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Informational only — Formulary data may be inaccurate or outdated.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

213 results for ".1%"

Page 5 of 9
Drug Name Generic Name Strength Form Plans Covering Actions
Sodium Fluoride 5000 Ppm
Brand for sodium fluoride
OTIC AGENTS
Also: sodium fluoride 5000 ppm gel 1.1%; pste 1.1%
sodium fluoride 1.1% Gel 8 plans Details
Sodium Fluoride 5000 Plus
Brand for sodium fluoride
OTIC AGENTS
sodium fluoride 5 plans Details
Sodium Fluoride 1.1% Toothpaste 0 plans Details
Sodium Fluoride 1.1%
Also: Sodium Fluoride 1.1% Gel
Gel 0 plans Details
Simbrinza
Brand for brimonidine tartrate
OPHTHALMIC AGENTS
Also: brimonidine tartrate, SIMBRINZA SUS 1-0.2%, Simbrinza Ophthalmic Suspension, Brimonidine tartrate
brimonidine tartrate 2 MG Drops 201 plans Details
Sf 5000 Plus
Brand for sodium fluoride
OTIC AGENTS
sodium fluoride 5 plans Details
Sf 1.1%
Also: Sf 1.1% Gel
Gel 0 plans Details
Sandimmune
Brand for cyclosporine
ASSORTED CLASSES
Also: SANDIMMUNE CAPS 25MG, 100MG; SOLN 50MG/ML, SANDIMMUNE CAPS 25MG, 100MG, SANDIMMUNE CAPS 25MG, 100MG; SOLN, cyclosporine, SandIMMUNE Oral Solution, Cyclosporine
cyclosporine 25MG, 100MG Capsule 61 plans Details
Ryaltris
Brand for mometasone furoate
Intranasal Rhinitis Agents
Also: mometasone furoate, RYALTRIS SPR 665-25
mometasone furoate 0.025 MG Nasal Spray 41 plans Details
Retisert Impl .59Mg
susp 0.1%
59MG 0 plans Details
Retin-A Micro Pump
Brand for tretinoin microspheres
ACNE PRODUCTS
Also: RETIN-A MICRO PUMP GEL .04%, .08%, .1%, RETIN-A MICRO PUMP GEL .08%
tretinoin microspheres 04% Gel 5 plans Details
Retin-A Micro
Brand for tretinoin microsphere / microsphere pump
ACNE PRODUCTS
Also: RETIN-A MICRO GEL .04%, .06%, .1%, RETIN-A MICRO GEL .06%, RETIN-A MICRO GEL .06%, .1%
tretinoin microsphere / microsphere pump 04% Gel 5 plans Details
Retin-A Crea .025%, .05%, .1%;
ACNE PRODUCTS
Also: RETIN-A CREA .025%, .05%, .1%; GEL .01%, .025%, RETIN-A CREA .025%, .05%, .1%; GEL .01%,
025% Gel 5 plans Details
Retin-A
Brand for tretinoin
ANTIDOTES
tretinoin 5 plans Details
Restasis
Brand for cyclosporine
OPHTHALMIC AGENTS
Also: cyclosporine
cyclosporine 0.2 MG Drops 124 plans Details
Provisc Sosy
0.1%
Also: PROVISC SOSY 4MG/0.4ML, 5.5MG/0.55ML, 8.5MG/0.85ML, PROVISC SOSY 4MG/0.4ML, 5.5MG/0.55ML,
4MG/0.4ML, 5.5MG/0.55ML, 8.5MG/0.85ML 3 plans Details
Prevident Fluoride
Brand for sodium fluoride
DENTAL PRODUCTS
Also: PREVIDENT FLUORIDE GEL 1.1%
sodium fluoride 1.1% Gel 7 plans Details
Prevident 5000 Plus Crea 1.1%
DENTAL PRODUCTS
1.1% 2 plans Details
Prevident 5000 Plus
Brand for sodium fluoride
OTIC AGENTS
sodium fluoride 5 plans Details
Prevident 5000 Ortho Defe Pste 1.1%
DENTAL PRODUCTS
1.1% 2 plans Details
Prevident 5000 Ortho Defe
Brand for sodium fluoride
OTIC AGENTS
sodium fluoride 5 plans Details
Prevident 5000 Kids Pste 1.1%
DENTAL PRODUCTS
1.1% 2 plans Details
Prevident 5000 Kids
Brand for sodium fluoride
OTIC AGENTS
sodium fluoride 5 plans Details
Prevident 5000 Dry Mouth
Brand for sodium fluoride
DENTAL PRODUCTS
Also: PREVIDENT 5000 DRY MOUTH GEL 1.1%
sodium fluoride 1.1% Gel 7 plans Details
Prevident 5000 Booster Pl Pste 1.1%
DENTAL PRODUCTS
1.1% 2 plans Details
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