No está claro cuán grande es el papel de los antibióticos https://antibioticos-wiki.es en las relaciones competitivas entre los microorganismos en condiciones naturales. Zelman Waxman creía que este papel era mínimo, los antibióticos no se forman sino en culturas limpias en entornos ricos. Posteriormente, sin embargo, se descubrió que en muchos productos, la actividad de síntesis de antibióticos aumenta en presencia de otros tipos o productos específicos de su metabolismo.
Njsul.com
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
ACEBUTOLOL HCL ORAL CAPSULE (HARD, SOFT, ETC.) 200 MG
ACEBUTOLOL HCL ORAL CAPSULE (HARD, SOFT, ETC.) 400 MG
ACETAMINOPHEN WITH CODEINE PHOSPHATE ORAL TABLET 300MG-30MG
ACETAMINOPHEN WITH CODEINE PHOSPHATE ORAL TABLET 300MG-60MG
ACETIC ACID/ALUMINUM ACETATE OTIC DROPS 2 %
ACYCLOVIR ORAL CAPSULE (HARD, SOFT, ETC.) 200 MG
ACYCLOVIR ORAL SUSPENSION, ORAL (FINAL DOSE FORM) 200 MG/5ML
ALBUTEROL SULFATE INHALATION VIAL, NEBULIZER (EA) 2.5 MG/0.5
ALBUTEROL SULFATE INHALATION VIAL, NEBULIZER (ML) 0.63MG/3ML
ALBUTEROL SULFATE INHALATION VIAL, NEBULIZER (ML) 1.25MG/3ML
ALBUTEROL SULFATE INHALATION VIAL, NEBULIZER (ML) 2.5 MG/3ML
ALBUTEROL SULFATE ORAL TABLET, EXTENDED RELEASE 12 HR 4 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
ALUMINUM CHLORIDE TOPICAL SOLUTION, NON-ORAL 20 %
AMANTADINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
AMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.)
10MG-20MGAMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.)
10MG-40MGAMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.)
2.5MG-10MGAMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.) 5
MG-10 MGAMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.)
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
AMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.)
5MG-40MGAMMONIUM LACTATE TOPICAL LOTION (GRAM) 12%
AMOXICILLIN TRIHYDRATE ORAL CAPSULE (HARD, SOFT, ETC.) 500 MG
AMOXICILLIN TRIHYDRATE ORAL SUSPENSION, RECONSTITUTED, ORAL (ML)
125 MG/5MLAMOXICILLIN TRIHYDRATE ORAL SUSPENSION, RECONSTITUTED, ORAL (ML)
200 MG/5MLAMOXICILLIN TRIHYDRATE ORAL SUSPENSION, RECONSTITUTED, ORAL (ML)
250 MG/5MLAMOXICILLIN TRIHYDRATE ORAL SUSPENSION, RECONSTITUTED, ORAL (ML)
400 MG/5MLAMOXICILLIN TRIHYDRATE ORAL TABLET 875MG
AMOXICILLIN TRIHYDRATE ORAL TABLET, CHEWABLE 250 MG
AMOXICILLIN TRIHYDRATE/POTASSIUM CLAVULANATE ORAL SUSPENSION,
RECONSTITUTED, ORAL (ML) 250-62.5/5AMOXICILLIN TRIHYDRATE/POTASSIUM CLAVULANATE ORAL SUSPENSION,
RECONSTITUTED, ORAL (ML) 400-57MG/5AMOXICILLIN TRIHYDRATE/POTASSIUM CLAVULANATE ORAL SUSPENSION,
RECONSTITUTED, ORAL (ML) 600-42.9/5AMOXICILLIN TRIHYDRATE/POTASSIUM CLAVULANATE ORAL TABLET 500-125 MG
AMOXICILLIN TRIHYDRATE/POTASSIUM CLAVULANATE ORAL TABLET 875-125 MG
AMPHETAMINE ASPARTATE/AMPHETAMINE SULFATE/DEXTROAMPHETAMINE
ORAL TABLET 10 MGAMPHETAMINE ASPARTATE/AMPHETAMINE SULFATE/DEXTROAMPHETAMINE
ORAL TABLET 12.5 MGAMPHETAMINE ASPARTATE/AMPHETAMINE SULFATE/DEXTROAMPHETAMINE
ORAL TABLET 15 MGAMPHETAMINE ASPARTATE/AMPHETAMINE SULFATE/DEXTROAMPHETAMINE
ORAL TABLET 20 MGAMPHETAMINE ASPARTATE/AMPHETAMINE SULFATE/DEXTROAMPHETAMINE
ORAL TABLET 30 MGAMPHETAMINE ASPARTATE/AMPHETAMINE SULFATE/DEXTROAMPHETAMINE
ORAL TABLET 5 MGAMPICILLIN TRIHYDRATE ORAL CAPSULE (HARD, SOFT, ETC.) 250 MG
AMPICILLIN TRIHYDRATE ORAL CAPSULE (HARD, SOFT, ETC.) 500 MG
ANAGRELIDE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 0.5 MG
ANTIPYRINE/BENZOCAINE/GLYCERIN OTIC DROPS 5.4%-1.4%
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
ASCORBIC ACID INJECTION VIAL (SDV,MDV OR ADDITIVE) (ML) 500MG/ML
ATENOLOL/CHLORTHALIDONE ORAL TABLET 100MG-25MG
ATENOLOL/CHLORTHALIDONE ORAL TABLET 50 MG-25MG
AZELASTINE HCL NASAL AEROSOL, SPRAY WITH PUMP (ML) 137 MCG
