Disease-Modifying Antirheumatic Agents
Showing 1–12 of 77 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
---|---|---|---|---|---|
Orencia Solr 250 Mg (Brand) |
Disease-Modifying Antirheumatic Agents |
MA |
Administered in Medical Office |
N/A |
|
Tocilizumab Soaj 162Mg/0.9Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Tocilizumab Sosy 162Mg/0.9Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Leflunomide Tabs 10Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Leflunomide Tabs 20Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Abrocitinib Tabs 100 Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Abrocitinib Tabs 200 Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Abrocitinib Tabs 50 Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Certolizumab Pegol Kit 200Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Certolizumab Pegol Kit 200Mg/Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Certolizumab Pegol Kit 200Mg/Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Etanercept Soct 50Mg/Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Etanercept Solr 25Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Etanercept Sosy 25Mg/0.5Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Etanercept Sosy 50Mg/Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Etanercept Soaj 50Mg/Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pskt 40Mg/0.8Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pskt 80Mg/0.8Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pskt (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pnkt 40Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pnkt 40Mg/0.8Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pnkt 40Mg/0.8Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pnkt 80Mg/0.8Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pnkt 40Mg/0.8Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pnkt (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pskt 10Mg/0.1Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pskt 10Mg/0.2Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pskt 20Mg/0.2Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pskt 20Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pskt 40Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Adalimumab Pskt 40Mg/0.8Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Remicade Solr 100 Mg (Brand) |
Disease-Modifying Antirheumatic Agents |
MA |
Administered in Medical Office |
N/A |
|
Renflexis Solr 100 Mg (Brand) |
Disease-Modifying Antirheumatic Agents |
MA |
Administered in Medical Office |
N/A |
|
Inflectra Solr 100 Mg (Brand) |
Disease-Modifying Antirheumatic Agents |
MA |
Administered in Medical Office |
N/A |
|
Sarilumab Soaj 150Mg/1.14Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |