
Ambien CR Tablet Extended Release 12.5 MG Oral
Zolpidem Tartrate ER
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Ambien CR Tablet Extended Release 6.25 MG Oral
Zolpidem Tartrate ER
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Ambien Tablet 10 MG Oral
Zolpidem Tartrate
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
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