Cell Stimulants And Proliferants

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NAME
ALSO KNOW AS
DRUG CATEGORY
FORMULARY CATEGORY
WHAT WE COVER
COST SHARE
Altreno Lotn 0.05 % (Brand)

Tretinoin Lotn .05% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Atralin Gel 0.05 % (Brand)

Tretinoin Gel .05% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Palifermin Solr 6.25Mg (Generic)

Kepivance Solr 6.25 Mg (Brand)
Cell Stimulants And Proliferants
MA
Administered in Medical Office
N/A
Panretin Gel 0.1 % (Brand)

Alitretinoin Gel .1% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Crea 0.025 % (Brand)

Tretinoin Crea .025% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Crea 0.05 % (Brand)

Tretinoin Crea .05% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Crea 0.1 % (Brand)

Tretinoin Crea .1% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Gel 0.01 % (Brand)

Tretinoin Gel .01% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Gel 0.025 % (Brand)

Tretinoin Gel .025% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Micro Gel 0.04 % (Brand)

Tretinoin Microsphere Gel .04% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Micro Gel 0.1 % (Brand)

Tretinoin Microsphere Gel .1% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Micro Pump Gel 0.04 % (Brand)

Tretinoin Microsphere Gel .04% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Micro Pump Gel 0.06 % (Brand)

Tretinoin Microsphere Gel .06% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Micro Pump Gel 0.08 % (Brand)

Tretinoin Microsphere Gel .08% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Retin-A Micro Pump Gel 0.1 % (Brand)

Tretinoin Microsphere Gel .1% (Generic)
Cell Stimulants And Proliferants
3
Non-Formulary Brand
$68
Targretin Gel 1 % (Brand)

Bexarotene (Topical) Gel 1% (Generic)
Cell Stimulants And Proliferants
2
Formulary Brand
$38
Tretinoin Crea .025% (Generic)

Avita Crea 0.025 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Crea .025% (Generic)

Retin-A Crea 0.025 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Crea .05% (Generic)

Retin-A Crea 0.05 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Crea .1% (Generic)

Retin-A Crea 0.1 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Gel .01% (Generic)

Retin-A Gel 0.01 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Gel .025% (Generic)

Retin-A Gel 0.025 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Gel .025% (Generic)

Avita Gel 0.025 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Gel .05% (Generic)

Atralin Gel 0.05 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Microsphere Gel .04% (Generic)

Retin-A Micro Gel 0.04 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Microsphere Gel .04% (Generic)

Retin-A Micro Pump Gel 0.04 % (Brand)
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Microsphere Gel .1% (Generic)

Tretinoin Microsphere Gel 0.1 %
Cell Stimulants And Proliferants
1
Generic
$14
Tretinoin Microsphere Gel .1% (Generic)

Tretinoin Microsphere Pump Gel 0.1 %
Cell Stimulants And Proliferants
1
Generic
$14