Antimigraine Agents
Showing 1–12 of 72 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
---|---|---|---|---|---|
Erenumab-Aooe Soaj 140Mg/Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Erenumab-Aooe Soaj 70Mg/Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Fremanezumab-Vfrm Sosy 225Mg/1.5Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Axert Tabs 12.5 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
Axert Tabs 6.25 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
Naratriptan Hcl Tabs 1Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Naratriptan Hcl Tabs 2.5Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Almotriptan Malate Tabs 12.5Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Almotriptan Malate Tabs 6.25Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Ergotamine W/ Caffeine Tabs 1-100 Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Diclofenac Potassium (Migraine) Pack 50Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Relpax Tabs 20 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
Relpax Tabs 40 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
Galcanezumab-Gnlm Sosy 100Mg/Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Galcanezumab-Gnlm Soaj 120Mg/Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Galcanezumab-Gnlm Sosy 120Mg/Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Cafergot Tabs 1-100 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
Migergot Supp 2-100 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
Frovatriptan Succinate Tabs 2.5Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Frova Tabs 2.5 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
Sumatriptan Soln 20Mg/Act (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Sumatriptan Soln 5Mg/Act (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Sumatriptan Succinate Soln 6Mg/0.5Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Sumatriptan Succinate Soct 6Mg/0.5Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Sumatriptan Succinate Soaj 4Mg/0.5Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Sumatriptan Succinate Tabs 100Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Sumatriptan Succinate Tabs 25Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Sumatriptan Succinate Tabs 50Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Rizatriptan Benzoate Tabs 10Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Rizatriptan Benzoate Tabs 5Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Rizatriptan Benzoate Tbdp 10Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Rizatriptan Benzoate Tbdp 5Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Ergotamine W/ Caffeine Supp (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
Amerge Tabs 1 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
Amerge Tabs 2.5 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |