Anti-Infectives

Showing 1–12 of 39 results

Filters Sort results
NAME
ALSO KNOW AS
DRUG CATEGORY
FORMULARY CATEGORY
WHAT WE COVER
COST SHARE

Azithromycin (Ophth) Soln 1% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

No Brand Option Available

Anti-Infectives
1
Generic
$14

No Brand Option Available

Anti-Infectives
1
Generic
$14

Besifloxacin Hcl Susp .6% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

Sulfacetamide Sodium (Ophth) Soln 10% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

Ciprofloxacin Hcl (Otic) Soln .2% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

Periogard Soln 0.12 % (Brand)

Anti-Infectives
1
Generic
$14

Ciprofloxacin Hcl (Ophth) Oint .3% (Generic)

Anti-Infectives
2
Formulary Brand
$38

Ciprofloxacin Hcl (Ophth) Soln .3% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

Ciloxan Soln 0.3 % (Brand)

Anti-Infectives
1
Generic
$14

Cetraxal Soln 0.2 % (Brand)

Anti-Infectives
1
Generic
$14

Erythromycin Oint 5 Mg/Gm (Brand)

Anti-Infectives
1
Generic
$14

Zymaxid Soln 0.5 % (Brand)

Anti-Infectives
1
Generic
$14

Gentamicin Sulfate (Ophth) Oint .3% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

No Brand Option Available

Anti-Infectives
1
Generic
$14

No Brand Option Available

Anti-Infectives
1
Generic
$14

Moxifloxacin Hcl (Ophth) Soln .5% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

Vigamox Soln 0.5 % (Brand)

Anti-Infectives
1
Generic
$14

Natamycin Susp 5% (Generic)

Anti-Infectives
2
Formulary Brand
$38

No Brand Option Available

Anti-Infectives
1
Generic
$14

No Brand Option Available

Anti-Infectives
1
Generic
$14

Ofloxacin (Ophth) Soln .3% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

Ocuflox Soln 0.3 % (Brand)

Anti-Infectives
1
Generic
$14

No Brand Option Available

Anti-Infectives
1
Generic
$14

No Brand Option Available

Anti-Infectives
1
Generic
$14

Ciprofloxacin-Fluocinolone Acetonide Soln (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

Chlorhexidine Gluconate (Mouth-Throat) Soln .12% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

Polytrim Soln 10000-0.1 Unit/Ml-% (Brand)

Anti-Infectives
1
Generic
$14

Polymyxin B-Trimethoprim Soln (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

No Brand Option Available

Anti-Infectives
1
Generic
$14

Bleph-10 Soln 10 % (Brand)

Anti-Infectives
1
Generic
$14

Tobrex Soln 0.3 % (Brand)

Anti-Infectives
1
Generic
$14

Tobramycin (Ophth) Oint .3% (Generic)

Anti-Infectives
2
Formulary Brand
$38

Tobramycin (Ophth) Soln .3% (Generic)

Anti-Infectives
3
Non-Formulary Brand
$68

Viroptic Soln 1 % (Brand)

Anti-Infectives
1
Generic
$14
1 2