Anticonvulsants
Showing 1–12 of 283 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
---|---|---|---|---|---|
Eslicarbazepine Acetate Tabs 200Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Eslicarbazepine Acetate Tabs 400Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Eslicarbazepine Acetate Tabs 600Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Eslicarbazepine Acetate Tabs 800Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Rufinamide Susp 40Mg/Ml (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Rufinamide Tabs 200Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Rufinamide Tabs 400Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Briviact Soln 10 Mg/Ml (Brand) |
Anticonvulsants |
MA |
Administered in Medical Office |
N/A |
|
Brivaracetam Tabs 10Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Brivaracetam Tabs 100Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Brivaracetam Tabs 25Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Brivaracetam Tabs 50Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Brivaracetam Tabs 75Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
No Brand Option Available |
Anticonvulsants |
1 |
Generic |
$14 |
|
Carbatrol Cp12 100 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Carbatrol Cp12 200 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Carbatrol Cp12 300 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Tegretol Susp 100 Mg/5Ml (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Epitol Tabs 200 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Tegretol Tabs 200 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Tegretol-Xr Tb12 100 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Tegretol-Xr Tb12 200 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Tegretol-Xr Tb12 400 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Carbamazepine Cp12 100Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Carbamazepine Cp12 200Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Carbamazepine Cp12 300Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Methsuximide Caps 300Mg (Generic) |
Anticonvulsants |
2 |
Formulary Brand |
$38 |
|
Onfi Susp 2.5 Mg/Ml (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Onfi Tabs 10 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Onfi Tabs 20 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Klonopin Tabs 0.5 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Klonopin Tabs 1 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Klonopin Tabs 2 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
No Brand Option Available |
Anticonvulsants |
1 |
Generic |
$14 |
|
No Brand Option Available |
Anticonvulsants |
1 |
Generic |
$14 |