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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
00168042446 ADAPALENE adapalene CREAM (G) 0.1 % Y Y N Pharmacy PA
45802045384 ADAPALENE adapalene CREAM (G) 0.1 % Y Y N Pharmacy PA
00299591545 DIFFERIN adapalene CREAM (G) 0.1 % Y Y N Pharmacy PA
69842008805 ADAPALENE adapalene GEL (GRAM) 0.1 % Y N N Pharmacy PA
69842008816 ADAPALENE adapalene GEL (GRAM) 0.1 % Y N N Pharmacy PA
00536141220 ADAPALENE adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
00536141226 ADAPALENE adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
46122076836 ADAPALENE adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
51672214301 ADAPALENE adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
51672214306 ADAPALENE adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
51672215001 ADAPALENE adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
51672215006 ADAPALENE adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
00299491015 DIFFERIN adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
00299492030 DIFFERIN adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
00299492045 DIFFERIN adapalene GEL (GRAM) 0.1 % Y Y N Pharmacy PA
06000052755 EFFACLAR ADAPALENE adapalene GEL (GRAM) 0.1 % Y N N Pharmacy PA
00472012645 ADAPALENE adapalene GEL (GRAM) 0.3 % Y Y N Pharmacy PA
21922005106 ADAPALENE adapalene GEL (GRAM) 0.3 % Y Y N Pharmacy PA
51672137706 ADAPALENE adapalene GEL (GRAM) 0.3 % Y Y N Pharmacy PA
62332054945 ADAPALENE adapalene GEL (GRAM) 0.3 % Y Y N Pharmacy PA
68308066625 ADAPALENE adapalene GEL (GRAM) 0.3 % Y Y N Pharmacy PA
82429031245 ADAPALENE adapalene GEL (GRAM) 0.3 % Y Y N Pharmacy PA
21922005150 ADAPALENE adapalene GEL W/PUMP 0.3 % Y Y N Pharmacy PA
51672137709 ADAPALENE adapalene GEL W/PUMP 0.3 % Y Y N Pharmacy PA
62332054946 ADAPALENE adapalene GEL W/PUMP 0.3 % Y Y N Pharmacy PA
68308066645 ADAPALENE adapalene GEL W/PUMP 0.3 % Y Y N Pharmacy PA
00299591825 DIFFERIN adapalene GEL W/PUMP 0.3 % Y Y N Pharmacy PA
00299591202 DIFFERIN adapalene LOTION 0.1 % Y Y N Pharmacy PA
21922005250 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.1 %-2.5 % Y Y N Pharmacy PA
45802084601 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.1 %-2.5 % Y Y N Pharmacy PA
51672136403 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.1 %-2.5 % Y Y N Pharmacy PA
68462030147 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.1 %-2.5 % Y Y N Pharmacy PA
82429031345 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.1 %-2.5 % Y Y N Pharmacy PA
00480315445 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.3 %-2.5 % N Y N Pharmacy PA
45802085345 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.3 %-2.5 % N Y N Pharmacy PA
51672138409 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.3 %-2.5 % N Y N Pharmacy PA
62332066245 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.3 %-2.5 % N Y N Pharmacy PA
68308066245 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.3 %-2.5 % N Y N Pharmacy PA
72578011904 ADAPALENE-BENZOYL PEROXIDE adapalene/benzoyl peroxide GEL W/PUMP 0.3 %-2.5 % N Y N Pharmacy PA
00299590645 EPIDUO FORTE adapalene/benzoyl peroxide GEL W/PUMP 0.3 %-2.5 % N Y N Pharmacy PA
50419082001 FINEVIN azelaic acid CREAM (G) 20 % N Y N Pharmacy PA
50419082002 FINEVIN azelaic acid CREAM (G) 20 % N Y N Pharmacy PA
50222030350 FINACEA azelaic acid FOAM 15 % N Y N Pharmacy PA
50222030391 FINACEA azelaic acid FOAM 15 % N Y N Pharmacy PA
00591213155 AZELAIC ACID azelaic acid GEL (GRAM) 15 % Y Y N Pharmacy PA
00781717250 AZELAIC ACID azelaic acid GEL (GRAM) 15 % Y Y N Pharmacy PA
21922003814 AZELAIC ACID azelaic acid GEL (GRAM) 15 % Y Y N Pharmacy PA
51672138903 AZELAIC ACID azelaic acid GEL (GRAM) 15 % Y Y N Pharmacy PA
68462062652 AZELAIC ACID azelaic acid GEL (GRAM) 15 % Y Y N Pharmacy PA
50222050550 FINACEA azelaic acid GEL (GRAM) 15 % Y Y N Pharmacy PA
50428041363 ACNE CONTROL CLEANSER benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
49022067498 ACNE FOAMING WASH benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
00179870405 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
67405083005 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
67405083008 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
71399923605 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
71399923608 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
