Drug Lists for “Use of High Risk Medications in the ... · PDF fileGeneric Product Name . Category . 00904105760 . benztropine 2 mg oral tablet : Anticholinergics (excludes TCAs),

DRUG LISTS FOR “USE OF HIGH RISK MEDICATIONS IN THE ELDERLY” MEASURE IN THE 2012 GROUP PRACTICE QUALITY AND RESOURCE USE

REPORTS

Document Length: 442 pages

CONTENTS

Table 1. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Dispensed Drug Criterion ................................... 1

Table 2. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Calculated Days Supply > 90 Days ................ 394

Table 3. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Average Daily Dose Criterion ......................... 424

Table 1. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Dispensed Drug Criterion

NDC Code Generic Product Name Category

00121065816 trihexyphenidyl 2 mg/5 mL oral elixir Anticholinergics (excludes TCAs), anti-Parkinson agents

00143176301 trihexyphenidyl 5 mg oral tablet Anticholinergics (excludes TCAs), anti-Parkinson agents




00182129900 benztropine 0.5 mg oral tablet Anticholinergics (excludes TCAs), anti-Parkinson agents


00182170000 benztropine 1 mg oral tablet Anticholinergics (excludes TCAs), anti-Parkinson agents




September 2013 1 Centers for Medicare and Medicaid Services


























































































































61748005416 trihexyphenidyl 2 mg/5 mL oral elixir Anticholinergics (excludes TCAs), anti-Parkinson agents

























































00006006268 cyproheptadine 4 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines

00008420401 chlorpheniramine/dextromethorphan/ phenylephrine 2 mg-15 mg-10 mg/5 mL oral liquid

Anticholinergics (excludes TCAs), First-generation antihistamines

00024086016 chlorpheniramine/HYDROcodone/ phenylephrine 2 mg-2.5 mg-5 mg/5 mL oral liquid


00026998302 chlorpheniramine 2 mg oral tablet, chewable


00031184346 brompheniramine 12 mg oral tablet, extended release




00031223413 brompheniramine/dextromethorph/ phenylephrine 1 mg-5 mg-2.5 mg/5 mL oral liquid




00031223513 brompheniramine-phenylephrine 1 mg-2.5 mg/5 mL oral liquid






00031223712 acetaminophen/chlorpheniramine/ dextromethorphan/phenylephrine 160 mg-1 mg-5 mg-2.5 mg/5 mL oral liquid


00031223812 chlorpheniramine-dextromethorphan 1 mg-7.5 mg/5 mL oral liquid


00031224713 diphenhydrAMINE-phenylephrine 6.25 mg-2.5 mg/5 mL oral liquid


00031229321 brompheniramine-phenylephrine 1 mg-2.5 mg oral tablet, chewable


00031860346 acetaminophen/dextromethorphan/ doxylamine/pseudoephedrine 250 mg-10 mg-6.25 mg-30 mg oral capsule




00031860712 chlorpheniramine/dextromethorp/ phenylephrine 2 mg-10 mg-5 mg/5 mL oral liquid


00031860812 chlorpheniramine/dextromethorphan/ pseudoephedrine 1 mg-7.5 mg-15 mg/5 mL oral liquid


00031861210 acetaminophen/chlorpheniramine/ dextromethorphan/pseudoephedrine 160 mg-1 mg-5 mg-15 mg/5 mL oral liquid






















00031866713 chlorpheniramine-dextromethorphan 2 mg-15 mg/5 mL oral syrup


00031867501 brompheniramine/dextromethorphan/ pseudoephedrine 2 mg-10 mg-30 mg/5 mL oral syrup










00031871412 diphenhydrAMINE-guaiFENesin 12.5 mg-200 mg/5 mL oral liquid




00031872220 acetaminophen/dextromethorphan/ doxylamine 325 mg-15 mg-6.25 mg oral capsule


00031873220 acetaminophen/chlorpheniramine/ phenylephrine 325 mg-2 mg-5 mg oral tablet


00031873512 acetaminophen/diphenhydrAMINE/ phenylephrine 160 mg-6.25 mg-2.5 mg/5 mL oral liquid


00031873518 acetaminophen/diphenhydrAMINE/ phenylephrine 160 mg-6.25 mg-2.5 mg/5 mL oral liquid




00037068110 carbetapentane-chlorpheniramine 60 mg-5 mg oral tablet


00037068204 carbetapentane-chlorpheniramine 30 mg-4 mg/5 mL oral suspension


00037070710 chlorpheniramine-phenylephrine 9 mg-25 mg oral tablet


00037071203 chlorpheniramine-phenylephrine 4.5 mg-5 mg oral tablet, chewable


00037071416 chlorpheniramine-phenylephrine 4.5 mg-5 mg/5 mL oral suspension


00037071792 carbetapentane/chlorpheniramine/ ePHEDrine/phenylephrine 60 mg-5 mg-10 mg-10 mg oral tablet


00043012224 chlorpheniramine-pseudoephedrine 4 mg-60 mg oral tablet




00043046008 acetaminophen/diphenhydrAMINE/ phenylephrine 325 mg-12.5 mg-5 mg/15 mL oral syrup


00043056504 chlorpheniramine/dextromethorphan/ pseudoephedrine 1 mg-5 mg-15 mg/5 mL oral liquid




00043056604 chlorpheniramine-pseudoephedrine 1 mg-15 mg/5 mL oral syrup




00043625606 acetaminophen/diphenhydrAMINE/ phenylephrine 650 mg-25 mg-10 mg oral powder for reconstitution






00045018018 diphenhydrAMINE 12.5 mg oral tablet, chewable




00045018210 acetaminophen-diphenhydrAMINE 500 mg-25 mg oral tablet


00045021148 acetaminophen-diphenhydrAMINE 500 mg-12.5 mg oral tablet












00067013524 acetaminophen/clemastine/ pseudoephedrine 325 mg-0.335 mg-30 mg oral tablet


00067013612 acetaminophen/chlorpheniramine/ dextromethorphan/pseudoephedrine 1000 mg-4 mg-30 mg-60 mg oral powder


00067013624 acetaminophen/chlorpheniramine/ dextromethorphan/pseudoephedrine 500 mg-2 mg-15 mg-30 mg oral tablet




00067020018 chlorpheniramine/dextromethorphan/ pseudoephedrine 1 mg-5 mg-15 mg oral tablet, chewable


00067020115 chlorpheniramine-pseudoephedrine 1 mg-15 mg oral tablet, chewable












00067024617 diphenhydrAMINE-magnesium salicylate 25 mg-580 mg oral tablet




00067029724 diphenhydrAMINE-pseudoephedrine 25 mg-60 mg oral tablet


00067045306 acetaminophen/chlorpheniramine/ pseudoephedrine 1000 mg-4 mg-60 mg oral powder for reconstitution




00067050104 acetaminophen/chlorpheniramine/ dextromethorphan 160 mg-1 mg-7.5 mg/5 mL oral liquid




00067059504 chlorpheniramine-dextromethorphan 1 mg-5 mg/5 mL oral liquid


00067075004 acetaminophen/chlorpheniramine/ dextromethorphan/pseudoephedrine 160 mg-1 mg-7.5 mg-15 mg/5 mL oral liquid


00067119008 clemastine 1.34 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines


















00067208120 acetaminophen/chlorpheniramine/ dextromethorphan/phenylephrine 325 mg-2 mg-10 mg-5 mg oral tablet




00067208220 acetaminophen/chlorpheniramine/ dextromethorphan/phenylephrine varying strength oral tablet




00067208320 acetaminophen/chlorpheniramine/ phenylephrine varying strength oral kit


























00067614712 diphenhydrAMINE 25 mg oral disintegrating strip


00067618020 diphenhydrAMINE-magnesium salicylate 25 mg-580 mg oral tablet


00067618404 chlorpheniramine 1 mg/5 mL oral liquid Anticholinergics (excludes TCAs), First-generation antihistamines

00067621608 dextromethorphan/diphenhydrAMINE/ phenylephrine varying strength oral liquid










00067634604 chlorpheniramine-phenylephrine 1 mg-2.5 mg/5 mL oral liquid




00067635414 diphenhydrAMINE 12.5 mg oral disintegrating strip


00067635614 diphenhydrAMINE-phenylephrine 12.5 mg-5 mg oral disintegrating strip


00067635718 chlorpheniramine-dextromethorphan 1 mg-5 mg oral tablet, chewable




00067638314 diphenhydrAMINE 12.5 mg oral disintegrating strip














00069541066 hydrOXYzine pamoate 25 mg oral capsule




00069544093 hydrOXYzine pamoate 25 mg/5 mL oral suspension


00071233317 diphenhydrAMINE 12.5 mg/5 mL oral liquid


00071255517 diphenhydrAMINE-pseudoephedrine 12.5 mg-30 mg/5 mL oral liquid


00081008220 acetaminophen/pseudoephedrine/ triprolidine 500 mg-30 mg-1.25 mg oral tablet




00085014701 dexbrompheniramine-pseudoephedrine 6 mg-120 mg oral tablet, extended release










00085026103 acetaminophen/dexbrompheniramine/ pseudoephedrine 500 mg-3 mg-60 mg oral tablet, extended release




00085026805 dexchlorpheniramine/guaiFENesin/ pseudoephedrine 2 mg-100 mg-20 mg/5 mL oral syrup


00085037402 chlorpheniramine 8 mg oral tablet, extended release




00085052201 acetaminophen-chlorpheniramine 325 mg-2 mg oral tablet










00085082003 dexchlorpheniramine 2 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines

00085111701 acetaminophen-diphenhydrAMINE 325 mg-12.5 mg/15 mL oral liquid



00093030912 clemastine 0.67 mg/5 mL oral syrup Anticholinergics (excludes TCAs), First-generation antihistamines




00093506101 hydrOXYzine hydrochloride 25 mg oral tablet












00095000816 brompheniramine 8 mg/5 mL oral suspension, extended release


00095005401 chlorpheniramine-HYDROcodone 4 mg-5 mg oral capsule, extended release






00095013004 brompheniramine/HYDROcodone/ pseudoephedrine 2 mg-1.7 mg-30 mg/5 mL oral liquid






00095013216 brompheniramine/dextromethorphan/ pseudoephedrine 8 mg-60 mg-90 mg/5 mL oral suspension, extended release


00095064501 brompheniramine-pseudoephedrine 6 mg-45 mg oral tablet, extended release


00095086006 brompheniramine-pseudoephedrine 4 mg-60 mg oral capsule


00095120006 brompheniramine 12 mg oral capsule, extended release


00095129006 brompheniramine-pseudoephedrine 12 mg-90 mg oral capsule, extended release


00095600416 brompheniramine-pseudoephedrine 4 mg-60 mg/5 mL oral liquid




00095900816 brompheniramine-pseudoephedrine 8 mg-90 mg/5 mL oral suspension, extended release


00113005058 diphenhydrAMINE-ibuprofen 38 mg-200 mg oral tablet



00113033530 acetaminophen/dextromethorphan/ doxylamine 325 mg-15 mg-6.25 mg/15 mL oral liquid








00113038326 pseudoephedrine-triprolidine 30 mg-1.25 mg/5 mL oral syrup


00113040673 diphenhydrAMINE 25 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines


00113043462 pseudoephedrine-triprolidine 60 mg-2.5 mg oral tablet




00113044164 doxylamine 25 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines





00113046262 diphenhydrAMINE 25 mg oral capsule Anticholinergics (excludes TCAs), First-generation antihistamines

00113046362 chlorpheniramine 4 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines






00113082927 acetaminophen-diphenhydrAMINE 500 mg-25 mg oral capsule


00115104001 promethazine 12.5 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines

00115104101 promethazine 25 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines



00121024716 chlorpheniramine/methscopolamine/ phenylephrine 2 mg-0.625 mg-10 mg/5 mL oral syrup


00121034201 chlorpheniramine/guaiFENesin/ phenylephrine 1 mg-20 mg-2 mg/mL oral liquid








00121054705 codeine-promethazine 10 mg-6.25 mg/5 mL oral syrup


00121070116 chlorpheniramine/dextromethorphan/ guaiFENesin/phenylephrine 2 mg-7.5 mg-100 mg-10 mg/5 mL oral syrup


00122080366 acetaminophen/dextromethorphan/ doxylamine/pseudoephedrine 1000 mg-30 mg-7.5 mg-60 mg/30 mL oral liquid
















00135000845 acetaminophen/dextromethorphan/ diphenhydrAMINE/pseudoephedrine varying strength oral tablet


00135000945 acetaminophen/diphenhydrAMINE/ pseudoephedrine oral tablet






00143197901 chlorpheniramine/phenylephrine/ phenyltoloxamine 4 mg-20 mg-40 mg oral tablet, extended release















00182118316 acetaminophen/chlorpheniramine/ pseudoephedrine 325 mg-2 mg-30 mg oral capsule


00182135540 cyproheptadine 2 mg/5 mL oral syrup Anticholinergics (excludes TCAs), First-generation antihistamines







00182173741 promethazine 6.25 mg/5 mL oral syrup Anticholinergics (excludes TCAs), First-generation antihistamines






























00185130401 chlorpheniramine-pseudoephedrine 8 mg-120 mg oral capsule, extended release






00235059202 acetaminophen/chlorpheniramine/ pseudoephedrine 500 mg-2 mg-30 mg oral tablet
































































































































































00247033205 hydrOXYzine hydrochloride 10 mg/5 mL oral syrup








































00247050252 chlorpheniramine/phenylephrine/ pyrilamine 2 mg-5 mg-12.5 mg/5 mL oral suspension































00247062320 dextromethorphan-promethazine 15 mg-6.25 mg/5 mL oral syrup




00247072308 chlorpheniramine 12 mg oral capsule, extended release











































































00247133777 chlorpheniramine/dextromethorphan/ phenylephrine 4 mg-15 mg-12.5 mg/5 mL oral syrup












00247186446 chlorpheniramine-HYDROcodone 8 mg-10 mg/5 mL oral suspension, extended release


































00277016001 chlorpheniramine/methscopolamine/ phenylephrine 4 mg-1.25 mg-10 mg oral tablet


00277018201 chlorpheniramine/methscopolamine/ phenylephrine 12 mg-2.5 mg-20 mg oral tablet, extended release




00277018301 chlorpheniramine-phenylephrine 4 mg-20 mg oral capsule, extended release


00277018541 chlorpheniramine/dextromethorphan/ guaiFENesin/phenylephrine 2 mg-15 mg-100 mg-10 mg/5 mL oral syrup


00277018641 chlorpheniramine-phenylephrine 4 mg-20 mg/5 mL oral suspension, extended release


00280700020 aspirin/chlorpheniramine/phenylephrine 325 mg-2 mg-7.8 mg oral tablet, effervescent






00318065912 chlorpheniramine/dextromethorp/ phenylephrine 1 mg-5 mg-2.5 mg/5 mL oral liquid


00363014862 acetaminophen/chlorpheniramine/ dextromethorphan/PSE 80 mg-0.5 mg-2.5 mg-7.5 mg oral tablet, chewable































00372004808 chlorpheniramine-HYDROcodone 2 mg-2.5 mg/5 mL oral liquid


00372004828 chlorpheniramine-HYDROcodone 2 mg-2.5 mg/5 mL oral liquid


00377021601 acetaminophen/chlorpheniramine/ phenylephrine/salicylamide 150 mg-2 mg-5 mg-250 mg oral tablet


00377021610 acetaminophen/chlorpheniramine/ phenylephrine/salicylamide 150 mg-2 mg-5 mg-250 mg oral tablet














































00472162804 phenylephrine-promethazine 5 mg-6.25 mg/5 mL oral syrup




00472162904 codeine/phenylephrine/promethazine 10 mg-5 mg-6.25 mg/5 mL oral syrup




















00485005401 chlorpheniramine-phenylephrine 8 mg-20 mg oral tablet, extended release


00485005516 chlorpheniramine-phenylephrine 4 mg-10 mg/5 mL oral liquid




00485007201 chlorpheniramine tannate 8 mg oral tablet, extended release


00485007402 chlorpheniramine 2 mg/mL oral suspension, extended release




00485007602 chlorpheniramine-phenylephrine 2 mg-6 mg/mL oral suspension, extended release


00485009816 chlorpheniramine 2 mg/5 mL oral syrup Anticholinergics (excludes TCAs), First-generation antihistamines








































00525674801 carbinoxamine 4 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines

00525675216 carbinoxamine 4 mg/5 mL oral liquid Anticholinergics (excludes TCAs), First-generation antihistamines

00525988804 chlorpheniramine/dihydrocodeine/ phenylephrine 2 mg-3 mg-7.5 mg/5 mL oral liquid


00536037097 chlorpheniramine 2 mg/5 mL oral syrup Anticholinergics (excludes TCAs), First-generation antihistamines

















00536136085 brompheniramine/dextromethorphan/ pseudoephedrine 1 mg-5 mg-15 mg/5 mL oral liquid











































00573016710 diphenhydrAMINE-ibuprofen 25 mg-200 mg oral capsule


00573016720 diphenhydrAMINE-ibuprofen 25 mg-200 mg oral capsule


00573018320 chlorpheniramine/ibuprofen/ pseudoephedrine 1 mg-100 mg-15 mg/5 mL oral suspension


00573018805 chlorpheniramine/ibuprofen/ pseudoephedrine 2 mg-200 mg-30 mg oral tablet


00573018810 chlorpheniramine/ibuprofen /pseudoephedrine 2 mg-200 mg-30 mg oral tablet













































































00603106645 chlorpheniramine-phenylephrine 1 mg-3.5 mg/mL oral liquid




00603106754 chlorpheniramine-phenylephrine 4 mg-12.5 mg/5 mL oral syrup




00603106845 chlorpheniramine/dextromethorp/ phenylephrine 1 mg-3 mg-3.5 mg/mL oral liquid







00603128358 dexbrompheniramine/HYDROcodone/ phenylephrine 1 mg-2.5 mg-5 mg/5 mL oral syrup










00603152054 chlorpheniramine/codeine/ pseudoephedrine 2 mg-10 mg-30 mg/5 mL oral liquid
























00603160958 chlorpheniramine/HYDROcodone/ pseudoephedrine 2 mg-2.5 mg-30 mg/5 mL oral liquid








00603319821 dexchlorpheniramine 4 mg oral tablet, extended release

































00642047016 dexbrompheniramine/dextromethorphan/phenylephrine 2 mg-20 mg-10 mg/5 mL oral syrup


00642047110 dexbrompheniramine/dextromethorphan/phenylephrine 6 mg-30 mg-20 mg oral tablet, extended release


00682010001 chlorpheniramine/methscopolamine/ phenylephrine 8 mg-2.5 mg-20 mg oral capsule, extended release


00682048016 brompheniramine/codeine/ pseudoephedrine 2 mg-7.5 mg-30 mg/5 mL oral liquid
















































































00904581744 chlorpheniramine-dextromethorphan 4 mg-30 mg oral tablet



00904587420 acetaminophen/chlorpheniramine/ dextromethorphan 160 mg-1 mg-5 mg/5 mL oral suspension






























10122040310 chlorpheniramine/methscopolamine/ phenylephrine 2 mg-1.25 mg-10 mg oral tablet, chewable


10122065020 chlorpheniramine/methscopolamine/ phenylephrine/pseudoephedrine oral kit


10122065060 chlorpheniramine/methscopolamine/ phenylephrine/pseudoephedrine oral kit


10122070316 chlorpheniramine-phenylephrine 3 mg-7.5 mg/5 mL oral suspension, extended release


10122070420 chlorpheniramine-methscopolamine varying strength oral tablet, extended release




10122070520 chlorpheniramine/methscopolamine/ phenylephrine ages 12 years and older oral tablet, extended release













































10135041829 diphenhydrAMINE 19 mg oral tablet, disintegrating
























































10914025016 brompheniramine-phenylephrine 4 mg-5 mg/5 mL oral suspension, extended release






10914043016 brompheniramine/dextromethorphan/ phenylephrine 10 mg-30 mg-25 mg/5 mL oral suspension, extended release


10914044016 brompheniramine/dextromethorph/ phenylephrine 2 mg-10 mg-5 mg/5 mL oral liquid


10914050001 brompheniramine-phenylephrine 6 mg-7.5 mg oral capsule, extended release


10914060001 brompheniramine-phenylephrine 12 mg-15 mg oral capsule, extended release










10914093106 carbetapentane/diphenhydrAMINE/ phenylephrine 30 mg-25 mg-10 mg oral tablet, chewable, extended release


10914094006 brompheniramine 12 mg oral tablet, chewable, extended release






















11026266202 dexbrompheniramine/dextromethorphan/phenylephrine 0.5 mg-5 mg-2.5 mg/mL oral liquid





















11523130502 acetaminophen/chlorpheniramine/ dextromethorphan 500 mg-2 mg-15 mg oral tablet






11523360101 chlorpheniramine-dextromethorphan 4 mg-30 mg oral tablet


11523476501 acetaminophen/chlorpheniramine/ dextromethorphan/guaiFENesin varying strength oral kit






11528010016 chlorpheniramine-pseudoephedrine 5 mg-75 mg/5 mL oral suspension, extended release




11528010516 chlorpheniramine/dextromethorphan/ pseudoephedrine 5 mg-25 mg-75 mg/5 mL oral suspension, extended release




11528010704 brompheniramine/chlophedianol/ pseudoephedrine 2 mg-12.5 mg-30 mg/5 mL oral liquid


11528010716 brompheniramine/chlophedianol/ pseudoephedrine 2 mg-12.5 mg-30 mg/5 mL oral liquid




















12547017050 acetaminophen/diphenhydrAMINE/ pseudoephedrine 500 mg-25 mg-30 mg oral tablet









12547017585 acetaminophen/diphenhydrAMINE/ phenylephrine 325 mg-12.5 mg-5 mg oral tablet
















12830073516 brompheniramine/codeine/ pseudoephedrine 1.33 mg-6.33 mg-10 mg/5 mL oral liquid




12830073916 codeine/dexbrompheniramine/ pseudoephedrine 6 mg-0.667 mg-20 mg/5 mL oral liquid


12830075412 brompheniramine/codeine/ phenylephrine 1.33 mg-6.33 mg-3.33 mg/5 mL oral liquid


12830076016 chlophedianol/dexbrompheniramine/ phenylephrine 12.5 mg-1 mg-5 mg/5 mL oral liquid




12830081616 dexbrompheniramine/dextromethorphan/pseudoephedrine 0.667 mg-10 mg-20 mg/5 mL oral liquid


12843007640 aspirin-diphenhydrAMINE citrate 500 mg-38.3 mg oral tablet




13279030016 brompheniramine/dextromethorphan/ guaiFENesin/phenylephrine 2 mg-5 mg-50 mg-5 mg/5 mL oral liquid


13279030130 brompheniramine/dextromethorphan/ pseudoephedrine 1 mg-3 mg-12.5 mg/mL oral liquid




13811000310 chlorpheniramine/dextromethorp/ phenylephrine 8 mg-30 mg-20 mg oral tablet, extended release




13811006916 brompheniramine/codeine/ phenylephrine 4 mg-10 mg-7.5 mg/5 mL oral liquid


13811007016 chlorpheniramine-codeine 2 mg-10 mg/5 mL oral liquid


13811007130 chlorpheniramine-pseudoephedrine 0.8 mg-9 mg/mL oral liquid


13811007230 chlorpheniramine/dextromethorphan/ pseudoephedrine 0.8 mg-3 mg-9 mg/mL oral liquid




