ANTIPARKINSON'S AGENTS
Displaying 1 - 10 of 386 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| AMANTADINE 100 MG CAPSULE amantadine HCl |
16571083401 RISING PHARM |
No | No | Medicaid CHIP CSHCN |
| AMANTADINE 100 MG CAPSULE amantadine HCl |
42543049305 STRIDES PHARMA |
No | No | Medicaid CHIP CSHCN |
| AMANTADINE 100 MG CAPSULE amantadine HCl |
16571083450 RISING PHARM |
No | No | Medicaid CHIP CSHCN |
| AMANTADINE 100 MG CAPSULE amantadine HCl |
00832101500 UPSHER SMITH LA |
No | No | Medicaid CHIP CSHCN |
| AMANTADINE 100 MG CAPSULE amantadine HCl |
00832101550 UPSHER SMITH LA |
No | No | Medicaid CHIP CSHCN |
| AMANTADINE 100 MG CAPSULE amantadine HCl |
72888003301 ADVAGEN PHARMA |
No | No | Medicaid CHIP CSHCN |
| AMANTADINE 100 MG CAPSULE amantadine HCl |
72888003305 ADVAGEN PHARMA |
No | No | Medicaid CHIP CSHCN |
| AMANTADINE 100 MG CAPSULE amantadine HCl |
72888003330 ADVAGEN PHARMA |
No | No | Medicaid CHIP CSHCN |
| AMANTADINE 100 MG CAPSULE amantadine HCl |
00904704240 MAJOR PHARMACEU |
No | No | Medicaid CHIP CSHCN |
| AMANTADINE 100 MG CAPSULE amantadine HCl |
00904704259 MAJOR PHARMACEU |
No | No | Medicaid CHIP CSHCN |