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Include, But Are Not Limited to, the Drugs in the Table Below

The list of National Codes (NDC) on the MME Conversion Table NDC MME TABLE may not be representative of NDCs for all . If an NDC for an opioid is not found on the MME Conversion Table, please send an email to [email protected]. Include ‘Drug Not Found’ in the subject line of the email.

Generic Name Brand Name Alfenta® Apadaz® Stadol®, Butorphic®, Dolorex®, Torbugesic®, Torbugesic SA®, Torbutrol®, TorphaJect™, Vetorphic™ //ASA Soma® Compound with Codeine Codeine-CII Codeine Codeine-CIII Acetaminophen (APAP) w/Codeine #3, APAP w/Codeine #4, w/Codeine #3®, Tylenol w/Codeine #4®, Fioricet w/ Codeine, Fiorinal w/ Codeine, Ascomp® w/ Codeine, TheracodeineTM, TuxarinTM Codeine-CV Dihistine DH®, Guaituss AC®, Nucofed®, VC®, Robitussin AC®, Tylenol w/Codeine ®, Cheratussin® AC or Lomotil®, Motofen® Actiq®, Duragesic®, Fentanyl®, Fentora®, Onsolis, Sublimaze, Subsys®, Abstral®, Ionsys®, Lazanda® A-Tuss®, Alor®, Anexsia®, Azdone®, B-Tuss®, Bancap HP®, Ceta Plus®, Cleartuss-DH®, Codal DH®, Codamine®, CoGesic®, Comptussin HC®, Damason P®, Diagesic®, Dolacet®, Duocet®, Endagen HD®, Extendryl HC®, Histinex®, Hycodan®, Hycomine®, Hydrogesic®, Hydromet®, Hydromide®, Hydron®, HyPhen®, Lolorex Forte®, Lorcet®, Subject to Lortab®, Margesic®, Medcodin®, Nalex®, Norco®, Panacet®, Panasal®, Opioid Excise Pneumotussin®, Polygesic®, Pro-Cof®, Protuss®, PV Tussin®, Tax Quintex®, S-T Forte 2 S/F®, Stagesic®, T-Gesic®, Tussionex®, Vanacet®, Vanacon®, Vapocet®, Vicodin®, Vicoprofen®, Xodol®, Zydone®, ZohydroTM, HysinglaTM ER, Flowtuss®, Hycet®, Ibudone®, Obredon®, Reprexain®, TheracodophenTM, Tussicaps®, Zamicet®, Zutripro® Dilaudid®, Exalgo® Hydrocodone (Zohydro) ZohydroTM ER, HysinglaTM ER Levo-Dromoran® Meperidine Demerol® of Opium® (C-II), ® (C-III) Endocet®, Endocodone®, Endodan®, OxyContin®, Oxydose®, OxyIR®, Percocet®, Percodan®, Percolone®, Roxicodone®, Roxilox®, Roxiprin®, Tylox®, Xartemis®XR, Nalocet®, Oxaydo®, PrimlevTM, RoxicetTM, RoxibondTM, XtampaTM ER Opana, Opana ER, Numorphan®, Numorphone® Talwin®, Talwin NX Ultiva® Sufenta®, DsuviaTM Nucynta® Ultram®, Ultracet®, Ryzolt®, Con Zip®, SynaprinTM, TheratramadolTM Exempt from Belbuca®, Bunavail®, Butrans®, Probuphine®, SublocadeTM, Opioid Excise Zubsolve®, Buprenex®, Suboxone®, Subutex®, Animalgesics®, Simbadol™ Tax Dolophine®, MethadoseTM, Diskets®

Do Not Include in Astramorhp®, Avinza®, Depo-Dura®, Duramorph®, Kadian®, MS Contin®, MSIR®, Opana®, Oramorph®, RMS®, Roxanol®, Infumorph

Report 200, Infumorph 500, Arymo®, Embeda®, MitigoTM, MorphabondTM ER, Morphinum

Version Date: January 4, 2021