Displaying 1 - 50 of 21948 records found. Return to search page.
Search results: Formulary Drugs
Brand Name/Generic Name NDC/Manufacturer PDL Class FFS Clinical Prior Auth Required PDL Prior Auth Requiredsort descending Programs
BUPRENORPHN-NALOXN 2-0.5 MG SL
buprenorphine HCl/naloxone HCl
50268014411
AVPAK
OPIATE DEPENDENCE TREATMENTS Yes No Medicaid, CHIP, CSHCN
DICLOFENAC SODIUM 3% GEL
diclofenac sodium
51672136307
TARO PHARM USA
Yes No Medicaid, CHIP, CSHCN
FELODIPINE ER 10 MG TABLET
felodipine
53489037001
MUTUAL PHARM CO
CALCIUM CHANNEL BLOCKERS No No Medicaid, CHIP, CSHCN, KHC, HTW
ATORVASTATIN 80 MG TABLET
atorvastatin calcium
59762015801
GREENSTONE LLC.
LIPOTROPICS: STATINS Yes No Medicaid, CHIP, CSHCN, HTW
FENTANYL 75 MCG/HR PATCH
fentanyl
60505708302
APOTEX CORP
ANALGESICS: NARCOTICS LONG Yes No Medicaid, CHIP, CSHCN
DEFERASIROX 90 MG TABLET
deferasirox
62332041030
ALEMBIC PHARMAC
No No Medicaid, CHIP, CSHCN
MUCINEX D ER 600-60 MG TABLET
guaifenesin/pseudoephedrne HCl
63824005718
RECKITT BENCKIS
COUGH AND COLD: COLD Yes No Medicaid, CSHCN
CLOZAPINE 200 MG TABLET
clozapine
00093440505
TEVA USA
ANTIPSYCHOTICS Yes No Medicaid, CHIP, CSHCN
MYSOLINE 50 MG TABLET
primidone
66490069010
VALEANT/BAUSCH
No No Medicaid, CHIP, CSHCN
OXYCODONE-ACETAMINOPHEN 10-325
oxycodone HCl/acetaminophen
68308048047
MAYNE PHARMA IN
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
NORETHIND-ETH ESTRAD 0.5-2.5
norethindrone ac-eth estradiol
68462065684
GLENMARK PHARMA
Yes No Medicaid, CHIP, CSHCN
LEVOTHYROXINE 150 MCG TABLET
levothyroxine sodium
69238183807
AMNEAL PHARMACE
No No Medicaid, CHIP, CSHCN
DILTIAZEM 24H ER(CD) 360 MG CP
diltiazem HCl
00228291809
ACTAVIS/TEVA
CALCIUM CHANNEL BLOCKERS No No Medicaid, CHIP, CSHCN
FENOFIBRATE 48 MG TABLET
fenofibrate nanocrystallized
00378306505
MYLAN
LIPOTROPICS: OTHER No No Medicaid, CHIP, CSHCN
TRIAMTERENE-HCTZ 37.5-25 MG TB
triamterene/hydrochlorothiazid
00591042405
ACTAVIS/TEVA
Yes No Medicaid, CHIP, CSHCN
ALLOPURINOL 100 MG TABLET
allopurinol
29300034910
UNICHEM PHARMAC
ANTIHYPERURICEMICS No No Medicaid, CHIP, CSHCN, KHC
TINIDAZOLE 500 MG TABLET
tinidazole
42799020801
EDENBRIDGE PHAR
ANTIBIOTICS: GI No No Medicaid, CHIP, CSHCN, HTW
PAROXETINE HCL 10 MG TABLET
paroxetine HCl
00904567661
MAJOR PHARMACEU
ANTIDEPRESSANTS: SSRIs Yes No Medicaid, CHIP, CSHCN
MIRTAZAPINE 30 MG TABLET
mirtazapine
13107000305
AUROBINDO PHARM
ANTIDEPRESSANTS: OTHER No No Medicaid, CHIP, CSHCN
NITROFURANTOIN MONO-MCR 100 MG
nitrofurantoin monohyd/m-cryst
16714043901
NORTHSTAR RX LL
No No Medicaid, CHIP, CSHCN
NIFEDIPINE ER 30 MG TABLET
nifedipine
50742062001
INGENUS PHARMAC
CALCIUM CHANNEL BLOCKERS Yes No Medicaid, CHIP, CSHCN
PRAVASTATIN SODIUM 40 MG TAB
pravastatin sodium
60505017007
APOTEX CORP
LIPOTROPICS: STATINS Yes No Medicaid, CHIP, CSHCN, KHC, HTW
SULFAMETHOXAZOLE-TMP DS TABLET
sulfamethoxazole/trimethoprim
61971012005
VISTA PHARMACEU
No No Medicaid, CHIP, CSHCN
RAMIPRIL 10 MG CAPSULE
ramipril
65862047705
AUROBINDO PHARM
ANGIOTENSIN MODULATORS No No Medicaid, CHIP, CSHCN, KHC, HTW
AMLODIPINE BESYLATE 5 MG TAB
amlodipine besylate
67877019810
ASCEND LABORATO
CALCIUM CHANNEL BLOCKERS Yes No Medicaid, CHIP, CSHCN, HTW
SERTRALINE HCL 25 MG TABLET
sertraline HCl
68180035106
LUPIN PHARMACEU
ANTIDEPRESSANTS: SSRIs Yes No Medicaid, CHIP, CSHCN, HTW
OXYCODONE HCL 30 MG TABLET
oxycodone HCl
68382079701
ZYDUS PHARMACEU
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
LAMOTRIGINE 100 MG TABLET
lamotrigine
69097014907
CIPLA USA, INC.
No No Medicaid, CHIP, CSHCN
DIAZEPAM 10 MG TABLET
diazepam
00172392770
TEVA USA
Yes No Medicaid, CHIP, CSHCN, HTWPlus
POTASSIUM CL 20 MEQ-0.45% NACL
potassium chloride-0.45% NaCl
00338070434
BAXTER HEALTHCA
No No Medicaid, CHIP, CSHCN
ACITRETIN 25 MG CAPSULE
acitretin
00378702393
MYLAN
No No Medicaid, CHIP, CSHCN
METOPROLOL SUCC ER 200 MG TAB
metoprolol succinate
00527260343
LANNETT CO. INC
BETA-BLOCKERS No No Medicaid, CHIP, CSHCN, KHC
VIRAMUNE XR 400 MG TABLET
nevirapine
00597012330
BOEHRINGER ING.
No No Medicaid, CHIP, CSHCN
CHILD CETIRIZINE HCL 1 MG/ML
cetirizine HCl
00904676520
MAJOR PHARMACEU
ANTIHISTAMINES: MINIMALLY SEDATING Yes No Medicaid, CSHCN
ATORVASTATIN 20 MG TABLET
atorvastatin calcium
16714087503
NORTHSTAR RX LL
LIPOTROPICS: STATINS Yes No Medicaid, CHIP, CSHCN, HTW
RIZATRIPTAN 10 MG TABLET
rizatriptan benzoate
33342008850
MACLEODS PHARMA
ANTIMIGRAINE AGENTS: TRIPTANS No No Medicaid, CHIP, CSHCN
LEVETIRACETAM 500 MG TABLET
levetiracetam
43547022215
SOLCO HEALTHCAR
No No Medicaid, CHIP, CSHCN
CEFTRIAXONE 1 GM VIAL
ceftriaxone sodium
44567070125
WG CRITICAL CAR
No No Medicaid, CHIP, CSHCN
PROPAFENONE HCL ER 225 MG CAP
propafenone HCl
49884011302
PAR PHARM.
No No Medicaid, CHIP, CSHCN
CYCLOBENZAPRINE 10 MG TABLET
cyclobenzaprine HCl
52817033200
TRUPHARMA, LLC.
SKELETAL MUSCLE RELAXANTS Yes No Medicaid, CHIP, CSHCN
WARFARIN SODIUM 2.5 MG TABLET
warfarin sodium
57237012101
RISING PHARM
ANTICOAGULANTS Yes No Medicaid, CHIP, CSHCN, HTWPlus
ZOLPIDEM TARTRATE 10 MG TABLET
zolpidem tartrate
63739052610
MCKESSON PACKAG
SEDATIVE HYPNOTICS Yes No Medicaid, CHIP, CSHCN
WARFARIN SODIUM 10 MG TABLET
warfarin sodium
65162076910
AMNEAL PHARMACE
ANTICOAGULANTS Yes No Medicaid, CHIP, CSHCN, KHC, HTWPlus
FINASTERIDE 1 MG TABLET
finasteride
65862092790
AUROBINDO PHARM
No No Medicaid, CHIP, CSHCN
QUETIAPINE FUMARATE 200 MG TAB
quetiapine fumarate
68001018203
BLUEPOINT LABOR
ANTIPSYCHOTICS Yes No Medicaid, CHIP, CSHCN
MIBELAS 24 FE CHEWABLE TABLET
norethindrone-e.estradiol-iron
68180091113
LUPIN PHARMACEU
No No Medicaid, CHIP, CSHCN, HTW
AZATHIOPRINE 50 MG TABLET
azathioprine
68462050201
GLENMARK PHARMA
IMMUNOSUPPRESSIVES: ORAL No No Medicaid, CHIP, CSHCN
NALOXONE 0.4 MG/ML VIAL
naloxone HCl
70069007101
SOMERSET THERAP
OPIATE DEPENDENCE TREATMENTS No No Medicaid, CHIP, CSHCN
ALPRAZOLAM 0.5 MG TABLET
alprazolam
00228202910
ACTAVIS/TEVA
Yes No Medicaid, CHIP, CSHCN
LEVOTHYROXINE 300 MCG TABLET
levothyroxine sodium
00378182177
MYLAN
No No Medicaid, CHIP, CSHCN