All *CEPHALOSPORINS*

Tazicef Solution Reconstituted 1 GM Intravenous
Tazicef Solution Reconstituted 1 GM Intravenous

CefTAZidime

Tier: 3
PA Type: No Prior Authorization
ST: N
Tazicef Solution Reconstituted 2 GM Injection
Tazicef Solution Reconstituted 2 GM Injection

CefTAZidime

Tier: 1
PA Type: No Prior Authorization
ST: N
Tazicef Solution Reconstituted 2 GM Injection
Tazicef Solution Reconstituted 2 GM Injection

CefTAZidime

Tier: 1
PA Type: No Prior Authorization
ST: N
Tazicef Solution Reconstituted 2 GM Intravenous
Tazicef Solution Reconstituted 2 GM Intravenous

CefTAZidime

Tier: 3
PA Type: No Prior Authorization
ST: N
Tazicef Solution Reconstituted 2 GM Intravenous
Tazicef Solution Reconstituted 2 GM Intravenous

CefTAZidime

Tier: 3
PA Type: No Prior Authorization
ST: N
Tazicef Solution Reconstituted 6 GM Injection
Tazicef Solution Reconstituted 6 GM Injection

CefTAZidime

Tier: 1
PA Type: No Prior Authorization
ST: N
Tazicef Solution Reconstituted 6 GM Injection
Tazicef Solution Reconstituted 6 GM Injection

CefTAZidime

Tier: 1
PA Type: No Prior Authorization
ST: N
Teflaro SOLUTION RECONSTITUTED 400 MG Intravenous
Teflaro SOLUTION RECONSTITUTED 400 MG Intravenous

Ceftaroline Fosamil

Tier: 3
PA Type: No Prior Authorization
ST: N
Teflaro SOLUTION RECONSTITUTED 400 MG Intravenous
Teflaro SOLUTION RECONSTITUTED 400 MG Intravenous

Ceftaroline Fosamil

Tier: 3
PA Type: No Prior Authorization
ST: N
Teflaro SOLUTION RECONSTITUTED 600 MG Intravenous
Teflaro SOLUTION RECONSTITUTED 600 MG Intravenous

Ceftaroline Fosamil

Tier: 3
PA Type: No Prior Authorization
ST: N
Teflaro SOLUTION RECONSTITUTED 600 MG Intravenous
Teflaro SOLUTION RECONSTITUTED 600 MG Intravenous

Ceftaroline Fosamil

Tier: 3
PA Type: No Prior Authorization
ST: N
Zerbaxa SOLUTION RECONSTITUTED 1.5 (1-0.5) GM Intravenous
Zerbaxa SOLUTION RECONSTITUTED 1.5 (1-0.5) GM Intravenous

Ceftolozane-Tazobactam

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