| 00541869 | SCOPOLAMINE HYDROBROMIDE | Scopolamine Hydrobromide Injection (Not a Benefit) 0.4mg/mL Inj Sol (Preservative Free) | HOS | N/A | N/A | YES | NO | NO |
| 02242811 | SCOPOLAMINE HYDROBROMIDE | Scopolamine Hydrobromide Injection 0.6mg/mL Inj Sol (Preservative Free) | OMG | 7.1878 | 7.1878 | YES | YES | NO |
| 00541877 | SCOPOLAMINE HYDROBROMIDE | Scopolamine Hydrobromide Injection (Not a Benefit) 0.6mg/mL Inj Sol (Preservative Free) | HOS | N/A | N/A | YES | NO | NO |
| 02242810 | SCOPOLAMINE HYDROBROMIDE | Scopolamine Hydrobromide Injection 0.4mg/mL Inj Sol (Preservative Free) | OMG | 6.6467 | 6.6467 | YES | YES | NO |