72162233702 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
00536126163 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % N Y N Pharmacy PA
00536135142 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y Y N Pharmacy PA
35573045408 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y Y N Pharmacy PA
35573045491 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y Y N Pharmacy PA
45802031801 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y Y N Pharmacy PA
45802031834 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 10 % Y Y N Pharmacy PA
24470090105 BP WASH benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
24470090108 BP WASH benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
11822036054 DAYLOGIC ACNE FOAMING WASH benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
50428045366 FOAMING ACNE FACE WASH benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
00316022855 PANOXYL benzoyl peroxide CLEANSER 10 % Y N N Pharmacy PA
73462009855 PANOXYL benzoyl peroxide CLEANSER 10 % Y Y N Pharmacy PA
50428047280 ADVANCED EXFOLIATING CLEANSER benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
00179870505 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
67405082505 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
67405082508 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
71399923405 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
71399923408 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
72162233802 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
00536125919 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % N Y N Pharmacy PA
00536125963 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % N Y N Pharmacy PA
35573045308 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % Y Y N Pharmacy PA
35573045391 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % Y Y N Pharmacy PA
45802028001 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 5 % Y Y N Pharmacy PA
24470090004 BP WASH benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
24470090005 BP WASH benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
24470090008 BP WASH benzoyl peroxide CLEANSER 5 % Y N N Pharmacy PA
67405083506 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 6 % Y N N Pharmacy PA
67405083512 BENZOYL PEROXIDE benzoyl peroxide CLEANSER 6 % Y N N Pharmacy PA
00299589000 EPSOLAY benzoyl peroxide CREAM (G) 5 % Y N Pharmacy PA
00299589030 EPSOLAY benzoyl peroxide CREAM (G) 5 % Y N Pharmacy PA
51862077230 EPSOLAY benzoyl peroxide CREAM (G) 5 % Y N Pharmacy PA
42546000160 BENZEPRO benzoyl peroxide FOAM 5.2 % Y N N Pharmacy PA
42546001006 BENZEPRO benzoyl peroxide FOAM 5.3 % Y N N Pharmacy PA
42546001010 BENZEPRO benzoyl peroxide FOAM 5.3 % Y N N Pharmacy PA
42546001510 BENZEPRO benzoyl peroxide FOAM 9.8 % Y N N Pharmacy PA
50090179200 ACNE MEDICATION benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
00536105625 ACNE MEDICATION benzoyl peroxide GEL (GRAM) 10 % Y Y N Pharmacy PA
00536105656 ACNE MEDICATION benzoyl peroxide GEL (GRAM) 10 % Y Y N Pharmacy PA
49022059840 ACNE TREATMENT benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
50428033841 ACNE TREATMENT benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
59390003022 ACNECLEAR benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
00299361009 BENZAC W 10 benzoyl peroxide GEL (GRAM) 10 % Y Y N Pharmacy PA
00179870360 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
49022045382 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
71399947405 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
71399947406 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
71399947409 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
45802025342 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 10 % Y Y N Pharmacy PA
45802030801 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 10 % Y Y N Pharmacy PA
45802030896 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 10 % Y Y N Pharmacy PA
24470091060 BP benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
11822077013 DAYLOGIC ACNE TREATMENT benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
08137003405 PERSA-GEL benzoyl peroxide GEL (GRAM) 10 % Y N N Pharmacy PA
00536112925 ACNE MEDICATION benzoyl peroxide GEL (GRAM) 2.5 % Y Y N Pharmacy PA
00299359090 BENZAC W 2.5 benzoyl peroxide GEL (GRAM) 2.5 % Y Y N Pharmacy PA
45802010196 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 2.5 % Y Y N Pharmacy PA
50090172000 ACNE MEDICATION benzoyl peroxide GEL (GRAM) 5 % Y N N Pharmacy PA
00536105525 ACNE MEDICATION benzoyl peroxide GEL (GRAM) 5 % Y Y N Pharmacy PA
00536105556 ACNE MEDICATION benzoyl peroxide GEL (GRAM) 5 % Y Y N Pharmacy PA
00299360009 BENZAC W 5 benzoyl peroxide GEL (GRAM) 5 % Y Y N Pharmacy PA
00179870260 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 5 % Y N N Pharmacy PA
71399947805 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 5 % Y N N Pharmacy PA
71399947806 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 5 % Y N N Pharmacy PA
71399947809 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 5 % Y N N Pharmacy PA
45802021601 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 5 % Y Y N Pharmacy PA
45802021696 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 5 % Y Y N Pharmacy PA
71800004304 BENZOYL PEROXIDE benzoyl peroxide GEL (GRAM) 5 % Y Y N Pharmacy PA
24470090960 BP benzoyl peroxide GEL (GRAM) 5 % Y N N Pharmacy PA
00536105875 ACNE MEDICATION benzoyl peroxide LOTION 10 % Y Y N Pharmacy PA
87701095077 BENZOYL PEROXIDE benzoyl peroxide LOTION 10 % Y N N Pharmacy PA
71800004609 BENZOYL PEROXIDE benzoyl peroxide LOTION 10 % Y Y N Pharmacy PA
00536105775 ACNE MEDICATION benzoyl peroxide LOTION 5 % Y Y N Pharmacy PA
45802015449 BENZOYL PEROXIDE benzoyl peroxide LOTION 5 % Y Y N Pharmacy PA
71800004409 BENZOYL PEROXIDE benzoyl peroxide LOTION 5 % Y Y N Pharmacy PA
42192016101 BPO benzoyl peroxide TOWELETTE 6 % N Y N Pharmacy PA
42192016130 BPO benzoyl peroxide TOWELETTE 6 % N Y N Pharmacy PA
42192016160 BPO benzoyl peroxide TOWELETTE 6 % N Y N Pharmacy PA
00378868835 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
00378868854 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
16714098425 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
16714098450 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
21922006843 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
21922006845 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
45802050702 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
45802050901 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
45802099602 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
45802099701 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
51672138102 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
51672138104 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
68462048619 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
68462048627 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL (GRAM) 1 %-5 % Y Y N Pharmacy PA
21922002206 CLINDAMYCIN PHOS-BENZOYL PEROX clindamycin phos/benzoyl perox GEL (GRAM) 1.2 % (1 % base)-5 % Y Y N Pharmacy PA
45802073684 CLINDAMYCIN PHOS-BENZOYL PEROX clindamycin phos/benzoyl perox GEL (GRAM) 1.2 % (1 % base)-5 % Y Y N Pharmacy PA
51672136606 CLINDAMYCIN PHOS-BENZOYL PEROX clindamycin phos/benzoyl perox GEL (GRAM) 1.2 % (1 % base)-5 % Y Y N Pharmacy PA
70710144504 CLINDAMYCIN PHOS-BENZOYL PEROX clindamycin phos/benzoyl perox GEL (GRAM) 1.2 % (1 % base)-5 % Y Y N Pharmacy PA
72603032201 CLINDAMYCIN PHOS-BENZOYL PEROX clindamycin phos/benzoyl perox GEL (GRAM) 1.2 % (1 % base)-5 % Y Y N Pharmacy PA
43538017645 NEUAC clindamycin phos/benzoyl perox GEL (GRAM) 1.2 % (1 % base)-5 % Y Y N Pharmacy PA
45802050704 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1 %-5 % Y Y N Pharmacy PA
45802051003 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1 %-5 % Y Y N Pharmacy PA
51672138105 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1 %-5 % Y Y N Pharmacy PA
51672138106 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1 %-5 % Y Y N Pharmacy PA
68462085824 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1 %-5 % Y Y N Pharmacy PA
68462085827 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1 %-5 % Y Y N Pharmacy PA
68462085924 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1 %-5 % Y Y N Pharmacy PA
68462085927 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1 %-5 % Y Y N Pharmacy PA
45802038301 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1.2 % (1 % base)-3.75 % N Y N Pharmacy PA
51672140304 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1.2 % (1 % base)-3.75 % N Y N Pharmacy PA
68308012750 CLINDAMYCIN-BENZOYL PEROXIDE clindamycin phos/benzoyl perox GEL W/PUMP 1.2 % (1 % base)-3.75 % N Y N Pharmacy PA
