Displaying 51 - 100 of 988 records found.
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 |