Transcription of Example Part D USP Class Salt/Ester Eligible Drugs*
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Example Part D USP Class Salt/Ester Eligible Drugs*
USP Medicare Model Guidelines 1 of 30* This list is illustrative of Part D Eligible drugs only, and does not infer CMS coverageUSP CategoryUSP ClassExample Part D Eligible Drugs* Salt/EsterAnalgesicsNonsteroidal Anti-inflammatory DrugsCelecoxibDiclofenacPotassiumDifluni salEtodolacFenoprofenCalciumFlurbiprofen IbuprofenIndomethacinKetoprofenKetorolac TromethamineMeclofenamateMefenamic AcidMeloxicamNabumetoneNaproxenOxaprozin PiroxicamSulindacTolmetinOpioid Analgesics, Long-actingHydromorphoneFentanylLevorpha nolTartrateMethadoneHydrochlorideMorphin eSulfateOxycodoneHydrochlorideOxymorphon eHydrochlorideTramadolHydrochlorideOpioi d Analgesics, Short-actingButorphanolTartrateCodeinePh osphateFentanylCitrateHydromorphoneHydro chlorideMeperidineHydrochlorideNalbuphin eHydrochlorideOxycodoneHydrochlorideO
USP Medicare Model Guidelines v6.0 Page 1 of 30 * This list is illustrative of Part D eligible drugs only, and does not infer CMS coverage USP Category
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