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Informational only — Formulary data may be inaccurate or outdated.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.

658 results for "gm"

Page 17 of 27
Drug Name Generic Name Strength Form Plans Covering Actions
Mitomycin Sosy
4gm/dose
Also: MITOMYCIN SOSY 20MG/40ML
20MG/40ML 3 plans Details
Mirena
Brand for levonorgestrel
Progestin
Also: levonorgestrel, Mirena 52 Mg System
levonorgestrel 0.000833 MG/HR 105 plans Details
Mineral Oil Heavy
236 gm
0 plans Details
Miebo
Brand for perfluorohexyloctane
Anti-Inflammatory / Immunomodulator
Also: perfluorohexyloctane, MIEBO SOLN 1.338GM/ML
perfluorohexyloctane 1340 MG Drops 152 plans Details
Micrhogam Ultra-Filtered Sosy
10GM
Also: MICRHOGAM ULTRA-FILTERED SOSY 250UNIT
250UNIT 3 plans Details
Methyl-Bupiv
300GM
Also: METHYL-BUPIV SUS 40-5MG
5MG Suspension 3 plans Details
Methy-Bupiva
300GM
Also: METHY-BUPIVA SUS 8-5MG/ML
5MG Suspension 3 plans Details
Methotrexate Sodium
ANTINEOPLASTICS
Also: methotrexate sodium soln 1gm/40ml, 50mg/2ml, 250mg/10ml, 1000mg/40ml; solr 1gm; tabs 2.5mg, methotrexate sodium inj pf 50 mg/2ml (25 mg/ml), 250 mg/10ml (25 mg/ml), 1000 mg/40ml, methotrexate sodium tab 2.5 mg, methotrexate sodium soln 1gm/40ml, 50mg/2ml, 250mg/10ml; solr 1gm; tabs 2.5mg, METHOTREXATE, methotrexate sodium soln 1gm/40ml,, Methotrexate Sodium Oral Tablet
2ml, 10ml, 40ml Injection 22 plans Details
Methenamine Mandelate 1 Gm
Also: Methenamine Mandelate 1 Gm Tablet
Tablet 0 plans Details
Methenamine Mandelate
URINARY ANTI-INFECTIVES
Also: methenamine mandelate tabs .5gm, 1gm, Methenamine Mandelate 500 Mg Tablet
500 Mg Tablet 6 plans Details
Methenamine Hippurate 1 Gm
Also: Methenamine Hippurate 1 Gm Tablet
Tablet 0 plans Details
Mestinon Timespan
Brand for pyridostigmine bromide
ANTIMYASTHENIC AGENTS
Also: MESTINON TIMESPAN TBCR 180MG
pyridostigmine bromide 180MG Extended Release Tablet 7 plans Details
Mestinon
Brand for pyridostigmine
ANTIMYASTHENIC/CHOLINERGIC AGENTS
Also: MESTINON SOLN 60MG/5ML; TABS 60MG
pyridostigmine 60MG/5ML Solution 10 plans Details
Mesalamine Dr
Brand for mesalamine
GASTROINTESTINAL AGENTS- MISC.
mesalamine 5 plans Details
Mesalamine 4 Gm/60 Ml
Aminosalicylate
Also: Mesalamine 4 Gm/60 Ml Enema, Mesalamine 4 Gm/60 Ml Enema Kit
60 Ml Enema 0 plans Details
MZoIGmRigA I NNEas aAl GSEprNayT S
Antimigraine Agents — Quantity limits apply to all triptans
Tablet 0 plans Details
MESALAMINE ER
Aminosalicylate
500 MG 81 plans Details
Lytgobi Tbpk
4gm/dose
Also: LYTGOBI TBPK 4MG
4MG 3 plans Details
Lynozyfic
4gm/dose
Also: LYNOZYFIC SOLN 5MG/2.5ML, 200MG/10ML
5MG/2.5ML, 200MG/10ML Solution 3 plans Details
Lutathera
4gm/dose
Also: LUTATHERA SOLN 370MBQ/ML
Solution 3 plans Details
Lunsumio
4gm/dose
Also: LUNSUMIO SOLN 1MG/ML, 30MG/30ML
1MG Solution 3 plans Details
Lumryz Pack 4.5Gm, 6Gm, 7.5Gm, 9Gm
ANTI-CATAPLECTIC AGENTS
4.5G 5 plans Details
Lugols
4gm/dose
Also: LUGOLS SOL IODINE
Solution 3 plans Details
Lovaza
Brand for omega-3 acid ethyl esters
ANTIHYPERLIPIDEMICS - MISC.
Also: LOVAZA CAP 1GM
omega-3 acid ethyl esters 1G Capsule 10 plans Details
Lokelma Pack 5Gm, 10Gm
POTASSIUM REMOVING AGENTS
5G 5 plans Details
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