Nebraska WellCare Over The Counter Drug List 2019 Q4 Page 1 of 79
NDC Drug Name Term Date
*ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS*
00113040951 Stay Awake Maximum Strength 200 MG Oral Tablet
00113040958 Stay Awake Maximum Strength 200 MG Oral Tablet
00113040973 Stay Awake Maximum Strength 200 MG Oral Tablet
00904795544 Stay Awake 200 MG Oral Tablet
24385060173 GNP Stay Awake 200 MG Oral Tablet
36800040958 Stay Awake Maximum Strength 200 MG Oral Tablet
36800040973 Stay Awake Maximum Strength 200 MG Oral Tablet
46122045773 GNP Alert Aid 200 MG Oral Tablet
62011000501 HM Stay Awake 200 MG Oral Tablet
62011034001 HM Stay Awake 200 MG Oral Tablet
70000015401 Alertness Aid 200 MG Oral Tablet 6/14/2020
70000040901 Caffeine 200 MG Oral Tablet
70677002101 SM Stay Awake 200 MG Oral Tablet
*Analgesic Combinations**
00113037462 GoodSense Migraine Formula 250-250-65 MG Oral Tablet
00113037478 GoodSense Migraine Formula 250-250-65 MG Oral Tablet
00904513559 Pain Reliever Plus 250-250-65 MG Oral Tablet
24385036571 GNP Migraine Relief 250-250-65 MG Oral Tablet
24385036578 GNP Migraine Relief 250-250-65 MG Oral Tablet
36800037462 Migraine Formula 250-250-65 MG Oral Tablet
36800037478 Migraine Formula 250-250-65 MG Oral Tablet
36800043078 Headache Formula Added St 250-250-65 MG Oral Tablet
46122038278 GNP Headache Relief Extra Str 250-250-65 MG Oral Tablet
49348050610 SM Migraine Relief 250-250-65 MG Oral Tablet
54859011010 Dologesic 30-500 MG Oral Tablet
62011024301 HM Migraine Relief 250-250-65 MG Oral Tablet
63868003224 QC Menstrual Complete Max St 500-60-15 MG Oral Tablet
63868048501 QC Headache Relief 250-250-65 MG Oral Tablet
63868048524 QC Headache Relief 250-250-65 MG Oral Tablet
70000012701 Back & Body Extra Strength 500-32.5 MG Oral Tablet
70000012702 Back & Body Extra Strength 500-32.5 MG Oral Tablet
70000014501 Menstrual Pain Relief 500-25-15 MG Oral Tablet
70000014601 Headache Relief 250-250-65 MG Oral Tablet
70000015901 Tension Headache 500-65 MG Oral Tablet
70000015902 Tension Headache 500-65 MG Oral Tablet
70000024701 Migraine Relief 250-250-65 MG Oral Tablet
70000024702 Migraine Relief 250-250-65 MG Oral Tablet
70000025801 Headache Relief 250-250-65 MG Oral Tablet
*ANALGESICS - ANTI-INFLAMMATORY*
00113005705 GoodSense Ibuprofen Infants 50 MG/1.25ML Oral Suspension
00113007471 GoodSense Ibuprofen 200 MG Oral Tablet
00113007478 GoodSense Ibuprofen 200 MG Oral Tablet
00113016626 GoodSense Ibuprofen Childrens 100 MG/5ML Oral Suspension
2019 Q4 Page 2 of 79
NDC Drug Name Term Date
00113046162 GoodSense Ibuprofen Junior St 100 MG Oral Tablet Chewable
00113051771 GoodSense Ibuprofen 200 MG Oral Tablet
00113060462 GoodSense Ibuprofen 200 MG Oral Tablet
00113060471 GoodSense Ibuprofen 200 MG Oral Tablet
00113060478 GoodSense Ibuprofen 200 MG Oral Tablet
00113060490 GoodSense Ibuprofen 200 MG Oral Tablet
00113064762 GoodSense Ibuprofen 200 MG Oral Tablet
00113064771 GoodSense Ibuprofen 200 MG Oral Tablet
00113064778 GoodSense Ibuprofen 200 MG Oral Tablet
00113066026 GoodSense Ibuprofen Childrens 100 MG/5ML Oral Suspension
00113068526 GoodSense Ibuprofen Childrens 100 MG/5ML Oral Suspension
00113089726 GoodSense Ibuprofen Childrens 100 MG/5ML Oral Suspension
00113089734 GoodSense Ibuprofen Childrens 100 MG/5ML Oral Suspension
00113090162 GoodSense Naproxen Sodium 220 MG Oral Tablet
00113436862 GoodSense Naproxen Sodium 220 MG Oral Tablet
00113436871 GoodSense Naproxen Sodium 220 MG Oral Tablet
00113436878 GoodSense Naproxen Sodium 220 MG Oral Tablet
00113949078 GoodSense Naproxen Sodium 220 MG Oral Tablet
00121183605 Childrens Ibuprofen 100 MG/5ML Oral Suspension
00472176094 Ibuprofen Childrens 100 MG/5ML Oral Suspension
00472176098 Ibuprofen Childrens 100 MG/5ML Oral Suspension
00472176194 Ibuprofen Childrens 100 MG/5ML Oral Suspension
00472176394 Ibuprofen Childrens 100 MG/5ML Oral Suspension
00472176494 Ibuprofen Childrens 100 MG/5ML Oral Suspension
00536108901 Ibuprofen 200 MG Oral Tablet
00536109301 All Day Relief 220 MG Oral Tablet
00536109306 All Day Relief 220 MG Oral Tablet
00536109401 All Day Relief 220 MG Oral Tablet
00536109406 All Day Relief 220 MG Oral Tablet
00536114730 Ibuprofen 200 MG Oral Capsule
00904530909 Childrens Ibuprofen 100 MG/5ML Oral Suspension
00904530920 Childrens Ibuprofen 100 MG/5ML Oral Suspension
00904546335 Ibuprofen Infants 50 MG/1.25ML Oral Suspension
00904557720 Childrens Ibuprofen 100 MG/5ML Oral Suspension
00904674724 Ibuprofen 200 MG Oral Tablet
00904674740 Ibuprofen 200 MG Oral Tablet
00904674751 Ibuprofen 200 MG Oral Tablet
00904674759 Ibuprofen 200 MG Oral Tablet
00904674770 Ibuprofen 200 MG Oral Tablet
00904674780 Ibuprofen 200 MG Oral Tablet
00904791251 Ibuprofen 200 MG Oral Tablet
00904791259 Ibuprofen 200 MG Oral Tablet
00904791451 IBU-200 200 MG Oral Tablet
2019 Q4 Page 3 of 79
NDC Drug Name Term Date
00904791459 IBU-200 200 MG Oral Tablet
00904791461 Ibuprofen 200 MG Oral Tablet
00904791480 IBU-200 200 MG Oral Tablet
00904791551 Ibuprofen 200 MG Oral Tablet 8/31/2020
00904791570 Ibuprofen 200 MG Oral Tablet 6/30/2020
00904791580 Ibuprofen 200 MG Oral Tablet 8/31/2020
15127046624 SB Naproxen Sodium 220 MG Oral Tablet
15127046650 SB Naproxen Sodium 220 MG Oral Tablet
16103039306 Ibuprofen 200 MG Oral Tablet
16103039308 Ibuprofen 200 MG Oral Tablet
24385000926 GNP Childrens Ibuprofen 100 MG/5ML Oral Suspension
24385000934 GNP Childrens Ibuprofen 100 MG/5ML Oral Suspension
24385005878 GNP Ibuprofen 200 MG Oral Tablet
24385005882 GNP Ibuprofen 200 MG Oral Tablet
24385005978 GNP Ibuprofen 200 MG Oral Tablet
24385036126 GNP Childrens Ibuprofen 100 MG/5ML Oral Suspension
24385036134 GNP Childrens Ibuprofen 100 MG/5ML Oral Suspension
24385036881 GNP All Day Pain Relief 220 MG Oral Tablet
24385037226 GNP Childrens Ibuprofen 100 MG/5ML Oral Suspension
24385049071 GNP All Day Pain Relief 220 MG Oral Tablet
24385049078 GNP All Day Pain Relief 220 MG Oral Tablet
24385054662 GNP Ibuprofen Junior Strength 100 MG Oral Tablet Chewable
24385055010 GNP Ibuprofen Infants 50 MG/1.25ML Oral Suspension
24385060471 GNP Ibuprofen 200 MG Oral Tablet
24385060478 GNP Ibuprofen 200 MG Oral Tablet
24385060485 GNP Ibuprofen 200 MG Oral Tablet
24385060490 GNP Ibuprofen 200 MG Oral Tablet
24385064771 GNP Ibuprofen 200 MG Oral Tablet
24385064778 GNP Ibuprofen 200 MG Oral Tablet
24385090526 GNP Childrens Ibuprofen 100 MG/5ML Oral Suspension
24385090534 GNP Childrens Ibuprofen 100 MG/5ML Oral Suspension
36800004840 Ibuprofen 200 MG Oral Capsule
36800005705 Infants Ibuprofen 50 MG/1.25ML Oral Suspension
36800007471 Ibuprofen 200 MG Oral Tablet
36800007478 Ibuprofen 200 MG Oral Tablet
36800016626 Childrens Ibuprofen 100 MG/5ML Oral Suspension
36800018383 Ibuprofen 200 MG Oral Tablet
36800019840 Ibuprofen 200 MG Oral Capsule
36800025510 Infants Ibuprofen 50 MG/1.25ML Oral Suspension
36800036862 All Day Pain Relief 220 MG Oral Tablet
36800036871 All Day Pain Relief 220 MG Oral Tablet
36800036878 All Day Pain Relief 220 MG Oral Tablet
36800036882 All Day Pain Relief 220 MG Oral Tablet
2019 Q4 Page 4 of 79
NDC Drug Name Term Date
36800046162 Ibuprofen Junior Strength 100 MG Oral Tablet Chewable
36800049062 All Day Pain Relief 220 MG Oral Tablet
36800049071 All Day Pain Relief 220 MG Oral Tablet
36800049078 All Day Pain Relief 220 MG Oral Tablet
36800051771 Ibuprofen 200 MG Oral Tablet
36800051778 Ibuprofen 200 MG Oral Tablet
36800060462 Ibuprofen 200 MG Oral Tablet
36800060471 Ibuprofen 200 MG Oral Tablet
36800060478 Ibuprofen 200 MG Oral Tablet
36800060485 Ibuprofen 200 MG Oral Tablet
36800060490 Ibuprofen 200 MG Oral Tablet
36800060493 Ibuprofen 200 MG Oral Tablet
36800064762 Ibuprofen 200 MG Oral Tablet
36800064771 Ibuprofen 200 MG Oral Tablet
36800064778 Ibuprofen 200 MG Oral Tablet
36800064790 Ibuprofen 200 MG Oral Tablet
36800066026 Childrens Ibuprofen 100 MG/5ML Oral Suspension
36800068526 Ibuprofen Childrens 100 MG/5ML Oral Suspension
36800074206 Naproxen Sodium 220 MG Oral Capsule
36800074227 Naproxen Sodium 220 MG Oral Capsule
36800074258 Naproxen Sodium 220 MG Oral Capsule
36800074260 Naproxen Sodium 220 MG Oral Capsule
36800089726 Childrens Ibuprofen 100 MG/5ML Oral Suspension
45802005705 Infants Ibuprofen 50 MG/1.25ML Oral Suspension
45802013326 Childrens Ibuprofen 100 MG/5ML Oral Suspension
45802014026 Ibuprofen Childrens 100 MG/5ML Oral Suspension
45802049071 Naproxen Sodium 220 MG Oral Tablet
45802049078 Naproxen Sodium 220 MG Oral Tablet
45802089726 Childrens Ibuprofen 100 MG/5ML Oral Suspension
45802089734 Childrens Ibuprofen 100 MG/5ML Oral Suspension
45963012523 Infants Ibuprofen 50 MG/1.25ML Oral Suspension
45963012524 Infants Ibuprofen 50 MG/1.25ML Oral Suspension
46122001062 GNP Ibuprofen Junior Strength 100 MG Oral Tablet Chewable
46122011026 GNP Childrens Ibuprofen 100 MG/5ML Oral Suspension
46122030971 GNP Naproxen Sodium 220 MG Oral Tablet
46122030978 GNP Naproxen Sodium 220 MG Oral Tablet
46122054890 GNP Ibuprofen 200 MG Oral Tablet
46122056271 GNP Naproxen Sodium 220 MG Oral Tablet
46122056278 GNP Naproxen Sodium 220 MG Oral Tablet
46122056471 GNP Naproxen Sodium 220 MG Oral Tablet
46122056478 GNP Naproxen Sodium 220 MG Oral Tablet
46122056481 GNP Naproxen Sodium 220 MG Oral Tablet
46122061762 GNP Ibuprofen Childrens 100 MG Oral Tablet Chewable
2019 Q4 Page 5 of 79
NDC Drug Name Term Date
49348019609 SM Ibuprofen 200 MG Oral Tablet
49348019610 SM Ibuprofen 200 MG Oral Tablet
49348019635 SM Ibuprofen 200 MG Oral Tablet
49348022934 SM Childrens Ibuprofen 100 MG/5ML Oral Suspension
49348022937 SM Childrens Ibuprofen 100 MG/5ML Oral Suspension
49348030609 SM Naproxen Sodium 220 MG Oral Tablet
49348030610 SM Naproxen Sodium 220 MG Oral Tablet
49348037469 SM Infants Ibuprofen 50 MG/1.25ML Oral Suspension
49348049934 SM Childrens Ibuprofen 100 MG/5ML Oral Suspension
49348050034 SM Childrens Ibuprofen 100 MG/5ML Oral Suspension
49348056859 SM Ibuprofen 200 MG Oral Capsule
49348063904 SM Ibuprofen IB 100 MG Oral Tablet Chewable
49348064227 SM Infants Ibuprofen 50 MG/1.25ML Oral Suspension
49348070604 SM Ibuprofen 200 MG Oral Tablet
49348070609 SM Ibuprofen 200 MG Oral Tablet
49348070610 SM Ibuprofen 200 MG Oral Tablet
49348070614 SM Ibuprofen 200 MG Oral Tablet
49348070616 SM Ibuprofen 200 MG Oral Tablet
49348072709 SM Ibuprofen IB 200 MG Oral Tablet
49348072710 SM Ibuprofen IB 200 MG Oral Tablet
49348087634 SM Childrens Ibuprofen 100 MG/5ML Oral Suspension
49348092709 SM Ibuprofen IB 200 MG Oral Tablet
49348092710 SM Ibuprofen IB 200 MG Oral Tablet
49483060101 Ibuprofen 200 MG Oral Tablet
49483060110 Ibuprofen 200 MG Oral Tablet
49483060901 Naproxen Sodium 220 MG Oral Tablet
49483060905 Naproxen Sodium 220 MG Oral Tablet
51672213001 Ibuprofen Childrens 100 MG/5ML Oral Suspension
51672213008 Ibuprofen Childrens 100 MG/5ML Oral Suspension
53746014001 Ibuprofen 200 MG Oral Tablet 7/31/2020
53746014010 Ibuprofen 200 MG Oral Tablet 7/31/2020
62011000401 HM Ibuprofen Infants 50 MG/1.25ML Oral Suspension
62011001001 HM Ibuprofen Childrens 100 MG/5ML Oral Suspension
62011001101 HM Ibuprofen Childrens 100 MG/5ML Oral Suspension
62011001201 HM Ibuprofen Infants 50 MG/1.25ML Oral Suspension
62011001401 HM Ibuprofen 200 MG Oral Tablet
62011001402 HM Ibuprofen 200 MG Oral Tablet
62011001403 HM Ibuprofen 200 MG Oral Tablet
62011001407 HM Ibuprofen 200 MG Oral Tablet
62011001501 HM Ibuprofen 200 MG Oral Tablet
62011001502 HM Ibuprofen 200 MG Oral Tablet
62011001503 HM Ibuprofen 200 MG Oral Tablet
62011001601 HM Ibuprofen 200 MG Oral Capsule
2019 Q4 Page 6 of 79
NDC Drug Name Term Date
62011001701 HM Naproxen Sodium 220 MG Oral Tablet
62011001702 HM Naproxen Sodium 220 MG Oral Tablet
62011003001 HM Ibuprofen Childrens 100 MG/5ML Oral Suspension
62011003003 HM Ibuprofen Childrens 100 MG/5ML Oral Suspension
62011021301 HM Ibuprofen IB 200 MG Oral Tablet
62011021401 HM Ibuprofen Childrens 100 MG/5ML Oral Suspension
62011022201 HM Ibuprofen IB 200 MG Oral Tablet
62011022202 HM Ibuprofen IB 200 MG Oral Tablet
62011024901 HM Naproxen Sodium 220 MG Oral Capsule
62011033401 HM Ibuprofen 100 MG Oral Tablet Chewable
62011036701 HM Ibuprofen IB 100 MG Oral Tablet Chewable
62011036901 HM Naproxen Sodium 220 MG Oral Capsule
62107000201 Provil 200 MG Oral Tablet
62107000250 Provil 200 MG Oral Tablet
63868007630 QC Ibuprofen Infants 50 MG/1.25ML Oral Suspension
63868046501 QC Naproxen Sodium 220 MG Oral Tablet
63868046550 QC Naproxen Sodium 220 MG Oral Tablet
63868075618 QC Childrens Ibuprofen 100 MG/5ML Oral Suspension
63868075818 QC Childrens Ibuprofen 100 MG/5ML Oral Suspension
63868075940 QC Ibuprofen 200 MG Oral Capsule
63868077324 QC Ibuprofen 200 MG Oral Tablet
63868077604 QC Childrens Ibuprofen 100 MG/5ML Oral Suspension
63868077904 QC Childrens Ibuprofen 100 MG/5ML Oral Suspension
63868077908 QC Childrens Ibuprofen 100 MG/5ML Oral Suspension
63868079050 QC Ibuprofen IB 200 MG Oral Tablet
63868079150 QC Ibuprofen IB 200 MG Oral Tablet
63868079301 QC Ibuprofen IB 200 MG Oral Tablet
63868079401 QC Ibuprofen IB 200 MG Oral Tablet
63868097924 QC Ibuprofen 200 MG Oral Tablet 9/2/2014
63868098350 QC Ibuprofen 200 MG Oral Tablet
66424039610 Ibuprofen 200 MG Oral Tablet
66424099610 Ibuprofen 200 MG Oral Tablet
68094049458 Ibuprofen Childrens 100 MG/5ML Oral Suspension
68094049459 Ibuprofen Childrens 100 MG/5ML Oral Suspension
68094049461 Ibuprofen Childrens 100 MG/5ML Oral Suspension
68094049462 Ibuprofen Childrens 100 MG/5ML Oral Suspension
68094050359 Childrens Ibuprofen 100 MG/5ML Oral Suspension
68094050361 Childrens Ibuprofen 100 MG/5ML Oral Suspension
68094050362 Childrens Ibuprofen 100 MG/5ML Oral Suspension
68094060059 Ibuprofen Childrens 100 MG/5ML Oral Suspension
68094060061 Ibuprofen Childrens 100 MG/5ML Oral Suspension
68094060062 Ibuprofen Childrens 100 MG/5ML Oral Suspension
69230014620 Ibuprofen 200 MG Oral Capsule
2019 Q4 Page 7 of 79
NDC Drug Name Term Date
69230014640 Ibuprofen 200 MG Oral Capsule
69230014652 Ibuprofen 200 MG Oral Capsule
69230014680 Ibuprofen 200 MG Oral Capsule
69230030520 Naproxen Sodium 220 MG Oral Capsule
69230030580 Naproxen Sodium 220 MG Oral Capsule
69230030811 Ibuprofen Childrens 100 MG/5ML Oral Suspension
70000017101 All Day Pain Relief 220 MG Oral Tablet
70000017103 All Day Pain Relief 220 MG Oral Tablet
70000017501 Ibuprofen 200 MG Oral Tablet
70000017502 Ibuprofen 200 MG Oral Tablet
70000017503 Ibuprofen 200 MG Oral Tablet
70000017504 Ibuprofen 200 MG Oral Tablet
70000017505 Ibuprofen 200 MG Oral Tablet
70000017601 Ibuprofen 200 MG Oral Tablet
70000017602 Ibuprofen 200 MG Oral Tablet
70000017603 Ibuprofen 200 MG Oral Tablet
70000017604 Ibuprofen 200 MG Oral Tablet
70000017605 Ibuprofen 200 MG Oral Tablet
70000018101 Ibuprofen Childrens 100 MG/5ML Oral Suspension
70000020101 All Day Pain Relief 220 MG Oral Tablet
70000020102 All Day Pain Relief 220 MG Oral Tablet
70000020103 All Day Pain Relief 220 MG Oral Tablet
70000023901 Ibuprofen Junior Strength 100 MG Oral Tablet Chewable
70000024001 Ibuprofen Junior Strength 100 MG Oral Tablet Chewable
70000025901 Ibuprofen Childrens 100 MG/5ML Oral Suspension
70000026201 Ibuprofen Childrens 100 MG/5ML Oral Suspension
70000026301 Ibuprofen Childrens 100 MG/5ML Oral Suspension
70000026302 Ibuprofen Childrens 100 MG/5ML Oral Suspension
70000026401 Ibuprofen Childrens 100 MG/5ML Oral Suspension
70000028801 Ibuprofen 200 MG Oral Tablet
70000029101 Ibuprofen 200 MG Oral Tablet
70000029201 Ibuprofen 200 MG Oral Tablet
70000029801 Infants Ibuprofen 50 MG/1.25ML Oral Suspension
70000030701 Ibuprofen Infants Drops 50 MG/1.25ML Oral Suspension
70000030801 Ibuprofen 200 MG Oral Tablet
70000036001 Ibuprofen 200 MG Oral Capsule
70000036002 Ibuprofen 200 MG Oral Capsule
70000036003 Ibuprofen 200 MG Oral Capsule
70677004601 SM Ibuprofen 200 MG Oral Capsule
*Analgesics Other**
00113002026 GoodSense Pain & Fever Child 160 MG/5ML Oral Suspension
00113002562 GoodSense Pain Relief Extra St 500 MG Oral Tablet
00113002571 GoodSense Pain Relief Extra St 500 MG Oral Tablet
00113002578 GoodSense Pain Relief Extra St 500 MG Oral Tablet
2019 Q4 Page 8 of 79
NDC Drug Name Term Date
00113016110 GoodSense Pain & Fever Infants 160 MG/5ML Oral Suspension
00113018771 GoodSense Pain Relief Extra St 500 MG Oral Tablet
00113021226 GoodSense Pain & Fever Child 160 MG/5ML Oral Suspension
00113022771 GoodSense Pain Relief Extra St 500 MG Oral Tablet
00113048462 GoodSense Pain Relief Extra St 500 MG Oral Tablet
00113048471 GoodSense Pain Relief Extra St 500 MG Oral Tablet
00113048478 GoodSense Pain Relief Extra St 500 MG Oral Tablet
00113048490 GoodSense Pain Relief Extra St 500 MG Oral Tablet
00113054462 GoodSense Arthritis Pain 650 MG Oral Tablet ER
00113054471 GoodSense Arthritis Pain 650 MG Oral Tablet ER
00113054478 GoodSense Arthritis Pain 650 MG Oral Tablet ER
00113059010 GoodSense Pain & Fever Infants 160 MG/5ML Oral Suspension
00113060826 GoodSense Pain & Fever Child 160 MG/5ML Oral Suspension
00113094610 GoodSense Pain & Fever Infants 160 MG/5ML Oral Suspension
00113895926 GoodSense Pain & Fever Child 160 MG/5ML Oral Suspension
00121065700 Acetaminophen 160 MG/5ML Oral Solution
00121065705 Acetaminophen 160 MG/5ML Oral Solution
00121131400 Acetaminophen 325 MG/10.15ML Oral Solution
00121131411 Acetaminophen 325 MG/10.15ML Oral Solution
00121178100 Childrens Acetaminophen 160 MG/5ML Oral Suspension
00121178105 Childrens Acetaminophen 160 MG/5ML Oral Suspension
00121197100 Acetaminophen 650 MG/20.3ML Oral Solution
00121197121 Acetaminophen 650 MG/20.3ML Oral Solution
00485005708 Ed-APAP 160 MG/5ML Oral Liquid
00536101407 Pain & Fever Childrens 80 MG Oral Tablet Chewable 5/31/2021
00536116401 Acetaminophen 325 MG Oral Tablet
00536117201 Acetaminophen 500 MG Oral Tablet
00536117210 Acetaminophen 500 MG Oral Tablet
00536121277 Acetaminophen Infants 160 MG/5ML Oral Suspension
00536322201 Pain & Fever 325 MG Oral Tablet
00536322210 Pain & Fever 325 MG Oral Tablet
00536323101 Pain & Fever Extra Strength 500 MG Oral Tablet 6/30/2021
00713011801 Acephen 120 MG Rectal Suppository
00713011812 Acephen 120 MG Rectal Suppository
00713011850 Acephen 120 MG Rectal Suppository
00713016401 Acephen 325 MG Rectal Suppository 4/30/2022
00713016412 Acephen 325 MG Rectal Suppository 4/30/2022
00713016450 Acephen 325 MG Rectal Suppository 4/30/2022
00713016506 Acephen 650 MG Rectal Suppository
00713016512 Acephen 650 MG Rectal Suppository 5/31/2022
00713016550 Acephen 650 MG Rectal Suppository 5/31/2022
00904198251 Mapap 325 MG Oral Tablet
00904198259 Mapap 325 MG Oral Tablet
2019 Q4 Page 9 of 79
NDC Drug Name Term Date
00904198260 Mapap 325 MG Oral Tablet
00904198340 Mapap 500 MG Oral Tablet
00904198351 Mapap 500 MG Oral Tablet 5/31/2020
00904198520 Mapap 160 MG/5ML Oral Liquid 9/30/2020
00904198760 Mapap 500 MG Oral Capsule
00904198859 Mapap 500 MG Oral Tablet 6/30/2020
00904198860 Mapap 500 MG Oral Tablet 9/30/2021
00904198861 Mapap 500 MG Oral Tablet 6/30/2020
00904198880 Mapap 500 MG Oral Tablet 8/31/2021
00904576960 Mapap Arthritis Pain 650 MG Oral Tablet ER
00904579146 Mapap Childrens 80 MG Oral Tablet Chewable
00904581660 Mapap Extra Strength 500 MG Oral Tablet 6/30/2020
00904584709 Mapap Acetaminophen Extra Str 500 MG/15ML Oral Liquid
00904653620 Mapap Childrens 160 MG/5ML Oral Suspension 8/31/2020
00904664524 Mapap Childrens 160 MG Oral Tablet Chewable
00904671950 Acetaminophen 325 MG Oral Tablet
00904671960 Acetaminophen 325 MG Oral Tablet
00904671980 Acetaminophen 325 MG Oral Tablet
00904672024 Acetaminophen Extra Strength 500 MG Oral Tablet
00904672040 Acetaminophen Extra Strength 500 MG Oral Tablet
00904672051 Acetaminophen Extra Strength 500 MG Oral Tablet
00904672059 Acetaminophen Extra Strength 500 MG Oral Tablet
00904672060 Acetaminophen Extra Strength 500 MG Oral Tablet
00904672080 Acetaminophen Extra Strength 500 MG Oral Tablet
00904673059 Acetaminophen Extra Strength 500 MG Oral Tablet
00904673060 Acetaminophen Extra Strength 500 MG Oral Tablet
00904673061 Acetaminophen Extra Strength 500 MG Oral Tablet
00904673080 Acetaminophen Extra Strength 500 MG Oral Tablet
00904673870 Acetaminophen 160 MG/5ML Oral Solution
00904673971 Acetaminophen 325 MG/10.15ML Oral Solution
00904674959 Acetaminophen Extra Strength 500 MG Oral Tablet
00904676620 Acetaminophen Childrens 160 MG/5ML Oral Suspension
00904677361 Acetaminophen 325 MG Oral Tablet
00904682076 Acetaminophen 650 MG/20.3ML Oral Solution
00904688365 Acetaminophen ER 650 MG Oral Tablet ER
00904701416 Acetaminophen Childrens 160 MG/5ML Oral Solution
16103035307 Pharbetol 325 MG Oral Tablet
16103035308 Pharbetol 325 MG Oral Tablet
16103035311 Pharbetol 325 MG Oral Tablet
16103037606 Pharbetol Extra Strength 500 MG Oral Tablet
16103037608 Pharbetol Extra Strength 500 MG Oral Tablet
16103037611 Pharbetol Extra Strength 500 MG Oral Tablet
24385013026 GNP Childrens Pain Relief 160 MG/5ML Oral Suspension
2019 Q4 Page 10 of 79
NDC Drug Name Term Date
24385014571 GNP Pain Relief Extra Strength 500 MG Oral Tablet
24385048447 GNP Pain Relief Extra Strength 500 MG Oral Tablet
24385048471 GNP Pain Relief Extra Strength 500 MG Oral Tablet
24385048490 GNP Pain Relief Extra Strength 500 MG Oral Tablet
24385062971 GNP Arthritis Pain Relief 650 MG Oral Tablet ER
24385062978 GNP Arthritis Pain Relief 650 MG Oral Tablet ER
36800000805 Infants Pain Relief 80 MG/0.8ML Oral Suspension
36800001071 Pain Relief Extra Strength 500 MG Oral Tablet
36800001078 Pain Relief Extra Strength 500 MG Oral Tablet
36800004662 Extra Strength Pain Relief 500 MG Oral Tablet
36800004671 Extra Strength Pain Relief 500 MG Oral Tablet
36800004678 Extra Strength Pain Relief 500 MG Oral Tablet
36800004683 Extra Strength Pain Relief 500 MG Oral Tablet
36800010526 Pain Relief Childrens 160 MG/5ML Oral Suspension
36800013026 Pain Relief Childrens 160 MG/5ML Oral Suspension
36800017526 Pain Relief Childrens 160 MG/5ML Oral Suspension
36800020226 Pain & Fever Childrens 160 MG/5ML Oral Suspension
36800021778 8 Hour Pain Relief 650 MG Oral Tablet ER
36800022771 Pain Relief Extra Strength 500 MG Oral Tablet
36800022778 Pain Relief Extra Strength 500 MG Oral Tablet
36800028905 Infants Pain Relief 80 MG/0.8ML Oral Suspension
36800028910 Infants Pain Relief 80 MG/0.8ML Oral Suspension
36800039726 Pain & Fever Childrens 160 MG/5ML Oral Suspension
36800040378 Pain Relief 325 MG Oral Tablet
36800040572 Pain Relief 500 MG Oral Tablet
36800040578 Pain Relief 500 MG Oral Tablet
36800048447 Pain Relief Extra Strength 500 MG Oral Tablet
36800048462 Pain Relief Extra Strength 500 MG Oral Tablet
36800048471 Pain Relief Extra Strength 500 MG Oral Tablet
36800048478 Pain Relief Extra Strength 500 MG Oral Tablet
36800048490 Pain Relief Extra Strength 500 MG Oral Tablet
36800054462 Arthritis Pain Relief 650 MG Oral Tablet ER
36800054471 Arthritis Pain Relief 650 MG Oral Tablet ER
36800054478 Arthritis Pain Relief 650 MG Oral Tablet ER
36800059016 Pain & Fever Infants 160 MG/5ML Oral Suspension
36800075926 Pain & Fever Childrens 160 MG/5ML Oral Suspension
36800076616 Pain & Fever Infants 160 MG/5ML Oral Suspension
36800095926 Pain & Fever Childrens 160 MG/5ML Oral Suspension
