Displaying 101 - 150 of 1025 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
62332010130 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
62332010131 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
33342012607 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
31722082930 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
13811068310 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
13811068330 Yes No
ARIPIPRAZOLE 20 MG TABLET
aripiprazole
00904651304 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
43598055930 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
60505267703 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
50268009211 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
50268009212 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
16729028301 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
16729028310 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
27241005603 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
27241005608 Yes No
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
16714078801 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
13668022130 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
13668022190 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
00093758356 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
62332010230 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
62332010231 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
33342012707 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
31722083030 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
13811068410 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
13811068430 Yes No
ARIPIPRAZOLE 30 MG TABLET
aripiprazole
00904651404 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
60505267303 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
16729027910 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
27241005203 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
27241005208 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
65162089703 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
65862066205 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
65162089709 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
00904665640 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
65862066230 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
13668021730 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
13668021790 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
16714078401 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
62332009830 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
62332009831 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
00093756956 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
13811068010 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
13811068030 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
33342012307 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
31722082030 Yes No
ARIPIPRAZOLE 5 MG TABLET
aripiprazole
00904651061 Yes No