABLETS 25MG 60/BT RX 62756-0707-86 1146494
TOPAMAX TABLETS TOPIRAMATE TABLETS 50MG 1000/BT RX 31722-0279-10 1132768
TOPAMAX TABLETS TOPIRAMATE TABLETS 50MG 60/BT RX 62756-0710-86 1146498
TOPICORT CREAM DESOXIMETASONE CREAM 0.25% 15GM/TB RX 45802-0495-35 4080128
TOPICORT CREAM DESOXIMETASONE CREAM 0.25% 60GM/TB RX 45802-0495-37 4080129
TOPICORT GEL DESOXIMETASONE GEL 0.05% 15GM/TB RX 51672-1261-01 1088471
TOPICORT LP CREAM DESOXIMETASONE CREAM 0.05% 15GM/TB RX 51672-1271-01 1047711
Page 38 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
TOPROL XL TABS METOPROLOL SUCCINATE ER TABLETS 100MG 100/BT RX 49884-0406-01 1129501
TOPROL XL TABS METOPROLOL SUCCINATE ER TABLETS 25MG 100/BT RX 49884-0404-01 1140980
TOPROL XL TABS METOPROLOL SUCCINATE ER TABLETS 50MG 100/BT RX 49884-0405-01 1105387
TORADOL INJ KETOROLAC INJ MDV 10ML 30MG/ML 10/BX INJ 55390-0481-10 1049399
TORADOL INJ KETOROLAC INJ SDV 1ML 15MG/ML 25/BX INJ 00409-3793-01 1049907
TORADOL INJ KETOROLAC INJ SDV 1ML 30MG/ML 10/BX INJ 64679-0758-04 1145675
TORADOL INJ KETOROLAC INJ SDV 1ML 30MG/ML 25/BX INJ 00409-3795-01 1049908
TORADOL INJ KETOROLAC INJ SDV 1ML 30MG/ML EACH INJ 00409-3795-01 2589639
TORADOL INJ KETOROLAC INJ SDV 2ML 30MG/ML 10/BX INJ 64679-0758-06 1157574
TORADOL INJ KETOROLAC INJ SDV 2ML 30MG/ML 25/BX INJ 00409-3796-01 1049909
TORADOL INJ KETOROLAC INJ SYRINGE (ISECURE) 1ML 15MG/ML 10/BX INJ 00409-2288-21 1108304
TORADOL INJ KETOROLAC INJ SYRINGE (CRPJT) 1ML 30MG/ML 10/BX INJ 00409-2287-31 1046866
TORADOL INJ KETOROLAC INJ SYRINGE (CRPJT) 2ML 30MG/ML 10/BX INJ 00409-2287-61 1049156
TORADOL INJ KETOROLAC INJ SYRINGE (ISECURE) 1ML 30MG/ML 10/BX INJ 00409-2287-21 1101875
TORADOL INJ KETOROLAC INJ SYRINGE (ISECURE) 2ML 30MG/ML 10/BX INJ 00409-2287-22 1109389
TORADOL TABS KETOROLAC TABLETS 10MG 100/BT RX 00093-0314-01 3210045
TRACRIUM INJ ATRACURIUM BESYLATE INJ MDV 10ML 10MG/ML 10/BX INJ 55390-0103-10 1077375
TRACRIUM INJ ATRACURIUM BESYLATE INJ SDV 5ML 10MG/ML 10/BX INJ 55390-0102-05 1077389
TRANSDERM-NITRO NITROGLYCERIN TRANSDERMAL PATCH 0.2MG 30/BX RX 49730-0111-30 1118775
TRANSDERM-NITRO NITROGLYCERIN TRANSDERMAL PATCH 0.4MG 30/BX RX 00904-5496-46 1046578
TRANSDERM-NITRO NITROGLYCERIN TRANSDERMAL PATCH 0.6MG 30/BX RX 00904-5497-46 1045191
TRANXENE TABS CLORAZEPATE DIPOTASSIUM TABLETS 3.75MG 100/BT C4 RX 63304-0552-01 1089498
TRANXENE TABS CLORAZEPATE DIPOTASSIUM TABLETS 7.5MG 100/BT C4 RX 63304-0553-01 1049272
TRANXENE TABS CLORAZEPATE DIPOTASSIUM TABLETS 15MG 100/BT C4 RX 63304-0554-01 4080215
TRENTAL TABS PENTOXIFYLLINE ER TABLETS 400MG 100/BT RX 00093-5116-01 1021162
TREXALL TABS METHOTREXATE SODIUM TABLETS 2.5MG 100/BT RX 67253-0320-10 1148669
TRICOR TABS FENOFIBRATE TABLETS 54MG 90/BT RX 00115-5511-10 1155057
TRICOR TABS FENOFIBRATE TABLETS 160MG 90/BT RX 00115-5522-10 1156230
TRIDESILON CREAM DESONIDE CREAM 0.05% 15GM/TB RX 45802-0422-35 4080121
TRIDESILON CREAM DESONIDE CREAM 0.05% 60GM/TB RX 45802-0422-37 4080122
TRIDESILON OINT DESONIDE OINTMENT 0.05% 15GM/TB RX 00168-0309-15 1082682
TRILEPTAL TABS OXCARBAZEPINE TABLETS 300MG 100/BT RX 62756-0184-88 1085681
TRILISATE LIQUID CHOLINE/ MAGNESIUM TRISAL ORAL LIQUID 500 MG 240ML/BT RX 54838-0522-70 1162022
TRIMPEX TABS TRIMETHOPRIM TABLETS 100MG 100/BT RX 00591-5571-01 4064901
TRIPHASIL 28 DAY TABS LEVONORGESTREL/ETHINYL ESTRADIOL OC TABLETS 6x28 RX 00555-9047-58 1146915
TRI-VI-FLOR DROPS TRI-VITAMIN/FLUORIDE ORAL DROPS 0.25MG 50ML/BT RX 50383-0637-50 1117842
TRI-VI-SOL DROPS TRI-VITAMIN ORAL DROPS 50ML/BT OTC 50383-0635-50 4704057
TRUSOPT DORZOLAMIDE HCL OPHTH SOLUTION 2% 10ML/BT RX 50383-0232-10 1119320
TUCKS PADS HYGIENIC CLEANSING PADS 100/BX OTC 00713-0308-98 1147201
TUMS ORIGINIAL TABS CALCIUM CARB CHEW TABLETS (WINTERGR FLAV) 500MG 150/BT OTC 00904-1257-92 4241862
TUMS TABS ALCALAK ANTACID TABLETS 420MG 50x2/BX OTC 47682-0101-33 1512857
TUMS TABS ALCALAK ANTACID TABLETS 420MG 250x2/BX OTC 1517218
TUMS TABS ALCALAK ANTACID TABLETS 420MG 250x2/BX OTC 47682-0101-13 1518093
TUMS TABS ALCALAK ANTACID TABLETS 420MG 100x2/BX OTC 47682-0101-47 8310564
TUMS TABS CALCIUM CARB CHEW TABLETS (ASST FLAV) 500MG 150/BT OTC 57896-0763-15 1106336
TUMS TABS CALCIUM CARB CHEW TABLETS (CHERRY FLAV) 500MG 150/BT OTC 57896-0763-15 1106336
TUSSI-ORGANIDIN NR LIQU GUAIFENESIN W/CODEINE ORAL LIQUID AF/SF 480ML/BT C5 RX 00603-1329-58 1082751
TYLENOL CAPLETS ACETAMINOPHEN CAPLETS 500MG 1000/BT OTC 00904-1983-80 1135759
TYLENOL CAPLETS ACETAMINOPHEN CAPLETS 500MG 100/BT OTC 00904-1983-59 1145435
TYLENOL CHILDRENS ACETAMINOPHEN CHEW TABLETS FRUIT 80MG 30/BT OTC 00536-3233-07 1162317
TYLENOL DROPS ACETAMINOPHEN ORAL DROPS INFANT 15ML/BT OTC 54838-0145-15 1023072
TYLENOL ELIXIR ACETAMINOPHEN ORAL ELIXIR 160MG/5ML 4OZ/BT OTC 00603-0839-94 1100687
