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CSB-9-0017-MS 1/15 912132 10/17 For agent use only X indicates that the drug will result in a decline. Make sure to list ALL medications on the application.
Ergoloid mesylates (), co-dergocrine mesilate or dihydroergotoxine mesylate, trade name Hydergine, is a mixture of the methanesulfonate salts of three dihydrogenated ergot alkaloids (dihydroergocristine, dihydroergocornine, and alpha-and beta-dihydroergocryptine).
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A. CONTROLLED SUBSTANCES, DRUGS, DEVICES AND COSMETICS … 25.1 B. HEARING AID SALES AND REGISTRATION … 25.201 Authority. The provisions of this Chapter 25 issued under the Controlled Substance, Drug, Device and Cosmetic Act (35 P. S. § § 780-101—780-144), unless otherwise noted.