Antilipemic Agents
Showing 1–12 of 135 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Fenofibrate Caps 150Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Fenofibrate Caps 50Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Pitavastatin Calcium Tabs 1Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Pitavastatin Calcium Tabs 2Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Pitavastatin Calcium Tabs 4Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Gemfibrozil Tabs 600Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
Omega-3-Acid Ethyl Esters Caps (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Niaspan Tbcr 1000 Mg (Brand) |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
Niaspan Tbcr 500 Mg (Brand) |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
Niaspan Tbcr 750 Mg (Brand) |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
Niacin (Antihyperlipidemic) Tabs 500Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Niacin (Antihyperlipidemic) Tbcr 1000Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Niacin (Antihyperlipidemic) Tbcr 500Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Niacin (Antihyperlipidemic) Tbcr 750Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Lovaza Caps 1 Gm (Brand) |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
Alirocumab Soaj 150Mg/Ml (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Alirocumab Soaj 75Mg/Ml (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Alirocumab Sosy 150Mg/Ml (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Alirocumab Sosy 75Mg/Ml (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Pravastatin Sodium Tabs 20Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Pravastatin Sodium Tabs 40Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Pravastatin Sodium Tabs 80Mg (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
Pravachol Tabs 20 Mg (Brand) |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
Pravachol Tabs 40 Mg (Brand) |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
Pravachol Tabs 80 Mg (Brand) |
Antilipemic Agents |
1 |
Generic |
$14 |
|
|
Cholestyramine Light Powd 4Gm/Dose (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Cholestyramine Pack 4Gm (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Evolocumab Soct 420Mg/3.5Ml (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Evolocumab Sosy 140Mg/Ml (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Evolocumab Soaj 140Mg/Ml (Generic) |
Antilipemic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Crestor Tabs 10 Mg (Brand) |
Antilipemic Agents |
1 |
Generic |
$14 |