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Wisconsin Department of Health Services

 

Wisconsin Chronic Disease Program

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Adult Cystic Fibrosis Program — Drugs No Longer Covered Due to a Manufacturer Not Participating in WCDP Drug Rebate Program Updated 5/28/03

View a list of covered drugs

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Manufacturer

NDC

Description

MERCK & CO INC

00006070520

NOROXIN 400MG

MERCK & CO INC

00006070568

NOROXIN 400

ROXANE LABORATORIES INC

00054417925

DEXAMETHASONE .5

ROXANE LABORATORIES INC

00054418425

DEXAMETHASONE 4MG TAB

SCHERING CORPORATION

00085004106

VANCENASE

SCHERING CORPORATION

00085020802

PROVENTIL SOLUTION .5%

SCHERING CORPORATION

00085025202

PROVENTIL 2MG TABLET

SCHERING CORPORATION

00085026402

NETROMYCIN 100MG/ML VIAL

SCHERING CORPORATION

00085037402

CHLOR-TRIMETON 8MG REPETAB

SCHERING CORPORATION

00085043102

PROVENTIL 4MG REPETABS

SCHERING CORPORATION

00085057302

PROVENTIL 4MG TABLET

SCHERING CORPORATION

00085061402

PROVENTIL INHALER 90MCG AER

SCHERING CORPORATION

00085061403

PROVENTIL INHALER 90MCG REF

SCHERING CORPORATION

00085064902

VANCENASE POCKETHALER

SCHERING CORPORATION

00085083503

CHLOR-TRIMETON 2MG/5ML SYR

3M PHARMACEUTICALS

00089034210

THEOLAIR 125MG TABLET

3M PHARMACEUTICALS

00089034310

THEOLAIR-SR 300MG TABLET

3M PHARMACEUTICALS

00089034410

THEOLAIR 250MG TABLET

3M PHARMACEUTICALS

00089034510

THEOLAIR-SR 250MG TABLET SA

3M PHARMACEUTICALS

00089034710

THEOLAIR-SR 500MG TABLET SA

E FOUGERA AND CO

00168007038

ERYTHROMYCIN 5MG/GM EYE OIN

IVAX PHARMACEUTICALS, INC

00172221860

SULFISOXAZOLE 500MG TABLET

IVAX PHARMACEUTICALS, INC

00172221880

SULFISOXAZOLE 500MG TABLET

IVAX PHARMACEUTICALS, INC

00172240760

TETRACYCLINE 500MG CAPSULE

IVAX PHARMACEUTICALS, INC

00172240780

TETRACYCLINE 500MG CAPSULE

IVAX PHARMACEUTICALS, INC

00172241660

TETRACYCLINE 250MG CAPSULE

IVAX PHARMACEUTICALS, INC

00172241680

TETRACYCLINE 250MG CAPSULE

IVAX PHARMACEUTICALS, INC

00172407360

CEPHALEXIN 250MG

IVAX PHARMACEUTICALS, INC

00172407460

CEPHALEXIN 500MG

IVAX PHARMACEUTICALS, INC

00182016301

AMPICILLIN 250MG CAPSULE

IVAX PHARMACEUTICALS, INC

00182016305

AMPICILLIN 250MG CAPSULE

IVAX PHARMACEUTICALS, INC

00182022640

THEOPHYLLINE ELIXIR

IVAX PHARMACEUTICALS, INC

00182022641

THEOPHYLLINE ELIXIR

IVAX PHARMACEUTICALS, INC

00182025940

GUIATUSS SYRUP

IVAX PHARMACEUTICALS, INC

00182027670

PENICILLIN VK 125MG/5ML SUS

IVAX PHARMACEUTICALS, INC

00182027673

PENICILLIN VK 125MG/5ML SUS

IVAX PHARMACEUTICALS, INC

00182030870

PENICILLIN VK 250MG/5ML SUS

IVAX PHARMACEUTICALS, INC

00182030873

PENICILLIN VK 250MG/5ML SUS

IVAX PHARMACEUTICALS, INC

00182047110

CHLORPHENIRAMINE 4MG TAB SA

IVAX PHARMACEUTICALS, INC

00182064101

AMPICILLIN 500MG CAPSULE

IVAX PHARMACEUTICALS, INC

00182067901

TETRACYCLINE 500MG CAPSULE

IVAX PHARMACEUTICALS, INC

00182107001

AMOXICILLIN 250MG CAPSULE

IVAX PHARMACEUTICALS, INC

00182107119

AMOXICILLIN 500MG CAPSULE

IVAX PHARMACEUTICALS, INC

00182107270

AMOXICILLIN 125MG/5ML SUSP

IVAX PHARMACEUTICALS, INC

00182140801

SULFATRIM DS 800/160 TABLET

IVAX PHARMACEUTICALS, INC

00182445701

PRENATAL 1+1

NOVARTIS NUTRITION

00212120003

MERITENE INSTANT PLAIN POWD

NOVARTIS NUTRITION

00212122002

MERITENE INSTANT CHOCOLATE

ALTANA INC

00281111231

DILOR 250MG/ML AMPUL

ALTANA INC

00281111553

DILOR 200MG TABLET

ALTANA INC

00281111557

DILOR 200MG TABLET

ALTANA INC

00281111653

DILOR 400MG TABLET

ALTANA INC

00281111874

DILOR ELIXIR

ALTANA INC

00281112453

DILOR-G TABLET

MURO ASTA MEDICA

00451400050

BROMFED CAPSULE T.R.

FOREST LABORATORIES INC

00456067299

AEROBID INHALER

ALPHARMA USPD

00472073116

CARDEC-DM SYRUP

ALPHARMA USPD

00472073331

CARDEC-DM DPS

ALPHARMA USPD

00472074916

CODAMINE SYRUP

ALPHARMA USPD

00472097116

ERYTHROMYCIN 200MG/5ML SUSP

ALPHARMA USPD

00472097716

ERYTHROMY EST 125MG/5ML SUS

ALPHARMA USPD

00472097916

ERYTHRO EST 250MG/5ML O.S.

ALPHARMA USPD

00472128516

SULFATRIM PEDIATRIC SUSPENS

ALPHARMA USPD

00472132002

NYSTATIN 100MU/ML ORAL SUSP

ALPHARMA USPD

00472132016

NYSTATIN 100 MU/MC SUSP

ALPHARMA USPD

00472144428

THEOPHYLLINE ELX

ALPHARMA USPD

00472163316

TRIACIN-C SYRUP

AMERICAN REGENT LABORATORIES

00517751003

ACETYLCYSTINE 10% VIAL

BOEHRINGER INGELHEIM

00597001314

COMBIVENT INHALER

BOEHRINGER INGELHEIM

00597007175

ALUPENT 5PC SOLUTION

BOEHRINGER INGELHEIM

00597007316

ALUPENT 10MG/5ML SYRUP

BOEHRINGER INGELHEIM

00597008214

ATROVENT INHALER

QUALITEST PRODUCTS INC

00603172958

THEOPHYLLINE ELIXIR 80/15

QUALITEST PRODUCTS INC

00603348228

DOXYCYCLINE 100MG

QUALITEST PRODUCTS INC

00603559432

QUINIDINE SULFATE 200MG TAB

QUALITEST PRODUCTS INC

00603566821

GUAIFEN PSE

QUALITEST PRODUCTS INC

00603592021

TETRACYCLINE 500MG

QUALITEST PRODUCTS INC

00603592032

TETRACYCLINE 500MG CAP

WYETH AYERST LABORATORIES

00641233143

GENTAMICIN 40MG/ML

FOREST LABORATORIES INC

00785620016

ENDAL-HD LIQUID

HALSEY DRUG COMPANY INC

00879052550

DOXYCYCLINE 50MG CAP

HALSEY DRUG COMPANY INC

00879052605

DOXYCYCLINE 100MG CAP

DEY LP

49502018130

ACETYCYSTEINE 10% NEB VIAL

DEY LP

49502030317

ALBUTEROL 90 MCG INHALER

DEY LP

49502068912

CROMOLYN 10MG/ML SOLUTION

DEY LP

49502069703

ALBUTEROL .83MG/ML SOLUTION

SIDMAK LABORATORIES INC

50111045903

THEOPHYLLINE 300MG TAB SA

SIDMAK LABORATORIES INC

50111048203

THEOPHYLLINE 200MG CR TAB

SIDMAK LABORATORIES INC

50111048301

THEOPHYLLINE 100MG TAB SA

SIDMAK LABORATORIES INC

50111051801

THEOPHYLLINE 450MG TAB SA

JANSSEN PHARAMACEUTICA

50458029004

SPORANOX 100MG CAPSULE

BEDFORD LABORATORIES INC

55390021103

ACETYLCYSTEINE 10% VIAL

WYETH AYERST LABORATORIES

59911581903

PROMETHAZINE/CODEINE SYRUP

WYETH AYERST LABORATORIES

59911582103

PROMETHAZINE VC/COD SYRUP

WARRICK PHARMACEUTICALS

59930151504

ALBUTEROL 5MG/ML SOLUTION

WARRICK PHARMACEUTICALS

59930156001

ALBUTEROL 90 MCG INHALER

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Last Revised: January 26, 2005