Antiallergic Agents
Showing 1–12 of 22 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Nedocromil Sodium (Ophth) Soln 2% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Lodoxamide Tromethamine Soln .1% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
AZELASTINE HCL SOLN 137 MCG/SPRAY (Generic) |
Antiallergic Agents |
3 |
Generic |
$68 |
|
|
Azelastine Hcl Soln .15% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
Astepro Soln 0.15 % (Brand) |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
ASTELIN SPR 137 MCG (Brand) |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
Bepreve Soln 1.5% (Brand) |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
Bepotastine Besilate Soln 1.5% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
Azelastine Hcl-Fluticasone Propionate Susp (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Epinastine Hcl (Ophth) Soln .05% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Elestat Soln 0.05 % (Brand) |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
Alcaftadine Soln .25% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Patanase Soln 0.6 % (Brand) |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
Patanol Soln 0.1 % (Brand) |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
Pataday Soln 0.2 % (Brand) |
Antiallergic Agents |
1 |
Generic |
$14 |
|
|
Olopatadine Hcl Soln .2% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Olopatadine Hcl (Nasal) Soln .6% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Olopatadine Hcl Soln .1% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Olopatadine Hcl Soln .7% (Generic) |
Antiallergic Agents |
3 |
Non-Formulary Brand |
$68 |