TYLENOL ELIXIR ACETAMINOPHEN ORAL ELIXIR 160MG/5ML 16OZ/BT OTC 57896-0109-16 1158484
TYLENOL PED LIQUID ACETAMINOPHEN ORAL SUSPENSION PEDIATRIC 80MG/2.5ML 120ML/BT OTC 00603-0841-54 1089026
TYLENOL PM CAPLETS XS ACETAMINOPHEN PM CAPLETS 500MG 50/BT OTC 57896-0224-05 1100638
TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES ADULT 650MG 50/BX OTC 00713-0165-50 1146880
TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES ADULT 325MG 50/BX OTC 00713-0164-50 1153500
TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES ADULT 325MG 12/BX OTC 00713-0164-12 4215698
TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES ADULT 650MG 12/BX OTC 45802-0730-30 4724812
TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES PEDIATRIC 120MG 100/BX OTC 45802-0732-33 1088998
Page 39 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES PEDIATRIC 120MG 12/BX OTC 00713-0118-12 1161379
TYLENOL TABS ACETAMINOPHEN TABLETS EXTRA STRENGTH 500MG 100/BT OTC 57896-0201-01 1025307
TYLENOL TABS ACETAMINOPHEN TABLETS EXTRA STRENGTH 500MG 1000/BT OTC 57896-0201-10 1025308
TYLENOL TABS ACETAMINOPHEN TABLETS REG STRENGTH 325MG 100/BT OTC 57896-0101-01 1137869
TYLENOL TABS ACETAMINOPHEN TABLETS REG STRENGTH 325MG 1000/BT OTC 00603-0263-32 1146196
TYLENOL TABS ACETAMINOPHEN TABLETS REG STRENGTH 325MG 125x2/BX OTC 9004689
TYLENOL TABS ACETAMINOPHEN TABLETS REG STRENGTH 325MG 250x2/BX OTC 47682-0145-13 1006861
TYLENOL TABS NON-ASPIRIN TABLETS MEDI-FIRST 325MG 250x2/BX OTC 47682-0803-13 1511929
TYLENOL W/COD LIQUID APAP/CODEINE ORAL ELIXIR 120/12MG/5ML 120ML/BT C5 RX 00121-0504-04 1048935
TYLENOL W/COD LIQUID APAP/CODEINE ORAL ELIXIR 120/12MG/5ML 480ML/BT C5 RX 50383-0079-16 1118485
TYLENOL XS GELCAPS ACETAMINOPHEN GELCAPS 500MG 100/BT OTC 57896-0251-01 1108964
TYLENOL XS TABS ACETAMINOPHEN TABLETS EXTRA STRENGTH 500MG 250x2/BX OTC 9004690
TYLENOL XS TABS NON-ASPIRIN X-STR TABS MEDI-FIRST 500MG 250x2/BX OTC 47682-0804-13 1512564
TYLENOL/CODEINE #2 TABS APAP/CODEINE TABLETS 300/15MG 100/BT C3 RX 00093-0050-01 1119178
TYLENOL/CODEINE #3 TABS APAP/CODEINE TABLETS 300/30MG 100/BT C3 RX 00603-2338-21 1100689
TYLENOL/CODEINE #3 TABS APAP/CODEINE TABLETS 300/30MG 1000/BT C3 RX 00603-2338-32 1100690
TYLENOL/CODEINE #3 TABS APAP/CODEINE TABLETS 300/30MG 10x10UD C3 RX 00406-0484-62 1729459
TYLENOL/CODEINE #3 TABS APAP/CODEINE TABLETS 300/30MG 50/BT C3 RX 00406-0484-50 1100471
TYLENOL/CODEINE #4 TABS APAP/CODEINE TABLETS 300/60MG 100/BT C3 RX 00603-2339-21 1145801
TYLENOL/CODEINE #4 TABS APAP/CODEINE TABLETS 300/60MG 500/BT C3 RX 00603-2339-28 1145800
TYLOX CAPS OXYCODONE HCL/APAP CAPSULES 5/500MG 100/BT C2 RX 00406-0532-01 1107680
ULTANE GAS SEVOFLURANE INHALATION BOTTLE 250ML 100% 6/BX INJ 10019-0651-64 1049687
ULTANE GAS SEVOFLURANE INHALATION BOTTLE 250ML 100% EACH RX 66794-0012-25 1089522
ULTRACET TABS TRAMADOL HCL/APAP TABLETS 37.5/325MG 100/BT RX 00172-6359-60 4080063
ULTRACET TABS TRAMADOL HCL/APAP TABLETS 37.5/325MG 500/BT RX 49884-0946-05 1089848
ULTRAM TABLETS TRAMADOL HCL TABLETS 50MG 10X10/UD RX 00904-6119-61 1154780
ULTRAM TABS TRAMADOL HCL TABLETS 50MG 100/BT RX 65162-0627-10 1100705
ULTRAM TABS TRAMADOL HCL TABLETS 50MG 1000/BT RX 65162-0627-11 1104615
ULTRAM TABS TRAMADOL HCL TABLETS 50MG 500/BT RX 65162-0627-50 1088436
ULTRAVATE CREAM HALOBETASOL PROPIONATE CREAM 0.05% 15GM/TB RX 00713-0640-15 1113970
UNASYN INJ AMPICILLIN/SULBACTAM INJ LYOPH VIAL 10ML 1.5GM/VL 10/BX INJ 10019-0631-01 1049183
UNASYN INJ AMPICILLIN/SULBACTAM INJ LYOPH VIAL 10ML 3GM/VL 10/BX INJ 10139-0071-10 1104521
UNASYN INJ AMPICILLIN/SULBACTAM INJ LYOPH VIAL 100ML 15GM/VL EACH INJ 10019-0632-03 1047853
UNIPEN INJ NAFCILLIN SODIUM INJ STER PWD SDV 20ML 1GM/VL 10/BX INJ 00781-3124-95 8450806
URECHOLINE TABS BETHANECHOL CHLORIDE TABLETS 10MG 100/BT RX 65162-0572-10 1100641
URECHOLINE TABS BETHANECHOL CHLORIDE TABLETS 50MG 100/BT RX 65162-0574-10 1100639
URECHOLINE TABS BETHANECHOL CHLORIDE TABLETS 5MG 100/BT RX 65162-0571-10 1100651
VALISONE CREAM BETAMETHASONE VALERATE CREAM 0.1% 15GM/TB RX 51672-1269-01 1145887
VALISONE CREAM BETAMETHASONE VALERATE CREAM 0.1% 45GM/TB RX 51672-1269-06 1148595
VALISONE LOTION BETAMETHASONE VALERATE LOTION 0.1% 60ML/BT RX 00168-0041-60 4077858
VALISONE OINT BETAMETHASONE VALERATE OINTMENT 0.1% 15GM/TB RX 00472-0371-15 1119207
VALISONE OINT BETAMETHASONE VALERATE OINTMENT 0.1% 45GM/TB RX 00472-0371-45 1156229
VALIUM INJ DIAZEPAM INJ MDV 2ML 5MG/ML EACH C4 INJ 00409-1273-32 2480273
VALIUM INJ DIAZEPAM INJ MDV 10ML 5MG/ML 10/BX C4 INJ 00409-3213-12 1097361
VALIUM INJ DIAZEPAM INJ MDV 10ML 5MG/ML EACH C4 INJ 00409-3213-12 2480274
VALIUM INJ DIAZEPAM INJ SYRINGE (CARPUJECT) 2ML 5MG/ML 10/BX C4 INJ 00409-1273-32 1046560
VALIUM LIQUID DIAZEPAM ORAL CONCENTRATE 5MG/ML 30ML/BT C4 RX 00054-3185-44 1043911
