HYPOGLYCEMICS: METFORMINS
Displaying 1 - 10 of 212 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| GLUMETZA ER 1,000 MG TABLET metformin HCl |
68012000316 SANTARUS INC/SA |
No | No | Medicaid CHIP CSHCN |
| GLUMETZA ER 500 MG TABLET metformin HCl |
68012000450 SANTARUS INC/SA |
No | No | Medicaid CHIP CSHCN |
| GLYBURID-METFORMIN 1.25-250 MG glyburide/metformin HCl |
65862008001 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN HTW |
| GLYBURID-METFORMIN 1.25-250 MG glyburide/metformin HCl |
65862008005 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN HTW |
| GLYBURID-METFORMIN 1.25-250 MG glyburide/metformin HCl |
57237002301 RISING PHARM |
No | No | Medicaid CHIP CSHCN HTW |
| GLYBURIDE-METFORMIN 2.5-500 MG glyburide/metformin HCl |
57237002405 RISING PHARM |
No | No | Medicaid CHIP CSHCN HTW |
| GLYBURIDE-METFORMIN 2.5-500 MG glyburide/metformin HCl |
65862008101 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN HTW |
| GLYBURIDE-METFORMIN 2.5-500 MG glyburide/metformin HCl |
65862008105 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN HTW |
| GLYBURIDE-METFORMIN 2.5-500 MG glyburide/metformin HCl |
57237002401 RISING PHARM |
No | No | Medicaid CHIP CSHCN HTW |
| GLYBURIDE-METFORMIN 5-500 MG glyburide/metformin HCl |
57237002501 RISING PHARM |
No | No | Medicaid CHIP CSHCN HTW |