PENICILLINS
Displaying 1 - 10 of 112 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| AMOXICILLIN 125 MG TAB CHEW amoxicillin |
00093226701 TEVA USA |
No | No | Medicaid CHIP CSHCN KHC |
| AMOXICILLIN 125 MG/5 ML SUSP amoxicillin |
65862070601 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN KHC |
| AMOXICILLIN 125 MG/5 ML SUSP amoxicillin |
00781603946 SANDOZ |
No | No | Medicaid CHIP CSHCN KHC |
| AMOXICILLIN 125 MG/5 ML SUSP amoxicillin |
65862070655 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN KHC |
| AMOXICILLIN 125 MG/5 ML SUSP amoxicillin |
00781603955 SANDOZ |
No | No | Medicaid CHIP CSHCN KHC |
| AMOXICILLIN 125 MG/5 ML SUSP amoxicillin |
65862070680 AUROBINDO PHARM |
No | No | Medicaid CHIP CSHCN KHC |
| AMOXICILLIN 125 MG/5 ML SUSP amoxicillin |
00143988801 WEST-WARD/HIKMA |
No | No | Medicaid CHIP CSHCN KHC |
| AMOXICILLIN 125 MG/5 ML SUSP amoxicillin |
00781603958 SANDOZ |
No | No | Medicaid CHIP CSHCN KHC |
| AMOXICILLIN 125 MG/5 ML SUSP amoxicillin |
00143988815 WEST-WARD/HIKMA |
No | No | Medicaid CHIP CSHCN KHC |
| AMOXICILLIN 125 MG/5 ML SUSP amoxicillin |
00143988880 WEST-WARD/HIKMA |
No | No | Medicaid CHIP CSHCN KHC |