All *VAGINAL AND RELATED PRODUCTS*

AVC Vaginal Cream 15 % Vaginal
AVC Vaginal Cream 15 % Vaginal

Sulfanilamide

Tier: 3
PA Type: No Prior Authorization
ST: N
Cleocin Cream 2 % Vaginal
Cleocin Cream 2 % Vaginal

Clindamycin Phosphate

Tier: 3
PA Type: No Prior Authorization
ST: N
Cleocin Suppository 100 MG Vaginal
Cleocin Suppository 100 MG Vaginal

Clindamycin Phosphate

Tier: 3
PA Type: No Prior Authorization
ST: N
Clindamycin Phosphate Cream 2 % Vaginal
Clindamycin Phosphate Cream 2 % Vaginal

Tier: 1
PA Type: No Prior Authorization
ST: N
Clindamycin Phosphate Cream 2 % Vaginal
Clindamycin Phosphate Cream 2 % Vaginal

Tier: 1
PA Type: No Prior Authorization
ST: N
Clindesse Cream 2 % Vaginal
Clindesse Cream 2 % Vaginal

Clindamycin Phosphate (1 Dose)

Tier: 3
PA Type: No Prior Authorization
ST: N
Crinone Gel 4 % Vaginal
Crinone Gel 4 % Vaginal

Progesterone

Tier: 3
PA Type: No Prior Authorization
ST: N
Crinone Gel 4 % Vaginal
Crinone Gel 4 % Vaginal

Progesterone

Tier: 3
PA Type: No Prior Authorization
ST: N
Crinone Gel 4 % Vaginal
Crinone Gel 4 % Vaginal

Progesterone

Tier: 3
PA Type: No Prior Authorization
ST: N
Crinone Gel 4 % Vaginal
Crinone Gel 4 % Vaginal

Progesterone

Tier: 3
PA Type: No Prior Authorization
ST: N
Crinone Gel 8 % Vaginal
Crinone Gel 8 % Vaginal

Progesterone

Tier: 3
PA Type: PA Applies
PA Group: Infertility Medications
Crinone Gel 8 % Vaginal
Crinone Gel 8 % Vaginal

Progesterone

Tier: 3
PA Type: PA Applies
PA Group: Infertility Medications