Displaying 101 - 150 of 21959 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
ACETAMINOPHEN CONGST-PAIN CPLT
phenylephrine HCl/acetaminophn
00904676024
MAJOR PHARMACEU
COUGH AND COLD: COLD No Yes Medicaid, CSHCN
ACETAMINOPHEN ER 650 MG CAPLET
acetaminophen
00904688365
MAJOR PHARMACEU
No No Medicaid, CSHCN
ACETAMINOPHEN-COD #2 TABLET
acetaminophen with codeine
00093005001
TEVA USA
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #2 TABLET
acetaminophen with codeine
71930005412
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
ACETAMINOPHEN-COD #2 TABLET
acetaminophen with codeine
71930005452
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
ACETAMINOPHEN-COD #2 TABLET
acetaminophen with codeine
00406048301
MALLINCKRODT PH
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #2 TABLET
acetaminophen with codeine
00603233721
QUALITEST/PAR P
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #2 TABLET
acetaminophen with codeine
13107005801
AUROBINDO PHARM
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
51079016120
MYLAN INSTITUTI
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
00093015001
TEVA USA
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
00093015010
TEVA USA
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
65162003310
AMNEAL PHARMACE
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
65162003311
AMNEAL PHARMACE
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
71930005512
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
71930005552
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
00406048401
MALLINCKRODT PH
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
00406048410
MALLINCKRODT PH
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
00406048462
MALLINCKRODT PH
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
00603233821
QUALITEST/PAR P
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
00603233832
QUALITEST/PAR P
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
13107005901
AUROBINDO PHARM
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #3 TABLET
acetaminophen with codeine
13107005999
AUROBINDO PHARM
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
00093035001
TEVA USA
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
00093035005
TEVA USA
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
00093035010
TEVA USA
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
00406048501
MALLINCKRODT PH
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
00406048505
MALLINCKRODT PH
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
00603233921
QUALITEST/PAR P
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
00603233928
QUALITEST/PAR P
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
13107006001
AUROBINDO PHARM
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
13107006005
AUROBINDO PHARM
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
13107006099
AUROBINDO PHARM
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN, KHC
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
71930005612
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
ACETAMINOPHEN-COD #4 TABLET
acetaminophen with codeine
71930005652
EYWA PHARMA INC
ANALGESICS: NARCOTICS SHORT Yes No Medicaid, CHIP, CSHCN
ACETAMN-CAF-DIHYDRCODEIN 320.5
acetaminophen/caff/dihydrocod
42195084010
XSPIRE PHARMA
ANALGESICS: NARCOTICS SHORT Yes Yes Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 125 MG TABLET
acetazolamide
51672402201
TARO PHARM USA
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 125 MG TABLET
acetazolamide
64380083306
STRIDES PHARMA
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 125 MG TABLET
acetazolamide
70954003330
NOVITIUM PHARMA
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 125 MG TABLET
acetazolamide
71930000812
EYWA PHARMA INC
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 125 MG TABLET
acetazolamide
23155028701
HERITAGE PHARMA
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 250 MG TABLET
acetazolamide
51672402301
TARO PHARM USA
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 250 MG TABLET
acetazolamide
64380083406
STRIDES PHARMA
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 250 MG TABLET
acetazolamide
70954003430
NOVITIUM PHARMA
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 250 MG TABLET
acetazolamide
71930000912
EYWA PHARMA INC
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 250 MG TABLET
acetazolamide
00527105001
LANNETT CO. INC
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE 250 MG TABLET
acetazolamide
23155028801
HERITAGE PHARMA
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE ER 500 MG CAP
acetazolamide
50742023301
INGENUS PHARMAC
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE ER 500 MG CAP
acetazolamide
62332034931
ALEMBIC PHARMAC
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE ER 500 MG CAP
acetazolamide
70710159101
ZYDUS PHARMACEU
No No Medicaid, CHIP, CSHCN
ACETAZOLAMIDE ER 500 MG CAP
acetazolamide
23155012001
HERITAGE PHARMA
No No Medicaid, CHIP, CSHCN