Anticonvulsants
Showing 1–12 of 283 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
---|---|---|---|---|---|
No Brand Option Available |
Anticonvulsants |
1 |
Generic |
$14 |
|
No Brand Option Available |
Anticonvulsants |
1 |
Generic |
$14 |
|
No Brand Option Available |
Anticonvulsants |
1 |
Generic |
$14 |
|
Valproic Acid Caps 250Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Valproate Sodium Soln 250Mg/5Ml (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Divalproex Sodium Tb24 250Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Divalproex Sodium Tb24 500Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Divalproex Sodium Csdr 125Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Divalproex Sodium Tbec 125Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Divalproex Sodium Tbec 250Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Divalproex Sodium Tbec 500Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Stiripentol Caps 250Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Stiripentol Caps 500Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Stiripentol Pack 250Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Stiripentol Pack 500Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Diazepam (Anticonvulsant) Gel 10Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Diazepam (Anticonvulsant) Gel 20Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Diazepam (Anticonvulsant) Gel 2.5Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Diastat Acudial Gel 10 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Diastat Pediatric Gel 2.5 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Diastat Acudial Gel 20 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Phenytoin Sodium Extended Caps 100Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Phenytoin Sodium Extended Caps 30Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Phenytoin Chew 50Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Phenytoin Susp 125Mg/5Ml (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Depakote Sprinkles Csdr 125 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Depakote Er Tb24 250 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Depakote Er Tb24 500 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Depakote Tbec 125 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Depakote Tbec 250 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Depakote Tbec 500 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Cannabidiol Soln 100Mg/Ml (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
Zarontin Caps 250 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Zarontin Soln 250 Mg/5Ml (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
Felbatol Susp 600 Mg/5Ml (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |