ANTIPSYCHOTICS | Vendor Drug Program

Brand Name/Generic Name	NDC/Manufacturer	FFS Clinical Prior Auth Required	PDL Prior Auth Required	Programs
ARIPIPRAZOLE 10 MG TABLET aripiprazole	13668021890 TORRENT PHARMAC	Yes	No	Medicaid CHIP CSHCN
ARIPIPRAZOLE 10 MG TABLET aripiprazole	27241005303 AJANTA PHARMA L	Yes	No	Medicaid CHIP CSHCN
ARIPIPRAZOLE 10 MG TABLET aripiprazole	67877043205 ASCEND LABORATO	Yes	No	Medicaid CHIP CSHCN
ARIPIPRAZOLE 10 MG TABLET aripiprazole	65862066305 AUROBINDO PHARM	Yes	No	Medicaid CHIP CSHCN
ARIPIPRAZOLE 10 MG TABLET aripiprazole	27241005308 AJANTA PHARMA L	Yes	No	Medicaid CHIP CSHCN
ARIPIPRAZOLE 10 MG TABLET aripiprazole	43598096730 DR.REDDY'S LAB	Yes	No	Medicaid CHIP CSHCN
ARIPIPRAZOLE 10 MG TABLET aripiprazole	65862066330 AUROBINDO PHARM	Yes	No	Medicaid CHIP CSHCN
ARIPIPRAZOLE 10 MG TABLET aripiprazole	65162089803 AMNEAL PHARMACE	Yes	No	Medicaid CHIP CSHCN
ARIPIPRAZOLE 10 MG TABLET aripiprazole	31722082730 CAMBER PHARMACE	Yes	No	Medicaid CHIP CSHCN
ARIPIPRAZOLE 10 MG TABLET aripiprazole	82009009005 QUALLENT PHARMA	Yes	No	Medicaid CHIP CSHCN