36800096647 Arthritis Pain Relief 650 MG Oral Tablet ER
45802020126 Acetaminophen Childrens 160 MG/5ML Oral Suspension
45802020326 Acetaminophen Childrens 160 MG/5ML Oral Suspension
45802073030 Acetaminophen 650 MG Rectal Suppository
45802073032 Acetaminophen 650 MG Rectal Suppository
2019 Q4 Page 11 of 79
NDC Drug Name Term Date
45802073033 Acetaminophen 650 MG Rectal Suppository
45802073200 Acetaminophen 120 MG Rectal Suppository
45802073230 Acetaminophen 120 MG Rectal Suppository
45802073233 Acetaminophen 120 MG Rectal Suppository
46122004203 GNP Infants Pain/Fever 160 MG/5ML Oral Suspension
46122005603 GNP Infants Pain/Fever 160 MG/5ML Oral Suspension
46122006271 GNP 8 Hour Pain Reliever 650 MG Oral Tablet ER
46122006278 GNP 8 Hour Pain Reliever 650 MG Oral Tablet ER
46122017081 GNP Arthritis Pain Relief 650 MG Oral Tablet ER
46122020926 GNP Pain & Fever Childrens 160 MG/5ML Oral Suspension
46122021026 GNP Pain & Fever Childrens 160 MG/5ML Oral Suspension
46122021126 GNP Pain & Fever Childrens 160 MG/5ML Oral Suspension
46122021226 GNP Pain & Fever Childrens 160 MG/5ML Oral Suspension
46122021426 GNP Pain & Fever Childrens 160 MG/5ML Oral Suspension
46122024778 GNP Pain Relief 325 MG Oral Tablet
46122031346 GNP Infants Pain Relief 160 MG/5ML Oral Suspension 4/28/2020
46122032226 GNP Pain & Fever Childrens 160 MG/5ML Oral Suspension
46122032326 GNP Pain & Fever Childrens 160 MG/5ML Oral Suspension
46122034046 GNP Infants Pain Relief 160 MG/5ML Oral Suspension 4/28/2020
46122035734 GNP Pain Relief Extra Strength 500 MG/15ML Oral Liquid
46122039078 GNP Pain Relief 325 MG Oral Tablet
46122042462 GNP Acetaminophen 160 MG Oral Tablet Chewable
46122043078 GNP Acetaminophen 325 MG Oral Tablet
46122054382 GNP Pain Relief Extra Strength 500 MG Oral Tablet
49348004209 SM Pain Reliever Ex St 500 MG Oral Tablet
49348004210 SM Pain Reliever Ex St 500 MG Oral Tablet
49348004214 SM Pain Reliever Ex St 500 MG Oral Tablet
49348006304 SM Rapid Melts Junior 160 MG Oral Tablet Disint
49348008130 SM Pain & Fever Infants 160 MG/5ML Oral Suspension
49348009334 SM Pain & Fever Childrens 160 MG/5ML Oral Suspension
49348011610 SM Pain Reliever 500 MG Oral Capsule
49348011934 SM Pain & Fever Childrens 160 MG/5ML Oral Suspension
49348012334 SM Pain & Fever Childrens 160 MG/5ML Oral Suspension
49348032534 SM Pain & Fever Childrens 160 MG/5ML Oral Suspension
49348043030 SM Pain & Fever Infants 160 MG/5ML Oral Suspension
49348073009 SM Pain Reliever Ex St 500 MG Oral Tablet
49348073010 SM Pain Reliever Ex St 500 MG Oral Tablet
49348092110 SM Arthritis Pain Relief 650 MG Oral Tablet ER
49348092410 SM 8 Hour Pain Relief 650 MG Oral Tablet ER
49348097310 SM Pain Reliever 325 MG Oral Tablet
49348097316 SM Pain Reliever 325 MG Oral Tablet
49348099810 SM Pain Reliever Ex St 500 MG Oral Tablet
49483034001 Acetaminophen 325 MG Oral Tablet
2019 Q4 Page 12 of 79
NDC Drug Name Term Date
49483034010 Acetaminophen 325 MG Oral Tablet
49483034101 Acetaminophen Extra Strength 500 MG Oral Tablet
49483034110 Acetaminophen Extra Strength 500 MG Oral Tablet
49483034150 Acetaminophen Extra Strength 500 MG Oral Tablet
50268005211 Acetaminophen ER 650 MG Oral Tablet ER
50268005215 Acetaminophen ER 650 MG Oral Tablet ER
51660033301 Arthritis Pain Relief 650 MG Oral Tablet ER
51660033350 Arthritis Pain Relief 650 MG Oral Tablet ER
51672211402 FeverAll Infants 80 MG Rectal Suppository
51672211404 FeverAll Infants 80 MG Rectal Suppository
51672211502 FeverAll Childrens 120 MG Rectal Suppository
51672211504 FeverAll Childrens 120 MG Rectal Suppository
51672211602 FeverAll Junior Strength 325 MG Rectal Suppository
51672211604 FeverAll Junior Strength 325 MG Rectal Suppository
51672211704 FeverAll Adults 650 MG Rectal Suppository
54838014440 Childrens Silapap 160 MG/5ML Oral Liquid
54838014470 Childrens Silapap 160 MG/5ML Oral Liquid
54838014480 Childrens Silapap 160 MG/5ML Oral Liquid
58657052016 Acetaminophen 160 MG/5ML Oral Liquid 6/30/2021
58657052504 M-PAP 160 MG/5ML Oral Liquid
58657052516 M-PAP 160 MG/5ML Oral Liquid
62011000101 HM Pain & Fever Infants 160 MG/5ML Oral Suspension
62011000201 HM Pain & Fever Infants 160 MG/5ML Oral Suspension
62011002301 HM Pain Relief Extra Strength 500 MG Oral Tablet
62011002302 HM Pain Relief Extra Strength 500 MG Oral Tablet
62011002303 HM Pain Relief Extra Strength 500 MG Oral Tablet
62011002601 HM Arthritis Pain Relief 650 MG Oral Tablet ER
62011002701 HM Pain Relief Extra Strength 500 MG Oral Tablet
62011003201 HM Pain Reliever 325 MG Oral Tablet
62011003202 HM Pain Reliever 325 MG Oral Tablet
62011004901 HM Pain Relief Extra Strength 500 MG Oral Tablet
62011018301 HM Pain & Fever Childrens 160 MG/5ML Oral Suspension
62011023001 HM Rapid Melts Junior 160 MG Oral Tablet Disint
62011024601 HM Pain & Fever Childrens 160 MG/5ML Oral Suspension
62011024701 HM Pain & Fever Childrens 160 MG/5ML Oral Suspension
62011033601 HM Pain Relief 650 MG Oral Tablet ER
62011033701 HM Arthritis Pain Relief 650 MG Oral Tablet ER
62011033801 HM Arthritis Pain Relief 650 MG Oral Tablet ER
62011033901 HM Acetaminophen Childrens 160 MG Oral Tablet Chewable
62107005001 Tactinal Extra Strength 500 MG Oral Tablet
62107005010 Tactinal Extra Strength 500 MG Oral Tablet
62107005101 Tactinal Extra Strength 500 MG Oral Tablet
62107005110 Tactinal Extra Strength 500 MG Oral Tablet
2019 Q4 Page 13 of 79
NDC Drug Name Term Date
62107005201 Tactinal 325 MG Oral Tablet
62107005210 Tactinal 325 MG Oral Tablet
63739044001 Acetaminophen 325 MG Oral Tablet
63868008210 QC Pain Relief 325 MG Oral Tablet
63868008405 QC Pain Relief Extra Strength 500 MG Oral Tablet
63868008410 QC Pain Relief Extra Strength 500 MG Oral Tablet
63868008424 QC Pain Relief Extra Strength 500 MG Oral Tablet
63868008901 QC Arthritis Pain Relief 650 MG Oral Tablet ER
63868008950 QC Arthritis Pain Relief 650 MG Oral Tablet ER
63868009150 QC Acetaminophen 8 Hours 650 MG Oral Tablet ER
63868015824 QC Non-Aspirin Jr Strength 160 MG Oral Tablet Disint
63868017418 QC Pain Relief Childrens 160 MG/5ML Oral Suspension
63868017526 Non-Aspirin Childrens 160 MG/5ML Oral Suspension
63868017626 QC Non-Aspirin Childrens 160 MG/5ML Oral Suspension
63868050350 QC Non-Aspirin Extra Strength 500 MG Oral Tablet
63868050701 QC Non-Aspirin Extra Strength 500 MG Oral Tablet
63868098710 QC Non-Aspirin Extra Strength 500 MG Oral Tablet
63868098750 QC Non-Aspirin Extra Strength 500 MG Oral Tablet
66689005499 Acetaminophen 160 MG/5ML Oral Solution
66689005599 Acetaminophen 325 MG/10.15ML Oral Solution
66689005699 Acetaminophen 650 MG/20.3ML Oral Solution
68084077725 Acetaminophen ER 650 MG Oral Tablet ER
68084077795 Acetaminophen ER 650 MG Oral Tablet ER
68094001559 Childrens Acetaminophen 160 MG/5ML Oral Suspension
68094001561 Childrens Acetaminophen 160 MG/5ML Oral Suspension
68094001562 Childrens Acetaminophen 160 MG/5ML Oral Suspension
68094003059 Acetaminophen 650 MG/20.3ML Oral Suspension
68094003062 Acetaminophen 650 MG/20.3ML Oral Suspension
68094058658 Childrens Acetaminophen 160 MG/5ML Oral Suspension
68094058758 Childrens Acetaminophen 160 MG/5ML Oral Suspension
68094058759 Childrens Acetaminophen 160 MG/5ML Oral Suspension
68094058761 Childrens Acetaminophen 160 MG/5ML Oral Suspension
68094058762 Childrens Acetaminophen 160 MG/5ML Oral Suspension
68094058859 Childrens Acetaminophen 325 MG/10.15ML Oral Suspension
68094058862 Childrens Acetaminophen 325 MG/10.15ML Oral Suspension
70000003601 Acetaminophen Extra Strength 500 MG Oral Tablet
70000015003 Acetaminophen Extra Strength 500 MG Oral Tablet 4/3/2020
70000015301 Acetaminophen Extra Strength 500 MG Oral Tablet 4/4/2020
70000017301 Pain & Fever Childrens 160 MG/5ML Oral Suspension 6/19/2020
70000018001 8 Hour Arthritis Pain Reliever 650 MG Oral Tablet ER
70000018002 8 Hour Arthritis Pain Reliever 650 MG Oral Tablet ER
70000018003 8 Hour Arthritis Pain Reliever 650 MG Oral Tablet ER
70000030501 Pain & Fever Childrens 160 MG/5ML Oral Suspension
2019 Q4 Page 14 of 79
NDC Drug Name Term Date
70000030601 8HR Muscle Aches & Pain 650 MG Oral Tablet ER
70000030901 Acetaminophen 160 MG Oral Tablet Chewable
70000031001 Acetaminophen Childrens 160 MG Oral Tablet Chewable
70000031202 Acetaminophen 500 MG Oral Tablet 8/27/2020
70000031203 Acetaminophen 500 MG Oral Tablet
70000037301 Acetaminophen Extra Strength 500 MG Oral Tablet
70000037302 Acetaminophen Extra Strength 500 MG Oral Tablet
70000037303 Acetaminophen Extra Strength 500 MG Oral Tablet
70000037304 Acetaminophen Extra Strength 500 MG Oral Tablet
70000037305 Acetaminophen Extra Strength 500 MG Oral Tablet
70000037401 Acetaminophen 325 MG Oral Tablet
70000041001 Acetaminophen 500 MG Oral Tablet
70000041002 Acetaminophen 500 MG Oral Tablet
70000044601 Acetaminophen Extra Strength 500 MG Oral Tablet
70000044602 Acetaminophen Extra Strength 500 MG Oral Tablet
70000044603 Acetaminophen Extra Strength 500 MG Oral Tablet
70000047201 Pain & Fever Infants 160 MG/5ML Oral Suspension
70000048101 Pain & Fever Childrens 160 MG/5ML Oral Suspension
70000049601 Pain & Fever Childrens 160 MG/5ML Oral Suspension
70677001701 SM Pain Reliever Ex St 650 MG Oral Tablet ER
70677001801 SM Arthritis Pain Reliever 650 MG Oral Tablet ER
70677001901 SM Arthritis Pain Reliever 650 MG Oral Tablet ER
*ANORECTAL AND RELATED PRODUCTS*
00113018816 GoodSense Hemorrhoidal 0.25-14-74.9 % Rectal Ointment
00113027953 GoodSense Hemorrhoidal 0.25-88.44 % Rectal Suppository
00113094424 Hemorrhoidal 1-0.25-14.4-15 % External Cream
00536118612 Hemorrhoidal 0.25-88.44 % Rectal Suppository
00904635602 Major-Prep Hemorrhoidal 0.25-14-74.9 % Rectal Ointment 8/31/2020
00904672602 Major-Prep Hemorrhoidal 0.25-14-74.9 % Rectal Ointment
00904768822 Anu-Med 88.7-0.25 % Rectal Suppository 7/31/2020
24385042106 GNP Hemorrhoidal Cooling 0.25-50 % External Gel
36800027953 Hemorrhoidal 0.25-88.44 % Rectal Suppository
36800027962 Hemorrhoidal 0.25-88.44 % Rectal Suppository
36800039453 Hemorrhoidal 0.25-3-85.5 % Rectal Suppository
36800039462 Hemorrhoidal 0.25-3-85.5 % Rectal Suppository
36800040016 Hemorrhoidal 0.25-3-14-71.9 % Rectal Ointment
36800049916 Hemorrhoidal 0.25-14-74.9 % Rectal Ointment
36800094424 Hemorrhoidal Max St/Aloe 1-0.25-14.4-15 % External Cream
45802018816 Hemorrhoidal 0.25-14-74.9 % Rectal Ointment
46122010346 GNP Hemorrhoidal 0.25-14-74.9 % Rectal Ointment
62011029601 HM Hemorrhoidal 0.25-14-74.9 % Rectal Ointment
63868020102 QC Hemorrhoidal 0.25-14-74.9 % Rectal Ointment
63868020812 QC Hemorrhoidal 0.25-88.44 % Rectal Suppository
70000022301 Hemorrhoidal 0.25-88.44 % Rectal Suppository
2019 Q4 Page 15 of 79
NDC Drug Name Term Date
70000037901 Hemorrhoidal 0.25-14-74.9 % Rectal Ointment
70000042501 Hemorrhoidal 1-0.25-14.4-15 % External Cream
43199005415 Lidocaine (Anorectal) 5 % External Cream
43199005430 Lidocaine (Anorectal) 5 % External Cream
45802005003 Dibucaine (Perianal) 1 % External Ointment
47781057172 Lidocaine (Anorectal) 5 % External Cream
47781057173 Lidocaine (Anorectal) 5 % External Cream
51862018015 Pramoxine HCl (Perianal) 1 % External Foam
75834011330 Lidocaine (Anorectal) 5 % External Cream
*ANTACIDS*
00113034040 Antacid Plus Anti-Gas Relief 400-400-40 MG/5ML Oral Suspension
00113035740 Antacid Plus Anti-Gas Relief 200-200-20 MG/5ML Oral Suspension
00113058840 Antacid Anti-Gas Max Strength 400-400-40 MG/5ML Oral Suspension
00113085140 Antacid 200-200-20 MG/5ML Oral Suspension
00121176030 Mag-Al 200-200 MG/5ML Oral Liquid
00121176130 Mag-Al Plus 200-200-20 MG/5ML Oral Liquid
00121176230 Mag-Al Plus XS 400-400-40 MG/5ML Oral Liquid
00135009626 Gaviscon 80-14.2 MG Oral Tablet Chewable
00135062401 Tums Gas Relief Chewy Bites 750-80 MG Oral Tablet Chewable
00135062402 Tums Gas Relief Chewy Bites 750-80 MG Oral Tablet Chewable
00536001583 Almacone Double Strength 400-400-40 MG/5ML Oral Suspension
00536118583 Almacone 200-200-20 MG/5ML Oral Suspension
00904000414 Mi-Acid 200-200-20 MG/5ML Oral Suspension
00904536560 Acid Gone 160-105 MG Oral Tablet Chewable
00904572514 Mintox Maximum Strength 400-400-40 MG/5ML Oral Suspension
00904670060 Mintox Plus 200-200-25 MG Oral Tablet Chewable
00904675514 Mi-Acid Maximum Strength 400-400-40 MG/5ML Oral Suspension
00904676414 Mintox Regular Strength 200-200-20 MG/5ML Oral Suspension
00904683314 Mi-Acid 200-200-20 MG/5ML Oral Suspension
00904772714 Acid Gone 95-358 MG/15ML Oral Suspension
24385035640 GNP Antacid Anti-Gas 200-200-20 MG/5ML Oral Suspension
36800034040 Fast Acting Antacid/Anti-Gas 400-400-40 MG/5ML Oral Suspension
36800035740 Antacid Plus Anti-Gas Fast Act 200-200-20 MG/5ML Oral Suspension
36800058840 Antacid Maximum Strength 400-400-40 MG/5ML Oral Suspension
36800085140 Antacid Fast Relief 200-200-20 MG/5ML Oral Suspension
37205031440 Antacid 200-200-20 MG/5ML Oral Suspension 8/8/2020
37205053040 Antacid Fast Acting 200-200-20 MG/5ML Oral Suspension 8/12/2020
37205053640 Antacid Maximum Strength 400-400-40 MG/5ML Oral Suspension 5/22/2020
46122015078 GNP Antacid Extra Strength 160-105 MG Oral Tablet Chewable
46122015175 GNP Antacid & Anti-Gas 1000-60 MG Oral Tablet Chewable
46122015347 GNP Antacid 550-110 MG Oral Tablet Chewable
46122043140 GNP Antacid & Anti-Gas 400-400-40 MG/5ML Oral Suspension
46122043240 GNP Antacid & Anti-Gas 400-400-40 MG/5ML Oral Suspension
46122043340 GNP Antacid Regular Strength 200-200-20 MG/5ML Oral Suspension
2019 Q4 Page 16 of 79
NDC Drug Name Term Date
46122043440 GNP Antacid & Anti-Gas 200-200-20 MG/5ML Oral Suspension
49348001939 SM Antacid/Antigas 200-200-20 MG/5ML Oral Suspension
49348015339 SM Antacid Advanced 200-200-20 MG/5ML Oral Suspension
49348030239 SM Antacid Advanced Max St 400-400-40 MG/5ML Oral Suspension
62011012201 HM Advanced Antacid Max St 400-400-40 MG/5ML Oral Suspension
62011014801 HM Antacid/Antigas 200-200-20 MG/5ML Oral Suspension
62011014901 HM Antacid Anti-Gas Ex St 400-400-40 MG/5ML Oral Suspension
62011029201 HM Antacid 200-200-20 MG/5ML Oral Suspension
63868069457 QC Antacid 200-200-20 MG/5ML Oral Suspension
63868071257 QC Antacid/Anti-Gas 200-200-20 MG/5ML Oral Suspension
63868071557 QC Antacid/Anti-Gas 400-400-40 MG/5ML Oral Suspension
70000023401 Antacid Extra Strength 160-105 MG Oral Tablet Chewable
70000036301 Heartburn Relief Ex St 254-237.5 MG/5ML Oral Suspension
70000042201 Antacid Maximum Strength 400-400-40 MG/5ML Oral Suspension
70000047601 Antacid 200-200-20 MG/5ML Oral Suspension
70000048201 Antacid Maximum Strength 400-400-40 MG/5ML Oral Suspension
70000048601 Antacid Regular Strength 200-200-20 MG/5ML Oral Suspension
00536009185 Aluminum Hydroxide Gel 320 MG/5ML Oral Suspension
00536104610 Sodium Bicarbonate 325 MG Oral Tablet
00536104710 Sodium Bicarbonate 650 MG Oral Tablet
64980018210 Sodium Bicarbonate 650 MG Oral Tablet 4/30/2020
00054311763 Calcium Carbonate Antacid 1250 MG/5ML Oral Suspension
00054311763 Calcium Carbonate Antacid 1250 MG/5ML Oral Suspension
00113017980 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
00113017980 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
00113046880 Antacid Extra Strength 750 MG Oral Tablet Chewable
00113046880 Antacid Extra Strength 750 MG Oral Tablet Chewable
00113047847 Calcium Antacid 500 MG Oral Tablet Chewable
00113047847 Calcium Antacid 500 MG Oral Tablet Chewable
00113048547 Antacid 500 MG Oral Tablet Chewable
00113048547 Antacid 500 MG Oral Tablet Chewable
00113048980 Antacid Extra Strength 750 MG Oral Tablet Chewable
00113048980 Antacid Extra Strength 750 MG Oral Tablet Chewable
00113059523 Calcium Antacid Ultra Max St 1000 MG Oral Tablet Chewable
00113059523 Calcium Antacid Ultra Max St 1000 MG Oral Tablet Chewable
00121076616 Calcium Carbonate Antacid 1250 MG/5ML Oral Suspension
00121076616 Calcium Carbonate Antacid 1250 MG/5ML Oral Suspension
00121476605 Calcium Carbonate Antacid 1250 MG/5ML Oral Suspension
00121476605 Calcium Carbonate Antacid 1250 MG/5ML Oral Suspension
00135056001 Tums Chewy Delights 1177 MG Oral Tablet Chewable
00135056001 Tums Chewy Delights 1177 MG Oral Tablet Chewable
00135056901 Tums Chewy Delights 1177 MG Oral Tablet Chewable
00135056901 Tums Chewy Delights 1177 MG Oral Tablet Chewable
2019 Q4 Page 17 of 79
NDC Drug Name Term Date
00536100715 Cal-Gest Antacid 500 MG Oral Tablet Chewable
00536100715 Cal-Gest Antacid 500 MG Oral Tablet Chewable
00536102410 Calcium Carbonate Antacid 648 MG Oral Tablet 5/31/2020
00536102410 Calcium Carbonate Antacid 648 MG Oral Tablet 5/31/2020
00536104815 Antacid Calcium 500 MG Oral Tablet Chewable
00536104815 Antacid Calcium 500 MG Oral Tablet Chewable
00536104922 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
00536104922 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
00536105022 Antacid Calcium Extra Strength 750 MG Oral Tablet Chewable 4/30/2021
00536105022 Antacid Calcium Extra Strength 750 MG Oral Tablet Chewable 4/30/2021
00536120610 Calcium Carbonate Antacid 648 MG Oral Tablet
00536120610 Calcium Carbonate Antacid 648 MG Oral Tablet
00536122522 Antacid Extra Strength 750 MG Oral Tablet Chewable
00536122522 Antacid Extra Strength 750 MG Oral Tablet Chewable
00536122922 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
00536122922 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
00904641292 Calcium Antacid 500 MG Oral Tablet Chewable
00904641292 Calcium Antacid 500 MG Oral Tablet Chewable
24385010680 GNP Antacid Extra Strength 750 MG Oral Tablet Chewable
24385010680 GNP Antacid Extra Strength 750 MG Oral Tablet Chewable
36800017980 Antacid Calcium Extra Strength 750 MG Oral Tablet Chewable
36800017980 Antacid Calcium Extra Strength 750 MG Oral Tablet Chewable
36800046880 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
36800046880 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
36800047847 Antacid Calcium 500 MG Oral Tablet Chewable
36800047847 Antacid Calcium 500 MG Oral Tablet Chewable
36800048547 Calcium Antacid 500 MG Oral Tablet Chewable
36800048547 Calcium Antacid 500 MG Oral Tablet Chewable
36800048980 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
36800048980 Calcium Antacid Extra Strength 750 MG Oral Tablet Chewable
36800059523 Calcium Antacid Ultra Strength 1000 MG Oral Tablet Chewable
36800059523 Calcium Antacid Ultra Strength 1000 MG Oral Tablet Chewable
37205021047 Antacid 500 MG Oral Tablet Chewable
37205021047 Antacid 500 MG Oral Tablet Chewable
37205033369 Calcium Antacid Ultra 1000 MG Oral Tablet Chewable
37205033369 Calcium Antacid Ultra 1000 MG Oral Tablet Chewable
37205070680 Antacid Extra Strength 750 MG Oral Tablet Chewable
37205070680 Antacid Extra Strength 750 MG Oral Tablet Chewable
46122031780 GNP Antacid Extra Strength 750 MG Oral Tablet Chewable
46122031780 GNP Antacid Extra Strength 750 MG Oral Tablet Chewable
49348009434 SM Calcium Antacid Ex St 750 MG Oral Tablet Chewable
49348009434 SM Calcium Antacid Ex St 750 MG Oral Tablet Chewable
49348010621 SM Calcium Antacid 500 MG Oral Tablet Chewable
2019 Q4 Page 18 of 79
NDC Drug Name Term Date
49348010621 SM Calcium Antacid 500 MG Oral Tablet Chewable
49348010821 SM Calcium Antacid 500 MG Oral Tablet Chewable
49348010821 SM Calcium Antacid 500 MG Oral Tablet Chewable
49348095916 SM Calcium Antacid Ultra St 1000 MG Oral Tablet Chewable
49348095916 SM Calcium Antacid Ultra St 1000 MG Oral Tablet Chewable
62011022901 HM Calcium Antacid Ex St 750 MG Oral Tablet Chewable
62011022901 HM Calcium Antacid Ex St 750 MG Oral Tablet Chewable
62011028001 HM Calcium Antacid Ex St 750 MG Oral Tablet Chewable
62011028001 HM Calcium Antacid Ex St 750 MG Oral Tablet Chewable
62011028101 HM Calcium Antacid 500 MG Oral Tablet Chewable
62011028101 HM Calcium Antacid 500 MG Oral Tablet Chewable
62011029401 HM Calcium Antacid Ultra St 1000 MG Oral Tablet Chewable
62011029401 HM Calcium Antacid Ultra St 1000 MG Oral Tablet Chewable
62011029501 HM Calcium Antacid 750 MG Oral Tablet Chewable
62011029501 HM Calcium Antacid 750 MG Oral Tablet Chewable
62011030001 HM Calcium Antacid Ultra St 1000 MG Oral Tablet Chewable
62011030001 HM Calcium Antacid Ultra St 1000 MG Oral Tablet Chewable
62011030101 HM Calcium Antacid 750 MG Oral Tablet Chewable
62011030101 HM Calcium Antacid 750 MG Oral Tablet Chewable
63868004715 QC Antacid 500 MG Oral Tablet Chewable
63868004715 QC Antacid 500 MG Oral Tablet Chewable
68084098832 Antacid Calcium 500 MG Oral Tablet Chewable
68084098832 Antacid Calcium 500 MG Oral Tablet Chewable
68084098833 Antacid Calcium 500 MG Oral Tablet Chewable
68084098833 Antacid Calcium 500 MG Oral Tablet Chewable
70000003401 Antacid Regular Strength 500 MG Oral Tablet Chewable
70000003401 Antacid Regular Strength 500 MG Oral Tablet Chewable
70000043002 Antacid Extra Strength 750 MG Oral Tablet Chewable
70000043002 Antacid Extra Strength 750 MG Oral Tablet Chewable
70000043101 Antacid Extra Strength 750 MG Oral Tablet Chewable
70000043101 Antacid Extra Strength 750 MG Oral Tablet Chewable
70000043601 Antacid Ultra Strength 1000 MG Oral Tablet Chewable
70000043601 Antacid Ultra Strength 1000 MG Oral Tablet Chewable
70000045901 Antacid Ultra Strength 1000 MG Oral Tablet Chewable
70000045901 Antacid Ultra Strength 1000 MG Oral Tablet Chewable
70000046001 Antacid Extra Strength 750 MG Oral Tablet Chewable
70000046001 Antacid Extra Strength 750 MG Oral Tablet Chewable
00603020922 Magnesium Oxide 400 MG Oral Tablet
00603020922 Magnesium Oxide 400 MG Oral Tablet
00603021321 Magnesium Oxide 420 MG Oral Tablet
00603021321 Magnesium Oxide 420 MG Oral Tablet
58657012012 Magnesium Oxide 400 MG Oral Tablet
58657012012 Magnesium Oxide 400 MG Oral Tablet
2019 Q4 Page 19 of 79
NDC Drug Name Term Date
69543021712 Magnesium Oxide 400 MG Oral Tablet
69543021712 Magnesium Oxide 400 MG Oral Tablet
*ANTIDIARRHEAL/PROBIOTIC AGENTS*
00113030234 Stomach Relief 262 MG/15ML Oral Suspension
00113046991 GoodSense Stomach Relief 262 MG Oral Tablet Chewable
00536102107 Peptic Relief 262 MG Oral Tablet Chewable
00603023516 Pink Bismuth 262 MG Oral Tablet Chewable 5/31/2020
00904131309 Bismatrol 262 MG/15ML Oral Suspension
00904131409 Bismatrol Maximum Strength 525 MG/15ML Oral Suspension
00904131546 Bismatrol 262 MG Oral Tablet Chewable
24385001758 GNP Pink Bismuth 262 MG Oral Tablet
24385002465 GNP Pink Bismuth 262 MG Oral Tablet Chewable
24385030226 GNP Stomach Relief 262 MG/15ML Oral Suspension
36800030234 Stomach Relief 262 MG/15ML Oral Suspension
36800030240 Stomach Relief 262 MG/15ML Oral Suspension
36800033734 Stomach Relief Max St 525 MG/15ML Oral Suspension
36800033740 Stomach Relief Max St 525 MG/15ML Oral Suspension
36800046965 Stomach Relief 262 MG Oral Tablet Chewable
37205072065 Pink Bismuth 262 MG Oral Tablet Chewable
46122030834 GNP Stomach Relief Max St 525 MG/15ML Oral Suspension
49348001441 SM Stomach Relief 525 MG/30ML Oral Suspension
49348051159 SM Stomach Relief 262 MG Oral Tablet
49348095344 SM Stomach Relief 262 MG Oral Tablet Chewable
62011014001 HM Stomach Relief 262 MG Oral Tablet Chewable
62011027801 HM Stomach Relief 525 MG/30ML Oral Suspension
62011027901 HM Stomach Relief Max Strength 525 MG/15ML Oral Suspension
62011039301 HM Stomach Relief 525 MG/30ML Oral Suspension
62011039401 HM Stomach Relief Ultra 525 MG/15ML Oral Suspension
70000043301 Stomach Relief 262 MG Oral Tablet Chewable
70000043302 Stomach Relief 262 MG Oral Tablet Chewable
70000043901 Stomach Relief 525 MG/30ML Oral Suspension
70000043902 Stomach Relief 525 MG/30ML Oral Suspension
70000044001 Stomach Relief 525 MG/15ML Oral Suspension
70677006201 SM Stomach Relief 525 MG/30ML Oral Suspension
62011036501 HM Anti-Diarrheal Anti-Gas 2-125 MG Oral Tablet
00113022453 Anti-Diarrheal 2 MG Oral Tablet
00113022462 Anti-Diarrheal 2 MG Oral Tablet
00113022491 Anti-Diarrheal 2 MG Oral Tablet
00113064526 Loperamide HCl 1 MG/7.5ML Oral Suspension
00113164526 GoodSense Anti-Diarrheal 1 MG/7.5ML Oral Liquid
00113222468 Loperamide HCl 2 MG Oral Tablet
00904625620 Loperamide HCl 1 MG/7.5ML Oral Suspension 6/30/2020
00904683620 Loperamide HCl 1 MG/7.5ML Oral Liquid
00904772512 Anti-Diarrheal 2 MG Oral Tablet
2019 Q4 Page 20 of 79
NDC Drug Name Term Date
00904772524 Anti-Diarrheal 2 MG Oral Tablet
24385055453 GNP Anti-Diarrheal 2 MG Oral Tablet
24385055462 GNP Anti-Diarrheal 2 MG Oral Tablet
24385055467 GNP Anti-Diarrheal 2 MG Oral Tablet
36800022453 Anti-Diarrheal 2 MG Oral Tablet
36800022462 Anti-Diarrheal 2 MG Oral Tablet
36800022480 Anti-Diarrheal 2 MG Oral Tablet
36800022491 Anti-Diarrheal 2 MG Oral Tablet
36800052012 Anti-Diarrheal 2 MG Oral Capsule
36800052024 Anti-Diarrheal 2 MG Oral Capsule
36800064526 Loperamide HCl 1 MG/7.5ML Oral Suspension
37205037053 Anti-Diarrheal 2 MG Oral Tablet
46122011126 GNP Loperamide HCl 1 MG/7.5ML Oral Suspension
46122016908 GNP Anti-Diarrheal 2 MG Oral Tablet
46122020762 GNP Anti-Diarrheal 2 MG Oral Capsule
46122054426 GNP Loperamide HCl 1 MG/7.5ML Oral Liquid
46122058162 GNP Anti-Diarrheal 2 MG Oral Capsule
49348052902 SM Anti-Diarrheal 2 MG Oral Tablet
49348052904 SM Anti-Diarrheal 2 MG Oral Tablet
49348052908 SM Anti-Diarrheal 2 MG Oral Tablet
49348052934 SM Anti-Diarrheal 2 MG Oral Tablet
49348075204 SM Anti-Diarrheal 2 MG Oral Capsule
49348099934 SM Loperamide HCl 1 MG/7.5ML Oral Suspension
50383061804 Loperamide HCl 1 MG/5ML Oral Liquid 7/6/2021
50383061805 Loperamide HCl 1 MG/5ML Oral Liquid
50383061806 Loperamide HCl 1 MG/5ML Oral Liquid 7/5/2021
50383061810 Loperamide HCl 1 MG/5ML Oral Liquid
50383061811 Loperamide HCl 1 MG/5ML Oral Liquid 7/5/2021
51660012312 Anti-Diarrheal 2 MG Oral Tablet
62011015001 HM Anti-Diarrheal 2 MG Oral Tablet
62011015002 HM Anti-Diarrheal 2 MG Oral Tablet
62011015003 HM Anti-Diarrheal 2 MG Oral Tablet
62011015101 HM Loperamide HCl 1 MG/7.5ML Oral Suspension
62011015801 HM Loperamide HCl 2 MG Oral Capsule
62011023601 HM Loperamide HCl 1 MG/7.5ML Oral Liquid
62011039001 HM Anti-Diarrheal 2 MG Oral Capsule
63868033812 QC Anti-Diarrheal 2 MG Oral Tablet
63868087612 QC Anti-Diarrheal 2 MG Oral Capsule
63868087624 QC Anti-Diarrheal 2 MG Oral Capsule
70000041701 Anti-Diarrheal 1 MG/7.5ML Oral Liquid
70000041801 Anti-Diarrheal 1 MG/7.5ML Oral Liquid
70000046101 Anti-Diarrheal 2 MG Oral Capsule
70677005401 SM Anti-Diarrheal 1 MG/7.5ML Oral Liquid
2019 Q4 Page 21 of 79
NDC Drug Name Term Date
70677006001 SM Anti-Diarrheal 2 MG Oral Capsule
*ANTIDOTES AND SPECIFIC ANTAGONISTS*
00178031430 Potassium Iodide (Antidote) 65 MG/ML Oral Solution
00574012004 Actidose with Sorbitol 25 GM/120ML Oral Liquid
00574012008 Actidose with Sorbitol 50 GM/240ML Oral Liquid
00574012074 Actidose with Sorbitol 25 GM/120ML Oral Liquid
00574012076 Actidose with Sorbitol 50 GM/240ML Oral Liquid
00574012104 Actidose-Aqua 25 GM/120ML Oral Liquid
00574012108 Actidose-Aqua 50 GM/240ML Oral Liquid
00574012125 Actidose-Aqua 15 GM/72ML Oral Liquid
00574012174 Actidose-Aqua 25 GM/120ML Oral Liquid
00574012176 Actidose-Aqua 50 GM/240ML Oral Liquid
*ANTIEMETICS*
00536101801 Travel Sickness 25 MG Oral Tablet Chewable
00536101810 Travel Sickness 25 MG Oral Tablet Chewable
00904205112 Driminate 50 MG Oral Tablet 7/31/2021
00904205159 Driminate 50 MG Oral Tablet
00904677212 Driminate 50 MG Oral Tablet
24385000412 GNP Motion Sickness Relief 50 MG Oral Tablet 7/28/2020
24385038851 GNP Motion Sickness Relief 25 MG Oral Tablet 9/28/2020
49348007002 SM Motion Sickness Relief 50 MG Oral Tablet
49348036367 SM Motion Sickness 25 MG Oral Tablet
49483033301 Motion-Time 25 MG Oral Tablet Chewable
49483033310 Motion-Time 25 MG Oral Tablet Chewable
62011003501 HM Motion Relief 25 MG Oral Tablet
62011034101 HM Motion Sickness 50 MG Oral Tablet
62011034501 HM Motion Sickness Relief 25 MG Oral Tablet
63868003424 QC Motion Sickness Relief 50 MG Oral Tablet
63868016012 Travel Sickness 50 MG Oral Tablet
63868016316 QC Travel Ease 25 MG Oral Tablet Chewable
70000025001 Motion Sickness Relief 50 MG Oral Tablet 5/21/2020
70000040401 Motion Sickness Relief 50 MG Oral Tablet
70677002201 SM Motion Sickness 50 MG Oral Tablet
70677002601 SM Motion Sickness 25 MG Oral Tablet
00904004920 Formula EM 1.87-1.87-21.5 Oral Solution
46122029626 GNP Nausea Relief 1.87-1.87-21.5 Oral Solution
62011015201 HM Anti-Nausea 1.87-1.87-21.5 Oral Solution
70000044901 Nausea Relief 1.87-1.87-21.5 Oral Solution
*Antihistamines - Alkylamines**
00113004278 Allergy Relief 4 MG Oral Tablet
00485009816 Ed Chlorped Jr 2 MG/5ML Oral Syrup
00536100601 Aller-Chlor 4 MG Oral Tablet
00536100610 Aller-Chlor 4 MG Oral Tablet
00904001224 Allergy 4 MG Oral Tablet
2019 Q4 Page 22 of 79
NDC Drug Name Term Date
00904001259 Allergy 4 MG Oral Tablet
00904001261 Allergy 4 MG Oral Tablet
00904001280 Allergy 4 MG Oral Tablet
24385046362 GNP Allergy 4 MG Oral Tablet
24385046378 GNP Allergy 4 MG Oral Tablet
36800046362 Allergy 4 MG Oral Tablet
49483024201 Allergy-Time 4 MG Oral Tablet
49483024210 Allergy-Time 4 MG Oral Tablet
50991078360 Ala-Hist IR 2 MG Oral Tablet
58657053530 M-Hist PD 0.625 MG/ML Oral Liquid
58809065150 PediaClear PD Childrens 0.625 MG/ML Oral Liquid
58809074050 PediaClear Allergy Childrens 0.313 MG/ML Oral Liquid
62011005901 HM Allergy Relief 4 MG Oral Tablet
62011031101 HM Allergy Relief 4 MG Oral Tablet
63868083324 QC Allergy Relief 4-Hour 4 MG Oral Tablet
64661003130 J-Tan PD 1 MG/ML Oral Liquid
69367018530 Triprolidine HCl 0.625 MG/ML Oral Liquid
69367018650 Triprolidine HCl 0.313 MG/ML Oral Liquid
69784010201 Triprolidine HCl 0.625 MG/ML Oral Liquid
70000016001 Allergy Relief 4 MG Oral Tablet
70000016002 Allergy Relief 4 MG Oral Tablet
70677000401 SM Allergy 4 Hour 4 MG Oral Tablet
*Antihistamines - Ethanolamines**
00113037926 Allergy Relief Childrens 12.5 MG/5ML Oral Liquid
00113046262 Allergy Relief 25 MG Oral Capsule
00113047953 Allergy Relief 25 MG Oral Tablet
00113047962 Allergy Relief 25 MG Oral Tablet
00113047978 Allergy Relief 25 MG Oral Tablet
00536077085 Diphenhist 12.5 MG/5ML Oral Liquid 8/31/2020
00536077097 Diphenhist 12.5 MG/5ML Oral Liquid 7/31/2020
00536101001 Diphenhist 25 MG Oral Capsule
00536101601 Diphenhist 25 MG Oral Tablet 8/31/2021
00536121429 diphenhydrAMINE HCl 25 MG Oral Tablet
00904203524 Banophen 25 MG Oral Capsule
00904530624 Banophen 25 MG Oral Capsule
00904530660 Banophen 25 MG Oral Capsule
00904530680 Banophen 25 MG Oral Capsule
00904530760 Banophen 50 MG Oral Capsule
00904530780 Banophen 50 MG Oral Capsule
00904555124 Banophen 25 MG Oral Tablet
00904555159 Banophen 25 MG Oral Tablet
00904674070 diphenhydrAMINE HCl 12.5 MG/5ML Oral Liquid
00904674172 diphenhydrAMINE HCl 12.5 MG/5ML Oral Liquid
00904698516 diphenhydrAMINE HCl 12.5 MG/5ML Oral Liquid
2019 Q4 Page 23 of 79
NDC Drug Name Term Date
16103034711 Pharbedryl 50 MG Oral Capsule
16103034803 Pharbedryl 25 MG Oral Capsule
16103034808 Pharbedryl 25 MG Oral Capsule
16103034811 Pharbedryl 25 MG Oral Capsule
24385037926 GNP Childrens Allergy 12.5 MG/5ML Oral Liquid
24385047978 GNP Allergy 25 MG Oral Tablet
36800028251 Dayhist Allergy 12 Hour Relief 1.34 MG Oral Tablet
36800037926 Allergy Relief Childrens 12.5 MG/5ML Oral Liquid
36800037934 Allergy Relief Childrens 12.5 MG/5ML Oral Liquid
36800046262 Multi-Symptom Allergy 25 MG Oral Capsule
36800046267 Multi-Symptom Allergy 25 MG Oral Capsule
36800046278 Multi-Symptom Allergy 25 MG Oral Capsule
36800047962 Allergy 25 MG Oral Tablet
36800047967 Allergy 25 MG Oral Tablet
36800047978 Allergy 25 MG Oral Tablet
36800047979 Allergy 25 MG Oral Tablet
46122036126 GNP Allergy Antihistamine 12.5 MG/5ML Oral Liquid
46122042589 GNP Allergy Relief 12.5 MG Oral Tablet Chewable
46122042762 GNP Allergy Relief 25 MG Oral Capsule
46122044062 GNP Allergy Relief 25 MG Oral Capsule
46122044078 GNP Allergy Relief 25 MG Oral Capsule
49348004534 SM Allergy Relief 12.5 MG/5ML Oral Liquid
49348004537 SM Allergy Relief 12.5 MG/5ML Oral Liquid
49483006101 diphenhydrAMINE HCl 25 MG Oral Tablet
49483006110 diphenhydrAMINE HCl 25 MG Oral Tablet
54838013540 Siladryl Allergy 12.5 MG/5ML Oral Liquid
54838013570 Siladryl Allergy 12.5 MG/5ML Oral Liquid
54838013580 Siladryl Allergy 12.5 MG/5ML Oral Liquid
54838015440 Silphen Cough 12.5 MG/5ML Oral Syrup
54838015470 Silphen Cough 12.5 MG/5ML Oral Syrup
54838015480 Silphen Cough 12.5 MG/5ML Oral Syrup
58657052804 M-Dryl 12.5 MG/5ML Oral Liquid
58657052816 M-Dryl 12.5 MG/5ML Oral Liquid
58809075050 PediaClear Cough Childrens 6.25 MG/ML Oral Liquid
62011028401 HM Allergy Relief Childrens 12.5 MG/5ML Oral Liquid
62011030901 HM Allergy Relief 25 MG Oral Capsule
62011031001 HM Allergy Relief 25 MG Oral Tablet
62011031601 HM Allergy Relief 25 MG Oral Tablet
62011031701 HM Allergy Relief 25 MG Oral Capsule
63868008701 Complete Allergy Medicine 25 MG Oral Capsule
63868008724 Complete Allergy Medicine 25 MG Oral Capsule
63868037004 QC Allergy Childrens 12.5 MG/5ML Oral Liquid
63868049224 QC Allergy Relief 25 MG Oral Tablet
2019 Q4 Page 24 of 79
NDC Drug Name Term Date
63868082354 Allergy Childrens 12.5 MG/5ML Oral Liquid
68094001859 diphenhydrAMINE HCl 25 MG Oral Tablet
68094001861 diphenhydrAMINE HCl 25 MG Oral Tablet
68094002259 diphenhydrAMINE HCl Childrens 12.5 MG/5ML Oral Liquid
68094002262 diphenhydrAMINE HCl Childrens 12.5 MG/5ML Oral Liquid
68094002459 diphenhydrAMINE HCl Childrens 12.5 MG/5ML Oral Liquid
68094002462 diphenhydrAMINE HCl Childrens 12.5 MG/5ML Oral Liquid
69367018730 diphenhydrAMINE HCl 6.25 MG/ML Oral Liquid
70000013601 Allergy Relief 25 MG Oral Tablet
70000013602 Allergy Relief 25 MG Oral Tablet
70000013603 Allergy Relief 25 MG Oral Tablet
70000014401 Allergy Relief 25 MG Oral Capsule
70000020701 Allergy Relief 25 MG Oral Capsule
70000020702 Allergy Relief 25 MG Oral Capsule
70000024501 Allergy Relief Childrens 12.5 MG/5ML Oral Liquid
70000024502 Allergy Relief Childrens 12.5 MG/5ML Oral Liquid
70000024601 Dye-Free Allergy Relief 12.5 MG/5ML Oral Liquid 9/17/2020
70000049201 Allergy Relief Childrens 12.5 MG/5ML Oral Liquid
70677000201 SM Allergy Relief 25 MG Oral Capsule
70677000301 SM Allergy Relief 25 MG Oral Tablet
70677000901 SM Allergy Relief 25 MG Oral Tablet
70677001001 SM Allergy Relief 25 MG Oral Capsule
*Antihistamines - Ethylenediamines**
58809077008 PediaClear 8 Childrens 12.5 MG/15ML Oral Liquid
*Antihistamines - Non-Sedating**
00113018926 GoodSense All Day Allergy 5 MG/5ML Oral Solution
00113042553 Aller-Ease 60 MG Oral Tablet
00113050326 GoodSense All Day Allergy 5 MG/5ML Oral Solution
00113057122 GoodSense Aller-Ease 180 MG Oral Tablet
00113057139 GoodSense Aller-Ease 180 MG Oral Tablet
00113057195 GoodSense Aller-Ease 180 MG Oral Tablet
00113061239 Allergy Relief 10 MG Oral Tablet
00113061246 Allergy Relief 10 MG Oral Tablet
00113061260 Allergy Relief 10 MG Oral Tablet
00113061265 Allergy Relief 10 MG Oral Tablet
00113945839 GoodSense All Day Allergy 10 MG Oral Tablet
00113945866 GoodSense All Day Allergy 10 MG Oral Tablet
00113945895 GoodSense All Day Allergy 10 MG Oral Tablet
00121084940 Loratadine Childrens 5 MG/5ML Oral Syrup
00378078105 Fexofenadine HCl 60 MG Oral Tablet
00378078191 Fexofenadine HCl 60 MG Oral Tablet
00378078205 Fexofenadine HCl 180 MG Oral Tablet
00378078293 Fexofenadine HCl 180 MG Oral Tablet
00378363501 Cetirizine HCl 5 MG Oral Tablet
2019 Q4 Page 25 of 79
NDC Drug Name Term Date
00378363701 Cetirizine HCl 10 MG Oral Tablet
00378363705 Cetirizine HCl 10 MG Oral Tablet
00472052794 Fexofenadine HCl Childrens 30 MG/5ML Oral Suspension
00536104105 Cetirizine HCl 10 MG Oral Tablet 6/30/2020
00536109201 Allergy Non-Drowsy 10 MG Oral Tablet 9/30/2020
00536109203 Allergy Non-Drowsy 10 MG Oral Tablet 6/30/2020
00536408807 Cetirizine HCl 10 MG Oral Tablet 5/31/2020
00536408888 Cetirizine HCl 10 MG Oral Tablet 4/30/2020
00781507701 Loratadine 10 MG Oral Tablet 9/30/2020
00781528306 Cetirizine HCl 5 MG Oral Tablet Chewable
00781528364 Cetirizine HCl 5 MG Oral Tablet Chewable
00781528406 Cetirizine HCl 10 MG Oral Tablet Chewable
00781528464 Cetirizine HCl 10 MG Oral Tablet Chewable
00904572889 Allergy 10 MG Oral Tablet
00904579361 Loratadine 10 MG Oral Tablet 6/30/2020
00904585243 All Day Allergy 10 MG Oral Tablet 4/30/2020
00904585246 All Day Allergy 10 MG Oral Tablet
00904585260 All Day Allergy 10 MG Oral Tablet 4/30/2020
00904585272 All Day Allergy 10 MG Oral Tablet 5/31/2020
00904585289 All Day Allergy 10 MG Oral Tablet 4/30/2020
00904623420 Loratadine Childrens 5 MG/5ML Oral Solution 9/30/2020
00904663220 Loratadine Childrens 5 MG/5ML Oral Solution
00904671110 Fexofenadine HCl 180 MG Oral Tablet
00904671146 Fexofenadine HCl 180 MG Oral Tablet
00904671152 Fexofenadine HCl 180 MG Oral Tablet
00904671189 Fexofenadine HCl 180 MG Oral Tablet
00904671740 Cetirizine HCl 10 MG Oral Tablet
00904671741 Cetirizine HCl 10 MG Oral Tablet
00904671743 Cetirizine HCl 10 MG Oral Tablet
00904671746 Cetirizine HCl 10 MG Oral Tablet
00904671760 Cetirizine HCl 10 MG Oral Tablet
00904671761 Cetirizine HCl 10 MG Oral Tablet
00904671772 Cetirizine HCl 10 MG Oral Tablet
00904671786 Cetirizine HCl 10 MG Oral Tablet
00904676720 Loratadine Childrens 5 MG/5ML Oral Syrup
00904685207 Loratadine 10 MG Oral Tablet
00904685260 Loratadine 10 MG Oral Tablet
00904685261 Loratadine 10 MG Oral Tablet
00904685272 Loratadine 10 MG Oral Tablet
00904685289 Loratadine 10 MG Oral Tablet
00904697940 Fexofenadine HCl 60 MG Oral Tablet
00904697960 Fexofenadine HCl 60 MG Oral Tablet
16571040110 Cetirizine HCl 5 MG Oral Tablet
2019 Q4 Page 26 of 79
NDC Drug Name Term Date
16571040210 Cetirizine HCl 10 MG Oral Tablet
16571040250 Cetirizine HCl 10 MG Oral Tablet
16714027102 Cetirizine HCl 10 MG Oral Tablet
16714027103 Cetirizine HCl 10 MG Oral Tablet
16714048201 Loratadine 10 MG Oral Tablet
16714048202 Loratadine 10 MG Oral Tablet
16714048203 Loratadine 10 MG Oral Tablet
16714079901 Cetirizine HCl 10 MG Oral Tablet
16714079902 Cetirizine HCl 10 MG Oral Tablet
16714079903 Cetirizine HCl 10 MG Oral Tablet
16714079904 Cetirizine HCl 10 MG Oral Tablet
16714089801 Loratadine 10 MG Oral Tablet
16714089802 Loratadine 10 MG Oral Tablet
16714089803 Loratadine 10 MG Oral Tablet
16714089901 Fexofenadine HCl 180 MG Oral Tablet
16714089902 Fexofenadine HCl 180 MG Oral Tablet
24385016152 GNP Allergy Relief 10 MG Oral Tablet Disint
24385018826 GNP All Day Allergy Childrens 1 MG/ML Oral Solution
24385047152 GNP Loratadine 10 MG Oral Tablet
24385047178 GNP Loratadine 10 MG Oral Tablet
24385047199 GNP Loratadine 10 MG Oral Tablet
24385053126 GNP Loratadine 5 MG/5ML Oral Syrup
24385054053 GNP Allergy Relief 10 MG Oral Tablet Disint
24385099865 GNP All Day Allergy 10 MG Oral Tablet
24385099874 GNP All Day Allergy 10 MG Oral Tablet
24385099875 GNP All Day Allergy 10 MG Oral Tablet
36800009208 Loratadine Childrens 5 MG/5ML Oral Syrup
36800018926 All Day Allergy Childrens 5 MG/5ML Oral Solution
36800042553 Fexofenadine HCl 60 MG Oral Tablet
36800045813 All Day Allergy 10 MG Oral Tablet
36800045839 All Day Allergy 10 MG Oral Tablet
36800045847 All Day Allergy 10 MG Oral Tablet
36800045866 All Day Allergy 10 MG Oral Tablet
36800045872 All Day Allergy 10 MG Oral Tablet
36800045887 All Day Allergy 10 MG Oral Tablet
36800045895 All Day Allergy 10 MG Oral Tablet
36800047526 All-Day Allergy Childrens 5 MG/5ML Oral Solution
36800057113 Fexofenadine HCl 180 MG Oral Tablet
36800057122 Fexofenadine HCl 180 MG Oral Tablet
36800057139 Fexofenadine HCl 180 MG Oral Tablet
36800057175 Fexofenadine HCl 180 MG Oral Tablet
36800057195 Fexofenadine HCl 180 MG Oral Tablet
36800061246 Allergy Relief 10 MG Oral Tablet
2019 Q4 Page 27 of 79
NDC Drug Name Term Date
36800061265 Allergy Relief 10 MG Oral Tablet
36800061272 Allergy Relief 10 MG Oral Tablet
36800061276 Allergy Relief 10 MG Oral Tablet
36800061287 Allergy Relief 10 MG Oral Tablet
36800097426 All Day Allergy Childrens 5 MG/5ML Oral Solution
43598081112 Cetirizine HCl 10 MG Oral Tablet
43598081115 Cetirizine HCl 10 MG Oral Tablet
45802042578 Fexofenadine HCl 60 MG Oral Tablet
45802057178 Fexofenadine HCl 180 MG Oral Tablet
45802065065 Loratadine 10 MG Oral Tablet
45802065078 Loratadine 10 MG Oral Tablet
45802065087 Loratadine 10 MG Oral Tablet
45802091939 Cetirizine HCl 10 MG Oral Tablet
45802091987 Cetirizine HCl 10 MG Oral Tablet
45802097426 Cetirizine HCl Childrens Alrgy 1 MG/ML Oral Solution
46122002026 GNP All Day Allergy Childrens 5 MG/5ML Oral Solution
46122010126 GNP All Day Allergy Childrens 5 MG/5ML Oral Solution
46122015865 GNP Loratadine 10 MG Oral Tablet
46122016426 GNP Loratadine Childrens 5 MG/5ML Oral Syrup
46122020326 GNP All Day Allergy Childrens 1 MG/ML Oral Solution
46122042326 GNP Loratadine Childrens 5 MG/5ML Oral Solution
46122046265 GNP Allergy Relief 180 MG Oral Tablet
46122053952 GNP Loratadine 10 MG Oral Tablet Disint
46122055060 GNP Loratadine Childrens 5 MG Oral Tablet Chewable
47335034383 Cetirizine HCl 5 MG Oral Tablet Chewable
47335034483 Cetirizine HCl 10 MG Oral Tablet Chewable
49348007834 SM All Day Allergy Childrens 5 MG/5ML Oral Solution
49348011201 SM Loratadine 10 MG Oral Tablet
49348011213 SM Loratadine 10 MG Oral Tablet
49348011244 SM Loratadine 10 MG Oral Tablet
49348032634 SM All Day Allergy Childrens 5 MG/5ML Oral Solution
49348033334 SM Childrens Loratadine 5 MG/5ML Oral Syrup
49348063634 SM Loratadine 5 MG/5ML Oral Syrup
49348081845 SM Loratadine 10 MG Oral Tablet
49348081856 SM Loratadine 10 MG Oral Tablet
49348093434 SM All Day Allergy Childrens 5 MG/5ML Oral Solution
49348096856 SM Fexofenadine HCl 180 MG Oral Tablet
49348098446 SM All Day Allergy 10 MG Oral Tablet
49483068607 Loratadine 10 MG Oral Capsule
49483068630 Loratadine 10 MG Oral Capsule
50268031611 Fexofenadine HCl 180 MG Oral Tablet
50268031615 Fexofenadine HCl 180 MG Oral Tablet
51079024601 Loratadine 10 MG Oral Tablet
2019 Q4 Page 28 of 79
NDC Drug Name Term Date
51079024620 Loratadine 10 MG Oral Tablet
51079054701 Fexofenadine HCl 60 MG Oral Tablet
51079054720 Fexofenadine HCl 60 MG Oral Tablet
51079054801 Fexofenadine HCl 180 MG Oral Tablet
51079054820 Fexofenadine HCl 180 MG Oral Tablet
51079059701 Cetirizine HCl 10 MG Oral Tablet
51079059720 Cetirizine HCl 10 MG Oral Tablet
51660052601 Allergy Relief 10 MG Oral Tablet
51660052605 Allergy Relief 10 MG Oral Tablet
51660052611 Allergy Relief 10 MG Oral Tablet
51660052631 Allergy Relief 10 MG Oral Tablet
51660052653 Allergy Relief 10 MG Oral Tablet
51660052731 Allergy Relief 10 MG Oral Tablet Disint
51660075331 Loratadine 5 MG Oral Tablet Chewable
51660075431 Loratadine Childrens 5 MG Oral Tablet Chewable
51660093901 Cetirizine HCl 10 MG Oral Tablet
51660093930 Cetirizine HCl 10 MG Oral Tablet
51660093954 Cetirizine HCl 10 MG Oral Tablet
51660093990 Cetirizine HCl 10 MG Oral Tablet
51672207308 Childrens Loratadine 5 MG/5ML Oral Syrup
51672208508 Childrens Loratadine 5 MG/5ML Oral Syrup
51672208808 Cetirizine HCl Childrens Alrgy 1 MG/ML Oral Solution
51672209208 Loratadine Childrens 5 MG/5ML Oral Syrup
51672213108 Loratadine Childrens 5 MG/5ML Oral Syrup
54838055440 Loratadine Hives Relief 5 MG/5ML Oral Solution
54838055840 Childrens Loratadine 5 MG/5ML Oral Solution
55111069990 Cetirizine HCl 10 MG Oral Tablet
55111078401 Fexofenadine HCl 180 MG Oral Tablet
55111078430 Fexofenadine HCl 180 MG Oral Tablet
59746028532 Cetirizine HCl Childrens 5 MG Oral Tablet Chewable
59746028632 Cetirizine HCl Childrens 10 MG Oral Tablet Chewable
60505014701 Loratadine 10 MG Oral Tablet
60505014708 Loratadine 10 MG Oral Tablet
60505263201 Cetirizine HCl 5 MG Oral Tablet
60505263301 Cetirizine HCl 10 MG Oral Tablet
60505263308 Cetirizine HCl 10 MG Oral Tablet
60687016501 Cetirizine HCl 10 MG Oral Tablet 4/30/2020
60687016511 Cetirizine HCl 10 MG Oral Tablet 4/30/2020
62011005201 HM All Day Allergy 10 MG Oral Tablet
62011009301 HM Cetirizine HCl Childrens 5 MG/5ML Oral Solution
62011018101 HM Loratadine Childrens 5 MG/5ML Oral Syrup
62011023301 HM Fexofenadine HCl 180 MG Oral Tablet
62011024804 HM Loratadine 10 MG Oral Tablet
2019 Q4 Page 29 of 79
NDC Drug Name Term Date
62011024805 HM Loratadine 10 MG Oral Tablet
62011025801 HM Loratadine 10 MG Oral Tablet
62011025802 HM Loratadine 10 MG Oral Tablet
62011025803 HM Loratadine 10 MG Oral Tablet
62011025804 HM Loratadine 10 MG Oral Tablet
62011028501 HM All Day Allergy 5 MG/5ML Oral Solution
62011030501 HM Loratadine Childrens 5 MG/5ML Oral Syrup
62011030701 HM Cetirizine HCl 10 MG Oral Tablet
62011031301 HM All Day Allergy 10 MG Oral Tablet
62011031302 HM All Day Allergy 10 MG Oral Tablet
62011031303 HM All Day Allergy 10 MG Oral Tablet
62011031401 HM Fexofenadine HCl 60 MG Oral Tablet
62011031501 HM Fexofenadine HCl 180 MG Oral Tablet
62011031502 HM Fexofenadine HCl 180 MG Oral Tablet
62011032201 HM All Day Allergy Childrens 5 MG/5ML Oral Solution
62011032301 HM All Day Allergy Childrens 5 MG/5ML Oral Solution
62011034801 HM Loratadine Childrens 5 MG/5ML Oral Syrup
62011038401 HM All Day Allergy 10 MG Oral Tablet
62011041301 HM Fexofenadine HCl 60 MG Oral Tablet
63824092605 Mucinex Allergy 180 MG Oral Tablet
63824092610 Mucinex Allergy 180 MG Oral Tablet
63824092630 Mucinex Allergy 180 MG Oral Tablet
63824092640 Mucinex Allergy 180 MG Oral Tablet
63868013214 QC All Day Allergy 10 MG Oral Tablet
63868013230 QC All Day Allergy 10 MG Oral Tablet
63868013290 QC All Day Allergy 10 MG Oral Tablet
63868014130 QC Fexofenadine Hydrochloride 180 MG Oral Tablet
63868015101 QC Loratadine Allergy Relief 10 MG Oral Tablet
63868015110 QC Loratadine Allergy Relief 10 MG Oral Tablet
63868015130 QC Loratadine Allergy Relief 10 MG Oral Tablet
63868043004 QC Childrens Allergy 5 MG/5ML Oral Solution
63868066514 QC Allergy Relief 10 MG Oral Tablet
63868066590 QC Allergy Relief 10 MG Oral Tablet
63868066730 QC Allergy Relief 180 MG Oral Tablet
68084024801 Loratadine 10 MG Oral Tablet
68084024811 Loratadine 10 MG Oral Tablet
68094000459 Cetirizine HCl Childrens 5 MG/5ML Oral Solution
68094000462 Cetirizine HCl Childrens 5 MG/5ML Oral Solution
69230020201 Allergy Relief 180 MG Oral Tablet
69230020230 Allergy Relief 180 MG Oral Tablet
69230030001 Allergy Relief 180 MG Oral Tablet
69230030005 Allergy Relief 180 MG Oral Tablet
69230030030 Allergy Relief 180 MG Oral Tablet
2019 Q4 Page 30 of 79
NDC Drug Name Term Date
69230030324 Allergy Relief 10 MG Oral Capsule
69230030340 Allergy Relief 10 MG Oral Capsule
69230030401 Allergy Relief/Indoor/Outdoor 10 MG Oral Tablet
69230030405 Allergy Relief/Indoor/Outdoor 10 MG Oral Tablet
69230030430 Allergy Relief/Indoor/Outdoor 10 MG Oral Tablet
