Displaying 1 - 50 of 513 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
ACEBUTOLOL 200 MG CAPSULE
acebutolol HCl
53746066901 No No
ACEBUTOLOL 200 MG CAPSULE
acebutolol HCl
65162066910 No No
ACEBUTOLOL 200 MG CAPSULE
acebutolol HCl
00378120001 No No
ACEBUTOLOL 400 MG CAPSULE
acebutolol HCl
65162067010 No No
ACEBUTOLOL 400 MG CAPSULE
acebutolol HCl
00378140001 No No
ATENOLOL 100 MG TABLET
atenolol
63304062301 No No
ATENOLOL 100 MG TABLET
atenolol
63304062310 No No
ATENOLOL 100 MG TABLET
atenolol
00093075301 No No
ATENOLOL 100 MG TABLET
atenolol
00093075305 No No
ATENOLOL 100 MG TABLET
atenolol
00378075701 No No
ATENOLOL 100 MG TABLET
atenolol
00378075710 No No
ATENOLOL 100 MG TABLET
atenolol
68382002401 No No
ATENOLOL 100 MG TABLET
atenolol
68382002410 No No
ATENOLOL 100 MG TABLET
atenolol
00781150701 No No
ATENOLOL 100 MG TABLET
atenolol
51079068520 No No
ATENOLOL 100 MG TABLET
atenolol
00781150710 No No
ATENOLOL 25 MG TABLET
atenolol
00378021801 No No
ATENOLOL 25 MG TABLET
atenolol
63304062101 No No
ATENOLOL 25 MG TABLET
atenolol
00378021810 No No
ATENOLOL 25 MG TABLET
atenolol
63304062110 No No
ATENOLOL 25 MG TABLET
atenolol
00781107801 No No
ATENOLOL 25 MG TABLET
atenolol
00093078701 No No
ATENOLOL 25 MG TABLET
atenolol
00781107810 No No
ATENOLOL 25 MG TABLET
atenolol
00093078710 No No
ATENOLOL 25 MG TABLET
atenolol
68382002201 No No
ATENOLOL 25 MG TABLET
atenolol
68382002210 No No
ATENOLOL 25 MG TABLET
atenolol
51079075920 No No
ATENOLOL 50 MG TABLET
atenolol
63304062201 No No
ATENOLOL 50 MG TABLET
atenolol
00378023101 No No
ATENOLOL 50 MG TABLET
atenolol
63304062210 No No
ATENOLOL 50 MG TABLET
atenolol
00378023110 No No
ATENOLOL 50 MG TABLET
atenolol
00093075201 No No
ATENOLOL 50 MG TABLET
atenolol
00093075210 No No
ATENOLOL 50 MG TABLET
atenolol
68645049354 No No
ATENOLOL 50 MG TABLET
atenolol
68382002301 No No
ATENOLOL 50 MG TABLET
atenolol
68382002310 No No
ATENOLOL 50 MG TABLET
atenolol
00781150601 No No
ATENOLOL 50 MG TABLET
atenolol
00781150610 No No
ATENOLOL 50 MG TABLET
atenolol
51079068420 No No
ATENOLOL-CHLORTHALIDONE 100-25
atenolol/chlorthalidone
00591578301 No No
ATENOLOL-CHLORTHALIDONE 100-25
atenolol/chlorthalidone
00378206401 No No
ATENOLOL-CHLORTHALIDONE 50-25
atenolol/chlorthalidone
00591578201 No No
ATENOLOL-CHLORTHALIDONE 50-25
atenolol/chlorthalidone
00378206301 No No
BETAPACE AF 120 MG TABLET
sotalol HCl
50419011906 No Yes
BETAXOLOL 10 MG TABLET
betaxolol HCl
10702001301 No Yes
BETAXOLOL 20 MG TABLET
betaxolol HCl
10702001401 No Yes
BISOPROLOL FUMARATE 10 MG TAB
bisoprolol fumarate
29300012701 No No
BISOPROLOL FUMARATE 10 MG TAB
bisoprolol fumarate
29300012713 No No
BISOPROLOL FUMARATE 10 MG TAB
bisoprolol fumarate
00378052401 No No
BISOPROLOL FUMARATE 10 MG TAB
bisoprolol fumarate
00378052493 No No