NSAIDS | Vendor Drug Program

Brand Name/Generic Name	NDC/Manufacturer	FFS Clinical Prior Auth Required	PDL Prior Auth Required	Programs
ALL DAY PAIN RELIEF 220 MG TAB naproxen sodium	70000017103 LEADER	Yes	No	Medicaid CSHCN
ALL DAY PAIN RELIEF 220 MG TAB naproxen sodium	70000017105 LEADER	Yes	No	Medicaid CSHCN
ALL DAY PAIN RELIEF 220 MG TAB naproxen sodium	70000017106 LEADER	Yes	No	Medicaid CSHCN
ALL DAY PAIN RLF 220 MG CAPLET naproxen sodium	70000020102 LEADER	Yes	No	Medicaid CSHCN
ALL DAY PAIN RLF 220 MG CAPLET naproxen sodium	70000020105 LEADER	Yes	No	Medicaid CSHCN
ALL DAY PAIN RLF 220 MG CAPLET naproxen sodium	70000020106 LEADER	Yes	No	Medicaid CSHCN
ALL DAY RELIEF 220 MG CAPLET naproxen sodium	00536109306 RUGBY	Yes	No	Medicaid CSHCN
ALL DAY RELIEF 220 MG TABLET naproxen sodium	00536109411 RUGBY	Yes	No	Medicaid CHIP CSHCN
ARTHRITIS PAIN RELIEVER 1% GEL diclofenac sodium	70000055501 LEADER	Yes	No	Medicaid CSHCN
ARTHRITIS PAIN RELIEVER 1% GEL diclofenac sodium	70000055502 LEADER	Yes	No	Medicaid CSHCN