Adrenals

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NAME
ALSO KNOW AS
DRUG CATEGORY
FORMULARY CATEGORY
WHAT WE COVER
COST SHARE
Hydrocortisone Sod Succinate Solr 250Mg (Generic)

Solu-Cortef Solr 250 Mg (Brand)
Adrenals
MA
Administered in Medical Office
N/A
Hydrocortisone Sod Succinate Solr 500Mg (Generic)

Solu-Cortef Solr 500 Mg (Brand)
Adrenals
MA
Administered in Medical Office
N/A
Hydrocortisone Tabs 10Mg (Generic)

Cortef Tabs 10 Mg (Brand)
Adrenals
1
Generic
$14
Hydrocortisone Tabs 20Mg (Generic)

Cortef Tabs 20 Mg (Brand)
Adrenals
1
Generic
$14
Hydrocortisone Tabs 5Mg (Generic)

Cortef Tabs 5 Mg (Brand)
Adrenals
1
Generic
$14
Intrarosa Inst 6.5 Mg (Brand)

Prasterone Vaginal Inst 6.5Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Medrol Tabs 16 Mg (Brand)

Methylprednisolone Tabs 16Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Medrol Tabs 2 Mg (Brand)

Methylprednisolone Tabs 2Mg (Generic)
Adrenals
2
Formulary Brand
$38
Medrol Tabs 32 Mg (Brand)

Methylprednisolone Tabs 32Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Medrol Tabs 4 Mg (Brand)

Methylprednisolone Tabs 4Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Medrol Tabs 8 Mg (Brand)

Methylprednisolone Tabs 8Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Medrol Tbpk 4 Mg (Brand)

Methylprednisolone Tbpk 4Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Methylprednisolone Acetate Susp 20Mg/Ml (Generic)

Depo-Medrol Susp 20 Mg/Ml (Brand)
Adrenals
MA
Administered in Medical Office
N/A
Methylprednisolone Sod Succ Solr 2Gm (Generic)

Solu-Medrol Solr 2 Gm (Brand)
Adrenals
MA
Administered in Medical Office
N/A
Methylprednisolone Sod Succ Solr 40Mg (Generic)

Solu-Medrol Solr 40 Mg (Brand)
Adrenals
MA
Administered in Medical Office
N/A
Methylprednisolone Sod Succ Solr 500Mg (Generic)

Solu-Medrol Solr 500 Mg (Brand)
Adrenals
MA
Administered in Medical Office
N/A
Methylprednisolone Tabs 16Mg (Generic)

Medrol Tabs 16 Mg (Brand)
Adrenals
1
Generic
$14
Methylprednisolone Tabs 32Mg (Generic)

Medrol Tabs 32 Mg (Brand)
Adrenals
1
Generic
$14
Methylprednisolone Tabs 4Mg (Generic)

Medrol Tabs 4 Mg (Brand)
Adrenals
1
Generic
$14
Methylprednisolone Tabs 8Mg (Generic)

Medrol Tabs 8 Mg (Brand)
Adrenals
1
Generic
$14
Methylprednisolone Tbpk 4Mg (Generic)

Medrol Tbpk 4 Mg (Brand)
Adrenals
1
Generic
$14
Millipred Soln 10 Mg/5Ml (Brand)

Prednisolone Sodium Phosphate Soln 10Mg/5Ml (Generic)
Adrenals
3
Non-Formulary Brand
$68
Millipred Tabs 5 Mg (Brand)

Prednisolone Tabs 5Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Orapred Odt Tbdp 10 Mg (Brand)

Prednisolone Sodium Phosphate Tbdp 10Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Orapred Odt Tbdp 15 Mg (Brand)

Prednisolone Sodium Phosphate Tbdp 15Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Orapred Odt Tbdp 30 Mg (Brand)

Prednisolone Sodium Phosphate Tbdp 30Mg (Generic)
Adrenals
3
Non-Formulary Brand
$68
Prednisolone Sodium Phosphate Soln 10Mg/5Ml (Generic)

Millipred Soln 10 Mg/5Ml (Brand)
Adrenals
1
Generic
$14
Prednisolone Sodium Phosphate Soln 20Mg/5Ml (Generic)

Veripred 20 Soln 20 Mg/5Ml (Brand)
Adrenals
1
Generic
$14
Prednisolone Sodium Phosphate Soln 25Mg/5Ml (Generic)

No Brand Option Available
Adrenals
1
Generic
$14
Prednisolone Sodium Phosphate Soln 5Mg/5Ml (Generic)

No Brand Option Available
Adrenals
1
Generic
$14
Prednisolone Sodium Phosphate Tbdp 10Mg (Generic)

Orapred Odt Tbdp 10 Mg (Brand)
Adrenals
1
Generic
$14
Prednisolone Sodium Phosphate Tbdp 15Mg (Generic)

Orapred Odt Tbdp 15 Mg (Brand)
Adrenals
1
Generic
$14
Prednisolone Sodium Phosphate Tbdp 30Mg (Generic)

Orapred Odt Tbdp 30 Mg (Brand)
Adrenals
1
Generic
$14
Prednisolone Soln 15Mg/5Ml (Generic)

No Brand Option Available
Adrenals
1
Generic
$14
Prednisone Conc 5Mg/Ml (Generic)

No Brand Option Available
Adrenals
1
Generic
$14
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