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Informational only — Formulary data may be inaccurate or outdated.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

9 results for "ANTIHEMOPHILIC AGENTS"

Drug Name Generic Name Strength Form Plans Covering Actions
Beqvez
Brand for fidanacogene elaparvovec-dzkt
2000UNIT, 3000UNIT
Also: BEQVEZ INJ 4X1ML, BEQVEZ INJ 5X1ML, BEQVEZ INJ 6 X 1ML, BEQVEZ INJ 7X1ML
fidanacogene elaparvovec-dzkt 1ML Injection 3 plans Details
Rebinyn
Brand for coagulation factor ix recomb glycopegylated for
HEMATOLOGICAL AGENTS - MISC.
coagulation factor ix recomb glycopegylated for 5 plans Details
Xyntha
Brand for antihemophil fact rcmb(bdd-rfviii,mor) for
HEMATOLOGICAL AGENTS - MISC.
Also: XYNTHA KIT 250UNIT, 500UNIT, 1000UNIT, 2000UNIT, XYNTHA KIT 250UNIT, 500UNIT, 1000UNIT,
antihemophil fact rcmb(bdd-rfviii,mor) for 250UNIT, 500UNIT, 1000UNIT, 2000UNIT Kit 10 plans Details
antihemophilic factor (factor VIII) recomb,B-domain deleted
ANTIHEMOPHILIC AGENTS
Also: XYNTHA
1,000 (+/-) unit range, 2,000 (+/-) unit range, 250 (+/-) unit range, 500 (+/-) unit range Vial 1 plan Details
concizumab-mtci
ANTIHEMOPHILIC AGENTS
Also: ALHEMO PEN
150 mg/1.5 mL (100 mg/mL), 300 mg/3 mL (100 mg/mL), 60 mg/1.5 mL (40 mg/mL) Pen Injector 1 plan Details
factor IX (human) recombinant, pegylated
ANTIHEMOPHILIC AGENTS
Also: REBINYN
1,000 (+/-) unit range, 2,000 (+/-) unit range, 3,000 (+/-) unit range, 500 (+/-) unit range Vial 1 plan Details
fidanacogene elaparvovec-dzkt
ANTIHEMOPHILIC AGENTS
Also: BEQVEZ
1 X 10exp13 vector genomes/mL (1 mL x 6), 1 x 10exp13 vector genomes/mL (1 mL x 4), 1 x 10exp13 vector genomes/mL (1 mL x 5), 1 x 10exp13 vector genomes/mL (1 mL x 7) Kit 1 plan Details
fitusiran sodium
ANTIHEMOPHILIC AGENTS
Also: QFITLIA PEN, QFITLIA
20 mg/0.2 mL, 50 mg/0.5 mL Vial 1 plan Details
marstacimab-hncq
ANTIHEMOPHILIC AGENTS
Also: HYMPAVZI PEN
150 mg/mL Pen Injector 1 plan Details
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