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Informational only — Formulary data may be inaccurate or outdated.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

3 results for "Platinum-based Drug"

Drug Name Generic Name Strength Form Plans Covering Actions
oxaliplatin
Platinum-based Drug
Also: oxaliplatin soln 50mg/10ml, 100mg/20ml, 200mg/40ml; solr 50mg, 100mg, oxaliplatin soln 50mg/10ml, 100mg/20ml,
50mg/10ml, 100mg/20ml, 200mg/40ml Solution 32 plans Details
cisplatin
Platinum-based Drug
Also: cisplatin soln 50mg/50ml, 100mg/100ml, 200mg/200ml, cisplatin soln 50mg/50ml, 100mg/100ml,, CISPLATIN SOLN 200MG/200ML; SOLR 50MG
50mg/50ml, 100mg/100ml, 200mg/200ml Injection 32 plans Details
carboplatin
Platinum-based Drug
Also: carboplatin soln 50mg/5ml, 150mg/15ml, 450mg/45ml, 600mg/60ml, carboplatin soln 50mg/5ml, 150mg/15ml,
50mg/5ml, 150mg/15ml, 450mg/45ml, 600mg/60ml Solution 3 plans Details
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