LIPOTROPICS: OTHER
Displaying 1 - 10 of 276 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| CHOLESTYRAMINE LIGHT PACKET cholestyramine/aspartame |
49884046665 PAR PHARM. |
No | No | Medicaid CHIP CSHCN KHC |
| CHOLESTYRAMINE LIGHT PACKET cholestyramine/aspartame |
42806027095 EPIC PHARMA LLC |
No | No | Medicaid CHIP CSHCN |
| CHOLESTYRAMINE LIGHT PACKET cholestyramine/aspartame |
67877042260 ASCEND LABORATO |
No | No | Medicaid CHIP CSHCN |
| CHOLESTYRAMINE LIGHT PACKET cholestyramine/aspartame |
68382052960 ZYDUS PHARMACEU |
No | No | Medicaid CHIP CSHCN KHC |
| CHOLESTYRAMINE LIGHT PACKET cholestyramine/aspartame |
51224000920 TAGI PHARMA |
No | No | Medicaid CHIP CSHCN |
| CHOLESTYRAMINE LIGHT POWDER cholestyramine/aspartame |
49884046667 PAR PHARM. |
No | No | Medicaid CHIP CSHCN KHC |
| CHOLESTYRAMINE LIGHT POWDER cholestyramine/aspartame |
42806027197 EPIC PHARMA LLC |
No | No | Medicaid CHIP CSHCN |
| CHOLESTYRAMINE LIGHT POWDER cholestyramine/aspartame |
62135093754 CHARTWELL RX LL |
No | No | Medicaid CHIP CSHCN |
| CHOLESTYRAMINE LIGHT POWDER cholestyramine/aspartame |
68382052942 ZYDUS PHARMACEU |
No | No | Medicaid CHIP CSHCN KHC |
| CHOLESTYRAMINE LIGHT POWDER cholestyramine/aspartame |
51224000910 TAGI PHARMA |
No | No | Medicaid CHIP CSHCN |