Somatotropin Agonists And Antagonists

Showing 1–12 of 75 results

NAME	ALSO KNOW AS	DRUG CATEGORY	FORMULARY CATEGORY	WHAT WE COVER	COST SHARE
Egrifta Solr 1 Mg (Brand)	Tesamorelin Acetate Solr 1Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Egrifta Sv Solr 2 Mg (Brand)	Tesamorelin Acetate Solr 2Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 0.2 Mg (Brand)	Somatropin Solr .2Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 0.4 Mg (Brand)	Somatropin Solr .4Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 0.6 Mg (Brand)	Somatropin Solr .6Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 0.8 Mg (Brand)	Somatropin Solr .8Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 1 Mg (Brand)	Somatropin Solr 1Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 1.2 Mg (Brand)	Somatropin Solr 1.2Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 1.4 Mg (Brand)	Somatropin Solr 1.4Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 1.6 Mg (Brand)	Somatropin Solr 1.6Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 1.8 Mg (Brand)	Somatropin Solr 1.8Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Miniquick Solr 2 Mg (Brand)	Somatropin Solr 2Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Solr 12 Mg (Brand)	Somatropin Solr 12Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Genotropin Solr 5 Mg (Brand)	Somatropin Solr 5Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Humatrope Solr 12 Mg (Brand)	Somatropin Solr 12Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Humatrope Solr 24 Mg (Brand)	Somatropin Solr 24Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Humatrope Solr 5 Mg (Brand)	Somatropin Solr 5Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Humatrope Solr 6 Mg (Brand)	Somatropin Solr 6Mg (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Increlex Soln 40 Mg/4Ml (Brand)	Mecasermin Soln 40Mg/4Ml (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Lanreotide Acetate Soln 120 Mg/0.5Ml (Brand)	Somatuline Depot Soln 120 Mg/0.5Ml (Brand)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Norditropin Flexpro Soln 10 Mg/1.5Ml (Brand)	Somatropin Soln 10Mg/1.5Ml (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Norditropin Flexpro Soln 15 Mg/1.5Ml (Brand)	Somatropin Soln 15Mg/1.5Ml (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Norditropin Flexpro Soln 30 Mg/3Ml (Brand)	Somatropin Soln 30Mg/3Ml (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Norditropin Flexpro Soln 5 Mg/1.5Ml (Brand)	Somatropin Soln 5Mg/1.5Ml (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Nutropin Aq Nuspin 10 Soln 10 Mg/2Ml (Brand)	Somatropin Soln 10Mg/2Ml (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Nutropin Aq Nuspin 20 Soln 20 Mg/2Ml (Brand)	Somatropin Soln 20Mg/2Ml (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Nutropin Aq Nuspin 5 Soln 5 Mg/2Ml (Brand)	Somatropin Soln 5Mg/2Ml (Generic)	Somatotropin Agonists And Antagonists	3	Non-Formulary Brand	$68
Octreotide Acetate Kit 10Mg (Generic)	Sandostatin Lar Depot Kit 10 Mg (Brand)	Somatotropin Agonists And Antagonists	MA	Administered in Medical Office	N/A
Octreotide Acetate Kit 20Mg (Generic)	Sandostatin Lar Depot Kit 20 Mg (Brand)	Somatotropin Agonists And Antagonists	MA	Administered in Medical Office	N/A
Octreotide Acetate Kit 30Mg (Generic)	Sandostatin Lar Depot Kit 30 Mg (Brand)	Somatotropin Agonists And Antagonists	MA	Administered in Medical Office	N/A
Octreotide Acetate Soln 100Mcg/Ml (Generic)	Octreotide Acetate Soln 100 Mcg/Ml (Brand)	Somatotropin Agonists And Antagonists	MA	Administered in Medical Office	N/A
Octreotide Acetate Soln 100Mcg/Ml (Generic)	Sandostatin Soln 100 Mcg/Ml (Brand)	Somatotropin Agonists And Antagonists	MA	Administered in Medical Office	N/A
Octreotide Acetate Soln 200Mcg/Ml (Generic)	Octreotide Acetate Soln 200 Mcg/Ml (Brand)	Somatotropin Agonists And Antagonists	MA	Administered in Medical Office	N/A
Octreotide Acetate Soln 500Mcg/Ml (Generic)	Octreotide Acetate Soln 500 Mcg/Ml (Brand)	Somatotropin Agonists And Antagonists	MA	Administered in Medical Office	N/A
Octreotide Acetate Soln 500Mcg/Ml (Generic)	Sandostatin Soln 500 Mcg/Ml (Brand)	Somatotropin Agonists And Antagonists	MA	Administered in Medical Office	N/A

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