Contraceptives
Showing 1–12 of 177 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Norethindrone & Ethinyl Estradiol-Fe Chew 0.8-25 Mg-Mcg (Generic) |
Contraceptives |
3 |
Non-Formulary Brand |
$68 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
Camrese Lo Tabs 0.1-0.02 & 0.01 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Loseasonique Tabs 0.1-0.02 & 0.01 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Amethia Lo Tabs 0.1-0.02 & 0.01 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Amethia Tabs 0.15-0.03 &0.01 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Ashlyna Tabs 0.15-0.03 &0.01 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Seasonique Tabs 0.15-0.03 &0.01 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Introvale Tabs 0.15-0.03 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Levonorgest-Eth Estrad 91-Day Tabs 0.15-0.03 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Quasense Tabs 0.15-0.03 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Setlakin Tabs 0.15-0.03 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Fayosim Tabs 42-21-21-7 Days (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Rivelsa Tabs 42-21-21-7 Days (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Quartette Tabs 42-21-21-7 Days (Brand) |
Contraceptives |
1 |
Generic |
$14 |