Displaying 76 - 100 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 |
|---|---|---|---|
| ADVAIR HFA 115-21 MCG INHALER fluticasone propion/salmeterol 8 GM |
00173071622 GLAXOSMITHKLINE GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: No |
Medicaid start: 01/14/2010 CHIP start: 01/14/2010 CSHCN start: 01/14/2010 HTWplus start: 09/01/2020 |
| ADVAIR HFA 230-21 MCG INHALER fluticasone propion/salmeterol 12 GM |
00173071720 GLAXOSMITHKLINE GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/27/2010 CHIP start: 08/27/2010 CSHCN start: 08/27/2010 HTWplus start: 09/01/2020 |
| ADVAIR HFA 230-21 MCG INHALER fluticasone propion/salmeterol 8 GM |
00173071722 GLAXOSMITHKLINE GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: No |
Medicaid start: 01/14/2010 CHIP start: 01/14/2010 CSHCN start: 01/14/2010 |
| ADVAIR HFA 45-21 MCG INHALER fluticasone propion/salmeterol 12 GM |
00173071520 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 |
| ADVAIR HFA 45-21 MCG INHALER fluticasone propion/salmeterol 8 GM |
00173071522 GLAXOSMITHKLINE GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: No |
Medicaid start: 01/14/2010 CHIP start: 01/14/2010 CSHCN start: 01/14/2010 HTWplus start: 09/01/2020 |
| ADZENYS XR-ODT 12.5 MG TABLET amphetamine 30 EA |
70165002030 NEOS BRANDS/AYT STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/20/2016 CHIP start: 07/20/2016 CSHCN start: 07/20/2016 |
| ADZENYS XR-ODT 15.7 MG TABLET amphetamine 30 EA |
70165002530 NEOS BRANDS/AYT STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/20/2016 CHIP start: 07/20/2016 CSHCN start: 07/20/2016 |
| ADZENYS XR-ODT 18.8 MG TABLET amphetamine 30 EA |
70165003030 NEOS BRANDS/AYT STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 08/03/2016 CHIP start: 08/03/2016 CSHCN start: 08/03/2016 |
| ADZENYS XR-ODT 3.1 MG TABLET amphetamine 30 EA |
70165000530 NEOS BRANDS/AYT STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/20/2016 CHIP start: 07/20/2016 CSHCN start: 07/20/2016 |
| ADZENYS XR-ODT 6.3 MG TABLET amphetamine 30 EA |
70165001030 NEOS BRANDS/AYT STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/20/2016 CHIP start: 07/20/2016 CSHCN start: 07/20/2016 |
| ADZENYS XR-ODT 9.4 MG TABLET amphetamine 30 EA |
70165001530 NEOS BRANDS/AYT STIMULANTS AND RELATED AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/20/2016 CHIP start: 07/20/2016 CSHCN start: 07/20/2016 |
| AIMOVIG 140 MG/ML AUTOINJECTOR erenumab-aooe 1 ML |
55513084301 AMGEN ANTIMIGRAINE AGENTS: OTHER |
FFS Clinical: Yes PDL: No |
Medicaid start: 07/30/2019 CHIP start: 07/30/2019 CSHCN start: 07/30/2019 |
| AIMOVIG 70 MG/ML AUTOINJECTOR erenumab-aooe 1 ML |
55513084101 AMGEN ANTIMIGRAINE AGENTS: OTHER |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/02/2018 CHIP start: 12/02/2018 CSHCN start: 12/02/2018 |
| AIRDUO DIGIHALER 113-14 MCG fluticasone propion/salmeterol 1 EA |
59310012906 TEVA SPECIALTY GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 04/27/2021 CHIP start: 04/27/2021 CSHCN start: 04/27/2021 |
| AIRDUO DIGIHALER 232-14 MCG fluticasone propion/salmeterol 1 EA |
59310013606 TEVA SPECIALTY GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 04/27/2021 CHIP start: 04/27/2021 CSHCN start: 04/27/2021 |
| AIRDUO DIGIHALER 55-14 MCG fluticasone propion/salmeterol 1 EA |
59310011106 TEVA SPECIALTY GLUCOCORTICOIDS: INHALED |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 04/27/2021 CHIP start: 04/27/2021 CSHCN start: 04/27/2021 |
| AJOVY 225 MG/1.5 ML AUTOINJECT fremanezumab-vfrm 1.5 ML |
51759020210 TEVA USA ANTIMIGRAINE AGENTS: OTHER |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/02/2021 CHIP start: 02/02/2021 CSHCN start: 02/02/2021 |
| AJOVY 225 MG/1.5 ML SYRINGE fremanezumab-vfrm 1.5 ML |
51759020410 TEVA USA ANTIMIGRAINE AGENTS: OTHER |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/12/2019 CHIP start: 02/12/2019 CSHCN start: 02/12/2019 |
| AKYNZEO 300-0.5 MG CAPSULE netupitant/palonosetron HCl 1 EA |
69639010101 HELSINN THERAPE ANTIEMETIC/ANTIVERTIGO AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/03/2017 CHIP start: 07/03/2017 CSHCN start: 07/03/2017 |
| ALA-HIST IR 2 MG TABLET dexbrompheniramine maleate 60 EA |
50991078360 POLY PHARMACEUT COUGH AND COLD: COLD |
FFS Clinical: Yes PDL: No |
Medicaid start: 09/01/2011 CSHCN start: 09/01/2011 |
| ALAHIST CF TABLET d-methorphan/pe/dexbromphenir 90 EA |
50991078490 POLY PHARMACEUT COUGH AND COLD: NON-NARCOTIC |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/11/2017 CSHCN start: 12/11/2017 |
| ALAHIST DM 2-15-7.5 MG/5 ML LQ d-methorphan/pe/dexbromphenir 473 ML |
50991082616 POLY PHARMACEUT COUGH AND COLD: NON-NARCOTIC |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/13/2016 Medicaid end: 04/30/2025 CSHCN start: 12/13/2016 CSHCN end: 04/30/2025 |
| ALAHIST PE 2-7.5 MG TABLET dexbrompheniramin/phenylephrin 90 EA |
50991078890 POLY PHARMACEUT COUGH AND COLD: COLD |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/15/2020 CSHCN start: 12/15/2020 |
| ALBUTEROL 2.5 MG/0.5 ML SOL albuterol sulfate 1 EA |
00487990130 NEPHRON CORP BRONCHODILATORS: BETA AGONIST |
FFS Clinical: Yes PDL: No |
Medicaid start: 08/16/2007 CHIP start: 08/16/2007 CSHCN start: 08/16/2007 HTWplus start: 09/01/2020 |
| ALBUTEROL HFA 90 MCG INHALER albuterol sulfate 6.7 GM |
00054074287 WEST-WARD/HIKMA BRONCHODILATORS: BETA AGONIST |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 03/30/2022 CHIP start: 03/30/2022 CSHCN start: 03/30/2022 |