| Generic Name(S) | Strength | Dosage Form | ICD Code |
| Atovaquone | 750mg/5ml | Suspension | Y41 |
| Clindamycin | 75mg, 150mg, 300mg | Capsule | Y41 |
| Clindamycin | 75mg/5ml | Solution | Y41 |
| Furazolidone | 100mg | Tablet | Y41 |
| Furazolidone | 50mg/15ml | Suspension | Y41 |
| Linezolid | 600mg | Tablet | Y41 |
| Linezolid | 100mg/5ml | Suspension | Y41 |
| Metronidazole | 250mg, 375mg, 500mg | Cap, Tab | Y41 |
| Neomycin | 500mg | Tablet | Y41 |
| Neomycin | 125mg/5ml | Solution | Y41 |
| Pentamidine | 300mg per vial | Inhalation | Y41 |
| Pentamidine | 300mg per vial | Inh Powder | Y41 |
| Tobramycin | 300mg/5ml | Inhalation | Y41 |
| Vancomycin | 125mg, 250mg | Capsule | Y41.9 |
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