All *ANTIPSYCHOTICS/ANTIMANIC AGENTS*

Adasuve Aerosol Powder Breath Activated 10 MG Inhalation
Adasuve Aerosol Powder Breath Activated 10 MG Inhalation

Loxapine

Tier: 3
PA Type: No Prior Authorization
ST: N
Adasuve Aerosol Powder Breath Activated 10 MG Inhalation
Adasuve Aerosol Powder Breath Activated 10 MG Inhalation

Loxapine

Tier: 3
PA Type: No Prior Authorization
ST: N
ARIPiprazole Solution 1 MG/ML Oral
ARIPiprazole Solution 1 MG/ML Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
ARIPiprazole Solution 1 MG/ML Oral
ARIPiprazole Solution 1 MG/ML Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
ARIPiprazole Solution 1 MG/ML Oral
ARIPiprazole Solution 1 MG/ML Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
ARIPiprazole Solution 1 MG/ML Oral
ARIPiprazole Solution 1 MG/ML Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
ARIPiprazole Solution 1 MG/ML Oral
ARIPiprazole Solution 1 MG/ML Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
ARIPiprazole Tablet 10 MG Oral
ARIPiprazole Tablet 10 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
ARIPiprazole Tablet 10 MG Oral
ARIPiprazole Tablet 10 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
ARIPiprazole Tablet 10 MG Oral
ARIPiprazole Tablet 10 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
ARIPiprazole Tablet 10 MG Oral
ARIPiprazole Tablet 10 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
ARIPiprazole Tablet 10 MG Oral
ARIPiprazole Tablet 10 MG Oral

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