Displaying 126 - 150 of 24405 drugs found. Return to search page.
A drug with a termination date will appear on the search for 90 days following the termination date.
| Brand Name/Generic Name/Package Size | NDC/Manufacturer/Class | PA Required | Programs/Coverage Dates |
|---|---|---|---|
| ACETAMINOPHEN-COD #4 TABLET acetaminophen with codeine 500 EA |
71930005652 EYWA PHARMA INC ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/18/2019 CHIP start: 12/18/2019 CSHCN start: 12/18/2019 |
| ACETAMN-CAF-DIHYDRCODEIN 320.5 acetaminophen/caff/dihydrocod 100 EA |
42195084010 XSPIRE PHARMA ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 08/11/2015 Medicaid end: 08/15/2045 CHIP start: 08/11/2015 CHIP end: 08/15/2045 CSHCN start: 08/11/2015 CSHCN end: 08/15/2045 |
| ACETAZOLAMIDE 125 MG TABLET acetazolamide 100 EA |
70756072011 LIFESTAR PHARMA |
FFS Clinical: No PDL: No |
Medicaid start: 07/09/2021 CHIP start: 07/09/2021 CSHCN start: 07/09/2021 |
| ACETAZOLAMIDE 125 MG TABLET acetazolamide 100 EA |
72888004701 ADVAGEN PHARMA |
FFS Clinical: No PDL: No |
Medicaid start: 02/09/2023 CHIP start: 02/09/2023 CSHCN start: 02/09/2023 |
| ACETAZOLAMIDE 125 MG TABLET acetazolamide 100 EA |
23155028701 AVET PHARMACEUT |
FFS Clinical: No PDL: No |
Medicaid start: 05/16/2017 CHIP start: 05/16/2017 CSHCN start: 05/16/2017 |
| ACETAZOLAMIDE 125 MG TABLET acetazolamide 100 EA |
52817020010 TRUPHARMA, LLC. |
FFS Clinical: No PDL: No |
Medicaid start: 10/11/2022 CHIP start: 10/11/2022 CSHCN start: 10/11/2022 |
| ACETAZOLAMIDE 125 MG TABLET acetazolamide 100 EA |
71930000812 EYWA PHARMA INC |
FFS Clinical: No PDL: No |
Medicaid start: 09/23/2020 CHIP start: 09/23/2020 CSHCN start: 09/23/2020 |
| ACETAZOLAMIDE 125 MG TABLET acetazolamide 100 EA |
51672402201 TARO PHARM USA |
FFS Clinical: No PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 |
| ACETAZOLAMIDE 125 MG TABLET acetazolamide 100 EA |
64380083306 STRIDES PHARMA |
FFS Clinical: No PDL: No |
Medicaid start: 02/15/2018 CHIP start: 02/15/2018 CSHCN start: 02/15/2018 |
| ACETAZOLAMIDE 125 MG TABLET acetazolamide 120 EA |
62135060712 CHARTWELL RX LL |
FFS Clinical: No PDL: No |
Medicaid start: 12/11/2023 CHIP start: 12/11/2023 CSHCN start: 12/11/2023 |
| ACETAZOLAMIDE 125 MG TABLET acetazolamide 100 EA |
70954003330 NOVITIUM/ANI PH |
FFS Clinical: No PDL: No |
Medicaid start: 06/15/2020 CHIP start: 06/15/2020 CSHCN start: 06/15/2020 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 100 EA |
70756072111 LIFESTAR PHARMA |
FFS Clinical: No PDL: No |
Medicaid start: 07/09/2021 CHIP start: 07/09/2021 CSHCN start: 07/09/2021 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 100 EA |
00527105001 LANNETT CO. INC |
FFS Clinical: No PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 100 EA |
72888004801 ADVAGEN PHARMA |
FFS Clinical: No PDL: No |
Medicaid start: 02/09/2023 CHIP start: 02/09/2023 CSHCN start: 02/09/2023 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 100 EA |
23155028801 AVET PHARMACEUT |
FFS Clinical: No PDL: No |
Medicaid start: 05/16/2017 CHIP start: 05/16/2017 CSHCN start: 05/16/2017 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 100 EA |
52817020110 TRUPHARMA, LLC. |
FFS Clinical: No PDL: No |
Medicaid start: 10/10/2022 CHIP start: 10/10/2022 CSHCN start: 10/10/2022 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 100 EA |
71930000912 EYWA PHARMA INC |
FFS Clinical: No PDL: No |
Medicaid start: 09/23/2020 CHIP start: 09/23/2020 CSHCN start: 09/23/2020 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 100 EA |
51672402301 TARO PHARM USA |
FFS Clinical: No PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 100 EA |
64380083406 STRIDES PHARMA |
FFS Clinical: No PDL: No |
Medicaid start: 02/15/2018 CHIP start: 02/15/2018 CSHCN start: 02/15/2018 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 120 EA |
62135060812 CHARTWELL RX LL |
FFS Clinical: No PDL: No |
Medicaid start: 12/11/2023 CHIP start: 12/11/2023 CSHCN start: 12/11/2023 |
| ACETAZOLAMIDE 250 MG TABLET acetazolamide 100 EA |
70954003430 NOVITIUM/ANI PH |
FFS Clinical: No PDL: No |
Medicaid start: 06/15/2020 CHIP start: 06/15/2020 CSHCN start: 06/15/2020 |
| ACETAZOLAMIDE ER 500 MG CAP acetazolamide 100 EA |
70710159101 ZYDUS PHARMACEU |
FFS Clinical: No PDL: No |
Medicaid start: 05/21/2020 CHIP start: 05/21/2020 CSHCN start: 05/21/2020 |
| ACETAZOLAMIDE ER 500 MG CAP acetazolamide 100 EA |
29033003001 NOSTRUM LABORAT |
FFS Clinical: No PDL: No |
Medicaid start: 09/19/2016 CHIP start: 09/19/2016 CSHCN start: 09/19/2016 |
| ACETAZOLAMIDE ER 500 MG CAP acetazolamide 100 EA |
23155078701 AVET PHARMACEUT |
FFS Clinical: No PDL: No |
Medicaid start: 05/17/2021 CHIP start: 05/17/2021 CSHCN start: 05/17/2021 |
| ACETAZOLAMIDE ER 500 MG CAP acetazolamide 100 EA |
23155012001 AVET PHARMACEUT |
FFS Clinical: No PDL: No |
Medicaid start: 09/01/2011 CHIP start: 09/01/2011 CSHCN start: 09/01/2011 |