Disease-Modifying Antirheumatic Agents

Showing 1–12 of 77 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Simponi Soaj 100 Mg/Ml (Brand)	Golimumab Soaj 100Mg/Ml (Generic)	Disease-Modifying Antirheumatic Agents	3	Non-Formulary Brand	$68
Simponi Soaj 50 Mg/0.5Ml (Brand)	Golimumab Soaj 50Mg/0.5Ml (Generic)	Disease-Modifying Antirheumatic Agents	3	Non-Formulary Brand	$68
Simponi Sosy 100 Mg/Ml (Brand)	Golimumab Sosy 100Mg/Ml (Generic)	Disease-Modifying Antirheumatic Agents	3	Non-Formulary Brand	$68
Simponi Sosy 50 Mg/0.5Ml (Brand)	Golimumab Sosy 50Mg/0.5Ml (Generic)	Disease-Modifying Antirheumatic Agents	3	Non-Formulary Brand	$68
Xeljanz Tabs 10 Mg (Brand)	Tofacitinib Citrate Tabs 10Mg (Generic)	Disease-Modifying Antirheumatic Agents	3	Non-Formulary Brand	$68
Xeljanz Tabs 5 Mg (Brand)	Tofacitinib Citrate Tabs 5Mg (Generic)	Disease-Modifying Antirheumatic Agents	3	Non-Formulary Brand	$68
Xeljanz Xr Tb24 11 Mg (Brand)	Tofacitinib Citrate Tb24 11Mg (Generic)	Disease-Modifying Antirheumatic Agents	3	Non-Formulary Brand	$68

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