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Therapy Class:
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Below are the drugs we found that matched your search criteria.
DRUG NAME
TIER
NOTES
HALDOL INJ 5MG/ML
NF
HALDOL DECAN INJ 100MG/ML
NF
HALDOL DECAN INJ 50MG/ML
NF
HALFLYTELY KIT BWL-PREP
NF
HALFLYTELY KIT FLAV PKS
NF
HALOBETASOL CRE 0.05%
1
HALOBETASOL OIN 0.05%
1
HALOG CRE 0.1%
NF
HALOG OIN 0.1%
NF
HALOG SOL 0.1%
NF
HALOPER DEC INJ 100MG/ML
1
HALOPER DEC INJ 50MG/ML
1
HALOPER LAC INJ 5MG/ML
1
HALOPERIDOL CON 2MG/ML
1
HALOPERIDOL TAB 0.5MG
1
HALOPERIDOL TAB 10MG
1
HALOPERIDOL TAB 1MG
1
HALOPERIDOL TAB 20MG
1
HALOPERIDOL TAB 2MG
1
HALOPERIDOL TAB 5MG
1
HAVRIX INJ 1440UNIT
2
HAVRIX INJ 720UNIT
3
HC BUTYRATE CRE 0.1%
1
HC BUTYRATE OIN 0.1%
1
HC VALERATE CRE 0.2%
1
HC VALERATE OIN 0.2%
1
HECTOROL CAP 0.5MCG
3
HECTOROL CAP 2.5MCG
3
HECTOROL INJ 4MCG/2ML
3
HELIDAC MIS
3
HEP SOD/D5W INJ 100/ML
1
HEP SOD/D5W INJ 20000UNT
1
HEP SOD/D5W INJ 50UNT/ML
1
HEP SOD/NACL INJ 1000UNIT
1
HEP SOD/NACL INJ 2000UNIT
NF
HEP SOD/NACL INJ 25000UNT
1
HEP SOD/NACL INJ 25000UNT
1
HEPARIN SOD INJ 1000/ML
1
HEPARIN SOD INJ 10000/ML
1
HEPARIN SOD INJ 2000/ML
1
HEPARIN SOD INJ 20000/ML
1
HEPARIN SOD INJ 25000/ML
1
HEPARIN SOD INJ 5000/ML
1
HEPATAMINE SOL 8%
1
HEPATASOL INJ 8%
2
HEPSERA TAB 10MG
3
HERCEPTIN INJ 440MG
4
HEXALEN CAP 50MG
4
HIBTITER INJ
3
HIPREX TAB 1GM
NF
HUMALOG INJ 100/ML
2
HUMALOG KWIK INJ 100/ML
2
HUMALOG MIX INJ 50/50
2
HUMALOG MIX INJ 50/50KWP
2
HUMALOG MIX INJ 75/25KWP
2
HUMALOG MIX SUS 75/25
2
HUMALOG PEN INJ 100/ML
2
HUMALOG PEN INJ 50/50
2
HUMALOG PEN INJ 75/25
2
HUMATIN CAP 250MG
NF
HUMATROPE INJ 12MG
4
PA
HUMATROPE INJ 24MG
4
PA
HUMATROPE INJ 5MG
4
PA
HUMATROPE INJ 6MG
4
PA
HUMIRA KIT 40MG/0.8
4
QL
HUMIRA PEN KIT 40MG/0.8
4
QL
HUMIRA PEN KIT STARTER
4
QL
HUMULIN INJ 50/50
2
HUMULIN INJ 70/30
2
HUMULIN N INJ U-100
2
DRUG NAME
TIER
NOTES
HUMULIN N PN INJ U-100
2
HUMULIN PEN INJ 70/30
2
HUMULIN R INJ U-100
2
HUMULIN R INJ U-500
2
HYCAMTIN INJ 4MG
4
HYCET SOL 7.5-325
NF
HYDRALAZINE INJ 20MG/ML
1
HYDRALAZINE TAB 100MG
1
HYDRALAZINE TAB 10MG
1
HYDRALAZINE TAB 25MG
1
HYDRALAZINE TAB 50MG
1
HYDREA CAP 500MG
NF
HYDROCHLOROT CAP 12.5MG
1
HYDROCHLOROT TAB 12.5MG
1
HYDROCHLOROT TAB 25MG
1
HYDROCHLOROT TAB 50MG
1
HYDROCO/APAP SOL 10-325MG
NF
HYDROCO/APAP TAB 10-325MG
1
ST
HYDROCO/APAP TAB 10-325MG
1
ST
HYDROCO/APAP TAB 10-500MG
1
ST
HYDROCO/APAP TAB 10-500MG
1
ST
HYDROCO/APAP TAB 10-650MG
1
ST
HYDROCO/APAP TAB 10-750MG
1
ST
HYDROCO/APAP TAB 10/660MG
1
ST
HYDROCO/APAP TAB 2.5-500
1
ST
HYDROCO/APAP TAB 5-325MG
1
ST
HYDROCO/APAP TAB 5-500MG
1
ST
HYDROCO/APAP TAB 7.5-325
1
ST
HYDROCO/APAP TAB 7.5-500
1
ST
HYDROCO/APAP TAB 7.5-650
1
ST
HYDROCO/APAP TAB 7.5-750
1
ST
HYDROCOD/IBU TAB 7.5-200
1
ST
HYDROCODONE/ SOL APAP
1
ST
HYDROCORT CRE 1%
1
HYDROCORT CRE 2.5%
1
HYDROCORT ENE 100MG
1
HYDROCORT LOT 1%
1
HYDROCORT LOT 2.5%
1
HYDROCORT OIN 1%
1
HYDROCORT OIN 2.5%
1
HYDROCORT SOL BUTYRATE
1
HYDROCORT TAB 10MG
1
HYDROCORT TAB 20MG
1
HYDROCORT TAB 5MG
1
HYDROCORT/AB OIN 1%
1
HYDROMORPHON INJ 10MG/ML
1
ST
HYDROMORPHON INJ 50MG/5ML
1
ST
HYDROMORPHON TAB 2MG
1
ST
HYDROMORPHON TAB 4MG
1
ST
HYDROMORPHON TAB 8MG
1
ST
HYDROXYCHLOR TAB 200MG
1
HYDROXYUREA CAP 500MG
1
HYDROXYZ HCL INJ 25MG/ML
1
HYDROXYZ HCL INJ 50MG/ML
1
HYDROXYZ HCL SYP 10MG/5ML
1
HYDROXYZ HCL TAB 10MG
1
HYDROXYZ HCL TAB 25MG
1
HYDROXYZ HCL TAB 50MG
1
HYDROXYZ PAM CAP 100MG
1
PA
HYDROXYZ PAM CAP 25MG
1
PA
HYDROXYZ PAM CAP 50MG
1
PA
HYTONE CRE 2.5%
NF
HYTRIN CAP 10MG
NF
HYTRIN CAP 1MG
NF
HYTRIN CAP 2MG
NF
HYTRIN CAP 5MG
NF
HYZAAR TAB 100-12.5
NF
HYZAAR TAB 100-25
NF
HYZAAR TAB 50-12.5
NF
SP = Only Available through Specialty Pharmacy;
QL = Quantity Limit; PA = Prior Authorization; ST = Step Therapy; NF = Non-Formulary
Date Updated: 02/17/2010