Displaying 151 - 200 of 516 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
CARVEDILOL 6.25 MG TABLET
carvedilol
68462016301 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
68001015400 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
68462016305 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
68001015403 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
00781522201 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
68645035059 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
00093013501 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
00093013505 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
43547025510 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
65862014301 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
43547025550 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
00904630161 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
65862014305 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
51079093020 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
68382009301 No No
CARVEDILOL 6.25 MG TABLET
carvedilol
68382009305 No No
CARVEDILOL ER 10 MG CAPSULE
carvedilol phosphate
60505367803 Yes Yes
CARVEDILOL ER 20 MG CAPSULE
carvedilol phosphate
60505367903 Yes Yes
CARVEDILOL ER 40 MG CAPSULE
carvedilol phosphate
60505368003 Yes Yes
CARVEDILOL ER 80 MG CAPSULE
carvedilol phosphate
60505368103 No Yes
COREG 12.5 MG TABLET
carvedilol
00007414120 No Yes
COREG 25 MG TABLET
carvedilol
00007414220 No Yes
COREG 3.125 MG TABLET
carvedilol
00007413920 No Yes
COREG 6.25 MG TABLET
carvedilol
00007414020 No Yes
COREG CR 10 MG CAPSULE
carvedilol phosphate
00007337013 Yes Yes
COREG CR 20 MG CAPSULE
carvedilol phosphate
00007337113 Yes Yes
COREG CR 40 MG CAPSULE
carvedilol phosphate
00007337213 Yes Yes
COREG CR 80 MG CAPSULE
carvedilol phosphate
00007337313 No Yes
CORZIDE 40-5 TABLET
nadolol/bendroflumethiazide
60793028301 Yes Yes
CORZIDE 80-5 TABLET
nadolol/bendroflumethiazide
60793028401 Yes Yes
HEMANGEOL 4.28 MG/ML ORAL SOLN
propranolol HCl
64370037501 No Yes
INDERAL LA 120 MG CAPSULE
propranolol HCl
62559052201 No Yes
INDERAL LA 160 MG CAPSULE
propranolol HCl
62559052301 No Yes
INDERAL LA 60 MG CAPSULE
propranolol HCl
62559052001 No Yes
INDERAL LA 80 MG CAPSULE
propranolol HCl
62559052101 No Yes
INNOPRAN XL 120 MG CAPSULE
propranolol HCl
24090045185 No Yes
INNOPRAN XL 80 MG CAPSULE
propranolol HCl
24090045085 No Yes
LABETALOL HCL 100 MG TABLET
labetalol HCl
00591060501 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
00591060505 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
43199003701 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
43199003705 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
68001020500 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
68001020503 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
00172436460 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
00172436470 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
00904592861 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
00185001001 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
00185001005 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
51079092820 No No
LABETALOL HCL 100 MG TABLET
labetalol HCl
49884012201 No No