Urinary Anti-Infectives
Showing 1–12 of 15 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Fosfomycin Tromethamine Pack 5.631Gm (Generic) |
Urinary Anti-Infectives |
1 |
Generic |
$14 |
|
|
Nitrofurantoin Susp 25Mg/5Ml (Generic) |
Urinary Anti-Infectives |
3 |
Non-Formulary Brand |
$68 |
|
|
Methenamine Hippurate Tabs 1Gm (Generic) |
Urinary Anti-Infectives |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitrofurantoin Monohyd Macro Caps 100Mg (Generic) |
Urinary Anti-Infectives |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitrofurantoin Macrocrystal Caps 100Mg (Generic) |
Urinary Anti-Infectives |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitrofurantoin Macrocrystal Caps 25Mg (Generic) |
Urinary Anti-Infectives |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitrofurantoin Macrocrystal Caps 50Mg (Generic) |
Urinary Anti-Infectives |
3 |
Non-Formulary Brand |
$68 |
|
|
Hiprex Tabs 1 Gm (Brand) |
Urinary Anti-Infectives |
1 |
Generic |
$14 |
|
|
Fosfomycin Tromethamine Pack 5.631Gm (Generic) |
Urinary Anti-Infectives |
3 |
Non-Formulary Brand |
$68 |
|
|
Macrodantin Caps 100 Mg (Brand) |
Urinary Anti-Infectives |
1 |
Generic |
$14 |
|
|
Macrodantin Caps 25 Mg (Brand) |
Urinary Anti-Infectives |
1 |
Generic |
$14 |
|
|
Macrodantin Caps 50 Mg (Brand) |
Urinary Anti-Infectives |
1 |
Generic |
$14 |
|
|
Macrobid Caps 100 Mg (Brand) |
Urinary Anti-Infectives |
1 |
Generic |
$14 |
|
|
Furadantin Susp 25 Mg/5Ml (Brand) |
Urinary Anti-Infectives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Urinary Anti-Infectives |
1 |
Generic |
$14 |