AZITHROMYCIN ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 100 MG/5ML
AZITHROMYCIN ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 200 MG/5ML
BACITRACIN TOPICAL OINTMENT (GRAM) 500 UNIT/G
BACITRACIN/POLYMYXIN B SULFATE OPHTHALMIC OINTMENT (GRAM) 500-10K/G
BENAZEPRIL HCL/HYDROCHLOROTHIAZIDE ORAL TABLET 10-12.5MG
BENAZEPRIL HCL/HYDROCHLOROTHIAZIDE ORAL TABLET 20-12.5 MG
BENAZEPRIL HCL/HYDROCHLOROTHIAZIDE ORAL TABLET 20-25MG
BENAZEPRIL HCL/HYDROCHLOROTHIAZIDE ORAL TABLET 5-6.25MG
BENZONATATE ORAL CAPSULE (HARD, SOFT, ETC.) 200 MG
BENZOYL PEROXIDE TOPICAL GEL, ALCOHOL BASED 10 %
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
BETAMETHASONE DIPROPIONATE/PROPYLENE GLYCOL TOPICAL CREAM
(GRAM) 0.05%BETHANECHOL CHLORIDE ORAL TABLET 5 MG
BISOPROLOL FUMARATE/HYDROCHLOROTHIAZIDE ORAL TABLET 10-6.25MG
BISOPROLOL FUMARATE/HYDROCHLOROTHIAZIDE ORAL TABLET 2.5-6.25MG
BISOPROLOL FUMARATE/HYDROCHLOROTHIAZIDE ORAL TABLET 5-6.25MG
BROMPHENIRAMINE MALEATE/PHENYLEPHRINE HCL/CARBETAPENTANE CIT
ORAL LIQUID (ML) 6-10-30/5BUMETANIDE ORAL TABLET 0.5 MG
BUPIVACAINE HCL INJECTION VIAL (SDV,MDV OR ADDITIVE) (ML) 5 MG/ML
BUPRENORPHINE HCL SUBLINGUAL TABLET, SUBLINGUAL 2 MG
BUPRENORPHINE HCL SUBLINGUAL TABLET, SUBLINGUAL 8 MG
BUPROPION HCL ORAL TABLET, EXTENDED RELEASE 100 MG
BUPROPION HCL ORAL TABLET, EXTENDED RELEASE 150 MG
BUPROPION HCL ORAL TABLET, EXTENDED RELEASE 200 MG
BUPROPION HCL ORAL TABLET, EXTENDED RELEASE 24 HR 150 MG
BUPROPION HCL ORAL TABLET, EXTENDED RELEASE 24 HR 300 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
BUTALBITAL/ACETAMINOPHEN/CAFFEINE ORAL TABLET 50-325-40
BUTALBITAL/ASPIRIN/CAFFEINE ORAL CAPSULE (HARD, SOFT, ETC.) 50-325-40
CALCITRIOL ORAL CAPSULE (HARD, SOFT, ETC.) 0.25MCG
CALCIUM ACETATE ORAL CAPSULE (HARD, SOFT, ETC.) 667 MG
CAPTOPRIL/HYDROCHLOROTHIAZIDE ORAL TABLET 25 MG-25MG
CAPTOPRIL/HYDROCHLOROTHIAZIDE ORAL TABLET 25MG-15MG
CAPTOPRIL/HYDROCHLOROTHIAZIDE ORAL TABLET 50 MG-15MG
CAPTOPRIL/HYDROCHLOROTHIAZIDE ORAL TABLET 50 MG-25MG
CARBAMAZEPINE ORAL SUSPENSION, ORAL (FINAL DOSE FORM) 100 MG/5ML
CARBAMAZEPINE ORAL SUSPENSION, ORAL (FINAL DOSE FORM) 200MG/10ML
CARBAMAZEPINE ORAL TABLET, CHEWABLE 100 MG
CARBAMAZEPINE ORAL TABLET, EXTENDED RELEASE 12 HR 200 MG
CARBIDOPA/LEVODOPA ORAL TABLET 10MG-100MG
CARBIDOPA/LEVODOPA ORAL TABLET 25MG-100MG
CARBIDOPA/LEVODOPA ORAL TABLET 25MG-250MG
CARBIDOPA/LEVODOPA ORAL TABLET, EXTENDED RELEASE 25MG-100MG
CARBIDOPA/LEVODOPA ORAL TABLET, EXTENDED RELEASE 50MG-200MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
CEFACLOR ORAL CAPSULE (HARD, SOFT, ETC.) 250 MG
CEFACLOR ORAL CAPSULE (HARD, SOFT, ETC.) 500 MG
CEFADROXIL HYDRATE ORAL CAPSULE (HARD, SOFT, ETC.) 500 MG
CEFDINIR ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 125 MG/5ML
CEFDINIR ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 250 MG/5ML
CEFPODOXIME PROXETIL ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 100
MG/5MLCEFPROZIL ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 125 MG/5ML
CEFPROZIL ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 250 MG/5ML
CEPHALEXIN MONOHYDRATE ORAL CAPSULE (HARD, SOFT, ETC.) 500 MG
CEPHALEXIN MONOHYDRATE ORAL SUSPENSION, RECONSTITUTED, ORAL (ML)
250 MG/5MLCETIRIZINE HCL ORAL SOLUTION, ORAL 1 MG/ML
CHOLESTYRAMINE/SUCROSE ORAL POWDER (GRAM) 4 G
CHOLINE SALICYLATE/MAGNESIUM SALICYLATE ORAL TABLET 500 MG
CHOLINE SALICYLATE/MAGNESIUM SALICYLATE ORAL TABLET 750 MG
CICLOPIROX OLAMINE TOPICAL CREAM (GRAM) 0.77%
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
CICLOPIROX OLAMINE TOPICAL SUSPENSION, TOPICAL (ML) 0.77%
CIMETIDINE HCL ORAL SOLUTION, ORAL 300MG/5ML
CITALOPRAM HYDROBROMIDE ORAL SOLUTION, ORAL 10 MG/5 ML
CITALOPRAM HYDROBROMIDE ORAL TABLET 10 MG
CITALOPRAM HYDROBROMIDE ORAL TABLET 20 MG
