N

PA = Prior Authorization is required; QL = Quantity limits apply; ST = Step Therapy applies; 
RD = Specialty Formulary, please refer to Specialty Pharmacy Program section for additional information;
OTC = Over-the-counter Product, may be covered if a prescription is written, and it is filled at a retail or mailorder pharmacy

Medications written in all CAPITAL letters are Brand names.
Medications written in all lower case letters are available generically. The brand name is listed in parenthesis for reference only.


N
nabumetone (Relafen)
nadolol (Corgard)
nadolol/bendroflumethiazide (Corzide)
naltrexone (Revia)
NAMENDA
naphazoline hcl (AK-Con)
naphazoline hcl/pheniramine (AK-Con-A)
naproxen (Naprosyn, Anaprox)
naproxen delayed-release (EC Naprosyn, Naprelan)
NARDIL
NASONEX
natalcare plus
nateglinide (Starlix)
NATURE-THROID
NEBUPENT
necon 0.5/35 (Modicon)
necon 1/35 (Ortho-Novum 1-35, Norinyl 1+35)
necon 1/50 (Ortho-Novum 1- 50, Norinyl)
necon 10-11 (Ortho-Novum 10-11)
necon 7/7/7 (Ortho-Novum 7/7/7)
nefazadone
neomycin
neomycin/polymyxin b/dexamethasone (Maxitrol)
neomycin/polymyxin b/hydrocortisone (Cortisporin)
NEULASTA, RD
NEUMEGA, RD
NEUPOGEN, RD
NEVANAC
NEXAVAR, RD
NIASPAN
nicardipine (Cardene)
nicotine lozenge (Commit OTC), QL
nicotine polacrilex (Nicorette OTC), QL
nicotine transdermal (Nicotrol, Nicoderm CQ OTC), QL
NICOTROL NASAL SPRAY, QL
NICOTROL INHALER, QL
nifedipine (Procardia)
nifedipine extended-release (Procardia XL, Adalat CC)
NILANDRON, RD
nimodipine (Nimotop)
nisoldipine (Sular)
nitrofurantoin (Macrodantin)
nitrofurantoin macrocyrstals (Macrobid)
nitroglycerine caps
nitroglycerin oint (Nitro-Bid)
nitroglycerin tabs (Nitrostat)
nitroglycerin transdermal (Minitran, Nitrek, Nitro-Dur)
nizatidine capsules only (Axid)
nora-be (Ortho Micronor, Nor-Q-D)
NORDITROPIN, PA, RD
NORDITROPIN NORDIFLEX, PA, RD
norethindrone acetate (Aygestin)
nortrel 0.5-35 (Modicon)
nortrel 1-35 (Ortho-Novum 1-35)
nortrel 7/7/7 (Ortho-Novum 7/7/7)
nortriptyline (Pamelor)
NORVIR
NOVOLIN 70/30, OTC
NOVOLIN N, OTC
NOVOLIN R, OTC
NOVOLOG
NOVOLOG 70/30
NOXAFIL, infectious disease specialists only
NUVARING vaginal
nystatin (Mycostatin)
nystatin/triamcinolone (Mycolog II)


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