1. 2924 19 00 | Acyclic amides (including acyclic carbamates) and their derivatives; salts thereof excluding meprobamate | S |

2. 07/01/21: Meprobamate: Cep 2009-322: 07/01/21 Nalidixic acid: Cep 2009-216: 07/01/21

3. Anxiolytics and Sedatives/Hypnotics (ASHs) Anxiolytics – Chlordiazepoxide, Meprobamate & Oxazepam Clinical Criteria Logic Diagram Step 1 Does the client have a history of a CLD, MePB, or OX AZ agent for 90 days in the last 150 days? Step 2 Is the incoming request for 1 days supply? Step 3 Is the incoming request IRU 5 units per day? No Y es