Use of High Risk Medications in the Elderly (DAE)

Transcription

1 Use of High Risk Medications in the Elderly (DAE) Contents OVERVIEW... 1 TECHNICAL SPECIFICATIONS... 3 APPENDIX OVERVIEW Measure Description The percentage of patients 65 years of age and older who received at least one high-risk medication. The percentage of patients 65 years of age and older who received at least two different high-risk medications. Deviations from HEDIS Specifications The denominator from the third-party specifications includes beneficiaries who have continuous medical and pharmacy benefit enrollment for the measurement year with no more than one gap in enrollment of up to 45 days during the measurement year. The patient must be enrolled as of December 31 of the measurement year. The common enrollment specifications (and exclusion of 2010 part year beneficiaries) mean that all beneficiaries in the denominator will have enrollment for all of Also, the allowed gap of 45 days for HEDIS specs is different from the one-month gap allowed in our specs. The third-party specifications do not specify the setting for the NDC codes, but there are no NDC codes on claims other than Part D so we will only be searching in Part D claims. Assumptions/Notes The eligible population for this measure is based on discharges, not patients. This differs from how the eligible population is defined for other performance measures. It is possible for the denominator to contain multiple discharge records for the same individual. Data Sources Denominator inclusion data: 2010 Part A file 2010 Part B file 2010 Part D file Denominator exclusion data: None Numerator inclusion data: 2010 Part D file 1

2 Denominator Beneficiaries are included in the denominator if the following criteria are met: 65 years and older as of December 31 of the measurement year Continuous medical and pharmacy benefit enrollment for the measurement year with no more than one gap in enrollment of up to 45 days during the measurement year Enrolled as of December 31 of the measurement Denominator Exclusions Numerator None Beneficiaries are included if the beneficiary meets the following criteria: Numerator 1: At least one prescription dispensed for any high-risk medication during the measurement year. Numerator 2: At least two prescriptions dispensed for different high-risk medications during the measurement year. Rate Calculations For both rates, a lower rate represents better performance. 2

3 TECHNICAL SPECIFICATIONS Denominator The eligible population of beneficiaries who were a) 65 years and older as of December 31 of the measurement year and b) have continuous medical and pharmacy benefit enrollment for the measurement year with no more than one gap in enrollment of up to 45 days during the measurement year. Note that the patient must be enrolled as of December 31 of the measurement year. A. For each beneficiary i attributed to provider k use the enrollment arrays created in the enrollment preprocessing program and create NCQA_HRME_DEN i = 1 if: <= Years between BENE_DOB and 12/31/2010 and The sum of the Part A, B, and D enrollment flags in each month of 2010 is less than 3 in no more than one month. The sum of the flags in December 2010 must be equal to 3. Denominator Exclusions None. Numerator Numerator 1 - At least one prescription dispensed for any high-risk medication (Table DAE-A) during the measurement year. Identify different drugs using the Drug ID field located in the NDC list on NCQA s Web site ( NCQA provided a comprehensive list of medications and NDC codes to on November 15, Please see the Excel file Table DAE-A - Use of High-Risk Medications in the Elderly (DAE).xls for the list of NDCs to use. A. For each beneficiary i, create NCQA_HRME1_NUM i variable B. Search the 2010 Part D File and flag beneficiaries for inclusion in the numerator. 1. NCQA_HRME1_NUM i = 1 if 2. At least one of the following occurred between 1/1/2010 and 12/31/2010 for beneficiary i in the 2010 Part D File where NCQA_HRME_DEN i = 1: NDC Description Variable Name Product service ID: short sas name = PRDSRVID, long sas name = PROD_SRVC_ID Values/Rule (Unless otherwise noted, only require one {n} to equal the value) High-Risk Medications See Appendix 1 Label DAE_IIB2_NDC_A_11 DAE_IIB2_NDC_B_11 DAE_IIB2_NDC_C_11 C. Else NCQA_HRME1_NUM i = 0 3

