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Informational only — Formulary data may be inaccurate or outdated.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.

100 results for "ASSORTED CLASSES"

Page 3 of 4
Drug Name Generic Name Strength Form Plans Covering Actions
Restasis
Brand for cyclosporine
OPHTHALMIC AGENTS
Also: cyclosporine
cyclosporine 0.2 MG Drops 124 plans Details
Revlimid
Brand for lenalidomide
ASSORTED CLASSES
Also: lenalidomide, REVLIMID CAPS 2.5MG, 5MG, 10MG, 15MG, 20MG, 25MG, Revlimid 2.5 Mg Capsule, Revlimid 5 Mg Capsule, Revlimid 10 Mg Capsule, Revlimid 15 Mg Capsule, Revlimid 20 Mg Capsule, Revlimid 25 Mg Capsule, REVLIMID CAPS 2.5MG, 5MG, 10MG, 15MG,, Revlimid Oral Capsule
lenalidomide 2.5MG, 5MG, 10MG, 15MG, 20MG, 25MG Capsule 50 plans Details
SPS
Brand for sodium polystyrene sulfonate
ASSORTED CLASSES
Also: sps susp 15gm/60ml, sodium polystyrene sulfonate, Sps Susp 15gm/60ml, SPS Oral Suspension, Sodium polystyrene sulfonate, SPS (Sodium Polystyrene Sulf) Combination Suspension, SPS (Sodium Polystyrene Sulf) Rectal Suspension
sodium polystyrene sulfonate 250 MG Suspension 205 plans Details
Sandimmune
Brand for cyclosporine
ASSORTED CLASSES
Also: SANDIMMUNE CAPS 25MG, 100MG; SOLN 50MG/ML, SANDIMMUNE CAPS 25MG, 100MG, SANDIMMUNE CAPS 25MG, 100MG; SOLN, cyclosporine, SandIMMUNE Oral Solution, Cyclosporine
cyclosporine 25MG, 100MG Capsule 61 plans Details
Securesafe
Brand for /needle (disp)
MEDICAL DEVICES
Also: SECURESAFE MIS 0.5/29G, SECURESAFE MIS 29GX1/2", Securesafe Syringe/ Needle, Securesafe Pen Needle 30G 5/16", Securesafe Syringe 0.5 Ml 29G 1/2", Securesafe Syringe 1 Ml 29G 1/2", SECURESAFE PEN NDL, SECURESAFE SYR
/needle (disp) 0.5 Ml, 29G Prefilled Syringe 28 plans Details
Syringe/Hypodermic Safety
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) Prefilled Syringe 5 plans Details
Syringe/Luer Lock/10Ml/21
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) Prefilled Syringe 5 plans Details
Syringe/Luer Lock/3Ml/20G
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 20G Prefilled Syringe 5 plans Details
Syringe/Luer Lock/3Ml/21G
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 21G Prefilled Syringe 5 plans Details
Syringe/Luer Lock/3Ml/22G
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 22G Prefilled Syringe 5 plans Details
Syringe/Luer Lock/3Ml/23G
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 23G Prefilled Syringe 5 plans Details
Syringe/Luer Lock/3Ml/25G
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 25G Prefilled Syringe 5 plans Details
Syringe/Luer Lock/5Ml/20G
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 20G Prefilled Syringe 5 plans Details
Syringe/Luer Slip/1Ml/25G
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 25G Prefilled Syringe 5 plans Details
Syringe/Luer Slip/1Ml/26G
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 26G Prefilled Syringe 5 plans Details
Syringe/Luer Slip/1Ml/27G
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 27G Prefilled Syringe 5 plans Details
Syringes/Luer Lock/10Ml/2
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 5 plans Details
Syringes/Luer Lock/1Ml/20
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 5 plans Details
Syringes/Luer Lock/5Ml/20
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 5 plans Details
Syringes/Luer Lock/5Ml/21
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 5 plans Details
Syringes/Luer Lock/5Ml/22
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 5 plans Details
Syringes/Luer Slip/1Ml/25
Brand for /needle (disp)
MEDICAL DEVICES
/needle (disp) 5 plans Details
Thalomid
Brand for thalidomide
ASSORTED CLASSES
Also: THALOMID CAPS 50MG, 100MG, thalidomide, Thalomid 50 Mg Capsule, Thalomid 100 Mg Capsule, Thalomid 200 Mg Capsule, Thalomid Oral Capsule, Thalidomide
thalidomide 50MG, 100MG Capsule 246 plans Details
Torpenz
Brand for everolimus
ANTINEOPLASTIC ENZYME INHIBITORS
Also: torpenz tabs 2.5mg, 5mg, 7.5mg, 10mg, everolimus, Torpenz 2.5 Mg Tablet, Torpenz 5 Mg Tablet, Torpenz 7.5 Mg Tablet, Torpenz 10 Mg Tablet, Torpenz Tabs 2.5mg, 5mg, 7.5mg, 10mg
everolimus 2.5mg, 5mg, 7.5mg, 10mg Tablet 171 plans Details
Ulticare
Brand for /needle (disp)
MEDICAL DEVICES
Also: Ulticare Syringe/Low Dead, Ulticare Pen Needle 29G 12.7Mm, Ulticare Pen Needle 29G 12Mm, Ulticare Pen Needle 31G 3/16", Ulticare Pen Needle 31G 6Mm, Ulticare Pen Needle 31G 8Mm, Ulticare Pen Needle 32G 4Mm, Ulticare Pen Needle 32G 6Mm, Ulticare Syringe 0.3 Ml 29G 1/2", Ulticare Syringe 0.3 Ml 30G 1/2", Ulticare Syringe 0.3 Ml 30G 5/16", Ulticare Syringe 0.3 Ml 31G 5/16", Ulticare Syringe 0.5 Ml 28G 1/2", Ulticare Syringe 0.5 Ml 29G 1/2", Ulticare Syringe 0.5 Ml 30G 1/2", Ulticare Syringe 0.5 Ml 30G 5/16", Ulticare Syringe 0.5 Ml 31G 5/16", Ulticare Syringe 1 Ml 30G 1/2", Ulticare Syringe 1 Ml 30G 5/16", Ulticare Syringe 1 Ml 31G 5/16", ULTICARE PEN NEEDLE, ULTICARE SYR, ULTICARE PEN NEEDLES, ULTICARE PEN NDL
/needle (disp) 0.3 Ml, 29G Prefilled Syringe 25 plans Details
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