Appendix 2: HCPCS Codes and Ndcs Associated with Cancer Treatment Drugs Administered Or Taken

Patient-Centered Oncology Payment Model (PCOP): Quantitative Analysis for the PRT – Appendix 2 April 2, 2020

Appendix 2: HCPCS codes and NDCs associated with Cancer Treatment Drugs Administered or Taken

This appendix shows the HCPCS codes and NDCs associated with the drugs listed in Appendix F of the PCOP proposal.

Drug name HCPCS Code(s) NDC(s) ADENOSINUM TRIPHOSPHORICUM DINATRUM, COENZYME A, CO-ENZYME Q-10, PINEAL 437420355 GLAND (SUIS), SARCOLACTICUM ACIDUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICEA, ZINCU ADENOSINUM TRIPHOSPHORICUM DINATRUM, COENZYME A, PINEAL GLAND (SUIS), 437420367, 437420721 SARCOLACTICUM ACIDUM, UBIDECARENONUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICEA, ZINCU ADENOSINUM TRIPHOSPHORICUM DINATRUM, PANTOTHENIC ACID, PINEAL GLAND (SUIS), 621850024 SARCOLACTICUM ACIDUM, UBIDECARENONUM, L-TRYPTOPHAN, MELATONIN, PYRROLE, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICE ADENOSINUM TRIPHOSPHORICUM DINATRUM, PANTOTHENIC ACID, PINEAL GLAND (SUIS), 437420729 SARCOLACTICUM ACIDUM, UBIDECARENONUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICEA ADENOSINUM TRIPHOSPHORICUM DINATRUM, PANTOTHENIC ACID, UBIDECARENONUM, 437420727, 437420998 PINEAL GLAND (SUIS), SARCOLACTICUM ACIDUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICEA ADO-TRASTUZUMAB EMTANSINE C9131, J9354 502420087, 502420088 ADRENAL, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA 541187977 ADRENAL, ARCTIUM LAPPA, ATP, BELLADONNA, CHEMICAL ISODES 541187981

1 Drug name HCPCS Code(s) NDC(s) ADRENALINUM, ALLIUM SATIVUM, ANETHUM GRAVEOLENS, ARSENICUM ALBUM, 579551511 ARSENICUM IODATUM, ASAFOETIDA, BELLADONNA, CEREUS BONPLANDII, CHAMOMILLA, COFFEA CRUDA, ERODIUM, IMPATIENS GLANDULIFERA, FLOS, IODIUM, MANDRAGORA OFFICINARUM, SOLIDAGO VIRGAUREA, THYROIDINU ADRENALINUM, ALOE SOCOTRINA, ARSENICUM ALBUM, BAPTISIA TINCTORIS, BERBERIS 697800012 ACQUIFOLIUM, BERBERIS VULGARIS, BRYONIA, CHELIDONIUM MAJUS, CROTALUS HORRIDUS, DIGITALIS PURPUREA, FERRUM METALLICUM, GLONOINUM, GLYCYRRHIZA GLABRA, HYDROCOTYLE ASIATICA, IODIUM, I ADRENALINUM, ALOE, ARSENICUM ALB., BAPTISIA, BERBER. AQUI., BERBER. VULG., BRYONIA, 557142364, 557142365 CHELIDONIUM MAJUS, CROTALUS HORRIDUS, DIGITALIS, FERRUM METALLICUM, GLONOINUM, GLYCYRRHIZA GLABRA , HYDROCOTYLE, IODIUM, IRIS VERSICOLOR, LACHESIS, LYCOPODIUM, NAT. MUR. ADRENALINUM, ALOE, ARSENICUM ALB., BAPTISIA, BERBER. AQUI., BERBER. VULG., BRYONIA, 353780002 CHELIDONIUM MAJUS, CROTALUS HORRIDUS, DIGITALIS, FERRUM METALLICUM, GLONOINUM, GLYCYRRHIZA GLABRA, HYDROCOTYLE, IODIUM, IRIS VERSICOLOR, LACHESIS, LYCOPODIUM, NAT. MUR., N ADRENALINUM, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, NATRUM MURIATICUM, 579550049 PHOSPHORICUM ACIDUM, PHOSPHORUS, PIX LIQUID, SELENIUM METALLICUM, SILICEA, SULPHUR, THUJA OCCIDENTALIS ADRENALINUM, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, NATRUM MURIATICUM, 579555049 PHOSPHORICUM ACIDUM, PHOSPHORUS, PIX LIQUIDA, SELENIUM METALLICUM, SILICEA, SULPHUR, THUJA OCCIDENTALIS ADRENALINUM, ANTIMONIUM TARTARICUM, ARALIA RACEMOSA, ARSENICUM ALBUM, 579550044 ERIODICTYON CALIFORNICUM, EUCALYPTUS GLOBULUS, GRINDELIA, IPECACUANHA, LOBELIA INFLATA, NATRUM SULPHURICUM, QUEBRACHO ADRENALINUM, ARG. NIT., ARSENICUM ALB., BRYONIA, CINCHONA, GRAPHITES, IODIUM, IRIS 557144512, 557144513 VERSICOLOR, LACHESIS, LYCOPODIUM, NAT. MUR., PHOSPHORUS, PHYTOLACCA, SULPHUR, THYROIDINUM

Drug name HCPCS Code(s) NDC(s) ADRENALINUM, CANDIDA ALBICANS THYROIDINUM, TORULA CEREVISIAE, TRITICUM, 557144484, 557144485 USTILAGO MAIDIS, ANTIMON. CRUD., ARSENICUM ALB., BAPTISIA, BERBER. AQUI, BRYONIA CALC. PHOS., CINCHONA, HELONIAS DIOICA, HYDRASTIS, IODIUM, IRIS VERSICOLOR, KALI CARB., LACHESIS , LYC ADRENALINUM, CANDIDA ALBICANS, THYROIDINUM, TORULA CEREVISIAE, TRITICUM, 557142230, 557142231, USTILAGO MAIDIS, ANTIMON. CRUD, ARSENICUM ALB., BAPTISIA, BERBER. AQUI., BRYONIA, 557142400, 557142401, CALC. PHOS., CINCHONA, HELONIAS DIOICA, HYDRASTIS, IODIUM, IRIS VERSICOLOR, KALI 557144815 CARB., LACHESIS, LY ADRENALINUM, TARENTULA CUBENSIS, ACONITUM NAP., ARG. NIT., ARSENICUM ALB., 557141514, 557141714 BAPTISIA, CHAMOMILLA, COFFEA CRUDA, CYPRIPEDIUM, DIGITALIS, GELSEMIUM, HUMULUS, HYOSCYAMUS, IGNATIA, IMPATIENS GLANDULIFERA FLOS, IODIUM, LACHESIS, LYCOPODIUM, NAT. MUR., NUX VOM. ADRENALINUM, TARENTULA CUBENSIS, ACONITUM NAP., ARG. NIT., ARSENICUM ALB., 557142316, 557142317, BAPTISIA, CHAMOMILLA, CYPRIPEDIUM, DIGITALIS, GELSEMIUM, HUMULUS, IGNATIA, 557144540, 557144541, IMPATIENS GLANDULIFERA FLOS, IODIUM, LACHESIS, LYCOPODIUM, NAT. MUR., NUX VOM., 557144833, SCUTELLARIA LATERIFLORA ADRENLINUM, COUMARINUM, TYRAMINE, ARTERIA SUIS, ASCORBIC ACID, CACTUS 437420004, 437420690 GRANDIFLORUS, COENZYME A, GLONOINUM, HEART (SUIS), SARCOLACTICUM ACIDUM, UBIDECARENONUM, VEIN (SUIS), ADRENOCORTICOTROPHIN, ARSENICUM ALBUM, AURUM METALLICUM, BELLADONNA, DIGITALIS PURP AESCULOS 30C, ANTIMONIUM TART 30C, ARSENICUM 30C, BARYTA MUR 30C, BRYONIA 30C, 596670093 CAUSTICUM 30C, DULCAMARA 30C, HEPAR SULPH. 30C, PHOSPHOROUS 30C, SANGUINARIA 30C , SENICIO 30C, STANNUM MET 30C, SULPHUR 30C, QUEBRACHO 30C AESCULUS HIPPOCASTANUM, AMMONIUM MURIATICUM, ARSENICUM ALBUM, 579556030 BELLADONNA, CAPSICUM ANNUUM, CAUSTICUM, COLCHICUM AUTUMNALE, COLOCYNTHIS, GNAPHALIUM POLYCEPHALUM, IGNATIA AMARA, MAGNESIA PHOSPHORIA, RHUS TOXICODENDRON AESCULUS HIPPOCASTANUM, FLOS, AGRIMONIA EUPATORIA, FLOS, APOCYNUM 579553021 CANNABINUM, ARSENICUM ALBUM, ASARUM EUROPAEUM, AVENA SATIVA, CAPSICUM ANNUUM, CARBONEUM SULPHURATUM, GELSEMIUM SEMPERVIRENS, HELIANTHUS ANNUUS, JUGLANS REGIA, FLOS, LONICERA CAPRIFOLIUM, FL

Drug name HCPCS Code(s) NDC(s) AESCULUS HIPPOCASTANUM, FLOS, AGRIMONIA EUPATORIA, FLOS, APOCYNUM 579553020 CANNABINUM, ARSENICUM ALBUM, ASARUM EUROPAEUM, AVENA SATIVA, CAPSICUM ANNUUM, CARBONEUM SULPHURATUM, GELSUMIUM SEMPERVIRENS, HELIANTHUS ANNUUS, JUGLANS REGIA, FLOS, LONICERA CAPRIFOLIUM, FL AESCULUS HIPPOCASTANUM, FLOS, ALOE SOCOTRINA, ARNICA MONTANA, ARSENICUM 579552531 ALBUM, BORAGO OFFICINALIS, CALCAREA CARBONICA, CARPINUS BETULUS, FLOS, CHAMOMILLA, GELSEMIUM SEMPERVIRENS, GRAPHITES, IPECACUANHA, KALI SULPHURICUM, MENTHA PIPERITA, NITRICUM ACIDUM AESCULUS HIPPOCASTANUM, FLOS, ALOE SOCOTRINA, ARNICA, MONTANA, ARSENICUM 579552532 ALBUM, BORAGO OFFICINALIS, CALCAREA CARBONICA, CARPINUS BETULUS, FLOS, CHAMOMILLA, GELSEMIUM SEMPERVIRENS, GRAPHITES, IPECAUANHA, KALI SULPHURICUM, MENTHA PIPERITA, NITRICUM ACIDUM AETHUSA CYNAPIUM, ARSENIC TRIOXIDE, OYSTER SHELL CALICUM CARBONATE, CRUDE, 434060059 MATRICARIA CHAMOMILLA, CITRULLUS COLOCYNTHIS FRUIT PULP, IRON, LYCOPODIUM CLAVATUM SPORE, MERCURIUS SOLOBILIS, PHOSPHORUS, PODOPHYLLUM, ANEMONE PULSATILLA, DELPHINIUM STRAPHISAGRIA AETHUSA CYNAPIUM, ARSENICUM ALBUM, COCCULUS INDICUS, IPECACUANHA, 449110074 KREOSOTUM, PETROLEUM, PULSATILLA (VULGARIS), SANGUINARIA CANADENSIS, TABACUM AETHUSA CYNAPIUM, ARSENICUM ALBUM, COCCULUS INDICUS, IPECACUANHA, 575200402 KREOSOTUM, PETROLEUM, PULSATILLA, SANGUINARIA CANADENSIS, TABACUM AFATINIB 005970137, 005970138, 005970141, 127140161, 127140162, 127140163 AFLIBERCEPT C9291, C9296, 617550005 J0178, Q2046 AGARICUS MUSC., ARSENICUM ALB., AUR. MET, BERBER. AQUI., CALADIUM SEGUINUM, 557144486, 557144487 CANDIDA ALBICANS, CANTHARIS, CONIUM, GRAPHITES, HELONIAS DIOICA, HYDRASTIS, KALI CARB., KREOSOTUM, LYCOPODIUM, MERC. VIV., MUREX PURPUREA, NAT. MUR, NITRICUM AC., PULSATILLA, RHUS

Drug name HCPCS Code(s) NDC(s) AGARICUS MUSC., ARSENICUM ALB., AUR. MET., BERBER. AQUI., CALADIUM SEGUINUM, 557142290, 557142291, CANDIDA ALBICANS, CANTHARIS, CONIUM, GRAPHITES, HELONIAS DIOICA, HYDRASTIS, KALI 557142438, 557144823 CARB., KREOSOTUM, LYCOPODIUM, MERC. VIV., MUREX PURPUREA, NAT. MUR., NITRICUM AC., PULSATILLA, RH AGARICUS MUSC., ARSENICUM ALB., BISMUTHUM METALLICUM, BRYONIA, CAPSICUM, 557141104, 557141113, CARBO VEG., GLONOINUM, IPECAC., IRIS VERSICOLOR, LAUROCERASUS, LYCOPODIUM, 557142450 MEZEREUM, NUX VOM., PULSATILLA, RANUNC. BULB. , THERIDION, VERATRUM ALB., ZINC. MET., ZINGIBER, CHAMOMILLA AGARICUS MUSCARIUS, ALUMINA, ANAGALLIS ARVENSIS, ANTIMONIUM TARTARICUM, APIS 580667002 MELLIFICA, ARSENICUM ALBUM, ARSENICUM IODATUM, BOVISTA, CAUSTICUM, DOLICHOS PRURIENS, FAGAPYRUM ESCULENTUM, GRAPHITES, KALI MURIATICUM, LAC DEFLORATUM, MURIATICUM ACIDUM, OLEANDE AGARICUS MUSCARIUS, ARSENICUM ALBUM, HYPERICUM PERFORATUM, PHOSPHORUS, 687030255 SILICEA AGARICUS MUSCARIUS, COCCUS CACTI, CONIUM MACULATUM, LYCOPODIUM CLAVATUM, 438570429, 438570471, PHOSPHORUS, ALUMINIUM METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM 438570518 METALLICUM, ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, BERYLLIUM METALLICUM, BISMUTHUM METALLICUM, BORON, BROM AGARICUS MUSCARIUS, COCCUS CACTI, CONIUM MACULATUM, LYCOPODIUM CLAVATUM, 438570375 PHOSPHORUS, EPSTEIN-BARR VIRUS NOSODE, GELSEMIUM SEMPERVIRENS, LATRODECTUS MACTANS, MORBILLINUM, POLIOMYETILIS VIRUS, RHUS TOX, TARENTULA CUBENSIS, SALMONELLA TYPHI, LANTHANUM METALL AGARICUS MUSCARIUS, COCCUS CACTI, CONIUM MACULATUM, LYCOPODIUM CLAVATUM, 438570342 PHOSPHORUS, GELSEMIUM SEMPERVIRENS, LATRODECTUS MACTANS, RHUS TOX, TARENTULA CUBENSIS, SALMONELLA TYPHI, CLOSTRIDIUM PERFRINGENS, ALUMINUM METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM MET AGARICUS MUSCARIUS, SYMPHYTUM OFFICINALE, HYPERICUM PERFORATUM, ARNICA 437720030 MONTANA

Drug name HCPCS Code(s) NDC(s) AGNUS, ALLIUM SATIVUM, AMBRA, ANGELICA SINENSIS RADIX , ARALIA QUINQUEFOLIA, 557144624, 557144625 ARNICA , ARSENICUM ALB., AVENA, BAPTISIA, BARYTA CARB., BRYONIA, CANTHARIS, LACHESIS, LYCOPODIUM, NUX VOM., PHOSPHORICUM AC., PULSATILLA, RUTA, SABAL, SELENIUM, ZINC.MET., GINKGO AGNUS, ALLIUM SATIVUM, AMBRA, ANGELICA SINENSIS RADIX, ARALIA QUINQUEFOLIA, 557141105, 557144763 ARNICA, ARSENICUM ALB., AVENA, BAPTISIA, BARYTA CARB., BRYONIA, CANTHARIS, LACHESIS, LYCOPODIUM, NUX VOM., PHOSPHORICUM AC., PULSATILLA, RUTA, SABAL, SELENIUM, ZINC. MET., GINKGO AGNUS, ALLIUM SATIVUM, AMBRA, ANGELICA SINENSIS RADIX, ARALIA QUINQUEFOLIA, 557141101 ARNICA, ARSENICUM ALB., AVENA, BAPTISIA, BARYTA CARB., BRYONIA, CANTHARIS, LACHESIS, LYCOPODIUM, NUX VOM., PHOSPHORICUM AC., PULSATILLA, RUTA, SABAL, SELENIUM, ZINC. MET., GINKGO AGRIMONIA EUPATORIA, FLOS, ARSENICUM ALBUM, CERATOSTIGMA WILLMOTTIANUM, 579552050 FLOS, CUPRUM METALLICUM, CYCLAMEN EUROPAEUM, DIGITALIS PURPUREA, IGNATIA AMARA, JUGLANS REGIA, FLOS, MILLEFOLIUM, NATRUM MURIATICUM, PHOSPHORICUM ACIDUM, PINUS SYLVESTRIS, FLOS, THUJA AGRIMONIA EUPATORIA, FLOS, ARSENICUM ALBUM, CERATOSTIGMA WILLMOTTIANUM, 579552051 FLOS, CUPRUM METALLICUM, CYCLAMEN EUROPAEUM, DIGITALIS PURPUREA, IGNATIA AMARA, JUGLANS REGIA, FLOS, MILLEFOLIUM, NATRUM MURIATICUM, PHOSPHORICUM ACIDUM, PINUS SYLVESTRIS, THUJA OCCID AILANTHUS ALTISSIMA FLOWERING TWIG, ANTIMONY POTASSIUM TARTRATE, ARSENIC 434060127 TRIOXIDE, ATROPA BELLADONNA, CAMPHOR (NATURAL), CHAMOMILE, COPPER, DIGITALIS, STRYCHNOS IGNATII SEED, CANIS LUPUS FAMILIARIS MILK, STRYCHNOS NUX-VOMICA SEED AILANTHUS GLANDULOSUS, ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, HEPAR 437421017 SULPHURIS CALCAREUM, MERCURIUS SOLUBILIS, MEZEREUM, ARSENICUM ALBUM, LACHESIS MUTUS, HERPES SIMPLEX 1 AND 2 NOSODE, HERPES ZOSTER NOSODE AILANTHUS GLANDULOSUS, ECHINACEA, BELLADONNA, PHYTOLACCA DECANDRA, HEPAR 437420171 SULPHURIS CALCAREUM, MERCURIUS SOLUBILIS, MEZEREUM, ARSENICUM ALBUM, LACHESIS MUTUS, HERPES SIMPLEX, HERPES ZOSTER

Drug name HCPCS Code(s) NDC(s) ALDESLEUKIN - ARSENIC TRIOXIDE - ATROPA BELLADONNA - CANAKINUMAB - ECHINACEA 170890295 ANGUSTIFOLIA - GRAPHITE - MELATONIN - PLANTAGO MAJOR - SOLANUM DULCAMARA FLOWER - SULFUR - ALECTINIB HCL 502420130 ALEMTUZUMAB J0202, J9010, 504190357, 584680200, Q9979 584680357 ALIANTHUS, ANA BARBARIAE, ARSENICUM ALBUM, BYRONIA, EUCALYPTUS, EUPATORIUM 427310012 PERFOLIATUM, GELSEMIUM, GLYCERINUM, INFLUENZINUM, MERCURIUS VIVUS, PHYTOLACCA, STICTA PULMONARIA ALITRETINOIN 592120601, 628560601 ALLIUM CEPA 30C, ARSENICUM 30C, THUJA 30C, BADIAGA 30C, CARBO VEG 30C, 596670096 DULCAMARA 30C, EUPHRASIA 30C, IODATUM 30C, NAJA 30C, NAT SULPH 30C, NUX VOMICA 30C, SABADILLA 30C, SINAPIS NIGRA 30C ALLIUM CEPA, ALLIUM SATIVUM, APIUM GRAVEOLENS, BETA VULGARIS, BRASSICA OLERACEA 449110361 VAR. BOTRYTIS, BRASSICA OLERACEA VAR. CAPITATA, BRASSICA OLERACEA VAR. ITALICA, BRASSICA OLERACEA VAR. SABELLICA, BRASSICA RAPA VAR. RAPA, CICER ARIETINUM, CUCUMIS STAIVUS, GL ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, APIS MELLFICA, ARSENICUM ALBUM, 449110068 EUPHRASIA OFFICINALIS, NUX VOMICA, PHOSPHORUS, PULSATILLA (VULGARIS), SOLIDAGO VIRGAUREA, SULPHUR ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, APIS MELLIFICA 575200377 ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, APIS MELLIFICA, ARSENICUM ALBUM, 575200651 EUPHRASIA OFFICINALIS, NUX VOMICA, PHOSPHORUS, PULSATILLA, SOLIDAGO VIRGAUREA, SULPHUR ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, ARUM TRIPHYLLUM, 580667011 ARUNDO MAURITANICA, EUPHRASIA OFFICINALIS, LAC DEFLORATUM, NAPHTHALINUM, NATRUM MURIATICUM, SABADILLA, WYETHIA HELENIOIDES ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, ARUM TRIPHYLLUM, 579555043 ARUNDO MAURITANICA, EUPHRASIA OFFICINALIS, NAPHTHALINUM, NATRUM MURIATICUM, SABADILLA AND WYETHIA HELENIOIDES

Drug name HCPCS Code(s) NDC(s) ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, ARUM TRIPHYLLUM, 504410002, 579550043, ARUNDO MAURITANICA, EUPHRASIA OFFICINALIS, NAPHTHALINUM, NATRUM MURIATICUM, 579550335 SABADILLA, WYETHIA HELENIOIDES ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, ARUNDO MURITANICA, 497260006 ARUM TRIPHYLIUM, EUPHRASIA OFFICINALIS, NAPHTHALINUM, NATRUM MURIATICUM, SABADILLA, WYETHIA HELENIODES ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, EUPHRASIA OFFICINALIS, 438570058 NUX VOMICA, PHOSPHORUS, PULSATILLA, SOLIDAGO VIRGAUREA ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, EUPHRASIA OFFICINALIS 575200522 ALLIUM CEPA, AMRBOSIA ARTEMISIIFOLIA, ARSENICUM ALBUM, EUPHRASIA OFFICINALIS, 427310002 GALPHIMIA GLAUCA, HISTAMINUM HYDROCHLORICUM, LEMNA MINOR, LINUM USITATISSIMUM, LUFFA OPERCULATA, NATRUM MURIATICUM, POLYPORUS PINICOLA, SABADILLA ALLIUM CEPA, APIS MELLIFICA, ARSENICUM ALBUM, EUPHRASIA OFFICINALIS, NUX VOMICA 105780016 ALLIUM CEPA, ARALIA RACEMOSA, ARSENICUM ALBUM, CUPRUM METALLICUM, EUPHRASIA 719716030 OFFICINALIS, NUX VOMICA, SABADILLA, STICTA PULMONARIA ALLIUM CEPA, ARSENICUM ALBUM, FERRUM PHOSPHORICUM, LAC CANINUM, NATRUM 575201251 MURIATICUM, NUX VOMICA ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, EUPHRASIA OFFICINALIS, SABADILLA, 605126030 STICTA PULMONARIA, ARALIA RACEMOSA, CUPRUM METALLICUM ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, PULSATILLA PRATENSIS 438570522 ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, PULSATILLA, ALFALFA, AMARANTHUS, 449110016 BAMBOO, COCKLEBUR, DANDELION ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, PULSATILLA, ALFALFA, AMARANTHUS, 449110032 BAMBOO, COCKLEBUR, DANDELION, GOLDENROD, KENTUCKY BLUE, LAMBS QUARTER ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, PULSATILLA, ALFALFA, AMARANTHUS, 575200758 BAMBOO, COCKLEBUR, DANDELION, GOLDENROD, KENTUCKY BLUE, LAMBS QUARTERS ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, SABADILLA, STICTA PULMONARIA, 605120004, 605122002 CUPRUM METALLICUM, ARALIA RACEMOSA

Drug name HCPCS Code(s) NDC(s) ALLIUM SAT, ALOE, ARSENICUM ALB, BERBER VULG, CALC PHOS, CEANOTHUS, CHELIDONIUM 616260100 MAJ, CHOLESTERINUM, CLEMATIS ERECTA, CONDURANGO, GAMBOGIA, HAMAMELIS, KALI BROM, KALI PHOS, LYCOPODIUM, NAT CARB, PASSIFLORA, SENNA, SILICEA, SOLIDAGO, SPIGELIA ANTH, SPONGIA ALLIUM SATIVUM, ALUMINUM METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM 551460007, 639720012 METALLICUM, ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, BERYLLIUM METALLICUM, BISMUTHUM METALLICUM, BORON, BROMIUM, CADMIUM METALLICUM, CERIUM METALLICUM, CESIUM CHLORIDE, CHROMIUM ALLIUM SATIVUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BELLADONNA, ECHINACEA 579550117, 665790023 PURPUREA, EUCALYPTUS GLOBULUS, HYDRASTIS CANADENSIS, LAC CANINUM, MYRISTICA SEBIFERA, MYRTUS COMMUNIS, PHOSPHORUS, PHYTOLACCA DECANDRA ALLIUM SATIVUM, AVENA SATIVA, BERBERIS VULGARIS, LAPPA MAJOR, PHYTOLACCA 449110231, 717420008 DECANDRA, SOLIDAGO VIRGAUREA, LYCOPODIUM CLAVATUM, NUX VOMICA, ALUMINUM METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM METALLICUM, ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, BERYL ALLIUM SATIVUM, BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ALLIUM CEPA, 449110163 AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SOLIDAGO VIRGAUREA ALLIUM SATIVUM, BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, PHYTOLACCA 437420104 DECANDRA, STILLINGIA SYLVATICA, TRIFOLIUM PRATENSE ALLIUM SATIVUM, BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, PHYTOLACCA 610620007 DECANDRA, STILLINGIA SYLVATICA, TRIFOLIUM PRATENSE, ASCORBIC ACID ALLIUM SATIVUM, BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, PHYTOLACCA 437420511 DECANDRA, STILLINGIA SYLVATICA, TRIFOLIUM PRATENSE, ASCORBIC ACID, CYSTEINUM, IRIDIUM METALLICUM, METHIONINE, SELENIUM METALLICUM, THYROIDINUM (SUIS), ARSENICUM ALBUM, CARBOLIC ALLIUM SATIVUM, CALENDULA OFFICINALIS, SAMBUCUS NIGRA, CLEMATIS ERECTA, 437421599 DULCAMARA, GRAPHITES, PETROLEUM, ARSENICUM ALBUM, CROTON TIGLIUM, MERCURIUS SULPHURATUS RUBER, NATRUM MURIATICUM, NITRICUM ACIDUM, RHUS TOX, SEPIA, THUJA OCCIDENTALIS

Drug name HCPCS Code(s) NDC(s) ALLIUM SATIVUM, CALENDULA OFFICINALIS, SAMBUCUS NIGRA, CLEMATIS ERECTA, 437421047 DULCAMARA, PETROLEUM, SARSAPARILLA (SMILAX REGELII), GRAPHITES, ARSENICUM ALBUM, CROTON TIGLIUM, MERCURIUS SULPHURATUS RUBER, NATRUM MURIATICUM, NITRICUM ACIDUM, RHUS TOX, SEPIA, THUJ ALLIUM SATIVUM, CALENDULA OFFICINALIS, SAMBUCUS NIGRA, CLEMATIS ERECTA, 437421481 DULCAMARA, SARSAPARILLA (SMILAX REGELII), GRAPHITES, PETROLEUM, ARSENICUM ALBUM, CROTON TIGLIUM, MERCURIUS SULPHURATUS RUBER, NATRUM MURIATICUM, NITRICUM ACIDUM, RHUS TOX, SEPIA, THUJ ALLIUM SATIVUM, ECHINACEA (ANGUSTIFOLIA), GINKGO BILOBA, VISCUM ALBUM, 437421116, 437421480, HAMAMELIS VIRGINIANA, ACONITUM NAPELLUS, ALLIUM CEPA, ARSENICUM ALBUM, 437421567 BAPTISIA TINCTORIA, CHELIDONIUM MAJUS, GELSEMIUM SEMPERVIRENS, MERCURIUS VIVUS, NATRUM MURIATICUM, NUX VOMICA, SE ALMOND (NUT), CASHEW (NUT), BLACK WALNUT (NUT), PECAN (NUT), COCONUT, OLEUM 449110402 OLEA EUROPAEA, CHESTNUT (NUT), WATER CHESTNUT (NUT), PINENUT (NUT), MACADAMIA (NUT), PISTACHIO (NUT), PEANUT (NUT), ENGLISH WALNUT (NUT), BRAZIL NUT (NUT), HAZELNUT (NUT), ARSENIC ALOE SOCOTRINA, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, 437420200 BRYONIA, CARBO VEGETABILIS, CHAMOMILLA, KALI BICHROMICUM, PHOSPHORUS, PLUMBUM METALLICUM, PYROGENIUM, SULPHUR ALOE SOCOTRINA, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, 575200963 BRYONIA, CARBO VEGETABILIS, CHAMOMILLA, KALI BICHROMICUM, PHOSPHORUS, PLUMBUM METALLICUM, PYROGENIUM, SULPHUR ALOE SOCOTRINA, ANTIMONIUM CRUDA, ARSENICUM ALBUM, BELLADONNA, BRYONIA 105780027 ALBUM, CHAMOMILLA, COLOCYNTHIS, PODOPHYLLUM PELTATUM, VERATRUM ALBUM ALOE SOCOTRINA, ARSENICUM ALBUM, BRYONIA, COLLINSONIA CANADENSIS, COLOCYNTHIS, 527317015 CROTON TIGLIUM, CUPRUM ACETICUM, ECHINACEA ANGUSTIFOLIA, MERCURIUS SUB. CORROS, RHEUM OFFICINALE, SULFUR, VERATRUM ALBUM ALOE, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BRYONIA 437420811 (ALBA), CARBO VEGETABILIS, CHAMOMILLA, KALI BICHROMICUM, PHOSPHORUS, PLUMBUM METALLICUM, PYROGENIUM, SULPHUR

Drug name HCPCS Code(s) NDC(s) ALOE, ARG. NIT., ARSENICUM ALB., BELLADONNA, BENZOICUM ACIDUM, BRYONIA, 557142286, 557142287, CANTHARIS, CAUSTICUM, EQUISETUM HYEMALE, FERRUM METALLICUM, GELSEMIUM, 557142463, 557142464, IGNATIA, KALI PHOS., LYCOPODIUM, NAT. MUR., NITRICUM AC., PLANTAGO, PULSATILLA, 557144748 RHUS AROMATICA , SABAL, SECALE ALOE, ARG. NIT., ARSENICUM ALB., BELLADONNA, BENZOICUM ACIDUM, BRYONIA, 557144534, 557144535 CANTHARIS, CAUSTICUM, EQUISETUM HYEMALE, FERRUM METALLICUM, GELSEMIUM, IGNATIA, KALI PHOS., LYCOPODIUM, NAT. MUR., NITRICUM AC., PLANTAGO, PULSATILLA, RHUS AROMATICA, SABAL, SECALE, S ALOE, ARSENICUM ALB., CALC. FLUOR., COLLINSONIA, CROTALUS HORRIDUS, 557142002 HYDROFLUORICUM ACIDUM, LACHESIS, LYCOPODIUM, NUX VOM., RATANHIA, VIPERA BERUS, AESCULUS HIPP., CALENDULA, ECHINACEA, HAMAMELIS, HYPERICUM, SOLIDAGO, URTICA UR. ALTRETAMINE 580630001, 628560001 ALUMINA, ANATHERUM MURICATUM, APIS MELLIFICA, ARSENICUM ALBUM, BUTYRICUM 579550129 ACIDUM, HYDROCOTYLE ASIATICA, MEZEREUM, PETROLEUM, RHUS TOXICODENDRON, SEPIA, SILICEA, SULPHUR ALUMINA, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, ASARUM EUROPAEUM, BAPTISIA 579555128 TINCTORIA, CARBOLICUM ACIDUM, CHININUM ARSENICICUM, COCCULUS INDICUS, LECITHIN, PICRICUM ACIDUM, PULSATILLA, RHUS TOXICODENDRON, SILICEA AND SULPHUR ALUMINA, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, ASARUM EUROPAEUM, BAPTISIA 579555318 TINCTORIA, CARBOLICUM ACIDUM, CHININUM ARSENICOSUM, COCCULUS INDICUS, LECITHIN, PICRICUM ACIDUM, PULSATILLA, RHUS TOXICODENDRON, SILICEA, AND SULPHUR ALUMINA, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, ASARUM EUROPAEUM, BAPTISIA 579550128, 579550318 TINCTORIA, CARBOLICUM ACIDUM, CHININUM ARSENICOSUM, COCCULUS INDICUS, LECITHIN, PICRICUM ACIDUM, PULSATILLA, RHUS TOXICODENDRON, SILICEA, SULPHUR ALUMINA, ARALIA QUINQUEFOLIA, ARG. NIT., ARNICA, ARSENICUM ALB., BAPTISIA, BRYONIA, 557141110, 557141118 CANTHARIS, CHELIDONIUM MAJUS, CONIUM, GELSEMIUM, IODIUM, KALI CARB., KALI IOD., LYCOPODIUM, LYCOPUS VIRGINICUS, NAT. MUR., NUX VOM., PHOSPHORUS, PHYTOLACCA, PULSATILLA, RH

Drug name HCPCS Code(s) NDC(s) ALUMINA, ARSENICUM ALBUM, ARSENICUM LODATUM, BERBERIS VULGARIS, CADMIUM 579550281 SULPHURATUM, CHELIDONIUM MAJUS, CHROMIUM OXYDATUM, CUPRUM METALLICUM, CYSTEINUM, GLYCERINUM, GLYCYRRHIZA GLABRA, KALI MURIATICUM, MAGNESIA SULPHURICA, MERCURIUS CORROSIVUS, MERCURIUS ALUMINA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BELLADONNA, BOLDO, CALCAREA 645780143 CARBONICA, CARDUUS MARIANUS, CHAMOMILLA, CHELIDONIUM MAJUS, ECHINACEA, HYDRASTIS CANADENSIS, LECITHIN, LEDUM PALUSTRE, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, MORBILLINUM, PERTUSS ALUMINIUM METALLICUM, ARGENTUM METALLICUM, ARSENICUM ALBUM, AURUM 621061119 METALLICUM, CALENDULA OFFICINALIS, CONDURANGO, JACARANDA CAROBA, ROBINIA PSEUDOACACIA, SABINA ALUMINIUM METALLICUM, ARSENICUM ALBUM, BELLADONNA, HISTAMINUM 579552502 HYDROCHLORICUM, HYDRASTIS CANADENSIS, MANDRAGORA OFFICINARUM, NUX VOMICA, PHOSPHORUS, PULSATILLA, SOLANINUM, SOLANUM NIGRUM ALUMINIUM METALLICUM, ARSENICUM ALBUM, BRYONIA, COLOCYNTHIS, HELLEBORUS 579552501 NIGER, HISTAMINUM HYDROCHLORICUM, HYDRASTIS CANADENSIS, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MAGNESIA CARBONICA, PETROLEUM, PULSATILLA ALUMINUM OXIDE, APIS MELLIFERA, ARSENIC TRIOXIDE, CALENDULA OFFICINALIS 687700142 FLOWERING TOP, TRIBASIC CALCIUM PHOSPHATE, EUPHRASIA STRICTA, DELPHINIUM STAPHISAGRIA SEEDS, SULPHUR ALUMINUM OXIDE, ARSENIC TRIOXIDE, CAUSTICUM, CONIUM MACULATUM FLOWERING 434060035 TOP, CUPRIC ACETATE, GELSEMIUM SEMPERVIRENS ROOT, STRYCHNOS IGNATII SEED, LACHESIS MUTA VENOM, MERCURIUS SOLUBILIS, PHOSPHORUS, LEAD, ZINC ALUMINUM OXIDE, SILVER, SILVER NITRATE, ARSENIC TRIOXIDE, MERCURIUS SOLUBILIS, 582640103 CALOMEL, MERCURIC IODIDE, LEAD, LEAD IODIDE, CHELIDONIUM MAJUS, ZINC, SOLIDAGO VIRGAUREA FLOWERING TOP, AND CITRIC ACID MONOHYDRATE AMANITA MUSCARIA FRUITING BODY, ARSENIC TRIOXIDE, MILK THISTLE, CEANOTHUS 594690005 AMERICANUS LEAF, CINCHONA OFFICINALIS BARK, GLECHOMA HEDERACEA FLOWERING TOP, GRINDELIA HIRSUTULA WHOLE, AND SODIUM CHLORIDE

Drug name HCPCS Code(s) NDC(s) AMBROSIA ARTEMISIIFOLIA, ARSENIC TRIOXIDE, CALCIUM SULFIDE, POTASSIUM 434060045 DICHROMATE, POTASSIUM SULFATE, LYCOPODIUM CLAVATUM SPORE, MERCURIUS SOLUBILIS, SODIUM CHLORIDE, PHOSPHORUS, PULSATILLA VULGARIS, SEPIA OFFICINALIS JUICE, SILICON DIOXIDE, THUJA OCCIDENT AMERICAN GINSENG, BLACK COHOSH, SPIGELIA ANTHELMIA, SILVER NITRATE, ARSENIC 434060071 TRIOXIDE, GOLD, STRYCHNOS IGNATTI SEED, LACHESIS MUTA VENOM, LYCOPODIUM CLAVATUM SPORE, SODIUM CHLORIDE, PHOSPHORIC ACID, PLATINUM, PULSATILLA VULGARIS, SEPIA OFFICINALIS JUICE, T AMMONIUM CARBONATE - APIS MELLIFERA - ARSENIC TRIOXIDE - BLATTA ORIENTALIS - 170890418 CUPRIC ACETATE - DRIMIA MARITIMA BULB - EPINEPHRINE - GALPHIMIA GLAUCA FLOWERING TOP - HISTAMINE DIHCL - LUFFA OP AMMONIUM CARBONATE, APIS MELLIFERA, ARSENIC TRIOXIDE, GRINDELIA HIRSUTULA 582640078 FLOWERING TOP, ECHINACEA ANGUSTIFOLIA, AND CROTALUS HORRIDUS HORRIDUS VENOM AMMONIUM CARBONICUM, ANTIMONIM ARSENICOSUM, ANTIMONIUM TARTARICUM, 497260003 ARSENICUM ALBUM, BROMIUM, CARBO VEGETABILIS, CHLORINUM, KALI CARBONICUM, LOBELIA INFLATA, STANNUM METALLICUM, SULPHURICUM ACIDUM AMMONIUM CARBONICUM, ANTIMONIUM ARSENICICUM, ANTIMONIUM TARTARICUM, 579550053, 665790067 ARSENICUM ALBUM, BROMIUM, CARBO VEGETABILIS, CHLORINUM, KALI CARBONICUM, LOBELIA INFLATA, STANNUM METALLICUM, SULPHURICUM ACIDUM AMMONIUM CARBONICUM, APIS MELLIFICA, ARGENTUM METALLICUM, ARSENICUM ALBUM, 438570127 DULCAMARA, MEZEREUM, RHUS TOX, URTICA URENS AMMONIUM CARBONICUM, ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, IODIUM, 545570003 LYCOPODIUM CLAVATUM, NUX VOMICA, PULSATILLA AMMONIUM CHLORIDE, ANTIMONY POTASSIUM TARTRATE, ARSENIC TRIOXIDE, OYSTER 434060038, 434060626 SHELL CALCIUM CARBONATE, CRUDE, LOBELIA INFLATA, SODIUM SULFATE, SPONGIA OFFICINALIS SKELETON, ROASTED, PHOSPHORUS AMMONIUM MURIATICUM, ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, BRYONIA 449110169, 717420010 (ALBA), CALCAREA CARBONICA, LOBELIA INFLATA, NATRUM SULPHURICUM, PHOSPHORUS, SPONGIA TOSTA AMMONIUM MURIATICUM, ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, CALCAREA 438570213, 575200131 CARBONICA, LOBELIA INFLATA, NATRUM SULPHURICUM, SPONGIA TOSTA, PHOSPHORUS

Drug name HCPCS Code(s) NDC(s) AMYL NITROSUM, EUPHRASIA OFFICINALIS, KALI MURIATICUM, WYETHIA HELENOIDES, 437421548 HISTAMINUM HYDROCHLORICUM, LAC CANINUM, GLANDULA SUPRARENALIS SUIS, MUCOSA NASALIS SUIS, ALLIUM CEPA, ARSENICUM ALBUM, BLATTA AMERICANA, IRIDIUM METALLICUM, SABADILLA, SELENIUM MET ANACARDIUM ORIENTALE 6X, ARGENTUM NITRICUM 6X, ARSENICUM ALBUM 6X, 533461305 BELLADONNA 4X, CARBO VEGETABILIS 8X, CHAMOMILLA 2X, CHELIDONIUM MAJUS, RADIX 3X, LYCOPODIUM CLAVATUM 5X, NUX VOMICA 4X, SCROPHULARIA NODOSA 1X ANACARDIUM ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, ATROPINUM 621062025 SULFURICUM, BISMUTHUM SUBNITRICUM, CONDURANGO BARK, HAMAMELIS VIRGINIANA, HYDRASTIS CANADENSIS, KALIUM BICHROMICUM ANACARDIUM ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, ATROPINUM, CARBO 579555074 VEGETABILIS, GERANIUM MACULATUM, KALI BICHROMICUM, ORNITHOGALUM UMBELLATUM URANIUM NITRICUM ANACARDIUM ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, ATROPINUM, CARBO 579550074, 579550188 VEGETABILIS, GERANIUM MACULATUM, KALI BICHROMICUM, ORNITHOGALUM UMBELLATUM, URANIUM NITRICUM ANACARDIUM ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, BISMUTHUM 508450189 METALLICUM, CONDURANGO, GERANIUM MACULATUM, NUX VOMICA, PYROGENIUM, ROBINIA PSEUDOACACIA, SULPHURICUM ACIDUM ANAGRELIDE 136680453, 136680462 ANAGRELIDE HCL 001725240, 001725241, 540920063, 548685443, 681512959, 691895241 ANAS BARBARIAE, ARSENICUM ALB, BAPTISIA, BRYONIA, CAUSTICUM, CINCHONA, 579550298 DULCAMARA, ECHINACEA PURP, EUCALYPTUS, EUPATORIUM PERF, GELSEMIUM, INFLUENZINUM, LACHESIS, PHYTOLACCA, RHUS TOX, SARCOLACTICUM AC, SULPHUR, WYETHIA, ZINC ACET, ZINC MUR, ZINC OXYD. ANAS BARBARIAE, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, DULCAMARA, 579550382 ECHINACEA, ECHINACEA PURPUREA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, INFLUENZINUM, KALI MURIATICUM, PHOSPHORUS, PULSATILLA, SULPHUR, ZINCUM ACETICUM, Z

Drug name HCPCS Code(s) NDC(s) ANAS BARBARIAE, HEPATIS ET CORDIS EXTRACTUM, ARSENICUM ALBUM, BAPTISIA 580668012 TINCTORIA, BRYONIA ALBA, CAUSTICUM, CINCHONA OFFICINALIS, DULCAMARA, ECHINACEA PURPUREA, EUCALYPTUS GLOBULUS, EUPATORIUM PURPUREUM, GELSEMIUM SEMPERVIRENS, INFLUENZINUM, LAC DEFLORATUM ANAS BARBARIAE, HEPATIS ET CORDIS EXTRACTUM, ARSENICUM ALBUM, BAPTISIA 579555194 TINCTORIA, BRYONIA ALBA, CAUSTICUM, CINCHONA OFFICINALIS, ECHINACEA PURPUREA, EUCALYPTUS GLOBULUS, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, INFLUENZINUM, PHYTOLACCA DECANDRA, RH ANAS BARBARIAE, HEPATIS ET CORDIS EXTRACTUM, ARSENICUM ALBUM, BAPTISIA 579551801 TINCTORIA, BRYONIA, CAUSTICUM, CINCHONA OFFICINALIS, ECHINACEA PURPUREA, EUCALYPTUS GLOBULUS, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, INFLUENZINUM, PHYTOLACCA DECANDRA, RHUS TO ANAS BARBARIAE, HEPATIS ET CORDIS EXTRACTUM, ARSENICUM ALBUM, BAPTISIA 580667012 TINCTORIA, BRYONIA, DULCAMARA, ECHINACEA, ECHINACEA PURPUREA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, KALI MURIATICUM, LAC DEFLORATUM, PHOSPHORUS, PULSATIL ANATHERUM MURICATUM, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BUTYRICUM 579555129 ACIDUM, HYDROCOTYLE ASIATICA, MEZEREUM, PETROLEUM, PETROLEUM, RHUS TOXICODENDRON, SEPIA, SILICEA AND SULPHUR ANATHERUM MURICATUM, AVENA SATIVA, ARSENICUM ALBUM, BERBERIS VULGARIS, 599850323 DIOSCOREA VILLOSA, OKOUBAKA AUBREVILLEI ANEMONE PATENS, MATRICARIA CHAMOMILLA, SULFUR, ZINC, TOXICODENDRON 549733352 PUBESCENS LEAF, ARSENIC TRIOXIDE, ARABICA COFFEE BEAN, LYCOPODIUM CLAVATUM SPORE ANEMONE PULSATILLA, PHOSPHORUS, SILICON DIOXIDE, NITRIC ACID, ARSENIC TRIOXIDE, 582640221 TOXICODENDRON PUBESCENS WHOLE, AND BOS TAURUS HYPOTHALAMUS ANGELICA SINENSIS RADIX, ARALIA QUINQUEFOLIA, ARG. NIT., ARSENICUM ALB., BERBER. 557142268, 557142269, AQUI., CAPSICUM , CINCHONA, DIGITALIS, GELSEMIUM, HYPERICUM, IGNATIA, IODIUM, KALI 557142338, 557142339, BROM., KALI CARB., MAG. PHOS., NAT. CARB., NAT. MUR., PHOSPHORUS, SALIX NIGRA, 557142390, 557142391, SANGUINARIA 557144771, 557144772

Drug name HCPCS Code(s) NDC(s) ANGELICA SINENSIS RADIX, ARSENICUM ALB., BRYONIA, CAULOPHYLLUM, CIMICIFUGA, 557142222, 557142223, CINCHONA, DIOSCOREA, FOLLICULINUM, GELSEMIUM, LACHESIS, LILIUM, LYCOPODIUM, 557142481, 557142482, MILLEFOLIUM, NUX VOM., PULSATILLA, SABINA, SECALE, SEPIA, THLASPI, VIBURNUM OP., 557144749 ZINGIBER, ECHINACEA, VA ANGELICA SINENSIS RADIX, ARSENICUM ALB., BRYONIA, CAULOPHYLLUM, CIMICIFUGA, 557144448, 557144449 CINCHONA, DIOSCOREA, FOLLICULINUM, GELSEMIUM, LACHESIS, LILIUM, LYCOPODIUM, MILLEFOLIUM, NUX VOM., PULSATILLA, SABINA, SECALE, SEPIA, THLASPI, VIBURNUM OP., ZINGIBER, ECHINACEA, VA ANGELICA SINENSIS, RADIX, ARALIA QUINQUEFOLIA, ARG. NIT., ARSENICUM ALB., BERBER. 557144566, 557144567, AQUI., CAPSICUM, CINCHONA, DIGITALIS, GELSEMIUM, HYPERICUM, IGNATIA, IODIUM, KALI 557144644, 557144645, BROM., KALI CARB., MAG. PHOS., NAT. CARB., NAT. MUR., PHOSPHORUS, SALIX NIGRA, 557144661, 557144662 SANGUINARIA ANTHRACINUM , PYROGENIUM, ACONITUM NAP., ARNICA, ARSENICUM ALB., BAPTISIA, 557144550, 557144551 BRYONIA, HYDRASTIS, IODIUM, LACHESIS, NUX VOM., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON , ECHINACEA , IRIS VERSICOLOR, URTICA UR. ANTHRACINUM, ARSENICUM ALBUM, BOTULINUM, CALCAREA HYPOPHOSPHOROSA, 437420015 COXIELLA BURNETII, DYSENTERY BACILLUS, FRANCISELLA TULARENSIS, GAERTNER BACILLUS, KALI SULPHURICUM, LAC CANINUM, MALARIA OFFICINALIS, MUTABILE BACILLUS, PERTUSSINUM, PESTINUM, PYROGENIUM ANTHRACINUM, INFLUENZA A VIRUS, INFLUENZA B VIRUS, PYROGENIUM, ACONITUM NAP., 557142206, 557142207, ANTIMON. TART., ARNICA, ARSENICUM ALB., BAPTISIA, BELLADONNA, BRYONIA, CANTHARIS, 557142440, 557142441, CHAMOMILLA, CINCHONA, EUPATORIUM PERF., FERRUM METALLICUM, GELSEMIUM, HEPAR 557148009 SULPH.CALC., IODIUM ANTHRACINUM, PYROGENIUM, ACONITUM NAP., ALOE, APIS MEL., ARNICA, ARSENICUM 557142300, 557142301, ALB., BAPTISIA, BELLADONNA, BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CROTALUS 557142467, 557142468, HORRIDUS, FERRUM PHOSPHORICUM, GAULTHERIA PROCUMBENS, HEPAR SULPH. CALC., 557144502, 557144503, IODIUM, LACHESIS, NUX VOM., PH 557144760, 557148012 ANTHRACINUM, PYROGENIUM, ACONITUM NAP., ARNICA, ARSENICUM ALB., BAPTISIA, 557144818 BRYONIA, HYDRASTIS, IODIUM, LACHESIS, NUX VOM., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON , ECHINACEA , IRIS VERSICOLOR, URTICA UR.

Drug name HCPCS Code(s) NDC(s) ANTIMON. CRUD., APIS MEL., ARSENICUM ALB., BERBER. VULG., BOVISTA, BRYONIA, 557144528, 557144529 CANTHARIS, CHELIDONIUM MAJUS, CROTON, DULCAMARA, GRAPHITES, HISTAMINUM HYDROCHLORICUM, LYCOPODIUM, MEZEREUM , NUX VOM., PETROLEUM, PULEX IRRITANS, PULSATILLA, RHUS TOXICODENDRON ANTIMON. CRUD., APIS MEL., ARSENICUM ALB., BERBER. VULG., BOVISTA, BRYONIA, 557142284, 557142285, CANTHARIS, CHELIDONIUM MAJUS, CROTON, DULCAMARA, GRAPHITES, HISTAMINUM 557142459, 557142460, HYDROCHLORICUM, LYCOPODIUM, MEZEREUM, NUX VOM., PETROLEUM, PULEX IRRITANS, 557144761, 557144762, PULSATILLA, RHUS TOXICODENDRON, S 557148013 ANTIMON. CRUD., ARG. NIT., ARSENICUM ALB., BAPTISIA, BISMUTHUM METALLICUM, 557144510, 557144511 BRYONIA, CHAMOMILLA, CINCHONA, IRIS VERSICOLOR, KALI BIC., LACHESIS, LYCOPODIUM, MAG. CARB., NUX VOM., PHOSPHORUS, PODOPH. PELT., PULSATILLA, RAPHANUS, RHUS TOXICODENDRON, TABACUM ANTIMON. CRUD., ARG. NIT., ARSENICUM ALB., BAPTISIA, BISMUTHUM METALLICUM, 557144530, 557144531 BRYONIA, CINCHONA, COLOCYNTHIS, GRAPHITES, HEPAR SULPH. CALC., HYDRASTIS, IPECAC., KALI BIC., KALI CARB., LYCOPODIUM, MAG. CARB. MAG. PHOS., NUX VOM., PHOSPHORUS, PODOPH. PELT., PU ANTIMON. CRUD., ARSENICUM ALB., AUR. MET., BERBER. AQUI., BOVISTA, CARBO VEG., 557142228, 557144468, CAUSTICUM, CHELIDONIUM MAJUS, DULCAMARA, GRAPHITES, HEPAR SULPH. CALC., 557144469 HYDROCOTYLE, KALI BROM., KALI IOD., LEDUM, LYCOPODIUM, NUX VOM., SILICEA, SULPHUR IOD., ZINC. MET., ECHI ANTIMON. CRUD., ARSENICUM ALB., BERBER. VULG., BOVISTA , BRYONIA , CANTHARIS , 557144402, 557144403 CHELIDONIUM MAJUS, CROTON, DULCAMARA, GRAPHITES, HEPAR SULPH. CALC., LYCOPODIUM MEZEREUM, NUX VOM, PETROLEUM, PULEX IRRITANS, PULSATILLA, RHUS TOXICODENDRON, SARSAPARILLA, SEPI ANTIMON. CRUD., ARSENICUM ALB., BERBER. VULG., BOVISTA, BRYONIA, CANTHARIS, 557142232, 557142233, CHELIDONIUM MAJUS, CROTON, DULCAMARA, GRAPHITES, HEPAR SULPH. CALC., 557142430, 557142431, LYCOPODIUM, MEZEREUM, NUX VOM., PETROLEUM, PULEX IRRITANS, PULSATILLA, RHUS 557144799 TOXICODENDRON, SARSAPARILLA, SEPIA ANTIMONIUM CRUDUM, ARSENICUM ALBUM 691520016, 691520105 ANTIMONIUM CRUDUM, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA 508450053 PHOSPHORICA, CALCAREA SILICATA, CICUTA VIROSA, CONIUM MACULATUM

Drug name HCPCS Code(s) NDC(s) ANTIMONIUM CRUDUM, ARSENICUM ALBUM, CARBO VEGETABILIS , CHINA OFFICINALIS, 690084009 GENTIANA LUTEA, HYDRASTIS CANADENSIS, NUX VOMICA ANTIMONIUM CRUDUM, ARSENICUM ALBUM, CINCHONA OFFICINALIS, COLOCYNTHIS, 579550098, 579550262, GAMBOGIA, GENTIANA LUTEA, MAGNESIA PHOSPHORICA, NATRUM SULPHURICUM, NUX 579556083, 665790056 VOMICA, PHOSPHORUS ANTIMONIUM CRUDUM, ARSENICUM ALBUM, GRAPHITES, MERCURIUS SOLUBILIS, SEPIA, 660960732 SILICEA, THUJA OCCIDENTALIS, USTILAGO MAIDIS, ZINCUM METALLICUM ANTIMONIUM CRUDUM, ARSENICUM ALBUM, MANCINELLA, NITRICUM ACIDUM, SULPHUR, 436950005 THUJA OCCIDENTALIS ANTIMONIUM CRUDUM, ARSENICUM ALBUM, MANCINELLA, NITRICUM ACIDUM, SULPHUR, 508450085 THUJA OCCIDENTALIS ANTIMONIUM TART 30C, ARSENICUM 30C, BELLADONNA 30C, BACILLINUM 200C, CALCAREA 596670091 CARB 30C, CACTUS 30C, CAUSTICUM 30C, CUPRUM MET. 30C, DULCAMARA 30C, IPECAC 30C, HEPAR SULPH 30C, KALI SULPH 30C, LYCOPODIUM 30C, NATRUM CARB 30C, NUX VOMICA 30C, PHOSPHORUS 30C ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, ARSENICUM IODATUM, ARUM 696070008 TRIPHYLLUM, BAPTISIA TINCTORIA, BRYONIA (ALBA), DROSERA (ROTUNDIFOLIA), ECHINACEA ANGUSTIFOLIA, EUPATORIUM PERFOLIATUM, KALI BROMATUM, LUNG SUIS, MERCURIUS CORROSIVUS, STICTA PULMONARIA, SULP ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, ARSENICUM IODATUM, ARUM 508450207 TRIPHYLLUM, BAPTISIA TINCTORIA, BRYONIA TINCTORIA, BRYONIA (ALBA), DROSERA (ROTUNDIFOLIA), ECHINACEA (ANGUSTIFOLIA, EUPATORIUM PERFOLIATUM, KALI BROMATUM, LUNG SUIS, MERCURIUS CORROSIVUS, STI ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, ARSENICUM IODATUM, ARUM 508450021 TRIPHYLLUM, BAPTISIA TINCTORIA, BRYONIA, DROSERA, ECHINACEA ANTIMONY TRISULFIDE, APIS MELLIFERA, ARSENIC TRIOXIDE, ATROPA BELLADONNA, 617270326 GRAPHITE, ARCTIUM LAPPA FRUIT, KEROSENE, SOLIDAGO CANADENSIS WHOLE, VIOLA TRICOLOR.

Drug name HCPCS Code(s) NDC(s) APIS MEL., ARSENICUM ALB., ASTERIAS RUBENS, CANTHARIS, CISTUS CANADENSIS, CROTON, 557142334, 557142335 DOLICHOS, DULCAMARA, GRAPHITES, GRINDELIA, HYPERICUM, IRIS VERSICOLOR, LYCOPODIUM, MEZEREUM, RANUNC. BULB., RHUS TOXICODENDRON, STAPHYSAG., SULPHUR, THUJA OCC., ZINC. MET. APIS MEL., ARSENICUM ALB., CALC. CARB., DULCAMARA, GRAPHITES, HEPAR SULPH. CALC., 557142292, 557142293, HYDRASTIS, HYDROFLUORICUM ACIDUM, KALI CARB., LYCOPODIUM, MEZEREUM, OLEANDER, 557142448, 557142449 PETROLEUM, PHOSPHORICUM AC., PHOSPHORUS, RHUS TOXICODENDRON, SELENIUM, SEPIA, SILICEA, SULPHUR APIS MELLIFERA 30X, ARSENIC TRIOXIDE 30X, CINCHONA OFFICINALIS BARK 30X, DIGITALIS 434060095, 434060627 30X, LACHESIS MUTA VENOM 30X, LYCOPODIUM CLAVATUM SPORE 30X, SODIUM SULFATE 30X, TOXICODENDRON PUBESCENS LEAF 30X, SAMBUCUS NIGRA FLOWERING TOP 30X, STROPHANTHUS HISPIDUS S APIS MELLIFERA, APIS MELLIFERA VENOM, ARSENIC TRIOXIDE, BRYONIA ALBA ROOT, AND 582640038 SULFUR APIS MELLIFERA, ARSENIC TRIOXIDE, ATROPA BELLADONNA, MATRICARIA RECUTITA, 434060623 LACHESIS MUTA VENOM, MERCURIUS SOLUBILIS, PULSATILLA VULGARIS, TOXICODENDRON PUBESCENS LEAF, SILICON DIOXIDE APIS MELLIFERA, ARSENIC TRIOXIDE, BAPTISIA TINCTORIA, ATROPA BELLADONNA, ECHINACEA 582640144 PURPUREA, EUPATORIUM PERFOLIATUM WHOLE, GELSEMIUM SEMPERVIRENS WHOLE, CALCIUM SULFIDE, RANCID BEEF, SULFUR, SILICON DIOXIDE, AND THUJA OCCIDENTALIS LEAFY TWIG APIS MELLIFERA, ARSENIC TRIOXIDE, CADMIUM SULPHATE, OYSTER SHELL CALCIUM 434060113 CARBONATE CRUDE, ACTIVATED CHARCOAL, CHELIDONIUM MAJUS, CINCHONA OFFICINALIS BARK, LYCOPODIUM CLAVATUM SPORE, MERCURIUS SOLUBILIS, SODIUM CHLORIDE, STRYCHNOS NUX-VOMICA SEED, PHOSPHO APIS MELLIFERA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA 508130010 (ANGUSTIFOLIA), LACHESIS MUTUS, MERCURIUS SOLUBILIS APIS MELLIFERA, URTICA URENS, SODIUM CHLORIDE, AND ARSENIC TRIOXIDE 549739146 APIS MELLIFICA 30X, ARSENICUM ALBUM 30X, RHUS TOXICODENDRON 30X, SULPHUR 30X 533461323 APIS MELLIFICA, APOCYNUM CANNABINUM, ARSENICUM ALBUM, DIGITALIS PURPUREA, 449110244 LYCOPODIUM CLAVATUM, RHUS TOX, SAMBUCUS NIGRA, STROPHANTHUS HISPIDUS

Drug name HCPCS Code(s) NDC(s) APIS MELLIFICA, ARSENICUM ALBUM, AURUM IODATUM, BARYTA MURIATICA, COLOCYNTHIS, 579550216 CONIUM MACULATUM, IODIUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, NAJA TRIPUDIANS, OOPHORINUM, PLATINUM METALLICUM, PODOPHYLLUM PELTATUM APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BORAX CAPSICUM ANNUUM, 508450120 DULCAMARA, ECHINACEA, MERCURIUS CORROSIVUS, NITRICUM ACIDUM, PYROGENIUM, RHUS TOXICODENDRON, SULPHUR IODATUM, THUJA OCC IDEN APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BORAX, CAPSICUM ANNUUM, 508450212 DULCAMARA, ECHINACEA (ANGUSTIFOLIA), MERCURIUS CORROSIVUS, NITRICUM ACIDUM, PYROGENIUM, RHUS TOX, SULPHUR IODATUM, THUJA OCCIDENTALIS APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CAPSICUM ANNUUM, 508450136 DULCAMARA, ECHINACEA (ANGUSTIFOLIA), NITRICUM ACIDUM, PYROGENIUM, RHUS TOX APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CAPSICUM ANNUUM, 436950011 DULCAMARA, ECHINACEA, NITRICUM ACIDUM, PYROGENIUM, RHUS TOX APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CAPSICUM ANNUUM, 508450126 DULCAMARA, ECHINACEA, NITRICUM ACIDUM, PYROGENIUM, RHUS TOXICODENDRON APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BELLADONNA, CALCAREA 437420828 CARBONICA, CICUTA VIROSA, CONIUM MACULATUM, FERRUM METALLICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA (VULGARIS), SEPIA APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BELLADONNA, CALCAREA 437420194 CARBONICA, CICUTA VIROSA, CONIUM MACULATUM, FERRUM METALLICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA, SEPIA, TARENTULA H APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CICUTA 437421521 VIROSA, CONIUM MACULATUM, FERRUM METALLICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SEPIA, TARENTULA H APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CICUTA 437421011 VIROSA, CONIUM MACULATUM, FERRUM METALLICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA (VULGARIS), SEPIA, TARENTULA HI

Drug name HCPCS Code(s) NDC(s) APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA 449110123 (ANGUSTIFOLIA), LACHESIS MUTUS, MERCURIUS SOLUBILIS, PULSATILLA (VULGARIS), PYROGENIUM, RHUS TOX, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA, LACHESIS 449110023 MUTUS, MERCURIUS SOLUBILIS APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA, LACHESIS 575200179 MUTUS, MERCURIUS SOLUBILIS APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA, LACHESIS 508130002 MUTUS, MERCURIUS SOLUBILIS, PULSATILLA, PYROGENIUM APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA, LACHESIS 449110004, 575201043, MUTUS, MERCURIUS SOLUBILIS, PULSATILLA, PYROGENIUM, RHUS TOXICODENDRON, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECINACEA, LACHESIS 575200464 MUTUS, MERCURIUS SOLUBILIS APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, LACHESIS MUTUS, 438570524 MERCURIUS SOLUBILIS, PULSATILLA (PRATENSIS), RHUS TOX, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, LACHESIS MUTUS, 438570179 MERCURIUS SOLUBILIS, PULSATILLA, RHUS TOXICODENDRON, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, LACHESIS MUTUS, 575200021 MERCURIUS SOLUBILIS, PULSATILLA, RHUS TOXICODENDRON, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BERBERIS AQUIFOLIUM, BRYONIA, CALENDULA 579552522 OFFICINALIS, HOTTONIA PALUSTRIS, FLOS, HYOSCYAMUS NIGER, ILEX AQUIFOLIUM, FLOS, IPECACUANHA, KALI CARBONICUM, LILIUM TIGRINUM, MINULUS GUTTATUS, FLOS, OLEUM SANTALI, PRUNUS CERASIFER APIS MELLIFICA, ARSENICUM ALBUM, BORAX, CAPSICUM ANNUUM, GRAPHITES, MENTHA 497260009 PIPERITA, MEZEREUM, NATRUM MURIATICUM, NUX VOMICA, PETROLEUM, RANUNCULUS BULBOSUS APIS MELLIFICA, ARSENICUM ALBUM, BORAX, CAPSICUM ANNUUM, GRAPHITES, MENTHA 579555165 PIPERITA, MEZEREUM, NATRUM MURIATICUM, NUX VOMICA, PETROLEUM, RANUNCULUS BULBOSUS, AND RHUS TOXICODENDRON

Drug name HCPCS Code(s) NDC(s) APIS MELLIFICA, ARSENICUM ALBUM, BORAX, CAPSICUM ANNUUM, GRAPHITES, MENTHA 579550165 PIPERITA, MEZEREUM, NATRUM MURIATICUM, NUX VOMICA, PETROLEUM, RANUNCULUS BULBOSUS, RHUS TOXICODENDRON APIS MELLIFICA, ARSENICUM ALBUM, CALCAREA ACETICA, CALCAREA OXALICA, CEDRON, 579550217 CONIUM MACULATUM, ECHINACEA PURPUREA, EUPHORBIUM OFFICINARUM, HYDRASTIS CANADENSIS, OVA TOSTA, PHOSPHORICUM ACIDUM, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, DIGITALIS PURPUREA, FERRUM METALLICUM, 438570299 LYCOPODIUM CLAVATUM, RHUS TOX, SAMBUCUS NIGRA, STROPHANTHUS HISPIDUS APIS MELLIFICA, ARSENICUM ALBUM, DIGITALIS PURPUREA, FERRUM METALLICUM, 575200091 LYCOPODIUM CLAVATUM, RHUS TOXICODENDRON, SAMBUCUS NIGRA, STROPHANHUS HISPIDUS APIS MELLIFICA, ARSENICUM ALBUM, LACHESIS MUTUS, PHOSPHORICUM ACIDUM, 449110278 PITUITARUM POSTERIUM, PULSATILLA (PRATENSIS), SAMBUCUS NIGRA, THUJA OCCIDENTALIS APIS MELLIFICA, ARSENICUM ALBUM, MAGNESIA PHOSPHORICA, NATRUM MURIATICUM, 687030251 RHUS TOX, URTICA URENS AQUAFLORA 579552281 ARALIA QUINQUEFOLIA, FUCUS VESICULOSUS, HYDRASTIS CANADENSIS, SOLIDAGO 639720005 VIRGAUREA, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, ARSENICUM ALBUM, CALCAREA CARBONICA, CARBO VEGETABILIS, CEANOTHUS AMERICANUS, CYCLAMEN EUROPAEUM, HEPAR SULPHURIS CALCAREUM, NATRUM ARALIA QUINQUEFOLIA, FUCUS VESICULOSUS, SOLIDAGO VIRGAUREA, TARAXACUM 551460005 OFFICINALE, TRIFOLIUM PRATENSE, HYDRASTIS CANADENSIS, ARSENICUM ALBUM, CALCAREA CARBONICA, CARBO VEGETABILIS, CEANOTHUS AMERICANUS, CYCLAMEN EUROPAEUM, HEPAR SULPHURIS CALCAREUM, NATRUM ARALIA QUINQUEFOLIA, GLYCYRRHIZA GLABRA, SARSAPARILLA, AVENA SATIVA, GLANDULA 438570057 SUPRARENALIS BOVINE, ADRENALINUM, ARSENICUM ALBUM, KALI PHOSPHORICUM, NATRUM MURIATICUM, NUX VOMICA, PHOSPHORICUM ACIDUM, VERATRUM ALBUM ARALIA QUINQUEFOLIA, GLYCYRRHIZA GLABRA, SARSAPARILLA, AVENA SATIVA, GLANDULA 575200015 SUPRARENALIS BOVINUM, ADRENALINUM, ARSENICUM ALBUM, KALI PHOSPHORICUM, NATRUM MURIATICUM, NUX VOMICA, PHOSPHORICUM ACIDUM, VERATRUM ALBUM

Drug name HCPCS Code(s) NDC(s) ARALIA QUINQUEFOLIA, HUMULUS LUPULUS, ADRENALINUM, CORTISONE ACETICUM, 437421247, 437421248 SELENIUM METALLICUM, THYROIDINUM (SUIS), ARSENICUM ALBUM, CALCAREA CARBONICA, CONVALLARIA MAJALIS, CROTALUS HORRIDUS, FERRUM METALLICUM, NUX VOMICA, PHOSPHORUS, SEPIA, PHOSPHORICUM ACI ARALIA QUINQUEFOLIA, HUMULUS LUPULUS, ADRENALINUM, CORTISONE ACETICUM, 437420020, 437420197, THYROIDINUM (SUIS), SELENIUM METALLICUM, ARSENICUM ALBUM, CALCAREA CARBONICA, 437420732, 437420753 CONVALLARIA MAJALIS, CROTALUS HORRIDUS, FERRUM METALLICUM, NUX VOMICA, PHOSPHORUS, SEPIA, PHOSPHORICUM ACI ARALIA RACEMOSA, ARSENICUM ALBUM 691520009 ARALIA RACEMOSA, ARSENICUM ALBUM, HISTAMINUM HYDROCHLORICUM, NUX VOMICA, 579558310, 687030118 OLEUM ANIMALE, PHOSPHORUS, SILICEA, SULPHUR ARALIA RACEMOSE, ARSENICUM ALBUM, HISTAMINUM HYDROCHLORICUM, NUX VOMICA, 579552196 OLEUM ANIMALE, PHOSPHORUS, SILICEA, SULPHUR ARESNICUM ALB, CARBO VEG, CARDUUS MAR, CHELIDONIUM MAJ, NUX VOM 687030284 ARG. MET., ARSENICUM ALB, AUR. MET., BOVISTA, BRYONIA, CHELIDONIUM MAJUS, 557144428 CHIONANTHUS VIRGINICA, GAULTHERIA PROCUMBENS, HELONIAS DIOICA, IRIS VERSICOLOR, LYCOPODIUM, NUX VOM, PHOSPHORUS, RHUS TOXICODENDRON, SABAL, SYZYGIUM, CYNARA, ECHINACEA, IRIS VERSICO ARG. MET., ARSENICUM ALB, AUR. MET., BOVISTA, BRYONIA, CHELIDONIUM MAJUS, 557144429 CHIONANTHUS VIRGINICA, GAULTHERIA PROCUMBENS, HELONIAS DIOICA, IRIS VERSICOLOR, LYCOPODIUM, NUX VOM, PHOSPHORUS, RHUS TOXICODENDRON, SABAL, SYZYGIUM, CYNARA, ECHINACEA, THUJA OCC. ARGENTUM 30C, ARSENICUM 30C, BELLADONNA 30C, CALC PHOS 30C, CHELIDONIUM 30C, 596670088 COFFEA 30C, LILLIUM 30C, PODOPHYLLUM 30C PULSATILLA 30C, RHUS TOX 30C ARGENTUM NITRICUM, ARSENICUM ALBUM, CARDUUS MARIANUS, HEPAR SUIS, LUNG SUIS, 508450168 MERCURIUS CORROSIVUS, PLUMBUM METALLICUM ARGENTUM NITRICUM, ARSENICUM ALBUM, CARDUUS MARIANUS, HEPAR SUIS, MERCURIUS 438530015, 551380015 CORROSIVUS, PLUMBUM METALLICUM

