Cardiac Drugs
Showing 1–12 of 64 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Disopyramide Phosphate Caps 100Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Disopyramide Phosphate Caps 150Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Disopyramide Phosphate Cp12 100Mg (Generic) |
Cardiac Drugs |
2 |
Formulary Brand |
$38 |
|
|
Disopyramide Phosphate Cp12 150Mg (Generic) |
Cardiac Drugs |
2 |
Formulary Brand |
$38 |
|
|
Amiodarone Hcl Tabs 100Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Amiodarone Hcl Tabs 200Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Amiodarone Hcl Tabs 400Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Rythmol Sr Cp12 225 Mg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Rythmol Sr Cp12 325 Mg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Rythmol Sr Cp12 425 Mg (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 |
|
|
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 |
|
|
No Brand Option Available |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Ranolazine Tb12 1000Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Ranolazine Tb12 500Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Ranexa Tb12 1000 Mg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Ranexa Tb12 500 Mg (Brand) |
Cardiac Drugs |
1 |
Generic |
$14 |
|
|
Propafenone Hcl Cp12 225Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Propafenone Hcl Cp12 325Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Propafenone Hcl Cp12 425Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Dofetilide Caps 125Mcg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Dofetilide Caps 250Mcg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Dofetilide Caps 500Mcg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Tafamidis Caps 61Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |
|
|
Tafamidis Meglumine (Cardiac) Caps 20Mg (Generic) |
Cardiac Drugs |
3 |
Non-Formulary Brand |
$68 |