Antipsychotics, Parenteral
PDL Reference Documents
Drug Use Review Documents
Newsletters
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 |
|---|---|---|---|---|---|---|---|---|
| 59148004580 | ABILIFY MAINTENA | aripiprazole | SUSER SYR | 300 mg | Y | Y | Y | |
| 59148007280 | ABILIFY MAINTENA | aripiprazole | SUSER SYR | 400 mg | Y | Y | Y | |
| 59148007292 | ABILIFY MAINTENA | aripiprazole | SUSER SYR | 400 mg | Y | Y | Y | |
| 59148010280 | ABILIFY ASIMTUFII | aripiprazole | SUSER SYR | 720 mg/2.4 mL | Y | Y | Y | |
| 59148011480 | ABILIFY ASIMTUFII | aripiprazole | SUSER SYR | 960 mg/3.2 mL | Y | Y | Y | |
| 59148011492 | ABILIFY ASIMTUFII | aripiprazole | SUSER SYR | 960 mg/3.2 mL | Y | Y | Y | |
| 59148001870 | ABILIFY MAINTENA | aripiprazole | SUSER VIAL | 300 mg | Y | Y | Y | |
| 59148001871 | ABILIFY MAINTENA | aripiprazole | SUSER VIAL | 300 mg | Y | Y | Y | |
| 59148023212 | ABILIFY MAINTENA | aripiprazole | SUSER VIAL | 300 mg | Y | Y | Y | |
| 59148001970 | ABILIFY MAINTENA | aripiprazole | SUSER VIAL | 400 mg | Y | Y | Y | |
| 59148001971 | ABILIFY MAINTENA | aripiprazole | SUSER VIAL | 400 mg | Y | Y | Y | |
| 59148001991 | ABILIFY MAINTENA | aripiprazole | SUSER VIAL | 400 mg | Y | Y | Y | |
| 59148024512 | ABILIFY MAINTENA | aripiprazole | SUSER VIAL | 400 mg | Y | Y | Y | |
| 65757040403 | ARISTADA | aripiprazole lauroxil | SUSER SYR | 1,064 mg/3.9 mL | Y | Y | Y | |
| 65757040103 | ARISTADA | aripiprazole lauroxil | SUSER SYR | 441 mg/1.6 mL | Y | Y | Y | |
| 65757040203 | ARISTADA | aripiprazole lauroxil | SUSER SYR | 662 mg/2.4 mL | Y | Y | Y | |
| 65757040303 | ARISTADA | aripiprazole lauroxil | SUSER SYR | 882 mg/3.2 mL | Y | Y | Y | |
| 65757050003 | ARISTADA INITIO | aripiprazole lauroxil,submicr. | SUSER SYR | 675 mg/2.4 mL | Y | Y | Y | |
| 00641139731 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 00641139735 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 00641139831 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 00641139835 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 55150031801 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 55150031825 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 55150031901 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 55150031925 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 73043004801 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 73043004825 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 73043004901 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 73043004925 | CHLORPROMAZINE HCL | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 00007506101 | THORAZINE | chlorpromazine HCl | AMPUL | 25 mg/mL | Y | Y | Y | |
| 31722036631 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 31722036632 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 31722036731 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 31722036732 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 43598014011 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 43598014025 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 43598014111 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 43598014125 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 65219012800 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 65219012801 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 65219013001 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 65219013002 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 66794024902 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 66794024942 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 66794025002 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 66794025042 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 70710184901 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 70710184907 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 70710185001 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 70710185007 | CHLORPROMAZINE HCL | chlorpromazine HCl | VIAL | 25 mg/mL | Y | Y | Y | |
| 00143952901 | FLUPHENAZINE DECANOATE | fluphenazine decanoate | VIAL | 25 mg/mL | Y | Y | Y | |
| 25021083805 | FLUPHENAZINE DECANOATE | fluphenazine decanoate | VIAL | 25 mg/mL | Y | Y | Y | |
| 42023012901 | FLUPHENAZINE DECANOATE | fluphenazine decanoate | VIAL | 25 mg/mL | Y | Y | Y | |
| 42023012989 | FLUPHENAZINE DECANOATE | fluphenazine decanoate | VIAL | 25 mg/mL | Y | Y | Y | |
| 55150026705 | FLUPHENAZINE DECANOATE | fluphenazine decanoate | VIAL | 25 mg/mL | Y | Y | Y | |
| 63323027205 | FLUPHENAZINE DECANOATE | fluphenazine decanoate | VIAL | 25 mg/mL | Y | Y | Y | |
| 67457035959 | FLUPHENAZINE DECANOATE | fluphenazine decanoate | VIAL | 25 mg/mL | Y | Y | Y | |
| 72205010001 | FLUPHENAZINE DECANOATE | fluphenazine decanoate | VIAL | 25 mg/mL | Y | Y | Y | |
| 63323028110 | FLUPHENAZINE HCL | fluphenazine HCl | VIAL | 2.5 mg/mL | Y | Y | Y | |
| 70069003101 | HALOPERIDOL DECANOATE | haloperidol decanoate | AMPUL | 100 mg/mL | Y | Y | Y | |
| 70069003105 | HALOPERIDOL DECANOATE | haloperidol decanoate | AMPUL | 100 mg/mL | Y | Y | Y | |
| 70069003001 | HALOPERIDOL DECANOATE | haloperidol decanoate | AMPUL | 50 mg/mL | Y | Y | Y | |
| 70069003003 | HALOPERIDOL DECANOATE | haloperidol decanoate | AMPUL | 50 mg/mL | Y | Y | Y | |
| 00143929501 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 00143929601 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 25021083301 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 25021083405 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 63323047101 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 63323047105 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 63323047141 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 67457040900 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 67457040913 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 68001058141 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 68001058148 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 68001065841 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 68001065852 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 68001065941 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70069038301 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70069038305 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70069038310 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70069038401 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70069086701 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70069086705 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70069086710 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70069086801 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70710146301 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70710146305 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70710146401 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70710146405 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70756061610 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70756061681 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 70756062585 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 71288050301 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 71288050302 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 71288050405 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 72603023001 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 100 mg/mL | Y | Y | Y | |
| 25021083101 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 63323046901 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 63323046905 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 67457041000 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 67457041013 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 68001058041 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 68001065741 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 68001065751 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 68001065756 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70069038101 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70069038110 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70069086601 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70069086610 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70710146101 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70710146106 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70710146109 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70710146201 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70756061510 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70756061581 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 70756062485 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 71288050201 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 71288050202 | HALOPERIDOL DECANOATE | haloperidol decanoate | VIAL | 50 mg/mL | Y | Y | Y | |
