Displaying 51 - 100 of 1179 records found.
| 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 |