PTC 242400

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* Please click on the DIN/PIN hyperlink to look up for more details of any group coverage(s) which may apply to that particular drug product.

Products Found: 127

MFR

Review Status/
Past Decision(s)

ACEBUTOLOL HCL
APO-ACEBUTOLOL
100 MG
ORL  TAB
0.0787
0.0787
TAB
YES

REGULAR BENEFIT

 

ACEBUTOLOL HCL
TEVA-ACEBUTOLOL
100 MG
ORL  TAB
0.0787
0.0787
TAB
YES

REGULAR BENEFIT

 

ACEBUTOLOL HCL
APO-ACEBUTOLOL
200 MG
ORL  TAB
0.1177
0.1177
TAB
YES

REGULAR BENEFIT

 

ACEBUTOLOL HCL
TEVA-ACEBUTOLOL
200 MG
ORL  TAB
0.1177
0.1177
TAB
YES

REGULAR BENEFIT

 

ACEBUTOLOL HCL
APO-ACEBUTOLOL
400 MG
ORL  TAB
0.2466
0.2466
TAB
YES

REGULAR BENEFIT

 

ACEBUTOLOL HCL
TEVA-ACEBUTOLOL
400 MG
ORL  TAB
0.2466
0.2466
TAB
YES

REGULAR BENEFIT

 

ATENOLOL
ACT ATENOLOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

ATENOLOL
APO-ATENOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

 

ATENOLOL
ATENOLOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

ATENOLOL
ATENOLOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

ATENOLOL
JAMP-ATENOLOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

ATENOLOL
MAR-ATENOLOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

ATENOLOL
MINT-ATENOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

ATENOLOL
PMS-ATENOLOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

 

ATENOLOL
RAN-ATENOLOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

ATENOLOL
SEPTA-ATENOLOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

ATENOLOL
TENORMIN
100 MG
ORL  TAB
1.0006
0.1821
TAB
YES

REGULAR BENEFIT

 

ATENOLOL
TEVA-ATENOLOL
100 MG
ORL  TAB
0.1821
0.1821
TAB
YES

REGULAR BENEFIT

ATENOLOL
ATENOLOL
25 MG
ORL  TAB
0.0521
0.0521
TAB
YES

REGULAR BENEFIT

ATENOLOL
JAMP-ATENOLOL
25 MG
ORL  TAB
0.0521
0.0521
TAB
YES

REGULAR BENEFIT

ATENOLOL
MAR-ATENOLOL
25 MG
ORL  TAB
0.0521
0.0521
TAB
YES

REGULAR BENEFIT

ATENOLOL
MINT-ATENOL
25 MG
ORL  TAB
0.0521
0.0521
TAB
YES

REGULAR BENEFIT

ATENOLOL
PMS-ATENOLOL
25 MG
ORL  TAB
0.0521
0.0521
TAB
YES

REGULAR BENEFIT

ATENOLOL
RAN-ATENOLOL
25 MG
ORL  TAB
0.0521
0.0521
TAB
YES

REGULAR BENEFIT

ATENOLOL
TEVA-ATENOLOL
25 MG
ORL  TAB
0.0521
0.0521
TAB
YES

REGULAR BENEFIT

ATENOLOL
ACT ATENOLOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

ATENOLOL
APO-ATENOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

 

ATENOLOL
ATENOLOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

ATENOLOL
ATENOLOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

ATENOLOL
JAMP-ATENOLOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

ATENOLOL
MAR-ATENOLOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

ATENOLOL
MINT-ATENOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

ATENOLOL
PMS-ATENOLOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

 

ATENOLOL
RAN-ATENOLOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

ATENOLOL
SEPTA-ATENOLOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

ATENOLOL
TENORMIN
50 MG
ORL  TAB
0.6086
0.1107
TAB
YES

REGULAR BENEFIT

 

ATENOLOL
TEVA-ATENOLOL
50 MG
ORL  TAB
0.1107
0.1107
TAB
YES

REGULAR BENEFIT

ATENOLOL/ CHLORTHALIDONE
APO-ATENIDONE
100 MG * 25 MG
ORL  TAB
0.5236
0.5236
TAB
YES

REGULAR BENEFIT

ATENOLOL/ CHLORTHALIDONE
TENORETIC 100/25
100 MG * 25 MG
ORL  TAB
1.1673
0.5236
TAB
YES

REGULAR BENEFIT

 

ATENOLOL/ CHLORTHALIDONE
TEVA-ATENOLTHALIDONE
100 MG * 25 MG
ORL  TAB
0.5236
0.5236
TAB
YES

REGULAR BENEFIT

ATENOLOL/ CHLORTHALIDONE
APO-ATENIDONE
50 MG * 25 MG
ORL  TAB
0.3195
0.3195
TAB
YES

REGULAR BENEFIT

ATENOLOL/ CHLORTHALIDONE
TENORETIC 50/25
50 MG * 25 MG
ORL  TAB
0.7122
0.3195
TAB
YES

REGULAR BENEFIT

 

ATENOLOL/ CHLORTHALIDONE
TEVA-ATENOLTHALIDONE
50 MG * 25 MG
ORL  TAB
0.3195
0.3195
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
APO-BISOPROLOL
10 MG
ORL  TAB
0.1044
0.1044
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
BISOPROLOL
10 MG
ORL  TAB
0.1044
0.1044
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
BISOPROLOL
10 MG
ORL  TAB
0.1044
0.1044
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
MINT-BISOPROLOL
10 MG
ORL  TAB
0.1044
0.1044
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
SANDOZ BISOPROLOL
10 MG
ORL  TAB
0.1044
0.1044
TAB
YES

REGULAR BENEFIT

 

BISOPROLOL FUMARATE
TEVA-BISOPROLOL
10 MG
ORL  TAB
0.1044
0.1044
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
APO-BISOPROLOL
5 MG
ORL  TAB
0.0715
0.0715
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
BISOPROLOL
5 MG
ORL  TAB
0.0715
0.0715
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
BISOPROLOL
5 MG
ORL  TAB
0.0715
0.0715
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
MINT-BISOPROLOL
5 MG
ORL  TAB
0.0715
0.0715
TAB
YES

REGULAR BENEFIT

BISOPROLOL FUMARATE
SANDOZ BISOPROLOL
5 MG
ORL  TAB
0.0715
0.0715
TAB
YES

REGULAR BENEFIT

 

BISOPROLOL FUMARATE
TEVA-BISOPROLOL
5 MG
ORL  TAB
0.0715
0.0715
TAB
YES

REGULAR BENEFIT

CARVEDILOL
APO-CARVEDILOL
12.5 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
AURO-CARVEDILOL
12.5 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
CARVEDILOL
12.5 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
CARVEDILOL
12.5 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
JAMP-CARVEDILOL
12.5 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
PMS-CARVEDILOL
12.5 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
TEVA-CARVEDILOL
12.5 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
APO-CARVEDILOL
25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
AURO-CARVEDILOL
25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
CARVEDILOL
25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
CARVEDILOL
25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
JAMP-CARVEDILOL
25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
PMS-CARVEDILOL
25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
TEVA-CARVEDILOL
25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
APO-CARVEDILOL
3.125 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
AURO-CARVEDILOL
3.125 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
CARVEDILOL
3.125 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
CARVEDILOL
3.125 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
JAMP-CARVEDILOL
3.125 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
PMS-CARVEDILOL
3.125 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
TEVA-CARVEDILOL
3.125 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
APO-CARVEDILOL
6.25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
AURO-CARVEDILOL
6.25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
CARVEDILOL
6.25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
CARVEDILOL
6.25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
JAMP-CARVEDILOL
6.25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

CARVEDILOL
PMS-CARVEDILOL
6.25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

CARVEDILOL
TEVA-CARVEDILOL
6.25 MG
ORL  TAB
0.2431
0.2431
TAB
YES

REGULAR BENEFIT

 

LABETALOL HCL
TRANDATE
100 MG
ORL  TAB
0.2956
N/A
TAB
NO

REGULAR BENEFIT

 

LABETALOL HCL
TRANDATE
200 MG
ORL  TAB
0.5226
N/A
TAB
NO

REGULAR BENEFIT

 

METOPROLOL TARTRATE
APO-METOPROLOL (TYPE L)
100 MG
ORL  TAB
0.1250
0.1250
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
APO-METOPROLOL
100 MG
ORL  TAB
0.1250
0.1250
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
APO-METOPROLOL SR
100 MG
ORL  SRT
0.1871
0.1871
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
JAMP-METOPROLOL-L
100 MG
ORL  TAB
0.1250
0.1250
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
LOPRESOR SR
100 MG
ORL  SRT
0.3394
0.1871
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
METOPROLOL
100 MG
ORL  TAB
0.1250
0.1250
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
METOPROLOL-L
100 MG
ORL  TAB
0.1250
0.1250
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
PMS-METOPROLOL-L
100 MG
ORL  TAB
0.1250
0.1250
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
SANDOZ METOPROLOL (TYPE L)
100 MG
ORL  TAB
0.1250
0.1250
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
SANDOZ METOPROLOL SR
100 MG
ORL  SRT
0.1871
0.1871
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
TEVA-METOPROL (FC)
100 MG
ORL  TAB
0.1250
0.1250
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
TEVA-METOPROL
100 MG
ORL  TAB
0.1250
0.1250
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
APO-METOPROLOL SR
200 MG
ORL  SRT
0.3396
0.0000
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
LOPRESOR SR
200 MG
ORL  SRT
0.6162
0.0000
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
SANDOZ METOPROLOL SR
200 MG
ORL  SRT
0.3396
0.0000
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
APO-METOPROLOL
25 MG
ORL  TAB
0.0643
0.0643
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
JAMP-METOPROLOL-L
25 MG
ORL  TAB
0.0643
0.0643
TAB
YES

REGULAR BENEFIT

02442116
METOPROLOL TARTRATE
METOPROLOL-L
25 MG
ORL  TAB
N/A
N/A
TAB
YES

NOT A BENEFIT *

METOPROLOL TARTRATE
PMS-METOPROLOL-L
25 MG
ORL  TAB
0.0643
0.0643
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
APO-METOPROLOL (TYPE L)
50 MG
ORL  TAB
0.0624
0.0624
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
APO-METOPROLOL
50 MG
ORL  TAB
0.0624
0.0624
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
JAMP-METOPROLOL-L
50 MG
ORL  TAB
0.0624
0.0624
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
METOPROLOL
50 MG
ORL  TAB
0.0624
0.0624
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
METOPROLOL-L
50 MG
ORL  TAB
0.0624
0.0624
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
PMS-METOPROLOL-L
50 MG
ORL  TAB
0.0624
0.0624
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
SANDOZ METOPROLOL (TYPE L)
50 MG
ORL  TAB
0.0624
0.0624
TAB
YES

REGULAR BENEFIT

METOPROLOL TARTRATE
TEVA-METOPROL (FC)
50 MG
ORL  TAB
0.0624
0.0624
TAB
YES

REGULAR BENEFIT

 

METOPROLOL TARTRATE
TEVA-METOPROL
50 MG
ORL  TAB
0.0624
0.0624
TAB
YES

REGULAR BENEFIT

 

NADOLOL
NADOL
160 MG
ORL  TAB
1.2594
N/A
TAB
NO

REGULAR BENEFIT

 

NADOLOL
NADOL
40 MG
ORL  TAB
0.4718
N/A
TAB
NO

REGULAR BENEFIT

 

NADOLOL
NADOL
80 MG
ORL  TAB
0.3879
N/A
TAB
NO

REGULAR BENEFIT

 

PROPRANOLOL HCL
TEVA-PROPRANOLOL
10 MG
ORL  TAB
0.0631
N/A
TAB
NO

REGULAR BENEFIT

 

PROPRANOLOL HCL
TEVA-PROPRANOLOL
20 MG
ORL  TAB
0.1086
N/A
TAB
NO

REGULAR BENEFIT

 

PROPRANOLOL HCL
HEMANGIOL
3.75 MG / ML
ORL  SOL
2.2808
N/A
ML
NO

SPECIAL AUTHORIZATION

PROPRANOLOL HCL
TEVA-PROPRANOLOL
40 MG
ORL  TAB
0.1142
N/A
TAB
NO

REGULAR BENEFIT

 

PROPRANOLOL HCL
TEVA-PROPRANOLOL
80 MG
ORL  TAB
0.1805
N/A
TAB
NO

REGULAR BENEFIT

 

SOTALOL HCL
APO-SOTALOL
160 MG
ORL  TAB
0.1623
0.1623
TAB
YES

REGULAR BENEFIT

 

SOTALOL HCL
JAMP-SOTALOL
160 MG
ORL  TAB
0.1623
0.1623
TAB
YES

REGULAR BENEFIT

SOTALOL HCL
PMS-SOTALOL
160 MG
ORL  TAB
0.1623
0.1623
TAB
YES

REGULAR BENEFIT

SOTALOL HCL
APO-SOTALOL
80 MG
ORL  TAB
0.2966
0.2966
TAB
YES

REGULAR BENEFIT

 

SOTALOL HCL
JAMP-SOTALOL
80 MG
ORL  TAB
0.2966
0.2966
TAB
YES

REGULAR BENEFIT

SOTALOL HCL
PMS-SOTALOL
80 MG
ORL  TAB
0.2966
0.2966
TAB
YES

REGULAR BENEFIT


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