MS Medicaid Covered OTC NDC List

Covered OTC drugs managed on the PDL will not display on this list.
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This list is updated weekly.
Generated Date: 10/04/2022 02:26 AM

NDC Generic Drug Name Brand Drug Name Manufacturer Name

00904773518 A/C/E/zinc/sod selenate/copper PROSIGHT TABLET MAJOR PHARMACEU
00904773552 A/C/E/zinc/sod selenate/copper PROSIGHT TABLET MAJOR PHARMACEU
59528031701 B comp no3/folic/C/biotin/zinc NEPHPLEX RX TABLET NEPHRO-TECH
10542001210 B complex 11/folic/C/biot/zinc DIALYVITE WITH ZINC TABLET HILLESTAD PHARM
13811052501 B complex w-C no.20/folic acid TRIPHROCAPS SOFTGEL TRIGEN LABORATO
60258016201 B complex w-C no.20/folic acid RENAL CAPS SOFTGEL CYPRESS PHARM.
69543026010 B complex w-C no.20/folic acid VIRT-CAPS SOFTGEL VIRTUS PHARMACE
69367031401 B complex w-C no.20/folic acid WESCAPS CAPSULE WESTMINSTER PHA
37205042278 B-complex with vitamin C B-COMPLEX PLUS VITAMIN C CPLT LEADER
00065804054 B2/vits A,C,E/lut/zeaxanth/min ICAPS TABLET ALCON CONSUMER
00642747330 PNV 102/iron/folate/dha VITAFOL FE PLUS SOFTGEL EXELTIS USA, IN
23359010530 PNV 11/iron fum/folic acid/om3 C-NATE DHA SOFTGEL CENTURION LABS
69543037030 PNV 11/iron fum/folic acid/om3 VIRT-NATE DHA SOFTGEL VIRTUS PHARMACE
69367031730 PNV 11/iron fum/folic acid/om3 WESNATE DHA SOFTGEL WESTMINSTER PHA
00642012590 PNV 112/iron/folic/om3/dha/epa VITAFOL GUMMIES EXELTIS USA, IN
60258019601 PNV 119/iron fum/folic acid PRENATAL 19 TABLET CYPRESS PHARM.
13925011601 PNV 119/iron fum/folic acid SE-NATAL-19 TABLET SETON PHARMACEU
68025004960 PNV 30/iron carb,ag/folic/om3 OB COMPLETE WITH DHA SOFTGEL VERTICAL/AVION
00642009330 PNV 67/iron ps/folate no.1/dha VITAFOL ULTRA SOFTGEL EXELTIS USA, IN
68025004430 PNV 85/iron/folic/dha/fish oil OB COMPLETE ONE SOFTGEL VERTICAL/AVION
13811001030 PNV cmb 52/iron/FA/omega-3/dha COMPLETE NATAL DHA TRIGEN LABORATO
13925011701 PNV no.118/iron fumarate/FA SE-NATAL 19 CHEWABLE TABLET SETON PHARMACEU
60258019701 PNV no.118/iron fumarate/FA PRENATAL 19 CHEWABLE TABLET CYPRESS PHARM.
00642403030 PNV no.63/iron,carb/folic/dha STUART ONE CAPSULE EXELTIS USA, IN
51645083701 PNV no.95/ferrous fum/folic ac PRENATAL TABLET PLUS PHARMA,INC
46122009878 PNV no.95/ferrous fum/folic ac PRENATAL VITAMINS TABLET AMERISOURCE-GNP
00536408501 PNV no.95/ferrous fum/folic ac PRENATAL VITAMINS TABLET RUGBY
69543025810 PNV,calcium 72/iron/folic acid PREPLUS CA-FE 27 MG-FA 1 MG TB VIRTUS PHARMACE
69543025850 PNV,calcium 72/iron/folic acid PREPLUS CA-FE 27 MG-FA 1 MG TB VIRTUS PHARMACE
58657017001 PNV,calcium 72/iron/folic acid M-NATAL PLUS TABLET METHOD PHARMACE
69367026701 PNV,calcium 72/iron/folic acid WESTAB PLUS TABLET WESTMINSTER PHA
39328010610 PNV,calcium 72/iron/folic acid PRENATAL VITAMIN PLUS LOW IRON PATRIN PHARMA

1
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
68025004330 PNV83/iron,carb,asp/folic acid OB COMPLETE PREMIER TABLET VERTICAL/AVION
46122021126 acetaminophen CHILD PAIN-FEVER 160 MG/5 ML AMERISOURCE-GNP
46122021226 acetaminophen CHILD PAIN-FEVER 160 MG/5 ML AMERISOURCE-GNP
46122021426 acetaminophen CHILD PAIN-FEVER 160 MG/5 ML AMERISOURCE-GNP
46122032226 acetaminophen CHILD PAIN-FEVER 160 MG/5 ML AMERISOURCE-GNP
46122013365 acetaminophen CHILD'S EASY-MELTS 80 MG TAB AMERISOURCE-GNP
46122013165 acetaminophen CHILD'S EASY-MELTS 80 MG TAB AMERISOURCE-GNP
46122043078 acetaminophen ACETAMINOPHEN 325 MG GELCAP AMERISOURCE-GNP
46122039078 acetaminophen PAIN RELIEF 325 MG TABLET AMERISOURCE-GNP
46122024778 acetaminophen PAIN RELIEVER 325 MG TABLET AMERISOURCE-GNP
46122031278 acetaminophen GNP PAIN RELIEF 500 MG CAPLET AMERISOURCE-GNP
46122064971 acetaminophen GNP ACETAMINOPHEN 500 MG TAB AMERISOURCE-GNP
46122069662 acetaminophen GNP PAIN RELIEF 500 MG GELCAP AMERISOURCE-GNP
24385048447 acetaminophen GNP PAIN RELIEF 500 MG CAPLET AMERISOURCE-GNP
24385048471 acetaminophen GNP PAIN RELIEF 500 MG CAPLET AMERISOURCE-GNP
24385048490 acetaminophen GNP PAIN RELIEF 500 MG CAPLET AMERISOURCE-GNP
46122062981 acetaminophen GNP 8HR ARTHRIT PAIN ER 650 MG AMERISOURCE-GNP
24385062982 acetaminophen ARTHRITIS PAIN ER 650 MG CAPLT AMERISOURCE-GNP
46122062978 acetaminophen 8HR ARTHRITIS PAIN ER 650 MG AMERISOURCE-GNP
46122063078 acetaminophen GNP 8 HOUR PAIN RELIEF 650 MG AMERISOURCE-GNP
46122006271 acetaminophen 8 HOUR ACETAMINOPHEN ER 650 MG AMERISOURCE-GNP
70677013101 acetaminophen SM PAIN RELIEVER 500 MG CAPLET SM-STRATEGIC SO
49348011610 acetaminophen SM PAIN RELIEVER 500 MG GELCAP SM-STRATEGIC SO
49348004210 acetaminophen SM PAIN RELIEVER 500 MG CAPLET SM-STRATEGIC SO
49348004214 acetaminophen SM PAIN RELIEVER 500 MG CAPLET SM-STRATEGIC SO
70677014701 acetaminophen SM ARTHRITIS PAIN ER 650 MG TB SM-STRATEGIC SO
70677001701 acetaminophen SM PAIN RELIEVER ER 650 MG SM-STRATEGIC SO
70677001801 acetaminophen SM ARTHRITIS PAIN ER 650 MG TB SM-STRATEGIC SO
00485005708 acetaminophen ED-APAP 160 MG/5 ML LIQUID EDWARDS PHARM.
68084077725 acetaminophen ACETAMINOPHEN ER 650 MG TABLET AHP
68084077795 acetaminophen ACETAMINOPHEN ER 650 MG TABLET AHP
63739008702 acetaminophen ACETAMINOPHEN 325 MG TABLET MCKESSON PACKAG
00113016110 acetaminophen GS INFANT PAIN-FEVER 160 MG/5 PERRIGO/GOODSEN
00113021226 acetaminophen GS CHILD PAIN-FEVER 160 MG/5ML PERRIGO/GOODSEN
00113059010 acetaminophen GS INFANT PAIN-FEVER 160 MG/5 PERRIGO/GOODSEN
00113060826 acetaminophen GS CHILD FEVER-PAIN 160 MG/5ML PERRIGO/GOODSEN
00113094610 acetaminophen GS INFANT PAIN-FEVER 160 MG/5 PERRIGO/GOODSEN
00113895926 acetaminophen GS CHILD PAIN-FEVER 160 MG/5ML PERRIGO/GOODSEN
00113002026 acetaminophen GS CHILD PAIN-FEVER 160 MG/5ML PERRIGO/GOODSEN
00113040378 acetaminophen GS PAIN RELIEF 325 MG TABLET PERRIGO/GOODSEN
00113002571 acetaminophen GS PAIN RELIEF 500 MG CAPLET PERRIGO/GOODSEN
2
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00113048471 acetaminophen GS PAIN RELIEF 500 MG CAPLET PERRIGO/GOODSEN
00113048452 acetaminophen GS PAIN RELIEF 500 MG CAPLET PERRIGO/GOODSEN
00113048462 acetaminophen GS PAIN RELIEF 500 MG CAPLET PERRIGO/GOODSEN
00113048478 acetaminophen GS PAIN RELIEF 500 MG CAPLET PERRIGO/GOODSEN
00113048490 acetaminophen GS PAIN RELIEF 500 MG CAPLET PERRIGO/GOODSEN
00113022771 acetaminophen GS PAIN RELIEF 500 MG TABLET PERRIGO/GOODSEN
00113002562 acetaminophen GS PAIN RELIEF 500 MG CAPLET PERRIGO/GOODSEN
00113054462 acetaminophen GS ARTHRITIS PAIN ER 650 MG PERRIGO/GOODSEN
00113054471 acetaminophen GS PAIN RELIEF ER 650 MG CPLT PERRIGO/GOODSEN
00113054478 acetaminophen GS ARTHRITIS PAIN ER 650 MG PERRIGO/GOODSEN
46122042462 acetaminophen GNP CHILD PAIN RELIEF 160 MG AMERISOURCE-GNP
46122020926 acetaminophen CHILD PAIN-FEVER 160 MG/5 ML AMERISOURCE-GNP
24385014626 acetaminophen CHILD'S PAIN RELIEVER SUSP AMERISOURCE-GNP
46122055246 acetaminophen INFANT PAIN-FEVER 160 MG/5 ML AMERISOURCE-GNP
46122004203 acetaminophen INFANT PAIN-FEVER 160 MG/5 ML AMERISOURCE-GNP
46122005603 acetaminophen INFANT PAIN-FEVER 160 MG/5 ML AMERISOURCE-GNP
46122021026 acetaminophen CHILD PAIN-FEVER 160 MG/5 ML AMERISOURCE-GNP
54838014440 acetaminophen SILAPAP 160 MG/5 ML LIQUID SILARX/LANNETT
54838014470 acetaminophen SILAPAP 160 MG/5 ML LIQUID SILARX/LANNETT
54838014480 acetaminophen SILAPAP 160 MG/5 ML LIQUID SILARX/LANNETT
45802073200 acetaminophen ACETAMINOPHEN 120 MG SUPPOS PERRIGO/PADAGIS
45802073230 acetaminophen ACETAMINOPHEN 120 MG SUPPOS PERRIGO/PADAGIS
45802073233 acetaminophen ACETAMINOPHEN 120 MG SUPPOS PERRIGO/PADAGIS
45802020126 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PERRIGO/PADAGIS
45802020326 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PERRIGO/PADAGIS
45802073000 acetaminophen ACETAMINOPHEN 650 MG SUPPOS PERRIGO/PADAGIS
45802073030 acetaminophen ACETAMINOPHEN 650 MG SUPPOS PERRIGO/PADAGIS
45802073032 acetaminophen ACETAMINOPHEN 650 MG SUPPOS PERRIGO/PADAGIS
45802073033 acetaminophen ACETAMINOPHEN 650 MG SUPPOS PERRIGO/PADAGIS
49348009334 acetaminophen SM CHLD PAIN-FEVER 160 MG/5 ML SM-STRATEGIC SO
49348043030 acetaminophen SM INFANT PAIN-FEVER 160 MG/5 SM-STRATEGIC SO
70677011701 acetaminophen SM INFANT PAIN RLF 160 MG/5 ML SM-STRATEGIC SO
49348011934 acetaminophen SM CHLD PAIN-FEVER 160 MG/5 ML SM-STRATEGIC SO
70677011601 acetaminophen SM CHILD'S PAIN RELIEVER SUSP SM-STRATEGIC SO
70677011801 acetaminophen SM CHILD'S PAIN RELIEVER SUSP SM-STRATEGIC SO
49348097310 acetaminophen SM PAIN RELIEVER 325 MG TABLET SM-STRATEGIC SO
49348097316 acetaminophen SM PAIN RELIEVER 325 MG TABLET SM-STRATEGIC SO
49348004209 acetaminophen SM PAIN RELIEVER 500 MG CAPLET SM-STRATEGIC SO
49348004242 acetaminophen SM PAIN RELIEVER 500 MG CAPLET SM-STRATEGIC SO
49348099810 acetaminophen SM PAIN RELIEVER 500 MG TABLET SM-STRATEGIC SO
70677009302 acetaminophen SM PAIN RELIEVER 500 MG TABLET SM-STRATEGIC SO
3
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000030901 acetaminophen CHILD ACETAMINOPHEN 160 MG LEADER
70000031001 acetaminophen CHILD ACETAMINOPHEN 160 MG LEADER
70000047201 acetaminophen INFANT PAIN-FEVER 160 MG/5 ML LEADER
70000002801 acetaminophen CHILD PAIN-FEVER 160 MG/5 ML LEADER
70000048101 acetaminophen CHILD PAIN-FEVER 160 MG/5 ML LEADER
70000049601 acetaminophen CHILD PAIN-FEVER 160 MG/5 ML LEADER
70000050901 acetaminophen ACETAMINOPHEN 500 MG SOFTGEL LEADER
70000009201 acetaminophen ACETAMINOPHEN 325 MG TABLET LEADER
70000003601 acetaminophen ACETAMINOPHEN 500 MG TABLET LEADER
70000031201 acetaminophen ACETAMINOPHEN 500 MG GELCAP LEADER
70000031202 acetaminophen ACETAMINOPHEN 500 MG GELCAP LEADER
70000037301 acetaminophen ACETAMINOPHEN 500 MG CAPLET LEADER
70000037302 acetaminophen ACETAMINOPHEN 500 MG CAPLET LEADER
70000037303 acetaminophen ACETAMINOPHEN 500 MG CAPLET LEADER
70000037305 acetaminophen ACETAMINOPHEN 500 MG CAPLET LEADER
70000041001 acetaminophen ACETAMINOPHEN 500 MG TABLET LEADER
70000041002 acetaminophen ACETAMINOPHEN 500 MG TABLET LEADER
70000018003 acetaminophen 8HR ARTHRITIS PAIN ER 650 MG LEADER
70000030601 acetaminophen 8HR MUSCLE ACHE-PAIN ER 650 MG LEADER
70000018002 acetaminophen 8HR ARTHRITIS PAIN ER 650 MG LEADER
70000018005 acetaminophen 8HR ARTHRITIS PAIN ER 650 MG LEADER
49483034010 acetaminophen ACETAMINOPHEN 325 MG TABLET TIME-CAP LABS
49483034001 acetaminophen ACETAMINOPHEN 325 MG TABLET TIME-CAP LABS
49483034101 acetaminophen ACETAMINOPHEN 500 MG TABLET TIME-CAP LABS
49483034110 acetaminophen ACETAMINOPHEN 500 MG TABLET TIME-CAP LABS
49483034150 acetaminophen ACETAMINOPHEN 500 MG TABLET TIME-CAP LABS
49483069901 acetaminophen ACETAMINOPHEN ER 650 MG CAPLET TIME-CAP LABS
50268005211 acetaminophen ARTHRITIS PAIN ER 650 MG TAB AVPAK
50268005215 acetaminophen ARTHRITIS PAIN ER 650 MG TAB AVPAK
69367032304 acetaminophen ACETAMINOPHEN 160 MG/5 ML LIQ WESTMINSTER PHA
69367032316 acetaminophen ACETAMINOPHEN 160 MG/5 ML LIQ WESTMINSTER PHA
62011033901 acetaminophen HM CHILD ACETAMINOPHEN 160 MG HM-STRATEGIC SO
62011046201 acetaminophen HM INFANT PAIN RLF 160 MG/5 ML HM-STRATEGIC SO
62011000101 acetaminophen HM INFANT PAIN-FEVER 160 MG/5 HM-STRATEGIC SO
62011024601 acetaminophen HM CHLD PAIN-FEVER 160 MG/5 ML HM-STRATEGIC SO
62011046001 acetaminophen HM CHILD PAIN RLF 160 MG/5 ML HM-STRATEGIC SO
62011046101 acetaminophen HM CHILD PAIN RLF 160 MG/5 ML HM-STRATEGIC SO
62011003201 acetaminophen HM PAIN RELIEVER 325 MG TABLET HM-STRATEGIC SO
62011002303 acetaminophen HM PAIN RELIEF 500 MG CAPLET HM-STRATEGIC SO
62011004901 acetaminophen HM PAIN RELIEVER 500 MG TABLET HM-STRATEGIC SO
62011023801 acetaminophen HM PAIN RELIEF 500 MG GELCAP HM-STRATEGIC SO
4
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011043401 acetaminophen HM PAIN RELIEF 500 MG TABLET HM-STRATEGIC SO
62011002301 acetaminophen HM PAIN RELIEF 500 MG CAPLET HM-STRATEGIC SO
62011002302 acetaminophen HM PAIN RELIEF 500 MG CAPLET HM-STRATEGIC SO
62011023802 acetaminophen HM PAIN RELIEF 500 MG GELCAP HM-STRATEGIC SO
60687057142 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML AHP
60687057148 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML AHP
60687057156 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML AHP
60687057137 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML AHP
60687057124 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML AHP
63868017418 acetaminophen QC CHILD PAIN RLF 160 MG/5 ML CHAIN DRUG
63868017626 acetaminophen QC CHILD PAIN RLF 160 MG/5 ML CHAIN DRUG
63868067760 acetaminophen QC INFANT PAIN-FEVER 160 MG/5 CHAIN DRUG
63868017526 acetaminophen QC CHILD PAIN RLF 160 MG/5 ML CHAIN DRUG
63868083660 acetaminophen QC INFANT PAIN RLF 160 MG/5 ML CHAIN DRUG
63868015824 acetaminophen QC JR. NON-ASPIRIN 160 MG TAB CHAIN DRUG
63868008210 acetaminophen QC PAIN RELIEF 325 MG TABLET CHAIN DRUG
63868008424 acetaminophen QC PAIN RELIEF 500 MG CAPLET CHAIN DRUG
63868050350 acetaminophen QC NON-ASPIRIN 500 MG CAPLET CHAIN DRUG
63868098750 acetaminophen QC NON-ASPIRIN 500 MG GELCAP CHAIN DRUG
63868031510 acetaminophen QC NON-ASPIRIN 500 MG TABLET CHAIN DRUG
63868031560 acetaminophen QC NON-ASPIRIN 500 MG TABLET CHAIN DRUG
63868050701 acetaminophen QC NON-ASPIRIN PAIN RELIEF TB CHAIN DRUG
63868008405 acetaminophen QC PAIN RELIEF 500 MG CAPLET CHAIN DRUG
63868008410 acetaminophen QC PAIN RELIEF 500 MG CAPLET CHAIN DRUG
63868008450 acetaminophen QC PAIN RELIEF 500 MG CAPLET CHAIN DRUG
63868098710 acetaminophen QC NON-ASPIRIN 500 MG GELCAP CHAIN DRUG
63868008901 acetaminophen QC ARTHRITIS PAIN ER 650 MG CHAIN DRUG
63868008950 acetaminophen ARTHRITIS PAIN ER 650 MG CAPLT CHAIN DRUG
00904688365 acetaminophen ACETAMINOPHEN ER 650 MG CAPLET MAJOR PHARMACEU
00904673870 acetaminophen ACETAMINOPHEN 160 MG/5 ML SOL MAJOR PHARMACEU
51645070399 acetaminophen ACETAMINOPHEN 325 MG TABLET PLUS PHARMA,INC
51645070301 acetaminophen ACETAMINOPHEN 325 MG TABLET PLUS PHARMA,INC
51645070310 acetaminophen ACETAMINOPHEN 325 MG TABLET PLUS PHARMA,INC
51645070501 acetaminophen ACETAMINOPHEN 500 MG CAPLET PLUS PHARMA,INC
51645070510 acetaminophen ACETAMINOPHEN 500 MG CAPLET PLUS PHARMA,INC
51645070601 acetaminophen ACETAMINOPHEN 500 MG TABLET PLUS PHARMA,INC
51645070610 acetaminophen ACETAMINOPHEN 500 MG TABLET PLUS PHARMA,INC
51645070699 acetaminophen ACETAMINOPHEN 500 MG TABLET PLUS PHARMA,INC
51660033301 acetaminophen ARTHRITIS PAIN ER 650 MG CAPLT OHM LABS.
51660033350 acetaminophen ARTHRITIS PAIN ER 650 MG CAPLT OHM LABS.
51672211500 acetaminophen FEVERALL 120 MG SUPPOSITORY TARO PHARM USA
5
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
51672211502 acetaminophen FEVERALL 120 MG SUPPOSITORY TARO PHARM USA
51672211504 acetaminophen FEVERALL 120 MG SUPPOSITORY TARO PHARM USA
51672211400 acetaminophen FEVERALL 80 MG SUPPOSITORY TARO PHARM USA
51672211402 acetaminophen FEVERALL 80 MG SUPPOSITORY TARO PHARM USA
51672211404 acetaminophen FEVERALL 80 MG SUPPOSITORY TARO PHARM USA
51672211600 acetaminophen FEVERALL 325 MG SUPPOSITORY TARO PHARM USA
51672211602 acetaminophen FEVERALL 325 MG SUPPOSITORY TARO PHARM USA
51672211604 acetaminophen FEVERALL 325 MG SUPPOSITORY TARO PHARM USA
51672211700 acetaminophen FEVERALL 650 MG SUPPOSITORY TARO PHARM USA
51672211704 acetaminophen FEVERALL 650 MG SUPPOSITORY TARO PHARM USA
54859080916 acetaminophen ACETAMINOPHEN 160 MG/5 ML LIQ LLORENS PHARM
54859080908 acetaminophen REDUTEMP 500 MG/15 ML LIQUID LLORENS PHARM
58657052504 acetaminophen M-PAP 160 MG/5 ML LIQUID METHOD PHARMACE
58657052516 acetaminophen M-PAP 160 MG/5 ML LIQUID METHOD PHARMACE
66689005501 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML VISTAPHARM
66689005599 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML VISTAPHARM
66689005601 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML VISTAPHARM
66689005699 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML VISTAPHARM
66689005401 acetaminophen ACETAMINOPHEN 160 MG/5 ML SOL VISTAPHARM
66689005499 acetaminophen ACETAMINOPHEN 160 MG/5 ML SOL VISTAPHARM
68001049500 acetaminophen ACETAMINOPHEN ER 650 MG TABLET BLUEPOINT LABOR
68094001561 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PRECISION DOSE
68094006159 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PRECISION DOSE
68094023162 acetaminophen ACETAMINOPHEN 160 MG/5 ML SUSP PRECISION DOSE
68094001559 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PRECISION DOSE
68094001562 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PRECISION DOSE
68094006161 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PRECISION DOSE
68094006162 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PRECISION DOSE
68094023159 acetaminophen ACETAMINOPHEN 160 MG/5 ML SUSP PRECISION DOSE
68094023161 acetaminophen ACETAMINOPHEN 160 MG/5 ML SUSP PRECISION DOSE
68094033059 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML PRECISION DOSE
68094033061 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML PRECISION DOSE
68094033062 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML PRECISION DOSE
68094003059 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML PRECISION DOSE
68094003062 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML PRECISION DOSE
68094058658 acetaminophen CHILD ACETAMINOPHEN 80 MG/2.5 PRECISION DOSE
68094058758 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PRECISION DOSE
68599467909 acetaminophen ACETAMINOPHEN 325 MG TABLET MCKESSON MEDICA
00121131400 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML PHARM ASSOC INC
00121131411 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML PHARM ASSOC INC
00121197100 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML PHARM ASSOC INC
6
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00121197121 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML PHARM ASSOC INC
00121093900 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PHARM ASSOC INC
00121096600 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PHARM ASSOC INC
00121096605 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PHARM ASSOC INC
00121096694 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PHARM ASSOC INC
00121178100 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PHARM ASSOC INC
00121178105 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PHARM ASSOC INC
00121093905 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML PHARM ASSOC INC
00121188200 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML PHARM ASSOC INC
00121188211 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML PHARM ASSOC INC
00121188294 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML PHARM ASSOC INC
00121282321 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML PHARM ASSOC INC
00121282394 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML PHARM ASSOC INC
00121065700 acetaminophen ACETAMINOPHEN 160 MG/5 ML SOL PHARM ASSOC INC
00121065705 acetaminophen ACETAMINOPHEN 160 MG/5 ML SOL PHARM ASSOC INC
00536132197 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML RUGBY
00536121277 acetaminophen INF ACETAMINOPHEN 160 MG/5 ML RUGBY
00536132710 acetaminophen ACETAMINOPHEN 325 MG TABLET RUGBY
00536132701 acetaminophen ACETAMINOPHEN 325 MG TABLET RUGBY
00536132706 acetaminophen ACETAMINOPHEN 325 MG TABLET RUGBY
00536117201 acetaminophen ACETAMINOPHEN 500 MG TABLET RUGBY
00536129229 acetaminophen ACETAMINOPHEN 500 MG GELCAP RUGBY
00904701416 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML MAJOR PHARMACEU
00904701420 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML MAJOR PHARMACEU
00904584709 acetaminophen MAPAP 500 MG/15 ML LIQUID MAJOR PHARMACEU
00904664524 acetaminophen CHILD'S MAPAP 160 MG TAB CHEW MAJOR PHARMACEU
00904579146 acetaminophen CHILDREN'S MAPAP 80 MG TAB CHW MAJOR PHARMACEU
00904673971 acetaminophen ACETAMINOPHEN 325 MG/10.15 ML MAJOR PHARMACEU
00904682076 acetaminophen ACETAMINOPHEN 650 MG/20.3 ML MAJOR PHARMACEU
00904676620 acetaminophen CHLD ACETAMINOPHEN 160 MG/5 ML MAJOR PHARMACEU
00904198760 acetaminophen MAPAP 500 MG CAPSULE MAJOR PHARMACEU
00904677361 acetaminophen ACETAMINOPHEN 325 MG TABLET MAJOR PHARMACEU
00904672059 acetaminophen ACETAMINOPHEN 500 MG CAPLET MAJOR PHARMACEU
00904673080 acetaminophen ACETAMINOPHEN 500 MG TABLET MAJOR PHARMACEU
00904672024 acetaminophen ACETAMINOPHEN 500 MG CAPLET MAJOR PHARMACEU
00904672040 acetaminophen ACETAMINOPHEN 500 MG CAPLET MAJOR PHARMACEU
00904672051 acetaminophen ACETAMINOPHEN 500 MG CAPLET MAJOR PHARMACEU
00904672060 acetaminophen ACETAMINOPHEN 500 MG CAPLET MAJOR PHARMACEU
00904672080 acetaminophen ACETAMINOPHEN 500 MG CAPLET MAJOR PHARMACEU
00904673059 acetaminophen ACETAMINOPHEN 500 MG TABLET MAJOR PHARMACEU
00904673060 acetaminophen ACETAMINOPHEN 500 MG TABLET MAJOR PHARMACEU
7
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00904673061 acetaminophen ACETAMINOPHEN 500 MG TABLET MAJOR PHARMACEU
00904576960 acetaminophen MAPAP ARTHRITIS ER 650 MG CPLT MAJOR PHARMACEU
70000015902 acetaminophen/caffeine TENSION HEADACHE CAPLET LEADER
70000015901 acetaminophen/caffeine TENSION HEADACHE CAPLET LEADER
63868003010 acetaminophen/caffeine QC TENSION HEADACHE RLF CAPLET CHAIN DRUG
70000014501 acetaminophen/pyrilam/pamabrom MENSTRUAL RELIEF CAPLET LEADER
28595078001 acetaminophen/pyrilamine mal HISTAFLEX 325-25 MG TABLET ALLEGIS PHARMAC
00574012225 activated charcoal EZ CHAR PELLET PERRIGO/PADAGIS
00574052176 activated charcoal ACTIDOSE-AQUA 50 GM/240 ML LIQ PERRIGO/PADAGIS
66689020204 activated charcoal INSTA-CHAR 25 GM LIQUID VISTAPHARM
66689020108 activated charcoal INSTA-CHAR 50 GM/240 ML LIQUID VISTAPHARM
66689020208 activated charcoal INSTA-CHAR 50 GM/240 ML LIQUID VISTAPHARM
00574052174 activated charcoal ACTIDOSE-AQUA 25 G/120 ML SUSP PERRIGO/PADAGIS
00574052104 activated charcoal ACTIDOSE-AQUA 25 GM LIQUID PERRIGO/PADAGIS
00574052125 activated charcoal ACTIDOSE-AQUA 15 GM LIQUID PERRIGO/PADAGIS
00574012125 activated charcoal ACTIDOSE-AQUA 15 GM LIQUID PERRIGO/PADAGIS
69784030828 activated charcoal ACTIVATED CHARCOAL POWDER WOODWARD PHARMA
00574052108 activated charcoal ACTIDOSE-AQUA 50 GM/240 ML LIQ PADAGIS
00299491015 adapalene DIFFERIN 0.1% GEL GALDERMA LABORA
00299492030 adapalene DIFFERIN 0.1% GEL GALDERMA LABORA
70000004302 adapalene ADAPALENE 0.1% GEL LEADER
70000004301 adapalene ADAPALENE 0.1% GEL LEADER
00299492045 adapalene DIFFERIN 0.1% GEL GALDERMA LABORA
00023429105 alcaftadine LASTACAFT ONCE DAILY 0.25% DRP ALLERGAN INC.
00023429110 alcaftadine LASTACAFT ONCE DAILY 0.25% DRP ALLERGAN INC.
00259030921 allantoin/onion/peg/water MEDERMA FOR KIDS GEL MERZ
00259030350 allantoin/onion/peg/water MEDERMA GEL MERZ
00259030320 allantoin/onion/peg/water MEDERMA GEL MERZ
70211070108 aloe vera extract/allantoin COATS ALOE LIQUID TYCHASIS CORPOR
70211070508 aloe vera extract/allantoin COATS ALOE GELLY TYCHASIS CORPOR
70211070316 aloe vera extract/allantoin COATS ALOE CREME TYCHASIS CORPOR
70211070304 aloe vera extract/allantoin COATS ALOE CREME TYCHASIS CORPOR
70211070233 aloe vera extract/allantoin COATS ALOE MOISTURIZING LOTION TYCHASIS CORPOR
70211070202 aloe vera extract/allantoin COATS ALOE MOISTURIZING LOTION TYCHASIS CORPOR
70211070208 aloe vera extract/allantoin COATS ALOE MOISTURIZING LOTION TYCHASIS CORPOR
00096070935 aluminum chloride XERAC AC 6.25% SOLUTION PERSON & COVEY
00096070960 aluminum chloride XERAC AC 6.25% SOLUTION PERSON & COVEY
00536009185 aluminum hydroxide ALUMINUM HYDROXIDE GEL RUGBY
39822990002 ammonia AMMONIA INHALANT AMPULE X-GEN PHARMACEU
39822990001 ammonia AMMONIA INHALANT AMPULE X-GEN PHARMACEU
63868033102 ammonium and potassium iodides QC IODIDES TINCTURE CHAIN DRUG
8
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011011601 ammonium and potassium iodides HM IODIDES TINCTURE HM-STRATEGIC SO
70000039901 ammonium and potassium iodides IODIDES TINCTURE LEADER
49348071130 ammonium and potassium iodides SM IODIDES TINCTURE SM-STRATEGIC SO
24385020746 ammonium and potassium iodides IODIDES TINCTURE AMERISOURCE-GNP
00904598426 ammonium lactate AMMONIUM LACTATE 12% LOTION MAJOR PHARMACEU
45802051377 ammonium lactate AMMONIUM LACTATE 12% CREAM PERRIGO/PADAGIS
00904598463 ammonium lactate AMMONIUM LACTATE 12% LOTION MAJOR PHARMACEU
45802052555 ammonium lactate AMMONIUM LACTATE 12% LOTION PERRIGO/PADAGIS
10631028605 ammonium lactate LAC-HYDRIN FIVE 5% LOTION RANBAXY/SUN PHA
45802052526 ammonium lactate AMMONIUM LACTATE 12% LOTION PERRIGO/PADAGIS
00065895001 antiox.mv no.10/omeg3s/lut/zea I-CAPS WITH LUTEIN-OMEGA 3 SFG ALCON CONSUMER
49483001110 aspirin ASPIRIN 325 MG TABLET TIME-CAP LABS
49483001101 aspirin ASPIRIN 325 MG TABLET TIME-CAP LABS
62011002801 aspirin HM ASPIRIN 81 MG CHEWABLE TAB HM-STRATEGIC SO
62011000301 aspirin HM ASPIRIN EC 81 MG TABLET HM-STRATEGIC SO
62011001901 aspirin HM ASPIRIN EC 81 MG TABLET HM-STRATEGIC SO
62011001902 aspirin HM ASPIRIN EC 81 MG TABLET HM-STRATEGIC SO
62011040501 aspirin HM ASPIRIN EC 325 MG TABLET HM-STRATEGIC SO
62011043201 aspirin HM ASPIRIN 325 MG TABLET HM-STRATEGIC SO
62011043202 aspirin HM ASPIRIN 325 MG TABLET HM-STRATEGIC SO
63739043402 aspirin ASPIRIN 81 MG CHEWABLE TABLET SKY PHARMACEUTI
63739021202 aspirin ASPIRIN EC 81 MG TABLET SKY PHARMACEUTI
63739021210 aspirin ASPIRIN EC 81 MG TABLET SKY PHARMACEUTI
63868002936 aspirin QC ASPIRIN 81 MG CHEWABLE TAB CHAIN DRUG
63868024036 aspirin QC ASPIRIN 81 MG CHEWABLE TAB CHAIN DRUG
63868037305 aspirin QC ASPIRIN EC 81 MG TABLET CHAIN DRUG
63868036320 aspirin QC ASPIRIN EC 81 MG TABLET CHAIN DRUG
63868036336 aspirin QC ASPIRIN EC 81 MG TABLET CHAIN DRUG
63868046936 aspirin QC ASPIRIN EC 81 MG TABLET CHAIN DRUG
63868089810 aspirin QC ASPIRIN EC 325 MG TABLET CHAIN DRUG
63868091410 aspirin QC ASPIRIN EC 325 MG TABLET CHAIN DRUG
63868035203 aspirin QC ASPIRIN 325 MG TABLET CHAIN DRUG
63868035210 aspirin QC ASPIRIN 325 MG TABLET CHAIN DRUG
50844056314 aspirin ASPIRIN EC 81 MG TABLET LNK INTERNATION
51645071308 aspirin ASPIRIN EC 81 MG TABLET PLUS PHARMA,INC
51645071610 aspirin ASPIRIN 325 MG TABLET PLUS PHARMA,INC
51645071601 aspirin ASPIRIN 325 MG TABLET PLUS PHARMA,INC
62011040401 aspirin HM ASPIRIN 81 MG CHEWABLE TAB HM-STRATEGIC SO
00536100836 aspirin ASPIRIN 81 MG CHEWABLE TABLET RUGBY
00536123441 aspirin ASPIRIN EC 81 MG TABLET RUGBY
00536123201 aspirin ASPIRIN EC 325 MG TABLET RUGBY
9
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536105405 aspirin ASPIRIN 325 MG TABLET RUGBY
00536105429 aspirin ASPIRIN 325 MG TABLET RUGBY
00904679489 aspirin ASPIRIN 81 MG CHEWABLE TABLET MAJOR PHARMACEU
00904679480 aspirin ASPIRIN 81 MG CHEWABLE TABLET MAJOR PHARMACEU
00904404073 aspirin ASPIRIN 81 MG CHEWABLE TABLET MAJOR PHARMACEU
00904678370 aspirin ASPIRIN EC 81 MG TABLET MAJOR PHARMACEU
00904675180 aspirin ASPIRIN EC 81 MG TABLET MAJOR PHARMACEU
63739021201 aspirin ASPIRIN EC 81 MG TABLET MCKESSON PACKAG
00113046708 aspirin GS ASPIRIN 81 MG CHEWABLE TAB PERRIGO/GOODSEN
00113046768 aspirin GS ASPIRIN 81 MG CHEWABLE TAB PERRIGO/GOODSEN
00113025968 aspirin GS ASPIRIN 81 MG CHEWABLE TAB PERRIGO/GOODSEN
00113027408 aspirin GS ASPIRIN 81 MG CHEWABLE TAB PERRIGO/GOODSEN
00113027468 aspirin GS ASPIRIN 81 MG CHEWABLE TAB PERRIGO/GOODSEN
00113041678 aspirin GS ASPIRIN 325 MG TABLET PERRIGO/GOODSEN
00113041690 aspirin GS ASPIRIN 325 MG TABLET PERRIGO/GOODSEN
24385002868 aspirin ASPIRIN 81 MG CHEWABLE TABLET AMERISOURCE-GNP
24385027868 aspirin ASPIRIN 81 MG CHEWABLE TABLET AMERISOURCE-GNP
46122059848 aspirin GNP ASPIRIN EC 81 MG TABLET AMERISOURCE-GNP
46122059887 aspirin GNP ASPIRIN EC 81 MG TABLET AMERISOURCE-GNP
46122061576 aspirin GNP ASPIRIN EC 81 MG TABLET AMERISOURCE-GNP
46122061587 aspirin ASPIRIN EC 81 MG TABLET AMERISOURCE-GNP
46122018076 aspirin ASPIRIN EC 81 MG TABLET AMERISOURCE-GNP
46122059602 aspirin ASPIRIN EC 325 MG TABLET AMERISOURCE-GNP
46122069178 aspirin GNP ASPIRIN 325 MG TABLET AMERISOURCE-GNP
46122063578 aspirin GNP ASPIRIN 325 MG TABLET AMERISOURCE-GNP
00574703412 aspirin ASPIRIN 300 MG SUPPOSITORY PERRIGO/PADAGIS
49348075707 aspirin SM CHILD ASPIRIN 81 MG CHW TAB SM-STRATEGIC SO
70677007001 aspirin SM ASPIRIN 81 MG CHEWABLE TAB SM-STRATEGIC SO
49348098015 aspirin SM ASPIRIN EC 81 MG TABLET SM-STRATEGIC SO
49348098023 aspirin SM ASPIRIN EC 81 MG TABLET SM-STRATEGIC SO
49348098053 aspirin SM ASPIRIN EC 81 MG TABLET SM-STRATEGIC SO
49348098115 aspirin SM ASPIRIN EC 81 MG TABLET SM-STRATEGIC SO
70677013201 aspirin SM ASPIRIN EC 81 MG TABLET SM-STRATEGIC SO
70677013202 aspirin SM ASPIRIN EC 81 MG TABLET SM-STRATEGIC SO
70677007101 aspirin SM ASPIRIN EC 325 MG TABLET SM-STRATEGIC SO
70677009202 aspirin SM ASPIRIN 325 MG TABLET SM-STRATEGIC SO
70677009201 aspirin SM ASPIRIN 325 MG TABLET SM-STRATEGIC SO
70000041901 aspirin ASPIRIN 81 MG CHEWABLE TABLET LEADER
70000042001 aspirin ASPIRIN 81 MG CHEWABLE TABLET LEADER
70000017801 aspirin ADULT ASPIRIN REGIMEN EC 81 MG LEADER
70000021801 aspirin ADULT ASPIRIN REGIMEN EC 81 MG LEADER
10
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000017802 aspirin ASPIRIN EC 81 MG TABLET LEADER
70000017803 aspirin ASPIRIN EC 81 MG TABLET LEADER
70000021802 aspirin ASPIRIN EC 81 MG TABLET LEADER
70000001401 aspirin ASPIRIN EC 325 MG TABLET LEADER
70000003501 aspirin ASPIRIN EC 325 MG TABLET LEADER
70000025304 aspirin ASPIRIN 325 MG TABLET LEADER
49483033463 aspirin ASPIRIN 81 MG CHEWABLE TABLET TIME-CAP LABS
49483038712 aspirin ASPIRIN EC 81 MG TABLET TIME-CAP LABS
49483038710 aspirin ASPIRIN EC 81 MG TABLET TIME-CAP LABS
49483048110 aspirin ASPIRIN EC 81 MG TABLET TIME-CAP LABS
49483048112 aspirin ASPIRIN EC 81 MG TABLET TIME-CAP LABS
49483033110 aspirin ASPIRIN EC 325 MG TABLET TIME-CAP LABS
49483033101 aspirin ASPIRIN EC 325 MG TABLET TIME-CAP LABS
63868048501 aspirin/acetaminophen/caffeine QC HEADACHE RELIEF TABLET CHAIN DRUG
70000024701 aspirin/acetaminophen/caffeine MIGRAINE 250-250-65 MG CPLT LEADER
70000024702 aspirin/acetaminophen/caffeine MIGRAINE 250-250-65 MG CPLT LEADER
70000014601 aspirin/acetaminophen/caffeine HEADACHE RELIEF CAPLET LEADER
70000006601 aspirin/acetaminophen/caffeine HEADACHE RLF 250-250-65MG CPLT LEADER
70677011901 aspirin/acetaminophen/caffeine SM MIGRAINE 250-250-65 MG CPLT SM-STRATEGIC SO
46122038278 aspirin/acetaminophen/caffeine HEADACHE RELIEF CAPLET AMERISOURCE-GNP
46122069078 aspirin/acetaminophen/caffeine GNP HEADACHE RELIEF CAPLET AMERISOURCE-GNP
49483037000 aspirin/acetaminophen/caffeine EXTRA PAIN RELIEF CAPLET TIME-CAP LABS
62011035901 aspirin/acetaminophen/caffeine HM HEADACHE 250-250-65 MG CPLT HM-STRATEGIC SO
62011046301 aspirin/acetaminophen/caffeine HM MIGRAINE 250-250-65 MG CPLT HM-STRATEGIC SO
00536132601 aspirin/acetaminophen/caffeine PAIN RELIEVER PLS 250-250-65MG RUGBY
00904513559 aspirin/acetaminophen/caffeine PAIN RELIEVER PLS 250-250-65MG MAJOR PHARMACEU
00113037462 aspirin/acetaminophen/caffeine GS MIGRAINE FORMULA CAPLET PERRIGO/GOODSEN
24385036571 aspirin/acetaminophen/caffeine MIGRAINE 250-250-65 MG CPLT AMERISOURCE-GNP
46122067078 aspirin/acetaminophen/caffeine GNP HEADACHE 250-250-65MG CPLT AMERISOURCE-GNP
24385036578 aspirin/acetaminophen/caffeine MIGRAINE FORMULA CAPLET AMERISOURCE-GNP
46122045671 aspirin/acetaminophn/diphenhyd GNP PAIN RLF PM 250-250-38 MG AMERISOURCE-GNP
70000012702 aspirin/caffeine BACK-BODY PAIN 500-32.5MG CPLT LEADER
70000014701 aspirin/calcium carb/magnesium BUFFERED ASPIRIN 325 MG TB LEADER
00904201559 aspirin/calcium carb/magnesium TRI-BUFFERED ASPIRIN 325 MG MAJOR PHARMACEU
49348008407 aspirin/sod bicarb/citric acid SM EFFERV PAIN RELIEF TAB SM-STRATEGIC SO
70000057401 aspirin/sod bicarb/citric acid EFFERVESCENT ANTACID-PAIN RLF LEADER
70000042101 aspirin/sod bicarb/citric acid EFFERVESCENT ANTACID-PAIN RLF LEADER
63868022936 aspirin/sod bicarb/citric acid QC EFFERVESCENT PAIN RELIEF TB CHAIN DRUG
63868091628 bacitracin QC BACITRACIN 500 UNIT/GM OINT CHAIN DRUG
68001047748 bacitracin BACITRACIN 500 UNIT/GM OINTMNT BLUEPOINT LABOR
68001047745 bacitracin BACITRACIN 500 UNIT/GM OINTMNT BLUEPOINT LABOR
11
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536125628 bacitracin BACITRACIN 500 UNIT/GM OINTMNT RUGBY
45802006003 bacitracin BACITRACIN 500 UNIT/GM OINTMNT PERRIGO CO.
45802006001 bacitracin BACITRACIN 500 UNIT/GM OINTMNT PERRIGO CO.
45802006000 bacitracin BACITRACIN 500 UNIT/GM OINTMNT PERRIGO CO.
45802006070 bacitracin BACITRACIN 500 UNIT/GM OINTMNT PERRIGO CO.
68001047746 bacitracin BACITRACIN 500 UNIT/GM OINTMNT BLUEPOINT LABOR
68001047747 bacitracin BACITRACIN 500 UNIT/GM OINTMNT BLUEPOINT LABOR
00713028031 bacitracin BACITRACIN 500 UNIT/GM OINTMNT COSETTE PHARMAC
51672207501 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT TARO PHARM USA
51672207502 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT TARO PHARM USA
24385006003 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT AMERISOURCE-GNP
00904880467 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT MAJOR PHARMACEU
62011009401 bacitracin zinc HM BACITRACIN ZN 500 UNIT/GM HM-STRATEGIC SO
61269010556 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT H2 PHARMA LLC
61269010534 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT H2 PHARMA LLC
49348015472 bacitracin zinc SM ANTIBIOTIC 500 UNIT/GM OINT SM-STRATEGIC SO
00904667967 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT MAJOR PHARMACEU
68001053146 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT BLUEPOINT LABOR
70000054701 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT LEADER
00904702367 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT MAJOR PHARMACEU
68001053145 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT BLUEPOINT LABOR
00536126328 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT RUGBY
68599118401 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT MCKESSON MEDICA
68599118404 bacitracin zinc BACITRACIN ZN 500 UNIT/GM OINT MCKESSON MEDICA
70000009301 bacitracin zinc/polymyxin B POLY BACITRACIN OINTMENT LEADER
62011009701 bacitracin zinc/polymyxin B HM DOUBLE ANTIBIOTIC OINTMENT HM-STRATEGIC SO
51672204402 bacitracin zinc/polymyxin B DOUBLE ANTIBIOTIC OINTMENT TARO PHARM USA
70000007001 bacitracin zinc/polymyxin B POLY BACITRACIN OINTMENT LEADER
49348027472 bacitracin zinc/polymyxin B SM DOUBLE ANTIBIOTIC OINT SM-STRATEGIC SO
50268035316 benzalkonium chloride GERM BLOC 0.13% SANITIZER LOT AVPAK
50268035308 benzalkonium chloride GERM BLOC 0.13% SANITIZER LOT AVPAK
50268035302 benzalkonium chloride GERM BLOC 0.13% SANITIZER LOT AVPAK
50268035332 benzalkonium chloride GERM BLOC 0.13% SANITIZER LOT AVPAK
50268035301 benzalkonium chloride GERM BLOC 0.13% SANITIZER LOT AVPAK
68599580602 benzalkonium chloride OBSTETRICAL 0.13% ANTISPT WIPE MCKESSON MEDICA
68599580601 benzalkonium chloride OBSTETRICAL 0.13% ANTISPT WIPE MCKESSON MEDICA
68599021408 benzalkonium chloride THERA BODY CLEANSER 0.13% LIQ MCKESSON MEDICA
50268035327 benzalkonium chloride GERM BLOC 0.13% SANITIZER LOT AVPAK
68599021404 benzalkonium chloride THERA BODY CLEANSER 0.13% LIQ MCKESSON MEDICA
72241000101 benzalkonium chloride MEDISTAY 240 LIQUID MODAVAR PHARMAC
00116030040 benzalkonium chloride BENZ-ALL LIQUID XTTRIUM LABS.
12
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
68599550202 benzethonium chloride FOAMING ANTIBACT 0.13% REFILL MCKESSON MEDICA
68599550103 benzethonium chloride ANTIBACTERIAL 0.13% SOAP MCKESSON MEDICA
68599550201 benzethonium chloride FOAMING ANTIBACT 0.13% PUMP MCKESSON MEDICA
68599550102 benzethonium chloride ANTIBACTERIAL 0.13% SOAP RFL MCKESSON MEDICA
68599550104 benzethonium chloride ANTIBACTERIAL 0.13% SOAP PUMP MCKESSON MEDICA
68599550203 benzethonium chloride FOAMING ANTIBACT 0.13% PUMP MCKESSON MEDICA
68599550101 benzethonium chloride ANTIBACTERIAL 0.13% SOAP MCKESSON MEDICA
11527006247 benzocaine ORAL PAIN RELIEF 20% GEL SHEFFIELD PHARM
54859050401 benzocaine/menth/cetylpyrd Cl ORASEP SPRAY LLORENS PHARM
00904625549 benzocaine/menthol SORE THROAT 15-3.6 MG LOZENGE MAJOR PHARMACEU
70000055401 benzocaine/menthol SORE THROAT 15-3.6 MG LOZENGE LEADER
70000055301 benzocaine/menthol SORE THROAT 15-2.6 MG LOZENGE LEADER
72854026504 benzocaine/menthol MUCINEX INSTASOOTHE 7%-1% SPRY RECKITT BENCKIS
49348013830 benzoin SM BENZOIN TINCTURE SM-STRATEGIC SO
00187161104 benzoyl perox/skin clnsr/emoll ACNEFREE SEVERE ACNE CLR SYSTM BAUSCH HEALTH U
42192016160 benzoyl peroxide BPO 6% FOAMING CLOTHS ACELLA PHARMACE
42192016101 benzoyl peroxide BPO 6% FOAMING CLOTHS ACELLA PHARMACE
42192016130 benzoyl peroxide BPO 6% FOAMING CLOTHS ACELLA PHARMACE
00187019410 benzoyl peroxide BENZEFOAM 5.3% EMOLLIENT FOAM BAUSCH HEALTH U
35573045308 benzoyl peroxide BENZOYL PEROXIDE 5% WASH BUREL PHARMACEU
35573045391 benzoyl peroxide BENZOYL PEROXIDE 5% WASH BUREL PHARMACEU
35573045408 benzoyl peroxide BENZOYL PEROXIDE 10% WASH BUREL PHARMACEU
35573045491 benzoyl peroxide BENZOYL PEROXIDE 10% WASH BUREL PHARMACEU
45802010196 benzoyl peroxide BENZOYL PEROXIDE 2.5% GEL PERRIGO CO.
45802021696 benzoyl peroxide BENZOYL PEROXIDE 5% GEL PERRIGO CO.
45802021601 benzoyl peroxide BENZOYL PEROXIDE 5% GEL PERRIGO CO.
45802028001 benzoyl peroxide BENZOYL PEROXIDE 5% WASH PERRIGO CO.
45802028034 benzoyl peroxide BENZOYL PEROXIDE 5% WASH PERRIGO CO.
45802031801 benzoyl peroxide BENZOYL PEROXIDE 10% WASH PERRIGO CO.
45802031834 benzoyl peroxide BENZOYL PEROXIDE 10% WASH PERRIGO CO.
45802030801 benzoyl peroxide BENZOYL PEROXIDE 10% GEL PERRIGO CO.
45802030896 benzoyl peroxide BENZOYL PEROXIDE 10% GEL PERRIGO CO.
00536112925 benzoyl peroxide ACNE MEDICATION 2.5% GEL RUGBY
00536105875 benzoyl peroxide ACNE MEDICATION 10% LOTION RUGBY
00536105775 benzoyl peroxide ACNE MEDICATION 5% LOTION RUGBY
00536105556 benzoyl peroxide ACNE MEDICATION 5% GEL RUGBY
00536105525 benzoyl peroxide ACNE MEDICATION 5% GEL RUGBY
00536126163 benzoyl peroxide BENZOYL PEROXIDE 10% WASH RUGBY
00536125963 benzoyl peroxide BENZOYL PEROXIDE 5% WASH RUGBY
00536125919 benzoyl peroxide BENZOYL PEROXIDE 5% WASH RUGBY
00536135142 benzoyl peroxide BENZOYL PEROXIDE 10% WASH RUGBY
13
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536105625 benzoyl peroxide ACNE MEDICATION 10% GEL RUGBY
00536105656 benzoyl peroxide ACNE MEDICATION 10% GEL RUGBY
73462009855 benzoyl peroxide PANOXYL 10% ACNE FOAMING WASH GSK CONSUMER HE
67405082505 benzoyl peroxide BENZOYL PEROXIDE 5% WASH HARRIS PHARM
67405082508 benzoyl peroxide BENZOYL PEROXIDE 5% WASH HARRIS PHARM
67405083005 benzoyl peroxide BENZOYL PEROXIDE 10% WASH HARRIS PHARM
67405083008 benzoyl peroxide BENZOYL PEROXIDE 10% WASH HARRIS PHARM
67405083512 benzoyl peroxide BENZOYL PEROXIDE 6% CLEANSER HARRIS PHARM
67405083506 benzoyl peroxide BENZOYL PEROXIDE 6% CLEANSER HARRIS PHARM
00187161003 benzoyl peroxide/skin clnsr 24 ACNEFREE ACNE CLEARING SYSTEM BAUSCH HEALTH U
62011027703 bisacodyl HM LAXATIVE EC 5 MG TABLET HM-STRATEGIC SO
00904674860 bisacodyl BISACODYL EC 5 MG TABLET MAJOR PHARMACEU
00904674817 bisacodyl BISACODYL EC 5 MG TABLET MAJOR PHARMACEU
00904640761 bisacodyl BISACODYL EC 5 MG TABLET MAJOR PHARMACEU
00132070402 bisacodyl FLEET BISACODYL EC 5 MG TAB FLEET,C.B. CO.
49483000310 bisacodyl LAXATIVE EC 5 MG TABLET TIME-CAP LABS
49483000301 bisacodyl LAXATIVE EC 5 MG TABLET TIME-CAP LABS
49483000355 bisacodyl BISACODYL EC 5 MG TABLET TIME-CAP LABS
70000022103 bisacodyl GENTLE LAXATIVE EC 5 MG TABLET LEADER
70000022101 bisacodyl GENTLE LAXATIVE EC 5 MG TABLET LEADER
70000053801 bisacodyl GENTLE LAXATIVE EC 5 MG TABLET LEADER
70000022102 bisacodyl GENTLE LAXATIVE EC 5 MG TABLET LEADER
63868020930 bisacodyl QC WOMEN'S LAXATIVE EC 5 MG TB CHAIN DRUG
00904674880 bisacodyl BISACODYL EC 5 MG TABLET MAJOR PHARMACEU
62011027702 bisacodyl HM LAXATIVE EC 5 MG TABLET HM-STRATEGIC SO
62011027701 bisacodyl HM LAXATIVE EC 5 MG TABLET HM-STRATEGIC SO
46122052978 bisacodyl GENTLE LAXATIVE EC 5 MG TABLET AMERISOURCE-GNP
46122052963 bisacodyl GNP GENTLE LAXATIVE EC 5 MG TB AMERISOURCE-GNP
46122042963 bisacodyl WOMEN'S GENTLE LAX EC 5 MG TAB AMERISOURCE-GNP
49348003205 bisacodyl SM GENTLE LAXATIVE EC 5 MG TAB SM-STRATEGIC SO
49348003210 bisacodyl SM GENTLE LAXATIVE EC 5 MG TAB SM-STRATEGIC SO
62011043501 bismuth subsalicylate HM STOMACH RELIEF 525 MG/30 ML HM-STRATEGIC SO
00009033303 bismuth subsalicylate KAOPECTATE 262 MG/15 ML SUSP CHATTEM/KRAMER
62011014001 bismuth subsalicylate HM STOMACH RLF 262 MG CHEW TAB HM-STRATEGIC SO
62011048101 bismuth subsalicylate HM STOMACH RLF 262 MG CHEW TAB HM-STRATEGIC SO
00536128636 bismuth subsalicylate STOMACH RLF 525 MG/30 ML SUSP RUGBY
00536128736 bismuth subsalicylate STOMACH RELIEF 525 MG/15 ML RUGBY
00536102107 bismuth subsalicylate PEPTIC RELIEF 262 MG CHEW TAB RUGBY
63868033912 bismuth subsalicylate QC DIARRHEA RLF 262 MG/15 ML CHAIN DRUG
63868098930 bismuth subsalicylate QC PINK BISMUTH 262 MG TAB CHW CHAIN DRUG
00904131546 bismuth subsalicylate BISMATROL TABLET CHEW MAJOR PHARMACEU
14
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000004401 bismuth subsalicylate STOMACH RLF 525 MG/30 ML SUSP LEADER
70000004402 bismuth subsalicylate STOMACH RLF 525 MG/30 ML SUSP LEADER
70000004501 bismuth subsalicylate STOMACH RELIEF 525 MG/15 ML LEADER
70000059401 bismuth subsalicylate STOMACH RELIEF 262 MG CAPLET LEADER
00904720546 bismuth subsalicylate BISMUTH 262 MG TABLET CHEW MAJOR PHARMACEU
00121091040 bismuth subsalicylate BISMUTH 525 MG/30 ML SUSP PHARM ASSOC INC
00121091030 bismuth subsalicylate BISMUTH 525 MG/30 ML SUSP PHARM ASSOC INC
46122070165 bismuth subsalicylate GNP PINK BISMUTH 262 MG TB CHW AMERISOURCE-GNP
24385002465 bismuth subsalicylate PINK BISMUTH 262 MG TAB CHEW AMERISOURCE-GNP
24385001758 bismuth subsalicylate PINK BISMUTH CAPLET AMERISOURCE-GNP
46122063934 bismuth subsalicylate GNP STOMACH RELIEF 525MG/15 ML AMERISOURCE-GNP
24385030226 bismuth subsalicylate STOMACH RELIEF 262 MG/15 ML AMERISOURCE-GNP
24385055940 bismuth subsalicylate K-PEC SUSPENSION AMERISOURCE-GNP
46122070326 bismuth subsalicylate GNP STOMACH RLF 525 MG/30 ML AMERISOURCE-GNP
00113046991 bismuth subsalicylate GS STOMACH RLF 262 MG CHEW TAB PERRIGO/GOODSEN
00113046965 bismuth subsalicylate GS STOMACH RLF 262 MG CHEW TAB PERRIGO/GOODSEN
70000059102 bismuth subsalicylate STOMACH RELIEF 262 MG CHEW TAB LEADER
70000059101 bismuth subsalicylate STOMACH RELIEF 262 MG CHEW TAB LEADER
70677013801 bismuth subsalicylate SM STOMACH RLF 262 MG CHEW TAB SM-STRATEGIC SO
49348017744 bismuth subsalicylate SM STOMACH RLF 262 MG CHEW TAB SM-STRATEGIC SO
49348095344 bismuth subsalicylate SM STOMACH RLF 262 MG CHEW TAB SM-STRATEGIC SO
70677009401 bismuth subsalicylate SM STOMACH RELIEF 525 MG/30 ML SM-STRATEGIC SO
70677006201 bismuth subsalicylate SM STOMACH RELIEF 525 MG/30 ML SM-STRATEGIC SO
00009040002 bismuth subsalicylate KAOPECTATE 262 MG/15 ML SUSP CHATTEM/KRAMER
62011043601 bismuth subsalicylate HM STOMACH RELIEF 525 MG/15 ML HM-STRATEGIC SO
24208053725 brimonidine tartrate LUMIFY 0.025% EYE DROP BAUSCH HEALTH U
24208053708 brimonidine tartrate LUMIFY 0.025% EYE DROP BAUSCH HEALTH U
24208053775 brimonidine tartrate LUMIFY 0.025% EYE DROP BAUSCH HEALTH U
46017005128 bromelains/melatonin/herbal233 MIDNITE PM CHEWABLE TABLET MEDA CONSUMER H
00485020404 brompheniram/phenylephrine/DM RYNEX DM LIQUID EDWARDS PHARM.
00485020416 brompheniram/phenylephrine/DM RYNEX DM LIQUID EDWARDS PHARM.
00113098726 brompheniram/phenylephrine/DM GS CHILDREN'S COLD-COUGH SOLN PERRIGO/GOODSEN
24385051926 brompheniram/phenylephrine/DM COLD-COUGH ELIXIR AMERISOURCE-GNP
70000018901 brompheniram/phenylephrine/DM CHILDREN'S COLD-COUGH LIQUID LEADER
68047014316 brompheniram/phenylephrine/DM ENDACOF-DM LIQUID LARKEN LABS
00904646320 brompheniram/phenylephrine/DM DIMAPHEN DM ELIXIR MAJOR PHARMACEU
70677012101 brompheniram/phenylephrine/DM SM CHILDREN'S COLD-COUGH LIQ SM-STRATEGIC SO
62011006301 brompheniram/phenylephrine/DM HM CHILD'S COLD-COUGH ELIXIR HM-STRATEGIC SO
00485020616 brompheniramin/pseudoephedrine RYNEX PSE LIQUID EDWARDS PHARM.
00095086006 brompheniramin/pseudoephedrine LODRANE D CAPSULE BAUSCH HEALTH U
70000005701 brompheniramine/phenylephrine CHILD COLD-ALLERGY LIQUID LEADER
15
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011044301 brompheniramine/phenylephrine HM CHILD'S DIBROMM COLD-ALLGY HM-STRATEGIC SO
00485020216 brompheniramine/phenylephrine RYNEX PE LIQUID EDWARDS PHARM.
70677010101 brompheniramine/phenylephrine SM CHILD COLD-ALLERGY LIQUID SM-STRATEGIC SO
28595090060 brompheniramine/phenylephrine RU-HIST D 10-4 MG TABLET ALLEGIS PHARMAC
28595030060 brompheniramine/phenylephrine BROHIST D 10-4 MG TABLET ALLEGIS PHARMAC
54838013640 brompheniramine/pseudoephed/DM BROTAPP DM 1-15-5 MG/5 ML LIQ SILARX/LANNETT
54838013670 brompheniramine/pseudoephed/DM BROTAPP DM 1-15-5 MG/5 ML LIQ SILARX/LANNETT
46122038976 budesonide BUDESONIDE 32 MCG NASAL SPRAY AMERISOURCE-GNP
60505612902 budesonide BUDESONIDE 32 MCG NASAL SPRAY APOTEX CORP
00536111248 budesonide BUDESONIDE 32 MCG NASAL SPRAY RUGBY
51672210002 butenafine HCl BUTENAFINE HCL 1% CREAM TARO PHARM USA
51672210008 butenafine HCl BUTENAFINE HCL 1% CREAM TARO PHARM USA
63868010216 caffeine QC STAY AWAKE 200 MG TABLET CHAIN DRUG
70000040901 caffeine CAFFEINE 200 MG TABLET LEADER
62011034001 caffeine HM STAY AWAKE 200 MG TABLET HM-STRATEGIC SO
46122045773 caffeine ALERT AID 200 MG TABLET AMERISOURCE-GNP
46017001816 caffeine VIVARIN 200 MG TABLET MEDA CONSUMER H
00113040973 caffeine GS STAY AWAKE 200 MG TABLET PERRIGO/GOODSEN
46017001840 caffeine VIVARIN 200 MG TABLET MEDA CONSUMER H
70677002101 caffeine SM STAY AWAKE 200 MG TABLET SM-STRATEGIC SO
00113040958 caffeine GS STAY AWAKE 200 MG TABLET PERRIGO/GOODSEN
00113040951 caffeine GS STAY AWAKE 200 MG TABLET PERRIGO/GOODSEN
46017001808 caffeine VIVARIN 200 MG TABLET MEDA CONSUMER H
49348080234 calamine/phenol liquid SM CALAMINE PHENOLATED LOTION SM-STRATEGIC SO
49348001134 calamine/zinc oxide SM CALAMINE LOTION SM-STRATEGIC SO
62011011401 calamine/zinc oxide HM CALAMINE LOTION HM-STRATEGIC SO
00904253321 calamine/zinc oxide CALAMINE LOTION MAJOR PHARMACEU
63868031706 calamine/zinc oxide QC CALAMINE LOTION CHAIN DRUG
24385041396 calamine/zinc oxide CALAMINE SUSPENSION AMERISOURCE-GNP
24385040796 calamine/zinc oxide/phenol liq CALAMINE SUSPENSION AMERISOURCE-GNP
10542004550 calcium acetate CALCIUM ACETATE 668 MG TABLET HILLESTAD PHARM
59528033102 calcium acetate CALPHRON 667 MG TABLET NEPHRO-TECH
00536133632 calcium acetate CALCIUM ACETATE 667 MG TABLET RUGBY
46122008278 calcium carb/D3/magnesium/zinc CAL MAG ZINC-D3 TABLET AMERISOURCE-GNP
46122000741 calcium carbonate ANTACID EX-STR 750 MG TAB CHEW AMERISOURCE-GNP
46122022575 calcium carbonate GNP ANTACID EX-STR 750 MG CHEW AMERISOURCE-GNP
24385059523 calcium carbonate ANTACID ULTRA TABLET CHEW AMERISOURCE-GNP
00054311763 calcium carbonate CALCIUM CARB 1,250 MG/5 ML SUS ROXANE/WEST-WAR
00536379101 calcium carbonate CALCI-MIX 1.25 GM CAPSULE ACTAVIS/TEVA
70677013701 calcium carbonate SM ANTACID 500 MG CHEW TABLET SM-STRATEGIC SO
70677006601 calcium carbonate SM ANTACID 500 MG CHEW TABLET SM-STRATEGIC SO
16
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70677006701 calcium carbonate SM ANTACID 500 MG CHEW TABLET SM-STRATEGIC SO
49348005539 calcium carbonate SM CAL ANTACID 750 MG CHEW TAB SM-STRATEGIC SO
70677006501 calcium carbonate SM ANTACID 750 MG CHEW TABLET SM-STRATEGIC SO
00113096223 calcium carbonate GS ANTACID 1,000 MG CHEW TAB PERRIGO/GOODSEN
50268014911 calcium carbonate CALCIUM 500 MG CHEWABLE TABLET AVPAK
50268014913 calcium carbonate CALCIUM 500 MG CHEWABLE TABLET AVPAK
00121076616 calcium carbonate CALCIUM CARB 1,250 MG/5 ML SUS PHARM ASSOC INC
00121476605 calcium carbonate CALCIUM CARB 1,250 MG/5 ML SUS PHARM ASSOC INC
00536104815 calcium carbonate CALCIUM ANTACID 500 MG CHW TAB RUGBY
00536100715 calcium carbonate CAL-GEST 500 MG TABLET CHEW RUGBY
00536122522 calcium carbonate CALCIUM ANTACID 750 MG TB CHEW RUGBY
00536122922 calcium carbonate ANTACID EX-STR 750 MG TAB CHEW RUGBY
00536120610 calcium carbonate CALCIUM CARBONATE 648 MG TAB RUGBY
51645073515 calcium carbonate ANTACID 500 MG CHEW TABLET PLUS PHARMA,INC
00904188372 calcium carbonate OYSTER SHELL CALCIUM 500 MG TB MAJOR PHARMACEU
00904188361 calcium carbonate OYSTER SHELL CALCIUM 500 MG TB MAJOR PHARMACEU
00904641292 calcium carbonate CALCIUM ANTACID 500 MG CHW TAB MAJOR PHARMACEU
68084098832 calcium carbonate ANTACID 500 MG CHEWABLE TABLET AHP
68084098833 calcium carbonate ANTACID 500 MG CHEWABLE TABLET AHP
63868004715 calcium carbonate QC ANTACID 500 MG CHEW TABLET CHAIN DRUG
70000003401 calcium carbonate ANTACID 500 MG CHEW TABLET LEADER
70000046001 calcium carbonate ANTACID 750 MG CHEWABLE TABLET LEADER
70000059201 calcium carbonate ANTACID EX-STR 750 MG TAB CHEW LEADER
70000043002 calcium carbonate ANTACID EX-STR 750 MG TAB CHEW LEADER
70000043101 calcium carbonate ANTACID EX-STR 750 MG TAB CHEW LEADER
70000059301 calcium carbonate SMOOTH ANTACID 750 MG CHEW TAB LEADER
70000043601 calcium carbonate ANTACID ULTRA STR 1,000 MG CHW LEADER
70000045901 calcium carbonate ANTACID ULTRA STR 1,000 MG CHW LEADER
24385010680 calcium carbonate ANTACID XTRA STRENGTH CHEW TAB AMERISOURCE-GNP
24385048547 calcium carbonate ANTACID 500 MG CHEWABLE TABLET AMERISOURCE-GNP
24385047847 calcium carbonate ANTACID 500 MG CHEWABLE TABLET AMERISOURCE-GNP
46122007772 calcium carbonate CALCIUM 600 MG TABLET AMERISOURCE-GNP
00904709894 calcium carbonate CALCIUM CARB 1,250 MG/5 ML SUS MAJOR PHARMACEU
51645082799 calcium carbonate OYSTER SHELL CALCIUM 500 MG TB PLUS PHARMA,INC
51645082710 calcium carbonate OYSTER SHELL CALCIUM 500 MG TB PLUS PHARMA,INC
51645082706 calcium carbonate OYSTER SHELL CALCIUM 500 MG TB PLUS PHARMA,INC
62011048201 calcium carbonate HM ANTACID 500 MG CHEW TABLET HM-STRATEGIC SO
62011039801 calcium carbonate HM ANTACID 500 MG CHEW TABLET HM-STRATEGIC SO
62011022901 calcium carbonate HM CAL ANTACID 750 MG CHEW TAB HM-STRATEGIC SO
62011039701 calcium carbonate HM ANTACID EX-STR 750 MG CHEW HM-STRATEGIC SO
51645073006 calcium carbonate CALCIUM 600 MG TABLET PLUS PHARMA,INC
17
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
51645073010 calcium carbonate CALCIUM 600 MG TABLET PLUS PHARMA,INC
51645073099 calcium carbonate CALCIUM 600 MG TABLET PLUS PHARMA,INC
59528041605 calcium carbonate/mag carb MAGNEBIND 400 TABLET NEPHRO-TECH
59528050805 calcium carbonate/mag carb MAGNEBIND 300 TABLET NEPHRO-TECH
46122015175 calcium carbonate/simethicone ANTACID-ANTIGAS 1000-60 MG CHW AMERISOURCE-GNP
00132000507 calcium carbonate/simethicone PHAZYME GAS AND ACID CHEW TAB FLEET,C.B. CO.
51645082601 calcium carbonate/vitamin D3 CALCIUM 250-D TABLET PLUS PHARMA,INC
51645082699 calcium carbonate/vitamin D3 OYSTER SHELL-D 250 MG TABLET PLUS PHARMA,INC
51645073106 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 200 TABLET PLUS PHARMA,INC
51645073108 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 200 TABLET PLUS PHARMA,INC
51645073110 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 200 TABLET PLUS PHARMA,INC
51645073299 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 400 TABLET PLUS PHARMA,INC
51645073206 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 400 TABLET PLUS PHARMA,INC
51645073208 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 400 TABLET PLUS PHARMA,INC
51645073210 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 400 TABLET PLUS PHARMA,INC
51645073306 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 800 TABLET PLUS PHARMA,INC
51645073308 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 800 TABLET PLUS PHARMA,INC
51645073310 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 800 TABLET PLUS PHARMA,INC
51645073399 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 800 TABLET PLUS PHARMA,INC
46122007606 calcium carbonate/vitamin D3 GNP CALCIUM 500-VIT D3 600 TAB AMERISOURCE-GNP
46122007698 calcium carbonate/vitamin D3 GNP CALCIUM 500-VIT D3 600 TAB AMERISOURCE-GNP
50268015011 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 400 TABLET AVPAK
50268015015 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 400 TABLET AVPAK
50268014611 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 800 TABLET AVPAK
50268014615 calcium carbonate/vitamin D3 CALCIUM 600-VIT D3 800 TABLET AVPAK
51645082806 calcium carbonate/vitamin D3 CALCIUM 500-VIT D3 200 TABLET PLUS PHARMA,INC
51645082808 calcium carbonate/vitamin D3 CALCIUM 500-VIT D3 200 TABLET PLUS PHARMA,INC
51645082810 calcium carbonate/vitamin D3 CALCIUM 500-VIT D3 200 TABLET PLUS PHARMA,INC
51645082899 calcium carbonate/vitamin D3 CALCIUM 500-VIT D3 200 TABLET PLUS PHARMA,INC
51645082906 calcium carbonate/vitamin D3 CALCIUM 500+D TABLET CHEW PLUS PHARMA,INC
00536781708 calcium carbonate/vitamin D3 OYSCO 500-VIT D3 200 TABLET RUGBY
00536781710 calcium carbonate/vitamin D3 OYSCO 500-VIT D3 200 TABLET RUGBY
00088165125 calcium carbonate/vitamin D3 OS-CAL 500-VIT D3 600 CAPLET GSK CONSUMER HE
00088165149 calcium carbonate/vitamin D3 OS-CAL 500-VIT D3 600 CAPLET GSK CONSUMER HE
00088165475 calcium carbonate/vitamin D3 OS-CAL 500-VIT D3 200 CAPLET GSK CONSUMER HE
00904188260 calcium carbonate/vitamin D3 CALCIUM 250-VIT D3 125 TABLET MAJOR PHARMACEU
00904546092 calcium carbonate/vitamin D3 OYSTER SHELL 500-VIT D3 200 TB MAJOR PHARMACEU
00904546052 calcium carbonate/vitamin D3 OYSTER SHELL 500-VIT D3 200 TB MAJOR PHARMACEU
00904546072 calcium carbonate/vitamin D3 OYSTER SHELL 500-VIT D3 200 TB MAJOR PHARMACEU
00904546080 calcium carbonate/vitamin D3 OYSTER SHELL 500-VIT D3 200 TB MAJOR PHARMACEU
50268014711 calcium citrate/vitamin D3 CALCIUM CIT 315-VIT D3 250 TAB AVPAK
18
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536322301 calcium citrate/vitamin D3 CITRUS CALCIUM 200-VIT D3 250 RUGBY
50268014715 calcium citrate/vitamin D3 CALCIUM CIT 315-VIT D3 250 TAB AVPAK
46122008176 calcium citrate/vitamin D3 CALCIUM CITRATE-VIT D3 TABLET AMERISOURCE-GNP
46122008172 calcium citrate/vitamin D3 CALCIUM CITRATE-VIT D3 TABLET AMERISOURCE-GNP
64980015001 calcium phosphate dibas/vit D3 RISACAL-D TABLET RISING PHARM
00536430611 calcium polycarbophil FIBER-LAX CAPTABS RUGBY
00536430605 calcium polycarbophil FIBER-LAX CAPTABS RUGBY
24385012576 calcium polycarbophil FIBER TABS AMERISOURCE-GNP
00904250091 calcium polycarbophil FIBER TABLET MAJOR PHARMACEU
49348019013 calcium polycarbophil SM FIBER 625 MG CAPLET SM-STRATEGIC SO
00536430608 calcium polycarbophil FIBER-LAX CAPTABS RUGBY
16571073118 calcium/D3/mag/K2/min/herb 326 ALGAE BASED CALCIUM TABLET RISING PHARM
42192070660 calcium/mag/D3/B12/FA/B6/boron CALCIUM-FOLIC ACID PLUS D WFER ACELLA PHARMACE
70000039601 camphor CAMPHOR SPIRIT LEADER
49348014830 camphor SM CAMPHOR SPIRIT SM-STRATEGIC SO
00245015005 camphor/phenol CAMPHO-PHENIQUE 10.8-4.7% LIQ BAYER INC.
63868006045 camphor/phenol QC PAIN RELIEF ANTISEPTIC LIQ CHAIN DRUG
00024515006 camphor/phenol CAMPHO-PHENIQUE ANTISEPTIC BAYER INC.
00536111825 capsaicin ARTHRITIS PAIN RLF 0.075% CRM RUGBY
70000054901 capsaicin CAPSAICIN 0.1% CREAM LEADER
70000055601 capsaicin CAPSAICIN 0.025% HEAT PATCH LEADER
00536126456 capsaicin CAPSAICIN 0.1% CREAM RUGBY
00536252525 capsaicin CAPSAICIN 0.025% CREAM RUGBY
46122011203 capsaicin CAPSAICIN 0.15% LIQUID AMERISOURCE-GNP
59088047905 capsicum oleoresin DERMACINRX CIRCATRIX 0.05% CRM PURETEK CORPORA
59088043305 capsicum oleoresin DERMACINRX CIRCATA 0.05% CREAM PURETEK CORPORA
59088031016 capsicum oleoresin DERMACINRX PENETRAL 0.025% CRM PURETEK CORPORA
59088031008 capsicum oleoresin DERMACINRX PENETRAL 0.025% CRM PURETEK CORPORA
00904662735 carbamide peroxide EAR DROPS 6.5% MAJOR PHARMACEU
62011048401 carbamide peroxide HM EAR WAX REMOVAL 6.5% KIT HM-STRATEGIC SO
70000049001 carbamide peroxide EAR WAX REMOVAL 6.5% DROP LEADER
70000049002 carbamide peroxide EAR WAX REMOVAL 6.5% KIT LEADER
11527081074 carbamide peroxide EAR WAX REMOVAL 6.5% DROP SHEFFIELD PHARM
46122055605 carbamide peroxide EAR WAX REMOVAL 6.5% KIT AMERISOURCE-GNP
46122055705 carbamide peroxide EAR WAX REMOVAL 6.5% DROP AMERISOURCE-GNP
46122024905 carbamide peroxide EAR DROPS 6.5% AMERISOURCE-GNP
62011048301 carbamide peroxide HM EAR WAX REMOVAL 6.5% DROP HM-STRATEGIC SO
00023695430 carboxymethyl/gly/poly80/PF REFRESH DIGITAL PF EYE DROPS ALLERGAN INC.
00023449130 carboxymethyl/gly/poly80/PF REFRESH OPTIVE ADVANCED DROPS ALLERGAN INC.
00023715160 carboxymethyl/gly/poly80/PF REFRESH OPTIVE MEGA-3 DROPS ALLERGAN INC.
00023577330 carboxymethyl/gly/poly80/PF REFRESH OPTIVE MEGA-3 DROPS ALLERGAN INC.
19
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00023695210 carboxymethyl/glycerin/poly80 REFRESH DIGITAL EYE DROPS ALLERGAN INC.
00023430720 carboxymethyl/glycerin/poly80 REFRESH OPTIVE ADVANCED DROPS ALLERGAN INC.
00023430710 carboxymethyl/glycerin/poly80 REFRESH OPTIVE ADVANCED DROPS ALLERGAN INC.
00023341660 carboxymethylcell/glycerin/PF REFRESH OPTIVE SENSITIVE DROPS ALLERGAN INC.
00023341630 carboxymethylcell/glycerin/PF REFRESH OPTIVE SENSITIVE DROPS ALLERGAN INC.
00023663410 carboxymethylcell/glycerin/PF REFRESH RELIEVA PF 0.5-0.9% ALLERGAN INC.
00023451530 carboxymethylcell/glycerin/PF REFRESH RELIEVA PF 0.5-1% DROP ALLERGAN INC.
00023663401 carboxymethylcell/glycerin/PF REFRESH RELIEVA PF 0.5-0.9% ALLERGAN INC.
00023324015 carboxymethylcellulos/glycerin REFRESH OPTIVE EYE DROPS ALLERGAN INC.
00023545910 carboxymethylcellulos/glycerin REFRESH OPTIVE GEL EYE DROPS ALLERGAN INC.
00023663010 carboxymethylcellulos/glycerin REFRESH RELIEVA 0.5-0.9% DROP ALLERGAN INC.
00023324001 carboxymethylcellulos/glycerin REFRESH OPTIVE EYE DROPS ALLERGAN INC.
00023455430 carboxymethylcellulose sodium REFRESH CELLUVISC 1% EYE GEL ALLERGAN INC.
00023040370 carboxymethylcellulose sodium REFRESH PLUS 0.5% EYE DROPS ALLERGAN INC.
00023040350 carboxymethylcellulose sodium REFRESH PLUS 0.5% EYE DROPS ALLERGAN INC.
00023040330 carboxymethylcellulose sodium REFRESH PLUS 0.5% EYE DROPS ALLERGAN INC.
00023079801 carboxymethylcellulose sodium REFRESH TEARS 0.5% EYE DROP ALLERGAN INC.
00023079815 carboxymethylcellulose sodium REFRESH TEARS 0.5% EYE DROP ALLERGAN INC.
00023920515 carboxymethylcellulose sodium REFRESH LIQUIGEL 1% EYE DROP ALLERGAN INC.
00023182212 carboxymethylcellulose sodium REFRESH CONTACTS EYE DROPS ALLERGAN INC.
50268006530 carboxymethylcellulose sodium CARBOXYMETHYLCELL 1% EYE GEL AVPAK
00904632946 carboxymethylcellulose sodium LUBRICATING PLUS 0.5% EYE DRPS MAJOR PHARMACEU
00904632951 carboxymethylcellulose sodium LUBRICATING PLUS 0.5% EYE DRPS MAJOR PHARMACEU
50268006770 carboxymethylcellulose sodium CARBOXYMETHYLCELL 0.5% EYE DRP AVPAK
50268006750 carboxymethylcellulose sodium CARBOXYMETHYLCELL 0.5% EYE DRP AVPAK
50268006730 carboxymethylcellulose sodium CARBOXYMETHYLCELL 0.5% EYE DRP AVPAK
50268006815 carboxymethylcellulose sodium CARBOXYMETHYLCELL 0.5% EYE DRP AVPAK
50268006615 carboxymethylcellulose sodium CARBOXYMETHYLCELL 1% EYE DROP AVPAK
70000008901 carboxymethylcellulose sodium DRY EYE RELIEF 1% DROP LEADER
70000009001 carboxymethylcellulose sodium LUBRICANT 0.5% EYE DROP LEADER
70000009002 carboxymethylcellulose sodium LUBRICANT 0.5% EYE DROP LEADER
70000001202 carboxymethylcellulose sodium LUBRICANT 0.5% EYE DROPS LEADER
70000001201 carboxymethylcellulose sodium LUBRICANT 0.5% EYE DROPS LEADER
62011020301 carboxymethylcellulose sodium HM LUBRICAT PLUS 0.5% EYE DRPS HM-STRATEGIC SO
46122019565 carboxymethylcellulose sodium LUBRICATING PLUS 0.5% EYE DRPS AMERISOURCE-GNP
49348032944 carboxymethylcellulose sodium SM LUBRICAT PLUS 0.5% EYE DRPS SM-STRATEGIC SO
00113032365 carboxymethylcellulose sodium GS LUBRICAT PLUS 0.5% EYE DRPS PERRIGO/GOODSEN
24385051546 castor oil CASTOR OIL AMERISOURCE-GNP
49348001636 castor oil SM CASTOR OIL SM-STRATEGIC SO
62011014101 castor oil HM CASTOR OIL HM-STRATEGIC SO
24385051530 castor oil CASTOR OIL AMERISOURCE-GNP
20
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000002401 castor oil CASTOR OIL LEADER
63868032206 castor oil QC CASTOR OIL CHAIN DRUG
68220004408 cellulose UNIFIBER POWDER MEDA PHARMACEUT
46017004408 cellulose UNIFIBER POWDER MEDA CONSUMER H
00113018926 cetirizine HCl GS CHILD ALL DAY ALLER 1 MG/ML PERRIGO/GOODSEN
00113050326 cetirizine HCl GS CHILD ALL DAY ALLER 1 MG/ML PERRIGO/GOODSEN
00781528364 cetirizine HCl CETIRIZINE HCL 5 MG CHEW TAB SANDOZ
00781528464 cetirizine HCl CETIRIZINE HCL 10 MG CHEW TAB SANDOZ
46122061363 cetirizine HCl GNP ALL DAY ALLERGY 10 MG SFGL AMERISOURCE-GNP
24385099874 cetirizine HCl ALL DAY ALLERGY 10 MG TABLET AMERISOURCE-GNP
24385099865 cetirizine HCl ALL DAY ALLERGY 10 MG TABLET AMERISOURCE-GNP
24385099875 cetirizine HCl ALL DAY ALLERGY 10 MG TABLET AMERISOURCE-GNP
46122002026 cetirizine HCl CHILD ALL DAY ALLERGY 1 MG/ML AMERISOURCE-GNP
46122010126 cetirizine HCl CHILD ALL DAY ALLERGY 1 MG/ML AMERISOURCE-GNP
46122020326 cetirizine HCl CHILD ALL DAY ALLERGY 1 MG/ML AMERISOURCE-GNP
54838055240 cetirizine HCl CHILD CETIRIZINE HCL 1 MG/ML SILARX/LANNETT
54838055940 cetirizine HCl CHILD CETIRIZINE HCL 1 MG/ML SILARX/LANNETT
45802091939 cetirizine HCl CETIRIZINE HCL 10 MG TABLET PERRIGO/PADAGIS
45802091987 cetirizine HCl CETIRIZINE HCL 10 MG TABLET PERRIGO/PADAGIS
45802097426 cetirizine HCl CETIRIZINE HCL 1 MG/ML SOLN PERRIGO/PADAGIS
70677007502 cetirizine HCl SM ALL DAY ALLERGY 10 MG TAB SM-STRATEGIC SO
70677005701 cetirizine HCl SM ALL DAY ALLERGY 10 MG TAB SM-STRATEGIC SO
70677007501 cetirizine HCl SM ALL DAY ALLERGY 10 MG TAB SM-STRATEGIC SO
70677007503 cetirizine HCl SM ALL DAY ALLERGY 10 MG TAB SM-STRATEGIC SO
70677014201 cetirizine HCl SM ALL DAY ALLERGY 10 MG TAB SM-STRATEGIC SO
49348093434 cetirizine HCl SM CHILD ALL DAY ALLER 1 MG/ML SM-STRATEGIC SO
70677001401 cetirizine HCl SM CHILD ALL DAY ALLER 1 MG/ML SM-STRATEGIC SO
51079059701 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MYLAN INSTITUTI
51079059720 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MYLAN INSTITUTI
00113945813 cetirizine HCl GS ALL DAY ALLERGY 10 MG TAB PERRIGO/GOODSEN
00113945839 cetirizine HCl GS ALL DAY ALLERGY 10 MG TAB PERRIGO/GOODSEN
00113945866 cetirizine HCl GS ALL DAY ALLERGY 10 MG TAB PERRIGO/GOODSEN
70000021401 cetirizine HCl CHILD ALL DAY ALLERGY 1 MG/ML LEADER
70000018601 cetirizine HCl CHILD ALL DAY ALLERGY 1 MG/ML LEADER
70000021501 cetirizine HCl CHILD ALL DAY ALLERGY 1 MG/ML LEADER
47335034383 cetirizine HCl CHILD CETIRIZINE 5 MG CHEW TAB SUN PHARMA GLOB
47335034483 cetirizine HCl CHILD CETIRIZINE 10 MG CHEW TB SUN PHARMA GLOB
49483068201 cetirizine HCl ALLERGY RLF (CETRZN) 5 MG TAB TIME-CAP LABS
49483069250 cetirizine HCl ALLERGY RLF (CETRZN) 10 MG TAB TIME-CAP LABS
70010016305 cetirizine HCl CETIRIZINE HCL 10 MG TABLET GRANULES PHARMA
62011030701 cetirizine HCl HM ALLERGY RELIEF 10 MG TABLET HM-STRATEGIC SO
21
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011041401 cetirizine HCl HM ALLERGY RELIEF 10 MG TABLET HM-STRATEGIC SO
62011041402 cetirizine HCl HM ALLERGY RELIEF 10 MG TABLET HM-STRATEGIC SO
62011041403 cetirizine HCl HM ALLERGY RELIEF 10 MG TABLET HM-STRATEGIC SO
62011018001 cetirizine HCl HM CHILD CETIRIZINE 1 MG/ML HM-STRATEGIC SO
62011028501 cetirizine HCl HM CHILD ALL DAY ALLER 1 MG/ML HM-STRATEGIC SO
62011032201 cetirizine HCl HM CHILD ALL DAY ALLER 1 MG/ML HM-STRATEGIC SO
62011032301 cetirizine HCl HM CHILD ALL DAY ALLER 1 MG/ML HM-STRATEGIC SO
63868013214 cetirizine HCl QC ALL DAY ALLERGY 10 MG TAB CHAIN DRUG
63868013230 cetirizine HCl QC ALL DAY ALLERGY 10 MG TAB CHAIN DRUG
63868013290 cetirizine HCl QC ALL DAY ALLERGY 10 MG TAB CHAIN DRUG
63868043004 cetirizine HCl QC CHILDREN'S ALLERGY 1 MG/ML CHAIN DRUG
16571040110 cetirizine HCl CETIRIZINE HCL 5 MG TABLET RISING PHARM
16571040210 cetirizine HCl CETIRIZINE HCL 10 MG TABLET RISING PHARM
16571040250 cetirizine HCl CETIRIZINE HCL 10 MG TABLET RISING PHARM
70000004701 cetirizine HCl ALL DAY ALLERGY 10 MG TABLET LEADER
70000038001 cetirizine HCl ALL DAY ALLERGY 10 MG TABLET LEADER
70000038002 cetirizine HCl ALL DAY ALLERGY 10 MG TABLET LEADER
70000038004 cetirizine HCl ALL DAY ALLERGY 10 MG TABLET LEADER
68001043616 cetirizine HCl CETIRIZINE HCL 10 MG TABLET BLUEPOINT LABOR
68001043604 cetirizine HCl CETIRIZINE HCL 10 MG TABLET BLUEPOINT LABOR
68001043696 cetirizine HCl CETIRIZINE HCL 10 MG TABLET BLUEPOINT LABOR
68001043697 cetirizine HCl CETIRIZINE HCL 10 MG TABLET BLUEPOINT LABOR
68094000462 cetirizine HCl CETIRIZINE HCL 5 MG/5 ML SOLN PRECISION DOSE
68094000459 cetirizine HCl CETIRIZINE HCL 5 MG/5 ML SOLN PRECISION DOSE
69230030324 cetirizine HCl ALLERGY RLF(CETRZN) 10 MG SFGL CAMBER CONSUMER
69230030340 cetirizine HCl ALLERGY RLF(CETRZN) 10 MG SFGL CAMBER CONSUMER
69230030401 cetirizine HCl ALLERGY RLF (CETRZN) 10 MG TAB CAMBER CONSUMER
69230030405 cetirizine HCl ALLERGY RLF (CETRZN) 10 MG TAB CAMBER CONSUMER
69230030430 cetirizine HCl ALLERGY RLF (CETRZN) 10 MG TAB CAMBER CONSUMER
69230031611 cetirizine HCl CHILD ALLERGY RELIEF 1 MG/ML CAMBER CONSUMER
59746028532 cetirizine HCl CHILD CETIRIZINE 5 MG CHEW TAB JUBILANT CADIST
59746028632 cetirizine HCl CHILD CETIRIZINE 10 MG CHEW TB JUBILANT CADIST
60505263201 cetirizine HCl CETIRIZINE HCL 5 MG TABLET APOTEX CORP
60505263301 cetirizine HCl CETIRIZINE HCL 10 MG TABLET APOTEX CORP
60505263308 cetirizine HCl CETIRIZINE HCL 10 MG TABLET APOTEX CORP
16714079904 cetirizine HCl CETIRIZINE HCL 10 MG TABLET NORTHSTAR RX LL
16714079901 cetirizine HCl CETIRIZINE HCL 10 MG TABLET NORTHSTAR RX LL
16714079902 cetirizine HCl CETIRIZINE HCL 10 MG TABLET NORTHSTAR RX LL
16714079903 cetirizine HCl CETIRIZINE HCL 10 MG TABLET NORTHSTAR RX LL
51660093954 cetirizine HCl CETIRIZINE HCL 10 MG TABLET OHM LABS.
51660093901 cetirizine HCl CETIRIZINE HCL 10 MG TABLET OHM LABS.
22
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
51660093905 cetirizine HCl ALLERGY RLF (CETRZN) 10 MG TAB OHM LABS.
51660093930 cetirizine HCl CETIRIZINE HCL 10 MG TABLET OHM LABS.
51660093953 cetirizine HCl ALLERGY RLF (CETRZN) 10 MG TAB OHM LABS.
51660093990 cetirizine HCl CETIRIZINE HCL 10 MG TABLET OHM LABS.
51672208808 cetirizine HCl CETIRIZINE HCL 1 MG/ML SOLN TARO PHARM USA
51672210208 cetirizine HCl CETIRIZINE HCL 1 MG/ML SOLN TARO PHARM USA
43598081112 cetirizine HCl CETIRIZINE HCL 10 MG TABLET DR.REDDY'S LAB
43598081115 cetirizine HCl CETIRIZINE HCL 10 MG TABLET DR.REDDY'S LAB
55111069990 cetirizine HCl CETIRIZINE HCL 10 MG TABLET DR.REDDY'S LAB
00904671746 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MAJOR PHARMACEU
00904671740 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MAJOR PHARMACEU
00904671741 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MAJOR PHARMACEU
00904671743 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MAJOR PHARMACEU
00904671760 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MAJOR PHARMACEU
00904671761 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MAJOR PHARMACEU
00904671772 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MAJOR PHARMACEU
00904671786 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MAJOR PHARMACEU
00904676520 cetirizine HCl CHILD CETIRIZINE HCL 1 MG/ML MAJOR PHARMACEU
00378363501 cetirizine HCl CETIRIZINE HCL 5 MG TABLET MYLAN
00378363701 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MYLAN
00378363705 cetirizine HCl CETIRIZINE HCL 10 MG TABLET MYLAN
00113017653 cetirizine HCl/pseudoephedrine GS ALL DAY ALLERGY-D TABLET PERRIGO/GOODSEN
00113217662 cetirizine HCl/pseudoephedrine ALL DAY ALLERGY-D TABLET PERRIGO CO.
46122062662 cetirizine HCl/pseudoephedrine ALL DAY ALLERGY-D TABLET AMERISOURCE-GNP
00113017662 cetirizine HCl/pseudoephedrine GS ALL DAY ALLERGY-D TABLET PERRIGO/GOODSEN
00536127935 cetirizine HCl/pseudoephedrine CETIRIZINE-PSE ER 5-120 MG TAB RUGBY
45802014753 cetirizine HCl/pseudoephedrine CETIRIZINE-PSE ER 5-120 MG TAB PERRIGO/PADAGIS
45802014762 cetirizine HCl/pseudoephedrine CETIRIZINE-PSE ER 5-120 MG TAB PERRIGO/PADAGIS
70677007701 cetirizine HCl/pseudoephedrine SM ALL DAY ALLERGY-D TABLET SM-STRATEGIC SO
70677014601 cetirizine HCl/pseudoephedrine SM ALL DAY ALLERGY-D TABLET SM-STRATEGIC SO
70000004201 cetirizine HCl/pseudoephedrine ALLERGY RELIEF-D TABLET LEADER
62011041101 cetirizine HCl/pseudoephedrine HM ALLERGY COMPLETE-D TABLET HM-STRATEGIC SO
51660094024 cetirizine HCl/pseudoephedrine ALLERGY RLF-DECONG ER 5-120 MG OHM LABS.
00536127912 cetirizine HCl/pseudoephedrine CETIRIZINE-PSE ER 5-120 MG TAB RUGBY
00299392001 cetyl alc/stearyl alc/pg/sls CETAPHIL CREAM GALDERMA LABORA
00259601416 cetyl alcohol/stearyl alcohol CAM LOTION MERZ
00574052074 charcoal/sorbitol solution ACTIDOSE 25 GM LIQUID PERRIGO/PADAGIS
00574052004 charcoal/sorbitol solution ACTIDOSE 25 GM LIQUID PERRIGO/PADAGIS
00574052076 charcoal/sorbitol solution ACTIDOSE 50 GM LIQUID PERRIGO/PADAGIS
00574052008 charcoal/sorbitol solution ACTIDOSE 50 GM LIQUID PERRIGO/PADAGIS
66689020308 charcoal/sorbitol solution INSTA-CHAR 50 GM LIQUID VISTAPHARM
23
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
66689020304 charcoal/sorbitol solution INSTA-CHAR 25 GM LIQUID VISTAPHARM
31722093847 cherry flavor CHERRY SYRUP CAMBER PHARMACE
58407002530 chlorcyclizine HCl AHIST 25 MG TABLET MAGNA PHARM
58407062530 chlorcyclizine/pseudoephedrine STAHIST AD TABLET MAGNA PHARM
00116102107 chlorhexidin/isopropyl alcohol DYNAHEX 2% LIQUID XTTRIUM LABS.
00116102106 chlorhexidin/isopropyl alcohol DYNAHEX 2% LIQUID XTTRIUM LABS.
00116102105 chlorhexidin/isopropyl alcohol DYNAHEX 2% LIQUID XTTRIUM LABS.
00116102103 chlorhexidin/isopropyl alcohol DYNAHEX 2% LIQUID XTTRIUM LABS.
00116299404 chlorhexidine gluconate SCRUB CARE EXIDINE 4% SOLUTION XTTRIUM LABS.
46122065936 chlorhexidine gluconate GNP HAND SOAP 2% CLEANSER AMERISOURCE-GNP
46122013743 chlorhexidine gluconate GNP ANTISEPTIC SKIN CLEANSR 4% AMERISOURCE-GNP
46122013734 chlorhexidine gluconate ANTISEPTIC SKIN CLEANSER 4% AMERISOURCE-GNP
49348011537 chlorhexidine gluconate SM ANTISEPTIC SKIN CLEANSER 4% SM-STRATEGIC SO
62011023701 chlorhexidine gluconate HM ANTISEPTIC SKIN CLEANSER 4% HM-STRATEGIC SO
70000040701 chlorhexidine gluconate ANTISEPTIC SKIN CLEANSER 4% LEADER
67618020016 chlorhexidine gluconate BETASEPT 4% SURGICAL SCRUB PURDUE PROD LP
67618020004 chlorhexidine gluconate BETASEPT 4% SURGICAL SCRUB PURDUE PROD LP
67618020008 chlorhexidine gluconate BETASEPT 4% SURGICAL SCRUB PURDUE PROD LP
67618020030 chlorhexidine gluconate BETASEPT 4% SURGICAL SCRUB PURDUE PROD LP
00116106132 chlorhexidine gluconate DYNA-HEX 4% LIQUID XTTRIUM LABS.
00116106116 chlorhexidine gluconate DYNA-HEX 4% LIQUID XTTRIUM LABS.
00116106108 chlorhexidine gluconate DYNA-HEX 4% LIQUID XTTRIUM LABS.
00116106104 chlorhexidine gluconate DYNA-HEX 4% LIQUID XTTRIUM LABS.
00116106101 chlorhexidine gluconate DYNA-HEX 4% LIQUID XTTRIUM LABS.
00116102104 chlorhexidine gluconate DYNA-HEX 2% SOLUTION XTTRIUM LABS.
68599540106 chlorhexidine gluconate ANTISEPTIC SKIN CLEANSER 4% MCKESSON MEDICA
68599540105 chlorhexidine gluconate ANTISEPTIC SKIN CLEANSER 4% MCKESSON MEDICA
68599540104 chlorhexidine gluconate ANTISEPTIC SKIN CLEANSER 4% MCKESSON MEDICA
68599540103 chlorhexidine gluconate ANTISEPTIC SKIN CLEANSER 4% MCKESSON MEDICA
68599540102 chlorhexidine gluconate ANTISEPTIC SKIN CLEANSER 4% MCKESSON MEDICA
67618020032 chlorhexidine gluconate BETASEPT 4% SURGICAL SCRUB PURDUE PROD LP
68599540001 chlorhexidine gluconate ANTISEPTIC SKIN CLEANSER 4% PK MCKESSON MEDICA
68599540002 chlorhexidine gluconate ANTISEPTIC SKIN CLEANSER 4% PK MCKESSON MEDICA
68599520404 chloroxylenol ANTIMICROBIAL LOTION SOAP MCKESSON MEDICA
68599520405 chloroxylenol ANTIMICROBIAL LOTION SOAP MCKESSON MEDICA
68599520401 chloroxylenol ANTIMICROBIAL LOTION SOAP MCKESSON MEDICA
68599520402 chloroxylenol ANTIMICROBIAL LOTION SOAP MCKESSON MEDICA
68599520403 chloroxylenol ANTIMICROBIAL LOTION SOAP MCKESSON MEDICA
62011044101 chlorpheniramine maleate HM ALLERGY RELIEF 4 MG TABLET HM-STRATEGIC SO
49483024201 chlorpheniramine maleate ALLERGY-TIME 4 MG TABLET TIME-CAP LABS
00536100601 chlorpheniramine maleate ALLER-CHLOR 4 MG TABLET RUGBY
24
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00113004278 chlorpheniramine maleate GS ALLERGY RELIEF 4 MG TABLET PERRIGO/GOODSEN
00904001259 chlorpheniramine maleate ALLERGY 4 MG TABLET MAJOR PHARMACEU
00904001224 chlorpheniramine maleate ALLERGY 4 MG TABLET MAJOR PHARMACEU
70000016002 chlorpheniramine maleate ALLERGY RELIEF 4 MG TABLET LEADER
70000016001 chlorpheniramine maleate ALLERGY RELIEF 4 MG TABLET LEADER
00485009816 chlorpheniramine maleate ED CHLORPED JR SYRUP EDWARDS PHARM.
63868082624 chlorpheniramine maleate QC CHLORPHENIRAMINE 4 MG TAB CHAIN DRUG
63868082601 chlorpheniramine maleate QC CHLORPHENIRAMINE 4 MG TAB CHAIN DRUG
62011031101 chlorpheniramine maleate HM ALLERGY RELIEF 4 MG TABLET HM-STRATEGIC SO
00904001261 chlorpheniramine maleate ALLERGY 4 MG TABLET MAJOR PHARMACEU
49483024210 chlorpheniramine maleate ALLERGY-TIME 4 MG TABLET TIME-CAP LABS
70677000401 chlorpheniramine maleate SM ALLERGY 4 MG TABLET SM-STRATEGIC SO
00904001280 chlorpheniramine maleate ALLERGY 4 MG TABLET MAJOR PHARMACEU
46122061862 chlorpheniramine maleate GNP ALLERGY RELIEF 4 MG TABLET AMERISOURCE-GNP
46122061878 chlorpheniramine maleate GNP ALLERGY RELIEF 4 MG TABLET AMERISOURCE-GNP
00536100610 chlorpheniramine maleate ALLER-CHLOR 4 MG TABLET RUGBY
46122045462 chlorpheniramine/phenylephrine GNP SINUS-ALLERGY PE TABLET AMERISOURCE-GNP
46122059762 chlorpheniramine/phenylephrine SINUS-ALLERGY PE 4-10 MG TAB AMERISOURCE-GNP
00485015516 chlorpheniramine/phenylephrine ED A-HIST LIQUID EDWARDS PHARM.
68047018516 chlorpheniramine/phenylephrine NOHIST-LQ LIQUID LARKEN LABS
00485025401 chlorpheniramine/phenylephrine ED-A-HIST 4 MG-10 MG TABLET EDWARDS PHARM.
00904535196 chlorpheniramine/pseudoephed SUDOGEST SINUS AND ALLERGY TAB MAJOR PHARMACEU
68047012016 chlorpheniramine/pseudoephed LOHIST-D LIQUID LARKEN LABS
00904535124 chlorpheniramine/pseudoephed SUDOGEST COLD AND ALLERGY TAB MAJOR PHARMACEU
75834016724 cholecalciferol (vitamin D3) WEEKLY-D 1,250 MCG SOFTGEL NIVAGEN PHARMAC
37205074685 cholecalciferol (vitamin D3) VITAMIN D3 1,000 UNIT SOFTGEL LEADER
67112090100 cholecalciferol (vitamin D3) DECARA 25,000 UNIT VEGICAP MEDECOR PHARMA
67112090130 cholecalciferol (vitamin D3) DECARA 25,000 UNIT VEGICAP MEDECOR PHARMA
67112090250 cholecalciferol (vitamin D3) DECARA 50,000 UNIT SOFTGEL MEDECOR PHARMA
68094011459 cholecalciferol (vitamin D3) VITAMIN D3 10 MCG TABLET PRECISION DOSE
75834016712 cholecalciferol (vitamin D3) WEEKLY-D 1,250 MCG SOFTGEL NIVAGEN PHARMAC
75834002012 cholecalciferol (vitamin D3) VITAMIN D3 50,000 UNIT CAPSULE NIVAGEN PHARMAC
75834002001 cholecalciferol (vitamin D3) VITAMIN D3 50,000 UNIT CAPSULE NIVAGEN PHARMAC
50268086615 cholecalciferol (vitamin D3) VITAMIN D3 5,000 UNIT TABLET AVPAK
50268086611 cholecalciferol (vitamin D3) VITAMIN D3 5,000 UNIT TABLET AVPAK
50268086715 cholecalciferol (vitamin D3) VITAMIN D3 2,000 UNIT SOFTGEL AVPAK
50268086711 cholecalciferol (vitamin D3) VITAMIN D3 2,000 UNIT SOFTGEL AVPAK
50268086515 cholecalciferol (vitamin D3) VITAMIN D3 2,000 UNIT TABLET AVPAK
50268086511 cholecalciferol (vitamin D3) VITAMIN D3 2,000 UNIT TABLET AVPAK
50268086311 cholecalciferol (vitamin D3) VITAMIN D3 400 UNIT TABLET AVPAK
50268086315 cholecalciferol (vitamin D3) VITAMIN D3 400 UNIT TABLET AVPAK
25
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
50268086811 cholecalciferol (vitamin D3) VITAMIN D3 5,000 UNIT SOFTGEL AVPAK
50268086815 cholecalciferol (vitamin D3) VITAMIN D3 5,000 UNIT SOFTGEL AVPAK
00087512740 cholecalciferol (vitamin D3) D-VI-SOL 10 MCG/ML DROP MJ NUTRITIONAL
00087086644 cholecalciferol (vitamin D3) D-VI-SOL 400 UNIT/ML LIQUID MJ NUTRITIONAL
54838000650 cholecalciferol (vitamin D3) VITAMIN D3 10 MCG/ML LIQUID SILARX/LANNETT
50383091750 cholecalciferol (vitamin D3) VITAMIN D3 400 UNIT/ML LIQUID HI-TECH/AKORN C
10542010002 cholecalciferol (vitamin D3) DIALYVITE VIT D3 50,000 UNIT HILLESTAD PHARM
10542010008 cholecalciferol (vitamin D3) DIALYVITE VIT D3 50,000 UNIT HILLESTAD PHARM
10542009090 cholecalciferol (vitamin D3) DIALYVITE VITAMIN D 5,000 UNIT HILLESTAD PHARM
00904615760 cholecalciferol (vitamin D3) VITAMIN D3 50 MCG TABLET MAJOR PHARMACEU
00904582360 cholecalciferol (vitamin D3) VITAMIN D3 400 UNIT TABLET MAJOR PHARMACEU
00536135301 cholecalciferol (vitamin D3) VITAMIN D3 50 MCG SOFTGEL RUGBY
00536333401 cholecalciferol (vitamin D3) VITAMIN D3 1,000 UNIT TABLET RUGBY
00536134380 cholecalciferol (vitamin D3) VITAMIN D3 10 MCG/ML DROP RUGBY
51645091999 cholecalciferol (vitamin D3) VITAMIN D3 1,000 UNIT TABLET PLUS PHARMA,INC
68094011461 cholecalciferol (vitamin D3) VITAMIN D3 10 MCG TABLET PRECISION DOSE
51645092199 cholecalciferol (vitamin D3) VITAMIN D3 2,000 UNIT TABLET PLUS PHARMA,INC
24385011165 cimetidine CIMETIDINE 200 MG TABLET AMERISOURCE-GNP
69543036716 citric acid/sodium citrate VIRTRATE-2 SOLUTION VIRTUS PHARMACE
58657031016 citric acid/sodium citrate SOD CITRATE-CITRIC ACID SOLN METHOD PHARMACE
69367032016 citric acid/sodium citrate SOD CITRATE-CITRIC ACID SOLN WESTMINSTER PHA
00121059516 citric acid/sodium citrate SOD CITRATE-CITRIC ACID SOLN PHARM ASSOC INC
00121119000 citric acid/sodium citrate SOD CITRATE-CITRIC ACID SOLN PHARM ASSOC INC
00121119030 citric acid/sodium citrate SOD CITRATE-CITRIC ACID SOLN PHARM ASSOC INC
00121059500 citric acid/sodium citrate SOD CITRATE-CITRIC ACID SOLN PHARM ASSOC INC
00121059515 citric acid/sodium citrate SOD CITRATE-CITRIC ACID SOLN PHARM ASSOC INC
00178073212 citric/citronellyl/hydrox/meth LYCELLE HEAD LICE REMOVAL KIT MISSION PHARM.
24385011009 clotrimazole CLOTRIMAZOLE-3 2% CREAM AMERISOURCE-GNP
45802043411 clotrimazole CLOTRIMAZOLE 1% TOPICAL CREAM PERRIGO CO.
24385020503 clotrimazole GNP ATHLETE'S FOOT 1% CREAM AMERISOURCE-GNP
45802043401 clotrimazole CLOTRIMAZOLE 1% TOPICAL CREAM PERRIGO/PADAGIS
49348037954 clotrimazole SM 3-DAY VAGINAL CREAM SM-STRATEGIC SO
49348027972 clotrimazole SM ANTIFUNGAL 1% TOPICAL CREAM SM-STRATEGIC SO
49348079376 clotrimazole SM CLOTRIMAZOLE 1% VAG CREAM SM-STRATEGIC SO
70512010030 clotrimazole CLOTRIMAZOLE 1% TOPICAL CREAM SOLA PHARMACEUT
00085096315 clotrimazole LOTRIMIN AF 1% CREAM SCHERING-PLOUGH
00085096317 clotrimazole LOTRIMIN AF 1% CREAM SCHERING-PLOUGH
63868059528 clotrimazole QC CLOTRIMAZOLE 1% TOP CREAM CHAIN DRUG
63868061028 clotrimazole QC ATHLETE'S FOOT 1% CREAM CHAIN DRUG
63868025915 clotrimazole QC CLOTRIMAZOLE 1% VAG CREAM CHAIN DRUG
70000054201 clotrimazole ATHLETE'S FOOT 1% CREAM LEADER
26
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000054202 clotrimazole ATHLETE'S FOOT 1% CREAM LEADER
68001047547 clotrimazole ANTIFUNGAL 1% TOPICAL CREAM BLUEPOINT LABOR
68001047545 clotrimazole ANTIFUNGAL 1% TOPICAL CREAM BLUEPOINT LABOR
61269022041 clotrimazole CLOTRIMAZOLE 1% VAGINAL CREAM H2 PHARMA LLC
61269022063 clotrimazole CLOTRIMAZOLE 1% VAGINAL CREAM H2 PHARMA LLC
11527007140 clotrimazole ATHLETE'S FOOT 1% CREAM SHEFFIELD PHARM
51672206200 clotrimazole 3-DAY VAGINAL CREAM TARO PHARM USA
51672200201 clotrimazole CLOTRIMAZOLE 1% TOPICAL CREAM TARO PHARM USA
51672200202 clotrimazole CLOTRIMAZOLE 1% TOPICAL CREAM TARO PHARM USA
51672200306 clotrimazole CLOTRIMAZOLE 1% VAGINAL CREAM TARO PHARM USA
51672203701 clotrimazole CLOTRIMAZOLE 1% SOLUTION TARO PHARM USA
59088044107 clotrimazole MYCOZYL AC 1% TOPICAL CREAM PURETEK CORPORA
59088047607 clotrimazole MICOTRIN AC 1% TOPICAL CREAM PURETEK CORPORA
00536126526 clotrimazole CLOTRIMAZOLE 1% TOPICAL CREAM RUGBY
00536127211 clotrimazole ANTIFUNGAL 1% TOPICAL CREAM RUGBY
00536127222 clotrimazole ANTIFUNGAL 1% TOPICAL CREAM RUGBY
00536118170 clotrimazole CLOTRIMAZOLE 1% SOLUTION RUGBY
29978091860 clotrimazole ALEVAZOL 1% OINTMENT CAPITAL PHARMAC
24385020501 clotrimazole GNP ATHLETE'S FOOT 1% CREAM AMERISOURCE-GNP
00096073704 coal tar DHS TAR 0.5% SHAMPOO PERSON & COVEY
00096073608 coal tar DHS TAR GEL 0.5% SHAMPOO PERSON & COVEY
00096073008 coal tar DHS TAR GEL 0.5% SHAMPOO PERSON & COVEY
00096073708 coal tar DHS TAR 0.5% SHAMPOO PERSON & COVEY
00096072808 coal tar DHS TAR 0.5% SHAMPOO PERSON & COVEY
67857080126 coal tar SCYTERA 2% FOAM PROMIUS PHARMA
75834010101 coal tar PSORIATAR 2% FOAM NIVAGEN PHARMAC
00187141616 coal tar IONIL T SHAMPOO BAUSCH HEALTH U
00096072804 coal tar DHS TAR 0.5% SHAMPOO PERSON & COVEY
49348060247 coal tar SM ANTI-DANDRUFF 0.5% SHAMPOO SM-STRATEGIC SO
67857080152 coal tar SCYTERA 2% FOAM PROMIUS PHARMA
00904525944 coal tar THERA-GEL 0.5% SHAMPOO MAJOR PHARMACEU
69543025216 codeine phosphate/guaifenesin VIRTUSSIN AC 10-100 MG/5 ML LQ VIRTUS PHARMACE
69543027616 codeine phosphate/guaifenesin CODEINE-GUAIFEN 10-100 MG/5 ML VIRTUS PHARMACE
70752018012 codeine phosphate/guaifenesin CODEINE-GUAIFEN 10-100 MG/5 ML QUAGEN PHARMACE
70752018006 codeine phosphate/guaifenesin CODEINE-GUAIFEN 10-100 MG/5 ML QUAGEN PHARMACE
54932020885 codeine phosphate/guaifenesin GUAIFEN-CODEINE 100-10 MG/5 ML BIORAMO
54932020881 codeine phosphate/guaifenesin GUAIFEN-CODEINE 100-10 MG/5 ML BIORAMO
58657050004 codeine phosphate/guaifenesin CODEINE-GUAIFEN 10-100 MG/5 ML METHOD PHARMACE
58657050016 codeine phosphate/guaifenesin CODEINE-GUAIFEN 10-100 MG/5 ML METHOD PHARMACE
69543025204 codeine phosphate/guaifenesin VIRTUSSIN AC 10-100 MG/5 ML LQ VIRTUS PHARMACE
69543025116 codeine phosphate/guaifenesin VIRTUSSIN AC W-ALC 10-100 MG/5 VIRTUS PHARMACE
27
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
69367027216 codeine phosphate/guaifenesin CODEINE-GUAIFEN 10-100 MG/5 ML WESTMINSTER PHA
69367027204 codeine phosphate/guaifenesin CODEINE-GUAIFEN 10-100 MG/5 ML WESTMINSTER PHA
69315024812 codeine phosphate/guaifenesin CODEINE-GUAIFEN 10-100 MG/5 ML LEADING PHARMA
69315024848 codeine phosphate/guaifenesin CODEINE-GUAIFEN 10-100 MG/5 ML LEADING PHARMA
50383008710 codeine phosphate/guaifenesin GUAIATUSSIN AC LIQUID HI-TECH/AKORN C
50383008712 codeine phosphate/guaifenesin GUAIATUSSIN AC LIQUID HI-TECH/AKORN C
50383008716 codeine phosphate/guaifenesin GUAIATUSSIN AC LIQUID HI-TECH/AKORN C
50383008704 codeine phosphate/guaifenesin GUAIATUSSIN AC LIQUID HI-TECH/AKORN C
00121155010 codeine phosphate/guaifenesin GUAIFEN-CODEINE 200-20 MG/10ML PHARM ASSOC INC
50383008705 codeine phosphate/guaifenesin GUAIATUSSIN AC LIQUID HI-TECH/AKORN C
50383008707 codeine phosphate/guaifenesin GUAIATUSSIN AC LIQUID HI-TECH/AKORN C
00121177500 codeine phosphate/guaifenesin GUAIFEN-CODEINE 100-10 MG/5 ML PHARM ASSOC INC
00121177505 codeine phosphate/guaifenesin GUAIFEN-CODEINE 100-10 MG/5 ML PHARM ASSOC INC
00121077508 codeine phosphate/guaifenesin GUAIFEN-CODEINE 100-10 MG/5 ML PHARM ASSOC INC
00121077504 codeine phosphate/guaifenesin GUAIFEN-CODEINE 100-10 MG/5 ML PHARM ASSOC INC
00121077516 codeine phosphate/guaifenesin GUAIFEN-CODEINE 100-10 MG/5 ML PHARM ASSOC INC
00121155000 codeine phosphate/guaifenesin GUAIFEN-CODEINE 200-20 MG/10ML PHARM ASSOC INC
46287050216 cold cream/zinc oxide/star/lan DERMACLOUD OINTMENT CMP PHARMA, INC
57782039726 cromolyn sodium CROMOLYN SODIUM NASAL SPRAY BAUSCH HEALTH U
50268085215 cyanocobalamin (vitamin B-12) VITAMIN B-12 100 MCG TABLET AVPAK
50268085211 cyanocobalamin (vitamin B-12) VITAMIN B-12 100 MCG TABLET AVPAK
50268085511 cyanocobalamin (vitamin B-12) VITAMIN B-12 1,000 MCG TABLET AVPAK
50268085515 cyanocobalamin (vitamin B-12) VITAMIN B-12 1,000 MCG TABLET AVPAK
50268085311 cyanocobalamin (vitamin B-12) VITAMIN B-12 250 MCG TABLET AVPAK
50268085315 cyanocobalamin (vitamin B-12) VITAMIN B-12 250 MCG TABLET AVPAK
51645091301 cyanocobalamin (vitamin B-12) VITAMIN B-12 500 MCG TABLET PLUS PHARMA,INC
50268085415 cyanocobalamin (vitamin B-12) VITAMIN B-12 500 MCG TABLET AVPAK
68094011559 cyanocobalamin (vitamin B-12) VITAMIN B-12 1,000 MCG TABLET PRECISION DOSE
68094011561 cyanocobalamin (vitamin B-12) VITAMIN B-12 1,000 MCG TABLET PRECISION DOSE
50268085411 cyanocobalamin (vitamin B-12) VITAMIN B-12 500 MCG TABLET AVPAK
51645091401 cyanocobalamin (vitamin B-12) VITAMIN B-12 1,000 MCG TABLET PLUS PHARMA,INC
50991032301 cyanocobalamin/folic acid FOLTRATE TABLET POLY PHARMACEUT
50991078890 dexbrompheniramin/phenylephrin ALAHIST PE 2-7.5 MG TABLET POLY PHARMACEUT
69367019760 dexbrompheniramin/phenylephrin DEXBROMPHENIR-PHENYLEPH 2-10MG WESTMINSTER PHA
15370011004 dexbrompheniramine maleate PEDIAVENT 2 MG/5 ML SYRUP CARWIN ASSOCIAT
50991078360 dexbrompheniramine maleate ALA-HIST IR 2 MG TABLET POLY PHARMACEUT
15370011260 dexbrompheniramine maleate PEDIAVENT 1 MG TABLET CHEW CARWIN ASSOCIAT
54859070260 dexbrompheniramine/pseudoephed CONEX TABLET LLORENS PHARM
54859080204 dexbrompheniramine/pseudoephed CONEX SOLUTION LLORENS PHARM
54859080216 dexbrompheniramine/pseudoephed CONEX SOLUTION LLORENS PHARM
00485008001 dexchlorpheniram/phenylephrine RYMED TABLET EDWARDS PHARM.
28
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
64543009790 dexchlorpheniramin/pseudoephed RESCON TABLET CAPELLON
00536128294 dextran 70/hypromellose LUBRICATING TEARS 0.1-0.3% DRP RUGBY
00065041928 dextran 70/hypromellose/PF BION TEARS EYE DROP ALCON CONSUMER
00065041918 dextran 70/hypromellose/PF BION TEARS EYE DROP ALCON CONSUMER
00065806301 dextran 70/hypromellose/PF GENTEAL TEARS 0.1%-0.3% DROP ALCON CONSUMER
00065042637 dextran/hypromellose/glycerin GENTEAL TEARS 0.1%-0.2%-0.3% ALCON CONSUMER
00065042636 dextran/hypromellose/glycerin GENTEAL TEARS 0.1%-0.2%-0.3% ALCON CONSUMER
24385049326 dextromethorphan HBr TUSSIN COUGH LIQUID AMERISOURCE-GNP
45802043321 dextromethorphan polistirex DEXTROMETHORPHAN ER 30 MG/5 ML PERRIGO/PADAGIS
70000019501 dextromethorphan polistirex CHILD COUGH DM ER 30 MG/5 ML LEADER
70000018701 dextromethorphan polistirex COUGH DM ER 30 MG/5 ML SUSP LEADER
70000030201 dextromethorphan polistirex COUGH DM ER 30 MG/5 ML SUSP LEADER
00113095828 dextromethorphan polistirex GS CHLD COUGH DM ER 30 MG/5 ML PERRIGO/GOODSEN
00113095821 dextromethorphan polistirex GS CHLD COUGH DM ER 30 MG/5 ML PERRIGO/GOODSEN
00113038428 dextromethorphan polistirex GS COUGH DM ER 30 MG/5 ML SUSP PERRIGO/GOODSEN
49348010084 dextromethorphan polistirex SM CHLD COUGH DM ER 30 MG/5 ML SM-STRATEGIC SO
46122014125 dextromethorphan polistirex COUGH DM ER 30 MG/5 ML SUSP AMERISOURCE-GNP
46122014121 dextromethorphan polistirex COUGH DM ER 30 MG/5 ML SUSP AMERISOURCE-GNP
00904631256 dextromethorphan polistirex COUGH DM ER 30 MG/5 ML SUSP MAJOR PHARMACEU
62011025101 dextromethorphan polistirex HM COUGH DM ER 30 MG/5 ML SUSP HM-STRATEGIC SO
62011017601 dextromethorphan polistirex HM COUGH DM ER 30 MG/5 ML SUSP HM-STRATEGIC SO
00574006924 dextrose GLUTOSE-5 GEL PERRIGO/PADAGIS
00574006915 dextrose GLUTOSE-15 GEL PERRIGO/PADAGIS
00574006905 dextrose GLUTOSE-5 GEL PERRIGO/PADAGIS
00574006930 dextrose GLUTOSE-15 GEL PERRIGO/PADAGIS
00574007030 dextrose GLUTOSE-15 GEL PERRIGO/PADAGIS
00574006945 dextrose GLUTOSE-45 GEL PERRIGO/PADAGIS
49348090610 dextrose SM GLUCOSE 4 GRAM TAB CHEW SM-STRATEGIC SO
00187074633 dextrose/dextrin/maltose INSTA-GLUCOSE GEL BAUSCH HEALTH U
00536121195 dibucaine DIBUCAINE 1% OINTMENT RUGBY
45802005003 dibucaine DIBUCAINE 1% OINTMENT PERRIGO CO.
00536129497 diclofenac sodium DICLOFENAC SODIUM 1% GEL RUGBY
70512010610 diclofenac sodium DICLOFENAC SODIUM 1% GEL SOLA PHARMACEUT
45802095301 diclofenac sodium DICLOFENAC SODIUM 1% GEL PERRIGO/PADAGIS
43598097710 diclofenac sodium DICLOFENAC SODIUM 1% GEL DR.REDDY'S LAB
62011045001 diclofenac sodium HM ARTHRITIS PAIN 1% GEL HM-STRATEGIC SO
70000055503 diclofenac sodium ARTHRITIS PAIN RELIEVER 1% GEL LEADER
46122064654 diclofenac sodium GNP ARTHRITIS PAIN 1% GEL AMERISOURCE-GNP
70677010801 diclofenac sodium SM ARTHRITIS PAIN 1% GEL SM-STRATEGIC SO
70677014301 diclofenac sodium SM ARTHRITIS PAIN 1% GEL SM-STRATEGIC SO
69238205301 diclofenac sodium DICLOFENAC SODIUM 1% GEL AMNEAL PHARMACE
29
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00113118901 diclofenac sodium GS ARTHRITIS PAIN 1% GEL PERRIGO/GOODSEN
00113118903 diclofenac sodium GS ARTHRITIS PAIN 1% GEL PERRIGO/GOODSEN
70000055501 diclofenac sodium ARTHRITIS PAIN RELIEVER 1% GEL LEADER
70000055502 diclofenac sodium ARTHRITIS PAIN RELIEVER 1% GEL LEADER
00536129434 diclofenac sodium DICLOFENAC SODIUM 1% GEL RUGBY
00536129431 diclofenac sodium DICLOFENAC SODIUM 1% GEL RUGBY
63868073001 diclofenac sodium QC DICLOFENAC SODIUM 1% GEL CHAIN DRUG
00904677212 dimenhydrinate DRIMINATE 50 MG TABLET MAJOR PHARMACEU
00904205159 dimenhydrinate DRIMINATE 50 MG TABLET MAJOR PHARMACEU
70000040401 dimenhydrinate MOTION SICKNESS 50 MG TABLET LEADER
62011034101 dimenhydrinate HM MOTION SICKNESS 50 MG TAB HM-STRATEGIC SO
63868016012 dimenhydrinate TRAVEL SICKNESS 50 MG TABLET CHAIN DRUG
46122053653 dimenhydrinate MOTION SICKNESS 50 MG TABLET AMERISOURCE-GNP
70677002201 dimenhydrinate SM MOTION SICKNESS 50 MG TAB SM-STRATEGIC SO
59088033308 dimethicone DERMACINRX SKIN REPAIR 5% CRM PURETEK CORPORA
68599020404 dimethicone THERA MOISTURIZING 1.5% CREAM MCKESSON MEDICA
68599021801 dimethicone THERA MOISTURIZING 1.75% CREAM MCKESSON MEDICA
00187166006 dimethicone THERASEAL 1% CREAM BAUSCH HEALTH U
68599021808 dimethicone THERA MOISTURIZING 1.75% CREAM MCKESSON MEDICA
68599020401 dimethicone THERA MOISTURIZING 1.5% CRM PK MCKESSON MEDICA
00430310010 dimethicone MOISTUREL 3% LOTION H2 PHARMA LLC
68599021804 dimethicone THERA MOISTURIZING 1.75% CREAM MCKESSON MEDICA
63868037004 diphenhydramine HCl QC CHILD ALLERGY 12.5 MG/5 ML CHAIN DRUG
63868050001 diphenhydramine HCl QC COMPLETE ALLERGY 25 MG CPLT CHAIN DRUG
63868050024 diphenhydramine HCl QC COMPLETE ALLERGY 25 MG CPLT CHAIN DRUG
63868061232 diphenhydramine HCl QC SLEEP AID 50 MG SOFTGEL CHAIN DRUG
63868061132 diphenhydramine HCl QC NIGHTTIME SLEEP 25 MG TAB CHAIN DRUG
63868008724 diphenhydramine HCl QC COMPLETE ALLERGY 25 MG CAP CHAIN DRUG
63868008701 diphenhydramine HCl QC COMPLETE ALLERGY 25 MG CAP CHAIN DRUG
46122035626 diphenhydramine HCl ALLERGY 50 MG/20 ML SOLUTION AMERISOURCE-GNP
46122036126 diphenhydramine HCl CHILD'S ALLERGY 12.5 MG/5 ML AMERISOURCE-GNP
46122067426 diphenhydramine HCl GNP CHILD ALLERGY 12.5 MG/5 ML AMERISOURCE-GNP
46122068526 diphenhydramine HCl GNP ALLERGY RELIEF 50 MG/20 ML AMERISOURCE-GNP
24385037926 diphenhydramine HCl DIPHEDRYL 12.5 MG/5 ML ELIXIR AMERISOURCE-GNP
46122042589 diphenhydramine HCl CHLD ALLRGY RLF 12.5MG CHEW TB AMERISOURCE-GNP
46122044162 diphenhydramine HCl GNP ALLERGY RELIEF 25 MG TAB AMERISOURCE-GNP
24385047978 diphenhydramine HCl ALLERGY 25 MG TABLET AMERISOURCE-GNP
46122069572 diphenhydramine HCl GNP NIGHTTIME SLEEP AID 50 MG AMERISOURCE-GNP
46122065162 diphenhydramine HCl GNP SLEEP AID 25 MG CAPLET AMERISOURCE-GNP
46122042762 diphenhydramine HCl ALLERGY RELIEF 25 MG SOFTGEL AMERISOURCE-GNP
46122067862 diphenhydramine HCl GNP ALLERGY RELIEF 25 MG LQ CP AMERISOURCE-GNP
30
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
46122044062 diphenhydramine HCl ALLERGY RELIEF 25 MG CAPSULE AMERISOURCE-GNP
46122044078 diphenhydramine HCl ALLERGY RELIEF 25 MG CAPSULE AMERISOURCE-GNP
46122044262 diphenhydramine HCl ALLERGY RELIEF 25 MG CAPSULE AMERISOURCE-GNP
46122014762 diphenhydramine HCl ALLERGY 25 MG SOFTGEL AMERISOURCE-GNP
49348004534 diphenhydramine HCl SM ALLERGY RELIEF 12.5 MG/5 ML SM-STRATEGIC SO
49348004537 diphenhydramine HCl SM ALLERGY RELIEF 12.5 MG/5 ML SM-STRATEGIC SO
70677014401 diphenhydramine HCl SM CHILD ALLERGY 12.5 MG/5 ML SM-STRATEGIC SO
70677014402 diphenhydramine HCl SM CHILD ALLERGY 12.5 MG/5 ML SM-STRATEGIC SO
70677000301 diphenhydramine HCl SM ALLERGY RELIEF 25 MG TABLET SM-STRATEGIC SO
70677002401 diphenhydramine HCl SM NIGHTTIME SLEEP 25 MG CPLT SM-STRATEGIC SO
70677004001 diphenhydramine HCl SM ALLERGY RELIEF 25 MG CAP SM-STRATEGIC SO
49348041236 diphenhydramine HCl SM Z-SLEEP 50 MG/30 ML LIQUID SM-STRATEGIC SO
00113037926 diphenhydramine HCl GS CHILD ALLERGY 12.5 MG/5 ML PERRIGO/GOODSEN
00113047978 diphenhydramine HCl GS ALLERGY RELIEF 25 MG TABLET PERRIGO/GOODSEN
00113047953 diphenhydramine HCl GS ALLERGY RELIEF 25 MG TABLET PERRIGO/GOODSEN
00113047962 diphenhydramine HCl GS ALLERGY RELIEF 25 MG TABLET PERRIGO/GOODSEN
00113047979 diphenhydramine HCl GS ALLERGY RELIEF 25 MG TABLET PERRIGO/GOODSEN
00113043162 diphenhydramine HCl GS NIGHTTIME SLEEP AID 25 MG PERRIGO/GOODSEN
00113046262 diphenhydramine HCl GS ALLERGY RELIEF 25 MG CAP PERRIGO/GOODSEN
00113018630 diphenhydramine HCl GS SLEEP TIME 50 MG/30 ML LIQ PERRIGO/GOODSEN
00113005253 diphenhydramine HCl GS SLEEP TIME 25 MG SOFTGEL PERRIGO/GOODSEN
70000047401 diphenhydramine HCl CHILD ALLERGY RLF 12.5 MG/5 ML LEADER
70000047402 diphenhydramine HCl CHILD ALLERGY RLF 12.5 MG/5 ML LEADER
70000049201 diphenhydramine HCl CHILD ALLERGY RLF 12.5 MG/5 ML LEADER
70000013602 diphenhydramine HCl ALLERGY RELIEF 25 MG TABLET LEADER
70000013601 diphenhydramine HCl ALLERGY RELIEF 25 MG TABLET LEADER
70000013603 diphenhydramine HCl ALLERGY RELIEF 25 MG TABLET LEADER
70000052701 diphenhydramine HCl SLEEP AID 50 MG SOFTGEL LEADER
70000020701 diphenhydramine HCl ALLERGY 25 MG CAPSULE LEADER
70000058501 diphenhydramine HCl ALLERGY RELIEF 25 MG SOFTGEL LEADER
70000008501 diphenhydramine HCl ALLERGY RELIEF 25 MG SOFTGEL LEADER
70000020702 diphenhydramine HCl ALLERGY 25 MG CAPSULE LEADER
70000017401 diphenhydramine HCl SLEEP AID 50 MG/30 ML LIQUID LEADER
70000017402 diphenhydramine HCl SLEEP AID 50 MG/30 ML LIQUID LEADER
70000008601 diphenhydramine HCl SLEEP AID 25 MG LIQUID GEL LEADER
00121086505 diphenhydramine HCl DIPHENHYDRAMINE 12.5 MG/5 ML PHARM ASSOC INC
00121173000 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML PHARM ASSOC INC
00121173010 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML PHARM ASSOC INC
00121173030 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML PHARM ASSOC INC
00121086500 diphenhydramine HCl DIPHENHYDRAMINE 12.5 MG/5 ML PHARM ASSOC INC
00121086530 diphenhydramine HCl DIPHENHYDRAMINE 12.5 MG/5 ML PHARM ASSOC INC
31
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536121429 diphenhydramine HCl DIPHENHYDRAMINE 25 MG TABLET RUGBY
00536101001 diphenhydramine HCl DIPHENHIST 25 MG CAPSULE RUGBY
00904674070 diphenhydramine HCl DIPHENHYDRAMINE 12.5 MG/5 ML MAJOR PHARMACEU
00904698520 diphenhydramine HCl DIPHENHYDRAMINE 12.5 MG/5 ML MAJOR PHARMACEU
00904698516 diphenhydramine HCl DIPHENHYDRAMINE 12.5 MG/5 ML MAJOR PHARMACEU
00904674172 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML MAJOR PHARMACEU
00904205661 diphenhydramine HCl DIPHENHYDRAMINE 50 MG CAPSULE MAJOR PHARMACEU
00904530760 diphenhydramine HCl BANOPHEN 50 MG CAPSULE MAJOR PHARMACEU
00904530780 diphenhydramine HCl BANOPHEN 50 MG CAPSULE MAJOR PHARMACEU
00904555124 diphenhydramine HCl BANOPHEN 25 MG TABLET MAJOR PHARMACEU
00904555159 diphenhydramine HCl BANOPHEN 25 MG TABLET MAJOR PHARMACEU
00904427451 diphenhydramine HCl SLEEP TABS 25 MG TABLET MAJOR PHARMACEU
00904530661 diphenhydramine HCl DIPHENHYDRAMINE 25 MG CAPSULE MAJOR PHARMACEU
00904530624 diphenhydramine HCl BANOPHEN 25 MG CAPSULE MAJOR PHARMACEU
00904530660 diphenhydramine HCl BANOPHEN 25 MG CAPSULE MAJOR PHARMACEU
00904530680 diphenhydramine HCl BANOPHEN 25 MG CAPSULE MAJOR PHARMACEU
70000058401 diphenhydramine HCl SLEEP AID 25 MG SOFTGEL LEADER
70000059001 diphenhydramine HCl ALLERGY RELIEF 25 MG SOFT CHEW LEADER
42806064910 diphenhydramine HCl DIPHENHYDRAMINE 50 MG CAPSULE EPIC PHARMA LLC
42806064810 diphenhydramine HCl DIPHENHYDRAMINE 25 MG CAPSULE EPIC PHARMA LLC
49483006101 diphenhydramine HCl ALLER-G-TIME 25 MG CAPLET TIME-CAP LABS
49483006110 diphenhydramine HCl ALLER-G-TIME 25 MG CAPLET TIME-CAP LABS
69339015119 diphenhydramine HCl DIPHENHYDRAMINE 12.5 MG/5 ML DASH PHARMACEUT
69339015105 diphenhydramine HCl DIPHENHYDRAMINE 12.5 MG/5 ML DASH PHARMACEUT
69339015117 diphenhydramine HCl DIPHENHYDRAMINE 12.5 MG/5 ML DASH PHARMACEUT
69339015201 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML DASH PHARMACEUT
69339015217 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML DASH PHARMACEUT
69339015219 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML DASH PHARMACEUT
54838013570 diphenhydramine HCl SILADRYL 12.5 MG/5 ML LIQUID SILARX/LANNETT
54838013540 diphenhydramine HCl SILADRYL 12.5 MG/5 ML LIQUID SILARX/LANNETT
54838013580 diphenhydramine HCl SILADRYL 12.5 MG/5 ML LIQUID SILARX/LANNETT
54859081116 diphenhydramine HCl ALLERGY RELIEF 12.5 MG/5 ML LLORENS PHARM
58657052804 diphenhydramine HCl M-DRYL 12.5 MG/5 ML SOLUTION METHOD PHARMACE
58657052816 diphenhydramine HCl M-DRYL 12.5 MG/5 ML SOLUTION METHOD PHARMACE
68094002259 diphenhydramine HCl CHILD DIPHENHYDRAMIN 12.5 MG/5 PRECISION DOSE
68094002262 diphenhydramine HCl CHILD DIPHENHYDRAMIN 12.5 MG/5 PRECISION DOSE
68094002459 diphenhydramine HCl CHILD DIPHENHYDRAMIN 25MG/10ML PRECISION DOSE
68094002462 diphenhydramine HCl CHILD DIPHENHYDRAMIN 25MG/10ML PRECISION DOSE
68094001859 diphenhydramine HCl DIPHENHYDRAMINE 25 MG TABLET PRECISION DOSE
68094001861 diphenhydramine HCl DIPHENHYDRAMINE 25 MG TABLET PRECISION DOSE
62011028401 diphenhydramine HCl HM CHILD ALLERGY 12.5 MG/5 ML HM-STRATEGIC SO
32
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011031001 diphenhydramine HCl HM ALLERGY RELIEF 25 MG TABLET HM-STRATEGIC SO
62011031601 diphenhydramine HCl HM ALLERGY RELIEF 25 MG TABLET HM-STRATEGIC SO
62011041601 diphenhydramine HCl HM NIGHTTIME SLEEP AID 50 MG HM-STRATEGIC SO
62011039201 diphenhydramine HCl HM NIGHTTIME SLEEP AID 50 MG HM-STRATEGIC SO
62011034301 diphenhydramine HCl HM NIGHTTIME SLEEP 25 MG CPLT HM-STRATEGIC SO
62011030901 diphenhydramine HCl HM ALLERGY RELIEF 25 MG CAP HM-STRATEGIC SO
62011035601 diphenhydramine HCl HM ALLERGY RELIEF 25 MG CAP HM-STRATEGIC SO
60687026748 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML AHP
60687026708 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML AHP
60687026742 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML AHP
60687026756 diphenhydramine HCl DIPHENHYDRAMINE 25 MG/10 ML AHP
63868082354 diphenhydramine HCl QC CHILD ALLERGY 12.5 MG/5 ML CHAIN DRUG
63868068301 diphenhydramine HCl/zinc acet QC ANTI-ITCH 2%-0.1% CREAM CHAIN DRUG
63868021801 diphenhydramine HCl/zinc acet QC ANTI-ITCH CREAM CHAIN DRUG
24385021003 diphenhydramine HCl/zinc acet ANTI-ITCH 2% CREAM AMERISOURCE-GNP
46122011421 diphenhydramine HCl/zinc acet ITCH RELIEF 2%-0.1% SPRAY AMERISOURCE-GNP
46122057246 diphenhydramine HCl/zinc acet GNP ITCH RELIEF 2%-0.1% SPRAY AMERISOURCE-GNP
45802035803 diphenhydramine HCl/zinc acet ITCH RELIEF CREAM PERRIGO/PADAGIS
00113062264 diphenhydramine HCl/zinc acet GS ITCH RELIEF CREAM PERRIGO/GOODSEN
00904535431 diphenhydramine HCl/zinc acet BANOPHEN ANTI-ITCH 2% CREAM MAJOR PHARMACEU
11527006904 diphenhydramine HCl/zinc acet ANTI-ITCH 2%-0.1% CREAM SHEFFIELD PHARM
70000038801 diphenhydramine HCl/zinc acet ANTI-ITCH 2%-0.1% CREAM LEADER
70000002301 diphenhydramine HCl/zinc acet ITCH RELIEF 2%-0.1% SPRAY LEADER
49348085472 diphenhydramine HCl/zinc acet SM ANTI-ITCH 2% CREAM SM-STRATEGIC SO
46122068107 docosanol GNP DOCOSANOL 10% CREAM AMERISOURCE-GNP
70000051701 docosanol DOCOSANOL 10% CREAM LEADER
62011043301 docosanol HM DOCOSANOL 10% CREAM HM-STRATEGIC SO
61269098135 docosanol DOCOSANOL 10% CREAM H2 PHARMA LLC
46122062407 docosanol GNP DOCOSANOL 10% CREAM AMERISOURCE-GNP
70677008001 docusate calcium SM STOOL SOFTENER 240 MG SFTGL SM-STRATEGIC SO
00904699740 docusate calcium DOCUSATE CAL 240 MG SOFTGEL MAJOR PHARMACEU
00904699760 docusate calcium DOCUSATE CAL 240 MG SOFTGEL MAJOR PHARMACEU
00009361003 docusate calcium KAOPECTATE 240 MG SOFTGEL CHATTEM/KRAMER
00904699780 docusate calcium DOCUSATE CAL 240 MG SOFTGEL MAJOR PHARMACEU
50268026615 docusate calcium DOCUSATE CAL 240 MG SOFTGEL AVPAK
50268026611 docusate calcium DOCUSATE CAL 240 MG SOFTGEL AVPAK
46122068878 docusate calcium GNP STOOL SOFTENER 240 MG SFGL AMERISOURCE-GNP
00009361002 docusate calcium KAOPECTATE 240 MG SOFTGEL CHATTEM/KRAMER
46122069378 docusate sodium GNP STOOL SOFTENER 250 MG SFGL AMERISOURCE-GNP
49348016710 docusate sodium SM STOOL SOFTENER 100 MG TAB SM-STRATEGIC SO
70677003401 docusate sodium SM STOOL SOFTENER 100 MG SFTGL SM-STRATEGIC SO
33
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70677008202 docusate sodium SM STOOL SOFTENER 100 MG SFTGL SM-STRATEGIC SO
70677003402 docusate sodium SM STOOL SOFTENER 100 MG SFTGL SM-STRATEGIC SO
70677008201 docusate sodium SM STOOL SOFTENER 100 MG SFTGL SM-STRATEGIC SO
60687012901 docusate sodium DOCUSATE SODIUM 100 MG SOFTGEL AHP
60687012911 docusate sodium DOCUSATE SODIUM 100 MG SOFTGEL AHP
67618010101 docusate sodium COLACE 100 MG CAPSULE AVRIO HEALTH L.
00113048672 docusate sodium GS STOOL SOFTENER 100 MG SFTGL PERRIGO/GOODSEN
50383077110 docusate sodium DOCU LIQUID 100 MG/10 ML HI-TECH/AKORN C
50383034910 docusate sodium DOCU LIQUID 100 MG/10 ML CUP HI-TECH/AKORN C
50383034911 docusate sodium DOCU LIQUID 100 MG/10 ML CUP HI-TECH/AKORN C
50383077111 docusate sodium DOCU LIQUID 100 MG/10 ML HI-TECH/AKORN C
50383077116 docusate sodium DOCU LIQUID 50 MG/5 ML HI-TECH/AKORN C
24385046843 docusate sodium STOOL SOFTENER 50 MG/5 ML LIQ AMERISOURCE-GNP
24385046943 docusate sodium STOOL SOFTENER 60 MG/15 ML SYR AMERISOURCE-GNP
46122045185 docusate sodium GNP STOOL SOFTENER 100 MG SFGL AMERISOURCE-GNP
46122068772 docusate sodium GNP STOOL SOFTENER 100 MG SFGL AMERISOURCE-GNP
46122045172 docusate sodium STOOL SOFTENER 100 MG SOFTGEL AMERISOURCE-GNP
46122045178 docusate sodium STOOL SOFTENER 100 MG SOFTGEL AMERISOURCE-GNP
46122069272 docusate sodium GNP STOOL SOFTENER 100 MG SFGL AMERISOURCE-GNP
46122069278 docusate sodium GNP STOOL SOFTENER 100 MG SFGL AMERISOURCE-GNP
46122069285 docusate sodium GNP STOOL SOFTENER 100 MG SFGL AMERISOURCE-GNP
46122026378 docusate sodium STOOL SOFTENER 250 MG SOFTGEL AMERISOURCE-GNP
46122063378 docusate sodium GNP STOOL SOFTENER 250 MG SFGL AMERISOURCE-GNP
70000009102 docusate sodium STOOL SOFTENER 100 MG SOFTGEL LEADER
50268026811 docusate sodium DOCUSATE SODIUM 250 MG SOFTGEL AVPAK
50268026815 docusate sodium DOCUSATE SODIUM 250 MG SOFTGEL AVPAK
54838011680 docusate sodium SILACE 50 MG/5 ML LIQUID SILARX/LANNETT
54838010780 docusate sodium SILACE 60 MG/15 ML SYRUP SILARX/LANNETT
45802048678 docusate sodium DOCUSATE SODIUM 100 MG SOFTGEL PERRIGO/PADAGIS
67618010110 docusate sodium COLACE-T 100 MG CAPSULE PURDUE PROD LP
67618010130 docusate sodium COLACE 100 MG CAPSULE PURDUE PROD LP
67618010152 docusate sodium COLACE 100 MG CAPSULE PURDUE PROD LP
67618010160 docusate sodium COLACE 100 MG CAPSULE PURDUE PROD LP
67618011128 docusate sodium COLACE CLEAR 50 MG SOFTGEL PURDUE PROD LP
62011036101 docusate sodium HM STOOL SOFTENER 100 MG SFTGL HM-STRATEGIC SO
62011038601 docusate sodium HM STOOL SOFTENER 100 MG SFTGL HM-STRATEGIC SO
62011042102 docusate sodium HM STOOL SOFTENER 100 MG SFTGL HM-STRATEGIC SO
62011042201 docusate sodium HM STOOL SOFTENER 250 MG SFTGL HM-STRATEGIC SO
62011047401 docusate sodium HM STOOL SOFTENER 250 MG SFTGL HM-STRATEGIC SO
63868056025 docusate sodium QC STOOL SOFTENER 100 MG SFTGL CHAIN DRUG
70000009103 docusate sodium STOOL SOFTENER 100 MG SOFTGEL LEADER
34
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000009101 docusate sodium STOOL SOFTENER 100 MG SOFTGEL LEADER
00121187000 docusate sodium DOCUSATE SOD 100 MG/10 ML CUP PHARM ASSOC INC
00121054410 docusate sodium DOCUSATE SODIUM 50 MG/5 ML LIQ PHARM ASSOC INC
00121187010 docusate sodium DOCUSATE SOD 100 MG/10 ML CUP PHARM ASSOC INC
00121093505 docusate sodium DOCUSATE SODIUM 50 MG/5 ML CUP PHARM ASSOC INC
00121093516 docusate sodium DOCUSATE SODIUM 50 MG/5 ML LIQ PHARM ASSOC INC
00121093540 docusate sodium DOCUSATE SODIUM 50 MG/5 ML CUP PHARM ASSOC INC
00132010624 docusate sodium FLEET PEDIA-LAX STOOL SOFTENER FLEET,C.B. CO.
00132000106 docusate sodium FLEET PEDIA-LAX STOOL SOFTENER FLEET,C.B. CO.
00132075160 docusate sodium SOF-LAX 100 MG GELCAP FLEET,C.B. CO.
00536130485 docusate sodium DOCUSATE SODIUM 50 MG/5 ML LIQ RUGBY
00536106229 docusate sodium STOOL SOFTENER 100 MG SOFTGEL RUGBY
00904675060 docusate sodium DOK 100 MG TABLET MAJOR PHARMACEU
00904645561 docusate sodium DOK 100 MG SOFTGEL MAJOR PHARMACEU
00904711561 docusate sodium DOCUSATE SODIUM 100 MG SOFTGEL MAJOR PHARMACEU
00904718361 docusate sodium DOCUSATE SODIUM 100 MG SOFTGEL MAJOR PHARMACEU
00904645760 docusate sodium DOK 100 MG SOFTGEL MAJOR PHARMACEU
00904699860 docusate sodium DOCUSATE SODIUM 100 MG SOFTGEL MAJOR PHARMACEU
00904699880 docusate sodium DOCUSATE SODIUM 100 MG SOFTGEL MAJOR PHARMACEU
00904699980 docusate sodium DOCUSATE SODIUM 250 MG SOFTGEL MAJOR PHARMACEU
00904699960 docusate sodium DOCUSATE SODIUM 250 MG SOFTGEL MAJOR PHARMACEU
51645075001 docusate sodium DOCUSATE SODIUM 100 MG TABLET PLUS PHARMA,INC
51645075010 docusate sodium DOCUSATE SODIUM 100 MG TABLET PLUS PHARMA,INC
24385044164 doxylamine succinate SLEEP AID 25 MG TABLET AMERISOURCE-GNP
70677006801 doxylamine succinate SM SLEEP AID 25 MG TABLET SM-STRATEGIC SO
00113044173 doxylamine succinate GS SLEEP AID 25 MG TABLET PERRIGO/GOODSEN
00113044164 doxylamine succinate GS SLEEP AID 25 MG TABLET PERRIGO/GOODSEN
62011040101 doxylamine succinate HM SLEEP AID 25 MG TABLET HM-STRATEGIC SO
70000056701 doxylamine succinate SLEEP AID 25 MG TABLET LEADER
69367019901 doxylamine/phenylephrine HCl DOXYLAMINE-PHENYLEPH 7.5-10 MG WESTMINSTER PHA
50991062601 doxylamine/phenylephrine HCl POLY HIST FORTE 10.5-10 MG TAB POLY PHARMACEUT
00074647132 electrolytes/dextrose PEDIALYTE SOLUTION ABBOTT NUTRITIO
24385010147 electrolytes/dextrose PEDIATRIC ELECTROLYTE SOLUTION AMERISOURCE-GNP
24385010047 electrolytes/dextrose PEDIATRIC ELECTROLYTE SOLUTION AMERISOURCE-GNP
24385009647 electrolytes/dextrose PEDIATRIC ELECTROLYTE SOLUTION AMERISOURCE-GNP
24385021634 electrolytes/dextrose PEDIATRIC ELECTROLYTE SOLUTION AMERISOURCE-GNP
00087510527 electrolytes/dextrose ENFAMIL ENFALYTE SOLUTION MJ NUTRITIONAL
00087511503 electrolytes/dextrose ENFAMIL ENFALYTE SOLUTION MJ NUTRITIONAL
49348057141 electrolytes/dextrose SM PEDIATRIC ELECTROLYTE SOLN SM-STRATEGIC SO
49348057041 electrolytes/dextrose SM PEDIATRIC ELECTROLYTE SOLN SM-STRATEGIC SO
49348016162 electrolytes/dextrose SM PEDIATRIC ELECTROLYTE SOLN SM-STRATEGIC SO
35
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
24385010347 electrolytes/dextrose PEDIATRIC ELECTROLYTE SOLUTION AMERISOURCE-GNP
00536139517 electrolytes/dextrose ORALYTE FREEZER POPS RUGBY
00074024001 electrolytes/dextrose PEDIALYTE SOLUTION ABBOTT NUTRITIO
00074024501 electrolytes/dextrose PEDIALYTE FREEZER POPS ABBOTT NUTRITIO
00074549820 electrolytes/dextrose PEDIALYTE ELECTROLYTE SINGLES ABBOTT NUTRITIO
00074647032 electrolytes/dextrose PEDIALYTE SOLUTION ABBOTT NUTRITIO
00074517530 electrolytes/dextrose PEDIALYTE SOLUTION ABBOTT NUTRITIO
00299391408 emollient combination no.40 CETAPHIL DAILY ADVANCE LOTION GALDERMA LABORA
00299391416 emollient combination no.40 CETAPHIL DAILY ADVANCE LOTION GALDERMA LABORA
00259319282 emollient combination no.46 MEDERMA SPF 30 CREAM MERZ
00225044035 emollient combination no.58 PEN-KERA CREAM B.F ASCHER & CO
00225044034 emollient combination no.58 PEN-KERA CREAM B.F ASCHER & CO
43538043009 emollient combination no.65 KERADAN CREAM MEDIMETRIKS PHA
39328035760 ergocalciferol (vitamin D2) CALCIDOL DROPS PATRIN PHARMA
69367028302 ergocalciferol (vitamin D2) ERGOCALCIFEROL 200 MCG/ML DROP WESTMINSTER PHA
69543023460 ergocalciferol (vitamin D2) ERGOCALCIFEROL 8,000 UNIT/ML VIRTUS PHARMACE
75834001060 ergocalciferol (vitamin D2) ERGOCALCIFEROL 8,000 UNIT/ML NIVAGEN PHARMAC
47781064726 ergocalciferol (vitamin D2) ERGOCALCIFEROL 200 MCG/ML DROP ALVOGEN INC
46122064104 esomeprazole magnesium GNP ESOMEPRAZOLE MAG DR 20 MG AMERISOURCE-GNP
46122064804 esomeprazole magnesium GNP ESOMEPRAZOLE MAG DR 20 MG AMERISOURCE-GNP
46122053803 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP AMERISOURCE-GNP
46122053804 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP AMERISOURCE-GNP
46122053874 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP AMERISOURCE-GNP
46122064803 esomeprazole magnesium GNP ESOMEPRAZOLE MAG DR 20 MG AMERISOURCE-GNP
46122064874 esomeprazole magnesium GNP ESOMEPRAZOLE MAG DR 20 MG AMERISOURCE-GNP
51660002714 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP OHM LABS.
51660002727 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP OHM LABS.
51660002744 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP OHM LABS.
43598040727 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP DR.REDDY'S LAB
43598040733 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP DR.REDDY'S LAB
43598040752 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP DR.REDDY'S LAB
69230032014 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP CAMBER CONSUMER
69230032031 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP CAMBER CONSUMER
69230032032 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP CAMBER CONSUMER
69230032033 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP CAMBER CONSUMER
62011033203 esomeprazole magnesium HM ESOMEPRAZOLE MAG DR 20 MG HM-STRATEGIC SO
62011033201 esomeprazole magnesium HM ESOMEPRAZOLE MAG DR 20 MG HM-STRATEGIC SO
62011033202 esomeprazole magnesium HM ESOMEPRAZOLE MAG DR 20 MG HM-STRATEGIC SO
63868042514 esomeprazole magnesium QC ESOMEPRAZOLE MAG DR 20 MG CHAIN DRUG
70000009501 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG TAB LEADER
70000003201 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP LEADER
36
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000003202 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP LEADER
70000003203 esomeprazole magnesium ESOMEPRAZOLE MAG DR 20 MG CAP LEADER
70677001603 esomeprazole magnesium SM ESOMEPRAZOLE MAG DR 20 MG SM-STRATEGIC SO
70677001601 esomeprazole magnesium SM ESOMEPRAZOLE MAG DR 20 MG SM-STRATEGIC SO
00113089803 esomeprazole magnesium GS ESOMEPRAZOLE MAG DR 20 MG PERRIGO/GOODSEN
00113089801 esomeprazole magnesium GS ESOMEPRAZOLE MAG DR 20 MG PERRIGO/GOODSEN
00113089802 esomeprazole magnesium GS ESOMEPRAZOLE MAG DR 20 MG PERRIGO/GOODSEN
68599580304 ethyl alcohol INST HND SANITIZING 70% WIPE MCKESSON MEDICA
68599580303 ethyl alcohol INST HND SANITIZING 70% WIPE MCKESSON MEDICA
68599580806 ethyl alcohol INST HND SANITIZING 65.9% WIPE MCKESSON MEDICA
70000046201 ethyl alcohol HAND SANITIZER 70% GEL LEADER
70000032002 ethyl alcohol HAND SANITIZER 70% GEL LEADER
62011035301 ethyl alcohol HM ETHYL RUBBING ALCOHOL 70% HM-STRATEGIC SO
46122032943 ethyl alcohol ETHYL RUBBING ALCOHOL 70% LIQ AMERISOURCE-GNP
70000002001 ethyl alcohol ETHYL RUBBING ALCOHOL 70% LIQ LEADER
49348039896 eucalypt/men/camph/turp/wh.pet SM MEDICATED CHEST RUB SM-STRATEGIC SO
70000048001 eucalyptus oil/menthol/camphor CHEST RUB LEADER
70000027501 eucalyptus oil/menthol/camphor CHEST RUB LEADER
62011007501 eucalyptus oil/menthol/camphor HM CHEST RUB HM-STRATEGIC SO
46122069726 eucalyptus oil/menthol/camphor GNP CHEST RUB AMERISOURCE-GNP
46122015754 eucalyptus oil/menthol/camphor CHEST RUB AMERISOURCE-GNP
00065805202 eyelid cleanser combination 9 SYSTANE LID WIPES ALCON CONSUMER
49348012812 famotidine SM ACID REDUCER 10 MG TABLET SM-STRATEGIC SO
55111039601 famotidine FAMOTIDINE 20 MG TABLET DR.REDDY'S LAB
49348012844 famotidine SM ACID REDUCER 10 MG TABLET SM-STRATEGIC SO
49348081709 famotidine SM ACID REDUCER 20 MG TABLET SM-STRATEGIC SO
49348081705 famotidine SM ACID REDUCER 20 MG TABLET SM-STRATEGIC SO
00113014165 famotidine GS ACID REDUCER 10 MG TABLET PERRIGO/GOODSEN
00113019402 famotidine GS ACID REDUCER 20 MG TABLET PERRIGO/GOODSEN
46122039465 famotidine ACID REDUCER 10 MG TABLET AMERISOURCE-GNP
46122039475 famotidine ACID REDUCER 10 MG TABLET AMERISOURCE-GNP
46122020565 famotidine ACID REDUCER 10 MG TABLET AMERISOURCE-GNP
24385038571 famotidine ACID REDUCER 20 MG TABLET AMERISOURCE-GNP
24385038563 famotidine ACID REDUCER 20 MG TABLET AMERISOURCE-GNP
68001049404 famotidine FAMOTIDINE 10 MG TABLET BLUEPOINT LABOR
68001049406 famotidine FAMOTIDINE 10 MG TABLET BLUEPOINT LABOR
62011014201 famotidine HM FAMOTIDINE 10 MG TABLET HM-STRATEGIC SO
62011014301 famotidine HM FAMOTIDINE 20 MG TABLET HM-STRATEGIC SO
49348012813 famotidine SM ACID REDUCER 10 MG TABLET SM-STRATEGIC SO
55111011890 famotidine FAMOTIDINE 10 MG TABLET DR.REDDY'S LAB
00904578051 famotidine HEARTBURN RELIEF 20 MG TABLET MAJOR PHARMACEU
37
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00904578017 famotidine HEARTBURN RELIEF 20 MG TABLET MAJOR PHARMACEU
00904552952 famotidine HEARTBURN RELIEF 10 MG TABLET MAJOR PHARMACEU
63868071430 famotidine QC ACID CONTROLLER 10 MG TAB CHAIN DRUG
63868048625 famotidine ACID CONTROLLER 20 MG TABLET CHAIN DRUG
70000004801 famotidine ACID REDUCER 10 MG TABLET LEADER
70000004901 famotidine ACID REDUCER 20 MG TABLET LEADER
00536129801 famotidine FAMOTIDINE 20 MG TABLET RUGBY
00904552987 famotidine HEARTBURN RELIEF 10 MG TABLET MAJOR PHARMACEU
70000041601 famotidine/Ca carb/mag hydrox ACID REDUCER COMPLETE TAB CHEW LEADER
70000058201 famotidine/Ca carb/mag hydrox ACID REDUCER COMPLETE TAB CHEW LEADER
62011027601 famotidine/Ca carb/mag hydrox HM DUAL ACTION COMPLETE TB CHW HM-STRATEGIC SO
62011035201 famotidine/Ca carb/mag hydrox HM DUAL ACTION COMPLETE TB CHW HM-STRATEGIC SO
10542007510 ferrous fum/folic acid/Bcomp,C DIALYVITE 800 WITH IRON TAB HILLESTAD PHARM
49483006401 ferrous sulfate FERRO-TIME 325 MG TABLET TIME-CAP LABS
49483006410 ferrous sulfate FERROUS SULFATE 325 MG TABLET TIME-CAP LABS
50268033611 ferrous sulfate FERROUS SULF 300 MG/5 ML CUP AVPAK
50268033624 ferrous sulfate FERROUS SULF 300 MG/5 ML CUP AVPAK
69339015401 ferrous sulfate FERROUS SULF 300 MG/6.8ML SOLN DASH PHARMACEUT
69339015419 ferrous sulfate FERROUS SULF 300 MG/6.8ML SOLN DASH PHARMACEUT
69367016604 ferrous sulfate FERROUS SULF EC 325 MG TABLET WESTMINSTER PHA
69367016607 ferrous sulfate FERROUS SULF EC 325 MG TABLET WESTMINSTER PHA
69367016620 ferrous sulfate FERROUS SULF EC 325 MG TABLET WESTMINSTER PHA
54838001150 ferrous sulfate FERROUS SULF 15 MG IRON/ML DRP SILARX/LANNETT
54838000180 ferrous sulfate FERROUS SULF 220 MG/5 ML ELIX SILARX/LANNETT
00574060801 ferrous sulfate FERROUS SULF EC 324 MG TABLET PERRIGO/PADAGIS
00574060810 ferrous sulfate FERROUS SULF EC 324 MG TABLET PERRIGO/PADAGIS
00574060811 ferrous sulfate FERROUS SULF EC 324 MG TABLET PERRIGO/PADAGIS
63739015710 ferrous sulfate FERROUS SULF 300 MG/5 ML CUP MCKESSON PACKAG
63739015770 ferrous sulfate FERROUS SULF 300 MG/5 ML CUP MCKESSON PACKAG
00087074002 ferrous sulfate FER-IN-SOL 15 MG/ML DROPS MJ NUTRITIONAL
50383062750 ferrous sulfate CHILD FERROUS SULFATE 15 MG/ML HI-TECH/AKORN C
50383077816 ferrous sulfate FERROUS SULF 220 MG/5 ML ELIX HI-TECH/AKORN C
46122008402 ferrous sulfate IRON 65 MG TABLET AMERISOURCE-GNP
46017009712 ferrous sulfate FEOSOL 65 MG TABLET MEDA CONSUMER H
57664007101 ferrous sulfate FERROUS SULFATE 325 MG TABLET SUN PHARMACEUTI
57664007001 ferrous sulfate FERROUS SULFATE 325 MG TABLET SUN PHARMACEUTI
57664007010 ferrous sulfate FERROUS SULFATE 325 MG TABLET SUN PHARMACEUTI
57664007110 ferrous sulfate FERROUS SULFATE 325 MG TABLET SUN PHARMACEUTI
39328015705 ferrous sulfate FERROUS SULF 300 MG/5 ML CUP PATRIN PHARMA
39328005750 ferrous sulfate CHILDREN'S IRON 15 MG/ML DROPS PATRIN PHARMA
49483006301 ferrous sulfate FERRO-TIME 325 MG TABLET TIME-CAP LABS
38
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
49483006310 ferrous sulfate FERROUS SULFATE 325 MG TABLET TIME-CAP LABS
00121053005 ferrous sulfate FERROUS SULF 300 MG/5 ML CUP PHARM ASSOC INC
00245010811 ferrous sulfate FERROUS SULF EC 325 MG TABLET UPSHER-SMITH LA
00245010801 ferrous sulfate FERROUS SULF EC 325 MG TABLET UPSHER-SMITH LA
00245010810 ferrous sulfate FERROUS SULF EC 325 MG TABLET UPSHER-SMITH LA
00245010889 ferrous sulfate FERROUS SULF EC 325 MG TABLET UPSHER-SMITH LA
00536134480 ferrous sulfate INFANT IRON 15 MG/ML DROP RUGBY
00536100901 ferrous sulfate FERROUS SULFATE 325 MG TABLET RUGBY
00904759182 ferrous sulfate FEROSUL 325 MG TABLET MAJOR PHARMACEU
00904759060 ferrous sulfate FEROSUL 325 MG TABLET MAJOR PHARMACEU
00904759080 ferrous sulfate FEROSUL 325 MG TABLET MAJOR PHARMACEU
00904759082 ferrous sulfate FEROSUL 325 MG TABLET MAJOR PHARMACEU
00904759160 ferrous sulfate FEROSUL 325 MG TABLET MAJOR PHARMACEU
00904759161 ferrous sulfate FERROUS SULFATE 325 MG TABLET MAJOR PHARMACEU
00904759180 ferrous sulfate FEROSUL 325 MG TABLET MAJOR PHARMACEU
51645076099 ferrous sulfate FERROUS SULFATE 325 MG TABLET PLUS PHARMA,INC
51645076001 ferrous sulfate FERROUS SULFATE 325 MG TABLET PLUS PHARMA,INC
51645076010 ferrous sulfate FERROUS SULFATE 325 MG TABLET PLUS PHARMA,INC
54859081016 ferrous sulfate FERROUS SULF 44 MG IRON/5ML LQ LLORENS PHARM
45802084778 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET PERRIGO/PADAGIS
55111078330 fexofenadine HCl FEXOFENADINE HCL 60 MG TABLET DR.REDDY'S LAB
70677007402 fexofenadine HCl SM FEXOFENADINE HCL 180 MG TAB SM-STRATEGIC SO
70677007403 fexofenadine HCl SM FEXOFENADINE HCL 180 MG TAB SM-STRATEGIC SO
70677007901 fexofenadine HCl SM FEXOFENADINE HCL 60 MG TAB SM-STRATEGIC SO
70677012801 fexofenadine HCl SM ALLERGY RELIEF 60 MG TABLET SM-STRATEGIC SO
00113057139 fexofenadine HCl GS ALLER-EASE 180 MG TABLET PERRIGO/GOODSEN
00113057122 fexofenadine HCl GS ALLER-EASE 180 MG TABLET PERRIGO/GOODSEN
00113057195 fexofenadine HCl GS ALLER-EASE 180 MG TABLET PERRIGO/GOODSEN
00113042553 fexofenadine HCl GS ALLER-EASE 60 MG TABLET PERRIGO/GOODSEN
46122046275 fexofenadine HCl GNP ALLERGY RELIEF 180 MG TAB AMERISOURCE-GNP
46122046222 fexofenadine HCl GNP ALLERGY RELIEF 180 MG TAB AMERISOURCE-GNP
46122046261 fexofenadine HCl GNP ALLERGY RELIEF 180 MG TAB AMERISOURCE-GNP
46122046265 fexofenadine HCl GNP ALLERGY RELIEF 180 MG TAB AMERISOURCE-GNP
68001044000 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET BLUEPOINT LABOR
68001044004 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET BLUEPOINT LABOR
68001043900 fexofenadine HCl FEXOFENADINE HCL 60 MG TABLET BLUEPOINT LABOR
69230030030 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET CAMBER CONSUMER
69230020201 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET CAMBER CONSUMER
69230020230 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET CAMBER CONSUMER
69230030001 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET CAMBER CONSUMER
69230030005 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET CAMBER CONSUMER
39
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
69230020105 fexofenadine HCl FEXOFENADINE HCL 60 MG TABLET CAMBER CONSUMER
61269052794 fexofenadine HCl FEXOFENADINE HCL 30 MG/5 ML H2 PHARMA LLC
61269052798 fexofenadine HCl CHILD ALLERGY (FEXO) 30 MG/5ML H2 PHARMA LLC
62011040902 fexofenadine HCl HM ALLERGY RELIEF 180 MG TAB HM-STRATEGIC SO
62011040901 fexofenadine HCl HM ALLERGY RELIEF 180 MG TAB HM-STRATEGIC SO
62011040903 fexofenadine HCl HM ALLERGY RELIEF 180 MG TAB HM-STRATEGIC SO
62011047601 fexofenadine HCl HM ALLERGY RELIEF 60 MG TABLET HM-STRATEGIC SO
63868066730 fexofenadine HCl QC ALLERGY RELIEF 180 MG TAB CHAIN DRUG
64679098709 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET WOCKHARDT USA L
64679098710 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET WOCKHARDT USA L
64679098711 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET WOCKHARDT USA L
64679098717 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET WOCKHARDT USA L
64679098720 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET WOCKHARDT USA L
70000036103 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET LEADER
70000036101 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET LEADER
70000036102 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET LEADER
70000036104 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET LEADER
70000036105 fexofenadine HCl ALLERGY RELIEF 180 MG TABLET LEADER
70000058601 fexofenadine HCl ALLERGY RLF (FEXO) 60 MG TAB LEADER
45802057178 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET PERRIGO CO.
00904705040 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET MAJOR PHARMACEU
00904705060 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET MAJOR PHARMACEU
00904671110 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET MAJOR PHARMACEU
00904671146 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET MAJOR PHARMACEU
00904719240 fexofenadine HCl FEXOFENADINE HCL 60 MG TABLET MAJOR PHARMACEU
00904719260 fexofenadine HCl FEXOFENADINE HCL 60 MG TABLET MAJOR PHARMACEU
16714089901 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET NORTHSTAR RX LL
16714089902 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET NORTHSTAR RX LL
51660099830 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET OHM LABS.
55111078401 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET DR.REDDY'S LAB
55111078430 fexofenadine HCl FEXOFENADINE HCL 180 MG TABLET DR.REDDY'S LAB
55111078301 fexofenadine HCl FEXOFENADINE HCL 60 MG TABLET DR.REDDY'S LAB
70677007401 fexofenadine HCl SM FEXOFENADINE HCL 180 MG TAB SM-STRATEGIC SO
43598082335 fexofenadine/pseudoephedrine FEXOFENADINE-PSE ER 60-120 TAB DR.REDDY'S LAB
55111055735 fexofenadine/pseudoephedrine FEXOFENADINE-PSE ER 180-240 TB DR.REDDY'S LAB
55111055707 fexofenadine/pseudoephedrine FEXOFENADINE-PSE ER 180-240 TB DR.REDDY'S LAB
55111055729 fexofenadine/pseudoephedrine FEXOFENADINE-PSE ER 180-240 TB DR.REDDY'S LAB
46122069465 fexofenadine/pseudoephedrine GNP FEXOFENADINE-PSE ER 60-120 AMERISOURCE-GNP
62011045501 fexofenadine/pseudoephedrine HM ALLERGY-CONGEST ER 60-120MG HM-STRATEGIC SO
70000051801 fexofenadine/pseudoephedrine ALLERGY-CONGEST 12HR 60-120 MG LEADER
70000051802 fexofenadine/pseudoephedrine ALLERGY-CONGEST 12HR 60-120 MG LEADER
40
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536124207 fexofenadine/pseudoephedrine FEXOFENADINE-PSE ER 60-120 TAB RUGBY
00536124234 fexofenadine/pseudoephedrine FEXOFENADINE-PSE ER 60-120 TAB RUGBY
55111044714 fexofenadine/pseudoephedrine FEXOFENADINE-PSE ER 60-120 TAB DR.REDDY'S LAB
43598082314 fexofenadine/pseudoephedrine FEXOFENADINE-PSE ER 60-120 TAB DR.REDDY'S LAB
43598082331 fexofenadine/pseudoephedrine FEXOFENADINE-PSE ER 60-120 TAB DR.REDDY'S LAB
59088010564 fluoride (sodium) FLUORIDE 0.5 MG TABLET CHEW PURETEK CORPORA
58657016012 fluoride (sodium) SODIUM FLUORIDE 0.25 (0.55) MG METHOD PHARMACE
58657016212 fluoride (sodium) SODIUM FLUORIDE 1 MG (2.2 MG) METHOD PHARMACE
58657016112 fluoride (sodium) SODIUM FLUORIDE 0.5 MG(1.1 MG) METHOD PHARMACE
58657016110 fluoride (sodium) SODIUM FLUORIDE 0.5 MG(1.1 MG) METHOD PHARMACE
59088010664 fluoride (sodium) FLUORIDE 1 MG TABLET CHEWABLE PURETEK CORPORA
59088010573 fluoride (sodium) FLUORIDE 0.5 MG TABLET CHEW PURETEK CORPORA
59088010473 fluoride (sodium) FLUORIDE 0.25 MG TABLET CHEW PURETEK CORPORA
59088010673 fluoride (sodium) FLUORIDE 1 MG TABLET CHEWABLE PURETEK CORPORA
61269016550 fluoride (sodium) SODIUM FLUORIDE 0.5 MG/ML DROP H2 PHARMA LLC
58657032250 fluoride (sodium) SODIUM FLUORIDE 0.5 MG/ML DROP METHOD PHARMACE
62011026903 fluticasone propionate HM ALLERGY RELIEF 50 MCG SPRAY HM-STRATEGIC SO
62011026904 fluticasone propionate HM ALLERGY RELIEF 50 MCG SPRAY HM-STRATEGIC SO
63868040006 fluticasone propionate QC ALLERGY RELIEF 50 MCG SPRAY CHAIN DRUG
70000011001 fluticasone propionate ALLERGY RELIEF 50 MCG SPRAY LEADER
00536118365 fluticasone propionate FLUTICASONE PROP 50 MCG SPRAY RUGBY
00536118399 fluticasone propionate FLUTICASONE PROP 50 MCG SPRAY RUGBY
62011026902 fluticasone propionate HM ALLERGY RELIEF 50 MCG SPRAY HM-STRATEGIC SO
62011026901 fluticasone propionate HM ALLERGY RELIEF 50 MCG SPRAY HM-STRATEGIC SO
60505620503 fluticasone propionate FLUTICASONE PROP 50 MCG SPRAY APOTEX CORP
60505616701 fluticasone propionate FLUTICASONE PROP 50 MCG SPRAY APOTEX CORP
46122033805 fluticasone propionate FLUTICASONE PROP 50 MCG SPRAY AMERISOURCE-GNP
46122068435 fluticasone propionate GNP FLUTICASONE PROP 50 MCG SP AMERISOURCE-GNP
46122068429 fluticasone propionate GNP FLUTICASONE PROP 50 MCG SP AMERISOURCE-GNP
46122033802 fluticasone propionate FLUTICASONE PROP 50 MCG SPRAY AMERISOURCE-GNP
49348018243 fluticasone propionate SM ALLERGY RELIEF 50 MCG SPRAY SM-STRATEGIC SO
49348018235 fluticasone propionate SM ALLERGY RELIEF 50 MCG SPRAY SM-STRATEGIC SO
49348018267 fluticasone propionate SM ALLERGY RELIEF 50 MCG SPRAY SM-STRATEGIC SO
49348018229 fluticasone propionate SM ALLERGY RELIEF 50 MCG SPRAY SM-STRATEGIC SO
46122012178 folic acid/multivit,iron,miner ONE DAILY MAXIMUM TABLET AMERISOURCE-GNP
51645073801 folic acid/mv,iron,min/lutein CERTA PLUS TABLET PLUS PHARMA,INC
60258016001 folic acid/vit B complex and C RENA-VITE TABLET CYPRESS PHARM.
69367021501 folic acid/vit B complex and C WEST-VITE WITH FOLIC ACID TAB WESTMINSTER PHA
00536730001 folic acid/vit B complex and C NEPHRO-VITE TABLET RUGBY
51645099501 folic acid/vit B complex and C RENAL-VITE TABLET PLUS PHARMA,INC
10542007010 folic acid/vit B complex and C DIALYVITE 800 TABLET HILLESTAD PHARM
41
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
13811002810 folic/mvi ther-min/lycop/lut CORVITA TABLET TRIGEN LABORATO
68025001110 folic/mvi ther-min/lycop/lut CORVITE TABLET VERTICAL PHARM
54859082016 fructooligosaccharides/polydex FIBEREX F15 LIQUID LLORENS PHARM
24385000346 gentian violet GENTIAN VIOLET 1% SOLUTION AMERISOURCE-GNP
66689071006 gentian violet/brgreen/proflav TRIPLE DYE SWAB VISTAPHARM
00096072216 gly/benzyl alc/petrolat,wht DML LOTION PERSON & COVEY
00096072208 gly/benzyl alc/petrolat,wht DML LOTION PERSON & COVEY
00299391702 gly/dimeth/petrolat,wht/water CETAPHIL MOISTURIZING CREAM GALDERMA LABORA
00299391746 gly/dimeth/petrolat,wht/water CETAPHIL MOISTURIZING CREAM GALDERMA LABORA
00299391756 gly/dimeth/petrolat,wht/water CETAPHIL MOISTURIZING CREAM GALDERMA LABORA
00299391742 gly/dimeth/petrolat,wht/water CETAPHIL MOISTURIZING CREAM GALDERMA LABORA
24385003316 glycerin GLYCERIN 99.5% LIQUID AMERISOURCE-GNP
24385003330 glycerin GLYCERIN 99.5% LIQUID AMERISOURCE-GNP
31722013747 glycerin GLYCERIN 99.5% LIQUID CAMBER PHARMACE
00259060210 glycerin AQUA GLYCOLIC SHAMPOO MERZ
31722093947 glycerin GLYCERIN 99.7% LIQUID CAMBER PHARMACE
37205001130 glycerin GLYCERIN 99.5% LIQUID LEADER
00187526201 glycerin/hyaluronate sodium OCEAN GEL BAUSCH HEALTH U
62011008901 guaifenesin HM ADULT TUSSIN CHEST CONG LIQ HM-STRATEGIC SO
58657050916 guaifenesin GUAIFENESIN 100 MG/5 ML LIQUID METHOD PHARMACE
63868085904 guaifenesin QC TUSSIN MUCUS-CONG 200 MG/10 CHAIN DRUG
63868003904 guaifenesin QC TUSSIN 100 MG/5 ML SOLUTION CHAIN DRUG
64543012504 guaifenesin LIQUITUSS GG 200 MG/5 ML LIQ CAPELLON
64543012516 guaifenesin LIQUITUSS GG 200 MG/5 ML LIQ CAPELLON
70000029902 guaifenesin TUSSIN MUCUS-CONG 200 MG/10 LEADER
70000029901 guaifenesin TUSSIN MUCUS-CONG 200 MG/10 LEADER
54838011780 guaifenesin SILTUSSIN SA 100 MG/5 ML SYR SILARX/LANNETT
54838011740 guaifenesin SILTUSSIN SA 100 MG/5 ML SYR SILARX/LANNETT
54838011770 guaifenesin SILTUSSIN SA 100 MG/5 ML SYR SILARX/LANNETT
49348013534 guaifenesin SM TUSSIN MUCUS-CONG 200 MG/10 SM-STRATEGIC SO
49348013537 guaifenesin SM TUSSIN MUCUS-CONG 200 MG/10 SM-STRATEGIC SO
00113006126 guaifenesin GS TUSSIN MUCUS-CONG 200 MG/10 PERRIGO/GOODSEN
00113006134 guaifenesin GS TUSSIN MUCUS-CONG 100 MG/5 PERRIGO/GOODSEN
50383006310 guaifenesin GUAIFENESIN 200 MG/10 ML SOLN HI-TECH/AKORN C
50383006305 guaifenesin GUAIFENESIN 100 MG/5 ML SOLN HI-TECH/AKORN C
50383006307 guaifenesin GUAIFENESIN 100 MG/5 ML SOLN HI-TECH/AKORN C
50383006312 guaifenesin GUAIFENESIN 200 MG/10 ML SOLN HI-TECH/AKORN C
46122029926 guaifenesin TUSSIN MUCUS-CONG 200 MG/10 AMERISOURCE-GNP
46122029934 guaifenesin TUSSIN MUCUS-CONG 200 MG/10 AMERISOURCE-GNP
00113206126 guaifenesin TUSSIN MUCUS-CONG 200 MG/10 PERRIGO CO.
00121174400 guaifenesin GUAIFENESIN 100 MG/5 ML SOLN PHARM ASSOC INC
42
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00121223200 guaifenesin GUAIFENESIN 300 MG/15 ML SOLN PHARM ASSOC INC
00121148800 guaifenesin GUAIFENESIN 200 MG/10 ML SOLN PHARM ASSOC INC
00121148810 guaifenesin GUAIFENESIN 200 MG/10 ML SOLN PHARM ASSOC INC
00121174405 guaifenesin GUAIFENESIN 100 MG/5 ML SOLN PHARM ASSOC INC
00121223215 guaifenesin GUAIFENESIN 300 MG/15 ML SOLN PHARM ASSOC INC
00536118297 guaifenesin MUCUS-CHEST CONG 200 MG/10 ML RUGBY
00536131485 guaifenesin CHEST CONGESTION RELIEF SOLN RUGBY
00904676320 guaifenesin ROBAFEN 200 MG/10 ML SYRUP MAJOR PHARMACEU
54859050704 guaifenesin TUSNEL-EX 100 MG/5 ML LIQUID LLORENS PHARM
62011008902 guaifenesin HM ADULT TUSSIN CHEST CONG LIQ HM-STRATEGIC SO
62011009201 guaifenesin/dextromethorphan HM ADT TUSSIN COUGH CONG DM LQ HM-STRATEGIC SO
62011009202 guaifenesin/dextromethorphan HM ADT TUSSIN COUGH CONG DM LQ HM-STRATEGIC SO
62011009101 guaifenesin/dextromethorphan HM ADULT TUSSIN DM SYRUP HM-STRATEGIC SO
62011009102 guaifenesin/dextromethorphan HM ADULT TUSSIN DM SYRUP HM-STRATEGIC SO
62011037201 guaifenesin/dextromethorphan HM TUSSIN DM 400-20 MG/20 ML HM-STRATEGIC SO
63868086854 guaifenesin/dextromethorphan QC TUSSIN DM LIQUID CHAIN DRUG
70000030101 guaifenesin/dextromethorphan TUSSIN DM LIQUID LEADER
70000031901 guaifenesin/dextromethorphan TUSSIN DM LIQUID LEADER
70000031902 guaifenesin/dextromethorphan TUSSIN DM LIQUID LEADER
70000038701 guaifenesin/dextromethorphan TUSSIN DM 400-20 MG/20 ML LIQ LEADER
70000038702 guaifenesin/dextromethorphan TUSSIN DM 400-20 MG/20 ML LIQ LEADER
70000000801 guaifenesin/dextromethorphan CHILD MUCUS-COUGH 5-100 MG/5ML LEADER
70000012901 guaifenesin/dextromethorphan MUCUS RELIEF DM MAX LIQUID LEADER
70000056501 guaifenesin/dextromethorphan MUCUS RELIEF DM MAX LIQUID LEADER
69339014905 guaifenesin/dextromethorphan GUAIFENESIN DM SYRUP DASH PHARMACEUT
69339014919 guaifenesin/dextromethorphan GUAIFENESIN DM SYRUP DASH PHARMACEUT
69339015001 guaifenesin/dextromethorphan GUAIFENESIN DM SYRUP DASH PHARMACEUT
69339015019 guaifenesin/dextromethorphan GUAIFENESIN DM SYRUP DASH PHARMACEUT
54838013340 guaifenesin/dextromethorphan SILTUSSIN DM DAS 100-10MG/5 ML SILARX/LANNETT
54838020940 guaifenesin/dextromethorphan SILTUSSIN DM COUGH SYRUP SILARX/LANNETT
54838020970 guaifenesin/dextromethorphan SILTUSSIN DM COUGH SYRUP SILARX/LANNETT
54838020980 guaifenesin/dextromethorphan SILTUSSIN DM COUGH SYRUP SILARX/LANNETT
54838014040 guaifenesin/dextromethorphan DIABETIC SILTUSSIN-DM MAX-STR SILARX/LANNETT
49348086137 guaifenesin/dextromethorphan SM TUSSIN DM LIQUID SM-STRATEGIC SO
49348086134 guaifenesin/dextromethorphan SM TUSSIN DM LIQUID SM-STRATEGIC SO
49348001734 guaifenesin/dextromethorphan SM TUSSIN DM SYRUP SM-STRATEGIC SO
49348001737 guaifenesin/dextromethorphan SM TUSSIN DM SYRUP SM-STRATEGIC SO
49348082834 guaifenesin/dextromethorphan SM MUCUS RELIEF COUGH LIQUID SM-STRATEGIC SO
70677004801 guaifenesin/dextromethorphan SM TUSSIN DM 400-20 MG/20 ML SM-STRATEGIC SO
00113057826 guaifenesin/dextromethorphan GS TUSSIN DM LIQUID PERRIGO/GOODSEN
00113035926 guaifenesin/dextromethorphan GS TUSSIN DM COUGH SYRUP PERRIGO/GOODSEN
43
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00113035934 guaifenesin/dextromethorphan GS TUSSIN DM COUGH-CHEST SOLN PERRIGO/GOODSEN
00113092726 guaifenesin/dextromethorphan GS TUSSIN DM MAX LIQUID PERRIGO/GOODSEN
00113092734 guaifenesin/dextromethorphan GS TUSSIN DM MAX LIQUID PERRIGO/GOODSEN
00113041926 guaifenesin/dextromethorphan GS CHILD MUCUS RLF COUGH LIQ PERRIGO/GOODSEN
24385035926 guaifenesin/dextromethorphan TUSSIN DM SYRUP AMERISOURCE-GNP
24385035934 guaifenesin/dextromethorphan TUSSIN DM SYRUP AMERISOURCE-GNP
24385057826 guaifenesin/dextromethorphan TUSSIN DM CLEAR SYRUP AMERISOURCE-GNP
46122054134 guaifenesin/dextromethorphan GNP TUSSIN DM MAX LIQUID AMERISOURCE-GNP
46122037130 guaifenesin/dextromethorphan GNP MUCUS RELIEF DM MAX LIQUID AMERISOURCE-GNP
00121127610 guaifenesin/dextromethorphan GUAIFENESIN DM SYRUP PHARM ASSOC INC
00121127600 guaifenesin/dextromethorphan GUAIFENESIN DM SYRUP PHARM ASSOC INC
00121063800 guaifenesin/dextromethorphan GUAIFENESIN DM SYRUP PHARM ASSOC INC
00121063805 guaifenesin/dextromethorphan GUAIFENESIN DM SYRUP PHARM ASSOC INC
00536131385 guaifenesin/dextromethorphan CHEST CONGESTION RELIEF DM LIQ RUGBY
00536118497 guaifenesin/dextromethorphan COUGH DM 20-200 MG/10 ML SYRUP RUGBY
00904675859 guaifenesin/dextromethorphan ROBAFEN DM COUGH LIQUID MAJOR PHARMACEU
00904684470 guaifenesin/dextromethorphan GUAIFENESIN-DM 100-10 MG/5 ML MAJOR PHARMACEU
00904698072 guaifenesin/dextromethorphan GUAIFENESIN-DM 200-20 MG/10 ML MAJOR PHARMACEU
00904713470 guaifenesin/dextromethorphan GUAIFENESIN-DM 100-10 MG/5 ML MAJOR PHARMACEU
00904675920 guaifenesin/dextromethorphan ROBAFEN DM COUGH LIQUID MAJOR PHARMACEU
00904713572 guaifenesin/dextromethorphan GUAIFENESIN-DM 200-20 MG/10 ML MAJOR PHARMACEU
00904646420 guaifenesin/dextromethorphan ROBAFEN DM CGH-CHEST CONG SYRP MAJOR PHARMACEU
54859050504 guaifenesin/dextromethorphan TUSNEL DIABETIC LIQUID LLORENS PHARM
54859050516 guaifenesin/dextromethorphan TUSNEL DIABETIC LIQUID LLORENS PHARM
58657050508 guaifenesin/dextromethorphan GUAIFENESIN DM SYRUP METHOD PHARMACE
64543004404 guaifenesin/phenylephrine HCl RESCON-GG LIQUID CAPELLON
00485020816 guaifenesin/phenylephrine HCl ED BRON GP LIQUID EDWARDS PHARM.
64543004416 guaifenesin/phenylephrine HCl RESCON-GG LIQUID CAPELLON
00259060180 herbal drugs AQUA GLYCOLIC HAND-BODY LOT MERZ
24385002103 hydrocortisone HYDROCORTISONE 1% CREAM AMERISOURCE-GNP
00096073204 hydrocortisone AQUANIL HC 1% LOTION PERSON & COVEY
24385027603 hydrocortisone HYDROCORTISONE 1% OINTMENT AMERISOURCE-GNP
00113097364 hydrocortisone GS ANTI-ITCH 1% CREAM PERRIGO/GOODSEN
00113054164 hydrocortisone GS ANTI-ITCH 1% CREAM PERRIGO/GOODSEN
49348052272 hydrocortisone SM HYDROCORTISONE 1% OINTMENT SM-STRATEGIC SO
45802043805 hydrocortisone HYDROCORTISONE 1% CREAM PERRIGO/PADAGIS
45802043803 hydrocortisone HYDROCORTISONE 1% CREAM PERRIGO/PADAGIS
45802027603 hydrocortisone HYDROCORTISONE 1% OINTMENT PERRIGO/PADAGIS
70000048501 hydrocortisone HYDROCORTISONE 1% CREAM LEADER
63868059628 hydrocortisone QC HYDROCORTISONE 1% CREAM CHAIN DRUG
63868059428 hydrocortisone QC ANTI-ITCH 1% CREAM CHAIN DRUG
44
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011009601 hydrocortisone HM HYDROCORTISONE 1% CREAM HM-STRATEGIC SO
62011009501 hydrocortisone HM HYDROCORTISONE 1% CREAM HM-STRATEGIC SO
61269034356 hydrocortisone HYDROCORTISONE 1% CREAM H2 PHARMA LLC
61269034556 hydrocortisone HYDROCORTISONE 1% OINTMENT H2 PHARMA LLC
68599118202 hydrocortisone HYDROCORTISONE 1% CREAM PACKET MCKESSON MEDICA
68001047650 hydrocortisone HYDROCORTISONE 1% CREAM BLUEPOINT LABOR
68001047646 hydrocortisone HYDROCORTISONE 1% CREAM BLUEPOINT LABOR
51672206902 hydrocortisone HYDROCORTISONE 1% CREAM TARO PHARM USA
51672206302 hydrocortisone HYDROCORTISONE 1% CREAM TARO PHARM USA
51672201802 hydrocortisone HYDROCORTISONE 1% OINTMENT TARO PHARM USA
51672201002 hydrocortisone HYDROCORTISONE 0.5% CREAM TARO PHARM USA
24385019003 hydrocortisone acetate HYDROCORTISONE 0.5% CREAM AMERISOURCE-GNP
70000048901 hydrocortisone acetate HYDROCORTISONE 1% OINTMENT LEADER
24385027403 hydrocortisone acetate HYDROCORTISONE 1% CREAM AMERISOURCE-GNP
70512010130 hydrocortisone acetate HYDROCORTISONE 1% CREAM SOLA PHARMACEUT
61269033956 hydrocortisone/aloe vera HYDROCORTISONE-ALOE 1% CREAM H2 PHARMA LLC
49348044172 hydrocortisone/aloe vera SM HYDROCORTISONE PLUS 1% CRM SM-STRATEGIC SO
49348052172 hydrocortisone/aloe vera SM HYDROCORTISONE-ALOE 1% CRM SM-STRATEGIC SO
49348052178 hydrocortisone/aloe vera SM HYDROCORTISONE-ALOE 1% CRM SM-STRATEGIC SO
63868059728 hydrocortisone/aloe vera QC ANTI-ITCH WITH ALOE 1% CRM CHAIN DRUG
68599118201 hydrocortisone/aloe vera HYDROCORTISONE-ALOE 1% CREAM MCKESSON MEDICA
70000054301 hydrocortisone/aloe vera HYDROCORTISONE-ALOE 1% CREAM LEADER
51672201301 hydrocortisone/aloe vera HYDROCORTISONE-ALOE 1% CREAM TARO PHARM USA
51672201302 hydrocortisone/aloe vera HYDROCORTISONE-ALOE 1% CREAM TARO PHARM USA
00536127780 hydrocortisone/aloe vera HYDROCORTISONE-ALOE 1% CREAM RUGBY
42702016960 hypo,hydrochlorc acid/sodmagFs ZENOPTIQ EYELID-EYELASH GEL PARAGON BIOTECK
42702016810 hypochlorous acid/sodium chlor ZENOPTIQ EYELID-EYELASH SPRAY PARAGON BIOTECK
17478006412 hypromellose GONAK 2.5% SOLUTION AKORN INC.
