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Informational only — Formulary data may be inaccurate or outdated.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

28 results for "Antimigraine Agents — Quantity limits apply to all triptans"

Page 1 of 2
Drug Name Generic Name Strength Form Plans Covering Actions
Antimigraine Agents class required for coverage
Antimigraine Agents — Quantity limits apply to all triptans
1 plan Details
Frova
Brand for frovatriptan
Antimigraine Agents — Quantity limits apply to all triptans
Also: FROVA TABS 2.5MG
frovatriptan 2.5MG Tablet 6 plans Details
Imitrex
Brand for sumatriptan
SEROTONIN AGONISTS
Also: IMITREX TABS 25MG, 50MG, 100MG, sumatriptan
sumatriptan 25MG, 50MG, 100MG Tablet 39 plans Details
Imitrex Cartridge / Nasal Spray / Pen
Antimigraine Agents — Quantity limits apply to all triptans
Tablet 1 plan Details
Imitrex Statdose Sys
Brand for sumatriptan succinate
MIGRAINE PRODUCTS
sumatriptan succinate 5 plans Details
Maxalt
Brand for rizatriptan
SEROTONIN AGONISTS
Also: MAXALT TABS 10MG
rizatriptan 10MG Tablet 10 plans Details
Maxalt Tablet / MLT
Antimigraine Agents — Quantity limits apply to all triptans
Also: MAXALT TABS 10MG
10MG Tablet 1 plan Details
Relpax
Brand for eletriptan
Antimigraine Agents — Quantity limits apply to all triptans
Also: RELPAX TABS 20MG, 40MG
eletriptan 20MG, 40MG Tablet 11 plans Details
Symbravo
Brand for rizatriptan benzoate/meloxicam
Antimigraine Agents — Quantity limits apply to all triptans
rizatriptan benzoate/meloxicam Tablet 1 plan Details
Tosymra
Brand for sumatriptan
Antimigraine Agents — Quantity limits apply to all triptans
Also: TOSYMRA SOLN 10MG/ACT
sumatriptan 10MG Nasal Spray 5 plans Details
Treximet
Brand for sumatriptan / naproxen
MIGRAINE COMBINATIONS
Also: TREXIMET TAB 10-60MG, TREXIMET TAB 85-500MG
sumatriptan / naproxen 500MG Tablet 5 plans Details
Zembrace SymTouch
Brand for sumatriptan succinate
Antimigraine Agents — Quantity limits apply to all triptans
Also: ZEMBRACE SYMTOUCH SOAJ 3MG/0.5ML
sumatriptan succinate 3MG/0.5ML Auto-Injector 3 plans Details
Zomig
Brand for zolmitriptan
SEROTONIN AGONISTS
Also: ZOMIG SOLN 2.5MG, ZOMIG SOLN 5MG, zomig tabs 2.5mg, 5mg, zolmitriptan, ZOMIG SOLN 2.5MG, 5MG, Zomig Tabs 2.5mg, 5mg
zolmitriptan 2.5mg, 5mg Tablet 35 plans Details
Zomig Nasal Spray
Antimigraine Agents — Quantity limits apply to all triptans
Tablet 1 plan Details
almotriptan
Antimigraine Agents — Quantity limits apply to all triptans
Also: Axert, Almotriptan 6.25 Mg Tablet, Almotriptan 12.5 Mg Tablet
6.25 MG Tablet 31 plans Details
eletriptan
Antimigraine Agents — Quantity limits apply to all triptans
Also: Relpax, Eletriptan 20 Mg Tablet, Eletriptan 40 Mg Tablet
20 MG Tablet 81 plans Details
frovatriptan
Antimigraine Agents — Quantity limits apply to all triptans
Also: Frova, Frovatriptan 2.5 Mg Tablet
2.5 MG Tablet 31 plans Details
naratriptan
Antimigraine Agents — Quantity limits apply to all triptans
Also: Amerge, Naratriptan 1 Mg Tablet, Naratriptan 2.5 Mg Tablet
2.5 MG Tablet 168 plans Details
rizatriptan benzoate/meloxicam
MIGRAINE AGENTS
Also: SYMBRAVO
10 mg-20 mg Tablet 1 plan Details
rizatriptan tablet
Antimigraine Agents — Quantity limits apply to all triptans
Also: Maxalt
Disintegrating Tablet 1 plan Details
sumatriptan
Brand for Imitrex
SEROTONIN AGONISTS
Also: sumatriptan soln 5mg/act, sumatriptan soln 20mg/act, Sumatriptan 6 Mg/0.5 Ml Auto-Injector, Sumatriptan 6 Mg/0.5 Ml Cartridge, Sumatriptan 5 Mg Nasal Spray, Sumatriptan 20 Mg Nasal Spray, Sumatriptan 4 Mg/0.5 Ml Pen Injector, Sumatriptan 6 Mg/0.5 Ml Vial, sumatriptan soln 5mg/act, 20mg/act, TOSYMRA
Imitrex 3 MG, 4 MG, 6 MG Auto-Injector 177 plans Details
sumatriptan / naproxen
Antimigraine Agents — Quantity limits apply to all triptans
Also: Treximet
Tablet 1 plan Details
sumatriptan injection kit / refill
Antimigraine Agents — Quantity limits apply to all triptans
Also: Imitrex
Prefilled Syringe 1 plan Details
sumatriptan nasal spray / tablet
Antimigraine Agents — Quantity limits apply to all triptans
Also: Imitrex
Vial 1 plan Details
sumatriptan succinate
MIGRAINE PRODUCTS
Also: sumatriptan succinate oral, sumatriptan succinate inj 6 mg/0.5ml, sumatriptan succinate solution auto-injector 6 mg/0.5ml, sumatriptan succinate tab 25 mg, 50 mg, 100 mg, Sumatriptan Succinate 25 Mg Tablet, Sumatriptan Succinate 50 Mg Tablet, Sumatriptan Succinate 100 Mg Tablet, sumatriptan succinate soaj 4mg/0.5ml, 6mg/0.5ml; soct 4mg/0.5ml, 6mg/0.5ml; soln 6mg/0.5ml; tabs 25mg, 50mg, 100mg, IMITREX, ONZETRA XSAIL, ZEMBRACE SYMTOUCH, sumatriptan succinate soln 6mg/0.5ml; tabs, sumatriptan succinate soaj 6mg/0.5ml; soln 6mg/0.5ml; tabs 25mg, 50mg, 100mg
100 mg, 11 mg, 25 mg, 3 mg/0.5 mL, 50 mg, 6 mg/0.5 mL Injection 14 plans Details
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