Displaying 1 - 3 of 3 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 |
|---|---|---|---|
| ENEMEEZ MINI ENEMA docusate sodium 5 ML |
17433987603 ALLIANCE LABS, |
FFS Clinical: No PDL: No |
Medicaid start: 09/07/2015 CSHCN start: 09/07/2015 |
| ENEMEEZ PLUS MINI ENEMA docusate sodium/benzocaine 5 ML |
17433987703 ALLIANCE LABS, |
FFS Clinical: No PDL: No |
Medicaid start: 09/07/2015 CSHCN start: 09/07/2015 |
| ENEMEEZ PLUS MINI ENEMA docusate sodium/benzocaine 5 ML |
17433987705 ENEMEEZ, INC. |
FFS Clinical: No PDL: No |
Medicaid start: 02/01/2024 CSHCN start: 02/01/2024 |