Displaying 1 - 50 of 1016 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
ABILIFY 10 MG TABLET
aripiprazole
59148000813 Yes Yes
ABILIFY 15 MG TABLET
aripiprazole
59148000913 Yes Yes
ABILIFY 2 MG TABLET
aripiprazole
59148000613 Yes Yes
ABILIFY 20 MG TABLET
aripiprazole
59148001013 Yes Yes
ABILIFY 30 MG TABLET
aripiprazole
59148001113 Yes Yes
ABILIFY 5 MG TABLET
aripiprazole
59148000713 Yes Yes
ABILIFY MAINTENA ER 300 MG SYR
aripiprazole
59148004580 Yes No
ABILIFY MAINTENA ER 300 MG VL
aripiprazole
59148001871 Yes No
ABILIFY MAINTENA ER 400 MG SYR
aripiprazole
59148007280 Yes No
ABILIFY MAINTENA ER 400 MG VL
aripiprazole
59148001971 Yes No
ARIPIPRAZOLE 1 MG/ML SOLUTION
aripiprazole
60505040405 Yes Yes
ARIPIPRAZOLE 1 MG/ML SOLUTION
aripiprazole
54838057059 Yes Yes
ARIPIPRAZOLE 1 MG/ML SOLUTION
aripiprazole
65162089374 Yes Yes
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
00904651161 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
16729028001 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
43598055630 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
16729028010 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
27241005303 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
27241005308 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
50268008911 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
60505267403 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
50268008915 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
43547030403 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
13668021830 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
13668021890 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
65862066305 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
65162089803 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
65862066330 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
65162089809 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
00093758056 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
62332009930 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
33342012407 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
62332009931 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
13811068110 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
13811068130 Yes No
ARIPIPRAZOLE 10 MG TABLET
aripiprazole
31722082730 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
00904651204 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
43598055730 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
16729028101 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
16729028110 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
27241005403 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
27241005408 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
60505267503 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
50268009011 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
50268009012 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
43547030503 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
13668021930 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
13668021990 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
65862066405 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
65162089903 Yes No