Pulmonary Fibrosis

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NAME
ALSO KNOW AS
DRUG CATEGORY
FORMULARY CATEGORY
WHAT WE COVER
COST SHARE
Esbriet Caps 267 Mg (Brand)

Pirfenidone Caps 267Mg (Generic)
Pulmonary Fibrosis
3
Non-Formulary Brand
$68
Esbriet Tabs 267 Mg (Brand)

Pirfenidone Tabs 267Mg (Generic)
Pulmonary Fibrosis
3
Non-Formulary Brand
$68
Esbriet Tabs 801 Mg (Brand)

Pirfenidone Tabs 801Mg (Generic)
Pulmonary Fibrosis
3
Non-Formulary Brand
$68
Ofev Caps 100 Mg (Brand)

Nintedanib Esylate Caps 100Mg (Generic)
Pulmonary Fibrosis
3
Non-Formulary Brand
$68
Ofev Caps 150 Mg (Brand)

Nintedanib Esylate Caps 150Mg (Generic)
Pulmonary Fibrosis
3
Non-Formulary Brand
$68
Pirfenidone Tabs 267 Mg (Generic)

Esbriet Tabs 267 Mg (Brand)
Pulmonary Fibrosis
1
Generic
$14
Pirfenidone Tabs 534 Mg (Generic)

Esbriet Tabs 534 Mg (Brand)
Pulmonary Fibrosis
1
Generic
$14
Pirfenidone Tabs 801 Mg (Generic)

Esbriet Tabs 801 Mg (Brand)
Pulmonary Fibrosis
1
Generic
$14