CITALOPRAM HYDROBROMIDE ORAL TABLET 40 MG
CLARITHROMYCIN ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 250
CLARITHROMYCIN ORAL TABLET, EXTENDED RELEASE 24 HR 500 MG
CLEMASTINE FUMARATE ORAL SYRUP 0.67MG/5ML
CLINDAMYCIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 150 MG
CLINDAMYCIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 300 MG
CLINDAMYCIN PHOSPHATE TOPICAL GEL (GRAM) 1 %
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
CLINDAMYCIN PHOSPHATE TOPICAL LOTION (ML) 1 %
CLINDAMYCIN PHOSPHATE TOPICAL SOLUTION, NON-ORAL 1 %
CLINDAMYCIN PHOSPHATE TOPICAL SWAB, MEDICATED 1 %
CLINDAMYCIN PHOSPHATE VAGINAL CREAM WITH APPLICATOR 2 %
CLOBETASOL PROPIONATE TOPICAL CREAM (GRAM) 0.05%
CLOBETASOL PROPIONATE TOPICAL OINTMENT (GRAM) 0.05 %
CLOBETASOL PROPIONATE TOPICAL SOLUTION, NON-ORAL 0.05 %
CLOBETASOL PROPIONATE/EMOLLIENT TOPICAL CREAM (GRAM) 0.05 %
CLOMIPRAMINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 25 MG
CLOMIPRAMINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 50 MG
CLONAZEPAM ORAL TABLET, RAPID DISSOLVE 0.125 MG
CLONAZEPAM ORAL TABLET, RAPID DISSOLVE 0.25 MG
CLONAZEPAM ORAL TABLET, RAPID DISSOLVE 0.5 MG
CLONIDINE TRANSDERMAL PATCH, TRANSDERMAL WEEKLY 0.1MG/24HR
CLORAZEPATE DIPOTASSIUM ORAL TABLET 15 MG
CLORAZEPATE DIPOTASSIUM ORAL TABLET 3.75 MG
CLORAZEPATE DIPOTASSIUM ORAL TABLET 7.5 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
CODEINE/PROMETHAZINE HCL ORAL SYRUP 10-6.25/5
CYCLOSPORINE, MODIFIED ORAL SOLUTION, ORAL 100 MG/ML
DANTROLENE SODIUM ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
DESMOPRESSIN ACETATE NASAL AEROSOL, SPRAY WITH PUMP (ML) 10/SPRAY
DESOGESTREL-ETHINYL ESTRADIOL ORAL TABLET 0.15-0.03
DESOGESTREL-ETHINYL ESTRADIOL ORAL TABLET 7 DAYS X 3
DESOGESTREL-ETHINYL ESTRADIOL/ETHINYL ESTRADIOL ORAL TABLET 21-5
DESOXIMETASONE TOPICAL CREAM (GRAM) 0.25 %
DEXTROAMPHETAMINE SULFATE ORAL CAPSULE, EXTENDED RELEASE 10 MG
DEXTROAMPHETAMINE SULFATE ORAL CAPSULE, EXTENDED RELEASE 5 MG
DEXTROAMPHETAMINE SULFATE ORAL TABLET 10 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
DEXTROAMPHETAMINE SULFATE ORAL TABLET 5 MG
DICLOFENAC SODIUM ORAL TABLET, DELAYED RELEASE (ENTERIC COATED) 50
MGDICLOFENAC SODIUM ORAL TABLET, DELAYED RELEASE (ENTERIC COATED) 75
MGDICLOXACILLIN SODIUM ORAL CAPSULE (HARD, SOFT, ETC.) 250 MG
DICLOXACILLIN SODIUM ORAL CAPSULE (HARD, SOFT, ETC.) 500 MG
DILTIAZEM HCL ORAL CAPSULE, EXT RELEASE 24 HR 120 MG
DILTIAZEM HCL ORAL CAPSULE, EXT RELEASE 24 HR 180 MG
DILTIAZEM HCL ORAL CAPSULE, EXT RELEASE 24 HR 240 MG
DILTIAZEM HCL ORAL CAPSULE, EXT RELEASE 24 HR 300 MG
DILTIAZEM HCL ORAL CAPSULE, EXTENDED RELEASE 12 HR 120 MG
DILTIAZEM HCL ORAL CAPSULE, EXTENDED RELEASE 12 HR 60 MG
DILTIAZEM HCL ORAL CAPSULE, EXTENDED RELEASE 120 MG
DILTIAZEM HCL ORAL CAPSULE, EXTENDED RELEASE 180 MG
DILTIAZEM HCL ORAL CAPSULE, EXTENDED RELEASE 240 MG
DILTIAZEM HCL ORAL CAPSULE, EXTENDED RELEASE 300 MG
DILTIAZEM HCL ORAL CAPSULE, EXTENDED RELEASE 360 MG
DILTIAZEM HCL ORAL CAPSULE, EXTENDED-RELEASE DEGRADABLE 240 MG
DIPHENHYDRAMINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 50 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
DIPHENOXYLATE HCL/ATROPINE SULFATE ORAL TABLET 2.5-.025MG
DISOPYRAMIDE PHOSPHATE ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
DISOPYRAMIDE PHOSPHATE ORAL CAPSULE (HARD, SOFT, ETC.) 150 MG
DIVALPROEX SODIUM ORAL CAPSULE, SPRINKLE 125 MG
DIVALPROEX SODIUM ORAL TABLET, DELAYED RELEASE (ENTERIC COATED)
125 MGDIVALPROEX SODIUM ORAL TABLET, DELAYED RELEASE (ENTERIC COATED)
250 MGDIVALPROEX SODIUM ORAL TABLET, DELAYED RELEASE (ENTERIC COATED)
500 MGDIVALPROEX SODIUM ORAL TABLET, EXTENDED RELEASE 24 HR 250 MG
DIVALPROEX SODIUM ORAL TABLET, EXTENDED RELEASE 24 HR 500 MG
DORZOLAMIDE HCL/TIMOLOL MALEATE OPHTHALMIC DROPS 2%-0.5%
DOXEPIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
DOXEPIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 50 MG
DOXEPIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 75 MG
ECONAZOLE NITRATE TOPICAL CREAM (GRAM) 1 %
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
ENALAPRIL MALEATE/HYDROCHLOROTHIAZIDE ORAL TABLET 10MG-25MG
ENALAPRIL MALEATE/HYDROCHLOROTHIAZIDE ORAL TABLET 5MG-12.5MG
ERYTHROMYCIN BASE/BENZOYL PEROXIDE TOPICAL GEL (GRAM) 3-5%
ERYTHROMYCIN BASE/ETHYL ALCOHOL TOPICAL SOLUTION, NON-ORAL 2 %
ETHOSUXIMIDE ORAL CAPSULE (HARD, SOFT, ETC.) 250 MG
ETHYNODIOL D-ETHINYL ESTRADIOL ORAL TABLET 1 MG-35MCG
ETODOLAC ORAL TABLET, EXTENDED RELEASE 24 HR 400 MG
FENOFIBRATE,MICRONIZED ORAL CAPSULE (HARD, SOFT, ETC.) 200 MG
FENOFIBRATE,MICRONIZED ORAL CAPSULE (HARD, SOFT, ETC.) 67 MG
FENTANYL CITRATE/PF INJECTION AMPUL (ML) 50 MCG/ML
FENTANYL CITRATE/PF INJECTION VIAL (SDV,MDV OR ADDITIVE) (ML) 50 MCG/ML
FENTANYL TRANSDERMAL PATCH, TRANSDERMAL 72 HOURS 100MCG/HR
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
FENTANYL TRANSDERMAL PATCH, TRANSDERMAL 72 HOURS 25MCG/HR
FENTANYL TRANSDERMAL PATCH, TRANSDERMAL 72 HOURS 50MCG/HR
FENTANYL TRANSDERMAL PATCH, TRANSDERMAL 72 HOURS 75MCG/HR
FERROUS FUMARATE/ASCORBIC ACID/B12-IF/FOLIC ACID ORAL CAPSULE
(HARD, SOFT, ETC.) 110-0.5MGFEXOFENADINE HCL ORAL TABLET 180 MG
FLUCONAZOLE ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 10 MG/ML
FLUDROCORTISONE ACETATE ORAL TABLET 0.1 MG
FLUOCINONIDE TOPICAL OINTMENT (GRAM) 0.05%
FLUOXETINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 10 MG
FLUOXETINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 20 MG
FLUOXETINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 40 MG
FLUOXETINE HCL ORAL SOLUTION, ORAL 20 MG/5 ML
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
FLUTICASONE PROPIONATE NASAL SPRAY, SUSPENSION 50 MCG
FOLIC ACID/VITAMIN B COMP W-C ORAL CAPSULE (HARD, SOFT, ETC.) 1 MG
FUROSEMIDE INJECTION VIAL (SDV,MDV OR ADDITIVE) (ML) 10 MG/ML
GABAPENTIN ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
GABAPENTIN ORAL CAPSULE (HARD, SOFT, ETC.) 300 MG
GABAPENTIN ORAL CAPSULE (HARD, SOFT, ETC.) 400 MG
GENTAMICIN SULFATE IN SALINE, ISO-OSMOTIC INTRAVENOUS INTRAVENOUS
SOLUTION, PIGGYBACK (ML) 120MG/0.1LGLIMEPIRIDE ORAL TABLET 1 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
GLIPIZIDE ORAL TABLET, EXTENDED RELEASE 24 HR 10 MG
GLIPIZIDE ORAL TABLET, EXTENDED RELEASE 24 HR 2.5 MG
GLIPIZIDE ORAL TABLET, EXTENDED RELEASE 24 HR 5 MG
GLIPIZIDE/METFORMIN HCL ORAL TABLET 2.5-500MG
GLIPIZIDE/METFORMIN HCL ORAL TABLET 5 MG-500MG
GLYBURIDE/METFORMIN HCL ORAL TABLET 2.5-500MG
GLYBURIDE/METFORMIN HCL ORAL TABLET 5 MG-500MG
GRISEOFULVIN,MICROSIZE ORAL SUSPENSION, ORAL (FINAL DOSE FORM) 125
HYDROCHLOROTHIAZIDE ORAL CAPSULE (HARD, SOFT, ETC.) 12.5 MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL CAPSULE (HARD, SOFT, ETC.) 5
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
HYDROCODONE BIT/ACETAMINOPHEN ORAL SOLUTION, ORAL 7.5-500/15
HYDROCODONE BIT/ACETAMINOPHEN ORAL SOLUTION, ORAL 7.5-500/CP
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 10-660MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 10-750MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 10MG-325MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 10MG-500MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 10MG-650MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 2.5-500MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 5 MG-500MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 5MG-325MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 7.5-325MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 7.5-500MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 7.5-650 MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 7.5-750MG
HYDROCODONE BIT/HOMATROPINE ORAL SYRUP 5-1.5MG/5
HYDROCODONE POLISTRX/CHLORPHENIRAMINE POLISTIREX ORAL
SUSPENSION, EXTENDED RELEASE 12 HR 10-8MG/5MLHYDROCODONE/IBUPROFEN ORAL TABLET 7.5-200 MG
HYDROCORTISONE RECTAL ENEMA (ML) 100MG/60ML
HYDROCORTISONE TOPICAL CREAM (GRAM) 2.5 %
HYDROCORTISONE TOPICAL OINTMENT (GRAM) 2.5 %
HYDROCORTISONE VALERATE TOPICAL CREAM (GRAM) 0.2 %
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
HYDROXYCHLOROQUINE SULFATE ORAL TABLET 200 MG
HYDROXYUREA ORAL CAPSULE (HARD, SOFT, ETC.) 500 MG
HYDROXYZINE PAMOATE ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
HYDROXYZINE PAMOATE ORAL CAPSULE (HARD, SOFT, ETC.) 25 MG
HYDROXYZINE PAMOATE ORAL CAPSULE (HARD, SOFT, ETC.) 50 MG
HYOSCYAMINE SULFATE ORAL ELIXIR 125MCG/5ML
HYOSCYAMINE SULFATE ORAL TABLET, EXTENDED RELEASE 12 HR 0.375 MG
IBUPROFEN ORAL SUSPENSION, ORAL (FINAL DOSE FORM) 100 MG/5ML
INDOMETHACIN ORAL CAPSULE (HARD, SOFT, ETC.) 25 MG
INDOMETHACIN ORAL CAPSULE (HARD, SOFT, ETC.) 50 MG
INDOMETHACIN ORAL CAPSULE, EXTENDED RELEASE 75 MG
IPRATROPIUM BROMIDE NASAL AEROSOL, SPRAY (ML) 21 MCG
IPRATROPIUM BROMIDE NASAL AEROSOL, SPRAY (ML) 42MCG
IPRATROPIUM BROMIDE/ALBUTEROL SULFATE INHALATION AMPUL FOR
NEBULIZATION (ML) 0.5-3MG/3IRON,CARBONYL/ASCORBIC ACID/CYANOCOBALAMIN/FOLIC ACID ORAL TABLET
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
ISOSORBIDE MONONITRATE ORAL TABLET, EXTENDED RELEASE 24 HR 120 MG
ISOSORBIDE MONONITRATE ORAL TABLET, EXTENDED RELEASE 24 HR 30 MG
ISOSORBIDE MONONITRATE ORAL TABLET, EXTENDED RELEASE 24 HR 60 MG
ISOTRETINOIN ORAL CAPSULE (HARD, SOFT, ETC.) 10 MG
ITRACONAZOLE ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
KETOROLAC TROMETHAMINE OPHTHALMIC DROPS 0.4 %
KETOROLAC TROMETHAMINE OPHTHALMIC DROPS 0.5 %
LAMOTRIGINE ORAL TABLET, DISPERSIBLE 25 MG
LAMOTRIGINE ORAL TABLET, DISPERSIBLE 5 MG
LANSOPRAZOLE ORAL CAPSULE,DELAYED RELEASE (ENTERIC COATED) 15 MG
LANSOPRAZOLE ORAL CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
LEVETIRACETAM ORAL SOLUTION, ORAL 100 MG/ML
LEVOCETIRIZINE DIHYDROCHLORIDE ORAL TABLET 5 MG
LEVONORGESTREL-ETH ESTRA ORAL TABLET 0.15-0.03
LEVONORGESTREL-ETH ESTRA ORAL TABLET 6-5-10
LIDOCAINE HCL MUCOUS MEMBRANE JEL (ML) 2 %
LIDOCAINE HCL MUCOUS MEMBRANE SOLUTION, NON-ORAL 40 MG/ML
LIDOCAINE/PRILOCAINE TOPICAL CREAM (GRAM) 2.5%-2.5%
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
LISINOPRIL/HYDROCHLOROTHIAZIDE ORAL TABLET 10-12.5MG
LISINOPRIL/HYDROCHLOROTHIAZIDE ORAL TABLET 20-12.5 MG
LISINOPRIL/HYDROCHLOROTHIAZIDE ORAL TABLET 20-25MG
LITHIUM CARBONATE ORAL CAPSULE (HARD, SOFT, ETC.) 150 MG
LITHIUM CARBONATE ORAL CAPSULE (HARD, SOFT, ETC.) 300 MG
LOPERAMIDE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 2 MG
LOPERAMIDE HCL ORAL LIQUID (ML) 1 MG/5 ML
LORATADINE/PSEUDOEPHEDRINE SULFATE ORAL TABLET, EXTENDED
RELEASE 24 HR 10MG-240MGLORAZEPAM ORAL CONCENTRATE, ORAL 2 MG/ML
LOSARTAN POTASSIUM/HYDROCHLOROTHIAZIDE ORAL TABLET 100-12.5MG
LOSARTAN POTASSIUM/HYDROCHLOROTHIAZIDE ORAL TABLET 100MG-25MG
LOSARTAN POTASSIUM/HYDROCHLOROTHIAZIDE ORAL TABLET 50-12.5MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
LOXAPINE SUCCINATE ORAL CAPSULE (HARD, SOFT, ETC.) 10 MG
MEDROXYPROGESTERONE ACET INTRAMUSCULAR DISPOSABLE SYRINGE (ML)
150 MG/MLMEDROXYPROGESTERONE ACET INTRAMUSCULAR VIAL (SDV,MDV OR
ADDITIVE) (ML) 150 MG/MLMEDROXYPROGESTERONE ACET ORAL TABLET 10 MG
MEDROXYPROGESTERONE ACET ORAL TABLET 2.5 MG
MEDROXYPROGESTERONE ACET ORAL TABLET 5 MG
MEGESTROL ACETATE ORAL SUSPENSION, ORAL (FINAL DOSE FORM)
400MG/10MLMEGESTROL ACETATE ORAL TABLET 20 MG
METFORMIN HCL ORAL TABLET, EXTENDED RELEASE 24 HR 500 MG
METFORMIN HCL ORAL TABLET, EXTENDED RELEASE 24 HR 750 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