4 Numerator 2 - At least two prescriptions dispensed for different high-risk medications (Table DAE-A) during the measurement year. D. For each beneficiary i, create NCQA_HRME2_NUM i variable E. Search the 2010 Part D File and flag beneficiaries for inclusion in the numerator. 1. NCQA_HRME2_NUM i = 1 if 2. At least two of the following occurred between 1/1/2010 and 12/31/2010 for beneficiary i in the 2010 Part D File where NCQA_HRME_DEN i = 1: Description Variable Name Values/Rule (Unless otherwise noted, only require one {n} to equal the value) NDC Product service ID: short sas name = PRDSRVID, long sas name = PROD_SRVC_ID High-Risk Medications See Appendix 1 Else NCQA_HRME2_NUM i = 0 Provider Performance Measure A. For each provider k, create NCQA_HRME1_RATE k = ( NCQA_HRME1_NUM i / NCQA_HRME1_DEN i )*100 B. For each provider k, create NCQA_HRME2_RATE k = ( NCQA_HRME2_NUM i / NCQA_HRME2_DEN i )*100 4

5 APPENDIX 1 Use of High Risk Medications in the Elderly (DAE) Numerator Beneficiaries from the 2010 Part D file with at least one prescription for a high-risk medication: NDC Codes propoxyphene napsylate 100 mg oral propoxyphene napsylate 100 mg oral propoxyphene napsylate 100 mg oral propoxyphene hydrochloride 65 mg oral capsule propoxyphene hydrochloride 65 mg oral capsule propoxyphene hydrochloride 65 mg oral capsule ASA/caffeine/propoxyphene 389 mg-32.4 mg-65 mg oral capsule ASA/caffeine/propoxyphene 389 mg-32.4 mg-65 mg oral capsule cyproheptadine 4 mg oral cyclobenzaprine 10 mg oral dextroamphetamine 5 mg oral capsule, extended release dextroamphetamine 5 mg oral capsule, extended release dextroamphetamine 10 mg oral capsule, extended release dextroamphetamine 10 mg oral capsule, extended release dextroamphetamine 15 mg oral capsule, extended release dextroamphetamine 15 mg oral capsule, extended release dextroamphetamine 5 mg oral promethazine 25 mg oral meperidine 100 mg/ml injectable solution benzphetamine 50 mg oral benzphetamine 50 mg oral estropipate 0.75 mg oral estropipate 1.5 mg oral estropipate 3 mg oral estropipate 3 mg oral meperidine 50 mg/5 ml oral syrup meperidine 50 mg oral meperidine 50 mg oral meperidine 50 mg oral meperidine 100 mg oral acetaminophen-pentazocine 650 mg-25 mg oral naloxone-pentazocine 0.5 mg-50 mg oral 5

6 atropine-diphenoxylate mg-2.5 mg oral atropine-diphenoxylate mg-2.5 mg oral atropine-diphenoxylate mg-2.5 mg oral atropine-diphenoxylate mg-2.5 mg oral atropine-diphenoxylate mg-2.5 mg/5 ml oral liquid esterified estrogens 0.3 mg oral diphenhydramine-phenylephrine 6.25 mg-2.5 mg/5 ml oral liquid methocarbamol 500 mg oral methocarbamol 750 mg oral methocarbamol 750 mg oral diphenhydramine-phenylephrine 6.25 mg-2.5 mg/5 ml oral liquid diphenhydramine-phenylephrine 6.25 mg-2.5 mg/5 ml oral liquid diphenhydramine-phenylephrine 6.25 mg-2.5 mg/5 ml oral liquid diphenhydramine-phenylephrine 6.25 mg-2.5 mg/5 ml oral liquid esterified estrogens-methyltestosterone mg-1.25 mg oral esterified estrogens-methyltestosterone 1.25 mg-2.5 mg oral esterified estrogens-methyltestosterone 1.25 mg-2.5 mg oral butabarbital 30 mg/5 ml oral elixir butabarbital 30 mg oral butabarbital 30 mg oral butabarbital 50 mg oral atropine/hyoscyamine/pb/scopolamine mg mg mg mg oral carisoprodol 350 mg oral carisoprodol 350 mg oral aspirin-carisoprodol 325 mg-200 mg oral carisoprodol 250 mg oral carisoprodol 250 mg oral ASA/carisoprodol/codeine oral APAP/diphenhydrAMINE/phenylephrine 325 mg-12.5 mg-5 mg/ ml oral syrup diphenhydramine-phenylephrine 6.25 mg-6.25 mg/5 ml oral liquid diphenhydramine-phenylephrine 6.25 mg-6.25 mg/5 ml oral liquid APAP/diphenhydrAMINE/phenylephrine 650 mg-25 mg-10 mg oral powder for reconstitution APAP/diphenhydrAMINE/phenylephrine 325 mg-12.5 mg-5 mg/ ml oral syrup acetaminophen-diphenhydramine 500 mg-25 mg oral acetaminophen-diphenhydramine 500 mg-12.5 mg oral 6

7 acetaminophen-diphenhydramine 500 mg-25 mg oral acetaminophen-diphenhydramine 500 mg-25 mg oral acetaminophen-diphenhydramine 500 mg-25 mg oral chlorzoxazone 500 mg oral acetaminophen-diphenhydramine 500 mg-25 mg oral acetaminophen-diphenhydramine 500 mg-25 mg oral conjugated estrogens 0.9 mg oral conjugated estrogens 1.25 mg oral conjugated estrogens 1.25 mg oral conjugated estrogens 1.25 mg oral conjugated estrogens mg oral conjugated estrogens mg oral conjugated estrogens 0.3 mg oral conjugated estrogens 0.3 mg oral conjugated estrogens-medroxyprogesterone mg-2.5 mg oral conjugated estrogens-medroxyprogesterone mg-2.5 mg oral conjugated estrogens-medroxyprogesterone mg-2.5 mg oral conjugated estrogens 0.45 mg oral conjugated estrogens-medroxyprogesterone 0.45 mg-1.5 mg oral conjugated estrogens-medroxyprogesterone 0.45 mg-1.5 mg oral conjugated estrogens-medroxyprogesterone 0.45 mg-1.5 mg oral conjugated estrogens-medroxyprogesterone 0.3 mg-1.5 mg oral conjugated estrogens-medroxyprogesterone 0.3 mg-1.5 mg oral conjugated estrogens-medroxyprogesterone 0.3 mg-1.5 mg oral conjugated estrogens-medroxyprogesterone mg-5 mg oral conjugated estrogens-medroxyprogesterone mg-5 mg oral conjugated estrogens-medroxyprogesterone mg-5 mg oral conjugated estrogens 0.3 mg oral conjugated estrogens 0.3 mg oral conjugated estrogens 0.45 mg oral conjugated estrogens mg oral conjugated estrogens mg oral conjugated estrogens 0.9 mg oral 7

8 conjugated estrogens 1.25 mg oral conjugated estrogens 1.25 mg oral conjugated estrogens-medroxyprogesterone 0.3 mg-1.5 mg oral conjugated estrogens-medroxyprogesterone 0.45 mg-1.5 mg oral conjugated estrogens-medroxyprogesterone biphasic oral conjugated estrogens-medroxyprogesterone biphasic oral conjugated estrogens-medroxyprogesterone biphasic oral conjugated estrogens-medroxyprogesterone biphasic oral conjugated estrogens mg oral diazepam 5 mg/ml oral concentrate diazepam 5 mg/5 ml oral solution atropine-diphenoxylate mg-2.5 mg/5 ml oral liquid meperidine 50 mg/5 ml oral syrup meperidine 50 mg oral meperidine 100 mg oral propantheline 15 mg oral atropine-diphenoxylate mg-2.5 mg/5 ml oral liquid atropine-diphenoxylate mg-2.5 mg/5 ml oral liquid diazepam 5 mg/5 ml oral solution meperidine 50 mg oral meperidine 100 mg oral diphenhydramine-magnesium salicylate 25 mg-580 mg oral diphenhydramine-pseudoephedrine 25 mg-60 mg oral acetaminophen-diphenhydramine 500 mg-38 mg oral acetaminophen-diphenhydramine 500 mg-38 mg oral acetaminophen-diphenhydramine 500 mg-38 mg oral acetaminophen-diphenhydramine 500 mg-38 mg oral acetaminophen-diphenhydramine 500 mg-38 mg oral acetaminophen-diphenhydramine 500 mg-38 mg oral scopolamine 1.5 mg transdermal film, extended release scopolamine 1.5 mg transdermal film, extended release diphenhydramine 25 mg oral disintegrating strip diphenhydramine 12.5 mg oral disintegrating strip diphenhydramine 12.5 mg oral disintegrating strip diphenhydramine-magnesium salicylate 25 mg-580 mg oral diphenhydramine-phenylephrine 6.25 mg-2.5 mg/5 ml oral liquid diphenhydramine-phenylephrine 6.25 mg-2.5 mg/5 ml oral liquid diphenhydramine 12.5 mg oral disintegrating strip diphenhydramine-phenylephrine 12.5 mg-5 mg oral disintegrating 8

9 strip acetaminophen-diphenhydramine 500 mg-38 mg oral acetaminophen-diphenhydramine 500 mg-38 mg oral APAP/diphenhydrAMINE/phenylephrine 325 mg-12.5 mg-5 mg/ ml oral syrup dicyclomine 20 mg oral diethylpropion 25 mg oral diethylpropion 75 mg oral, extended release diethylpropion 75 mg oral, extended release NIFEdipine 10 mg oral capsule chlorpropamide 100 mg oral chlorpropamide 250 mg oral chlorpropamide 250 mg oral hydroxyzine pamoate 25 mg oral capsule hydroxyzine pamoate 50 mg oral capsule hydroxyzine pamoate 100 mg oral capsule hydroxyzine pamoate 25 mg/5 ml oral suspension hydroxyzine pamoate 25 mg/5 ml oral suspension diphenhydramine 12.5 mg/5 ml oral liquid diphenhydramine-pseudoephedrine 12.5 mg-30 mg/5 ml oral liquid meperidine 25 mg/ml injectable solution meperidine 50 mg/ml injectable solution meperidine 75 mg/ml injectable solution meperidine 75 mg/ml injectable solution meperidine 75 mg/ml injectable solution meperidine 75 mg/ml injectable solution meperidine 100 mg/ml injectable solution meperidine 50 mg/ml injectable solution meperidine 100 mg/ml injectable solution meperidine 50 mg/ml injectable solution meperidine 50 mg/ml injectable solution meperidine 50 mg/ml injectable solution meperidine 50 mg/ml injectable solution meperidine 100 mg/ml injectable solution meperidine 50 mg/ml injectable solution meperidine 50 mg/ml injectable solution meperidine 50 mg/ml injectable solution meperidine 50 mg/ml injectable solution pentazocine 30 mg/ml injectable solution pentazocine 30 mg/ml injectable solution 9

10 pentazocine 30 mg/ml injectable solution meperidine 10 mg/ml injectable solution hyoscyamine/methenam/m-blue/phenyl salicyl 0.12 mg-118 mg mg-36 mg oral capsule methyltestosterone 10 mg oral capsule methyltestosterone 10 mg oral capsule hyoscyamine/methenam/m-blue/phenyl salicyl 0.12 mg-81.6 mg mg-36.2 mg oral hyoscyamine/methenam/m-blue/phenyl salicyl 0.12 mg-81.6 mg mg-36.2 mg oral hyoscyamine/methenam/m-blue/phenyl salicyl 0.12 mg-81.6 mg mg-36.2 mg oral hyoscyamine/methenam/m-blue/phenyl salicyl 0.12 mg-120 mg mg-36 mg oral capsule methylphenidate 20 mg/24 hr oral capsule, extended release methylphenidate 30 mg/24 hours oral capsule, extended release methylphenidate 40 mg/24 hr oral capsule, extended release dexmethylphenidate 2.5 mg oral dexmethylphenidate 5 mg oral dexmethylphenidate 10 mg oral methylphenidate 10 mg/24 hr oral capsule, extended release dexmethylphenidate 5 mg oral capsule, extended release dexmethylphenidate 10 mg oral capsule, extended release dexmethylphenidate 20 mg oral capsule, extended release dexmethylphenidate 30 mg oral capsule, extended release dexmethylphenidate 40 mg oral capsule, extended release methylphenidate 5 mg oral methylphenidate 10 mg oral methylphenidate 20 mg oral methylphenidate 20 mg/8 hr oral, extended release dexmethylphenidate 15 mg oral capsule, extended release methylphenidate 10 mg oral methylphenidate 5 mg oral methylphenidate 20 mg/8 hr oral, extended release methylphenidate 20 mg oral diphenhydramine-magnesium salicylate 25 mg-580 mg oral dexchlorpheniramine/guaifenesin/pse oral syrup dexchlorpheniramine 2 mg oral acetaminophen-diphenhydramine 325 mg-12.5 mg/15 ml oral liquid isoxsuprine 10 mg oral isoxsuprine 20 mg oral atropine/hyoscyamine/pb/scopolamine mg mg- 10

11 16.2 mg mg oral hyoscyamine mg oral, disintegrating hyoscyamine mg oral hyoscyamine mg oral hyoscyamine mg sublingual hyoscyamine mg sublingual hyoscyamine mg oral capsule, extended release hyoscyamine mg oral capsule, extended release hyoscyamine mg oral, extended release hyoscyamine mg oral, extended release hyoscyamine mg/5 ml oral liquid hyoscyamine mg/ml oral solution methocarbamol 500 mg oral methocarbamol 750 mg oral methocarbamol 750 mg oral ketorolac 10 mg oral chlorzoxazone 500 mg oral chlorzoxazone 500 mg oral propoxyphene hydrochloride 65 mg oral capsule cyclobenzaprine 10 mg oral cyclobenzaprine 10 mg oral nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule cyproheptadine 4 mg oral cyproheptadine 4 mg oral cyproheptadine 4 mg oral dexmethylphenidate 2.5 mg oral dexmethylphenidate 5 mg oral 11

12 dexmethylphenidate 10 mg oral cyclobenzaprine 15 mg oral capsule, extended release cyclobenzaprine 30 mg oral capsule, extended release diphenhydramine 12.5 mg/5 ml oral liquid diphenhydramine 12.5 mg/5 ml oral liquid diphenhydramine 25 mg oral diphenhydramine 25 mg oral capsule diphenhydramine 25 mg oral promethazine 12.5 mg oral promethazine 25 mg oral promethazine 25 mg oral promethazine 50 mg oral dipyridamole 25 mg oral dipyridamole 25 mg oral dipyridamole 50 mg oral dipyridamole 50 mg oral dipyridamole 75 mg oral dipyridamole 75 mg oral diphenhydramine 25 mg oral capsule diphenhydramine 25 mg oral capsule diphenhydramine 50 mg oral capsule diphenhydramine 50 mg oral capsule benzphetamine 50 mg oral amphetamine-dextroamphetamine 5 mg oral capsule, extended release amphetamine-dextroamphetamine 10 mg oral capsule, extended release amphetamine-dextroamphetamine 15 mg oral capsule, extended release amphetamine-dextroamphetamine 20 mg oral capsule, extended release amphetamine-dextroamphetamine 25 mg oral capsule, extended release amphetamine-dextroamphetamine 30 mg oral capsule, extended release orphenadrine 100 mg oral, extended release orphenadrine 100 mg oral, extended release chlordiazepoxide 5 mg oral capsule chlordiazepoxide 5 mg oral capsule chlordiazepoxide 10 mg oral capsule chlordiazepoxide 10 mg oral capsule chlordiazepoxide 25 mg oral capsule chlordiazepoxide 25 mg oral capsule 12