VALIUM TABS DIAZEPAM TABLETS 2MG 100/BT C4 RX 00603-3213-21 4080081
VALIUM TABS DIAZEPAM TABLETS 2MG 500/BT C4 RX 00603-3213-28 4080082
VALIUM TABS DIAZEPAM TABLETS 2MG 1000/BT C4 RX 00591-5621-10 1118919
VALIUM TABS DIAZEPAM TABLETS 5MG 100/BT C4 RX 00603-3214-21 4080083
VALIUM TABS DIAZEPAM TABLETS 5MG 500/BT C4 RX 00603-3214-28 4080084
VALIUM TABS DIAZEPAM TABLETS 5MG 1000/BT C4 RX 00603-3214-32 4080085
VALIUM TABS DIAZEPAM TABLETS 5MG 10x10UD C4 RX 51079-0285-20 1048140
VALIUM TABS DIAZEPAM TABLETS 10MG 100/BT C4 RX 00603-3215-21 4080086
VALIUM TABS DIAZEPAM TABLETS 10MG 500/BT C4 RX 00603-3215-28 1100860
VALIUM TABS DIAZEPAM TABLETS 10MG 1000/BT C4 RX 00603-3215-32 4080087
VALTREX TABLETS VALACYCLOVIR HCL TABLETS 1GM 30/BT RX 63304-0905-30 1142198
VALTREX TABLETS VALACYCLOVIR HCL TABLETS 500MG 30/BT RX 63304-0904-30 1142197
VANCOCIN INJ VANCOMYCIN HCL BULK FTV 5GM/VL EACH INJ 00409-6509-01 1047054
Page 40 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
VANCOCIN INJ VANCOMYCIN HCL INJ ADDVANTAGE VIAL 1GM/VL 10/BX INJ 00409-6535-01 1049621
VANCOCIN INJ VANCOMYCIN HCL INJ FTV LYOPH PWD 30ML 1GM/VL 10/BX INJ 00409-6533-01 1046847
VANCOCIN INJ VANCOMYCIN HCL INJ PBP 100ML 10GM/VL EACH INJ 00409-6510-01 1134820
VANCOCIN INJ VANCOMYCIN HCL INJ SDV LYOPH PWD 10ML 500MG/VL 10/BX INJ 00409-4332-01 1046842
VANCOCIN INJ VANCOMYCIN HCL INJ SDV LYOPH PWD 10ML 500MG/VL EACH INJ 00409-4332-01 2585707
VANCOCIN INJ VANCOMYCIN HCL INJ SDV LYOPH PWD 25ML 750MG/VL 10/BX INJ 00409-6531-02 1134745
VASELINE IC LOTION PETROLATUM IC LOTION 8OZ/BT OTC 1303323
VASELINE IC LOTION PETROLATUM IC TOPICAL LOTION 1GAL OTC 1309407
VASELINE OINT PETROLATUM WHITE 13OZ/TB OTC 52471-0110-13 7091192
VASELINE OINT PETROLATUM WHITE 1OZ/TB OTC 01500-042-28 1145798
VASELINE OINT PETROLATUM WHITE FOILPK 144x5GM OTC 9004791
VASELINE OINT PETROLATUM WHITE JAR 3.75OZ OTC 30869-0620-10 1131489
VASELINE OINT PETROLATUM WHITE TUBE 4OZ/TB OTC 1308307
VASERETIC TABS ENALAPRIL MALEATE/HCTZ TABLETS 5MG/12.5MG 100/BT RX 60505-0208-01 1107073
VASERETIC TABS ENALAPRIL MALEATE/HCTZ TABLETS 10MG/25MG 100/BT RX 60505-0209-01 1146763
VASOCIDIN SOLUTION SULFACETAMIDE SOD/PREDNISOLONE OPHTH SOLN 10%/0.23% 10ML/BT RX 61314-0297-10 1101515
VASOCIDIN SOLUTION SULFACETAMIDE SOD/PREDNISOLONE OPHTH SOLN 10%/0.23% 5ML/BT RX 24208-0317-05 1027182
VASOTEC INJ ENALAPRILAT INJ SDV 1ML 1.25MG/ML EACH INJ 00409-2122-01 1077160
VASOTEC INJ ENALAPRILAT INJ SDV 2ML 1.25MG/ML 25/PK INJ 00703-8411-04 1142493
VASOTEC TABS ENALAPRIL MALEATE TABLETS 2.5MG 100/BT RX 64679-0923-02 1082676
VASOTEC TABS ENALAPRIL MALEATE TABLETS 2.5MG 1000/BT RX 64679-0923-03 1082677
VASOTEC TABS ENALAPRIL MALEATE TABLETS 5MG 100/BT RX 64679-0924-02 1100702
VASOTEC TABS ENALAPRIL MALEATE TABLETS 5MG 1000/BT RX 64679-0924-03 4080230
VASOTEC TABS ENALAPRIL MALEATE TABLETS 10MG 100/BT RX 64679-0925-02 1100703
VASOTEC TABS ENALAPRIL MALEATE TABLETS 10MG 1000/BT RX 64679-0925-03 4080231
VASOTEC TABS ENALAPRIL MALEATE TABLETS 20MG 100/BT RX 64679-0926-02 1100704
VASOTEC TABS ENALAPRIL MALEATE TABLETS 20MG 1000/BT RX 64679-0926-03 4080232
VELBAN INJ VINBLASTINE SULFATE INJ MDV 10ML 1MG/ML EACH INJ 63323-0278-10 1043182
VEPESID INJ ETOPOSIDE INJ MDV 5ML 20MG/ML EACH INJ 55390-0291-01 1100668
VEPESID INJ ETOPOSIDE INJ MDV 25ML 20MG/ML EACH INJ 55390-0292-01 2480272
VEPESID INJ ETOPOSIDE INJ MDV 50ML 20MG/ML EACH INJ 55390-0293-01 1155164
VERMOX TABS MEBENDAZOLE CHEWABLE TABLETS 100MG 2x6/PK RX 00093-9107-29 1101116
VERSED MIDAZOLAM HCL INJ SDV 2ML 5MG/ML 1/VL C4 00409-2308-02 2950039
VERSED MIDAZOLAM HCL INJ SYRINGE (CRPJCT LL) 2ML 1MG/ML EACH C4 00409-2306-62 2950038
VERSED INJ MIDAZOLAM HCL INJ MDV 10ML 1MG/ML 10/BX C4 INJ 00409-2587-05 1046569
VERSED INJ MIDAZOLAM HCL INJ MDV 10ML 5MG/ML 10/BX C4 INJ 10019-0027-10 2090004
VERSED INJ MIDAZOLAM HCL INJ MDV 2ML 1MG/ML 25/BX C4 INJ 63323-0411-12 1045801
VERSED INJ MIDAZOLAM HCL INJ MDV 2ML 5MG/ML 10/BX C4 INJ 63323-0412-02 1045700
VERSED INJ MIDAZOLAM HCL INJ MDV 5ML 1MG/ML 10/BX C4 INJ 10019-0028-05 1028343
VERSED INJ MIDAZOLAM HCL INJ MDV 5ML 5MG/ML 10/BX C4 INJ 00409-2596-03 1046571
VERSED INJ MIDAZOLAM HCL INJ SDV 1ML 5MG/ML 10/BX C4 INJ 10019-0027-06 1148264
VERSED INJ MIDAZOLAM HCL INJ SDV 1ML 5MG/ML EACH INJ 00409-2308-01 2480299
VERSED INJ MIDAZOLAM HCL INJ SDV 2ML 1MG/ML 10/BX C4 INJ 10019-0028-01 1148265
VERSED INJ MIDAZOLAM HCL INJ SDV 2ML 1MG/ML 25/BX C4 INJ 00409-2305-17 2580101
VERSED INJ MIDAZOLAM HCL INJ SDV 2ML 5MG/ML 10/BX C4 INJ 00409-2308-02 1046570
VERSED INJ MIDAZOLAM HCL INJ SDV 5ML 1MG/ML 10/BX C4 INJ 00409-2305-05 1048901
VERSED INJ MIDAZOLAM HCL INJ SYRINGE (CRPJCT LL) 1ML 5MG/ML 10/BX C4 INJ 00409-2307-60 1105110
VERSED INJ MIDAZOLAM HCL INJ SYRINGE (ISCURE) 1ML 5MG/ML 10/BX C4 INJ 00409-2307-21 1105947
