Antihistamines and Combinations: Page 1 of 1

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Oct 27, 2005 ... LONG ACTING DECONP-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG. TABLET. QUAD-TUSS TANNATE CAR-B-PEN TA/CP/EPHED TAN/PE.
Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Antihistamines and Combinations: Page 1 of 1 Generic Name

Description

RENTAMINE CAR-B-PEN TA/CP/EPHED TAN/PE QUAD-TUSS TANNATE CAR-B-PEN TA/CP/EPHED TAN/PE QUAD TANN PEDIATRIC CAR-B-PEN TA/CP/EPHED TAN/PE TETRA TANNATE CAR-B-PEN TA/CP/EPHED TAN/PE TETRA TANNATE CAR-B-PEN TA/CP/EPHED TAN/PE PROMETHAZINE VC PHENYLEPHRINE HCL/PROMETH HCL TRI-TANNATE CP/PHENYLEPHRINE/PYRIL TAN DURADRYL JR CHLOR-MAL/PHENYLEPHRINE/SCOP EX-HISTINE CHLOR-MAL/PHENYLEPHRINE/SCOP PHENYDRYL CHLOR-MAL/PHENYLEPHRINE/SCOP DURADRYL CHLOR-MAL/PHENYLEPHRINE/SCOP DEHISTINE CHLOR-MAL/PHENYLEPHRINE/SCOP PREHIST D CHLOR-MAL/PHENYLEPHRINE/SCOP HISTA-VENT DA CHLOR-MAL/PHENYLEPHRINE/SCOP OMNIHIST L.A. CHLOR-MAL/PHENYLEPHRINE/SCOP AEROHIST PLUS CHLOR-MAL/PHENYLEPHRINE/SCOP DRIHIST SR CHLOR-MAL/PHENYLEPHRINE/SCOP SILAMINIC CHLOR-MAL/PPA HCL N D CLEAR CHLOR-MAL/PSEUDOEPHEDRINE HCL RYNA CHLOR-MAL/PSEUDOEPHEDRINE HCL HAYFEBROL CHLOR-MAL/PSEUDOEPHEDRINE HCL HAYFEBROL CHLOR-MAL/PSEUDOEPHEDRINE HCL HAYFEBROL CHLOR-MAL/PSEUDOEPHEDRINE HCL HAYFEBROL CHLOR-MAL/PSEUDOEPHEDRINE HCL HAYFEBROL CHLOR-MAL/PSEUDOEPHEDRINE HCL CHLORAFED CHLOR-MAL/PSEUDOEPHEDRINE HCL PSEUDAFEN PLUS CHLOR-MAL/PSEUDOEPHEDRINE HCL UNI-SED PLUS CHLOR-MAL/PSEUDOEPHEDRINE HCL SUDOGEST PLUS CHLOR-MAL/PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE PL CHLOR-MAL/PSEUDOEPHEDRINE HCL DECONGESTANT PLUS CHLOR-MAL/PSEUDOEPHEDRINE HCL PSEUDOEHEDRINE PLU CHLOR-MAL/PSEUDOEPHEDRINE HCL CURALER CHLOR-MAL/PSEUDOEPHEDRINE HCL CHLOR-TRIMETON DECOCHLOR-MAL/PSEUDOEPHEDRINE HCL CHLOR-TRIMETON DECOCHLOR-MAL/PSEUDOEPHEDRINE HCL CHLOR-TRIMETON DECOCHLOR-MAL/PSEUDOEPHEDRINE HCL TRIPROLIDINE W/PSEUDP-EPHED HCL/TRIPROLIDINE HCL TRIPROLIDINE W/PSEUDP-EPHED HCL/TRIPROLIDINE HCL APHEDRID P-EPHED HCL/TRIPROLIDINE HCL BIOFED-PE P-EPHED HCL/TRIPROLIDINE HCL BIOFED-PE P-EPHED HCL/TRIPROLIDINE HCL BIOFED-PE P-EPHED HCL/TRIPROLIDINE HCL BIOFED-PE P-EPHED HCL/TRIPROLIDINE HCL RITIFED P-EPHED HCL/TRIPROLIDINE HCL RITIFED P-EPHED HCL/TRIPROLIDINE HCL RITIFED P-EPHED HCL/TRIPROLIDINE HCL TRIPROLIDINE W/PSEUDP-EPHED HCL/TRIPROLIDINE HCL TRIPROLIDINE W/PSEUDP-EPHED HCL/TRIPROLIDINE HCL TRISUDEX P-EPHED HCL/TRIPROLIDINE HCL TRISUDEX P-EPHED HCL/TRIPROLIDINE HCL TRISUDEX P-EPHED HCL/TRIPROLIDINE HCL APHEDRID P-EPHED HCL/TRIPROLIDINE HCL DECONGESTANT/ANTIH P-EPHED HCL/TRIPROLIDINE HCL LONG ACTING DECONG P-EPHED HCL/TRIPROLIDINE HCL

Strength 30-5-5-4/5 30-5-5-4/5 30-5-5-4/5 30-5-5-4/5 30-5-5-4/5 25-25-8MG 10-4-1.25 10-2-1.25 10-2-1.25 10-2-1.25 10-2-1.25 20-8-2.5MG 20-8-2.5MG 20-8-2.5MG 20-8-2.5MG 20-8-2.5MG 120-8MG 30-2 30-2 30-2 30-2 30-2 30-2 30-2MG/5ML 60-4MG 60-4MG 60-4MG 60-4MG 60-4MG 60-4MG 60-4MG 120-8MG 120-8MG 120-8MG 30-1.25/5 30-1.25/5 30-1.25/5 30-1.25/5 30-1.25/5 30-1.25/5 30-1.25/5 30-1.25/5 30-1.25/5 30-1.25/5 60-2.5MG 60-2.5MG 60-2.5MG 60-2.5MG 60-2.5MG 60-2.5MG 60-2.5MG 60-2.5MG

Form ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP SYRUP TABLET CAPSULE SA SYRUP SYRUP SYRUP SYRUP TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H SYRUP CAP.SR 12H LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID TABLET TABLET TABLET TABLET TABLET TABLET TABLET TAB.SR 12H TAB.SR 12H TAB.SR 12H SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET

Strength

Form

LONG ACTING DECONP-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG TRI-FED P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG TRI-FED P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG TRI-FED P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG TRI-PSEUDATED P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG TRI-PSEUDATED P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG APHEDRID P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG APHEDRID P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG APHEDRID P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG APHEDRID P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG APHEDRID P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG DECONGESTANT P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG ANTIHISTAMINE P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG SB ANTIHISTAMINE P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG ANTIHISTAMINE P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG ANTIHISTAMINE P-EPHED HCL/TRIPROLIDINE HCL 60-2.5MG EXTENDRYL CHLOR-MAL/PHENYLEPHRINE/SCOP10-2-1.25 AH-CHEW CHLOR-MAL/PHENYLEPHRINE/SCOP10-2-1.25 PCM CHLOR-MAL/PHENYLEPHRINE/SCOP10-2-1.25 QV-ALLERGY CHLOR-MAL/PHENYLEPHRINE/SCOP10-2-0.625 WE ALLERGY CHLOR-MAL/PHENYLEPHRINE/SCOP10-2-0.625 CHLOR-MES D CHLOR-MAL/PHENYLEPHRINE/SCOP10-2-0.625 ALLERGY TABLET CHLOR-MAL/PSEUDOEPHEDRINE HC30-2MG TRIAMINIC CHLOR-MAL/PSEUDOEPHEDRINE HC15-1MG RYNEZE CHLOR-MAL/METHSCOPOLAMINE N 8-2.5MG BIDNASE CHLOR-MAL/METHSCOPOLAMINE N 8-2.5MG NOHIST-EXT CHLOR-MAL/METHSCOPOLAMINE N 8-2.5MG HISTA-VENT PSE CHLOR-MAL/P-EPHED HCL/SCOP 120-8-2.5 TANA R-12 PHENYLEPHRINE/PYRIL TAN 5-30MG/5ML P-EPHED HCL/CHLOR CHLOR-MAL/P-EPHED HCL/SCOP 90-8-2.5MG COLDAMINE CHLOR-MAL/P-EPHED HCL/SCOP 90-8-2.5MG CPM 8/PSE 90/MSC 2.5CHLOR-MAL/P-EPHED HCL/SCOP 90-8-2.5MG TANATAN RF CHLOR-TAN/PHENYLEPHRINE 5-4.5MG/5 HISTACOL LA BELLAD ALK/CPMM/PHENYLEPHRIN 20-8MG BELLAHIST-D LA BELLAD ALK/CPMM/PHENYLEPHRIN 20-8MG BROMDEC CARBINOX MAL/P-EPHED HCL 15-1MG/ML BROMDEC BROMPHENIRAMIN/P-EPHED HCL 45-4MG/5ML BROMDEC BROMPHENIRAMIN/P-EPHED HCL 45-4MG/5ML NOVAHISTINE CHLOR-MAL/PHENYLEPHRINE HCL 5-2MG/5ML TANAVAN PHENYLEPHRINE/PYRIL TAN 12.5-30/5 TANAVAN PHENYLEPHRINE/PYRIL TAN 12.5-30/5 PSEUDOX M CARBINOX MAL/P-EPHED HCL/SCOP15-2-1.25 RU-TUSS BELL ALK/CHLOR-MAL/P-EPHED HC 90-8-0.24 PCM ALLERGY CHLOR-MAL/PHENYLEPHRINE/SCOP20-12-2.5 PCM LA CHLOR-MAL/P-EPHED HCL/SCOP 60-8-1.25 DENAZE CHLOR-MAL/PHENYLEPHRINE/SCOP10-4-1.25 AEROKID CHLOR-MAL/PHENYLEPHRINE/SCOP10-4-1.25 AEROKID CHLOR-MAL/PHENYLEPHRINE/SCOP10-4-1.25 CPM 8/PE 20/MSC 1.25CHLOR-MAL/PHENYLEPHRINE/SCOP20-8-1.25 NACON CARBINOX MAL/P-EPHED HCL/SCOP90-8-2.5MG RALIX CHLOR-MAL/PHENYLEPHRINE/SCOP40-8-2.5MG PHENYLEPHRINE CM CHLOR-MAL/PHENYLEPHRINE/SCOP40-8-2.5MG

Generic Name

Description

TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TAB CHEW TAB CHEW TAB CHEW SYRUP SYRUP SYRUP TABLET TAB CHEW TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H ORAL SUSP TAB.SR 12H TAB.SR 12H TAB.SR 12H ORAL SUSP TAB.SR 12H TAB.SR 12H DROPS SYRUP SYRUP ELIXIR ORAL SUSP ORAL SUSP SYRUP TAB.SR 12H TAB.SR 12H TAB.SR 12H SYRUP SYRUP SYRUP TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Antitussives and Combinations: Page 1 of 7 Generic Name

