Anti-Inflammatory Agents
Showing 1–12 of 122 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Zafirlukast Tabs 10Mg (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Zafirlukast Tabs 20Mg (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Ketorolac Tromethamine (Ophth) Soln .4% (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Ketorolac Tromethamine (Ophth) Soln .5% (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Ketorolac Tromethamine (Ophth) Soln .45% (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Lotronex Tabs 0.5 Mg (Brand) |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Lotronex Tabs 1 Mg (Brand) |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Loteprednol Etabonate Susp .2% (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Mesalamine Cp24 .375Gm (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Mesalamine Tbec 800Mg (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Colazal Caps 750 Mg (Brand) |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Beclomethasone Diprop Monohyd Susp 42Mcg/Spray (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Sulfacetamide Sod-Prednisolone Oint (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Sulfacetamide Sod-Prednisolone Susp (Generic) |
Anti-Inflammatory Agents |
2 |
Formulary Brand |
$38 |
|
|
No Brand Option Available |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Bromfenac Sodium (Ophth) Soln .075% (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Mesalamine Supp 1000Mg (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Ciprofloxacin-Hydrocortisone Susp (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Ciprofloxacin-Dexamethasone Susp (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Ciprodex Susp 0.3-0.1 % (Brand) |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Balsalazide Disodium Caps 750Mg (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Neomycin-Colistin-Hc-Thonzonium Susp (Generic) |
Anti-Inflammatory Agents |
2 |
Formulary Brand |
$38 |
|
|
Gastrocrom Conc 100 Mg/5Ml (Brand) |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Restasis Emul 0.05% (Brand) |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Mesalamine Cpdr 400Mg (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Difluprednate Emul .05% (Generic) |
Anti-Inflammatory Agents |
1 |
Generic |
$14 |
|
|
Olsalazine Sodium Caps 250Mg (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Difluprednate Emul .05% (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Benralizumab Soaj 30Mg/Ml (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Benralizumab Sosy 30Mg/Ml (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Fluorometholone Acetate Susp .1% (Generic) |
Anti-Inflammatory Agents |
3 |
Non-Formulary Brand |
$68 |