Cardiac Drugs
Showing 1–12 of 64 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Pacerone Tabs 100 Mg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Pacerone Tabs 200 Mg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Pacerone Tabs 400 Mg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Ranolazine Sprinkle Pack 1000 Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Ranolazine Sprinkle Pack 500 Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Levamlodipine Tabs 5 mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Ivabradine Hcl Soln 5Mg/5Ml (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Ivabradine Hcl Tabs 5Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Ivabradine Hcl Tabs 7.5Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Digitek Tabs 125 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Digitek Tabs 250 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Digox Tabs 125 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Lanoxin Tabs 125 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Lanoxin Tabs 250 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Digox Tabs 250 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Lanoxin Tabs 62.5 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Norpace Caps 100 Mg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Norpace Caps 150 Mg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Tikosyn Caps 125 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Tikosyn Caps 250 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Tikosyn Caps 500 Mcg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Digoxin Soln .1Mg/Ml (Generic) |
Cardiac Drugs |
2 |
Formulary Brand |
$38 |
|
|
Digoxin Tabs 125Mcg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Digoxin Tabs 187.5Mcg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Digoxin Tabs 250Mcg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Digoxin Tabs 62.5Mcg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Conjupri Tabs 5 mg (Brand) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Dronedarone Hcl Tabs 400Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |