Antimigraine Agents
Showing 1–12 of 72 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Sumatriptan Succinate Exhp 11Mg/Nosepc (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Atogepant 10 Tabs (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Atogepant 30 Tabs (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Atogepant 60 Tabs (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Eletriptan Hydrobromide Tabs 20Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Eletriptan Hydrobromide Tabs 40Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Maxalt Tabs 10 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Maxalt Tabs 5 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Maxalt-Mlt Tbdp 10 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Maxalt-Mlt Tbdp 5 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Imitrex Soln 20 Mg/Act (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Imitrex Soln 5 Mg/Act (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Imitrex Statdose System Soaj 4 Mg/0.5Ml (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Imitrex Soln 6 Mg/0.5Ml (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Imitrex Tabs 100 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Imitrex Tabs 25 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Imitrex Tabs 50 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Sumatriptan-Naproxen Sodium Tabs 85-500 Mg |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Sumatriptan Soln 10Mg/Act (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Sumatriptan-Naproxen Sodium Tabs (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Sumatriptan-Naproxen Sodium Tabs (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Sumatriptan Succinate Soaj 3Mg/0.5Ml (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Zolmitriptan Soln 2.5Mg (Generic) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Zolmitriptan Soln 5Mg (Generic) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Zomig Tabs 2.5 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Zomig Tabs 5 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Zomig Zmt Tbdp 2.5 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Zomig Zmt Tbdp 5 Mg (Brand) |
Antimigraine Agents |
1 |
Generic |
$14 |
|
|
Zolmitriptan Soln 2.5Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Zolmitriptan Soln 5Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Zolmitriptan Tabs 2.5Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Zolmitriptan Tabs 5Mg (Generic) |
Antimigraine Agents |
3 |
Non-Formulary Brand |
$68 |