BRONCHODILATORS: BETA AGONIST

Displaying 11 - 20 of 89 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
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		00378827052
MYLAN 		Yes No Medicaid CHIP CSHCN HTWPlus
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		00378827091
MYLAN 		Yes No Medicaid CHIP CSHCN
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		00487950101
NEPHRON CORP 		Yes No Medicaid CHIP CSHCN HTWPlus
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		47335070349
SUN PHARMA GLOB 		Yes No Medicaid CHIP CSHCN
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		00487950103
NEPHRON CORP 		Yes No Medicaid CHIP CSHCN HTWPlus
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		47335070352
SUN PHARMA GLOB 		Yes No Medicaid CHIP CSHCN
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		00487950125
NEPHRON CORP 		Yes No Medicaid CHIP CSHCN HTWPlus
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		47335070354
SUN PHARMA GLOB 		Yes No Medicaid CHIP CSHCN
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		00487950160
NEPHRON CORP 		Yes No Medicaid CHIP CSHCN HTWPlus
ALBUTEROL SUL 2.5 MG/3 ML SOLN
albuterol sulfate 		76204020001
RITEDOSE PHARMA 		Yes No Medicaid CHIP CSHCN HTWPlus