Drug name HCPCS Code(s) NDC(s) ARGENTUM NITRICUM, BERBERIS VULGARIS, IODIUM, KALI CARBONICUM, NATRUM 437421514 MURIATICUM, ADRENALINUM, CORTISONE ACETICUM, DHEA, GLANDULA SUPRARENALIS SUIS, HYPOPHYSIS SUIS, HYPOTHALAMUS SUIS, MELATONIN, TESTOSTERONE, ARSENICUM ALBUM, PHOSPHORUS, PROTEUS (VULGARI ARGENTUM NITRICUM, NATRUM MURIATICUM, SULPHUR, ACONITUM NAPELLUS, 437421263 ARSENICUM ALBUM, RHUS TOX, ADENOSINUM CYCLOPHOSPHORICUM, FUNICULUS UMBILICALIS SUIS, GLANDULA SUPRARENALIS SUIS, LUNG (SUIS), MUCOSA NASALIS SUIS, PANTOTHENIC ACID, SARCOLACTICUM ACIDUM, AC ARNICA MONTANA, ARSENIC TRIOXIDE, BELLIS PERENNIS, PASSIFLORA INCARNATA 639720003 FLOWERING TOP, VALERIAN, APIS MELLIFERA, HUMAN BREAST TUMOR CELL, HELIANTHEMUM CANADENSE, CLEMATIS RECTA FLOWERING TOP, ARABICA COFFEE BEAN, STRYCHNOS IGNATII SEED, LACHESIS MUTA VENO ARNICA MONTANA, ARSENIC TRIOXIDE, HERRING SPERM NDA, ECHINACEA, UNSPECIFIED, 272810007, 551380005 HAMAMELIS VIRGINIANA LEAF, CHAMAELIRIUM LUTEUM ROOT, PORK LIVER, IRIS VERSICOLOR ROOT, SUS SCROFA PANCREAS, PHOSPHORIC ACID, ROSMARINUS OFFICINALIS FLOWERING TOP, CLAVICEPS PURPU ARNICA MONTANA, ARSENICUM ALBUM, AURUM METALLICUM, BAPTISIA TINCTORIA, 579551903 CALCAREA CARBONICA, CALCAREA FLUORICA, CARBO VEGETABILIS, CARBOLICUM ACIDUM, GAMBOGIA, HEKLA LAVA, IODIUM, KALI PHOSPHORICUM, KREOSOTUM, MERCURIUS CORROSIVUS, MERCURIUS VIVUS, NITRICUM ARNICA MONTANA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CINCHONA OFFICINALIS, 508450104 GALIUM APARINE, HEPAR SUIS, KOREAN GINSENG, MERCURIUS CORROSIVUS, PHOSPHORICUM ACIDUM, RADIUM BROMATUM, SULPHUR IODATUM, THUJA OCCIDENTALIS, X-RAY ARNICA MONTANA, ASCLEPIAS TUBEROSA, ERIODICTYON CALIFORNICUM, EUCALYPTUS 438570032 GLOBULUS, LOBELIA INFLATA, PLANTAGO MAJOR, TRIFOLIUM PRATENSE, ARSENICUM ALBUM, BELLADONNA, BRYONIA, CARBO VEGETABILIS, GRINDELIA, KALI CARBONICUM, NATRUM SULPHURICUM, PULSATILLA ARNICA MONTANA, BELLIS PERENNIS, PASSIFLORA INCARNATA, VALERIANA OFFICINALIS, 551460003, 639720011 ARSENICUM ALBUM, APIS MELLIFICA, CARCINOSIN, CISTUS CANADENSIS, CLEMATIS ERECTA, COFFEA CRUDA, IGNATIA AMARA, LACHESIS MUTUS, MAGNESIA PHOSPHORICA, NATRUM MURIATICUM, NATRUM SUL

Drug name HCPCS Code(s) NDC(s) ARNICA MONTANA, ECHINACEA (ANGUSTIFOLIA), GLYCYRRHIZA GLABRA, HYDRASTIS 437421178 CANADENSIS, LEDUM PALUSTRE, THYROIDINUM (SUIS), ARBUTUS ANDRACHNE, APIS MELLIFICA, ARSENICUM ALBUM, COCCULUS INDICUS, GUNPOWDER, HEPAR SULPHURIS CALCAREUM, KALMIA LATIFOLIA, LAC CANIN ARS ALB, PHOS, NUX VOM, PULS, SULPH, EUP, SOL, ECHI, BAPT 616570003 ARSENIC ALBUM, AURUM METALLICUM, BARYTA CARBONICA, CALCAREA CARBONICA, 437420244 GLONOINUM, IODIUM, KALI IODATUM LACHESIS MUTUS, LITHIUM CARBONICUM, LOBELIA INFLATA, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, PHOSPHORICUM ACIDUM, PHOSPHORUS, SEPIA, SPONGIA TOSTA, THYROI ARSENIC TRIOXIDE 002200522, 002200525, 002200526, 002200527, 002200528, 002200529, 002200530, 002200549, 002200550, 002200553, 002200554, 002200557, 101911989, 147890600, 430660601, 434060168, 434060318, 493150005, 493150007, 507420438, 522660014, 548790027, 549730605, 549732905 ARSENIC TRIOXIDE J9017 611260517, 621064878, 633230637, 634590600, 634590601, 683820997, 684280033, 684280083, 684280225, 699180720, 707101610, 719190083, 764721132 ARSENIC TRIOXIDE - ARABICA COFFEE BEAN - NITRIC ACID - TOXICODENDRON PUBESCENS 472420061 LEAF - SELENIUM - ZINC - ARSENIC TRIOXIDE - BLATTA ORIENTALIS - LACHESIS MUTA VENOM 684280744

Drug name HCPCS Code(s) NDC(s) ARSENIC TRIOXIDE - CALCIUM SULFATE ANHYDROUS - SODIUM PHOSPHATE, DIBASIC 684280016 ANHYDROUS - SILICON DIOXIDE ARSENIC TRIOXIDE - CALCIUM SULFATE ANHYDROUS - SODIUM PHOSPHATE, DIBASIC, 684280749 HEPTAHYDRATE - SILICON DIOXIDE ARSENIC TRIOXIDE - CUPRIC ARSENITE - VERATRUM ALBUM ROOT 684280002, 684280745 ARSENIC TRIOXIDE - ESTRADIOL - GOLDENSEAL - LACHESIS MUTA VENOM - MAGNESIUM 170890290 PHOSPHATE - MATRICARIA RECUTITA - MELATONIN - PROGESTERONE - STRYCHNOS NUX- VOMICA SEED - SULFUR - SUS SCROFA OVARY - SUS SCROFA PITUITARY GLAND - ARSENIC TRIOXIDE - FERROSOFERRIC PHOSPHATE - PULSATILLA VULGARIS - SILICON DIOXIDE - 472420211 DROSERA ROTUNDIFOLIA - SPONGIA OFFICINALIS SKELETON, ROASTED - SAMBUCUS NIGRA FLOWERING TOP - ARSENIC TRIOXIDE - HISTAMINE DIHCL - DERMATOPHAGOIDES PTERONYSSINUS - 173120017 MAGNESIUM PHOSPHATE, DIBASIC TRIHYDRATE - STRYCHNOS NUX-VOMICA SEED - ASPIDOSPERMA QUEBRACHO-BLANCO BARK - SUPLHUR - ARSENIC TRIOXIDE - IPECAC - STRYCHNOS NUX-VOMICA SEED - VERATRUM ALBUM ROOT - 472420031 ARSENIC TRIOXIDE - MATRICARIA RECUTITA - ACONITUM NAPELLUS - PULSATILLA VULGARIS - 472420221 MERCURIUS SOLUBILIS - SILICON DIOXIDE - ARSENIC TRIOXIDE 30X, OYSTER SHELL CALCIUM CARBONATE, CRUDE 30X, GRAPHITE 30X, 434060019 MERCURIUS SOLUBILIS 30X, DAPHNE MEZEREUM BARK 30X, TOXICODENDRON PUBESCENS LEAF 30X, SEPIA OFFICINALIS JUICE 30X, SULFUR 30X ARSENIC TRIOXIDE AND ACTIVATED CHARCOAL AND SULFUR 501144336 ARSENIC TRIOXIDE, ANAMIRTA COCCULUS SEED, IPECAC, WOOD CREOSOTE, KEROSENE, 434060032 SANGUINARIA CANADENSIS ROOT, TOBACCO LEAF ARSENIC TRIOXIDE, ARABICA COFFEE BEAN, POTASSIUM CARBONATE, MAGNESIUM 434060027 CARBONATE, STRYCHNOS NUX-VOMICA SEED, PASSIFLORA INCARNATA TOP, SEPIA OFFICINALIS JUICE, VALERIAN ARSENIC TRIOXIDE, ATROPA BELLADONNA, ACTAEA CIMICIFUGA ROOT, TUBOCURARINE 572934422 CHLORIDE, CYCLAMEN PURPURASCENS TUBER, GELSEMIUM SEMPERVIRENS ROOT, NITROGLYCERIN, IRIS VERSICOLOR ROOT, MAGNESIUM PHOSPHATE, DIBASIC TRIHYDRATE, ANEMONE PULSATILLA, TOXICODENDRON R

Drug name HCPCS Code(s) NDC(s) ARSENIC TRIOXIDE, ATROPA BELLADONNA, ACTIVATED CHARCOAL, FERROSOFERRIC 582640147 PHOSPHATE, GOLDENSEAL, LYCOPODIUM CLAVATUM SPORE, SODIUM PHOSPHATE, DIBASIC, HEPTAHYDRATE, STRYCHNOS NUX-VOMICA SEED, PHOSPHORUS, AND ANEMONE PRATENSIS ARSENIC TRIOXIDE, ATROPA BELLADONNA, BRYONIA ALBA ROOT, ACTIVATED CHARCOAL, BOS 582640043 TAURUS PITUITARY GLAND, POSTERIOR, SODIUM SULFATE, VERATRUM ALBUM ROOT, ERIODICTYON CALIFORNICUM LEAF, SODIUM CHLORIDE, AND DIBASIC POTASSIUM PHOSPHATE ARSENIC TRIOXIDE, ATROPA BELLADONNA, ECHINACEA ANGUSTIFOLIA, EUPATORIUM 434060052 PERFOLIATUM FLOWERING TOP, GELSEMIUM SEMPERVIRENS ROOT, LYCOPODIUM CLAVATUM SPORE, PHOSPHORIC ACID, PHOSPHORUS, RANCID BEEF, TOXICODENDRON PUBESCENS LEAF ARSENIC TRIOXIDE, ATROPA BELLADONNA, LYTTA VESICATORIA, CAUSTICUM, PICRIC ACID, 434060631 URTICA URENS, HYPERICUM PERFORATUM ARSENIC TRIOXIDE, BAPTISIA TINCTORIA ROOT, CADMIUM SULFIDE, CALCIUM FLUORIDE, 434060112 LYTTA VESICATORIA, HUMAN BREAST TUMOR CELL, CINCHONA OFFICINALIS BARK, COBALT, CONIUM MACULATUM FLOWERING TOP, HYDROFLUORIC ACID, GOLDENSEAL, IODINE, IPECAC, WOOD CREOSOTE, PHOS ARSENIC TRIOXIDE, BELLADONNA LEAF, IPECAC, POTASSIUM CARBONATE, LOBELIA INFLATA, 434060006 SODIUM SULFATE, SILICON DIOXIDE ARSENIC TRIOXIDE, BERBERIS AQUIFOLIUM ROOT BARK, OYSTER SHELL CALCIUM 582640065 CARBONATE, CRUDE, GRAPHITE, CENTELLA ASIATICA, AND SODIUM CHLORIDE ARSENIC TRIOXIDE, BRYONIA ALBA ROOT, CALENDULA OFFICINALIS FLOWERING TOP, 572934418 CANDIDA ALBICANS, GRAPHITE, CALCIUM SULFIDE, LYCOPODIUM CLAVATUM SPORE, MERCURIUS SOLUBILIS, VISCUM ALBUM FRUITING TOP ARSENIC TRIOXIDE, BRYONIA ALBA ROOT, CUPRIC ACETATE, DROSERA ROTUNDIFOLIA, 434060014 IPECAC, POTASSIUM CARBONATE, PHOSPHORUS, PULSATILLA VULGARIS, SPONGIA OFFICINALIS SKELETON, ROASTED ARSENIC TRIOXIDE, CADMIUM SULFATE, OYSTER SHELL CALCIUM CARBONATE, CRUDE, 434060108 HUMAN BREAST TUMOR CELL, CONIUM MACULATUM FLOWERING TOP, LYCOPODIUM CLAVATUM SPORE, GONORRHEAL URETHRAL SECRETION HUMAN, PHYTOLACCA AMERICANA ROOT, SCABIES LESION LYSATE (HUMAN), SU

Drug name HCPCS Code(s) NDC(s) ARSENIC TRIOXIDE, CALCIUM CARBONATE, STRYCHNOS IGNATII SEED, POTASSIUM 434060003 CARBONATE, LACHESIS MUTA VENOM, SODIUM CHLORIDE, PHOSPHORUS, PULSATILLA ARSENIC TRIOXIDE, CALENDULA OFFICINALIS FLOWERING TOP, MILK THISTLE, CHELIDONIUM 572934419 MAJUS, MARSDENIA CONDURANGO BARK, ECHINACEA, UNSPECIFIED, GOLDENSEAL, VERONICASTRUM VIRGINICUM ROOT, LYCOPODIUM CLAVATUM SPORE, PHYTOLACCA AMERICANA ROOT, SANGUINARIA CANADEN ARSENIC TRIOXIDE, CEANOTHUS AMERICANUS LEAF, CINCHONA OFFICINALIS BARK, 594690122 COBALTOUS NITRATE, CUPRIC SULFATE, IRON, MANGANESE ACETATE, AND SODIUM CHLORIDE ARSENIC TRIOXIDE, CHAMOMILE, CITRULLUS COLOCYNTHIS FRUIT PULP, SULFUR 534992798, 684662798 ARSENIC TRIOXIDE, CITRULLUS COLOCYNTHIS FRUIT PULP, RANUNCULUS BULBOSUS, AND 582640069 TOXICODENDRON PUBESCENS LEAF ARSENIC TRIOXIDE, CLEMATIS RECTA FLOWERING TOP, CONIUM MACULATUM FLOWERING 545320021 TOP, LACHESIS MUTA VENOM, MERCURIC IODIDE, PHYTOLACCA AMERICANA ROOT, TOXICODENDRON PUBESCENS LEAF, SCROPHULARIA NODOSA, AND SULFUR ARSENIC TRIOXIDE, CLEMATIS RECTA FLOWERING TOP, CONIUM MACULATUM FLOWERING 545320034 TOP, LACHESIS MUTA VENOM, MERCURIC IODIDE, PHYTOLACCA AMERICANA ROOT, TOXICODENDRON PUBESCENS SHOOT, SCROPHULARIA NODOSA LEAF WITH STEM, AND SULFUR ARSENIC TRIOXIDE, CLEMATIS RECTA FLOWERING TOP, CONIUM MACULATUM FLOWERING 545320030 TOP, LACHESIS MUTA VENOM, MERCURIC IODIDE, PHYTOLACCA AMERICANA ROOT, TOXICODENDRON PUBESCENS SHOOT, SCROPHULARIA NODOSA LEAF WITH STEM, SULFUR, MILK THISTLE, CHELIDONIUM MAJUS ROO ARSENIC TRIOXIDE, CLEMATIS RECTA FLOWERING TOP, LACHESIS MUTA VENOM, MERCURIC 545320029 CYANIDE, PHYTOLACCA AMERICANA ROOT, TOXICODENDRON PUBESCENS SHOOT, SCROPHULARIA NODOSA LEAF WITH STEM, SULFUR, AND THUJA OCCIDENTALIS LEAFY TWIG ARSENIC TRIOXIDE, DAPHNE MEZEREUM BARK, TOXICODENDRON PUBESCENS LEAF, SULFUR, 582640023 AND APIS MELLIFERA ARSENIC TRIOXIDE, GOLD, CONIUM MACULATUM FLOWERING TOP, STRYCHNOS IGNATII 572934428 SEED, SODIUM SULFIDE NONAHYDRATE, OXYTROPIS LAMBERTII TOP

Drug name HCPCS Code(s) NDC(s) ARSENIC TRIOXIDE, GOLD, OYSTER SHELL CALCIUM CARBONATE, CRUDE, CALCIUM FLUORIDE, 434060034 HYDROFLUORIC ACID, HEKLA LAVA, TOXICODENDRON PUBESCENS LEAF, SILICON DIOXIDE, DELPHINIUM STAPHISAGRIA SEED, COMFREY LEAF ARSENIC TRIOXIDE, GOLD, OYSTER SHELL CALCIUM CARBONATE, CRUDE, IODINE, 434060053 LYCOPODIUM CLAVATUM SPORE, SODIUM CHLORIDE, STRYCHNOS NUX-VOMICA SEED, PHOSPHORIC ACID, PHOSPHORUS, PHYTOLACCA AMERICANA ROOT, PULSATILLA VULGARIS, SEPIA OFFICINALIS JUICE, SULFUR ARSENIC TRIOXIDE, IPECAC, MERCURIC CHLORIDE AND PODOPHYLLUM 592620607 ARSENIC TRIOXIDE, IPECAC, PHOSPHORUS, POLYGALA SENEGA ROOT, ANTIMONY POTASSIUM 436890032 TARTRATE, BRYONIA ALBA WHOLE ARSENIC TRIOXIDE, IPECAC, PHOSPHORUS, POLYGALA SENEGA WHOLE, ANTIMONY 624000032 POTASSIUM TARTRATE, BRYONIA ALBA WHOLE ARSENIC TRIOXIDE, LYCOPODIUM CLAVATUM SPORE, LEAD, ACHILLEA MILLEFOLIUM, AND 663430038 SUS SCROFA CEREBELLUM ARSENIC TRIOXIDE, LYCOPODIUM CLAVATUM SPORE, PULSATILLA VULGARIS, 549733162 TOXICODENDRON PUBESCENS LEAF, SULFUR, AND ZINC ARSENIC TRIOXIDE, OYSTER SHELL CALCIUM CARBONATE, CRUDE, MERCURIC SULFIDE, 582640049 POTASSIUM DICHROMATE, MERCURIUS SOLUBILIS, ANEMONE PRATENSIS, SEPIA OFFICINALIS JUICE, AND SULFUR ARSENIC TRIOXIDE, PODOPHYLLUM, CHAMOMILE, PHOSPHORUS, AND MERCURY 549733134 ARSENIC TRIOXIDE, STRYCHNOS NUX-VOMICA SEED, ACONITUM NAPELLUS, GOLD, 582640161 CAUSTICUM, HYOSCYAMUS NIGER LEAF, LACHESIS MUTA WHOLE, DAPHNE MEZEREUM WHOLE, ANEMONE PULSATILLA, SULFUR, AND VERATRUM VIRIDE WHOLE ARSENIC TRIOXIDE, SULFURIC ACID, CHAMAELIRIUM LUTEUM ROOT, GOLDENSEAL, WOOD 594690060 CREOSOTE, LEMNA MINOR, MAGNESIUM FLUORIDE, AND SILICON DIOXIDE ARSENIC TRIOXIDE, CINCHONA OFFICINALIS BARK, PODOPHYLLUM 002209095 ARSENIC TRIOXIDE, ECHINACEA, ATROPA BELLADONNA, TOXICODENDRON PUBESCENS LEAF, 616571027 LYCOPODIUM CLAVATUM SPORE, STRYCHNOS NUX-VOMICA SEED, GELSEMIUM SEMPERVIRENS ROOT ARSENIC TRIOXIDE, RED CLOVER, PHYTOLACCA AMERICANA ROOT 616570001

Drug name HCPCS Code(s) NDC(s) ARSENICTRIOXIDE, BAPTISIATINCTORIAROOT, BRYONIAALBAROOT, 434060670 SOLANUMDULCAMARATOP, ECHINACEAANGUSTIFOLIA, ECHINACEAPURPUREA, EUPATORIUMPERFOLIATUMFLOWERINGTOP, FERROSOFERRICPHOSPHATE, GELSEMIUMSEMPERVIRENSROOT, POTASSIUMCHLORIDE, PHOSPHORUS, ANEMONEPULSATILLA, SULFUR, ZINC ARSENICUM 30C, BELLADONNA 30C, CINA 30C, CUPRUM 30C, LILLIUM 30C TARENTULA 30C 596670077 ARSENICUM 30C, CALCAREA CARB 30C, CHAMOMILLA 30C, HYOSCYAMUS 30C, IGNATIA 30C, 596670081 LACHESIS 30C, PULSATILLA 30C, SEPIA 30C, NUX VOMICA 30C, NATRUM MUR 30C ARSENICUM 30C, CHAMOMILLA 30C, CINA 30C, GLONONIUM 30C, HYOSCYAMUS 30C, 596670106 MEDORRHINUM 30C, STRAMONIUM 30C, TARENTULA 30C, VERATRUM ALBUM 30C ARSENICUM 6/12/30 SPECIAL ORDER 489511291 ARSENICUM ALB, AVENA, BRYONIA, CAPSICUM, CARBO AN, CARDUUS MAR, CHELIDONIUM 610961030, 610962030 MAJ, HEPAR SUIS, KALI IOD, LAPIS, RADIUM BROM, TARAXACUM, THUJA OCC ARSENICUM ALB, BAPTISIA, BRYONIA, CAUSTICUM, CINCHONA, DULCAMARA, ECHINACEA 616572968 PURP, EUCALYPTUS, EUPATORIUM PERF, GELSEMIUM, INFLUENZINUM, LACHESIS, PHYTOLACCA, RHUS TOX, SARCOLACTICUM AC, SULPHUR, WYETHIA. ANAS BARBARIAE ARSENICUM ALB, BAPTISIA, CARBO VEG, CHININUM SULPH, CINCHONA, CONIUM, ECHINACEA 579550190 PURP, FERRUM MET, HYDRASTIS, KALI CHLOR, MERC CORRO, SERUM ANGUILLAE ARSENICUM ALB, BAPTISIA, ECHINACEA, HYDRASTIS, KALI BIC, MAG PHOS, MERC SOLUB, 616572104 PHYTOLACCA, PULSATILLA, RHUS TOX, SEPIA ARSENICUM ALB, BAPTISIA, ECHINACEA, MEDULLA OSSIS SUIS, MERC CORROS, SULPHUR IOD, 610961038 THUJA OCC ARSENICUM ALB, BELLADONNA, CALC CARB, CEANOTHUS, CHELIDONIUM MAJ, CUPRUM 645780156 SULPH, FUMARICUM AC, GALIUM, GLANDULA SUPRARENALIS SUIS, HEPAR SUIS, KALI IOD, LYCOPODIUM, PANCREAS SUIS, PETROLEUM, PHOSPHORICUM AC, PHOSPHORUS, PHYTOLACCA, SARSAPARILLA, SILICEA, S ARSENICUM ALB, CALC SULPH, CARBO AN, CARBO VEG, CINCHONA, HYDRASTIS, NOX VOM, 610961005 ORNITHOGALUM, PYROGENIUM, SILICEA ARSENICUM ALB, CARBO VEG, CARDUUS MAR, CHELIDONIUM MAJ, NUX VOM 687030317 ARSENICUM ALB, COLOCYNTHIS , PULSATILLA , MAG PHOS 686470202

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALB, GRAPHITES, HEPAR SULPH CALC, RADIUM BROM, VIOLA TRIC 687030259, 687030318 ARSENICUM ALB, HYDROFLUORICUM AC, LYCOPODIUM, SCUTELLARIA, SEPIA 687030285 ARSENICUM ALB, HYPOPHYSIS, MAG CARB, CHAMOMILLA, LACHESIS MUTUS 663430070 ARSENICUM ALB, LYCOPODIUM, PLUMB MET, CEREBRUM, MILLEFOLIUM 663430075 ARSENICUM ALB, NAT PHOS, NUX VOM, VERATRUM ALB, BACILLUS NO. 7, GAERTNER BACH, 702520348 INTESTINUM CRASSUM, SYCOTIC CO ARSENICUM ALB., ARSENICUM BROMATUM, CARBO ANIMALIS, CAUSTICUM, HYDROCOTYLE, 557142324, 557142325 KALI BROM., KALI IOD., KREOSOTUM, LYCOPODIUM, NUX VOM., PETROLEUM, RHUS TOXICODENDRON, SEPIA, SULPHUR, ECHINACEA, TARAXACUM ARSENICUM ALB., BAPTISIA, BERBER. AQUI., CALC. FLUOR., CAPSICUM, CINCHONA, IODIUM, 557144564, 557144565 KALI CARB., LACHESIS, MAG. CARB., MERC.VIV., NAT. CARB., NAT. MUR., NATRUM SULPHURICUM, PHOSPHORUS, PHYTOLACCA, SECALE, THYMUS SERPYLLUM, THUJA OCC., THYROIDINUM, VERBASCUM ARSENICUM ALB., BENZOICUM ACIDUM, BERBER. VULG, BRYONIA, CALADIUM SEGUINUM, 353780012 CANTHARIS, CEANOTHUS, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA, DAPHNE INDICA, IGNATIA, IRIS VERSICOLOR, LYCOPODIUM, NICOTINUM, NUX VOM., RHUS TOXICODENDRON, SCUTELLARIA ARSENICUM ALB., BENZOICUM ACIDUM, BERBER. VULG., BRYONIA, CALADIUM SEGUINUM, 557142258, 557142259, CANTHARIS, CEANOTHUS, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA, 557144538, 557144539, DAPHNE INDICA, IGNATIA, IRIS VERSICOLOR, LYCOPODIUM, NICOTINUM, NUX VOM., RHUS 557144732 TOXICODENDRON, SCUTELLARI ARSENICUM ALB., BERBER. VULG., BOVISTA, DOLICHOS, ECHINACEA, HURA BRASILIENSIS, 557142350, 557142351 HYDROCOTYLE, LYCOPODIUM, MEZEREUM, RHUS TOXICODENDRON, RUMEX CRISP., SEPIA, TARAXACUM, THUJA OCC., URTICA UR., IRIS VERSICOLOR ARSENICUM ALB., BRYONIA, CALC. FLUOR., CALENDULA, CAUSTICUM, CONIUM , EUPHRASIA, 557144588 HYDROFLUORICUM ACIDUM , IODIUM, LEDUM, NAPHTHALINUM, NAT. MUR., NUX VOM., PHOSPHORUS, PULSATILLA, SEPIA, SILICEA, TELLURIUM METALLICUM, THIOSINAMINUM, ZINC. MET., EUPHRASIA

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALB., BRYONIA, CALC. FLUOR., CALENDULA, CAUSTICUM, CONIUM , EUPHRASIA, 557144589, 557144652 HYDROFLUORICUM ACIDUM, IODIUM, LEDUM, NAPHTHALINUM, NAT. MUR., NUX VOM., PHOSPHORUS, PULSATILLA, SEPIA, SILICEA, TELLURIUM METALLICUM, THIOSINAMINUM, ZINC. MET. ARSENICUM ALB., BRYONIA, CALC. FLUOR., CALENDULA, CAUSTICUM, CONIUM, EUPHRASIA, 557144816 HYDROFLUORICUM AC., IODIUM, LEDUM, NAPHTHALINUM, NAT. MUR., NUX VOM., PHOS., PULSATILLA, SEPIA, SILICEA, TELLURIUM, THIOSINAMINUM, ZINC. MET. ARSENICUM ALB., BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CISTUS CANADENSIS, 557142276, 557142277, CONIUM, CROTON, DULCAMARA, GRAPHITES, KALI BIC., LYCOPODIUM, MEZEREUM, NUX 557142408, 557142409, VOM., PETROLEUM, PULSATILLA, RANUNC. BULB., RHUS TOXICODENDRON, SARSAPARILLA, 557144452, 557144453, SEPIA, SULPHUR, THUJA OCC. 557144802 ARSENICUM ALB., BRYONIA, CIMICIFUGA, CINCHONA, CONIUM, HYDRASTIS, IODIUM, 557144492, 557144493 LACHESIS, LILIUM, LYCOPODIUM, PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, SABINA, SECALE, SEPIA, APIS MEL., HAMAMELIS ARSENICUM ALB., CLACAREA IODATA, CARBO ANIMALIS, CONIUM, GRAPHITES, HYDRASTIS, 557144592, 557144593 IODIUM, KREOSOTUM, LACHESIS, PHOSPHORUS, SABINA, SECALE, SEPIA, SILICEA, THLASPI, THUJA OCC., THYROIDINUM, TRILLIUM PENDULUM, USTILAGO MAIDIS ARSENICUM ALBUM 003600048, 003600050, 156310050, 156310522, 449110145, 449110146, 536451360, 605121052, 616570956, 660960790, 691521003, 691521058, 691521164, 691521223 ARSENICUM ALBUM , SCUTELLARIA LATERIFLORA, PHOSPHORUS, LACHESIS MUTUS, 616570006 PULSATILLA, PASSIFLORA INCARNATA, ACONITE, VALERIANA OFFICINALIS, CALCAREA CARBONICA, IGNATIA AMARA ARSENICUM ALBUM 12X, CALCAREA CARBONICA 30X, KALI BICHROMICUM 12X, MERCURIUS 533461349 SOLUBILIS 30X, MERCURIUS SULPHURATUS RUBER 12X, PULSATILLA 12X, SEPIA 12X, SULPHUR 30X ARSENICUM ALBUM 30 489511161

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM 30 SPECIAL ORDER 489511160 ARSENICUM ALBUM 30XSPECIAL ORDER 489511334 ARSENICUM ALBUM 6 SPECIAL ORDER 489511162 ARSENICUM ALBUM 6X SPECIAL ORDER 489511335 ARSENICUM ALBUM 6X, BERBERIS VULGARIS 6X, DULCAMARA 6X, MEZEREUM 6X, 690084008 PETROLEUM 6X, RHUS TOXICODENDRON 6X, SULPHUR 6X ARSENICUM ALBUM 8 SPECIAL ORDER 489511264 ARSENICUM ALBUM 8X, BELLADONNA 30X, BRYONIA 12X, CARBO VEGETABILIS 30X, 533461343 ERIODICTYON CALIFORNICUM 12X, HYPOPHYSIS SUIS 30X, KALI PHOSPHORICUM 30X, NATRUM MURIATICUM 30X, NATRUM SULPHURICUM 200X, VERATRUM ALBUM 30X ARSENICUM ALBUM 8X, LYCOPODIUM CLAVATUM 30X, NATRUM SULPHURICUM 12X, 533461340 PHOSPHORICUM ACIDUM 12X, SECALE CORNUTUM 4X ARSENICUM ALBUM, AGARICUS MUSCARIUS, ALUMINA, ANAGALLIS ARVENSIS, ANTIMONIUM 579550168 TARTARICUM, APIS MELLIFICA, ARSENICUM LODATUM, BOVISTA, CAUSTICUM, DOLICHOS PRURIENS, FAGOPYRUM ESCULENTUM, GRAPHITES, KALI MURIATICUM, MURIATICUM ACIDUM, OLEANDER, PETROLEUM, PI ARSENICUM ALBUM, ARSENICUM IODATUM, BARYTA CARBONICA, CALCAREA CARBONICA, 579550212, 579550222 CARBO ANIMALIS, KREOSOTUM, LACHESIS MUTUS, PHOSPHORUS, SILICEA ARSENICUM ALBUM, ARSENICUM IODATUM, CALCAREA CARBONICA, COFFEA CRUDA, 579551831, CYTISUS SCOPARIUS, IODIUM, MANCINELLA, MENTHA PIPERITA, PHYSOSTIGMA VENENOSUM, SILICEA, ULMUS PROCERA, FLOS, VERBASCUM THAPSUS ARSENICUM ALBUM, ARSENICUM IODATUM, CALCAREA CARBONICA, COFFEA CRUDA, 579551830 CYTISUS SCOPARIUS, IODIUM, MANCINELLA, MENTHA POPERITA, PHYSOSTIGMA VENENOSUM, SILICEA, ULMUS PROCERA, FLOS, VERBASCUM THAPSUS ARSENICUM ALBUM, ARSENICUM IODATUM, CALCAREA CARBONICA, COFFEA CRUDA, 497260034 IODIUM, ULMUS PROCERA, FLOS, MANCINELLA, PHYSOSTIGMA VENENOSUM, SILICEA ARSENICUM ALBUM, ASARUM EUROPAEUM, AVENA SATIVA, BRYONIA, CAPSICUM ANNUUM, 579550113, 579555113 CARBO VEGETABILIS, CARBONEUM SULPHURATUM, CINCHONA OFFICINALIS, GELSEMIUM SEMPERVIRENS, NUX VOMICA, PAULLINIA SORBILIS, SULPHURICUM ACIDUM

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, ASARUM EUROPAEUM, AVENA SATIVA, CAPSICUM ANNUUM, 579555083 CARBOLICUM ACIDUM, CARBONEUM SULPHURATUM, COFFEA CRUDA, LYCOPODIUM CLAVATUM, NUX VOMICA, PHYTOLACCA DECANDRA, STRAMONIUM, SULPHURICUM ACIDUM, TABACUM ARSENICUM ALBUM, ASTERIAS RUBENS, CALENDULA OFFICINALIS, CISTUS CANADENSIS, 579550213 CONDURANGO, CONIUM MACULATUM, GALLICUM ACIDUM, HOANG-NAN, HYDRASTIS CANADENSIS, KREOSOTUM, MERCURIUS VIVUS, RADIUM BROMATUM, THIOSINAMINUM ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, CALCAREA CARBONICA, 437420652 GLONOINUM, IODIUM, KALI IODATUM, LACHESIS MUTUS, LITHIUM CARBONICUM, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, PHOSPHORICUM ACIDUM, PHOSPHORUS, SEPIA, SPONGIA TOSTA, TABACUM, THYROIDINUM ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, HYDROFLUORICUM 579550306 ACIDUM, KALI IODATUM, LACHESIS MUTUS, MERCURIUS VIVUS, NITRICUM ACIDUM, NUX VOMICA, PHYTOLACCA DECANDRA ARSENICUM ALBUM, AURUM METALLICUM, BELLADONNA, CACTUS GRANDIFLORUS, 437421573 CINCHONA OFFICINALIS, DIGITALIS PURPUREA, KALI CARBONICUM, LITHIUM CARBONICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, NUX VOMICA, PHOSPHORUS, PULSATILLA (PRATENSIS), P ARSENICUM ALBUM, AURUM METALLICUM, BELLADONNA, CACTUS GRANDIFLORUS, 437420032, 437420740, CINCHONA OFFICINALIS, DIGITALIS PURPUREA, KALI CARBONICUM, LITHIUM CARBONICUM, 437420950 LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, NUX VOMICA, PHOSPHORUS, PULSATILLA (VULGARIS), PY ARSENICUM ALBUM, AURUM METALLICUM, CACTUS GRANDIFLORUS, CINCHONA 437421009 OFFICINALIS, DIGITALIS PURPUREA, KALI CARBONICUM, LITHIUM CARBONICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, NUX VOMICA, PHOSPHORUS, PULSATILLA (VULGARIS), PYROGENIUM, SP ARSENICUM ALBUM, AURUM METALLICUM, IGNATIA AMARA, KALI PHOSPHORICUM, 527317010 PHOSFORICUM ACIDUM, PULSATILLA, RHUS TOXICODENDRON ARSENICUM ALBUM, AVENA SATIVA, BRYONIA, CAPSICUM ANNUUM, CARBO ANIMALIS, 610960030 CARDUUS MARIANUS, CHELIDONIUM MAJUS, HEPAR SUIS, KALI IODATUM, LAPIS ALBUS, RADIUM BROMATUM, TARAXACUM OFFICINALE, THUJA OCCIDENTALIS

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, AVENA SATIVA, BRYONIA, CARBO ANIMALIS, CARDUUS MARIANUS, 508450163 CHELIDONIUM MAJUS, HEPAR SUIS, KALI IODATUM, LAPIS ALBUS, NUX VOMICA, RADIUM BROMATUM, TARAXACUM OFFICINALE, THUJA OCCIDENTALIS ARSENICUM ALBUM, AVENA SATIVA, COFFEA CRUDA, KALI CARBONICUM, MAGNESIA 701630001, 717420006 CARBONICA, NUX VOMICA, PASSIFLORA INCARNATA, SEPIA, VALERIANA OFFICINALIS ARSENICUM ALBUM, AVENA SATIVA, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, NUX 616570526 VOMICA, PHYTOLACCA DECANDRARHAMNUS FRANGULA, SOLIDAGO VIRGAUREA, TRIFOLIUM PRATENSE, HEAVY METAL NOSODES ARSENICUM ALBUM, BAPTISIA TINCTORIA, BARBERIS VULGARIS, BRYONIA, CARDUUS 579550062 MARIANUS, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA OFFICINALIS, LYCOPODIUM CLAVATUM, MAGNESIA MURIATICA, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS, SULPHUR, TARAXACUM OFFI ARSENICUM ALBUM, BAPTISIA TINCTORIA, BERBERIS VULGARIS, BRYONIA, CARDUUS 665790014 MARIANUS, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA OFFICINALIS, LYCOPODIUM CLAVATUM MANGANUM MURIATICUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS, SULPHUR, TARAXACUM OFFI ARSENICUM ALBUM, BAPTISIA TINCTORIA, BERBERIS VULGARIS, BRYONIA, CARDUUS 579555062 MARIANUS, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA OFFICINALIS, LYCOPODIUM CLAVATUM, MANGANUM MURIATICUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS, SULPHUR, TARAXACUM OFF ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, DULCAMARA, ECHINACEA, ECHINACEA 665790090 PURPUREA, EUPATORIUM PURPUREUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, KALI MURIATICUM, PHOSPHORUS, PULSATILLA, SULPHUR, ZINCUM ACETICUM, ZINCUM CARBONICUM, ZINCUM METALLI ARSENICUM ALBUM, BAPTISIA TINCTORIA, CARBO VEGETABILIS, CHININUM SULPHURICUM, 579555061 CINCHONA OFFICINALIS, CONIUM MACULATUM, ECHINACEA PURPUREA, FERRUM METALLICUM, HYDRASTIS CANADENSIS, KALI CHLORICUM, MERCURIUS CORROSIVUS AND SERUM ANGUILLAE

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, BAPTISIA TINCTORIA, CARBO VEGETABILIS, CHININUM SULPHURICUM, 579550061, 665790013 CINCHONA OFFICINALIS, CONIUM MACULATUM, ECHINACEA PURPUREA, FERRUM METALLICUM, HYDRASTIS CANADENSIS, KALI CHLORICUM, MERCURIUS CORROSIVUS, SERUM ANGUILLAE ARSENICUM ALBUM, BAPTISIA TINCTORIA, CHLORAMPHENICOLUM, ECHINACEA PURPUREA, 579556501 ELAEIS GUINEENSIS, HYDRASTIS CANADENSIS, MERCURIUS SOLUBILIS, MYRRHA, NASTURTIUM AQUATICUM, NUX VOMICA, RICINUS COMMUNIS, PHOSPHORUS, PHYTOLACCA DECANDRA, PULSATILLA, SEPIA, XANTHO ARSENICUM ALBUM, BAPTISIA TINCTORIA, CHLORAMPHENICOLUM, ECHINACEA, ELAEIS 665790038 GUINEENSIS, HYDRASTIS CANADENSIS, HYDRASTIS CANADENSIS, MERCURIUS SOLUBILIS, MYRRHA, NASTURTIUM AQUATICUM, NUX VOMICA, PHOSPHORUS, PHYTOLACCA DECANDRA, PULSATILLA, RICINUS COMMUNIS ARSENICUM ALBUM, BAPTISIA TINCTORIA, CHLORAMPHENICOLUM, ECHINACEA, ELAIS 687030125 GUINEENSIS, HYDRASTIS CANADENSIS, MERCURIS SOLUBILIS, MYRRHA, NASTURTIUM AQUATICUM, NUX VOMICA, PHOSPHORUS, PHYTOLACCA DECANDRA, PULSATILLA, RICINUS COMMUNIS, SEPIA, XANTHOXYLUM FRAX ARSENICUM ALBUM, BAPTISIA TINCTORIA, ECHINACEA, MEDULLA OSSIS SUIS, MERCURIUS 610960038 CORROSIVUS, SULPHUR IODATUM, THUJA OCCIDENTALIS ARSENICUM ALBUM, BAPTISIA TINCTORIA, LACHESIS MUTUS, PULSATILLA (PRATENSIS), RHUS 449110265 TOX ARSENICUM ALBUM, BELLADONNA, BLATTA ORIENTALIS, IPECACUANHA, KALI CARBONICUM, 449110018, 575200416 LOBELIA INFLATA, NATRUM SULPHURICUM, SILICEA ARSENICUM ALBUM, BELLADONNA, BORICUM ACIDUM, CALCAREA CAUSTICA, CARDUUS 579552406 MARIANUS, CHELIDONIUM MAJUS, LYCOPODIUM CLAVATUM, NITRICUM ACIDUM, NUX VOMICA, PHOSPHORICUM ACIDUM, PHYTOLACCA DECANDRA, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE ARSENICUM ALBUM, BELLADONNA, CALCAREA CARBONICA, CEANOTHUS AMERICANUS, 645780055 CHELIDONIUM MAJUS, CUPRUM SULPHURICUM, FUMARICUM ACIDUM, GALIUM APARINE, GLANDULA SUPRARENALIS SUIS, HEPAR SUIS, KALI IODATUM, LYCOPODIUM CLAVATUM, PANCREAS SUIS, PETROLEUM, PHOSPHORIC

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, BELLADONNA, CALCAREA FLUORICA, CALCAREA SULPHURICA, 621060632 ECHINACEA ANGUSTIFOLIA, HEPAR SULPHURIS CALCAREUM, NUX MOSCHATA, ORYCTOLAGUS CUNICULUS THYMUS GLAND, SILICEA, SULPHUR IODATUM ARSENICUM ALBUM, BELLADONNA, CALCAREA FLUORICA, CALCAREA SULPHURICA, 627130917 ECHINACEA, HEPAR SULPHURIS CALCAREUM, LACHESIS MUTUS, NUX MOSCHATA, SILICEA, SULPHUR IODATUM, THYMUS GLAND ARSENICUM ALBUM, BELLADONNA, CARCINOSIN, ECHINACEA (ANGUSTIFOLIA), EUPATORIUM 449110285, 449110290 PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, PYROGENIUM, RHUS TOX ARSENICUM ALBUM, BELLADONNA, ECHINACEA, EUPATORIUM PERFOLIATUM, GELSEMIUM 437720008 SEMPERVIRENS, LYCOPODIUM CLAVATUM ARSENICUM ALBUM, BELLADONNA, ECHINACEA, EUPATORIUM PERFOLIATUM, GELSEMIUM 438570051 SEMPERVIRENS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, PYROGENIUM, RHUS TOXICODENDRON ARSENICUM ALBUM, BELLADONNA, ECHINACEA, EUPATORIUM PERFOLIATUM, GELSEMIUM 575200290 SEMPERVIRENS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, PYROGENIUM, RHUS TOXICODENDRON ARSENICUM ALBUM, BELLADONNA, IPECACUANHA, KALI CARBONICUM, LOBELIA INFLATA, 438570188 NATRUM SULPHURICUM, SILICEA ARSENICUM ALBUM, BERBERIS VULGARIS, BRYONIA (ALBA), CALCAREA CARBONICA, 437420850 CARDUUS MARIANUS, CINCHONA OFFICINALIS, KALI CARBONICUM, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS ARSENICUM ALBUM, BERBERIS VULGARIS, BRYONIA, CALCAREA CARBONICA, CARDUUS 437420198, 437420804 MARIANUS, CINCHONA OFFICINALIS, KALI CARBONICUM, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS ARSENICUM ALBUM, BERBERIS VULGARIS, BRYONIA, CALCAREA CARBONICA, CARDUUS 575200735 MARIANUS, CINCHONA OFFICINALIS, KALI CARBONICUM, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, BERBERIS VULGARIS, CALCAREA CARBONICA, CANDIDA ALBICANS, 621060601 CARBO VEGETABILIS, CHELIDONIUM MAJUS, ECHINACEA PURPUREA, HEPAR SULPHURIS CALCAREUM, KREOSOTUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, MURIATICUM ACIDUM, NITRICUM ACIDUM, OXALICU ARSENICUM ALBUM, BERBERIS VULGARIS, CALCAREA SULPHURICA, ECHINACEA, 690084068 HYDROCOTYLE, SARSAPARILLA, SULPHUR, THUJA OCCIDENTALIS, URTICA URENS ARSENICUM ALBUM, BORAX, GRAPHITES, NATRUM MURIATICUM, SEPIA, SULPHUR 438570278 ARSENICUM ALBUM, BORAX, GRAPHITES, NATRUM MURIATICUM, SEPIA, SULPHUR 575200353 ARSENICUM ALBUM, BORRELIA BURGDORFERI NOSODE, CHELIDONIUM MAJUS, COCCUS 438570377 CACTI, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, LYCOPODIUM CLAVATUM, NASTURTIUM AQUATICUM, PHOSPHORUS, RHUS TOX, TARAXACUM OFFICINALE, THYMUS (SUIS), THYROIDINUM (SUIS), TRIFOL ARSENICUM ALBUM, BRYONIA (ALBA), CORALLIUM RUBRUM, DROSERA (ROTUNDIFOLIA), 449110319 IPECACUANHA, KALI CARBONICUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SPONGIA TOSTA ARSENICUM ALBUM, BRYONIA ALBA, HISTAMIMUM HYDROCHLORICUM, HYDRASTIS 687030102 CANADENSIS, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, PULSATILLA, SABADILLA, SECALE CORNUTUM, SULPHUR ARSENICUM ALBUM, BRYONIA, CUPRUM ACETICUM, DROSERA, IPECACUANHA, KALI 438570075 CARBONICUM, PHOSPHORUS ARSENICUM ALBUM, BRYONIA, HISTAMINUM HYDROCHLORICUM, HYDRASTIS CANADENSIS, 579550724, 579552203 LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, PULSATILLA, SABADILLA, SECALE CORNUTUM, SULPHUR ARSENICUM ALBUM, BUFO RANA, CAUSTICUM, CHAMOMILLA, CROTALUS HORRIDUS, 497260022 DIGITALIS PURPUREA, LACHESIS MUTUS, LILIUM TIGRINUM, PULSATILLA, RHUS TOXICODENDRON, SULPHUR, TARENTULA HISPANA, VISCUM ALBUM, ZINCUM METALLICUM ARSENICUM ALBUM, CACTUS GRANDIFLORUS, DIGITALIS PURPUREA, KALI PHOSPHORICUM , 690084011 KALMIA LATIFOLIA ARSENICUM ALBUM, CADMIUM SULPHURICUM, IPECACUANHA, NUX VOMICA, 579550071 PHOSPHORICUM ACIDUM, PHOSPHORUS, STRONTIUM CARBONICUM, TABACUM, URANIUM NITRICUM

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, CADMIUM SULPHURICUM, IPECACUANHA, NUX VOMICA, 579555071 PHOSPHORICUM ACIDUM, PHOSPHORUS, STRONTIUM CARBONICUM, TABACUM, URANIUM NITRICUM. ARSENICUM ALBUM, CALADIUM SEGUINUM, CARBOLICUM ACIDUM, DAPHNE INDICA, 665790075 EUGENIA JAMBOSA, KALI PHOSPHORICUM, LOBELIA INFLATA, NICOTINUM, NUX VOMICA, PLANTAGO MAJOR, SACCHARUM OFFICINALE, STAPHYSAGRIA, TABACUM, THUJA OCCIDENTALIS ARSENICUM ALBUM, CALCAREA CARBONICA , IGNATIA AMARA, KALI CARBONICUM, LACHESIS 717810002 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, STAPHYSAGRIA ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANOTHUS 575200923 AMERICANUS, CINCHONA OFFICINALIS, DIGITALIS PURPUREA, IGNATIA AMARA, KALI BICHROMICUM, LYCOPODIUM CLAVATUM ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANOTHUS 437421572 AMERICANUS, CINCHONA OFFICINALIS, DIGITALIS PURPUREA, IGNATIA AMARA, KALI BICHROMICUM, LYCOPODIUM CLAVATUM, PHOSPHORUS, PLUMBUM METALLICUM, PULSATILLA (PRATENSIS), RANUNCULUS BULBOSUS, VERAT ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANOTHUS 437420959 AMERICANUS, CINCHONA OFFICINALIS, DIGITALIS PURPUREA, IGNATIA AMARA, KALI BICHROMICUM, LYCOPODIUM CLAVATUM, PHOSPHORUS, PLUMBUM METALLICUM, PULSATILLA (VULGARIS), RANUNCULUS BULBOSUS, VERATR ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANOTHUS 437420180 AMERICANUS, CINCHONA OFFICINALIS, DIGITALIS PURPUREA, IGNATIA AMARA, KALI BICHROMICUM, LYCOPODIUM CLAVATUM, PHOSPHORUS, PLUMBUM METALLICUM, PULSATILLA, RANUNCULUS BULBOSUS, VERATRUM VIRIDE ARSENICUM ALBUM, CALCAREA CARBONICA, COCCULUS INDICUS, GRAPHITES, 449110336 HYDROFLUORICUM ACIDUM, LACHESIS MUTUS, LACTICUM ACIDUM, RHUS TOX, RUTA GRAVEOLENS, SARCOLACTICUM ACIDUM, SACCHARUM OFFICINALE ARSENICUM ALBUM, CALCAREA CARBONICA, EUPHRASIA OFFICINALIS, KALI BICHROMICUM, 690084040 PULSATILLA, SABADILLA, SEPIA ARSENICUM ALBUM, CALCAREA CARBONICA, GRAPHITES, MERCURIUS SOLUBILIS, 449110306 MEZEREUM, PETROLEUM, RHUS TOX, SEPIA, SULPHUR

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 438570041 MUTUS, NATRUM MURIATICUM ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 575200557 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 449110511 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA (PRATENSIS), STAPHYSAGRIA ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 449110044 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA VULGARIS, STAPHYSAGRIA ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 575200374 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, STAPHYSAGRIA ARSENICUM ALBUM, CALCAREA PHOSPHORICA, CARBO ANIMALIS, CARBO VEGETABILIS, 696070010 CINCHONA OFFICINALIS, NUX VOMICA, ORNITHOGALUM UMBELLATUM, PYROGENIUM, SILICEA ARSENICUM ALBUM, CALCAREA SULPHURICA, CARBO ANIMALIS, CARBO VEGETABILIS, 610960005 CINCHONA OFFICINALIS, HYDRASTIS CANADENSIS, NOX VOMICA, ORNITHOGALUM, PYROGENIUM, SILICEA ARSENICUM ALBUM, CALCAREA SULPHURICA, CARBO ANIMALIS, CARBO VEGETABILIS, 508450102 CINCHONA OFFICINALIS, HYDRASTIS CANADENSIS, NUX VOMICA, ORNITHOGALUM UMBELLATUM, PYROGENIUM, SILICEA ARSENICUM ALBUM, CAPSICUM ANNUUM, MENTHA PIPERITA, MEZEREUM, NATRUM 687030205 MURIATICUM, RANUNCULUS BULBOSUS, RHUS TOX ARSENICUM ALBUM, CAPSICUM ANNUUM, MENTHA PIPERITA, MEZEREUM, NATRUM 579555518, 579557501 MURIATICUM, RANUNCULUS BULBOSUS, RHUS TOXICODENDRON ARSENICUM ALBUM, CARBO ANIMALIS, CARDUUS MARIANUS, KALI IODATUM, LAPIS ALBUS, 508450203 RADIUM BROMATUM, THUJA OCCIDENTALIS ARSENICUM ALBUM, CARBO VEGETABILIS, NUX VOMICA, ROBINIA PSEUDOACACIA 704760006 ARSENICUM ALBUM, CARBO VEGETABILIS, NUX VOMICA, ROBINIA PSEUDOACACIA 575200052 ARSENICUM ALBUM, CHELIDONIUM MAJUS, COCCUS CACTI, ECHINACEA, HYDRASTIS 438570053 CANADENSIS, LYCOPODIUM CLAVATUM, LYM D NOSODE ARSENICUM ALBUM, CIMICIFUGA 691520053

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, COCCULUS INDICUS, IPECACUANHA, KEROSOTUM, PETROLEUM, 438570221 PULSATILLA, SANGUINARIA CANADENSIS, TABACUM ARSENICUM ALBUM, COFFEA CRUDA, KALI CARBONICUM, MAGNESIA CARBONICA, NUX 438570142 VOMICA, PASSIFLORA INCARNATA, SEPIA, VALERIANA OFFICINALIS ARSENICUM ALBUM, COFFEA CRUDA, KALI CARBONICUM, MAGNESIA CARBONICA, NUX 575200611 VOMICA, PASSIFLORA INCARNATA, SEPIA, VALERIANA OFFICINALIS ARSENICUM ALBUM, DROSERA (ROTUNDIFOLIA), LYCOPODIUM CLAVATUM, POTHOS 438570542 FOETIDUS, PULSATILLA (PRATENSIS), BARLEY, CORN, HOUSE, MILLET, MILO, OAT, RICE, RUG, UPHOLSTERY, WHEAT ARSENICUM ALBUM, DROSERA (ROTUNDIFOLIA), LYCOPODIUM CLAVATUM, POTHOS 438570329 FOETIDUS, PULSATILLA (VULGARIS), BARLEY, CORN, HOUSE, MATTRESS, MILLET, MILO, OAT, RICE, RUG, UPHOLSTERY, WHEAT ARSENICUM ALBUM, EUPHORBIUM OFFICINARUM, HEPAR SULPHURIS CALCAREUM, 434060102 HISTAMINUM, IODIUM, LYCOPODIUM, PULSATILLA ARSENICUM ALBUM, GLANDULA SUP, PHOSPHORUS, SECALE CORNUTUM, LACHESIS MUTUS 663430055 ARSENICUM ALBUM, GRAPHITES, MEZEREUM, RADIUM BROMATUM, RHUS 610960017 TOXICODENDRON, SULPHUR, URTICA URENS ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, HYDRASTIS CANADENSIS, KALI 621061233 BICHROMICUM, KALI IODATUM, PYROGENIUM ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, HYDRASTIS CANADENSIS, KALI 575200345 BICHROMICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, HYDRASTIS CANADENSIS, KALI 449110046 BICHROMICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, SEPIA THUJA OCCIDENTALIS ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, HYDRASTIS CANADENSIS, KALI 575200654 BICHROMICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, SEPIA, THUJA OCCIDENTALIS ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, KALI BICHROMICUM, LYCOPODIUM 438570042 CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA (VULGARIS), SEPIA

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, KALI BICHROMICUM, LYCOPODIUM 575200565 CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, SEPIA ARSENICUM ALBUM, KALI PHOSPHORICUM, MERCURIS SOLUBILIS, NATRUM SULPHURICUM, 719719021 HEPAR SULPHURIS CALCAREUM, ARUM TRIPHYLLUM ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, PULSATILLA (PRATENSIS), BELLIS PERENNIS, 449110324 CALENDULA OFFICINALIS, CAMELLIA JAPONICA, CHRYSANTHEMUM CORONARIUM, CHRYSANTHEMUM LEUCANTHEMUM, CONVALLARIA MAJALIS, GARDENIA JASMINOIDES, IMPATIENS GLANDULIFERA, FLOS, IRIS TE ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, PULSATILLA (PRATENSIS), SULPHUR, 438570486 ALMOND (NUT), CASHEW (NUT), BLACK WALNUT (NUT), PECAN (NUT), COCONUT, OLEUM OLEA EUROPAEA, CHESTNUT (NUT), WATER CHESTNUT (NUT), PINENUT (NUT), MACADAMIA (NUT), PISTACHIO (NUT), PEANUT ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, SULPHUR, ALOE, CARCINOSIN, NITRICUM 437420012, 437420783 ACIDUM, SILICEA, THUJA OCCIDENTALIS ARSENICUM ALBUM, MEZEREUM, NATRUM MURIATICUM, RHUS TOXICODENDRON 346660261 ARSENICUM ALBUM, NITRICUM ACIDUM, HEPAR SULFURIS CALCAREA, EUGENIA JAMBOSA, 105780025 AURUM METALLICUM, CALCAREA SUFLRUICA, SOLIDAGO VIRGAUREA, HYDRASTIS CANADENSIS ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SEPIA, ASPERGILLUS NIGER, 438570525 CANDIDA ALBICANS, CANDIDA PARAPSILOSIS, TORULA CEREVISIAE, ALTERNARIA TENUIS NEES, MUCOR RACEMOSUS, CANDIDA KRUSEI, RHIZOPUS NIGRICANS ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA, SEPIA, ALTERNARIA TENUIS NEES, 438570046 ASPERGILLUS NIGER, CANDIDA ALBICANS, CANDIDA PARAPSILOSIS, MUCOR RACEMOSUS, PULLULARIA PULLULANS, RHIZOPUS NIGRICANS, TORULA CEREVISIAE ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA, SEPIA, ALTERNARIA TENUIS, ASPERGILLUS 449110027 NIGER, RHIZOPUS NIGRICANS ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA, SEPIA, ALTERNARIA TENUIS, ASPERGILLUS 575200373 NIGER, RHIZOPUS NIGRICANS, MUCOR RACEMOSUS, PULLULARIA PULLULANS, CANDIDA ALBICANS, CANDIDA PARAPSILOSIS, TORULA CEREVISI

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA, SEPIA, ALTERNARIA TENUIS, ASPERGILLUS 575200343 NIGER, RHIZOPUS NIGRICANS, MUCOR RACEMOSUS, PULLULARIA PULLULANS, CANDIDA ALBICANS, CANDIDA PARAPSILOSIS, TORULA CEREVISIAE ARSENICUM ALBUM, MAGNESIA PHOSPHORICA, PULSATILLA, RHUS TOXICODENDRON, 616570104 BAPTISIA, PHYTOLACCA, HYDRASTIS, SEPIA, ECHINACEA, MERCURIUS SOLUBILIS, KALI BICHROMICUM ARSENICUM ALBUM, PLANTAGO MAJOR, THUJA OCCIDENTALIS, TABACUM, STAPHYSAGRIA, 616570915 SACCHARUM OFFICINALE, DAPHNE INDICA, NUX VOMICA, NICOTINUM, LOBELIA INFLATA, KALI PHOSPHORICUM, EUGENIA JAMBOSA, CARBOLICUM ACIDUM, CALADIUM SEGUINUM ARSENICUM ALBUM, SULPHUR, ANAS BARBARIAE, WYETHIA HELENIOIDES, SARCOLACTICUM 616570968 ACIDUM, RHUS TOXICODENDRON, PHYTOLACCA DECANDRA, LACHESIS MUTUS, GELSEMIUM SEMPERVIRENS, EUCALYPTUS GLOBULUS, ECHINACEA PURPUREA, EUPATORIUM PERFOLIATUM, DULCAMARA, , CINCHONA OFFICINALIS, BRYO ARSENICUM CEREBRUM 489511163, 489511164 ARSENICUM CEREBRUM SPECIAL ORDER 489511259 ARSNICUM ALBUM, CARDUUS MARIANUS, HEPAR SUIS, LUNG SUIS, PANCREAS SUIS, RADIUM 508450127 BROMATUM, SERUM ANGUILLAE, TEREBINTHINA ASPARAGINASE C9289, J9019, 579020249, 673860411 J9020 ASPERGILLUS NIGER, CLADOSPORIUM, CANDIDA ALBICANS, THYROIDINUM, USTILAGO 557144628, 557144629, MAIDIS, ACONITUM NAP., ANTIMONIUM TART. ARALIA QUINQUEFOLIA, ARNICA, ARSENICUM 557144638, 557144639, ALB., BAPTISIA, BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CINCHONA, ECHINACEA, 557144747 IODIUM, KALI CARB. KALI IOD ASTRAGALUS MEMBRANACEUS, BAPTISIA TINCTORIA, ECHINACEA (ECHINACEA), 551460004, 639720016 PHYTOLACCA DECANDRA, HYDRASTIS CANADENSIS, APIS MELLIFICA, ARANEA DIADEMA, BELLADONNA, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, PHOSPHORICUM ACIDUM, SILICEA, THUJA ATEZOLIZUMAB C9483, J9022 502420917, 502420918

Drug name HCPCS Code(s) NDC(s) ATROPINE SULFATE AND BRYONIA ALBA ROOT AND ARSENIC TRIOXIDE AND BERBERIS 501140227 VULGARIS ROOT BARK AND CITRULLUS COLOCYNTHIS FRUIT PULP AND CUPRIC ACETATE AND CHONDRODENDRON TOMENTOSUM ROOT AND VERATRUM ALBUM ROOT AND BAPTISIA TINCTORIA ROOT AND CHELIDONIUM MAJU AVELUMAB C9491, J9023 440873535 AVENA SATIVA, CARDUUS MARIANUS, SCROPHULARIA NODOSA, SOLIDAGO VIRGAUREA, 627130815 ARSENICUM ALBUM, CINA, CONIUM MACULATUM, GELSEMIUM SEMPERVIRENS, LYCOPODIUM CLAVATUM, MERCURIS VIVUS, PHOSPHORICUM ACIDUM, PHOSPHORUS, SELENIUM METALLICUM AXITINIB 000690145, 000690151, 538690262, 538692323, 635390026, 635390044 AZACITIDINE 005912897, 007813253, 007819253, 139250523, 167140777, 167140927, 167290306, 430660252, 430660253, 430660254, 435980305, 435980465, 435980678, 438170906, 519910797, 595720102, 597650306, 633230771, 646790096, 674570254, 680010313, 690970346, 690970359, 690970368 AZACITIDINE J9025 690970501, 690970805, 724850201, 726060558 AZACITIDINE FOR 637590003 BAMBOO, BARLEY, CALIFORNIA POPPY, CORN, FLAX, LEVANT COTTON, MILLET, MILO, OAT, 438570389 RICE, RYE, SAFFLOWER, SESAME, SORGHUM, SOY BEAN, SUGARCANE, SUNFLOWER, WHEAT, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, SULPHUR

Drug name HCPCS Code(s) NDC(s) BAMBOO, BARLEY, CORN, COTTON SEED, FLAX SEED (LINUM USITATISSIMUM), MILLET, MILO, 449110417 OAT, POPPY SEED, RICE, RYE, SAFFLOWER, SESAME, SORGHUM, SOY BEAN, SUGARCANE, SUNFLOWER (HELIANTHUS ANNUUS), WHEAT, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, S BAMBOO, BARLEY, CORN, LEVANT COTTON, FLAX, MILLET, MILO, OAT, CALIFORNIA POPPY, 449110091 RICE, RYE, SAFFLOWER, SESAME, SORGHUM, SOY BEAN, SUGARCANE BAPTISIA TINCTORIA, AGARICUS MUSCARIUS, ARSENICUM ALBUM, BELLADONNA, CALCAREA 449110181 CARBONICA, COCCULUS INDICUS, CONIUM MACULATUM, PHOSPHORUS, PULSATILLA (PRATENSIS) BAPTISIA TINCTORIA, DULCAMARA, ECHINACEA (ANGUSTIFOLIA), ALLIUM SATIVUM, 551460009 PHYTOLACCA DECANDRA, APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, MERCURIUS SOLUBILIS, PYROGENIUM BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ALLIUM CEPA, AMBROSIA 449110111 ARTEMISIAEFOLIA, ARSENICUM ALBUM, EUPHRASIA OFFICINALIS, NATRUM SULPHURICUM BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ANTHRACINUM, ARSENICUM ALBUM, 449110234, 449110378, BELLADONNA, CROTALUS HORRIDUS, HYOSCYAMUS NIGER, LACHESIS MUTUS, PYROGENIUM, 449110396 TARENTULA CUBENSIS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ANTHRACINUM, ARSENICUM ALBUM, 449110348 BELLADONNA, CROTALUS HORRIDUS, LACHESIS MUTUS, LEDUM PALUSTRE, PYROGENIUM, STRAMONIUM, TARENTULA CUBENSIS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ARSENICUM ALBUM, CHININUM 438570315 SULPHURICUM, CROTALUS HORRIDUS, LACHESIS MUTUS, LOXOSCELES RECLUSA, SECALE CORNUTUM, TARENTULA CUBENSIS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), FUCUS VESICULOSUS, PHYTOLACCA 449110243 DECANDRA, UVA-URSI, ARSENICUM ALBUM, AURUM METALLICUM, FERRUM PHOSPHORICUM, IODIUM, IRIDIUM METALLICUM, LACHESIS MUTUS, ZINCUM METALLICUM, CADMIUM SULPHURATUM

Drug name HCPCS Code(s) NDC(s) BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), FUCUS VESICULOSUS, UVA-URSI, 449110464 PHYTOLACCA DECANDRA, ARSENICUM ALBUM, AURUM METALLICUM, FERRUM PHOSPHORICUM, IODIUM, IRIDIUM METALLICUM, LACHESIS MUTUS, ZINCUM METALLICUM, CADMIUM SULPHURATUM BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, BORRELIA 449110438, 449110484, BURGDORFERI NOSODE, BABESIA MICROTI, EHRLICHIA NOSODE (CANINE), ENCEPHALITIS 449110492 NOSODE, MENINGOCOCCUS NOSODE, HEPATITIS B NOSODE, ARSENICUM ALBUM, BRYONIA (ALBA), CHELIDONIUM MAJUS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, BORRELIA 449110501 BURGDORFERI NOSODE, BABESIA MICROTI, EHRLICHIA NOSODE (CANINE), MENINGOCOCCUS NOSODE, HEPATITIS B NOSODE, ARSENICUM ALBUM, BRYONIA (ALBA), CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, BORRELIA 449110165, 449110239, BURGDORFERI NOSODE, ENCEPHALITIS NOSODE, MENINGOCOCCUS NOSODE, HEPATITIS B 449110362 NOSODE, ARSENICUM ALBUM, BRYONIA (ALBA), CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDU BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, BORRELIA 449110414 BURGDORFERI NOSODE, MENINGOCOCCUS NOSODE, ENCEPHALITIS NOSODE, HEPATITIS B NOSODE, ARSENICUM ALBUM, BRYONIA (ALBA), CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDU BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, LOBELIA 449110131 INFLATA, LOMATIUM DISSECTUM, PHYTOLACCA DECANDRA BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, PHYTOLACCA 449110422 DECANDRA, ARSENICUM ALBUM, BRYONIA (ALBA), EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, IPECACUANHA, RHUS TOX BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, THYMUS (SUIS), 449110427 ARSENICUM ALBUM, BELLADONNA, HEPAR SULPHURIS CALCAREUM, IRIDIUM METALLICUM, LACHESIS MUTUS

Drug name HCPCS Code(s) NDC(s) BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), LOBELIA INFLATA, LOMATIUM 449110478, 449110510 DISSECTUM, HYDRASTIS CANADENSIS, LUNG (SUIS), PHYTOLACCA DECANDRA, SYMPHYTUM OFFICINALE, ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA (ALBA), CAUSTICUM, EUPATORIUM PERFOLIA BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), LOBELIA INFLATA, LOMATIUM 449110436 DISSECTUM, PHYTOLACCA DECANDRA, HYDRASTIS CANADENSIS, LUNG (SUIS), SYMPHYTUM OFFICINALE, ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA (ALBA), CAUSTICUM, EUPATORIUM PERFOLIA BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, ACONITUM 449110116 NAPELLUS, ARSENICUM ALBUM, BELLADONNA, FERRUM PHOSPHORICUM BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, ACONITUM 449110479, 449110485, NAPELLUS, ARSENICUM ALBUM, BELLADONNA, FERRUM PHOSPHORICUM, LACHESIS MUTUS, 508130006 PHOSPHORUS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, HYDRASTIS 449110514 CANADENSIS, ARSENICUM ALBUM, BRYONIA (ALBA), EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, IPECACUANHA, RHUS TOX. BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA 575200497 BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM 575200297 ALBUM BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM 449110072 ALBUM, EUPHRASIA OFFICINALIS BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM 449110015 ALBUM, EUPHRASIA OFFICINALIS, NATRUM SULPHURICUM, NUX VOMICA BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM 575200653 ALBUM, EUPHRASIA OFFICINALIS, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS, PULSATILLA, SOLIDAGO VIRGAUREA, SULPHUR BAPTISIA TINCTORIA, ECHINACEA, ARSENICUM ALBUM, CHININUM SULPHURICUM, 438570207 CROTALUS HORRIDUS, LACHESIS MUTUS, LOXOSCELES RECLUSA BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS 575200348 BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS 575200870

Drug name HCPCS Code(s) NDC(s) BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, ARSENICUM ALBUM, BRYONIA, 575200352 CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE KALMIA LATIFOLIA BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LOBELIA INFLATA, LOMATIUM 449110066 DISSECTUM, PHYTOLACCA DECANDRA BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LOBELIA INFLATA, LOMATIUM 449110410, 449110504 DISSECTUM, PHYTOLACCA DECANDRA, SYMPHYTUM OFFICINALE, LUNG (SUIS), ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA, CAUSTICUM, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORIC BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LOBELIA INFLATA, LOMATIUM, 575200528 PHYTOLACCA DECANDRA, SYMPHYTUM OFFICINALE, LUNG, ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA, CAUSTICUM BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LYM D NOSODE, ARSENICUM 449110048 ALBUM, BRYONIA, CHELIDONIUM MAJUS BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LYM D NOSODE, ARSENICUM 449110012 ALBUM, BRYONIA, CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDUM PALUSTRE, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOXICODENDRON BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, PHYTOLACCA DECANDRA, 449110080 ARSENICUM ALBUM, BRYONIA, EUPATORIUM PERFOLIATUM BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, PHYTOLACCA DECANDRA, 575200661 ARSENICUM ALBUM, BRYONIA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, PHYTOLACCA DECANDRA, 575200663 ARSENICUM ALBUM, BRYONIA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, IPECACUANHA, RHUS TOXICODENDRON BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, THYMUS, ARSENICUM ALBUM, 449110082 BELLADONNA, HEPAR SULPHURIS CALCAREUM BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANDENSIS, LOBELIA INFLATA, LOMATIUM 449110083 DISSECTUM, PHYTOLACCA DECANDRA, SYMPHYTUM OFFICINALE, LUNG (SUIS), ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA, CAUSTICUM, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICU BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA DECANDRA 575200501

Drug name HCPCS Code(s) NDC(s) BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA DECANDRA, ACONITUM NAPELLUS, 449110054, 508130001 ARSENICUM ALBUM, BELLADONNA, FERRUM PHOSPHORICUM BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA DECANDRA, ACONITUM NAPELLUS, 575200439 ARSENICUM ALBUM, BELLADONNA, FERRUM PHOSPHORICUM, LACHESIS MUTUS, PHOSPHORUS BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA DECANDRA, ACONITUM NAPELLUS, 449110008, 575200656, ARSENICUM ALBUM, BELLADONNA, FERRUM PHOSPHORICUM, LACHESIS MUTUS, 575201042 PHOSPHORUS BAPTISIA TINCTORIA, PHYTOLACCA DECANDRA, SPIGELIA ANTHELMIA, 551460006 ADRENOCORTICOTROPHIN, ALUMINUM METALLICUM, APIS MELLIFICA, ARGENTUM NITRICUM, ARSENICUM ALBUM, BENZOICUM ACIDUM, CALCAREA CARBONICA, CARBO VEGETABILIS, KALI PHOSPHORICUM, MAGNESIA SULPHURICA, ME BARLEY, CORN, HOUSE, MATTRESS, MILLET, MILO, OAT, RICE, RUG, UPHOLSTERY, WHEAT, 449110006 ARSENICUM ALBUM, BLATTA ORIENTALIS, DROSERA, LYCOPODIUM CLAVATUM, POTHOS FOETIDUS, PULSATILLA BARLEY, OATS, WHEAT, RICE, RYE, MILLET, SOYBEAN, CORN, MILO, BAMBOO, COTTON SEED, 438570068 FLAX SEED, SAFFLOWER, SESAME, SUNFLOWER, POPPY SEED, SORGHUM, SUGARCANE, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, SULPHUR BELINOSTAT C9442, J9032 681520108, 728930002 BENDAMUSTINE J9033, J9034 674570325, 674570326 BENDAMUSTINE HCL 423670520, 423670521, 634590348, 634590390, 634590391, 634590395, 634590396 BERBERIS AQUIFOLIUM 4X, HYDROCOTYLE ASIATICA 4X, ARSENICUM ALBUM 12X, CALCAREA 533461365 CARBONICA 30X, GRAPHITES 12X, NATRUM MURIATICUM 30X BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, STILLINGIA SYLVATICA, 621850047 TRIFOLIUM PRATENSE, GLANDULA SUPRARENALIS SUIS, HEPAR SUIS, LYMPH NODE (SUIS), PHYTOLACCA DECANDRA, THYROIDINUM (SUIS), IRIDIUM METALLICUM, LYCOPODIUM CLAVATUM, NITRICUM ACIDUM, NUX

