Parkinson's Disease Drugs, Oral & Topical
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.
| NDC | Brand Name | Generic Name | Form | Strength | PDL Status |
Rebate | Carveout ‐ Bill FFS |
Current Drug Use Criteria |
|---|---|---|---|---|---|---|---|---|
| 70482017060 | GOCOVRI | amantadine HCl | CAP ER 24H | 137 mg | N | Y | N | Pharmacy PA |
| 70482008560 | GOCOVRI | amantadine HCl | CAP ER 24H | 68.5 mg | N | Y | N | Pharmacy PA |
| 00832101500 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 00832101550 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 00904704206 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 00904704240 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 00904704259 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 00904704261 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 16571083401 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 16571083450 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 23155036201 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 23155036205 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 42543049301 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 42543049305 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 50268006911 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 50268006915 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 60687042201 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 60687042211 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 62135060990 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 62332024631 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 62332024671 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 68382051201 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 68382051205 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 69452014220 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 72888003301 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 72888003305 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 72888003330 | AMANTADINE | amantadine HCl | CAPSULE | 100 mg | Y | Y | N | |
| 00116401010 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 00116401016 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 00116401041 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 00121064610 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 00121064616 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 39328053010 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 39328053016 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 39328053099 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 60687079742 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 60687079756 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 62135001047 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 62135001124 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 62135001159 | AMANTADINE | amantadine HCl | SOLUTION | 50 mg/5 mL | N | Y | N | Pharmacy PA |
| 00591492001 | AMANTADINE | amantadine HCl | TABLET | 100 mg | Y | Y | N | |
| 00591492005 | AMANTADINE | amantadine HCl | TABLET | 100 mg | Y | Y | N | |
| 00832011100 | AMANTADINE | amantadine HCl | TABLET | 100 mg | Y | Y | N | |
| 00832011103 | AMANTADINE | amantadine HCl | TABLET | 100 mg | Y | Y | N | |
| 00832011150 | AMANTADINE | amantadine HCl | TABLET | 100 mg | Y | Y | N | |
| 00832011189 | AMANTADINE | amantadine HCl | TABLET | 100 mg | Y | Y | N | |
| 42543049701 | AMANTADINE | amantadine HCl | TABLET | 100 mg | Y | Y | N | |
| 42543049705 | AMANTADINE | amantadine HCl | TABLET | 100 mg | Y | Y | N | |
| 62332058631 | AMANTADINE | amantadine HCl | TABLET | 100 mg | Y | Y | N | |
| 27505000605 | ONAPGO | apomorphine HCl | CARTRIDGE | 98 mg/20 mL (4.9 mg/mL) | Y | N | ||
| 63402008810 | KYNMOBI | apomorphine HCl | FILM | 10 mg-15 mg-20 mg-25 mg-30 mg | N | Y | N | Pharmacy PA |
| 00603243321 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 00904728861 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 11534016709 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 11534016710 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 50228022501 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 50228022510 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 62135014118 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 62135014157 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 68084038101 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 68084038111 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 69097082607 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 69315013601 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 69315013610 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 70752012310 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 70752012311 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 0.5 mg | Y | Y | N | |
