ANTIFUNGALS: ORAL

Displaying 1 - 50 of 159 records found.

Items in this class
Brand Name/Generic Name	NDC code	Clinical Prior Auth Required	PDL Prior Auth Required
ANCOBON 250 MG CAPSULE flucytosine	00187355410	No	Yes
ANCOBON 500 MG CAPSULE flucytosine	00187355510	No	Yes
CLOTRIMAZOLE 10 MG TROCHE clotrimazole	00054414622	No	No
CLOTRIMAZOLE 10 MG TROCHE clotrimazole	00054414623	No	No
CLOTRIMAZOLE 10 MG TROCHE clotrimazole	00574010714	No	No
CLOTRIMAZOLE 10 MG TROCHE clotrimazole	00574010770	No	No
CLOTRIMAZOLE 10 MG TROCHE clotrimazole	00054814622	No	No
CRESEMBA 186 MG CAPSULE isavuconazonium sulfate	00469052014	No	Yes
DIFLUCAN 10 MG/ML SUSPENSION fluconazole	00049344019	No	Yes
DIFLUCAN 100 MG TABLET fluconazole	00049342030	No	Yes
DIFLUCAN 150 MG TABLET fluconazole	00049350079	No	Yes
DIFLUCAN 200 MG TABLET fluconazole	00049343030	No	Yes
DIFLUCAN 40 MG/ML SUSPENSION fluconazole	00049345019	No	Yes
DIFLUCAN 50 MG TABLET fluconazole	00049341030	No	Yes
FLUCONAZOLE 10 MG/ML SUSP fluconazole	57237014935	No	No
FLUCONAZOLE 10 MG/ML SUSP fluconazole	59762502901	No	No
FLUCONAZOLE 10 MG/ML SUSP fluconazole	00054000285	No	No
FLUCONAZOLE 10 MG/ML SUSP fluconazole	16714069501	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	70710113803	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	68001025204	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	59762501601	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	68462010230	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	16714069101	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	16714069102	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	00172541146	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	00172541160	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	55111014401	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	55111014430	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	00904650061	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	67405060203	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	70710113801	No	No
FLUCONAZOLE 100 MG TABLET fluconazole	57237000430	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	57237000511	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	70710113908	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	68001025320	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	59762501701	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	68462010340	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	16714069210	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	16714069211	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	00172541211	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	55111014512	No	No
FLUCONAZOLE 150 MG TABLET fluconazole	67405060301	No	No
FLUCONAZOLE 200 MG TABLET fluconazole	67405060403	No	No
FLUCONAZOLE 200 MG TABLET fluconazole	57237000630	No	No
FLUCONAZOLE 200 MG TABLET fluconazole	70710114001	No	No
FLUCONAZOLE 200 MG TABLET fluconazole	70710114003	No	No
FLUCONAZOLE 200 MG TABLET fluconazole	68001025404	No	No
FLUCONAZOLE 200 MG TABLET fluconazole	59762501801	No	No
FLUCONAZOLE 200 MG TABLET fluconazole	68462010430	No	No
FLUCONAZOLE 200 MG TABLET fluconazole	16714069301	No	No

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