VERSED LIQUID MIDAZOLAM HCL ORAL SYRUP 2MG/ML 118ML/BT C4 RX 63304-0205-18 4080210
VIBRAMYCIN CAPS DOXYCYCLINE HYCLATE CAPSULES 50MG 50/BT RX 53489-0118-02 1023250
VIBRAMYCIN CAPS DOXYCYCLINE HYCLATE CAPSULES 100MG 50/BT RX 00143-3142-50 1137413
VIBRAMYCIN CAPS DOXYCYCLINE HYCLATE CAPSULES 100MG 500/BT RX 00143-3142-05 1048979
VIBRAMYCIN INJ DOXYCYCLINE HYCLATE INJ LYOPH SDV 100MG/VL 10/BX INJ 63323-0130-11 3750002
VIBRA-TAB 100MG DOXYCYCLINE HYCLATE TABLETS 100MG 50/BT RX 53489-0120-02 4206350
VIBRA-TAB 100MG DOXYCYCLINE HYCLATE TABLETS 100MG 500/BT RX 00143-2112-05 1046364
VICODIN ES TABS HYDROCODONE/APAP TABLETS 7.5/750MG 100/BT C3 RX 00406-0360-01 1023724
VICODIN ES TABS HYDROCODONE/APAP TABLETS 7.5/750MG 500/BT C3 RX 00406-0360-05 1023093
VICODIN HP TABS HYDROCODONE/APAP TABLETS 10/660MG 100/BT C3 RX 00603-3886-21 1049394
VICODIN TABS HYDROCODONE/APAP TABLETS 5/500MG 100/BT C3 RX 00603-3881-21 1083491
VICODIN TABS HYDROCODONE/APAP TABLETS 5/500MG 10x10UD C3 RX 00406-0357-62 1046484
Page 41 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
VICODIN TABS HYDROCODONE/APAP TABLETS 5/500MG 500/BT C3 RX 00603-3881-28 1118839
VICON FORTE CAPS THERAPEUTIC VITAMIN/MINERAL CAPSULES 100/BT RX 00603-6381-21 1118962
VICOPROFEN TABS HYDROCODONE/IBUPROFEN TABLETS 7.5/200MG 100/BT C3 RX 00603-3897-21 4080092
VI-DAYLIN LIQUID DAILYVITE LIQUID 8OZ 24/CA OTC 54838-0008-70 1084246
VISINE DROPS TETRAHYDROZOLINE HCL DROPS 5% 15ML/BT OTC 00536-0940-94 1148624
VISKEN TABS PINDOLOL TABLETS 10MG 100/BT RX 00378-0127-01 1087238
VISKEN TABS PINDOLOL TABLETS 5MG 100/BT RX 00378-0052-01 1089958
VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 25MG 100/BT RX 00591-0800-01 1100681
VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 25MG 500/BT RX 00591-0800-05 4080197
VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 50MG 100/BT RX 00591-0801-01 1100682
VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 50MG 500/BT RX 00591-0801-05 1027195
VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 100MG 100/BT RX 00555-0324-02 1105651
VITAMIN A CAPS VITAMIN A NATURAL CAPSULES 10M IU 100/BT OTC 66386-0115-50 1141752
VITAMIN B1 INJ THIAMINE HCL INJ MDV 2ML 100MG/ML 25/BX INJ 63323-0013-02 1029045
VITAMIN B-1 TABLETS VITAMIN B-1 TABLETS 100MG 100/BT OTC 1047268
VITAMIN B1 TABS THIAMINE HCL TABLETS 100MG 100/BT OTC 1047268
VITAMIN B12 TABS CYANOCOBALAMIN TABLETS 250MCG 100/BT OTC 1044342
VITAMIN B12 TABS CYANOCOBALAMIN TABLETS 500MCG 100/BT OTC 4561510
VITAMIN B6 INJ PYRIDOXINE HCL INJ (VITB6) IML VIAL 100MG/M 25/BX INJ 63323-0180-01 8703928
VITAMIN B6 TABS PYRIDOXINE HCL TABLETS 100MG 100/BT OTC 4561503
VITAMIN B6 TABS PYRIDOXINE HCL TABLETS 50MG 100/BT OTC 1021501
VITAMIN B6 TABS PYRIDOXINE HCL TABLETS 50MG 1000/BT OTC 4565107
VITAMIN C CHEWABLE TABS VITAMIN C CHEWABLE TABLETS 250MG 100 OTC 66360-3287-16 4560001
VITAMIN C TABS ASCORBIC ACID TABLETS 250MG 100/BT OTC 57896-0831-01 1141751
VITAMIN C TABS ASCORBIC ACID TABLETS 500MG 100/BT OTC 57896-0841-01 1146346
VITAMIN C TABS ASCORBIC ACID TABLETS 500MG 1000/BT OTC 57896-0841-10 8405692
VITAMIN C TABS ASCORBIC ACID TABLETS 500MG 250/BT OTC 4567436
VITAMIN C TABS ASCORBIC ACID TABLETS 1000MG 100/BT OTC 1049058
VITAMIN C TABS ASCORBIC ACID TR W/ROSE HIPS TABLETS 500MG 100/BT OTC 1044282
VITAMIN C TABS ASCORBIC ACID TR W/ROSE HIPS TABLETS 1000MG 60/BT OTC 1045986
VITAMIN C TABS ASCORBIC ACID W/ROSE HIPS TABLETS 500MG 100/BT OTC 1048193
VITAMIN D CAPSULES VITAMIN D CAPSULES 1000IU 100/BT OTC 00904-5824-60 1146135
VITAMIN E SG CAPS VITAMIN E D/DL ALPHA BLEND SOFT GELS 400IU 100/BT OTC 4562933
VITAMIN E SG CAPS VITAMIN E D/DL ALPHA SOFTGELS 1000IU 50/BT OTC 1026128
VITAMIN E SG CAPS VITAMIN E D-ALPHA (NATURAL) SOFT GELS 200IU 100/BT OTC 1101496
VITAMIN E SG CAPS VITAMIN E D-ALPHA (NATURAL) SOFT GELS 400IU 100/BT OTC 57896-0752-01 1146596
VITAMIN E SG CAPS VITAMIN E DL-ALPHA SOFTGELS 1000IU 50/BT OTC 1025082
VITAMIN E SG CAPS VITAMIN E DL-ALPHA SOFTGELS 400 IU 100/BT OTC 1093442
VITAMIN K INJ VITAMIN K INJ AMPULE 0.5ML 2MG/ML 25/BX INJ 00409-9157-01 1046979
VITAMIN K INJ VITAMIN K INJ AMPULE 1ML 10MG/ML 25/BX INJ 00409-9158-01 1046973
VITAMINS/NUTRITIONALS ABC PLUS MULTI W/LUTEIN TABLETS 100/BT OTC 06386-0344-50 1109523
VITAMINS/NUTRITIONALS ABC PLUS SENIOR TABLETS 60/BT OTC 1047956
VOLTAREN OPHTH SOLN DICLOFENAC SODIUM OPHTH SOLUTION 0.1% 2.5ML/BT RX 16571-0101-25 1130851
VOLTAREN OPHTH SOLN DICLOFENAC SODIUM OPHTH SOLUTION 0.1% 5ML/BT RX 16571-0101-50 1137320
VOLTAREN TABS DICLOFENAC SODIUM DR TABLETS 50MG 100/BT RX 00228-2550-11 1077341
VOLTAREN TABS DICLOFENAC SODIUM DR TABLETS 75MG 100/BT RX 16571-0201-10 1137381
VOLTAREN XR TABS DICLOFENAC SODIUM ER TABLETS 100MG 100/BT RX 00591-0676-01 1047855
