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Informational only — Formulary data may be inaccurate or outdated. Always verify with official plan documents, your pharmacy, or your clinician before acting.

38 results for "METABOLIC MODIFIERS"

Page 2 of 2
Drug Name Generic Name Strength Form Plans Covering Actions
Rocaltrol
Brand for calcitriol
METABOLIC MODIFIERS
Also: ROCALTROL CAPS .25MCG, .5MCG; SOLN 1MCG/ML, ROCALTROL CAPS .25MCG; SOLN 1MCG/ML, ROCALTROL CAPS .25MCG, .5MCG; SOLN
calcitriol 25MCG Capsule 10 plans Details
Vectical
Brand for calcitriol
Psoriasis
calcitriol Ointment 1 plan Details
Vimizim
Brand for elosulfase alfa
METABOLIC MODIFIERS
Also: VIMIZIM SOLN 5MG/5ML
elosulfase alfa 5MG/5ML Solution 5 plans Details
Yorvipath Sopn
METABOLIC MODIFIERS
Also: YORVIPATH SOPN 168MCG/0.56ML, 294MCG/0.98ML, 420MCG/1.4ML
168MCG/0.56ML, 294MCG/0.98ML, 420MCG/1.4ML 2 plans Details
betaine
Brand for Cystadane
OXYTOCICS
Also: betaine powder for oral solution
Cystadane 1000 MG Solution 167 plans Details
calcitriol
Brand for calcitriol oint 3 mcg/ gm
OXYTOCICS
Also: calcitriol oral capsule, calcitriol oral solution, Vectical, calcitriol caps .25mcg, .5mcg; soln 1mcg/ml, calcitriol cap 0.25 mcg, 0.5 mcg, Calcitriol 0.25 Mcg Capsule, Calcitriol 0.5 Mcg Capsule, Calcitriol 1 Mcg/Ml Oral Solution, Calcitriol 3 Mcg/G Ointment, VECTICAL
calcitriol oint 3 mcg/ gm 0.25 mcg, 0.5 mcg Capsule 184 plans Details
glycerol phenylbutyrate liqd 1.1gm/ml
METABOLIC MODIFIERS
1.1g 6 plans Details
javygtor pack
METABOLIC MODIFIERS
Also: javygtor pack 100mg, 500mg; tabs 100mg, Javygtor Pack 100mg, 500mg; Tabs 100mg
100mg, 500mg Tablet 4 plans Details
levocarnitine
OXYTOCICS
Also: levocarnitine oral solution, levocarnitine oral tablet, levocarnitine tab 330 mg, Levocarnitine 500 Mg/5 Ml Oral Solution, Levocarnitine 1 G/10 Ml Oral Solution, Levocarnitine 330 Mg Tablet
330 mg Tablet 135 plans Details
levocarnitine (metabolic modifiers)
METABOLIC MODIFIERS
Also: levocarnitine (metabolic modifiers) soln 1gm/10ml, 200mg/ml; tabs 330mg, levocarnitine (metabolic modifiers) soln 1gm/10ml; tabs 330mg, levocarnitine (metabolic modifiers) soln
1g Solution 6 plans Details
nitisinone
Brand for Orfadin
OXYTOCICS
Also: nitisinone caps 2mg, 5mg, 10mg, 20mg, nitisinone cap 2 mg, 5 mg, 10 mg, 20 mg, HARLIKU
Orfadin 2 mg, 5 mg, 10 mg, 20 mg Capsule 167 plans Details
sapropterin dihydrochloride pack
METABOLIC MODIFIERS
Also: sapropterin dihydrochloride pack 100mg, 500mg; tabs 100mg, sapropterin dihydrochloride pack 100mg,, sapropterin dihydrochloride pack 100mg
100mg, 500mg Tablet 6 plans Details
zelvysia pack
METABOLIC MODIFIERS
Also: zelvysia pack 100mg, 500mg, Zelvysia Pack 100mg, 500mg
100mg, 500mg 4 plans Details
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