Generic Ingredient ESOMEPRAZOLE SODIUM Medication Lists Not Covered Prior Auth Required Strength Information ESOMEPRAZOLE - 20 MG - VIAL ESOMEPRAZOLE - 40 MG - VIAL ESOMEPRAZOLE - 40MG - CAPS ESOMEPRAZOLE - 20 MG - CAPS ESOMEPRAZOLE - 10MG - PACKET ESOMEPRAZOLE - 20 MG - PACKET ESOMEPRAZOLE - 40 MG - PACKET Covered Alternatives Group PROTON PUMP INHIBITORS gpi6 Proton Pump Inhibitors