Antiprotozoals

Showing 1–12 of 41 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Alinia Susr 100 Mg/5Ml (Brand)	Nitazoxanide Susr 100Mg/5Ml (Generic)	Antiprotozoals	2	Formulary Brand	$38
Alinia Tabs 500 Mg (Brand)	Nitazoxanide Tabs 500Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Atovaquone Susp 750Mg/5Ml (Generic)	Mepron Susp 750 Mg/5Ml (Brand)	Antiprotozoals	1	Generic	$14
Atovaquone-Proguanil Hcl Tabs (Generic)	Malarone Tabs 62.5-25 Mg (Brand)	Antiprotozoals	1	Generic	$14
Atovaquone-Proguanil Hcl Tabs (Generic)	Malarone Tabs 250-100 Mg (Brand)	Antiprotozoals	1	Generic	$14
Benznidazole Tabs 100Mg (Generic)	No Brand Option Available	Antiprotozoals	1	Generic	$14
Benznidazole Tabs 12.5Mg (Generic)	No Brand Option Available	Antiprotozoals	1	Generic	$14
Chloroquine Phosphate Tabs 250Mg (Generic)	No Brand Option Available	Antiprotozoals	1	Generic	$14
Chloroquine Phosphate Tabs 500Mg (Generic)	No Brand Option Available	Antiprotozoals	1	Generic	$14
Coartem Tabs 20-120 Mg (Brand)	Artemether-Lumefantrine Tabs (Generic)	Antiprotozoals	2	Formulary Brand	$38
Daraprim Tabs 25 Mg (Brand)	Pyrimethamine Tabs 25Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Flagyl Caps 375 Mg (Brand)	Metronidazole Caps 375Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Flagyl Tabs 250 Mg (Brand)	Metronidazole Tabs 250Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Flagyl Tabs 500 Mg (Brand)	Metronidazole Tabs 500Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Hydroxychloroquine Sulfate Tabs 200Mg (Generic)	Plaquenil Tabs 200 Mg (Brand)	Antiprotozoals	1	Generic	$14
Impavido Caps 50 Mg (Brand)	Miltefosine Caps 50Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Krintafel Tabs 150 Mg (Brand)	Tafenoquine Succinate Tabs 150Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Lampit Tabs 120 Mg (Brand)	Nifurtimox Tabs 120 Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Lampit Tabs 30 Mg (Brand)	Nifurtimox Tabs 30 Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Malarone Tabs 250-100 Mg (Brand)	Atovaquone-Proguanil Hcl Tabs (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Malarone Tabs 62.5-25 Mg (Brand)	Atovaquone-Proguanil Hcl Tabs (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Mefloquine Hcl Tabs 250Mg (Generic)	No Brand Option Available	Antiprotozoals	1	Generic	$14
Mepron Susp 750 Mg/5Ml (Brand)	Atovaquone Susp 750Mg/5Ml (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Metronidazole Caps 375Mg (Generic)	Flagyl Caps 375 Mg (Brand)	Antiprotozoals	1	Generic	$14
Metronidazole In Nacl Soln (Generic)	Metronidazole In Nacl Soln 500-0.79 Mg/100Ml-% (Brand)	Antiprotozoals	MA	Administered in Medical Office	N/A
Metronidazole Tabs 250Mg (Generic)	Flagyl Tabs 250 Mg (Brand)	Antiprotozoals	1	Generic	$14
Metronidazole Tabs 500Mg (Generic)	Flagyl Tabs 500 Mg (Brand)	Antiprotozoals	1	Generic	$14
Nebupent Solr 300 Mg (Brand)	Pentamidine Isethionate Solr 300Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Nitazoxanide Tabs 500Mg (Generic)	Alinia Tabs 500 Mg (Brand)	Antiprotozoals	1	$14	N/A
Paromomycin Sulfate Caps 250Mg (Generic)	No Brand Option Available	Antiprotozoals	1	Generic	$14
Pentamidine Isethionate Solr 300Mg (Generic)	Pentamidine Isethionate Solr 300 Mg (Brand)	Antiprotozoals	MA	Administered in Medical Office	N/A
Pentamidine Isethionate Solr 300Mg (Generic)	Pentam Solr 300 Mg (Brand)	Antiprotozoals	MA	Administered in Medical Office	N/A
Plaquenil Tabs 200 Mg (Brand)	Hydroxychloroquine Sulfate Tabs 200Mg (Generic)	Antiprotozoals	3	Non-Formulary Brand	$68
Primaquine Phosphate Tabs 26.3Mg (Generic)	No Brand Option Available	Antiprotozoals	1	Generic	$14
Pyrimethamine Tabs 25Mg (Generic)	Daraprim Tabs 25 Mg (Brand)	Antiprotozoals	1	$14	N/A

1 2 ›