Autonomic Drugs, Miscellaneous

Showing all 11 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
APO-Varenicline Tabs 0.5 Mg (Brand)	Varenicline Tartrate Tabs .5Mg (Generic)	Autonomic Drugs, Miscellaneous	3	Non-Formulary Brand	$68
APO-Varenicline Tabs 1 Mg (Brand)	Varenicline Tartrate Tabs 1Mg (Generic)	Autonomic Drugs, Miscellaneous	3	Non-Formulary Brand	$68
Chantix Continuing Month Pak Tabs 1 Mg (Brand)	Varenicline Tartrate Tabs 1Mg (Generic)	Autonomic Drugs, Miscellaneous	2	Formulary Brand	$38
Chantix Starting Month Pak Tabs 0.5 Mg X 11 & 1 Mg X 42 (Brand)	Varenicline Tartrate Tabs (Generic)	Autonomic Drugs, Miscellaneous	2	Formulary Brand	$38
Chantix Tabs 0.5 Mg (Brand)	Varenicline Tartrate Tabs .5Mg (Generic)	Autonomic Drugs, Miscellaneous	3	Non-Formulary Brand	$68
Chantix Tabs 1 Mg (Brand)	Varenicline Tartrate Tabs 1Mg (Generic)	Autonomic Drugs, Miscellaneous	3	Non-Formulary Brand	$68
Nicotrol Inha 10 Mg (Brand)	Nicotine Inha 10Mg (Generic)	Autonomic Drugs, Miscellaneous	2	Formulary Brand	$38
Nicotrol Ns Soln 10 Mg/Ml (Brand)	Nicotine Soln 10Mg/Ml (Generic)	Autonomic Drugs, Miscellaneous	3	Non-Formulary Brand	$68
Tyrvaya Soln 0.3 Mg/Act (Brand)	Varenicline Soln 0.3 Mg/Act (Generic)	Autonomic Drugs, Miscellaneous	3	Non-Formulary Brand	$68
Varenicline Tartrate Tabs 0.5 Mg (Generic)	Chantix Tabs .5Mg (Brand)	Autonomic Drugs, Miscellaneous	1	Generic	$14
Varenicline Tartrate Tabs 1 Mg (Generic)	Chantix Tabs 1Mg (Brand)	Autonomic Drugs, Miscellaneous	1	Generic	$14