Thyroid And Antithyroid Agents
Showing 1–12 of 113 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Levothyroxine Sodium Tabs 88Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Methimazole Tabs 10Mg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Methimazole Tabs 5Mg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Liotrix (T3-T4) Tabs 60Mg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Liotrix (T3-T4) Tabs 30Mg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Liotrix (T3-T4) Tabs 15Mg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Liotrix (T3-T4) Tabs 120Mg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Liotrix (T3-T4) Tabs (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 100Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 112Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 125Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 13Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 137Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 150Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 175Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 200Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 25Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 50Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 75Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Caps 88Mcg (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 100Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 112Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 125Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 13Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 137Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 150Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 175Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 200Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 25Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 50Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 75Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Soln 88Mcg/Ml (Generic) |
Thyroid And Antithyroid Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Levothyroxine Sodium Tabs 100Mcg (Generic) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Levothyroxine Sodium Tabs 112Mcg (Generic) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |
|
|
Levothyroxine Sodium Tabs 125Mcg (Generic) |
Thyroid And Antithyroid Agents |
1 |
Generic |
$14 |