Antiulcer Agents And Acid Suppressants

Showing 1–12 of 77 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Sucralfate Susp 1Gm/10Ml (Generic)	Carafate Susp 1 Gm/10Ml (Brand)	Antiulcer Agents And Acid Suppressants	1	Generic	$14
Sucralfate Tabs 1Gm (Generic)	Carafate Tabs 1 Gm (Brand)	Antiulcer Agents And Acid Suppressants	1	Generic	$14
Zantac Tabs 300 Mg (Brand)	Ranitidine Hcl Tabs 300Mg (Generic)	Antiulcer Agents And Acid Suppressants	3	Non-Formulary Brand	$68
Zegerid Caps 20-1100 Mg (Brand)	Omeprazole-Sodium Bicarbonate Caps 20-1100 Mg (Generic)	Antiulcer Agents And Acid Suppressants	3	Non-Formulary Brand	$68
Zegerid Caps 40-1100 Mg (Brand)	Omeprazole-Sodium Bicarbonate Caps 40-1100 Mg (Generic)	Antiulcer Agents And Acid Suppressants	3	Non-Formulary Brand	$68
Zegerid Pack 20-1680 Mg (Brand)	Omeprazole-Sodium Bicarbonate Pack 20-1680 Mg (Generic)	Antiulcer Agents And Acid Suppressants	3	Non-Formulary Brand	$68
Zegerid Pack 40-1680 Mg (Brand)	Omeprazole-Sodium Bicarbonate Pack (Generic)	Antiulcer Agents And Acid Suppressants	3	Non-Formulary Brand	$68

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