Pituitary

Showing 1–12 of 13 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Acthar Gel 80 Unit/Ml (Brand)	Corticotropin Gel 80Unit/Ml (Generic)	Pituitary	3	Non-Formulary Brand	$68
Ddavp Rhinal Tube Soln 0.01 % (Brand)	Desmopressin Acetate Refrigerated Soln .01% (Generic)	Pituitary	3	Non-Formulary Brand	$68
Ddavp Soln 0.01 % (Brand)	Desmopressin Acetate Spray Soln .01% (Generic)	Pituitary	3	Non-Formulary Brand	$68
Ddavp Tabs 0.1 Mg (Brand)	Desmopressin Acetate Tabs .1Mg (Generic)	Pituitary	3	Non-Formulary Brand	$68
Ddavp Tabs 0.2 Mg (Brand)	Desmopressin Acetate Tabs .2Mg (Generic)	Pituitary	3	Non-Formulary Brand	$68
Desmopressin Acetate Refrigerated Soln .01% (Generic)	Ddavp Rhinal Tube Soln 0.01 % (Brand)	Pituitary	1	Generic	$14
Desmopressin Acetate Spray Refrigerated Soln .01% (Generic)	No Brand Option Available	Pituitary	1	Generic	$14
Desmopressin Acetate Tabs .1Mg (Generic)	Ddavp Tabs 0.1 Mg (Brand)	Pituitary	1	Generic	$14
Desmopressin Acetate Tabs .2Mg (Generic)	Ddavp Tabs 0.2 Mg (Brand)	Pituitary	1	Generic	$14
Nafarelin Acetate Soln 2Mg/Ml (Generic)	Synarel Soln 2 Mg/Ml (Brand)	Pituitary	MA	Administered in Medical Office	N/A
Nocdurna Subl 27.7 Mcg (Brand)	Desmopressin Acetate Subl 27.7Mcg (Generic)	Pituitary	3	Non-Formulary Brand	$68
Nocdurna Subl 55.3 Mcg (Brand)	Desmopressin Acetate Subl 55.3Mcg (Generic)	Pituitary	3	Non-Formulary Brand	$68
Stimate Soln 1.5 Mg/Ml (Brand)	Desmopressin Acetate Soln 1.5Mg/Ml (Generic)	Pituitary	3	Non-Formulary Brand	$68