Antineoplastic Agents
Showing 1–12 of 415 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Duvelisib Caps 25Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Cobimetinib Fumarate Tabs 20Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Darzalex Soln 100 Mg/5Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Darzalex Soln 400 Mg/20Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Vyxeos Susr 44-100 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Glasdegib Maleate Tabs 100Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Glasdegib Maleate Tabs 25Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Firmagon Solr 120 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Firmagon Solr 80 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Unituxin Soln 17.5 Mg/5Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Docetaxel (Non-Alcohol) Soln 160 Mg/8Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Docetaxel (Non-Alcohol) Soln 20 Mg/Ml (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Hydroxyurea (Sickle Cell Anemia) Caps 200Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Hydroxyurea (Sickle Cell Anemia) Caps 300Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Hydroxyurea (Sickle Cell Anemia) Caps 400Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Leuprolide Acetate (4 Month) Kit 30Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Leuprolide Acetate (6 Month) Kit 45Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Leuprolide Acetate Kit 7.5Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Empliciti Solr 300 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Empliciti Solr 400 Mg (Brand) |
Antineoplastic Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Estramustine Phosphate Sodium Caps 140Mg (Generic) |
Antineoplastic Agents |
2 |
Formulary Brand |
$38 |
|
|
Vismodegib Caps 150Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Apalutamide Tabs 60Mg (Generic) |
Antineoplastic Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Tarceva Tabs 100 Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Tarceva Tabs 150 Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Tarceva Tabs 25 Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Afinitor Tabs 10Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Afinitor Disperz Tbso 2Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Afinitor Disperz Tbso 3Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Afinitor Disperz Tbso 5Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |
|
|
Aromasin Tabs 25 Mg (Brand) |
Antineoplastic Agents |
1 |
Generic |
$14 |