APPENDIX C. EXCLUSIONS BASED ON MEDICATIONS (continued)Class
Code Class Name Generic Drug Name
ANTIANGINAL AGENTS/*Nitrates*
321000 Nitroglycerin TD Patch HR HR NITREK
321000 Nitroglycerin NITRO-BID
321000 Nitroglycerin TD Patch HR HR NITRO-DUR
321000 Nitroglycerin CR NITRO-TIME
321000 Nitroglycerin NITROBID
321000 Nitroglycerin CR NITROCOT SA
321000 Nitroglycerin Buccal CR NITROGARD
321000 Nitroglycerin NITROGLYCERIN
321000 Nitroglycerin Buccal CR NITROGLYCERIN BUCCAL CR
321000 Nitroglycerin CR NITROGLYCERIN CR
321000 Nitroglycerin CR NITROGLYCERIN ER
321000 Nitroglycerin IV in D W NITROGLYCERIN IN
321000 Nitroglycerin IV in D W NITROGLYCERIN IN DEXTROSE
321000 Nitroglycerin IV in D W NITROGLYCERIN IV
321000 Nitroglycerin CR NITROGLYCERIN SA
321000 Nitroglycerin SL NITROGLYCERIN SL
321000 Nitroglycerin CR NITROGLYCERIN SR
321000 Nitroglycerin CR NITROGLYCERIN TD
321000 Nitroglycerin TD Patch HR HR NITROGLYCERIN TD PATCH 24HR
321000 Nitroglycerin TL SPRAY SPRAY) NITROGLYCERIN TL
321000 Nitroglycerin TD Patch HR HR NITROGLYCERIN TRANSDERMAL
321000 Nitroglycerin IV in D W NITROGLYCERIN/IN
321000 Nitroglycerin CR NITROGLYN
321000 Nitroglycerin NITROL
321000 Nitroglycerin TL Aerosol DOSE NITROLINGUAL
321000 Nitroglycerin TL SPRAY SPRAY) NITROLINGUAL PUMPSPRAY
321000 Nitroglycerin SL NITROQUICK
321000 Nitroglycerin SL NITROSTAT
321000 Nitroglycerin SL NITROTAB
321000 Isosorbide Dinitrate THSC ISOSORBIDE DINITRATE
321000 Nitroglycerin TD Patch HR HR TRANSDERM-NITRO
321000 Nitroglycerin TD Patch HR HR TRANSDERMAL-NTG
321000 Nitroglycerin IV TRIDIL
BETA BLOCKERS/Beta Blockers Non-Selective**
331000 Sotalol HCl BETAPACE
331000 Sotalol HCl BETAPACE AF