Assessing the Impact of Parity in the Large Group Employer-Sponsored Insurance Market: Final Report. APPENDIX F: National Drug Codes Used to Identify Prescription Drug Fills for Substance Use Disorders in Preliminary Analysis

02/27/2019

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National Drug Code Product Name Use Dosage in MG
00456-3330-01 CAMPRAL AUD 333
00258-4000-60 Acamprosate AUD 333
55045-3296-01 CAMPRAL AUD 333
00456-3330-60 CAMPRAL AUD 333
00456-3330-63 CAMPRAL AUD 333
54569-5767-00 CAMPRAL AUD 333
51079-0241-01 Acamprosate AUD 333
00378-6333-80 Acamprosate AUD 333
68462-0435-18 Acamprosate AUD 333
51079-0241-06 Acamprosate AUD 333
60687-0121-25 Acamprosate AUD 333
54868-5293-00 CAMPRAL AUD 333
60687-0121-95 Acamprosate AUD 333
0037-86333-80 Acamprosate Calcium AUD 333
12496-1278-02 SUBUTEX OUD 2
12496-1310-02 SUBUTEX OUD 8
68258-2991-03 Buprenorphine OUD 8
49999-0638-30 SUBUTEX OUD 2
49999-0639-30 SUBUTEX OUD 8
63629-4092-01 SUBUTEX OUD 8
63874-1173-03 SUBUTEX OUD 8
68308-0202-30 Buprenorphine OUD 2
68308-0208-30 Buprenorphine OUD 8
35356-0556-30 Buprenorphine OUD 8
00378-0924-93 Buprenorphine OUD 8
00054-0176-13 Buprenorphine OUD 2
00228-3153-03 Buprenorphine OUD 8
00093-5379-56 Buprenorphine OUD 8
00093-5378-56 Buprenorphine OUD 2
00378-0923-93 Buprenorphine OUD 2
00054-0177-13 Buprenorphine OUD 8
54569-6578-00 Buprenorphine OUD 8
50383-0924-93 Buprenorphine OUD 2
50383-0930-93 Buprenorphine OUD 8
63874-1174-03 SUBUTEX OUD 2
55700-0302-30 Buprenorphine OUD 2
55700-0303-30 Buprenorphine OUD 8
35356-0555-30 Buprenorphine OUD 2
00228-3156-03 Buprenorphine OUD 2
59385-0012-30 BUNAVAIL OUD 2.1–0.3
59385-0012-01 BUNAVAIL OUD 2.1–0.3
59385-0016-01 BUNAVAIL OUD 6.3–1
59385-0014-30 BUNAVAIL OUD 4.2–0.7
59385-0014-01 BUNAVAIL OUD 4.2–0.7
59385-0016-30 BUNAVAIL OUD 6.3–1
00228-3154-03 BUPRENORPHINE-NALOXONE OUD 2–0.5
00228-3155-03 BUPRENORPHINE-NALOXONE OUD 8–2
00490-0051-00 SUBOXONE OUD 2–0.5
00490-0051-30 SUBOXONE OUD 2–0.5
00490-0051-60 SUBOXONE OUD 2–0.5
00490-0051-90 SUBOXONE OUD 2–0.5
12496-1202-01 SUBOXONE OUD 2–0.5
12496-1202-03 SUBOXONE OUD 2–0.5
12496-1204-01 SUBOXONE OUD 4–1
12496-1204-03 SUBOXONE OUD 4–1
12496-1208-01 SUBOXONE OUD 8–2
12496-1208-03 SUBOXONE OUD 8–2
12496-1212-01 SUBOXONE OUD 12–3
12496-1212-03 SUBOXONE OUD 12–3
12496-1283-02 SUBOXONE OUD 2–0.5
