Special Health Examination
Other
Special Health Examination is treated with 3 medications in our database, including GAVILYTE G TM, Kit for the Preparation of Technetium Tc 99m Medronate, Ultravist. 3 of these have manufacturer assistance programs available to help reduce out-of-pocket costs. Medications are manufactured by Lupin, Bayer. Patients and caregivers can find copay cards, patient assistance programs, and travel grants for Special Health Examination treatment below.
What help exists for Special Health Examination
3
drugs indexed
0
with copay cards
0
with patient assistance
0
open travel grants
Every item below links to the manufacturer's or charity's own portal. RxCopays does not take referral fees.
Drugs used to treat Special Health Examination
3 totalKit for the Preparation of Technetium Tc 99m Medronate
Kit For The Preparation Of Technetium Tc 99m Medronate
GAVILYTE G TM
polyethylene glycol-3350 and Electrolytes
Ultravist
iopromide
🎟 = copay card · 💙 = patient assistance program
Prior authorization patterns for Special Health Examination drugs
Aggregated from CMS SPUF + commercial PBM formularies. Specific rules vary by plan; confirm with your insurer.
| Payer | PA | Step therapy | Copay tier |
|---|---|---|---|
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |