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Informational only — Formulary data may be inaccurate or outdated.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

4 results for "1.25GM, 1.5GM, 1.75GM, 2GM, 5GM, 10GM,"

Drug Name Generic Name Strength Form Plans Covering Actions
omalizumab-igec
ATOPY
Also: OMLYCLO
— 75 MG, 150 MG Prefilled Syringe 1 plan Details
albuterol sulfate nebu .083%, .63mg/3ml,
1.25GM, 1.5GM, 1.75GM, 2GM, 5GM, 10GM,
— 083% — 3 plans Details
Vancomycin Hydrochloride
Glycopeptide Antibacterial
Also: VANCOMYCIN HYDROCHLORIDE SOLN 500MG/100ML, 750MG/150ML, 1000MG/200ML, 1250MG/250ML, 1500MG/300ML, 1750MG/350ML; SOLR 1GM, 1.25GM, 1.5GM, 1.75GM, 2GM, 5GM, 10GM, 500MG, 750MG, VANCOMYCIN HYDROCHLORIDE SOLN 500MG/100ML; SOLR 1GM, 1.25GM, 1.5GM, 1.75GM, 2GM, 5GM, 10GM, 500MG, 750MG, VANCOMYCIN HYDROCHLORIDE SOLN
— 500MG/100ML, 750MG/150ML, 1000MG/200ML, 1250MG/250ML, 1500MG/300ML, 1750MG/350ML Solution 0 plans Details
Omlyclo
Brand for omalizumab-igec
1.25GM, 1.5GM, 1.75GM, 2GM, 5GM, 10GM,
Also: OMLYCLO SOSY 75MG/0.5ML, 150MG/ML,, Omlyclo Sosy
omalizumab-igec 75 MG, 150 MG Prefilled Syringe 3 plans Details
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