All *CEPHALOSPORINS*

Avycaz SOLUTION RECONSTITUTED 2.5 (2-0.5) GM Intravenous
Avycaz SOLUTION RECONSTITUTED 2.5 (2-0.5) GM Intravenous

Ceftazidime-Avibactam

Tier: 3
PA Type: No Prior Authorization
ST: N
Avycaz SOLUTION RECONSTITUTED 2.5 (2-0.5) GM Intravenous
Avycaz SOLUTION RECONSTITUTED 2.5 (2-0.5) GM Intravenous

Ceftazidime-Avibactam

Tier: 3
PA Type: No Prior Authorization
ST: N
Cefaclor Capsule 250 MG Oral
Cefaclor Capsule 250 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Cefaclor Capsule 250 MG Oral
Cefaclor Capsule 250 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Cefaclor Capsule 250 MG Oral
Cefaclor Capsule 250 MG Oral

Tier: 3
PA Type: No Prior Authorization
ST: N
Cefaclor Capsule 500 MG Oral
Cefaclor Capsule 500 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Cefaclor Capsule 500 MG Oral
Cefaclor Capsule 500 MG Oral

Tier: 1
PA Type: No Prior Authorization
ST: N
Cefaclor Capsule 500 MG Oral
Cefaclor Capsule 500 MG Oral

Tier: 3
PA Type: No Prior Authorization
ST: N
Cefaclor ER Tablet Extended Release 12 Hour 500 MG Oral
Cefaclor ER Tablet Extended Release 12 Hour 500 MG Oral

Tier: 3
PA Type: No Prior Authorization
ST: N
Cefaclor SUSPENSION RECONSTITUTED 125 MG/5ML Oral
Cefaclor SUSPENSION RECONSTITUTED 125 MG/5ML Oral

Tier: 3
PA Type: No Prior Authorization
ST: N
Cefaclor SUSPENSION RECONSTITUTED 125 MG/5ML Oral
Cefaclor SUSPENSION RECONSTITUTED 125 MG/5ML Oral

Tier: 3
PA Type: No Prior Authorization
ST: N
Cefaclor SUSPENSION RECONSTITUTED 250 MG/5ML Oral
Cefaclor SUSPENSION RECONSTITUTED 250 MG/5ML Oral

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