69230031201 Allergy Relief 10 MG Oral Tablet
69230031203 Allergy Relief 10 MG Oral Tablet
69230031230 Allergy Relief 10 MG Oral Tablet
69230031611 Allergy Relief Childrens 1 MG/ML Oral Solution
70000012501 Allergy Childrens 5 MG/5ML Oral Syrup
70000018601 All Day Allergy Childrens 5 MG/5ML Oral Solution
70000021203 Allergy Relief 180 MG Oral Tablet 5/20/2020
70000021301 Allergy Relief 10 MG Oral Tablet
70000021302 Allergy Relief 10 MG Oral Tablet
70000021303 Allergy Relief 10 MG Oral Tablet
70000021304 Allergy Relief 10 MG Oral Tablet
70000021401 All Day Allergy Childrens 5 MG/5ML Oral Solution
70000021501 All Day Allergy Childrens 5 MG/5ML Oral Solution
70000021701 Loratadine 10 MG Oral Capsule 4/5/2020
70000025201 Allergy Childrens 5 MG/5ML Oral Syrup
70000036101 24HR Allergy Relief 180 MG Oral Tablet
70000036102 24HR Allergy Relief 180 MG Oral Tablet
70000036103 24HR Allergy Relief 180 MG Oral Tablet
70000036104 24HR Allergy Relief 180 MG Oral Tablet
70000036201 Allergy Relief 5 MG Oral Tablet
70000036202 Allergy Relief 5 MG Oral Tablet
70000038001 All Day Allergy 10 MG Oral Tablet
70000038002 All Day Allergy 10 MG Oral Tablet
70000038003 All Day Allergy 10 MG Oral Tablet
70000038004 All Day Allergy 10 MG Oral Tablet
70677000601 SM All Day Allergy 10 MG Oral Tablet
70677000602 SM All Day Allergy 10 MG Oral Tablet
70677000603 SM All Day Allergy 10 MG Oral Tablet
70677000701 SM Fexofenadine HCl 60 MG Oral Tablet
70677000801 SM Fexofenadine HCl 180 MG Oral Tablet
70677000802 SM Fexofenadine HCl 180 MG Oral Tablet
70677001401 SM All Day Allergy Childrens 5 MG/5ML Oral Solution
70677001501 SM All Day Allergy Childrens 5 MG/5ML Oral Solution
70677002901 SM Allergy Childrens 5 MG/5ML Oral Syrup
70677007901 SM Fexofenadine HCl 60 MG Oral Tablet
*Antihistamines - Piperazines**
58407002530 Ahist 25 MG Oral Tablet
*ANTISEPTICS & DISINFECTANTS*
24385011316 GNP Hydrogen Peroxide 3 % External Solution
2019 Q4 Page 31 of 79
NDC Drug Name Term Date
37205087134 Hydrogen Peroxide 3 % External Solution 8/30/2020
37205087143 Hydrogen Peroxide 3 % External Solution 7/18/2020
37205087145 Hydrogen Peroxide 3 % External Solution 7/20/2010
46122033443 GNP Hydrogen Peroxide 3 % External Solution
49348017934 SM Hydrogen Peroxide 3 % External Solution
49348017937 SM Hydrogen Peroxide 3 % External Solution
49348017938 SM Hydrogen Peroxide 3 % External Solution
62011026701 HM Hydrogen Peroxide 3 % External Solution
62011026702 HM Hydrogen Peroxide 3 % External Solution
62011026703 HM Hydrogen Peroxide 3 % External Solution
63868092616 QC Hydrogen Peroxide 3 % External Solution
63868092632 QC Hydrogen Peroxide 3 % External Solution
66689071006 Kerr Triple Dye Swabs External Swab
70000002201 Hydrogen Peroxide 3 % External Solution
70000050001 Hydrogen Peroxide 3 % External Solution
70000050002 Hydrogen Peroxide 3 % External Solution
46122013734 GNP Antiseptic Skin Cleanser 4 % External Solution
50268035301 Germbloc Health 0.13 % External Lotion
50268035302 Germbloc Health 0.13 % External Lotion
50268035308 Germbloc Health 0.13 % External Lotion
50268035316 Germbloc Health 0.13 % External Lotion
50268035327 Germbloc Health 0.13 % External Lotion
50268035332 Germbloc Health 0.13 % External Lotion
50268035408 Germbloc Health 0.1 % External Foam
50268035410 Germbloc Health 0.1 % External Foam
50268035427 Germbloc Health 0.1 % External Foam
53329015808 Remedy Antimicrobial Cleanser 0.12 % External Liquid
53329015844 Remedy Antimicrobial Cleanser 0.12 % External Liquid
62011023701 HM Antiseptic Skin Cleanser 4 % External Solution
67618020004 Betasept Surgical Scrub 4 % External Liquid
67618020008 Betasept Surgical Scrub 4 % External Liquid
67618020016 Betasept Surgical Scrub 4 % External Liquid
67618020030 Betasept Surgical Scrub 4 % External Liquid
67618020032 Betasept Surgical Scrub 4 % External Liquid
70000040701 Antiseptic Skin Cleanser 4 % External Solution
00904110231 Povidone-Iodine 10 % External Ointment
00904110309 Povidone-Iodine 10 % External Solution
24385005355 GNP Povidone-Iodine 10 % External Solution
24385020746 GNP Iodides External Tincture
24385021310 GNP Iodine External Tincture
37205064816 Iodides Tincture External Tincture 7/2/2020
49348062237 SM Povidone-Iodine 10 % External Solution
49348062238 SM Povidone-Iodine 10 % External Solution
2019 Q4 Page 32 of 79
NDC Drug Name Term Date
49348071130 SM Iodides External Tincture
62011011601 HM Iodides External Tincture
62011011701 HM Iodine External Tincture
62011011801 HM Povidone-Iodine 10 % External Solution
63868023008 QC Povidone Iodine 10 % External Solution
63868033001 QC Iodine Tincture External Tincture
63868033102 QC Iodides External Tincture
67618016003 Betadine 5 % External Solution
70000039901 Decolorized Iodine 48 % External Tincture
70000040101 Iodine External Tincture
70000040201 Povidone-Iodine 10 % External Solution
*Artificial Tears and Lubricants**
00023024004 Refresh P.M. Ophthalmic Ointment
00023031204 Refresh Lacri-Lube Ophthalmic Ointment
00023031207 Refresh Lacri-Lube Ophthalmic Ointment
00023050601 Refresh 1.4-0.6 % Ophthalmic Solution
00023050650 Refresh 1.4-0.6 % Ophthalmic Solution
00023341630 Refresh Optive PF 0.5-0.9 % Ophthalmic Solution
00023341660 Refresh Optive PF 0.5-0.9 % Ophthalmic Solution
00023430710 Refresh Optive Advanced 0.5-1-0.5 % Ophthalmic Solution
00023430720 Refresh Optive Advanced 0.5-1-0.5 % Ophthalmic Solution
00023449130 Refresh Optive Advanced PF 0.5-1-0.5 % Ophthalmic Solution
00023455430 Refresh Celluvisc 1 % Ophthalmic Gel
00023545910 Refresh Optive 1-0.9 % Ophthalmic Gel
00023577330 Refresh Optive Mega-3 0.5-1-0.5 % Ophthalmic Solution
00065041880 GenTeal Tears 0.1-0.3 % Ophthalmic Solution
00065041881 GenTeal Tears 0.1-0.3 % Ophthalmic Solution
00065041928 Bion Tears PF 0.1-0.3 % Ophthalmic Solution
00065042636 GenTeal Tears 0.1-0.2-0.3 % Ophthalmic Solution
00065042637 GenTeal Tears 0.1-0.2-0.3 % Ophthalmic Solution
00065045407 Systane 0.4-0.3 % Ophthalmic Gel
00065047401 Systane Overnight Therapy 0.3 % Ophthalmic Gel
00065050935 Systane Nighttime Ophthalmic Ointment
00065051801 GenTeal Tears Night-Time Ophthalmic Ointment
00078042947 GenTeal Severe 0.3 % Ophthalmic Gel
00078042957 GenTeal Severe 0.3 % Ophthalmic Gel
00113032365 GoodSense Lubricating Eye Drop 0.5 % Ophthalmic Solution
00113089665 GoodSense Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution
00536108691 Artificial Tears 83-15 % Ophthalmic Ointment 9/30/2020
00536121994 Lubricating Eye Drops 0.4-0.3 % Ophthalmic Solution
00904632946 Lubricating Plus Eye Drops 0.5 % Ophthalmic Solution
00904632951 Lubricating Plus Eye Drops 0.5 % Ophthalmic Solution
00904648838 LubriFresh P.M. Ophthalmic Ointment
00998040815 Isopto Tears 0.5 % Ophthalmic Solution
2019 Q4 Page 33 of 79
NDC Drug Name Term Date
17478006012 Artificial Tears 1.4 % Ophthalmic Solution
17478006235 Akwa Tears 2-15-83 % Ophthalmic Ointment
24385000605 GNP Artificial Tears 5-6 MG/ML Ophthalmic Solution
36800089665 Lubricant Eye Drops (PF) 0.4-0.3 % Ophthalmic Solution
37205063605 Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution 4/23/2020
46122019565 GNP Lubricating Plus Eye Drops 0.5 % Ophthalmic Solution
46122020204 GNP Lubricant PM Ophthalmic Ointment
46122037705 GNP Eye Drops 0.5 % Ophthalmic Solution
49348014929 SM Lubricating Tears 0.4-0.3 % Ophthalmic Solution
49348032944 SM Lubricating Plus 0.5 % Ophthalmic Solution
49348094729 SM Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution
62011019601 HM Dry Eye Relief 0.2-0.2-1 % Ophthalmic Solution
62011020301 HM Lubricating Plus 0.5 % Ophthalmic Solution
62011025401 HM Lubricating Tears 0.4-0.3 % Ophthalmic Solution
70000035101 Lubricant Eye Drops (PF) 0.4-0.3 % Ophthalmic Solution 5/10/2020
70000045501 Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution
70000045502 Lubricant Eye Drops 0.4-0.3 % Ophthalmic Solution
70000045701 Ultra Lubricating Eye Drops 0.4-0.3 % Ophthalmic Solution
70000045702 Ultra Lubricating Eye Drops 0.4-0.3 % Ophthalmic Solution
70000050201 Dry Eye Relief Drops 0.2-0.2-1 % Ophthalmic Solution
70403092115 Artificial Tears 1 % Ophthalmic Solution 5/20/2020
*CHEMICALS*
37205097643 Alcohol (Rubbing) 70 % Solution 9/6/2020
46122032943 GNP Rubbing Alcohol 70 % Solution
49348003040 SM Isopropyl Alcohol 70 % Solution
49348017338 SM Isopropyl Alcohol 70 % Solution
49348017538 SM Alcohol 70 % Solution
62011026601 HM Isopropyl Alcohol 70 % Solution
63868092516 QC Isopropyl Rubbing Alcohol 70 % Solution
63868092532 QC Isopropyl Rubbing Alcohol 70 % Solution
63868093616 QC Isopropyl Rubbing Alcohol 70 % Solution
*COUGH/COLD/ALLERGY*
00113038428 GoodSense Cough DM 30 MG/5ML Oral Suspension ER
00113095821 GoodSense Cough DM Childrens 30 MG/5ML Oral Suspension ER
00113095828 GoodSense Cough DM Childrens 30 MG/5ML Oral Suspension ER
00536106834 Robafen Cough 15 MG Oral Capsule
00904631256 Cough DM 30 MG/5ML Oral Suspension ER
24385049326 GNP Tussin Cough Long Acting 15 MG/5ML Oral Syrup
36800030026 Tussin Cough 15 MG/5ML Oral Syrup
36800047338 Day Time Cough 15 MG/15ML Oral Liquid
36800055221 Cough DM 30 MG/5ML Oral Suspension ER
36800055228 Cough DM 30 MG/5ML Oral Suspension ER
45802043321 Dextromethorphan Polistirex ER 30 MG/5ML Oral Suspension ER
46122014121 GNP Cough DM ER 30 MG/5ML Oral Suspension ER
2019 Q4 Page 34 of 79
NDC Drug Name Term Date
46122014125 GNP Cough DM ER 30 MG/5ML Oral Suspension ER
46122014221 GNP Cough DM ER 30 MG/5ML Oral Suspension ER
46122042660 GNP Cough Gels 15 MG Oral Capsule
62011017601 HM Cough DM 30 MG/5ML Oral Suspension ER
62011019801 HM Cough DM 30 MG/5ML Oral Suspension ER
62011025101 HM Cough DM 30 MG/5ML Oral Suspension ER
70000018701 Cough DM 30 MG/5ML Oral Suspension ER
70000019501 Cough DM Childrens 30 MG/5ML Oral Suspension ER
70000030201 Cough DM 30 MG/5ML Oral Suspension ER
00067609401 Theraflu PowerPods Severe Cold 20-10-650 MG Oral
00067609501 Theraflu PowerPods Severe Cold 25-10-650 MG Oral
00067810504 Triaminic Cold/Cough Day Time 2.5-5 MG/5ML Oral Syrup
00067810604 Triaminic Night Time Cold/Cgh 6.25-2.5 MG/5ML Oral Syrup
00067811604 Triaminic Fever & Cold 2.5-1-5-160 MG/5ML Oral Suspension
00067812406 Theraflu Severe Cold Nighttime 25-10-500 MG Oral Packet
00067812708 Theraflu ExpressMax 20-10-650 MG/30ML Oral Liquid
00067812908 Theraflu ExpressMax Sev Cld/Cg 12.5-5-325 MG/15ML Oral Liquid
00067813108 Theraflu ExpressMax 12.5-5-325 MG/15ML Oral Liquid
00067813208 Theraflu ExpressMax Sev Cld/Fl 5-10-200-325 MG/15ML Oral Liquid
00067813620 Theraflu ExpressMax Sev Cld/Cg 10-5-325 MG Oral Tablet
00067814501 Theraflu ExpressMax Sev Cld/Fl 5-10-200-325 MG Oral Tablet
00095086006 Lodrane D 4-60 MG Oral Capsule
00113001940 GoodSense Nighttime Cold & Flu 5-6.25-10-325 MG/15ML Oral Liquid
00113002391 GoodSense Flu/Cold/Daytime 20-10-500 MG Oral Packet
00113005651 GoodSense Nighttime Cold & Flu 15-6.25-325 MG Oral Capsule
00113006462 GoodSense Cold Max 10-5-325 MG Oral Tablet
00113017653 All Day Allergy-D 5-120 MG Oral Tablet ER 12HR
00113017662 All Day Allergy-D 5-120 MG Oral Tablet ER 12HR
00113029962 GoodSense Cold & Flu 5-10-200-325 MG Oral Tablet
00113033534 Nighttime Cold/Flu Relief 15-6.25-325 MG/15ML Oral Liquid
00113033540 Nighttime Cold/Flu Relief 15-6.25-325 MG/15ML Oral Liquid
00113035926 Tussin DM 100-10 MG/5ML Oral Syrup
00113035934 Tussin DM 100-10 MG/5ML Oral Syrup
00113041926 Mucus Relief Cough Childrens 5-100 MG/5ML Oral Liquid
00113045934 Nighttime Cold/Flu Relief 15-6.25-325 MG/15ML Oral Liquid
00113045940 Nighttime Cold/Flu Relief 15-6.25-325 MG/15ML Oral Liquid
00113054853 GoodSense Day Time Cold & Flu 5-10-200-325 MG Oral Tablet
00113054862 GoodSense Day Time Cold & Flu 5-10-200-325 MG Oral Tablet
00113057826 Tussin DM 100-10 MG/5ML Oral Liquid
00113060334 GoodSense Day Time Cold & Flu 5-10-200-325 MG/15ML Oral Liquid
00113060340 GoodSense Day Time Cold & Flu 5-10-200-325 MG/15ML Oral Liquid
00113065634 GoodSense Cold & Flu 10-5-325 MG/15ML Oral Liquid
00113065640 GoodSense Cold & Flu 10-5-325 MG/15ML Oral Liquid
2019 Q4 Page 35 of 79
NDC Drug Name Term Date
00113066834 Nighttime Cough 6.25-15 MG/15ML Oral Liquid
00113070326 GoodSense Tussin CF 5-10-100 MG/5ML Oral Liquid
00113070334 GoodSense Tussin CF 5-10-100 MG/5ML Oral Liquid
00113076340 GoodSense Nighttime Cold & Flu 5-6.25-10-325 MG/15ML Oral Liquid
00113079926 Tussin DM Max Adult 10-200 MG/5ML Oral Liquid
00113081266 GoodSense Mucus DM 60-1200 MG Oral Tablet ER 12HR
00113083926 GoodSense Mucus Relief Child 2.5-5-100 MG/5ML Oral Liquid
00113090626 Childrens Cold & Allergy 1-2.5 MG/5ML Oral Elixir
00113096491 GoodSense Flu/Cold/Cough/Night 25-10-650 MG Oral Packet
00113098726 Cold/Cough Childrens 2.5-1-5 MG/5ML Oral Liquid
00113099451 GoodSense Day Time Cold & Flu 10-5-325 MG Oral Capsule
00113099462 GoodSense Day Time Cold & Flu 10-5-325 MG Oral Capsule
00113099473 GoodSense Day Time Cold & Flu 10-5-325 MG Oral Capsule
00113200289 Mucus D 60-600 MG Oral Tablet ER 12HR
00113200760 Allergy/Congestion Relief 5-120 MG Oral Tablet ER 12HR
00113217662 All Day Allergy-D 5-120 MG Oral Tablet ER 12HR
00121063800 guaiFENesin-DM 100-10 MG/5ML Oral Syrup
00121063805 guaiFENesin-DM 100-10 MG/5ML Oral Syrup
00121127600 guaiFENesin-DM 100-10 MG/5ML Oral Syrup
00121127610 guaiFENesin-DM 100-10 MG/5ML Oral Syrup
00485008001 Rymed 2-10 MG Oral Tablet
00485009602 Ed ChlorPed D 2-5 MG/ML Oral Liquid
00485017116 Ed-A-Hist DM 10-4-15 MG/5ML Oral Liquid
00485020216 Rynex PE 1-2.5 MG/5ML Oral Elixir
00485020404 Rynex DM 2.5-1-5 MG/5ML Oral Liquid
00485020416 Rynex DM 2.5-1-5 MG/5ML Oral Liquid
00485020616 Rynex PSE 1-15 MG/5ML Oral Liquid
00485020816 ED Bron GP 5-100 MG/5ML Oral Liquid
00485021001 Ed A-Hist PSE 2.5-60 MG Oral Tablet
00485024001 Ed A-Hist DM 10-4-10 MG Oral Tablet
00485025401 Ed A-Hist 4-10 MG Oral Tablet
00536097085 Extra Action Cough 100-10 MG/5ML Oral Syrup 5/31/2020
00536116134 Mucus Relief DM 30-600 MG Oral Tablet ER 12HR
00536116137 Mucus Relief DM 30-600 MG Oral Tablet ER 12HR
00536118485 Extra Action Cough 10-100 MG/5ML Oral Syrup
00536118497 Cough/Chest Congestion DM 10-100 MG/5ML Oral Syrup
00536120521 Mucus Relief D 60-600 MG Oral Tablet ER 12HR
00536120536 Mucus Relief D 60-600 MG Oral Tablet ER 12HR
00536121388 Mucus Relief DM Max 60-1200 MG Oral Tablet ER 12HR
00536231097 Kidkare Cough/Cold 15-1-5 MG/5ML Oral Liquid 9/30/2020
00904005309 Robafen DM 100-10 MG/5ML Oral Syrup 7/31/2020
00904025024 Aprodine 2.5-60 MG Oral Tablet
00904025059 Aprodine 2.5-60 MG Oral Tablet
2019 Q4 Page 36 of 79
NDC Drug Name Term Date
00904505020 Pedia Relief Cough/Cold 15-1-5 MG/5ML Oral Liquid 9/30/2020
00904535124 SudoGest Sinus/Allergy 4-60 MG Oral Tablet
00904535196 SudoGest Sinus/Allergy 4-60 MG Oral Tablet
00904576444 Night Time Cold/Flu Relief 15-6.25-325 MG Oral Capsule 8/31/2021
00904578324 Mapap Sinus Maximum Strength 5-325 MG Oral Tablet
00904578624 Mapap Cold Formula Multi-Sympt 10-5-325 MG Oral Tablet
00904579246 MucusRelief Sinus 10-400 MG Oral Tablet
00904579252 MucusRelief Sinus 10-400 MG Oral Tablet
00904583112 All Day Allergy-D 5-120 MG Oral Tablet ER 12HR
00904583315 Loratadine-D 24HR 10-240 MG Oral Tablet ER 24HR
00904583348 Loratadine-D 24HR 10-240 MG Oral Tablet ER 24HR
00904630620 Robafen DM Cough Clear 100-10 MG/5ML Oral Syrup 4/30/2020
00904646220 Dimaphen Childrens 1-2.5 MG/5ML Oral Elixir
00904646320 Dimaphen DM Cold/Cough 2.5-1-5 MG/5ML Oral Liquid
00904646420 Robafen DM Cgh/Chest Congest 10-100 MG/5ML Oral Liquid
00904646509 All-Nite Cold & Flu Nighttime 30-12.5-650 MG/30ML Oral Liquid
00904653720 Robafen CF Multi-Symptom Cold 5-10-100 MG/5ML Oral Liquid
00904663444 Cough & Cold 4-30 MG Oral Tablet
00904675816 Robafen DM Cough 10-100 MG/5ML Oral Liquid
00904675859 Robafen DM Cough 10-100 MG/5ML Oral Liquid
00904675920 Robafen DM Cough 10-100 MG/5ML Oral Liquid
00904676024 Acetaminophen Congestion/Pain 5-325 MG Oral Tablet
00904681646 MucusRelief DM Cough 20-400 MG Oral Tablet
00904681652 MucusRelief DM Cough 20-400 MG Oral Tablet
00904684470 Dextromethorphan-guaiFENesin 10-100 MG/5ML Oral Liquid
00904698072 Dextromethorphan-guaiFENesin 20-200 MG/10ML Oral Liquid
00904699644 Cold & Flu Nighttime Relief 15-6.25-325 MG Oral Capsule
12830076216 Chlo Tuss 30-1-12.5 MG/5ML Oral Liquid
12830081616 M-End DMX 20-0.667-10 MG/5ML Oral Liquid
12830086404 Chlo Hist 12.5-1 MG/5ML Oral Solution
12830086416 Chlo Hist 12.5-1 MG/5ML Oral Solution
15370003110 Ru-Hist-D 30-10 MG Oral Tablet
15370014016 Atuss DA 30-2-12.5 MG/5ML Oral Liquid
23359003216 Ninjacof 12.5-12.5 MG/5ML Oral Liquid
24385000534 GNP Day Time Cold/Flu Relief 10-5-325 MG/15ML Oral Liquid
24385000540 GNP Day Time Cold/Flu Relief 10-5-325 MG/15ML Oral Liquid
24385002671 GNP Mucus Relief DM 20-400 MG Oral Tablet
24385003662 GNP Day Time Cold/Flu 10-5-325 MG Oral Capsule
24385014762 GNP Allergy Multi-Symptom 2-5-325 MG Oral Tablet
24385016962 GNP Sinus Congestion/Pain Day 5-325 MG Oral Tablet
24385017553 GNP All Day Allergy-D 5-120 MG Oral Tablet ER 12HR
24385017562 GNP All Day Allergy-D 5-120 MG Oral Tablet ER 12HR
24385035152 GNP Loratadine-D 24 Hour 10-240 MG Oral Tablet ER 24HR
2019 Q4 Page 37 of 79
NDC Drug Name Term Date
24385035926 GNP Tussin DM 100-10 MG/5ML Oral Liquid
24385035934 GNP Tussin DM 100-10 MG/5ML Oral Liquid
24385046134 GNP Night Time Cough 6.25-15 MG/15ML Oral Liquid
24385046140 GNP Night Time Cough 6.25-15 MG/15ML Oral Liquid
24385046560 GNP Ibuprofen Cold/Sinus 30-200 MG Oral Tablet
24385051726 GNP Cold/Allergy Childrens 1-2.5 MG/5ML Oral Elixir
24385051734 GNP Cold/Allergy Childrens 1-2.5 MG/5ML Oral Elixir
24385051926 GNP Cold/Cough Childrens 2.5-1-5 MG/5ML Oral Liquid
24385057826 GNP Tussin DM Cough 100-10 MG/5ML Oral Liquid
24385090426 GNP Tussin CF Cough & Cold 5-10-100 MG/5ML Oral Syrup
24385090434 GNP Tussin CF Cough & Cold 5-10-100 MG/5ML Oral Syrup
24385092571 GNP Mucus Relief PE 10-400 MG Oral Tablet
24385096162 GNP Sinus/Allergy PE 4-10 MG Oral Tablet
24385098526 GNP Mucus Relief Cough Child 5-100 MG/5ML Oral Liquid
28595090060 Ru-Hist D 4-10 MG Oral Tablet
29978012716 Capron DM 7.5-7.5 MG/5ML Oral Liquid
29978012810 Capron DMT 30-30 MG Oral Tablet
29978058701 Aquanaz 10-15-400 MG Oral Tablet
29978060190 Capmist DM 60-15-400 MG Oral Tablet
29978060630 Capmist DM 30-30-400 MG Oral Tablet
29978060690 Capmist DM 30-30-400 MG Oral Tablet
36800000004 Pain Relief Plus Multi-Symptom 2.5-1-5-160 MG/5ML Oral Suspension
36800001462 Cold Multi-Symptom Nighttime 5-2-10-325 MG Oral Tablet
36800004130 Nite-Time Cold/Flu Relief 15-6.25-500 MG/15ML Oral Liquid
36800004138 Nite-Time Cold/Flu Relief 15-6.25-500 MG/15ML Oral Liquid
36800008360 Ibuprofen Cold & Sinus 30-200 MG Oral Tablet
36800009691 Flu/Severe Cold & Cough Day 20-10-650 MG Oral Packet
36800013391 Flu & Sore Throat 20-10-650 MG Oral Packet
36800013962 Cold & Allergy 4-10 MG Oral Tablet
36800017653 All Day Allergy D 5-120 MG Oral Tablet ER 12HR
36800017662 All Day Allergy D 5-120 MG Oral Tablet ER 12HR
36800021553 Day Time PE Cold/Flu Relief 10-5-325 MG Oral Capsule
36800021560 Day Time PE Cold/Flu Relief 10-5-325 MG Oral Capsule
36800023462 Cold Head Congestion Severe 5-10-200-325 MG Oral Tablet
36800027262 Sinus Congestion/Pain Daytime 5-325 MG Oral Tablet
36800029626 Tussin CF Max Multi-Symptom 5-10-200 MG/5ML Oral Liquid
36800029634 Tussin CF Max Multi-Symptom 5-10-200 MG/5ML Oral Liquid
36800030862 Cold Multi-Symptom Severe Day 5-10-200-325 MG Oral Tablet
36800035862 Sinus & Allergy PE Max St 4-10 MG Oral Tablet
36800035926 Tussin DM 100-10 MG/5ML Oral Liquid
36800035934 Tussin DM 100-10 MG/5ML Oral Liquid
36800035940 Tussin DM 100-10 MG/5ML Oral Liquid
36800037162 Cold Multi-Symptom Daytime 10-5-325 MG Oral Tablet
2019 Q4 Page 38 of 79
NDC Drug Name Term Date
36800039362 Cold Head Congestion Nighttime 5-2-10-325 MG Oral Tablet
36800040262 Cold Head Congestion Daytime 10-5-325 MG Oral Tablet
36800041926 Childrens Mucus Relief Cough 5-100 MG/5ML Oral Liquid
36800042321 Ibuprofen Cold & Sinus 30-200 MG Oral Tablet
36800044426 Triacting Day Time Cold/Cough 2.5-5 MG/5ML Oral Solution
36800047662 Allergy Multi-Symptom 2-5-325 MG Oral Tablet
36800047667 Allergy Multi-Symptom 2-5-325 MG Oral Tablet
36800051626 Tussin CF 5-10-100 MG/5ML Oral Liquid
36800051634 Tussin CF 5-10-100 MG/5ML Oral Liquid
36800057826 Tussin DM 100-10 MG/5ML Oral Liquid
36800060938 Nite Time-D 60-12.5-30-1000 MG/30ML Oral Liquid
36800065630 Day Time Cold/Flu Relief 10-5-325 MG/15ML Oral Liquid
36800065638 Day Time Cold/Flu Relief 10-5-325 MG/15ML Oral Liquid
36800066634 Cough & Sore Throat NightTime 15-6.25-500 MG/15ML Oral Liquid
36800066838 Nite Time Cough 6.25-15 MG/15ML Oral Liquid
36800069834 Cough & Sore Throat Day 500-15 MG/15ML Oral Liquid
36800073301 Day Time/Nite Time Cold/Flu (Liquid) Oral
36800079926 Tussin DM Max 10-200 MG/5ML Oral Liquid
36800079934 Tussin DM Max 10-200 MG/5ML Oral Liquid
36800083926 Mucus Relief Multi Symptom 2.5-5-100 MG/5ML Oral Liquid
36800090326 Multi-Symptom Cold Childrens 2.5-1-5-160 MG/5ML Oral Suspension
36800090626 Childrens Cold & Allergy 1-2.5 MG/5ML Oral Elixir
36800090634 Childrens Cold & Allergy 1-2.5 MG/5ML Oral Elixir
36800090830 Nite Time Cold/Flu Relief 15-6.25-500 MG/15ML Oral Liquid
36800090838 Nite Time Cold/Flu Relief 15-6.25-500 MG/15ML Oral Liquid
36800091326 Triacting Nightime Cold&Cough 6.25-2.5 MG/5ML Oral Liquid
36800093562 Sinus Congestion/Pain Night 2-5-325 MG Oral Tablet
36800097753 Nite Time Multi-Symptom Relief 15-6.25-325 MG Oral Capsule
36800097760 Nite Time Multi-Symptom Relief 15-6.25-325 MG Oral Capsule
36800098726 Cold/Cough Childrens 2.5-1-5 MG/5ML Oral Liquid
36800099038 Nite Time Cold/Flu Relief 15-6.25-500 MG/15ML Oral Liquid
45802012246 Loratadine-D 12HR 5-120 MG Oral Tablet ER 12HR
45802012260 Loratadine-D 12HR 5-120 MG Oral Tablet ER 12HR
45802012265 Loratadine-D 12HR 5-120 MG Oral Tablet ER 12HR
45802023068 Pseudoephedrine-guaiFENesin ER 60-600 MG Oral Tablet ER 12HR
45802023089 Pseudoephedrine-guaiFENesin ER 60-600 MG Oral Tablet ER 12HR
45802072153 Cetirizine-Pseudoephedrine ER 5-120 MG Oral Tablet ER 12HR
45802072162 Cetirizine-Pseudoephedrine ER 5-120 MG Oral Tablet ER 12HR
46017002324 Contac Cold+Flu Max St 2-5-500 MG Oral Tablet
46017002408 Contac Cold+Flu Max St 5-500 MG Oral Tablet
46017002424 Contac Cold+Flu Max St 5-500 MG Oral Tablet
46017002528 Contac Cold/Flu Day & Night 2-5-500 MG Oral Tablet
46122001726 GNP Tussin DM Max 10-200 MG/5ML Oral Liquid
2019 Q4 Page 39 of 79
NDC Drug Name Term Date
46122001734 GNP Tussin DM Max 10-200 MG/5ML Oral Liquid 4/30/2020
46122005262 GNP Allergy Pls Sinus Headache 12.5-5-325 MG Oral Tablet 4/30/2020
46122005862 GNP Tab Tussin DM 20-400 MG Oral Tablet
46122007362 GNP Cold Relief Multi-Symptom 10-5-325 MG Oral Tablet 6/30/2020
46122013634 GNP Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
46122013640 GNP Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
46122013926 GNP Tussin DM Max 10-200 MG/5ML Oral Liquid
46122016752 GNP Allergy & Congestion 10-240 MG Oral Tablet ER 24HR
46122018162 GNP Cold & Allergy 4-10 MG Oral Tablet
46122019260 GNP Mucus Relief Cold Flu 5-10-200-325 MG Oral Tablet
46122019460 GNP Mucus Relief Cold & Sinus 5-325-200 MG Oral Tablet
46122019752 GNP Sinus & Cold-D 120-220 MG Oral Tablet ER 12HR
46122019834 GNP Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
46122019840 GNP Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
46122024562 GNP Night Time Cold-Flu 15-6.25-325 MG Oral Capsule
46122027060 GNP Sinus Relief Severe Cng 5-325-200 MG Oral Tablet
46122027160 GNP Sinus Relief Pressure/Pain 5-325-200 MG Oral Tablet
46122030330 GNP Mucus Relief Max St 5-10-200-325 MG/10ML Oral Liquid
46122038322 GNP Allergy/Congestion Relief 10-240 MG Oral Tablet ER 24HR
46122040213 GNP Flu & Sev Cold/Cough Night 25-10-650 MG Oral Packet
46122040440 GNP Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
46122042074 GNP Mucus DM Max Strength 60-1200 MG Oral Tablet ER 12HR
46122045260 GNP Fexofenadine/PSE ER 60-120 MG Oral Tablet ER 12HR
46122054134 GNP Tussin DM Max 20-400 MG/20ML Oral Liquid
46122054234 GNP Tussin DM Max Nighttime 12.5-30 MG/20ML Oral Liquid
49348001734 SM Tussin DM 100-10 MG/5ML Oral Syrup
49348001737 SM Tussin DM 100-10 MG/5ML Oral Syrup
49348001739 SM Tussin DM 100-10 MG/5ML Oral Syrup
49348009747 SM Cold & Sinus Relief 30-200 MG Oral Tablet
49348010404 SM Cold & Flu Severe 5-10-200-325 MG Oral Tablet
49348011348 SM Mucus Relief D 60-600 MG Oral Tablet ER 12HR
49348015703 SM Night Time Cold & Flu 15-6.25-325 MG Oral Capsule
49348018347 SM Loratadine D 5-120 MG Oral Tablet ER 12HR
49348019946 HM Mucus Relief DM Max St 60-1200 MG Oral Tablet ER 12HR
49348039301 SM Sinus & Cold-D 120-220 MG Oral Tablet ER 12HR
49348054301 SM Lorata-dine D 10-240 MG Oral Tablet ER 24HR
49348054357 SM Lorata-dine D 10-240 MG Oral Tablet ER 24HR
49348072809 SM Chest Congestion Relief DM 20-400 MG Oral Tablet
49348073734 SM Tussin CF 5-10-100 MG/5ML Oral Liquid
49348073737 SM Tussin CF 5-10-100 MG/5ML Oral Liquid
49348075337 SM Day Time Cold & Flu Relief 10-5-325 MG/15ML Oral Liquid
49348077409 SM Chest Congestion Relief PE 10-400 MG Oral Tablet
49348077534 SM Cold & Cough DM Childrens 2.5-1-5 MG/5ML Oral Liquid
2019 Q4 Page 40 of 79
NDC Drug Name Term Date
49348077734 SM Cold & Allergy Childrens 1-2.5 MG/5ML Oral Elixir
49348082834 SM Mucus Relief Cough Children 5-100 MG/5ML Oral Liquid
49348085104 SM All Day Allergy-D 5-120 MG Oral Tablet ER 12HR
49348086134 SM Tussin Cough/Chest Congest 100-10 MG/5ML Oral Syrup
49348086137 SM Tussin Cough/Chest Congest 100-10 MG/5ML Oral Syrup
49348097537 SM Nite Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
49348097539 SM Nite Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
49483028006 Mucosa DM 20-400 MG Oral Tablet
50991021201 Poly-Vent IR 60-380 MG Oral Tablet
50991021401 Poly-Vent DM 60-20-380 MG Oral Tablet
50991022016 Poly-Hist DM 5-25-10 MG/5ML Oral Liquid
50991022245 Poly-Hist PD 6.25-6.25 MG/ML Oral Liquid
50991049216 Polytussin DM 5-10-1 MG/5ML Oral Syrup
50991053501 Duraflu 60-20-200-325 MG Oral Tablet
50991062601 Poly Hist Forte 10.5-10 MG Oral Tablet
50991073690 Deconex IR 10-385 MG Oral Tablet
50991074001 Deconex DMX 10-17.5-400 MG Oral Tablet
50991078490 Alahist CF 10-2-20 MG Oral Tablet
50991082616 Alahist DM 7.5-2-15 MG/5ML Oral Liquid
51660042321 Cold & Sinus Relief 30-200 MG Oral Tablet
51660072415 Allergy Relief/Nasal Decongest 10-240 MG Oral Tablet ER 24HR
51660072456 Allergy Relief/Nasal Decongest 10-240 MG Oral Tablet ER 24HR
51660072469 Allergy Relief/Nasal Decongest 10-240 MG Oral Tablet ER 24HR
52544023912 Allergy Relief-D 10-240 MG Oral Tablet ER 24HR
52544023954 Allergy Relief-D 10-240 MG Oral Tablet ER 24HR
52747047570 Norel AD 4-10-325 MG Oral Tablet
54838011540 Pediatric Cough/Cold 15-1-5 MG/5ML Oral Liquid
54838012540 Brotapp 1-15 MG/5ML Oral Liquid
54838012570 Brotapp 1-15 MG/5ML Oral Liquid
54838012580 Brotapp 1-15 MG/5ML Oral Liquid
54838013340 Siltussin DM DAS 100-10 MG/5ML Oral Liquid
54838013640 Brotapp DM 15-1-5 MG/5ML Oral Liquid
54838013670 Brotapp DM 15-1-5 MG/5ML Oral Liquid
54838013940 Diabetic Siltussin-DM 100-10 MG/5ML Oral Liquid
54838014040 Diabetic Siltussin-DM Max St 10-200 MG/5ML Oral Liquid
54838020940 Siltussin-DM Alcohol Free 100-10 MG/5ML Oral Syrup
54838020970 Siltussin-DM Alcohol Free 100-10 MG/5ML Oral Syrup
54838020980 Siltussin-DM Alcohol Free 100-10 MG/5ML Oral Syrup
54859050206 Tusnel 30-15-200 MG/5ML Oral Liquid
54859050210 Tusnel 30-15-200 MG/5ML Oral Liquid
54859050216 Tusnel 30-15-200 MG/5ML Oral Liquid
54859050504 Tusnel Diabetic 10-100 MG/5ML Oral Liquid
54859050516 Tusnel Diabetic 10-100 MG/5ML Oral Liquid
2019 Q4 Page 41 of 79
NDC Drug Name Term Date
54859054404 Tusnel Pediatric 15-5-50 MG/5ML Oral Liquid
54859060202 Tusnel Pediatric 7.5-50 MG/ML Oral Liquid
54859060302 Tusnel-DM Pediatric 7.5-2.5-25 MG/ML Oral Liquid
54859070260 Conex Cold/Allergy 2-60 MG Oral Tablet
54859080160 Tusnel 60-30-400 MG Oral Tablet
54859080204 Conex Cold/Allergy 1-30 MG/5ML Oral Solution
55111044714 Fexofenadine-Pseudoephed ER 60-120 MG Oral Tablet ER 12HR
55111055735 Fexofenadine-Pseudoephed ER 180-240 MG Oral Tablet ER 24HR
55111079924 Pseudoephedrine-guaiFENesin ER 120-1200 MG Oral Tablet ER 12HR
58407062530 Stahist AD 25-60 MG Oral Tablet
58605010101 Maxifed 60-360 MG Oral Tablet
58605010301 Maxichlor PEH DM 10-4-18 MG Oral Tablet
58605030416 Maxi-Tuss DM 4-18 MG/5ML Oral Liquid
58605040101 Allfen DM 400-20 MG Oral Tablet
58605042201 Maxiphen 10-400 MG Oral Tablet
58657050508 Dextromethorphan-guaiFENesin 10-100 MG/5ML Oral Syrup
58809019860 Vanatab DM 5-9-198 MG Oral Tablet
58809022130 DayClear Allergy Relief 25-50 MG Oral Tablet
58809022360 Day Clear Allergy/Cough 12.5-12.5 MG Oral Tablet Chewable
58809072904 NasOpen PE 50-10 MG/15ML Oral Liquid
58809085008 Vanacof DMX 10-18-396 MG/15ML Oral Liquid
62011005501 HM Allergy Complete-D 5-120 MG Oral Tablet ER 12HR
62011006201 HM Cold & Allergy Childrens 1-2.5 MG/5ML Oral Elixir
62011006301 HM Cold & Cough Childrens 2.5-1-5 MG/5ML Oral Liquid
62011006502 HM Daytime Cold & Flu 10-5-325 MG/15ML Oral Liquid
62011007001 HM Cold & Sinus Relief 30-200 MG Oral Tablet
62011007101 HM Allergy Relief/Nasal Decong 10-240 MG Oral Tablet ER 24HR
62011007102 HM Allergy Relief/Nasal Decong 10-240 MG Oral Tablet ER 24HR
62011008202 HM Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
62011008302 HM Night Time Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
62011009001 HM Tussin Adult Multi-Symptom 5-10-100 MG/5ML Oral Liquid 5/1/2020
62011009101 HM Tussin Adult DM 100-10 MG/5ML Oral Liquid
62011009102 HM Tussin Adult DM 100-10 MG/5ML Oral Liquid
62011009201 HM Tussin Adult DM 100-10 MG/5ML Oral Liquid
62011009202 HM Tussin Adult DM 100-10 MG/5ML Oral Liquid
62011012001 HM Allergy & Congestion 5-120 MG Oral Tablet ER 12HR
62011020401 HM Sinus & Cold-D 120-220 MG Oral Tablet ER 12HR
62011021101 HM Tussin Adult DM 10-200 MG/5ML Oral Liquid
62011025301 HM Severe Cold/Cough/Flu 20-10-650 MG Oral Packet
62011025901 HM Mucus Relief D 60-600 MG Oral Tablet ER 12HR
62011026201 HM Night Time MS Cold & Flu 15-6.25-325 MG Oral Capsule
62011031801 HM Day Time 10-5-325 MG Oral Capsule
62011031901 HM Chest Congestion Relief DM 20-400 MG Oral Tablet
2019 Q4 Page 42 of 79
NDC Drug Name Term Date
62011032401 HM Severe Cold/Flu 5-10-200-325 MG Oral Tablet
62011035401 HM Allergy & Congestion 5-120 MG Oral Tablet ER 12HR
62011037201 HM Adult Tussin Cough & Chest 20-400 MG/20ML Oral Liquid
62011038901 HM Nighttime Cold & Flu Relief 15-6.25-325 MG Oral Capsule
62011040601 HM Daytime Cold & Flu 5-10-200-325 MG Oral Tablet
63824001966 Mucinex Fast-Max DM Max 20-400 MG/20ML Oral Liquid
63824019020 Mucinex Fast-Max Cold & Sinus 5-325-200 MG Oral Tablet
63824019030 Mucinex Fast-Max Cold & Sinus 5-325-200 MG Oral Tablet
63824019120 Mucinex Fast-Max Cold Flu 5-10-200-325 MG Oral Tablet
63824019130 Mucinex Fast-Max Cold Flu 5-10-200-325 MG Oral Tablet
63824019220 Mucinex Fast-Max Congest Cold 5-10-200-325 MG Oral Tablet
63824019230 Mucinex Fast-Max Congest Cold 5-10-200-325 MG Oral Tablet
63824019320 Mucinex Fast-Max Congest Cough 5-10-200 MG Oral Tablet
63824019330 Mucinex Fast-Max Congest Cough 5-10-200 MG Oral Tablet
63824019620 Mucinex Fast-Max Severe Cold 5-10-200-325 MG Oral Tablet
63824019630 Mucinex Fast-Max Severe Cold 5-10-200-325 MG Oral Tablet
63824020020 Mucinex Sinus-Max Press & Pain 5-325-200 MG Oral Tablet
63824020030 Mucinex Sinus-Max Press & Pain 5-325-200 MG Oral Tablet
63824020120 Mucinex Sinus-Max Congestion 5-325-200 MG Oral Tablet
63824020130 Mucinex Sinus-Max Congestion 5-325-200 MG Oral Tablet
63824020144 Mucinex Sinus-Max Congestion 5-325-200 MG Oral Tablet
63824020220 Mucinex Sinus-Max Day/Night Oral
63824021166 Delsym Cough/Cold Night Time 12.5-5-325 MG/10ML Oral Liquid
63824021266 Delsym Cgh/Cld Nighttime Child 12.5-5-325 MG/10ML Oral Liquid
63824021366 Delsym Cough/Chest Congest DM 5-100 MG/5ML Oral Liquid
63824021464 Delsym Cgh/Chest Cong DM Child 5-100 MG/5ML Oral Liquid
63824021466 Delsym Cgh/Chest Cong DM Child 5-100 MG/5ML Oral Liquid
63824021566 Delsym Cough/Cold Daytime 5-10-200-325 MG/10ML Oral Liquid
63824021822 Delsym Childrens Day Night Oral
63824022022 Delsym Day Night Oral
63824022166 Delsym Cough + Sore Throat 650-20 MG/20ML Oral Liquid
63824023104 Mucinex Fast-Max Severe Cold 10-20-400-650 MG Oral Packet
63824023208 Mucinex Fast-Max 10-20-400-650 MG Oral Packet
63824023304 Mucinex Fast-Max Cold Flu Nght 25-10-650 MG Oral Packet
63824023444 Mucinex Fast-Max Day/Night (Packet) Oral
63824024220 Mucinex Sinus-Max 5-10-200-325 MG Oral Tablet
63824025612 Mucinex Cough For Kids 5-100 MG Oral Packet
63824026066 Mucinex Sinus-Max 10-650-400 MG/20ML Oral Liquid
63824026166 Mucinex Sinus-Max 10-650-400 MG/20ML Oral Liquid
63824026266 Mucinex Sinus-Max Night Time 12.5-5-325 MG/10ML Oral Liquid
63824026566 Mucinex Sinus-Max Congestion 10-650-400 MG/20ML Oral Liquid
63824028664 Mucinex Cough Childrens 5-100 MG/5ML Oral Liquid
63824028722 Mucinex Child MS Day-Night Cld Oral
2019 Q4 Page 43 of 79
NDC Drug Name Term Date
63824050064 Mucinex Fast-Max Cold Flu Nght 12.5-5-325 MG/10ML Oral Liquid
63824050066 Mucinex Fast-Max Cold Flu Nght 12.5-5-325 MG/10ML Oral Liquid
63824051130 Mucinex Fast-Max Cld/Flu Dy/Nt Oral
63824051601 Mucinex Fast-Max Cld/Flu Dy/Nt Oral
63824052822 Mucinex Fast-Max Day/Nighttime Oral
63824054422 Mucinex Fast-Max Day/Nght Cool Oral
63824055020 Mucinex Fast-Max Cold Flu Nght 25-5-325 MG Oral Tablet
63824055130 Mucinex Fast-Max Day/Night Tab Oral
63824055530 Mucinex Fast-Max Day/Night (Tablet) Oral
63824055730 Mucinex Fast-Max Day/Night Tab Oral
63824055830 Mucinex Fast-Max Day/Night M/S (Tablet) Oral
63824057520 Mucinex Fast-Max Cold/Flu 5-10-200-325 MG Oral Tablet
63824059216 Mucinex Fast-Max Cold & Sinus 10-5-325 MG Oral Capsule
63824059316 Mucinex Fast-Max Cold Flu Nght 5-6.25-10-325 MG Oral Capsule
63824059916 Mucinex Fast-Max Cong Headache 10-5-325 MG Oral Capsule
63824060064 Mucinex MS Cold Night Children 12.5-5-325 MG/10ML Oral Liquid
63824069216 Mucinex Sinus-Max Cong & Pain 10-5-325 MG Oral Capsule
63824094603 Mucinex Cough Childrens 5-100 MG/5ML Oral Liquid
63868002008 QC DayTime Cold/Flu 10-5-325 MG/15ML Oral Liquid
63868002012 QC DayTime Cold/Flu 10-5-325 MG/15ML Oral Liquid
63868007124 QC Sinus Congest/Pain Severe 5-325-200 MG Oral Tablet
63868007224 QC Cold Multi-Symptom Night 5-2-10-325 MG Oral Tablet
63868007324 QC Cold Multi-Symptom Daytime 5-10-200-325 MG Oral Tablet
63868007424 QC Cold Head Congestion Night 5-2-10-325 MG Oral Tablet
63868014012 QC Nighttime Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
63868015410 QC Loratadine-D 10-240 MG Oral Tablet ER 24HR
63868017901 QC Cough/Cold HBP 4-30 MG Oral Tablet
63868017916 QC Cough/Cold HBP 4-30 MG Oral Tablet
63868022820 Cold Relief Plus 2-7.8-325 MG Oral Tablet Effer
63868023412 QC Nighttime Cold & Flu 15-6.25-325 MG/15ML Oral Liquid
63868023506 QC Mucus Relief DM Max 5-100 MG/5ML Oral Liquid
63868024404 QC Tussin CF 5-10-100 MG/5ML Oral Liquid
63868024408 QC Tussin CF 5-10-100 MG/5ML Oral Liquid
63868036904 QC Triacting Daytime Childrens 5-2.5 MG/5ML Oral Syrup
63868075350 QC Medifin DM 20-400 MG Oral Tablet
63868076306 QC Severe Cold/Cough Daytime 20-10-650 MG Oral Packet
63868076406 QC Severe Cold/Cough Nighttime 25-10-650 MG Oral Packet
63868077104 QC Mucus & Cough Relief Child 5-100 MG/5ML Oral Liquid
63868079220 QC Severe Allergy Relief Sinus 25-5-325 MG Oral Tablet
63868086854 QC Tussin DM Cough/Congestion 10-100 MG/5ML Oral Liquid
63868097124 QC Pressure & Pain PE 5-325 MG Oral Tablet
63868098124 QC Allergy Relief Multi-Sympt 2-5-325 MG Oral Tablet
63868098424 QC Sinus Pain Relief 5-325 MG Oral Tablet
2019 Q4 Page 44 of 79
NDC Drug Name Term Date
63868098524 QC Allergy/Sinus Headache 12.5-5-325 MG Oral Tablet
64543009790 Rescon 2-60 MG Oral Tablet
64543010504 Rescon DM 30-2-10 MG/5ML Oral Syrup
64543010516 Rescon DM 30-2-10 MG/5ML Oral Syrup
64661001116 J-Max 5-200 MG/5ML Oral Syrup
64661003230 J-Tan D PD 1-7.5 MG/ML Oral Liquid
68047012016 LoHist-D 2-30 MG/5ML Oral Liquid
68047012916 LoHist-DM 5-2-10 MG/5ML Oral Syrup
68047014316 EndaCof-DM 2.5-1-5 MG/5ML Oral Liquid
68047018516 NoHist-LQ 4-10 MG/5ML Oral Liquid
69367018408 Phenylephrine-DM-GG 10-18-200 MG/15ML Oral Liquid
69367019760 Dexbrompheniramine-Phenyleph 2-10 MG Oral Tablet
69367019890 Phenylephrine-DM-GG 10-17.5-385 MG Oral Tablet
69367019901 Doxylamine-Phenylephrine 7.5-10 MG Oral Tablet
69536042524 Bronkaid 25-400 MG Oral Tablet
69536042560 Bronkaid 25-400 MG Oral Tablet
70000012801 Severe Cold & Cough Nighttime 25-10-650 MG Oral Packet
70000012901 Mucus Relief DM Max 20-400 MG/20ML Oral Liquid
70000013101 Mucus & Cough Relief Childrens 5-100 MG/5ML Oral Liquid
70000013301 Tussin Multi-Symptom Cold CF 5-10-100 MG/5ML Oral Liquid
70000013302 Tussin Multi-Symptom Cold CF 5-10-100 MG/5ML Oral Liquid
70000013402 Nighttime Cold/Flu Relief 15-6.25-325 MG Oral Capsule 5/30/2020
70000013801 Flu HBP 15-500-2 MG Oral Tablet
70000014101 Mucus Relief PE Sinus 10-400 MG Oral Tablet
70000015601 Multi Symptom Flu/Severe Cold 20-10-500 MG Oral Packet
70000016101 Sinus Pressure + Pain 5-325 MG Oral Tablet
70000016201 Allergy Relief D-24 10-240 MG Oral Tablet ER 24HR
70000016202 Allergy Relief D-24 10-240 MG Oral Tablet ER 24HR
70000016801 Cold Relief 10-5-325 MG Oral Tablet
70000018201 Nighttime Cold/Flu Relief 15-6.25-325 MG/15ML Oral Liquid
70000018301 NightTime Cold & Flu Max Str 15-6.25-325 MG/15ML Oral Liquid
70000018302 NightTime Cold & Flu Max Str 15-6.25-325 MG/15ML Oral Liquid
70000018401 NightTime Cold & Flu Max Str 15-6.25-325 MG/15ML Oral Liquid
70000018402 NightTime Cold & Flu Max Str 15-6.25-325 MG/15ML Oral Liquid
70000018801 Cold & Allergy Childrens 1-2.5 MG/5ML Oral Elixir
70000018901 Cold & Cough Childrens 2.5-1-5 MG/5ML Oral Liquid
70000019101 Daytime Cold & Flu Relief 10-5-325 MG/15ML Oral Liquid
70000019102 Daytime Cold & Flu Relief 10-5-325 MG/15ML Oral Liquid
70000019201 Daytime Severe Cold & Flu 5-10-200-325 MG/15ML Oral Liquid
70000019301 Nighttime Cough 12.5-30 MG/30ML Oral Liquid
70000019401 NightTime Severe Cold & Flu 5-6.25-10-325 MG/15ML Oral Liquid 5/21/2020
70000019601 Sinus Congestion/Pain Daytime 5-325-200 MG Oral Tablet
70000021101 Allergy Multi-Symptom 2-5-325 MG Oral Tablet
2019 Q4 Page 45 of 79
NDC Drug Name Term Date
70000026101 Mucus Relief Childrens 2.5-5-100 MG/5ML Oral Liquid
70000027801 Mucus Relief DM Cough 20-400 MG Oral Tablet
70000027802 Mucus Relief DM Cough 20-400 MG Oral Tablet
70000028201 Mucus Relief Severe Cold 5-10-200-325 MG Oral Tablet 5/13/2020
70000028601 Mucus Relief Cold/Sinus Max St 5-325-200 MG Oral Tablet 9/6/2020
70000028701 Flu/Severe Cold & Cough Day 20-10-650 MG Oral Packet
70000028901 Severe Cold & Flu 5-10-200-325 MG Oral Tablet
70000030101 Tussin DM 20-200 MG/10ML Oral Liquid
70000031301 Tussin CF Severe Multi-Symptom 5-10-200-325 MG/10ML Oral Liquid
70000031401 Sinus and Headache 5-325 MG Oral Tablet
70000031901 Tussin DM Cough + Chest 10-100 MG/5ML Oral Liquid
70000031902 Tussin DM Cough + Chest 10-100 MG/5ML Oral Liquid
70000032401 Cough & Cold HBP 4-30 MG Oral Tablet
70000037201 Mucus-DM Maximum Strength 60-1200 MG Oral Tablet ER 12HR
70000037202 Mucus-DM Maximum Strength 60-1200 MG Oral Tablet ER 12HR
70000038701 Tussin DM Max Adult 5-100 MG/5ML Oral Liquid
70000038702 Tussin DM Max Adult 5-100 MG/5ML Oral Liquid
70000039201 Allergy Relief D 5-120 MG Oral Tablet ER 12HR
70000042701 Cold & Flu Relief Nighttime 15-6.25-325 MG Oral Capsule
70000042702 Cold & Flu Relief Nighttime 15-6.25-325 MG Oral Capsule
70000045301 NightTime Severe Cold & Flu 5-6.25-10-325 MG/15ML Oral Liquid
70000046301 Daytime Cold & Flu Relief 10-5-325 MG Oral Capsule
70000046401 Mucus Relief DM Max 60-1200 MG Oral Tablet ER 12HR
70000046402 Mucus Relief DM Max 60-1200 MG Oral Tablet ER 12HR
70000046501 Mucus Relief DM 20-400 MG/20ML Oral Liquid
70000049101 Mucus Relief DM 30-600 MG Oral Tablet ER 12HR
70000051602 Cold & Flu Relief Nighttime 15-6.25-325 MG Oral Capsule
70677001101 SM Day Time 10-5-325 MG Oral Capsule
70677001201 SM Chest Congestion Relief DM 20-400 MG Oral Tablet
70677003601 SM Loratadine D 12HR 5-120 MG Oral Tablet ER 12HR
70677003701 SM Daytime Liquid 10-5-325 MG Oral Capsule
70677004801 SM Tussin DM Max 20-400 MG/20ML Oral Liquid
75834004060 Nivanex DMX 10-15-380 MG Oral Tablet 4/30/2020
00113006126 Tussin Mucus+Chest Congestion 100 MG/5ML Oral Syrup
00113006134 Tussin Mucus+Chest Congestion 100 MG/5ML Oral Syrup
00113206126 Tussin Mucus & Chest Congest 100 MG/5ML Oral Liquid
00121148800 guaiFENesin 100 MG/5ML Oral Liquid
00121148810 guaiFENesin 100 MG/5ML Oral Liquid
00121174400 guaiFENesin 100 MG/5ML Oral Solution
00121174405 guaiFENesin 100 MG/5ML Oral Solution
00121223200 guaiFENesin 100 MG/5ML Oral Liquid
00121223215 guaiFENesin 100 MG/5ML Oral Liquid
00536082585 Cough Syrup 100 MG/5ML Oral Syrup 8/31/2020
2019 Q4 Page 46 of 79
NDC Drug Name Term Date
00536116361 Mucus Relief 600 MG Oral Tablet ER 12HR
00536118285 Mucus & Chest Congestion 100 MG/5ML Oral Liquid
00536118297 Mucus & Chest Congestion 100 MG/5ML Oral Liquid
00904006100 Robafen 100 MG/5ML Oral Syrup 4/30/2020
00904006116 Robafen 100 MG/5ML Oral Syrup 9/30/2020
00904515460 guaiFENesin 200 MG Oral Tablet
00904623246 Mucus Relief 400 MG Oral Tablet 5/31/2020
00904671839 Mucus Relief ER 600 MG Oral Tablet ER 12HR
00904676316 Robafen 100 MG/5ML Oral Syrup
00904676320 Robafen Mucus/Chest Congestion 200 MG/10ML Oral Liquid
00904681546 guaiFENesin 400 MG Oral Tablet
00904681552 guaiFENesin 400 MG Oral Tablet
00904698640 Mucus Relief 600 MG Oral Tablet ER 12HR
24385031034 GNP Tussin 100 MG/5ML Oral Syrup
24385098226 GNP Mucus Relief Childrens 100 MG/5ML Oral Liquid
36800028826 Childrens Mucus Relief Expect 100 MG/5ML Oral Liquid
36800031026 Tussin Chest Congestion 100 MG/5ML Oral Syrup
36800049858 Mucus-ER 600 MG Oral Tablet ER 12HR
36800049860 Mucus-ER 600 MG Oral Tablet ER 12HR
36800051526 Tussin Mucus+Chest Congestion 100 MG/5ML Oral Liquid
45802032530 guaiFENesin ER 1200 MG Oral Tablet ER 12HR
45802032566 guaiFENesin ER 1200 MG Oral Tablet ER 12HR
46122005762 GNP Tab Tussin 400 MG Oral Tablet
46122029926 GNP Tussin Mucus & Chest Cong 100 MG/5ML Oral Liquid
46122029934 GNP Tussin Mucus & Chest Cong 100 MG/5ML Oral Liquid
46122041660 GNP Mucus ER 600 MG Oral Tablet ER 12HR
46122041774 GNP Mucus ER 1200 MG Oral Tablet ER 12HR
49348013534 SM Tussin Mucus+Chest Congest 100 MG/5ML Oral Liquid
49348013537 SM Tussin Mucus+Chest Congest 100 MG/5ML Oral Liquid
49348072909 SM Chest Congestion Relief 400 MG Oral Tablet
49483027206 Mucosa 400 MG Oral Tablet
50383006305 guaiFENesin 100 MG/5ML Oral Solution
50383006307 guaiFENesin 100 MG/5ML Oral Solution
50383006312 guaiFENesin 200 MG/10ML Oral Solution
50383006318 guaiFENesin 300 MG/15ML Oral Solution
54838011740 Siltussin SA 100 MG/5ML Oral Syrup
54838011770 Siltussin SA 100 MG/5ML Oral Syrup
54838011780 Siltussin SA 100 MG/5ML Oral Syrup
54838013840 Diabetic Siltussin DAS-Na 100 MG/5ML Oral Liquid
58657050916 guaiFENesin 100 MG/5ML Oral Liquid
62011006001 HM Chest Congestion Relief 400 MG Oral Tablet
62011008901 HM Tussin Adult 100 MG/5ML Oral Liquid
62011008902 HM Tussin Adult 100 MG/5ML Oral Liquid
2019 Q4 Page 47 of 79
NDC Drug Name Term Date
62011037701 HM Mucus Relief 600 MG Oral Tablet ER 12HR
63824025412 Mucinex For Kids 100 MG Oral Packet
63824028564 Mucinex Chest Congestion Child 100 MG/5ML Oral Liquid
63868038920 QC Mucus Relief 600 MG Oral Tablet ER 12HR
63868039014 QC Mucus Relief ER 1200 MG Oral Tablet ER 12HR
63868077004 QC Mucus Relief Childrens 100 MG/5ML Oral Liquid
63868085904 QC Tussin Mucus/Congestion 100 MG/5ML Oral Liquid
63868099850 QC Medifin 400 400 MG Oral Tablet
70000025101 Mucus Relief Chest Congestion 200 MG Oral Tablet
70000029901 Tussin Mucus+Chest Congestion 100 MG/5ML Oral Liquid
70000029902 Tussin Mucus+Chest Congestion 100 MG/5ML Oral Liquid
70000045201 Chest Congestion Relief 400 MG Oral Tablet
70000047901 Mucus Relief Max St 1200 MG Oral Tablet ER 12HR
70000047902 Mucus Relief Max St 1200 MG Oral Tablet ER 12HR
70677004901 SM Mucus Relief 600 MG Oral Tablet ER 12HR
70677005001 SM Mucus Relief Max Strength 1200 MG Oral Tablet ER 12HR
70677005501 SM Mucus Relief 600 MG Oral Tablet ER 12HR
46122015754 GNP Chest Rub 4.8-1.2-2.6 % External Ointment
49348039896 SM Medicated Chest Rub 4.73-1.2-2.6 % External Ointment
62011007501 HM Chest Rub 4.8-1.2-2.6 % External Ointment
70000027501 Chest Rub External Ointment
70000048001 Chest Rub External Ointment
*DERMATOLOGICALS*
00145098505 PanOxyl Wash 10 % External Liquid
00316022706 PanOxyl Creamy Wash 4 % External Liquid
00316022855 PanOxyl Foaming Wash 10 % External Liquid
00536105656 Acne Medication 10 10 % External Gel
00536105775 Acne Medication 5 5 % External Lotion
00536105875 Acne Medication 10 10 % External Lotion
45802010196 Benzoyl Peroxide 2.5 % External Gel
45802021601 Benzoyl Peroxide 5 % External Gel
45802021696 Benzoyl Peroxide 5 % External Gel
45802028001 Benzoyl Peroxide Wash 5 % External Liquid
45802028034 Benzoyl Peroxide Wash 5 % External Liquid
67405082505 Benzoyl Peroxide Wash 5 % External Liquid
67405082508 Benzoyl Peroxide Wash 5 % External Liquid
67405083506 Benzoyl Peroxide Cleanser 6 % External Liquid
67405083512 Benzoyl Peroxide Cleanser 6 % External Liquid
00067206708 Mineral Ice 2 % External Gel
00067206716 Mineral Ice 2 % External Gel
00067206735 Mineral Ice 2 % External Gel
00316022608 Mineral Ice 2 % External Gel
00316022635 Mineral Ice 2 % External Gel
00536106139 Blue Gel 2 % External Gel
2019 Q4 Page 48 of 79
NDC Drug Name Term Date
24385022540 GNP Therapeutic Blue 2 % External Gel
62011032901 HM Pain Relief Therapy 5 % External Patch
70000018501 Pain Relieving Ultra St 5 % External Patch 5/14/2020
70000026001 Ice Blue 2 % External Gel
70000036701 Cold & Hot Medicated 5 % External Patch
00113008464 First Aid Antibiotic 3.5-400-5000 MG-UNIT External Ointment
00472017934 Triple Antibiotic 3.5-400-5000 External Ointment
00472017956 Triple Antibiotic 3.5-400-5000 External Ointment