13811007316 diphenhydrAMINE-phenylephrine 25 mg-7.5 mg/5 mL oral liquid




13811008030 chlorpheniramine/dextromethorp/ phenylephrine 1 mg-3 mg-1.5 mg/mL oral drops


13811008130 chlorpheniramine-phenylephrine 1 mg-2 mg/mL oral drops


13811008230 chlorpheniramine/dextromethorp/ phenylephrine 1 mg-3 mg-2 mg/mL oral drops








14629010201 chlorpheniramine/methscopolamine/ phenylephrine 4 mg-1.25 mg-10 mg oral tablet




14629011416 dexchlorpheniramine/methscopolamine/phenylephrine 1 mg-1.25 mg-10 mg/5 mL oral syrup


14629020201 chlorpheniramine/dextromethorphan/ methscopolamine 8 mg-30 mg-2.5 mg oral tablet, extended release




15014023560 brompheniramine-phenylephrine 6 mg-15 mg oral tablet, chewable, extended release


15014077704 brompheniramine/carbetapentane/ phenylephrine 6 mg-30 mg-10 mg/5 mL oral liquid




15370000810 chlorpheniramine/phenylephrine/ pyrilamine 4 mg-10 mg-25 mg oral tablet, extended release


15370002710 atropine/chlorpheniramine/hyoscyamine/pseudoephedrine/scopolamine oral tablet, extended release




16477013001 dexchlorpheniramine/dextromethorph/ phenylephrine 2 mg-30 mg-20 mg/5 mL oral suspension, extended release




16477014601 chlorpheniramine/methscopolamine/ pseudoephedrine 4 mg-1.25 mg-60 mg oral tablet, extended release




16477062030 chlorpheniramine/dextromethorphan/ phenylephrine 0.75 mg-2.75 mg-1.75 mg/mL oral drops












16500005401 acetaminophen/chlorpheniramine/ dextromethorphan/pseudoephedrine 325 mg-2 mg-10 mg-30 mg oral capsule










16500050586 acetaminophen/chlorpheniramine/ phenylephrine 250 mg-2 mg-5 mg oral tablet, effervescent








16500050590 acetaminophen/dextromethorph/ doxylamine/phenylephrine 250 mg-10 mg-6.25 mg-5 mg oral tablet, effervescent


16500050591 acetaminophen/dextromethorph/ doxylamine/phenylephrine 250 mg-10 mg-6.25 mg-5 mg oral tablet, effervescent


16500050592 chlorpheniramine/dextromethorphan/ phenylephrine 2 mg-10 mg-5 mg oral tablet, effervescent




































































16881040016 chlorpheniramine/dihydrocodeine/ phenylephrine 2 mg-7.25 mg-5 mg/5 mL oral liquid




17287010010 chlorpheniramine/methscopolamine/ pseudoephedrine varying strength oral tablet, extended release





































































19810056405 acetaminophen/chlorpheniramine/ dextromethorph/pseudoephedrine 1000 mg-4 mg-30 mg-60 mg/30 mL oral liquid

































































23359001916 codeine/diphenhydrAMINE/ phenylephrine 7.5 mg-12.5 mg-7.5 mg/5 mL oral syrup











































































23589002916 codeine/diphenhydrAMINE/ phenylephrine 7.5 mg-12.5 mg-7.5 mg/5 mL oral syrup









































































24839022816 chlorpheniramine/HYDROcodone/ pseudoephedrine 4 mg-5 mg-40 mg/5 mL oral syrup




24839034616 chlorpheniramine-methscopolamine 4 mg-1.25 mg/ 5 mL oral liquid


28595011001 brompheniramine-phenylephrine 6 mg-19 mg oral tablet, extended release




29978042016 chlorpheniramine/codeine/ phenylephrine 2 mg-10 mg-5 mg/5 mL oral liquid



















































35573000410 chlorpheniramine-methscopolamine 8 mg-2.5 mg oral tablet, extended release




























37000055415 dextromethorphan-doxylamine 15 mg-6.25 mg/15 mL oral liquid












38739011002 chlorpheniramine/methscopolamine/ phenylephrine 4 mg-1.25 mg-10 mg/5 mL oral liquid







41167000140 diphenhydrAMINE 25 mg oral tablet, disintegrating
































43378010004 chlorpheniramine-codeine 1 mg-3 mg/3 mL oral suspension


43378010104 chlorpheniramine-codeine 1 mg-3.5 mg/3.5 mL oral suspension














44183020130 pseudoephedrine-triprolidine 10 mg-0.938 mg/mL oral liquid










44183051404 brompheniramine/carbetapentane/ phenylephrine 6 mg-25 mg-10 mg/5 mL oral suspension, extended release










45985065216 dexchlorpheniramine/HYDROcodone/ phenylephrine 2 mg-4 mg-5 mg/5 mL oral liquid
















































49348020604 acetaminophen/diphenhydrAMINE/ pseudoephedrine 500 mg-12.5 mg-30 mg oral tablet
















































49348075434 chlorpheniramine-dextromethorphan 1 mg-5 mg/5 mL oral liquid


49348077534 brompheniramine/dextromethorph/phenylephrine 1 mg-5 mg-2.5 mg/5 mL oral liquid
















49348087934 acetaminophen/chlorpheniramine/ dextromethorph/phenylephrine 160 mg-1 mg-5 mg-2.5 mg/5 mL oral suspension













































49769054416 chlorpheniramine/phenylephrine/ pyrilamine 2 mg-10 mg-10 mg/5 mL oral liquid





































































































































50383080916 carbetapentane/chlorpheniramine/ ePHEDrine/phenylephrine 30 mg-4 mg-5 mg-5 mg/5 mL oral suspension












50383086604 dexchlorpheniramine/DM/PSE 2.5 mg-25 mg-75 mg/5 mL oral suspension, extended release


















50383088016 dexchlorpheniramine/dextromethorphan/PSE 3 mg-27.5 mg-50 mg/5 mL oral suspension, extended release
















































































50580024904 acetaminophen/chlorpheniramine/ dextromethorphan 160 mg-1 mg-5 mg/5 mL oral suspension


50580025208 acetaminophen-diphenhydrAMINE 1000 mg-50 mg/30 mL oral liquid








50580026908 acetaminophen/dextromethorphan/ doxylamine/phenylephrine 325 mg-10 mg-6.25 mg-5 mg/15 mL oral liquid






50580028324 acetaminophen/diphenhydrAMINE/ phenylephrine 325 mg-25 mg-5 mg oral tablet














50580034818 diphenhydrAMINE 12.5 mg oral tablet, disintegrating










50580038704 acetaminophen/chlorpheniramine/ phenylephrine 160 mg-1 mg-2.5 mg/5 mL oral liquid


50580039104 acetaminophen/chlorpheniramine/ dextromethorph/phenylephrine 160 mg-1 mg-5 mg-2.5 mg/5 mL oral suspension


































50580055204 diphenhydrAMINE-phenylephrine 12.5 mg-5 mg/5 mL oral liquid










































50991040516 chlorpheniramine/phenylephrine/ pyrilamine 2 mg-7.5 mg-12.5 mg/5 mL oral liquid




50991041216 dexbrompheniramine-pyrilamine 4 mg-3.5 mg/5 mL oral suspension, extended release


50991051301 brompheniramine/diphenhydrAMINE/ phenylephrine 6 mg-25 mg-20 mg oral tablet, extended release


50991052701 brompheniramine-diphenhydrAMINE 6 mg-25 mg oral tablet, extended release


50991052816 codeine/pseudoephedrine/triprolidine 10 mg-15 mg-1.25 mg/5 mL oral liquid


50991059716 doxylamine-pseudoephedrine 6.25 mg-30 mg/5 mL oral liquid


50991059816 dextromethorphan/doxylamine/ pseudoephedrine 15 mg-6.25 mg-30 mg/5 mL oral liquid


50991060316 chlorpheniramine/HYDROcodone/ phenylephrine 2 mg-6 mg-5 mg/5 mL oral liquid


