Vasodilating Agents
Showing 1–12 of 95 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Bosentan Tabs 125Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Bosentan Tabs 62.5Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Bosentan Tbso 32Mg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Treprostinil Soln 100 Mg/20Ml (Brand) |
Vasodilating Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Remodulin Soln 100 Mg/20Ml (Brand) |
Vasodilating Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Treprostinil Soln 200 Mg/20Ml (Brand) |
Vasodilating Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Remodulin Soln 200 Mg/20Ml (Brand) |
Vasodilating Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Treprostinil Soln 20 Mg/20Ml (Brand) |
Vasodilating Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Remodulin Soln 20 Mg/20Ml (Brand) |
Vasodilating Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Remodulin Soln 50 Mg/20Ml (Brand) |
Vasodilating Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Treprostinil Soln 50 Mg/20Ml (Brand) |
Vasodilating Agents |
MA |
Administered in Medical Office |
N/A |
|
|
Treprostinil Soln .6Mg/Ml (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Treprostinil Soln .6Mg/Ml (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Treprostinil Soln .6Mg/Ml (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Selexipag Tabs 1000Mcg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Selexipag Tabs 1200Mcg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Selexipag Tabs 1400Mcg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Selexipag Tabs 1600Mcg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Selexipag Tabs 200Mcg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Selexipag Tabs 400Mcg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Selexipag Tabs 600Mcg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Selexipag Tabs 800Mcg (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Selexipag Tbpk (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Iloprost Soln 10Mcg/Ml (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |
|
|
Iloprost Soln 20Mcg/Ml (Generic) |
Vasodilating Agents |
3 |
Non-Formulary Brand |
$68 |