13 dicyclomine 10 mg oral capsule dicyclomine 10 mg oral capsule dicyclomine 20 mg oral dicyclomine 20 mg oral methocarbamol 500 mg oral methocarbamol 500 mg oral methocarbamol 500 mg oral methocarbamol 750 mg oral methocarbamol 750 mg oral methocarbamol 750 mg oral methyltestosterone 10 mg oral propantheline 15 mg oral propantheline 15 mg oral atropine/hyoscyamine/pb/scopolamine mg mg mg mg oral atropine/hyoscyamine/pb/scopolamine mg mg mg mg oral thyroid desiccated 60 mg oral thyroid desiccated 60 mg oral thyroid desiccated 120 mg oral thyroid desiccated 120 mg oral methyltestosterone 10 mg oral diphenhydramine 12.5 mg/5 ml oral liquid diphenhydramine 12.5 mg/5 ml oral liquid diphenhydramine 12.5 mg/5 ml oral liquid phenobarbital 20 mg/5 ml oral elixir phenobarbital 20 mg/5 ml oral elixir phenobarbital 20 mg/5 ml oral elixir phenobarbital 20 mg/5 ml oral elixir codeine-promethazine 10 mg-6.25 mg/5 ml oral syrup thioridazine 30 mg/ml oral concentrate thioridazine 100 mg/ml oral concentrate diphenhydramine 25 mg oral diphenhydramine 12.5 mg/5 ml oral liquid acetaminophen-diphenhydramine 500 mg-25 mg oral APAP/diphenhydrAMINE/pseudoephedrine oral diazepam 2 mg oral diazepam 2 mg oral diazepam 5 mg oral diazepam 5 mg oral diazepam 5 mg oral 13

14 diazepam 10 mg oral diazepam 10 mg oral diazepam 10 mg oral amitriptyline-chlordiazepoxide 12.5 mg-5 mg oral atropine/hyoscyamine/pb/scopolamine mg mg mg mg oral atropine/hyoscyamine/pb/scopolamine mg mg mg mg oral carisoprodol 350 mg oral carisoprodol 350 mg oral carisoprodol 350 mg oral dicyclomine 20 mg oral dicyclomine 20 mg oral methocarbamol 500 mg oral methocarbamol 500 mg oral methocarbamol 750 mg oral methocarbamol 750 mg oral phenobarbital 15 mg oral phenobarbital 30 mg oral phenobarbital 60 mg oral phenobarbital 100 mg oral phenobarbital 100 mg oral dicyclomine 10 mg oral capsule dicyclomine 10 mg oral capsule propoxyphene hydrochloride 65 mg oral capsule propoxyphene hydrochloride 65 mg oral capsule propoxyphene hydrochloride 65 mg oral capsule flurazepam 15 mg oral capsule flurazepam 15 mg oral capsule flurazepam 30 mg oral capsule flurazepam 30 mg oral capsule hyoscyamine mg oral capsule, extended release hyoscyamine mg oral, extended release phentermine 37.5 mg oral phentermine 8 mg oral diethylpropion 25 mg oral diethylpropion 25 mg oral phendimetrazine 35 mg oral phentermine 8 mg oral phentermine 8 mg oral phentermine 30 mg oral capsule 14

15 phentermine 30 mg oral capsule phentermine 30 mg oral capsule phentermine 30 mg oral capsule phentermine 30 mg oral capsule phentermine 30 mg oral capsule phentermine 37.5 mg oral capsule phentermine 37.5 mg oral capsule phentermine 37.5 mg oral phentermine 37.5 mg oral phentermine 37.5 mg oral capsule phentermine 37.5 mg oral capsule phentermine 37.5 mg oral capsule phentermine 37.5 mg oral capsule cyproheptadine 4 mg oral diethylpropion 25 mg oral diethylpropion 25 mg oral phentermine 37.5 mg oral phentermine 37.5 mg oral phentermine mg oral capsule phentermine mg oral capsule phentermine 37.5 mg oral capsule phentermine 37.5 mg oral capsule phentermine 37.5 mg oral capsule phentermine 37.5 mg oral capsule phentermine 37.5 mg oral capsule phentermine 37.5 mg oral capsule nitrofurantoin macrocrystals 25 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule 15

