All *CEPHALOSPORINS*

Cefaclor SUSPENSION RECONSTITUTED 250 MG/5ML Oral
Cefaclor SUSPENSION RECONSTITUTED 250 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
Cefaclor SUSPENSION RECONSTITUTED 375 MG/5ML Oral
Cefaclor SUSPENSION RECONSTITUTED 375 MG/5ML Oral

Tier: 3
PA Type: No Prior Authorization
ST: N
Cefaclor SUSPENSION RECONSTITUTED 375 MG/5ML Oral
Cefaclor SUSPENSION RECONSTITUTED 375 MG/5ML Oral

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

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

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

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

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

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

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

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

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