ANTIFUNGALS: ORAL

Displaying 1 - 10 of 180 records found.
Search by brand or generic name, NDC or manufacturer
Brand Name/Generic Name NDC/Manufacturer FFS Clinical Prior Auth Required PDL Prior Auth Required Programs
CLOTRIMAZOLE 10 MG TROCHE
clotrimazole
00054814622
WEST-WARD/HIKMA
No No Medicaid CHIP CSHCN KHC
CLOTRIMAZOLE 10 MG TROCHE
clotrimazole
00054414622
WEST-WARD/HIKMA
No No Medicaid CHIP CSHCN KHC
CLOTRIMAZOLE 10 MG TROCHE
clotrimazole
00054414623
ROXANE/WEST-WAR
No No Medicaid CHIP CSHCN KHC
CLOTRIMAZOLE 10 MG TROCHE
clotrimazole
00574010714
PERRIGO/PADAGIS
No No Medicaid CHIP CSHCN KHC
CLOTRIMAZOLE 10 MG TROCHE
clotrimazole
00574010770
PADAGIS
No No Medicaid CHIP CSHCN KHC
FLUCONAZOLE 10 MG/ML SUSP
fluconazole
59762502901
GREENSTONE LLC.
No No Medicaid CHIP
FLUCONAZOLE 10 MG/ML SUSP
fluconazole
57237014935
RISING PHARM
No No Medicaid CHIP CSHCN
FLUCONAZOLE 10 MG/ML SUSP
fluconazole
16714069501
NORTHSTAR RX LL
No No Medicaid CHIP CSHCN
FLUCONAZOLE 100 MG TABLET
fluconazole
55111014401
DR.REDDY'S LAB
No No Medicaid CHIP CSHCN KHC
FLUCONAZOLE 100 MG TABLET
fluconazole
55111014430
DR.REDDY'S LAB
No No Medicaid CHIP CSHCN KHC