| 00603243421 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 00904728961 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 11534016809 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 11534016810 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 50228022601 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 50228022610 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 62135014401 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 62135014410 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 62135014418 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 62135014457 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 68084038801 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 68084038811 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 69097082707 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 69315013701 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 69315013710 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 70752012410 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 70752012411 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 1 mg | Y | Y | N | |
| 00603243521 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 00904729061 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 11534016909 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 11534016910 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 50228022701 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 50228022710 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 51079022217 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 62135014201 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 62135014210 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 62135014218 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 62135014257 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 68084038901 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 68084038911 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 69097083207 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 69315013801 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 69315013810 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 70752012510 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 70752012511 | BENZTROPINE MESYLATE | benztropine mesylate | TABLET | 2 mg | Y | Y | N | |
| 00378709601 | BROMOCRIPTINE MESYLATE | bromocriptine mesylate | CAPSULE | 5 mg | N | Y | N | Pharmacy PA |
| 00378709693 | BROMOCRIPTINE MESYLATE | bromocriptine mesylate | CAPSULE | 5 mg | N | Y | N | Pharmacy PA |
| 63304015801 | BROMOCRIPTINE MESYLATE | bromocriptine mesylate | CAPSULE | 5 mg | N | Y | N | Pharmacy PA |
| 63304015830 | BROMOCRIPTINE MESYLATE | bromocriptine mesylate | CAPSULE | 5 mg | N | Y | N | Pharmacy PA |
| 68382011006 | BROMOCRIPTINE MESYLATE | bromocriptine mesylate | CAPSULE | 5 mg | N | Y | N | Pharmacy PA |
| 00574010601 | BROMOCRIPTINE MESYLATE | bromocriptine mesylate | TABLET | 2.5 mg | N | Y | N | Pharmacy PA |
| 00574010603 | BROMOCRIPTINE MESYLATE | bromocriptine mesylate | TABLET | 2.5 mg | N | Y | N | Pharmacy PA |
| 70954097810 | BROMOCRIPTINE MESYLATE | bromocriptine mesylate | TABLET | 2.5 mg | N | Y | N | Pharmacy PA |
| 70954097820 | BROMOCRIPTINE MESYLATE | bromocriptine mesylate | TABLET | 2.5 mg | N | Y | N | Pharmacy PA |
| 16714006701 | CARBIDOPA | carbidopa | TABLET | 25 mg | N | Y | N | Pharmacy PA |
| 42799012301 | CARBIDOPA | carbidopa | TABLET | 25 mg | N | Y | N | Pharmacy PA |
| 59651014601 | CARBIDOPA | carbidopa | TABLET | 25 mg | N | Y | N | Pharmacy PA |
| 70710122101 | CARBIDOPA | carbidopa | TABLET | 25 mg | N | Y | N | Pharmacy PA |
| 64896096716 | CREXONT | carbidopa/levodopa | CAP IR ER | 35 mg-140 mg | N | Y | N | Pharmacy PA |
| 64896096816 | CREXONT | carbidopa/levodopa | CAP IR ER | 52.5 mg-210 mg | N | Y | N | Pharmacy PA |
| 64896096916 | CREXONT | carbidopa/levodopa | CAP IR ER | 70 mg-280 mg | N | Y | N | Pharmacy PA |
| 64896097016 | CREXONT | carbidopa/levodopa | CAP IR ER | 87.5 mg-350 mg | N | Y | N | Pharmacy PA |
| 70710213901 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | CAPSULE ER | 23.75 mg-95 mg | Y | N | ||
| 64896066101 | RYTARY | carbidopa/levodopa | CAPSULE ER | 23.75 mg-95 mg | N | Y | N | Pharmacy PA |
| 64896066109 | RYTARY | carbidopa/levodopa | CAPSULE ER | 23.75 mg-95 mg | N | Y | N | Pharmacy PA |
| 70710214001 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | CAPSULE ER | 36.25 mg-145 mg | Y | N | ||
| 64896066201 | RYTARY | carbidopa/levodopa | CAPSULE ER | 36.25 mg-145 mg | N | Y | N | Pharmacy PA |
| 64896066209 | RYTARY | carbidopa/levodopa | CAPSULE ER | 36.25 mg-145 mg | N | Y | N | Pharmacy PA |
| 70710214101 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | CAPSULE ER | 48.75 mg-195 mg | Y | N | ||
| 64896066301 | RYTARY | carbidopa/levodopa | CAPSULE ER | 48.75 mg-195 mg | N | Y | N | Pharmacy PA |
| 64896066309 | RYTARY | carbidopa/levodopa | CAPSULE ER | 48.75 mg-195 mg | N | Y | N | Pharmacy PA |
| 64896066399 | RYTARY | carbidopa/levodopa | CAPSULE ER | 48.75 mg-195 mg | N | Y | N | Pharmacy PA |
| 70710214201 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | CAPSULE ER | 61.25 mg-245 mg | Y | N | ||
| 64896066401 | RYTARY | carbidopa/levodopa | CAPSULE ER | 61.25 mg-245 mg | N | Y | N | Pharmacy PA |
| 64896066499 | RYTARY | carbidopa/levodopa | CAPSULE ER | 61.25 mg-245 mg | N | Y | N | Pharmacy PA |
| 00074301207 | DUOPA | carbidopa/levodopa | INT PMP SP | 4.63 mg-20 mg/mL | N | Y | N | Pharmacy PA |
| 16571015701 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TAB RAPDIS | 10 mg-100 mg | N | Y | N | Pharmacy PA |
| 47335018688 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TAB RAPDIS | 10 mg-100 mg | N | Y | N | Pharmacy PA |
| 16571015801 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TAB RAPDIS | 25 mg-100 mg | N | Y | N | Pharmacy PA |
| 47335018788 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TAB RAPDIS | 25 mg-100 mg | N | Y | N | Pharmacy PA |
| 16571015901 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TAB RAPDIS | 25 mg-250 mg | N | Y | N | Pharmacy PA |
| 47335018888 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TAB RAPDIS | 25 mg-250 mg | N | Y | N | Pharmacy PA |
| 00093970101 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 00093970105 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 31722038101 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 31722038105 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 50228045701 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 50228045705 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 52817039010 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 52817039050 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 59651045601 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 62756051713 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 62756051788 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 69367033801 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 69367033805 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 72888010600 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 72888010601 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 72888010605 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 75907002201 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 78206016601 | SINEMET | carbidopa/levodopa | TABLET | 10 mg-100 mg | Y | Y | N | |
| 00093970201 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 00093970205 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 00093970210 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 00378008501 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 00904734761 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 00904750161 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 31722038201 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 31722038205 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 31722038210 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 50228045801 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 50228045805 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 50228045810 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 52817039100 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 52817039110 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 52817039150 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 59651045701 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 59651045705 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 60687066101 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 60687066111 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 62756051813 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 62756051818 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 62756051888 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 69367033901 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 69367033905 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 69367033910 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 72888010700 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 72888010701 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 72888010705 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 75907002001 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 75907002005 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 75907002010 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 51079075623 | CARBIDOPA/LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 51079075624 | CARBIDOPA/LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 75854070101 | DHIVY | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 78206016801 | SINEMET | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 78206019001 | SINEMET | carbidopa/levodopa | TABLET | 25 mg-100 mg | Y | Y | N | |