Description

BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE BENZONATATE PULMARI BPM/CAR-B-PEN TA/PHENYLEPHRINE BETATAN BPM/CAR-B-PEN TA/PHENYLEPHRINE ANAPLEX DMX BPM/D-METHORP TAN/P-EPD TAN UNI-HIST PDX BPM/D-METHORPHAN HB/GUAIFEN/PE BROMATANE DX BPM/D-METHORPHAN HB/P-EPD HCL BROMOPHED DX BPM/D-METHORPHAN HB/P-EPD HCL BROMANATE DX BPM/D-METHORPHAN HB/P-EPD HCL BROMANATE DX BPM/D-METHORPHAN HB/P-EPD HCL BROMETANE DX BPM/D-METHORPHAN HB/P-EPD HCL BROMETANE DX BPM/D-METHORPHAN HB/P-EPD HCL MYPHETANE DX BPM/D-METHORPHAN HB/P-EPD HCL ROBITUSSIN BPM/D-METHORPHAN HB/P-EPD HCL BROMPHENEX DM BPM/D-METHORPHAN HB/P-EPD HCL PSE BROM BPM/D-METHORPHAN HB/P-EPD HCL BROMPLEX DM BPM/D-METHORPHAN HB/P-EPD HCL ENDACOF-DM BPM/D-METHORPHAN HB/P-EPD HCL ANDEHIST DM BPM/D-METHORPHAN HB/P-EPD HCL CARDEC DM BPM/D-METHORPHAN HB/P-EPD HCL CARDEC DM BPM/D-METHORPHAN HB/P-EPD HCL RONDAMINE DM BPM/D-METHORPHAN HB/P-EPD HCL CARBOFED DM BPM/D-METHORPHAN HB/P-EPD HCL SILDEC-DM BPM/D-METHORPHAN HB/P-EPD HCL CARBODEX DM BPM/D-METHORPHAN HB/P-EPD HCL ANDEHIST-DM BPM/D-METHORPHAN HB/P-EPD HCL BROMAXEFED DM RF BPM/D-METHORPHAN HB/P-EPD HCL BROMAXEFED DM RF BPM/D-METHORPHAN HB/P-EPD HCL BROMAXEFED DM RF BPM/D-METHORPHAN HB/P-EPD HCL BROMDEC DM BPM/D-METHORPHAN HB/P-EPD HCL BROMDEC DM BPM/D-METHORPHAN HB/P-EPD HCL COLDEC DM BPM/D-METHORPHAN HB/P-EPD HCL UNI-HIST DM BPM/D-METHORPHAN HB/P-EPD HCL HISTACOL DM BPM/D-METHORPHAN HB/P-EPD HCL BROMHIST-DM BPM/D-METHORPHAN HB/P-EPD HCL PEDIAHIST DM BPM/D-METHORPHAN HB/P-EPD HCL UNI-HIST PDX BPM/D-METHORPHAN HB/P-EPD HCL BROMHIST PDX BPM/D-METHORPHAN HB/P-EPD HCL ENDACOF-PD BPM/D-METHORPHAN HB/P-EPD HCL BROMPHENEX HD BPM/HYDROCODONE/P-EPHED HCL PSE BPM HD BPM/HYDROCODONE/P-EPHED HCL BROMPLEX HD BPM/HYDROCODONE/P-EPHED HCL BROMPLEX HD BPM/HYDROCODONE/P-EPHED HCL ENDACOF-HC BPM/HYDROCODONE/P-EPHED HCL DROCON-CS BPM/HYDROCODONE/P-EPHED HCL BROMPHENIRAMINE-HY BPM/HYDROCODONE/P-EPHED HCL VISVEX HC BPM/HYDROCODONE/P-EPHED HCL M-END BPM/HYDROCODONE/P-EPHED HCL

Strength 100MG 100MG 100MG 100MG 100MG 100MG 100MG 100MG 200MG 30-7.5-4/5 30-7.5-4/5 60-90-8/5 50-5-5-2/5 10-30-2/5 10-30-2/5 10-30-2/5 10-30-2/5 10-30-2/5 10-30-2/5 10-30-2/5 10-30-2/5 30-60-4/5 30-60-4/5 30-60-4/5 30-60-4/5 15-60-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 15-45-4/5 4-15-1MG/1 4-15-1MG/1 4-15-1MG/1 4-15-1MG/1 3-12.5-1/1 3-12.5-1/1 3-12.5-1/1 30-1.7-2/5 30-1.7-2/5 30-1.7-2/5 30-1.7-2/5 30-1.7-2/5 30-2.5-2/5 30-2.5-3/5 30-2.5-3/5 15-2.5-2/5

Form CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE ORAL SUSP ORAL SUSP ORAL SUSP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP DROPS DROPS DROPS DROPS DROPS DROPS DROPS SOLUTION SOLUTION SOLUTION SOLUTION SOLUTION SYRUP SYRUP SYRUP LIQUID

Strength

Form

M-END MAX BPM/HYDROCODONE/PHENYLEPHR7.5-5-2/5 BROMATAN-DM BR-PHENIR/D-METHORP TAN/PE 20-20-8/5 TUSDEC-DM BR-PHENIR/D-METHORPHAN HB/PE 15-7.5-2/5 BIODEC-DM CARBINOX/DM HB/P-EPHED HCL BIODEC-DM CARBINOX/DM HB/P-EPHED HCL BIODEC-DM CARBINOX/DM HB/P-EPHED HCL BIODEC-DM CARBINOX/DM HB/P-EPHED HCL PRODEC-DM CARBINOX/DM HB/P-EPHED HCL 4-25-2/ML TUSSAFED CARBINOX/DM HB/P-EPHED HCL 15-60-4/5 DYNATUSS CARBINOX/DM HB/P-EPHED HCL 15-60-4/5 CARDEC DM CARBINOX/DM HB/P-EPHED HCL 4-15-1MG/1 RONDAMINE DM CARBINOX/DM HB/P-EPHED HCL 4-15-1MG/1 CARBOFED DM CARBINOX/DM HB/P-EPHED HCL 4-15-1MG/1 CARBOFED DM CARBINOX/DM HB/P-EPHED HCL 4-15-1MG/1 SILDEC-DM CARBINOX/DM HB/P-EPHED HCL 4-15-1MG/1 CARBODEX DM CARBINOX/DM HB/P-EPHED HCL 4-15-1MG/1 ANDEHIST-DM CARBINOX/DM HB/P-EPHED HCL 4-15-1MG/1 CARBAXEFED DM RF CARBINOX/DM HB/P-EPHED HCL 4-15-1MG/1 BROMDEC DM CARBINOX/DM HB/P-EPHED HCL 4-15-1/ML DECAHIST-DM CARBINOX/DM HB/P-EPHED HCL 15-15-2/5 PSE CARBINOXAMINE CARBINOX/DM HB/P-EPHED HCL 12.5-60-4 CORDRON-DM CARBINOX/DM HB/P-EPHED HCL 15-15-3/5 CORDRON-DM NR CARBINOX/DM HB/P-EPHED HCL 15-12.5-3 PEDIATEX DM CARBINOX/DM HB/P-EPHED HCL 15-12.5-3 CORDRON-12 DM CARBINOX/DM TAN/P-EPD TAN 45.2-3.6/5 PEDIATEX 12 DM CARBINOX/DM TAN/P-EPD TAN 45.2-3.6/5 TRITUSS-A CARBINOX/D-METHORPHAN HB/PE 2-2-1MG/ML DACEX-A CARBINOX/D-METHORPHAN HB/PE 2-2-1MG/ML P-EPD HCL/HCOD BT/CCARBINOX/HCOD BT/P-EPHED HCL 30-5-2MG/5 TRI-VENT HC CARBINOX/HCOD BT/P-EPHED HCL 30-5-2MG/5 HISTUSS HC CARBINOX/HCOD BT/P-EPHED HCL 30-5-2MG/5 TUSSIZONE-12 RF CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML TUSSIZONE-12 RF CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML TANNATE 12 S CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML TANNATE 12 S CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML TRIONATE CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML TANNIC-12 S CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML TANNIHIST-12 RF CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML TANNIHIST-12 RF CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML TANA T-12 CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML C-TANNA 12 CAR-B-PEN TA/CHLOR-TAN 30-4MG/5ML TUSSIZONE-12 RF CAR-B-PEN TA/CHLOR-TAN 60-5MG CAR-B-PEN TA/CHLORCAR-B-PEN TA/CHLOR-TAN 60-5MG RENTAMINE-12 CAR-B-PEN TA/CHLOR-TAN 60-5MG TRIONATE NF CAR-B-PEN TA/CHLOR-TAN 60-5MG TANNIC-12 CAR-B-PEN TA/CHLOR-TAN 60-5MG XIRATUSS CAR-B-PEN TA/CP/PHENYLEPHRINE 60-10-5MG EXRATUSS CAR-B-PEN TA/CP/PHENYLEPHRINE 30-12.5-4 D-TANN CT CAR-B-PEN TA/DP-HYDRAMINE/PE 30-7.5-25 RE-TANN CAR-B-PEN TA/P-EPD TAN 25-75MG/5 CARB-PHENYL-12 CAR-B-PEN TA/PHENYLEPHRINE 30-30MG/5 L-ALL 12 CAR-B-PEN TA/PHENYLEPHRINE 30-30MG/5 TANNATE 12D S CAR-B-PEN TA/PHENYLEPHRINE/PY 30-5-30/5 TANNIHIST-12 D CAR-B-PEN TA/PHENYLEPHRINE/PY 30-5-30/5 TANNIHIST-12 D CAR-B-PEN TA/PHENYLEPHRINE/PY 30-5-30/5

Generic Name

Description

LIQUID ORAL SUSP LIQUID DROPS SYRUP SYRUP SYRUP DROPS SYRUP SYRUP DROPS DROPS DROPS DROPS DROPS DROPS DROPS DROPS DROPS SYRUP SYRUP LIQUID LIQUID LIQUID ORAL SUSP ORAL SUSP DROPS DROPS LIQUID LIQUID LIQUID ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP TABLET TABLET TABLET TABLET TABLET TABLET ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Antitussives and Combinations: Page 2 of 7 Generic Name

Description

CANGES-HC BPM/HYDROCODONE/PHENYLEPHRINE C-TANNA 12D CAR-B-PEN TA/PHENYLEPHRINE/PYR C-TANNA 12D CAR-B-PEN TA/PHENYLEPHRINE/PYR EXTRA STRENGTH COU CHLOR-MAL/DEXTROMETHORPHAN HBR EXTRA STRENGTH COU CHLOR-MAL/DEXTROMETHORPHAN HBR EXTRA STRENGTH COU CHLOR-MAL/DEXTROMETHORPHAN HBR COUGH & COLD CHLOR-MAL/DEXTROMETHORPHAN HBR SCOT-TUSSIN DM CHLOR-MAL/DEXTROMETHORPHAN HBR SCOT-TUSSIN DM CHLOR-MAL/DEXTROMETHORPHAN HBR SCOT-TUSSIN DM CHLOR-MAL/DEXTROMETHORPHAN HBR SCOT-TUSSIN DM CHLOR-MAL/DEXTROMETHORPHAN HBR PHENYLHISTINE DH CHLORPHENIR/COD/P-EPHED HCL PHENYLHISTINE DH CHLORPHENIR/COD/P-EPHED HCL UNI-TUSS DM CHLORPHENIR/D-METHORPHAN HB/PE UNI-TUSS DM CHLORPHENIR/D-METHORPHAN HB/PE POLY-TUSSIN DM CHLORPHENIR/D-METHORPHAN HB/PE D-METHORPHAN HB/PE/CHLORPHENIR/D-METHORPHAN HB/PE STATUSS DM CHLORPHENIR/D-METHORPHAN HB/PE TRI-VENT DPC CHLORPHENIR/D-METHORPHAN HB/PE DE-CHLOR DR CHLORPHENIR/D-METHORPHAN HB/PE DEX PC CHLORPHENIR/D-METHORPHAN HB/PE D-METHORPHAN HB/PE/CHLORPHENIR/D-METHORPHAN HB/PE DIHISTINE COD/GUAIFENESIN/P-EPHED HCL CODAFED COD/GUAIFENESIN/P-EPHED HCL PHENYLHISTINE COD/GUAIFENESIN/P-EPHED HCL PHENYLHISTINE COD/GUAIFENESIN/P-EPHED HCL NUCOTUSS COD/GUAIFENESIN/P-EPHED HCL GUA PC COD/GUAIFENESIN/P-EPHED HCL CODAFED COD/GUAIFENESIN/P-EPHED HCL DEPROIST W/CODEINE COD/GUAIFENESIN/P-EPHED HCL HALOTUSSIN-DAC COD/GUAIFENESIN/P-EPHED HCL HALOTUSSIN-DAC COD/GUAIFENESIN/P-EPHED HCL HALOTUSSIN-DAC COD/GUAIFENESIN/P-EPHED HCL HALOTUSSIN-DAC COD/GUAIFENESIN/P-EPHED HCL ROBAFEN-DAC COD/GUAIFENESIN/P-EPHED HCL NOVAGEST COD/GUAIFENESIN/P-EPHED HCL NOVAGEST COD/GUAIFENESIN/P-EPHED HCL ANTITUSSIVE/DECONGECOD/GUAIFENESIN/P-EPHED HCL BIOTUSSIN DAC COD/GUAIFENESIN/P-EPHED HCL BIOTUSSIN DAC COD/GUAIFENESIN/P-EPHED HCL CYCOFED COD/GUAIFENESIN/P-EPHED HCL KG-FED PEDIATRIC COD/GUAIFENESIN/P-EPHED HCL ROBITUSSIN-DAC COD/GUAIFENESIN/P-EPHED HCL ROBITUSSIN-DAC COD/GUAIFENESIN/P-EPHED HCL RYNA-CX COD/GUAIFENESIN/P-EPHED HCL RYNA-CX COD/GUAIFENESIN/P-EPHED HCL NOVAHISTINE COD/GUAIFENESIN/P-EPHED HCL NOVAHISTINE COD/GUAIFENESIN/P-EPHED HCL NOVAHISTINE COD/GUAIFENESIN/P-EPHED HCL NOVAHISTINE COD/GUAIFENESIN/P-EPHED HCL GUIATUSS-DAC COD/GUAIFENESIN/P-EPHED HCL GUIATUSS DAC COD/GUAIFENESIN/P-EPHED HCL DIHISTINE COD/GUAIFENESIN/P-EPHED HCL CHERATUSSIN DAC COD/GUAIFENESIN/P-EPHED HCL PHENYLHISTINE COD/GUAIFENESIN/P-EPHED HCL

