Opiate Antagonists
Showing 1–12 of 34 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
---|---|---|---|---|---|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Film (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Film (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Film (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl Soln 0.3 Mg/Ml (Brand) |
Opiate Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Buprenex Soln 0.3 Mg/Ml (Brand) |
Opiate Antagonists |
MA |
Administered in Medical Office |
N/A |
|
No Brand Option Available |
Opiate Antagonists |
1 |
Generic |
$14 |
|
No Brand Option Available |
Opiate Antagonists |
1 |
Generic |
$14 |
|
Suboxone Film 12-3 Mg (Brand) |
Opiate Antagonists |
1 |
Generic |
$14 |
|
Suboxone Film 2-0.5 Mg (Brand) |
Opiate Antagonists |
1 |
Generic |
$14 |
|
Suboxone Film 4-1 Mg (Brand) |
Opiate Antagonists |
1 |
Generic |
$14 |
|
Suboxone Film 8-2 Mg (Brand) |
Opiate Antagonists |
1 |
Generic |
$14 |
|
No Brand Option Available |
Opiate Antagonists |
1 |
Generic |
$14 |
|
No Brand Option Available |
Opiate Antagonists |
1 |
Generic |
$14 |
|
Naloxone Hcl Soaj 2Mg/0.4Ml (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lofexidine Hcl Tabs .18Mg (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Narcan Liqd 4Mg/0.1Ml (Brand) |
Opiate Antagonists |
1 |
Generic |
$14 |
|
Naloxone Hcl Soct 0.4 Mg/Ml (Brand) |
Opiate Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Naloxone Hcl Soln 0.4 Mg/Ml (Brand) |
Opiate Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Naloxone Hcl Sosy 2 Mg/2Ml (Brand) |
Opiate Antagonists |
MA |
Administered in Medical Office |
N/A |
|
No Brand Option Available |
Opiate Antagonists |
1 |
Generic |
$14 |
|
Naloxone Hcl Liqd 4Mg/0.1Ml (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Sosy 100Mg/0.5Ml (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Sosy 300Mg/1.5Ml (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Film (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Film (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Film (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Film (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Naltrexone Susr 380Mg (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Subl (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Subl (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Subl (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Subl (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Subl (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Buprenorphine Hcl-Naloxone Hcl Dihydrate Subl (Generic) |
Opiate Antagonists |
3 |
Non-Formulary Brand |
$68 |