Archived Pharmacy Policies
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A
- Abecma (idecabtagene vicleucel) - Archived on 10/1/2022
- Actemra (tocilizumab)
- Actemra (tocilizumab)
- Actemra (tocilizumab)
- Actemra (tocilizumab)
- Actemra (tocilizumab)
- Actemra (tocilizumab) - Archived on 10/1/2022
- Acthar Gel (repository corticotropin injection) - Archive on 10/0/2024
- Acthar Gel (repository corticotropin injection) - Archived 10/03/2023
- Acthar Gel (repository corticotropin injection) - Archived on 1/1/2023
- Adakveo (crizanlizumab-tmca)
- Adakveo (crizanlizumab-tmca)
- Adakveo (crizanlizumab-tmca)
- Adakveo (crizanlizumab-tmca) - Archived on 07/01/2024
- Adalimumab (Humira, Amjevita) - Archived 01/01/2024
- Adbry (tralokinumab-ldrm) - Archived on 04/01/2024
- Adbry (tralokinumab-ldrm) - Archived on 07/01/2024
- Aduhelm (aducanumab-avwa)
- Aimovig (erenumab-aooe)
- Aimovig (erenumab-aooe)
- Aimovig (erenumab-aooe) - Archive on 10/0/2024
- Aimovig (erenumab-aooe) - Archived on 06/19/2023
- Aimovig (erenumab-aooe) - Archived on 07/01/2023
- Aimovig (erenumab-aooe) - Archived on 10/1/2022
- Ajovy (fremanezumab-vfrm)
- Ajovy (fremanezumab-vfrm) - Archive on 10/0/2024
- Ajovy (fremanezumab-vfrm) - Archived on 10/1/2022
- Aldurazyme (laronidase) - Archived on 07/01/2024
- Alpha1-Proteinase Inhibitors (Aralast NP, Glassia, Prolastin C, Zemaira [human]) - Archived 01/01/2024
- Alunbrig (brigatinib)
- Amevive (alefacept)
- Amevive (alefacept)
- Amondys 45 (casimersen)
- Ampyra (dalfampridine)
- Ampyra (dalfampridine) - Archived on 1/1/2023
- Amvuttra (vutrisiran) - Archived 10/03/2023
- Antihemophilic Agents
- Antihemophilic Agents
- Antihemophilic Agents
- Antihemophilic Agents
- Apretude (cabotegravir extended-release) - 01/01/2024
- Apretude (cabotegravir extended-release) - Archived 04/24/23
- Apretude (cabotegravir extended-release) - Archived 10/03/2023
- Aranesp (darbepoetin alfa) - Archived on 04/14/23
- Arcalyst (Rilonacept)
- Aubagio (teriflunomide) - Archived on 1/1/2023
- Austedo (deutetrabenazine)
- Austedo (deutetrabenazine)
- Austedo (deutetrabenazine) - Archived 10/03/2023
- Austedo (deutetrabenazine) - Archived on 04/01/2024
- Austedo (deutetrabenazine) - Archived on 10/1/2022
- Avastin (bevacizumab) - Archived 01/01/2024
- Avastin (bevacizumab) - Archived on 01/17/2023
- Avonex (interferon beta-1a)-Archived on 1/1/23
B
- Bafiertam (monomethyl fumarate) - Archived on 1/1/2023
- Bavencio (avelumab)
- Bavencio (avelumab)
- Benlysta (belimumab)
- Benlysta (belimumab)
- Benlysta (belimumab) - Archived on 07/01/2024
- Benlysta (belimumab) - Archived on 1/1/2023
- Beovu (brolucizumab)
- Beovu (brolucizumab) - Archived on 1/1/2023
- Berinert (C1 Esterase Inhibitor (Human))
- Betaseron (interferon beta-1b)-Archived on 1/1/23
- Bethkis (tobramycin inhalation solution)
- Bethkis (tobramycin inhalation solution) - Archived on 10/1/2022
- Bleeding Disorder Agents - Archived 10/03/2023
- Bleeding Disorder Agents- Archived on 04/14/23
- Boniva (ibandronate) injection
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA) - Archived on 04/01/2024
- Breyanzi (lisocabtagene maraleucel) - Archived on 1/1/2023
- Brineura (cerliponase alfa)
- Brineura (cerliponase alfa)
- Brineura (cerliponase alfa) - Archive on 10/0/2024
- Bronchitol (mannitol) - Archived on 10/1/2022
- Bunavail (buprenorphine and naloxone) buccal film Archived on 09/14/2022
- Bylvay (odevixibat) 01/01/2024
C
- Cabenuva (cabotegravir/rilpivirine)
- Cabenuva (cabotegravir/rilpivirine) - Archived on 10/1/2022
- Cablivi (caplacizumab-yhdp) - Archived 01/01/2024
- Calquence (acalabrutinib)
- Cayston (aztreonam inhalation solution)
- Cayston (aztreonam inhalation solution) - Archived on 10/1/2022
- Cerdelga (eliglustat) - Archived 10/03/2023
- Cibinqo (abrocitinib) - Archived on 04/01/2024
- Cibinqo (abrocitinib) - Archived on 07/01/2023
- Cimzia (certolizumab pegol)
- Cimzia (certolizumab pegol)
- Cimzia (certolizumab pegol)
- Cimzia (certolizumab pegol)
- Cimzia (certolizumab pegol)
- Cimzia (certolizumab pegol) - Archived on 06/01/2023
- Cinqair (reslizumab)
- Cinqair (reslizumab)
- Cinqair (reslizumab) - Archived on 04/01/2024
- Cinryze (C1 esterase inhibitor (human))
- Cinryze (C1 esterase inhibitor (human))
- Cinryze (C1 esterase inhibitor (human)) - Archived on 1/1/2023
- Continuous Glucose Monitors
- Continuous Glucose Monitors - Archived on 7/1/22
- Copaxone (glatiramer acetate)
- Cortrophin Gel (corticotropin) - Archived 10/03/2023
- Cosentyx (secukinumab)
- Cosentyx (secukinumab)
- Cosentyx (secukinumab)
- Cosentyx (secukinumab)
- Cosentyx (secukinumab) - Archived on 04/01/2024
- Crysvita (burosumab-twza)
- Crysvita (burosumab-twza)
- Crysvita (burosumab-twza)
- Crysvita (burosumab-twza) - Archived on 10/1/2022
- Cysteamine (Procysbi, Cystagon, Cystaran and Cystadrops) - Archived 01/01/2024
D
- Daklinza (daclatasvir) - Archived on 09/10/2024
- Diacomit (stiripentol)
- Diacomit (stiripentol)
- Diacomit (stiripentol) - Archived on 10/1/2022
- Dojolvi (triheptanoin) - Archived 10/03/2023
- Doptelet (avatrombopag) - Archived on 07/01/2023
- Dupixent (dupilumab)
- Dupixent (dupilumab)
- Dupixent (dupilumab)
- Dupixent (dupilumab)
- Dupixent (dupilumab)
- Dupixent (dupilumab)
- Dupixent (dupilumab) - Archived 10/01/2024
- Dupixent (dupilumab) - Archived on 04/01/2024
- Dupixent (dupilumab) - Archived on 07/01/2024
- Dupixent (dupilumab) - Archived on 1/1/2023
- Durolane (sodium hyaluronate)
- Durolane (sodium hyaluronate) - Archived on 10/1/2022
- Durysta (bimatoprost intracameral implant)
- Durysta (bimatoprost intracameral implant)
- Durysta (bimatoprost intracameral implant) - Archived on 07/01/2024
- Durysta (bimatoprost intracameral implant) - Archived on 08/16/2024
- Dysport (abobotulinumtoxinA)
- Dysport (abobotulinumtoxinA)
- Dysport (abobotulinumtoxinA)
- Dysport (abobotulinumtoxinA) - Archived on 04/01/2024
E
- Egrifta SV (tesamorelin) - Archived on 04/01/2024
- Elaprase (idursulfase) - Archived on 07/01/2024
- Emflaza (deflazacort)
- Emflaza (deflazacort)
- Emflaza (deflazacort)
- Emflaza (deflazacort) - Archived on 04/01/2024
- Emgality (galcanezumab-gnlm)
- Emgality (galcanezumab-gnlm) - Archive on 10/0/2024
- Emgality (galcanezumab-gnlm) - Archived on 06/19/2023
- Emgality (galcanezumab-gnlm) - Archived on 07/01/2023
- Emgality (galcanezumab-gnlm) - Archived on 10/1/2022
- Empaveli (pegcetacoplan) - Archived 01/01/2024
- Empaveli (pegcetacoplan) - Archived on 04/01/2024
- Enbrel (etanercept)
- Enbrel (etanercept)
- Enbrel (etanercept)
- Enbrel (etanercept) - Archived on 04/01/2024
- Endothelin Receptor Antagonists for Pulmonary Arterial Hypertension: Letairis (ambrisentan), Opsumit (macitentan), Tracleer (bosentan) - Archive on 10/0/2024
- Endothelin Receptor Antagonists for Pulmonary Arterial Hypertension: Letairis (ambrisentan), Opsumit (macitentan), Tracleer (bosentan) - Archived 10/03/2023
- Enjaymo (sutimlimab) - Archived 10/03/2023
- Enspryng (satralizumab-mwge) - Archived on 10/01/2024
- Enspryng (satralizumab-mwge) - Archived 01/01/2024
- Entyvio (vedolizumab)
- Entyvio (vedolizumab)
- Entyvio (vedolizumab) - Archived on 10/01/2024
- Entyvio (vedolizumab) - Archived on 04/01/2024
- Entyvio (vedolizumab) - Archived on 1/1/2023
- ENZYME REPLACEMENT THERAPY (ERT) FOR GAUCHER DISEASE: Cerezyme (imiglucerase), Elelyso (taliglucerase alfa), Vpriv (velaglucerase alfa) - Archived 01/01/2024
- ENZYME REPLACEMENT THERAPY (ERT) FOR GAUCHER DISEASE: Cerezyme (imiglucerase), Elelyso (taliglucerase alfa), Vpriv (velaglucerase alfa) - Archived 10/03/2023
- Epclusa (Sofosbuvir/velpatasvir) - Archived 10/01/2024
- Epclusa - Archived on 04/01/2024
- Epclusa (sofosbuvir/velpatasvir)
- Epclusa (sofosbuvir/velpatasvir)
- Epclusa (sofosbuvir/velpatasvir)
- Epclusa (Sofosbuvir/velpatasvir)
- Epclusa (Sofosbuvir/velpatasvir) - Archived on 4/20/23
- Epidiolex (cannabidiol)
- Epidiolex (cannabidiol) - Archived on 10/1/2022
- Epogen (epoetin alfa)
- Esbriet (pirfenidone) - Archived on 10/1/2022
- Euflexxa (sodium hyaluronate)
- Euflexxa (sodium hyaluronate) - Archived on 10/1/2022
- Evenity (romosozumab-aqqg)
- Evenity (romosozumab-aqqg) - Archived on 10/01/2024
- Evenity (romosozumab-aqqg) - Archived on 07/01/2023
- Evenity (romosozumab-aqqg) - Archived on 10/1/2022
- Evkeeza (evinacumab-dgnb)
- Evkeeza (evinacumab-dgnb) - Archived on 10/01/2024
- Evkeeza (evinacumab-dgnb) - Archived 10/03/2023
- Evrysdi (risdiplam) - Archived on 1/1/2023
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen) - Archived on 07/01/2023
- Extavia (interferon beta-1b)- Archived on 1/1/23
- Eylea (aflibercept) - Archived 10/03/2023
- Eylea (aflibercept) - Archived on 04/01/2024
F
- Fabrazyme (agalsidase beta) - Archived on 04/14/23
- Fasenra (benralizumab)
- Fasenra (benralizumab)
- Fasenra (benralizumab)
- Fasenra (benralizumab) - Archived on 10/01/2024
- Fasenra (benralizumab) - Archived on 04/01/2024
- Fensolvi (leuprolide acetate) - Archived on 1/1/2023
- Fensolvi (leuprolide acetate) - Archived on 10/01/2024
- Fingolimod (Gilenya, Tascenso ODT) - Archived 10/03/2023
- Fintepla (fenfluramine) - Archived on 10/1/2022
- Firazyr (icatibant)
- Firazyr (icatibant) - Archived on 1/1/2023
- Firdapse (amifampridine)
- Firdapse (amifampridine)
- Firdapse (amifampridine) - Archived 06/17/2024
- Forteo (teriparatide injection)
- Forteo (teriparatide) - Archived on 04/14/23
- Forteo (teriparatide) - Archived on 07/01/2023
- Forteo (teriparatide) - Archived on 10/01/2024
- Forteo (teriparatide) - Archived on 10/1/2022
- Fulphila (pegfilgrastim-jmdb)
- Fulphila (pegfilgrastim-jmdb) - Archived on 10/01/2024
G
- Galafold (migalastat)
- Galafold (migalastat) - Archived on 04/14/23
- Gamifant (emapalumab-lzsg) - Archived on 04/01/2024
- Gattex (teduglutide) - Archived 01/01/2024
- Gel-One (sodium hyaluronate)
- Gel-One (sodium hyaluronate) - Archived on 10/1/2022
- Gelsyn-3 (sodium hyaluronate)
- Gelsyn-3 (sodium hyaluronate) - Archived on 10/1/2022
- Gender–Affirming Hormone Therapy - Archived on 10/1/2022
- Genotropin (somatropin)
- GenVisc 850 (sodium hyaluronate)
- GenVisc 850 (sodium hyaluronate) - Archived on 10/1/2022
- Gilenya (fingolimod)
- Givlaari (givosiran) - Archived on 07/01/2023
- Givlaari (givosiran) - Archived on 07/01/2024
- Glatopa (glatiramer acetate)
- Granix (tbo-filgrastim) - Archived on 09/14/2022
H
- H.P. Acthar Gel (repository corticotropin injection)
- Haegarda (C1 esterase inhibitor (human)) - Archived on 1/1/2023
- Haegarda (C1 inhibitor (human))
- Haegarda (C1 inhibitor (human))
- Harvoni (ledipasvir/sofosbuvir)
- Harvoni (ledipasvir/sofosbuvir)
- Harvoni (ledipasvir/sofosbuvir)
- Harvoni (ledipasvir/sofosbuvir)
- Harvoni (ledipasvir/sofosbuvir) - Archived on 4/21/23
- Hemgenix (etranacogene dezaparvovec) - Archived on 10/01/2024
- Hemophilia and Other Clotting Disorders - Archived on 07/01/2024
- Hemophilia And Other Clotting Disorders - Archived on 10/01/2024
- Humatrope (somatropin)
- Humira (adalimumab)
- Humira (adalimumab)
- Humira (adalimumab)
- Humira (adalimumab)
- Humira (adalimumab)
- Humira (adalimumab)
- Humira (adalimumab) - Archived 06/01/2023
- Hyalgan (sodium hyaluronate)
- Hyalgan (sodium hyaluronate) - Archived on 10/1/2022
- Hyaluronic Acid Viscosupplements - Archived on 04/14/23
- Hymovis (sodium hyaluronate)
- Hymovis (sodium hyaluronate) - Archived on 10/1/2022
I
- Ibrance (palbociclib)
- Ilaris (canakinumab)
- Ilaris (canakinumab)
- Ilaris (canakinumab)
- Ilaris (canakinumab)
- Ilaris (canakinumab) - Archived on 04/01/2024
- Ilumya (tildrakizumab-asmn)
- Ilumya (tildrakizumab-asmn)
- Ilumya (tildrakizumab-asmn)
- Iluvien (fluocinolone acetonide) - Archived on 04/01/2024
- Imbruvica (ibrutinib) - Archived on 04/14/23
- Imbruvica (ibrutinib) - Archived on 10/01/2024
- Imcivree (setmelanotide) - Archived on 07/01/2024
- Imcivree (setmelanotide) - Archived on 1/1/2023
- Imfinzi (durvalumab)
- Immune globulin
- Immune globulin (IVIG and SCIG) - Archived 10/03/2023
- Immune globulin (IVIG and SCIG): Intravenous (IVIG): Asceniv, Bivigam, Carimune NF, Flebogamma DIF, Gammagard Liquid, Gammagard S/D, Gammaked, Gammaplex, Gamunex-C, Octagam, Panzyga, Privigen Subcutaneous (SCIG): Cutaquig, Cuvitru, Hizentra, HyQvia, Xembify) - Archived on 07/01/2024
- Immune globulin (IVIG)
- Immune globulin (IVIG)
- Immune globulin (IVIG)
- Increlex (mecasermin) - Archive on 04/01/2024
- Inflectra (infliximab-dyyb)
- Inflectra (infliximab-dyyb) - Archived on 07/01/2024
- Ingrezza (valbenazine)
- Ingrezza (valbenazine)
- Ingrezza (valbenazine)
- Ingrezza (valbenazine) - Archived on 04/01/2024
- Ingrezza (valbenazine) - Archived on 10/1/2022
- Inhaled Prostacyclins for Pulmonary Arterial Hypertension: T yvaso (treprostinil), Ventavis (iloprost) - Archived on 10/01/2024
- Inhaled Prostacyclins for Pulmonary Arterial Hypertension: Tyvaso (treprostinil), Ventavis (iloprost) - Archived 10/03/2023
- Inhaled Prostacyclins for Pulmonary Arterial Hypertension: Tyvaso (treprostinil), Ventavis (iloprost) - Archived on 1/1/2023
- Injectable Prostacyclins for Pulmonary Arterial Hypertension: Flolan/Veletri (epoprostenol), Remodulin (treprostinil), Uptravi (selexipag) - Archived 10/03/2023
- Injectable Prostacyclins for Pulmonary Arterial Hypertension: Flolan/Veletri (epoprostenol), Remodulin (treprostinil), Uptravi (selexipag) - Archived on 10/01/2024
- Injectable somatostatin analogs (First generation)
- Interferons for Multiple Sclerosis: Avonex (interferon beta-1a), Betaseron (interferon beta-1b), Extavia (interferon beta-1b), Plegridy (peginterferon beta-1a), Rebif (interferon beta-1a) - Archived on 08/16/2024
- Isturisa (osilodrostat) - Archived on 1/13/23
- IV Iron Products - Archived 01/01/2024
- IV Iron Products - Archived on 10/1/2024
J
- Jakafi (ruxolitinib)
- Jakafi (ruxolitinib) - Archived on 10/01/2024
- Jesduvroq (daprodustat) - Archived on 10/01/2024
- Joenja (leniolisib) - Archived on 10/01/2024
- Juxtapid (lomitapide)
- Juxtapid (lomitapide)
- Juxtapid (lomitapide) - Archived on 10/01/2024
- Juxtapid (lomitapide) - Archived 10/03/2023
- Jynarque (tolvaptan) - Archived on 04/01/2024
K
- Kalbitor (ecallantide)
- Kalbitor (ecallantide) - Archived on 1/1/2023
- Kalydeco (ivacaftor)
- Kalydeco (ivacaftor)
- Kalydeco (ivacaftor)
- Kalydeco (ivacaftor) - Archived 10/03/2023
- Kalydeco (ivacaftor) - Archived on 10/1/2022
- Kanuma (sebelipase alfa)
- Kanuma (sebelipase alfa) - Archived on 10/01/2024
- Kesimpta (ofatumumab) - Archived on 1/1/2023
- Kevzara (sarilumab)
- Kevzara (sarilumab)
- Kevzara (sarilumab)
- Kevzara (sarilumab) - Archived 10/03/2023
- Keytruda (pembrolizumab)
- Kineret (anakinra)
- Kineret (anakinra)
- Kineret (anakinra)
- Kineret (anakinra)
- Kisqali (ribociclib)
- Kitabis Pak (tobramycin inhalation solution)
- Kitabis Pak (tobramycin inhalation solution) - Archived on 10/1/2022
- Korlym (mifepristone) - Archived on 1/13/23
- Korsuva (difelikefalin) - Archived on 08/16/2024
- Korsuva (difelikefalin) - Archived on 10/1/2022
- Koselugo (selumetinib) - Archived on 04/01/2024
- Krystexxa (pegloticase) - Archived on 1/1/2023
- Kuvan (sapropterin) - Archived on 04/14/23
- Kymriah (tisagenlecleucel)
- Kymriah (tisagenlecleucel)
- Kymriah (tisagenlecleucel)
- Kymriah (tisagenlecleucel)
- Kymriah (tisagenlecleucel)
- Kymriah (tisagenlecleucel) - Archived on 1/1/2023
L
- Lamzede (velmanase alfa-tycv) - Archived on 10/01/2024
- Lemtrada (alemtuzumab)
- Lemtrada (alemtuzumab) - Archived on 1/1/2023
- Leqembi (lecanemab) - Archived 01/01/2024
- Leqvio (inclisiran) - Archived 01/01/2024
- Leqvio (inclisiran)- Archived on 10/01/2024
- Leukine (sargramostim)
- Leukine (sargramostim) - Archived on 09/14/2022
- Livmarli (maralixibat) - Archived 10/03/2023
- Livmarli (maralixibat) - Archived on 10/01/2024
- Livtencity (maribavir) - Archived 10/03/2023
- Lucentis (ranibizumab) - Archived 10/03/2023
- Lumizyme (alglucosidase alfa) - Archived on 04/14/23
- Lumizyme (alglucosidase alfa) - Archived on 04/01/2024
- Lupaneta Pack (leuprolide acetate, norethindrone acetate) - Archived on 09/14/2022
- Lupkynis (voclosporin) - Archived on 07/01/2024
- Lupkynis (voclosporin) - Archived on 1/1/2023
- Lupron Depot and Lupron Depot-PED (leuprolide acetate)
- Lupron Depot and Lupron Depot-PED (leuprolide acetate)
- Lupron Depot and Lupron Depot-PED (leuprolide acetate) - Archived on 10/01/2024
- Luxturna (voretigene neparvovec-rzyl) intraocular suspension for subretinal injection
- Luxturna (voretigene neparvovec-rzyl)- Archived on 10/01/2024
- Lyfgenia (lovotibeglogene autotemcel) - Archived 10/01/2024
M
- MACI (autologous cultured chondrocytes) - Archived on 10/1/2022
- Macrilen (macimorelin) - Archived on 08/16/2024
- Macrilen (macimorelin) - Archived on 04/14/23
- Macrilen (macimorelin) - Archived on 04/01/2024
- Macugen (pegaptanib) - Archived 10/03/2023
- Macugen (pegaptanib) - Archived on 09/10/2024
- Makena (hydroxyprogesterone caproate)
- Mavenclad (cladribine) - Archived on 1/1/2023
- Mavyret (glecaprevir and pibrentasvir)
- Mavyret (glecaprevir and pibrentasvir)
- Mavyret (glecaprevir and pibrentasvir)
- Mavyret (glecaprevir and pibrentasvir)
- Mavyret (glecaprevir and pibrentasvir)
- Mavyret (glecaprevir and pibrentasvir) - Archived on 4/21/23
- Mayzent (siponimod)
- Mayzent (siponimod) - Archived on 04/14/23
- Medical Necessity – Off Label - Archive on 10/0/2024
- Medical Necessity for DAW - Archive on 10/0/2024
- Medical Necessity for Non-Formulary Medications - Archived on 10/01/2024
- Medication Assisted Therapy (buprenorphine containing agents)
- Mepsevii
- Mepsevii (vestronidase alfa-vjbk) - Archived on 07/01/2024
- Monovisc (sodium hyaluronate)
- Monovisc (sodium hyaluronate) - Archived on 10/1/2022
- Mulpleta (lusutrombopag) - Archived on 07/01/2023
- Myalept (metreleptin) - Archived on 04/01/2024
- Mycapssa (octreotide) - Archived on 10/1/2022
- Myfembree (relugolix, estradiol, and norethindrone acetate) - Archived on 1/1/2023
- Myfembree (relugolix, estradiol, and norethindrone acetate)- Archived on 10/01/2024
- Myobloc (rimabotulinumtoxinB)
- Myobloc (rimabotulinumtoxinB)
- Myobloc (rimabotulinumtoxinB)
- Myobloc (rimabotulinumtoxinB)
- Myobloc (rimabotulinumtoxinB)
- Myobloc (rimabotulinumtoxinB) - Archived on 04/01/2024
N
- Naglazyme (galsulfase) - Archived on 07/01/2024
- Neulasta (Pegfilgrastim), Neulasta Onpro (Pegfilgrastim on-body injector)
- Neulasta (Pegfilgrastim), Neulasta Onpro (Pegfilgrastim on-body injector) - Archived on 02/13/2023
- Neulasta (Pegfilgrastim), Neulasta Onpro (Pegfilgrastim on-body injector) - Archived on 10/01/2024
- Neupogen (filgrastim)
- Neupogen (filgrastim)
- Neupogen (Filgrastim) - Archived 07/20/2023
- Nexviazyme (avalglucosidase alfa-ngp) - Archived on 04/01/2024
- Nexviazyme (avalglucosidase alfa-ngp) - Archived on 10/1/2022
- Nivestym (filgrastim-aafi) - Archived 07/20/2023
- Noctiva (desmopressin acetate) - Archived on 12/13/2022
- Norditropin (somatropin)
- Novantrone (mitoxantrone) - Archived on 1/1/2023
- NPlate (romiplostim) - Archived on 07/01/2023
- Nucala (mepolizumab)
- Nucala (mepolizumab)
- Nucala (mepolizumab)
- Nucala (mepolizumab)
- Nucala (mepolizumab) - Archived on 04/14/23
- Nucala (mepolizumab) - Archived on 04/01/2024
- Nulibry (fosdenopterin) - Archived 10/03/2023
- Nutropin AQ (somatropin)
O
- Ocrevus (ocrelizumab)
- Ocrevus (ocrelizumab)
- Ocrevus (ocrelizumab) - Archived on 1/1/2023
- Ofev (nintedanib) - Archived on 10/1/2022
- Olumiant (baricitinib)
- Olumiant (baricitinib)
- Olumiant (baricitinib)
- Olumiant (baricitinib) - Archived 01/01/2024
- Olumiant (baricitinib) - Archived on 1/1/2023
- Omnitrope (somatropin)
- Oncology Medications
- Onpattro (patisiran)
- Onpattro (patisiran) - Archived 10/03/2023
- Onpattro (patisiran) - Archived on 1/1/2023
- Oral Prostacyclins for Pulmonary Arterial Hypertension: Orenitram (treprostinil extended-release), Uptravi (selexipag tablets) - Archived 10/03/2023
- Oral Prostacyclins for Pulmonary Arterial Hypertension: Orenitram (treprostinil extended-release), Uptravi (selexipag tablets) - Archived on 10/01/2024
- Orencia (abatacept)
- Orencia (abatacept)
- Orencia (abatacept)
- Orencia (abatacept) - Archived on 04/01/2024
- Orencia (abatacept) - Archived on 10/01/2024
- Orfadin (nitisinone)
- Oriahnn (elagolix, estradiol, and norethindrone acetate; elagolix) - Archived on 10/01/2024
- Orilissa (elagolix)
- Orilissa (elagolix) - Archived on 1/1/2023
- Orilissa (elagolix) - Archived on 10/01/2024
- Orkambi (lumacaftor/ivacaftor)
- Orkambi (lumacaftor/ivacaftor)
- Orkambi (lumacaftor/ivacaftor) - Archived on 04/14/23
- Orkambi (lumacaftor/ivacaftor) - Archived on 10/1/2022
- Orladeyo (berotralstat) - Archived on 1/1/2023
- Orthovisc (sodium hyaluronate)
- Orthovisc (sodium hyaluronate) - Archived on 10/1/2022
- Otezla (apremilast)
- Otezla (apremilast)
- Otezla (apremilast)
- Otezla (apremilast)
- Otezla (apremilast)
- Otezla (apremilast) - Archived on 10/01/2024
- Oxbryta (voxelotor)
- Oxbryta (voxelotor) - Archived on 07/01/2024
- Oxervate (cenegermin-bkbj)
- Oxervate (cenegermin-bkbj)- Archived on 10/01/2024
- Oxlumo (lumasiran) - Archived on 04/14/23
- Oxlumo (lumasiran) - Archived on 04/01/2024
- Oxlumo (lumasiran) - Archived on 07/01/2024
- Oxlumo (lumasiran) - Archived on 10/01/2024
