Displaying 201 - 250 of 5958 records found.

Items in this class
Brand Name/Generic Name NDC code Clinical Prior Auth Required PDL Prior Auth Required
AMICAR 500 MG TABLET
aminocaproic acid
49411005030 No No
AMIKACIN SULF 1 GRAM/4 ML VIAL
amikacin sulfate
00703904003 No No
AMIKACIN SULF 1 GRAM/4 ML VIAL
amikacin sulfate
00703904093 No No
AMIKACIN SULF 1 GRAM/4 ML VIAL
amikacin sulfate
23155029042 No No
AMIKACIN SULF 500 MG/2 ML VIAL
amikacin sulfate
00703903203 No No
AMIKACIN SULF 500 MG/2 ML VIAL
amikacin sulfate
00703903293 No No
AMIKACIN SULF 500 MG/2 ML VIAL
amikacin sulfate
23155029041 No No
AMIKACIN SULF 500 MG/2 ML VIAL
amikacin sulfate
63323081502 No No
AMILORIDE HCL 5 MG TABLET
amiloride HCl
00574029201 No No
AMILORIDE HCL 5 MG TABLET
amiloride HCl
49884011701 No No
AMILORIDE HCL 5 MG TABLET
amiloride HCl
49884011710 No No
AMILORIDE HCL 5 MG TABLET
amiloride HCl
64980015101 No No
AMILORIDE HCL-HCTZ 5-50 MG TAB
amiloride/hydrochlorothiazide
00555048302 Yes No
AMILORIDE HCL-HCTZ 5-50 MG TAB
amiloride/hydrochlorothiazide
00555048305 Yes No
AMILORIDE HCL-HCTZ 5-50 MG TAB
amiloride/hydrochlorothiazide
00378057701 Yes No
AMILORIDE HCL-HCTZ 5-50 MG TAB
amiloride/hydrochlorothiazide
00378057705 Yes No
AMINOPHYLLINE 500 MG/20 ML VL
aminophylline
00409592201 Yes No
AMIODARONE HCL 100 MG TABLET
amiodarone HCl
51672405506 No No
AMIODARONE HCL 100 MG TABLET
amiodarone HCl
51862015430 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
00904655661 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
00185014405 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
00185014409 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
00185014460 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
63739038710 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
00093913306 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
00093913352 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
65862073205 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
65862073260 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
68382022705 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
68382022714 No No
AMIODARONE HCL 200 MG TABLET
amiodarone HCl
51672402504 No No
AMIODARONE HCL 400 MG TABLET
amiodarone HCl
51672405700 No No
AMIODARONE HCL 400 MG TABLET
amiodarone HCl
51672405706 No No
AMIODARONE HCL 400 MG TABLET
amiodarone HCl
51862015630 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
65862058601 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
00591376001 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
65862058605 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
57237014601 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
00591376005 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
57237014605 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
00093737301 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
68001013000 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
00378689801 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
55111034101 No No
AMLODIPINE-BENAZEPRIL 10-20 MG
amlodipine besylate/benazepril
68180075801 No No
AMMONIUM LACTATE 12% CREAM
ammonium lactate
51672130100 No No
AMMONIUM LACTATE 12% CREAM
ammonium lactate
51672130104 No No
AMMONIUM LACTATE 12% CREAM
ammonium lactate
45802049326 No No
AMMONIUM LACTATE 12% CREAM
ammonium lactate
45802049383 No No
AMMONIUM LACTATE 12% LOTION
ammonium lactate
51672130005 No No