50991060716 diphenhydrAMINE-phenylephrine 25 mg-7.5 mg/5 mL oral liquid


50991061216 phenylephrine-triprolidine 10 mg-2.5 mg/5 mL oral liquid


50991061416 chlophedianol-triprolidine 25 mg-2.5 mg/5 mL oral liquid


50991061616 chlophedianol/phenylephrine/triprolidine 25 mg-10 mg-2.5 mg/5 mL oral liquid


50991071016 dexbrompheniramine/DM/PE/pyrilamine 4 mg-30 mg-25 mg-3.5 mg/5 mL oral suspension, extended release


50991071316 brompheniramine/codeine/ phenylephrine 4 mg-10 mg-7.5 mg/5 mL oral liquid




50991078260 dexbrompheniramine-phenylephrine 2 mg-10 mg oral tablet


50991078360 dexbrompheniramine 2 mg oral tablet Anticholinergics (excludes TCAs), First-generation antihistamines

50991079016 brompheniramine/dihydrocodeine/ phenylephrine 4 mg-3 mg-7.5 mg/5 mL oral liquid






50991081716 dexbrompheniramine/phenylephrine/ pyrilamine 4 mg-25 mg-3.5 mg/5 mL oral suspension, extended release




















































51285072455 chlorpheniramine-pseudoephedrine 4.5 mg-75 mg/5 mL oral suspension


51285072457 chlorpheniramine-pseudoephedrine 4.5 mg-75 mg/5 mL oral suspension





















51674000707 chlorpheniramine/phenylephrine/ phenyltoloxamine 2.5 mg-5 mg-7.5 mg/5 mL oral liquid




51674001404 brompheniramine-codeine 2 mg-10 mg/5 mL oral syrup
















51991009301 brompheniramine-phenylephrine 6 mg-7.5 mg oral capsule, extended release
















51991016316 brompheniramine/dextromethorphan/ guaiFENesin/pseudoephedrine 2 mg-5 mg-50 mg-30 mg/5 mL oral syrup




51991018904 dexchlorpheniramine-pseudoephedrine 2.5 mg-75 mg/5 mL oral suspension, extended release




51991020616 chlorpheniramine/HYDROcodone/ pseudoephedrine 2 mg-3 mg-15 mg/5 mL oral liquid










51991022216 chlorpheniramine/dihydrocodeine/ pseudoephedrine 2 mg-7.5 mg-15 mg/5 mL oral syrup














51991029816 diphenhydrAMINE/HYDROcodone/ phenylephrine 12.5 mg-2 mg-7.5 mg/5 mL oral syrup


51991029916 chlorpheniramine/HYDROcodone/ phenylephrine 2 mg-3.5 mg-7.5 mg/5 mL oral liquid




51991037216 chlorpheniramine/HYDROcodone/ phenylephrine 2.5 mg-3.5 mg-8 mg/5 mL oral liquid












51991044316 brompheniramine/dextromethorphan/ phenylephrine 2 mg-15 mg-7.5 mg/5 mL oral liquid












51991052901 acetaminophen/chlorpheniramine/PE/ phenyltoloxamine 325 mg-8 mg-40 mg-50 mg oral tablet, extended release


51991053116 triprolidine 1.25 mg/5 mL oral liquid Anticholinergics (excludes TCAs), First-generation antihistamines

51991053216 pseudoephedrine-triprolidine 45 mg-1.25 mg/5 mL oral liquid










51991058301 dexchlorpheniramine/methscopolamine/pseudoephedrine 3.5 mg-1 mg-45 mg oral tablet, extended release










51991060816 chlorpheniramine/dihydrocodeine/ phenylephrine 5 mg-3 mg-20 mg/5 mL oral syrup










52083005701 dexbrompheniramine/dextromethorphan/phenylephrine 1 mg-10 mg-5 mg/mL oral liquid








52083048190 acetaminophen-dexbrompheniramine 650 mg-2 mg oral tablet















52747042070 acetaminophen/chlorpheniramine/PE/ phenyltoloxamine 325 mg-8 mg-40 mg-50 mg oral tablet, extended release



































































































































53076017333 dextromethorphan-doxylamine 7.5 mg-3.125 mg/5 mL oral liquid














































































































































54838010800 brompheniramine 2 mg/5 mL oral liquid Anticholinergics (excludes TCAs), First-generation antihistamines





















































54859070260 dexbrompheniramine maleate-pseudoephedrine hydrochloride 2 mg-60 mg oral tablet


54859080204 dexbrompheniramine-pseudoephedrine 1 mg-30 mg/5 mL oral liquid






















































































































54868525200 brompheniramine 12 mg oral capsule, extended release



























































































































































































55887018830 brompheniramine-pseudoephedrine 1 mg-15 mg/mL oral liquid











































































































































































































































































58407080416 chlorpheniramine/guaiFENesin/ HYDROcodone/pseudoephedrine 2 mg-100 mg-2.5 mg-30 mg/5 mL oral liquid






58605015201 brompheniramine-phenylephrine 4 mg-10 mg/5 mL oral liquid










58605043601 chlorpheniramine-codeine 4 mg-10 mg oral tablet


58605043701 chlorpheniramine-codeine 4 mg-20 mg oral tablet


58605043801 acetaminophen/chlorpheniramine/ codeine 500 mg-4 mg-20 mg oral tablet


58605044001 brompheniramine-pseudoephedrine 4 mg-40 mg oral tablet


58605044101 brompheniramine/dextromethorphan/ pseudoephedrine 4 mg-20 mg-40 mg oral tablet






58809011201 chlorpheniramine/phenylephrine/ pyrilamine 2 mg-10 mg-10 mg/5 mL oral liquid


58809028101 chlorpheniramine/phenylephrine/ pyrilamine 2 mg-10 mg-10 mg oral tablet


58809053601 chlorpheniramine/guaiFENesin/ phenylephrine 2 mg-100 mg-20 mg/5 mL oral liquid


58809081701 codeine/dexchlorpheniramine/ phenylephrine 10 mg-1 mg-5 mg/5 mL oral liquid


58809099901 chlophedianol/dexchlorpheniramine/ pseudoephedrine 12.5 mg-1 mg-30 mg/5 mL oral liquid














58869040101 brompheniramine-pseudoephedrine 5.75 mg-60 mg oral capsule, extended release












59196001504 chlorpheniramine/methscopolamine/ phenylephrine 2 mg-1.5 mg-10 mg/5 mL oral suspension, extended release








59196011201 chlorpheniramine/guaiFENesin/ methscopolamine/phenylephrine varying strength oral tablet, extended release


59196011501 chlorpheniramine/methscopolamine/ phenylephrine 2 mg-1.5 mg-10 mg oral tablet, chewable, extended release


59196011601 chlorpheniramine-methscopolamine 2 mg-1.5 mg/5 mL oral suspension, extended release




59196011701 chlorpheniramine-methscopolamine 2 mg-1.5 mg oral tablet, chewable, extended release






59196012001 chlorpheniramine/dextromethorphan/ guaiFENesin/methscopolamine/phenylephrine oral kit


59196012101 brompheniramine/chlorpheniramine/ methscopolamine/phenylephrine/pseudoephedrine oral kit






























59702079916 chlorpheniramine/HYDROcodone/ pseudoephedrine 4 mg-5 mg-30 mg/5 mL oral suspension, extended release




59702080901 chlorpheniramine-pseudoephedrine 4 mg-30 mg oral tablet, chewable, extended release


59702081901 chlorpheniramine-pseudoephedrine tannate 4 mg-30 mg oral tablet, chewable, extended release


























































60258031404 brompheniramine/carbetapentane/ phenylephrine 4 mg-30 mg-7.5 mg/5 mL oral suspension




60258031616 chlorpheniramine 8 mg/5 mL oral suspension, extended release






60258035201 chlorpheniramine-phenylephrine 4 mg-20 mg oral capsule, extended release








60258039830 brompheniramine/dextromethorphan/ pseudoephedrine 1 mg-5 mg-12 mg/mL oral liquid


60258039916 dexchlorpheniramine/dextromethorphan/phenylephrine/pyrilamine 1.25 mg-5 mg-5 mg-5 mg/5 mL oral syrup






60258041016 dexchlorpheniramine/dextromethorphan/PSE 3.5 mg-30 mg-45 mg/5 mL oral suspension, extended release




60258041116 chlorpheniramine/phenylephrine/pyrilamine 8 mg-15 mg-12.5 mg/5 mL oral suspension, extended release














60258042730 brompheniramine-pseudoephedrine 1 mg-12.5 mg/mL oral liquid








60258043330 brompheniramine-pseudoephedrine 1 mg-15 mg/mL oral liquid








60258044730 brompheniramine/dextromethorphan/ pseudoephedrine 1 mg-4 mg-15 mg/mL oral drops








60258048016 dexchlorpheniramine-pseudoephedrine 3 mg-50 mg/5 mL oral suspension, extended release












60258068216 chlorpheniramine/HYDROcodone/ pseudoephedrine 2.5 mg-1.67 mg-20 mg/5 mL oral liquid




60258068516 chlorpheniramine/HYDROcodone/ pseudoephedrine 2.5 mg-1.67 mg-17.5 mg/5 mL oral liquid


60258068616 brompheniramine/HYDROcodone/ phenylephrine 2 mg-2.5 mg-7.5 mg/5 mL oral liquid










60258070016 chlorpheniramine/HYDROcodone/ phenylephrine 2 mg-3.5 mg-7.5 mg/5 mL oral liquid


60258070116 chlorpheniramine/HYDROcodone/ phenylephrine 2 mg-2 mg-7.5 mg/5 mL oral liquid










60258071116 diphenhydrAMINE/HYDROcodone/ phenylephrine 12.5 mg-3.5 mg-5 mg/5 mL oral syrup










60258076016 chlorpheniramine/dihydrocodeine/ pseudoephedrine 2 mg-7.5 mg-15 mg/5 mL oral syrup




























































60432053916 dexchlorpheniramine 2 mg/5 mL oral syrup




















60569047104 acetaminophen/dextromethorphan/ diphenhydrAMINE 325 mg-10 mg-12.5 mg/5 mL oral liquid








60575051319 acetaminophen/dextromethorphan/ diphenhydrAMINE/phenylephrine 575 mg-20 mg-37.5 mg-10 mg oral tablet


60575053120 acetaminophen/DM/diphenhydrAMINE/phenylephrine 575 mg-30 mg-37.5 mg-18 mg oral tablet, extended release






















































































61787047104 acetaminophen/dextromethorphan/ diphenhydrAMINE 325 mg-10 mg-12.5 mg/5 mL oral liquid


































63162051516 brompheniramine-phenylephrine 2 mg-5 mg/5 mL oral elixir




63162051760 brompheniramine-phenylephrine 2 mg-5 mg/5 mL oral elixir

































































63717055004 carbetapentane/chlorpheniramine/ phenylephrine 30 mg-4 mg-12.5 mg/5 mL oral suspension, extended release


63717055106 carbetapentane/chlorpheniramine/ phenylephrine 60 mg-5 mg-10 mg oral tablet, extended release


63717055616 carbetapentane/dexchlorpheniramine/ phenylephrine 20 mg-1 mg-10 mg/5 mL oral liquid


63717057106 diphenhydrAMINE 25 mg oral tablet, chewable


63717057604 diphenhydrAMINE-phenylephrine 25 mg-7.5 mg/5 mL oral suspension, extended release


63717057706 diphenhydrAMINE-phenylephrine 25 mg-10 mg oral tablet, chewable, extended release


63717058004 carbetapentane/diphenhydrAMINE/ phenylephrine 30 mg-25 mg-7.5 mg/5 mL oral suspension, extended release


63717058106 carbetapentane/diphenhydrAMINE/ phenylephrine 30 mg-25 mg-10 mg oral tablet, extended release


63717058504 carbetapentane/diphenhydrAMINE/ phenylephrine 30 mg-25 mg-15 mg/5 mL oral suspension, extended release


63717059004 carbetapentane-diphenhydrAMINE 30 mg-25 mg/5 mL oral suspension, extended release




63717059104 dextromethorphan/diphenhydrAMINE/ phenylephrine 75 mg-25 mg-7.5 mg/5 mL oral suspension, extended release




63717071004 diphenhydrAMINE/HYDROcodone/ phenylephrine 25 mg-3.5 mg-7.5 mg/5 mL oral suspension, extended release




































































































































































































































































































64543008490 dexchlorpheniramine-phenylephrine 3 mg-20 mg oral tablet, extended release




64543009190 dexchlorpheniramine-phenylephrine 6 mg-40 mg oral tablet, extended release


64543009590 chlorpheniramine/methscopolamine/ phenylephrine 12 mg-2 mg-40 mg oral tablet, extended release










64543050104 brompheniramine/chlophedianol/ phenylephrine 4 mg-25 mg-10 mg/5 mL oral liquid


64543050116 brompheniramine/chlophedianol/ phenylephrine 4 mg-25 mg-10 mg/5 mL oral liquid






64661003130 brompheniramine 1 mg/mL oral liquid Anticholinergics (excludes TCAs), First-generation antihistamines









64661006016 brompheniramine/dihydrocodeine/ pseudoephedrine 3 mg-7.5 mg-15 mg/5 mL oral liquid


64661009004 chlorpheniramine/methscopolamine/ pseudoephedrine 4 mg-1.25 mg-30 mg/5 mL oral syrup




































65224054201 doxylamine 5 mg oral tablet, chewable Anticholinergics (excludes TCAs), First-generation antihistamines

65224054501 diphenhydrAMINE-phenylephrine 12.5 mg-5 mg oral tablet, chewable, extended release


























































66346019165 diphenhydrAMINE/HYDROcodone/ phenylephrine 12.5 mg-3.5 mg-5 mg/5 mL oral syrup



























66813098216 brompheniramine/HYDROcodone/ pseudoephedrine 6 mg-6 mg-45 mg/5 mL oral suspension, extended release




66869011610 chlorpheniramine 8 mg/5 mL oral suspension, extended release




66869015410 dexchlorpheniramine/dextromethorphan/PSE 3.5 mg-30 mg-45 mg/5 mL oral suspension, extended release


66869016210 chlorpheniramine/phenylephrine/ pyrilamine 8 mg-15 mg-12.5 mg/5 mL oral suspension, extended release






66869030710 dexchlorpheniramine-phenylephrine 3.5 mg-18.5 mg oral tablet, extended release


66869040710 dexchlorpheniramine-pseudoephedrine 3 mg-50 mg/5 mL oral suspension, extended release




















66992012504 brompheniramine/carbetapentane/ phenylephrine 4 mg-30 mg-7.5 mg/5 mL oral suspension









66992022004 brompheniramine/carbetapentane/ phenylephrine 6 mg-25 mg-10 mg/5 mL oral suspension, extended release




66992023560 brompheniramine-phenylephrine 6 mg-15 mg oral tablet, chewable, extended release


66992025016 brompheniramine/HYDROcodone/ phenylephrine 6 mg-5 mg-10 mg/5 mL oral suspension, extended release


















67204024516 pseudoephedrine-triprolidine 45 mg-1.25 mg/5 mL oral liquid


67204032016 triprolidine 1.25 mg/5 mL oral liquid Anticholinergics (excludes TCAs), First-generation antihistamines

67204032516 triprolidine 2.5 mg/5 mL oral suspension, extended release




67204034016 pseudoephedrine-triprolidine 45 mg-2.5 mg/5 mL oral suspension, extended release






























































68032018210 chlorpheniramine-pseudoephedrine 12 mg-120 mg oral tablet, extended release


68032018960 diphenhydrAMINE 25 mg oral tablet, chewable














68032030716 dexchlorpheniramine/dextromethorph/ phenylephrine 2 mg-30 mg-20 mg/5 mL oral suspension, extended release






68032032421 brompheniramine 1 mg/mL oral liquid Anticholinergics (excludes TCAs), First-generation antihistamines







