Displaying 51 - 100 of 974 records found.

Items in this class
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