Enzymes

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ALSO KNOW AS
DRUG CATEGORY
FORMULARY CATEGORY
WHAT WE COVER
COST SHARE
Sucraid Soln 8500 Unit/Ml (Brand)

Sacrosidase Soln 8500Unit/Ml (Generic)
Enzymes
3
Non-Formulary Brand
$68
Taliglucerase Alfa Solr 200Unit (Generic)

Elelyso Solr 200 Unit (Brand)
Enzymes
MA
Administered in Medical Office
N/A
Velaglucerase Alfa Solr 400Unit (Generic)

Vpriv Solr 400 Unit (Brand)
Enzymes
MA
Administered in Medical Office
N/A
Viokace Tabs 10440 Unit (Brand)

Pancrelipase (Lipase-Protease-Amylase) Tabs (Generic)
Enzymes
3
Non-Formulary Brand
$68
Viokace Tabs 20880 Unit (Brand)

Pancrelipase (Lipase-Protease-Amylase) Tabs (Generic)
Enzymes
3
Non-Formulary Brand
$68
Zavesca Caps 100 Mg (Brand)

Miglustat Caps 100Mg (Generic)
Enzymes
3
Non-Formulary Brand
$68
Zenpep Cpep 10000-32000 Unit (Brand)

Pancrelipase (Lipase-Protease-Amylase) Cpep (Generic)
Enzymes
2
Formulary Brand
$38
Zenpep Cpep 15000-47000 Unit (Brand)

Pancrelipase (Lipase-Protease-Amylase) Cpep (Generic)
Enzymes
2
Formulary Brand
$38
Zenpep Cpep 20000-63000 Unit (Brand)

Pancrelipase (Lipase-Protease-Amylase) Cpep (Generic)
Enzymes
2
Formulary Brand
$38
Zenpep Cpep 25000-79000 Unit (Brand)

Pancrelipase (Lipase-Protease-Amylase) Cpep (Generic)
Enzymes
2
Formulary Brand
$38
Zenpep Cpep 3000-14000 Unit (Brand)

Pancrelipase (Lipase-Protease-Amylase) Cpep (Generic)
Enzymes
2
Formulary Brand
$38
Zenpep Cpep 40000-126000 Unit (Brand)

Pancrelipase (Lipase-Protease-Amylase) Cpep (Generic)
Enzymes
2
Formulary Brand
$38
Zenpep Cpep 5000-24000 Unit (Brand)

Pancrelipase (Lipase-Protease-Amylase) Cpep (Generic)
Enzymes
2
Formulary Brand
$38
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