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Division of Federal Employees' Compensation (DFEC)

DFEC List of National Drug Codes (NDCs) That Will Deny

On February 14, 2018, DFEC published FECA CIRCULAR 18-05, Medication "Convenience" Kits and Combination Medications. On February 22, 2019, DFEC published FECA Circular 19-05 (FDA Medical Devices).

In accordance with the discretion granted to DOL and delegated to OWCP, DFEC has instituted a new policy pertaining to payment of specific NDCs (for both medications and FDA Medical Devices). Payment will deny if DFEC has determined that the items in the kit, medication or FDA medical device can typically be obtained separately and/or at a lower cost, there is a reasonable alternative or substitute; or the primary use is for a condition not normally not caused by a workers' compensation injury. A strict exception based policy is described in the Circulars.

DFEC's list of denied NDCs can be found below, with the effective date of the denial. DFEC will continuously and regularly review and evaluate NDCs in accordance with the above policy and set the corresponding NDC to deny. As new NDCs are added, this list will be updated. Providers are expected to review this list prior to dispensing to determine if the NDC will be covered for payment.

DFEC List of National Drug Codes (NDCs) That Will Deny

Effective Date of Denial

NDC

Name

02/28/2018

45861010801

ACTIVE-PAC KIT

02/28/2018

69677004002

CAPXIB KIT

02/28/2018

69677004003

CAPXIB KIT

02/28/2018

59088035100

DERMACINRX CINLONE-I CPI KIT

02/28/2018

59088039100

DERMACINRX CLORHEXACIN KIT

02/28/2018

59088081000

DERMACINRX EMPRICAINE KIT

02/28/2018

59088034300

DERMACINRX LEXITRAL PHARMAPAK

02/28/2018

59088080700

DERMACINRX PHN PAK

02/28/2018

59088087300

DERMACINRX PRIZOPAK KIT

02/28/2018

59088033600

DERMACINRX SILAPAK

02/28/2018

59088036700

DERMACINRX SILAPAK

02/28/2018

59088036300

DERMACINRX SILAZONE PHARMAPAK

02/28/2018

59088035300

DERMACINRX SURGICAL PHARMAPAK

02/28/2018

59088080500

DERMACINRX ZRM PAK

02/28/2018

69329033500

DERMASILKRX DICLOPAK

02/28/2018

69329025001

DERMASILKRX SDS PAK

02/28/2018

69329029001

DERMAWERX SDS PAK

02/28/2018

69329027001

DERMAWERX SURGICAL PLUS PAK

02/28/2018

69621039300

DERMAZONE 0.1% KIT

02/28/2018

69621080500

DERMAZYL KIT

02/28/2018

69621081400

DICLO GEL 1%-XRYLIX SHEET KIT

02/28/2018

69336082701

DICLOZOR KIT

02/28/2018

75987001003

DUEXIS

02/28/2018

59088084600

ELLZIA PAK

02/28/2018

59088009300

INFLAMMACIN KIT

02/28/2018

70350520001

INFLAMMA-K KIT

02/28/2018

45861001705

LENZAPATCH 4-1% patch

02/28/2018

69336082501

LIDOPRIL 2.5%-2.5% CREAM-DRESS

02/28/2018

69336082601

LIDOPRIL XR 2.5-2.5% CRM-DRESS

02/28/2018

69176014000

LIDO-PRILO CAINE PACK

02/28/2018

69621081100

LIDOTRANS 5 PAK

02/28/2018

69677006002

LIDOXIB KIT

02/28/2018

69677006003

LIDOXIB KIT

02/28/2018

69665061001

LIPROZONEPAK 2.5-2.5% CRM-DRSS

02/28/2018

59088008300

MIGRANOW KIT

02/28/2018

75987004005

PENNSAID 2% solution

02/28/2018

59088039300

SILAZONE-II KIT

02/28/2018

69677006302

SMARTRX GABAKIT

02/28/2018

69677006902

SMARTRX GABA-V KIT

02/28/2018

69621081200

TICALAST NASAL SPRAY KIT

02/28/2018

59088039200

TICANASE KIT

02/28/2018

69621039200

TICASPRAY KIT

02/28/2018

69621039400

TRI-SILA TOPICAL KIT

02/28/2018

69621034300

XELITRAL PACK

02/28/2018

69621009300

XENAFLAMM KIT

02/28/2018

70350521801

XILAPAK KIT

02/28/2018

69621082200

XRYLIDERM 5% KIT

02/28/2018

59088036500

XRYLIX 1.5% KIT

02/28/2018

69621082100

ZEYOCAINE 5% KIT

05/11/2018

15455950401

LIVIXIL PAK

05/11/2018

53225102201

LIDOPRO

05/11/2018

59088039654

LIDOCAINE PATCH

05/11/2018

59088039682

LIDOCAINE PATCH

05/11/2018

69166010590

RELADOR PAK W/OCCLUSIVE DRESSING

05/11/2018

70859000201

NUTRIARX CREAM PAK

05/11/2018

70859000301

NUDICLO SOLU PAK

05/11/2018

70859000401

NUDICLO TABPAK

05/11/2018

75987003004

VIMOVO

05/11/2018

75987003104

VIMOVO

05/21/2018

50488112901

NEW TEROCIN MENTHOL

06/19/2018

15455952801

AGONEAZE

06/19/2018

69621036500

DICOFENAC SODIUM (SOLUTION) - LEXIXRYL

06/19/2018

70512001115

LIDOCAINE/MENTHOL (LENZAPRO)

06/19/2018

71248000303

DICOFENAC SODIUM/MENTHOL (DITHOL)

06/19/2018

71800063115

LIDOCAINE/TETRACAINE

06/19/2018

13107011630

OMEPRAZOLE AND SODIUM BICARBONATE

06/19/2018

27241003103

OMEPRAZOLE AND SODIUM BICARBONATE

06/19/2018

50488100101

TEROCIN MENTHOL (PATCH)

06/19/2018

51672302002

LIDOCAINE (OINTMENT)

06/19/2018

53225102301

LIDOPRO (PATCH)

06/19/2018

70512002505

DICOFENAC SODIUM (SOLUTION)

06/19/2018

70512002655

LIDOCAINE (OINTMENT)

06/19/2018

71085000205

DICLOFENAC SODIUM (SOLUTION)

06/19/2018

76074012321

MEDI-SULTING TOPICAL LIDOCAINE (PATCH)

06/19/2018

69621037107

LIDOCAINE 3.88% CREAM

06/19/2018

69621081300

DICLO GEL 1%

06/19/2018

70512002755

LIDOCAINE 5% OINTMENT

06/19/2018

71248000103

ANODYNE LPT

07/18/2018

68682010230

OMEPRAZOLE AND SODIUM BICARBONATE

07/18/2018

68682010430

OMEPRAZOLE AND SODIUM BICARBONATE

07/18/2018

69665021630

OMEPRAZOLE AND SODIUM BICARBONATE

07/18/2018

27241003203

OMEPRAZOLE AND SODIUM BICARBONATE

07/18/2018

55628904704

TROLAMINE SALICYLATE 10 % TOPICAL LOTION

07/22/2018

76420071501

ACCUCAINE KIT

07/22/2018

76420022001

TRILOAN SUIK KIT

07/22/2018

76420023001

MARVONA SUIK KIT

08/08/2018

70859003401

NUDROXIPAK DSDR-75

08/08/2018

70859003301

NUDROXIPAK DSDR-50

09/14/2018

All NDCs in Therapeutic Class S2U

NSAID AND TOPICAL IRRITANT COUNTER-IRRITANT COMBINATIONS

09/14/2018

All NDCs in Therapeutic Class H6G

SKELETAL MUSCLE RELAXANT AND TOPICAL IRRITANT COUNTER-IRRITANT COMBINATIONS

09/14/2018

All NDCs in Therapeutic Class S20

NSAIDS COX-2 SELECTIVE INHIBITOR AND TOPICAL IRRITANT COUNTER-IRRITANT COMBINATIONS

09/19/2018

53149210004

NULIDO MENTHOL GEL

09/19/2018

53225103001

VIVA METHYL SALICYLATE PATCH

09/19/2018

59088037107

DERMACINRX LIDOTRAL LIDOCAINE CREAM

09/19/2018

45861001405

MEDROX CAPSAICIN

09/19/2018

50488100202

TERODERM CREAM

09/19/2018

50488140101

CAPSAISIN/MENTHOL

09/19/2018

59088037210

DICLOFENAC SODIUM

09/19/2018

67877047379

LIDOCAINE

09/19/2018

69379001617

VELMA PAIN RELIEF PATCH

09/19/2018

69499001115

MAC PATCH

09/19/2018

69889002715

CMX TOPICAL PAIN

09/19/2018

70350261806

LIDO-K

09/19/2018

75840009301

SANADERMRX SKIN REPAIR

09/19/2018

50488170101

MENCAPS METHOL PATCH

09/19/2018

69621070700

TRIXYLITRAL

09/19/2018

69621080700

NEURCAINE

09/19/2018

69621084100

SILALITE PAK

10/05/2018

70877555501

Dolotranz KIT (Lidocaine and Prilocaine)

10/05/2018

76420052001

EnovaRX Physicians EZ use M - Pred KIT

10/05/2018

55628910704

ULTRACIN M 5% GEL

10/05/2018

59088028307

CAMPHOTREX 4%-10% ROLL-ON GEL

10/05/2018

59088037500

KLOFENSAID II 1.5% TOPICAL SOL

10/05/2018

69336082801

PRILOLID 2.5-2.5% CRM-DRESS

10/05/2018

69499000331

CYCLOBENZAPRINEPAX COMBO PACK

10/05/2018

69512000101

ALIVIO 5%-0.03% PATCH

12/11/2018

69336083101

VEXASYN

12/11/2018

35781030003

LIDORX 3% GEL

12/11/2018

45861000615

ENDOXCIN 4% - !% PATCH

12/11/2018

69440000815

THRITEX 5% PATCH

12/11/2018

50488100200

TERODERM CREAM

12/11/2018

50488100201

TERODERM CREAM

12/11/2018

50488100203

TERODERM CREAM

12/11/2018

72275070177

PRILOVIX 2.5%-2.5% CREAM DRESS

12/11/2018

71085000130

LIDOCAINE 5% OINTMENT

12/11/2018

69621082800

PRIKAAN

12/12/2018

51672300803

LIDOCAINE OINTMENT

12/12/2018

71300656403

DEXONTO 0.4% SOL

12/12/2018

27495001404

DENDRACIN LOTION

12/12/2018

45861000301

MENTHODERM OINTMENT

12/12/2018

51021016406

LIDOZION LIDOCAINE LOTION

12/12/2018

69336083030

LIDOTREX 2% WOUND GEL

12/12/2018

69336083530

LIDOTREX 2%-1.2%-1% WOUND GEL

12/12/2018

70350520101

NOXIPAK TOPICAL KIT

12/12/2018

76420045012

CALYPXO PAIN RELIEF

12/12/2018

76420052401

PHYSICIAN EZ JOINT TUNNEL/TRIGGER KIT

12/12/2018

76420093101

BACLOFEN CREAM 1%

12/12/2018

76420094101

NAPROXEN CREAM 10%

12/12/2018

76420096101

LIDOCAINE CREAM 5%

12/12/2018

76420097101

LIDOCAINE CREAM 10%

12/12/2018

76420098101

IBU/MIREX CREAM 10%

12/12/2018

00395609058

SILOSOME CREAM BASE

12/12/2018

69621081000

PRIKAAN LITE 2.5-2.5% CRM

01/31/2019

71085001150

LIDOCAINE

01/31/2019

55700004810

TEROCIN PATCH

01/31/2019

67877047380

LIDOCAINE 5% OINTMENT

01/31/2019

00395011259

SANARE ADV SCAR THERAPY BASE

01/31/2019

52565000814

LIDOCAINE 5% OINTMENT

01/31/2019

76420093006

BACLOFEN CREAM

01/31/2019

76420098006

IBUPROFEN CRE 10%

02/23/2019

15455956601

KAMDOY SKIN EMULSION SPRAY

02/23/2019

70350261501

SIL-K PAD

02/23/2019

69336080204

SILIVEX PAD

02/23/2019

72057000101

ATOPADERM CREAM

02/23/2019

70569002602

SYNERDERM SKIN EMULSION

02/23/2019

35781250003

ASTERO LIDOCAINE GEL

02/23/2019

42546071005

PRUMYX

02/23/2019

51224045010

NIVATOPIC PLUS

02/23/2019

72275070377

PRILOVIX PLUS 2.5%-2.5% CREAM

02/23/2019

00395700159

LAVARE WOUND WASH GEL BASE

02/23/2019

72137055515

1st MEDXPATCH

02/23/2019

71300644201

FROTEK CREAM 10%

02/23/2019

70877858801

TALIVA

04/11/2019

69597030130

ORTHO DF

04/11/2019

70112015505

LEVIGOSP PAIN RELIEVING SPRAY

04/11/2019

76420094701

EXOTEN-C PAIN RELIEF LOTION

04/11/2019

68462041827

LIDOCAINE 5% OINTMENT

04/11/2019

71205013815

DICLOFENAC 1.5% TOPICAL SOLN

04/11/2019

51927465500

PRACASIL TM-PLUS GEL

04/11/2019

72380018303

SILTREX 2"X5.5" PAD

04/11/2019

70569002502

PHLAG SPRAY SKIN EMULSION

04/20/2019

71300657301

DICLOFONO 1.6% GEL PACKET

04/20/2019

68405001601

TREPADONE CAPSULE

04/20/2019

71574040005

LIDOZENPATCH 4%-1%

05/04/2019

69837039905

DICLOFENAC SODIUM TRANSDERMAL SOULTION 1.5 %

05/04/2019

51021015005

DICLOFENAC SODIUM TRANSDERMAL SOULTION 1.5 %

05/04/2019

45861006205

DICLOFENAC SODIUM TRANSDERMAL SOULTION 1.5 %

05/04/2019

61919039205

DICLOFENAC SODIUM TRANSDERMAL SOULTION 1.5 %

05/04/2019

51021025005

DICLOFENAC SODIUM TRANSDERMAL SOULTION 1.5 %

05/04/2019

63187079115

DICLOFENAC SODIUM TRANSDERMAL SOULTION 1.5 %

05/04/2019

70512002505

DICLOFENAC SODIUM TRANSDERMAL SOULTION 1.5 %

06/08/2019

71800063104

LIDOCAINE-TETRACAINE 7%-7% CRM

06/08/2019

71800063108

LIDOCAINE-TETRACAINE 7%-7% CRM

06/08/2019

70112015001

LEVIGOLT 4%-1% CREAM

06/08/2019

38779295208

COPASIL GEL BASE

06/08/2019

63187091730

LIDOZENPATCH 4%-1%

06/08/2019

69336080828

SUVICORT 2% EMULSION

06/08/2019

70350180000

PICODERM CREAM

06/08/2019

72275071077

PRILOVIX LITE 2.5%-2.5% CREAM

06/08/2019

72678000101

SCARSILK 5 CM X 14 CM PAD

06/08/2019

50488120101

LIMENCIN PATCH

06/08/2019

70645026311

LIDOCAINE-MENTHOL 4%-4% SPRAY

06/22/2019

69499034230

BUTALBITAL-ACETAMINOPHN 50-300

06/22/2019

38779295308

ALPAWASH OINTMENT

06/22/2019

63187067715

DICLOFENAC 1.5% TOPICAL SOLN

06/22/2019

00168035756

LIDOCAINE-PRILOCAINE

06/22/2019

53225360001

READYSHARP LIDOCAINE

06/22/2019

53225365501

READYSHARP KETOROLAC

06/22/2019

53225366001

READYSHARP DEXAMETHASONE

06/22/2019

53225366501

READYSHARP BETAMETHASONE

06/22/2019

69263082101

PRO-C-DURE 6

06/22/2019

76420027001

DMT SUIK

06/22/2019

59088071200

LIDOPURE PATC

07/19/2019

69420800101

SCARCINPAD 1.57"X5.12" SHEET

07/19/2019

51927467800

BASE, PCCA SPIRA-WASH GEL

07/19/2019

72275070477

FLUOXIV CREAM KIT

07/19/2019

70199001401

FEXMID 7.5 MG TABLET

07/19/2019

00168020437

LIDOCAINE 5% OINTMENT

07/19/2019

55111036430

OMEPRAZOLE-BICARB 40-1,100 CAP

07/19/2019

50488626201

LIDOCAINE HCL 4% CREAM

07/19/2019

59088071400

ZILACAINE PAT

08/27/2019

70720011599

QMIIZ ODT 15MG

08/27/2019

70720017599

QMIIZ ODT 7.5 MG

08/27/2019

50488113001

LIMENCIN LOTION

08/27/2019

59088070100

ESOMEP-EZS KIT

08/27/2019

50436000201

DICLOFENAC 1.5% TOPICAL SOLN

08/27/2019

59088070500

PRIZOTRAL 2.5%-2.5%-3.88% CRM

08/27/2019

61919054810

TEROCIN PATCH

08/27/2019

71205006215

DICLOFENAC 1.5% TOPICAL SOLN

08/27/2019

69067024020

CARBINOXAMINE MALEATE 6 MG

08/27/2019

72275071177

PRILOVIX LITE PLUX EXTERNAL KIT 2.5-2.5%

08/27/2019

72275070277

DICLOVIX COMBINATION KIT 1.5 & 2-2.5 4%

08/27/2019

45861006401

FLUOCINONIDE

08/27/2019

71085000401

FLUOCINONIDE

08/27/2019

68462050566

FLUOCINONIDE

08/27/2019

68462050565

FLUOCINONIDE

08/27/2019

45861006130

LIDOCAINE 5 % TOPICAL OINTMENT

08/27/2019

69336010335

LIDOCAINE

08/27/2019

69499031635

LIDOCAINE 5 % TOPICAL OINTMENT

08/27/2019

51672302009

LIDOCAINE 5 % TOPICAL OINTMENT

08/27/2019

68462041820

LIDOCAINE

08/27/2019

60846070150

LIDOCAINE 5 % TOPICAL OINTMENT

08/30/2019

00074105205

LUPANETA PACK

08/30/2019

00074105305

LUPANETA PACK

08/30/2019

00074210803

LUPRON DEPOT-PED

08/30/2019

00074228203

LUPRON DEPOT-PED

08/30/2019

00074244003

LUPRON DEPOT-PED

08/30/2019

00074364103

LUPRON DEPOT

08/30/2019

00074366303

LUPRON DEPOT

08/30/2019

00074377903

LUPRON DEPOT-PED

08/30/2019

00074969403

LUPRON DEPOT-PED

08/30/2019

00113017324

COMPLETE LICE TREATMENT

08/30/2019

00187161104

ACNEFREE SEVERE

08/30/2019

00280902011

RID

08/30/2019

08470210001

AMIELLE VAGINAL TRAINER

08/30/2019

08470215001

AMIELLE VAGINAL TRAINER

08/30/2019

08479012301

CLEARBLUE

08/30/2019

08479012401

CLEARBLUE

08/30/2019

08479021101

CLEARBLUE

08/30/2019

08479021201

CLEARBLUE

08/30/2019

08597111113

CONCEPTION

08/30/2019

10939011844

PREGNANCY TEST

08/30/2019

10939016233

PREGNANCY TEST

08/30/2019

10939016333

PREGNANCY TEST

08/30/2019

10939016433

PREGNANCY TEST

08/30/2019

10939055533

LICE SOLUTION

08/30/2019

11822027750

PREGNANCY TEST

08/30/2019

11822031525

LICE SOLUTION

08/30/2019

11822242740

OVULATION PREDICTOR

08/30/2019

11822306640

PREGNANCY TEST

08/30/2019

11822307480

DENTAL TRAVEL PACK

08/30/2019

11822396970

PREGNANCY TEST

08/30/2019

11822515260

PREGNANCY TEST

08/30/2019

11822515800

PREGNANCY TEST

08/30/2019

11917004916

ONE STEP OVULATION TEST

08/30/2019

11917007367

ONE STEP PREGNANCY TEST

08/30/2019

11917007369

ONE STEP PREGNANCY TEST

08/30/2019

11917014919

OVULATION PREDICTOR

08/30/2019

11917014925

OVULATION PREDICTOR

08/30/2019

11917014926

EARLY PREGNANCY TEST

08/30/2019

11917016812

OVULATION PREDICTOR

08/30/2019

11917016818

PREGNANCY TEST

08/30/2019

13925016420

LIDOCAINE-HYDROCORTISONE

08/30/2019

13925016520

LIDOCAINE-HYDROCORTISONE

08/30/2019

15718010340

OCUSOFT LID SCRUB

08/30/2019

16500050492

RID

08/30/2019

16500052990

RID

08/30/2019

18029083008

Q-CARE RX

08/30/2019

18029083016

Q-CARE RX

08/30/2019

18029083017

Q-CARE RX

08/30/2019

24385047210

OVULATION PREDICTOR

08/30/2019

24385047412

ONE STEP PREGNANCY TEST

08/30/2019

24385047441

ONE STEP PREGNANCY TEST

08/30/2019

24385063423

LICE SOLUTION

08/30/2019

24470090692

BP WASH ACNE TREATMENT

08/30/2019

24470090792

BP WASH ACNE TREATMENT

08/30/2019

25715024950

RECONSTITUBE

08/30/2019

33472000333

CLEARBLUE

08/30/2019

33472000450

CLEARBLUE

08/30/2019

33472002220

CLEARBLUE

08/30/2019

33472002225

CLEARBLUE

08/30/2019

37205051903

LICE SOLUTION

08/30/2019

41163025093

ONE STEP PREGNANCY TEST

08/30/2019

41163025094

ONE STEP PREGNANCY TEST

08/30/2019

41415002476

PREGNANCY TEST

08/30/2019

42546027001

SALICYLIC ACID

08/30/2019

42783063330

BENZODOX 30

08/30/2019

42783066360

BENZODOX 60

08/30/2019

42808039916

SALICYLIC ACID

08/30/2019

43063003892

COMFORT PAC-IBUPROFEN

08/30/2019

43063023792

COMFORT PAC-TIZANIDINE

08/30/2019

43063026892

COMFORT PAC-MELOXICAM

08/30/2019

43538010160

SUMAXIN CP

08/30/2019

43538017169

CLINDACIN PAC

08/30/2019

43538017360

CLINDACIN ETZ

08/30/2019

43538018145

ROSADAN

08/30/2019

43538018345

ROSADAN

08/30/2019

43538019116

SUMADAN

08/30/2019

43538025120

URAMAXIN GT

08/30/2019

43538031030

CENTANY AT

08/30/2019

43538051112

GENADUR

08/30/2019

43538055160

LOPROX

08/30/2019

43538060130

MORGIDOX

08/30/2019

43538061160

MORGIDOX

08/30/2019

43538062130

MORGIDOX

08/30/2019

43538092160

SYNALAR TS

08/30/2019

43538092190

SYNALAR TS

08/30/2019

43538095104

CLODAN

08/30/2019

43538097160

BESER KIT

08/30/2019

43684020021

AVIDOXY DK

08/30/2019

44087122501

CETROTIDE

08/30/2019

44523060923

SODIUM SULFACETAMIDE-SULFUR

08/30/2019

45861013301

ACTIVE INJECTION KIT D

08/30/2019

49022009066

ONE STEP PREGNANCY TEST

08/30/2019

49022037696

COMPLETE LICE TREATMENT

08/30/2019

49035017362

COMPLETE LICE TREATMENT

08/30/2019

49281051005

PENTACEL

08/30/2019

49348012619

LICE SOLUTION

08/30/2019

49348023200

PREGNANCY TEST

08/30/2019

49348023257

PREGNANCY TEST

08/30/2019

49348048719

LICE SOLUTION

08/30/2019

49348081233

PREGNANCY TEST

08/30/2019

49348087000

PREGNANCY TEST

08/30/2019

49771000201

MITOSOL

08/30/2019

49771000203

MITOSOL

08/30/2019

49836000118

P-CARE M

08/30/2019

49836000220

P-CARE MG

08/30/2019

49836000318

P-CARE X

08/30/2019

49836000519

P-CARE K40G

08/30/2019

49836000617

P-CARE K40

08/30/2019

49836000818

P-CARE K80

08/30/2019

49836000920

P-CARE K80G

08/30/2019

49836001117

P-CARE D40

08/30/2019

49836001219

P-CARE D40G

08/30/2019

49836001418

P-CARE D80

08/30/2019

49836001520

P-CARE D80G

08/30/2019

49836001623

D-CARE 100X

08/30/2019

49836001817

POD-CARE 100C

08/30/2019

49836001919

POD-CARE 100CG

08/30/2019

49836002117

POD-CARE 100K

08/30/2019

49836002219

POD-CARE 100KG

08/30/2019

49836002410

ANESTHESIA S/I-60

08/30/2019

49836002509

ANESTHESIA S/I-40

08/30/2019

49836002609

ANESTHESIA S/I-40S

08/30/2019

49836002709

ANESTHESIA S/I-40A

08/30/2019

49836002809

ANESTHESIA S/I-40H

08/30/2019

49836003205

LIQUIVIDA HYDRATION KIT

08/30/2019

49836052701

