PENICILLINS

Displaying 1 - 50 of 121 records found.

Items in this class
Brand Name/Generic Name	NDC code	Clinical Prior Auth Required	PDL Prior Auth Required
AMOXICILLIN 125 MG TAB CHEW amoxicillin	00093226701	No	No
AMOXICILLIN 125 MG/5 ML SUSP amoxicillin	65862070601	No	No
AMOXICILLIN 125 MG/5 ML SUSP amoxicillin	65862070655	No	No
AMOXICILLIN 125 MG/5 ML SUSP amoxicillin	65862070680	No	No
AMOXICILLIN 125 MG/5 ML SUSP amoxicillin	00781603946	No	No
AMOXICILLIN 125 MG/5 ML SUSP amoxicillin	00781603955	No	No
AMOXICILLIN 125 MG/5 ML SUSP amoxicillin	00781603958	No	No
AMOXICILLIN 125 MG/5 ML SUSP amoxicillin	00143988801	No	No
AMOXICILLIN 125 MG/5 ML SUSP amoxicillin	00143988815	No	No
AMOXICILLIN 125 MG/5 ML SUSP amoxicillin	00143988880	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	65862007001	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	65862007050	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	65862007075	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	00093416073	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	00093416076	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	00143988601	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	00093416078	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	00143988650	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	00143988675	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	57237003201	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	57237003275	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	00781615646	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	00781615652	No	No
AMOXICILLIN 200 MG/5 ML SUSP amoxicillin	00781615657	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	16714029801	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	16714029802	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	00781202001	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	00781202005	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	00093310701	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	00781202076	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	00093310705	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	57237003001	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	57237003005	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	65862001601	No	No
AMOXICILLIN 250 MG CAPSULE amoxicillin	65862001605	No	No
AMOXICILLIN 250 MG TAB CHEW amoxicillin	00093226801	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	00143988901	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	00143988915	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	00143988980	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	65862070701	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	65862070755	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	65862070780	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	00093415573	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	00093415579	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	00093415580	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	00781604146	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	00781604155	No	No
AMOXICILLIN 250 MG/5 ML SUSP amoxicillin	00781604158	No	No
AMOXICILLIN 400 MG/5 ML SUSP amoxicillin	00781615752	No	No
AMOXICILLIN 400 MG/5 ML SUSP amoxicillin	00781615757	No	No

You are here