68032034710 chlorpheniramine/dextromethorphan/ methscopolamine 8 mg-30 mg-2.5 mg oral tablet, extended release


















68047003002 chlorpheniramine 2 mg/mL oral suspension, extended release


68047003102 chlorpheniramine-phenylephrine 2 mg-6 mg/mL oral suspension, extended release


68047003202 chlorpheniramine-phenylephrine 1 mg-2.5 mg/5 mL oral liquid


















68047013804 brompheniramine-codeine 2 mg-10 mg/5 mL oral syrup


































68047021001 dexbrompheniramine/dextromethorphan/phenylephrine 6 mg-30 mg-20 mg oral tablet, extended release




























68047033001 chlorpheniramine-pseudoephedrine 12 mg-120 mg oral tablet, extended release













































































































68308012204 diphenhydrAMINE 25 mg/5 mL oral liquid


68308012604 diphenhydrAMINE-phenylephrine 25 mg-7.5 mg/5 mL oral suspension, extended release


68308013004 carbetapentane/diphenhydrAMINE/ phenylephrine 30 mg-25 mg-7.5 mg/5 mL oral suspension, extended release


68308013404 diphenhydrAMINE/HYDROcodone/ phenylephrine 25 mg-3.5 mg-7.5 mg/5 mL oral suspension, extended release


68308013604 carbetapentane-diphenhydrAMINE 30 mg-25 mg/5 mL oral suspension, extended release


68308013804 dextromethorphan/diphenhydrAMINE/ phenylephrine 75 mg-25 mg-7.5 mg/5 mL oral suspension, extended release


68308014004 carbetapentane/diphenhydrAMINE/ phenylephrine 30 mg-25 mg-15 mg/5 mL oral suspension, extended release










68308075560 carbetapentane/diphenhydrAMINE/ phenylephrine 30 mg-25 mg-10 mg oral tablet, extended release

























68453014504 dexchlorpheniramine/HYDROcodone/ phenylephrine 1 mg-2 mg-5 mg/5 mL oral syrup


68453014516 dexchlorpheniramine/HYDROcodone/ phenylephrine 1 mg-2 mg-5 mg/5 mL oral syrup


















































00004001814 ticlopidine 250 mg oral tablet Antithrombotics

00054043425 dipyridamole 25 mg oral tablet Antithrombotics




























































































































00003290710 methyldopa 250 mg/5 mL oral suspension

Cardiovascular, alpha agonists, central

00093293101 methyldopa 250 mg oral tablet Cardiovascular, alpha agonists, central








00172422660 guanabenz 4 mg oral tablet Cardiovascular, alpha agonists, central

00172422760 guanabenz 8 mg oral tablet Cardiovascular, alpha agonists, central

00247114430 guanFACINE 1 mg oral tablet Cardiovascular, alpha agonists, central






00378050701 hydrochlorothiazide-methyldopa 15 mg-250 mg oral tablet


































54092051302 guanFACINE 1 mg oral tablet, extended release



































00025273231 disopyramide 100 mg oral capsule, extended release

Cardiovascular, other







00025275231 disopyramide 100 mg oral capsule Cardiovascular, other



00069260066 NIFEdipine 10 mg oral capsule Cardiovascular, other































































































































00037011016 butabarbital 30 mg/5 mL oral elixir Central nervous system, barbiturates

00037011360 butabarbital 30 mg oral tablet Central nervous system, barbiturates

00037011460 butabarbital 50 mg oral tablet Central nervous system, barbiturates

00078010705 aspirin/butalbital/caffeine/codeine 325 mg-50 mg-40 mg-30 mg oral capsule

Central nervous system, barbiturates

00078024305 acetaminophen/butalbital/caffeine/codeine 325 mg-50 mg-40 mg-30 mg oral capsule




00093085401 acetaminophen/butalbital/caffeine 325 mg-50 mg-40 mg oral tablet


00095024001 acetaminophen-butalbital 650 mg-50 mg oral tablet






Table 1. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Dispensed Drug Criterion (continued)


00095702901 acetaminophen/butalbital/caffeine 300 mg-50 mg-40 mg oral capsule




00121053105 PHENobarbital 20 mg/5 mL oral elixir Central nervous system, barbiturates








00143114010 atropine/hyoscyamine/PHENobarbital/scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg oral tablet




00143144505 PHENobarbital 15 mg oral tablet Central nervous system, barbiturates









00143178501 aspirin/butalbital/caffeine 325 mg-50 mg-40 mg oral tablet












00143300001 acetaminophen/butalbital/caffeine/ codeine 325 mg-50 mg-40 mg-30 mg oral capsule














00187084401 acetaminophen-butalbital 650 mg-50 mg oral capsule














00247013808 atropine/hyoscyamine/PHENobarbital/ scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg oral tablet


























































































00247050704 atropine/hyoscyamine/PHENobarbital/ scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5 mL oral elixir














00247050903 atropine/hyoscyam/PHENobarb/ scopolam 0.0582 mg-0.3111 mg-48.6 mg-0.0195 mg oral tablet, extended release





















































00409234331 PHENobarbital 60 mg/mL injectable solution




00430018215 butabarbital/hyoscyamine/ phenazopyridine 15 mg-0.3 mg-150 mg oral tablet














00527155201 aspirin/butalbital/caffeine 325 mg-50 mg-40 mg oral capsule














00591322001 acetaminophen/butalbital/caffeine/codeine 325 mg-50 mg-40 mg-30 mg oral capsule

















































00603516521 PHENobarbital 16.2 mg oral tablet Central nervous system, barbiturates









































































































42998030301 amobarbital 500 mg injection Central nervous system, barbiturates

42998067901 secobarbital 100 mg oral capsule Central nervous system, barbiturates















































50991051416 acetaminophen/butalbital/caffeine 325 mg-50 mg-40 mg/15 mL oral liquid


















51991041602 mephobarbital 32 mg oral tablet Central nervous system, barbiturates







































































































































































































































































































































































































































































63304030310 amobarbital 500 mg injection Central nervous system, barbiturates


































































































































66213042216 atropine/hyoscyamine/PHENobarbital/scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5 mL oral elixir


























66647205111 PENTobarbital 50 mg/mL injectable solution


66647434050 PHENobarbital 10 mg/mL-NaCl 0.9% injectable solution




66813007316 acetaminophen/butalbital/caffeine 325 mg-50 mg-40 mg/15 mL oral liquid

















68032039516 atropine/hyoscyamine/PHENobarbital/ scopolamine 0.0194 mg-0.1037 mg-16.2 mg-0.0065 mg/5 mL oral liquid






































00121045710 chloral hydrate 250 mg/5 mL oral syrup

Central nervous system, other







00247080007 thioridazine 10 mg oral tablet Central nervous system, other









00247103128 meprobamate 400 mg oral tablet Central nervous system, other














10551009110 aspirin-meprobamate 325 mg-200 mg oral tablet














51991008051 chloral hydrate 500 mg oral capsule Central nervous system, other

51991008052 chloral hydrate 500 mg oral capsule Central nervous system, other

















































00054027313 imipramine pamoate 75 mg oral capsule

Central nervous system, tertiary TCAs







00093095601 clomiPRAMINE 25 mg oral capsule Central nervous system, tertiary TCAs





00187380510 amitriptyline-chlordiazePOXIDE 12.5 mg-5 mg oral tablet


00187380610 amitriptyline-chlordiazePOXIDE 25 mg-10 mg oral tablet


00247061420 amitriptyline 10 mg oral tablet Central nervous system, tertiary TCAs
















00247078907 imipramine 50 mg oral tablet Central nervous system, tertiary TCAs








00378004201 amitriptyline-perphenazine 10 mg-4 mg oral tablet





































































































































































45963029330 trimipramine 25 mg oral capsule Central nervous system, tertiary TCAs





















































































































































































































































































































































































































































































































































































00247146903 ergoloid mesylates 1 mg oral tablet Central nervous system, vasodilators

00781184001 isoxsuprine 10 mg oral tablet Central nervous system, vasodilators



















00009377201 estropipate 0.75 mg oral tablet Endocrine system, estrogens with or without progestins; include only oral and topical patch products


