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3 results for "EXCLUDED FROM THE PHARMACY BENEFIT"
| Drug Name | Generic Name | Strength | Form | Plans Covering | Actions |
|---|---|---|---|---|---|
|
Vyvgart Hytrulo
Brand for efgartigimod alfa-qvfc ASSORTED CLASSES Also: efgartigimod alfa-qvfc, VYVGART SOLN 400MG/20ML, VYVGART INJ HYTRULO |
efgartigimod alfa-qvfc | 1000 MG, 1008 MG | Prefilled Syringe | 50 plans | Details |
|
efgartigimod alfa-hyaluronidase-qvfc
EXCLUDED FROM THE PHARMACY BENEFIT Also: VYVGART HYTRULO |
— | 1,000 mg-10,000 unit/5 mL (200 mg-2,000 unit/mL) | Prefilled Syringe | 1 plan | Details |
|
insulin aspart (niacinamide)/pump
EXCLUDED FROM THE PHARMACY BENEFIT Also: insulin aspart (niacinamide)/pump cartridge, FIASP PUMPCART |
— | 100 unit/mL (1.6 mL) | Cartridge | 1 plan | Details |