Search Results

The information on this site was last updated on 7/1/2022. Please refer to the Help page for additional information

Showing all 22 search results for epipen
Drug Code Brand Status Product Description Route of Administration Package Prior Authorization Required Covered for Dual Eligible DEA Class Copay Price Per Unit
00115169549 Generic EPINEPHRINE INJ 0.15MG Injection 2 EA PEN Yes No N/A DEA Class is not applicable $3.00 $134.490
49502050102 Brand EPIPEN-JR INJ 0.15MG Injection 2 EA PEN Yes No N/A DEA Class is not applicable $3.00 $291.373
00093598519 Generic EPINEPHRINE INJ 0.15MG Injection 1 EA PEN Yes No N/A DEA Class is not applicable $3.00 $137.207
49502010101 Generic EPINEPHRINE INJ 0.15MG Injection 1 EA PEN No No N/A DEA Class is not applicable $0.00 $140.509
00093598527 Generic EPINEPHRINE INJ 0.15MG Injection 2 EA PEN Yes No N/A DEA Class is not applicable $3.00 $137.207
49502010102 Generic EPINEPHRINE INJ 0.15MG Injection 2 EA PEN No No N/A DEA Class is not applicable $0.00 $140.509
78670013111 Brand SYMJEPI INJ 0.15MG Injection 1 EA SYRINGE No No N/A DEA Class is not applicable $2.00 $125.000
78670013102 Brand SYMJEPI INJ 0.15MG Injection 2 EA SYRINGE No No N/A DEA Class is not applicable $2.00 $125.000
49502050002 Brand EPIPEN 2-PAK INJ 0.3MG Injection 2 EA PEN Yes No N/A DEA Class is not applicable $3.00 $292.454
00093598619 Generic EPINEPHRINE INJ 0.3MG Injection 1 EA PEN Yes No N/A DEA Class is not applicable $3.00 $138.817
49502010201 Generic EPINEPHRINE INJ 0.3MG Injection 1 EA PEN No No N/A DEA Class is not applicable $0.00 $142.012
00093598627 Generic EPINEPHRINE INJ 0.3MG Injection 2 EA PEN Yes No N/A DEA Class is not applicable $3.00 $138.817
00115169449 Generic EPINEPHRINE INJ 0.3MG Injection 2 EA PEN Yes No N/A DEA Class is not applicable $3.00 $119.888
49502010202 Generic EPINEPHRINE INJ 0.3MG Injection 2 EA PEN No No N/A DEA Class is not applicable $0.00 $142.012
78670013011 Brand SYMJEPI INJ 0.3MG Injection 1 EA SYRINGE No No N/A DEA Class is not applicable $2.00 $120.054
78670013002 Brand SYMJEPI INJ 0.3MG Injection 2 EA SYRINGE No No N/A DEA Class is not applicable $2.00 $120.054
42023015901 Brand ADRENALIN INJ 1MG/ML Injection 1 ML VIAL Yes No N/A DEA Class is not applicable $3.00 $14.960
42023015925 Brand ADRENALIN INJ 1MG/ML Injection 1 ML VIAL Yes No N/A DEA Class is not applicable $3.00 $14.960
42023016801 Brand ADRENALIN INJ 30/30ML Injection 30 ML VIAL Yes No N/A DEA Class is not applicable $3.00 $8.352
42023016889 Brand ADRENALIN INJ 30/30ML Injection 30 ML VIAL Yes No N/A DEA Class is not applicable $3.00 $8.352
42023016899 Brand ADRENALIN INJ 30/30ML Injection 30 ML VIAL Yes No N/A DEA Class is not applicable $3.00 $8.352
76329906000 Generic EPINEPHRINE INJ 30/30ML Injection 30 ML VIAL Yes No N/A DEA Class is not applicable $3.00 $7.500
Drug Search