All *NEUROMUSCULAR AGENTS*

Amondys 45 Solution 100 MG/2ML Intravenous
Amondys 45 Solution 100 MG/2ML Intravenous

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Anectine Solution 20 MG/ML Injection
Anectine Solution 20 MG/ML Injection

Succinylcholine Chloride

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Anectine Solution 20 MG/ML Injection
Anectine Solution 20 MG/ML Injection

Succinylcholine Chloride

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Anectine Solution 20 MG/ML Injection
Anectine Solution 20 MG/ML Injection

Succinylcholine Chloride

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Anectine Solution 20 MG/ML Injection
Anectine Solution 20 MG/ML Injection

Succinylcholine Chloride

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Anectine Solution 20 MG/ML Injection
Anectine Solution 20 MG/ML Injection

Succinylcholine Chloride

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Anectine Solution 20 MG/ML Injection
Anectine Solution 20 MG/ML Injection

Succinylcholine Chloride

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Anectine Solution 20 MG/ML Injection
Anectine Solution 20 MG/ML Injection

Succinylcholine Chloride

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Atracurium Besylate Solution 100 MG/10ML Intravenous
Atracurium Besylate Solution 100 MG/10ML Intravenous

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Atracurium Besylate Solution 100 MG/10ML Intravenous
Atracurium Besylate Solution 100 MG/10ML Intravenous

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Atracurium Besylate Solution 100 MG/10ML Intravenous
Atracurium Besylate Solution 100 MG/10ML Intravenous

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Atracurium Besylate Solution 100 MG/10ML Intravenous
Atracurium Besylate Solution 100 MG/10ML Intravenous

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N