Exempt Prescription Products List
February 21, 2020
Drug Enforcement Administration
Diversion Control Division
Drug and Chemical Evaluation Section
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Acella Pharmaceuticals, LLC |
Chlordiazepoxide HCl and Clidinium Bromide Capsules |
42192-0336 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Actavis Pharma, Inc. |
Butalbital, Acetaminophen and Caffeine Capsules USP 50/300/40 |
0591-2640 |
CA |
Butalbital |
50.00 |
|
Actavis Pharma, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 |
0591-3369 |
TB |
Butalbital |
50.00 |
|
Actavis Pharma, Inc. |
Fioricet (Butalbital, Acetaminophen and Caffeine USP 50/300/40) |
52544-080 |
CA |
Butalbital |
50.00 |
|
Alpha Scriptics Inc |
Butacet Capsules |
53121-0133 |
CA |
Butalbital |
50.00 |
|
Alphagen Laboratories, Inc. |
Butalbital and Acetaminophen Capsules 50mg/ 650mg |
00603-2542 |
CA |
Butalbital |
50.00 |
|
Alphagen Laboratories, Inc. |
Donnaphen Tablets |
59743-0027 |
TB |
Phenobarbital |
16.20 |
|
Alphagen Laboratories, Inc. |
Geone Capsules |
59743-0004 |
CA |
Butalbital |
50.00 |
|
Altana, Inc. |
Axocet (Butalbital and Acetaminophen) |
0281-0389 |
TB |
Butalbital |
50.00 |
|
Althon Pharmaceuticals, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets USP |
66813-074 |
TB |
Butalbital |
50.00 |
|
Alvogen, Inc. |
Butalbital and AcetaminophenTablets USP 50/325 |
47781-0535 |
TB |
Butalbital |
50.00 |
|
Alvogen, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 |
47781-0536 |
TB |
Butalbital |
50.00 |
|
Alvogen, Inc. |
Butalbital and Acetaminophen Tablets 50/325 |
47781-0628 |
TB |
Butalbital |
50.00 |
|
Alvogen, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets (50/325/40) |
47781-0625 |
TB |
Butalbital |
50.00 |
|
Alvogen, Inc. |
Butalbital and Acetaminophen Tablets (50/300) |
47781-0644 |
TB |
Butalbital |
50.00 |
|
American Pharmaceuticals, Inc. |
AMERICET Tablets |
58605-0501 |
TB |
Butalbital |
50.00 |
|
American Urologicals Inc |
Butace |
00539-0906 |
CA |
Butalbital |
50.00 |
|
Amerisource Health Services Corporation |
Butalbital, Acetaminophen and Caffeine Tablets 50/325/40mg |
68084-0396 |
TB |
Butalbital |
50.00 |
|
Amide Pharmaceuticals |
Bellamine-S Tablets |
52152-0115 |
TB |
Phenobarbital |
40.00 |
|
Amide Pharmaceuticals |
Bellaspas Tablets |
00603-2424 |
TB |
Phenobarbital |
40.00 |
|
Amide Pharmaceuticals |
BEL-PHEN-ERGOTS Tablets |
00182-1990 |
TB |
Phenobarbital |
40.00 |
|
Amide Pharmaceuticals |
Chlordiazepoxide HCl and Clidinium Bromide Capsules |
52152-0018 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Amide Pharmaceuticals |
DuraGal-S Tablets |
51285-0907 |
TB |
Phenobarbital |
40.00 |
|
Amide Pharmaceuticals |
Phenerbel-S Tablets |
00536-4234 |
TB |
Phenobarbital |
40.00 |
|
Amide Pharmaceuticals |
Theophedrital Tablets |
52152-0035 |
TB |
Phenobarbital |
8.00 |
|
Anabolic Laboratories, Inc |
Spastrin Tablets |
51991-045 |
TB |
Phenobarbital |
40.00 |
|
Aphena Pharma Solutions |
Butalbital, Acetaminophen and Caffeine Tablets (50/325/40mg |
71610-0042 |
TB |
Butalbital |
50.00 |
|
Apotheca |
Theophen |
12634-0101 |
TB |
Phenobarbital |
8.00 |
|
Apothecon Florida |
Phenobarbital with Belladonna Alkaloids Tablets |
72768-7010 |
TB |
Phenobarbital |
16.20 |
|
Apothecon Florida |
Phenobarbital with Belladonna Alkaloids Oral Solution (Grape) |
72768-9011 |
LQ |
Phenobarbital |
16.20 |
|
Apothecon Florida |
Phenobarbital with Belladonna Alkaloids Oral Solution (Mint) |
72768-9012 |
LQ |
Phenobarbital |
16.20 |
|
Arco Pharmaceuticals |
Arco-Lase Plus |
00275-0045 |
TB |
Phenobarbital |
8.00 |
|
Arlo Interamerican |
Espasmotex |
11475-0835 |
TB |
Phenobarbital |
20.00 |
|
Ascher and Co |
Anaspaz PB |
00225-0300 |
TB |
Phenobarbital |
15.00 |
|
Ascot Pharmaceuticals |
Antispasmodic Tablets |
47679-0158 |
TB |
Phenobarbital |
16.20 |
|
Ascot Pharmaceuticals |
Chlordiazepoxide Hydrochloride + Clidinium Bromide |
47679-0268 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Atlantic Biologicals Corp. |
Donnatal Elixir-Grape |
17856-0423 |
EL |
Phenobarbital |
3.24 |
|
Atley Pharmaceuticals |
Butalbital, Acetaminophen and Caffeine Tablets |
59702-661 |
TB |
Butalbital |
50.00 |
|
Aurobindo Pharma Inc. |
Butalbital, Acetaminophen and Caffeine Capsules USP 50/325/40 |
13107-075 |
CA |
Butalbital |
50.00 |
|
AvKare, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 |
50268-139 |
TB |
Butalbital |
50.00 |
Page 1
|
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
|
Company |
|
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
AvKare, Inc. |
|
Butalbital, Acetaminophen and Caffeine Capsules USP 50/300/40 |
42291-181 |
CA |
Butalbital |
50.00 |
|
AvKare, Inc |
(Manuf. by Belcher Pharmaceuticals, LLC) |
Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg |
42291-214 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
AvKare, Inc |
(Manuf. by IriSys Inc.) |
Donnatal Elixir |
42291-244 |
EL |
Phenobarbital |
3.24 |
|
AvKare, Inc |
(Manuf. by IriSys Inc.) |
Donnatal Tablets |
42291-245 |
TB |
Phenobarbital |
16.20 |
|
Ayerst Laboratories |
PMB-200 |
00046-0880 |
TB |
Meprobamate |
200.00 |
|
|
Ayerst Laboratories |
PMB-400 |
00046-0881 |
TB |
Meprobamate |
400.00 |
|
