Displaying 201 - 225 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 |
|---|---|---|---|
| ACTEMRA 162 MG/0.9 ML SYRINGE tocilizumab .9 ML |
50242013801 GENENTECH, INC. CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/12/2013 CHIP start: 11/12/2013 CSHCN start: 11/12/2013 |
| ACTEMRA ACTPEN 162 MG/0.9 ML tocilizumab .9 ML |
50242014301 GENENTECH, INC. CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 05/23/2019 CHIP start: 05/23/2019 CSHCN start: 05/23/2019 |
| ACTHAR GEL 400 UNIT/5 ML VIAL corticotropin 5 ML |
63004871001 MALLINCKRODT PH |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/06/2013 CHIP start: 02/06/2013 CSHCN start: 02/06/2013 |
| ACTIDOSE 50 GM LIQUID charcoal/sorbitol solution 240 ML |
00574012008 PERRIGO/PADAGIS |
FFS Clinical: No PDL: No |
Medicaid start: 09/07/2015 CSHCN start: 09/07/2015 |
| ACTIMMUNE 100 MCG/0.5 ML VIAL interferon gamma-1b,recomb. .5 ML |
75987011110 HORIZON/AMGEN |
FFS Clinical: No PDL: No |
Medicaid start: 03/20/2018 CHIP start: 03/20/2018 CSHCN start: 03/20/2018 |
| ACTIMMUNE 100 MCG/0.5 ML VIAL interferon gamma-1b,recomb. .5 ML |
75987011111 HORIZON/AMGEN |
FFS Clinical: No PDL: No |
Medicaid start: 03/20/2018 CHIP start: 03/20/2018 CSHCN start: 03/20/2018 |
| ACTIQ 1,200 MCG LOZENGE fentanyl citrate 30 EA |
63459051230 TEVA USA ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/29/2007 Medicaid end: 05/31/2024 CHIP start: 06/29/2007 CHIP end: 05/31/2024 CSHCN start: 06/29/2007 CSHCN end: 05/31/2024 |
| ACTIQ 200 MCG LOZENGE fentanyl citrate 30 EA |
63459050230 TEVA USA ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/17/2003 Medicaid end: 05/31/2024 CHIP start: 07/17/2003 CHIP end: 05/31/2024 CSHCN start: 07/17/2003 CSHCN end: 05/31/2024 |
| ACTIQ 400 MCG LOZENGE fentanyl citrate 30 EA |
63459050430 TEVA USA ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/29/2007 Medicaid end: 07/12/2024 CHIP start: 06/29/2007 CHIP end: 07/12/2024 CSHCN start: 06/29/2007 CSHCN end: 07/12/2024 |
| ACTIQ 600 MCG LOZENGE fentanyl citrate 30 EA |
63459050630 TEVA USA ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/29/2007 Medicaid end: 05/31/2024 CHIP start: 06/29/2007 CHIP end: 05/31/2024 CSHCN start: 06/29/2007 CSHCN end: 05/31/2024 |
| ACTIQ 800 MCG LOZENGE fentanyl citrate 30 EA |
63459050830 TEVA USA ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/29/2007 Medicaid end: 06/30/2024 CHIP start: 06/29/2007 CHIP end: 06/30/2024 CSHCN start: 06/29/2007 CSHCN end: 06/30/2024 |
| ACTONEL 150 MG TABLET risedronate sodium 1 EA |
00430047801 ACTAVIS/ALLERGA BONE RESORPTION SUPPRESSION AND RELATED AGENTS |
FFS Clinical: No PDL: Yes |
Medicaid start: 11/17/2011 CHIP start: 11/17/2011 CSHCN start: 11/17/2011 |
| ACTONEL 150 MG TABLET risedronate sodium 3 EA |
00430047802 ACTAVIS/ALLERGA BONE RESORPTION SUPPRESSION AND RELATED AGENTS |
FFS Clinical: No PDL: Yes |
Medicaid start: 10/31/2011 CHIP start: 10/31/2011 CSHCN start: 10/31/2011 |
| ACTONEL 35 MG TABLET risedronate sodium 4 EA |
00430047203 ACTAVIS/ALLERGA BONE RESORPTION SUPPRESSION AND RELATED AGENTS |
FFS Clinical: No PDL: Yes |
Medicaid start: 11/17/2011 CHIP start: 11/17/2011 CSHCN start: 11/17/2011 |
| ACULAR 0.5% EYE DROPS ketorolac tromethamine 5 ML |
00023218105 ALLERGAN INC. OPHTHALMICS: ANTI-INFLAMMATORIES |
FFS Clinical: No PDL: Yes |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 |
| ACULAR LS 0.4% OPHTH SOL ketorolac tromethamine 5 ML |
00023927705 ALLERGAN INC. OPHTHALMICS: ANTI-INFLAMMATORIES |
FFS Clinical: No PDL: Yes |
Medicaid start: 09/04/2003 CHIP start: 09/04/2003 CSHCN start: 09/04/2003 |
| ACUVAIL 0.45% OPHTH SOLUTION ketorolac tromethamine/PF 30 EA |
00023350731 ALLERGAN INC. OPHTHALMICS: ANTI-INFLAMMATORIES |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 12/21/2021 CHIP start: 12/21/2021 CSHCN start: 12/21/2021 |
| ACYCLOVIR 200 MG CAPSULE acyclovir 100 EA |
23155022901 AVET PHARMACEUT ANTIVIRALS: ORAL |
FFS Clinical: No PDL: No |
Medicaid start: 08/27/2018 CHIP start: 08/27/2018 CSHCN start: 08/27/2018 HTW start: 06/18/2019 |
| ACYCLOVIR 200 MG CAPSULE acyclovir 500 EA |
23155022905 AVET PHARMACEUT ANTIVIRALS: ORAL |
FFS Clinical: No PDL: No |
Medicaid start: 08/27/2018 CHIP start: 08/27/2018 CSHCN start: 08/27/2018 HTW start: 06/18/2019 |
| ACYCLOVIR 200 MG CAPSULE acyclovir 100 EA |
60505004206 APOTEX CORP ANTIVIRALS: ORAL |
FFS Clinical: No PDL: No |
Medicaid start: 01/01/2010 CHIP start: 01/01/2010 CSHCN start: 01/01/2010 HTW start: 11/01/2012 KHC start: 01/01/2010 |
| ACYCLOVIR 200 MG CAPSULE acyclovir 50 EA |
62135003950 CHARTWELL RX LL ANTIVIRALS: ORAL |
FFS Clinical: No PDL: No |
Medicaid start: 01/31/2023 CHIP start: 01/31/2023 CSHCN start: 01/31/2023 |
| ACYCLOVIR 200 MG CAPSULE acyclovir 100 EA |
72241002805 MODAVAR PHARMAC ANTIVIRALS: ORAL |
FFS Clinical: No PDL: No |
Medicaid start: 08/30/2023 CHIP start: 08/30/2023 CSHCN start: 08/30/2023 KHC start: 08/30/2023 |
| ACYCLOVIR 200 MG CAPSULE acyclovir 100 EA |
00904578961 MAJOR PHARMACEU ANTIVIRALS: ORAL |
FFS Clinical: No PDL: No |
Medicaid start: 11/18/2013 CHIP start: 11/18/2013 CSHCN start: 11/18/2013 HTW start: 11/18/2013 KHC start: 11/09/2016 |
| ACYCLOVIR 200 MG CAPSULE acyclovir 100 EA |
69076014601 QUINN-FPP ANTIVIRALS: ORAL |
FFS Clinical: No PDL: No |
Medicaid start: 11/09/2016 CHIP start: 11/09/2016 CSHCN start: 11/09/2016 HTW start: 11/09/2016 |
| ACYCLOVIR 200 MG CAPSULE acyclovir 100 EA |
72578000201 VIONA PHARMACEU ANTIVIRALS: ORAL |
FFS Clinical: No PDL: No |
Medicaid start: 06/08/2021 CHIP start: 06/08/2021 CSHCN start: 06/08/2021 |