Antivirals
Showing 1–12 of 250 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Rilpivirine Hcl Tabs 25Mg (Generic) |
Antivirals |
2 |
Formulary Brand |
$38 |
|
|
Sustiva Caps 200 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Sustiva Caps 50 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Sustiva Tabs 600 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Emtriva Caps 200 Mg (Brand) |
Antivirals |
1 |
$14 |
$12 |
|
|
Truvada Tabs 100-150 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Truvada Tabs 133-200 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Truvada Tabs 167-250 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Truvada Tabs 200-300 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Emtricitabine Caps 200Mg (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Emtricitabine Soln 10Mg/Ml (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Baraclude Tabs 0.5 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Baraclude Tabs 1 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Sofosbuvir-Velpatasvir Tabs (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Lamivudine (Hbv) Soln 5Mg/Ml (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Lamivudine (Hbv) Tabs 100Mg (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Lamivudine Soln 10Mg/Ml (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Lamivudine Tabs 150Mg (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Lamivudine Tabs 300Mg (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Abacavir Sulfate-Lamivudine Tabs (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Intelence Tabs 100Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Intelence Tabs 200Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Atazanavir Sulfate-Cobicistat Tabs (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Antivirals |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antivirals |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Antivirals |
1 |
Generic |
$14 |
|
|
Rimantadine Hydrochloride Tabs 100Mg (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Lexiva Tabs 700 Mg (Brand) |
Antivirals |
1 |
Generic |
$14 |
|
|
Enfuvirtide Solr 90Mg (Generic) |
Antivirals |
2 |
Formulary Brand |
$38 |
|
|
Elvitegravir-Cobicistat-Emtricitabine-Tenofovir Alafenamide Tabs (Generic) |
Antivirals |
2 |
Formulary Brand |
$38 |
|
|
Ledipasvir-Sofosbuvir Tabs (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Ledipasvir-Sofosbuvir Tabs 90-400 Mg (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Adefovir Dipivoxil Tabs 10Mg (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Etravirine Tabs 100Mg (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |
|
|
Etravirine Tabs 200Mg (Generic) |
Antivirals |
3 |
Non-Formulary Brand |
$68 |