SEDATIVE HYPNOTICS | Vendor Drug Program

Brand Name/Generic Name	NDC/Manufacturer	FFS Clinical Prior Auth Required	PDL Prior Auth Required	Programs
ESZOPICLONE 1 MG TABLET eszopiclone	69452034713 BIONPHARMA INC.	Yes	No	Medicaid CHIP CSHCN
ESZOPICLONE 1 MG TABLET eszopiclone	68180032201 LUPIN PHARMACEU	Yes	No	Medicaid CHIP CSHCN
ESZOPICLONE 1 MG TABLET eszopiclone	55111062930 DR.REDDY'S LAB	Yes	No	Medicaid CHIP CSHCN
ESZOPICLONE 1 MG TABLET eszopiclone	00378527001 MYLAN	Yes	No	Medicaid CHIP CSHCN
ESZOPICLONE 1 MG TABLET eszopiclone	65862096701 AUROBINDO PHARM	Yes	No	Medicaid CHIP CSHCN
ESZOPICLONE 1 MG TABLET eszopiclone	33342029907 MACLEODS PHARMA	Yes	No	Medicaid CHIP CSHCN
ESZOPICLONE 1 MG TABLET eszopiclone	65862096730 AUROBINDO PHARM	Yes	No	Medicaid CHIP CSHCN
ESZOPICLONE 1 MG TABLET eszopiclone	68462038201 GLENMARK PHARMA	Yes	No	Medicaid CHIP CSHCN
ESZOPICLONE 1 MG TABLET eszopiclone	00093553756 TEVA USA	Yes	No	Medicaid CHIP CSHCN
ESZOPICLONE 2 MG TABLET eszopiclone	69452034820 BIONPHARMA INC.	Yes	No	Medicaid CHIP CSHCN