Note Title
Not Available Through Mail Order
Definition
This medication is not available through the mail order pharmacy.
- Home
- Provider Central Home
- Lookup a Medication
- Search Results
- Medication Details
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.
CLARAVIS
THERAPEUTIC CLASS: Acne Products
Select a strength to see details
10MG CAPS
20MG CAPS
20MG CAPS
Covered by a 3-Tier Plan as a Tier 1 Medication
-
Note TitleNot Available Through Mail OrderDefinitionThis medication is not available through the mail order pharmacy.
40MG CAPS
40MG CAPS
Covered by a 3-Tier Plan as a Tier 1 Medication
-
Note TitleNot Available Through Mail OrderDefinitionThis medication is not available through the mail order pharmacy.
30MG CAPS
30MG CAPS
Covered by a 3-Tier Plan as a Tier 1 Medication
-
Note TitleNot Available Through Mail OrderDefinitionThis medication is not available through the mail order pharmacy.
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® Prior Authorization Requests
Important Information
Learn About Your Pharmacy Program
Medical Benefit Prior Authorization Medication List
Quality Care Dosing Guidelines
Affordable Care Act (ACA) Covered Medication List
HSA Preventive Medication List
Learn About Your Pharmacy Program
Value-Based Benefit Medications List
Quality Care Dosing Guidelines
Medical Benefit Prior Authorization Medication List
Specialty Pharmacy
Specialty Pharmacy Medication List
5-Tier Specialty Pharmacy Medication List
6-Tier Specialty Pharmacy Medication List
Alternatives to Opioids
For Federal Employee Program Members
View the Federal Employee Program Basic Option Formulary
Eligible Medicare Members
Covered Alternative Medications