Table of Exempted Prescription Products

January 11, 2024

Drug Enforcement Administration

Diversion Control Division
Drug and Chemical Evaluation Section
 Exempt Prescription Products 1/11/2024

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
Alembic Pharmaceuticals, Inc. Chlordiazepoxide HCl and Clidinium Bromide Capsules 62332-0744 CA Chlordiazepoxide HCl 5.00
Alpha Scriptics Inc Butacet Capsules 53121-0133 CA Butalbital 50.00
Alphagen Laboratories, Inc. Butalbital and Acetaminophen Capsules 50 mg/ 650 mg 00603-2542 CA Butalbital 50.00
Alphagen Laboratories, Inc. Geone Capsules 59743-0004 CA Butalbital 50.00
Alphagen Laboratories, Inc. Donnaphen Tablets 59743-0027 TB Phenobarbital 16.20
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, Acetaminophen and Caffeine Tablets (50/325/40) 47781-0625 TB Butalbital 50.00
Alvogen, Inc. Butalbital and Acetaminophen Tablets 50/325 47781-0628 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 Chlordiazepoxide HCl and Clidinium Bromide Capsules 60687-0639 CA Chlordiazepoxide HCl 5.00
Amerisource Health Services Corporation Butalbital, Acetaminophen and Caffeine Tablets 50/325/40 mg 68084-0396 TB Butalbital 50.00
Amide Pharmaceuticals BEL-PHEN-ERGOTS Tablets 00182-1990 TB Phenobarbital 40.00
Amide Pharmaceuticals Phenerbel-S Tablets 00536-4234 TB Phenobarbital 40.00
Amide Pharmaceuticals Bellaspas Tablets 00603-2424 TB Phenobarbital 40.00
Amide Pharmaceuticals DuraGal-S Tablets 51285-0907 TB Phenobarbital 40.00
Amide Pharmaceuticals Chlordiazepoxide HCl and Clidinium Bromide Capsules 52152-0018 CA Chlordiazepoxide HCl 5.00
Amide Pharmaceuticals Theophedrital Tablets 52152-0035 TB Phenobarbital 8.00
Amide Pharmaceuticals Bellamine-S Tablets 52152-0115 TB Phenobarbital 40.00
Amneal Pharaceuticals, LLC. Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 60219-1677 CA Chlordiazepoxide HCl 5.00
Anabolic Laboratories, Inc Spastrin Tablets 51991-045 TB Phenobarbital 40.00
Aphena Pharma Solutions Butalbital, Acetaminophen and Caffeine Tablets (50/325/40 mg) 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

Page 1
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
Atland Pharmaceuticals Butalbital and Acetaminophen Tablets (25 mg/325 mg) 71993-301 TB Butalbital 25.00
Atlantic Biologicals Corp. Phenohytro Elixir, Grape Flavor 17856-0125 EL Phenobarbital 32.40
Atlantic Biologicals Corp. Donnatal Elixir-Grape 17856-0423 EL Phenobarbital 3.24
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 (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
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. Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 50268-139 TB Butalbital 50.00
Ayerst Laboratories PMB-200 00046-0880 TB Meprobamate 200.00
Ayerst Laboratories PMB-400 00046-0881 TB Meprobamate 400.00
Barre Drug Co Isolate Compound 00472-0929 EL Phenobarbital 0.40
Barre Drug Co Barophen 00472-0981 EL Phenobarbital 3.24
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 Avet Pharma) Chlordiazepoxide Hydrochloride /Clidinium Bromide 5 mg/2.5 mg 23155-808 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
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
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 Tablets 00719-1091 TB Phenobarbital 16.20
Bioline Labs Inc Chlordinium 00719-1208 CA Chlordiazepoxide HCl 5.00
Bioline Labs Inc Bel-Phen-Ergot-S Tablets 00719-1686 TB Phenobarbital 40.00
Bioline Labs Inc Anti-Spas Elixir 00719-4090 EL Phenobarbital 3.24
Bio-Pharm Inc. Migercet-PB Suppository 00144-0633 SU Pentobarbital 60.00
Bio-Pharm Inc. Ergocaff-PB Suppository 00182-7007 SU Pentobarbital 60.00
Bio-Pharm Inc. Ergocaff-PB Suppository 59741-0315 SU Pentobarbital 60.00
Bio-Pharm Inc. E-Caff-PB Suppository 59879-0501 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
Bryant Ranch Prepack (BRP Pharmaceuticals) Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 63629-2021 CA Chlordiazepoxide HCl 5

Page 2
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
Bryant Ranch Prepack (BRP Pharmaceuticals) Phenobarbital and Belladonna Alkaloids Tablets 63629-2050 TB Phenobarbital 16.2
Bryant Ranch Prepack (BRP Pharmaceuticals) Phenobarbital and Belladonna Alkaloids Elixir 63629-2051 EL Phenobarbital 16.2
Bryant Ranch Prepack (BRP Pharmaceuticals) Phenobarbital and Belladonna Alkaloids Elixir 63629-2052 EL Phenobarbital 16.2
Bryant Ranch Prepack (BRP Pharmaceuticals) Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 63629-2146 CA Chlordiazepoxide HCl 5
Bryant Ranch Prepack (BRP Pharmaceuticals) Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 63629-2373 CA Chlordiazepoxide HCl 5
Bryant Ranch Prepack (BRP Pharmaceuticals) Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 63629-8859 CA Chlordiazepoxide HCl 5
Bryant Ranch Prepack (BRP Pharmaceuticals) Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 72162-1237 CA Chlordiazepoxide HCl 5
Bryant Ranch Prepack (BRP Pharmaceuticals) Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 71335-9764 CA Chlordiazepoxide HCl 5
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 0904-6538 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 55154-3356 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 55154-7988 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
Chartwell RX Sciences, LCC Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 62135-696 CA Chlordiazepoxide HCl 5.00
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 Inc Triaprin 00217-2811 CA Butalbital 50.00
Duramed Pharmaceuticals Butalbital, Acetaminophen and Caffeine Tablets 51285-0849 TB Butalbital 50.00
ECI Pharmaceuticals, LLC Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 51293-607 CA Chlordiazepoxide HCl 5.00
ECI Pharmaceuticals, LLC Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Tablets 51293-665 TB Phenobarbital 16.20
ECI Pharmaceuticals, LLC Chlordiazepoxide HCl and Clidinium Bromide Capsules 5 mg/2.5 mg 51293-696 CA Chlordiazepoxide HCl 5.00
Econolab Micomp-PB Tablets 55053-0525 TB Pentobarbital Sodium 30.00
EconoMed Pharmaceuticals, Inc. ARCET Compound Tablets 38130-0111 TB Butalbital 50.00

