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Concept Code
Concept Name
Preferred Concept Name
Code System
Value Set
992771
{1 (0.32 OZ) (miconazole nitrate 2 % Vaginal Cream [Monistat]) / 3 (miconazole nitrate 200 MG Vaginal Insert [Monistat]) } Pack [Monistat 3 Day Ovule Combination Pack]
{1 (0.32 OZ) (miconazole nitrate 2 % Vaginal Cream [Monistat]) / 3 (miconazole nitrate 200 MG Vaginal Insert [Monistat]) } Pack [Monistat 3 Day Ovule Combination Pack]
RxNorm
Medication Brand Name Value Set
Details
763622
{1 (0.35 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.4 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.35/0.4]
{1 (0.35 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.4 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.35/0.4]
RxNorm
Medication Brand Name Value Set
Details
791071
{1 (0.35 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.4 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Viscoelastic System 0.35/0.4]
{1 (0.35 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.4 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Viscoelastic System 0.35/0.4]
RxNorm
Medication Brand Name Value Set
Details
1098125
{1 (0.35 ML chondroitin sulfates 40 MG/ML / sodium hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.4 ML sodium hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.35/0.4]
{1 (0.35 ML chondroitin sulfates 40 MG/ML / sodium hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.4 ML sodium hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.35/0.4]
RxNorm
Medication Brand Name Value Set
Details
1855527
{1 (0.4 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]) / 1 (0.8 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]) } Pack [Humira Pediatric Crohn's Disease Starter Package (2 count)]
{1 (0.4 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]) / 1 (0.8 ML adalimumab 100 MG/ML Prefilled Syringe [Humira]) } Pack [Humira Pediatric Crohn's Disease Starter Package (2 count)]
RxNorm
Medication Brand Name Value Set
Details
2671099
{1 (0.4 ML adalimumab-aaty 100 MG/ML Prefilled Syringe [Yuflyma]) / 1 (0.8 ML adalimumab-aaty 100 MG/ML Prefilled Syringe [Yuflyma]) } Pack [Yuflyma Prefilled Syringe 80 MG/0.8 ML and 40 MG/0.4 ML Starter Package for Pediatric Crohn's Disease]
{1 (0.4 ML adalimumab-aaty 100 MG/ML Prefilled Syringe [Yuflyma]) / 1 (0.8 ML adalimumab-aaty 100 MG/ML Prefilled Syringe [Yuflyma]) } Pack [Yuflyma Prefilled Syringe 80 MG/0.8 ML and 40 MG/0.4 ML Starter Package for Pediatric Crohn's Disease]
RxNorm
Medication Brand Name Value Set
Details
2641673
{1 (0.4 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]) / 1 (0.8 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]) } Pack [Hyrimoz Pediatric Crohn's Starter Kit Patient Weight < 40 KG]
{1 (0.4 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]) / 1 (0.8 ML adalimumab-adaz 100 MG/ML Prefilled Syringe [Hyrimoz]) } Pack [Hyrimoz Pediatric Crohn's Starter Kit Patient Weight < 40 KG]
RxNorm
Medication Brand Name Value Set
Details
798353
{1 (0.5 ML Acellular Pertussis Vaccine 0.936 MG/ML / Diphtheria Toxoid Vaccine 13.4 UNT/ML / Tetanus Toxoid Vaccine 10 UNT/ML Injectable Suspension [Tripedia]) / 1 (0.5 ML Haemophilus influenzae b, capsular polysaccharide inactivated tetanus toxoid c
{1 (0.5 ML Acellular Pertussis Vaccine 0.936 MG/ML / Diphtheria Toxoid Vaccine 13.4 UNT/ML / Tetanus Toxoid Vaccine 10 UNT/ML Injectable Suspension [Tripedia]) / 1 (0.5 ML Haemophilus influenzae b, capsular polysaccharide inactivated tetanus toxoid c
RxNorm
Medication Brand Name Value Set
Details
763626
{1 (0.5 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.55 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.5/0.55]
{1 (0.5 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.55 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.5/0.55]
RxNorm
Medication Brand Name Value Set
Details
791069
{1 (0.5 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.55 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Viscoelastic System 0.5/0.55]
{1 (0.5 ML Chondroitin Sulfates 40 MG/ML / hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.55 ML hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Viscoelastic System 0.5/0.55]
RxNorm
Medication Brand Name Value Set
Details
1098140
{1 (0.5 ML chondroitin sulfates 40 MG/ML / sodium hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.55 ML sodium hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.5/0.55]
{1 (0.5 ML chondroitin sulfates 40 MG/ML / sodium hyaluronate 30 MG/ML Prefilled Syringe [Viscoat]) / 1 (0.55 ML sodium hyaluronate 10 MG/ML Prefilled Syringe [Provisc]) } Pack [Duovisc Kit 0.5/0.55]
RxNorm
Medication Brand Name Value Set
Details
790425
{1 (1 ML Epinephrine 1 MG/ML Prefilled Syringe) / 4 (Chlorpheniramine 2 MG Chewable Tablet [Chlo-Amine]) } Pack [Ana Kit]
{1 (1 ML Epinephrine 1 MG/ML Prefilled Syringe) / 4 (Chlorpheniramine 2 MG Chewable Tablet [Chlo-Amine]) } Pack [Ana Kit]
RxNorm
Medication Brand Name Value Set
Details
1488619
{1 (1 ML leuprolide acetate 3.75 MG/ML Prefilled Syringe [Lupron]) / 30 (norethindrone acetate 5 MG Oral Tablet) } Pack [Lupaneta Pack 1-Month]
{1 (1 ML leuprolide acetate 3.75 MG/ML Prefilled Syringe [Lupron]) / 30 (norethindrone acetate 5 MG Oral Tablet) } Pack [Lupaneta Pack 1-Month]
RxNorm
Medication Brand Name Value Set
Details
2703052
{1 (1 ML mirikizumab-mrkz 100 MG/ML Auto-Injector [Omvoh]) / 1 (2 ML mirikizumab-mrkz 100 MG/ML Auto-Injector [Omvoh]) } Pack [Omvoh Prefilled Pen 300 MG Dose Carton]
{1 (1 ML mirikizumab-mrkz 100 MG/ML Auto-Injector [Omvoh]) / 1 (2 ML mirikizumab-mrkz 100 MG/ML Auto-Injector [Omvoh]) } Pack [Omvoh Prefilled Pen 300 MG Dose Carton]
RxNorm
Medication Brand Name Value Set
Details
794083
{1 (1.2 ML) (interferon alfa-2b 15000000 UNT/ML Injectable Solution [Intron A]) / 42 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Rebetol Dose Reduction, Intron A 15,000,000 UNT/ML Multi-Dose Pen / 42 Rebetol Capsules]
{1 (1.2 ML) (interferon alfa-2b 15000000 UNT/ML Injectable Solution [Intron A]) / 42 (ribavirin 200 MG Oral Capsule [Rebetol]) } Pack [Rebetron Combination Package for Rebetol Dose Reduction, Intron A 15,000,000 UNT/ML Multi-Dose Pen / 42 Rebetol Capsules]
RxNorm
Medication Brand Name Value Set
Details