Displaying 51 - 99 of 99 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
PIOGLITAZONE HCL 30 MG TABLET
pioglitazone HCl
57237022005 Yes No
PIOGLITAZONE HCL 30 MG TABLET
pioglitazone HCl
57237022030 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00591320705 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00591320719 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
16729002210 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00591320730 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
16729002215 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
16729002216 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00093727305 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00093727356 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00781542210 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00093727398 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00781542231 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
33342005607 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00781542292 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
33342005610 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
13668012005 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
13668012030 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
13668012090 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00378031805 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00378031877 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
57237022105 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
00378031893 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
57237022130 Yes No
PIOGLITAZONE HCL 45 MG TABLET
pioglitazone HCl
57237022190 Yes No
PIOGLITAZONE-GLIMEPIRIDE 30-2
pioglitazone HCl/glimepiride
66993082130 Yes Yes
PIOGLITAZONE-GLIMEPIRIDE 30-4
pioglitazone HCl/glimepiride
66993082230 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
65862052518 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
65862052560 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
70882010556 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
00093767786 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
00781562660 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
33342017609 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
33342017657 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
57237021760 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
13668028033 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
00378155091 Yes Yes
PIOGLITAZONE-METFORMIN 15-500
pioglitazone HCl/metformin HCl
13668028060 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
65862052618 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
65862052660 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
00093767806 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
00093767886 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
00781562760 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
33342017709 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
33342017757 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
57237021860 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
00378157591 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
13668028133 Yes Yes
PIOGLITAZONE-METFORMIN 15-850
pioglitazone HCl/metformin HCl
13668028160 Yes Yes