Antibiotics, Topical

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PDL Reference Documents

PDL Status Values

Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the Non-Preferred Drugs in Select PDL Classes prior authorization criteria. New drugs will be listed as N until reviewed by the P&T Committee and are subject to the New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.

To request a Prior Authorization, please use this form.

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NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Carveout
‐ Bill FFS		 Current Drug Use Criteria
00363007564 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
00713028031 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
00927009430 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
11673007358 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
11917005749 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
11917018788 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
12810006003 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
16784011631 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
37097006003 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
41280020078 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
43072000638 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
49158012206 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
49158012208 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
49999014215 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
50090081500 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
51672200503 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
52959021706 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
52959133703 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
52959133706 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
52959137603 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
52959137605 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
54868326900 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
59390002617 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
59779053664 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
66267098830 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
66267098915 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
67777011620 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
67777011621 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
67777011630 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
67777011631 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
67777021901 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
71205005701 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
87701095027 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
94441020078 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y N N  
00536125628 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
00574402235 BACITRACIN bacitracin OINT. (G) 500 unit/gram N Y N  
45802006001 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
45802006003 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
45802006004 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
45802006005 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
45802006010 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
45802006023 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
45802006044 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
45861007303 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
68001047746 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
68001047747 BACITRACIN bacitracin OINT. (G) 500 unit/gram Y Y N  
14428000003 BACITRAYCIN PLUS bacitracin OINT. (G) 500 unit/gram Y N N  
00904740267 BACITRACIN bacitracin PACKET 500 unit/gram N Y N  
45802006000 BACITRACIN bacitracin PACKET 500 unit/gram N Y N  
45802006070 BACITRACIN bacitracin PACKET 500 unit/gram N Y N  
68001047745 BACITRACIN bacitracin PACKET 500 unit/gram N Y N  
68001047748 BACITRACIN bacitracin PACKET 500 unit/gram N Y N  
00904702367 BACITRACIN ZINC bacitracin zinc OINT PACK 500 unit/gram N Y N  
10939056433 ANTIBIOTIC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
49348015472 ANTIBIOTIC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
70677121101 ANTIBIOTIC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
00179801230 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
11822031378 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
11822110505 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
11917011354 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
11917016394 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
11917016408 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
14428000888 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
14428000944 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011721 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011722 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011723 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011731 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011733 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011751 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011752 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011753 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011761 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
16784011763 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
49035051026 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
50090276600 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
50090470600 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
50428021963 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
50428036435 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
51824000301 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
52569013463 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
52959011330 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
52959144200 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
52959144203 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
58980001110 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
59779050156 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
67777000820 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
67777000821 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
67777000830 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
67777000831 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
67777000850 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
67777000851 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
67777000860 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
67777000861 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
79503010730 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
81131015699 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
87701055389 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y N N  
00536126328 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
24385006003 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
51672207501 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
51672207502 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
68001053145 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
68001053146 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
70000054701 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
83324004001 BACITRACIN ZINC bacitracin zinc OINT. (G) 500 unit/gram Y Y N  
00179870730 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
10939056833 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
11822358770 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
52569013466 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
58980001205 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
69396002930 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
49348027472 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y Y N  
51672204402 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y Y N  
62011009701 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y Y N  
70677121201 DOUBLE ANTIBIOTIC bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y Y N  
50428042917 POLY BACITRACIN bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
59779000356 POLY BACITRACIN bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
70000007001 POLY BACITRACIN bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y Y N  
70000009301 POLY BACITRACIN bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y Y N  
00810079887 POLYSPORIN bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
11917005099 WAL-SPORIN bacitracin zinc/polymyxin B OINT. (G) 500 unit-10,000 unit/gram Y N N  
52959139003 BACITRACIN/POLYMYXIN bacitracin/polymyxin B sulfate OINT. (G) Y N N  
52959139007 BACITRACIN/POLYMYXIN bacitracin/polymyxin B sulfate OINT. (G) Y N N  
45802027503 BACITRACIN/POLYMYXIN bacitracin/polymyxin B sulfate OINT. (G) Y Y N  
45802005605 GENTAMICIN SULFATE gentamicin sulfate CREAM (G) 0.1 % Y Y N  
45802005611 GENTAMICIN SULFATE gentamicin sulfate CREAM (G) 0.1 % Y Y N  
45802005635 GENTAMICIN SULFATE gentamicin sulfate CREAM (G) 0.1 % Y Y N  
45802004611 GENTAMICIN SULFATE gentamicin sulfate OINT. (G) 0.1 % N Y N  
45802004635 GENTAMICIN SULFATE gentamicin sulfate OINT. (G) 0.1 % N Y N  
43538031030 CENTANY AT mupirocin KIT 2 % N Y N  
43538030030 CENTANY mupirocin OINT. (G) 2 % Y Y N  
00093101042 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
00904728454 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
21922002804 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
21922002825 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
21922007304 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
21922007325 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
