Displaying 151 - 200 of 1019 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
CHLORPROMAZINE 100 MG TABLET
chlorpromazine HCl
00832030300 Yes No
CHLORPROMAZINE 100 MG TABLET
chlorpromazine HCl
00832030310 Yes No
CHLORPROMAZINE 200 MG TABLET
chlorpromazine HCl
00832030400 Yes No
CHLORPROMAZINE 200 MG TABLET
chlorpromazine HCl
00832030410 Yes No
CHLORPROMAZINE 200 MG TABLET
chlorpromazine HCl
51079051720 Yes No
CHLORPROMAZINE 200 MG TABLET
chlorpromazine HCl
00781591701 Yes No
CHLORPROMAZINE 25 MG TABLET
chlorpromazine HCl
51079051920 Yes No
CHLORPROMAZINE 25 MG TABLET
chlorpromazine HCl
00781591401 Yes No
CHLORPROMAZINE 25 MG TABLET
chlorpromazine HCl
00832030100 Yes No
CHLORPROMAZINE 25 MG TABLET
chlorpromazine HCl
00832030110 Yes No
CHLORPROMAZINE 50 MG TABLET
chlorpromazine HCl
00781591501 Yes No
CHLORPROMAZINE 50 MG TABLET
chlorpromazine HCl
00832030200 Yes No
CHLORPROMAZINE 50 MG TABLET
chlorpromazine HCl
00832030210 Yes No
CHLORPROMAZINE 50 MG TABLET
chlorpromazine HCl
51079013020 Yes No
CLOZAPINE 100 MG TABLET
clozapine
00093777201 Yes No
CLOZAPINE 100 MG TABLET
clozapine
51862027305 Yes No
CLOZAPINE 100 MG TABLET
clozapine
00093777205 Yes No
CLOZAPINE 100 MG TABLET
clozapine
00093777293 Yes No
CLOZAPINE 100 MG TABLET
clozapine
65862084601 Yes No
CLOZAPINE 100 MG TABLET
clozapine
65862084605 Yes No
CLOZAPINE 100 MG TABLET
clozapine
57664034713 Yes No
CLOZAPINE 100 MG TABLET
clozapine
57664034788 Yes No
CLOZAPINE 100 MG TABLET
clozapine
16729014201 Yes No
CLOZAPINE 100 MG TABLET
clozapine
16729014216 Yes No
CLOZAPINE 100 MG TABLET
clozapine
51079092220 Yes No
CLOZAPINE 100 MG TABLET
clozapine
00378086001 Yes No
CLOZAPINE 100 MG TABLET
clozapine
00378086005 Yes No
CLOZAPINE 100 MG TABLET
clozapine
00781599201 Yes No
CLOZAPINE 100 MG TABLET
clozapine
51862027301 Yes No
CLOZAPINE 200 MG TABLET
clozapine
00093440593 Yes No
CLOZAPINE 200 MG TABLET
clozapine
00378097301 Yes No
CLOZAPINE 200 MG TABLET
clozapine
51862027401 Yes No
CLOZAPINE 200 MG TABLET
clozapine
51862027405 Yes No
CLOZAPINE 200 MG TABLET
clozapine
65862084701 Yes No
CLOZAPINE 200 MG TABLET
clozapine
51079074920 Yes No
CLOZAPINE 200 MG TABLET
clozapine
00093440505 Yes No
CLOZAPINE 25 MG TABLET
clozapine
65862084401 Yes No
CLOZAPINE 25 MG TABLET
clozapine
57664034588 Yes No
CLOZAPINE 25 MG TABLET
clozapine
16729014101 Yes No
CLOZAPINE 25 MG TABLET
clozapine
16729014116 Yes No
CLOZAPINE 25 MG TABLET
clozapine
00093435901 Yes No
CLOZAPINE 25 MG TABLET
clozapine
00093435905 Yes No
CLOZAPINE 25 MG TABLET
clozapine
51079092120 Yes No
CLOZAPINE 25 MG TABLET
clozapine
00093435993 Yes No
CLOZAPINE 25 MG TABLET
clozapine
00378082501 Yes No
CLOZAPINE 25 MG TABLET
clozapine
51862027101 Yes No
CLOZAPINE 25 MG TABLET
clozapine
00781598901 Yes No
CLOZAPINE 25 MG TABLET
clozapine
51862027105 Yes No
CLOZAPINE 50 MG TABLET
clozapine
51862027201 Yes No
CLOZAPINE 50 MG TABLET
clozapine
65862084501 Yes No