Antivirals

Showing 1–12 of 250 results

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NAME
ALSO KNOW AS
DRUG CATEGORY
FORMULARY CATEGORY
WHAT WE COVER
COST SHARE
Valganciclovir Hcl Tabs 450Mg (Generic)

Valcyte Tabs 450 Mg (Brand)
Antivirals
1
Generic
$14
Valtrex Tabs 1 Gm (Brand)

Valacyclovir Hcl Tabs 1Gm (Generic)
Antivirals
3
Non-Formulary Brand
$68
Valtrex Tabs 500 Mg (Brand)

Valacyclovir Hcl Tabs 500Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Vemlidy Tabs 25 Mg (Brand)

Tenofovir Alafenamide Fumarate Tabs 25Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Videx Ec Cpdr 125 Mg (Brand)

Didanosine Cpdr 125Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Videx Ec Cpdr 200 Mg (Brand)

Didanosine Cpdr 200Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Videx Ec Cpdr 250 Mg (Brand)

Didanosine Cpdr 250Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Videx Ec Cpdr 400 Mg (Brand)

Didanosine Cpdr 400Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Videx Solr 2 Gm (Brand)

Didanosine Solr 2Gm (Generic)
Antivirals
2
Formulary Brand
$38
Videx Solr 4 Gm (Brand)

Didanosine Solr 4Gm (Generic)
Antivirals
2
Formulary Brand
$38
Viekira Pak Tbpk 12.5-75-50 &250 Mg (Brand)

Ombitasvir-Paritaprevir-Ritonavir-Dasabuvir Tbpk (Generic)
Antivirals
3
Non-Formulary Brand
$68
Viekira Xr Tb24 200-8.33-50- 33.33 Mg (Brand)

Ombitasvir-Paritaprevir-Ritonavir-Dasabuvir Tb24 (Generic)
Antivirals
3
Non-Formulary Brand
$68
Viracept Tabs 250 Mg (Brand)

Nelfinavir Mesylate Tabs 250Mg (Generic)
Antivirals
2
Formulary Brand
$38
Viracept Tabs 625 Mg (Brand)

Nelfinavir Mesylate Tabs 625Mg (Generic)
Antivirals
2
Formulary Brand
$38
Viramune Susp 50 Mg/5Ml (Brand)

Nevirapine Susp 50Mg/5Ml (Generic)
Antivirals
3
Non-Formulary Brand
$68
Viramune Tabs 200 Mg (Brand)

Nevirapine Tabs 200Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Viramune Xr Tb24 100 Mg (Brand)

Nevirapine Tb24 100Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Viramune Xr Tb24 400 Mg (Brand)

Nevirapine Tb24 400Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Viread Powd 40 Mg/Gm (Brand)

Tenofovir Disoproxil Fumarate Powd 40Mg/Gm (Generic)
Antivirals
2
Formulary Brand
$38
Viread Tabs 150 Mg (Brand)

Tenofovir Disoproxil Fumarate Tabs 150Mg (Generic)
Antivirals
2
Formulary Brand
$38
Viread Tabs 200 Mg (Brand)

Tenofovir Disoproxil Fumarate Tabs 200Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Viread Tabs 250 Mg (Brand)

Tenofovir Disoproxil Fumarate Tabs 250Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Viread Tabs 300 Mg (Brand)

Tenofovir Disoproxil Fumarate Tabs 300Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Vosevi Tabs 400-100-100 Mg (Brand)

Sofosbuvir-Velpatasvir-Voxilaprevir Tabs (Generic)
Antivirals
3
Non-Formulary Brand
$68
Xofluza Tbpk 2 X 20 Mg (Brand)

Baloxavir Marboxil Tbpk 20Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Xofluza Tbpk 2 X 40 Mg (Brand)

Baloxavir Marboxil Tbpk 40Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Zepatier Tabs 50-100 Mg (Brand)

Elbasvir-Grazoprevir Tabs (Generic)
Antivirals
3
Non-Formulary Brand
$68
Zerit Caps 15 Mg (Brand)

Stavudine Caps 15Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Zerit Caps 20 Mg (Brand)

Stavudine Caps 20Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Zerit Caps 30 Mg (Brand)

Stavudine Caps 30Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Zerit Caps 40 Mg (Brand)

Stavudine Caps 40Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Zerit Solr 1 Mg/Ml (Brand)

Stavudine Solr 1Mg/Ml (Generic)
Antivirals
3
Non-Formulary Brand
$68
Ziagen Soln 20 Mg/Ml (Brand)

Abacavir Sulfate Soln 20Mg/Ml (Generic)
Antivirals
3
Non-Formulary Brand
$68
Ziagen Tabs 300 Mg (Brand)

Abacavir Sulfate Tabs 300Mg (Generic)
Antivirals
3
Non-Formulary Brand
$68
Zidovudine Caps 100Mg (Generic)

Retrovir Caps 100 Mg (Brand)
Antivirals
1
Generic
$14
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