Heavy Metal Antagonists
Showing 1–12 of 25 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Succimer Caps 100Mg (Generic) |
Heavy Metal Antagonists |
2 |
Formulary Brand |
$38 |
|
|
Penicillamine Caps 250Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Jadenu Tabs 360 Mg (Brand) |
Heavy Metal Antagonists |
1 |
Generic |
$14 |
|
|
Jadenu Tabs 90 Mg (Brand) |
Heavy Metal Antagonists |
1 |
Generic |
$14 |
|
|
Exjade Tbso 125 Mg (Brand) |
Heavy Metal Antagonists |
1 |
Generic |
$14 |
|
|
Exjade Tbso 250 Mg (Brand) |
Heavy Metal Antagonists |
1 |
Generic |
$14 |
|
|
Exjade Tbso 500 Mg (Brand) |
Heavy Metal Antagonists |
1 |
Generic |
$14 |
|
|
Deferiprone Tabs 500Mg (Generic) |
Heavy Metal Antagonists |
1 |
Generic |
$14 |
|
|
Penicillamine Tabs 250Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferasirox Tbso 125Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferasirox Tbso 250Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferasirox Tbso 500Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferiprone Soln 100Mg/Ml (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferiprone Tabs 1000Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferiprone Tabs 500Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferasirox Pack 180Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferasirox Pack 360Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferasirox Pack 90Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferasirox Tabs 180Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferasirox Tabs 360Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Deferasirox Tabs 90Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Cuprimine Caps 250 Mg (Brand) |
Heavy Metal Antagonists |
1 |
Generic |
$14 |
|
|
Depen Titratabs Tabs 250 Mg (Brand) |
Heavy Metal Antagonists |
1 |
$14 |
N/A |
|
|
Trientine Hcl Caps 250Mg (Generic) |
Heavy Metal Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
|
Syprine Caps 250 Mg (Brand) |
Heavy Metal Antagonists |
1 |
Generic |
$14 |