Displaying 101 - 125 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 |
|---|---|---|---|
| ALPRAZOLAM ODT 0.5 MG TAB alprazolam 100 EA |
00228402211 ACTAVIS/TEVA ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/14/2016 CHIP start: 06/14/2016 CSHCN start: 06/14/2016 |
| ALPRAZOLAM ODT 0.5 MG TAB alprazolam 100 EA |
49884011174 PAR PHARM. ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 08/25/2010 CHIP start: 08/25/2010 CSHCN start: 08/25/2010 |
| ALPRAZOLAM ODT 1 MG TAB alprazolam 100 EA |
49884021374 PAR PHARM. ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 08/25/2010 CHIP start: 08/25/2010 CSHCN start: 08/25/2010 |
| ALPRAZOLAM ODT 1 MG TAB alprazolam 100 EA |
00228402411 ACTAVIS/TEVA ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/14/2016 CHIP start: 06/14/2016 CSHCN start: 06/14/2016 |
| ALPRAZOLAM ODT 2 MG TAB alprazolam 100 EA |
49884021474 PAR PHARM. ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 08/25/2010 CHIP start: 08/25/2010 CSHCN start: 08/25/2010 |
| ALPRAZOLAM ODT 2 MG TAB alprazolam 100 EA |
00228402511 ACTAVIS/TEVA ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/14/2016 CHIP start: 06/14/2016 CSHCN start: 06/14/2016 |
| ALPRAZOLAM XR 0.5 MG TABLET alprazolam 60 EA |
59762005701 GREENSTONE LLC. ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 10/23/2006 CHIP start: 10/23/2006 CSHCN start: 10/23/2006 |
| ALPRAZOLAM XR 1 MG TABLET alprazolam 60 EA |
59762005901 GREENSTONE LLC. ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 10/23/2006 CHIP start: 10/23/2006 CSHCN start: 10/23/2006 |
| ALPRAZOLAM XR 2 MG TABLET alprazolam 60 EA |
59762006601 GREENSTONE LLC. ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 10/25/2006 CHIP start: 10/25/2006 CSHCN start: 10/25/2006 |
| ALPRAZOLAM XR 3 MG TABLET alprazolam 60 EA |
59762006801 GREENSTONE LLC. ANXIOLYTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 10/23/2006 CHIP start: 10/23/2006 CSHCN start: 10/23/2006 |
| AMBIEN 10 MG TABLET zolpidem tartrate 100 EA |
00024542131 SANOFI-AVENTIS SEDATIVE HYPNOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 05/18/2007 CHIP start: 05/18/2007 CSHCN start: 05/18/2007 |
| AMBIEN 5 MG TABLET zolpidem tartrate 100 EA |
00024540131 SANOFI-AVENTIS SEDATIVE HYPNOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 05/18/2007 CHIP start: 05/18/2007 CSHCN start: 05/18/2007 |
| AMBIEN CR 12.5 MG TABLET zolpidem tartrate 100 EA |
00024552131 SANOFI-AVENTIS SEDATIVE HYPNOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/01/2009 CHIP start: 07/01/2009 CSHCN start: 07/01/2009 |
| AMBIEN CR 6.25 MG TABLET zolpidem tartrate 100 EA |
00024550131 SANOFI-AVENTIS SEDATIVE HYPNOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/01/2009 CHIP start: 07/01/2009 CSHCN start: 07/01/2009 |
| AMPHETAMINE SULFATE 10 MG TAB amphetamine sulfate 100 EA |
43598089801 DR.REDDY'S LAB STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/01/2020 CHIP start: 09/01/2020 CSHCN start: 09/01/2020 |
| AMPHETAMINE SULFATE 10 MG TAB amphetamine sulfate 100 EA |
69238156401 AMNEAL PHARMACE STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 12/10/2018 CHIP start: 12/10/2018 CSHCN start: 12/10/2018 |
| AMPHETAMINE SULFATE 10 MG TAB amphetamine sulfate 100 EA |
69452022820 BIONPHARMA INC. STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/23/2020 CHIP start: 09/23/2020 CSHCN start: 09/23/2020 |
| AMPHETAMINE SULFATE 10 MG TAB amphetamine sulfate 100 EA |
70010004101 GRANULES PHARMA STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 03/05/2020 CHIP start: 03/05/2020 CSHCN start: 03/05/2020 |
| AMPHETAMINE SULFATE 5 MG TAB amphetamine sulfate 100 EA |
43598089701 DR.REDDY'S LAB STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/01/2020 CHIP start: 09/01/2020 CSHCN start: 09/01/2020 |
| AMPHETAMINE SULFATE 5 MG TAB amphetamine sulfate 100 EA |
69238156301 AMNEAL PHARMACE STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 12/10/2018 CHIP start: 12/10/2018 CSHCN start: 12/10/2018 |
| AMPHETAMINE SULFATE 5 MG TAB amphetamine sulfate 100 EA |
69452022720 BIONPHARMA INC. STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/23/2020 CHIP start: 09/23/2020 CSHCN start: 09/23/2020 |
| AMPHETAMINE SULFATE 5 MG TAB amphetamine sulfate 100 EA |
70010004001 GRANULES PHARMA STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 03/05/2020 CHIP start: 03/05/2020 CSHCN start: 03/05/2020 |
| ANDRODERM 2 MG/24HR PATCH testosterone 1 EA |
00023599002 ALLERGAN INC. ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/20/2019 CHIP start: 02/20/2019 CSHCN start: 02/20/2019 |
| ANDRODERM 2 MG/24HR PATCH testosterone 60 EA |
00023599060 ALLERGAN INC. ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/20/2019 Medicaid end: 09/30/2024 CHIP start: 02/20/2019 CHIP end: 09/30/2024 CSHCN start: 02/20/2019 CSHCN end: 09/30/2024 |
| ANDRODERM 4 MG/24HR PATCH testosterone 1 EA |
00023599204 ALLERGAN INC. ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/20/2019 CHIP start: 02/20/2019 CSHCN start: 02/20/2019 |