Displaying 26 - 50 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 |
|---|---|---|---|
| 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 |
| ACTEMRA 162 MG/0.9 ML SYRINGE tocilizumab .9 ML |
50242013801 GENENTECH, INC. CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/12/2013 CHIP start: 11/12/2013 CSHCN start: 11/12/2013 |
| ACTEMRA ACTPEN 162 MG/0.9 ML tocilizumab .9 ML |
50242014301 GENENTECH, INC. CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 05/23/2019 CHIP start: 05/23/2019 CSHCN start: 05/23/2019 |
| ACTHAR GEL 400 UNIT/5 ML VIAL corticotropin 5 ML |
63004871001 MALLINCKRODT PH |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/06/2013 CHIP start: 02/06/2013 CSHCN start: 02/06/2013 |
| 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 |
| ACTIQ 600 MCG LOZENGE fentanyl citrate 30 EA |
63459050630 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 800 MCG LOZENGE fentanyl citrate 30 EA |
63459050830 TEVA USA ANALGESICS: NARCOTICS SHORT |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/29/2007 Medicaid end: 06/30/2024 CHIP start: 06/29/2007 CHIP end: 06/30/2024 CSHCN start: 06/29/2007 CSHCN end: 06/30/2024 |
| ACUVAIL 0.45% OPHTH SOLUTION ketorolac tromethamine/PF 30 EA |
00023350731 ALLERGAN INC. OPHTHALMICS: ANTI-INFLAMMATORIES |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 12/21/2021 CHIP start: 12/21/2021 CSHCN start: 12/21/2021 |
| ADALIMUMAB-ADAZ(CF) 40 MG SYRG adalimumab-adaz .4 ML |
61314032764 SANDOZ CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 02/13/2024 CHIP start: 02/13/2024 CSHCN start: 02/13/2024 |
| ADALIMUMAB-ADAZ(CF) PEN 40 MG adalimumab-adaz .4 ML |
61314032720 SANDOZ CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 02/13/2024 CHIP start: 02/13/2024 CSHCN start: 02/13/2024 |
| ADALIMUMAB-FKJP(CF) 20 MG SYRG adalimumab-fkjp 2 EA |
49502041702 MYLAN SPEC/BIOC CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 12/15/2023 CHIP start: 12/15/2023 CSHCN start: 12/15/2023 |