Glucocorticoids, Other

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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
00517072001 BETAMETHASONE SOD PHOS-ACETATE betamethasone acetate,sod phos VIAL 6 mg/mL Y N  
00517079101 BETAMETHASONE SOD PHOS-ACETATE betamethasone acetate,sod phos VIAL 6 mg/mL Y N  
00517079901 BETAMETHASONE SOD PHOS-ACETATE betamethasone acetate,sod phos VIAL 6 mg/mL Y N  
78206011801 CELESTONE betamethasone acetate,sod phos VIAL 6 mg/mL Y N  
45861013301 ACTIVE INJECTION KIT D dexamethasone sodium phosp/PF KIT 10 mg/mL (2 x 1 mL) Y N  
76045010910 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF SYRINGE 10 mg/mL Y N  
76045021200 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF SYRINGE 10 mg/mL Y N  
76045021210 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF SYRINGE 10 mg/mL Y N  
25021005301 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
55150030401 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
55150030425 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
63323050600 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
63323050601 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
63323050616 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
63323050641 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
70069002101 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
70069002125 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
72485011801 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
72485011825 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosp/PF VIAL 10 mg/mL Y N  
76045010610 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate SYRINGE 4 mg/mL Y N  
76045021000 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate SYRINGE 4 mg/mL Y N  
76045021010 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate SYRINGE 4 mg/mL Y N  
00641036721 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
00641036725 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
55150030501 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
55150030510 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
63323051601 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
63323051610 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
67457042000 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
67457042010 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
67457048300 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
67457048310 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
70069002501 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
70069002510 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
72572012201 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
72572012225 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 10 mg/mL Y N  
00641614501 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
00641614525 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
00641614601 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
00641614610 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
25021005201 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
25021005205 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
63323016501 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
63323016502 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
63323016503 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
63323016505 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
63323016516 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
63323016526 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
63323016530 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457041800 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457041805 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457041900 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457041901 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457042100 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457042130 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457042200 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457042254 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457042300 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457042312 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457048400 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
67457048430 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
72572012001 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
72572012025 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
81565020201 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
81565020202 DEXAMETHASONE SODIUM PHOSPHATE dexamethasone sodium phosphate VIAL 4 mg/mL Y N  
62559011107 CORTENEMA hydrocortisone ENEMA 100 mg/60 mL Y N  
62559011111 CORTENEMA hydrocortisone ENEMA 100 mg/60 mL Y N  
23155092651 HYDROCORTISONE hydrocortisone ENEMA 100 mg/60 mL Y N  
23155092681 HYDROCORTISONE hydrocortisone ENEMA 100 mg/60 mL Y N  
62135002007 HYDROCORTISONE hydrocortisone ENEMA 100 mg/60 mL Y N  
62135002021 HYDROCORTISONE hydrocortisone ENEMA 100 mg/60 mL Y N  
62135002046 HYDROCORTISONE hydrocortisone ENEMA 100 mg/60 mL Y N  
62559013807 HYDROCORTISONE hydrocortisone ENEMA 100 mg/60 mL Y N  
62559013811 HYDROCORTISONE hydrocortisone ENEMA 100 mg/60 mL Y N  
00037683015 CORTIFOAM hydrocortisone acetate FOAM/APPL 10 % Y N  
69097000467 HYDROCORTISONE SOD SUCCINATE hydrocortisone sod succinate VIAL 100 mg Y N  
00009082501 SOLU-CORTEF hydrocortisone sod succinate VIAL 100 mg Y N  
00074567304 A-HYDROCORT hydrocortisone sod succinate VIAL 500 mg/4 mL Y N  
00009000501 SOLU-CORTEF hydrocortisone sodium succ/PF VIAL 1,000 mg/8 mL Y N  
00009001103 SOLU-CORTEF hydrocortisone sodium succ/PF VIAL 100 mg/2 mL Y N  
00009001104 SOLU-CORTEF hydrocortisone sodium succ/PF VIAL 100 mg/2 mL Y N  
00009001305 SOLU-CORTEF hydrocortisone sodium succ/PF VIAL 250 mg/2 mL Y N  
00009001306 SOLU-CORTEF hydrocortisone sodium succ/PF VIAL 250 mg/2 mL Y N  
00009001612 SOLU-CORTEF hydrocortisone sodium succ/PF VIAL 500 mg/4 mL Y N  
00009027401 DEPO-MEDROL methylprednisolone acetate VIAL 20 mg/mL Y N  
00009028002 DEPO-MEDROL methylprednisolone acetate VIAL 40 mg/mL Y N  
00009028003 DEPO-MEDROL methylprednisolone acetate VIAL 40 mg/mL Y N  
00009028051 DEPO-MEDROL methylprednisolone acetate VIAL 40 mg/mL Y N  
00009028052 DEPO-MEDROL methylprednisolone acetate VIAL 40 mg/mL Y N  
00009307301 DEPO-MEDROL methylprednisolone acetate VIAL 40 mg/mL Y N  
00009307303 DEPO-MEDROL methylprednisolone acetate VIAL 40 mg/mL Y N  
00009307322 DEPO-MEDROL methylprednisolone acetate VIAL 40 mg/mL Y N  
00009307323 DEPO-MEDROL methylprednisolone acetate VIAL 40 mg/mL Y N  
00781352270 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
00781352275 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
25021082005 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
25021082010 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
42023023801 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
42023023901 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
55150031301 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
60219157301 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
60219157305 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
70121157301 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
70121157305 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
70121160901 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
70121160905 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 40 mg/mL Y N  
00009030602 DEPO-MEDROL methylprednisolone acetate VIAL 80 mg/mL Y N  
00009030612 DEPO-MEDROL methylprednisolone acetate VIAL 80 mg/mL Y N  
00009347501 DEPO-MEDROL methylprednisolone acetate VIAL 80 mg/mL Y N  
00009347503 DEPO-MEDROL methylprednisolone acetate VIAL 80 mg/mL Y N  
00781351675 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
25021082105 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
42023024001 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
60219157401 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
60219157405 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
70121155201 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
70121155205 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
70121157401 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
70121157405 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
70121161001 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
70121161005 METHYLPREDNISOLONE ACETATE methylprednisolone acetate VIAL 80 mg/mL Y N  
00143985101 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 1,000 mg Y N  
43598013074 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 1,000 mg Y N  
63323026530 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 1,000 mg Y N  
00009069801 SOLU-MEDROL methylprednisolone sod succ VIAL 1,000 mg Y N  
00009069802 SOLU-MEDROL methylprednisolone sod succ VIAL 1,000 mg Y N  
00143975401 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 125 mg Y N  
00143975425 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 125 mg Y N  
43598012901 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 125 mg Y N  
43598012925 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 125 mg Y N  
63323025801 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 125 mg Y N  
63323025803 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 125 mg Y N  
00009085001 SOLU-MEDROL methylprednisolone sod succ VIAL 2 gram Y N  
00143975301 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 40 mg Y N  
00143975325 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 40 mg Y N  
43598012725 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 40 mg Y N  
43598012745 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 40 mg Y N  
63323025501 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 40 mg Y N  
63323025503 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 40 mg Y N  
00143985001 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 500 mg Y N  
43598012811 METHYLPREDNISOLONE SODIUM SUCC methylprednisolone sod succ VIAL 500 mg Y N  
00009075801 SOLU-MEDROL methylprednisolone sod succ VIAL 500 mg Y N  
00009001820 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 1,000 mg/8 mL Y N  
00009004703 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 125 mg/2 mL Y N  
00009004704 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 125 mg/2 mL Y N  
00009004722 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 125 mg/2 mL Y N  
00009004725 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 125 mg/2 mL Y N  
00009004726 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 125 mg/2 mL Y N  
00009004727 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 125 mg/2 mL Y N  
00009003905 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 40 mg/mL Y N  
00009003906 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 40 mg/mL Y N  
00009003928 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 40 mg/mL Y N  
00009003930 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 40 mg/mL Y N  
00009003932 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 40 mg/mL Y N  
00009003933 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 40 mg/mL Y N  
00009000302 SOLU-MEDROL methylprednisolone sod succ/PF VIAL 500 mg/4 mL Y N  
65250000101 ZILRETTA triamcinolone acetonide SUSER VIAL 32 mg Y N  
65250000301 ZILRETTA triamcinolone acetonide SUSER VIAL 32 mg Y N  
00003049420 KENALOG-10 triamcinolone acetonide VIAL 10 mg/mL Y N  
43598067611 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 10 mg/mL Y N  
00003029305 KENALOG-40 triamcinolone acetonide VIAL 40 mg/mL Y N  
00003029320 KENALOG-40 triamcinolone acetonide VIAL 40 mg/mL Y N  
00003029328 KENALOG-40 triamcinolone acetonide VIAL 40 mg/mL Y N  
00143938701 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
00143938725 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
00703024101 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
00703024301 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
00703024501 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
00781324572 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
16714013001 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
16714013025 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
16714014001 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
16714015001 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
43598069411 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
55150038401 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
55150038501 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
67457062102 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
67457062199 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
67457062205 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
67457062299 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
67457062310 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
67457062399 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121104901 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121104902 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121104905 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121116801 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121116901 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121165101 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121165105 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121165201 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121165301 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121165401 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121165501 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
70121165701 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
81298578101 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
81298578105 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
81298578303 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
81298578503 TRIAMCINOLONE ACETONIDE triamcinolone acetonide VIAL 40 mg/mL Y N  
00003031505 KENALOG-80 triamcinolone acetonide VIAL 80 mg/mL Y N  
00003031520 KENALOG-80 triamcinolone acetonide VIAL 80 mg/mL Y N  
59137057001 HEXATRIONE triamcinolone hexacetonide AMPUL 20 mg/mL Y N  
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