30 items matched your search.
Denotes a drug that is not covered.- BUMETANIDE INJ 0.25/ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - BUMETANIDE INJ 1MG/4ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - BUMETANIDE INJ 2.5/10ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - BUMETANIDE TAB 0.5MG
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - BUMETANIDE TAB 1MG
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - BUMETANIDE TAB 2MG
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - ETHACRYNIC TAB ACD 25MG
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - FUROSEMIDE INJ 100/10ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, LoopPrior Authorization: Part B vs. Part D Prior Authorization
- FUROSEMIDE INJ 10MG/ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, LoopPrior Authorization: Part B vs. Part D Prior Authorization
- FUROSEMIDE INJ 20MG/2ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, LoopPrior Authorization: Part B vs. Part D Prior Authorization
- FUROSEMIDE INJ 40MG/4ML
Classification: Tier 4 (nonpreferred brand tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, LoopPrior Authorization: Part B vs. Part D Prior Authorization
- FUROSEMIDE SOL 10MG/ML
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - FUROSEMIDE SOL 8MG/ML
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - FUROSEMIDE TAB 20MG
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - FUROSEMIDE TAB 40MG
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - FUROSEMIDE TAB 80MG
Classification: Tier 1 (preferred generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - TORSEMIDE TAB 100MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - TORSEMIDE TAB 10MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - TORSEMIDE TAB 20MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - TORSEMIDE TAB 5MG
Classification: Tier 2 (generic tier) generic drug
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - BUMEX TAB 0.5MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - EDECRIN TAB 25MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - ETHACRYNATE INJ 50MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - LASIX TAB 20MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - LASIX TAB 40MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - LASIX TAB 80MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - SOAANZ TAB 20MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - SOAANZ TAB 40MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - SOAANZ TAB 60MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop - SOD EDECRIN INJ 50MG
Classification: Not Covered
Therapeutic Category: Cardiovascular Agents
Therapeutic Class: Diuretics, Loop
Last updated 09/13/2022