00009377401 estropipate 3 mg oral tablet Endocrine system, estrogens with or without progestins; include only oral and topical patch products



00032102301 esterified estrogens-methylTESTOSTERone 0.625 mg-1.25 mg oral tablet

Endocrine system, estrogens with or without progestins; include only oral and topical patch products





00046087505 conjugated estrogens-medroxyPROGESTERone 0.625 mg-2.5 mg oral tablet


















00046097505 conjugated estrogens-medroxyPROGESTERone 0.625 mg-5 mg oral tablet








00046110081 conjugated estrogens 0.3 mg oral tablet






















00046257301 conjugated estrogens-medroxyPROGESTERone biphasic oral tablet










00087075601 estradiol 2 mg oral tablet Endocrine system, estrogens with or without progestins; include only oral and topical patch products


00093545528 estradiol-norethindrone 1 mg-0.5 mg oral tablet








00169517510 estradiol-norethindrone 0.5 mg-0.1 mg oral tablet

















































00339607312 estradiol 0.5 mg oral tablet Endocrine system, estrogens with or without progestins; include only oral and topical patch products




















00430038924 estradiol acetate 0.45 mg oral tablet Endocrine system, estrogens with or without progestins; include only oral and topical patch products

























































































50419040903 dienogest-estradiol multiphasic oral tablet


50419048203 drospirenone-estradiol 0.25 mg-0.5 mg oral tablet


50419048301 drospirenone-estradiol 0.5 mg-1 mg oral tablet


50419048303 drospirenone-estradiol 0.5 mg-1 mg oral tablet





51285006390 estradiol-norgestimate biphasic oral tablet




51285040602 conjugated estrogens synthetic B, 0.3 mg oral tablet










51285044102 conjugated estrogens synthetic A, 0.3 mg oral tablet









































































































































































































































54868593400 esterified estrogens 0.625 mg oral tablet































































































61570007201 esterified estrogens 0.3 mg oral tablet Endocrine system, estrogens with or without progestins; include only oral and topical patch products





61570007550 esterified estrogens 2.5 mg oral tablet Endocrine system, estrogens with or without progestins; include only oral and topical patch products
























































00015050842 megestrol 40 mg/mL oral suspension Endocrine system, other


00054460325 megestrol 20 mg oral tablet Endocrine system, other












00456045701 thyroid desiccated 15 mg oral tablet Endocrine system, other




































































49884094911 megestrol 625 mg/5 mL oral suspension

Endocrine system, other

























































64727329801 thyroid desiccated 16.25 mg oral tablet






64727329901 thyroid desiccated 32.5 mg oral tablet Endocrine system, other

































00009013101 glyBURIDE 1.25 mg oral tablet Endocrine system, sulfonylureas, long-duration

00009017107 glyBURIDE 5 mg oral tablet Endocrine system, sulfonylureas, long-duration

00009034101 glyBURIDE micronized 1.5 mg oral tablet

Endocrine system, sulfonylureas, long-duration

00009035201 glyBURIDE micronized 3 mg oral tablet














00087607211 glyBURIDE-metFORMIN 1.25 mg-250 mg oral tablet




00087607411 glyBURIDE-metFORMIN 5 mg-500 mg oral tablet























































































00247104530 chlorproPAMIDE 250 mg oral tablet Endocrine system, sulfonylureas, long-duration

























































































































































































































































































































































































































































































































































































































00247026704 trimethobenzamide 250 mg oral capsule

Gastrointestinal system, other





































































00024033502 meperidine 50 mg oral tablet Pain medications, other




00024193704 acetaminophen-pentazocine 650 mg-25 mg oral tablet

Pain medications, other



00024195104 naloxone-pentazocine 0.5 mg-50 mg oral tablet


00054354563 meperidine 50 mg/5 mL oral syrup Pain medications, other




00074118130 meperidine 50 mg/mL injectable solution












00093031401 ketorolac 10 mg oral tablet Pain medications, other

00093402901 indomethacin 25 mg oral capsule Pain medications, other










00185072001 indomethacin 75 mg oral capsule, extended release


























































00406158555 meperidine compounding powder Pain medications, other





























00409192010 pentazocine 30 mg/mL injectable solution




00409228721 ketorolac 30 mg/mL injectable solution







































00517888001 ketorolac 15.75 mg/inh nasal spray Pain medications, other
















00603442421 meperidine-promethazine 50 mg-25 mg oral capsule
























00713017630 indomethacin 50 mg rectal suppository






































































































































24200035980 meperidine 10 mg/mL-NaCl 0.9% intravenous solution


















38779007603 indomethacin compounding powder Pain medications, other





42211010111 indomethacin 25 mg/5 mL oral suspension


42211010243 indomethacin 50 mg rectal suppository





































































































































































































































































55390029901 indomethacin 1 mg intravenous injection












































































































































































































































































































































00031744963 methocarbamol 750 mg oral tablet Pain medications, skeletal muscle relaxants


00037200101 carisoprodol 350 mg oral tablet Pain medications, skeletal muscle relaxants


00037210301 aspirin-carisoprodol 325 mg-200 mg oral tablet

Pain medications, skeletal muscle relaxants



00037240301 aspirin/carisoprodol/codeine 325 mg-200 mg-16 mg oral tablet


00045032560 chlorzoxazone 500 mg oral tablet Pain medications, skeletal muscle relaxants




00093191919 cyclobenzaprine 10 mg oral tablet Pain medications, skeletal muscle relaxants




00115201101 orphenadrine 100 mg oral tablet, extended release




















00185044801 metaxalone 800 mg oral tablet Pain medications, skeletal muscle relaxants


00185071301 aspirin/caffeine/orphenadrine 385 mg-30 mg-25 mg oral tablet


























































































































































































00378881591 cyclobenzaprine 15 mg oral capsule, extended release


































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































68453095010 cyclobenzaprine 7.5 mg oral tablet Pain medications, skeletal muscle relaxants











Table 2. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Calculated Days Supply > 90 Days


00093213001 nitrofurantoin macrocrystals 50 mg oral capsule Anti-Infectives, Other











00149071001 nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Anti-Infectives, Other






































































































































































































































































































59630045008 nitrofurantoin 25 mg/5 mL oral suspension Anti-Infectives, Other

























































00024540110 zolpidem 5 mg oral tablet Nonbenzodiazepine hypnotics







00024550110 zolpidem 6.25 mg oral tablet, extended release Nonbenzodiazepine hypnotics








00054008425 zaleplon 5 mg oral capsule Nonbenzodiazepine hypnotics














00095095005 zolpidem 5 mg/spray oral spray Nonbenzodiazepine hypnotics







































































12280017930 eszopiclone 3 mg oral tablet Nonbenzodiazepine hypnotics









































































































































































































































































































































































































































































































































Table 3. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Average Daily Dose Criterion

1. Calculated average daily dose for category “Alpha agonists, central” >0.1 mg/day

2. Calculated average daily dose for category “Cardiovascular, other” >0.125 mg/day

3. Calculated average daily does for category “Tertiary TCAs (as single agent or as part of combination products)” >6mg/day


00185003201 reserpine 0.1 mg oral tablet Alpha agonists, central








00054005716 digoxin 50 mcg/mL (0.05 mg/mL) oral elixir Cardiovascular, Other



00115981101 digoxin 125 mcg (0.125 mg) oral tablet Cardiovascular, Other
























































































































































































00093961212 doxepin 10 mg/mL oral concentrate Tertiary TCAs (as single agent or as part of combination products)

00247077300 doxepin 100 mg oral capsule Tertiary TCAs (as single agent or as part of combination products)















































42847010303 doxepin 3 mg oral tablet Tertiary TCAs (as single agent or as part of combination products)




















































































































































































































Documents

Drug Lists for “Use of High Risk Medications in the ... · PDF fileGeneric Product Name . Category . 00904105760 . benztropine 2 mg oral tablet : Anticholinergics (excludes TCAs),