Search Results: Formulary Drugs

Displaying 1 - 25 of 1491 records found. Return to search page.
Brand Name/Generic Name NDC/Manufacturer PDL Class FFS Clinical Prior Auth Required PDL Prior Auth Required Programs
PREGABALIN 225 MG CAPSULE
pregabalin
76282057490
EXELAN PHARMACE
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 300 MG CAPSULE
pregabalin
76282057590
EXELAN PHARMACE
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 100 MG CAPSULE
pregabalin
76282057190
EXELAN PHARMACE
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 150 MG CAPSULE
pregabalin
76282057290
EXELAN PHARMACE
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 200 MG CAPSULE
pregabalin
76282057390
EXELAN PHARMACE
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 25 MG CAPSULE
pregabalin
76282056890
EXELAN PHARMACE
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 50 MG CAPSULE
pregabalin
76282056990
EXELAN PHARMACE
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 75 MG CAPSULE
pregabalin
76282057090
EXELAN PHARMACE
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 50 MG CAPSULE
pregabalin
72606000501
CELLTRION USA,
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 75 MG CAPSULE
pregabalin
72606000601
CELLTRION USA,
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 100 MG CAPSULE
pregabalin
72606000701
CELLTRION USA,
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 150 MG CAPSULE
pregabalin
72606000801
CELLTRION USA,
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN 300 MG CAPSULE
pregabalin
72205001890
NOVADOZ PHARMAC
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
PREGABALIN ER 82.5 MG TABLET
pregabalin
72205007730
NOVADOZ PHARMAC
NEUROPATHIC PAIN No Yes Medicaid CHIP CSHCN
PREGABALIN ER 165 MG TABLET
pregabalin
72205007830
NOVADOZ PHARMAC
NEUROPATHIC PAIN No Yes Medicaid CHIP CSHCN
PREGABALIN ER 330 MG TABLET
pregabalin
72205007930
NOVADOZ PHARMAC
NEUROPATHIC PAIN No Yes Medicaid CHIP CSHCN
HYDROCODONE-ACETAMIN 10-300 MG
hydrocodone/acetaminophen
71930004412
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid CHIP CSHCN
PREGABALIN 75 MG CAPSULE
pregabalin
72205001390
NOVADOZ PHARMAC
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
HYDROCODONE-ACETAMIN 10-300 MG
hydrocodone/acetaminophen
71930004452
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid CHIP CSHCN
PREGABALIN 100 MG CAPSULE
pregabalin
72205001490
NOVADOZ PHARMAC
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
OXYCODONE-ACETAMINOPHEN 5-325
oxycodone HCl/acetaminophen
71930004512
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid CHIP CSHCN
PREGABALIN 150 MG CAPSULE
pregabalin
72205001590
NOVADOZ PHARMAC
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
OXYCODONE-ACETAMINOPHEN 5-325
oxycodone HCl/acetaminophen
71930004552
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid CHIP CSHCN
PREGABALIN 200 MG CAPSULE
pregabalin
72205001690
NOVADOZ PHARMAC
NEUROPATHIC PAIN No No Medicaid CHIP CSHCN
OXYCODONE-ACETAMINOPHN 7.5-325
oxycodone HCl/acetaminophen
71930004612
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid CHIP CSHCN