METHOTREXATE SODIUM/PF INJECTION VIAL (SDV,MDV OR ADDITIVE) (ML) 25
METHYLPREDNISOLONE ORAL TABLET, DOSE PACK 4 MG
METOPROLOL SUCCINATE ORAL TABLET, EXTENDED RELEASE 24 HR 100 MG
METOPROLOL SUCCINATE ORAL TABLET, EXTENDED RELEASE 24 HR 200 MG
METOPROLOL SUCCINATE ORAL TABLET, EXTENDED RELEASE 24 HR 25 MG
METOPROLOL SUCCINATE ORAL TABLET, EXTENDED RELEASE 24 HR 50 MG
METOPROLOL TARTRATE/HYDROCHLOROTHIAZIDE ORAL TABLET 100MG-25MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
METRONIDAZOLE VAGINAL GEL WITH APPLICATOR (GRAM) 0.75%
MINOCYCLINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
MINOCYCLINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 50 MG
MOEXIPRIL HCL/HYDROCHLOROTHIAZIDE ORAL TABLET 15-25MG
MOMETASONE FUROATE TOPICAL CREAM (GRAM) 0.1%
MOMETASONE FUROATE TOPICAL OINTMENT (GRAM) 0.1%
MOMETASONE FUROATE TOPICAL SOLUTION, NON-ORAL 0.1%
MORPHINE SULFATE ORAL TABLET, EXTENDED RELEASE 100 MG
MORPHINE SULFATE ORAL TABLET, EXTENDED RELEASE 15 MG
MORPHINE SULFATE ORAL TABLET, EXTENDED RELEASE 200 MG
MORPHINE SULFATE ORAL TABLET, EXTENDED RELEASE 30 MG
MORPHINE SULFATE ORAL TABLET, EXTENDED RELEASE 60 MG
MYCOPHENOLATE MOFETIL ORAL CAPSULE (HARD, SOFT, ETC.) 250 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
NEOMYCIN SULFATE/POLYMYXIN B SULFATE/HYDROCORTISONE OTIC
SOLUTION, NON-ORAL 3.5-10K-1NEOMYCIN SULFATE/POLYMYXIN B SULFATE/HYDROCORTISONE OTIC
SUSPENSION, DROPS(FINAL DOSAGE FORM)(ML) 3.5-10K-1NEOMYCIN/POLYMYXIN B SULFATE/DEXAMETHASONE OPHTHALMIC
SUSPENSION, DROPS(FINAL DOSAGE FORM)(ML) 0.1%NIACIN ORAL TABLET 500 MG
NICARDIPINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 20 MG
NICARDIPINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 30 MG
NIFEDIPINE ORAL CAPSULE (HARD, SOFT, ETC.) 10 MG
NIFEDIPINE ORAL TABLET, EXTENDED RELEASE 24 HR 30 MG
NIFEDIPINE ORAL TABLET, EXTENDED RELEASE 24 HR 60 MG
NIFEDIPINE ORAL TABLET, EXTENDED RELEASE 24 HR 90 MG
NIFEDIPINE ORAL TABLET, EXTENDED RELEASE 30 MG
NIFEDIPINE ORAL TABLET, EXTENDED RELEASE 60 MG
NITROFURANTOIN MACROCRYSTAL ORAL CAPSULE (HARD, SOFT, ETC.) 50 MG
NITROGLYCERIN TRANSDERMAL PATCH, TRANSDERMAL 24 HOURS 0.1MG/HR
NITROGLYCERIN TRANSDERMAL PATCH, TRANSDERMAL 24 HOURS 0.2MG/HR
NITROGLYCERIN TRANSDERMAL PATCH, TRANSDERMAL 24 HOURS 0.4MG/HR
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
NITROGLYCERIN TRANSDERMAL PATCH, TRANSDERMAL 24 HOURS 0.6MG/HR
NIZATIDINE ORAL CAPSULE (HARD, SOFT, ETC.) 150 MG
NIZATIDINE ORAL CAPSULE (HARD, SOFT, ETC.) 300 MG
NORETHINDRONE A-E ESTRADIOL ORAL TABLET 1.5-0.03MG
NORETHINDRONE A-E ESTRADIOL ORAL TABLET 1MG-20MCG
NORETHINDRONE A-E ESTRADIOL/FERROUS FUMARATE ORAL TABLET
1.5-0.03MGNORETHINDRONE A-E ESTRADIOL/FERROUS FUMARATE ORAL TABLET
1MG-20MCGNORETHINDRONE A-E ESTRADIOL/FERROUS FUMARATE ORAL TABLET 5-7-9-7
NORETHINDRONE-ETHINYL ESTRADIOL ORAL TABLET 0.4-0.035
NORETHINDRONE-ETHINYL ESTRADIOL ORAL TABLET 0.5-0.035
NORETHINDRONE-ETHINYL ESTRADIOL ORAL TABLET 1 MG-35MCG
NORETHINDRONE-ETHINYL ESTRADIOL ORAL TABLET 7 DAYS X 3
NORGESTREL-ETHINYL ESTRADIOL ORAL TABLET 0.3-0.03MG
NORTRIPTYLINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 25 MG
NORTRIPTYLINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 50 MG
NORTRIPTYLINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 75 MG
NORTRIPTYLINE HCL ORAL SOLUTION, ORAL 10 MG/5 ML
NYSTATIN ORAL SUSPENSION, ORAL (FINAL DOSE FORM) 100000/ML
NYSTATIN/TRIAMCINOLONE ACETONIDE TOPICAL CREAM (GRAM) 100000-0.1
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
OMEPRAZOLE ORAL CAPSULE,DELAYED RELEASE (ENTERIC COATED) 10 MG
OMEPRAZOLE ORAL CAPSULE,DELAYED RELEASE (ENTERIC COATED) 20 MG
OMEPRAZOLE ORAL CAPSULE,DELAYED RELEASE (ENTERIC COATED) 40 MG
ONDANSETRON ORAL TABLET, RAPID DISSOLVE 4 MG