00536117420 Double Antibiotic 500-10000 UNIT/GM External Ointment
00536117428 Double Antibiotic 500-10000 UNIT/GM External Ointment
00713026831 Triple Antibiotic 3.5-400-5000 External Ointment
00713028031 Bacitracin 500 UNIT/GM External Ointment
00713062231 Triple Antibiotic Plus 1 % External Ointment
00904073431 Triple Antibiotic 5-400-5000 External Ointment
00904668067 Triple Antibiotic First Aid 3.5-400-5000 External Ointment
24385006003 GNP Bacitracin Zinc 500 UNIT/GM External Ointment
24385014303 GNP Triple Antibiotic Plus 1 % External Ointment
37205027510 Bacitracin 500 UNIT/GM External Ointment 9/20/2020
45802006001 Bacitracin 500 UNIT/GM External Ointment
45802006003 Bacitracin 500 UNIT/GM External Ointment
45802006070 Bacitracin 500 UNIT/GM External Ointment
45802014301 Triple Antibiotic 3.5-400-5000 External Ointment
45802014303 Triple Antibiotic 3.5-400-5000 External Ointment
45802014370 Triple Antibiotic 3.5-400-5000 External Ointment
46122041403 GNP Triple Antibiotic External Ointment
46122041405 GNP Triple Antibiotic External Ointment
49348002972 SM Triple Antibiotic 3.5-400-5000 External Ointment
49348015472 SM Antibiotic 500 UNIT/GM External Ointment
49348027472 SM Double Antibiotic 500-10000 UNIT/GM External Ointment
49348060072 SM Triple Antibiotic Max St 1 % External Ointment
49348069069 SM Antibiotic Plus Pain Relief 3.5-10000-10 External Cream
51672201601 Triple Antibiotic 3.5-400-5000 External Ointment
51672201602 Triple Antibiotic 3.5-400-5000 External Ointment
51672202701 Triple Antibiotic Plus 1 % External Ointment
51672202702 Triple Antibiotic Plus 1 % External Ointment
51672212001 Triple Antibiotic 3.5-400-5000 External Ointment
51672212002 Triple Antibiotic 3.5-400-5000 External Ointment
62011009401 HM Bacitracin Zinc 500 UNIT/GM External Ointment
62011009701 HM Double Antibiotic 500-10000 UNIT/GM External Ointment
62011009801 HM Triple Antibiotic 3.5-400-5000 External Ointment
62011009901 HM Triple Antibiotic Max St 1 % External Ointment
62011032101 HM Triple Antibiotic 3.5-400-5000 External Ointment
63868091001 QC Triple Antibiotic Max St 1 % External Ointment
2019 Q4 Page 49 of 79
NDC Drug Name Term Date
63868096028 QC Bacitracin 500 UNIT/GM External Ointment
70000011101 Poly Bacitracin 500-10000 UNIT/GM External Ointment 8/29/2020
70000038901 Triple Antibiotic 3.5-400-5000 External Ointment
70000039001 Triple Antibiotic+Pain Relief 1 % External Ointment
70000047101 Poly Bacitracin 500-10000 UNIT/GM External Ointment
70677001301 SM Triple Antibiotic Original 3.5-400-5000 External Ointment
00067094915 Desenex 2 % External Powder
00067611446 LamISIL AF Defense 1 % External Aerosol Powder
00067629283 LamISIL AT Spray 1 % External Solution
00067629383 LamISIL AT Spray 1 % External Solution
00113015473 Athletes Foot Spray 1 % External Aerosol
00113069590 Jock Itch Spray 1 % External Aerosol Powder
00145150103 Zeasorb-AF 2 % External Powder
00145150605 Zeasorb-AF 2 % External Powder
00316022515 Desenex 2 % External Powder
00316022530 Desenex 2 % External Powder
00316023125 Zeasorb-AF 2 % External Powder
00316023225 Zeasorb-AF 2 % External Powder
00472073514 Antifungal 2 % External Cream
00472073542 Antifungal 2 % External Cream
00472073556 Antifungal 2 % External Cream
00536111728 Terbinafine HCl 1 % External Cream
00536515026 Anti-Fungal 1 % External Powder
00884029301 Fungoid Tincture 2 % External Solution
00884289301 Castellani Paint Modified 1.5 % External Liquid
00884299301 Castellani Paint Modified 1.5 % External Liquid
00884549301 Fungoid Tincture 2 % External Kit
00904072236 Antifungal 1 % External Cream
00904072645 Tolnaftate 1 % External Powder
24385003203 GNP Tolnaftate 1 % External Cream
24385020501 GNP Athletes Foot 1 % External Cream
24385020503 GNP Athletes Foot 1 % External Cream
24385052403 GNP Terbinafine Hydrochloride 1 % External Cream
24385052405 GNP Terbinafine Hydrochloride 1 % External Cream
29978091860 Alevazol 1 % External Ointment
37205094199 Athletes Foot AF 1 % External Cream
46122003927 GNP Miconazorb AF 2 % External Powder
46122044427 GNP Miconazorb AF 2 % External Powder
49348015529 SM Antifungal Tolnaftate 1 % External Cream
49348027972 SM Antifungal Clotrimazole 1 % External Cream
49348068972 SM Antifungal Miconazole 2 % External Cream
49348079072 SM Athletes Foot 1 % External Cream
51672202001 Tolnaftate 1 % External Cream
2019 Q4 Page 50 of 79
NDC Drug Name Term Date
51672202002 Tolnaftate 1 % External Cream
51672208001 Terbinafine HCl 1 % External Cream
51672208002 Terbinafine HCl 1 % External Cream
51672210002 Butenafine HCl 1 % External Cream
51672210008 Butenafine HCl 1 % External Cream
53329007964 Carrington Antifungal 2 % External Cream
53329008057 Soothe & Cool INZO Antifungal 2 % External Cream
53329008058 Soothe & Cool INZO Antifungal 2 % External Cream
53329016204 Remedy Antifungal 2 % External Cream
63868010446 QC Tolnaftate 1 % External Cream
70000032101 Athletes Foot Powder Spray 2 % External Aerosol Powder
70000032201 Athletes Foot Powder Spray 1 % External Aerosol Powder
70000032301 Antifungal 2 % External Powder
70000033801 Athletes Foot 1 % External Cream
70000049301 Clotrimazole Athletes Foot 1 % External Cream
70000049401 Tolnaftate Antifungal 1 % External Cream
00113062264 Itch Relief Extra Strength 2-0.1 % External Cream
00904535431 Banophen 2-0.1 % External Cream
24385021003 GNP Anti-Itch 2-0.1 % External Cream
36800050602 Anti-Itch 2-0.1 % External Cream
45802035803 diphenhydrAMINE-Zinc Acetate 2-0.1 % External Cream
46122011421 GNP Itch Relief Extra Strength 2-0.1 % External Liquid
49348085472 SM Anti-Itch Extra Strength 2-0.1 % External Cream
51672208902 Anti-Itch 2-0.1 % External Cream
63868021801 QC Anti-Itch Extra Strength 2-0.1 % External Cream
70000002301 Itch Relief Extra Strength 2-0.1 % External Liquid
70000038801 Anti-Itch 2-0.1 % External Cream
46122014310 GNP Anti-Itch 0.5-0.5 % External Lotion
63868006045 QC Antiseptic Pain Relief 10.8-4.7 % External Liquid
00536196297 Sebex 2-2 % External Shampoo
00536199553 Anti-Dandruff 1 % External Shampoo
00591298135 Docosanol 10 % External Cream
00113054164 Anti-Itch Maximum Strength 1 % External Cream
00113097364 Anti-Itch Maximum Strength 1 % External Cream
00168001631 Hydrocortisone 0.5 % External Ointment 7/31/2021
00472033956 Hydrocortisone-Aloe 1 % External Cream
24385002103 GNP Hydrocortisone Plus 1 % External Cream
24385019003 GNP Hydrocortisone 0.5 % External Cream
24385027403 GNP Hydrocortisone/Aloe 1 % External Cream
24385027603 GNP Hydrocortisone Max St 1 % External Ointment
49348044172 SM Hydrocortisone Plus 1 % External Cream
49348052172 SM Hydrocortisone 1 % External Cream
49348052178 SM Hydrocortisone 1 % External Cream
2019 Q4 Page 51 of 79
NDC Drug Name Term Date
49348052272 SM Hydrocortisone Max St 1 % External Ointment
51672201002 Hydrocortisone-Aloe 0.5 % External Cream
51672206302 Hydrocortisone Max St/12 Moist 1 % External Cream
51672206902 Hydrocortisone Max St 1 % External Cream
62011009501 HM Hydrocortisone-Aloe Max St 1 % External Cream
62011009601 HM Hydrocortisone Plus 1 % External Cream
63824085015 Scalpicin Maximum Strength 1 % External Solution
70000048901 Hydrocortisone Acetate 1 % External Ointment
00168003504 Vitamins A & D External Ointment 4/30/2021
00168003516 Vitamins A & D External Ointment 4/30/2021
00904584327 Vitamins A & D External Ointment
24385007026 GNP Vitamin A & D 15.5-53.4 % External Ointment
43553000402 Aloe Vesta Clear Barrier 36 % External Aerosol
45802039504 Vitamins A & D External Ointment
49348083936 SM Glycerin 99.5 % External Liquid
53329006704 Vitamins A & D External Ointment
62011011501 HM Glycerin External Liquid
70000035801 A&D External Ointment
70211070202 Coats Aloe 0.5 % External Lotion
70211070208 Coats Aloe 0.5 % External Lotion
70211070233 Coats Aloe 0.5 % External Lotion
70211070304 Coats Aloe 0.5 % External Cream
70211070316 Coats Aloe 0.5 % External Cream
70211070508 Coats Aloe 0.5 % External Gel
00096073804 DHS Sal 3 % External Shampoo
00884259215 Salactic Film 17 % External Solution
00884519215 Sal-Plant 17 % External Gel
24385023663 GNP Wart Remover 17 % External Liquid
24385067827 GNP Scalp Relief 3 % External Liquid
46122036229 GNP Wart Remover 17 % External Liquid
63824086015 Scalpicin 2 in 1 3 % External Liquid
70000032901 Wart Remover Maximum Strength 17 % External Liquid
70000033001 Medicated Corn Removers 40 % External Pad
70000033101 Wart Remover Maximum Strength 40 % External Strip
70000033201 Corn & Callus Remover 17 % External Liquid
70000033301 Medicated Callus Removers 40 % External Pad
00178032003 Thera-Gesic 1-15 % External Cream
00178032005 Thera-Gesic 1-15 % External Cream
00178035003 Thera-Gesic Plus External Cream
00536110145 Pain Relieving External Cream
24385001121 GNP Muscle Rub 10-15 % External Cream
24385016553 GNP Arthricream 10 % External Cream
24385024154 GNP Cold & Hot Extra Strength 7.6-29 % External Ointment
2019 Q4 Page 52 of 79
NDC Drug Name Term Date
45802017453 Muscle Rub 10-15 % External Cream
45802035653 Trolamine Salicylate 10 % External Cream 6/30/2021
49348042684 SM Muscle Rub 10-15 % External Cream
49348088384 SM Arthricream Rub 10 % External Cream
62011020901 HM Muscle Rub 10-15 % External Cream
62011032801 HM Salonpas Pain Relief 1.2-5.7-6.3 % External Patch
62011033301 HM Arthritis Creme 10 % External Cream
63044003060 Ziks Arthritis Pain Relief 0.025-1-12 % External Cream
70000016901 Pain Relieving 10 % External Cream
70000020801 Muscle Rub Ultra Strength 4-10-30 % External Cream
70000020802 Muscle Rub Ultra Strength 4-10-30 % External Cream
70000023801 Muscle Rub Ultra Strength 4-10-30 % External Cream 5/14/2020
70211070408 Coats Aloe Liniment 10 % External Lotion
70211070433 Coats Aloe Liniment 10 % External Lotion
00145063005 Sarna Sensitive 1 % External Lotion
00225049533 Itch-X 1-10 % External Gel
00225051651 Itch-X 1-10 % External Solution
00316023075 Sarna Sensitive 1 % External Lotion
00536111825 Arthritis Pain Relieving 0.075 % External Cream
00536113920 Pain Relieving 4 % External Cream
00536120215 Lidocaine Pain Relief 4 % External Patch
00536121195 Dibucaine 1 % External Ointment
00536252525 Capsaicin 0.025 % External Cream
00904776021 Callergy Clear 1-0.1 % External Lotion
24385007282 GNP Caldyphen 1-8 % External Lotion
24385008334 GNP Aloe Vera/Lidocaine 0.5 % External Gel
24385043930 GNP Caldyphen Clear 1-0.1 % External Lotion
36800021830 Clear Anti-Itch 1-0.1 % External Lotion
36800033630 Calamine Medicated 1-8 % External Lotion
37205028130 Caldyphen Clear 1-0.1 % External Lotion 6/11/2020
39328002415 Lidocaine 4 % External Cream
39328002430 Lidocaine 4 % External Cream
39328002455 Lidocaine 4 % External Cream
43199004015 Lidocaine-Transparent Dressing 4 % External Kit
43199004030 Lidocaine 4 % External Cream
43199004050 Lidocaine 4 % External Cream
43199004051 Lidocaine 4 % External Cream
46122011203 GNP Capsaicin 0.15 % External Liquid
46122011321 GNP Burn Relief Spray 0.5 % External Aerosol
46122011521 GNP Medicated First Aid Spray 20-0.13 % External Aerosol
46122045021 GNP Lidocaine Pain Relief 4 % External Patch
46122055528 GNP Burn Relief 0.5 % External Aerosol
47781057047 Lidocaine 4 % External Cream
2019 Q4 Page 53 of 79
NDC Drug Name Term Date
47781057072 Lidocaine 4 % External Cream
47781057073 Lidocaine 4 % External Cream
47781057089 Lidocaine-Transparent Dressing 4 % External Kit
49348033736 SM Caldyphen 1-8 % External Lotion
49348061036 SM Caldyphen Clear 1-0.1 % External Lotion
49348097410 SM Alcohol Prep/Benzocaine 6-70 % External Pad
52565012207 Lidocaine 4 % External Cream
52565012215 Lidocaine 4 % External Cream
52565012230 Lidocaine 4 % External Cream
62011041501 HM Lidocaine Patch 4 % External Patch
63868009706 QC Anti-Itch Clear 1-0.1 % External Lotion
70000036601 Lidocaine Pain Relief 4 % External Patch
70000039701 Calamine Clear 1-0.1 % External Lotion
70000040001 Calamine Plus 1-8 % External Lotion
71351001501 Lidocaine 3 % External Cream
71351001503 Lidocaine 3 % External Cream
75834014130 Lidocaine 5 % External Cream
00093320414 Moisturel 3 % External Lotion
00168006202 Zinc Oxide 20 % External Ointment 6/30/2021
00168006216 Zinc Oxide 20 % External Ointment 7/31/2021
00168006231 Zinc Oxide 20 % External Ointment 6/30/2021
00178034003 Dr Smiths Diaper Rash 10 % External Aerosol
00178034503 Dr Smiths Rash + Skin 10 % External Aerosol
00178034806 Dr Smiths Adult Barrier 10 % External Aerosol
00430310010 Moisturel 3 % External Lotion
00430310011 Moisturel 3 % External Lotion 4/30/2021
00536120473 Menthol-Zinc Oxide 0.45-20 % External Ointment
00536570025 Zinc Oxide 20 % External Ointment
00536570028 Zinc Oxide 20 % External Ointment
00536570098 Zinc Oxide 20 % External Ointment
00884170610 Pedi-Boro Soak External Packet
00884170627 Pedi-Boro Soak External Packet
00904253321 Calamine 8-8 % External Lotion
00904505960 Medi Pads 50-10 % External Pad
00904682960 Medi-Pads 50 % External Pad
24385040796 GNP Calamine Phenolated External Lotion
24385041396 GNP Calamine 8-8 % External Lotion
36800002026 Tippy Toes Diaper Rash 40 % External Ointment
37205073434 Advanced Hand Sanitizer/Aloe 70 % External Liquid 5/10/2020
43553000203 Sensi-Care Body 1-30 % External Cream
43553000702 Sensi-Care Clear Zinc 5-5 % External Ointment
43553000705 Sensi-Care Clear Zinc 5-5 % External Ointment
43553324903 Aloe Vesta Protective External Ointment
2019 Q4 Page 54 of 79
NDC Drug Name Term Date
43553324908 Aloe Vesta Protective External Ointment
43553324913 Aloe Vesta Protective External Ointment
43553325604 Sensi-Care Protective Barrier 49-15 % External Ointment
43553325614 Sensi-Care Protective Barrier 49-15 % External Ointment
46122005478 GNP Hygienic Cleansing 50 % External Pad
46122011846 GNP Zinc Oxide 20 % External Ointment
46122027946 GNP Diaper Rash 13 % External Cream
49348001134 SM Calamine External Lotion
49348040531 SM Advanced Hand Sanitizer 70 % External Liquid
49348040537 SM Advanced Hand Sanitizer 70 % External Liquid
49348047737 SM Advanced Hand Sanitizer 70 % External Liquid
49348080130 SM Benzoin Tincture External Tincture
49348080234 SM Calamine Phenolated External Lotion
50484004409 Proshield Plus Skin Protectant 1 % External Cream
51224016212 Alum Sulfate-Ca Acetate External Packet
53329000410 Soothe & Cool Free Skin Paste External Ointment
53329004244 Soothe & Cool Free Medseptic External Ointment
53329004277 Soothe & Cool Free Medseptic External Ointment
53329005128 Soothe & Cool Body External Powder
53329007115 Soothe & Cool Protect Moisture External Ointment
53329007157 Soothe & Cool Protect Moisture External Ointment
53329007296 Soothe & Cool Free Moisture External Ointment
53329007681 Carrington Moisture Barrier External Cream
53329007781 Carrington Moist Barrier/Zinc External Cream
53329015104 Remedy Moisture Barrier 5 % External Cream
53329015704 Remedy Nutrashield 1 % External Cream
53329015713 Remedy Nutrashield 1 % External Cream
53329015796 Remedy Nutrashield 1 % External Cream
53329016008 Remedy Cleansing Body 1.5 % External Lotion
53329016023 Remedy Cleansing Body 1.5 % External Lotion
53329016104 Remedy Skin Repair 1.5 % External Cream
53329016113 Remedy Skin Repair 1.5 % External Cream
53329016123 Remedy Skin Repair 1.5 % External Cream
53329016196 Remedy Skin Repair 1.5 % External Cream
53329016444 Remedy Calazime 0.2-20 % External Paste
53329016496 Remedy Calazime 0.2-20 % External Paste
53329077704 Soothe & Cool Inzo Barrier 5-5 % External Cream
53329077757 Soothe & Cool Inzo Barrier 5-5 % External Cream
53329077796 Soothe & Cool Inzo Barrier 5-5 % External Cream
58809037504 Z-Bum 22.5 % External Cream
58809045004 Cozima 24 % External Cream
62011011401 HM Calamine 8-8 % External Lotion
62011026801 HM Witch Hazel External Liquid
2019 Q4 Page 55 of 79
NDC Drug Name Term Date
62011033101 HM Medicated Cooling 50 % External Pad
63868031706 QC Calamine External Lotion
63868092716 QC Witch Hazel 86 % External Liquid
70000032001 Advanced Hand Sanitizer 70 % External Gel
70000032002 Advanced Hand Sanitizer 70 % External Gel
70000033401 Zinc Oxide 20 % External Ointment
70000036401 Hemorrhoidal 50 % External Pad
70000046201 Advanced Hand Sanitizer/Aloe 70 % External Gel
70000046901 Diaper Rash 40 % External Ointment
70000039801 Poison Ivy Wash 1 % External Lotion
00096068204 Solbar Shield SPF 40 External Cream
00096068504 Solbar SPF30 External Gel
00096068704 Solbar Avo External Lotion
00096068804 Solbar Zinc SPF38 External Cream
00096074104 Solbar Fifty External Cream
37205072134 Baby Sunscreen SPF50 External Lotion
37205072564 Sport Sunscreen SPF50 External Lotion
37205072834 General Protection Sunscreen External Lotion
37205072934 General Protection Sunscreen External Lotion
70000032501 Kids Continuous Spray SPF50 External Aerosol
70000032601 General Protection Sunscreen External Aerosol
70000032701 General Protection Sunscreen External Aerosol
70000032801 Sport Sunscreen SPF30 External Aerosol
70000040801 General Protection Sunscreen External Lotion
00113086626 Lice Killing Maximum Strength 0.33-4 % External Shampoo
00904252820 Lice Killing Maximum Strength 0.33-4 % External Shampoo
24385011603 GNP Lice Treatment 0.33-4 % External Shampoo
36800086634 Lice Killing 4-0.33 % External Shampoo
36800095526 Lice Treatment 1 % External Lotion
46122010846 GNP Lice Treatment 1 % External Liquid
49348012619 SM Lice Solution Kit 0.33-4-0.5 % Combination Kit
49348015078 SM Lice Treatment 1 % External Lotion
49348044334 SM Lice Killing Max Strength 0.33-4 % External Shampoo
58809065008 VanaLice 0.3-3.5 % External Gel
62011011902 HM Lice Killing Max St 0.33-4 % External Shampoo
62011025501 HM Lice Treatment 1 % External Liquid
63824091600 LiceMD Complete 0.33-4 % External Kit
70000035301 Lice Killing 0.33-4 % External Shampoo
00904525944 Therapeutic 0.5 % External Shampoo
49348060247 SM Anti-Dandruff Coal Tar 0.5 % External Shampoo
*GASTROINTESTINAL AGENTS - MISC.*
00067627418 Gas-X Ultra Strength 180 MG Oral Capsule
00067627450 Gas-X Ultra Strength 180 MG Oral Capsule
00067627510 Gas-X Extra Strength 125 MG Oral Capsule
2019 Q4 Page 56 of 79
NDC Drug Name Term Date
00067627520 Gas-X Extra Strength 125 MG Oral Capsule
00067627550 Gas-X Extra Strength 125 MG Oral Capsule
00067627572 Gas-X Extra Strength 125 MG Oral Capsule
00113042860 Gas Relief Extra Strength 125 MG Oral Capsule
00113065772 Gas Relief Ultra Strength 180 MG Oral Capsule
00113088210 Infants Simethicone 20 MG/0.3ML Oral Suspension
00536101901 Gas Relief 80 MG Oral Tablet Chewable 7/31/2020
00536120704 Gas Relief 80 MG Oral Tablet Chewable
00536122308 Gas Relief Extra Strength 125 MG Oral Tablet Chewable
00536222075 Gas Relief 20 MG/0.3ML Oral Suspension
00536360408 Simethicone 180 MG Oral Capsule
00904506860 Mi-Acid Gas Relief 80 MG Oral Tablet Chewable
00904557252 Gas Relief Ultra Strength 180 MG Oral Capsule
00904589430 Infants Gas Relief 20 MG/0.3ML Oral Suspension
00904660636 Gas Relief Extra Strength 125 MG Oral Capsule 5/31/2020
00904671446 Gas Relief Extra Strength 125 MG Oral Capsule
24385011878 GNP Gas Relief 80 MG Oral Tablet Chewable
24385030789 GNP Gas Relief Extra Strength 125 MG Oral Tablet Chewable
24385046072 GNP Anti-Gas 180 MG Oral Capsule
36800012550 Gas Relief Ultra Strength 180 MG Oral Capsule
36800042860 Gas Relief Extra Strength 125 MG Oral Capsule
36800042871 Gas Relief Extra Strength 125 MG Oral Capsule
36800088210 Gas Relief 20 MG/0.3ML Oral Suspension
37205011278 Gas Relief 80 MG Oral Tablet Chewable
37205011910 Simethicone 40 MG/0.6ML Oral Suspension 4/25/2020
46122045965 GNP Gas Relief Extra Strength 125 MG Oral Capsule
49348007309 SM Gas Relief Extra Strength 125 MG Oral Capsule
49348014707 SM Gas Relief 80 MG Oral Tablet Chewable
49348018810 SM Gas Relief 80 MG Oral Tablet Chewable
49348048912 SM Gas Relief Antiflatuent 180 MG Oral Capsule
49348074027 SM Gas Relief Infants 20 MG/0.3ML Oral Suspension
49348086348 SM Gas Relief 125 MG Oral Tablet Chewable
62011018701 HM Gas Relief Infants Drops 20 MG/0.3ML Oral Suspension
62011018901 HM Gas Relief 125 MG Oral Tablet Chewable
62011029101 HM Gas Relief 80 MG Oral Tablet Chewable
62011030401 HM Gas Relief Extra Strength 125 MG Oral Capsule
63868023630 QC Gas Relief Extra Strength 125 MG Oral Capsule
70000038201 Gas Relief Extra Strength 125 MG Oral Capsule
70000038301 Gas Relief Ultra Strength 180 MG Oral Capsule
70000042301 Gas Relief Drops Infants 20 MG/0.3ML Oral Suspension
70000043401 Gas Relief 80 MG Oral Tablet Chewable
59528033102 Calphron 667 MG Oral Tablet
*GENITOURINARY AGENTS - MISCELLANEOUS*
60258000116 Cytra-2 500-334 MG/5ML Oral Solution
2019 Q4 Page 57 of 79
NDC Drug Name Term Date
60258000216 Cytra-3 550-500-334 MG/5ML Oral Syrup
60258000316 Cytra-K 1100-334 MG/5ML Oral Solution
46122033765 GNP Urinary Pain Relief 95 MG Oral Tablet
49348007644 SM Urinary Pain Relief 95 MG Oral Tablet
49348094102 SM Urinary Pain Relief Max St 97.5 MG Oral Tablet
63868010112 QC Urinary Pain Relief Max St 97.5 MG Oral Tablet
70000024101 Urinary Pain Relief Max St 97.5 MG Oral Tablet
70000024301 Urinary Pain Relief 95 MG Oral Tablet
*HEMATOPOIETIC AGENTS*
63044020301 IFerex 150 150 MG Oral Capsule
63044020361 IFerex 150 150 MG Oral Capsule
*LAXATIVES*
00224050080 Konsyl Fiber 625 MG Oral Tablet
00224050090 Konsyl Fiber 625 MG Oral Tablet
00224180124 Konsyl Daily Fiber 100 % Oral Packet
00224180135 Konsyl Daily Fiber 100 % Oral Packet
00224180184 Konsyl Daily Fiber 100 % Oral Packet
00224182203 Konsyl-D 52.3 % Oral Powder
00224182207 Konsyl-D 52.3 % Oral Powder
00224182280 Konsyl-D 52.3 % Oral Powder
00224184710 Konsyl 520 MG Oral Capsule
00224184780 Konsyl 520 MG Oral Capsule
00224185206 Konsyl Daily Fiber 28.3 % Oral Powder
00224185213 Konsyl Daily Fiber 28.3 % Oral Packet
00224185280 Konsyl Daily Fiber 28.3 % Oral Powder
00224185281 Konsyl Daily Fiber 28.3 % Oral Packet
00224185606 Konsyl 71.67 % Oral Powder
00224185680 Konsyl 71.67 % Oral Powder
00224188481 Konsyl Daily Fiber 60.3 % Oral Powder
00224188482 Konsyl Daily Fiber 60.3 % Oral Packet
00536187516 Reguloid 58.6 % Oral Powder
00536187579 Reguloid 58.6 % Oral Powder
00536188116 Reguloid 58.6 % Oral Powder
00536188179 Reguloid 58.6 % Oral Powder
00536430605 Fiber-Lax 625 MG Oral Tablet
00536430608 Fiber-Lax 625 MG Oral Tablet
00536430611 Fiber-Lax 625 MG Oral Tablet
00536444454 Reguloid 48.57 % Oral Powder
00536444489 Reguloid 48.57 % Oral Powder
00536444554 Reguloid 28.3 % Oral Powder
00536444589 Reguloid 28.3 % Oral Powder
00904250091 Fiber 625 MG Oral Tablet
00904519966 Natural Fiber Therapy 48.57 % Oral Powder
00904520066 Natural Fiber Therapy 28.3 % Oral Powder
2019 Q4 Page 58 of 79
NDC Drug Name Term Date
00904567516 Soluble Fiber Therapy Oral Powder
24385012576 GNP Fiber-Caps 625 MG Oral Tablet
24385030127 GNP Natural Fiber 48.57 % Oral Powder
24385046678 GNP Fiber Therapy 500 MG Oral Tablet
36800047775 Fiber Laxative 625 MG Oral Tablet
36800047792 Fiber Laxative 625 MG Oral Tablet
37205021375 Fiber Laxative 625 MG Oral Tablet
37205066620 Natural Fiber 28.3 % Oral Powder
37205066710 Natural Fiber Laxative 58.6 % Oral Powder
49348004765 SM Fiber 28.3 % Oral Powder
