Diuretics
Showing 1–12 of 56 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Furosemide Tabs 80Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Triamterene & Hydrochlorothiazide Tabs (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Triamterene & Hydrochlorothiazide Tabs (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
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 |
|
|
Hydrochlorothiazide Caps 12.5Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Pegvaliase-Pqpz Sosy 10Mg/0.5Ml (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Pegvaliase-Pqpz Sosy 20Mg/Ml (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Tolvaptan Tabs 15Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
Tolvaptan Tabs 30Mg (Generic) |
Diuretics |
3 |
Non-Formulary Brand |
$68 |
|
|
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 |
|
|
Triamterene-Hctz Caps 37.5-25 Mg |
Diuretics |
1 |
Generic |
$14 |
|
|
Triamterene-Hctz Tabs 37.5-25 Mg |
Diuretics |
1 |
Generic |
$14 |
|
|
Triamterene-Hctz Tabs 75-50 Mg |
Diuretics |
1 |
Generic |
$14 |
|
|
Dyrenium Caps 100 Mg (Brand) |
Diuretics |
1 |
Generic |
$14 |
|
|
Dyrenium Caps 50 Mg (Brand) |
Diuretics |
1 |
Generic |
$14 |