Vasodilating Agents
Showing 1–12 of 95 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Nitroglycerin Pt24 .6Mg/Hr (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitroglycerin Oint 2% (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitroglycerin Pt24 .1Mg/Hr (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitroglycerin Pt24 .2Mg/Hr (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitroglycerin Pt24 .3Mg/Hr (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitroglycerin Pt24 .4Mg/Hr (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitroglycerin Pt24 .6Mg/Hr (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitroglycerin Pt24 .8Mg/Hr (Generic) |
Vasodilating Agents |
2 |
Formulary Brand |
$38 |
|
|
Minitran Pt24 0.1 Mg/Hr (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Minitran Pt24 0.2 Mg/Hr (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Minitran Pt24 0.4 Mg/Hr (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Minitran Pt24 0.6 Mg/Hr (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Nitrostat Subl 0.3 Mg (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Nitrostat Subl 0.4 Mg (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Nitrostat Subl 0.6 Mg (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Nitroglycerin Subl .3Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitroglycerin Subl .4Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Nitroglycerin Subl .6Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Macitentan Tabs 10Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Treprostinil Diolamine Tbcr .125Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Treprostinil Diolamine Tbcr .25Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Treprostinil Diolamine Tbcr 1Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Treprostinil Diolamine Tbcr 2.5Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Treprostinil Diolamine Tbcr 5Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Sildenafil Citrate (Pulmonary Hypertension) Soln 10Mg/12.5Ml (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Sildenafil Citrate (Pulmonary Hypertension) Susr 10Mg/Ml (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Sildenafil Citrate (Pulmonary Hypertension) Tabs 20Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Revatio Soln 10 Mg/12.5Ml (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Revatio Susr 10 Mg/Ml (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Revatio Tabs 20 Mg (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Alyq Tabs 20 Mg |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Tadalafil (Pah) Tabs 20 Mg |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Cialis Tabs 2.5 Mg (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |
|
|
Cialis Tabs 5 Mg (Brand) |
Vasodilating Agents |
1 |
Generic |
$14 |