|Generic Name(S)||Strength||Dosage Form||ICD Code|
|Belladonna Alkaloid Combinations and Phenobarbital||0.13mg/16.2mg||Tablet, Capsule||Y55.1|
|Belladonna Alkaloid Combinations and Phenobarbital||16.2mg/5ml||Elixir||Y55.1|
|Dicyclomine||10mg, 20mg||Tablet, Capsule||Y55.1|
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