Antiulcer Agents And Acid Suppressants
Showing 1–12 of 77 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Rabeprazole Sodium Cpsp 10Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Rabeprazole Sodium Cpsp 5Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Rabeprazole Sodium Tbec 20Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Prevpac Misc (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Sucralfate Susp 1Gm/10Ml (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Sucralfate Tabs 1Gm (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Misoprostol Tabs 100Mcg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Misoprostol Tabs 200Mcg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dexlansoprazole Cpdr 30Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dexlansoprazole Cpdr 60Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dexilant Cpdr 30Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dexilant Cpdr 60Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Nexium Cpdr 20 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Nexium Cpdr 40 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Pepcid Susr 40 Mg/5Ml (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Pepcid Tabs 20 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Pepcid Tabs 40 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Prevacid Cpdr 15 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Prevacid Cpdr 30 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Prevacid Solutab Tbdd 15 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Prevacid Solutab Tbdd 30 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Cytotec Tabs 100 Mcg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Cytotec Tabs 200 Mcg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Esomeprazole Magnesium Cpdr 20Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Esomeprazole Magnesium Cpdr 40Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Esomeprazole Magnesium Pack 10Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Esomeprazole Magnesium Pack 2.5Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Esomeprazole Magnesium Pack 20Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Esomeprazole Magnesium Pack 40Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |