Analgesics - Therapeutic Classification


Generic Name(s)	Strength	Dosage Form	ICD Code
Acetaminophen			Y45.8
Acetaminophen and Codeine		Tablets	Y45.8
Acetaminophen and Hydrocodone Bitartrate	7.5 mg/500 mg per 15 mL	Oral Solution	Y45.8
Acetaminophen and Oxycodone	5mg/325mg, 7.5/325mg, 7.5/500mg, 10/325mg, 10/650mg	Tablets	Y45.8
Acetaminophen and Propoxyphene	50 mg, 100mg	Tablets	Y45.8
Alfentanil Hydrochloride Injection	500 mcg.	Injection	Y45.8
Aspirin and Codeine	325mg/30mg., 325mg/60mg	Tablets	Y45.1
Aspirin and Oxycodone		Tablets	Y45.1
Capsaicin	179mg/patch	Patch	Y45.8
Clove oil	0.3% w/v	Solution
Fenoprofen	200 mg and 400 mg	Capsules,	Y45.3
Levorphanol	1 mL, 2mg/mL, 2mg	Injection, Solution and Tablet	Y45
Lomoxicam	4mg, 8mg	Tablet	Y45
Methyl salicylate	30%, 10%	Cream
Nalbuphine	10mg/1amp, 20mg/1amp	Injection	Y45.0
Oxyfenbutazone			Y45.8
Parecoxib	50mg, 40mg/Vial	Capsules, Injection	Y45.8
Pentazocine and Naloxone	50mg/0.5mg	Tablet	Y45.8
Phenazopyridine	100mg, 200mg	Tablet	Y45.8
Phenylbutazone	100mg	Tablet	Y45.8
Remifentanil	1mg/3ml, 2mg/5ml, 5mg/10ml	Injection	Y45
Tapentadol	50mg, 75mg, 100mg	Tablets	Y45

Anti-Migraine Agents
Generic Name(s)	Strength	Dosage Form	ICD Code
Acetaminophen, Butalbital and Caffeine	50mg/40mg/325mg	Capsule, Tablet	Y45.8
Acetaminophen, Butalbital and Caffeine	50mg/40mg/500mg	Capsule, Tablet	Y45.8
Aspirin, Butalbital and Caffeine	50mg/40mg/325mg	Tablet	Y45.8
Belladona/Ergotamine/Phenobarbital	1mg/100mg/0.125mg/30mg	Tablet	Y45.8
Ergotamine Sublingual	2mg	SL Tablet	Y45.8
Ergotamine Tartrate and Caffeine	2mg/100mg	Suppository	Y45.8
Ergotamine Tartrate and Caffeine	1mg/100mg	Tablet	Y45.8
Ergotamine/Caffeine/Belladonna/P-Barb	2mg/100mg/0.25mg/60mg	Suppository	Y45.8
Isometheptene/Dichloralphenazone/APAP	65mg/100mg/325mg	Capsule	Y45.8
Methysergide	2mg	Tablet	Y45
Rizatriptan	5mg, 10mg	Tablet	Y45
Sumatriptan	25mg, 50mg	Tablet	Y45.8
Sumatriptan	6mg/0.5ml	Injection	Y45.8
Sumatriptan	5mg, 20mg	Nasal Spray	Y45.8
Zolmitriptan	2.5mg, 5mg	Tablet, Spray	Y45.8

narcotic partial agonist
Generic Name(s)	Strength	Dosage Form	ICD Code
Buprenorphine and Naloxone	2mg/0.5mg, 8mg/2mg	Tablets	Y45.0

