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Informational only — Formulary data may be inaccurate or outdated. Always verify with official plan documents, your pharmacy, or your clinician before acting.
633 results for "gm"
Page 20 of 26| Drug Name | Generic Name | Strength | Form | Plans Covering | Actions |
|---|---|---|---|---|---|
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chlorhexidine gluconate (mouth-throat)
25.2GM Also: chlorhexidine gluconate (mouth-throat) soln .12%, chlorhexidine gluconate (mouth-throat) soln |
— | 12% | Solution | 3 plans | Details |
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cholestyramine
ANTIHYPERLIPIDEMICS Also: cholestyramine oral, cholestyramine powder 4 gm/ dose, Cholestyramine Packet, Cholestyramine Powder |
— | — | Powder | 2 plans | Details |
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cholestyramine light
ANTIHYPERLIPIDEMICS Also: cholestyramine light powder 4 gm/dose, Cholestyramine Light Packet, Cholestyramine Light Powder |
— | — | Powder | 2 plans | Details |
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cholestyramine light pack 4gm; powd 4gm/dose
Brand for cholestyramine light pack 4gm; powd BILE ACID SEQUESTRANTS |
cholestyramine light pack 4gm; powd | 4g | — | 6 plans | Details |
|
cholestyramine pack 4gm; powd 4gm/dose
BILE ACID SEQUESTRANTS |
— | 4g | — | 6 plans | Details |
|
clonidine ptwk .1mg/24hr, .2mg/24hr,
4gm/dose |
— | 1mg | — | 3 plans | Details |
|
clozapine tbdp
4gm/dose Also: clozapine tbdp 100mg, 150mg |
— | 100mg, 150mg | — | 3 plans | Details |
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colesevelam hcl pack 3.75gm
4gm/dose |
— | 3.75g | — | 3 plans | Details |
|
colesevelam hcl pack 3.75gm;
BILE ACID SEQUESTRANTS Also: colesevelam hcl pack 3.75gm; tabs 625mg |
— | 3.75g | Tablet | 3 plans | Details |
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colestipol hcl
ANTIHYPERLIPIDEMICS Also: colestipol hcl oral granules, colestipol hcl oral packet, colestipol hcl oral tablet, colestipol hcl granules 5 gm, colestipol hcl tab 1 gm |
— | — | Granules | 1 plan | Details |
|
colestipol hcl gran 5gm; pack 5gm;
BILE ACID SEQUESTRANTS Also: colestipol hcl gran 5gm; pack 5gm; tabs 1gm |
— | 5g | Tablet | 6 plans | Details |
|
colestipol hcl granule packets 5 gm
ANTIHYPERLIPIDEMICS |
— | — | — | 5 plans | Details |
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cyclophosphamide
ANTINEOPLASTICS Also: cyclophosphamide oral capsule, Cyclophosphamide Oral, cyclophosphamide caps 25mg, 50mg, CYCLOPHOSPHAMIDE SOLN 1GM/2ML, 2GM/10ML, 2GM/4ML, 500MG/5ML, 500MG/ML, 1000MG/10ML, 2000MG/20ML; TABS 50MG, cyclophosphamide cap 25 mg, 50 mg, Cyclophosphamide 25 Mg Capsule, Cyclophosphamide 50 Mg Capsule, cyclophosphamide caps 25mg, 50mg; solr 1gm, 2gm, 500mg, CYCLOPHOSPHAMIDE TABS 50MG, CYCLOPHOSPHAMIDE SOLN 1GM/2ML, |
— | 25 mg, 50 mg | Capsule | 42 plans | Details |
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cyclophosphamide solr 1gm, 2gm
4gm/dose Also: cyclophosphamide solr 1gm, 2gm, 500mg |
— | 1g | — | 3 plans | Details |
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dacarbazine solr
4gm/dose Also: dacarbazine solr 100mg, 200mg |
— | 100mg, 200mg | — | 3 plans | Details |
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dactinomycin solr .5mg
4gm/dose |
— | 5mg | — | 3 plans | Details |
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deferoxamine mesylate solr 2gm
0.9% Also: deferoxamine mesylate solr 2gm, 500mg |
— | 2g | — | 3 plans | Details |
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delyla
300GM Also: delyla tab 0.1-0.02, Delyla Tab 0.1-0.02 |
— | — | Tablet | 4 plans | Details |
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dexrazoxane hcl solr
4gm/dose Also: dexrazoxane hcl solr 250mg, 500mg |
— | 250mg, 500mg | — | 3 plans | Details |
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diltiazem hcl tb24
Brand for diltiazem hcl 4gm/dose Also: diltiazem hcl tb24 180mg, 240mg, 300mg, 360mg, 420mg, diltiazem hcl tb24 180mg, 240mg, 300mg, |
diltiazem hcl | 180mg, 240mg, 300mg, 360mg, 420mg | — | 3 plans | Details |
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docetaxel conc
4gm/dose Also: docetaxel conc 20mg/ml, 80mg/4ml, 160mg/8ml; soln 20mg/2ml, 80mg/8ml, 160mg/16ml, DOCETAXEL CONC 20MG/ML, 80MG/4ML, 160MG/8ML; SOLN 20MG/2ML, 80MG/8ML, 160MG/16ML, docetaxel conc 20mg/ml, 80mg/4ml,, DOCETAXEL CONC 20MG/ML, 80MG/4ML, |
— | 20mg | Solution | 3 plans | Details |
|
ertapenem sodium solr 1gm
(base equiv) |
— | 1g | — | 3 plans | Details |
|
erythromycin (ophth) oint
Brand for erythromycin (ophth) oint 5mg/gm OPHTHALMIC ANTI-INFECTIVES Also: erythromycin (ophth) oint 5mg/gm |
erythromycin (ophth) oint 5mg/gm | 5mg | — | 6 plans | Details |
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erythromycin ophth oint
Brand for erythromycin ophth oint 5 mg/ gm OPHTHALMIC AGENTS Also: erythromycin ophth oint 5 mg/ gm |
erythromycin ophth oint 5 mg/ gm | — | — | 5 plans | Details |
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esmolol hcl-sodium chloride iv
4gm/dose Also: esmolol hcl-sodium chloride iv soln 2000 mg/100ml, esmolol hcl-sodium chloride iv soln 2500 mg/250ml, esmolol hcl-sodium chloride iv soln 2000, esmolol hcl-sodium chloride iv soln 2500 |
— | 2000 mg/100ml | Solution | 3 plans | Details |