Displaying 8101 - 8125 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 |
|---|---|---|---|
| XARELTO 15 MG TABLET rivaroxaban 30 EA |
50458057830 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 11/17/2011 CHIP start: 11/17/2011 CSHCN start: 11/17/2011 HTWplus start: 09/01/2020 |
| XARELTO 15 MG TABLET rivaroxaban 90 EA |
50458057890 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 11/17/2011 CHIP start: 11/17/2011 CSHCN start: 11/17/2011 HTWplus start: 09/01/2020 |
| XARELTO 2.5 MG TABLET rivaroxaban 100 EA |
50458057710 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/28/2018 CHIP start: 12/28/2018 CSHCN start: 12/28/2018 |
| XARELTO 2.5 MG TABLET rivaroxaban 180 EA |
50458057718 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/28/2018 CHIP start: 12/28/2018 CSHCN start: 12/28/2018 |
| XARELTO 2.5 MG TABLET rivaroxaban 60 EA |
50458057760 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/28/2018 CHIP start: 12/28/2018 CSHCN start: 12/28/2018 |
| XARELTO 20 MG TABLET rivaroxaban 100 EA |
50458057910 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 11/17/2011 CHIP start: 11/17/2011 CSHCN start: 11/17/2011 |
| XARELTO 20 MG TABLET rivaroxaban 30 EA |
50458057930 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 11/17/2011 CHIP start: 11/17/2011 CSHCN start: 11/17/2011 HTWplus start: 09/01/2020 |
| XARELTO 20 MG TABLET rivaroxaban 1000 EA |
50458057989 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 05/29/2019 CHIP start: 05/29/2019 CSHCN start: 05/29/2019 |
| XARELTO 20 MG TABLET rivaroxaban 90 EA |
50458057990 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 11/17/2011 CHIP start: 11/17/2011 CSHCN start: 11/17/2011 HTWplus start: 09/01/2020 |
| XARELTO DVT-PE TREAT START 30D rivaroxaban 51 EA |
50458058451 JANSSEN PHARM. ANTICOAGULANTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/08/2014 CHIP start: 12/08/2014 CSHCN start: 12/08/2014 HTWplus start: 09/01/2020 |
| XELJANZ 1 MG/ML SOLUTION tofacitinib citrate 240 ML |
00069102902 PFIZER US PHARM CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/21/2021 CHIP start: 09/21/2021 CSHCN start: 09/21/2021 |
| XELJANZ 10 MG TABLET tofacitinib citrate 60 EA |
00069100201 PFIZER US PHARM CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/29/2018 CHIP start: 11/29/2018 CSHCN start: 11/29/2018 |
| XELJANZ 5 MG TABLET tofacitinib citrate 60 EA |
00069100101 PFIZER US PHARM CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 02/11/2013 CHIP start: 02/11/2013 CSHCN start: 02/11/2013 |
| XELJANZ XR 11 MG TABLET tofacitinib citrate 30 EA |
00069050130 PFIZER US PHARM CYTOKINE AND CAM ANTAGONISTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 07/17/2017 CHIP start: 07/17/2017 CSHCN start: 07/17/2017 |
| XENAZINE 12.5 MG TABLET tetrabenazine 112 EA |
67386042101 LUNDBECK INC. MOVEMENT DISORDERS |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/08/2008 CHIP start: 12/08/2008 CSHCN start: 12/08/2008 |
| XENAZINE 25 MG TABLET tetrabenazine 112 EA |
67386042201 LUNDBECK INC. MOVEMENT DISORDERS |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/08/2008 CHIP start: 12/08/2008 CSHCN start: 12/08/2008 |
| XIFAXAN 200 MG TABLET rifaximin 30 EA |
65649030103 SALIX PHARMACEU ANTIBIOTICS: GI |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 01/07/2008 CHIP start: 01/07/2008 CSHCN start: 01/07/2008 |
| XIFAXAN 550 MG TABLET rifaximin 60 EA |
65649030302 SALIX PHARMACEU ANTIBIOTICS: GI |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 05/25/2010 CHIP start: 05/25/2010 CSHCN start: 05/25/2010 |
| XIGDUO XR 10 MG-1,000 MG TAB dapaglifloz propaned/metformin 30 EA |
00310628030 ASTRAZENECA HYPOGLYCEMICS: SGLT2 |
FFS Clinical: Yes PDL: No |
Medicaid start: 01/09/2015 CHIP start: 01/09/2015 CSHCN start: 01/09/2015 |
| XIGDUO XR 10 MG-500 MG TABLET dapaglifloz propaned/metformin 30 EA |
00310627030 ASTRAZENECA HYPOGLYCEMICS: SGLT2 |
FFS Clinical: Yes PDL: No |
Medicaid start: 01/09/2015 CHIP start: 01/09/2015 CSHCN start: 01/09/2015 |
| XIGDUO XR 5 MG-1,000 MG TABLET dapaglifloz propaned/metformin 60 EA |
00310626060 ASTRAZENECA HYPOGLYCEMICS: SGLT2 |
FFS Clinical: Yes PDL: No |
Medicaid start: 01/09/2015 CHIP start: 01/09/2015 CSHCN start: 01/09/2015 |
| XIGDUO XR 5 MG-500 MG TABLET dapaglifloz propaned/metformin 30 EA |
00310625030 ASTRAZENECA HYPOGLYCEMICS: SGLT2 |
FFS Clinical: Yes PDL: No |
Medicaid start: 01/09/2015 CHIP start: 01/09/2015 CSHCN start: 01/09/2015 |
| XOPENEX HFA 45 MCG INHALER levalbuterol tartrate 15 GM |
63402051001 SUNOVION-SUMITO BRONCHODILATORS: BETA AGONIST |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/13/2005 CHIP start: 12/13/2005 CSHCN start: 12/13/2005 |
| XOPENEX HFA 45 MCG INHALER levalbuterol tartrate 15 GM |
27437005601 LUPIN PHARMACEU BRONCHODILATORS: BETA AGONIST |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/26/2024 CHIP start: 02/26/2024 CSHCN start: 02/26/2024 |
| XTAMPZA ER 13.5 MG CAPSULE oxycodone myristate 100 EA |
24510011510 COLLEGIUM PHARM ANALGESICS: NARCOTICS LONG |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/21/2016 CHIP start: 12/21/2016 CSHCN start: 12/21/2016 |