SKELETAL MUSCLE RELAXANTS
Displaying 1 - 10 of 304 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| BACLOFEN 10 MG TABLET baclofen |
00527133010 LANNETT CO. INC |
No | No | Medicaid CHIP CSHCN |
| BACLOFEN 10 MG TABLET baclofen |
52817032010 TRUPHARMA, LLC. |
No | No | Medicaid CHIP CSHCN |
| BACLOFEN 10 MG TABLET baclofen |
00603240621 QUALITEST/PAR P |
No | No | Medicaid CHIP CSHCN |
| BACLOFEN 10 MG TABLET baclofen |
70756028811 LIFESTAR PHARMA |
No | No | Medicaid CHIP CSHCN |
| BACLOFEN 10 MG TABLET baclofen |
00603240628 QUALITEST/PAR P |
No | No | Medicaid CHIP CSHCN |
| BACLOFEN 10 MG TABLET baclofen |
59651039401 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN |
| BACLOFEN 10 MG TABLET baclofen |
70756028812 LIFESTAR PHARMA |
No | No | Medicaid CHIP CSHCN |
| BACLOFEN 10 MG TABLET baclofen |
00603240632 QUALITEST/PAR P |
No | No | Medicaid CHIP CSHCN |
| BACLOFEN 10 MG TABLET baclofen |
59651039405 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN |
| BACLOFEN 10 MG TABLET baclofen |
59651039499 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN |