* Sulfur-containing amino acids (not to be confused with sulfa drugs)
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Azithromycin tablets USP, 250 mg are supplied as white, oval, biconvex, unscored, film-coated tablets, debossed with 787 on one side and PLIVA on the other, containing azithromycin monohydrate equivalent to 250 mg of azithromycin, USP, available in bottles of 4 tablets (NDC 63187-007-04) and boxes of 1 card x 6 tablets (NDC 63187-007-06)
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The 2026 Part D out-of-pocket cap of $2,100 limits annual beneficiary exposure