Contraceptives
Showing 1–12 of 177 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
No Brand Option Available |
Contraceptives |
1 |
Generic |
$14 |
|
|
Norethindrone Acetate-Ethinyl Estradiol-Fe Fum (Biphasic) Tabs (Generic) |
Contraceptives |
3 |
Non-Formulary Brand |
$68 |
|
|
Norethindrone Acet & Eth Estra Tabs 1.5-30 Mg-Mcg (Generic) |
Contraceptives |
3 |
Non-Formulary Brand |
$68 |
|
|
Norethindrone Acet & Eth Estra Tabs 1-20 Mg-Mcg (Generic) |
Contraceptives |
3 |
Non-Formulary Brand |
$68 |
|
|
Norethin Acet & Estrad-Fe Tabs (Generic) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Norethin Acet & Estrad-Fe Tabs (Generic) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Levonorgestrel-Ethinyl Estradiol (91-Day) Tabs 0.1-0.02 & 0.01 Mg (Generic) |
Contraceptives |
3 |
Non-Formulary Brand |
$68 |
|
|
Norethin Acet & Estrad-Fe Chew (Generic) |
Contraceptives |
3 |
Non-Formulary Brand |
$68 |
|
|
Estradiol Valerate-Dienogest Tabs (Generic) |
Contraceptives |
3 |
Non-Formulary Brand |
$68 |
|
|
Drospirenone-Esterol Tabs 3-14.2 Mg (Generic) |
Contraceptives |
3 |
Non-Formulary Brand |
$68 |
|
|
Melodetta 24 Fe Chew 1-20 Mg-Mcg(24) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Mibelas 24 Fe Chew 1-20 Mg-Mcg(24) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Norethin Ace-Eth Estrad-Fe Chew 1-20 Mg-Mcg(24) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Blisovi 24 Fe Tabs 1-20 Mg-Mcg(24) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Blisovi Fe 1/20 Tabs 1-20 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Hailey 24 Fe Tabs 1-20 Mg-Mcg(24) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Junel Fe 1/20 Tabs 1-20 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Junel Fe 24 Tabs 1-20 Mg-Mcg(24) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Larin Fe 1/20 Tabs 1-20 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Microgestin Fe 1/20 Tabs 1-20 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Norethin Ace-Eth Estrad-Fe Tabs 1-20 Mg-Mcg(24) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Tarina 24 Fe Tabs 1-20 Mg-Mcg(24) (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Tarina Fe 1/20 Tabs 1-20 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Blisovi Fe 1.5/30 Tabs 1.5-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Junel Fe 1.5/30 Tabs 1.5-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Larin Fe 1.5/30 Tabs 1.5-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Microgestin Fe 1.5/30 Tabs 1.5-30 Mg-Mcg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Camila Tabs 0.35 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Deblitane Tabs 0.35 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Errin Tabs 0.35 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Incassia Tabs 0.35 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Jolivette Tabs 0.35 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Lyza Tabs 0.35 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Nora-Be Tabs 0.35 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |
|
|
Norethindrone Tabs 0.35 Mg (Brand) |
Contraceptives |
1 |
Generic |
$14 |