PDF Compound Exclusion List of Bulk Chemicals TRADE NAME ...
Compound Exclusion List for Pharmacy Medical Policy 579, Compounded Medications
Compound Exclusion List of Bulk Chemicals
TRADE NAME DESCRIPTION
DOSAGE FORM DESCRIPTION
10-1
CLEANSER (GRAM)
1-DAY
OINTMENT WITH PREFILLED APPLICATOR
1ST BASE
CREAM (GRAM)
1ST MEDX-PATCH
ADHESIVE PATCH, MEDICATED
1ST RELIEF
SPRAY, NON-AEROSOL (ML)
2 IN 1 DANDRUFF SHAMPOO
SHAMPOO
2,3-DIMERCAPTOSUCCINIC ACID
POWDER (GRAM)
2,4-DINITROCHLOROBENZENE
CRYSTALS
24 HOUR ALLERGY
TABLET
24HOUR ALLERGY
TABLET
2-DEOXY-D-GLUCOSE
POWDER (GRAM)
2-METHOXYESTRADIOL
POWDER (GRAM)
3M NEXCARE DURAPORE
TAPE, NON-MEDICATED
4-AMINOBENZOIC ACID POTASSIUM
POWDER (GRAM)
4-AMINOPYRIDINE
POWDER (GRAM)
7-KETO DHEA
POWDER (GRAM)
A & D
CREAM (GRAM)
A.E.R TRAVELER
TOWELETTE (EA)
ABREVA
CREAM (GRAM)
ABSORBINE PAIN RELIEVING
GEL (GRAM)
1
Compound Exclusion List for Pharmacy Medical Policy 579, Compounded Medications
Compound Exclusion List of Bulk Chemicals
TRADE NAME DESCRIPTION
DOSAGE FORM DESCRIPTION
ABSTRAL
TABLET, SUBLINGUAL
ACACIA
POWDER (GRAM)
ACANYA
GEL WITH PUMP (GRAM)
ACCOLATE
TABLET
ACEBUTOLOL HCL
POWDER (GRAM)
ACEPHEN
SUPPOSITORY, RECTAL
ACEPROMAZINE MALEATE
POWDER (GRAM)
ACESULFAME POTASSIUM
POWDER (GRAM)
ACETAMINOPHEN
POWDER (GRAM)
ACETAMINOPHEN
SUPPOSITORY, RECTAL
ACETAMINOPHEN W/BUTALBITAL
TABLET
ACETARSONE
POWDER (GRAM)
ACETAZOLAMIDE
POWDER (GRAM)
ACETIC ACID
LIQUID (ML)
ACETYL HEXAPEPTIDE-8
POWDER (GRAM)
ACETYL HEXAPEPTIDE-8
SOLUTION, NON-ORAL
ACETYL SALICYLIC ACID
POWDER (GRAM)
ACETYLCHOLINE CHLORIDE
POWDER (GRAM)
ACETYLCYSTEINE
POWDER (GRAM)
ACETYL-D-GLUCOSAMINE
POWDER (GRAM)
2
Compound Exclusion List for Pharmacy Medical Policy 579, Compounded Medications
Compound Exclusion List of Bulk Chemicals
TRADE NAME DESCRIPTION
DOSAGE FORM DESCRIPTION
ACETYL-L-CARNITINE HCL
POWDER (GRAM)
ACID REDUCER
CAPSULE,DELAYED RELEASE (ENTERIC COATED)
ACIDOPHILUS LACTOBACILLUS
POWDER (GRAM)
ACIPHEX
TABLET, ENTERIC COATED
ACIPHEX SPRINKLE
CAPSULE, DELAYED RELEASE SPRINKLE
ACNE CARE
BAR
ACNE CLEANSER
CLEANSER (GRAM)
ACNE CLEANSING BAR
BAR
ACNE CONTROL CLEANSER
CLEANSER (GRAM)
ACNE CONTROL CLEANSER
CREAM (GRAM)
ACNE CREAM
CREAM (GRAM)
ACNE FOAMING FACE WASH
CLEANSER (GRAM)
ACNE MEDICATION
GEL (GRAM)
ACNE MEDICATION
LOTION (ML)
ACNE PAD
PADS, MEDICATED (EA)
ACNE SPOT TREATMENT
CREAM (GRAM)
ACNE SPOT TREATMENT
CREAM (ML)
ACNE TREATMENT
CREAM (GRAM)
ACNE TREATMENT
GEL (GRAM)
ACNE TREATMENT CLEANSING BAR
BAR
3
Compound Exclusion List for Pharmacy Medical Policy 579, Compounded Medications
Compound Exclusion List of Bulk Chemicals
TRADE NAME DESCRIPTION
DOSAGE FORM DESCRIPTION
ACNECLEAR
GEL (GRAM)
ACNEFREE
COMBINATION PACKAGE (ML)
ACNEFREE SEVERE
KIT
ACNOMEL
CREAM (GRAM)
ACTICARNITINE SF
SOLUTION, ORAL
ACTICOAT
BANDAGE
ACTICOAT FLEX 3
BANDAGE
ACTICOAT FLEX 7
BANDAGE
ACTICOAT MOISTURE CONTROL
BANDAGE
ACTICOAT SITE
BANDAGE
ACTIMARIS WOUND GEL
GEL (GRAM)
ACTIQ
LOZENGE ON A HANDLE
ACTIVATED CHARCOAL
POWDER (GRAM)
ACUICYN
SPRAY, NON-AEROSOL (ML)
ACULAR
DROPS
ACULAR LS
DROPS
ACUWASH
CLEANSER (ML)
ACYCLOVIR
CREAM (GRAM)
ACYCLOVIR
OINTMENT (GRAM)
ACYCLOVIR
POWDER (GRAM)
4
Compound Exclusion List for Pharmacy Medical Policy 579, Compounded Medications
Compound Exclusion List of Bulk Chemicals
TRADE NAME DESCRIPTION
DOSAGE FORM DESCRIPTION
ACZONE
GEL (GRAM)
ACZONE
GEL WITH PUMP (GRAM)
ADALAT CC
TABLET, EXTENDED RELEASE
ADAPALENE
CREAM (GRAM)
ADAPALENE
GEL (GRAM)
ADAPALENE
GEL WITH PUMP (GRAM)
ADAPALENE
LOTION (ML)
ADAPALENE
SOLUTION, NON-ORAL
ADAPALENE
SWAB, MEDICATED
ADAPALENE-BENZOYL PEROXIDE
GEL WITH PUMP (GRAM)
ADAZIN
CREAM (GRAM)
ADEMETIONINE DISULFATE TOSYLAT
POWDER (GRAM)
ADENOSINE
POWDER (GRAM)
ADENOSINE-5 MONOPHOSPHATE
POWDER (GRAM)
ADENOSINE-5-TRIPHOSPHATE
POWDER (GRAM)
ADENOSYLCOBALAMIN
POWDER (GRAM)
ADHESIVE BANDAGE
BANDAGE
ADHESIVE GAUZE PAD
BANDAGE
ADHESIVE PADS
BANDAGE
ADHESIVE TAPE
TAPE, NON-MEDICATED
5
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