All *ANTIMYASTHENIC/CHOLINERGIC AGENTS*

Bloxiverz SOLUTION 10 MG/10ML Intravenous
Bloxiverz SOLUTION 10 MG/10ML Intravenous

Neostigmine Methylsulfate

Tier: 3
PA Type: No Prior Authorization
ST: N
Bloxiverz SOLUTION 10 MG/10ML Intravenous
Bloxiverz SOLUTION 10 MG/10ML Intravenous

Neostigmine Methylsulfate

Tier: 3
PA Type: No Prior Authorization
ST: N
Bloxiverz SOLUTION 10 MG/10ML Intravenous
Bloxiverz SOLUTION 10 MG/10ML Intravenous

Neostigmine Methylsulfate

Tier: 3
PA Type: No Prior Authorization
ST: N
Bloxiverz SOLUTION 10 MG/10ML Intravenous
Bloxiverz SOLUTION 10 MG/10ML Intravenous

Neostigmine Methylsulfate

Tier: 3
PA Type: No Prior Authorization
ST: N
Bloxiverz Solution 5 MG/10ML Intravenous
Bloxiverz Solution 5 MG/10ML Intravenous

Neostigmine Methylsulfate

Tier: 3
PA Type: No Prior Authorization
ST: N
Bloxiverz Solution 5 MG/10ML Intravenous
Bloxiverz Solution 5 MG/10ML Intravenous

Neostigmine Methylsulfate

Tier: 3
PA Type: No Prior Authorization
ST: N
Bloxiverz Solution 5 MG/10ML Intravenous
Bloxiverz Solution 5 MG/10ML Intravenous

Neostigmine Methylsulfate

Tier: 3
PA Type: No Prior Authorization
ST: N
Bloxiverz Solution 5 MG/10ML Intravenous
Bloxiverz Solution 5 MG/10ML Intravenous

Neostigmine Methylsulfate

Tier: 3
PA Type: No Prior Authorization
ST: N
Firdapse Tablet 10 MG Oral
Firdapse Tablet 10 MG Oral

Amifampridine Phosphate

Tier: 4
PA Type: PA Applies
PA Group: Firdapse
Firdapse Tablet 10 MG Oral
Firdapse Tablet 10 MG Oral

Amifampridine Phosphate

Tier: 4
PA Type: PA Applies
PA Group: Firdapse
Firdapse Tablet 10 MG Oral
Firdapse Tablet 10 MG Oral

Amifampridine Phosphate

Tier: 4
PA Type: PA Applies
PA Group: Firdapse
Guanidine HCl TABLET 125 MG ORAL
Guanidine HCl TABLET 125 MG ORAL

Tier: 3
PA Type: No Prior Authorization
ST: N