Narcotics
Generic Name(s)	Strength	Dosage Form	ICD Code
	10mg/650mg,10mg/660mg, 7.5mg/750mg		Y45.0
Acetaminophen/Codeine	300mg/15mg, 30 mg, 60mg	Tablet	Y45.0
Acetaminophen/Codeine	12mg/12mg	Elixir	Y45.0
Aspirin/Codeine	325mg/30mg, 30mg, 60mg	Tablet	Y45.0
Fentanyl Transdermal System	25mcg/hr, 50mcg/hr, 75mcg/hr, 100mcg/hr	Transderm Patch	Y45.0
Hydrocodone/APAP	2.5mg, 5mg, 7.5mg, 10mg/500mg, 7.5mg,	Capsule, Tablet	Y45.0
Hydrocodone/APAP	2.5mg/167mg/5ml	Elixir	Y45.0
Hydromorphone	2mg, 4mg, 8mg	Tablet	Y45.0
Hydromorphone	3mg	Suppository	Y45.0
Hydromorphone	1mg/ml	Liquid	Y45.0
Meperidine	50mg/5ml	Syrup	Y45
Meperidine	50mg, 100mg	Tablet	Y45
Methadone	5mg, 10mg, 40mg	Tablet	Y45
Methadone	5mg/5ml, 10mg/5ml	Solution	Y45
Methadone	10mg/ml	Oral Conc	Y45
Morphine	15mg, 30mg	Tablet, Capsule	Y45
Morphine	10mg/5ml, 20mg/5ml	Solution	Y45
Morphine	5mg, 10mg, 20mg, 30mg	Suppository	Y45
Morphine Sulfate and Naltrexone Hydrochloride	20mg/0.8mg, 30mg/1.2mg , 50mg/2mg, 60mg/2.4, 80mg/3.2mg	Capsule	Y45
Morphine Sulfate, Sustained Release	15mg, 30mg, 60mg, 100mg, 200mg	Tablet	Y45
Naltrexone	50mg	Tablet	Y45.0
Opium/Bellandonna Alkaloids	60mg/15mg, 60mg/16.2mg, 30mg/16.2mg	Suppository	Y45.0
Oxycodone Hydrochloride	5mg	Capsule, Tablet	Y45.0
Oxycodone Hydrochloride	5mg/5ml, 20mg/ml	Solution	Y45.0
Oxycodone Hydrochloride	20mg/ml	Solution	Y45.0
Oxycodone Hydrochloride	10mg, 20mg, 40mg, 80mg	Tablet	Y45.0
Oxycodone Hydrochloride	160mg	Tablet	Y45.0
Oxycodone/APAP	2.5mg, 5mg/325mg,5mg, 7.5mg/500mg, 10mg/650mg	Capsule, Tablet	Y45.0
Oxycodone/ASA	2.44mg, 4.88mg/325mg	Tablet	Y45.0
Propoxyphene	65mg	Capsule	Y45.0
Propoxyphene APAP	50mg, 65mg, 100mg/650mg	Capsule, Tablet	Y45.0
Propoxyphene/ASA/Caffeine	65mg/389mg/32.4	Capsule	Y45.0
Sufentanil Citrate Injection	50 µg/mL	Injection	Y45

Non- Opioid
Generic Name(s)	Strength	Dosage Form	ICD Code
Flupirtine	100 mg, 400 mg	Capsule
Nefopam	30mg, 20mg/1ml	Tablets, Injection	Y45.8

Nonsteroidal Anti-Inflammatory Agents
Generic Name(s)	Strength	Dosage Form	ICD Code
Dexibuprofen	200mg, 300mg, 400mg	Tablet	Y45.3
Diclofenac	25mg, 50mg, 75mg, 100mg	Tablet	Y45.3
Etodolac	200mg, 300mg, 400mg, 500mg	Capsule, Tablet	Y45.3
Flurbiprofen	50mg, 100mg	Tablet	Y45.3
Ibuprofen	300mg, 400mg, 600mg, 800mg	Tablet	Y45.3
Indomethacin	25mg, 50mg	Capsule	Y45.3
Indomethacin	75mg	Capsule	Y45.3
Indomethacin	25mg/5ml	Suspension	Y45.3
Indomethacin	50mg	Suppository	Y45.3
Ketoprofen	25mg, 50mg, 75mg	Capsule	Y45.3
Ketoprofen, Sustained Release	100mg, 150mg, 200mg	Capsule	Y45.3
Ketorolac	10mg	Tablet	Y45.3
Nabumetone	500mg	Tablet	Y45.3
Naproxen	250mg, 275mg, 375mg, 500mg, 550mg	Tablet	Y45.3
Naproxen	125mg/5ml	Suspension	Y45.3
Naproxen/Lansoprazole	375mg/15mg, 500mg/15mg	Tablet, Capsule	Y45.3
Oxaprozin	600mg	Tablet	Y45.3
Piroxicam	10mg, 20mg	Capsule	Y45.3
Sulindac	150mg, 200mg	Tablet	Y45.3
Tramadol	50mg	Tablet	Y45.3

NSAID
Generic Name(s)	Strength	Dosage Form	ICD Code
Diclofenac Sodium (Topical Solution)	15ml/1.5ml	Topical Solution	Y45.3
Mefenamic Acid	250mg	Capsules	Y45.3
Meloxicam	7.5mg, 15mg, 5mg/1ml	Tablets, Injection	Y45.3

Opioid
Generic Name(s)	Strength	Dosage Form	ICD Code
Hydrocodone			Y45.0

Opioid agonist
Generic Name(s)	Strength	Dosage Form	ICD Code
Butorphanol	1mg	Nasal Spray	Y45.0
Oxymorphone	1mg/mL 1 mL ampuls, 1.5mg/mL 10 mL	Injection, Suppositories	Y45.0

Opioid Agonist-antagonist Analgesic
Generic Name(s)	Strength	Dosage Form	ICD Code
Pentazocine	25mg, 30mg/1ml	Tablet, Injection	Y45.0

Opioid Analgesic
Generic Name(s)	Strength	Dosage Form	ICD Code
Pethidine	50mg/1ml	Injection	Y45.0

Salicylates
Generic Name(s)	Strength	Dosage Form	ICD Code
Aspirin	800mg, 975mg	Tablet	Y45.1
Choline Magnesium Salicylate	500mg, 750mg, 1000mg	Tablet	Y45.1
Choline Magnesium Salicylate	500mg/5ml	Liquid	Y45.1
Diflunisal	250mg, 500mg	Tablet	Y45.1
Salsalate	500mg, 750mg	Capsule, Tablet	Y45