| Generic Name(s) | Strength | Dosage Form | ICD Code |
| Aminolevulinic acid | 1.5 mL/20% | Topical Solution | Y57.5 |
| Methyl Aminolevulinate Hydrochloride | 2gm/16% | Cream | Y57.5 |
| Porfimer Sodium | 75mg Vial | Injection | Y57.5 |
| Trioxsalen | Y57.5 | ||
| Verteporfin | 15mg/Vial | Injection | Y57.5 |
