Other Hypotensives

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PDL Status Values

Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the Non-Preferred Drugs in Select PDL Classes prior authorization criteria. New drugs will be listed as N until reviewed by the P&T Committee and are subject to the New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.

To request a Prior Authorization, please use this form.

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NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Current Drug Use Criteria
80491801203 TRYVIO aprocitentan TABLET 12.5 mg Y PA Document
00378087116 CLONIDINE clonidine PATCH TDWK 0.1 mg/24 hour Y  
00378087199 CLONIDINE clonidine PATCH TDWK 0.1 mg/24 hour Y  
00591350804 CLONIDINE clonidine PATCH TDWK 0.1 mg/24 hour Y  
00591350854 CLONIDINE clonidine PATCH TDWK 0.1 mg/24 hour Y  
52817061004 CLONIDINE clonidine PATCH TDWK 0.1 mg/24 hour Y  
75907002311 CLONIDINE clonidine PATCH TDWK 0.1 mg/24 hour Y  
75907002348 CLONIDINE clonidine PATCH TDWK 0.1 mg/24 hour Y  
00378087216 CLONIDINE clonidine PATCH TDWK 0.2 mg/24 hour Y  
00378087299 CLONIDINE clonidine PATCH TDWK 0.2 mg/24 hour Y  
00591350904 CLONIDINE clonidine PATCH TDWK 0.2 mg/24 hour Y  
00591350954 CLONIDINE clonidine PATCH TDWK 0.2 mg/24 hour Y  
52817061104 CLONIDINE clonidine PATCH TDWK 0.2 mg/24 hour Y  
75907002411 CLONIDINE clonidine PATCH TDWK 0.2 mg/24 hour Y  
75907002448 CLONIDINE clonidine PATCH TDWK 0.2 mg/24 hour Y  
00378087316 CLONIDINE clonidine PATCH TDWK 0.3 mg/24 hour Y  
00378087399 CLONIDINE clonidine PATCH TDWK 0.3 mg/24 hour Y  
00591351004 CLONIDINE clonidine PATCH TDWK 0.3 mg/24 hour Y  
00591351054 CLONIDINE clonidine PATCH TDWK 0.3 mg/24 hour Y  
52817061204 CLONIDINE clonidine PATCH TDWK 0.3 mg/24 hour Y  
75907002511 CLONIDINE clonidine PATCH TDWK 0.3 mg/24 hour Y  
75907002548 CLONIDINE clonidine PATCH TDWK 0.3 mg/24 hour Y  
52817037530 CLONIDINE HCL ER clonidine HCl TAB ER 24H 0.17 mg N Y  
71511050330 NEXICLON XR clonidine HCl TAB ER 24H 0.17 mg N Y  
00228212710 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
00228212750 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
00904744261 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
29300046801 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
29300046805 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
29300046810 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
43547056510 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
43547056511 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
50268019211 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
50268019215 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
52817018000 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
52817018010 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
58657064701 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
58657064710 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
58657064750 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
59651023201 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
59651023299 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
60687011301 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
60687011311 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
62332005431 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
62332005471 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
62332005491 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
62584065733 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
68001023700 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
68001023703 CLONIDINE HCL clonidine HCl TABLET 0.1 mg Y  
00228212810 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
00228212850 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
29300013601 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
29300013605 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
29300013610 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
43547056610 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
43547056611 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
50268019311 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
50268019315 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
52817018100 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
52817018110 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
58657064801 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
58657064810 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
58657064850 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
59651023301 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
59651023305 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
60687012401 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
60687012411 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
62332005531 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
62332005571 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
62332005591 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
62584033933 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
68001023800 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
68001023803 CLONIDINE HCL clonidine HCl TABLET 0.2 mg Y  
00228212910 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
29300013701 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
29300013705 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
43547056710 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
50268019411 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
50268019415 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
52817018200 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
52817018210 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
58657064901 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
58657064950 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
59651023401 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
59651023405 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
62332005631 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
62332005671 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
68001023900 CLONIDINE HCL clonidine HCl TABLET 0.3 mg Y  
00143978601 ENALAPRILAT enalaprilat dihydrate VIAL 1.25 mg/mL Y  
00143978610 ENALAPRILAT enalaprilat dihydrate VIAL 1.25 mg/mL Y  
00143978701 ENALAPRILAT enalaprilat dihydrate VIAL 1.25 mg/mL Y  
00143978710 ENALAPRILAT enalaprilat dihydrate VIAL 1.25 mg/mL Y  
43598007811 ENALAPRILAT enalaprilat dihydrate VIAL 1.25 mg/mL Y  
43598007858 ENALAPRILAT enalaprilat dihydrate VIAL 1.25 mg/mL Y  
43598016911 ENALAPRILAT enalaprilat dihydrate VIAL 1.25 mg/mL Y  
43598016958 ENALAPRILAT enalaprilat dihydrate VIAL 1.25 mg/mL Y  
00591044401 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
00904714004 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
24979019801 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
27241024201 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
29300045801 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
42806004801 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
53746071101 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
59651084001 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
60687071011 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
60687071021 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
62135072790 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
65162071110 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
