Displaying 51 - 100 of 974 records found.
Brand Name/Generic Name | NDC code | Clinical Prior Auth Required | PDL Prior Auth Required |
---|---|---|---|
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 20-12.5 MG TAB benazepril/hydrochlorothiazide |
00378474501 | Yes | Yes |
BENAZEPRIL-HCTZ 20-12.5 MG TAB benazepril/hydrochlorothiazide |
64980019501 | Yes | Yes |
BENAZEPRIL-HCTZ 20-12.5 MG TAB benazepril/hydrochlorothiazide |
00574022901 | 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 20-25 MG TAB benazepril/hydrochlorothiazide |
00378477501 | Yes | Yes |
BENAZEPRIL-HCTZ 20-25 MG TAB benazepril/hydrochlorothiazide |
64980019601 | Yes | Yes |
BENAZEPRIL-HCTZ 20-25 MG TAB benazepril/hydrochlorothiazide |
00574022801 | 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 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 |
65597010330 | Yes | Yes |
BENICAR 40 MG TABLET olmesartan medoxomil |
65597010430 | 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 40-12.5 MG TABLET olmesartan/hydrochlorothiazide |
65597010630 | Yes | Yes |
BENICAR HCT 40-25 MG TABLET olmesartan/hydrochlorothiazide |
65597010730 | 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 |
00781593831 | Yes | Yes |
CANDESARTAN CILEXETIL 16 MG TB candesartan cilexetil |
00781593892 | Yes | Yes |
CANDESARTAN CILEXETIL 16 MG TB candesartan cilexetil |
00378323177 | Yes | Yes |
CANDESARTAN CILEXETIL 16 MG TB candesartan cilexetil |
49884066009 | Yes | Yes |
CANDESARTAN CILEXETIL 16 MG TB candesartan cilexetil |
00378323193 | Yes | Yes |
CANDESARTAN CILEXETIL 16 MG TB candesartan cilexetil |
62332034330 | Yes | Yes |
CANDESARTAN CILEXETIL 16 MG TB candesartan cilexetil |
62332034390 | Yes | Yes |
CANDESARTAN CILEXETIL 32 MG TB candesartan cilexetil |
33342011707 | Yes | Yes |
CANDESARTAN CILEXETIL 32 MG TB candesartan cilexetil |
33342011710 | Yes | Yes |
CANDESARTAN CILEXETIL 32 MG TB candesartan cilexetil |
00781593931 | Yes | Yes |
CANDESARTAN CILEXETIL 32 MG TB candesartan cilexetil |
00781593992 | Yes | Yes |
CANDESARTAN CILEXETIL 32 MG TB candesartan cilexetil |
62332006030 | Yes | Yes |
CANDESARTAN CILEXETIL 32 MG TB candesartan cilexetil |
49884066109 | Yes | Yes |
CANDESARTAN CILEXETIL 32 MG TB candesartan cilexetil |
00378323277 | Yes | Yes |
CANDESARTAN CILEXETIL 32 MG TB candesartan cilexetil |
62332006090 | Yes | Yes |
CANDESARTAN CILEXETIL 32 MG TB candesartan cilexetil |
00378323293 | Yes | Yes |
CANDESARTAN CILEXETIL 4 MG TAB candesartan cilexetil |
33342011407 | Yes | Yes |
CANDESARTAN CILEXETIL 4 MG TAB candesartan cilexetil |
00781593631 | Yes | Yes |
CANDESARTAN CILEXETIL 4 MG TAB candesartan cilexetil |
00378322477 | Yes | Yes |
CANDESARTAN CILEXETIL 4 MG TAB candesartan cilexetil |
00378322493 | Yes | Yes |
CANDESARTAN CILEXETIL 4 MG TAB candesartan cilexetil |
62332034130 | Yes | Yes |
CANDESARTAN CILEXETIL 4 MG TAB candesartan cilexetil |
49884065809 | Yes | Yes |
CANDESARTAN CILEXETIL 4 MG TAB candesartan cilexetil |
62332034190 | Yes | Yes |
CANDESARTAN CILEXETIL 8 MG TAB candesartan cilexetil |
33342011507 | Yes | Yes |
CANDESARTAN CILEXETIL 8 MG TAB candesartan cilexetil |
00781593731 | Yes | Yes |
CANDESARTAN CILEXETIL 8 MG TAB candesartan cilexetil |
00378322577 | Yes | Yes |
CANDESARTAN CILEXETIL 8 MG TAB candesartan cilexetil |
00378322593 | Yes | Yes |