Manufacturer Name
Graceway Pharmaceuticals (formerly 3M Pharmaceuticals)
Savage Laboratories, Division of Nycomed US Inc.
McKesson Packaging Services a Division of McKesson Corp.
Zimmer Biomet, Inc. (supplied by Seikagaku Corp.)

Drug Name (Brand Name or Generic Name)
CELESTONE SYRUP 0.6MG/5ML 4-FL OZ BOTTLE
MILRINONE LACTATE INJECTION IN 5% DEXTROSE IN PAB CONTAINER
AMIKACIN SULF INJ USP 1GRAM/4ML FLIPTOP VIAL
LMD 10% in 0.9% SODIUM CHL INJECTION 500ML
DOPAMINE HCL 200MGIN 5% DEXTROSE LIFECARE 250ML
DOPAMINE HCL 400MGIN 5% DEXTROSE LIFECARE 500ML
DOPAMINE HCL 400MGIN 5% DEXTROSE LIFECARE 250ML
DOPAMINE HCL 800MGIN 5% DEXTROSE LIFECARE 250ML
SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE
ARTISS Kit (Freeze-Dried) with DUPLOJECT System
Permacol Porcine ACell, Inc.ular Dermal Matrix, 1 ea.
Permacol® - Porcine ACell, Inc.ular Dermal Matrix, 1 ea.
Graftjacket Small Ligament Repair Matrix
Neonatal SurgiMend, 6x12 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 10x15 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 13x25 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 25x40 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 20x30 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 6x12 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 10x15 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 13x25 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 25x40 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 20x30 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 6x12 cm x 4.0 mm; 1 each
Neonatal SurgiMend, 10x15 cm x 4.0 mm; 1 each
Neonatal SurgiMend, 13x25 cm x 4.0 mm; 1 each
Neonatal SurgiMend, 25x40 cm x 4.0 mm; 1 each
Neonatal SurgiMend, 20x30 cm x 4.0 mm; 1 each
TETANUS AND DIPHTHERIA TOXOIDS ADSORBED FOR ADULT USE
Calcium Disodium Versenate (edetate calcium disodium)
Permacol Porcine Acellular Dermal Matrix, 1 ea.
Permacol® - Porcine Acellular Dermal Matrix, 1 ea.
Bicillin C-R 900/300 (1.2million units/syr)
Fluconazole Injection in PVC Flexible Containers
Omidria (phenylephrine + ketorolac irrigation)
Sodium Chl Conc 400Meq In 100Ml Maxivial
Methotrexate PoWder 1Gm In 50Ml Sd Vial (P.F.)
Sodium Chloride Bact Inj 10Ml Md Vial 0.9%
Feiba Vh Immuno (Anti-Inhibitor Coagulant Complex)
Alphanate /von Willebrand Factor Complex

Dosage descriptor assigned to the HCPCS code
lidocaine 70 mg/tetracaine 70 mg, per patch