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Informational only — Formulary data may be inaccurate or outdated.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.
37 results for "GENITOURINARY AGENTS - MISC."
Page 2 of 2| Drug Name | Generic Name | Strength | Form | Plans Covering | Actions |
|---|---|---|---|---|---|
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Valium
Brand for diazepam BENZODIAZEPINES Also: VALIUM TABS 2MG, 5MG, 10MG |
diazepam | 2MG, 5MG, 10MG | Tablet | 10 plans | Details |
|
Uroxatral
Brand for alfuzosin hcl GENITOURINARY AGENTS - MISC. |
alfuzosin hcl | — | — | 5 plans | Details |
|
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 | 2 plans | 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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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 | 4 plans | Details |
|
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 |
levomilnacipran | 20-40 Mg | Extended Release Capsule | 181 plans | Details |
|
Emsam
Brand for selegiline GENITOURINARY AGENTS - MISC. Also: selegiline, EMSAM PT24 6MG/24HR, 9MG/24HR, 12MG/24HR |
selegiline | 0.375 MG/HR | Patch | 178 plans | Details |
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Cystaran
Brand for cysteamine OPHTHALMIC AGENTS Also: CYSTARAN SOLN .44%, cysteamine |
cysteamine | 4.4 MG | Ophthalmic Solution | 175 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 |
cysteamine | 50MG, 150MG | Capsule | 182 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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Avodart
Brand for dutasteride PROSTATIC HYPERTROPHY AGENTS Also: AVODART CAPS .5MG |
dutasteride | 5MG | Capsule | 10 plans | Details |
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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 |