| 76045073701 | HALOPERIDOL LACTATE | haloperidol lactate | SYRINGE | 5 mg/mL | Y | Y | Y | |
| 76045073710 | HALOPERIDOL LACTATE | haloperidol lactate | SYRINGE | 5 mg/mL | Y | Y | Y | |
| 00143950101 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 00143950125 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 00143950201 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 00703704101 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 00703704104 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 25021080601 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 63323047400 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 63323047401 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 63323047410 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 67457042600 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 67457042612 | HALOPERIDOL LACTATE | haloperidol lactate | VIAL | 5 mg/mL | Y | Y | Y | |
| 00121107255 | OLANZAPINE | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 00143919901 | OLANZAPINE | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 00517095501 | OLANZAPINE | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 00781315972 | OLANZAPINE | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 00781910572 | OLANZAPINE | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 31722030801 | OLANZAPINE | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 39822180001 | OLANZAPINE | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 55150030801 | OLANZAPINE | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 72603018101 | OLANZAPINE | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 00002759701 | ZYPREXA | olanzapine | VIAL | 10 mg | V | Y | Y | |
| 61269066020 | ZYPREXA RELPREVV | olanzapine pamoate | VIAL | 210 mg | V | Y | Y | |
| 61269066301 | ZYPREXA RELPREVV | olanzapine pamoate | VIAL | 210 mg | V | Y | Y | |
| 61269066120 | ZYPREXA RELPREVV | olanzapine pamoate | VIAL | 300 mg | V | Y | Y | |
| 61269066401 | ZYPREXA RELPREVV | olanzapine pamoate | VIAL | 300 mg | V | Y | Y | |
| 61269066220 | ZYPREXA RELPREVV | olanzapine pamoate | VIAL | 405 mg | V | Y | Y | |
| 61269066501 | ZYPREXA RELPREVV | olanzapine pamoate | VIAL | 405 mg | V | Y | Y | |
| 50458061101 | INVEGA HAFYERA | paliperidone palmitate | SYRINGE | 1,092 mg/3.5 mL | Y | Y | Y | |
| 50458061201 | INVEGA HAFYERA | paliperidone palmitate | SYRINGE | 1,560 mg/5 mL | Y | Y | Y | |
| 72526010711 | ERZOFRI | paliperidone palmitate | SYRINGE | 117 mg/0.75 mL | Y | Y | Y | |
| 50458056201 | INVEGA SUSTENNA | paliperidone palmitate | SYRINGE | 117 mg/0.75 mL | Y | Y | Y | |
| 72526010811 | ERZOFRI | paliperidone palmitate | SYRINGE | 156 mg/mL | Y | Y | Y | |
| 50458056301 | INVEGA SUSTENNA | paliperidone palmitate | SYRINGE | 156 mg/mL | Y | Y | Y | |
| 50458056303 | INVEGA SUSTENNA | paliperidone palmitate | SYRINGE | 156 mg/mL | Y | Y | Y | |
| 72526010911 | ERZOFRI | paliperidone palmitate | SYRINGE | 234 mg/1.5 mL | Y | Y | Y | |
| 50458056401 | INVEGA SUSTENNA | paliperidone palmitate | SYRINGE | 234 mg/1.5 mL | Y | Y | Y | |
| 50458056403 | INVEGA SUSTENNA | paliperidone palmitate | SYRINGE | 234 mg/1.5 mL | Y | Y | Y | |
| 50458060601 | INVEGA TRINZA | paliperidone palmitate | SYRINGE | 273 mg/0.88 mL | Y | Y | Y | |
| 72526011011 | ERZOFRI | paliperidone palmitate | SYRINGE | 351 mg/2.25 mL | Y | Y | Y | |
| 72526010511 | ERZOFRI | paliperidone palmitate | SYRINGE | 39 mg/0.25 mL | Y | Y | Y | |
| 50458056001 | INVEGA SUSTENNA | paliperidone palmitate | SYRINGE | 39 mg/0.25 mL | Y | Y | Y | |
| 50458060701 | INVEGA TRINZA | paliperidone palmitate | SYRINGE | 410 mg/1.32 mL | Y | Y | Y | |
| 50458060801 | INVEGA TRINZA | paliperidone palmitate | SYRINGE | 546 mg/1.75 mL | Y | Y | Y | |
| 72526010611 | ERZOFRI | paliperidone palmitate | SYRINGE | 78 mg/0.5 mL | Y | Y | Y | |
| 50458056101 | INVEGA SUSTENNA | paliperidone palmitate | SYRINGE | 78 mg/0.5 mL | Y | Y | Y | |
| 50458060901 | INVEGA TRINZA | paliperidone palmitate | SYRINGE | 819 mg/2.63 mL | Y | Y | Y | |
| 51759052010 | UZEDY | risperidone | SUSER SYR | 100 mg/0.28 mL | Y | Y | Y | |
| 12496012001 | PERSERIS | risperidone | SUSER SYR | 120 mg | Y | Y | Y | |
| 51759063010 | UZEDY | risperidone | SUSER SYR | 125 mg/0.35 mL | Y | Y | Y | |
| 51759074010 | UZEDY | risperidone | SUSER SYR | 150 mg/0.42 mL | Y | Y | Y | |
| 51759085010 | UZEDY | risperidone | SUSER SYR | 200 mg/0.56 mL | Y | Y | Y | |
| 51759096010 | UZEDY | risperidone | SUSER SYR | 250 mg/0.7 mL | Y | Y | Y | |
