Muscle Relaxants, 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 | Carveout ‐ Bill FFS |
Current Drug Use Criteria |
|---|---|---|---|---|---|---|---|---|
| 00409110502 | ATRACURIUM BESYLATE | atracurium besylate | VIAL | 10 mg/mL | Y | N | ||
| 00409110522 | ATRACURIUM BESYLATE | atracurium besylate | VIAL | 10 mg/mL | Y | N | ||
| 00409110901 | ATRACURIUM BESYLATE | atracurium besylate | VIAL | 10 mg/mL | Y | N | ||
| 00409110911 | ATRACURIUM BESYLATE | atracurium besylate | VIAL | 10 mg/mL | Y | N | ||
| 71288070105 | ATRACURIUM BESYLATE | atracurium besylate | VIAL | 10 mg/mL | Y | N | ||
| 71288070106 | ATRACURIUM BESYLATE | atracurium besylate | VIAL | 10 mg/mL | Y | N | ||
| 71288070210 | ATRACURIUM BESYLATE | atracurium besylate | VIAL | 10 mg/mL | Y | N | ||
| 71288070211 | ATRACURIUM BESYLATE | atracurium besylate | VIAL | 10 mg/mL | Y | N | ||
| 70121249401 | LIORESAL INTRATHECAL | baclofen | AMPUL | 2,000 mcg/mL | Y | N | ||
| 70121249501 | LIORESAL INTRATHECAL | baclofen | AMPUL | 2,000 mcg/mL | Y | N | ||
| 70121250202 | LIORESAL INTRATHECAL | baclofen | AMPUL | 2,000 mcg/mL | Y | N | ||
| 70121250301 | LIORESAL INTRATHECAL | baclofen | AMPUL | 2,000 mcg/mL | Y | N | ||
| 70121250502 | LIORESAL INTRATHECAL | baclofen | AMPUL | 2,000 mcg/mL | Y | N | ||
| 70121249605 | LIORESAL INTRATHECAL | baclofen | AMPUL | 50 mcg/mL | Y | N | ||
| 70257056211 | LIORESAL INTRATHECAL | baclofen | AMPUL | 50 mcg/mL | Y | N | ||
| 70257056255 | LIORESAL INTRATHECAL | baclofen | AMPUL | 50 mcg/mL | Y | N | ||
| 70121250101 | LIORESAL INTRATHECAL | baclofen | AMPUL | 500 mcg/mL | Y | N | ||
| 70121250402 | LIORESAL INTRATHECAL | baclofen | AMPUL | 500 mcg/mL | Y | N | ||
| 14789016101 | BACLOFEN | baclofen | KIT | 40,000 mcg/20 mL (2,000 mcg/mL) | Y | N | ||
| 66794015501 | GABLOFEN | baclofen | SYRINGE | 10,000 mcg/20 mL (500 mcg/mL) | Y | N | ||
| 66794015601 | GABLOFEN | baclofen | SYRINGE | 20,000 mcg/20 mL (1,000 mcg/mL) | Y | N | ||
| 66794015701 | GABLOFEN | baclofen | SYRINGE | 40,000 mcg/20 mL (2,000 mcg/mL) | Y | N | ||
| 25021068171 | BACLOFEN | baclofen | SYRINGE | 50 mcg/mL (1 mL) | Y | N | ||
| 66794015101 | GABLOFEN | baclofen | SYRINGE | 50 mcg/mL (1 mL) | Y | N | ||
| 25021067820 | BACLOFEN | baclofen | VIAL | 10,000 mcg/20 mL (500 mcg/mL) | Y | N | ||
| 66794015502 | GABLOFEN | baclofen | VIAL | 10,000 mcg/20 mL (500 mcg/mL) | Y | N | ||
| 25021068020 | BACLOFEN | baclofen | VIAL | 20,000 mcg/20 mL (1,000 mcg/mL) | Y | N | ||
| 66794015602 | GABLOFEN | baclofen | VIAL | 20,000 mcg/20 mL (1,000 mcg/mL) | Y | N | ||
| 14789016105 | BACLOFEN | baclofen | VIAL | 40,000 mcg/20 mL (2,000 mcg/mL) | Y | N | ||
| 14789016107 | BACLOFEN | baclofen | VIAL | 40,000 mcg/20 mL (2,000 mcg/mL) | Y | N | ||
| 25021067920 | BACLOFEN | baclofen | VIAL | 40,000 mcg/20 mL (2,000 mcg/mL) | Y | N | ||
| 66794015702 | GABLOFEN | baclofen | VIAL | 40,000 mcg/20 mL (2,000 mcg/mL) | Y | N | ||
| 00143916001 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 00143916010 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 00409110301 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 00409110311 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 00409367001 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 00409367010 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 00781315380 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 00781315395 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 63323041801 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 63323041820 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 65145013701 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 70069015101 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 70069015110 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 70710153401 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 70710153406 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 71288071320 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 71288071321 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 72485051301 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 72485051310 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 72572006701 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 72572006710 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 10 mg/mL concentrate (ICU USE ONLY) | Y | N | ||
| 00143939601 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00143939701 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00143939710 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00409109802 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00409109812 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00409120801 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00409120811 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00409554701 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00409554710 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00409708301 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00409708310 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00781315075 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00781315095 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00781315270 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 00781315295 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 63323041601 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 63323041605 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 63323041701 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 63323041710 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 70069014101 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 70069014110 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 70069016101 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 70069016110 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 71288071205 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 71288071206 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 71288071410 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 71288071411 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 71288072095 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 71288072096 | CISATRACURIUM BESYLATE | cisatracurium besylate | VIAL | 2 mg/mL | Y | N | ||
| 42023012306 | DANTRIUM | dantrolene sodium | VIAL | 20 mg | Y | N | ||
| 00143929701 | DANTROLENE SODIUM | dantrolene sodium | VIAL | 20 mg | Y | N | ||
| 78670000367 | REVONTO | dantrolene sodium | VIAL | 20 mg | Y | N | ||
| 42367054032 | RYANODEX | dantrolene sodium | VIAL | 250 mg | Y | N | ||
| 25021067510 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 25021068910 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 43598083911 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 43598083936 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 55150022310 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 63323077810 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 63323077821 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 70069010101 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 70069010105 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 70069010125 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 71288071610 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 71288071611 | METHOCARBAMOL | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 00641610301 | ROBAXIN | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 00641610310 | ROBAXIN | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 00641610325 | ROBAXIN | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 00641621701 | ROBAXIN | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 00641621710 | ROBAXIN | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 00641621725 | ROBAXIN | methocarbamol | VIAL | 100 mg/mL | Y | N | ||
| 00641618201 | ORPHENADRINE CITRATE | orphenadrine citrate | VIAL | 30 mg/mL | Y | N | ||
| 00641618210 | ORPHENADRINE CITRATE | orphenadrine citrate | VIAL | 30 mg/mL | Y | N | ||
| 00641618225 | ORPHENADRINE CITRATE | orphenadrine citrate | VIAL | 30 mg/mL | Y | N | ||
| 25021065102 | ORPHENADRINE CITRATE | orphenadrine citrate | VIAL | 30 mg/mL | Y | N | ||
| 00143925001 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00143925010 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00143925101 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00143925110 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409140305 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409140310 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409318905 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409318910 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409516001 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409516010 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409703701 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409703710 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409955805 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409955810 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409955811 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409955831 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409955849 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409955850 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409955869 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00409955870 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00781322070 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00781322075 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00781322092 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00781322095 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 25021066205 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 25021068705 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 25021068710 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 39822420001 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 39822420002 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 39822420005 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 39822420006 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 43066000710 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 43066001310 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 43547053001 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 43547053010 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 43547053101 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 43547053110 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 55150022505 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 55150022610 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 63323042601 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 63323042602 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 63323042605 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 63323042610 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 63323042612 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 63323042615 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 65145013001 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 65145013010 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 65145013101 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 65145013110 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 65219006502 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 65219006505 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 65219044202 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 65219044205 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 66794022802 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 66794022841 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 66794022902 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 66794022941 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 67457022800 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 67457022805 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 67457022810 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 67457022899 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 70748034801 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 70748034802 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 70748034901 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 70748034902 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 70756066910 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 70756066985 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 70756067010 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 70756067086 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 71288070005 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 71288070006 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 71288071810 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 71288071811 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 71839014101 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 71839014110 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 71839014201 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 71839014210 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 72572065001 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 72572065010 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 72572065101 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 72572065110 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 81565020401 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 81565020402 | ROCURONIUM BROMIDE | rocuronium bromide | VIAL | 10 mg/mL | Y | N | ||
| 00338031199 | SUX-CERT 1000 | succinylcholine chloride | IRRIG SOLN | 1,000 mg | Y | N | ||
| 00338030999 | SUX-CERT 500 | succinylcholine chloride | IRRIG SOLN | 500 mg | Y | N | ||
| 00074806515 | QUELICIN | succinylcholine chloride | SYRINGE | 20 mg/mL | Y | N | ||
| 00781341170 | ANECTINE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 00781341195 | ANECTINE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 00781905370 | ANECTINE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 00781905395 | ANECTINE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 72572075001 | ANECTINE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 72572075010 | ANECTINE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 00409662902 | QUELICIN | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 00409662912 | QUELICIN | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 00409662961 | QUELICIN | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 00143933801 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 00143933825 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 14789010405 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 14789010407 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 31722098110 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 31722098131 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 43598066611 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 43598066625 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 63323094310 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 63323094321 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 66794023202 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 66794023242 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070001 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070002 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070003 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070004 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070005 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070010 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070011 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070012 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070025 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070026 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 69918070027 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70069030101 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70069030110 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70069030125 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70069078301 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70069078310 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70069078325 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70121158101 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70121158105 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70710137701 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 70710137702 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 71288071910 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 71288071911 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 73043002101 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 73043002191 | SUCCINYLCHOLINE CHLORIDE | succinylcholine chloride | VIAL | 20 mg/mL | Y | N | ||
| 00641623401 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 100 mg/5 mL (20 mg/mL) | Y | N | ||
| 00641623410 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 100 mg/5 mL (20 mg/mL) | Y | N | ||
| 43066012701 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 100 mg/5 mL (20 mg/mL) | Y | N | ||
| 43066012705 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 100 mg/5 mL (20 mg/mL) | Y | N | ||
| 65219027401 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 100 mg/5 mL (20 mg/mL) | Y | N | ||
| 65219027405 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 100 mg/5 mL (20 mg/mL) | Y | N | ||
| 43066012901 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 200 mg/10 mL (20 mg/mL) | Y | N | ||
| 43066012905 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 200 mg/10 mL (20 mg/mL) | Y | N | ||
| 65219027601 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 200 mg/10 mL (20 mg/mL) | Y | N | ||
| 65219027610 | SUCCINYLCHOLINE CHLORIDE | succinylcholine/sod Cl,iso/PF | SYRINGE | 200 mg/10 mL (20 mg/mL) | Y | N | ||
| 00074338603 | TUBOCURARINE CHLORIDE | tubocurarine chloride | VIAL | 3 mg/mL | Y | N | ||
| 00143923401 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 00143923410 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 25021068510 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 47335093140 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 47335093144 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 55150023501 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 55150023502 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 55150023510 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 55150023511 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 63323078110 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 63323078121 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 63323078141 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 63323078144 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 67457043800 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 67457043810 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 81565020601 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 81565020602 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 10 mg | Y | N | ||
| 00143923201 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 00143923210 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 25021068620 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 47335093240 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 47335093244 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 55150023601 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 55150023602 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 55150023620 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 55150023621 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 63323078220 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 63323078223 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 67457047500 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N | ||
| 67457047520 | VECURONIUM BROMIDE | vecuronium bromide | VIAL | 20 mg | Y | N |