All *ANTICONVULSANTS*

CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 200 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral
CarBAMazepine ER Capsule Extended Release 12 Hour 300 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Tablet Extended Release 12 Hour 100 MG Oral
CarBAMazepine ER Tablet Extended Release 12 Hour 100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
CarBAMazepine ER Tablet Extended Release 12 Hour 100 MG Oral
CarBAMazepine ER Tablet Extended Release 12 Hour 100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N