Antiulcer Agents And Acid Suppressants
Showing 1–12 of 77 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Esomeprazole Magnesium Pack 5Mg (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 |
|
|
Amoxicillin-Clarithromycin W/ Omeprazole Misc (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 |
|
|
Zegerid Caps 20-1100 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Zegerid Caps 40-1100 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Zegerid Pack 20-1680 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Zegerid Pack 40-1680 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Protonix Pack 40 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
$14 |
$12 |
|
|
Protonix Tbec 20 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Protonix Tbec 40 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |
|
|
Famotidine Susr 40Mg/5Ml (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Famotidine Tabs 20Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Famotidine Tabs 40Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Lansoprazole Cpdr 15Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Lansoprazole Cpdr 30Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Lansoprazole Tbdd 15Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Lansoprazole Tbdd 30Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Amoxicillin-Clarithromycin W/ Lansoprazole Misc (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Omeprazole Magnesium Pack 10Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Omeprazole Magnesium Pack 2.5Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Pantoprazole Sodium Pack 40Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Pantoprazole Sodium Tbec 20Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Pantoprazole Sodium Tbec 40Mg (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Bismuth Subcitrate Potassium-Metronidazole-Tetracycline Caps (Generic) |
Antiulcer Agents And Acid Suppressants |
3 |
Non-Formulary Brand |
$68 |
|
|
Aciphex Tbec 20 Mg (Brand) |
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 |
|
|
Zantac Tabs 300 Mg (Brand) |
Antiulcer Agents And Acid Suppressants |
1 |
Generic |
$14 |