CareFirst Prescription Drug Program

CareFirst BlueCross BlueShield Prescription Drugs

Rx Drug Database

Prescription Drug Detail

Brand Name

Brand Tier

Generic Name

Generic Tier

ZITHROMAX SUSP

(Tier 3)

azithromycin suspension

(Tier 1)

Prior Authorization Required: No

Quantity Limit: Zithromax 100mg/5mL suspension - 125mL per 1 prescription; Zithromax 200mg/5mL suspension - 65mL per 1 prescription; Zithromax 1G suspension - 2G per 1 prescription

Category: Infections\bacterial (macrolides)

Maintenance Drug: No

Notes: Subject to Quantity vs Time Limitation/MDL. Suspensions available as generics (7-14-2006).

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