Androgens
Showing 1–12 of 40 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Oxymetholone Tabs 50Mg (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testosterone Pt24 2Mg/24Hr (Generic) |
Androgens |
2 |
Formulary Brand |
$38 |
|
|
Testosterone Pt24 4Mg/24Hr (Generic) |
Androgens |
2 |
Formulary Brand |
$38 |
|
|
Testosterone Gel 20.25Mg/1.25Gm (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testosterone Gel 25Mg/2.5Gm (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testosterone Gel 40.5Mg/2.5Gm (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testosterone Gel 50Mg/5Gm (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testosterone Gel 1.62% (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testosterone Undecanoate Soln 750Mg/3Ml (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Androgens |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Androgens |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Androgens |
1 |
Generic |
$14 |
|
|
Testosterone Cypionate Soln 100Mg/Ml (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testosterone Cypionate Soln 200Mg/Ml (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testosterone Gel 10Mg/Act (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testostorone Undecanoate 158Mg (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testostorone Undecanoate 198Mg (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testostorone Undecanoate 237Mg (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Methyltestosterone Tabs 10Mg (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Androgens |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Androgens |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Androgens |
1 |
Generic |
$14 |
|
|
Testosterone Misc 30Mg (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Testosterone Gel 1% (Generic) |
Androgens |
3 |
Non-Formulary Brand |
$68 |
|
|
Depo-Testosterone Soln 100 Mg/Ml (Brand) |
Androgens |
1 |
Generic |
$14 |
|
|
Depo-Testosterone Soln 200 Mg/Ml (Brand) |
Androgens |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Androgens |
1 |
Generic |
$14 |
|
|
Androgel Pump Gel 20.25 Mg/Act (1.62%) (Brand) |
Androgens |
1 |
Generic |
$14 |
|
|
Testosterone Gel 12.5 Mg/Act (1%) |
Androgens |
1 |
Generic |
$14 |
|
|
Fortesta Gel 10 Mg/Act (2%) (Brand) |
Androgens |
1 |
Generic |
$14 |
|
|
Androgel Gel 20.25 Mg/1.25Gm (1.62%) (Brand) |
Androgens |
1 |
Generic |
$14 |
|
|
Androgel Gel 25 Mg/2.5Gm (1%) (Brand) |
Androgens |
1 |
Generic |
$14 |
|
|
Androgel Gel 40.5 Mg/2.5Gm (1.62%) (Brand) |
Androgens |
1 |
Generic |
$14 |
|
|
Testosterone Gel 50 Mg/5Gm (1%) |
Androgens |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Androgens |
1 |
Generic |
$14 |