16 cyproheptadine 4 mg oral cyproheptadine 4 mg oral diazepam 2 mg oral diazepam 2 mg oral diazepam 5 mg oral diazepam 5 mg oral diazepam 10 mg oral diazepam 10 mg oral diphenhydramine 50 mg oral capsule phentermine 37.5 mg oral phentermine 37.5 mg oral diphenhydramine 25 mg oral capsule thyroid desiccated 60 mg oral thyroid desiccated 120 mg oral dicyclomine 10 mg oral capsule dicyclomine 10 mg oral capsule methocarbamol 500 mg oral methocarbamol 500 mg oral methocarbamol 500 mg oral phenobarbital 60 mg oral atropine/hyoscyamine/pb/scopolamine oral elixir propoxyphene hydrochloride 65 mg oral capsule propoxyphene hydrochloride 65 mg oral capsule hyoscyamine/methenam/m-blue/phenyl salicyl 0.03 mg-40.8 mg mg-18.1 mg oral diethylpropion 75 mg oral, extended release diethylpropion 75 mg oral, extended release dexchlorpheniramine 6 mg oral, extended release atropine/hyoscyamine/pb/scopolamine mg mg mg mg oral isoxsuprine 10 mg oral isoxsuprine 10 mg oral isoxsuprine 20 mg oral isoxsuprine 20 mg oral ergoloid mesylates 1 mg oral 16

17 ergoloid mesylates 1 mg oral diphenhydramine 50 mg oral diphenhydramine 50 mg oral methylphenidate 10 mg oral methylphenidate 10 mg oral carisoprodol 350 mg oral carisoprodol 350 mg oral hydroxyzine pamoate 50 mg oral capsule diphenhydramine 50 mg oral capsule cyproheptadine 4 mg oral cyproheptadine 4 mg oral acetaminophen-diphenhydramine 500 mg-25 mg oral acetaminophen-diphenhydramine 500 mg-25 mg oral methylphenidate 5 mg oral methylphenidate 5 mg oral methylphenidate 20 mg oral chlorzoxazone 500 mg oral cyproheptadine 2 mg/5 ml oral syrup hydroxyzine hydrochloride 10 mg/5 ml oral syrup diethylpropion 25 mg oral hydroxyzine hydrochloride 10 mg oral hydroxyzine hydrochloride 10 mg oral hydroxyzine hydrochloride 25 mg oral hydroxyzine hydrochloride 50 mg oral ergoloid mesylates 1 mg oral NIFEdipine 10 mg oral capsule NIFEdipine 10 mg oral capsule NIFEdipine 20 mg oral capsule NIFEdipine 20 mg oral capsule hyoscyamine mg oral ASA/caffeine/propoxyphene 389 mg-32.4 mg-65 mg oral capsule ASA/caffeine/propoxyphene 389 mg-32.4 mg-65 mg oral capsule promethazine 6.25 mg/5 ml oral syrup diazepam 10 mg oral diazepam 10 mg oral diazepam 10 mg oral diazepam 10 mg oral chlorzoxazone 250 mg oral flurazepam 30 mg oral capsule flurazepam 30 mg oral capsule 17

18 aspirin-carisoprodol 325 mg-200 mg oral chlorpropamide 100 mg oral chlorpropamide 100 mg oral propantheline 15 mg oral cyclobenzaprine 10 mg oral cyclobenzaprine 10 mg oral nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 50 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule nitrofurantoin macrocrystals 100 mg oral capsule estropipate 0.75 mg oral estropipate 1.5 mg oral estropipate 3 mg oral hydroxyzine pamoate 100 mg oral capsule diphenhydramine 12.5 mg/5 ml oral liquid diphenhydramine 25 mg oral diphenhydramine 25 mg oral capsule diphenhydramine 25 mg oral capsule diphenhydramine 12.5 mg/5 ml oral liquid acetaminophen-diphenhydramine 500 mg-25 mg oral diphenhydramine 12.5 mg/5 ml oral liquid hyoscyamine mg/5 ml oral liquid diphenhydramine 12.5 mg/5 ml oral liquid diphenhydramine 12.5 mg/5 ml oral liquid promethazine 25 mg oral promethazine 25 mg oral meperidine 50 mg/ml injectable solution meperidine 100 mg/ml injectable solution meperidine 50 mg oral meperidine 100 mg oral methylphenidate 20 mg/8 hr oral, extended release orphenadrine 100 mg oral, extended release orphenadrine 100 mg oral, extended release atropine-diphenoxylate mg-2.5 mg oral atropine-diphenoxylate mg-2.5 mg oral atropine-diphenoxylate mg-2.5 mg oral amphetamine-dextroamphetamine 5 mg oral amphetamine-dextroamphetamine 10 mg oral nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule nitrofurantoin macrocrystals-monohydrate 100 mg oral capsule 18

