| Document Date: 2014-06-24 09:33:12
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Company Deca / GE / HP / / Facility Fluanxol Depot / Suprefact® Depot / / MedicalCondition Allergy / / MedicalTreatment Botox / Enema / / OperatingSystem XP / / Organization UNIT OF MEASURE Number / EXCEPTIONS DIN UNIT OF MEASURE / mL mL Unit / / / Product Testosterone cypionate / Clindamycin phosphate / Delestrogen / Humira / Zantac / Fungizone / Miconazole nitrate / Zidovudine / Lovenox / Sumatriptan / Merrem / Morphine sulfate / Invega / DDAVP / Humatrope / Penicillin G sodium / Dexamethasone / Dimenhydrinate / Glycopyrrolate / Rituxan / Aranesp / Neupogen / Lupron Depot / Flolan / Dihydroergotamine mesylate / Risperdal / Cefuroxime Sodium / Humalog / Nandrolone decanoate / Retrovir / Rocephin / Cefotaxime sodium / Glucagon / Medroxyprogesterone acetate / Timentin / Novolin / Monistat / Ranitidine hydrochloride / Gentamicin / Pentamidine isethionate / Octreotide acetate / Desferal / Cefepime hydrochloride / Deferoxamine mesylate / Cytovene / Neulasta / Remicade / Primaxin / Ampicillin / Imitrex / Benztropine mesylate / Estradiol valerate / Claforan / Peginterferon / Lupron / Fluphenazine decanoate / Metoclopramide hydrochloride / Clarithromycin / Etidronate Disodium / Avelox / Delatestryl / Methotrexate sodium / Rebif / Betaseron / Calcimar / Avonex / Fluconazole / Fortaz / Thyrogen / Ceftazidime / Cefazolin sodium / Diazepam / Eprex / Patch Prefilled syringe Powder Suppository Tablet / Fuzeon / Zofran / Humulin N / Tobramycin sulfate / Leuprolide acetate / Amphotericin B / Depo-Testosterone / Azithromycin / Enbrel / Copaxone / Testosterone enanthate / Metronidazole / Depo-Provera / FORMULATION Aerosol Capsule / Amoxicillin / Nutropin / Innohep / Ribavirin / Saizen / Zoladex / Hydrocortisone sodium succinate / Epinephrine / Cloxacillin Sodium / Humulin / Hydromorphone hydrochloride / Pegasys / Lorazepam / Myozyme / Eligard / Sandostatin / Lansoprazole / Nutropin AQ Pen / Ketorolac tromethamine / EpiPen / Ganciclovir sodium / Vancomycin hydrochloride / Aldara / Cipro / Fragmin / Iron dextran / Zinacef / Acyclovir sodium / Deca-Durabolin / Ciprofloxacin / Cortef / Cyanocobalamin / Phenytoin sodium / Furosemide / Toradol / Nutropin AQ / Intron A / Pyridoxine hydrochloride / Heparin sodium / Ondansetron hydrochloride / Methylprednisolone sodium succinate / Desmopressin Acetate / Ceftriaxone / Dilaudid / / Technology alpha / /
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Correct Quantities for NB Drug Plans Claim Submissions The tables below list correct quantities for various categories of medications and for a number of specific medications. If you are unsure of the correct unit of mea