Displaying 51 - 100 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 Required Programs
ABIRATERONE ACETATE 250 MG TAB
abiraterone acetate
72205003092
NOVADOZ PHARMAC
No No Medicaid, CHIP, CSHCN
ABIRATERONE ACETATE 250 MG TAB
abiraterone acetate
72606056601
CELLTRION USA,
No No Medicaid, CHIP, CSHCN
ABIRATERONE ACETATE 250 MG TAB
abiraterone acetate
00143959721
WEST-WARD/HIKMA
No No Medicaid, CHIP, CSHCN
ABIRATERONE ACETATE 250 MG TAB
abiraterone acetate
00378692078
MYLAN
No No Medicaid, CHIP, CSHCN
ABSORICA 10 MG CAPSULE
isotretinoin
10631011531
SUN PHARMACEUTI
ACNE AGENTS: ORAL No Yes Medicaid, CHIP, CSHCN
ABSORICA 20 MG CAPSULE
isotretinoin
10631011631
SUN PHARMACEUTI
ACNE AGENTS: ORAL No Yes Medicaid, CHIP, CSHCN
ABSORICA 30 MG CAPSULE
isotretinoin
10631011731
SUN PHARMACEUTI
ACNE AGENTS: ORAL No Yes Medicaid, CHIP, CSHCN
ABSORICA 40 MG CAPSULE
isotretinoin
10631011831
SUN PHARMACEUTI
ACNE AGENTS: ORAL No Yes Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
51079024106
MYLAN INSTITUTI
No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
00093535286
TEVA USA
No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
68382056928
ZYDUS PHARMACEU
No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
68462043518
GLENMARK PHARMA
No No Medicaid, CHIP, CSHCN
ACAMPROSATE CALC DR 333 MG TAB
acamprosate calcium
00378633380
MYLAN
No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
47781034201
ALVOGEN INC
No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
64380076006
STRIDES PHARMA
No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
69543012210
VIRTUS PHARMACE
No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
69543012211
VIRTUS PHARMACE
No No Medicaid, CHIP, CSHCN
ACARBOSE 100 MG TABLET
acarbose
00054014225
ROXANE/WEST-WAR
No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
47781034001
ALVOGEN INC
No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
64380075806
STRIDES PHARMA
No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
69543012010
VIRTUS PHARMACE
No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
69543012011
VIRTUS PHARMACE
No No Medicaid, CHIP, CSHCN
ACARBOSE 25 MG TABLET
acarbose
00054014025
ROXANE/WEST-WAR
No No Medicaid, CHIP, CSHCN
ACARBOSE 50 MG TABLET
acarbose
47781034101
ALVOGEN INC
No No Medicaid, CHIP, CSHCN
ACARBOSE 50 MG TABLET
acarbose
64380075906
STRIDES PHARMA
No No Medicaid, CHIP, CSHCN
ACARBOSE 50 MG TABLET
acarbose
69543012110
VIRTUS PHARMACE
No No Medicaid, CHIP, CSHCN
ACARBOSE 50 MG TABLET
acarbose
69543012111
VIRTUS PHARMACE
No No Medicaid, CHIP, CSHCN
ACARBOSE 50 MG TABLET
acarbose
00054014125
ROXANE/WEST-WAR
No No Medicaid, CHIP, CSHCN
ACCUPRIL 10 MG TABLET
quinapril HCl
00071053023
PFIZER US PHARM
ANGIOTENSIN MODULATORS No Yes Medicaid, CHIP, CSHCN, KHC
ACCUPRIL 10 MG TABLET
quinapril HCl
00071053040
PFIZER US PHARM
ANGIOTENSIN MODULATORS No Yes Medicaid, CHIP, CSHCN, KHC
ACCUPRIL 20 MG TABLET
quinapril HCl
00071053223
PFIZER US PHARM
ANGIOTENSIN MODULATORS No Yes Medicaid, CHIP, CSHCN, KHC
ACCUPRIL 20 MG TABLET
quinapril HCl
00071053240
PFIZER US PHARM
ANGIOTENSIN MODULATORS No Yes Medicaid, CHIP, CSHCN, KHC
ACCUPRIL 40 MG TABLET
quinapril HCl
00071053523
PFIZER US PHARM
ANGIOTENSIN MODULATORS No Yes Medicaid, CHIP, CSHCN, KHC
ACCUPRIL 5 MG TABLET
quinapril HCl
00071052723
PFIZER US PHARM
ANGIOTENSIN MODULATORS No Yes Medicaid, CHIP, CSHCN, KHC
ACCURETIC 10-12.5 MG TABLET
quinapril/hydrochlorothiazide
00071022223
PFIZER US PHARM
ANGIOTENSIN MODULATORS Yes Yes Medicaid, CHIP, CSHCN
ACCURETIC 20-12.5 MG TABLET
quinapril/hydrochlorothiazide
00071022023
PFIZER US PHARM
ANGIOTENSIN MODULATORS Yes Yes Medicaid, CHIP, CSHCN
ACCURETIC 20-25 MG TABLET
quinapril/hydrochlorothiazide
00071022323
PFIZER US PHARM
ANGIOTENSIN MODULATORS Yes Yes Medicaid, CHIP, CSHCN
ACEBUTOLOL 200 MG CAPSULE
acebutolol HCl
53746066901
AMNEAL PHARMACE
BETA-BLOCKERS No No Medicaid, CHIP, CSHCN, KHC
ACEBUTOLOL 200 MG CAPSULE
acebutolol HCl
65162066910
AMNEAL PHARMACE
BETA-BLOCKERS No No Medicaid, CHIP, CSHCN, KHC
ACEBUTOLOL 200 MG CAPSULE
acebutolol HCl
00378120001
MYLAN
BETA-BLOCKERS No No Medicaid, CHIP, CSHCN, KHC
ACEBUTOLOL 400 MG CAPSULE
acebutolol HCl
53746067001
AMNEAL PHARMACE
BETA-BLOCKERS No No Medicaid, CHIP, CSHCN, KHC
ACEBUTOLOL 400 MG CAPSULE
acebutolol HCl
00378140001
MYLAN
BETA-BLOCKERS No No Medicaid, CHIP, CSHCN, KHC
ACETAMINOP-CODEINE 120-12 MG/5
acetaminophen with codeine
50383007916
HI-TECH/AKORN C
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
ACETAMINOP-CODEINE 120-12 MG/5
acetaminophen with codeine
60432024516
MORTON GROVE PH
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOP-CODEINE 120-12 MG/5
acetaminophen with codeine
00121050404
PHARMACEUTICAL
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOP-CODEINE 120-12 MG/5
acetaminophen with codeine
00121050416
PHARMACEUTICAL
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN 120 MG SUPPOS
acetaminophen
45802073230
PERRIGO CO.
No No Medicaid, CSHCN
ACETAMINOPHEN 120 MG SUPPOS
acetaminophen
45802073233
PERRIGO CO.
No No Medicaid, CSHCN
ACETAMINOPHEN 325 MG TABLET
acetaminophen
63739044001
MCKESSON PACKAG
No No Medicaid, CSHCN
ACETAMINOPHEN 650 MG SUPPOS
acetaminophen
45802073030
PERRIGO CO.
No No Medicaid, CSHCN