Medication Lookup

The results below have been sorted using a 2-tier plan. For the most accurate search results, check your plan details and choose another tier plan from the drop-down menu near the search bar.

TOLAK

THERAPEUTIC CLASS: Antineoplastic Antimetabolites - Topical

4% CREAM

4% CREAM

Not Covered by a 3-Tier Plan

Learn more about tiers.

Note Title

Exceptions To Non Covered Medications

Definition

Your doctor may submit a request for an exception. If approved, the medication must still follow any applicable requirements before it can be covered by your plan. You’ll also pay the highest tier cost.

Covered Alternative Medications