All *URINARY ANTISPASMODICS*

Urecholine Tablet 5 MG Oral
Urecholine Tablet 5 MG Oral

Bethanechol Chloride

Tier: 3
PA Type: No Prior Authorization
ST: N
Urecholine Tablet 50 MG Oral
Urecholine Tablet 50 MG Oral

Bethanechol Chloride

Tier: 3
PA Type: No Prior Authorization
ST: N
VESIcare LS Suspension 5 MG/5ML Oral
VESIcare LS Suspension 5 MG/5ML Oral

Solifenacin Succinate

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

Solifenacin Succinate

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

Solifenacin Succinate

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

Solifenacin Succinate

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
VESIcare Tablet 5 MG Oral
VESIcare Tablet 5 MG Oral

Solifenacin Succinate

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
VESIcare Tablet 5 MG Oral
VESIcare Tablet 5 MG Oral

Solifenacin Succinate

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
VESIcare Tablet 5 MG Oral
VESIcare Tablet 5 MG Oral

Solifenacin Succinate

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