Table of Exempted Prescription Products

Table of Exempted Prescription Products

Table of Exempted Prescription Products June 26, 2021 Drug Enforcement Administration Diversion Control Division Drug and Chemical Evaluation Section Exempt Prescription Products 6/26/2021 Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml) Acella Pharmaceuticals, LLC Chlordiazepoxide HCl and Clidinium Bromide Capsules 42192-0336 CA Chlordiazepoxide HCl 5.00 Actavis Pharma, Inc. Butalbital, Acetaminophen and Caffeine Capsules USP 50/300/40 0591-2640 CA Butalbital 50.00 Actavis Pharma, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 0591-3369 TB Butalbital 50.00 Actavis Pharma, Inc. Fioricet (Butalbital, Acetaminophen and Caffeine USP 50/300/40) 52544-080 CA Butalbital 50.00 Alpha Scriptics Inc Butacet Capsules 53121-0133 CA Butalbital 50.00 Alphagen Laboratories, Inc. Butalbital and Acetaminophen Capsules 50mg/ 650mg 00603-2542 CA Butalbital 50.00 Alphagen Laboratories, Inc. Donnaphen Tablets 59743-0027 TB Phenobarbital 16.20 Alphagen Laboratories, Inc. Geone Capsules 59743-0004 CA Butalbital 50.00 Altana, Inc. Axocet (Butalbital and Acetaminophen) 0281-0389 TB Butalbital 50.00 Althon Pharmaceuticals, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 66813-074 TB Butalbital 50.00 Alvogen, Inc. Butalbital and AcetaminophenTablets USP 50/325 47781-0535 TB Butalbital 50.00 Alvogen, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 47781-0536 TB Butalbital 50.00 Alvogen, Inc. Butalbital and Acetaminophen Tablets 50/325 47781-0628 TB Butalbital 50.00 Alvogen, Inc. Butalbital, Acetaminophen and Caffeine Tablets (50/325/40) 47781-0625 TB Butalbital 50.00 Alvogen, Inc. Butalbital and Acetaminophen Tablets (50/300) 47781-0644 TB Butalbital 50.00 American Pharmaceuticals, Inc. AMERICET Tablets 58605-0501 TB Butalbital 50.00 American Urologicals Inc Butace 00539-0906 CA Butalbital 50.00 Amerisource Health Services Corporation Butalbital, Acetaminophen and Caffeine Tablets 50/325/40mg 68084-0396 TB Butalbital 50.00 Amide Pharmaceuticals Bellamine-S Tablets 52152-0115 TB Phenobarbital 40.00 Amide Pharmaceuticals Bellaspas Tablets 00603-2424 TB Phenobarbital 40.00 Amide Pharmaceuticals BEL-PHEN-ERGOTS Tablets 00182-1990 TB Phenobarbital 40.00 Amide Pharmaceuticals Chlordiazepoxide HCl and Clidinium Bromide Capsules 52152-0018 CA Chlordiazepoxide HCl 5.00 Amide Pharmaceuticals DuraGal-S Tablets 51285-0907 TB Phenobarbital 40.00 Amide Pharmaceuticals Phenerbel-S Tablets 00536-4234 TB Phenobarbital 40.00 Amide Pharmaceuticals Theophedrital Tablets 52152-0035 TB Phenobarbital 8.00 Anabolic Laboratories, Inc Spastrin Tablets 51991-045 TB Phenobarbital 40.00 Aphena Pharma Solutions Butalbital, Acetaminophen and Caffeine Tablets (50/325/40mg 71610-0042 TB Butalbital 50.00 Apotheca Theophen 12634-0101 TB Phenobarbital 8.00 Apothecon Florida Phenobarbital with Belladonna Alkaloids Tablets 72768-7010 TB Phenobarbital 16.20 Apothecon Florida Phenobarbital with Belladonna Alkaloids Oral Solution (Grape) 72768-9011 LQ Phenobarbital 16.20 Apothecon Florida Phenobarbital with Belladonna Alkaloids Oral Solution (Mint) 72768-9012 LQ Phenobarbital 16.20 Arco Pharmaceuticals