Search Results: Formulary Products

Name/Package Size	NDC/Manufacturer	Product Group	Program(s)
HYDRATION MULTIPLIER POWDR PKT - 6EA 6 EA	50021047447 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER POWDR PKT - 15EA 15 EA	50021047494 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER POWDR PKT - 6EA 6 EA	50039028641 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER SF PWD PK - 6EA 6 EA	50039028659 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER SF PWD PK - 6EA 6 EA	50039028660 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER SF PWD PK - 6EA 6 EA	50039028664 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER POWDR PKT - 6EA 6 EA	51741000833 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER POWDR PKT - 6EA 6 EA	51741000883 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER POWDR PKT - 6EA 6 EA	51741000894 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER POWDR PKT - 6EA 6 EA	63737000016 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
HYDRATION MULTIPLIER POWDR PKT - 6EA 6 EA	10125097069 LIQUID I.V.	Oral Electrolyte	Medicaid CHIP CSHCN
SELENIUM 200 MCG TABLET - 60EA 60 EA	11845012495 MASON DISTRIB.		Medicaid CSHCN
INSUPEN PEN NEEDLE 32G 6MM - 100EA 100 EA	12383003044 PIKDARE S.P.A.	Insulin Needles	Medicaid CHIP CSHCN KHC
AEROCHAMBER2GO - 1EA 1 EA	04351050612 MONAGHAN MEDICA	Aerosol Chamber	Medicaid CHIP CSHCN
BIOPETIT 790 MG/15 ML LIQUID - 473ML 473 ML	45737023816 ADVANCED GENERI		Medicaid CSHCN
CENTRUM MEN'S TABLET - 100EA 100 EA	00573655471 PF-GSK-HALEON		Medicaid CSHCN
CENTRUM MEN'S TABLET - 250EA 250 EA	00573887830 PF-GSK-HALEON		Medicaid CSHCN
CENTRUM WOMEN TABLET - 65EA 65 EA	00573475565 PF-GSK-HALEON		Medicaid CSHCN
CENTRUM WOMEN TABLET - 200EA 200 EA	00573475571 PF-GSK-HALEON		Medicaid CSHCN
CENTRUM SILVER WOMEN TABLET - 40EA 40 EA	00573475630 PF-GSK-HALEON		Medicaid CSHCN
CENTRUM SILVER WOMEN TABLET - 200EA 200 EA	00573475671 PF-GSK-HALEON		Medicaid CSHCN
CENTRUM MEN'S TABLET - 65EA 65 EA	00573475765 PF-GSK-HALEON		Medicaid CSHCN
VITAMIN B COMPLEX TABLET - 100EA 100 EA	57896080901 GERI-CARE		Medicaid CSHCN
GNP CENTURY MATURE FORMULA TAB - 300EA 300 EA	87701043241 AMERISOURCE-GNP		Medicaid CSHCN
GNP CENTURY MATURE FORMULA TAB - 125EA 125 EA	87701043242 AMERISOURCE-GNP		Medicaid CSHCN

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