Displaying 51 - 100 of 1179 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
BENAZEPRIL HCL 40 MG TABLET
benazepril HCl
00093512701 No No
BENAZEPRIL HCL 40 MG TABLET
benazepril HCl
00378044701 No No
BENAZEPRIL HCL 40 MG TABLET
benazepril HCl
43547033810 No No
BENAZEPRIL HCL 40 MG TABLET
benazepril HCl
43547033850 No No
BENAZEPRIL HCL 40 MG TABLET
benazepril HCl
54458086216 No No
BENAZEPRIL HCL 5 MG TABLET
benazepril HCl
65162075110 No No
BENAZEPRIL HCL 5 MG TABLET
benazepril HCl
65162075150 No No
BENAZEPRIL HCL 5 MG TABLET
benazepril HCl
00093512401 No No
BENAZEPRIL HCL 5 MG TABLET
benazepril HCl
00378044101 No No
BENAZEPRIL HCL 5 MG TABLET
benazepril HCl
00185050501 No No
BENAZEPRIL HCL 5 MG TABLET
benazepril HCl
43547033510 No No
BENAZEPRIL HCL 5 MG TABLET
benazepril HCl
00185050505 No No
BENAZEPRIL-HCTZ 10-12.5 MG TAB
benazepril/hydrochlorothiazide
64980019401 Yes Yes
BENAZEPRIL-HCTZ 10-12.5 MG TAB
benazepril/hydrochlorothiazide
60505026201 Yes Yes
BENAZEPRIL-HCTZ 10-12.5 MG TAB
benazepril/hydrochlorothiazide
00185032501 Yes Yes
BENAZEPRIL-HCTZ 10-12.5 MG TAB
benazepril/hydrochlorothiazide
00832048311 Yes Yes
BENAZEPRIL-HCTZ 10-12.5 MG TAB
benazepril/hydrochlorothiazide
00378473501 Yes Yes
BENAZEPRIL-HCTZ 20-12.5 MG TAB
benazepril/hydrochlorothiazide
64980019501 Yes Yes
BENAZEPRIL-HCTZ 20-12.5 MG TAB
benazepril/hydrochlorothiazide
60505026301 Yes Yes
BENAZEPRIL-HCTZ 20-12.5 MG TAB
benazepril/hydrochlorothiazide
00185021101 Yes Yes
BENAZEPRIL-HCTZ 20-12.5 MG TAB
benazepril/hydrochlorothiazide
00832048411 Yes Yes
BENAZEPRIL-HCTZ 20-12.5 MG TAB
benazepril/hydrochlorothiazide
00378474501 Yes Yes
BENAZEPRIL-HCTZ 20-25 MG TAB
benazepril/hydrochlorothiazide
64980019601 Yes Yes
BENAZEPRIL-HCTZ 20-25 MG TAB
benazepril/hydrochlorothiazide
60505026401 Yes Yes
BENAZEPRIL-HCTZ 20-25 MG TAB
benazepril/hydrochlorothiazide
00185027701 Yes Yes
BENAZEPRIL-HCTZ 20-25 MG TAB
benazepril/hydrochlorothiazide
00832048511 Yes Yes
BENAZEPRIL-HCTZ 20-25 MG TAB
benazepril/hydrochlorothiazide
00378477501 Yes Yes
BENAZEPRIL-HCTZ 5-6.25 MG TAB
benazepril/hydrochlorothiazide
60505026101 Yes Yes
BENAZEPRIL-HCTZ 5-6.25 MG TAB
benazepril/hydrochlorothiazide
00185023601 Yes Yes
BENAZEPRIL-HCTZ 5-6.25 MG TAB
benazepril/hydrochlorothiazide
00378472501 Yes Yes
BENICAR 20 MG TABLET
olmesartan medoxomil
65597010303 Yes Yes
BENICAR 20 MG TABLET
olmesartan medoxomil
65597010330 Yes Yes
BENICAR 20 MG TABLET
olmesartan medoxomil
65597010390 Yes Yes
BENICAR 40 MG TABLET
olmesartan medoxomil
65597010403 Yes Yes
BENICAR 40 MG TABLET
olmesartan medoxomil
65597010430 Yes Yes
BENICAR 40 MG TABLET
olmesartan medoxomil
65597010490 Yes Yes
BENICAR 5 MG TABLET
olmesartan medoxomil
65597010130 Yes Yes
BENICAR HCT 20-12.5 MG TABLET
olmesartan/hydrochlorothiazide
65597010530 Yes Yes
BENICAR HCT 20-12.5 MG TABLET
olmesartan/hydrochlorothiazide
65597010590 Yes Yes
BENICAR HCT 40-12.5 MG TABLET
olmesartan/hydrochlorothiazide
65597010630 Yes Yes
BENICAR HCT 40-12.5 MG TABLET
olmesartan/hydrochlorothiazide
65597010690 Yes Yes
BENICAR HCT 40-25 MG TABLET
olmesartan/hydrochlorothiazide
65597010730 Yes Yes
BENICAR HCT 40-25 MG TABLET
olmesartan/hydrochlorothiazide
65597010790 Yes Yes
CANDESARTAN CILEXETIL 16 MG TB
candesartan cilexetil
60505362003 Yes Yes
CANDESARTAN CILEXETIL 16 MG TB
candesartan cilexetil
60505362009 Yes Yes
CANDESARTAN CILEXETIL 16 MG TB
candesartan cilexetil
00781593831 Yes Yes
CANDESARTAN CILEXETIL 16 MG TB
candesartan cilexetil
00781593892 Yes Yes
CANDESARTAN CILEXETIL 16 MG TB
candesartan cilexetil
33342011607 Yes Yes
CANDESARTAN CILEXETIL 16 MG TB
candesartan cilexetil
33342011610 Yes Yes
CANDESARTAN CILEXETIL 16 MG TB
candesartan cilexetil
49884066009 Yes Yes