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Medication Lookup

The results below have been sorted using a 2-tier plan. For the most accurate search results, check your plan details and choose another tier plan from the drop-down menu near the search bar.

ULTRACAL
THERAPEUTIC CLASS: Nutritional Supplements
Select a strength to see details

LIQD

LIQD
Not Covered by a 3-Tier Plan
Learn more about tiers.

  • PA

    Note Title
    Prior Authorization Required
    Definition
    This medication requires your doctor to obtain prior authorization from us in order to be covered through the pharmacy benefit.

  • POS1

    Note Title
    Not Available Through Mail Order
    Definition
    This medication is not available through the mail order pharmacy.
Covered Alternative Medications