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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.

FONDAPARINUX
THERAPEUTIC CLASS: ANTICOAGULANTS*
Select a strength to see details

7.5MG SYR

7.5MG SYR
Covered by a 3-Tier Plan as a Tier 2 Medication
Learn more about tiers.
  • Note Title
    Quality Care Dosing
    Definition
    To ensure safety and effectiveness, this medication, which is covered through the pharmacy benefit, has quantity and dosage limits that are recommended by the Food and Drug Administration (FDA). Review the Quality Care Dosing Guidelines in the Important Information section to learn more.

10MG SYR

10MG SYR
Covered by a 3-Tier Plan as a Tier 2 Medication
Learn more about tiers.
  • Note Title
    Quality Care Dosing
    Definition
    To ensure safety and effectiveness, this medication, which is covered through the pharmacy benefit, has quantity and dosage limits that are recommended by the Food and Drug Administration (FDA). Review the Quality Care Dosing Guidelines in the Important Information section to learn more.

2.5MG SYR

2.5MG SYR
Covered by a 3-Tier Plan as a Tier 2 Medication
Learn more about tiers.
  • Note Title
    Quality Care Dosing
    Definition
    To ensure safety and effectiveness, this medication, which is covered through the pharmacy benefit, has quantity and dosage limits that are recommended by the Food and Drug Administration (FDA). Review the Quality Care Dosing Guidelines in the Important Information section to learn more.

5MG SYR

5MG SYR
Covered by a 3-Tier Plan as a Tier 2 Medication
Learn more about tiers.
  • Note Title
    Quality Care Dosing
    Definition
    To ensure safety and effectiveness, this medication, which is covered through the pharmacy benefit, has quantity and dosage limits that are recommended by the Food and Drug Administration (FDA). Review the Quality Care Dosing Guidelines in the Important Information section to learn more.

 Prior Authorization Forms

Massachusetts Standard Form for Hepatitis-C Medication Prior Authorization Requests

Massachusetts Standard Form for Medication Prior Authorization Requests

Massachusetts Standard Form for Synagis® Medication Prior Authorization Requests

 Important Information

Affordable Care Act (ACA) Medication List

Maintenance Medication List

Medical Benefit Prior Authorization Medication List

Over-the-Counter Exclusion Medication List

Quality Care Dosing Guidelines

Step Therapy Medication List

Learn About Your Pharmacy Program

Learn About Tiers

Learn About Your Pharmacy Program

$0 Copay Medication List

Affordable Care Act (ACA) Medication List

Cost-Share Assistance Program Medication List

Health Savings Account (HSA) Preventive Medication List

Lower-Cost, Brand-Name Insulins Medication List

Maintenance Medication List

Medical Benefit Prior Authorization Medication List

No-Cost Generic Medications List

Over-the-Counter Exclusion Medication List

Quality Care Dosing Guidelines

Step Therapy Medication List

 Specialty Pharmacy

Specialty Pharmacy Medication List

5-Tier Specialty Pharmacy Medication List

6-Tier Specialty Pharmacy Medication List

Specialty Network Pharmacy Contact Information

Specialty Network Pharmacy Contact Information

 Alternatives to Opioids

Covered Pain Management Medication List

Alternatives to Opioid-Based Medications

 For Federal Employee Program Members

Visit fepblue.org to search the formularies

 Eligible Medicare Members

Search a Medicare Formulary

Covered Alternative Medications