B-12 COMPLIANCE

08/30/2019

50428008199

EARLY RESULT PREGNANCY TEST

08/30/2019

50428025544

DIGITAL PREGNANCY TEST

08/30/2019

50428029873

EARLY PREGNANCY TEST

08/30/2019

50428032937

EARLY RESULT PREGNANCY TEST

08/30/2019

50428037827

ONE STEP PREGNANCY TEST

08/30/2019

50428041260

ONE STEP PREGNANCY TEST

08/30/2019

50428042232

LICE SOLUTION

08/30/2019

50428042299

ONE STEP PREGNANCY TEST

08/30/2019

50428043575

EARLY RESULT PREGNANCY TEST

08/30/2019

50428051703

PREGNANCY TEST

08/30/2019

50428181257

LICE SOLUTION

08/30/2019

50428402513

FIRST AID KIT

08/30/2019

50428461007

OVULATION PREDICTOR

08/30/2019

51021044006

PRO DNA MEDICATED COLLECTION

08/30/2019

53225380001

READYSHARP LIDOCAINE

08/30/2019

54288124901

PRO DNA COLLECTION

08/30/2019

54288126001

ADV ALLERGY COLLECTION KIT

08/30/2019

55289040392

COMFORT PAC-CYCLOBENZAPRINE

08/30/2019

55289046692

COMFORT PAC-NAPROXEN

08/30/2019

59088070600

NUVAKAAN

08/30/2019

59088071100

APRIZIO PAK

08/30/2019

59088077120

LIDOCAINE-HYDROCORTISONE

08/30/2019

59088081624

LIDOCAINE-HYDROCORTISONE

08/30/2019

59088081920

LIDOCAINE-HYDROCORTISONE

08/30/2019

59088083820

LIDOCAINE-HYDROCORTISONE

08/30/2019

59779013909

CORN-CALLUS REMOVER

08/30/2019

67979000201

SUPPRELIN LA

08/30/2019

68025004030

ZYPRAM

08/30/2019

68135081102

BRINEURA

08/30/2019

69166015590

RELADOR PAK PLUS

08/30/2019

69166090901

PEG-PREP

08/30/2019

69176003501

TOXICOLOGY SALIVA COLLECTION

08/30/2019

69263082001

PRO-C-DURE 5

08/30/2019

69263082201

BETA 1

08/30/2019

69336020201

FLEXIPAK

08/30/2019

69336020301

DICLOPAK

08/30/2019

69336082001

PRO DNA COLLECTION

08/30/2019

69336082901

LIDOPAC

08/30/2019

69420900101

CAPSFENAC PAK

08/30/2019

69665082801

MEDOLOR PAK

08/30/2019

69677007102

MAS CARE-PAK

08/30/2019

69695197501

WHYTEDERM TDPAK

08/30/2019

69695197601

WHYTEDERM SURGIPAK

08/30/2019

69695197701

WHYTEDERM TRILASIL PAK

08/30/2019

69837000302

SURE RESULT TAC PAK

08/30/2019

69837030503

WPR PLUS

08/30/2019

70030013488

PREGNANCY TEST

08/30/2019

70030013489

PREGNANCY TEST

08/30/2019

70030014860

COMPLETE LICE TREATMENT

08/30/2019

70263044401

LEVA SET

08/30/2019

70350522601

SOLUPAK

08/30/2019

70350523601

MENTHO-CAINE

08/30/2019

70569084001

GIALAX

08/30/2019

70859000101

NUSURGEPAK

08/30/2019

70859002901

NUDROXIPAK

08/30/2019

70859003001

NUDROXIPAK I-800

08/30/2019

70859003201

NUDROXIPAK N-500

08/30/2019

70859003501

NUDROXIPAK E-400

08/30/2019

70859004701

NUTRIARX

08/30/2019

71894012002

ZOLGENSMA

08/30/2019

71894012103

ZOLGENSMA

08/30/2019

71894012203

ZOLGENSMA

08/30/2019

71894012303

ZOLGENSMA

08/30/2019

71894012404

ZOLGENSMA

08/30/2019

71894012504

ZOLGENSMA

08/30/2019

71894012604

ZOLGENSMA

08/30/2019

71894012705

ZOLGENSMA

08/30/2019

71894012805

ZOLGENSMA

08/30/2019

71894012905

ZOLGENSMA

08/30/2019

71894013006

ZOLGENSMA

08/30/2019

71894013106

ZOLGENSMA

08/30/2019

71894013206

ZOLGENSMA

08/30/2019

71894013307

ZOLGENSMA

08/30/2019

71894013407

ZOLGENSMA

08/30/2019

71894013507

ZOLGENSMA

08/30/2019

71894013608

ZOLGENSMA

08/30/2019

71894013708

ZOLGENSMA

08/30/2019

71894013808

ZOLGENSMA

08/30/2019

71894013909

ZOLGENSMA

08/30/2019

71894014009

ZOLGENSMA

08/30/2019

71894014109

ZOLGENSMA

08/30/2019

72380072701

SCARCARE

08/30/2019

72835040102

INFLATHERM

08/30/2019

76420022201

TRILOAN II SUIK

08/30/2019

76420024001

BETALOAN SUIK

08/30/2019

76420025001

TORONOVA SUIK

08/30/2019

76420025201

TORONOVA II SUIK

08/30/2019

76420026001

MEDROLOAN SUIK

08/30/2019

76420026201

MEDROLOAN II SUIK

08/30/2019

76420031301

CADIRA COMPLIANT BLOOD STAT

08/30/2019

76420052701

PHYSICIANS EZ USE B-12

08/30/2019

76420062001

ADVANCED DNA MEDICATED COLLECT

08/30/2019

76420063901

ADVANCED DNA MEDICATED COLLECT

08/30/2019

76420064101

LIDO BDK

08/30/2019

76420065001

TESTONE CIK

08/30/2019

78742009559

EARLY OVULATION TEST

08/30/2019

83490044003

BABY CONVERSION KIT

08/30/2019

83490044004

BABY CONVERSION KIT

08/30/2019

83490044006

BABY CONVERSION KIT

08/30/2019

87701009421

LICE SOLUTION

08/30/2019

87701040584

FIRST AID KIT

08/30/2019

87701055262

ONE STEP PREGNANCY TEST

08/30/2019

87701073831

OVULATION PREDICTOR

08/30/2019

87701089480

ONE STEP PREGNANCY TEST

08/30/2019

89137020001

REVEAL PREGNANCY TEST

08/30/2019

89137020002

REVEAL PREGNANCY TEST

08/30/2019

89137021007

REVEAL OVULATION TEST

08/30/2019

89137021020

REVEAL OVULATION PREDICTOR

08/30/2019

95863000100

CONCEPTION

08/30/2019

96295010313

ONE STEP PREGNANCY TEST

08/30/2019

96295010470

ONE STEP PREGNANCY TEST

08/30/2019

96295011218

OVULATION PREDICTOR

09/17/2019

71399242003

OMEPRAZOLE/SODIUM BICARBONATE 20/1100 MG CAPSULE

09/17/2019

13107011530

OMEPRAZOLE/SODIUM BICARBONATE ORAL CAPSULE 20-1100 MG

09/17/2019

27241002931

OMEPRAZOLE/SODIUM BICARBONATE ORAL PACKET 20-1680 MG

09/17/2019

27241002962

OMEPRAZOLE/SODIUM BICARBONATE ORAL PACKET 20-1680 MG

09/17/2019

49884026811

OMEPRAZOLE/SODIUM BICARBONATE ORAL PACKET 20-1680 MG

09/17/2019

49884026852

OMEPRAZOLE/SODIUM BICARBONATE ORAL PACKET 20-1680 MG

09/17/2019

55111036330

OMEPRAZOLE/SODIUM BICARBONATE ORAL Capsule 20-1100 MG

09/17/2019

68682099030

OMEPRAZOLE/SODIUM BICARBONATE ORAL PACKET 20-1680 MG

09/17/2019

69367019530

OMEPRAZOLE/SODIUM BICARBONATE ORAL CAPSULE 20-1100 MG

09/17/2019

69665011530

OMEPPI ORAL CAPSULE 20-1100 MG

09/17/2019

16714050801

OMEPRAZOLE/SODIUM BICARBONATE ORAL CAPSULE 20-1100 MG

09/17/2019

68382050106

OMEPRAZOLE/SODIUM BICARBONATE ORAL CAPSULE 20-1100 MG

09/17/2019

69097091302

OMEPRAZOLE/SODIUM BICARBONATE ORAL CAPSULE 20-1100 MG

09/17/2019

68012005230

ZEGERID ORAL PACKET 20-1680 MG

09/17/2019

68012010230

ZEGERID ORAL CAPSULE 20-1100 MG

09/17/2019

60505082901

FLUTICASONE PROPIONATE NASAL SPRAY

09/17/2019

65162025310

RANITIDINE HCI 150 MG TABLET

10/05/2019

69238127102

FLUOCINONIDE 0.1% CREAM

10/05/2019

50383093335

LIDOCAINE 5% OINTMENT

10/05/2019

63187072515

DICLOFENAC 1.5% TOPICAL SOLN

10/05/2019

71574080005

LIDOZEN - LIDOCAINE MENTHOL PATCH

10/05/2019

72594184608

NEPTUNE ICE PAIN RELIEF GEL

10/05/2019

72678000501

CELLPAD MEDICAL GRADE SILOCONE GEL MATRIX

10/05/2019

72678000301

ACESO SILICONE FOAM WOUND DRESSING

10/05/2019

72275071277

PRILOVIX ULTR

10/22/2019

50488104001

MENTHOL 4% CREAM

10/22/2019

50488102501

CAPSAICIN 0.025% CREAM

10/22/2019

51021037901

DICLOFEX DC

10/22/2019

52565000855

LIDOCAINE 5% OINTMENT

10/22/2019

38779297205

COPASIL GEL BASE

10/22/2019

69097091402

OMEPRAZOLE-BICARBONATE 40-1,100 CAPSULE

10/22/2019

72275071377

PRILOVIX ULTR

11/05/2019

51672135304

FLUOCINONIDE 0.1% CREAM

11/05/2019

62332042435

LIDOCAINE 5% OINTMENT

11/05/2019

64380078932

LIDOCAINE 5% OINTMENT

11/05/2019

62332042430

LIDOCAINE 5% OINTMENT

11/05/2019

38779276003

FLUTICASONE 100% MISC POWDER

11/20/2019

70981016506

LIDO-SORB EXTERNAL

11/20/2019

49884039711

OMEPRAZOLE-BICARB 20-1,100 CAP

11/20/2019

71905030001

DIMENTHO 1.5%-10% KIT

11/20/2019

71205033415

MENTHOZEN HYDROGEL 0.03% - 4% PATCH

11/20/2019

68382050206

OMEPRAZOLE-BICARB 40-1,100 CAP

11/28/2019

72275000215

CLM 2%-2.5%-4

12/27/2019

69499033060

CHLORZOXAZONE

12/27/2019

69336012410

FENOPROFEN CALCIUM

12/27/2019

69067010530

FOLIC-K

12/27/2019

61919067533

DICLOFENAC SODIUM DROPS

12/27/2019

69367019630

OMEPRAZOLE-SODIUM BICARBONATE 40MG

01/22/2020

38779297202

COPASIL GEL BASE

01/22/2020

50488102505

CAPSAICIN 0.025% CREAM

01/22/2020

51672135302

FLUOCINONIDE 0.1% CREAM

01/22/2020

55700059115

DICLOFENAC 1.5% TOPICAL SOLN

01/22/2020

69499032210

HYDROCORTISONE 1% ABSORBASE

01/22/2020

69665021530

OMEPRAZOLE-BICARB 20-1,100 CAP

01/22/2020

70645026211

LIDOCAINE HCL 4% CREAM

01/22/2020

70645040230

GENICIN VITA-Q TABLET

01/22/2020

71205030205

LIDOZENPATCH 4%-1%

01/22/2020

71800000960

DIFLORASONE 0.05% OINTMENT

01/22/2020

72835020102

VAROPHEN 1.5%-10%-15% KIT

01/22/2020

72835050102

LMR PLUS KIT

01/22/2020

72835060102

QUINIXIL KIT

01/22/2020

All NDCs in Therapeutic Class A9C

CALCIUM CHANNEL BLOCKER AND NSAID, COX-2 SELECTIVE INHIBITOR

02/13/2020

50383093355

LIDOCAINE OINTMENT

02/13/2020

15014040060

FENOPROPHEN 400 MG CAPSULE

02/13/2020

71205033430

MENTHOZEN HYDROGEL PATCH

02/13/2020

69420137501

NAPROXEN SODIUM ER

02/13/2020

35356064204

DENDRACIN LOTION

02/13/2020

63187091705

LIDOZENPATCH 4%-1%

02/13/2020

68682099130

OMEPRAZOLE-BICARB 40-1,680 PKT

02/13/2020

69176051802

CICATRACE 4.7"X5.7" PAD

02/13/2020

59088073800

GABACAINE KIT

02/13/2020

59088070300

IBU 600-EZS ORAL KIT

02/13/2020

59088073300

SILA III EXTERNAL THERAPY PACK

02/13/2020

59088073600

GPL PAK COMBINATION THERAPY

02/13/2020

59088073900

PRILOPENTIN COMBINATION THERAPY PACK

02/13/2020

59088074100

PRILO PATCH EXTERNAL KIT

02/13/2020

59088074300

LIDO GB-300 COMBINATION THERAPY PACK

03/23/2020

00591234101

METAXALONE ORAL TABLET 800 MG

03/23/2020

27241003031

OMEPRAZOLE-BICARB 40-1,680 PKT

03/23/2020

38779295205

COPASIL GEL BASE

03/23/2020

47781015301

NAPROXEN SOD CR 375 MG TABLET

03/23/2020

61919057704

LIDOPRO 4% OINTMENT

03/23/2020

69336040430

NICAZYME TABLET

03/23/2020

69420100101

CYCLOBENZAPRINE 7.5 MG TABLET

03/23/2020

69420100102

CYCLOBENZAPRINE 7.5 MG TABLET

03/23/2020

69420100103

CYCLOBENZAPRINE 7.5 MG TABLET

03/23/2020

69837050005

SURE RESULT DSS PREMIUM PACK

03/23/2020

70868090190

METHOCARBAMOL 750 MG TABLET

03/23/2020

71085001001

CYCLOBENZAPRINE 7.5 MG TABLET

03/23/2020

71800000301

CYCLOBENZAPRINE 7.5 MG TABLET

03/23/2020

72275000315

MLC 4%-2.5%-2% PATCH

03/23/2020

72275070577

ZENEVIX COMBINATION PACK 5 & 20% MG/ML

03/23/2020

72275070777

SOLARAVIX TRANSDERMAL THERAPY PACK 3%

03/23/2020

72275070877

LIDOVIX COMBINATION KIT 75 & 5 MG

03/23/2020

72275071477

MICROVIX LP EXTERNAL THERAPY PACK 2.5-2.5%

03/23/2020

72275072577

PRILOVIXIL 2.5%-2.5% CREAM KIT

04/23/2020

15014040090

FENOPROFEN 400 MG CAPSULE

04/23/2020

50090163400

LIDOPRO 4% OINTMENT

04/23/2020

61919034305

DICLOFENAC 1.5% TOPICAL SOLN

04/23/2020

68405000801

THERAMINE CAPSULE

04/23/2020

71205030230

LIDOZENPATCH 4%-1%

04/23/2020

71399244003

OMEPRAZOLE SODIUM BICARBONATE

04/23/2020

71800015631

TRIAMCINOLONE 0.147 MG/G SPRAY

04/23/2020

73007001303

CHLORZOXAZONE 500 MG TABLET

04/23/2020

62175082046

ESOMEPRAZOLE MAG DR 20 MG CAP

05/28/2020

46672086046

CHLORZOXAZONE 250 MG TABLET

05/28/2020

52565007911

FLUOCINONIDE 0.1% CREAM

05/28/2020

69336011230

OMEPRAZOLE-BICARB 40-1,100 CAP

05/28/2020

69499030230

BUTALBITAL-ACETAMINOPHN 50-325

05/28/2020

71993030110

BUTALBITAL-ACETAMINOPHN 25-325

05/28/2020

73575000909

PLIAGLIS 7%-7% CREAM

05/28/2020

43063023998

METAXALONE 800 MG TABLET

05/28/2020

50991097730

FOLITE TABLET

05/28/2020

55111070160

NAPROXEN-ESOMEPRAZ DR 500-20MG

05/28/2020

68382088902

DESOXIMETASONE 0.25% OINTMENT

05/28/2020

69336012311

DICLOFENAC SOD DR 75 MG TAB