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Informational only — Formulary data may be inaccurate or outdated.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

85 results for "HEMATOLOGICAL AGENTS - MISC."

Page 1 of 4
Drug Name Generic Name Strength Form Plans Covering Actions
ticagrelor
Brand for Brilinta
HEMATOLOGICAL AGENTS - MISC.
Also: Brilinta, ticagrelor tabs 60mg, 90mg, ticagrelor tab 60 mg, 90 mg, Ticagrelor 60 Mg Tablet, Ticagrelor 90 Mg Tablet
Brilinta 60 mg, 90 mg Tablet 178 plans Details
prasugrel hcl
HEMATOLOGICAL AGENTS - MISC.
Also: prasugrel hcl tabs 5mg, 10mg, prasugrel hcl tab 5 mg (base equiv), 10 mg (base equiv)
5 mg, 10 mg Tablet 7 plans Details
pentoxifylline tbcr
Brand for pentoxifylline
Blood Viscosity Reducer
Also: pentoxifylline tbcr 400mg
pentoxifylline 400mg 3 plans Details
pentoxifylline
HEMATOLOGICAL AGENTS - MISC.
Also: pentoxifylline tab er 400 mg, Pentoxifylline Er 400 Mg Tablet, pentoxifylline tbcr 400mg
400 MG Extended Release Tablet 178 plans Details
icatibant acetate subcutaneous
HEMATOLOGICAL AGENTS - MISC.
Also: icatibant acetate subcutaneous soln pref syr 30 mg/3ml
3ml Solution 0 plans Details
dipyridamole
HEMATOLOGICAL AGENTS - MISC.
Also: dipyridamole oral, Persantine, dipyridamole tabs 25mg, 50mg, 75mg, dipyridamole tab 25 mg, 50 mg, 75 mg, Dipyridamole 25 Mg Tablet, Dipyridamole 50 Mg Tablet, Dipyridamole 75 Mg Tablet
25 mg, 50 mg, 75 mg Tablet 119 plans Details
cyclopentolate hcl ophth
HEMATOLOGICAL AGENTS - MISC.
Also: cyclopentolate hcl ophth soln 1%
Solution 0 plans Details
clopidogrel bisulfate
HEMATOLOGICAL AGENTS - MISC.
Also: clopidogrel bisulfate oral, clopidogrel bisulfate tabs 75mg, clopidogrel bisulfate tabs 300mg, clopidogrel bisulfate tab 75 mg (base equiv), clopidogrel bisulfate tabs 75mg, 300mg, CLOPIDOGREL, PLAVIX
300 mg, 75 mg Tablet 8 plans Details
clopidogrel
Brand for clopidogrel bisulfate
Platelet Inhibitors
Also: Plavix, Clopidogrel 75 Mg Tablet, Clopidogrel 300 Mg Tablet
clopidogrel bisulfate 300 MG Tablet 171 plans Details
ciprofloxacin hcl ophth
HEMATOLOGICAL AGENTS - MISC.
Also: ciprofloxacin hcl ophth soln 0.3%
Solution 0 plans Details
cilostazol
HEMATOLOGICAL AGENTS - MISC.
Also: cilostazol tabs 50mg, 100mg, cilostazol tab 50 mg, 100 mg, Cilostazol 50 Mg Tablet, Cilostazol 100 Mg Tablet
50 mg, 100 mg Tablet 182 plans Details
bromfenac sodium ophth
HEMATOLOGICAL AGENTS - MISC.
Also: bromfenac sodium ophth soln 0.09% (base equiv)
Solution 0 plans Details
brinzolamide ophth
HEMATOLOGICAL AGENTS - MISC.
Also: brinzolamide ophth susp 1%
Suspension 0 plans Details
brimonidine tartrate-timolol maleate ophth
HEMATOLOGICAL AGENTS - MISC.
Also: brimonidine tartrate-timolol maleate ophth soln 0.2-0.5%, brimonidine tartrate-timolol maleate ophth soln
0.5% Solution 6 plans Details
brimonidine tartrate ophth
HEMATOLOGICAL AGENTS - MISC.
Also: brimonidine tartrate ophth soln 0.2%
Solution 5 plans Details
bimatoprost ophth
HEMATOLOGICAL AGENTS - MISC.
Also: bimatoprost ophth soln 0.03%
Solution 5 plans Details
besifloxacin
Quinolone Antimicrobial
29 plans Details
bepotastine besilate ophth
HEMATOLOGICAL AGENTS - MISC.
Also: bepotastine besilate ophth soln 1.5%
Solution 0 plans Details
bacitracin-polymyxin b ophth oint
OPHTHALMIC ANTI-INFECTIVES
6 plans Details
bacitracin
Brand for bacitracin ophth oint 500 unit/gm
HEMATOLOGICAL AGENTS - MISC.
Also: AK-Tracin, Bacitracin 500 Unit/Gm Eye Ointment
bacitracin ophth oint 500 unit/gm 0.0035 MG Ointment 176 plans Details
azelastine hcl ophth
HEMATOLOGICAL AGENTS - MISC.
Also: azelastine hcl ophth soln 0.05%
Solution 5 plans Details
atropine sulfate ophth
HEMATOLOGICAL AGENTS - MISC.
Also: atropine sulfate ophth soln 1%
Solution 5 plans Details
anagrelide hcl
HEMATOLOGICAL AGENTS - MISC.
Also: anagrelide hcl caps 1mg, anagrelide hcl caps .5mg, anagrelide hcl cap 0.5 mg, anagrelide hcl cap 1 mg, anagrelide hcl caps .5mg, 1mg
5mg, 1mg Capsule 12 plans Details
Zontivity
Brand for vorapaxar
HEMATOLOGICAL AGENTS - MISC.
Also: ZONTIVITY TABS 2.08MG, vorapaxar
vorapaxar 2.08 MG Tablet 39 plans Details
Xyntha Solofuse
Brand for antihemophil fact rcmb(bdd-
HEMATOLOGICAL AGENTS - MISC.
Also: XYNTHA SOLOFUSE KIT 250UNIT, 500UNIT, 1000UNIT, 2000UNIT, 3000UNIT, XYNTHA SOLOFUSE KIT 250UNIT, 500UNIT,
antihemophil fact rcmb(bdd- 250UNIT, 500UNIT, 1000UNIT, 2000UNIT, 3000UNIT Kit 10 plans Details
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