Cephalosporins, Parenteral
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 | Current Drug Use Criteria |
|---|---|---|---|---|---|---|---|
| 00338205141 | MANDOL IN DEXTROSE | cefamandole in dextrose 5 % | PIGGYBACK | 1 gram/50 mL | Y | ||
| 00143926201 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 00143926225 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 00143992490 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 00781345170 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 00781345196 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 25021010110 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 44567012025 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 44567070725 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 60505614200 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 60505614205 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 60505624300 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 60505624304 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 63323023701 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 63323023710 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 72572005501 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 72572005525 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 1 gram | Y | ||
| 00143926101 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 00143926110 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 00143998303 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 00143998391 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 00781345246 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 00781345295 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 25021010299 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 44567070810 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 60505614300 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 60505614304 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 60505624400 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 60505624404 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 63323023861 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 72572005601 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 72572005610 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 10 gram | Y | ||
| 00143913901 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 2 gram | Y | ||
| 00143913925 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 2 gram | Y | ||
| 44567084001 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 2 gram | Y | ||
| 44567084025 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 2 gram | Y | ||
| 60505623100 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 2 gram | Y | ||
| 60505623105 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 2 gram | Y | ||
| 00143914001 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 3 gram | Y | ||
| 00143914025 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 3 gram | Y | ||
| 44567084501 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 3 gram | Y | ||
| 44567084525 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 3 gram | Y | ||
| 60505626600 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 3 gram | Y | ||
| 60505626605 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 3 gram | Y | ||
| 00007313116 | ANCEF | cefazolin sodium | VIAL | 500 mg | Y | ||
| 00143992390 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 500 mg | Y | ||
| 00781345070 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 500 mg | Y | ||
| 00781345095 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 500 mg | Y | ||
| 25021010010 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 500 mg | Y | ||
| 44567070625 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL | 500 mg | Y | ||
| 00409258501 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL PORT | 1 gram | Y | ||
| 00409258511 | CEFAZOLIN SODIUM | cefazolin sodium | VIAL PORT | 1 gram | Y | ||
| 00338350341 | CEFAZOLIN SODIUM-DEXTROSE | cefazolin sodium/dextrose,iso | FROZ.PIGGY | 1 gram/50 mL | Y | ||
| 00338350841 | CEFAZOLIN SODIUM-DEXTROSE | cefazolin sodium/dextrose,iso | FROZ.PIGGY | 2 gram/100 mL | Y | ||
| 00338009606 | CEFAZOLIN SODIUM-DEXTROSE | cefazolin sodium/dextrose,iso | FROZ.PIGGY | 3 gram/150 mL | Y | ||
| 00264310311 | CEFAZOLIN SODIUM-DEXTROSE | cefazolin sodium/dextrose,iso | PIGGYBACK | 1 gram/50 mL | Y | ||
| 00264310511 | CEFAZOLIN SODIUM-DEXTROSE | cefazolin sodium/dextrose,iso | PIGGYBACK | 2 gram/50 mL | Y | ||
| 00264310711 | CEFAZOLIN SODIUM-DEXTROSE | cefazolin sodium/dextrose,iso | PIGGYBACK | 3 gram/50 mL | Y | ||
| 00409956601 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 00409956610 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 25021012120 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 44567013010 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 44567024010 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 60505614400 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 60505614404 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 60505614600 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 60505614604 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 60505624500 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 60505624504 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 63323032620 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 63323032621 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 66794020902 | CEFEPIME HCL | cefepime HCl | VIAL | 1 gram | Y | ||
