Disease-Modifying Antirheumatic Agents
Showing 25–36 of 77 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
---|---|---|---|---|---|
Sarilumab Soaj 200Mg/1.14Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Sarilumab Sosy 150Mg/1.14Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Sarilumab Sosy 200Mg/1.14Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Anakinra Sosy 100Mg/0.67Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Arava Tabs 10 Mg (Brand) |
Disease-Modifying Antirheumatic Agents |
1 |
Generic |
$14 |
|
Arava Tabs 20 Mg (Brand) |
Disease-Modifying Antirheumatic Agents |
1 |
Generic |
$14 |
|
Baricitinib Tabs 1Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Baricitinib Tabs 2Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Abatacept Soaj 125Mg/Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Abatacept Sosy 125Mg/Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Abatacept Sosy 50Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Abatacept Sosy 87.5Mg/0.7Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Apremilast Tabs 30Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Apremilast Tbpk (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 10Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 12.5Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 15Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 17.5Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 20Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 22.5Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 25Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 10Mg/0.2Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 12.5Mg/0.25Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 15Mg/0.3Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 17.5Mg/0.35Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 20Mg/0.4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 22.5Mg/0.45Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 25Mg/0.5Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 27.5Mg/0.55Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 30Mg/0.6Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Methotrexate (Antirheumatic) Soaj 7.5Mg/0.15Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Upadacitinib Tb24 15Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Upadacitinib Tb24 30 Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Upadacitinib Tb24 45 Mg (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |
|
Golimumab Soln 50Mg/4Ml (Generic) |
Disease-Modifying Antirheumatic Agents |
3 |
Non-Formulary Brand |
$68 |