| 00093970301 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 00093970305 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 00093970310 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 00228254010 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 00228254050 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 00228254096 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 00904754961 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 31722038301 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 31722038305 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 31722038310 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 50228045901 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 50228045905 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 52817039200 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 52817039210 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 52817039250 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 59651045801 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 59651045805 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 60687083601 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 60687083611 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 62756098501 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 62756098502 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 69367034001 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 69367034005 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 72888010800 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 72888010801 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 72888010805 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 75907002101 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 75907002105 | CARBIDOPA-LEVODOPA | carbidopa/levodopa | TABLET | 25 mg-250 mg | Y | Y | N | |
| 00378008801 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 16729007801 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 50228046001 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 50228046010 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 51079097801 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 51079097820 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 60219203301 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 62756046188 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 68001017100 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 68084028101 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 68084028111 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 72888015501 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 72888015530 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 25 mg-100 mg | Y | Y | N | |
| 00378009401 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 16729007901 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 16729007917 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 50228046101 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 50228046110 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 51079092301 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 51079092320 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 60219203401 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 62756045788 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 68001017200 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 68084028201 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 68084028211 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 72888015601 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 72888015630 | CARBIDOPA-LEVODOPA ER | carbidopa/levodopa | TABLET ER | 50 mg-200 mg | Y | Y | N | |
| 00781561301 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 12.5 mg-50 mg-200 mg | Y | Y | N | |
| 16571068901 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 12.5 mg-50 mg-200 mg | Y | Y | N | |
| 00781562501 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 18.75 mg-75 mg-200 mg | Y | Y | N | |
| 16571069001 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 18.75 mg-75 mg-200 mg | Y | Y | N | |
| 52427080901 | STALEVO 75 | carbidopa/levodopa/entacapone | TABLET | 18.75 mg-75 mg-200 mg | Y | Y | N | |
| 00781563701 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 25 mg-100 mg-200 mg | Y | Y | N | |
| 16571069101 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 25 mg-100 mg-200 mg | Y | Y | N | |
| 52427081601 | STALEVO 100 | carbidopa/levodopa/entacapone | TABLET | 25 mg-100 mg-200 mg | Y | Y | N | |
| 00781564101 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 31.25 mg-125 mg-200 mg | Y | Y | N | |
| 16571069201 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 31.25 mg-125 mg-200 mg | Y | Y | N | |
| 00781565401 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 37.5 mg-150 mg-200 mg | Y | Y | N | |
| 16571069301 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 37.5 mg-150 mg-200 mg | Y | Y | N | |
| 00781566901 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 50 mg-200 mg-200 mg | Y | Y | N | |
| 16571069401 | CARBIDOPA-LEVODOPA-ENTACAPONE | carbidopa/levodopa/entacapone | TABLET | 50 mg-200 mg-200 mg | Y | Y | N | |
| 00527183037 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 00781557801 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 00904682207 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 27241004910 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 33342026011 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 47335020308 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 47335020318 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 47335020383 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 47335020388 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 50268029511 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 50268029515 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 60687018811 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 60687018821 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 62332047831 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 65862065401 | ENTACAPONE | entacapone | TABLET | 200 mg | Y | Y | N | |
