Replacement Preparations
Showing 1–12 of 64 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Kcl In Dextrose-Nacl Soln 20-5-0.45 Meq/L-%-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Kcl In Dextrose-Nacl Soln 30-5-0.45 Meq/L-%-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Kcl In Dextrose-Nacl Soln 20-5-0.33 Meq/L-%-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Kcl In Dextrose-Nacl Soln 20-5-0.2 Meq/L-%-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Kcl In Dextrose-Nacl Soln 20-5-0.9 Meq/L-%-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Kcl In Dextrose-Nacl Soln 40-5-0.9 Meq/L-%-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride In Dextrose Soln 20-5 Meq/L-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride In Dextrose Soln 40-5 Meq/L-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride In Nacl Soln 20-0.9 Meq/L-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride In Nacl Soln 40-0.9 Meq/L-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride In Nacl Soln 20-0.45 Meq/L-% (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Klor-Con M10 Tbcr 10 Meq (Brand) |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
Klor-Con M20 Tbcr 20 Meq (Brand) |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
Klor-Con Pack 20 Meq (Brand) |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
Potassium Chloride Soln 20 Meq/15Ml (10%) (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride Soln 10 Meq/100Ml (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride Soln 40 Meq/15Ml (20%) (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride Soln 20 Meq/100Ml (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride Soln 2 Meq/Ml (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Potassium Chloride Soln 40 Meq/100Ml (Brand) |
Replacement Preparations |
MA |
Administered in Medical Office |
N/A |
|
|
Klor-Con 10 Tbcr 10 Meq (Brand) |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
K-Tab Tbcr 20 Meq (Brand) |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
Klor-Con Tbcr 8 Meq (Brand) |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Replacement Preparations |
1 |
Generic |
$14 |
|
|
Parenteral Electrolytes Soln (Generic) |
Replacement Preparations |
3 |
Non-Formulary Brand |
$68 |