Antiemetics
Showing 1–12 of 46 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Netupitant-Palonosetron Caps (Generic) |
Antiemetics |
2 |
Formulary Brand |
$38 |
|
|
Dolasetron Mesylate Tabs 100Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Dolasetron Mesylate Tabs 50Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Emend Caps 125 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Emend Caps 40 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Emend Tri-Pack Caps 80 & 125 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Emend Caps 80 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Doxylamine-Pyridoxine Tbcr (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Nabilone Caps 1Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Doxylamine-Pyridoxine Tbec 10-10 Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Diclegis Tbec 10-10 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Marinol Caps 10 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Marinol Caps 2.5 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Marinol Caps 5 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Aprepitant Caps 125Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Aprepitant Caps 40Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Aprepitant Caps 80Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Aprepitant Susr 125Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Aprepitant Caps 80 & 125 Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Antiemetics |
1 |
Generic |
$14 |
|
|
Dronabinol Caps 10Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Dronabinol Caps 2.5Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Dronabinol Caps 5Mg (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Antiemetics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antiemetics |
1 |
Generic |
$14 |
|
|
Zofran Soln 4 Mg/5Ml (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antiemetics |
1 |
Generic |
$14 |
|
|
Zofran Tabs 4 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Zofran Tabs 8 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Zofran Odt Tbdp 4 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Zofran Odt Tbdp 8 Mg (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Palonosetron Hcl Soln 0.25 Mg/2Ml (Brand) |
Antiemetics |
MA |
Administered in Medical Office |
N/A |
|
|
Granisetron Ptch 3.1Mg/24Hr (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |
|
|
Transderm-Scop (1.5 Mg) Pt72 1 Mg/3Days (Brand) |
Antiemetics |
1 |
Generic |
$14 |
|
|
Dronabinol Soln 5Mg/Ml (Generic) |
Antiemetics |
3 |
Non-Formulary Brand |
$68 |