All *ANTIASTHMATIC AND BRONCHODILATOR AGENTS*

Zafirlukast Tablet 20 MG Oral
Zafirlukast Tablet 20 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Zafirlukast Tablet 20 MG Oral
Zafirlukast Tablet 20 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Zafirlukast Tablet 20 MG Oral
Zafirlukast Tablet 20 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Zafirlukast Tablet 20 MG Oral
Zafirlukast Tablet 20 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral
Zileuton ER Tablet Extended Release 12 Hour 600 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Zyflo TABLET 600 MG ORAL
Zyflo TABLET 600 MG ORAL

Zileuton

Tier: 3
PA Type: No Prior Authorization
ST: N