ANTIHISTAMINES: MINIMALLY SEDATING

Brand Name/Generic Name	NDC/Manufacturer	FFS Clinical Prior Auth Required	PDL Prior Auth Required	Programs
ALLERGY RELIEF 10 MG TABLET loratadine	70000021302 LEADER	Yes	No	Medicaid CSHCN
ALLERGY RELIEF 10 MG TABLET loratadine	70000021303 LEADER	Yes	No	Medicaid CSHCN
ALLERGY RELIEF 10 MG TABLET loratadine	70000021304 LEADER	Yes	No	Medicaid CSHCN
ALLERGY RELIEF 10 MG TABLET loratadine	70000021306 LEADER	Yes	No	Medicaid CSHCN
ALLERGY RELIEF 5 MG/5 ML SOLN loratadine	24385053126 AMERISOURCE-GNP	Yes	No	Medicaid CSHCN
ALLERGY RLF (CETRZN) 10 MG TAB cetirizine HCl	69230030401 CAMBER CONSUMER	Yes	No	Medicaid CSHCN
ALLERGY RLF (CETRZN) 10 MG TAB cetirizine HCl	69230030405 CAMBER CONSUMER	Yes	No	Medicaid CSHCN
CETIRIZINE HCL 1 MG/ML SOLN cetirizine HCl	62135005741 CHARTWELL RX LL	Yes	No	Medicaid CHIP CSHCN
CETIRIZINE HCL 1 MG/ML SOLN cetirizine HCl	45802062626 PADAGIS	Yes	No	Medicaid CHIP CSHCN
CETIRIZINE HCL 1 MG/ML SOLN cetirizine HCl	62135005747 CHARTWELL RX LL	Yes	No	Medicaid CHIP CSHCN