Drug name HCPCS Code(s) NDC(s) BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, STILLINGIA SYLVATICA, 437421416 TRIFOLIUM PRATENSE, HEPAR SUIS, PHYTOLACCA DECANDRA, GLANDULA SUPRARENALIS SUIS, THYROIDINUM (SUIS), ARSENICUM ALBUM, ASARUM CANADENSE, CARBOLICUM ACIDUM, CARBONEUM SULPHURATUM, IRI BERBERIS VULGARIS, SOLIDAGO VIRGAUREA, CANTHARIS, ARSENICUM ALBUM, COCCUS 449110249 CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, SENECIO AUREUS BETA VULGARIS, BOLDO, CHELIDONIUM MAJUS, PETROSELINUM SATIVUM, TARAXACUM 575200931 OFFICINALE, ARSENICUM ALBUM, BELLADONNA, COBALTUM METALLICUM, CUPRUM METALLICUM, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, SELENIUM METALLICUM, ZINCUM METALLICUM BETA VULGARIS, BOLDO, CHELIDONIUM MAJUS, PETROSELINUM SATIVUM, TARAXACUM 437420165, 437420515, OFFICINALE, ARSENICUM ALBUM, BELLADONNA, COBALTUM METALLICUM, CUPRUM 437420657, 621850013 METALLICUM, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, SELENIUM METALLICUM, ZINCUM METALLICUM, ASPARTAME BETA VULGARIS, BOLDO, CHELIDONIUM MAJUS, PETROSELINUM SATIVUM, TARAXACUM 437421120, 437421377, OFFICINALE, ARSENICUM ALBUM, BISPHENOL A, COBALTUM METALLICUM, CUPRUM 437421558, 621850026, METALLICUM, GLYPHOSATE, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, 621850036 SELENIUM METALLICUM, ZINCUM METALLICUM BETA VULGARIS, BOLDO, CHELIDONIUM MAJUS, PETROSELINUM SATIVUM, TARAXACUM 437421087 OFFICINALE, ARSENICUM ALBUM, COBALTUM METALLICUM, CUPRUM METALLICUM, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, SELENIUM METALLICUM, ZINCUM METALLICUM, ASPARTAME, BENZALKONIUM BETA VULGARIS, BOLDO, PETROSELINUM SATIVUM, TARAXACUM OFFICINALE, ARSENICUM 437420494 ALBUM, BELLADONNA, COBALTUM METALLICUM, CUPRUM METALLICUM, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, SELENIUM METALLICUM, ZINCUM METALLICUM, ASPARTAME, BENZALKONIUM CHLORI BETA VULGARIS, CARDUUS MARIANUS, LAPPA MAJOR, ALUMINIUM METALLICUM, 575200603 ARSENICUM ALBUM, CHELIDONIUM MAJUS, HYDRASTIS CANADENSIS, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS

Drug name HCPCS Code(s) NDC(s) BETA VULGARIS, CARDUUS MARIANUS, LAPPA MAJOR, ALUMINIUM METALLICUM, 438570369 ARSENICUM ALBUM, CHELIDONIUM MAJUS, HYDRASTIS CANADENSIS, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHSOPHORUS BEVACIZUMAB C9257, J9035 502420060, 502420061 BEVACIZUMAB-AWWB 555130206, 555130207 BEVACIZUMAB-BVZR 000690315, 000690342 BEXAROTENE 001875525, 001875526, 003786955, 008320285, 422920007, 439750315, 582430031, 628560602, 628560604, 676510323, 686820003, 692381250 BINIMETINIB 702550010 BISMUTHUM METALLICUM, ALOE, ANGELICA SINENSIS RADIX, ANTIMON. CRUD., ARG. NIT., 557141508, 557141708, ARNICA, ARSENICUM ALB., BAPTISIA, BRYONIA, CINCHONA, GRAPHITES, HYDRASTIS, IPECAC., 557142238, 557142239, LACHESIS, LYCOPODIUM, MYRRHA, NAT. CARB., NUX VOM., PHOSPHORUS, PULSATILLA, ZINGIBER, CHAMO BISMUTHUM METALLICUM, ANTIMON.CRUD., ARG. NIT., ARSENICUM ALB., BAPTISIA, 557141516, 557141716, BRYONIA, CHAMOMILLA, CINCHONA, IRIS VERSICOLOR, KALI BIC., LACHESIS, LYCOPODIUM, 557142256, 557142257, MAG. CARB., NUX VOM., PHOSPHORUS, PODOPH. PELT., PULSATILLA, RAPHANUS, RHUS 557142548, 557142549, TOXICODENDRON, TABACUM 557144754, 557144755, 557148005 BISMUTHUM, ARSENICUM ALBUM 691520079 BLEOMYCIN J9040 001439240, 001439241, 004090323, 004090332, 007033154, 007033155, 167140886, 167140908, 553900005, 553900006, 617030323, 617030332, 690970364, 701211567

Drug name HCPCS Code(s) NDC(s) BLEOMYCIN SULFATE 633230136, 633230137, 712880106, 712880107 BLINATUMOMAB C9449, J9039 127140905, 555130160 BOLDO, CARDUUS MARIANUS, TARAXACUM OFFICINALE, CEANOTHUS AMERICANUS, 437720033 QUASSIA (AMARA), RAPHANUS SATIVUS, PHOSPHORUS, CHOLESTERINUM, BENZINUM, LEPTANDRA VIRGINICA, ARSENICUM ALBUM, GERMANIUM SESQUIOXIDE, ADENOSINUM TRIPHOSPHORICUM DINATRUM, MANGANUM METALLI BORAX, ARSENICUM ALBUM, CONIUM MACULATUM, KREOSOTUM, LYCOPODIUM 575200284 CLAVATUM, PHOSPHORUS, PULSATILLA, SEPIA, SULPHUR, CALCAREA CARBONICA, CANDIDA TORRESII, CANDIDA TROPICALIS, CANDIDA PARAPSILOSIS, CANDIDA ALBICANS, ASPERGILLUS NIGER, MUCOR RACEMOSUS BORAX, BRYONIA (ALBA), ECHINACEA PURPUREA, JUGLANS CINEREA, KALI MURIATICUM, 437421511 MAGNESIA MURIATICA, MURIATICUM ACIDUM, DISCUS INTERVERTEBRALIS SUIS, ORAL MUCOSA (SUIS), ANTIMONIUM CRUDUM, ARSENICUM ALBUM, BISMUTHUM SUBNITRICUM, CHAMOMILLA, CINCHONA OFFICINAL BORAX, THUJA OCCIDENTALIS, ARSENICUM ALBUM, KREOSOTUM, SULPHUR, CANDIDA 501810036 PARAPSILOSIS, CANDIDA ALBICANS, ASPERGILLUS NIGER, MUCOR RACEMOSUS, CANDIDA KRUSEI, CANDIDA PSEUDOTROPICALIS, CANDIDA TROPICALIS BORTEXOMIB 435980865 BORTEZOMIB J9041, J9044 630200049, 633230721 BOS TAURUS ADRENAL GLAND, APIS MELLIFERA, ARSENIC TRIOXIDE, LYTTA VESICATORIA, BOS 582640111 TAURUS LYMPH VESSEL, MAGNESIUM PHOSPHATE, DIBASIC TRIHYDRATE, TOXICODENDRON PUBESCENS LEAF, URTICA URENS, PYRIDOXINE HCL, AND ASCORBIC ACID BOSUTINIB MONOHYDRATE 000690135, 000690136, 000690193, 635390117 BRENTUXIMAB C9287, J9042 BRENTUXIMAB VEDOTIN 511440050 BRIGATINIB 630200090, 630200113, 630200180, 630200198, 761890113

Drug name HCPCS Code(s) NDC(s) BUSULFAN J0594, J8510, 001730713, 004091112, WW020 005170920, 163640424, 167290351, 250210241, 459630640, 518170170, 591480047, 591480070, 605056177, 652190160, 674570893, 701211244, 708600216, 724850210, 726060559, 763880001, 763880713 CABAZITAXEL C9276, J9043 000245824 CABOZANTINIB 423880011, 423880012, 423880013, 423880023, 423880024, 423880025 CACTUS GRANDIFLORUS, KALI CARBONICUM, KALMIA LATIFOLIA, ARNICA MONTANA, 575200858 GLONOINUM, IGNATIA AMARA, LACTICUM ACIDUM, RANUNCULUS BULBOSUS, A- KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, COR SUIS, FUMARICUM ACIDUM, HEPAR SUIS, MALIC ACID, NATRUM OXALACETICUM, PHOS CACTUS GRANDIFLORUS, KALI CARBONICUM, KALMIA LATIFOLIA, ARNICA MONTANA, 437420050 GLONOINUM, IGNATIA AMARA, LACTICUM ACIDUM, RANUNCULUS BULBOSUS, ALPHA- KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, COR (SUIS), FUMARICUM ACIDUM, HEPAR SUIS, MALIC ACID, NATRUM OXALACETICUM CACTUS GRANDIFLORUS, KALI CARBONICUM, KALMIA LATIFOLIA, ARNICA MONTANA, 437420806, 437421510 GLONOINUM, IGNATIA AMARA, LACTICUM ACIDUM, RANUNCULUS BULBOSUS, ALPHA- KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, FUMARICUM ACIDUM, HEART (SUIS), HEPAR SUIS, MALICUM ACIDUM, NATRUM OXALAC CACTUS GRANDIFLORUS, KALI CARBONICUM, KALMIA LATIFOLIA, ARNICA MONTANA, 437420669 GLONOINUM, IGNATIA AMARA, LACTICUM ACIDUM, RANUNCULUS BULBOSUS, ALPHA- KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, HEART (SUIS), FUMARICUM ACIDUM, HEPAR SUIS, MALIC ACID, NATRUM OXALACETIC CALCAREA SULPHURICA, ARSENICUM ALBUM 691520060

Drug name HCPCS Code(s) NDC(s) CALENDULA OFFICINALIS, HYPERICUM PERFORATUM, ARSENICUM ALBUM, BELLADONNA, 438570367, 438570472 CANTHARIS, CAUSTICUM, PICRICUM ACIDUM, URTICA URENS CAMPHOR (NATURAL), ARSENIC TRIOXIDE, BRYONIA ALBA ROOT, DROSERA ROTUNDIFOLIA, 434060664 IPECAC, POTASSIUM CARBONATE, PHOSPHORUS, ANEMONE PULSATILLA, SPONGIA OFFICINALIS SKELETON, ROASTED, DRIMIA MARITIMA WHOLE CANDIDA ALBICANS, SANICULA, TELLURIUM METALLICUM, TORULA CEREVISIAE, ANTIMON. 557142226, 557142227, CRUD., ARSENICUM ALB., BARYTA CARB., BRYONIA, CALC. CARB., CARBO VEG., CUPRUM 557142556, 557142557, MET., DULCAMARA, GRAPHITES, KALI CARB., LACHESIS, LYCOPODIUM, MEZEREUM, 557144618, 557144788 NITRICUM AC., PHOSPHORUS, P CANOVA IMMUNE SUPPORT 580880001 CAPECITABINE 000041100, 000041101, 000540271, 000540272, 000937473, 000937474, 001790149, 001790195, 001790229, 003782511, 003782512, 153380237, 153380255, 153380335, 163640072, 163640073, 167140467, 167140468, 167290072, 167290073, 422910166, 422910167, 422910190, 422910191

Drug name HCPCS Code(s) NDC(s) CAPECITABINE 502680154, 510790510, 514070095, 514070096, 538080411, 548684143, 548685260, 596510204, 596510205, 597650072, 597650073, 606870149, 627560238, 627560239, 637593000, 637593001, 649800276, 649800277, 651620843, 651620844, 678770458, 678770459, 690970948, 690970949 CAPECITABINE J8520, J8521, 695390019, 695390020, WW089, 702970003, 702970004, WW090, 722050006, 722050007, WW091, 724850204, 724850205, WW093, 726060554, 726060555 WW094, WW096 CAPSICUM ANNUUM, ARSENICUM ALBUM 691520570 CAPSICUM ANNUUM, FOENICULUM VULGARE, SYMPHYTUM OFFICINALE, ARGENTUM 438570186 NITRICUM, ARSENICUM ALBUM, MAGNESIA PHOSPHORICA CAPSICUM ANNUUM, FOENICULUM VULGARE, SYMPHYTUM OFFICINALE, ARGENTUM 438570458 NITRICUM, ARSENICUM ALBUM, MAGNESIA PHOSPHORICA, PULSATILLA (VULGARIS) CAPSICUM ANNUUM, GINKGO BILOBA, GELSEMIUM SEMPERVIRENS, KALI PHOSPHORICUM, 438570176, 575200065 LYCOPODIUM CLAVATUM, PHOSPHORUS, ARSENICUM ALBUM CAPSICUM ANNUUM, LYCOPERSICUM ESCULENTUM, SOLANUM MELONGENA, SOLANUM 449110350 TUBEROSUM, TABACUM, ALUMINA, ARSENICUM ALBUM, NUX VOMICA, PHOSPHORUS, PULSATILLA (PRATENSIS)

Drug name HCPCS Code(s) NDC(s) CAPSICUM ANNUUM, PHYTOLACCA DECANDRA, TRIFOLIUM PRATENSE, ALUMINUM 551460001, 639720001, METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM METALLICUM, ARSENICUM ALBUM, 639720013 AURUM METALLICUM, BARYTA CARBONICA, BERYLLIUM METALLICUM, BISMUTHUM METALLICUM, BORON, BROMIUM, CADMIUM METALLICUM, CER CAPSICUM ANNUUM, SOLANUM TUBEROSUM, TABACUM, LYCOPERSICUM ESCULENTUM, 438570496 SOLANUM MELONGENA, ALUMINUM METALLICUM, ARSENICUM ALBUM, NUX VOMICA, PHOSPHORUS, PULSATILLA (PRATENSIS) CARBO CHAMOMILLA 489513206, 489513216 CARBOPLATIN 000153210, 000153211, 000153212, 000153213, 000153214, 000153215, 000153216, 007033249, 007034239, 007034244, 007034246, 007034248, 167290295, 250210202, 400330202, 416160150, 416160151, 416160284, 416160300, 473350150, 473350151, 473350284, 473350300, 473510001 CARBOPLATIN 477810603, 477810604, 477810605, 477810606, 501110965, 501110966, 501110967, 507420445, 507420446, 507420447, 507420448, 540870339, 551500333, 551500334, 551500335, 553900150, 553900151, 553900152, 553900153, 553900154, 553900155, 553900156, 597650295, 617030339

Drug name HCPCS Code(s) NDC(s) CARBOPLATIN J9045 617030360, 633230172, 667580047, 674570491, 674570492, 674570493, 674570494, 674570608, 680830190, 680830191, 680830192, 680830193, 690970239, 690970240, 690970241, 690970242, 690970243, 712880100 CARBOPLATIN INJECTION 572770105, 572770106, 572770107 CARDUUS MARIANUS, GENTIANA LUTEA, SAMBUCUS NIGRA 575200326 CARDUUS MARIANUS, GENTIANA LUTEA, SAMBUCUS NIGRA, SENNA (CASSIA ANGUSTIFOLIA), 438570090 STOMACH (BOVINE), ARSENICUM ALBUM, ATROPINUM SULPHURICUM, CARBO VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS CARFILZOMIB C9295, J9047 430660201, 430660202, 760750101, 760750102, 760750103 CARMUSTINE J9050 000153012, 231550261, 231550649, 243380050, 548790036, 684750503, 701211482, 707101525 CAUSTICUM, COLCHICUM AUTUMNALE, BENZOICUM ACIDUM, APIS MELLIFICA, ARSENICUM 605120009 ALBUM, ARNICA MONTANA, NATRUM CARBONICUM CAUSTICUM, HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK, IODINE, ARSENIC TRIOXIDE, 582640121 BARIUM CARBONATE, ECHINACEA ANGUSTIFOLIA, ALUMINUM, ANTIMONY TRISULFIDE, STRYCHNOS NUX-VOMICA SEED, DELPHINIUM STAPHISAGRIA SEED, SULFURIC ACID, CALCIUM SULFIDE, AND SILVER NIT CEANOTHUS AMERICANUS, SENNA (CASSIA ANGUSTIFOLIA), CHIONANTHUS VIRGINICA, 501810050 ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, SEPIA

Drug name HCPCS Code(s) NDC(s) CEANOTHUS AMERICANUS, SENNA, CHIONANTHUS VIRGINICA, ARSENICUM ALBUM, 575200248 LYCOPODIUM CLAVATUM, SEPIA CEANOTHUS AMERICANUS, SENNA, PANCREAS SUIS, SPLEEN, CHIONANTHUS VIRGINICA, 501810032 CINCHONA OFFICINALIS, SEPIA, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM CEANOTHUS AMERICANUS, SENNA, PANCREAS, SPLEEN, CHIOANTHUS VIRGINICA, CINCHONA 575200212 OFFICINALIS, SEPIA CEDRON, LATHYRUS SATIVUS, PLUMBUM METALLICUM, ARNICA MONTANA, ARSENICUM 437420206 ALBUM, CONIUM MACULATUM, EUPATORIUM PERFOLIATUM CENTELLA ASIATICA, GENTIANA LUTEA ROOT, SAMBUCUS NIGER FLOWERING TOP, ARSENIC 434060072 TRIOXIDE, BISMUTH SUBNITRATE, ACTIVATED CHARCOAL, POTASSIUM DICHROMATE, LYCOPODIUM CLAVATIUM SPORE, STRYCHNOS NUX-VOMICA SEED, PHOSPHORUS, PULSATILLA VULGARISPHOSPHORUS, PULSATI CERITINIB 000780640, 000780694 CETUXIMAB J9055 650447462, 650447463, 667330948, 667330958, 708350003, 708350004 CHAMOMILLA, ARSENICUM ALBUM 691520139 CHAMOMILLA, COFFEA CRUDA, ARSENICUM ALBUM, IGNATIA AMARA, LYCOPODIUM 575200261 CLAVATUM, NATRUM MURIATICUM, NUX VOMICA, GELSEMIUM SEMPERVIRENS, VALERIANA OFFICINALIS CHAMOMILLA, ECHINACEA, IRIS VERSICOLOR, RUTA GRAVEOLENS, TARAXACUM OFFICINALE, 557142465, 557142466 ALOE, ANGELICA SINENSIS RADIX, ANTIMONIUM , ARGENTUM NITRICUM, ARNICA MONTANA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BISMUTHUM METALLICUM, BRYONIA, CINCHONA OFFICINALIS, GRAPHIT CHAMOMILLA, ECHINACEA, IRIS VERSICOLOR, RUTA GRAVEOLENS, TARAXACUM OFFICINALE, 557144809 ANTIMONIUM CRUDUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, CARBO VEGETABILIS, CHELIDONIUM MAJUS, CINCHONA OFFICINALIS, COLCHICUM AUTUMNALE, DAPHNE INDICA, IPECACUANHA, IR

Drug name HCPCS Code(s) NDC(s) CHAMOMILLA, HYPERICUM PERFORATUM, ACONITUM NAPELLUS, ARGENTUM NITRICUM, 557144824 ARSENICUM ALBUM, BELLADONNA, BRYONIA, CINCHONA OFFICINALIS, GELSEMIUM SEMPERVIRENS, HYPERICUM PERFORATUM, IGNATIA AMARA, KALMIA LATIFOLIA, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MAGNESI CHELIDONIUM MAJUS, CHOLESTERINUM, ARSENICUM ALBUM, BELLADONNA, LYCOPODIUM 501810026, 694140001 CLAVATUM, TARENTULA HISPANA CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), GENTIANA LUTEA, ARSENICUM ALBUM, 449110178, 449110268 CARBO VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PULSATILLA (PRATENSIS) CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, ARSENICUM 449110363 ALBUM, BRYONIA (ALBA), COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDUM PALUSTRE, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOX CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, NASTURTIUM 438570289 AQUATICIM, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS (SUIS), THYUROIDINUM (SUIS), ARSENIUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOXIC CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, NASTURTIUM 438570349 AQUATICUM, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOX CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), NASTURTIUM AQUATICUM, 438570401 TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, HYDRASTIS CANADENSIS, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOX CHELIDONIUM MAJUS, ECHINACEA, GENTIANA LUTEA, ARSENICUM ALBUM, CARBO 575200418 VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PULSATILLA CHELIDONIUM MAJUS, ECHINACEA, GENTIANA LUTEA, ARSENICUM ALBUM, CARBO 449110005 VEGETABLIS, LYCOPODIUM CLAVATUM CHELIDONIUM MAJUS, ECHINACEA, GENTIANA LUTEA, ARSENICUM ALBUM, CARBO 575200652 VEGETALILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PULSATILLA

Drug name HCPCS Code(s) NDC(s) CHELIDONIUM MAJUS, ECHINACEA, HYDRASTIS CANADENSIS, ARSENICUM ALBUM, BRYONIA 449110257 (ALBA), COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDUM PALUSTRE, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOX CHELIDONIUM MAJUS, ECHINACEA, HYDRASTIS CANADENSIS, NASTURTIUM AQUATICUM, 438570018 TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOXICODENDRON, LYM D CHELIDONIUM MAJUS, ECHINACEA, HYDRASTIS CANADENSIS, NASTURTIUM AQUATICUM, 575201024 TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS, THYROIDINUM, ARSENICUM ALBUM, COCCUS CACTI CHELIDONIUM MAJUS, HEPAR SUIS, CHOLESTERINUM, LYCOPODIUM CLAVATUM, 501810003 TARENTULA HISPANA, ARSENICUM ALBUM, BELLADONNA CHELIDONIUM MAJUS, LIVER, CHOLESTERINUM, LYCOPODIUM CLAVATUM, TARENTULA 575200209 HISPANA, ARSENICUM ALBUM, BELLADONNA CHELIDONIUM MAJUS, SYMPHYTUM OFFICINALE, TARAXACUM OFFICINALE, TRIFOLIUM 575200942 PRATENSE, ACETONE, SODIUM TRIPHOSPHATE, PROPYLENE GLYCOL, SODIUM BENZENE SULFONATE, AMMONIUM MURIATICUM, SODIUM LAURYL SULFATE CHELIDONIUM MAJUS, SYMPHYTUM OFFICINALE, TARAXACUM OFFICINALE, TRIFOLIUM 437420204, 437420915 PRATENSE, ACETONE, SODIUM TRIPOLYPHOSPHATE, PROPYLENE GLYCOL, SODIUM BENZENE SULFONATE, AMMONIUM MURIATICUM, SODIUM LAURYL SULFATE, TEREBINTHINA, ARSENICUM ALBUM, CADMIUM SULPHURATUM CHELIDONIUM MAJUS, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, SYMPHYTUM 437421580 OFFICINALE, ACETONE, SODIUM TRIPOLYPHOSPHATE, PROPYLENE GLYCOL, BENZINUM, AMMONIUM MURIATICUM, SODIUM LAURYL SULFATE, TEREBINTHINA, ARSENICUM ALBUM, CADMIUM SULPHURATUM, GELSEMIUM SEMP CHEMICAL SENSITIVITY REMEDY 617270050, CHILI PEPPER, GREEN PEPPER, POTATO, TOBACCO, TOMATO, EGGPLANT, NUX VOMICA, 575200390 PULSATILLA CHLORAMBUCIL S0172 001730635, 548681126, 763880635

Drug name HCPCS Code(s) NDC(s) CHOLESTERINUM, HISTAMINUM HYDROCHLORICUM, MENADIONE, PYRROLE, ALPHA- 437420742 LIPOICUM ACIDUM, ASCORBIC ACID, ADENOSINUM TRIPHOSPHORICUM DINATRUM, FEL TAURI, GALLBLADDER (SUIS), HEPAR SUIS, SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, ARSENCIUM ALBUM, BELLADONNA, BE CHOLESTERINUM, HISTAMINUM HYDROCHLORICUM, MENADIONE, PYRROLE, ALPHA- 437420363 LIPOICUM ACIDUM, ASCORBIC ACID, ADENOSINUM TRIPHOSPHORICUM DINATRUM, FEL TAURI, GALLBLADDER (SUIS), HEPAR SUIS, SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, ARSENICUM ALBUM, BELLADONNA, BE CHOLESTERINUM, HISTAMINUM HYDROCHLORICUM, MENADIONE, PYRROLE, ALPHA- 437420175 LIPOICUM ACIDUM, ASCORBICUM ACIDUM, ATP, FEL TAURI, GALLBLADDER (SUIS), HEPAR SUIS, SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, ARSENICUM ALBUM, BELLADONNA, BERBERIS VULGARIS, BRYONIA, CA CHOLINE CHLORIDE, BOS TAURUS ADRENAL GLAND, SUS SCROFA ADRENAL GLAND, 637760027 EPINEPHRINE, ONION, AMMONIUM CARBONATE, APIS MELLIFERA, ARSENIC TRIOXIDE, HISTAMINE, INTERFERON GAMMA-1A, INTERLEUKIN-12 HUMAN, MANGANESE GLUCONATE, LUFFA OPERCULATA FRUIT, SUS SCROFA L CHONDRUS CRISPUS, GLYCYRRHIZA GLABRA, SARSAPARILLA, ZINGIBER OFFICINALE, 438570016 ADRENALINUM, ALLIUM CEPA, ARALIA RACEMOSA, ARSENICUM ALBUM, CALCAREA CARBONICA, CANTHARIS, IODIUM, NATRUM CARBONICUM, RHUS TOX CISPLATIN 000153072, 000690081, 000690084, 001439504, 001439505, 007035747, 007035748, 167290288, 427910100, 427910101, 445670509, 445670510, 445670511, 445670530, 473510004, 477810609, 477810610, 553900099, 553900112, 553900187, 553900414, 597650288, 611260003, 611260004

Drug name HCPCS Code(s) NDC(s) CISPLATIN J9060, J9062 611260509, 611260510, 611260511, 633230103, 674570424, 674570425, 680010283, 680830162, 680830163, 708600206 CISTUS CANADENSIS, CLEMATIS ERECTA, CROTON TIGLIUM, DOLICHOS PRURIENS, IRIS 437421048 VERSICOLOR, KALI BICHROMICUM, PRUNUS SPINOSA, RANUNCULUS BULBOSUS, ZINCUM PHOSPHORATUM, ARSENICUM ALBUM, COMOCLADIA DENTATA, GRAPHITES, KALMIA LATIFOLIA, LACHESIS MUTUS, MEZEREUM CISTUS CANADENSIS, CLEMATIS ERECTA, CROTON TIGLIUM, DOLICHOS PRURIENS, IRIS 437421296 VERSICOLOR, PRUNUS SPINOSA, RANUNCULUS BULBOSUS, KALI BICHROMICUM, ZINCUM PHOSPHORATUM, ARSENICUM ALBUM, COMOCLADIA DENTATA, GRAPHITES, KALMIA LATIFOLIA, LACHESIS MUTUS, MEZEREUM CITRULLUS COLOCYNTHIS FRUIT PULP AND PSEUDOGNAPHALIUM OBTUSIFOLIUM AND 501144262 AMMONIUM CHLORIDE AND GELSEMIUM SEMPERVIRENS ROOT AND TOXICODENDRON PUBESCENS LEAF AND ARSENIC TRIOXIDE AND MATRICARIA RECUTITA AND CLADRIBINE J9065 000690086, 000690201, 001439871, 440874000, 440876000, 473510017, 473510024, 553900115, 553900124, 596760201, 633230140, 674570450, 674570451, 692114000 CLINDAMYCIN 1% / NIACINAMIDE 4% / TRETINOIN 0.05% 729342054 CLOFARABINE J9027 000245860, 000245917, 009551746, 435980309, 473510075, 507420512, 584680100, 605056166, 633230572, 674570546, 680830386, 701211236, 722660108 COBIMETINIB 502420717

Drug name HCPCS Code(s) NDC(s) COCHLEARIA ARMORACIA, CHELIDONIUM MAJUS, ARSENICUM ALBUM, HEPAR SUIS, SPLEEN 501810055 (SUIS), THYMUS (SUIS), HEPATITIS C NOSODE, HEPATITIS A NOSODE, HEPATITIS B NOSODE COLON (SUIS), ARSENICUM ALBUM, CAUSTICUM, IGNATIA AMARA, LACHESIS MUTUS, 449110331 LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, NUX VOMICA, SEPIA, SILICEA, THUJA OCCIDENTALIS CONDURANGO, CALENDULA OFFICINALIS, LYCOPODIUM CLAVATUM, SABINA, THUJA 621061147 OCCIDENTALIS, AURUM METALLICUM, PLUMBUM METALLICUM, ARSENICUM ALBUM CORTISOL, HISTAMINUM HYDROCHLORICUM, ADENOSINE TRIPHOSPHATE, ASCORBICUM 437420054 ACIDUM, PYRIDOXINUM HYDROCHLORICUM, RIBOFLAVINUM, SARCOLACTICUM ACIDUM, SPLEEN (SUIS), STOMACH (SUIS), CORTISONE ACETICUM, ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANO COUGH RELIEF 646160096 COUMARINUM, PHENYL ISOTHIOCYANATE, INTESTINE (SUIS), ASCORBIC ACID, COENZYME A, 437420220, 437420691 UBIDECARENONUM, COLON (SUIS), LUNG (SUIS), RIBOFLAVINUM, SARCOLACTICUM ACIDUM, ALOE, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BRYONIA (ALBA), CARBO VEGETABI CRIZOTINIB 000698140, 000698141, 538692230, 538692231 CUPRUM ACETICUM NICOTIANA 489513141, 489513142 CUPRUM ACETICUM NICOTIANA SPECIAL ORDER 489513214

Drug name HCPCS Code(s) NDC(s) CYCLOPHOSPHAMIDE 000150502, 000150503, 000150504, 000150505, 000150506, 000540382, 000540383, 000544129, 000544130, 007813233, 007813244, 007813255, 100190935, 100190936, 100190937, 100190938, 100190939, 100190942, 100190943, 100190944, 100190945, 100190955, 100190956, 100190957 CYCLOPHOSPHAMIDE 100190988, 100190989, 100190990, 167140857, 167140858, 167140859, 439750307, 439750308, 548685005, 548685218, 548790021, 548790022, 578843071, 578843072, 578843073, 680010370, 680010371, 680010372, 690970516, 690970517, 691890382, 691890383, 701211238, 701211239 CYCLOPHOSPHAMIDE J8530, J9070, 701211240, 726030104, J9080, J9090, 726030326, 726030411 J9091, J9092, J9093, J9094, J9095, J9096, J9097

Drug name HCPCS Code(s) NDC(s) CYNARA, ECHINACEA, IRIS VERS., THUJA OCC., URTICA UR., ARG. MET., ARSENICUM ALB., 557144751 AUR. MET., BOVISTA, BRYONIA, CHELIDONIUM MAJ., CHIONANTHUS, GAULTHERIA, HELONIAS, IRIS VERS., LYCOPODIUM, NUX VOM., PHOS., RHUS TOX., SABAL, SYZYGIUM CYTARABINE 000690152, 000690153, 000690154, 000690155, 400330223, 473510025, 473510026, 473510027, 473510029, 510230303, 510230304, 510230305, 510230319, 540870305, 540870319, 553900131, 553900132, 553900133, 553900134, 553900806, 553900807, 553900808, 553900809, 576650331 CYTARABINE C9024, J9098, 617030303, 617030304, J9100 617030305, 617030319, 633230120, 674570452, 674570454, 674570455, 674570615, 680830337, 680830343, 680830344, 680830345, 680830346, 712880109 DABRAFENIB 000780681, 000780682, 001730846, 001730847 DACARBAZINE J9130, J9140 007035075, 510230327, 540870327, 553900090, 553900339, 617030327, 633230127, 633230128

Drug name HCPCS Code(s) NDC(s) DACTINOMYCIN J9120 005170950, 398222100, 430660811, 473510036, 533990811, 552920811, 553900337, 669930489, 673860811, 674570513, 674570928, 686250811 DAPHNE MEZEREUM BARK, ARNICA MONTANA, ARSENIC TRIOXIDE, ATROPA BELLADONNA, 627951123, 627951132 CITRULLUS COLOCYNTHIS FRUIT PULP, PSEUDOGNAPHALIUM OBTUSIFOLIUM, HYPERICUM PERFORATUM, RUTA GRAVEOLENS FLOWERING TOP, AND TOXICODENDRON PUBESCENS LEAF DARATUMUMAB C9476, J9145 430660502, 578940502, 621950200, 621950210 DASATINIB 000030524, 000030527, 000030528, 000030852, 000030855, 000030857, 001860524, 001860527, 001860528, 001860852, 001860855, 001860857, 548685759, 605053628, 605053629, 605053630, 605053631 DAUNORUBICIN J9150, J9151, 108850001, 553900108, J9153 553900142, 553900281, 553900805 DAUNORUBICIN HCL 001439550, 001439551, 007035233, 426580007, 426580021

Drug name HCPCS Code(s) NDC(s) DECITABINE 007813139, 167140749, 167140928, 167290224, 250210231, 400330231, 427370110, 435980348, 435980427, 473350361, 507420430, 518170058, 551110556, 591480046, 597650224, 628560600, 633230825, 646790067, 674570316, 680010347, 680010422, 681800738, 690970285, 690970635 DECITABINE J0894 690970636, 695390115, 701211644 DENILEUKIN DIFTITOX J9160 628560603 DIBASIC POTASSIUM PHOSPHATE, SEPIA OFFICINALIS JUICE, LYCOPODIUM CLAVATUM SPORE, 582640054 PHOSPHORUS, GELSEMIUM SEMPERVIRENS ROOT, ATROPA BELLADONNA, ARSENIC TRIOXIDE, AND SEMECARPUS ANACARDIUM JUICE DIGITALIS PURPUREA WHOLE, STROPHANTHUS HISPIDUS WHOLE, CRATAEGUS MEXICANA 582640003 WHOLE, SELENICEREUS GRANDIFLORUS WHOLE, KALMIA LATIFOLIA WHOLE, ARSENIC TRIOXIDE, PHOSPHORUS, DRIMIA MARITIMA WHOLE, SPIGELIA ANTHELMIA, AND POTASSIUM CARBONATE DINUTUXIMAB 663020014

Drug name HCPCS Code(s) NDC(s) DOCETAXEL 000699141, 000699142, 000699144, 000758001, 000758003, 000758004, 000758005, 004090366, 004090367, 004090368, 004090369, 007035720, 007035730, 009551020, 009551021, 009551022, 125168003, 125168004, 128540803, 128540804, 128540805, 163640231, 163640267, 167140465 DOCETAXEL 167140500, 167290120, 167290228, 167290231, 167290267, 181110013, 250210222, 398222120, 398222180, 398222200, 423670121, 430660001, 430660006, 430660010, 435980258, 435980259, 435980389, 435980610, 435980611, 459630734, 459630765, 459630781, 459630790, 473350286

Drug name HCPCS Code(s) NDC(s) DOCETAXEL J9170, J9171 510230366, 510230367, 510230368, 578843021, 578843041, 578843042, 578843043, 597650231, 597650267, 637390932, 637390971, 653925000, 667580050, 667580950, 674570781, 701211221, 701211222, 701211223, 724850214, 724850215, 724850216 DOCETAXEL ANHYDROUS 004090201, 250210245, 473350285, 507420428, 507420431, 507420463, 674570531, 674570532, 674570533, 690970369, 690970371, 690970372 DOXORUBICIN J9000, J9001, 477810256, 553900231, J9002, Q2048, 553900232, 553900233, Q2049, Q2050 553900235, 553900236, 553900237, 553900238, 553900241, 553900242, 553900243, 553900245, 553900246, 553900247, 553900248, 701211218

Drug name HCPCS Code(s) NDC(s) DOXORUBICIN HCL 000690170, 000690171, 000693030, 000693031, 000693032, 000693033, 000693034, 000694004, 000694015, 000694026, 000694030, 000694031, 000694032, 000694033, 000694034, 000694037, 001439275, 001439277, 001439369, 001439370, 001439371, 001439372, 001439546, 001439547 DOXORUBICIN HCL 001439548, 001439549, 003380063, 003380067, 004090124, 007035040, 007035043, 007035046, 167140742, 167140856, 250210207, 435980283, 435980541, 435980682, 435980683, 459630733, 473350049, 473350050, 473350082, 473350083, 531500314, 531500315, 531500317, 531500320

Drug name HCPCS Code(s) NDC(s) DOXORUBICIN HCL 596760960, 596760966, 627560826, 627560827, 633230101, 633230883, 674570393, 674570394, 674570395, 674570396, 674570436, 674570478, 680010345, 680830248, 680830249, 680830250, 701211219, 708600208, 726030103, 726030200 DOXORUBICIN HCL LIPOSOME 003380080, 003380086 DROSERA ROTUNDIFOLIA, ARSENICUM ALBUM, IPECACUANHA, KALI BICHROMICUM, 605120013, 605122005 BELLADONNA, PULSATILLA, MERCURIUS SOLUBILIS DULCAMARA COMP. 489514010 DURVALUMAB C9492, J9173 003104500, 003104611 ECHINA ANGUSTIFOLIA, APIS MELLIFERA, ARSENIC TRIOXIDE, PHENOL, LEDUM PALUSTRE, 434060075 TOXICODENDRON PUBESCENS LEAF, SULFUR, URTICA URENS ECHINACE, HYDRASTIS CANADENSIS, LOMATIUM DISSECTUM, ACONITUM NAPELLUS, 449110021 ARSENICUM ALBUM, BELLADONNA, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS ECHINACEA (ANGUSTIFOLIA), ALOE, COLCHICUM AUTUMNALE, COLOCYNTHIS, MERCURIUS 437421595 CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM, ACETICUM ACIDUM, CHININUM SULPHURICUM, CHOLERA NOSODE, PROTEUS (VULGARIS), COLIBACILLINUM CUM NATRUM MURIATICUM, HELICOBACTER PYLORI, BOTU ECHINACEA (ANGUSTIFOLIA), ALOE, COLCHICUM AUTUMNALE, COLOCYNTHIS, MERCURIUS 437421421 CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM, CLOSTRIDIUM DIFFICILE, ACETICUM ACIDUM, CHININUM SULPHURICUM, CHOLERA NOSODE, PROTEUS (VULGARIS), COLIBACILLINUM CUM NATRUM MURIATICUM, HE

Drug name HCPCS Code(s) NDC(s) ECHINACEA (ANGUSTIFOLIA), ALOE, COLCHICUM AUTUMNALE, COLOCYNTHIS, MERCURIUS 437421378 CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM, CLOSTRIDIUM DIFFICILE, CHININUM SULPHURICUM, CHOLERA NOSODE, CAMPYLOBACTER JEJUNI, COLIBACILLINUM CUM NATRUM MURIATICUM, HELICOBACTER PYLO ECHINACEA (ANGUSTIFOLIA), ARNICA MONTANA, BAPTISIA TINCTORIA, SANGUINARIA 437421302, 437421526 CANADENSIS, ARISTOLOCHIA CLEMATITIS, EUPATORIUM PERFOLIATUM, EUPHORBIUM OFFICINARUM, ACONITUM NAPELLUS, ARGENTUM NITRICUM, ARSENICUM ALBUM, BRYONIA (ALBA), GELSEMIUM SEMPERVIRENS, M ECHINACEA (ANGUSTIFOLIA), ARNICA MONTANA, HYDRASTIS CANADENSIS, KALMIA 437421173 LATIFOLIA, LEDUM PALUSTRE, MAGNESIA SULPHURICA, ARSENICUM ALBUM, COCCULUS INDICUS, PHOSPHORUS ECHINACEA (ANGUSTIFOLIA), ARNICA MONTANA, HYDRASTIS CANADENSIS, LEDUM 437421297 PALUSTRE, MAGNESIA SULPHURICA, KALMIA LATIFOLIA, ARSENICUM ALBUM, COCCULUS INDICUS, PHOSPHORUS ECHINACEA (ANGUSTIFOLIA), COLCHICUM AUTUMNALE, ALOE SOCOTRINA, COLOCYNTHIS, 437420457 MERCURIUS CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM, CHININUM SULPHURICUM, CHOLERA NOSODE, CAMPYLOBACTER JEJUNI, COLIBACILLINUM CUM NATRUM MURIATICUM, HELICOBACTER PYLORI, SHIGELLA ECHINACEA (ANGUSTIFOLIA), COLCHICUM AUTUMNALE, ALOE, COLOCYNTHIS, MERCURIUS 437420486, 437420590, CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM, CLOSTRIDIUM DIFFICILE, CHININUM 437421176 SULPHURICUM, CHOLERA NOSODE, CAMPYLOBACTER JEJUNI, COLIBACILLINUM CUM NATRUM MURIATICUM, HELICOBACTER PYLO ECHINACEA (ANGUSTIFOLIA), COLCHICUM AUTUMNALE, NATRUM PHOSPHORICUM, 437421118 ARSENICUM ALBUM, COLOCYNTHIS, CROTON TIGLIUM, GAMBOGIA, ACETICUM ACIDUM, ANTIMONIUM CRUDUM, BISMUTHUM SUBNITRICUM, CINCHONA OFFICINALIS, FERRUM METALLICUM, IRIS VERSICOLOR, LAC DEFLORATUM ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA 449110515 ARTEMISIAEFOLIA, ARSENICUM ALBUM, KALI BICHROMICUM, NUX MOSCHATA, PULSATILLA (PRATENSIS), SEPIA, SOLIDAGO VIRGAUREA

Drug name HCPCS Code(s) NDC(s) ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA 449110428 ARTEMISIAEFOLIA, ARSENICUM ALBUM, KALI BICHROMICUM, NUX MOSCHATA, PULSATILLA (VULGARIS), SEPIA, SOLIDAGO VIRGAUREA ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, HYPERICUM PERFORATUM, 449110274, 449110431 SYMPHYTUM OFFICINALE, ARSENICUM ALBUM, CAUSTICUM, KALI CARBONICUM, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SILICEA ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, NASTURTIUM AQUATICUM, 438570322 SANGUINARIA CANADENSIS, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, NUX MOSCHATA, TRIGONELLA 438570290 FOENUM GRAECUM, ARSENICUM ALBUM, KALI BICHROMICUM, MERCURIUS SULPHURATUS RUBER, PULSATILLA (VULGARIS), SEPIA, MERCURIUS SOLUBILIS ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, TABEBUIA IMPETIGINOSA, GLANDULA 438570291 SUPRARENALIS SUIS, THYMUS(SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM ECHINACEA (ANGUSTIFOLIA), HYPERICUM PERFORATUM, ARNICA MONTANA, SYMPHYTUM 438570457 OFFICINALE, AGARICUS MUSCARIUS, ARSENICUM ALBUM, GELSEMIUM SEMPERVIRENS, PLUMBUM METALLICUM, RHUS TOX ECHINACEA (ANGUSTIFOLIA), KALI PHOSPHORICUM, SARRACENIA PURPUREA, ARSENICUM 449110364 ALBUM, CAUSTICUM, DOLICHOS PRURIENS, HYPERICUM PERFORATUM, MEZEREUM, RANUNCULUS BULBOSUS, RHUS TOX ECHINACEA (ANGUSTIFOLIA), LAPPA MAJOR, SOLIDAGO VIRGAUREA, TARAXACUM 697800003 OFFICINALE, ADRENALINUM, ALOE, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BERBERIS AQUIFOLIUM, BERBERIS VULGARIS, BRYONIA (ALBA), CHELIDONIUM MAJUS, CROTALUS HORRIDUS, DIGITALIS PURPUREA, FERR ECHINACEA (ANGUSTIFOLIA), LOBELIA INFLATA, TRIFOLIUM PRATENSE, ARSENICUM ALBUM, 449110222 CARBO VEGETABILIS, KALI CARBONICUM, NATRUM SULPHURICUM, PHOSPHORUS, POTHOS FOETIDUS, PULSATILLA (PRATENSIS) ECHINACEA (ANGUSTIFOLIA), LOMATIUM DISSECTUM, HYDRASTIS CANADENSIS, ACONITUM 449110413, 449110433 NAPELLUS, ARSENICUM ALBUM, BELLADONNA, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, RHUS TOX, PYROGENIUM

Drug name HCPCS Code(s) NDC(s) ECHINACEA (ANGUSTIFOLIA), LOMATIUM DISSECTUM, MYRRHA, NASTURTIUM AQUATICUM, 438570420, 438570530 TABEBUIA IMPETIGINOSA, HYDRASTIS CANADENSIS, PROPOLIS, GLANDULA SUPRARENALIS SUIS, LYMPH NODE (SUIS), SPLEEN (SUIS), THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, BELLADONNA ECHINACEA (ANGUSTIFOLIA), NATRUM PHOSPHORICUM, COLCHICUM AUTUMNALE, 437421304 ARSENICUM ALBUM, COLOCYNTHIS, CROTON TIGLIUM, GAMBOGIA, ACETICUM ACIDUM, ANTIMONIUM CRUDUM, BISMUTHUM SUBNITRICUM, CINCHONA OFFICINALIS, FERRUM METALLICUM, IRIS VERSICOLOR, LAC DEFLORATUM ECHINACEA (ANGUSTIFOLIA), NUX MOSCHATA, TRIGONELLA FOENUM GRAECUM, HYDRASTIS 438570423 CANADENSIS, ARSENICUM ALBUM, KALI BICHROMICUM, MERCURIUS SULPHURATUS RUBER, PULSATILLA (VULGARIS), SEPIA, MERCURIUS SOLUBILIS ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, HEPAR SULPHURIS CALCAREUM, 437421538 MERCURIUS SOLUBILIS, MEZEREUM, AILANTHUS GLANDULOSUS, ARSENICUM ALBUM, LACHESIS MUTUS, HERPES SIMPLEX I AND II NOSODE, HERPES ZOSTER NOSODE ECHINACEA (ANGUSTIFOLIA), TABEBUIA IMPETIGINOSA, HYDRASTIS CANADENSIS, GLANDULA 438570426 SUPRARENALIS SUIS, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, BRYONIA (ALBA), COCCULUS INDICUS, COLCHICUM AUTUMNALE, LEDUM PALUSTRE, MERCURIUS CYANATUS, NATRUM SULPHU ECHINACEA ANGUSTIFOLIA, BAPTISIA TINCTORIA ROOT, PHYTOLACCA AMERICANA ROOT, 639720009 FERROSOFERRIC PHOSPHATE, ARSENIC TRIOXIDE, ATROPA BELLADONNA, MATRICARIA RECUTITA, MERCURIUS SOLUBILIS, GELSEMIUM SEMPERVIRENS ROOT, LACHESIS MUTA VENOM, SOLANUM DULCAMARA TOP, RA ECHINACEA ANGUSTIFOLIA, HYDRASTIS CANADENSIS, LOMATIUM, PHYTOLACCA DECANDRA, 434060593 ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, CARCINOSIN, COXSACKIE, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, HERPES ZOSTER, INFLUENZINUM, MORBILLINUM, PERTUSSIN, PYROGE ECHINACEA, ALUMINA, ARALIA QUINQUEFOLIA, ARGENTUM, ARNICA MONTANA, 557142471 ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CONIUM MACULATUM, GELSEMIUM SEMPERVIRENS, IODIUM, KALI CARBONICUM, KALI IODATUM, LYCOPODIUM CLAVATUM, LYCOPUS VI

Drug name HCPCS Code(s) NDC(s) ECHINACEA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, EUPATORIUM PERFOLIATUM, 541460001 GELSEMIUM SEMPERVIRENS, LYCOPODIUM CLAVATUM ECHINACEA, COLCHICUM AUTUMNALE, ALOE SOCOTRINA, COLOCYNTHIS, MERCURIUS 437420087 CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM ECHINACEA, COLCHICUM AUTUMNALE, ALOE SOCOTRINA, COLOCYNTHIS, MERCURIUS 437420251 CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM, CHININUM SULPHURICUM ECHINACEA, HYDRASTIS CANADENSIS, ACONITUM NAPELLUS, ANTIMONIUM TARTARICUM, 557144830 ARNICA MONTANA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BELLADONNA, BRYONIA, CANTHARIS, CHAMOMILLA, GAULTHERIA PROCUMBENS, HEPAR SULPHURIS CALCAREUM, IODIUM, LACHESIS MUTUS, LYCOPODIU ECHINACEA, HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA ARTEMESIAEFOLIA, 575200295 ARSENICUM ALBUM, KALI BICHROMICUM, NUX MOSCHATA, PULSATILLA, SEPIA, SOLIDAGO VIRGAUREA ECHINACEA, HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, 575200655 ARSENICUM ALBUM, KALI BICHROMICUM, NUX MOSCHATA, PULSATILLA, SEPIA, SOLIDAGO VIRGAUREA ECHINACEA, HYDRASTIS CANADENSIS, ARSENICUM IODATUM, BRYONIA, CISTUS CANADENSIS, 557144778 HEPAR SULPHURIS CALCAREUM, HISTAMINUM HYDROCHLORICUM, HYDRASTIS CANADENSIS, IODIUM, KALI BICHROMICUM, KALI IODATUM, MERCURIUS IODATUS RUBER, MERCURIUS VIVUS, NUX VOMICA, PHOSP ECHINACEA, HYDRASTIS CANADENSIS, IRIS VERSICOLOR, URTICA URENS, ACONITUM 557144836 NAPELLUS, ARNICA MONTANA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, HYDRASTIS CANADENSIS, IODIUM, LACHESIS MUTUS, NUX VOMICA, PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, ANTHRACI ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM DISSECTUM, ACONITUM NAPELLUS, 449110065 ARSENICUM ALBUM, BELLADONNA ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM DISSECTUM, MYRRHA, NASTURTIUM 438570200 AQUATICUM, PROPOLIS, TABEBUIA IMPETIGINOSA, GLANDULA SUPRARENALIS, LYMPH, SPLEEN ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM DISSECTUM, MYRRHA, NASTURTIUM 437420089 AQUATICUM, TABEBUIA IMPETIGINOSA, SPLEEN, THYMUS

Drug name HCPCS Code(s) NDC(s) ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM, ACONITUM NAPELLUS, ARSENICUM 508130003 ALBUM, BELLADONNA, EPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM, ACONITUM NAPELLUS, ARSENICUM 575200657, 575201044 ALBUM, BELLADONNA, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, RHUS TOXICODENDRON, PYROGENIUM ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM, ACONTIUM NAPELLUS 575200495 ECHINACEA, HYDRASTIS CANADENSIS, NUX MOSCHATA, TRIGONELLA FOENUM GRAECUM, 575200513 ARSENICUM ALBUM, KALI BICHROMICUM, MERCURIUS SULPHURATUS RUBER, PULSATILLA, SEPIA, MERCURIUS SOLUBILIS ECHINACEA, HYDRASTIS CANADENSIS, TABEBUIA IMPETIGINOSA, GLANDULA SUPRARENALIS 575201023 SUIS, THYMUS, THYROIDINUM, ARSENICUM ALBUM, BRYONIA, COCCULUS INDICUS, COLCHICUM AUTUMNALE, LEDUM PALUSTRE ECHINACEA, HYDRASTIS CANADENSIS, TABEUIA IMPETIGINOSA, GLANDULA SUPRARENALIS 438570099 SUIS, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, BRYONIA, COCCULUS INDICUS, COLCHICUM AUTUMNALE, LEDUM PALUSTRE, MERCURIUS CYANATUS, NATRUM SULPHURICUM, PULSATILLA, SEPI ECHINACEA, HYDRASTIS CANDENSIS, NUX MOSCHATA, TRIGONELLA FOENUM GRAECUM, 438570044 ARSENICUM ALBUM, KALI BICHROMICUM, MERCURIUS SULPHURATUS RUBER, PULSATILLA, SEPIA, MERCURIUS SOLUBILIS ECHINACEA, HYDRASTIT CANADENSIS, LOMATIUM, ACONITUM NAPELLUS, ARSENICUM 575200675 ALBUM, BELLADONNA, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, RHUS TOXICODENDRON, PYROGENIUM ECHINACEA, HYPERICUM PERFORATUM, SYMPHYTUM OFFICINALE, ARNICA MONTANA, 438570191 AGARICUS MUSCARIUS, ARSENICUM ALBUM, GELSEMIUM SEMPERVIRENS, PLUMBUM METALLICUM, RHUS TOX ECHINACEA, IRIS VERSICOLOR, URTICA URENS, ARSENICUM ALBUM, BAPTISIA TINCTORIA, 557144822 BRYONIA, CINCHONA OFFICINALIS, COLLINSONIA CANADENSIS, DIOSCOREA VILLOSA, I ODIUM, IRIS VERSICOLOR, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, NATRUM CARBONICUM, NATRUM MURIATICUM, N

Drug name HCPCS Code(s) NDC(s) ECHINACEA, LAPPA, ANTIMON. TART., ARSENICUM ALB., BRYONIA, CHELIDONIUM MAJ., 557144768 CINCHONA, DROSERA, EUCALYPTUS, HISTAMINUM HYDROCHLORICUM, HYDRASTIS, KALI BIC., KALI CARB., KALI IOD., MYRRHA, NAT. SULPHURICUM, NUX VOM., PHOS., PULSATILLA, RUMEX CRISP., SAMBUC ECHINACEA, SOLIDAGO VIRGAUREA, TARAXACUM OFFICINALE, ARSENICUM ALBUM, BAPTISIA 557144775 TINCTORIA, BERBERIS AQUIFOLIUM, CALCAREA FLUORICA, CAPSICUM ANNUUM, CARDUUS MARIANUS, CINCHONA OFFICINALIS, IODIUM, KALI CARBONICUM, LACHESIS MUTUS, MAGNESIA CARBONICA, MERCURI ECHINACEA, TARAXACUM OFFICINALE, ARSENICUM ALBUM, ARSENICUM BROMATUM, 557142510, 557142511 CARBO ANIMALIS, CAUSTICUM, HYDROCOTYLE ASIATICA, KALI BROMATUM, KALI IODATUM, KREOSOTUM, LYCOPODIUM CLAVATUM, NUX VOMICA, PETROLEUM, RHUS TOXICODENDRON, SEPIA, SULPHUR ECHINACEA, BAPTISIA, APIS MELLIFICA , FERRUM PHOSPHORICUM 616570052 ECHINACHEA, HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, 449110036 ARSENICUM ALBUM, KALI BICHROMICUM, NUX MOSCHATA EGGSHELL MEMBRANE, WHEY PROTEIN, ARSENICUM ALBUM, CROTON TIGLIUM, 449110270 HYDROCOTYLE ASIATICA, NATRUM MURIATICUM ELAPS CORALLINUS , APIS MEL., ARSENICUM ALB. , CANTHARIS, CINCHONA , COLCHICUM , 557144542, 557144543 CONVALLARIA , CROTALUS HORRIDUS , DIGITALIS , JUNIPERUS COM , LACHESIS , MERC. VIV. , NAJA , NAT. CARB. , NAT. SULPHURICUM , RHUS TOXICODENDRON , SAMBUCUS NIG. , STROPHANTHUS ELAPS CORALLINUS, ACONITUM NAP., ARSENICUM ALB., AUR. MET., BARYTA CARB., 557144459, 557144640, BENZOICUM ACIDUM, BERBER. VULG., BRYONIA, CALC. FLUOR. , CANTHARIS, CEANOTHUS, 557144641, 557144650, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA, CONVALLARIA, CROTALUS 557144651 HORRIDUS, DIGITALIS, GELSEMI ELAPS CORALLINUS, ACONITUM NAP., ARSENICUM ALB., AUR. MET., BARYTA CARB., 557144458 BENZOICUM ACIDUM, BERBER. VULG., BRYONIA, CALC. FLUOR. , CANTHARIS, CEANOTHUS, CHELIDONIUM MAJUS , CHIONANTHUS VIRGINICA, CINCHONA, CONVALLARIA, CROTALUS HORRIDUS, DIGITALIS, GELSEMI

Drug name HCPCS Code(s) NDC(s) ELAPS CORALLINUS, AESCULUS HIPP., ALOE, ARSENICUM ALB., BRYONIA, CALC. FLUOR., 557142220, 557142221, CAPSICUM, COLLINSONIA, CROTALUS HORRIDUS, HAMAMELIS, HYDROFLUORICUM ACIDUM, 557142457, 557142458, HYPERICUM, LACHESIS, LYCOPODIUM, MILLEFOLIUM, NAJA, NUX VOM., PAEONIA, 557144446, 557144447, PLANTAGO, QUERCUS GLANDIUM SP 557144797 ELAPS CORALLINUS, AGNUS, ANGELICA SINENSIS RADIX, ARSENICUM ALB., BRYONIA, 557142234, 557142235, CANTHARIS, CAULOPHYLLUM, CIMICIFUGA, CINCHONA, CROTALUS HORRIDUS, DAMIANA, 557142479, 557142480, GLONOINUM, HELONIAS DIOICA, IGNATIA, KALI CARB., LACHESIS, NAJA, NUX VOM., 557144456, 557144457, PHOSPHORUS, PULSATILLA, SALIX 557144800 ELAPS CORALLINUS, APIS MEL., ARSENICUM ALB., CANTHARIS, CINCHONA, COLCHICUM, 557142328, 557142329, CONVALLARIA, CROTALUS HORRIDUS, DIGITALIS, JUNIPERUS COM., LACHESIS, MERC. VIV., 557142432, 557144812 NAJA, NAT. CARB., NAT.SULPHURICUM, RHUS TOXICODENDRON, SAMBUCUS NIG., STROPHANTHUS HISPIDUS, THUJ ELAPS CORALLINUS, ARSENICUM ALB., BELLADONNA, BRYONIA, CARDUUS BENEDICTUS, 557142224, 557142225, CIMICIFUGA, COFFEA CRUDA, CONVALLARIA, CROTALUS HORRIDUS, DIGITALIS, GELSEMIUM, 557142453, 557142454, GLONOINUM, IGNATIA, LACHESIS, MERC. VIV., NAJA, NUX VOM., PHOSPHORUS, RHUS 557144444, 557144445, TOXICODENDRON, SANGUINARI 557144798 ELOTUZUMAB C9477, J9176 000032291, 000034522, 005902291, 005904522 EMOTIONAL HEALTH BOOSTER 646160087, 646160100 EPINEPHRINE, THYROID UNSPECIFIED, BOS TAURUS PITUITARY GLAND, ARSENIC TRIOXIDE, 434060612 OYSTER SHELL CALCIUM CARBONATE CRUDE, CONIUM MACULATUM FLOWERING TOP, CORTISONE ACETATE, CROTALUS HORRIDUS HORRIDUS VENOM, IRON, STRYCHNOS NUX- VOMICA SEED, PHOSPHORIC ACID, PHO EPIRUBICIN J9178 531040211, 553900207, 553900208, 617030347, 617030348

Drug name HCPCS Code(s) NDC(s) EPIRUBICIN HCL 000095091, 000095093, 001151675, 001439202, 001439203, 007033067, 007033069, 250210203, 459630608, 531500247, 531500250, 597625091, 597625093, 599230701, 617030359, 633230151, 667580042, 674570357, 674570358 EPITHELIA (BOVINE), ARSENICUM ALBUM, CALCAREA CARBONICA, GRAPHITES, MEZEREUM, 449110162 NATRUM MURIATICUM, NITRICUM ACIDUM, PETROLEUM, RHUS TOX, SULPHUR, CAUSTICUM EQUAL AMOUNTS OF EACH HPUS INGREDIENT IN 30C, 200C, 1M, LM1, LM2, LM3, LM4, AND 551380017, 700340001 LM5 POTENCIES ERIBULIN C9280, J9179 ERIBULIN MESYLATE 436240002, 628560389 ERLOTINIB 000937663, 000937664, 633040095, 633040096, 633040135 ERLOTINIB HCL 003787131, 003787132, 003787133, 422920051, 422920052, 422920053, 502420062, 502420063, 502420064, 519910890, 519910891, 519910892, 548685290, 548685447, 548685474, 691890063, 724850217, 724850218, 724850219 ESTRAMUSTINE PHOSPHATE SODIUM 000130132

Drug name HCPCS Code(s) NDC(s) ETOPOSIDE 000153061, 000153062, 000153084, 000153091, 000153095, 001439376, 001439510, 001439511, 001439512, 003783266, 007035653, 007035656, 007035657, 163640114, 167290114, 167290262, 426050031, 426050032, 426050033, 473510037, 473510038, 473510080, 553900291, 553900292 ETOPOSIDE J8560, J9181, 553900293, 553900491, J9182, WW030, 553900492, 553900493, WW031, 633230104, 680010265 WW032 ETOPOSIDE PHOSPHATE 000153404, 612690410 EUPHRASIA STRICTA, ALUMINUM OXIDE, ARSENIC TRIOXIDE, APIS MELLIFERA, TRIBASIC 687700143 CALCIUM PHOSPHATE, DELPHINIUM STAPHISAGRIA SEEDS, SULPHUR, CALENDULA OFFICINALIS FLOWERING TOP EUPHRASIA STRICTA, SPIGELIA ANTHELMIA, BILBERRY, ARSENIC TRIOXIDE, CALCIUM 434060073 FLUORIDE, CAUSTICUM, GELSEMIUM SEMPERVIRENS ROOT, MAGNESIUM CARBONATE, MERCURIUS SOLUBILIS, OSMIUM, PHOSPHORUS, PHYSOSTIGMA VENENOSUM SEED , SILICON DIOXIDE EVEROLIMUS J7527, J8561 000780414, 000780415, 000780417, 000780422, 000780566, 000780567, 000780594, 000780620, 000780626, 000780627, 000780628, 498840119, 498840125, 498840127 FAM-TRASTUZUMAB DERUXTECAN-NXKI 655970406

Drug name HCPCS Code(s) NDC(s) FEL TAURI, CHIONANTHUS VIRGINICA, ARSENICUM ALBUM, NUX VOMICA, PLATINUM 501810013, 694140002 METALLICUM FEL TAURI, CHIONANTHUS VIRGINICA, ARSENICUM ALBUM, NUX VOMICA, PLATINUM 575200239 METALLICUM FEL TAURI, CHIONANTHUS VIRGINICA, NUX VOMICA, ARSENICUM ALBUM, PLANTINUM 501810008 METALLICUM FEL TAURI, CHIONANTHUS VIRGINICA, NUX VOMICA, ARSENICUM ALBUM, PLATINUM 575200205 METALLICUM FERRUM PHOSPHORICUM, CAPSICUM ANNUUM, PYROGENIUM, ARSENICUM ALBUM 605129214, 663530921, 719719214 FERRUM PHOSPHORICUM, CAPSICUM ANNUUM, PYROGENIUM, ARSENICUM ALBUM, 597790208, 597790687, BELLADONNA 605129063, 605129163 FILIX MAS, GRANATUM, JUGLANS REGIA, RHAMNUS PURSHIANA, ABSINTHIUM, AESCULUS 575200505 HIPPOCASTANUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA FILIX MAS, GRANATUM, JUGLANS REGIA, RHAMNUS PURSHIANA, ABSINTHIUM, AESCULUS 449110009 HIPPOCASTANUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CINA, CUPRUM METALLICUM, IPECACUANHA, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NUX VOMICA FLOXURIDINE J9200 001439270, 005171940, 426050044, 553900135, 617030331, 633230145 FLU NAUSEA 641170956 FLUDARABINE J8562, J9185 000245820 FLUDARABINE PHOSPHATE 000699321, 007034852, 007035854, 242010237, 250210205, 250210237, 250210242, 459630609, 459630621, 599230604, 617030344, 633230192, 633230196, 667580046, 674570238, 674570268, 674570495

Drug name HCPCS Code(s) NDC(s) FLUOROURACIL 000690169, 000690173, 000690174, 000690176, 001873204, 001875200, 003784791, 003788078, 007033015, 007033018, 007033019, 101390063, 161100812, 163640276, 167290276, 216950829, 250210215, 281050421, 400330215, 435470258, 435470259, 473510033, 500904264, 507420423 FLUOROURACIL J9190 507420481, 507420482, 507420483, 516724062, 516724063, 516724118, 518620362, 525494118, 548686293, 597650276, 633230117, 643700421, 665300249, 665300252, 665300258, 667580044, 667580054, 680010266, 680830269, 680830270, 680830292, 680830293, 681520106 FOENICULUM VULGARE, FUCUS VESICULOSUS, LECITHIN, AMMONIUM CARBONICUM, 575200181 CAULOPHYLLUM THALICTROIDES, GALIUM APARINE, LAC DEFLORATUM, PHOSPHORUS, PHYTOLACCA DECANDRA, RUBUS IDAEUS, ABROTANUM FOOD SENSITIVITY REMEDY 617270051 GABA (GAMMA-AMINOBUTYRIC ACID), L-DOPA, NOREPINEPHRINE (BITARTRATE), SEROTONIN 449110493 (HCL), ADRENOCORTICOTROPHIN, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CALCAREA PHOSPHORICA, HYOSCYAMUS NIGER, LYCOPODIUM CLAVATUM

Drug name HCPCS Code(s) NDC(s) GABA, L-DOPA, NOREPINEPHRINE, SEROTONIN, ADRENOCORTICOTROPHIN, ANACARDIUM 449110099 ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CALCAREA PHOSPHORICA, HYOSCYAMUS NIGER, LYCOPODIUM CLAVATUM GABA, L-DOPA, NOREPINEPHRINE, SEROTONIN, ADRENOCORTICOTROPHIN, ANACARDIUM 717420001 ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CALCAREA PHOSPHORICA, HYOSCYAMUS NIGER, LYCOPODIUM CLAVATUM, STRAMONIUM GAMMA-AMINOBUTYRIC ACID, L-DOPA, NOREPINEPHRINE, SEROTONIN, 449110030 ADRENOCORTICOTROPHIN, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA GAMMA-AMINOBUTYRIC ACID, L-DOPA, NOREPINEPHRINE, SEROTONIN, 575200356 ADRENOCORTICOTROPIN, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CALCAREA PHOSPHORICA, HYOSCYAMUS NIGER, LY GARLIC, ECHINACEA ANGUSTIFOLIA, SOLIDAGO VIRGAUREA FLOWERING TOP, 434060588 TOXICODENDRON PUBESCENS LEAF, ONION, AMBROSIA ARTEMISIIFOLIA, APIS MELLIFERA, ARSENIC TRIOXIDE, ARSENIC TRIIODIDE, EUPHRASIA STRICTA, IODINE, HISTAMINE DIHCL, LYCOPODIUM CLAVATUM GEFITINIB J8565 003100482 GELSEMIUM SEMPERVIRENS ROOT, ARSENIC TRIOXIDE, ACONITUM NAPELLUS, SULFUR, 549733402 POTASSIUM PHOSPHATE, DIBASIC, PHOSPHORUS, SILVER NITRATE, STRYCHNOS IGNATII SEED AND ANAMIRTA COCCULUS SEED GELSEMIUM, ECHINACEA, BAPTISIA PHYTOLACCA DECANDRA, TINCTORIA, ARSENICUM 616570251 ALBUM, IRIDIUM, MERCURIUS CORROSIVUS, EUPATORIUM PERFOLIATUM, BRYONIA, FERRUM PHOSPHORICUM

Drug name HCPCS Code(s) NDC(s) GEMCITABINE 004090181, 004090182, 004090183, 007035775, 007035778, 007813282, 007813283, 167290391, 167290419, 167290423, 167290426, 250210239, 459630623, 459630624, 459630636, 507420496, 507420497, 507420498, 551110686, 551110687, 553900391, 578844001, 578844002, 627560008 GEMCITABINE J9201 627560073, 627560102, 627560219, 627560321, 627560438, 627560533, 627560614, 627560746, 627560974, 633230102, 633230125, 633230126, 680010342, 680010348, 680010350, 680010359 GEMCITABINE HCL 000027501, 000027502, 000693857, 000693858, 000693859, 004090185, 004090186, 004090187, 005913562, 005913563, 167140909, 167140930, 167290092, 167290117, 167290118, 231550213, 231550214, 231550483, 231550484, 231550528, 231550529, 250210208, 250210209, 250210234

Drug name HCPCS Code(s) NDC(s) GEMCITABINE HCL 250210235, 422360001, 422360002, 459630612, 459630619, 459630620, 473350153, 473350154, 605056113, 605056114, 605056115, 674570462, 674570463, 674570464, 674570616, 674570617, 674570618, 680010282, 680830148, 680830149, 690970313, 690970314, 708600204, 708600205 GEMCITABINE HCL 712880113, 712880114, 724850221, 724850222, 724850223 GEMTUZUMAB OZOGAMICIN J9203, J9300 000084510 GENTIANA LUTEA, ARSENICUM ALBUM, CINCHONA OFFICINALIS, COLOCYNTHIS, NUX 449110056 VOMICA, PHOSPHORUS, INTESTINAL MUCOSA GENTIANA LUTEA, ARSENICUM ALBUM, CINCHONA OFFICINALIS, COLOCYNTHIS, NUX 449110323, 717810005 VOMICA, PHOSPHORUS, SMALL INTESTINE (SUIS) GENTIANA LUTEA, SAMBUCUS NIGRA, ARSENICUM ALBUM, KALI BICHROMICUM, 449110455 LYCOPODIUM CLAVATUM, PHOSPHORUS, PULSATILLA (VULGARIS), BISMUTHUM SUBNITRICUM GENTIANA LUTEA, SAMBUCUS NIGRA, ARSENICUM ALBUM, KALI BICHROMICUM, 575200355 LYCOPODIUM CLAVATUM, PHOSPHORUS, PULSATILLA BISMUTHUM CARBONICUM GENTIANA LUTEA, SAMBUCUS NIGRA, ARSENICUM ALBUM, KALI BICHROMICUM, 449110029 LYCOPODIUM CLAVATUM, PHOSPHORUS, PULSATILLA, BISMUTHUM CARBONICUM GENTIANA LUTEA, SAMBUCUS NIGRA, SENNA, STOMACH (BOVINE), ARSENICUM ALBUM, 437720001 ATROPINUM SULPHURICUM, CARBO VEGETABILIS

Drug name HCPCS Code(s) NDC(s) GENTIANA LUTEA, SAMBUCUS NIGRA, STOMACH (SUIS), SYMPHYTUM OFFICINALE, 449110425 ARSENICUM ALBUM, BISMUTHUM SUBNITRICUM, CARBO VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS GENTIANA LUTEA, SAMBUCUS NIGRA, SYMPHYTUM OFFICINALE, STOMACH (SUIS), 449110276 ARSENICUM ALBUM, BISMUTHUM SUBNITRICUM, CARBO VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS GERMANIUM SESQUIOXIDE, CUPRUM METALLICUM, MANGANUM METALLICUM, INTESTINE 438570372 (SUIS), LUNG (SUIS), CYSTEINUM, MANGANESE GLUCONATE, ALPHA-KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, CALCAREA CARBONICA, FUMARICUM ACIDUM, NATRUM OXALACETICUM, PHOSPHORUS GINKGO BILOBA, RUTA GRAVEOLENS, AGNUS CASTUS, ALLIUM SATIVUM, AMBRA GRISEA, 557142552 ANGELICA SINENSIS RADIX, ARALIA QUINQUEFOLIA, ARNICA MONTANA, ARSENICUM ALBUM, AVENA SATIVA, BAPTISIA TINCTORIA, BARYTA CARBONICA, BRYONIA, CANTHARIS, LACHESIS MUTUS, LYCOPODIUM C GLANDULA SUPRARENALIS SUIS, HYPOPHYSIS SUIS, HYPOTHALAMUS SUIS, OOPHORINUM 449110440 (SUIS), ORCHITINUM (BOVINE), PINEAL GLAND, THYROIDINUM, ARSENICUM ALBUM, BARYTA CARBONICA, NATRUM MURIATICUM, PHOSPHORICUM ACIDUM, PULSATILLA (PRATENSIS) GLANDULA SUPRARENALIS SUIS, OOPHORINUM (SUIS), ORCHITINUM (BOVINE), PITUITARIA 449110312 GLANDULA (SUIS), ARSENICUM ALBUM, BARYTA CARBONICA, NATRUM MURIATICUM, PHOSPHORICUM ACIDUM, PULSATILLA (PRATENSIS) GLYCERINUM, PHYTOLACCA DECANDRA, TARAXACUM OFFICINALE, ARSENICUM ALBUM, 449110359, 717810003 NITRICUM ACIDUM, NUX VOMICA, PETROLEUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, ACETYLSALICYLICUM ACIDUM, GLONOINUM, INSULINUM (SUIS), LITHIUM CARBONICUM, THYROIDINUM (SUIS), SALICYLICUM ACI GLYCERINUM, TARAXACUM OFFICINALE, PHYTOLACCA DECANDRA, ARSENICUM ALBUM, 449110528 NITRICUM ACIDUM, NUX VOMICA, PETROLEUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, ACETYLSALICYLICUM ACIDUM, GLONOINUM, INSULINUM (SUIS), LITHIUM CARBONICUM, THYROIDINUM (SUIS), ADRENOCORTICOTR

Drug name HCPCS Code(s) NDC(s) GLYCERINUM, TARAXACUM OFFICINALE, PHYTOLACCA DECANDRA, ARSENICUM ALBUM, 449110472 NITRICUM ACIDUM, NUX VOMICA, PETROLEUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, ACETYLSALICYLICUM ACIDUM, GLONOINUM, INSULINUM (SUIS), LITHIUM CARBONICUM, THYROIDINUM (SUIS), SALICYLICUM ACI GRANATUM, RHAMNUS PURSHIANA, JUGLANS REGIA, FILIX MAS, ABSINTHIUM, AESCULUS 449110471 HIPPOCASTANUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CINA, CUPRUM METALLICUM, IPECACUANHA, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NUX VOMICA, PULSATILLA (VULGARIS), RATANHIA, RHUS T HEART (SUIS), SMALL INTESTINE (SUIS), GERMANIUM SESQUIOXIDE, COBALTUM 438570148 METALLICUM, CYSTEINUM, MANGANUM METALLICUM, MANGANESE GLUCONATE, ALPHA- KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, AURUM METALLICUM, FUMARICUM ACIDUM, NATRUM OXALACETICUM, PHOSPHORUS HELLEBORUS COMP. A 489515116 HISTAMINUM HYDROCHLORICUM LACCANINUM, ARSENICUM ALB., BELLADONNA BRYONIA, 557142306 CAMPHORA, CISTUS CANADENSIS, DROSERA, HEPAR SULPH.CALC., HYDRASTIS, IGNATIA, IODIUM, KALI BIC., KALI IOD., NUX VOM., PHOSPHORUS, PULSATILLA, SABADILLA, SILICEA, STICTA, SULPHUR, TEUCRI HISTAMINUM HYDROCHLORICUM, LAC CANINUM, ARSENICUM ALB., BELLADONNA, 557142307 BRYONIA, CAMPHORA, CISTUS CANADENSIS, DROSERA, HEPAR SULPH.CALC., HYDRASTIS, IGNATIA, IODIUM, KALI BIC., KALI IOD., NUX VOM., PHOSPHORUS, PULSATILLA, SABADILLA, SILICEA, STICTA, SULPHUR, T HISTAMINUM HYDROCHLORICUM, THYROIDINUM, ACONITUM NAP., ARSENICUM ALB., 557142302, 557142303, BRYONIA, CACTUS, CALC. FLUOR., CEANOTHUS, CINCHONA, CONVALLARIA, DIGITALIS, 557142404 GELSEMIUM, GLONOINUM, HYDROCOYLE, KALI CARB., LACHESIS, NAJA, NAT CARB., NAT MUR., NUX VOM., PHOSPHORUS, PULL HOMEOPATHIC LIQUID 645780067, 645780077 HOMEPATHIC RX 459840004 HUMULUS LUPULUS, PASSIFLORA INCARNATA, VALERIANA OFFICINALIS, AMBROSIA 438570379 ARTEMISIAEFOLIA, ARSENICUM ALBUM, COFFEA TOSTA, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORICUM ACIDUM, SILICEA

Drug name HCPCS Code(s) NDC(s) HYDRASTIS CANADENSIS, THUJA OCCIDENTALIS, ARSENICUM ALBUM, CALCAREA IODATA, 557144769 CARBO ANIMALIS, CONIUM MACULATUM, GRAPHITES, HYDRASTIS CANADENSIS, IODIUM, KREOSOTUM, LACHESIS MUTUS, PHOSPHORUS, SABINA, SECALE CORNUTUM, SEPIA, SILICEA, THLASPI BURSA-PASTORIS HYDROCORTISONE (CORTISOL), HISTAMINUM HYDROCHLORICUM, ADENOSINUM 437420415 TRIPHOSPHORICUM DINATRUM, ASCORBIC ACID, PYRIDOXINUM HYDROCHLORICUM, RIBOFLAVINUM, SARCOLACTICUM ACIDUM, SPLEEN (SUIS), STOMACH (SUIS), CORTISONE ACETICUM, ARSENICUM ALBUM, CALCAREA CARBONIC HYDROCOTYLE ASIATICA, LAPPA MAJOR, ARSENICUM ALBUM ARSENICUM IODATUM, BORAX, 449110366 GRAPHITES, MEZEREUM, NATRUM MURIATICUM, PETROLEUM, PHYTOLACCA DECANDRA, SEPIA, KALI ARSENICOSUM IBRITUMOMAB A9543 IBRITUMOMAB TIUXETAN 681520103, 728930007 IBRUTINIB 579620014, 579620070, 579620140, 579620280, 579620420, 579620560 IDARUBICIN J9211 IDARUBICIN HCL 000132576, 000132586, 000132596, 001439217, 001439218, 001439219, 001439306, 001439307, 001439308, 007034154, 007034155, 007034156, 531500336, 531500386, 531500411, 633230194, 667580055 IDELALISIB 619581701, 619581702

Drug name HCPCS Code(s) NDC(s) IFOSFAMIDE 000150556, 000150557, 000694495, 000694496, 001439530, 001439531, 003383991, 003383993, 007033427, 007033429, 007034100, 007034106, 007034116, 100190925, 100190926, 100190927, 100190929, 426050025, 426050026, 473510032, 553900047, 553900048, 633230142, 633230174 IFOSFAMIDE J9208 674570429, 674570443, 674570609 IMATINIB S0088 003782245, 003782246, 422920043, 422920044, 435980344, 435980345, 514070269, 514070270, 548685289, 548685427, 651620794, 651620795, 681800390, 681800391

Drug name HCPCS Code(s) NDC(s) IMATINIB MESYLATE 000540248, 000540249, 000780401, 000780438, 000780649, 000937629, 000937630, 009046621, 009046901, 167140704, 167140705, 422910351, 422910352, 473350472, 473350475, 502680426, 502680427, 519910376, 519910377, 604290925, 604290926, 605052900, 605052901, 606870192 IMATINIB MESYLATE 606870203, 646790793, 646790794, 668280030, 678770633, 678770634, 691890403, 724850202, 724850203, 726060556, 726060557 IMMUNE SYSTEM BOOSTER 646160084 INFLUENZA A VIRUS, INFLUENZA B VIRUS, ANTIMON. TART., ARSENICUM ALB., BRYONIA, 557144406, 557144407 CAMPHORA, CHELIDONIUM MAJUS, CINCHONA, DROSERA, EUCALYPTUS, HEPAR SULPH. CALC., HISTAMINUM HYDROCHLORICUM, IPECAC., KALI BIC., KALI CARB., KALI IOD., LYCOPODIUM, MYRRHA, NATRUM INFLUENZA A VIRUS, INFLUENZA B VIRUS, ANTIMON. TART., ARSENICUM ALB., BRYONIA, 557142202, 557142203, CHELIDONIUM MAJUS, CINCHONA, DROSERA, EUCALYPTUS, HISTAMINUM 557142376, 557142377, HYDROCHLORICUM, HYDRASTIS, KALI BIC., KALI CARB., KALI IOD., MYRRHA, NAT. 557142414, 557142415, SULPHURICUM, NUX VOM., PHOSPHORUS, PULSATI 557144767, 557148015, 557148017 INFLUENZA A VIRUS, INFLUENZA B VIRUS, ARALIA QUINQUEFOLIA, ARSENICUM ALB., 557142204, 557142205, BRYONIA, EUPHRASIA, GAULTHERIA PROCUBENS, GELSEMIUM, HEPAR SULPH. CALC., 557142406, 557142407, HISTAMINUM HYDROCHLORICUM, HYDRASTIS, KALI BIC., MERC. VIV., PHOSPHORUS, 557148007 PULSATILLA, RHUS TOXICODENDRON, SA

Drug name HCPCS Code(s) NDC(s) INFLUENZA A VIRUS, INFLUENZA B VIRUS, HISTAMINUM HYDROCHLORICUM, ACONITUM 557142208, 557142209, NAP., ARALIA QUINQUEFOLIA, ARSENICUM ALB., BAPTISIA, BRYONIA, CINCHONA, 557142442, 557142443, EUPATORIUM PERF., GELSEMIUM, IPECAC., KALI CARB., NUX VOM., PHOSPHORUS, RHUS 557144821 TOXICODENDRON, ECHINACEA INFLUENZA A VIRUS, INFLUENZA B VIRUS, MORBILLINUM, ACONITUM NAP., ANTIMON. TART., 557144554, 557144555 ARNICA, ARSENICUM ALB., BAPTISIA, BELLADONNA, BRYONIA, CANTHARIS, CHAMOMILLA, GAULTHERIA PROCUMBENS, HEPAR SULPH. CALC., IODIUM, LACHESIS, LYCOPODIUM, MERC.VIV., PHOSPHORUS INFLUENZINUM (COMBO), HISTAMINUM HYDROCHLORICUM, ACONITUM NAP., ARALIA 557144410, 557144411, QUINQUEFOLIA, ARSENICUM ALB., BAPTISIA, BRYONIA, CINCHONA, EUPATORIUM PERF., 557144698 GELSEMIUM, IPECAC., KALI CARB., NUX VOM., PHOSPHORUS, RHUS TOXICODENDRON, ECHINACEA INFLUENZINUM, ACONITUM NAP., ARALIA QUINQUEFOLIA, ARSENICUM ALB., BRYONIA, 557141502, 557141702 EUPHRASIA, GAULTHERIA PROCUMBENS, GELSEMIUM, HISTAMINUM HYDROCHLORICUM, HYDRASTIS, KALI BIC., LYCOPODIUM, NUX VOM., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, SALVIA, STICTA, THUJ INFLUENZINUM, ACONITUM NAP., ARSENICUM ALB., BELLADONNA, BRYONIA, CAMPHORA, 557141503, 557141703 CINA, CINCHONA, EUPATORIUM PERF., FERRUM PHOSPHORICUM, GELSEMIUM, HEPAR SULPH. CALC., IGNATIA, NAT. MUR., NUX VOM., PHOSPHORUS, PULSATILLA, SALIX NIGRA, VERATRUM VIRIDE, CHAMOMILLA INFLUENZINUM, ANTHRACINUM, ARNICA, BELLADONNA, ACONITUM NAP., ARSENICUM ALB., 557142368, 557142369, BAPTISIA, BRYONIA, HEPAR SULPH. CALC., IODIUM, LACHESIS, LYCOPODIUM, MERC. VIV., NUX 557142410, 557142558, VOM., PHOS., PULSATILLA, RHUS TOX., APIS MEL., ECHINACEA, HYDRASTIS, THUJA OCC., 557144634, 557144635 AARICUS MUS INFLUENZINUM, ANTIMON. TART., ARSENICUM ALB., BRYONIA, CHELIDONIUM MAJUS, 557141501, 557141518, CINCHONA, DROSERA, EUCALYPTUS, HISTAMINUM HYDROCHLORICUM, HYDRASTIS, KALI BIC., 557141536, 557141701, KALI CARB., KALI IOD., MYRRHA, NAT. SULPHURICUM, NUX VOM., PHOSPHORUS, PULSATILLA, 557141718, 557141736 RUMEX CRISP., SAMB INFLUENZINUM, ARALIA QUINQUEFOLIA, ARSENICUM ALB., BRYONIA, EUPHRASIA, 557144420, 557144421 GAULTHERIA PROCUMBENS, GELSEMIUM, HEPAR SULPH. CALC., HISTAMINUM HYDROCHLORICUM, HYDRASTIS, KALI BIC., MERC. VIV., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, SABADILLA, SALVIA, STICTA

Drug name HCPCS Code(s) NDC(s) INFLUENZINUM, MORBILLINUM, PERTUSSINUM, ACONITUM NAP., ALUMINA, ANTIMON. 557141515, 557141517, TART., ARSENICUM ALB., BAPTISIA, BELLADONNA, BRYONIA, CINCHONA, CROTALUS 557141533, 557141715, HORRIDUS, GELSEMIUM, KALI BIC., LACHESIS, LEDUM, MERC. VIV., MEZEREUM, NUX VOM., 557141717, 557141733, PHOSPHORUS, PULSATILLA, RHUS 557144490, 557144491, 557144636, 557144637, 557144750 INFLUENZINUM, PYROGENIUM, ANTHRACINUM, ARNICA, BELLADONNA, CANTHARIS, 557144631 ACONITUM NAP., ARSENICUM ALB., BAPTISIA, BRYONIA, HEPAR SULPH. CALC., IODIUM, LACHESIS, MERC. VIV., NUX VOM., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, APIS MEL., ECHINACEA, HYDRASTIS INFLUENZINUM, TELLURIUM METALLICUM, APIS MEL, ARSENICUM ALB., BELLADONNA, 557144416, 557144417 BRYONIA, CAPSICUM, CAUSTICUM, CINCHONA, CONIUM, DULCAMARA, FERRUM PHOSPHORICUM, HEPAR SULPH. CALC., KALI SULPH., LYCOPODIUM, MERC. VIV., MEZEREUM, PHOSPHORUS, PLANTAGO, PULSATILLA INFLUENZINUM, TELLURIUM METALLICUM, APIS MEL., ARSENICUM ALB., BELLADONNA, 557141504, 557141704 BRYONIA, CAPSICUM, AUSTICUM, CINCHONA, CONIUM, DULCAMARA, FERRUM PHOSPHORICUM, HEPAR SULPH. CALC., KALI SULPH., YCOPODIUM, MERC. VIV., MEZEREUM, PHOSPHORUS, PLANTAGO, PULSATILLA, SILI INFLUENZINUM, TELLURIUM METALLICUM, APIS MEL., ARSENICUM ALB., BELLADONNA, 557142210, 557142211, BRYONIA, CAPSICUM, CAUSTICUM, CINCHONA, CONIUM, DULCAMARA, FERRUM 557142424, 557142425, PHOSPHORICUM, HEPAR SULPH. CALC., KALI SULPH., LYCOPODIUM, MERC. VIV., MEZEREUM, 557144784 PHOSPHORUS, PLANTAGO, PULSATILLA INOTUZUMAB OZOGAMICIN C9028, J9229 000080100 IPILIMUMAB C9284, J9228 000032327, 000032328, 005902327, 005902328, 669142327, 669142328 IRINOTECAN C9474, J9205, 531040151, 578843001, J9206 578843002

Drug name HCPCS Code(s) NDC(s) IRINOTECAN HCL 000091111, 000097529, 001439583, 001439701, 001439702, 007034432, 007034434, 150540043, 167140725, 167140726, 231550179, 250210214, 250210230, 459630614, 473350937, 473350953, 507420401, 507420402, 599230702, 599230714, 599230715, 599230716, 605056128, 617030349 IRINOTECAN HCL 633230193, 667580048, 671840511, 671840512, 671840513, 680010284, 680830382, 691710398, 724850211, 724850212 IRINOTECAN HYDROCHLOIDE 680830381 IRIS VERSICOLOR, ARSENICUM ALBUM 691520089 IRIS VERSICOLOR, SOLIDAGO VIRGAUREA, ANTIMONIUM CRUDUM, APIS MELLIFICA, 557142422, 557142423, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BLATTA ORIENTALIS, BROMIUM, BRYONIA, 557144796 CANDIDA ALBICANS, CARDUUS BENEDICTUS, CAT HAIR, CHELIDONIUM MAJUS, CINCHONA OFFICINALIS, DOG HAIR, HISTAMINUM IXABEPILONE J9207 000151910, 000151911, 700201910, 700201911 IXAZOMIB 630200078, 630200079, 630200080 JUGLANS REGIA, ABROTANUM, AESCULUS HIPPOCASTANUM, ALLIUM SATIVUM, ARSENICUM 557142495, 557142496 ALBUM, ARTEMISIA VULGARIS, BAPTISIA TINCTORIA, CINA, CUPRUM METALLICUM, FILIX MAS, GRANATUM, IPECACUANHA, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NAPHTHALINUM, NATRU

Drug name HCPCS Code(s) NDC(s) KALI GLUCONICUM, ADRENALINUM, HEPAR (BOVINUM), ARSENICUM ALBUM, PHOSPHORUS, 575200014 PULSATILLA, SULPHUR, HISTAMINUM HYDROCHLORICUM, SHEEP SORREL, YELLOW DOCK, JUNE GRASS, ORCHARD GRASS, RED TOP GRASS, TIMORTHY GRASS, SOLIDAGO VIRGAUREA, TRIFOLIUM PRATENSE, FALSE KALI PHOSPHORICUM, AMBRA GRISEA, CACAO, LITHIUM CARBONICUM, PHOSPHORICUM 437421049, 437421206, ACIDUM, ARNICA MONTANA, ACONITUM NAPELLUS, CALCAREA CARBONICA, CEREBRUM 437421229 SUIS, GLANDULA SUPRARENALIS SUIS, ARGEMONE MEXICANA, ARSENICUM ALBUM, CICUTA VIROSA, HYOSCYAMUS NIGER, IGNATIA KALI PHOSPHORICUM, AMBRA GRISEA, CACAO, PHOSPHORICUM ACIDUM, ARNICA 437421322 MONTANA, CALCAREA CARBONICA, CEREBRUM SUIS, GLANDULA SUPRARENALIS SUIS, LITHIUM CARBONICUM, ACONITUM NAPELLUS, ARGEMONE MEXICANA, ARSENICUM ALBUM, CICUTA VIROSA, HYOSCYAMUS NIGER, IGNATIA LACHESIS MUTA VENOM, MATRICARIA RECUTITA, MAGNESIUM CARBONATE, ARSENIC 663430033 TRIOXIDE, AND SUS SCROFA PITUITARY GLAND LACHESIS MUTA VENOM, SILICON DIOXIDE, SODIUM CHLORIDE, RANUNCULUS BULBOSUS, 582640118 ACONITUM NAPELLUS, ACTIVATED CHARCOAL, NITROGLYCERIN, OYSTER SHELL CALCIUM CARBONATE, CRUDE, ANEMONE PRATENSIS, PLANTAGO MAJOR, ARSENIC TRIOXIDE, AND MAGNESIUM PHOSPHATE, DIBASIC LAPATINIB 000780671, 001730752 LAPPA MAJOR, PHYTOLACCA DECANDRA, TRIFOLIUM PRATENSE, HYDROCOTYLE ASIATICA, 438570252, 438570497 ARSENICUM ALBUM, GRAPHITES, MEZEREUM LAPPA MAJOR, PHYTOLACCA DECANDRA, TRIFOLIUM PRATENSE, HYDROCOTYLE ASIATICA, 575200090 ARSENICUM ALBUM, GRAPHITES, MEZEREUM LENALIDOMIDE 595720402, 595720405, 595720410, 595720415, 595720420, 595720425 LENVATINIB 628560704, 628560708, 628560710, 628560712, 628560714, 628560718, 628560720, 628560724

Drug name HCPCS Code(s) NDC(s) LEONURUS CARDIACA, AGARICUS MUSCARIUS, ARSENICUM ALBUM, COCCULUS INDICUS, 438570201, 575200532 CONIUM MACULATUM, PETROLEUM, PHOSPHORUS, PULSATILLA, TABACUM, THERIDION LETROZOLE AND RIBOCICLIB 000780909, 000780916, 000780923 LIVER ASSIT 646160097 LOBELIA INFLATA, LUNG (SUIS), SYMPHYTUM OFFICINALE, ARSENICUM ALBUM, BLATTA 449110374, ORIENTALIS, BRYONIA (ALBA), PHOSPHORUS, SILICEA, SULPHUR LOBELIA INFLATA, SYMPHYTUM OFFICINALE, LUNG (SUIS), ARSENICUM ALBUM, BLATTA 449110252 ORIENTALIS, BRYONIA (ALBA), PHOSPHORUS, SILICEA, SULPHUR LOBELIA INFLATA, VERBASCUM THAPSUS, BALSAMUM PERUVIANUM, ANTIMONIUM 449110254 TARTARICUM, ARSENICUM ALBUM, DROSERA (ROTUNDIFOLIA), KALI BICHROMICUM, KALI CARBONICUM, NATRUM SULPHURICUM, PHOSPHOROUS, SPONGIA TOSTA LOMUSTINE S0178 000153030, 000153031, 000153032, 581813030, 581813031, 581813032, 581813040, 581813041, 581813042, 581813043 MANGANUM METALLICUM, GERMANIUM SESQUIOXIDE, FEL TAURI, HEPAR SUIS, GINKGO 438570249 BILOBA, CYSTEINUM, MANGANESE GLUCONATE, ALPHA-KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, FUMARICUM ACIDUM, PHOSPHORUS, SODIUM OXALATE, SULPHUR MECHLORETHAMINE J9230 MECHLORETHAMINE HCL 424270002, 552920911, 662150016, 696390120 MELPHALAN J8600, J9245, 001730045, 526090001, WW080, 548684339, 595720302, WW081 681520109, 728930001

Drug name HCPCS Code(s) NDC(s) MELPHALAN HCL 101390321, 250210221, 420230149, 435980392, 459630686, 526093001, 633230760, 674570195, 674570215, 674570579, 680830259, 708600214, 712880112, 722660128 MELPHALAN USP, 2 MG 477810200 MERCAPTOPURINE S0108 000544581, 003783547, 498840922, 548685282, 690760913, 691894581 METHOTREXATE 000690146, 000690147, 000690148, 000690149, 000690181, 001439367, 001439516, 001439517, 001439518, 001439519, 001439830, 003780014, 005550572, 009046012, 167290277, 422540110, 422910594, 430630439, 500900294, 500902345, 510790670, 512850366, 512850367, 512850368

Drug name HCPCS Code(s) NDC(s) METHOTREXATE 512850369, 514070121, 526522001, 544360010, 544360012, 544360015, 544360017, 544360020, 544360022, 544360025, 544360075, 545691818, 548680173, 552890924, 591370505, 591370510, 591370515, 591370520, 591370525, 591370530, 591370535, 591370540, 591370545, 591370550 METHOTREXATE J8610, J9250, 617030350, 617030408, J9260 617860417, 663360338, 672530320, 672530580, 674570221, 674570466, 674570467, 674570480, 674570485, 674570486, 683820775, 692381423, 705180223, 705181398, 707711058, 713350782, 713351118 METHOTREXATE SODIUM 000544550, 000548550, 000690204, 007033671, 007033675, 007033678, 216950111, 473350235, 493490314, 493490406, 500903418, 548683826, 633230121, 633230122, 633230123, 636291472, 667580040, 667580041, 674570465, 705181251, 758400111

Drug name HCPCS Code(s) NDC(s) MILK THISTLE, DYSPHANIA AMBROSIOIDES, BOS TAURUS BILE, GOLDEN SEAL, POTASSIUM 434060616 TARTRATE HEMIHYDRATE, TARAXACUM OFFICINALE, IODINE, ARSENIC TRIOXIDE, OSTER SHELL CALCIUM CARBONATE, CRUDE, LYCOPODIUM CLAVATUM SPORE, MAGNESIUM CHLORIDE, MERCURIUS SOLUBILIS, S MILTEFOSINE 617440050, 690510300 MINIUM FORMICA SPECIAL ORDER 489517130 MITOMYCIN 000153001, 000153002, 000153059, 001439279, 001439280, 163640108, 163640115, 163640116, 167290108, 167290115, 167290116, 167290246, 167290247, 167290248, 426050045, 426050046, 473510035, 473510073, 473510074, 497710002, 553900251, 553900252, 553900253, 553900451 MITOMYCIN J9280, J9290, 553900452, 553900453, J9291 597650108, 597650115, 597650116, 674570518, 674570519, 674570520, 680010389, 680010390, 680010391, 694480001, 694480002, 694480003 MITOTANE 000153080, 611260103, 763360080 MITOXANTRONE J9293 007034680, 007034685, 007034686, 553900083, 553900084, 553900085 MITOXANTRONE HCL 000690080, 617030343, 633230132

Drug name HCPCS Code(s) NDC(s) MOGAMULIZUMAB-KPKC 427470761 NATURAL MEDICINE 579555030, 579555053, 579555080, 579555163, 579555168, 579556044, 579556235, 579556321, 579556490 NECITUMUMAB C9475, J9295 000027716 NELARABINE J9261 000074401, 000780683, 633790011 NERATINIB 704370240 NICOTIANA CARBO 489517071, 489517072 NILOTINIB 000780526, 000780592, 000780951 NINTEDANIB 005970143, 005970145 NIRAPARIB 696560103 NIVOLUMAB C9453, J9299 000033734, 000033772, 000033774, 005903772, 005903774, 621950610, 621950611, 621950612 NOT APPLICABLE 437420376, 437720040, 438570255, 449110100, 449110112, 449110113, 449110114, 449110122, 449110125, 493040015, 508130009, 610620006 NUX VOMICA, BRYONIA, IPECACUANHA, SULPHUR, ARSENICUM ALBUM, PULSATILLA, 605122007 ROBINIA PSEUDOACACIA NUX VOMICA, KALI ARSENICUM, BERBERIS VULGARIS, GRAPHITES, ARSENICUM ALBUM, 105780038 HEPAR SULPHURIS CALCAREUM, ARSENICUM SULPHURATUM RUBRUM

Drug name HCPCS Code(s) NDC(s) NUX VOMICA, ARSENICUM ALBUM, CINCHONA OFFICINALIS, CAPSICUM ANNUUM, NITRIC 616571026 ACID, MERCURIUSCORROSIVUS, BELLADONNA, CAJUPUTUM, LYCOPODIUM CLAVATUM, PHOSPHORUS, PHYTOLACCA DECANDRA, RHAMNUS PURSHIANA, FRAGARIA VESCA OBINUTUZUMAB C9021, J9301 502420070 OFATUMUMAB J9302 000780669, 000780690, 001730808, 001730821, 633790023 OLAPARIB 003100657, 003100668, 003100679 OLARATUMAB C9485, J9285 000027190, 000028926 OMACETAXINE C9297, J9262 OMACETAXINE MEPESUCCINATE 634590177 ONION - ARSENIC TRIOXIDE - FERROSOFERRIC PHOSPHATE - CANIS LUPUS FAMILIARIS MILK - 472420011 SODIUM CHLORIDE - STRYCHNOS NUX-VOMICA SEED - ONION, AMBROSIA ARTEMISIIFOLIA, ARSENIC TRIOXIDE, ACTIVATED CHARCOAL, EUPHRASIA 434060002 STRICTA, STRYCHNOS NUX-VOMICA SEED, PULSATILLA VULGARIS, SOLIDAGO VIRGAUREA FLOWERING TOP, SULFUR OSIMERTINIB 003101349, 003101350 OXALIPLATIN 000240590, 000240591, 000240596, 000240597, 000690067, 000690070, 000690074, 000691010, 005171910, 005171920, 007033985, 007033986, 007813315, 007813317, 007819315, 007819317, 009551725, 009551727, 009551731, 009551733, 125160592, 128540549, 128540551, 167140727

100

Drug name HCPCS Code(s) NDC(s) OXALIPLATIN 167140728, 167290332, 181110005, 181110011, 250210211, 250210212, 250210233, 416160176, 416160178, 430660014, 430660018, 459630611, 459630637, 459630638, 473350046, 473350047, 473350176, 473350178, 473510006, 473510007, 473510057, 477810591, 477810592, 507420405 OXALIPLATIN 507420406, 510230363, 519910218, 519910219, 519910922, 519910923, 540870363, 551500331, 551500332, 572770001, 572770002, 578843051, 578843052, 597650332, 605056132, 617030361, 617030362, 617030363, 633230175, 633230176, 633230211, 633230212, 633230650, 633230750

101

Drug name HCPCS Code(s) NDC(s) OXALIPLATIN 667580053, 671840501, 671840502, 671840508, 671840509, 671840510, 674570442, 674570468, 674570469, 674570476, 680010341, 680830170, 680830171, 680830176, 680830177, 680830271, 680830272, 680830314, 690970274, 690970353, 690970572, 690970594, 708600201, 712880101 OXALIPLATIN J9263 722660125, 722660126, 726030101, 726030301 PACLITAXEL 000153475, 000153476, 000153479, 000444953, 000690076, 000690078, 000690079, 001723754, 007034764, 007034766, 007034767, 007034768, 167290098, 181110007, 250210213, 430660134, 445670504, 445670505, 445670506, 459630613, 473510009, 477810593, 477810594, 477810595

102

Drug name HCPCS Code(s) NDC(s) PACLITAXEL 519910936, 519910937, 519910938, 528180001, 528180002, 540870342, 553900114, 553900304, 553900314, 597650098, 611260514, 611260515, 611260516, 617030342, 633230763, 667580043, 674570434, 674570449, 674570471, 680830178, 680830179, 680830180, 680830326, 680830327 PACLITAXEL J9264, J9265, 680830328, 688170134, J9267 708600200, 708600215 PALBOCICLIB 000690187, 000690188, 000690189, 538690187, 538690188, 538690189, 635390187, 635390188, 635390189 PANCREAS, STOMACH, ARSENICUM ALBUM, GRAPHITES, LYCOPODIUM CLAVATUM, NUV 449110073 VOMICA, PHOSPHORUS, SYZYGIUM JAMBOLANUM PANCREAS, STOMACH, ARSENICUM ALBUM, GRAPHITES, LYCOPODIUM CLAVATUM, NUX 575200415 VOMICA, PHOSPHORUS, SYZYGIUM JAMBOLANUM PANITUMUMAB J9303 555130954, 555130955, 555130956 PANOBINOSTAT 000780650, 000780651, 000780652, 731160100, 731160101, 731160102 PARATHYROID BOOSTER 646160102

103

Drug name HCPCS Code(s) NDC(s) PASSIFLORA INCARNATA, GLANDULA SUPRARENALIS SUIS, THYROIDINUM (BOVINE), ARANEA 449110251 DIADEMA, ARNICA MONTANA, ARSENICUM ALBUM, HYPERICUM PERFORATUM, LACHESIS MUTUS, PHYSOSTIGMA VENENOSUM, ZINCUM PICRICUM PASSIFLORA INCARNATA, SCUTELLARIA LATERIFLORA, VALERIANA OFFICINALIS, ARSENICUM 449110077 ALBUM, CALCAREA CARBONICA, COFFEA CRUDA PASSIFLORA INCARNATA, SCUTELLARIA LATERIFLORA, VALERIANA OFFICINALIS, ARSENICUM 575200304 ALBUM, CALCAREA CARBONICA, COFFEA CRUDA, IGNATIA AMARA, KALI PHOSPHORICUM LYCOPUS VIRGINICUS, STAPHYSAGRIA PASSIFLORA INCARNATA, VALERIANA OFFICINALIS, ACONITUM NAPELLUS, ANACARDIUM 557142522 ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, CYPRIPEDIUM PUBESCENS, GELSEMIUM SEMPERVIRENS, IGNATIA AMARA, KALI CARBONICUM, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, PHOSPHORUS, SA PAZOPANIB HCL 000780670, 001730804 PEGASPARGASE J9266 009443810, 009443922, 544820301, 726940954 PEMBROLIZUMAB C9027, J9271 000063026, 000063029 PEMETREXED J9305 PEMETREXED DISODIUM 000027623, 000027640 PENTOSTATIN J9268 004090801, 510230801, 553900244 PERTUZUMAB C9292, J9306 502420145 PHELLANDRIUM AQUATICUM, RUMEX CRISPUS, SAMBUCUS NIGRA, SENEGA OFFICINALIS, 627130911 LUNG, ARSENICUM ALBUM, CARBO VEGETABILIS, DROSERA ROTUNDIFOLIA, IPECACUANHA, PHOSPHORUS, PULSATILLA, SILICEA, SULPHUR PHENYLALANINE, TAURINE, NERVE (SUIS), ADENOSINUM TRIPHOSPHORICUM DINATRUM, 437420722 ASCORBIC ACID, CEREBRUM (SUIS), SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, MALVIN, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BELLADONNA, CALCAREA CARBONICA, CICUTA VIROSA PHENYLALANINE, TAURINE, NERVE(SUIS), ASCORBICUM ACIDUM, ATP, BRAIN(SUIS), 437420169 SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, MALVIN, APIS MELLIFICA, ARSENICUM ALBUM

104

Drug name HCPCS Code(s) NDC(s) PHOSPHORIC ACID, LYCOPODIUM CLAVATUM SPORE, SODIUM SULFATE, CLAVICEPS 582640040 PURPUREA SCLEROTIUM, URANYL NITRATE HEXAHYDRATE, PHASEOLUS VULGARIS WHOLE, AND ARSENIC TRIOXIDE PHOSPHORUS, CLAVICEPS PURPUREA SCLEROTIUM, ARSENIC TRIOXIDE, LACHESIS MUTA 663430018 VENOM, AND SUS SCROFA ADRENAL GLAND PHOSPHORUS, ARSENIC TRIOXIDE, LACHESIS MUTA VENOM, PHYTOLACCA AMERICANA ROOT, 616570377 BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA COMP. SPECIAL ORDER 489518322 PHYTOLACCA DECANDRA, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, AURUM 449110482 METALLICUM, KALI IODATUM, MERCURIUS SOLUBILIS, NITRICUM ACIDUM, THUJA OCCIDENTALIS PHYTOLACCA DECANDRA, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, AURUM 449110245 METALLICUM, MERCURIUS SOLUBILIS, NITRICUM ACIDUM, THUJA OCCIDENTALIS PHYTOLACCA DECANDRA, TRIFOLIUM PRATENSE, XANTHOXYLUM FRAXINEUM, ARSENICUM 438570002 ALBUM, BELLADONNA, CHELIDONIUM MAJUS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, ASPARTAME, BENZALKONIUM CHLORIDE, FORMALINUM, METHYLENE CHLORIDE, METHYLPARABEN, PROPYLPARABEN, SODIU PICRICUM ACIDUM, ARSENICUM ALBUM, AURUM METALLICUM, IGNATIA AMARA, NATRUM 438570538 MURIATICUM, NITRICUM ACIDUM, PULSATILLA (PRATENSIS), SEPIA PICRICUM ACIDUM, ARSENICUM ALBUM, AURUM METALLICUM, IGNATIA AMARA, NATRUM 438570216 MURIATICUM, NITRICUM ACIDUM, PULSATILLA (VULGARIS), SEPIA PICRICUM ACIDUM, ARSENICUM ALBUM, AURUM METALLICUM, IGNATIA AMARA, NATRUM 575200080 MURIATICUM, NITRICUM ACIDUM, PULSATILLA, SEPIA PLANTAGO MAJOR, ARSENICUM ALBUM, LUNG (BOVINE), SYMPHYTUM OFFICINALE, SILICEA, 438570190 PHELLANDRIUM AQUATICUM, PHOSPHORUS, SULPHUR PLANTAGO MAJOR, SYMPHYTUM OFFICINALE, TARAXACUM OFFICINALE, TRIFOLIUM 449110286 PRATENSE, ARSENICUM ALBUM, CADMIUM SULPHURATUM, IRIDIUM METALLICUM, LYCOPODIUM CLAVATUM, NITRICUM ACIDUM, NUX VOMICA, PHOSPHORICUM ACIDUM PLANTAGO MAJOR, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, SYMPHYTUM 449110442 OFFICINALE, ARSENICUM ALBUM, CADMIUM SULPHURATUM, IRIDIUM METALLICUM, LYCOPODIUM CLAVATUM, NITRICUM ACIDUM, NUX VOMICA, PHOSPHORICUM ACIDUM

105

Drug name HCPCS Code(s) NDC(s) PODOPHYLLUM PELTATUM, ARSENICUM ALBUM 691520069 POLIFEPROSAN 20 WITH CARMUSTINE IMPLANT 628560177 POMALIDOMIDE 595720501, 595720502, 595720503, 595720504 PONATINIB HCL 630200533, 630200534, 630200535, 761890533, 761890534, 761890535 POTASSIUM GLUCONATE, GLANDULA SUPRARENALIS BOVINE, HEPAR BOVINE, ARSENICUM 438570038 ALBUM, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, CORTISONE ACETICUM, HISTAMINUM HYDROCHLORICUM, HYALURONIDASE, INTERFERON (SUIS), SEROTONIN HCL, ALLIUM CEPA, AMYGDALA POTASSIUM GLUCONATE, GLANDULA SUPRARENALIS BOVINE, HEPAR BOVINE, ARSENICUM 438570526 ALBUM, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PEANUT, BLACK WALNUT, ENGLISH WALNUT, ALMOND, CASHEW, COCONUT, PECAN, BRAZIL NUT, TOMATO, POTATO (SOLANUM TUBEROSUM), BLACK PEPP POTASSIUM GLUCONATE, GLANDULA SUPRARENALIS BOVINE, HEPAR BOVINE, ARSENICUM 438570241 ALBUM, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PEANUT, BLACK WALNUT, JUGLANS REGIA, ALMOND, CASHEW, COCONUT, PECAN, BRAZIL NUT, LYCOPERSICUM ESCULENTUM, POTATO, BLACK PEPPER PRALATREXATE J9307 430660301, 488180001, 728930003, 728930005 PROCARBAZINE S0182 PROCARBAZINE HCL 544820053, 544820054 PULSATILLA, ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, EUPHRASIA OFFICINALIS, 605129077 SABADILLA, STICTA PULMONARIA, ARALIA RACEMOSA, CUPRUM METALLICUM PULSATILLA, ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, EUPHRASIA OFFINALIS, 719719066 SABADILLA, ARALIA RACEMOSA, CUPRUM METALLICUM PULSATILLA, ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, EUPHRASIA OFFINALIS, 663530907, 719719077 SABADILLA, STICTA PULMONARIA, ARAILA RACEMOSA, CUPRUM METALLICUM PULSATILLA, SEPIA, EUPHRASIA, ALUMINA, ARSENICUM ALBUM, NUX MOSCH, ZINCUM M 687700101, 687700103

106

Drug name HCPCS Code(s) NDC(s) PURIXAN 624840020 PYROGENIUM, ACONITUM NAP., ARG. NIT., ARSENICUM ALB., BAPTISIA, BRYONIA, CARBO 557142260, 557142261, VEG., CHAMOMILLA, CINCHONA, COLLINSONIA, COLOCYNTHIS, ELATERIUM, GELSEMIUM, 557142420, 557148014 IPECAC., IRIS VERSICOLOR, LYCOPODIUM, PODOPH. PELT., RAPHANUS, TABACUM, VACCINIUM, ZINGIBER, AESCULU PYROGENIUM, ANTIMON. CRUD., ARSENICUM ALB., BAPTISIA, BRYONIA, CARBO VEG., 557144438, 557144439 CHELIDONIUM MAJUS, CINCHONA, COLCHICUM, DAPHNE INDICA, IPECAC., IRIS VERSICOLOR, KALI CARB., KREOSOTUM, LACHESIS, LYCOPODIUM, MAG. CARB., MERC. VIV, NUX VOM., PHOSPHORUS, PULSATILLA PYROGENIUM, APIS MEL., ARANEA DIADEMA, ARNICA, ARSENICUM ALB, AZADIRACHTA 557144474, 557144475 INDICA, BRYONIA, CALADIUM SEGUINUM , CALENDULA, FORMICA, GRINDELIA, HYPERICUM , LACHESIS 15X, LATRODECTUS MACTANS, LEDUM, MEZEREUM , NUX VOM., PULEX IRRITANS, RHUS TOXICODENDRON, TA PYROGENIUM, APIS MEL., ARANEA DIADEMA, ARNICA, ARSENICUM ALB., AZADIRACHTA 557142274, 557142275, INDICA, BRYONIA, CALADIUM SEGUINUM, CALENDULA, FORMICA, GRINDELIA, HYPERICUM, 557142396, 557148003 LACHESIS, LATRODECTUS MACTANS, LEDUM, MEZEREUM, NUX VOM., PULEX IRRITANS, RHUS TOXICODENDRON, TARENTUL PYROGENIUM, ARSENICUM ALB., BAPTISIA, BRYONIA, CINCHONA, COLLINSONIA, IODIUM, IRIS 557144548, 557144549 VERSICOLOR, LACHESIS, LYCOPODIUM, NAT. CARB., NAT.MUR., NUX VOM., PHOSPHORUS, PODOPH. PELT., PULSATILLA, RHUS TOXICODENDRON, DIOSCOREA, ECHINACEA, URTICA UR. RADIUM RA 223 DICHLORIDE 504190208 RAMUCIRUMAB C9025, J9308 000027669, 000027678 RED ONION, HONEYBEE, ARSENIC TRIOXIDE, EYEBRIGHT, POISON NUT 105780101 REGORAFENIB 504190171 RIBOCICLIB 000780860, 000780867, 000780874 RITUXIMAB J9310, J9312 502420051, 502420053 RITUXIMAB AND HYALURONIDASE 502420108, 502420109 RITUXIMAB-ABBS 634590103, 634590104 RITUXIMAB-PVVR 000690238, 000690249

107

Drug name HCPCS Code(s) NDC(s) ROMIDEPSIN J9315 000690983, 007033125, 460260983, 595720983, 595720984 RUCAPARIB 696600201, 696600202, 696600203 RUTA GRAVEOLENS, VALERIANA OFFICINALIS, ADRENALINUM, ARSENICUM IODATUM, 557144770 AURUM METALLICUM, BARYTA CARBONICA, BRYONIA, CACTUS GRANDIFLORUS, CHELIDONIUM MAJUS, CINCHONA OFFICINALIS, CROTALUS HORRIDUS, DIGITALIS PURPUREA, GLONOINUM, KALI CARBONICUM, KALI IODA RUXOLITINIB 508810005, 508810010, 508810015, 508810020, 508810025 RYDAPT 000780698 SANICULA, ABROTANUM, ARGENTUM NITRICUM, ARSENICUM ALBUM, BARYTA CARBONICA, 241650001 BORAX, BRYONIA, CACTUS GRANDIFLORUS, CALCAREA FLUORICA, CALCAREA PHOSPHORICA, CALCAREA SULPHURICA, CHELIDONIUM MAJUS, CHOLESTERINUM, COFFEA CRUDA, CONIUM MACULATUM, DULCAMARA, FERR SARSAPARILLA, ARSENICUM ALBUM 691520118 SARSAPARILLA, SOLIDAGO VIRGAUREA, UVA URSI, APIS MELLIFICA, ARSENICUM ALBUM, 438570170 CANTHARIS, HEPAR SULPHURIS CALCAREUM SARSAPARILLA, SOLIDAGO VIRGAUREA, UVA URSI, APIS MELLIFICA, ARSENICUM ALBUM, 575200076 CANTHARIS, HEPAR SULPHURIS CALCAREUM SARSAPARILLA, UVA-URSI, ARSENICUM ALBUM, CANTHARIS, PAREIRA BRAVA, PULSATILLA, 575200417 SEPIA, TEREBINTHINA, POPULUS TREMULOIDES SARSAPARILLA, UVAURSI, ARSENICUM ALBUM, CANTHARIS, PAREIRA BRAVA, PULSATILLA, 449110086 SEPIA, TEREBINTHINA, POPULUS TREMULOIDES SILICON DIOXIDE, SULFUR, POTASSIUM DICHROMATE, ACTIVATED CHARCOAL, CALCIUM 549733403 SULFIDE, POTASSIUM BROMIDE, ARSENIC TRIOXIDE AND POTASSIUM CHLORIDE SILTUXIMAB C9455, J2860 578940420, 578940421, 730900420, 730900421

108

Drug name HCPCS Code(s) NDC(s) SILVER NITRATE, ARSENIC TRIOXIDE, ACTIVATED CHARCOAL, SILYBUM MARIANUM SEED, 272810011, 551380011 HERRING SPERM DNA, PORK LIVER, MERCURIC CHLORIDE, LEAD SILVER NITRATE, STRYCHNOS NUX-VOMICA SEED, LYCOPODIUM CLAVATUM SPORE, 582640005 SEMECARPUS ANACARDIUM JUICE, SCROPHULARIA NODOSA, ATROPA BELLADONNA, ARSENIC TRIOXIDE, ACTIVATED CHARCOAL, MATRICARIA CHAMOMILLA, AND CHELIDONIUM MAJUS SIPULEUCEL-T C9273, Q2043 302378900 SOLIDAGO VIRGAUREA FLOWERING TOP AND AMMI VISNAGA FRUIT AND BERBERIS 501144398 VULGARIS ROOT BARK AND ANHYDROUS CITRIC ACID AND CHONDRODENDRON TOMENTOSUM ROOT AND LYTTA VESICATORIA AND CALCIUM SULFIDE AND NITRI SOMATROPIN, LONG-(ARG3)INSULIN-LIKE GROWTH FACTOR-I, ARSENIC TRIOXIDE, SAW 582640145 PALMETTO, PLATINUM, OYSTER SHELL CALCIUM CARBONATE, CRUDE, BOS TAURUS ADRENAL CORTEX, BOS TAURUS PITUITARY GLAND, POSTERIOR, THYROID, UNSPECIFIED, AND BOS TAURUS HYPOTHALAMUS SONIDEGIB 000780645, 473350303 SPLEEN (SUIS), ARSENICUM ALBUM, CARBO VEGETABILIS, CEANOTHUS AMERICANUS, 449110261, 717420012 CHININUM SULPHURICUM, IGNATIA AMARA, IODIUM, NATRUM MURIATICUM, NITRICUM ACIDUM, PHOSPHORICUM ACIDUM, PHOSPHORUS SQUALENE, CHOLESTERINUM, ESTRADIOL, PROGESTERONE, ASPARTAME, BENZALKONIUM 438570384 CHLORIDE, FORMALINUM, METHYLENE CHLORIDE, METHYL PARABEN, PROPYL PARABEN, SODIUM BENZOATE, SODIUM CITRATE, TITANIUM DIOXIDE, ZINCUM OXYDATUM, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, N STREPTOZOCIN J9320 007034636 STRYCHNOS NUX-VOMICA SEED, ARSENIC TRIOXIDE, ACTIVATED CHARCOAL, SILVER NITRATE, 582640218 MARSDENIA CUNDURANGO WHOLE, TRIPE, AND SUS SCROFA DUODENUM SULPHUR, ARSENICUM ALBUM, ALUMEN, MAGNESIA SULPHURICUM, NATRUM 605126010 SULPHURICUM SULPHUR, STRYCHNOS NUX-VOMICA SEED, EUPHRASIA STRICTA, ALUMINUM OXIDE, ARSENIC 687700102, 687700104 TRIOXIDE, NUTMEG, ZINC SUNITINIB MALATE 000690550, 000690770, 000690830, 000690980

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Drug name HCPCS Code(s) NDC(s) TALIMOGENE LAHERPAREPVEC C9472, J9325 555130078, 555130079 TARAXACUM OFF, GALIUM APARINE, THUJA, ALOE, PHYTOLACCA, EUPHORBIUM 664920260 OFFICINARUM, ZINCUM METALLICUM, ARSENICUM ALBUM, VISCUM ALBUM, CONIUM MACULATUM, HISTAMINUM HYDROCHLORICUM, FORMICUM ACIDUM TARAXACUM OFFICINALE, BERBERIS VULGARIS, RHAMNUS PURSHIANA, RHEUM, CINA, 575200349 ARSENICUM ALBUM, ALOE SOCOTRINA, COLOSTRUM, GALLBLADDER, HEPAR BOVINUM TEA TREE ESSENTIAL OIL, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, PULSATILLA 438570520 (PRATENSIS). TEMOZOLOMIDE 000540320, 000540321, 000540322, 000540323, 000540324, 000540325, 000851366, 000851381, 000851417, 000851425, 000851430, 000851519, 000853004, 000937599, 000937600, 000937601, 000937602, 000937638, 000937639, 003785260, 003785261, 003785262, 003785263, 003785264 TEMOZOLOMIDE 003785265, 005271777, 005271778, 005271779, 005271780, 005271781, 005271782, 007812691, 007812692, 007812693, 007812694, 007812695, 007812696, 153380866, 153380867, 153380868, 163640048, 163640049, 163640050, 163640051, 163640129, 163640130, 167290048, 167290049

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Drug name HCPCS Code(s) NDC(s) TEMOZOLOMIDE 167290050, 167290051, 167290129, 167290130, 400510604, 400510605, 400510606, 400510607, 400510608, 400510609, 427370101, 427370102, 427370103, 427370104, 427370105, 427370106, 430660138, 439750252, 439750253, 439750254, 439750255, 439750256, 439750257, 473350890 TEMOZOLOMIDE 473350891, 473350892, 473350893, 473350929, 473350930, 502680761, 502680762, 502680763, 518620083, 518620084, 518620085, 518620086, 518620087, 518620088, 538330011, 538330012, 538330013, 538330014, 538330015, 538330016, 548684142, 548685348, 548685350, 548685354

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Drug name HCPCS Code(s) NDC(s) TEMOZOLOMIDE 548685980, 597650048, 597650049, 597650050, 597650051, 597650129, 597650130, 599230703, 599230704, 599230705, 599230706, 599230707, 599230708, 599230709, 599230710, 599230711, 599230712, 599230713, 621750240, 621750241, 621750242, 621750243, 621750244, 621750245 TEMOZOLOMIDE 641440501, 641440502, 641440503, 641440504, 641440505, 641440506, 649800333, 649800334, 649800335, 649800336, 649800337, 649800338, 651620801, 651620802, 651620803, 651620804, 651620805, 651620806, 678770537, 678770538, 678770539, 678770540, 678770541, 678770542 TEMOZOLOMIDE J8700, J9328, 683820751, 683820752, WW002, 683820753, 683820754, WW003, 683820755, 683820756, WW004, 691897638, 707711092, WW005, 707711093, 707711094, WW006, 707711095, 707711096, WW007, 707711097 WW008, WW009

112

Drug name HCPCS Code(s) NDC(s) TEMSIROLIMUS J9330 000081179, 167290223 TEMSIROLIMUS INJECTION 680830202 TENIPOSIDE Q2017 000153075, 445670507, 611260507 THALIDOMIDE 595720205, 595720210, 595720215, 595720220 THIOGUANINE 001730880, 763880880 THIOTEPA J9340 001439309, 001439565, 250210246, 426050015, 435980650, 539640001, 539640002, 553900030, 578843121, 680830361, 701211630, 701211631 THYREOIDEA BELLADONNA 489519010, 489519011 THYREOIDEA MELISSA 489519014, 489519015 TOPOTECAN J8705, J9350, 000780672, 000780673, J9351, WW140 004090302, 007034714, 163640243, 167290243, 250210236, 507420404, 667580051, 674570662 TOPOTECAN HCL 000074201, 000074205, 000074207, 000690075, 000780674, 167290151, 250210206, 250210824, 459630615, 553900370, 627560023, 633230762, 664350410, 674570474, 690970262, 712880127 TOSITUMOMAB A9545, G3001 000073260, 000073261, 000073262 TRABECTEDIN C9480, J9352 430660610, 596760610

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Drug name HCPCS Code(s) NDC(s) TRAMETINIB 000780666, 000780668, 001730848, 001730849 TRASTUZUMAB G9835, J9355 502420132, 502420134, 502420333, 674570847, 674570991 TRASTUZUMAB AND HYALURONIDASE-OYSK 502420077 TRASTUZUMAB-ANNS 555130132, 555130141 TRIFOLIUM PRATENSE, PETROLEUM, PHYTOLACCA DECANDRA, ARSENICUM ALBUM, 449110289 CHELIDONIUM MAJUS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORICUM ACIDUM, PHOSPHORUS, NITRICUM ACIDUM TRIFOLIUM PRATENSE, XANTHOXYLUM FRAXINEUM, PHYTOLACCA DECANDRA, ARSENICUM 438570487 ALBUM, BELLADONNA, CHELIDONIUM MAJUS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, ASPARTAME, BENZALKONIUM CHLORIDE, FORMALINUM, METHYLENE CHLORIDE, METHYLPARABEN, PROPYLPARABEN, SODIU TRITICUM AESTIVUM, BERBERIS VULGARIS, CHELIDONIUM MAJUS, TARAXACUM OFFICINALE, 437720029 ARSENICUM ALBUM, GLUTATHIONE, HEPAR SUIS, LYMPH (SUIS), PHOSPHORICUM ACIDUM, SPLEEN (SUIS), CHELONE GLABRA, GERMANIUM SESQUIOXIDE, HEPATITIS A NOSODE, HEPATITIS C NOSODE, HEPAT URICUM ACIDUM, ACONITUM NAP., APIS MEL., ARNICA, ARSENICUM ALB, BELLADONNA, 557142216, 557142217, BENZOICUM ACIDUM, BRYONIA, CALC. CARB., CHAMOMILLA, CINCHONA, COLCHICUM, 557142550, 557142551, EUPATORIUM PERF., GAULTHERIAPROCUMBENS, GUAIACUM, IODIUM, KALI BIC, KALMIA, 557144756, 557144757 LEDUM, PULSATILLA, RHUS TOXICODEN URTICA URENS, FERRUM METALLICUM, ARANEA DIADEMA, ARSENICUM ALBUM, INDIUM 449110320 METALLICUM, LACHESIS MUTUS, NATRUM MURIATICUM, PHOSPHORUS VALRUBICIN J9357 436240001, 679790001 VALRUBICIN INTRAVESICAL SOLUTION 242010101 VANDETANIB 003107810, 003107820, 003107830, 003107840, 584687820, 584687840 VEMURAFENIB 502420090, 719730090

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Drug name HCPCS Code(s) NDC(s) VENETOCLAX 000740561, 000740566, 000740576, 000740579 VINBLASTINE J9360 553900091 VINBLASTINE SULFATE 633230278 VINCRISTINE J9370, J9371, J9375, J9380 VINCRISTINE SULFATE 007034402, 007034412, 205360322, 617030309, 728930008 VINORELBINE J9390 000690099, 000690103, 000690205, 007034182, 007034183, 250210204, 459630607, 507420420, 507420427, 553900069, 553900070, 578843003, 617030341, 643700210, 643700250, 674570431, 674570479, 674570481, 674570482 VINORELBINE TARTRATE 000080045, 643700532, 667580045 VISMODEGIB 502420140 VORINOSTAT 000060568 WHITE OXIDE OF ARSENIC, BARBERRY, CLUB MOSS, ARBOR VITAE 105780005 WHITE OXIDE OF ARSENIC, POT MARIGOLD, SPANISH FLY, STINGING NETTLE 105780003 WHITE OXIDE OF ARSENIC, POTASSIUM HYDRATE, CARBONATE OF POTASSIUM, CLUB MOSS, 105780119 POISON OAK WORMWOOD, ARSENIC TRIOXIDE, GARLIC, AMOEBA PROTEUS, AMMONIUM PHOSPHATE, 582640107 DIBASIC, ACTIVATED CHARCOAL, CINCHONA OFFICINALIS BARK, AND VERATRUM ALBUM ROOT

115

Drug name HCPCS Code(s) NDC(s) ZINGIBER OFFICINALE, CYCLAMEN EUROPAEUM, IPECACUANHA, IRIS VERSICOLOR, LAC 437421094 DEFLORATUM, LACTICUM ACIDUM, TABACUM, PETROLEUM, EUPHORBIA COROLLATA, ARSENICUM ALBUM, BRYONIA (ALBA), CADMIUM SULPHURATUM, COCCULUS INDICUS, COLCHICUM AUTUMNALE, CONIUM MACULATUM ZINGIBER OFFICINALE, IPECACUANHA, IRIS VERSICOLOR, LAC DEFLORATUM, LACTICUM 437421314 ACIDUM, CYCLAMEN EUROPAEUM, PETROLEUM, TABACUM, ARSENICUM ALBUM, BRYONIA (ALBA), CADMIUM SULPHURATUM, COCCULUS INDICUS, COLCHICUM AUTUMNALE, CONIUM MACULATUM, FERRUM METALLICUM, N ZINGIBER OFFICINALE, IRIS VERSICOLOR, LAC DEFLORATUM, LACTICUM ACIDUM, CYCLAMEN 437421608 EUROPAEUM, PETROLEUM, TABACUM, ARSENICUM ALBUM, BRYONIA (ALBA), CADMIUM SULPHURATUM, COCCULUS INDICUS, COLCHICUM AUTUMNALE, CONIUM MACULATUM, FERRUM METALLICUM, NUX VOMICA, PU ZINGIBER, COCCULUS, CHAMOMILLA , ARSENICUM ALB , IPECAC , SUCROSE 686470163 ZIV-AFLIBERCEPT J9400 000245840, 000245841

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Patient-Centered Oncology Payment Model (PCOP): Quantitative Analysis for the PRT – Appendix 3 April 2, 2020

Appendix 3: HCPCS codes and NDCs associated with Supportive and Maintenance Care Drugs

This appendix shows the HCPCS codes and NDCs associated with the drugs listed in Appendix I of the PCOP proposal.

Drug name HCPCS Code(s) NDC(s) (DAUNORUBICIN AND CYTARABINE) LIPOSOME 687270745 30C HOMEOPATHIC KIT 599850611 50 REMEDY KIT 684280076, 684280126 ABELMOSCHUS, ACONITUM NAPELLUS, ALLIUM SATIVUM, ARSENICUM ALBUM, CALCAREA 579551791 CARBONICA, CHAMOMILLA, COCCULUS INDICUS, ERODIUM, GELSEMIUM SEMPERVIRENS, HYPERICUM PERFORATUM, KALI ARSENICOSUM, LILIUM TIGRINUM, MIMULUS GUTTATUS, FLOS, PHOSPHORUS, POPULUS TREMUL ABELMOSCHUS, ACONITUM NAPELLUS, ARGENTUM NITRICUM, ARSENICUM ALBUM, CALCAREA 579555152 CARBONICA, CINCHONA OFFICINALIS, COCCULUS INDICUS, GELSEMIUM SEMPERVIRENS, KALI ARSENICOSUM, LILIUM TIGRINUM, LYCOPODIUM CLAVATUM, PHOSPHORUS, PULSATILLA AND STRAMONIUM ABIES NIGRA, ARSENICUM ALBUM, CONDURANGO, CONIUM MACULATUM, IRIS VERSICOLOR, 579550022, 579555022 MAGNESIA CARBONICA, ROBINIA PSEUDOACACIA, SULPHURICUM ACIDUM ABROT ACON AGN AIL AMBR AMBRO AM-C ANT-C APIS ARN ARS AUR-A AUR BAPT BAR-C BELL 660960712 BB BOTH BOV BROM CADM-S CALAD CALC CAMPH CARB-AC CARD-M CEAN CHEL CHININ-A CINA CHIN CIC COB COLCH CON CROT-H CROT-T CUPR DULC ELAPS EUP-PER FL-AC GALPH GRAPH GUNP HAM HEKLA H ABROTANUM, AESCULUS HIPP., ALLIUM SATIVUM, ARSENICUM ALB., ARTEMISIA, BAPTISIA, 557142304, 557142305, CINA, CUPRUM MET., FILIX MAS, GRANATUM, IPECAC, LACHESIS, LYCOPODIUM, MERC. VIV, 557144721, 557148011 NAPHTHALINUM, NAT. MUR., NUX VOM., PULSATILLA, RATANHIA, RUTA, SABADILLA, SANTONINUM, SILICEA ABROTANUM, AESCULUS HIPP., ALLIUM SATIVUM, ARSENICUM ALB., ARTEMISIA, BAPTISIA, 557144482, 557144483 CINA, CUPRUM MET., FILIX MAS, GRANATUM, IPECAC., LACHESIS, LYCOPODIUM, MERC. VIV., NAPHTHALINUM, NAT.MUR., NUX VOM., PULSATILLA, RATANHIA, RUTA, SABADILLA, SANTONINUM, SILICEA

Drug name HCPCS Code(s) NDC(s) ABROTANUM, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA, BARYTA 665790069 MURIATICA, CALCAREA CARBONICA, CALCAREA FLUORICA, CALCAREA PHOSPHORICA, FERRUM METALLICUM, FUCUS VESICULOSUS, HEKLA LAVA, HELLEBORUS NIGER, IGNATIA AMARA, LYCOPODIUM CLAVATUM, NICO ABROTANUM, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, BARYTA MURIATICA, 575200502 HELLEBORUS NIGER, IGNATIA AMARA, LYCOPODIUM CLAVATUM ABROTANUM, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, BARYTA MURIATICA, 719530001 HELLEBORUS NIGER, IGNATIA AMARA, LYCOPODIUM CLAVATUM, NICOTINAMIDUM, SECALE CORNUTUM, THYMUS (BOVINE), THYROIDINUM (BOVINE), CALCAREA CARBONICA, CALCAREA PHOSPHORICA, HYPOTHALAMUS SUIS, P ABROTANUM, ANACARDIUM, ARSENICUM ALB, BARYTA CARB, BARYTA MUR, CALC CARB, CALC 763350007 FLUOR, CALC PHOS, FERRUM MET, FUCUS, HEKLA, HELLBOR NIG, IGNATIA, LYCOPODIUM, NICOTINAMIDUM, SECALE, SILICEA ABROTANUM, ANACARDIUM, ARSENICUM ALBUM, BARYTA CARBONICA, BARYTA MURIATIUM, 763350004 CALCAREA CARBONICA, CALCAREA FLOURICA, CALCAREA PHOSPHORICA, FERRUM METALLICUM, FUCUS VESICULOSUS, HEKLA, HELLEBORUS NIGER, IGNATIA AMARA, LYCOPODIUM, NICOTINAMIDUM, SECALE, SILIC ABSINTHIUM, ANACARDIUM OCCIDENTALE, ARG. NIT., ARSENICUM ALB., BELLADONNA, 557144405 BRYONIA, CALC. CARB., CAMPHORA, CHAMOMILLA, CIMICIFUGA, CINCHONA, COFFEA CRUDA, CYPRIPEDIUM, GELSEMIUM, HUMULUS, HYOSCYAMUS, IGNATIA, KALI BROM., NUX VOM., PASSIFLORA, PULSATILLA ABSINTHIUM, ANACARDIUM OCCIDENTALE, ARG. NIT., ARSENICUM ALB., BELLADONNA, 557144404 BRYONIA, CALC. CARB., CAMPHORA, CHAMOMILLA, CIMICIFUGA, CINCHONA, COFFEA CRUDA, CYPRIPEDIUM, GELSEMIUM, HUMULUS, HYOSCYAMUS, IGNATIA, KALI BROM., NUXVOM., PASSIFLORA, PULSATILLA, SCUT ABSINTHIUM, ANACARDIUM ORIENTALE, ARG. NIT., ARSENICUM ALB., BELLADONNA, BRYONIA, 557142246, 557142247, CALC. CARB., CAMPHORA, CHAMOMILLA, CIMICIFUGA, CINCHONA, COFFEA CRUDA, 557142469, 557142470, CYPRIPEDIUM, GELSEMIUM, HUMULUS, HYOSCYAMUS, IGNATIA, KALI BROM., NUX VOM., 557144806, 557144807, PASSIFLORA, PULSATILLA, SC 557144839 ACETALDEHYDE, ADRENAL, ARGENTUM NITRICUM 541187976 ACETALDEHYDE, ARSENICUM ALBUM, BALSAMUM PERUVIANUM, CALCAREA CARBONICA, 579552205, 579556486 CARBOLICUM ACIDUM, CONIUM MACULATUM, COUMARINUM, CROCUS SATIVUS, HISTAMINUM HYDROCHLORICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, PHOSPHORUS, SEPIA

Drug name HCPCS Code(s) NDC(s) ACETALDEHYDE, ARSENICUM ALBUM, BALSAMUM PERUVIANUM, CALCAREA CARBONICA, 687030122 CARBOLICUM ACIDUM, CONIUM, COUMARINUM, CROCUS SATIVUS, HISTAMINUM HYDROCHLORICUM, LACHESIS, LYCOPODIUM, PHOSPHORUS, SEPIA ACETICUM AC, ACETYLSAL AC, ADRENOCORTICOTROPHIN, ALUMINA, ARSENICUM ALB, BORAGO, 645780145 CEANOTHUS, CHELIDONIUM MAJ, CHIONANTHUS, CHLORAMPHENICOLUM, CHLORPROMAZINUM, CHOLESTERINUM, CORTISONE ACETICUM, DAMIANA, FOLLICULINUM, FUMARICUM AC, KALI IOD, LYCOPODIUM, NAT ACETICUM AC, ARSENICUM ALB, BRYONIA, CALC CARB, IRIS VERS, KALI PHOS, LACTICUM AC, 579550365 LYCOPODIUM, NAT PHOS, PHOSPHORICUM AC, PHOS, PLUMB MET, URANIUM NITRICUM ACETICUM ACIDUM, ARSENICUM ALBUM, ARSENICUM IODATUM, CONDURANGO, CONIUM 579550224 MACULATUM, HYDRASTIS CANADENSIS, KALI ARSENICOSUM, KREOSOTUM, LYCOPODIUM CLAVATUM, PHYTOLACCA DECANDRA, SILICEA, THUJA OCCIDENTALIS ACETICUM ACIDUM, ARSENICUM ALBUM, BRYONIA, CALCAREA CARBONICA, IRIS VERSICOLOR, 579550072 KALI PHOSPHORICUM, LACTICUM ACIDUM, LYCOPODIUM CLAVATUM, NATRUM PHOSPHORICUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, PLUMBUM METALLICUM, URANIUM NITRICUM ACETICUM ACIDUM, ARSENICUM ALBUM, CADMIUM SULPHURICUM, CONDURANGO, 579550220 GRAPHITES, HYDRASTIS CANADENSIS, KALI BICHROMICUM, MAGNESIA PHOSPHORICA, ORNITHOGALUM UMBELLATUM ACONITE 30C, ANACARDIUM 30C, ARSENICUM 30C, AURUM MET. 30C, BRYONIA 30C, 596670105 CHAMOMILLA 30C, HEPAR SULPH 30C, IGNATIA 30C, KALI SULPH 30C, LYCOPODIUM 30C, MERC SOL 30C, NAT MUR 30C, NITRICUM ACIDUM 30C, NUX VOMICA 30C, PETROLEUM 30C, SEPIA 30C, STAPHYSAGRIA 3 ACONITUM NAP, AESCULUS HIPP, FLOS, ARSENICUM ALB, AVENA, BELLADONNA, CAMPHORA, 579552641 CINCHONA, COFFEA CRUDA, CYPRIPEDIUM, HYOSCYAMUS, IGNATIA, PASSIFLORA, PULSATILLA, VALERIANA. ACONITUM NAP, APIS MEL, ARNICA, ARSENICUM ALB, BELLADONNA, BELLIS, BRYONIA, 616260110 CALENDULA, CHAMOMILLA, CISTUS CANADENSIS, CLEMATIS ERECTA, FERRUM PHOS, HISTAMINUM, HYPERICUM, IGNATIA, IMPATIENS GLAN FLOS, ORNITHOGALUM, PASSIFLORA, PHOSPHORUS, PRUNUS CERASIFER ACONITUM NAP, ARSENICUM ALB, BORAX, CALC PHOS, GELSENIUM, LYCOPODIUM, 616260104 PHOSPHORICUM AC, PICRICUM AC, PLUMB MET, SOLIDAGO

Drug name HCPCS Code(s) NDC(s) ACONITUM NAP., ADRENALINUM, ARALIA QUINQUEFOLIA, ARNICA, ARSENICUM ALB., BAPTISIA, 557142298, 557142299, BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CINCHONA, IODIUM, KALI CARB., KALI IOD., 557142436, 557142437, LACHESIS, LYCOPODIUM, LYCOPUS VIRGINICUS, NAT. MUR., NUX VOM., PHOSPHORUS, 557144553, 557144814 PULSATILLA, RHUS ACONITUM NAP., ADRENALINUM, ARALIA QUINQUEFOLIA, ARNICA, ARSENICUM ALB., BAPTISIA, 557144552 BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CINCHONA, IODIUM, KALI CARB., KALI IOD., LACHESIS, LYCOPODIUM, LYCOPUS VIRGINICUS, NAT. MUR., NUX VOM., PHOSPHORUS, PULSATILLA, RHUS TO ACONITUM NAP., ALLIUM CEPA, ARSENICUM ALB., BRYONIA, CALENDULA, CHELIDONIUM 557142280, 557142281, MAJUS, CINERARIA, EUPHRASIA, GRAPHITES, LYCOPODIUM, MERC. CORROS., NUX VOM., 557142434, 557142435 PHOSPHORUS, PHYTOLACCA, PICRICUM AC., PULSATILLA, RHUS TOXICODENDRON, SULPHUR, ECHINACEA ACONITUM NAP., AMMONIUM BENZOICUM, ARSENICUM ALB., BENZOICUM ACIDUM, BRYONIA, 557142296, 557144480, CAUSTICUM, CINCHONA, COLCHICUM, GNAPHALIUM POLYCEPHALUM, IRIS VERSICOLOR, KALI 557144481 IOD., LEDUM, LITHIUM CARB., NUX VOM., PHYTOLACCA, RHUS TOXICODENDRON, RUTA, SAMBUCUS NIG., STRYCHN ACONITUM NAP., AMMONIUM BENZOICUM, ARSENICUM ALB., BENZOICUM ACIDUM, BRYONIA, 557142297, 557142512, CAUSTICUM, CINCHONA, COLCHICUM, GNAPHALIUM POLYCEPHALUM, IRIS VERSICOLOR, KALI 557142513, 557144803 IOD., LEDUM, LITHIUM CARB., NUX VOM., PHYTOLACCA, RHUS TOXICODERON, RUTA, SAMBUCUS NIG., STRYCHNIN ACONITUM NAP., ANACARDIUM ORIENTALE, ARG. NIT., ARSENICUM ALB., CYPRIPEDIUM, 557142262, 557142263, GELSEMIUM, IGNATIA, KALI CARB., LYCOPODIUM, NAT.MUR., PHOSPHORUS, SAMBUCUS NIG., 557144829 SEPIA, STAPHYSAG., STRAMONIUM, TARENTULA HISPANA, THERIDION, PASSIFLORA, VALERIANA ACONITUM NAP., ANACARDIUM ORIENTALE, ARG. NIT., ARSENICUM ALB., CYPRIPEDIUM, 557144408, 557144409 GELSEMIUM, IGNATIA, KALI CARB., LYCOPODIUM, NAT. MUR., PHOSPHORUS, SAMBUCUS NIG., SEPIA, STAPHYSAG., STRAMONIUM, TARENTULA HISPANA, THERIDION, PASSIFLORA, VALERIANA ACONITUM NAP., APIS MEL., ARNICA, ARSENICUM ALB., BELLADONNA, BELLIS, BRYONIA, 557141106, 557141115, CALENDULA, CHAMOMILLA, CISTUS CANADENSIS, FERRUM PHOSPHORICUM, HISTAMINUM 557142493, 557142494, HYDROCHLORICUM, HYPERICUM, IGNATIA, MEZEREUM, ORNITHOGALUM, PASSIFLORA, 557144626, 557144627, PHOSPHORUS, PRUNUS SPIN., RHUS 557144766, 557148001

Drug name HCPCS Code(s) NDC(s) ACONITUM NAP., APIS MEL., ARNICA, ARSENICUM ALB., BELLADONNA, BENZOICUM ACIDUM, 557144430, 557144431 BRYONIA, CALC. CARB., CHAMOMILLA, CINCHONA, COLCHICUM, EUPATORIUM PERF., GAULTHERIA PROCUMBENS, GUAIACUM, IODIUM, KALI BIC., KALMIA, LEDUM, PULSATILLA, RHUS XICODENDRON, RUTA, S ACONITUM NAP., ARG. NIT., ARSENICUM ALB., BAPTISIA, BRYONIA, CARBO VEG., CHAMOMILLA, 557141511, 557141711 CINCHONA, COLLINSONIA, COLOCYNTHIS, ELATERIUM, GELSEMIUM, IPECAC., IRIS VERSICOLOR, LYCOPODIUM, MAG. CARB., PHOSPHORUS, PODOPH. PELT., RHEUM, SULPHUR, TABACUM, VACCINIUM ACONITUM NAP., ARG. NIT., ARSENICUM ALB., BELLADONNA, BENZOICUM ACIDUM, BERBER. 557142278, 557142279 VULG., BRYONIA, CANTHARIS, CEANOTHUS, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA, COFFEA CRUDA, CONIUM, GELSEMIUM, IGNATIA, IRIS VERSICOLOR, MEZEREUM, NUX VOM., PASSIF ACONITUM NAP., ARG.NIT., ARSENICUM ALB., BELLADONNA, BRYONIA, CINCHONA, 557144462, 557144463 GELSEMIUM, HYPERICUM, IGNATIA, KALMIA, LACHESIS, LYCOPODIUM, MAG. PHOS., MEZEREUM, PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, STRAMONIUM, STRYCHNINUM, VERBASCUM, CHAMOMILLA ACONITUM NAP., ARNICA, ARSENICUM ALB., BAPTISIA, BELLADONNA, BRYONIA, CALENDULA, 557142282, 557142283, CHAMOMILLA, CHELIDONIUM MAJUS, CROTALUS HORRIDUS, GELSEMIUM, HEPAR SULPH. CALC., 557144789 KREOSOTUM, MERC. VIV., MYRRHA, NUX VOM., PHOSPHORUS, PHYTOLACCA, PLANTAGO, RHUS TOXICODENDRON ACONITUM NAP., ARNICA, ARSENICUM ALB., BAPTISIA, BELLADONNA, BRYONIA, CALENDULA, 557144440, 557144441 CHAMOMILLA, CHELIDONIUM MAJUS, CROTALUS HORRIDUS, GELSEMIUM, HEPAR SULPH.CALC., KREOSOTUM, MERC. VIV., MYRRHA, NUX VOM., PHOSPHORUS, PHYTOLACCA, PLANTAGO, RHUS TOXICODENDRON ACONITUM NAP., ARNICA, ARSENICUM ALB., BRYONIA, ECHINACEA, LEDUM, CENCHRIS, 557142366, 557142367, CROTALUS CASC. CROTALUS HOR., LACHESIS, MERC. CORROS., NAJA, PHOS., TOXICOPHIS, 557148016 VIPERA, ELAPS COR., HELODERMA ACONITUM NAPELLUS - APIS MELLIFERA - ARNICA MONTANA - ARSENIC TRIOXIDE - ATROPA 170890068 BELLADONNA - CALCIUM FLUORIDE - CENTELLA ASIATICA - CINCHONA OFFICINALIS BARK - CRANBERRY - HORSE CHESTNUT - IRON - LACHESIS MUTA VENOM - MERCURY - PINEAPPLE - PULSATILLA VULG

Drug name HCPCS Code(s) NDC(s) ACONITUM NAPELLUS - CAIRINA MOSCHATA HEART/LIVER AUTOLYSATE - ARSENIC TRIOXIDE - 472420021 BRYONIA ALBA ROOT - GELSEMIUM SEMPERVIRENS ROOT - STRYCHNOS NUX-VOMICA SEED - PULSATILLA VULGARIS - ACONITUM NAPELLUS - SILVER NITRATE - ARNICA MONTANA - ARSENIC TRIOXIDE - ARABICA 472420041 COFFEE BEAN - GELSEMIUM SEMPERVIRENS ROOT - STRYCHNOS NUX-VOMICA SEED - TOBACCO LEAF - ACONITUM NAPELLUS 30C, ARSENIC TRIOXIDE 30C, BELLADONNA LEAF 30C, CALCIUM 434060004 CARBONATE 30C, HUMAN BREAST TUMOR CELL 30C, CAUSTICUM 30C, GELSEMIUM SEMPERVIRENS ROOT 30C, LACHESIS MUTA VENOM 30C, MERCURY 30C, SODIUM CHLORIDE 30C, NITRIC ACID 30C, PHOSPHORUS 30 ACONITUM NAPELLUS 4X, ARSENICUM ALBUM 30X, COLOCYNTHIS 4X, GNAPHALIUM 533461371 POLYCEPHALUM 3X, MAGNESIA PHOSPHORICA 8X ACONITUM NAPELLUS ROOT, ARSENIC TRIOXIDE, SODIUM BORATE, ACTIVATED CHARCOAL, 572934429 CAUSTICUM, MATRICARIA CHAMOMILLA, STRYCHNOS IGNATII SEED, LITHIUM CARBONATE, SODIUM CHLORIDE, STRYCHNOS NUX-VOMICA SEED, LEAD, SEPIA OFFICINALIS JUICE, THUJA OCCIDENTALIS LEAFY T ACONITUM NAPELLUS, AESCULUS HIPPOCASTANUM, FLOS, ARSENICUM ALBUM, AVENA SATIVA, 578500001, 579552640 BELLADONNA, CAMPHORA, CINCHONA OFFICINALIS, COFFEA CRUDA, CYPRIPEDIUM PUBESCENS, HYOSCYAMUS NIGER, IGNATIA AMARA, PASSIFLORA INCARNATA, PULSATILLA, VALERIANA OFFICINALIS ACONITUM NAPELLUS, AETHUSA CYNAPIUM, ARGENTUM NITRICUM, ARSENICUM ALBUM, 579551751 BORAGO OFFICINALIS, BRYONIA, CASTANEA SATIVA, FLOS, CYTISUS SCOPARIUS, DIGITALIS PURPUREA, ERIODICTYON CALIFORNICUM, JATROPHA CURCAS, LAUROCERASUS, LOLIUM TEMULENTUM, MANCINELLA, MUR ACONITUM NAPELLUS, ALFALFA, ARGENTUM NITRICUM, ARSENICUM ALBUM, AURUM 559260014 METALLICUM, AVENA SATIVA, BARYTA CARBONICA, CALCAREA PHOSPHORICA, CHAMOMILLA, GELSEMIUM SEMPERVIRENS, GLONOINUM, HUMULUS LUPULUS, IGNATIA AMARA, KALI ARSENICOSUM, KALI PHOSPHORICUM, MUR ACONITUM NAPELLUS, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, APIS MELLIFICA, 579555164, 665790079, ARSENICUM ALBUM, BELLADONNA, CACTUS GRANDIFLORUS, DULCAMARA, EUPHRASIA 687030099 OFFICINALIS, GELSEMIUM SEMPERVIRENS, GRAPHITES, HAMAMELIS VIRGINIANA, HEPAR SULPHURIS CALCAREUM, KALI IODATUM

Drug name HCPCS Code(s) NDC(s) ACONITUM NAPELLUS, ANTIMONIUM TARTARICUM, APIS MELLIFICA, ARNICA MONTANA, 629900690 ARSENICUM ALBUM, BELLADONNA, CANTHARIS, CARBO VEGETABILIS, CHAMOMILLA, CINCHONA, GELSEMIUM, HEPAR SULPH CALCAREUM, HYPERICUM PERFORATURM, IPECACUANHA, KALI BICHROMICUM, LACHESIS MUT ACONITUM NAPELLUS, ANTIMONIUM TARTARICUM, ARALIA QUINQUEFOLIA, ARNICA 557144813 MONTANA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CINCHONA OFFICINALIS, ECHINACEA, IODIUM, KALI CARBONICUM, KALI IODATUM, LACHESIS MUTUS, LYCOPODIUM C ACONITUM NAPELLUS, APIS MELLIFICA, ARNICA MONTANA, ARSENICUM ALBUM, BELLADONNA, 634790201 BELLIS PERENNIS, BRYONIA ALBA, CALENDULA OFFICINALIS, CHAMOMILLA, CHERRY PLUM, CLEMATIS, COLOCYNTHIS, DULCAMARA, ECHINACEA ANGUSTIFOLIA, ECHINACEA PURPUREA, EUPATORIUM PERFOLI ACONITUM NAPELLUS, APIS MELLIFICA, ARNICA MONTANA, ARSENICUM ALBUM, BELLADONNA, 665790018 BELLIS PERENNIS, BRYONIA, CALENDULA OFFICINALIS, CHAMOMILLA, CISTUS CANADENSIS, CLEMATIS ERECTA, FERRUM PHOSPHORICUM, HISTAMINUM HYDROCHLORICUM, HYPERICUM PERFORATUM, IGNATIA ACONITUM NAPELLUS, APIS MELLIFICA, ARNICA MONTANA, ARSENICUM ALBUM, BELLADONNA, 559260012, 579551850, BELLIS PERENNIS, BRYONIA, CALENDULA OFFICINALIS, CHAMOMILLA, CLEMATIS ERECTA, 579551851 CLEMATIS VITALBA, FLOS, FERRUM PHOSPHORICUM, HISTAMINUM HYDROCHLORICUM, HYPERICUM PERFORATUM, IGN ACONITUM NAPELLUS, APIS MELLIFICA, ARNICA MONTANA, ARSENICUM ALBUM, BELLADONNA, 579551805, 579555851 BELLIS PERENNIS, BRYONIA, CALENDULA OFFICINALIS, CHAMOMILLA, CLEMATIS ERECTA, FERRUM PHOSPHORICUM, HISTAMINUM HYDROCHLORICUM, HYPERICUM PERFORATUM, IGNATIA AMARA, PASSIFLORA I ACONITUM NAPELLUS, ARGENTUM NITRICUM, ARSENICUM ALBUM, NATRUM MURIATICUM, 437420452 RHUS TOX, SULPHUR, ADENOSINUM CYCLOPHOSPHORICUM, COENZYME A, FUNICULUS UMBILICALIS SUIS, GLANDULA SUPRARENALIS SUIS, LUNG (SUIS), MUCOSA NASALIS SUIS, SARCOLACTICUM ACIDUM, ACETYLCH ACONITUM NAPELLUS, ARGENTUM NITRICUM, ARSENICUM ALBUM, NATRUM MURIATICUM, 437420810 RHUS TOX, SULPHUR, ADENOSINUM CYCLOPHOSPHORICUM, FUNICULUS UMBILICALIS SUIS, GLANDULA SUPRARENALIS SUIS, LUNG (SUIS), MUCOSA NASALIS SUIS, PANTOTHENIC ACID, SARCOLACTICUM ACIDUM, AC

Drug name HCPCS Code(s) NDC(s) ACONITUM NAPELLUS, ARNICA MONTANA, ARSENICUM ALBUM, BELLIS PERENNIS, CARTILAGO 508450029, 508450233 SUIS, CAUSTICUM, CHAMOMILLA, COFFEA CRUDA, EUPHORBIUM OFFICINARUM, GNAPHALIUM POLYCEPHALUM, HYPERICUM PERFORATUM, MAGNESIA PHOSPHORICA, PASSIFLORA INCARNATA, PYROGENIUM, RANUNC ACONITUM NAPELLUS, ARNICA MONTANA, BRYONIA, ECHINACEA, LEDUM PALUSTRE, 557142489 ARSENICUM ALBUM, CENCHRIS CONTORTRIX, CROTALUS CASCAVELLA, CROTALUS HORRIDUS, LACHESIS MUTUS, MERCURIUS CORROSIVUS, NAJA TRIPUDIANS, PHOSPHORUS, TOXICOPHIS PUGNAX, VIPERA BERUS, ELAPS ACONITUM NAPELLUS, ARSENIC TRIOXIDE, ATROPA BELLADONNA, BRYONIA ALBA ROOT, 434060022 EUPATORIUM PERFOLIATUM FLOWERING TOP, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS ROOT ACONITUM NAPELLUS, ARSENIC TRIOXIDE, CITRULLUS COLOCYNTHIS FRUIT PULP, 582640071 PSEUDOGNAPHALIUM OBTUSIFOLIUM, AND MAGNESIUM PHOSPHATE, DIBASIC TRIHYDRATE ACONITUM NAPELLUS, ARSENICUM ALBUM, AVENA SATIVA, BELLADONNA, CAMPHORA, 579555639 CINCHONA OFFICINALIS, COFFEA CRUDA, CYPRIPEDIUM PUBESCENS, HYOSCYAMUS NIGER, IGNATIA AMARA, PASSIFLORA INCARNATA, PULSATILLA, VALERIANA OFFICINALIS, AESCULUS HIPPOCASTANUM, FLOS ACONITUM NAPELLUS, ARSENICUM ALBUM, AVENA SATIVA, BELLADONNA, CAMPHORA, 665790009, 763350002 CINCHONA OFFICINALIS, COFFEA CRUDA, CYPRIPEDIUM PUBESCENS, HYOSCYAMUS NIGER, PASSIFLORA INCARNATA, PULSATILLA, VALERIANA OFFICINALIS ACONITUM NAPELLUS, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BELLADONNA, BRYONIA, 575200662 CAUSTICUM, ECHINACEA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, HYDRASTIS CANADENSIS ACONITUM NAPELLUS, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BELLADONNA, BRYONIA, 449110052 CAUSTICUM, ECHINACEA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, HYDRASTIS CANADENSIS, HYPERICUM PERFORATUM, KALI CARBONICUM, LACHESIS MUTUS, LOBELIA IN ACONITUM NAPELLUS, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BELLADONNA, BRYONIA, 449110003 EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS ACONITUM NAPELLUS, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, CAUSTICUM, 504410005 CINCHONA OFFICINALIS, ECHINACEA PURPUREA, EUCALYPTUS GLOBULUS, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, INFLUENZINUM, PHYTOLACCA DECANDRA, RHUS TOXICODENDRON, SARCOLACTICUM

Drug name HCPCS Code(s) NDC(s) ACONITUM NAPELLUS, ARSENICUM ALBUM, BAPTISIA TINCTORIS, BELLADONNA, BRYONIA, 575200684 EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS ACONITUM NAPELLUS, ARSENICUM ALBUM, BARYTA CARBONICA, BRYONIA, CALCAREA 579550149 CARBONICA, CANTHARIS, GELSEMIUM SEMPERVIRENS, GRAPHITES, HYDRASTIS CANADENSIS, KALI IODATUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NATRUM MURIATICUM, NUX VOMICA, PHOSP ACONITUM NAPELLUS, ARSENICUM ALBUM, BARYTA CARBONICA, CANTHARIS, GELSEMIUM 579555149 SEMPERVIRENS, GRAPHITES, HYDRASTIS CANADENSIS, KALI IODATUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NATRUM MURIATICUM, NUX VOMICA, PHOSPHORUS, PHYTOLACCA DECANDRA, P ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA, EUPATORIUM 438570202 PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA, EUPATORIUM 575200102 PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, CALCAREA CARBONICA, 575200409 CARCINOSIN, CAUSTICUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, CALCAREA CARBONICA, 449110038 CARCINOSIN, CAUSTICUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, MERCURIUS VIVUS, NITRICUM ACIDUM, PHOSPHORUS, RHUS TOX ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, CALCAREA CARBONICA, 575200530 CARCINOSIN, CAUSTICUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, MERCURIUS VIVUS, NITRICUM ACIDUM, PHOSPHORUS, RHUS TOXICODENDRON ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, CALCAREA CARBONICA, 438570097 CARCINOSIN, CAUSTICUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, MERCURIUS VIVUS, NITRICUM ACIDUM, PHOSPHORUS, RHUS TOXICODENDRON ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, CONIINUM, GELSEMIUM 436890003 SEMPERVIRENS, HYPERICUM PERFORATUM, KALI BICHROMICUM ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, CONIINUM, GELSEMIUM 436890015 SEMPERVIRENS, HYPERICUM PERFORATUM, KALI BICHROMICUM, LACTICUM ACIDUM, PHOSPHORICUM ACIDUM, RHUS TOX, URICUM ACIDUM ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, CONIINUM, GELSEMIUM 575200582 SEMPERVIRENS, HYPERICUM PERFORATUM, KALI BICHROMICUM, LACTICUM ACIDUM, PHOSPHORICUM ACIDUM, RHUS TOXICODENDROM, URICUM ACIDUM

Drug name HCPCS Code(s) NDC(s) ACONITUM NAPELLUS, ARSENICUM ALBUM, BRYONIA ALBA, BARYTA CARBONICA, CALCAREA 763350005 CARBONICA, CANTHARIS, GELSEMIUM SEMPERVIRENS, GRAPHITES, HYDRASTIS CANADENSIS, KALI IODATUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NATRUM MURIATICUM, NUX VOMICA ACONITUM NAPELLUS, ARSENICUM ALBUM, BRYONIA, CUPRUM METALLICUM, PHOSPHORUS 687030262 ACONITUM NAPELLUS, ARSENICUM ALBUM, CADMIUM SULPHURICUM, CONIUM MACULATUM, 579550300 GELSEMIUM SEMPERVIRENS, HYDRASTIS CANADENSIS, PHYTOLACCA DECANDRA ACONITUM NAPELLUS, ARSENICUM ALBUM, CALCAREA CARBONICA, CHAMOMILLA, IGNATIA 575200260 AMARA, KALI CARBONICUM, LACHESIS MUTUS, NATRUM MURIATICUM, NUX VOMICA, PHOSPHORICUM ACIDUM, PULSATILLA, SEPIA ACONITUM NAPELLUS, ARSENICUM ALBUM, COFFEA CRUDA, EUPHORBIUM OFFICINARUM, 508450131 GNAPHALIUM POLYCEPHALUM, HYPERICUM PERFORATUM, MAGNESIA PHOSPHORICA, PASSIFLORA INCARNATA, RANUNCULUS BULBOSUS ACONITUM NAPELLUS, ARSENICUM ALBUM, KALI BICHROMICUM, KALI MURIATICUM, KALI 501810059 PHOSPHORICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS CYANATUS, PHYTOLACCA DECANDRA, RHUS TOX ACONITUM NAPELLUS, ARSENICUM ALBUM, BARYTA CARBONICA, BRYONIA, CALCAREA 665790064 CARBONICA, CANTHARIS, GELSEMIUM SEMPERVIRENS, GRAPHITES, HYDRASTIS CANADENSIS, KALI CARBONICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NATRUM MURIATICUM, NUX VOMICA, PHO ACONITUM NAPELLUS, HYPERICUM PERFORATUM, APIS MELLIFICA, ARSENICUM ALBUM, 497260019 ARNICA MONTANA, CALENDULA OFFICINALIS, FERRUM PHOSPHORICUM, HISTAMINUM HYDROCHLORICUM, IGNATIA AMARA, BELLADONNA, BELLIS PERENNIS, CHAMOMILLA, BRYONIA, PASSIFLORA INCARNATA, SULPHUR ACONITUM NAPELLUS, SILVER CATION, ARSENIC TRIOXIDE, MATRICARIA RECUTITA, COFFEE 617270332 BEAN, GELSEMIUM SEMPERVIRENS ROOT, STRYCHNOS IGNATII SEED ACONITUM NAPELLUS, SILVER NITRATE, ARSENIC TRIOXIDE, BRYONIA DIOICA ROOT, CINCHONA 594690059 OFFICINALIS BARK, EUPATORIUM PERFOLIATUM FLOWERING TOP, LACHESIS MUTA VENOM, AND CYNANCHUM VINCETOXICUM LEAF ACONITUM NAPELLUS, SILVER NITRATE, ARSENIC TRIOXIDE, MATRICARIA RECUTITA, COFFEE 598752010 BEAN, GELSEMIUM SEMPERVIRENS ROOT, STRYCHNOS IGNATII SEED ACONITUM NAPELLUS, ARSENIC TRIOXIDE, BLATTA ORIENTALIS, SOLANUM DULCAMARA TOP, 617270339 IPECAC, NAPHTHALENE, QUEBRACHO BARK, PHOSPHORUS, HISTAMINE DIHCL

Drug name HCPCS Code(s) NDC(s) ACONITUM, ARG NIT, ARSENICUM ALB 686470122 ACONTIUM NAP, ALOE VERA, ARGENTUM MET, ARNICA, ARSENICUM ALB, BELLADONNA, 583010020 CALENDULA OFFICINALIS, CINNABARIS, HYDRASTIS, MENTHA PIP, PHOSPHORUS, ZINCUM SULF ACTH, CALCAREA CARBONICA, MAGNESIA SULPHURICA, KALI PHOSPHORICUM, NITRICUM 639720006 ACIDUM, BENZOICUM ACIDUM, SILICEA, ARSENICUM ALBUM, MERCURIS SOLUBILIS, PHOSPHORUS, CARBO VEGETABILIS, NUX VOMICA, ALUMINUM METALLICUM, PHYTOLACCA DECANDRA, BAPTISIA TINCTORIA, ARG ACTIVATED CHARCOAL ARTEMISIA ABSINTHIUM FLOWERING TOP MATRICARIA RECUTITA 489513024 GENTIANA LUTEA ROOT AVENS EXTRACT BLACK PEPPER GINGER ANTIMONY TRISULFIDE ARSENIC TRIOXIDE ACTIVATED CHARCOAL, STRYCHNOS NUX-VOMICA SEED, SILVER NITRATE, ARSENIC TRIOXIDE, 627951119, 627951131 AND IPECAC ADENOSINE TRIPHOSPHATE (ATP), COENZYME A, COENZYME Q10, PINEAL GLAND (SUIS), 437420025 SARCOLACTICUM ACIDUM, MELATONIN ADENOSINE TRIPHOSPHATE(ATP), COENZYME A, COENZYME Q10, PINEAL GLAND (SUIS), 437420035 SARCOLACTICUM ACIDUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS ADENOSINE TRIPHOSPHATE, COENZYME A, COENZYME Q10, PINEAL GLAND SUIS, 575200833 SARCOLACTICUM ACIDUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA ADENOSINUM CYCLOPHOSPHORICUM, ADRENOCORTICOTROPHIN, ALLIUM CEPA, ARSENICUM 665790065 ALBUM, CORTISONE ACETICUM, EUPHRASIA OFFICINALIS, GALPHIMIA GLAUCA, HISTAMINUM HYDROCHLORICUM, KALI MURIATICUM, MUCOSA NASALIS SUIS, NATRUM MURIATICUM, RNA, SABADILLA ADENOSINUM TRIPHOSPHORICUM DINATRUM, COENZYME A, CO-ENZYME Q-10, PINEAL GLAND 437420355 (SUIS), SARCOLACTICUM ACIDUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICEA, ZINCU ADENOSINUM TRIPHOSPHORICUM DINATRUM, COENZYME A, PINEAL GLAND (SUIS), 437420367, 437420721 SARCOLACTICUM ACIDUM, UBIDECARENONUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICEA, ZINCU

Drug name HCPCS Code(s) NDC(s) ADENOSINUM TRIPHOSPHORICUM DINATRUM, PANTOTHENIC ACID, PINEAL GLAND (SUIS), 621850024 SARCOLACTICUM ACIDUM, UBIDECARENONUM, L-TRYPTOPHAN, MELATONIN, PYRROLE, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICE ADENOSINUM TRIPHOSPHORICUM DINATRUM, PANTOTHENIC ACID, PINEAL GLAND (SUIS), 437420729 SARCOLACTICUM ACIDUM, UBIDECARENONUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICEA ADENOSINUM TRIPHOSPHORICUM DINATRUM, PANTOTHENIC ACID, UBIDECARENONUM, 437420727, 437420998 PINEAL GLAND (SUIS), SARCOLACTICUM ACIDUM, MELATONIN, PYRROLE, TRYPTOPHAN, ARSENICUM ALBUM, AVENA SATIVA, CHAMOMILLA, COFFEA CRUDA, MERCURIUS CORROSIVUS, PASSIFLORA INCARNATA, SILICEA ADO-TRASTUZUMAB EMTANSINE C9131, J9354 502420087, 502420088 ADRENAL, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA 541187977 ADRENAL, ARCTIUM LAPPA, ATP, BELLADONNA, CHEMICAL ISODES 541187981 ADRENALINUM, ALLIUM SATIVUM, ANETHUM GRAVEOLENS, ARSENICUM ALBUM, ARSENICUM 579551511 IODATUM, ASAFOETIDA, BELLADONNA, CEREUS BONPLANDII, CHAMOMILLA, COFFEA CRUDA, ERODIUM, IMPATIENS GLANDULIFERA, FLOS, IODIUM, MANDRAGORA OFFICINARUM, SOLIDAGO VIRGAUREA, THYROIDINU ADRENALINUM, ALOE SOCOTRINA, ARSENICUM ALBUM, BAPTISIA TINCTORIS, BERBERIS 697800012 ACQUIFOLIUM, BERBERIS VULGARIS, BRYONIA, CHELIDONIUM MAJUS, CROTALUS HORRIDUS, DIGITALIS PURPUREA, FERRUM METALLICUM, GLONOINUM, GLYCYRRHIZA GLABRA, HYDROCOTYLE ASIATICA, IODIUM, I ADRENALINUM, ALOE, ARSENICUM ALB., BAPTISIA, BERBER. AQUI., BERBER. VULG., BRYONIA, 557142364, 557142365 CHELIDONIUM MAJUS, CROTALUS HORRIDUS, DIGITALIS, FERRUM METALLICUM, GLONOINUM, GLYCYRRHIZA GLABRA , HYDROCOTYLE, IODIUM, IRIS VERSICOLOR, LACHESIS, LYCOPODIUM, NAT. MUR. ADRENALINUM, ALOE, ARSENICUM ALB., BAPTISIA, BERBER. AQUI., BERBER. VULG., BRYONIA, 353780002 CHELIDONIUM MAJUS, CROTALUS HORRIDUS, DIGITALIS, FERRUM METALLICUM, GLONOINUM, GLYCYRRHIZA GLABRA, HYDROCOTYLE, IODIUM, IRIS VERSICOLOR, LACHESIS, LYCOPODIUM, NAT. MUR., N

Drug name HCPCS Code(s) NDC(s) ADRENALINUM, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, NATRUM MURIATICUM, 579550049 PHOSPHORICUM ACIDUM, PHOSPHORUS, PIX LIQUID, SELENIUM METALLICUM, SILICEA, SULPHUR, THUJA OCCIDENTALIS ADRENALINUM, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, NATRUM MURIATICUM, 579555049 PHOSPHORICUM ACIDUM, PHOSPHORUS, PIX LIQUIDA, SELENIUM METALLICUM, SILICEA, SULPHUR, THUJA OCCIDENTALIS ADRENALINUM, ANTIMONIUM TARTARICUM, ARALIA RACEMOSA, ARSENICUM ALBUM, 579550044 ERIODICTYON CALIFORNICUM, EUCALYPTUS GLOBULUS, GRINDELIA, IPECACUANHA, LOBELIA INFLATA, NATRUM SULPHURICUM, QUEBRACHO ADRENALINUM, ARG. NIT., ARSENICUM ALB., BRYONIA, CINCHONA, GRAPHITES, IODIUM, IRIS 557144512, 557144513 VERSICOLOR, LACHESIS, LYCOPODIUM, NAT. MUR., PHOSPHORUS, PHYTOLACCA, SULPHUR, THYROIDINUM ADRENALINUM, CANDIDA ALBICANS THYROIDINUM, TORULA CEREVISIAE, TRITICUM, USTILAGO 557144484, 557144485 MAIDIS, ANTIMON. CRUD., ARSENICUM ALB., BAPTISIA, BERBER. AQUI, BRYONIA CALC. PHOS., CINCHONA, HELONIAS DIOICA, HYDRASTIS, IODIUM, IRIS VERSICOLOR, KALI CARB., LACHESIS , LYC ADRENALINUM, CANDIDA ALBICANS, THYROIDINUM, TORULA CEREVISIAE, TRITICUM, USTILAGO 557142230, 557142231, MAIDIS, ANTIMON. CRUD, ARSENICUM ALB., BAPTISIA, BERBER. AQUI., BRYONIA, CALC. PHOS., 557142400, 557142401, CINCHONA, HELONIAS DIOICA, HYDRASTIS, IODIUM, IRIS VERSICOLOR, KALI CARB., LACHESIS, LY 557144815 ADRENALINUM, TARENTULA CUBENSIS, ACONITUM NAP., ARG. NIT., ARSENICUM ALB., BAPTISIA, 557141514, 557141714 CHAMOMILLA, COFFEA CRUDA, CYPRIPEDIUM, DIGITALIS, GELSEMIUM, HUMULUS, HYOSCYAMUS, IGNATIA, IMPATIENS GLANDULIFERA FLOS, IODIUM, LACHESIS, LYCOPODIUM, NAT. MUR., NUX VOM. ADRENALINUM, TARENTULA CUBENSIS, ACONITUM NAP., ARG. NIT., ARSENICUM ALB., BAPTISIA, 557142316, 557142317, CHAMOMILLA, CYPRIPEDIUM, DIGITALIS, GELSEMIUM, HUMULUS, IGNATIA, IMPATIENS 557144540, 557144541, GLANDULIFERA FLOS, IODIUM, LACHESIS, LYCOPODIUM, NAT. MUR., NUX VOM., SCUTELLARIA 557144833 LATERIFLORA ADRENLINUM, COUMARINUM, TYRAMINE, ARTERIA SUIS, ASCORBIC ACID, CACTUS 437420004, 437420690 GRANDIFLORUS, COENZYME A, GLONOINUM, HEART (SUIS), SARCOLACTICUM ACIDUM, UBIDECARENONUM, VEIN (SUIS), ADRENOCORTICOTROPHIN, ARSENICUM ALBUM, AURUM METALLICUM, BELLADONNA, DIGITALIS PURP

Drug name HCPCS Code(s) NDC(s) AESCULOS 30C, ANTIMONIUM TART 30C, ARSENICUM 30C, BARYTA MUR 30C, BRYONIA 30C, 596670093 CAUSTICUM 30C, DULCAMARA 30C, HEPAR SULPH. 30C, PHOSPHOROUS 30C, SANGUINARIA 30C , SENICIO 30C, STANNUM MET 30C, SULPHUR 30C, QUEBRACHO 30C AESCULUS HIPPOCASTANUM, AMMONIUM MURIATICUM, ARSENICUM ALBUM, BELLADONNA, 579556030 CAPSICUM ANNUUM, CAUSTICUM, COLCHICUM AUTUMNALE, COLOCYNTHIS, GNAPHALIUM POLYCEPHALUM, IGNATIA AMARA, MAGNESIA PHOSPHORIA, RHUS TOXICODENDRON AESCULUS HIPPOCASTANUM, FLOS, AGRIMONIA EUPATORIA, FLOS, APOCYNUM CANNABINUM, 579553021 ARSENICUM ALBUM, ASARUM EUROPAEUM, AVENA SATIVA, CAPSICUM ANNUUM, CARBONEUM SULPHURATUM, GELSEMIUM SEMPERVIRENS, HELIANTHUS ANNUUS, JUGLANS REGIA, FLOS, LONICERA CAPRIFOLIUM, FL AESCULUS HIPPOCASTANUM, FLOS, AGRIMONIA EUPATORIA, FLOS, APOCYNUM CANNABINUM, 579553020 ARSENICUM ALBUM, ASARUM EUROPAEUM, AVENA SATIVA, CAPSICUM ANNUUM, CARBONEUM SULPHURATUM, GELSUMIUM SEMPERVIRENS, HELIANTHUS ANNUUS, JUGLANS REGIA, FLOS, LONICERA CAPRIFOLIUM, FL AESCULUS HIPPOCASTANUM, FLOS, ALOE SOCOTRINA, ARNICA MONTANA, ARSENICUM ALBUM, 579552531 BORAGO OFFICINALIS, CALCAREA CARBONICA, CARPINUS BETULUS, FLOS, CHAMOMILLA, GELSEMIUM SEMPERVIRENS, GRAPHITES, IPECACUANHA, KALI SULPHURICUM, MENTHA PIPERITA, NITRICUM ACIDUM AESCULUS HIPPOCASTANUM, FLOS, ALOE SOCOTRINA, ARNICA, MONTANA, ARSENICUM ALBUM, 579552532 BORAGO OFFICINALIS, CALCAREA CARBONICA, CARPINUS BETULUS, FLOS, CHAMOMILLA, GELSEMIUM SEMPERVIRENS, GRAPHITES, IPECAUANHA, KALI SULPHURICUM, MENTHA PIPERITA, NITRICUM ACIDUM AETHUSA CYNAPIUM, ARSENIC TRIOXIDE, OYSTER SHELL CALICUM CARBONATE, CRUDE, 434060059 MATRICARIA CHAMOMILLA, CITRULLUS COLOCYNTHIS FRUIT PULP, IRON, LYCOPODIUM CLAVATUM SPORE, MERCURIUS SOLOBILIS, PHOSPHORUS, PODOPHYLLUM, ANEMONE PULSATILLA, DELPHINIUM STRAPHISAGRIA AETHUSA CYNAPIUM, ARSENICUM ALBUM, COCCULUS INDICUS, IPECACUANHA, KREOSOTUM, 449110074 PETROLEUM, PULSATILLA (VULGARIS), SANGUINARIA CANADENSIS, TABACUM AETHUSA CYNAPIUM, ARSENICUM ALBUM, COCCULUS INDICUS, IPECACUANHA, KREOSOTUM, 575200402 PETROLEUM, PULSATILLA, SANGUINARIA CANADENSIS, TABACUM AFATINIB 005970137, 005970138, 005970141, 127140161, 127140162, 127140163

Drug name HCPCS Code(s) NDC(s) AFLIBERCEPT C9291, C9296, 617550005 J0178, Q2046 AGARICUS MUSC., ARSENICUM ALB., AUR. MET, BERBER. AQUI., CALADIUM SEGUINUM, 557144486, 557144487 CANDIDA ALBICANS, CANTHARIS, CONIUM, GRAPHITES, HELONIAS DIOICA, HYDRASTIS, KALI CARB., KREOSOTUM, LYCOPODIUM, MERC. VIV., MUREX PURPUREA, NAT. MUR, NITRICUM AC., PULSATILLA, RHUS AGARICUS MUSC., ARSENICUM ALB., AUR. MET., BERBER. AQUI., CALADIUM SEGUINUM, 557142290, 557142291, CANDIDA ALBICANS, CANTHARIS, CONIUM, GRAPHITES, HELONIAS DIOICA, HYDRASTIS, KALI 557142438, 557144823 CARB., KREOSOTUM, LYCOPODIUM, MERC. VIV., MUREX PURPUREA, NAT. MUR., NITRICUM AC., PULSATILLA, RH AGARICUS MUSC., ARSENICUM ALB., BISMUTHUM METALLICUM, BRYONIA, CAPSICUM, CARBO 557141104, 557141113, VEG., GLONOINUM, IPECAC., IRIS VERSICOLOR, LAUROCERASUS, LYCOPODIUM, MEZEREUM, 557142450 NUX VOM., PULSATILLA, RANUNC. BULB. , THERIDION, VERATRUM ALB., ZINC. MET., ZINGIBER, CHAMOMILLA AGARICUS MUSCARIUS, ALUMINA, ANAGALLIS ARVENSIS, ANTIMONIUM TARTARICUM, APIS 580667002 MELLIFICA, ARSENICUM ALBUM, ARSENICUM IODATUM, BOVISTA, CAUSTICUM, DOLICHOS PRURIENS, FAGAPYRUM ESCULENTUM, GRAPHITES, KALI MURIATICUM, LAC DEFLORATUM, MURIATICUM ACIDUM, OLEANDE AGARICUS MUSCARIUS, ARSENICUM ALBUM, HYPERICUM PERFORATUM, PHOSPHORUS, SILICEA 687030255 AGARICUS MUSCARIUS, COCCUS CACTI, CONIUM MACULATUM, LYCOPODIUM CLAVATUM, 438570429, 438570471, PHOSPHORUS, ALUMINIUM METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM METALLICUM, 438570518 ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, BERYLLIUM METALLICUM, BISMUTHUM METALLICUM, BORON, BROM AGARICUS MUSCARIUS, COCCUS CACTI, CONIUM MACULATUM, LYCOPODIUM CLAVATUM, 438570375 PHOSPHORUS, EPSTEIN-BARR VIRUS NOSODE, GELSEMIUM SEMPERVIRENS, LATRODECTUS MACTANS, MORBILLINUM, POLIOMYETILIS VIRUS, RHUS TOX, TARENTULA CUBENSIS, SALMONELLA TYPHI, LANTHANUM METALL AGARICUS MUSCARIUS, COCCUS CACTI, CONIUM MACULATUM, LYCOPODIUM CLAVATUM, 438570342 PHOSPHORUS, GELSEMIUM SEMPERVIRENS, LATRODECTUS MACTANS, RHUS TOX, TARENTULA CUBENSIS, SALMONELLA TYPHI, CLOSTRIDIUM PERFRINGENS, ALUMINUM METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM MET AGARICUS MUSCARIUS, SYMPHYTUM OFFICINALE, HYPERICUM PERFORATUM, ARNICA 437720030 MONTANA

Drug name HCPCS Code(s) NDC(s) AGNUS, ALLIUM SATIVUM, AMBRA, ANGELICA SINENSIS RADIX , ARALIA QUINQUEFOLIA, ARNICA 557144624, 557144625 , ARSENICUM ALB., AVENA, BAPTISIA, BARYTA CARB., BRYONIA, CANTHARIS, LACHESIS, LYCOPODIUM, NUX VOM., PHOSPHORICUM AC., PULSATILLA, RUTA, SABAL, SELENIUM, ZINC.MET., GINKGO AGNUS, ALLIUM SATIVUM, AMBRA, ANGELICA SINENSIS RADIX, ARALIA QUINQUEFOLIA, ARNICA, 557141105, 557144763 ARSENICUM ALB., AVENA, BAPTISIA, BARYTA CARB., BRYONIA, CANTHARIS, LACHESIS, LYCOPODIUM, NUX VOM., PHOSPHORICUM AC., PULSATILLA, RUTA, SABAL, SELENIUM, ZINC. MET., GINKGO AGNUS, ALLIUM SATIVUM, AMBRA, ANGELICA SINENSIS RADIX, ARALIA QUINQUEFOLIA, ARNICA, 557141101 ARSENICUM ALB., AVENA, BAPTISIA, BARYTA CARB., BRYONIA, CANTHARIS, LACHESIS, LYCOPODIUM, NUX VOM., PHOSPHORICUM AC., PULSATILLA, RUTA, SABAL, SELENIUM, ZINC. MET., GINKGO AGRIMONIA EUPATORIA, FLOS, ARSENICUM ALBUM, CERATOSTIGMA WILLMOTTIANUM, FLOS, 579552050 CUPRUM METALLICUM, CYCLAMEN EUROPAEUM, DIGITALIS PURPUREA, IGNATIA AMARA, JUGLANS REGIA, FLOS, MILLEFOLIUM, NATRUM MURIATICUM, PHOSPHORICUM ACIDUM, PINUS SYLVESTRIS, FLOS, THUJA AGRIMONIA EUPATORIA, FLOS, ARSENICUM ALBUM, CERATOSTIGMA WILLMOTTIANUM, FLOS, 579552051 CUPRUM METALLICUM, CYCLAMEN EUROPAEUM, DIGITALIS PURPUREA, IGNATIA AMARA, JUGLANS REGIA, FLOS, MILLEFOLIUM, NATRUM MURIATICUM, PHOSPHORICUM ACIDUM, PINUS SYLVESTRIS, THUJA OCCID AILANTHUS ALTISSIMA FLOWERING TWIG, ANTIMONY POTASSIUM TARTRATE, ARSENIC 434060127 TRIOXIDE, ATROPA BELLADONNA, CAMPHOR (NATURAL), CHAMOMILE, COPPER, DIGITALIS, STRYCHNOS IGNATII SEED, CANIS LUPUS FAMILIARIS MILK, STRYCHNOS NUX-VOMICA SEED AILANTHUS GLANDULOSUS, ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, HEPAR 437421017 SULPHURIS CALCAREUM, MERCURIUS SOLUBILIS, MEZEREUM, ARSENICUM ALBUM, LACHESIS MUTUS, HERPES SIMPLEX 1 AND 2 NOSODE, HERPES ZOSTER NOSODE AILANTHUS GLANDULOSUS, ECHINACEA, BELLADONNA, PHYTOLACCA DECANDRA, HEPAR 437420171 SULPHURIS CALCAREUM, MERCURIUS SOLUBILIS, MEZEREUM, ARSENICUM ALBUM, LACHESIS MUTUS, HERPES SIMPLEX, HERPES ZOSTER ALDESLEUKIN - ARSENIC TRIOXIDE - ATROPA BELLADONNA - CANAKINUMAB - ECHINACEA 170890295 ANGUSTIFOLIA - GRAPHITE - MELATONIN - PLANTAGO MAJOR - SOLANUM DULCAMARA FLOWER - SULFUR - ALECTINIB HCL 502420130

Drug name HCPCS Code(s) NDC(s) ALEMTUZUMAB J0202, J9010, 504190357, 584680200, Q9979 584680357 ALIANTHUS, ANA BARBARIAE, ARSENICUM ALBUM, BYRONIA, EUCALYPTUS, EUPATORIUM 427310012 PERFOLIATUM, GELSEMIUM, GLYCERINUM, INFLUENZINUM, MERCURIUS VIVUS, PHYTOLACCA, STICTA PULMONARIA ALITRETINOIN 592120601, 628560601 ALLIUM CEPA 30C, ARSENICUM 30C, THUJA 30C, BADIAGA 30C, CARBO VEG 30C, DULCAMARA 596670096 30C, EUPHRASIA 30C, IODATUM 30C, NAJA 30C, NAT SULPH 30C, NUX VOMICA 30C, SABADILLA 30C, SINAPIS NIGRA 30C ALLIUM CEPA, ALLIUM SATIVUM, APIUM GRAVEOLENS, BETA VULGARIS, BRASSICA OLERACEA 449110361 VAR. BOTRYTIS, BRASSICA OLERACEA VAR. CAPITATA, BRASSICA OLERACEA VAR. ITALICA, BRASSICA OLERACEA VAR. SABELLICA, BRASSICA RAPA VAR. RAPA, CICER ARIETINUM, CUCUMIS STAIVUS, GL ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, APIS MELLFICA, ARSENICUM ALBUM, EUPHRASIA 449110068 OFFICINALIS, NUX VOMICA, PHOSPHORUS, PULSATILLA (VULGARIS), SOLIDAGO VIRGAUREA, SULPHUR ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, APIS MELLIFICA 575200377 ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, APIS MELLIFICA, ARSENICUM ALBUM, EUPHRASIA 575200651 OFFICINALIS, NUX VOMICA, PHOSPHORUS, PULSATILLA, SOLIDAGO VIRGAUREA, SULPHUR ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, ARUM TRIPHYLLUM, 580667011 ARUNDO MAURITANICA, EUPHRASIA OFFICINALIS, LAC DEFLORATUM, NAPHTHALINUM, NATRUM MURIATICUM, SABADILLA, WYETHIA HELENIOIDES ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, ARUM TRIPHYLLUM, 579555043 ARUNDO MAURITANICA, EUPHRASIA OFFICINALIS, NAPHTHALINUM, NATRUM MURIATICUM, SABADILLA AND WYETHIA HELENIOIDES ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, ARUM TRIPHYLLUM, 504410002, 579550043, ARUNDO MAURITANICA, EUPHRASIA OFFICINALIS, NAPHTHALINUM, NATRUM MURIATICUM, 579550335 SABADILLA, WYETHIA HELENIOIDES ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, ARUNDO MURITANICA, 497260006 ARUM TRIPHYLIUM, EUPHRASIA OFFICINALIS, NAPHTHALINUM, NATRUM MURIATICUM, SABADILLA, WYETHIA HELENIODES ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM ALBUM, EUPHRASIA OFFICINALIS, NUX 438570058 VOMICA, PHOSPHORUS, PULSATILLA, SOLIDAGO VIRGAUREA

Drug name HCPCS Code(s) NDC(s) ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, EUPHRASIA OFFICINALIS 575200522 ALLIUM CEPA, AMRBOSIA ARTEMISIIFOLIA, ARSENICUM ALBUM, EUPHRASIA OFFICINALIS, 427310002 GALPHIMIA GLAUCA, HISTAMINUM HYDROCHLORICUM, LEMNA MINOR, LINUM USITATISSIMUM, LUFFA OPERCULATA, NATRUM MURIATICUM, POLYPORUS PINICOLA, SABADILLA ALLIUM CEPA, APIS MELLIFICA, ARSENICUM ALBUM, EUPHRASIA OFFICINALIS, NUX VOMICA 105780016 ALLIUM CEPA, ARALIA RACEMOSA, ARSENICUM ALBUM, CUPRUM METALLICUM, EUPHRASIA 719716030 OFFICINALIS, NUX VOMICA, SABADILLA, STICTA PULMONARIA ALLIUM CEPA, ARSENICUM ALBUM, FERRUM PHOSPHORICUM, LAC CANINUM, NATRUM 575201251 MURIATICUM, NUX VOMICA ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, EUPHRASIA OFFICINALIS, SABADILLA, STICTA 605126030 PULMONARIA, ARALIA RACEMOSA, CUPRUM METALLICUM ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, PULSATILLA PRATENSIS 438570522 ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, PULSATILLA, ALFALFA, AMARANTHUS, 449110016 BAMBOO, COCKLEBUR, DANDELION ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, PULSATILLA, ALFALFA, AMARANTHUS, 449110032 BAMBOO, COCKLEBUR, DANDELION, GOLDENROD, KENTUCKY BLUE, LAMBS QUARTER ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, PULSATILLA, ALFALFA, AMARANTHUS, 575200758 BAMBOO, COCKLEBUR, DANDELION, GOLDENROD, KENTUCKY BLUE, LAMBS QUARTERS ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, SABADILLA, STICTA PULMONARIA, CUPRUM 605120004, 605122002 METALLICUM, ARALIA RACEMOSA ALLIUM SAT, ALOE, ARSENICUM ALB, BERBER VULG, CALC PHOS, CEANOTHUS, CHELIDONIUM 616260100 MAJ, CHOLESTERINUM, CLEMATIS ERECTA, CONDURANGO, GAMBOGIA, HAMAMELIS, KALI BROM, KALI PHOS, LYCOPODIUM, NAT CARB, PASSIFLORA, SENNA, SILICEA, SOLIDAGO, SPIGELIA ANTH, SPONGIA ALLIUM SATIVUM, ALUMINUM METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM 551460007, 639720012 METALLICUM, ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, BERYLLIUM METALLICUM, BISMUTHUM METALLICUM, BORON, BROMIUM, CADMIUM METALLICUM, CERIUM METALLICUM, CESIUM CHLORIDE, CHROMIUM ALLIUM SATIVUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BELLADONNA, ECHINACEA 579550117, 665790023 PURPUREA, EUCALYPTUS GLOBULUS, HYDRASTIS CANADENSIS, LAC CANINUM, MYRISTICA SEBIFERA, MYRTUS COMMUNIS, PHOSPHORUS, PHYTOLACCA DECANDRA

Drug name HCPCS Code(s) NDC(s) ALLIUM SATIVUM, AVENA SATIVA, BERBERIS VULGARIS, LAPPA MAJOR, PHYTOLACCA 449110231, 717420008 DECANDRA, SOLIDAGO VIRGAUREA, LYCOPODIUM CLAVATUM, NUX VOMICA, ALUMINUM METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM METALLICUM, ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, BERYL ALLIUM SATIVUM, BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ALLIUM CEPA, AMBROSIA 449110163 ARTEMISIAEFOLIA, ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SOLIDAGO VIRGAUREA ALLIUM SATIVUM, BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, PHYTOLACCA 437420104 DECANDRA, STILLINGIA SYLVATICA, TRIFOLIUM PRATENSE ALLIUM SATIVUM, BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, PHYTOLACCA 610620007 DECANDRA, STILLINGIA SYLVATICA, TRIFOLIUM PRATENSE, ASCORBIC ACID ALLIUM SATIVUM, BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, PHYTOLACCA 437420511 DECANDRA, STILLINGIA SYLVATICA, TRIFOLIUM PRATENSE, ASCORBIC ACID, CYSTEINUM, IRIDIUM METALLICUM, METHIONINE, SELENIUM METALLICUM, THYROIDINUM (SUIS), ARSENICUM ALBUM, CARBOLIC ALLIUM SATIVUM, CALENDULA OFFICINALIS, SAMBUCUS NIGRA, CLEMATIS ERECTA, 437421599 DULCAMARA, GRAPHITES, PETROLEUM, ARSENICUM ALBUM, CROTON TIGLIUM, MERCURIUS SULPHURATUS RUBER, NATRUM MURIATICUM, NITRICUM ACIDUM, RHUS TOX, SEPIA, THUJA OCCIDENTALIS ALLIUM SATIVUM, CALENDULA OFFICINALIS, SAMBUCUS NIGRA, CLEMATIS ERECTA, 437421047 DULCAMARA, PETROLEUM, SARSAPARILLA (SMILAX REGELII), GRAPHITES, ARSENICUM ALBUM, CROTON TIGLIUM, MERCURIUS SULPHURATUS RUBER, NATRUM MURIATICUM, NITRICUM ACIDUM, RHUS TOX, SEPIA, THUJ ALLIUM SATIVUM, CALENDULA OFFICINALIS, SAMBUCUS NIGRA, CLEMATIS ERECTA, 437421481 DULCAMARA, SARSAPARILLA (SMILAX REGELII), GRAPHITES, PETROLEUM, ARSENICUM ALBUM, CROTON TIGLIUM, MERCURIUS SULPHURATUS RUBER, NATRUM MURIATICUM, NITRICUM ACIDUM, RHUS TOX, SEPIA, THUJ ALLIUM SATIVUM, ECHINACEA (ANGUSTIFOLIA), GINKGO BILOBA, VISCUM ALBUM, HAMAMELIS 437421116, 437421480, VIRGINIANA, ACONITUM NAPELLUS, ALLIUM CEPA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, 437421567 CHELIDONIUM MAJUS, GELSEMIUM SEMPERVIRENS, MERCURIUS VIVUS, NATRUM MURIATICUM, NUX VOMICA, SE

Drug name HCPCS Code(s) NDC(s) ALMOND (NUT), CASHEW (NUT), BLACK WALNUT (NUT), PECAN (NUT), COCONUT, OLEUM OLEA 449110402 EUROPAEA, CHESTNUT (NUT), WATER CHESTNUT (NUT), PINENUT (NUT), MACADAMIA (NUT), PISTACHIO (NUT), PEANUT (NUT), ENGLISH WALNUT (NUT), BRAZIL NUT (NUT), HAZELNUT (NUT), ARSENIC ALOE SOCOTRINA, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, 437420200 BRYONIA, CARBO VEGETABILIS, CHAMOMILLA, KALI BICHROMICUM, PHOSPHORUS, PLUMBUM METALLICUM, PYROGENIUM, SULPHUR ALOE SOCOTRINA, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, 575200963 BRYONIA, CARBO VEGETABILIS, CHAMOMILLA, KALI BICHROMICUM, PHOSPHORUS, PLUMBUM METALLICUM, PYROGENIUM, SULPHUR ALOE SOCOTRINA, ANTIMONIUM CRUDA, ARSENICUM ALBUM, BELLADONNA, BRYONIA ALBUM, 105780027 CHAMOMILLA, COLOCYNTHIS, PODOPHYLLUM PELTATUM, VERATRUM ALBUM ALOE SOCOTRINA, ARSENICUM ALBUM, BRYONIA, COLLINSONIA CANADENSIS, COLOCYNTHIS, 527317015 CROTON TIGLIUM, CUPRUM ACETICUM, ECHINACEA ANGUSTIFOLIA, MERCURIUS SUB. CORROS, RHEUM OFFICINALE, SULFUR, VERATRUM ALBUM ALOE, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BRYONIA (ALBA), 437420811 CARBO VEGETABILIS, CHAMOMILLA, KALI BICHROMICUM, PHOSPHORUS, PLUMBUM METALLICUM, PYROGENIUM, SULPHUR ALOE, ARG. NIT., ARSENICUM ALB., BELLADONNA, BENZOICUM ACIDUM, BRYONIA, CANTHARIS, 557142286, 557142287, CAUSTICUM, EQUISETUM HYEMALE, FERRUM METALLICUM, GELSEMIUM, IGNATIA, KALI PHOS., 557142463, 557142464, LYCOPODIUM, NAT. MUR., NITRICUM AC., PLANTAGO, PULSATILLA, RHUS AROMATICA , SABAL, 557144748 SECALE ALOE, ARG. NIT., ARSENICUM ALB., BELLADONNA, BENZOICUM ACIDUM, BRYONIA, CANTHARIS, 557144534, 557144535 CAUSTICUM, EQUISETUM HYEMALE, FERRUM METALLICUM, GELSEMIUM, IGNATIA, KALI PHOS., LYCOPODIUM, NAT. MUR., NITRICUM AC., PLANTAGO, PULSATILLA, RHUS AROMATICA, SABAL, SECALE, S ALOE, ARSENICUM ALB., CALC. FLUOR., COLLINSONIA, CROTALUS HORRIDUS, HYDROFLUORICUM 557142002 ACIDUM, LACHESIS, LYCOPODIUM, NUX VOM., RATANHIA, VIPERA BERUS, AESCULUS HIPP., CALENDULA, ECHINACEA, HAMAMELIS, HYPERICUM, SOLIDAGO, URTICA UR. ALTRETAMINE 580630001, 628560001 ALUMINA, ANATHERUM MURICATUM, APIS MELLIFICA, ARSENICUM ALBUM, BUTYRICUM 579550129 ACIDUM, HYDROCOTYLE ASIATICA, MEZEREUM, PETROLEUM, RHUS TOXICODENDRON, SEPIA, SILICEA, SULPHUR

Drug name HCPCS Code(s) NDC(s) ALUMINA, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, ASARUM EUROPAEUM, BAPTISIA 579555128 TINCTORIA, CARBOLICUM ACIDUM, CHININUM ARSENICICUM, COCCULUS INDICUS, LECITHIN, PICRICUM ACIDUM, PULSATILLA, RHUS TOXICODENDRON, SILICEA AND SULPHUR ALUMINA, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, ASARUM EUROPAEUM, BAPTISIA 579555318 TINCTORIA, CARBOLICUM ACIDUM, CHININUM ARSENICOSUM, COCCULUS INDICUS, LECITHIN, PICRICUM ACIDUM, PULSATILLA, RHUS TOXICODENDRON, SILICEA, AND SULPHUR ALUMINA, ANTIMONIUM CRUDUM, ARSENICUM ALBUM, ASARUM EUROPAEUM, BAPTISIA 579550128, 579550318 TINCTORIA, CARBOLICUM ACIDUM, CHININUM ARSENICOSUM, COCCULUS INDICUS, LECITHIN, PICRICUM ACIDUM, PULSATILLA, RHUS TOXICODENDRON, SILICEA, SULPHUR ALUMINA, ARALIA QUINQUEFOLIA, ARG. NIT., ARNICA, ARSENICUM ALB., BAPTISIA, BRYONIA, 557141110, 557141118 CANTHARIS, CHELIDONIUM MAJUS, CONIUM, GELSEMIUM, IODIUM, KALI CARB., KALI IOD., LYCOPODIUM, LYCOPUS VIRGINICUS, NAT. MUR., NUX VOM., PHOSPHORUS, PHYTOLACCA, PULSATILLA, RH ALUMINA, ARSENICUM ALBUM, ARSENICUM LODATUM, BERBERIS VULGARIS, CADMIUM 579550281 SULPHURATUM, CHELIDONIUM MAJUS, CHROMIUM OXYDATUM, CUPRUM METALLICUM, CYSTEINUM, GLYCERINUM, GLYCYRRHIZA GLABRA, KALI MURIATICUM, MAGNESIA SULPHURICA, MERCURIUS CORROSIVUS, MERCURIUS ALUMINA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BELLADONNA, BOLDO, CALCAREA 645780143 CARBONICA, CARDUUS MARIANUS, CHAMOMILLA, CHELIDONIUM MAJUS, ECHINACEA, HYDRASTIS CANADENSIS, LECITHIN, LEDUM PALUSTRE, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, MORBILLINUM, PERTUSS ALUMINIUM METALLICUM, ARGENTUM METALLICUM, ARSENICUM ALBUM, AURUM 621061119 METALLICUM, CALENDULA OFFICINALIS, CONDURANGO, JACARANDA CAROBA, ROBINIA PSEUDOACACIA, SABINA ALUMINIUM METALLICUM, ARSENICUM ALBUM, BELLADONNA, HISTAMINUM 579552502 HYDROCHLORICUM, HYDRASTIS CANADENSIS, MANDRAGORA OFFICINARUM, NUX VOMICA, PHOSPHORUS, PULSATILLA, SOLANINUM, SOLANUM NIGRUM ALUMINIUM METALLICUM, ARSENICUM ALBUM, BRYONIA, COLOCYNTHIS, HELLEBORUS NIGER, 579552501 HISTAMINUM HYDROCHLORICUM, HYDRASTIS CANADENSIS, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MAGNESIA CARBONICA, PETROLEUM, PULSATILLA ALUMINUM OXIDE, APIS MELLIFERA, ARSENIC TRIOXIDE, CALENDULA OFFICINALIS FLOWERING 687700142 TOP, TRIBASIC CALCIUM PHOSPHATE, EUPHRASIA STRICTA, DELPHINIUM STAPHISAGRIA SEEDS, SULPHUR

Drug name HCPCS Code(s) NDC(s) ALUMINUM OXIDE, ARSENIC TRIOXIDE, CAUSTICUM, CONIUM MACULATUM FLOWERING TOP, 434060035 CUPRIC ACETATE, GELSEMIUM SEMPERVIRENS ROOT, STRYCHNOS IGNATII SEED, LACHESIS MUTA VENOM, MERCURIUS SOLUBILIS, PHOSPHORUS, LEAD, ZINC ALUMINUM OXIDE, SILVER, SILVER NITRATE, ARSENIC TRIOXIDE, MERCURIUS SOLUBILIS, 582640103 CALOMEL, MERCURIC IODIDE, LEAD, LEAD IODIDE, CHELIDONIUM MAJUS, ZINC, SOLIDAGO VIRGAUREA FLOWERING TOP, AND CITRIC ACID MONOHYDRATE AMANITA MUSCARIA FRUITING BODY, ARSENIC TRIOXIDE, MILK THISTLE, CEANOTHUS 594690005 AMERICANUS LEAF, CINCHONA OFFICINALIS BARK, GLECHOMA HEDERACEA FLOWERING TOP, GRINDELIA HIRSUTULA WHOLE, AND SODIUM CHLORIDE AMBROSIA ARTEMISIIFOLIA, ARSENIC TRIOXIDE, CALCIUM SULFIDE, POTASSIUM DICHROMATE, 434060045 POTASSIUM SULFATE, LYCOPODIUM CLAVATUM SPORE, MERCURIUS SOLUBILIS, SODIUM CHLORIDE, PHOSPHORUS, PULSATILLA VULGARIS, SEPIA OFFICINALIS JUICE, SILICON DIOXIDE, THUJA OCCIDENT AMERICAN GINSENG, BLACK COHOSH, SPIGELIA ANTHELMIA, SILVER NITRATE, ARSENIC 434060071 TRIOXIDE, GOLD, STRYCHNOS IGNATTI SEED, LACHESIS MUTA VENOM, LYCOPODIUM CLAVATUM SPORE, SODIUM CHLORIDE, PHOSPHORIC ACID, PLATINUM, PULSATILLA VULGARIS, SEPIA OFFICINALIS JUICE, T AMMONIUM CARBONATE - APIS MELLIFERA - ARSENIC TRIOXIDE - BLATTA ORIENTALIS - CUPRIC 170890418 ACETATE - DRIMIA MARITIMA BULB - EPINEPHRINE - GALPHIMIA GLAUCA FLOWERING TOP - HISTAMINE DIHCL - LUFFA OP AMMONIUM CARBONATE, APIS MELLIFERA, ARSENIC TRIOXIDE, GRINDELIA HIRSUTULA 582640078 FLOWERING TOP, ECHINACEA ANGUSTIFOLIA, AND CROTALUS HORRIDUS HORRIDUS VENOM AMMONIUM CARBONICUM, ANTIMONIM ARSENICOSUM, ANTIMONIUM TARTARICUM, 497260003 ARSENICUM ALBUM, BROMIUM, CARBO VEGETABILIS, CHLORINUM, KALI CARBONICUM, LOBELIA INFLATA, STANNUM METALLICUM, SULPHURICUM ACIDUM AMMONIUM CARBONICUM, ANTIMONIUM ARSENICICUM, ANTIMONIUM TARTARICUM, 579550053, 665790067 ARSENICUM ALBUM, BROMIUM, CARBO VEGETABILIS, CHLORINUM, KALI CARBONICUM, LOBELIA INFLATA, STANNUM METALLICUM, SULPHURICUM ACIDUM AMMONIUM CARBONICUM, APIS MELLIFICA, ARGENTUM METALLICUM, ARSENICUM ALBUM, 438570127 DULCAMARA, MEZEREUM, RHUS TOX, URTICA URENS AMMONIUM CARBONICUM, ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, IODIUM, 545570003 LYCOPODIUM CLAVATUM, NUX VOMICA, PULSATILLA

Drug name HCPCS Code(s) NDC(s) AMMONIUM CHLORIDE, ANTIMONY POTASSIUM TARTRATE, ARSENIC TRIOXIDE, OYSTER SHELL 434060038, 434060626 CALCIUM CARBONATE, CRUDE, LOBELIA INFLATA, SODIUM SULFATE, SPONGIA OFFICINALIS SKELETON, ROASTED, PHOSPHORUS AMMONIUM MURIATICUM, ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, BRYONIA (ALBA), 449110169, 717420010 CALCAREA CARBONICA, LOBELIA INFLATA, NATRUM SULPHURICUM, PHOSPHORUS, SPONGIA TOSTA AMMONIUM MURIATICUM, ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, CALCAREA 438570213, 575200131 CARBONICA, LOBELIA INFLATA, NATRUM SULPHURICUM, SPONGIA TOSTA, PHOSPHORUS AMYL NITROSUM, EUPHRASIA OFFICINALIS, KALI MURIATICUM, WYETHIA HELENOIDES, 437421548 HISTAMINUM HYDROCHLORICUM, LAC CANINUM, GLANDULA SUPRARENALIS SUIS, MUCOSA NASALIS SUIS, ALLIUM CEPA, ARSENICUM ALBUM, BLATTA AMERICANA, IRIDIUM METALLICUM, SABADILLA, SELENIUM MET ANACARDIUM ORIENTALE 6X, ARGENTUM NITRICUM 6X, ARSENICUM ALBUM 6X, BELLADONNA 533461305 4X, CARBO VEGETABILIS 8X, CHAMOMILLA 2X, CHELIDONIUM MAJUS, RADIX 3X, LYCOPODIUM CLAVATUM 5X, NUX VOMICA 4X, SCROPHULARIA NODOSA 1X ANACARDIUM ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, ATROPINUM 621062025 SULFURICUM, BISMUTHUM SUBNITRICUM, CONDURANGO BARK, HAMAMELIS VIRGINIANA, HYDRASTIS CANADENSIS, KALIUM BICHROMICUM ANACARDIUM ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, ATROPINUM, CARBO 579555074 VEGETABILIS, GERANIUM MACULATUM, KALI BICHROMICUM, ORNITHOGALUM UMBELLATUM URANIUM NITRICUM ANACARDIUM ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, ATROPINUM, CARBO 579550074, 579550188 VEGETABILIS, GERANIUM MACULATUM, KALI BICHROMICUM, ORNITHOGALUM UMBELLATUM, URANIUM NITRICUM ANACARDIUM ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, BISMUTHUM 508450189 METALLICUM, CONDURANGO, GERANIUM MACULATUM, NUX VOMICA, PYROGENIUM, ROBINIA PSEUDOACACIA, SULPHURICUM ACIDUM ANAGRELIDE 136680453, 136680462 ANAGRELIDE HCL 001725240, 001725241, 540920063, 548685443, 681512959, 691895241

Drug name HCPCS Code(s) NDC(s) ANAS BARBARIAE, ARSENICUM ALB, BAPTISIA, BRYONIA, CAUSTICUM, CINCHONA, DULCAMARA, 579550298 ECHINACEA PURP, EUCALYPTUS, EUPATORIUM PERF, GELSEMIUM, INFLUENZINUM, LACHESIS, PHYTOLACCA, RHUS TOX, SARCOLACTICUM AC, SULPHUR, WYETHIA, ZINC ACET, ZINC MUR, ZINC OXYD. ANAS BARBARIAE, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, DULCAMARA, 579550382 ECHINACEA, ECHINACEA PURPUREA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, INFLUENZINUM, KALI MURIATICUM, PHOSPHORUS, PULSATILLA, SULPHUR, ZINCUM ACETICUM, Z ANAS BARBARIAE, HEPATIS ET CORDIS EXTRACTUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, 580668012 BRYONIA ALBA, CAUSTICUM, CINCHONA OFFICINALIS, DULCAMARA, ECHINACEA PURPUREA, EUCALYPTUS GLOBULUS, EUPATORIUM PURPUREUM, GELSEMIUM SEMPERVIRENS, INFLUENZINUM, LAC DEFLORATUM ANAS BARBARIAE, HEPATIS ET CORDIS EXTRACTUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, 579555194 BRYONIA ALBA, CAUSTICUM, CINCHONA OFFICINALIS, ECHINACEA PURPUREA, EUCALYPTUS GLOBULUS, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, INFLUENZINUM, PHYTOLACCA DECANDRA, RH ANAS BARBARIAE, HEPATIS ET CORDIS EXTRACTUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, 579551801 BRYONIA, CAUSTICUM, CINCHONA OFFICINALIS, ECHINACEA PURPUREA, EUCALYPTUS GLOBULUS, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, INFLUENZINUM, PHYTOLACCA DECANDRA, RHUS TO ANAS BARBARIAE, HEPATIS ET CORDIS EXTRACTUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, 580667012 BRYONIA, DULCAMARA, ECHINACEA, ECHINACEA PURPUREA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, KALI MURIATICUM, LAC DEFLORATUM, PHOSPHORUS, PULSATIL ANATHERUM MURICATUM, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BUTYRICUM 579555129 ACIDUM, HYDROCOTYLE ASIATICA, MEZEREUM, PETROLEUM, PETROLEUM, RHUS TOXICODENDRON, SEPIA, SILICEA AND SULPHUR ANATHERUM MURICATUM, AVENA SATIVA, ARSENICUM ALBUM, BERBERIS VULGARIS, 599850323 DIOSCOREA VILLOSA, OKOUBAKA AUBREVILLEI ANEMONE PATENS, MATRICARIA CHAMOMILLA, SULFUR, ZINC, TOXICODENDRON PUBESCENS 549733352 LEAF, ARSENIC TRIOXIDE, ARABICA COFFEE BEAN, LYCOPODIUM CLAVATUM SPORE ANEMONE PULSATILLA, PHOSPHORUS, SILICON DIOXIDE, NITRIC ACID, ARSENIC TRIOXIDE, 582640221 TOXICODENDRON PUBESCENS WHOLE, AND BOS TAURUS HYPOTHALAMUS

Drug name HCPCS Code(s) NDC(s) ANGELICA SINENSIS RADIX, ARALIA QUINQUEFOLIA, ARG. NIT., ARSENICUM ALB., BERBER. AQUI., 557142268, 557142269, CAPSICUM , CINCHONA, DIGITALIS, GELSEMIUM, HYPERICUM, IGNATIA, IODIUM, KALI BROM., 557142338, 557142339, KALI CARB., MAG. PHOS., NAT. CARB., NAT. MUR., PHOSPHORUS, SALIX NIGRA, SANGUINARIA 557142390, 557142391, 557144771, 557144772 ANGELICA SINENSIS RADIX, ARSENICUM ALB., BRYONIA, CAULOPHYLLUM, CIMICIFUGA, 557142222, 557142223, CINCHONA, DIOSCOREA, FOLLICULINUM, GELSEMIUM, LACHESIS, LILIUM, LYCOPODIUM, 557142481, 557142482, MILLEFOLIUM, NUX VOM., PULSATILLA, SABINA, SECALE, SEPIA, THLASPI, VIBURNUM OP., 557144749 ZINGIBER, ECHINACEA, VA ANGELICA SINENSIS RADIX, ARSENICUM ALB., BRYONIA, CAULOPHYLLUM, CIMICIFUGA, 557144448, 557144449 CINCHONA, DIOSCOREA, FOLLICULINUM, GELSEMIUM, LACHESIS, LILIUM, LYCOPODIUM, MILLEFOLIUM, NUX VOM., PULSATILLA, SABINA, SECALE, SEPIA, THLASPI, VIBURNUM OP., ZINGIBER, ECHINACEA, VA ANGELICA SINENSIS, RADIX, ARALIA QUINQUEFOLIA, ARG. NIT., ARSENICUM ALB., BERBER. 557144566, 557144567, AQUI., CAPSICUM, CINCHONA, DIGITALIS, GELSEMIUM, HYPERICUM, IGNATIA, IODIUM, KALI 557144644, 557144645, BROM., KALI CARB., MAG. PHOS., NAT. CARB., NAT. MUR., PHOSPHORUS, SALIX NIGRA, 557144661, 557144662 SANGUINARIA ANTHRACINUM , PYROGENIUM, ACONITUM NAP., ARNICA, ARSENICUM ALB., BAPTISIA, 557144550, 557144551 BRYONIA, HYDRASTIS, IODIUM, LACHESIS, NUX VOM., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON , ECHINACEA , IRIS VERSICOLOR, URTICA UR. ANTHRACINUM, ARSENICUM ALBUM, BOTULINUM, CALCAREA HYPOPHOSPHOROSA, COXIELLA 437420015 BURNETII, DYSENTERY BACILLUS, FRANCISELLA TULARENSIS, GAERTNER BACILLUS, KALI SULPHURICUM, LAC CANINUM, MALARIA OFFICINALIS, MUTABILE BACILLUS, PERTUSSINUM, PESTINUM, PYROGENIUM ANTHRACINUM, INFLUENZA A VIRUS, INFLUENZA B VIRUS, PYROGENIUM, ACONITUM NAP., 557142206, 557142207, ANTIMON. TART., ARNICA, ARSENICUM ALB., BAPTISIA, BELLADONNA, BRYONIA, CANTHARIS, 557142440, 557142441, CHAMOMILLA, CINCHONA, EUPATORIUM PERF., FERRUM METALLICUM, GELSEMIUM, HEPAR 557148009 SULPH.CALC., IODIUM ANTHRACINUM, PYROGENIUM, ACONITUM NAP., ALOE, APIS MEL., ARNICA, ARSENICUM ALB., 557142300, 557142301, BAPTISIA, BELLADONNA, BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CROTALUS HORRIDUS, 557142467, 557142468, FERRUM PHOSPHORICUM, GAULTHERIA PROCUMBENS, HEPAR SULPH. CALC., IODIUM, 557144502, 557144503, LACHESIS, NUX VOM., PH 557144760, 557148012

Drug name HCPCS Code(s) NDC(s) ANTHRACINUM, PYROGENIUM, ACONITUM NAP., ARNICA, ARSENICUM ALB., BAPTISIA, 557144818 BRYONIA, HYDRASTIS, IODIUM, LACHESIS, NUX VOM., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON , ECHINACEA , IRIS VERSICOLOR, URTICA UR. ANTIMON. CRUD., APIS MEL., ARSENICUM ALB., BERBER. VULG., BOVISTA, BRYONIA, CANTHARIS, 557144528, 557144529 CHELIDONIUM MAJUS, CROTON, DULCAMARA, GRAPHITES, HISTAMINUM HYDROCHLORICUM, LYCOPODIUM, MEZEREUM , NUX VOM., PETROLEUM, PULEX IRRITANS, PULSATILLA, RHUS TOXICODENDRON ANTIMON. CRUD., APIS MEL., ARSENICUM ALB., BERBER. VULG., BOVISTA, BRYONIA, CANTHARIS, 557142284, 557142285, CHELIDONIUM MAJUS, CROTON, DULCAMARA, GRAPHITES, HISTAMINUM HYDROCHLORICUM, 557142459, 557142460, LYCOPODIUM, MEZEREUM, NUX VOM., PETROLEUM, PULEX IRRITANS, PULSATILLA, RHUS 557144761, 557144762, TOXICODENDRON, S 557148013 ANTIMON. CRUD., ARG. NIT., ARSENICUM ALB., BAPTISIA, BISMUTHUM METALLICUM, BRYONIA, 557144510, 557144511 CHAMOMILLA, CINCHONA, IRIS VERSICOLOR, KALI BIC., LACHESIS, LYCOPODIUM, MAG. CARB., NUX VOM., PHOSPHORUS, PODOPH. PELT., PULSATILLA, RAPHANUS, RHUS TOXICODENDRON, TABACUM ANTIMON. CRUD., ARG. NIT., ARSENICUM ALB., BAPTISIA, BISMUTHUM METALLICUM, BRYONIA, 557144530, 557144531 CINCHONA, COLOCYNTHIS, GRAPHITES, HEPAR SULPH. CALC., HYDRASTIS, IPECAC., KALI BIC., KALI CARB., LYCOPODIUM, MAG. CARB. MAG. PHOS., NUX VOM., PHOSPHORUS, PODOPH. PELT., PU ANTIMON. CRUD., ARSENICUM ALB., AUR. MET., BERBER. AQUI., BOVISTA, CARBO VEG., 557142228, 557144468, CAUSTICUM, CHELIDONIUM MAJUS, DULCAMARA, GRAPHITES, HEPAR SULPH. CALC., 557144469 HYDROCOTYLE, KALI BROM., KALI IOD., LEDUM, LYCOPODIUM, NUX VOM., SILICEA, SULPHUR IOD., ZINC. MET., ECHI ANTIMON. CRUD., ARSENICUM ALB., BERBER. VULG., BOVISTA , BRYONIA , CANTHARIS , 557144402, 557144403 CHELIDONIUM MAJUS, CROTON, DULCAMARA, GRAPHITES, HEPAR SULPH. CALC., LYCOPODIUM MEZEREUM, NUX VOM, PETROLEUM, PULEX IRRITANS, PULSATILLA, RHUS TOXICODENDRON, SARSAPARILLA, SEPI ANTIMON. CRUD., ARSENICUM ALB., BERBER. VULG., BOVISTA, BRYONIA, CANTHARIS, 557142232, 557142233, CHELIDONIUM MAJUS, CROTON, DULCAMARA, GRAPHITES, HEPAR SULPH. CALC., LYCOPODIUM, 557142430, 557142431, MEZEREUM, NUX VOM., PETROLEUM, PULEX IRRITANS, PULSATILLA, RHUS TOXICODENDRON, 557144799 SARSAPARILLA, SEPIA ANTIMONIUM CRUDUM, ARSENICUM ALBUM 691520016, 691520105

Drug name HCPCS Code(s) NDC(s) ANTIMONIUM CRUDUM, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA PHOSPHORICA, 508450053 CALCAREA SILICATA, CICUTA VIROSA, CONIUM MACULATUM ANTIMONIUM CRUDUM, ARSENICUM ALBUM, CARBO VEGETABILIS , CHINA OFFICINALIS, 690084009 GENTIANA LUTEA, HYDRASTIS CANADENSIS, NUX VOMICA ANTIMONIUM CRUDUM, ARSENICUM ALBUM, CINCHONA OFFICINALIS, COLOCYNTHIS, 579550098, 579550262, GAMBOGIA, GENTIANA LUTEA, MAGNESIA PHOSPHORICA, NATRUM SULPHURICUM, NUX 579556083, 665790056 VOMICA, PHOSPHORUS ANTIMONIUM CRUDUM, ARSENICUM ALBUM, GRAPHITES, MERCURIUS SOLUBILIS, SEPIA, 660960732 SILICEA, THUJA OCCIDENTALIS, USTILAGO MAIDIS, ZINCUM METALLICUM ANTIMONIUM CRUDUM, ARSENICUM ALBUM, MANCINELLA, NITRICUM ACIDUM, SULPHUR, 436950005 THUJA OCCIDENTALIS ANTIMONIUM CRUDUM, ARSENICUM ALBUM, MANCINELLA, NITRICUM ACIDUM, SULPHUR, 508450085 THUJA OCCIDENTALIS ANTIMONIUM TART 30C, ARSENICUM 30C, BELLADONNA 30C, BACILLINUM 200C, CALCAREA 596670091 CARB 30C, CACTUS 30C, CAUSTICUM 30C, CUPRUM MET. 30C, DULCAMARA 30C, IPECAC 30C, HEPAR SULPH 30C, KALI SULPH 30C, LYCOPODIUM 30C, NATRUM CARB 30C, NUX VOMICA 30C, PHOSPHORUS 30C ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, ARSENICUM IODATUM, ARUM TRIPHYLLUM, 696070008 BAPTISIA TINCTORIA, BRYONIA (ALBA), DROSERA (ROTUNDIFOLIA), ECHINACEA ANGUSTIFOLIA, EUPATORIUM PERFOLIATUM, KALI BROMATUM, LUNG SUIS, MERCURIUS CORROSIVUS, STICTA PULMONARIA, SULP ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, ARSENICUM IODATUM, ARUM TRIPHYLLUM, 508450207 BAPTISIA TINCTORIA, BRYONIA TINCTORIA, BRYONIA (ALBA), DROSERA (ROTUNDIFOLIA), ECHINACEA (ANGUSTIFOLIA, EUPATORIUM PERFOLIATUM, KALI BROMATUM, LUNG SUIS, MERCURIUS CORROSIVUS, STI ANTIMONIUM TARTARICUM, ARSENICUM ALBUM, ARSENICUM IODATUM, ARUM TRIPHYLLUM, 508450021 BAPTISIA TINCTORIA, BRYONIA, DROSERA, ECHINACEA ANTIMONY TRISULFIDE, APIS MELLIFERA, ARSENIC TRIOXIDE, ATROPA BELLADONNA, GRAPHITE, 617270326 ARCTIUM LAPPA FRUIT, KEROSENE, SOLIDAGO CANADENSIS WHOLE, VIOLA TRICOLOR. APIS MEL., ARSENICUM ALB., ASTERIAS RUBENS, CANTHARIS, CISTUS CANADENSIS, CROTON, 557142334, 557142335 DOLICHOS, DULCAMARA, GRAPHITES, GRINDELIA, HYPERICUM, IRIS VERSICOLOR, LYCOPODIUM, MEZEREUM, RANUNC. BULB., RHUS TOXICODENDRON, STAPHYSAG., SULPHUR, THUJA OCC., ZINC. MET.

Drug name HCPCS Code(s) NDC(s) APIS MEL., ARSENICUM ALB., CALC. CARB., DULCAMARA, GRAPHITES, HEPAR SULPH. CALC., 557142292, 557142293, HYDRASTIS, HYDROFLUORICUM ACIDUM, KALI CARB., LYCOPODIUM, MEZEREUM, OLEANDER, 557142448, 557142449 PETROLEUM, PHOSPHORICUM AC., PHOSPHORUS, RHUS TOXICODENDRON, SELENIUM, SEPIA, SILICEA, SULPHUR APIS MELLIFERA 30X, ARSENIC TRIOXIDE 30X, CINCHONA OFFICINALIS BARK 30X, DIGITALIS 30X, 434060095, 434060627 LACHESIS MUTA VENOM 30X, LYCOPODIUM CLAVATUM SPORE 30X, SODIUM SULFATE 30X, TOXICODENDRON PUBESCENS LEAF 30X, SAMBUCUS NIGRA FLOWERING TOP 30X, STROPHANTHUS HISPIDUS S APIS MELLIFERA, APIS MELLIFERA VENOM, ARSENIC TRIOXIDE, BRYONIA ALBA ROOT, AND 582640038 SULFUR APIS MELLIFERA, ARSENIC TRIOXIDE, ATROPA BELLADONNA, MATRICARIA RECUTITA, LACHESIS 434060623 MUTA VENOM, MERCURIUS SOLUBILIS, PULSATILLA VULGARIS, TOXICODENDRON PUBESCENS LEAF, SILICON DIOXIDE APIS MELLIFERA, ARSENIC TRIOXIDE, BAPTISIA TINCTORIA, ATROPA BELLADONNA, ECHINACEA 582640144 PURPUREA, EUPATORIUM PERFOLIATUM WHOLE, GELSEMIUM SEMPERVIRENS WHOLE, CALCIUM SULFIDE, RANCID BEEF, SULFUR, SILICON DIOXIDE, AND THUJA OCCIDENTALIS LEAFY TWIG APIS MELLIFERA, ARSENIC TRIOXIDE, CADMIUM SULPHATE, OYSTER SHELL CALCIUM CARBONATE 434060113 CRUDE, ACTIVATED CHARCOAL, CHELIDONIUM MAJUS, CINCHONA OFFICINALIS BARK, LYCOPODIUM CLAVATUM SPORE, MERCURIUS SOLUBILIS, SODIUM CHLORIDE, STRYCHNOS NUX- VOMICA SEED, PHOSPHO APIS MELLIFERA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA 508130010 (ANGUSTIFOLIA), LACHESIS MUTUS, MERCURIUS SOLUBILIS APIS MELLIFERA, URTICA URENS, SODIUM CHLORIDE, AND ARSENIC TRIOXIDE 549739146 APIS MELLIFICA 30X, ARSENICUM ALBUM 30X, RHUS TOXICODENDRON 30X, SULPHUR 30X 533461323 APIS MELLIFICA, APOCYNUM CANNABINUM, ARSENICUM ALBUM, DIGITALIS PURPUREA, 449110244 LYCOPODIUM CLAVATUM, RHUS TOX, SAMBUCUS NIGRA, STROPHANTHUS HISPIDUS APIS MELLIFICA, ARSENICUM ALBUM, AURUM IODATUM, BARYTA MURIATICA, COLOCYNTHIS, 579550216 CONIUM MACULATUM, IODIUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, NAJA TRIPUDIANS, OOPHORINUM, PLATINUM METALLICUM, PODOPHYLLUM PELTATUM APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BORAX CAPSICUM ANNUUM, 508450120 DULCAMARA, ECHINACEA, MERCURIUS CORROSIVUS, NITRICUM ACIDUM, PYROGENIUM, RHUS TOXICODENDRON, SULPHUR IODATUM, THUJA OCC IDEN

Drug name HCPCS Code(s) NDC(s) APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BORAX, CAPSICUM ANNUUM, 508450212 DULCAMARA, ECHINACEA (ANGUSTIFOLIA), MERCURIUS CORROSIVUS, NITRICUM ACIDUM, PYROGENIUM, RHUS TOX, SULPHUR IODATUM, THUJA OCCIDENTALIS APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CAPSICUM ANNUUM, DULCAMARA, 508450136 ECHINACEA (ANGUSTIFOLIA), NITRICUM ACIDUM, PYROGENIUM, RHUS TOX APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CAPSICUM ANNUUM, DULCAMARA, 436950011 ECHINACEA, NITRICUM ACIDUM, PYROGENIUM, RHUS TOX APIS MELLIFICA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CAPSICUM ANNUUM, DULCAMARA, 508450126 ECHINACEA, NITRICUM ACIDUM, PYROGENIUM, RHUS TOXICODENDRON APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BELLADONNA, CALCAREA 437420828 CARBONICA, CICUTA VIROSA, CONIUM MACULATUM, FERRUM METALLICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA (VULGARIS), SEPIA APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BELLADONNA, CALCAREA 437420194 CARBONICA, CICUTA VIROSA, CONIUM MACULATUM, FERRUM METALLICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA, SEPIA, TARENTULA H APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CICUTA 437421521 VIROSA, CONIUM MACULATUM, FERRUM METALLICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SEPIA, TARENTULA H APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CICUTA 437421011 VIROSA, CONIUM MACULATUM, FERRUM METALLICUM, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA (VULGARIS), SEPIA, TARENTULA HI APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA 449110123 (ANGUSTIFOLIA), LACHESIS MUTUS, MERCURIUS SOLUBILIS, PULSATILLA (VULGARIS), PYROGENIUM, RHUS TOX, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA, LACHESIS 449110023 MUTUS, MERCURIUS SOLUBILIS APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA, LACHESIS 575200179 MUTUS, MERCURIUS SOLUBILIS

Drug name HCPCS Code(s) NDC(s) APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA, LACHESIS 508130002 MUTUS, MERCURIUS SOLUBILIS, PULSATILLA, PYROGENIUM APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECHINACEA, LACHESIS 449110004, 575201043 MUTUS, MERCURIUS SOLUBILIS, PULSATILLA, PYROGENIUM, RHUS TOXICODENDRON, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, ECINACEA, LACHESIS 575200464 MUTUS, MERCURIUS SOLUBILIS APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, LACHESIS MUTUS, 438570524 MERCURIUS SOLUBILIS, PULSATILLA (PRATENSIS), RHUS TOX, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, LACHESIS MUTUS, 438570179 MERCURIUS SOLUBILIS, PULSATILLA, RHUS TOXICODENDRON, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, LACHESIS MUTUS, 575200021 MERCURIUS SOLUBILIS, PULSATILLA, RHUS TOXICODENDRON, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, BERBERIS AQUIFOLIUM, BRYONIA, CALENDULA 579552522 OFFICINALIS, HOTTONIA PALUSTRIS, FLOS, HYOSCYAMUS NIGER, ILEX AQUIFOLIUM, FLOS, IPECACUANHA, KALI CARBONICUM, LILIUM TIGRINUM, MINULUS GUTTATUS, FLOS, OLEUM SANTALI, PRUNUS CERASIFER APIS MELLIFICA, ARSENICUM ALBUM, BORAX, CAPSICUM ANNUUM, GRAPHITES, MENTHA 497260009 PIPERITA, MEZEREUM, NATRUM MURIATICUM, NUX VOMICA, PETROLEUM, RANUNCULUS BULBOSUS APIS MELLIFICA, ARSENICUM ALBUM, BORAX, CAPSICUM ANNUUM, GRAPHITES, MENTHA 579555165 PIPERITA, MEZEREUM, NATRUM MURIATICUM, NUX VOMICA, PETROLEUM, RANUNCULUS BULBOSUS, AND RHUS TOXICODENDRON APIS MELLIFICA, ARSENICUM ALBUM, BORAX, CAPSICUM ANNUUM, GRAPHITES, MENTHA 579550165 PIPERITA, MEZEREUM, NATRUM MURIATICUM, NUX VOMICA, PETROLEUM, RANUNCULUS BULBOSUS, RHUS TOXICODENDRON APIS MELLIFICA, ARSENICUM ALBUM, CALCAREA ACETICA, CALCAREA OXALICA, CEDRON, 579550217 CONIUM MACULATUM, ECHINACEA PURPUREA, EUPHORBIUM OFFICINARUM, HYDRASTIS CANADENSIS, OVA TOSTA, PHOSPHORICUM ACIDUM, SILICEA APIS MELLIFICA, ARSENICUM ALBUM, DIGITALIS PURPUREA, FERRUM METALLICUM, 438570299 LYCOPODIUM CLAVATUM, RHUS TOX, SAMBUCUS NIGRA, STROPHANTHUS HISPIDUS APIS MELLIFICA, ARSENICUM ALBUM, DIGITALIS PURPUREA, FERRUM METALLICUM, 575200091 LYCOPODIUM CLAVATUM, RHUS TOXICODENDRON, SAMBUCUS NIGRA, STROPHANHUS HISPIDUS

Drug name HCPCS Code(s) NDC(s) APIS MELLIFICA, ARSENICUM ALBUM, LACHESIS MUTUS, PHOSPHORICUM ACIDUM, PITUITARUM 449110278 POSTERIUM, PULSATILLA (PRATENSIS), SAMBUCUS NIGRA, THUJA OCCIDENTALIS APIS MELLIFICA, ARSENICUM ALBUM, MAGNESIA PHOSPHORICA, NATRUM MURIATICUM, RHUS 687030251 TOX, URTICA URENS AQUAFLORA 579552281 ARALIA QUINQUEFOLIA, FUCUS VESICULOSUS, HYDRASTIS CANADENSIS, SOLIDAGO VIRGAUREA, 639720005 TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, ARSENICUM ALBUM, CALCAREA CARBONICA, CARBO VEGETABILIS, CEANOTHUS AMERICANUS, CYCLAMEN EUROPAEUM, HEPAR SULPHURIS CALCAREUM, NATRUM ARALIA QUINQUEFOLIA, FUCUS VESICULOSUS, SOLIDAGO VIRGAUREA, TARAXACUM OFFICINALE, 551460005 TRIFOLIUM PRATENSE, HYDRASTIS CANADENSIS, ARSENICUM ALBUM, CALCAREA CARBONICA, CARBO VEGETABILIS, CEANOTHUS AMERICANUS, CYCLAMEN EUROPAEUM, HEPAR SULPHURIS CALCAREUM, NATRUM ARALIA QUINQUEFOLIA, GLYCYRRHIZA GLABRA, SARSAPARILLA, AVENA SATIVA, GLANDULA 438570057 SUPRARENALIS BOVINE, ADRENALINUM, ARSENICUM ALBUM, KALI PHOSPHORICUM, NATRUM MURIATICUM, NUX VOMICA, PHOSPHORICUM ACIDUM, VERATRUM ALBUM ARALIA QUINQUEFOLIA, GLYCYRRHIZA GLABRA, SARSAPARILLA, AVENA SATIVA, GLANDULA 575200015 SUPRARENALIS BOVINUM, ADRENALINUM, ARSENICUM ALBUM, KALI PHOSPHORICUM, NATRUM MURIATICUM, NUX VOMICA, PHOSPHORICUM ACIDUM, VERATRUM ALBUM ARALIA QUINQUEFOLIA, HUMULUS LUPULUS, ADRENALINUM, CORTISONE ACETICUM, 437421247, 437421248 SELENIUM METALLICUM, THYROIDINUM (SUIS), ARSENICUM ALBUM, CALCAREA CARBONICA, CONVALLARIA MAJALIS, CROTALUS HORRIDUS, FERRUM METALLICUM, NUX VOMICA, PHOSPHORUS, SEPIA, PHOSPHORICUM ACI ARALIA QUINQUEFOLIA, HUMULUS LUPULUS, ADRENALINUM, CORTISONE ACETICUM, 437420020, 437420197, THYROIDINUM (SUIS), SELENIUM METALLICUM, ARSENICUM ALBUM, CALCAREA CARBONICA, 437420732, 437420753 CONVALLARIA MAJALIS, CROTALUS HORRIDUS, FERRUM METALLICUM, NUX VOMICA, PHOSPHORUS, SEPIA, PHOSPHORICUM ACI ARALIA RACEMOSA, ARSENICUM ALBUM 691520009 ARALIA RACEMOSA, ARSENICUM ALBUM, HISTAMINUM HYDROCHLORICUM, NUX VOMICA, 579558310, 687030118 OLEUM ANIMALE, PHOSPHORUS, SILICEA, SULPHUR ARALIA RACEMOSE, ARSENICUM ALBUM, HISTAMINUM HYDROCHLORICUM, NUX VOMICA, 579552196 OLEUM ANIMALE, PHOSPHORUS, SILICEA, SULPHUR ARESNICUM ALB, CARBO VEG, CARDUUS MAR, CHELIDONIUM MAJ, NUX VOM 687030284

Drug name HCPCS Code(s) NDC(s) ARG. MET., ARSENICUM ALB, AUR. MET., BOVISTA, BRYONIA, CHELIDONIUM MAJUS, 557144428 CHIONANTHUS VIRGINICA, GAULTHERIA PROCUMBENS, HELONIAS DIOICA, IRIS VERSICOLOR, LYCOPODIUM, NUX VOM, PHOSPHORUS, RHUS TOXICODENDRON, SABAL, SYZYGIUM, CYNARA, ECHINACEA, IRIS VERSICO ARG. MET., ARSENICUM ALB, AUR. MET., BOVISTA, BRYONIA, CHELIDONIUM MAJUS, 557144429 CHIONANTHUS VIRGINICA, GAULTHERIA PROCUMBENS, HELONIAS DIOICA, IRIS VERSICOLOR, LYCOPODIUM, NUX VOM, PHOSPHORUS, RHUS TOXICODENDRON, SABAL, SYZYGIUM, CYNARA, ECHINACEA, THUJA OCC. ARGENTUM 30C, ARSENICUM 30C, BELLADONNA 30C, CALC PHOS 30C, CHELIDONIUM 30C, 596670088 COFFEA 30C, LILLIUM 30C, PODOPHYLLUM 30C PULSATILLA 30C, RHUS TOX 30C ARGENTUM NITRICUM, ARSENICUM ALBUM, CARDUUS MARIANUS, HEPAR SUIS, LUNG SUIS, 508450168 MERCURIUS CORROSIVUS, PLUMBUM METALLICUM ARGENTUM NITRICUM, ARSENICUM ALBUM, CARDUUS MARIANUS, HEPAR SUIS, MERCURIUS 438530015, 551380015 CORROSIVUS, PLUMBUM METALLICUM ARGENTUM NITRICUM, BERBERIS VULGARIS, IODIUM, KALI CARBONICUM, NATRUM 437421514 MURIATICUM, ADRENALINUM, CORTISONE ACETICUM, DHEA, GLANDULA SUPRARENALIS SUIS, HYPOPHYSIS SUIS, HYPOTHALAMUS SUIS, MELATONIN, TESTOSTERONE, ARSENICUM ALBUM, PHOSPHORUS, PROTEUS (VULGARI ARGENTUM NITRICUM, NATRUM MURIATICUM, SULPHUR, ACONITUM NAPELLUS, ARSENICUM 437421263 ALBUM, RHUS TOX, ADENOSINUM CYCLOPHOSPHORICUM, FUNICULUS UMBILICALIS SUIS, GLANDULA SUPRARENALIS SUIS, LUNG (SUIS), MUCOSA NASALIS SUIS, PANTOTHENIC ACID, SARCOLACTICUM ACIDUM, AC ARNICA MONTANA, ARSENIC TRIOXIDE, BELLIS PERENNIS, PASSIFLORA INCARNATA FLOWERING 639720003 TOP, VALERIAN, APIS MELLIFERA, HUMAN BREAST TUMOR CELL, HELIANTHEMUM CANADENSE, CLEMATIS RECTA FLOWERING TOP, ARABICA COFFEE BEAN, STRYCHNOS IGNATII SEED, LACHESIS MUTA VENO ARNICA MONTANA, ARSENIC TRIOXIDE, HERRING SPERM NDA, ECHINACEA, UNSPECIFIED, 272810007, 551380005 HAMAMELIS VIRGINIANA LEAF, CHAMAELIRIUM LUTEUM ROOT, PORK LIVER, IRIS VERSICOLOR ROOT, SUS SCROFA PANCREAS, PHOSPHORIC ACID, ROSMARINUS OFFICINALIS FLOWERING TOP, CLAVICEPS PURPU

Drug name HCPCS Code(s) NDC(s) ARNICA MONTANA, ARSENICUM ALBUM, AURUM METALLICUM, BAPTISIA TINCTORIA, 579551903 CALCAREA CARBONICA, CALCAREA FLUORICA, CARBO VEGETABILIS, CARBOLICUM ACIDUM, GAMBOGIA, HEKLA LAVA, IODIUM, KALI PHOSPHORICUM, KREOSOTUM, MERCURIUS CORROSIVUS, MERCURIUS VIVUS, NITRICUM ARNICA MONTANA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CINCHONA OFFICINALIS, GALIUM 508450104 APARINE, HEPAR SUIS, KOREAN GINSENG, MERCURIUS CORROSIVUS, PHOSPHORICUM ACIDUM, RADIUM BROMATUM, SULPHUR IODATUM, THUJA OCCIDENTALIS, X-RAY ARNICA MONTANA, ASCLEPIAS TUBEROSA, ERIODICTYON CALIFORNICUM, EUCALYPTUS 438570032 GLOBULUS, LOBELIA INFLATA, PLANTAGO MAJOR, TRIFOLIUM PRATENSE, ARSENICUM ALBUM, BELLADONNA, BRYONIA, CARBO VEGETABILIS, GRINDELIA, KALI CARBONICUM, NATRUM SULPHURICUM, PULSATILLA ARNICA MONTANA, BELLIS PERENNIS, PASSIFLORA INCARNATA, VALERIANA OFFICINALIS, 551460003, 639720011 ARSENICUM ALBUM, APIS MELLIFICA, CARCINOSIN, CISTUS CANADENSIS, CLEMATIS ERECTA, COFFEA CRUDA, IGNATIA AMARA, LACHESIS MUTUS, MAGNESIA PHOSPHORICA, NATRUM MURIATICUM, NATRUM SUL ARNICA MONTANA, ECHINACEA (ANGUSTIFOLIA), GLYCYRRHIZA GLABRA, HYDRASTIS 437421178 CANADENSIS, LEDUM PALUSTRE, THYROIDINUM (SUIS), ARBUTUS ANDRACHNE, APIS MELLIFICA, ARSENICUM ALBUM, COCCULUS INDICUS, GUNPOWDER, HEPAR SULPHURIS CALCAREUM, KALMIA LATIFOLIA, LAC CANIN ARS ALB, PHOS, NUX VOM, PULS, SULPH, EUP, SOL, ECHI, BAPT 616570003 ARSENIC ALBUM, AURUM METALLICUM, BARYTA CARBONICA, CALCAREA CARBONICA, 437420244 GLONOINUM, IODIUM, KALI IODATUM LACHESIS MUTUS, LITHIUM CARBONICUM, LOBELIA INFLATA, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, PHOSPHORICUM ACIDUM, PHOSPHORUS, SEPIA, SPONGIA TOSTA, THYROI

Drug name HCPCS Code(s) NDC(s) ARSENIC TRIOXIDE 002200522, 002200525, 002200526, 002200527, 002200528, 002200529, 002200530, 002200549, 002200550, 002200553, 002200554, 002200557, 101911989, 147890600, 430660601, 434060168, 434060318, 493150005, 493150007, 507420438, 522660014, 548790027, 549730605, 549732905 ARSENIC TRIOXIDE J9017 611260517, 621064878, 633230637, 634590600, 634590601, 683820997, 684280033, 684280083, 684280225, 699180720, 707101610, 719190083, 764721132 ARSENIC TRIOXIDE - ARABICA COFFEE BEAN - NITRIC ACID - TOXICODENDRON PUBESCENS LEAF - 472420061 SELENIUM - ZINC - ARSENIC TRIOXIDE - BLATTA ORIENTALIS - LACHESIS MUTA VENOM 684280744 ARSENIC TRIOXIDE - CALCIUM SULFATE ANHYDROUS - SODIUM PHOSPHATE, DIBASIC 684280016 ANHYDROUS - SILICON DIOXIDE ARSENIC TRIOXIDE - CALCIUM SULFATE ANHYDROUS - SODIUM PHOSPHATE, DIBASIC, 684280749 HEPTAHYDRATE - SILICON DIOXIDE ARSENIC TRIOXIDE - CUPRIC ARSENITE - VERATRUM ALBUM ROOT 684280002, 684280745 ARSENIC TRIOXIDE - ESTRADIOL - GOLDENSEAL - LACHESIS MUTA VENOM - MAGNESIUM 170890290 PHOSPHATE - MATRICARIA RECUTITA - MELATONIN - PROGESTERONE - STRYCHNOS NUX- VOMICA SEED - SULFUR - SUS SCROFA OVARY - SUS SCROFA PITUITARY GLAND - ARSENIC TRIOXIDE - FERROSOFERRIC PHOSPHATE - PULSATILLA VULGARIS - SILICON DIOXIDE - 472420211 DROSERA ROTUNDIFOLIA - SPONGIA OFFICINALIS SKELETON, ROASTED - SAMBUCUS NIGRA FLOWERING TOP -

Drug name HCPCS Code(s) NDC(s) ARSENIC TRIOXIDE - HISTAMINE DIHCL - DERMATOPHAGOIDES PTERONYSSINUS - MAGNESIUM 173120017 PHOSPHATE, DIBASIC TRIHYDRATE - STRYCHNOS NUX-VOMICA SEED - ASPIDOSPERMA QUEBRACHO-BLANCO BARK - SUPLHUR - ARSENIC TRIOXIDE - IPECAC - STRYCHNOS NUX-VOMICA SEED - VERATRUM ALBUM ROOT - 472420031 ARSENIC TRIOXIDE - MATRICARIA RECUTITA - ACONITUM NAPELLUS - PULSATILLA VULGARIS - 472420221 MERCURIUS SOLUBILIS - SILICON DIOXIDE - ARSENIC TRIOXIDE 30X, OYSTER SHELL CALCIUM CARBONATE, CRUDE 30X, GRAPHITE 30X, 434060019 MERCURIUS SOLUBILIS 30X, DAPHNE MEZEREUM BARK 30X, TOXICODENDRON PUBESCENS LEAF 30X, SEPIA OFFICINALIS JUICE 30X, SULFUR 30X ARSENIC TRIOXIDE AND ACTIVATED CHARCOAL AND SULFUR 501144336 ARSENIC TRIOXIDE, ANAMIRTA COCCULUS SEED, IPECAC, WOOD CREOSOTE, KEROSENE, 434060032 SANGUINARIA CANADENSIS ROOT, TOBACCO LEAF ARSENIC TRIOXIDE, ARABICA COFFEE BEAN, POTASSIUM CARBONATE, MAGNESIUM 434060027 CARBONATE, STRYCHNOS NUX-VOMICA SEED, PASSIFLORA INCARNATA TOP, SEPIA OFFICINALIS JUICE, VALERIAN ARSENIC TRIOXIDE, ATROPA BELLADONNA, ACTAEA CIMICIFUGA ROOT, TUBOCURARINE 572934422 CHLORIDE, CYCLAMEN PURPURASCENS TUBER, GELSEMIUM SEMPERVIRENS ROOT, NITROGLYCERIN, IRIS VERSICOLOR ROOT, MAGNESIUM PHOSPHATE, DIBASIC TRIHYDRATE, ANEMONE PULSATILLA, TOXICODENDRON R ARSENIC TRIOXIDE, ATROPA BELLADONNA, ACTIVATED CHARCOAL, FERROSOFERRIC 582640147 PHOSPHATE, GOLDENSEAL, LYCOPODIUM CLAVATUM SPORE, SODIUM PHOSPHATE, DIBASIC, HEPTAHYDRATE, STRYCHNOS NUX-VOMICA SEED, PHOSPHORUS, AND ANEMONE PRATENSIS ARSENIC TRIOXIDE, ATROPA BELLADONNA, BRYONIA ALBA ROOT, ACTIVATED CHARCOAL, BOS 582640043 TAURUS PITUITARY GLAND, POSTERIOR, SODIUM SULFATE, VERATRUM ALBUM ROOT, ERIODICTYON CALIFORNICUM LEAF, SODIUM CHLORIDE, AND DIBASIC POTASSIUM PHOSPHATE ARSENIC TRIOXIDE, ATROPA BELLADONNA, ECHINACEA ANGUSTIFOLIA, EUPATORIUM 434060052 PERFOLIATUM FLOWERING TOP, GELSEMIUM SEMPERVIRENS ROOT, LYCOPODIUM CLAVATUM SPORE, PHOSPHORIC ACID, PHOSPHORUS, RANCID BEEF, TOXICODENDRON PUBESCENS LEAF ARSENIC TRIOXIDE, ATROPA BELLADONNA, LYTTA VESICATORIA, CAUSTICUM, PICRIC ACID, 434060631 URTICA URENS, HYPERICUM PERFORATUM

Drug name HCPCS Code(s) NDC(s) ARSENIC TRIOXIDE, BAPTISIA TINCTORIA ROOT, CADMIUM SULFIDE, CALCIUM FLUORIDE, LYTTA 434060112 VESICATORIA, HUMAN BREAST TUMOR CELL, CINCHONA OFFICINALIS BARK, COBALT, CONIUM MACULATUM FLOWERING TOP, HYDROFLUORIC ACID, GOLDENSEAL, IODINE, IPECAC, WOOD CREOSOTE, PHOS ARSENIC TRIOXIDE, BELLADONNA LEAF, IPECAC, POTASSIUM CARBONATE, LOBELIA INFLATA, 434060006 SODIUM SULFATE, SILICON DIOXIDE ARSENIC TRIOXIDE, BERBERIS AQUIFOLIUM ROOT BARK, OYSTER SHELL CALCIUM CARBONATE, 582640065 CRUDE, GRAPHITE, CENTELLA ASIATICA, AND SODIUM CHLORIDE ARSENIC TRIOXIDE, BRYONIA ALBA ROOT, CALENDULA OFFICINALIS FLOWERING TOP, CANDIDA 572934418 ALBICANS, GRAPHITE, CALCIUM SULFIDE, LYCOPODIUM CLAVATUM SPORE, MERCURIUS SOLUBILIS, VISCUM ALBUM FRUITING TOP ARSENIC TRIOXIDE, BRYONIA ALBA ROOT, CUPRIC ACETATE, DROSERA ROTUNDIFOLIA, IPECAC, 434060014 POTASSIUM CARBONATE, PHOSPHORUS, PULSATILLA VULGARIS, SPONGIA OFFICINALIS SKELETON, ROASTED ARSENIC TRIOXIDE, CADMIUM SULFATE, OYSTER SHELL CALCIUM CARBONATE, CRUDE, HUMAN 434060108 BREAST TUMOR CELL, CONIUM MACULATUM FLOWERING TOP, LYCOPODIUM CLAVATUM SPORE, GONORRHEAL URETHRAL SECRETION HUMAN, PHYTOLACCA AMERICANA ROOT, SCABIES LESION LYSATE (HUMAN), SU ARSENIC TRIOXIDE, CALCIUM CARBONATE, STRYCHNOS IGNATII SEED, POTASSIUM CARBONATE, 434060003 LACHESIS MUTA VENOM, SODIUM CHLORIDE, PHOSPHORUS, PULSATILLA ARSENIC TRIOXIDE, CALENDULA OFFICINALIS FLOWERING TOP, MILK THISTLE, CHELIDONIUM 572934419 MAJUS, MARSDENIA CONDURANGO BARK, ECHINACEA, UNSPECIFIED, GOLDENSEAL, VERONICASTRUM VIRGINICUM ROOT, LYCOPODIUM CLAVATUM SPORE, PHYTOLACCA AMERICANA ROOT, SANGUINARIA CANADEN ARSENIC TRIOXIDE, CEANOTHUS AMERICANUS LEAF, CINCHONA OFFICINALIS BARK, COBALTOUS 594690122 NITRATE, CUPRIC SULFATE, IRON, MANGANESE ACETATE, AND SODIUM CHLORIDE ARSENIC TRIOXIDE, CHAMOMILE, CITRULLUS COLOCYNTHIS FRUIT PULP, SULFUR 534992798, 684662798 ARSENIC TRIOXIDE, CITRULLUS COLOCYNTHIS FRUIT PULP, RANUNCULUS BULBOSUS, AND 582640069 TOXICODENDRON PUBESCENS LEAF ARSENIC TRIOXIDE, CLEMATIS RECTA FLOWERING TOP, CONIUM MACULATUM FLOWERING TOP, 545320021 LACHESIS MUTA VENOM, MERCURIC IODIDE, PHYTOLACCA AMERICANA ROOT, TOXICODENDRON PUBESCENS LEAF, SCROPHULARIA NODOSA, AND SULFUR

Drug name HCPCS Code(s) NDC(s) ARSENIC TRIOXIDE, CLEMATIS RECTA FLOWERING TOP, CONIUM MACULATUM FLOWERING TOP, 545320034 LACHESIS MUTA VENOM, MERCURIC IODIDE, PHYTOLACCA AMERICANA ROOT, TOXICODENDRON PUBESCENS SHOOT, SCROPHULARIA NODOSA LEAF WITH STEM, AND SULFUR ARSENIC TRIOXIDE, CLEMATIS RECTA FLOWERING TOP, CONIUM MACULATUM FLOWERING TOP, 545320030 LACHESIS MUTA VENOM, MERCURIC IODIDE, PHYTOLACCA AMERICANA ROOT, TOXICODENDRON PUBESCENS SHOOT, SCROPHULARIA NODOSA LEAF WITH STEM, SULFUR, MILK THISTLE, CHELIDONIUM MAJUS ROO ARSENIC TRIOXIDE, CLEMATIS RECTA FLOWERING TOP, LACHESIS MUTA VENOM, MERCURIC 545320029 CYANIDE, PHYTOLACCA AMERICANA ROOT, TOXICODENDRON PUBESCENS SHOOT, SCROPHULARIA NODOSA LEAF WITH STEM, SULFUR, AND THUJA OCCIDENTALIS LEAFY TWIG ARSENIC TRIOXIDE, DAPHNE MEZEREUM BARK, TOXICODENDRON PUBESCENS LEAF, SULFUR, 582640023 AND APIS MELLIFERA ARSENIC TRIOXIDE, GOLD, CONIUM MACULATUM FLOWERING TOP, STRYCHNOS IGNATII SEED, 572934428 SODIUM SULFIDE NONAHYDRATE, OXYTROPIS LAMBERTII TOP ARSENIC TRIOXIDE, GOLD, OYSTER SHELL CALCIUM CARBONATE, CRUDE, CALCIUM FLUORIDE, 434060034 HYDROFLUORIC ACID, HEKLA LAVA, TOXICODENDRON PUBESCENS LEAF, SILICON DIOXIDE, DELPHINIUM STAPHISAGRIA SEED, COMFREY LEAF ARSENIC TRIOXIDE, GOLD, OYSTER SHELL CALCIUM CARBONATE, CRUDE, IODINE, LYCOPODIUM 434060053 CLAVATUM SPORE, SODIUM CHLORIDE, STRYCHNOS NUX-VOMICA SEED, PHOSPHORIC ACID, PHOSPHORUS, PHYTOLACCA AMERICANA ROOT, PULSATILLA VULGARIS, SEPIA OFFICINALIS JUICE, SULFUR ARSENIC TRIOXIDE, IPECAC, MERCURIC CHLORIDE AND PODOPHYLLUM 592620607 ARSENIC TRIOXIDE, IPECAC, PHOSPHORUS, POLYGALA SENEGA ROOT, ANTIMONY POTASSIUM 436890032 TARTRATE, BRYONIA ALBA WHOLE ARSENIC TRIOXIDE, IPECAC, PHOSPHORUS, POLYGALA SENEGA WHOLE, ANTIMONY POTASSIUM 624000032 TARTRATE, BRYONIA ALBA WHOLE ARSENIC TRIOXIDE, LYCOPODIUM CLAVATUM SPORE, LEAD, ACHILLEA MILLEFOLIUM, AND SUS 663430038 SCROFA CEREBELLUM ARSENIC TRIOXIDE, LYCOPODIUM CLAVATUM SPORE, PULSATILLA VULGARIS, TOXICODENDRON 549733162 PUBESCENS LEAF, SULFUR, AND ZINC ARSENIC TRIOXIDE, OYSTER SHELL CALCIUM CARBONATE, CRUDE, MERCURIC SULFIDE, 582640049 POTASSIUM DICHROMATE, MERCURIUS SOLUBILIS, ANEMONE PRATENSIS, SEPIA OFFICINALIS JUICE, AND SULFUR

Drug name HCPCS Code(s) NDC(s) ARSENIC TRIOXIDE, PODOPHYLLUM, CHAMOMILE, PHOSPHORUS, AND MERCURY 549733134 ARSENIC TRIOXIDE, STRYCHNOS NUX-VOMICA SEED, ACONITUM NAPELLUS, GOLD, CAUSTICUM, 582640161 HYOSCYAMUS NIGER LEAF, LACHESIS MUTA WHOLE, DAPHNE MEZEREUM WHOLE, ANEMONE PULSATILLA, SULFUR, AND VERATRUM VIRIDE WHOLE ARSENIC TRIOXIDE, SULFURIC ACID, CHAMAELIRIUM LUTEUM ROOT, GOLDENSEAL, WOOD 594690060 CREOSOTE, LEMNA MINOR, MAGNESIUM FLUORIDE, AND SILICON DIOXIDE ARSENIC TRIOXIDE, CINCHONA OFFICINALIS BARK, PODOPHYLLUM 002209095 ARSENIC TRIOXIDE, ECHINACEA, ATROPA BELLADONNA, TOXICODENDRON PUBESCENS LEAF, 616571027 LYCOPODIUM CLAVATUM SPORE, STRYCHNOS NUX-VOMICA SEED, GELSEMIUM SEMPERVIRENS ROOT ARSENIC TRIOXIDE, RED CLOVER, PHYTOLACCA AMERICANA ROOT 616570001 ARSENICTRIOXIDE, BAPTISIATINCTORIAROOT, BRYONIAALBAROOT, SOLANUMDULCAMARATOP, 434060670 ECHINACEAANGUSTIFOLIA, ECHINACEAPURPUREA, EUPATORIUMPERFOLIATUMFLOWERINGTOP, FERROSOFERRICPHOSPHATE, GELSEMIUMSEMPERVIRENSROOT, POTASSIUMCHLORIDE, PHOSPHORUS, ANEMONEPULSATILLA, SULFUR, ZINC ARSENICUM 30C, BELLADONNA 30C, CINA 30C, CUPRUM 30C, LILLIUM 30C TARENTULA 30C 596670077 ARSENICUM 30C, CALCAREA CARB 30C, CHAMOMILLA 30C, HYOSCYAMUS 30C, IGNATIA 30C, 596670081 LACHESIS 30C, PULSATILLA 30C, SEPIA 30C, NUX VOMICA 30C, NATRUM MUR 30C ARSENICUM 30C, CHAMOMILLA 30C, CINA 30C, GLONONIUM 30C, HYOSCYAMUS 30C, 596670106 MEDORRHINUM 30C, STRAMONIUM 30C, TARENTULA 30C, VERATRUM ALBUM 30C ARSENICUM 6/12/30 SPECIAL ORDER 489511291 ARSENICUM ALB, AVENA, BRYONIA, CAPSICUM, CARBO AN, CARDUUS MAR, CHELIDONIUM MAJ, 610961030, 610962030 HEPAR SUIS, KALI IOD, LAPIS, RADIUM BROM, TARAXACUM, THUJA OCC ARSENICUM ALB, BAPTISIA, BRYONIA, CAUSTICUM, CINCHONA, DULCAMARA, ECHINACEA PURP, 616572968 EUCALYPTUS, EUPATORIUM PERF, GELSEMIUM, INFLUENZINUM, LACHESIS, PHYTOLACCA, RHUS TOX, SARCOLACTICUM AC, SULPHUR, WYETHIA. ANAS BARBARIAE ARSENICUM ALB, BAPTISIA, CARBO VEG, CHININUM SULPH, CINCHONA, CONIUM, ECHINACEA 579550190 PURP, FERRUM MET, HYDRASTIS, KALI CHLOR, MERC CORRO, SERUM ANGUILLAE ARSENICUM ALB, BAPTISIA, ECHINACEA, HYDRASTIS, KALI BIC, MAG PHOS, MERC SOLUB, 616572104 PHYTOLACCA, PULSATILLA, RHUS TOX, SEPIA ARSENICUM ALB, BAPTISIA, ECHINACEA, MEDULLA OSSIS SUIS, MERC CORROS, SULPHUR IOD, 610961038 THUJA OCC

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALB, BELLADONNA, CALC CARB, CEANOTHUS, CHELIDONIUM MAJ, CUPRUM SULPH, 645780156 FUMARICUM AC, GALIUM, GLANDULA SUPRARENALIS SUIS, HEPAR SUIS, KALI IOD, LYCOPODIUM, PANCREAS SUIS, PETROLEUM, PHOSPHORICUM AC, PHOSPHORUS, PHYTOLACCA, SARSAPARILLA, SILICEA, S ARSENICUM ALB, CALC SULPH, CARBO AN, CARBO VEG, CINCHONA, HYDRASTIS, NOX VOM, 610961005 ORNITHOGALUM, PYROGENIUM, SILICEA ARSENICUM ALB, CARBO VEG, CARDUUS MAR, CHELIDONIUM MAJ, NUX VOM 687030317 ARSENICUM ALB, COLOCYNTHIS , PULSATILLA , MAG PHOS 686470202 ARSENICUM ALB, GRAPHITES, HEPAR SULPH CALC, RADIUM BROM, VIOLA TRIC 687030259, 687030318 ARSENICUM ALB, HYDROFLUORICUM AC, LYCOPODIUM, SCUTELLARIA, SEPIA 687030285 ARSENICUM ALB, HYPOPHYSIS, MAG CARB, CHAMOMILLA, LACHESIS MUTUS 663430070 ARSENICUM ALB, LYCOPODIUM, PLUMB MET, CEREBRUM, MILLEFOLIUM 663430075 ARSENICUM ALB, NAT PHOS, NUX VOM, VERATRUM ALB, BACILLUS NO. 7, GAERTNER BACH, 702520348 INTESTINUM CRASSUM, SYCOTIC CO ARSENICUM ALB., ARSENICUM BROMATUM, CARBO ANIMALIS, CAUSTICUM, HYDROCOTYLE, 557142324, 557142325 KALI BROM., KALI IOD., KREOSOTUM, LYCOPODIUM, NUX VOM., PETROLEUM, RHUS TOXICODENDRON, SEPIA, SULPHUR, ECHINACEA, TARAXACUM ARSENICUM ALB., BAPTISIA, BERBER. AQUI., CALC. FLUOR., CAPSICUM, CINCHONA, IODIUM, KALI 557144564, 557144565 CARB., LACHESIS, MAG. CARB., MERC.VIV., NAT. CARB., NAT. MUR., NATRUM SULPHURICUM, PHOSPHORUS, PHYTOLACCA, SECALE, THYMUS SERPYLLUM, THUJA OCC., THYROIDINUM, VERBASCUM ARSENICUM ALB., BENZOICUM ACIDUM, BERBER. VULG, BRYONIA, CALADIUM SEGUINUM, 353780012 CANTHARIS, CEANOTHUS, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA, DAPHNE INDICA, IGNATIA, IRIS VERSICOLOR, LYCOPODIUM, NICOTINUM, NUX VOM., RHUS TOXICODENDRON, SCUTELLARIA ARSENICUM ALB., BENZOICUM ACIDUM, BERBER. VULG., BRYONIA, CALADIUM SEGUINUM, 557142258, 557142259, CANTHARIS, CEANOTHUS, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA, 557144538, 557144539, DAPHNE INDICA, IGNATIA, IRIS VERSICOLOR, LYCOPODIUM, NICOTINUM, NUX VOM., RHUS 557144732 TOXICODENDRON, SCUTELLARI ARSENICUM ALB., BERBER. VULG., BOVISTA, DOLICHOS, ECHINACEA, HURA BRASILIENSIS, 557142350, 557142351 HYDROCOTYLE, LYCOPODIUM, MEZEREUM, RHUS TOXICODENDRON, RUMEX CRISP., SEPIA, TARAXACUM, THUJA OCC., URTICA UR., IRIS VERSICOLOR

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALB., BRYONIA, CALC. FLUOR., CALENDULA, CAUSTICUM, CONIUM , EUPHRASIA, 557144588 HYDROFLUORICUM ACIDUM , IODIUM, LEDUM, NAPHTHALINUM, NAT. MUR., NUX VOM., PHOSPHORUS, PULSATILLA, SEPIA, SILICEA, TELLURIUM METALLICUM, THIOSINAMINUM, ZINC. MET., EUPHRASIA ARSENICUM ALB., BRYONIA, CALC. FLUOR., CALENDULA, CAUSTICUM, CONIUM , EUPHRASIA, 557144589, 557144652 HYDROFLUORICUM ACIDUM, IODIUM, LEDUM, NAPHTHALINUM, NAT. MUR., NUX VOM., PHOSPHORUS, PULSATILLA, SEPIA, SILICEA, TELLURIUM METALLICUM, THIOSINAMINUM, ZINC. MET. ARSENICUM ALB., BRYONIA, CALC. FLUOR., CALENDULA, CAUSTICUM, CONIUM, EUPHRASIA, 557144816 HYDROFLUORICUM AC., IODIUM, LEDUM, NAPHTHALINUM, NAT. MUR., NUX VOM., PHOS., PULSATILLA, SEPIA, SILICEA, TELLURIUM, THIOSINAMINUM, ZINC. MET. ARSENICUM ALB., BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CISTUS CANADENSIS, CONIUM, 557142276, 557142277, CROTON, DULCAMARA, GRAPHITES, KALI BIC., LYCOPODIUM, MEZEREUM, NUX VOM., 557142408, 557142409, PETROLEUM, PULSATILLA, RANUNC. BULB., RHUS TOXICODENDRON, SARSAPARILLA, SEPIA, 557144452, 557144453, SULPHUR, THUJA OCC. 557144802 ARSENICUM ALB., BRYONIA, CIMICIFUGA, CINCHONA, CONIUM, HYDRASTIS, IODIUM, LACHESIS, 557144492, 557144493 LILIUM, LYCOPODIUM, PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, SABINA, SECALE, SEPIA, APIS MEL., HAMAMELIS ARSENICUM ALB., CLACAREA IODATA, CARBO ANIMALIS, CONIUM, GRAPHITES, HYDRASTIS, 557144592, 557144593 IODIUM, KREOSOTUM, LACHESIS, PHOSPHORUS, SABINA, SECALE, SEPIA, SILICEA, THLASPI, THUJA OCC., THYROIDINUM, TRILLIUM PENDULUM, USTILAGO MAIDIS ARSENICUM ALBUM 003600048, 003600050, 156310050, 156310522, 449110145, 449110146, 536451360, 605121052, 616570956, 660960790, 691521003, 691521058, 691521164, 691521223 ARSENICUM ALBUM , SCUTELLARIA LATERIFLORA, PHOSPHORUS, LACHESIS MUTUS, PULSATILLA, 616570006 PASSIFLORA INCARNATA, ACONITE, VALERIANA OFFICINALIS, CALCAREA CARBONICA, IGNATIA AMARA

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM 12X, CALCAREA CARBONICA 30X, KALI BICHROMICUM 12X, MERCURIUS 533461349 SOLUBILIS 30X, MERCURIUS SULPHURATUS RUBER 12X, PULSATILLA 12X, SEPIA 12X, SULPHUR 30X ARSENICUM ALBUM 30 489511161 ARSENICUM ALBUM 30 SPECIAL ORDER 489511160 ARSENICUM ALBUM 30XSPECIAL ORDER 489511334 ARSENICUM ALBUM 6 SPECIAL ORDER 489511162 ARSENICUM ALBUM 6X SPECIAL ORDER 489511335 ARSENICUM ALBUM 6X, BERBERIS VULGARIS 6X, DULCAMARA 6X, MEZEREUM 6X, PETROLEUM 690084008 6X, RHUS TOXICODENDRON 6X, SULPHUR 6X ARSENICUM ALBUM 8 SPECIAL ORDER 489511264 ARSENICUM ALBUM 8X, BELLADONNA 30X, BRYONIA 12X, CARBO VEGETABILIS 30X, 533461343 ERIODICTYON CALIFORNICUM 12X, HYPOPHYSIS SUIS 30X, KALI PHOSPHORICUM 30X, NATRUM MURIATICUM 30X, NATRUM SULPHURICUM 200X, VERATRUM ALBUM 30X ARSENICUM ALBUM 8X, LYCOPODIUM CLAVATUM 30X, NATRUM SULPHURICUM 12X, 533461340 PHOSPHORICUM ACIDUM 12X, SECALE CORNUTUM 4X ARSENICUM ALBUM, AGARICUS MUSCARIUS, ALUMINA, ANAGALLIS ARVENSIS, ANTIMONIUM 579550168 TARTARICUM, APIS MELLIFICA, ARSENICUM LODATUM, BOVISTA, CAUSTICUM, DOLICHOS PRURIENS, FAGOPYRUM ESCULENTUM, GRAPHITES, KALI MURIATICUM, MURIATICUM ACIDUM, OLEANDER, PETROLEUM, PI ARSENICUM ALBUM, ARSENICUM IODATUM, BARYTA CARBONICA, CALCAREA CARBONICA, 579550212, 579550222 CARBO ANIMALIS, KREOSOTUM, LACHESIS MUTUS, PHOSPHORUS, SILICEA ARSENICUM ALBUM, ARSENICUM IODATUM, CALCAREA CARBONICA, COFFEA CRUDA, CYTISUS 579551831 SCOPARIUS, IODIUM, MANCINELLA, MENTHA PIPERITA, PHYSOSTIGMA VENENOSUM, SILICEA, ULMUS PROCERA, FLOS, VERBASCUM THAPSUS ARSENICUM ALBUM, ARSENICUM IODATUM, CALCAREA CARBONICA, COFFEA CRUDA, CYTISUS 579551830 SCOPARIUS, IODIUM, MANCINELLA, MENTHA POPERITA, PHYSOSTIGMA VENENOSUM, SILICEA, ULMUS PROCERA, FLOS, VERBASCUM THAPSUS ARSENICUM ALBUM, ARSENICUM IODATUM, CALCAREA CARBONICA, COFFEA CRUDA, IODIUM, 497260034 ULMUS PROCERA, FLOS, MANCINELLA, PHYSOSTIGMA VENENOSUM, SILICEA ARSENICUM ALBUM, ASARUM EUROPAEUM, AVENA SATIVA, BRYONIA, CAPSICUM ANNUUM, 579550113, 579555113 CARBO VEGETABILIS, CARBONEUM SULPHURATUM, CINCHONA OFFICINALIS, GELSEMIUM SEMPERVIRENS, NUX VOMICA, PAULLINIA SORBILIS, SULPHURICUM ACIDUM

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, ASARUM EUROPAEUM, AVENA SATIVA, CAPSICUM ANNUUM, 579555083 CARBOLICUM ACIDUM, CARBONEUM SULPHURATUM, COFFEA CRUDA, LYCOPODIUM CLAVATUM, NUX VOMICA, PHYTOLACCA DECANDRA, STRAMONIUM, SULPHURICUM ACIDUM, TABACUM ARSENICUM ALBUM, ASTERIAS RUBENS, CALENDULA OFFICINALIS, CISTUS CANADENSIS, 579550213 CONDURANGO, CONIUM MACULATUM, GALLICUM ACIDUM, HOANG-NAN, HYDRASTIS CANADENSIS, KREOSOTUM, MERCURIUS VIVUS, RADIUM BROMATUM, THIOSINAMINUM ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, CALCAREA CARBONICA, 437420652 GLONOINUM, IODIUM, KALI IODATUM, LACHESIS MUTUS, LITHIUM CARBONICUM, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, PHOSPHORICUM ACIDUM, PHOSPHORUS, SEPIA, SPONGIA TOSTA, TABACUM, THYROIDINUM ARSENICUM ALBUM, AURUM METALLICUM, BARYTA CARBONICA, HYDROFLUORICUM ACIDUM, 579550306 KALI IODATUM, LACHESIS MUTUS, MERCURIUS VIVUS, NITRICUM ACIDUM, NUX VOMICA, PHYTOLACCA DECANDRA ARSENICUM ALBUM, AURUM METALLICUM, BELLADONNA, CACTUS GRANDIFLORUS, CINCHONA 437421573 OFFICINALIS, DIGITALIS PURPUREA, KALI CARBONICUM, LITHIUM CARBONICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, NUX VOMICA, PHOSPHORUS, PULSATILLA (PRATENSIS), P ARSENICUM ALBUM, AURUM METALLICUM, BELLADONNA, CACTUS GRANDIFLORUS, CINCHONA 437420032, 437420740, OFFICINALIS, DIGITALIS PURPUREA, KALI CARBONICUM, LITHIUM CARBONICUM, LYCOPODIUM 437420950 CLAVATUM, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, NUX VOMICA, PHOSPHORUS, PULSATILLA (VULGARIS), PY ARSENICUM ALBUM, AURUM METALLICUM, CACTUS GRANDIFLORUS, CINCHONA OFFICINALIS, 437421009 DIGITALIS PURPUREA, KALI CARBONICUM, LITHIUM CARBONICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NAJA TRIPUDIANS, NUX VOMICA, PHOSPHORUS, PULSATILLA (VULGARIS), PYROGENIUM, SP ARSENICUM ALBUM, AURUM METALLICUM, IGNATIA AMARA, KALI PHOSPHORICUM, 527317010 PHOSFORICUM ACIDUM, PULSATILLA, RHUS TOXICODENDRON ARSENICUM ALBUM, AVENA SATIVA, BRYONIA, CAPSICUM ANNUUM, CARBO ANIMALIS, 610960030 CARDUUS MARIANUS, CHELIDONIUM MAJUS, HEPAR SUIS, KALI IODATUM, LAPIS ALBUS, RADIUM BROMATUM, TARAXACUM OFFICINALE, THUJA OCCIDENTALIS

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, AVENA SATIVA, BRYONIA, CARBO ANIMALIS, CARDUUS MARIANUS, 508450163 CHELIDONIUM MAJUS, HEPAR SUIS, KALI IODATUM, LAPIS ALBUS, NUX VOMICA, RADIUM BROMATUM, TARAXACUM OFFICINALE, THUJA OCCIDENTALIS ARSENICUM ALBUM, AVENA SATIVA, COFFEA CRUDA, KALI CARBONICUM, MAGNESIA 701630001, 717420006 CARBONICA, NUX VOMICA, PASSIFLORA INCARNATA, SEPIA, VALERIANA OFFICINALIS ARSENICUM ALBUM, AVENA SATIVA, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, NUX 616570526 VOMICA, PHYTOLACCA DECANDRARHAMNUS FRANGULA, SOLIDAGO VIRGAUREA, TRIFOLIUM PRATENSE, HEAVY METAL NOSODES ARSENICUM ALBUM, BAPTISIA TINCTORIA, BARBERIS VULGARIS, BRYONIA, CARDUUS 579550062 MARIANUS, CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA OFFICINALIS, LYCOPODIUM CLAVATUM, MAGNESIA MURIATICA, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS, SULPHUR, TARAXACUM OFFI ARSENICUM ALBUM, BAPTISIA TINCTORIA, BERBERIS VULGARIS, BRYONIA, CARDUUS MARIANUS, 665790014 CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA OFFICINALIS, LYCOPODIUM CLAVATUM MANGANUM MURIATICUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS, SULPHUR, TARAXACUM OFFI ARSENICUM ALBUM, BAPTISIA TINCTORIA, BERBERIS VULGARIS, BRYONIA, CARDUUS MARIANUS, 579555062 CHELIDONIUM MAJUS, CHIONANTHUS VIRGINICA, CINCHONA OFFICINALIS, LYCOPODIUM CLAVATUM, MANGANUM MURIATICUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS, SULPHUR, TARAXACUM OFF ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, DULCAMARA, ECHINACEA, ECHINACEA 665790090 PURPUREA, EUPATORIUM PURPUREUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, KALI MURIATICUM, PHOSPHORUS, PULSATILLA, SULPHUR, ZINCUM ACETICUM, ZINCUM CARBONICUM, ZINCUM METALLI ARSENICUM ALBUM, BAPTISIA TINCTORIA, CARBO VEGETABILIS, CHININUM SULPHURICUM, 579555061 CINCHONA OFFICINALIS, CONIUM MACULATUM, ECHINACEA PURPUREA, FERRUM METALLICUM, HYDRASTIS CANADENSIS, KALI CHLORICUM, MERCURIUS CORROSIVUS AND SERUM ANGUILLAE ARSENICUM ALBUM, BAPTISIA TINCTORIA, CARBO VEGETABILIS, CHININUM SULPHURICUM, 579550061, 665790013 CINCHONA OFFICINALIS, CONIUM MACULATUM, ECHINACEA PURPUREA, FERRUM METALLICUM, HYDRASTIS CANADENSIS, KALI CHLORICUM, MERCURIUS CORROSIVUS, SERUM ANGUILLAE

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, BAPTISIA TINCTORIA, CHLORAMPHENICOLUM, ECHINACEA PURPUREA, 579556501 ELAEIS GUINEENSIS, HYDRASTIS CANADENSIS, MERCURIUS SOLUBILIS, MYRRHA, NASTURTIUM AQUATICUM, NUX VOMICA, RICINUS COMMUNIS, PHOSPHORUS, PHYTOLACCA DECANDRA, PULSATILLA, SEPIA, XANTHO ARSENICUM ALBUM, BAPTISIA TINCTORIA, CHLORAMPHENICOLUM, ECHINACEA, ELAEIS 665790038 GUINEENSIS, HYDRASTIS CANADENSIS, HYDRASTIS CANADENSIS, MERCURIUS SOLUBILIS, MYRRHA, NASTURTIUM AQUATICUM, NUX VOMICA, PHOSPHORUS, PHYTOLACCA DECANDRA, PULSATILLA, RICINUS COMMUNIS ARSENICUM ALBUM, BAPTISIA TINCTORIA, CHLORAMPHENICOLUM, ECHINACEA, ELAIS 687030125 GUINEENSIS, HYDRASTIS CANADENSIS, MERCURIS SOLUBILIS, MYRRHA, NASTURTIUM AQUATICUM, NUX VOMICA, PHOSPHORUS, PHYTOLACCA DECANDRA, PULSATILLA, RICINUS COMMUNIS, SEPIA, XANTHOXYLUM FRAX ARSENICUM ALBUM, BAPTISIA TINCTORIA, ECHINACEA, MEDULLA OSSIS SUIS, MERCURIUS 610960038 CORROSIVUS, SULPHUR IODATUM, THUJA OCCIDENTALIS ARSENICUM ALBUM, BAPTISIA TINCTORIA, LACHESIS MUTUS, PULSATILLA (PRATENSIS), RHUS 449110265 TOX ARSENICUM ALBUM, BELLADONNA, BLATTA ORIENTALIS, IPECACUANHA, KALI CARBONICUM, 449110018, 575200416 LOBELIA INFLATA, NATRUM SULPHURICUM, SILICEA ARSENICUM ALBUM, BELLADONNA, BORICUM ACIDUM, CALCAREA CAUSTICA, CARDUUS 579552406 MARIANUS, CHELIDONIUM MAJUS, LYCOPODIUM CLAVATUM, NITRICUM ACIDUM, NUX VOMICA, PHOSPHORICUM ACIDUM, PHYTOLACCA DECANDRA, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE ARSENICUM ALBUM, BELLADONNA, CALCAREA CARBONICA, CEANOTHUS AMERICANUS, 645780055 CHELIDONIUM MAJUS, CUPRUM SULPHURICUM, FUMARICUM ACIDUM, GALIUM APARINE, GLANDULA SUPRARENALIS SUIS, HEPAR SUIS, KALI IODATUM, LYCOPODIUM CLAVATUM, PANCREAS SUIS, PETROLEUM, PHOSPHORIC ARSENICUM ALBUM, BELLADONNA, CALCAREA FLUORICA, CALCAREA SULPHURICA, ECHINACEA 621060632 ANGUSTIFOLIA, HEPAR SULPHURIS CALCAREUM, NUX MOSCHATA, ORYCTOLAGUS CUNICULUS THYMUS GLAND, SILICEA, SULPHUR IODATUM ARSENICUM ALBUM, BELLADONNA, CALCAREA FLUORICA, CALCAREA SULPHURICA, ECHINACEA, 627130917 HEPAR SULPHURIS CALCAREUM, LACHESIS MUTUS, NUX MOSCHATA, SILICEA, SULPHUR IODATUM, THYMUS GLAND

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, BELLADONNA, CARCINOSIN, ECHINACEA (ANGUSTIFOLIA), EUPATORIUM 449110285, 449110290 PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, PYROGENIUM, RHUS TOX ARSENICUM ALBUM, BELLADONNA, ECHINACEA, EUPATORIUM PERFOLIATUM, GELSEMIUM 437720008 SEMPERVIRENS, LYCOPODIUM CLAVATUM ARSENICUM ALBUM, BELLADONNA, ECHINACEA, EUPATORIUM PERFOLIATUM, GELSEMIUM 438570051 SEMPERVIRENS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, PYROGENIUM, RHUS TOXICODENDRON ARSENICUM ALBUM, BELLADONNA, ECHINACEA, EUPATORIUM PERFOLIATUM, GELSEMIUM 575200290 SEMPERVIRENS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, PYROGENIUM, RHUS TOXICODENDRON ARSENICUM ALBUM, BELLADONNA, IPECACUANHA, KALI CARBONICUM, LOBELIA INFLATA, 438570188 NATRUM SULPHURICUM, SILICEA ARSENICUM ALBUM, BERBERIS VULGARIS, BRYONIA (ALBA), CALCAREA CARBONICA, CARDUUS 437420850 MARIANUS, CINCHONA OFFICINALIS, KALI CARBONICUM, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS ARSENICUM ALBUM, BERBERIS VULGARIS, BRYONIA, CALCAREA CARBONICA, CARDUUS 437420198, 437420804 MARIANUS, CINCHONA OFFICINALIS, KALI CARBONICUM, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS ARSENICUM ALBUM, BERBERIS VULGARIS, BRYONIA, CALCAREA CARBONICA, CARDUUS 575200735 MARIANUS, CINCHONA OFFICINALIS, KALI CARBONICUM, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS ARSENICUM ALBUM, BERBERIS VULGARIS, CALCAREA CARBONICA, CANDIDA ALBICANS, CARBO 621060601 VEGETABILIS, CHELIDONIUM MAJUS, ECHINACEA PURPUREA, HEPAR SULPHURIS CALCAREUM, KREOSOTUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, MURIATICUM ACIDUM, NITRICUM ACIDUM, OXALICU ARSENICUM ALBUM, BERBERIS VULGARIS, CALCAREA SULPHURICA, ECHINACEA, HYDROCOTYLE, 690084068 SARSAPARILLA, SULPHUR, THUJA OCCIDENTALIS, URTICA URENS ARSENICUM ALBUM, BORAX, GRAPHITES, NATRUM MURIATICUM, SEPIA, SULPHUR 438570278 ARSENICUM ALBUM, BORAX, GRAPHITES, NATRUM MURIATICUM, SEPIA, SULPHUR 575200353

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, BORRELIA BURGDORFERI NOSODE, CHELIDONIUM MAJUS, COCCUS CACTI, 438570377 ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, LYCOPODIUM CLAVATUM, NASTURTIUM AQUATICUM, PHOSPHORUS, RHUS TOX, TARAXACUM OFFICINALE, THYMUS (SUIS), THYROIDINUM (SUIS), TRIFOL ARSENICUM ALBUM, BRYONIA (ALBA), CORALLIUM RUBRUM, DROSERA (ROTUNDIFOLIA), 449110319 IPECACUANHA, KALI CARBONICUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SPONGIA TOSTA ARSENICUM ALBUM, BRYONIA ALBA, HISTAMIMUM HYDROCHLORICUM, HYDRASTIS 687030102 CANADENSIS, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, PULSATILLA, SABADILLA, SECALE CORNUTUM, SULPHUR ARSENICUM ALBUM, BRYONIA, CUPRUM ACETICUM, DROSERA, IPECACUANHA, KALI 438570075 CARBONICUM, PHOSPHORUS ARSENICUM ALBUM, BRYONIA, HISTAMINUM HYDROCHLORICUM, HYDRASTIS CANADENSIS, 579550724, 579552203 LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, PULSATILLA, SABADILLA, SECALE CORNUTUM, SULPHUR ARSENICUM ALBUM, BUFO RANA, CAUSTICUM, CHAMOMILLA, CROTALUS HORRIDUS, DIGITALIS 497260022 PURPUREA, LACHESIS MUTUS, LILIUM TIGRINUM, PULSATILLA, RHUS TOXICODENDRON, SULPHUR, TARENTULA HISPANA, VISCUM ALBUM, ZINCUM METALLICUM ARSENICUM ALBUM, CACTUS GRANDIFLORUS, DIGITALIS PURPUREA, KALI PHOSPHORICUM , 690084011 KALMIA LATIFOLIA ARSENICUM ALBUM, CADMIUM SULPHURICUM, IPECACUANHA, NUX VOMICA, PHOSPHORICUM 579550071 ACIDUM, PHOSPHORUS, STRONTIUM CARBONICUM, TABACUM, URANIUM NITRICUM ARSENICUM ALBUM, CADMIUM SULPHURICUM, IPECACUANHA, NUX VOMICA, PHOSPHORICUM 579555071 ACIDUM, PHOSPHORUS, STRONTIUM CARBONICUM, TABACUM, URANIUM NITRICUM. ARSENICUM ALBUM, CALADIUM SEGUINUM, CARBOLICUM ACIDUM, DAPHNE INDICA, EUGENIA 665790075 JAMBOSA, KALI PHOSPHORICUM, LOBELIA INFLATA, NICOTINUM, NUX VOMICA, PLANTAGO MAJOR, SACCHARUM OFFICINALE, STAPHYSAGRIA, TABACUM, THUJA OCCIDENTALIS ARSENICUM ALBUM, CALCAREA CARBONICA , IGNATIA AMARA, KALI CARBONICUM, LACHESIS 717810002 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, STAPHYSAGRIA ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANOTHUS AMERICANUS, 575200923 CINCHONA OFFICINALIS, DIGITALIS PURPUREA, IGNATIA AMARA, KALI BICHROMICUM, LYCOPODIUM CLAVATUM

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANOTHUS AMERICANUS, 437421572 CINCHONA OFFICINALIS, DIGITALIS PURPUREA, IGNATIA AMARA, KALI BICHROMICUM, LYCOPODIUM CLAVATUM, PHOSPHORUS, PLUMBUM METALLICUM, PULSATILLA (PRATENSIS), RANUNCULUS BULBOSUS, VERAT ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANOTHUS AMERICANUS, 437420959 CINCHONA OFFICINALIS, DIGITALIS PURPUREA, IGNATIA AMARA, KALI BICHROMICUM, LYCOPODIUM CLAVATUM, PHOSPHORUS, PLUMBUM METALLICUM, PULSATILLA (VULGARIS), RANUNCULUS BULBOSUS, VERATR ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANOTHUS AMERICANUS, 437420180 CINCHONA OFFICINALIS, DIGITALIS PURPUREA, IGNATIA AMARA, KALI BICHROMICUM, LYCOPODIUM CLAVATUM, PHOSPHORUS, PLUMBUM METALLICUM, PULSATILLA, RANUNCULUS BULBOSUS, VERATRUM VIRIDE ARSENICUM ALBUM, CALCAREA CARBONICA, COCCULUS INDICUS, GRAPHITES, 449110336 HYDROFLUORICUM ACIDUM, LACHESIS MUTUS, LACTICUM ACIDUM, RHUS TOX, RUTA GRAVEOLENS, SARCOLACTICUM ACIDUM, SACCHARUM OFFICINALE ARSENICUM ALBUM, CALCAREA CARBONICA, EUPHRASIA OFFICINALIS, KALI BICHROMICUM, 690084040 PULSATILLA, SABADILLA, SEPIA ARSENICUM ALBUM, CALCAREA CARBONICA, GRAPHITES, MERCURIUS SOLUBILIS, MEZEREUM, 449110306 PETROLEUM, RHUS TOX, SEPIA, SULPHUR ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 438570041 MUTUS, NATRUM MURIATICUM ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 575200557 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 449110511 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA (PRATENSIS), STAPHYSAGRIA ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 449110044 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA VULGARIS, STAPHYSAGRIA ARSENICUM ALBUM, CALCAREA CARBONICA, IGNATIA AMARA, KALI CARBONICUM, LACHESIS 575200374 MUTUS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, STAPHYSAGRIA ARSENICUM ALBUM, CALCAREA PHOSPHORICA, CARBO ANIMALIS, CARBO VEGETABILIS, 696070010 CINCHONA OFFICINALIS, NUX VOMICA, ORNITHOGALUM UMBELLATUM, PYROGENIUM, SILICEA

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, CALCAREA SULPHURICA, CARBO ANIMALIS, CARBO VEGETABILIS, 610960005 CINCHONA OFFICINALIS, HYDRASTIS CANADENSIS, NOX VOMICA, ORNITHOGALUM, PYROGENIUM, SILICEA ARSENICUM ALBUM, CALCAREA SULPHURICA, CARBO ANIMALIS, CARBO VEGETABILIS, 508450102 CINCHONA OFFICINALIS, HYDRASTIS CANADENSIS, NUX VOMICA, ORNITHOGALUM UMBELLATUM, PYROGENIUM, SILICEA ARSENICUM ALBUM, CAPSICUM ANNUUM, MENTHA PIPERITA, MEZEREUM, NATRUM 687030205 MURIATICUM, RANUNCULUS BULBOSUS, RHUS TOX ARSENICUM ALBUM, CAPSICUM ANNUUM, MENTHA PIPERITA, MEZEREUM, NATRUM 579555518, 579557501 MURIATICUM, RANUNCULUS BULBOSUS, RHUS TOXICODENDRON ARSENICUM ALBUM, CARBO ANIMALIS, CARDUUS MARIANUS, KALI IODATUM, LAPIS ALBUS, 508450203 RADIUM BROMATUM, THUJA OCCIDENTALIS ARSENICUM ALBUM, CARBO VEGETABILIS, NUX VOMICA, ROBINIA PSEUDOACACIA 704760006 ARSENICUM ALBUM, CARBO VEGETABILIS, NUX VOMICA, ROBINIA PSEUDOACACIA 575200052 ARSENICUM ALBUM, CHELIDONIUM MAJUS, COCCUS CACTI, ECHINACEA, HYDRASTIS 438570053 CANADENSIS, LYCOPODIUM CLAVATUM, LYM D NOSODE ARSENICUM ALBUM, CIMICIFUGA 691520053 ARSENICUM ALBUM, COCCULUS INDICUS, IPECACUANHA, KEROSOTUM, PETROLEUM, 438570221 PULSATILLA, SANGUINARIA CANADENSIS, TABACUM ARSENICUM ALBUM, COFFEA CRUDA, KALI CARBONICUM, MAGNESIA CARBONICA, NUX 438570142 VOMICA, PASSIFLORA INCARNATA, SEPIA, VALERIANA OFFICINALIS ARSENICUM ALBUM, COFFEA CRUDA, KALI CARBONICUM, MAGNESIA CARBONICA, NUX 575200611 VOMICA, PASSIFLORA INCARNATA, SEPIA, VALERIANA OFFICINALIS ARSENICUM ALBUM, DROSERA (ROTUNDIFOLIA), LYCOPODIUM CLAVATUM, POTHOS FOETIDUS, 438570542 PULSATILLA (PRATENSIS), BARLEY, CORN, HOUSE, MILLET, MILO, OAT, RICE, RUG, UPHOLSTERY, WHEAT ARSENICUM ALBUM, DROSERA (ROTUNDIFOLIA), LYCOPODIUM CLAVATUM, POTHOS FOETIDUS, 438570329 PULSATILLA (VULGARIS), BARLEY, CORN, HOUSE, MATTRESS, MILLET, MILO, OAT, RICE, RUG, UPHOLSTERY, WHEAT ARSENICUM ALBUM, EUPHORBIUM OFFICINARUM, HEPAR SULPHURIS CALCAREUM, 434060102 HISTAMINUM, IODIUM, LYCOPODIUM, PULSATILLA ARSENICUM ALBUM, GLANDULA SUP, PHOSPHORUS, SECALE CORNUTUM, LACHESIS MUTUS 663430055

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, GRAPHITES, MEZEREUM, RADIUM BROMATUM, RHUS TOXICODENDRON, 610960017 SULPHUR, URTICA URENS ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, HYDRASTIS CANADENSIS, KALI 621061233 BICHROMICUM, KALI IODATUM, PYROGENIUM ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, HYDRASTIS CANADENSIS, KALI 575200345 BICHROMICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, HYDRASTIS CANADENSIS, KALI 449110046 BICHROMICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, SEPIA THUJA OCCIDENTALIS ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, HYDRASTIS CANADENSIS, KALI 575200654 BICHROMICUM, LYCOPODIUM CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, SEPIA, THUJA OCCIDENTALIS ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, KALI BICHROMICUM, LYCOPODIUM 438570042 CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA (VULGARIS), SEPIA ARSENICUM ALBUM, HEPAR SULPHURIS CALCAREUM, KALI BICHROMICUM, LYCOPODIUM 575200565 CLAVATUM, MERCURIUS SOLUBILIS, NATRUM MURIATICUM, PHOSPHORUS, PULSATILLA, SEPIA ARSENICUM ALBUM, KALI PHOSPHORICUM, MERCURIS SOLUBILIS, NATRUM SULPHURICUM, 719719021 HEPAR SULPHURIS CALCAREUM, ARUM TRIPHYLLUM ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, PULSATILLA (PRATENSIS), BELLIS PERENNIS, 449110324 CALENDULA OFFICINALIS, CAMELLIA JAPONICA, CHRYSANTHEMUM CORONARIUM, CHRYSANTHEMUM LEUCANTHEMUM, CONVALLARIA MAJALIS, GARDENIA JASMINOIDES, IMPATIENS GLANDULIFERA, FLOS, IRIS TE ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, PULSATILLA (PRATENSIS), SULPHUR, ALMOND 438570486 (NUT), CASHEW (NUT), BLACK WALNUT (NUT), PECAN (NUT), COCONUT, OLEUM OLEA EUROPAEA, CHESTNUT (NUT), WATER CHESTNUT (NUT), PINENUT (NUT), MACADAMIA (NUT), PISTACHIO (NUT), PEANUT ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, SULPHUR, ALOE, CARCINOSIN, NITRICUM 437420012, 437420783 ACIDUM, SILICEA, THUJA OCCIDENTALIS ARSENICUM ALBUM, MEZEREUM, NATRUM MURIATICUM, RHUS TOXICODENDRON 346660261 ARSENICUM ALBUM, NITRICUM ACIDUM, HEPAR SULFURIS CALCAREA, EUGENIA JAMBOSA, 105780025 AURUM METALLICUM, CALCAREA SUFLRUICA, SOLIDAGO VIRGAUREA, HYDRASTIS CANADENSIS

Drug name HCPCS Code(s) NDC(s) ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SEPIA, ASPERGILLUS NIGER, 438570525 CANDIDA ALBICANS, CANDIDA PARAPSILOSIS, TORULA CEREVISIAE, ALTERNARIA TENUIS NEES, MUCOR RACEMOSUS, CANDIDA KRUSEI, RHIZOPUS NIGRICANS ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA, SEPIA, ALTERNARIA TENUIS NEES, ASPERGILLUS 438570046 NIGER, CANDIDA ALBICANS, CANDIDA PARAPSILOSIS, MUCOR RACEMOSUS, PULLULARIA PULLULANS, RHIZOPUS NIGRICANS, TORULA CEREVISIAE ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA, SEPIA, ALTERNARIA TENUIS, ASPERGILLUS 449110027 NIGER, RHIZOPUS NIGRICANS ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA, SEPIA, ALTERNARIA TENUIS, ASPERGILLUS 575200373 NIGER, RHIZOPUS NIGRICANS, MUCOR RACEMOSUS, PULLULARIA PULLULANS, CANDIDA ALBICANS, CANDIDA PARAPSILOSIS, TORULA CEREVISI ARSENICUM ALBUM, PHOSPHORUS, PULSATILLA, SEPIA, ALTERNARIA TENUIS, ASPERGILLUS 575200343 NIGER, RHIZOPUS NIGRICANS, MUCOR RACEMOSUS, PULLULARIA PULLULANS, CANDIDA ALBICANS, CANDIDA PARAPSILOSIS, TORULA CEREVISIAE ARSENICUM ALBUM, MAGNESIA PHOSPHORICA, PULSATILLA, RHUS TOXICODENDRON, BAPTISIA, 616570104 PHYTOLACCA, HYDRASTIS, SEPIA, ECHINACEA, MERCURIUS SOLUBILIS, KALI BICHROMICUM ARSENICUM ALBUM, PLANTAGO MAJOR, THUJA OCCIDENTALIS, TABACUM, STAPHYSAGRIA, 616570915 SACCHARUM OFFICINALE, DAPHNE INDICA, NUX VOMICA, NICOTINUM, LOBELIA INFLATA, KALI PHOSPHORICUM, EUGENIA JAMBOSA, CARBOLICUM ACIDUM, CALADIUM SEGUINUM ARSENICUM ALBUM, SULPHUR, ANAS BARBARIAE, WYETHIA HELENIOIDES, SARCOLACTICUM 616570968 ACIDUM, RHUS TOXICODENDRON, PHYTOLACCA DECANDRA, LACHESIS MUTUS, GELSEMIUM SEMPERVIRENS, EUCALYPTUS GLOBULUS, ECHINACEA PURPUREA, EUPATORIUM PERFOLIATUM, DULCAMARA, , CINCHONA OFFICINALIS, BRYO ARSENICUM CEREBRUM 489511163, 489511164 ARSENICUM CEREBRUM SPECIAL ORDER 489511259 ARSNICUM ALBUM, CARDUUS MARIANUS, HEPAR SUIS, LUNG SUIS, PANCREAS SUIS, RADIUM 508450127 BROMATUM, SERUM ANGUILLAE, TEREBINTHINA ASPARAGINASE C9289, J9019, 579020249, 673860411 J9020 ASPERGILLUS NIGER, CLADOSPORIUM, CANDIDA ALBICANS, THYROIDINUM, USTILAGO MAIDIS, 557144628, 557144629, ACONITUM NAP., ANTIMONIUM TART. ARALIA QUINQUEFOLIA, ARNICA, ARSENICUM ALB., 557144638, 557144639, BAPTISIA, BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CINCHONA, ECHINACEA, IODIUM, KALI 557144747 CARB. KALI IOD

Drug name HCPCS Code(s) NDC(s) ASTRAGALUS MEMBRANACEUS, BAPTISIA TINCTORIA, ECHINACEA (ECHINACEA), PHYTOLACCA 551460004, 639720016 DECANDRA, HYDRASTIS CANADENSIS, APIS MELLIFICA, ARANEA DIADEMA, BELLADONNA, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, PHOSPHORICUM ACIDUM, SILICEA, THUJA ATEZOLIZUMAB C9483, J9022 502420917, 502420918 ATROPINE SULFATE AND BRYONIA ALBA ROOT AND ARSENIC TRIOXIDE AND BERBERIS VULGARIS 501140227 ROOT BARK AND CITRULLUS COLOCYNTHIS FRUIT PULP AND CUPRIC ACETATE AND CHONDRODENDRON TOMENTOSUM ROOT AND VERATRUM ALBUM ROOT AND BAPTISIA TINCTORIA ROOT AND CHELIDONIUM MAJU AVELUMAB C9491, J9023 440873535 AVENA SATIVA, CARDUUS MARIANUS, SCROPHULARIA NODOSA, SOLIDAGO VIRGAUREA, 627130815 ARSENICUM ALBUM, CINA, CONIUM MACULATUM, GELSEMIUM SEMPERVIRENS, LYCOPODIUM CLAVATUM, MERCURIS VIVUS, PHOSPHORICUM ACIDUM, PHOSPHORUS, SELENIUM METALLICUM AXITINIB 000690145, 000690151, 538690262, 538692323, 635390026, 635390044 AZACITIDINE 005912897, 007813253, 007819253, 139250523, 167140777, 167140927, 167290306, 430660252, 430660253, 430660254, 435980305, 435980465, 435980678, 438170906, 519910797, 595720102, 597650306, 633230771, 646790096, 674570254, 680010313, 690970346, 690970359, 690970368 AZACITIDINE J9025 690970501, 690970805, 724850201, 726060558 AZACITIDINE FOR 637590003

Drug name HCPCS Code(s) NDC(s) BAMBOO, BARLEY, CALIFORNIA POPPY, CORN, FLAX, LEVANT COTTON, MILLET, MILO, OAT, RICE, 438570389 RYE, SAFFLOWER, SESAME, SORGHUM, SOY BEAN, SUGARCANE, SUNFLOWER, WHEAT, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, SULPHUR BAMBOO, BARLEY, CORN, COTTON SEED, FLAX SEED (LINUM USITATISSIMUM), MILLET, MILO, 449110417 OAT, POPPY SEED, RICE, RYE, SAFFLOWER, SESAME, SORGHUM, SOY BEAN, SUGARCANE, SUNFLOWER (HELIANTHUS ANNUUS), WHEAT, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, S BAMBOO, BARLEY, CORN, LEVANT COTTON, FLAX, MILLET, MILO, OAT, CALIFORNIA POPPY, RICE, 449110091 RYE, SAFFLOWER, SESAME, SORGHUM, SOY BEAN, SUGARCANE BAPTISIA TINCTORIA, AGARICUS MUSCARIUS, ARSENICUM ALBUM, BELLADONNA, CALCAREA 449110181 CARBONICA, COCCULUS INDICUS, CONIUM MACULATUM, PHOSPHORUS, PULSATILLA (PRATENSIS) BAPTISIA TINCTORIA, DULCAMARA, ECHINACEA (ANGUSTIFOLIA), ALLIUM SATIVUM, 551460009 PHYTOLACCA DECANDRA, APIS MELLIFICA, ARSENICUM ALBUM, BELLADONNA, CHAMOMILLA, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, MERCURIUS SOLUBILIS, PYROGENIUM BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, 449110111 ARSENICUM ALBUM, EUPHRASIA OFFICINALIS, NATRUM SULPHURICUM BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ANTHRACINUM, ARSENICUM ALBUM, 449110234, 449110378, BELLADONNA, CROTALUS HORRIDUS, HYOSCYAMUS NIGER, LACHESIS MUTUS, PYROGENIUM, 449110396 TARENTULA CUBENSIS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ANTHRACINUM, ARSENICUM ALBUM, 449110348 BELLADONNA, CROTALUS HORRIDUS, LACHESIS MUTUS, LEDUM PALUSTRE, PYROGENIUM, STRAMONIUM, TARENTULA CUBENSIS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), ARSENICUM ALBUM, CHININUM 438570315 SULPHURICUM, CROTALUS HORRIDUS, LACHESIS MUTUS, LOXOSCELES RECLUSA, SECALE CORNUTUM, TARENTULA CUBENSIS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), FUCUS VESICULOSUS, PHYTOLACCA 449110243 DECANDRA, UVA-URSI, ARSENICUM ALBUM, AURUM METALLICUM, FERRUM PHOSPHORICUM, IODIUM, IRIDIUM METALLICUM, LACHESIS MUTUS, ZINCUM METALLICUM, CADMIUM SULPHURATUM

Drug name HCPCS Code(s) NDC(s) BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), FUCUS VESICULOSUS, UVA-URSI, 449110464 PHYTOLACCA DECANDRA, ARSENICUM ALBUM, AURUM METALLICUM, FERRUM PHOSPHORICUM, IODIUM, IRIDIUM METALLICUM, LACHESIS MUTUS, ZINCUM METALLICUM, CADMIUM SULPHURATUM BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, BORRELIA 449110438, 449110484, BURGDORFERI NOSODE, BABESIA MICROTI, EHRLICHIA NOSODE (CANINE), ENCEPHALITIS 449110492 NOSODE, MENINGOCOCCUS NOSODE, HEPATITIS B NOSODE, ARSENICUM ALBUM, BRYONIA (ALBA), CHELIDONIUM MAJUS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, BORRELIA 449110501 BURGDORFERI NOSODE, BABESIA MICROTI, EHRLICHIA NOSODE (CANINE), MENINGOCOCCUS NOSODE, HEPATITIS B NOSODE, ARSENICUM ALBUM, BRYONIA (ALBA), CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, BORRELIA 449110165, 449110239, BURGDORFERI NOSODE, ENCEPHALITIS NOSODE, MENINGOCOCCUS NOSODE, HEPATITIS B 449110362 NOSODE, ARSENICUM ALBUM, BRYONIA (ALBA), CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDU BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, BORRELIA 449110414 BURGDORFERI NOSODE, MENINGOCOCCUS NOSODE, ENCEPHALITIS NOSODE, HEPATITIS B NOSODE, ARSENICUM ALBUM, BRYONIA (ALBA), CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDU BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, LOBELIA INFLATA, 449110131 LOMATIUM DISSECTUM, PHYTOLACCA DECANDRA BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, PHYTOLACCA 449110422 DECANDRA, ARSENICUM ALBUM, BRYONIA (ALBA), EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, IPECACUANHA, RHUS TOX BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, THYMUS (SUIS), 449110427 ARSENICUM ALBUM, BELLADONNA, HEPAR SULPHURIS CALCAREUM, IRIDIUM METALLICUM, LACHESIS MUTUS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), LOBELIA INFLATA, LOMATIUM DISSECTUM, 449110478, 449110510 HYDRASTIS CANADENSIS, LUNG (SUIS), PHYTOLACCA DECANDRA, SYMPHYTUM OFFICINALE, ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA (ALBA), CAUSTICUM, EUPATORIUM PERFOLIA

Drug name HCPCS Code(s) NDC(s) BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), LOBELIA INFLATA, LOMATIUM DISSECTUM, 449110436 PHYTOLACCA DECANDRA, HYDRASTIS CANADENSIS, LUNG (SUIS), SYMPHYTUM OFFICINALE, ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA (ALBA), CAUSTICUM, EUPATORIUM PERFOLIA BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, ACONITUM 449110116 NAPELLUS, ARSENICUM ALBUM, BELLADONNA, FERRUM PHOSPHORICUM BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, ACONITUM 449110479, 449110485, NAPELLUS, ARSENICUM ALBUM, BELLADONNA, FERRUM PHOSPHORICUM, LACHESIS MUTUS, 508130006 PHOSPHORUS BAPTISIA TINCTORIA, ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, HYDRASTIS 449110514 CANADENSIS, ARSENICUM ALBUM, BRYONIA (ALBA), EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, IPECACUANHA, RHUS TOX. BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA 575200497 BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM 575200297 ALBUM BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM 449110072 ALBUM, EUPHRASIA OFFICINALIS BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM 449110015 ALBUM, EUPHRASIA OFFICINALIS, NATRUM SULPHURICUM, NUX VOMICA BAPTISIA TINCTORIA, ECHINACEA, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM 575200653 ALBUM, EUPHRASIA OFFICINALIS, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS, PULSATILLA, SOLIDAGO VIRGAUREA, SULPHUR BAPTISIA TINCTORIA, ECHINACEA, ARSENICUM ALBUM, CHININUM SULPHURICUM, CROTALUS 438570207 HORRIDUS, LACHESIS MUTUS, LOXOSCELES RECLUSA BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS 575200348 BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS 575200870 BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, ARSENICUM ALBUM, BRYONIA, 575200352 CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE KALMIA LATIFOLIA BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LOBELIA INFLATA, LOMATIUM 449110066 DISSECTUM, PHYTOLACCA DECANDRA

Drug name HCPCS Code(s) NDC(s) BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LOBELIA INFLATA, LOMATIUM 449110410, 449110504 DISSECTUM, PHYTOLACCA DECANDRA, SYMPHYTUM OFFICINALE, LUNG (SUIS), ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA, CAUSTICUM, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORIC BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LOBELIA INFLATA, LOMATIUM, 575200528 PHYTOLACCA DECANDRA, SYMPHYTUM OFFICINALE, LUNG, ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA, CAUSTICUM BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LYM D NOSODE, ARSENICUM 449110048 ALBUM, BRYONIA, CHELIDONIUM MAJUS BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, LYM D NOSODE, ARSENICUM 449110012 ALBUM, BRYONIA, CHELIDONIUM MAJUS, COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDUM PALUSTRE, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOXICODENDRON BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, PHYTOLACCA DECANDRA, 449110080 ARSENICUM ALBUM, BRYONIA, EUPATORIUM PERFOLIATUM BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, PHYTOLACCA DECANDRA, 575200661 ARSENICUM ALBUM, BRYONIA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, PHYTOLACCA DECANDRA, 575200663 ARSENICUM ALBUM, BRYONIA, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICUM, GELSEMIUM SEMPERVIRENS, IPECACUANHA, RHUS TOXICODENDRON BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANADENSIS, THYMUS, ARSENICUM ALBUM, 449110082 BELLADONNA, HEPAR SULPHURIS CALCAREUM BAPTISIA TINCTORIA, ECHINACEA, HYDRASTIS CANDENSIS, LOBELIA INFLATA, LOMATIUM 449110083 DISSECTUM, PHYTOLACCA DECANDRA, SYMPHYTUM OFFICINALE, LUNG (SUIS), ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, BRYONIA, CAUSTICUM, EUPATORIUM PERFOLIATUM, FERRUM PHOSPHORICU BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA DECANDRA 575200501 BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA DECANDRA, ACONITUM NAPELLUS, ARSENICUM 449110054, 508130001 ALBUM, BELLADONNA, FERRUM PHOSPHORICUM BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA DECANDRA, ACONITUM NAPELLUS, ARSENICUM 575200439 ALBUM, BELLADONNA, FERRUM PHOSPHORICUM, LACHESIS MUTUS, PHOSPHORUS BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA DECANDRA, ACONITUM NAPELLUS, ARSENICUM 449110008, 575200656, ALBUM, BELLADONNA, FERRUM PHOSPHORICUM, LACHESIS MUTUS, PHOSPHORUS 575201042

Drug name HCPCS Code(s) NDC(s) BAPTISIA TINCTORIA, PHYTOLACCA DECANDRA, SPIGELIA ANTHELMIA, 551460006 ADRENOCORTICOTROPHIN, ALUMINUM METALLICUM, APIS MELLIFICA, ARGENTUM NITRICUM, ARSENICUM ALBUM, BENZOICUM ACIDUM, CALCAREA CARBONICA, CARBO VEGETABILIS, KALI PHOSPHORICUM, MAGNESIA SULPHURICA, ME BARLEY, CORN, HOUSE, MATTRESS, MILLET, MILO, OAT, RICE, RUG, UPHOLSTERY, WHEAT, 449110006 ARSENICUM ALBUM, BLATTA ORIENTALIS, DROSERA, LYCOPODIUM CLAVATUM, POTHOS FOETIDUS, PULSATILLA BARLEY, OATS, WHEAT, RICE, RYE, MILLET, SOYBEAN, CORN, MILO, BAMBOO, COTTON SEED, 438570068 FLAX SEED, SAFFLOWER, SESAME, SUNFLOWER, POPPY SEED, SORGHUM, SUGARCANE, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, SULPHUR BELINOSTAT C9442, J9032 681520108, 728930002 BENDAMUSTINE J9033, J9034 674570325, 674570326 BENDAMUSTINE HCL 423670520, 423670521, 634590348, 634590390, 634590391, 634590395, 634590396 BERBERIS AQUIFOLIUM 4X, HYDROCOTYLE ASIATICA 4X, ARSENICUM ALBUM 12X, CALCAREA 533461365 CARBONICA 30X, GRAPHITES 12X, NATRUM MURIATICUM 30X BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, STILLINGIA SYLVATICA, TRIFOLIUM 621850047 PRATENSE, GLANDULA SUPRARENALIS SUIS, HEPAR SUIS, LYMPH NODE (SUIS), PHYTOLACCA DECANDRA, THYROIDINUM (SUIS), IRIDIUM METALLICUM, LYCOPODIUM CLAVATUM, NITRICUM ACIDUM, NUX BERBERIS VULGARIS, GLYCYRRHIZA GLABRA, LAPPA MAJOR, STILLINGIA SYLVATICA, TRIFOLIUM 437421416 PRATENSE, HEPAR SUIS, PHYTOLACCA DECANDRA, GLANDULA SUPRARENALIS SUIS, THYROIDINUM (SUIS), ARSENICUM ALBUM, ASARUM CANADENSE, CARBOLICUM ACIDUM, CARBONEUM SULPHURATUM, IRI BERBERIS VULGARIS, SOLIDAGO VIRGAUREA, CANTHARIS, ARSENICUM ALBUM, COCCUS CACTI, 449110249 LYCOPODIUM CLAVATUM, PHOSPHORUS, SENECIO AUREUS BETA VULGARIS, BOLDO, CHELIDONIUM MAJUS, PETROSELINUM SATIVUM, TARAXACUM 575200931 OFFICINALE, ARSENICUM ALBUM, BELLADONNA, COBALTUM METALLICUM, CUPRUM METALLICUM, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, SELENIUM METALLICUM, ZINCUM METALLICUM

Drug name HCPCS Code(s) NDC(s) BETA VULGARIS, BOLDO, CHELIDONIUM MAJUS, PETROSELINUM SATIVUM, TARAXACUM 437420165, 437420515, OFFICINALE, ARSENICUM ALBUM, BELLADONNA, COBALTUM METALLICUM, CUPRUM 437420657, 621850013 METALLICUM, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, SELENIUM METALLICUM, ZINCUM METALLICUM, ASPARTAME BETA VULGARIS, BOLDO, CHELIDONIUM MAJUS, PETROSELINUM SATIVUM, TARAXACUM 437421120, 437421377, OFFICINALE, ARSENICUM ALBUM, BISPHENOL A, COBALTUM METALLICUM, CUPRUM 437421558, 621850026, METALLICUM, GLYPHOSATE, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, 621850036 SELENIUM METALLICUM, ZINCUM METALLICUM BETA VULGARIS, BOLDO, CHELIDONIUM MAJUS, PETROSELINUM SATIVUM, TARAXACUM 437421087 OFFICINALE, ARSENICUM ALBUM, COBALTUM METALLICUM, CUPRUM METALLICUM, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, SELENIUM METALLICUM, ZINCUM METALLICUM, ASPARTAME, BENZALKONIUM BETA VULGARIS, BOLDO, PETROSELINUM SATIVUM, TARAXACUM OFFICINALE, ARSENICUM 437420494 ALBUM, BELLADONNA, COBALTUM METALLICUM, CUPRUM METALLICUM, IODIUM, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, SELENIUM METALLICUM, ZINCUM METALLICUM, ASPARTAME, BENZALKONIUM CHLORI BETA VULGARIS, CARDUUS MARIANUS, LAPPA MAJOR, ALUMINIUM METALLICUM, ARSENICUM 575200603 ALBUM, CHELIDONIUM MAJUS, HYDRASTIS CANADENSIS, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHOSPHORUS BETA VULGARIS, CARDUUS MARIANUS, LAPPA MAJOR, ALUMINIUM METALLICUM, ARSENICUM 438570369 ALBUM, CHELIDONIUM MAJUS, HYDRASTIS CANADENSIS, LYCOPODIUM CLAVATUM, NATRUM SULPHURICUM, NUX VOMICA, PHSOPHORUS BEVACIZUMAB C9257, J9035 502420060, 502420061 BEVACIZUMAB-AWWB 555130206, 555130207 BEVACIZUMAB-BVZR 000690315, 000690342 BEXAROTENE 001875525, 001875526, 003786955, 008320285, 422920007, 439750315, 582430031, 628560602, 628560604, 676510323, 686820003, 692381250 BINIMETINIB 702550010

Drug name HCPCS Code(s) NDC(s) BISMUTHUM METALLICUM, ALOE, ANGELICA SINENSIS RADIX, ANTIMON. CRUD., ARG. NIT., 557141508, 557141708, ARNICA, ARSENICUM ALB., BAPTISIA, BRYONIA, CINCHONA, GRAPHITES, HYDRASTIS, IPECAC., 557142238, 557142239 LACHESIS, LYCOPODIUM, MYRRHA, NAT. CARB., NUX VOM., PHOSPHORUS, PULSATILLA, ZINGIBER, CHAMO BISMUTHUM METALLICUM, ANTIMON.CRUD., ARG. NIT., ARSENICUM ALB., BAPTISIA, BRYONIA, 557141516, 557141716, CHAMOMILLA, CINCHONA, IRIS VERSICOLOR, KALI BIC., LACHESIS, LYCOPODIUM, MAG. CARB., 557142256, 557142257, NUX VOM., PHOSPHORUS, PODOPH. PELT., PULSATILLA, RAPHANUS, RHUS TOXICODENDRON, 557142548, 557142549, TABACUM 557144754, 557144755, 557148005 BISMUTHUM, ARSENICUM ALBUM 691520079 BLEOMYCIN J9040 001439240, 001439241, 004090323, 004090332, 007033154, 007033155, 167140886, 167140908, 553900005, 553900006, 617030323, 617030332, 690970364, 701211567 BLEOMYCIN SULFATE 633230136, 633230137, 712880106, 712880107 BLINATUMOMAB C9449, J9039 127140905, 555130160 BOLDO, CARDUUS MARIANUS, TARAXACUM OFFICINALE, CEANOTHUS AMERICANUS, QUASSIA 437720033 (AMARA), RAPHANUS SATIVUS, PHOSPHORUS, CHOLESTERINUM, BENZINUM, LEPTANDRA VIRGINICA, ARSENICUM ALBUM, GERMANIUM SESQUIOXIDE, ADENOSINUM TRIPHOSPHORICUM DINATRUM, MANGANUM METALLI BORAX, ARSENICUM ALBUM, CONIUM MACULATUM, KREOSOTUM, LYCOPODIUM CLAVATUM, 575200284 PHOSPHORUS, PULSATILLA, SEPIA, SULPHUR, CALCAREA CARBONICA, CANDIDA TORRESII, CANDIDA TROPICALIS, CANDIDA PARAPSILOSIS, CANDIDA ALBICANS, ASPERGILLUS NIGER, MUCOR RACEMOSUS BORAX, BRYONIA (ALBA), ECHINACEA PURPUREA, JUGLANS CINEREA, KALI MURIATICUM, 437421511 MAGNESIA MURIATICA, MURIATICUM ACIDUM, DISCUS INTERVERTEBRALIS SUIS, ORAL MUCOSA (SUIS), ANTIMONIUM CRUDUM, ARSENICUM ALBUM, BISMUTHUM SUBNITRICUM, CHAMOMILLA, CINCHONA OFFICINAL

Drug name HCPCS Code(s) NDC(s) BORAX, THUJA OCCIDENTALIS, ARSENICUM ALBUM, KREOSOTUM, SULPHUR, CANDIDA 501810036 PARAPSILOSIS, CANDIDA ALBICANS, ASPERGILLUS NIGER, MUCOR RACEMOSUS, CANDIDA KRUSEI, CANDIDA PSEUDOTROPICALIS, CANDIDA TROPICALIS BORTEXOMIB 435980865 BORTEZOMIB J9041, J9044 630200049, 633230721 BOS TAURUS ADRENAL GLAND, APIS MELLIFERA, ARSENIC TRIOXIDE, LYTTA VESICATORIA, BOS 582640111 TAURUS LYMPH VESSEL, MAGNESIUM PHOSPHATE, DIBASIC TRIHYDRATE, TOXICODENDRON PUBESCENS LEAF, URTICA URENS, PYRIDOXINE HCL, AND ASCORBIC ACID BOSUTINIB MONOHYDRATE 000690135, 000690136, 000690193, 635390117 BRENTUXIMAB C9287, J9042 BRENTUXIMAB VEDOTIN 511440050 BRIGATINIB 630200090, 630200113, 630200180, 630200198, 761890113 BUSULFAN J0594, J8510, 001730713, 004091112, WW020 005170920, 163640424, 167290351, 250210241, 459630640, 518170170, 591480047, 591480070, 605056177, 652190160, 674570893, 701211244, 708600216, 724850210, 726060559, 763880001, 763880713 CABAZITAXEL C9276, J9043 000245824 CABOZANTINIB 423880011, 423880012, 423880013, 423880023, 423880024, 423880025 CACTUS GRANDIFLORUS, KALI CARBONICUM, KALMIA LATIFOLIA, ARNICA MONTANA, 575200858 GLONOINUM, IGNATIA AMARA, LACTICUM ACIDUM, RANUNCULUS BULBOSUS, A- KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, COR SUIS, FUMARICUM ACIDUM, HEPAR SUIS, MALIC ACID, NATRUM OXALACETICUM, PHOS

Drug name HCPCS Code(s) NDC(s) CACTUS GRANDIFLORUS, KALI CARBONICUM, KALMIA LATIFOLIA, ARNICA MONTANA, 437420050 GLONOINUM, IGNATIA AMARA, LACTICUM ACIDUM, RANUNCULUS BULBOSUS, ALPHA- KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, COR (SUIS), FUMARICUM ACIDUM, HEPAR SUIS, MALIC ACID, NATRUM OXALACETICUM CACTUS GRANDIFLORUS, KALI CARBONICUM, KALMIA LATIFOLIA, ARNICA MONTANA, 437420806, 437421510 GLONOINUM, IGNATIA AMARA, LACTICUM ACIDUM, RANUNCULUS BULBOSUS, ALPHA- KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, FUMARICUM ACIDUM, HEART (SUIS), HEPAR SUIS, MALICUM ACIDUM, NATRUM OXALAC CACTUS GRANDIFLORUS, KALI CARBONICUM, KALMIA LATIFOLIA, ARNICA MONTANA, 437420669 GLONOINUM, IGNATIA AMARA, LACTICUM ACIDUM, RANUNCULUS BULBOSUS, ALPHA- KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, HEART (SUIS), FUMARICUM ACIDUM, HEPAR SUIS, MALIC ACID, NATRUM OXALACETIC CALCAREA SULPHURICA, ARSENICUM ALBUM 691520060 CALENDULA OFFICINALIS, HYPERICUM PERFORATUM, ARSENICUM ALBUM, BELLADONNA, 438570367, 438570472 CANTHARIS, CAUSTICUM, PICRICUM ACIDUM, URTICA URENS CAMPHOR (NATURAL), ARSENIC TRIOXIDE, BRYONIA ALBA ROOT, DROSERA ROTUNDIFOLIA, 434060664 IPECAC, POTASSIUM CARBONATE, PHOSPHORUS, ANEMONE PULSATILLA, SPONGIA OFFICINALIS SKELETON, ROASTED, DRIMIA MARITIMA WHOLE CANDIDA ALBICANS, SANICULA, TELLURIUM METALLICUM, TORULA CEREVISIAE, ANTIMON. 557142226, 557142227, CRUD., ARSENICUM ALB., BARYTA CARB., BRYONIA, CALC. CARB., CARBO VEG., CUPRUM MET., 557142556, 557142557, DULCAMARA, GRAPHITES, KALI CARB., LACHESIS, LYCOPODIUM, MEZEREUM, NITRICUM AC., 557144618, 557144788 PHOSPHORUS, P CANOVA IMMUNE SUPPORT 580880001

Drug name HCPCS Code(s) NDC(s) CAPECITABINE 000041100, 000041101, 000540271, 000540272, 000937473, 000937474, 001790149, 001790195, 001790229, 003782511, 003782512, 153380237, 153380255, 153380335, 163640072, 163640073, 167140467, 167140468, 167290072, 167290073, 422910166, 422910167, 422910190, 422910191 CAPECITABINE 502680154, 510790510, 514070095, 514070096, 538080411, 548684143, 548685260, 596510204, 596510205, 597650072, 597650073, 606870149, 627560238, 627560239, 637593000, 637593001, 649800276, 649800277, 651620843, 651620844, 678770458, 678770459, 690970948, 690970949 CAPECITABINE J8520, J8521, 695390019, 695390020, WW089, 702970003, 702970004, WW090, 722050006, 722050007, WW091, 724850204, 724850205, WW093, 726060554, 726060555 WW094, WW096 CAPSICUM ANNUUM, ARSENICUM ALBUM 691520570 CAPSICUM ANNUUM, FOENICULUM VULGARE, SYMPHYTUM OFFICINALE, ARGENTUM 438570186 NITRICUM, ARSENICUM ALBUM, MAGNESIA PHOSPHORICA

Drug name HCPCS Code(s) NDC(s) CAPSICUM ANNUUM, FOENICULUM VULGARE, SYMPHYTUM OFFICINALE, ARGENTUM 438570458 NITRICUM, ARSENICUM ALBUM, MAGNESIA PHOSPHORICA, PULSATILLA (VULGARIS) CAPSICUM ANNUUM, GINKGO BILOBA, GELSEMIUM SEMPERVIRENS, KALI PHOSPHORICUM, 438570176, 575200065 LYCOPODIUM CLAVATUM, PHOSPHORUS, ARSENICUM ALBUM CAPSICUM ANNUUM, LYCOPERSICUM ESCULENTUM, SOLANUM MELONGENA, SOLANUM 449110350 TUBEROSUM, TABACUM, ALUMINA, ARSENICUM ALBUM, NUX VOMICA, PHOSPHORUS, PULSATILLA (PRATENSIS) CAPSICUM ANNUUM, PHYTOLACCA DECANDRA, TRIFOLIUM PRATENSE, ALUMINUM 551460001, 639720001, METALLICUM, ANTIMONIUM CRUDUM, ARGENTUM METALLICUM, ARSENICUM ALBUM, 639720013 AURUM METALLICUM, BARYTA CARBONICA, BERYLLIUM METALLICUM, BISMUTHUM METALLICUM, BORON, BROMIUM, CADMIUM METALLICUM, CER CAPSICUM ANNUUM, SOLANUM TUBEROSUM, TABACUM, LYCOPERSICUM ESCULENTUM, 438570496 SOLANUM MELONGENA, ALUMINUM METALLICUM, ARSENICUM ALBUM, NUX VOMICA, PHOSPHORUS, PULSATILLA (PRATENSIS) CARBO CHAMOMILLA 489513206, 489513216 CARBOPLATIN 000153210, 000153211, 000153212, 000153213, 000153214, 000153215, 000153216, 007033249, 007034239, 007034244, 007034246, 007034248, 167290295, 250210202, 400330202, 416160150, 416160151, 416160284, 416160300, 473350150, 473350151, 473350284, 473350300, 473510001

Drug name HCPCS Code(s) NDC(s) CARBOPLATIN 477810603, 477810604, 477810605, 477810606, 501110965, 501110966, 501110967, 507420445, 507420446, 507420447, 507420448, 540870339, 551500333, 551500334, 551500335, 553900150, 553900151, 553900152, 553900153, 553900154, 553900155, 553900156, 597650295, 617030339 CARBOPLATIN J9045 617030360, 633230172, 667580047, 674570491, 674570492, 674570493, 674570494, 674570608, 680830190, 680830191, 680830192, 680830193, 690970239, 690970240, 690970241, 690970242, 690970243, 712880100 CARBOPLATIN INJECTION 572770105, 572770106, 572770107 CARDUUS MARIANUS, GENTIANA LUTEA, SAMBUCUS NIGRA 575200326 CARDUUS MARIANUS, GENTIANA LUTEA, SAMBUCUS NIGRA, SENNA (CASSIA ANGUSTIFOLIA), 438570090 STOMACH (BOVINE), ARSENICUM ALBUM, ATROPINUM SULPHURICUM, CARBO VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS CARFILZOMIB C9295, J9047 430660201, 430660202, 760750101, 760750102, 760750103

Drug name HCPCS Code(s) NDC(s) CARMUSTINE J9050 000153012, 231550261, 231550649, 243380050, 548790036, 684750503, 701211482, 707101525 CAUSTICUM, COLCHICUM AUTUMNALE, BENZOICUM ACIDUM, APIS MELLIFICA, ARSENICUM 605120009 ALBUM, ARNICA MONTANA, NATRUM CARBONICUM CAUSTICUM, HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK, IODINE, ARSENIC TRIOXIDE, 582640121 BARIUM CARBONATE, ECHINACEA ANGUSTIFOLIA, ALUMINUM, ANTIMONY TRISULFIDE, STRYCHNOS NUX-VOMICA SEED, DELPHINIUM STAPHISAGRIA SEED, SULFURIC ACID, CALCIUM SULFIDE, AND SILVER NIT CEANOTHUS AMERICANUS, SENNA (CASSIA ANGUSTIFOLIA), CHIONANTHUS VIRGINICA, 501810050 ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, SEPIA CEANOTHUS AMERICANUS, SENNA, CHIONANTHUS VIRGINICA, ARSENICUM ALBUM, 575200248 LYCOPODIUM CLAVATUM, SEPIA CEANOTHUS AMERICANUS, SENNA, PANCREAS SUIS, SPLEEN, CHIONANTHUS VIRGINICA, 501810032 CINCHONA OFFICINALIS, SEPIA, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM CEANOTHUS AMERICANUS, SENNA, PANCREAS, SPLEEN, CHIOANTHUS VIRGINICA, CINCHONA 575200212 OFFICINALIS, SEPIA CEDRON, LATHYRUS SATIVUS, PLUMBUM METALLICUM, ARNICA MONTANA, ARSENICUM 437420206 ALBUM, CONIUM MACULATUM, EUPATORIUM PERFOLIATUM CENTELLA ASIATICA, GENTIANA LUTEA ROOT, SAMBUCUS NIGER FLOWERING TOP, ARSENIC 434060072 TRIOXIDE, BISMUTH SUBNITRATE, ACTIVATED CHARCOAL, POTASSIUM DICHROMATE, LYCOPODIUM CLAVATIUM SPORE, STRYCHNOS NUX-VOMICA SEED, PHOSPHORUS, PULSATILLA VULGARISPHOSPHORUS, PULSATI CERITINIB 000780640, 000780694 CETUXIMAB J9055 650447462, 650447463, 667330948, 667330958, 708350003, 708350004 CHAMOMILLA, ARSENICUM ALBUM 691520139 CHAMOMILLA, COFFEA CRUDA, ARSENICUM ALBUM, IGNATIA AMARA, LYCOPODIUM 575200261 CLAVATUM, NATRUM MURIATICUM, NUX VOMICA, GELSEMIUM SEMPERVIRENS, VALERIANA OFFICINALIS

Drug name HCPCS Code(s) NDC(s) CHAMOMILLA, ECHINACEA, IRIS VERSICOLOR, RUTA GRAVEOLENS, TARAXACUM OFFICINALE, 557142465, 557142466 ALOE, ANGELICA SINENSIS RADIX, ANTIMONIUM , ARGENTUM NITRICUM, ARNICA MONTANA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BISMUTHUM METALLICUM, BRYONIA, CINCHONA OFFICINALIS, GRAPHIT CHAMOMILLA, ECHINACEA, IRIS VERSICOLOR, RUTA GRAVEOLENS, TARAXACUM OFFICINALE, 557144809 ANTIMONIUM CRUDUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, CARBO VEGETABILIS, CHELIDONIUM MAJUS, CINCHONA OFFICINALIS, COLCHICUM AUTUMNALE, DAPHNE INDICA, IPECACUANHA, IR CHAMOMILLA, HYPERICUM PERFORATUM, ACONITUM NAPELLUS, ARGENTUM NITRICUM, 557144824 ARSENICUM ALBUM, BELLADONNA, BRYONIA, CINCHONA OFFICINALIS, GELSEMIUM SEMPERVIRENS, HYPERICUM PERFORATUM, IGNATIA AMARA, KALMIA LATIFOLIA, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MAGNESI CHELIDONIUM MAJUS, CHOLESTERINUM, ARSENICUM ALBUM, BELLADONNA, LYCOPODIUM 501810026, 694140001 CLAVATUM, TARENTULA HISPANA CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), GENTIANA LUTEA, ARSENICUM ALBUM, 449110178, 449110268 CARBO VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PULSATILLA (PRATENSIS) CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, ARSENICUM 449110363 ALBUM, BRYONIA (ALBA), COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDUM PALUSTRE, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOX CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, NASTURTIUM 438570289 AQUATICIM, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS (SUIS), THYUROIDINUM (SUIS), ARSENIUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOXIC CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, NASTURTIUM 438570349 AQUATICUM, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOX CHELIDONIUM MAJUS, ECHINACEA (ANGUSTIFOLIA), NASTURTIUM AQUATICUM, TARAXACUM 438570401 OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, HYDRASTIS CANADENSIS, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOX

Drug name HCPCS Code(s) NDC(s) CHELIDONIUM MAJUS, ECHINACEA, GENTIANA LUTEA, ARSENICUM ALBUM, CARBO 575200418 VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PULSATILLA CHELIDONIUM MAJUS, ECHINACEA, GENTIANA LUTEA, ARSENICUM ALBUM, CARBO VEGETABLIS, 449110005 LYCOPODIUM CLAVATUM CHELIDONIUM MAJUS, ECHINACEA, GENTIANA LUTEA, ARSENICUM ALBUM, CARBO VEGETALILIS, 575200652 LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PULSATILLA CHELIDONIUM MAJUS, ECHINACEA, HYDRASTIS CANADENSIS, ARSENICUM ALBUM, BRYONIA 449110257 (ALBA), COLCHICUM AUTUMNALE, KALMIA LATIFOLIA, LEDUM PALUSTRE, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOX CHELIDONIUM MAJUS, ECHINACEA, HYDRASTIS CANADENSIS, NASTURTIUM AQUATICUM, 438570018 TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS TOXICODENDRON, LYM D CHELIDONIUM MAJUS, ECHINACEA, HYDRASTIS CANADENSIS, NASTURTIUM AQUATICUM, 575201024 TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS, THYROIDINUM, ARSENICUM ALBUM, COCCUS CACTI CHELIDONIUM MAJUS, HEPAR SUIS, CHOLESTERINUM, LYCOPODIUM CLAVATUM, TARENTULA 501810003 HISPANA, ARSENICUM ALBUM, BELLADONNA CHELIDONIUM MAJUS, LIVER, CHOLESTERINUM, LYCOPODIUM CLAVATUM, TARENTULA 575200209 HISPANA, ARSENICUM ALBUM, BELLADONNA CHELIDONIUM MAJUS, SYMPHYTUM OFFICINALE, TARAXACUM OFFICINALE, TRIFOLIUM 575200942 PRATENSE, ACETONE, SODIUM TRIPHOSPHATE, PROPYLENE GLYCOL, SODIUM BENZENE SULFONATE, AMMONIUM MURIATICUM, SODIUM LAURYL SULFATE CHELIDONIUM MAJUS, SYMPHYTUM OFFICINALE, TARAXACUM OFFICINALE, TRIFOLIUM 437420204, 437420915 PRATENSE, ACETONE, SODIUM TRIPOLYPHOSPHATE, PROPYLENE GLYCOL, SODIUM BENZENE SULFONATE, AMMONIUM MURIATICUM, SODIUM LAURYL SULFATE, TEREBINTHINA, ARSENICUM ALBUM, CADMIUM SULPHURATUM CHELIDONIUM MAJUS, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, SYMPHYTUM 437421580 OFFICINALE, ACETONE, SODIUM TRIPOLYPHOSPHATE, PROPYLENE GLYCOL, BENZINUM, AMMONIUM MURIATICUM, SODIUM LAURYL SULFATE, TEREBINTHINA, ARSENICUM ALBUM, CADMIUM SULPHURATUM, GELSEMIUM SEMP CHEMICAL SENSITIVITY REMEDY 617270050

Drug name HCPCS Code(s) NDC(s) CHILI PEPPER, GREEN PEPPER, POTATO, TOBACCO, TOMATO, EGGPLANT, NUX VOMICA, 575200390 PULSATILLA CHLORAMBUCIL S0172 001730635, 548681126, 763880635 CHOLESTERINUM, HISTAMINUM HYDROCHLORICUM, MENADIONE, PYRROLE, ALPHA-LIPOICUM 437420742 ACIDUM, ASCORBIC ACID, ADENOSINUM TRIPHOSPHORICUM DINATRUM, FEL TAURI, GALLBLADDER (SUIS), HEPAR SUIS, SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, ARSENCIUM ALBUM, BELLADONNA, BE CHOLESTERINUM, HISTAMINUM HYDROCHLORICUM, MENADIONE, PYRROLE, ALPHA-LIPOICUM 437420363 ACIDUM, ASCORBIC ACID, ADENOSINUM TRIPHOSPHORICUM DINATRUM, FEL TAURI, GALLBLADDER (SUIS), HEPAR SUIS, SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, ARSENICUM ALBUM, BELLADONNA, BE CHOLESTERINUM, HISTAMINUM HYDROCHLORICUM, MENADIONE, PYRROLE, ALPHA-LIPOICUM 437420175 ACIDUM, ASCORBICUM ACIDUM, ATP, FEL TAURI, GALLBLADDER (SUIS), HEPAR SUIS, SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, ARSENICUM ALBUM, BELLADONNA, BERBERIS VULGARIS, BRYONIA, CA CHOLINE CHLORIDE, BOS TAURUS ADRENAL GLAND, SUS SCROFA ADRENAL GLAND, 637760027 EPINEPHRINE, ONION, AMMONIUM CARBONATE, APIS MELLIFERA, ARSENIC TRIOXIDE, HISTAMINE, INTERFERON GAMMA-1A, INTERLEUKIN-12 HUMAN, MANGANESE GLUCONATE, LUFFA OPERCULATA FRUIT, SUS SCROFA L CHONDRUS CRISPUS, GLYCYRRHIZA GLABRA, SARSAPARILLA, ZINGIBER OFFICINALE, 438570016 ADRENALINUM, ALLIUM CEPA, ARALIA RACEMOSA, ARSENICUM ALBUM, CALCAREA CARBONICA, CANTHARIS, IODIUM, NATRUM CARBONICUM, RHUS TOX

Drug name HCPCS Code(s) NDC(s) CISPLATIN 000153072, 000690081, 000690084, 001439504, 001439505, 007035747, 007035748, 167290288, 427910100, 427910101, 445670509, 445670510, 445670511, 445670530, 473510004, 477810609, 477810610, 553900099, 553900112, 553900187, 553900414, 597650288, 611260003, 611260004 CISPLATIN J9060, J9062 611260509, 611260510, 611260511, 633230103, 674570424, 674570425, 680010283, 680830162, 680830163, 708600206 CISTUS CANADENSIS, CLEMATIS ERECTA, CROTON TIGLIUM, DOLICHOS PRURIENS, IRIS 437421048 VERSICOLOR, KALI BICHROMICUM, PRUNUS SPINOSA, RANUNCULUS BULBOSUS, ZINCUM PHOSPHORATUM, ARSENICUM ALBUM, COMOCLADIA DENTATA, GRAPHITES, KALMIA LATIFOLIA, LACHESIS MUTUS, MEZEREUM CISTUS CANADENSIS, CLEMATIS ERECTA, CROTON TIGLIUM, DOLICHOS PRURIENS, IRIS 437421296 VERSICOLOR, PRUNUS SPINOSA, RANUNCULUS BULBOSUS, KALI BICHROMICUM, ZINCUM PHOSPHORATUM, ARSENICUM ALBUM, COMOCLADIA DENTATA, GRAPHITES, KALMIA LATIFOLIA, LACHESIS MUTUS, MEZEREUM CITRULLUS COLOCYNTHIS FRUIT PULP AND PSEUDOGNAPHALIUM OBTUSIFOLIUM AND 501144262 AMMONIUM CHLORIDE AND GELSEMIUM SEMPERVIRENS ROOT AND TOXICODENDRON PUBESCENS LEAF AND ARSENIC TRIOXIDE AND MATRICARIA RECUTITA AND

Drug name HCPCS Code(s) NDC(s) CLADRIBINE J9065 000690086, 000690201, 001439871, 440874000, 440876000, 473510017, 473510024, 553900115, 553900124, 596760201, 633230140, 674570450, 674570451, 692114000 CLINDAMYCIN 1% / NIACINAMIDE 4% / TRETINOIN 0.05% 729342054 CLOFARABINE J9027 000245860, 000245917, 009551746, 435980309, 473510075, 507420512, 584680100, 605056166, 633230572, 674570546, 680830386, 701211236, 722660108 COBIMETINIB 502420717 COCHLEARIA ARMORACIA, CHELIDONIUM MAJUS, ARSENICUM ALBUM, HEPAR SUIS, SPLEEN 501810055 (SUIS), THYMUS (SUIS), HEPATITIS C NOSODE, HEPATITIS A NOSODE, HEPATITIS B NOSODE COLON (SUIS), ARSENICUM ALBUM, CAUSTICUM, IGNATIA AMARA, LACHESIS MUTUS, 449110331 LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, NUX VOMICA, SEPIA, SILICEA, THUJA OCCIDENTALIS CONDURANGO, CALENDULA OFFICINALIS, LYCOPODIUM CLAVATUM, SABINA, THUJA 621061147 OCCIDENTALIS, AURUM METALLICUM, PLUMBUM METALLICUM, ARSENICUM ALBUM CORTISOL, HISTAMINUM HYDROCHLORICUM, ADENOSINE TRIPHOSPHATE, ASCORBICUM 437420054 ACIDUM, PYRIDOXINUM HYDROCHLORICUM, RIBOFLAVINUM, SARCOLACTICUM ACIDUM, SPLEEN (SUIS), STOMACH (SUIS), CORTISONE ACETICUM, ARSENICUM ALBUM, CALCAREA CARBONICA, CARDUUS MARIANUS, CEANO COUGH RELIEF 646160096 COUMARINUM, PHENYL ISOTHIOCYANATE, INTESTINE (SUIS), ASCORBIC ACID, COENZYME A, 437420220, 437420691 UBIDECARENONUM, COLON (SUIS), LUNG (SUIS), RIBOFLAVINUM, SARCOLACTICUM ACIDUM, ALOE, ALUMINA, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BRYONIA (ALBA), CARBO VEGETABI

Drug name HCPCS Code(s) NDC(s) CRIZOTINIB 000698140, 000698141, 538692230, 538692231 CUPRUM ACETICUM NICOTIANA 489513141, 489513142 CUPRUM ACETICUM NICOTIANA SPECIAL ORDER 489513214 CYCLOPHOSPHAMIDE 000150502, 000150503, 000150504, 000150505, 000150506, 000540382, 000540383, 000544129, 000544130, 007813233, 007813244, 007813255, 100190935, 100190936, 100190937, 100190938, 100190939, 100190942, 100190943, 100190944, 100190945, 100190955, 100190956, 100190957 CYCLOPHOSPHAMIDE 100190988, 100190989, 100190990, 167140857, 167140858, 167140859, 439750307, 439750308, 548685005, 548685218, 548790021, 548790022, 578843071, 578843072, 578843073, 680010370, 680010371, 680010372, 690970516, 690970517, 691890382, 691890383, 701211238, 701211239

Drug name HCPCS Code(s) NDC(s) CYCLOPHOSPHAMIDE J8530, J9070, 701211240, 726030104, J9080, J9090, 726030326, 726030411 J9091, J9092, J9093, J9094, J9095, J9096, J9097 CYNARA, ECHINACEA, IRIS VERS., THUJA OCC., URTICA UR., ARG. MET., ARSENICUM ALB., AUR. 557144751 MET., BOVISTA, BRYONIA, CHELIDONIUM MAJ., CHIONANTHUS, GAULTHERIA, HELONIAS, IRIS VERS., LYCOPODIUM, NUX VOM., PHOS., RHUS TOX., SABAL, SYZYGIUM CYTARABINE 000690152, 000690153, 000690154, 000690155, 400330223, 473510025, 473510026, 473510027, 473510029, 510230303, 510230304, 510230305, 510230319, 540870305, 540870319, 553900131, 553900132, 553900133, 553900134, 553900806, 553900807, 553900808, 553900809, 576650331 CYTARABINE C9024, J9098, 617030303, 617030304, J9100 617030305, 617030319, 633230120, 674570452, 674570454, 674570455, 674570615, 680830337, 680830343, 680830344, 680830345, 680830346, 712880109 DABRAFENIB 000780681, 000780682, 001730846, 001730847

Drug name HCPCS Code(s) NDC(s) DACARBAZINE J9130, J9140 007035075, 510230327, 540870327, 553900090, 553900339, 617030327, 633230127, 633230128 DACTINOMYCIN J9120 005170950, 398222100, 430660811, 473510036, 533990811, 552920811, 553900337, 669930489, 673860811, 674570513, 674570928, 686250811 DAPHNE MEZEREUM BARK, ARNICA MONTANA, ARSENIC TRIOXIDE, ATROPA BELLADONNA, 627951123, 627951132 CITRULLUS COLOCYNTHIS FRUIT PULP, PSEUDOGNAPHALIUM OBTUSIFOLIUM, HYPERICUM PERFORATUM, RUTA GRAVEOLENS FLOWERING TOP, AND TOXICODENDRON PUBESCENS LEAF DARATUMUMAB C9476, J9145 430660502, 578940502, 621950200, 621950210 DASATINIB 000030524, 000030527, 000030528, 000030852, 000030855, 000030857, 001860524, 001860527, 001860528, 001860852, 001860855, 001860857, 548685759, 605053628, 605053629, 605053630, 605053631 DAUNORUBICIN J9150, J9151, 108850001, 553900108, J9153 553900142, 553900281, 553900805 DAUNORUBICIN HCL 001439550, 001439551, 007035233, 426580007, 426580021

Drug name HCPCS Code(s) NDC(s) ECHINACEA (ANGUSTIFOLIA), ARNICA MONTANA, BAPTISIA TINCTORIA, SANGUINARIA 437421302, 437421526 CANADENSIS, ARISTOLOCHIA CLEMATITIS, EUPATORIUM PERFOLIATUM, EUPHORBIUM OFFICINARUM, ACONITUM NAPELLUS, ARGENTUM NITRICUM, ARSENICUM ALBUM, BRYONIA (ALBA), GELSEMIUM SEMPERVIRENS, M ECHINACEA (ANGUSTIFOLIA), ARNICA MONTANA, HYDRASTIS CANADENSIS, KALMIA LATIFOLIA, 437421173 LEDUM PALUSTRE, MAGNESIA SULPHURICA, ARSENICUM ALBUM, COCCULUS INDICUS, PHOSPHORUS ECHINACEA (ANGUSTIFOLIA), ARNICA MONTANA, HYDRASTIS CANADENSIS, LEDUM PALUSTRE, 437421297 MAGNESIA SULPHURICA, KALMIA LATIFOLIA, ARSENICUM ALBUM, COCCULUS INDICUS, PHOSPHORUS ECHINACEA (ANGUSTIFOLIA), COLCHICUM AUTUMNALE, ALOE SOCOTRINA, COLOCYNTHIS, 437420457 MERCURIUS CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM, CHININUM SULPHURICUM, CHOLERA NOSODE, CAMPYLOBACTER JEJUNI, COLIBACILLINUM CUM NATRUM MURIATICUM, HELICOBACTER PYLORI, SHIGELLA ECHINACEA (ANGUSTIFOLIA), COLCHICUM AUTUMNALE, ALOE, COLOCYNTHIS, MERCURIUS 437420486, 437420590, CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM, CLOSTRIDIUM DIFFICILE, CHININUM 437421176 SULPHURICUM, CHOLERA NOSODE, CAMPYLOBACTER JEJUNI, COLIBACILLINUM CUM NATRUM MURIATICUM, HELICOBACTER PYLO ECHINACEA (ANGUSTIFOLIA), COLCHICUM AUTUMNALE, NATRUM PHOSPHORICUM, 437421118 ARSENICUM ALBUM, COLOCYNTHIS, CROTON TIGLIUM, GAMBOGIA, ACETICUM ACIDUM, ANTIMONIUM CRUDUM, BISMUTHUM SUBNITRICUM, CINCHONA OFFICINALIS, FERRUM METALLICUM, IRIS VERSICOLOR, LAC DEFLORATUM ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA 449110515 ARTEMISIAEFOLIA, ARSENICUM ALBUM, KALI BICHROMICUM, NUX MOSCHATA, PULSATILLA (PRATENSIS), SEPIA, SOLIDAGO VIRGAUREA ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA 449110428 ARTEMISIAEFOLIA, ARSENICUM ALBUM, KALI BICHROMICUM, NUX MOSCHATA, PULSATILLA (VULGARIS), SEPIA, SOLIDAGO VIRGAUREA ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, HYPERICUM PERFORATUM, SYMPHYTUM 449110274, 449110431 OFFICINALE, ARSENICUM ALBUM, CAUSTICUM, KALI CARBONICUM, NATRUM SULPHURICUM, PHOSPHORUS, PULSATILLA (PRATENSIS), SILICEA

Drug name HCPCS Code(s) NDC(s) ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, NASTURTIUM AQUATICUM, 438570322 SANGUINARIA CANADENSIS, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, URTICA DIOICA, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, COCCUS CACTI, LYCOPODIUM CLAVATUM, PHOSPHORUS, RHUS ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, NUX MOSCHATA, TRIGONELLA FOENUM 438570290 GRAECUM, ARSENICUM ALBUM, KALI BICHROMICUM, MERCURIUS SULPHURATUS RUBER, PULSATILLA (VULGARIS), SEPIA, MERCURIUS SOLUBILIS ECHINACEA (ANGUSTIFOLIA), HYDRASTIS CANADENSIS, TABEBUIA IMPETIGINOSA, GLANDULA 438570291 SUPRARENALIS SUIS, THYMUS(SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM ECHINACEA (ANGUSTIFOLIA), HYPERICUM PERFORATUM, ARNICA MONTANA, SYMPHYTUM 438570457 OFFICINALE, AGARICUS MUSCARIUS, ARSENICUM ALBUM, GELSEMIUM SEMPERVIRENS, PLUMBUM METALLICUM, RHUS TOX ECHINACEA (ANGUSTIFOLIA), KALI PHOSPHORICUM, SARRACENIA PURPUREA, ARSENICUM 449110364 ALBUM, CAUSTICUM, DOLICHOS PRURIENS, HYPERICUM PERFORATUM, MEZEREUM, RANUNCULUS BULBOSUS, RHUS TOX ECHINACEA (ANGUSTIFOLIA), LAPPA MAJOR, SOLIDAGO VIRGAUREA, TARAXACUM OFFICINALE, 697800003 ADRENALINUM, ALOE, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BERBERIS AQUIFOLIUM, BERBERIS VULGARIS, BRYONIA (ALBA), CHELIDONIUM MAJUS, CROTALUS HORRIDUS, DIGITALIS PURPUREA, FERR ECHINACEA (ANGUSTIFOLIA), LOBELIA INFLATA, TRIFOLIUM PRATENSE, ARSENICUM ALBUM, 449110222 CARBO VEGETABILIS, KALI CARBONICUM, NATRUM SULPHURICUM, PHOSPHORUS, POTHOS FOETIDUS, PULSATILLA (PRATENSIS) ECHINACEA (ANGUSTIFOLIA), LOMATIUM DISSECTUM, HYDRASTIS CANADENSIS, ACONITUM 449110413, 449110433 NAPELLUS, ARSENICUM ALBUM, BELLADONNA, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, RHUS TOX, PYROGENIUM ECHINACEA (ANGUSTIFOLIA), LOMATIUM DISSECTUM, MYRRHA, NASTURTIUM AQUATICUM, 438570420, 438570530 TABEBUIA IMPETIGINOSA, HYDRASTIS CANADENSIS, PROPOLIS, GLANDULA SUPRARENALIS SUIS, LYMPH NODE (SUIS), SPLEEN (SUIS), THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, BELLADONNA ECHINACEA (ANGUSTIFOLIA), NATRUM PHOSPHORICUM, COLCHICUM AUTUMNALE, 437421304 ARSENICUM ALBUM, COLOCYNTHIS, CROTON TIGLIUM, GAMBOGIA, ACETICUM ACIDUM, ANTIMONIUM CRUDUM, BISMUTHUM SUBNITRICUM, CINCHONA OFFICINALIS, FERRUM METALLICUM, IRIS VERSICOLOR, LAC DEFLORATUM

Drug name HCPCS Code(s) NDC(s) ECHINACEA (ANGUSTIFOLIA), NUX MOSCHATA, TRIGONELLA FOENUM GRAECUM, HYDRASTIS 438570423 CANADENSIS, ARSENICUM ALBUM, KALI BICHROMICUM, MERCURIUS SULPHURATUS RUBER, PULSATILLA (VULGARIS), SEPIA, MERCURIUS SOLUBILIS ECHINACEA (ANGUSTIFOLIA), PHYTOLACCA DECANDRA, HEPAR SULPHURIS CALCAREUM, 437421538 MERCURIUS SOLUBILIS, MEZEREUM, AILANTHUS GLANDULOSUS, ARSENICUM ALBUM, LACHESIS MUTUS, HERPES SIMPLEX I AND II NOSODE, HERPES ZOSTER NOSODE ECHINACEA (ANGUSTIFOLIA), TABEBUIA IMPETIGINOSA, HYDRASTIS CANADENSIS, GLANDULA 438570426 SUPRARENALIS SUIS, THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, BRYONIA (ALBA), COCCULUS INDICUS, COLCHICUM AUTUMNALE, LEDUM PALUSTRE, MERCURIUS CYANATUS, NATRUM SULPHU ECHINACEA ANGUSTIFOLIA, BAPTISIA TINCTORIA ROOT, PHYTOLACCA AMERICANA ROOT, 639720009 FERROSOFERRIC PHOSPHATE, ARSENIC TRIOXIDE, ATROPA BELLADONNA, MATRICARIA RECUTITA, MERCURIUS SOLUBILIS, GELSEMIUM SEMPERVIRENS ROOT, LACHESIS MUTA VENOM, SOLANUM DULCAMARA TOP, RA ECHINACEA ANGUSTIFOLIA, HYDRASTIS CANADENSIS, LOMATIUM, PHYTOLACCA DECANDRA, 434060593 ACONITUM NAPELLUS, ARSENICUM ALBUM, BELLADONNA, CARCINOSIN, COXSACKIE, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, HERPES ZOSTER, INFLUENZINUM, MORBILLINUM, PERTUSSIN, PYROGE ECHINACEA, ALUMINA, ARALIA QUINQUEFOLIA, ARGENTUM, ARNICA MONTANA, ARSENICUM 557142471 ALBUM, BAPTISIA TINCTORIA, BRYONIA, CANTHARIS, CHELIDONIUM MAJUS, CONIUM MACULATUM, GELSEMIUM SEMPERVIRENS, IODIUM, KALI CARBONICUM, KALI IODATUM, LYCOPODIUM CLAVATUM, LYCOPUS VI ECHINACEA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, EUPATORIUM PERFOLIATUM, 541460001 GELSEMIUM SEMPERVIRENS, LYCOPODIUM CLAVATUM ECHINACEA, COLCHICUM AUTUMNALE, ALOE SOCOTRINA, COLOCYNTHIS, MERCURIUS 437420087 CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM ECHINACEA, COLCHICUM AUTUMNALE, ALOE SOCOTRINA, COLOCYNTHIS, MERCURIUS 437420251 CORROSIVUS, NUX VOMICA, ARSENICUM ALBUM, CHININUM SULPHURICUM ECHINACEA, HYDRASTIS CANADENSIS, ACONITUM NAPELLUS, ANTIMONIUM TARTARICUM, 557144830 ARNICA MONTANA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BELLADONNA, BRYONIA, CANTHARIS, CHAMOMILLA, GAULTHERIA PROCUMBENS, HEPAR SULPHURIS CALCAREUM, IODIUM, LACHESIS MUTUS, LYCOPODIU

Drug name HCPCS Code(s) NDC(s) ECHINACEA, HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA ARTEMESIAEFOLIA, ARSENICUM 575200295 ALBUM, KALI BICHROMICUM, NUX MOSCHATA, PULSATILLA, SEPIA, SOLIDAGO VIRGAUREA ECHINACEA, HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, ARSENICUM 575200655 ALBUM, KALI BICHROMICUM, NUX MOSCHATA, PULSATILLA, SEPIA, SOLIDAGO VIRGAUREA ECHINACEA, HYDRASTIS CANADENSIS, ARSENICUM IODATUM, BRYONIA, CISTUS CANADENSIS, 557144778 HEPAR SULPHURIS CALCAREUM, HISTAMINUM HYDROCHLORICUM, HYDRASTIS CANADENSIS, IODIUM, KALI BICHROMICUM, KALI IODATUM, MERCURIUS IODATUS RUBER, MERCURIUS VIVUS, NUX VOMICA, PHOSP ECHINACEA, HYDRASTIS CANADENSIS, IRIS VERSICOLOR, URTICA URENS, ACONITUM NAPELLUS, 557144836 ARNICA MONTANA, ARSENICUM ALBUM, BAPTISIA TINCTORIA, BRYONIA, HYDRASTIS CANADENSIS, IODIUM, LACHESIS MUTUS, NUX VOMICA, PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, ANTHRACI ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM DISSECTUM, ACONITUM NAPELLUS, 449110065 ARSENICUM ALBUM, BELLADONNA ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM DISSECTUM, MYRRHA, NASTURTIUM 438570200 AQUATICUM, PROPOLIS, TABEBUIA IMPETIGINOSA, GLANDULA SUPRARENALIS, LYMPH, SPLEEN ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM DISSECTUM, MYRRHA, NASTURTIUM 437420089 AQUATICUM, TABEBUIA IMPETIGINOSA, SPLEEN, THYMUS ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM, ACONITUM NAPELLUS, ARSENICUM ALBUM, 508130003 BELLADONNA, EPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM, ACONITUM NAPELLUS, ARSENICUM ALBUM, 575200657, 575201044 BELLADONNA, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, RHUS TOXICODENDRON, PYROGENIUM ECHINACEA, HYDRASTIS CANADENSIS, LOMATIUM, ACONTIUM NAPELLUS 575200495 ECHINACEA, HYDRASTIS CANADENSIS, NUX MOSCHATA, TRIGONELLA FOENUM GRAECUM, 575200513 ARSENICUM ALBUM, KALI BICHROMICUM, MERCURIUS SULPHURATUS RUBER, PULSATILLA, SEPIA, MERCURIUS SOLUBILIS ECHINACEA, HYDRASTIS CANADENSIS, TABEBUIA IMPETIGINOSA, GLANDULA SUPRARENALIS 575201023 SUIS, THYMUS, THYROIDINUM, ARSENICUM ALBUM, BRYONIA, COCCULUS INDICUS, COLCHICUM AUTUMNALE, LEDUM PALUSTRE

