Document ID: chunk:federal_register_of_legislation:F2025C00217:schedule:1:p4
Version: federal_register_of_legislation:F2025C00217
Segment Type: schedule
Provision Reference: sch 1 (pt 4/13)
Character Range: 37294–50170

mg and gramicidin 50 micrograms per mL, 8 mL                                        Application to the ear    Sofradex                                              1                                3.35                5.59
Diazepam                                              Tablet 2 mg                                                                                                                                                                               Oral                      Antenex 2                                             50                               2.50                5.28
                                                      Tablet 5 mg                                                                                                                                                                               Oral                      Valium                                                50                               2.50                5.57
Diclofenac                                            Tablet (enteric coated) containing diclofenac sodium 25 mg                                                                                                                                Oral                      Voltaren 25                                           50                               2.50                4.83
                                                      Tablet (enteric coated) containing diclofenac sodium 50 mg                                                                                                                                Oral                      Voltaren 50                                           50                               2.50                7.31
Dicloxacillin                                         Capsule 250 mg (as sodium)                                                                                                                                                                Oral                      Distaph 250                                           24                               4.30                6.11
                                                      Capsule 500 mg (as sodium)                                                                                                                                                                Oral                      Distaph 500                                           24                               7.53                9.35
Digoxin                                               Tablet 62.5 micrograms                                                                                                                                                                    Oral                      Lanoxin‑PG                                            200                              3.50                5.88
                                                      Tablet 250 micrograms                                                                                                                                                                     Oral                      Lanoxin                                               100                              3.50                5.88
Diltiazem                                             Capsule (controlled delivery) containing diltiazem hydrochloride 180 mg                                                                                                                   Oral                      Cardizem CD                                           30                               5.39                6.92
                                                      Capsule (controlled delivery) containing diltiazem hydrochloride 240 mg                                                                                                                   Oral                      Cardizem CD                                           30                               7.29                8.82
                                                      Capsule (controlled delivery) containing diltiazem hydrochloride 360 mg                                                                                                                   Oral                      Cardizem CD                                           30                               11.08               12.84
                                                      Tablet containing diltiazem hydrochloride 60 mg                                                                                                                                           Oral                      Cardizem                                              90                               7.40                9.17
Diphenoxylate with atropine                           Tablet containing diphenoxylate hydrochloride 2.5 mg with atropine sulfate monohydrate 25 micrograms                                                                                      Oral                      Lomotil                                               20                               2.50                5.80
Donepezil                                             Tablet containing donepezil hydrochloride 5 mg                                                                                                                                            Oral                      Aricept                                               28                               5.46                11.16
                                                      Tablet containing donepezil hydrochloride 10 mg                                                                                                                                           Oral                      Aricept                                               28                               5.46                11.12
Dorzolamide with timolol                              Eye drops containing dorzolamide 20 mg (as hydrochloride) with timolol 5 mg (as maleate) per mL, 5 mL                                                                                     Application to the eye    Cosopt                                                1                                7.93                8.68
Dosulepin                                             Capsule containing dosulepin hydrochloride 25 mg                                                                                                                                          Oral                      Dothep 25                                             50                               2.89                4.70
                                                      Tablet containing dosulepin hydrochloride 75 mg                                                                                                                                           Oral                      Dothep 75                                             30                               2.89                4.70
Doxycycline                                           Capsule 50 mg (as hyclate) (containing enteric coated pellets)                                                                                                                            Oral                      Doryx                                                 25                               2.67                7.33
                                                                                                                                                                                                                                                                          Mayne Pharma Doxycycline                              25                               2.67                5.08
                                                      Capsule 100 mg (as hyclate) (containing enteric coated pellets)                                                                                                                           Oral                      Doryx                                                 7                                2.50                5.25
                                                                                                                                                                                                                                                                          Mayne Pharma Doxycycline                              7                                2.50                3.93
                                                                                                                                                                                                                                                                          Mayne Pharma Doxycycline                              21                                                   10.49
Dutasteride                                           Capsule 500 micrograms                                                                                                                                                                    Oral                      Avodart                                               30                               15.22               21.73
Dutasteride with tamsulosin                           Capsule containing dutasteride 500 micrograms with tamsulosin hydrochloride 400 micrograms                                                                                                Oral                      Duodart 500ug/400ug                                   30                               16.65               19.90

Enalapril                                             Tablet containing enalapril maleate 10 mg                                                                                                                                                 Oral                      Renitec                                               30                               3.37                13.05
                                                      Tablet containing enalapril maleate 20 mg                                                                                                                                                 Oral                      Renitec 20                                            30                               3.65                13.32
Enalapril with hydrochlorothiazide                    Tablet containing enalapril maleate 20 mg with hydrochlorothiazide 6 mg                                                                                                                   Oral                      Renitec Plus 20/6                                     30                               4.99                11.47
Eprosartan                                            Tablet 600 mg (as mesilate)                                                                                                                                                               Oral                      Teveten                                               28                               10.84               13.28
Escitalopram                                          Tablet 10 mg (as oxalate)                                                                                                                                                                 Oral                      Lexapro                                               28                               2.50                15.71
                                                      Tablet 20 mg (as oxalate)                                                                                                                                                                 Oral                      Lexapro                                               28                               2.50                16.03
Esomeprazole                                          Tablet (enteric coated) 20 mg (as magnesium)                                                                                                                                              Oral                      Nexium                                                30                               4.00                10.51
                                                      Tablet (enteric coated) 40 mg (as magnesium)                                                                                                                                              Oral                      Nexium                                                30                               6.79                13.30
Esomeprazole and clarithromycin and amoxicillin       Pack containing 14 tablets (enteric coated) containing esomeprazole 20 mg (as magnesium trihydrate), 14 tablets