Displaying 101 - 150 of 523 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
53746011001 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
53746011005 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
53746011010 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
00591261201 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
00406012501 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
00591261205 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
00406012505 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
00406012510 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
00406012562 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
13107002101 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
27808003701 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
13107002105 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
27808003702 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
13107002199 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
27808003703 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
57664017613 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
00603388721 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
57664017688 Yes No
HYDROCODONE-ACETAMIN 10-325 MG
hydrocodone/acetaminophen
00904642161 Yes No
HYDROCODONE-ACETAMIN 2.5-325
hydrocodone/acetaminophen
00591217101 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
43386035101 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
43386035105 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
27808011401 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
27808011402 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
65162067510 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
00591217401 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
65162067550 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
00591217405 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
00406037601 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
00406037605 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
64376064801 Yes No
HYDROCODONE-ACETAMIN 5-300 MG
hydrocodone/acetaminophen
64376064805 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00603389021 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00603389022 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00603389028 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00904656761 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00603389032 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
43386035601 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
43386035610 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00591217201 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00406012301 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
53746010901 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00591217205 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00406012305 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
53746010905 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00406012310 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
53746010910 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00406012362 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
63739032610 Yes No
HYDROCODONE-ACETAMIN 5-325 MG
hydrocodone/acetaminophen
00591320201 Yes No