ONDANSETRON ORAL TABLET, RAPID DISSOLVE 8 MG
OXAZEPAM ORAL CAPSULE (HARD, SOFT, ETC.) 10 MG
OXAZEPAM ORAL CAPSULE (HARD, SOFT, ETC.) 15 MG
OXAZEPAM ORAL CAPSULE (HARD, SOFT, ETC.) 30 MG
OXCARBAZEPINE ORAL SUSPENSION, ORAL (FINAL DOSE FORM) 300MG/5ML
OXYBUTYNIN CHLORIDE ORAL TABLET, EXTENDED RELEASE 24 HR 10 MG
OXYBUTYNIN CHLORIDE ORAL TABLET, EXTENDED RELEASE 24 HR 5 MG
OXYCODONE HCL/ACETAMINOPHEN ORAL TABLET 10MG-325MG
OXYCODONE HCL/ACETAMINOPHEN ORAL TABLET 10MG-650MG
OXYCODONE HCL/ACETAMINOPHEN ORAL TABLET 2.5-325MG
OXYCODONE HCL/ACETAMINOPHEN ORAL TABLET 5MG-325MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
OXYCODONE HCL/ACETAMINOPHEN ORAL TABLET 7.5-325MG
OXYCODONE HCL/ACETAMINOPHEN ORAL TABLET 7.5-500MG
OXYCODONE HCL/OXYCODONE TEREPHTHALATE/ASPIRIN ORAL TABLET
4.5-325MGPANTOPRAZOLE SODIUM ORAL TABLET, DELAYED RELEASE (ENTERIC COATED)
20 MGPANTOPRAZOLE SODIUM ORAL TABLET, DELAYED RELEASE (ENTERIC COATED)
PEDIATRIC MULTIVITAMINS COMBINATION NO.12/SODIUM FLUORIDE ORAL
TABLET, CHEWABLE 0.5 MGPENICILLIN V POTASSIUM ORAL TABLET 250 MG
PENICILLIN V POTASSIUM ORAL TABLET 500 MG
PENTOXIFYLLINE ORAL TABLET, EXTENDED RELEASE 400 MG
PHENYLEPHRINE HCL/PYRILAMINE MALEATE/CHLORPHENIRAMINE ORAL
LIQUID (ML) 7.5-12.5-2PHENYTOIN ORAL SUSPENSION, ORAL (FINAL DOSE FORM) 100 MG/4ML
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
PHENYTOIN ORAL SUSPENSION, ORAL (FINAL DOSE FORM) 125 MG/5ML
PHENYTOIN SODIUM EXTENDED ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
POLYETHYLENE GLYCOL 3350 ORAL POWDER (GRAM) 17G/DOSE
POLYMYXIN B SULFATE/TRIMETHOPRIM OPHTHALMIC DROPS 10K/ML-0.1
POTASSIUM CHLORIDE ORAL CAPSULE, EXTENDED RELEASE 10 MEQ
POTASSIUM CITRATE ORAL TABLET, EXTENDED RELEASE 10 MEQ
POTASSIUM CITRATE ORAL TABLET, EXTENDED RELEASE 5 MEQ
PRAZOSIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 2 MG
PRAZOSIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 5 MG
PREDNISOLONE ACETATE OPHTHALMIC SUSPENSION, DROPS(FINAL DOSAGE
FORM)(ML) 1 %PREDNISOLONE ORAL SOLUTION, ORAL 15 MG/5 ML
PREDNISOLONE SOD PHOSPHATE ORAL SOLUTION, ORAL 15 MG/5 ML
PREDNISOLONE SOD PHOSPHATE ORAL SOLUTION, ORAL 5 MG/5 ML
PRENATAL VITAMIN NO.15/IRON,CARBONYL/FOLIC ACID/DOCUSATE SOD ORAL
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
PRENATAL VITAMIN NO.18/IRON,CARBONYL/FOLIC ACID/DOCUSATE SOD ORAL
TABLET 90-1-50 MGPROBENECID ORAL TABLET 500 MG
PROCHLORPERAZINE MALEATE ORAL TABLET 10 MG
PROCHLORPERAZINE MALEATE ORAL TABLET 5 MG
PROMETHAZINE HCL INJECTION VIAL (SDV,MDV OR ADDITIVE) (ML) 25 MG/ML
PROPRANOLOL HCL ORAL CAPSULE, EXTENDED RELEASE 24HR 80 MG
RAMIPRIL ORAL CAPSULE (HARD, SOFT, ETC.) 1.25 MG
RAMIPRIL ORAL CAPSULE (HARD, SOFT, ETC.) 10 MG
RAMIPRIL ORAL CAPSULE (HARD, SOFT, ETC.) 5 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
RISPERIDONE ORAL TABLET, RAPID DISSOLVE 1 MG
RISPERIDONE ORAL TABLET, RAPID DISSOLVE 2 MG
SALICYLIC ACID/CERAMIDES 1,3,6-11 TOPICAL COMBINATION PACKAGE (ML) 6 %
SELEGILINE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 5 MG
SELENIUM SULFIDE TOPICAL SUSPENSION, TOPICAL (ML) 2.5 %
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
SODIUM BICARBONATE INTRAVENOUS DISPOSABLE SYRINGE (ML) 1MEQ/ML
SODIUM FLUORIDE DENTAL CREAM (GRAM) 1.1 %
SODIUM FLUORIDE ORAL TABLET, CHEWABLE 0.25(0.55)
SODIUM FLUORIDE ORAL TABLET, CHEWABLE 1MG(2.2MG)
SODIUM POLYSTYRENE SULFONATE ORAL POWDER (GRAM)
SPIRONOLACTONE/HYDROCHLOROTHIAZIDE ORAL TABLET 25 MG-25MG
STAVUDINE ORAL CAPSULE (HARD, SOFT, ETC.) 20 MG
SULFACETAMIDE SODIUM TOPICAL CLEANSER (ML) 10 %
SULFACETAMIDE SODIUM/SULFUR TOPICAL CLEANSER (GRAM) 10-5%(W/W)
SULFAMETHOXAZOLE/TRIMETHOPRIM ORAL SUSPENSION, ORAL (FINAL DOSE
FORM) 200-40MG/5SULFASALAZINE ORAL TABLET, DELAYED RELEASE (ENTERIC COATED) 500 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
