| Generic Name(S) | Strength | Dosage Form | ICD Code |
| Acetazolamide | 125mg, 250mg | Tablet | Y54.5 |
| Acetazolamide, Sustained Release | 500mg | Capsule | Y54.5 |
| Amiloride | 5mg | Tablet | |
| Amiloride and Hydrochlorothiazide | 5/50mg | Tablets | Y54.5 |
| Chlorthalidone | 25mg, 50mg, 100mg | Tablet | Y54.5 |
| Clopamide | Y54.5 | ||
| Furosemide and Spironolactone | 50mg/20mg | Tablet | Y54.5 |
| Hydrochlorothiazide | 12.5mg, 25mg, 50mg, 100mg | Tablet, Capsule | Y54.5 |
| Hydrochlorothiazide | 50mg/5ml, 100mg/ml | Solution | Y54.5 |
| Hydrochlorothiazide and Spironolactone | 25mg/25mg, 50mg/50mg | Tablet | Y54.5 |
| Hydrochlorothiazide and Triamterene | 25mg/37.5mg | Capsule | Y54.5 |
| Hydrochlorothiazide and Triamterene | 25mg/37.5mg, 50mg/75mg | Tablet | Y54.5 |
| Indapamide | 1.25mg, 2.5mg | Tablet | Y54.5 |
| Methazolamide | 25mg, 50mg | Tablet | Y54.5 |
| Methyclothiazide | 5mg | Tablet | Y54.5 |
| Metolazone | 0.5mg, 2.5mg, 5mg, 10mg | Tablet | Y54.5 |
| Pamabrom | Y54.5 | ||
| Spironolactone | 25mg, 50mg, 100mg | Tablet | Y54.5 |
| Triamterene | 50mg, 100mg | Capsules | Y54.5 |
| Xipamide | 20mg | Tablets | Y54.5 |
| Generic Name(S) | Strength | Dosage Form | ICD Code |
| Furosemide | 20mg, 40mg, 80mg | Tablet | Y54.4 |
| Furosemide | 10mg/ml, 40mg/5ml | Solution | Y54.4 |
| Torasemide | 5mg, 10mg, 20mg, 100mg | Tablet | Y54.4 |
| Generic Name(S) | Strength | Dosage Form | ICD Code |
| Mannitol | Injection, Solution | Y54.5 |
| Generic Name(S) | Strength | Dosage Form | ICD Code |
| Chlorothiazide | 250mg/5ml | Oral Suspension | Y54.5 |
| Hydroflumethiazide | Y54.5 |
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