Displaying 51 - 75 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 |
|---|---|---|---|
| ADALIMUMAB-FKJP(CF) 40 MG SYRG adalimumab-fkjp 2 EA |
49502041802 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 |
| ADALIMUMAB-FKJP(CF) PEN 40 MG adalimumab-fkjp 2 EA |
49502041602 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 |
| ADCIRCA 20 MG TABLET tadalafil 60 EA |
66302046760 ELI LILLY & CO. PAH AGENTS: ORAL AND INHALED |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/01/2009 CHIP start: 12/01/2009 CSHCN start: 12/01/2009 |
| ADDERALL 10 MG TABLET dextroamphetamine/amphetamine 100 EA |
57844011001 TEVA USA STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/06/2014 CHIP start: 03/06/2014 CSHCN start: 03/06/2014 |
| ADDERALL 12.5 MG TABLET dextroamphetamine/amphetamine 100 EA |
57844011201 TEVA USA STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 10/28/2014 CHIP start: 10/28/2014 CSHCN start: 10/28/2014 |
| ADDERALL 15 MG TABLET dextroamphetamine/amphetamine 100 EA |
57844011501 TEVA USA STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 10/28/2014 CHIP start: 10/28/2014 CSHCN start: 10/28/2014 |
| ADDERALL 20 MG TABLET dextroamphetamine/amphetamine 100 EA |
57844012001 TEVA USA STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/06/2014 CHIP start: 03/06/2014 CSHCN start: 03/06/2014 |
| ADDERALL 30 MG TABLET dextroamphetamine/amphetamine 100 EA |
57844013001 TEVA USA STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/06/2014 CHIP start: 03/06/2014 CSHCN start: 03/06/2014 |
| ADDERALL 5 MG TABLET dextroamphetamine/amphetamine 100 EA |
57844010501 TEVA USA STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/18/2015 CHIP start: 02/18/2015 CSHCN start: 02/18/2015 |
| ADDERALL 7.5 MG TABLET dextroamphetamine/amphetamine 100 EA |
57844011701 TEVA USA STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 05/26/2015 CHIP start: 05/26/2015 CSHCN start: 05/26/2015 |
| ADDERALL XR 10 MG CAPSULE dextroamphetamine/amphetamine 100 EA |
54092038301 TAKEDA PHARMACE STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 10/05/2009 CHIP start: 10/05/2009 CSHCN start: 10/05/2009 |
| ADDERALL XR 15 MG CAPSULE dextroamphetamine/amphetamine 100 EA |
54092038501 TAKEDA PHARMACE STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 10/05/2009 CHIP start: 10/05/2009 CSHCN start: 10/05/2009 |
| ADDERALL XR 20 MG CAPSULE dextroamphetamine/amphetamine 100 EA |
54092038701 TAKEDA PHARMACE STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 10/05/2009 CHIP start: 10/05/2009 CSHCN start: 10/05/2009 |
| ADDERALL XR 25 MG CAPSULE dextroamphetamine/amphetamine 100 EA |
54092038901 TAKEDA PHARMACE STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 10/05/2009 CHIP start: 10/05/2009 CSHCN start: 10/05/2009 |
| ADDERALL XR 30 MG CAPSULE dextroamphetamine/amphetamine 100 EA |
54092039101 TAKEDA PHARMACE STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 10/06/2009 CHIP start: 10/06/2009 CSHCN start: 10/06/2009 |
| ADDERALL XR 5 MG CAPSULE dextroamphetamine/amphetamine 100 EA |
54092038101 TAKEDA PHARMACE STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 10/05/2009 CHIP start: 10/05/2009 CSHCN start: 10/05/2009 |
| ADEMPAS 0.5 MG TABLET riociguat 90 EA |
50419025001 BAYER,PHARM DIV PAH AGENTS: ORAL AND INHALED |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/08/2013 CHIP start: 11/08/2013 CSHCN start: 11/08/2013 |
| ADEMPAS 1 MG TABLET riociguat 90 EA |
50419025101 BAYER,PHARM DIV PAH AGENTS: ORAL AND INHALED |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/08/2013 CHIP start: 11/08/2013 CSHCN start: 11/08/2013 |
| ADEMPAS 1.5 MG TABLET riociguat 90 EA |
50419025201 BAYER,PHARM DIV PAH AGENTS: ORAL AND INHALED |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/08/2013 CHIP start: 11/08/2013 CSHCN start: 11/08/2013 |
| ADEMPAS 2 MG TABLET riociguat 90 EA |
50419025301 BAYER,PHARM DIV PAH AGENTS: ORAL AND INHALED |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/08/2013 CHIP start: 11/08/2013 CSHCN start: 11/08/2013 |
| ADEMPAS 2.5 MG TABLET riociguat 90 EA |
50419025401 BAYER,PHARM DIV PAH AGENTS: ORAL AND INHALED |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/08/2013 CHIP start: 11/08/2013 CSHCN start: 11/08/2013 |
| ADVAIR 100-50 DISKUS fluticasone propion/salmeterol 60 EA |
00173069500 GLAXOSMITHKLINE GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 HTWplus start: 09/01/2020 |
| ADVAIR 250-50 DISKUS fluticasone propion/salmeterol 60 EA |
00173069600 GLAXOSMITHKLINE GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 HTWplus start: 09/01/2020 |
| ADVAIR 500-50 DISKUS fluticasone propion/salmeterol 60 EA |
00173069700 GLAXOSMITHKLINE GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: No |
Medicaid start: 03/01/2002 CHIP start: 03/01/2002 CSHCN start: 03/01/2002 HTWplus start: 09/01/2020 |
| ADVAIR HFA 115-21 MCG INHALER fluticasone propion/salmeterol 12 GM |
00173071620 GLAXOSMITHKLINE GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/18/2008 CHIP start: 12/18/2008 CSHCN start: 12/18/2008 HTWplus start: 09/01/2020 |