00065806401 hypromellose GENTEAL TEARS SEVERE 0.3% GEL ALCON CONSUMER
00065047401 hypromellose SYSTANE 0.3% EYE GEL ALCON CONSUMER
00078042957 hypromellose GENTEAL TEARS SEVERE 0.3% GEL ALCON CONSUMER
00998040815 hypromellose ISOPTO TEARS 0.5% EYE DROPS ALCON CONSUMER
00113060490 ibuprofen GS IBUPROFEN 200 MG TABLET PERRIGO/GOODSEN
00113121285 ibuprofen GS IBUPROFEN 200 MG TABLET PERRIGO/GOODSEN
00113007478 ibuprofen GS IBUPROFEN 200 MG TABLET PERRIGO/GOODSEN
24385000926 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML AMERISOURCE-GNP
24385000934 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML AMERISOURCE-GNP
24385037226 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML AMERISOURCE-GNP
24385036126 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML AMERISOURCE-GNP
24385036134 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML AMERISOURCE-GNP
24385090526 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML AMERISOURCE-GNP
45
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
24385090534 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML AMERISOURCE-GNP
24385055010 ibuprofen INFANT IBUPROFEN 50 MG/1.25 ML AMERISOURCE-GNP
46122061762 ibuprofen GNP IBUPROFEN 100 MG CHEW TAB AMERISOURCE-GNP
46122063262 ibuprofen GNP IBUPROFEN 100 MG CHEW TAB AMERISOURCE-GNP
46122058041 ibuprofen GNP IBUPROFEN 200 MG SOFTGEL AMERISOURCE-GNP
46122058055 ibuprofen GNP IBUPROFEN 200 MG SOFTGEL AMERISOURCE-GNP
46122058058 ibuprofen GNP IBUPROFEN 200 MG SOFTGEL AMERISOURCE-GNP
46122059360 ibuprofen GNP IBUPROFEN 200 MG MINI SFGL AMERISOURCE-GNP
24385005878 ibuprofen IBUPROFEN 200 MG CAPLET AMERISOURCE-GNP
24385060478 ibuprofen IBUPROFEN 200 MG TABLET AMERISOURCE-GNP
24385005978 ibuprofen IBUPROFEN 200 MG TABLET AMERISOURCE-GNP
24385060471 ibuprofen IBUPROFEN 200 MG TABLET AMERISOURCE-GNP
24385060485 ibuprofen IBUPROFEN 200 MG TABLET AMERISOURCE-GNP
24385064771 ibuprofen IBUPROFEN 200 MG CAPLET AMERISOURCE-GNP
24385064778 ibuprofen IBUPROFEN 200 MG CAPLET AMERISOURCE-GNP
46122054890 ibuprofen GNP IBUPROFEN 200 MG TABLET AMERISOURCE-GNP
70000000301 ibuprofen IBUPROFEN 200 MG CAPLET LEADER
70000000302 ibuprofen IBUPROFEN 200 MG CAPLET LEADER
70000017501 ibuprofen IBUPROFEN 200 MG TABLET LEADER
70000017502 ibuprofen IBUPROFEN 200 MG TABLET LEADER
70000017505 ibuprofen IBUPROFEN 200 MG TABLET LEADER
70000017508 ibuprofen IBUPROFEN 200 MG TABLET LEADER
70000017604 ibuprofen IBUPROFEN 200 MG CAPLET LEADER
70000017605 ibuprofen IBUPROFEN 200 MG CAPLET LEADER
49483060101 ibuprofen IBUPROFEN 200 MG TABLET TIME-CAP LABS
49483060110 ibuprofen IBUPROFEN 200 MG TABLET TIME-CAP LABS
45802089726 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PERRIGO/PADAGIS
45802089734 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PERRIGO/PADAGIS
45802013326 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PERRIGO/PADAGIS
45802014026 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PERRIGO/PADAGIS
49348087634 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML SM-STRATEGIC SO
49348049934 ibuprofen SM IBUPROFEN 100 MG/5 ML SUSP SM-STRATEGIC SO
49348050034 ibuprofen SM IBUPROFEN 100 MG/5 ML SUSP SM-STRATEGIC SO
49348022934 ibuprofen SM IBUPROFEN 100 MG/5 ML SUSP SM-STRATEGIC SO
49348022937 ibuprofen SM IBUPROFEN 100 MG/5 ML SUSP SM-STRATEGIC SO
49348037469 ibuprofen SM INF IBUPROFEN 50 MG/1.25 ML SM-STRATEGIC SO
49348064227 ibuprofen SM INF IBUPROFEN 50 MG/1.25 ML SM-STRATEGIC SO
70677007201 ibuprofen SM IBUPROFEN IB 100 MG CHEW TB SM-STRATEGIC SO
70677004601 ibuprofen SM IBUPROFEN 200 MG SOFTGEL SM-STRATEGIC SO
49348008709 ibuprofen SM IBUPROFEN IB 200 MG CAPLET SM-STRATEGIC SO
49348070604 ibuprofen SM IBUPROFEN 200 MG TABLET SM-STRATEGIC SO
46
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
49348070614 ibuprofen SM IBUPROFEN 200 MG TABLET SM-STRATEGIC SO
49348070642 ibuprofen SM IBUPROFEN 200 MG TABLET SM-STRATEGIC SO
49348082910 ibuprofen SM IBUPROFEN IB 200 MG TABLET SM-STRATEGIC SO
49348092710 ibuprofen SM IBUPROFEN IB 200 MG TABLET SM-STRATEGIC SO
49348092709 ibuprofen SM IBUPROFEN IB 200 MG TABLET SM-STRATEGIC SO
49348070609 ibuprofen SM IBUPROFEN 200 MG TABLET SM-STRATEGIC SO
49348070610 ibuprofen SM IBUPROFEN 200 MG TABLET SM-STRATEGIC SO
49348070616 ibuprofen SM IBUPROFEN 200 MG TABLET SM-STRATEGIC SO
49348082909 ibuprofen SM IBUPROFEN IB 200 MG TABLET SM-STRATEGIC SO
49348019609 ibuprofen SM IBUPROFEN 200 MG CAPLET SM-STRATEGIC SO
49348019610 ibuprofen SM IBUPROFEN 200 MG CAPLET SM-STRATEGIC SO
49348019635 ibuprofen SM IBUPROFEN 200 MG CAPLET SM-STRATEGIC SO
00113066026 ibuprofen GS CHILD IBUPROFEN 100 MG/5 ML PERRIGO/GOODSEN
00113016626 ibuprofen GS CHILD IBUPROFEN 100 MG/5 ML PERRIGO/GOODSEN
00113016634 ibuprofen GS CHILD IBUPROFEN 100 MG/5 ML PERRIGO/GOODSEN
00113068526 ibuprofen GS CHILD IBUPROFEN 100 MG/5 ML PERRIGO/GOODSEN
00113089726 ibuprofen GS CHILD IBUPROFEN 100 MG/5 ML PERRIGO/GOODSEN
00113089734 ibuprofen GS CHILD IBUPROFEN 100 MG/5 ML PERRIGO/GOODSEN
00113005705 ibuprofen GS INF IBUPROFEN 50 MG/1.25 ML PERRIGO/GOODSEN
00113246162 ibuprofen GS IBUPROFEN 100 MG CHEW TAB PERRIGO/GOODSEN
00113029827 ibuprofen GS IBUPROFEN 200 MG LIQUID GEL PERRIGO/GOODSEN
00113007471 ibuprofen GS IBUPROFEN 200 MG TABLET PERRIGO/GOODSEN
00113060462 ibuprofen GS IBUPROFEN 200 MG TABLET PERRIGO/GOODSEN
00113064762 ibuprofen GS IBUPROFEN 200 MG CAPLET PERRIGO/GOODSEN
00113064771 ibuprofen GS IBUPROFEN 200 MG CAPLET PERRIGO/GOODSEN
00113064778 ibuprofen GS IBUPROFEN 200 MG CAPLET PERRIGO/GOODSEN
00113051771 ibuprofen GS IBUPROFEN 200 MG CAPLET PERRIGO/GOODSEN
00113060452 ibuprofen GS IBUPROFEN 200 MG TABLET PERRIGO/GOODSEN
00113060471 ibuprofen GS IBUPROFEN 200 MG TABLET PERRIGO/GOODSEN
00113060478 ibuprofen GS IBUPROFEN 200 MG TABLET PERRIGO/GOODSEN
69230030911 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML CAMBER CONSUMER
69230030912 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML CAMBER CONSUMER
69230031012 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML CAMBER CONSUMER
69230031111 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML CAMBER CONSUMER
69230031112 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML CAMBER CONSUMER
69230014620 ibuprofen IBUPROFEN 200 MG CAPSULE CAMBER CONSUMER
69230014640 ibuprofen IBUPROFEN 200 MG CAPSULE CAMBER CONSUMER
69230014652 ibuprofen IBUPROFEN 200 MG CAPSULE CAMBER CONSUMER
69230014680 ibuprofen IBUPROFEN 200 MG CAPSULE CAMBER CONSUMER
61269076194 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML H2 PHARMA LLC
61269076394 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML H2 PHARMA LLC
47
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011003001 ibuprofen HM CHILD IBUPROFEN 100 MG/5 ML HM-STRATEGIC SO
62011021401 ibuprofen HM CHILD IBUPROFEN 100 MG/5 ML HM-STRATEGIC SO
62011001001 ibuprofen HM CHILD IBUPROFEN 100 MG/5 ML HM-STRATEGIC SO
62011001101 ibuprofen HM CHILD IBUPROFEN 100 MG/5 ML HM-STRATEGIC SO
62011003002 ibuprofen HM CHILD IBUPROFEN 100 MG/5 ML HM-STRATEGIC SO
62011000401 ibuprofen HM INF IBUPROFEN 50 MG/1.25 ML HM-STRATEGIC SO
62011001201 ibuprofen HM INF IBUPROFEN 50 MG/1.25 ML HM-STRATEGIC SO
62011040701 ibuprofen HM IBUPROFEN IB 100 MG CHEW TB HM-STRATEGIC SO
62011039901 ibuprofen HM IBUPROFEN 200 MG SOFTGEL HM-STRATEGIC SO
62011036801 ibuprofen HM IBUPROFEN 200 MG SOFTGEL HM-STRATEGIC SO
62011001401 ibuprofen HM IBUPROFEN 200 MG TABLET HM-STRATEGIC SO
62011001502 ibuprofen HM IBUPROFEN 200 MG CAPLET HM-STRATEGIC SO
62011022202 ibuprofen HM IBUPROFEN IB 200 MG TABLET HM-STRATEGIC SO
62011001402 ibuprofen HM IBUPROFEN 200 MG TABLET HM-STRATEGIC SO
62011001403 ibuprofen HM IBUPROFEN 200 MG TABLET HM-STRATEGIC SO
62011001407 ibuprofen HM IBUPROFEN 200 MG TABLET HM-STRATEGIC SO
62011001501 ibuprofen HM IBUPROFEN 200 MG CAPLET HM-STRATEGIC SO
62011022201 ibuprofen HM IBUPROFEN IB 200 MG TABLET HM-STRATEGIC SO
63868077404 ibuprofen QC CHILD IBUPROFEN 100 MG/5 ML CHAIN DRUG
63868077908 ibuprofen QC CHILD IBUPROFEN 100 MG/5 ML CHAIN DRUG
63868077604 ibuprofen QC CHILD IBUPROFEN 100 MG/5 ML CHAIN DRUG
63868077904 ibuprofen QC CHILD IBUPROFEN 100 MG/5 ML CHAIN DRUG
63868007630 ibuprofen QC INF IBUPROFEN 50 MG/1.25 ML CHAIN DRUG
63868075940 ibuprofen QC IBUPROFEN 200 MG SOFTGEL CHAIN DRUG
63868034110 ibuprofen QC IBUPROFEN 200 MG CAPLET CHAIN DRUG
63868034124 ibuprofen QC IBUPROFEN 200 MG CAPLET CHAIN DRUG
63868034150 ibuprofen QC IBUPROFEN 200 MG CAPLET CHAIN DRUG
63868077305 ibuprofen QC IBUPROFEN 200 MG TABLET CHAIN DRUG
63868079050 ibuprofen QC IBUPROFEN IB 200 MG TABLET CHAIN DRUG
63868079150 ibuprofen QC IBUPROFEN IB 200 MG CAPLET CHAIN DRUG
63868079401 ibuprofen QC IBUPROFEN IB 200 MG TABLET CHAIN DRUG
63868097910 ibuprofen QC IBUPROFEN 200 MG CAPLET CHAIN DRUG
63868098350 ibuprofen IBUPROFEN 200 MG TABLET CHAIN DRUG
70000026401 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML LEADER
70000018101 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML LEADER
70000025901 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML LEADER
70000026201 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML LEADER
70000026301 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML LEADER
70000026302 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML LEADER
70000029801 ibuprofen INFANT IBUPROFEN 50 MG/1.25 ML LEADER
70000023901 ibuprofen IBUPROFEN JR STR 100 MG TB CHW LEADER
48
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000036002 ibuprofen IBUPROFEN 200 MG SOFTGEL LEADER
70000036001 ibuprofen IBUPROFEN 200 MG SOFTGEL LEADER
70000057101 ibuprofen IBUPROFEN 200 MG SOFTGEL LEADER
70000057102 ibuprofen IBUPROFEN 200 MG SOFTGEL LEADER
70000057103 ibuprofen IBUPROFEN 200 MG SOFTGEL LEADER
70000017503 ibuprofen IBUPROFEN 200 MG TABLET LEADER
70000017601 ibuprofen IBUPROFEN 200 MG CAPLET LEADER
70000030802 ibuprofen IBUPROFEN 200 MG TABLET LEADER
70000029101 ibuprofen IBUPROFEN 200 MG TABLET LEADER
70000030801 ibuprofen IBUPROFEN 200 MG TABLET LEADER
45802005705 ibuprofen INFANT IBUPROFEN 50 MG/1.25 ML PERRIGO CO.
00121182800 ibuprofen CHILD IBUPROFEN 200 MG/10 ML PHARM ASSOC INC
00121182810 ibuprofen CHILD IBUPROFEN 200 MG/10 ML PHARM ASSOC INC
00121091400 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PHARM ASSOC INC
00121091405 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PHARM ASSOC INC
00121091700 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PHARM ASSOC INC
00121091705 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PHARM ASSOC INC
00536114730 ibuprofen IBUPROFEN 200 MG SOFTGEL RUGBY
00904530909 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML MAJOR PHARMACEU
00904557720 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML MAJOR PHARMACEU
00904530920 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML MAJOR PHARMACEU
00904546335 ibuprofen INFANT IBUPROFEN 50 MG/1.25 ML MAJOR PHARMACEU
00904674780 ibuprofen IBUPROFEN 200 MG TABLET MAJOR PHARMACEU
00904674724 ibuprofen IBUPROFEN 200 MG TABLET MAJOR PHARMACEU
00904674740 ibuprofen IBUPROFEN 200 MG TABLET MAJOR PHARMACEU
00904674751 ibuprofen IBUPROFEN 200 MG TABLET MAJOR PHARMACEU
00904674759 ibuprofen IBUPROFEN 200 MG TABLET MAJOR PHARMACEU
00904674770 ibuprofen IBUPROFEN 200 MG TABLET MAJOR PHARMACEU
00904791251 ibuprofen IBUPROFEN 200 MG CAPLET MAJOR PHARMACEU
00904791259 ibuprofen IBUPROFEN 200 MG CAPLET MAJOR PHARMACEU
00904791451 ibuprofen IBU-200 200 MG TABLET MAJOR PHARMACEU
00904791459 ibuprofen IBU-200 200 MG TABLET MAJOR PHARMACEU
00904791461 ibuprofen IBUPROFEN 200 MG TABLET MAJOR PHARMACEU
51672213008 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML TARO PHARM USA
51672213001 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML TARO PHARM USA
68001052192 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML BLUEPOINT LABOR
68001043592 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML BLUEPOINT LABOR
68001043594 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML BLUEPOINT LABOR
68094003701 ibuprofen CHILD IBUPROFEN 100MG/5ML SYRG PRECISION DOSE
68094003758 ibuprofen CHILD IBUPROFEN 100MG/5ML SYRG PRECISION DOSE
68094049462 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PRECISION DOSE
49
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
68094060061 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PRECISION DOSE
68094049458 ibuprofen IBUPROFEN 100 MG/5 ML SUSP PRECISION DOSE
68094049459 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PRECISION DOSE
68094049461 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PRECISION DOSE
68094050359 ibuprofen IBUPROFEN 200 MG/10 ML SUSP PRECISION DOSE
68094050361 ibuprofen IBUPROFEN 200 MG/10 ML SUSP PRECISION DOSE
68094050362 ibuprofen IBUPROFEN 200 MG/10 ML SUSP PRECISION DOSE
68094060059 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PRECISION DOSE
68094060062 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML PRECISION DOSE
68599805104 ibuprofen IBUPROFEN 200 MG TABLET MCKESSON MEDICA
69230031011 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML CAMBER CONSUMER
69230030811 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML CAMBER CONSUMER
69230030812 ibuprofen CHILDREN IBUPROFEN 100 MG/5 ML CAMBER CONSUMER
00169300715 insulin NPH hum/reg insulin hm NOVOLIN 70-30 FLEXPEN NOVO NORDISK
00002880301 insulin NPH hum/reg insulin hm HUMULIN 70/30 KWIKPEN ELI LILLY & CO.
00169300701 insulin NPH hum/reg insulin hm NOVOLIN 70-30 FLEXPEN NOVO NORDISK
00002880359 insulin NPH hum/reg insulin hm HUMULIN 70/30 KWIKPEN ELI LILLY & CO.
00169183711 insulin NPH hum/reg insulin hm NOVOLIN 70-30 100 UNIT/ML VIAL NOVO NORDISK
00002871501 insulin NPH hum/reg insulin hm HUMULIN 70-30 VIAL ELI LILLY & CO.
00169300712 insulin NPH hum/reg insulin hm RELION NOVOLIN 70-30 FLEXPEN NOVO NORDISK-WA
00169300725 insulin NPH hum/reg insulin hm RELION NOVOLIN 70-30 FLEXPEN NOVO NORDISK-WA
00169183702 insulin NPH hum/reg insulin hm RELION NOVOLIN 70-30 VIAL NOVO NORDISK-WA
00002871517 insulin NPH hum/reg insulin hm HUMULIN 70-30 VIAL ELI LILLY & CO.
00169300425 insulin NPH human isophane RELION NOVOLIN N U-100 FLEXPEN NOVO NORDISK-WA
00169183402 insulin NPH human isophane RELION NOVOLIN N 100 UNIT/ML NOVO NORDISK-WA
00169300415 insulin NPH human isophane NOVOLIN N 100 UNIT/ML FLEXPEN NOVO NORDISK
00169183411 insulin NPH human isophane NOVOLIN N 100 UNIT/ML VIAL NOVO NORDISK
00002880559 insulin NPH human isophane HUMULIN N 100 UNIT/ML KWIKPEN ELI LILLY & CO.
00002880501 insulin NPH human isophane HUMULIN N 100 UNIT/ML KWIKPEN ELI LILLY & CO.
00002831517 insulin NPH human isophane HUMULIN N 100 UNIT/ML VIAL ELI LILLY & CO.
00002831501 insulin NPH human isophane HUMULIN N 100 UNIT/ML VIAL ELI LILLY & CO.
00169300315 insulin regular, human NOVOLIN R 100 UNIT/ML FLEXPEN NOVO NORDISK
00169183311 insulin regular, human NOVOLIN R 100 UNIT/ML VIAL NOVO NORDISK
00169183302 insulin regular, human RELION NOVOLIN R 100 UNIT/ML NOVO NORDISK-WA
00169300325 insulin regular, human RELION NOVOLIN R U-100 FLEXPEN NOVO NORDISK-WA
00002821517 insulin regular, human HUMULIN R 100 UNIT/ML VIAL ELI LILLY & CO.
00002821501 insulin regular, human HUMULIN R 100 UNIT/ML VIAL ELI LILLY & CO.
62011011701 iodine/sodium iodide HM IODINE 2% MILD TINCTURE HM-STRATEGIC SO
49348013327 iodine/sodium iodide SM IODINE 2% TINCTURE SM-STRATEGIC SO
24385021310 iodine/sodium iodide IODINE 2% MILD TINCTURE AMERISOURCE-GNP
70000040101 iodine/sodium iodide IODINE 2% MILD TINCTURE LEADER
50
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
61269091060 iron,carbonyl IRON CHEWS 15 MG TABLET CHEW H2 PHARMA LLC
54859050108 iron/lys/vit B comp/folic acid NUTRIVIT LIQUID LLORENS PHARM
51672423008 ivermectin IVERMECTIN 0.5% LOTION TARO PHARM USA
24338018504 ivermectin SKLICE 0.5% LOTION ARBOR PHARMACEU
17478071710 ketotifen fumarate KETOTIFEN FUM 0.025% EYE DROPS AKORN INC.
00536125240 ketotifen fumarate EYE ITCH RELIEF 0.025% DROPS RUGBY
60505621501 ketotifen fumarate KETOTIFEN FUM 0.025% EYE DROPS APOTEX CORP
62011037901 ketotifen fumarate HM EYE ITCH RELIEF 0.025% DROP HM-STRATEGIC SO
70000052201 ketotifen fumarate EYE ITCH RELIEF 0.025% DROPS LEADER
24208060110 ketotifen fumarate ALAWAY 0.025% EYE DROPS BAUSCH HEALTH U
70000052202 ketotifen fumarate EYE ITCH RELIEF 0.025% DROPS LEADER
76385010617 ketotifen fumarate KETOTIFEN FUM 0.035% EYE DROPS BAYSHORE PHARMA
00065401105 ketotifen fumarate ZADITOR 0.025% (0.035%) DROPS ALCON CONSUMER
00065401106 ketotifen fumarate ZADITOR 0.025% (0.035%) DROPS ALCON CONSUMER
24208060105 ketotifen fumarate CHILD'S ALAWAY 0.025% EYE DROP BAUSCH HEALTH U
37205058065 krill/omega-3/dha/epa/lipids KRILL OIL 300 MG SOFTGEL LEADER
24385014976 lactase DAIRY RELIEF 3,000 UNIT CAPLET AMERISOURCE-GNP
46122014866 lactase DAIRY RLF 9,000 UNIT TAB CHEW AMERISOURCE-GNP
00904522452 lactase LACTASE 3,000 UNIT CAPLET MAJOR PHARMACEU
00904590887 lactase LACTASE FAST ACTING 9,000 UNIT MAJOR PHARMACEU
00259601716 lactic acid/urea AQUA LACTEN LOTION MERZ
68599620301 lanolin SKIN PROTECTANT 50% CREAM MCKESSON MEDICA
68599620202 lanolin SKIN PROTECTANT 50% CREAM MCKESSON MEDICA
68599620201 lanolin SKIN PROTECTANT 50% CREAM MCKESSON MEDICA
00904775127 lanolin alcohol/mo/w.pet/ceres MINERIN CREME MAJOR PHARMACEU
00904429909 lanolin/mineral oil THERA-DERM LOTION MAJOR PHARMACEU
70000006902 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE LEADER
70000006901 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE LEADER
46122010774 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE AMERISOURCE-GNP
45802087802 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE PERRIGO/PADAGIS
45802087801 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE PERRIGO/PADAGIS
70677012403 lansoprazole SM LANSOPRAZOLE DR 15 MG CAP SM-STRATEGIC SO
49348030146 lansoprazole SM LANSOPRAZOLE DR 15 MG CAP SM-STRATEGIC SO
49348030161 lansoprazole SM LANSOPRAZOLE DR 15 MG CAP SM-STRATEGIC SO
46122069874 lansoprazole GNP LANSOPRAZOLE DR 15 MG CAP AMERISOURCE-GNP
46122069804 lansoprazole GNP LANSOPRAZOLE DR 15 MG CAP AMERISOURCE-GNP
00113011702 lansoprazole GS LANSOPRAZOLE DR 15 MG CAP PERRIGO/GOODSEN
62011047201 lansoprazole HM LANSOPRAZOLE DR 15 MG CAP HM-STRATEGIC SO
62011016801 lansoprazole HM LANSOPRAZOLE DR 15 MG CAP HM-STRATEGIC SO
62011016803 lansoprazole HM LANSOPRAZOLE DR 15 MG CAP HM-STRATEGIC SO
62011047203 lansoprazole HM LANSOPRAZOLE DR 15 MG CAP HM-STRATEGIC SO
51
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
63868042914 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE CHAIN DRUG
63868042942 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE CHAIN DRUG
16571074242 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE RISING PHARM
00113600203 lansoprazole PREVACID 24HR DR 15 MG CAPSULE PERRIGO CO.
45802024501 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE PERRIGO CO.
45802024502 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE PERRIGO CO.
45802024503 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE PERRIGO CO.
00536132488 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE RUGBY
00536123613 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE RUGBY
00536132413 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE RUGBY
00113011701 lansoprazole GS LANSOPRAZOLE DR 15 MG CAP PERRIGO/GOODSEN
00113011703 lansoprazole GS LANSOPRAZOLE DR 15 MG CAP PERRIGO/GOODSEN
70677012401 lansoprazole SM LANSOPRAZOLE DR 15 MG CAP SM-STRATEGIC SO
70000006903 lansoprazole LANSOPRAZOLE DR 15 MG CAPSULE LEADER
00085411508 lecithin/glycerin/dimethicone COMPLEX 15 HAND-BODY LOTION SCHERING-PLOUGH
00085410025 lecithin/glycerin/dimethicone COMPLEX 15 FACE CREAM SCHERING-PLOUGH
46122053152 levocetirizine dihydrochloride GNP ALLERGY RELIEF 5 MG TABLET AMERISOURCE-GNP
69230032133 levocetirizine dihydrochloride LEVOCETIRIZINE 5 MG TABLET CAMBER CONSUMER
69230032110 levocetirizine dihydrochloride LEVOCETIRIZINE 5 MG TABLET CAMBER CONSUMER
70000036202 levocetirizine dihydrochloride 24HR ALLERGY(LEVOCETIRZN) 5 MG LEADER
46122053105 levocetirizine dihydrochloride GNP ALLERGY RELIEF 5 MG TABLET AMERISOURCE-GNP
70000036201 levocetirizine dihydrochloride 24HR ALLERGY(LEVOCETIRZN) 5 MG LEADER
69230032131 levocetirizine dihydrochloride LEVOCETIRIZINE 5 MG TABLET CAMBER CONSUMER
62756071860 levonorgestrel OPCICON ONE-STEP 1.5 MG TABLET SUN PHARMACEUTI
00113200312 levonorgestrel OPTION 2 1.5 MG TABLET PERRIGO CO.
00536114263 levonorgestrel LEVONORGESTREL 1.5 MG TABLET RUGBY
68180085211 levonorgestrel MY WAY 1.5 MG TABLET LUPIN PHARMACEU
70700016406 levonorgestrel LEVONORGESTREL 1.5 MG TABLET XIROMED, LLC
16714080901 levonorgestrel NEW DAY 1.5 MG TABLET NORTHSTAR RX LL
50102021113 levonorgestrel ECONTRA ONE-STEP 1.5 MG TABLET AFAXYS, INC.
50102021101 levonorgestrel ECONTRA ONE-STEP 1.5 MG TABLET AFAXYS, INC.
50102021111 levonorgestrel ECONTRA ONE-STEP 1.5 MG TABLET AFAXYS, INC.
50102011112 levonorgestrel ECONTRA EZ 1.5 MG TABLET AFAXYS, INC.
50102011101 levonorgestrel ECONTRA EZ 1.5 MG TABLET AFAXYS, INC.
62756072060 levonorgestrel MY CHOICE 1.5 MG TABLET SUN LTD-NOVAPLU
50102021116 levonorgestrel ECONTRA ONE-STEP 1.5 MG TABLET AFAXYS, INC.
47781057036 lidocaine LIDOCAINE 4% CREAM ALVOGEN INC
00536120207 lidocaine LIDOCAINE PAIN RELIEF 4% PATCH RUGBY
00536135795 lidocaine LIDOCAINE 4% CREAM RUGBY
00536128128 lidocaine LIDOCAINE 4% CREAM RUGBY
00536127803 lidocaine LIDOCAINE 4% CREAM RUGBY
52
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536126720 lidocaine LIDOCAINE 4% CREAM RUGBY
62011041501 lidocaine HM LIDOCAINE 4% PATCH HM-STRATEGIC SO
70512001430 lidocaine LIDOCAINE 4% PATCH SOLA PHARMACEUT
47781057072 lidocaine LIDOCAINE 4% CREAM ALVOGEN INC
47781057047 lidocaine LIDOCAINE 4% CREAM ALVOGEN INC
00536120215 lidocaine LIDOCAINE PAIN RELIEF 4% PATCH RUGBY
47781057073 lidocaine LIDOCAINE 4% CREAM ALVOGEN INC
39328002455 lidocaine LIDOCAINE 4% CREAM PATRIN PHARMA
39328002430 lidocaine LIDOCAINE 4% CREAM PATRIN PHARMA
39328002415 lidocaine LIDOCAINE 4% CREAM PATRIN PHARMA
39328002405 lidocaine LIDOCAINE 4% CREAM PATRIN PHARMA
46122045021 lidocaine LIDOCAINE PAIN RELIEF 4% PATCH AMERISOURCE-GNP
52565012207 lidocaine LIDOCAINE 4% CREAM TELIGENT PHARMA
52565012215 lidocaine LIDOCAINE 4% CREAM TELIGENT PHARMA
52565012230 lidocaine LIDOCAINE 4% CREAM TELIGENT PHARMA
70000036601 lidocaine LIDOCAINE PAIN RELIEF 4% PATCH LEADER
70000055701 lidocaine LIDOCAINE PAIN RELIEF 4% PATCH LEADER
70000009801 lidocaine HCl LIDOCAINE HCL 4% CREAM LEADER
70512001230 lidocaine HCl LIDAFLEX 4% PATCH SOLA PHARMACEUT
50268049030 lidocaine HCl LIDOCAINE HCL 4% CREAM AVPAK
70000053701 lidocaine HCl BURN RELIEF 1% GEL LEADER
46122061410 lidocaine HCl GNP LIDOCAINE HCL 4% CREAM AMERISOURCE-GNP
46122065625 lidocaine HCl/benzalkonium chl GNP FIRST AID ANTISEPTIC SPRAY AMERISOURCE-GNP
70512001515 lidocaine HCl/menthol SYNOFLEX 4%-5% PATCH SOLA PHARMACEUT
70512001315 lidocaine HCl/menthol LENZAPRO FLEX 4%-4% PATCH SOLA PHARMACEUT
70000003701 lidocaine/aloe vera BURN RELIEF 0.5% SPRAY LEADER
46122055528 lidocaine/aloe vera BURN RELIEF 0.5% SPRAY AMERISOURCE-GNP
46122011321 lidocaine/aloe vera BURN RELIEF W-ALOE SPRAY AMERISOURCE-GNP
70512001115 lidocaine/menthol LENZAPRO 4%-4% PATCH SOLA PHARMACEUT
46122057421 lidocaine/menthol GNP LIDOCAINE-MENTHOL PATCH AMERISOURCE-GNP
70000055801 lidocaine/menthol COLD AND HOT 4%-1% PATCH LEADER
39328002456 lidocaine/transparent dressing LIDOCAINE 4% KIT PATRIN PHARMA
47781057089 lidocaine/transparent dressing LIDOCAINE 4% KIT ALVOGEN INC
00113022453 loperamide HCl GS ANTI-DIARRHEAL 2 MG CAPLET PERRIGO/GOODSEN
00904683620 loperamide HCl LOPERAMIDE 1 MG/7.5 ML SOLN MAJOR PHARMACEU
00113022491 loperamide HCl GS ANTI-DIARRHEAL 2 MG CAPLET PERRIGO/GOODSEN
00113164526 loperamide HCl GS ANTI-DIARRHEAL 1 MG/7.5 ML PERRIGO/GOODSEN
00113022462 loperamide HCl GS ANTI-DIARRHEAL 2 MG CAPLET PERRIGO/GOODSEN
00904772524 loperamide HCl ANTI-DIARRHEAL 2 MG CAPLET MAJOR PHARMACEU
00904772512 loperamide HCl ANTI-DIARRHEAL 2 MG CAPLET MAJOR PHARMACEU
00113222462 loperamide HCl ANTI-DIARRHEAL 2 MG CAPLET PERRIGO CO.
53
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000041701 loperamide HCl ANTI-DIARRHEAL 1 MG/7.5 ML SOL LEADER
70000041801 loperamide HCl ANTI-DIARRHEAL 1 MG/7.5 ML SOL LEADER
70000046101 loperamide HCl ANTI-DIARRHEAL 2 MG SOFTGEL LEADER
70000022502 loperamide HCl ANTI-DIARRHEAL 2 MG CAPLET LEADER
24385055408 loperamide HCl ANTI-DIARRHEAL 2 MG CAPLET AMERISOURCE-GNP
24385055462 loperamide HCl ANTI-DIARRHEAL 2 MG CAPLET AMERISOURCE-GNP
46122058162 loperamide HCl ANTI-DIARRHEAL 2 MG SOFTGEL AMERISOURCE-GNP
46122054426 loperamide HCl LOPERAMIDE 1 MG/7.5 ML SOLN AMERISOURCE-GNP
49348052904 loperamide HCl SM ANTI-DIARRHEAL 2 MG CAPLET SM-STRATEGIC SO
49348052902 loperamide HCl SM ANTI-DIARRHEAL 2 MG CAPLET SM-STRATEGIC SO
70677006001 loperamide HCl SM ANTI-DIARRHEAL 2 MG SOFTGEL SM-STRATEGIC SO
70677005401 loperamide HCl SM ANTI-DIARRHEAL 1 MG/7.5 ML SM-STRATEGIC SO
68094002959 loperamide HCl LOPERAMIDE 1MG/7.5 ML ORAL SOL PRECISION DOSE
68094002962 loperamide HCl LOPERAMIDE 1MG/7.5 ML ORAL SOL PRECISION DOSE
68094012959 loperamide HCl LOPERAMIDE 2 MG/15 ML ORAL SOL PRECISION DOSE
68094012962 loperamide HCl LOPERAMIDE 2 MG/15 ML ORAL SOL PRECISION DOSE
62011015001 loperamide HCl HM ANTI-DIARRHEAL 2 MG CAPLET HM-STRATEGIC SO
62011015002 loperamide HCl HM ANTI-DIARRHEAL 2 MG CAPLET HM-STRATEGIC SO
62011039001 loperamide HCl HM ANTI-DIARRHEAL 2 MG SOFTGEL HM-STRATEGIC SO
62011038301 loperamide HCl ANTI-DIARRHEAL 1 MG/7.5 ML SOL HM-STRATEGIC SO
62011038501 loperamide HCl HM LOPERAMIDE 1 MG/7.5 ML LIQ HM-STRATEGIC SO
63868055912 loperamide HCl QC ANTI-DIARRHEAL 2 MG CAPLET CHAIN DRUG
63868033812 loperamide HCl QC ANTI-DIARRHEAL 2 MG CAPLET CHAIN DRUG
63868074812 loperamide HCl QC ANTI-DIARRHEAL 2 MG SOFTGEL CHAIN DRUG
63868087612 loperamide HCl QC ANTI-DIARRHEAL 2 MG SOFTGEL CHAIN DRUG
70000058901 loperamide HCl ANTI-DIARRHEAL 2 MG CAPLET LEADER
46122062062 loperamide HCl/simethicone GNP ANTI-DIARRHEAL-GAS CPLT AMERISOURCE-GNP
62011036501 loperamide HCl/simethicone HM ANTI-DIARRHEAL-ANTIGAS CPLT HM-STRATEGIC SO
69230032532 loperamide HCl/simethicone LOPERAMIDE-SIMETH 2-125 MG TAB CAMBER CONSUMER
69230032512 loperamide HCl/simethicone LOPERAMIDE-SIMETH 2-125 MG TAB CAMBER CONSUMER
69230032524 loperamide HCl/simethicone LOPERAMIDE-SIMETH 2-125 MG TAB CAMBER CONSUMER
00113008765 loperamide HCl/simethicone GS ANTI-DIARRHEAL-ANTIGAS CPLT PERRIGO/GOODSEN
00113008762 loperamide HCl/simethicone GS ANTI-DIARRHEAL-ANTIGAS CPLT PERRIGO/GOODSEN
00113008753 loperamide HCl/simethicone GS ANTI-DIARRHEAL-ANTIGAS CPLT PERRIGO/GOODSEN
49348063634 loratadine SM LORATADINE 5 MG/5 ML SYRUP SM-STRATEGIC SO
70677002901 loratadine SM CHILD ALLERGY 5 MG/5 ML SOL SM-STRATEGIC SO
49348081813 loratadine SM LORATADINE 10 MG TABLET SM-STRATEGIC SO
70677014501 loratadine SM ALL DAY ALLERGY 10 MG TAB SM-STRATEGIC SO
49348081801 loratadine SM LORATADINE 10 MG TABLET SM-STRATEGIC SO
49348081845 loratadine SM LORATADINE 10 MG TABLET SM-STRATEGIC SO
49348081856 loratadine SM LORATADINE 10 MG TABLET SM-STRATEGIC SO
54
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70677013401 loratadine SM LORATADINE 10 MG TABLET SM-STRATEGIC SO
70677014502 loratadine SM ALL DAY ALLERGY 10 MG TAB SM-STRATEGIC SO
70677014503 loratadine SM ALL DAY ALLERGY 10 MG TAB SM-STRATEGIC SO
51079024601 loratadine LORATADINE 10 MG TABLET MYLAN INSTITUTI
51079024620 loratadine LORATADINE 10 MG TABLET MYLAN INSTITUTI
68084024801 loratadine LORATADINE 10 MG TABLET AHP
68084024811 loratadine LORATADINE 10 MG TABLET AHP
00113061239 loratadine GS ALLERGY RELIEF 10 MG TABLET PERRIGO/GOODSEN
00113061246 loratadine GS ALLERGY RELIEF 10 MG TABLET PERRIGO/GOODSEN
00113061260 loratadine GS ALLERGY RELIEF 10 MG TABLET PERRIGO/GOODSEN
00113061265 loratadine GS ALLERGY RELIEF 10 MG TABLET PERRIGO/GOODSEN
00113061275 loratadine GS ALLERGY RELIEF 10 MG TABLET PERRIGO/GOODSEN
46122053952 loratadine LORATADINE 10 MG ODT AMERISOURCE-GNP
24385053126 loratadine ALLERGY RELIEF 5 MG/5 ML SOLN AMERISOURCE-GNP
46122042326 loratadine CHILD LORATADINE 5 MG/5 ML SOL AMERISOURCE-GNP
24385047176 loratadine GNP LORATADINE 10 MG TABLET AMERISOURCE-GNP
24385047199 loratadine GNP LORATADINE 10 MG TABLET AMERISOURCE-GNP
24385047178 loratadine GNP LORATADINE 10 MG TABLET AMERISOURCE-GNP
70000047301 loratadine CHILD ALLERGY RELIEF 5 MG/5 ML LEADER
70000012501 loratadine CHILD ALLERGY 5 MG/5 ML SOLN LEADER
70000058301 loratadine ALLERGY RELIEF 10 MG TABLET LEADER
70000021301 loratadine ALLERGY RELIEF 10 MG TABLET LEADER
70000021302 loratadine ALLERGY RELIEF 10 MG TABLET LEADER
70000021303 loratadine ALLERGY RELIEF 10 MG TABLET LEADER
70000021304 loratadine ALLERGY RELIEF 10 MG TABLET LEADER
70000021306 loratadine ALLERGY RELIEF 10 MG TABLET LEADER
50268048915 loratadine LORATADINE 10 MG TABLET AVPAK
50268048911 loratadine LORATADINE 10 MG TABLET AVPAK
70010016234 loratadine LORATADINE 10 MG TABLET GRANULES PHARMA
70010016201 loratadine LORATADINE 10 MG TABLET GRANULES PHARMA
72888002909 loratadine LORATADINE 10 MG ODT ADVAGEN PHARMA
72888002911 loratadine LORATADINE 10 MG ODT ADVAGEN PHARMA
54838055840 loratadine LORATADINE ALLERGY 5 MG/5 ML SILARX/LANNETT
69230032212 loratadine CHILD LORATADINE 5 MG/5 ML SOL CAMBER CONSUMER
69230032224 loratadine CHILD LORATADINE 5 MG/5 ML SOL CAMBER CONSUMER
69230031703 loratadine ALLERGY (LORATADINE) 10 MG TAB CAMBER CONSUMER
69230031230 loratadine ALLERGY (LORATADINE) 10 MG TAB CAMBER CONSUMER
69230031701 loratadine ALLERGY (LORATADINE) 10 MG TAB CAMBER CONSUMER
60505014708 loratadine LORATADINE 10 MG TABLET APOTEX CORP
62011034801 loratadine HM CHILD LORATADINE 5 MG/5 ML HM-STRATEGIC SO
62011024801 loratadine HM LORATADINE 10 MG TABLET HM-STRATEGIC SO
55
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011024802 loratadine HM LORATADINE 10 MG TABLET HM-STRATEGIC SO
62011024803 loratadine HM LORATADINE 10 MG TABLET HM-STRATEGIC SO
62011024804 loratadine HM LORATADINE 10 MG TABLET HM-STRATEGIC SO
62011024805 loratadine HM LORATADINE 10 MG TABLET HM-STRATEGIC SO
62011037101 loratadine HM CHILD ALLERGY RLF 5 MG CHEW HM-STRATEGIC SO
63868015101 loratadine QC LORATADINE 10 MG TABLET CHAIN DRUG
63868015110 loratadine QC LORATADINE 10 MG TABLET CHAIN DRUG
63868015130 loratadine QC LORATADINE 10 MG TABLET CHAIN DRUG
16571082203 loratadine LORATADINE 10 MG TABLET RISING PHARM
16571082201 loratadine LORATADINE 10 MG TABLET RISING PHARM
16571082230 loratadine LORATADINE 10 MG TABLET RISING PHARM
45802065087 loratadine LORATADINE 10 MG TABLET PERRIGO CO.
45802065065 loratadine LORATADINE 10 MG TABLET PERRIGO CO.
45802065078 loratadine LORATADINE 10 MG TABLET PERRIGO CO.
00121084940 loratadine CHILD LORATADINE 10 MG/10 ML PHARM ASSOC INC
00121084910 loratadine CHILD LORATADINE 10 MG/10 ML PHARM ASSOC INC
00904676720 loratadine CHILD LORATADINE 5 MG/5 ML SOL MAJOR PHARMACEU
00904685260 loratadine LORATADINE 10 MG TABLET MAJOR PHARMACEU
00904685207 loratadine LORATADINE 10 MG TABLET MAJOR PHARMACEU
00904685261 loratadine LORATADINE 10 MG TABLET MAJOR PHARMACEU
00904685272 loratadine LORATADINE 10 MG TABLET MAJOR PHARMACEU
00904685289 loratadine LORATADINE 10 MG TABLET MAJOR PHARMACEU
16714089801 loratadine LORATADINE 10 MG TABLET NORTHSTAR RX LL
16714089802 loratadine LORATADINE 10 MG TABLET NORTHSTAR RX LL
16714089803 loratadine LORATADINE 10 MG TABLET NORTHSTAR RX LL
51660052601 loratadine ALLERGY (LORATADINE) 10 MG TAB OHM LABS.
51660052605 loratadine ALLERGY (LORATADINE) 10 MG TAB OHM LABS.
51660052630 loratadine ALLERGY (LORATADINE) 10 MG TAB OHM LABS.
51660052631 loratadine ALLERGY (LORATADINE) 10 MG TAB OHM LABS.
51660052653 loratadine ALLERGY (LORATADINE) 10 MG TAB OHM LABS.
51660052660 loratadine ALLERGY (LORATADINE) 10 MG TAB OHM LABS.
51660011231 loratadine CHILD LORATADINE 5 MG TAB CHEW OHM LABS.
51660075431 loratadine CHILD LORATADINE 5 MG TAB CHEW OHM LABS.
51672207308 loratadine LORATADINE 5 MG/5 ML SYRUP TARO PHARM USA
51672208508 loratadine LORATADINE 5 MG/5 ML SYRUP TARO PHARM USA
51672209208 loratadine CHILD LORATADINE 5 MG/5 ML SYR TARO PHARM USA
51672213108 loratadine CHILD LORATADINE 5 MG/5 ML SOL TARO PHARM USA
68001044998 loratadine LORATADINE 5 MG/5 ML SOLUTION BLUEPOINT LABOR
68001043800 loratadine LORATADINE 10 MG TABLET BLUEPOINT LABOR
68001043804 loratadine LORATADINE 10 MG TABLET BLUEPOINT LABOR
68001043816 loratadine LORATADINE 10 MG TABLET BLUEPOINT LABOR
56
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
68001043896 loratadine LORATADINE 10 MG TABLET BLUEPOINT LABOR
68001043897 loratadine LORATADINE 10 MG TABLET BLUEPOINT LABOR
46122038322 loratadine/pseudoephedrine ALLERGY-CONGES RELF ER TABLET AMERISOURCE-GNP
51660072415 loratadine/pseudoephedrine ALLERGY RELIEF-NASAL DECONG TB OHM LABS.
70000016202 loratadine/pseudoephedrine ALLERGY RELIEF D-24HR TABLET LEADER
70000050401 loratadine/pseudoephedrine ALLERGY RELIEF D-12 TABLET LEADER
70000050402 loratadine/pseudoephedrine ALLERGY RELIEF D-12 TABLET LEADER
70000050403 loratadine/pseudoephedrine ALLERGY RELIEF D-12 TABLET LEADER
49348054301 loratadine/pseudoephedrine SM LORATA-DINE D 24HR TABLET SM-STRATEGIC SO
70677003601 loratadine/pseudoephedrine SM LORATADINE-D 12 HOUR TABLET SM-STRATEGIC SO
62011007101 loratadine/pseudoephedrine HM ALLERGY RLF-NASAL DECONG TB HM-STRATEGIC SO
62011035401 loratadine/pseudoephedrine HM ALLERGY-CONGESTION 12HR TAB HM-STRATEGIC SO
63868015410 loratadine/pseudoephedrine QC LORATADINE-D 24HR TABLET CHAIN DRUG
70000016201 loratadine/pseudoephedrine ALLERGY RELIEF D-24HR TABLET LEADER
45802012265 loratadine/pseudoephedrine LORATADINE-D 12 HOUR TABLET PERRIGO CO.
00113200760 loratadine/pseudoephedrine ALLERGY-CONGESTION RLF 12H TAB PERRIGO CO.
45802012246 loratadine/pseudoephedrine LORATADINE-D 12 HOUR TABLET PERRIGO CO.
45802012260 loratadine/pseudoephedrine LORATADINE-D 12 HOUR TABLET PERRIGO CO.
00904583315 loratadine/pseudoephedrine LORATADINE-D 24HR TABLET MAJOR PHARMACEU
00904583348 loratadine/pseudoephedrine LORATADINE-D 24HR TABLET MAJOR PHARMACEU
51660072469 loratadine/pseudoephedrine ALLERGY RELIEF-NASAL DECONG TB OHM LABS.
46122016752 loratadine/pseudoephedrine ALLERGY-CONGES RELF ER TABLET AMERISOURCE-GNP
70211070433 m-salicy/aloe/menthol/eucalypt COATS ALOE ANALGESIC LINIMENT TYCHASIS CORPOR
70211070408 m-salicy/aloe/menthol/eucalypt COATS ALOE ANALGESIC LINIMENT TYCHASIS CORPOR
51645087510 m-vit,tx,iron,mins/calc/folic THERA-M CAPLET PLUS PHARMA,INC
51645087599 m-vit,tx,iron,mins/calc/folic THERA-M CAPLET PLUS PHARMA,INC
51645087513 m-vit,tx,iron,mins/calc/folic THERA-M CAPLET PLUS PHARMA,INC
00088117312 mag carb/aluminum hydrox/algin GAVISCON EXTRA STRENGTH LIQUID GSK CONSUMER HE
00904772714 mag carb/aluminum hydrox/algin ACID GONE ANTACID LIQUID MAJOR PHARMACEU
70000036301 mag carb/aluminum hydrox/algin HEARTBURN RELIEF LIQUID LEADER
24385039740 mag carb/aluminum hydrox/algin FOAMING ANTACID LIQUID AMERISOURCE-GNP
00088117112 mag carb/aluminum hydrox/algin GAVISCON LIQUID GSK CONSUMER HE
49348015339 mag hydrox/aluminum hyd/simeth SM ADV ANTACID-ANTIGAS LIQUID SM-STRATEGIC SO
70677011501 mag hydrox/aluminum hyd/simeth SM ANTACID-ANTIGAS LIQUID SM-STRATEGIC SO
49348030239 mag hydrox/aluminum hyd/simeth SM ADV ANTACID-ANTIGAS SUSP SM-STRATEGIC SO
49348030339 mag hydrox/aluminum hyd/simeth SM ANTACID MAX STRENGTH SUSP SM-STRATEGIC SO
63739015910 mag hydrox/aluminum hyd/simeth MAG-AL PLUS SUSPENSION CUP MCKESSON PACKAG
63739015977 mag hydrox/aluminum hyd/simeth MAG-AL PLUS SUSPENSION CUP MCKESSON PACKAG
00113085140 mag hydrox/aluminum hyd/simeth GS ADV ANTACID-ANTIGAS LIQUID PERRIGO/GOODSEN
00113035740 mag hydrox/aluminum hyd/simeth GS ANTACID PLUS ANTI-GAS LIQ PERRIGO/GOODSEN
00113034040 mag hydrox/aluminum hyd/simeth GS ANTACID-SIMETHICONE LIQUID PERRIGO/GOODSEN
57
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00113058840 mag hydrox/aluminum hyd/simeth GS ANTACID PLUS ANTI-GAS SUSP PERRIGO/GOODSEN
66689006001 mag hydrox/aluminum hyd/simeth ALUM-MAG HYDROXIDE-SIMETH SUSP VISTAPHARM
66689006099 mag hydrox/aluminum hyd/simeth ALUM-MAG HYDROXIDE-SIMETH SUSP VISTAPHARM
66689006101 mag hydrox/aluminum hyd/simeth AL-MAG HYDROX-SIMETH MAX SUSP VISTAPHARM
66689006199 mag hydrox/aluminum hyd/simeth AL-MAG HYDROX-SIMETH MAX SUSP VISTAPHARM
62011029201 mag hydrox/aluminum hyd/simeth HM ANTACID-ANTIGAS SUSPENSION HM-STRATEGIC SO
62011045901 mag hydrox/aluminum hyd/simeth HM ANTACID-ANTIGAS SUSPENSION HM-STRATEGIC SO
62011014901 mag hydrox/aluminum hyd/simeth HM ANTACID ANTI-GAS SUSPENSION HM-STRATEGIC SO
62011012201 mag hydrox/aluminum hyd/simeth HM ADV ANTACID-ANTIGAS SUSP HM-STRATEGIC SO
63868069457 mag hydrox/aluminum hyd/simeth QC ANTACID-ANTIGAS SUSPENSION CHAIN DRUG
63868071257 mag hydrox/aluminum hyd/simeth QC ANTACID SUSPENSION CHAIN DRUG
63868071557 mag hydrox/aluminum hyd/simeth QC ANTACID-ANTIGAS MAX STR CHAIN DRUG
70000006301 mag hydrox/aluminum hyd/simeth ANTACID-ANTIGAS LIQUID LEADER
00121176130 mag hydrox/aluminum hyd/simeth MAG-AL PLUS SUSPENSION PHARM ASSOC INC
00121176230 mag hydrox/aluminum hyd/simeth MAG-AL PLUS XS SUSPENSION PHARM ASSOC INC
00536131783 mag hydrox/aluminum hyd/simeth ANTACID-ANTIGAS LIQUID RUGBY
00536129383 mag hydrox/aluminum hyd/simeth ANTACID-ANTIGAS LIQUID RUGBY
00536131883 mag hydrox/aluminum hyd/simeth ANTACID ANTI-GAS LIQUID RUGBY
00536001583 mag hydrox/aluminum hyd/simeth ALMACONE-2 LIQUID RUGBY
00904683873 mag hydrox/aluminum hyd/simeth ALUM-MAG HYDROXIDE-SIMETH SUSP MAJOR PHARMACEU
00904572514 mag hydrox/aluminum hyd/simeth MINTOX MAXIMUM STRENGTH SUSP MAJOR PHARMACEU
00904683973 mag hydrox/aluminum hyd/simeth AL-MAG HYDROX-SIMETH MAX SUSP MAJOR PHARMACEU
00904670060 mag hydrox/aluminum hyd/simeth MINTOX PLUS TABLET CHEWABLE MAJOR PHARMACEU
70000042201 mag hydrox/aluminum hyd/simeth ANTACID ANTI-GAS MAX STR LIQ LEADER
70000006201 mag hydrox/aluminum hyd/simeth ANTACID ANTI-GAS MAX STR LIQ LEADER
46122043240 mag hydrox/aluminum hyd/simeth ANTACID ANTI-GAS LIQUID AMERISOURCE-GNP
46122043140 mag hydrox/aluminum hyd/simeth ANTACID ANTI-GAS LIQUID AMERISOURCE-GNP
46122043340 mag hydrox/aluminum hyd/simeth ANTACID LIQUID AMERISOURCE-GNP
46122043440 mag hydrox/aluminum hyd/simeth ANTACID-ANTIGAS SUSPENSION AMERISOURCE-GNP
46122015078 magnesium carb/aluminum hydrox ANTACID EXTRA STRENGTH CHW TAB AMERISOURCE-GNP
70000023401 magnesium carb/aluminum hydrox ANTACID EX-STR TABLET CHEW LEADER
63868099601 magnesium carb/aluminum hydrox QC HEARTBURN ANTACID CHEW TAB CHAIN DRUG
00088117447 magnesium carb/aluminum hydrox GAVISCON ES TABLET CHEW GSK CONSUMER HE
00904536560 magnesium carb/aluminum hydrox ACID GONE TABLET CHEW MAJOR PHARMACEU
00187526701 magnesium carbonate MAGONATE 54 MG/5 ML LIQUID BAUSCH HEALTH U
67618011220 magnesium chloride SLOW-MAG 71.5 MG TABLET PURDUE PROD LP
67618010760 magnesium chloride SLOW-MAG 71.5 MG TABLET PURDUE PROD LP
69315020906 magnesium chloride NU-MAG 71.5 MG TABLET LEADING PHARMA
70677005301 magnesium citrate SM MAGNESIUM CITRATE SOLUTION SM-STRATEGIC SO
70677005101 magnesium citrate SM MAGNESIUM CITRATE SOLUTION SM-STRATEGIC SO
63868094410 magnesium citrate QC MAGNESIUM CITRATE SOLUTION CHAIN DRUG
58
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000042401 magnesium citrate MAGNESIUM CITRATE SOLUTION LEADER
70000057601 magnesium citrate MAGNESIUM CITRATE SOLUTION LEADER
70000057501 magnesium citrate MAGNESIUM CITRATE SOLUTION LEADER
00904678744 magnesium citrate MAGNESIUM CITRATE SOLUTION MAJOR PHARMACEU
67618011760 magnesium citrate SLOWMAG MUSCLE RECOVERY GUMMY AVRIO HEALTH L.
62011038001 magnesium citrate HM MAGNESIUM CITRATE SOLUTION HM-STRATEGIC SO
62011038101 magnesium citrate HM MAGNESIUM CITRATE SOLUTION HM-STRATEGIC SO
63868093410 magnesium citrate QC MAGNESIUM CITRATE SOLUTION CHAIN DRUG
63868093510 magnesium citrate QC MAGNESIUM CITRATE SOLUTION CHAIN DRUG
60258017201 magnesium gluconate MAG-G 500 MG TABLET CYPRESS PHARM.
00113039640 magnesium hydroxide GS MILK OF MAGNESIA SUSPENSION PERRIGO/GOODSEN
00113094940 magnesium hydroxide GS MILK OF MAGNESIA SUSPENSION PERRIGO/GOODSEN
00113033240 magnesium hydroxide GS MILK OF MAGNESIA SUSPENSION PERRIGO/GOODSEN
46122043640 magnesium hydroxide MILK OF MAGNESIA SUSPENSION AMERISOURCE-GNP
46122043540 magnesium hydroxide MILK OF MAGNESIA SUSPENSION AMERISOURCE-GNP
46122043740 magnesium hydroxide MILK OF MAGNESIA SUSPENSION AMERISOURCE-GNP
70000006101 magnesium hydroxide MILK OF MAGNESIA SUSPENSION LEADER
70000006501 magnesium hydroxide MILK OF MAGNESIA SUSPENSION LEADER
69339015317 magnesium hydroxide MILK OF MAGNESIA SUSPENSION DASH PHARMACEUT
69339015301 magnesium hydroxide MILK OF MAGNESIA SUSPENSION DASH PHARMACEUT
49348017138 magnesium hydroxide SM MILK OF MAGNESIA SUSPENSION SM-STRATEGIC SO
49348030539 magnesium hydroxide SM MILK OF MAGNESIA SUSPENSION SM-STRATEGIC SO
49348030839 magnesium hydroxide SM MILK OF MAGNESIA SUSPENSION SM-STRATEGIC SO
66689005301 magnesium hydroxide MILK OF MAGNESIA SUSPENSION VISTAPHARM
66689005399 magnesium hydroxide MILK OF MAGNESIA SUSPENSION VISTAPHARM
62011012301 magnesium hydroxide HM MILK OF MAGNESIA SUSPENSION HM-STRATEGIC SO
62011012401 magnesium hydroxide HM MILK OF MAGNESIA SUSPENSION HM-STRATEGIC SO
60687042945 magnesium hydroxide MILK OF MAGNESIA SUSPENSION AHP
60687042951 magnesium hydroxide MILK OF MAGNESIA SUSPENSION AHP
60687042976 magnesium hydroxide MILK OF MAGNESIA SUSPENSION AHP
63868031012 magnesium hydroxide QC MILK OF MAGNESIA SUSPENSION CHAIN DRUG
00121094000 magnesium hydroxide MILK OF MAGNESIA CONCENTRATED PHARM ASSOC INC
00121094010 magnesium hydroxide MILK OF MAGNESIA CONCENTRATED PHARM ASSOC INC
00121052710 magnesium hydroxide MILK OF MAGNESIA CONCENTRATED PHARM ASSOC INC
00121043130 magnesium hydroxide MILK OF MAGNESIA SUSPENSION PHARM ASSOC INC
00132000655 magnesium hydroxide FLEET PEDIA-LAX TABLET CHEW FLEET,C.B. CO.
00132065501 magnesium hydroxide FLEET PEDIA-LAX TABLET CHEW FLEET,C.B. CO.
00536247085 magnesium hydroxide MILK OF MAGNESIA SUSPENSION RUGBY
00536131983 magnesium hydroxide MILK OF MAGNESIA SUSPENSION RUGBY
00904684072 magnesium hydroxide MILK OF MAGNESIA CONCENTRATED MAJOR PHARMACEU
00904684673 magnesium hydroxide MILK OF MAGNESIA SUSPENSION MAJOR PHARMACEU
59
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00904078816 magnesium hydroxide MILK OF MAGNESIA SUSPENSION MAJOR PHARMACEU
00603021321 magnesium oxide MAGNESIUM OXIDE 420 MG TABLET QUALITEST/PAR P
51645078508 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET PLUS PHARMA,INC
51645078510 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET PLUS PHARMA,INC
00904423960 magnesium oxide MAGNESIUM OXIDE 500 MG TABLET MAJOR PHARMACEU
64980033990 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET RISING PHARM
64980033901 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET RISING PHARM
64980033912 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET RISING PHARM
51645078599 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET PLUS PHARMA,INC
00603020922 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET QUALITEST/PAR P
69367027102 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET WESTMINSTER PHA
69367029820 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET WESTMINSTER PHA
69543021712 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET VIRTUS PHARMACE
63739005802 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET MCKESSON PACKAG
51991008136 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET BRECKENRIDGE
58657012012 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET METHOD PHARMACE
60258017101 magnesium oxide MAGNESIUM OXIDE 400 MG TABLET CYPRESS PHARM.
00486113201 magnesium oxide/vit B6 BEELITH TABLET BEACH PRODUCTS
62011036201 magnesium sulfate HM EPSOM SALT HM-STRATEGIC SO
70000002102 magnesium sulfate EPSOM SALT LEADER
70000002101 magnesium sulfate EPSOM SALT LEADER
70677003801 magnesium sulfate EPSOM SALT SM-STRATEGIC SO
46122046143 magnesium sulfate EPSOM SALT GRANULES AMERISOURCE-GNP
00121176030 magnesium, aluminum hydroxide MAG-AL LIQUID PHARM ASSOC INC
46122053551 meclizine HCl MOTION SICKNESS RLF 25 MG TAB AMERISOURCE-GNP
51645099401 meclizine HCl MECLIZINE 25 MG TABLET CHEW PLUS PHARMA,INC
00536129910 meclizine HCl MECLIZINE 25 MG TABLET CHEW RUGBY
00536129901 meclizine HCl MECLIZINE 25 MG TABLET CHEW RUGBY
00536129710 meclizine HCl MECLIZINE 12.5 MG CAPLET RUGBY
00536129701 meclizine HCl MECLIZINE 12.5 MG CAPLET RUGBY
24689013901 meclizine HCl MECLIZINE 25 MG TABLET APNAR PHARMA, L
24689013801 meclizine HCl MECLIZINE 12.5 MG TABLET APNAR PHARMA, L
16571075201 meclizine HCl MECLIZINE 25 MG TABLET RISING PHARM
16571075101 meclizine HCl MECLIZINE 12.5 MG TABLET RISING PHARM
62011034501 meclizine HCl HM MOTION RELIEF 25 MG TABLET HM-STRATEGIC SO
68001052908 meclizine HCl MECLIZINE 25 MG TABLET CHEW BLUEPOINT LABOR
68001052900 meclizine HCl MECLIZINE 25 MG TABLET CHEW BLUEPOINT LABOR
68001052800 meclizine HCl MECLIZINE 12.5 MG TABLET BLUEPOINT LABOR
70677002601 meclizine HCl SM MOTION SICKNESS 25 MG TAB SM-STRATEGIC SO
49483033310 meclizine HCl MOTION-TIME 25 MG TABLET CHEW TIME-CAP LABS
49483033301 meclizine HCl MOTION-TIME 25 MG TABLET CHEW TIME-CAP LABS
60
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000009701 meclizine HCl MOTION SICKNESS RLF 25 MG TAB LEADER
51645099410 meclizine HCl MECLIZINE 25 MG TABLET CHEW PLUS PHARMA,INC
46017005228 melaton/genistein/herb no.233 MIDNITE MENOPAUSE CHEWABLE TAB MEDA CONSUMER H
46017005010 melatonin/herbal no.233 MIDNITE CHEWABLE TABLET MEDA CONSUMER H
46017005030 melatonin/herbal no.233 MIDNITE CHEWABLE TABLET MEDA CONSUMER H
70000036701 menthol COLD-HOT EXTRA STR 5% PATCH LEADER
00536106139 menthol BLUE 2% GEL RUGBY
24385022540 menthol THERAPEUTIC BLUE GEL AMERISOURCE-GNP
46122065721 menthol GNP COLD THERAPY 10.5% SPRAY AMERISOURCE-GNP
70000026001 menthol ICE BLUE 2% GEL LEADER
00536133215 menthol MENTHOL COLD-HOT 5% PATCH RUGBY
59088048807 menthol/camphor CAMPHOTROL 4%-10% ROLL-ON GEL PURETEK CORPORA
70000054601 menthol/camphor ANTI-ITCH 0.5%-0.5% LOTION LEADER
59088028307 menthol/camphor CAMPHOTREX 4%-10% ROLL-ON GEL PURETEK CORPORA
00536126812 menthol/camphor ANTI-ITCH 0.5%-0.5% LOTION RUGBY
46122057310 menthol/camphor ANTI-ITCH 0.5%-0.5% LOTION AMERISOURCE-GNP
64980032212 menthol/zinc oxide RISAMINE OINTMENT RISING PHARM
46122062262 methenamine/sodium salicylate GNP ANTIBACTRL-URINARY PAIN TB AMERISOURCE-GNP
70000036801 methyl salicylate/menth/camph PAIN RELIEVING 3.1-6-10% PATCH LEADER
46122039272 methyl salicylate/menth/camph GNP MED RELIEF 3.1-6-10% PATCH AMERISOURCE-GNP
70000020802 methyl salicylate/menth/camph MUSCLE RUB ULTRA STR CREAM LEADER
63868069204 methyl salicylate/menth/camph QC PAIN RELIEVING CREAM CHAIN DRUG
70512010460 methyl salicylate/menth/camph NEURACIN 4%-30%-10% GEL SOLA PHARMACEUT
46122064513 methyl salicylate/menth/camph GNP MED RELIEF 3.1-6-10% PATCH AMERISOURCE-GNP
70000020801 methyl salicylate/menth/camph MUSCLE RUB ULTRA STR CREAM LEADER
00178035003 methyl salicylate/menthol THERA-GESIC PLUS CREME MISSION PHARM.
00178032003 methyl salicylate/menthol THERA-GESIC 1%-15% CREME MISSION PHARM.
45802017453 methyl salicylate/menthol MUSCLE RUB CREAM PERRIGO CO.
24385024154 methyl salicylate/menthol COLD & HOT PAIN RELIEF BALM AMERISOURCE-GNP
00536110145 methyl salicylate/menthol PAIN RELIEVING 1%-15% CREAM RUGBY
00536134957 methyl salicylate/menthol MUSCLE RUB 15%-10% CREAM RUGBY
11527005740 methyl salicylate/menthol MUSCLE RUB CREAM SHEFFIELD PHARM
00178032005 methyl salicylate/menthol THERA-GESIC 1%-15% CREME MISSION PHARM.
59088043405 methyl salicylate/menthol CAPASIL 2%-10% CREAM PURETEK CORPORA
00068042017 methylcellulose CITRUCEL POWDER S-F GSK CONSUMER HE
49348054110 methylcellulose SM FIBER LAXATIVE 500 MG CPLT SM-STRATEGIC SO
62011013401 methylcellulose HM FIBER 500 MG CAPLET HM-STRATEGIC SO
24385046678 methylcellulose FIBER THERAPY 500 MG CAPLET AMERISOURCE-GNP
00904567516 methylcellulose (with sugar) FIBER THERAPY POWDER MAJOR PHARMACEU
00113008100 miconazole nitrate GS MICONAZOLE 3 COMBO PACK PERRIGO/GOODSEN
51672203506 miconazole nitrate MICONAZOLE 2% VAGINAL CREAM TARO PHARM USA
61
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00113082529 miconazole nitrate GS MICONAZOLE 7 CREAM PERRIGO/GOODSEN
00113021429 miconazole nitrate GS MICONAZOLE 7 CREAM PERRIGO/GOODSEN
51672200101 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM TARO PHARM USA
51672200102 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM TARO PHARM USA
00904773445 miconazole nitrate MICONAZOLE 7 CREAM MAJOR PHARMACEU
00904541501 miconazole nitrate MICONAZOLE 3 COMBO PACK MAJOR PHARMACEU
00536113428 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM RUGBY
63868019845 miconazole nitrate QC MICONAZOLE-7 CREAM CHAIN DRUG
61269073063 miconazole nitrate MICONAZOLE 7 CREAM H2 PHARMA LLC
24385060602 miconazole nitrate MICONAZOLE 3 COMBO PACK AMERISOURCE-GNP
46122044427 miconazole nitrate GNP MICONAZRB AF 2% POWDER AMERISOURCE-GNP
24385059029 miconazole nitrate MICONAZOLE 7 CREAM AMERISOURCE-GNP
46122057702 miconazole nitrate GNP MICONAZOLE 1 COMBO PACK AMERISOURCE-GNP
00884029301 miconazole nitrate FUNGOID 2% TINCTURE BAUSCH HEALTH U
70000002501 miconazole nitrate MICONAZOLE 3 COMBO PACK LEADER
70000002502 miconazole nitrate MICONAZOLE 3 COMBO PACK LEADER
70000032301 miconazole nitrate ANTIFUNGAL 2% POWDER LEADER
70000032101 miconazole nitrate ATHLETE'S FOOT 2% POWDER SPRAY LEADER
70000034001 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM LEADER
70000000901 miconazole nitrate MICONAZOLE-7 CREAM LEADER
49348083361 miconazole nitrate SM MICONAZOLE 7 100 MG VAG SUP SM-STRATEGIC SO
49348035543 miconazole nitrate SM MICONAZOLE 3 COMBO PACK SM-STRATEGIC SO
49348064573 miconazole nitrate SM MICONAZOLE 3 COMBO PACK SM-STRATEGIC SO
49348068972 miconazole nitrate SM MICONAZOLE 2% TOPICAL CREAM SM-STRATEGIC SO
49348087277 miconazole nitrate SM MICONAZOLE 2% VAGINAL CREAM SM-STRATEGIC SO
49348053077 miconazole nitrate SM MICONAZOLE 7 CREAM SM-STRATEGIC SO
59088044207 miconazole nitrate MYCOZYL AP 2% POWDER PURETEK CORPORA
59088047807 miconazole nitrate MICOTRIN AP 2% POWDER PURETEK CORPORA
68001048145 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM BLUEPOINT LABOR
68001048147 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM BLUEPOINT LABOR
68001048148 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM BLUEPOINT LABOR
68599020703 miconazole nitrate THERA ANTIFUNGAL 2% POWDER MCKESSON MEDICA
68599020604 miconazole nitrate THERA ANTIFUNGAL 2% CREAM MCKESSON MEDICA
61269073607 miconazole nitrate MICONAZOLE 7 100 MG VAG SUPP H2 PHARMA LLC
61269073542 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM H2 PHARMA LLC
61269073514 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM H2 PHARMA LLC
61269073556 miconazole nitrate MICONAZOLE 2% TOPICAL CREAM H2 PHARMA LLC
61269073041 miconazole nitrate MICONAZOLE 7 CREAM H2 PHARMA LLC
59088077800 miconazole nitrate/tolnaftate MICONATATE 2%-1% KIT PURETEK CORPORA
70000044801 mineral oil MINERAL OIL LEADER
63868093816 mineral oil QC MINERAL OIL HEAVY CHAIN DRUG
62
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00259600516 mineral oil MAPO BATH OIL MERZ
46122039516 mineral oil MINERAL OIL AMERISOURCE-GNP
46287050816 mineral oil/hydrophil petrolat PETROLATUM BASE OINTMENT CMP PHARMA, INC
00904775216 mineral oil/i-prop myr/water MINERIN LOTION MAJOR PHARMACEU
00904530016 mineral oil/petrolat,wht/water LUBRISOFT LOTION MAJOR PHARMACEU
17478006235 mineral oil/petrolatum,white ARTIFICIAL TEARS EYE OINTMENT AKORN INC.
00023031204 mineral oil/petrolatum,white REFRESH LACRI-LUBE OINTMENT ALLERGAN INC.
00023031207 mineral oil/petrolatum,white REFRESH LACRI-LUBE OINTMENT ALLERGAN INC.
00023024004 mineral oil/petrolatum,white REFRESH P.M. OINTMENT ALLERGAN INC.
00904648838 mineral oil/petrolatum,white LUBRIFRESH PM EYE OINTMENT MAJOR PHARMACEU
70000051301 mineral oil/petrolatum,white LUBRICANT EYE OINTMENT LEADER
46287050704 mineral oil/petrolatum,white ABSORBASE OINTMENT CMP PHARMA, INC
46287050716 mineral oil/petrolatum,white ABSORBASE OINTMENT CMP PHARMA, INC
00065050935 mineral oil/petrolatum,white SYSTANE NIGHTTIME EYE OINTMENT ALCON CONSUMER
00065051801 mineral oil/petrolatum,white GENTEAL TEARS SEVERE 3-94% OIN ALCON CONSUMER
46017007710 mineral,lanolin oils/prop glyc BALNEOL CLEANSING LOTION PKT MEDA CONSUMER H
46017007703 mineral,lanolin oils/prop glyc BALNEOL CLEANSING LOTION MEDA CONSUMER H
75854030730 multivit 38/folate no.6/ginger PRENATE AM TABLET AVION PHARMACEU
42192032130 multivit 47/iron/folate 1/dha PNV-DHA SOFTGEL ACELLA PHARMACE
69543034030 multivit 47/iron/folate 1/dha VIRT-PN DHA SOFTGEL VIRTUS PHARMACE
69367031630 multivit 47/iron/folate 1/dha WESCAP-PN DHA CAPSULE WESTMINSTER PHA
13811058030 multivit 47/iron/folate 1/dha ZATEAN-PN DHA CAPSULE TRIGEN LABORATO
75854031330 multivit no.40/iron/folat1/dha PRENATE ESSENTIAL SOFTGEL AVION PHARMACEU
50967041030 multivit no.42/iron/folate/dha NESTABS ONE SOFTGEL WOMEN'S CHOICE
60258017901 multivit no.51/iron/folic acid PRENATAL-U CAPSULE CYPRESS PHARM.
00536475011 multivit with iron,minerals UNICOMPLEX-M TABLET RUGBY
00904549280 multivit,calc,mins/iron/folic THERA-M TABLET MAJOR PHARMACEU
46122012378 multivit,calc,mins/iron/folic ONE DAILY WOMEN'S HEALTH TAB AMERISOURCE-GNP
00536466110 multivit,calc,mins/iron/folic THEREMS-M TABLET RUGBY
46122009979 multivit,calc,mins/iron/folic THERAPEUTIC-M CAPLET AMERISOURCE-GNP
00536466138 multivit,calc,mins/iron/folic THEREMS-M TABLET RUGBY
00904549261 multivit,calc,mins/iron/folic THERA M PLUS TABLET MAJOR PHARMACEU
00642020410 multivit,iron,min 5/folic acid STROVITE FORTE CAPLET EXELTIS USA, IN
59088011459 multivit-min 62/iron fum/folic PUREFE PLUS CAPSULE PURETEK CORPORA
00065804083 multivit-min/FA/lutein/zeaxant ICAPS MV TABLET ALCON CONSUMER
00904548652 multivit-min/FA/lycopen/lutein CERTAVITE SENIOR TABLET MAJOR PHARMACEU
50268070315 multivit-min/FA/lycopen/lutein SENTRY SENIOR TABLET AVPAK
50268070311 multivit-min/FA/lycopen/lutein SENTRY SENIOR TABLET AVPAK
00536344508 multivit-min/FA/lycopen/lutein CEROVITE SENIOR TABLET RUGBY
54838001070 multivit-min/ferrous gluconate CENTAMIN LIQUID SILARX/LANNETT
00054034462 multivit-min/ferrous gluconate CENTRUM MULTIVIT-MINERAL LIQ PFIZER CONS.HLT
63
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00054075664 multivit-min/iron/folic/lutein CENTRUM SILVER WOMEN TABLET PFIZER CONS.HLT
68025001010 multivit-min69/iron/folic acid OB COMPLETE CAPLET VERTICAL/AVION
13811002710 multivit-min69/iron/folic acid ELITE-OB CAPLET TRIGEN LABORATO
46122009678 multivit-minerals/FA/lycopene ONE DAILY TABLET AMERISOURCE-GNP
46122012471 multivit-minerals/folic/ginkgo ONE DAILY WOMEN'S 50+ TABLET AMERISOURCE-GNP
00682300101 multivit-mins no.20/iron/folic BACMIN CAPLET MARNEL/ALLEGIS
00813931601 multivit-mins no.61/iron/folic O-CAL FA TABLET PHARMICS
51991064501 multivit-mins no.7/folic acid V-C FORTE CAPSULE BRECKENRIDGE
75834005001 multivit-mins60/iron fum/folic NIVA-PLUS TABLET NIVAGEN PHARMAC
00904053160 multivit/iron sulf/folic acid TAB-A-VITE MULTIVIT WITH IRON MAJOR PHARMACEU
46122009575 multivit/iron/folic acid/hb179 MEGA MULTI FOR WOMEN TAB AMERISOURCE-GNP
64661065030 multivit41/iron/folate8/ps-dha ENBRACE HR SOFTGEL JAYMAC PHARMA
51645070801 multivitamin ANIMAL CHEWS TABLET PLUS PHARMA,INC
51645074099 multivitamin DAILY VITAMIN FORMULA TABLET PLUS PHARMA,INC
51645074010 multivitamin DAILY VITAMIN FORMULA TABLET PLUS PHARMA,INC
51645074001 multivitamin DAILY VITAMIN FORMULA TABLET PLUS PHARMA,INC
51645074301 multivitamin MULTI-VITAMIN DAILY TABLET PLUS PHARMA,INC
46122012085 multivitamin ONE DAILY ESSENTIAL TABLET AMERISOURCE-GNP
46122012078 multivitamin ONE DAILY ESSENTIAL TABLET AMERISOURCE-GNP
51645074399 multivitamin MULTI-VITAMIN DAILY TABLET PLUS PHARMA,INC
75854030630 multivitamin no.36/folate no.6 PRENATE CHEWABLE TABLET AVION PHARMACEU
46122012002 multivitamin with folic acid ONE DAILY ESSENTIAL TABLET AMERISOURCE-GNP
00536354710 multivitamin with folic acid DAILY-VITE TABLET RUGBY
00904053060 multivitamin with folic acid TAB-A-VITE TABLET MAJOR PHARMACEU
00904053961 multivitamin with folic acid THERA TABLET MAJOR PHARMACEU
00904053061 multivitamin with folic acid TAB-A-VITE TABLET MAJOR PHARMACEU
51645074101 multivitamin with iron DAILY VITAMIN + IRON TABLET PLUS PHARMA,INC
00904053670 multivitamin with iron CHILD CHEW + IRON TAB CHEW MAJOR PHARMACEU
51645074201 multivitamin with minerals DAILY VITAMIN FORMULA TABLET PLUS PHARMA,INC
00904026252 multivitamin,stress formula STRESS FORMULA TABLET MAJOR PHARMACEU
00178055001 multivitamin,therapeutic ONCOVITE TABLET MISSION PHARM.
54838000970 multivitamin/ferrous gluconate MULTI-DELYN WITH IRON LIQUID SILARX/LANNETT
54838000980 multivitamin/ferrous gluconate MULTI-DELYN WITH IRON LIQUID SILARX/LANNETT
46122011978 multivitamin/iron/folic acid ONE DAILY PLUS IRON TABLET AMERISOURCE-GNP
00054045171 multivitamin/iron/folic acid CENTRUM ADULTS TABLET PFIZER CONS.HLT
00054045160 multivitamin/iron/folic acid CENTRUM ADULTS TABLET PFIZER CONS.HLT
51645074110 multivitamin/iron/folic acid DAILY VITAMIN FORMULA-IRON TAB PLUS PHARMA,INC
00904264172 multivitamin/iron/folic acid CERTAVITE-ANTIOXIDANT TABLET MAJOR PHARMACEU
00904264113 multivitamin/iron/folic acid CERTAVITE-ANTIOXIDANT TABLET MAJOR PHARMACEU
58657013601 mv, min 59/iron/folic/docusate THRIVITE 19 TABLET SPROUT PHARMACE
51759000203 mv,iron/folic/D3/om-3/dha/epa PRORENAL QD SOFTGEL NEPHROCEUTICALS
64
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
51759000204 mv,iron/folic/D3/om-3/dha/epa PRORENAL QD SOFTGEL NEPHROCEUTICALS
58914001460 mv-min 51/folic acid/vit K/ubi AQUADEKS CHEWABLE TABLET ACTAVIS U.S. BR
50991023101 mv-min no.9/folic/saw palm frt UDAMIN SP CAPLET POLY PHARMACEUT
51759000206 mv-min/FA/D3/om-3/dha/epa/fish CARDIAMIN MULTIVITAMIN SOFTGEL NEPHROCEUTICALS
51759000205 mv-min/FA/D3/om-3/dha/epa/fish CARDIAMIN MULTIVITAMIN SOFTGEL NEPHROCEUTICALS
24208073510 mv-min/FA/vit K/lycop/lut/zeax OCUVITE EYE PLUS MULTI TABLET BAUSCH HEALTH U
42192033230 mv-mins 71/iron/folic no.1/dha PNV-OMEGA SOFTGEL ACELLA PHARMACE
13811058230 mv-mins 71/iron/folic no.1/dha ZATEAN-PN PLUS SOFTGEL TRIGEN LABORATO
69543024330 mv-mins 71/iron/folic no.1/dha VIRT-PN PLUS SOFTGEL VIRTUS PHARMACE
46122012271 mv-mins/folic/lycopene/ginkgo ONE DAILY MEN'S 50+ TABLET AMERISOURCE-GNP
46122009475 mv-mn/folic acid/lutein/hrb178 MEGA MULTI FOR MEN TABLET AMERISOURCE-GNP
16571072812 mv-mn/folic/Q10/lycopen/lutein ONE-DAILY MULTI CAPS RISING PHARM
24208046530 mv-mn/om3/dha/epa/fish/lut/zea OCUVITE ADULT 50 PLUS SOFTGEL BAUSCH HEALTH U
24208046570 mv-mn/om3/dha/epa/fish/lut/zea OCUVITE ADULT 50 PLUS SOFTGEL BAUSCH HEALTH U
13811053530 mvn-min 74/iron fum/iron/FA FOLIVANE-OB CAPSULE TRIGEN LABORATO
69367031530 mvn-min75/iron/iron ps/om3/dha WESCAP-C DHA SOFTGEL WESTMINSTER PHA
76439033130 mvn-min75/iron/iron ps/om3/dha VIRT-C DHA SOFTGEL VIRTUS PHARMACE
13811053630 mvn-min75/iron/iron ps/om3/dha TARON-C DHA CAPSULE TRIGEN LABORATO
70000001002 naphazoline HCl/glycerin REDNESS RELIEF EYE DROPS LEADER
70000001001 naphazoline HCl/glycerin REDNESS RELIEF EYE DROPS LEADER
62011029701 naphazoline HCl/glycerin HM REDNESS RELIEF EYE DROPS HM-STRATEGIC SO
00065008515 naphazoline HCl/pheniramine NAPHCON-A EYE DROPS ALCON CONSUMER
00065008542 naphazoline HCl/pheniramine NAPHCON-A EYE DROPS ALCON CONSUMER
46122053460 naproxen sodium NAPROXEN SODIUM 220 MG CAPSULE AMERISOURCE-GNP
49348030609 naproxen sodium SM NAPROXEN SOD 220 MG CAPLET SM-STRATEGIC SO
49348030610 naproxen sodium SM NAPROXEN SOD 220 MG CAPLET SM-STRATEGIC SO
49348026009 naproxen sodium SM NAPROXEN SOD 220 MG TABLET SM-STRATEGIC SO
49348026010 naproxen sodium SM NAPROXEN SOD 220 MG TABLET SM-STRATEGIC SO
00113090162 naproxen sodium GS NAPROXEN SOD 220 MG TABLET PERRIGO/GOODSEN
00113090178 naproxen sodium GS NAPROXEN SOD 220 MG TABLET PERRIGO/GOODSEN
00113436862 naproxen sodium GS NAPROXEN SOD 220 MG CAPLET PERRIGO/GOODSEN
00113436878 naproxen sodium GS NAPROXEN SOD 220 MG CAPLET PERRIGO/GOODSEN
62011036901 naproxen sodium HM NAPROXEN SODIUM 220 MG CAP HM-STRATEGIC SO
63868046501 naproxen sodium QC NAPROXEN SOD 220 MG TABLET CHAIN DRUG
63868046550 naproxen sodium QC NAPROXEN SOD 220 MG TABLET CHAIN DRUG
63868046650 naproxen sodium QC NAPROXEN SOD 220 MG CAPLET CHAIN DRUG
70000020102 naproxen sodium ALL DAY PAIN RLF 220 MG CAPLET LEADER
70000020103 naproxen sodium ALL DAY PAIN RLF 220 MG CAPLET LEADER
70000020105 naproxen sodium ALL DAY PAIN RLF 220 MG CAPLET LEADER
70000017101 naproxen sodium ALL DAY PAIN RELIEF 220 MG TAB LEADER
70000017103 naproxen sodium ALL DAY PAIN RELIEF 220 MG TAB LEADER
65
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000017105 naproxen sodium ALL DAY PAIN RELIEF 220 MG TAB LEADER
49483060905 naproxen sodium NAPROXEN SODIUM 220 MG TABLET TIME-CAP LABS
49483060901 naproxen sodium NAPROXEN SODIUM 220 MG TABLET TIME-CAP LABS
45802049075 naproxen sodium NAPROXEN SODIUM 220 MG TABLET PADAGIS
69230031301 naproxen sodium ALL DAY PAIN RELIEF 220 MG TAB CAMBER CONSUMER
69230031305 naproxen sodium ALL DAY PAIN RELIEF 220 MG TAB CAMBER CONSUMER
69230031350 naproxen sodium ALL DAY PAIN RELIEF 220 MG TAB CAMBER CONSUMER
69230030520 naproxen sodium NAPROXEN SODIUM 220 MG CAPSULE CAMBER CONSUMER
69230030580 naproxen sodium NAPROXEN SODIUM 220 MG CAPSULE CAMBER CONSUMER
62011001702 naproxen sodium HM NAPROXEN SOD 220 MG CAPLET HM-STRATEGIC SO
62011001701 naproxen sodium HM NAPROXEN SOD 220 MG CAPLET HM-STRATEGIC SO
45802049078 naproxen sodium NAPROXEN SODIUM 220 MG TABLET PERRIGO CO.
45802049071 naproxen sodium NAPROXEN SODIUM 220 MG TABLET PERRIGO CO.
00536109301 naproxen sodium ALL DAY RELIEF 220 MG CAPLET RUGBY
00536109306 naproxen sodium ALL DAY RELIEF 220 MG CAPLET RUGBY
00536109311 naproxen sodium ALL DAY RELIEF 220 MG CAPLET RUGBY
00536109401 naproxen sodium ALL DAY RELIEF 220 MG TABLET RUGBY
00536109406 naproxen sodium ALL DAY RELIEF 220 MG TABLET RUGBY
46122056481 naproxen sodium GNP NAPROXEN SOD 220 MG CAPLET AMERISOURCE-GNP
46122056478 naproxen sodium GNP NAPROXEN SOD 220 MG CAPLET AMERISOURCE-GNP
46122056471 naproxen sodium GNP NAPROXEN SOD 220 MG CAPLET AMERISOURCE-GNP
00536109411 naproxen sodium ALL DAY RELIEF 220 MG TABLET RUGBY
46122056278 naproxen sodium NAPROXEN SODIUM 220 MG TABLET AMERISOURCE-GNP
46122056271 naproxen sodium GNP NAPROXEN SOD 220 MG TABLET AMERISOURCE-GNP
46122041405 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT AMERISOURCE-GNP
46122041403 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT AMERISOURCE-GNP
70677001301 neomycin/bacitracin/polymyxinB SM TRIPLE ANTIBIOTIC OINTMENT SM-STRATEGIC SO
00113008464 neomycin/bacitracin/polymyxinB GS FIRST AID ANTIBIOTIC OINT PERRIGO/GOODSEN
62011032101 neomycin/bacitracin/polymyxinB HM TRIPLE ANTIBIOTIC OINTMENT HM-STRATEGIC SO
63868035614 neomycin/bacitracin/polymyxinB QC TRIPLE ANTIBIOTIC OINTMENT CHAIN DRUG
70000005801 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT LEADER
70000009401 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT LEADER
70512010230 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT SOLA PHARMACEUT
00713026831 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT COSETTE PHARMAC
45802014301 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT PERRIGO/PADAGIS
45802014303 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT PERRIGO/PADAGIS
45802014300 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT PKT PERRIGO/PADAGIS
45802014370 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT PKT PERRIGO/PADAGIS
51672212001 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT TARO PHARM USA
51672212002 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT TARO PHARM USA
68001048346 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT BLUEPOINT LABOR
66
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
68001048345 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT BLUEPOINT LABOR
68599118302 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT MCKESSON MEDICA
68599118301 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT PKT MCKESSON MEDICA
61269017934 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT H2 PHARMA LLC
61269017956 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT H2 PHARMA LLC
00904073431 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT MAJOR PHARMACEU
00904880567 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT PKT MAJOR PHARMACEU
11527016247 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT SHEFFIELD PHARM
11527016251 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT SHEFFIELD PHARM
11527016255 neomycin/bacitracin/polymyxinB TRIPLE ANTIBIOTIC OINTMENT SHEFFIELD PHARM
49348069069 neomycin/polymyxin B/pramoxine SM ANTIBIOTIC PLUS CREAM SM-STRATEGIC SO
49348060072 neomycn/bacitrc/polymyx/pramox SM TRIPLE ANTIBIOTIC PLUS OINT SM-STRATEGIC SO
62011009901 neomycn/bacitrc/polymyx/pramox HM TRIPLE ANTIBIOTIC PLUS OINT HM-STRATEGIC SO
51672202701 neomycn/bacitrc/polymyx/pramox TRIPLE ANTIBIOTIC PLUS OINTMNT TARO PHARM USA
70000039001 neomycn/bacitrc/polymyx/pramox TRIPLE ANTIBIOTIC-PAIN OINT LEADER
00713062231 neomycn/bacitrc/polymyx/pramox TRIPLE ANTIBIOTIC PLUS OINTMNT COSETTE PHARMAC
51672202702 neomycn/bacitrc/polymyx/pramox TRIPLE ANTIBIOTIC PLUS OINTMNT TARO PHARM USA
24385014303 neomycn/bacitrc/polymyx/pramox TRIPLE ANTIBIOTIC PLUS OINT AMERISOURCE-GNP
63868091001 neomycn/bacitrc/polymyx/pramox QC TRIPLE ANTIBIOTIC-PAIN OINT CHAIN DRUG
00904227260 niacin NIACIN 500 MG TABLET MAJOR PHARMACEU
00536407810 niacin NIACIN 500 MG TABLET RUGBY
00536407701 niacin NIACIN 500 MG CAPSULE SA RUGBY
00536703301 niacin NIACIN 750 MG TABLET SA RUGBY
00536703801 niacin NIACIN ER 1,000 MG TABLET RUGBY
49483001801 niacin NIACIN 500 MG CAPSULE SA TIME-CAP LABS
51645079210 niacin NIACIN 500 MG TABLET PLUS PHARMA,INC
50268058311 niacin NIACIN ER 500 MG TABLET AVPAK
50268058315 niacin NIACIN ER 500 MG TABLET AVPAK
50268058211 niacin NIACIN 100 MG TABLET AVPAK
50268058215 niacin NIACIN 100 MG TABLET AVPAK
51645079201 niacin NIACIN 500 MG TABLET PLUS PHARMA,INC
49483001401 niacin NIACIN SA 250 MG CAPSULE TIME-CAP LABS
60505706300 nicotine NICOTINE 21 MG/24HR PATCH APOTEX CORP
60505709000 nicotine NICOTINE 21 MG/24HR PATCH APOTEX CORP
00536589453 nicotine NICOTINE 7 MG/24HR PATCH RUGBY
00536589488 nicotine NICOTINE 7 MG/24HR PATCH RUGBY
00536110688 nicotine NICOTINE 7 MG/24HR PATCH RUGBY
00536589553 nicotine NICOTINE 14 MG/24HR PATCH RUGBY
00536589571 nicotine NICOTINE 14 MG/24HR PATCH RUGBY
00536589588 nicotine NICOTINE 14 MG/24HR PATCH RUGBY
00536110788 nicotine NICOTINE 14 MG/24HR PATCH RUGBY
67
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536589653 nicotine NICOTINE 21 MG/24HR PATCH RUGBY
00536110888 nicotine NICOTINE 21 MG/24HR PATCH RUGBY
00536589671 nicotine NICOTINE 21 MG/24HR PATCH RUGBY
00536589688 nicotine NICOTINE 21 MG/24HR PATCH RUGBY
63868073414 nicotine QC NICOTINE 14 MG/24HR PATCH CHAIN DRUG
63868073514 nicotine QC NICOTINE 21 MG/24HR PATCH CHAIN DRUG
70000051001 nicotine NICOTINE 7 MG/24HR PATCH LEADER
70000051002 nicotine NICOTINE 7 MG/24HR PATCH LEADER
70000051102 nicotine NICOTINE 14 MG/24HR PATCH LEADER
70000051101 nicotine NICOTINE 14 MG/24HR PATCH LEADER
70000051201 nicotine NICOTINE 21 MG/24HR PATCH LEADER
70000051202 nicotine NICOTINE 21 MG/24HR PATCH LEADER
43598044670 nicotine NICOTINE 7 MG/24HR PATCH DR.REDDY'S LAB
43598044671 nicotine NICOTINE 7 MG/24HR PATCH DR.REDDY'S LAB
43598044674 nicotine NICOTINE 7 MG/24HR PATCH DR.REDDY'S LAB
43598044770 nicotine NICOTINE 14 MG/24HR PATCH DR.REDDY'S LAB
43598044771 nicotine NICOTINE 14 MG/24HR PATCH DR.REDDY'S LAB
43598044774 nicotine NICOTINE 14 MG/24HR PATCH DR.REDDY'S LAB
43598044556 nicotine NICOTINE TRANSDERMAL SYSTEM DR.REDDY'S LAB
43598044828 nicotine NICOTINE 21 MG/24HR PATCH DR.REDDY'S LAB
43598044870 nicotine NICOTINE 21 MG/24HR PATCH DR.REDDY'S LAB
43598044874 nicotine NICOTINE 21 MG/24HR PATCH DR.REDDY'S LAB
68001043288 nicotine NICOTINE 7 MG/24HR PATCH BLUEPOINT LABOR
68001043290 nicotine NICOTINE 7 MG/24HR PATCH BLUEPOINT LABOR
68001043388 nicotine NICOTINE 14 MG/24HR PATCH BLUEPOINT LABOR
68001043390 nicotine NICOTINE 14 MG/24HR PATCH BLUEPOINT LABOR
68001043488 nicotine NICOTINE 21 MG/24HR PATCH BLUEPOINT LABOR
68001043490 nicotine NICOTINE 21 MG/24HR PATCH BLUEPOINT LABOR
68001043491 nicotine NICOTINE 21 MG/24HR PATCH BLUEPOINT LABOR
60505706100 nicotine NICOTINE 7 MG/24HR PATCH APOTEX CORP
60505708800 nicotine NICOTINE 7 MG/24HR PATCH APOTEX CORP
60505706200 nicotine NICOTINE 14 MG/24HR PATCH APOTEX CORP
60505708900 nicotine NICOTINE 14 MG/24HR PATCH APOTEX CORP
46122035474 nicotine NICOTINE 7 MG/24HR PATCH AMERISOURCE-GNP
46122035274 nicotine NICOTINE 14 MG/24HR PATCH AMERISOURCE-GNP
46122056803 nicotine GNP NICOTINE 21 MG/24HR PATCH AMERISOURCE-GNP
46122056807 nicotine GNP NICOTINE 21 MG/24HR PATCH AMERISOURCE-GNP
46122035374 nicotine NICOTINE 21 MG/24HR PATCH AMERISOURCE-GNP
70677003001 nicotine SM NICOTINE 7 MG/24HR PATCH SM-STRATEGIC SO
70677003101 nicotine SM NICOTINE 14 MG/24HR PATCH SM-STRATEGIC SO
70677003201 nicotine SM NICOTINE 21 MG/24HR PATCH SM-STRATEGIC SO
68
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011034901 nicotine HM NICOTINE 7 MG/24HR PATCH HM-STRATEGIC SO
62011035001 nicotine HM NICOTINE 14 MG/24HR PATCH HM-STRATEGIC SO
62011035101 nicotine HM NICOTINE 21 MG/24HR PATCH HM-STRATEGIC SO
43598048727 nicotine polacrilex NICOTINE 4 MG LOZENGE DR.REDDY'S LAB
43598048710 nicotine polacrilex NICOTINE 4 MG LOZENGE DR.REDDY'S LAB
43598048724 nicotine polacrilex NICOTINE 4 MG LOZENGE DR.REDDY'S LAB
43598048772 nicotine polacrilex NICOTINE 4 MG LOZENGE DR.REDDY'S LAB
43598048781 nicotine polacrilex NICOTINE 4 MG LOZENGE DR.REDDY'S LAB
43598048610 nicotine polacrilex NICOTINE 2 MG LOZENGE DR.REDDY'S LAB
43598048624 nicotine polacrilex NICOTINE 2 MG LOZENGE DR.REDDY'S LAB
43598048627 nicotine polacrilex NICOTINE 2 MG LOZENGE DR.REDDY'S LAB
43598048672 nicotine polacrilex NICOTINE 2 MG LOZENGE DR.REDDY'S LAB
43598048681 nicotine polacrilex NICOTINE 2 MG LOZENGE DR.REDDY'S LAB
46122066515 nicotine polacrilex GNP NICOTINE 4 MG MINI LOZENGE AMERISOURCE-GNP
46122025515 nicotine polacrilex NICOTINE 4 MG MINI LOZENGE AMERISOURCE-GNP
46122025560 nicotine polacrilex NICOTINE 4 MG MINI LOZENGE AMERISOURCE-GNP
46122025415 nicotine polacrilex NICOTINE 2 MG MINI LOZENGE AMERISOURCE-GNP
46122066315 nicotine polacrilex GNP NICOTINE 2 MG MINI LOZENGE AMERISOURCE-GNP
46122025460 nicotine polacrilex NICOTINE 2 MG MINI LOZENGE AMERISOURCE-GNP
49348057308 nicotine polacrilex SM NICOTINE 2 MG CHEWING GUM SM-STRATEGIC SO
49348057336 nicotine polacrilex SM NICOTINE 2 MG CHEWING GUM SM-STRATEGIC SO
49348069236 nicotine polacrilex SM NICOTINE 4 MG CHEWING GUM SM-STRATEGIC SO
49348078810 nicotine polacrilex SM NICOTINE 4 MG CHEWING GUM SM-STRATEGIC SO
49348057208 nicotine polacrilex SM NICOTINE 4 MG CHEWING GUM SM-STRATEGIC SO
49348057236 nicotine polacrilex SM NICOTINE 4 MG CHEWING GUM SM-STRATEGIC SO
70677008601 nicotine polacrilex SM NICOTINE 4 MG CHEWING GUM SM-STRATEGIC SO
49348085316 nicotine polacrilex SM NICOTINE 4 MG LOZENGE SM-STRATEGIC SO
70677008801 nicotine polacrilex SM NICOTINE 4 MG LOZENGE SM-STRATEGIC SO
70677009001 nicotine polacrilex SM NICOTINE 4 MG LOZENGE SM-STRATEGIC SO
70677008701 nicotine polacrilex SM NICOTINE 2 MG LOZENGE SM-STRATEGIC SO
49348085216 nicotine polacrilex SM NICOTINE 2 MG LOZENGE SM-STRATEGIC SO
70677008901 nicotine polacrilex SM NICOTINE 2 MG LOZENGE SM-STRATEGIC SO
63739037010 nicotine polacrilex NICOTINE 2 MG CHEWING GUM MCKESSON PACKAG
63739037163 nicotine polacrilex NICOTINE 2 MG CHEWING GUM MCKESSON PACKAG
63739036810 nicotine polacrilex NICOTINE 4 MG CHEWING GUM MCKESSON PACKAG
63739036910 nicotine polacrilex NICOTINE 4 MG CHEWING GUM MCKESSON PACKAG
00113020625 nicotine polacrilex GS NICOTINE 2 MG CHEWING GUM PERRIGO/GOODSEN
00113045660 nicotine polacrilex GS NICOTINE 2 MG CHEWING GUM PERRIGO/GOODSEN
00113002960 nicotine polacrilex GS NICOTINE 2 MG CHEWING GUM PERRIGO/GOODSEN
00113002971 nicotine polacrilex GS NICOTINE 2 MG CHEWING GUM PERRIGO/GOODSEN
00113017060 nicotine polacrilex GS NICOTINE 4 MG CHEWING GUM PERRIGO/GOODSEN
69
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00113042225 nicotine polacrilex GS NICOTINE 4 MG CHEWING GUM PERRIGO/GOODSEN
00113053278 nicotine polacrilex GS NICOTINE 4 MG CHEWING GUM PERRIGO/GOODSEN
00113017071 nicotine polacrilex GS NICOTINE 4 MG CHEWING GUM PERRIGO/GOODSEN
00113053260 nicotine polacrilex GS NICOTINE 4 MG CHEWING GUM PERRIGO/GOODSEN
00113087305 nicotine polacrilex GS NICOTINE 4 MG LOZENGE PERRIGO/GOODSEN
00113087306 nicotine polacrilex GS NICOTINE 4 MG LOZENGE PERRIGO/GOODSEN
00113034405 nicotine polacrilex GS NICOTINE 2 MG LOZENGE PERRIGO/GOODSEN
00113095702 nicotine polacrilex GS NICOTINE 4 MG MINI LOZENGE PERRIGO/GOODSEN
00113095760 nicotine polacrilex GS NICOTINE 4 MG MINI LOZENGE PERRIGO/GOODSEN
00113073402 nicotine polacrilex GS NICOTINE 2 MG MINI LOZENGE PERRIGO/GOODSEN
46122017125 nicotine polacrilex NICOTINE 2 MG CHEWING GUM AMERISOURCE-GNP
46122017360 nicotine polacrilex GNP NICOTINE 2 MG CHEWING GUM AMERISOURCE-GNP
46122028460 nicotine polacrilex GNP NICOTINE 2 MG CHEWING GUM AMERISOURCE-GNP
46122044858 nicotine polacrilex GNP NICOTINE 2 MG CHEWING GUM AMERISOURCE-GNP
46122066478 nicotine polacrilex GNP NICOTINE 2 MG CHEWING GUM AMERISOURCE-GNP
46122017320 nicotine polacrilex NICOTINE 2 MG CHEWING GUM AMERISOURCE-GNP
46122017460 nicotine polacrilex NICOTINE 4 MG CHEWING GUM AMERISOURCE-GNP
46122028660 nicotine polacrilex NICOTINE 4 MG CHEWING GUM AMERISOURCE-GNP
46122066678 nicotine polacrilex GNP NICOTINE 4 MG CHEWING GUM AMERISOURCE-GNP
24385059871 nicotine polacrilex NICOTINE 4 MG CHEWING GUM AMERISOURCE-GNP
46122044958 nicotine polacrilex GNP NICOTINE 4 MG CHEWING GUM AMERISOURCE-GNP
46122017225 nicotine polacrilex NICOTINE 4 MG CHEWING GUM AMERISOURCE-GNP
46122017420 nicotine polacrilex GNP NICOTINE 4 MG CHEWING GUM AMERISOURCE-GNP
46122017708 nicotine polacrilex NICOTINE 4 MG LOZENGE AMERISOURCE-GNP
46122017608 nicotine polacrilex NICOTINE 2 MG LOZENGE AMERISOURCE-GNP
62011004702 nicotine polacrilex HM NICOTINE 2 MG CHEWING GUM HM-STRATEGIC SO
62011042501 nicotine polacrilex HM NICOTINE 2 MG CHEWING GUM HM-STRATEGIC SO
62011017001 nicotine polacrilex HM NICOTINE 4 MG CHEWING GUM HM-STRATEGIC SO
62011042601 nicotine polacrilex HM NICOTINE 4 MG CHEWING GUM HM-STRATEGIC SO
62011042801 nicotine polacrilex HM NICOTINE 4 MG LOZENGE HM-STRATEGIC SO
62011017101 nicotine polacrilex HM NICOTINE 4 MG LOZENGE HM-STRATEGIC SO
62011004801 nicotine polacrilex HM NICOTINE 2 MG LOZENGE HM-STRATEGIC SO
62011042701 nicotine polacrilex HM NICOTINE 2 MG LOZENGE HM-STRATEGIC SO
62011020001 nicotine polacrilex HM NICOTINE 4 MG MINI LOZENGE HM-STRATEGIC SO
62011043001 nicotine polacrilex HM NICOTINE 4 MG MINI LOZENGE HM-STRATEGIC SO
62011042901 nicotine polacrilex HM NICOTINE 2 MG MINI LOZENGE HM-STRATEGIC SO
62011019901 nicotine polacrilex HM NICOTINE 2 MG MINI LOZENGE HM-STRATEGIC SO
45802020625 nicotine polacrilex NICOTINE 2 MG CHEWING GUM PERRIGO CO.
45802000125 nicotine polacrilex NICOTINE 4 MG CHEWING GUM PERRIGO CO.
45802087303 nicotine polacrilex NICOTINE 4 MG LOZENGE PERRIGO CO.
45802087305 nicotine polacrilex NICOTINE 4 MG LOZENGE PERRIGO CO.
70
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
45802034403 nicotine polacrilex NICOTINE 2 MG LOZENGE PERRIGO CO.
45802034405 nicotine polacrilex NICOTINE 2 MG LOZENGE PERRIGO CO.
45802095701 nicotine polacrilex NICOTINE 4 MG MINI LOZENGE PERRIGO CO.
45802095702 nicotine polacrilex NICOTINE 4 MG MINI LOZENGE PERRIGO CO.
45802008901 nicotine polacrilex NICOTINE 2 MG MINI LOZENGE PERRIGO CO.
45802008902 nicotine polacrilex NICOTINE 2 MG MINI LOZENGE PERRIGO CO.
00536338601 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536340401 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536136206 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536136223 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536136234 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536302906 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536302923 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536302934 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536311201 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536311237 nicotine polacrilex NICOTINE 2 MG CHEWING GUM RUGBY
00536303023 nicotine polacrilex NICOTINE 4 MG CHEWING GUM RUGBY
00536338701 nicotine polacrilex NICOTINE 4 MG CHEWING GUM RUGBY
00536340501 nicotine polacrilex NICOTINE 4 MG CHEWING GUM RUGBY
00536137206 nicotine polacrilex NICOTINE 4 MG CHEWING GUM RUGBY
00536137223 nicotine polacrilex NICOTINE 4 MG CHEWING GUM RUGBY
00536137234 nicotine polacrilex NICOTINE 4 MG CHEWING GUM RUGBY
00536303006 nicotine polacrilex NICOTINE 4 MG CHEWING GUM RUGBY
00536311301 nicotine polacrilex NICOTINE 4 MG CHEWING GUM RUGBY
00536311337 nicotine polacrilex NICOTINE 4 MG CHEWING GUM RUGBY
00536133809 nicotine polacrilex NICOTINE 4 MG LOZENGE RUGBY
00536133709 nicotine polacrilex NICOTINE 2 MG LOZENGE RUGBY
00536124127 nicotine polacrilex NICOTINE 4 MG MINI LOZENGE RUGBY
00536124181 nicotine polacrilex NICOTINE 4 MG MINI LOZENGE RUGBY
00536123927 nicotine polacrilex NICOTINE 2 MG MINI LOZENGE RUGBY
00536123981 nicotine polacrilex NICOTINE 2 MG MINI LOZENGE RUGBY
70000034601 nicotine polacrilex NICOTINE 2 MG CHEWING GUM LEADER
70000034501 nicotine polacrilex NICOTINE 2 MG CHEWING GUM LEADER
70000034701 nicotine polacrilex NICOTINE 2 MG CHEWING GUM LEADER
70000034801 nicotine polacrilex NICOTINE 2 MG CHEWING GUM LEADER
70000034802 nicotine polacrilex NICOTINE 2 MG CHEWING GUM LEADER
70000034101 nicotine polacrilex NICOTINE 4 MG CHEWING GUM LEADER
70000034201 nicotine polacrilex NICOTINE 4 MG CHEWING GUM LEADER
70000034301 nicotine polacrilex NICOTINE 4 MG CHEWING GUM LEADER
70000034401 nicotine polacrilex NICOTINE 4 MG CHEWING GUM LEADER
70000034402 nicotine polacrilex NICOTINE 4 MG CHEWING GUM LEADER
71
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000056101 nicotine polacrilex NICOTINE 4 MG LOZENGE LEADER
70000056201 nicotine polacrilex NICOTINE 2 MG LOZENGE LEADER
70000055901 nicotine polacrilex NICOTINE 4 MG MINI LOZENGE LEADER
70000056001 nicotine polacrilex NICOTINE 2 MG MINI LOZENGE LEADER
49348078710 nicotine polacrilex SM NICOTINE 2 MG CHEWING GUM SM-STRATEGIC SO
70677008501 nicotine polacrilex SM NICOTINE 2 MG CHEWING GUM SM-STRATEGIC SO
49348069136 nicotine polacrilex SM NICOTINE 2 MG CHEWING GUM SM-STRATEGIC SO
49348071334 olive oil SM SWEET OIL SM-STRATEGIC SO
63868034604 olive oil QC SWEET OIL CHAIN DRUG
46122067264 olopatadine HCl GNP OLOPATADINE 0.1% EYE DROPS AMERISOURCE-GNP
17478030805 olopatadine HCl OLOPATADINE HCL 0.1% EYE DROPS AKORN INC.
00065815003 olopatadine HCl PATADAY ONCE DAILY 0.2% DROPS ALCON LABORATOR
00065815001 olopatadine HCl PATADAY ONCE DAILY 0.2% DROPS ALCON LABORATOR
00065081601 olopatadine HCl PATADAY ONCE DAILY 0.7% DROPS ALCON LABORATOR
70000005401 olopatadine HCl EYE ALLERGY ITCH-RED 0.1% DROP LEADER
00065427401 olopatadine HCl PATADAY TWICE DAILY 0.1% DROPS ALCON LABORATOR
00536130723 olopatadine HCl OLOPATADINE HCL 0.2% EYE DROP RUGBY
00536130840 olopatadine HCl OLOPATADINE HCL 0.1% EYE DROPS RUGBY
46122067127 olopatadine HCl GNP OLOPATADINE 0.2% EYE DROPS AMERISOURCE-GNP
70512052005 olopatadine HCl OLOPATADINE HCL 0.1% EYE DROP SOLA PHARMACEUT
00065081604 olopatadine HCl PATADAY ONCE DAILY 0.7% DROPS ALCON LABORATOR
70000005301 olopatadine HCl EYE ALLERGY ITCH RLF 0.2% DROP LEADER
43598076402 olopatadine HCl OLOPATADINE HCL 0.2% EYE DROP DR.REDDY'S LAB
43598076507 olopatadine HCl OLOPATADINE HCL 0.1% EYE DROPS DR.REDDY'S LAB
68001053069 olopatadine HCl OLOPATADINE HCL 0.2% EYE DROP BLUEPOINT LABOR
42192030160 om-3/dha/epa/B12/FA/B6/phytost BP VIT 3 CAPSULE ACELLA PHARMACE
00904404360 omega-3 fatty acids/fish oil FISH OIL 1,000 MG CAPSULE MAJOR PHARMACEU
58407033390 omega-3/dha/epa/fish oil OMEGA-3 FISH OIL 1,400 MG SFGL MAGNA PHARM
00904560413 omega-3/dha/epa/fish oil FISH OIL 500 MG SOFTGEL MAJOR PHARMACEU
00904723860 omega-3/dha/epa/fish oil FISH OIL 1,000 MG SOFTGEL MAJOR PHARMACEU
68094011959 omega-3/dha/epa/fish oil OMEGA-3 FISH OIL EC 1,000 MG PRECISION DOSE
68094010959 omega-3/dha/epa/fish oil FISH OIL EC 1,000 MG SOFTGEL PRECISION DOSE
68094010961 omega-3/dha/epa/fish oil FISH OIL EC 1,000 MG SOFTGEL PRECISION DOSE
68094011961 omega-3/dha/epa/fish oil OMEGA-3 FISH OIL EC 1,000 MG PRECISION DOSE
37205055872 omega-3/dha/epa/fish oil FISH OIL 1,000 MG SOFTGEL LEADER
50268030815 omega-3/dha/epa/fish oil FISH OIL 1,000 MG SOFTGEL AVPAK
50268030811 omega-3/dha/epa/fish oil FISH OIL 1,000 MG SOFTGEL AVPAK
45802088830 omeprazole OMEPRAZOLE DR 20 MG TABLET PERRIGO/PADAGIS
45802088855 omeprazole OMEPRAZOLE DR 20 MG TABLET PERRIGO/PADAGIS
70000038102 omeprazole OMEPRAZOLE DR 20 MG ODT LEADER
70000038101 omeprazole OMEPRAZOLE DR 20 MG ODT LEADER
72
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011015703 omeprazole HM OMEPRAZOLE DR 20 MG TABLET HM-STRATEGIC SO
62011015702 omeprazole HM OMEPRAZOLE DR 20 MG TABLET HM-STRATEGIC SO
62011015701 omeprazole HM OMEPRAZOLE DR 20 MG TABLET HM-STRATEGIC SO
68001044198 omeprazole OMEPRAZOLE DR 20 MG TABLET BLUEPOINT LABOR
68001044140 omeprazole OMEPRAZOLE DR 20 MG TABLET BLUEPOINT LABOR
68001044139 omeprazole OMEPRAZOLE DR 20 MG TABLET BLUEPOINT LABOR
51660002927 omeprazole OMEPRAZOLE DR 20 MG TABLET OHM LABS.
51660002914 omeprazole OMEPRAZOLE DR 20 MG TABLET OHM LABS.
51660002944 omeprazole OMEPRAZOLE DR 20 MG TABLET OHM LABS.
00113052055 omeprazole OMEPRAZOLE DR 20 MG ODT PERRIGO CO.
46122002974 omeprazole OMEPRAZOLE DR 20 MG TABLET AMERISOURCE-GNP
46122002904 omeprazole OMEPRAZOLE DR 20 MG TABLET AMERISOURCE-GNP
46122002903 omeprazole OMEPRAZOLE DR 20 MG TABLET AMERISOURCE-GNP
46122028174 omeprazole OMEPRAZOLE DR 20 MG TABLET AMERISOURCE-GNP
46122028104 omeprazole OMEPRAZOLE DR 20 MG TABLET AMERISOURCE-GNP
46122002999 omeprazole OMEPRAZOLE DR 20 MG TABLET AMERISOURCE-GNP
46122061604 omeprazole OMEPRAZOLE DR 20 MG ODT AMERISOURCE-GNP
49348084661 omeprazole SM OMEPRAZOLE DR 20 MG TABLET SM-STRATEGIC SO
49348084678 omeprazole SM OMEPRAZOLE DR 20 MG TABLET SM-STRATEGIC SO
49348084646 omeprazole SM OMEPRAZOLE DR 20 MG TABLET SM-STRATEGIC SO
00113052074 omeprazole GS OMEPRAZOLE DR 20 MG ODT PERRIGO/GOODSEN
00113091574 omeprazole GS OMEPRAZOLE DR 20 MG TABLET PERRIGO/GOODSEN
00113091530 omeprazole GS OMEPRAZOLE DR 20 MG TABLET PERRIGO/GOODSEN
00113091555 omeprazole GS OMEPRAZOLE DR 20 MG TABLET PERRIGO/GOODSEN
00536132271 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET RUGBY
70000023203 omeprazole magnesium ACID REDUCER DR 20 MG CAP LEADER
00536132288 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET RUGBY
70000052101 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET LEADER
46122068603 omeprazole magnesium GNP OMEPRAZOLE MAG DR 20 MG CP AMERISOURCE-GNP
69230031837 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET CAMBER CONSUMER
69230031836 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET CAMBER CONSUMER
69230031835 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET CAMBER CONSUMER
69230031831 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET CAMBER CONSUMER
70000052103 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET LEADER
70000023202 omeprazole magnesium ACID REDUCER DR 20 MG CAP LEADER
70000023201 omeprazole magnesium ACID REDUCER DR 20 MG CAP LEADER
55111039752 omeprazole magnesium OMEPRAZOLE MAG DR 20.6 MG CAP DR.REDDY'S LAB
55111039733 omeprazole magnesium OMEPRAZOLE MAG DR 20.6 MG CAP DR.REDDY'S LAB
55111039727 omeprazole magnesium OMEPRAZOLE MAG DR 20.6 MG CAP DR.REDDY'S LAB
51660006144 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG CAP OHM LABS.
63868017742 omeprazole magnesium QC OMEPRAZOLE MAG DR 20.6 MG CHAIN DRUG
73
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000052104 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET LEADER
70000052102 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET LEADER
00536132213 omeprazole magnesium OMEPRAZOLE MAG DR 20 MG TABLET RUGBY
00096072145 oxybenzone/sunscreen/hyalur ac DML FACIAL MOISTURIZER CRM PERSON & COVEY
00023963708 oxybutynin OXYTROL FOR WOMEN 3.9 MG/24HR ALLERGAN INC.
00023963704 oxybutynin OXYTROL FOR WOMEN 3.9 MG/24HR ALLERGAN INC.
00023963701 oxybutynin OXYTROL FOR WOMEN 3.9 MG/24HR ALLERGAN INC.
49348023027 oxymetazoline HCl SM NASAL SPRAY 0.05% SM-STRATEGIC SO
00113038810 oxymetazoline HCl GS NO DRIP 0.05% NASAL SPRAY PERRIGO/GOODSEN
00113030410 oxymetazoline HCl GS NASAL SPRAY 0.05% PERRIGO/GOODSEN
00113081710 oxymetazoline HCl GS SINUS NASAL SPRAY 0.05% PERRIGO/GOODSEN
00113006510 oxymetazoline HCl GS NASAL SPRAY 0.05% PERRIGO/GOODSEN
46122064705 oxymetazoline HCl GNP NASAL SPRAY 0.05% AMERISOURCE-GNP
46122016510 oxymetazoline HCl NASAL SPRAY ORIGINAL 0.05% AMERISOURCE-GNP
24385035210 oxymetazoline HCl NO DRIP 0.05% NASAL SPRAY AMERISOURCE-GNP
24385006710 oxymetazoline HCl NASAL SPRAY 0.05% AMERISOURCE-GNP
00904676130 oxymetazoline HCl NASAL DECONGESTANT 0.05% SPRAY MAJOR PHARMACEU
00904700635 oxymetazoline HCl NASAL DECONGESTANT 0.05% SPRAY MAJOR PHARMACEU
62011007901 oxymetazoline HCl HM SINUS NASAL SPRAY 0.05% HM-STRATEGIC SO
62011008001 oxymetazoline HCl HM ORIGINAL NASAL SPRAY 0.05% HM-STRATEGIC SO
49348023127 oxymetazoline HCl SM NASAL SPRAY SINUS SM-STRATEGIC SO
49348002827 oxymetazoline HCl SM NASAL SPRAY 0.05% SM-STRATEGIC SO
70000000101 oxymetazoline HCl NASAL SPRAY 0.05% LEADER
45802041059 oxymetazoline HCl NASAL SPRAY 0.05% PERRIGO/PADAGIS
49348013027 oxymetazoline HCl SM NASAL 0.05% SPRAY SM-STRATEGIC SO
00096072004 pantot ac/glycerin/petrolatum DML FORTE CREAM W-PANTHENOL PERSON & COVEY
61269016450 ped mvit A,C,D3 no.21/fluoride VIT A,C,D-FLUORIDE 0.25 MG/ML H2 PHARMA LLC
58657032450 ped mvit A,C,D3 no.21/fluoride TRI-VITE-FLUORIDE 0.5 MG/ML METHOD PHARMACE
58657032350 ped mvit A,C,D3 no.21/fluoride TRI-VITE-FLUORIDE 0.25 MG/ML METHOD PHARMACE
61269016750 ped mvit A,C,D3 no.21/fluoride VIT A,C,D-FLUORIDE 0.5 MG/ML H2 PHARMA LLC
23594007005 ped mvit A,C,D3 no.38/fluoride TRI-VI-FLOR 0.25 MG DROPS AYTU BIOPHARMA,
23594070050 ped mvit A,C,D3 no.38/fluoride TRI-VI-FLOR 0.25 MG DROPS AYTU BIOPHARMA,
23594080050 ped mvit A,C,D3 no.38/fluoride TRI-VI-FLOR 0.5 MG DROPS AYTU BIOPHARMA,
23594008005 ped mvit A,C,D3 no.38/fluoride TRI-VI-FLOR 0.5 MG DROPS AYTU BIOPHARMA,
00536344308 pedi multivit 158/iron/vit K1 CEROVITE JR TABLET CHEW RUGBY
23594001003 pedi multivit 33/fluoride/iron POLY-VI-FLOR WITH IRON 0.5 MG AYTU BIOPHARMA,
23594010030 pedi multivit 33/fluoride/iron POLY-VI-FLOR WITH IRON 0.5 MG AYTU BIOPHARMA,
23594006005 pedi multivit 37/fluoride/iron POLY-VI-FLOR WITH IRON 0.25 MG AYTU BIOPHARMA,
23594060050 pedi multivit 37/fluoride/iron POLY-VI-FLOR WITH IRON 0.25 MG AYTU BIOPHARMA,
58914021460 pedi multivit 40/phytonadione AQUADEKS PEDIATRIC LIQUID ACTAVIS U.S. BR
61269016350 pedi multivit 45/fluoride/iron MULTIVIT-IRON-FLUOR 0.25 MG/ML H2 PHARMA LLC
74
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
58657032750 pedi multivit 45/fluoride/iron MULTIVIT-FLUOR-IRON 0.25 MG/ML METHOD PHARMACE
61269015201 pedi multivit no.16 w-fluoride MULTIVIT-FLUOR 0.5 MG TAB CHEW H2 PHARMA LLC
61269015101 pedi multivit no.16 w-fluoride MULTIVIT-FLUOR 0.25 MG TAB CHW H2 PHARMA LLC
61269015301 pedi multivit no.16 w-fluoride MULTIVIT-FLUORIDE 1 MG TAB CHW H2 PHARMA LLC
52796017050 pedi multivit no.161/fluoride FLORIVA PLUS 0.25 MG/ML DROP BONGEO PHARMACE
59088010759 pedi multivit no.17 w-fluoride MULTIVIT-FLUOR 0.25 MG TAB CHW PURETEK CORPORA
61269015501 pedi multivit no.17 w-fluoride MULTIVIT-FLUOR 0.25 MG TAB CHW H2 PHARMA LLC
58657016401 pedi multivit no.17 w-fluoride MULTIVIT-FLUOR 0.5 MG TAB CHEW METHOD PHARMACE
58657016490 pedi multivit no.17 w-fluoride MULTIVIT-FLUOR 0.5 MG TAB CHEW METHOD PHARMACE
58657016590 pedi multivit no.17 w-fluoride MULTIVIT-FLUORIDE 1 MG TAB CHW METHOD PHARMACE
58657016501 pedi multivit no.17 w-fluoride MULTIVIT-FLUORIDE 1 MG TAB CHW METHOD PHARMACE
58657016301 pedi multivit no.17 w-fluoride MULTIVIT-FLUOR 0.25 MG TAB CHW METHOD PHARMACE
58657016390 pedi multivit no.17 w-fluoride MULTIVIT-FLUOR 0.25 MG TAB CHW METHOD PHARMACE
59088010859 pedi multivit no.17 w-fluoride MULTIVIT-FLUOR 0.5 MG TAB CHEW PURETEK CORPORA
59088010959 pedi multivit no.17 w-fluoride MULTIVIT-FLUORIDE 1 MG TAB CHW PURETEK CORPORA
58657032550 pedi multivit no.2 w-fluoride MULTIVIT-FLUOR 0.25 MG/ML DROP METHOD PHARMACE
61269016250 pedi multivit no.2 w-fluoride MULTIVIT-FLUOR 0.5 MG/ML DROP H2 PHARMA LLC
61269016150 pedi multivit no.2 w-fluoride MULTIVIT-FLUOR 0.25 MG/ML DROP H2 PHARMA LLC
58657032650 pedi multivit no.2 w-fluoride MULTIVIT-FLUOR 0.5 MG/ML DROP METHOD PHARMACE
42494043430 pedi multivit no.205/fluoride MULTI-VIT-FLOR 0.25 MG TB CHEW CAMERON PHARMAC
42494043230 pedi multivit no.205/fluoride MULTI-VIT-FLOR 1 MG TAB CHEW CAMERON PHARMAC
42494043330 pedi multivit no.205/fluoride MULTI-VIT-FLOR 0.5 MG TAB CHEW CAMERON PHARMAC
46122009072 pedi multivit no.23/folic acid CHILDREN'S CHEWABLES AMERISOURCE-GNP
51645071201 pedi multivit no.25/folic acid CHILD'S CHEWABLE MULTIVIT TAB PLUS PHARMA,INC
46122008972 pedi multivit no.25/folic acid CHILDREN'S CHEWABLES AMERISOURCE-GNP
46122008872 pedi multivit no.31/iron/folic CHILDREN'S CHEWABLES AMERISOURCE-GNP
23594020030 pedi multivit no.33/fluoride POLY-VI-FLOR 0.25 MG TAB CHEW AYTU BIOPHARMA,
23594003003 pedi multivit no.33/fluoride POLY-VI-FLOR 0.5 MG TAB CHEW AYTU BIOPHARMA,
23594030030 pedi multivit no.33/fluoride POLY-VI-FLOR 0.5 MG TAB CHEW AYTU BIOPHARMA,
23594004003 pedi multivit no.33/fluoride POLY-VI-FLOR 1 MG TAB CHEW AYTU BIOPHARMA,
23594002003 pedi multivit no.33/fluoride POLY-VI-FLOR 0.25 MG TAB CHEW AYTU BIOPHARMA,
23594040030 pedi multivit no.33/fluoride POLY-VI-FLOR 1 MG TAB CHEW AYTU BIOPHARMA,
23594050050 pedi multivit no.37 w-fluoride POLY-VI-FLOR 0.25 MG DROPS AYTU BIOPHARMA,
23594005005 pedi multivit no.37 w-fluoride POLY-VI-FLOR 0.25 MG DROPS AYTU BIOPHARMA,
52796017390 pedi multivit no.85/fluoride FLORIVA 0.25 MG CHEW TABLET BONGEO PHARMACE
52796017790 pedi multivit no.85/fluoride FLORIVA 1 MG CHEWABLE TABLET BONGEO PHARMACE
52796017490 pedi multivit no.85/fluoride FLORIVA 0.5 MG CHEWABLE TABLET BONGEO PHARMACE
51645099210 pedi multivit no.91/iron fum CHILD'S CHEW MULTIVIT W/IRON PLUS PHARMA,INC
00087040501 pedi mv no.189/ferrous sulfate POLY-VI-SOL WITH IRON DROPS MJ NUTRITIONAL
00536134680 pedi mv no.207/ferrous sulfate INFANT-TODDLER MULTIVIT-IRON RUGBY
00087040203 pediatric multivitamin no.192 POLY-VI-SOL 250MCG-50MG/ML DRP MJ NUTRITIONAL
75
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536134580 pediatric multivitamin no.212 INFANT-TODDLER MULTIVIT DROP RUGBY
70000050201 peg 400/hypromellose/glycerin DRY EYE RELIEF EYE DROPS LEADER
49348009529 peg 400/hypromellose/glycerin SM DRY EYE RELIEF EYE DROPS SM-STRATEGIC SO
62011019601 peg 400/hypromellose/glycerin HM DRY EYE RELIEF EYE DROPS HM-STRATEGIC SO
70000050202 peg 400/hypromellose/glycerin DRY EYE RELIEF EYE DROPS LEADER
00113191016 permethrin GS LICE KILLING 1 % CRM RINSE PERRIGO/GOODSEN
70000004101 permethrin LICE TREATMENT 1% CREME RINSE LEADER
49348015078 permethrin SM LICE TREATMENT 1% CRM RINSE SM-STRATEGIC SO
46122010846 permethrin LICE TREATMENT 1% CREME RINSE AMERISOURCE-GNP
62011025501 permethrin HM LICE TREATMENT 1% CRM RINSE HM-STRATEGIC SO
00536114397 petrolatum,white PETROLATUM 42% OINTMENT RUGBY
00536114398 petrolatum,white PETROLATUM 42% OINTMENT RUGBY
00168005345 petrolatum,white WHITE PETROLATUM SKIN PROTECT SANDOZ
70000007901 petrolatum,white BABY SKIN PROTECTANT 41% OINT LEADER
49348007644 phenazopyridine HCl SM URINARY PAIN RLF 95 MG TAB SM-STRATEGIC SO
70677007801 phenazopyridine HCl SM URINARY PAIN RLF 99.5 MG TB SM-STRATEGIC SO
46122062853 phenazopyridine HCl GNP URINARY PAIN RLF 99.5 MG AMERISOURCE-GNP
46122033765 phenazopyridine HCl URINARY PAIN RELIEF 95 MG TAB AMERISOURCE-GNP
70000024301 phenazopyridine HCl URINARY PAIN RELIEF 95 MG TAB LEADER
63868011730 phenazopyridine HCl QC URINARY PAIN RLF 95 MG TAB CHAIN DRUG
62011041201 phenazopyridine HCl HM URINARY PAIN RLF 99.5 MG HM-STRATEGIC SO
62011032501 phenazopyridine HCl HM URINARY PAIN RLF 95 MG TAB HM-STRATEGIC SO
70000052301 phenazopyridine HCl URINARY PAIN RELIEF 99.5 MG TB LEADER
46122055153 phenazopyridine HCl URINARY PAIN RELIEF 97.5 MG TB AMERISOURCE-GNP
46122026530 phenol SORE THROAT 1.4% SPRAY AMERISOURCE-GNP
46122027830 phenol SORE THROAT 1.4% SPRAY AMERISOURCE-GNP
00904630521 phenol SORE THROAT 1.4% SPRAY MAJOR PHARMACEU
00536122858 phenol PHENASEPTIC 1.4% SPRAY RUGBY
63868081155 phenol QC SORE THROAT 1.4% SPRAY CHAIN DRUG
62011024501 phenol HM SORE THROAT 1.4% SPRAY HM-STRATEGIC SO
70000045801 phenol SORE THROAT 1.4% SPRAY LEADER
49348099136 phenol SM SORE THROAT 1.4% SPRAY SM-STRATEGIC SO
62011029601 phenyleph/mineral oil/petrolat HM HEMORRHOIDAL OINTMENT HM-STRATEGIC SO
00536128806 phenyleph/mineral oil/petrolat HEMORRHOIDAL OINTMENT RUGBY
46122067746 phenyleph/mineral oil/petrolat GNP HEMORRHOIDAL OINTMENT AMERISOURCE-GNP
45802018816 phenyleph/mineral oil/petrolat HEMORRHOIDAL OINTMENT PERRIGO/PADAGIS
63868020102 phenyleph/mineral oil/petrolat QC HEMORRHOIDAL OINTMENT CHAIN DRUG
00113018816 phenyleph/mineral oil/petrolat GS HEMORRHOIDAL OINTMENT PERRIGO/GOODSEN
49348019878 phenyleph/mineral oil/petrolat SM HEMORRHOIDAL OINTMENT SM-STRATEGIC SO
00113094424 phenyleph/pramoxin/glycr/w.pet GS HEMORRHOIDAL CREAM PERRIGO/GOODSEN
70000042501 phenyleph/pramoxin/glycr/w.pet HEMORRHOIDAL CREAM LEADER
76
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000012602 phenylephrine HCl NASAL DECONGESTANT PE 10 MG TB LEADER
70000012601 phenylephrine HCl NASAL DECONGESTANT PE 10 MG TB LEADER
00113064810 phenylephrine HCl GS NASAL FOUR 1% NASAL SPRAY PERRIGO/GOODSEN
00024135202 phenylephrine HCl NEO-SYNEPHRINE 1% SPRAY BAYER INC/FOUND
46122068903 phenylephrine HCl GNP NASAL FOUR 1% NASAL SPRAY AMERISOURCE-GNP
00536129136 phenylephrine HCl PHENYLEPHRINE 10 MG TABLET RUGBY
00113009489 phenylephrine HCl GS NASAL DECONG PE 10 MG TAB PERRIGO/GOODSEN
62011008501 phenylephrine HCl HM NOSE DROPS HM-STRATEGIC SO
62011007701 phenylephrine HCl HM NASAL DECONG PE 10 MG TAB HM-STRATEGIC SO
62011007702 phenylephrine HCl HM NASAL DECONG PE 10 MG TAB HM-STRATEGIC SO
00225080547 phenylephrine HCl NEO-SYNEPHRINE 0.5% SPRAY B.F ASCHER & CO
00225080047 phenylephrine HCl NEO-SYNEPHRINE 0.25% SPRAY B.F ASCHER & CO
70000013201 phenylephrine HCl SINUS RELIEF 1% NASAL SPRAY LEADER
46122014903 phenylephrine HCl NASAL SPRAY 1% AMERISOURCE-GNP
00113009468 phenylephrine HCl GS NASAL DECONG PE 10 MG TAB PERRIGO/GOODSEN
00113009423 phenylephrine HCl GS NASAL DECONG PE 10 MG TAB PERRIGO/GOODSEN
49348070007 phenylephrine HCl SM NASAL DECONG PE 10 MG TAB SM-STRATEGIC SO
70677010901 phenylephrine HCl SM NASAL DECONG PE 10 MG TAB SM-STRATEGIC SO
49348019727 phenylephrine HCl SM NOSE DROPS SM-STRATEGIC SO
46122065068 phenylephrine HCl GNP NASAL DECONG PE 10 MG TAB AMERISOURCE-GNP
24385060389 phenylephrine HCl NASAL DECONGESTANT PE 10 MG TB AMERISOURCE-GNP
00225081047 phenylephrine HCl NEO-SYNEPHRINE 1% SPRAY B.F ASCHER & CO
00536118612 phenylephrine HCl/cocoa butter HEMORRHOIDAL SUPPOSITORIES RUGBY
63868020812 phenylephrine HCl/cocoa butter QC HEMORRHOIDAL SUPPOSITORIES CHAIN DRUG
70000022301 phenylephrine HCl/cocoa butter HEMORRHOIDAL SUPPOSITORIES LEADER
00113027953 phenylephrine HCl/cocoa butter GS HEMORRHOIDAL SUPPOSITORIES PERRIGO/GOODSEN
00904697712 phenylephrine HCl/hard fat HEMORRHOIDAL SUPPOSITORY MAJOR PHARMACEU
50991077601 phenylephrine HCl/pheniramine ALAHIST D 17.5-10 MG TABLET POLY PHARMACEUT
28595080316 phenylephrine HCl/triprolidine HISTEX-PE SYRUP ALLEGIS PHARMAC
58407001010 phenylephrine HCl/triprolidine STAHIST TP 10-2.5 MG TABLET MAGNA PHARM
49348057627 phosphorated carbo(dext-fruct) SM ANTI-NAUSEA LIQUID SM-STRATEGIC SO
00904004920 phosphorated carbo(dext-fruct) FORMULA EM SOLUTION MAJOR PHARMACEU
00113011226 phosphorated carbo(dext-fruct) GS NAUSEA RELIEF LIQUID PERRIGO/GOODSEN
70000005201 phosphorated carbo(dext-fruct) NAUSEA RELIEF LIQUID LEADER
62011015201 phosphorated carbo(dext-fruct) HM ANTI-NAUSEA LIQUID HM-STRATEGIC SO
46122029626 phosphorated carbo(dext-fruct) NAUSEA RELIEF LIQUID AMERISOURCE-GNP
00536130297 phosphorated carbo(dext-fruct) ANTI-NAUSEA LIQUID RUGBY
70677003901 piperonyl but/pyrethins/permet SM LICE SOLUTION KIT SM-STRATEGIC SO
00113086626 piperonyl butoxide/pyrethrins GS LICE KILLING SHAMPOO PERRIGO/GOODSEN
49348044334 piperonyl butoxide/pyrethrins SB LICE KILLING SHAMPOO SM-STRATEGIC SO
00904252820 piperonyl butoxide/pyrethrins LICE KILLING SHAMPOO MAJOR PHARMACEU
77
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000054001 piperonyl butoxide/pyrethrins LICE KILLING SHAMPOO LEADER
62011011902 piperonyl butoxide/pyrethrins HM LICE KILLING SHAMPOO HM-STRATEGIC SO
58809065008 piperonyl butoxide/pyrethrins VANALICE GEL G.M. PHARM
24385011603 piperonyl butoxide/pyrethrins LICE TREATMENT SHAMPOO AMERISOURCE-GNP
62011015304 polyethylene glycol 3350 HM CLEARLAX POWDER HM-STRATEGIC SO
62011028701 polyethylene glycol 3350 HM CLEARLAX POWDER HM-STRATEGIC SO
62559015710 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD ANI PHARMACEUTI
62559015717 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD ANI PHARMACEUTI
62559015730 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD ANI PHARMACEUTI
11534018028 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD SUNRISE PHARMAC
11534018050 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD SUNRISE PHARMAC
43386031210 polyethylene glycol 3350 SMOOTHLAX POWDER PACKET WALGREEN CO.
51991096257 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD BRECKENRIDGE
51991096158 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD BRECKENRIDGE
00536105224 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD RUGBY
00536105227 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD RUGBY
00536105284 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD RUGBY
00904693126 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD MAJOR PHARMACEU
00904693176 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD MAJOR PHARMACEU
00904693181 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD MAJOR PHARMACEU
00904693186 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD MAJOR PHARMACEU
46122001452 polyethylene glycol 3350 CLEARLAX POWDER PACKET AMERISOURCE-GNP
46122001431 polyethylene glycol 3350 CLEARLAX POWDER AMERISOURCE-GNP
46122001433 polyethylene glycol 3350 CLEARLAX POWDER AMERISOURCE-GNP
46122001471 polyethylene glycol 3350 CLEARLAX POWDER AMERISOURCE-GNP
51079030601 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD MYLAN INSTITUTI
51079030630 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD MYLAN INSTITUTI
60687043192 polyethylene glycol 3350 HEALTHYLAX POWDER PACKET AHP
60687043198 polyethylene glycol 3350 HEALTHYLAX POWDER PACKET AHP
60687043199 polyethylene glycol 3350 HEALTHYLAX POWDER PACKET AHP
63739019862 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD MCKESSON PACKAG
63739019861 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD MCKESSON PACKAG
43386031214 polyethylene glycol 3350 GAVILAX POWDER GAVIS/LUPIN
43386031208 polyethylene glycol 3350 GAVILAX POWDER GAVIS/LUPIN
00113030601 polyethylene glycol 3350 GS CLEARLAX POWDER PERRIGO/GOODSEN
00113030602 polyethylene glycol 3350 GS CLEARLAX POWDER PERRIGO/GOODSEN
00113030603 polyethylene glycol 3350 GS CLEARLAX POWDER PERRIGO/GOODSEN
69784018001 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD WOODWARD PHARMA
69784018010 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD WOODWARD PHARMA
69784018014 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD WOODWARD PHARMA
69784018030 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD WOODWARD PHARMA
78
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
45802086800 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD PERRIGO/PADAGIS
45802086866 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD PERRIGO/PADAGIS
45802086801 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD PERRIGO/PADAGIS
45802086802 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD PERRIGO/PADAGIS
45802086803 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD PERRIGO/PADAGIS
49348014370 polyethylene glycol 3350 SM CLEARLAX POWDER SM-STRATEGIC SO
49348089350 polyethylene glycol 3350 SM CLEARLAX POWDER SM-STRATEGIC SO
49348014392 polyethylene glycol 3350 SM CLEARLAX POWDER SM-STRATEGIC SO
63868000214 polyethylene glycol 3350 QC NATURA-LAX 17 GM POWDER CHAIN DRUG
63868000230 polyethylene glycol 3350 QC NATURA-LAX 17 GM POWDER CHAIN DRUG
70000041503 polyethylene glycol 3350 CLEARLAX POWDER LEADER
70000041501 polyethylene glycol 3350 CLEARLAX POWDER LEADER
70000041502 polyethylene glycol 3350 CLEARLAX POWDER LEADER
68001050555 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD BLUEPOINT LABOR
68001050569 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD BLUEPOINT LABOR
69230032431 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD CAMBER CONSUMER
69230032437 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD CAMBER CONSUMER
69230032434 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD CAMBER CONSUMER
69230032435 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD CAMBER CONSUMER
69230032436 polyethylene glycol 3350 POLYETHYLENE GLYCOL 3350 POWD CAMBER CONSUMER
62011028702 polyethylene glycol 3350 HM CLEARLAX POWDER HM-STRATEGIC SO
00536132594 polyvinyl alcohol POLYVINYL ALCOHL 1.4% EYEDROP RUGBY
17478006012 polyvinyl alcohol ARTIFICIAL TEARS 1.4% DROPS AKORN INC.
24385000605 polyvinyl alcohol/povidone ARTIFICIAL TEARS DROPS AMERISOURCE-GNP
63868022315 polyvinyl alcohol/povidone QC ARTIFICIAL TEARS DROPS CHAIN DRUG
70000001101 polyvinyl alcohol/povidone ARTIFICIAL TEARS DROPS LEADER
71776000110 polyvinyl alcohol/povidone FRESHKOTE EYE DROP EYEVANCE PHARMA
00023050650 polyvinyl alcohol/povidone/PF REFRESH CLASSIC EYE DROPS ALLERGAN INC.
00023050601 polyvinyl alcohol/povidone/PF REFRESH CLASSIC EYE DROPS ALLERGAN INC.
69543026216 potassium citrate/citric acid VIRTRATE-K SOLUTION VIRTUS PHARMACE
00121067616 potassium citrate/citric acid POTASSIUM CIT-CITRIC ACID SOLN PHARM ASSOC INC
58657031216 potassium citrate/citric acid POTASSIUM CIT-CITRIC ACID SOLN METHOD PHARMACE
00178031430 potassium iodide POTASSIUM IODIDE 65 MG/ML SOLN MISSION PHARM.
39328000810 potassium phosphate,monobasic PHOSPHO-TRIN K500 500 MG TAB PATRIN PHARMA
00904110231 povidone-iodine POVIDONE-IODINE 10% OINTMENT MAJOR PHARMACEU
00904110309 povidone-iodine POVIDONE-IODINE 10% SOLUTION MAJOR PHARMACEU
49348062237 povidone-iodine SM POVIDONE-IODINE 10% SOLN SM-STRATEGIC SO
49348062238 povidone-iodine SM POVIDONE-IODINE 10% SOLN SM-STRATEGIC SO
70000040201 povidone-iodine POVIDONE-IODINE 10% SOLUTION LEADER
70000006001 povidone-iodine POVIDONE-IODINE 10% SOLUTION LEADER
67618015001 povidone-iodine BETADINE 10% SOLUTION PURDUE PROD LP
79
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
67618015004 povidone-iodine BETADINE 10% SOLUTION PURDUE PROD LP
67618015009 povidone-iodine BETADINE 10% SOLUTION PURDUE PROD LP
67618015017 povidone-iodine BETADINE 10% SOLUTION PURDUE PROD LP
67618015032 povidone-iodine BETADINE 10% SOLUTION PURDUE PROD LP
68599863001 povidone-iodine POVIDONE-IODINE 10% SWABSTICK MCKESSON MEDICA
68599863002 povidone-iodine POVIDONE-IODINE 10% SWABSTICK MCKESSON MEDICA
68599863004 povidone-iodine POVIDONE-IODINE 10% SWABSTICK MCKESSON MEDICA
68599863005 povidone-iodine POVIDONE-IODINE 10% SWABSTICK MCKESSON MEDICA
68599350001 povidone-iodine PVP PREP 10% SOLUTION MCKESSON MEDICA
68599350005 povidone-iodine PVP PREP 10% SOLUTION MCKESSON MEDICA
68599350201 povidone-iodine PVP PREP 10% SOLUTION MCKESSON MEDICA
68599350205 povidone-iodine PVP PREP 10% SOLUTION MCKESSON MEDICA
00536127180 povidone-iodine FIRST AID ANTISEPTIC 10% OINT RUGBY
00132874302 povidone-iodine SUMMER'S EVE MEDICATED DOUCHE FLEET,C.B. CO.