49348009092 SM Fiber 58.6 % Oral Powder
49348019013 SM Fiber 625 MG Oral Tablet
49348054110 SM Fiber Laxative 500 MG Oral Tablet
62011013401 HM Fiber 500 MG Oral Tablet
62011013601 HM Fiber 48.57 % Oral Powder
62011013701 HM Fiber 58.6 % Oral Powder 5/1/2020
70000043201 Fiber Laxative 625 MG Oral Tablet
00224186060 Senna Prompt 9-500 MG Oral Capsule
00224186081 Senna Prompt 9-500 MG Oral Capsule
00536035510 Senna-Docusate Sodium 8.6-50 MG Oral Tablet 4/30/2020
00536116701 Sennosides-Docusate Sodium 8.6-50 MG Oral Tablet 4/30/2022
00536116901 Senexon-S 8.6-50 MG Oral Tablet 4/30/2022
00536124701 Senexon-S 8.6-50 MG Oral Tablet
00536124710 Senexon-S 8.6-50 MG Oral Tablet
00536408601 Senexon-S 8.6-50 MG Oral Tablet 5/31/2021
00536408610 Senexon-S 8.6-50 MG Oral Tablet 4/30/2022
00904564360 DOK Plus 50-8.6 MG Oral Tablet 6/30/2020
00904564361 DOK Plus 50-8.6 MG Oral Tablet 6/30/2020
00904633961 Senna Plus 8.6-50 MG Oral Tablet 8/31/2020
00904672360 DOK Plus 50-8.6 MG Oral Tablet
00904672361 DOK Plus 50-8.6 MG Oral Tablet 4/30/2022
00904672461 Senna Plus 8.6-50 MG Oral Tablet 4/30/2022
36800008401 Stool Softener Plus Laxative 8.6-50 MG Oral Tablet
36800008560 Vegetable Lax+Stool Softener 8.6-50 MG Oral Tablet
36800016260 Senna-S 8.6-50 MG Oral Tablet
46122034372 GNP Senna Plus 8.6-50 MG Oral Tablet
46122034478 GNP Stool Softener/Laxative 8.6-50 MG Oral Tablet
46122056778 GNP Stool Softener/Laxative 8.6-50 MG Oral Tablet
49348015619 SM Senna-S 8.6-50 MG Oral Tablet
49348018719 SM Stool Softener 8.6-50 MG Oral Tablet
49483008101 Senna-Time S 8.6-50 MG Oral Tablet
49483008110 Senna-Time S 8.6-50 MG Oral Tablet
60258095106 Senna-S 8.6-50 MG Oral Tablet
2019 Q4 Page 59 of 79
NDC Drug Name Term Date
62011027301 HM Stool Softener/Laxative 8.6-50 MG Oral Tablet
62011029001 HM Senna-S 8.6-50 MG Oral Tablet
62011036401 HM Senna-S 8.6-50 MG Oral Tablet
62011039501 HM Stool Softener/Laxative 8.6-50 MG Oral Tablet
63739043201 Sennosides-Docusate Sodium 8.6-50 MG Oral Tablet
63739043210 Sennosides-Docusate Sodium 8.6-50 MG Oral Tablet
63868013510 QC Stool Softener Pls Laxative 8.6-50 MG Oral Tablet
67618011010 Colace 2-IN-1 8.6-50 MG Oral Tablet
67618011030 Colace 2-IN-1 8.6-50 MG Oral Tablet
67618011060 Colace 2-IN-1 8.6-50 MG Oral Tablet
70000040501 Senna Plus 8.6-50 MG Oral Tablet 7/30/2020
70000044201 Stool Softener/Laxative 50-8.6 MG Oral Capsule
70000044501 Senna Plus 50-8.6 MG Oral Capsule
70000052601 Stool Softener Plus Laxative 8.6-50 MG Oral Tablet
70677004201 SM Senna-S 8.6-50 MG Oral Tablet
70677005901 SM Stool Softener/Laxative 8.6-50 MG Oral Tablet
00113030601 ClearLax Oral Powder
00113030602 GoodSense ClearLax Oral Powder
00113030603 GoodSense ClearLax Oral Powder
00113030617 GoodSense ClearLax Oral Powder
00113030619 GoodSense ClearLax Oral Powder
00132018582 Fleet Liquid Glycerin Supp 5.4 GM/DOSE Rectal Enema
00132019012 Pedia-Lax 2.8 GM Rectal Suppository
00536105224 PEG 3350 Oral Powder
00536105227 PEG 3350 Oral Powder
00536105284 PEG 3350 Oral Powder
00713010102 Glycerin (Adult) 2.1 GM Rectal Suppository
00713010113 Glycerin (Adult) 2.1 GM Rectal Suppository
00713010126 Glycerin (Adult) 2.1 GM Rectal Suppository
00713010151 Glycerin (Adult) 2.1 GM Rectal Suppository
00713010209 Sani-Supp Pediatric 1.2 GM Rectal Suppository 5/31/2020
00713010213 Glycerin (Pediatric) 1.2 GM Rectal Suppository
00713010225 Sani-Supp Pediatric 1.2 GM Rectal Suppository 4/30/2020
00713010226 Glycerin (Pediatric) 1.2 GM Rectal Suppository
00904602576 PEG 3350 Oral Powder
00904642213 PEG 3350 Oral Packet
00904642281 PEG 3350 Oral Packet
00904642285 PEG 3350 Oral Packet
00904642286 PEG 3350 Oral Packet
36800018104 ClearLax Oral Powder
36800030601 ClearLax Oral Powder
36800030602 ClearLax Oral Powder
36800030603 ClearLax Oral Powder
2019 Q4 Page 60 of 79
NDC Drug Name Term Date
36800030652 ClearLax Oral Packet
37205061271 ClearLax Oral Powder 4/23/2020
37205061272 ClearLax Oral Powder 7/25/2020
43386031208 GaviLAX Oral Powder
43386031214 GaviLAX Oral Powder
46122001431 GNP ClearLax Oral Powder
46122001433 GNP ClearLax Oral Powder
46122001438 GNP ClearLax Oral Powder
46122001452 GNP ClearLax Oral Packet
46122001471 GNP ClearLax Oral Powder
49348089350 SM ClearLax Oral Powder
62011015304 HM ClearLax Oral Powder
62011028701 HM ClearLax Oral Powder
62011028702 HM ClearLax Oral Powder
62011029801 HM ClearLax Oral Packet
62175019015 GlycoLax Oral Powder
62175019031 GlycoLax Oral Powder
63868000214 QC Natura-LAX Oral Powder
63868000230 QC Natura-LAX Oral Powder
68084043098 HealthyLax Oral Packet 9/30/2020
68084043099 HealthyLax Oral Packet 9/30/2020
70000041501 ClearLax Oral Powder
70000041502 ClearLax Oral Powder
70000041503 ClearLax Oral Powder
70000042901 Glycerin Childrens 1 GM Rectal Suppository
70000045001 Glycerin Adult 2 GM Rectal Suppository
24385068516 GNP Mineral Oil Heavy Oral Oil
46122036328 GNP Mineral Oil Rectal Enema
46122039516 GNP Mineral Oil Oral Oil
49348018520 SM Mineral Oil Rectal Enema
62011027001 HM Enema Mineral Oil Rectal Enema
63868093816 QC Mineral Oil Heavy Oral Oil
70000010901 Enema Mineral Oil Rectal Enema
70000044801 Mineral Oil Oral Oil
00054356749 Milk of Magnesia Concentrate 2400 MG/10ML Oral Suspension
00054356761 Milk of Magnesia Concentrate 2400 MG/10ML Oral Suspension
00113033240 Milk of Magnesia 1200 MG/15ML Oral Suspension
00113039640 Milk of Magnesia 1200 MG/15ML Oral Suspension
00113094940 Milk of Magnesia 7.75 % Oral Suspension
00121043130 Milk of Magnesia 7.75 % Oral Suspension
00121052710 Milk of Magnesia Concentrate 2400 MG/10ML Oral Suspension
00132065501 Pedia-Lax 400 MG Oral Tablet Chewable
00536247085 Milk of Magnesia 7.75 % Oral Suspension
2019 Q4 Page 61 of 79
NDC Drug Name Term Date
00536741551 Enema 7-19 GM/118ML Rectal Enema
00904078816 Milk of Magnesia 400 MG/5ML Oral Suspension
00904078914 Milk of Magnesia 7.75 % Oral Suspension 8/31/2020
00904630477 Magnesium Citrate 1.745 GM/30ML Oral Solution 6/30/2020
00904632078 Enema 7-19 GM/118ML Rectal Enema
00904675614 Milk of Magnesia 1200 MG/15ML Oral Suspension
00904675714 Milk of Magnesia 1200 MG/15ML Oral Suspension
00904678744 Magnesium Citrate 1.745 GM/30ML Oral Solution
00904684072 Milk of Magnesia Concentrate 2400 MG/10ML Oral Suspension
00904684673 Milk of Magnesia 2400 MG/30ML Oral Suspension
24385003936 GNP Enema 7-19 GM/118ML Rectal Enema
24385033240 GNP Milk of Magnesia 1200 MG/15ML Oral Suspension
24385039640 GNP Milk of Magnesia 1200 MG/15ML Oral Suspension
24385067510 GNP Magnesium Citrate 1.745 GM/30ML Oral Solution
24385080701 GNP Epsom Salt Oral Granules
24385080704 GNP Epsom Salt Oral Granules
36800000202 Enema 7-19 GM/118ML Rectal Enema
36800000236 Enema 7-19 GM/118ML Rectal Enema
36800032910 Magnesium Citrate 1.745 GM/30ML Oral Solution
36800033240 Milk of Magnesia 1200 MG/15ML Oral Suspension
36800039640 Milk of Magnesia 1200 MG/15ML Oral Suspension
36800062610 Magnesium Citrate 1.745 GM/30ML Oral Solution
36800094940 Milk of Magnesia 1200 MG/15ML Oral Suspension
37205083340 Milk of Magnesia 400 MG/5ML Oral Suspension
37205083440 Milk of Magnesia 7.75 % Oral Suspension 5/9/2020
46122016128 GNP Enema 7-19 GM/118ML Rectal Enema
46122016136 GNP Enema 7-19 GM/118ML Rectal Enema
46122036428 GNP Enema Rectal Enema
46122036436 GNP Enema Rectal Enema
46122043540 GNP Milk of Magnesia 1200 MG/15ML Oral Suspension
46122043640 GNP Milk of Magnesia 1200 MG/15ML Oral Suspension
46122043740 GNP Milk of Magnesia 1200 MG/15ML Oral Suspension
49348001863 SM Epsom Salt Oral Granules
49348001875 SM Epsom Salt Oral Granules
49348017138 SM Milk of Magnesia 1200 MG/15ML Oral Suspension
49348018614 SM Enema 7-19 GM/118ML Rectal Enema
49348018620 SM Enema 7-19 GM/118ML Rectal Enema
49348030539 SM Milk of Magnesia 1200 MG/15ML Oral Suspension
49348030739 SM Milk of Magnesia 1200 MG/15ML Oral Suspension
49348030839 SM Milk of Magnesia 1200 MG/15ML Oral Suspension
49348050449 SM Magnesium Citrate 1.745 GM/30ML Oral Solution
49348069649 SM Magnesium Citrate 1.745 GM/30ML Oral Solution
62011010901 HM Epsom Salt Oral Granules
2019 Q4 Page 62 of 79
NDC Drug Name Term Date
62011012301 HM Milk of Magnesia 1200 MG/15ML Oral Suspension
62011012401 HM Milk of Magnesia 1200 MG/15ML Oral Suspension
62011016601 HM Magnesium Citrate 1.745 GM/30ML Oral Solution
62011017400 HM Magnesium Citrate 1.745 GM/30ML Oral Solution
62011027101 HM Enema 7-19 GM/118ML Rectal Enema
62011027102 HM Enema 7-19 GM/118ML Rectal Enema
62011038001 HM Magnesium Citrate 1.745 GM/30ML Oral Solution
62011038101 HM Magnesium Citrate 1.745 GM/30ML Oral Solution
63868031012 QC Milk of Magnesia 400 MG/5ML Oral Suspension
63868038045 QC Enema 16-6 GM/133ML Rectal Enema
63868038090 QC Enema 16-6 GM/133ML Rectal Enema
63868078757 QC Milk of Magnesia 400 MG/5ML Oral Suspension
63868078857 QC Milk of Magnesia 400 MG/5ML Oral Suspension
63868093510 QC Magnesium Citrate 1.745 GM/30ML Oral Solution
63868094210 QC Magnesium Citrate 1.745 GM/30ML Oral Solution
63868094410 QC Magnesium Citrate 1.745 GM/30ML Oral Solution
66689005399 Milk of Magnesia 400 MG/5ML Oral Suspension
70000010801 Enema Ready-To-Use 7-19 GM/118ML Rectal Enema
70000010802 Enema Ready-To-Use 7-19 GM/118ML Rectal Enema
70000042401 Magnesium Citrate 1.745 GM/30ML Oral Solution
70000048301 Milk of Magnesia 1200 MG/15ML Oral Suspension
70000048401 Milk of Magnesia 1200 MG/15ML Oral Suspension
70677003801 SM Epsom Salt Oral Granules
70677005101 SM Magnesium Citrate 1.745 GM/30ML Oral Solution
70677005301 SM Magnesium Citrate 1.745 GM/30ML Oral Solution
00067602560 Perdiem Overnight Relief 15 MG Oral Tablet
00132070336 Fleet Bisacodyl 10 MG/30ML Rectal Enema
00536123801 Bisacodyl 10 MG Rectal Suppository
00536126659 Senna 8.8 MG/5ML Oral Liquid
00574705012 Bisacodyl 10 MG Rectal Suppository
00574705050 Bisacodyl 10 MG Rectal Suppository
00713010901 Bisac-Evac 10 MG Rectal Suppository 4/30/2021
00713010905 Bisac-Evac 10 MG Rectal Suppository 4/30/2021
00713010906 Bisac-Evac 10 MG Rectal Suppository
00713010908 Bisac-Evac 10 MG Rectal Suppository 4/30/2021
00713010910 Bisac-Evac 10 MG Rectal Suppository 9/30/2020
00713010950 Bisac-Evac 10 MG Rectal Suppository 4/30/2021
00904640761 Bisacodyl EC 5 MG Oral Tablet DR
00904643459 Senna 8.6 MG Oral Tablet 7/31/2020
00904643480 Senna 8.6 MG Oral Tablet
00904652261 Senna-Lax 8.6 MG Oral Tablet
00904672559 Senna 8.6 MG Oral Tablet
00904672580 Senna 8.6 MG Oral Tablet
2019 Q4 Page 63 of 79
NDC Drug Name Term Date
00904674817 Bisacodyl EC 5 MG Oral Tablet DR
00904674860 Bisacodyl EC 5 MG Oral Tablet DR
00904674880 Bisacodyl EC 5 MG Oral Tablet DR
00904698112 Bisacodyl 10 MG Rectal Suppository
00904698160 Bisacodyl 10 MG Rectal Suppository
00904792717 Bisacodyl EC 5 MG Oral Tablet DR 7/31/2020
00904792760 Bisacodyl EC 5 MG Oral Tablet DR
00904792780 Bisacodyl EC 5 MG Oral Tablet DR 4/30/2021
16103036308 Senna-Tabs 8.6 MG Oral Tablet
16103036311 Senna-Tabs 8.6 MG Oral Tablet
24385019365 GNP Womens Laxative 5 MG Oral Tablet DR
24385040471 GNP Senna-Lax 8.6 MG Oral Tablet
24385090363 GNP Laxative 5 MG Oral Tablet DR
24385090378 GNP Bisa-Lax 5 MG Oral Tablet DR
36800008663 Laxative 5 MG Oral Tablet DR
36800017465 Womans Laxative 5 MG Oral Tablet DR
36800078601 Senna Laxative 8.6 MG Oral Tablet
37205012863 Bisacodyl EC 5 MG Oral Tablet DR
37205029865 Laxative Feminine 5 MG Oral Tablet DR 8/20/2020
46122038451 GNP Gentle Laxative 10 MG Rectal Suppository
46122039678 GNP Senna Lax 8.6 MG Oral Tablet
46122042963 GNP Womens Gentle Laxative 5 MG Oral Tablet DR
46122052978 GNP Gentle Laxative 5 MG Oral Tablet DR
46122057578 GNP Senna Lax 8.6 MG Oral Tablet
46122060851 GNP Gentle Laxative 10 MG Rectal Suppository
49348001636 SM Castor Oil 100 % Oral Oil
49348003205 SM Gentle Laxative 5 MG Oral Tablet DR
49348003210 SM Gentle Laxative 5 MG Oral Tablet DR
49348016510 SM Senna Laxative 8.6 MG Oral Tablet
49348019304 SM Laxative Maximum Strength 25 MG Oral Tablet
49483000301 Bisacodyl EC 5 MG Oral Tablet DR
49483000310 Bisacodyl EC 5 MG Oral Tablet DR
49483008001 Senna-Time 8.6 MG Oral Tablet
49483008010 Senna-Time 8.6 MG Oral Tablet
51645085199 Senna 8.6 MG Oral Tablet
62011027701 HM Laxative 5 MG Oral Tablet DR
62011027702 HM Laxative 5 MG Oral Tablet DR
62011027703 HM Laxative 5 MG Oral Tablet DR
62011028901 HM Senna 8.6 MG Oral Tablet
62011036301 HM Senna 8.6 MG Oral Tablet
62011038701 HM Senna 8.6 MG Oral Tablet
62107003001 Ducodyl 5 MG Oral Tablet DR
62107003010 Ducodyl 5 MG Oral Tablet DR
2019 Q4 Page 64 of 79
NDC Drug Name Term Date
62107003101 Senno 8.6 MG Oral Tablet
63868025710 QC Natural Vegetable Laxative 8.6 MG Oral Tablet
63868032808 QC Gentle Laxative 10 MG Rectal Suppository
67618012012 Senokot Extra Strength 17.2 MG Oral Tablet
70000022101 Gentle Laxative 5 MG Oral Tablet DR
70000022102 Gentle Laxative 5 MG Oral Tablet DR
70000022103 Gentle Laxative 5 MG Oral Tablet DR
70000038601 Laxative Max Str 25 MG Oral Tablet
70000044101 Senna 8.6 MG Oral Capsule
70000044301 Laxative Regular Strength 15 MG Oral Tablet
70000044401 Womens Laxative 5 MG Oral Tablet DR
70000044701 Senna 8.6 MG Oral Tablet
70000044702 Senna 8.6 MG Oral Tablet
70000045101 Gentle Laxative 10 MG Rectal Suppository
70000045102 Gentle Laxative 10 MG Rectal Suppository
70000047701 Chocolated Laxative 15 MG Oral Tablet Chewable
70677004101 SM Senna Laxative 8.6 MG Oral Tablet
70677005801 SM Senna Laxative 8.6 MG Oral Tablet
00113048672 Stool Softener 100 MG Oral Capsule
00121054410 Docusate Sodium 50 MG/5ML Oral Liquid
00132010624 Pedia-Lax 50 MG/15ML Oral Liquid
00536106210 Stool Softener 100 MG Oral Capsule
00536106229 Stool Softener 100 MG Oral Capsule
00536106401 Stool Softener 250 MG Oral Capsule
00536106410 Stool Softener 250 MG Oral Capsule
00536106501 Stool Softener 240 MG Oral Capsule
00536106505 Stool Softener 240 MG Oral Capsule
00536106510 Stool Softener 240 MG Oral Capsule
00904586960 DOK 100 MG Oral Tablet
00904645561 DOK 100 MG Oral Capsule
00904645760 DOK 100 MG Oral Capsule
00904645780 DOK 100 MG Oral Capsule
00904645859 DOK 250 MG Oral Capsule
00904645959 Kao-Tin 240 MG Oral Capsule
00904675060 DOK 100 MG Oral Tablet
00904692093 Docusate Mini 283 MG/5ML Rectal Enema
16103038408 Docusate Sodium 100 MG Oral Capsule
16103038411 Docusate Sodium 100 MG Oral Capsule
17433987603 Enemeez Mini 283 MG/5ML Rectal Enema
17433987703 Enemeez Plus 20-283 MG Rectal Enema
17433987805 DocuSol Mini 283 MG/5ML Rectal Enema
17433988305 DocuSol Plus Mini-Enema 20-283 MG Rectal Enema
24385043578 GNP Docusate Calcium 240 MG Oral Capsule
2019 Q4 Page 65 of 79
NDC Drug Name Term Date
24385043678 GNP Stool Softener 100 MG Oral Capsule
24385044378 GNP Stool Softener Ex St 250 MG Oral Capsule
36800023825 Stool Softener 100 MG Oral Capsule
36800048672 Stool Softener 100 MG Oral Capsule
36800048678 Stool Softener 100 MG Oral Capsule
45802048678 Docusate Sodium 100 MG Oral Capsule
46122023178 GNP Stool Softener 100 MG Oral Capsule 8/28/2020
46122023185 GNP Stool Softener 100 MG Oral Capsule
46122026378 GNP Stool Softener 250 MG Oral Capsule
46122039943 GNP Stool Softener 50 MG/5ML Oral Liquid
46122040043 GNP Stool Softener 60 MG/15ML Oral Syrup
46122045178 GNP Stool Softener 100 MG Oral Capsule
49348012105 SM Stool Softener 100 MG Oral Capsule
49348012210 SM Stool Softener 240 MG Oral Capsule
49348048310 SM Stool Softener 100 MG Oral Capsule
49348048319 SM Stool Softener 100 MG Oral Capsule
49348048390 SM Stool Softener 100 MG Oral Capsule 4/28/2020
50383077110 Docu 50 MG/5ML Oral Liquid
50383077111 Docu 50 MG/5ML Oral Liquid
50383077116 Docu 50 MG/5ML Oral Liquid
54838010780 Silace 60 MG/15ML Oral Syrup
54838011680 Silace 150 MG/15ML Oral Liquid
60687012901 Docusate Sodium 100 MG Oral Capsule
60687012911 Docusate Sodium 100 MG Oral Capsule
62011022401 HM Stool Softener 100 MG Oral Capsule
62011024401 HM Stool Softener 250 MG Oral Capsule
62011028601 HM Stool Softener 100 MG Oral Tablet
62011036101 HM Stool Softener 100 MG Oral Capsule
62011038601 HM Stool Softener 100 MG Oral Capsule
62107003301 Docusil 100 MG Oral Capsule
62107003310 Docusil 100 MG Oral Capsule
63739047801 Docusate Sodium 100 MG Oral Capsule
63739047810 Docusate Sodium 100 MG Oral Capsule
63739047840 Docusate Sodium 100 MG Oral Capsule
63739047848 Docusate Sodium 100 MG Oral Capsule
63868011625 QC Stool Softener 100 MG Oral Capsule
66424003010 Stool Softener 100 MG Oral Capsule
68094002559 Docusate Sodium 250 MG Oral Capsule
68094002561 Docusate Sodium 250 MG Oral Capsule
70000036501 Stool Softener Laxative 100 MG Oral Capsule
70000036502 Stool Softener Laxative 100 MG Oral Capsule
70000036503 Stool Softener Laxative 100 MG Oral Capsule
70000038501 Stool Softener Laxative 250 MG Oral Capsule
2019 Q4 Page 66 of 79
NDC Drug Name Term Date
70677003401 SM Stool Softener 100 MG Oral Capsule
*MEDICAL DEVICES AND SUPPLIES*
46122004378 GNP Alcohol Swabs 70 % Pad
49348089610 SM Alcohol Prep 70 % Pad
62011004501 HM Sterile Alcohol Prep Pad
00135012602 Aquafresh for Kids Dental Paste
00135013203 Aquafresh Sensitive 5 % Dental Paste 6/30/2020
00135023408 Aquafresh Extreme Clean 0.25 % Dental Paste
00135046001 Sensodyne Pronamel Dental Paste
00135049202 Sensodyne Pronamel 5-0.25 % Dental Paste
00135052001 Sensodyne Pronamel Dental Paste
00135055701 Biotene Dry Mouth Gentle Dental Paste
00135059301 Sensodyne Maximum Strength 5-0.25 % Dental Paste
00135060201 Sensodyne Pronamel 5-0.25 % Dental Paste
00135060301 Sensodyne Pronamel 5-0.25 % Dental Paste
*MINERALS & ELECTROLYTES*
59528050805 MagneBind 300 250-300 MG Oral Tablet
*MISCELLANEOUS THERAPEUTIC CLASSES*
46017032944 Cold-Eeze Daytime Nighttime Oral Tablet Disint 6/30/2020
46017034125 Cold-Eeze Plus Defense Oral Tablet Chewable
39822990001 Ammonia Aromatic Inhalation Inhaler
39822990002 Ammonia Aromatic Inhalation Inhaler
*MOUTH/THROAT/DENTAL AGENTS*
00904625549 Sore Throat 15-3.6 MG Mouth/Throat Lozenge
54859050301 Orasep 2-0.5-0.1 % Mouth/Throat Solution
54859050401 Orasep 2-0.5-0.1 % Mouth/Throat Solution
63824076816 Cepacol 15-2.3 MG Mouth/Throat Lozenge
63824077016 Cepacol INSTAMAX 15-20 MG Mouth/Throat Lozenge
63824077216 Cepacol INSTAMAX 15-20 MG Mouth/Throat Lozenge
00536122858 Phenaseptic 1.4 % Mouth/Throat Liquid
00904630521 Sore Throat Spray 1.4 % Mouth/Throat Liquid
24385053230 GNP Sore Throat 1.4 % Mouth/Throat Liquid
36800032830 Sore Throat Spray 1.4 % Mouth/Throat Liquid
36800034330 Sore Throat Spray 1.4 % Mouth/Throat Liquid
46122026530 GNP Sore Throat Spray 1.4 % Mouth/Throat Liquid
46122027830 GNP Sore Throat Spray 1.4 % Mouth/Throat Liquid
49348099136 SM Sore Throat Spray 1.4 % Mouth/Throat Liquid
63868081155 Sore Throat Mouth/Throat Liquid
70000027701 Sore Throat Spray 1.4 % Mouth/Throat Liquid 5/17/2020
70000045801 Sore Throat 1.4 % Mouth/Throat Liquid
00135057202 Sensodyne Complete Protection 0.454 % Mouth/Throat Paste
00135057501 Sensodyne Repair & Protect 0.454 % Mouth/Throat Paste
00135059801 Parodontax 0.454 % Mouth/Throat Paste
00135059902 Parodontax 0.454 % Mouth/Throat Paste
2019 Q4 Page 67 of 79
NDC Drug Name Term Date
00135060101 Parodontax 0.454 % Mouth/Throat Paste
00135062101 Sensodyne Rapid Relief 0.454 % Mouth/Throat Paste
00135062102 Sensodyne Rapid Relief 0.454 % Mouth/Throat Paste
00135062201 Sensodyne Rapid Relief 0.454 % Mouth/Throat Paste
00135062702 Parodontax 0.454 % Mouth/Throat Paste
49348098605 SM Cough Drops 5.8 MG Mouth/Throat Lozenge
49348098744 SM Cough Drops 7 MG Mouth/Throat Lozenge
49348099044 SM Cough Drops 5.4 MG Mouth/Throat Lozenge
63824016316 Delsym Cough+ Soothing Action 5-5 MG Mouth/Throat Lozenge
70000026501 Cough Drops 5.8 MG Mouth/Throat Lozenge
70000026601 Cough Drops 7.5 MG Mouth/Throat Lozenge
70000026701 Cough Drops 7.6 MG Mouth/Throat Lozenge
70000026801 Cough Drops 5.4 MG Mouth/Throat Lozenge
70000026901 Cough Drops 5.8 MG Mouth/Throat Lozenge
70000029001 Cough Drops 5.8 MG Mouth/Throat Lozenge
*NASAL AGENTS - SYSTEMIC AND TOPICAL*
57782039726 Cromolyn Sodium 5.2 MG/ACT Nasal Aerosol Soln
00113044301 GoodSense Nasal Allergy Spray 55 MCG/ACT Nasal Aerosol
00135061502 Flonase Sensimist 27.5 MCG/SPRAY Nasal Suspension
00135061503 Flonase Sensimist 27.5 MCG/SPRAY Nasal Suspension
00135061504 Flonase Sensimist 27.5 MCG/SPRAY Nasal Suspension
00135061505 Flonase Sensimist 27.5 MCG/SPRAY Nasal Suspension
00135061506 Flonase Sensimist 27.5 MCG/SPRAY Nasal Suspension
00135061601 Flonase Sensimist 27.5 MCG/SPRAY Nasal Suspension
46122033802 GNP Fluticasone Propionate 50 MCG/ACT Nasal Suspension
46122033805 GNP Fluticasone Propionate 50 MCG/ACT Nasal Suspension
46122038576 GNP 24 Hour Nasal Allergy 55 MCG/ACT Nasal Aerosol
46122038672 GNP Fluticasone Propionate Chl 50 MCG/ACT Nasal Suspension
46122038976 GNP Budesonide Nasal Spray 32 MCG/ACT Nasal Suspension
49348018229 SM Allergy Relief 50 MCG/ACT Nasal Suspension
49348018243 SM Allergy Relief 50 MCG/ACT Nasal Suspension
62011026901 HM Allergy Relief 50 MCG/ACT Nasal Suspension
62011026902 HM Allergy Relief 50 MCG/ACT Nasal Suspension
63868040006 QC Allergy Relief 50 MCG/ACT Nasal Suspension
70000011001 Allergy Relief 50 MCG/ACT Nasal Suspension
70000020401 Nasal Allergy 24 Hour 55 MCG/ACT Nasal Aerosol
00067208601 4-Way Fast Acting 1 % Nasal Solution
00113005452 Decongestant 12Hour Max St 120 MG Oral Tablet ER 12HR
00113006510 Nasal Spray Extra Moisturizing 0.05 % Nasal Solution
00113009423 Nasal Decongestant PE Max St 10 MG Oral Tablet
00113009468 Nasal Decongestant PE Max St 10 MG Oral Tablet
00113009489 Nasal Decongestant PE Max St 10 MG Oral Tablet
00113030410 Nasal Spray 12 Hour 0.05 % Nasal Solution
00113038810 12 Hour Nasal Spray 0.05 % Nasal Solution
2019 Q4 Page 68 of 79
NDC Drug Name Term Date
00113043262 Nasal Decongestant 30 MG Oral Tablet
00113064810 Nasal Four 1 % Nasal Solution
00113081710 Sinus Nasal Spray 0.05 % Nasal Solution
00113201760 Sinus 12 Hour 120 MG Oral Tablet ER 12HR
00113205460 12 Hour Decongestant 120 MG Oral Tablet ER 12HR
00113243280 Nasal Decongestant 30 MG Oral Tablet 7/31/2020
00225061023 Benzedrex Nasal Inhaler
00536185085 Nasal Decongestant 30 MG/5ML Oral Syrup 9/30/2020
00536185097 Nasal Decongestant 30 MG/5ML Oral Liquid 6/30/2020
00536360735 Nasal Decongestant 30 MG Oral Tablet
00904505324 SudoGest 30 MG Oral Tablet
00904505359 SudoGest 30 MG Oral Tablet
00904512559 SudoGest 60 MG Oral Tablet
00904571130 Nasal Decongestant Spray 0.05 % Nasal Solution 6/30/2020
00904573349 Sudogest PE 10 MG Oral Tablet
00904580315 SudoGest 12 Hour 120 MG Oral Tablet ER 12HR 8/31/2020
00904633724 SudoGest Maximum Strength 30 MG Oral Tablet
00904633860 SudoGest 30 MG Oral Tablet 5/30/2020
00904672760 SudoGest 30 MG Oral Tablet
00904672846 SudoGest 60 MG Oral Tablet
00904672852 SudoGest 60 MG Oral Tablet
00904675349 Sudogest PE 10 MG Oral Tablet
00904675373 Sudogest PE 10 MG Oral Tablet
00904675415 SudoGest 12 Hour 120 MG Oral Tablet ER 12HR
00904676130 12 Hour Nasal Decongestant 0.05 % Nasal Solution
00904699061 Pseudoephedrine HCl 30 MG Oral Tablet
00904700635 Nasal Decongestant Spray 0.05 % Nasal Solution
24385005452 GNP Pseudoephedrine HCl 12 Hr 120 MG Oral Tablet ER 12HR
24385006710 GNP Nasal Spray Extra Moist 0.05 % Nasal Solution