Drug name HCPCS Code(s) NDC(s) ECHINACEA, HYDRASTIS CANADENSIS, TABEUIA IMPETIGINOSA, GLANDULA SUPRARENALIS SUIS, 438570099 THYMUS (SUIS), THYROIDINUM (SUIS), ARSENICUM ALBUM, BRYONIA, COCCULUS INDICUS, COLCHICUM AUTUMNALE, LEDUM PALUSTRE, MERCURIUS CYANATUS, NATRUM SULPHURICUM, PULSATILLA, SEPI ECHINACEA, HYDRASTIS CANDENSIS, NUX MOSCHATA, TRIGONELLA FOENUM GRAECUM, 438570044 ARSENICUM ALBUM, KALI BICHROMICUM, MERCURIUS SULPHURATUS RUBER, PULSATILLA, SEPIA, MERCURIUS SOLUBILIS ECHINACEA, HYDRASTIT CANADENSIS, LOMATIUM, ACONITUM NAPELLUS, ARSENICUM ALBUM, 575200675 BELLADONNA, EUPATORIUM PERFOLIATUM, GELSEMIUM SEMPERVIRENS, LACHESIS MUTUS, RHUS TOXICODENDRON, PYROGENIUM ECHINACEA, HYPERICUM PERFORATUM, SYMPHYTUM OFFICINALE, ARNICA MONTANA, 438570191 AGARICUS MUSCARIUS, ARSENICUM ALBUM, GELSEMIUM SEMPERVIRENS, PLUMBUM METALLICUM, RHUS TOX ECHINACEA, IRIS VERSICOLOR, URTICA URENS, ARSENICUM ALBUM, BAPTISIA TINCTORIA, 557144822 BRYONIA, CINCHONA OFFICINALIS, COLLINSONIA CANADENSIS, DIOSCOREA VILLOSA, I ODIUM, IRIS VERSICOLOR, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, NATRUM CARBONICUM, NATRUM MURIATICUM, N ECHINACEA, LAPPA, ANTIMON. TART., ARSENICUM ALB., BRYONIA, CHELIDONIUM MAJ., 557144768 CINCHONA, DROSERA, EUCALYPTUS, HISTAMINUM HYDROCHLORICUM, HYDRASTIS, KALI BIC., KALI CARB., KALI IOD., MYRRHA, NAT. SULPHURICUM, NUX VOM., PHOS., PULSATILLA, RUMEX CRISP., SAMBUC ECHINACEA, SOLIDAGO VIRGAUREA, TARAXACUM OFFICINALE, ARSENICUM ALBUM, BAPTISIA 557144775 TINCTORIA, BERBERIS AQUIFOLIUM, CALCAREA FLUORICA, CAPSICUM ANNUUM, CARDUUS MARIANUS, CINCHONA OFFICINALIS, IODIUM, KALI CARBONICUM, LACHESIS MUTUS, MAGNESIA CARBONICA, MERCURI ECHINACEA, TARAXACUM OFFICINALE, ARSENICUM ALBUM, ARSENICUM BROMATUM, CARBO 557142510, 557142511 ANIMALIS, CAUSTICUM, HYDROCOTYLE ASIATICA, KALI BROMATUM, KALI IODATUM, KREOSOTUM, LYCOPODIUM CLAVATUM, NUX VOMICA, PETROLEUM, RHUS TOXICODENDRON, SEPIA, SULPHUR ECHINACEA, BAPTISIA, APIS MELLIFICA , FERRUM PHOSPHORICUM 616570052 ECHINACHEA, HYDRASTIS CANADENSIS, ALLIUM CEPA, AMBROSIA ARTEMISIAEFOLIA, 449110036 ARSENICUM ALBUM, KALI BICHROMICUM, NUX MOSCHATA

Drug name HCPCS Code(s) NDC(s) EGGSHELL MEMBRANE, WHEY PROTEIN, ARSENICUM ALBUM, CROTON TIGLIUM, HYDROCOTYLE 449110270 ASIATICA, NATRUM MURIATICUM ELAPS CORALLINUS , APIS MEL., ARSENICUM ALB. , CANTHARIS, CINCHONA , COLCHICUM , 557144542, 557144543 CONVALLARIA , CROTALUS HORRIDUS , DIGITALIS , JUNIPERUS COM , LACHESIS , MERC. VIV. , NAJA , NAT. CARB. , NAT. SULPHURICUM , RHUS TOXICODENDRON , SAMBUCUS NIG. , STROPHANTHUS ELAPS CORALLINUS, ACONITUM NAP., ARSENICUM ALB., AUR. MET., BARYTA CARB., BENZOICUM 557144459, 557144640, ACIDUM, BERBER. VULG., BRYONIA, CALC. FLUOR. , CANTHARIS, CEANOTHUS, CHELIDONIUM 557144641, 557144650, MAJUS, CHIONANTHUS VIRGINICA, CINCHONA, CONVALLARIA, CROTALUS HORRIDUS, DIGITALIS, 557144651 GELSEMI ELAPS CORALLINUS, ACONITUM NAP., ARSENICUM ALB., AUR. MET., BARYTA CARB., BENZOICUM 557144458 ACIDUM, BERBER. VULG., BRYONIA, CALC. FLUOR. , CANTHARIS, CEANOTHUS, CHELIDONIUM MAJUS , CHIONANTHUS VIRGINICA, CINCHONA, CONVALLARIA, CROTALUS HORRIDUS, DIGITALIS, GELSEMI ELAPS CORALLINUS, AESCULUS HIPP., ALOE, ARSENICUM ALB., BRYONIA, CALC. FLUOR., 557142220, 557142221, CAPSICUM, COLLINSONIA, CROTALUS HORRIDUS, HAMAMELIS, HYDROFLUORICUM ACIDUM, 557142457, 557142458, HYPERICUM, LACHESIS, LYCOPODIUM, MILLEFOLIUM, NAJA, NUX VOM., PAEONIA, PLANTAGO, 557144446, 557144447, QUERCUS GLANDIUM SP 557144797 ELAPS CORALLINUS, AGNUS, ANGELICA SINENSIS RADIX, ARSENICUM ALB., BRYONIA, 557142234, 557142235, CANTHARIS, CAULOPHYLLUM, CIMICIFUGA, CINCHONA, CROTALUS HORRIDUS, DAMIANA, 557142479, 557142480, GLONOINUM, HELONIAS DIOICA, IGNATIA, KALI CARB., LACHESIS, NAJA, NUX VOM., 557144456, 557144457, PHOSPHORUS, PULSATILLA, SALIX 557144800 ELAPS CORALLINUS, APIS MEL., ARSENICUM ALB., CANTHARIS, CINCHONA, COLCHICUM, 557142328, 557142329, CONVALLARIA, CROTALUS HORRIDUS, DIGITALIS, JUNIPERUS COM., LACHESIS, MERC. VIV., NAJA, 557142432, 557144812 NAT. CARB., NAT.SULPHURICUM, RHUS TOXICODENDRON, SAMBUCUS NIG., STROPHANTHUS HISPIDUS, THUJ ELAPS CORALLINUS, ARSENICUM ALB., BELLADONNA, BRYONIA, CARDUUS BENEDICTUS, 557142224, 557142225, CIMICIFUGA, COFFEA CRUDA, CONVALLARIA, CROTALUS HORRIDUS, DIGITALIS, GELSEMIUM, 557142453, 557142454, GLONOINUM, IGNATIA, LACHESIS, MERC. VIV., NAJA, NUX VOM., PHOSPHORUS, RHUS 557144444, 557144445, TOXICODENDRON, SANGUINARI 557144798 ELOTUZUMAB C9477, J9176 000032291, 000034522, 005902291, 005904522 EMOTIONAL HEALTH BOOSTER 646160087, 646160100

Drug name HCPCS Code(s) NDC(s) EPINEPHRINE, THYROID UNSPECIFIED, BOS TAURUS PITUITARY GLAND, ARSENIC TRIOXIDE, 434060612 OYSTER SHELL CALCIUM CARBONATE CRUDE, CONIUM MACULATUM FLOWERING TOP, CORTISONE ACETATE, CROTALUS HORRIDUS HORRIDUS VENOM, IRON, STRYCHNOS NUX- VOMICA SEED, PHOSPHORIC ACID, PHO EPIRUBICIN J9178 531040211, 553900207, 553900208, 617030347, 617030348 EPIRUBICIN HCL 000095091, 000095093, 001151675, 001439202, 001439203, 007033067, 007033069, 250210203, 459630608, 531500247, 531500250, 597625091, 597625093, 599230701, 617030359, 633230151, 667580042, 674570357, 674570358 EPITHELIA (BOVINE), ARSENICUM ALBUM, CALCAREA CARBONICA, GRAPHITES, MEZEREUM, 449110162 NATRUM MURIATICUM, NITRICUM ACIDUM, PETROLEUM, RHUS TOX, SULPHUR, CAUSTICUM EQUAL AMOUNTS OF EACH HPUS INGREDIENT IN 30C, 200C, 1M, LM1, LM2, LM3, LM4, AND 551380017, 700340001 LM5 POTENCIES ERIBULIN C9280, J9179 ERIBULIN MESYLATE 436240002, 628560389 ERLOTINIB 000937663, 000937664, 633040095, 633040096, 633040135

Drug name HCPCS Code(s) NDC(s) ERLOTINIB HCL 003787131, 003787132, 003787133, 422920051, 422920052, 422920053, 502420062, 502420063, 502420064, 519910890, 519910891, 519910892, 548685290, 548685447, 548685474, 691890063, 724850217, 724850218, 724850219 ESTRAMUSTINE PHOSPHATE SODIUM 000130132 ETOPOSIDE 000153061, 000153062, 000153084, 000153091, 000153095, 001439376, 001439510, 001439511, 001439512, 003783266, 007035653, 007035656, 007035657, 163640114, 167290114, 167290262, 426050031, 426050032, 426050033, 473510037, 473510038, 473510080, 553900291, 553900292 ETOPOSIDE J8560, J9181, 553900293, 553900491, J9182, WW030, 553900492, 553900493, WW031, WW032 633230104, 680010265 ETOPOSIDE PHOSPHATE 000153404, 612690410 EUPHRASIA STRICTA, ALUMINUM OXIDE, ARSENIC TRIOXIDE, APIS MELLIFERA, TRIBASIC 687700143 CALCIUM PHOSPHATE, DELPHINIUM STAPHISAGRIA SEEDS, SULPHUR, CALENDULA OFFICINALIS FLOWERING TOP EUPHRASIA STRICTA, SPIGELIA ANTHELMIA, BILBERRY, ARSENIC TRIOXIDE, CALCIUM FLUORIDE, 434060073 CAUSTICUM, GELSEMIUM SEMPERVIRENS ROOT, MAGNESIUM CARBONATE, MERCURIUS SOLUBILIS, OSMIUM, PHOSPHORUS, PHYSOSTIGMA VENENOSUM SEED , SILICON DIOXIDE

Drug name HCPCS Code(s) NDC(s) EVEROLIMUS J7527, J8561 000780414, 000780415, 000780417, 000780422, 000780566, 000780567, 000780594, 000780620, 000780626, 000780627, 000780628, 498840119, 498840125, 498840127 FAM-TRASTUZUMAB DERUXTECAN-NXKI 655970406 FEL TAURI, CHIONANTHUS VIRGINICA, ARSENICUM ALBUM, NUX VOMICA, PLATINUM 501810013, 694140002 METALLICUM FEL TAURI, CHIONANTHUS VIRGINICA, ARSENICUM ALBUM, NUX VOMICA, PLATINUM 575200239 METALLICUM FEL TAURI, CHIONANTHUS VIRGINICA, NUX VOMICA, ARSENICUM ALBUM, PLANTINUM 501810008 METALLICUM FEL TAURI, CHIONANTHUS VIRGINICA, NUX VOMICA, ARSENICUM ALBUM, PLATINUM 575200205 METALLICUM FERRUM PHOSPHORICUM, CAPSICUM ANNUUM, PYROGENIUM, ARSENICUM ALBUM 605129214, 663530921, 719719214 FERRUM PHOSPHORICUM, CAPSICUM ANNUUM, PYROGENIUM, ARSENICUM ALBUM, 597790208, 597790687, BELLADONNA 605129063, 605129163 FILIX MAS, GRANATUM, JUGLANS REGIA, RHAMNUS PURSHIANA, ABSINTHIUM, AESCULUS 575200505 HIPPOCASTANUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA FILIX MAS, GRANATUM, JUGLANS REGIA, RHAMNUS PURSHIANA, ABSINTHIUM, AESCULUS 449110009 HIPPOCASTANUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CINA, CUPRUM METALLICUM, IPECACUANHA, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NUX VOMICA FLOXURIDINE J9200 001439270, 005171940, 426050044, 553900135, 617030331, 633230145 FLU NAUSEA 641170956 FLUDARABINE J8562, J9185 000245820

Drug name HCPCS Code(s) NDC(s) FLUDARABINE PHOSPHATE 000699321, 007034852, 007035854, 242010237, 250210205, 250210237, 250210242, 459630609, 459630621, 599230604, 617030344, 633230192, 633230196, 667580046, 674570238, 674570268, 674570495 FLUOROURACIL 000690169, 000690173, 000690174, 000690176, 001873204, 001875200, 003784791, 003788078, 007033015, 007033018, 007033019, 101390063, 161100812, 163640276, 167290276, 216950829, 250210215, 281050421, 400330215, 435470258, 435470259, 473510033, 500904264, 507420423 FLUOROURACIL J9190 507420481, 507420482, 507420483, 516724062, 516724063, 516724118, 518620362, 525494118, 548686293, 597650276, 633230117, 643700421, 665300249, 665300252, 665300258, 667580044, 667580054, 680010266, 680830269, 680830270, 680830292, 680830293, 681520106

Drug name HCPCS Code(s) NDC(s) FOENICULUM VULGARE, FUCUS VESICULOSUS, LECITHIN, AMMONIUM CARBONICUM, 575200181 CAULOPHYLLUM THALICTROIDES, GALIUM APARINE, LAC DEFLORATUM, PHOSPHORUS, PHYTOLACCA DECANDRA, RUBUS IDAEUS, ABROTANUM FOOD SENSITIVITY REMEDY 617270051 GABA (GAMMA-AMINOBUTYRIC ACID), L-DOPA, NOREPINEPHRINE (BITARTRATE), SEROTONIN 449110493 (HCL), ADRENOCORTICOTROPHIN, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CALCAREA PHOSPHORICA, HYOSCYAMUS NIGER, LYCOPODIUM CLAVATUM GABA, L-DOPA, NOREPINEPHRINE, SEROTONIN, ADRENOCORTICOTROPHIN, ANACARDIUM 449110099 ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CALCAREA PHOSPHORICA, HYOSCYAMUS NIGER, LYCOPODIUM CLAVATUM GABA, L-DOPA, NOREPINEPHRINE, SEROTONIN, ADRENOCORTICOTROPHIN, ANACARDIUM 717420001 ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CALCAREA PHOSPHORICA, HYOSCYAMUS NIGER, LYCOPODIUM CLAVATUM, STRAMONIUM GAMMA-AMINOBUTYRIC ACID, L-DOPA, NOREPINEPHRINE, SEROTONIN, 449110030 ADRENOCORTICOTROPHIN, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA GAMMA-AMINOBUTYRIC ACID, L-DOPA, NOREPINEPHRINE, SEROTONIN, 575200356 ADRENOCORTICOTROPIN, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, BARYTA CARBONICA, CALCAREA CARBONICA, CALCAREA PHOSPHORICA, HYOSCYAMUS NIGER, LY GARLIC, ECHINACEA ANGUSTIFOLIA, SOLIDAGO VIRGAUREA FLOWERING TOP, TOXICODENDRON 434060588 PUBESCENS LEAF, ONION, AMBROSIA ARTEMISIIFOLIA, APIS MELLIFERA, ARSENIC TRIOXIDE, ARSENIC TRIIODIDE, EUPHRASIA STRICTA, IODINE, HISTAMINE DIHCL, LYCOPODIUM CLAVATUM GEFITINIB J8565 003100482 GELSEMIUM SEMPERVIRENS ROOT, ARSENIC TRIOXIDE, ACONITUM NAPELLUS, SULFUR, 549733402 POTASSIUM PHOSPHATE, DIBASIC, PHOSPHORUS, SILVER NITRATE, STRYCHNOS IGNATII SEED AND ANAMIRTA COCCULUS SEED GELSEMIUM, ECHINACEA, BAPTISIA PHYTOLACCA DECANDRA, TINCTORIA, ARSENICUM ALBUM, 616570251 IRIDIUM, MERCURIUS CORROSIVUS, EUPATORIUM PERFOLIATUM, BRYONIA, FERRUM PHOSPHORICUM

Drug name HCPCS Code(s) NDC(s) GEMCITABINE HCL 250210235, 422360001, 422360002, 459630612, 459630619, 459630620, 473350153, 473350154, 605056113, 605056114, 605056115, 674570462, 674570463, 674570464, 674570616, 674570617, 674570618, 680010282, 680830148, 680830149, 690970313, 690970314, 708600204, 708600205 GEMCITABINE HCL 712880113, 712880114, 724850221, 724850222, 724850223 GEMTUZUMAB OZOGAMICIN J9203, J9300 000084510 GENTIANA LUTEA, ARSENICUM ALBUM, CINCHONA OFFICINALIS, COLOCYNTHIS, NUX VOMICA, 449110056 PHOSPHORUS, INTESTINAL MUCOSA GENTIANA LUTEA, ARSENICUM ALBUM, CINCHONA OFFICINALIS, COLOCYNTHIS, NUX VOMICA, 449110323, 717810005 PHOSPHORUS, SMALL INTESTINE (SUIS) GENTIANA LUTEA, SAMBUCUS NIGRA, ARSENICUM ALBUM, KALI BICHROMICUM, LYCOPODIUM 449110455 CLAVATUM, PHOSPHORUS, PULSATILLA (VULGARIS), BISMUTHUM SUBNITRICUM GENTIANA LUTEA, SAMBUCUS NIGRA, ARSENICUM ALBUM, KALI BICHROMICUM, LYCOPODIUM 575200355 CLAVATUM, PHOSPHORUS, PULSATILLA BISMUTHUM CARBONICUM GENTIANA LUTEA, SAMBUCUS NIGRA, ARSENICUM ALBUM, KALI BICHROMICUM, LYCOPODIUM 449110029 CLAVATUM, PHOSPHORUS, PULSATILLA, BISMUTHUM CARBONICUM GENTIANA LUTEA, SAMBUCUS NIGRA, SENNA, STOMACH (BOVINE), ARSENICUM ALBUM, 437720001 ATROPINUM SULPHURICUM, CARBO VEGETABILIS GENTIANA LUTEA, SAMBUCUS NIGRA, STOMACH (SUIS), SYMPHYTUM OFFICINALE, ARSENICUM 449110425 ALBUM, BISMUTHUM SUBNITRICUM, CARBO VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS

Drug name HCPCS Code(s) NDC(s) GENTIANA LUTEA, SAMBUCUS NIGRA, SYMPHYTUM OFFICINALE, STOMACH (SUIS), ARSENICUM 449110276 ALBUM, BISMUTHUM SUBNITRICUM, CARBO VEGETABILIS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS GERMANIUM SESQUIOXIDE, CUPRUM METALLICUM, MANGANUM METALLICUM, INTESTINE 438570372 (SUIS), LUNG (SUIS), CYSTEINUM, MANGANESE GLUCONATE, ALPHA-KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, CALCAREA CARBONICA, FUMARICUM ACIDUM, NATRUM OXALACETICUM, PHOSPHORUS GINKGO BILOBA, RUTA GRAVEOLENS, AGNUS CASTUS, ALLIUM SATIVUM, AMBRA GRISEA, 557142552 ANGELICA SINENSIS RADIX, ARALIA QUINQUEFOLIA, ARNICA MONTANA, ARSENICUM ALBUM, AVENA SATIVA, BAPTISIA TINCTORIA, BARYTA CARBONICA, BRYONIA, CANTHARIS, LACHESIS MUTUS, LYCOPODIUM C GLANDULA SUPRARENALIS SUIS, HYPOPHYSIS SUIS, HYPOTHALAMUS SUIS, OOPHORINUM (SUIS), 449110440 ORCHITINUM (BOVINE), PINEAL GLAND, THYROIDINUM, ARSENICUM ALBUM, BARYTA CARBONICA, NATRUM MURIATICUM, PHOSPHORICUM ACIDUM, PULSATILLA (PRATENSIS) GLANDULA SUPRARENALIS SUIS, OOPHORINUM (SUIS), ORCHITINUM (BOVINE), PITUITARIA 449110312 GLANDULA (SUIS), ARSENICUM ALBUM, BARYTA CARBONICA, NATRUM MURIATICUM, PHOSPHORICUM ACIDUM, PULSATILLA (PRATENSIS) GLYCERINUM, PHYTOLACCA DECANDRA, TARAXACUM OFFICINALE, ARSENICUM ALBUM, 449110359, 717810003 NITRICUM ACIDUM, NUX VOMICA, PETROLEUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, ACETYLSALICYLICUM ACIDUM, GLONOINUM, INSULINUM (SUIS), LITHIUM CARBONICUM, THYROIDINUM (SUIS), SALICYLICUM ACI GLYCERINUM, TARAXACUM OFFICINALE, PHYTOLACCA DECANDRA, ARSENICUM ALBUM, 449110528 NITRICUM ACIDUM, NUX VOMICA, PETROLEUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, ACETYLSALICYLICUM ACIDUM, GLONOINUM, INSULINUM (SUIS), LITHIUM CARBONICUM, THYROIDINUM (SUIS), ADRENOCORTICOTR GLYCERINUM, TARAXACUM OFFICINALE, PHYTOLACCA DECANDRA, ARSENICUM ALBUM, 449110472 NITRICUM ACIDUM, NUX VOMICA, PETROLEUM, PHOSPHORICUM ACIDUM, PHOSPHORUS, ACETYLSALICYLICUM ACIDUM, GLONOINUM, INSULINUM (SUIS), LITHIUM CARBONICUM, THYROIDINUM (SUIS), SALICYLICUM ACI GRANATUM, RHAMNUS PURSHIANA, JUGLANS REGIA, FILIX MAS, ABSINTHIUM, AESCULUS 449110471 HIPPOCASTANUM, ARSENICUM ALBUM, BAPTISIA TINCTORIA, CINA, CUPRUM METALLICUM, IPECACUANHA, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NUX VOMICA, PULSATILLA (VULGARIS), RATANHIA, RHUS T

Drug name HCPCS Code(s) NDC(s) HEART (SUIS), SMALL INTESTINE (SUIS), GERMANIUM SESQUIOXIDE, COBALTUM METALLICUM, 438570148 CYSTEINUM, MANGANUM METALLICUM, MANGANESE GLUCONATE, ALPHA-KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, AURUM METALLICUM, FUMARICUM ACIDUM, NATRUM OXALACETICUM, PHOSPHORUS HELLEBORUS COMP. A 489515116 HISTAMINUM HYDROCHLORICUM LACCANINUM, ARSENICUM ALB., BELLADONNA BRYONIA, 557142306 CAMPHORA, CISTUS CANADENSIS, DROSERA, HEPAR SULPH.CALC., HYDRASTIS, IGNATIA, IODIUM, KALI BIC., KALI IOD., NUX VOM., PHOSPHORUS, PULSATILLA, SABADILLA, SILICEA, STICTA, SULPHUR, TEUCRI HISTAMINUM HYDROCHLORICUM, LAC CANINUM, ARSENICUM ALB., BELLADONNA, BRYONIA, 557142307 CAMPHORA, CISTUS CANADENSIS, DROSERA, HEPAR SULPH.CALC., HYDRASTIS, IGNATIA, IODIUM, KALI BIC., KALI IOD., NUX VOM., PHOSPHORUS, PULSATILLA, SABADILLA, SILICEA, STICTA, SULPHUR, T HISTAMINUM HYDROCHLORICUM, THYROIDINUM, ACONITUM NAP., ARSENICUM ALB., 557142302, 557142303, BRYONIA, CACTUS, CALC. FLUOR., CEANOTHUS, CINCHONA, CONVALLARIA, DIGITALIS, 557142404 GELSEMIUM, GLONOINUM, HYDROCOYLE, KALI CARB., LACHESIS, NAJA, NAT CARB., NAT MUR., NUX VOM., PHOSPHORUS, PULL HOMEOPATHIC LIQUID 645780067, 645780077 HOMEPATHIC RX 459840004 HUMULUS LUPULUS, PASSIFLORA INCARNATA, VALERIANA OFFICINALIS, AMBROSIA 438570379 ARTEMISIAEFOLIA, ARSENICUM ALBUM, COFFEA TOSTA, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORICUM ACIDUM, SILICEA HYDRASTIS CANADENSIS, THUJA OCCIDENTALIS, ARSENICUM ALBUM, CALCAREA IODATA, CARBO 557144769 ANIMALIS, CONIUM MACULATUM, GRAPHITES, HYDRASTIS CANADENSIS, IODIUM, KREOSOTUM, LACHESIS MUTUS, PHOSPHORUS, SABINA, SECALE CORNUTUM, SEPIA, SILICEA, THLASPI BURSA- PASTORIS HYDROCORTISONE (CORTISOL), HISTAMINUM HYDROCHLORICUM, ADENOSINUM 437420415 TRIPHOSPHORICUM DINATRUM, ASCORBIC ACID, PYRIDOXINUM HYDROCHLORICUM, RIBOFLAVINUM, SARCOLACTICUM ACIDUM, SPLEEN (SUIS), STOMACH (SUIS), CORTISONE ACETICUM, ARSENICUM ALBUM, CALCAREA CARBONIC HYDROCOTYLE ASIATICA, LAPPA MAJOR, ARSENICUM ALBUM ARSENICUM IODATUM, BORAX, 449110366 GRAPHITES, MEZEREUM, NATRUM MURIATICUM, PETROLEUM, PHYTOLACCA DECANDRA, SEPIA, KALI ARSENICOSUM

Drug name HCPCS Code(s) NDC(s) IBRITUMOMAB A9543 IBRITUMOMAB TIUXETAN 681520103, 728930007 IBRUTINIB 579620014, 579620070, 579620140, 579620280, 579620420, 579620560 IDARUBICIN J9211 IDARUBICIN HCL 000132576, 000132586, 000132596, 001439217, 001439218, 001439219, 001439306, 001439307, 001439308, 007034154, 007034155, 007034156, 531500336, 531500386, 531500411, 633230194, 667580055 IDELALISIB 619581701, 619581702 IFOSFAMIDE 000150556, 000150557, 000694495, 000694496, 001439530, 001439531, 003383991, 003383993, 007033427, 007033429, 007034100, 007034106, 007034116, 100190925, 100190926, 100190927, 100190929, 426050025, 426050026, 473510032, 553900047, 553900048, 633230142, 633230174 IFOSFAMIDE J9208 674570429, 674570443, 674570609

Drug name HCPCS Code(s) NDC(s) IMATINIB S0088 003782245, 003782246, 422920043, 422920044, 435980344, 435980345, 514070269, 514070270, 548685289, 548685427, 651620794, 651620795, 681800390, 681800391 IMATINIB MESYLATE 000540248, 000540249, 000780401, 000780438, 000780649, 000937629, 000937630, 009046621, 009046901, 167140704, 167140705, 422910351, 422910352, 473350472, 473350475, 502680426, 502680427, 519910376, 519910377, 604290925, 604290926, 605052900, 605052901, 606870192 IMATINIB MESYLATE 606870203, 646790793, 646790794, 668280030, 678770633, 678770634, 691890403, 724850202, 724850203, 726060556, 726060557 IMMUNE SYSTEM BOOSTER 646160084 INFLUENZA A VIRUS, INFLUENZA B VIRUS, ANTIMON. TART., ARSENICUM ALB., BRYONIA, 557144406, 557144407 CAMPHORA, CHELIDONIUM MAJUS, CINCHONA, DROSERA, EUCALYPTUS, HEPAR SULPH. CALC., HISTAMINUM HYDROCHLORICUM, IPECAC., KALI BIC., KALI CARB., KALI IOD., LYCOPODIUM, MYRRHA, NATRUM

Drug name HCPCS Code(s) NDC(s) INFLUENZA A VIRUS, INFLUENZA B VIRUS, ANTIMON. TART., ARSENICUM ALB., BRYONIA, 557142202, 557142203, CHELIDONIUM MAJUS, CINCHONA, DROSERA, EUCALYPTUS, HISTAMINUM HYDROCHLORICUM, 557142376, 557142377, HYDRASTIS, KALI BIC., KALI CARB., KALI IOD., MYRRHA, NAT. SULPHURICUM, NUX VOM., 557142414, 557142415, PHOSPHORUS, PULSATI 557144767, 557148015, 557148017 INFLUENZA A VIRUS, INFLUENZA B VIRUS, ARALIA QUINQUEFOLIA, ARSENICUM ALB., BRYONIA, 557142204, 557142205, EUPHRASIA, GAULTHERIA PROCUBENS, GELSEMIUM, HEPAR SULPH. CALC., HISTAMINUM 557142406, 557142407, HYDROCHLORICUM, HYDRASTIS, KALI BIC., MERC. VIV., PHOSPHORUS, PULSATILLA, RHUS 557148007 TOXICODENDRON, SA INFLUENZA A VIRUS, INFLUENZA B VIRUS, HISTAMINUM HYDROCHLORICUM, ACONITUM NAP., 557142208, 557142209, ARALIA QUINQUEFOLIA, ARSENICUM ALB., BAPTISIA, BRYONIA, CINCHONA, EUPATORIUM PERF., 557142442, 557142443, GELSEMIUM, IPECAC., KALI CARB., NUX VOM., PHOSPHORUS, RHUS TOXICODENDRON, 557144821 ECHINACEA INFLUENZA A VIRUS, INFLUENZA B VIRUS, MORBILLINUM, ACONITUM NAP., ANTIMON. TART., 557144554, 557144555 ARNICA, ARSENICUM ALB., BAPTISIA, BELLADONNA, BRYONIA, CANTHARIS, CHAMOMILLA, GAULTHERIA PROCUMBENS, HEPAR SULPH. CALC., IODIUM, LACHESIS, LYCOPODIUM, MERC.VIV., PHOSPHORUS INFLUENZINUM (COMBO), HISTAMINUM HYDROCHLORICUM, ACONITUM NAP., ARALIA 557144410, 557144411, QUINQUEFOLIA, ARSENICUM ALB., BAPTISIA, BRYONIA, CINCHONA, EUPATORIUM PERF., 557144698 GELSEMIUM, IPECAC., KALI CARB., NUX VOM., PHOSPHORUS, RHUS TOXICODENDRON, ECHINACEA INFLUENZINUM, ACONITUM NAP., ARALIA QUINQUEFOLIA, ARSENICUM ALB., BRYONIA, 557141502, 557141702 EUPHRASIA, GAULTHERIA PROCUMBENS, GELSEMIUM, HISTAMINUM HYDROCHLORICUM, HYDRASTIS, KALI BIC., LYCOPODIUM, NUX VOM., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, SALVIA, STICTA, THUJ INFLUENZINUM, ACONITUM NAP., ARSENICUM ALB., BELLADONNA, BRYONIA, CAMPHORA, 557141503, 557141703 CINA, CINCHONA, EUPATORIUM PERF., FERRUM PHOSPHORICUM, GELSEMIUM, HEPAR SULPH. CALC., IGNATIA, NAT. MUR., NUX VOM., PHOSPHORUS, PULSATILLA, SALIX NIGRA, VERATRUM VIRIDE, CHAMOMILLA INFLUENZINUM, ANTHRACINUM, ARNICA, BELLADONNA, ACONITUM NAP., ARSENICUM ALB., 557142368, 557142369, BAPTISIA, BRYONIA, HEPAR SULPH. CALC., IODIUM, LACHESIS, LYCOPODIUM, MERC. VIV., NUX 557142410, 557142558, VOM., PHOS., PULSATILLA, RHUS TOX., APIS MEL., ECHINACEA, HYDRASTIS, THUJA OCC., 557144634, 557144635 AARICUS MUS

Drug name HCPCS Code(s) NDC(s) INFLUENZINUM, ANTIMON. TART., ARSENICUM ALB., BRYONIA, CHELIDONIUM MAJUS, 557141501, 557141518, CINCHONA, DROSERA, EUCALYPTUS, HISTAMINUM HYDROCHLORICUM, HYDRASTIS, KALI BIC., 557141536, 557141701, KALI CARB., KALI IOD., MYRRHA, NAT. SULPHURICUM, NUX VOM., PHOSPHORUS, PULSATILLA, 557141718, 557141736 RUMEX CRISP., SAMB INFLUENZINUM, ARALIA QUINQUEFOLIA, ARSENICUM ALB., BRYONIA, EUPHRASIA, GAULTHERIA 557144420, 557144421 PROCUMBENS, GELSEMIUM, HEPAR SULPH. CALC., HISTAMINUM HYDROCHLORICUM, HYDRASTIS, KALI BIC., MERC. VIV., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, SABADILLA, SALVIA, STICTA INFLUENZINUM, MORBILLINUM, PERTUSSINUM, ACONITUM NAP., ALUMINA, ANTIMON. TART., 557141515, 557141517, ARSENICUM ALB., BAPTISIA, BELLADONNA, BRYONIA, CINCHONA, CROTALUS HORRIDUS, 557141533, 557141715, GELSEMIUM, KALI BIC., LACHESIS, LEDUM, MERC. VIV., MEZEREUM, NUX VOM., PHOSPHORUS, 557141717, 557141733, PULSATILLA, RHUS 557144490, 557144491, 557144636, 557144637, 557144750 INFLUENZINUM, PYROGENIUM, ANTHRACINUM, ARNICA, BELLADONNA, CANTHARIS, ACONITUM 557144631 NAP., ARSENICUM ALB., BAPTISIA, BRYONIA, HEPAR SULPH. CALC., IODIUM, LACHESIS, MERC. VIV., NUX VOM., PHOSPHORUS, PULSATILLA, RHUS TOXICODENDRON, APIS MEL., ECHINACEA, HYDRASTIS INFLUENZINUM, TELLURIUM METALLICUM, APIS MEL, ARSENICUM ALB., BELLADONNA, 557144416, 557144417 BRYONIA, CAPSICUM, CAUSTICUM, CINCHONA, CONIUM, DULCAMARA, FERRUM PHOSPHORICUM, HEPAR SULPH. CALC., KALI SULPH., LYCOPODIUM, MERC. VIV., MEZEREUM, PHOSPHORUS, PLANTAGO, PULSATILLA INFLUENZINUM, TELLURIUM METALLICUM, APIS MEL., ARSENICUM ALB., BELLADONNA, 557141504, 557141704 BRYONIA, CAPSICUM, AUSTICUM, CINCHONA, CONIUM, DULCAMARA, FERRUM PHOSPHORICUM, HEPAR SULPH. CALC., KALI SULPH., YCOPODIUM, MERC. VIV., MEZEREUM, PHOSPHORUS, PLANTAGO, PULSATILLA, SILI INFLUENZINUM, TELLURIUM METALLICUM, APIS MEL., ARSENICUM ALB., BELLADONNA, 557142210, 557142211, BRYONIA, CAPSICUM, CAUSTICUM, CINCHONA, CONIUM, DULCAMARA, FERRUM 557142424, 557142425, PHOSPHORICUM, HEPAR SULPH. CALC., KALI SULPH., LYCOPODIUM, MERC. VIV., MEZEREUM, 557144784 PHOSPHORUS, PLANTAGO, PULSATILLA INOTUZUMAB OZOGAMICIN C9028, J9229 000080100

Drug name HCPCS Code(s) NDC(s) IPILIMUMAB C9284, J9228 000032327, 000032328, 005902327, 005902328, 669142327, 669142328 IRINOTECAN C9474, J9205, 531040151, 578843001, J9206 578843002 IRINOTECAN HCL 000091111, 000097529, 001439583, 001439701, 001439702, 007034432, 007034434, 150540043, 167140725, 167140726, 231550179, 250210214, 250210230, 459630614, 473350937, 473350953, 507420401, 507420402, 599230702, 599230714, 599230715, 599230716, 605056128, 617030349 IRINOTECAN HCL 633230193, 667580048, 671840511, 671840512, 671840513, 680010284, 680830382, 691710398, 724850211, 724850212 IRINOTECAN HYDROCHLOIDE 680830381 IRIS VERSICOLOR, ARSENICUM ALBUM 691520089 IRIS VERSICOLOR, SOLIDAGO VIRGAUREA, ANTIMONIUM CRUDUM, APIS MELLIFICA, ARSENICUM 557142422, 557142423, ALBUM, BAPTISIA TINCTORIA, BLATTA ORIENTALIS, BROMIUM, BRYONIA, CANDIDA ALBICANS, 557144796 CARDUUS BENEDICTUS, CAT HAIR, CHELIDONIUM MAJUS, CINCHONA OFFICINALIS, DOG HAIR, HISTAMINUM IXABEPILONE J9207 000151910, 000151911, 700201910, 700201911 IXAZOMIB 630200078, 630200079, 630200080

Drug name HCPCS Code(s) NDC(s) JUGLANS REGIA, ABROTANUM, AESCULUS HIPPOCASTANUM, ALLIUM SATIVUM, ARSENICUM 557142495, 557142496 ALBUM, ARTEMISIA VULGARIS, BAPTISIA TINCTORIA, CINA, CUPRUM METALLICUM, FILIX MAS, GRANATUM, IPECACUANHA, LACHESIS MUTUS, LYCOPODIUM CLAVATUM, MERCURIUS VIVUS, NAPHTHALINUM, NATRU KALI GLUCONICUM, ADRENALINUM, HEPAR (BOVINUM), ARSENICUM ALBUM, PHOSPHORUS, 575200014 PULSATILLA, SULPHUR, HISTAMINUM HYDROCHLORICUM, SHEEP SORREL, YELLOW DOCK, JUNE GRASS, ORCHARD GRASS, RED TOP GRASS, TIMORTHY GRASS, SOLIDAGO VIRGAUREA, TRIFOLIUM PRATENSE, FALSE KALI PHOSPHORICUM, AMBRA GRISEA, CACAO, LITHIUM CARBONICUM, PHOSPHORICUM 437421049, 437421206, ACIDUM, ARNICA MONTANA, ACONITUM NAPELLUS, CALCAREA CARBONICA, CEREBRUM SUIS, 437421229 GLANDULA SUPRARENALIS SUIS, ARGEMONE MEXICANA, ARSENICUM ALBUM, CICUTA VIROSA, HYOSCYAMUS NIGER, IGNATIA KALI PHOSPHORICUM, AMBRA GRISEA, CACAO, PHOSPHORICUM ACIDUM, ARNICA MONTANA, 437421322 CALCAREA CARBONICA, CEREBRUM SUIS, GLANDULA SUPRARENALIS SUIS, LITHIUM CARBONICUM, ACONITUM NAPELLUS, ARGEMONE MEXICANA, ARSENICUM ALBUM, CICUTA VIROSA, HYOSCYAMUS NIGER, IGNATIA LACHESIS MUTA VENOM, MATRICARIA RECUTITA, MAGNESIUM CARBONATE, ARSENIC TRIOXIDE, 663430033 AND SUS SCROFA PITUITARY GLAND LACHESIS MUTA VENOM, SILICON DIOXIDE, SODIUM CHLORIDE, RANUNCULUS BULBOSUS, 582640118 ACONITUM NAPELLUS, ACTIVATED CHARCOAL, NITROGLYCERIN, OYSTER SHELL CALCIUM CARBONATE, CRUDE, ANEMONE PRATENSIS, PLANTAGO MAJOR, ARSENIC TRIOXIDE, AND MAGNESIUM PHOSPHATE, DIBASIC LAPATINIB 000780671, 001730752 LAPPA MAJOR, PHYTOLACCA DECANDRA, TRIFOLIUM PRATENSE, HYDROCOTYLE ASIATICA, 438570252, 438570497 ARSENICUM ALBUM, GRAPHITES, MEZEREUM LAPPA MAJOR, PHYTOLACCA DECANDRA, TRIFOLIUM PRATENSE, HYDROCOTYLE ASIATICA, 575200090 ARSENICUM ALBUM, GRAPHITES, MEZEREUM LENALIDOMIDE 595720402, 595720405, 595720410, 595720415, 595720420, 595720425

Drug name HCPCS Code(s) NDC(s) LENVATINIB 628560704, 628560708, 628560710, 628560712, 628560714, 628560718, 628560720, 628560724 LEONURUS CARDIACA, AGARICUS MUSCARIUS, ARSENICUM ALBUM, COCCULUS INDICUS, 438570201, 575200532 CONIUM MACULATUM, PETROLEUM, PHOSPHORUS, PULSATILLA, TABACUM, THERIDION LETROZOLE AND RIBOCICLIB 000780909, 000780916, 000780923 LIVER ASSIT 646160097 LOBELIA INFLATA, LUNG (SUIS), SYMPHYTUM OFFICINALE, ARSENICUM ALBUM, BLATTA 449110374 ORIENTALIS, BRYONIA (ALBA), PHOSPHORUS, SILICEA, SULPHUR LOBELIA INFLATA, SYMPHYTUM OFFICINALE, LUNG (SUIS), ARSENICUM ALBUM, BLATTA 449110252 ORIENTALIS, BRYONIA (ALBA), PHOSPHORUS, SILICEA, SULPHUR LOBELIA INFLATA, VERBASCUM THAPSUS, BALSAMUM PERUVIANUM, ANTIMONIUM 449110254 TARTARICUM, ARSENICUM ALBUM, DROSERA (ROTUNDIFOLIA), KALI BICHROMICUM, KALI CARBONICUM, NATRUM SULPHURICUM, PHOSPHOROUS, SPONGIA TOSTA LOMUSTINE S0178 000153030, 000153031, 000153032, 581813030, 581813031, 581813032, 581813040, 581813041, 581813042, 581813043 MANGANUM METALLICUM, GERMANIUM SESQUIOXIDE, FEL TAURI, HEPAR SUIS, GINKGO 438570249 BILOBA, CYSTEINUM, MANGANESE GLUCONATE, ALPHA-KETOGLUTARICUM ACIDUM, ARSENICUM ALBUM, FUMARICUM ACIDUM, PHOSPHORUS, SODIUM OXALATE, SULPHUR MECHLORETHAMINE J9230 MECHLORETHAMINE HCL 424270002, 552920911, 662150016, 696390120 MELPHALAN J8600, J9245, 001730045, 526090001, WW080, WW081 548684339, 595720302, 681520109, 728930001

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Drug name HCPCS Code(s) NDC(s) NATURAL MEDICINE 579555030, 579555053, 579555080, 579555163, 579555168, 579556044, 579556235, 579556321, 579556490 NECITUMUMAB C9475, J9295 000027716 NELARABINE J9261 000074401, 000780683, 633790011 NERATINIB 704370240 NICOTIANA CARBO 489517071, 489517072 NILOTINIB 000780526, 000780592, 000780951 NINTEDANIB 005970143, 005970145 NIRAPARIB 696560103 NIVOLUMAB C9453, J9299 000033734, 000033772, 000033774, 005903772, 005903774, 621950610, 621950611, 621950612 NOT APPLICABLE 437420376, 437720040, 438570255, 449110100, 449110112, 449110113, 449110114, 449110122, 449110125, 493040015, 508130009, 610620006 NUX VOMICA, BRYONIA, IPECACUANHA, SULPHUR, ARSENICUM ALBUM, PULSATILLA, ROBINIA 605122007 PSEUDOACACIA NUX VOMICA, KALI ARSENICUM, BERBERIS VULGARIS, GRAPHITES, ARSENICUM ALBUM, HEPAR 105780038 SULPHURIS CALCAREUM, ARSENICUM SULPHURATUM RUBRUM NUX VOMICA, ARSENICUM ALBUM, CINCHONA OFFICINALIS, CAPSICUM ANNUUM, NITRIC ACID, 616571026 MERCURIUSCORROSIVUS, BELLADONNA, CAJUPUTUM, LYCOPODIUM CLAVATUM, PHOSPHORUS, PHYTOLACCA DECANDRA, RHAMNUS PURSHIANA, FRAGARIA VESCA OBINUTUZUMAB C9021, J9301 502420070

103

Drug name HCPCS Code(s) NDC(s) OFATUMUMAB J9302 000780669, 000780690, 001730808, 001730821, 633790023 OLAPARIB 003100657, 003100668, 003100679 OLARATUMAB C9485, J9285 000027190, 000028926 OMACETAXINE C9297, J9262 OMACETAXINE MEPESUCCINATE 634590177 ONION - ARSENIC TRIOXIDE - FERROSOFERRIC PHOSPHATE - CANIS LUPUS FAMILIARIS MILK - 472420011 SODIUM CHLORIDE - STRYCHNOS NUX-VOMICA SEED - ONION, AMBROSIA ARTEMISIIFOLIA, ARSENIC TRIOXIDE, ACTIVATED CHARCOAL, EUPHRASIA 434060002 STRICTA, STRYCHNOS NUX-VOMICA SEED, PULSATILLA VULGARIS, SOLIDAGO VIRGAUREA FLOWERING TOP, SULFUR OSIMERTINIB 003101349, 003101350 OXALIPLATIN 000240590, 000240591, 000240596, 000240597, 000690067, 000690070, 000690074, 000691010, 005171910, 005171920, 007033985, 007033986, 007813315, 007813317, 007819315, 007819317, 009551725, 009551727, 009551731, 009551733, 125160592, 128540549, 128540551, 167140727

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Drug name HCPCS Code(s) NDC(s) PASSIFLORA INCARNATA, SCUTELLARIA LATERIFLORA, VALERIANA OFFICINALIS, ARSENICUM 449110077 ALBUM, CALCAREA CARBONICA, COFFEA CRUDA PASSIFLORA INCARNATA, SCUTELLARIA LATERIFLORA, VALERIANA OFFICINALIS, ARSENICUM 575200304 ALBUM, CALCAREA CARBONICA, COFFEA CRUDA, IGNATIA AMARA, KALI PHOSPHORICUM LYCOPUS VIRGINICUS, STAPHYSAGRIA PASSIFLORA INCARNATA, VALERIANA OFFICINALIS, ACONITUM NAPELLUS, ANACARDIUM 557142522 ORIENTALE, ARGENTUM NITRICUM, ARSENICUM ALBUM, CYPRIPEDIUM PUBESCENS, GELSEMIUM SEMPERVIRENS, IGNATIA AMARA, KALI CARBONICUM, LYCOPODIUM CLAVATUM, NATRUM MURIATICUM, PHOSPHORUS, SA PAZOPANIB HCL 000780670, 001730804 PEGASPARGASE J9266 009443810, 009443922, 544820301, 726940954 PEMBROLIZUMAB C9027, J9271 000063026, 000063029 PEMETREXED J9305 PEMETREXED DISODIUM 000027623, 000027640 PENTOSTATIN J9268 004090801, 510230801, 553900244 PERTUZUMAB C9292, J9306 502420145 PHELLANDRIUM AQUATICUM, RUMEX CRISPUS, SAMBUCUS NIGRA, SENEGA OFFICINALIS, LUNG, 627130911 ARSENICUM ALBUM, CARBO VEGETABILIS, DROSERA ROTUNDIFOLIA, IPECACUANHA, PHOSPHORUS, PULSATILLA, SILICEA, SULPHUR PHENYLALANINE, TAURINE, NERVE (SUIS), ADENOSINUM TRIPHOSPHORICUM DINATRUM, 437420722 ASCORBIC ACID, CEREBRUM (SUIS), SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, MALVIN, APIS MELLIFICA, ARSENICUM ALBUM, BARYTA CARBONICA, BELLADONNA, CALCAREA CARBONICA, CICUTA VIROSA PHENYLALANINE, TAURINE, NERVE(SUIS), ASCORBICUM ACIDUM, ATP, BRAIN(SUIS), 437420169 SARCOLACTICUM ACIDUM, ADRENOCORTICOTROPHIN, MALVIN, APIS MELLIFICA, ARSENICUM ALBUM PHOSPHORIC ACID, LYCOPODIUM CLAVATUM SPORE, SODIUM SULFATE, CLAVICEPS PURPUREA 582640040 SCLEROTIUM, URANYL NITRATE HEXAHYDRATE, PHASEOLUS VULGARIS WHOLE, AND ARSENIC TRIOXIDE PHOSPHORUS, CLAVICEPS PURPUREA SCLEROTIUM, ARSENIC TRIOXIDE, LACHESIS MUTA 663430018 VENOM, AND SUS SCROFA ADRENAL GLAND

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Drug name HCPCS Code(s) NDC(s) PHOSPHORUS, ARSENIC TRIOXIDE, LACHESIS MUTA VENOM, PHYTOLACCA AMERICANA ROOT, 616570377 BAPTISIA TINCTORIA, ECHINACEA, PHYTOLACCA COMP. SPECIAL ORDER 489518322 PHYTOLACCA DECANDRA, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, AURUM 449110482 METALLICUM, KALI IODATUM, MERCURIUS SOLUBILIS, NITRICUM ACIDUM, THUJA OCCIDENTALIS PHYTOLACCA DECANDRA, ANACARDIUM ORIENTALE, ARSENICUM ALBUM, AURUM 449110245 METALLICUM, MERCURIUS SOLUBILIS, NITRICUM ACIDUM, THUJA OCCIDENTALIS PHYTOLACCA DECANDRA, TRIFOLIUM PRATENSE, XANTHOXYLUM FRAXINEUM, ARSENICUM 438570002 ALBUM, BELLADONNA, CHELIDONIUM MAJUS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, ASPARTAME, BENZALKONIUM CHLORIDE, FORMALINUM, METHYLENE CHLORIDE, METHYLPARABEN, PROPYLPARABEN, SODIU PICRICUM ACIDUM, ARSENICUM ALBUM, AURUM METALLICUM, IGNATIA AMARA, NATRUM 438570538 MURIATICUM, NITRICUM ACIDUM, PULSATILLA (PRATENSIS), SEPIA PICRICUM ACIDUM, ARSENICUM ALBUM, AURUM METALLICUM, IGNATIA AMARA, NATRUM 438570216 MURIATICUM, NITRICUM ACIDUM, PULSATILLA (VULGARIS), SEPIA PICRICUM ACIDUM, ARSENICUM ALBUM, AURUM METALLICUM, IGNATIA AMARA, NATRUM 575200080 MURIATICUM, NITRICUM ACIDUM, PULSATILLA, SEPIA PLANTAGO MAJOR, ARSENICUM ALBUM, LUNG (BOVINE), SYMPHYTUM OFFICINALE, SILICEA, 438570190 PHELLANDRIUM AQUATICUM, PHOSPHORUS, SULPHUR PLANTAGO MAJOR, SYMPHYTUM OFFICINALE, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, 449110286 ARSENICUM ALBUM, CADMIUM SULPHURATUM, IRIDIUM METALLICUM, LYCOPODIUM CLAVATUM, NITRICUM ACIDUM, NUX VOMICA, PHOSPHORICUM ACIDUM PLANTAGO MAJOR, TARAXACUM OFFICINALE, TRIFOLIUM PRATENSE, SYMPHYTUM OFFICINALE, 449110442 ARSENICUM ALBUM, CADMIUM SULPHURATUM, IRIDIUM METALLICUM, LYCOPODIUM CLAVATUM, NITRICUM ACIDUM, NUX VOMICA, PHOSPHORICUM ACIDUM PODOPHYLLUM PELTATUM, ARSENICUM ALBUM 691520069 POLIFEPROSAN 20 WITH CARMUSTINE IMPLANT 628560177 POMALIDOMIDE 595720501, 595720502, 595720503, 595720504 PONATINIB HCL 630200533, 630200534, 630200535, 761890533, 761890534, 761890535

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Drug name HCPCS Code(s) NDC(s) POTASSIUM GLUCONATE, GLANDULA SUPRARENALIS BOVINE, HEPAR BOVINE, ARSENICUM 438570038 ALBUM, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, CORTISONE ACETICUM, HISTAMINUM HYDROCHLORICUM, HYALURONIDASE, INTERFERON (SUIS), SEROTONIN HCL, ALLIUM CEPA, AMYGDALA POTASSIUM GLUCONATE, GLANDULA SUPRARENALIS BOVINE, HEPAR BOVINE, ARSENICUM 438570526 ALBUM, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PEANUT, BLACK WALNUT, ENGLISH WALNUT, ALMOND, CASHEW, COCONUT, PECAN, BRAZIL NUT, TOMATO, POTATO (SOLANUM TUBEROSUM), BLACK PEPP POTASSIUM GLUCONATE, GLANDULA SUPRARENALIS BOVINE, HEPAR BOVINE, ARSENICUM 438570241 ALBUM, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORUS, PEANUT, BLACK WALNUT, JUGLANS REGIA, ALMOND, CASHEW, COCONUT, PECAN, BRAZIL NUT, LYCOPERSICUM ESCULENTUM, POTATO, BLACK PEPPER PRALATREXATE J9307 430660301, 488180001, 728930003, 728930005 PROCARBAZINE S0182 PROCARBAZINE HCL 544820053, 544820054 PULSATILLA, ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, EUPHRASIA OFFICINALIS, 605129077 SABADILLA, STICTA PULMONARIA, ARALIA RACEMOSA, CUPRUM METALLICUM PULSATILLA, ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, EUPHRASIA OFFINALIS, 719719066 SABADILLA, ARALIA RACEMOSA, CUPRUM METALLICUM PULSATILLA, ALLIUM CEPA, ARSENICUM ALBUM, NUX VOMICA, EUPHRASIA OFFINALIS, 663530907, 719719077 SABADILLA, STICTA PULMONARIA, ARAILA RACEMOSA, CUPRUM METALLICUM PULSATILLA, SEPIA, EUPHRASIA, ALUMINA, ARSENICUM ALBUM, NUX MOSCH, ZINCUM M 687700101, 687700103 PURIXAN 624840020 PYROGENIUM, ACONITUM NAP., ARG. NIT., ARSENICUM ALB., BAPTISIA, BRYONIA, CARBO VEG., 557142260, 557142261, CHAMOMILLA, CINCHONA, COLLINSONIA, COLOCYNTHIS, ELATERIUM, GELSEMIUM, IPECAC., IRIS 557142420, 557148014 VERSICOLOR, LYCOPODIUM, PODOPH. PELT., RAPHANUS, TABACUM, VACCINIUM, ZINGIBER, AESCULU PYROGENIUM, ANTIMON. CRUD., ARSENICUM ALB., BAPTISIA, BRYONIA, CARBO VEG., 557144438, 557144439 CHELIDONIUM MAJUS, CINCHONA, COLCHICUM, DAPHNE INDICA, IPECAC., IRIS VERSICOLOR, KALI CARB., KREOSOTUM, LACHESIS, LYCOPODIUM, MAG. CARB., MERC. VIV, NUX VOM., PHOSPHORUS, PULSATILLA

110

Drug name HCPCS Code(s) NDC(s) PYROGENIUM, APIS MEL., ARANEA DIADEMA, ARNICA, ARSENICUM ALB, AZADIRACHTA INDICA, 557144474, 557144475 BRYONIA, CALADIUM SEGUINUM , CALENDULA, FORMICA, GRINDELIA, HYPERICUM , LACHESIS 15X, LATRODECTUS MACTANS, LEDUM, MEZEREUM , NUX VOM., PULEX IRRITANS, RHUS TOXICODENDRON, TA PYROGENIUM, APIS MEL., ARANEA DIADEMA, ARNICA, ARSENICUM ALB., AZADIRACHTA INDICA, 557142274, 557142275, BRYONIA, CALADIUM SEGUINUM, CALENDULA, FORMICA, GRINDELIA, HYPERICUM, LACHESIS, 557142396, 557148003 LATRODECTUS MACTANS, LEDUM, MEZEREUM, NUX VOM., PULEX IRRITANS, RHUS TOXICODENDRON, TARENTUL PYROGENIUM, ARSENICUM ALB., BAPTISIA, BRYONIA, CINCHONA, COLLINSONIA, IODIUM, IRIS 557144548, 557144549 VERSICOLOR, LACHESIS, LYCOPODIUM, NAT. CARB., NAT.MUR., NUX VOM., PHOSPHORUS, PODOPH. PELT., PULSATILLA, RHUS TOXICODENDRON, DIOSCOREA, ECHINACEA, URTICA UR. RADIUM RA 223 DICHLORIDE 504190208 RAMUCIRUMAB C9025, J9308 000027669, 000027678 RED ONION, HONEYBEE, ARSENIC TRIOXIDE, EYEBRIGHT, POISON NUT 105780101 REGORAFENIB 504190171 RIBOCICLIB 000780860, 000780867, 000780874 RITUXIMAB J9310, J9312 502420051, 502420053 RITUXIMAB AND HYALURONIDASE 502420108, 502420109 RITUXIMAB-ABBS 634590103, 634590104 RITUXIMAB-PVVR 000690238, 000690249 ROMIDEPSIN J9315 000690983, 007033125, 460260983, 595720983, 595720984 RUCAPARIB 696600201, 696600202, 696600203 RUTA GRAVEOLENS, VALERIANA OFFICINALIS, ADRENALINUM, ARSENICUM IODATUM, AURUM 557144770 METALLICUM, BARYTA CARBONICA, BRYONIA, CACTUS GRANDIFLORUS, CHELIDONIUM MAJUS, CINCHONA OFFICINALIS, CROTALUS HORRIDUS, DIGITALIS PURPUREA, GLONOINUM, KALI CARBONICUM, KALI IODA RUXOLITINIB 508810005, 508810010, 508810015, 508810020, 508810025

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Drug name HCPCS Code(s) NDC(s) RYDAPT 000780698 SANICULA, ABROTANUM, ARGENTUM NITRICUM, ARSENICUM ALBUM, BARYTA CARBONICA, 241650001 BORAX, BRYONIA, CACTUS GRANDIFLORUS, CALCAREA FLUORICA, CALCAREA PHOSPHORICA, CALCAREA SULPHURICA, CHELIDONIUM MAJUS, CHOLESTERINUM, COFFEA CRUDA, CONIUM MACULATUM, DULCAMARA, FERR SARSAPARILLA, ARSENICUM ALBUM 691520118 SARSAPARILLA, SOLIDAGO VIRGAUREA, UVA URSI, APIS MELLIFICA, ARSENICUM ALBUM, 438570170 CANTHARIS, HEPAR SULPHURIS CALCAREUM SARSAPARILLA, SOLIDAGO VIRGAUREA, UVA URSI, APIS MELLIFICA, ARSENICUM ALBUM, 575200076 CANTHARIS, HEPAR SULPHURIS CALCAREUM SARSAPARILLA, UVA-URSI, ARSENICUM ALBUM, CANTHARIS, PAREIRA BRAVA, PULSATILLA, 575200417 SEPIA, TEREBINTHINA, POPULUS TREMULOIDES SARSAPARILLA, UVAURSI, ARSENICUM ALBUM, CANTHARIS, PAREIRA BRAVA, PULSATILLA, SEPIA, 449110086 TEREBINTHINA, POPULUS TREMULOIDES SILICON DIOXIDE, SULFUR, POTASSIUM DICHROMATE, ACTIVATED CHARCOAL, CALCIUM 549733403 SULFIDE, POTASSIUM BROMIDE, ARSENIC TRIOXIDE AND POTASSIUM CHLORIDE SILTUXIMAB C9455, J2860 578940420, 578940421, 730900420, 730900421 SILVER NITRATE, ARSENIC TRIOXIDE, ACTIVATED CHARCOAL, SILYBUM MARIANUM SEED, 272810011, 551380011 HERRING SPERM DNA, PORK LIVER, MERCURIC CHLORIDE, LEAD SILVER NITRATE, STRYCHNOS NUX-VOMICA SEED, LYCOPODIUM CLAVATUM SPORE, 582640005 SEMECARPUS ANACARDIUM JUICE, SCROPHULARIA NODOSA, ATROPA BELLADONNA, ARSENIC TRIOXIDE, ACTIVATED CHARCOAL, MATRICARIA CHAMOMILLA, AND CHELIDONIUM MAJUS SIPULEUCEL-T C9273, Q2043 302378900 SOLIDAGO VIRGAUREA FLOWERING TOP AND AMMI VISNAGA FRUIT AND BERBERIS VULGARIS 501144398 ROOT BARK AND ANHYDROUS CITRIC ACID AND CHONDRODENDRON TOMENTOSUM ROOT AND LYTTA VESICATORIA AND CALCIUM SULFIDE AND NITRI SOMATROPIN, LONG-(ARG3)INSULIN-LIKE GROWTH FACTOR-I, ARSENIC TRIOXIDE, SAW 582640145 PALMETTO, PLATINUM, OYSTER SHELL CALCIUM CARBONATE, CRUDE, BOS TAURUS ADRENAL CORTEX, BOS TAURUS PITUITARY GLAND, POSTERIOR, THYROID, UNSPECIFIED, AND BOS TAURUS HYPOTHALAMUS SONIDEGIB 000780645, 473350303

112

Drug name HCPCS Code(s) NDC(s) SPLEEN (SUIS), ARSENICUM ALBUM, CARBO VEGETABILIS, CEANOTHUS AMERICANUS, CHININUM 449110261, 717420012 SULPHURICUM, IGNATIA AMARA, IODIUM, NATRUM MURIATICUM, NITRICUM ACIDUM, PHOSPHORICUM ACIDUM, PHOSPHORUS SQUALENE, CHOLESTERINUM, ESTRADIOL, PROGESTERONE, ASPARTAME, BENZALKONIUM 438570384 CHLORIDE, FORMALINUM, METHYLENE CHLORIDE, METHYL PARABEN, PROPYL PARABEN, SODIUM BENZOATE, SODIUM CITRATE, TITANIUM DIOXIDE, ZINCUM OXYDATUM, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, N STREPTOZOCIN J9320 007034636 STRYCHNOS NUX-VOMICA SEED, ARSENIC TRIOXIDE, ACTIVATED CHARCOAL, SILVER NITRATE, 582640218 MARSDENIA CUNDURANGO WHOLE, TRIPE, AND SUS SCROFA DUODENUM SULPHUR, ARSENICUM ALBUM, ALUMEN, MAGNESIA SULPHURICUM, NATRUM SULPHURICUM 605126010 SULPHUR, STRYCHNOS NUX-VOMICA SEED, EUPHRASIA STRICTA, ALUMINUM OXIDE, ARSENIC 687700102, 687700104 TRIOXIDE, NUTMEG, ZINC SUNITINIB MALATE 000690550, 000690770, 000690830, 000690980 TALIMOGENE LAHERPAREPVEC C9472, J9325 555130078, 555130079 TARAXACUM OFF, GALIUM APARINE, THUJA, ALOE, PHYTOLACCA, EUPHORBIUM OFFICINARUM, 664920260 ZINCUM METALLICUM, ARSENICUM ALBUM, VISCUM ALBUM, CONIUM MACULATUM, HISTAMINUM HYDROCHLORICUM, FORMICUM ACIDUM TARAXACUM OFFICINALE, BERBERIS VULGARIS, RHAMNUS PURSHIANA, RHEUM, CINA, 575200349 ARSENICUM ALBUM, ALOE SOCOTRINA, COLOSTRUM, GALLBLADDER, HEPAR BOVINUM TEA TREE ESSENTIAL OIL, ARSENICUM ALBUM, LYCOPODIUM CLAVATUM, PULSATILLA 438570520 (PRATENSIS).

113

Drug name HCPCS Code(s) NDC(s) TEMOZOLOMIDE 000540320, 000540321, 000540322, 000540323, 000540324, 000540325, 000851366, 000851381, 000851417, 000851425, 000851430, 000851519, 000853004, 000937599, 000937600, 000937601, 000937602, 000937638, 000937639, 003785260, 003785261, 003785262, 003785263, 003785264 TEMOZOLOMIDE 003785265, 005271777, 005271778, 005271779, 005271780, 005271781, 005271782, 007812691, 007812692, 007812693, 007812694, 007812695, 007812696, 153380866, 153380867, 153380868, 163640048, 163640049, 163640050, 163640051, 163640129, 163640130, 167290048, 167290049

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115

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Drug name HCPCS Code(s) NDC(s) TEMSIROLIMUS INJECTION 680830202 TENIPOSIDE Q2017 000153075, 445670507, 611260507 THALIDOMIDE 595720205, 595720210, 595720215, 595720220 THIOGUANINE 001730880, 763880880 THIOTEPA J9340 001439309, 001439565, 250210246, 426050015, 435980650, 539640001, 539640002, 553900030, 578843121, 680830361, 701211630, 701211631 THYREOIDEA BELLADONNA 489519010, 489519011 THYREOIDEA MELISSA 489519014, 489519015 TOPOTECAN J8705, J9350, 000780672, 000780673, J9351, WW140 004090302, 007034714, 163640243, 167290243, 250210236, 507420404, 667580051, 674570662 TOPOTECAN HCL 000074201, 000074205, 000074207, 000690075, 000780674, 167290151, 250210206, 250210824, 459630615, 553900370, 627560023, 633230762, 664350410, 674570474, 690970262, 712880127 TOSITUMOMAB A9545, G3001 000073260, 000073261, 000073262 TRABECTEDIN C9480, J9352 430660610, 596760610 TRAMETINIB 000780666, 000780668, 001730848, 001730849

117

Drug name HCPCS Code(s) NDC(s) TRASTUZUMAB G9835, J9355 502420132, 502420134, 502420333, 674570847, 674570991 TRASTUZUMAB AND HYALURONIDASE-OYSK 502420077 TRASTUZUMAB-ANNS 555130132, 555130141 TRIFOLIUM PRATENSE, PETROLEUM, PHYTOLACCA DECANDRA, ARSENICUM ALBUM, 449110289 CHELIDONIUM MAJUS, LYCOPODIUM CLAVATUM, NUX VOMICA, PHOSPHORICUM ACIDUM, PHOSPHORUS, NITRICUM ACIDUM TRIFOLIUM PRATENSE, XANTHOXYLUM FRAXINEUM, PHYTOLACCA DECANDRA, ARSENICUM 438570487 ALBUM, BELLADONNA, CHELIDONIUM MAJUS, LYCOPODIUM CLAVATUM, PHOSPHORICUM ACIDUM, ASPARTAME, BENZALKONIUM CHLORIDE, FORMALINUM, METHYLENE CHLORIDE, METHYLPARABEN, PROPYLPARABEN, SODIU TRITICUM AESTIVUM, BERBERIS VULGARIS, CHELIDONIUM MAJUS, TARAXACUM OFFICINALE, 437720029 ARSENICUM ALBUM, GLUTATHIONE, HEPAR SUIS, LYMPH (SUIS), PHOSPHORICUM ACIDUM, SPLEEN (SUIS), CHELONE GLABRA, GERMANIUM SESQUIOXIDE, HEPATITIS A NOSODE, HEPATITIS C NOSODE, HEPAT URICUM ACIDUM, ACONITUM NAP., APIS MEL., ARNICA, ARSENICUM ALB, BELLADONNA, 557142216, 557142217, BENZOICUM ACIDUM, BRYONIA, CALC. CARB., CHAMOMILLA, CINCHONA, COLCHICUM, 557142550, 557142551, EUPATORIUM PERF., GAULTHERIAPROCUMBENS, GUAIACUM, IODIUM, KALI BIC, KALMIA, 557144756, 557144757 LEDUM, PULSATILLA, RHUS TOXICODEN URTICA URENS, FERRUM METALLICUM, ARANEA DIADEMA, ARSENICUM ALBUM, INDIUM 449110320 METALLICUM, LACHESIS MUTUS, NATRUM MURIATICUM, PHOSPHORUS VALRUBICIN J9357 436240001, 679790001 VALRUBICIN INTRAVESICAL SOLUTION 242010101 VANDETANIB 003107810, 003107820, 003107830, 003107840, 584687820, 584687840 VEMURAFENIB 502420090, 719730090 VENETOCLAX 000740561, 000740566, 000740576, 000740579 VINBLASTINE J9360 553900091 VINBLASTINE SULFATE 633230278

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Drug name HCPCS Code(s) NDC(s) VINCRISTINE J9370, J9371, J9375, J9380 VINCRISTINE SULFATE 007034402, 007034412, 205360322, 617030309, 728930008 VINORELBINE J9390 000690099, 000690103, 000690205, 007034182, 007034183, 250210204, 459630607, 507420420, 507420427, 553900069, 553900070, 578843003, 617030341, 643700210, 643700250, 674570431, 674570479, 674570481, 674570482 VINORELBINE TARTRATE 000080045, 643700532, 667580045 VISMODEGIB 502420140 VORINOSTAT 000060568 WHITE OXIDE OF ARSENIC, BARBERRY, CLUB MOSS, ARBOR VITAE 105780005 WHITE OXIDE OF ARSENIC, POT MARIGOLD, SPANISH FLY, STINGING NETTLE 105780003 WHITE OXIDE OF ARSENIC, POTASSIUM HYDRATE, CARBONATE OF POTASSIUM, CLUB MOSS, 105780119 POISON OAK WORMWOOD, ARSENIC TRIOXIDE, GARLIC, AMOEBA PROTEUS, AMMONIUM PHOSPHATE, 582640107 DIBASIC, ACTIVATED CHARCOAL, CINCHONA OFFICINALIS BARK, AND VERATRUM ALBUM ROOT ZINGIBER OFFICINALE, CYCLAMEN EUROPAEUM, IPECACUANHA, IRIS VERSICOLOR, LAC 437421094 DEFLORATUM, LACTICUM ACIDUM, TABACUM, PETROLEUM, EUPHORBIA COROLLATA, ARSENICUM ALBUM, BRYONIA (ALBA), CADMIUM SULPHURATUM, COCCULUS INDICUS, COLCHICUM AUTUMNALE, CONIUM MACULATUM ZINGIBER OFFICINALE, IPECACUANHA, IRIS VERSICOLOR, LAC DEFLORATUM, LACTICUM ACIDUM, 437421314 CYCLAMEN EUROPAEUM, PETROLEUM, TABACUM, ARSENICUM ALBUM, BRYONIA (ALBA), CADMIUM SULPHURATUM, COCCULUS INDICUS, COLCHICUM AUTUMNALE, CONIUM MACULATUM, FERRUM METALLICUM, N

119

Drug name HCPCS Code(s) NDC(s) ZINGIBER OFFICINALE, IRIS VERSICOLOR, LAC DEFLORATUM, LACTICUM ACIDUM, CYCLAMEN 437421608 EUROPAEUM, PETROLEUM, TABACUM, ARSENICUM ALBUM, BRYONIA (ALBA), CADMIUM SULPHURATUM, COCCULUS INDICUS, COLCHICUM AUTUMNALE, CONIUM MACULATUM, FERRUM METALLICUM, NUX VOMICA, PU ZINGIBER, COCCULUS, CHAMOMILLA , ARSENICUM ALB , IPECAC , SUCROSE 686470163 ZIV-AFLIBERCEPT J9400 000245840, 000245841

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