Arco-Lase Plus 00275-0045 TB Phenobarbital 8.00 Arlo Interamerican Espasmotex 11475-0835 TB Phenobarbital 20.00 Ascend Laboratories, LLC Chlordiazepoxide HCl and Clidinium Bromide Capsules 67877-731 CA Chlordiazepoxide HCl 5.00 Ascher and Co Anaspaz PB 00225-0300 TB Phenobarbital 15.00 Ascot Pharmaceuticals Antispasmodic Tablets 47679-0158 TB Phenobarbital 16.20 Ascot Pharmaceuticals Chlordiazepoxide Hydrochloride + Clidinium Bromide 47679-0268 CA Chlordiazepoxide HCl 5.00 Atland Pharmaceuticals Butalbital and Acetaminophen Tablets (25 mg/325 mg) 71993-301 TB Butalbital 25.00 Atlantic Biologicals Corp. Donnatal Elixir-Grape 17856-0423 EL Phenobarbital 3.24 Page 1 Exempt Prescription Products 6/26/2021 Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml) Atlantic Biologicals Corp. Phenohytro Elixir, Grape Flavor 17856-0125 EL Phenobarbital 32.40 Atley Pharmaceuticals Butalbital, Acetaminophen and Caffeine Tablets 59702-661 TB Butalbital 50.00 Aurobindo Pharma Inc. Butalbital, Acetaminophen and Caffeine Capsules USP 50/325/40 13107-075 CA Butalbital 50.00 AvKare, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 50268-139 TB Butalbital 50.00 AvKare, Inc. Butalbital, Acetaminophen and Caffeine Capsules USP 50/300/40 42291-181 CA Butalbital 50.00 AvKare, Inc. Phenobarbital with Belladonna Alkaloids Elixir 42291-205 EL Phenobarbital 16.20 AvKare, Inc (Manuf. by Belcher Pharmaceuticals, LLC) Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg 42291-214 CA Chlordiazepoxide HCl 5.00 AvKare, Inc (Manuf. by IriSys Inc.) Donnatal Elixir 42291-244 EL Phenobarbital 3.24 AvKare, Inc (Manuf. by IriSys Inc.) Donnatal Tablets 42291-245 TB Phenobarbital 16.20 Ayerst Laboratories PMB-200 00046-0880 TB Meprobamate 200.00 Ayerst Laboratories PMB-400 00046-0881 TB Meprobamate 400.00 Barre Drug Co Barophen 00472-0981 EL Phenobarbital 3.24 Barre Drug Co Isolate Compound 00472-0929 EL Phenobarbital 0.40 Baucum Laboratories Inc Butalbital, Acetaminophen and Caffeine Tablets 54696-0513 TB Butalbital 50.00 Beecham Laboratories Hybephen 00029-2360 TB Phenobarbital 15.00 Belcher Pharmaceuticals (Manufactured for Virtus Pharma) Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg 69543-453 CA Chlordiazepoxide HCl 5.00 Belcher Pharmaceuticals (Manufactured for Virtus Pharma) Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg 76439-302 CA Chlordiazepoxide HCl 5.00 Belcher Pharmaceuticals (Manufactured for Xiromed, LLC) Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg 70700-185 CA Chlordiazepoxide HCl 5.00 Belcher Pharmaceuticals (Manufactured for Misemer Pharm) Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg 0276-0500 CA Chlordiazepoxide HCl 5.00 Bi-Coastal Pharma International (Manuf. By Winder Labs LLC) Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg 42582-301 CA Chlordiazepoxide HCl 5.00 Bioline Labs Inc Anti-Spas Elixir 00719-4090 EL Phenobarbital 3.24 Bioline Labs Inc Anti-Spas Tablets 00719-1091 TB Phenobarbital 16.20 Bioline Labs Inc Bel-Phen-Ergot-S Tablets 00719-1686 TB Phenobarbital 40.00 Bioline Labs Inc Chlordinium 00719-1208 CA Chlordiazepoxide HCl 5.00 Bio-Pharm Inc. E-Caff-PB Suppository 59879-0501 SU Pentobarbital 60.00 Bio-Pharm Inc. Ergocaff-PB Suppository 59741-0315 SU Pentobarbital 60.00 Bio-Pharm Inc. Ergocaff-PB Suppository 00182-7007 SU Pentobarbital 60.00 Bio-Pharm Inc. Migercet-PB Suppository 00144-0633 SU Pentobarbital 60.00 BioRamo, LLC. Phenobarbital, Hyoscyamine,Atropine, & Scopolamine Oral Solution 54932-211 LQ Phenobarbital 16.20 BioRamo, LLC. Phenobarbital, Hyoscyamine,Atropine, & Scopolamine Oral Solution 54932-212 LQ Phenobarbital 16.20 Blaine Co Spaslin 00165-0029 TB Phenobarbital 16.20 Blansett Pharm Co Anolor 300 Capsules 51674-0009 CA Butalbital 50.00 Bock Pharmacal Co Broncholate 00563-0277 CA Phenobarbital 8.00 Bowman Pharmaceutical Private Formula No 3095 00252-3095 TB Phenobarbital Sodium 15.00 Brandywine Pharmaceuticals LLC. Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 71321-700 CA Chlordiazepoxide HCl 5.00 Breon Labs Isuprel Compound 00057-0874 EL Phenobarbital 0.40 Caldwell & Bloor Co Hyosital White 00361-2131 TB Phenobarbital 16.20 Cameron Pharmaceuticals, LLC. Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 42494-409 CA Chlordiazepoxide HCl 5.00 Cardinal Health Butalbital, Acetaminophen and Caffeine Tablets 50mg/325mg/40mg 55154-3356 TB Butalbital 50.00 Page 2 Exempt Prescription Products 6/26/2021 Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml) Cardinal Health Butalbital, Acetaminophen and Caffeine Tablets 50mg/325mg/40mg 55154-7988 TB Butalbital 50.00 Cardinal Health Butalbital, Acetaminophen and Caffeine Tablets 50mg/325mg/40mg 55154-7147 TB Butalbital 50.00 Cardinal Health Butalbital, Acetaminophen and Caffeine Tablets 50mg/325mg/40mg 55154-3356 TB Butalbital 50.00 Cardinal Health Butalbital, Acetaminophen and Caffeine Tablets 50mg/325mg/40mg 0904-6538 TB Butalbital 50.00 Carnrick Labs Inc Phrenilin 00086-0050 TB Butalbital 50.00 Carpenter Pharmacal Co ALAGESIC Tablets 55726-0300 TB Butalbital 50.00 Chelsea Laboratories Chlordiazepoxide with Clidinium Bromide 46193-0948 CA Chlordiazepoxide HCl 5.00 Cody Laboratories, Inc BU-TAB AC 65893-100 TB Butalbital 50.00 Columbia Drug Co Isopap Capsules 11735-0400 CA Butalbital 50.00 Concordia Pharmaceuticals Inc. Donnatal Elixir-Mint Flavored 59212-0422 EL Phenobarbital 3.24 Concordia Pharmaceuticals Inc. Donnatal Elixir-Grape Flavored 59212-0423 EL Phenobarbital 3.24 Concordia Pharmaceuticals Inc. Donnatal Tablets 59212-0425 TB Phenobarbital 16.20 Consolidated Midland Bellalphen 00223-0425 TB Phenobarbital 16.20 Contract Pharmacal Corp. Pyrelle HB 66663-702-01 TB Butabarbital 15.00 CTEX Pharmaceuticals, Inc. Butex Forte Capsules 62022-0070 CA Butalbital 50.00 CTEX Pharmaceuticals, Inc. Butex Forte Capsules 62022-0074 CA Butalbital 50.00 D.M. Graham Laboratories, Inc. Butalbital, Acetaminophen and Caffeine Tablets 00756-0111 TB Butalbital 50.00 D.S.C. Laboratories MICOMP-PB Suppository 55053-0290 SU Pentobarbital USP 60.00 Diversified Health Care Services Geone Capsules 59743-004 CA Butalbital 50.00 Dorasol Laboratories Donalixir 00471-0095 EL Phenobarbital 3.24 Dr. Reddy's Laboratories, Inc. Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 43598-706 CA Chlordiazepoxide HCl 5.00 Dunhall Pharmacal

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