Displaying 51 - 100 of 988 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
62332010031 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
65862066405 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
65862066430 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
27241005403 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
27241005408 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
16714078601 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
16729028101 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
16729028110 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
60505267503 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
43598055730 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
65162089903 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
65162089909 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
43547030503 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
00904651204 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
13668021930 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
31722081930 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
62332009730 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
62332009731 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
65862066105 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
65862066130 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
27241005103 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
27241005108 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
16729027801 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
16714078301 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
16729027810 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
65162089603 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
65162089609 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
43598055430 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
60505307503 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
43547030203 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
13668021630 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
00904650904 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
67877043003 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
13668021690 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
67877043005 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
33342012207 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
13668022030 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
13668022090 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
33342012607 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
31722082930 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
67877043403 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
67877043405 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
62332010130 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
62332010131 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
65862066505 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
65862066530 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
27241005503 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
27241005508 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
16714078701 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
16729028201 Yes No