Showing the top 100 results that matched your search. Please narrow your search.
Denotes a drug that is not covered.- CELECOXIB CAP 100MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory DrugsQuantity Limit: 60 per 30-days (* depending on package size)
- CELECOXIB CAP 200MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory DrugsQuantity Limit: 60 per 30-days (* depending on package size)
- CELECOXIB CAP 400MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory DrugsQuantity Limit: 60 per 30-days (* depending on package size)
- CELECOXIB CAP 50MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory DrugsQuantity Limit: 60 per 30-days (* depending on package size)
- DICLOFEN POT TAB 50MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC DIS 1.3%
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory DrugsQuantity Limit: 60 per 30-days (* depending on package size)
Prior Authorization: Prior Authorization
- DICLOFENAC GEL 1%
Classification: Tier 3 (preferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC TAB 100MG ER
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC TAB 25MG DR
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC TAB 50MG DR
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC TAB 75MG DR
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DIFLUNISAL TAB 500MG
Classification: Tier 3 (preferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - EC-NAPROXEN TAB 375MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - EC-NAPROXEN TAB 500MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ETODOLAC CAP 200MG
Classification: Tier 3 (preferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ETODOLAC CAP 300MG
Classification: Tier 3 (preferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ETODOLAC TAB 400MG
Classification: Tier 3 (preferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ETODOLAC TAB 500MG
Classification: Tier 3 (preferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ETODOLAC ER TAB 400MG
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ETODOLAC ER TAB 500MG
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ETODOLAC ER TAB 600MG
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - FLURBIPROFEN TAB 100MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - IBU TAB 400MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - IBU TAB 600MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - IBU TAB 800MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - IBUPROFEN SUS 100/5ML
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - IBUPROFEN TAB 400MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - IBUPROFEN TAB 600MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - IBUPROFEN TAB 800MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - INDOMETHACIN CAP 25MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - INDOMETHACIN CAP 50MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - KETOPROFEN CAP 50MG
Classification: Tier 3 (preferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - KETOROLAC INJ 15MG/ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - KETOROLAC INJ 30MG/ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - KETOROLAC INJ 60MG/2ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - MELOXICAM TAB 15MG
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - MELOXICAM TAB 7.5MG
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NABUMETONE TAB 500MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NABUMETONE TAB 750MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPROXEN SUS 125/5ML
Classification: Tier 5 (specialty tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPROXEN TAB 250MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPROXEN TAB 375MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPROXEN TAB 500MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPROXEN DR TAB 375MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPROXEN DR TAB 500MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - PIROXICAM CAP 10MG
Classification: Tier 3 (preferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - PIROXICAM CAP 20MG
Classification: Tier 3 (preferred brand tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - SULINDAC TAB 150MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - SULINDAC TAB 200MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ARTHROTEC 50 TAB
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ARTHROTEC 75 TAB
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - CALDOLOR INJ 4MG/ML
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - CALDOLOR INJ 800/8ML
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - CAMBIA POW 50MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - CATAFLAM TAB 50MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - CELEBREX CAP 100MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - CELEBREX CAP 200MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - CELEBREX CAP 400MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - CELEBREX CAP 50MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DAYPRO TAB 600MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLO/MISOPR TAB 50-0.2MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLO/MISOPR TAB 75-0.2MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC CAP 25MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC POW 50MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC SOL 1.5%
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC SOL 2%
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DICLOFENAC TAB 25MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - DUEXIS TAB 800-26.6
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - ELYXYB SOL 120/4.8
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - FELDENE CAP 10MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - FELDENE CAP 20MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - FENOPROFEN CAP 400MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - FENOPROFEN TAB 600MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - FLECTOR DIS 1.3%
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - IBU/FAMOT TAB 800-26.6
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - IBUPROFEN INJ LYSINE
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - INDOCIN SUP 50MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - INDOCIN SUS 25MG/5ML
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - INDOMETHACIN CAP 75MG ER
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - INDOMETHACIN INJ 1MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - INDOMETHACIN SUP 50MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - KETOPROFEN CAP 200MG ER
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - KETOPROFEN CAP 25MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - KETOR TROMET SPR 15.75MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - KETOROLAC TAB 10MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - LICART DIS 1.3%
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - LODINE TAB 400MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - LOFENA TAB 25MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - MECLOFEN SOD CAP 100MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - MECLOFEN SOD CAP 50MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - MEFENAM ACID CAP 250MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - MELOXICAM CAP 10MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - MELOXICAM CAP 5MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NALFON CAP 400MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NALFON TAB 600MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPRELAN TAB 375MG CR
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPRELAN TAB 500MG CR
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPRELAN TAB 750MG CR
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPROXEN SOD TAB 275MG
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs - NAPROXEN SOD TAB 375MG CR
Classification: Not Covered
Therapeutic Category: Analgesics
Therapeutic Class: Nonsteroidal Anti-inflammatory Drugs
Last updated 10/02/2023