00591391668 CLINDAMYCIN PHOS-BENZOYL PEROX clindamycin phos/benzoyl perox GEL W/PUMP 1.2 %-2.5 % Y Y N Pharmacy PA
21922007440 CLINDAMYCIN PHOS-BENZOYL PEROX clindamycin phos/benzoyl perox GEL W/PUMP 1.2 %-2.5 % Y Y N Pharmacy PA
45802059701 CLINDAMYCIN PHOS-BENZOYL PEROX clindamycin phos/benzoyl perox GEL W/PUMP 1.2 %-2.5 % Y Y N Pharmacy PA
51672136703 CLINDAMYCIN PHOS-BENZOYL PEROX clindamycin phos/benzoyl perox GEL W/PUMP 1.2 %-2.5 % Y Y N Pharmacy PA
43538017360 CLINDACIN ETZ clindamycin phos/skin clnsr 19 KIT 1 % N Y N Pharmacy PA
43538017169 CLINDACIN PAC clindamycin phos/skin clnsr 19 KIT 1 % N Y N Pharmacy PA
43538017910 CLINDACIN clindamycin phosphate FOAM 1 % Y Y N Pharmacy PA
45802066032 CLINDAMYCIN PHOSPHATE clindamycin phosphate FOAM 1 % Y Y N Pharmacy PA
45802066033 CLINDAMYCIN PHOSPHATE clindamycin phosphate FOAM 1 % Y Y N Pharmacy PA
51672419403 CLINDAMYCIN PHOSPHATE clindamycin phosphate FOAM 1 % Y Y N Pharmacy PA
51672419407 CLINDAMYCIN PHOSPHATE clindamycin phosphate FOAM 1 % Y Y N Pharmacy PA
68462060527 CLINDAMYCIN PHOSPHATE clindamycin phosphate FOAM 1 % Y Y N Pharmacy PA
68462060594 CLINDAMYCIN PHOSPHATE clindamycin phosphate FOAM 1 % Y Y N Pharmacy PA
00168020230 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
00168020260 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
16714016101 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
16714016102 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
21922002705 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
21922002707 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
45802090094 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
45802090096 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
51672139902 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
51672139903 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
59762374301 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
59762374302 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
62332062330 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
62332062360 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
68462086635 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
68462086665 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
72578011801 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
72578011802 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
73473030030 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
73473030060 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL (GRAM) 1 % Y Y N Pharmacy PA
69238203107 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL DAILY 1 % N Y N Pharmacy PA
72336011275 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL DAILY 1 % N Y N Pharmacy PA
73473030275 CLINDAMYCIN PHOSPHATE clindamycin phosphate GEL DAILY 1 % N Y N Pharmacy PA
00009332901 CLEOCIN T clindamycin phosphate LOTION 1 % Y Y N Pharmacy PA
00168020360 CLINDAMYCIN PHOSPHATE clindamycin phosphate LOTION 1 % Y Y N Pharmacy PA
16714024601 CLINDAMYCIN PHOSPHATE clindamycin phosphate LOTION 1 % Y Y N Pharmacy PA
21922003601 CLINDAMYCIN PHOSPHATE clindamycin phosphate LOTION 1 % Y Y N Pharmacy PA
45802012801 CLINDAMYCIN PHOSPHATE clindamycin phosphate LOTION 1 % Y Y N Pharmacy PA
51672140004 CLINDAMYCIN PHOSPHATE clindamycin phosphate LOTION 1 % Y Y N Pharmacy PA
59762374401 CLINDAMYCIN PHOSPHATE clindamycin phosphate LOTION 1 % Y Y N Pharmacy PA
43538017201 CLINDACIN ETZ clindamycin phosphate MED. SWAB 1 % Y Y N Pharmacy PA
43538017260 CLINDACIN ETZ clindamycin phosphate MED. SWAB 1 % Y Y N Pharmacy PA
43538017069 CLINDACIN P clindamycin phosphate MED. SWAB 1 % Y Y N Pharmacy PA
45802026337 CLINDAMYCIN PHOSPHATE clindamycin phosphate MED. SWAB 1 % Y Y N Pharmacy PA
72319069660 CLINDAMYCIN PHOSPHATE clindamycin phosphate MED. SWAB 1 % Y Y N Pharmacy PA
80005013109 CLINDAMYCIN PHOSPHATE clindamycin phosphate MED. SWAB 1 % Y Y N Pharmacy PA
00168020130 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
00168020160 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
21922000201 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
21922000221 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
45802056201 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
45802056202 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
51672408103 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
51672408104 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
72578008402 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
72578008403 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
72603032101 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
72603032102 CLINDAMYCIN PHOSPHATE clindamycin phosphate SOLUTION 1 % Y Y N Pharmacy PA
43538017745 NEUAC clindamycin/benzoyl/emol cmb94 CMB CR GEL 1.2 % (1 % base)-5 % N Y N Pharmacy PA
00472179030 CLINDAMYCIN PHOS-TRETINOIN clindamycin/tretinoin GEL (GRAM) 1.2 %-0.025 % Y Y N Pharmacy PA
00472179060 CLINDAMYCIN PHOS-TRETINOIN clindamycin/tretinoin GEL (GRAM) 1.2 %-0.025 % Y Y N Pharmacy PA
21922005005 CLINDAMYCIN PHOS-TRETINOIN clindamycin/tretinoin GEL (GRAM) 1.2 %-0.025 % Y Y N Pharmacy PA
21922005007 CLINDAMYCIN PHOS-TRETINOIN clindamycin/tretinoin GEL (GRAM) 1.2 %-0.025 % Y Y N Pharmacy PA
66993095931 CLINDAMYCIN PHOS-TRETINOIN clindamycin/tretinoin GEL (GRAM) 1.2 %-0.025 % Y Y N Pharmacy PA
66993095961 CLINDAMYCIN PHOS-TRETINOIN clindamycin/tretinoin GEL (GRAM) 1.2 %-0.025 % Y Y N Pharmacy PA
73473030630 CLINDAMYCIN PHOS-TRETINOIN clindamycin/tretinoin GEL (GRAM) 1.2 %-0.025 % Y Y N Pharmacy PA
73473030660 CLINDAMYCIN PHOS-TRETINOIN clindamycin/tretinoin GEL (GRAM) 1.2 %-0.025 % Y Y N Pharmacy PA
00713088618 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
00713088660 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
16714095601 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
16714095602 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
21922001807 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
21922001808 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
51672138703 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
51672138708 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
51862012360 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
52817083160 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
52817083190 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
60758067060 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
60758067090 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
65162033985 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
65162033991 DAPSONE dapsone GEL (GRAM) 5 % Y Y N Pharmacy PA
52817083260 DAPSONE dapsone GEL (GRAM) 7.5 % N Y N Pharmacy PA
52817083290 DAPSONE dapsone GEL (GRAM) 7.5 % N Y N Pharmacy PA
00378483060 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
00378483090 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
13668060505 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
13668060508 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
16714097501 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
16714097502 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
51672138803 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
51672138808 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
51672530703 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
51672530708 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
62332066360 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
62332066390 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
68308034260 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
68308034290 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
69238162706 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
69238162709 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
72578009402 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
72578009403 DAPSONE dapsone GEL W/PUMP 7.5 % N Y N Pharmacy PA
00378821260 ERYTHROMYCIN erythromycin base in ethanol GEL (GRAM) 2 % Y Y N Pharmacy PA
00378821293 ERYTHROMYCIN erythromycin base in ethanol GEL (GRAM) 2 % Y Y N Pharmacy PA
45802096694 ERYTHROMYCIN erythromycin base in ethanol GEL (GRAM) 2 % Y Y N Pharmacy PA
45802096696 ERYTHROMYCIN erythromycin base in ethanol GEL (GRAM) 2 % Y Y N Pharmacy PA
45802096272 ERY erythromycin base in ethanol MED. SWAB 2 % Y Y N Pharmacy PA
42571038425 ERYTHROMYCIN erythromycin base in ethanol SOLUTION 2 % Y Y N Pharmacy PA
45802003846 ERYTHROMYCIN erythromycin base in ethanol SOLUTION 2 % Y Y N Pharmacy PA
71656003060 ERYTHROMYCIN erythromycin base in ethanol SOLUTION 2 % Y Y N Pharmacy PA
64980032801 ERYTHROMYCIN-BENZOYL PEROXIDE erythromycin/benzoyl peroxide GEL (GRAM) 3 %-5 % Y Y N Pharmacy PA
64980032802 ERYTHROMYCIN-BENZOYL PEROXIDE erythromycin/benzoyl peroxide GEL (GRAM) 3 %-5 % Y Y N Pharmacy PA
10631011531 ABSORICA isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
10631011569 ABSORICA isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00378661185 AMNESTEEM isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00378661193 AMNESTEEM isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00555105456 CLARAVIS isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00555105460 CLARAVIS isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00555105486 CLARAVIS isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00245057001 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00245057089 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00591243315 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00591243345 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00832830130 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
00832830189 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
57664002097 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
57664002098 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
59651063103 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
59651063110 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
68308057001 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
68308057030 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
68308078101 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
68308078130 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
69238117401 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
69238117403 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
70710102208 ISOTRETINOIN isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
55111013579 ZENATANE isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
55111013581 ZENATANE isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
68001065216 ZENATANE isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
68001065217 ZENATANE isotretinoin CAPSULE 10 mg Y Y N Pharmacy PA
10631011631 ABSORICA isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
10631011669 ABSORICA isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00378661285 AMNESTEEM isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00378661293 AMNESTEEM isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00555105556 CLARAVIS isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00555105560 CLARAVIS isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00555105586 CLARAVIS isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00245057101 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00245057189 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00591243415 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00591243445 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00832830230 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
00832830289 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
57664002197 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
57664002198 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
59651063203 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
59651063210 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
68308057101 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
68308057130 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
68308078201 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
68308078230 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
69238117501 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
69238117503 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
70710102308 ISOTRETINOIN isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
55111013679 ZENATANE isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
55111013681 ZENATANE isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
68001065316 ZENATANE isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
68001065317 ZENATANE isotretinoin CAPSULE 20 mg Y Y N Pharmacy PA
10631013331 ABSORICA isotretinoin CAPSULE 25 mg N Y N Pharmacy PA
10631013369 ABSORICA isotretinoin CAPSULE 25 mg N Y N Pharmacy PA
00591245115 ISOTRETINOIN isotretinoin CAPSULE 25 mg N Y N Pharmacy PA
00591245145 ISOTRETINOIN isotretinoin CAPSULE 25 mg N Y N Pharmacy PA
57664002297 ISOTRETINOIN isotretinoin CAPSULE 25 mg N Y N Pharmacy PA
57664002298 ISOTRETINOIN isotretinoin CAPSULE 25 mg N Y N Pharmacy PA
59651063303 ISOTRETINOIN isotretinoin CAPSULE 25 mg N Y N Pharmacy PA
59651063310 ISOTRETINOIN isotretinoin CAPSULE 25 mg N Y N Pharmacy PA
10631011731 ABSORICA isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
10631011769 ABSORICA isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00378661385 AMNESTEEM isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00378661393 AMNESTEEM isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00555105660 CLARAVIS isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00555105686 CLARAVIS isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00245057301 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00245057389 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00591243515 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00591243545 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00832830330 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
00832830389 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
57664002397 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
57664002398 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
59651063403 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
59651063410 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
68308057301 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
68308057330 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
68308078301 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
68308078330 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
69238101701 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
69238101703 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
70710102408 ISOTRETINOIN isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
55111011379 ZENATANE isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
55111011381 ZENATANE isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
68001065416 ZENATANE isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
68001065417 ZENATANE isotretinoin CAPSULE 30 mg Y Y N Pharmacy PA
10631013431 ABSORICA isotretinoin CAPSULE 35 mg N Y N Pharmacy PA
10631013469 ABSORICA isotretinoin CAPSULE 35 mg N Y N Pharmacy PA
00591250115 ISOTRETINOIN isotretinoin CAPSULE 35 mg N Y N Pharmacy PA
00591250145 ISOTRETINOIN isotretinoin CAPSULE 35 mg N Y N Pharmacy PA
57664002497 ISOTRETINOIN isotretinoin CAPSULE 35 mg N Y N Pharmacy PA
57664002498 ISOTRETINOIN isotretinoin CAPSULE 35 mg N Y N Pharmacy PA
59651063503 ISOTRETINOIN isotretinoin CAPSULE 35 mg N Y N Pharmacy PA
59651063510 ISOTRETINOIN isotretinoin CAPSULE 35 mg N Y N Pharmacy PA
10631011831 ABSORICA isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
10631011869 ABSORICA isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00378661485 AMNESTEEM isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00378661493 AMNESTEEM isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00555105756 CLARAVIS isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00555105760 CLARAVIS isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00555105786 CLARAVIS isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00245057501 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00245057589 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00591243615 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00591243645 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00832830430 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
00832830489 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
57664002597 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
57664002598 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
59651063603 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
59651063610 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
68308057501 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
68308057530 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
68308078401 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
68308078430 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
69238117601 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
69238117603 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
70710102508 ISOTRETINOIN isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
55111013779 ZENATANE isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
55111013781 ZENATANE isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