24385035210 GNP No Drip Nasal Spray 0.05 % Nasal Solution
24385039010 GNP Nose Drops Extra Strength 1 % Nasal Solution
24385043262 GNP Nasal Decongestant 30 MG Oral Tablet
24385043280 GNP Nasal Decongestant 30 MG Oral Tablet
24385060368 GNP Nasal Decongestant PE 10 MG Oral Tablet
24385060389 GNP Nasal Decongestant PE 10 MG Oral Tablet
36800005452 12 Hour Decongestant 120 MG Oral Tablet ER 12HR
36800005460 12 Hour Decongestant 120 MG Oral Tablet ER 12HR
36800006510 Nasal Spray 12 Hour 0.05 % Nasal Solution
36800009423 Nasal Decongestant PE 10 MG Oral Tablet
36800009447 Nasal Decongestant PE 10 MG Oral Tablet
36800009468 Nasal Decongestant PE 10 MG Oral Tablet
36800009489 Nasal Decongestant PE 10 MG Oral Tablet
36800030410 Nasal Spray 12 Hour 0.05 % Nasal Solution
2019 Q4 Page 69 of 79
NDC Drug Name Term Date
36800038810 No Drip Nasal Spray 0.05 % Nasal Solution
36800039010 Nose Drops Extra Strength 1 % Nasal Solution
36800043262 Nasal Decongestant 30 MG Oral Tablet
36800043267 Nasal Decongestant 30 MG Oral Tablet
36800064810 Nasal Four 1 % Nasal Solution
36800068805 Sinus Relief Nasal Spray 0.05 % Nasal Solution
36800081710 Nasal Spray 12 Hour 0.05 % Nasal Solution
45802010752 Pseudoephedrine HCl ER 120 MG Oral Tablet ER 12HR
45802041059 Nasal Relief 0.05 % Nasal Solution
45802043262 Pseudoephedrine HCl 30 MG Oral Tablet
46122014903 GNP Nasal Spray Fast Acting 1 % Nasal Solution
46122016510 GNP Nasal Spray 0.05 % Nasal Solution
46122016660 GNP Pseudoephedrine HCl 12 Hr 120 MG Oral Tablet ER 12HR
46122042862 GNP Nasal Decongestant 30 MG Oral Tablet
49348002827 SM Nasal Spray 12 Hour 0.05 % Nasal Solution
49348013027 SM Nasal Spray 0.05 % Nasal Solution
49348019727 SM Nose Drops Nasal Decongest 1 % Nasal Solution
49348023027 SM Nasal Spray Moisturizing 0.05 % Nasal Solution
49348023127 SM Nasal Spray Sinus 0.05 % Nasal Solution
49348070007 SM Nasal Decongestant PE 10 MG Oral Tablet
49348070048 SM Nasal Decongestant PE 10 MG Oral Tablet
51660020469 Pseudoephedrine HCl ER 120 MG Oral Tablet ER 12HR
51672203003 Nasal Decongestant Spray 0.05 % Nasal Solution
51672203005 Nasal Decongestant Spray 0.05 % Nasal Solution
54838010440 Childrens Silfedrine 15 MG/5ML Oral Liquid
54838010470 Childrens Silfedrine 15 MG/5ML Oral Liquid
62011007701 HM Nasal Decongestant PE 10 MG Oral Tablet
62011007702 HM Nasal Decongestant PE 10 MG Oral Tablet
62011007901 HM Sinus Nasal Spray 0.05 % Nasal Solution
62011008001 HM Nasal Spray 0.05 % Nasal Solution
62011008501 HM Nose Drops 1 % Nasal Solution
62011030601 HM Nasal Decongestant 12 Hour 120 MG Oral Tablet ER 12HR
62011031201 HM Nasal Decongestant 30 MG Oral Tablet
62011031202 HM Nasal Decongestant 30 MG Oral Tablet
62011031203 HM Nasal Decongestant 30 MG Oral Tablet
63824012675 Mucinex Sinus-Max Moist Smart 0.05 % Nasal Solution
63824012775 Mucinex Sinus-Max Full Force 0.05 % Nasal Solution
63824012917 Mucinex Sinus-Max Clear & Cool 0.05 % Nasal Solution
63868014310 QC Suphedrine Maximum Strength 120 MG Oral Tablet ER 12HR
63868069830 QC Nasal Spray 0.05 % Nasal Solution
70000012601 Nasal Decongestant PE 10 MG Oral Tablet
70000012602 Nasal Decongestant PE 10 MG Oral Tablet
70000013201 Sinus Relief Extra Strength 1 % Nasal Solution
2019 Q4 Page 70 of 79
NDC Drug Name Term Date
70000013501 Nasal Decongestant Max St 30 MG Oral Tablet
70000013502 Nasal Decongestant Max St 30 MG Oral Tablet
70000016401 12 Hour Nasal Decongestant 120 MG Oral Tablet ER 12HR 4/29/2020
70000047501 12 Hour Nasal Decongestant 120 MG Oral Tablet ER 12HR
70677000101 SM Nasal Decongestant 120 MG Oral Tablet ER 12HR
70677000501 SM Nasal Decongestant Max St 30 MG Oral Tablet
70677000502 SM Nasal Decongestant Max St 30 MG Oral Tablet
70677000503 SM Nasal Decongestant Max St 30 MG Oral Tablet
*Ophthalmic Adrenergic Agents**
24208053708 Lumify 0.025 % Ophthalmic Solution
24208053725 Lumify 0.025 % Ophthalmic Solution
*Ophthalmic Decongestants**
00536100294 Eye Drops 0.05 % Ophthalmic Solution
00536121794 Eye Drops 0.05 % Ophthalmic Solution
00904633435 Opti-Clear 0.05 % Ophthalmic Solution 8/31/2020
24385007505 GNP Eye Drops 0.05 % Ophthalmic Solution
24385007705 GNP Eye Drops 0.05-0.1-1-1 % Ophthalmic Solution
37205013905 Eye Drops 0.05 % Ophthalmic Solution 5/10/2019
37205022405 Advanced Formula Eye Drops 0.05-0.1-1-1 % Ophthalmic Solution 9/7/2020
46122037805 GNP Redness Relief 0.012-0.25 % Ophthalmic Solution
49348069729 SM Eye Drops 0.05-0.1-1-1 % Ophthalmic Solution
49348089429 SM Redness Relief 0.012-0.2 % Ophthalmic Solution
62011010001 HM Eye Drops 0.012-0.2 % Ophthalmic Solution
62011010201 HM Eye Drops 0.05 % Ophthalmic Solution
62011010401 HM Eye Drops Advanced Relief 0.05-0.1-1-1 % Ophthalmic Solution
70000001001 Redness Relief 0.012-0.25 % Ophthalmic Solution
70000001002 Redness Relief 0.012-0.25 % Ophthalmic Solution
70000045401 Eye Drops 0.05 % Ophthalmic Solution
70000045601 Eye Drops Advanced Relief 0.05-0.1-1-1 % Ophthalmic Solution
*Ophthalmics - Misc.**
00065053001 Eye Stream Ophthalmic Solution
00065053004 Eye Stream Ophthalmic Solution
00536109640 Eye Itch Relief 0.025 % Ophthalmic Solution 4/30/2021
00536112697 Eye Irrigating 99.05 % Ophthalmic Solution 4/30/2020
00536122497 Eye Wash Ophthalmic Solution
00904663320 Eye Wash 99.05 % Ophthalmic Solution 4/30/2020
17478062235 Sodium Chloride (Hypertonic) 5 % Ophthalmic Ointment
17478062312 Sodium Chloride (Hypertonic) 5 % Ophthalmic Solution
24208027615 Muro 128 2 % Ophthalmic Solution
24208060105 Alaway Childrens Allergy 0.025 % Ophthalmic Solution
24208060110 Alaway 0.025 % Ophthalmic Solution
49348010717 SM Eye Itch Relief 0.025 % Ophthalmic Solution
62011023201 HM Eye Itch Relief 0.025 % Ophthalmic Solution
70000001801 Eye Wash Ophthalmic Solution
2019 Q4 Page 71 of 79
NDC Drug Name Term Date
70000012401 Eye Itch Relief 0.025 % Ophthalmic Solution
*OTIC AGENTS*
00904662735 Ear Drops 6.5 % Otic Solution
24385050305 GNP Ear Systems 6.5 % Otic Solution
36800083533 Earwax Removal Kit 6.5 % Otic Solution
49348096029 SM Ear Drops 6.5 % Otic Solution
62011016701 HM Earwax Removal Aid 6.5 % Otic Solution
62011016901 HM Earwax Removal Kit 6.5 % Otic Solution
*PHARMACEUTICAL ADJUVANTS*
00536114397 Petrolatum 42 % External Ointment
00536114398 Petrolatum 42 % External Ointment
00904573182 White Petroleum Jelly External Gel
70000048701 Petroleum Jelly External Gel
*Salicylates**
00113025968 GoodSense Aspirin Adult Low St 81 MG Oral Tablet Chewable
00113027468 GoodSense Aspirin 81 MG Oral Tablet Chewable
00113041678 GoodSense Aspirin 325 MG Oral Tablet
00113041690 GoodSense Aspirin 325 MG Oral Tablet
00113046708 GoodSense Aspirin 81 MG Oral Tablet Chewable
00113046768 GoodSense Aspirin 81 MG Oral Tablet Chewable
00536100410 Aspirin 81 MG Oral Tablet DR
00536100836 Aspirin 81 MG Oral Tablet Chewable
00536105305 Aspirin 325 MG Oral Tablet 7/31/2020
00536105429 Aspirin 325 MG Oral Tablet
00536123201 Aspirin 325 MG Oral Tablet DR
00536123441 Aspirin Low Dose 81 MG Oral Tablet DR
00536330501 Aspirin 325 MG Oral Tablet 4/30/2021
00536330510 Aspirin 325 MG Oral Tablet 4/30/2021
00536331310 Aspirin EC 325 MG Oral Tablet DR 5/31/2020
00574703412 Aspirin 300 MG Rectal Suppository
00574703612 Aspirin 600 MG Rectal Suppository
00904201159 Aspirin EC 325 MG Oral Tablet DR 4/30/2020
00904201380 Aspirin EC 325 MG Oral Tablet DR
00904201559 Tri-Buffered Aspirin 325 MG Oral Tablet
00904404073 Aspirin 81 MG Oral Tablet Chewable
00904628880 Aspirin Low Dose 81 MG Oral Tablet Chewable 5/30/2020
00904674460 Aspirin Adult 325 MG Oral Tablet
00904675180 Aspirin Low Dose 81 MG Oral Tablet DR
00904678370 Aspirin Low Dose 81 MG Oral Tablet DR
00904678480 Aspirin EC 325 MG Oral Tablet DR
00904679480 Aspirin Low Dose 81 MG Oral Tablet Chewable
00904679489 Aspirin Low Dose 81 MG Oral Tablet Chewable
00904680940 Aspirin Adult 325 MG Oral Tablet
00904770418 Aspir-Low 81 MG Oral Tablet DR
2019 Q4 Page 72 of 79
NDC Drug Name Term Date
00904770470 Aspir-Low 81 MG Oral Tablet DR 4/30/2020
00904770480 Aspir-Low 81 MG Oral Tablet DR 4/30/2021
16103035609 Aspirin 81 MG Oral Tablet DR
16103035611 Aspirin 81 MG Oral Tablet DR
16103035708 Aspirin EC 325 MG Oral Tablet DR
16103035711 Aspirin EC 325 MG Oral Tablet DR
16103036508 Aspirin 325 MG Oral Tablet
16103036511 Aspirin 325 MG Oral Tablet
16103036605 Aspirin 81 MG Oral Tablet Chewable
16103036611 Aspirin 81 MG Oral Tablet Chewable
24385002868 GNP Adult Aspirin Low Strength 81 MG Oral Tablet Chewable
24385027868 GNP Adult Aspirin Low Strength 81 MG Oral Tablet Chewable
24385036468 GNP Adult Aspirin Low Strength 81 MG Oral Tablet Chewable
24385042902 GNP Aspirin 325 MG Oral Tablet DR
36800002712 Aspirin Adult Low Dose 81 MG Oral Tablet DR
36800003018 Aspirin 81 MG Oral Tablet DR
36800025968 Aspirin Adult Low Strength 81 MG Oral Tablet Chewable
36800027468 Aspirin Low Dose 81 MG Oral Tablet Chewable
36800027748 Aspirin EC Low Strength 81 MG Oral Tablet DR
36800042902 Aspirin EC 325 MG Oral Tablet DR
36800046768 Aspirin Low Dose 81 MG Oral Tablet Chewable
46122018076 GNP Aspirin Low Dose 81 MG Oral Tablet DR
46122018087 GNP Aspirin Low Dose 81 MG Oral Tablet DR
46122018248 GNP Aspirin 81 MG Oral Tablet DR
46122026248 GNP Aspirin 81 MG Oral Tablet DR
46122026287 GNP Aspirin 81 MG Oral Tablet DR
46122029278 GNP Aspirin 325 MG Oral Tablet
49348000110 SM Aspirin 325 MG Oral Tablet
49348000114 SM Aspirin 325 MG Oral Tablet
49348000123 SM Aspirin 325 MG Oral Tablet
49348019107 SM Childrens Aspirin 81 MG Oral Tablet Chewable
49348049807 SM Aspirin Adult Low Strength 81 MG Oral Tablet Chewable
49348075707 SM Aspirin Low Dose 81 MG Oral Tablet Chewable
49348093782 SM Aspirin EC 325 MG Oral Tablet DR
49348098015 SM Aspirin Adult Low Strength 81 MG Oral Tablet DR
49348098023 SM Aspirin Adult Low Strength 81 MG Oral Tablet DR
49348098053 SM Aspirin Adult Low Strength 81 MG Oral Tablet DR
49348098115 SM Aspirin Adult Low Strength 81 MG Oral Tablet DR
49483001110 Aspirin 325 MG Oral Tablet
49483033101 Aspirin EC 325 MG Oral Tablet DR
49483033110 Aspirin EC 325 MG Oral Tablet DR
49483033463 Aspirin Low Dose 81 MG Oral Tablet Chewable
49483038710 Aspirin Low Dose 81 MG Oral Tablet DR
2019 Q4 Page 73 of 79
NDC Drug Name Term Date
49483038712 Aspirin Low Dose 81 MG Oral Tablet DR
49483048110 Aspirin Low Dose 81 MG Oral Tablet DR
49483048112 Aspirin Low Dose 81 MG Oral Tablet DR
50844022712 EQ Aspirin 325 MG Oral Tablet DR
62011000301 HM Aspirin EC Low Dose 81 MG Oral Tablet DR
62011001901 HM Aspirin EC Low Dose 81 MG Oral Tablet DR
62011001902 HM Aspirin EC Low Dose 81 MG Oral Tablet DR
62011002001 HM Aspirin 325 MG Oral Tablet
62011002002 HM Aspirin 325 MG Oral Tablet
62011002003 HM Aspirin 325 MG Oral Tablet
62011002101 HM Aspirin 81 MG Oral Tablet Chewable
62011002801 HM Aspirin 81 MG Oral Tablet Chewable
62011004001 HM Aspirin EC 325 MG Oral Tablet DR
62011021201 HM Aspirin 81 MG Oral Tablet Chewable
62011040501 HM Aspirin 325 MG Oral Tablet DR
62107002636 Childrens Aspirin Low Strength 81 MG Oral Tablet Chewable
62107002726 Aspirin 81 81 MG Oral Tablet DR
62107002732 Aspirin 81 81 MG Oral Tablet DR
62107002801 EcPirin 325 MG Oral Tablet DR
62107002832 EcPirin 325 MG Oral Tablet DR
63739043401 Aspirin Low Strength 81 MG Oral Tablet Chewable
63739052201 Aspirin EC 81 MG Oral Tablet DR
63739052210 Aspirin EC 81 MG Oral Tablet DR
63739052301 Aspirin EC 325 MG Oral Tablet DR
63868002936 QC Aspirin Low Dose 81 MG Oral Tablet Chewable
63868024036 QC Aspirin Low Dose 81 MG Oral Tablet Chewable
63868035203 QC Aspirin 325 MG Oral Tablet
63868035210 QC Aspirin 325 MG Oral Tablet
63868036320 QC Aspirin Low Dose 81 MG Oral Tablet DR
63868036336 QC Aspirin Low Dose 81 MG Oral Tablet DR
63868037305 QC Aspirin Low Dose 81 MG Oral Tablet DR
63868089810 QC Enteric Aspirin 325 MG Oral Tablet DR
69536018112 St Joseph Low Dose 81 MG Oral Tablet DR
69536028136 St Joseph Low Dose 81 MG Oral Tablet Chewable
70000001401 Aspirin 325 MG Oral Tablet DR
70000003501 Aspirin 325 MG Oral Tablet DR
70000014701 Tri-Buffered Aspirin 325 MG Oral Tablet
70000017001 Aspirin 81 MG Oral Tablet Chewable
70000017801 Adult Aspirin Regimen 81 MG Oral Tablet DR
70000017802 Adult Aspirin Regimen 81 MG Oral Tablet DR
70000017803 Adult Aspirin Regimen 81 MG Oral Tablet DR
70000021801 Adult Aspirin Regimen 81 MG Oral Tablet DR
70000021802 Adult Aspirin Regimen 81 MG Oral Tablet DR
2019 Q4 Page 74 of 79
NDC Drug Name Term Date
70000025301 Aspirin 325 MG Oral Tablet 5/7/2020
70000025302 Aspirin 325 MG Oral Tablet
70000025303 Aspirin 325 MG Oral Tablet
70000035901 Aspirin EC 325 MG Oral Tablet DR 5/21/2020
70000041901 Aspirin 81 MG Oral Tablet Chewable
70000042001 Aspirin 81 MG Oral Tablet Chewable
70000042002 Aspirin 81 MG Oral Tablet Chewable
70000042101 Effervescent Antacid/Pain 325-1000-1916 MG Oral Tablet Effer
70000042801 Aspirin Low Dose 81 MG Oral Tablet DR 9/9/2020
*ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS*
00093274865 Famotidine 10 MG Oral Tablet
00093274892 Famotidine 10 MG Oral Tablet
00093274894 Famotidine 10 MG Oral Tablet
00113002239 Heartburn Relief 200 MG Oral Tablet
00113014165 Acid Reducer 10 MG Oral Tablet
00113019402 Acid Reducer Maximum Strength 20 MG Oral Tablet
00113085251 GoodSense Acid Reducer 150 MG Oral Tablet
00113085271 GoodSense Acid Reducer 150 MG Oral Tablet
00113087665 GoodSense Acid Reducer 75 MG Oral Tablet
00904552952 Heartburn Relief 10 MG Oral Tablet
00904552987 Heartburn Relief 10 MG Oral Tablet
00904578017 Heartburn Relief Max St 20 MG Oral Tablet
00904578051 Heartburn Relief Max St 20 MG Oral Tablet
00904634952 raNITIdine HCl 75 MG Oral Tablet 4/30/2020
00904671546 raNITIdine HCl 75 MG Oral Tablet 4/30/2021
24385011165 GNP Heartburn Relief 200 MG Oral Tablet
24385026862 GNP Acid Control 150 Max St 150 MG Oral Tablet
24385038551 GNP Acid Reducer Max St 20 MG Oral Tablet
24385038563 GNP Acid Reducer Max St 20 MG Oral Tablet
24385038571 GNP Acid Reducer Max St 20 MG Oral Tablet
36800002239 Heartburn Relief 200 MG Oral Tablet
36800004702 Heartburn Relief 150 Max St 150 MG Oral Tablet
36800004771 Heartburn Relief 150 Max St 150 MG Oral Tablet
36800014165 Acid Reducer 10 MG Oral Tablet
36800014172 Acid Reducer 10 MG Oral Tablet
36800019402 Acid Reducer Maximum Strength 20 MG Oral Tablet
36800019451 Acid Reducer Maximum Strength 20 MG Oral Tablet
36800019471 Acid Reducer Maximum Strength 20 MG Oral Tablet
36800027139 Heartburn Relief 75 MG Oral Tablet
36800027172 Heartburn Relief 75 MG Oral Tablet
36800085271 Heartburn Relief 150 Max St 150 MG Oral Tablet
36800095009 Heartburn Relief Max St 150 MG Oral Tablet
36800095062 Heartburn Relief Max St 150 MG Oral Tablet
37205061465 Acid Reducer 10 MG Oral Tablet
2019 Q4 Page 75 of 79
NDC Drug Name Term Date
37205086163 Acid Reducer Maximum Strength 20 MG Oral Tablet
46122004162 GNP Acid Control 150 Max St 150 MG Oral Tablet
46122004171 GNP Acid Control 150 Max St 150 MG Oral Tablet
46122016878 GNP Acid Reducer Max St 20 MG Oral Tablet
46122020565 GNP Acid Reducer 10 MG Oral Tablet
46122022365 GNP Acid Reducer 75 MG Oral Tablet
46122022372 GNP Acid Reducer 75 MG Oral Tablet
46122022462 GNP Acid Control 150 Max St 150 MG Oral Tablet
46122039465 GNP Acid Reducer 10 MG Oral Tablet
46122039472 GNP Acid Reducer 10 MG Oral Tablet
49348010904 SM Acid Reducer Max St 150 MG Oral Tablet
49348010954 SM Acid Reducer Max St 150 MG Oral Tablet
49348012812 SM Acid Reducer 10 MG Oral Tablet
49348012813 SM Acid Reducer 10 MG Oral Tablet
49348012844 SM Acid Reducer 10 MG Oral Tablet
49348013612 SM Acid Reducer 75 MG Oral Tablet
49348013644 SM Acid Reducer 75 MG Oral Tablet
49348024644 SM Acid Reducer 200 MG Oral Tablet
49348081705 SM Acid Reducer Max St 20 MG Oral Tablet
49348081709 SM Acid Reducer Max St 20 MG Oral Tablet
51660003531 Acid Controller Original Str 10 MG Oral Tablet
51660003626 Acid Controller Max St 20 MG Oral Tablet
51660003650 Acid Controller Max St 20 MG Oral Tablet
51660035160 Acid Reducer 150 MG Oral Tablet
51660035230 Acid Reducer 75 MG Oral Tablet
51660035260 Acid Reducer 75 MG Oral Tablet
62011014201 HM Famotidine 10 MG Oral Tablet
62011014301 HM Famotidine 20 MG Oral Tablet
62011028201 HM Acid Reducer Max Strength 150 MG Oral Tablet
62011028301 HM Acid Reducer 75 MG Oral Tablet
62011028302 HM Acid Reducer 75 MG Oral Tablet
63868048625 QC Acid Controller Max St 20 MG Oral Tablet
63868071430 QC Acid Controller 10 MG Oral Tablet
70000037501 Acid Reducer 75 MG Oral Tablet 9/25/2020
70000037701 Acid Control Maximum Strength 150 MG Oral Tablet
70000037801 Acid Control Maximum Strength 150 MG Oral Tablet
00113011701 GoodSense Lansoprazole 15 MG Oral Capsule DR
00113011702 GoodSense Lansoprazole 15 MG Oral Capsule DR
00113011703 GoodSense Lansoprazole 15 MG Oral Capsule DR
00113052055 Omeprazole 20 MG Oral Tab DR Disint
00113052074 Omeprazole 20 MG Oral Tab DR Disint
00113089801 GoodSense Esomeprazole 20 MG Oral Capsule DR
00113089802 GoodSense Esomeprazole 20 MG Oral Capsule DR
2019 Q4 Page 76 of 79
NDC Drug Name Term Date
00113089803 GoodSense Esomeprazole 20 MG Oral Capsule DR
00113091530 Omeprazole 20 MG Oral Tablet DR
00113091555 Omeprazole 20 MG Oral Tablet DR
00113091574 Omeprazole 20 MG Oral Tablet DR
00536103413 Heartburn Treatment 24 Hour 15 MG Oral Capsule DR
00536103488 Heartburn Treatment 24 Hour 15 MG Oral Capsule DR
00904583441 Omeprazole 20 MG Oral Tablet DR
00904583442 Omeprazole 20 MG Oral Tablet DR
00904583471 Omeprazole 20 MG Oral Tablet DR
36800091501 Omeprazole 20 MG Oral Tablet DR
36800091503 Omeprazole 20 MG Oral Tablet DR
36800091530 Omeprazole 20 MG Oral Tablet DR
36800091555 Omeprazole 20 MG Oral Tablet DR
36800091574 Omeprazole 20 MG Oral Tablet DR
45802088830 Omeprazole 20 MG Oral Tablet DR
45802088855 Omeprazole 20 MG Oral Tablet DR
46122002903 GNP Omeprazole 20 MG Oral Tablet DR
46122002904 GNP Omeprazole 20 MG Oral Tablet DR
46122002974 GNP Omeprazole 20 MG Oral Tablet DR
46122002999 GNP Omeprazole 20 MG Oral Tablet DR
46122010703 GNP Lansoprazole 15 MG Oral Capsule DR
46122010704 GNP Lansoprazole 15 MG Oral Capsule DR
46122010774 GNP Lansoprazole 15 MG Oral Capsule DR
46122028104 GNP Omeprazole 20 MG Oral Tablet DR
46122028174 GNP Omeprazole 20 MG Oral Tablet DR
49348030146 SM Lansoprazole 15 MG Oral Capsule DR
49348030161 SM Lansoprazole 15 MG Oral Capsule DR
49348084646 SM Omeprazole 20 MG Oral Tablet DR
49348084661 SM Omeprazole 20 MG Oral Tablet DR
49348084678 SM Omeprazole 20 MG Oral Tablet DR
55111039727 Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR
55111039733 Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR 5/31/2013
55111039752 Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR
62011015701 HM Omeprazole 20 MG Oral Tablet DR
62011015702 HM Omeprazole 20 MG Oral Tablet DR
62011015703 HM Omeprazole 20 MG Oral Tablet DR
62011016801 HM Lansoprazole 15 MG Oral Capsule DR
62011016803 HM Lansoprazole 15 MG Oral Capsule DR
62011033201 HM Esomeprazole Magnesium DR 20 MG Oral Capsule DR
62011033202 HM Esomeprazole Magnesium DR 20 MG Oral Capsule DR
62011033203 HM Esomeprazole Magnesium DR 20 MG Oral Capsule DR
63868017715 QC Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR
63868017742 QC Omeprazole Magnesium 20.6 (20 Base) MG Oral Capsule DR
2019 Q4 Page 77 of 79
NDC Drug Name Term Date
63868042514 QC Esomeprazole Magnesium 20 MG Oral Capsule DR
70000023201 Acid Reducer 20.6 (20 Base) MG Oral Capsule DR
70000023202 Acid Reducer 20.6 (20 Base) MG Oral Capsule DR
70000023203 Acid Reducer 20.6 (20 Base) MG Oral Capsule DR
70000025501 Heartburn Treatment 24 Hour 20 MG Oral Capsule DR 4/25/2020
70000035601 Omeprazole 20 MG Oral Tablet DR 7/11/2020
70000035602 Omeprazole 20 MG Oral Tablet DR 5/30/2020
70000035603 Omeprazole 20 MG Oral Tablet DR 7/18/2020
70000035604 Omeprazole 20 MG Oral Tablet DR
70000038101 Omeprazole 20 MG Oral Tab DR Disint
70000038102 Omeprazole 20 MG Oral Tab DR Disint
70677001601 SM Esomeprazole Magnesium 20 MG Oral Capsule DR
70677001603 SM Esomeprazole Magnesium 20 MG Oral Capsule DR
36800032163 Dual Action Complete 10-800-165 MG Oral Tablet Chewable
36800032171 Dual Action Complete 10-800-165 MG Oral Tablet Chewable
36800054663 Dual Action Complete 10-800-165 MG Oral Tablet Chewable
36800054671 Dual Action Complete 10-800-165 MG Oral Tablet Chewable
70000041601 Acid Reducer Complete 10-800-165 MG Oral Tablet Chewable
*URINARY ANTISPASMODICS*
00023963708 Oxytrol For Women 3.9 MG/24HR Transdermal Patch TW
52544016608 Oxytrol For Women 3.9 MG/24HR Transdermal Patch TW 9/30/2020
*VAGINAL AND RELATED PRODUCTS*
00113008100 Miconazole 3 Combo Pack 200 & 2 MG-% (9GM) Vaginal Kit
00113021429 Miconazole 7 2 % Vaginal Cream
00113082529 Miconazole 7 2 % Vaginal Cream
00113091600 GoodSense Miconazole 1 1200 & 2 MG & % Vaginal Kit
00472022041 Clotrimazole 1 % Vaginal Cream
00472022063 Clotrimazole 1 % Vaginal Cream
00472073041 Miconazole Nitrate 2 % Vaginal Cream
00472073063 Miconazole Nitrate 2 % Vaginal Cream
00472173607 Miconazole 7 100 MG Vaginal Suppository
00713019757 Miconazole Nitrate 100 MG Vaginal Suppository 8/31/2020
00904541501 Miconazole 3 Combo Pack 200 & 2 MG-% (9GM) Vaginal Kit
00904773445 Miconazole 7 2 % Vaginal Cream
24385011009 GNP Clotrimazole 3 2 % Vaginal Cream
24385059029 GNP Miconazole 7 2 % Vaginal Cream
24385060602 GNP Miconazole 3 200 & 2 MG-% (9GM) Vaginal Kit
36800006200 Clotrimazole 3 2 % Vaginal Cream
36800007009 Miconazole 3 4 % Vaginal Cream
36800008100 Miconazole 3 Combo Pack 200 & 2 MG-% (9GM) Vaginal Kit
36800011036 Medicated Feminine Douche 0.3 % Vaginal Solution
36800019900 Miconazole 1 1200 & 2 MG & % Vaginal Kit
36800042654 Tioconazole-1 6.5 % Vaginal Ointment
36800073745 Miconazole 1 1200 & 2 MG & % Vaginal Kit
2019 Q4 Page 78 of 79
NDC Drug Name Term Date
36800082529 Miconazole 7 2 % Vaginal Cream
36800098200 Miconazole 3 Applicator 200 & 2 MG-% (9GM) Vaginal Kit
37205058303 Miconazole 3 Vaginal Kit
37205058903 Miconazole 3 Combo Pack 200 & 2 MG-% (9GM) Vaginal Kit 9/19/2000
46122014404 GNP Miconazole 3 Applicator 200 & 2 MG-% (9GM) Vaginal Kit
49348035543 SM Miconazole 3 200 & 2 MG-% (9GM) Vaginal Kit
49348037954 SM 3-Day Vaginal 2 % Vaginal Cream
49348050859 SM Tioconazole-1 6.5 % Vaginal Ointment
49348053077 SM Miconazole 7 2 % Vaginal Cream
49348064573 SM Miconazole 3 Applicator 200 & 2 MG-% (9GM) Vaginal Kit
49348079376 SM Clotrimazole Vaginal 1 % Vaginal Cream
49348083361 SM Miconazole 7 100 MG Vaginal Suppository
49348087277 SM Miconazole 7 2 % Vaginal Cream
51672200306 Clotrimazole 1 % Vaginal Cream
51672203506 Miconazole Nitrate 2 % Vaginal Cream
51672206200 3 Day Vaginal 2 % Vaginal Cream
63868019725 QC 3 Day 4 % Vaginal Cream
63868019845 QC Miconazole 7 2 % Vaginal Cream
70000000901 Miconazole 7 2 % Vaginal Cream
70000002501 Miconazole 3 Combo Pack 200 & 2 MG-% (9GM) Vaginal Kit
70000031501 Miconazole 1 1200 & 2 MG & % Vaginal Kit
70000035701 Tioconazole-1 6.5 % Vaginal Ointment
*VITAMINS*
63044040101 Vitamin D3 250 MCG (10000 UT) Oral Capsule
49483001401 Niacin ER 250 MG Oral Capsule ER
49483001410 Niacin ER 250 MG Oral Capsule ER
49483001801 Niacin ER 500 MG Oral Capsule ER
2019 Q4 Page 79 of 79