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Informational only — Formulary data may be inaccurate or outdated.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.
42 results for "GENITOURINARY AGENTS - MISC."
Page 1 of 2| Drug Name | Generic Name | Strength | Form | Plans Covering | Actions |
|---|---|---|---|---|---|
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Ativan
Brand for lorazepam BENZODIAZEPINES Also: ATIVAN SOLN 2MG/ML, 4MG/ML; TABS .5MG, 1MG, 2MG, ATIVAN TABS .5MG, 1MG, 2MG, ATIVAN SOLN 2MG/ML, 4MG/ML; TABS .5MG, |
lorazepam | 5MG, 1MG, 2MG | Solution | 10 plans | Details |
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Avodart
Brand for dutasteride PROSTATIC HYPERTROPHY AGENTS Also: AVODART CAPS .5MG |
dutasteride | 5MG | Capsule | 10 plans | Details |
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Cystadrops
Brand for cysteamine HEMATOLOGICAL AGENTS - MISC. Also: cysteamine, CYSTADROPS SOLN .37% |
cysteamine | 3.8 MG | Ophthalmic Solution | 32 plans | Details |
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Cystagon
Brand for cysteamine GENITOURINARY AGENTS - MISC. Also: CYSTAGON CAPS 50MG, 150MG, cysteamine, Cystagon 50 Mg Capsule, Cystagon 150 Mg Capsule, CYSTAGON CAPS 50MG, Cystagon Oral Capsule, Cysteamine |
cysteamine | 50MG, 150MG | Capsule | 251 plans | Details |
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Cystaran
Brand for cysteamine OPHTHALMIC AGENTS Also: CYSTARAN SOLN .44%, cysteamine |
cysteamine | 4.4 MG | Ophthalmic Solution | 235 plans | Details |
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Diastat
Brand for Diazepam Benzodiazepine Also: Diazepam |
Diazepam | 2.5 MG | — | 10 plans | Details |
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Diastat AcuDial Rectal
Brand for Diazepam Benzodiazepine Also: Diastat AcuDial Rectal Gel, Diazepam |
Diazepam | 10 MG | Gel | 10 plans | Details |
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Diastat Pediatric Rectal
Brand for Diazepam Benzodiazepine Also: Diastat Pediatric Rectal Gel, Diazepam |
Diazepam | 2.5 MG | Gel | 7 plans | Details |
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Emsam
Brand for selegiline GENITOURINARY AGENTS - MISC. Also: selegiline, EMSAM PT24 6MG/24HR, 9MG/24HR, 12MG/24HR, Emsam Transdermal Patch, Selegiline |
selegiline | 0.375 MG/HR | Patch | 228 plans | Details |
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Fetzima
Brand for levomilnacipran GENITOURINARY AGENTS - MISC. Also: FETZIMA CAP TITRATIO, levomilnacipran, Fetzima 20-40 Mg Titration Pack, Fetzima Er 20 Mg Capsule, Fetzima Er 40 Mg Capsule, Fetzima Er 80 Mg Capsule, Fetzima Er 120 Mg Capsule, Fetzima Oral Capsule Extended Release |
levomilnacipran | 20-40 Mg | Extended Release Capsule | 250 plans | Details |
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Libervant
Brand for diazepam Benzodiazepine Also: LIBERVANT FILM 5MG, 7.5MG, 10MG, 12.5MG, 15MG, diazepam, LIBERVANT FILM 5MG, 7.5MG, 10MG, 12.5MG, |
diazepam | 5MG, 7.5MG, 10MG, 12.5MG, 15MG | Film | 31 plans | Details |
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Libervant Buccal
Brand for diazepam Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product. Also: diazepam, LIBERVANT FILM 5MG, 7.5MG, 10MG, 12.5MG, 15MG, LIBERVANT FILM 5MG, 7.5MG, 10MG, 12.5MG, |
diazepam | 5MG, 7.5MG, 10MG, 12.5MG, 15MG | Film | 1 plan | Details |
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Norpramin
Brand for desipramine hcl Tricyclic Antidepressant Also: NORPRAMIN TABS 10MG, 25MG |