12496-1306-02 SUBOXONE OUD 8–2
16590-0666-05 SUBOXONE OUD 2–0.5
16590-0666-30 SUBOXONE OUD 2–0.5
16590-0667-05 SUBOXONE OUD 8–2
16590-0667-30 SUBOXONE OUD 8–2
16590-0667-90 SUBOXONE OUD 8–2
23490-9270-03 SUBOXONE OUD 8–2
23490-9270-06 SUBOXONE OUD 8–2
23490-9270-09 SUBOXONE OUD 8–2
35356-0004-07 SUBOXONE OUD 8–2
35356-0004-30 SUBOXONE OUD 8–2
43063-0184-07 SUBOXONE OUD 8–2
43063-0184-30 SUBOXONE OUD 8–2
49999-0395-07 SUBOXONE OUD 2–0.5
49999-0395-15 SUBOXONE OUD 2–0.5
49999-0395-30 SUBOXONE OUD 2–0.5
52959-0304-30 SUBOXONE OUD 8–2
52959-0749-30 SUBOXONE OUD 2–0.5
54569-5496-00 SUBOXONE OUD 2–0.5
54569-5739-00 SUBOXONE OUD 8–2
54569-5739-01 SUBOXONE OUD 8–2
63629-4028-01 SUBOXONE OUD 2–0.5
54569-6408-00 BUPRENORPHINE-NALOXONE OUD 8–2
54123-0114-30 ZUBSOLV OUD 11.4–2.9
54123-0914-30 ZUBSOLV OUD 1.4–0.36
54569-5739-02 SUBOXONE OUD 8–2
54569-6399-00 SUBOXONE OUD 8–2
54868-5707-00 SUBOXONE OUD 8–2
53217-0138-30 BUPRENORPHINE-NALOXONE OUD 8–2
65162-0416-03 BUPRENORPHINE-NALOXONE OUD 2–0.5
54868-5707-01 SUBOXONE OUD 8–2
54868-5707-02 SUBOXONE OUD 8–2
50383-0287-93 BUPRENORPHINE-NALOXONE OUD 8–2
65162-0415-03 BUPRENORPHINE-NALOXONE OUD 8–2
54868-5707-03 SUBOXONE OUD 8–2
00093-5720-56 BUPRENORPHINE-NALOXONE OUD 2–0.5
00093-5721-56 BUPRENORPHINE-NALOXONE OUD 8–2
00228-3154-73 BUPRENORPHINE-NALOXONE OUD 2–0.5
55700-0184-30 BUPRENORPHINE-NALOXONE OUD 2–0.5
00406-1923-03 BUPRENORPHINE-NALOXONE OUD 2–0.5
54123-0929-30 ZUBSOLV OUD 2.9–0.71
00054-0189-13 BUPRENORPHINE-NALOXONE OUD 8–2
54868-5707-04 SUBOXONE OUD 8–2
00228-3155-73 BUPRENORPHINE-NALOXONE OUD 8–2
54868-5750-00 SUBOXONE OUD 2–0.5
55045-3784-03 SUBOXONE OUD 8–2
55700-0147-30 SUBOXONE OUD 8–2
55887-0312-04 SUBOXONE OUD 8–2
00406-1924-03 BUPRENORPHINE-NALOXONE OUD 8–2
55887-0312-15 SUBOXONE OUD 8–2
63629-4034-01 SUBOXONE OUD 8–2
63629-4034-02 SUBOXONE OUD 8–2
54123-0957-30 ZUBSOLV OUD 5.7–1.4
63629-4034-03 SUBOXONE OUD 8–2
00054-0188-13 BUPRENORPHINE-NALOXONE OUD 2–0.5
50383-0294-93 BUPRENORPHINE-NALOXONE OUD 2–0.5
54123-0986-30 ZUBSOLV OUD 8.6–2.1
63874-1084-03 SUBOXONE OUD 8–2
42291-0174-30 BUPRENORPHINE-NALOXONE OUD 2–0.5
42291-0175-30 BUPRENORPHINE-NALOXONE OUD 8–2
63874-1085-03 SUBOXONE OUD 2–0.5
66336-0015-30 SUBOXONE OUD 2–0.5
66336-0016-30 SUBOXONE OUD 8–2
68071-1380-03 SUBOXONE OUD 8–2
68071-1510-03 SUBOXONE OUD 2–0.5
68258-2999-03 SUBOXONE OUD 2–0.5
65473-0706-01 ANTABUSE AUD 250
54569-1790-02 ANTABUSE AUD 250
00054-0356-13 DISULFIRAM AUD 250
00054-0356-25 DISULFIRAM AUD 250
00054-0357-13 DISULFIRAM AUD 500
00054-0357-25 DISULFIRAM AUD 500
00093-5035-01 DISULFIRAM AUD 250
51285-0523-02 ANTABUSE AUD 250
00093-5036-01 DISULFIRAM AUD 500
51285-0524-02 ANTABUSE AUD 500
65473-0707-01 ANTABUSE AUD 500
00378-4140-01 DISULFIRAM AUD 250
54868-5034-01 ANTABUSE AUD 250
00378-4141-01 DISULFIRAM AUD 500
54868-5034-00 ANTABUSE AUD 250
00603-3431-21 DISULFIRAM AUD 250
00603-3433-21 DISULFIRAM AUD 250
00904-1180-60 DISULFIRAM AUD 250
54868-5034-02 ANTABUSE AUD 250
47781-0607-30 DISULFIRAM AUD 250
50111-0331-01 DISULFIRAM AUD 250
50111-0332-01 DISULFIRAM AUD 500
60429-0196-01 DISULFIRAM AUD 250
60429-0196-30 DISULFIRAM AUD 250
64980-0171-01 DISULFIRAM AUD 250
64980-0172-01 DISULFIRAM AUD 500
63459-0300-42 VIVITROL AUD, OUD 380
65757-0300-01 VIVITROL AUD, OUD 380
51285-0275-01 REVIA AUD, OUD 50
52152-0105-30 NALTREXONE HCL AUD, OUD 50
52152-0105-02 NALTREXONE HCL AUD, OUD 50
68115-0680-30 NALTREXONE HCL AUD, OUD 50
00056-0011-30 REVIA AUD, OUD 50
00056-0011-70 REVIA AUD, OUD 50
65694-0100-03 NALTREXONE HCL AUD, OUD 50
65694-0100-10 NALTREXONE HCL AUD, OUD 50
00555-0902-01 NALTREXONE HCL AUD, OUD 50
54868-5574-00 NALTREXONE AUD, OUD 50
43063-0591-15 NALTREXONE HCL AUD, OUD 50
42291-0632-30 NALTREXONE HCL AUD, OUD 50
00555-0902-02 NALTREXONE HCL AUD, OUD 50
51224-0206-30 NALTREXONE HCL AUD, OUD 50
51224-0206-50 NALTREXONE HCL AUD, OUD 50
51285-0275-02 REVIA AUD, OUD 50
00406-1170-03 NALTREXONE HCL AUD, OUD 50
47335-0326-83 NALTREXONE HCL AUD, OUD 50
00406-1170-01 NALTREXONE HCL AUD, OUD 50
16729-0081-10 NALTREXONE HCL AUD, OUD 50
16729-0081-01 NALTREXONE HCL AUD, OUD 50
50436-0105-01 NALTREXONE HCL AUD, OUD 50
47335-0326-88 NALTREXONE HCL AUD, OUD 50
00185-0039-30 NALTREXONE HCL AUD, OUD 50
68094-0853-62 NALTREXONE HCL AUD, OUD 50
68084-0291-11 NALTREXONE HCL AUD, OUD 50
68084-0291-21 NALTREXONE HCL AUD, OUD 50
00185-0039-01 NALTREXONE HCL AUD, OUD 50
00406-0092-03 DEPADE AUD, OUD 50
Tags: 
InsuranceEmployer Sponsored InsuranceMental Health and Cognitive ImpairmentMental Health and Substance AbuseService DeliveryAccess or BarriersSubstance Abuse (Alcohol and Drug Abuse)
Form Approved OMB# 0990-0379 Exp. Date 9/30/2020