VOSOL HC LIQUID ACETIC ACID W/HC OTIC SOLUTION 2%/1% 10ML/BT RX 50383-0901-10 1135612
VOSOL LIQUID ACETIC ACID OTIC SOLUTION 2% 15ML/BT RX 00603-7038-41 1100691
VOSPIRE ER TABS ALBUTEROL SULFATE ER TABLETS 8MG 100/BT RX 68774-0401-01 1148625
VYTONE CREAM HYDROCORTISONE/IODOQUINOL CREAM 30GM/TB RX 45802-0930-64 1123443
WATER, BACTERIOST INJ WATER FOR INJ BACTERIOSTATIC MDV 30ML BACTERIOST 25/BX INJ 00409-3977-03 1047765
WATER, BACTERIOST INJ WATER FOR INJ BACTERIOSTATIC MDV 30ML BACTERIOST EACH INJ 00409-3977-03 2587428
WATER, STERILE INJ WATER FOR INJ GLASS AMPULES 5ML STERILE 25/BX INJ 00409-4027-02 1087723
WATER, STERILE INJ WATER FOR INJ GLASS AMPULES 5ML STERILE EACH INJ 00409-4027-02 2484577
WATER, STERILE INJ WATER FOR INJ SDV STERILE 5ML STERILE 25/BX INJ 63323-0185-05 3756392
WATER, STERILE INJ WATER FOR INJ SDV STERILE 10ML STERILE 25/BX INJ 00409-4887-10 1047823
WATER, STERILE INJ WATER FOR INJ SDV STERILE 10ML STERILE EACH INJ 00409-4887-10 2580622
WATER, STERILE INJ WATER FOR INJ SDV STERILE 20ML STERILE 25/BX INJ 00409-4887-20 1046849
WATER, STERILE INJ WATER FOR INJ SDV STERILE 20ML STERILE EACH INJ 00409-4887-20 2585070
Page 42 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
WATER, STERILE INJ WATER FOR INJ SDV STERILE 50ML STERILE 25/BX INJ 00409-4887-50 1048779
WATER, STERILE INJ WATER FOR INJ SDV STERILE 50ML STERILE EACH INJ 00409-4887-50 1819911
WATER, STERILE INJ WATER FOR INJ SDV STERILE 100ML STERILE 25/BX INJ 00409-4887-99 1144279
WATER, STERILE INJ WATER FOR INJ STERILE 250ML/GLASS BT STERILE EACH INJ 00409-1590-02 1047728
WATER, STERILE INJ WATER FOR IRRIGATION 1000ML/GLASS BT STERILE 12/BX INJ 00409-7139-09 1047051
WATER, STERILE INJ WATER FOR IRRIGATION 1000ML/GLASS BT LIFECARE STERILE EACH INJ 00409-7990-09 2583354
WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 100MG 60/BT RX 00591-3540-60 1135899
WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 150MG 60/BT RX 67767-0133-60 1104649
WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 150MG 250/BT RX 00591-3541-25 1161235
WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 200MG 60/BT RX 00591-3542-60 1139583
WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 300MG 90/BT RX 67767-0142-90 1153146
WELLBUTRIN TABS BUPROPION HCL TABLETS 75MG 100/BT RX 00781-1053-01 4202697
WELLBUTRIN TABS BUPROPION HCL TABLETS 100MG 100/BT RX 00781-1064-01 4206895
WELLBUTRIN XL TABS BUPROPION HCL XL TABLETS 150MG 30/BT RX 67767-0141-30 1146585
WELLBUTRIN XL TABS BUPROPION HCL XL TABLETS 300MG 30/BT RX 00591-3332-30 1118916
WELLCOVORIN INJ LEUCOVORIN CALCIUM PF INJ 10ML (LYOPHILIZED) 50MG 10/BX INJ 55390-0051-10 4306735
WELLCOVORIN INJ LEUCOVORIN CALCIUM PF INJ 100ML (LYOPHILIZED) 500MG EACH INJ 55390-0009-01 1157422
WELLCOVORIN TABS LEUCOVORIN CALCIUM TABLETS 10MG 12/BT RX 00054-4497-05 1082709
WESTCORT CREAM HYDROCORTISONE VALERATE CREAM 0.2% 15GM/TB RX 45802-0455-35 4080124
WESTCORT CREAM HYDROCORTISONE VALERATE CREAM 0.2% 60GM/TB RX 45802-0455-37 4080126
WESTCORT OINT HYDROCORTISONE VALERATE OINTMENT 0.2% 45GM/TB RX 51672-1292-06 1044064
WESTCORT OINT HYDROCORTISONE VALERATE OINTMENT 0.2% 60GM/TB RX 51672-1292-03 1041081
XANAX LIQUID ALPRAZOLAM ORAL SOLUTION 1MG/ML 30ML/BT C4 RX 00054-3068-44 1085047
XANAX TABS ALPRAZOLAM TABLETS 0.25MG 100/BT C4 RX 00603-2127-21 1146039
XANAX TABS ALPRAZOLAM TABLETS 0.25MG 500/BT C4 RX 67253-0900-50 1119163
XANAX TABS ALPRAZOLAM TABLETS 0.5MG 100/BT C4 RX 00603-2128-21 1145409
XANAX TABS ALPRAZOLAM TABLETS 0.5MG 500/BT C4 RX 00603-2128-28 1145609
XANAX TABS ALPRAZOLAM TABLETS 1MG 100/BT C4 RX 00603-2129-21 1146098
XANAX TABS ALPRAZOLAM TABLETS 1MG 500/BT C4 RX 00603-2129-28 1145535
XANAX TABS ALPRAZOLAM TABLETS 2MG 100/BT C4 RX 00603-2130-21 1146636
XANAX TABS ALPRAZOLAM TABLETS 2MG 500/BT C4 RX 00603-2130-28 1146101
XANAX XR TABS ALPRAZOLAM ER TABLETS 0.5MG 60/BT C4 RX 64980-0140-06 1146771
XANAX XR TABS ALPRAZOLAM ER TABLETS 1MG 60/BT C4 RX 64980-0141-06 1146911
XANAX XR TABS ALPRAZOLAM ER TABLETS 2MG 60/BT C4 RX 64980-0142-06 1146961
XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 2ML 1% 50/BX INJ 00409-4713-32 1085747
XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 2ML 1% EACH INJ 00409-4713-32 2586460
XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 2ML 2% 25/BX INJ 00409-4282-01 1046887
XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 2ML 2% EACH INJ 00409-4282-01 2489249
XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 5ML 1% 25/BX INJ 00409-4713-02 1085735
XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 5ML 4% 25/BX INJ 00409-4283-01 1087250
XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 10ML 2% 25/BX INJ 00409-4282-02 1047061
XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 10ML 2% EACH INJ 00409-4282-02 1147376
XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE STERIPAK 20ML 1.5% 25/BX INJ 00409-4056-01 1093582
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 10ML 1% 25/BX INJ 63323-0201-10 1300550
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 20ML 1% 25/BX INJ 00409-4276-01 1047771
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 20ML 1% EACH INJ 00409-4276-01 2587008
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 20ML 2% 25/BX INJ 00409-4277-01 1046880
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 20ML 2% EACH INJ 00409-4277-01 2580603
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 0.5% 25/BX INJ 00409-4275-01 1046978
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 0.5% EACH INJ 00409-4275-01 2489085
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 1% 25/BX INJ 00409-4276-02 1046817
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 1% EACH INJ 00409-4276-02 2480644
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 2% 25/BX INJ 00409-4277-02 1049843
XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 2% EACH INJ 00409-4277-02 2483041
XYLOCAINE INJ LIDOCAINE HCL INJ SDV 2ML 2% 25/BX INJ 63323-0202-02 3031642
XYLOCAINE INJ LIDOCAINE HCL INJ SDV 5ML 2% 10/BX INJ 00409-2066-05 1049565
XYLOCAINE INJ LIDOCAINE HCL INJ SDV 5ML 2% 25/BX INJ 63323-0208-05 3232446
XYLOCAINE INJ LIDOCAINE HCL INJ SDV 5ML 2% EACH INJ 00409-2066-05 2480235
XYLOCAINE INJ LIDOCAINE HCL INJ SDV 30ML 1% 25/BX INJ 00409-4279-02 1103839
XYLOCAINE INJ LIDOCAINE HCL INJ SDV 30ML STER PK 1% 25/BX INJ 00409-4270-01 1046968
Page 43 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
XYLOCAINE INJ LIDOCAINE HCL INJ SDV 50ML 0.5% 25/BX INJ 00409-4278-01 1046981
XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ABBOJECT LFS) 5ML 1% EACH INJ 00409-4904-34 2480238
XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ABBOJECT LFS) 5ML 2% 10/BX INJ 00409-4903-34 1046992
XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ABBOJECT LFS) 5ML 2% EACH INJ 00409-4903-34 2483812
XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 1% 10/BX INJ 00409-9137-05 1047004
XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 1% EACH INJ 00409-9137-05 2481305
XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 2% 10/BX INJ 00409-1323-05 1046865
XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 2% 10/BX INJ 00548-3390-00 1157836
XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 2% EACH INJ 00409-1323-05 2488012
XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 5ML 2% 25/BX INJ 00548-3012-00 1082029
XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 5ML 2% EACH INJ 00548-3012-00 2481224
XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 10ML 2% 25/BX INJ 00548-3013-00 1084108
XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 10ML 2% EACH INJ 00548-3013-00 2487607
XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 20ML 2% 25/BX INJ 00548-3015-00 1084874
XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 20ML 2% EACH INJ 00548-3015-00 2483280
XYLOCAINE JELLY LIDOCAINE HCL JELLY TUBE 2% 30ML RX 17478-0711-30 1043378
XYLOCAINE JELLY LIDOCAINE HCL JELLY TUBE 5ML 2% 10/BX RX 17478-0711-10 1043377
XYLOCAINE JELLY LIDOCAINE HCL JELLY TUBE 5ML 2% 25/BX RX 00548-3011-00 4679709
XYLOCAINE OINT LIDOCAINE OINTMENT JAR 5% 50GM/JR RX 51672-3008-03 1047592
XYLOCAINE OINT LIDOCAINE OINTMENT TUBE 5% 37.5GM/TB RX 00168-0204-37 2013928
XYLOCAINE SOLUTION LIDOCAINE HCL ORAL (TOPICAL) SOLUTION 4% 50ML/BT RX 00603-1394-47 1145405
XYLOCAINE SOLUTION LIDOCAINE HCL ORAL (TOPICAL) SOLUTION VISC 2% 100ML/BT RX 00603-1393-64 1093666
XYLOCAINE SOLUTION LIDOCAINE HCL ORAL (TOPICAL) SOLUTION VISC 2% 10x100ML RX 00054-3500-49 1108431
XYLOCAINE SOLUTION LIDOCAINE HCL ORAL (TOPICAL) SOLUTION VISC 2% 40x20ML RX 00054-8500-16 7618197
XYLOCAINE W/DEX INJ LIDOCAINE HCL/DEXTROSE AMPULE 2ML 5/7.5% 25/BX INJ 00409-4712-01 2486281
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 20ML 1% 25/BX INJ 00409-3178-01 1049659
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 20ML 1% EACH INJ 00074-3178-01 2580672
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 20ML 2% 25/BX INJ 00409-3182-01 1049654
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 20ML 2% EACH INJ 00409-3182-01 2480237
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 30ML 1% 25/BX INJ 00409-3178-02 1046822
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 30ML 1% EACH INJ 00409-3178-02 2483556
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 30ML 2% 25/BX INJ 00409-3182-02 1046855
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 30ML 2% EACH INJ 00409-3182-02 2485394
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 50ML 1% 25/BX INJ 00409-3178-03 1047099
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 50ML 1% EACH INJ 00409-3178-03 2487453
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 50ML 2% 25/BX INJ 00409-3182-03 1046867
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 50ML 2% EACH INJ 00409-3182-03 2481961
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:200M MDV 20ML 2% 5/BX INJ 00409-3183-01 1046964
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:200M MDV 50ML 0.5% 25/BX INJ 00409-3177-01 1046882
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:200M MDV 50ML 0.5% EACH INJ 00409-3177-01 2488978
XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:200M SDV 30ML 1.5% 5/BX INJ 00409-3181-01 2588524
YOUR LIFE PRENATAL VITAMIN PRENATAL SOFTGELS WITH DHA 60/BT OTC 1154184
ZADITOR SOLUTION KETOTIFEN FUMARATE OPHTHALMIC SOLUTION 0.025% 5ML/BT OTC 17478-0717-10 1119750
ZANAFLEX TABS TIZANIDINE HCL TABLETS 4MG 150/BT RX 00185-4400-51 1156233
ZANTAC 75 TABS RANITIDINE HCL TABLETS OTC 75MG 30/BT OTC 00904-5818-46 1145311
ZANTAC INJ RANITIDINE HCL INJ SDV 2ML 25MG/ML 10/BX INJ 55390-0616-10 1045214
ZANTAC INJ RANITIDINE HCL INJ SDV 6ML 25MG/ML EACH INJ 55390-0616-01 1044494
ZANTAC LIQUID RANITIDINE HCL ORAL SYRUP 15MG/ML 16OZ/BT RX 00472-0383-16 1083260
ZANTAC TABS RANITIDINE HCL TABLETS 150MG 60/BT RX 53746-0253-60 1085061
ZANTAC TABS RANITIDINE HCL TABLETS 150MG 100/BT RX 53746-0253-01 1118892
ZANTAC TABS RANITIDINE HCL TABLETS 150MG 500/BT RX 64679-0906-03 1145534
ZANTAC TABS RANITIDINE HCL TABLETS 300MG 30/BT RX 53746-0254-30 1118893
ZANTAC TABS RANITIDINE HCL TABLETS 300MG 100/BT RX 53746-0254-01 1086202
ZANTAC TABS RANITIDINE HCL TABLETS 300MG 250/BT RX 53746-0254-02 1101502
ZAROXOLYN TABS METOLAZONE TABLETS 2.5MG 100/BT RX 00378-6172-01 1116736
ZAROXOLYN TABS METOLAZONE TABLETS 5MG 100/BT RX 00378-6173-01 1116739
ZEBETA TABS BISOPROLOL FUMARATE TABLETS 5MG 30/BT RX 00185-0771-30 1137999
ZEBETA TABS BISOPROLOL FUMARATE TABLETS 10MG 30/BT RX 29300-0127-13 1156724
ZEGERID CAPSULES OMEPRAZOLE/SODIUM BICARB CAPSULES 20/1100MG 30/BT RX 49884-0397-11 1157655
ZEGERID CAPSULES OMEPRAZOLE/SODIUM BICARB CAPSULES 40/1100MG 30/BT RX 49884-0455-11 1157656
Page 44 of 46
BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
ZEMURON INJ ROCURONIUM BROMIDE INJ MDV 10ML 10MG/ML 10/PK INJ 10139-0235-11 1145813
ZEMURON INJ ROCURONIUM BROMIDE INJ MDV 5ML 10MG/ML 10/PK INJ 10139-0235-15 1145882
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 10MG 100/BT RX 64679-0929-01 1101095
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 10MG 1000/BT RX 64679-0929-06 1146716
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 2.5MG 100/BT RX 64679-0927-01 1101093
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 20MG 100/BT RX 00591-0408-01 1088123
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 20MG 1000/BT RX 00591-0408-10 4080192
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 30MG 100/BT RX 64679-0953-01 1101100
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 40MG 100/BT RX 64679-0942-01 1101099
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 40MG 500/BT RX 00591-0409-05 4080193
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 5MG 100/BT RX 64679-0928-01 1101094
ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 5MG 1000/BT RX 64679-0928-06 1147147
ZIAC TABS BISOPROLOL FUMARATE/HCTZ TABLETS 2.5/6.25MG 100/BT RX 00185-0701-01 1142116
ZIAC TABS BISOPROLOL FUMARATE/HCTZ TABLETS 5/6.25MG 100/BT RX 00185-0704-01 1107829
ZIAC TABS BISOPROLOL FUMARATE/HCTZ TABLETS 10/6.25MG 30/BT RX 00185-0707-30 1118771
ZIAC TABS BISOPROLOL FUMARATE/HCTZ TABLETS 10/6.25MG 100/BT RX 00185-0707-01 1108678
ZINACEF INJ CEFUROXIME SODIUM INJ STER PWD 10ML 750MG 25/BX INJ 25021-0118-10 1146063
ZINACEF INJ CEFUROXIME SODIUM INJ STER PWD 20ML 1.5GM 25/BX INJ 00143-9977-22 1100821
ZINC CHLORIDE INJ ZINC CHLORIDE INJ SDV 10ML 1MG/ML 25/BX INJ 00409-4090-01 1049668
ZINC OXIDE OINT ZINC OXIDE OINTMENT 2OZ/TB OTC 01500-365-56 1149050
ZINC OXIDE OINT ZINC OXIDE OINTMENT LB OTC 00536-5700-98 1101501
ZINC SULFATE CAPS ZINC SULFATE CAPSULES 220MG 100/BT OTC 57896-0865-01 1101524
ZINC SULFATE INJ ZINC SULFATE INJ PF SDV 5ML 5MG/ML 25/BX INJ 00517-8105-25 7676177
ZINC SULFATE INJ ZINC SULFATE INJ PF SDV 10ML 1MG/ML 25/BX INJ 00517-6110-25 2580638
ZINC TABLETS ZINC GLUCONATE TABLETS 25MG 100/BT OTC 4014515
ZITHROMAX INJ AZITHROMYCIN INJ STER PWD SDV 500MG/VL 10/BX INJ 25021-0112-10 1145337
ZITHROMAX LIQUID AZITHROMYCIN ORAL SUSPENSION 100MG/5ML 15ML/BT RX 00093-2027-23 4220021
ZITHROMAX LIQUID AZITHROMYCIN ORAL SUSPENSION 200MG/5ML 15ML/BT RX 00093-7149-23 1119192
ZITHROMAX LIQUID AZITHROMYCIN ORAL SUSPENSION 200MG/5ML 22.5ML/BT RX 00093-2026-94 3210057
ZITHROMAX LIQUID AZITHROMYCIN ORAL SUSPENSION 200MG/5ML 30ML/BT RX 00093-2026-31 3210054
ZITHROMAX TABS AZITHROMYCIN TABLETS 250MG 30/BT RX 64679-0961-01 1145437
ZITHROMAX TABS AZITHROMYCIN TABLETS 500MG 30/BT RX 64679-0964-01 1146165
ZITHROMAX TABS AZITHROMYCIN TABLETS 600MG 30/BT RX 64679-0962-01 1146162
ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 250MG 1x6UD RX 00093-7146-18 1100721
ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 250MG 3x6UD RX 64679-0961-05 1119131
ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 250MG 5x10UD RX 59762-3060-03 1100486
ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 500MG 1x3UD RX 00093-7169-33 1100723
ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 500MG 3x3UD RX 64679-0964-05 1119132
ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 1GM 10UD/BX RX 59762-3051-01 1075468
ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 1GM 3x1GM RX 59762-3051-02 1078918
ZOCOR TABS SIMVASTATIN TABLETS 5MG 30/BT RX 65862-0050-30 1155359
ZOCOR TABS SIMVASTATIN TABLETS 5MG 90/BT RX 16252-0505-90 1083969
ZOCOR TABS SIMVASTATIN TABLETS 10MG 90/BT RX 63304-0790-90 1145808
ZOCOR TABS SIMVASTATIN TABLETS 10MG 1000/BT RX 63304-0790-10 1146750
ZOCOR TABS SIMVASTATIN TABLETS 20MG 30/BT RX 65862-0052-30 1101341
ZOCOR TABS SIMVASTATIN TABLETS 20MG 90/BT RX 55111-0199-90 1116023
ZOCOR TABS SIMVASTATIN TABLETS 20MG 1000/BT RX 16729-0005-17 1148153
ZOCOR TABS SIMVASTATIN TABLETS 40MG 30/BT RX 65862-0053-30 1106812
ZOCOR TABS SIMVASTATIN TABLETS 40MG 90/BT RX 16729-0006-15 1148154
ZOCOR TABS SIMVASTATIN TABLETS 80MG 30/BT RX 65862-0054-30 1101342
ZOCOR TABS SIMVASTATIN TABLETS 80MG 1000/BT RX 65862-0054-99 1160722
ZOFRAN INJ ONDANSETRON HCL INJ MDV 20ML 2MG/ML EACH INJ 00143-9890-01 1145412
ZOFRAN INJ ONDANSETRON HCL INJ SDV 2ML 2MG/ML 5/BX INJ 00143-9891-05 1145357
ZOFRAN INJ ONDANSETRON HCL INJ SYRINGE (ISCURE) 2ML 2MG/ML 10/BX INJ 00409-1120-62 1100335
ZOFRAN LIQUID ONDANSETRON HCL ORAL SOLUTION 4MG/5ML 50ML/BT RX 50111-0819-42 1101323
ZOFRAN OD TABS ONDANSETRON ORAL DISINTEGRATING TABS UD 4MG 3x10UD RX 62756-0240-64 1118936
ZOFRAN OD TABS ONDANSETRON ORAL DISINTEGRATING TABS UD 8MG 1x10UD RX 00093-7302-03 1119197
ZOFRAN OD TABS ONDANSETRON ORAL DISINTEGRATING TABS UD 8MG 3x10UD RX 62756-0356-64 1118937
ZOFRAN TABS ONDANSETRON HCL TABLETS 4MG 3/PK RX 55111-0153-13 1100664
ZOFRAN TABS ONDANSETRON HCL TABLETS 4MG 30/BT RX 52152-0538-30 1089449
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BRAND TO GENERIC
BRAND NAME GENERIC COMPARISON STRENGTH SIZE
CONTR
DRUG
CLASS
RX,
OTC,
INJ NDC
Generic
HSI ITEM#
ZOFRAN TABS ONDANSETRON HCL TABLETS 8MG 3/PK RX 55111-0154-13 1100665
ZOFRAN TABS ONDANSETRON HCL TABLETS 8MG 30/BT RX 67877-0170-30 1145677
ZOLOFT TABS SERTRALINE HCL TABLETS 100MG 30/BT RX 31722-0214-30 1145695
ZOLOFT TABS SERTRALINE HCL TABLETS 100MG 90/BT RX 68180-0353-09 1119256
ZOLOFT TABS SERTRALINE HCL TABLETS 25MG 30/BT RX 31722-0212-30 1141230
ZOLOFT TABS SERTRALINE HCL TABLETS 25MG 90/BT RX 68180-0351-09 1101520
ZOLOFT TABS SERTRALINE HCL TABLETS 50MG 30/BT RX 31722-0213-30 1118832
ZOLOFT TABS SERTRALINE HCL TABLETS 50MG 90/BT RX 00143-9581-09 1084289
ZONEGRAN CAPS ZONISAMIDE CAPSULES 25 MG 100/BT RX 64679-0945-01 1085895
ZONEGRAN CAPS ZONISAMIDE CAPSULES 50 MG 100/BT RX 64679-0946-01 1135315
ZONEGRAN CAPS ZONISAMIDE CAPSULES 100MG 100/BT RX 64679-0990-01 1083215
ZOSTRIX CREAM CAPSAICIN CREAM 0.025% 2OZ/TB OTC 00603-0648-88 1160547
ZOSYN INJ PIPERACILLIN SODIUM INJ STER PWD SDV 20ML 2GM/VL 10/BX INJ 63323-0380-20 1103782
ZOVIRAX CAPS ACYCLOVIR CAPSULES 200MG 100/BT RX 23155-0146-01 1155023
ZOVIRAX INJ ACYCLOVIR SODIUM INJ LYPHO SDV 10ML 500MG 10/BX INJ 55390-0612-10 7484941
ZOVIRAX INJ ACYCLOVIR SODIUM INJ LYPHO SDV 20ML 1GM 10/BX INJ 55390-0613-20 1020310
ZOVIRAX LIQUID ACYCLOVIR ORAL SUPENSION 200MG/5ML 480ML/BT RX 50383-0810-16 1145183
ZOVIRAX TABS ACYCLOVIR TABLETS 400MG 500/BT RX 00093-8943-05 1100494
ZOVIRAX TABS ACYCLOVIR TABLETS 800MG 100/BT RX 00093-8947-01 1138134
ZOVIRAX TABS ACYCLOVIR TABLETS 400MG 100/BT RX 67253-0101-10 1153577
ZYLOPRIM TABS ALLOPURINOL TABLETS 100MG 100/BT RX 00603-2115-21 1049120
ZYLOPRIM TABS ALLOPURINOL TABLETS 100MG 1000/BT RX 00603-2115-32 1049123
ZYLOPRIM TABS ALLOPURINOL TABLETS 300MG 100/BT RX 00603-2116-21 1049125
ZYLOPRIM TABS ALLOPURINOL TABLETS 300MG 500/BT RX 00603-2116-28 1049130
ZYRTEC CHILDREN'S SOLN CETIRIZINE HCL CHILDREN'S ORAL SOLUTION 1MG/ML 4OZ/BT OTC 51672-2088-08 1147129
ZYRTEC TABS CETIRIZINE HCL TABLETS 5MG 100/BT OTC 16571-0401-10 1156843
ZYRTEC TABS CETIRIZINE HCL TABLETS 10MG 100/BT OTC 16571-0402-10 1156844
ZYRTEC-D TABS CETIRIZINE HCL/PSEUDO ER TABLETS 5/120MG 30/BT OTC 45802-0721-62 1109563
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