Displaying 51 - 100 of 460 records found.
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 |