Blue Cross Blue Sheild of Minnesota - Genrx
Blue Cross Blue Sheild of Minnesota - GenRx
Nexium- Capsule Delayed Release - 40mg 30 day supply
Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered.
Generic: (oameprazole) Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier 1.
Prevacid- Capsule Delayed Relase- 30mg 30 day supply Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered
Generic: (iansoprazole)Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier 1.
Lasix- Tablet 40 mg 30 day supply Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered
Generic: (furosemide) Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier 1.
Prilosec: Capsule Delayed Release - 20mg 30 day supply
Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered Generic: (omeprazole) Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier 1.
Effexor XR: Capsule extended release 24 Hour- 150mg 30day supply
Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered
Generic: (venlafaxine hcl) Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier
Nexium- Capsule Delayed Release - 40mg 30 day supply
Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered.
Generic: (oameprazole) Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier 1.
Prevacid- Capsule Delayed Relase- 30mg 30 day supply Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered
Generic: (iansoprazole)Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier 1.
Lasix- Tablet 40 mg 30 day supply Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered
Generic: (furosemide) Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier 1.
Prilosec: Capsule Delayed Release - 20mg 30 day supply
Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered Generic: (omeprazole) Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier 1.
Effexor XR: Capsule extended release 24 Hour- 150mg 30day supply
Drug classified as a brand that is not on the Formulary/Preferred Drug List. Usually higher copayment than Formulary brand or Tier 3 or not covered
Generic: (venlafaxine hcl) Drug classified as a generic that is on the Formulary/Drug List. Usually lowest copayment or Tier