Displaying 1 - 50 of 21175 records found. Return to search page.
Search results: Formulary Drugs
Brand Name/Generic Name NDC PDL Class FFS Clinical Prior Auth Required PDL Prior Auth Required Programs
ABACAVIR 20 MG/ML SOLUTION
abacavir sulfate
31722056224 No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
00378410591 No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
00904652304 No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
00904652306 No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
31722055760 No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
51079020406 No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
60505358306 No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
65862007360 No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
69097051403 No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
00093538256 No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
65862090030 No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
66993048230 No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
68180028806 No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE-ZIDOV TAB
abacavir/lamivudine/zidovudine
68180028607 No No Medicaid, CHIP, CSHCN
ABELCET 100 MG/20 ML VIAL
amphotericin B lipid complex
57665010141 No No Medicaid, CHIP, CSHCN
ABILIFY 10 MG TABLET
aripiprazole
59148000813 ANTIPSYCHOTICS Yes Yes Medicaid, CHIP, CSHCN
ABILIFY 15 MG TABLET
aripiprazole
59148000913 ANTIPSYCHOTICS Yes Yes Medicaid, CHIP, CSHCN
ABILIFY 2 MG TABLET
aripiprazole
59148000613 ANTIPSYCHOTICS Yes Yes Medicaid, CHIP, CSHCN
ABILIFY 20 MG TABLET
aripiprazole
59148001013 ANTIPSYCHOTICS Yes Yes Medicaid, CHIP, CSHCN
ABILIFY 30 MG TABLET
aripiprazole
59148001113 ANTIPSYCHOTICS Yes Yes Medicaid, CHIP, CSHCN
ABILIFY 5 MG TABLET
aripiprazole
59148000713 ANTIPSYCHOTICS Yes Yes Medicaid, CHIP, CSHCN
ABILIFY MAINTENA ER 300 MG SYR
aripiprazole
59148004580 ANTIPSYCHOTICS Yes No Medicaid, CHIP, CSHCN
ABILIFY MAINTENA ER 300 MG VL
aripiprazole
59148001871 ANTIPSYCHOTICS Yes No Medicaid, CHIP, CSHCN
ABILIFY MAINTENA ER 400 MG SYR
aripiprazole
59148007280 ANTIPSYCHOTICS Yes No Medicaid, CHIP, CSHCN
ABILIFY MAINTENA ER 400 MG VL
aripiprazole
59148001971 ANTIPSYCHOTICS Yes No Medicaid, CHIP, CSHCN
ABSORICA 10 MG CAPSULE
isotretinoin
10631011531 ACNE AGENTS: ORAL No Yes Medicaid, CHIP, CSHCN
ABSORICA 20 MG CAPSULE
isotretinoin
10631011631 ACNE AGENTS: ORAL No Yes Medicaid, CHIP, CSHCN
ABSORICA 30 MG CAPSULE
isotretinoin
10631011731 ACNE AGENTS: ORAL No Yes Medicaid, CHIP, CSHCN
ABSORICA 40 MG CAPSULE
isotretinoin
10631011831 ACNE AGENTS: ORAL No Yes Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
00093535286 No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
00378633380 No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
51079024106 No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
68382056928 No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
68462043518 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
00054014225 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
00115115201 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
00115115202 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
16252052501 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
23155014901 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
23155014905 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
23155014910 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
47781034201 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
64380076006 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
69543012210 No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
69543012211 No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
00054014025 No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
00115115001 No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
00115115002 No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
16252052301 No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
23155014701 No No Medicaid, CHIP, CSHCN