68001065516 ZENATANE isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
68001065517 ZENATANE isotretinoin CAPSULE 40 mg Y Y N Pharmacy PA
10631000331 ABSORICA LD isotretinoin, micronized CAPSULE 16 mg N Y N Pharmacy PA
10631000531 ABSORICA LD isotretinoin, micronized CAPSULE 24 mg N Y N Pharmacy PA
10631000731 ABSORICA LD isotretinoin, micronized CAPSULE 32 mg N Y N Pharmacy PA
10631000231 ABSORICA LD isotretinoin, micronized CAPSULE 8 mg N Y N Pharmacy PA
59088044408 DERMACINRX ATRIX salicylic acid LIQUID 2 % Y N Pharmacy PA
45802089626 SULFACETAMIDE SODIUM sulfacetamide sodium SUSPENSION 10 % Y Y N Pharmacy PA
51862029510 FABIOR tazarotene FOAM 0.1 % N Y N Pharmacy PA
68308068550 TAZAROTENE tazarotene FOAM 0.1 % N Y N Pharmacy PA
00378808220 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
00378808245 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
00472011720 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
00472011745 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
00574222520 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
00574222545 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
16714027001 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
16714027002 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
21922007906 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
21922007925 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
51672140700 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
51672140709 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
62332080920 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
62332080945 TRETINOIN tretinoin CREAM (G) 0.025 % Y Y N Pharmacy PA
00378808320 TRETINOIN tretinoin CREAM (G) 0.05 % Y Y N Pharmacy PA
00378808345 TRETINOIN tretinoin CREAM (G) 0.05 % Y Y N Pharmacy PA
00574220520 TRETINOIN tretinoin CREAM (G) 0.05 % Y Y N Pharmacy PA
00574220545 TRETINOIN tretinoin CREAM (G) 0.05 % Y Y N Pharmacy PA
16714024901 TRETINOIN tretinoin CREAM (G) 0.05 % Y Y N Pharmacy PA
16714024902 TRETINOIN tretinoin CREAM (G) 0.05 % Y Y N Pharmacy PA
51672139400 TRETINOIN tretinoin CREAM (G) 0.05 % Y Y N Pharmacy PA
51672139409 TRETINOIN tretinoin CREAM (G) 0.05 % Y Y N Pharmacy PA
00378808420 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
00378808445 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
00574220120 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
00574220145 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
16714025001 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
16714025002 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
51672139500 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
51672139509 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
62332080720 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
62332080745 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
72578015308 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
72578015309 TRETINOIN tretinoin CREAM (G) 0.1 % Y Y N Pharmacy PA
00378808515 TRETINOIN tretinoin GEL (GRAM) 0.01 % Y Y N Pharmacy PA
00378808545 TRETINOIN tretinoin GEL (GRAM) 0.01 % Y Y N Pharmacy PA
00574230115 TRETINOIN tretinoin GEL (GRAM) 0.01 % Y Y N Pharmacy PA
00574230145 TRETINOIN tretinoin GEL (GRAM) 0.01 % Y Y N Pharmacy PA
21922005604 TRETINOIN tretinoin GEL (GRAM) 0.01 % Y Y N Pharmacy PA
21922005606 TRETINOIN tretinoin GEL (GRAM) 0.01 % Y Y N Pharmacy PA
00378808615 TRETINOIN tretinoin GEL (GRAM) 0.025 % Y Y N Pharmacy PA
00378808645 TRETINOIN tretinoin GEL (GRAM) 0.025 % Y Y N Pharmacy PA
00574232515 TRETINOIN tretinoin GEL (GRAM) 0.025 % Y Y N Pharmacy PA
00574232545 TRETINOIN tretinoin GEL (GRAM) 0.025 % Y Y N Pharmacy PA
21922005704 TRETINOIN tretinoin GEL (GRAM) 0.025 % Y Y N Pharmacy PA
21922005706 TRETINOIN tretinoin GEL (GRAM) 0.025 % Y Y N Pharmacy PA
00378809045 TRETINOIN tretinoin GEL (GRAM) 0.05 % Y Y N Pharmacy PA
21922004340 TRETINOIN MICROSPHERE tretinoin microspheres GEL W/PUMP 0.08 % N Y N Pharmacy PA
68308077750 TRETINOIN MICROSPHERE tretinoin microspheres GEL W/PUMP 0.08 % N Y N Pharmacy PA
00299594530 TWYNEO tretinoin/benzoyl peroxide CREAM (G) 0.1 %-3 % N Y N Pharmacy PA
51862077130 TWYNEO tretinoin/benzoyl peroxide CREAM (G) 0.1 %-3 % N Y N Pharmacy PA
00299593545 AKLIEF trifarotene CREAM (G) 0.005 % N Y N Pharmacy PA
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