This restriction typically limits the quantity of the drug that will be covered. Positive evidence of human fetal risk. Brand and Other Names: This restriction requires that specific clinical criteria be met prior to the approval of the prescription. Sign Up It's Free! Do not use in pregnancy.
ST Step Therapy Drugs that have step therapy associated with each prescription. This drug is available at a middle level co-pay. Avoid for long-term UTI suppression; possible pulmonary toxicity; safer alternatives are available. Other Restrictions Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.
Most commonly, these are "preferred" on formulary brand drugs. Controlled studies in pregnant women show no evidence of fetal risk.
This website also contains material copyrighted by 3rd parties. All Interactions Sort By: Prior Authorization Drugs that require prior authorization. Non-Medicare Plans Medicare Plans. If you log out, you will be required to enter your username and password the next time you visit.
Absorption Well absorbed; macrocrystalline form absorbed more slowly due to slower dissolution causes less GI distress Bioavailability: Quantity Limits Drugs that have quantity limits associated with each prescription.
Share Email Print Feedback Close. Adding plans allows you to compare formulary status to other drugs in the same class. Well absorbed; macrocrystalline form absorbed more slowly due to slower dissolution causes less GI distress.
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Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk. Individual plans may vary and formulary information changes. Formulary Formulary Patient Discounts.
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