Generic Name(s) | Strength | Dosage Form | ICD Code |
Adenosine | 6 mg/2 mL | Injection | Y52.2 |
Amiodarone | 200mg | Tablet | Y52.2 |
Bretylium Tosylate Injection | 50mg/mL | Injection | Y52.2 |
Digoxin | 0.125mg, 0.25mg, 0.5mg | Tablet | Y52.2 |
Digoxin | 0.05mg/ml | Elixir | Y52.2 |
Digoxin | 0.05mg, 0.1mg, 0.2mg | Capsule | Y52.2 |
Disopyramide | 100mg, 150mg | Capsule | Y52.2 |
Disopyramide, Sustained Release | 100mg, 150mg | Capsule | Y52.2 |
Dofetilide | 125mcg, 250mcg | Capsules | Y52.2 |
Dronedarone | 400 mg | Tablets | Y52.2 |
Encainide Hydrochloride | Y52.2 | ||
Flecainide | 50mg, 100mg, 150mg | Tablet | Y52.2 |
Ibutilide | 10 mL Vial, 1mg /10 mL | Injection | Y52.2 |
Levomethadyl Acetate | 10mg/mL | Y52.2 | |
Mexiletine | 150mg, 200mg, 250mg | Capsule | Y52.2 |
Moricizine | 200mg, 250mg, 300mg | Tablet | Y52.2 |
Procainamide | 250mg, 375mg, 500mg | Capsule, Tablet | Y52.2 |
Procainamide, Sustained Release | 250mg, 500mg, 750mg, 1,000mg | Tablet | Y52.2 |
Propafenone | 150mg, 225mg, 300mg | Tablet | Y52.2 |
Quinidine | 300mg | Tablets | Y52.2 |
Quinidine Gluconate | 324mg | Tablet | Y52.2 |
Quinidine Sulfate | 200mg, 300mg | Tablet | Y52.2 |
Quinidine Sulfate, Sustained Release | 300mg | Tablet | Y52.2 |
Sotalol | 80mg, 120mg, 160mg, 240mg | Tablet | Y52.2 |
Tocainide | 400mg, 600mg | Tablet | Y52.2 |