lu codes

Source: ODB Formulary/CDI, edition 43 (effective 2026-04-28). Checked weekly for updates. Unofficial search tool.

10 drugs, 32 codes
GRANISETRON HCL Kytril, Apo-Granisetron, Nat-Granisetron, Jamp Granisetron
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
1 year
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
1 year
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti- emetics.
1 year
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
1 year
antiemetics and antinauseants
DIPHENOXYLATE HYDROCHLORIDE & ATROPINE SULFATE, LOPERAMIDE HCL Lomotil, Imodium, Teva-Loperamide, Apo-Loperamide, PMS-Loperamide
An ileostomy or a colostomy;.
1 year
Bowel resection, including short bowel syndrome;
1 year
Inflammatory Bowel Diseases, i.e. Crohn's Disease and Ulcerative Colitis;
1 year
Cancer, including chemotherapy or radiation therapy;
1 year
HIV/AIDS;
1 year
Acute diarrhea in patients in congregated housing, i.e. Long Term Care Facilities (LTCF), or for patients receiving Home Care;
1 year
Fecal incontinence.
1 year
antidiarrhea agents
LIPASE & AMYLASE & PROTEASE, PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE Creon Minimicrospheres 35, Cotazym, Cotazym ECS 8, Cotazym ECS 20, Pancrease MT4, Creon 10 +3 more
Replacement therapy for pancreatic insufficiency secondary to pancreatic surgery (resection).
Indefinite
Replacement therapy for pancreatic insufficiency due to chronic pancreatitis.
Indefinite
Replacement therapy for pancreatic insufficiency due to carcinoma of the pancreas.
Indefinite
Replacement therapy for pancreatic insufficiency due to cystic fibrosis.
Indefinite
digestants
ONDANSETRON HYDROCHLORIDE Zofran ODT (Tablet), Ondissolve ODF (Film), Ondansetron ODT (Tablet), Mint-Ondansetron ODT (Tablet), Auro-Ondansetron ODT (Tablet), Mar-Ondansetron ODT Tablet +18 more
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
1 year
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
1 year
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
1 year
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
1 year
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
1 year
antiemetics and antinauseants
LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE SODIUM Prevacid, Teva-Lansoprazole, Apo-Lansoprazole, Mylan-Lansoprazole, Lansoprazole, Sandoz Lansoprazole +32 more
Gastroesophageal Reflux Disease (GERD)
1 year
Confirmed Peptic Ulcers or NSAID-induced Ulcer Prophylaxis:
1 year
Other Gastrointestinal Disorders:
1 year
Severe Conditions:
1 year
miscellaneous g.i. drugs
LANSOPRAZOLE, OMEPRAZOLE MAGNESIUM, PANTOPRAZOLE SODIUM Prevacid, Teva-Lansoprazole, Apo-Lansoprazole, Mylan-Lansoprazole, Lansoprazole, Sandoz Lansoprazole +24 more
H. pylori-positive Peptic Ulcers
1 year
miscellaneous g.i. drugs
LANSOPRAZOLE & CLARITHROMYCIN & AMOXICILLIN Hp-PAC, AA-LansoprazoleAmoxicillinClarithromycin
For the treatment of H. pylori-positive peptic ulcers where H. pylori is documented, by serology, breath test or endoscopy, for a course of up to 14 days.
1 year
For the retreatment of H. pylori-positive peptic ulcers where H. pylori recurrence or persistence is documented, by breath test or endoscopy, for a course of up to 14 days.
1 year
miscellaneous g.i. drugs
APREPITANT Emend Tri-Pack
In combination with a 5HT3 receptor antagonist and dexamethasone for highly emetogenic chemotherapy (HEC) regimens:
1 year
For patients receiving moderately emetogenic chemotherapy (MEC) regimens AND who have had inadequate symptom control using a 5HT3 antagonist and dexamethasone in a previous cycle.
1 year
antiemetics and antinauseants
GRANISETRON HCL, ONDANSETRON HYDROCHLORIDE Kytril, Apo-Granisetron, Nat-Granisetron, Jamp Granisetron, Zofran ODT (Tablet), Ondissolve ODF (Film) +22 more
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
1 year
antiemetics and antinauseants
NETUPITANT & PALONOSETRON HYDROCHLORIDE Akynzeo
In combination with dexamethasone for once per-cycle treatment in adult patients for:
1 year
In combination with dexamethasone for once per-cycle treatment in adult patients for:
1 year
antiemetics and antinauseants