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.

PREGNYL W/DILUENT BENZYL ALCOHOL/NACL

THERAPEUTIC CLASS: Ovulation Stimulants-Gonadotropins

10000U SOLR

10000U SOLR

Not Covered by a 3-Tier Plan

Learn more about tiers.

Note Title

Not Available Through Mail Service

Definition

This medication is not available through the mail service pharmacy
Note Title

Medical To Pharmacy Benefit Transition

Definition

This medication will only be covered through the pharmacy benefit when purchased through a specialty pharmacy that participates in our network. It's not available through outpatient medical coverage, except when administered in a dialysis center, at a surgical day care facility, in an ambulatory surgery center, or through a home infusion therapy provider. To find a specialty pharmacy, visit Specialty Network Pharmacy Contact Information in the Specialty Pharmacy section.
Note Title

Medication Not Available Through Medical Benefit

Definition

This medication will only be only covered through the pharmacy benefit. This medication is not available through the outpatient medical benefit, except when administered in a dialysis center, at a surgical day care facility, in an ambulatory surgery center, or through a home infusion therapy provider.
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