19 amphetamine-dextroamphetamine 20 mg oral amphetamine-dextroamphetamine 30 mg oral metaxalone 800 mg oral metaxalone 800 mg oral hydroxyzine pamoate 25 mg oral capsule hydroxyzine pamoate 25 mg oral capsule hydroxyzine pamoate 50 mg oral capsule hydroxyzine pamoate 50 mg oral capsule phentermine 15 mg oral capsule phentermine 15 mg oral capsule phentermine 30 mg oral capsule phentermine 30 mg oral capsule diphenhydramine 25 mg oral capsule diphenhydramine 25 mg oral capsule diphenhydramine 50 mg oral capsule diphenhydramine 50 mg oral capsule ASA/caffeine/orphenadrine 385 mg-30 mg-25 mg oral ASA/caffeine/orphenadrine 385 mg-30 mg-25 mg oral ASA/caffeine/orphenadrine 770 mg-60 mg-50 mg oral aspirin-carisoprodol 325 mg-200 mg oral aspirin-carisoprodol 325 mg-200 mg oral ASA/carisoprodol/codeine oral phendimetrazine 35 mg oral phendimetrazine 35 mg oral phentermine 30 mg oral capsule phentermine 30 mg oral capsule phendimetrazine 105 mg oral capsule, extended release phendimetrazine 105 mg oral capsule, extended release methyltestosterone 10 mg oral methyltestosterone 10 mg oral phendimetrazine 35 mg oral phendimetrazine 35 mg oral phendimetrazine 105 mg oral capsule, extended release phendimetrazine 105 mg oral capsule, extended release methyltestosterone 25 mg oral atropine-difenoxin oral atropine-difenoxin oral methyltestosterone 10 mg oral capsule methyltestosterone 10 mg oral capsule chlordiazepoxide 5 mg oral capsule 19

20 chlordiazepoxide 10 mg oral capsule chlordiazepoxide 25 mg oral capsule amitriptyline-chlordiazepoxide 12.5 mg-5 mg oral amitriptyline-chlordiazepoxide 25 mg-10 mg oral flurazepam 15 mg oral capsule flurazepam 30 mg oral capsule chlordiazepoxide-clidinium 5 mg-2.5 mg oral capsule atropine/hyoscyamine/pb/scopolamine mg mg mg mg oral atropine/hyoscyamine/pb/scopolamine mg mg mg mg oral diphenhydramine 25 mg oral capsule diphenhydramine 50 mg oral capsule diphenhydramine 50 mg oral capsule carisoprodol 350 mg oral carisoprodol 350 mg oral carisoprodol 350 mg oral aspirin-carisoprodol 325 mg-200 mg oral aspirin-carisoprodol 325 mg-200 mg oral aspirin-carisoprodol 325 mg-200 mg oral cyproheptadine 4 mg oral cyproheptadine 4 mg oral dicyclomine 20 mg oral dicyclomine 20 mg oral dipyridamole 25 mg oral dipyridamole 25 mg oral hydroxyzine hydrochloride 10 mg oral hydroxyzine hydrochloride 10 mg oral hydroxyzine hydrochloride 25 mg oral hydroxyzine hydrochloride 25 mg oral hydroxyzine hydrochloride 25 mg oral hydroxyzine hydrochloride 50 mg oral hydroxyzine hydrochloride 50 mg oral hydroxyzine hydrochloride 100 mg oral hydroxyzine pamoate 25 mg oral capsule hydroxyzine pamoate 25 mg oral capsule hydroxyzine pamoate 50 mg oral capsule hydroxyzine pamoate 50 mg oral capsule hydroxyzine pamoate 100 mg oral capsule hydroxyzine pamoate 100 mg oral capsule orphenadrine 100 mg oral, extended release 20