CYTOKINE AND CAM ANTAGONISTS
Displaying 1 - 10 of 107 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| ENBREL 25 MG/0.5 ML SYRINGE etanercept |
58406001004 AMGEN |
Yes | No | Medicaid CHIP CSHCN |
| ENBREL 25 MG/0.5 ML VIAL etanercept |
58406005501 AMGEN |
Yes | No | Medicaid CHIP CSHCN |
| ENBREL 25 MG/0.5 ML VIAL etanercept |
58406005504 AMGEN |
Yes | No | Medicaid CHIP CSHCN |
| ENBREL 50 MG/ML MINI CARTRIDGE etanercept |
58406004401 AMGEN |
Yes | No | Medicaid CHIP CSHCN |
| ENBREL 50 MG/ML MINI CARTRIDGE etanercept |
58406004404 AMGEN |
Yes | No | Medicaid CHIP CSHCN |
| ENBREL 50 MG/ML SURECLICK etanercept |
58406003204 AMGEN |
Yes | No | Medicaid CHIP CSHCN |
| ENBREL 50 MG/ML SYRINGE etanercept |
58406002104 AMGEN |
Yes | No | Medicaid CHIP CSHCN |
| HUMIRA 40 MG/0.8 ML SYRINGE adalimumab |
00074379902 ABBVIE US LLC |
Yes | No | Medicaid CHIP CSHCN |
| HUMIRA PEN 40 MG/0.8 ML adalimumab |
00074433902 ABBVIE US LLC |
Yes | No | Medicaid CHIP CSHCN |
| HUMIRA PEN CROHN-UC-HS 40 MG adalimumab |
00074433906 ABBVIE US LLC |
Yes | No | Medicaid CHIP CSHCN |