Displaying 101 - 150 of 1019 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
65162090203 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
65862066605 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
65162090209 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
65862066630 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
27241005608 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
00093758356 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
13811068410 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
13811068430 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
62332010230 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
00904651404 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
62332010231 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
43598055930 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
27241005603 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
16729028301 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
16729028310 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
33342012307 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
31722082030 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
65862066205 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
65162089703 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
65862066230 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
65162089709 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
27241005208 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
13811068010 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
00093756956 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
13811068030 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
62332009830 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
62332009831 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
00904651061 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
16729027901 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
43598055530 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
16729027910 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
27241005203 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
00904665640 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
13668021730 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
13668021790 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
60505267303 Yes No
ARIPIPRAZOLE ODT 10 MG TABLET
aripiprazole
43598073330 Yes Yes
ARIPIPRAZOLE ODT 10 MG TABLET
aripiprazole
13811069230 Yes Yes
ARIPIPRAZOLE ODT 10 MG TABLET
aripiprazole
62332010330 Yes Yes
ARIPIPRAZOLE ODT 15 MG TABLET
aripiprazole
43598073430 Yes Yes
ARIPIPRAZOLE ODT 15 MG TABLET
aripiprazole
13811069330 Yes Yes
ARIPIPRAZOLE ODT 15 MG TABLET
aripiprazole
62332010430 Yes Yes
ARISTADA ER 1064 MG/3.9 ML SYR
aripiprazole lauroxil
65757040403 No No
ARISTADA ER 441 MG/1.6 ML SYRN
aripiprazole lauroxil
65757040103 Yes No
ARISTADA ER 662 MG/2.4 ML SYRN
aripiprazole lauroxil
65757040203 Yes No
ARISTADA ER 882 MG/3.2 ML SYRN
aripiprazole lauroxil
65757040303 Yes No
CHLORPROMAZINE 10 MG TABLET
chlorpromazine HCl
00781591301 Yes No
CHLORPROMAZINE 10 MG TABLET
chlorpromazine HCl
00832030000 Yes No
CHLORPROMAZINE 10 MG TABLET
chlorpromazine HCl
51079051820 Yes No
CHLORPROMAZINE 100 MG TABLET
chlorpromazine HCl
00781591601 Yes No