Displaying 51 - 100 of 1029 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
43547030503 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
16729028101 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
43598055730 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
27241005403 Yes No
ARIPIPRAZOLE 15 MG TABLET
aripiprazole
16729028110 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
13668021630 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
13668021690 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
31722081930 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
00093761356 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
13811067910 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
33342012207 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
65862066105 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
13811067930 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
60505307503 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
65162089603 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
65862066130 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
65162089609 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
62332009730 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
62332009731 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
27241005108 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
00904650904 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
16729027801 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
16729027810 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
43598055430 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
27241005103 Yes No
ARIPIPRAZOLE 2 MG TABLET
aripiprazole
43547030203 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
16729028210 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
13668022030 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
00093758256 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
13668022090 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
60505267603 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
31722082930 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
33342012607 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
13811068310 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
65862066505 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
13811068330 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
65162090103 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
65862066530 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
65162090109 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
27241005508 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
00904651304 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
62332010130 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
62332010131 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
43598055830 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
27241005503 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
16729028201 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
16729028301 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
16729028310 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
00093758356 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
13668022130 Yes No