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Informational only — Formulary data may be inaccurate or outdated.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 9 of 26
Drug Name Generic Name Strength Form Plans Covering Actions
ampicillin & sulbactam sodium for
20000000unit
Also: ampicillin & sulbactam sodium for inj 1.5 (1-0.5) gm, ampicillin & sulbactam sodium for inj 3 (2-1) gm, ampicillin & sulbactam sodium for inj 1.5 (1-0.5)
Injection 3 plans Details
amoxicillin/potassium clavulanate
ANTIBIOTICS
Also: AUGMENTIN, AUGMENTIN ES-600, AMOXICILLIN-CLAVULANATE POTASS
125 mg-31.25 mg/5 mL, 200 mg-28.5 mg/5 mL, 250 mg-125 mg, 250 mg-62.5 mg/5 mL, 400 mg-57 mg/5 mL, 500 mg-125 mg, 600 mg-42.9 mg/5 mL, 875 mg-125 mg Tablet 1 plan Details
amoxicillin-clavulanate suspension
Antibiotics
Also: Augmentin
Tablet 1 plan Details
amoxicillin-clavulanate XR
Antibiotics
Also: Augmentin
Tablet 1 plan Details
amoxicillin & k clavulanate for
PENICILLINS
Also: amoxicillin & k clavulanate for susp 250-62.5 mg/5ml, amoxicillin & k clavulanate for susp 400-57 mg/5ml, amoxicillin & k clavulanate for susp 200-28.5 mg/5ml, amoxicillin & k clavulanate for susp 250-62.5 mg/5ml, 400-57 mg/5ml, amoxicillin & k clavulanate for susp 600-42.9 mg/5ml, amoxicillin & k clavulanate for susp 200-28.5, amoxicillin & k clavulanate for susp 250-62.5, amoxicillin & k clavulanate for susp 400-57, amoxicillin & k clavulanate for susp 600-42.9
28.5 mg/5ml Suspension 11 plans Details
amoxicillin
Brand for Augmentin
PENICILLINS
Also: amoxicillin caps 250mg, 500mg; chew 125mg, 250mg; susr 125mg/5ml, 200mg/5ml, 250mg/5ml, 400mg/5ml; tabs 500mg, 875mg, Amoxicillin 250 Mg Capsule, Amoxicillin 500 Mg Capsule, Amoxicillin 125 Mg Chewable Tablet, Amoxicillin 250 Mg Chewable Tablet, Amoxicillin 125 Mg/5 Ml Oral Suspension, Amoxicillin 200 Mg/5 Ml Oral Suspension, Amoxicillin 250 Mg/5 Ml Oral Suspension, Amoxicillin 400 Mg/5 Ml Oral Suspension, Amoxicillin 500 Mg Tablet, Amoxicillin 875 Mg Tablet, amoxicillin caps 250mg, 500mg; chew 125mg,
Augmentin 250 mg, 250 mg/5 mL, 400 mg/5 mL, 500 mg Suspension 183 plans Details
amikacin sulfate
Aminoglycoside Antibacterial
Also: amikacin sulfate soln 1gm/4ml, 500mg/2ml
1g Solution 3 plans Details
altavera
Brand for levonorgestrel/ethinyl estradiol
Estrogens
Also: altavera tab, Altavera Tab
levonorgestrel/ethinyl estradiol Tablet 7 plans Details
afirmelle
Brand for levonorgestrel/ethinyl estradiol
Estrogens
Also: afirmelle tab 0.1-0.02, Afirmelle Tab 0.1-0.02
levonorgestrel/ethinyl estradiol Tablet 4 plans Details
adriamycin solr
4gm/dose
Also: adriamycin solr 50mg, Adriamycin Solr 50mg
50mg 3 plans Details
acyclovir topical crea 5%
unit/gm-%
5% 3 plans Details
acamprosate calcium tbec
Brand for acamprosate calcium
(36-4.5 gm)
Also: acamprosate calcium tbec 333mg
acamprosate calcium 333mg 3 plans Details
Zyprexa Solr
4gm/dose
Also: ZYPREXA SOLR 10MG
10MG 3 plans Details
Zynlonta Solr
4gm/dose
Also: ZYNLONTA SOLR 10MG
10MG 3 plans Details
Zusduri Solr
4gm/dose
Also: ZUSDURI SOLR 40MG
40MG 3 plans Details
Zosyn
Brand for piperacillin
beta Lactamase Inhibitor
Also: ZOSYN SOL 2-0.25GM, ZOSYN SOL 3-0.375G, ZOSYN SOL 4-0.5GM, piperacillin
piperacillin 2000 MG Solution 20 plans Details
Zonalon Crea 5%
unit/gm-%
5% 3 plans Details
Zilretta Srer
300GM
Also: ZILRETTA SRER 32MG
32MG 3 plans Details
Zevtera Solr
300GM
Also: ZEVTERA SOLR 500MG
500MG 3 plans Details
Zevalin Y-90
4gm/dose
Also: ZEVALIN Y-90 KIT 3.2MG/2ML
3.2MG/2ML Kit 3 plans Details
Zerbaxa
Brand for ceftolozane
CEPHALOSPORIN COMBINATIONS
Also: ZERBAXA INJ 1.5GM
ceftolozane 1.5G Injection 5 plans Details
Zemaira
Brand for alpha
Human alpha-1 Proteinase Inhibitor
Also: alpha
alpha 1 MG 47 plans Details
Yondelis Solr
4gm/dose
Also: YONDELIS SOLR 1MG
1MG 3 plans Details
Xywav
Brand for calcium oxybate
ANTI-CATAPLECTIC AGENTS
Also: XYWAV SOL 0.5GM/ML, calcium oxybate
calcium oxybate 234 MG Solution 8 plans Details
Xuriden Pack 2Gm
10000UNIT
2G 3 plans Details
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