| Generic Name(S) | Strength | Dosage Form | ICD Code |
| Alprostadil | 5mcg, 10mcg, 20mcg, 40mcg | Kit | Y51.1 |
| Alprostadil | 125mcg, 250mcg, 500mcg, 1000mcg | Pellets | Y51.1 |
| Bethanechol | 5mg, 10mg, 25mg, 50mg | Tablet | Y51.1 |
| Calcitriol Capsules | 0.25mcg, 0.5mcg | Capsule | Y51.1 |
| Calcium Accetate | 667mg | Capsule, Tablet | Y51.1 |
| Cevimeline | 30mg | Capsule | Y51.1 |
| Cinacalcet | 30mg/60mg, 90mg | Tablet | Y51.1 |
| Cyanocobalamin | 100mcg/ml, 1000mcg/ml | Vial | Y51.1 |
| Dihydrotachysterol (DHT) | 0.125mg, 0.2mg, 0.4mg | Tablet | Y51.1 |
| Dihydrotachysterol (DHT) | 0.125mg | Capsule | Y51.1 |
| Disulfiram | 250mg, 500mg | Tablet | Y51.1 |
| Ergocalciferol | 400u, 1,000u, 5,000u, 10,000u | Capsule | Y51.1 |
| Ferrous Fumarate/Folic Acid | 106mg/1mg | Tablet | Y51.1 |
| Ferrous Sulfate/Folate/Vit. B Comp./C | 105mg/0.8mg/500mg | Tablet | Y51.1 |
| Flavoxate | 100mg | Tablet | Y51.1 |
| Leucovorin | 5mg, 10mg, 15mg, 25mg | Tablet | Y51.1 |
| Methylergonovine | 0.2mg | Tablet | Y51.1 |
| Miglustat | 100mg | Capsule | Y51.1 |
| Multiple Vitamins with Fluoride | 0.5mg, 1mg | Tablet | Y51.1 |
| Multiple Vitamins with Fluoride | 0.25mg/ml, 0.5mg/ml | Drops | Y51.1 |
| Multiple Vitamins with Fluoride and Iron | 0.5mg/ml | Drops | Y51.1 |
| Neostigmine | 15mg | Tablet | Y51.1 |
| Niacin, Sustained Release | 250mg, 500mg, 750mg, 1000mg | Capsule, Tablet | Y51.1 |
| Nicotine | 2mg, 4mg, 1mg, 10mg | Inhaler, Tablet | Y51.1 |
| Octreotide | 0.05mg, 0.1mg, 0.2mg, 0.5mg, 1mg per ml | Injectable | Y51.1 |
| Phytonadione (Vitamin K) | 5mg | Tablet | Y51.1 |
| Pilocarpine | 5mg | Tablet | Y51.1 |
| Prenatal Vitamins with Folate | 1mg | Tablet | Y51.1 |
| Prenatal Vitamins with Folate | <1mg | Tablet | Y51.1 |
| Prenatal Vitamins with Folate/DSS | 1mg | Tablet | Y51.1 |
| Prenatal Vitamins with Folate/selenium | 1mg | Tablet | Y51.1 |
| Sevelamer | 400mg, 403mg, 800mg | Tablet | Y51.1 |
| Sodium Polystyrene | 15g/60ml | Suspension | Y51.1 |
| Vitamins A, D, C with Fluoride | 1mg | Tablet | Y51.1 |
| Vitamins A, D, C with Fluoride | 0.25mg/ml, 0.5mg/ml | Drops | Y51.1 |
| Vitamins A, D, C with Fluoride and Iron | 0.25mg/ml | Drops | Y51.1 |
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