Strength 7.5-2.5-2 30-5-30/5 30-5-30/5

30-4MG 15-2MG/5ML 15-2MG/5ML 15-2MG/5ML 15-2MG/5ML 30-10-2/5 30-10-2/5 15-5-2MG/5 15-5-2MG/5 15-5-2MG/5 15-10-2/5 15-10-2/5 15-6-2MG/5 15-6-2MG/5 15-6-2MG/5 15-10-4/5 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG 10MG

Form LIQUID ORAL SUSP ORAL SUSP LIQUID LIQUID LIQUID TABLET LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SOLUTION SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP

Generic Name

Description

Strength

GUAIFENESIN DAC COD/GUAIFENESIN/P-EPHED HCL 10MG CO-HISTINE COD/GUAIFENESIN/P-EPHED HCL 10MG CO-HISTINE COD/GUAIFENESIN/P-EPHED HCL 10MG GUAIFENESIN/P-EPHECOD/GUAIFENESIN/P-EPHED HCL 10MG GUAIFENESIN DAC COD/GUAIFENESIN/P-EPHED HCL 10MG MYTUSSIN DAC COD/GUAIFENESIN/P-EPHED HCL 10MG MYTUSSIN DAC COD/GUAIFENESIN/P-EPHED HCL 10MG DECOHISTINE COD/GUAIFENESIN/P-EPHED HCL 10MG CODAFED COD/GUAIFENESIN/P-EPHED HCL 20MG NUCOTUSS COD/GUAIFENESIN/P-EPHED HCL 20MG CODAFED COD/GUAIFENESIN/P-EPHED HCL 20MG ANTITUSSIVE/DECONGCOD/GUAIFENESIN/P-EPHED HCL 20MG CYCOFED COD/GUAIFENESIN/P-EPHED HCL 20MG KG-FED COD/GUAIFENESIN/P-EPHED HCL 20MG PROMETHAZINE VC WCOD/PHENYLEPHRINE HCL/PROMET5-10-6.25 PROMETHAZINE VC WCOD/PHENYLEPHRINE HCL/PROMET5-10-6.25 PROMETHAZINE VC WCOD/PHENYLEPHRINE HCL/PROMET5-10-6.25 GUAIFENESIN/CODEINCODEINE PHOS/GUAIFENESIN 300-10MG GUAIFENESIN/CODEINCODEINE PHOS/GUAIFENESIN 300-10MG GUAIFENESIN/CODEINCODEINE PHOS/GUAIFENESIN 300-10MG GUIATUSS AC CODEINE PHOS/GUAIFENESIN 100-10MG/5 ROMILAR AC CODEINE PHOSPHATE/GUAIFENESI GUA C CODEINE PHOSPHATE/GUAIFENESI IOPHEN-C NR CODEINE PHOSPHATE/GUAIFENESI GLYDEINE CODEINE PHOSPHATE/GUAIFENESI HALOTUSSIN-AC CODEINE PHOSPHATE/GUAIFENESI HALOTUSSIN-AC CODEINE PHOSPHATE/GUAIFENESI HALOTUSSIN-AC CODEINE PHOSPHATE/GUAIFENESI HALOTUSSIN-AC CODEINE PHOSPHATE/GUAIFENESI HALOTUSSIN-AC CODEINE PHOSPHATE/GUAIFENESI HALOTUSSIN-AC CODEINE PHOSPHATE/GUAIFENESI ROBAFEN AC CODEINE PHOSPHATE/GUAIFENESI ROBAFEN AC CODEINE PHOSPHATE/GUAIFENESI ROBAFEN AC CODEINE PHOSPHATE/GUAIFENESI IOPHEN CODEINE PHOSPHATE/GUAIFENESI BIOTUSSIN AC CODEINE PHOSPHATE/GUAIFENESI BIOTUSSIN AC CODEINE PHOSPHATE/GUAIFENESI GUAL-CO CODEINE PHOSPHATE/GUAIFENESI GANI-TUSS NR CODEINE PHOSPHATE/GUAIFENESI GUAIFENESIN W/COD CODEINE PHOSPHATE/GUAIFENESI GUAIFENESIN W/COD CODEINE PHOSPHATE/GUAIFENESI DIABETIC TUSSIN C CODEINE PHOSPHATE/GUAIFENESI DIABETIC TUSSIN C CODEINE PHOSPHATE/GUAIFENESI GUAIFENESIN AC CODEINE PHOSPHATE/GUAIFENESI GUAIFENESIN AC CODEINE PHOSPHATE/GUAIFENESI GUAIFEN-C CODEINE PHOSPHATE/GUAIFENESI 150-5/10ML BRONTEX CODEINE PHOSPHATE/GUAIFENESI 150-5/10ML GUAIFEN-C CODEINE PHOSPHATE/GUAIFENESI 150-5/10ML BITEX CODEINE PHOSPHATE/GUAIFENESI 150-5/10ML GUAIFENESIN/CODEINCODEINE PHOSPHATE/GUAIFENESI 300-10MG PROMETHAZINE W/COCODEINE/PROMETHAZINE HCL 10-6.25/5 PROMETHAZINE W/COCODEINE/PROMETHAZINE HCL 10-6.25/5 PROMETHAZINE W/COCODEINE/PROMETHAZINE HCL 10-6.25/5 PROMETHAZINE W/COCODEINE/PROMETHAZINE HCL 10-6.25/5 PROMETHAZINE-COD CODEINE/PROMETHAZINE HCL 10-6.25/5

Form SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP TABLET TABLET TABLET SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP LIQUID LIQUID LIQUID LIQUID TABLET SYRUP SYRUP SYRUP SYRUP SYRUP

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Antitussives and Combinations: Page 3 of 7 Generic Name

Description

PROMETHAZINE W/COD CODEINE/PROMETHAZINE HCL PROMETHAZINE W/COD CODEINE/PROMETHAZINE HCL KG-FED CODEINE/PSEUDOEPHEDRINE HCL UNI-COF CP/DHCODEINE BT/P-EPHED HCL COLDCOUGH CP/DHCODEINE BT/P-EPHED HCL HYDRO-TUSSIN DHC CP/DHCODEINE BT/P-EPHED HCL DIHYDRO-CP CP/DHCODEINE BT/P-EPHED HCL TRICOF CP/DHCODEINE BT/P-EPHED HCL COLDCOUGH PD CP/DHCODEINE BT/PHENYLEPHRINE TANA DM CP/D-METHORP TAN/P-EPD TAN TANA DM CP/D-METHORP TAN/P-EPD TAN T-TANNA DM CP/D-METHORP TAN/P-EPD TAN MAXIPHEN ADT CP/D-METHORP TAN/PHENYLEPHRINE TRIAMINIC COLD/COUG CP/D-METHORPHAN HB/P-EPHED HCL TRIAMINIC COLD & COU CP/D-METHORPHAN HB/P-EPHED HCL TRIAMINIC COLD/COUG CP/D-METHORPHAN HB/P-EPHED HCL TRIAMINIC COLD/COUG CP/D-METHORPHAN HB/P-EPHED HCL PEDIATRIC COUGH/COL CP/D-METHORPHAN HB/P-EPHED HCL KIDCARE CP/D-METHORPHAN HB/P-EPHED HCL PEDIA RELIEF COUGH &CP/D-METHORPHAN HB/P-EPHED HCL PEDIA RELIEF COUGH-CCP/D-METHORPHAN HB/P-EPHED HCL PEDIA RELIEF COUGH &CP/D-METHORPHAN HB/P-EPHED HCL TRIACTING COLD & COUCP/D-METHORPHAN HB/P-EPHED HCL V-R PEDIA RELIEF COUGCP/D-METHORPHAN HB/P-EPHED HCL TRIACTING M-SYM COLDCP/D-METHORPHAN HB/P-EPHED HCL PEDIATRIC COUGH/COL CP/D-METHORPHAN HB/P-EPHED HCL PEDIACOLD CP/D-METHORPHAN HB/P-EPHED HCL PEDIATRIC COUGH/COL CP/D-METHORPHAN HB/P-EPHED HCL PEDIA RELIEF COLD & CCP/D-METHORPHAN HB/P-EPHED HCL TRIACTIN COLD-COUGHCP/D-METHORPHAN HB/P-EPHED HCL ZTUSS CP/GUAIFEN/HCOD/P-EPHED HCL MEDTUSSIN CP/HYDROCOD BIT/P-EPHED HCL TUSS-DS CP/HYDROCOD BIT/PHENYLEPH HCL DETUSS CP/HYDROCODONE/P-EPHED HCL HYDRON PSC CP/HYDROCODONE/P-EPHED HCL COLDCOUGH HC CP/HYDROCODONE/P-EPHED HCL HYDRO-TUSSIN HC CP/HYDROCODONE/P-EPHED HCL HYDROCOF-HC CP/HYDROCODONE/P-EPHED HCL WELLTUSS HC CP/HYDROCODONE/P-EPHED HCL Q-V TUSSIN CP/HYDROCODONE/P-EPHED HCL HISTINEX PV CP/HYDROCODONE/P-EPHED HCL HYPHED CP/HYDROCODONE/P-EPHED HCL CORDRON-HC CP/HYDROCODONE/P-EPHED HCL CORDRON-HC NR CP/HYDROCODONE/P-EPHED HCL PEDIATEX HC CP/HYDROCODONE/P-EPHED HCL POLY-TUSSIN CP/HYDROCODONE/PHENYLEPHRINE TRITUSSIN CP/HYDROCODONE/PHENYLEPHRINE ED TUSS HC CP/HYDROCODONE/PHENYLEPHRINE HYDROCOD BIT/PHENYLCP/HYDROCODONE/PHENYLEPHRINE MINTUSS HD CP/HYDROCODONE/PHENYLEPHRINE MAXI-TUSS HC CP/HYDROCODONE/PHENYLEPHRINE DE-CHLOR HD CP/HYDROCODONE/PHENYLEPHRINE COTUSS HD CP/HYDROCODONE/PHENYLEPHRINE WELL-TUSS HD CP/HYDROCODONE/PHENYLEPHRINE HISTUSSIN HC CP/HYDROCODONE/PHENYLEPHRINE

Strength 10-6.25/5 10-6.25/5 60-20 15-7.5-2/5 15-7.5-2/5 15-7.5-2/5 15-7.5-2/5 15-7.5-2/5 7.5-3-2/5 25-75-4.5 25-75-4.5 25-75-4.5 30-20-2MG 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 5-15-1MG/5 15-2.5-2/5 5-5-2 30-5-2MG/5 30-5-2MG/5 15-3-2/5 15-3-2/5 15-3-2/5 15-3-2/5 30-2.5-2/5 30-2.5-2/5 30-2.5-2/5 20-1.67/5 17.5-1.67 17.5-1.67 5-5-2MG/5 5-5-2MG/5 10-2.5-4 10-2.5-4 10-2.5-4 10-2.5-4 10-2.5-4 10-2.5-4 10-2.5-4 5-2.5-2

Form SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP ORAL SUSP ORAL SUSP ORAL SUSP TABLET LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID SYRUP SYRUP LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID SYRUP SYRUP SYRUP LIQUID LIQUID LIQUID SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP

Generic Name

Description

Strength

HIST-PLUS CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 H-C TUSSIVE CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 H-C TUSSIVE CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 TUSSIVE HC CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 UNI TUSS HC CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 EFASIN HD PLUS CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 HISTINEX HC CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 HISTINEX HC CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 ENPLUS-HD CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 CYTUSS HC CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 HYDROCODONE CP CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 KG-DAL HD PLUS CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 DURADAL HD PLUS CP/HYDROCODONE/PHENYLEPHRIN5-2.5-2 HYDROCODONE/PHENCP/HYDROCODONE/PHENYLEPHRIN5-1.67-2 ED-TLC CP/HYDROCODONE/PHENYLEPHRIN5-1.67-2/5 HIST-HC CP/HYDROCODONE/PHENYLEPHRIN5-1.67-2 RINDAL HD CP/HYDROCODONE/PHENYLEPHRIN5-1.67-2/5 ENDAGEN-HD CP/HYDROCODONE/PHENYLEPHRIN5-1.67-2/5 VANEX HD CP/HYDROCODONE/PHENYLEPHRIN5-1.67-2/5 CHLORPHEN HD CP/HYDROCODONE/PHENYLEPHRIN5-1.67-2 KG-DAL HD CP/HYDROCODONE/PHENYLEPHRIN5-1.67-2 DURADAL HD CP/HYDROCODONE/PHENYLEPHRIN5-1.67-2/5 POLY-TUSSIN HD CP/HYDROCODONE/PHENYLEPHRIN5-6-2MG/5 PHENYLEPH/HCOD BTCP/HYDROCODONE/PHENYLEPHRIN5-5-2MG/5 COUGHTUSS CP/HYDROCODONE/PHENYLEPHRIN5-5-2MG/5 HYDRO PC II CP/HYDROCODONE/PHENYLEPHRIN7.5-2-2/5 TRIDAL HD CP/HYDROCODONE/PHENYLEPHRIN7.5-2-2/5 RINDAL HD PLUS CP/HYDROCODONE/PHENYLEPHRIN7.5-3.5-2 HYDRO-PC II PLUS CP/HYDROCODONE/PHENYLEPHRIN7.5-3.5-2 TRIDAL HD PLUS CP/HYDROCODONE/PHENYLEPHRIN7.5-3.5-2 PHENYLEPH/HCOD BTCP/HYDROCODONE/PHENYLEPHRIN10-5-2MG/5 MINTUSS MS CP/HYDROCODONE/PHENYLEPHRIN10-5-2MG/5 HYDRON CP CP/HYDROCODONE/PHENYLEPHRIN10-5-2MG/5 COTUSS MS CP/HYDROCODONE/PHENYLEPHRIN10-5-2MG/5 RELACON-HC CP/HYDROCODONE/PHENYLEPHRIN10-3.5-2.5 MINTUSS HC CP/HYDROCODONE/PHENYLEPHRIN10-2.5-2/5 DE-CHLOR HC CP/HYDROCODONE/PHENYLEPHRIN10-2.5-2/5 ABER-TUSS HC CP/HYDROCODONE/PHENYLEPHRIN10-2.5-2/5 TUSANA-D CP/HYDROCODONE/PHENYLEPHRIN12-6-2MG/5 UNI-TRICOF HC CP/HYDROCODONE/PHENYLEPHRIN5-1.67-2/5 LIQUICOUGH HC CP/HYDROCODONE/PHENYLEPHRIN8-3.5-2.5 RELACON-HC NR CP/HYDROCODONE/PHENYLEPHRIN8-3.5-2.5 Z-COF HC CP/HYDROCODONE/PHENYLEPHRIN8-3.5-2.5 TUSSALL D-BP/D-METHORPHAN HB/PE 20-10-2/5 TUSSALL-ER D-BP/D-METHORPHAN HB/PE 30-20-6MG TANNATE DMP-DEX D-CP/D-METHORP TAN/P-EPD TAN 25-75-2.5 TANNATE DMP-DEX D-CP/D-METHORP TAN/P-EPD TAN 25-75-2.5 C-PHED DPD TANNAT D-CP/D-METHORP TAN/P-EPD TAN 25-75-2.5 C-PHED DPD TANNAT D-CP/D-METHORP TAN/P-EPD TAN 25-75-2.5 TANACOF-DM D-CP/D-METHORP TAN/P-EPD TAN 25-75-2.5 TANACOF-DM D-CP/D-METHORP TAN/P-EPD TAN 25-75-2.5 HYDEX PD D-CP/HYDROCODONE/PHENYLEPHR5-4-2MG/5 ENDACOF-PLUS D-CP/HYDROCODONE/PHENYLEPHR5-4-2MG/5 SCOT-TUSSIN DEXTROMETHORPHAN HBR 10MG/5ML ROBAFEN DEXTROMETHORPHAN HBR 10MG/5ML

Form SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP LIQUID LIQUID SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP LIQUID LIQUID SYRUP SYRUP SYRUP SYRUP TAB.SR 12H ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP ORAL SUSP LIQUID LIQUID LIQUID SYRUP

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Antitussives and Combinations: Page 4 of 7 Generic Name

Description

HONEY TUSSIN COUGH DEXTROMETHORPHAN HBR SILPHEN DM DEXTROMETHORPHAN HBR HONEY TUSSIN COUGH DEXTROMETHORPHAN HBR ROBITUSSIN DEXTROMETHORPHAN HBR ROBITUSSIN DEXTROMETHORPHAN HBR BENYLIN DEXTROMETHORPHAN HBR TUSSIN MAXIMUM STREDEXTROMETHORPHAN HBR MEDI-TUSSIN DEXTROMETHORPHAN HBR TUSSIN MAXIMUM STREDEXTROMETHORPHAN HBR TUSSIN MAXIMUM STREDEXTROMETHORPHAN HBR ROBITUSSIN PEDIATRICDEXTROMETHORPHAN HBR BENYLIN DEXTROMETHORPHAN HBR BENYLIN DEXTROMETHORPHAN HBR HOLD DEXTROMETHORPHAN HBR HOLD DEXTROMETHORPHAN HBR SUCRETS DEXTROMETHORPHAN HBR DELSYM DEXTROMETHORPHAN POLISTIREX DELSYM DEXTROMETHORPHAN POLISTIREX QUALA-TLA DM HB/GUAIFEN/P-EPHEDRINE GFN600-PSE60-DM30 DM HB/GUAIFEN/P-EPHEDRINE GFN600/PSE60/DM30 DM HB/GUAIFEN/P-EPHEDRINE P-TUSS DM DM HB/GUAIFEN/P-EPHEDRINE GFN 800/PSE 60/DM 30 DM HB/GUAIFEN/P-EPHEDRINE GFN 550/PSE 60/DM 30 DM HB/GUAIFEN/P-EPHEDRINE PSEUDOEPHEDRINE/GUDM HB/GUAIFEN/P-EPHEDRINE AMBI 45/800/30 DM HB/GUAIFEN/P-EPHEDRINE GUAIFEN-DEXTROM-PS DM HB/GUAIFEN/P-EPHEDRINE MINTAB DM HB/GUAIFEN/P-EPHEDRINE GFN 1200/DM 60/PSE 12 DM HB/GUAIFEN/P-EPHEDRINE GUAIFEN/DM HB/P-EPHEDM HB/GUAIFEN/P-EPHEDRINE COLDMIST DM DM HB/GUAIFEN/P-EPHEDRINE GFN 595/PSE 48/DM 32 TDM HB/GUAIFEN/P-EPHEDRINE MINTAB C DM HB/GUAIFEN/P-EPHEDRINE PSEUDO MAX DMX DM HB/GUAIFEN/P-EPHEDRINE AMBI 80/700/40 DM HB/GUAIFEN/P-EPHEDRINE AMBI 60/580/30 DM HB/GUAIFEN/P-EPHEDRINE AMBI 80/780/40 DM HB/GUAIFEN/P-EPHEDRINE TANNATE-V-DM D-METHORP TAN/PE/PYRIL IOPHEN-DM NR D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN W/DEXTR D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN-DM NR D-METHORPHAN HB/GUAIFENESIN GUAL-DEX D-METHORPHAN HB/GUAIFENESIN GANI-TUSS-DM NR D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM NR D-METHORPHAN HB/GUAIFENESIN TOLU-SED DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN CHERACOL D D-METHORPHAN HB/GUAIFENESIN CHERACOL D D-METHORPHAN HB/GUAIFENESIN SILTUSSIN DM DAS COUD-METHORPHAN HB/GUAIFENESIN TUSNEL DIABETIC D-METHORPHAN HB/GUAIFENESIN DIABETIC TUSSIN DM D-METHORPHAN HB/GUAIFENESIN DIABETIC TUSSIN DM D-METHORPHAN HB/GUAIFENESIN DIABETIC TUSSIN DM D-METHORPHAN HB/GUAIFENESIN KOSHER CARE DM D-METHORPHAN HB/GUAIFENESIN

Strength 10MG/5ML 10MG/5ML 10MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 7.5MG/5ML 7.5MG/5ML 7.5MG/5ML 5MG 5MG 5MG 30MG/5ML 30MG/5ML 600-30-60 600-30-60 600-30-60 600-30-60 800-30-60 550-30-60 800-30-45 800-30-45 800-60-90 60-120MG 60-120MG 595-32-48 595-32-48 595-32-48 1200-60-60 700-40-80 700-40-80 580-30-60 780-40-80 25-12.5-30 100-10MG/5 100-10/5ML 100-10MG/5 100-10MG/5 100-10MG/5 100-10MG/5 100-10/5ML 100-10/5ML 100-10MG/5 100-10MG/5 100-10MG/5 100-10MG/5 100-10MG/5 100-10MG/5 100-10MG/5 100-10MG/5 100-10MG/5

Form SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP LOZENGE LOZENGE LOZENGE SUS.12H SR SUS.12H SR TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H ORAL SUSP LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID

Generic Name

Description

UNI-TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN BIOTUSS-DM D-METHORPHAN HB/GUAIFENESIN BIOTUSS-DM D-METHORPHAN HB/GUAIFENESIN BIOTUSS-DM D-METHORPHAN HB/GUAIFENESIN BIOTUSS-DM D-METHORPHAN HB/GUAIFENESIN MYTUSSIN DM D-METHORPHAN HB/GUAIFENESIN MYTUSSIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN W/DEXTD-METHORPHAN HB/GUAIFENESIN Q-BID DM D-METHORPHAN HB/GUAIFENESIN Q-BID DM D-METHORPHAN HB/GUAIFENESIN Q-BID DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN-DEXTR D-METHORPHAN HB/GUAIFENESIN AMIBID DM D-METHORPHAN HB/GUAIFENESIN AMIBID DM D-METHORPHAN HB/GUAIFENESIN AMIBID DM D-METHORPHAN HB/GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN/DEXTROD-METHORPHAN HB/GUAIFENESIN GUAIFENEX DM D-METHORPHAN HB/GUAIFENESIN AQUABID-DM D-METHORPHAN HB/GUAIFENESIN AQUABID-DM D-METHORPHAN HB/GUAIFENESIN AQUABID-DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN MONAFED DM D-METHORPHAN HB/GUAIFENESIN IOBID DM D-METHORPHAN HB/GUAIFENESIN MUCINEX DM D-METHORPHAN HB/GUAIFENESIN MUCINEX DM D-METHORPHAN HB/GUAIFENESIN COUGH-EX D-METHORPHAN HB/GUAIFENESIN PULEXN DM D-METHORPHAN HB/GUAIFENESIN ROBITUSSIN-DM D-METHORPHAN HB/GUAIFENESIN ROBITUSSIN-DM D-METHORPHAN HB/GUAIFENESIN ROBITUSSIN-DM D-METHORPHAN HB/GUAIFENESIN ROBITUSSIN-DM D-METHORPHAN HB/GUAIFENESIN ROBITUSSIN-DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN GENATUSS DM D-METHORPHAN HB/GUAIFENESIN GUIATUSS DM D-METHORPHAN HB/GUAIFENESIN GUIATUSS DM D-METHORPHAN HB/GUAIFENESIN GUIATUSS DM D-METHORPHAN HB/GUAIFENESIN GUIATUSS CLEAR DM D-METHORPHAN HB/GUAIFENESIN GUIATUSS DM D-METHORPHAN HB/GUAIFENESIN GUIATUSS DM D-METHORPHAN HB/GUAIFENESIN GUIATUSS DM D-METHORPHAN HB/GUAIFENESIN

Strength 100-15/5ML 100-15/5ML 100-15/5ML 100-15/5ML 100-15/5ML 100-15/5ML 100-15/5ML 100-15/5ML 100-15/5ML 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 200-15MG 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML

Form SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TABLET SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Antitussives and Combinations: Page 5 of 7 Generic Name

Description

GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN Q-TUSSIN DM D-METHORPHAN HB/GUAIFENESIN Q-TUSSIN-DM D-METHORPHAN HB/GUAIFENESIN Q-TUSSIN-DM D-METHORPHAN HB/GUAIFENESIN Q-TUSSIN-DM D-METHORPHAN HB/GUAIFENESIN Q-TUSSIN DM D-METHORPHAN HB/GUAIFENESIN Q-TUSSIN-DM D-METHORPHAN HB/GUAIFENESIN HALOTUSSIN-DM D-METHORPHAN HB/GUAIFENESIN HALOTUSSIN-DM D-METHORPHAN HB/GUAIFENESIN HALOTUSSIN-DM D-METHORPHAN HB/GUAIFENESIN ROBAFEN-DM D-METHORPHAN HB/GUAIFENESIN ROBAFEN-DM D-METHORPHAN HB/GUAIFENESIN ROBAFEN-DM D-METHORPHAN HB/GUAIFENESIN ROBAFEN-DM D-METHORPHAN HB/GUAIFENESIN ROBAFEN-DM D-METHORPHAN HB/GUAIFENESIN ROBAFEN-DM CLEAR D-METHORPHAN HB/GUAIFENESIN COUGH CONTROL DM D-METHORPHAN HB/GUAIFENESIN COUGH CONTROL DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM CLEAR D-METHORPHAN HB/GUAIFENESIN VICKS PEDIATRIC 44E D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN EXPECTORANT DM D-METHORPHAN HB/GUAIFENESIN EXPECTORANT DM D-METHORPHAN HB/GUAIFENESIN EXPECTORANT DM CLE D-METHORPHAN HB/GUAIFENESIN DIABETIC TUSSIN DM D-METHORPHAN HB/GUAIFENESIN DIABETIC FORMULA D-METHORPHAN HB/GUAIFENESIN GUAIATUSSIN-DM D-METHORPHAN HB/GUAIFENESIN GUAIATUSSIN-DM D-METHORPHAN HB/GUAIFENESIN GUAIATUSSIN-DM D-METHORPHAN HB/GUAIFENESIN GUAIASORB D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN W/DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN W/DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM CLEAR D-METHORPHAN HB/GUAIFENESIN TUSSIN DM CLEAR D-METHORPHAN HB/GUAIFENESIN TUSSID DM D-METHORPHAN HB/GUAIFENESIN TUSSID DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN RI-TUSSIN DM D-METHORPHAN HB/GUAIFENESIN RI-TUSSIN DM D-METHORPHAN HB/GUAIFENESIN RI-TUSSIN DM D-METHORPHAN HB/GUAIFENESIN RI-TUSSIN DM D-METHORPHAN HB/GUAIFENESIN KITA LA TOS D-METHORPHAN HB/GUAIFENESIN KITA LA TOS D-METHORPHAN HB/GUAIFENESIN SILTUSSIN DM D-METHORPHAN HB/GUAIFENESIN

Strength 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML

Form SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP

Generic Name

Description

SILTUSSIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN AMERITUSSIN DM D-METHORPHAN HB/GUAIFENESIN AMERITUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN-DM CLEAR D-METHORPHAN HB/GUAIFENESIN ALTARUSSIN DM D-METHORPHAN HB/GUAIFENESIN ALTARUSSIN DM D-METHORPHAN HB/GUAIFENESIN ALTARUSSIN DM D-METHORPHAN HB/GUAIFENESIN ALTARUSSIN DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN-DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN-DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN KOMATUSSIN DM D-METHORPHAN HB/GUAIFENESIN KOMATUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN TUSSIN DM D-METHORPHAN HB/GUAIFENESIN BENYLIN D-METHORPHAN HB/GUAIFENESIN DOUBLE-TUSSIN DM D-METHORPHAN HB/GUAIFENESIN RECOFEN D D-METHORPHAN HB/GUAIFENESIN RECOFEN D D-METHORPHAN HB/GUAIFENESIN AMERITUSSIN DM D-METHORPHAN HB/GUAIFENESIN AMERITUSSIN DM D-METHORPHAN HB/GUAIFENESIN AMERITUSSIN DM D-METHORPHAN HB/GUAIFENESIN GUIATUSS CLEAR D-METHORPHAN HB/GUAIFENESIN PULMOVITAL D-METHORPHAN HB/GUAIFENESIN NALDECON DX D-METHORPHAN HB/GUAIFENESIN NOLAMINE DEX D-METHORPHAN HB/GUAIFENESIN NALSPAN SENIOR DX D-METHORPHAN HB/GUAIFENESIN NALSPAN SENIOR DX D-METHORPHAN HB/GUAIFENESIN NALSPAN SENIOR DX D-METHORPHAN HB/GUAIFENESIN DIABETIC TUSSIN MAXD-METHORPHAN HB/GUAIFENESIN DIABETIC TUSSIN MAXD-METHORPHAN HB/GUAIFENESIN SCOT-TUSSIN SENIORD-METHORPHAN HB/GUAIFENESIN DRITUSS DM D-METHORPHAN HB/GUAIFENESIN HT-TUSS DM D-METHORPHAN HB/GUAIFENESIN GUIADRINE DM D-METHORPHAN HB/GUAIFENESIN HYDRO-TUSSIN DM D-METHORPHAN HB/GUAIFENESIN SU-TUSS DM D-METHORPHAN HB/GUAIFENESIN GFN 800/DM 30 D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN-D-METHD-METHORPHAN HB/GUAIFENESIN GUAIFENESIN-D-METHD-METHORPHAN HB/GUAIFENESIN MINDAL DM D-METHORPHAN HB/GUAIFENESIN GFN 500/DM 30 D-METHORPHAN HB/GUAIFENESIN GFN 1000/DM 50 D-METHORPHAN HB/GUAIFENESIN MINTAB D-METHORPHAN HB/GUAIFENESIN GFN 1200/DM 60 D-METHORPHAN HB/GUAIFENESIN

Strength 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-10/5ML 100-5MG/5 200-30/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-15/5ML 100-15/5ML 200-10MG/5 200-10/5ML 200-10/5ML 200-10/5ML 200-10/5ML 200-10MG/5 200-10MG/5 200-15/5ML 200-20/5ML 200-20/5ML 200-20/5ML 200-20/5ML 200-20/5ML 800-30MG 500-30MG 500-30MG 500-30MG 500-30MG 1000-50MG 1200-60MG 1200-60MG

Form SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID ELIXIR ELIXIR ELIXIR ELIXIR ELIXIR TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Antitussives and Combinations: Page 6 of 7 Generic Name

Description

GUAIFENESIN-DEXTROMD-METHORPHAN HB/GUAIFENESIN G-BID DM D-METHORPHAN HB/GUAIFENESIN TUSSI-BID D-METHORPHAN HB/GUAIFENESIN ENTAB-DM D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN-DEXTROMD-METHORPHAN HB/GUAIFENESIN MAXI-TUSS DM D-METHORPHAN HB/GUAIFENESIN GUIA-D D-METHORPHAN HB/GUAIFENESIN GFN 1000/DM 60 D-METHORPHAN HB/GUAIFENESIN GUAIFENESIN DM D-METHORPHAN HB/GUAIFENESIN EXTUSS LA D-METHORPHAN HB/GUAIFENESIN COFEX-DM D-METHORPHAN HB/GUAIFENESIN AMBI 1000/55 D-METHORPHAN HB/GUAIFENESIN EXEFEN-DM D-METHORPHAN HB/GUAIFENESIN SIMUC-DM D-METHORPHAN HB/GUAIFENESIN PHLEMEX D-METHORPHAN HB/GUAIFENESIN Z-COF LAX D-METHORPHAN HB/GUAIFENESIN ROBITUSSIN D-METHORPHAN HB/P-EPHED HCL ROBITUSSIN D-METHORPHAN HB/P-EPHED HCL TUSSIN COUGH-COLD D-METHORPHAN HB/P-EPHED HCL TUSSIN MAXIMUM STRED-METHORPHAN HB/P-EPHED HCL PEDIACARE D-METHORPHAN HB/P-EPHED HCL DIMETAPP D-METHORPHAN HB/P-EPHED HCL ROBITUSSIN PEDIATRICD-METHORPHAN HB/P-EPHED HCL ROBITUSSIN PEDIATRICD-METHORPHAN HB/P-EPHED HCL TRIAMINIC D-METHORPHAN HB/P-EPHED HCL TRIAMINIC D-METHORPHAN HB/P-EPHED HCL TRIAMINIC D-METHORPHAN HB/P-EPHED HCL TUSSIN PEDIATRIC COUD-METHORPHAN HB/P-EPHED HCL TUSSIN PEDIATRIC D-METHORPHAN HB/P-EPHED HCL MEDI-TUSSIN COUGH/C D-METHORPHAN HB/P-EPHED HCL TRIAMINIC D-METHORPHAN HB/P-EPHED HCL TRIAMINIC D-METHORPHAN HB/P-EPHED HCL PROMETHAZINE W/DM D-METHORPHAN HB/PROMETH HCL PROMETHAZINE W/DM D-METHORPHAN HB/PROMETH HCL PROMETHAZINE W/DM D-METHORPHAN HB/PROMETH HCL PROMETHAZINE DM D-METHORPHAN HB/PROMETH HCL PROMETHAZINE W/DM D-METHORPHAN HB/PROMETH HCL PROMETHAZINE W/DM D-METHORPHAN HB/PROMETH HCL PROMETHAZINE W/DM D-METHORPHAN HB/PROMETH HCL RINDAL HPD DPHA/HYDROCODONE/PHENYLEPHRINE HYDRO-DP DPHA/HYDROCODONE/PHENYLEPHRINE GESTUSS-HC DPHA/HYDROCODONE/PHENYLEPHRINE DECONAMINE CX GUAIFENESIN/HCOD/P-EPHED HCL TUSS-AX GUAIFENESIN/HCOD/P-EPHED HCL POLY-TUSSIN XP GUAIFENESIN/HCOD/P-EPHED HCL VANACON GUAIFENESIN/HCOD/P-EPHED HCL DECONAMINE CX GUAIFENESIN/HCOD/P-EPHED HCL ZTUSS GUAIFENESIN/HCOD/P-EPHED HCL ENTUSS-D GUAIFENESIN/HCOD/P-EPHED HCL COLDCOUGH XP GUAIFENESIN/HCOD/P-EPHED HCL HYDRO-TUSSIN XP GUAIFENESIN/HCOD/P-EPHED HCL DRITUSS HD GUAIFENESIN/HCOD/P-EPHED HCL TUSSADUR-HD GUAIFENESIN/HCOD/P-EPHED HCL SU-TUSS HD GUAIFENESIN/HCOD/P-EPHED HCL

Strength 1200-60MG 1200-60MG 1200-60MG 1200-60MG 1200-60MG 200-20/5ML 1000-60MG 1000-60MG 1000-60MG 650-30MG 1000-55MG 1000-55MG 1000-55MG 225-25MG/5 1200-20MG 835MG-30MG 15-30MG/5 15-30MG/5 15-30MG/5 15-30MG/5 7.5-15MG/5 7.5-15MG/5 7.5-15MG/5 7.5-15MG/5 7.5-15MG/5 7.5-15MG/5 7.5-15MG/5 7.5-15MG/5 7.5-15MG/5 7.5-15MG/5 5-15MG/5ML 5-15MG/5ML 15-6.25/5 15-6.25/5 15-6.25/5 15-6.25/5 15-6.25/5 15-6.25/5 15-6.25/5 7.5-2-12.5 7.5-2-12.5 5-3.5-12.5 200-60-5 200-60-5 200-60-5 200-60-5 300-30-5 300-30-5 300-30-5 100-15-3/5 100-15-3/5 100-30-2.5 100-30-2.5 100-30-2.5

Form TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H LIQUID TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H SOLUTION TAB.SR 12H TAB.SR 12H LIQUID LIQUID LIQUID LIQUID SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP EXPECT. EXPECT. EXPECT. EXPECT. TABLET TABLET TABLET LIQUID LIQUID ELIXIR ELIXIR ELIXIR

Generic Name

Description

KG-TUSS HD GUAIFENESIN/HCOD/P-EPHED HCL TUSSEND GUAIFENESIN/HCOD/P-EPHED HCL HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT KWELCOF GUAIFENESIN/HYDROCOD BIT VI-Q-TUSS GUAIFENESIN/HYDROCOD BIT HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT HYCOSIN GUAIFENESIN/HYDROCOD BIT HYDROTUSS GUAIFENESIN/HYDROCOD BIT HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT VI-Q-TUSS GUAIFENESIN/HYDROCOD BIT HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT CODOTUSS GUAIFENESIN/HYDROCOD BIT M-CLEAR GUAIFENESIN/HYDROCOD BIT HYDRO-TUSS GUAIFENESIN/HYDROCOD BIT MEDCODIN GUAIFENESIN/HYDROCOD BIT CLEARTUSS DH GUAIFENESIN/HYDROCOD BIT HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT HYDROCODONE W/GUGUAIFENESIN/HYDROCOD BIT COTUSS-V GUAIFENESIN/HYDROCOD BIT VITUSSIN GUAIFENESIN/HYDROCOD BIT HYDROCODONE GF GUAIFENESIN/HYDROCOD BIT VICOCLEAR DH GUAIFENESIN/HYDROCOD BIT ZTUSS ZT GUAIFENESIN/HYDROCODONE BIT ENDACOF GUAIFENESIN/HYDROCODONE BIT ENDACOF-XP GUAIFENESIN/HYDROCODONE BIT DYNATUSS DF GUAIFENESIN/HYDROCODONE BIT PANCOF XP GUAIFENESIN/HYDROCODONE BIT XPECT-HC GUAIFENESIN/HYDROCODONE BIT HISTUSSIN D HYDROCODONE BIT/P-EPHED HCL HC TUSSIVE-D HYDROCODONE BIT/P-EPHED HCL DETUSSIN HYDROCODONE BIT/P-EPHED HCL HYDONE HYDROCODONE BIT/POT GUAIACO ENTUSS HYDROCODONE BIT/POT GUAIACO P-TUSS HYDROCODONE BIT/POT GUAIACO PRO-COF HYDROCODONE BIT/POT GUAIACO HYDRON KGS HYDROCODONE BIT/POT GUAIACO PROTEX HYDROCODONE BIT/POT GUAIACO PROTEX HYDROCODONE BIT/POT GUAIACO MARCOF HYDROCODONE BIT/POT GUAIACO KGS-HC HYDROCODONE BIT/POT GUAIACO POT GUAIACO/HYDROHYDROCODONE BIT/POT GUAIACO GUIADEX DH HYDROCODONE BIT/POT GUAIACO HY-KXP HYDROCODONE BIT/POT GUAIACO POT GUAIACO-HYDROHYDROCODONE BIT/POT GUAIACO MINTUSS EX HYDROCODONE BIT/POT GUAIACO HYDRON EX HYDROCODONE BIT/POT GUAIACO COTUSS EX HYDROCODONE BIT/POT GUAIACO PRO-CLEAR HYDROCODONE BIT/POT GUAIACO MINTUSS NX HYDROCODONE BIT/POT GUAIACO DE-CHLOR NX HYDROCODONE BIT/POT GUAIACO

Strength

Form

100-30-2.5 100-30-2.5 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 100-5/5ML 300MG-5MG 300-2.5MG 200-2.5/5 100-2.5/5 90-3MG/5ML 600MG-5MG 60-5MG/5ML 60-5MG/5ML 60-5MG/5ML 300-5MG/5 300-5MG/5 300-5MG/5 300-5MG/5 300-5MG/5 300-5MG/5 300-5MG/5 350-5MG/5 350-5MG/5 300-4.5/5 300-4.5/5 300-4.5/5 120-2.5/5 120-2.5/5 120-2.5/5 120-2.5/5 350-3MG/5 150-3MG/5 150-3MG/5

SOLUTION SOLUTION SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP TABLET TABLET SYRUP SYRUP SYRUP TAB.SR 12H SOLUTION SOLUTION SOLUTION SOLUTION SOLUTION SOLUTION SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Antitussives and Combinations: Page 7 of 7 Generic Name

Description

RHINACON DH HYDROCODONE/PHENYLEPHRINE HCL PHENYLEPHRINE HD HYDROCODONE/PHENYLEPHRINE HCL TUSDEC-HC HYDROCODONE/PHENYLEPHRINE HCL CODITUSS DH HYDROCODONE/PHENYLEPHRINE/PYR CODITUSS DH HYDROCODONE/PHENYLEPHRINE/PYR CODITUSS DH HYDROCODONE/PHENYLEPHRINE/PYR HYCOMAL DH HYDROCODONE/PHENYLEPHRINE/PYR CODAL-DH HYDROCODONE/PHENYLEPHRINE/PYR HYDROPHENE DH HYDROCODONE/PHENYLEPHRINE/PYR PRO-RED HYDROCODONE/PHENYLEPHRINE/PYR MINTUSS MR HYDROCODONE/PHENYLEPHRINE/PYR DE-CHLOR MR HYDROCODONE/PHENYLEPHRINE/PYR MULTI-SYMPTOM APAP/DM HB/GUAIFEN/P-EPHEDRINE MULTI SYMPTOM COUG APAP/DM HB/GUAIFEN/P-EPHEDRINE MULTI-SYMPTOM APAP/DM HB/GUAIFEN/P-EPHEDRINE MULTI-SYMPTOM APAP/DM HB/GUAIFEN/P-EPHEDRINE MULTI-SYMPTOM APAP/DM HB/GUAIFEN/P-EPHEDRINE CONTAC APAP/DM HB/GUAIFEN/P-EPHEDRINE COUGH FORMULA 4-M APAP/DM HB/GUAIFEN/P-EPHEDRINE MULTI-SYMPTOM COUG APAP/DM HB/GUAIFEN/P-EPHEDRINE CONTAC APAP/D-METHORPHAN HB/GUAIFEN DEXATUSS CA/D-METHORPHAN HB/GUAIFEN/POT QUAL-TUSSIN CP/D-METHORPHAN HB/GUAIFEN/PE CHLORDEX GP CP/D-METHORPHAN HB/GUAIFEN/PE DACEX-PE D-METHORPHAN HB/GUAIFEN/PE TRITUSS D-METHORPHAN HB/GUAIFEN/PE DACEX-DM D-METHORPHAN HB/GUAIFEN/PE DEXCON-DM D-METHORPHAN HB/GUAIFEN/PE DEXCON-PE D-METHORPHAN HB/GUAIFEN/PE ANEXTUSS D-METHORPHAN HB/GUAIFEN/PE G PHEN DM D-METHORPHAN HB/GUAIFEN/PE G PHEN DM D-METHORPHAN HB/GUAIFEN/PE MAXIPHEN DM D-METHORPHAN HB/GUAIFEN/PE PHLEMEX-PE D-METHORPHAN HB/GUAIFEN/PE PHLEMEX FORTE D-METHORPHAN HB/GUAIFEN/PE DURAPHEN FORTE D-METHORPHAN HB/GUAIFEN/PE NALDECON-DX D-METHORPHAN HB/GUAIFEN/PPA NALPHEN DX D-METHORPHAN HB/GUAIFEN/PPA QUAL-TUSSIN DC GUAIFENESIN/HCOD/PHENYLEPHRINE DONATUSSIN DC GUAIFENESIN/HCOD/PHENYLEPHRINE DONATUSSIN DC GUAIFENESIN/HCOD/PHENYLEPHRINE TUSSAFED-HC GUAIFENESIN/HCOD/PHENYLEPHRINE QUALA-HC GUAIFENESIN/HCOD/PHENYLEPHRINE DYNATUSS HC GUAIFENESIN/HCOD/PHENYLEPHRINE HYDRO GP GUAIFENESIN/HCOD/PHENYLEPHRINE GUAIFENESIN-PHENYLEGUAIFENESIN/HCOD/PHENYLEPHRINE GUAIFENESIN-PHENYLEGUAIFENESIN/HCOD/PHENYLEPHRINE MINTUSS G GUAIFENESIN/HCOD/PHENYLEPHRINE DE-CHLOR G GUAIFENESIN/HCOD/PHENYLEPHRINE UNI-LEV GUAIFENESIN/HCOD/PHENYLEPHRINE CRANTEX HC GUAIFENESIN/HCOD/PHENYLEPHRINE GUAPETEX HC GUAIFENESIN/HCOD/PHENYLEPHRINE AMBI 5/15/100 GUAIFENESIN/HCOD/PHENYLEPHRINE SIMUC-HD GUAIFENESIN/HCOD/PHENYLEPHRINE DURATUSS HD GUAIFENESIN/HCOD/PHENYLEPHRINE

Strength 5-2.5MG/5 5-2.5MG/5 7.5-3.75/5 5-1.66MG/5 5-1.66MG/5 5-1.66MG/5 5-1.66MG/5 5-1.66MG/5 5-1.66MG/5 5-2-8.33/5 5-5-5MG/5 5-5-5MG/5

7.5-10-2/5 7.5-10-2/5 600-30-10 25-12.5/5 25-12.5/5 100-20-10 550-25-20 600-60-40 600-60-40 600-60-40 1000-60-40 800-20-20 1200-30-30 1200-30-30 100MG/5ML 50-7.5-2.5 50-7.5-2.5 50-7.5-2.5 50-7.5-2.5 50-7.5-2.5 50-7.5-2.5 50-7.5-2.5 100-10-2/5 100-10-2/5 100-10-2/5 100-10-2/5 100-15-5/5 100-7.5-5 100-7.5-5 100-15-5/5 225-10-2.5 225-10-2.5

Form LIQUID LIQUID LIQUID SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID SYRUP SYRUP TAB.SR 12H SYRUP SYRUP SYRUP TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H LIQUID SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP LIQUID SOLUTION SOLUTION

Generic Name

Description

NOVAGEST DEX DM HB/GUAIFEN/P-EPHEDRINE RU-TUSS DM HB/GUAIFEN/P-EPHEDRINE NOVAHISTINE DMX DM HB/GUAIFEN/P-EPHEDRINE ROLATUSS DM HB/GUAIFEN/P-EPHEDRINE ROLATUSS DM HB/GUAIFEN/P-EPHEDRINE AMBENYL-D DM HB/GUAIFEN/P-EPHEDRINE SUDA-TUSSIN DM DM HB/GUAIFEN/P-EPHEDRINE DECONGESTANT D DM HB/GUAIFEN/P-EPHEDRINE DECONGESTANT D DM HB/GUAIFEN/P-EPHEDRINE DECONGESTANT D DM HB/GUAIFEN/P-EPHEDRINE DECONGESTANT D DM HB/GUAIFEN/P-EPHEDRINE FORMULA D DM HB/GUAIFEN/P-EPHEDRINE DECONGESTANT COUDM HB/GUAIFEN/P-EPHEDRINE FORMULA D DM HB/GUAIFEN/P-EPHEDRINE DECONGESTANT D DM HB/GUAIFEN/P-EPHEDRINE BENYLIN DM HB/GUAIFEN/P-EPHEDRINE SEUDAFAIRE DM HB/GUAIFEN/P-EPHEDRINE SEUDAFAIRE DM HB/GUAIFEN/P-EPHEDRINE ANATUSS DM DM HB/GUAIFEN/P-EPHEDRINE RU-TUSS DM DM HB/GUAIFEN/P-EPHEDRINE GOLDLINE COUGH D-METHORPHAN HB/GUAIFEN/PE TUSSEX COUGH D-METHORPHAN HB/GUAIFEN/PE TUSSEX D-METHORPHAN HB/GUAIFEN/PE TUSSAPHEN DM D-METHORPHAN HB/GUAIFEN/PE TUSSAPHEN-DM D-METHORPHAN HB/GUAIFEN/PE TUSSAPHEN D-METHORPHAN HB/GUAIFEN/PE ALATUSS D-METHORPHAN HB/GUAIFEN/PE TUSSEDYN D-METHORPHAN HB/GUAIFEN/PE SINUTUSS DM D-METHORPHAN HB/GUAIFEN/PE GDP-EX D-METHORPHAN HB/GUAIFEN/PE TUSSAFED-EX D-METHORPHAN HB/GUAIFEN/PE GILTUSS PEDIATRIC D-METHORPHAN HB/GUAIFEN/PE PDM GG D-METHORPHAN HB/GUAIFEN/PE DYNATUSS-EX D-METHORPHAN HB/GUAIFEN/PE PDM GG D-METHORPHAN HB/GUAIFEN/PE GFN 1200/DM 20/PE 40D-METHORPHAN HB/GUAIFEN/PE DURAPHEN DM D-METHORPHAN HB/GUAIFEN/PE TRITUSS-ER D-METHORPHAN HB/GUAIFEN/PE

Strength 100-10-30 100-10-30 100-10-30 100-10-30 100-10-30 100-15-30 50-3.75-15 67-10 67-10 67-10 67-10 67-10 67-10 67-10 67-10 100-5-15/5 100-5-15/5 100-5-15/5 100-10-30 100-15-45 100-10-5 100-10-5 100-10-5 100-10-5 100-10-5 100-10-5 100-10-5 100-10-5 600-30-15 200-30-10 50-5-2.5/1 50-5-2.5/1 50-5-2.5/1 200-30-10 200-30-10 1200-20-40 1200-20-40 600-30-10

Form LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID SYRUP SYRUP SYRUP SYRUP LIQUID SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP TABLET SA LIQUID DROPS DROPS DROPS SYRUP SYRUP TAB.SR 12H TAB.SR 12H TAB.SR 12H

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Expectorants and Combinations: Page 1 of 3 Generic Name

Description

PHENCARB GG CAR-B-PENTANE/GUAIFEN/PE CARBETAPLEX CAR-B-PENTANE/GUAIFEN/PE QUAL-TUSSIN CP/GUAIFEN/PHENYLEPHRINE TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN NALDECON SENIOR EX GUAIFENESIN ROBITUSSIN GUAIFENESIN ROBITUSSIN GUAIFENESIN ROBITUSSIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUIATUSS GUAIFENESIN GUIATUSS GUAIFENESIN GUAIFENESIN GUAIFENESIN GUIATUSS GUAIFENESIN GUIATUSS GUAIFENESIN GUIATUSS GUAIFENESIN GUIATUSS GUAIFENESIN GUIATUSS GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN Q-TUSSIN GUAIFENESIN Q-TUSSIN GUAIFENESIN Q-TUSSIN GUAIFENESIN Q-TUSSIN GUAIFENESIN Q-TUSSIN GUAIFENESIN Q-TUSSIN GUAIFENESIN UNI-TUSSIN GUAIFENESIN GUAIFENESIN GUAIFENESIN ROBAFEN GUAIFENESIN ROBAFEN GUAIFENESIN ROBAFEN GUAIFENESIN ROBAFEN GUAIFENESIN COUGH CONTROL GUAIFENESIN COUGH CONTROL GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN PEDIATRIC COUGH/COL GUAIFENESIN EXPECTORANT GUAIFENESIN EXPECTORANT GUAIFENESIN TUSSIN HONEY GUAIFENESIN BENADRILINA GUAIFENESIN DIABETIC TUSSIN EX GUAIFENESIN DIABETIC FORMULA GUAIFENESIN GUAIATUSSIN GUAIFENESIN

Strength 100-20-10 100-20-15 20-2-1/ML 100MG/5ML 100MG/5ML 200MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML

Form SYRUP SYRUP DROPS SYRUP SYRUP LIQUID SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP

Generic Name

Description

GUAIATUSSIN GUAIFENESIN GUAIATUSSIN GUAIFENESIN TUSSIN COUGH GUAIFENESIN TUSSIN GUAIFENESIN HM TUSSIN GUAIFENESIN HM TUSSIN GUAIFENESIN HM TUSSIN COUGH GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN EXPECTORANGUAIFENESIN RI-TUSSIN GUAIFENESIN RI-TUSSIN GUAIFENESIN RI-TUSSIN GUAIFENESIN RI-TUSSIN GUAIFENESIN SILTUSSIN SA GUAIFENESIN SILTUSSIN SA GUAIFENESIN SILTUSSIN SA GUAIFENESIN GUAIFENESIN GUAIFENESIN PHANASIN GUAIFENESIN PHANASIN GUAIFENESIN PHARMASIN GUAIFENESIN PHARMASIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN ALTARUSSIN GUAIFENESIN ALTARUSSIN GUAIFENESIN ALTARUSSIN GUAIFENESIN ALTARUSSIN GUAIFENESIN ALTARUSSIN GUAIFENESIN ALTARUSSIN GUAIFENESIN ALTARUSSIN GUAIFENESIN ALTARUSSIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN KOMATUSSIN GUAIFENESIN KOMATUSSIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN TUSSIN GUAIFENESIN HYTUSS GUAIFENESIN HYTUSS GUAIFENESIN GUAIFENESIN GUAIFENESIN ORGAN-I NR GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN IODROL NR GUAIFENESIN IODROL NR GUAIFENESIN

Strength 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG 100MG 200MG 200MG 200MG 200MG 200MG 200MG

Form SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Expectorants and Combinations: Page 2 of 3 Generic Name GUAIFENESIN GUAIFENESIN GUAIFENESIN GLYTUSS REFENESEN GEE-GEE GUAIBID LA GUAIBID LA GUAIBID LA Q-BID LA GUAIFENESIN LA GUAIFENESIN LA GUAIFENESIN LA AQUAMIST GUAIFENESIN LA GUAIFENESIN LA GUAIFENESIN LA LIQUIBID LIQUIBID GUAIFENESIN ER AMIBID LA AMIBID LA AMIBID LA GUAIFENESIN LA GUAIFENESIN LA GUAIFENEX LA GUAIFENEX LA ALLFEN-M GUAIFENESIN-SR GUAIFENESIN-SR GUAIFENESIN-SR RESPA-GF GUAIFENESIN LA GUAIFENESIN LA GUAIFENESIN LA GUAIFENESIN LA MONAFED GUAIFENESIN GUAIFENESIN FENESIN FENESIN LIQUIBID LIQUIBID MUCINEX MUCINEX MUCINEX IOPHEN NR GUAIFENESIN ORGADIN GANIDIN NR GUAIFENESIN NR SCOT-TUSSIN SCOT-TUSSIN

Description GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN

Strength 200MG 200MG 200MG 200MG 200MG 200MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 600MG 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML

Form TABLET TABLET TABLET TABLET TABLET TABLET TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID

Generic Name

Description

SCOT-TUSSIN GUAIFENESIN SCOT-TUSSIN GUAIFENESIN SCOT-TUSSIN GUAIFENESIN SILTUSSIN DAS GUAIFENESIN DIABETIC TUSSIN EX GUAIFENESIN DIABETIC TUSSIN EX GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN LA GUAIFENESIN GUAIFENEX G GUAIFENESIN MUCO-FEN 1200 GUAIFENESIN GUAIFENESIN-SR GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN-P-PD GUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUGUAIFENESIN/P-EPHED HCL NALEX JR GUAIFENESIN/P-EPHED HCL PSEUDOVENT PED GUAIFENESIN/P-EPHED HCL SINUFED TIMECELLESGUAIFENESIN/P-EPHED HCL G-PHED-PD GUAIFENESIN/P-EPHED HCL GUAIFENESIN/P-EPHEGUAIFENESIN/P-EPHED HCL MINDAL GUAIFENESIN/P-EPHED HCL ABER-FED GUAIFENESIN/P-EPHED HCL ZEPHREX-LA GUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUGUAIFENESIN/P-EPHED HCL GUAIMAX-D GUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUGUAIFENESIN/P-EPHED HCL AMIDAL GUAIFENESIN/PHENYLEPHRINE HC AMIDAL GUAIFENESIN/PHENYLEPHRINE HC GUAIFENESIN/PHENY GUAIFENESIN/PHENYLEPHRINE HC GUAIFENESIN W/PSEUGUAIFENESIN/P-EPHED HCL PSEUDO-G/PSI GUAIFENESIN/P-EPHED HCL AMI-TEX PSE GUAIFENESIN/P-EPHED HCL AMI-TEX PSE GUAIFENESIN/P-EPHED HCL ABLETEX PSE GUAIFENESIN/P-EPHED HCL ABLETEX PSE GUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUGUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUGUAIFENESIN/P-EPHED HCL GUAIFENEX PSE GUAIFENESIN/P-EPHED HCL ALTEX-PSE GUAIFENESIN/P-EPHED HCL ALTEX-PSE GUAIFENESIN/P-EPHED HCL GUAIFENESIN 600/PSEGUAIFENESIN/P-EPHED HCL IOTEX PSE GUAIFENESIN/P-EPHED HCL GUAIFENESIN-PSEUD GUAIFENESIN/P-EPHED HCL GUAIFENESIN-PSEUD GUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUGUAIFENESIN/P-EPHED HCL DURATUSS GUAIFENESIN/P-EPHED HCL DECONGESTANT II GUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUGUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUGUAIFENESIN/P-EPHED HCL GUAIFENEX PSE GUAIFENESIN/P-EPHED HCL PROFED GUAIFENESIN/P-EPHED HCL D-FEDA II GUAIFENESIN/P-EPHED HCL IOSAL II GUAIFENESIN/P-EPHED HCL DURASAL II GUAIFENESIN/P-EPHED HCL

Strength 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 100MG/5ML 1200MG 1200MG 1200MG 1200MG 1200MG 1200MG 300-60MG 300-60MG 300-60MG 300-60MG 300-60MG 300-60MG 500-60MG 500-60MG 500-60MG 600-120MG 600-120MG 600-120MG 600-120MG 300-20MG 300-20MG 600-40MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600-120MG 600MG-60MG 600MG-60MG 600MG-60MG 600MG-60MG 600MG-60MG 600MG-60MG 600MG-60MG 600MG-60MG

Form LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H CAPSULE SA CAPSULE SA CAPSULE SA CAPSULE SA CAPSULE SA CAPSULE SA TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TABLET SA TABLET SA TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Expectorants and Combinations: Page 3 of 3 Generic Name

Description

ROBITUSSIN GUAIFENESIN/P-EPHED HCL SINUTAB NON-DRYING GUAIFENESIN/P-EPHED HCL SUDAFED NON-DRYING GUAIFENESIN/P-EPHED HCL SEVERE CONGESTION GUAIFENESIN/P-EPHED HCL TUSSIN SEVERE GUAIFENESIN/P-EPHED HCL TUSSIN SEVERE CONGEGUAIFENESIN/P-EPHED HCL MEDI-TUSSIN SEVERE CGUAIFENESIN/P-EPHED HCL TUSSIN SEVERE CONGEGUAIFENESIN/P-EPHED HCL NON-DRYING SINUS GUAIFENESIN/P-EPHED HCL GUAIFED GUAIFENESIN/P-EPHED HCL GUAIFED GUAIFENESIN/P-EPHED HCL DRITUSS GP GUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUDGUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUDGUAIFENESIN/P-EPHED HCL GUIADRINE GP GUAIFENESIN/P-EPHED HCL GUAIFENESIN/PSEUDOEGUAIFENESIN/P-EPHED HCL GUAIFENEX GP GUAIFENESIN/P-EPHED HCL GFN/PSE GUAIFENESIN/P-EPHED HCL GUAIFENESIN PSE GUAIFENESIN/P-EPHED HCL GUAIFENESIN W/PSEUDGUAIFENESIN/P-EPHED HCL DURATUSS GP GUAIFENESIN/P-EPHED HCL GUAIFENESIN-PSEUDOEGUAIFENESIN/P-EPHED HCL GUAIFENESIN-PSEUDOEGUAIFENESIN/P-EPHED HCL PSEUDOEPHEDRINE W/ GUAIFENESIN/P-EPHED HCL AMBI 45/800 GUAIFENESIN/P-EPHED HCL GUAIFENESIN-P-EPHED GUAIFENESIN/P-EPHED HCL GUAIFENESIN-P-EPHED GUAIFENESIN/P-EPHED HCL GFN 1200/PSE 50 GUAIFENESIN/P-EPHED HCL GUAIFENESIN PSE SR GUAIFENESIN/P-EPHED HCL LEVALL G GUAIFENESIN/P-EPHED HCL LEV/PSE/GG GUAIFENESIN/P-EPHED HCL AMBI 60-580 GUAIFENESIN/P-EPHED HCL AMBI 80/780 GUAIFENESIN/P-EPHED HCL GUAIPHEN-D GUAIFENESIN/PHENYLEPHRINE HCL GUAIFENESIN-PHENYLEGUAIFENESIN/PHENYLEPHRINE HCL WELLBID-D GUAIFENESIN/PHENYLEPHRINE HCL PHENYLEPHRINE HCL/GGUAIFENESIN/PHENYLEPHRINE HCL PROSET D GUAIFENESIN/PHENYLEPHRINE HCL GUIADEX D GUAIFENESIN/PHENYLEPHRINE HCL GFN 600/PHENYLEPHRINGUAIFENESIN/PHENYLEPHRINE HCL GUIADEX PD GUAIFENESIN/PHENYLEPHRINE HCL PENDEX GUAIFENESIN/PHENYLEPHRINE HCL EXEFEN-PD GUAIFENESIN/PHENYLEPHRINE HCL QUINTEX GUAIFENESIN/PHENYLEPHRINE HCL GUAIF-PHENYLPHRINE GUAIFENESIN/PHENYLEPHRINE HCL CRANTEX GUAIFENESIN/PHENYLEPHRINE HCL SIL-TEX GUAIFENESIN/PHENYLEPHRINE HCL GUAPETEX GUAIFENESIN/PHENYLEPHRINE HCL GUAIF/PHENYLPHRINE HGUAIFENESIN/PHENYLEPHRINE HCL CRANTEX LA GUAIFENESIN/PHENYLEPHRINE HCL AMI-TEX LA GUAIFENESIN/PHENYLEPHRINE HCL AMI-TEX LA GUAIFENESIN/PHENYLEPHRINE HCL PHENAVENT LA GUAIFENESIN/PHENYLEPHRINE HCL PHENYLEPHRINE/GUAIFGUAIFENESIN/PHENYLEPHRINE HCL NASEX GUAIFENESIN/PHENYLEPHRINE HCL

Strength 200-30MG 200-30MG 200-30MG 200-30MG 200-30MG 200-30MG 200-30MG 200-30MG 200-30MG 200-30/5ML 200-30/5ML 1200-120MG 1200-120MG 1200-120MG 1200-120MG 1200-120MG 1200-120MG 1200-120MG 1200-120MG 1200-120MG 1200-120MG 800-90MG 800-90MG 800-45MG 800-45MG 1200-50MG 1200-50MG 1200-50MG 1200-50MG 400MG-90MG 400MG-90MG 580-60MG 780MG-80MG 600-40MG 600-40MG 600-40MG 600-20MG 600-20MG 600-20MG 600-20MG 600-10MG 600-10MG 600-10MG 100-7.5/5 100-7.5/5 100-7.5/5 100-7.5/5 100-7.5/5 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 600-30MG 650-25MG

Form CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE CAPSULE SYRUP SYRUP TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H CAP.SR 12H CAP.SR 12H TABLET TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H SYRUP SYRUP SYRUP SYRUP SYRUP TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H

Generic Name

Description

XEDEC GUAIFENESIN/PHENYLEPHRINE HC LUSONEX GUAIFENESIN/PHENYLEPHRINE HC NESCON-PD GUAIFENESIN/PHENYLEPHRINE HC GUAIPHEN-PD GUAIFENESIN/PHENYLEPHRINE HC GUAIPHEN-PD GUAIFENESIN/PHENYLEPHRINE HC TUSSBID GUAIFENESIN/PHENYLEPHRINE HC PHENAVENT GUAIFENESIN/PHENYLEPHRINE HC PHENAVENT GUAIFENESIN/PHENYLEPHRINE HC PHENAVENT PED GUAIFENESIN/PHENYLEPHRINE HC CRANTEX ER GUAIFENESIN/PHENYLEPHRINE HC DECONEX GUAIFENESIN/PHENYLEPHRINE HC GUAIF-PHENYLPHRIN GUAIFENESIN/PHENYLEPHRINE HC PHENAVENT D GUAIFENESIN/PHENYLEPHRINE HC GFN 1200/PHENYLEPHGUAIFENESIN/PHENYLEPHRINE HC GP-1200 GUAIFENESIN/PHENYLEPHRINE HC GUAIPHEN-D GUAIFENESIN/PHENYLEPHRINE HC DUOMAX GUAIFENESIN/PHENYLEPHRINE HC GUAIF-PHENYLPHRIN GUAIFENESIN/PHENYLEPHRINE HC WELLBID-D 1200 GUAIFENESIN/PHENYLEPHRINE HC GFN 800/PE 25 GUAIFENESIN/PHENYLEPHRINE HC CRANTEX LAC GUAIFENESIN/PHENYLEPHRINE HC PHENAVENT LA GUAIFENESIN/PHENYLEPHRINE HC GENERIC ENTEX LA GUAIFENESIN/PHENYLEPHRINE HC DURATUSS GUAIFENESIN/PHENYLEPHRINE HC DURATUSS GP GUAIFENESIN/PHENYLEPHRINE HC NASEX-G GUAIFENESIN/PHENYLEPHRINE HC ALDEX G GUAIFENESIN/PHENYLEPHRINE HC

Strength 800-20MG 800-20MG 275-25MG 275-25MG 275-25MG 400-15MG 400-15MG 400-15MG 200-7.5MG 300-10MG 900-30MG 1200-40MG 1200-40MG 1200-40MG 1200-40MG 1200-40MG 1200-40MG 1200-40MG 1200-40MG 800-25MG 400MG-30MG 400MG-30MG 400MG-30MG 900-25MG 1200-25MG 835MG-25MG 835MG-25MG

Form TAB SR 8HR TAB SR 8HR TAB.SR 12H TAB.SR 12H TAB.SR 12H CAP.SR 12H CAP.SR 12H CAP.SR 12H CAP.SR 12H CAP.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H CAP.SR 12H CAP.SR 12H CAP.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H TAB.SR 12H

Cough and Cold Covered Products

Alabama Medicaid Agency

Updated Quarterly Last Update 10/27/2005

Decongestants and Combinations: Page 1 of 2 Generic Name

Description

POT GUAIACO/PHENYLEPHENYLEPHRINE HCL/POT GUAIACO KGS-PE PHENYLEPHRINE HCL/POT GUAIACO LUSONAL PHENYLEPHRINE HCL/POT GUAIACO LUSONAL PHENYLEPHRINE HCL/POT GUAIACO AMDRY-D METHSCOPOLAMN/P-EPHED HCL MEDI-PHEDRINE PSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOFED PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL DIMETAPP PSEUDOEPHEDRINE HCL DIMETAPP PSEUDOEPHEDRINE HCL NASAL DECONGESTANTPSEUDOEPHEDRINE HCL 12 HOUR COLD PSEUDOEPHEDRINE HCL DIBROMM PSEUDOEPHEDRINE HCL SUDAFED 12 HOUR PSEUDOEPHEDRINE HCL SUDAFED PSEUDOEPHEDRINE HCL SUPHEDRIN 12 HOUR PSEUDOEPHEDRINE HCL 12 HOUR COLD PSEUDOEPHEDRINE HCL 12 HOUR DECONGESTA PSEUDOEPHEDRINE HCL SINUS 12 HOUR PSEUDOEPHEDRINE HCL 12 HOUR SINUS DECON PSEUDOEPHEDRINE HCL MEDI-PHEDRINE PSEUDOEPHEDRINE HCL 12 HOUR DECONGESTA PSEUDOEPHEDRINE HCL SUDAFED PSEUDOEPHEDRINE HCL SUDAFED PSEUDOEPHEDRINE HCL CHILDREN'S NASAL DECPSEUDOEPHEDRINE HCL CHILDREN'S SUDAFED PSEUDOEPHEDRINE HCL CHILDREN'S SUPHEDRINPSEUDOEPHEDRINE HCL PSEUPHEDRIN PSEUDOEPHEDRINE HCL TYLENOL SIMPLY STUFFPSEUDOEPHEDRINE HCL CHILDREN'S PSEUDOEPPSEUDOEPHEDRINE HCL CHILDREN'S SILFEDRIN PSEUDOEPHEDRINE HCL CHILDREN'S SILFEDRIN PSEUDOEPHEDRINE HCL MEDI-PHEDRINE PSEUDOEPHEDRINE HCL TYLENOL SIMPLY STUFFPSEUDOEPHEDRINE HCL TYLENOL SIMPLY STUFFPSEUDOEPHEDRINE HCL SUPHEDRINE PSEUDOEPHEDRINE HCL SUPHEDRINE PSEUDOEPHEDRINE HCL PSEUDOFED PSEUDOEPHEDRINE HCL PSEUDOFED PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL RIDAFED PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL UNIFED PSEUDOEPHEDRINE HCL

Strength 75-5MG/5ML 75-5MG/5ML 100-7.5/5 100-7.5/5 120-2.5MG 30MG 60MG 60MG 60MG 60MG 60MG 60MG 120MG 120MG 120MG 120MG 120MG 120MG 120MG 120MG 120MG 120MG 120MG 120MG 120MG 120MG 240MG 240MG 15MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 15MG/5ML 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG/5ML 30MG/5ML 30MG/5ML

Form LIQUID LIQUID LIQUID LIQUID TAB.SR 12H TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TABLET SA TAB.SR 24H TAB.SR 24H LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID LIQUID TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET SYRUP SYRUP SYRUP

Generic Name

Description

PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL SUDOPHED PSEUDOEPHEDRINE HCL SUDOPHED PSEUDOEPHEDRINE HCL NASAL DECONGESTA PSEUDOEPHEDRINE HCL SUPHEDRINE PSEUDOEPHEDRINE HCL DECONGESTANT PSEUDOEPHEDRINE HCL SUPHEDRINE PSEUDOEPHEDRINE HCL SUPHEDRINE PSEUDOEPHEDRINE HCL SUPHEDRINE PSEUDOEPHEDRINE HCL SUPHEDRINE PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOTABS PSEUDOEPHEDRINE HCL PSEUDOTABS PSEUDOEPHEDRINE HCL SUPHEDRIN PSEUDOEPHEDRINE HCL NASAL DECONGESTA PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL CONGESTACLEAR PSEUDOEPHEDRINE HCL CONGESTACLEAR PSEUDOEPHEDRINE HCL CONGESTACLEAR PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL SUDOGEST PSEUDOEPHEDRINE HCL SUDOGEST PSEUDOEPHEDRINE HCL SUDOGEST PSEUDOEPHEDRINE HCL SUDOGEST PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL PEDIACARE PSEUDOEPHEDRINE HCL DIMETAPP DECONGESPSEUDOEPHEDRINE HCL KIDCARE PSEUDOEPHEDRINE HCL VALU-TAPP DECONGEPSEUDOEPHEDRINE HCL V-R PEDIA RELIEF PSEUDOEPHEDRINE HCL PEDIATRIC DECONGE PSEUDOEPHEDRINE HCL BROMTAPP PED DECOPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL PSEUDOGEST PSEUDOEPHEDRINE HCL PSEUDOGEST PSEUDOEPHEDRINE HCL SUDOGEST CHILDRENPSEUDOEPHEDRINE HCL SUPHEDRIN PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HPSEUDOEPHEDRINE HCL

Strength 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 60MG 60MG 60MG 30MG 30MG 30MG 30MG 60MG 60MG 60MG 60MG 60MG 60MG 60MG 60MG 60MG 60MG 60MG 9.4MG/ML 9.4MG/ML 9.4MG/ML 9.4MG/ML 9.4MG/ML 9.4MG/ML 9.4MG/ML 30MG/5ML 30MG/5ML 30MG/5ML 30MG/5ML 30MG/5ML 30MG/5ML 30MG/5ML 30MG/5ML 30MG/5ML

Form TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET DROPS DROPS DROPS DROPS DROPS DROPS DROPS SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP

Cough and Cold Covered Products

Alabama Medicaid Agency

Decongestants and Combinations: Page 2 of 2 Generic Name

Description

UNIFED PSEUDOEPHEDRINE HCL UNIFED PSEUDOEPHEDRINE HCL BIOFED PSEUDOEPHEDRINE HCL BIOFED PSEUDOEPHEDRINE HCL BIOFED PSEUDOEPHEDRINE HCL BIOFED PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL SUDAFED PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL GENAPHED PSEUDOEPHEDRINE HCL GENAPHED PSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL SUDAFED PSEUDOEPHEDRINE HCL SUDAFED PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL DECONGESTANT TABLEPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL SUDOGEST PSEUDOEPHEDRINE HCL SUDOGEST PSEUDOEPHEDRINE HCL SUDOGEST PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL PSEUDAFEN PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCPSEUDOEPHEDRINE HCL NASAL & SINUS DECONGPSEUDOEPHEDRINE HCL NASAL & SINUS DECONGPSEUDOEPHEDRINE HCL NASAL DECONGESTANTPSEUDOEPHEDRINE HCL NASAL DECONGESTANTPSEUDOEPHEDRINE HCL NASAL DECONGESTANTPSEUDOEPHEDRINE HCL

Strength 30MG/5ML 30MG/5ML 30MG/5ML 30MG/5ML 30MG/5ML 30MG/5ML 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG 30MG

Form SYRUP SYRUP SYRUP SYRUP SYRUP SYRUP TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET

Updated Quarterly Last Update 10/27/2005