Displaying 1 - 50 of 21292 records found.
Search results: Formulary Drugs
Brand Name/Generic Name NDC PDL Class FFS Clinical Prior Auth Required PDL Prior Auth Required Programs
12-HR DECONGEST 120 MG CAPLET
pseudoephedrine HCl
37205044652 NOT ASSIGNED No No Medicaid, CSHCN
ABACAVIR 20 MG/ML SOLUTION
abacavir sulfate
31722056224 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
00378410591 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
00904652304 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
00904652306 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
31722055760 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
51079020406 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
60505358306 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
65862007360 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR 300 MG TABLET
abacavir sulfate
69097051403 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
00093538256 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
65862090030 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
66993048230 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE 600-300 MG
abacavir sulfate/lamivudine
68180028806 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABACAVIR-LAMIVUDINE-ZIDOV TAB
abacavir/lamivudine/zidovudine
68180028607 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ABELCET 100 MG/20 ML VIAL
amphotericin B lipid complex
57665010141 NOT ASSIGNED 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 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
00378633380 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
51079024106 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
68382056928 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
68462043518 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
00054014225 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
00115115201 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
00115115202 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
16252052501 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
23155014901 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
23155014905 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
23155014910 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
47781034201 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
64380076006 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
69543012210 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
69543012211 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
00054014025 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
00115115001 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
00115115002 NOT ASSIGNED No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
16252052301 NOT ASSIGNED No No Medicaid, CHIP, CSHCN