Fertility Drugs
Showing 1–12 of 16 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
---|---|---|---|---|---|
Cetrotide Kit 0.25 Mg (Brand) |
Fertility Drugs |
1 |
Generic |
$14 |
|
Cetrorelix Acetate (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
No Brand Option Available |
Fertility Drugs |
1 |
Generic |
$14 |
|
Progesterone (Vaginal) (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Follitropin Beta (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Follitropin Beta (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Follitropin Beta (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
No Brand Option Available |
Fertility Drugs |
1 |
Generic |
$14 |
|
Follitropin Alfa (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Follitropin Alfa (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Follitropin Alfa (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Follitropin Alfa (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Follitropin Alfa (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Follitropin Alfa (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Menotropins (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |
|
Choriogonadotropin Alfa (Generic) |
Fertility Drugs |
3 |
Non-Formulary Brand |
$68 |