Antineoplastic Agents
Showing 1–12 of 415 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Thalidomide Caps 100Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Thalidomide Caps 150Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Thalidomide Caps 200Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Thalidomide Caps 50Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Tepadina Solr 100 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Thiotepa Solr 15 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Ivosidenib Tabs 250Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Fareston Tabs 60 Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Yondelis Solr 1 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Kanjinti Solr 150 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Ogivri Solr 420 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Ogivri Solr 150 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
No Brand Option Available |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Methotrexate Sodium Tabs 10Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Methotrexate Sodium Tabs 15Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Methotrexate Sodium Tabs 5Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Methotrexate Sodium Tabs 7.5Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Trelstar Mixject Susr 11.25 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Trelstar Mixject Susr 22.5 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Trelstar Mixject Susr 3.75 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Infigratinib Cap Therapy Pack (100 Mg Daily Dose) (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Infigratinib Cap Therapy Pack (125 Mg Daily Dose) (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Infigratinib Cap Therapy Pack (50 Mg Daily Dose) (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Infigratinib Cap Therapy Pack (75 Mg Daily Dose) (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Pexidartinib Hcl Caps 200Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Lapatinib Ditosylate Tabs 250Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Umbralisib Tabs 200 Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Venetoclax Tbpk (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Venetoclax Tabs 10Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Venetoclax Tabs 100Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Venetoclax Tabs 50Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Abemaciclib Tabs 100Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Abemaciclib Tabs 150Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Abemaciclib Tabs 200Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Abemaciclib Tabs 50Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |