Antivirals

Showing 1–12 of 250 results

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NAME
ALSO KNOW AS
DRUG CATEGORY
FORMULARY CATEGORY
WHAT WE COVER
COST SHARE
Abacavir Sulfate Soln 20Mg/Ml (Generic)

Ziagen Soln 20 Mg/Ml (Brand)
Antivirals
1
Generic
$14
Abacavir Sulfate Tabs 300Mg (Generic)

Ziagen Tabs 300 Mg (Brand)
Antivirals
1
Generic
$14
Abacavir Sulfate-Lamivudine Tabs (Generic)

Epzicom Tabs 600-300 Mg (Brand)
Antivirals
1
Generic
$14
Abacavir Sulfate-Lamivudine-Zidovudine Tabs (Generic)

Trizivir Tabs 300-150-300 Mg (Brand)
Antivirals
1
Generic
$14
Acyclovir Caps 200Mg (Generic)

Zovirax Caps 200 Mg (Brand)
Antivirals
1
Generic
$14
Acyclovir Sodium Soln 50Mg/Ml (Generic)

No Brand Option Available
Antivirals
1
Generic
$14
Acyclovir Susp 200Mg/5Ml (Generic)

Zovirax Susp 200 Mg/5Ml (Brand)
Antivirals
1
Generic
$14
Acyclovir Tabs 400Mg (Generic)

No Brand Option Available
Antivirals
1
Generic
$14
Acyclovir Tabs 800Mg (Generic)

Zovirax Tabs 800 Mg (Brand)
Antivirals
1
Generic
$14
Adefovir Dipivoxil Tabs 10Mg (Generic)

Hepsera Tabs 10 Mg (Brand)
Antivirals
1
Generic
$14
Aptivus Caps 250 Mg (Brand)

Tipranavir Caps 250Mg (Generic)
Antivirals
2
Formulary Brand
$38
Aptivus Soln 100 Mg/Ml (Brand)

Tipranavir Soln 100Mg/Ml (Generic)
Antivirals
2
Formulary Brand
$38
Atazanavir Sulfate Caps 150Mg (Generic)

Reyataz Caps 150 Mg (Brand)
Antivirals
1
Generic
$14
Atazanavir Sulfate Caps 200Mg (Generic)

Reyataz Caps 200 Mg (Brand)
Antivirals
1
Generic
$14
Atazanavir Sulfate Caps 300Mg (Generic)

Reyataz Caps 300 Mg (Brand)
Antivirals
1
Generic
$14
Atripla Tabs 600-200-300 Mg (Brand)

Efavirenz-Emtricitabine-Tenofovir Disoproxil Fumarate Tabs (Generic)
Antivirals
3
Non-Formulary Brand
$68
Baraclude Soln 0.05 Mg/Ml (Brand)

Entecavir Soln .05Mg/Ml (Generic)
Antivirals
3
Non-Formulary Brand
$68
Baraclude Tabs 0.5 Mg (Brand)

Entecavir Tabs .5Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Baraclude Tabs 1 Mg (Brand)

Entecavir Tabs 1Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Biktarvy Tabs 50-200-25 Mg (Brand)

Bictegravir-Emtricitabine-Tenofovir Alafenamide Fumarate Tabs (Generic)
Antivirals
2
Formulary Brand
$38
Cimduo Tabs 300-300 Mg (Brand)

Lamivudine-Tenofovir Disoproxil Fumarate Tabs (Generic)
Antivirals
3
Non-Formulary Brand
$68
Combivir Tabs 150-300 Mg (Brand)

Lamivudine-Zidovudine Tabs (Generic)
Antivirals
3
Non-Formulary Brand
$68
Complera Tabs 200-25-300 Mg (Brand)

Emtricitabine-Rilpivirine-Tenofovir Disoproxil Fumarate Tabs (Generic)
Antivirals
3
Non-Formulary Brand
$68
Crixivan Caps 200 Mg (Brand)

Indinavir Sulfate Caps 200Mg (Generic)
Antivirals
2
Formulary Brand
$38
Crixivan Caps 400 Mg (Brand)

Indinavir Sulfate Caps 400Mg (Generic)
Antivirals
2
Formulary Brand
$38
Daklinza Tabs 30 Mg (Brand)

Daclatasvir Dihydrochloride Tabs 30Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Daklinza Tabs 60 Mg (Brand)

Daclatasvir Dihydrochloride Tabs 60Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Daklinza Tabs 90 Mg (Brand)

Daclatasvir Dihydrochloride Tabs 90Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Delstrigo Tabs 100-300-300 Mg (Brand)

Doravirine-Lamivudine-Tenofovir Disoproxil Fumarate Tabs (Generic)
Antivirals
3
Non-Formulary Brand
$68
Descovy Tabs 120-15 Mg (Brand)

Emtricitabine-Tenofovir Alafenamide Fumarate 120 mg/15 mg Tabs (Generic)
Antivirals
2
Formulary Brand
$38
Descovy Tabs 200-25 Mg (Brand)

Emtricitabine-Tenofovir Alafenamide Fumarate Tabs (Generic)
Antivirals
2
Formulary Brand
$38
Didanosine Cpdr 200Mg (Generic)

Videx Ec Cpdr 200 Mg (Brand)
Antivirals
1
Generic
$14
Didanosine Cpdr 250Mg (Generic)

Videx Ec Cpdr 250 Mg (Brand)
Antivirals
1
Generic
$14
Didanosine Cpdr 400Mg (Generic)

Videx Ec Cpdr 400 Mg (Brand)
Antivirals
1
Generic
$14
Dovato Tabs 50-300 Mg (Brand)

Dolutegravir Sodium-Lamivudine Tabs (Generic)
Antivirals
3
Non-Formulary Brand
$68
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