|
Barre Drug Co |
Barophen |
00472-0981 |
EL |
Phenobarbital |
3.24 |
|
|
Barre Drug Co |
Isolate Compound |
00472-0929 |
EL |
Phenobarbital |
0.40 |
|
|
Baucum Laboratories Inc |
Butalbital, Acetaminophen and Caffeine Tablets |
54696-0513 |
TB |
Butalbital |
50.00 |
|
|
Beecham Laboratories |
Hybephen |
00029-2360 |
TB |
Phenobarbital |
15.00 |
|
|
Belcher Pharmaceuticals (Manufactured for Virtus Pharma) |
Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg |
76439-302 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
|
Bi-Coastal Pharmaceutical Corp. (Manuf. By Andapharm LLC) |
Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg |
42582-301 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
|
Bioline Labs Inc |
Anti-Spas Elixir |
00719-4090 |
EL |
Phenobarbital |
3.24 |
|
|
Bioline Labs Inc |
Anti-Spas Tablets |
00719-1091 |
TB |
Phenobarbital |
16.20 |
|
|
Bioline Labs Inc |
Bel-Phen-Ergot-S Tablets |
00719-1686 |
TB |
Phenobarbital |
40.00 |
|
|
Bioline Labs Inc |
Chlordinium |
00719-1208 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
|
Bio-Pharm Inc. |
E-Caff-PB Suppository |
59879-0501 |
SU |
Pentobarbital |
60.00 |
|
|
Bio-Pharm Inc. |
Ergocaff-PB Suppository |
59741-0315 |
SU |
Pentobarbital |
60.00 |
|
|
Bio-Pharm Inc. |
Ergocaff-PB Suppository |
00182-7007 |
SU |
Pentobarbital |
60.00 |
|
|
Bio-Pharm Inc. |
Migercet-PB Suppository |
00144-0633 |
SU |
Pentobarbital |
60.00 |
|
|
BioRamo, LLC. |
Phenobarbital, Hyoscyamine,Atropine, & Scopolamine Oral Solution |
54932-211 |
LQ |
Phenobarbital |
16.20 |
|
|
BioRamo, LLC. |
Phenobarbital, Hyoscyamine,Atropine, & Scopolamine Oral Solution |
54932-212 |
LQ |
Phenobarbital |
16.20 |
|
|
Blaine Co |
|
Spaslin |
00165-0029 |
TB |
Phenobarbital |
16.20 |
|
Blansett Pharm Co |
Anolor 300 Capsules |
51674-0009 |
CA |
Butalbital |
50.00 |
|
|
Bock Pharmacal Co |
Broncholate |
00563-0277 |
CA |
Phenobarbital |
8.00 |
|
|
Bowman Pharmaceutical |
Private Formula No 3095 |
00252-3095 |
TB |
Phenobarbital Sodium |
15.00 |
|
|
Brandywine Pharmaceuticals LLC. |
Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg |
71321-700 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
|
Breon Labs |
|
Isuprel Compound |
00057-0874 |
EL |
Phenobarbital |
0.40 |
|
Caldwell & Bloor Co |
Hyosital White |
00361-2131 |
TB |
Phenobarbital |
16.20 |
|
|
Cameron Pharmaceuticals, LLC. |
Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg |
42494-409 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
|
Cardinal Health |
Butalbital, Acetaminophen and Caffeine Tablets 50mg/325mg/40mg |
0904-6538 |
TB |
Butalbital |
50.00 |
|
|
Carnrick Labs Inc |
Phrenilin |
00086-0050 |
TB |
Butalbital |
50.00 |
|
|
Carpenter Pharmacal Co |
ALAGESIC Tablets |
55726-0300 |
TB |
Butalbital |
50.00 |
|
|
Chelsea Laboratories |
Chlordiazepoxide with Clidinium Bromide |
46193-0948 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
|
Cody Laboratories, Inc |
BU-TAB AC |
65893-100 |
TB |
Butalbital |
50.00 |
|
|
Columbia Drug Co |
Isopap Capsules |
11735-0400 |
CA |
Butalbital |
50.00 |
|
|
Concordia Pharmaceuticals Inc. |
Donnatal Elixir-Mint Flavored |
59212-0422 |
EL |
Phenobarbital |
3.24 |
|
|
Concordia Pharmaceuticals Inc. |
Donnatal Elixir-Grape Flavored |
59212-0423 |
EL |
Phenobarbital |
3.24 |
|
|
Concordia Pharmaceuticals Inc. |
Donnatal Tablets |
59212-0425 |
TB |
Phenobarbital |
16.20 |
|
|
Consolidated Midland |
Bellalphen |
00223-0425 |
TB |
Phenobarbital |
16.20 |
|
Page 2
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Contract Pharmacal Corp. |
Pyrelle HB |
66663-702-01 |
TB |
Butabarbital |
15.00 |
|
CTEX Pharmaceuticals, Inc. |
Butex Forte Capsules |
62022-0070 |
CA |
Butalbital |
50.00 |
|
CTEX Pharmaceuticals, Inc. |
Butex Forte Capsules |
62022-0074 |
CA |
Butalbital |
50.00 |
|
D.M. Graham Laboratories, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets |
00756-0111 |
TB |
Butalbital |
50.00 |
|
D.S.C. Laboratories |
MICOMP-PB Suppository |
55053-0290 |
SU |
Pentobarbital USP |
60.00 |
|
Diversified Health Care Services |
Geone Capsules |
59743-004 |
CA |
Butalbital |
50.00 |
|
Dorasol Laboratories |
Donalixir |
00471-0095 |
EL |
Phenobarbital |
3.24 |
|
Dunhall Pharmacal Inc |
Triaprin |
00217-2811 |
CA |
Butalbital |
50.00 |
|
Duramed Pharmaceuticals |
Butalbital, Acetaminophen and Caffeine Tablets |
51285-0849 |
TB |
Butalbital |
50.00 |
|
ECI Pharmaceuticals, LLC |
Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Tablets |
51293-665 |
TB |
Phenobarbital |
16.20 |
|
ECI Pharmaceuticals, LLC |
Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg |
51293-607 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Econolab |
Micomp-PB Tablets |
55053-0525 |
TB |
Pentobarbital Sodium |
30.00 |
|
EconoMed Pharmaceuticals, Inc. |
ARCET Capsules |
38130-0325 |
CA |
Butalbital |
50.00 |
|
EconoMed Pharmaceuticals, Inc. |
ARCET Compound Tablets |
38130-0111 |
TB |
Butalbital |
50.00 |
|
Elge, Inc. |
Donnaphen Elixer |
58298-0432 |
EL |
Phenobarbital |
16.20 |
|
Elge, Inc. |
Mednatal Elixer |
51285-0735 |
EL |
Phenobarbital |
16.20 |
|
Elge, Inc. |
MICOMP-PB Suppositories |
55053-0290 |
SU |
Pentobarbital |
60.00 |
|
Equipharm Corp |
EQUI-CET Tablets |
57779-0111 |
TB |
Butalbital |
50.00 |
|
Everett Laboratories, Inc |
Repan Capsules |
00642-0164 |
CA |
Butalbital |
50.00 |
|
Everett Laboratories, Inc |
Repan Capsules |
00642-0163 |
CA |
Butalbital |
50.00 |
|
Everett Laboratories, Inc |
Repan Tablets |
00642-0162-10 |
TB |
Butalbital |
50.00 |
|
Forest Pharmacal Inc |
Acetaminophen 325 mg/Butalbital 50 mg |
00456-0674 |
TB |
Butalbital |
50.00 |
|
Forest Pharmacal Inc |
Acetaminophen 500 mg/Butalbital 50 mg |
00456-0671 |
TB |
Butalbital |
50.00 |
|
Forest Pharmacal Inc |
Bancap |
00456-0546 |
CA |
Butalbital |
50.00 |
|
Forest Pharmacal Inc |
Esgic Capsules |
00456-0631 |
CA |
Butalbital |
50.00 |
|
Forest Pharmacal Inc |
ESGIC PLUS Capsules |
00456-0679 |
CA |
Butalbital |
50.00 |
|
Forest Pharmacal Inc |
Esgic Tablets |
00456-0630 |
TB |
Butalbital |
50.00 |
|
Forest Pharmacal Inc |
ESGIC-PLUS |
00456-0678 |
TB |
Butalbital |
50.00 |
|
Forest Pharmacal Inc |
G.B.S. |
00456-0281 |
TB |
Phenobarbital |
8.00 |
|
Forest Pharmacal Inc |
Soniphen |
00456-0429 |
ET |
Phenobarbital |
16.00 |
|
Genetco Inc |
Butalbital, Apap and Caffeine |
00302-0490 |
TB |
Butalbital |
50.00 |
|
Geneva Generics |
Phenobarbital, Ergotamine and Belladonna Tablets |
00781-1701 |
TB |
Phenobarbital |
40.00 |
|
Geneva Pharmaceuticals, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets |
00781-1901 |
TB |
Butalbital |
50.00 |
|
Geneva Pharmaceuticals, Inc. |
T.E.P. Tablets |
00781-1325 |
TB |
Phenobarbital |
8.00 |
|
Gen-King Products |
Antispasmodic |
03547-0777 |
TB |
Phenobarbital |
16.20 |
|
Geriatric Pharmacal Corp |
Bilezyme Plus |
00249-1112 |
TB |
Phenobarbital |
8.00 |
|
Geriatric Pharmacal Corp |
Gustase Plus |
00249-1121 |
TB |
Phenobarbital |
8.00 |
|
Glenlawn Laboratories |
Chlordinium Sealets |
00580-0084 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
GM Pharmaceuticals (Manufactured by Mikart, Inc.) |
Vanatol S (Butalbital, Acetaminophen, & Caffeine Soln 50/325/40 |
58809-359 |
LQ |
Butalbital |
50.00 |
|
GM Pharmaceuticals (Manufactured by Mikart, Inc.) |
Vanatol LQ (Butalbital, Acetaminophen, & Caffeine Soln 50/325/40 |
58809-820 |
LQ |
Butalbital |
50.00 |
Page 3
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Goldline Laboratories |
Antispasmodic Elixir |
00182-0686 |
EL |
Phenobarbital |
3.24 |
|
Goldline Laboratories |
Antispasmodic Tablets |
00182-0129 |
TB |
Phenobarbital |
16.20 |
|
Goldline Laboratories |
Bel-phen-ergot s Tablets |
00182-1847 |
TB |
Phenobarbital |
40.00 |
|
Goldline Laboratories |
Butalbital, APAP and Caffeine Tablets |
00182-1274 |
TB |
Butalbital |
50.00 |
|
Goldline Laboratories |
CDP Plus Capsules |
00182-1856 |
CA |
Chlordiazepoxide HCL |
5.00 |
|
Goldline Laboratories |
Tedrigan Tablets |
00182-1002 |
TB |
Phenobarbital |
8.00 |
|
Granules Pharmaceuticals Inc. |
Butalbital, Acetaminiphen and Caffeine Capsules 50mg/300mg/40mg |
70010-044 |
CA |
Butalbital |
50.00 |
|
Granules Pharmaceuticals Inc. |
Butalbital and Acetaminiphen Capsules 50 mg/300 mg |
70010-054 |
CA |
Butalbital |
50.00 |
|
GSMS Incorporated |
Butalbital, Acetaminophen and Caffeine Tablets USP (50/325/40) |
60429-589 |
TB |
Butalbital |
50.00 |
|
GSMS Incorporated |
Butalbital, Acetaminophen and Caffeine Capsules USP (50/300/40) |
51407-200 |
CA |
Butalbital |
50.00 |
|
Halsey Drug Co Inc |
Blue Cross Butalbital, APAP and Caffeine Tablets |
00879-0567 |
TB |
Butalbital |
50.00 |
|
Halsey Drug Co Inc |
Butalbital and Acetaminophen Tablets |
00879-0543 |
TB |
Butalbital |
50.00 |
|
Halsey Drug Co Inc |
Clinoxide |
00879-0501 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Halsey Drug Co Inc |
Susano |
00879-0058 |
TB |
Phenobarbital |
16.20 |
|
Halsey Drug Co Inc |
Susano |
00879-0059 |
EL |
Phenobarbital |
3.24 |
|
HL Moore |
Chlordiazepoxide HCl and Clidinium Bromide Capsules |
00839-6211 |
CA |
Chlordiazepoxide Hydrochloride |
5.00 |
|
HL Moore Drug Exchange |
Antispasmodic Tablets |
00839-5055 |
TB |
Phenobarbital |
16.00 |
|
HL Moore Drug Exchange |
Bellamor Tablets |
00839-7370 |
TB |
Phenobarbital |
40.00 |
|
HL Moore Drug Exchange |
Theophenyllin |
00839-5111 |
TB |
Phenobarbital |
8.00 |
|
Hyrex Pharmaceutical |
Panzyme |
00314-0310 |
TB |
Phenobarbital |
8.10 |
|
Hyrex Pharmaceutical |
Two-Dyne Revised |
00314-2229 |
TB |
Butalbital |
50.00 |
|
Integrity Pharmaceutical Corporation |
Bellatal |
64731-0754 |
TB |
Phenobarbital |
16.20 |
|
International Ethical Laboratories, Inc. |
Tencon Tablets |
11584-029-01 |
TB |
Butalbital |
50.00 |
|
Interstate Drug Exchange |
IDE-Cet Tablets |
00814-3820 |
TB |
Butalbital |
50.00 |
|
Interstate Drug Exchange |
Spastolate |
00814-7088 |
TB |
Phenobarbital |
16.20 |
|
Intetlab |
CON-TEN |
11584-1029 |
CA |
Butalbital |
50.00 |
|
Inwood Laboratories, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets, USP |
0258-3657 |
TB |
Butalbital |
50.00 |
|
IriSys Inc |
Donnatal Elixir |
66213-0423 |
EL |
Phenobarbital |
3.24 |
|
IriSys Inc |
Donnatal Elixir-Mint |
66213-0422 |
EL |
Phenobarbital |
3.24 |
|
IriSys Inc (Manufactured for PBM Pharmaceuticals) |
Donnatal Tablets |
66213-0425 |
TB |
Phenobarbital |
16.20 |
|
IriSys Inc (Manufactured for Concordia Pharmaceuticals Inc.) |
Donnatal Elixir-Mint Flavored |
59212-0422 |
EL |
Phenobarbital |
3.24 |
|
IriSys Inc (Manufactured for Concordia Pharmaceuticals Inc.) |
Donnatal Elixir-Grape Flavored |
59212-0423 |
EL |
Phenobarbital |
3.24 |
|
IriSys Inc (Manufactured for Concordia Pharmaceuticals Inc.) |
Donnatal Tablets |
59212-0425 |
TB |
Phenobarbital |
16.20 |
|
JMI-Canton Pharmaceuticals, Inc. |
Belladonna Alkaloids and Phenobarbital Tablets |
00182-1048 |
TB |
Phenobarbital |
16.20 |
|
JMI-Canton Pharmaceuticals, Inc. |
Hyonatal-PB |
52604-6792 |
TB |
Phenobarbital |
16.20 |
|
Kaiser Foundation Hospitals |
Donnatal Elixir |
00179-0088 |
EL |
Phenobarbital |
16.20 |
|
Kaiser Foundation Hospitals |
Donnatal Tablet |
00179-0132 |
TB |
Phenobarbital |
16.20 |
|
Keene Pharmacal Inc |
Endolar |
00588-7777 |
CA |
Butalbital |
50.00 |
|
kenco |
Axotal |
00013-1301 |
TB |
Butalbital |
50.00 |
|
Knoll Pharmaceutical |
Quadrinal Suspension |
00044-4580 |
SS |
Phenobarbital |
2.40 |
Page 4
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Knoll Pharmaceutical |
Quadrinal Tablets |
00044-4520 |
TB |
Phenobarbital |
24.00 |
|
Kraft Pharmacal Co Inc |
Digestokraft |
00796-0237 |
TB |
Butabarbital Sodium |
8.00 |
|
Kremers Urban Co |
Levsin with Phenobarbital Elixir |
00091-4530 |
EL |
Phenobarbital |
3.00 |
|
Kremers Urban Co |
Levsin with Phenobarbital Tablets |
00091-3534 |
TB |
Phenobarbital |
15.00 |
|
Kremers Urban Co |
Levsinex with Phenobarbital |
00091-3539 |
XC |
Phenobarbital |
45.00 |
|
Kremers Urban Co |
Levsin-PB |
00091-4536 |
DP |
Phenobarbital |
15.00 |
|
KVK Tech |
Butalbital, Acetaminophen & Caffeine Tablets (50mg/325mg/40mg) |
10702-253 |
TB |
Butalbital |
50.00 |
|
Landry Pharmacal Inc |
Febridyne Plain Capsules |
05383-001 |
CA |
Butalbital |
50.00 |
|
Lannett Company, Inc. |
Butalbital, Acetaminophen & Caffeine Tablets (50mg/325mg/40mg) |
00527-1695 |
TB |
Butalbital |
50.00 |
|
Lannett Company, Inc. |
Butalbital, Acetaminophen & Caffeine Capsules (50mg/325mg/40mg) |
00527-4094 |
CA |
Butalbital |
50.00 |
|
Lannett Company, Inc. |
Butalbital, Acetaminophen & Caffeine Capsules (50mg/300mg/40mg) |
00527-4095 |
CA |
Butalbital |
50.00 |
|
Lanpar Co |
PB Phe-Bell |
12908-7006 |
TB |
Phenobarbital |
16.20 |
|
Larken Laboratories, Inc. |
Butalbital and Acetaminophen Tablets (25 mg/325 mg) |
68047-722 |
TB |
Butalbital |
25.00 |
|
Larken Laboratories, Inc. |
Butalbital and Acetaminophen Tablets (50 mg/325 mg) |
68047-721 |
TB |
Butalbital |
50.00 |
|
Lasalle Laboratories |
Pacaps Modified Formula |
48534-0884 |
CA |
Butalbital |
50.00 |
|
Lazarus Pharmaceuticals, Inc. |
Phenobarbital and Belladonna Alkaloids Tablets |
71914-162 |
TB |
Phenobarbital |
16.20 |
|
Lazarus Pharmaceuticals, Inc. |
Phenobarbital and Belladonna Alkaloids Elixir |
71914-162 |
EL |
Phenobarbital |
16.20 |
|
Lehigh Valley Technologies, Inc. |
Phenazopyridine Plus |
51881-251 |
TB |
Butabarbital |
15.00 |
|
Lemmon Company |
Acetaminophen/Butalbital/Caffeine Tablets |
00093-0854 |
TB |
Butalbital |
50.00 |
|
Lemmon Pharmacal Co |
Donphen |
00093-0205 |
TB |
Phenobarbital |
15.00 |
|
Libertas Pharma, Inc. |
Butalbital, Acetaminophen and Caffeine Capsules USP |
51862-179 |
CA |
Butalbital |
50.00 |
|
Life Laboratories |
Belladonna Alkaloids with Phenobarbital |
00737-1283 |
EL |
Phenobarbital |
3.00 |
|
Lunsco Inc |
Pacaps Capsules |
10892-0116 |
CA |
Butalbital |
50.00 |
|
Major Pharmaceuticals |
Belladona w/ Phenobarbital |
00904-3741 |
TB |
Phenobarbital |
16.20 |
|
Major Pharmaceuticals |
Bellamine Tablets |
00904-2548 |
TB |
Phenobarbital |
40.00 |
|
Major Pharmaceuticals |
Butalbital, Acetaminophen and Caffeine Tablets (50/325/40mg) |
0904-6938 |
TB |
Butalbital |
50.00 |
|
Major Pharmaceuticals |
Cafatine-PB Tablets |
00904-1750 |
TB |
Pentobarbital Sodium |
30.00 |
|
Major Pharmaceuticals |
Fabophen Tablets |
00904-3280 |
TB |
Butalbital |
50.00 |
|
Major Pharmaceuticals |
Theotal Tablets |
00904-0774 |
TB |
Phenobarbital |
8.00 |
|
Mallard Consumer Products |
Anaquan Tablets |
59441-0343 |
TB |
Butalbital |
50.00 |
|
Mallard Inc |
Anoquan Modified Formula |
00166-0881 |
CA |
Butalbital |
50.00 |
|
Mallard Inc |
Malatal |
00166-0748 |
TB |
Phenobarbital |
16.20 |
|
Mallinckrodt Inc. |
Butalbital, Acetaminophen, and Caffeine ("BAC") Tablets USP |
00406-0970 |
TB |
Butalbital |
50.00 |
|
Marlop Pharmacal Inc |
Broncomar |
12939-0128 |
EL |
Butabarbital |
1.00 |
|
Marlop Pharmacal Inc |
Dolmar |
12939-0812 |
CA |
Butalbital |
50.00 |
|
Marnel Pharmaceuticals |
Margesic Capsules |
00682-0804 |
CA |
Butalbital |
50.00 |
|
Marnel Pharmaceuticals |
Marten-Tab Tablets |
00682-1400 |
TB |
Butalbital |
50.00 |
|
Martec Pharmacal Inc |
Butalbital, Acetaminophen and Caffeine Tablets |
52555-0079 |
TB |
Butalbital |
50.00 |
|
Mayne Pharma |
Butalbital, Acetaminophen, & Caffeine Capsules 50/300/40 |
51842-542 |
CA |
Butalbital |
50.00 |
|
Mayrand Pharmaceuticals, Inc |
Sedapap-10 Tablets |
00259-1278 |
TB |
Butalbital |
50.00 |
Page 5
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Mead Johnson Pharmacal |
Quibron Plus Capsules |
00087-0518 |
CA |
Butabarbital |
20.00 |
|
Mead Johnson Pharmacal |
Quibron Plus Elixir |
00087-0511 |
EL |
Butabarbital |
1.33 |
|
Medco Supply Co |