desipramine hcl | 10MG, 25MG | Tablet | 8 plans | Details |
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Selegiline
Brand for Emsam ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTS Also: Selegiline 5 Mg Capsule, Selegiline 5 Mg Tablet, EMSAM |
Emsam | 12 mg/24 hour, 6 mg/24 hour, 9 mg/24 hour | Capsule | 1 plan | Details |
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Uroxatral
Brand for alfuzosin hcl GENITOURINARY AGENTS - MISC. |
alfuzosin hcl | — | — | 5 plans | Details |
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Valium
Brand for diazepam BENZODIAZEPINES Also: VALIUM TABS 2MG, 5MG, 10MG |
diazepam | 2MG, 5MG, 10MG | Tablet | 10 plans | Details |
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Valtoco
Brand for Diazepam ANTICONVULSANTS Also: VALTOCO 5 MG DOSE LIQD 5MG/0.1ML, VALTOCO 10 MG DOSE LIQD 10MG/0.1ML, VALTOCO 15 MG DOSE LQPK 7.5MG/0.1ML, VALTOCO 20 MG DOSE LQPK 10MG/0.1ML, Valtoco 10 Mg Dose, Valtoco 15 Mg Dose, Valtoco 20 Mg Dose, Valtoco 5 Mg Dose, Diazepam |
Diazepam | 10 MG | Nasal Spray | 161 plans | Details |
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Vistaril
Brand for hydroxyzine pamoate First Generation Antihistamines |
hydroxyzine pamoate | — | Capsule | 6 plans | Details |
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Xanax
Brand for alprazolam BENZODIAZEPINES Also: XANAX TABS .25MG, .5MG, 1MG, 2MG |
alprazolam | 25MG | Tablet | 10 plans | Details |
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Xanax Xr
Brand for alprazolam GENITOURINARY AGENTS - MISC. Also: XANAX XR TB24 2MG |
alprazolam | 2MG | Extended Release Tablet | 7 plans | Details |
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alfuzosin hcl
GENITOURINARY AGENTS - MISC. Also: alfuzosin hcl tab er 24hr 10 mg, alfuzosin hcl tb24 10mg, UROXATRAL, ALFUZOSIN HCL ER, Alfuzosin HCl ER Oral Tablet Extended Release |
— | 10 mg | Tablet | 14 plans | Details |
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alfuzosin hcl er
Brand for alfuzosin hcl Benign Prostatic Hypertrophy Agents |
alfuzosin hcl | 10 MG | — | 20 plans | Details |
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alfuzosin hcl tb24
Brand for alfuzosin hcl 10000UNIT Also: alfuzosin hcl tb24 10mg |
alfuzosin hcl | 10mg | — | 3 plans | Details |
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alprazolam
GENITOURINARY AGENTS - MISC. Also: alprazolam oral tablet, alprazolam oral tablet dispersible, alprazolam tabs .25mg, .5mg, 1mg, 2mg; tb24 .5mg, 1mg, 2mg, 3mg; tbdp .25mg, .5mg, 1mg, 2mg, alprazolam tab er 24hr 0.5 mg, 1 mg, 2 mg, 3 mg, alprazolam tab 0.25 mg, 0.5 mg, 1 mg, 2 mg, Alprazolam 0.25 Mg Odt Tablet, Alprazolam 0.5 Mg Odt Tablet, Alprazolam 1 Mg Odt Tablet, Alprazolam 2 Mg Odt Tablet, Alprazolam 0.25 Mg Tablet, Alprazolam 0.5 Mg Tablet, Alprazolam 1 Mg Tablet, Alprazolam 2 Mg Tablet, Alprazolam Er 0.5 Mg Tablet, Alprazolam Er 1 Mg Tablet, Alprazolam Er 2 Mg Tablet, Alprazolam Er 3 Mg Tablet, alprazolam tabs .25mg, .5mg, 1mg, 2mg; tb24, ALPRAZolam Oral Tablet |
— | 0.25 mg, 0.5 mg, 1 mg, 2 mg | Tablet | 245 plans | Details |
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buspirone hcl
GENITOURINARY AGENTS - MISC. Also: buspirone hcl oral, buspirone hcl tabs 5mg, 7.5mg, 10mg, 15mg, 30mg, buspirone hcl tab 5 mg, 7.5 mg, 10 mg, 15 mg, 30 mg, buspirone hcl tabs 5mg, 7.5mg, 10mg, 15mg,, busPIRone HCl Oral Tablet |
— | 5 mg, 7.5 mg, 10 mg, 15 mg, 30 mg | Tablet | 182 plans | Details |