Antibacterials

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ALSO KNOW AS
DRUG CATEGORY
FORMULARY CATEGORY
WHAT WE COVER
COST SHARE
Zithromax Tabs 250 Mg (Brand)

Azithromycin Tabs 250Mg (Generic)
Antibacterials
3
Non-Formulary Brand
$68
Zithromax Tabs 500 Mg (Brand)

Azithromycin Tabs 500Mg (Generic)
Antibacterials
3
Non-Formulary Brand
$68
Zithromax Tabs 600 Mg (Brand)

Azithromycin Tabs 600Mg (Generic)
Antibacterials
3
Non-Formulary Brand
$68
Zithromax Tri-Pak Tabs 500 Mg (Brand)

Azithromycin Tabs 500Mg (Generic)
Antibacterials
3
Non-Formulary Brand
$68
Zithromax Z-Pak Tabs 250 Mg (Brand)

Azithromycin Tabs 250Mg (Generic)
Antibacterials
3
Non-Formulary Brand
$68
Zmax Susr 2 Gm (Brand)

Azithromycin Susr 2Gm (Generic)
Antibacterials
3
Non-Formulary Brand
$68
Zyvox Soln 200 Mg/100Ml (Brand)

Linezolid Soln 200Mg/100Ml (Generic)
Antibacterials
3
Non-Formulary Brand
$68
Zyvox Susr 100 Mg/5Ml (Brand)

Linezolid Susr 100Mg/5Ml (Generic)
Antibacterials
3
Non-Formulary Brand
$68
Zyvox Tabs 600 Mg (Brand)

Linezolid Tabs 600Mg (Generic)
Antibacterials
3
Non-Formulary Brand
$68
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