Displaying 151 - 200 of 1143 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
CAPTOPRIL 50 MG TABLET
captopril
00143117301 No Yes
CAPTOPRIL 50 MG TABLET
captopril
00143117310 No Yes
CAPTOPRIL 50 MG TABLET
captopril
00781807501 No Yes
CAPTOPRIL 50 MG TABLET
captopril
00378301701 No Yes
CAPTOPRIL 50 MG TABLET
captopril
00378301710 No Yes
CAPTOPRIL-HCTZ 25-15 MG TABLET
captopril/hydrochlorothiazide
00378008101 Yes Yes
CAPTOPRIL-HCTZ 25-25 MG TABLET
captopril/hydrochlorothiazide
00378008301 Yes Yes
CAPTOPRIL-HCTZ 50-15 MG TABLET
captopril/hydrochlorothiazide
00378008401 Yes Yes
CAPTOPRIL-HCTZ 50-25 MG TABLET
captopril/hydrochlorothiazide
00378008601 Yes Yes
COZAAR 100 MG TABLET
losartan potassium
00006096031 Yes Yes
COZAAR 100 MG TABLET
losartan potassium
00006096054 Yes Yes
COZAAR 25 MG TABLET
losartan potassium
00006095154 Yes Yes
COZAAR 50 MG TABLET
losartan potassium
00006095231 Yes Yes
COZAAR 50 MG TABLET
losartan potassium
00006095254 Yes Yes
DIOVAN 160 MG TABLET
valsartan
00078035934 Yes No
DIOVAN 320 MG TABLET
valsartan
00078036034 Yes No
DIOVAN 40 MG TABLET
valsartan
00078042315 Yes No
DIOVAN 80 MG TABLET
valsartan
00078035834 Yes No
DIOVAN HCT 160-12.5 MG TAB
valsartan/hydrochlorothiazide
00078031534 Yes Yes
DIOVAN HCT 160-25 MG TABLET
valsartan/hydrochlorothiazide
00078038334 Yes Yes
DIOVAN HCT 320-12.5 MG TAB
valsartan/hydrochlorothiazide
00078047134 Yes Yes
DIOVAN HCT 320-25 MG TABLET
valsartan/hydrochlorothiazide
00078047234 Yes Yes
DIOVAN HCT 80-12.5 MG TABLET
valsartan/hydrochlorothiazide
00078031434 Yes Yes
EDARBI 40 MG TABLET
azilsartan medoxomil
60631004030 Yes Yes
EDARBI 80 MG TABLET
azilsartan medoxomil
60631008030 Yes Yes
EDARBYCLOR 40-12.5 MG TABLET
azilsartan med/chlorthalidone
60631041230 Yes Yes
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
51672403901 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
64679092502 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
51672403903 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
64679092503 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
00093002801 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
00093002810 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
68682071201 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
68682071210 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
51079095220 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
16714044401 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
00378105310 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
16714044402 No No
ENALAPRIL MALEATE 10 MG TAB
enalapril maleate
68645045690 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
51672403703 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
64679092303 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
00093002601 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
68682071001 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
68682071010 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
16714044201 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
16714044202 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
00378105101 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
51079095020 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
51672403701 No No
ENALAPRIL MALEATE 2.5 MG TAB
enalapril maleate
64679092302 No No