pharmacy table aa 2014

580
ndc_code brand_name generic_product_name 00002899519 Cefuroxime Sodium cefuroxime 1.5 g injection 00002950001 Cefuroxime Sodium cefuroxime 7.5 g injection 00003173730 Trimox 00003223011 Azactam 00003224011 Azactam 00003256016 Azactam aztreonam 1 g injection 00003257016 Azactam aztreonam 2 g injection 00003271210 Oxacillin Sodium oxacillin 1 g injection 00003271220 Oxacillin Sodium oxacillin 1 g injection 00004196201 Rocephin cefTRIAXone 250 mg injection 00004196301 Rocephin cefTRIAXone 500 mg injection 00004196302 Rocephin cefTRIAXone 500 mg injection 00004196401 Rocephin cefTRIAXone 1 g injection 00004196404 Rocephin cefTRIAXone 1 g injection 00004196501 Rocephin cefTRIAXone 2 g injection 00004197101 Rocephin cefTRIAXone 10 g injection 00004200278 Rocephin 00006070520 Noroxin norfloxacin 400 mg oral tablet 00006070568 Noroxin norfloxacin 400 mg oral tablet 00006354524 Mefoxin 00006354725 Mefoxin 00009022502 Cleocin HCl clindamycin 150 mg oral capsule 00009022503 Cleocin HCl clindamycin 150 mg oral capsule 00009033102 Cleocin HCl clindamycin 75 mg oral capsule 00009039502 Cleocin HCl clindamycin 300 mg oral capsule 00009039514 Cleocin HCl clindamycin 300 mg oral capsule 00009050002 Lincocin lincomycin 500 mg oral capsule 00009055501 Lincocin amoxicillin 125 mg/5 mL oral liquid aztreonam 1 g/50 mL intravenous solution aztreonam 2 g/50 mL intravenous solution cefTRIAXone 1 g/50 mL intravenous solution cefOXitin 1 g/50 mL intravenous solution cefOXitin 2 g/50 mL intravenous solution lincomycin 300 mg/mL injectable solution

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Healthcare Effectiveness Data Set

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Page 1: Pharmacy Table AA 2014

ndc_code brand_name generic_product_name00002899519 Cefuroxime Sodium cefuroxime 1.5 g injection

00002950001 Cefuroxime Sodium cefuroxime 7.5 g injection

00003173730 Trimox

00003223011 Azactam

00003224011 Azactam

00003256016 Azactam aztreonam 1 g injection00003257016 Azactam aztreonam 2 g injection00003271210 Oxacillin Sodium oxacillin 1 g injection

00003271220 Oxacillin Sodium oxacillin 1 g injection

00004196201 Rocephin cefTRIAXone 250 mg injection

00004196301 Rocephin cefTRIAXone 500 mg injection

00004196302 Rocephin cefTRIAXone 500 mg injection

00004196401 Rocephin cefTRIAXone 1 g injection

00004196404 Rocephin cefTRIAXone 1 g injection

00004196501 Rocephin cefTRIAXone 2 g injection

00004197101 Rocephin cefTRIAXone 10 g injection

00004200278 Rocephin

00006070520 Noroxin norfloxacin 400 mg oral tablet00006070568 Noroxin norfloxacin 400 mg oral tablet00006354524 Mefoxin

00006354725 Mefoxin

00009022502 Cleocin HCl clindamycin 150 mg oral capsule

00009022503 Cleocin HCl clindamycin 150 mg oral capsule

00009033102 Cleocin HCl clindamycin 75 mg oral capsule

00009039502 Cleocin HCl clindamycin 300 mg oral capsule

00009039514 Cleocin HCl clindamycin 300 mg oral capsule

00009050002 Lincocin lincomycin 500 mg oral capsule

00009055501 Lincocin

00009055502 Lincocin

00009072809 Cleocin Phosphate

00009076004 Cleocin Pediatric

amoxicillin 125 mg/5 mL oral liquidaztreonam 1 g/50 mL intravenous solutionaztreonam 2 g/50 mL intravenous solution

cefTRIAXone 1 g/50 mL intravenous solution

cefOXitin 1 g/50 mL intravenous solutioncefOXitin 2 g/50 mL intravenous solution

lincomycin 300 mg/mL injectable solutionlincomycin 300 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 75 mg/5 mL oral liquid

Page 2: Pharmacy Table AA 2014

00009077526 Cleocin Phosphate

00009087021 Cleocin Phosphate

00009087026 Cleocin Phosphate

00009090211 Cleocin Phosphate

00009090218 Cleocin Phosphate

00009312403

00009337502 Cleocin Phosphate

00009338102 Cleocin Phosphate

00009338202 Cleocin Phosphate

00009344703

00009361801 Vantin cefpodoxime 200 mg oral tablet

00009513502 Zyvox linezolid 600 mg oral tablet00009513503 Zyvox linezolid 600 mg oral tablet00009513601 Zyvox linezolid 100 mg/5 mL oral liquid

00009513701 Zyvox

00009514001 Zyvox

00015302397 Amikin

00015340095 Ampicillin ampicillin 125 mg injection00015370995 Ampicillin ampicillin 10 g injection00015710028 Ampicillin ampicillin 10 g injection00015710128 Nafcillin Sodium nafcillin 10 g injection

00015722518 Nafcillin Sodium nafcillin 1 g injection

00015722520 Nafcillin Sodium nafcillin 1 g injection

00015722589 Nafcillin Sodium nafcillin 1 g injection

00015722599 Nafcillin Sodium nafcillin 1 g injection

00015722620 Nafcillin Sodium nafcillin 2 g injection

00015722699 Nafcillin Sodium nafcillin 2 g injection

00015727675 Amoxicillin

00015727760 Amoxicillin

00015727775 Amoxicillin

00015727862 Amoxicillin amoxicillin 250 mg oral capsule

00015727873 Amoxicillin amoxicillin 250 mg oral capsule

clindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solution

Cleocin Phosphate ADD-Vantage

clindamycin 150 mg/mL injectable solutionclindamycin 600 mg/50 mL-D5% intravenous solutionclindamycin 300 mg/50 mL-D5% intravenous solutionclindamycin 900 mg/50 mL-D5% intravenous solution

Cleocin Phosphate ADD-Vantage

clindamycin 150 mg/mL injectable solution

linezolid 2 mg/mL intravenous solutionlinezolid 2 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solution

amoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

Page 3: Pharmacy Table AA 2014

00015733812 CeFAZolin Sodium ceFAZolin 500 mg injection

00015740120 Ampicillin ampicillin 125 mg injection00015740220 Ampicillin ampicillin 250 mg injection00015740299 Ampicillin ampicillin 250 mg injection00015740320 Ampicillin ampicillin 500 mg injection00015740399 Ampicillin ampicillin 500 mg injection00015740418 Ampicillin ampicillin 1 g injection00015740420 Ampicillin ampicillin 1 g injection00015740489 Ampicillin ampicillin 1 g injection00015740499 Ampicillin ampicillin 1 g injection00015740518 Ampicillin ampicillin 2 g injection00015740520 Ampicillin ampicillin 2 g injection00015740589 Ampicillin ampicillin 2 g injection00015740599 Ampicillin ampicillin 2 g injection00015798199 Oxacillin Sodium oxacillin 1 g injection

00015799368 Ampicillin ampicillin 500 mg oral capsule00025182131 Flagyl

00025182150 Flagyl

00025183131 Flagyl

00025183150 Flagyl

00025183155 Flagyl

00025194250 Flagyl 375

00025196130 Flagyl ER

00029600922 Amoxil

00029602507 Bactocill oxacillin 1 g injection

00029602807 Bactocill oxacillin 2 g injection

00029604420 Amoxil

00029604520 Amoxil

00029604612 Amoxil amoxicillin 500 mg oral tablet00029604625 Amoxil amoxicillin 500 mg oral tablet00029607527 Augmentin

00029607531 Augmentin

00029608012 Augmentin

00029608027 Augmentin

00029608031 Augmentin

00029608522 Augmentin

00029608523 Augmentin

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 375 mg oral capsulemetroNIDAZOLE 750 mg oral tablet, extended releaseamoxicillin 250 mg/5 mL oral liquid

amoxicillin 200 mg oral tablet, chewableamoxicillin 400 mg oral tablet, chewable

amoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquid

Page 4: Pharmacy Table AA 2014

00029608539 Augmentin

00029608612 Augmentin

00029608621 Augmentin

00029609022 Augmentin

00029609023 Augmentin

00029609039 Augmentin

00029609425 Augmentin ES-600

00029609440 Augmentin ES-600

00029609446 Augmentin ES-600

00029609648 Augmentin XR

00029609660 Augmentin XR

00029657126 Timentin

00029657131 Timentin

00029657140 Timentin ADD-Vantage

00029657921 Timentin

00039001710 Claforan cefotaxime 500 mg injection

00039001801 Claforan cefotaxime 1 g injection

00039001810 Claforan cefotaxime 1 g injection

00039001811 Claforan cefotaxime 1 g injection

00039001825 Claforan cefotaxime 1 g injection

00039001850 Claforan cefotaxime 1 g injection

00039001901 Claforan cefotaxime 2 g injection

00039001910 Claforan cefotaxime 2 g injection

00039001911 Claforan cefotaxime 2 g injection

00039001925 Claforan cefotaxime 2 g injection

00039001949 Claforan cefotaxime 2 g injection

00039001950 Claforan cefotaxime 2 g injection

00039002001 Claforan cefotaxime 10 g injection

amoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseamoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseticarcillin-clavulanate 3.1 g intravenous injectionticarcillin-clavulanate 3.1 g/100 mL intravenous solutionticarcillin-clavulanate 3.1 g intravenous injectionticarcillin-clavulanate 30 g-1 g intravenous injection

Page 5: Pharmacy Table AA 2014

00039002049 Claforan cefotaxime 10 g injection

00039002325 Claforan ADD-Vantage cefotaxime 1 g injection

00039002349 Claforan cefotaxime 1 g injection

00039002350 Claforan ADD-Vantage cefotaxime 1 g injection

00039002425 Claforan ADD-Vantage cefotaxime 2 g injection

00039002449 Claforan cefotaxime 2 g injection

00039002450 Claforan ADD-Vantage cefotaxime 2 g injection

00039003705 Claforan

00039003805 Claforan

00045006601 Levaquin

00045006701 Levaquin

00045006801 Levaquin

00045006951 Levaquin

00045152010 Levaquin levofloxacin 250 mg oral tablet00045152050 Levaquin levofloxacin 250 mg oral tablet00045153005 Levaquin Leva-Pak levofloxacin 750 mg oral tablet00045153010 Levaquin levofloxacin 750 mg oral tablet00045153020 Levaquin levofloxacin 750 mg oral tablet00049001383 Unasyn

00049001483 Unasyn

00049002283 Unasyn

00049002383 Unasyn

00049002428 Unasyn

00049003183 Unasyn ADD-Vantage

00049003283 Unasyn ADD-Vantage

00049052022 Pfizerpen

00049052044 Pfizerpen

00049052083 Pfizerpen

00049053022 Pfizerpen

00049053028 Pfizerpen

00049053044 Pfizerpen

00054003621 Clarithromycin clarithromycin 250 mg oral tablet

cefotaxime 1 g/50 mL intravenous solutioncefotaxime 2 g/50 mL intravenous solutionlevofloxacin 750 mg/150 mL intravenous solutionlevofloxacin 250 mg/50 mL intravenous solutionlevofloxacin 500 mg/100 mL intravenous solutionlevofloxacin 25 mg/mL intravenous solution

ampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 10 g-5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionpenicillin G potassium 5,000,000 units injectionpenicillin G potassium 5,000,000 units injectionpenicillin G potassium 5,000,000 units injectionpenicillin G potassium 20,000,000 units injectionpenicillin G potassium 20,000,000 units injectionpenicillin G potassium 20,000,000 units injection

Page 6: Pharmacy Table AA 2014

00054003721 Clarithromycin clarithromycin 500 mg oral tablet

00068050830 Rifadin rifampin 300 mg oral capsule00068050860 Rifadin rifampin 300 mg oral capsule00068050861 Rifadin rifampin 300 mg oral capsule00068051030 Rifadin rifampin 150 mg oral capsule00068059701 Rifadin IV

00069000302 Cefotaxime Sodium cefotaxime 500 mg injection

00069001101 CefTAZidime cefTAZidime 1 g injection

00069001201 CefTAZidime cefTAZidime 2 g injection

00069001301 CefTAZidime cefTAZidime 500 mg injection

00069001401 CefTAZidime cefTAZidime 6 g injection

00069002601 Ampicillin ampicillin 10 g injection00069002605 Ampicillin ampicillin 10 g injection00069002710 Ampicillin ampicillin 125 mg injection00069002712 Ampicillin ampicillin 125 mg injection00069002801 Cefotaxime Sodium cefotaxime 10 g injection

00069002918 Ampicillin ampicillin 1 g injection00069002920 Ampicillin ampicillin 1 g injection00069003721 Cefotaxime Sodium cefotaxime 2 g injection

00069004404 Cefotaxime Sodium cefotaxime 1 g injection

00069004631 Ampicillin ampicillin 250 mg injection00069004637 Ampicillin ampicillin 250 mg injection00069006525 Ampicillin ampicillin 2 g injection00069006530 Ampicillin ampicillin 2 g injection00069007128 Ampicillin ampicillin 500 mg injection00069007135 Ampicillin ampicillin 500 mg injection00069008801 Tobramycin Sulfate

00069008802 Tobramycin Sulfate

00069009102 Tobramycin Sulfate

00069009103 Tobramycin Sulfate

00069010404 Doxycycline Hyclate doxycycline 100 mg injection00069011201 Rifampin

00069014101 Rifampin

00069030102 Tobramycin Sulfate

00069030202 Tobramycin Sulfate

00069031020 CeFAZolin Sodium ceFAZolin 500 mg injection

00069031220 CeFAZolin Sodium ceFAZolin 1 g injection

00069095050 Vibramycin

rifampin 600 mg intravenous injection

tobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solution

rifampin 600 mg intravenous injectionrifampin 600 mg intravenous injectiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solution

doxycycline hyclate 100 mg oral capsule

Page 7: Pharmacy Table AA 2014

00069097065 Vibramycin Monohydrate

00069097193 Vibramycin Calcium

00069099050 Vibra-Tabs

00069239001 MetroNIDAZOLE

00069258710 Vancomycin Hydrochloride

00069258903 Vancomycin Hydrochloride

00069258910 Vancomycin Hydrochloride

00069259001 Vancomycin Hydrochloride

00069259999 Vancomycin Hydrochloride

00069260101 Vancomycin Hydrochloride

00069305107 Zithromax azithromycin 1 g oral liquid00069305175 Zithromax azithromycin 1 g oral liquid00069306030 Zithromax azithromycin 250 mg oral tablet

00069306075 Zithromax Z-Pak azithromycin 250 mg oral tablet

00069306086 Zithromax azithromycin 250 mg oral tablet

00069307030 Zithromax azithromycin 500 mg oral tablet

00069307075 Zithromax TRI-PAK azithromycin 500 mg oral tablet

00069307086 Zithromax azithromycin 500 mg oral tablet

00069308030 Zithromax azithromycin 600 mg oral tablet

00069311019 Zithromax

00069312019 Zithromax

00069313019 Zithromax

00069314019 Zithromax

00069315014 Zithromax IV

00069315083 Zithromax IV

00069324115

00069324122

00069334215

00069334222

00069417002 Zmax

doxycycline 25 mg/5 mL oral liquiddoxycycline 50 mg/5 mL oral syrupdoxycycline hyclate 100 mg oral tabletmetroNIDAZOLE 500 mg/100 mL intravenous solutionvancomycin 500 mg intravenous injectionvancomycin 1 g intravenous injectionvancomycin 1 g intravenous injectionvancomycin 5 g intravenous injectionvancomycin 10 g intravenous injectionvancomycin 10 g intravenous injection

azithromycin 100 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 500 mg intravenous injectionazithromycin 500 mg intravenous injection

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solutionazithromycin 2 g oral liquid, extended release

Page 8: Pharmacy Table AA 2014

00069417034 Zmax

00069439519

00069439627

00069448003 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00069448010 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00069448103 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00069448110 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00069448203 CefTRIAXone Sodium cefTRIAXone 1 g injection

00069448210 CefTRIAXone Sodium cefTRIAXone 1 g injection

00069448303 CefTRIAXone Sodium cefTRIAXone 2 g injection

00069448310 CefTRIAXone Sodium cefTRIAXone 2 g injection

00069448401 CefTRIAXone Sodium cefTRIAXone 10 g injection

00074001925 Claforan cefotaxime 2 g injection

00074258611 Biaxin clarithromycin 500 mg oral tablet

00074258660 Biaxin clarithromycin 500 mg oral tablet

00074258913

00074258953

00074316313 Biaxin

00074316350 Biaxin

00074316511 Biaxin XL

00074316514 Biaxin XL

00074316541 Biaxin XL-Pak

00074316560 Biaxin XL

00074318813 Biaxin

00074318850 Biaxin

00074336811 Biaxin clarithromycin 250 mg oral tablet

00074336860 Biaxin clarithromycin 250 mg oral tablet

00074338913 PCE Dispertab

00074374716

azithromycin 2 g oral liquid, extended release

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solution

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tabletclarithromycin 125 mg/5 mL oral liquidclarithromycin 125 mg/5 mL oral liquidclarithromycin 500 mg oral tablet, extended releaseclarithromycin 500 mg oral tablet, extended releaseclarithromycin 500 mg oral tablet, extended releaseclarithromycin 500 mg oral tablet, extended releaseclarithromycin 250 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquid

erythromycin 500 mg oral tablet, coated particles

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Page 9: Pharmacy Table AA 2014

00074374816

00074376910 Omnicef Omni-Pac cefdinir 300 mg oral capsule

00074376930 Omnicef Omni-Pac cefdinir 300 mg oral capsule

00074376960 Omnicef cefdinir 300 mg oral capsule

00074377113 Omnicef cefdinir 125 mg/5 mL oral liquid

00074377160 Omnicef cefdinir 125 mg/5 mL oral liquid

00074572913 E.E.S.-400 Filmtab

00074572953 E.E.S.-400 Filmtab

00074615113 Omnicef cefdinir 250 mg/5 mL oral liquid

00074615160 Omnicef cefdinir 250 mg/5 mL oral liquid

00074622713 Erythromycin Base erythromycin 500 mg oral tablet

00074629060 PCE Dispertab

00074630113 Erythromycin Base

00074630153 Erythromycin Base

00074630213 EryPed 200

00074630253 EryPed 200

00074630350 EryPed

00074630413 Ery-Tab

00074630453 Ery-Tab

00074630513 EryPed 400

00074630553 EryPed 400

00074630613 E.E.S.-200

00074631613 Erythrocin Stearate Filmtab

00074632013 Ery-Tab

00074632053 Ery-Tab

00074632113 Ery-Tab

00074632613 Erythromycin Base erythromycin 250 mg oral tablet

00074632653 Erythromycin Base erythromycin 250 mg oral tablet

00074634620 Erythrocin Stearate Filmtab

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

erythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tablet

erythromycin 333 mg oral tablet, coated particleserythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 100 mg/2.5 mL oral liquiderythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin ethylsuccinate 400 mg/5 mL oral liquiderythromycin ethylsuccinate 400 mg/5 mL oral liquiderythromycin ethylsuccinate 200 mg/5 mL oral suspensionerythromycin stearate 500 mg oral tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

erythromycin stearate 250 mg oral tablet

Page 10: Pharmacy Table AA 2014

00074634653 Erythrocin Stearate Filmtab

00074636902 E.E.S. Granules

00074636910 E.E.S. Granules

00074637313 E.E.S.-400

00074647644 Erythrocin Lactobionate

00074715613

00074715643

00074715653

00074803013 Pediazole

00074803043 Pediazole

00074803053 Pediazole

00074803055 Pediazole

00078049461 Tobi

00078049471 Tobi

00078063011 Tobi Podhaler

00078063035 Tobi Podhaler

00078063056 Tobi Podhaler

00085006904 Garamycin

00085173101 Cipro I.V.

00085173301 Avelox moxifloxacin 400 mg oral tablet

00085173302 Avelox moxifloxacin 400 mg oral tablet

00085173303 Avelox moxifloxacin 400 mg oral tablet

00085173305 Avelox moxifloxacin 400 mg oral tablet

00085173701 Avelox I.V.

00085174102 Cipro I.V.

00085175401 Cipro ciprofloxacin 500 mg oral tablet

erythromycin stearate 250 mg oral tableterythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 400 mg/5 mL oral suspensionerythromycin lactobionate 500 mg injection

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

tobramycin 60 mg/mL inhalation solutiontobramycin 60 mg/mL inhalation solutiontobramycin 28 mg inhalation capsuletobramycin 28 mg inhalation capsuletobramycin 28 mg inhalation capsulegentamicin 40 mg/mL injectable solutionciprofloxacin 10 mg/mL intravenous solution

moxifloxacin 400 mg/250 mL intravenous solutionciprofloxacin 400 mg/200 mL-D5% intravenous solution

Page 11: Pharmacy Table AA 2014

00085175402 Cipro ciprofloxacin 500 mg oral tablet

00085175502 Cipro I.V.

00085175601 Cipro ciprofloxacin 750 mg oral tablet

00085175602 Cipro ciprofloxacin 750 mg oral tablet

00085175801 Cipro ciprofloxacin 250 mg oral tablet

00085175802 Cipro ciprofloxacin 250 mg oral tablet

00085175901 Cipro I.V.

00085176201 Cipro I.V.

00085176303 Cipro I.V.

00085177301 Cipro

00085177501 Cipro XR

00085177502 Cipro XR

00085177701 Cipro

00085177802 Cipro XR

00085177803 Cipro XR

00085178101 Cipro I.V.

00085178201 Cipro I.V.

00087078542 Duricef cefadroxil 1000 mg oral tablet

00087771840 Cefzil cefprozil 125 mg/5 mL oral liquid

00087771862 Cefzil cefprozil 125 mg/5 mL oral liquid

00087771864 Cefzil cefprozil 125 mg/5 mL oral liquid

00087771940 Cefzil cefprozil 250 mg/5 mL oral liquid

00087771962 Cefzil cefprozil 250 mg/5 mL oral liquid

00087771964 Cefzil cefprozil 250 mg/5 mL oral liquid

00087772060 Cefzil cefprozil 250 mg oral tablet

00087772150 Cefzil cefprozil 500 mg oral tablet

00087772160 Cefzil cefprozil 500 mg oral tablet

00088222320 Ketek telithromycin 300 mg oral tablet

00088222507 Ketek Pak telithromycin 400 mg oral tablet

ciprofloxacin 200 mg/100 mL-D5% intravenous solution

ciprofloxacin 200 mg/100 mL-D5% intravenous solutionciprofloxacin 400 mg/200 mL-D5% intravenous solutionciprofloxacin 10 mg/mL intravenous solutionciprofloxacin 500 mg/5 mL oral liquidciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 250 mg/5 mL oral liquidciprofloxacin 1000 mg oral tablet, extended releaseciprofloxacin 1000 mg oral tablet, extended releaseciprofloxacin 200 mg/100 mL-D5% intravenous solutionciprofloxacin 400 mg/200 mL-D5% intravenous solution

Page 12: Pharmacy Table AA 2014

00088222541 Ketek telithromycin 400 mg oral tablet

00093107573 Cefprozil cefprozil 125 mg/5 mL oral liquid

00093107576 Cefprozil cefprozil 125 mg/5 mL oral liquid

00093107578 Cefprozil cefprozil 125 mg/5 mL oral liquid

00093107673 Cefprozil cefprozil 250 mg/5 mL oral liquid

00093107676 Cefprozil cefprozil 250 mg/5 mL oral liquid

00093107678 Cefprozil cefprozil 250 mg/5 mL oral liquid

00093107701 Cefprozil cefprozil 250 mg oral tablet

00093107853 Cefprozil cefprozil 500 mg oral tablet

00093108701 Cefaclor ER

00093117201 Penicillin V Potassium

00093117210 Penicillin V Potassium

00093117401 Penicillin V Potassium

00093117410 Penicillin V Potassium

00093202623 Azithromycin

00093202631 Azithromycin

00093202694 Azithromycin

00093202723 Azithromycin

00093213001

00093213010

00093213019

00093213093

00093213101

00093213110

00093213119

00093213193

00093215801 Trimethoprim trimethoprim 100 mg oral tablet

00093223801 Cephalexin Monohydrate cephalexin 250 mg oral tablet

00093224001 Cephalexin Monohydrate cephalexin 500 mg oral tablet

00093226301 Amoxicillin amoxicillin 500 mg oral tablet

cefaclor 500 mg oral tablet, extended releasepenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 100 mg/5 mL oral liquid

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 13: Pharmacy Table AA 2014

00093226401 Amoxicillin amoxicillin 875 mg oral tablet00093226701 Amoxicillin

00093226801 Amoxicillin

00093226805 Amoxicillin

00093227034 Amoxicillin-Clavulanate

00093227234 Amoxicillin-Clavulanate

00093227434 Amoxicillin-Clavulanate

00093227534 Amoxicillin-Clavulanate

00093227773 Amoxicillin-Clavulanate

00093227973 Amoxicillin-Clavulanate

00093310701 Amoxicillin amoxicillin 250 mg oral capsule

00093310705 Amoxicillin amoxicillin 250 mg oral capsule

00093310719 Amoxicillin amoxicillin 250 mg oral capsule

00093310793 Amoxicillin amoxicillin 250 mg oral capsule

00093310905 Amoxicillin amoxicillin 500 mg oral capsule

00093310919 Amoxicillin amoxicillin 500 mg oral capsule

00093310953 Amoxicillin amoxicillin 500 mg oral capsule

00093310993 Amoxicillin amoxicillin 500 mg oral capsule

00093312301 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

00093312501 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

00093314501 Cephalexin Monohydrate cephalexin 250 mg oral capsule

00093314505 Cephalexin Monohydrate cephalexin 250 mg oral capsule

00093314701 Cephalexin Monohydrate cephalexin 500 mg oral capsule

00093314705 Cephalexin Monohydrate cephalexin 500 mg oral capsule

00093316006 Cefdinir cefdinir 300 mg oral capsule

00093316501 Minocycline Hydrochloride minocycline 50 mg oral capsule

00093316753 Minocycline Hydrochloride minocycline 100 mg oral capsule

00093317101 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00093319601 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00093319653 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

amoxicillin 125 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin-clavulanate 200 mg-28.5 mg oral tablet, chewableamoxicillin-clavulanate 400 mg-57 mg oral tablet, chewableamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquid

Page 14: Pharmacy Table AA 2014

00093405953 Cefadroxil Monohydate cefadroxil 1000 mg oral tablet

00093412573 Penicillin V Potassium

00093412574 Penicillin V Potassium

00093412773 Penicillin V Potassium

00093412774 Penicillin V Potassium

00093413664 Cefdinir cefdinir 125 mg/5 mL oral liquid

00093413673 Cefdinir cefdinir 125 mg/5 mL oral liquid

00093413764 Cefdinir cefdinir 250 mg/5 mL oral liquid

00093413773 Cefdinir cefdinir 250 mg/5 mL oral liquid

00093415073 Amoxicillin

00093415079 Amoxicillin

00093415080 Amoxicillin

00093415573 Amoxicillin

00093415579 Amoxicillin

00093415580 Amoxicillin

00093416073 Amoxicillin

00093416076 Amoxicillin

00093416078 Amoxicillin

00093416173 Amoxicillin

00093416176 Amoxicillin

00093416178 Amoxicillin

00093417573 Cephalexin Monohydrate

00093417574 Cephalexin Monohydrate

00093417773 Cephalexin Monohydrate

00093417774 Cephalexin Monohydrate

00093525601 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00093525668 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00093547616

00093714609 azithromycin 250 mg oral tablet

penicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquid

amoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Azithromycin 5 Day Dose Pack

Page 15: Pharmacy Table AA 2014

00093714618 azithromycin 250 mg oral tablet

00093714619 Azithromycin azithromycin 250 mg oral tablet

00093714656 Azithromycin azithromycin 250 mg oral tablet

00093714693 Azithromycin azithromycin 250 mg oral tablet

00093714756 Azithromycin azithromycin 600 mg oral tablet

00093714823 Azithromycin

00093714923 Azithromycin

00093714931 Azithromycin

00093714994 Azithromycin

00093715706 Clarithromycin clarithromycin 250 mg oral tablet

00093715806 Clarithromycin clarithromycin 500 mg oral tablet

00093716919 Azithromycin azithromycin 500 mg oral tablet

00093716933 azithromycin 500 mg oral tablet

00093716956 Azithromycin azithromycin 500 mg oral tablet

00093716990 azithromycin 500 mg oral tablet

00093716993 Azithromycin azithromycin 500 mg oral tablet

00093718001 Ofloxacin ofloxacin 200 mg oral tablet00093718101 Ofloxacin ofloxacin 300 mg oral tablet00093718201 Ofloxacin ofloxacin 400 mg oral tablet00093724406 Clarithromycin ER

00093729153 Levofloxacin levofloxacin 250 mg oral tablet00093729253 Levofloxacin levofloxacin 500 mg oral tablet00093729353 Levofloxacin levofloxacin 750 mg oral tablet00093730001 Minocycline Hydrochloride minocycline 75 mg oral capsule

00093867574 Amoxicillin-Clavulanate

00093867575 Amoxicillin-Clavulanate

00093867578 Amoxicillin-Clavulanate

00115124501

00115124508

00115124601

00115124608

00115124701

Azithromycin 5 Day Dose Pack

azithromycin 100 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquid

Azithromycin 3 Day Dose Pack

Azithromycin 3 Day Dose Pack

clarithromycin 500 mg oral tablet, extended release

amoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

Minocycline Hydrochloride ER

minocycline 45 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 45 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 90 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 90 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 135 mg oral tablet, extended release

Page 16: Pharmacy Table AA 2014

00115124708

00115132713 Doxycycline Monohydrate

00115701701 Minocycline Hydrochloride minocycline 50 mg oral capsule

00115701806 Minocycline Hydrochloride minocycline 100 mg oral capsule

00115701813 Minocycline Hydrochloride minocycline 100 mg oral capsule

00115705401 Minocycline Hydrochloride minocycline 75 mg oral capsule

00121479320

00143203701 ciprofloxacin 500 mg oral tablet

00143211205 Doxycycline Hyclate

00143211250 Doxycycline Hyclate

00143314150 Doxycycline Hyclate

00143314205 Doxycycline Hyclate

00143314250 Doxycycline Hyclate

00143972001 Levofloxacin

00143972101 Levofloxacin

00143972201 Levofloxacin

00143977226 MetroNIDAZOLE

00143980305 Doxycycline Hyclate

00143985316 Amoxicillin-Clavulanate

00143985324 Amoxicillin-Clavulanate

00143985375 Amoxicillin-Clavulanate

00143985625 CefTRIAXone Sodium cefTRIAXone 2 g injection

00143985725 CefTRIAXone Sodium cefTRIAXone 1 g injection

00143985825 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00143985925 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00143987610 CefOXitin cefOXitin 10 g injection

00143987725 CefOXitin cefOXitin 2 g injection

00143987825 CefOXitin cefOXitin 1 g injection

00143988601 Amoxicillin

Minocycline Hydrochloride ER

minocycline 135 mg oral tablet, extended releasedoxycycline monohydrate 150 mg oral capsule

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Ciprofloxacin Hydrochloride

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsulelevofloxacin 750 mg/150 mL intravenous solutionlevofloxacin 500 mg/100 mL intravenous solutionlevofloxacin 250 mg/50 mL intravenous solutionmetroNIDAZOLE 500 mg/100 mL intravenous solutiondoxycycline hyclate 100 mg oral capsuleamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

amoxicillin 200 mg/5 mL oral liquid

Page 17: Pharmacy Table AA 2014

00143988650 Amoxicillin

00143988675 Amoxicillin

00143988701 Amoxicillin

00143988750 Amoxicillin

00143988775 Amoxicillin

00143988801 Amoxicillin

00143988815 Amoxicillin

00143988880 Amoxicillin

00143988901 Amoxicillin

00143988915 Amoxicillin

00143988980 Amoxicillin

00143989701 Cephalexin Monohydrate cephalexin 500 mg oral capsule

00143989705 Cephalexin Monohydrate cephalexin 500 mg oral capsule

00143989801 Cephalexin Monohydrate cephalexin 250 mg oral capsule

00143989805 Cephalexin Monohydrate cephalexin 250 mg oral capsule

00143992390 CeFAZolin Sodium ceFAZolin 500 mg injection

00143992490 CeFAZolin Sodium ceFAZolin 1 g injection

00143992701 ciprofloxacin 250 mg oral tablet

00143992801 ciprofloxacin 500 mg oral tablet

00143992950 ciprofloxacin 750 mg oral tablet

00143993003 Cefotaxime Sodium cefotaxime 500 mg injection

00143993091 Cefotaxime Sodium cefotaxime 500 mg injection

00143993122 Cefotaxime Sodium cefotaxime 1 g injection

00143993191 Cefotaxime Sodium cefotaxime 1 g injection

00143993322 Cefotaxime Sodium cefotaxime 2 g injection

00143993391 Cefotaxime Sodium cefotaxime 2 g injection

00143993491 Cefotaxime Sodium cefotaxime 10 g injection

00143993591 Cefotaxime Sodium cefotaxime 10 g injection

00143993801 Amoxicillin amoxicillin 250 mg oral capsule

amoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 18: Pharmacy Table AA 2014

00143993805 Amoxicillin amoxicillin 250 mg oral capsule

00143993901 Amoxicillin amoxicillin 500 mg oral capsule

00143993905 Amoxicillin amoxicillin 500 mg oral capsule

00143994701 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00143994750 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00143994850 Cefadroxil Monohydate cefadroxil 1000 mg oral tablet

00143995101 Amoxicillin amoxicillin 875 mg oral tablet00143995120 Amoxicillin amoxicillin 875 mg oral tablet00143997603 Cefuroxime Sodium cefuroxime 7.5 g injection

00143997691 Cefuroxime Sodium cefuroxime 7.5 g injection

00143997722 Cefuroxime Sodium cefuroxime 1.5 g injection

00143997922 Cefuroxime Sodium cefuroxime 750 mg injection

00143998101 Amoxicillin-Clavulanate

00143998150 Amoxicillin-Clavulanate

00143998175 Amoxicillin-Clavulanate

00143998201 Amoxicillin-Clavulanate

00143998250 Amoxicillin-Clavulanate

00143998275 Amoxicillin-Clavulanate

00143998303 CeFAZolin Sodium ceFAZolin 10 g injection

00143998391 CeFAZolin Sodium ceFAZolin 10 g injection

00143998501 Cefaclor cefaclor 250 mg oral capsule

00143998601 Cefaclor cefaclor 500 mg oral capsule

00149000705 Macrodantin

00149000805 Macrodantin

00149000905 Macrodantin

00149071001 Macrobid

00172240700 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00172240710 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00172240760 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00172240780 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

amoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquid

nitrofurantoin macrocrystals 25 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 19: Pharmacy Table AA 2014

00172241600 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00172241610 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00172241660 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00172241680 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00172298548 Doxycycline Hyclate

00172362610 Doxycycline Hyclate

00172362648 Doxycycline Hyclate

00172362670 Doxycycline Hyclate

00172405848 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00172405860 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00172462660 Doxycycline Hyclate doxycycline 20 mg oral tablet00172462670 Doxycycline Hyclate doxycycline 20 mg oral tablet00172531100 ciprofloxacin 250 mg oral tablet

00172531110 ciprofloxacin 250 mg oral tablet

00172531160 ciprofloxacin 250 mg oral tablet

00172531200 ciprofloxacin 500 mg oral tablet

00172531210 ciprofloxacin 500 mg oral tablet

00172531260 ciprofloxacin 500 mg oral tablet

00172531270 ciprofloxacin 500 mg oral tablet

00172531300 ciprofloxacin 750 mg oral tablet

00172531310 ciprofloxacin 750 mg oral tablet

00172531360 ciprofloxacin 750 mg oral tablet

00173035210 Zinacef cefuroxime 750 mg injection

00173035410 Zinacef cefuroxime 1.5 g injection

00173037710 Fortaz cefTAZidime 500 mg injection

00173037810 Fortaz cefTAZidime 1 g injection

00173037934 Fortaz cefTAZidime 2 g injection

00173038237 Fortaz cefTAZidime 6 g injection

00173038700 Ceftin cefuroxime 250 mg oral tablet

00173039400 Ceftin cefuroxime 500 mg oral tablet

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 20: Pharmacy Table AA 2014

00173040000 Zinacef cefuroxime 7.5 g injection

00173041200 Fortaz

00173041300 Fortaz

00173042400 Zinacef

00173042500 Zinacef

00173043400 Fortaz ADD-Vantage cefTAZidime 1 g injection

00173043500 Fortaz ADD-Vantage cefTAZidime 2 g injection

00173043600 Zinacef ADD-Vantage cefuroxime 750 mg injection

00173043700 Zinacef ADD-Vantage cefuroxime 1.5 g injection

00173074000 Ceftin

00173074100 Ceftin

00173074110 Ceftin

00182067900 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00182067989 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00182103500 Doxycycline Hyclate

00182103589 Doxycycline Hyclate

00182153500 Doxycycline Hyclate

00182153589 Doxycycline Hyclate

00182263101 ciprofloxacin 250 mg oral tablet

00182272136 ciprofloxacin 500 mg oral tablet

00185003601 Doxycycline Monohydrate

00185010601 Doxycycline Monohydrate

00185011201

00185011205 SMZ-TMP DS

00185012201

00185012210

00185021652 Doxycycline Monohydrate

00185021653 Doxycycline Monohydrate

cefTAZidime 1 g/50 mL intravenous solutioncefTAZidime 2 g/50 mL intravenous solutioncefuroxime 750 mg/50 mL-D5% intravenous solutioncefuroxime 1.5 g/50 mL-D5% intravenous solution

cefuroxime 125 mg/5 mL oral liquidcefuroxime 250 mg/5 mL oral liquidcefuroxime 250 mg/5 mL oral liquid

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin Hydrochloride

doxycycline monohydrate 50 mg oral tabletdoxycycline monohydrate 75 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

doxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 100 mg oral tablet

Page 21: Pharmacy Table AA 2014

00185027560 Clarithromycin ER

00185075701 SulfADIAZINE sulfADIAZINE 500 mg oral tablet

00185075710 SulfADIAZINE sulfADIAZINE 500 mg oral tablet

00185079901 Rifampin rifampin 300 mg oral capsule00185079905 Rifampin rifampin 300 mg oral capsule00185079930 Rifampin rifampin 300 mg oral capsule00185079960 Rifampin rifampin 300 mg oral capsule00185080101 Rifampin rifampin 150 mg oral capsule00185080130 Rifampin rifampin 150 mg oral capsule00185080501 Doxycycline Monohydrate

00185081001 Doxycycline Monohydrate

00185081052 Doxycycline Monohydrate

00185081053 Doxycycline Monohydrate

00185081553 Doxycycline Hyclate

00185720370 Azithromycin

00185720670 Azithromycin

00185720969 Azithromycin

00185721268 Azithromycin

00206240402 Zosyn

00206240502 Zosyn

00206240802 Zosyn

00206240902 Zosyn

00206241102 Zosyn

00206241302 Zosyn

00206241601 Zosyn

00206882002 Zosyn

00206882202 Zosyn

00206885208 Zosyn

00206885216 Zosyn

00206885218 Zosyn

00206885408 Zosyn

clarithromycin 500 mg oral tablet, extended release

doxycycline monohydrate 50 mg oral capsuledoxycycline monohydrate 100 mg oral capsuledoxycycline monohydrate 100 mg oral capsuledoxycycline monohydrate 100 mg oral capsuledoxycycline hyclate 100 mg oral delayed release capsuleazithromycin 100 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidpiperacillin-tazobactam 2 g-0.25 g intravenous injectionpiperacillin-tazobactam 3 g-0.375 g intravenous injectionpiperacillin-tazobactam 4 g-0.5 g intravenous injectionpiperacillin-tazobactam 2 g-0.25 g/50 mL intravenous solution

piperacillin-tazobactam 3 g-0.375 g/50 mL intravenous solution

piperacillin-tazobactam 4 g-0.5 g/100 mL intravenous solutionpiperacillin-tazobactam 36 g-4.5 g intravenous injectionpiperacillin-tazobactam 2 g-0.25 g/50 mL intravenous solution

piperacillin-tazobactam 4 g-0.5 g/100 mL intravenous solutionpiperacillin-tazobactam 2 g-0.25 g intravenous injectionpiperacillin-tazobactam 2 g-0.25 g intravenous injectionpiperacillin-tazobactam 2 g-0.25 g intravenous injectionpiperacillin-tazobactam 3 g-0.375 g intravenous injection

Page 22: Pharmacy Table AA 2014

00206885416 Zosyn

00206885418 Zosyn

00206885508 Zosyn

00206885516 Zosyn

00206885518 Zosyn

00206885910 Zosyn

00206886001 Zosyn

00206886002 Zosyn

00206886101 Zosyn

00206886102 Zosyn

00206886201 Zosyn

00206886202 Zosyn

00247000133 Amoxicillin amoxicillin 250 mg oral capsule

00247000156 Amoxicillin amoxicillin 250 mg oral capsule

00247000169 Amoxicillin amoxicillin 250 mg oral capsule

00247000212 Amoxicillin amoxicillin 500 mg oral capsule

00247000216 Amoxicillin amoxicillin 500 mg oral capsule

00247000222 Amoxicillin amoxicillin 500 mg oral capsule

00247000225 Amoxicillin amoxicillin 500 mg oral capsule

00247000232 Amoxicillin amoxicillin 500 mg oral capsule

00247000233 Amoxicillin amoxicillin 500 mg oral capsule

00247000250 Amoxicillin amoxicillin 500 mg oral capsule

00247000269 Amoxicillin amoxicillin 500 mg oral capsule

00247000280 Amoxicillin amoxicillin 500 mg oral capsule

00247000303 Cephalexin Monohydrate cephalexin 250 mg oral capsule

00247000309 Cephalexin Monohydrate cephalexin 250 mg oral capsule

00247000332 Cephalexin Monohydrate cephalexin 250 mg oral capsule

piperacillin-tazobactam 3 g-0.375 g intravenous injectionpiperacillin-tazobactam 3 g-0.375 g intravenous injectionpiperacillin-tazobactam 4 g-0.5 g intravenous injectionpiperacillin-tazobactam 4 g-0.5 g intravenous injectionpiperacillin-tazobactam 4 g-0.5 g intravenous injectionpiperacillin-tazobactam 36 g-4.5 g intravenous injectionpiperacillin-tazobactam 2 g-0.25 g/50 mL intravenous solution

piperacillin-tazobactam 2 g-0.25 g/50 mL intravenous solution

piperacillin-tazobactam 3 g-0.375 g/50 mL intravenous solution

piperacillin-tazobactam 3 g-0.375 g/50 mL intravenous solution

piperacillin-tazobactam 4 g-0.5 g/100 mL intravenous solutionpiperacillin-tazobactam 4 g-0.5 g/100 mL intravenous solution

Page 23: Pharmacy Table AA 2014

00247000503 Cephalexin Monohydrate cephalexin 500 mg oral capsule

00247000524 Cephalexin Monohydrate cephalexin 500 mg oral capsule

00247000556 Cephalexin Monohydrate cephalexin 500 mg oral capsule

00247000617 Doxycycline Hyclate

00247000621 Doxycycline Hyclate

00247000660 Doxycycline Hyclate

00247000800 Ery-Tab

00247000802 Ery-Tab

00247000803 Ery-Tab

00247000804 Ery-Tab

00247000805 Ery-Tab

00247000806 Ery-Tab

00247000809 Ery-Tab

00247000810 Ery-Tab

00247000815 Ery-Tab

00247000818 Ery-Tab

00247000820 Ery-Tab

00247000821 Ery-Tab

00247000824 Ery-Tab

00247000830 Ery-Tab

00247000842 Ery-Tab

00247000898 Ery-Tab

00247000900

00247000978

00247000979

00247001400 Penicillin V Potassium

00247001479 Penicillin V Potassium

00247002205 Amoxicillin

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuleerythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tablet

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

penicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

Page 24: Pharmacy Table AA 2014

00247002210 Amoxicillin

00247002302 Amoxicillin

00247002304 Amoxicillin

00247002306 Amoxicillin

00247002308 Amoxicillin

00247002500 Augmentin

00247002575 Augmentin

00247002578 Augmentin

00247002602 Augmentin

00247002606 Augmentin

00247002608 Augmentin

00247002620 Augmentin

00247002624 Augmentin

00247002701 Augmentin

00247002702 Augmentin

00247002703 Augmentin

00247002707 Augmentin

00247002710 Augmentin

00247002730 Augmentin

00247002801 Cefaclor cefaclor 250 mg oral capsule

00247002803 Cefaclor cefaclor 250 mg oral capsule

00247002806 Cefaclor cefaclor 250 mg oral capsule

00247003500 Augmentin

00247003575 Augmentin

00247003578 Augmentin

00247005475 Cefaclor cefaclor 250 mg/5 mL oral liquid

00247005478 Cefaclor cefaclor 250 mg/5 mL oral liquid

00247005500 Cefaclor cefaclor 375 mg/5 mL oral liquid

00247005550 Cefaclor cefaclor 375 mg/5 mL oral liquid

amoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

amoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquid

Page 25: Pharmacy Table AA 2014

00247006300

00247006301

00247006302

00247006303

00247006304

00247006306

00247006307

00247006308

00247006310

00247006312

00247006314

00247006315

00247006316

00247006319

00247006320

00247006328

00247006330

00247006340

00247006342

00247006356

00247006360

00247006398

00247006600 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006604 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006605 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006610 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006612 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006620 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006621 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 26: Pharmacy Table AA 2014

00247006628 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006630 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006640 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006660 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006699 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00247006700 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006704 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006708 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006710 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006712 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006715 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006716 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006720 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006721 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006728 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006730 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006740 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006752 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006756 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006760 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006790 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006799 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00247006801 Penicillin V Potassium

00247006802 Penicillin V Potassium

00247006803 Penicillin V Potassium

00247006804 Penicillin V Potassium

00247006806 Penicillin V Potassium

00247006808 Penicillin V Potassium

00247006810 Penicillin V Potassium

penicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 27: Pharmacy Table AA 2014

00247006812 Penicillin V Potassium

00247006814 Penicillin V Potassium

00247006815 Penicillin V Potassium

00247006816 Penicillin V Potassium

00247006818 Penicillin V Potassium

00247006820 Penicillin V Potassium

00247006821 Penicillin V Potassium

00247006824 Penicillin V Potassium

00247006825 Penicillin V Potassium

00247006828 Penicillin V Potassium

00247006830 Penicillin V Potassium

00247006832 Penicillin V Potassium

00247006840 Penicillin V Potassium

00247006898 Penicillin V Potassium

00247006902 Penicillin V Potassium

00247009600

00247009605

00247009620

00247009623

00247009630

00247009633

00247009638

00247009649

00247009650

penicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 250 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Page 28: Pharmacy Table AA 2014

00247009652

00247009659

00247009660

00247009677

00247009678

00247009679

00247009690

00247009695

00247009803 MetroNIDAZOLE

00247009806 MetroNIDAZOLE

00247009856 MetroNIDAZOLE

00247010404 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

00247010600 Penicillin V Potassium

00247010679 Penicillin V Potassium

00247011001 Erythromycin Base

00247011024 Erythromycin Base

00247011098 Erythromycin Base

00247011503 Biaxin clarithromycin 500 mg oral tablet

00247011504 Biaxin clarithromycin 500 mg oral tablet

00247011528 Biaxin clarithromycin 500 mg oral tablet

00247011602

00247011603

00247011604

00247011605

00247011606

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

penicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 125 mg/5 mL oral liquiderythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsule

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Page 29: Pharmacy Table AA 2014

00247011609

00247011615

00247011620

00247011621

00247011628

00247011630

00247011640

00247011642

00247012903 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

00247012904 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

00247012908 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

00247012912 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

00247013209 MetroNIDAZOLE

00247013233 MetroNIDAZOLE

00247013240 MetroNIDAZOLE

00247013269 MetroNIDAZOLE

00247013298 MetroNIDAZOLE

00247013702

00247013704

00247013708

00247013710

00247013712

00247013714

00247013720

00247013721

00247013728

00247013730

00247013740

00247015603 Ampicillin ampicillin 250 mg oral capsule00247015604 Ampicillin ampicillin 250 mg oral capsule00247015612 Ampicillin ampicillin 250 mg oral capsule

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Page 30: Pharmacy Table AA 2014

00247015615 Ampicillin ampicillin 250 mg oral capsule00247015630 Ampicillin ampicillin 250 mg oral capsule00247015703 Ampicillin ampicillin 500 mg oral capsule00247015704 Ampicillin ampicillin 500 mg oral capsule00247015708 Ampicillin ampicillin 500 mg oral capsule00247015718 Ampicillin ampicillin 500 mg oral capsule00247015910 Macrodantin

00247015914 Macrodantin

00247015920 Macrodantin

00247015921 Macrodantin

00247015928 Macrodantin

00247015930 Macrodantin

00247015940 Macrodantin

00247016402 Macrobid

00247016403 Macrobid

00247016406 Macrobid

00247016410 Macrobid

00247016414 Macrobid

00247016420 Macrobid

00247016421 Macrobid

00247016490 Macrobid

00247016700 Cipro ciprofloxacin 500 mg oral tablet

00247016703 Cipro ciprofloxacin 500 mg oral tablet

00247016704 Cipro ciprofloxacin 500 mg oral tablet

00247016707 ciprofloxacin 500 mg oral tablet

00247016728 Cipro ciprofloxacin 500 mg oral tablet

00247016779 ciprofloxacin 500 mg oral tablet

00247017206 Trimethoprim trimethoprim 100 mg oral tablet

nitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Ciprofloxacin Hydrochloride

Ciprofloxacin Hydrochloride

Page 31: Pharmacy Table AA 2014

00247017220 Trimethoprim trimethoprim 100 mg oral tablet

00247017500 Ery-Tab

00247017502 Ery-Tab

00247017503 Ery-Tab

00247017504 Ery-Tab

00247017507 Ery-Tab

00247017509 Ery-Tab

00247017510 Ery-Tab

00247017512 Ery-Tab

00247017514 Ery-Tab

00247017520 Ery-Tab

00247017521 Ery-Tab

00247017528 Ery-Tab

00247017530 Ery-Tab

00247017540 Ery-Tab

00247017556 Ery-Tab

00247019603 Cefaclor cefaclor 500 mg oral capsule

00247019604 Cefaclor cefaclor 500 mg oral capsule

00247019701 Cipro ciprofloxacin 250 mg oral tablet

00247019702 Cipro ciprofloxacin 250 mg oral tablet

00247019703 Cipro ciprofloxacin 250 mg oral tablet

00247019707 ciprofloxacin 250 mg oral tablet

00247025800

00247025804

00247025806

00247025810

00247025814

00247025820

00247025828

erythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

Ciprofloxacin HydrochlorideNitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 32: Pharmacy Table AA 2014

00247025830

00247025840

00247025847

00247025890

00247026202 Ceftin cefuroxime 250 mg oral tablet

00247028001 Zithromax azithromycin 250 mg oral tablet

00247028002 Zithromax azithromycin 250 mg oral tablet

00247028003 Zithromax azithromycin 250 mg oral tablet

00247028004 Zithromax azithromycin 250 mg oral tablet

00247028005 Zithromax Z-Pak azithromycin 250 mg oral tablet

00247028006 Zithromax azithromycin 250 mg oral tablet

00247028010 Zithromax azithromycin 250 mg oral tablet

00247028011 Zithromax azithromycin 250 mg oral tablet

00247028050 Zithromax azithromycin 250 mg oral tablet

00247033101 Rocephin cefTRIAXone 1 g injection

00247033110 Rocephin cefTRIAXone 1 g injection

00247033920 Vantin cefpodoxime 200 mg oral tablet

00247039300 Cephalexin Monohydrate

00247039379 Cephalexin Monohydrate

00247039500

00247039560

00247039577

00247039579

00247039590

00247039600

00247039605

00247039610

00247039625

00247039660

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

cephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquid

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Page 33: Pharmacy Table AA 2014

00247039677

00247039679

00247039690

00247039695

00247039720 Septra DS

00247043402 Bicillin L-A

00247043420 Bicillin L-A

00247045224 Rifadin rifampin 300 mg oral capsule00247045230 Rifadin rifampin 300 mg oral capsule00247045260 Rifadin rifampin 300 mg oral capsule00247045802 Clarithromycin clarithromycin 250 mg oral tablet

00247045804 Clarithromycin clarithromycin 250 mg oral tablet

00247045814 Clarithromycin clarithromycin 250 mg oral tablet

00247045904 PCE Dispertab

00247045906 PCE Dispertab

00247045914 PCE Dispertab

00247045916 PCE Dispertab

00247045920 PCE Dispertab

00247045930 PCE Dispertab

00247046015 PCE Dispertab

00247046020 PCE Dispertab

00247046021 PCE Dispertab

00247046030 PCE Dispertab

00247052902 Bicillin C-R 900/300

00247052920 Bicillin C-R 900/300

00247056320 Amoxicillin

00247058550 Suprax cefixime 100 mg/5 mL oral liquid

00247058600 Suprax cefixime 100 mg/5 mL oral liquid

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspensionsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletpenicillin G benzathine 1,200,000 units/2 mL intramuscular suspensionpenicillin G benzathine 1,200,000 units/2 mL intramuscular suspension

erythromycin 500 mg oral tablet, coated particleserythromycin 500 mg oral tablet, coated particleserythromycin 500 mg oral tablet, coated particleserythromycin 500 mg oral tablet, coated particleserythromycin 500 mg oral tablet, coated particleserythromycin 500 mg oral tablet, coated particleserythromycin 333 mg oral tablet, coated particleserythromycin 333 mg oral tablet, coated particleserythromycin 333 mg oral tablet, coated particleserythromycin 333 mg oral tablet, coated particlesbenzathine penicillin-procaine penicillin 900,000 units-300,000 units/2 mL intramuscular suspension

benzathine penicillin-procaine penicillin 900,000 units-300,000 units/2 mL intramuscular suspension

amoxicillin 250 mg oral tablet, chewable

Page 34: Pharmacy Table AA 2014

00247062630 Minocycline Hydrochloride minocycline 50 mg oral capsule

00247062660 Minocycline Hydrochloride minocycline 50 mg oral capsule

00247062720 Minocycline Hydrochloride minocycline 100 mg oral capsule

00247062730 Minocycline Hydrochloride minocycline 100 mg oral capsule

00247062750 Minocycline Hydrochloride minocycline 100 mg oral capsule

00247062760 Minocycline Hydrochloride minocycline 100 mg oral capsule

00247062800 Cefadroxil Monohydate cefadroxil 500 mg/5 mL oral liquid

00247062850 Cefadroxil Monohydate cefadroxil 500 mg/5 mL oral liquid

00247062875 Cefadroxil Monohydate cefadroxil 500 mg/5 mL oral liquid

00247062900 Cefadroxil Monohydate cefadroxil 250 mg/5 mL oral liquid

00247062950 Cefadroxil Monohydate cefadroxil 250 mg/5 mL oral liquid

00247063375 Suprax cefixime 100 mg/5 mL oral liquid

00247063900 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063902 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063903 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063904 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063906 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063908 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063912 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063916 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063921 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063924 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063928 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063942 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063950 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063956 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063960 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247063980 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00247064506 Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Page 35: Pharmacy Table AA 2014

00247064520

00247064528

00247064530

00247066202 Cefzil cefprozil 250 mg oral tablet

00247066214 Cefzil cefprozil 250 mg oral tablet

00247066314 Cefzil cefprozil 500 mg oral tablet

00247069610 Macrodantin

00247069614 Macrodantin

00247069620 Macrodantin

00247069628 Macrodantin

00247069630 Macrodantin

00247078401 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00247078402 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00247078403 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00247078408 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00247078418 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00247078424 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00247078428 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00247081201 Rocephin cefTRIAXone 500 mg injection

00247083530 Rifadin rifampin 150 mg oral capsule00247092801 ciprofloxacin 750 mg oral tablet

00247092802 ciprofloxacin 750 mg oral tablet

00247094015 Doxycycline Hyclate

00247094101 Ceftin cefuroxime 500 mg oral tablet

00247094200 Cefprozil cefprozil 250 mg/5 mL oral liquid

00247094250 Cefprozil cefprozil 250 mg/5 mL oral liquid

00247094275 Cefprozil cefprozil 250 mg/5 mL oral liquid

00247094300 Cefzil cefprozil 125 mg/5 mL oral liquid

00247094350 Cefzil cefprozil 125 mg/5 mL oral liquid

00247094375 Cefzil cefprozil 125 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

nitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin Hydrochloride

doxycycline hyclate 50 mg oral capsule

Page 36: Pharmacy Table AA 2014

00247094900 Pediazole

00247094978 Pediazole

00247094979 Pediazole

00247100201 Noroxin norfloxacin 400 mg oral tablet00247100202 Noroxin norfloxacin 400 mg oral tablet00247100206 Noroxin norfloxacin 400 mg oral tablet00247100210 Noroxin norfloxacin 400 mg oral tablet00247100214 Noroxin norfloxacin 400 mg oral tablet00247100900 Doxycycline Hyclate

00247100902 Doxycycline Hyclate

00247100903 Doxycycline Hyclate

00247100906 Doxycycline Hyclate

00247100930 Doxycycline Hyclate

00247118128 Keflex cephalexin 500 mg oral capsule

00247118156 Keflex cephalexin 500 mg oral capsule

00247118320 Cephalexin Monohydrate cephalexin 250 mg oral tablet

00247126100 Ceftin

00247126150 Ceftin

00247126179 Ceftin

00247126601 Bicillin L-A

00247128803 Zithromax azithromycin 1 g oral liquid00247133320 Vibramycin

00247134802 Noroxin norfloxacin 400 mg oral tablet00247134806 Noroxin norfloxacin 400 mg oral tablet00247134810 Noroxin norfloxacin 400 mg oral tablet00247134814 Noroxin norfloxacin 400 mg oral tablet00247134816 Noroxin norfloxacin 400 mg oral tablet00247138300 Clarithromycin

00247138350 Clarithromycin

00247138600 Clarithromycin

00247138650 Clarithromycin

00247141402 Augmentin

00247141410 Augmentin

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

cefuroxime 125 mg/5 mL oral liquidcefuroxime 125 mg/5 mL oral liquidcefuroxime 125 mg/5 mL oral liquidpenicillin G benzathine 600,000 units/mL intramuscular suspension

doxycycline hyclate 100 mg oral capsule

clarithromycin 250 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquidclarithromycin 125 mg/5 mL oral liquidclarithromycin 125 mg/5 mL oral liquidamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 37: Pharmacy Table AA 2014

00247141414 Augmentin

00247141420 Augmentin

00247141424 Augmentin

00247146802 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00247146804 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00247146810 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00247146814 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00247146820 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00247151805 Amoxicillin

00247151850 Amoxicillin

00247151905 Amoxicillin

00247151910 Amoxicillin

00247151915 Amoxicillin

00247151950 Amoxicillin

00247152406 ciprofloxacin 100 mg oral tablet

00247156801 Rifampin rifampin 300 mg oral capsule00247156804 Rifampin rifampin 300 mg oral capsule00247156830 Rifampin rifampin 300 mg oral capsule00247156860 Rifampin rifampin 300 mg oral capsule00247160001 Amoxil

00247160078 Amoxil

00247162300 Ceftin

00247162350 Ceftin

00247162430 Cedax ceftibuten 90 mg/5 mL oral liquid

00247162460 Cedax ceftibuten 90 mg/5 mL oral liquid

00247162477 Cedax ceftibuten 90 mg/5 mL oral liquid

00247162490 Cedax ceftibuten 90 mg/5 mL oral liquid

00247166630 Monodox

00247166930 Amoxicillin

00247170702 Levaquin levofloxacin 250 mg oral tablet00247170707 Levaquin levofloxacin 250 mg oral tablet00247170710 Levaquin levofloxacin 250 mg oral tablet00247170720 Levaquin levofloxacin 250 mg oral tablet00247170750 Levaquin levofloxacin 250 mg oral tablet

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

amoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

Ciprofloxacin Hydrochloride

amoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidcefuroxime 250 mg/5 mL oral liquidcefuroxime 250 mg/5 mL oral liquid

doxycycline monohydrate 100 mg oral capsuleamoxicillin 125 mg oral tablet, chewable

Page 38: Pharmacy Table AA 2014

00247170801 Levaquin levofloxacin 500 mg oral tablet00247170807 Levaquin levofloxacin 500 mg oral tablet00247170810 Levaquin levofloxacin 500 mg oral tablet00247170814 Levaquin levofloxacin 500 mg oral tablet00247170820 Levaquin levofloxacin 500 mg oral tablet00247170850 Levaquin levofloxacin 500 mg oral tablet00247170904 Bicillin L-A

00247170940 Bicillin L-A

00247172900

00247172979

00247195120 Amoxicillin amoxicillin 875 mg oral tablet00247196302 Cefuroxime Axetil cefuroxime 250 mg oral tablet

00247196310 Cefuroxime Axetil cefuroxime 250 mg oral tablet

00247196320 Cefuroxime Axetil cefuroxime 250 mg oral tablet

00247197700 Omnicef cefdinir 125 mg/5 mL oral liquid

00247199002 Amoxicillin-Clavulanate

00247199003 Amoxicillin-Clavulanate

00247199004 Amoxicillin-Clavulanate

00247199009 Amoxicillin-Clavulanate

00247199012 Amoxicillin-Clavulanate

00247199015 Amoxicillin-Clavulanate

00247199020 Amoxicillin-Clavulanate

00247199021 Amoxicillin-Clavulanate

00247199030 Amoxicillin-Clavulanate

00247199100 Amoxicillin-Clavulanate

00247199102 Amoxicillin-Clavulanate

00247199104 Amoxicillin-Clavulanate

00247199106 Amoxicillin-Clavulanate

00247199114 Amoxicillin-Clavulanate

00247199120 Amoxicillin-Clavulanate

00247201800 Amoxicillin-Clavulanate

00247201850 Amoxicillin-Clavulanate

penicillin G benzathine 2,400,000 units/4 mL intramuscular suspensionpenicillin G benzathine 2,400,000 units/4 mL intramuscular suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquid

Page 39: Pharmacy Table AA 2014

00247201875 Amoxicillin-Clavulanate

00247204200 ciprofloxacin 500 mg oral tablet

00247204201 ciprofloxacin 500 mg oral tablet

00247204202 ciprofloxacin 500 mg oral tablet

00247204203 ciprofloxacin 500 mg oral tablet

00247204204 ciprofloxacin 500 mg oral tablet

00247204206 ciprofloxacin 500 mg oral tablet

00247204209 ciprofloxacin 500 mg oral tablet

00247204210 ciprofloxacin 500 mg oral tablet

00247204214 ciprofloxacin 500 mg oral tablet

00247204220 ciprofloxacin 500 mg oral tablet

00247204228 ciprofloxacin 500 mg oral tablet

00247204230 ciprofloxacin 500 mg oral tablet

00247204400 ciprofloxacin 250 mg oral tablet

00247204402 ciprofloxacin 250 mg oral tablet

00247204404 ciprofloxacin 250 mg oral tablet

00247204406 ciprofloxacin 250 mg oral tablet

00247204410 ciprofloxacin 250 mg oral tablet

00247204414 ciprofloxacin 250 mg oral tablet

00247204420 ciprofloxacin 250 mg oral tablet

00247204428 ciprofloxacin 250 mg oral tablet

00247207100

00247207102

00247207103

00247207104

00247207106

amoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideNitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 40: Pharmacy Table AA 2014

00247207110

00247207114

00247207128

00247207520 Spectracef cefditoren 200 mg oral tablet

00247217720 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

00247220104 Rifampin rifampin 150 mg oral capsule00247220130 Rifampin rifampin 150 mg oral capsule00247220160 Rifampin rifampin 150 mg oral capsule00247220901 CefTRIAXone Sodium cefTRIAXone 1 g injection

00247220910 CefTRIAXone Sodium cefTRIAXone 1 g injection

00247220920 CefTRIAXone Sodium cefTRIAXone 1 g injection

00247221001 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00247221010 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00247221101 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00247221110 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00247221620 Cefuroxime Axetil cefuroxime 500 mg oral tablet

00247221700 Ceftin

00247221750 Ceftin

00247221775 Ceftin

00247223300 Amoxicillin-Clavulanate

00247223350 Amoxicillin-Clavulanate

00247223375 Amoxicillin-Clavulanate

00247225815 Azithromycin

00247227900 Azithromycin

00247227901 Azithromycin

00247227930 Azithromycin

00247227958 Azithromycin

00247235801 Azithromycin azithromycin 1 g oral liquid00247235802 Azithromycin azithromycin 1 g oral liquid00247235806 Azithromycin azithromycin 1 g oral liquid00264310211 CeFAZolin Sodium

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

cefuroxime 250 mg/5 mL oral liquidcefuroxime 250 mg/5 mL oral liquidcefuroxime 250 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquid

ceFAZolin 500 mg/50 mL intravenous solution

Page 41: Pharmacy Table AA 2014

00264310311 CeFAZolin Sodium

00264310511 CeFAZolin Sodium

00264311211 Cefuroxime Sodium

00264311411 Cefuroxime Sodium

00264312311 CefOXitin Sodium

00264312511 CefOXitin Sodium

00264314311 CefTAZidime

00264314511 CefTAZidime

00264315311 CefTRIAXone Sodium

00264315511 CefTRIAXone Sodium

00264317311 CefoTEtan Disodium

00264317511 CefoTEtan Disodium

00264319311 Cefepime Hydrochloride

00264319511 Cefepime Hydrochloride

00264553532 MetroNIDAZOLE

00264580632

00264580832

00264581032

00264581238

00264581638

00299382230 Oracea

00299596002 Periostat doxycycline 20 mg oral tablet00316014201 Ala-Tet tetracycline 250 mg oral capsule

00338050148

00338050348

00338050548

00338050741

00338050748

00338050941

ceFAZolin 1 g/50 mL intravenous solutionceFAZolin 2 g/50 mL intravenous solutioncefuroxime 750 mg/50 mL-D5% intravenous solutioncefuroxime 1.5 g/50 mL-D5% intravenous solutioncefOXitin 1 g/50 mL intravenous solutioncefOXitin 2 g/50 mL intravenous solutioncefTAZidime 1 g/50 mL-D5% intravenous solutioncefTAZidime 2 g/50 mL-D5% intravenous solutioncefTRIAXone 1 g/50 mL intravenous solutioncefTRIAXone 2 g/50 mL intravenous solutioncefoTEtan 1 g/50 mL-iso-osmotic dextrose intravenous solution

cefoTEtan 2 g/50 mL-iso-osmotic dextrose intravenous solution

cefepime 1 g/50 mL injectable solutioncefepime 2 g/50 mL injectable solutionmetroNIDAZOLE 500 mg/100 mL intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 60 mg/100 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 80 mg/100 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 100 mg/100 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 60 mg/50 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 80 mg/50 mL-NaCl 0.9% intravenous solutiondoxycycline 40 mg oral delayed release capsule

Gentamicin Sulfate-Sodium Chloride

gentamicin 60 mg/100 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 80 mg/100 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 100 mg/100 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 60 mg/50 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 120 mg/100 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 80 mg/50 mL-NaCl 0.9% intravenous solution

Page 42: Pharmacy Table AA 2014

00338051141

00338096037

00338096048

00338101341 Oxacillin Sodium

00338101541 Oxacillin Sodium

00338101741 Nafcillin Sodium

00338101948 Nafcillin Sodium

00338102141 Penicillin G Potassium

00338102341 Penicillin G Potassium

00338102541 Penicillin G Potassium

00338105548 MetroNIDAZOLE

00338130141 Cefepime Hydrochloride

00338130148 Cefepime Hydrochloride

00338350241 CeFAZolin Sodium

00338350341 CeFAZolin Sodium

00338355148 Vancomycin Hydrochloride

00338355248 Vancomycin Hydrochloride

00338358040 Vancomycin Hydrochloride

00338358048 Vancomycin Hydrochloride

00338500241 CefTRIAXone Sodium

00338500341 CefTRIAXone Sodium

00364203350 Doxycycline Hyclate

00364246434 CeFAZolin Sodium ceFAZolin 500 mg injection

00364246693 CeFAZolin Sodium ceFAZolin 10 g injection

00364290638 Penicillin G Potassium

00364290861 Penicillin G Potassium

00378121589 Levofloxacin levofloxacin 250 mg oral tablet00378121789 Levofloxacin levofloxacin 500 mg oral tablet00378122194 Levofloxacin levofloxacin 750 mg oral tablet

Gentamicin Sulfate-Sodium Chloride

gentamicin 100 mg/50 mL-NaCl 0.9% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solutionoxacillin 1 g/50 mL intravenous solutionoxacillin 2 g/50 mL intravenous solutionnafcillin 1 g/50 mL intravenous solutionnafcillin 1 g/50 mL intravenous solutionpenicillin G potassium 1,000,000 units/50 mL intravenous solution

penicillin G potassium 2,000,000 units/50 mL intravenous solution

penicillin G potassium 3,000,000 units/50 mL intravenous solution

metroNIDAZOLE 500 mg/100 mL intravenous solutioncefepime 1 g/50 mL injectable solutioncefepime 2 g/100 mL injectable solutionceFAZolin 500 mg/50 mL intravenous solutionceFAZolin 1 g/50 mL intravenous solutionvancomycin 500 mg/100 mL-D5% intravenous solutionvancomycin 1 g/200 mL-D5% intravenous solutionvancomycin 750 mg/150 mL-NaCl 0.9% intravenous solutionvancomycin 750 mg/150 mL-D5% intravenous solutioncefTRIAXone 1 g/50 mL intravenous solutioncefTRIAXone 2 g/50 mL intravenous solutiondoxycycline hyclate 100 mg oral capsule

penicillin G potassium 5,000,000 units injectionpenicillin G potassium 20,000,000 units injection

Page 43: Pharmacy Table AA 2014

00378132201 ciprofloxacin 250 mg oral tablet

00378132205 ciprofloxacin 250 mg oral tablet

00378132301 ciprofloxacin 500 mg oral tablet

00378132305 ciprofloxacin 500 mg oral tablet

00378132489 ciprofloxacin 750 mg oral tablet

00378153356 Azithromycin azithromycin 250 mg oral tablet

00378153383 Azithromycin azithromycin 250 mg oral tablet

00378153453 Azithromycin azithromycin 500 mg oral tablet

00378153459 Azithromycin azithromycin 500 mg oral tablet

00378153593 Azithromycin azithromycin 600 mg oral tablet

00378165001

00378165005

00378170001

00378170005

00378174389

00378174589

00378303001 Doxycycline Hyclate

00378342201

00378429601

00378429693

00378429701

00378429793

00378429801

00378429893

00378453191 Doxycycline Hyclate

00378453201 Doxycycline Hyclate

00378547591 Doxycycline Monohydrate

00378602101 Doxycycline Monohydrate

00378602201 Doxycycline Monohydrate

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Ciprofloxacin Extended Release

ciprofloxacin 500 mg oral tablet, extended release

Ciprofloxacin Extended Release

ciprofloxacin 1000 mg oral tablet, extended releasedoxycycline hyclate 150 mg oral delayed release tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Minocycline Hydrochloride ER

minocycline 45 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 45 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 90 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 90 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 135 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 135 mg oral tablet, extended releasedoxycycline hyclate 75 mg oral delayed release tabletdoxycycline hyclate 100 mg oral delayed release tabletdoxycycline monohydrate 150 mg oral capsuledoxycycline monohydrate 50 mg oral tabletdoxycycline monohydrate 75 mg oral tablet

Page 44: Pharmacy Table AA 2014

00378602389 Doxycycline Monohydrate

00378612493 Doxycycline Monohydrate

00378709701 ciprofloxacin 250 mg oral tablet

00378709801 ciprofloxacin 500 mg oral tablet

00378709989 ciprofloxacin 750 mg oral tablet

00378825091 Clarithromycin clarithromycin 250 mg oral tablet

00378850091 Clarithromycin clarithromycin 500 mg oral tablet

00409014411 Azithromycin ADD-Vantage

00409021701 Maxipime ADD-Vantage cefepime 1 g injection

00409021801 Maxipime ADD-Vantage cefepime 2 g injection

00409021901 Maxipime cefepime 1 g injection

00409022001 Maxipime cefepime 2 g injection

00409052813 Levofloxacin

00409052823 Levofloxacin

00409052831 Levofloxacin

00409080201 Cefuroxime Sodium cefuroxime 1.5 g injection

00409080301 Cefuroxime Sodium cefuroxime 7.5 g injection

00409080501 CeFAZolin Sodium ceFAZolin 1 g injection

00409080601 CeFAZolin Sodium ceFAZolin 10 g injection

00409120703

00409195501 Amikacin Sulfate Pediatric

00409195601 Amikacin Sulfate

00409195701 Amikacin Sulfate

00409258501 ceFAZolin 1 g injection

00409268715 Ampicillin-Sulbactam

00409268901

00409268911 Ampicillin-Sulbactam

00409268949 Ampicillin-Sulbactam

00409298703

doxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 150 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

azithromycin 500 mg intravenous injection

levofloxacin 250 mg/50 mL intravenous solutionlevofloxacin 500 mg/100 mL intravenous solutionlevofloxacin 750 mg/150 mL intravenous solution

Gentamicin Sulfate, Injectable

gentamicin 40 mg/mL injectable solutionamikacin 50 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solution

CeFAZolin Sodium ADD-Vantage

ampicillin-sulbactam 10 g-5 g injection

Ampicillin-Sulbactam ADD-Vantage

ampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 1 g-0.5 g injection

Ampicillin-Sulbactam ADD-Vantage

ampicillin-sulbactam 2 g-1 g injection

Page 45: Pharmacy Table AA 2014

00409298713 Ampicillin-Sulbactam

00409298749 Ampicillin-Sulbactam

00409298801 Ampicillin-Sulbactam

00409299803 Ampicillin-Sulbactam

00409325503

00409337402

00409337813

00409337904

00409338302

00409338513

00409339004

00409340001

00409340101

00409340201

00409346913

00409347023

00409357701 Tobramycin Sulfate

00409357801 Tobramycin Sulfate

00409359002 Tobramycin Sulfate

00409405001 Clindamycin Phosphate

00409405101 Clindamycin Phosphate

00409405201 Clindamycin Phosphate

00409405303

00409405403

00409405503

00409419701 Clindamycin Phosphate

00409433201 Vancomycin Hydrochloride

00409433249 Vancomycin Hydrochloride

ampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injection

Tobramycin Sulfate ADD-Vantage

tobramycin 10 mg/mL injectable solution

Piperacillin Sodium-Tazobactam Sodium ADD-Vantage

piperacillin-tazobactam 2 g-0.25 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium ADD-Vantage

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium ADD-Vantage

piperacillin-tazobactam 4 g-0.5 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 2 g-0.25 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 4 g-0.5 g intravenous injection

Gentamicin Sulfate ADD-Vantage, Injectable

gentamicin 10 mg/mL injectable solution

Gentamicin Sulfate ADD-Vantage, Injectable

gentamicin 10 mg/mL injectable solution

Gentamicin Sulfate ADD-Vantage, Injectable

gentamicin 10 mg/mL injectable solution

Tobramycin Sulfate-Sodium Chloride

tobramycin 60 mg/50 mL-NaCl 0.9% intravenous solution

Tobramycin Sulfate-Sodium Chloride

tobramycin 80 mg/100 mL-NaCl 0.9% intravenous solutiontobramycin 10 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solution

Clindamycin Phosphate ADD-Vantage

clindamycin 150 mg/mL injectable solution

Clindamycin Phosphate ADD-Vantage

clindamycin 150 mg/mL injectable solution

Clindamycin Phosphate ADD-Vantage

clindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionvancomycin 500 mg intravenous injectionvancomycin 500 mg intravenous injection

Page 46: Pharmacy Table AA 2014

00409476586

00409477702

00409477723

00409477749

00409477750

00409477761

00409477762

00409477886

00409508216 Tazicef cefTAZidime 1 g injection

00409508252 Tazicef cefTAZidime 1 g injection

00409508411 Tazicef cefTAZidime 2 g injection

00409508451 Tazicef cefTAZidime 2 g injection

00409508611 Tazicef cefTAZidime 6 g injection

00409508651 Tazicef cefTAZidime 6 g injection

00409509216 Tazicef ADD-Vantage cefTAZidime 1 g injection

00409509252 Tazicef cefTAZidime 1 g injection

00409509311 Tazicef ADD-Vantage cefTAZidime 2 g injection

00409509351 Tazicef cefTAZidime 2 g injection

00409647644

00409647844

00409648201 Erythrocin Lactobionate

00409650901 Vancomycin Hydrochloride

00409650949 Vancomycin Hydrochloride

00409651001 Vancomycin Hydrochloride

00409651049 Vancomycin Hydrochloride

00409653101

00409653102 Vancomycin Hydrochloride

00409653301 Vancomycin Hydrochloride

00409653349 Vancomycin Hydrochloride

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Erythrocin Lactobionate ADD-Vantage

erythromycin lactobionate 500 mg injection

Erythrocin Lactobionate ADD-Vantage

erythromycin lactobionate 1 g injectionerythromycin lactobionate 500 mg injectionvancomycin 5 g intravenous injectionvancomycin 5 g intravenous injectionvancomycin 10 g intravenous injectionvancomycin 10 g intravenous injection

Vancomycin Hydrochloride ADD-Vantage

vancomycin 750 mg intravenous injection

vancomycin 750 mg intravenous injectionvancomycin 1 g intravenous injectionvancomycin 1 g intravenous injection

Page 47: Pharmacy Table AA 2014

00409653361 Vancomycin Hydrochloride

00409653401

00409653449 Vancomycin Hydrochloride

00409653501

00409653549

00409733201 CefTRIAXone Sodium cefTRIAXone 1 g injection

00409733261 CefTRIAXone Sodium cefTRIAXone 1 g injection

00409733304 cefTRIAXone 1 g injection

00409733349 CefTRIAXone Sodium cefTRIAXone 1 g injection

00409733410 CefTRIAXone Sodium cefTRIAXone 10 g injection

00409733503 CefTRIAXone Sodium cefTRIAXone 2 g injection

00409733561 CefTRIAXone Sodium cefTRIAXone 2 g injection

00409733604 cefTRIAXone 2 g injection

00409733649 CefTRIAXone Sodium cefTRIAXone 2 g injection

00409733701 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00409733801 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00409781124 MetroNIDAZOLE

00409781137 MetroNIDAZOLE

00409787913

00409788113

00409788313

00409788423

00409788623

00409788923

00430011120 Doryx

00430011196 Doryx

00430011224 Doryx

00430011296 Doryx

vancomycin 1 g intravenous injection

Vancomycin Hydrochloride ADD-Vantage

vancomycin 500 mg intravenous injection

vancomycin 500 mg intravenous injection

Vancomycin Hydrochloride ADD-Vantage

vancomycin 1 g intravenous injection

Vancomycin Hydrochloride ADD-Vantage

vancomycin 1 g intravenous injection

CefTRIAXone Sodium ADD-Vantage

CefTRIAXone Sodium ADD-Vantage

metroNIDAZOLE 500 mg/100 mL intravenous solutionmetroNIDAZOLE 500 mg/100 mL intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 60 mg/50 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 70 mg/50 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 80 mg/50 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 80 mg/100 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 90 mg/100 mL-NaCl 0.9% intravenous solution

Gentamicin Sulfate-Sodium Chloride

gentamicin 100 mg/100 mL-NaCl 0.9% intravenous solutiondoxycycline hyclate 75 mg oral delayed release tabletdoxycycline hyclate 75 mg oral delayed release tabletdoxycycline hyclate 100 mg oral delayed release tabletdoxycycline hyclate 100 mg oral delayed release tablet

Page 48: Pharmacy Table AA 2014

00430011320 Doryx

00430011420 Doryx

00430011520 Doryx

00430011595 Doryx

00430278215 Duricef cefadroxil 250 mg/5 mL oral liquid

00430278217 Duricef cefadroxil 250 mg/5 mL oral liquid

00430278316 Duricef cefadroxil 500 mg/5 mL oral liquid

00430278317 Duricef cefadroxil 500 mg/5 mL oral liquid

00440110130 Amoxicillin amoxicillin 500 mg oral capsule

00440240620

00440710130 Amoxicillin amoxicillin 500 mg oral capsule

00440710530 Amoxicillin amoxicillin 250 mg oral capsule

00440710820 Amoxicillin-Clavulanate

00440717506 azithromycin 250 mg oral tablet

00440724028 Cephalexin Monohydrate cephalexin 250 mg oral capsule

00440724121 Cephalexin Monohydrate cephalexin 500 mg oral capsule

00440729006 ciprofloxacin 250 mg oral tablet

00440729120 ciprofloxacin 500 mg oral tablet

00440730030 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00440738140 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

00440748114 Doxycycline Hyclate

00440748392 Doxycycline Hyclate

00440751240 Erythrocin Stearate Filmtab

00440779508 MetroNIDAZOLE

00440786614

00440805040 Penicillin V Potassium

00440805540 Penicillin V Potassium

00440805620 Penicillin V Potassium

00440835820

doxycycline hyclate 150 mg oral delayed release tabletdoxycycline hyclate 200 mg oral delayed release tabletdoxycycline hyclate 150 mg oral delayed release tabletdoxycycline hyclate 150 mg oral delayed release tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

amoxicillin-clavulanate 875 mg-125 mg oral tablet

Azithromycin 5 Day Dose Pack

Ciprofloxacin HydrochlorideCiprofloxacin Hydrochloride

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral tableterythromycin stearate 250 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsulepenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 49: Pharmacy Table AA 2014

00440840603

00440850540 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00456430008 Monurol

00472085010 Doxycycline Hyclate doxycycline 20 mg oral tablet00472128516 Sulfatrim Pediatric

00472128533 Sulfatrim Pediatric

00490005600 Ketek telithromycin 400 mg oral tablet

00490005630 Ketek telithromycin 400 mg oral tablet

00490005660 Ketek telithromycin 400 mg oral tablet

00490005690 Ketek telithromycin 400 mg oral tablet

00490008500 Avelox moxifloxacin 400 mg oral tablet

00490008530 Avelox moxifloxacin 400 mg oral tablet

00490008560 Avelox moxifloxacin 400 mg oral tablet

00490008590 Avelox moxifloxacin 400 mg oral tablet

00517871110 CefTRIAXone Sodium cefTRIAXone 1 g injection

00517872210 CefTRIAXone Sodium cefTRIAXone 2 g injection

00517872510 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00517875010 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00527131501 Rifampin rifampin 300 mg oral capsule00527131506 Rifampin rifampin 300 mg oral capsule00527131530 Rifampin rifampin 300 mg oral capsule00527133501 Doxycycline Monohydrate

00527133601 Doxycycline Hyclate doxycycline 20 mg oral tablet00527133825 Doxycycline Monohydrate

00527133850 Doxycycline Monohydrate

00527138201 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00527138301 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00527138302 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00527138401 ciprofloxacin 250 mg oral tablet

00527138501 ciprofloxacin 500 mg oral tablet

00527138650 ciprofloxacin 750 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

fosfomycin 3 g oral powder for reconstitution

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionsulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

doxycycline monohydrate 50 mg oral tablet

doxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 100 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 50: Pharmacy Table AA 2014

00527139301 Rifampin rifampin 150 mg oral capsule00527139330 Rifampin rifampin 150 mg oral capsule00527144201

00527144301

00527144305

00527153501 Doxycycline Monohydrate

00527153730 Doxycycline Monohydrate

00555001002 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00555001005 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00555001102 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00555001105 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00555017801

00555017802

00555017901

00555017902

00555018001

00555018002

00555025902

00555025904

00555037987 Ciprofloxacin

00555038087 Ciprofloxacin

00555044522

00555044523

00555081610 ciprofloxacin 750 mg oral tablet

00574012901 Clindamycin Palmitate

00591041001 Doxycycline Monohydrate

00591041150 Doxycycline Monohydrate

00591223401 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

00591223410 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletdoxycycline monohydrate 75 mg oral tabletdoxycycline monohydrate 150 mg oral tablet

Minocycline Hydrochloride ER

minocycline 45 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 45 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 90 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 90 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 135 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 135 mg oral tablet, extended release

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tabletciprofloxacin 250 mg/5 mL oral liquidciprofloxacin 500 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Ciprofloxacin Hydrochloride

clindamycin 75 mg/5 mL oral liquiddoxycycline monohydrate 50 mg oral capsuledoxycycline monohydrate 100 mg oral capsule

Page 51: Pharmacy Table AA 2014

00591223501 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00591223510 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

00591236569 CeFAZolin Sodium ceFAZolin 1 g injection

00591252101 MetroNIDAZOLE

00591252105 MetroNIDAZOLE

00591252125 MetroNIDAZOLE

00591252205 MetroNIDAZOLE

00591252250 MetroNIDAZOLE

00591312001 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00591312016 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00591315301 Minocycline Hydrochloride minocycline 75 mg oral capsule

00591322415 Cefuroxime Axetil cefuroxime 250 mg oral tablet

00591325001

00591325301

00591354969 CeFAZolin Sodium ceFAZolin 1 g injection

00591355057 CeFAZolin Sodium ceFAZolin 10 g injection

00591355068 CeFAZolin Sodium ceFAZolin 10 g injection

00591356015 Vancomycin Hydrochloride vancomycin 125 mg oral capsule

00591356115 Vancomycin Hydrochloride vancomycin 250 mg oral capsule

00591396901 MetroNIDAZOLE

00591396905 MetroNIDAZOLE

00591396925 MetroNIDAZOLE

00591397005 MetroNIDAZOLE

00591397050 MetroNIDAZOLE

00591544005 Doxycycline Hyclate

00591544050 Doxycycline Hyclate

00591553550 Doxycycline Hyclate

00591555250 MetroNIDAZOLE

00591555305 Doxycycline Hyclate

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletdoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 50 mg oral capsulemetroNIDAZOLE 500 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Page 52: Pharmacy Table AA 2014

00591555350 Doxycycline Hyclate

00591557101 Trimethoprim trimethoprim 100 mg oral tablet

00591569401 Minocycline Hydrochloride minocycline 50 mg oral capsule

00591569460 Minocycline Hydrochloride minocycline 50 mg oral capsule

00591569550 Minocycline Hydrochloride minocycline 100 mg oral capsule

00591570801 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00603168458

00603168558

00603348019 Doxycycline Hyclate

00603348119 Doxycycline Hyclate

00603348128 Doxycycline Hyclate

00603348219 Doxycycline Hyclate

00603348228 Doxycycline Hyclate

00603578021

00603578028

00603578121

00603578128

00603650084 Amoxicillin

00603853747 Cefaclor cefaclor 375 mg/5 mL oral liquid

00641276443

00641611601 Ampicillin-Sulbactam

00641611610 Ampicillin-Sulbactam

00641611701 Ampicillin-Sulbactam

00641611710 Ampicillin-Sulbactam

00641611801 Ampicillin-Sulbactam

00641611901 Ampicillin-Sulbactam

00641611910 Ampicillin-Sulbactam

00641612001 Ampicillin-Sulbactam

doxycycline hyclate 100 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensiondoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletamoxicillin 125 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 80 mg-16 mg/mL intravenous solutionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 10 g-5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injection

Page 53: Pharmacy Table AA 2014

00641612010 Ampicillin-Sulbactam

00641612101 Ampicillin-Sulbactam

00686314509 Cephalexin Monohydrate cephalexin 250 mg oral capsule

00703031501 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00703031503 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00703032503 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00703033504 CefTRIAXone Sodium cefTRIAXone 1 g injection

00703034603 CefTRIAXone Sodium cefTRIAXone 2 g injection

00703035901 CefTRIAXone Sodium cefTRIAXone 10 g injection

00703095601

00703095603

00703095801

00703095803

00703096031

00703096036

00703096931

00703096936

00703903201 Amikacin Sulfate

00703903203 Amikacin Sulfate

00703904001 Amikacin Sulfate

00703904003 Amikacin Sulfate

00703908501 Azithromycin

00703908503 Azithromycin

00703908901 Azithromycin

00703940204 Tobramycin

00703941601 Tobramycin Sulfate

00703950301

00703950303

ampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 10 g-5 g injection

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solutionamikacin 250 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solutionazithromycin 500 mg intravenous injectionazithromycin 500 mg intravenous injectionazithromycin 2.5 g intravenous injectiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solution

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 80 mg-16 mg/mL intravenous solution

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 80 mg-16 mg/mL intravenous solution

Page 54: Pharmacy Table AA 2014

00703951401

00703951403

00703952601

00777086902 Keflex cephalexin 250 mg oral capsule

00777086920 Keflex cephalexin 250 mg oral capsule

00777087102 Keflex cephalexin 500 mg oral capsule

00777087120 Keflex cephalexin 500 mg oral capsule

00781120501 Penicillin V Potassium

00781120510 Penicillin V Potassium

00781149631 Azithromycin azithromycin 250 mg oral tablet

00781149668 azithromycin 250 mg oral tablet

00781149669 Azithromycin azithromycin 250 mg oral tablet

00781149731 Azithromycin azithromycin 600 mg oral tablet

00781161966 Amoxicillin-Clavulanate

00781164366 Amoxicillin-Clavulanate

00781165501 Penicillin V Potassium

00781165510 Penicillin V Potassium

00781183120 Amoxicillin-Clavulanate

00781185220 Amoxicillin-Clavulanate

00781187431 Amoxicillin-Clavulanate

00781194131 Azithromycin azithromycin 500 mg oral tablet

00781194133 azithromycin 500 mg oral tablet

00781194339 Amoxicillin-Clavulanate ER

00781194382 Amoxicillin-Clavulanate ER

00781196160 Clarithromycin clarithromycin 250 mg oral tablet

00781196260 Clarithromycin clarithromycin 500 mg oral tablet

00781202001 Amoxicillin amoxicillin 250 mg oral capsule

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 80 mg-16 mg/mL intravenous solution

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 80 mg-16 mg/mL intravenous solution

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 80 mg-16 mg/mL intravenous solution

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

Azithromycin 5 Day Dose Pack

amoxicillin-clavulanate 200 mg-28.5 mg oral tablet, chewableamoxicillin-clavulanate 400 mg-57 mg oral tablet, chewablepenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tablet

Azithromycin 3 Day Dose Pack

amoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseamoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended release

Page 55: Pharmacy Table AA 2014

00781202005 Amoxicillin amoxicillin 250 mg oral capsule

00781202031 Amoxicillin amoxicillin 250 mg oral capsule

00781202076 Amoxicillin amoxicillin 250 mg oral capsule

00781211201 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00781211301 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00781211317 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00781214401 Ampicillin ampicillin 250 mg oral capsule00781214501 Ampicillin ampicillin 500 mg oral capsule00781217660 Cefdinir cefdinir 300 mg oral capsule

00781217664 Cefdinir cefdinir 300 mg oral capsule

00781217669 Cefdinir cefdinir 300 mg oral capsule

00781224801 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

00781225801 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

00781226860 Doxycycline Hyclate

00781226950 Doxycycline Hyclate

00781261301 Amoxicillin amoxicillin 500 mg oral capsule

00781261305 Amoxicillin amoxicillin 500 mg oral capsule

00781261331 Amoxicillin amoxicillin 500 mg oral capsule

00781261376 Amoxicillin amoxicillin 500 mg oral capsule

00781293801 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00781293850 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

00781303270 Ampicillin-Sulbactam

00781303295 Ampicillin-Sulbactam

00781303370 Ampicillin-Sulbactam

00781303395 Ampicillin-Sulbactam

00781303446 Ampicillin-Sulbactam

00781309415 oxacillin 1 g injection

00781309492 oxacillin 1 g injection

00781309515 oxacillin 2 g injection

00781309592 oxacillin 2 g injection

doxycycline hyclate 75 mg oral delayed release capsuledoxycycline hyclate 100 mg oral delayed release capsule

ampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 10 g-5 g injection

Oxacillin Sodium ADD-VantageOxacillin Sodium ADD-VantageOxacillin Sodium ADD-VantageOxacillin Sodium ADD-Vantage

Page 56: Pharmacy Table AA 2014

00781309985 Oxacillin Sodium oxacillin 1 g injection

00781309995 Oxacillin Sodium oxacillin 1 g injection

00781310180 Oxacillin Sodium oxacillin 2 g injection

00781310195 Oxacillin Sodium oxacillin 2 g injection

00781310346 Oxacillin Sodium oxacillin 10 g injection

00781310395 Oxacillin Sodium oxacillin 10 g injection

00781311090

00781311095

00781311390

00781311395

00781311491

00781311495

00781312495 Nafcillin Sodium nafcillin 1 g injection

00781312585 Nafcillin Sodium nafcillin 2 g injection

00781312595 Nafcillin Sodium nafcillin 2 g injection

00781312646 Nafcillin Sodium nafcillin 10 g injection

00781312695 Nafcillin Sodium nafcillin 10 g injection

00781312815 nafcillin 1 g injection

00781312892 nafcillin 1 g injection

00781312915 nafcillin 2 g injection

00781312992 nafcillin 2 g injection

00781317780 CefTAZidime cefTAZidime 1 g injection

00781317796 CefTAZidime cefTAZidime 1 g injection

00781317891 CefTAZidime cefTAZidime 2 g injection

00781317895 CefTAZidime cefTAZidime 2 g injection

00781317946 CefTAZidime cefTAZidime 6 g injection

00781317986 CefTAZidime cefTAZidime 6 g injection

00781318770 Vancomycin Hydrochloride

00781318795 Vancomycin Hydrochloride

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 2 g-0.25 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 2 g-0.25 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 4 g-0.5 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 4 g-0.5 g intravenous injection

Nafcillin Sodium ADD-VantageNafcillin Sodium ADD-VantageNafcillin Sodium ADD-VantageNafcillin Sodium ADD-Vantage

vancomycin 500 mg intravenous injectionvancomycin 500 mg intravenous injection

Page 57: Pharmacy Table AA 2014

00781318880 Vancomycin Hydrochloride

00781318895 Vancomycin Hydrochloride

00781320685 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00781320695 CefTRIAXone Sodium cefTRIAXone 250 mg injection

00781320785 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00781320795 CefTRIAXone Sodium cefTRIAXone 500 mg injection

00781320885 CefTRIAXone Sodium cefTRIAXone 1 g injection

00781320895 CefTRIAXone Sodium cefTRIAXone 1 g injection

00781320990 CefTRIAXone Sodium cefTRIAXone 2 g injection

00781320995 CefTRIAXone Sodium cefTRIAXone 2 g injection

00781321046 CefTRIAXone Sodium cefTRIAXone 10 g injection

00781322280 Cefepime Hydrochloride cefepime 1 g injection

00781322295 Cefepime Hydrochloride cefepime 1 g injection

00781322391 Cefepime Hydrochloride cefepime 2 g injection

00781322395 Cefepime Hydrochloride cefepime 2 g injection

00781323909

00781324009

00781328809 Clindamycin Phosphate

00781328909 Clindamycin Phosphate

00781328991 Clindamycin Phosphate

00781329009 Clindamycin Phosphate

00781333870 CeFAZolin Sodium ceFAZolin 500 mg injection

00781333885 CeFAZolin Sodium ceFAZolin 500 mg injection

00781334109 Levofloxacin

00781334209 Levofloxacin

00781334309 Levofloxacin

00781340078 Ampicillin ampicillin 125 mg injection00781340095 Ampicillin ampicillin 125 mg injection00781340278 Ampicillin ampicillin 250 mg injection00781340295 Ampicillin ampicillin 250 mg injection00781340485 Ampicillin ampicillin 1 g injection00781340495 Ampicillin ampicillin 1 g injection00781340778 Ampicillin ampicillin 500 mg injection

vancomycin 1 g intravenous injectionvancomycin 1 g intravenous injection

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solutionclindamycin 300 mg/50 mL-D5% intravenous solutionclindamycin 600 mg/50 mL-D5% intravenous solutionclindamycin 600 mg/50 mL-D5% intravenous solutionclindamycin 900 mg/50 mL-D5% intravenous solution

levofloxacin 250 mg/50 mL intravenous solutionlevofloxacin 500 mg/100 mL intravenous solutionlevofloxacin 750 mg/150 mL intravenous solution

Page 58: Pharmacy Table AA 2014

00781340795 Ampicillin ampicillin 500 mg injection00781340880 Ampicillin ampicillin 2 g injection00781340895 Ampicillin ampicillin 2 g injection00781340946 Ampicillin ampicillin 10 g injection00781340995 Ampicillin ampicillin 10 g injection00781341215 Ampicillin ADD-Vantage ampicillin 1 g injection00781341292 Ampicillin ADD-Vantage ampicillin 1 g injection00781341315 Ampicillin ADD-Vantage ampicillin 2 g injection00781341392 Ampicillin ADD-Vantage ampicillin 2 g injection00781345070 CeFAZolin Sodium ceFAZolin 500 mg injection

00781345095 CeFAZolin Sodium ceFAZolin 500 mg injection

00781345170 CeFAZolin Sodium ceFAZolin 1 g injection

00781345196 CeFAZolin Sodium ceFAZolin 1 g injection

00781345246 CeFAZolin Sodium ceFAZolin 10 g injection

00781345295 CeFAZolin Sodium ceFAZolin 10 g injection

00781391896 Cefuroxime Sodium cefuroxime 750 mg injection

00781504301 Cefprozil cefprozil 250 mg oral tablet

00781504401 Cefprozil cefprozil 500 mg oral tablet

00781504450 Cefprozil cefprozil 500 mg oral tablet

00781506001 Amoxicillin amoxicillin 500 mg oral tablet00781506020 Amoxicillin amoxicillin 500 mg oral tablet00781506101 Amoxicillin amoxicillin 875 mg oral tablet00781506120 Amoxicillin amoxicillin 875 mg oral tablet00781511501 Doxycycline Hyclate doxycycline 20 mg oral tablet00781538501

00781538531

00781538601

00781538631

00781538701

00781538731

00781543820 Cefpodoxime Proxetil cefpodoxime 100 mg oral tablet

00781543901 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

00781543920 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

00781579050 Levofloxacin levofloxacin 250 mg oral tablet00781579101 Levofloxacin levofloxacin 500 mg oral tablet00781579150 Levofloxacin levofloxacin 500 mg oral tablet00781579220 Levofloxacin levofloxacin 750 mg oral tablet00781602246 Clarithromycin

Minocycline Hydrochloride ER

minocycline 45 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 45 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 90 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 90 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 135 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 135 mg oral tablet, extended release

clarithromycin 125 mg/5 mL oral liquid

Page 59: Pharmacy Table AA 2014

00781602252 Clarithromycin

00781602346 Clarithromycin

00781602352 Clarithromycin

00781603946 Amoxicillin

00781603955 Amoxicillin

00781603958 Amoxicillin

00781604146 Amoxicillin

00781604155 Amoxicillin

00781604158 Amoxicillin

00781607746 Cefdinir cefdinir 125 mg/5 mL oral liquid

00781607761 Cefdinir cefdinir 125 mg/5 mL oral liquid

00781607846 Cefdinir cefdinir 250 mg/5 mL oral liquid

00781607861 Cefdinir cefdinir 250 mg/5 mL oral liquid

00781610246 Amoxicillin-Clavulanate

00781610446 Amoxicillin-Clavulanate

00781612046 Penicillin V Potassium

00781612048 Penicillin V Potassium

00781612146 Penicillin V Potassium

00781613595 Penicillin G Potassium

00781613694 Penicillin G Potassium

00781613948 Amoxicillin-Clavulanate

00781613954 Amoxicillin-Clavulanate

00781613957 Amoxicillin-Clavulanate

00781615394 Penicillin G Sodium

00781615395 Penicillin G Sodium

00781615646 Amoxicillin

00781615652 Amoxicillin

00781615657 Amoxicillin

00781615746 Amoxicillin

clarithromycin 125 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

amoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidpenicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquidpenicillin G potassium 5,000,000 units injectionpenicillin G potassium 20,000,000 units injectionamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidpenicillin G sodium 5,000,000 units injectionpenicillin G sodium 5,000,000 units injectionamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquid

Page 60: Pharmacy Table AA 2014

00781615752 Amoxicillin

00781615757 Amoxicillin

00781616846 Cefpodoxime Proxetil

00781616852 Cefpodoxime Proxetil

00781616946 Cefpodoxime Proxetil

00781616952 Cefpodoxime Proxetil

00781620246 Cefprozil cefprozil 125 mg/5 mL oral liquid

00781620257 Cefprozil cefprozil 125 mg/5 mL oral liquid

00781620291 Cefprozil cefprozil 125 mg/5 mL oral liquid

00781620346 Cefprozil cefprozil 250 mg/5 mL oral liquid

00781620357 Cefprozil cefprozil 250 mg/5 mL oral liquid

00781620391 Cefprozil cefprozil 250 mg/5 mL oral liquid

00781910995 Oxacillin Sodium oxacillin 1 g injection

00781911015 Oxacillin Sodium oxacillin 1 g injection

00781911092 Oxacillin Sodium oxacillin 1 g injection

00781911180 Oxacillin Sodium oxacillin 2 g injection

00781911195 Oxacillin Sodium oxacillin 2 g injection

00781911215 Oxacillin Sodium oxacillin 2 g injection

00781911292 Oxacillin Sodium oxacillin 2 g injection

00781911346 Oxacillin Sodium oxacillin 10 g injection

00781911395 Oxacillin Sodium oxacillin 10 g injection

00781912485 Nafcillin Sodium nafcillin 1 g injection

00781912495 Nafcillin Sodium nafcillin 1 g injection

00781912585 Nafcillin Sodium nafcillin 2 g injection

00781912595 Nafcillin Sodium nafcillin 2 g injection

00781920596 Cefuroxime Sodium cefuroxime 750 mg injection

00781920696 Cefuroxime Sodium cefuroxime 1.5 g injection

00781920795 Cefuroxime Sodium cefuroxime 7.5 g injection

00781922492 nafcillin 1 g injection

amoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidcefpodoxime 50 mg/5 mL oral liquidcefpodoxime 50 mg/5 mL oral liquidcefpodoxime 100 mg/5 mL oral liquidcefpodoxime 100 mg/5 mL oral liquid

Nafcillin Sodium ADD-Vantage

Page 61: Pharmacy Table AA 2014

00781922592 nafcillin 2 g injection

00781932895 CefTRIAXone Sodium cefTRIAXone 1 g injection

00781932990 CefTRIAXone Sodium cefTRIAXone 2 g injection

00781933046 CefTRIAXone Sodium cefTRIAXone 10 g injection

00781933746 CeFAZolin Sodium ceFAZolin 10 g injection

00781933795 ceFAZolin 10 g injection

00781933895 CeFAZolin Sodium ceFAZolin 500 mg injection

00781933985 CeFAZolin Sodium ceFAZolin 1 g injection

00781933996 ceFAZolin 1 g injection

00781940495 Ampicillin ampicillin 1 g injection00781940895 Ampicillin ampicillin 2 g injection00781940946 Ampicillin ampicillin 10 g injection00781940995 Ampicillin ampicillin 10 g injection00781940996 Ampicillin ampicillin 10 g injection00781941292 Ampicillin ampicillin 1 g injection00781941392 Ampicillin ampicillin 2 g injection00781945196 ceFAZolin 1 g injection

00781945246 ceFAZolin 10 g injection

00781945295 ceFAZolin 10 g injection

00884455730 Raniclor

00884455820 Raniclor

00904042751 Doxycycline Hyclate

00904042840 Doxycycline Hyclate

00904042851 Doxycycline Hyclate

00904042861 Doxycycline Hyclate

00904042895 Doxycycline Hyclate

00904043040 Doxycycline Hyclate

00904043051 Doxycycline Hyclate

00904043061 Doxycycline Hyclate

00904145361 MetroNIDAZOLE

00904272540 SMZ-TMP DS

00904272560 SMZ-TMP DS

00904272561 SMZ-TMP DS

Nafcillin Sodium ADD-Vantage

CeFAZolin Sodium Novaplus

CeFAZolin Sodium Novaplus

CeFAZolin Sodium NovaplusCeFAZolin Sodium NovaplusCeFAZolin Sodium Novaplus

cefaclor 250 mg oral tablet, chewablecefaclor 375 mg oral tablet, chewabledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletmetroNIDAZOLE 250 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 62: Pharmacy Table AA 2014

00904528206 Rifampin rifampin 300 mg oral capsule00904580761

00904595761 Cefuroxime Axetil cefuroxime 250 mg oral tablet

00904595861 Cefuroxime Axetil cefuroxime 500 mg oral tablet

00904595961 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

00904596061 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

00904601004 Azithromycin azithromycin 250 mg oral tablet

00904601104 Azithromycin azithromycin 500 mg oral tablet

00904624961 Levofloxacin levofloxacin 250 mg oral tablet00904625061 Levofloxacin levofloxacin 500 mg oral tablet00904625161 Levofloxacin levofloxacin 750 mg oral tablet10019009801 CefTRIAXone Sodium cefTRIAXone 1 g injection

10019009871 CefTRIAXone Sodium cefTRIAXone 1 g injection

10019061001 CeFAZolin Sodium ceFAZolin 500 mg injection

10019061010 CeFAZolin Sodium ceFAZolin 500 mg injection

10019061103 CeFAZolin Sodium ceFAZolin 1 g injection

10019061110 CeFAZolin Sodium ceFAZolin 1 g injection

10019061205 CeFAZolin Sodium ceFAZolin 10 g injection

10019061211 CeFAZolin Sodium ceFAZolin 10 g injection

10019062001 Cefuroxime Sodium cefuroxime 750 mg injection

10019062010 Cefuroxime Sodium cefuroxime 750 mg injection

10019062103 Cefuroxime Sodium cefuroxime 1.5 g injection

10019062120 Cefuroxime Sodium cefuroxime 1.5 g injection

10019062205 Cefuroxime Sodium cefuroxime 7.5 g injection

10019062211 Cefuroxime Sodium cefuroxime 7.5 g injection

10019063002 Ampicillin-Sulbactam

10019063003 Ampicillin-Sulbactam

10019063033 Ampicillin-Sulbactam

10019063101 Ampicillin-Sulbactam

10019063131 Ampicillin-Sulbactam

10019063203 Ampicillin-Sulbactam

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

ampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 10 g-5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 10 g-5 g injection

Page 63: Pharmacy Table AA 2014

10019063215 Ampicillin-Sulbactam

10019063302 Ampicillin-Sulbactam

10019063333 Ampicillin-Sulbactam

10019063401 Ampicillin-Sulbactam

10019063431 Ampicillin-Sulbactam

10019063503 Ampicillin-Sulbactam

10019063515 Ampicillin-Sulbactam

10019063601 Ampicillin-Sulbactam

10019063631 Ampicillin-Sulbactam

10019063702 Ampicillin-Sulbactam

10019063733 Ampicillin-Sulbactam

10019063803 Ampicillin-Sulbactam

10019063815 Ampicillin-Sulbactam

10019064802 Azithromycin

10019064871 Azithromycin

10019066203 CefOXitin cefOXitin 10 g injection

10019066211 CefOXitin cefOXitin 10 g injection

10019068001 Cefotaxime Sodium cefotaxime 500 mg injection

10019068015 Cefotaxime Sodium cefotaxime 500 mg injection

10019068102 Cefotaxime Sodium cefotaxime 1 g injection

10019068115 Cefotaxime Sodium cefotaxime 1 g injection

10019068203 Cefotaxime Sodium cefotaxime 2 g injection

10019068215 Cefotaxime Sodium cefotaxime 2 g injection

10019068501 CefTRIAXone Sodium cefTRIAXone 250 mg injection

10019068571 CefTRIAXone Sodium cefTRIAXone 250 mg injection

10019068602 CefTRIAXone Sodium cefTRIAXone 500 mg injection

10019068671 CefTRIAXone Sodium cefTRIAXone 500 mg injection

10019068703 CefTRIAXone Sodium cefTRIAXone 1 g injection

10019068771 CefTRIAXone Sodium cefTRIAXone 1 g injection

ampicillin-sulbactam 10 g-5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 10 g-5 g injectionampicillin-sulbactam 10 g-5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 10 g-5 g injectionampicillin-sulbactam 10 g-5 g injectionazithromycin 500 mg intravenous injectionazithromycin 500 mg intravenous injection

Page 64: Pharmacy Table AA 2014

10019068804 CefTRIAXone Sodium cefTRIAXone 2 g injection

10019068827 CefTRIAXone Sodium cefTRIAXone 2 g injection

10019068905 CefTRIAXone Sodium cefTRIAXone 10 g injection

10019068911 CefTRIAXone Sodium cefTRIAXone 10 g injection

10019069102 CefTAZidime cefTAZidime 1 g injection

10019069127 CefTAZidime cefTAZidime 1 g injection

10019069203 CefTAZidime cefTAZidime 2 g injection

10019069250 CefTAZidime cefTAZidime 2 g injection

10019069304 CefTAZidime cefTAZidime 6 g injection

10019069311 CefTAZidime cefTAZidime 6 g injection

10122032007 Factive gemifloxacin 320 mg oral tablet

10122032105 Factive gemifloxacin 320 mg oral tablet

10122032107 Factive gemifloxacin 320 mg oral tablet

10122080120 Spectracef cefditoren 200 mg oral tablet

10122080160 Spectracef cefditoren 200 mg oral tablet

10122080220 Spectracef cefditoren 400 mg oral tablet

10122080228 Spectracef cefditoren 400 mg oral tablet

10135047401 ciprofloxacin 250 mg oral tablet

10135047501 ciprofloxacin 500 mg oral tablet

10135047505 ciprofloxacin 500 mg oral tablet

10135047513 ciprofloxacin 500 mg oral tablet

10135047547 ciprofloxacin 500 mg oral tablet

10135047650 ciprofloxacin 750 mg oral tablet

10135053901 Doxycycline Hyclate doxycycline 20 mg oral tablet10135054201 Rifampin rifampin 300 mg oral capsule10139007011 Ampicillin-Sulbactam

10139007012 Ampicillin-Sulbactam

10139007110 Ampicillin-Sulbactam

10139007118 Ampicillin-Sulbactam

10139050112 Vancomycin Hydrochloride

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

ampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 2 g-1 g injectionvancomycin 1 g intravenous injection

Page 65: Pharmacy Table AA 2014

10139050120 Vancomycin Hydrochloride

10147094106 Levofloxacin

10337080001 Adoxa

10337080101 Adoxa

10337080103 Adoxa

10337080150 Adoxa

10337080203 Adoxa

10337080205 Adoxa

10337080206 Adoxa

10337080225 Adoxa

10337081403 Adoxa

10337081506 Adoxa

10337081801 Adoxa TT

10337081901 Adoxa CK

10370010705

10370010805

10515012501 Cefuroxime Sodium cefuroxime 750 mg injection

10544030610 Cephalexin Monohydrate cephalexin 500 mg oral capsule

10544030628 Cephalexin Monohydrate cephalexin 500 mg oral capsule

10544030710 ciprofloxacin 500 mg oral tablet

10544033120 Amoxicillin-Clavulanate

10544033228 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

10544033260 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

10631055530 Raniclor

10631055620 Raniclor

10631055730 Raniclor

10631057310 Panixine

11042011296 Keflex cephalexin 250 mg oral capsule

vancomycin 1 g intravenous injectionlevofloxacin 25 mg/mL oral solutiondoxycycline monohydrate 50 mg oral tabletdoxycycline monohydrate 75 mg oral tabletdoxycycline monohydrate 75 mg oral tabletdoxycycline monohydrate 75 mg oral tabletdoxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 150 mg oral tabletdoxycycline monohydrate 150 mg oral capsuledoxycycline monohydrate 150 mg tablet with cleanser oral and topical kitdoxycycline monohydrate 150 mg capsule with cleanser oral and topical kit

Ciprofloxacin Extended Release

ciprofloxacin 500 mg oral tablet, extended release

Ciprofloxacin Extended Release

ciprofloxacin 1000 mg oral tablet, extended release

Ciprofloxacin Hydrochloride

amoxicillin-clavulanate 500 mg-125 mg oral tablet

cefaclor 125 mg oral tablet, chewablecefaclor 187 mg oral tablet, chewablecefaclor 250 mg oral tablet, chewablecephalexin 125 mg oral tablet, dispersible

Page 66: Pharmacy Table AA 2014

11042011297 Keflex cephalexin 250 mg oral capsule

11042011396 Keflex cephalexin 500 mg oral capsule

11042011397 Keflex cephalexin 500 mg oral capsule

11042011540 Keflex cephalexin 750 mg oral capsule

11042014203 Moxatag

12280007310 Rocephin cefTRIAXone 500 mg injection

12280012250 Cefaclor cefaclor 250 mg/5 mL oral liquid

12280015350 Augmentin

12280015375 Augmentin

12280015615 Augmentin

12280015675 Augmentin

13107007701 ciprofloxacin 500 mg oral tablet

13310014501 Bactrim

13310014601 Bactrim DS

13411010801 Avelox moxifloxacin 400 mg oral tablet

13411010802 Avelox moxifloxacin 400 mg oral tablet

13411010803 Avelox moxifloxacin 400 mg oral tablet

13411010806 Avelox moxifloxacin 400 mg oral tablet

13411010809 Avelox moxifloxacin 400 mg oral tablet

13411010815 Avelox moxifloxacin 400 mg oral tablet

13411011201 Levaquin levofloxacin 500 mg oral tablet13411011202 Levaquin levofloxacin 500 mg oral tablet13411011203 Levaquin levofloxacin 500 mg oral tablet13411011205 Levaquin levofloxacin 500 mg oral tablet13411011206 Levaquin levofloxacin 500 mg oral tablet13411013101 Zithromax azithromycin 250 mg oral tablet

13411013103 Zithromax azithromycin 250 mg oral tablet

13411013106 Zithromax azithromycin 250 mg oral tablet

13411013109 Zithromax azithromycin 250 mg oral tablet

13411013115 Zithromax azithromycin 250 mg oral tablet

13411015401 Levaquin levofloxacin 250 mg oral tablet13411015402 Levaquin levofloxacin 250 mg oral tablet13411015403 Levaquin levofloxacin 250 mg oral tablet13411015405 Levaquin levofloxacin 250 mg oral tablet

amoxicillin 775 mg oral tablet, extended release

amoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquid

Ciprofloxacin Hydrochloride

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 67: Pharmacy Table AA 2014

13411015406 Levaquin levofloxacin 250 mg oral tablet13411018501 Clarithromycin clarithromycin 500 mg oral tablet

13411018503 Clarithromycin clarithromycin 500 mg oral tablet

13411018504 Clarithromycin clarithromycin 500 mg oral tablet

13411018506 Clarithromycin clarithromycin 500 mg oral tablet

13411018515 Clarithromycin clarithromycin 500 mg oral tablet

13517013101 Oraxyl doxycycline 20 mg oral capsule13551050105 Primsol

13668008201 Levofloxacin levofloxacin 250 mg oral tablet13668008250 Levofloxacin levofloxacin 250 mg oral tablet13668008274 Levofloxacin levofloxacin 250 mg oral tablet13668008301 Levofloxacin levofloxacin 500 mg oral tablet13668008350 Levofloxacin levofloxacin 500 mg oral tablet13668008374 Levofloxacin levofloxacin 500 mg oral tablet13668008401 Levofloxacin levofloxacin 750 mg oral tablet13668008421 Levofloxacin levofloxacin 750 mg oral tablet13668008450 Levofloxacin levofloxacin 750 mg oral tablet13668008474 Levofloxacin levofloxacin 750 mg oral tablet13913000103 Proquin XR

13913000130 Proquin XR

13913000150 Proquin XR

14290050086 Minocin minocycline 100 mg oral capsule

14290050188 Minocin minocycline 50 mg oral capsule14290054592 Minocin

14290055098 Minocin PAC

14290055198 Minocin PAC

14290057098 Minocin

14290057198 Minocin

15456000103 Proquin XR

15456000150 Proquin XR

15686010101

15686010105

15686010201

15686010205

16110007501 Monodox

16110025904 Monodox

trimethoprim 50 mg/5 mL oral solution

ciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 500 mg oral tablet, extended release

minocycline 100 mg intravenous injectionminocycline 100 mg oral and topical kitminocycline 50 mg oral and topical kitminocycline 100 mg oral and topical kitminocycline 50 mg oral and topical kitciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 500 mg oral tablet, extended release

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletdoxycycline monohydrate 75 mg oral capsuledoxycycline monohydrate 100 mg oral capsule

Page 68: Pharmacy Table AA 2014

16110025907 Monodox

16110026006 Monodox

16252051401 ciprofloxacin 250 mg oral tablet

16252051501 ciprofloxacin 500 mg oral tablet

16252051605 ciprofloxacin 750 mg oral tablet

16571007012 Cefaclor cefaclor 125 mg/5 mL oral liquid

16571007112 Cefaclor cefaclor 250 mg/5 mL oral liquid

16571007211 Cefaclor cefaclor 375 mg/5 mL oral liquid

16571041110 ciprofloxacin 250 mg oral tablet

16571041210 ciprofloxacin 500 mg oral tablet

16571041250 ciprofloxacin 500 mg oral tablet

16571041305 ciprofloxacin 750 mg oral tablet

16590001430 Amoxicillin amoxicillin 250 mg oral capsule

16590001533 Amoxicillin

16590001615 Amoxicillin amoxicillin 500 mg oral capsule

16590001630 Amoxicillin amoxicillin 500 mg oral capsule

16590001640 Amoxicillin amoxicillin 500 mg oral capsule

16590001720 Amoxicillin amoxicillin 875 mg oral tablet16590001730 Amoxicillin amoxicillin 875 mg oral tablet16590001833 Amoxicillin

16590001920 Amoxicillin-Clavulanate

16590002020 Amoxicillin-Clavulanate

16590002028 Amoxicillin-Clavulanate

16590002030 Amoxicillin-Clavulanate

16590003514 Biaxin clarithromycin 500 mg oral tablet

16590003521 Biaxin clarithromycin 500 mg oral tablet

16590003530 Biaxin clarithromycin 500 mg oral tablet

16590004114 Cefaclor cefaclor 250 mg oral capsule

16590004121 Cefaclor cefaclor 250 mg oral capsule

16590004130 Cefaclor cefaclor 250 mg oral capsule

doxycycline monohydrate 100 mg oral capsuledoxycycline monohydrate 50 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin 250 mg/5 mL oral liquid

amoxicillin 125 mg/5 mL oral liquidamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 69: Pharmacy Table AA 2014

16590004233 Cefaclor cefaclor 250 mg/5 mL oral liquid

16590004314 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

16590004320 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

16590004324 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

16590004330 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

16590004360 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

16590004420 Cefuroxime Axetil cefuroxime 250 mg oral tablet

16590004936 Cephalexin Monohydrate

16590005021 Cephalexin Monohydrate cephalexin 250 mg oral capsule

16590005028 Cephalexin Monohydrate cephalexin 250 mg oral capsule

16590005030 Cephalexin Monohydrate cephalexin 250 mg oral capsule

16590005120 Cephalexin Monohydrate cephalexin 500 mg oral capsule

16590005121 Cephalexin Monohydrate cephalexin 500 mg oral capsule

16590005128 Cephalexin Monohydrate cephalexin 500 mg oral capsule

16590005130 Cephalexin Monohydrate cephalexin 500 mg oral capsule

16590005414 ciprofloxacin 500 mg oral tablet

16590005420 ciprofloxacin 500 mg oral tablet

16590005430 ciprofloxacin 500 mg oral tablet

16590005728 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

16590005730 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

16590007621 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

16590007630 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

16590008220 Doxycycline Hyclate

16590008221 Doxycycline Hyclate

16590008228 Doxycycline Hyclate

16590008230 Doxycycline Hyclate

16590008828 Erythromycin Base

16590008830 Erythromycin Base

16590008840 Erythromycin Base

cephalexin 250 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsule

Page 70: Pharmacy Table AA 2014

16590008921 Ery-Tab

16590008930 Ery-Tab

16590008940 Ery-Tab

16590009121 Erythromycin Base erythromycin 250 mg oral tablet

16590009130 Erythromycin Base erythromycin 250 mg oral tablet

16590009140 Erythromycin Base erythromycin 250 mg oral tablet

16590015210 MetroNIDAZOLE

16590015214 MetroNIDAZOLE

16590015220 MetroNIDAZOLE

16590015228 MetroNIDAZOLE

16590015230 MetroNIDAZOLE

16590018236 Penicillin V Potassium

16590018320 Penicillin V Potassium

16590018330 Penicillin V Potassium

16590018340 Penicillin V Potassium

16590021014

16590021020

16590021028

16590021232 Sulfatrim Pediatric

16590021630 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

16590021730 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

16590021760 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

16590024806 Zithromax Z-Pak azithromycin 250 mg oral tablet

16590036206 Azithromycin azithromycin 250 mg oral tablet

16590036940 Augmentin XR

16590038014

16590040132 Amoxicillin

16590042420 Amoxicillin

erythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tablet

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletpenicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

amoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended release

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

amoxicillin 400 mg/5 mL oral liquidamoxicillin 250 mg oral tablet, chewable

Page 71: Pharmacy Table AA 2014

16590042430 Amoxicillin

16590042440 Amoxicillin

16714020201 Cefadroxil Monohydate cefadroxil 250 mg/5 mL oral liquid

16714020301 Cefadroxil Monohydate cefadroxil 500 mg/5 mL oral liquid

16714020302 Cefadroxil Monohydate cefadroxil 500 mg/5 mL oral liquid

16714020402 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

16714020403 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

16714020501 Cefdinir cefdinir 300 mg oral capsule

16714020502 Cefdinir cefdinir 300 mg oral capsule

16714020504 Cefdinir cefdinir 300 mg oral capsule

16714020601 Cefdinir cefdinir 125 mg/5 mL oral liquid

16714020602 Cefdinir cefdinir 125 mg/5 mL oral liquid

16714020701 Cefdinir cefdinir 250 mg/5 mL oral liquid

16714020702 Cefdinir cefdinir 250 mg/5 mL oral liquid

16714020801 Cefprozil cefprozil 250 mg oral tablet

16714020901 Cefprozil cefprozil 500 mg oral tablet

16714021101 Cefpodoxime Proxetil cefpodoxime 100 mg oral tablet

16714021201 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

16714021501 Cefprozil cefprozil 125 mg/5 mL oral liquid

16714021502 Cefprozil cefprozil 125 mg/5 mL oral liquid

16714021503 Cefprozil cefprozil 125 mg/5 mL oral liquid

16714021601 Cefprozil cefprozil 250 mg/5 mL oral liquid

16714021602 Cefprozil cefprozil 250 mg/5 mL oral liquid

16714021603 Cefprozil cefprozil 250 mg/5 mL oral liquid

16714023201 Cefuroxime Axetil cefuroxime 250 mg oral tablet

16714023202 Cefuroxime Axetil cefuroxime 250 mg oral tablet

16714023301 Cefuroxime Axetil cefuroxime 500 mg oral tablet

16714023302 Cefuroxime Axetil cefuroxime 500 mg oral tablet

16714023401 Penicillin V Potassium

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

penicillin V potassium 250 mg oral tablet

Page 72: Pharmacy Table AA 2014

16714023402 Penicillin V Potassium

16714023501 Penicillin V Potassium

16714023502 Penicillin V Potassium

16714029201 Amoxicillin-Clavulanate

16714029202 Amoxicillin-Clavulanate

16714029203 Amoxicillin-Clavulanate

16714029301 Amoxicillin-Clavulanate

16714029302 Amoxicillin-Clavulanate

16714029303 Amoxicillin-Clavulanate

16714029401 Amoxicillin-Clavulanate

16714029402 Amoxicillin-Clavulanate

16714029403 Amoxicillin-Clavulanate

16714029501 Amoxicillin-Clavulanate

16714029601 Amoxicillin-Clavulanate

16714029701 Amoxicillin-Clavulanate

16714029702 Amoxicillin-Clavulanate

16714029801 Amoxicillin amoxicillin 250 mg oral capsule

16714029802 Amoxicillin amoxicillin 250 mg oral capsule

16714029902 Amoxicillin amoxicillin 500 mg oral capsule

16714029903 Amoxicillin amoxicillin 500 mg oral capsule

16714029904 Amoxicillin amoxicillin 500 mg oral capsule

16714038601 Cefprozil cefprozil 125 mg/5 mL oral liquid

16714038602 Cefprozil cefprozil 125 mg/5 mL oral liquid

16714038603 Cefprozil cefprozil 125 mg/5 mL oral liquid

16714038701 Cefprozil cefprozil 250 mg/5 mL oral liquid

16714038702 Cefprozil cefprozil 250 mg/5 mL oral liquid

16714038703 Cefprozil cefprozil 250 mg/5 mL oral liquid

16714038801 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

16714038802 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

penicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 73: Pharmacy Table AA 2014

16714039101 Cefdinir cefdinir 300 mg oral capsule

16714039102 Cefdinir cefdinir 300 mg oral capsule

16714039201 Cefdinir cefdinir 125 mg/5 mL oral liquid

16714039202 Cefdinir cefdinir 125 mg/5 mL oral liquid

16714039301 Cefdinir cefdinir 250 mg/5 mL oral liquid

16714039302 Cefdinir cefdinir 250 mg/5 mL oral liquid

16714039401 Cefpodoxime Proxetil cefpodoxime 100 mg oral tablet

16714039501 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

16714039601 Cefprozil cefprozil 125 mg/5 mL oral liquid

16714039602 Cefprozil cefprozil 125 mg/5 mL oral liquid

16714039603 Cefprozil cefprozil 125 mg/5 mL oral liquid

16714039701 Cefprozil cefprozil 250 mg/5 mL oral liquid

16714039702 Cefprozil cefprozil 250 mg/5 mL oral liquid

16714039703 Cefprozil cefprozil 250 mg/5 mL oral liquid

16714039801 Cefprozil cefprozil 250 mg oral tablet

16714039901 Cefprozil cefprozil 500 mg oral tablet

16714040201 Cefpodoxime Proxetil

16714040202 Cefpodoxime Proxetil

16714040301 Cefpodoxime Proxetil

16714040302 Cefpodoxime Proxetil

16714064102 Cephalexin Monohydrate cephalexin 250 mg oral capsule

16714064103 Cephalexin Monohydrate cephalexin 250 mg oral capsule

16714064202 Cephalexin Monohydrate cephalexin 500 mg oral capsule

16714064203 Cephalexin Monohydrate cephalexin 500 mg oral capsule

16714065102 ciprofloxacin 250 mg oral tablet

16714065202 ciprofloxacin 500 mg oral tablet

16714065204 ciprofloxacin 500 mg oral tablet

16714065301 ciprofloxacin 750 mg oral tablet

16781040350 Minocin minocycline 100 mg oral capsule

cefpodoxime 50 mg/5 mL oral liquidcefpodoxime 50 mg/5 mL oral liquidcefpodoxime 100 mg/5 mL oral liquidcefpodoxime 100 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 74: Pharmacy Table AA 2014

17478010720 Levofloxacin

17478010730 Levofloxacin

17478012050 Clindamycin Phosphate

17478012150 Clindamycin Phosphate

17478012250 Clindamycin Phosphate

17478015142 Rifampin

17478074102 Vancomycin Hydrochloride vancomycin 125 mg oral capsule

17478074202 Vancomycin Hydrochloride vancomycin 250 mg oral capsule

17856082330

17856082430

18837014560

18837019514 Cephalexin Monohydrate cephalexin 500 mg oral capsule

18837024420 Omnicef cefdinir 300 mg oral capsule

21695001206 Azithromycin azithromycin 250 mg oral tablet

21695001303 Azithromycin azithromycin 500 mg oral tablet

21695003308 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

21695003312 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

21695003314 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

21695003321 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

21695003328 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

21695004414 Doxycycline Hyclate

21695004420 Doxycycline Hyclate

21695004428 Doxycycline Hyclate

21695004440 Doxycycline Hyclate

21695004442 Doxycycline Hyclate

21695012510

21695012514

21695012520

levofloxacin 25 mg/mL intravenous solutionlevofloxacin 25 mg/mL intravenous solutionclindamycin 300 mg/50 mL-D5% intravenous solutionclindamycin 600 mg/50 mL-D5% intravenous solutionclindamycin 900 mg/50 mL-D5% intravenous solutionrifampin 600 mg intravenous injection

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 75: Pharmacy Table AA 2014

21695012530

21695012560

21695015020 Cefuroxime Axetil cefuroxime 500 mg oral tablet

21695020210 CefTRIAXone Sodium cefTRIAXone 500 mg injection

21695021006 ciprofloxacin 500 mg oral tablet

21695021014 ciprofloxacin 500 mg oral tablet

21695021020 ciprofloxacin 500 mg oral tablet

21695021028 ciprofloxacin 500 mg oral tablet

21695021030 ciprofloxacin 500 mg oral tablet

21695021420 Amoxicillin-Clavulanate

21695021520 Amoxicillin-Clavulanate

21695029400 Amoxicillin

21695030014

21695030020

21695030228 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

21695030821 MetroNIDAZOLE

21695030828 MetroNIDAZOLE

21695030914 MetroNIDAZOLE

21695030921 MetroNIDAZOLE

21695031421 Amoxicillin amoxicillin 250 mg oral capsule

21695031430 Amoxicillin amoxicillin 250 mg oral capsule

21695031508 Amoxicillin amoxicillin 500 mg oral capsule

21695031521 Amoxicillin amoxicillin 500 mg oral capsule

21695031530 Amoxicillin amoxicillin 500 mg oral capsule

21695031620 Cephalexin Monohydrate cephalexin 250 mg oral capsule

21695031628 Cephalexin Monohydrate cephalexin 250 mg oral capsule

21695031630 Cephalexin Monohydrate cephalexin 250 mg oral capsule

21695031640 Cephalexin Monohydrate cephalexin 250 mg oral capsule

21695031708 Cephalexin Monohydrate cephalexin 500 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin 400 mg/5 mL oral liquid

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Page 76: Pharmacy Table AA 2014

21695031712 Cephalexin Monohydrate cephalexin 500 mg oral capsule

21695031714 Cephalexin Monohydrate cephalexin 500 mg oral capsule

21695031720 Cephalexin Monohydrate cephalexin 500 mg oral capsule

21695031721 Cephalexin Monohydrate cephalexin 500 mg oral capsule

21695031728 Cephalexin Monohydrate cephalexin 500 mg oral capsule

21695031730 Cephalexin Monohydrate cephalexin 500 mg oral capsule

21695031740 Cephalexin Monohydrate cephalexin 500 mg oral capsule

21695031760 Cephalexin Monohydrate cephalexin 500 mg oral capsule

21695031812 Penicillin V Potassium

21695031820 Penicillin V Potassium

21695031828 Penicillin V Potassium

21695031830 Penicillin V Potassium

21695031840 Penicillin V Potassium

21695035210 CefTRIAXone Sodium cefTRIAXone 1 g injection

21695038415 Amoxicillin

21695038500 Amoxicillin

21695038515 Amoxicillin

21695038580 Amoxicillin

21695038728 Erythromycin Base erythromycin 250 mg oral tablet

21695038930 Erythromycin Base erythromycin 500 mg oral tablet

21695041106 ciprofloxacin 250 mg oral tablet

21695041110 ciprofloxacin 250 mg oral tablet

21695041114 ciprofloxacin 250 mg oral tablet

21695041830 Amoxicillin

21695042720 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

21695042728 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

21695046407 Levaquin levofloxacin 500 mg oral tablet21695051907 Levaquin levofloxacin 750 mg oral tablet21695052720 Rifampin rifampin 300 mg oral capsule21695054420 Amoxicillin amoxicillin 875 mg oral tablet21695054930 Azithromycin

penicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

amoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin 250 mg oral tablet, chewable

azithromycin 200 mg/5 mL oral liquid

Page 77: Pharmacy Table AA 2014

21695055100 Cephalexin Monohydrate

21695055710 Clarithromycin clarithromycin 250 mg oral tablet

21695055810 Clarithromycin clarithromycin 500 mg oral tablet

21695058114 Doxycycline Hyclate

21695064028 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

21695064040 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

21695069330 Minocycline Hydrochloride minocycline 50 mg oral capsule

21695077200 Penicillin V Potassium

21695078215 Cefaclor cefaclor 250 mg/5 mL oral liquid

21695078920 Cephalexin Monohydrate

21695091440

23155013301 Doxycycline Monohydrate

23155013401 Doxycycline Monohydrate

23155013525 Doxycycline Monohydrate

23155013603 Doxycycline Monohydrate

23155014101 Doxycycline Hyclate

23155014106 Doxycycline Hyclate

23155014201 Doxycycline Hyclate

23155014301 Doxycycline Hyclate

23155020131 Levofloxacin

23155020132 Levofloxacin

23360001402 Tobramycin Sulfate

23360001430 Tobramycin Sulfate

23360005142 Rifampin

23360015140 Vancomycin Hydrochloride

23360015250 Vancomycin Hydrochloride

23360015365 Vancomycin Hydrochloride

23490008100 Amoxicillin-Clavulanate

23490008102 Amoxicillin-Clavulanate

cephalexin 250 mg/5 mL oral liquid

doxycycline hyclate 100 mg oral tablet

penicillin V potassium 125 mg/5 mL oral liquid

cephalexin 125 mg/5 mL oral liquid

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solutiondoxycycline monohydrate 50 mg oral tabletdoxycycline monohydrate 75 mg oral tabletdoxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 150 mg oral tabletdoxycycline hyclate 75 mg oral delayed release tabletdoxycycline hyclate 75 mg oral delayed release tabletdoxycycline hyclate 100 mg oral delayed release tabletdoxycycline hyclate 150 mg oral delayed release tabletlevofloxacin 25 mg/mL intravenous solutionlevofloxacin 25 mg/mL intravenous solutiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutionrifampin 600 mg intravenous injectionvancomycin 500 mg intravenous injectionvancomycin 1 g intravenous injectionvancomycin 5 g intravenous injectionamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

Page 78: Pharmacy Table AA 2014

23490008103 Amoxicillin-Clavulanate

23490028304 Cephalexin Monohydrate cephalexin 250 mg oral tablet

23490028504 Cephalexin Monohydrate cephalexin 500 mg oral tablet

23490032004 ciprofloxacin 500 mg oral tablet

23490032007 ciprofloxacin 500 mg oral tablet

23490049003 Doxycycline Hyclate

23490049006 Doxycycline Hyclate

23490124402

23490506501 Amoxicillin

23490506601 Amoxicillin amoxicillin 250 mg oral capsule

23490506602 Amoxicillin amoxicillin 250 mg oral capsule

23490506603 Amoxicillin amoxicillin 250 mg oral capsule

23490506701 Amoxicillin

23490506801 Amoxicillin

23490506802 Amoxicillin

23490507001 Amoxicillin amoxicillin 500 mg oral capsule

23490507002 Amoxicillin amoxicillin 500 mg oral capsule

23490507003 Amoxicillin amoxicillin 500 mg oral capsule

23490507004 Amoxicillin amoxicillin 500 mg oral capsule

23490507005 Amoxicillin amoxicillin 500 mg oral capsule

23490507006 Amoxicillin amoxicillin 500 mg oral capsule

23490507007 Amoxicillin amoxicillin 500 mg oral capsule

23490507103 Amoxicillin

23490507401 Amoxicillin-Clavulanate

23490507402 Amoxicillin-Clavulanate

23490507403 Amoxicillin-Clavulanate

23490507501 Amoxicillin-Clavulanate

23490507901 Ampicillin ampicillin 250 mg oral capsule23490508101 Ampicillin ampicillin 500 mg oral capsule23490521801 Cefaclor cefaclor 250 mg oral capsule

amoxicillin-clavulanate 500 mg-125 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin Hydrochloride

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletamoxicillin 125 mg/5 mL oral liquid

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

amoxicillin 400 mg oral tablet, chewableamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tablet

Page 79: Pharmacy Table AA 2014

23490521802 Cefaclor cefaclor 250 mg oral capsule

23490521804 Cefaclor cefaclor 250 mg oral capsule

23490521901 Cefaclor cefaclor 250 mg/5 mL oral liquid

23490521903 Cefaclor cefaclor 250 mg/5 mL oral liquid

23490522100 Cefaclor cefaclor 500 mg oral capsule

23490522101 Cefaclor cefaclor 500 mg oral capsule

23490522102 Cefaclor cefaclor 500 mg oral capsule

23490522502 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

23490522503 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

23490522504 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

23490522505 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

23490522507 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

23490523101 Cefprozil cefprozil 250 mg/5 mL oral liquid

23490523105 Cefprozil cefprozil 250 mg/5 mL oral liquid

23490523107 Cefprozil cefprozil 250 mg/5 mL oral liquid

23490524301 Cefuroxime Axetil cefuroxime 250 mg oral tablet

23490524401 Cefuroxime Axetil cefuroxime 500 mg oral tablet

23490524600 Cephalexin Monohydrate cephalexin 500 mg oral tablet

23490524801 Cephalexin Monohydrate cephalexin 250 mg oral capsule

23490524802 Cephalexin Monohydrate cephalexin 250 mg oral capsule

23490524803 Cephalexin Monohydrate cephalexin 250 mg oral capsule

23490524804 Cephalexin Monohydrate cephalexin 250 mg oral capsule

23490524805 Cephalexin Monohydrate cephalexin 250 mg oral capsule

23490524806 Cephalexin Monohydrate cephalexin 250 mg oral capsule

23490524807 Cephalexin Monohydrate cephalexin 250 mg oral capsule

23490524808 Cephalexin Monohydrate cephalexin 250 mg oral capsule

23490524901 Cephalexin Monohydrate

23490524902 Cephalexin Monohydrate

23490525001 Cephalexin Monohydrate

cephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Page 80: Pharmacy Table AA 2014

23490525002 Cephalexin Monohydrate

23490525100 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490525101 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490525102 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490525103 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490525105 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490525106 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490525107 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490525108 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490525109 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490532201 ciprofloxacin 250 mg oral tablet

23490532202 ciprofloxacin 250 mg oral tablet

23490532203 ciprofloxacin 250 mg oral tablet

23490532204 ciprofloxacin 250 mg oral tablet

23490532301 ciprofloxacin 500 mg oral tablet

23490532302 ciprofloxacin 500 mg oral tablet

23490532303 ciprofloxacin 500 mg oral tablet

23490532304 ciprofloxacin 500 mg oral tablet

23490532305 ciprofloxacin 500 mg oral tablet

23490532306 ciprofloxacin 500 mg oral tablet

23490532307 ciprofloxacin 500 mg oral tablet

23490532308 ciprofloxacin 500 mg oral tablet

23490532400 ciprofloxacin 750 mg oral tablet

23490532401 ciprofloxacin 750 mg oral tablet

23490532402 ciprofloxacin 750 mg oral tablet

23490532403 ciprofloxacin 750 mg oral tablet

23490532901 Clarithromycin clarithromycin 250 mg oral tablet

23490533005 Clarithromycin

23490533101 Clarithromycin clarithromycin 500 mg oral tablet

cephalexin 250 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

clarithromycin 250 mg/5 mL oral liquid

Page 81: Pharmacy Table AA 2014

23490533102 Clarithromycin clarithromycin 500 mg oral tablet

23490533104 Clarithromycin clarithromycin 500 mg oral tablet

23490533200 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

23490533201 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

23490533202 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

23490533203 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

23490533204 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

23490533205 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

23490533206 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

23490533207 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

23490533208 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

23490533301 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

23490533303 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

23490533304 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

23490542501 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

23490542502 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

23490542601 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

23490542602 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

23490542603 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

23490548301 Doxycycline Hyclate

23490548302 Doxycycline Hyclate

23490548303 Doxycycline Hyclate

23490548304 Doxycycline Hyclate

23490548305 Doxycycline Hyclate

23490548306 Doxycycline Hyclate

23490548307 Doxycycline Hyclate

23490548308 Doxycycline Hyclate

23490548501 Doxycycline Hyclate

23490548502 Doxycycline Hyclate

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Page 82: Pharmacy Table AA 2014

23490548503 Doxycycline Hyclate

23490548504 Doxycycline Hyclate

23490548505 Doxycycline Hyclate

23490548506 Doxycycline Hyclate

23490550301 Erythromycin Base

23490550302 Erythromycin Base

23490550501 Erythromycin Base erythromycin 250 mg oral tablet

23490550502 Erythromycin Base erythromycin 250 mg oral tablet

23490550503 Erythromycin Base erythromycin 250 mg oral tablet

23490550504 Erythromycin Base erythromycin 250 mg oral tablet

23490551201 Ery-Tab

23490551202 Ery-Tab

23490551301 Erythromycin Base erythromycin 500 mg oral tablet

23490551302 Erythromycin Base erythromycin 500 mg oral tablet

23490551303 Erythromycin Base erythromycin 500 mg oral tablet

23490551304 Erythromycin Base erythromycin 500 mg oral tablet

23490551305 Erythromycin Base erythromycin 500 mg oral tablet

23490552202

23490552301

23490552302

23490552303

23490552601

23490552602

23490592401 MetroNIDAZOLE

23490592402 MetroNIDAZOLE

23490592403 MetroNIDAZOLE

23490592404 MetroNIDAZOLE

23490592405 MetroNIDAZOLE

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tableterythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsule

erythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

Page 83: Pharmacy Table AA 2014

23490592501 MetroNIDAZOLE

23490592502 MetroNIDAZOLE

23490592503 MetroNIDAZOLE

23490592504 MetroNIDAZOLE

23490592505 MetroNIDAZOLE

23490592506 MetroNIDAZOLE

23490592507 MetroNIDAZOLE

23490599400

23490599401

23490599402

23490599403

23490606707 Penicillin V Potassium

23490606801 Penicillin V Potassium

23490606802 Penicillin V Potassium

23490606803 Penicillin V Potassium

23490606804 Penicillin V Potassium

23490606805 Penicillin V Potassium

23490606907 Penicillin V Potassium

23490607001 Penicillin V Potassium

23490607002 Penicillin V Potassium

23490607003 Penicillin V Potassium

23490607004 Penicillin V Potassium

23490607005 Penicillin V Potassium

23490607006 Penicillin V Potassium

23490635200 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

23490635201 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

23490635202 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

23490635203 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

23490635204 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsulepenicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 84: Pharmacy Table AA 2014

23490635205 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

23490635206 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

23490635207 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

23490635208 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

23490635301 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

23490635302 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

23490635303 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

23490635304 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

23490635305 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

23490635307 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

23490644800

23490644801

23490644802

23490644803

23490644804

23490644805

23490644806

23490644807

23490644808

23490644809

23490644901

23490644902

23490644903

23490644904

23490644905

23490684001

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 85: Pharmacy Table AA 2014

23490684002

23490684003

23490684004

23490690401 Azithromycin

23490690500 Azithromycin

23490690501 Azithromycin

23490690502 Azithromycin

23490694000 Amoxicillin-Clavulanate

23490694001 Amoxicillin-Clavulanate

23490694002 Amoxicillin-Clavulanate

23490694003 Amoxicillin-Clavulanate

23490697701 Amoxicillin-Clavulanate

23490697900 Amoxicillin-Clavulanate

23490697901 Amoxicillin-Clavulanate

23490701200 Cefaclor ER

23490703202 Levaquin levofloxacin 500 mg oral tablet23490707508 Cefuroxime Axetil

23490722003 Amoxicillin amoxicillin 500 mg oral tablet23490731101 Amoxicillin

23490731201 Amoxicillin

23490758501 Amoxicillin-Clavulanate

23490758502 Amoxicillin-Clavulanate

23490758503 Amoxicillin-Clavulanate

23490766401

23490775801 Azithromycin azithromycin 500 mg oral tablet

23490776001 Azithromycin azithromycin 250 mg oral tablet

23490776002 Azithromycin azithromycin 250 mg oral tablet

23490784301 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490784302 Cephalexin Monohydrate cephalexin 500 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

azithromycin 100 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 200 mg-28.5 mg oral tablet, chewableamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidcefaclor 500 mg oral tablet, extended release

cefuroxime 250 mg/5 mL oral liquid

amoxicillin 200 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

Ciprofloxacin Extended Release

ciprofloxacin 500 mg oral tablet, extended release

Page 86: Pharmacy Table AA 2014

23490784307 Cephalexin Monohydrate cephalexin 500 mg oral capsule

23490795000 Amoxicillin amoxicillin 875 mg oral tablet23490795002 Amoxicillin amoxicillin 875 mg oral tablet23490796101 Amoxicillin-Clavulanate

23490796102 Amoxicillin-Clavulanate

23490796103 Amoxicillin-Clavulanate

23490926000 Levaquin levofloxacin 500 mg oral tablet23490926001 Levaquin levofloxacin 500 mg oral tablet23490926003 Levaquin levofloxacin 500 mg oral tablet23490926005 Levaquin levofloxacin 500 mg oral tablet23490936701

23490936702

24200060204 CeFAZolin Sodium

24200060369 CeFAZolin Sodium

24200060404 CeFAZolin Sodium

24200060550 CeFAZolin Sodium

24200060560 CeFAZolin Sodium

24200060807 Vancomycin Hydrochloride

24200060910 Vancomycin Hydrochloride

24200060913 Vancomycin Hydrochloride

24200061004 Vancomycin Hydrochloride

24200061010 Vancomycin Hydrochloride

24200061113 Vancomycin Hydrochloride

24200061207 Vancomycin Hydrochloride

24200061310 Vancomycin Hydrochloride

24200061314 Vancomycin Hydrochloride

24200061330 Vancomycin Hydrochloride

24200061543 Vancomycin Hydrochloride

24200061546 Vancomycin Hydrochloride

24200061548 Vancomycin Hydrochloride

24200061549 Vancomycin Hydrochloride

24200061910 Vancomycin Hydrochloride

amoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tabletceFAZolin 2 g/100 mL-D5% injectable solutionceFAZolin 2 g/20 mL injectable solutionceFAZolin 2 g/100 mL-NaCl 0.9% intravenous solutionceFAZolin 1 g/10 mL injectable solutionceFAZolin 1 g/10 mL injectable solutionvancomycin 750 mg/150 mL-NaCl 0.9% intravenous solutionvancomycin 2 g/250 mL-NaCl 0.9% intravenous solutionvancomycin 2 g/500 mL- NaCl 0.9% intravenous solutionvancomycin 1.25 g/150 mL-NaCl 0.9% intravenous solutionvancomycin 1.25 g/250 mL-D5% intravenous solutionvancomycin 1.5 g/500 mL-D5% intravenous solutionvancomycin 750 mg/150 mL-D5% intravenous solutionvancomycin 1 g/250 mL-D5% intravenous solutionvancomycin 1 g/150 mL-NaCl 0.9% intravenous solutionvancomycin 1 g/150 mL-NaCl 0.9% intravenous solutionvancomycin 250 mg/5 mL oral solutionvancomycin 250 mg/5 mL oral solutionvancomycin 500 mg/5 mL oral solutionvancomycin 250 mg/5 mL oral solutionvancomycin 1 g/250 mL-NaCl 0.9% intravenous solution

Page 87: Pharmacy Table AA 2014

24200063003 Clindamycin Phosphate

24200063103 Clindamycin Phosphate

24338010013 E.E.S.-400 Filmtab

24338010213 Erythromycin Base erythromycin 250 mg oral tablet

24338010413 Erythromycin Base erythromycin 500 mg oral tablet

24338010620 Erythrocin Stearate Filmtab

24338011013

24338011260 PCE Dispertab

24338011413 PCE Dispertab

24338012013 Erythromycin Base

24338012213 Ery-Tab

24338012413 Ery-Tab

24338012613 Ery-Tab

24338013013 EryPed 400

24338013213 EryPed 200

24338013402 E.E.S. Granules

24338013610 E.E.S. Granules

24486080120 Cefditoren Pivoxil cefditoren 200 mg oral tablet

24486080220 Cefditoren Pivoxil cefditoren 400 mg oral tablet

24658022005 Doxycycline Hyclate

24658022020 Doxycycline Hyclate

24658022520 Doxycycline Hyclate

24658025001 ciprofloxacin 500 mg oral tablet

24658025005 ciprofloxacin 500 mg oral tablet

24658025011 ciprofloxacin 500 mg oral tablet

24658025020 ciprofloxacin 500 mg oral tablet

24987037710 Fortaz cefTAZidime 500 mg injection

24987038237 Fortaz cefTAZidime 6 g injection

24987040000 Zinacef cefuroxime 7.5 g injection

clindamycin 600 mg/50 mL-D5% intravenous solutionclindamycin 900 mg/50 mL-D5% intravenous solutionerythromycin ethylsuccinate 400 mg oral tablet

erythromycin stearate 250 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tableterythromycin 333 mg oral tablet, coated particleserythromycin 500 mg oral tablet, coated particleserythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin ethylsuccinate 400 mg/5 mL oral liquiderythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 200 mg/5 mL oral liquid

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 88: Pharmacy Table AA 2014

24987041200 Fortaz

24987041300 Fortaz

24987043700 Zinacef TwistVial cefuroxime 1.5 g injection

25020111506 Clindamycin Phosphate

25021001399 Ampicillin ampicillin 10 g injection25021010010 CeFAZolin Sodium ceFAZolin 500 mg injection

25021010110 CeFAZolin Sodium ceFAZolin 1 g injection

25021010299 CeFAZolin Sodium ceFAZolin 10 g injection

25021010399 CeFAZolin Sodium ceFAZolin 20 g injection

25021010410 CefTRIAXone Sodium cefTRIAXone 250 mg injection

25021010510 CefTRIAXone Sodium cefTRIAXone 500 mg injection

25021010610 CefTRIAXone Sodium cefTRIAXone 1 g injection

25021010720 CefTRIAXone Sodium cefTRIAXone 2 g injection

25021010899 CefTRIAXone Sodium cefTRIAXone 10 g injection

25021010910 CefOXitin cefOXitin 1 g injection

25021011020 CefOXitin cefOXitin 2 g injection

25021011199 CefOXitin cefOXitin 10 g injection

25021011210 Azithromycin

25021011482

25021011487

25021011502 Clindamycin Phosphate

25021011504 Clindamycin Phosphate

25021011506 Clindamycin Phosphate

25021011551 Clindamycin Phosphate

25021011810 Cefuroxime Sodium cefuroxime 750 mg injection

25021011920 Cefuroxime Sodium cefuroxime 1.5 g injection

25021012059 Cefuroxime Sodium cefuroxime 7.5 g injection

25021012120 Cefepime Hydrochloride cefepime 1 g injection

25021012250 Cefepime Hydrochloride cefepime 2 g injection

25021012720 CefTAZidime cefTAZidime 1 g injection

cefTAZidime 1 g/50 mL intravenous solutioncefTAZidime 2 g/50 mL intravenous solution

clindamycin 150 mg/mL injectable solution

azithromycin 500 mg intravenous injection

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solution

Page 89: Pharmacy Table AA 2014

25021012850 CefTAZidime cefTAZidime 2 g injection

25021012999 CefTAZidime cefTAZidime 6 g injection

25021013020 Levofloxacin

25021013030 Levofloxacin

25021013182 MetroNIDAZOLE

25021013281 Levofloxacin

25021013282 Levofloxacin

25021013283 Levofloxacin

25021013410 Ampicillin ampicillin 250 mg injection25021013510 Ampicillin ampicillin 500 mg injection25021013610 Ampicillin ampicillin 1 g injection25021013720 Ampicillin ampicillin 2 g injection25021013899 Ampicillin ampicillin 10 g injection25021013910 Nafcillin Sodium nafcillin 1 g injection

25021014010 Nafcillin Sodium nafcillin 2 g injection

25021014199 Nafcillin Sodium nafcillin 10 g injection

25021014220 Ampicillin-Sulbactam

25021014330 Ampicillin-Sulbactam

25021014499 Ampicillin-Sulbactam

25021014610 Oxacillin Sodium oxacillin 1 g injection

25021015420 Penicillin G Potassium

25021015799 Vancomycin Hydrochloride

25021016224 Oxacillin Sodium oxacillin 2 g injection

25021016399 Oxacillin Sodium oxacillin 10 g injection

25021016430

25021016530

25021016648

25021082581 Levofloxacin

25021082582 Levofloxacin

25021082583 Levofloxacin

27437020108 Suprax cefixime 400 mg oral tablet

27437020311 Suprax

levofloxacin 25 mg/mL intravenous solutionlevofloxacin 25 mg/mL intravenous solutionmetroNIDAZOLE 500 mg/100 mL intravenous solutionlevofloxacin 250 mg/50 mL intravenous solutionlevofloxacin 500 mg/100 mL intravenous solutionlevofloxacin 750 mg/150 mL intravenous solution

ampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 10 g-5 g injection

penicillin G potassium 20,000,000 units injectionvancomycin 5 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 2 g-0.25 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 4 g-0.5 g intravenous injectionlevofloxacin 250 mg/50 mL intravenous solutionlevofloxacin 500 mg/100 mL intravenous solutionlevofloxacin 750 mg/150 mL intravenous solution

cefixime 100 mg oral tablet, chewable

Page 90: Pharmacy Table AA 2014

27437020510 Suprax

27437020511 Suprax

27437020602 Suprax cefixime 200 mg/5 mL oral liquid

27437020603 Suprax cefixime 200 mg/5 mL oral liquid

27437020702 Suprax cefixime 500 mg/5 mL oral liquid

27437020703 Suprax cefixime 500 mg/5 mL oral liquid

27437020808 Suprax cefixime 400 mg oral capsule

27437020811 Suprax cefixime 400 mg oral capsule

33261002007 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002010 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002014 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002020 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002021 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002028 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002030 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002040 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002042 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002048 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261002060 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33261011101 Amoxicillin-Clavulanate

33261011201 Amoxicillin-Clavulanate

33261013710 Amoxicillin amoxicillin 500 mg oral capsule

33261013712 Amoxicillin amoxicillin 500 mg oral capsule

33261013714 Amoxicillin amoxicillin 500 mg oral capsule

33261013720 Amoxicillin amoxicillin 500 mg oral capsule

33261013721 Amoxicillin amoxicillin 500 mg oral capsule

33261013728 Amoxicillin amoxicillin 500 mg oral capsule

33261013730 Amoxicillin amoxicillin 500 mg oral capsule

33261013740 Amoxicillin amoxicillin 500 mg oral capsule

cefixime 200 mg oral tablet, chewablecefixime 200 mg oral tablet, chewable

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

Page 91: Pharmacy Table AA 2014

33261013760 Amoxicillin amoxicillin 500 mg oral capsule

33261013784 Amoxicillin amoxicillin 500 mg oral capsule

33261016807 Cefaclor cefaclor 500 mg oral capsule

33261016814 Cefaclor cefaclor 500 mg oral capsule

33261016821 Cefaclor cefaclor 500 mg oral capsule

33261016828 Cefaclor cefaclor 500 mg oral capsule

33261016830 Cefaclor cefaclor 500 mg oral capsule

33261016860 Cefaclor cefaclor 500 mg oral capsule

33261039630

33358002510 Amoxicillin amoxicillin 250 mg oral capsule

33358002520 Amoxicillin amoxicillin 250 mg oral capsule

33358002530 Amoxicillin amoxicillin 250 mg oral capsule

33358002630 Amoxicillin

33358002645 Amoxicillin

33358002664 Amoxicillin

33358002684 Amoxicillin

33358002800 Amoxicillin amoxicillin 500 mg oral capsule

33358002810 Amoxicillin amoxicillin 500 mg oral capsule

33358002816 Amoxicillin amoxicillin 500 mg oral capsule

33358002820 Amoxicillin amoxicillin 500 mg oral capsule

33358002821 Amoxicillin amoxicillin 500 mg oral capsule

33358002830 Amoxicillin amoxicillin 500 mg oral capsule

33358002840 Amoxicillin amoxicillin 500 mg oral capsule

33358002845 Amoxicillin amoxicillin 500 mg oral capsule

33358002860 Amoxicillin amoxicillin 500 mg oral capsule

33358002920 Amoxicillin amoxicillin 875 mg oral tablet33358003020 Amoxicillin-Clavulanate

33358003120 Amoxicillin-Clavulanate

33358003220 Ampicillin ampicillin 250 mg oral capsule33358003228 Ampicillin ampicillin 250 mg oral capsule33358003230 Ampicillin ampicillin 250 mg oral capsule33358003240 Ampicillin ampicillin 250 mg oral capsule

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 92: Pharmacy Table AA 2014

33358003320 Ampicillin ampicillin 500 mg oral capsule33358003330 Ampicillin ampicillin 500 mg oral capsule33358003340 Ampicillin ampicillin 500 mg oral capsule33358004006 Azithromycin azithromycin 250 mg oral tablet

33358004110 Azithromycin azithromycin 500 mg oral tablet

33358006520 Cefaclor cefaclor 250 mg oral capsule

33358006530 Cefaclor cefaclor 250 mg oral capsule

33358006620 Cefaclor cefaclor 500 mg oral capsule

33358006630 Cefaclor cefaclor 500 mg oral capsule

33358006714 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

33358006728 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

33358006820 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

33358007115 Cephalexin Monohydrate cephalexin 250 mg oral capsule

33358007120 Cephalexin Monohydrate cephalexin 250 mg oral capsule

33358007128 Cephalexin Monohydrate cephalexin 250 mg oral capsule

33358007140 Cephalexin Monohydrate cephalexin 250 mg oral capsule

33358007160 Cephalexin Monohydrate cephalexin 250 mg oral capsule

33358007214 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33358007215 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33358007220 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33358007221 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33358007228 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33358007230 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33358007240 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33358007260 Cephalexin Monohydrate cephalexin 500 mg oral capsule

33358008001 ciprofloxacin 100 mg oral tablet

33358008006 ciprofloxacin 100 mg oral tablet

33358008101 ciprofloxacin 500 mg oral tablet

33358008106 ciprofloxacin 500 mg oral tablet

33358008110 ciprofloxacin 500 mg oral tablet

33358008114 ciprofloxacin 500 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 93: Pharmacy Table AA 2014

33358008120 ciprofloxacin 500 mg oral tablet

33358008128 ciprofloxacin 500 mg oral tablet

33358008130 ciprofloxacin 500 mg oral tablet

33358008160 ciprofloxacin 500 mg oral tablet

33358008620 Clarithromycin clarithromycin 500 mg oral tablet

33358008714 Biaxin XL

33358008812 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

33358008828 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

33358008830 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

33358008920 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

33358008930 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

33358010614 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

33358010620 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

33358010630 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

33358010640 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

33358010714 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

33358010720 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

33358010730 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

33358010740 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

33358012014 Doxycycline Hyclate

33358012020 Doxycycline Hyclate

33358012030 Doxycycline Hyclate

33358012040 Doxycycline Hyclate

33358012060 Doxycycline Hyclate

33358012120 Doxycycline Hyclate

33358012130 Doxycycline Hyclate

33358013230 Ery-Tab

33358013328 Ery-Tab

33358020200 Levaquin levofloxacin 500 mg oral tablet33358020210 Levaquin levofloxacin 500 mg oral tablet33358020230 Levaquin levofloxacin 500 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

clarithromycin 500 mg oral tablet, extended release

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tableterythromycin 333 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

Page 94: Pharmacy Table AA 2014

33358020260 Levaquin levofloxacin 500 mg oral tablet33358024405 MetroNIDAZOLE

33358024410 MetroNIDAZOLE

33358024414 MetroNIDAZOLE

33358024420 MetroNIDAZOLE

33358024421 MetroNIDAZOLE

33358024425 MetroNIDAZOLE

33358024428 MetroNIDAZOLE

33358024430 MetroNIDAZOLE

33358024550 MetroNIDAZOLE

33358024607 MetroNIDAZOLE

33358024610 MetroNIDAZOLE

33358024614 MetroNIDAZOLE

33358024615 MetroNIDAZOLE

33358024618 MetroNIDAZOLE

33358024620 MetroNIDAZOLE

33358024621 MetroNIDAZOLE

33358024624 MetroNIDAZOLE

33358024628 MetroNIDAZOLE

33358024630 MetroNIDAZOLE

33358026514

33358026520

33358026714

33358026728

33358026730

33358026740

33358027206 Ofloxacin ofloxacin 200 mg oral tablet33358028420 Penicillin V Potassium

33358028430 Penicillin V Potassium

33358028440 Penicillin V Potassium

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 375 mg oral capsulemetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

Page 95: Pharmacy Table AA 2014

33358028460 Penicillin V Potassium

33358028520 Penicillin V Potassium

33358028530 Penicillin V Potassium

33358028540 Penicillin V Potassium

33358028560 Penicillin V Potassium

33358032906

33358032914

33358032920

33358032930

33358033420 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

33358033440 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

33358033460 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

33358033540 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

33358033556 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

33358036701 Zithromax azithromycin 1 g oral liquid33358036703 Zithromax azithromycin 1 g oral liquid33358036804 Zithromax azithromycin 250 mg oral tablet

33358036830 Zithromax azithromycin 250 mg oral tablet

33358036850 Zithromax azithromycin 250 mg oral tablet

35356001703 azithromycin 500 mg oral tablet

35356002514 Clarithromycin clarithromycin 250 mg oral tablet

35356003740 Augmentin XR

35356003820 Cefdinir cefdinir 300 mg oral capsule

35356004415 Azithromycin

35356010820 Zyvox linezolid 600 mg oral tablet35356011960 Cefdinir cefdinir 125 mg/5 mL oral liquid

35356012815 Zithromax

36000000124 MetroNIDAZOLE

36000000824

36000000924

penicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Azithromycin 3 Day Dose Pack

amoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended release

azithromycin 100 mg/5 mL oral liquid

azithromycin 100 mg/5 mL oral liquidmetroNIDAZOLE 500 mg/100 mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 200 mg/100 mL-D5% intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 400 mg/200 mL-D5% intravenous solution

Page 96: Pharmacy Table AA 2014

36000001001

36000001101

36000007010 Ampicillin ampicillin 250 mg injection36000007110 Ampicillin ampicillin 500 mg injection36000007210 Ampicillin ampicillin 1 g injection36000007310 Ampicillin ampicillin 2 g injection39822041201 Tobramycin Sulfate tobramycin 1.2 g injection39822041206 Tobramycin Sulfate tobramycin 1.2 g injection39822070601 Streptomycin Sulfate

39822070602 Streptomycin Sulfate

42043014001 Cephalexin Monohydrate cephalexin 250 mg oral capsule

42043014005 Cephalexin Monohydrate cephalexin 250 mg oral capsule

42043014101 Cephalexin Monohydrate cephalexin 500 mg oral capsule

42043014105 Cephalexin Monohydrate cephalexin 500 mg oral capsule

42043014238 Cephalexin Monohydrate

42043014258 Cephalexin Monohydrate

42043014338 Cephalexin Monohydrate

42043014358 Cephalexin Monohydrate

42291012050 Amoxicillin amoxicillin 250 mg oral capsule

42291012150 Amoxicillin amoxicillin 500 mg oral capsule

42291020850 Cephalexin Monohydrate cephalexin 250 mg oral capsule

42291020950 Cephalexin Monohydrate cephalexin 500 mg oral capsule

42291062005 Minocycline Hydrochloride minocycline 100 mg oral capsule

42291084590 Trimethoprim trimethoprim 100 mg oral tablet

43063000210 CefTRIAXone Sodium cefTRIAXone 250 mg injection

43063001506 Amoxicillin amoxicillin 250 mg oral capsule

43063001515 Amoxicillin amoxicillin 250 mg oral capsule

43063001521 Amoxicillin amoxicillin 250 mg oral capsule

43063001524 Amoxicillin amoxicillin 250 mg oral capsule

43063001530 Amoxicillin amoxicillin 250 mg oral capsule

43063001540 Amoxicillin amoxicillin 250 mg oral capsule

43063001560 Amoxicillin amoxicillin 250 mg oral capsule

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

Ciprofloxacin Hydrochloride

ciprofloxacin 10 mg/mL intravenous solution

streptomycin 1000 mg intramuscular injectionstreptomycin 1000 mg intramuscular injection

cephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Page 97: Pharmacy Table AA 2014

43063001606 Cephalexin Monohydrate cephalexin 250 mg oral capsule

43063001609 Cephalexin Monohydrate cephalexin 250 mg oral capsule

43063001610 Cephalexin Monohydrate cephalexin 250 mg oral capsule

43063001615 Cephalexin Monohydrate cephalexin 250 mg oral capsule

43063001620 Cephalexin Monohydrate cephalexin 250 mg oral capsule

43063001624 Cephalexin Monohydrate cephalexin 250 mg oral capsule

43063001628 Cephalexin Monohydrate cephalexin 250 mg oral capsule

43063001630 Cephalexin Monohydrate cephalexin 250 mg oral capsule

43063001640 Cephalexin Monohydrate cephalexin 250 mg oral capsule

43063001706 Amoxicillin amoxicillin 500 mg oral capsule

43063001709 Amoxicillin amoxicillin 500 mg oral capsule

43063001714 Amoxicillin amoxicillin 500 mg oral capsule

43063001715 Amoxicillin amoxicillin 500 mg oral capsule

43063001721 Amoxicillin amoxicillin 500 mg oral capsule

43063001724 Amoxicillin amoxicillin 500 mg oral capsule

43063001728 Amoxicillin amoxicillin 500 mg oral capsule

43063001730 Amoxicillin amoxicillin 500 mg oral capsule

43063001740 Amoxicillin amoxicillin 500 mg oral capsule

43063001742 Amoxicillin amoxicillin 500 mg oral capsule

43063001750 Amoxicillin amoxicillin 500 mg oral capsule

43063001756 Amoxicillin amoxicillin 500 mg oral capsule

43063001760 Amoxicillin amoxicillin 500 mg oral capsule

43063001763 Amoxicillin amoxicillin 500 mg oral capsule

43063001906 Doxycycline Hyclate

43063002104 MetroNIDAZOLE

43063002402

43063002404

43063002406

43063004704 Cephalexin Monohydrate cephalexin 500 mg oral capsule

doxycycline hyclate 100 mg oral capsulemetroNIDAZOLE 500 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 98: Pharmacy Table AA 2014

43063004706 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004708 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004709 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004710 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004714 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004720 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004721 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004724 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004728 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004730 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004740 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063004756 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063005304 ciprofloxacin 500 mg oral tablet

43063005306 ciprofloxacin 500 mg oral tablet

43063005406 Penicillin V Potassium

43063005430 Penicillin V Potassium

43063005440 Penicillin V Potassium

43063005606 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063007703 Amoxicillin-Clavulanate

43063007704 Amoxicillin-Clavulanate

43063007706 Amoxicillin-Clavulanate

43063009002 Azithromycin azithromycin 250 mg oral tablet

43063009004 Azithromycin azithromycin 250 mg oral tablet

43063009604 Penicillin V Potassium

43063009606 Penicillin V Potassium

43063009615 Penicillin V Potassium

43063009620 Penicillin V Potassium

43063009628 Penicillin V Potassium

43063009630 Penicillin V Potassium

Ciprofloxacin HydrochlorideCiprofloxacin Hydrochloride

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

penicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 99: Pharmacy Table AA 2014

43063009640 Penicillin V Potassium

43063010806 MetroNIDAZOLE

43063011006 E.E.S.-400 Filmtab

43063011303 Levaquin levofloxacin 500 mg oral tablet43063017302

43063018006 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

43063019430 Cefaclor cefaclor 500 mg oral capsule

43063026904 Cefuroxime Axetil cefuroxime 250 mg oral tablet

43063030720 Cefuroxime Axetil cefuroxime 500 mg oral tablet

43063032302 Levofloxacin levofloxacin 500 mg oral tablet43063032303 Levofloxacin levofloxacin 500 mg oral tablet43063032307 Levofloxacin levofloxacin 500 mg oral tablet43063032310 Levofloxacin levofloxacin 500 mg oral tablet43063032405 Levofloxacin levofloxacin 750 mg oral tablet43063032410 Levofloxacin levofloxacin 750 mg oral tablet43063032420 Levofloxacin levofloxacin 750 mg oral tablet43063034104 Amoxicillin

43063034203 Amoxicillin-Clavulanate

43063036220 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063036228 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063036230 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063036240 Cephalexin Monohydrate cephalexin 500 mg oral capsule

43063037702 Amoxicillin-Clavulanate

43063037803 Levofloxacin levofloxacin 250 mg oral tablet43063039404 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039406 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039415 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039417 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039420 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039428 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039430 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039440 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039442 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039456 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

penicillin V potassium 500 mg oral tabletmetroNIDAZOLE 250 mg oral tableterythromycin ethylsuccinate 400 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

amoxicillin 250 mg oral tablet, chewableamoxicillin-clavulanate 400 mg-57 mg oral tablet, chewable

amoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 100: Pharmacy Table AA 2014

43063039460 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063039480 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

43063040010

43063040012

43063040020

43063040040

43063041006 ciprofloxacin 250 mg oral tablet

43063041012 ciprofloxacin 250 mg oral tablet

43063041014 ciprofloxacin 250 mg oral tablet

43063042703 ciprofloxacin 500 mg oral tablet

43063042706 ciprofloxacin 500 mg oral tablet

43063042710 ciprofloxacin 500 mg oral tablet

43063042714 ciprofloxacin 500 mg oral tablet

43063042720 ciprofloxacin 500 mg oral tablet

43063042728 ciprofloxacin 500 mg oral tablet

43063042730 ciprofloxacin 500 mg oral tablet

43063043421 Amoxicillin amoxicillin 500 mg oral capsule

43063043430 Amoxicillin amoxicillin 500 mg oral capsule

43063043440 Amoxicillin amoxicillin 500 mg oral capsule

43063045705 Levofloxacin levofloxacin 500 mg oral tablet43063045707 Levofloxacin levofloxacin 500 mg oral tablet43063045710 Levofloxacin levofloxacin 500 mg oral tablet43063045907 Levofloxacin levofloxacin 750 mg oral tablet43386033001 Trimethoprim trimethoprim 100 mg oral tablet

43538060030 Morgidox

43538060130 Morgidox 1x100mg

43538061060 Morgidox

43538061160 Morgidox 2x100mg

43598000351 Augmentin ES-600

43598000354 Augmentin ES-600

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg capsule with cleanser oral and topical kitdoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg capsule with cleanser oral and topical kitamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

Page 101: Pharmacy Table AA 2014

43598000369 Augmentin ES-600

43598000451 Augmentin

43598000452 Augmentin

43598000453 Augmentin

43598000614 Augmentin

43598001251 Augmentin

43598001252 Augmentin

43598001253 Augmentin

43598002028 Augmentin XR

43598002040 Augmentin XR

43598002114 Augmentin

43598020351 Amoxicillin-Clavulanate

43598020354 Amoxicillin-Clavulanate

43598020369 Amoxicillin-Clavulanate

43598020451 Amoxicillin-Clavulanate

43598020452 Amoxicillin-Clavulanate

43598020453 Amoxicillin-Clavulanate

43598020501 Amoxicillin amoxicillin 500 mg oral capsule

43598020505 Amoxicillin amoxicillin 500 mg oral capsule

43598020614 Amoxicillin-Clavulanate

43598020750 Amoxicillin

43598020751 Amoxicillin

43598020752 Amoxicillin

43598020850 Amoxicillin-Clavulanate

43598020851 Amoxicillin-Clavulanate

43598020852 Amoxicillin-Clavulanate

43598020952 Amoxicillin

43598020953 Amoxicillin

amoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseamoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquid

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

Page 102: Pharmacy Table AA 2014

43598020980 Amoxicillin

43598021350 Amoxicillin-Clavulanate

43598021351 Amoxicillin-Clavulanate

43598021352 Amoxicillin-Clavulanate

43598021830 Amoxicillin-Clavulanate

43598021901 Amoxicillin amoxicillin 875 mg oral tablet43598021914 Amoxicillin amoxicillin 875 mg oral tablet43598022028 Amoxicillin-Clavulanate ER

43598022040 Amoxicillin-Clavulanate ER

43598022114 Amoxicillin-Clavulanate

43598022252 Amoxicillin

43598022253 Amoxicillin

43598022280 Amoxicillin

43598022350 Amoxicillin

43598022351 Amoxicillin

43598022352 Amoxicillin

43598022401 Amoxicillin amoxicillin 500 mg oral tablet43598022501 Amoxicillin amoxicillin 250 mg oral capsule

43598022505 Amoxicillin amoxicillin 250 mg oral capsule

43684020020 Avidoxy

44009080220 Cefditoren Pivoxil cefditoren 400 mg oral tablet

44567010010 Ampicillin ampicillin 250 mg injection44567010110 Ampicillin ampicillin 500 mg injection44567010210 Ampicillin ampicillin 1 g injection44567010310 Ampicillin ampicillin 2 g injection44567010410 Ampicillin ampicillin 10 g injection44567022110 Nafcillin Sodium nafcillin 1 g injection

44567022210 Nafcillin Sodium nafcillin 2 g injection

44567023525 CefTAZidime cefTAZidime 1 g injection

44567023610 CefTAZidime cefTAZidime 2 g injection

44567023706 CefTAZidime cefTAZidime 6 g injection

44567024010 Cefepime Hydrochloride cefepime 1 g injection

amoxicillin 250 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-125 mg oral tablet

amoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseamoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquid

doxycycline monohydrate 100 mg oral tablet

Page 103: Pharmacy Table AA 2014

44567024110 Cefepime Hydrochloride cefepime 2 g injection

44567070025 CefTRIAXone Sodium cefTRIAXone 500 mg injection

44567070125 CefTRIAXone Sodium cefTRIAXone 1 g injection

44567070225 CefTRIAXone Sodium cefTRIAXone 2 g injection

44567070301 CefTRIAXone Sodium cefTRIAXone 10 g injection

44567070725 CeFAZolin Sodium ceFAZolin 1 g injection

44567070810 CeFAZolin Sodium ceFAZolin 10 g injection

44567070910 CeFAZolin Sodium ceFAZolin 20 g injection

44567080110

44567080210

44567080310

44567080401

44567088210

45469292800 Amoxicillin

45469293000 Amoxicillin

45469295300 Amoxicillin

45565003103 PC Pen VK

45809040120 Cedax ceftibuten 400 mg oral capsule

45809080112 Cedax ceftibuten 90 mg/5 mL oral liquid

45809080130 Cedax ceftibuten 90 mg/5 mL oral liquid

45809080160 Cedax ceftibuten 90 mg/5 mL oral liquid

45809080190 Cedax ceftibuten 90 mg/5 mL oral liquid

47781026603 Cefaclor cefaclor 250 mg oral capsule

47781026703 Cefaclor cefaclor 500 mg oral capsule

47781030301

47781030701

47781030801

47781072902 Vancomycin Hydrochloride vancomycin 125 mg oral capsule

47781073002 Vancomycin Hydrochloride vancomycin 250 mg oral capsule

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 2 g-0.25 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 4 g-0.5 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 36 g-4.5 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injectionamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidpenicillin V potassium 250 mg oral tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 104: Pharmacy Table AA 2014

49884000705 Amoxicillin amoxicillin 500 mg oral capsule

49884004101 Amoxicillin amoxicillin 875 mg oral tablet49884004105 Amoxicillin amoxicillin 875 mg oral tablet49884004107 Amoxicillin amoxicillin 875 mg oral tablet49884007327 Amoxicillin

49884007328 Amoxicillin

49884007347 Amoxicillin

49884009101 Doxycycline Monohydrate

49884009201 Doxycycline Monohydrate

49884009205 Doxycycline Monohydrate

49884009303 Doxycycline Monohydrate

49884009304 Doxycycline Monohydrate

49884009601 Dynacin minocycline 50 mg oral tablet49884009701 Dynacin minocycline 75 mg oral tablet49884009803 Dynacin minocycline 100 mg oral tablet49884016827 Amoxicillin-Clavulanate

49884016828 Amoxicillin-Clavulanate

49884016847 Amoxicillin-Clavulanate

49884020128 Amoxicillin-Clavulanate

49884020149 Amoxicillin-Clavulanate

49884020170 Amoxicillin-Clavulanate

49884023611 Doxycycline Monohydrate

49884029807 Amoxicillin-Clavulanate

49884029812 Amoxicillin-Clavulanate

49884029907 Amoxicillin-Clavulanate

49884029912 Amoxicillin-Clavulanate

49884030502 Doxycycline Monohydrate

49884031302 Doxycycline Monohydrate

49884036969 Amoxicillin

49884051101 Minocycline Hydrochloride minocycline 50 mg oral tablet

49884051201 Minocycline Hydrochloride minocycline 75 mg oral tablet

49884051210 Minocycline Hydrochloride minocycline 75 mg oral tablet

amoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquiddoxycycline monohydrate 50 mg oral tabletdoxycycline monohydrate 75 mg oral tabletdoxycycline monohydrate 75 mg oral tabletdoxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 100 mg oral tablet

amoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquiddoxycycline monohydrate 150 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletdoxycycline monohydrate 150 mg oral capsuledoxycycline monohydrate 150 mg oral capsuleamoxicillin 125 mg/5 mL oral liquid

Page 105: Pharmacy Table AA 2014

49884051303 Minocycline Hydrochloride minocycline 100 mg oral tablet

49884063705 ciprofloxacin 250 mg oral tablet

49884063774 ciprofloxacin 250 mg oral tablet

49884063874 ciprofloxacin 500 mg oral tablet

49884063905 ciprofloxacin 750 mg oral tablet

49884072601 Doxycycline Monohydrate

49884072703 Doxycycline Monohydrate

49884072704 Doxycycline Monohydrate

49999000128 Ampicillin ampicillin 250 mg oral capsule49999000140 Ampicillin ampicillin 250 mg oral capsule49999000206 Penicillin V Potassium

49999000220 Penicillin V Potassium

49999000224 Penicillin V Potassium

49999000230 Penicillin V Potassium

49999000240 Penicillin V Potassium

49999000700 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000710 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000712 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000714 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000715 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000720 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000721 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000728 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000730 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000740 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000760 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999000790 Cephalexin Monohydrate cephalexin 500 mg oral capsule

49999001100 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

49999001104 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

49999001115 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

doxycycline monohydrate 50 mg oral capsuledoxycycline monohydrate 100 mg oral capsuledoxycycline monohydrate 100 mg oral capsule

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

Page 106: Pharmacy Table AA 2014

49999001118 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

49999001120 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

49999001128 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

49999001200 Erythromycin Base erythromycin 500 mg oral tablet

49999001214 Erythromycin Base erythromycin 500 mg oral tablet

49999001220 Erythromycin Base erythromycin 500 mg oral tablet

49999001228 Erythromycin Base erythromycin 500 mg oral tablet

49999001230 Erythromycin Base erythromycin 500 mg oral tablet

49999001240 Erythromycin Base erythromycin 500 mg oral tablet

49999001400 Ery-Tab

49999001410 Ery-Tab

49999001421 Ery-Tab

49999001430 Ery-Tab

49999001500 Amoxicillin amoxicillin 500 mg oral capsule

49999001506 Amoxicillin amoxicillin 500 mg oral capsule

49999001508 Amoxicillin amoxicillin 500 mg oral capsule

49999001512 Amoxicillin amoxicillin 500 mg oral capsule

49999001514 Amoxicillin amoxicillin 500 mg oral capsule

49999001515 Amoxicillin amoxicillin 500 mg oral capsule

49999001520 Amoxicillin amoxicillin 500 mg oral capsule

49999001521 Amoxicillin amoxicillin 500 mg oral capsule

49999001528 Amoxicillin amoxicillin 500 mg oral capsule

49999001530 Amoxicillin amoxicillin 500 mg oral capsule

49999001540 Amoxicillin amoxicillin 500 mg oral capsule

49999001542 Amoxicillin amoxicillin 500 mg oral capsule

49999001545 Amoxicillin amoxicillin 500 mg oral capsule

49999001604 Amoxicillin amoxicillin 250 mg oral capsule

49999001621 Amoxicillin amoxicillin 250 mg oral capsule

49999001630 Amoxicillin amoxicillin 250 mg oral capsule

erythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tablet

Page 107: Pharmacy Table AA 2014

49999001640 Amoxicillin amoxicillin 250 mg oral capsule

49999002000 Doxycycline Hyclate

49999002014 Doxycycline Hyclate

49999002020 Doxycycline Hyclate

49999002028 Doxycycline Hyclate

49999002030 Doxycycline Hyclate

49999002114 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

49999002120 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

49999002300 Erythromycin Base erythromycin 250 mg oral tablet

49999002320 Erythromycin Base erythromycin 250 mg oral tablet

49999002328 Erythromycin Base erythromycin 250 mg oral tablet

49999002330 Erythromycin Base erythromycin 250 mg oral tablet

49999002340 Erythromycin Base erythromycin 250 mg oral tablet

49999003300 Amoxicillin

49999003330 Amoxicillin

49999004104 Cephalexin Monohydrate cephalexin 250 mg oral capsule

49999004110 Cephalexin Monohydrate cephalexin 250 mg oral capsule

49999004112 Cephalexin Monohydrate cephalexin 250 mg oral capsule

49999004120 Cephalexin Monohydrate cephalexin 250 mg oral capsule

49999004128 Cephalexin Monohydrate cephalexin 250 mg oral capsule

49999004130 Cephalexin Monohydrate cephalexin 250 mg oral capsule

49999004140 Cephalexin Monohydrate cephalexin 250 mg oral capsule

49999005010 Penicillin V Potassium

49999005012 Penicillin V Potassium

49999005014 Penicillin V Potassium

49999005020 Penicillin V Potassium

49999005021 Penicillin V Potassium

49999005028 Penicillin V Potassium

49999005030 Penicillin V Potassium

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

penicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 108: Pharmacy Table AA 2014

49999005040 Penicillin V Potassium

49999006104 Cipro ciprofloxacin 500 mg oral tablet

49999006107 Cipro ciprofloxacin 500 mg oral tablet

49999006110 Cipro ciprofloxacin 500 mg oral tablet

49999006114 Cipro ciprofloxacin 500 mg oral tablet

49999006120 Cipro ciprofloxacin 500 mg oral tablet

49999006125 Cipro ciprofloxacin 500 mg oral tablet

49999006728 Ery-Tab

49999006740 Ery-Tab

49999007706

49999007710

49999007714

49999007720

49999007728

49999007730

49999007760

49999007790

49999008028

49999008030

49999008040

49999009500 MetroNIDAZOLE

49999009504 MetroNIDAZOLE

49999009514 MetroNIDAZOLE

49999009520 MetroNIDAZOLE

49999009521 MetroNIDAZOLE

49999009528 MetroNIDAZOLE

49999009530 MetroNIDAZOLE

49999009604 Zithromax azithromycin 250 mg oral tablet

49999009606 Zithromax azithromycin 250 mg oral tablet

49999011720 Ampicillin ampicillin 500 mg oral capsule

penicillin V potassium 500 mg oral tablet

erythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Page 109: Pharmacy Table AA 2014

49999012020 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

49999012028 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

49999012040 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

49999012611 Doxycycline Hyclate

49999012614 Doxycycline Hyclate

49999012620 Doxycycline Hyclate

49999012630 Doxycycline Hyclate

49999012656 Doxycycline Hyclate

49999016410 Sulfatrim Pediatric

49999016800 Amoxicillin

49999016850 Amoxicillin

49999016880 Amoxicillin

49999017720 Amoxicillin-Clavulanate

49999019100 Amoxicillin

49999019150 Amoxicillin

49999019180 Amoxicillin

49999019930 Cefaclor cefaclor 250 mg oral capsule

49999021014

49999021020

49999021028

49999021320 Augmentin

49999022400 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

49999022414 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

49999022430 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

49999022440 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

49999023220 Bactrim

49999024620 Amoxicillin-Clavulanate

49999026015 Zithromax

49999026100 Cephalexin Monohydrate

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsulesulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquid

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsuleamoxicillin-clavulanate 500 mg-125 mg oral tablet

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletazithromycin 200 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Page 110: Pharmacy Table AA 2014

49999026120 Cephalexin Monohydrate

49999026728 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

49999026730 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

49999026740 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

49999029006 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

49999029007 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

49999029010 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

49999029020 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

49999029021 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

49999029030 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

49999030920 Cefuroxime Axetil cefuroxime 250 mg oral tablet

49999030930 Cefuroxime Axetil cefuroxime 250 mg oral tablet

49999031300 MetroNIDAZOLE

49999031321 MetroNIDAZOLE

49999031328 MetroNIDAZOLE

49999031330 MetroNIDAZOLE

49999031500

49999032550 Cefaclor cefaclor 250 mg/5 mL oral liquid

49999032575 Cefaclor cefaclor 250 mg/5 mL oral liquid

49999033220 Penicillin V Potassium

49999033306 ciprofloxacin 250 mg oral tablet

49999033310 ciprofloxacin 250 mg oral tablet

49999033314 ciprofloxacin 250 mg oral tablet

49999033320 ciprofloxacin 250 mg oral tablet

49999033400 ciprofloxacin 500 mg oral tablet

49999033401 ciprofloxacin 500 mg oral tablet

49999033406 ciprofloxacin 500 mg oral tablet

49999033410 ciprofloxacin 500 mg oral tablet

49999033414 ciprofloxacin 500 mg oral tablet

cephalexin 250 mg/5 mL oral liquid

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

penicillin V potassium 250 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 111: Pharmacy Table AA 2014

49999033420 ciprofloxacin 500 mg oral tablet

49999033428 ciprofloxacin 500 mg oral tablet

49999033430 ciprofloxacin 500 mg oral tablet

49999035600 Amoxicillin-Clavulanate

49999036550 Augmentin

49999040720 Biaxin clarithromycin 500 mg oral tablet

49999041710 Levaquin levofloxacin 250 mg oral tablet49999041802 Levaquin levofloxacin 500 mg oral tablet49999041807 Levaquin levofloxacin 500 mg oral tablet49999041810 Levaquin levofloxacin 500 mg oral tablet49999041830 Levaquin levofloxacin 500 mg oral tablet49999041850 Levaquin levofloxacin 500 mg oral tablet49999045505 Avelox moxifloxacin 400 mg oral tablet

49999045510 Avelox moxifloxacin 400 mg oral tablet

49999045530 Avelox moxifloxacin 400 mg oral tablet

49999050320

49999050428 Minocycline Hydrochloride minocycline 50 mg oral capsule

49999050507 Minocycline Hydrochloride minocycline 100 mg oral capsule

49999050520 Minocycline Hydrochloride minocycline 100 mg oral capsule

49999050528 Minocycline Hydrochloride minocycline 100 mg oral capsule

49999054100 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

49999054128 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

49999055600 Cefaclor cefaclor 375 mg/5 mL oral liquid

49999055650 Cefaclor cefaclor 375 mg/5 mL oral liquid

49999055730 Cefaclor cefaclor 500 mg oral capsule

49999055742 Cefaclor cefaclor 500 mg oral capsule

49999058215 Zithromax

49999058601 Rocephin cefTRIAXone 1 g injection

49999058610 Rocephin cefTRIAXone 1 g injection

49999064910 Bactrim DS

49999064920 Bactrim DS

49999064930 Bactrim DS

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

azithromycin 100 mg/5 mL oral liquid

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 112: Pharmacy Table AA 2014

49999064960 Bactrim DS

49999064990 Bactrim DS

49999065130 Amoxicillin amoxicillin 500 mg oral tablet49999067514 Macrobid

49999071300 Cephalexin Monohydrate

49999074520 Amoxicillin

49999076620 Amoxicillin amoxicillin 875 mg oral tablet49999076628 Amoxicillin amoxicillin 875 mg oral tablet49999078520 Cefuroxime Axetil cefuroxime 500 mg oral tablet

49999078606 azithromycin 250 mg oral tablet

49999081000

49999090414 Clarithromycin clarithromycin 500 mg oral tablet

49999090420 Clarithromycin clarithromycin 500 mg oral tablet

49999098300 Amoxicillin

50111033301 MetroNIDAZOLE

50111033302 MetroNIDAZOLE

50111033306 MetroNIDAZOLE

50111033401 MetroNIDAZOLE

50111033402 MetroNIDAZOLE

50111076728 Azithromycin

50111078710 Azithromycin azithromycin 250 mg oral tablet

50111078752 Azithromycin azithromycin 250 mg oral tablet

50111078766 azithromycin 250 mg oral tablet

50111078810 Azithromycin azithromycin 500 mg oral tablet

50111078852 Azithromycin azithromycin 500 mg oral tablet

50111078867 azithromycin 500 mg oral tablet

50111078910 Azithromycin azithromycin 600 mg oral tablet

50111079120 Azithromycin

50111079222 Azithromycin

50111079320 Azithromycin

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

cephalexin 125 mg/5 mL oral liquidamoxicillin 400 mg oral tablet, chewable

Azithromycin 5 Day Dose PackErythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

amoxicillin 400 mg/5 mL oral liquidmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletazithromycin 200 mg/5 mL oral liquid

Azithromycin 5 Day Dose Pack

Azithromycin 3 Day Dose Pack

azithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 100 mg/5 mL oral liquid

Page 113: Pharmacy Table AA 2014

50111079478 Azithromycin

50111088405 MetroNIDAZOLE

50268009815 Azithromycin azithromycin 250 mg oral tablet

50268009913 Azithromycin azithromycin 500 mg oral tablet

50383028604 Levofloxacin

50383028608 Levofloxacin

50383028616 Levofloxacin

50383082316

50383082416

50383082421

50419075401 Cipro ciprofloxacin 500 mg oral tablet

50419075801 Cipro ciprofloxacin 250 mg oral tablet

50419075901 Cipro I.V.

50419077301 Cipro

50419077701 Cipro

50419078801 Cipro XR

50419078901 Cipro XR

50458016420 Levaquin

50458016530 Levaquin

50458016601 Levaquin

50458016701 Levaquin

50458016801 Levaquin

50458017001 Levaquin

50458092010 Levaquin levofloxacin 250 mg oral tablet50458092050 Levaquin levofloxacin 250 mg oral tablet50458092510 Levaquin levofloxacin 500 mg oral tablet50458092550 Levaquin levofloxacin 500 mg oral tablet50458093010 Levaquin levofloxacin 750 mg oral tablet50458093020 Levaquin levofloxacin 750 mg oral tablet50962030220

azithromycin 500 mg intravenous injectionmetroNIDAZOLE 375 mg oral capsule

levofloxacin 25 mg/mL oral solutionlevofloxacin 25 mg/mL oral solutionlevofloxacin 25 mg/mL oral solution

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

ciprofloxacin 400 mg/200 mL-D5% intravenous solutionciprofloxacin 500 mg/5 mL oral liquidciprofloxacin 250 mg/5 mL oral liquidciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 1000 mg oral tablet, extended releaselevofloxacin 25 mg/mL intravenous solutionlevofloxacin 25 mg/mL intravenous solutionlevofloxacin 750 mg/150 mL intravenous solutionlevofloxacin 250 mg/50 mL intravenous solutionlevofloxacin 500 mg/100 mL intravenous solutionlevofloxacin 25 mg/mL oral solution

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Page 114: Pharmacy Table AA 2014

51079001601 Cefuroxime Axetil cefuroxime 250 mg oral tablet

51079001620 Cefuroxime Axetil cefuroxime 250 mg oral tablet

51079001701 Cefuroxime Axetil cefuroxime 500 mg oral tablet

51079001720 Cefuroxime Axetil cefuroxime 500 mg oral tablet

51079003401 Levofloxacin levofloxacin 250 mg oral tablet51079003420 Levofloxacin levofloxacin 250 mg oral tablet51079003501 Levofloxacin levofloxacin 500 mg oral tablet51079003520 Levofloxacin levofloxacin 500 mg oral tablet51079004001 Azithromycin azithromycin 250 mg oral tablet

51079004020 Azithromycin azithromycin 250 mg oral tablet

51079012201 MetroNIDAZOLE

51079012217 MetroNIDAZOLE

51079012219 MetroNIDAZOLE

51079012220 MetroNIDAZOLE

51079012601 MetroNIDAZOLE

51079012617 MetroNIDAZOLE

51079012619 MetroNIDAZOLE

51079012620 MetroNIDAZOLE

51079012801 SMZ-TMP DS

51079012820 SMZ-TMP DS

51079012890 SMZ-TMP DS

51079012892 SMZ-TMP DS

51079018101 ciprofloxacin 250 mg oral tablet

51079018120 ciprofloxacin 250 mg oral tablet

51079018201 ciprofloxacin 500 mg oral tablet

51079018220 ciprofloxacin 500 mg oral tablet

51079021619 MetroNIDAZOLE

51079021620 MetroNIDAZOLE

51079021701 MetroNIDAZOLE

51079021719 MetroNIDAZOLE

51079021720 MetroNIDAZOLE

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Page 115: Pharmacy Table AA 2014

51079021801 ciprofloxacin 250 mg oral tablet

51079021820 ciprofloxacin 250 mg oral tablet

51079023301 ciprofloxacin 500 mg oral tablet

51079023320 ciprofloxacin 500 mg oral tablet

51079026501 Amoxicillin-Clavulanate

51079026520 Amoxicillin-Clavulanate

51079026701 Amoxicillin-Clavulanate

51079026720 Amoxicillin-Clavulanate

51079034801

51079034820

51079036101 Clarithromycin clarithromycin 250 mg oral tablet

51079036120 Clarithromycin clarithromycin 250 mg oral tablet

51079036201 Clarithromycin clarithromycin 500 mg oral tablet

51079036220 Clarithromycin clarithromycin 500 mg oral tablet

51079040201 ciprofloxacin 250 mg oral tablet

51079040220 ciprofloxacin 250 mg oral tablet

51079040301 ciprofloxacin 500 mg oral tablet

51079040320 ciprofloxacin 500 mg oral tablet

51079058401

51079058420

51079058501

51079058520

51079059101 Azithromycin azithromycin 250 mg oral tablet

51079059120 Azithromycin azithromycin 250 mg oral tablet

51079059801 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

51079059817 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

51079059819 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

51079059820 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideNitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 116: Pharmacy Table AA 2014

51079060101 Amoxicillin amoxicillin 500 mg oral capsule

51079060120 Amoxicillin amoxicillin 500 mg oral capsule

51079060401 Cephalexin Monohydrate cephalexin 250 mg oral capsule

51079060420 Cephalexin Monohydrate cephalexin 250 mg oral capsule

51079060501 Cephalexin Monohydrate cephalexin 500 mg oral capsule

51079060520 Cephalexin Monohydrate cephalexin 500 mg oral capsule

51079067201 Clarithromycin clarithromycin 250 mg oral tablet

51079067220 Clarithromycin clarithromycin 250 mg oral tablet

51079067301 Clarithromycin clarithromycin 500 mg oral tablet

51079067306 Clarithromycin clarithromycin 500 mg oral tablet

51079089001 Rifampin rifampin 300 mg oral capsule51079089017 Rifampin rifampin 300 mg oral capsule51079089019 Rifampin rifampin 300 mg oral capsule51079089020 Rifampin rifampin 300 mg oral capsule51285044521

51285044522

51285044523

51479004115 Azactam aztreonam 1 g injection51479004210 Azactam aztreonam 2 g injection51479004215 Azactam aztreonam 2 g injection51479004801 Azactam

51479004901 Azactam

51479005301 Maxipime cefepime 500 mg injection

51479005310 Maxipime cefepime 500 mg injection

51479005402 Maxipime ADD-Vantage cefepime 1 g injection

51479005403 Maxipime cefepime 1 g injection

51479005420 Maxipime ADD-Vantage cefepime 1 g injection

51479005430 Maxipime cefepime 1 g injection

51479005501 Maxipime ADD-Vantage cefepime 2 g injection

51479005502 Maxipime cefepime 2 g injection

51479005503 Maxipime cefepime 2 g injection

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

aztreonam 1 g/50 mL intravenous solutionaztreonam 2 g/50 mL intravenous solution

Page 117: Pharmacy Table AA 2014

51479005510 Maxipime ADD-Vantage cefepime 2 g injection

51479005520 Maxipime cefepime 2 g injection

51479005530 Maxipime cefepime 2 g injection

51655000952 Penicillin V Potassium

51655000987 Penicillin V Potassium

51655001024 Penicillin V Potassium

51655001029 Penicillin V Potassium

51655001051 Penicillin V Potassium

51655001052 Penicillin V Potassium

51655002487 Cephalexin Monohydrate cephalexin 250 mg oral capsule

51655007587 Amoxicillin amoxicillin 250 mg oral capsule

51655009727 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

51655011031 Amoxicillin-Clavulanate

51655011231

51655011251

51655011253

51655011584 ciprofloxacin 250 mg oral tablet

51655011587 ciprofloxacin 250 mg oral tablet

51655011829 ciprofloxacin 500 mg oral tablet

51655011847 ciprofloxacin 500 mg oral tablet

51655011852 ciprofloxacin 500 mg oral tablet

51655011853 ciprofloxacin 500 mg oral tablet

51655011884 ciprofloxacin 500 mg oral tablet

51655011887 ciprofloxacin 500 mg oral tablet

51655012029

51655012328 MetroNIDAZOLE

51655018629 Doxycycline Hyclate

51655018929 MetroNIDAZOLE

51655018984 MetroNIDAZOLE

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

amoxicillin-clavulanate 875 mg-125 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideErythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tabletmetroNIDAZOLE 250 mg oral tabletdoxycycline hyclate 100 mg oral capsulemetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Page 118: Pharmacy Table AA 2014

51655018989 MetroNIDAZOLE

51655019429 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

51655029751 Erythromycin Base erythromycin 500 mg oral tablet

51655041224 Doxycycline Hyclate

51655048024 Ery-Tab

51655051929 Erythromycin Base erythromycin 250 mg oral tablet

51655051951 Erythromycin Base erythromycin 250 mg oral tablet

51655053784 Cipro ciprofloxacin 250 mg oral tablet

51655053787 Cipro ciprofloxacin 250 mg oral tablet

51655059384

51655069828 Cefaclor cefaclor 250 mg oral capsule

51655091724 Amoxicillin

51655093324 Cefaclor cefaclor 500 mg oral capsule

51655096424 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

51655096429 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

51655096452 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

51655096489 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

51991003452 Minocycline Hydrochloride minocycline 100 mg oral capsule

52427028501 Macrobid

52427028601 Macrodantin

52427028701 Macrodantin

52427028801 Macrodantin

52533001442 CeFAZolin Sodium

52533001514 CeFAZolin Sodium

52533007018 Vancomycin Hydrochloride

52533007118 Vancomycin Hydrochloride

52555077101 ciprofloxacin 750 mg oral tablet

52555078701

metroNIDAZOLE 500 mg oral tablet

doxycycline hyclate 100 mg oral tableterythromycin 333 mg oral delayed release tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

amoxicillin 250 mg oral tablet, chewable

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals 25 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsuleceFAZolin 2 g/100 mL-NaCl 0.9% intravenous solutionceFAZolin 2 g/100 mL-D5% injectable solutionvancomycin 1.25 g/250 mL-NaCl 0.9% intravenous solutionvancomycin 1.5 g/250 mL-NaCl 0.9% intravenous solution

Ciprofloxacin HydrochlorideNitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 119: Pharmacy Table AA 2014

52959000405 Avelox moxifloxacin 400 mg oral tablet

52959001120 Amoxicillin amoxicillin 250 mg oral capsule

52959001121 Amoxicillin amoxicillin 250 mg oral capsule

52959001124 Amoxicillin amoxicillin 250 mg oral capsule

52959001130 Amoxicillin amoxicillin 250 mg oral capsule

52959001140 Amoxicillin amoxicillin 250 mg oral capsule

52959001160 Amoxicillin amoxicillin 250 mg oral capsule

52959002000 Amoxicillin amoxicillin 500 mg oral capsule

52959002005 Amoxicillin amoxicillin 500 mg oral capsule

52959002006 Amoxicillin amoxicillin 500 mg oral capsule

52959002018 Amoxicillin amoxicillin 500 mg oral capsule

52959002020 Amoxicillin amoxicillin 500 mg oral capsule

52959002021 Amoxicillin amoxicillin 500 mg oral capsule

52959002024 Amoxicillin amoxicillin 500 mg oral capsule

52959002028 Amoxicillin amoxicillin 500 mg oral capsule

52959002030 Amoxicillin amoxicillin 500 mg oral capsule

52959002040 Amoxicillin amoxicillin 500 mg oral capsule

52959002042 Amoxicillin amoxicillin 500 mg oral capsule

52959002060 Amoxicillin amoxicillin 500 mg oral capsule

52959002101 Augmentin

52959002104 Augmentin

52959002114 Augmentin

52959002115 Augmentin

52959002120 Augmentin

52959002121 Augmentin

52959002130 Augmentin

52959002920 Ceftin cefuroxime 250 mg oral tablet

52959002924 Ceftin cefuroxime 250 mg oral tablet

52959003001 Cephalexin Monohydrate cephalexin 250 mg oral capsule

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

Page 120: Pharmacy Table AA 2014

52959003008 Cephalexin Monohydrate cephalexin 250 mg oral capsule

52959003012 Cephalexin Monohydrate cephalexin 250 mg oral capsule

52959003020 Cephalexin Monohydrate cephalexin 250 mg oral capsule

52959003024 Cephalexin Monohydrate cephalexin 250 mg oral capsule

52959003028 Cephalexin Monohydrate cephalexin 250 mg oral capsule

52959003030 Cephalexin Monohydrate cephalexin 250 mg oral capsule

52959003040 Cephalexin Monohydrate cephalexin 250 mg oral capsule

52959003056 Cephalexin Monohydrate cephalexin 250 mg oral capsule

52959003100 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003102 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003104 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003106 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003108 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003110 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003112 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003114 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003115 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003120 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003121 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003124 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003128 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003130 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003140 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003156 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003160 Cephalexin Monohydrate cephalexin 500 mg oral capsule

52959003606 Cipro ciprofloxacin 500 mg oral tablet

52959003610 Cipro ciprofloxacin 500 mg oral tablet

52959003614 Cipro ciprofloxacin 500 mg oral tablet

52959003615 Cipro ciprofloxacin 500 mg oral tablet

Page 121: Pharmacy Table AA 2014

52959003620 Cipro ciprofloxacin 500 mg oral tablet

52959003628 Cipro ciprofloxacin 500 mg oral tablet

52959003630 Cipro ciprofloxacin 500 mg oral tablet

52959003714 Cipro ciprofloxacin 750 mg oral tablet

52959003720 Cipro ciprofloxacin 750 mg oral tablet

52959004610 Amoxicillin-Clavulanate

52959004614 Amoxicillin-Clavulanate

52959004620 Amoxicillin-Clavulanate

52959004820 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

52959004828 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

52959004830 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

52959004840 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

52959004841 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

52959004920 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

52959004921 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

52959004928 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

52959004930 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

52959004940 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

52959005500 Doxycycline Hyclate

52959005502 Doxycycline Hyclate

52959005506 Doxycycline Hyclate

52959005507 Doxycycline Hyclate

52959005510 Doxycycline Hyclate

52959005512 Doxycycline Hyclate

52959005514 Doxycycline Hyclate

52959005515 Doxycycline Hyclate

52959005520 Doxycycline Hyclate

52959005528 Doxycycline Hyclate

52959005530 Doxycycline Hyclate

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

Page 122: Pharmacy Table AA 2014

52959005590 Doxycycline Hyclate

52959006020 Ery-Tab

52959006028 Ery-Tab

52959006030 Ery-Tab

52959006040 Ery-Tab

52959006056 Ery-Tab

52959006115 Ery-Tab

52959006118 Ery-Tab

52959006120 Ery-Tab

52959006121 Ery-Tab

52959006124 Ery-Tab

52959006128 Ery-Tab

52959006130 Ery-Tab

52959006140 Ery-Tab

52959006142 Ery-Tab

52959006210 Ery-Tab

52959006220 Ery-Tab

52959006221 Ery-Tab

52959006228 Ery-Tab

52959006230 Ery-Tab

52959006240 Ery-Tab

52959006256 Ery-Tab

52959006321

52959006328

52959006330

52959006340

52959006428 Erythromycin Base

52959006440 Erythromycin Base

52959008720 Keflex cephalexin 500 mg oral capsule

doxycycline hyclate 100 mg oral capsuleerythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tablet

Page 123: Pharmacy Table AA 2014

52959008740 Keflex cephalexin 500 mg oral capsule

52959010204 MetroNIDAZOLE

52959010208 MetroNIDAZOLE

52959010214 MetroNIDAZOLE

52959010215 MetroNIDAZOLE

52959010220 MetroNIDAZOLE

52959010221 MetroNIDAZOLE

52959010228 MetroNIDAZOLE

52959010230 MetroNIDAZOLE

52959010242 MetroNIDAZOLE

52959013003 Ampicillin ampicillin 250 mg/5 mL oral liquid

52959013420 Cefdinir cefdinir 300 mg oral capsule

52959014400

52959014406

52959014410

52959014414

52959014415

52959014420

52959014421

52959014428

52959014430

52959014440

52959014460

52959016400

52959016403

52959016406

52959017106 Cipro ciprofloxacin 250 mg oral tablet

52959017110 Cipro ciprofloxacin 250 mg oral tablet

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Page 124: Pharmacy Table AA 2014

52959017114 Cipro ciprofloxacin 250 mg oral tablet

52959017120 Cipro ciprofloxacin 250 mg oral tablet

52959017128 Cipro ciprofloxacin 250 mg oral tablet

52959018100 Amoxicillin

52959018101 Amoxicillin

52959018180 Amoxicillin

52959020001 Cephalexin Monohydrate

52959020002 Cephalexin Monohydrate

52959021310 Penicillin V Potassium

52959021320 Penicillin V Potassium

52959021324 Penicillin V Potassium

52959021328 Penicillin V Potassium

52959021330 Penicillin V Potassium

52959021340 Penicillin V Potassium

52959023010 Biaxin clarithromycin 500 mg oral tablet

52959023020 Biaxin clarithromycin 500 mg oral tablet

52959024010 PCE Dispertab

52959024203 Zithromax

52959024619 Amoxicillin

52959024621 Amoxicillin

52959024630 Amoxicillin

52959024640 Amoxicillin

52959028300 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

52959028312 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

52959028320 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

52959028328 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

52959028330 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

52959028340 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

52959029403 Cefaclor cefaclor 250 mg/5 mL oral liquid

amoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

erythromycin 500 mg oral tablet, coated particlesazithromycin 200 mg/5 mL oral liquidamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

Page 125: Pharmacy Table AA 2014

52959029605 Amoxicillin

52959030020 Cefprozil cefprozil 500 mg oral tablet

52959030500

52959030501

52959031315 Zithromax

52959033320 Penicillin V Potassium

52959033324 Penicillin V Potassium

52959033328 Penicillin V Potassium

52959033330 Penicillin V Potassium

52959033340 Penicillin V Potassium

52959033614 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

52959033620 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

52959033628 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

52959033630 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

52959033640 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

52959033656 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

52959033690 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

52959034309 Augmentin

52959034315 Augmentin

52959034321 Augmentin

52959034330 Augmentin

52959034920 Cefzil cefprozil 500 mg oral tablet

52959036810 Cefaclor cefaclor 500 mg oral capsule

52959036814 Cefaclor cefaclor 500 mg oral capsule

52959036820 Cefaclor cefaclor 500 mg oral capsule

52959036821 Cefaclor cefaclor 500 mg oral capsule

52959036828 Cefaclor cefaclor 500 mg oral capsule

52959036830 Cefaclor cefaclor 500 mg oral capsule

52959036840 Cefaclor cefaclor 500 mg oral capsule

amoxicillin 400 mg/5 mL oral liquid

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspensionazithromycin 100 mg/5 mL oral liquidpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

amoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tablet

Page 126: Pharmacy Table AA 2014

52959040015 MetroNIDAZOLE

52959040021 MetroNIDAZOLE

52959040028 MetroNIDAZOLE

52959040030 MetroNIDAZOLE

52959040056 MetroNIDAZOLE

52959040410 Macrobid

52959040414 Macrobid

52959040420 Macrobid

52959040500

52959040508

52959040510

52959040514

52959040515

52959040516

52959040520

52959040521

52959040528

52959040530

52959040540

52959042804 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

52959042814 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

52959042816 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

52959042818 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

52959042820 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

52959042828 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

52959042830 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

52959044210 Biaxin clarithromycin 250 mg oral tablet

52959044214 Biaxin clarithromycin 250 mg oral tablet

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletnitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 127: Pharmacy Table AA 2014

52959044220 Biaxin clarithromycin 250 mg oral tablet

52959047414 Doxycycline Hyclate

52959047420 Doxycycline Hyclate

52959047430 Doxycycline Hyclate

52959047810 Augmentin

52959047814 Augmentin

52959047815 Augmentin

52959047820 Augmentin

52959049201 Levaquin levofloxacin 500 mg oral tablet52959049202 Levaquin levofloxacin 500 mg oral tablet52959049204 Levaquin levofloxacin 500 mg oral tablet52959049206 Levaquin levofloxacin 500 mg oral tablet52959049207 Levaquin levofloxacin 500 mg oral tablet52959049210 Levaquin levofloxacin 500 mg oral tablet52959049212 Levaquin levofloxacin 500 mg oral tablet52959049214 Levaquin levofloxacin 500 mg oral tablet52959049230 Levaquin levofloxacin 500 mg oral tablet52959050506 Zithromax Z-Pak azithromycin 250 mg oral tablet

52959056000 Penicillin V Potassium

52959061302 Amoxicillin

52959061303 Amoxicillin

52959061600 Augmentin

52959061601 Augmentin

52959061602 Augmentin

52959061903 Cefaclor cefaclor 250 mg/5 mL oral liquid

52959062001 Cephalexin Monohydrate

52959064710 Rifadin rifampin 300 mg oral capsule52959065320 Rifampin rifampin 300 mg oral capsule52959065340 Rifampin rifampin 300 mg oral capsule52959065703 Zithromax

52959065706 Zithromax

52959065820 Vantin cefpodoxime 200 mg oral tablet

52959066020 Keflex cephalexin 250 mg oral capsule

52959066030 Keflex cephalexin 250 mg oral capsule

52959066120 Amoxicillin amoxicillin 875 mg oral tablet52959066130 Amoxicillin amoxicillin 875 mg oral tablet52959069003 Levaquin levofloxacin 250 mg oral tablet

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

penicillin V potassium 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquid

cephalexin 250 mg/5 mL oral liquid

azithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquid

Page 128: Pharmacy Table AA 2014

52959069005 Levaquin levofloxacin 250 mg oral tablet52959069007 Levaquin levofloxacin 250 mg oral tablet52959069014 Levaquin levofloxacin 250 mg oral tablet52959069030 Levaquin levofloxacin 250 mg oral tablet52959070204 Amoxicillin-Clavulanate

52959070209 Amoxicillin-Clavulanate

52959070212 Amoxicillin-Clavulanate

52959070214 Amoxicillin-Clavulanate

52959070215 Amoxicillin-Clavulanate

52959070220 Amoxicillin-Clavulanate

52959070221 Amoxicillin-Clavulanate

52959070230 Amoxicillin-Clavulanate

52959070240 Amoxicillin-Clavulanate

52959070710 Amoxicillin-Clavulanate

52959070714 Amoxicillin-Clavulanate

52959070715 Amoxicillin-Clavulanate

52959070720 Amoxicillin-Clavulanate

52959070730 Amoxicillin-Clavulanate

52959070760 Amoxicillin-Clavulanate

52959073000 ciprofloxacin 500 mg oral tablet

52959073004 ciprofloxacin 500 mg oral tablet

52959073006 ciprofloxacin 500 mg oral tablet

52959073010 ciprofloxacin 500 mg oral tablet

52959073014 ciprofloxacin 500 mg oral tablet

52959073015 ciprofloxacin 500 mg oral tablet

52959073020 ciprofloxacin 500 mg oral tablet

52959073021 ciprofloxacin 500 mg oral tablet

52959073028 ciprofloxacin 500 mg oral tablet

52959073030 ciprofloxacin 500 mg oral tablet

52959073060 ciprofloxacin 500 mg oral tablet

52959073414 ciprofloxacin 750 mg oral tablet

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 129: Pharmacy Table AA 2014

52959073420 ciprofloxacin 750 mg oral tablet

52959073430 ciprofloxacin 750 mg oral tablet

52959073460 ciprofloxacin 750 mg oral tablet

52959073906 ciprofloxacin 250 mg oral tablet

52959073910 ciprofloxacin 250 mg oral tablet

52959073914 ciprofloxacin 250 mg oral tablet

52959073920 ciprofloxacin 250 mg oral tablet

52959074420 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

52959074430 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

52959074440 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

52959074442 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

52959076501 Penicillin V Potassium

52959076502 Penicillin V Potassium

52959076603

52959076605

52959076607

52959078210 Levaquin levofloxacin 750 mg oral tablet52959078220 Levaquin levofloxacin 750 mg oral tablet52959078310

52959078314

52959078320

52959078404 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

52959078416 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

52959078421 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

52959078428 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

52959078430 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

52959078440 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

52959079328 Augmentin XR

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

penicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

amoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended release

Page 130: Pharmacy Table AA 2014

52959079340 Augmentin XR

52959079610 Cefpodoxime Proxetil cefpodoxime 100 mg oral tablet

52959081620 Erythromycin Base erythromycin 500 mg oral tablet

52959081628 Erythromycin Base erythromycin 500 mg oral tablet

52959081630 Erythromycin Base erythromycin 500 mg oral tablet

52959083610 Clarithromycin clarithromycin 500 mg oral tablet

52959083614 Clarithromycin clarithromycin 500 mg oral tablet

52959083620 Clarithromycin clarithromycin 500 mg oral tablet

52959083660 Clarithromycin clarithromycin 500 mg oral tablet

52959083806 azithromycin 250 mg oral tablet

52959084301 Amoxicillin

52959085507 Cipro XR

52959092703 Azithromycin azithromycin 500 mg oral tablet

52959093230 Azithromycin

52959093920 Cefuroxime Axetil cefuroxime 500 mg oral tablet

52959093930 Cefuroxime Axetil cefuroxime 500 mg oral tablet

52959100601 Amoxil

52959100602 Amoxil

52959100603 Amoxil

52959101200 Augmentin

52959101201 Augmentin

52959102301

52959102303

52959102305

52959102307

52959102309

amoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended release

Azithromycin 5 Day Dose Pack

amoxicillin 200 mg/5 mL oral liquidciprofloxacin 500 mg oral tablet, extended release

azithromycin 200 mg/5 mL oral liquid

amoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Page 131: Pharmacy Table AA 2014

52959102900 Cephalexin Monohydrate

52959102901 Cephalexin Monohydrate

52959105500

52959105501

52959117201 Penicillin V Potassium

52959117202 Penicillin V Potassium

52959139903 Cefaclor cefaclor 250 mg/5 mL oral liquid

52959142503 Ampicillin ampicillin 250 mg/5 mL oral liquid

52959145201

52959145202

52959145302 Cephalexin Monohydrate

52959146200 Penicillin V Potassium

52959146303 Amoxicillin

53489011802 Doxycycline Hyclate

53489011805 Doxycycline Hyclate

53489011902 Doxycycline Hyclate

53489011905 Doxycycline Hyclate

53489012002 Doxycycline Hyclate

53489012005 Doxycycline Hyclate

53489014501

53489014505

53489014601

53489014605

53489064701 Doxycycline Hyclate doxycycline 20 mg oral tablet53746027101

53746027105

53746027201

53746027205

53905006501 Tobi

53905006504 Tobi

cephalexin 250 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspensionpenicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquid

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspensioncephalexin 125 mg/5 mL oral liquidpenicillin V potassium 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquiddoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablettobramycin 60 mg/mL inhalation solutiontobramycin 60 mg/mL inhalation solution

Page 132: Pharmacy Table AA 2014

54348057502 Doxycycline Hyclate

54348074004 MetroNIDAZOLE

54348074508 MetroNIDAZOLE

54348085006

54348085404 Azithromycin azithromycin 250 mg oral tablet

54569007500

54569007501

54569007502

54569007503

54569007505

54569007507

54569007509

54569009400 Amoxil

54569010900 Duricef cefadroxil 250 mg/5 mL oral liquid

54569011002 Duricef cefadroxil 1000 mg oral tablet

54569011004 Duricef cefadroxil 1000 mg oral tablet

54569011700 Augmentin

54569011800 Doxycycline Hyclate

54569011801 Doxycycline Hyclate

54569011802 Doxycycline Hyclate

54569011803 Doxycycline Hyclate

54569011805 Doxycycline Hyclate

54569011806 Doxycycline Hyclate

54569011808 Doxycycline Hyclate

54569011809 Doxycycline Hyclate

54569012000 Augmentin

54569012600 E.E.S. Granules

54569012700 E.E.S.-400 Filmtab

54569012702 E.E.S.-400 Filmtab

doxycycline hyclate 100 mg oral capsulemetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletamoxicillin 250 mg/5 mL oral liquid

amoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquiddoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquiderythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tablet

Page 133: Pharmacy Table AA 2014

54569012703 E.E.S.-400 Filmtab

54569012705 E.E.S.-400 Filmtab

54569012800 E.E.S. Granules

54569013200 E.E.S.-400

54569013400 EryPed 400

54569013500 EryPed 400

54569013601 Augmentin

54569013700 Augmentin

54569014201 Augmentin

54569014701 Doxycycline Hyclate

54569014702 Doxycycline Hyclate

54569014704 Doxycycline Hyclate

54569015702 PCE Dispertab

54569017900 Septra

54569018100

54569018101

54569018102

54569018104

54569019102 Noroxin norfloxacin 400 mg oral tablet54569026900

54569029502 Rifadin rifampin 300 mg oral capsule54569030402 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54569030403 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54569030404 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54569030405 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54569030406 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54569030408 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54569030500 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54569030501 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54569030502 Cephalexin Monohydrate cephalexin 500 mg oral capsule

erythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 400 mg/5 mL oral suspensionerythromycin ethylsuccinate 400 mg/5 mL oral liquiderythromycin ethylsuccinate 400 mg/5 mL oral liquidamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-125 mg oral tabletdoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuleerythromycin 333 mg oral tablet, coated particlessulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Page 134: Pharmacy Table AA 2014

54569030503 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54569030505 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54569030506 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54569030507 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54569030508 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54569030600 Cleocin HCl clindamycin 150 mg oral capsule

54569030601 Cleocin HCl clindamycin 150 mg oral capsule

54569038400 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

54569038401 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

54569038404 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

54569038405 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

54569096500 MetroNIDAZOLE

54569096501 MetroNIDAZOLE

54569096502 MetroNIDAZOLE

54569096503 MetroNIDAZOLE

54569096506 MetroNIDAZOLE

54569096507 MetroNIDAZOLE

54569096508 MetroNIDAZOLE

54569096700 MetroNIDAZOLE

54569096701 MetroNIDAZOLE

54569096703 MetroNIDAZOLE

54569096704 MetroNIDAZOLE

54569096706 MetroNIDAZOLE

54569096708 MetroNIDAZOLE

54569096709 MetroNIDAZOLE

54569101900 Augmentin

54569102300 Cephalexin Monohydrate

54569102400 Cephalexin Monohydrate

54569102500 Cephalexin Monohydrate

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Page 135: Pharmacy Table AA 2014

54569102600 Pediazole

54569137700 Rocephin cefTRIAXone 500 mg injection

54569138700 Lincocin

54569140901 Bicillin L-A

54569154500 Bicillin C-R

54569164803 Cipro ciprofloxacin 250 mg oral tablet

54569164805 Cipro ciprofloxacin 250 mg oral tablet

54569164807 Cipro ciprofloxacin 250 mg oral tablet

54569171900 Ampicillin ampicillin 250 mg oral capsule54569171902 Ampicillin ampicillin 250 mg oral capsule54569172300 Cipro ciprofloxacin 500 mg oral tablet

54569172301 Cipro ciprofloxacin 500 mg oral tablet

54569172302 Cipro ciprofloxacin 500 mg oral tablet

54569172303 Cipro ciprofloxacin 500 mg oral tablet

54569172304 Cipro ciprofloxacin 500 mg oral tablet

54569172305 Cipro ciprofloxacin 500 mg oral tablet

54569172308 Cipro ciprofloxacin 500 mg oral tablet

54569172309 Cipro ciprofloxacin 500 mg oral tablet

54569179203 Ceftin cefuroxime 250 mg oral tablet

54569180201 Rocephin cefTRIAXone 1 g injection

54569184000 Doxycycline Hyclate

54569184001 Doxycycline Hyclate

54569184003 Doxycycline Hyclate

54569184004 Doxycycline Hyclate

54569184007 Doxycycline Hyclate

54569185900 Bicillin C-R 900/300

54569188900 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

lincomycin 300 mg/mL injectable solutionpenicillin G benzathine 1,200,000 units/2 mL intramuscular suspensionbenzathine penicillin-procaine penicillin 600,000 units-600,000 units/2 mL intramuscular suspension

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsulebenzathine penicillin-procaine penicillin 900,000 units-300,000 units/2 mL intramuscular suspension

Page 136: Pharmacy Table AA 2014

54569188901 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

54569188904 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

54569191701 Bicillin L-A

54569195900 Augmentin

54569195901 Augmentin

54569195903 Augmentin

54569195904 Augmentin

54569195905 Augmentin

54569195906 Augmentin

54569195908 Augmentin

54569196200 Augmentin

54569196201 Augmentin

54569196202 Augmentin

54569196203 Augmentin

54569196900

54569196901

54569196902

54569200000

54569218700

54569219900 Ery-Tab

54569219901 Ery-Tab

54569219903 Ery-Tab

54569220000 Bicillin L-A

54569227903 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

54569227907 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

54569228100 Erythromycin Base

54569228101 Erythromycin Base

54569228102 Erythromycin Base

penicillin G benzathine 600,000 units/mL intramuscular suspension

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspensionerythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tabletpenicillin G benzathine 2,400,000 units/4 mL intramuscular suspension

erythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsule

Page 137: Pharmacy Table AA 2014

54569228103 Erythromycin Base

54569228104 Erythromycin Base

54569243300 Erythromycin Base erythromycin 250 mg oral tablet

54569243302 Erythromycin Base erythromycin 250 mg oral tablet

54569248400 Claforan cefotaxime 1 g injection

54569248800 Cipro ciprofloxacin 750 mg oral tablet

54569248801 Cipro ciprofloxacin 750 mg oral tablet

54569248803 Cipro ciprofloxacin 750 mg oral tablet

54569250200 Erythromycin Base erythromycin 500 mg oral tablet

54569250201 Erythromycin Base erythromycin 500 mg oral tablet

54569250203 Erythromycin Base erythromycin 500 mg oral tablet

54569250205 Erythromycin Base erythromycin 500 mg oral tablet

54569250206 Erythromycin Base erythromycin 500 mg oral tablet

54569250800 Ery-Tab

54569250801 Ery-Tab

54569250802 Ery-Tab

54569250803 Ery-Tab

54569250804 Ery-Tab

54569270208 Penicillin V Potassium

54569271900 Suprax cefixime 100 mg/5 mL oral liquid

54569282100

54569292800 Amoxicillin

54569292900 Amoxicillin

54569293000 Amoxicillin

54569293100 Amoxicillin

54569293300 Penicillin V Potassium

54569293500 Penicillin V Potassium

54569295201 PCE Dispertab

54569295300 Amoxicillin

erythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsule

erythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tabletpenicillin V potassium 250 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspensionamoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquiderythromycin 500 mg oral tablet, coated particlesamoxicillin 125 mg/5 mL oral liquid

Page 138: Pharmacy Table AA 2014

54569295400 Amoxicillin

54569298600

54569298604

54569298605

54569305700 E.E.S.-200

54569307401 Doxycycline Hyclate

54569307402 Doxycycline Hyclate

54569307405 Doxycycline Hyclate

54569307406 Doxycycline Hyclate

54569307407 Doxycycline Hyclate

54569307408 Doxycycline Hyclate

54569315300 Trimethoprim trimethoprim 100 mg oral tablet

54569315302 Trimethoprim trimethoprim 100 mg oral tablet

54569315303 Trimethoprim trimethoprim 100 mg oral tablet

54569316200 Duricef cefadroxil 500 mg/5 mL oral liquid

54569331500 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

54569332403 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54569335402 MetroNIDAZOLE

54569343900 Biaxin clarithromycin 500 mg oral tablet

54569343901 Biaxin clarithromycin 500 mg oral tablet

54569343903 Biaxin clarithromycin 500 mg oral tablet

54569343904 Biaxin clarithromycin 500 mg oral tablet

54569345600 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54569345601 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54569345602 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54569345603 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54569345604 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54569345606 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54569347700 Rocephin cefTRIAXone 1 g injection

amoxicillin 250 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tableterythromycin ethylsuccinate 200 mg/5 mL oral suspensiondoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

metroNIDAZOLE 500 mg oral tablet

Page 139: Pharmacy Table AA 2014

54569347900 Rocephin cefTRIAXone 500 mg injection

54569350301 Penicillin V Potassium

54569353102

54569354400 Macrobid

54569354401 Macrobid

54569354402 Macrobid

54569354404 Macrobid

54569355601 Biaxin clarithromycin 250 mg oral tablet

54569356300 Ery-Tab

54569356301 Ery-Tab

54569356302 Ery-Tab

54569356303 Ery-Tab

54569356304 Ery-Tab

54569356305 Ery-Tab

54569363000 Cefzil cefprozil 250 mg/5 mL oral liquid

54569365200 Cefzil cefprozil 250 mg oral tablet

54569365300 Cefzil cefprozil 500 mg oral tablet

54569368900 Amoxicillin

54569368901 Amoxicillin

54569368902 Amoxicillin

54569368903 Amoxicillin

54569368904 Amoxicillin

54569368905 Amoxicillin

54569368906 Amoxicillin

54569374300 Cefzil cefprozil 125 mg/5 mL oral liquid

54569387600 Amoxicillin amoxicillin 250 mg oral capsule

54569389600 Biaxin

penicillin V potassium 500 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tabletnitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

erythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tablet

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

clarithromycin 125 mg/5 mL oral liquid

Page 140: Pharmacy Table AA 2014

54569389700 Biaxin

54569390400 Cefaclor cefaclor 250 mg/5 mL oral liquid

54569395100 MetroNIDAZOLE

54569398601 Amoxicillin amoxicillin 250 mg oral capsule

54569400300

54569400301

54569400302

54569400500 Septra

54569400501 Septra

54569423000 Zithromax

54569423100 Zithromax

54569423200 Zithromax

54569427000 Biaxin

54569427100 Biaxin

54569429400 CeFAZolin Sodium ceFAZolin 1 g injection

54569431100 Cefaclor cefaclor 375 mg/5 mL oral liquid

54569432500 Augmentin

54569439100 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

54569439101 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

54569439102 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

54569439103 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

54569439104 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

54569441700 Zithromax

54569445800 Augmentin

54569445801 Augmentin

54569445802 Augmentin

54569448900 Levaquin levofloxacin 500 mg oral tablet54569448901 Levaquin levofloxacin 500 mg oral tablet

clarithromycin 250 mg/5 mL oral liquid

metroNIDAZOLE 500 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionsulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionsulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 100 mg/5 mL oral liquidclarithromycin 125 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquid

amoxicillin-clavulanate 875 mg-125 mg oral tablet

azithromycin 200 mg/5 mL oral liquidamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 141: Pharmacy Table AA 2014

54569448902 Levaquin levofloxacin 500 mg oral tablet54569448903 Levaquin levofloxacin 500 mg oral tablet54569448904 Levaquin levofloxacin 500 mg oral tablet54569449700 Zithromax Z-Pak azithromycin 250 mg oral tablet

54569452200 Zithromax azithromycin 250 mg oral tablet

54569452201 Zithromax azithromycin 250 mg oral tablet

54569452202 Zithromax azithromycin 250 mg oral tablet

54569453900 Monurol

54569455101 Cedax ceftibuten 400 mg oral capsule

54569456700 Zithromax azithromycin 1 g oral liquid54569464700 Dynacin minocycline 50 mg oral capsule54569468900 Dynacin minocycline 100 mg oral capsule

54569471200 Minocycline Hydrochloride minocycline 50 mg oral capsule

54569471300 Minocycline Hydrochloride minocycline 100 mg oral capsule

54569471302 Minocycline Hydrochloride minocycline 100 mg oral capsule

54569473700 Ceftin

54569478300 Vantin cefpodoxime 200 mg oral tablet

54569479000 Amoxil

54569479100 Amoxil

54569479101 Amoxil

54569482000 Cipro ciprofloxacin 500 mg oral tablet

54569487700 Omnicef cefdinir 125 mg/5 mL oral liquid

54569491500 Levaquin levofloxacin 250 mg oral tablet54569491501 Levaquin levofloxacin 250 mg oral tablet54569491502 Levaquin levofloxacin 250 mg oral tablet54569492200 Avelox moxifloxacin 400 mg oral tablet

54569492201 Avelox moxifloxacin 400 mg oral tablet

54569492202 Avelox moxifloxacin 400 mg oral tablet

54569495300 Biaxin XL

54569497200 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54569514900 Avelox moxifloxacin 400 mg oral tablet

54569515000 Flagyl ER

54569515400 Primsol

54569518200 Amoxicillin amoxicillin 500 mg oral tablet

fosfomycin 3 g oral powder for reconstitution

cefuroxime 250 mg/5 mL oral liquid

amoxicillin 200 mg oral tablet, chewableamoxicillin 400 mg oral tablet, chewableamoxicillin 400 mg oral tablet, chewable

clarithromycin 500 mg oral tablet, extended release

metroNIDAZOLE 750 mg oral tablet, extended releasetrimethoprim 50 mg/5 mL oral solution

Page 142: Pharmacy Table AA 2014

54569519300 Amoxicillin amoxicillin 875 mg oral tablet54569521400 Omnicef cefdinir 300 mg oral capsule

54569521401 Omnicef cefdinir 300 mg oral capsule

54569521500 Omnicef cefdinir 125 mg/5 mL oral liquid

54569531400 Augmentin ES-600

54569534400 Augmentin ES-600

54569538600 Cefuroxime Axetil cefuroxime 250 mg oral tablet

54569538601 Cefuroxime Axetil cefuroxime 250 mg oral tablet

54569538602 Cefuroxime Axetil cefuroxime 250 mg oral tablet

54569538603 Cefuroxime Axetil cefuroxime 250 mg oral tablet

54569541800 Cefuroxime Axetil cefuroxime 500 mg oral tablet

54569544800 Zithromax TRI-PAK azithromycin 500 mg oral tablet

54569547000 Amoxicillin-Clavulanate

54569547001 Amoxicillin-Clavulanate

54569547002 Amoxicillin-Clavulanate

54569547003 Amoxicillin-Clavulanate

54569547100 Amoxicillin-Clavulanate

54569547101 Amoxicillin-Clavulanate

54569547102 Amoxicillin-Clavulanate

54569547103 Amoxicillin-Clavulanate

54569547104 Amoxicillin-Clavulanate

54569548700 Amoxicillin-Clavulanate

54569548800 Amoxicillin-Clavulanate

54569551000 Cipro XR

54569552200 Augmentin ES-600

54569555300 Amoxicillin

54569555701 Levaquin Leva-Pak levofloxacin 750 mg oral tablet54569557400 ciprofloxacin 500 mg oral tablet

54569557401 ciprofloxacin 500 mg oral tablet

54569557402 ciprofloxacin 500 mg oral tablet

amoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidciprofloxacin 500 mg oral tablet, extended releaseamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 143: Pharmacy Table AA 2014

54569557403 ciprofloxacin 500 mg oral tablet

54569557404 ciprofloxacin 500 mg oral tablet

54569557405 ciprofloxacin 500 mg oral tablet

54569557406 ciprofloxacin 500 mg oral tablet

54569557600

54569557601

54569558400 ciprofloxacin 250 mg oral tablet

54569558401 ciprofloxacin 250 mg oral tablet

54569558402 ciprofloxacin 250 mg oral tablet

54569562200 Amoxicillin

54569563800 Amoxicillin-Clavulanate

54569563801 Amoxicillin-Clavulanate

54569564900 Omnicef cefdinir 250 mg/5 mL oral liquid

54569565000 Omnicef cefdinir 250 mg/5 mL oral liquid

54569568800 Clarithromycin clarithromycin 250 mg oral tablet

54569568900 Amoxicillin-Clavulanate

54569569000 Amoxicillin-Clavulanate

54569569800 Clarithromycin clarithromycin 500 mg oral tablet

54569569801 Clarithromycin clarithromycin 500 mg oral tablet

54569569802 Clarithromycin clarithromycin 500 mg oral tablet

54569572000 CefTRIAXone Sodium cefTRIAXone 250 mg injection

54569572100 CefTRIAXone Sodium cefTRIAXone 500 mg injection

54569572200 CefTRIAXone Sodium cefTRIAXone 1 g injection

54569572300 CefTRIAXone Sodium cefTRIAXone 250 mg injection

54569572400 CefTRIAXone Sodium cefTRIAXone 500 mg injection

54569572500 CefTRIAXone Sodium cefTRIAXone 1 g injection

54569572700 Amoxicillin amoxicillin 500 mg oral capsule

54569575400 Azithromycin azithromycin 250 mg oral tablet

54569575500 Azithromycin azithromycin 250 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideNitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin 400 mg oral tablet, chewableamoxicillin-clavulanate 400 mg-57 mg oral tablet, chewableamoxicillin-clavulanate 400 mg-57 mg oral tablet, chewable

amoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquid

Page 144: Pharmacy Table AA 2014

54569575600 Azithromycin azithromycin 500 mg oral tablet

54569577000 Rifampin rifampin 300 mg oral capsule54569577003 Rifampin rifampin 300 mg oral capsule54569577400 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

54569577401 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

54569577402 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

54569577403 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

54569578400 Cefprozil cefprozil 250 mg oral tablet

54569578500 Cefprozil cefprozil 250 mg/5 mL oral liquid

54569580400 Azithromycin azithromycin 600 mg oral tablet

54569580600 Azithromycin azithromycin 1 g oral liquid54569580700 Azithromycin

54569580800 Azithromycin

54569580900 Azithromycin

54569581000 Azithromycin

54569581300

54569582400 Cipro

54569582900 Clarithromycin

54569583100 Amoxicillin-Clavulanate

54569587600 Bicillin L-A

54569587700 Bicillin L-A

54569587701 Bicillin L-A

54569589900

54569591000 Amikacin Sulfate

54569591700 Cefdinir cefdinir 250 mg/5 mL oral liquid

54569591800 Cefdinir cefdinir 250 mg/5 mL oral liquid

54569591900 Cefdinir cefdinir 125 mg/5 mL oral liquid

54569592000 Cefdinir cefdinir 125 mg/5 mL oral liquid

54569592100 Cefdinir cefdinir 300 mg oral capsule

azithromycin 100 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletciprofloxacin 250 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidpenicillin G benzathine 600,000 units/mL intramuscular suspension

penicillin G benzathine 1,200,000 units/2 mL intramuscular suspensionpenicillin G benzathine 1,200,000 units/2 mL intramuscular suspension

Ciprofloxacin Extended Release

ciprofloxacin 500 mg oral tablet, extended releaseamikacin 250 mg/mL intravenous solution

Page 145: Pharmacy Table AA 2014

54569592101 Cefdinir cefdinir 300 mg oral capsule

54569592102 Cefdinir cefdinir 300 mg oral capsule

54569592103 Cefdinir cefdinir 300 mg oral capsule

54569595700 Bicillin C-R 900/300

54569595800 Bicillin C-R 900/300

54569603700 Amoxicillin

54569604300 Amoxicillin-Clavulanate

54569608300

54569608400

54569619500 Cefprozil cefprozil 500 mg oral tablet

54569620400 Azithromycin azithromycin 500 mg oral tablet

54569623700 Levofloxacin levofloxacin 500 mg oral tablet54569623701 Levofloxacin levofloxacin 500 mg oral tablet54569623702 Levofloxacin levofloxacin 500 mg oral tablet54569623703 Levofloxacin levofloxacin 500 mg oral tablet54569623800 Levofloxacin levofloxacin 750 mg oral tablet54569623801 Levofloxacin levofloxacin 750 mg oral tablet54569624100 Levofloxacin levofloxacin 250 mg oral tablet54569624101 Levofloxacin levofloxacin 250 mg oral tablet54569629200 Rifampin rifampin 150 mg oral capsule54569644800 Azithromycin azithromycin 500 mg oral tablet

54569800400 Penicillin V Potassium

54569802100 Pediazole

54799053360 Alodox doxycycline 20 mg oral tablet54799053466 Alodox doxycycline 20 mg oral kit54799053560 Ocudox Convenience Kit

54807025120 Amoxicillin

54868001805

54868002100

54868002101

benzathine penicillin-procaine penicillin 900,000 units-300,000 units/2 mL intramuscular suspension

benzathine penicillin-procaine penicillin 900,000 units-300,000 units/2 mL intramuscular suspension

amoxicillin 400 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

penicillin V potassium 250 mg/5 mL oral liquiderythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

doxycycline hyclate 50 mg capsule with cleanser and ocular lubricant oral and topical kit

amoxicillin 250 mg/5 mL oral liquid

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 146: Pharmacy Table AA 2014

54868002102

54868002104

54868002105

54868002106

54868002107

54868002109

54868002301 Doxycycline Hyclate

54868002302 Doxycycline Hyclate

54868002303 Doxycycline Hyclate

54868002305 Doxycycline Hyclate

54868002306 Doxycycline Hyclate

54868002308 Doxycycline Hyclate

54868002309 Doxycycline Hyclate

54868002314 Doxycycline Hyclate

54868010700

54868010702

54868010705

54868010706

54868010800 MetroNIDAZOLE

54868010801 MetroNIDAZOLE

54868010802 MetroNIDAZOLE

54868010803 MetroNIDAZOLE

54868010806 MetroNIDAZOLE

54868010807 MetroNIDAZOLE

54868010808 MetroNIDAZOLE

54868015300 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54868015301 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54868015303 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54868015305 Cephalexin Monohydrate cephalexin 250 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletdoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsulemetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

Page 147: Pharmacy Table AA 2014

54868015308 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54868015309 Cephalexin Monohydrate cephalexin 250 mg oral capsule

54868015400 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54868015401 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54868015402 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54868015403 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54868015404 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54868015406 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54868015407 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54868015408 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54868015409 Cephalexin Monohydrate cephalexin 500 mg oral capsule

54868015501 Cephalexin Monohydrate cephalexin 500 mg oral tablet

54868015801 MetroNIDAZOLE

54868015802 MetroNIDAZOLE

54868015803 MetroNIDAZOLE

54868015804 MetroNIDAZOLE

54868015805 MetroNIDAZOLE

54868015806 MetroNIDAZOLE

54868015808 MetroNIDAZOLE

54868015809 MetroNIDAZOLE

54868019101 Doxycycline Hyclate

54868019102 Doxycycline Hyclate

54868019104 Doxycycline Hyclate

54868019105 Doxycycline Hyclate

54868019106 Doxycycline Hyclate

54868019601 Amoxil

54868019602 Amoxil

54868019900 Augmentin

54868019902 Augmentin

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquid

Page 148: Pharmacy Table AA 2014

54868019903 Augmentin

54868020000 Augmentin

54868020001 Augmentin

54868022401 Erythromycin Base

54868022403 Erythromycin Base

54868022404 Erythromycin Base

54868022406 Erythromycin Base

54868028600 Amoxicillin-Clavulanate

54868033301 E.E.S.-400 Filmtab

54868033302 E.E.S.-400 Filmtab

54868033304 E.E.S.-400 Filmtab

54868033306 E.E.S.-400 Filmtab

54868033307 E.E.S.-400 Filmtab

54868033700 Bactrim DS

54868033701 Bactrim DS

54868033703 Bactrim DS

54868038800 Augmentin

54868038801 Augmentin

54868038802 Augmentin

54868038804 Augmentin

54868038805 Augmentin

54868042500 Keflex cephalexin 500 mg oral capsule

54868042501 Keflex cephalexin 500 mg oral capsule

54868042903 Macrodantin

54868047300

54868047301

54868047302

54868047303

54868047304

amoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquiderythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleamoxicillin-clavulanate 400 mg-57 mg oral tablet, chewableerythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 149: Pharmacy Table AA 2014

54868047305

54868047306

54868047307

54868053801 Cephalexin Monohydrate

54868053802 Cephalexin Monohydrate

54868055900 CeFAZolin Sodium ceFAZolin 1 g injection

54868065400 Clarithromycin

54868073700 Omnicef cefdinir 250 mg/5 mL oral liquid

54868073701 Omnicef cefdinir 250 mg/5 mL oral liquid

54868075300 Bicillin L-A

54868075301 Bicillin L-A

54868084000 Ery-Tab

54868084001 Ery-Tab

54868084002 Ery-Tab

54868084003 Ery-Tab

54868084004 Ery-Tab

54868088900 Noroxin norfloxacin 400 mg oral tablet54868088901 Noroxin norfloxacin 400 mg oral tablet54868088903 Noroxin norfloxacin 400 mg oral tablet54868088905 Noroxin norfloxacin 400 mg oral tablet54868093700 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

54868093701 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

54868093702 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

54868093900 Cipro ciprofloxacin 500 mg oral tablet

54868093901 Cipro ciprofloxacin 500 mg oral tablet

54868093902 Cipro ciprofloxacin 500 mg oral tablet

54868093903 Cipro ciprofloxacin 500 mg oral tablet

54868093905 Cipro ciprofloxacin 500 mg oral tablet

54868093906 Cipro ciprofloxacin 500 mg oral tablet

54868093907 Cipro ciprofloxacin 500 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsulecephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquid

clarithromycin 250 mg/5 mL oral liquid

penicillin G benzathine 1,200,000 units/2 mL intramuscular suspensionpenicillin G benzathine 1,200,000 units/2 mL intramuscular suspensionerythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tablet

Page 150: Pharmacy Table AA 2014

54868097100

54868097101

54868099000 Cipro ciprofloxacin 250 mg oral tablet

54868099001 Cipro ciprofloxacin 250 mg oral tablet

54868099002 Cipro ciprofloxacin 250 mg oral tablet

54868099004 Cipro ciprofloxacin 250 mg oral tablet

54868099005 Cipro ciprofloxacin 250 mg oral tablet

54868108000 Ceftin cefuroxime 250 mg oral tablet

54868108001 Ceftin cefuroxime 250 mg oral tablet

54868108003 Ceftin cefuroxime 250 mg oral tablet

54868114600 E.E.S. Granules

54868117100 Penicillin V Potassium

54868117101 Penicillin V Potassium

54868117102 Penicillin V Potassium

54868117103 Penicillin V Potassium

54868117300 Penicillin V Potassium

54868117301 Penicillin V Potassium

54868117302 Penicillin V Potassium

54868117304 Penicillin V Potassium

54868117305 Penicillin V Potassium

54868117306 Penicillin V Potassium

54868118401 Cipro ciprofloxacin 750 mg oral tablet

54868118402 Cipro ciprofloxacin 750 mg oral tablet

54868118403 Cipro ciprofloxacin 750 mg oral tablet

54868138000 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

54868138001 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

54868138002 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

54868138003 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

54868138501 Cephalexin Monohydrate

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

erythromycin ethylsuccinate 200 mg/5 mL oral liquidpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

cephalexin 250 mg/5 mL oral liquid

Page 151: Pharmacy Table AA 2014

54868138502 Cephalexin Monohydrate

54868138601 Erythromycin Base erythromycin 250 mg oral tablet

54868138602 Erythromycin Base erythromycin 250 mg oral tablet

54868138603 Erythromycin Base erythromycin 250 mg oral tablet

54868138604 Erythromycin Base erythromycin 250 mg oral tablet

54868138605 Erythromycin Base erythromycin 250 mg oral tablet

54868138700 Erythromycin Base erythromycin 500 mg oral tablet

54868138701 Erythromycin Base erythromycin 500 mg oral tablet

54868138702 Erythromycin Base erythromycin 500 mg oral tablet

54868138704 Erythromycin Base erythromycin 500 mg oral tablet

54868139200 Duricef cefadroxil 250 mg/5 mL oral liquid

54868142601 E.E.S. Granules

54868161601 Trimethoprim trimethoprim 100 mg oral tablet

54868161602 Trimethoprim trimethoprim 100 mg oral tablet

54868161603 Trimethoprim trimethoprim 100 mg oral tablet

54868171000 Ceftin cefuroxime 500 mg oral tablet

54868177400 PCE Dispertab

54868177402 PCE Dispertab

54868178001 Penicillin V Potassium

54868178002 Penicillin V Potassium

54868185700 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54868185701 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54868185702 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54868185705 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54868185706 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54868185707 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

54868186502

54868186503

cephalexin 250 mg/5 mL oral liquid

erythromycin ethylsuccinate 200 mg/5 mL oral liquid

erythromycin 500 mg oral tablet, coated particleserythromycin 500 mg oral tablet, coated particlespenicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Page 152: Pharmacy Table AA 2014

54868188700 EryPed 400

54868188701 EryPed 400

54868201600 Cefzil cefprozil 125 mg/5 mL oral liquid

54868201700 Cefzil cefprozil 250 mg/5 mL oral liquid

54868201701 Cefzil cefprozil 250 mg/5 mL oral liquid

54868233800 Biaxin clarithromycin 500 mg oral tablet

54868233801 Biaxin clarithromycin 500 mg oral tablet

54868233802 Biaxin clarithromycin 500 mg oral tablet

54868233803 Biaxin clarithromycin 500 mg oral tablet

54868233806 Biaxin clarithromycin 500 mg oral tablet

54868233807 Biaxin clarithromycin 500 mg oral tablet

54868236600 Macrobid

54868236601 Macrobid

54868236602 Macrobid

54868236603 Macrobid

54868236604 Macrobid

54868236605 Macrobid

54868236606 Macrobid

54868236607 Macrobid

54868239000 Minocycline Hydrochloride minocycline 50 mg oral capsule

54868239001 Minocycline Hydrochloride minocycline 50 mg oral capsule

54868239100 Minocycline Hydrochloride minocycline 100 mg oral capsule

54868239101 Minocycline Hydrochloride minocycline 100 mg oral capsule

54868239102 Minocycline Hydrochloride minocycline 100 mg oral capsule

54868239103 Minocycline Hydrochloride minocycline 100 mg oral capsule

erythromycin ethylsuccinate 400 mg/5 mL oral liquiderythromycin ethylsuccinate 400 mg/5 mL oral liquid

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 153: Pharmacy Table AA 2014

54868239104 Minocycline Hydrochloride minocycline 100 mg oral capsule

54868244400 Cefzil cefprozil 500 mg oral tablet

54868246600 Bicillin L-A

54868248801 Rocephin cefTRIAXone 1 g injection

54868284000 Ery-Tab

54868284001 Ery-Tab

54868290101 Rifadin rifampin 300 mg oral capsule54868290102 Rifadin rifampin 300 mg oral capsule54868291000 Duricef cefadroxil 500 mg/5 mL oral liquid

54868310500 Amoxicillin

54868310501 Amoxicillin

54868310502 Amoxicillin

54868310503 Amoxicillin

54868310700 Amoxicillin amoxicillin 250 mg oral capsule

54868310701 Amoxicillin amoxicillin 250 mg oral capsule

54868310702 Amoxicillin amoxicillin 250 mg oral capsule

54868310703 Amoxicillin amoxicillin 250 mg oral capsule

54868310706 Amoxicillin amoxicillin 250 mg oral capsule

54868310707 Amoxicillin amoxicillin 250 mg oral capsule

54868310708 Amoxicillin amoxicillin 250 mg oral capsule

54868310709 Amoxicillin amoxicillin 250 mg oral capsule

54868310900 Amoxicillin amoxicillin 500 mg oral capsule

54868310901 Amoxicillin amoxicillin 500 mg oral capsule

54868310902 Amoxicillin amoxicillin 500 mg oral capsule

54868310904 Amoxicillin amoxicillin 500 mg oral capsule

54868310906 Amoxicillin amoxicillin 500 mg oral capsule

54868310907 Amoxicillin amoxicillin 500 mg oral capsule

54868310908 Amoxicillin amoxicillin 500 mg oral capsule

54868310909 Amoxicillin amoxicillin 500 mg oral capsule

54868311300 Ampicillin ampicillin 500 mg oral capsule54868311303 Ampicillin ampicillin 500 mg oral capsule

penicillin G benzathine 2,400,000 units/4 mL intramuscular suspension

erythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

Page 154: Pharmacy Table AA 2014

54868311305 Ampicillin ampicillin 500 mg oral capsule54868311307 Ampicillin ampicillin 500 mg oral capsule54868311308 Ampicillin ampicillin 500 mg oral capsule54868311309 Ampicillin ampicillin 500 mg oral capsule54868316900 Doxycycline Hyclate

54868316901 Doxycycline Hyclate

54868316902 Doxycycline Hyclate

54868316904 Doxycycline Hyclate

54868316905 Doxycycline Hyclate

54868322101 Rocephin cefTRIAXone 500 mg injection

54868324400 Zithromax TRI-PAK azithromycin 500 mg oral tablet

54868334300 Cefzil cefprozil 250 mg oral tablet

54868334301 Cefzil cefprozil 250 mg oral tablet

54868334302 Cefzil cefprozil 250 mg oral tablet

54868334303 Cefzil cefprozil 250 mg oral tablet

54868338400 Biaxin

54868347200 Cefaclor cefaclor 125 mg/5 mL oral liquid

54868347300 Cefaclor cefaclor 250 mg/5 mL oral liquid

54868348000 Penicillin G Potassium

54868351104 Cefaclor cefaclor 500 mg oral capsule

54868369500 Clindamycin Phosphate

54868374201 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

54868374202 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

54868374203 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

54868382000 Biaxin clarithromycin 250 mg oral tablet

54868390300 Augmentin

54868390301 Augmentin

54868390302 Augmentin

54868390303 Augmentin

54868392300 Levaquin levofloxacin 500 mg oral tablet54868392301 Levaquin levofloxacin 500 mg oral tablet54868392302 Levaquin levofloxacin 500 mg oral tablet54868392303 Levaquin levofloxacin 500 mg oral tablet54868392304 Levaquin levofloxacin 500 mg oral tablet

doxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsule

clarithromycin 250 mg/5 mL oral liquid

penicillin G potassium 5,000,000 units injection

clindamycin 150 mg/mL injectable solution

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 155: Pharmacy Table AA 2014

54868392305 Levaquin levofloxacin 500 mg oral tablet54868404700 Ampicillin ampicillin 500 mg injection54868407800 Zithromax

54868407801 Zithromax

54868407802 Zithromax

54868410300

54868410600 Tobramycin Sulfate

54868412501 Penicillin V Potassium

54868412502 Penicillin V Potassium

54868413101 Ampicillin ampicillin 250 mg/5 mL oral liquid

54868415000 Amoxicillin

54868415001 Amoxicillin

54868415002 Amoxicillin

54868415400 Clindamycin Phosphate

54868415500 Amoxicillin

54868415501 Amoxicillin

54868415502 Amoxicillin

54868415503 Amoxicillin

54868416900 Clindamycin Phosphate

54868417500 Levaquin levofloxacin 250 mg oral tablet54868417501 Levaquin levofloxacin 250 mg oral tablet54868417502 Levaquin levofloxacin 250 mg oral tablet54868417503 Levaquin levofloxacin 250 mg oral tablet54868417504 Levaquin levofloxacin 250 mg oral tablet54868417505 Levaquin levofloxacin 250 mg oral tablet54868419100 Biaxin XL

54868419101 Biaxin XL

54868436600 Omnicef cefdinir 300 mg oral capsule

54868436601 Omnicef cefdinir 300 mg oral capsule

54868436700 Avelox moxifloxacin 400 mg oral tablet

54868436701 Avelox moxifloxacin 400 mg oral tablet

54868436702 Avelox moxifloxacin 400 mg oral tablet

54868436703 Avelox moxifloxacin 400 mg oral tablet

azithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquid

Gentamicin Sulfate, Injectable

gentamicin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutionpenicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 125 mg/5 mL oral liquid

amoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidclindamycin 150 mg/mL injectable solutionamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidclindamycin 150 mg/mL injectable solution

clarithromycin 500 mg oral tablet, extended releaseclarithromycin 500 mg oral tablet, extended release

Page 156: Pharmacy Table AA 2014

54868446800 Amoxicillin

54868448800 Penicillin G Potassium

54868452700 Zithromax IV

54868454300 Amoxicillin amoxicillin 875 mg oral tablet54868454301 Amoxicillin amoxicillin 875 mg oral tablet54868454302 Amoxicillin amoxicillin 875 mg oral tablet54868454700 Cipro I.V.

54868461400 Amoxicillin

54868461401 Amoxicillin

54868464400 Zithromax azithromycin 250 mg oral tablet

54868464401 Zithromax azithromycin 250 mg oral tablet

54868464402 Zithromax azithromycin 250 mg oral tablet

54868465100 CeFAZolin Sodium ceFAZolin 500 mg injection

54868466200 Monurol

54868468001 Augmentin ES-600

54868468200 Omnicef cefdinir 125 mg/5 mL oral liquid

54868468201 Omnicef cefdinir 125 mg/5 mL oral liquid

54868468300 Rifampin rifampin 300 mg oral capsule54868468301 Rifampin rifampin 300 mg oral capsule54868468302 Rifampin rifampin 300 mg oral capsule54868471100

54868473400 Cipro XR

54868473401 Cipro XR

54868473402 Cipro XR

54868473403 Cipro XR

54868473404 Cipro XR

54868473500 Augmentin XR

54868473501 Augmentin XR

54868473502 Augmentin XR

54868474300 Amoxicillin-Clavulanate

54868474301 Amoxicillin-Clavulanate

amoxicillin 200 mg/5 mL oral liquidpenicillin G potassium 20,000,000 units injectionazithromycin 500 mg intravenous injection

ciprofloxacin 10 mg/mL intravenous solutionamoxicillin 400 mg oral tablet, chewableamoxicillin 400 mg oral tablet, chewable

fosfomycin 3 g oral powder for reconstitutionamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tabletciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 500 mg oral tablet, extended releaseciprofloxacin 500 mg oral tablet, extended releaseamoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseamoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseamoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended releaseamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

Page 157: Pharmacy Table AA 2014

54868474302 Amoxicillin-Clavulanate

54868485800 ciprofloxacin 500 mg oral tablet

54868485801 ciprofloxacin 500 mg oral tablet

54868485802 ciprofloxacin 500 mg oral tablet

54868485803 ciprofloxacin 500 mg oral tablet

54868485804 ciprofloxacin 500 mg oral tablet

54868485805 ciprofloxacin 500 mg oral tablet

54868485806 ciprofloxacin 500 mg oral tablet

54868485807 ciprofloxacin 500 mg oral tablet

54868485808 ciprofloxacin 500 mg oral tablet

54868489800 ciprofloxacin 250 mg oral tablet

54868489801 ciprofloxacin 250 mg oral tablet

54868489802 ciprofloxacin 250 mg oral tablet

54868489803 ciprofloxacin 250 mg oral tablet

54868489804 ciprofloxacin 250 mg oral tablet

54868491900 Biaxin

54868495100 Amoxicillin-Clavulanate

54868495101 Amoxicillin-Clavulanate

54868495102 Amoxicillin-Clavulanate

54868497100 Levaquin levofloxacin 750 mg oral tablet54868498700 Cefuroxime Axetil cefuroxime 250 mg oral tablet

54868498701 Cefuroxime Axetil cefuroxime 250 mg oral tablet

54868499000 Amoxicillin-Clavulanate

54868502200 Cefuroxime Axetil cefuroxime 500 mg oral tablet

54868502201 Cefuroxime Axetil cefuroxime 500 mg oral tablet

54868502202 Cefuroxime Axetil cefuroxime 500 mg oral tablet

54868502300 ciprofloxacin 750 mg oral tablet

54868502301 ciprofloxacin 750 mg oral tablet

54868504000 Minocycline Hydrochloride minocycline 75 mg oral capsule

54868504001 Minocycline Hydrochloride minocycline 75 mg oral capsule

amoxicillin-clavulanate 500 mg-125 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

clarithromycin 125 mg/5 mL oral liquidamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

amoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 158: Pharmacy Table AA 2014

54868504002 Minocycline Hydrochloride minocycline 75 mg oral capsule

54868504400 Cipro XR

54868504401 Cipro XR

54868504402 Cipro XR

54868504403 Cipro XR

54868504404 Cipro XR

54868510100 Amoxicillin

54868510101 Amoxicillin

54868510102 Amoxicillin

54868516500 Amoxicillin-Clavulanate

54868517100 Ketek Pak telithromycin 400 mg oral tablet

54868517101 Ketek telithromycin 400 mg oral tablet

54868521100 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

54868521101 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

54868521102 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

54868521103 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

54868521104 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

54868526900 Doxycycline Hyclate doxycycline 20 mg oral tablet54868540400 Zmax

54868543000 Clarithromycin clarithromycin 500 mg oral tablet

54868543001 Clarithromycin clarithromycin 500 mg oral tablet

54868543002 Clarithromycin clarithromycin 500 mg oral tablet

54868547100 azithromycin 250 mg oral tablet

54868547200 Rifampin rifampin 150 mg oral capsule54868547800 Azithromycin azithromycin 250 mg oral tablet

54868547801 Azithromycin azithromycin 250 mg oral tablet

54868547802 Azithromycin azithromycin 250 mg oral tablet

54868548700 Azithromycin azithromycin 500 mg oral tablet

54868553300 CefTRIAXone Sodium cefTRIAXone 500 mg injection

54868558900 CefTRIAXone Sodium cefTRIAXone 250 mg injection

ciprofloxacin 1000 mg oral tablet, extended releaseciprofloxacin 1000 mg oral tablet, extended releaseciprofloxacin 1000 mg oral tablet, extended releaseciprofloxacin 1000 mg oral tablet, extended releaseciprofloxacin 1000 mg oral tablet, extended releaseamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

azithromycin 2 g oral liquid, extended release

Azithromycin 5 Day Dose Pack

Page 159: Pharmacy Table AA 2014

54868564700 Azithromycin

54868564800 Azithromycin

54868564801 Azithromycin

54868564802 Azithromycin

54868567600 Oracea

54868575600 Cefprozil cefprozil 500 mg oral tablet

54868575700 Cefprozil cefprozil 250 mg/5 mL oral liquid

54868576700 Cefdinir cefdinir 300 mg oral capsule

54868576800 Cefdinir cefdinir 125 mg/5 mL oral liquid

54868576801 Cefdinir cefdinir 125 mg/5 mL oral liquid

54868576900 Cefdinir cefdinir 250 mg/5 mL oral liquid

54868576901 Cefdinir cefdinir 250 mg/5 mL oral liquid

54868583300 Cleocin Pediatric

54868598100 Cefuroxime Axetil

55045112807 MetroNIDAZOLE

55045112808 MetroNIDAZOLE

55045112809 MetroNIDAZOLE

55045117000 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55045117001 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55045117601 Sulfatrim Pediatric

55045118901 Amoxicillin

55045119903 Amoxicillin

55045120103 Penicillin V Potassium

55045120107 Penicillin V Potassium

55045120108 Penicillin V Potassium

55045120200 Penicillin V Potassium

55045120201 Penicillin V Potassium

55045120202 Penicillin V Potassium

55045120203 Penicillin V Potassium

azithromycin 100 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquiddoxycycline 40 mg oral delayed release capsule

clindamycin 75 mg/5 mL oral liquidcefuroxime 125 mg/5 mL oral liquidmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionamoxicillin 250 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 160: Pharmacy Table AA 2014

55045120204 Penicillin V Potassium

55045120205 Penicillin V Potassium

55045120206 Penicillin V Potassium

55045120207 Penicillin V Potassium

55045120208 Penicillin V Potassium

55045120209 Penicillin V Potassium

55045120409 Ampicillin ampicillin 500 mg oral capsule55045120700 Doxycycline Hyclate

55045120701 Doxycycline Hyclate

55045120702 Doxycycline Hyclate

55045120703 Doxycycline Hyclate

55045120704 Doxycycline Hyclate

55045120705 Doxycycline Hyclate

55045120706 Doxycycline Hyclate

55045120707 Doxycycline Hyclate

55045120708 Doxycycline Hyclate

55045121000 SMZ-TMP DS

55045121001 SMZ-TMP DS

55045121003 SMZ-TMP DS

55045121005 SMZ-TMP DS

55045121006 SMZ-TMP DS

55045121007 SMZ-TMP DS

55045121008 SMZ-TMP DS

55045121009 SMZ-TMP DS

55045122000 MetroNIDAZOLE

55045122004 MetroNIDAZOLE

55045122005 MetroNIDAZOLE

55045122007 MetroNIDAZOLE

55045122008 MetroNIDAZOLE

55045122009 MetroNIDAZOLE

penicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Page 161: Pharmacy Table AA 2014

55045122700 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55045122701 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55045122702 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55045122703 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55045122704 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55045122706 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55045122707 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55045122708 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55045122709 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55045124701 Cephalexin Monohydrate

55045125807 Augmentin

55045126209 Cephalexin Monohydrate

55045127003 Ery-Tab

55045127004 Ery-Tab

55045127006 Ery-Tab

55045132200 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045132201 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045132202 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045132203 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045132204 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045132205 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045132206 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045132207 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045132208 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045132209 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045134503 Augmentin

55045144201

55045146909 Cipro ciprofloxacin 250 mg oral tablet

55045147807 Augmentin

cephalexin 125 mg/5 mL oral liquidamoxicillin-clavulanate 500 mg-125 mg oral tabletcephalexin 125 mg/5 mL oral liquiderythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tablet

amoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

amoxicillin-clavulanate 250 mg-125 mg oral tablet

Page 162: Pharmacy Table AA 2014

55045147808 Augmentin

55045149403 Cipro ciprofloxacin 500 mg oral tablet

55045149405 Cipro ciprofloxacin 500 mg oral tablet

55045149408 Cipro ciprofloxacin 500 mg oral tablet

55045149409 Cipro ciprofloxacin 500 mg oral tablet

55045150009 Cephalexin Monohydrate

55045151406

55045154602 Ceftin cefuroxime 250 mg oral tablet

55045154603 Ceftin cefuroxime 250 mg oral tablet

55045154605 Ceftin cefuroxime 250 mg oral tablet

55045154607 Ceftin cefuroxime 250 mg oral tablet

55045165002 Cipro ciprofloxacin 750 mg oral tablet

55045184303 Amoxil

55045184803 Amoxil

55045186507 Biaxin clarithromycin 500 mg oral tablet

55045191800 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55045191801 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55045191802 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55045191803 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55045191806 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55045191807 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55045191808 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55045191809 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55045200400 Amoxicillin

55045200404 Amoxicillin

55045200405 Amoxicillin

55045200406 Amoxicillin

55045200408 Amoxicillin

55045200600 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

amoxicillin-clavulanate 250 mg-125 mg oral tablet

cephalexin 250 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

amoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

Page 163: Pharmacy Table AA 2014

55045200601 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045200602 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045200603 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045200604 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045200605 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045200606 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045200607 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045200608 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045200609 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045201202 Ery-Tab

55045201205 Ery-Tab

55045201208 Ery-Tab

55045201209 Ery-Tab

55045207603 Erythromycin Base

55045207604 Erythromycin Base

55045207606 Erythromycin Base

55045215503 Cefaclor cefaclor 125 mg/5 mL oral liquid

55045216204 Ery-Tab

55045216207 Ery-Tab

55045216208 Ery-Tab

55045230203 Trimethoprim trimethoprim 100 mg oral tablet

55045234105 Macrobid

55045237205 Zithromax

55045237305 Zithromax

55045237306 Zithromax

55045237308 Zithromax

55045242601 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55045242602 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55045242603 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

erythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsule

erythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

azithromycin 100 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquid

Page 164: Pharmacy Table AA 2014

55045242606 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55045242607 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55045242608 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55045249206 Zithromax Z-Pak azithromycin 250 mg oral tablet

55045259701 Levaquin levofloxacin 500 mg oral tablet55045259702 Levaquin levofloxacin 500 mg oral tablet55045259703 Levaquin levofloxacin 500 mg oral tablet55045259705 Levaquin levofloxacin 500 mg oral tablet55045259706 Levaquin levofloxacin 500 mg oral tablet55045259708 Levaquin levofloxacin 500 mg oral tablet55045259803 Levaquin levofloxacin 500 mg oral tablet55045261001 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55045261002 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55045261004 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55045261006 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55045261007 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55045261009 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55045267201 Amoxicillin

55045267202 Amoxicillin

55045267206 Amoxicillin

55045267208 Amoxicillin

55045267209 Amoxicillin

55045284301 Avelox moxifloxacin 400 mg oral tablet

55045284305 Avelox moxifloxacin 400 mg oral tablet

55045284307 Avelox moxifloxacin 400 mg oral tablet

55045295302 Amoxicillin-Clavulanate

55045295304 Amoxicillin-Clavulanate

55045295305 Amoxicillin-Clavulanate

55045295306 Amoxicillin-Clavulanate

55045295307 Amoxicillin-Clavulanate

55045295308 Amoxicillin-Clavulanate

55045296603 Amoxicillin-Clavulanate

55045296607 Amoxicillin-Clavulanate

amoxicillin 125 mg oral tablet, chewableamoxicillin 125 mg oral tablet, chewableamoxicillin 125 mg oral tablet, chewableamoxicillin 125 mg oral tablet, chewableamoxicillin 125 mg oral tablet, chewable

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 165: Pharmacy Table AA 2014

55045296608 Amoxicillin-Clavulanate

55045299202 Amoxicillin

55045299302 Amoxicillin

55045301607 Amoxicillin amoxicillin 875 mg oral tablet55045308001 ciprofloxacin 500 mg oral tablet

55045308002 ciprofloxacin 500 mg oral tablet

55045308003 ciprofloxacin 500 mg oral tablet

55045308005 ciprofloxacin 500 mg oral tablet

55045308007 ciprofloxacin 500 mg oral tablet

55045308008 ciprofloxacin 500 mg oral tablet

55045308100 ciprofloxacin 750 mg oral tablet

55045308101 ciprofloxacin 750 mg oral tablet

55045308102 ciprofloxacin 750 mg oral tablet

55045308103 ciprofloxacin 750 mg oral tablet

55045308106 ciprofloxacin 750 mg oral tablet

55045308107 ciprofloxacin 750 mg oral tablet

55045308108 ciprofloxacin 750 mg oral tablet

55045308109 ciprofloxacin 750 mg oral tablet

55045314201 ciprofloxacin 250 mg oral tablet

55045314205 ciprofloxacin 250 mg oral tablet

55045314207 ciprofloxacin 250 mg oral tablet

55045318205

55045319401 Amoxicillin amoxicillin 500 mg oral capsule

55045319403 Amoxicillin amoxicillin 500 mg oral capsule

55045319404 Amoxicillin amoxicillin 500 mg oral capsule

55045319406 Amoxicillin amoxicillin 500 mg oral capsule

55045319409 Amoxicillin amoxicillin 500 mg oral capsule

55045323201 CeFAZolin Sodium ceFAZolin 1 g injection

55045323308 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg oral tablet, chewable

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideNitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 166: Pharmacy Table AA 2014

55045326001 Amoxicillin amoxicillin 250 mg oral capsule

55045326006 Amoxicillin amoxicillin 250 mg oral capsule

55045326009 Amoxicillin amoxicillin 250 mg oral capsule

55045326804 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55045326806 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55045326808 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55045328802 SMZ-TMP DS

55045328805 SMZ-TMP DS

55045328808 SMZ-TMP DS

55045330604 Doxycycline Hyclate

55045330605 Doxycycline Hyclate

55045330606 Doxycycline Hyclate

55045330608 Doxycycline Hyclate

55045330701 MetroNIDAZOLE

55045330702 MetroNIDAZOLE

55045330706 MetroNIDAZOLE

55045330707 MetroNIDAZOLE

55045330709 MetroNIDAZOLE

55045331008 Levaquin levofloxacin 250 mg oral tablet55045335500 Amoxicillin-Clavulanate

55045335501 Amoxicillin-Clavulanate

55045338505 SMZ-TMP DS

55045341405 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55045344206 Azithromycin azithromycin 250 mg oral tablet

55045345201 Biaxin XL

55045346701 ciprofloxacin 500 mg oral tablet

55045347906 Clarithromycin clarithromycin 250 mg oral tablet

55045348302 Cefuroxime Axetil cefuroxime 500 mg oral tablet

55045349001 Clarithromycin clarithromycin 500 mg oral tablet

55045350301 CefTRIAXone Sodium cefTRIAXone 500 mg injection

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

amoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

clarithromycin 500 mg oral tablet, extended release

Ciprofloxacin Hydrochloride

Page 167: Pharmacy Table AA 2014

55045351101 CefTRIAXone Sodium cefTRIAXone 1 g injection

55045351102 CefTRIAXone Sodium cefTRIAXone 1 g injection

55045351601 CefTRIAXone Sodium cefTRIAXone 250 mg injection

55045351901 Cefadroxil Monohydate cefadroxil 250 mg/5 mL oral liquid

55045353201 Levaquin

55045357001 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55045368402 Bicillin C-R 900/300

55045369301 Azithromycin azithromycin 500 mg oral tablet

55045369803 Azithromycin

55045372501 Azithromycin

55045372602 Azithromycin

55045372701 Azithromycin

55111012506 ciprofloxacin 100 mg oral tablet

55111012601 ciprofloxacin 250 mg oral tablet

55111012605 ciprofloxacin 250 mg oral tablet

55111012701 ciprofloxacin 500 mg oral tablet

55111012705 ciprofloxacin 500 mg oral tablet

55111012850 ciprofloxacin 750 mg oral tablet

55111016050 Ofloxacin ofloxacin 200 mg oral tablet55111016150 Ofloxacin ofloxacin 300 mg oral tablet55111016201 Ofloxacin ofloxacin 400 mg oral tablet55111027950 Levofloxacin levofloxacin 250 mg oral tablet55111028050 Levofloxacin levofloxacin 500 mg oral tablet55111028130 Levofloxacin levofloxacin 750 mg oral tablet55111042201

55111042230

55111042330

55111063701 Minocycline Hydrochloride minocycline 50 mg oral tablet

55111063801 Minocycline Hydrochloride minocycline 75 mg oral tablet

55111063960 Minocycline Hydrochloride minocycline 100 mg oral tablet

55150011110 Ampicillin ampicillin 250 mg injection55150011210 Ampicillin ampicillin 500 mg injection55150011310 Ampicillin ampicillin 1 g injection

levofloxacin 25 mg/mL intravenous solution

benzathine penicillin-procaine penicillin 900,000 units-300,000 units/2 mL intramuscular suspension

azithromycin 200 mg/5 mL oral liquidazithromycin 100 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Ciprofloxacin Extended Release

ciprofloxacin 500 mg oral tablet, extended release

Ciprofloxacin Extended Release

ciprofloxacin 500 mg oral tablet, extended release

Ciprofloxacin Extended Release

ciprofloxacin 1000 mg oral tablet, extended release

Page 168: Pharmacy Table AA 2014

55150011420 Ampicillin ampicillin 2 g injection55150011599 Ampicillin ampicillin 10 g injection55150011620 Ampicillin-Sulbactam

55150011720 Ampicillin-Sulbactam

55150011899 Ampicillin-Sulbactam

55150011930

55150012030

55150012150

55150012215 Nafcillin Sodium nafcillin 1 g injection

55150012315 Nafcillin Sodium nafcillin 2 g injection

55150012499 Nafcillin Sodium nafcillin 10 g injection

55150012715 Oxacillin Sodium oxacillin 1 g injection

55150012824 Oxacillin Sodium oxacillin 2 g injection

55150012999 Oxacillin Sodium oxacillin 10 g injection

55150015620 Levofloxacin

55150015730 Levofloxacin

55150016620 Ampicillin-Sulbactam

55150017720 Ampicillin-Sulbactam

55289000810 Biaxin clarithromycin 250 mg oral tablet

55289000820 Biaxin clarithromycin 250 mg oral tablet

55289001906 Amoxicillin amoxicillin 250 mg oral capsule

55289001915 Amoxicillin amoxicillin 250 mg oral capsule

55289001921 Amoxicillin amoxicillin 250 mg oral capsule

55289001924 Amoxicillin amoxicillin 250 mg oral capsule

55289001930 Amoxicillin amoxicillin 250 mg oral capsule

55289001940 Amoxicillin amoxicillin 250 mg oral capsule

55289001960 Amoxicillin amoxicillin 250 mg oral capsule

55289001997 Amoxicillin amoxicillin 250 mg oral capsule

55289002004 Amoxicillin amoxicillin 500 mg oral capsule

55289002006 Amoxicillin amoxicillin 500 mg oral capsule

ampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 10 g-5 g injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 2 g-0.25 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 4 g-0.5 g intravenous injection

levofloxacin 25 mg/mL intravenous solutionlevofloxacin 25 mg/mL intravenous solutionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injection

Page 169: Pharmacy Table AA 2014

55289002009 Amoxicillin amoxicillin 500 mg oral capsule

55289002014 Amoxicillin amoxicillin 500 mg oral capsule

55289002015 Amoxicillin amoxicillin 500 mg oral capsule

55289002021 Amoxicillin amoxicillin 500 mg oral capsule

55289002024 Amoxicillin amoxicillin 500 mg oral capsule

55289002028 Amoxicillin amoxicillin 500 mg oral capsule

55289002030 Amoxicillin amoxicillin 500 mg oral capsule

55289002040 Amoxicillin amoxicillin 500 mg oral capsule

55289002042 Amoxicillin amoxicillin 500 mg oral capsule

55289002050 Amoxicillin amoxicillin 500 mg oral capsule

55289002056 Amoxicillin amoxicillin 500 mg oral capsule

55289002060 Amoxicillin amoxicillin 500 mg oral capsule

55289002063 Amoxicillin amoxicillin 500 mg oral capsule

55289002110 Biaxin clarithromycin 500 mg oral tablet

55289002114 Biaxin clarithromycin 500 mg oral tablet

55289002120 Biaxin clarithromycin 500 mg oral tablet

55289002128 Biaxin clarithromycin 500 mg oral tablet

55289002504 Erythromycin Base erythromycin 500 mg oral tablet

55289002520 Erythromycin Base erythromycin 500 mg oral tablet

55289002528 Erythromycin Base erythromycin 500 mg oral tablet

55289002530 Erythromycin Base erythromycin 500 mg oral tablet

55289002540 Erythromycin Base erythromycin 500 mg oral tablet

55289002720 PCE Dispertab

55289003106 Macrobid

55289003110 Macrobid

55289003114 Macrobid

55289003120 Macrobid

55289003328 Ampicillin ampicillin 500 mg oral capsule

erythromycin 500 mg oral tablet, coated particlesnitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 170: Pharmacy Table AA 2014

55289003340 Ampicillin ampicillin 500 mg oral capsule55289004314 Vibramycin

55289005040 Erythrocin Stearate Filmtab

55289005706 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289005710 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289005715 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289005720 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289005724 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289005728 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289005730 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289005740 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289005797 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289005801 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005804 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005808 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005810 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005814 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005817 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005820 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005821 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005824 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005828 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005830 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005840 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55289005856 Cephalexin Monohydrate cephalexin 500 mg oral tablet

55289007201 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289007240 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55289007540 Erythromycin Base erythromycin 250 mg oral tablet

55289007556 Erythromycin Base erythromycin 250 mg oral tablet

55289007710 Avelox moxifloxacin 400 mg oral tablet

doxycycline hyclate 100 mg oral capsuleerythromycin stearate 250 mg oral tablet

Page 171: Pharmacy Table AA 2014

55289008120 Cefdinir cefdinir 300 mg oral capsule

55289009410 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55289009420 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55289009430 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55289009440 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55289010702 Doxycycline Hyclate

55289010706 Doxycycline Hyclate

55289010710 Doxycycline Hyclate

55289010712 Doxycycline Hyclate

55289010714 Doxycycline Hyclate

55289010720 Doxycycline Hyclate

55289010728 Doxycycline Hyclate

55289010730 Doxycycline Hyclate

55289010740 Doxycycline Hyclate

55289010750 Doxycycline Hyclate

55289010756 Doxycycline Hyclate

55289010760 Doxycycline Hyclate

55289010779 Doxycycline Hyclate

55289010790 Doxycycline Hyclate

55289010793 Doxycycline Hyclate

55289011003

55289011009

55289011020

55289011028

55289011030

55289011040

55289011056

55289011120 Eryc

55289011128 Eryc

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tableterythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsule

Page 172: Pharmacy Table AA 2014

55289011140 Eryc

55289011156 Eryc

55289011180 Eryc

55289011201 Erythromycin Stearate

55289011204 Erythromycin Stearate

55289011210 Erythromycin Stearate

55289011215 Erythromycin Stearate

55289011220 Erythromycin Stearate

55289011228 Erythromycin Stearate

55289011240 Erythromycin Stearate

55289011256 Erythromycin Stearate

55289011298 Erythromycin Stearate

55289017208 MetroNIDAZOLE

55289017221 MetroNIDAZOLE

55289017228 MetroNIDAZOLE

55289017230 MetroNIDAZOLE

55289017256 MetroNIDAZOLE

55289017297 MetroNIDAZOLE

55289017912 Macrodantin

55289017928 Macrodantin

55289017940 Macrodantin

55289018206 Amoxicillin

55289018209 Amoxicillin

55289018214 Amoxicillin

55289018230 Amoxicillin

55289018240 Amoxicillin

55289018612

55289018614

55289018620

erythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin stearate 250 mg oral tableterythromycin stearate 250 mg oral tableterythromycin stearate 250 mg oral tableterythromycin stearate 250 mg oral tableterythromycin stearate 250 mg oral tableterythromycin stearate 250 mg oral tableterythromycin stearate 250 mg oral tableterythromycin stearate 250 mg oral tableterythromycin stearate 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletnitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsulenitrofurantoin macrocrystals 50 mg oral capsuleamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Page 173: Pharmacy Table AA 2014

55289018621

55289018628

55289018640

55289020114 Minocycline Hydrochloride minocycline 100 mg oral capsule

55289020130 Minocycline Hydrochloride minocycline 100 mg oral capsule

55289020230 Minocycline Hydrochloride minocycline 50 mg oral capsule

55289020310

55289020312

55289020314

55289020320

55289020328

55289020330

55289020340

55289020420 Cefzil cefprozil 250 mg oral tablet

55289020610 Penicillin V Potassium

55289020620 Penicillin V Potassium

55289020628 Penicillin V Potassium

55289020630 Penicillin V Potassium

55289020640 Penicillin V Potassium

55289020656 Penicillin V Potassium

55289020697 Penicillin V Potassium

55289020704 Penicillin V Potassium

55289020715 Penicillin V Potassium

55289020720 Penicillin V Potassium

55289020728 Penicillin V Potassium

55289020730 Penicillin V Potassium

55289020740 Penicillin V Potassium

55289021728 Ery-Tab

55289021740 Ery-Tab

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tableterythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

Page 174: Pharmacy Table AA 2014

55289023230 Cefzil cefprozil 500 mg oral tablet

55289023560 Doxycycline Hyclate

55289024102

55289024104

55289024106

55289024110

55289024114

55289024115

55289024117

55289024120

55289024128

55289024160

55289024197

55289024209 Augmentin

55289024215 Augmentin

55289024221 Augmentin

55289027402 Azithromycin azithromycin 500 mg oral tablet

55289027403 Azithromycin azithromycin 500 mg oral tablet

55289027407 Azithromycin azithromycin 500 mg oral tablet

55289029615 Augmentin

55289031004 Zithromax azithromycin 250 mg oral tablet

55289031006 Zithromax azithromycin 250 mg oral tablet

55289031014 Zithromax azithromycin 250 mg oral tablet

55289037103 Cipro ciprofloxacin 500 mg oral tablet

55289037106 Cipro ciprofloxacin 500 mg oral tablet

55289037110 Cipro ciprofloxacin 500 mg oral tablet

55289037114 Cipro ciprofloxacin 500 mg oral tablet

55289037115 Cipro ciprofloxacin 500 mg oral tablet

55289037120 Cipro ciprofloxacin 500 mg oral tablet

doxycycline hyclate 50 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tablet

amoxicillin-clavulanate 500 mg-125 mg oral tablet

Page 175: Pharmacy Table AA 2014

55289037130 Cipro ciprofloxacin 500 mg oral tablet

55289037140 Cipro ciprofloxacin 500 mg oral tablet

55289037150 Cipro ciprofloxacin 500 mg oral tablet

55289037179 Cipro ciprofloxacin 500 mg oral tablet

55289037197 Cipro ciprofloxacin 500 mg oral tablet

55289037210 Ceftin cefuroxime 250 mg oral tablet

55289037214 Ceftin cefuroxime 250 mg oral tablet

55289037220 Ceftin cefuroxime 250 mg oral tablet

55289037297 Ceftin cefuroxime 250 mg oral tablet

55289038504 Cefuroxime Axetil cefuroxime 250 mg oral tablet

55289038530 Cefuroxime Axetil cefuroxime 250 mg oral tablet

55289039002 Vantin cefpodoxime 200 mg oral tablet

55289039010 Vantin cefpodoxime 200 mg oral tablet

55289039020 Vantin cefpodoxime 200 mg oral tablet

55289039028 Vantin cefpodoxime 200 mg oral tablet

55289039079 Vantin cefpodoxime 200 mg oral tablet

55289039302 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

55289039405 Levaquin levofloxacin 750 mg oral tablet55289039407 Levaquin levofloxacin 750 mg oral tablet55289040514 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55289040520 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55289042621 PCE Dispertab

55289044104 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044115 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044117 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044120 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044128 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044130 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044140 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044142 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

erythromycin 333 mg oral tablet, coated particles

Page 176: Pharmacy Table AA 2014

55289044156 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044180 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044197 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55289044601 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044610 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044612 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044614 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044616 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044620 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044628 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044630 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044640 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044656 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289044660 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55289045710

55289045720

55289045906 Cipro ciprofloxacin 250 mg oral tablet

55289045910 Cipro ciprofloxacin 250 mg oral tablet

55289045912 Cipro ciprofloxacin 250 mg oral tablet

55289045914 Cipro ciprofloxacin 250 mg oral tablet

55289050216 Doxycycline Hyclate

55289050230 Doxycycline Hyclate

55289050260 Doxycycline Hyclate

55289051210 Augmentin

55289051214 Augmentin

55289051228 Augmentin

55289052104 MetroNIDAZOLE

55289052106 MetroNIDAZOLE

55289052108 MetroNIDAZOLE

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

doxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuleamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Page 177: Pharmacy Table AA 2014

55289052109 MetroNIDAZOLE

55289052110 MetroNIDAZOLE

55289052114 MetroNIDAZOLE

55289052117 MetroNIDAZOLE

55289052121 MetroNIDAZOLE

55289052128 MetroNIDAZOLE

55289052130 MetroNIDAZOLE

55289052140 MetroNIDAZOLE

55289052521 Ery-Tab

55289052530 Ery-Tab

55289052540 Ery-Tab

55289052542 Ery-Tab

55289052563 Ery-Tab

55289054210 Ceftin cefuroxime 500 mg oral tablet

55289058914 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55289058920 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55289059210 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55289059220 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55289059228 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55289059240 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55289059297 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

55289061228 Penicillin V Potassium

55289061230 Penicillin V Potassium

55289064520 Erythromycin Base

55289064528 Erythromycin Base

55289064530 Erythromycin Base

55289064540 Erythromycin Base

55289064556 Erythromycin Base

55289064580 Erythromycin Base

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tablet

penicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tablet

Page 178: Pharmacy Table AA 2014

55289070502 Erythromycin Stearate

55289070506 Erythromycin Stearate

55289070515 Erythromycin Stearate

55289070516 Erythromycin Stearate

55289070520 Erythromycin Stearate

55289070528 Erythromycin Stearate

55289070530 Erythromycin Stearate

55289070540 Erythromycin Stearate

55289070556 Erythromycin Stearate

55289070720 Amoxicillin amoxicillin 875 mg oral tablet55289070728 Amoxicillin amoxicillin 875 mg oral tablet55289071107 Levaquin levofloxacin 500 mg oral tablet55289071110 Levaquin levofloxacin 500 mg oral tablet55289071114 Levaquin levofloxacin 500 mg oral tablet55289071710 Cipro ciprofloxacin 750 mg oral tablet

55289072720 Amoxicillin

55289072730 Amoxicillin

55289074606 Trimethoprim trimethoprim 100 mg oral tablet

55289074610 Trimethoprim trimethoprim 100 mg oral tablet

55289074930 Cefaclor cefaclor 250 mg oral capsule

55289076714 Amoxicillin-Clavulanate

55289076720 Amoxicillin-Clavulanate

55289076721 Amoxicillin-Clavulanate

55289076728 Amoxicillin-Clavulanate

55289076730 Amoxicillin-Clavulanate

55289082103 ciprofloxacin 500 mg oral tablet

55289082106 ciprofloxacin 500 mg oral tablet

55289082110 ciprofloxacin 500 mg oral tablet

55289082114 ciprofloxacin 500 mg oral tablet

55289082120 ciprofloxacin 500 mg oral tablet

55289082130 ciprofloxacin 500 mg oral tablet

55289082140 ciprofloxacin 500 mg oral tablet

erythromycin stearate 500 mg oral tableterythromycin stearate 500 mg oral tableterythromycin stearate 500 mg oral tableterythromycin stearate 500 mg oral tableterythromycin stearate 500 mg oral tableterythromycin stearate 500 mg oral tableterythromycin stearate 500 mg oral tableterythromycin stearate 500 mg oral tableterythromycin stearate 500 mg oral tablet

amoxicillin 400 mg oral tablet, chewableamoxicillin 400 mg oral tablet, chewable

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 179: Pharmacy Table AA 2014

55289082150 ciprofloxacin 500 mg oral tablet

55289082179 ciprofloxacin 500 mg oral tablet

55289082206

55289082210

55289082214

55289082220

55289082306 ciprofloxacin 250 mg oral tablet

55289082312 ciprofloxacin 250 mg oral tablet

55289082314 ciprofloxacin 250 mg oral tablet

55289082320 ciprofloxacin 250 mg oral tablet

55289082610 ciprofloxacin 750 mg oral tablet

55289082620 ciprofloxacin 750 mg oral tablet

55289083120 Omnicef cefdinir 300 mg oral capsule

55289084103 Levaquin levofloxacin 250 mg oral tablet55289084110 Levaquin levofloxacin 250 mg oral tablet55289084506 Amoxicillin-Clavulanate

55289084520 Amoxicillin-Clavulanate

55289084521 Amoxicillin-Clavulanate

55289084530 Amoxicillin-Clavulanate

55289086601 Doxycycline Hyclate

55289086602 Doxycycline Hyclate

55289086604 Doxycycline Hyclate

55289086606 Doxycycline Hyclate

55289086608 Doxycycline Hyclate

55289086610 Doxycycline Hyclate

55289086614 Doxycycline Hyclate

55289086620 Doxycycline Hyclate

55289086628 Doxycycline Hyclate

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideNitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Page 180: Pharmacy Table AA 2014

55289086630 Doxycycline Hyclate

55289086660 Doxycycline Hyclate

55289086674 Doxycycline Hyclate

55289086685 Doxycycline Hyclate

55289086686 Doxycycline Hyclate

55289086687 Doxycycline Hyclate

55289086690 Doxycycline Hyclate

55289086693 Doxycycline Hyclate

55289088508 Keflex cephalexin 250 mg oral capsule

55289089020 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55289089030 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55289089040 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55289089056 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55289090479 Ofloxacin ofloxacin 400 mg oral tablet55289090910 Clarithromycin clarithromycin 500 mg oral tablet

55289090914 Clarithromycin clarithromycin 500 mg oral tablet

55289090920 Clarithromycin clarithromycin 500 mg oral tablet

55289090928 Clarithromycin clarithromycin 500 mg oral tablet

55289091412 Macrodantin

55289091414 Macrodantin

55289091415 Macrodantin

55289091428 Macrodantin

55289091430 Macrodantin

55289091440 Macrodantin

55289091506 Erythromycin Base

55289091515 Erythromycin Base

55289091524 Erythromycin Base

55289091530 Erythromycin Base

55289095479 Suprax cefixime 400 mg oral tablet

55289096404 Azithromycin azithromycin 250 mg oral tablet

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

nitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsulenitrofurantoin macrocrystals 100 mg oral capsuleerythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tablet

Page 181: Pharmacy Table AA 2014

55289096414 Azithromycin azithromycin 250 mg oral tablet

55390010901 Clindamycin Phosphate

55390011010 Doxycycline Hyclate doxycycline 100 mg injection55390012301 Rifampin

55390017710 Aztreonam aztreonam 1 g injection55390017810 Aztreonam aztreonam 2 g injection55390022302 Amikacin Sulfate Pediatric

55390022402 Amikacin Sulfate

55390022404 Amikacin Sulfate

55390022502 Amikacin Sulfate Pediatric

55390022602 Amikacin Sulfate

55390022604 Amikacin Sulfate

55390030910 CefTRIAXone Sodium cefTRIAXone 250 mg injection

55390031010 CefTRIAXone Sodium cefTRIAXone 500 mg injection

55390031110 CefTRIAXone Sodium cefTRIAXone 1 g injection

55390031210 CefTRIAXone Sodium cefTRIAXone 2 g injection

55390031601 CefTRIAXone Sodium cefTRIAXone 10 g injection

55868548701 Azithromycin azithromycin 500 mg oral tablet

55887006020 Amoxicillin

55887007160

55887018115 Zithromax

55887021501 Penicillin V Potassium

55887021620 Amoxicillin-Clavulanate

55887021801 Penicillin V Potassium

55887029210 ciprofloxacin 750 mg oral tablet

55887029220 ciprofloxacin 750 mg oral tablet

55887029228 ciprofloxacin 750 mg oral tablet

55887029230 ciprofloxacin 750 mg oral tablet

55887030601

55887031115 Azithromycin

55887031130 Azithromycin

clindamycin 150 mg/mL injectable solution

rifampin 600 mg intravenous injection

amikacin 50 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solutionamikacin 50 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solutionamikacin 250 mg/mL intravenous solution

amoxicillin 400 mg oral tablet, chewable

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tabletazithromycin 200 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg oral tablet, chewablepenicillin V potassium 125 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideErythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspensionazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquid

Page 182: Pharmacy Table AA 2014

55887032030 Minocycline Hydrochloride minocycline 100 mg oral capsule

55887032060 Minocycline Hydrochloride minocycline 100 mg oral capsule

55887033230 Zithromax azithromycin 600 mg oral tablet

55887037806 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55887037815 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55887037821 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55887037828 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55887037830 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55887037840 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55887037842 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

55887038803 Azithromycin azithromycin 500 mg oral tablet

55887040710

55887040720

55887040730

55887041920 Ery-Tab

55887041930 Ery-Tab

55887046321 Ampicillin ampicillin 500 mg oral capsule55887046328 Ampicillin ampicillin 500 mg oral capsule55887049207 Levaquin levofloxacin 750 mg oral tablet55887053440 Augmentin XR

55887058401 ciprofloxacin 500 mg oral tablet

55887058408 ciprofloxacin 500 mg oral tablet

55887058415 ciprofloxacin 500 mg oral tablet

55887058421 ciprofloxacin 500 mg oral tablet

55887058425 ciprofloxacin 500 mg oral tablet

55887058428 ciprofloxacin 500 mg oral tablet

55887058442 ciprofloxacin 500 mg oral tablet

55887058460 ciprofloxacin 500 mg oral tablet

55887058471 ciprofloxacin 500 mg oral tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

erythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

amoxicillin-clavulanate 1000 mg-62.5 mg oral tablet, extended release

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 183: Pharmacy Table AA 2014

55887058620 Erythromycin Base erythromycin 250 mg oral tablet

55887058628 Erythromycin Base erythromycin 250 mg oral tablet

55887058630 Erythromycin Base erythromycin 250 mg oral tablet

55887058660 Erythromycin Base erythromycin 250 mg oral tablet

55887058690 Erythromycin Base erythromycin 250 mg oral tablet

55887061101 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55887061115 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55887061116 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55887061140 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55887061160 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

55887062209 Amoxicillin

55887062220 Amoxicillin

55887062221 Amoxicillin

55887062230 Amoxicillin

55887062240 Amoxicillin

55887062914 Amoxicillin-Clavulanate

55887064205 Avelox moxifloxacin 400 mg oral tablet

55887065214 Cefuroxime Axetil cefuroxime 250 mg oral tablet

55887065914 Amoxicillin amoxicillin 875 mg oral tablet55887065930 Amoxicillin amoxicillin 875 mg oral tablet55887070414 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55887070420 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55887070428 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

55887074620 Erythromycin Base

55887074656 Erythromycin Base

55887076102 Cephalexin Monohydrate

55887076475 Cefaclor cefaclor 250 mg/5 mL oral liquid

55887076814 Erythromycin Base erythromycin 500 mg oral tablet

55887076820 Erythromycin Base erythromycin 500 mg oral tablet

55887076828 Erythromycin Base erythromycin 500 mg oral tablet

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin-clavulanate 875 mg-125 mg oral tablet

erythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsulecephalexin 250 mg/5 mL oral liquid

Page 184: Pharmacy Table AA 2014

55887076830 Erythromycin Base erythromycin 500 mg oral tablet

55887076832 Erythromycin Base erythromycin 500 mg oral tablet

55887078504 Azithromycin azithromycin 250 mg oral tablet

55887078530 Azithromycin azithromycin 250 mg oral tablet

55887078630 Ceftin cefuroxime 250 mg oral tablet

55887078720 Ery-Tab

55887078740 Ery-Tab

55887078809 MetroNIDAZOLE

55887078840 MetroNIDAZOLE

55887078907 MetroNIDAZOLE

55887078910 MetroNIDAZOLE

55887078940 MetroNIDAZOLE

55887079015 Augmentin

55887079020 Augmentin

55887079030 Augmentin

55887079475 Cefaclor cefaclor 125 mg/5 mL oral liquid

55887081007 Levaquin levofloxacin 500 mg oral tablet55887081010 Levaquin levofloxacin 500 mg oral tablet55887081330 Biaxin clarithromycin 500 mg oral tablet

55887081401 Amoxicillin

55887081414 Amoxicillin

55887081722 Augmentin

55887082314 Amoxicillin

55887083020 Penicillin V Potassium

55887083028 Penicillin V Potassium

55887083030 Penicillin V Potassium

55887083040 Penicillin V Potassium

55887083730 Cefaclor cefaclor 250 mg oral capsule

55887084920 E.E.S.-400 Filmtab

55887084921 E.E.S.-400 Filmtab

erythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

amoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

erythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tablet

Page 185: Pharmacy Table AA 2014

55887084928

55887084930

55887084940

55887085814 Cipro ciprofloxacin 500 mg oral tablet

55887085820 Cipro ciprofloxacin 500 mg oral tablet

55887088921 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

55887089324 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

55887090406 ciprofloxacin 250 mg oral tablet

55887090410 ciprofloxacin 250 mg oral tablet

55887090414 ciprofloxacin 250 mg oral tablet

55887090420 ciprofloxacin 250 mg oral tablet

55887090430 ciprofloxacin 250 mg oral tablet

55887090460 ciprofloxacin 250 mg oral tablet

55887092420 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55887092428 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55887092460 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

55887093028 Penicillin V Potassium

55887095801 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55887095805 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55887095808 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55887095809 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55887095860 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55887095890 Cephalexin Monohydrate cephalexin 500 mg oral capsule

55887098021 Penicillin V Potassium

55887098028 Penicillin V Potassium

55887098040 Penicillin V Potassium

55887098201 Amoxicillin amoxicillin 500 mg oral capsule

55887098204 Amoxicillin amoxicillin 500 mg oral capsule

55887098209 Amoxicillin amoxicillin 500 mg oral capsule

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

penicillin V potassium 250 mg oral tablet

penicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 186: Pharmacy Table AA 2014

55887098282 Amoxicillin amoxicillin 500 mg oral capsule

55887098301 SMZ-TMP DS

55887098315 SMZ-TMP DS

55887098340

55887098342 SMZ-TMP DS

55887098360

55887099128 Cephalexin Monohydrate cephalexin 250 mg oral capsule

55887099309 Amoxicillin amoxicillin 250 mg oral capsule

55887099314 Amoxicillin amoxicillin 250 mg oral capsule

55887099315 Amoxicillin amoxicillin 250 mg oral capsule

55887099320 Amoxicillin amoxicillin 250 mg oral capsule

55887099342 Amoxicillin amoxicillin 250 mg oral capsule

55953025180 Cefaclor cefaclor 500 mg oral capsule

55953025380 Cefaclor cefaclor 250 mg oral capsule

57664085188 Minocycline Hydrochloride minocycline 50 mg oral capsule

57664085288 Minocycline Hydrochloride minocycline 75 mg oral capsule

57664085385 Minocycline Hydrochloride minocycline 100 mg oral capsule

57866010601 Amoxicillin amoxicillin 500 mg oral capsule

57866010602 Amoxicillin amoxicillin 500 mg oral capsule

57866011701 Cephalexin Monohydrate cephalexin 500 mg oral capsule

57866011703 Cephalexin Monohydrate cephalexin 500 mg oral capsule

57866011704 Cephalexin Monohydrate cephalexin 500 mg oral capsule

57866011705 Cephalexin Monohydrate cephalexin 500 mg oral capsule

57866011706 Cephalexin Monohydrate cephalexin 500 mg oral capsule

57866015500 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

57866015505 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

57866034001 Doxycycline Hyclate

57866034002 Doxycycline Hyclate

57866034005 Doxycycline Hyclate

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Page 187: Pharmacy Table AA 2014

57866034102 Doxycycline Monohydrate

57866034104 Doxycycline Monohydrate

57866034301 Doxycycline Monohydrate

57866109402 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

57866312901 Amoxicillin-Clavulanate

57866313501 ciprofloxacin 250 mg oral tablet

57866313601 Azithromycin azithromycin 500 mg oral tablet

57866314802 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

57866361302 Penicillin V Potassium

57866361401 Penicillin V Potassium

57866403201 MetroNIDAZOLE

57866403301 MetroNIDAZOLE

57866403303 MetroNIDAZOLE

57866403306 MetroNIDAZOLE

57866435601 Azithromycin azithromycin 250 mg oral tablet

57866469301

57866469302

57866469304

57866469306

57866604101 ciprofloxacin 500 mg oral tablet

57866604102 ciprofloxacin 500 mg oral tablet

57866604103 ciprofloxacin 500 mg oral tablet

57866604104 ciprofloxacin 500 mg oral tablet

57866604105 ciprofloxacin 500 mg oral tablet

57866604108 ciprofloxacin 500 mg oral tablet

57866659004

57866721601 Cephalexin Monohydrate cephalexin 250 mg oral capsule

57866721602 Cephalexin Monohydrate cephalexin 250 mg oral capsule

57866721603 Cephalexin Monohydrate cephalexin 250 mg oral capsule

doxycycline monohydrate 100 mg oral capsuledoxycycline monohydrate 100 mg oral capsuledoxycycline monohydrate 50 mg oral capsule

amoxicillin-clavulanate 875 mg-125 mg oral tablet

Ciprofloxacin Hydrochloride

penicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideNitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 188: Pharmacy Table AA 2014

57866721604 Cephalexin Monohydrate cephalexin 250 mg oral capsule

57866721607 Cephalexin Monohydrate cephalexin 250 mg oral capsule

57866721608 Cephalexin Monohydrate cephalexin 250 mg oral capsule

57866721801 Amoxicillin amoxicillin 250 mg oral capsule

57866721802 Amoxicillin amoxicillin 250 mg oral capsule

57866820501 Cefaclor cefaclor 500 mg oral capsule

57866820502 Cefaclor cefaclor 500 mg oral capsule

58016003400

58016003430

58016003460

58016003490

58016007530 Doxycycline Hyclate doxycycline 20 mg oral tablet58016008630 Azithromycin azithromycin 250 mg oral tablet

58016010100 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010108 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010110 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010112 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010114 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010120 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010124 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010128 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010130 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010140 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010160 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010190 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

58016010200 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

58016010220 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

58016010230 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

58016010260 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

58016010290 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 189: Pharmacy Table AA 2014

58016010300 Amoxicillin amoxicillin 250 mg oral capsule

58016010309 Amoxicillin amoxicillin 250 mg oral capsule

58016010312 Amoxicillin amoxicillin 250 mg oral capsule

58016010315 Amoxicillin amoxicillin 250 mg oral capsule

58016010318 Amoxicillin amoxicillin 250 mg oral capsule

58016010320 Amoxicillin amoxicillin 250 mg oral capsule

58016010321 Amoxicillin amoxicillin 250 mg oral capsule

58016010324 Amoxicillin amoxicillin 250 mg oral capsule

58016010330 Amoxicillin amoxicillin 250 mg oral capsule

58016010340 Amoxicillin amoxicillin 250 mg oral capsule

58016010500 Amoxicillin

58016010560 Amoxicillin

58016010590 Amoxicillin

58016010900

58016010902

58016010906

58016010907

58016010910

58016010914

58016010918

58016010920

58016010921

58016010924

58016010928

58016010930

58016010940

58016010950

58016010960

58016010973

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 190: Pharmacy Table AA 2014

58016010980

58016010989

58016010990

58016011410 Ceftin cefuroxime 250 mg oral tablet

58016011414 Ceftin cefuroxime 250 mg oral tablet

58016011420 Ceftin cefuroxime 250 mg oral tablet

58016011430 Ceftin cefuroxime 250 mg oral tablet

58016011460 Ceftin cefuroxime 250 mg oral tablet

58016011510 Ceftin cefuroxime 500 mg oral tablet

58016011514 Ceftin cefuroxime 500 mg oral tablet

58016011520 Ceftin cefuroxime 500 mg oral tablet

58016011530 Ceftin cefuroxime 500 mg oral tablet

58016011560 Ceftin cefuroxime 500 mg oral tablet

58016011600 Cipro ciprofloxacin 250 mg oral tablet

58016011610 Cipro ciprofloxacin 250 mg oral tablet

58016011612 Cipro ciprofloxacin 250 mg oral tablet

58016011615 Cipro ciprofloxacin 250 mg oral tablet

58016011620 Cipro ciprofloxacin 250 mg oral tablet

58016011630 Cipro ciprofloxacin 250 mg oral tablet

58016011700 Cipro ciprofloxacin 500 mg oral tablet

58016011710 Cipro ciprofloxacin 500 mg oral tablet

58016011712 Cipro ciprofloxacin 500 mg oral tablet

58016011714 Cipro ciprofloxacin 500 mg oral tablet

58016011715 Cipro ciprofloxacin 500 mg oral tablet

58016011720 Cipro ciprofloxacin 500 mg oral tablet

58016011730 Cipro ciprofloxacin 500 mg oral tablet

58016011810 Cipro ciprofloxacin 750 mg oral tablet

58016011812 Cipro ciprofloxacin 750 mg oral tablet

58016011814 Cipro ciprofloxacin 750 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 191: Pharmacy Table AA 2014

58016011815 Cipro ciprofloxacin 750 mg oral tablet

58016011820 Cipro ciprofloxacin 750 mg oral tablet

58016011830 Cipro ciprofloxacin 750 mg oral tablet

58016011850 Cipro ciprofloxacin 750 mg oral tablet

58016011900 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011902 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011903 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011910 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011912 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011914 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011915 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011920 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011925 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011930 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011940 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011960 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011973 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011989 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016011990 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

58016012100 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012110 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012112 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012114 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012115 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012118 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012120 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012124 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012128 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012130 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

Page 192: Pharmacy Table AA 2014

58016012140 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58016012200 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58016012212 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58016012214 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58016012215 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58016012220 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58016012228 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58016012230 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58016012240 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58016012250 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58016012300 Erythromycin Base

58016012312 Erythromycin Base

58016012315 Erythromycin Base

58016012320 Erythromycin Base

58016012324 Erythromycin Base

58016012328 Erythromycin Base

58016012330 Erythromycin Base

58016012340 Erythromycin Base

58016012600 Ery-Tab

58016012615 Ery-Tab

58016012618 Ery-Tab

58016012620 Ery-Tab

58016012621 Ery-Tab

58016012628 Ery-Tab

58016012630 Ery-Tab

58016012642 Ery-Tab

58016012660 Ery-Tab

58016012699 Ery-Tab

58016012706

erythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsuleerythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Page 193: Pharmacy Table AA 2014

58016012708

58016012710

58016012714

58016012720

58016012721

58016012724

58016012728

58016012730

58016012740

58016012742

58016012750

58016012760

58016012900 MetroNIDAZOLE

58016012905 MetroNIDAZOLE

58016012908 MetroNIDAZOLE

58016012909 MetroNIDAZOLE

58016012910 MetroNIDAZOLE

58016012912 MetroNIDAZOLE

58016012914 MetroNIDAZOLE

58016012920 MetroNIDAZOLE

58016012921 MetroNIDAZOLE

58016012925 MetroNIDAZOLE

58016012928 MetroNIDAZOLE

58016012930 MetroNIDAZOLE

58016013700 ciprofloxacin 250 mg oral tablet

58016013702 ciprofloxacin 250 mg oral tablet

58016013710 ciprofloxacin 250 mg oral tablet

58016013712 ciprofloxacin 250 mg oral tablet

58016013715 ciprofloxacin 250 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 194: Pharmacy Table AA 2014

58016013720 ciprofloxacin 250 mg oral tablet

58016013730 ciprofloxacin 250 mg oral tablet

58016013760 ciprofloxacin 250 mg oral tablet

58016013790 ciprofloxacin 250 mg oral tablet

58016013800 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013802 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013803 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013812 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013814 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013815 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013820 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013821 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013824 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013828 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013830 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013840 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013856 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013860 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013873 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013889 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58016013900 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013902 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013903 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013904 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013905 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013906 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013908 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013910 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013912 Cephalexin Monohydrate cephalexin 500 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 195: Pharmacy Table AA 2014

58016013914 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013915 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013918 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013920 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013921 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013924 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013928 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013930 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013940 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013950 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013956 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013960 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013973 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016013989 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58016014200

58016014210

58016014214

58016014215

58016014220

58016014224

58016014228

58016014230

58016014240

58016014518 PCE Dispertab

58016014600 Penicillin V Potassium

58016014602 Penicillin V Potassium

58016014603 Penicillin V Potassium

58016014610 Penicillin V Potassium

58016014612 Penicillin V Potassium

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsuleerythromycin 333 mg oral tablet, coated particlespenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

Page 196: Pharmacy Table AA 2014

58016014616 Penicillin V Potassium

58016014620 Penicillin V Potassium

58016014621 Penicillin V Potassium

58016014624 Penicillin V Potassium

58016014628 Penicillin V Potassium

58016014630 Penicillin V Potassium

58016014640 Penicillin V Potassium

58016014660 Penicillin V Potassium

58016014673 Penicillin V Potassium

58016014689 Penicillin V Potassium

58016014690 Penicillin V Potassium

58016014700 Penicillin V Potassium

58016014702 Penicillin V Potassium

58016014703 Penicillin V Potassium

58016014706 Penicillin V Potassium

58016014710 Penicillin V Potassium

58016014712 Penicillin V Potassium

58016014715 Penicillin V Potassium

58016014716 Penicillin V Potassium

58016014720 Penicillin V Potassium

58016014721 Penicillin V Potassium

58016014724 Penicillin V Potassium

58016014728 Penicillin V Potassium

58016014730 Penicillin V Potassium

58016014740 Penicillin V Potassium

58016014750 Penicillin V Potassium

58016014760 Penicillin V Potassium

58016014773 Penicillin V Potassium

58016014789 Penicillin V Potassium

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 197: Pharmacy Table AA 2014

58016014790 Penicillin V Potassium

58016014800 Ampicillin ampicillin 250 mg oral capsule58016014808 Ampicillin ampicillin 250 mg oral capsule58016014809 Ampicillin ampicillin 250 mg oral capsule58016014810 Ampicillin ampicillin 250 mg oral capsule58016014812 Ampicillin ampicillin 250 mg oral capsule58016014814 Ampicillin ampicillin 250 mg oral capsule58016014815 Ampicillin ampicillin 250 mg oral capsule58016014820 Ampicillin ampicillin 250 mg oral capsule58016014824 Ampicillin ampicillin 250 mg oral capsule58016014828 Ampicillin ampicillin 250 mg oral capsule58016014830 Ampicillin ampicillin 250 mg oral capsule58016014840 Ampicillin ampicillin 250 mg oral capsule58016014850 Ampicillin ampicillin 250 mg oral capsule58016014900 Ampicillin ampicillin 500 mg oral capsule58016014907 Ampicillin ampicillin 500 mg oral capsule58016014910 Ampicillin ampicillin 500 mg oral capsule58016014920 Ampicillin ampicillin 500 mg oral capsule58016014921 Ampicillin ampicillin 500 mg oral capsule58016014924 Ampicillin ampicillin 500 mg oral capsule58016014925 Ampicillin ampicillin 500 mg oral capsule58016014928 Ampicillin ampicillin 500 mg oral capsule58016014930 Ampicillin ampicillin 500 mg oral capsule58016014940 Ampicillin ampicillin 500 mg oral capsule58016015600 Doxycycline Hyclate

58016015602 Doxycycline Hyclate

58016015603 Doxycycline Hyclate

58016015606 Doxycycline Hyclate

58016015607 Doxycycline Hyclate

58016015610 Doxycycline Hyclate

58016015612 Doxycycline Hyclate

58016015614 Doxycycline Hyclate

58016015615 Doxycycline Hyclate

58016015616 Doxycycline Hyclate

58016015620 Doxycycline Hyclate

58016015621 Doxycycline Hyclate

58016015624 Doxycycline Hyclate

58016015628 Doxycycline Hyclate

58016015630 Doxycycline Hyclate

58016015640 Doxycycline Hyclate

58016015660 Doxycycline Hyclate

penicillin V potassium 500 mg oral tablet

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Page 198: Pharmacy Table AA 2014

58016015673 Doxycycline Hyclate

58016015689 Doxycycline Hyclate

58016016110 Doxycycline Hyclate

58016016112 Doxycycline Hyclate

58016016114 Doxycycline Hyclate

58016016115 Doxycycline Hyclate

58016016116 Doxycycline Hyclate

58016016118 Doxycycline Hyclate

58016016120 Doxycycline Hyclate

58016016121 Doxycycline Hyclate

58016016124 Doxycycline Hyclate

58016016128 Doxycycline Hyclate

58016016130 Doxycycline Hyclate

58016016140 Doxycycline Hyclate

58016016150 Doxycycline Hyclate

58016016160 Doxycycline Hyclate

58016016228 Ery-Tab

58016016230 Ery-Tab

58016016240 Ery-Tab

58016016700 E.E.S.-400 Filmtab

58016016720 E.E.S.-400 Filmtab

58016016740 E.E.S.-400 Filmtab

58016017120

58016017130

58016020400 Cefuroxime Axetil cefuroxime 250 mg oral tablet

58016020430 Cefuroxime Axetil cefuroxime 250 mg oral tablet

58016020460 Cefuroxime Axetil cefuroxime 250 mg oral tablet

58016020490 Cefuroxime Axetil cefuroxime 250 mg oral tablet

58016028415 Minocycline Hydrochloride minocycline 100 mg oral capsule

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuleerythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin 250 mg oral delayed release tableterythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Page 199: Pharmacy Table AA 2014

58016028420 Minocycline Hydrochloride minocycline 100 mg oral capsule

58016028430 Minocycline Hydrochloride minocycline 100 mg oral capsule

58016028450 Minocycline Hydrochloride minocycline 100 mg oral capsule

58016029900 Clarithromycin clarithromycin 500 mg oral tablet

58016029930 Clarithromycin clarithromycin 500 mg oral tablet

58016029960 Clarithromycin clarithromycin 500 mg oral tablet

58016029990 Clarithromycin clarithromycin 500 mg oral tablet

58016033930 Cefaclor cefaclor 500 mg oral capsule

58016039100 Zithromax azithromycin 250 mg oral tablet

58016039101 Zithromax Z-Pak azithromycin 250 mg oral tablet

58016039106 Zithromax azithromycin 250 mg oral tablet

58016039110 Zithromax azithromycin 250 mg oral tablet

58016039115 Zithromax azithromycin 250 mg oral tablet

58016039118 Zithromax azithromycin 250 mg oral tablet

58016039120 Zithromax azithromycin 250 mg oral tablet

58016039128 Zithromax azithromycin 250 mg oral tablet

58016039130 Zithromax azithromycin 250 mg oral tablet

58016039160 Zithromax azithromycin 250 mg oral tablet

58016039190 Zithromax azithromycin 250 mg oral tablet

58016045300 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

58016045312 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

58016045315 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

58016045320 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

58016045321 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

58016045330 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

58016045340 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

58016051220 Augmentin

58016055010 Biaxin clarithromycin 500 mg oral tablet

58016055012 Biaxin clarithromycin 500 mg oral tablet

amoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 200: Pharmacy Table AA 2014

58016055014 Biaxin clarithromycin 500 mg oral tablet

58016055015 Biaxin clarithromycin 500 mg oral tablet

58016055020 Biaxin clarithromycin 500 mg oral tablet

58016055030 Biaxin clarithromycin 500 mg oral tablet

58016055040 Biaxin clarithromycin 500 mg oral tablet

58016057300 Levaquin levofloxacin 500 mg oral tablet58016057307 Levaquin levofloxacin 500 mg oral tablet58016057310 Levaquin levofloxacin 500 mg oral tablet58016057320 Levaquin levofloxacin 500 mg oral tablet58016057330 Levaquin levofloxacin 500 mg oral tablet58016057360 Levaquin levofloxacin 500 mg oral tablet58016057390 Levaquin levofloxacin 500 mg oral tablet58016063300 Keflex cephalexin 500 mg oral capsule

58016063330 Keflex cephalexin 500 mg oral capsule

58016063360 Keflex cephalexin 500 mg oral capsule

58016063390 Keflex cephalexin 500 mg oral capsule

58016063400 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

58016063430 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

58016063460 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

58016063490 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

58016064300 Amoxicillin amoxicillin 875 mg oral tablet58016064302 Amoxicillin amoxicillin 875 mg oral tablet58016064304 Amoxicillin amoxicillin 875 mg oral tablet58016064309 Amoxicillin amoxicillin 875 mg oral tablet58016064312 Amoxicillin amoxicillin 875 mg oral tablet58016064315 Amoxicillin amoxicillin 875 mg oral tablet58016064318 Amoxicillin amoxicillin 875 mg oral tablet58016064320 Amoxicillin amoxicillin 875 mg oral tablet58016064321 Amoxicillin amoxicillin 875 mg oral tablet58016064324 Amoxicillin amoxicillin 875 mg oral tablet58016064330 Amoxicillin amoxicillin 875 mg oral tablet58016064340 Amoxicillin amoxicillin 875 mg oral tablet58016064350 Amoxicillin amoxicillin 875 mg oral tablet58016064360 Amoxicillin amoxicillin 875 mg oral tablet58016064389 Amoxicillin amoxicillin 875 mg oral tablet58016064390 Amoxicillin amoxicillin 875 mg oral tablet58016064399 Amoxicillin amoxicillin 875 mg oral tablet58016072500 MetroNIDAZOLE

58016072504 MetroNIDAZOLE

58016072507 MetroNIDAZOLE

58016072508 MetroNIDAZOLE

58016072509 MetroNIDAZOLE

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Page 201: Pharmacy Table AA 2014

58016072510 MetroNIDAZOLE

58016072512 MetroNIDAZOLE

58016072514 MetroNIDAZOLE

58016072515 MetroNIDAZOLE

58016072518 MetroNIDAZOLE

58016072520 MetroNIDAZOLE

58016072521 MetroNIDAZOLE

58016072524 MetroNIDAZOLE

58016072528 MetroNIDAZOLE

58016072530 MetroNIDAZOLE

58016081000 Cefzil cefprozil 250 mg oral tablet

58016081012 Cefzil cefprozil 250 mg oral tablet

58016081015 Cefzil cefprozil 250 mg oral tablet

58016081030 Cefzil cefprozil 250 mg oral tablet

58016087212 Cefaclor cefaclor 250 mg oral capsule

58016087215 Cefaclor cefaclor 250 mg oral capsule

58016087218 Cefaclor cefaclor 250 mg oral capsule

58016087220 Cefaclor cefaclor 250 mg oral capsule

58016087224 Cefaclor cefaclor 250 mg oral capsule

58016087230 Cefaclor cefaclor 250 mg oral capsule

58016087300 Minocycline Hydrochloride minocycline 50 mg oral capsule

58016087315 Minocycline Hydrochloride minocycline 50 mg oral capsule

58016087320 Minocycline Hydrochloride minocycline 50 mg oral capsule

58016087330 Minocycline Hydrochloride minocycline 50 mg oral capsule

58016088600

58016088620

58016088630

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 202: Pharmacy Table AA 2014

58016088660

58016088690

58016092400 Levaquin levofloxacin 250 mg oral tablet58016092430 Levaquin levofloxacin 250 mg oral tablet58016092460 Levaquin levofloxacin 250 mg oral tablet58016092490 Levaquin levofloxacin 250 mg oral tablet58016095300 ciprofloxacin 500 mg oral tablet

58016095302 ciprofloxacin 500 mg oral tablet

58016095310 ciprofloxacin 500 mg oral tablet

58016095312 ciprofloxacin 500 mg oral tablet

58016095315 ciprofloxacin 500 mg oral tablet

58016095320 ciprofloxacin 500 mg oral tablet

58016095330 ciprofloxacin 500 mg oral tablet

58016095360 ciprofloxacin 500 mg oral tablet

58016095390 ciprofloxacin 500 mg oral tablet

58016095500 Periostat doxycycline 20 mg oral tablet58016095530 Periostat doxycycline 20 mg oral tablet58016095560 Periostat doxycycline 20 mg oral tablet58016095590 Periostat doxycycline 20 mg oral tablet58016095700 ciprofloxacin 750 mg oral tablet

58016095702 ciprofloxacin 750 mg oral tablet

58016095710 ciprofloxacin 750 mg oral tablet

58016095712 ciprofloxacin 750 mg oral tablet

58016095715 ciprofloxacin 750 mg oral tablet

58016095720 ciprofloxacin 750 mg oral tablet

58016095730 ciprofloxacin 750 mg oral tablet

58016095760 ciprofloxacin 750 mg oral tablet

58016095790 ciprofloxacin 750 mg oral tablet

58016096400 Cefuroxime Axetil cefuroxime 500 mg oral tablet

58016096430 Cefuroxime Axetil cefuroxime 500 mg oral tablet

58016096460 Cefuroxime Axetil cefuroxime 500 mg oral tablet

58016096490 Cefuroxime Axetil cefuroxime 500 mg oral tablet

58016097500 Levaquin levofloxacin 750 mg oral tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 203: Pharmacy Table AA 2014

58016097530 Levaquin levofloxacin 750 mg oral tablet58016097560 Levaquin levofloxacin 750 mg oral tablet58016097590 Levaquin levofloxacin 750 mg oral tablet58016100401 Amoxicillin

58016100501 Amoxicillin

58016100601 Amoxicillin

58016100701 Amoxicillin

58016101101 Augmentin

58016101901 Cephalexin Monohydrate

58016102101 Cephalexin Monohydrate

58016102301

58016102401

58016102501

58016102601 Penicillin V Potassium

58016102701 Penicillin V Potassium

58016102801 Penicillin V Potassium

58016102901 Penicillin V Potassium

58016103301 Ampicillin ampicillin 250 mg/5 mL oral liquid

58016103401 Ampicillin ampicillin 250 mg/5 mL oral liquid

58016103501

58016103601 EryPed 200

58016103701 EryPed 200

58016103801 EryPed 400

58016103901 EryPed 400

58016104501 Cephalexin Monohydrate

58016104601 Cephalexin Monohydrate

58016414701 Cefzil cefprozil 250 mg/5 mL oral liquid

58016414801 Cefzil cefprozil 125 mg/5 mL oral liquid

58016419201 Cefaclor cefaclor 250 mg/5 mL oral liquid

amoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

penicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionerythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 200 mg/5 mL oral liquiderythromycin ethylsuccinate 400 mg/5 mL oral liquiderythromycin ethylsuccinate 400 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquid

Page 204: Pharmacy Table AA 2014

58016419301 Cefaclor cefaclor 125 mg/5 mL oral liquid

58016478601 CefTRIAXone Sodium cefTRIAXone 1 g injection

58016479001 CefTRIAXone Sodium cefTRIAXone 250 mg injection

58016480401 Augmentin

58016480701 Suprax cefixime 100 mg/5 mL oral liquid

58016481401 azithromycin 250 mg oral tablet

58016483401 CefTRIAXone Sodium cefTRIAXone 2 g injection

58016484201 Amoxicillin-Clavulanate

58016484701 Pediazole

58016486901 Amoxicillin-Clavulanate

58016487301 CefTRIAXone Sodium cefTRIAXone 2 g injection

58016499001 Amoxicillin-Clavulanate

58016943801 Rocephin cefTRIAXone 1 g injection

58016955101 Rocephin cefTRIAXone 500 mg injection

58864002930 Amoxicillin amoxicillin 500 mg oral capsule

58864002940 Amoxicillin amoxicillin 500 mg oral capsule

58864003410 Levaquin levofloxacin 500 mg oral tablet58864003414 Levaquin levofloxacin 500 mg oral tablet58864006720 Biaxin clarithromycin 500 mg oral tablet

58864007230 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58864007240 Cephalexin Monohydrate cephalexin 250 mg oral capsule

58864007320 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58864007328 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58864007330 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58864007340 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58864007356 Cephalexin Monohydrate cephalexin 500 mg oral capsule

58864014940 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

58864015030 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

58864018910 Doxycycline Hyclate

58864018920 Doxycycline Hyclate

amoxicillin-clavulanate 500 mg-125 mg oral tablet

Azithromycin 5 Day Dose Pack

amoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquiderythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

amoxicillin-clavulanate 200 mg-28.5 mg oral tablet, chewable

amoxicillin-clavulanate 875 mg-125 mg oral tablet

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Page 205: Pharmacy Table AA 2014

58864018928 Doxycycline Hyclate

58864019012 Doxycycline Hyclate

58864019020 Doxycycline Hyclate

58864019028 Doxycycline Hyclate

58864019030 Doxycycline Hyclate

58864019540 Erythromycin Base erythromycin 500 mg oral tablet

58864032314 Macrobid

58864035420 MetroNIDAZOLE

58864035421 MetroNIDAZOLE

58864035514 MetroNIDAZOLE

58864035520 MetroNIDAZOLE

58864035530 MetroNIDAZOLE

58864035540 MetroNIDAZOLE

58864037114

58864037120

58864037130

58864037940 Penicillin V Potassium

58864047806 SMZ-TMP DS

58864047810

58864047814

58864047820

58864047830 SMZ-TMP DS

58864060740 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

58864060760 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

58864061228 Penicillin V Potassium

58864061530 Ery-Tab

58864062105 Avelox moxifloxacin 400 mg oral tablet

58864062110 Avelox moxifloxacin 400 mg oral tablet

58864062130 Avelox moxifloxacin 400 mg oral tablet

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsulepenicillin V potassium 250 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

penicillin V potassium 500 mg oral tableterythromycin 333 mg oral delayed release tablet

Page 206: Pharmacy Table AA 2014

58864063240 Ery-Tab

58864063714 Cipro ciprofloxacin 500 mg oral tablet

58864063720 Cipro ciprofloxacin 500 mg oral tablet

58864063730 Cipro ciprofloxacin 500 mg oral tablet

58864065114 Macrodantin

58864065504 Zithromax azithromycin 250 mg oral tablet

58864065506 Zithromax azithromycin 250 mg oral tablet

58864065514 Zithromax azithromycin 250 mg oral tablet

58864065530 Zithromax azithromycin 250 mg oral tablet

58864067530 Amoxicillin

58864067540 Amoxicillin

58864069020 Ceftin cefuroxime 250 mg oral tablet

58864069720 Augmentin

58864074030 Augmentin

58864076720 Amoxicillin-Clavulanate

58864076721 Amoxicillin-Clavulanate

58864076730 Amoxicillin-Clavulanate

58864077520 Cipro ciprofloxacin 250 mg oral tablet

58864077730 Amoxicillin-Clavulanate

58864079106 Azithromycin azithromycin 250 mg oral tablet

58864080606 ciprofloxacin 250 mg oral tablet

58864080614 ciprofloxacin 250 mg oral tablet

58864080620 ciprofloxacin 250 mg oral tablet

58864083310 ciprofloxacin 500 mg oral tablet

58864083320 ciprofloxacin 500 mg oral tablet

58864083720 Clarithromycin clarithromycin 500 mg oral tablet

58864084530 Ery-Tab

58864084540 Ery-Tab

58864084830 Minocycline Hydrochloride minocycline 100 mg oral capsule

59366733801 Myrac minocycline 50 mg oral tablet

erythromycin 250 mg oral delayed release tablet

nitrofurantoin macrocrystals 100 mg oral capsule

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

amoxicillin-clavulanate 500 mg-125 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

erythromycin 500 mg oral delayed release tableterythromycin 500 mg oral delayed release tablet

Page 207: Pharmacy Table AA 2014

59366733901 Myrac minocycline 75 mg oral tablet59366734005 Myrac minocycline 100 mg oral tablet59630011210 Keflex cephalexin 250 mg oral capsule

59630011305 Keflex cephalexin 500 mg oral capsule

59630011310 Keflex cephalexin 500 mg oral capsule

59630011505 Keflex cephalexin 750 mg oral capsule

59630014203 Moxatag

59630045008 Furadantin

59630045016 Furadantin

59630082112 Cedax ceftibuten 90 mg/5 mL oral liquid

59630082160 Cedax ceftibuten 90 mg/5 mL oral liquid

59630082190 Cedax ceftibuten 90 mg/5 mL oral liquid

59762001601 Clindamycin Palmitate

59762027802 Levofloxacin levofloxacin 250 mg oral tablet59762027902 Levofloxacin levofloxacin 500 mg oral tablet59762028003 Levofloxacin levofloxacin 750 mg oral tablet59762102001 Amoxicillin amoxicillin 250 mg oral capsule

59762102003 Amoxicillin amoxicillin 250 mg oral capsule

59762102101 Amoxicillin amoxicillin 500 mg oral capsule

59762102107 Amoxicillin amoxicillin 500 mg oral capsule

59762102202 Amoxicillin

59762102204 Amoxicillin

59762102207 Amoxicillin

59762102304 Amoxicillin

59762102305 Amoxicillin

59762102306 Amoxicillin

59762105002 Amoxicillin amoxicillin 875 mg oral tablet59762105005 Amoxicillin amoxicillin 875 mg oral tablet59762108101 Cefuroxime Axetil cefuroxime 250 mg oral tablet

59762108102 Cefuroxime Axetil cefuroxime 250 mg oral tablet

59762108301 Cefuroxime Axetil cefuroxime 500 mg oral tablet

59762108302 Cefuroxime Axetil cefuroxime 500 mg oral tablet

59762153401 Penicillin V Potassium

amoxicillin 775 mg oral tablet, extended releasenitrofurantoin 25 mg/5 mL oral suspensionnitrofurantoin 25 mg/5 mL oral suspension

clindamycin 75 mg/5 mL oral liquid

amoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquid

penicillin V potassium 250 mg oral tablet

Page 208: Pharmacy Table AA 2014

59762153402 Penicillin V Potassium

59762153701 Penicillin V Potassium

59762153702 Penicillin V Potassium

59762153703 Penicillin V Potassium

59762200001 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

59762200004 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

59762218001 Cefdinir cefdinir 300 mg oral capsule

59762222002 Cefprozil cefprozil 250 mg oral tablet

59762222101 Cefprozil cefprozil 500 mg oral tablet

59762222102 Cefprozil cefprozil 500 mg oral tablet

59762302001 Cefprozil cefprozil 125 mg/5 mL oral liquid

59762302002 Cefprozil cefprozil 125 mg/5 mL oral liquid

59762302101 Cefprozil cefprozil 250 mg/5 mL oral liquid

59762302102 Cefprozil cefprozil 250 mg/5 mL oral liquid

59762305101 Azithromycin azithromycin 1 g oral liquid59762305102 Azithromycin azithromycin 1 g oral liquid59762306001 azithromycin 250 mg oral tablet

59762306002 Azithromycin azithromycin 250 mg oral tablet

59762306003 Azithromycin azithromycin 250 mg oral tablet

59762307001 azithromycin 500 mg oral tablet

59762307002 Azithromycin azithromycin 500 mg oral tablet

59762308001 Azithromycin azithromycin 600 mg oral tablet

59762311001 Azithromycin

59762312001 Azithromycin

59762313001 Azithromycin

59762314001 Azithromycin

59762332801 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

59762408001

59762408002

59762408005

penicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Azithromycin 5 Day Dose Pack

Azithromycin 3 Day Dose Pack

azithromycin 100 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquidazithromycin 200 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Page 209: Pharmacy Table AA 2014

59762408101

59762408102

59762501001 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

59762501002 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

59772017420

59772080202 Doxycycline Hyclate

60346008244 Augmentin

60346036403 Augmentin

60346036409 Augmentin

60346036415 Augmentin

60346036421 Augmentin

60346036444 Augmentin

60346043306 Cipro ciprofloxacin 250 mg oral tablet

60346043310 Cipro ciprofloxacin 250 mg oral tablet

60346043314 Cipro ciprofloxacin 250 mg oral tablet

60346043315 Cipro ciprofloxacin 250 mg oral tablet

60346043320 Cipro ciprofloxacin 250 mg oral tablet

60346043344 Cipro ciprofloxacin 250 mg oral tablet

60346043399 Cipro ciprofloxacin 250 mg oral tablet

60346064908 Keflex cephalexin 250 mg oral capsule

60346065506 Amoxicillin amoxicillin 250 mg oral capsule

60346065510 Amoxicillin amoxicillin 250 mg oral capsule

60346065515 Amoxicillin amoxicillin 250 mg oral capsule

60429002101 Amoxicillin amoxicillin 250 mg oral capsule

60429002105 Amoxicillin amoxicillin 250 mg oral capsule

60429002201 Amoxicillin amoxicillin 500 mg oral capsule

60429002205 Amoxicillin amoxicillin 500 mg oral capsule

60429002301 Ampicillin ampicillin 250 mg oral capsule60429002305 Ampicillin ampicillin 250 mg oral capsule60429002401 Ampicillin ampicillin 500 mg oral capsule60429002405 Ampicillin ampicillin 500 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletdoxycycline hyclate 100 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

Page 210: Pharmacy Table AA 2014

60429003640 Cephalexin Monohydrate cephalexin 250 mg oral capsule

60429003740 Cephalexin Monohydrate cephalexin 500 mg oral capsule

60429006992 Doxycycline Hyclate

60429007040 Erythromycin Base erythromycin 250 mg oral tablet

60429014701 Penicillin V Potassium

60429014710 Penicillin V Potassium

60429014801 Penicillin V Potassium

60429014805 Penicillin V Potassium

60429074201 ciprofloxacin 250 mg oral tablet

60429074301 ciprofloxacin 500 mg oral tablet

60429074305 ciprofloxacin 500 mg oral tablet

60429074320 ciprofloxacin 500 mg oral tablet

60429074401 ciprofloxacin 750 mg oral tablet

60432006500 Amoxicillin-Clavulanate

60432006547 Amoxicillin-Clavulanate

60432006575 Amoxicillin-Clavulanate

60505067905 CefTRIAXone Sodium cefTRIAXone 10 g injection

60505067908 CefTRIAXone Sodium cefTRIAXone 1 g injection

60505067909 CefTRIAXone Sodium cefTRIAXone 2 g injection

60505068002 CeFAZolin Sodium ceFAZolin 1 g injection

60505068100 Cefepime Hydrochloride cefepime 2 g injection

60505068104 Cefepime Hydrochloride cefepime 2 g injection

60505068604

60505068704

60505068804

60505074804 CeFAZolin Sodium ceFAZolin 500 mg injection

60505074805 CeFAZolin Sodium ceFAZolin 500 mg injection

60505074904 CeFAZolin Sodium ceFAZolin 1 g injection

60505074905 CeFAZolin Sodium ceFAZolin 1 g injection

doxycycline hyclate 100 mg oral tablet

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquid

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 2 g-0.25 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 4 g-0.5 g intravenous injection

Page 211: Pharmacy Table AA 2014

60505075000 CefTRIAXone Sodium cefTRIAXone 250 mg injection

60505075004 CefTRIAXone Sodium cefTRIAXone 250 mg injection

60505075100 CefTRIAXone Sodium cefTRIAXone 500 mg injection

60505075104 CefTRIAXone Sodium cefTRIAXone 500 mg injection

60505075200 CefTRIAXone Sodium cefTRIAXone 1 g injection

60505075204 CefTRIAXone Sodium cefTRIAXone 1 g injection

60505075300 CefTRIAXone Sodium cefTRIAXone 2 g injection

60505075304 CefTRIAXone Sodium cefTRIAXone 2 g injection

60505075905 CefOXitin cefOXitin 1 g injection

60505076005 CefOXitin cefOXitin 2 g injection

60505076104 CefOXitin cefOXitin 10 g injection

60505076900 CeFAZolin Sodium ceFAZolin 10 g injection

60505077300

60505077404 Cefotaxime Sodium cefotaxime 500 mg injection

60505077405 Cefotaxime Sodium cefotaxime 500 mg injection

60505077504 Cefotaxime Sodium cefotaxime 1 g injection

60505077505 Cefotaxime Sodium cefotaxime 1 g injection

60505077604 Cefotaxime Sodium cefotaxime 2 g injection

60505077605 Cefotaxime Sodium cefotaxime 2 g injection

60505083400 Cefepime Hydrochloride cefepime 1 g injection

60505083404 Cefepime Hydrochloride cefepime 1 g injection

60505130801 ciprofloxacin 250 mg oral tablet

60505130901 ciprofloxacin 500 mg oral tablet

60505131001 ciprofloxacin 750 mg oral tablet

60505131004 ciprofloxacin 750 mg oral tablet

60505253201 Cefprozil cefprozil 250 mg oral tablet

60505253301 Cefprozil cefprozil 500 mg oral tablet

60505253305 Cefprozil cefprozil 500 mg oral tablet

60505253903 Amoxicillin-Clavulanate

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 36 g-4.5 g intravenous injection

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin-clavulanate 250 mg-125 mg oral tablet

Page 212: Pharmacy Table AA 2014

60505254002 Amoxicillin-Clavulanate

60505254102 Amoxicillin-Clavulanate

60505257302 Cefprozil cefprozil 125 mg/5 mL oral liquid

60505257305 Cefprozil cefprozil 125 mg/5 mL oral liquid

60505257307 Cefprozil cefprozil 125 mg/5 mL oral liquid

60505257402 Cefprozil cefprozil 250 mg/5 mL oral liquid

60505257405 Cefprozil cefprozil 250 mg/5 mL oral liquid

60505257407 Cefprozil cefprozil 250 mg/5 mL oral liquid

60505258100 Azithromycin azithromycin 250 mg oral tablet

60505258103 Azithromycin azithromycin 250 mg oral tablet

60505258200 Azithromycin azithromycin 500 mg oral tablet

60505258203 Azithromycin azithromycin 500 mg oral tablet

60505258303 Azithromycin azithromycin 600 mg oral tablet

60505261506 Clarithromycin clarithromycin 500 mg oral tablet

60505261606 Clarithromycin clarithromycin 250 mg oral tablet

60505268102 Cefuroxime Axetil cefuroxime 250 mg oral tablet

60505268106 Cefuroxime Axetil cefuroxime 250 mg oral tablet

60505268202 Cefuroxime Axetil cefuroxime 500 mg oral tablet

60505268206 Cefuroxime Axetil cefuroxime 500 mg oral tablet

60505602505 CefOXitin cefOXitin 1 g injection

60505602605 CefOXitin cefOXitin 2 g injection

60505603004 Cefepime Hydrochloride cefepime 1 g injection

60505603104 Cefepime Hydrochloride cefepime 2 g injection

60505607604 Azithromycin

60505609305 CeFAZolin Sodium ceFAZolin 1 g injection

60505609400 CeFAZolin Sodium ceFAZolin 10 g injection

60760006920

60760026120 Clarithromycin clarithromycin 500 mg oral tablet

60760033708 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

azithromycin 500 mg intravenous injection

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 213: Pharmacy Table AA 2014

60760033728 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

60760033760 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

60760051310 Cipro ciprofloxacin 500 mg oral tablet

60760056220 Doxycycline Hyclate

60760069305 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

60760081510 ciprofloxacin 500 mg oral tablet

60793013010 Penicillin G Procaine

60793013110 Penicillin G Procaine

60793060010 Bicillin C-R

60793060110 Bicillin C-R

60793060210 Bicillin C-R 900/300

60793070010 Bicillin L-A

60793070110 Bicillin L-A

60793070210 Bicillin L-A

61392016830

61392016831

61392016832

61392016839

61392016845

61392016851

61392016854

61392016860

61392016890

doxycycline hyclate 100 mg oral capsule

Ciprofloxacin Hydrochloride

procaine penicillin 600,000 units/mL intramuscular suspension

procaine penicillin 1,200,000 units/2 mL intramuscular suspensionbenzathine penicillin-procaine penicillin 600,000 units-600,000 units/2 mL intramuscular suspension

benzathine penicillin-procaine penicillin 600,000 units-600,000 units/2 mL intramuscular suspension

benzathine penicillin-procaine penicillin 900,000 units-300,000 units/2 mL intramuscular suspension

penicillin G benzathine 600,000 units/mL intramuscular suspension

penicillin G benzathine 1,200,000 units/2 mL intramuscular suspensionpenicillin G benzathine 2,400,000 units/4 mL intramuscular suspension

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 214: Pharmacy Table AA 2014

61392016891

61392016930

61392016931

61392016932

61392016939

61392016945

61392016951

61392016954

61392016960

61392016990

61392016991

61392071432 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

61392071445 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

61392071454 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

61392071491 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

61392073130 Doxycycline Hyclate

61392073131 Doxycycline Hyclate

61392073132 Doxycycline Hyclate

61392073139 Doxycycline Hyclate

61392073145 Doxycycline Hyclate

61392073151 Doxycycline Hyclate

61392073154 Doxycycline Hyclate

61392073160 Doxycycline Hyclate

61392073190 Doxycycline Hyclate

61392073191 Doxycycline Hyclate

61392073230 Doxycycline Hyclate

61392073231 Doxycycline Hyclate

61392073232 Doxycycline Hyclate

61392073239 Doxycycline Hyclate

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 50 mg oral capsule

doxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 50 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

Page 215: Pharmacy Table AA 2014

61392073245 Doxycycline Hyclate

61392073251 Doxycycline Hyclate

61392073254 Doxycycline Hyclate

61392073260 Doxycycline Hyclate

61392073290 Doxycycline Hyclate

61392073291 Doxycycline Hyclate

61392074530 MetroNIDAZOLE

61392074531 MetroNIDAZOLE

61392074532 MetroNIDAZOLE

61392074539 MetroNIDAZOLE

61392074545 MetroNIDAZOLE

61392074551 MetroNIDAZOLE

61392074554 MetroNIDAZOLE

61392074560 MetroNIDAZOLE

61392074590 MetroNIDAZOLE

61392074591 MetroNIDAZOLE

61392074630 MetroNIDAZOLE

61392074631 MetroNIDAZOLE

61392074632 MetroNIDAZOLE

61392074639 MetroNIDAZOLE

61392074645 MetroNIDAZOLE

61392074651 MetroNIDAZOLE

61392074654 MetroNIDAZOLE

61392074660 MetroNIDAZOLE

61392074690 MetroNIDAZOLE

61392074691 MetroNIDAZOLE

61392078230

61392078231

61392078232

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsulemetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Page 216: Pharmacy Table AA 2014

61392078239

61392078245

61392078251

61392078254

61392078260

61392078290

61392078291

61392078330

61392078331

61392078332

61392078339

61392078345

61392078351

61392078354

61392078360

61392078390

61392078391

61442016101 Cephalexin Monohydrate cephalexin 250 mg oral capsule

61442016105 Cephalexin Monohydrate cephalexin 250 mg oral capsule

61442016201 Cephalexin Monohydrate cephalexin 500 mg oral capsule

61442016205 Cephalexin Monohydrate cephalexin 500 mg oral capsule

61442017130 Cefaclor cefaclor 250 mg oral capsule

61442017230 Cefaclor cefaclor 500 mg oral capsule

61442020101 Cephalexin Monohydrate

61442020102 Cephalexin Monohydrate

61442020201 Cephalexin Monohydrate

61442020202 Cephalexin Monohydrate

61442022201 ciprofloxacin 250 mg oral tablet

61442022301 ciprofloxacin 500 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

cephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 217: Pharmacy Table AA 2014

61442022305 ciprofloxacin 500 mg oral tablet

61553000101 Vancomycin Hydrochloride

61553000301 Vancomycin Hydrochloride

61553000401 Vancomycin Hydrochloride

61553000501 Vancomycin Hydrochloride

61553000602 Vancomycin Hydrochloride

61553000802 Vancomycin Hydrochloride

61553001272 CeFAZolin Sodium

61553001473 CeFAZolin Sodium

61553002902 Vancomycin Hydrochloride

61553004872 CeFAZolin Sodium

61553020202 Vancomycin Hydrochloride

61553020702 Vancomycin Hydrochloride

61553021148 CeFAZolin Sodium

61553021648 CeFAZolin Sodium

61570005011 Septra

61570005201 Septra

61570005301 Septra DS

61570005305 Septra DS

61570005320 Septra DS

61570005410 Septra I.V.

61570005510 Septra I.V.

61570005610 Septra I.V.

61570014010 Bicillin C-R

61570014110 Bicillin C-R

Ciprofloxacin Hydrochloride

vancomycin 750 mg/150 mL-NaCl 0.9% intravenous solutionvancomycin 1 g/150 mL-NaCl 0.9% intravenous solutionvancomycin 1.25 g/150 mL-NaCl 0.9% intravenous solutionvancomycin 1.5 g/150 mL-NaCl 0.9% intravenous solutionvancomycin 1.75 g/250 mL-NaCl 0.9% intravenous solutionvancomycin 2 g/250 mL-NaCl 0.9% intravenous solutionceFAZolin 1 g/10 mL injectable solutionceFAZolin 2 g/20 mL injectable solutionvancomycin 1.5 g/250 mL-D5% intravenous solutionceFAZolin 1 g/10 mL-NaCl 0.9% intravenous solutionvancomycin 1 g/250 mL-D5% intravenous solutionvancomycin 1 g/250 mL-NaCl 0.9% intravenous solutionceFAZolin 2 g/100 mL-D5% injectable solutionceFAZolin 2 g/100 mL-NaCl 0.9% intravenous solutionsulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionsulfamethoxazole-trimethoprim 400 mg-80 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletsulfamethoxazole-trimethoprim 80 mg-16 mg/mL intravenous solutionsulfamethoxazole-trimethoprim 80 mg-16 mg/mL intravenous solutionsulfamethoxazole-trimethoprim 80 mg-16 mg/mL intravenous solutionbenzathine penicillin-procaine penicillin 600,000 units-600,000 units/2 mL intramuscular suspension

benzathine penicillin-procaine penicillin 600,000 units-600,000 units/2 mL intramuscular suspension

Page 218: Pharmacy Table AA 2014

61570014410 Bicillin C-R 900/300

61570026010 Synercid

61748001511 Rifampin rifampin 150 mg oral capsule61748001530 Rifampin rifampin 150 mg oral capsule61748001801 Rifampin rifampin 300 mg oral capsule61748001811 Rifampin rifampin 300 mg oral capsule61748001830 Rifampin rifampin 300 mg oral capsule61748001860 Rifampin rifampin 300 mg oral capsule61748011114 Doxycycline Hyclate

61958090101 Cayston

61971012005

62037077760 Clarithromycin ER

62436072801 Adoxa

62436072903 Adoxa

62436072904 Adoxa

62436073001 Adoxa

62436073005 Adoxa

62584023501 Cephalexin Monohydrate cephalexin 250 mg oral capsule

62584023511 Cephalexin Monohydrate cephalexin 250 mg oral capsule

62584023601 Cephalexin Monohydrate cephalexin 500 mg oral capsule

62584023611 Cephalexin Monohydrate cephalexin 500 mg oral capsule

62584023701 Amoxicillin amoxicillin 250 mg oral capsule

62584023711 Amoxicillin amoxicillin 250 mg oral capsule

62584023801 Amoxicillin amoxicillin 500 mg oral capsule

62584023811 Amoxicillin amoxicillin 500 mg oral capsule

62584033801 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

62584033811 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

62584069301 Doxycycline Hyclate

62584069311 Doxycycline Hyclate

62584069321 Doxycycline Hyclate

62584080801

benzathine penicillin-procaine penicillin 900,000 units-300,000 units/2 mL intramuscular suspension

dalfopristin-quinupristin 350 mg-150 mg intravenous injection

doxycycline hyclate 100 mg oral capsuleaztreonam 75 mg inhalation powder for reconstitution

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletclarithromycin 500 mg oral tablet, extended releasedoxycycline monohydrate 50 mg oral tabletdoxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 75 mg oral tabletdoxycycline monohydrate 75 mg oral tablet

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 219: Pharmacy Table AA 2014

62584080811

62584085701

62584085711

62756029313 Cephalexin Monohydrate cephalexin 250 mg oral capsule

62756029388 Cephalexin Monohydrate cephalexin 250 mg oral capsule

62756029413 Cephalexin Monohydrate cephalexin 500 mg oral capsule

62756029488 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63304013101 Doxycycline Monohydrate

63304013204 Doxycycline Monohydrate

63304013250 Doxycycline Monohydrate

63304014801 Cefprozil cefprozil 250 mg oral tablet

63304014901 Cefprozil cefprozil 500 mg oral tablet

63304014950 Cefprozil cefprozil 500 mg oral tablet

63304017330 Doxycycline Monohydrate

63304050901 Amoxicillin-Clavulanate

63304050920 Amoxicillin-Clavulanate

63304051250 Cefadroxil Monohydate cefadroxil 1000 mg oral tablet

63304051501 Amoxicillin

63304051504 Amoxicillin

63304052020 Cefpodoxime Proxetil cefpodoxime 100 mg oral tablet

63304052101 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

63304052120 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

63304058201 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63304058250 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63304061501 Doxycycline Monohydrate

63304065401 Amoxicillin amoxicillin 250 mg oral capsule

63304065501 Amoxicillin amoxicillin 500 mg oral capsule

63304065505 Amoxicillin amoxicillin 500 mg oral capsule

63304065601 Cephalexin Monohydrate cephalexin 250 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

doxycycline monohydrate 75 mg oral tabletdoxycycline monohydrate 100 mg oral tabletdoxycycline monohydrate 100 mg oral tablet

doxycycline monohydrate 150 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

doxycycline monohydrate 75 mg oral capsule

Page 220: Pharmacy Table AA 2014

63304065605 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63304065701 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63304065705 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63304065801 Cefaclor cefaclor 250 mg oral capsule

63304065901 Cefaclor cefaclor 500 mg oral capsule

63304069201 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63304069205 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63304069301 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

63304069316 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

63304069401 Minocycline Hydrochloride minocycline 50 mg oral capsule

63304069501 Minocycline Hydrochloride minocycline 75 mg oral capsule

63304069605 Minocycline Hydrochloride minocycline 100 mg oral capsule

63304069650 Minocycline Hydrochloride minocycline 100 mg oral capsule

63304069701 Minocycline Hydrochloride minocycline 50 mg oral tablet

63304069801 Minocycline Hydrochloride minocycline 75 mg oral tablet

63304069950 Minocycline Hydrochloride minocycline 100 mg oral tablet

63304070901 ciprofloxacin 250 mg oral tablet

63304071001 ciprofloxacin 500 mg oral tablet

63304071101 ciprofloxacin 750 mg oral tablet

63304071150 ciprofloxacin 750 mg oral tablet

63304071320 Amoxicillin-Clavulanate

63304072501 Clarithromycin clarithromycin 250 mg oral tablet

63304072560 Clarithromycin clarithromycin 250 mg oral tablet

63304072601 Clarithromycin clarithromycin 500 mg oral tablet

63304072660 Clarithromycin clarithromycin 500 mg oral tablet

63304075120 Cefuroxime Axetil cefuroxime 250 mg oral tablet

63304075160 Cefuroxime Axetil cefuroxime 250 mg oral tablet

63304075220 Cefuroxime Axetil cefuroxime 500 mg oral tablet

63304075260 Cefuroxime Axetil cefuroxime 500 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin-clavulanate 500 mg-125 mg oral tablet

Page 221: Pharmacy Table AA 2014

63304075320 Amoxicillin-Clavulanate

63304075420 Amoxicillin-Clavulanate

63304076020 Amoxicillin

63304076101 Amoxicillin

63304076120 Amoxicillin

63304076220 Amoxicillin amoxicillin 500 mg oral tablet63304076301 Amoxicillin amoxicillin 875 mg oral tablet63304076305 Amoxicillin amoxicillin 875 mg oral tablet63304076320 Amoxicillin amoxicillin 875 mg oral tablet63304076801 Amoxicillin-Clavulanate

63304076802 Amoxicillin-Clavulanate

63304076807 Amoxicillin-Clavulanate

63304082103 Clarithromycin

63304082104 Clarithromycin

63304082203 Clarithromycin

63304082204 Clarithromycin

63304094025 CeFAZolin Sodium ceFAZolin 1 g injection

63304094110 CeFAZolin Sodium ceFAZolin 10 g injection

63304094625 Cefuroxime Sodium cefuroxime 750 mg injection

63304094725 Cefuroxime Sodium cefuroxime 1.5 g injection

63304094810 Cefuroxime Sodium cefuroxime 7.5 g injection

63304095401 Cefaclor cefaclor 125 mg/5 mL oral liquid

63304095402 Cefaclor cefaclor 125 mg/5 mL oral liquid

63304095601 Cefaclor cefaclor 250 mg/5 mL oral liquid

63304095602 Cefaclor cefaclor 250 mg/5 mL oral liquid

63304095703 Cefaclor cefaclor 375 mg/5 mL oral liquid

63304095704 Cefaclor cefaclor 375 mg/5 mL oral liquid

63304095801 Cephalexin Monohydrate

63304095802 Cephalexin Monohydrate

63304095901 Cephalexin Monohydrate

63304095902 Cephalexin Monohydrate

amoxicillin-clavulanate 200 mg-28.5 mg oral tablet, chewableamoxicillin-clavulanate 400 mg-57 mg oral tablet, chewableamoxicillin 200 mg oral tablet, chewableamoxicillin 400 mg oral tablet, chewableamoxicillin 400 mg oral tablet, chewable

amoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidclarithromycin 125 mg/5 mL oral liquidclarithromycin 125 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquid

cephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Page 222: Pharmacy Table AA 2014

63304096001 Cefprozil cefprozil 125 mg/5 mL oral liquid

63304096003 Cefprozil cefprozil 125 mg/5 mL oral liquid

63304096004 Cefprozil cefprozil 125 mg/5 mL oral liquid

63304096101 Cefprozil cefprozil 250 mg/5 mL oral liquid

63304096103 Cefprozil cefprozil 250 mg/5 mL oral liquid

63304096104 Cefprozil cefprozil 250 mg/5 mL oral liquid

63304096304 Cefuroxime Axetil

63304096403 Cefuroxime Axetil

63304096404 Cefuroxime Axetil

63304096503 Cefpodoxime Proxetil

63304096504 Cefpodoxime Proxetil

63304096603 Cefpodoxime Proxetil

63304096604 Cefpodoxime Proxetil

63304096901 Amoxicillin

63304096903 Amoxicillin

63304096904 Amoxicillin

63304097001 Amoxicillin

63304097003 Amoxicillin

63304097004 Amoxicillin

63304097304 Cefadroxil Monohydate cefadroxil 250 mg/5 mL oral liquid

63304097401 Cefadroxil Monohydate cefadroxil 500 mg/5 mL oral liquid

63304097404 Cefadroxil Monohydate cefadroxil 500 mg/5 mL oral liquid

63304097701 Amoxicillin-Clavulanate

63304097703 Amoxicillin-Clavulanate

63304097704 Amoxicillin-Clavulanate

63304097901 Amoxicillin-Clavulanate

63304097903 Amoxicillin-Clavulanate

63304097904 Amoxicillin-Clavulanate

63304907004 Amoxicillin

cefuroxime 125 mg/5 mL oral liquidcefuroxime 250 mg/5 mL oral liquidcefuroxime 250 mg/5 mL oral liquidcefpodoxime 50 mg/5 mL oral liquidcefpodoxime 50 mg/5 mL oral liquidcefpodoxime 100 mg/5 mL oral liquidcefpodoxime 100 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquid

amoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquid

Page 223: Pharmacy Table AA 2014

63323001002

63323001020

63323001050

63323001115

63323013011 Doxycycline Hyclate doxycycline 100 mg injection63323013013 Doxycycline Hyclate doxycycline 100 mg injection63323017302

63323022110 Vancomycin Hydrochloride

63323023610 CeFAZolin Sodium ceFAZolin 500 mg injection

63323023710 CeFAZolin Sodium ceFAZolin 1 g injection

63323023861 CeFAZolin Sodium ceFAZolin 10 g injection

63323028202 Clindamycin Phosphate

63323028204 Clindamycin Phosphate

63323028206 Clindamycin Phosphate

63323028260 Clindamycin Phosphate

63323028420 Vancomycin Hydrochloride

63323029561 Vancomycin Hydrochloride

63323030020

63323030030

63323030351 Tobramycin Sulfate tobramycin 1.2 g injection63323030355 Tobramycin Sulfate tobramycin 1.2 g injection63323030474

63323030502 Tobramycin Sulfate

63323030602 Tobramycin Sulfate

63323030630 Tobramycin Sulfate

63323030655 Tobramycin Sulfate

63323030656 Tobramycin Sulfate

63323030751 Tobramycin Sulfate

63323030920

63323031461 Vancomycin Hydrochloride

63323032050

Gentamicin Sulfate, Injectable

gentamicin 40 mg/mL injectable solution

Gentamicin Sulfate, Injectable

gentamicin 40 mg/mL injectable solution

Gentamicin Sulfate, Injectable

gentamicin 40 mg/mL injectable solution

Chloramphenicol Sodium Succinate

chloramphenicol 1000 mg injection

Gentamicin Sulfate, Injectable

gentamicin 10 mg/mL injectable solutionvancomycin 500 mg intravenous injection

clindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionclindamycin 150 mg/mL injectable solutionvancomycin 1 g intravenous injectionvancomycin 5 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 3 g-0.375 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 36 g-4.5 g intravenous injectiontobramycin 10 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solutiontobramycin 40 mg/mL injectable solution

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 2 g-0.25 g intravenous injectionvancomycin 10 g intravenous injection

Piperacillin Sodium-Tazobactam Sodium

piperacillin-tazobactam 4 g-0.5 g intravenous injection

Page 224: Pharmacy Table AA 2014

63323032320 Penicillin G Potassium

63323032620 Cefepime Hydrochloride cefepime 1 g injection

63323032710 Nafcillin Sodium nafcillin 1 g injection

63323032820 Nafcillin Sodium nafcillin 2 g injection

63323033060 Nafcillin Sodium nafcillin 10 g injection

63323033115 Cefotaxime Sodium cefotaxime 1 g injection

63323033215 Cefotaxime Sodium cefotaxime 2 g injection

63323033361 Cefotaxime Sodium cefotaxime 10 g injection

63323033461 Cefotaxime Sodium cefotaxime 20 g injection

63323033510 Cefotaxime Sodium cefotaxime 500 mg injection

63323033820 Vancomycin Hydrochloride vancomycin 125 mg oral capsule

63323033822 Vancomycin Hydrochloride vancomycin 125 mg oral capsule

63323033920 Vancomycin Hydrochloride vancomycin 250 mg oral capsule

63323033922 Vancomycin Hydrochloride vancomycin 250 mg oral capsule

63323034020 Cefepime Hydrochloride cefepime 2 g injection

63323034050 Cefepime Hydrochloride cefepime 2 g injection

63323034120 CefOXitin cefOXitin 1 g injection

63323034125 CefOXitin cefOXitin 1 g injection

63323034220 CefOXitin cefOXitin 2 g injection

63323034225 CefOXitin cefOXitin 2 g injection

63323034361 CefOXitin cefOXitin 10 g injection

63323034366 CefOXitin cefOXitin 10 g injection

63323034410 CefTRIAXone Sodium cefTRIAXone 250 mg injection

63323034510 CefTRIAXone Sodium cefTRIAXone 500 mg injection

63323034610 CefTRIAXone Sodium cefTRIAXone 1 g injection

63323034720 CefTRIAXone Sodium cefTRIAXone 2 g injection

63323034861 CefTRIAXone Sodium cefTRIAXone 10 g injection

63323035210 Cefuroxime Sodium cefuroxime 750 mg injection

63323035245 Cefuroxime Sodium cefuroxime 750 mg injection

penicillin G potassium 5,000,000 units injection

Page 225: Pharmacy Table AA 2014

63323035320 Cefuroxime Sodium cefuroxime 1.5 g injection

63323035345 Cefuroxime Sodium cefuroxime 1.5 g injection

63323035445 Cefuroxime Sodium cefuroxime 7.5 g injection

63323035461 Cefuroxime Sodium cefuroxime 7.5 g injection

63323035903 Kanamycin Sulfate

63323036820 Ampicillin-Sulbactam

63323036920 Ampicillin-Sulbactam

63323037062 Ampicillin-Sulbactam

63323038020 Piperacillin Sodium piperacillin 2 g injection63323038120 Piperacillin Sodium piperacillin 3 g injection63323038510 CefoTEtan Disodium cefoTEtan 1 g injection

63323038620 CefoTEtan Disodium cefoTEtan 2 g injection

63323038710 Ampicillin ampicillin 250 mg injection63323038810 Ampicillin ampicillin 500 mg injection63323038910 Ampicillin ampicillin 1 g injection63323039050 Piperacillin Sodium piperacillin 4 g injection63323039174 Piperacillin Sodium piperacillin 40 g injection63323039661 CefoTEtan Disodium cefoTEtan 10 g injection

63323039810 Azithromycin

63323039812 Azithromycin

63323039923 Ampicillin ampicillin 2 g injection63323040120 Aztreonam aztreonam 1 g injection63323040220 Aztreonam aztreonam 2 g injection63323044661 CeFAZolin Sodium ceFAZolin 20 g injection

63323044666 CeFAZolin Sodium ceFAZolin 20 g injection

63323051302

63629123600 Amoxicillin amoxicillin 500 mg oral capsule

63629123601 Amoxicillin amoxicillin 500 mg oral capsule

63629123602 Amoxicillin amoxicillin 500 mg oral capsule

63629123603 Amoxicillin amoxicillin 500 mg oral capsule

63629123604 Amoxicillin amoxicillin 500 mg oral capsule

63629123605 Amoxicillin amoxicillin 500 mg oral capsule

63629123606 Amoxicillin amoxicillin 500 mg oral capsule

63629123607 Amoxicillin amoxicillin 500 mg oral capsule

kanamycin 1 g/3 mL injectable solutionampicillin-sulbactam 1 g-0.5 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 10 g-5 g injection

azithromycin 500 mg intravenous injectionazithromycin 500 mg intravenous injection

Gentamicin Sulfate, Injectable

gentamicin 10 mg/mL injectable solution

Page 226: Pharmacy Table AA 2014

63629123608 Amoxicillin amoxicillin 500 mg oral capsule

63629124801 Amoxicillin-Clavulanate

63629124802 Amoxicillin-Clavulanate

63629124803 Amoxicillin-Clavulanate

63629125701 Amoxicillin amoxicillin 250 mg oral capsule

63629125702 Amoxicillin amoxicillin 250 mg oral capsule

63629125703 Amoxicillin amoxicillin 250 mg oral capsule

63629128401 Clarithromycin ER

63629130501 Cefaclor cefaclor 250 mg oral capsule

63629130502 Cefaclor cefaclor 250 mg oral capsule

63629130503 Cefaclor cefaclor 250 mg oral capsule

63629131701 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63629131702 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63629131703 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63629131704 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63629131705 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63629131901 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63629131902 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63629131903 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63629131904 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63629131905 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63629131906 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63629131907 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63629131908 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63629132001 Cefaclor cefaclor 500 mg oral capsule

63629132002 Cefaclor cefaclor 500 mg oral capsule

63629132003 Cefaclor cefaclor 500 mg oral capsule

63629132004 Cefaclor cefaclor 500 mg oral capsule

63629132101 Cefuroxime Axetil cefuroxime 250 mg oral tablet

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

clarithromycin 500 mg oral tablet, extended release

Page 227: Pharmacy Table AA 2014

63629132602 ciprofloxacin 250 mg oral tablet

63629135001 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63629135002 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63629135003 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63629135101 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63629135102 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63629135103 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63629135701 Doxycycline Hyclate

63629135702 Doxycycline Hyclate

63629135703 Doxycycline Hyclate

63629135801 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63629135802 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63629138601 MetroNIDAZOLE

63629138602 MetroNIDAZOLE

63629138603 MetroNIDAZOLE

63629138604 MetroNIDAZOLE

63629138605 MetroNIDAZOLE

63629138801 MetroNIDAZOLE

63629138802 MetroNIDAZOLE

63629138803 MetroNIDAZOLE

63629138804 MetroNIDAZOLE

63629145901

63629145902

63629145903

63629149001 Sulfatrim Pediatric

63629149002 Sulfatrim Pediatric

63629149003 Sulfatrim Pediatric

Ciprofloxacin Hydrochloride

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsulesulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionsulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionsulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Page 228: Pharmacy Table AA 2014

63629149004 Sulfatrim Pediatric

63629150101 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63629150102 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63629150103 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63629150104 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63629150201 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63629150202 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63629150203 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63629150204 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63629153101 Doxycycline Hyclate

63629153102 Doxycycline Hyclate

63629153103 Doxycycline Hyclate

63629153104 Doxycycline Hyclate

63629153105 Doxycycline Hyclate

63629161401 Penicillin V Potassium

63629161402 Penicillin V Potassium

63629161403 Penicillin V Potassium

63629161501 Penicillin V Potassium

63629161502 Penicillin V Potassium

63629161503 Penicillin V Potassium

63629161504 Penicillin V Potassium

63629161505 Penicillin V Potassium

63629172401 ciprofloxacin 500 mg oral tablet

63629172402 ciprofloxacin 500 mg oral tablet

63629172403 ciprofloxacin 500 mg oral tablet

63629172404 ciprofloxacin 500 mg oral tablet

63629172405 ciprofloxacin 500 mg oral tablet

63629172406 ciprofloxacin 500 mg oral tablet

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsulepenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 229: Pharmacy Table AA 2014

63629174801

63629174802

63629175901 Amoxicillin

63629175902 Amoxicillin

63629175903 Amoxicillin

63629175904 Amoxicillin

63629175905 Amoxicillin

63629176501

63629183501

63629183502

63629260901 Ampicillin ampicillin 250 mg oral capsule63629260902 Ampicillin ampicillin 250 mg oral capsule63629260903 Ampicillin ampicillin 250 mg oral capsule63629261001 Ampicillin ampicillin 500 mg oral capsule63629261002 Ampicillin ampicillin 500 mg oral capsule63629261003 Ampicillin ampicillin 500 mg oral capsule63629268501

63629268502

63629273801 Penicillin V Potassium

63629273802 Penicillin V Potassium

63629275501

63629275502

63629281701 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63629281702 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63629281703 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63629281704 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63629287101 Amoxicillin amoxicillin 875 mg oral tablet63629288701 Clarithromycin clarithromycin 500 mg oral tablet

63629288702 Clarithromycin clarithromycin 500 mg oral tablet

63629289501 Amoxicillin-Clavulanate

63629292401 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

63629292402 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

amoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspensionpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

amoxicillin-clavulanate 500 mg-125 mg oral tablet

Page 230: Pharmacy Table AA 2014

63629305701 Cefaclor ER

63629318901 Cefzil cefprozil 250 mg oral tablet

63739005910 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63739017510 MetroNIDAZOLE

63739017610 MetroNIDAZOLE

63739022810

63739040010 ciprofloxacin 500 mg oral tablet

63739041510 Rifampin rifampin 300 mg oral capsule63739042710 ciprofloxacin 250 mg oral tablet

63739055910 ciprofloxacin 500 mg oral tablet

63739057509 Azithromycin azithromycin 250 mg oral tablet

63739057510 Azithromycin azithromycin 250 mg oral tablet

63874008810 Rifampin rifampin 300 mg oral capsule63874008830 Rifampin rifampin 300 mg oral capsule63874008860 Rifampin rifampin 300 mg oral capsule63874010101 Amoxicillin amoxicillin 250 mg oral capsule

63874010103 Amoxicillin amoxicillin 250 mg oral capsule

63874010105 Amoxicillin amoxicillin 250 mg oral capsule

63874010109 Amoxicillin amoxicillin 250 mg oral capsule

63874010115 Amoxicillin amoxicillin 250 mg oral capsule

63874010118 Amoxicillin amoxicillin 250 mg oral capsule

63874010120 Amoxicillin amoxicillin 250 mg oral capsule

63874010121 Amoxicillin amoxicillin 250 mg oral capsule

63874010124 Amoxicillin amoxicillin 250 mg oral capsule

63874010128 Amoxicillin amoxicillin 250 mg oral capsule

63874010130 Amoxicillin amoxicillin 250 mg oral capsule

63874010140 Amoxicillin amoxicillin 250 mg oral capsule

63874010145 Amoxicillin amoxicillin 250 mg oral capsule

63874010150 Amoxicillin amoxicillin 250 mg oral capsule

63874010201 Amoxicillin amoxicillin 500 mg oral capsule

63874010203 Amoxicillin amoxicillin 500 mg oral capsule

cefaclor 500 mg oral tablet, extended release

metroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Ciprofloxacin Hydrochloride

Ciprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 231: Pharmacy Table AA 2014

63874010204 Amoxicillin amoxicillin 500 mg oral capsule

63874010205 Amoxicillin amoxicillin 500 mg oral capsule

63874010209 Amoxicillin amoxicillin 500 mg oral capsule

63874010210 Amoxicillin amoxicillin 500 mg oral capsule

63874010212 Amoxicillin amoxicillin 500 mg oral capsule

63874010214 Amoxicillin amoxicillin 500 mg oral capsule

63874010215 Amoxicillin amoxicillin 500 mg oral capsule

63874010218 Amoxicillin amoxicillin 500 mg oral capsule

63874010220 Amoxicillin amoxicillin 500 mg oral capsule

63874010221 Amoxicillin amoxicillin 500 mg oral capsule

63874010224 Amoxicillin amoxicillin 500 mg oral capsule

63874010228 Amoxicillin amoxicillin 500 mg oral capsule

63874010230 Amoxicillin amoxicillin 500 mg oral capsule

63874010240 Amoxicillin amoxicillin 500 mg oral capsule

63874010245 Amoxicillin amoxicillin 500 mg oral capsule

63874010250 Amoxicillin amoxicillin 500 mg oral capsule

63874010301 Augmentin

63874010321 Augmentin

63874010330 Augmentin

63874010701 Cipro ciprofloxacin 500 mg oral tablet

63874010702 Cipro ciprofloxacin 500 mg oral tablet

63874010704 Cipro ciprofloxacin 500 mg oral tablet

63874010706 Cipro ciprofloxacin 500 mg oral tablet

63874010708 Cipro ciprofloxacin 500 mg oral tablet

63874010709 Cipro ciprofloxacin 500 mg oral tablet

63874010710 Cipro ciprofloxacin 500 mg oral tablet

63874010712 Cipro ciprofloxacin 500 mg oral tablet

63874010714 Cipro ciprofloxacin 500 mg oral tablet

63874010715 Cipro ciprofloxacin 500 mg oral tablet

amoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 250 mg-125 mg oral tablet

Page 232: Pharmacy Table AA 2014

63874010716 Cipro ciprofloxacin 500 mg oral tablet

63874010720 Cipro ciprofloxacin 500 mg oral tablet

63874010728 Cipro ciprofloxacin 500 mg oral tablet

63874010730 Cipro ciprofloxacin 500 mg oral tablet

63874010740 Cipro ciprofloxacin 500 mg oral tablet

63874010750 Cipro ciprofloxacin 500 mg oral tablet

63874010760 Cipro ciprofloxacin 500 mg oral tablet

63874010790 Cipro ciprofloxacin 500 mg oral tablet

63874010801 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010810 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010812 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010814 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010815 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010818 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010820 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010824 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010828 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010830 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010840 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010860 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

63874010903 Doxycycline Hyclate

63874010910 Doxycycline Hyclate

63874010912 Doxycycline Hyclate

63874010914 Doxycycline Hyclate

63874010915 Doxycycline Hyclate

63874010916 Doxycycline Hyclate

63874010918 Doxycycline Hyclate

63874010920 Doxycycline Hyclate

63874010921 Doxycycline Hyclate

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

Page 233: Pharmacy Table AA 2014

63874010924 Doxycycline Hyclate

63874010928 Doxycycline Hyclate

63874010930 Doxycycline Hyclate

63874010940 Doxycycline Hyclate

63874010950 Doxycycline Hyclate

63874010960 Doxycycline Hyclate

63874011001

63874011020

63874011028

63874011030

63874011040

63874011050

63874011101 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011103 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011104 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011112 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011114 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011115 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011116 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011120 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011121 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011124 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011128 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011130 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011140 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011150 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011156 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011160 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011172 Cephalexin Monohydrate cephalexin 250 mg oral capsule

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg oral tablet

Page 234: Pharmacy Table AA 2014

63874011174 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011177 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011180 Cephalexin Monohydrate cephalexin 250 mg oral capsule

63874011201 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011203 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011204 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011205 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011206 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011208 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011210 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011212 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011214 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011215 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011216 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011218 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011220 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011221 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011224 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011225 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011228 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011230 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011240 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011250 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011256 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011260 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011272 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011274 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011277 Cephalexin Monohydrate cephalexin 500 mg oral capsule

63874011301 Ampicillin ampicillin 250 mg oral capsule63874011303 Ampicillin ampicillin 250 mg oral capsule63874011308 Ampicillin ampicillin 250 mg oral capsule

Page 235: Pharmacy Table AA 2014

63874011309 Ampicillin ampicillin 250 mg oral capsule63874011310 Ampicillin ampicillin 250 mg oral capsule63874011312 Ampicillin ampicillin 250 mg oral capsule63874011314 Ampicillin ampicillin 250 mg oral capsule63874011315 Ampicillin ampicillin 250 mg oral capsule63874011320 Ampicillin ampicillin 250 mg oral capsule63874011321 Ampicillin ampicillin 250 mg oral capsule63874011324 Ampicillin ampicillin 250 mg oral capsule63874011328 Ampicillin ampicillin 250 mg oral capsule63874011330 Ampicillin ampicillin 250 mg oral capsule63874011340 Ampicillin ampicillin 250 mg oral capsule63874011350 Ampicillin ampicillin 250 mg oral capsule63874011401 Ampicillin ampicillin 500 mg oral capsule63874011403 Ampicillin ampicillin 500 mg oral capsule63874011407 Ampicillin ampicillin 500 mg oral capsule63874011410 Ampicillin ampicillin 500 mg oral capsule63874011420 Ampicillin ampicillin 500 mg oral capsule63874011421 Ampicillin ampicillin 500 mg oral capsule63874011424 Ampicillin ampicillin 500 mg oral capsule63874011425 Ampicillin ampicillin 500 mg oral capsule63874011428 Ampicillin ampicillin 500 mg oral capsule63874011430 Ampicillin ampicillin 500 mg oral capsule63874011440 Ampicillin ampicillin 500 mg oral capsule63874011450 Ampicillin ampicillin 500 mg oral capsule63874011501 Augmentin

63874011508 Augmentin

63874011510 Augmentin

63874011512 Augmentin

63874011514 Augmentin

63874011515 Augmentin

63874011520 Augmentin

63874011521 Augmentin

63874011530 Augmentin

63874011801

63874011803

63874011806

63874011807

63874011810

63874011812

63874011814

63874011815

63874011818

amoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 236: Pharmacy Table AA 2014

63874011820

63874011821

63874011824

63874011828

63874011830

63874011840

63874011850

63874011860

63874011901 Cefaclor cefaclor 250 mg oral capsule

63874011921 Cefaclor cefaclor 250 mg oral capsule

63874011930 Cefaclor cefaclor 250 mg oral capsule

63874012001 Cefaclor cefaclor 500 mg oral capsule

63874012012 Cefaclor cefaclor 500 mg oral capsule

63874012020 Cefaclor cefaclor 500 mg oral capsule

63874012030 Cefaclor cefaclor 500 mg oral capsule

63874012301 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012312 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012314 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012315 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012320 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012321 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012324 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012328 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012330 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012340 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012350 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012360 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

63874012401 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012402 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 237: Pharmacy Table AA 2014

63874012410 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012412 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012414 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012415 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012420 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012421 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012424 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012428 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012430 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012440 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012450 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012460 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

63874012501 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012502 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012510 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012514 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012515 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012520 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012521 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012524 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012528 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012530 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012540 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012560 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012580 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

63874012628 Erythromycin Base erythromycin 250 mg oral tablet

63874012630 Erythromycin Base erythromycin 250 mg oral tablet

63874012640 Erythromycin Base erythromycin 250 mg oral tablet

63874012701 Ery-Tab erythromycin 333 mg oral delayed release tablet

Page 238: Pharmacy Table AA 2014

63874012705 Ery-Tab

63874012718 Ery-Tab

63874012720 Ery-Tab

63874012721 Ery-Tab

63874012728 Ery-Tab

63874012730 Ery-Tab

63874012740 Ery-Tab

63874012742 Ery-Tab

63874014310 Amoxicillin

63874014315 Amoxicillin

63874014380 Amoxicillin

63874014410 Amoxicillin

63874014415 Amoxicillin

63874014610 Ampicillin ampicillin 250 mg/5 mL oral liquid

63874014615 Ampicillin ampicillin 250 mg/5 mL oral liquid

63874014620 Ampicillin ampicillin 250 mg/5 mL oral liquid

63874014710 Augmentin

63874014715 Augmentin

63874014775 Augmentin

63874014810 Augmentin

63874014815 Augmentin

63874014875 Augmentin

63874015010 Sulfatrim Pediatric

63874015020 Sulfatrim Pediatric

63874015115 Cefaclor cefaclor 125 mg/5 mL oral liquid

63874015175 Cefaclor cefaclor 125 mg/5 mL oral liquid

63874015315 Cefaclor cefaclor 250 mg/5 mL oral liquid

63874015375 Cefaclor cefaclor 250 mg/5 mL oral liquid

erythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tabletamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

amoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 250 mg-62.5 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidamoxicillin-clavulanate 125 mg-31.25 mg/5 mL oral liquidsulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionsulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspension

Page 239: Pharmacy Table AA 2014

63874015510 Cephalexin Monohydrate

63874015520 Cephalexin Monohydrate

63874015610

63874015615

63874015620

63874015910

63874015920

63874016010

63874016020

63874016048

63874016610 Cephalexin Monohydrate

63874016620 Cephalexin Monohydrate

63874017010 Penicillin V Potassium

63874017020 Penicillin V Potassium

63874023101 Erythromycin Base erythromycin 500 mg oral tablet

63874023110 Erythromycin Base erythromycin 500 mg oral tablet

63874023112 Erythromycin Base erythromycin 500 mg oral tablet

63874023114 Erythromycin Base erythromycin 500 mg oral tablet

63874023115 Erythromycin Base erythromycin 500 mg oral tablet

63874023120 Erythromycin Base erythromycin 500 mg oral tablet

63874023121 Erythromycin Base erythromycin 500 mg oral tablet

63874023128 Erythromycin Base erythromycin 500 mg oral tablet

63874023130 Erythromycin Base erythromycin 500 mg oral tablet

63874023140 Erythromycin Base erythromycin 500 mg oral tablet

63874023201 Penicillin V Potassium

63874023202 Penicillin V Potassium

63874023203 Penicillin V Potassium

63874023210 Penicillin V Potassium

cephalexin 250 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 200 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspension

Erythromycin Ethylsuccinate

erythromycin ethylsuccinate 400 mg/5 mL oral suspensioncephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquid

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

Page 240: Pharmacy Table AA 2014

63874023212 Penicillin V Potassium

63874023216 Penicillin V Potassium

63874023220 Penicillin V Potassium

63874023221 Penicillin V Potassium

63874023224 Penicillin V Potassium

63874023228 Penicillin V Potassium

63874023230 Penicillin V Potassium

63874023240 Penicillin V Potassium

63874023250 Penicillin V Potassium

63874023301 Penicillin V Potassium

63874023302 Penicillin V Potassium

63874023306 Penicillin V Potassium

63874023310 Penicillin V Potassium

63874023312 Penicillin V Potassium

63874023315 Penicillin V Potassium

63874023316 Penicillin V Potassium

63874023320 Penicillin V Potassium

63874023324 Penicillin V Potassium

63874023328 Penicillin V Potassium

63874023330 Penicillin V Potassium

63874023336 Penicillin V Potassium

63874023340 Penicillin V Potassium

63874023350 Penicillin V Potassium

63874023360 Penicillin V Potassium

63874023501 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023504 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023510 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023512 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023515 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 241: Pharmacy Table AA 2014

63874023516 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023520 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023521 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023528 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023530 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023540 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023556 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023580 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

63874023701 Doxycycline Hyclate

63874023704 Doxycycline Hyclate

63874023705 Doxycycline Hyclate

63874023706 Doxycycline Hyclate

63874023707 Doxycycline Hyclate

63874023710 Doxycycline Hyclate

63874023712 Doxycycline Hyclate

63874023714 Doxycycline Hyclate

63874023715 Doxycycline Hyclate

63874023716 Doxycycline Hyclate

63874023720 Doxycycline Hyclate

63874023721 Doxycycline Hyclate

63874023724 Doxycycline Hyclate

63874023728 Doxycycline Hyclate

63874023730 Doxycycline Hyclate

63874023740 Doxycycline Hyclate

63874023750 Doxycycline Hyclate

63874023760 Doxycycline Hyclate

63874023772 Doxycycline Hyclate

63874023774 Doxycycline Hyclate

63874023777 Doxycycline Hyclate

doxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tabletdoxycycline hyclate 100 mg oral tablet

Page 242: Pharmacy Table AA 2014

63874023901 Amoxicillin

63874023920 Amoxicillin

63874023930 Amoxicillin

63874024001 Amoxicillin

63874024020 Amoxicillin

63874024030 Amoxicillin

63874024050 Amoxicillin

63874024115 Minocycline Hydrochloride minocycline 100 mg oral capsule

63874024120 Minocycline Hydrochloride minocycline 100 mg oral capsule

63874024130 Minocycline Hydrochloride minocycline 100 mg oral capsule

63874024150 Minocycline Hydrochloride minocycline 100 mg oral capsule

63874024160 Minocycline Hydrochloride minocycline 100 mg oral capsule

63874024600 Zithromax azithromycin 250 mg oral tablet

63874024604 Zithromax azithromycin 250 mg oral tablet

63874024606 Zithromax azithromycin 250 mg oral tablet

63874024610 Zithromax azithromycin 250 mg oral tablet

63874024615 Zithromax azithromycin 250 mg oral tablet

63874024910 Augmentin

63874024920 Augmentin

63874024930 Augmentin

63874031306 MetroNIDAZOLE

63874031308 MetroNIDAZOLE

63874031321 MetroNIDAZOLE

63874031330 MetroNIDAZOLE

63874031360 MetroNIDAZOLE

63874031401 MetroNIDAZOLE

63874031407 MetroNIDAZOLE

63874031409 MetroNIDAZOLE

63874031410 MetroNIDAZOLE

amoxicillin 125 mg oral tablet, chewableamoxicillin 125 mg oral tablet, chewableamoxicillin 125 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewableamoxicillin 250 mg oral tablet, chewable

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Page 243: Pharmacy Table AA 2014

63874031412 MetroNIDAZOLE

63874031414 MetroNIDAZOLE

63874031415 MetroNIDAZOLE

63874031418 MetroNIDAZOLE

63874031420 MetroNIDAZOLE

63874031421 MetroNIDAZOLE

63874031424 MetroNIDAZOLE

63874031428 MetroNIDAZOLE

63874031430 MetroNIDAZOLE

63874031440 MetroNIDAZOLE

63874031450 MetroNIDAZOLE

63874052301 Levaquin levofloxacin 250 mg oral tablet63874052303 Levaquin levofloxacin 250 mg oral tablet63874052305 Levaquin levofloxacin 250 mg oral tablet63874052306 Levaquin levofloxacin 250 mg oral tablet63874052307 Levaquin levofloxacin 250 mg oral tablet63874052310 Levaquin levofloxacin 250 mg oral tablet63874052314 Levaquin levofloxacin 250 mg oral tablet63874052320 Levaquin levofloxacin 250 mg oral tablet63874052330 Levaquin levofloxacin 250 mg oral tablet63874053301 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053304 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053310 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053312 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053314 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053315 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053320 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053325 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053328 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053330 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053340 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053344 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053360 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053372 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Page 244: Pharmacy Table AA 2014

63874053374 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053377 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874053390 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

63874108601 ciprofloxacin 500 mg oral tablet

63874108602 ciprofloxacin 500 mg oral tablet

63874108603 ciprofloxacin 500 mg oral tablet

63874108604 ciprofloxacin 500 mg oral tablet

63874108605 ciprofloxacin 500 mg oral tablet

63874108606 ciprofloxacin 500 mg oral tablet

63874111202 Amoxicillin-Clavulanate

63874122602 Amoxicillin-Clavulanate

64038003301 Cephalexin Monohydrate cephalexin 500 mg oral capsule

64038003340 Cephalexin Monohydrate cephalexin 500 mg oral capsule

64455069101 Cedax ceftibuten 400 mg oral capsule

64455069102 Cedax ceftibuten 400 mg oral capsule

64455077701 Cedax ceftibuten 90 mg/5 mL oral liquid

64455077702 Cedax ceftibuten 90 mg/5 mL oral liquid

64455077703 Cedax ceftibuten 90 mg/5 mL oral liquid

64455077704 Cedax ceftibuten 90 mg/5 mL oral liquid

64679054402 Levofloxacin levofloxacin 250 mg oral tablet64679054403 Levofloxacin levofloxacin 250 mg oral tablet64679054502 Levofloxacin levofloxacin 500 mg oral tablet64679054503 Levofloxacin levofloxacin 500 mg oral tablet64679054701 Levofloxacin levofloxacin 750 mg oral tablet64679054702 Levofloxacin levofloxacin 750 mg oral tablet64679054703 Levofloxacin levofloxacin 750 mg oral tablet64679070101 CefTRIAXone Sodium cefTRIAXone 250 mg injection

64679070102 CefTRIAXone Sodium cefTRIAXone 250 mg injection

64679070103 CefTRIAXone Sodium cefTRIAXone 250 mg injection

64679070201 CefTRIAXone Sodium cefTRIAXone 500 mg injection

64679070202 CefTRIAXone Sodium cefTRIAXone 500 mg injection

64679070301 CefTRIAXone Sodium cefTRIAXone 2 g injection

64679070302 CefTRIAXone Sodium cefTRIAXone 2 g injection

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

amoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tablet

Page 245: Pharmacy Table AA 2014

64679071203 Cefprozil cefprozil 250 mg oral tablet

64679071301 Cefprozil cefprozil 500 mg oral tablet

64679071303 Cefprozil cefprozil 500 mg oral tablet

64679092101 Cefuroxime Axetil cefuroxime 250 mg oral tablet

64679092102 Cefuroxime Axetil cefuroxime 250 mg oral tablet

64679092201 Cefuroxime Axetil cefuroxime 500 mg oral tablet

64679092202 Cefuroxime Axetil cefuroxime 500 mg oral tablet

64679094901 Clarithromycin clarithromycin 500 mg oral tablet

64679095401 Clarithromycin clarithromycin 250 mg oral tablet

64679096101 Azithromycin azithromycin 250 mg oral tablet

64679096104 Azithromycin azithromycin 250 mg oral tablet

64679096105 Azithromycin azithromycin 250 mg oral tablet

64679096201 Azithromycin azithromycin 600 mg oral tablet

64679096401 Azithromycin azithromycin 500 mg oral tablet

64679096403 Azithromycin azithromycin 500 mg oral tablet

64679096405 Azithromycin azithromycin 500 mg oral tablet

64679098301 CefTRIAXone Sodium cefTRIAXone 1 g injection

64679098302 CefTRIAXone Sodium cefTRIAXone 1 g injection

64679098601 Cefotaxime Sodium cefotaxime 1 g injection

64679098602 Cefotaxime Sodium cefotaxime 1 g injection

64679098603 Cefotaxime Sodium cefotaxime 1 g injection

64679098604 Cefotaxime Sodium cefotaxime 1 g injection

64720015210 Doxycycline Hyclate doxycycline 20 mg oral tablet64860030613 Cephalexin Monohydrate

64860030640 Cephalexin Monohydrate

64860030713 Cephalexin Monohydrate

64860030740 Cephalexin Monohydrate

64980051110 Clindamycin Palmitate

65162020201

65162020202

cephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquidclindamycin 75 mg/5 mL oral liquid

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 246: Pharmacy Table AA 2014

65162020208

65162020214

65162031301

65162031302

65162031308

65162031314

65162068988 Nitrofurantoin

65224080022 Cedax ceftibuten 400 mg oral capsule

65224080202 Cedax ceftibuten 90 mg/5 mL oral liquid

65224080203 Cedax ceftibuten 90 mg/5 mL oral liquid

65224080204 Cedax ceftibuten 90 mg/5 mL oral liquid

65224080402 Cedax ceftibuten 180 mg/5 mL oral liquid

65862001401 Amoxicillin amoxicillin 500 mg oral tablet65862001405 Amoxicillin amoxicillin 500 mg oral tablet65862001501 Amoxicillin amoxicillin 875 mg oral tablet65862001505 Amoxicillin amoxicillin 875 mg oral tablet65862001601 Amoxicillin amoxicillin 250 mg oral capsule

65862001605 Amoxicillin amoxicillin 250 mg oral capsule

65862001701 Amoxicillin amoxicillin 500 mg oral capsule

65862001705 Amoxicillin amoxicillin 500 mg oral capsule

65862001801 Cephalexin Monohydrate cephalexin 250 mg oral capsule

65862001805 Cephalexin Monohydrate cephalexin 250 mg oral capsule

65862001840 Cephalexin Monohydrate cephalexin 250 mg oral capsule

65862001901 Cephalexin Monohydrate cephalexin 500 mg oral capsule

65862001905 Cephalexin Monohydrate cephalexin 500 mg oral capsule

65862001940 Cephalexin Monohydrate cephalexin 500 mg oral capsule

65862003420 Cefuroxime Axetil cefuroxime 250 mg oral tablet

65862003460 Cefuroxime Axetil cefuroxime 250 mg oral tablet

65862003520 Cefuroxime Axetil cefuroxime 500 mg oral tablet

65862003560 Cefuroxime Axetil cefuroxime 500 mg oral tablet

65862006801 Cefprozil cefprozil 250 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletnitrofurantoin 25 mg/5 mL oral suspension

Page 247: Pharmacy Table AA 2014

65862006850 Cefprozil cefprozil 250 mg oral tablet

65862006901 Cefprozil cefprozil 500 mg oral tablet

65862006950 Cefprozil cefprozil 500 mg oral tablet

65862007001 Amoxicillin

65862007050 Amoxicillin

65862007075 Amoxicillin

65862007101 Amoxicillin

65862007150 Amoxicillin

65862007175 Amoxicillin

65862007601 ciprofloxacin 250 mg oral tablet

65862007701 ciprofloxacin 500 mg oral tablet

65862007850 ciprofloxacin 750 mg oral tablet

65862008501 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

65862008550 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

65862009520 Cefpodoxime Proxetil cefpodoxime 100 mg oral tablet

65862009601 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

65862009620 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

65862009901 Cefprozil cefprozil 125 mg/5 mL oral liquid

65862009975 Cefprozil cefprozil 125 mg/5 mL oral liquid

65862010001 Cefprozil cefprozil 250 mg/5 mL oral liquid

65862010075 Cefprozil cefprozil 250 mg/5 mL oral liquid

65862014001 Cefpodoxime Proxetil

65862014050 Cefpodoxime Proxetil

65862014101 Cefpodoxime Proxetil

65862014150 Cefpodoxime Proxetil

65862017501 Penicillin V Potassium

65862017599 Penicillin V Potassium

65862017601 Penicillin V Potassium

65862017605 Penicillin V Potassium

amoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 200 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquidamoxicillin 400 mg/5 mL oral liquid

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

cefpodoxime 50 mg/5 mL oral liquidcefpodoxime 50 mg/5 mL oral liquidcefpodoxime 100 mg/5 mL oral liquidcefpodoxime 100 mg/5 mL oral liquidpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 248: Pharmacy Table AA 2014

65862017699 Penicillin V Potassium

65862017760 Cefdinir cefdinir 300 mg oral capsule

65862018501 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

65862018505 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

65862018601 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

65862020901 Minocycline Hydrochloride minocycline 50 mg oral capsule

65862021001 Minocycline Hydrochloride minocycline 75 mg oral capsule

65862021150 Minocycline Hydrochloride minocycline 100 mg oral capsule

65862021801 Cefdinir cefdinir 125 mg/5 mL oral liquid

65862021860 Cefdinir cefdinir 125 mg/5 mL oral liquid

65862021901 Cefdinir cefdinir 250 mg/5 mL oral liquid

65862021960 Cefdinir cefdinir 250 mg/5 mL oral liquid

65862022560 Clarithromycin clarithromycin 250 mg oral tablet

65862041901

65862041905

65862042001

65862042005

65862049647

65862050130 Amoxicillin-Clavulanate

65862050220 Amoxicillin-Clavulanate

65862050301 Amoxicillin-Clavulanate

65862050320 Amoxicillin-Clavulanate

65862053301 Amoxicillin-Clavulanate

65862053350 Amoxicillin-Clavulanate

65862053375 Amoxicillin-Clavulanate

65862053401 Amoxicillin-Clavulanate

65862053450 Amoxicillin-Clavulanate

65862053475 Amoxicillin-Clavulanate

65862053502 Amoxicillin-Clavulanate

penicillin V potassium 500 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL oral suspensionamoxicillin-clavulanate 250 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

Page 249: Pharmacy Table AA 2014

65862053513 Amoxicillin-Clavulanate

65862053575 Amoxicillin-Clavulanate

65862053650 Levofloxacin levofloxacin 250 mg oral tablet65862053750 Levofloxacin levofloxacin 500 mg oral tablet65862053820 Levofloxacin levofloxacin 750 mg oral tablet65862059601 Clindamycin Palmitate

66105010810 Cipro ciprofloxacin 250 mg oral tablet

66105010901 Cipro ciprofloxacin 500 mg oral tablet

66105010902 Cipro ciprofloxacin 500 mg oral tablet

66105010903 Cipro ciprofloxacin 500 mg oral tablet

66105010906 Cipro ciprofloxacin 500 mg oral tablet

66105010910 Cipro ciprofloxacin 500 mg oral tablet

66105045010 Macrobid

66105047705 Levaquin levofloxacin 250 mg oral tablet66105047805 Levaquin levofloxacin 500 mg oral tablet66105050701 Zithromax azithromycin 250 mg oral tablet

66105050703 Zithromax azithromycin 250 mg oral tablet

66105050706 Zithromax azithromycin 250 mg oral tablet

66105050709 Zithromax azithromycin 250 mg oral tablet

66105050710 Zithromax azithromycin 250 mg oral tablet

66105053701 Avelox moxifloxacin 400 mg oral tablet

66105053703 Avelox moxifloxacin 400 mg oral tablet

66105053706 Avelox moxifloxacin 400 mg oral tablet

66105053709 Avelox moxifloxacin 400 mg oral tablet

66105053715 Avelox moxifloxacin 400 mg oral tablet

66105065301 Azithromycin azithromycin 500 mg oral tablet

66105065303 Azithromycin azithromycin 500 mg oral tablet

66105065305 Azithromycin azithromycin 500 mg oral tablet

66105065306 Azithromycin azithromycin 500 mg oral tablet

66105065319 Azithromycin azithromycin 500 mg oral tablet

66105067001 Azithromycin azithromycin 250 mg oral tablet

amoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquidamoxicillin-clavulanate 600 mg-42.9 mg/5 mL oral liquid

clindamycin 75 mg/5 mL oral liquid

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 250: Pharmacy Table AA 2014

66105067003 Azithromycin azithromycin 250 mg oral tablet

66105067005 Azithromycin azithromycin 250 mg oral tablet

66105067006 Azithromycin azithromycin 250 mg oral tablet

66105067018 Azithromycin azithromycin 250 mg oral tablet

66105074301 Biaxin clarithromycin 250 mg oral tablet

66105074303 Biaxin clarithromycin 250 mg oral tablet

66105074306 Biaxin clarithromycin 250 mg oral tablet

66105074309 Biaxin clarithromycin 250 mg oral tablet

66105074315 Biaxin clarithromycin 250 mg oral tablet

66105074401 Biaxin clarithromycin 500 mg oral tablet

66105074403 Biaxin clarithromycin 500 mg oral tablet

66105074406 Biaxin clarithromycin 500 mg oral tablet

66105074409 Biaxin clarithromycin 500 mg oral tablet

66105074415 Biaxin clarithromycin 500 mg oral tablet

66105074501 Ceftin cefuroxime 250 mg oral tablet

66105074503 Ceftin cefuroxime 250 mg oral tablet

66105074506 Ceftin cefuroxime 250 mg oral tablet

66105074509 Ceftin cefuroxime 250 mg oral tablet

66105074515 Ceftin cefuroxime 250 mg oral tablet

66267002115 Amoxicillin amoxicillin 250 mg oral capsule

66267002304 Amoxicillin amoxicillin 500 mg oral capsule

66267002308 Amoxicillin amoxicillin 500 mg oral capsule

66267002309 Amoxicillin amoxicillin 500 mg oral capsule

66267002315 Amoxicillin amoxicillin 500 mg oral capsule

66267002320 Amoxicillin amoxicillin 500 mg oral capsule

66267002360 Amoxicillin amoxicillin 500 mg oral capsule

66267002430 Ampicillin ampicillin 250 mg oral capsule66267002530 Ampicillin ampicillin 500 mg oral capsule66267003414 Biaxin clarithromycin 500 mg oral tablet

66267003420 Biaxin clarithromycin 500 mg oral tablet

Page 251: Pharmacy Table AA 2014

66267004530 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

66267005005 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66267005006 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66267005010 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66267006004 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66267006006 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66267006008 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66267006010 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66267006014 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66267006021 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66267006030 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66267006040 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66267006060 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66267019630

66267091906 ciprofloxacin 500 mg oral tablet

66267091910 ciprofloxacin 500 mg oral tablet

66267091915 ciprofloxacin 500 mg oral tablet

66267091928 ciprofloxacin 500 mg oral tablet

66267091930 ciprofloxacin 500 mg oral tablet

66267091960 ciprofloxacin 500 mg oral tablet

66336000814

66336000828

66336001808 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66336001814 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66336001820 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66336001828 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66336001842 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

66336003703 Erythromycin Base erythromycin 250 mg oral tablet

66336003720 Erythromycin Base erythromycin 250 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideNitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Page 252: Pharmacy Table AA 2014

66336003728 Erythromycin Base erythromycin 250 mg oral tablet

66336003740 Erythromycin Base erythromycin 250 mg oral tablet

66336005506 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66336005508 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66336005510 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66336005514 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66336005520 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66336005528 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66336005530 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66336005540 Cephalexin Monohydrate cephalexin 500 mg oral capsule

66336007420 Amoxicillin amoxicillin 875 mg oral tablet66336007720 Erythromycin Base erythromycin 500 mg oral tablet

66336007728 Erythromycin Base erythromycin 500 mg oral tablet

66336007740 Erythromycin Base erythromycin 500 mg oral tablet

66336008706

66336008710

66336008714

66336008720

66336008740

66336009506 Penicillin V Potassium

66336009520 Penicillin V Potassium

66336009528 Penicillin V Potassium

66336009530 Penicillin V Potassium

66336009540 Penicillin V Potassium

66336009821 Ery-Tab

66336009830 Ery-Tab

66336010420 Cefdinir cefdinir 300 mg oral capsule

66336010914 Doxycycline Hyclate

66336010928 Doxycycline Hyclate

66336010930 Doxycycline Hyclate

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tablet

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsule

Page 253: Pharmacy Table AA 2014

66336010950 Doxycycline Hyclate

66336011330 Amoxicillin

66336020230 Cefaclor cefaclor 250 mg oral capsule

66336022920 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

66336022956 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

66336022984 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

66336029330 Amoxicillin amoxicillin 500 mg oral tablet66336034720 Clarithromycin clarithromycin 500 mg oral tablet

66336036920 Cefuroxime Axetil cefuroxime 250 mg oral tablet

66336040005 Azithromycin azithromycin 500 mg oral tablet

66336041420 Penicillin V Potassium

66336041428 Penicillin V Potassium

66336041440 Penicillin V Potassium

66336043314 ciprofloxacin 250 mg oral tablet

66336043520 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

66336043528 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

66336043530 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

66336043540 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

66336043560 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

66336044103 Cephalexin Monohydrate cephalexin 250 mg oral capsule

66336044106 Cephalexin Monohydrate cephalexin 250 mg oral capsule

66336044108 Cephalexin Monohydrate cephalexin 250 mg oral capsule

66336044120 Cephalexin Monohydrate cephalexin 250 mg oral capsule

66336044128 Cephalexin Monohydrate cephalexin 250 mg oral capsule

66336044140 Cephalexin Monohydrate cephalexin 250 mg oral capsule

66336044914 Doxycycline Hyclate

66336045430 Cefaclor cefaclor 500 mg oral capsule

66336048020 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

66336048040 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

66336050714 MetroNIDAZOLE

doxycycline hyclate 100 mg oral capsuleamoxicillin 250 mg oral tablet, chewable

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tablet

Ciprofloxacin Hydrochloride

doxycycline hyclate 100 mg oral tablet

metroNIDAZOLE 500 mg oral tablet

Page 254: Pharmacy Table AA 2014

66336050721 MetroNIDAZOLE

66336050730 MetroNIDAZOLE

66336050744 MetroNIDAZOLE

66336058028 Erythromycin Base erythromycin 250 mg oral tablet

66336058030 Erythromycin Base erythromycin 250 mg oral tablet

66336059014

66336059020

66336059214 MetroNIDAZOLE

66336059221 MetroNIDAZOLE

66336059228 MetroNIDAZOLE

66336059340 Ampicillin ampicillin 500 mg oral capsule66336060906 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

66336060912 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

66336060920 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

66336060928 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

66336060940 Tetracycline Hydrochloride tetracycline 250 mg oral capsule

66336061730 E.E.S.-400 Filmtab

66336061740 E.E.S.-400 Filmtab

66336063408 Amoxicillin amoxicillin 500 mg oral capsule

66336063415 Amoxicillin amoxicillin 500 mg oral capsule

66336063421 Amoxicillin amoxicillin 500 mg oral capsule

66336063430 Amoxicillin amoxicillin 500 mg oral capsule

66336063440 Amoxicillin amoxicillin 500 mg oral capsule

66336063442 Amoxicillin amoxicillin 500 mg oral capsule

66336064440 Ery-Tab

66336064840 Amoxicillin

66336065521 Amoxicillin amoxicillin 250 mg oral capsule

66336065530 Amoxicillin amoxicillin 250 mg oral capsule

66336083005 Levaquin levofloxacin 750 mg oral tablet66336090310 ciprofloxacin 500 mg oral tablet

metroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tabletmetroNIDAZOLE 500 mg oral tablet

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsule

Nitrofurantoin Macrocrystals

nitrofurantoin macrocrystals 100 mg oral capsulemetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tabletmetroNIDAZOLE 250 mg oral tablet

erythromycin ethylsuccinate 400 mg oral tableterythromycin ethylsuccinate 400 mg oral tablet

erythromycin 500 mg oral delayed release tabletamoxicillin 400 mg oral tablet, chewable

Ciprofloxacin Hydrochloride

Page 255: Pharmacy Table AA 2014

66336090314 ciprofloxacin 500 mg oral tablet

66336090320 ciprofloxacin 500 mg oral tablet

66336090328 ciprofloxacin 500 mg oral tablet

66336090399 ciprofloxacin 500 mg oral tablet

66336090628 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

66593312501 Vancocin HCl Pulvules vancomycin 125 mg oral capsule

66593312502 Vancocin HCl Pulvules vancomycin 125 mg oral capsule

66593312601 Vancocin HCl Pulvules vancomycin 250 mg oral capsule

66593312602 Vancocin HCl Pulvules vancomycin 250 mg oral capsule

66647615211 CeFAZolin Sodium

66647615311 CeFAZolin Sodium

66647616333 Vancomycin Hydrochloride

66647616433 Vancomycin Hydrochloride

66685100100 Amoxicillin-Clavulanate

66685100101 Amoxicillin-Clavulanate

66685100200 Amoxicillin-Clavulanate

66685100202 Amoxicillin-Clavulanate

66685101100 Amoxicillin-Clavulanate

66685101101 Amoxicillin-Clavulanate

66685101102 Amoxicillin-Clavulanate

66685101200 Amoxicillin-Clavulanate

66685101201 Amoxicillin-Clavulanate

66685101202 Amoxicillin-Clavulanate

66860000103 CeFAZolin Sodium ceFAZolin 500 mg injection

66860000203 CeFAZolin Sodium ceFAZolin 1 g injection

66860000302 CeFAZolin Sodium ceFAZolin 10 g injection

66860001102 Ampicillin ampicillin 1 g injection66860003003 Cefuroxime Sodium cefuroxime 750 mg injection

66860003103 Cefuroxime Sodium cefuroxime 1.5 g injection

66860003202 Cefuroxime Sodium cefuroxime 7.5 g injection

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

ceFAZolin 2 g/100 mL-D5% injectable solutionceFAZolin 2 g/100 mL-NaCl 0.9% intravenous solutionvancomycin 1 g/250 mL-D5% intravenous solutionvancomycin 1 g/250 mL-NaCl 0.9% intravenous solutionamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 200 mg-28.5 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquidamoxicillin-clavulanate 400 mg-57 mg/5 mL oral liquid

Page 256: Pharmacy Table AA 2014

66860004102 Cefotaxime Sodium cefotaxime 500 mg injection

66860004203 Cefotaxime Sodium cefotaxime 1 g injection

66860004303 Cefotaxime Sodium cefotaxime 2 g injection

66860004401 Cefotaxime Sodium cefotaxime 10 g injection

66860007102 CefTRIAXone Sodium cefTRIAXone 250 mg injection

66860007202 CefTRIAXone Sodium cefTRIAXone 500 mg injection

66860007302 CefTRIAXone Sodium cefTRIAXone 1 g injection

66860007402 CefTRIAXone Sodium cefTRIAXone 2 g injection

66860073003 Cefuroxime Sodium cefuroxime 750 mg injection

66860073103 Cefuroxime Sodium cefuroxime 1.5 g injection

66860073202 Cefuroxime Sodium cefuroxime 7.5 g injection

66860090203 CeFAZolin Sodium ceFAZolin 1 g injection

66993021019 Vancomycin Hydrochloride vancomycin 125 mg oral capsule

66993021119 Vancomycin Hydrochloride vancomycin 250 mg oral capsule

66993047173 Nitrofurantoin

67046002021 Amoxicillin amoxicillin 500 mg oral capsule

67046009021 Cephalexin Monohydrate cephalexin 500 mg oral capsule

67046009028 Cephalexin Monohydrate cephalexin 500 mg oral capsule

67046009030 Cephalexin Monohydrate cephalexin 500 mg oral capsule

67046013514 Doxycycline Hyclate

67046013520 Doxycycline Hyclate

67046013530 Doxycycline Hyclate

67046057621 Penicillin V Potassium

67046057628 Penicillin V Potassium

67046057630 Penicillin V Potassium

67046072830 Tetracycline Hydrochloride tetracycline 500 mg oral capsule

67253000760 Cefdinir cefdinir 300 mg oral capsule

67253000841 Cefdinir cefdinir 125 mg/5 mL oral liquid

67253000846 Cefdinir cefdinir 125 mg/5 mL oral liquid

nitrofurantoin 25 mg/5 mL oral suspension

doxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsuledoxycycline hyclate 100 mg oral capsulepenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tablet

Page 257: Pharmacy Table AA 2014

67253000941 Cefdinir cefdinir 250 mg/5 mL oral liquid

67253000946 Cefdinir cefdinir 250 mg/5 mL oral liquid

67253014010 Amoxicillin amoxicillin 250 mg oral capsule

67253014050 Amoxicillin amoxicillin 250 mg oral capsule

67253014110 Amoxicillin amoxicillin 500 mg oral capsule

67253014150 Amoxicillin amoxicillin 500 mg oral capsule

67253014208 Amoxicillin

67253014210 Amoxicillin

67253014215 Amoxicillin

67253014308 Amoxicillin

67253014310 Amoxicillin

67253014315 Amoxicillin

67253014510 Amoxicillin amoxicillin 875 mg oral tablet67253018010 Ampicillin ampicillin 250 mg oral capsule67253018050 Ampicillin ampicillin 250 mg oral capsule67253018110 Ampicillin ampicillin 500 mg oral capsule67253018150 Ampicillin ampicillin 500 mg oral capsule67253018210 Ampicillin ampicillin 125 mg/5 mL oral liquid

67253018220 Ampicillin ampicillin 125 mg/5 mL oral liquid

67253018310 Ampicillin ampicillin 250 mg/5 mL oral liquid

67253018320 Ampicillin ampicillin 250 mg/5 mL oral liquid

67253020010 Penicillin V Potassium

67253020011 Penicillin V Potassium

67253020110 Penicillin V Potassium

67253020150 Penicillin V Potassium

67253020210 Penicillin V Potassium

67253020220 Penicillin V Potassium

67253020310 Penicillin V Potassium

67253020320 Penicillin V Potassium

67253030010 Cephalexin Monohydrate cephalexin 250 mg oral capsule

67253030050 Cephalexin Monohydrate cephalexin 250 mg oral capsule

67253030110 Cephalexin Monohydrate cephalexin 500 mg oral capsule

amoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 125 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquidamoxicillin 250 mg/5 mL oral liquid

penicillin V potassium 250 mg oral tabletpenicillin V potassium 250 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 500 mg oral tabletpenicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 125 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquidpenicillin V potassium 250 mg/5 mL oral liquid

Page 258: Pharmacy Table AA 2014

67253030150 Cephalexin Monohydrate cephalexin 500 mg oral capsule

67253078002 Cefuroxime Axetil cefuroxime 250 mg oral tablet

67253078102 Cefuroxime Axetil cefuroxime 500 mg oral tablet

67457018901 Mefoxin

67457018902 Mefoxin

67457021650 Mefoxin

67457022220 Vancomycin Hydrochloride

67457022510 Vancomycin Hydrochloride

67457022600 Ampicillin-Sulbactam

67457022615 Ampicillin-Sulbactam

67457023010 Ampicillin-Sulbactam

67544077528 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

67707032005 Factive gemifloxacin 320 mg oral tablet

67707032007 Factive gemifloxacin 320 mg oral tablet

67877021520 Cefuroxime Axetil cefuroxime 250 mg oral tablet

67877021560 Cefuroxime Axetil cefuroxime 250 mg oral tablet

67877021620 Cefuroxime Axetil cefuroxime 500 mg oral tablet

67877021660 Cefuroxime Axetil cefuroxime 500 mg oral tablet

67877021901 Cephalexin Monohydrate cephalexin 500 mg oral capsule

67877021905 Cephalexin Monohydrate cephalexin 500 mg oral capsule

67877022005 Cephalexin Monohydrate cephalexin 250 mg oral capsule

67877025520 Cephalexin Monohydrate cephalexin 750 mg oral capsule

67919001101 Cubicin

68047071401 Doxycycline Hyclate doxycycline 20 mg oral tablet68047071460 Doxycycline Hyclate doxycycline 20 mg oral tablet68071005506 ciprofloxacin 250 mg oral tablet

68071005510 ciprofloxacin 250 mg oral tablet

68071005514 ciprofloxacin 250 mg oral tablet

68071005520 ciprofloxacin 250 mg oral tablet

68071005528 ciprofloxacin 250 mg oral tablet

cefOXitin 1 g/50 mL intravenous solutioncefOXitin 2 g/50 mL intravenous solutioncefOXitin 2 g/50 mL intravenous solutionvancomycin 1 g intravenous injectionvancomycin 500 mg intravenous injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 2 g-1 g injectionampicillin-sulbactam 1 g-0.5 g injection

DAPTOmycin 500 mg intravenous injection

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Page 259: Pharmacy Table AA 2014

68071005530 ciprofloxacin 250 mg oral tablet

68071033114 ciprofloxacin 750 mg oral tablet

68071033120 ciprofloxacin 750 mg oral tablet

68071033130 ciprofloxacin 750 mg oral tablet

68071033714 Clarithromycin clarithromycin 500 mg oral tablet

68071033720 Clarithromycin clarithromycin 500 mg oral tablet

68071033730 Clarithromycin clarithromycin 500 mg oral tablet

68071039806 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68071039814 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68071039820 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68071039830 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68071039840 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68071039890 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68084006901 ciprofloxacin 250 mg oral tablet

68084006911 ciprofloxacin 250 mg oral tablet

68084007001 ciprofloxacin 500 mg oral tablet

68084007011 ciprofloxacin 500 mg oral tablet

68084007101 ciprofloxacin 750 mg oral tablet

68084007111 ciprofloxacin 750 mg oral tablet

68084013001 MetroNIDAZOLE

68084021801 Cefuroxime Axetil cefuroxime 250 mg oral tablet

68084021811 Cefuroxime Axetil cefuroxime 250 mg oral tablet

68084021901 Cefuroxime Axetil cefuroxime 500 mg oral tablet

68084021911 Cefuroxime Axetil cefuroxime 500 mg oral tablet

68084023001

68084023011

68084023501 Amoxicillin-Clavulanate

68084023511 Amoxicillin-Clavulanate

68084023601 Amoxicillin-Clavulanate

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin Hydrochloride

metroNIDAZOLE 250 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 500 mg-125 mg oral tabletamoxicillin-clavulanate 875 mg-125 mg oral tablet

Page 260: Pharmacy Table AA 2014

68084023611 Amoxicillin-Clavulanate

68084024301 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

68084024311 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

68084024401 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68084024411 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68084027801 Azithromycin azithromycin 250 mg oral tablet

68084027811 Azithromycin azithromycin 250 mg oral tablet

68084027830 Azithromycin azithromycin 250 mg oral tablet

68084027865 Azithromycin azithromycin 250 mg oral tablet

68084027889 Azithromycin azithromycin 250 mg oral tablet

68084027911 Azithromycin azithromycin 500 mg oral tablet

68084027921 Azithromycin azithromycin 500 mg oral tablet

68084028901 Minocycline Hydrochloride minocycline 100 mg oral capsule

68084028911 Minocycline Hydrochloride minocycline 100 mg oral capsule

68084035711 Rifampin rifampin 150 mg oral capsule68084035721 Rifampin rifampin 150 mg oral capsule68084035801 Rifampin rifampin 300 mg oral capsule68084035811 Rifampin rifampin 300 mg oral capsule68084043711 Clarithromycin clarithromycin 500 mg oral tablet

68084043765 Clarithromycin clarithromycin 500 mg oral tablet

68084044311 Azithromycin azithromycin 250 mg oral tablet

68084044365 Azithromycin azithromycin 250 mg oral tablet

68084044601

68084044611

68084046411 Azithromycin azithromycin 600 mg oral tablet

68084046421 Azithromycin azithromycin 600 mg oral tablet

68084048101 Levofloxacin levofloxacin 250 mg oral tablet68084048111 Levofloxacin levofloxacin 250 mg oral tablet68084048201 Levofloxacin levofloxacin 500 mg oral tablet68084048211 Levofloxacin levofloxacin 500 mg oral tablet68084048301 Levofloxacin levofloxacin 750 mg oral tablet68084048311 Levofloxacin levofloxacin 750 mg oral tablet68084062311 Minocycline Hydrochloride minocycline 100 mg oral capsule

amoxicillin-clavulanate 875 mg-125 mg oral tablet

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Nitrofurantoin Monohydrate/Macrocrystals

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 261: Pharmacy Table AA 2014

68084062365 Minocycline Hydrochloride minocycline 100 mg oral capsule

68115002606 Amoxicillin amoxicillin 250 mg oral capsule

68115002609 Amoxicillin amoxicillin 250 mg oral capsule

68115002615 Amoxicillin amoxicillin 250 mg oral capsule

68115002640 Amoxicillin amoxicillin 250 mg oral capsule

68115002920 Amoxicillin amoxicillin 500 mg oral capsule

68115003010 Amoxicillin amoxicillin 875 mg oral tablet68115003240 Ampicillin ampicillin 250 mg oral capsule68115003315 Ampicillin ampicillin 500 mg oral capsule68115003340 Ampicillin ampicillin 500 mg oral capsule68115006720 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

68115008106 Cipro ciprofloxacin 250 mg oral tablet

68115008110 Cipro ciprofloxacin 250 mg oral tablet

68115008201 Cipro ciprofloxacin 500 mg oral tablet

68115008206 Cipro ciprofloxacin 500 mg oral tablet

68115009020 Cephalexin Monohydrate

68115010406 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

68115010440 Dicloxacillin Sodium dicloxacillin 250 mg oral capsule

68115010530 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

68115010540 Dicloxacillin Sodium dicloxacillin 500 mg oral capsule

68115012528 Doxycycline Hyclate

68115013106 Ery-Tab

68115013115 Ery-Tab

68115013121 Ery-Tab

68115013140 Ery-Tab

68115013320 Erythromycin Base

68115013340 Erythromycin Base

68115013406 Erythromycin Base erythromycin 250 mg oral tablet

68115013440 Erythromycin Base erythromycin 250 mg oral tablet

68115022006 Macrobid

cephalexin 250 mg/5 mL oral liquid

doxycycline hyclate 100 mg oral capsuleerythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 333 mg oral delayed release tableterythromycin 250 mg oral delayed release capsuleerythromycin 250 mg oral delayed release capsule

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Page 262: Pharmacy Table AA 2014