Page 3
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
EconoMed Pharmaceuticals, Inc. ARCET Capsules 38130-0325 CA Butalbital 50.00
Elge, Inc. Mednatal Elixer 51285-0735 EL Phenobarbital 16.20
Elge, Inc. MICOMP-PB Suppositories 55053-0290 SU Pentobarbital 60.00
Elge, Inc. Donnaphen Elixer 58298-0432 EL Phenobarbital 16.20
Equipharm Corp EQUI-CET Tablets 57779-0111 TB Butalbital 50.00
Everett Laboratories, Inc Repan Tablets 00642-0162-10 TB Butalbital 50.00
Everett Laboratories, Inc Repan Capsules 00642-0163 CA Butalbital 50.00
Everett Laboratories, Inc Repan Capsules 00642-0164 CA Butalbital 50.00
Forest Pharmacal Inc G.B.S. 00456-0281 TB Phenobarbital 8.00
Forest Pharmacal Inc Soniphen 00456-0429 ET Phenobarbital 16.00
Forest Pharmacal Inc Bancap 00456-0546 CA Butalbital 50.00
Forest Pharmacal Inc Esgic Tablets 00456-0630 TB Butalbital 50.00
Forest Pharmacal Inc Esgic Capsules 00456-0631 CA Butalbital 50.00
Forest Pharmacal Inc Acetaminophen 500 mg/Butalbital 50 mg 00456-0671 TB Butalbital 50.00
Forest Pharmacal Inc Acetaminophen 325 mg/Butalbital 50 mg 00456-0674 TB Butalbital 50.00
Forest Pharmacal Inc ESGIC-PLUS 00456-0678 TB Butalbital 50.00
Forest Pharmacal Inc ESGIC PLUS Capsules 00456-0679 CA Butalbital 50.00
Genetco Inc Butalbital, Apap and Caffeine 00302-0490 TB Butalbital 50.00
Geneva Generics Phenobarbital, Ergotamine and Belladonna Tablets 00781-1701 TB Phenobarbital 40.00
Geneva Pharmaceuticals, Inc. T.E.P. Tablets 00781-1325 TB Phenobarbital 8.00
Geneva Pharmaceuticals, Inc. Butalbital, Acetaminophen and Caffeine Tablets 00781-1901 TB Butalbital 50.00
Gen-King Products Antispasmodic 03547-0777 TB Phenobarbital 16.20
Geriatric Pharmacal Corp Bilezyme Plus 00249-1112 TB Phenobarbital 8.00
Geriatric Pharmacal Corp Gustase Plus 00249-1121 TB Phenobarbital 8.00
Glenlawn Laboratories Chlordinium Sealets 00580-0084 CA Chlordiazepoxide HCl 5.00
GM Pharmaceuticals (Manufactured by Mikart, Inc.) Vanatol S (Butalbital, Acetaminophen, & Caffeine Soln 50/325/40 58809-359 LQ Butalbital 50.00
GM Pharmaceuticals (Manufactured by Mikart, Inc.) Vanatol LQ (Butalbital, Acetaminophen, & Caffeine Soln 50/325/40 58809-820 LQ Butalbital 50.00
Goldline Laboratories Antispasmodic Tablets 00182-0129 TB Phenobarbital 16.20
Goldline Laboratories Antispasmodic Elixir 00182-0686 EL Phenobarbital 3.24
Goldline Laboratories Tedrigan Tablets 00182-1002 TB Phenobarbital 8.00
Goldline Laboratories Butalbital, APAP and Caffeine Tablets 00182-1274 TB Butalbital 50.00
Goldline Laboratories Bel-phen-ergot s Tablets 00182-1847 TB Phenobarbital 40.00
Goldline Laboratories CDP Plus Capsules 00182-1856 CA Chlordiazepoxide HCL 5.00
Granules Pharmaceuticals Inc. Butalbital, Acetaminiphen and Caffeine Capsules 50mg/300mg/40mg 70010-044 CA Butalbital 50.00
Granules Pharmaceuticals Inc. Butalbital and Acetaminiphen Capsules 50 mg/300 mg 70010-054 CA Butalbital 50.00
GSMS Incorporated Butalbital, Acetaminophen and Caffeine Capsules USP (50/300/40) 51407-200 CA Butalbital 50.00
GSMS Incorporated Butalbital, Acetaminophen and Caffeine Tablets USP (50/325/40) 60429-589 TB Butalbital 50.00
Halsey Drug Co Inc Susano 00879-0058 TB Phenobarbital 16.20
Halsey Drug Co Inc Susano 00879-0059 EL Phenobarbital 3.24
Halsey Drug Co Inc Clinoxide 00879-0501 CA Chlordiazepoxide HCl 5.00

Page 4
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
Halsey Drug Co Inc Butalbital and Acetaminophen Tablets 00879-0543 TB Butalbital 50.00
Halsey Drug Co Inc Blue Cross Butalbital, APAP and Caffeine Tablets 00879-0567 TB Butalbital 50.00
HL Moore Chlordiazepoxide HCl and Clidinium Bromide Capsules 00839-6211 CA Chlordiazepoxide Hydrochloride 5.00
HL Moore Drug Exchange Antispasmodic Tablets 00839-5055 TB Phenobarbital 16.00
HL Moore Drug Exchange Theophenyllin 00839-5111 TB Phenobarbital 8.00
HL Moore Drug Exchange Bellamor Tablets 00839-7370 TB Phenobarbital 40.00
Hyrex Pharmaceutical Panzyme 00314-0310 TB Phenobarbital 8.10
Hyrex Pharmaceutical Two-Dyne Revised 00314-2229 TB Butalbital 50.00
Ingenus Pharmaceuticals, LLC. Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Mint Elixir 50742-665 EL Phenobarbital 16.20
Ingenus Pharmaceuticals, LLC. Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Grape Elixir 50742-666 EL Phenobarbital 16.20
Ingenus Pharmaceuticals, LLC. Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Tablets 50742-667 TB Phenobarbital 16.20
Integrity Pharmaceutical Corporation Bellatal 64731-0754 TB Phenobarbital 16.20
International Ethical Laboratories, Inc. Tencon Tablets 11584-029-01 TB Butalbital 50.00
Interstate Drug Exchange IDE-Cet Tablets 00814-3820 TB Butalbital 50.00
Interstate Drug Exchange Spastolate 00814-7088 TB Phenobarbital 16.20
Intetlab CON-TEN 11584-1029 CA Butalbital 50.00
Inwood Laboratories, Inc. Butalbital, Acetaminophen and Caffeine Tablets, USP 0258-3657 TB Butalbital 50.00
JMI-Canton Pharmaceuticals, Inc. Belladonna Alkaloids and Phenobarbital Tablets 00182-1048 TB Phenobarbital 16.20
JMI-Canton Pharmaceuticals, Inc. Hyonatal-PB 52604-6792 TB Phenobarbital 16.20
Kaiser Foundation Hospitals Donnatal Elixir 00179-0088 EL Phenobarbital 16.20
Kaiser Foundation Hospitals Donnatal Tablet 00179-0132 TB Phenobarbital 16.20
Keene Pharmacal Inc Endolar 00588-7777 CA Butalbital 50.00
kenco Axotal 00013-1301 TB Butalbital 50.00
Knoll Pharmaceutical Quadrinal Tablets 00044-4520 TB Phenobarbital 24.00
Knoll Pharmaceutical Quadrinal Suspension 00044-4580 SS Phenobarbital 2.40
Kraft Pharmacal Co Inc Digestokraft 00796-0237 TB Butabarbital Sodium 8.00
Kremers Urban Co Levsin with Phenobarbital Tablets 00091-3534 TB Phenobarbital 15.00
Kremers Urban Co Levsinex with Phenobarbital 00091-3539 XC Phenobarbital 45.00
Kremers Urban Co Levsin with Phenobarbital Elixir 00091-4530 EL Phenobarbital 3.00
Kremers Urban Co Levsin-PB 00091-4536 DP Phenobarbital 15.00
KVK Tech Butalbital, Acetaminophen & Caffeine Tablets (50mg/325mg/40mg) 10702-253 TB Butalbital 50.00
Landry Pharmacal Inc Febridyne Plain Capsules 05383-001 CA Butalbital 50.00
Lannett Company, Inc. Butalbital, Acetaminophen & Caffeine Tablets (50mg/325mg/40mg) 00527-1695 TB Butalbital 50.00
Lannett Company, Inc. Butalbital, Acetaminophen & Caffeine Capsules (50mg/325mg/40mg) 00527-4094 CA Butalbital 50.00
Lannett Company, Inc. Butalbital, Acetaminophen & Caffeine Capsules (50mg/300mg/40mg) 00527-4095 CA Butalbital 50.00
Lanpar Co PB Phe-Bell 12908-7006 TB Phenobarbital 16.20
Larken Laboratories, Inc. Butalbital and Acetaminophen Tablets (50 mg/325 mg) 68047-721 TB Butalbital 50.00
Larken Laboratories, Inc. Butalbital and Acetaminophen Tablets (25 mg/325 mg) 68047-722 TB Butalbital 25.00
Larken Laboratories, Inc. Allzital Butalbital and Acetaminophen Tablets (25 mg/325 mg) 68047-752 TB Butalbital 25.00
Lasalle Laboratories Pacaps Modified Formula 48534-0884 CA Butalbital 50.00

Page 5
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
Lazarus Pharmaceuticals, Inc. Phenobarbital and Belladonna Alkaloids Tablets 71914-162 TB Phenobarbital 16.20
Lazarus Pharmaceuticals, Inc. Phenobarbital and Belladonna Alkaloids Elixir 71914-162 EL Phenobarbital 16.20
Lehigh Valley Technologies, Inc. Phenazopyridine Plus 51881-251 TB Butabarbital 15.00
Lemmon Company Acetaminophen/Butalbital/Caffeine Tablets 00093-0854 TB Butalbital 50.00
Lemmon Pharmacal Co Donphen 00093-0205 TB Phenobarbital 15.00
LGM Pharma Solutions, LLC Butalbital, Acetaminophen and Caffeine Capsules (50/300/40 mg) 79739-7029 CA Butalbital 50.00
LGM Pharma Solutions, LLC Butalbital and Acetaminophen Tablets (50/300 mg) 79739-7075 TB Butalbital 50.00
LGM Pharma Solutions, LLC Butalbital, Acetaminophen and Caffeine Tablets (50/325/40 mg) 79739-7320 TB Butalbital 50.00
Libertas Pharma, Inc. Butalbital, Acetaminophen and Caffeine Capsules USP 51862-179 CA Butalbital 50.00
Life Laboratories Belladonna Alkaloids with Phenobarbital 00737-1283 EL Phenobarbital 3.00
Lunsco Inc Pacaps Capsules 10892-0116 CA Butalbital 50.00
Major Pharmaceuticals Theotal Tablets 00904-0774 TB Phenobarbital 8.00
Major Pharmaceuticals Cafatine-PB Tablets 00904-1750 TB Pentobarbital Sodium 30.00
Major Pharmaceuticals Bellamine Tablets 00904-2548 TB Phenobarbital 40.00
Major Pharmaceuticals Fabophen Tablets 00904-3280 TB Butalbital 50.00
Major Pharmaceuticals Belladona w/ Phenobarbital 00904-3741 TB Phenobarbital 16.20
Major Pharmaceuticals Butalbital, Acetaminophen and Caffeine Tablets (50/325/40mg) 0904-6938 TB Butalbital 50.00
Mallard Consumer Products Anaquan Tablets 59441-0343 TB Butalbital 50.00
Mallard Inc Malatal 00166-0748 TB Phenobarbital 16.20
Mallard Inc Anoquan Modified Formula 00166-0881 CA Butalbital 50.00
Mallinckrodt Inc. Butalbital, Acetaminophen, and Caffeine ("BAC") Tablets USP 00406-0970 TB Butalbital 50.00
Marlop Pharmacal Inc Broncomar 12939-0128 EL Butabarbital 1.00
Marlop Pharmacal Inc Dolmar 12939-0812 CA Butalbital 50.00
Marnel Pharmaceuticals Margesic Capsules 00682-0804 CA Butalbital 50.00
Marnel Pharmaceuticals Marten-Tab Tablets 00682-1400 TB Butalbital 50.00
Martec Pharmacal Inc Butalbital, Acetaminophen and Caffeine Tablets 52555-0079 TB Butalbital 50.00
Mayne Pharma Butalbital, Acetaminophen, & Caffeine Capsules 50/300/40 51862-542 CA Butalbital 50.00
Mayrand Pharmaceuticals, Inc Sedapap-10 Tablets 00259-1278 TB Butalbital 50.00
Mead Johnson Pharmacal Quibron Plus Elixir 00087-0511 EL Butabarbital 1.33
Mead Johnson Pharmacal Quibron Plus Capsules 00087-0518 CA Butabarbital 20.00
Medco Supply Co Phenobarbital & Hyoscyamine Sulfate 00764-2057 TB Phenobarbital 16.20
Medicopharma, Inc. DUO-SPAZ Capsules 53404-0350 CA Chlordiazepoxide 5.00
Merrell Pharmaceuticals Inc. Chlordiazepoxide HCl and Clidinium Capsules 00536-3490 CA Chlordiazepoxide HCl 5.00
Micro Labs USA, Inc Chlordiazepoxide HCl and Clidinium Bromide Capsules, USP 42571-381 CA Chlordiazepoxide HCl 5.00
Midlothian Laboratories (Manufactured by Mikart, Inc.) Esgic (Butalbital, Acetaminophen, & Caffeine Capsules 50/325/40 68308-219 CA Butalbital 50.00
Midlothian Laboratories (Manufactured by Mikart, Inc.) Esgic (Butalbital, Acetaminophen, & Caffeine Tablets 50/325/40 68308-220 TB Butalbital 50.00
Midlothian Laboratories (Manufactured by Mikart, Inc.) Zebutal (Butalbital, Acetaminophen, & Caffeine Capsules 50/325/40 68308-554 CA Butalbital 50.00
Mikart, Inc. Bupap 00095-0240 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 00258-3665 TB Butalbital 50.00
Mikart, Inc. Sedapap Tablets 00259-0392 TB Butalbital 50.00

Page 6
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
Mikart, Inc. Esgic Tablets 00535-0011 TB Butalbital 50.00
Mikart, Inc. Esgic Capsules 00535-0012 CA Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Capsules 00588-7788 CA Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets, USP 0591-3416 TB Butalbital 50.00
Mikart, Inc. Butalbital and Acetaminophen Tablets 50/650 11584-0029 TB Butalbital 50.00
Mikart, Inc. Tencon (Butalbital and Acetaminophen 50mg/325mg) 11584-0030 TB Butalbital 50.00
Mikart, Inc. DOLMAR Tablets 12939-0811 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets 46672-0053 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen, and Caffeine Tablets 46672-0059 TB Butalbital 50.00
Mikart, Inc. Butalbital and Acetaminophen Tablets 50/650 46672-0098 TB Butalbital 50.00
Mikart, Inc. Butalbital and Acetaminophen Tablets 50/325 46672-0099 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Capsules 46672-0228 CA Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Eilixer 46672-0633 EL Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets, USP 46672-184 TB Butalbital 50.00
Mikart, Inc. Butalbital and Acetaminophen Capsules 50/300 46672-286 CA Butalbital 50.00
Mikart, Inc. Butalbital and Acetaminophen Tablets 50/300 46672-856 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 49884-0811 TB Butalbital 50.00
Mikart, Inc. Alagesic Capsules 50991-302 CA Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen, and Caffeine Tablets 51432-0034 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP (50/325/40) 51862-540 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets 52555-0647 TB Butalbital 50.00
Mikart, Inc. Capacet (Butalbital, Acetaminophen, and Caffeine 50/325/40) 58407-534 CA Butalbital 50.00
Mikart, Inc. Promacet 58605-524 TB Butalbital 50.00
Mikart, Inc. Cephadyn Tablets 59702-0650 TB Butalbital 50.00
Mikart, Inc. Dolgic Tablets 62022-0073 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen, and Caffeine Oral Solution 66813-073 LQ Butalbital 50.00
Mikart, Inc. Dolgic Plus Tablets 68453-074 TB Butalbital 50.00
Mikart, Inc. (on behalf of Mayne Pharma) Butalbital and Acetaminophen Tablets 50/300 51862-538 TB Butalbital 50.00
Mikart, Inc. (on behalf of Mayne Pharma) Butalbital and Acetaminophen Capsules 50/300 51862-544 CA Butalbital 50.00
Mikart, Inc. (on behalf of Monarch PCM, LLC) Vtol LQ (Butalbital, Acetaminophen, Caffeine Oral Solution) 70154-111 LQ Butalbital 50.00
Mikart, Inc./Shionogi, Inc. Dolgic Plus Tablets 59630-074 TB Butalbital 50.00
Moore Medical Corporation Antispasmodic Tabs 00839-5055 TB Phenobarbtal 16.20
Moore Medical Corporation Butalbital, Acetaminophen and Caffeine Tablets 00839-7831 TB Butalbital 50.00
Morton Grove Pharmaceuticals, Inc. Antispasmodic Elixir 60432-0009 EL Phenobarbital 3.24
Nejo Pharmaceutical Spasmalones 00653-0002 TB Phenobarbital 16.00
Nexgen Pharma BUPAP (Butalbital and Acetaminophen 50mg/300mg) 0095-3000 TB Butalbital 50.00
Nexgen Pharma Butalbital with Acetaminophen and Caffeine Tablets 0722-7029 TB Butalbital 50.00
Nexgen Pharma Butalbital, Acetaminophen and Caffeine Tablets(50mg/325mg/40mg) 0722-7320 TB Butalbital 50.00
Northampton Medical, Inc. FEMCET 58436-0703 TB Butalbital 50.00
NorthStar Butalbital, Acetaminophen and Caffeine Capsules(50mg/300mg/40mg) 16714-170 CA Butalbital 50.00

Page 7
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
Oceanside Pharmaceuticals (Manufactured by Nexgen) Butalbital and Acetaminophen Tablets (50mg/300mg) 68682-306 TB Butalbital 50.00
Parke-Davis & Co Tedral SA 00071-0231 XT Phenobarbital 25.00
Parke-Davis & Co Dilantin with Phenobarbital 1/4 00071-0375 CA Phenobarbital 16.00
Parke-Davis & Co Dilantin with Phenobarbital 1/2 00071-0531 CA Phenobarbital 32.00
Parmed Pharmaceutical Sedapar Tablets 00349-2355 TB Phenobarbital 16.20
Parmed Pharmaceutical Sedapar Elixir 00349-4100 EL Phenobarbital 3.24
Pasadena Research Seds 00418-4072 TB Phenobarbital 16.20
PD-Rx Pharmaceuticals, Inc. Donnatal Tablets 43063-601 TB Phenobarbital 16.20
PD-Rx Pharmaceuticals, Inc. Butalbital/APAP/Caffeine Tablets (50mg/325mg/40mg) 55289-0879 TB Butalbital 50.00
Pecos Pharmaceuticals Phenobel Extentabs 59879-0110 TB Phenobarbital USP 48.60
Pernix Therapeutics Chlordiazepoxide HCL/ Clidinium Bromide Capsules 44183-0401 CA Chlordiazepoxide HCl 5.00
Pharmaceutical Associates, Inc (PAI Pharma) Donnatal Elixir-Grape Flavored 66689-063 EL Phenobarbital 3.24
Pharmaceutical Basics Inc Clinibrax Capsules 00832-1054 CA Chlordiazepoxide HCl 5.00
Pharmaceutical Basics Inc Butalbital, Acetaminophen and Caffeine Tablets 00832-1102 TB Butalbital 50.00
PharmaTech LLC (Manufactured for Virtus Pharmaceutical) Chlordiazepoxide HCL and Clidinium Bromide Capsules 76439-302 CA Chlordiazepoxide HCl 5.00
Phlight Pharma, LLC. Allzital (Butalbital and Acetaminophen Tablets (25 mg/325 mg)) 70569-150 TB Butalbital 25.00
Pioneer Pharmaceuticals, Inc. Chlordiazepoxide HCL/ Clidinium Bromide Capsules 60104-4009 CA Chlordiazepoxide HCl 5.00
Poly Pharmaceuticals, Inc. Alagesic 50991-0302 CA Butalbital 50.00
Poythress & Co Inc Antrocol Tablets 00095-0040 TB Phenobarbital 16.00
Poythress & Co Inc Antrocol 00095-0041 CA Phenobarbital 16.00
Poythress & Co Inc Antrocol Elixir 00095-0042 EL Phenobarbital 3.00
Poythress & Co Inc Mudrane 00095-0050 TB Phenobarbital 8.00
Poythress & Co Inc Mudrane GG Tablets 00095-0051 TB Phenobarbital 8.00
Poythress & Co Inc Mudrane GG Elixir 00095-0053 EL Phenobarbital 0.50
Prasco Laboratories Phenobarbital, Hyoscyamine, Atropine, Scopolamine Tablets 66993-117 TB Phenobarbital 16.20
Prasco Laboratories Phenobarbital, Hyoscyamine, Atropine, Scopolamine Elixir (Grape) 66993-118 EL Phenobarbital 16.20
Prasco Laboratories Phenobarbital, Hyoscyamine, Atropine, Scopolamine Elixir (Mint) 66993-119 EL Phenobarbital 16.20
Private Formula Inc Sangesic 00511-1627 TB Butalbital 30.00
ProficientRx Butalb/Acet/Caffeine 50mg/325mg/40mg 63187-933 TB Butalbital 50.00
ProficientRx Butalb/Acet/Caffeine 50mg/325mg/40mg 71205-510 TB Butalbital 50.00
ProficientRx Butalb/Acet/Caffeine 50mg/300mg/40mg 71205-962 CA Butalbital 50.00
ProficientRx Butalb/Acet/Caffeine 50mg/325mg/40mg 71205-981 TB Butalbital 50.00
Qualitest Pharmaceuticals, Inc. Butalbital and Acetaminophen Tablets 0603-2540 TB Butalbital 50.00
Qualitest Pharmaceuticals, Inc. Butalbital, Acetaminophen and Caffeine Tablets 50/325/40mg 0603-2544 TB Butalbital 50.00
Qualitest Pharmaceuticals, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 0603-2547 TB Butalbital 50.00
Qualitest Pharmaceuticals, Inc. Butalbital, Acetaminophen and Caffeine Tablets, USP 0603-2551 TB Butalbital 50.00
Qualitest Pharmaceuticals, Inc. Chlordiazepoxide Hydrochloride and Clidinium Bromide Capsules 0603-2714 CA Chlordiazepoxide 5.00
Qualitest Products Inc Chlordiazepoxide HCl 5 mg and Clidinium Br 2.5 mg 52446-0096 CA Chlordiazepoxide HCl 5.00
Qualitest Products Inc Butalbital, Acetaminophen and Caffeine Tablets 52446-0544 TB Butalbital 50.00
RECRO Pharma Inc. dba IRISYS(manuf. for Ingenus Pharm.) Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Mint Elixir 50742-665 EL Phenobarbital 3.24

Page 8
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
RECRO Pharma Inc. dba IRISYS(manuf. for Ingenus Pharm.) Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Grape Elixir 50742-666 EL Phenobarbital 3.24
RECRO Pharma Inc. dba IRISYS(manuf. for Ingenus Pharm.) Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Tablets 50742-667 TB Phenobarbital 16.20
Redi-Med Butalbital Compound Capsules 53506-0103 CA Butalbital 50.00
Richlyn Laboratories Aminophylline & Phenobarbital Tablets 00115-2154 TB Phenobarbital 15.00
Richlyn Laboratories Aminophylline & Phenobarbital 00115-2156 ET Phenobarbital 15.00
Richlyn Laboratories Bellophen 00115-2400 TB Phenobarbital 16.20
Richlyn Laboratories Spasmolin 00115-4652 TB Phenobarbital 15.00
Richwood Pharmaceutical Co., Inc. Bellatal Tablets 58521-0162 TB Phenobarbital, USP 16.20
Roberts Pharmaceutical Corporation Anoquan 54092-0178 TB Butalbital 50.00
Roberts Pharmaceutical Corporation Tencet Tablets 59441-0153 TB Butalbital 50.00
Robins A H Co Inc Donnatal Capsules 00031-4207 CA Phenobarbital 16.20
Robins A H Co Inc Donnatal Extentabs 00031-4235 XT Phenobarbital 48.60
Robins A H Co Inc Donnatal No 2 00031-4264 TB Phenobarbital 32.40
Robins A H Co Inc Donnazyme 00031-4649 ET Phenobarbital 8.10
Roche Labs Menrium 5-2 00140-0023 TB Chlordiazepoxide 5.00
Roche Labs Menrium 5-4 00140-0024 TB Chlordiazepoxide 5.00
Roche Labs Menrium 10-4 00140-0025 TB Chlordiazepoxide 10.00
Rondex Laboratories Antispasmodic 00367-4118 TB Phenobarbital 16.20
Rotex Pharmaceuticals, Inc. Rogesic Capsules 31190-0008 CA Butalbital 50.00
Ruckstuhl Co Sedarex No 3 00144-1575 TB Phenobarbital 16.20
Rugby Laboratories Inc Ergocaff-PB Tablets 00536-3801 TB Pentobarbital Sodium 30.00
Rugby Laboratories Inc Hyosophen Tablets 00536-3920 TB Phenobarbital 16.20
Rugby Laboratories Inc Hyosophen Capsules 00536-3926 CA Phenobarbital 16.00
Rugby Laboratories Inc ISOCET Tablets 00536-3951 TB Butalbital 50.00
Rugby Laboratories Inc Theodrine Tablets 00536-4648 TB Phenobarbital 8.00
Rugby Laboratories Inc Butalbital, Acetaminophen and Caffeine Tablets, USP 0536-5567 TB Butalbital 50.00
Russ Pharmaceuticals, Inc. FEMCET Capsules 50474-0703 CA Butalbital 50.00
Sandoz Pharmaceuticals Belladenal-S 00078-0027 XT Phenobarbital 50.00
Sandoz Pharmaceuticals Belladenal 00078-0028 TB Phenobarbital 50.00
Sandoz Pharmaceuticals Bellergal-S 00078-0031 XT Phenobarbital 40.00
Sandoz Pharmaceuticals Cafergot P-B Suppository 00078-0035 SU Pentobarbital 60.00
Sandoz Pharmaceuticals Cafergot P-B Tablets 00078-0036 TB Pentobarbital Sodium 30.00
Savage Laboratories AXOTAL 00281-1301 TB Butalbital 50.00
Schein Henry Inc Antispasmodic 00364-0020 TB Phenobarbital 16.00
Schein Henry Inc T-E-P 00364-0266 TB Phenobarbital 8.10
Schein Henry Inc Antispasmodic Elixir 00364-7002 EL Phenobarbital 3.20
Schein Henry Inc Isolate Compound Elixir 00364-7029 EL Phenobarbital 0.40
Schein Pharmaceutical, Inc. Chlordiazepoxide HCl and Clidinium Bromide Capsules 00364-0559 CA Chlordiazepoxide Hydrochloride 5.00
Shoals Pharmaceuticals, Inc. Tencet 47649-0370 TB Butalbital 50.00
Shoals Pharmaceuticals, Inc. Tencet Capsules 47649-0560 CA Butalbital 50.00

Page 9
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
Skylar Laboratories, LLC Butalbital and Acetaminophen Tablets (50 mg/325 mg) 70362-721 TB Butalbital 50.00
Skylar Laboratories, LLC Allzital (Butalbital and Acetaminophen Tablets) (25 mg/325 mg) 70362-722 TB Butalbital 25.00
SOCIETAL CDMO San Diego, LLC (Manuf. for Concordia Pharm) Donnatal Elixir-Mint Flavored 59212-0422 EL Phenobarbital 3.24
SOCIETAL CDMO San Diego, LLC (Manuf. for Concordia Pharm) Donnatal Elixir-Grape Flavored 59212-0423 EL Phenobarbital 3.24
SOCIETAL CDMO San Diego, LLC (Manuf. for Concordia Pharm) Donnatal Tablets 59212-0425 TB Phenobarbital 16.20
SOCIETAL CDMO San Diego, LLC (manuf. for Ingenus Pharm) Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Grape Elixir 50742-666 EL Phenobarbital 3.24
SOCIETAL CDMO San Diego, LLC (manuf. for Ingenus Pharm) Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Tablets 50742-667 TB Phenobarbital 16.20
SOCIETAL CDMO San Diego, LLC (manuf. for Ingenus Pharm) Phenobarbital, Hyoscyamine, Atropine, and Scopolamine Mint Elixir 50742-665 EL Phenobarbital 3.24
Solubiomix Butalbital and Acetaminophen Tablets (50 mg/325 mg) 69499-302 TB Butalbital 50.00
Solubiomix Butalbital and Acetaminophen Capsules (50 mg/300 mg) 69499-342 CA Butalbital 50.00
Stewart Jackson Pharmacal, Inc. Ezol 45985-0578 CA Butalbital 50.00
STI Pharma, LLC Butalbital and Acetaminophen Tablets (50 mg/325 mg) 54879-026 TB Butalbital 50.00
Stuart Pharmaceutical Kinesed 00038-0220 TB Phenobarbital 16.00
Sunrise Pharmaceuticals, Inc. Butalbital, Acetaminophen, Caffeine Capsules (50 mg/300 mg/40mg) 11534-187 CA Butalbital 50.00
Sunrise Pharmaceuticals, Inc. Chlordiazepoxide HCl & Clidinium Bromide Caps USP (5mg/2.5mg) 11534-197 CA Chlordiazepoxide HCl 5.00
Superpharm Laboratories Chlordiazepoxide HCl & Clidinium Br 57247-1003 CA Chlordiazepoxide HCl 5.00
Taro Pharmaceuticals U.S.A., Inc. Butalbital, Acetaminophen and Caffeine Caps (50mg/300mg/40mg) 51672-4222 CA Butalbital 50.00
Tedor Pharma, Inc. Butalbital and Acetaminophen Tablets (50 mg/325 mg) 43199-053 TB Butalbital 50.00
Tedor Pharma, Inc. Butalbital and Acetaminophen Tablets (50 mg/300 mg) 47781-534 TB Butalbital 50.00
Tedor Pharma, Inc. (Manufactured for Xspire Pharma) Butalbital, Acetaminophen and Caffeine Caps (50mg/300mg/40mg) 42195-955 CA Butalbital 50.00
Teva Pharmaceuticals Chlordiazepoxide HCl & Clidinium Bromide Caps USP (5mg/2.5mg) 11534-197 CA Chlordiazepoxide HCl 5.00
Towne Paulsen & Co T.E. P. 00157-0980 TB Phenobarbital 8.00
Trimen Labs Amaphen Capsules (reformulated) 11311-0954 CA Butalbital 50.00
Truxton C O Inc Atropine Sulfate with Phenobarbital 00463-6035 TB Phenobarbital 15.00
Truxton C O Inc Ephedrine with Phenobarbital 00463-6086 TB Phenobarbital 15.00
Truxton C O Inc Spastemms Tablets 00463-6181 TB Phenobarbital 15.00
Truxton C O Inc Spastemms Elixir 00463-9023 EL Phenobarbital 3.24
U.S. Pharmaceuticals Medigesic Capsules 52747-0600 CA Butalbital 50.00
UAD Laboratories Inc Bucet Capsules 00785-2307 CA Butalbital 50.00
UDL Laboratories Belladonna Alkaloids with Phenobarbital 51079-0168 TB Phenobarbital 16.20
United Research Laboratories, Inc. Hapanol 00677-0074 TB Phenobarbital 16.20
United Research Laboratories, Inc. Theophylline #1 Tablets 00677-0148 TB Phenobarbital 8.00
United Research Laboratories, Inc. Bel-Tabs 00677-1171 TB Phenobarbital 40.00
United Research Laboratories, Inc. Chlordiazepoxide HCl and Clidinium Bromide Capsules 00677-1247 CA Chlordiazepoxide Hydrochloride 5.00
University of Iowa Bladder Mixture Plus Phenobarbital 11326-1624 LQ Phenobarbital 2.92
US Pharmaceuticals Inc Medigesic Tablets 52747-0311 TB Butalbital 50.00
Vale Chemical Co Ephedrine & Sodium Phenobarbital 00377-0109 TB Phenobarbital Sodium 16.20
Vale Chemical Co Barbeloid (Revised) Green 00377-0365 TB Phenobarbital 16.20
Vale Chemical Co Wesmatic Forte 00377-0426 TB Phenobarbital 8.10
Vale Chemical Co Digestokraft 00377-0460 TB Butabarbital Sodium 8.00

Page 10
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
Vale Chemical Co Panzyme 00377-0491 TB Phenobarbital 8.10
Vale Chemical Co Barbeloid Yellow 00377-0498 TB Phenobarbital 16.20
Vale Chemical Co Charspast 00377-0500 TB Phenobarbital 16.20
Vale Chemical Co Alkaloids of Belladonna and Phenobarbital 00377-0527 TB Phenobarbital 16.20
Vale Chemical Co Truxaphen 00377-0541 TB Phenobarbital 16.20
Vale Chemical Co Antispas 00377-0622 TB Phenobarbital 16.20
Vale Chemical Co Wescophen S-II 00377-0628 TB Phenobarbital 30.00
Vale Chemical Co Pulsaphen 00377-0652 TB Phenobarbital 15.00
Valeant Pharmaceuticals Phrenilin Forte 0187-0844 CA Butalbital 50.00
Valeant Pharmaceuticals International Librax (Chlordiazepoxide HCl and Clidinium Bromide) Capsules 0187-4100 CA Chlordiazepoxide HCl 5.00
Valeant Pharmaceuticals Intl./Oceanside Pharmaceuticals Inc. Chlordiazepoxide HCl and Clidinium Bromide Capsules 68682-409 CA Chlordiazepoxide HCl 5.00
Victory Pharma Inc. (Manuf. By West-Ward Pharmaceutical) Zebutal Brand Butalbital, Acetaminophen, and Caffeine Capsules 68453-170 CA Butalbital 50.00
Vintage Pharmaceuticals Chlordiazepoxide Hydrochloride and Clidinium Bromide Capsules 0254-2732 CA Chlordiazepoxide 5.00
Vitarine Pharmaceuticals, Inc E-Caff PB Tablets 00185-0982 TB Pentobarbital 30.00
Vortech Pharmacal Co Phedral C. T. 00298-1173 TB Phenobarbital 8.10
Vortech Pharmacal Co Hypnaldyne 00298-1778 TB Phenobarbital 16.20
Vortech Pharmacal Co Donna-Sed 00298-5054 EL Phenobarbital 3.24
Vortech Pharmacal Co Isophed 00298-5680 LQ Phenobarbital 0.40
Wallace Laboratories Butibel Elixir 00037-0044 EL Butabarbital Sodium 3.00
Wallace Laboratories Butibel Tablets 00037-0046 TB Butabarbital Sodium 15.00
Wallace Laboratories Barbidonna Tablets 00037-0301 TB Phenobarbital 16.00
Wallace Laboratories Barbidonna Elixir 00037-0305 EL Phenobarbital 3.20
Wallace Laboratories Barbidonna No 2 00037-0311 TB Phenobarbital 32.00
Wallace Laboratories Lufyllin-EPG Tablets 00037-0561 TB Phenobarbital 16.00
Wallace Laboratories Lufyllin-EPG Elixir 00037-0565 EL Phenobarbital 1.60
Wallace Laboratories Milprem-400 00037-5401 TB Meprobamate 400.00
Wallace Laboratories Milprem-200 00037-5501 TB Meprobamate 200.00
Warner Chilcott Laboratories Pyridium Plus Tablets 00430-0182 TB Butabarbital 15.00
WE Hauck Inc G-1 Capsules 43797-0244 CA Butalbital 50.00
Wesley Pharmacal Co Pulsaphen Gray 00917-0113 TB Phenobarbital 15.00
Wesley Pharmacal Co Wescophen-S 00917-0135 TB Phenobarbital 30.00
Wesley Pharmacal Co Hytrophen 00917-0244 TB Phenobarbital 16.20
Wesley Pharmacal Co Wesmatic Forte 00917-0845 TB Phenobarbital 8.00
Westminster Pharmaceuticals Butalbital, Acetaminophen and Caffeine Tablets(50mg/325mg/40mg) 69367-203 TB Butalbital 50.00
West-Ward Pharmaceutical Corp. Butalbital, Acetaminophen, and Caffeine Tablets, USP 00143-1115 TB Butalbital 50.00
West-Ward Pharmaceutical Corp. Belladonna Alkaloids & Phenobarbital 00143-1140 TB Phenobarbital 16.20
West-Ward Pharmaceutical Corp. Theophylline Ephedrine & Phenobarbital 00143-1695 TB Phenobarbital 8.00
West-Ward Pharmaceutical Corp. Butalbital with Acetaminophen and Caffeine Tablets 00143-1787 TB Butalbital 50.00
West-Ward Pharmaceutical Corp. Butalbital, Acetaminophen and Caffein Capsules 00143-3001 CA Butalbital 50.00
West-Ward Pharmaceutical Corp. Clindinax Capsules 00143-3091 CA Chlordiazepoxide Hydrochloride 5.00

Page 11
 Exempt Prescription Products 1/11/2024

Company Trade Name NDC Code Form Controlled Substance (mg or mg/ml)
West-Ward Pharmaceutical Corp. Clindinax Capsules 00143-3092 CA Chlordiazepoxide Hydrochloride 5.00
West-Ward Pharmaceutical Corp. Zebutal Brand Butalbital, Acetaminophen, and Caffeine Capsules 59630-0170 CA Butalbital 50.00
Winder Laboratories, LLC. Phenohytro (Phenobarbital, Hyoscyamine, Atropine, Scopolamine) 75826-118 TB Phenobarbital 16.20
Winder Laboratories, LLC. Phenohytro (Phenobarbital, Hyoscyamine, Atropine, Scopolamine) 75826-127 LQ Phenobarbital 16.20
Winder Laboratories, LLC. Phenohytro (Phenobarbital, Hyoscyamine, Atropine, Scopolamine) 75826-128 LQ Phenobarbital 16.20
Winthrop Labs Isuprel 00024-0874 EL Phenobarbital 0.40
Wraser Pharmaceuticals Phrenilin Forte (Butalbital, Acetaminophen and Caffeine) 50/300/40 66992-955 CA Butalbital 50.00
Zenith Goldline Pharmaceuticals Belladonna Alkaloids with Phenobarbital ER Tablets 00182-2611 TB Phenobarbital 48.60
Zenith Goldline Pharmaceuticals Butalbital, Acetaminophen and Caffeine Tablets 00182-2659 TB Butalbital 50.00

Page 12