Displaying 1301 - 1325 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 |
|---|---|---|---|
| TESTOSTERONE 30 MG/1.5 ML PUMP testosterone 90 ML |
45802061001 PADAGIS ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/27/2017 CHIP start: 09/27/2017 CSHCN start: 09/27/2017 |
| TESTOSTERONE 50 MG/5 GRAM GEL testosterone 5 GM |
00832112005 UPSHER SMITH LA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/18/2015 CHIP start: 06/18/2015 CSHCN start: 06/18/2015 |
| TESTOSTERONE 50 MG/5 GRAM GEL testosterone 5 GM |
00591352430 ACTAVIS/TEVA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 02/02/2018 CHIP start: 02/02/2018 CSHCN start: 02/02/2018 |
| TESTOSTERONE 50 MG/5 GRAM PKT testosterone 5 GM |
00832112035 UPSHER SMITH LA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/18/2015 CHIP start: 06/18/2015 CSHCN start: 06/18/2015 |
| TESTOSTERONE CYP 1,000 MG/10ML testosterone cypionate 10 ML |
70700028822 XIROMED, LLC |
FFS Clinical: Yes PDL: No |
Medicaid start: 09/18/2023 CHIP start: 09/18/2023 CSHCN start: 09/18/2023 |
| TESTOSTERONE CYP 2,000 MG/10ML testosterone cypionate 10 ML |
00574082010 PADAGIS |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/28/2007 CHIP start: 12/28/2007 CSHCN start: 12/28/2007 |
| TESTOSTERONE CYP 2,000 MG/10ML testosterone cypionate 10 ML |
00574082710 PERRIGO/PADAGIS |
FFS Clinical: Yes PDL: No |
Medicaid start: 06/10/2020 CHIP start: 06/10/2020 CSHCN start: 06/10/2020 |
| TESTOSTERONE CYP 2,000 MG/10ML testosterone cypionate 10 ML |
00409656220 HOSPIRA/PFIZER |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/22/2023 CHIP start: 03/22/2023 CSHCN start: 03/22/2023 |
| TESTOSTERONE CYP 2,000 MG/10ML testosterone cypionate 10 ML |
69097080237 CIPLA USA, INC. |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/02/2019 Medicaid end: 08/04/2024 CHIP start: 08/02/2019 CHIP end: 08/04/2024 CSHCN start: 08/02/2019 CSHCN end: 08/04/2024 |
| TESTOSTERONE CYP 2,000 MG/10ML testosterone cypionate 10 ML |
52536062510 WILSHIRE PHARMA |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/09/2023 CHIP start: 08/09/2023 CSHCN start: 08/09/2023 |
| TESTOSTERONE CYP 2,000 MG/10ML testosterone cypionate 10 ML |
00591412879 ACTAVIS/TEVA |
FFS Clinical: Yes PDL: No |
Medicaid start: 05/14/2015 Medicaid end: 04/17/2024 CHIP start: 05/14/2015 CHIP end: 04/17/2024 CSHCN start: 05/14/2015 CSHCN end: 04/17/2024 |
| TESTOSTERONE CYP 2,000 MG/10ML testosterone cypionate 10 ML |
47781091091 ALVOGEN INC |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/31/2023 CHIP start: 08/31/2023 CSHCN start: 08/31/2023 |
| TESTOSTERONE CYP 2,000 MG/10ML testosterone cypionate 10 ML |
00143972601 WEST-WARD/HIKMA |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/11/2022 CHIP start: 08/11/2022 CSHCN start: 08/11/2022 |
| TESTOSTERONE CYP 200 MG/ML testosterone cypionate 1 ML |
00574082701 PERRIGO/PADAGIS |
FFS Clinical: Yes PDL: No |
Medicaid start: 09/05/2019 CHIP start: 09/05/2019 CSHCN start: 09/05/2019 |
| TESTOSTERONE CYP 200 MG/ML testosterone cypionate 1 ML |
00409656201 HOSPIRA/PFIZER |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/22/2023 CHIP start: 03/22/2023 CSHCN start: 03/22/2023 |
| TESTOSTERONE CYP 200 MG/ML testosterone cypionate 1 ML |
69097080232 CIPLA USA, INC. |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/02/2019 CHIP start: 08/02/2019 CSHCN start: 08/02/2019 |
| TESTOSTERONE CYP 200 MG/ML testosterone cypionate 1 ML |
52536062501 WILSHIRE PHARMA |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/16/2023 CHIP start: 08/16/2023 CSHCN start: 08/16/2023 |
| TESTOSTERONE CYP 200 MG/ML testosterone cypionate 1 ML |
47781091193 ALVOGEN INC |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/31/2023 CHIP start: 08/31/2023 CSHCN start: 08/31/2023 |
| TESTOSTERONE CYP 200 MG/ML testosterone cypionate 1 ML |
00143965901 WEST-WARD/HIKMA |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/11/2022 CHIP start: 08/11/2022 CSHCN start: 08/11/2022 |
| TESTOSTERONE CYP 200 MG/ML testosterone cypionate 1 ML |
70700028922 XIROMED, LLC |
FFS Clinical: Yes PDL: No |
Medicaid start: 09/18/2023 CHIP start: 09/18/2023 CSHCN start: 09/18/2023 |
| TESTOSTERONE CYP 200 MG/ML testosterone cypionate 1 ML |
00574082001 PADAGIS |
FFS Clinical: Yes PDL: No |
Medicaid start: 06/08/2015 CHIP start: 06/08/2015 CSHCN start: 06/08/2015 |
| TESTOSTERONE ENAN 200 MG/ML testosterone enanthate 5 ML |
00591322126 ACTAVIS/TEVA |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/16/2004 CHIP start: 03/16/2004 CSHCN start: 03/16/2004 |
| TRAMADOL ER 100 MG TABLET tramadol HCl 30 EA |
47335053183 SUN PHARMA GLOB ANALGESICS: NARCOTICS LONG |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/23/2011 CHIP start: 12/23/2011 CSHCN start: 12/23/2011 |
| TRAMADOL ER 100 MG TABLET tramadol HCl 100 EA |
47335053188 SUN PHARMA GLOB ANALGESICS: NARCOTICS LONG |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/23/2011 CHIP start: 12/23/2011 CSHCN start: 12/23/2011 |
| TRAMADOL ER 200 MG TABLET tramadol HCl 30 EA |
47335053383 SUN PHARMA GLOB ANALGESICS: NARCOTICS LONG |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/23/2011 CHIP start: 12/23/2011 CSHCN start: 12/23/2011 |