68115022020 Macrobid

68115042128 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68115044522

68180012101 Cephalexin Monohydrate cephalexin 250 mg oral capsule

68180012102 Cephalexin Monohydrate cephalexin 250 mg oral capsule

68180012201 Cephalexin Monohydrate cephalexin 500 mg oral capsule

68180012202 Cephalexin Monohydrate cephalexin 500 mg oral capsule

68180012301 Cephalexin Monohydrate

68180012302 Cephalexin Monohydrate

68180012401 Cephalexin Monohydrate

68180012402 Cephalexin Monohydrate

68180018001 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

68180018008 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

68180018101 Cefadroxil Monohydate cefadroxil 250 mg/5 mL oral liquid

68180018102 Cefadroxil Monohydate cefadroxil 250 mg/5 mL oral liquid

68180018202 Cefadroxil Monohydate cefadroxil 500 mg/5 mL oral liquid

68180018203 Cefadroxil Monohydate cefadroxil 500 mg/5 mL oral liquid

68180020201 Suprax cefixime 100 mg/5 mL oral liquid

68180020202 Suprax cefixime 100 mg/5 mL oral liquid

68180020203 Suprax cefixime 100 mg/5 mL oral liquid

68180024001 Levofloxacin levofloxacin 250 mg oral tablet68180024008 Levofloxacin levofloxacin 250 mg oral tablet68180024101 Levofloxacin levofloxacin 500 mg oral tablet68180024102 Levofloxacin levofloxacin 500 mg oral tablet68180024108 Levofloxacin levofloxacin 500 mg oral tablet68180024201 Levofloxacin levofloxacin 750 mg oral tablet68180024220 Levofloxacin levofloxacin 750 mg oral tablet68180030220 Cefuroxime Axetil cefuroxime 250 mg oral tablet

68180030260 Cefuroxime Axetil cefuroxime 250 mg oral tablet

68180030320 Cefuroxime Axetil cefuroxime 500 mg oral tablet

68180030360 Cefuroxime Axetil cefuroxime 500 mg oral tablet

68180037906

nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule

Erythromycin-SulfiSOXAZOLE

erythromycin-sulfiSOXAZOLE 200 mg-600 mg/5 mL oral liquid

cephalexin 125 mg/5 mL oral liquidcephalexin 125 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquidcephalexin 250 mg/5 mL oral liquid

Minocycline Hydrochloride ER

minocycline 45 mg oral tablet, extended release

Page 263: Pharmacy Table AA 2014

68180038006 Minocycline Hydrochloride

68180038106

68180040101 Cefprozil cefprozil 125 mg/5 mL oral liquid

68180040102 Cefprozil cefprozil 125 mg/5 mL oral liquid

68180040103 Cefprozil cefprozil 125 mg/5 mL oral liquid

68180040201 Cefprozil cefprozil 250 mg/5 mL oral liquid

68180040202 Cefprozil cefprozil 250 mg/5 mL oral liquid

68180040203 Cefprozil cefprozil 250 mg/5 mL oral liquid

68180040301 Cefprozil cefprozil 250 mg oral tablet

68180040401 Cefprozil cefprozil 500 mg oral tablet

68180040402 Cefprozil cefprozil 500 mg oral tablet

68180061101 CefTRIAXone Sodium cefTRIAXone 250 mg injection

68180061110 CefTRIAXone Sodium cefTRIAXone 250 mg injection

68180062201 CefTRIAXone Sodium cefTRIAXone 500 mg injection

68180062210 CefTRIAXone Sodium cefTRIAXone 500 mg injection

68180063301 CefTRIAXone Sodium cefTRIAXone 1 g injection

68180063310 CefTRIAXone Sodium cefTRIAXone 1 g injection

68180064401 CefTRIAXone Sodium cefTRIAXone 2 g injection

68180064410 CefTRIAXone Sodium cefTRIAXone 2 g injection

68180065701 Doxycycline Monohydrate

68180071160 Cefdinir cefdinir 300 mg oral capsule

68180072210 Cefdinir cefdinir 125 mg/5 mL oral liquid

68180072220 Cefdinir cefdinir 125 mg/5 mL oral liquid

68180072310 Cefdinir cefdinir 250 mg/5 mL oral liquid

68180072320 Cefdinir cefdinir 250 mg/5 mL oral liquid

68258301201 Azithromycin azithromycin 500 mg oral tablet

68258930002 Cefpodoxime Proxetil cefpodoxime 200 mg oral tablet

68308071010 Doxycycline Hyclate

68308077560 Doxycycline Hyclate

minocycline 90 mg oral tablet, extended release

Minocycline Hydrochloride ER

minocycline 135 mg oral tablet, extended release

doxycycline 25 mg/5 mL oral liquid

doxycycline hyclate 100 mg oral delayed release tabletdoxycycline hyclate 75 mg oral delayed release tablet

Page 264: Pharmacy Table AA 2014

68330000101 CefTRIAXone Sodium cefTRIAXone 250 mg injection

68330000110 CefTRIAXone Sodium cefTRIAXone 250 mg injection

68330000201 CefTRIAXone Sodium cefTRIAXone 500 mg injection

68330000210 CefTRIAXone Sodium cefTRIAXone 500 mg injection

68330000301 CefTRIAXone Sodium cefTRIAXone 1 g injection

68330000310 CefTRIAXone Sodium cefTRIAXone 1 g injection

68330000401 CefTRIAXone Sodium cefTRIAXone 2 g injection

68330000410 CefTRIAXone Sodium cefTRIAXone 2 g injection

68330000501 CefTRIAXone Sodium cefTRIAXone 1 g injection

68330000601 CefTRIAXone Sodium cefTRIAXone 2 g injection

68330001525 CeFAZolin Sodium ceFAZolin 1 g injection

68382001501 Levofloxacin levofloxacin 250 mg oral tablet68382001518 Levofloxacin levofloxacin 250 mg oral tablet68382001601 Levofloxacin levofloxacin 500 mg oral tablet68382001618 Levofloxacin levofloxacin 500 mg oral tablet68382001701 Levofloxacin levofloxacin 750 mg oral tablet68382001718 Levofloxacin levofloxacin 750 mg oral tablet68382076114 Clarithromycin clarithromycin 250 mg oral tablet

68382076214 Clarithromycin clarithromycin 500 mg oral tablet

68382076314 Clarithromycin ER

68382076405 Clarithromycin

68382076406 Clarithromycin

68382076505 Clarithromycin

68382076506 Clarithromycin

68387011520 Rifampin rifampin 300 mg oral capsule68387011730 Clindamycin Hydrochloride clindamycin 300 mg oral capsule

68387019020 Cephalexin Monohydrate cephalexin 500 mg oral capsule

68387019021 Cephalexin Monohydrate cephalexin 500 mg oral capsule

68387019030 Cephalexin Monohydrate cephalexin 500 mg oral capsule

68387019040 Cephalexin Monohydrate cephalexin 500 mg oral capsule

68387019120 MetroNIDAZOLE

68387038020 Doxycycline Hyclate

68387038520 SMZ-TMP DS

clarithromycin 500 mg oral tablet, extended releaseclarithromycin 125 mg/5 mL oral liquidclarithromycin 125 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquid

metroNIDAZOLE 500 mg oral tabletdoxycycline hyclate 100 mg oral capsulesulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Page 265: Pharmacy Table AA 2014

68387038530 SMZ-TMP DS

68387038560

68387039020 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

68387039028 Clindamycin Hydrochloride clindamycin 150 mg oral capsule

68387043030 Amoxicillin amoxicillin 500 mg oral capsule

68387043040 Amoxicillin amoxicillin 500 mg oral capsule

68387047014 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

68387047020 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

68387053401 ciprofloxacin 750 mg oral tablet

68387053515 ciprofloxacin 500 mg oral tablet

68387053520 ciprofloxacin 500 mg oral tablet

68387056506 azithromycin 250 mg oral tablet

68387058015 Amoxicillin-Clavulanate

68453011210 Keflex cephalexin 250 mg oral capsule

68453011310 Keflex cephalexin 500 mg oral capsule

68453011505 Keflex cephalexin 750 mg oral capsule

68453014203 Moxatag

68462033901

68462033905

68462034001

68462034005

68645003020 ciprofloxacin 500 mg oral tablet

68774012060 Clarithromycin clarithromycin 250 mg oral tablet

68774012260 Clarithromycin clarithromycin 500 mg oral tablet

68774030229 Clarithromycin

68774030235 Clarithromycin

68774030329 Clarithromycin

68774030335 Clarithromycin

68820001610 Cefprozil cefprozil 250 mg oral tablet

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Ciprofloxacin HydrochlorideCiprofloxacin HydrochlorideCiprofloxacin HydrochlorideAzithromycin 5 Day Dose Pack

amoxicillin-clavulanate 500 mg-125 mg oral tablet

amoxicillin 775 mg oral tablet, extended release

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim

sulfamethoxazole-trimethoprim 400 mg-80 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Sulfamethoxazole-Trimethoprim DS

sulfamethoxazole-trimethoprim 800 mg-160 mg oral tablet

Ciprofloxacin Hydrochloride

clarithromycin 125 mg/5 mL oral liquidclarithromycin 125 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquidclarithromycin 250 mg/5 mL oral liquid

Page 266: Pharmacy Table AA 2014

68820001708 Cefprozil cefprozil 500 mg oral tablet

68820001815 Cefprozil cefprozil 125 mg/5 mL oral liquid

68820001816 Cefprozil cefprozil 125 mg/5 mL oral liquid

68820001817 Cefprozil cefprozil 125 mg/5 mL oral liquid

68820001915 Cefprozil cefprozil 250 mg/5 mL oral liquid

68820001916 Cefprozil cefprozil 250 mg/5 mL oral liquid

68820001917 Cefprozil cefprozil 250 mg/5 mL oral liquid

68820004308 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

68820004310 Cefadroxil Monohydate cefadroxil 500 mg oral capsule

68820006306 Cefdinir cefdinir 300 mg oral capsule

68820006309 Cefdinir cefdinir 300 mg oral capsule

68820006319 Cefdinir cefdinir 300 mg oral capsule

68820006417 Cefdinir cefdinir 125 mg/5 mL oral liquid

68820006437 Cefdinir cefdinir 125 mg/5 mL oral liquid

68820006517 Cefdinir cefdinir 250 mg/5 mL oral liquid

68820006537 Cefdinir cefdinir 250 mg/5 mL oral liquid

76439010110 Cephalexin Monohydrate cephalexin 250 mg oral capsule

76439010150 Cephalexin Monohydrate cephalexin 250 mg oral capsule

76439010210 Cephalexin Monohydrate cephalexin 500 mg oral capsule

76439010250 Cephalexin Monohydrate cephalexin 500 mg oral capsule

76439010310 Amoxicillin amoxicillin 250 mg oral capsule

76439010350 Amoxicillin amoxicillin 250 mg oral capsule

76439010410 Amoxicillin amoxicillin 500 mg oral capsule

76439010450 Amoxicillin amoxicillin 500 mg oral capsule

99207046010 Solodyn

99207046030 Solodyn

99207046110 Solodyn

99207046130 Solodyn

99207046210 Solodyn

minocycline 45 mg oral tablet, extended releaseminocycline 45 mg oral tablet, extended releaseminocycline 90 mg oral tablet, extended releaseminocycline 90 mg oral tablet, extended releaseminocycline 135 mg oral tablet, extended release

Page 267: Pharmacy Table AA 2014

99207046230 Solodyn

99207046330 Solodyn

99207046430 Solodyn

99207046530 Solodyn

99207046630 Solodyn

99207046730 Solodyn

99207049010 Dynacin minocycline 50 mg oral tablet99207049110 Dynacin minocycline 75 mg oral tablet99207049111 Dynacin minocycline 75 mg oral tablet99207049211 Dynacin minocycline 100 mg oral tablet99207049250 Dynacin minocycline 100 mg oral tablet99207049705 Dynacin minocycline 50 mg oral capsule99207049805 Dynacin minocycline 100 mg oral capsule

99207049905 Dynacin minocycline 75 mg oral capsule99207049910 Dynacin minocycline 75 mg oral capsule99207049911 Dynacin minocycline 75 mg oral capsule

minocycline 135 mg oral tablet, extended releaseminocycline 65 mg oral tablet, extended releaseminocycline 115 mg oral tablet, extended releaseminocycline 55 mg oral tablet, extended releaseminocycline 80 mg oral tablet, extended releaseminocycline 105 mg oral tablet, extended release

Page 268: Pharmacy Table AA 2014

route categoryinjectable

injectable

oral aminopenicillins

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

injectable miscellaneous antibioticsinjectable miscellaneous antibioticsinjectable

injectable

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

intravenous third generation cephalosporins

oral quinolonesoral quinolonesintravenous

intravenous

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

oral lincomycin derivatives

second generation cephalosporinssecond generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillins

second generation cephalosporinssecond generation cephalosporins

Page 269: Pharmacy Table AA 2014

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

intravenous lincomycin derivatives

intravenous lincomycin derivatives

intravenous lincomycin derivatives

injectable lincomycin derivatives

oral third generation cephalosporins

oral miscellaneous antibioticsoral miscellaneous antibioticsoral miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous aminoglycosides

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable

injectable

injectable

injectable

injectable

injectable

injectable

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 270: Pharmacy Table AA 2014

injectable first generation cephalosporins

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable

oral aminopenicillinsoral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral aminopenicillins

injectable

injectable

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

penicillinase-resistant penicillins

penicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 271: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

Page 272: Pharmacy Table AA 2014

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

intravenous third generation cephalosporins

intravenous third generation cephalosporins

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesinjectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable natural penicillins

injectable natural penicillins

injectable natural penicillins

injectable natural penicillins

injectable natural penicillins

injectable natural penicillins

oral macrolides

Page 273: Pharmacy Table AA 2014

oral macrolides

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesintravenous rifamycin derivatives

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable third generation cephalosporins

injectable aminopenicillinsinjectable aminopenicillinsinjectable third generation cephalosporins

injectable third generation cephalosporins

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

injectable tetracyclinesintravenous rifamycin derivatives

intravenous rifamycin derivatives

injectable aminoglycosides

injectable aminoglycosides

injectable first generation cephalosporins

injectable first generation cephalosporins

oral tetracyclines

Page 274: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

oral macrolidesoral macrolidesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

intravenous macrolides

intravenous macrolides

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

oral macrolides

Page 275: Pharmacy Table AA 2014

oral macrolides

intravenous quinolones

intravenous quinolones

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

Page 276: Pharmacy Table AA 2014

oral macrolides

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral macrolides

oral macrolides

oral third generation cephalosporins

oral third generation cephalosporins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

Page 277: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

injectable macrolides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

inhalation aminoglycosides

inhalation aminoglycosides

inhalation aminoglycosides

inhalation aminoglycosides

inhalation aminoglycosides

injectable aminoglycosides

intravenous quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

intravenous quinolones

intravenous quinolones

oral quinolones

Page 278: Pharmacy Table AA 2014

oral quinolones

intravenous quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

intravenous quinolones

intravenous quinolones

oral first generation cephalosporins

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral ketolides

oral ketolides

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 279: Pharmacy Table AA 2014

oral ketolides

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 280: Pharmacy Table AA 2014

oral aminopenicillinsoral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral third generation cephalosporins

oral tetracyclines

oral tetracyclines

oral lincomycin derivatives

oral first generation cephalosporins

oral first generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 281: Pharmacy Table AA 2014

oral first generation cephalosporins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral lincomycin derivatives

oral lincomycin derivatives

oral sulfonamides

oral macrolides

Page 282: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral quinolonesoral quinolonesoral quinolonesoral macrolides

oral quinolonesoral quinolonesoral quinolonesoral tetracyclines

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 283: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral quinolones

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous miscellaneous antibiotics

oral tetracyclines

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable

injectable

injectable

oral aminopenicillins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 284: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral aminopenicillins

Page 285: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillinsoral aminopenicillinsinjectable

injectable

injectable

injectable

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

injectable first generation cephalosporins

injectable first generation cephalosporins

oral

oral

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

Page 286: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral first generation cephalosporins

oral first generation cephalosporins

oral tetracyclinesoral tetracyclinesoral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

injectable

injectable

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral

oral

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

Page 287: Pharmacy Table AA 2014

injectable

intravenous third generation cephalosporins

intravenous third generation cephalosporins

intravenous

intravenous

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable

injectable

oral

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral quinolones

oral quinolones

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral sulfonamides

oral urinary anti-infectives

oral urinary anti-infectives

oral tetracyclines

oral tetracyclines

second generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 288: Pharmacy Table AA 2014

oral macrolides

oral sulfonamides

oral sulfonamides

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

Page 289: Pharmacy Table AA 2014

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

Page 290: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral natural penicillins

oral natural penicillins

oral aminopenicillins

Page 291: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral

oral

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral

oral

oral

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 292: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 293: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

Page 294: Pharmacy Table AA 2014

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

Page 295: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral

oral natural penicillins

oral natural penicillins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

penicillinase-resistant penicillins

Page 296: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral

oral

oral

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral aminopenicillinsoral aminopenicillinsoral aminopenicillins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 297: Pharmacy Table AA 2014

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

Page 298: Pharmacy Table AA 2014

oral urinary anti-infectives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

second generation cephalosporinssecond generation cephalosporins

Page 299: Pharmacy Table AA 2014

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

injectable third generation cephalosporins

injectable third generation cephalosporins

oral third generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

second generation cephalosporins

Page 300: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral sulfonamides

intramuscular natural penicillins

intramuscular natural penicillins

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

intramuscular natural penicillins

intramuscular natural penicillins

oral aminopenicillins

oral third generation cephalosporins

oral third generation cephalosporins

Page 301: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral third generation cephalosporins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral sulfonamides

Page 302: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral

oral

oral

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

injectable third generation cephalosporins

oral rifamycin derivativesoral quinolones

oral quinolones

oral tetracyclines

oral

oral

oral

oral

oral

oral

oral

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 303: Pharmacy Table AA 2014

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral

intramuscular natural penicillins

oral macrolidesoral tetracyclines

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 304: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral quinolones

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral aminopenicillins

oral aminopenicillins

oral

oral

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral tetracyclines

oral aminopenicillins

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolones

second generation cephalosporinssecond generation cephalosporins

Page 305: Pharmacy Table AA 2014

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesintramuscular natural penicillins

intramuscular natural penicillins

oral macrolides

oral macrolides

oral aminopenicillinsoral

oral

oral

oral third generation cephalosporins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 306: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

Page 307: Pharmacy Table AA 2014

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral third generation cephalosporins

oral third generation cephalosporins

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesinjectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral

oral

oral

oral

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolidesoral macrolidesoral macrolidesintravenous first generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 308: Pharmacy Table AA 2014

intravenous first generation cephalosporins

intravenous first generation cephalosporins

intravenous

intravenous

intravenous

intravenous

intravenous third generation cephalosporins

intravenous third generation cephalosporins

intravenous third generation cephalosporins

intravenous third generation cephalosporins

intravenous

intravenous

injectable

injectable

intravenous miscellaneous antibiotics

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

oral tetracyclines

oral tetracyclinesoral tetracyclines

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporins

second generation cephalosporins

fourth generation cephalosporinsfourth generation cephalosporins

Page 309: Pharmacy Table AA 2014

intravenous aminoglycosides

intravenous quinolones

intravenous quinolones

intravenous

intravenous

intravenous

intravenous

intravenous natural penicillins

intravenous natural penicillins

intravenous natural penicillins

intravenous miscellaneous antibiotics

injectable

injectable

intravenous first generation cephalosporins

intravenous first generation cephalosporins

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous third generation cephalosporins

intravenous third generation cephalosporins

oral tetracyclines

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable natural penicillins

injectable natural penicillins

oral quinolonesoral quinolonesoral quinolones

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

fourth generation cephalosporinsfourth generation cephalosporins

Page 310: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral quinolones

oral quinolones

oral tetracyclines

oral urinary anti-infectives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 311: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

intravenous macrolides

injectable

injectable

injectable

injectable

intravenous quinolones

intravenous quinolones

intravenous quinolones

injectable

injectable

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

injectable first generation cephalosporins

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

fourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

Page 312: Pharmacy Table AA 2014

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable aminoglycosides

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

injectable aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

Page 313: Pharmacy Table AA 2014

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable macrolides

injectable macrolides

injectable macrolides

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

Page 314: Pharmacy Table AA 2014

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 315: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral sulfonamides

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral macrolides

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral lincomycin derivatives

oral

oral tetracyclines

oral tetracyclines

oral macrolides

oral miscellaneous antibiotics

oral urinary anti-infectives

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral sulfonamides

penicillinase-resistant penicillins

Page 316: Pharmacy Table AA 2014

oral sulfonamides

oral tetracyclines

oral urinary anti-infectives

oral tetracyclinesoral sulfonamides

oral sulfonamides

oral ketolides

oral ketolides

oral ketolides

oral ketolides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral tetracyclines

oral tetracyclinesoral tetracyclines

oral tetracyclines

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral quinolones

oral quinolones

oral quinolones

Page 317: Pharmacy Table AA 2014

oral rifamycin derivativesoral rifamycin derivativesoral sulfonamides

oral sulfonamides

oral sulfonamides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral quinolones

oral lincomycin derivatives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 318: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

injectable first generation cephalosporins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral

oral urinary anti-infectives

oral urinary anti-infectives

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral miscellaneous antibiotics

oral tetracyclines

second generation cephalosporins

Page 319: Pharmacy Table AA 2014

oral tetracyclines

oral urinary anti-infectives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral lincomycin derivatives

oral sulfonamides

oral sulfonamides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral aminopenicillins

oral

intravenous sulfonamides

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

second generation cephalosporins

Page 320: Pharmacy Table AA 2014

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

oral first generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous macrolides

intravenous macrolides

intravenous macrolides

injectable aminoglycosides

injectable aminoglycosides

intravenous sulfonamides

intravenous sulfonamides

Page 321: Pharmacy Table AA 2014

intravenous sulfonamides

intravenous sulfonamides

intravenous sulfonamides

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral natural penicillins

oral natural penicillins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral natural penicillins

oral natural penicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral aminopenicillins

Page 322: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral aminopenicillinsoral aminopenicillinsoral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral

oral

oral tetracyclines

oral tetracyclines

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable

injectable

injectable

injectable

penicillinase-resistant penicillinspenicillinase-resistant penicillins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 323: Pharmacy Table AA 2014

injectable

injectable

injectable

injectable

injectable

injectable

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 324: Pharmacy Table AA 2014

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable

injectable

injectable

injectable

intravenous quinolones

intravenous quinolones

intravenous lincomycin derivatives

intravenous lincomycin derivatives

intravenous lincomycin derivatives

intravenous lincomycin derivatives

injectable first generation cephalosporins

injectable first generation cephalosporins

intravenous quinolones

intravenous quinolones

intravenous quinolones

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillins

fourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporins

Page 325: Pharmacy Table AA 2014

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable

oral

oral

oral

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral tetracyclinesoral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral macrolides

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 326: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral natural penicillins

oral natural penicillins

oral natural penicillins

injectable natural penicillins

injectable natural penicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

injectable natural penicillins

injectable natural penicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

Page 327: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral

oral

oral

oral

oral

oral

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinspenicillinase-resistant penicillins

Page 328: Pharmacy Table AA 2014

injectable

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral miscellaneous antibiotics

oral sulfonamides

oral sulfonamides

oral sulfonamides

penicillinase-resistant penicillins

second generation cephalosporinssecond generation cephalosporins

Page 329: Pharmacy Table AA 2014

oral rifamycin derivativesoral sulfonamides

oral

oral

oral lincomycin derivatives

oral lincomycin derivatives

oral macrolides

oral macrolides

oral quinolonesoral quinolonesoral quinolonesinjectable third generation cephalosporins

injectable third generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable

injectable

injectable

injectable

injectable

injectable

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 330: Pharmacy Table AA 2014

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

intravenous macrolides

intravenous macrolides

injectable

injectable

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

Page 331: Pharmacy Table AA 2014

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral tetracyclinesoral rifamycin derivativesinjectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

intravenous miscellaneous antibiotics

Page 332: Pharmacy Table AA 2014

intravenous miscellaneous antibiotics

oral quinolones

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral and topical tetracyclines

oral and topical tetracyclines

oral quinolones

oral quinolones

injectable

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral beta-lactamase inhibitors

oral lincomycin derivatives

oral lincomycin derivatives

oral

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

second generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 333: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

injectable third generation cephalosporins

oral

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolones

oral sulfonamides

oral sulfonamides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral quinolonesoral quinolonesoral quinolonesoral quinolones

second generation cephalosporins

Page 334: Pharmacy Table AA 2014

oral quinolonesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral tetracyclinesoral urinary anti-infectives

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolones

oral quinolones

oral quinolones

oral tetracyclines

oral tetracyclinesintravenous tetracyclines

oral and topical tetracyclines

oral and topical tetracyclines

oral and topical tetracyclines

oral and topical tetracyclines

oral quinolones

oral quinolones

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral tetracyclines

oral tetracyclines

Page 335: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral quinolones

oral quinolones

oral quinolones

oral

oral

oral

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

oral

oral

oral

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 336: Pharmacy Table AA 2014

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral lincomycin derivatives

oral lincomycin derivatives

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

second generation cephalosporins

second generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 337: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral urinary anti-infectives

oral aminopenicillins

oral aminopenicillins

Page 338: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral

oral

oral third generation cephalosporins

oral third generation cephalosporins

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral natural penicillins

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 339: Pharmacy Table AA 2014

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral

oral

oral

oral

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 340: Pharmacy Table AA 2014

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral

oral

oral

oral

oral

oral

oral

oral

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral tetracyclines

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 341: Pharmacy Table AA 2014

intravenous quinolones

intravenous quinolones

intravenous lincomycin derivatives

intravenous lincomycin derivatives

intravenous lincomycin derivatives

intravenous rifamycin derivatives

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral first generation cephalosporins

oral third generation cephalosporins

oral macrolides

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral sulfonamides

oral sulfonamides

Page 342: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral

injectable third generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

oral urinary anti-infectives

oral urinary anti-infectives

oral tetracyclines

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

second generation cephalosporins

Page 343: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

injectable third generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral quinolones

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolonesoral quinolonesoral rifamycin derivativesoral aminopenicillinsoral macrolides

Page 344: Pharmacy Table AA 2014

oral first generation cephalosporins

oral macrolides

oral macrolides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral natural penicillins

oral

oral first generation cephalosporins

intravenous quinolones

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

intravenous quinolones

intravenous quinolones

injectable aminoglycosides

injectable aminoglycosides

intravenous rifamycin derivatives

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

second generation cephalosporins

Page 345: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillinsoral aminopenicillinsoral second generation

cephalosporins

Page 346: Pharmacy Table AA 2014

oral

oral

oral

oral

oral

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 347: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

oral macrolides

Page 348: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral

oral

oral

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 349: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

Page 350: Pharmacy Table AA 2014

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 351: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral urinary anti-infectives

Page 352: Pharmacy Table AA 2014

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral quinolonesoral

oral aminopenicillinsoral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolones

oral macrolides

oral macrolides

oral macrolides

oral first generation cephalosporins

oral first generation cephalosporins

second generation cephalosporins

second generation cephalosporins

Page 353: Pharmacy Table AA 2014

oral first generation cephalosporins

oral aminopenicillinsoral aminopenicillinsoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral sulfonamides

oral sulfonamides

injectable first generation cephalosporins

injectable first generation cephalosporins

intravenous first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

intravenous miscellaneous antibiotics

Page 354: Pharmacy Table AA 2014

intravenous lincomycin derivatives

intravenous lincomycin derivatives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral third generation cephalosporins

oral third generation cephalosporins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral quinolones

oral quinolones

oral quinolones

oral quinolones

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable second generation cephalosporins

Page 355: Pharmacy Table AA 2014

intravenous third generation cephalosporins

intravenous third generation cephalosporins

injectable

injectable lincomycin derivatives

injectable aminopenicillinsinjectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable

injectable

injectable

intravenous macrolides

intravenous quinolones

intravenous quinolones

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable

injectable

injectable

injectable

injectable

injectable third generation cephalosporins

second generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporins

Page 356: Pharmacy Table AA 2014

injectable third generation cephalosporins

injectable third generation cephalosporins

intravenous quinolones

intravenous quinolones

intravenous miscellaneous antibiotics

intravenous quinolones

intravenous quinolones

intravenous quinolones

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable

injectable

injectable

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable

injectable natural penicillins

intravenous miscellaneous antibiotics

injectable

injectable

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous quinolones

intravenous quinolones

intravenous quinolones

oral third generation cephalosporins

oral third generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

penicillinase-resistant penicillins

penicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 357: Pharmacy Table AA 2014

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

Page 358: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral

oral

oral

oral

oral

oral

oral sulfonamides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 359: Pharmacy Table AA 2014

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral macrolides

oral macrolides

oral

oral

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral third generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 360: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral

oral

oral

oral

oral

oral

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral quinolonesoral quinolonesoral quinolones

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 361: Pharmacy Table AA 2014

oral quinolonesoral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral quinolonesoral natural penicillins

oral natural penicillins

oral natural penicillins

Page 362: Pharmacy Table AA 2014

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolidesoral macrolidesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral third generation cephalosporins

oral macrolides

oral miscellaneous antibioticsoral third generation cephalosporins

oral macrolides

intravenous miscellaneous antibiotics

intravenous quinolones

intravenous quinolones

Page 363: Pharmacy Table AA 2014

intravenous quinolones

intravenous quinolones

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminoglycosidesinjectable aminoglycosidesintramuscular aminoglycosides

intramuscular aminoglycosides

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral tetracyclines

oral urinary anti-infectives

injectable third generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

Page 364: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral tetracyclines

oral miscellaneous antibiotics

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral first generation cephalosporins

Page 365: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral lincomycin derivatives

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

Page 366: Pharmacy Table AA 2014

oral natural penicillins

oral miscellaneous antibiotics

oral macrolides

oral quinolonesoral urinary anti-infectives

oral

oral

oral

oral

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral aminopenicillins

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral beta-lactamase inhibitors

oral quinolonesoral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

penicillinase-resistant penicillinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 367: Pharmacy Table AA 2014

oral lincomycin derivatives

oral lincomycin derivatives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral urinary anti-infectives

oral tetracyclines

oral and topical tetracyclines

oral tetracyclines

oral and topical tetracyclines

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

Page 368: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

Page 369: Pharmacy Table AA 2014

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillinsoral aminopenicillinsoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillins

oral aminopenicillins

oral tetracyclines

oral third generation cephalosporins

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable

injectable

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable

penicillinase-resistant penicillinspenicillinase-resistant penicillins

fourth generation cephalosporins

Page 370: Pharmacy Table AA 2014

injectable

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral natural penicillins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral

oral

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral miscellaneous antibiotics

oral miscellaneous antibiotics

fourth generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

Page 371: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclinesoral tetracyclinesoral tetracyclinesoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral tetracyclines

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral tetracyclines

oral tetracyclines

oral aminopenicillins

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 372: Pharmacy Table AA 2014

oral tetracyclines

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral aminopenicillinsoral aminopenicillinsoral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

Page 373: Pharmacy Table AA 2014

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

Page 374: Pharmacy Table AA 2014

oral aminopenicillins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

Page 375: Pharmacy Table AA 2014

oral natural penicillins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral macrolides

oral macrolides

oral macrolides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral macrolides

oral macrolides

oral aminopenicillins

Page 376: Pharmacy Table AA 2014

oral

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral beta-lactamase inhibitors

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral beta-lactamase inhibitors

oral macrolides

oral first generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

second generation cephalosporins

Page 377: Pharmacy Table AA 2014

oral first generation cephalosporins

oral

oral

oral

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral

oral

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral

oral

oral natural penicillins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

Page 378: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolones

oral quinolones

oral quinolones

oral sulfonamides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral

oral

oral

oral

oral macrolides

injectable third generation cephalosporins

injectable third generation cephalosporins

oral sulfonamides

oral sulfonamides

oral sulfonamides

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 379: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral aminopenicillinsoral urinary anti-infectives

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral aminopenicillins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

second generation cephalosporins

Page 380: Pharmacy Table AA 2014

intravenous macrolides

oral miscellaneous antibiotics

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral quinolones

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral quinolones

oral quinolones

intravenous quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

intravenous quinolones

oral quinolones

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral sulfonamides

Page 381: Pharmacy Table AA 2014

oral

oral

oral

oral

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral macrolides

oral macrolides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 382: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral urinary anti-infectives

oral urinary anti-infectives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral macrolides

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

Page 383: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

injectable miscellaneous antibioticsinjectable miscellaneous antibioticsinjectable miscellaneous antibioticsintravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

fourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporins

Page 384: Pharmacy Table AA 2014

injectable

injectable

injectable

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral first generation cephalosporins

oral aminopenicillins

oral tetracyclines

oral beta-lactamase inhibitors

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral miscellaneous antibiotics

oral tetracyclines

oral miscellaneous antibiotics

oral miscellaneous antibiotics

fourth generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporins

Page 385: Pharmacy Table AA 2014

oral miscellaneous antibiotics

oral tetracyclines

oral macrolides

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral urinary anti-infectives

oral

oral aminopenicillins

oral

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

intravenous first generation cephalosporins

injectable first generation cephalosporins

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

oral quinolones

oral urinary anti-infectives

second generation cephalosporins

second generation cephalosporins

Page 386: Pharmacy Table AA 2014

oral quinolones

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral

oral first generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

Page 387: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

Page 388: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 389: Pharmacy Table AA 2014

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral first generation cephalosporins

Page 390: Pharmacy Table AA 2014

oral first generation cephalosporins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral aminopenicillins

oral third generation cephalosporins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral quinolones

oral quinolones

Page 391: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral second generation cephalosporins

Page 392: Pharmacy Table AA 2014

oral aminopenicillins

oral

oral macrolides

oral macrolides

oral macrolides

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral

oral

oral

oral

oral

oral

oral

second generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 393: Pharmacy Table AA 2014

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral macrolides

Page 394: Pharmacy Table AA 2014

oral macrolides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral macrolides

oral natural penicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral first generation cephalosporins

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral macrolides

oral macrolides

oral third generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillinsoral aminopenicillinsoral quinolones

second generation cephalosporins

Page 395: Pharmacy Table AA 2014

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

Page 396: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral natural penicillins

oral natural penicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral quinolonesoral quinolonesoral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral beta-lactamase inhibitors

Page 397: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral third generation cephalosporins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral aminopenicillins

oral quinolones

oral macrolides

oral macrolides

oral

oral

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

second generation cephalosporinssecond generation cephalosporins

Page 398: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral macrolides

oral natural penicillins

oral natural penicillins

oral

oral aminopenicillins

oral macrolides

oral macrolides

oral first generation cephalosporins

oral natural penicillins

oral aminopenicillins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral tetracyclinesoral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

inhalation aminoglycosides

inhalation aminoglycosides

second generation cephalosporins

Page 399: Pharmacy Table AA 2014

oral tetracyclines

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral urinary anti-infectives

oral macrolides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral beta-lactamase inhibitors

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

Page 400: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral sulfonamides

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral quinolonesoral sulfonamides

oral rifamycin derivativesoral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

Page 401: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral lincomycin derivatives

oral lincomycin derivatives

oral

oral

oral

oral

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 402: Pharmacy Table AA 2014

oral miscellaneous antibiotics

injectable third generation cephalosporins

injectable lincomycin derivatives

intramuscular natural penicillins

intramuscular natural penicillins

oral quinolones

oral quinolones

oral quinolones

oral aminopenicillinsoral aminopenicillinsoral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral

injectable third generation cephalosporins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

intramuscular natural penicillins

oral

second generation cephalosporins

penicillinase-resistant penicillins

Page 403: Pharmacy Table AA 2014

oral

oral

intramuscular natural penicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral miscellaneous antibiotics

oral macrolides

oral macrolides

oral macrolides

oral macrolides

intramuscular natural penicillins

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

penicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 404: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

injectable third generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral natural penicillins

oral third generation cephalosporins

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral natural penicillins

oral natural penicillins

oral macrolides

oral aminopenicillins

Page 405: Pharmacy Table AA 2014

oral aminopenicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral macrolides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral first generation cephalosporins

oral tetracyclines

oral first generation cephalosporins

oral miscellaneous antibiotics

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

injectable third generation cephalosporins

Page 406: Pharmacy Table AA 2014

injectable third generation cephalosporins

oral natural penicillins

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral

oral

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral

oral aminopenicillins

oral macrolides

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporins

Page 407: Pharmacy Table AA 2014

oral macrolides

oral

oral miscellaneous antibiotics

oral aminopenicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

injectable first generation cephalosporins

oral

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolonesoral quinolones

second generation cephalosporins

second generation cephalosporins

Page 408: Pharmacy Table AA 2014

oral quinolonesoral quinolonesoral quinolonesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral urinary anti-infectives

oral third generation cephalosporins

oral macrolidesoral tetracyclinesoral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral

oral third generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral quinolones

oral third generation cephalosporins

oral quinolonesoral quinolonesoral quinolonesoral quinolones

oral quinolones

oral quinolones

oral macrolides

oral first generation cephalosporins

oral quinolones

oral miscellaneous antibiotics

oral urinary anti-infectives

oral aminopenicillins

second generation cephalosporins

Page 409: Pharmacy Table AA 2014

oral aminopenicillinsoral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral

oral

oral

oral

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolones

oral beta-lactamase inhibitors

oral aminopenicillins

oral quinolonesoral quinolones

oral quinolones

oral quinolones

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 410: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

oral urinary anti-infectives

oral quinolones

oral quinolones

oral quinolones

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral third generation cephalosporins

oral third generation cephalosporins

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral aminopenicillins

oral macrolides

oral macrolides

Page 411: Pharmacy Table AA 2014

oral macrolides

oral rifamycin derivativesoral rifamycin derivativesoral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral

oral

oral macrolides

oral macrolidesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral sulfonamides

oral quinolones

oral macrolides

oral beta-lactamase inhibitors

intramuscular natural penicillins

intramuscular natural penicillins

intramuscular natural penicillins

oral quinolones

intravenous aminoglycosides

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

Page 412: Pharmacy Table AA 2014

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

intramuscular natural penicillins

intramuscular natural penicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral

oral macrolides

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral rifamycin derivativesoral macrolides

oral natural penicillins

oral miscellaneous antibiotics

oral tetracyclinesoral tetracyclinesoral and topical tetracyclines

oral aminopenicillins

oral macrolides

oral sulfonamides

oral sulfonamides

second generation cephalosporins

Page 413: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

Page 414: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

Page 415: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral first generation cephalosporins

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

Page 416: Pharmacy Table AA 2014

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral first generation cephalosporins

oral first generation cephalosporins

injectable first generation cephalosporins

oral macrolides

oral third generation cephalosporins

oral third generation cephalosporins

intramuscular natural penicillins

intramuscular natural penicillins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral

oral

oral

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 417: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral

oral

oral

oral macrolides

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral quinolones

oral quinolones

oral quinolones

oral

oral

oral

oral

oral first generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 418: Pharmacy Table AA 2014

oral first generation cephalosporins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral first generation cephalosporins

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral

oral macrolides

oral macrolides

oral natural penicillins

oral natural penicillins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral miscellaneous antibiotics

oral miscellaneous antibiotics

second generation cephalosporins

Page 419: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral

oral

oral

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 420: Pharmacy Table AA 2014

oral tetracyclines

oral

intramuscular natural penicillins

injectable third generation cephalosporins

oral macrolides

oral macrolides

oral rifamycin derivativesoral rifamycin derivativesoral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillins

second generation cephalosporins

Page 421: Pharmacy Table AA 2014

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

injectable third generation cephalosporins

oral macrolides

oral

oral

oral

oral

oral macrolides

oral

oral

injectable natural penicillins

oral

injectable lincomycin derivatives

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolones

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporins

Page 422: Pharmacy Table AA 2014

oral quinolonesinjectable aminopenicillinsoral macrolides

oral macrolides

oral macrolides

injectable aminoglycosides

injectable aminoglycosides

oral natural penicillins

oral natural penicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

injectable lincomycin derivatives

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

injectable lincomycin derivatives

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral macrolides

oral macrolides

oral third generation cephalosporins

oral third generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

Page 423: Pharmacy Table AA 2014

oral aminopenicillins

injectable natural penicillins

intravenous macrolides

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsintravenous quinolones

oral aminopenicillins

oral aminopenicillins

oral macrolides

oral macrolides

oral macrolides

injectable first generation cephalosporins

oral urinary anti-infectives

oral beta-lactamase inhibitors

oral third generation cephalosporins

oral third generation cephalosporins

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral sulfonamides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

Page 424: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolonesoral

oral

oral beta-lactamase inhibitors

oral

oral

oral

oral quinolones

oral quinolones

oral tetracyclines

oral tetracyclines

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 425: Pharmacy Table AA 2014

oral tetracyclines

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral ketolides

oral ketolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclinesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral rifamycin derivativesoral macrolides

oral macrolides

oral macrolides

oral macrolides

injectable third generation cephalosporins

injectable third generation cephalosporins

Page 426: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral tetracyclines

oral

oral

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral lincomycin derivatives

oral

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral first generation cephalosporins

oral first generation cephalosporins

oral sulfonamides

oral aminopenicillins

oral aminopenicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporins

Page 427: Pharmacy Table AA 2014

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral aminopenicillinsoral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

Page 428: Pharmacy Table AA 2014

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral first generation cephalosporins

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral macrolides

oral macrolides

oral macrolides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral beta-lactamase inhibitors

oral miscellaneous antibiotics

oral quinolones

oral beta-lactamase inhibitors

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 429: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral first generation cephalosporins

oral sulfonamides

oral

oral

oral

oral

oral quinolones

oral aminopenicillins

oral aminopenicillins

oral macrolides

oral

oral

oral

oral

oral

oral

oral

oral

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral lincomycin derivatives

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 430: Pharmacy Table AA 2014

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral macrolides

oral macrolides

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

second generation cephalosporins

Page 431: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral quinolones

oral quinolones

oral quinolones

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

Page 432: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

injectable first generation cephalosporins

oral lincomycin derivatives

Page 433: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral quinolonesoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral sulfonamides

oral tetracyclines

oral macrolides

oral macrolides

oral quinolones

oral macrolides

oral

oral macrolides

injectable third generation cephalosporins

second generation cephalosporins

Page 434: Pharmacy Table AA 2014

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral first generation cephalosporins

intravenous quinolones

oral lincomycin derivatives

intramuscular natural penicillins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolones

oral quinolones

oral quinolones

oral tetracyclines

oral tetracyclines

oral tetracyclines

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillins

Page 435: Pharmacy Table AA 2014

injectable aminopenicillinsinjectable aminopenicillinsinjectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

injectable

injectable

injectable

injectable

injectable

injectable

intravenous quinolones

intravenous quinolones

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

oral macrolides

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 436: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral aminopenicillins

Page 437: Pharmacy Table AA 2014

oral aminopenicillinsoral tetracyclines

oral macrolides

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral macrolides

oral quinolones

Page 438: Pharmacy Table AA 2014

oral third generation cephalosporins

oral

oral

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 439: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

Page 440: Pharmacy Table AA 2014

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral macrolides

oral macrolides

second generation cephalosporins

Page 441: Pharmacy Table AA 2014

oral

oral tetracyclines

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

second generation cephalosporins

Page 442: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral

oral

oral

oral

oral

oral

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral quinolonesoral quinolonesoral first generation cephalosporins

oral first generation cephalosporins

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 443: Pharmacy Table AA 2014

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral sulfonamides

oral sulfonamides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

Page 444: Pharmacy Table AA 2014

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral

oral

oral

oral natural penicillins

oral natural penicillins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

second generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 445: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral aminopenicillinsoral aminopenicillinsoral quinolonesoral quinolonesoral quinolonesoral quinolones

oral aminopenicillins

oral aminopenicillins

oral urinary anti-infectives

oral urinary anti-infectives

oral

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

second generation cephalosporins

Page 446: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral third generation cephalosporins

oral quinolonesoral quinolonesoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 447: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral first generation cephalosporins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral quinolonesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral third generation cephalosporins

oral macrolides

Page 448: Pharmacy Table AA 2014

oral macrolides

injectable lincomycin derivatives

injectable tetracyclinesintravenous rifamycin derivatives

injectable miscellaneous antibioticsinjectable miscellaneous antibioticsintravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

intravenous aminoglycosides

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral macrolides

oral aminopenicillins

oral macrolides

oral macrolides

oral natural penicillins

oral beta-lactamase inhibitors

oral natural penicillins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

oral macrolides

Page 449: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral macrolides

oral macrolides

oral aminopenicillinsoral aminopenicillinsoral quinolonesoral beta-lactamase inhibitors

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

Page 450: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral quinolones

oral

oral aminopenicillinsoral aminopenicillinsoral

oral

oral

oral macrolides

oral macrolides

oral first generation cephalosporins

oral

oral macrolides

oral macrolides

oral macrolides

second generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

second generation cephalosporins

Page 451: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral macrolides

oral macrolides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral quinolonesoral quinolonesoral macrolides

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral aminopenicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral

oral macrolides

oral macrolides

second generation cephalosporins

second generation cephalosporins

second generation cephalosporins

Page 452: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral tetracyclines

oral first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral natural penicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

Page 453: Pharmacy Table AA 2014

oral aminopenicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral tetracyclines

oral tetracyclines

second generation cephalosporinssecond generation cephalosporins

Page 454: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral

oral beta-lactamase inhibitors

oral quinolones

oral macrolides

oral lincomycin derivatives

oral natural penicillins

oral natural penicillins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral macrolides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

penicillinase-resistant penicillins

Page 455: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral

oral

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral tetracyclinesoral macrolides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

second generation cephalosporinssecond generation cephalosporins

Page 456: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

Page 457: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 458: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 459: Pharmacy Table AA 2014

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 460: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

Page 461: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

Page 462: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral macrolides

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

Page 463: Pharmacy Table AA 2014

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

Page 464: Pharmacy Table AA 2014

oral natural penicillins

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 465: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral sulfonamides

oral sulfonamides

oral

oral

oral

oral

oral tetracyclines

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 466: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

second generation cephalosporins

Page 467: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

Page 468: Pharmacy Table AA 2014

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 469: Pharmacy Table AA 2014

oral urinary anti-infectives

oral urinary anti-infectives

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral tetracyclinesoral tetracyclinesoral tetracyclinesoral tetracyclinesoral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral

oral

oral

oral

oral quinolones

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 470: Pharmacy Table AA 2014

oral quinolonesoral quinolonesoral quinolonesoral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral first generation cephalosporins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral aminopenicillins

oral aminopenicillins

oral sulfonamides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 471: Pharmacy Table AA 2014

oral

injectable third generation cephalosporins

injectable third generation cephalosporins

oral beta-lactamase inhibitors

oral third generation cephalosporins

oral macrolides

injectable third generation cephalosporins

oral beta-lactamase inhibitors

oral miscellaneous antibiotics

oral beta-lactamase inhibitors

injectable third generation cephalosporins

oral beta-lactamase inhibitors

injectable third generation cephalosporins

injectable third generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral quinolonesoral quinolonesoral macrolides

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral tetracyclines

oral tetracyclines

second generation cephalosporins

penicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 472: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral urinary anti-infectives

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral natural penicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral lincomycin derivatives

oral lincomycin derivatives

oral natural penicillins

oral macrolides

oral quinolones

oral quinolones

oral quinolones

Page 473: Pharmacy Table AA 2014

oral macrolides

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolones

oral beta-lactamase inhibitors

oral macrolides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

oral macrolides

oral tetracyclines

oral tetracyclines

second generation cephalosporins

Page 474: Pharmacy Table AA 2014

oral tetracyclinesoral tetracyclinesoral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral urinary anti-infectives

oral urinary anti-infectives

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral lincomycin derivatives

oral quinolonesoral quinolonesoral quinolonesoral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral

oral

oral

oral

oral natural penicillins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 475: Pharmacy Table AA 2014

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral third generation cephalosporins

oral

oral

oral

oral

oral

oral

oral

oral macrolidesoral macrolidesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral lincomycin derivatives

oral sulfonamides

oral sulfonamides

oral sulfonamides

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 476: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral lincomycin derivatives

oral lincomycin derivatives

oral sulfonamides

oral tetracyclines

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillins

Page 477: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral tetracyclines

oral macrolides

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable first generation cephalosporins

injectable

injectable

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

fourth generation cephalosporinsfourth generation cephalosporins

Page 478: Pharmacy Table AA 2014

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable

injectable

injectable

injectable first generation cephalosporins

intravenous beta-lactamase inhibitors

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable

injectable

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral

oral

oral

oral beta-lactamase inhibitors

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

fourth generation cephalosporinsfourth generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 479: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral

oral

oral

oral

oral

oral

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral

oral

oral

injectable

injectable

injectable

injectable

intravenous macrolides

injectable first generation cephalosporins

injectable first generation cephalosporins

oral sulfonamides

oral macrolides

oral lincomycin derivatives

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinsfourth generation cephalosporinsfourth generation cephalosporins

Page 480: Pharmacy Table AA 2014

oral lincomycin derivatives

oral lincomycin derivatives

oral quinolones

oral tetracyclines

oral lincomycin derivatives

oral quinolones

intramuscular natural penicillins

intramuscular natural penicillins

intramuscular natural penicillins

intramuscular natural penicillins

intramuscular natural penicillins

intramuscular natural penicillins

intramuscular natural penicillins

intramuscular natural penicillins

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

Page 481: Pharmacy Table AA 2014

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 482: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral sulfonamides

oral sulfonamides

oral sulfonamides

Page 483: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

second generation cephalosporinssecond generation cephalosporins

Page 484: Pharmacy Table AA 2014

oral quinolones

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

injectable first generation cephalosporins

injectable first generation cephalosporins

intravenous miscellaneous antibiotics

intravenous first generation cephalosporins

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

injectable first generation cephalosporins

intravenous first generation cephalosporins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

intravenous sulfonamides

intravenous sulfonamides

intravenous sulfonamides

intramuscular natural penicillins

intramuscular natural penicillins

Page 485: Pharmacy Table AA 2014

intramuscular natural penicillins

intravenous miscellaneous antibiotics

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral tetracyclines

inhalation miscellaneous antibiotics

oral sulfonamides

oral macrolides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral urinary anti-infectives

Page 486: Pharmacy Table AA 2014

oral urinary anti-infectives

oral sulfonamides

oral sulfonamides

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral

oral

oral

oral tetracyclines

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral tetracyclines

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 487: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral

oral

oral

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 488: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral macrolides

oral macrolides

oral macrolides

oral macrolides

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable

injectable

injectable

oral

oral

oral

oral

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 489: Pharmacy Table AA 2014

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 490: Pharmacy Table AA 2014

injectable aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

injectable miscellaneous antibiotics

injectable tetracyclinesinjectable tetracyclinesinjectable aminoglycosides

intravenous miscellaneous antibiotics

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

injectable lincomycin derivatives

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

intravenous beta-lactamase inhibitors

intravenous beta-lactamase inhibitors

injectable aminoglycosidesinjectable aminoglycosidesintravenous beta-lactamase inhibitors

injectable aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

injectable aminoglycosides

intravenous beta-lactamase inhibitors

intravenous miscellaneous antibiotics

intravenous beta-lactamase inhibitors

Page 491: Pharmacy Table AA 2014

injectable natural penicillins

injectable

injectable

injectable

injectable

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable

injectable

fourth generation cephalosporinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

fourth generation cephalosporinsfourth generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

Page 492: Pharmacy Table AA 2014

injectable

injectable

injectable

injectable

injectable aminoglycosides

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable antipseudomonal penicillinsinjectable antipseudomonal penicillinsinjectable

injectable

injectable aminopenicillinsinjectable aminopenicillinsinjectable aminopenicillinsinjectable antipseudomonal penicillinsinjectable antipseudomonal penicillinsinjectable

intravenous macrolides

intravenous macrolides

injectable aminopenicillinsinjectable miscellaneous antibioticsinjectable miscellaneous antibioticsinjectable first generation cephalosporins

injectable first generation cephalosporins

injectable aminoglycosides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporins

second generation cephalosporins

Page 493: Pharmacy Table AA 2014

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral macrolides

oral

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral

oral

oral

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 494: Pharmacy Table AA 2014

oral quinolones

oral

oral

oral

oral

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral first generation cephalosporins

oral first generation cephalosporins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral urinary anti-infectives

oral urinary anti-infectives

oral urinary anti-infectives

oral sulfonamides

oral sulfonamides

oral sulfonamides

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 495: Pharmacy Table AA 2014

oral sulfonamides

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

Page 496: Pharmacy Table AA 2014

oral urinary anti-infectives

oral urinary anti-infectives

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral sulfonamides

oral macrolides

oral macrolides

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral macrolides

oral macrolides

oral natural penicillins

oral natural penicillins

oral macrolides

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral aminopenicillinsoral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral lincomycin derivatives

oral lincomycin derivatives

Page 497: Pharmacy Table AA 2014

oral

oral

oral lincomycin derivatives

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral sulfonamides

oral quinolones

oral rifamycin derivativesoral quinolones

oral quinolones

oral macrolides

oral macrolides

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

second generation cephalosporinssecond generation cephalosporins

Page 498: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

Page 499: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 500: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

Page 501: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillinsoral aminopenicillinsoral aminopenicillins

Page 502: Pharmacy Table AA 2014

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

Page 503: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral

oral tetracyclines

oral tetracyclines

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 504: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

Page 505: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral sulfonamides

oral sulfonamides

oral

oral

oral

oral

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 506: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral first generation cephalosporins

oral first generation cephalosporins

oral natural penicillins

oral natural penicillins

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

Page 507: Pharmacy Table AA 2014

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

Page 508: Pharmacy Table AA 2014

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 509: Pharmacy Table AA 2014

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

Page 510: Pharmacy Table AA 2014

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

Page 511: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral first generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesinjectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

Page 512: Pharmacy Table AA 2014

oral

oral

oral

oral

oral

oral

oral

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral tetracyclinesoral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral lincomycin derivatives

oral sulfonamides

oral sulfonamides

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 513: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral urinary anti-infectives

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral

oral

oral

oral

oral

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 514: Pharmacy Table AA 2014

oral

oral

oral

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral quinolones

oral quinolones

oral quinolones

oral first generation cephalosporins

oral first generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral

oral

oral

oral

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 515: Pharmacy Table AA 2014

oral natural penicillins

oral third generation cephalosporins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral macrolides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

Page 516: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral quinolonesoral quinolonesoral quinolonesoral lincomycin derivatives

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

oral quinolonesoral quinolonesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

Page 517: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral

oral

oral

oral

oral

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral macrolides

oral macrolides

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 518: Pharmacy Table AA 2014

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral sulfonamides

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral urinary anti-infectives

oral urinary anti-infectives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral macrolides

oral macrolides

Page 519: Pharmacy Table AA 2014

oral macrolides

oral macrolides

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillinsoral macrolides

oral macrolides

oral macrolides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral macrolides

oral macrolides

oral third generation cephalosporins

oral tetracyclines

oral tetracyclines

oral tetracyclines

Page 520: Pharmacy Table AA 2014

oral tetracyclines

oral aminopenicillins

oral

oral

oral

oral

oral aminopenicillinsoral macrolides

oral

oral macrolides

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral quinolones

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral tetracyclines

oral

oral

oral

oral miscellaneous antibiotics

second generation cephalosporinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

second generation cephalosporins

second generation cephalosporinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 521: Pharmacy Table AA 2014

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral macrolides

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral aminopenicillinsoral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral macrolides

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral macrolides

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral quinolonesoral quinolones

Page 522: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral lincomycin derivatives

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral miscellaneous antibiotics

injectable first generation cephalosporins

intravenous first generation cephalosporins

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable first generation cephalosporins

injectable aminopenicillinsinjectable

injectable

injectable

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 523: Pharmacy Table AA 2014

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable

injectable

injectable

injectable first generation cephalosporins

oral miscellaneous antibiotics

oral miscellaneous antibiotics

oral urinary anti-infectives

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral tetracyclines

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 524: Pharmacy Table AA 2014

oral third generation cephalosporins

oral third generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral natural penicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

Page 525: Pharmacy Table AA 2014

oral first generation cephalosporins

oral

oral

intravenous

intravenous

intravenous

intravenous miscellaneous antibiotics

intravenous miscellaneous antibiotics

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

injectable beta-lactamase inhibitors

oral lincomycin derivatives

oral quinolones

oral quinolones

oral

oral

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

intravenous miscellaneous antibiotics

oral tetracyclinesoral tetracyclinesoral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 526: Pharmacy Table AA 2014

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral macrolides

oral macrolides

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral miscellaneous antibiotics

oral

oral

oral

oral

oral sulfonamides

oral sulfonamides

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

oral beta-lactamase inhibitors

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 527: Pharmacy Table AA 2014

oral beta-lactamase inhibitors

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral lincomycin derivatives

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral tetracyclines

oral tetracyclines

oral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral rifamycin derivativesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral urinary anti-infectives

oral urinary anti-infectives

oral macrolides

oral macrolides

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral tetracyclines

Page 528: Pharmacy Table AA 2014

oral tetracyclines

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral aminopenicillinsoral first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral quinolones

oral first generation cephalosporins

oral

oral

oral

oral

oral tetracyclines

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral urinary anti-infectives

penicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillinspenicillinase-resistant penicillins

Page 529: Pharmacy Table AA 2014

oral urinary anti-infectives

oral lincomycin derivatives

oral miscellaneous antibiotics

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral

oral

oral

oral

oral tetracyclines

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

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oral tetracyclines

oral tetracyclines

oral

oral

oral

oral

oral

oral

oral

oral

oral

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

oral tetracyclines

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral macrolides

oral third generation cephalosporins

oral tetracyclines

oral tetracyclines

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 531: Pharmacy Table AA 2014

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable third generation cephalosporins

injectable first generation cephalosporins

oral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral quinolonesoral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral rifamycin derivativesoral lincomycin derivatives

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral miscellaneous antibiotics

oral tetracyclines

oral sulfonamides

Page 532: Pharmacy Table AA 2014

oral sulfonamides

oral sulfonamides

oral lincomycin derivatives

oral lincomycin derivatives

oral aminopenicillins

oral aminopenicillins

oral first generation cephalosporins

oral first generation cephalosporins

oral quinolones

oral quinolones

oral quinolones

oral macrolides

oral beta-lactamase inhibitors

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral sulfonamides

oral quinolones

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral macrolides

oral second generation cephalosporins

Page 533: Pharmacy Table AA 2014

oral

oral

oral

oral

oral

oral

oral

oral first generation cephalosporins

oral first generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral third generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral first generation cephalosporins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral aminopenicillins

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

second generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporinssecond generation cephalosporins

Page 534: Pharmacy Table AA 2014

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclines

oral tetracyclinesoral tetracyclinesoral tetracyclinesoral tetracyclinesoral tetracyclinesoral tetracyclinesoral tetracyclines

oral tetracyclinesoral tetracyclinesoral tetracyclines