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These drugs are within the same therapeutic class and may provide you a choice of other medications that could be prescribed by your doctor to save you money.  Prices are subject to change and quantities may vary. Your medication may or may not be in the tier shown.

 

Formulary $10 List

Drug Name
ANTI-SPAS TAB - 40 TAB
ANTISPASMOD ELX 16MG/5ML - 240 ML
BELLA ALK/PB ELX - 240 ML
BELLA ALK/PB TAB 16.2MG - 60 TAB
BENTYL TAB 20MG - 50 TAB
CIMETIDINE INJ 150MG/ML - 2 ML
CIMETIDINE TAB 200MG - 30 TAB
CIMETIDINE TAB 300MG - 60 TAB
CIMETIDINE TAB 400MG - 60 TAB
CIMETIDINE TAB 800MG - 30 TAB
GAS RELIEF CHW 80MG - 36 TAB
HAPONAL TAB - 30 TAB
METOCLOPRAM SYP 5MG/5ML - 473 ML
PEPCID AC TAB 20MG - 30 TAB
RANITIDINE TAB 150MG - 60 TAB
RANITIDINE TAB 300MG - 30 TAB
RANITIDINE TAB 75MG - 30 TAB
TAGAMET TAB 300MG - 15 TAB
ZANTAC INJ 25MG/ML - 2 ML
ZANTAC TAB 150MG - 60 TAB

Formulary $20 List
Drug Name      
ATROPINE SUL INJ 1MG/ML - 25 ML
BENTYL CAP 10MG - 90 CAP
DICYCLOMINE CAP 10MG - 90 CAP
DICYCLOMINE SOL 10MG/5ML - 240 ML
DICYCLOMINE TAB 20MG - 60 TAB
DONNATAL TAB - 30 TAB
ENULOSE SOL 10GM/15 - 473 ML
GENERLAC SOL 10GM/15 - 473 ML
GLYCOPYRROL INJ 0.2MG/ML - 40 ML
HYOSCYAMINE DRO 0.125/ML - 15 ML
HYOSCYAMINE TAB 0.375 TR - 30 TAB
HYOSYNE DRO 0.125/ML - 15 ML
NULEV TAB 0.125MG - 20 TAB
PEPCID AC TAB 10MG - 60 TAB
PEPCID TAB 20MG - 60 TAB
PEPCID TAB 40MG - 30 TAB
PHOSLO TAB 667MG - 90 TAB
PRILOSEC OTC TAB 20MG - 28 TAB
PRO-BANTHINE TAB 7.5MG - 30 TAB
RANITIDINE INJ 50MG/2ML - 8 ML
REGLAN TAB 5MG - 60 TAB
SAL-TROPINE TAB 0.4MG - 60 TAB
SYMAX-SR TAB 0.375MG - 60 TAB
ZANTAC TAB 300MG - 60 TAB