Displaying 1 - 50 of 1111 records found.
| Brand Name/Generic Name | NDC code | Clinical Prior Auth Required | PDL Prior Auth Required |
|---|---|---|---|
|
ACCUPRIL 10 MG TABLET quinapril HCl |
00071053023 | No | Yes |
|
ACCUPRIL 10 MG TABLET quinapril HCl |
00071053040 | No | Yes |
|
ACCUPRIL 20 MG TABLET quinapril HCl |
00071053223 | No | Yes |
|
ACCUPRIL 20 MG TABLET quinapril HCl |
00071053240 | No | Yes |
|
ACCUPRIL 40 MG TABLET quinapril HCl |
00071053523 | No | Yes |
|
ACCUPRIL 5 MG TABLET quinapril HCl |
00071052723 | No | Yes |
|
ACCURETIC 10-12.5 MG TABLET quinapril/hydrochlorothiazide |
00071022223 | Yes | Yes |
|
ACCURETIC 20-12.5 MG TABLET quinapril/hydrochlorothiazide |
00071022023 | Yes | Yes |
|
ACCURETIC 20-25 MG TABLET quinapril/hydrochlorothiazide |
00071022323 | Yes | Yes |
|
ALISKIREN 150 MG TABLET aliskiren hemifumarate |
66993014130 | Yes | Yes |
|
ALISKIREN 150 MG TABLET aliskiren hemifumarate |
49884042411 | Yes | Yes |
|
ALISKIREN 300 MG TABLET aliskiren hemifumarate |
66993014230 | Yes | Yes |
|
ALISKIREN 300 MG TABLET aliskiren hemifumarate |
49884042511 | Yes | Yes |
|
ALTACE 1.25 MG CAPSULE ramipril |
61570011001 | Yes | Yes |
|
ALTACE 10 MG CAPSULE ramipril |
61570012001 | No | Yes |
|
ALTACE 2.5 MG CAPSULE ramipril |
61570011101 | Yes | Yes |
|
ALTACE 5 MG CAPSULE ramipril |
61570011201 | Yes | Yes |
|
ATACAND 16 MG TABLET candesartan cilexetil |
00186001631 | Yes | Yes |
|
ATACAND 16 MG TABLET candesartan cilexetil |
00186001654 | Yes | Yes |
|
ATACAND 16 MG TABLET candesartan cilexetil |
62559064230 | Yes | Yes |
|
ATACAND 16 MG TABLET candesartan cilexetil |
62559064290 | Yes | Yes |
|
ATACAND 32 MG TABLET candesartan cilexetil |
62559064390 | Yes | Yes |
|
ATACAND 32 MG TABLET candesartan cilexetil |
00186003231 | Yes | Yes |
|
ATACAND 32 MG TABLET candesartan cilexetil |
00186003254 | Yes | Yes |
|
ATACAND 32 MG TABLET candesartan cilexetil |
62559064330 | Yes | Yes |
|
ATACAND 4 MG TABLET candesartan cilexetil |
62559064030 | Yes | Yes |
|
ATACAND 4 MG TABLET candesartan cilexetil |
00186000431 | Yes | Yes |
|
ATACAND 8 MG TABLET candesartan cilexetil |
00186000831 | Yes | Yes |
|
ATACAND 8 MG TABLET candesartan cilexetil |
62559064130 | Yes | Yes |
|
ATACAND HCT 16-12.5 MG TAB candesartan/hydrochlorothiazid |
62559065090 | Yes | Yes |
|
ATACAND HCT 16-12.5 MG TAB candesartan/hydrochlorothiazid |
00186016254 | Yes | Yes |
|
ATACAND HCT 32-12.5 MG TAB candesartan/hydrochlorothiazid |
62559065190 | Yes | Yes |
|
ATACAND HCT 32-12.5 MG TAB candesartan/hydrochlorothiazid |
00186032254 | Yes | Yes |
|
ATACAND HCT 32-25 MG TABLET candesartan/hydrochlorothiazid |
62559065290 | Yes | Yes |
|
AVALIDE 150-12.5 MG TABLET irbesartan/hydrochlorothiazide |
00024585530 | Yes | Yes |
|
AVALIDE 300-12.5 MG TABLET irbesartan/hydrochlorothiazide |
00024585630 | Yes | Yes |
|
AVAPRO 150 MG TABLET irbesartan |
00024585130 | Yes | Yes |
|
AVAPRO 300 MG TABLET irbesartan |
00024585230 | Yes | Yes |
|
AVAPRO 75 MG TABLET irbesartan |
00024585090 | Yes | Yes |
|
BENAZEPRIL HCL 10 MG TABLET benazepril HCl |
00185005301 | No | No |
|
BENAZEPRIL HCL 10 MG TABLET benazepril HCl |
43547033610 | No | No |
|
BENAZEPRIL HCL 10 MG TABLET benazepril HCl |
43547033650 | No | No |
|
BENAZEPRIL HCL 10 MG TABLET benazepril HCl |
00378044301 | No | No |
|
BENAZEPRIL HCL 10 MG TABLET benazepril HCl |
65162075210 | No | No |
|
BENAZEPRIL HCL 10 MG TABLET benazepril HCl |
65162075250 | No | No |
|
BENAZEPRIL HCL 10 MG TABLET benazepril HCl |
51079014520 | No | No |
|
BENAZEPRIL HCL 20 MG TABLET benazepril HCl |
50268011111 | No | No |
|
BENAZEPRIL HCL 20 MG TABLET benazepril HCl |
50268011115 | No | No |
|
BENAZEPRIL HCL 20 MG TABLET benazepril HCl |
43547033710 | No | No |
|
BENAZEPRIL HCL 20 MG TABLET benazepril HCl |
43547033750 | No | No |