Progestins

Showing 1–12 of 22 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Aygestin Tabs 5 Mg (Brand)	Norethindrone Acetate Tabs 5Mg (Generic)	Progestins	3	Non-Formulary Brand	$68
Crinone Gel 4 % (Brand)	Progesterone (Vaginal) Gel 4% (Generic)	Progestins	3	Non-Formulary Brand	$68
Crinone Gel 8 % (Brand)	Progesterone (Vaginal) Gel 8% (Generic)	Progestins	3	Non-Formulary Brand	$68
Makena Soaj 275 Mg/1.1Ml (Brand)	Hydroxyprogesterone Caproate Soaj 275Mg/1.1Ml (Generic)	Progestins	3	Non-Formulary Brand	$68
Medroxyprogesterone Acetate (Antineoplastic) Susp 400Mg/Ml (Generic)	Depo-Provera Susp 400 Mg/Ml (Brand)	Progestins	MA	Administered in Medical Office	N/A
Medroxyprogesterone Acetate (Contraceptive) Susp 150Mg/Ml (Generic)	Medroxyprogesterone Acetate Susp 150 Mg/Ml (Brand)	Progestins	MA	Administered in Medical Office	N/A
Medroxyprogesterone Acetate (Contraceptive) Susp 150Mg/Ml (Generic)	Depo-Provera Susp 150 Mg/Ml (Brand)	Progestins	MA	Administered in Medical Office	N/A
Medroxyprogesterone Acetate (Contraceptive) Susy 104Mg/0.65Ml (Generic)	Depo-Subq Provera 104 Susy 104 Mg/0.65Ml (Brand)	Progestins	MA	Administered in Medical Office	N/A
Medroxyprogesterone Acetate (Contraceptive) Susy 150Mg/Ml (Generic)	Medroxyprogesterone Acetate Susy 150 Mg/Ml (Brand)	Progestins	MA	Administered in Medical Office	N/A
Medroxyprogesterone Acetate Tabs 10Mg (Generic)	Provera Tabs 10 Mg (Brand)	Progestins	1	Generic	$14
Medroxyprogesterone Acetate Tabs 2.5Mg (Generic)	Provera Tabs 2.5 Mg (Brand)	Progestins	1	Generic	$14
Medroxyprogesterone Acetate Tabs 5Mg (Generic)	Provera Tabs 5 Mg (Brand)	Progestins	1	Generic	$14
Megace Es Susp 625 Mg/5Ml (Brand)	Megestrol Acetate (Appetite) Susp 625Mg/5Ml (Generic)	Progestins	3	Non-Formulary Brand	$68
Megestrol Acetate (Appetite) Susp 625Mg/5Ml (Generic)	Megace Es Susp 625 Mg/5Ml (Brand)	Progestins	1	Generic	$14
Norethindrone Acetate Tabs 5Mg (Generic)	Aygestin Tabs 5 Mg (Brand)	Progestins	1	Generic	$14
Progesterone Micronized Caps 100Mg (Generic)	Prometrium Caps 100 Mg (Brand)	Progestins	1	Generic	$14
Progesterone Micronized Caps 200Mg (Generic)	Prometrium Caps 200 Mg (Brand)	Progestins	1	Generic	$14
Prometrium Caps 100 Mg (Brand)	Progesterone Micronized Caps 100Mg (Generic)	Progestins	3	Non-Formulary Brand	$68
Prometrium Caps 200 Mg (Brand)	Progesterone Micronized Caps 200Mg (Generic)	Progestins	3	Non-Formulary Brand	$68
Provera Tabs 10 Mg (Brand)	Medroxyprogesterone Acetate Tabs 10Mg (Generic)	Progestins	3	Non-Formulary Brand	$68
Provera Tabs 2.5 Mg (Brand)	Medroxyprogesterone Acetate Tabs 2.5Mg (Generic)	Progestins	3	Non-Formulary Brand	$68
Provera Tabs 5 Mg (Brand)	Medroxyprogesterone Acetate Tabs 5Mg (Generic)	Progestins	3	Non-Formulary Brand	$68