Vitamins
Showing 1–12 of 19 results
NAME | ALSO KNOW AS | DRUG CATEGORY | FORMULARY CATEGORY | WHAT WE COVER | COST SHARE |
|---|---|---|---|---|---|
|
Rocaltrol Caps 0.25 Mcg (Brand) |
Vitamins |
1 |
Generic |
$14 |
|
|
Rocaltrol Caps 0.5 Mcg (Brand) |
Vitamins |
1 |
Generic |
$14 |
|
|
Rocaltrol Soln 1 Mcg/Ml (Brand) |
Vitamins |
1 |
Generic |
$14 |
|
|
Hectorol Caps 0.5 Mcg (Brand) |
Vitamins |
1 |
Generic |
$14 |
|
|
Hectorol Caps 1 Mcg (Brand) |
Vitamins |
1 |
Generic |
$14 |
|
|
Hectorol Caps 2.5 Mcg (Brand) |
Vitamins |
1 |
Generic |
$14 |
|
|
Doxercalciferol Caps .5Mcg (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |
|
|
Doxercalciferol Caps 1Mcg (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |
|
|
Doxercalciferol Caps 2.5Mcg (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |
|
|
Zemplar Caps 1 Mcg (Brand) |
Vitamins |
1 |
Generic |
$14 |
|
|
Zemplar Caps 2 Mcg (Brand) |
Vitamins |
1 |
Generic |
$14 |
|
|
No Brand Option Available |
Vitamins |
1 |
Generic |
$14 |
|
|
Calcifediol Cpcr 30Mcg (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |
|
|
Calcitriol Caps .25Mcg (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |
|
|
Calcitriol Caps .5Mcg (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |
|
|
Calcitriol Soln 1Mcg/Ml (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |
|
|
Prenatal Vit W/ Ferrous Fumarate-Fa-Omega 3 Fatty Acids Caps (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |
|
|
Paricalcitol Caps 1Mcg (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |
|
|
Paricalcitol Caps 2Mcg (Generic) |
Vitamins |
3 |
Non-Formulary Brand |
$68 |