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Product Name Strength Image (not to scale) Pack Size NDC # RLD / Brand Name TE Rating Therapeutic Category
Levonorgestrel and Ethinyl Estradiol Tablets USP

0.1mg/0.02mg

28 x 3

68180-0854-73

Lutera®

AB1

Oral Contraceptive

Levonorgestrel and Ethinyl Estradiol Tablets USP

0.05 mg/0.03 mg; 0.075 mg/0.04 mg and 0.125 mg/0.03 mg

28 x 3

68180-0857-73

Trivora®

AB

Oral Contraceptive

Levonorgestrel & Ethinyl Estradiol Tablets USP

0.15mg/0.03mg

91 x 3

68180-0843-13

Seasonale®

AB

Oral Contraceptive

Levetiracetam Tablets

250mg
500mg
750mg
1000mg

60
90
120
500

68180-112-09
68180-112-16
68180-112-02
68180-113-09
68180-113-16
68180-113-02
68180-114-09
68180-114-16
68180-114-02
68180-115-07

Keppra®

AB

Anticonvulsant

Levetiracetam ER Tablets

500mg
750mg

60

68180-117-07
68180-118-07

Keppra® XR

AB

Antiepileptic

Leflunomide Tablets USP

10 mg
20 mg

30

70748-129-06
70748-130-06

Arava®

AB

Immune Suppressant

Lapatinib Tablets

250 mg

150

68180-0801-36

Tykerb®

AB

Antineoplastic Agent

Lanthanum Carbonate Chewable Tablets

500mg
750mg
1000mg

2 x 45's
6 x 15's
9 x 10's

68180-819-42
68180-820-46
68180-821-47

Fosrenol®

AB

Phosphate Binder

Lamivudine Tablets

150mg

60

68180-602-07

Epivir®

AB

Antivirals

Lamivudine and Zidovudine Tablets

150mg/300mg

60

68180-0284-07

Combivir®

AB

Antiretroviral agent

Kurvelo™

0.15mg/0.03mg

28 x 3

68180-0844-73

Nordette®

AB

Oral Contraceptive

Kaitlib™

0.8mg/0.025mg

28 x 3

68180-0903-73

Generess®

AB

Oral Contraceptive

Jencycla™

0.35mg

28 x 3

68180-0877-73

Ortho-Micronor®

AB2

Oral Contraceptive

Imipramine Pamoate Capsules

75mg
100mg
125mg
150mg

30

68180-314-06
68180-315-06
68180-316-06
68180-317-06

Tofranil-PM®

AB

Antidepressant

Ibuprofen and Famotidine Tablets

800mg/ 26.6mg

90

70748-312-09

Duexis®

AB

NSaID

Hydrocortisone Valerate Cream USP

0.2%

15 g
45 g
60 g

68180-954-01
68180-954-02
68180-954-03

Westcort®

AB

Anti-inflammatory

Hydrocortisone Butyrate Lotion

0.1%

59 mL
118 mL

68180-951-01
68180-951-02

Locoid®

AB

Corticosteroid
Intermediate

Hydrocodone Bitartrate & Acetaminophen Tablets, USP

5mg/300mg
7.5mg/300mg
10mg/300mg

100
500

43386-351-01
43386-351-05
43386-352-01
43386-352-05
43386-353-01
43386-353-05

Xodol®

AA

Opioid/Acetaminophen Combination

Hydrocodone Bitartrate & Acetaminophen Tablets USP

5mg/325mg
7.5mg/325mg
10mg/325mg

100
500
1000

43386-356-01
43386-356-05
43386-356-10
43386-357-01
43386-357-05
43386-357-10
43386-358-01
43386-358-05
43386-358-10

Norco®

AA

Opioid/Acetaminophen Combination

GaviLyte™ – G

236-5.86-2.97-6.74-22.74 gm

4 L

43386-090-19

GoLYTELY®

AA

Hyperosmotic
Laxative

GaviLyte™ – C

240 -5.84-2.98-6.72-22.72gm

4 L

43386-060-19

Colyte®

AA

Hyperosmotic
Laxative

GaviLAX (PEG3350) Powder for Oral Solution

17gm/scoopful

238g
510g

43386-312-14
43386-312-08

MiraLAX®

AA

Laxative

Fyavolv™

0.5mg/0.0025mg
1mg/0.005mg

28 x 3
90

68180-827-09
68180-827-73
68180-828-09
68180-828-73

FemHRT®

AB

Hormone Replacement Therapy

Fosaprepitant Dimeglumine for Injection

150mg

5mL single-dose vial

68180-690-01

Emend®

AP

Antiemetic

Formoterol Fumarate Inhalation Solution

20mcg/2mL

30 UD Vials
60 UD Vials

70748-261-30
70748-261-60

Perforomist®

AN

Long-acting beta agonists (LABAs)/ Bronchodilator

Fluoxetine Tablets USP

10mg
20 mg

30
100

68180-998-01
68180-999-06
68180-999-01

Prozac®

AB

Anti-depressant

Fluoxetine Tablets USP

60mg

30

68180-997-06

Fluoxetine Tablets

AB

Anti-depressant

Fluocinonide Topical Solution USP

0.05%

20 mL
60 mL

43386-026-02
43386-026-06

Lidex®

AT

Corticosteroid

Flucytosine Capsules USP

250 mg
500 mg

100

43386-771-01
43386-770-01

Ancobon®

AB

Antifungal

Fenofibrate Tablets

48mg
145mg

90
500

68180-360-09
68180-361-09
68180-361-02

Tricor®

AB

Antihyperlipidemic agent

Fenofibrate Tablets

54mg
160mg

90

68180-362-09
68180-363-09

Lofibra®

AB

Antihyperlipidemic agent

Fenofibrate Capsules

90mg

30

68180-746-06

Antara®

AB

Antihyperlipidemic

Fenofibrate Capsules

43mg
130mg

30

68180-0130-06

Antara®

AB

Antihyperlipidemic

Famotidine for Oral Suspension

40mg/5mL

50mL

68180-0150-01

Pepcid®

AB

Histamine H2-Receptor antagonist

Ethambutol Tablets

100mg
400 mg

100

68180-280-01
68180-281-01

Myambutol®

AB

Antimycobacterial agent

Ethacrynic Acid Tablets

25mg

100

68180-0159-01

Edecrin®

AB

Diuretic

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