Displaying 176 - 200 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 |
|---|---|---|---|
| ACID REDUCER 20 MG TABLET famotidine 25 EA |
70000004901 LEADER |
FFS Clinical: No PDL: No |
Medicaid start: 02/04/2021 CSHCN start: 02/04/2021 |
| ACID REDUCER COMPLETE TAB CHEW famotidine/Ca carb/mag hydrox 50 EA |
70000058201 LEADER |
FFS Clinical: No PDL: No |
Medicaid start: 10/11/2022 CSHCN start: 10/11/2022 |
| ACID REDUCER COMPLETE TAB CHEW famotidine/Ca carb/mag hydrox 25 EA |
70000041601 LEADER |
FFS Clinical: No PDL: No |
Medicaid start: 02/10/2020 CSHCN start: 02/10/2020 |
| ACID REDUCER DR 20 MG CAP omeprazole magnesium 14 EA |
70000023201 LEADER PROTON PUMP INHIBITORS |
FFS Clinical: No PDL: Yes |
Medicaid start: 02/13/2020 CSHCN start: 02/13/2020 |
| ACID REDUCER DR 20 MG CAP omeprazole magnesium 28 EA |
70000023202 LEADER PROTON PUMP INHIBITORS |
FFS Clinical: No PDL: Yes |
Medicaid start: 02/13/2020 CSHCN start: 02/13/2020 |
| ACID REDUCER DR 20 MG CAP omeprazole magnesium 42 EA |
70000023203 LEADER PROTON PUMP INHIBITORS |
FFS Clinical: No PDL: Yes |
Medicaid start: 02/13/2020 CSHCN start: 02/13/2020 |
| ACIPHEX DR 20 MG TABLET rabeprazole sodium 30 EA |
69784024330 WOODWARD PHARMA PROTON PUMP INHIBITORS |
FFS Clinical: No PDL: Yes |
Medicaid start: 01/30/2023 CHIP start: 01/30/2023 CSHCN start: 01/30/2023 |
| ACITRETIN 10 MG CAPSULE acitretin 30 EA |
00378702093 MYLAN |
FFS Clinical: No PDL: No |
Medicaid start: 09/15/2016 CHIP start: 09/15/2016 CSHCN start: 09/15/2016 |
| ACITRETIN 10 MG CAPSULE acitretin 30 EA |
42794008008 SIGMAPHARM LABO |
FFS Clinical: No PDL: No |
Medicaid start: 08/12/2015 CHIP start: 08/12/2015 CSHCN start: 08/12/2015 |
| ACITRETIN 10 MG CAPSULE acitretin 30 EA |
00115175008 AMNEAL PHARMACE |
FFS Clinical: No PDL: No |
Medicaid start: 11/17/2017 CHIP start: 11/17/2017 CSHCN start: 11/17/2017 |
| ACITRETIN 10 MG CAPSULE acitretin 30 EA |
00093113556 TEVA USA |
FFS Clinical: No PDL: No |
Medicaid start: 04/22/2014 CHIP start: 04/22/2014 CSHCN start: 04/22/2014 |
| ACITRETIN 17.5 MG CAPSULE acitretin 30 EA |
00093113856 TEVA USA |
FFS Clinical: No PDL: No |
Medicaid start: 04/22/2014 CHIP start: 04/22/2014 CSHCN start: 04/22/2014 |
| ACITRETIN 17.5 MG CAPSULE acitretin 30 EA |
42794008108 SIGMAPHARM LABO |
FFS Clinical: No PDL: No |
Medicaid start: 08/12/2015 CHIP start: 08/12/2015 CSHCN start: 08/12/2015 |
| ACITRETIN 17.5 MG CAPSULE acitretin 30 EA |
00115175108 AMNEAL PHARMACE |
FFS Clinical: No PDL: No |
Medicaid start: 02/25/2019 CHIP start: 02/25/2019 CSHCN start: 02/25/2019 |
| ACITRETIN 25 MG CAPSULE acitretin 30 EA |
66993089630 PRASCO LABS |
FFS Clinical: No PDL: No |
Medicaid start: 07/22/2013 CHIP start: 07/22/2013 CSHCN start: 07/22/2013 |
| ACITRETIN 25 MG CAPSULE acitretin 30 EA |
00378702393 MYLAN |
FFS Clinical: No PDL: No |
Medicaid start: 09/15/2016 CHIP start: 09/15/2016 CSHCN start: 09/15/2016 |
| ACITRETIN 25 MG CAPSULE acitretin 30 EA |
42794008308 SIGMAPHARM LABO |
FFS Clinical: No PDL: No |
Medicaid start: 08/12/2015 CHIP start: 08/12/2015 CSHCN start: 08/12/2015 |
| ACITRETIN 25 MG CAPSULE acitretin 30 EA |
00115175308 AMNEAL PHARMACE |
FFS Clinical: No PDL: No |
Medicaid start: 05/29/2018 CHIP start: 05/29/2018 CSHCN start: 05/29/2018 |
| ACITRETIN 25 MG CAPSULE acitretin 30 EA |
00093113656 TEVA USA |
FFS Clinical: No PDL: No |
Medicaid start: 04/22/2014 CHIP start: 04/22/2014 CSHCN start: 04/22/2014 |
| ACNE MEDICATION 10% GEL benzoyl peroxide 60 GM |
00536105625 RUGBY ACNE AGENTS: TOPICAL |
FFS Clinical: No PDL: No |
Medicaid start: 09/18/2020 CSHCN start: 09/18/2020 |
| ACNE MEDICATION 10% GEL benzoyl peroxide 42.5 GM |
00536105656 RUGBY ACNE AGENTS: TOPICAL |
FFS Clinical: No PDL: No |
Medicaid start: 04/24/2015 CSHCN start: 04/24/2015 |
| ACNE MEDICATION 10% LOTION benzoyl peroxide 29.5 ML |
00536105875 RUGBY ACNE AGENTS: TOPICAL |
FFS Clinical: No PDL: No |
Medicaid start: 04/24/2015 CSHCN start: 04/24/2015 |
| ACNE MEDICATION 5% GEL benzoyl peroxide 60 GM |
00536105525 RUGBY ACNE AGENTS: TOPICAL |
FFS Clinical: No PDL: No |
Medicaid start: 11/24/2020 CSHCN start: 11/24/2020 |
| ACNE MEDICATION 5% GEL benzoyl peroxide 42.5 GM |
00536105556 RUGBY ACNE AGENTS: TOPICAL |
FFS Clinical: No PDL: No |
Medicaid start: 04/24/2015 CSHCN start: 04/24/2015 |
| ACNE MEDICATION 5% LOTION benzoyl peroxide 29.5 ML |
00536105775 RUGBY ACNE AGENTS: TOPICAL |
FFS Clinical: No PDL: No |
Medicaid start: 11/07/2016 CSHCN start: 11/07/2016 |