Coagulants And Anticoagulants
Showing 1–12 of 107 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Lovenox Soln 100 Mg/Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Lovenox Soln 120 Mg/0.8Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Lovenox Soln 150 Mg/Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Lovenox Soln 300 Mg/3Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Lovenox Soln 30 Mg/0.3Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Lovenox Soln 40 Mg/0.4Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Lovenox Soln 60 Mg/0.6Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Lovenox Soln 80 Mg/0.8Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Arixtra Soln 10 Mg/0.8Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Arixtra Soln 2.5 Mg/0.5Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Arixtra Soln 5 Mg/0.4Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Arixtra Soln 7.5 Mg/0.6Ml (Brand) |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Dalteparin Sodium Soln 10000Unit/Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dalteparin Sodium Soln 12500Unit/0.5Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dalteparin Sodium Soln 15000Unit/0.6Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dalteparin Sodium Soln 18000Unt/0.72Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dalteparin Sodium Soln 2500Unit/0.2Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dalteparin Sodium Soln 5000Unit/0.2Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dalteparin Sodium Soln 7500Unit/0.3Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Dalteparin Sodium Soln 95000Unit/3.8Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Heparin Sodium (Porcine) Soln 10000 Unit/Ml (Brand) |
Coagulants And Anticoagulants |
MA |
Administered in Medical Office |
N/A |
|
|
Heparin Sodium (Porcine) Soln 1000 Unit/Ml (Brand) |
Coagulants And Anticoagulants |
MA |
Administered in Medical Office |
N/A |
|
|
Heparin Sodium (Porcine) Soln 20000 Unit/Ml (Brand) |
Coagulants And Anticoagulants |
MA |
Administered in Medical Office |
N/A |
|
|
Heparin Sodium (Porcine) Soln 5000 Unit/Ml (Brand) |
Coagulants And Anticoagulants |
MA |
Administered in Medical Office |
N/A |
|
|
Enoxaparin Sodium Soln 100Mg/Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Enoxaparin Sodium Soln 120Mg/0.8Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Enoxaparin Sodium Soln 150Mg/Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Enoxaparin Sodium Soln 30Mg/0.3Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Enoxaparin Sodium Soln 300Mg/3Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Enoxaparin Sodium Soln 40Mg/0.4Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Enoxaparin Sodium Soln 60Mg/0.6Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Enoxaparin Sodium Soln 80Mg/0.8Ml (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
Tranexamic Acid Tabs 650Mg (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Coagulants And Anticoagulants |
1 |
Generic |
$14 |
|
|
Clopidogrel Bisulfate Tabs 300Mg (Generic) |
Coagulants And Anticoagulants |
3 |
Non-Formulary Brand |
$68 |