68094006559 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
68094006562 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
70700030101 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
72319001804 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
72603026801 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
72888012301 GUANFACINE HCL guanfacine HCl TABLET 1 mg Y  
00591045301 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
24979019901 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
27241024301 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
29300045901 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
42806029601 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
50268037411 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
50268037415 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
53746071301 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
59651084101 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
62135072890 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
65162071310 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
70700030201 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
72319001904 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
72603026901 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
72888012401 GUANFACINE HCL guanfacine HCl TABLET 2 mg Y  
00904744761 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
23155000101 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
23155000110 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
23155083201 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
23155083210 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
31722051901 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
50111039801 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
50111039803 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
50228018201 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
50228018210 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
51079007401 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
51079007420 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
60687081101 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
60687081111 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
62135057912 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
68084044701 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
68084044711 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
76282030901 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
76282030910 HYDRALAZINE HCL hydralazine HCl TABLET 10 mg Y  
00904745061 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
23155000401 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
23155083501 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
31722052201 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
31722052205 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
50111039701 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
50228018501 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
62135058212 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
64380073606 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
72241000605 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
76282031201 HYDRALAZINE HCL hydralazine HCl TABLET 100 mg Y  
00904744861 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
23155000201 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
23155000210 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
23155083301 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
23155083310 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
31722052001 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
31722052010 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
50111032701 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
50111032703 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
50228018301 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
50228018310 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
51079007501 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
51079007520 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
60687082201 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
60687082211 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
62135058012 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
62584073301 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
62584073311 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
63739032710 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
64380073406 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
64380073408 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
72241000411 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
76282031001 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
76282031010 HYDRALAZINE HCL hydralazine HCl TABLET 25 mg Y  
00904744961 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
23155000301 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
23155000310 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
23155083401 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
23155083410 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
31722052101 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
31722052110 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
50111032801 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
50111032803 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
50228018401 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
50228018410 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
51079007601 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
51079007620 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
60687083301 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
60687083311 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
62135058112 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
62584073401 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
62584073411 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
63739032810 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
64380073506 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
64380073508 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
72241000511 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
76282031101 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
76282031110 HYDRALAZINE HCL hydralazine HCl TABLET 50 mg Y  
00517090101 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
00517090125 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
00641623101 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
00641623125 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
00703820194 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
43066004101 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
43066004125 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
55150040001 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
55150040025 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
63323061400 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
63323061401 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
63323061416 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
63323061421 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
63323061441 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
63323061455 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
72572026501 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
72572026525 HYDRALAZINE HCL hydralazine HCl VIAL 20 mg/mL Y  
66215081201 OPSYNVI macitentan/tadalafil TABLET 10 mg-20 mg N Y  
66215081208 OPSYNVI macitentan/tadalafil TABLET 10 mg-20 mg N Y  
66215081230 OPSYNVI macitentan/tadalafil TABLET 10 mg-20 mg N Y  
66215081401 OPSYNVI macitentan/tadalafil TABLET 10 mg-40 mg N Y  
66215081410 OPSYNVI macitentan/tadalafil TABLET 10 mg-40 mg N Y  
66215081430 OPSYNVI macitentan/tadalafil TABLET 10 mg-40 mg N Y  
62135032118 METHYLDOPA methyldopa TABLET 250 mg Y  
62135032190 METHYLDOPA methyldopa TABLET 250 mg Y  
64980057101 METHYLDOPA methyldopa TABLET 250 mg Y  
62135032218 METHYLDOPA methyldopa TABLET 500 mg Y  
62135032290 METHYLDOPA methyldopa TABLET 500 mg Y  
64980057201 METHYLDOPA methyldopa TABLET 500 mg Y  
25010030515 DEMSER metyrosine CAPSULE 250 mg Y  
60219162101 METYROSINE metyrosine CAPSULE 250 mg Y  
68682031001 METYROSINE metyrosine CAPSULE 250 mg Y  
69238162103 METYROSINE metyrosine CAPSULE 250 mg Y  
75907016601 METYROSINE metyrosine CAPSULE 250 mg Y  
75907016630 METYROSINE metyrosine CAPSULE 250 mg Y  
00591564301 MINOXIDIL minoxidil TABLET 10 mg Y  
00591564305 MINOXIDIL minoxidil TABLET 10 mg Y  
49884025701 MINOXIDIL minoxidil TABLET 10 mg Y  
49884025705 MINOXIDIL minoxidil TABLET 10 mg Y  
53489038701 MINOXIDIL minoxidil TABLET 10 mg Y  
68084020501 MINOXIDIL minoxidil TABLET 10 mg Y  
68084020511 MINOXIDIL minoxidil TABLET 10 mg Y  
00591564201 MINOXIDIL minoxidil TABLET 2.5 mg Y  
00591564205 MINOXIDIL minoxidil TABLET 2.5 mg Y  
49884025601 MINOXIDIL minoxidil TABLET 2.5 mg Y  
53489038601 MINOXIDIL minoxidil TABLET 2.5 mg Y  
68084020401 MINOXIDIL minoxidil TABLET 2.5 mg Y  
68084020411 MINOXIDIL minoxidil TABLET 2.5 mg Y  
51754102901 NIPRIDE RTU nitroprusside in 0.9% NaCl VIAL 20 mg/100 mL (0.2 mg/mL) Y  
70436020680 SODIUM NITROPRUSSIDE-0.9% NACL nitroprusside in 0.9% NaCl VIAL 20 mg/100 mL (0.2 mg/mL) Y  
51754100601 NIPRIDE RTU nitroprusside in 0.9% NaCl VIAL 50 mg/100 mL (0.5 mg/mL) Y  
70436020780 SODIUM NITROPRUSSIDE-0.9% NACL nitroprusside in 0.9% NaCl VIAL 50 mg/100 mL (0.5 mg/mL) Y  
00074325001 NITROPRESS nitroprusside sodium KIT 50 mg Y  
14789001202 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
43598058723 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
67457083902 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
67457099902 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
70069026101 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
70436002880 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
70700012692 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
71288020202 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
71839012001 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
72485010501 SODIUM NITROPRUSSIDE nitroprusside sodium VIAL 25 mg/mL Y  
00093406701 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
00093406710 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
00378110101 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
00378110110 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
00904702061 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
51079063001 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
51079063017 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
51079063020 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
59651027101 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
59651027199 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
62332069131 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
62332069191 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
62584082801 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
66993043185 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
68084099601 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
68084099611 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
70010008401 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
70377006611 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
70756042911 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
70756042912 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
70954001910 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
70954001920 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
70954001950 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
76282072101 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
76282072110 PRAZOSIN HCL prazosin HCl CAPSULE 1 mg Y  
00093406801 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
00093406810 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
00378230201 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
00378230210 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
00904702161 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
51079063101 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
51079063120 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
59651027201 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
59651027299 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
62332069231 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
62332069291 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
62584082901 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
66993043285 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
68084099701 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
68084099711 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
70010008501 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
70377006711 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
70756043011 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
70756043012 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
70954002010 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
70954002020 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
76282072201 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
76282072210 PRAZOSIN HCL prazosin HCl CAPSULE 2 mg Y  
00093406901 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
00093406905 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
00093406952 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
00378320501 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
00378320525 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
00904702261 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
51079063201 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
51079063220 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
59651027301 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
59651027325 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
60687057232 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
60687057233 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
62332069331 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
62332069361 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
62584083001 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
66993043385 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
70010008601 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
70377006811 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
70756044011 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
70954002110 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
70954002120 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
76282072301 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
76282072325 PRAZOSIN HCL prazosin HCl CAPSULE 5 mg Y  
68974020030 FILSPARI sparsentan TABLET 200 mg N Y PA Document
68974040030 FILSPARI sparsentan TABLET 400 mg N Y PA Document
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