| 51759030510 | UZEDY | risperidone | SUSER SYR | 50 mg/0.14 mL | Y | Y | Y | |
| 51759041010 | UZEDY | risperidone | SUSER SYR | 75 mg/0.21 mL | Y | Y | Y | |
| 12496009001 | PERSERIS | risperidone | SUSER SYR | 90 mg | Y | Y | Y | |
| 12496009002 | PERSERIS | risperidone | SUSER SYR | 90 mg | Y | Y | Y | |
| 50458030901 | RISPERDAL CONSTA | risperidone microspheres | VIAL | 12.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 50458030911 | RISPERDAL CONSTA | risperidone microspheres | VIAL | 12.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 00480155408 | RISPERIDONE ER | risperidone microspheres | VIAL | 12.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 00480973201 | RISPERIDONE ER | risperidone microspheres | VIAL | 12.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 50458030601 | RISPERDAL CONSTA | risperidone microspheres | VIAL | 25 mg/2 mL | Y | Y | Y | Quantity Limit |
| 50458030611 | RISPERDAL CONSTA | risperidone microspheres | VIAL | 25 mg/2 mL | Y | Y | Y | Quantity Limit |
| 00480123208 | RISPERIDONE ER | risperidone microspheres | VIAL | 25 mg/2 mL | Y | Y | Y | Quantity Limit |
| 00480973301 | RISPERIDONE ER | risperidone microspheres | VIAL | 25 mg/2 mL | Y | Y | Y | Quantity Limit |
| 70748027011 | RISPERIDONE ER | risperidone microspheres | VIAL | 25 mg/2 mL | Y | Y | Y | Quantity Limit |
| 70748027013 | RISPERIDONE ER | risperidone microspheres | VIAL | 25 mg/2 mL | Y | Y | Y | Quantity Limit |
| 72526010211 | RYKINDO | risperidone microspheres | VIAL | 25 mg/2 mL | Y | Y | Y | Quantity Limit |
| 72526020201 | RYKINDO | risperidone microspheres | VIAL | 25 mg/2 mL | Y | Y | Y | Quantity Limit |
| 50458030701 | RISPERDAL CONSTA | risperidone microspheres | VIAL | 37.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 50458030711 | RISPERDAL CONSTA | risperidone microspheres | VIAL | 37.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 00480134208 | RISPERIDONE ER | risperidone microspheres | VIAL | 37.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 00480973401 | RISPERIDONE ER | risperidone microspheres | VIAL | 37.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 70748027111 | RISPERIDONE ER | risperidone microspheres | VIAL | 37.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 70748027113 | RISPERIDONE ER | risperidone microspheres | VIAL | 37.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 72526010311 | RYKINDO | risperidone microspheres | VIAL | 37.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 72526020301 | RYKINDO | risperidone microspheres | VIAL | 37.5 mg/2 mL | Y | Y | Y | Quantity Limit |
| 50458030801 | RISPERDAL CONSTA | risperidone microspheres | VIAL | 50 mg/2 mL | Y | Y | Y | Quantity Limit |
| 50458030811 | RISPERDAL CONSTA | risperidone microspheres | VIAL | 50 mg/2 mL | Y | Y | Y | Quantity Limit |
| 00480145308 | RISPERIDONE ER | risperidone microspheres | VIAL | 50 mg/2 mL | Y | Y | Y | Quantity Limit |
| 00480973501 | RISPERIDONE ER | risperidone microspheres | VIAL | 50 mg/2 mL | Y | Y | Y | Quantity Limit |
| 70748027211 | RISPERIDONE ER | risperidone microspheres | VIAL | 50 mg/2 mL | Y | Y | Y | Quantity Limit |
| 70748027213 | RISPERIDONE ER | risperidone microspheres | VIAL | 50 mg/2 mL | Y | Y | Y | Quantity Limit |
| 72526010411 | RYKINDO | risperidone microspheres | VIAL | 50 mg/2 mL | Y | Y | Y | Quantity Limit |
| 72526020401 | RYKINDO | risperidone microspheres | VIAL | 50 mg/2 mL | Y | Y | Y | Quantity Limit |
| 00049392001 | GEODON | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 00049392010 | GEODON | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 58151013732 | GEODON | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 58151013781 | GEODON | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 43598006111 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 43598006158 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 43598084811 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 43598084858 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 72205020501 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 72205020507 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 72266016001 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 72266016010 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 72266016041 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y | |
| 72266016042 | ZIPRASIDONE MESYLATE | ziprasidone mesylate | VIAL | 20 mg/mL (final concentration) | V | Y | Y |