Antibacterials
Showing 1–12 of 359 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
Ampicillin-Sulbactam Sodium Solr 1.5 (1-0.5) Gm (Brand) |
Antibacterials |
MA |
Administered in Medical Office |
N/A |
|
|
Ampicillin-Sulbactam Sodium Solr 3 (2-1) Gm (Brand) |
Antibacterials |
MA |
Administered in Medical Office |
N/A |
|
|
Unasyn Solr 3 (2-1) Gm (Brand) |
Antibacterials |
MA |
Administered in Medical Office |
N/A |
|
|
Ampicillin-Sulbactam Sodium Solr 15 (10-5) Gm (Brand) |
Antibacterials |
MA |
Administered in Medical Office |
N/A |
|
|
Unasyn Solr 15 (10-5) Gm (Brand) |
Antibacterials |
MA |
Administered in Medical Office |
N/A |
|
|
No Brand Option Available |
Antibacterials |
1 |
Generic |
$14 |
|
|
Ampicillin Sodium Solr 10 Gm (Brand) |
Antibacterials |
MA |
Administered in Medical Office |
N/A |
|
|
Ampicillin Sodium Solr 125 Mg (Brand) |
Antibacterials |
MA |
Administered in Medical Office |
N/A |
|
|
Ampicillin Sodium Solr 1 Gm (Brand) |
Antibacterials |
MA |
Administered in Medical Office |
N/A |
|
|
Amikacin Sulfate Liposome Susp 590Mg/8.4Ml (Generic) |
Antibacterials |
3 |
Non-Formulary Brand |
$68 |
|
|
Amoxicillin & Pot Clavulanate Susr (Generic) |
Antibacterials |
3 |
Non-Formulary Brand |
$68 |
|
|
Moxifloxacin Hcl Tabs 400Mg (Generic) |
Antibacterials |
3 |
Non-Formulary Brand |
$68 |
|
|
Zithromax Pack 1 Gm (Brand) |
Antibacterials |
1 |
Generic |
$14 |
|
|
Zithromax Susr 100 Mg/5Ml (Brand) |
Antibacterials |
1 |
Generic |
$14 |