Antineoplastic Agents
Showing 1–12 of 415 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Avastin Soln 400 Mg/16Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Mvasi Soln 100 Mg/4Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Mvasi Soln 400 Mg/16Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Targretin Caps 75 Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Casodex Tabs 50 Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Blincyto Solr 35 Mcg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Velcade Solr 3.5 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Bortezomib Solr 3.5 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Bosutinib Tabs 100Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Bosutinib Tabs 400Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Bosutinib Tabs 500Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Encorafenib Caps 50Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Encorafenib Caps 75Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Zanubrutinib Caps 80Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Cabozantinib S-Malate Tabs 20Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Cabozantinib S-Malate Tabs 40Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Cabozantinib S-Malate Tabs 60Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Asparlas Soln 3750 Unit/5Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Acalabrutinib Caps 100Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Vandetanib Tabs 100Mg (Generic) |
Antineoplastic Agents |
2 |
Formulary Brand |
$38 |
|
|
Vandetanib Tabs 300Mg (Generic) |
Antineoplastic Agents |
2 |
Formulary Brand |
$38 |
|
|
Kyprolis Solr 10 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Kyprolis Solr 30 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Kyprolis Solr 60 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Bicnu Solr 100 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Bicalutamide Tabs 50Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Libtayo Soln 350 Mg/7Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Erbitux Soln 100 Mg/50Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Erbitux Soln 200 Mg/100Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Cisplatin Solr 50 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Cabozantinib S-Malate Kit (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Cabozantinib S-Malate Kit (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Cabozantinib S-Malate Kit 20Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Aliqopa Solr 60 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Duvelisib Caps 15Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |