Alabama Medicaid Maximum Allowable Cost List
Alabama Medicaid Maximum Allowable Cost List
Alabama Medicaid Maximum Allowable Cost List
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Drug Brand Name<br />
<strong>Alabama</strong> <strong>Medicaid</strong> <strong>Maximum</strong> <strong>Allowable</strong> <strong>Cost</strong> <strong>List</strong><br />
GCN - Generic Drug Description<br />
Drug Strength/Dosage<br />
Description<br />
Dose Form<br />
Description<br />
FEVERALL ACETAMINOPHEN 325MG SUPP.RECT<br />
FEVERALL ACETAMINOPHEN 650MG SUPP.RECT<br />
GENAPAP ACETAMINOPHEN 100MG/ML DROPS<br />
GENAPAP ACETAMINOPHEN 160MG/5ML ELIXIR<br />
GENAPAP ACETAMINOPHEN 325MG TABLET<br />
GENAPAP ACETAMINOPHEN 500MG TABLET<br />
GENAPAP ACETAMINOPHEN 80MG TAB CHEW<br />
GENEBS ACETAMINOPHEN 325MG TABLET<br />
GENEBS ACETAMINOPHEN 500MG TABLET<br />
HM PAIN RELIEVER ACETAMINOPHEN 325MG TABLET<br />
HM PAIN RELIEVER ACETAMINOPHEN 500MG TABLET<br />
INFANT DROPS ACETAMINOPHEN 100MG/ML DROPS<br />
INFANT PAIN RELIEF ACETAMINOPHEN 100MG/ML DROPS<br />
INFANT SUSPENSION ACETAMINOPHEN 100MG/ML DROPS SUSP<br />
INFANTOL ACETAMINOPHEN 100MG/ML DROPS<br />
INFANT'S NON-ASPIRIN ACETAMINOPHEN 100MG/ML DROPS<br />
INFANTS' NON-ASPIRIN ACETAMINOPHEN 100MG/ML DROPS<br />
INFANTS NON-ASPIRIN ACETAMINOPHEN 100MG/ML DROPS SUSP<br />
INFANT'S PAIN RELIEVER ACETAMINOPHEN 100MG/ML DROPS<br />
INFANT'S PAIN RELIEVER ACETAMINOPHEN 100MG/ML DROPS SUSP<br />
INFANTS PAIN RELIEVER ACETAMINOPHEN 100MG/ML DROPS<br />
INFANTS PAIN RELIEVER W/O ASA ACETAMINOPHEN 100MG/ML DROPS<br />
INFANT'S SUSPENSION ACETAMINOPHEN 100MG/ML DROPS SUSP<br />
KOMAPHEN ACETAMINOPHEN 160MG/5ML ELIXIR<br />
KOSHER CARE ACETAMINOPHEN 160MG/5ML LIQUID<br />
MAPAP ACETAMINOPHEN 100MG/ML DROPS<br />
MAPAP ACETAMINOPHEN 100MG/ML DROPS SUSP<br />
MAPAP ACETAMINOPHEN 120MG SUPP.RECT<br />
MAPAP ACETAMINOPHEN 160MG/5ML ELIXIR<br />
MAPAP ACETAMINOPHEN 160MG/5ML ORAL SUSP<br />
MAPAP ACETAMINOPHEN 325MG TABLET<br />
MAPAP ACETAMINOPHEN 500MG CAPSULE<br />
MAPAP ACETAMINOPHEN 500MG TABLET<br />
MAPAP ACETAMINOPHEN 650MG SUPP.RECT<br />
MAPAP ACETAMINOPHEN 80MG TAB CHEW<br />
MAPAP ARTHRITIS PAIN ACETAMINOPHEN 650MG TABLET SA<br />
MAPAP CHILDREN'S ACETAMINOPHEN 160MG/5ML ORAL SUSP<br />
MAPAP EXTRA STRENGTH ACETAMINOPHEN 500MG TABLET<br />
MAPAP JR STRENGTH ACETAMINOPHEN 160MG TABLET<br />
MARDOL ACETAMINOPHEN 100MG/ML DROPS<br />
MARDOL ACETAMINOPHEN 160MG/5ML ELIXIR<br />
MARDOL ACETAMINOPHEN 325MG TABLET<br />
MARDOL ACETAMINOPHEN 500MG TABLET<br />
MAXINOL ACETAMINOPHEN 325MG TABLET<br />
MAXINOL ACETAMINOPHEN 500MG TABLET<br />
NON ASPIRIN ACETAMINOPHEN 100MG/ML DROPS<br />
NON ASPIRIN ACETAMINOPHEN 500MG TABLET<br />
NON-ASA E/S ACETAMINOPHEN 500MG TABLET<br />
NON-ASPIRIN ACETAMINOPHEN 100MG/ML DROPS<br />
NON-ASPIRIN ACETAMINOPHEN 100MG/ML DROPS SUSP<br />
NON-ASPIRIN ACETAMINOPHEN 120MG SUPP.RECT<br />
NON-ASPIRIN ACETAMINOPHEN 160MG TAB CHEW<br />
NON-ASPIRIN ACETAMINOPHEN 160MG/5ML ELIXIR<br />
NON-ASPIRIN ACETAMINOPHEN 160MG/5ML ORAL SUSP<br />
NON-ASPIRIN ACETAMINOPHEN 325MG TABLET<br />
NON-ASPIRIN ACETAMINOPHEN 500MG CAPSULE<br />
NON-ASPIRIN ACETAMINOPHEN 500MG TABLET<br />
NON-ASPIRIN ACETAMINOPHEN 80MG TAB CHEW<br />
NON-ASPIRIN EXTRA STRENGTH ACETAMINOPHEN 167MG/5ML LIQUID<br />
NON-ASPIRIN EXTRA STRENGTH ACETAMINOPHEN 500MG TABLET<br />
NON-ASPIRIN INFANT PAIN RELIEF ACETAMINOPHEN 100MG/ML DROPS SUSP<br />
NON-ASPIRIN JR ACETAMINOPHEN 160MG TAB CHEW<br />
NON-ASPIRIN JR STRENGTH ACETAMINOPHEN 160MG TAB CHEW<br />
NON-ASPIRIN JUNIOR ACETAMINOPHEN 160MG TAB CHEW<br />
NON-ASPIRIN PAIN RELIEF ACETAMINOPHEN 160MG/5ML ORAL SUSP<br />
NON-ASPIRIN PAIN RELIEF ACETAMINOPHEN 325MG TABLET<br />
NON-ASPIRIN PAIN RELIEF ACETAMINOPHEN 500MG TABLET<br />
NON-ASPIRIN PAIN RELIEF ACETAMINOPHEN 80MG TAB CHEW<br />
NON-ASPIRIN PAIN RELIEVER ACETAMINOPHEN 160MG/5ML ORAL SUSP<br />
NON-ASPIRIN PAIN RELIEVER ACETAMINOPHEN 500MG TABLET<br />
NON-ASPIRIN PAIN RELIEVER ACETAMINOPHEN 80MG TAB CHEW<br />
NON-ASPIRIN SUSPENSION ACETAMINOPHEN 160MG/5ML ORAL SUSP<br />
NORTEMP ACETAMINOPHEN 160MG/5ML ORAL SUSP<br />
NORTEMP ACETAMINOPHEN 160MG/5ML SOLUTION<br />
PAIN RELIEF ACETAMINOPHEN 325MG TABLET<br />
Page 2<br />
MAC list as of February 03.xls
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