TAMSULOSIN HCL ORAL CAPSULE, EXT RELEASE 24 HR 0.4 MG
TEMAZEPAM ORAL CAPSULE (HARD, SOFT, ETC.) 15 MG
TEMAZEPAM ORAL CAPSULE (HARD, SOFT, ETC.) 30 MG
TERAZOSIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 1 MG
TERAZOSIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 10 MG
TERAZOSIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 2 MG
TERAZOSIN HCL ORAL CAPSULE (HARD, SOFT, ETC.) 5 MG
TERCONAZOLE VAGINAL CREAM WITH APPLICATOR 0.4 %
THEOPHYLLINE ANHYDROUS ORAL TABLET, EXTENDED RELEASE 12 HR 100 MG
THEOPHYLLINE ANHYDROUS ORAL TABLET, EXTENDED RELEASE 12 HR 200 MG
THEOPHYLLINE ANHYDROUS ORAL TABLET, EXTENDED RELEASE 12 HR 300 MG
THEOPHYLLINE/DEXTROSE 5%-WATER INTRAVENOUS INTRAVENOUS
SOLUTION 200MG/50MLTHIORIDAZINE HCL ORAL TABLET 10 MG
THIOTHIXENE ORAL CAPSULE (HARD, SOFT, ETC.) 1 MG
THIOTHIXENE ORAL CAPSULE (HARD, SOFT, ETC.) 10 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
THIOTHIXENE ORAL CAPSULE (HARD, SOFT, ETC.) 2 MG
THIOTHIXENE ORAL CAPSULE (HARD, SOFT, ETC.) 5 MG
TOBRAMYCIN SULFATE/DEXAMETHASONE OPHTHALMIC SUSPENSION,
DROPS(FINAL DOSAGE FORM)(ML) 0.3-0.1%TOPIRAMATE ORAL TABLET 100 MG
TRAMADOL HCL/ACETAMINOPHEN ORAL TABLET 37.5-325MG
TRIAMCINOLONE ACETONIDE TOPICAL OINTMENT (GRAM) 0.05 %
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
TRIAMTERENE/HYDROCHLOROTHIAZIDE ORAL CAPSULE (HARD, SOFT, ETC.)
37.5-25 MGTRIAMTERENE/HYDROCHLOROTHIAZIDE ORAL CAPSULE (HARD, SOFT, ETC.) 50
MG-25MGTRIAMTERENE/HYDROCHLOROTHIAZIDE ORAL TABLET 37.5-25 MG
TRIAMTERENE/HYDROCHLOROTHIAZIDE ORAL TABLET 75 MG-50MG
URSODIOL ORAL CAPSULE (HARD, SOFT, ETC.) 300 MG
VALPROIC ACID ORAL CAPSULE (HARD, SOFT, ETC.) 250 MG
VENLAFAXINE HCL ORAL CAPSULE, EXT RELEASE 24 HR 150 MG
VENLAFAXINE HCL ORAL CAPSULE, EXT RELEASE 24 HR 37.5 MG
VENLAFAXINE HCL ORAL CAPSULE, EXT RELEASE 24 HR 75 MG
VERAPAMIL HCL ORAL CAPSULE, EXTENDED RELEASE PELLETS 24 HR 120 MG
VERAPAMIL HCL ORAL CAPSULE, EXTENDED RELEASE PELLETS 24 HR 180 MG
VERAPAMIL HCL ORAL CAPSULE, EXTENDED RELEASE PELLETS 24 HR 360 MG
VERAPAMIL HCL ORAL TABLET, EXTENDED RELEASE 120 MG
New Jersey Department of Human Services State Upper Limit (SUL) List as of August 12, 2011 Pharmacy reimbursement for legend and non-legend drugs is based on the lowest of the Average Wholesale Price (AWP) less 17.5 percent; the Federal Upper Limit (FUL); the State Upper Limit (SUL), each with a dispensing fee of $3.73 to $3.99; or the pharmacy’s usual and customary charge Current SUL SUL Effective Generic Name
VERAPAMIL HCL ORAL TABLET, EXTENDED RELEASE 180 MG
VERAPAMIL HCL ORAL TABLET, EXTENDED RELEASE 240 MG
VITAMIN B COMPLX NO.3/FOLIC ACID/ASCORBIC ACID/BIOTIN ORAL TABLET
ZALEPLON ORAL CAPSULE (HARD, SOFT, ETC.) 10 MG
ZALEPLON ORAL CAPSULE (HARD, SOFT, ETC.) 5 MG
ZINC SULFATE ORAL CAPSULE (HARD, SOFT, ETC.) 220(50)MG
ZOLPIDEM TARTRATE ORAL TABLET, EXTENDED RELEASE MULTIPHASE 12.5 MG
ZONISAMIDE ORAL CAPSULE (HARD, SOFT, ETC.) 100 MG
ZONISAMIDE ORAL CAPSULE (HARD, SOFT, ETC.) 25 MG
Zusammenstellung der fachlichen praktischen, publizistischen und wissenschaftlichen Aktivitäten von Dr. med. Armin Aeschbach Dr. med. Armin Aeschbach, Facharzt Anästhesie Intensivmedizin FMH, Schmerztherapie - Dozent/Ausbildner von Assistenten und Fachärzten in Interventioneller Schmerztherapie - Dozent an praktischen schmerzinterventionellen Workshops/Kursen - Publikationen in Fac
www.drsusanloveresearchfoundation.org Update from the 25th Annual San Antonio Breast Cancer Symposium December 11–14, 2002 Nearly 5,000 physicians, oncologists, radiologists, epidemiologists, basic scientists, and breast cancer advocates from 76 countries converged in San Antonio, Texas, December 11–14, 2002, for the 25th Annual San Antonio Breast Cancer Symposium. This year's