- Oxlumo (lumasiran) - Archived on 10/1/2022
- Ozurdex (dexamethasone) - Archived on 04/01/2024
P
- Palforzia [Peanut (Arachis hypogaea) Allergen Powder-dnfp]- Archived on 10/01/2024
- Palynziq (pegvaliase-pqpz)
- Palynziq (pegvaliase-pqpz) - Archived on 04/14/23
- Panhematin (hemin for injection) - Archived on 07/01/2024
- Pegasys (peginterferon alfa-2a) - Archived on 1/1/2023
- Phosphodiesterase T ype 5 Inhibitors (PDE-5 Inhibitors) for Pulmonary Arterial Hypertension: Adcirca/Alyq/Tadliq (tadalafil), Liqrev/Revatio (sildenafil)- Archived on 10/01/2024
- Phosphodiesterase Type 5 Inhibitors (PDE-5 Inhibitors) for Pulmonary Arterial Hypertension: Adcirca/Alyq (tadalafil), Revatio (sildenafil)
- Plegridy (peginterferon beta-1a)- Archived on 1/1/23
- Ponvory (ponesimod)
- Ponvory (ponesimod) - Archived on 04/14/23
- Praluent (alirocumab)
- Praluent (alirocumab)
- Praluent (alirocumab) - Archived 01/01/2024
- Praluent (alirocumab)- Archived on 10/01/2024
- Prevymis (letermovir) - Archived 01/01/2024
- Probuphine (buprenorphine subdermal implant) - Archived on 09/14/2022
- Procrit (epoetin alfa) - Archived 07/20/2023
- Prolia (denosumab)
- Prolia (denosumab) - Archived on 10/1/2022
- Prolia (denosumab)- Archived on 10/01/2024
- Promacta (eltrombopag)
- Promacta (eltrombopag) - Archived on 07/01/2023
- Provenge (sipuleucel-T)
- Pulmozyme (dornase alfa inhalation solution)
- Pulmozyme (dornase alfa inhalation solution) - Archived on 10/1/2022
- Pyrukynd (mitapivat) - Archived on 10/01/2024
Q
R
- Radicava (edaravone injection) - Archived on 04/14/23
- Ravicti (glycerol phenylbuytyrate) - Archived on 07/01/2023
- Rebif (interferon beta-1a)-Archived on 1/1/23
- Reblozyl (luspatercept-aamt)
- Reblozyl (luspatercept-aamt) - Archived on 04/14/23
- Reblozyl (luspatercept-aamt) - Archived on 07/01/2024
- Reboyta (fecal microbiota, live - jslm) - Archived 10/03/2023
- Relistor (methylnaltrexone) - Archived on 07/01/2024
- Relyvrio (sodium phenylbutyrate/ taurursodiol) - Archived on 10/01/2024
- Remicade (infliximab)
- Remicade (infliximab)
- Remicade (infliximab)
- Remicade (infliximab) - Archived on 07/01/2024
- Renflexis (infliximab-abda)
- Renflexis (infliximab-abda) - Archived on 07/01/2024
- Repatha (evolocumab)
- Repatha (evolocumab)
- Repatha (evolocumab) - 01/01/2024
- Repatha (evolocumab) - Archived on 1/13/23
- Repatha (evolocumab) - Archived on 10/01/2024
- Retacrit (epoetin alfa-epbx) - Archived 07/20/2023
- Retisert (fluocinolone acetonide) - Archived on 04/01/2024
- Rezurock (belumosudil) - Archived on 10/01/2024
- Rinvoq (upadacitinib)
- Rinvoq (upadacitinib)
- Rinvoq (upadacitinib)
- Rinvoq (upadacitinib) - Archived 10/01/2023
- Rinvoq (upadacitinib) - Archived 10/03/2023
- Rinvoq (upadacitinib) - Archived on 07/01/2023
- Rinvoq (upadacitinib) - Archived on 10/1/2022
- Rituxan (rituximab)
- Rituxan (rituximab)
- Rituxan (rituximab)
- Rituxan (rituximab)
- Rituxan (rituximab) - Archived on 07/01/2023
- Rituxan (rituximab) - Archived on 1/1/2023
- Rituximab (Rituxan*, Truxima, Ruxience, Riabni) - Archived on 04/01/2024
- Rivfloza (nedosiran) - Archived on 07/01/2024
- Rivfloza (nedosiran) - Archived on 10/01/2024
- Roctavian (valoctocogene roxaparvovec) - Archived on 10/01/2024
- Ruconest (C1 esterase inhibitor (rabbit-derived))
- Ruconest (C1 esterase inhibitor (recombinant)) - Archived on 1/1/2023
- Rukobia (fostemsavir) - Archived on 07/01/2024
- Rukobia (fostemsavir) - Archived on 10/1/2022
- Ruzurgi (amifampridine)
- Ruzurgi (amifampridine) - Archived on 09/10/2024
- Rydapt (midostaurin)
- Ryplazim (plasminogen, human-tvmh) - Archived on 10/01/2024
S
- Sabril (vigabatrin)
- Saizen (somatropin)
- Saphnelo (anifrolumab-fnia) - Archived on 07/01/2024
- Saphnelo (anifrolumab-fnia) - Archived on 1/1/2023
- Scenesse (Afamelanotide)
- Scenesse (Afamelanotide) - Archived on 04/14/23
- Serostim (somatropin) - Archived on 04/14/23
- Serostim (somatropin) - Archived on 04/01/2024
- Short-Acting Somatropin Injections for Growth Hormone Deficiency - Genotropin, Humatrope, Norditropin, Nutropin, Omnitrope, Saizen, Zomacton - Archived on 04/01/2024
- Short-Acting Somatropin Injections for Growth Hormone Deficiency - Genotropin, Humatrope, Norditropin, Nutropin, Omnitrope, Saizen, Zomacton - Archived on 07/01/2024
- Short-Acting Somatropin Injections for Growth Hormone Deficiency - Genotropin, Humatrope, Norditropin, Nutropin, Omnitrope, Saizen, Zomacton - Archvied 01/01/2024
- Signifor, Signifor LAR (pasireotide) - Archived on 10/1/2022
- Siliq (brodalumab)
- Siliq (brodalumab)
- Siliq (brodalumab)
- Simponi (golimumab)
- Simponi (golimumab)
- Simponi (golimumab)
- Simponi Aria (golimumab)
- Simponi Aria (golimumab)
- Simponi Aria (golimumab)
- Skyrizi (risankizumab-rzaa)
- Skyrizi (risankizumab-rzaa)
- Skyrizi (risankizumab-rzaa) - Archived on 1/1/2023
- Skyrizi (risankizumab-rzaa) - Archived on 10/01/2024
- Skytrofa (lonapegsomatropin) - Archvied 01/01/2024
- Sogroya (somapacitan-beco) - Archived 01/01/2024
- Soliris (eculizumab)
- Soliris (eculizumab)
- Soliris (eculizumab)
- Soliris (eculizumab)
- Soliris (eculizumab) - Archived on 10/01/2024
- Soliris (eculizumab) - Archived 01/01/2024
- Soluble Guanylate Cyclase (sGC) Stimulator for Pulmonary Arterial Hypertension: Adempas (riociguat) - Archived 10/03/2023
- Soluble Guanylate Cyclase Stimulator for Pulmonary Arterial Hypertension: Adempas (riociguat) - Archive on 10/0/2024
- Somavert (pegvisomant) - Archived on 10/1/2022
- Sovaldi (sofosbuvir)
- Sovaldi (sofosbuvir)
- Sovaldi (sofosbuvir)
- Sovaldi (sofosbuvir) - Archived on 4/21/23
- Spevigo (spesolimab-sbzo) - Archived on 10/01/2024
- Spinraza (nusinersen)
- Spinraza (nusinersen)
- Spinraza (nusinersen) - Archived on 1/1/2023
- Spravato (esketamine)
- Spravato (esketamine)
- Spravato (esketamine) - Archived 08/23/2023
- Stelara (ustekinumab)
- Stelara (ustekinumab)
- Stelara (ustekinumab)
- Stelara (ustekinumab)
- Stelara (ustekinumab)
- Stelara (ustekinumab) - Archived on 1/1/2023
- Strensiq (asfotase alfa)
- Strensiq (asfotase alfa) - Archived on 10/1/2022
- Sublocade (buprenorphine extended- release) injection, for subcutaneous use - Archived on 1/1/2023
- Sublocade (buprenorphine extended-release) injection, for subcutaneous use
- Sublocade (buprenorphine extended-release) injection, for subcutaneous use - Archived 01/01/2024
- Suboxone (buprenorphine and naloxone sublingual film), Zubsolv (buprenorphine and naloxone sublingual tablets) - Archived on 1/1/2023
- Suboxone (buprenorphine and naloxone) sublingual film, for sublingual or buccal use archived on 1/1/23
- Sunlenca (lenacapavir) - Archived on 07/01/2024
- Supartz FX (sodium hyaluronate)
- Supartz FX (sodium hyaluronate) - Archived on 10/1/2022
- Supprelin LA (histrelin acetate) - Archived on 10/01/2024
- Susvimo (ranibizumab) - Archived 10/03/2023
- Symdeko (tezacaftor/ivacaftor)
- Symdeko (tezacaftor/ivacaftor) - Archived on 10/1/2022
- Synagis (palivizumab)
- Synagis (palivizumab)
- Synagis (palivizumab)
- Synagis (palivizumab)
- Synagis (palivizumab) - Archived on 1/1/2023
- Synagis (palivizumab) - Archived on 10/01/2024
- Synagis (palivizumab) - Archived on 11/01/2023
- Synagis (palivizumab) - Archived on 9/20/2022
- Synvisc (sodium hyaluronate)
- Synvisc (sodium hyaluronate) - Archived on 1/13/23
- Synvisc-One (sodium hyaluronate)
- Synvisc-One (sodium hyaluronate) - Archived on 10/1/2022
T
- Takhzyro (lanadelumab-flyo)
- Takhzyro (lanadelumab-flyo) - Archived on 07/01/2023
- Takhzyro (lanadelumab-flyo) - Archived on 1/1/2023
- Taltz (ixekizumab)
- Taltz (ixekizumab)
- Taltz (ixekizumab)
- Taltz (ixekizumab)
- Taltz (ixekizumab)
- Tarpeyo (budesonide) - Archived on 07/01/2024
- Tavalisse (fostamatinib disodium hexahydrate) - Archived on 07/01/2023
- Tecartus (Brexucabtagene Autoleucel)
- Tecartus (Brexucabtagene Autoleucel)
- Tecentriq (atezolizumab)
- Tecentriq (atezolizumab)
- Tecfidera (dimethyl fumarate)
- Tecfidera (dimethyl fumarate) - Archived on 1/1/2023
- Tegsedi (inotersen)
- Tegsedi (inotersen) - Archived on 07/01/2024
- Tegsedi (inotersen) - Archived on 1/1/2023
- Tepezza (teprotumumab-trbw)
- Tepezza (teprotumumab-trbw)
- Tepezza (teprotumumab-trbw) - Archived 10/03/2023
- Tezspire (tezepelumab-eeko) - Archived 10/03/2023
- Tobi (tobramycin inhalation solution)
- Tobi (tobramycin inhalation solution), Tobi Podhaler - Archived on 10/1/2022
- Tremfya (guselkumab)
- Tremfya (guselkumab)
- Tremfya (guselkumab)
- Tremfya (guselkumab)
- Tremfya (guselkumab) - Archived on 10/01/2024
- Trikafta (elexacaftor, tezacaftor and ivacaftor tablets; ivacaftor tablets)
- Trikafta (elexacaftor, tezacaftor and ivacaftor tablets; ivacaftor tablets) - Archived 10/03/2023
- Trikafta (elexacaftor, tezacaftor and ivacaftor tablets; ivacaftor tablets) - Archived on 10/1/2022
- Trikafta (elexacaftor, tezacaftor and ivacaftor tablets; ivacaftor tablets), co-packaged for oral use
- Triptodur (triptorelin)
- Triptodur (triptorelin) - Archived on 10/01/2024
- Trogarzo (ibalizumab-uiyk) - Archived on 07/01/2023
- Trogarzo (ibalizumab-uiyk) - Archived on 07/01/2024
- Trogarzo (ibalizumab-uiyk) - Archived on 10/1/2022
- Tymlos (abaloparatide) - Archived on 10/01/2024
- Tymlos (abaloparatide) - Archived on 07/01/2023
- Tymlos (abaloparatide) - Archived on 10/1/2022
- Tysabri (natalizumab)
- Tysabri (natalizumab)
- Tysabri (natalizumab)
- Tysabri (natalizumab) - Archived on 04/01/2024
- Tysabri (natalizumab) - Archived on 1/1/2023
U
- Udenyca (pegfilgrastim-cbqv) - Archived on 10/01/2024
- Ultomiris (ravulizumab-cwvz)
- Ultomiris (ravulizumab-cwvz)
- Ultomiris (ravulizumab-cwvz) - Archived 01/01/2024
- Ultomiris (ravulizumab-cwvz) - Archived 10/01/2024
- Ultomiris (ravulizumab-cwvz) - Archived on 1/1/2023
- Ultomiris (ravulizumab-cwvz) - Archived on 10/1/2022
- Uplizna (inebilizumab-cdon) - Archived 01/01/2024
- Uplizna (inebilizumab-cdon) - Archived 10/01/2024
V
- Vabysmo (faricimab-svoa) - Archived 10/03/2023
- Vabysmo (faricimab-svoa) - Archived on 04/01/2024
- Varubi (rolapitant)
- Vigabatrin (generic for Sabril), Vigadrone - Archived on 1/1/2023
- Viltepso (viltolarsen)
- Viltepso (viltolarsen)
- Vimizim (elosulfase alfa) - Archived on 07/01/2024
- Visudyne (verteporfin) - Archived on 04/01/2024
- Vosevi (sofosbuvir/velpatasvir/voxilaprevir)
- Vosevi (sofosbuvir/velpatasvir/voxilaprevir) - Archived on 4/21/23
- VOXZOGO (vosoritide) - Archived on 04/01/2024
- Vumerity (diroximel fumarate) - Archived on 1/1/2023
- Vyepti (eptinezumab-jjmr)
- Vyepti (eptinezumab-jjmr) - Archived 01/01/2024
- Vyepti (eptinezumab-jjmr) - Archived 10/01/2024
- Vyepti (eptinezumab-jjmr) - Archived on 10/1/2022
- Vyndaqel (tafamidis meglumine) and Vyndamax (tafamidis)
- Vyndaqel (tafamidis meglumine) and Vyndamax (tafamidis) - Archived on 1/1/2023
- Vyondys 53 (golodirsen)
- Vyondys 53 (golodirsen)
- Vyondys 53 (golodirsen)
- Vyondys 53 (golodirsen)
- Vyvgart (efgartigimod alfa-fcab) - Archived 01/01/2024
W
X
- Xeljanz/Xeljanz XR (tofacitinib)
- Xeljanz/Xeljanz XR (tofacitinib)
- Xeljanz/Xeljanz XR (tofacitinib)
- Xeljanz/Xeljanz XR (tofacitinib)
- Xeljanz/Xeljanz XR (tofacitinib)
- Xeljanz/Xeljanz XR (tofacitinib)
- Xenazine (tetrabenazine) - Archived on 04/01/2024
- Xenleta (lefamulin) - Archived on 08/16/2024
- Xenleta (lefamulin) - Archived on 10/1/2022
- Xenpozyme (olipudase alfa-rpcp) - Archived 10/01/2024
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA) - Archived on 04/01/2024
- Xermelo (telotristat ethyl) - Archived on 10/1/2022
- Xgeva (denosumab) - Archived on 10/1/2022
- Xipere (triamcinolone) - Archived on 04/01/2024
- Xolair (omalizumab)
- Xolair (omalizumab)
- Xolair (omalizumab) - Archived 10/01/2024
- Xyrem (sodium oxybate)
- Xyrem (sodium oxybate) and Xywav (calcium, magnesium, potassium, and sodium oxybates)
- Xyrem (sodium oxybate) and Xywav (calcium, magnesium, potassium, and sodium oxybates) - Archived 10/03/2023
Y
Z
- Zarxio (filgrastim-sndz) - Archived 07/20/2023
- Zavesca (miglustat)
- Zavesca (miglustat) - Archived 10/03/2023
- Zejula (niraparib)
- Zepatier (grazoprevir/elbasvir)
- Zepatier (grazoprevir/elbasvir)
- Zepatier (grazoprevir/elbasvir) - Archived on 4/21/23
- Zeposia (ozanimod)
- Zeposia (ozanimod) - Archived on 04/14/23
- Zinbryta (daclizumab)
- Zoladex (goserelin acetate) - Archived 10/01/2024
- Zolgensma (onasemnogene abeparvovec-xioi)
- Zolgensma (onasemnogene abeparvovec-xioi) - Archived on 1/1/2023
- Zomacton (somatropin)
- Zubsolv (buprenorphine and naloxone) sublingual tablets for sublingual administration- Archived on 1/1/23
- Zulresso (brexanolone) - Archived on 04/10/23
- Zulresso (brexanolone) - Archived on 07/01/2024
- Zulresso (brexanolone) - Archived on 10/1/2022
- Zynteglo (betibeglogene autotemcel) - Archived on 07/01/2024