| 70260-426 | Pyrimethamine Leucovorin | | | | South Coast Specialty Compounding, Inc. D/b/a Park Compounding | |
| 70260-427 | Pyrimethamine Leucovorin | | | | South Coast Specialty Compounding, Inc. D/b/a Park Compounding | |
| 70260-428 | Pyrimethamine Leucovorin | | | | South Coast Specialty Compounding, Inc. D/b/a Park Compounding | |
| 70260-429 | Pyrimethamine Leucovorin | | | | South Coast Specialty Compounding, Inc. D/b/a Park Compounding | |
| 70260-430 | Pyrimethamine Leucovorin | | | | South Coast Specialty Compounding, Inc. D/b/a Park Compounding | |
| 70260-480 | Pyrimethamine Leucovorin | | | | South Coast Specialty Compounding, Inc. D/b/a Park Compounding | |
| 70271-426 | Pyrimethamine Leucovorin | | | | Imprimisrx Pa, Inc. D/b/a Imprimisrx | |
| 70271-427 | Pyrimethamine Leucovorin | | | | Imprimisrx Pa, Inc. D/b/a Imprimisrx | |
| 70271-428 | Pyrimethamine Leucovorin | | | | Imprimisrx Pa, Inc. D/b/a Imprimisrx | |
| 70271-429 | Pyrimethamine Leucovorin | | | | Imprimisrx Pa, Inc. D/b/a Imprimisrx | |
| 70271-430 | Pyrimethamine Leucovorin | | | | Imprimisrx Pa, Inc. D/b/a Imprimisrx | |
| 70271-480 | Pyrimethamine Leucovorin | | | | Imprimisrx Pa, Inc. D/b/a Imprimisrx | |