Antifungals

Showing 1–12 of 60 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Amphotericin B Lipid Susp 5Mg/Ml (Generic)	Abelcet Susp 5 Mg/Ml (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Amphotericin B Liposome Susr 50Mg (Generic)	Ambisome Susr 50 Mg (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Amphotericin B Solr 50Mg (Generic)	Amphotericin B Solr 50 Mg (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Ancobon Caps 250 Mg (Brand)	Flucytosine Caps 250Mg (Generic)	Antifungals	3	Non-Formulary Brand	$68
Ancobon Caps 500 Mg (Brand)	Flucytosine Caps 500Mg (Generic)	Antifungals	3	Non-Formulary Brand	$68
Anidulafungin Solr 100Mg (Generic)	Eraxis Solr 100 Mg (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Anidulafungin Solr 50Mg (Generic)	Eraxis Solr 50 Mg (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Caspofungin Acetate Solr 50Mg (Generic)	Caspofungin Acetate Solr 50 Mg (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Caspofungin Acetate Solr 50Mg (Generic)	Cancidas Solr 50 Mg (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Caspofungin Acetate Solr 70Mg (Generic)	Cancidas Solr 70 Mg (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Caspofungin Acetate Solr 70Mg (Generic)	Caspofungin Acetate Solr 70 Mg (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Cresemba Caps 186 Mg (Brand)	Isavuconazonium Sulfate Caps 186Mg (Generic)	Antifungals	3	Non-Formulary Brand	$68
Diflucan Susr 10 Mg/Ml (Brand)	Fluconazole Susr 10Mg/Ml (Generic)	Antifungals	3	Non-Formulary Brand	$68
Diflucan Susr 40 Mg/Ml (Brand)	Fluconazole Susr 40Mg/Ml (Generic)	Antifungals	3	Non-Formulary Brand	$68
Diflucan Tabs 100 Mg (Brand)	Fluconazole Tabs 100Mg (Generic)	Antifungals	3	Non-Formulary Brand	$68
Diflucan Tabs 150 Mg (Brand)	Fluconazole Tabs 150Mg (Generic)	Antifungals	3	Non-Formulary Brand	$68
Diflucan Tabs 200 Mg (Brand)	Fluconazole Tabs 200Mg (Generic)	Antifungals	3	Non-Formulary Brand	$68
Diflucan Tabs 50 Mg (Brand)	Fluconazole Tabs 50Mg (Generic)	Antifungals	3	Non-Formulary Brand	$68
Fluconazole In Nacl Soln (Generic)	Fluconazole In Sodium Chloride Soln 200-0.9 Mg/100Ml-% (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Fluconazole In Nacl Soln (Generic)	Fluconazole In Sodium Chloride Soln 400-0.9 Mg/200Ml-% (Brand)	Antifungals	MA	Administered in Medical Office	N/A
Fluconazole Susr 10Mg/Ml (Generic)	Diflucan Susr 10 Mg/Ml (Brand)	Antifungals	1	Generic	$14
Fluconazole Susr 40Mg/Ml (Generic)	Diflucan Susr 40 Mg/Ml (Brand)	Antifungals	1	Generic	$14
Fluconazole Tabs 100Mg (Generic)	Diflucan Tabs 100 Mg (Brand)	Antifungals	1	Generic	$14
Fluconazole Tabs 150Mg (Generic)	Diflucan Tabs 150 Mg (Brand)	Antifungals	1	Generic	$14
Fluconazole Tabs 200Mg (Generic)	Diflucan Tabs 200 Mg (Brand)	Antifungals	1	Generic	$14
Fluconazole Tabs 50Mg (Generic)	Diflucan Tabs 50 Mg (Brand)	Antifungals	1	Generic	$14
Flucytosine Caps 250Mg (Generic)	Ancobon Caps 250 Mg (Brand)	Antifungals	1	Generic	$14
Flucytosine Caps 500Mg (Generic)	Ancobon Caps 500 Mg (Brand)	Antifungals	1	Generic	$14
Gris-Peg Tabs 125 Mg (Brand)	Griseofulvin Ultramicrosize Tabs 125Mg (Generic)	Antifungals	3	Non-Formulary Brand	$68
Gris-Peg Tabs 250 Mg (Brand)	Griseofulvin Ultramicrosize Tabs 250Mg (Generic)	Antifungals	3	Non-Formulary Brand	$68
Griseofulvin Microsize Susp 125Mg/5Ml (Generic)	No Brand Option Available	Antifungals	1	Generic	$14
Griseofulvin Microsize Tabs 500Mg (Generic)	No Brand Option Available	Antifungals	1	Generic	$14
Griseofulvin Ultramicrosize Tabs 125Mg (Generic)	Gris-Peg Tabs 125 Mg (Brand)	Antifungals	1	Generic	$14
Griseofulvin Ultramicrosize Tabs 250Mg (Generic)	Gris-Peg Tabs 250 Mg (Brand)	Antifungals	1	Generic	$14
Isavuconazonium Sulfate Solr 372Mg (Generic)	Cresemba Solr 372 Mg (Brand)	Antifungals	MA	Administered in Medical Office	N/A

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