Displaying 1 - 25 of 1446 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 |
|---|---|---|---|
| ACETAMINOP-CODEINE 120-12 MG/5 acetaminophen with codeine 118 ML |
00121050404 PHARM ASSOC INC ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 Medicaid end: 09/01/2024 CHIP start: 03/01/2002 CHIP end: 09/01/2024 CSHCN start: 03/01/2002 CSHCN end: 09/01/2024 KHC start: 03/01/2002 KHC end: 09/01/2024 |
| ACETAMINOP-CODEINE 120-12 MG/5 acetaminophen with codeine 473 ML |
00121050416 PHARM ASSOC INC ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 Medicaid end: 08/01/2024 CHIP start: 03/01/2002 CHIP end: 08/01/2024 CSHCN start: 03/01/2002 CSHCN end: 08/01/2024 KHC start: 03/01/2002 KHC end: 08/01/2024 |
| ACETAMINOPHEN-COD #2 TABLET acetaminophen with codeine 100 EA |
71930005412 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 |
| ACETAMINOPHEN-COD #2 TABLET acetaminophen with codeine 500 EA |
71930005452 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 |
| ACETAMINOPHEN-COD #2 TABLET acetaminophen with codeine 100 EA |
13107005801 AUROBINDO PHARM ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/12/2014 CHIP start: 08/12/2014 CSHCN start: 08/12/2014 KHC start: 04/01/2015 |
| ACETAMINOPHEN-COD #2 TABLET acetaminophen with codeine 100 EA |
00406048301 MALLINCKRODT PH ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 KHC start: 03/01/2002 |
| ACETAMINOPHEN-COD #3 TABLET acetaminophen with codeine 100 EA |
71930005512 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 |
| ACETAMINOPHEN-COD #3 TABLET acetaminophen with codeine 500 EA |
71930005552 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 |
| ACETAMINOPHEN-COD #3 TABLET acetaminophen with codeine 100 EA |
65162003310 AMNEAL PHARMACE ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/18/2012 CHIP start: 12/18/2012 CSHCN start: 12/18/2012 KHC start: 12/18/2012 |
| ACETAMINOPHEN-COD #3 TABLET acetaminophen with codeine 100 EA |
13107005901 AUROBINDO PHARM ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/12/2014 CHIP start: 08/12/2014 CSHCN start: 08/12/2014 KHC start: 04/01/2015 |
| ACETAMINOPHEN-COD #3 TABLET acetaminophen with codeine 1000 EA |
13107005999 AUROBINDO PHARM ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/12/2014 CHIP start: 08/12/2014 CSHCN start: 08/12/2014 KHC start: 04/01/2015 |
| ACETAMINOPHEN-COD #3 TABLET acetaminophen with codeine 100 EA |
00406048401 MALLINCKRODT PH ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 KHC start: 03/01/2002 |
| ACETAMINOPHEN-COD #3 TABLET acetaminophen with codeine 1000 EA |
00406048410 MALLINCKRODT PH ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 KHC start: 03/01/2002 |
| ACETAMINOPHEN-COD #3 TABLET acetaminophen with codeine 100 EA |
00406048462 MALLINCKRODT PH ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/27/2002 CHIP start: 03/27/2002 CSHCN start: 03/27/2002 KHC start: 03/27/2002 |
| ACETAMINOPHEN-COD #4 TABLET acetaminophen with codeine 100 EA |
71930005612 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 |
| 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 |
| ACETAMINOPHEN-COD #4 TABLET acetaminophen with codeine 100 EA |
13107006001 AUROBINDO PHARM ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/12/2014 CHIP start: 08/12/2014 CSHCN start: 08/12/2014 KHC start: 04/01/2015 |
| ACETAMINOPHEN-COD #4 TABLET acetaminophen with codeine 500 EA |
13107006005 AUROBINDO PHARM ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/12/2014 CHIP start: 08/12/2014 CSHCN start: 08/12/2014 KHC start: 04/01/2015 |
| ACETAMINOPHEN-COD #4 TABLET acetaminophen with codeine 1000 EA |
13107006099 AUROBINDO PHARM ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/12/2014 CHIP start: 08/12/2014 CSHCN start: 08/12/2014 KHC start: 04/01/2015 |
| ACETAMINOPHEN-COD #4 TABLET acetaminophen with codeine 100 EA |
00406048501 MALLINCKRODT PH ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 KHC start: 03/01/2002 |
| ACETAMINOPHEN-COD #4 TABLET acetaminophen with codeine 500 EA |
00406048505 MALLINCKRODT PH ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 KHC start: 03/01/2002 |
| 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 |
| 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 |