Skin And Mucous Membrane Agents, Miscellaneous

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Ixekizumab Soaj 80Mg/Ml (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Ixekizumab Sosy 80Mg/Ml (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Tazorac Crea 0.1 % (Brand)

Skin And Mucous Membrane Agents, Miscellaneous
1
Generic
$14

Tazarotene Crea .05% (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Tazarotene Crea .1% (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Tazarotene Gel .05% (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Tazarotene Gel .1% (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Fluorouracil (Topical) Crea 4% (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Guselkumab Sopn 100Mg/Ml (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Guselkumab Sosy 100Mg/Ml (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Stelara Soln 130 Mg/26Ml (Brand)

Skin And Mucous Membrane Agents, Miscellaneous
MA
Administered in Medical Office
N/A

Mechlorethamine Hcl (Topical) Gel .016% (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Calcitriol (Topical) Oint 3Mcg/Gm (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Sinecatechins Oint 15% (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Minocycline Hcl Cp24 135Mg (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Minocycline Hcl Cp24 45Mg (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Minocycline Hcl Cp24 90Mg (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Clindamycin Phosphate-Tretinoin Gel (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Imiquimod Crea 2.5% (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68

Imiquimod Crea 3.75% (Generic)

Skin And Mucous Membrane Agents, Miscellaneous
3
Non-Formulary Brand
$68
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