Diuretics
Showing 1–12 of 56 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
Bumetanide Soln 0.25 Mg/Ml (Brand) |
Diuretics |
MA |
Administered in Medical Office |
N/A |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
Chlorothiazide Susp 250Mg/5Ml (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Triamterene & Hydrochlorothiazide Caps (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Triamterene Caps 100Mg (Generic) |
Diuretics |
2 |
Formulary Brand |
$38 |
|
|
Triamterene Caps 50Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Ethacrynic Acid Tabs 25Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Sodium Edecrin Solr 50 Mg (Brand) |
Diuretics |
MA |
Administered in Medical Office |
N/A |
|
|
Edecrin Tabs 25 Mg (Brand) |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
Lasix Tabs 20 Mg (Brand) |
Diuretics |
1 |
Generic |
$14 |
|
|
Lasix Tabs 40 Mg (Brand) |
Diuretics |
1 |
Generic |
$14 |
|
|
Lasix Tabs 80 Mg (Brand) |
Diuretics |
1 |
Generic |
$14 |
|
|
Microzide Caps 12.5 Mg (Brand) |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Diuretics |
1 |
Generic |
$14 |
|
|
Tolvaptan Tabs 15Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Tolvaptan Tabs 30Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Tolvaptan Tbpk (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Tolvaptan Tbpk (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Tolvaptan Tbpk (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Furosemide Tabs 20Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Furosemide Tabs 40Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |