Anti-Infectives (Skin And Mucous Membrane)

Showing 1–12 of 124 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Oxistat Lotn 1 % (Brand)	Oxiconazole Nitrate Lotn 1% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Permethrin Crea 5% (Generic)	Elimite Crea 5 % (Brand)	Anti-Infectives (Skin And Mucous Membrane)	1	Generic	$14
Selenium Sulfide Lotn 2.5% (Generic)	No Brand Option Available	Anti-Infectives (Skin And Mucous Membrane)	1	Generic	$14
Silvadene Crea 1 % (Brand)	Silver Sulfadiazine Crea 1% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Silver Sulfadiazine Crea 1% (Generic)	Silvadene Crea 1 % (Brand)	Anti-Infectives (Skin And Mucous Membrane)	1	Generic	$14
Sklice Lotn 0.5 % (Brand)	Ivermectin (Pediculicide) Lotn .5% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Soolantra Crea 1 % (Brand)	Ivermectin (Rosacea) Crea 1% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Sulfacetamide Sodium (Acne) Lotn 10% (Generic)	Klaron Lotn 10 % (Brand)	Anti-Infectives (Skin And Mucous Membrane)	1	Generic	$14
Sulfamylon Crea 85 Mg/Gm (Brand)	Mafenide Acetate Crea 85Mg/Gm (Generic)	Anti-Infectives (Skin And Mucous Membrane)	2	Formulary Brand	$38
Sulfamylon Pack 5 % (Brand)	Mafenide Acetate Pack 5% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Terazol 7 Crea 0.4 % (Brand)	Terconazole Vaginal Crea .4% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Terconazole Vaginal Crea .4% (Generic)	Terazol 7 Crea 0.4 % (Brand)	Anti-Infectives (Skin And Mucous Membrane)	1	Generic	$14
Terconazole Vaginal Crea .8% (Generic)	No Brand Option Available	Anti-Infectives (Skin And Mucous Membrane)	1	Generic	$14
Terconazole Vaginal Supp 80Mg (Generic)	No Brand Option Available	Anti-Infectives (Skin And Mucous Membrane)	1	Generic	$14
Vandazole Gel 0.75 % (Brand)	Metronidazole Vaginal Gel .75% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Xepi Crea 1 % (Brand)	Ozenoxacin Crea 1% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Xerese Crea 5-1 % (Brand)	Acyclovir-Hydrocortisone Crea (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Zovirax Crea 5 % (Brand)	Acyclovir Topical Crea 5% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68
Zovirax Oint 5 % (Brand)	Acyclovir Topical Oint 5% (Generic)	Anti-Infectives (Skin And Mucous Membrane)	3	Non-Formulary Brand	$68

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