Contraceptives
Showing 1–12 of 177 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Drospirenone-Ethinyl Estradiol-Levomefolate Calcium Tabs (Generic) |
Contraceptives |
3 |
Non-Formulary Brand |
$68 |
|
|
Apri Tabs 0.15-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Cyred Eq Tabs 0.15-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Emoquette Tabs 0.15-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Enskyce Tabs 0.15-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Isibloom Tabs 0.15-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Juleber Tabs 0.15-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Reclipsen Tabs 0.15-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Contraceptives |
1 |
Generic |
$14 |
||
|
Kariva Tabs 0.15-0.02/0.01 Mg (21/5) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Kimidess Tabs 0.15-0.02/0.01 Mg (21/5) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Pimtrea Tabs 0.15-0.02/0.01 Mg (21/5) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Caziant Tabs 0.1/0.125/0.15 -0.025 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Velivet Tabs 0.1/0.125/0.15 -0.025 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
Yaz Tabs 3-0.02 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Gianvi Tabs 3-0.02 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Jasmiel Tabs 3-0.02 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Loryna Tabs 3-0.02 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Nikki Tabs 3-0.02 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Vestura Tabs 3-0.02 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Yasmin 28 Tabs 3-0.03 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Ocella Tabs 3-0.03 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Syeda Tabs 3-0.03 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Zarah Tabs 3-0.03 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Drospiren-Eth Estrad-Levomefol Tabs 3-0.02-0.451 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Tydemy Tabs 3-0.03-0.451 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Ulipristal Acetate Tabs 30Mg (Generic) |
Contraceptives |
2 |
Formulary Brand |
$38 |
|
|
Ethynodiol Diac-Eth Estradiol Tabs 1-35 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Kelnor 1/35 Tabs 1-35 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Zovia 1/35E (28) Tabs 1-35 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Ethynodiol Diac-Eth Estradiol Tabs 1-50 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Kelnor 1/50 Tabs 1-50 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Zovia 1/50E (28) Tabs 1-50 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Generic Option Available |
Contraceptives |
1 |
Generic |
$14 |