Somatotropin Agonists And Antagonists
Showing 1–12 of 75 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
---|---|---|---|---|---|
Sandostatin Soln 50 Mcg/Ml (Brand) |
Somatotropin Agonists And Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Octreotide Acetate Soln 50 Mcg/Ml (Brand) |
Somatotropin Agonists And Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Somatropin Soln 10Mg/1.5Ml (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Somatropin Soln 5Mg/1.5Ml (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Somatropin Solr 5.8Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Signifor Lar Srer 10 Mg (Brand) |
Somatotropin Agonists And Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Signifor Lar Srer 20 Mg (Brand) |
Somatotropin Agonists And Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Signifor Lar Srer 30 Mg (Brand) |
Somatotropin Agonists And Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Signifor Lar Srer 40 Mg (Brand) |
Somatotropin Agonists And Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Signifor Lar Srer 60 Mg (Brand) |
Somatotropin Agonists And Antagonists |
MA |
Administered in Medical Office |
N/A |
|
Somatropin (Non-Refrigerated) Solr 8.8Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Somatropin (Non-Refrigerated) Solr 5Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Somatropin (Non-Refrigerated) Solr 8.8Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Somatropin (Non-Refrigerated) Solr 8.8Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Somatropin (Non-Refrigerated) Solr 4Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Somatropin (Non-Refrigerated) Solr 5Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Somatropin (Non-Refrigerated) Solr 6Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Pasireotide Diaspartate Soln .3Mg/Ml (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Pasireotide Diaspartate Soln .6Mg/Ml (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Pasireotide Diaspartate Soln .9Mg/Ml (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lonapegsomatropin-tcgd Cartridge 11 mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lonapegsomatropin-tcgd Cartridge 13.3 mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lonapegsomatropin-tcgd Cartridge 3 mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lonapegsomatropin-tcgd Cartridge 3.6 mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lonapegsomatropin-tcgd Cartridge 4.3 mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lonapegsomatropin-tcgd Cartridge 5.2 mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lonapegsomatropin-tcgd Cartridge 6.3 mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lonapegsomatropin-tcgd Cartridge 9.1 mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lonapegsomatropin-tcgd Cartridge 7.6 mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lanreotide Acetate Soln 120Mg/0.5Ml (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lanreotide Acetate Soln 60Mg/0.2Ml (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Lanreotide Acetate Soln 90Mg/0.3Ml (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Pegvisomant Solr 10Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Pegvisomant Solr 15Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |
|
Pegvisomant Solr 20Mg (Generic) |
Somatotropin Agonists And Antagonists |
3 |
Non-Formulary Brand |
$68 |