Displaying 1 - 25 of 8303 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 |
|---|---|---|---|
| 24HR ALLERGY(LEVOCETIRZN) 5 MG levocetirizine dihydrochloride 10 EA |
70000036201 LEADER ANTIHISTAMINES: MINIMALLY SEDATING |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/13/2019 CSHCN start: 11/13/2019 |
| 24HR ALLERGY(LEVOCETIRZN) 5 MG levocetirizine dihydrochloride 35 EA |
70000036202 LEADER ANTIHISTAMINES: MINIMALLY SEDATING |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/13/2019 CSHCN start: 11/13/2019 |
| 24HR ALLERGY-CONGST 180-240 MG fexofenadine/pseudoephedrine 10 EA |
70000060701 LEADER ANTIHISTAMINES: MINIMALLY SEDATING |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/06/2023 CSHCN start: 06/06/2023 |
| ABILIFY 10 MG TABLET aripiprazole 30 EA |
59148000813 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/22/2002 CHIP start: 11/22/2002 CSHCN start: 11/22/2002 |
| ABILIFY 15 MG TABLET aripiprazole 30 EA |
59148000913 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/22/2002 CHIP start: 11/22/2002 CSHCN start: 11/22/2002 |
| ABILIFY 2 MG TABLET aripiprazole 30 EA |
59148000613 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 02/09/2006 CHIP start: 02/09/2006 CSHCN start: 02/09/2006 |
| ABILIFY 20 MG TABLET aripiprazole 30 EA |
59148001013 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/22/2002 CHIP start: 11/22/2002 CSHCN start: 11/22/2002 |
| ABILIFY 30 MG TABLET aripiprazole 30 EA |
59148001113 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/22/2002 CHIP start: 11/22/2002 CSHCN start: 11/22/2002 |
| ABILIFY 5 MG TABLET aripiprazole 30 EA |
59148000713 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/08/2003 CHIP start: 09/08/2003 CSHCN start: 09/08/2003 |
| ABILIFY ASIMTUFII 720 MG/2.4ML aripiprazole 2.4 ML |
59148010280 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: No |
Medicaid start: 09/11/2023 CHIP start: 09/11/2023 CSHCN start: 09/11/2023 |
| ABILIFY ASIMTUFII 960 MG/3.2ML aripiprazole 3.2 ML |
59148011480 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: No |
Medicaid start: 09/11/2023 CHIP start: 09/11/2023 CSHCN start: 09/11/2023 |
| ABILIFY MAINTENA ER 300 MG SYR aripiprazole 1 EA |
59148004580 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: No |
Medicaid start: 05/12/2015 CHIP start: 05/12/2015 CSHCN start: 05/12/2015 |
| ABILIFY MAINTENA ER 300 MG VL aripiprazole 1 EA |
59148001871 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: No |
Medicaid start: 04/09/2013 CHIP start: 04/09/2013 CSHCN start: 04/09/2013 |
| ABILIFY MAINTENA ER 400 MG SYR aripiprazole 1 EA |
59148007280 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: No |
Medicaid start: 05/12/2015 CHIP start: 05/12/2015 CSHCN start: 05/12/2015 |
| ABILIFY MAINTENA ER 400 MG VL aripiprazole 1 EA |
59148001971 OTSUKA AMERICA ANTIPSYCHOTICS |
FFS Clinical: Yes PDL: No |
Medicaid start: 04/09/2013 CHIP start: 04/09/2013 CSHCN start: 04/09/2013 |
| ACCURETIC 20-25 MG TABLET quinapril/hydrochlorothiazide 90 EA |
00071022323 PFIZER US PHARM ANGIOTENSIN MODULATORS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 10/07/2002 CHIP start: 10/07/2002 CSHCN start: 10/07/2002 KHC start: 10/07/2002 |
| 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 |
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 #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 #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 |