| Generic Name(s) | Strength | Dosage Form | ICD Code |
| Cimetidine | 300mg, 400mg, 800mg | Tablet | Y53.0 |
| Cimetidine | 300mg/5ml | Liquid | Y53.0 |
| Esomeprazole | 20mg, 40mg, 2.5 mg, 5 mg, 10 mg, 20 mg or 40 mg/unit | Capsules, Oral Suspension | Y53.0 |
| Famotidine | 10mg, 20mg, 40mg | Tablet | Y53.0 |
| Lansoprazole | 15mg | Suspension | Y53.0 |
| Lansoprazole | 15mg, 30mg | Capsule, Solutab | Y53.0 |
| Lansoprazole/Amoxicillin/Clarithromycin | 30mg/500mg/500mg | Combo Pak | Y53.0 |
| Misoprostol | 100mcg, 200mcg | Tablet | Y53.0 |
| Nizatidine | 150mg, 300mg | Capsule | Y53.0 |
| Pantoprazole | 20mg, 40mg | Tablet | Y53.0 |
| Rabeprazole | 20mg | Tablets | Y53.0 |
| Rabeprazole and Itopride | 150mg/520mg | Capsule | Y53.0 |
| Ranitidine | 150mg, 300mg | Tablet | Y53.0 |
| Ranitidine | 15mg/ml | Syrup | Y53.0 |
| Rebamipide | 100 mg | Tablet | |
| Revaprazan | 200 mg | Tablet | |
| Roxatidine | 75mg, 150mg | Tablets | Y53.0 |
| Sucralfate | 1 gm | Tablet | Y53.0 |
| Sucralfate | 1gm/10ml | Suspension | Y53.0 |
| Troxipide | 100 mg | Tablet |
| Generic Name(s) | Strength | Dosage Form | ICD Code |
| Omeprazole | 20mg , 10mg | Tablet, Capsule | Y53.0 |
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