Displaying 1 - 50 of 5957 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
12-HR DECONGEST 120 MG CAPLET
pseudoephedrine HCl
37205044652 No No
ABACAVIR 20 MG/ML SOLUTION
abacavir sulfate
31722056224 No No
ABACAVIR 300 MG TABLET
abacavir sulfate
00904652306 No No
ABACAVIR 300 MG TABLET
abacavir sulfate
00378410591 No No
ABACAVIR 300 MG TABLET
abacavir sulfate
69097051403 No No
ABACAVIR 300 MG TABLET
abacavir sulfate
31722055760 No No
ABACAVIR 300 MG TABLET
abacavir sulfate
65862007360 No No
ABACAVIR 300 MG TABLET
abacavir sulfate
60505358306 No No
ABACAVIR 300 MG TABLET
abacavir sulfate
51079020406 No No
ABACAVIR 300 MG TABLET
abacavir sulfate
00904652304 No No
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
00093538256 No No
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
68180028806 No No
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
65862090030 No No
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
66993048230 No No
ABACAVIR-LAMIVUDINE-ZIDOV TAB
abacavir/lamivudine/zidovudine
68180028607 No No
ABELCET 100 MG/20 ML VIAL
amphotericin B lipid complex
57665010141 No No
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
51079024106 No No
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
68382056928 No No
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
00093535286 No No
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
00378633380 No No
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
68462043518 No No
ACARBOSE 100 MG TABLET
acarbose
00115115202 No No
ACARBOSE 100 MG TABLET
acarbose
00054014225 No No
ACARBOSE 100 MG TABLET
acarbose
69543012210 No No
ACARBOSE 100 MG TABLET
acarbose
69543012211 No No
ACARBOSE 100 MG TABLET
acarbose
64380076006 No No
ACARBOSE 100 MG TABLET
acarbose
23155014901 No No
ACARBOSE 100 MG TABLET
acarbose
23155014905 No No
ACARBOSE 100 MG TABLET
acarbose
47781034201 No No
ACARBOSE 100 MG TABLET
acarbose
23155014910 No No
ACARBOSE 100 MG TABLET
acarbose
16252052501 No No
ACARBOSE 100 MG TABLET
acarbose
00115115201 No No
ACARBOSE 25 MG TABLET
acarbose
69543012010 No No
ACARBOSE 25 MG TABLET
acarbose
00054014025 No No
ACARBOSE 25 MG TABLET
acarbose
69543012011 No No
ACARBOSE 25 MG TABLET
acarbose
64380075806 No No
ACARBOSE 25 MG TABLET
acarbose
23155014701 No No
ACARBOSE 25 MG TABLET
acarbose
23155014710 No No
ACARBOSE 25 MG TABLET
acarbose
47781034001 No No
ACARBOSE 25 MG TABLET
acarbose
16252052301 No No
ACARBOSE 25 MG TABLET
acarbose
00115115001 No No
ACARBOSE 25 MG TABLET
acarbose
00115115002 No No
ACARBOSE 50 MG TABLET
acarbose
00054014125 No No
ACARBOSE 50 MG TABLET
acarbose
69543012110 No No
ACARBOSE 50 MG TABLET
acarbose
69543012111 No No
ACARBOSE 50 MG TABLET
acarbose
64380075906 No No
ACARBOSE 50 MG TABLET
acarbose
23155014801 No No
ACARBOSE 50 MG TABLET
acarbose
23155014805 No No
ACARBOSE 50 MG TABLET
acarbose
23155014810 No No
ACARBOSE 50 MG TABLET
acarbose
47781034101 No No