All *ANTIMALARIALS*

Arakoda Tablet 100 MG Oral
Arakoda Tablet 100 MG Oral

Tafenoquine Succinate

Tier: 3
PA Type: PA Applies
PA Group: Arakoda
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral
Atovaquone-Proguanil HCl Tablet 250-100 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl TABLET 62.5-25 MG Oral
Atovaquone-Proguanil HCl TABLET 62.5-25 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Atovaquone-Proguanil HCl TABLET 62.5-25 MG Oral
Atovaquone-Proguanil HCl TABLET 62.5-25 MG Oral

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