ADC/F (0.5mg/ml) Solution 0.5 MG/ML Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Adrenal C Formula Tablet Oral
Tier: 3
PA Type: No Prior Authorization
ST: N
Advanced AM/PM Oral
Tier: 3
PA Type: No Prior Authorization
ST: N
AP-Zel Tablet Oral
Tier: 3
PA Type: No Prior Authorization
ST: N
Atabex EC Tablet Delayed Release 29-1 MG Oral
Prenatal Vit-DSS-Fe Cbn-FA
Tier: 3
PA Type: No Prior Authorization
ST: N
Atabex OB Tablet 29-1 MG Oral
Prenatal Vit w/ Fe Bisg-FA
Tier: 3
PA Type: No Prior Authorization
ST: N
AzesChew Prenatal/Postnatal Tablet Chewable 13-1 MG Oral
Tier: 3
PA Type: No Prior Authorization
ST: N
B-Plex Plus TABLET ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N
B-Plex Plus TABLET ORAL
Tier: 1
PA Type: No Prior Authorization
ST: N