Displaying 1 - 50 of 578 records found.
Brand Name/Generic Name | NDC code | Clinical Prior Auth Required | PDL Prior Auth Required |
---|---|---|---|
ACEBUTOLOL 200 MG CAPSULE acebutolol HCl |
65162066910 | No | No |
ACEBUTOLOL 200 MG CAPSULE acebutolol HCl |
53746066901 | No | No |
ACEBUTOLOL 200 MG CAPSULE acebutolol HCl |
00378120001 | No | No |
ACEBUTOLOL 400 MG CAPSULE acebutolol HCl |
53746067001 | No | No |
ACEBUTOLOL 400 MG CAPSULE acebutolol HCl |
00378140001 | No | No |
ATENOLOL 100 MG TABLET atenolol |
68382002401 | No | No |
ATENOLOL 100 MG TABLET atenolol |
68382002410 | No | No |
ATENOLOL 100 MG TABLET atenolol |
64980043901 | No | No |
ATENOLOL 100 MG TABLET atenolol |
64980043910 | No | No |
ATENOLOL 100 MG TABLET atenolol |
51079068520 | No | No |
ATENOLOL 100 MG TABLET atenolol |
00378075701 | No | No |
ATENOLOL 100 MG TABLET atenolol |
00378075710 | No | No |
ATENOLOL 100 MG TABLET atenolol |
00781150701 | No | No |
ATENOLOL 100 MG TABLET atenolol |
00781150710 | No | No |
ATENOLOL 100 MG TABLET atenolol |
63304062301 | No | No |
ATENOLOL 100 MG TABLET atenolol |
63304062310 | No | No |
ATENOLOL 100 MG TABLET atenolol |
65862017001 | No | No |
ATENOLOL 100 MG TABLET atenolol |
65862017099 | No | No |
ATENOLOL 100 MG TABLET atenolol |
00093075301 | No | No |
ATENOLOL 100 MG TABLET atenolol |
00093075305 | No | No |
ATENOLOL 25 MG TABLET atenolol |
64980043701 | No | No |
ATENOLOL 25 MG TABLET atenolol |
64980043710 | No | No |
ATENOLOL 25 MG TABLET atenolol |
00093078701 | No | No |
ATENOLOL 25 MG TABLET atenolol |
00093078710 | No | No |
ATENOLOL 25 MG TABLET atenolol |
00378021801 | No | No |
ATENOLOL 25 MG TABLET atenolol |
00378021810 | No | No |
ATENOLOL 25 MG TABLET atenolol |
51079075920 | No | No |
ATENOLOL 25 MG TABLET atenolol |
00781107801 | No | No |
ATENOLOL 25 MG TABLET atenolol |
00781107810 | No | No |
ATENOLOL 25 MG TABLET atenolol |
63304062101 | No | No |
ATENOLOL 25 MG TABLET atenolol |
63304062110 | No | No |
ATENOLOL 25 MG TABLET atenolol |
65862016801 | No | No |
ATENOLOL 25 MG TABLET atenolol |
65862016899 | No | No |
ATENOLOL 25 MG TABLET atenolol |
68382002201 | No | No |
ATENOLOL 25 MG TABLET atenolol |
68382002210 | No | No |
ATENOLOL 50 MG TABLET atenolol |
68382002310 | No | No |
ATENOLOL 50 MG TABLET atenolol |
64980043801 | No | No |
ATENOLOL 50 MG TABLET atenolol |
64980043810 | No | No |
ATENOLOL 50 MG TABLET atenolol |
51079068420 | No | No |
ATENOLOL 50 MG TABLET atenolol |
00378023101 | No | No |
ATENOLOL 50 MG TABLET atenolol |
00378023110 | No | No |
ATENOLOL 50 MG TABLET atenolol |
00781150601 | No | No |
ATENOLOL 50 MG TABLET atenolol |
00781150610 | No | No |
ATENOLOL 50 MG TABLET atenolol |
63304062201 | No | No |
ATENOLOL 50 MG TABLET atenolol |
63304062210 | No | No |
ATENOLOL 50 MG TABLET atenolol |
00093075201 | No | No |
ATENOLOL 50 MG TABLET atenolol |
00093075210 | No | No |
ATENOLOL 50 MG TABLET atenolol |
68382002301 | No | No |
ATENOLOL-CHLORTHALIDONE 100-25 atenolol/chlorthalidone |
00591578301 | Yes | No |
ATENOLOL-CHLORTHALIDONE 100-25 atenolol/chlorthalidone |
16714093701 | Yes | No |