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Informational only — Formulary data may be inaccurate or outdated.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 21 of 26| Drug Name | Generic Name | Strength | Form | Plans Covering | Actions |
|---|---|---|---|---|---|
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estradiol
Brand for Combipatch CORTICOSTEROIDS Also: estradiol oral, Climara, Menostar, Vivelle-Dot, Estrace, Vagifem, estradiol gel .06%, .25mg/0.25gm, .5mg/0.5gm, .75mg/0.75gm, 1mg/gm, 1.25mg/1.25gm; pttw .025mg/24hr, .037mg/24hr, .05mg/24hr, .075mg/24hr, .1mg/24hr; ptwk .025mg/24hr, .05mg/24hr, .06mg/24hr, .075mg/24hr, .1mg/24hr, 37.5mcg/24hr; tabs .5mg, 1mg, 2mg, estradiol tab 0.5 mg, 1 mg, 2 mg, Estradiol 0.025 Mg Patch (1/Wk), Estradiol 0.025 Mg Patch (2/Wk), Estradiol 0.0375 Mg Patch (1/Wk), Estradiol 0.0375 Mg Patch (2/Wk), Estradiol 0.05 Mg Patch (1/Wk), Estradiol 0.05 Mg Patch (2/Wk), Estradiol 0.06 Mg Patch (1/Wk), Estradiol 0.075 Mg Patch (1/Wk), Estradiol 0.075 Mg Patch (2/Wk), Estradiol 0.1 Mg Patch (1/Wk), Estradiol 0.1 Mg Patch (2/Wk), Estradiol 0.5 Mg Tablet, Estradiol 1 Mg Tablet, Estradiol 2 Mg Tablet, Estradiol 10 Mcg Vaginal Insert Tablet, CLIMARA, ESTRADIOL (ONCE WEEKLY), estradiol gel .06%, .25mg/0.25gm, |
Combipatch | 0.01 %, 0.025 mg/24 hour, 0.0375 mg/24 hour, 0.05 mg/24 hour, 0.06 mg/24 hour, 0.075 mg/24 hour, 0.1 mg/24 hour, 0.5 mg, 1 mg, 2 mg | Tablet | 39 plans | Details |
|
estradiol vaginal crea .01%, .1mg/gm;
VAGINAL ESTROGENS Also: estradiol vaginal crea .01%, .1mg/gm; tabs 10mcg |
— | 01% | Tablet | 3 plans | Details |
| estradiol vaginal crea .1mg/gm | — | 1mg | — | 0 plans | Details |
|
estradiol vaginal crea .1mg/gm;
VAGINAL ESTROGENS Also: estradiol vaginal crea .1mg/gm; tabs 10mcg |
— | 1mg | Tablet | 3 plans | Details |
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etoposide
Brand for Etopophos ANTINEOPLASTICS Also: etoposide oral, etoposide caps 50mg, etoposide soln 1gm/50ml, 100mg/5ml, 500mg/25ml, Etoposide 50 Mg Capsule, etoposide caps 50mg; soln 100mg/5ml, 500mg/25ml, etoposide soln 1gm/50ml, 100mg/5ml,, etoposide caps 50mg; soln 1gm/50ml, 100mg/5ml, 500mg/25ml |
Etopophos | 50 MG | Capsule | 42 plans | Details |
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falmina
Brand for levonorgestrel/ethinyl estradiol COMBINATION CONTRACEPTIVES - ORAL Also: falmina tab, Falmina Tab |
levonorgestrel/ethinyl estradiol | — | Tablet | 7 plans | Details |
|
floxuridine solr .5gm
4gm/dose |
— | 5g | — | 3 plans | Details |
|
fluorouracil
DERMATOLOGICALS Also: fluorouracil soln 1gm/20ml, 2.5gm/50ml, 5gm/100ml, 500mg/10ml, fluorouracil cream 5%, fluorouracil soln 5%, TOLAK, fluorouracil soln 1gm/20ml, 2.5gm/50ml,, fluorouracil soln 2.5gm/50ml, 5gm/100ml, 500mg/10ml |
— | 500 MG | Cream | 41 plans | Details |
|
fluorouracil (topical) crea .5%
unit/gm-% |
— | 5% | — | 3 plans | Details |
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fomepizole
Antidote Also: fomepizole soln 1.5gm/1.5ml |
— | 1.5g | Solution | 3 plans | Details |
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fosfomycin tromethamine pack 3gm
URINARY ANTI-INFECTIVES |
— | 3g | — | 6 plans | Details |
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fosfomycin tromethamine powd pack 3 gm
ANTIMALARIALS |
— | — | — | 0 plans | Details |
|
g tussin ac
300GM Also: g tussin ac liq 100-10/5, G Tussin Ac Liq 100-10/5 |
— | — | Liquid | 3 plans | Details |
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gemcitabine hcl
Nucleoside Metabolic Inhibitor Also: gemcitabine hcl soln 1gm/26.3ml, 2gm/52.6ml, 200mg/5.26ml; solr 1gm, 2gm, 200mg, gemcitabine hcl soln 1gm/26.3ml, 2gm/52.6ml, |
— | 1g | Solution | 3 plans | Details |
|
glutamine (sickle cell) pack 5gm
AGENTS FOR SICKLE CELL DISEASE |
— | 5g | — | 6 plans | Details |
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glutamine (sickle cell) powd pack 5 gm
HEMATOPOIETIC AGENTS |
— | — | — | 0 plans | Details |
|
glycerol phenylbutyrate liqd 1.1gm/ml
METABOLIC MODIFIERS |
— | 1.1g | — | 6 plans | Details |
|
glycerol phenylbutyrate liquid 1.1 gm/ml
OXYTOCICS |
— | — | — | 0 plans | Details |
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gm mesalamine
Aminosalicylates Also: gm mesalamine oral tablet delayed |
— | — | Tablet | 1 plan | Details |
|
hidex 6-day tbpk
Brand for hidex 6-day 300GM Also: hidex 6-day tbpk 1.5mg, Hidex 6-Day Tbpk 1.5mg |
hidex 6-day | 1.5mg | — | 3 plans | Details |
|
hydrocodone bitart-homatropine
300GM |
— | — | — | 3 plans | Details |
|
hydrogen peroxide
4gm/dose Also: hydrogen peroxide soln 30%, HYDROGEN PEROXIDE SOLN 30% |
— | 30% | Solution | 3 plans | Details |
|
icosapent ethyl
Brand for Vascepa Dyslipidemics, Other Also: Vascepa, icosapent ethyl caps .5gm, 1gm, Icosapent Ethyl 500 Mg Capsule |
Vascepa | 1000 MG | Capsule | 38 plans | Details |
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ifosfamide
Alkylating Drug Also: ifosfamide soln 1gm/20ml, 3gm/60ml; solr 1gm |
— | 1000 MG | Solution | 32 plans | Details |
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introvale
Brand for levonorgestrel/ethinyl estradiol COMBINATION CONTRACEPTIVES - ORAL Also: introvale tab, Introvale Tab |
levonorgestrel/ethinyl estradiol | — | Tablet | 7 plans | Details |