| 00409973501 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 00409973510 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 25021012250 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 44567013110 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 44567024110 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 60505614500 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 60505614504 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 60505614700 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 60505614704 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 60505624600 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 60505624604 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 63323034020 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 63323034021 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 66794021002 | CEFEPIME HCL | cefepime HCl | VIAL | 2 gram | Y | ||
| 00264319311 | CEFEPIME-DEXTROSE | cefepime HCl in dextrose 5 % | PIGGYBACK | 1 gram/50 mL | Y | ||
| 00264319511 | CEFEPIME-DEXTROSE | cefepime HCl in dextrose 5 % | PIGGYBACK | 2 gram/50 mL | Y | ||
| 00338130141 | CEFEPIME | cefepime in iso-osm dextrose | FROZ.PIGGY | 1 gram/50 mL | Y | ||
| 00338130148 | CEFEPIME | cefepime in iso-osm dextrose | FROZ.PIGGY | 2 gram/100 mL | Y | ||
| 59630026601 | FETROJA | cefiderocol sulfate tosylate | VIAL | 1 gram | Y | ||
| 59630026610 | FETROJA | cefiderocol sulfate tosylate | VIAL | 1 gram | Y | ||
| 00409359501 | CEFOTAXIME SODIUM | cefotaxime sodium | VIAL | 1 gram | Y | ||
| 00409359511 | CEFOTAXIME SODIUM | cefotaxime sodium | VIAL | 1 gram | Y | ||
| 00121097610 | CEFOTAN | cefotetan disodium | VIAL | 1 gram | Y | ||
| 00121097655 | CEFOTAN | cefotetan disodium | VIAL | 1 gram | Y | ||
| 63323038501 | CEFOTETAN | cefotetan disodium | VIAL | 1 gram | Y | ||
| 63323038510 | CEFOTETAN | cefotetan disodium | VIAL | 1 gram | Y | ||
| 00121097710 | CEFOTAN | cefotetan disodium | VIAL | 2 gram | Y | ||
| 00121097755 | CEFOTAN | cefotetan disodium | VIAL | 2 gram | Y | ||
| 63323038601 | CEFOTETAN | cefotetan disodium | VIAL | 2 gram | Y | ||
| 63323038620 | CEFOTETAN | cefotetan disodium | VIAL | 2 gram | Y | ||
| 00143987801 | CEFOXITIN | cefoxitin sodium | VIAL | 1 gram | Y | ||
| 00143987825 | CEFOXITIN | cefoxitin sodium | VIAL | 1 gram | Y | ||
| 25021010910 | CEFOXITIN | cefoxitin sodium | VIAL | 1 gram | Y | ||
| 44567024525 | CEFOXITIN | cefoxitin sodium | VIAL | 1 gram | Y | ||
| 63323034101 | CEFOXITIN | cefoxitin sodium | VIAL | 1 gram | Y | ||
| 63323034125 | CEFOXITIN | cefoxitin sodium | VIAL | 1 gram | Y | ||
| 63323034129 | CEFOXITIN | cefoxitin sodium | VIAL | 1 gram | Y | ||
| 63323034141 | CEFOXITIN | cefoxitin sodium | VIAL | 1 gram | Y | ||
| 00143987610 | CEFOXITIN | cefoxitin sodium | VIAL | 10 gram | Y | ||
| 25021011199 | CEFOXITIN | cefoxitin sodium | VIAL | 10 gram | Y | ||
| 44567024710 | CEFOXITIN | cefoxitin sodium | VIAL | 10 gram | Y | ||
| 00143987701 | CEFOXITIN | cefoxitin sodium | VIAL | 2 gram | Y | ||
| 00143987725 | CEFOXITIN | cefoxitin sodium | VIAL | 2 gram | Y | ||
| 25021011020 | CEFOXITIN | cefoxitin sodium | VIAL | 2 gram | Y | ||
| 44567024625 | CEFOXITIN | cefoxitin sodium | VIAL | 2 gram | Y | ||
| 63323034201 | CEFOXITIN | cefoxitin sodium | VIAL | 2 gram | Y | ||
| 63323034225 | CEFOXITIN | cefoxitin sodium | VIAL | 2 gram | Y | ||
| 63323034229 | CEFOXITIN | cefoxitin sodium | VIAL | 2 gram | Y | ||
| 63323034241 | CEFOXITIN | cefoxitin sodium | VIAL | 2 gram | Y | ||
| 00264312311 | CEFOXITIN SODIUM | cefoxitin sodium/dextrose,iso | PIGGYBACK | 1 gram/50 mL | Y | ||
| 00264312511 | CEFOXITIN SODIUM | cefoxitin sodium/dextrose,iso | PIGGYBACK | 2 gram/50 mL | Y | ||
| 00456040001 | TEFLARO | ceftaroline fosamil acetate | VIAL | 400 mg | Y | ||
| 00456040010 | TEFLARO | ceftaroline fosamil acetate | VIAL | 400 mg | Y | ||
| 00456060001 | TEFLARO | ceftaroline fosamil acetate | VIAL | 600 mg | Y | ||
| 00456060010 | TEFLARO | ceftaroline fosamil acetate | VIAL | 600 mg | Y | ||
| 25021012720 | CEFTAZIDIME | ceftazidime | VIAL | 1 gram | Y | ||
| 44567023525 | CEFTAZIDIME | ceftazidime | VIAL | 1 gram | Y | ||
| 00409508211 | TAZICEF | ceftazidime | VIAL | 1 gram | Y | ||
| 00409508216 | TAZICEF | ceftazidime | VIAL | 1 gram | Y | ||
| 25021012850 | CEFTAZIDIME | ceftazidime | VIAL | 2 gram | Y | ||
| 44567023610 | CEFTAZIDIME | ceftazidime | VIAL | 2 gram | Y | ||
| 00409508411 | TAZICEF | ceftazidime | VIAL | 2 gram | Y | ||
| 00409508413 | TAZICEF | ceftazidime | VIAL | 2 gram | Y | ||
| 25021012999 | CEFTAZIDIME | ceftazidime | VIAL | 6 gram | Y | ||
| 44567023706 | CEFTAZIDIME | ceftazidime | VIAL | 6 gram | Y | ||
| 00409508611 | TAZICEF | ceftazidime | VIAL | 6 gram | Y | ||
| 00409508613 | TAZICEF | ceftazidime | VIAL | 6 gram | Y | ||
| 00409509211 | TAZICEF | ceftazidime | VIAL PORT | 1 gram | Y | ||
| 00409509216 | TAZICEF | ceftazidime | VIAL PORT | 1 gram | Y | ||
| 00409509311 | TAZICEF | ceftazidime | VIAL PORT | 2 gram | Y | ||
| 00409509314 | TAZICEF | ceftazidime | VIAL PORT | 2 gram | Y | ||
| 00007508804 | TAZICEF IN DEXTROSE | ceftazidime-dextrose (iso-osm) | FROZ.PIGGY | 1 gram/50 mL | Y | ||
| 00007508904 | TAZICEF IN DEXTROSE | ceftazidime-dextrose (iso-osm) | FROZ.PIGGY | 2 gram/50 mL | Y | ||
| 00456270001 | AVYCAZ | ceftazidime/avibactam | VIAL | 2.5 gram | Y | ||
| 00456270010 | AVYCAZ | ceftazidime/avibactam | VIAL | 2.5 gram | Y | ||
| 67919003001 | ZERBAXA | ceftolozane/tazobactam | VIAL | 1.5 gram | Y | ||
| 00338500241 | CEFTRIAXONE | ceftriaxone in is-osm dextrose | FROZ.PIGGY | 1 gram/50 mL | Y | ||
| 00338500341 | CEFTRIAXONE | ceftriaxone in is-osm dextrose | FROZ.PIGGY | 2 gram/50 mL | Y | ||
| 00264315311 | CEFTRIAXONE | ceftriaxone in is-osm dextrose | PIGGYBACK | 1 gram/50 mL | Y | ||
| 00264315511 | CEFTRIAXONE | ceftriaxone in is-osm dextrose | PIGGYBACK | 2 gram/50 mL | Y | ||
| 00143985701 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 00143985725 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 00409733201 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 00409733211 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 00409733220 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 00409733221 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 00781320885 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 00781320895 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 25021010610 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 44567070125 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 44567070195 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 60505614800 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 60505614804 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 63323034601 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 63323034610 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 72572006101 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 72572006125 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 1 gram | Y | ||
| 00143967801 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 10 gram | Y | ||
| 00409733410 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 10 gram | Y | ||
| 00409733420 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 10 gram | Y | ||
| 00781321046 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 10 gram | Y | ||
| 44567070301 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 10 gram | Y | ||
| 60505615005 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 10 gram | Y | ||
| 00143985601 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 00143985625 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 00409733503 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 00409733513 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 00409733520 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 00409733521 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 00781320990 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 00781320995 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 25021010720 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 44567070225 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 44567070295 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 60505614900 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 60505614904 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 72572006201 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 72572006225 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 2 gram | Y | ||
| 00143985901 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 00143985925 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 00409733701 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 00409733711 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 00409733720 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 00409733721 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 00781320685 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 00781320695 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 60505615101 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 60505615104 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 250 mg | Y | ||
| 00143985801 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 00143985825 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 00409733801 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 00409733811 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 00409733820 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 00409733821 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 00781320785 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 00781320795 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 44567070025 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 60505615201 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 60505615204 | CEFTRIAXONE | ceftriaxone sodium | VIAL | 500 mg | Y | ||
| 00409733304 | CEFTRIAXONE | ceftriaxone sodium | VIAL PORT | 1 gram | Y | ||
| 00409733311 | CEFTRIAXONE | ceftriaxone sodium | VIAL PORT | 1 gram | Y | ||
| 00409733331 | CEFTRIAXONE | ceftriaxone sodium | VIAL PORT | 1 gram | Y | ||
| 00409733349 | CEFTRIAXONE | ceftriaxone sodium | VIAL PORT | 1 gram | Y | ||
| 00409733604 | CEFTRIAXONE | ceftriaxone sodium | VIAL PORT | 2 gram | Y | ||
| 00409733611 | CEFTRIAXONE | ceftriaxone sodium | VIAL PORT | 2 gram | Y | ||
| 00143956701 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 1.5 gram | Y | ||
| 00143956725 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 1.5 gram | Y | ||
| 00143997722 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 1.5 gram | Y | ||
| 00143997790 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 1.5 gram | Y | ||
| 25021011920 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 1.5 gram | Y | ||
| 00143956901 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 7.5 gram | Y | ||
| 00143956801 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 750 mg | Y | ||
| 00143956825 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 750 mg | Y | ||
| 00143997922 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 750 mg | Y | ||
| 00143997990 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 750 mg | Y | ||
| 25021011810 | CEFUROXIME SODIUM | cefuroxime sodium | VIAL | 750 mg | Y | ||
| 00338204348 | ZINACEF | cefuroxime sodium/D5W | PIGGYBACK | 1.5 gram/100 mL | Y |