45802011214 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
45802011222 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
50268056811 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
50268056815 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
51672131200 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
51672131201 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
68462018022 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
81033002001 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
81033002050 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
81033002099 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
81033003201 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
81033003250 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
81033003299 MUPIROCIN mupirocin OINT. (G) 2 % Y Y N  
16714005501 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
16714005502 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
21922002904 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
21922002905 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
51672137001 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
51672137002 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
62332062415 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
62332062430 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
68462056417 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
68462056435 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
69238202903 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
69238202905 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
82429031015 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
82429031130 MUPIROCIN mupirocin calcium CREAM (G) 2 % N Y N  
45802007301 ANTIBIOTIC neomycin sulf/polymyxin B sulf CREAM (G) N Y N  
45802007303 ANTIBIOTIC neomycin sulf/polymyxin B sulf CREAM (G) N Y N  
45802005803 NEOMYCIN SULFATE neomycin sulfate OINT. (G) 0.5 % N Y N  
45802005844 NEOMYCIN SULFATE neomycin sulfate OINT. (G) 0.5 % N Y N  
45802001101 TRIPLE ANTIBIOTIC W/LIDOCAINE neomycin/bacitracin/poly/lido OINT. (G) N Y N  
45802001103 TRIPLE ANTIBIOTIC W/LIDOCAINE neomycin/bacitracin/poly/lido OINT. (G) N Y N  
45802001123 TRIPLE ANTIBIOTIC W/LIDOCAINE neomycin/bacitracin/poly/lido OINT. (G) N Y N  
45802028403 TRIPLE ANTIBIOTIC W/LIDOCAINE neomycin/bacitracin/poly/lido OINT. (G) N Y N  
00904880567 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT PACK 3.5 mg-400 unit-5,000 unit/gram N Y N  
45802014300 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT PACK 3.5 mg-400 unit-5,000 unit/gram N Y N  
45802014370 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT PACK 3.5 mg-400 unit-5,000 unit/gram N Y N  
11673040564 ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
50428021962 ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
59779006764 ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
69842019916 ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
69842019958 ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
41163020958 FIRST AID ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
41163020964 FIRST AID ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
41163025145 FIRST AID ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
50090725900 FIRST AID ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
00113008464 FIRST AID ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
00810073087 NEOSPORIN neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
00810073088 NEOSPORIN neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
69968005602 NEOSPORIN neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
10960073619 TRIPLE ANTI neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
00713026831 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
10939083744 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
11822064240 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
11917005095 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
11917005491 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
11917009752 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
11917009753 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
11917016407 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
11917017956 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
30142006764 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
32953006903 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
32953007901 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
32953022005 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
41280020077 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
41415004975 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
43072000401 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
49035006716 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
49035006764 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
49158012306 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
50090185900 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
51824005201 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
52959134103 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
52959134105 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
53329008701 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
54868058200 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
59390002714 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
59390002717 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
63187003901 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
63187003915 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
66267093030 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
67777021710 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
67777021711 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
67777021712 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
67777021713 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
69396000205 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
69396000220 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
69396001505 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
71205000628 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
79503010830 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
81131002776 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
81131073198 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
87701042952 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
87701055390 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
87701089430 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
87701094539 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
87701095033 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y N N  
00536110094 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
00904073431 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
00904880531 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
11527016247 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
11527016251 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
11527016255 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
45802006105 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
45802006109 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
45802006110 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
45802006195 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
45802006197 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
45802014301 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
45802014303 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
45802024003 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
46122041403 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
46122041405 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
51672212001 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
51672212002 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
68001048345 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
68001048346 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
70000005801 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
70000009401 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
70677121701 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
83324005001 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
83324005005 TRIPLE ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-400 unit-5,000 unit/gram Y Y N  
11917005092 FIRST AID ANTIBIOTIC neomycin/bacitracin/polymyxinB OINT. (G) 3.5 mg-500 unit-10,000 unit/gram Y N N  
49348069069 ANTIBIOTIC PLUS neomycin/polymyxin B/pramoxine CREAM (G) 0.35 %-10,000 unit-10 mg/gram N Y N  
46122024403 ANTIBIOTIC PLUS PAIN RELIEF neomycin/polymyxin B/pramoxine CREAM (G) 0.35 %-10,000 unit-10 mg/gram N Y N  
70677121801 ANTIBIOTIC PLUS PAIN RELIEF neomycin/polymyxin B/pramoxine CREAM (G) 0.35 %-10,000 unit-10 mg/gram N Y N  
24385014303 TRIPLE ANTIBIOTIC PLUS neomycn/bacitrc/polymyx/pramox OINT. (G) 3.5 mg-500 unit-10,000 unit-10 mg/gram N Y N  
49348060072 TRIPLE ANTIBIOTIC PLUS neomycn/bacitrc/polymyx/pramox OINT. (G) 3.5 mg-500 unit-10,000 unit-10 mg/gram N Y N  
51672202701 TRIPLE ANTIBIOTIC PLUS neomycn/bacitrc/polymyx/pramox OINT. (G) 3.5 mg-500 unit-10,000 unit-10 mg/gram N Y N  
51672202702 TRIPLE ANTIBIOTIC PLUS neomycn/bacitrc/polymyx/pramox OINT. (G) 3.5 mg-500 unit-10,000 unit-10 mg/gram N Y N  
83324003601 TRIPLE ANTIBIOTIC PLUS neomycn/bacitrc/polymyx/pramox OINT. (G) 3.5 mg-500 unit-10,000 unit-10 mg/gram N Y N  
70677121901 TRIPLE ANTIBIOTIC-PAIN RELIEF neomycn/bacitrc/polymyx/pramox OINT. (G) 3.5 mg-500 unit-10,000 unit-10 mg/gram N Y N  
70621010301 XEPI ozenoxacin CREAM (G) 1 % N Y N  
70621010310 XEPI ozenoxacin CREAM (G) 1 % N Y N  
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