| Generic Name(s) | Strength | Dosage Form | ICD Code |
| Conivaptan | 20mg/100 mL | Injection | Y52 |
| Ethacrynic Acid | 25mg, 50mg | Tablets, Injection | Y52 |
| Milrinone | 100ml, 200ml | Injection | Y52 |
| Nesiritide | 1.5mg, single-use Vials | Injection | Y52 |
| Norepinephrine | 4mg/2ml | Injection | Y52 |
| Nylidrin- Buphenine | Y52 | ||
| Prep kit for Technetium Tc99 Sestamibi | 5mL Vial | Injection | Y52 |