67618015005 povidone-iodine BETADINE 10% SOLUTION PURDUE PROD LP
67618016003 povidone-iodine BETADINE 5% SPRAY PURDUE PROD LP
67618018012 povidone-iodine BETADINE 5% CREAM PURDUE PROD LP
67618015132 povidone-iodine BETADINE 7.5% SCRUB PURDUE PROD LP
67618015117 povidone-iodine BETADINE 7.5% SCRUB PURDUE PROD LP
67618015116 povidone-iodine BETADINE 7.5% SCRUB PURDUE PROD LP
67618015104 povidone-iodine BETADINE SURGICAL SCRUB PURDUE PROD LP
67618015101 povidone-iodine BETADINE 7.5% SCRUB PURDUE PROD LP
67618015303 povidone-iodine BETADINE SWABSTICKS PURDUE PROD LP
67618015301 povidone-iodine BETADINE SWABSTICKS PURDUE PROD LP
62011011801 povidone-iodine HM POVIDONE-IODINE 10% SOLN HM-STRATEGIC SO
63868023008 povidone-iodine QC POVIDONE-IODINE 10% SOLN CHAIN DRUG
51862018015 pramoxine HCl PRAMOXINE HCL 1% FOAM MAYNE PHARMA IN
50268068215 pramoxine HCl PRAMOXINE HCL 1 % LOTION AVPAK
00037682315 pramoxine HCl PROCTOFOAM 1% FOAM MEDA/MYLAN SPEC
70000039801 pramoxine HCl POISON IVY WASH 1% CLEANSER LEADER
00225051651 pramoxine HCl/benzyl alcohol ITCH-X SPRAY B.F ASCHER & CO
00225049533 pramoxine HCl/benzyl alcohol ITCH-X GEL B.F ASCHER & CO
70000040001 pramoxine HCl/calamine CALAMINE PLUS 1%-8% LOTION LEADER
00187546506 pramoxine HCl/calamine CALADRYL 1%-8% LOTION BAUSCH HEALTH U
24385007282 pramoxine HCl/calamine CALDYPHEN LOTION AMERISOURCE-GNP
49348033736 pramoxine HCl/calamine SM CALDYPHEN LOTION SM-STRATEGIC SO
49348061036 pramoxine HCl/camph/zinc acet SM CALDYPHEN CLEAR LOTION SM-STRATEGIC SO
70000039701 pramoxine HCl/zinc acetate CALAMINE CLEAR LOTION LEADER
24385043930 pramoxine HCl/zinc acetate CALDYPHEN CLEAR LOTION AMERISOURCE-GNP
00187546606 pramoxine HCl/zinc acetate CALADRYL CLEAR LOTION BAUSCH HEALTH U
00536126958 pramoxine HCl/zinc acetate CALDYPHEN CLEAR LOTION RUGBY
80
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
11527005641 pramoxine HCl/zinc oxide HEMORRHOID 1%-12.5% OINTMENT SHEFFIELD PHARM
54859012004 pramoxine/zinc oxide/calamine DERMAGESIC LOTION LLORENS PHARM
54859020204 pramoxine/zinc oxide/calamine DERMAGESIC CREAM LLORENS PHARM
75854031430 prenatal 114/iron a-g/folate 1 PRENATE ELITE TABLET AVION PHARMACEU
75854032230 prenatal 118/iron/folate 6/dha PRIMACARE SOFTGEL AVION PHARMACEU
52796019090 prenatal 148/iron/folate 6/dha TENDERA-OB SOFTGEL BONGEO PHARMACE
42494043003 prenatal 181/iron fum/folate MULTI-MAC TABLET CAMERON PHARMAC
00642007030 prenatal 26/iron ps/folic/dha VITAFOL-ONE CAPSULE EXELTIS USA, IN
00178083230 prenatal 48/iron/folic acid/B6 CITRANATAL B-CALM COMBO PACK MISSION PHARM.
75854031230 prenatal 78/iron/folate 1/dha PRENATE DHA SOFTGEL AVION PHARMACEU
50967030930 prenatal 86/iron/folic/dha/epa NESTABS ABC PRENATAL COMBO PK WOMEN'S CHOICE
50967031730 prenatal 87/iron bis/folic/dha NESTABS DHA COMBO PACK WOMEN'S CHOICE
69367023430 prenatal 93/iron/folate 9/dha WESTGEL DHA SOFTGEL WESTMINSTER PHA
15370025030 prenatal 93/iron/folate 9/dha TRISTART DHA SOFTGEL CARWIN ASSOCIAT
00087510585 prenatal no.116/iron/folic/dha EXPECTA PRENATAL COMBO PACK MJ NUTRITIONAL
00904531360 prenatal no.137/iron/folic acd PRENATAL VITAMIN TABLET MAJOR PHARMACEU
00904531346 prenatal no.137/iron/folic acd PRENATAL VITAMIN TABLET MAJOR PHARMACEU
69543022330 prenatal no.52/iron/FA/dha VP-PNV-DHA SOFTGEL VIRTUS PHARMACE
00642009430 prenatal no.75/iron/folate no1 VITAFOL NANO TABLET EXELTIS USA, IN
75854031130 prenatal no.77/iron asp gly/FA PRENATE STAR TABLET AVION PHARMACEU
00642012090 prenatal no13/iron ps/folate 1 SELECT-OB CHEWABLE CAPLET EXELTIS USA, IN
00642007912 prenatal vit 10/iron fum/folic VITAFOL-OB CAPLET EXELTIS USA, IN
00642007630 prenatal vit 10/iron/folic/dha VITAFOL-OB+DHA COMBO PACK EXELTIS USA, IN
13811001490 prenatal vit 14/iron fum/folic COMPLETENATE TABLET CHEW TRIGEN LABORATO
00642007530 prenatal vit 33/iron/folic/dha SELECT-OB + DHA PACK EXELTIS USA, IN
75854031630 prenatal vit 85/iron/FA 1/dha PRENATE PIXIE SOFTGEL AVION PHARMACEU
75854031530 prenatal vit 87/iron/folic/dha PRENATE MINI SOFTGEL AVION PHARMACEU
51645084001 prenatal vit no.124/iron/folic PRENATAL VITAMIN TABLET PLUS PHARMA,INC
51645084003 prenatal vit no.124/iron/folic PRENATAL VITAMIN TABLET PLUS PHARMA,INC
00536406301 prenatal vit no.126/iron/folic CLASSIC PRENATAL TABLET RUGBY
59088016654 prenatal vit no.170/iron/folic DERMACINRX PRENATRIX CAPLET PURETEK CORPORA
59088017854 prenatal vit no.170/iron/folic DERMACINRX PRETRATE CAPLET PURETEK CORPORA
59088016954 prenatal vit no.170/iron/folic DERMACINRX PRENATRYL CAPLET PURETEK CORPORA
50268067701 prenatal vit no.180/iron/folic PRENATAL PLUS VITAMIN-MINERAL AVPAK
60258019201 prenatal vit,cal 73/iron/folic TRINATE TABLET CYPRESS PHARM.
69543026790 prenatal vit,calc76/iron/folic PNV 29-1 TABLET VIRTUS PHARMACE
58657013390 prenatal vit,calc76/iron/folic THRIVITE RX TABLET METHOD PHARMACE
60258019309 prenatal vit,calc76/iron/folic PRENATABS RX TABLET CYPRESS PHARM.
60258019001 prenatal vit,calc78/iron/folic PRENATABS FA TABLET CYPRESS PHARM.
69543025910 prenatal vit,calc78/iron/folic PRETAB 29 MG-1 MG TABLET VIRTUS PHARMACE
67112010130 prenatal vit103/iron fum/folic TRICARE PRENATAL TABLET MEDECOR PHARMA
81
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
67112010100 prenatal vit103/iron fum/folic TRICARE PRENATAL TABLET MEDECOR PHARMA
00642007790 prenatal vit128/iron/folic acd SELECT-OB CHEWABLE CAPLET EXELTIS USA, IN
13811000710 prenatal vit27,calcium/iron/FA TRINATAL RX 1 TABLET TRIGEN LABORATO
75854030930 prenatal vit68/iron/FA no6/dha PRENATE ENHANCE SOFTGEL AVION PHARMACEU
75854030830 prenatal vit69/iron/folate6/dh PRENATE RESTORE SOFTGEL AVION PHARMACEU
50967021990 prenatal vit86/iron/folic acid NESTABS TABLET WOMEN'S CHOICE
00682157001 prenatal,calc no.65/iron/folic MARNATAL-F CAPSULE MARNEL/ALLEGIS
42192032090 prenatal,calc.40/iron/folate 1 PNV-SELECT TABLET ACELLA PHARMACE
68025005930 prenatal56/iron/folic acid/dha OB COMPLETE PETITE SOFTGEL VERTICAL/AVION
00065048111 propylene glycol SYSTANE COMPLETE 0.6% EYE DROP ALCON CONSUMER
00065143302 propylene glycol SYSTANE BALANCE 0.6% EYE DROP ALCON CONSUMER
00065143307 propylene glycol SYSTANE BALANCE 0.6% EYE DROP ALCON CONSUMER
70000001301 propylene glycol LUBRICANT 0.6% EYE DROP LEADER
70000001302 propylene glycol LUBRICANT 0.6% EYE DROP LEADER
00065143311 propylene glycol SYSTANE BALANCE 0.6% EYE DROP ALCON CONSUMER
00065048110 propylene glycol SYSTANE COMPLETE 0.6% EYE DROP ALCON CONSUMER
00065048101 propylene glycol SYSTANE COMPLETE 0.6% EYE DROP ALCON CONSUMER
00065048155 propylene glycol SYSTANE COMPLETE 0.6% EYE DROP ALCON CONSUMER
00065153001 propylene glycol/PF SYSTANE COMPLETE PF 0.6% DROP ALCON CONSUMER
00065150929 propylene glycol/PF SYSTANE COMPLETE PF 0.6% DROP ALCON CONSUMER
00065150928 propylene glycol/PF SYSTANE COMPLETE PF 0.6% DROP ALCON CONSUMER
00065806701 propylene glycol/peg 400 GENTEAL TEARS SEVERE GEL DROPS ALCON CONSUMER
00065045407 propylene glycol/peg 400 SYSTANE GEL EYE DROPS ALCON CONSUMER
00065042915 propylene glycol/peg 400 SYSTANE 0.3-0.4% EYE DROPS ALCON CONSUMER
00065143128 propylene glycol/peg 400 SYSTANE ULTRA 0.4-0.3% EYE DRP ALCON CONSUMER
00065143118 propylene glycol/peg 400 SYSTANE ULTRA 0.4-0.3% EYE DRP ALCON CONSUMER
00065143105 propylene glycol/peg 400 SYSTANE ULTRA 0.4-0.3% EYE DRP ALCON CONSUMER
00065143141 propylene glycol/peg 400 SYSTANE ULTRA 0.4-0.3% EYE DRP ALCON CONSUMER
00065042930 propylene glycol/peg 400 SYSTANE 0.3-0.4% EYE DROPS ALCON CONSUMER
62011025401 propylene glycol/peg 400 HM LUBRICATING TEARS EYE DROPS HM-STRATEGIC SO
00536121994 propylene glycol/peg 400 LUBRICATING EYE DROP RUGBY
70000008801 propylene glycol/peg 400 DRY EYE RELIEF 0.3-0.4% DROP LEADER
70000045702 propylene glycol/peg 400 ULTRA LUBRICANT EYE DROPS LEADER
70000045701 propylene glycol/peg 400 ULTRA LUBRICANT EYE DROPS LEADER
70000045501 propylene glycol/peg 400 LUBRICANT EYE DROPS LEADER
70000045502 propylene glycol/peg 400 LUBRICANT EYE DROPS LEADER
49348014929 propylene glycol/peg 400 SM LUBRICATING TEARS EYE DROPS SM-STRATEGIC SO
49348094729 propylene glycol/peg 400 SM LUBRICANT EYE DROPS SM-STRATEGIC SO
00065043133 propylene glycol/peg 400/PF SYSTANE 0.3-0.4% EYE DROP ALCON CONSUMER
00065143704 propylene glycol/peg 400/PF SYSTANE HYDRATION PF 0.4-0.3% ALCON CONSUMER
70000001701 propylene glycol/peg 400/PF LUBRICANT EYE 0.4%-0.3% DROP LEADER
82
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
70000050101 propylene glycol/peg 400/PF ULTRA LUBRICANT 0.4-0.3% DROP LEADER
00065143205 propylene glycol/peg 400/PF SYSTANE ULTRA 0.4-0.3% EYE DRP ALCON CONSUMER
00065143206 propylene glycol/peg 400/PF SYSTANE ULTRA 0.4-0.3% EYE DRP ALCON CONSUMER
00065151006 propylene glycol/peg 400/PF SYSTANE HYDRATION PF 0.4-0.3% ALCON CONSUMER
69543025304 pseudoephed/codeine/guaifen VIRTUSSIN DAC LIQUID VIRTUS PHARMACE
69543025316 pseudoephed/codeine/guaifen VIRTUSSIN DAC LIQUID VIRTUS PHARMACE
24385050726 pseudoephedrine HCl SUPHEDRIN LIQUID AMERISOURCE-GNP
70000000202 pseudoephedrine HCl NASAL DECONGESTANT 30 MG TAB LEADER
00904690706 pseudoephedrine HCl PSEUDOEPHEDRINE 60 MG TABLET MAJOR PHARMACEU
00904672846 pseudoephedrine HCl SUDOGEST 60 MG TABLET MAJOR PHARMACEU
00904675415 pseudoephedrine HCl SUDOGEST 12 HOUR 120 MG CAPLET MAJOR PHARMACEU
00904672760 pseudoephedrine HCl SUDOGEST 30 MG TABLET MAJOR PHARMACEU
00904699061 pseudoephedrine HCl PSEUDOEPHEDRINE 30 MG TABLET MAJOR PHARMACEU
00904633724 pseudoephedrine HCl SUDOGEST 30 MG TABLET MAJOR PHARMACEU
00904505359 pseudoephedrine HCl SUDOGEST 30 MG TABLET MAJOR PHARMACEU
00536360735 pseudoephedrine HCl NASAL DECONGESTANT 30 MG TAB RUGBY
00113201760 pseudoephedrine HCl SINUS 12 HOUR 120 MG CAPLET PERRIGO CO.
51660020469 pseudoephedrine HCl PSEUDOEPHEDRINE ER 120 MG TAB OHM LABS.
51660020421 pseudoephedrine HCl PSEUDOEPHEDRINE ER 120 MG TAB OHM LABS.
50844011215 pseudoephedrine HCl PSEUDOEPHEDRINE 30 MG TABLET LNK INTERNATION
50844021114 pseudoephedrine HCl PSEUDOEPHEDRINE 30 MG TABLET LNK INTERNATION
00113043262 pseudoephedrine HCl GS NASAL DECONGEST 30 MG TAB PERRIGO/GOODSEN
00113005452 pseudoephedrine HCl GS SUPHEDRINE 12HR 120 MG CPLT PERRIGO/GOODSEN
24385043280 pseudoephedrine HCl NASAL DECONGESTANT 30 MG TAB AMERISOURCE-GNP
46122042862 pseudoephedrine HCl NASAL DECONGESTANT 30 MG TAB AMERISOURCE-GNP
24385043262 pseudoephedrine HCl SUPHEDRIN 30 MG TABLET AMERISOURCE-GNP
24385005452 pseudoephedrine HCl 12HR NASAL DECONGEST ER 120 MG AMERISOURCE-GNP
46122016660 pseudoephedrine HCl PSEUDOEPHEDRINE ER 120 MG TAB AMERISOURCE-GNP
54838010440 pseudoephedrine HCl CHILDREN'S SILFEDRINE LIQ SILARX/LANNETT
54838010470 pseudoephedrine HCl CHILDREN'S SILFEDRINE LIQ SILARX/LANNETT
45802043262 pseudoephedrine HCl PSEUDOEPHEDRINE 30 MG TABLET PERRIGO/PADAGIS
45802010752 pseudoephedrine HCl PSEUDOEPHEDRINE ER 120 MG TAB PERRIGO/PADAGIS
70677000502 pseudoephedrine HCl SM NASAL DECONGEST 30 MG TAB SM-STRATEGIC SO
70677000501 pseudoephedrine HCl SM NASAL DECONGEST 30 MG TAB SM-STRATEGIC SO
70677000503 pseudoephedrine HCl SM NASAL DECONGEST 30 MG TAB SM-STRATEGIC SO
70677000101 pseudoephedrine HCl SM NASAL DECONGEST ER 120 MG SM-STRATEGIC SO
00904672852 pseudoephedrine HCl SUDOGEST 60 MG TABLET MAJOR PHARMACEU
70000000201 pseudoephedrine HCl NASAL DECONGESTANT 30 MG TAB LEADER
70000047501 pseudoephedrine HCl 12HR NASAL DECONGEST ER 120 MG LEADER
62011031201 pseudoephedrine HCl HM NASAL DECONGEST 30 MG TAB HM-STRATEGIC SO
62011031202 pseudoephedrine HCl HM NASAL DECONGEST 30 MG TAB HM-STRATEGIC SO
83
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011031203 pseudoephedrine HCl HM NASAL DECONGEST 30 MG TAB HM-STRATEGIC SO
62011030601 pseudoephedrine HCl HM NASAL DECONGEST ER 120 MG HM-STRATEGIC SO
63868080248 pseudoephedrine HCl QC NASAL DECONGEST 30 MG TAB CHAIN DRUG
63868014310 pseudoephedrine HCl QC SUPHEDRINE 12HR 120 MG CPLT CHAIN DRUG
00224180124 psyllium husk KONSYL 6 GM PACKET KONSYL
63868034801 psyllium husk QC FIBER CAPSULE CHAIN DRUG
46122010006 psyllium husk NATURAL FIBER LAXATIVE CAPSULE AMERISOURCE-GNP
00224190185 psyllium husk KONSYL ORIGINAL 6 GM POWD PKT KONSYL
00224180180 psyllium husk KONSYL ORIGINAL FIBER POWDER KONSYL
00224180181 psyllium husk KONSYL ORIGINAL FIBER POWDER KONSYL
00224182280 psyllium husk (with dextrose) KONSYL FORMULA-D FIBER POWDER KONSYL
24385030127 psyllium husk (with sugar) NATURAL FIBER POWDER AMERISOURCE-GNP
63868034718 psyllium husk (with sugar) QC NATURAL VEGETABLE POWDER CHAIN DRUG
00224188400 psyllium husk/sweetleaf KONSYL DAILY FIBER POWDER PKT KONSYL
63868034719 psyllium seed QC NATURAL VEGETABLE POWDER CHAIN DRUG
63868034717 psyllium seed (with dextrose) QC NATURAL VEGETABLE POWDER CHAIN DRUG
24385029950 psyllium seed (with sugar) NATURAL FIBER POWDER AMERISOURCE-GNP
24385036638 psyllium seed/aspartame NATURAL FIBER POWDER AMERISOURCE-GNP
00536440601 pyridoxine HCl (vitamin B6) VITAMIN B-6 25 MG TABLET RUGBY
58809077008 pyrilamine maleate PEDIACLEAR-8 12.5 MG/15 ML LIQ G.M. PHARM
00096072908 pyrithione zinc DHS ZINC 2% SHAMPOO PERSON & COVEY
00096073516 pyrithione zinc DHS ZINC 2% SHAMPOO PERSON & COVEY
00096072916 pyrithione zinc DHS ZINC 2% SHAMPOO PERSON & COVEY
70000053301 pyrithione zinc DANDRUFF 1% SHAMPOO LEADER
00096073508 pyrithione zinc DHS ZINC 2% SHAMPOO PERSON & COVEY
00487590199 racepinephrine HCl S2 RACEPINEPHRINE 2.25% SOLN NEPHRON CORP
00884519215 salicylic acid SAL-PLANT 17% GEL BAUSCH HEALTH U
46122052413 salicylic acid CALLUS REMOVERS PATCH AMERISOURCE-GNP
59088071300 salicylic acid DERMACINRX ATRIX SYSTEM 1 PACK PURETEK CORPORA
59088044508 salicylic acid DERMACINRX ATRIX 2% WASH PURETEK CORPORA
70000055001 salicylic acid THERAPEUTIC 3% DANDRUFF SHMP LEADER
70000033001 salicylic acid CORN REMOVER 40% PATCH LEADER
70000033301 salicylic acid CALLUS REMOVERS PATCH LEADER
70000033101 salicylic acid WART REMOVER CLEAR STRIP LEADER
24385067827 salicylic acid SCALP RELIEF LIQUID AMERISOURCE-GNP
00096073104 salicylic acid DHS SAL 3% SHAMPOO PERSON & COVEY
00096073804 salicylic acid DHS SAL 3% SHAMPOO PERSON & COVEY
59088044605 salicylic acid DERMACINRX ATRIX 2% CREAM PURETEK CORPORA
00575100408 salicylic acid/coal tar X-SEB T PEARL SHAMPOO AERO PHARM INC
00536196297 salicylic acid/sulfur SEBEX SHAMPOO RUGBY
00187526011 salt irrigation solution no.1 OCEAN COMPLETE SINUS RINSE BAUSCH HEALTH U
84
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00536199553 selenium sulfide ANTI-DANDRUFF 1% SHAMPOO RUGBY
70000053101 selenium sulfide MEDICATED DANDRUFF 1% SHAMPOO LEADER
00121072208 senna leaf extract SENNA 176 MG/5 ML SYRUP PHARM ASSOC INC
00121472215 senna leaf extract SENNA 528 MG/15 ML CUP PHARM ASSOC INC
00536133559 senna leaf extract SENNA 176 MG/5 ML SYRUP RUGBY
67618033220 senna leaf/herbal no.324 SENOKOT-CHAMOMILE TEA PURDUE PROD LP
62011038701 sennosides HM SENNA 8.6 MG TABLET HM-STRATEGIC SO
63868025710 sennosides QC NATURAL VEG LAXATIVE TABLET CHAIN DRUG
63868057901 sennosides QC VEGETABLE LAXATIVE 8.6MG TB CHAIN DRUG
63868008624 sennosides QC LAXATIVE 25 MG TABLET CHAIN DRUG
63868026624 sennosides QC CHOCOLATED LAXATIVE CHAIN DRUG
57237030124 sennosides SENNA 8.8 MG/5 ML SYRUP RISING PHARM
70000044301 sennosides LAXATIVE 15 MG TABLET LEADER
70000044703 sennosides SENNA LAXATIVE 8.6 MG TABLET LEADER
70000044701 sennosides SENNA 8.6 MG TABLET LEADER
70000044702 sennosides SENNA 8.6 MG TABLET LEADER
70000044101 sennosides SENNA 8.6 MG SOFTGEL LEADER
70000007701 sennosides LAXATIVE 25 MG TABLET LEADER
70000047701 sennosides CHOCOLATED LAXATIVE LEADER
39328012005 sennosides SENNA 8.8 MG/5 ML SYRUP PATRIN PHARMA
39328002008 sennosides SENNA 8.8 MG/5 ML SYRUP PATRIN PHARMA
39328012050 sennosides SENNA 8.8 MG/5 ML SYRUP PATRIN PHARMA
39328022015 sennosides SENNA 26.4 MG/15 ML SYRUP CUP PATRIN PHARMA
39328022050 sennosides SENNA 26.4 MG/15 ML SYRUP CUP PATRIN PHARMA
49483008001 sennosides SENNA-TIME 8.6 MG TABLET TIME-CAP LABS
49483008010 sennosides SENNA-TIME 8.6 MG TABLET TIME-CAP LABS
50268073124 sennosides SENNA 8.8 MG/5 ML SYRUP AVPAK
50268073111 sennosides SENNA 8.8 MG/5 ML SYRUP AVPAK
70677013301 sennosides SM SENNA LAXATIVE 8.6 MG TAB SM-STRATEGIC SO
70677005801 sennosides SM SENNA LAXATIVE 8.6 MG TAB SM-STRATEGIC SO
46122057578 sennosides SENNA LAX 8.6 MG TABLET AMERISOURCE-GNP
46122070278 sennosides GNP SENNA LAX 8.6 MG TABLET AMERISOURCE-GNP
00121496705 sennosides SENNA 8.8 MG/5 ML SYRUP PHARM ASSOC INC
00121496740 sennosides SENNA 8.8 MG/5 ML SYRUP PHARM ASSOC INC
00536126659 sennosides SENNA 8.8 MG/5 ML LIQUID RUGBY
00904672559 sennosides SENNA 8.6 MG TABLET MAJOR PHARMACEU
00904672580 sennosides SENNA 8.6 MG TABLET MAJOR PHARMACEU
00904652261 sennosides SENNA-LAX 8.6 MG TABLET MAJOR PHARMACEU
51645085101 sennosides SENNA 8.6 MG TABLET PLUS PHARMA,INC
51645085110 sennosides SENNA 8.6 MG TABLET PLUS PHARMA,INC
67618012012 sennosides SENOKOT EXTRA STR 17.2 MG TAB PURDUE PROD LP
85
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
67618030020 sennosides SENOKOT 8.6 MG TABLET PURDUE PROD LP
67618030010 sennosides SENOKOT 8.6 MG TABLET PURDUE PROD LP
67618030050 sennosides SENOKOT 8.6 MG TABLET PURDUE PROD LP
51645085199 sennosides SENNA 8.6 MG TABLET PLUS PHARMA,INC
54859080808 sennosides SENNA 8.8 MG/5 ML SYRUP LLORENS PHARM
58657051808 sennosides SENNA 8.8 MG/5 ML SYRUP METHOD PHARMACE
51645085006 sennosides/docusate sodium SENNA PLUS TABLET PLUS PHARMA,INC
51645085010 sennosides/docusate sodium SENNA PLUS TABLET PLUS PHARMA,INC
51645085099 sennosides/docusate sodium SENNA PLUS TABLET PLUS PHARMA,INC
67618011030 sennosides/docusate sodium COLACE 2-IN-1 TABLET PURDUE PROD LP
67618031060 sennosides/docusate sodium SENOKOT-S TABLET PURDUE PROD LP
67618011010 sennosides/docusate sodium COLACE 2-IN-1 TABLET PURDUE PROD LP
67618011060 sennosides/docusate sodium COLACE 2-IN-1 TABLET PURDUE PROD LP
67618031001 sennosides/docusate sodium SENOKOT-S TABLET PURDUE PROD LP
67618031030 sennosides/docusate sodium SENOKOT-S TABLET PURDUE PROD LP
60258095106 sennosides/docusate sodium SENNA-S TABLET CYPRESS PHARM.
46122056778 sennosides/docusate sodium STOOL SOFTENER-STIM LAX TABLET AMERISOURCE-GNP
46122062572 sennosides/docusate sodium GNP SENNA PLUS 8.6-50 MG TAB AMERISOURCE-GNP
46122066978 sennosides/docusate sodium GNP STOOL SOFTENER-STIM LAX TB AMERISOURCE-GNP
62011036401 sennosides/docusate sodium HM SENNA-S TABLET HM-STRATEGIC SO
62011039501 sennosides/docusate sodium HM STOOL SOFTENER-STIM LAX TAB HM-STRATEGIC SO
60687062201 sennosides/docusate sodium SENNOSIDES-DOCUSATE SODIUM TAB AHP
60687062211 sennosides/docusate sodium SENNOSIDES-DOCUSATE SODIUM TAB AHP
63739043202 sennosides/docusate sodium SENNOSIDES-DOCUSATE SODIUM TAB SKY PHARMACEUTI
63868013510 sennosides/docusate sodium QC STOOL SOFTENER-LAXATIVE TAB CHAIN DRUG
63868013760 sennosides/docusate sodium QC STOOL SOFTENER-LAXATIVE TAB CHAIN DRUG
70000052601 sennosides/docusate sodium STOOL SOFTENER-STIM LAX TABLET LEADER
70000052001 sennosides/docusate sodium SENNA PLUS 8.6-50 MG TABLET LEADER
70000044201 sennosides/docusate sodium STOOL SOFTENER-STIM LAX SOFTGL LEADER
70000044501 sennosides/docusate sodium SENNA PLUS 8.6-50 MG SOFTGEL LEADER
49483008101 sennosides/docusate sodium SENNA-TIME S TABLET TIME-CAP LABS
49483008110 sennosides/docusate sodium SENNA-TIME S TABLET TIME-CAP LABS
70677005901 sennosides/docusate sodium SM STOOL SOFTENER-LAXATIVE TAB SM-STRATEGIC SO
70677004201 sennosides/docusate sodium SM SENNA-S TABLET SM-STRATEGIC SO
70677008301 sennosides/docusate sodium SM STOOL SOFTENER-LAXATIVE TAB SM-STRATEGIC SO
00536124701 sennosides/docusate sodium SENEXON-S 50-8.6 MG TABLET RUGBY
00536124810 sennosides/docusate sodium STIMULANT LAXATIVE PLUS TABLET RUGBY
00536124710 sennosides/docusate sodium SENEXON-S 50-8.6 MG TABLET RUGBY
00536124801 sennosides/docusate sodium STIMULANT LAXATIVE PLUS TABLET RUGBY
51645085001 sennosides/docusate sodium SENNA PLUS TABLET PLUS PHARMA,INC
00486112501 sod phos di, mono/K phos mono K-PHOS NEUTRAL TABLET BEACH PRODUCTS
86
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
64980010401 sod phos di, mono/K phos mono PHOSPHA 250 NEUTRAL TABLET RISING PHARM
39328010710 sod phos di, mono/K phos mono PHOSPHO-TRIN 250 NEUTRAL TAB PATRIN PHARMA
00486112505 sod phos di, mono/K phos mono K-PHOS NEUTRAL TABLET BEACH PRODUCTS
69543026810 sod phos di, mono/K phos mono VIRT-PHOS 250 NEUTRAL TABLET VIRTUS PHARMACE
58657031116 sod/pot/K cit/sod cit/cit acid POTASS CIT-SOD CIT-CITRIC SOLN METHOD PHARMACE
69543036616 sod/pot/K cit/sod cit/cit acid VIRTRATE-3 SOLUTION VIRTUS PHARMACE
00121067716 sod/pot/K cit/sod cit/cit acid TRICITRATES ORAL SOLUTION PHARM ASSOC INC
00536104710 sodium bicarbonate SODIUM BICARB 650 MG TABLET RUGBY
00536104610 sodium bicarbonate SODIUM BICARB 325 MG TABLET RUGBY
64980052810 sodium bicarbonate SODIUM BICARB 650 MG TABLET RISING PHARM
00187526002 sodium chloride OCEAN 0.65% NASAL SPRAY BAUSCH HEALTH U
00187526001 sodium chloride OCEAN 0.65% NASAL SPRAY BAUSCH HEALTH U
00187526003 sodium chloride OCEAN 0.65% NASAL SPRAY BAUSCH HEALTH U
24208027715 sodium chloride MURO-128 5% EYE DROPS BAUSCH HEALTH U
24208038555 sodium chloride MURO-128 5% EYE OINTMENT BAUSCH HEALTH U
24208038556 sodium chloride MURO-128 5% EYE OINTMENT BAUSCH HEALTH U
24208027615 sodium chloride MURO-128 2% EYE DROPS BAUSCH HEALTH U
62011008602 sodium chloride HM SALINE 0.65% NASAL SPRAY HM-STRATEGIC SO
69367022001 sodium chloride SODIUM CHLORIDE 1 GM TABLET WESTMINSTER PHA
45802035758 sodium chloride SALINE MIST 0.65% NOSE SPRY PERRIGO/PADAGIS
49348035625 sodium chloride SM SALINE 0.65% NASAL SPRAY SM-STRATEGIC SO
49348035684 sodium chloride SM SALINE 0.65% NASAL SPRAY SM-STRATEGIC SO
68084079425 sodium chloride SODIUM CHLORIDE 1,000 MG TAB AHP
68084079495 sodium chloride SODIUM CHLORIDE 1,000 MG TAB AHP
24385032521 sodium chloride NASAL MOISTURIZING 0.65% SPRAY AMERISOURCE-GNP
24385032558 sodium chloride SALINE 0.65% NOSE SPRAY AMERISOURCE-GNP
17478062312 sodium chloride SODIUM CHLORIDE 5% EYE DROP AKORN INC.
17478062235 sodium chloride SODIUM CHLORIDE 5% EYE OINT AKORN INC.
00225038080 sodium chloride AYR SALINE 0.65% NOSE SPRAY B.F ASCHER & CO
00225055050 sodium chloride BABY AYR SALINE 0.65% DROPS B.F ASCHER & CO
00225038280 sodium chloride AYR SALINE 0.65% NOSE DROPS B.F ASCHER & CO
00536134201 sodium chloride SODIUM CHLORIDE 1 GM TABLET RUGBY
00536250676 sodium chloride SALINE MIST 0.65% NOSE SPRY RUGBY
00536125494 sodium chloride SODIUM CHLORIDE 5% OPHTH SOLN RUGBY
00536125391 sodium chloride SODIUM CHLORIDE 5% EYE OINT RUGBY
00904386575 sodium chloride DEEP SEA 0.65% NOSE SPRAY MAJOR PHARMACEU
58657011801 sodium chloride SODIUM CHLORIDE 1 GM TABLET METHOD PHARMACE
62011008601 sodium chloride HM SALINE 0.65% NASAL SPRAY HM-STRATEGIC SO
00225052547 sodium chloride/aloe vera AYR SALINE NASAL GEL B.F ASCHER & CO
52796017250 sodium fluoride/vitamin D3 FLORIVA 0.25 MG/ML DROPS BONGEO PHARMACE
00024151702 sodium salicylate/sulfur PHISODAN SHAMPOO MEDICIS DERM
87
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
60258000615 sodium,potassium phosphates PHOS-NAK PACKET CYPRESS PHARM.
60258000601 sodium,potassium phosphates PHOS-NAK PACKET CYPRESS PHARM.
49348079072 terbinafine HCl SM ATHLETE'S 1% FOOT CREAM SM-STRATEGIC SO
51672208001 terbinafine HCl TERBINAFINE 1% CREAM TARO PHARM USA
51672208002 terbinafine HCl TERBINAFINE 1% CREAM TARO PHARM USA
24385052403 terbinafine HCl TERBINAFINE 1% CREAM AMERISOURCE-GNP
70000033801 terbinafine HCl ATHLETE'S FOOT 1% CREAM LEADER
24385052405 terbinafine HCl TERBINAFINE 1% CREAM AMERISOURCE-GNP
24385007705 tetrahydroz/dext 70/peg 400/pv EYE DROPS AMERISOURCE-GNP
49348069729 tetrahydroz/dext 70/peg 400/pv SM EYE DROPS ADVANCED RELIEF SM-STRATEGIC SO
70000045601 tetrahydroz/dext 70/peg 400/pv EYE DROPS ADVANCED RELIEF LEADER
62011010401 tetrahydroz/dext 70/peg 400/pv HM EYE DROPS ADVANCED RELIEF HM-STRATEGIC SO
49348003729 tetrahydrozoline HCl SM EYE DROPS SM-STRATEGIC SO
00536121794 tetrahydrozoline HCl EYE DROPS 0.05% RUGBY
24385007505 tetrahydrozoline HCl EYE DROPS AMERISOURCE-GNP
70000045401 tetrahydrozoline HCl EYE DROPS 0.05% LEADER
62011010201 tetrahydrozoline HCl HM STERILE 0.05% EYE DROPS HM-STRATEGIC SO
70000008701 tetrahydrozoline/polyvin a/pov EYE IRRITATION RELIEF DROPS LEADER
58809072904 thonzylamine/phenylephrine NASOPEN PE LIQUID G.M. PHARM
49348050859 tioconazole SM TIOCONAZOLE-1 6.5% OINTMENT SM-STRATEGIC SO
70000035701 tioconazole TIOCONAZOLE-1 6.5% OINTMENT LEADER
00536131543 tolnaftate TOLNAFTATE 1% CREAM RUGBY
59088047703 tolnaftate MICOTRIN AL 1% LIQUID PURETEK CORPORA
59088044303 tolnaftate MYCOZYL AL 1% LIQUID PURETEK CORPORA
00113015473 tolnaftate GS ATHLETE'S FOOT 1% LQ SPRAY PERRIGO/GOODSEN
24385003203 tolnaftate TOLNAFTATE 1% CREAM AMERISOURCE-GNP
63868010446 tolnaftate QC TOLNAFTATE 1% CREAM CHAIN DRUG
63868052928 tolnaftate QC ANTIFUNGAL 1% CREAM CHAIN DRUG
63868068501 tolnaftate QC ANTIFUNGAL 1% CREAM CHAIN DRUG
00884821104 tolnaftate FUNGOID-D 1% CREAM BAUSCH HEALTH U
49348015529 tolnaftate SM ANTIFUNGAL 1% CREAM SM-STRATEGIC SO
70000049401 tolnaftate TOLNAFTATE 1% CREAM LEADER
70000008401 tolnaftate TOLNAFTATE 1% CREAM LEADER
70000032201 tolnaftate ATHLETE'S FOOT 1% POWDER SPRAY LEADER
00904072645 tolnaftate TOLNAFTATE 1% POWDER MAJOR PHARMACEU
00904072236 tolnaftate ANTIFUNGAL 1% CREAM MAJOR PHARMACEU
00536132926 tolnaftate TOLNAFTATE 1% POWDER RUGBY
51672202002 tolnaftate TOLNAFTATE 1% CREAM TARO PHARM USA
00536515026 tolnaftate ANTI-FUNGAL 1% POWDER RUGBY
11527005140 tolnaftate ANTIFUNGAL 1% CREAM SHEFFIELD PHARM
51672202001 tolnaftate TOLNAFTATE 1% CREAM TARO PHARM USA
88
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
62011032001 triamcinolone acetonide HM 24HR NASAL ALLERGY 55 MCG HM-STRATEGIC SO
70000020401 triamcinolone acetonide NASAL ALLERGY 24HR SPRAY LEADER
46122038576 triamcinolone acetonide 24H NASAL ALLERGY 55 MCG SPRAY AMERISOURCE-GNP
00113044301 triamcinolone acetonide GS NASAL ALLERGY 24HR SPRAY PERRIGO/GOODSEN
45802010901 triamcinolone acetonide TRIAMCINOLONE 55 MCG NASAL SPR PERRIGO/PADAGIS
69367025330 triprolidine HCl TRIPROLIDINE 0.938 MG/ML DROPS WESTMINSTER PHA
69784010201 triprolidine HCl TRIPROLIDINE 0.625 MG/ML DROP WOODWARD PHARMA
28595080560 triprolidine HCl HISTEX 1.25 MG CHEWABLE TABLET ALLEGIS PHARMAC
00536125775 triprolidine HCl TRIPROLIDINE 0.938 MG/ML DROPS RUGBY
69367018530 triprolidine HCl TRIPROLIDINE 0.625 MG/ML DROP WESTMINSTER PHA
58809065150 triprolidine HCl PEDIACLEAR PD 0.625 MG/ML DROP G.M. PHARM
69367018650 triprolidine HCl TRIPROLIDINE 0.313 MG/ML DROP WESTMINSTER PHA
28595080130 triprolidine HCl HISTEX PD 0.938 MG/ML DROP ALLEGIS PHARMAC
28595080830 triprolidine HCl HISTEX PDX 1.25 MG/ML DROP ALLEGIS PHARMAC
28595080208 triprolidine HCl HISTEX 2.5 MG/5 ML SYRUP ALLEGIS PHARMAC
00904025059 triprolidine/pseudoephedrine APRODINE TABLET MAJOR PHARMACEU
00904025024 triprolidine/pseudoephedrine APRODINE TABLET MAJOR PHARMACEU
00225036011 trolamine salicylate MOBISYL 10% CREAM B.F ASCHER & CO
24385016553 trolamine salicylate ARTHRICREAM 10% RUB AMERISOURCE-GNP
00225036035 trolamine salicylate MOBISYL 10% CREAM B.F ASCHER & CO
70000016901 trolamine salicylate PAIN RELIEVING 10% CREAM LEADER
49348088384 trolamine salicylate/aloe vera SM ARTHRICREAM RUB 10% CREAM SM-STRATEGIC SO
00087040303 vit A palmitate/vit C/vit D3 TRI-VI-SOL DROPS MJ NUTRITIONAL
00536134780 vit A palmitate/vit C/vit D3 INFANT-TODDLER VIT A-C-D DROP RUGBY
51645099712 vit A/C/E ac/ZnOx/cupric oxide EYEPROTECT TABLET PLUS PHARMA,INC
46122009372 vit A/vit C/vit E/zinc/copper HEALTHY EYES SUPERVISION SFTGL AMERISOURCE-GNP
24208043262 vit A/vit C/vit E/zinc/copper PRESERVISION AREDS TABLET BAUSCH HEALTH U
00065804603 vit A/vit C/vit E/zinc/copper ICAPS AREDS SOFTGEL ALCON CONSUMER
24208053210 vit A/vit C/vit E/zinc/copper PRESERVISION AREDS SOFTGEL BAUSCH HEALTH U
24208053230 vit A/vit C/vit E/zinc/copper PRESERVISION AREDS SOFTGEL BAUSCH HEALTH U
24208043272 vit A/vit C/vit E/zinc/copper PRESERVISION AREDS TABLET BAUSCH HEALTH U
60258016101 vit B comp no.3/folic/C/biotin RENA-VITE RX TABLET CYPRESS PHARM.
00023587901 vit B comp no.3/folic/C/biotin NEPHRO-VITE RX TABLET ALLERGAN INC.
69543035610 vit B comp no.3/folic/C/biotin VP-VITE RX TABLET VIRTUS PHARMACE
00904722151 vit C/E/cuperic/zinc/lutein EYE MULTIVITAMIN-LUTEIN SFTGEL MAJOR PHARMACEU
00904722118 vit C/E/cuperic/zinc/lutein EYE MULTIVITAMIN-LUTEIN SFTGEL MAJOR PHARMACEU
24208063211 vit C/E/cuperic/zinc/lutein PRESERVISION LUTEIN SOFTGEL BAUSCH HEALTH U
24208063261 vit C/E/cuperic/zinc/lutein PRESERVISION LUTEIN SOFTGEL BAUSCH HEALTH U
24208063210 vit C/E/cuperic/zinc/lutein PRESERVISION LUTEIN SOFTGEL BAUSCH HEALTH U
00065804812 vit C/E/zinc ox/copp/lut/zeax ICAPS AREDS2 SOFTGEL ALCON CONSUMER
00299391816 vit E acet/gly/dimeth/water CETAPHIL MOISTURIZING LOTION GALDERMA LABORA
89
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
00299391808 vit E acet/gly/dimeth/water CETAPHIL MOISTURIZING LOTION GALDERMA LABORA
00065804803 vitC/E/zinc/copper/lutein/zeax ICAPS AREDS2 CHEWABLE TABLET ALCON CONSUMER
00065804806 vitC/E/zinc/copper/lutein/zeax ICAPS AREDS2 TABLET ALCON CONSUMER
00065804807 vitC/E/zinc/copper/lutein/zeax ICAPS AREDS2 TABLET ALCON CONSUMER
37205007678 vitamin E VITAMIN E 400 UNIT SOFTGEL LEADER
54838000530 vitamin E (dl,tocopheryl acet) VITAMIN E 15 UNIT/0.3 ML DROP SILARX/LANNETT
50268086915 vitamin E (dl,tocopheryl acet) VITAMIN E-200 200 UNIT SOFTGEL AVPAK
50268086911 vitamin E (dl,tocopheryl acet) VITAMIN E-200 200 UNIT SOFTGEL AVPAK
50268087013 vitamin E (dl,tocopheryl acet) VITAMIN E 180 MG SOFTGEL AVPAK
50268087011 vitamin E (dl,tocopheryl acet) VITAMIN E 180 MG SOFTGEL AVPAK
39328001030 vitamin E (dl,tocopheryl acet) SOLUVITA-E 22.5 MG/ML DROP PATRIN PHARMA
00536135201 vitamin E (dl,tocopheryl acet) VITAMIN E 180MG(400 UNIT) SFGL RUGBY
00904027760 vitamin E (dl,tocopheryl acet) VITAMIN E 450 MG SOFTGEL MAJOR PHARMACEU
00904027746 vitamin E (dl,tocopheryl acet) VITAMIN E 450 MG SOFTGEL MAJOR PHARMACEU
68599118705 vitamins A and D SKIN PROTECTANT A-D 93.5% PKT MCKESSON MEDICA
68599118603 vitamins A and D SKIN PROTECTANT A-D 93.5% OINT MCKESSON MEDICA
68599118507 vitamins A and D SKIN PROTECTANT A-D 93.5% OINT MCKESSON MEDICA
24385007026 vits A and D/white pet/lanolin VITAMIN A AND D OINTMENT AMERISOURCE-GNP
70000035801 vits A and D/white pet/lanolin VITAMIN A AND D OINTMENT LEADER
45802039504 vits A and D/white pet/lanolin VITAMIN A AND D OINTMENT PERRIGO CO.
00536509008 vits A,C,E/lutein/minerals I-VITE TABLET RUGBY
24208038762 vits A,C,E/lutein/minerals OCUVITE WITH LUTEIN TABLET BAUSCH HEALTH U
24208038760 vits A,C,E/lutein/minerals OCUVITE WITH LUTEIN TABLET BAUSCH HEALTH U
46122009272 vits A,C,E/lutein/minerals HEALTHY EYES TABLET AMERISOURCE-GNP
00087134541 water ENFAMIL WATER NURSETTE LIQUID MJ NUTRITIONAL
46122013248 wheat dextrin BEST FIBER POWDER AMERISOURCE-GNP
00904682960 witch hazel MEDI-PADS 50% MAJOR PHARMACEU
70000036401 witch hazel HEMORRHOIDAL MEDICATED 50% PAD LEADER
00178033008 zinc oxide DR. SMITH'S DIAPER 10% OINTMNT MISSION PHARM.
46122011846 zinc oxide ZINC OXIDE 20% OINTMENT AMERISOURCE-GNP
00178033003 zinc oxide DR. SMITH'S DIAPER 10% OINTMNT MISSION PHARM.
00178034003 zinc oxide DR. SMITH'S DIAPER RASH SPRAY MISSION PHARM.
00178034806 zinc oxide DR. SMITH'S ADULT BARRIER SPRY MISSION PHARM.
00536131625 zinc oxide ZINC OXIDE 20% OINTMENT RUGBY
00536131628 zinc oxide ZINC OXIDE 20% OINTMENT RUGBY
00536131698 zinc oxide ZINC OXIDE 20% OINTMENT RUGBY
00536570025 zinc oxide ZINC OXIDE 20% OINTMENT RUGBY
00536570028 zinc oxide ZINC OXIDE 20% OINTMENT RUGBY
00536570098 zinc oxide ZINC OXIDE 20% OINTMENT RUGBY
11527005841 zinc oxide DIAPER RASH 40% OINTMENT SHEFFIELD PHARM
58809045004 zinc oxide COZIMA 24% DIAPER RASH CREAM G.M. PHARM
90
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/
58809037504 zinc oxide Z-BUM 22% DIAPER RASH CREAM G.M. PHARM
68001053245 zinc oxide ZINC OXIDE 20% OINTMENT BLUEPOINT LABOR
68001053246 zinc oxide ZINC OXIDE 20% OINTMENT BLUEPOINT LABOR
68001053350 zinc oxide ZINC OXIDE 20% OINTMENT BLUEPOINT LABOR
68599531206 zinc oxide SKIN PROTECTANT 5% CREAM MCKESSON MEDICA
63868059357 zinc oxide QC ZINC OXIDE 40% OINTMENT CHAIN DRUG
70000033401 zinc oxide ZINC OXIDE 20% OINTMENT LEADER
70000048801 zinc oxide ZINC OXIDE 25% OINTMENT LEADER
70000046901 zinc oxide DIAPER RASH 40% OINTMENT LEADER
69367018804 zinc oxide ZINC OXIDE 22% CREAM WESTMINSTER PHA
70512010330 zinc oxide ZINC OXIDE 20% OINTMENT SOLA PHARMACEUT
75834017001 zinc oxide ZINC OXIDE 20% OINTMENT NIVAGEN PHARMAC
75834017002 zinc oxide ZINC OXIDE 20% OINTMENT NIVAGEN PHARMAC
75834017015 zinc oxide ZINC OXIDE 20% OINTMENT NIVAGEN PHARMAC
46122067646 zinc oxide GNP ZINC OXIDE 20% OINTMENT AMERISOURCE-GNP
00178033002 zinc oxide DR. SMITH'S DIAPER 10% OINTMNT MISSION PHARM.

91
MS Medicaid covers these OTC drugs pursuant to a prescription. Coverage of acne agents, laxatives and multivitamin/mineral supplements is limited to Age < 21.
Calcium carbonate and renal vitamins are covered only for dialysis patients (prescriber must document 'For Dialyisis Pt.' on Rx.).
Doxylamine & pyridoxine covered only for women of childbearing age.
For more OTC List information see the Pharmacy page at http://www.medicaid.ms.gov/providers/pharmacy/