Anticonvulsants
Showing 1–12 of 283 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Topiramate Tabs 25Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Topiramate Tabs 50Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Topamax Sprinkle Cpsp 15 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Topamax Sprinkle Cpsp 25 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Qudexy Xr Cs24 100 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Qudexy Xr Cs24 150 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Qudexy Xr Cs24 200 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Qudexy Xr Cs24 25 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Qudexy Xr Cs24 50 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Topamax Tabs 100 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Topamax Tabs 200 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Topamax Tabs 25 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Topamax Tabs 50 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Oxcarbazepine Susp 300Mg/5Ml (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Oxcarbazepine Tabs 150Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Oxcarbazepine Tabs 300Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Oxcarbazepine Tabs 600Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Topiramate Cp24 100Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Topiramate Cp24 200Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Topiramate Cp24 25Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Topiramate Cp24 50Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Depakene Soln 250 Mg/5Ml (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Depakene Caps 250 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Sabril Pack 500 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Sabril Tabs 500 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Sabril Pack 500 Mg (Brand) |
Anticonvulsants |
1 |
Generic |
$14 |
|
|
Lacosamide Soln 10Mg/Ml (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Lacosamide Tabs 100Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Lacosamide Tabs 150Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Lacosamide Tabs 200Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Lacosamide Tabs 50Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Ethosuximide Caps 250Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Ethosuximide Soln 250Mg/5Ml (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Zonisamide Caps 100Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |
|
|
Zonisamide Caps 25Mg (Generic) |
Anticonvulsants |
3 |
Non-Formulary Brand |
$68 |