Displaying 1 - 50 of 948 records found.
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 |
ABILIFY MYCITE 10 MG KIT aripiprazole |
59148003185 | Yes | Yes |
ABILIFY MYCITE 15 MG KIT aripiprazole |
59148003285 | Yes | Yes |
ABILIFY MYCITE 2 MG KIT aripiprazole |
59148002985 | Yes | Yes |
ABILIFY MYCITE 20 MG KIT aripiprazole |
59148003385 | Yes | Yes |
ABILIFY MYCITE 30 MG KIT aripiprazole |
59148003485 | Yes | Yes |
ABILIFY MYCITE 5 MG KIT aripiprazole |
59148003085 | Yes | Yes |
ARIPIPRAZOLE 1 MG/ML SOLUTION aripiprazole |
59651011055 | Yes | Yes |
ARIPIPRAZOLE 1 MG/ML SOLUTION aripiprazole |
65162089374 | Yes | Yes |
ARIPIPRAZOLE 1 MG/ML SOLUTION aripiprazole |
60505040405 | Yes | Yes |
ARIPIPRAZOLE 1 MG/ML SOLUTION aripiprazole |
54838057059 | Yes | Yes |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
67877043205 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
43598055630 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
13668021830 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
13668021890 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
60505267403 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
00904651106 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
00904651161 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
33342012407 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
31722082730 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
43547030403 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
65862066305 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
65862066330 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
62332009930 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
27241005303 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
62332009931 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
27241005308 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
16714078501 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
16729028001 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
16729028010 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
65162089803 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
65162089809 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
67877043201 | Yes | No |
ARIPIPRAZOLE 10 MG TABLET aripiprazole |
67877043203 | Yes | No |
ARIPIPRAZOLE 15 MG TABLET aripiprazole |
67877043301 | Yes | No |
ARIPIPRAZOLE 15 MG TABLET aripiprazole |
43598055730 | Yes | No |
ARIPIPRAZOLE 15 MG TABLET aripiprazole |
67877043303 | Yes | No |
ARIPIPRAZOLE 15 MG TABLET aripiprazole |
13668021930 | Yes | No |
ARIPIPRAZOLE 15 MG TABLET aripiprazole |
67877043305 | Yes | No |
ARIPIPRAZOLE 15 MG TABLET aripiprazole |
13668021990 | Yes | No |
ARIPIPRAZOLE 15 MG TABLET aripiprazole |
60505267503 | Yes | No |