| 00074050101 | VYALEV | foscarbidopa/foslevodopa | VIAL | 12 mg-240 mg/mL | N | Y | N | Pharmacy PA |
| 42747060290 | NOURIANZ | istradefylline | TABLET | 20 mg | N | Y | N | Pharmacy PA |
| 42747060490 | NOURIANZ | istradefylline | TABLET | 40 mg | N | Y | N | Pharmacy PA |
| 10144034260 | INBRIJA | levodopa | CAP W/DEV | 42 mg | N | Y | N | Pharmacy PA |
| 10144034201 | INBRIJA | levodopa | CAPSULE | 42 mg | N | Y | N | Pharmacy PA |
| 00004007201 | LARODOPA | levodopa | TABLET | 100 mg | N | Y | N | Pharmacy PA |
| 00004005601 | LARODOPA | levodopa | TABLET | 500 mg | N | Y | N | Pharmacy PA |
| 64896040201 | ONGENTYS | opicapone | CAPSULE | 25 mg | N | Y | N | Pharmacy PA |
| 70370302502 | ONGENTYS | opicapone | CAPSULE | 25 mg | N | Y | N | Pharmacy PA |
| 64896040301 | ONGENTYS | opicapone | CAPSULE | 50 mg | N | Y | N | Pharmacy PA |
| 70370305002 | ONGENTYS | opicapone | CAPSULE | 50 mg | N | Y | N | Pharmacy PA |
| 16714091601 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.375 mg | N | Y | N | Pharmacy PA |
| 33342020807 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.375 mg | N | Y | N | Pharmacy PA |
| 50742033130 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.375 mg | N | Y | N | Pharmacy PA |
| 55111061130 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.375 mg | N | Y | N | Pharmacy PA |
| 62332015430 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.375 mg | N | Y | N | Pharmacy PA |
| 69680014530 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.375 mg | N | Y | N | Pharmacy PA |
| 16714091701 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.75 mg | N | Y | N | Pharmacy PA |
| 33342020907 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.75 mg | N | Y | N | Pharmacy PA |
| 50742033230 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.75 mg | N | Y | N | Pharmacy PA |
| 55111061230 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.75 mg | N | Y | N | Pharmacy PA |
| 62332015530 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.75 mg | N | Y | N | Pharmacy PA |
| 69680014630 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 0.75 mg | N | Y | N | Pharmacy PA |
| 16714091801 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 1.5 mg | N | Y | N | Pharmacy PA |
| 33342021007 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 1.5 mg | N | Y | N | Pharmacy PA |
| 50742033330 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 1.5 mg | N | Y | N | Pharmacy PA |
| 55111061330 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 1.5 mg | N | Y | N | Pharmacy PA |
| 62332015630 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 1.5 mg | N | Y | N | Pharmacy PA |
| 16714091901 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 2.25 mg | N | Y | N | Pharmacy PA |
| 33342021107 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 2.25 mg | N | Y | N | Pharmacy PA |
| 50742033430 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 2.25 mg | N | Y | N | Pharmacy PA |
| 62332015730 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 2.25 mg | N | Y | N | Pharmacy PA |
| 16714092001 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 3 mg | N | Y | N | Pharmacy PA |
| 33342021207 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 3 mg | N | Y | N | Pharmacy PA |
| 50742033530 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 3 mg | N | Y | N | Pharmacy PA |
| 55111061430 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 3 mg | N | Y | N | Pharmacy PA |
| 62332015830 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 3 mg | N | Y | N | Pharmacy PA |
| 16714092101 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 3.75 mg | N | Y | N | Pharmacy PA |
| 33342021307 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 3.75 mg | N | Y | N | Pharmacy PA |
| 50742033630 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 3.75 mg | N | Y | N | Pharmacy PA |
| 62332016030 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 3.75 mg | N | Y | N | Pharmacy PA |
| 16714092201 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 4.5 mg | N | Y | N | Pharmacy PA |
| 33342021407 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 4.5 mg | N | Y | N | Pharmacy PA |
| 50742033730 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 4.5 mg | N | Y | N | Pharmacy PA |
| 55111061530 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 4.5 mg | N | Y | N | Pharmacy PA |
| 62332015930 | PRAMIPEXOLE ER | pramipexole di-HCl | TAB ER 24H | 4.5 mg | N | Y | N | Pharmacy PA |
| 13668009105 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.125 mg | Y | Y | N | |
| 13668009190 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.125 mg | Y | Y | N | |
| 50228012610 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.125 mg | Y | Y | N | |
| 57237018090 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.125 mg | Y | Y | N | |
| 64380074605 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.125 mg | Y | Y | N | |
| 65862060499 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.125 mg | Y | Y | N | |
| 68462033090 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.125 mg | Y | Y | N | |
| 00904670461 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 13668009205 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 13668009290 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 50228012710 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 51991062990 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 57237018190 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 60687057001 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 60687057011 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 64380074705 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 65862060599 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 68462033190 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.25 mg | Y | Y | N | |
| 13668009305 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.5 mg | Y | Y | N | |
| 13668009390 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.5 mg | Y | Y | N | |
| 50228012810 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.5 mg | Y | Y | N | |
| 57237018290 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.5 mg | Y | Y | N | |
| 60687058111 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.5 mg | Y | Y | N | |
| 60687058121 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.5 mg | Y | Y | N | |
| 64380074805 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.5 mg | Y | Y | N | |
| 65862060699 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.5 mg | Y | Y | N | |
| 68462033290 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.5 mg | Y | Y | N | |
| 13668018405 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.75 mg | Y | Y | N | |
| 13668018490 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.75 mg | Y | Y | N | |
| 50228012910 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.75 mg | Y | Y | N | |
| 50228012990 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.75 mg | Y | Y | N | |
| 57237018390 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.75 mg | Y | Y | N | |
| 64380074905 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.75 mg | Y | Y | N | |
| 65862060799 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 0.75 mg | Y | Y | N | |
| 13668009405 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 13668009490 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 50228013010 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 51991063190 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 57237018490 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 60687059211 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 60687059221 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 64380075005 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 65862060899 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 68462033390 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1 mg | Y | Y | N | |
| 00378171277 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 13668009505 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 13668009590 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 33342003510 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 50228013190 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 51991063290 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 57237018590 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 64380075105 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 65862060999 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 68462033490 | PRAMIPEXOLE DIHYDROCHLORIDE | pramipexole di-HCl | TABLET | 1.5 mg | Y | Y | N | |
| 68546014256 | AZILECT | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 00093306056 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 16714077001 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 23155074603 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 33342030807 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 42571022030 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 47781068330 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 62135067630 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 64980071130 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 67877025930 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 0.5 mg | N | Y | N | Pharmacy PA |
| 68546022956 | AZILECT | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 00093306156 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 16714077101 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 23155074703 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 33342030907 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 42571022130 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 47781069030 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 62135067730 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 64980071230 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 67877026030 | RASAGILINE MESYLATE | rasagiline mesylate | TABLET | 1 mg | N | Y | N | Pharmacy PA |
| 00228366103 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 12 mg | N | Y | N | Pharmacy PA |
| 43547055803 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 12 mg | N | Y | N | Pharmacy PA |
| 55111072830 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 12 mg | N | Y | N | Pharmacy PA |
| 62332011130 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 12 mg | N | Y | N | Pharmacy PA |
| 00228365803 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 2 mg | N | Y | N | Pharmacy PA |
| 00228365809 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 2 mg | N | Y | N | Pharmacy PA |
| 43547055403 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 2 mg | N | Y | N | Pharmacy PA |
| 43547055409 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 2 mg | N | Y | N | Pharmacy PA |
| 55111065930 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 2 mg | N | Y | N | Pharmacy PA |
| 55111065990 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 2 mg | N | Y | N | Pharmacy PA |
| 62332010730 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 2 mg | N | Y | N | Pharmacy PA |
| 62332010790 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 2 mg | N | Y | N | Pharmacy PA |
| 00228365903 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 4 mg | N | Y | N | Pharmacy PA |
| 00228365909 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 4 mg | N | Y | N | Pharmacy PA |
| 43547055503 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 4 mg | N | Y | N | Pharmacy PA |
| 43547055509 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 4 mg | N | Y | N | Pharmacy PA |
| 55111066130 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 4 mg | N | Y | N | Pharmacy PA |
| 55111066190 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 4 mg | N | Y | N | Pharmacy PA |
| 62332010830 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 4 mg | N | Y | N | Pharmacy PA |
| 62332010890 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 4 mg | N | Y | N | Pharmacy PA |
| 00228364003 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 6 mg | N | Y | N | Pharmacy PA |
| 43547055603 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 6 mg | N | Y | N | Pharmacy PA |
| 55111072730 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 6 mg | N | Y | N | Pharmacy PA |
| 55111072790 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 6 mg | N | Y | N | Pharmacy PA |
| 62332010930 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 6 mg | N | Y | N | Pharmacy PA |
| 00228366003 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 8 mg | N | Y | N | Pharmacy PA |
| 00228366009 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 8 mg | N | Y | N | Pharmacy PA |
| 43547055703 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 8 mg | N | Y | N | Pharmacy PA |
| 43547055709 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 8 mg | N | Y | N | Pharmacy PA |
| 55111066230 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 8 mg | N | Y | N | Pharmacy PA |
| 55111066290 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 8 mg | N | Y | N | Pharmacy PA |
| 62332011030 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 8 mg | N | Y | N | Pharmacy PA |
| 62332011090 | ROPINIROLE ER | ropinirole HCl | TAB ER 24H | 8 mg | N | Y | N | Pharmacy PA |
| 00904637361 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 43547026810 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 43547026850 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 50268074111 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 50268074115 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 60687057701 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 60687057711 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 62332003031 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 68462025301 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 69452035620 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.25 mg | Y | Y | N | |
| 43547026910 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.5 mg | Y | Y | N | |
| 43547026950 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.5 mg | Y | Y | N | |
| 50268074211 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.5 mg | Y | Y | N | |
| 50268074215 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.5 mg | Y | Y | N | |
| 62332003131 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.5 mg | Y | Y | N | |
| 68462025401 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.5 mg | Y | Y | N | |
| 69452035720 | ROPINIROLE HCL | ropinirole HCl | TABLET | 0.5 mg | Y | Y | N | |
| 00904637461 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 43547027010 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 43547027050 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 50268074311 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 50268074315 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 60687058801 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 60687058811 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 62332003231 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 68462025501 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 69452035820 | ROPINIROLE HCL | ropinirole HCl | TABLET | 1 mg | Y | Y | N | |
| 43547027110 | ROPINIROLE HCL | ropinirole HCl | TABLET | 2 mg | Y | Y | N | |
| 43547027150 | ROPINIROLE HCL | ropinirole HCl | TABLET | 2 mg | Y | Y | N | |
| 50268074411 | ROPINIROLE HCL | ropinirole HCl | TABLET | 2 mg | Y | Y | N | |
| 50268074415 | ROPINIROLE HCL | ropinirole HCl | TABLET | 2 mg | Y | Y | N | |
| 62332003331 | ROPINIROLE HCL | ropinirole HCl | TABLET | 2 mg | Y | Y | N | |
| 68462025601 | ROPINIROLE HCL | ropinirole HCl | TABLET | 2 mg | Y | Y | N | |
| 69452035920 | ROPINIROLE HCL | ropinirole HCl | TABLET | 2 mg | Y | Y | N | |
| 43547027210 | ROPINIROLE HCL | ropinirole HCl | TABLET | 3 mg | Y | Y | N | |
| 43547027250 | ROPINIROLE HCL | ropinirole HCl | TABLET | 3 mg | Y | Y | N | |
| 62332003431 | ROPINIROLE HCL | ropinirole HCl | TABLET | 3 mg | Y | Y | N | |
| 68462025701 | ROPINIROLE HCL | ropinirole HCl | TABLET | 3 mg | Y | Y | N | |
| 69452036020 | ROPINIROLE HCL | ropinirole HCl | TABLET | 3 mg | Y | Y | N | |
| 43547027310 | ROPINIROLE HCL | ropinirole HCl | TABLET | 4 mg | Y | Y | N | |
| 43547027350 | ROPINIROLE HCL | ropinirole HCl | TABLET | 4 mg | Y | Y | N | |
| 62332003531 | ROPINIROLE HCL | ropinirole HCl | TABLET | 4 mg | Y | Y | N | |
| 68462025801 | ROPINIROLE HCL | ropinirole HCl | TABLET | 4 mg | Y | Y | N | |
| 69452036120 | ROPINIROLE HCL | ropinirole HCl | TABLET | 4 mg | Y | Y | N | |
| 43547027410 | ROPINIROLE HCL | ropinirole HCl | TABLET | 5 mg | Y | Y | N | |
| 43547027450 | ROPINIROLE HCL | ropinirole HCl | TABLET | 5 mg | Y | Y | N | |
| 62332003631 | ROPINIROLE HCL | ropinirole HCl | TABLET | 5 mg | Y | Y | N | |
| 68462025901 | ROPINIROLE HCL | ropinirole HCl | TABLET | 5 mg | Y | Y | N | |
| 69452036220 | ROPINIROLE HCL | ropinirole HCl | TABLET | 5 mg | Y | Y | N | |
| 50474080103 | NEUPRO | rotigotine | PATCH TD24 | 1 mg/24 hour | N | Y | N | Pharmacy PA |
| 50474080203 | NEUPRO | rotigotine | PATCH TD24 | 2 mg/24 hour | N | Y | N | Pharmacy PA |
| 50474080303 | NEUPRO | rotigotine | PATCH TD24 | 3 mg/24 hour | N | Y | N | Pharmacy PA |
| 50474080403 | NEUPRO | rotigotine | PATCH TD24 | 4 mg/24 hour | N | Y | N | Pharmacy PA |
| 50474080503 | NEUPRO | rotigotine | PATCH TD24 | 6 mg/24 hour | N | Y | N | Pharmacy PA |
| 50474080603 | NEUPRO | rotigotine | PATCH TD24 | 8 mg/24 hour | N | Y | N | Pharmacy PA |
| 50474080617 | NEUPRO | rotigotine | PATCH TD24 | 8 mg/24 hour | N | Y | N | Pharmacy PA |
| 27505011130 | XADAGO | safinamide mesylate | TABLET | 100 mg | N | Y | N | Pharmacy PA |
| 27505011030 | XADAGO | safinamide mesylate | TABLET | 50 mg | N | Y | N | Pharmacy PA |
| 16571065906 | SELEGILINE HCL | selegiline HCl | CAPSULE | 5 mg | Y | Y | N | |
| 60505005501 | SELEGILINE HCL | selegiline HCl | CAPSULE | 5 mg | Y | Y | N | |
| 60505005502 | SELEGILINE HCL | selegiline HCl | CAPSULE | 5 mg | Y | Y | N | |
| 60505005503 | SELEGILINE HCL | selegiline HCl | CAPSULE | 5 mg | Y | Y | N | |
| 70954050410 | SELEGILINE HCL | selegiline HCl | CAPSULE | 5 mg | Y | Y | N | |
| 70954050420 | SELEGILINE HCL | selegiline HCl | CAPSULE | 5 mg | Y | Y | N | |
| 00904526640 | SELEGILINE HCL | selegiline HCl | TABLET | 5 mg | N | Y | N | Pharmacy PA |
| 00904826652 | SELEGILINE HCL | selegiline HCl | TABLET | 5 mg | N | Y | N | Pharmacy PA |
| 60505343803 | SELEGILINE HCL | selegiline HCl | TABLET | 5 mg | N | Y | N | Pharmacy PA |
| 62135069460 | SELEGILINE HCL | selegiline HCl | TABLET | 5 mg | N | Y | N | Pharmacy PA |
| 72319000602 | SELEGILINE HCL | selegiline HCl | TABLET | 5 mg | N | Y | N | Pharmacy PA |
| 50742019390 | TOLCAPONE | tolcapone | TABLET | 100 mg | N | Y | N | Pharmacy PA |
| 00121065816 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | SOLUTION | 2 mg/5 mL | Y | Y | N | |
| 00254597138 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 2 mg | Y | Y | N | |
| 00591533501 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 2 mg | Y | Y | N | |
| 00591533510 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 2 mg | Y | Y | N | |
| 69452024120 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 2 mg | Y | Y | N | |
| 69452024132 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 2 mg | Y | Y | N | |
| 70954021210 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 2 mg | Y | Y | N | |
| 70954021220 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 2 mg | Y | Y | N | |
| 00254597228 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 5 mg | Y | Y | N | |
| 00254597238 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 5 mg | Y | Y | N | |
| 00591533701 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 5 mg | Y | Y | N | |
| 00591533710 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 5 mg | Y | Y | N | |
| 69452024220 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 5 mg | Y | Y | N | |
| 69452024232 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 5 mg | Y | Y | N | |
| 70954021110 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 5 mg | Y | Y | N | |
| 70954021120 | TRIHEXYPHENIDYL HCL | trihexyphenidyl HCl | TABLET | 5 mg | Y | Y | N |