Displaying 51 - 100 of 460 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
13668001105 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
13668001108 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
13107000701 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
13107000705 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
76282020810 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
65862000701 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
65862000705 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
57664050913 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
57664050918 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
57664050988 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
68645057154 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
69097082407 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
00378623301 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
69097082412 No No
CITALOPRAM HBR 40 MG TABLET
citalopram hydrobromide
00378623305 No No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
76282025010 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
76282025090 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
00904642661 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
60505278101 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
69097084805 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
60505278108 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
68180013501 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
43547028110 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
65862037401 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
43547028111 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
13668013601 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
16729016901 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
65862037405 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
13668013605 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
13668013610 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
68645051954 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
00093585101 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
33342003711 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
76282025010 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
76282025090 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
59746028001 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
68001019600 Yes No
ESCITALOPRAM 10 MG TABLET
escitalopram oxalate
68001019603 Yes No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
76282025110 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
76282025190 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
00904642761 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
69097084905 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
60505278201 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
60505278208 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
68180013601 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
43547028210 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
16729017001 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
65862037501 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
43547028211 No No
ESCITALOPRAM 20 MG TABLET
escitalopram oxalate
16729017017 No No