Thyroid And Antithyroid Agents
Showing 1–12 of 113 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Liothyronine Sodium Tabs 25Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Liothyronine Sodium Tabs 5Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Liothyronine Sodium Tabs 50Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 100Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 112Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 125Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 137Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 150Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 175Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 200Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 25Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 300Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 50Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 75Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 88Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Tirosint Caps 100 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 112 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 125 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 137 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 13 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 150 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 175 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 200 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 25 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 50 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 75 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Tirosint Caps 88 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Levothyroxine Sodium Soln 100 Mcg/5Ml (Brand) |
Thyroid And Antithyroid Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Levothyroxine Sodium Soln 200 Mcg/5Ml (Brand) |
Thyroid And Antithyroid Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Levothyroxine Sodium Soln 500 Mcg/5Ml (Brand) |
Thyroid And Antithyroid Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Levo-T Tabs 100 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Levoxyl Tabs 112 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Levoxyl Tabs 125 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Levoxyl Tabs 137 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Levoxyl Tabs 150 Mcg (Brand) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |