Pharmacy Policies
The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.
A
B
C
D
E
- Emflaza (deflazacort)
- Emgality (galcanezumab-gnlm)
- Enbrel (etanercept)
- Entyvio (vedolizumab)
- Enzyme Replacement Therapy
- Epclusa (Sofosbuvir/velpatasvir)
- Epidiolex (cannabidiol)
- Epogen (epoetin alfa)
- Euflexxa (sodium hyaluronate)
- Evenity (romosozumab-aqqg)
- Exondys 51 (eteplirsen)
- Extavia (interferon beta-1b)
F
G
H
I
K
L
M
N
O
P
- Palynziq (pegvaliase-pqpz)
- Pegasys (peginterferon alfa-2a)
- Pegylated and Non-Pegylated Interferon
- Plegridy (peginterferon beta-1a)
- Probuphine (buprenorphine subdermal implant)
- Procrit (epoetin alfa)
- Prolia (denosumab)
- Promacta (eltrombopag)
- Pulmonary Arterial Hypertension
- Pulmozyme (dornase alfa inhalation solution)
Q
R
S
- Sabril (vigabatrin)
- Saizen (somatropin)
- Serostim (somatropin)
- Siliq (brodalumab)
- Simponi (golimumab)
- Simponi Aria (golimumab)
- Skyrizi (risankizumab-rzaa)
- Soliris (eculizumab)
- Sovaldi (sofosbuvir)
- Spinraza (nusinersen)
- Spravato (esketamine)
- Stelara (ustekinumab)
- Strensiq (asfotase alfa)
- Sublocade (buprenorphine extended-release) injection, for subcutaneous use
- Suboxone (buprenorphine and naloxone) sublingual film, for sublingual or buccal use
- Subutex (buprenorphine)
- Supartz FX (sodium hyaluronate)
- Symdeko (tezacaftor/ivacaftor)
- Synagis (palivizumab)
- Synvisc (sodium hyaluronate)
- Synvisc-One (sodium hyaluronate)