Phenobarbital & Hyoscyamine Sulfate |
00764-2057 |
TB |
Phenobarbital |
16.20 |
|
Medicopharma, Inc. |
DUO-SPAZ Capsules |
53404-0350 |
CA |
Chlordiazepoxide |
5.00 |
|
Merrell Pharmaceuticals Inc. |
Chlordiazepoxide HCl and Clidinium Capsules |
00536-3490 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Midlothian Laboratories (Manufactured by Mikart, Inc.) |
Esgic (Butalbital, Acetaminophen, & Caffeine Capsules 50/325/40 |
68308-219 |
CA |
Butalbital |
50.00 |
|
Midlothian Laboratories (Manufactured by Mikart, Inc.) |
Esgic (Butalbital, Acetaminophen, & Caffeine Tablets 50/325/40 |
68308-220 |
TB |
Butalbital |
50.00 |
|
Midlothian Laboratories (Manufactured by Mikart, Inc.) |
Zebutal (Butalbital, Acetaminophen, & Caffeine Capsules 50/325/40 |
68308-554 |
CA |
Butalbital |
50.00 |
|
Mikart, Inc. |
Alagesic Capsules |
50991-302 |
CA |
Butalbital |
50.00 |
|
Mikart, Inc. |
Bupap |
00095-0240 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital and Acetaminophen Tablets 50/325 |
46672-0099 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital and Acetaminophen Tablets 50/650 |
11584-0029 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital and Acetaminophen Tablets 50/650 |
46672-0098 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Capsules |
46672-0228 |
CA |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Capsules |
00588-7788 |
CA |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Eilixer |
46672-0633 |
EL |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets |
52555-0647 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets |
46672-0053 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets USP |
49884-0811 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets USP |
00258-3665 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets USP (50/325/40) |
51862-540 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets, USP |
0591-3416 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital and Acetaminophen Capsules 50/300 |
46672-286 |
CA |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital and Acetaminophen Tablets 50/300 |
46672-856 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets, USP |
46672-184 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen, and Caffeine Oral Solution |
66813-073 |
LQ |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen, and Caffeine Tablets |
51432-0034 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Butalbital, Acetaminophen, and Caffeine Tablets |
46672-0059 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Capacet (Butalbital, Acetaminophen, and Caffeine 50/325/40) |
58407-534 |
CA |
Butalbital |
50.00 |
|
Mikart, Inc. |
Cephadyn Tablets |
59702-0650 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Dolgic Plus Tablets |
68453-074 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Dolgic Tablets |
62022-0073 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
DOLMAR Tablets |
12939-0811 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Esgic Capsules |
00535-0012 |
CA |
Butalbital |
50.00 |
|
Mikart, Inc. |
Esgic Tablets |
00535-0011 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Promacet |
58605-524 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. |
Sedapap Tablets |
00259-0392 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. (on behalf of Mayne Pharma) |
Butalbital and Acetaminophen Capsules 50/300 |
51862-544 |
CA |
Butalbital |
50.00 |
|
Mikart, Inc. (on behalf of Mayne Pharma) |
Butalbital and Acetaminophen Tablets 50/300 |
51862-538 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc. (on behalf of Monarch PCM, LLC) |
Vtol LQ (Butalbital, Acetaminophen, Caffeine Oral Solution) |
70154-111 |
LQ |
Butalbital |
50.00 |
Page 6
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Mikart, Inc. |
Tencon (Butalbital and Acetaminophen 50mg/325mg) |
11584-0030 |
TB |
Butalbital |
50.00 |
|
Mikart, Inc./Shionogi, Inc. |
Dolgic Plus Tablets |
59630-074 |
TB |
Butalbital |
50.00 |
|
Moore Medical Corporation |
Antispasmodic Tabs |
00839-5055 |
TB |
Phenobarbtal |
16.20 |
|
Moore Medical Corporation |
Butalbital, Acetaminophen and Caffeine Tablets |
00839-7831 |
TB |
Butalbital |
50.00 |
|
Morton Grove Pharmaceuticals, Inc. |
Antispasmodic Elixir |
60432-0009 |
EL |
Phenobarbital |
3.24 |
|
Nejo Pharmaceutical |
Spasmalones |
00653-0002 |
TB |
Phenobarbital |
16.00 |
|
Nexgen Pharma |
BUPAP (Butalbital and Acetaminophen 50mg/300mg) |
0095-3000 |
TB |
Butalbital |
50.00 |
|
Nexgen Pharma |
Butalbital with Acetaminophen and Caffeine Tablets |
0722-7029 |
TB |
Butalbital |
50.00 |
|
Nexgen Pharma |
Butalbital, Acetaminophen and Caffeine Tablets(50mg/325mg/40mg) |
0722-7320 |
TB |
Butalbital |
50.00 |
|
Northampton Medical, Inc. |
FEMCET |
58436-0703 |
TB |
Butalbital |
50.00 |
|
Oceanside Pharmaceuticals (Manufactured by Nexgen) |
Butalbital and Acetaminophen Tablets (50mg/300mg) |
68682-306 |
TB |
Butalbital |
50.00 |
|
Parke-Davis & Co |
Dilantin with Phenobarbital 1/2 |
00071-0531 |
CA |
Phenobarbital |
32.00 |
|
Parke-Davis & Co |
Dilantin with Phenobarbital 1/4 |
00071-0375 |
CA |
Phenobarbital |
16.00 |
|
Parke-Davis & Co |
Tedral SA |
00071-0231 |
XT |
Phenobarbital |
25.00 |
|
Parmed Pharmaceutical |
Sedapar Elixir |
00349-4100 |
EL |
Phenobarbital |
3.24 |
|
Parmed Pharmaceutical |
Sedapar Tablets |
00349-2355 |
TB |
Phenobarbital |
16.20 |
|
Pasadena Research |
Seds |
00418-4072 |
TB |
Phenobarbital |
16.20 |
|
PD-Rx Pharmaceuticals, Inc. |
Butalbital/APAP/Caffeine Tablets (50mg/325mg/40mg) |
55289-0879 |
TB |
Butalbital |
50.00 |
|
PD-Rx Pharmaceuticals, Inc. |
Donnatal Tablets |
43063-601 |
TB |
Phenobarbital |
16.20 |
|
Pecos Pharmaceuticals |
Phenobel Extentabs |
59879-0110 |
TB |
Phenobarbital USP |
48.60 |
|
Pernix Therapeutics |
Chlordiazepoxide HCL/ Clidinium Bromide Capsules |
44183-0401 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Pharmaceutical Basics Inc |
Butalbital, Acetaminophen and Caffeine Tablets |
00832-1102 |
TB |
Butalbital |
50.00 |
|
Pharmaceutical Basics Inc |
Clinibrax Capsules |
00832-1054 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
PharmaTech LLC (Manufactured for Virtus Pharmaceutical) |
Chlordiazepoxide HCL and Clidinium Bromide Capsules |
76439-302 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Phlight Pharma, LLC. |
Allzital (Butalbital and Acetaminophen Tablets (25 mg/325 mg)) |
70569-150 |
TB |
Butalbital |
25.00 |
|
Pioneer Pharmaceuticals, Inc. |
Chlordiazepoxide HCL/ Clidinium Bromide Capsules |
60104-4009 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Poly Pharmaceuticals, Inc. |
Alagesic |
50991-0302 |
CA |
Butalbital |
50.00 |
|
Poythress & Co Inc |
Antrocol |
00095-0041 |
CA |
Phenobarbital |
16.00 |
|
Poythress & Co Inc |
Antrocol Elixir |
00095-0042 |
EL |
Phenobarbital |
3.00 |
|
Poythress & Co Inc |
Antrocol Tablets |
00095-0040 |
TB |
Phenobarbital |
16.00 |
|
Poythress & Co Inc |
Mudrane |
00095-0050 |
TB |
Phenobarbital |
8.00 |
|
Poythress & Co Inc |
Mudrane GG Elixir |
00095-0053 |
EL |
Phenobarbital |
0.50 |
|
Poythress & Co Inc |
Mudrane GG Tablets |
00095-0051 |
TB |
Phenobarbital |
8.00 |
|
Prasco Laboratories |
Phenobarbital, Hyoscyamine, Atropine, Scopolamine Tablets |
66993-117 |
TB |
Phenobarbital |
16.20 |
|
Prasco Laboratories |
Phenobarbital, Hyoscyamine, Atropine, Scopolamine Elixir (Grape) |
66993-118 |
EL |
Phenobarbital |
16.20 |
|
Prasco Laboratories |
Phenobarbital, Hyoscyamine, Atropine, Scopolamine Elixir (Mint) |
66993-119 |
EL |
Phenobarbital |
16.20 |
|
Private Formula Inc |
Sangesic |
00511-1627 |
TB |
Butalbital |
30.00 |
|
Qualitest Pharmaceuticals, Inc. |
Butalbital and Acetaminophen Tablets |
0603-2540 |
TB |
Butalbital |
50.00 |
|
Qualitest Pharmaceuticals, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets 50/325/40mg |
0603-2544 |
TB |
Butalbital |
50.00 |
|
Qualitest Pharmaceuticals, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets USP |
0603-2547 |
TB |
Butalbital |
50.00 |
Page 7
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Qualitest Pharmaceuticals, Inc. |
Butalbital, Acetaminophen and Caffeine Tablets, USP |
0603-2551 |
TB |
Butalbital |
50.00 |
|
Qualitest Pharmaceuticals, Inc. |
Chlordiazepoxide Hydrochloride and Clidinium Bromide Capsules |
0603-2714 |
CA |
Chlordiazepoxide |
5.00 |
|
Qualitest Products Inc |
Butalbital, Acetaminophen and Caffeine Tablets |
52446-0544 |
TB |
Butalbital |
50.00 |
|
Qualitest Products Inc |
Chlordiazepoxide HCl 5 mg and Clidinium Br 2.5 mg |
52446-0096 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Redi-Med |
Butalbital Compound Capsules |
53506-0103 |
CA |
Butalbital |
50.00 |
|
Richlyn Laboratories |
Aminophylline & Phenobarbital |
00115-2156 |
ET |
Phenobarbital |
15.00 |
|
Richlyn Laboratories |
Aminophylline & Phenobarbital Tablets |
00115-2154 |
TB |
Phenobarbital |
15.00 |
|
Richlyn Laboratories |
Bellophen |
00115-2400 |
TB |
Phenobarbital |
16.20 |
|
Richlyn Laboratories |
Spasmolin |
00115-4652 |
TB |
Phenobarbital |
15.00 |
|
Richwood Pharmaceutical Co., Inc. |
Bellatal Tablets |
58521-0162 |
TB |
Phenobarbital, USP |
16.20 |
|
Roberts Pharmaceutical Corporation |
Anoquan |
54092-0178 |
TB |
Butalbital |
50.00 |
|
Roberts Pharmaceutical Corporation |
Tencet Tablets |
59441-0153 |
TB |
Butalbital |
50.00 |
|
Robins A H Co Inc |
Donnatal Capsules |
00031-4207 |
CA |
Phenobarbital |
16.20 |
|
Robins A H Co Inc |
Donnatal Extentabs |
00031-4235 |
XT |
Phenobarbital |
48.60 |
|
Robins A H Co Inc |
Donnatal No 2 |
00031-4264 |
TB |
Phenobarbital |
32.40 |
|
Robins A H Co Inc |
Donnazyme |
00031-4649 |
ET |
Phenobarbital |
8.10 |
|
Roche Labs |
Menrium 10-4 |
00140-0025 |
TB |
Chlordiazepoxide |
10.00 |
|
Roche Labs |
Menrium 5-2 |
00140-0023 |
TB |
Chlordiazepoxide |
5.00 |
|
Roche Labs |
Menrium 5-4 |
00140-0024 |
TB |
Chlordiazepoxide |
5.00 |
|
Rondex Laboratories |
Antispasmodic |
00367-4118 |
TB |
Phenobarbital |
16.20 |
|
Rotex Pharmaceuticals, Inc. |
Rogesic Capsules |
31190-0008 |
CA |
Butalbital |
50.00 |
|
Ruckstuhl Co |
Sedarex No 3 |
00144-1575 |
TB |
Phenobarbital |
16.20 |
|
Rugby Laboratories Inc |
Butalbital, Acetaminophen and Caffeine Tablets, USP |
0536-5567 |
TB |
Butalbital |
50.00 |
|
Rugby Laboratories Inc |
Ergocaff-PB Tablets |
00536-3801 |
TB |
Pentobarbital Sodium |
30.00 |
|
Rugby Laboratories Inc |
Hyosophen Capsules |
00536-3926 |
CA |
Phenobarbital |
16.00 |
|
Rugby Laboratories Inc |
Hyosophen Tablets |
00536-3920 |
TB |
Phenobarbital |
16.20 |
|
Rugby Laboratories Inc |
ISOCET Tablets |
00536-3951 |
TB |
Butalbital |
50.00 |
|
Rugby Laboratories Inc |
Theodrine Tablets |
00536-4648 |
TB |
Phenobarbital |
8.00 |
|
Russ Pharmaceuticals, Inc. |
FEMCET Capsules |
50474-0703 |
CA |
Butalbital |
50.00 |
|
Sandoz Pharmaceuticals |
Belladenal |
00078-0028 |
TB |
Phenobarbital |
50.00 |
|
Sandoz Pharmaceuticals |
Belladenal-S |
00078-0027 |
XT |
Phenobarbital |
50.00 |
|
Sandoz Pharmaceuticals |
Bellergal-S |
00078-0031 |
XT |
Phenobarbital |
40.00 |
|
Sandoz Pharmaceuticals |
Cafergot P-B Suppository |
00078-0035 |
SU |
Pentobarbital |
60.00 |
|
Sandoz Pharmaceuticals |
Cafergot P-B Tablets |
00078-0036 |
TB |
Pentobarbital Sodium |
30.00 |
|
Savage Laboratories |
AXOTAL |
00281-1301 |
TB |
Butalbital |
50.00 |
|
Schein Henry Inc |
Antispasmodic |
00364-0020 |
TB |
Phenobarbital |
16.00 |
|
Schein Henry Inc |
Antispasmodic Elixir |
00364-7002 |
EL |
Phenobarbital |
3.20 |
|
Schein Henry Inc |
Isolate Compound Elixir |
00364-7029 |
EL |
Phenobarbital |
0.40 |
|
Schein Henry Inc |
T-E-P |
00364-0266 |
TB |
Phenobarbital |
8.10 |
|
Schein Pharmaceutical, Inc. |
Chlordiazepoxide HCl and Clidinium Bromide Capsules |
00364-0559 |
CA |
Chlordiazepoxide Hydrochloride |
5.00 |
Page 8
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Shoals Pharmaceuticals, Inc. |
Tencet |
47649-0370 |
TB |
Butalbital |
50.00 |
|
Shoals Pharmaceuticals, Inc. |
Tencet Capsules |
47649-0560 |
CA |
Butalbital |
50.00 |
|
Skylar Laboratories, LLC |
Allzital (Butalbital and Acetaminophen Tablets) (25 mg/325 mg) |
70362-722 |
TB |
Butalbital |
25.00 |
|
Skylar Laboratories, LLC |
Butalbital and Acetaminophen Tablets (50 mg/325 mg) |
70362-721 |
TB |
Butalbital |
50.00 |
|
Solubiomix |
Butalbital and Acetaminophen Tablets (50 mg/325 mg) |
69499-302 |
TB |
Butalbital |
50.00 |
|
Solubiomix |
Butalbital and Acetaminophen Capsules (50 mg/300 mg) |
69499-342 |
CA |
Butalbital |
50.00 |
|
Stewart Jackson Pharmacal, Inc. |
Ezol |
45985-0578 |
CA |
Butalbital |
50.00 |
|
STI Pharma, LLC |
Butalbital and Acetaminophen Tablets (50 mg/325 mg) |
54879-026 |
TB |
Butalbital |
50.00 |
|
Stuart Pharmaceutical |
Kinesed |
00038-0220 |
TB |
Phenobarbital |
16.00 |
|
Sunrise Pharmaceuticals, Inc. |
Butalbital, Acetaminophen, Caffeine Capsules (50 mg/300 mg/40mg) |
11534-187 |
CA |
Butalbital |
50.00 |
|
Superpharm Laboratories |
Chlordiazepoxide HCl & Clidinium Br |
57247-1003 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Tedor Pharma, Inc. |
Butalbital and Acetaminophen Tablets (50 mg/300 mg) |
47781-534 |
TB |
Butalbital |
50.00 |
|
Tedor Pharma, Inc. |
Butalbital and Acetaminophen Tablets (50 mg/325 mg) |
43199-053 |
TB |
Butalbital |
50.00 |
|
Tedor Pharma, Inc. (Manufactured for Xspire Pharma) |
Butalbital, Acetaminophen and Caffeine Caps (50mg/300mg/40mg) |
42195-955 |
CA |
Butalbital |
50.00 |
|
Teva Pharmaceuticals |
Chlordiazepoxide HCl & Clidinium Bromide Caps USP (5mg/2.5mg) |
0093-3653 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Towne Paulsen & Co |
T.E. P. |
00157-0980 |
TB |
Phenobarbital |
8.00 |
|
Trimen Labs |
Amaphen Capsules (reformulated) |
11311-0954 |
CA |
Butalbital |
50.00 |
|
Truxton C O Inc |
Atropine Sulfate with Phenobarbital |
00463-6035 |
TB |
Phenobarbital |
15.00 |
|
Truxton C O Inc |
Ephedrine with Phenobarbital |
00463-6086 |
TB |
Phenobarbital |
15.00 |
|
Truxton C O Inc |
Spastemms Elixir |
00463-9023 |
EL |
Phenobarbital |
3.24 |
|
Truxton C O Inc |
Spastemms Tablets |
00463-6181 |
TB |
Phenobarbital |
15.00 |
|
U.S. Pharmaceuticals |
Medigesic Capsules |
52747-0600 |
CA |
Butalbital |
50.00 |
|
UAD Laboratories Inc |
Bucet Capsules |
00785-2307 |
CA |
Butalbital |
50.00 |
|
UDL Laboratories |
Belladonna Alkaloids with Phenobarbital |
51079-0168 |
TB |
Phenobarbital |
16.20 |
|
United Research Laboratories, Inc. |
Bel-Tabs |
00677-1171 |
TB |
Phenobarbital |
40.00 |
|
United Research Laboratories, Inc. |
Chlordiazepoxide HCl and Clidinium Bromide Capsules |
00677-1247 |
CA |
Chlordiazepoxide Hydrochloride |
5.00 |
|
United Research Laboratories, Inc. |
Hapanol |
00677-0074 |
TB |
Phenobarbital |
16.20 |
|
United Research Laboratories, Inc. |
Theophylline #1 Tablets |
00677-0148 |
TB |
Phenobarbital |
8.00 |
|
University of Iowa |
Bladder Mixture Plus Phenobarbital |
11326-1624 |
LQ |
Phenobarbital |
2.92 |
|
US Pharmaceuticals Inc |
Medigesic Tablets |
52747-0311 |
TB |
Butalbital |
50.00 |
|
Vale Chemical Co |
Alkaloids of Belladonna and Phenobarbital |
00377-0527 |
TB |
Phenobarbital |
16.20 |
|
Vale Chemical Co |
Antispas |
00377-0622 |
TB |
Phenobarbital |
16.20 |
|
Vale Chemical Co |
Barbeloid (Revised) Green |
00377-0365 |
TB |
Phenobarbital |
16.20 |
|
Vale Chemical Co |
Barbeloid Yellow |
00377-0498 |
TB |
Phenobarbital |
16.20 |
|
Vale Chemical Co |
Charspast |
00377-0500 |
TB |
Phenobarbital |
16.20 |
|
Vale Chemical Co |
Digestokraft |
00377-0460 |
TB |
Butabarbital Sodium |
8.00 |
|
Vale Chemical Co |
Ephedrine & Sodium Phenobarbital |
00377-0109 |
TB |
Phenobarbital Sodium |
16.20 |
|
Vale Chemical Co |
Panzyme |
00377-0491 |
TB |
Phenobarbital |
8.10 |
|
Vale Chemical Co |
Pulsaphen |
00377-0652 |
TB |
Phenobarbital |
15.00 |
|
Vale Chemical Co |
Truxaphen |
00377-0541 |
TB |
Phenobarbital |
16.20 |
Page 9
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Vale Chemical Co |
Wescophen S-II |
00377-0628 |
TB |
Phenobarbital |
30.00 |
|
Vale Chemical Co |
Wesmatic Forte |
00377-0426 |
TB |
Phenobarbital |
8.10 |
|
Valeant Pharmaceuticals |
Phrenilin Forte |
0187-0844 |
CA |
Butalbital |
50.00 |
|
Valeant Pharmaceuticals International |
Librax (Chlordiazepoxide HCl and Clidinium Bromide) Capsules |
0187-4100 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Valeant Pharmaceuticals Intl./Oceanside Pharmaceuticals Inc. |
Chlordiazepoxide HCl and Clidinium Bromide Capsules |
68682-409 |
CA |
Chlordiazepoxide HCl |
5.00 |
|
Victory Pharma Inc. (Manuf. By West-Ward Pharmaceutical) |
Zebutal Brand Butalbital, Acetaminophen, and Caffeine Capsules |
68453-170 |
CA |
Butalbital |
50.00 |
|
Vintage Pharmaceuticals |
Chlordiazepoxide Hydrochloride and Clidinium Bromide Capsules |
0254-2732 |
CA |
Chlordiazepoxide |
5.00 |
|
Vistapharm, Inc. |
Donnatal Elixir Grape Flavor 5ml Unit Dose |
66689-0063 |
LQ |
Phenobarbital |
16.20 |
|
Vitarine Pharmaceuticals, Inc |
E-Caff PB Tablets |
00185-0982 |
TB |
Pentobarbital |
30.00 |
|
Vortech Pharmacal Co |
Donna-Sed |
00298-5054 |
EL |
Phenobarbital |
3.24 |
|
Vortech Pharmacal Co |
Hypnaldyne |
00298-1778 |
TB |
Phenobarbital |
16.20 |
|
Vortech Pharmacal Co |
Isophed |
00298-5680 |
LQ |
Phenobarbital |
0.40 |
|
Vortech Pharmacal Co |
Phedral C. T. |
00298-1173 |
TB |
Phenobarbital |
8.10 |
|
Wallace Laboratories |
Barbidonna Elixir |
00037-0305 |
EL |
Phenobarbital |
3.20 |
|
Wallace Laboratories |
Barbidonna No 2 |
00037-0311 |
TB |
Phenobarbital |
32.00 |
|
Wallace Laboratories |
Barbidonna Tablets |
00037-0301 |
TB |
Phenobarbital |
16.00 |
|
Wallace Laboratories |
Butibel Elixir |
00037-0044 |
EL |
Butabarbital Sodium |
3.00 |
|
Wallace Laboratories |
Butibel Tablets |
00037-0046 |
TB |
Butabarbital Sodium |
15.00 |
|
Wallace Laboratories |
Lufyllin-EPG Elixir |
00037-0565 |
EL |
Phenobarbital |
1.60 |
|
Wallace Laboratories |
Lufyllin-EPG Tablets |
00037-0561 |
TB |
Phenobarbital |
16.00 |
|
Wallace Laboratories |
Milprem-200 |
00037-5501 |
TB |
Meprobamate |
200.00 |
|
Wallace Laboratories |
Milprem-400 |
00037-5401 |
TB |
Meprobamate |
400.00 |
|
Warner Chilcott Laboratories |
Pyridium Plus Tablets |
00430-0182 |
TB |
Butabarbital |
15.00 |
|
WE Hauck Inc |
G-1 Capsules |
43797-0244 |
CA |
Butalbital |
50.00 |
|
Wesley Pharmacal Co |
Hytrophen |
00917-0244 |
TB |
Phenobarbital |
16.20 |
|
Wesley Pharmacal Co |
Pulsaphen Gray |
00917-0113 |
TB |
Phenobarbital |
15.00 |
|
Wesley Pharmacal Co |
Wescophen-S |
00917-0135 |
TB |
Phenobarbital |
30.00 |
|
Wesley Pharmacal Co |
Wesmatic Forte |
00917-0845 |
TB |
Phenobarbital |
8.00 |
|
Westminster Pharmaceuticals |
Butalbital, Acetaminophen and Caffeine Tablets(50mg/325mg/40mg) |
69367-203 |
TB |
Butalbital |
50.00 |
|
West-Ward Pharmaceutical Corp. |
Belladonna Alkaloids & Phenobarbital |
00143-1140 |
TB |
Phenobarbital |
16.20 |
|
West-Ward Pharmaceutical Corp. |
Butalbital with Acetaminophen and Caffeine Tablets |
00143-1787 |
TB |
Butalbital |
50.00 |
|
West-Ward Pharmaceutical Corp. |
Butalbital, Acetaminophen and Caffein Capsules |
00143-3001 |
CA |
Butalbital |
50.00 |
|
West-Ward Pharmaceutical Corp. |
Butalbital, Acetaminophen, and Caffeine Tablets, USP |
00143-1115 |
TB |
Butalbital |
50.00 |
|
West-Ward Pharmaceutical Corp. |
Clindinax Capsules |
00143-3091 |
CA |
Chlordiazepoxide Hydrochloride |
5.00 |
|
West-Ward Pharmaceutical Corp. |
Clindinax Capsules |
00143-3092 |
CA |
Chlordiazepoxide Hydrochloride |
5.00 |
|
West-Ward Pharmaceutical Corp. |
Theophylline Ephedrine & Phenobarbital |
00143-1695 |
TB |
Phenobarbital |
8.00 |
|
West-Ward Pharmaceutical Corp. |
Zebutal Brand Butalbital, Acetaminophen, and Caffeine Capsules |
59630-0170 |
CA |
Butalbital |
50.00 |
|
Winder Laboratories, LLC. |
Phenohytro (Phenobarbital, Hyoscyamine, Atropine, Scopolamine) |
75826-118 |
TB |
Phenobarbital |
16.20 |
|
Winder Laboratories, LLC. |
Phenohytro (Phenobarbital, Hyoscyamine, Atropine, Scopolamine) |
75826-127 |
LQ |
Phenobarbital |
16.20 |
|
Winder Laboratories, LLC. |
Phenohytro (Phenobarbital, Hyoscyamine, Atropine, Scopolamine) |
75826-128 |
LQ |
Phenobarbital |
16.20 |
Page 10
|
Exempt Prescription Products |
|
|
|
2/21/2020 |
|
|
|
|
|
|
|
|
|
Company |
Trade Name |
NDC Code |
Form |
Controlled Substance |
(mg or mg/ml) |
|
Winthrop Labs |
Isuprel |
00024-0874 |
EL |
Phenobarbital |
0.40 |
|
Wraser Pharmaceuticals |
Phrenilin Forte (Butalbital, Acetaminophen and Caffeine) 50/300/40 |
66992-955 |
CA |
Butalbital |
50.00 |
|
Zenith Goldline Pharmaceuticals |
Belladonna Alkaloids with Phenobarbital ER Tablets |
00182-2611 |
TB |
Phenobarbital |
48.60 |
|
Zenith Goldline Pharmaceuticals |
Butalbital, Acetaminophen and Caffeine Tablets |
00182-2659 |
TB |
Butalbital |
50.00 |
|
Zenith Labs Inc |
Azpan |
00172-3747 |
TB |
Phenobarbital |
8.00 |
|
Zenith Labs Inc |
Chlordiazepoxide HCl and Clidinium Bromide Capsules, USP |
00172-2982 |
CA |
Chlordiazepoxide HCl |
5.00 |
Page 11