Archived Pharmacy Policies
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A
- Abatacept (Orencia) Injection
- Abecma (idecabtagene vicleucel) - Archived on 10/1/2022
- Actemra (tocilizumab)
- Actemra (tocilizumab)
- Acthar - Archived on 10/1/2024
- Acthar - Archived on 12/31/2022
- Acthar - archived on 4/21/23
- Acthar Gel (repository corticotropin injection) - Archived on 10/19/2022
- Adakveo (crizanlizumab-tmca)
- Adakveo (crizanlizumab-tmca)
- Adakveo (crizanlizumab-tmca) - Archived on 07/01/2024
- Adakveo (crizanlizumab-tmca) - Archived on 7/1/2022
- Adbry (tralokinumab-ldrm) - Archived on 10/1/2022
- Aduhelm (aducanumab-avwa) - Archived on 7/1/2022
- Aimovig (erenumab-aooe)
- Aimovig (erenumab-aooe)
- Ajovy (fremanezumab-vfrm)
- Aldurazyme (laronidase) - Archived on 07/01/2024
- Alpha 1-Proteinase Inhibitor Injection
- Alpha-1 Proteinase Inhibitors
- Alpha1-Proteinase Inhibitors (Aralast NP, Glassia, Prolastin C, Zemaira [human]) - Archived on 04/01/2024
- Alunbrig (brigatinib)
- Amevive (alefacept)
- Amevive (alefacept)
- Amevive (alefacept)
- Amondys 45 (casimersen) - Archived on 4/21/2023
- Ampyra (dalfampridine)
- Ampyra (Dalfampridine)
- Amvuttra - Archived 01/01/2024
- Anakinra (Kineret) Injection
- Antihemophilic Agents
- Antihemophilic Agents
- Antihemophilic Agents
- Antihemophilic Agents
- Apretude (cabotegravir extended-release) - Archived 04/24/23
- Apretude (cabotegravir extended-release) - Archived 01/01/2024
- Apretude (cabotegravir extended-release) - Archived on 04/08/2024
- Aranesp (darbepoetin alfa)
- Arcalyst (Rilonacept) - Archived on 10/19/2022
- Arcalyst (Rilonacept) - Archived on 7/1/2022
- Asthma and COPD Management
- Aubagio (teriflunomide)
- Aubagio (teriflunomide)
- Austedo (deutetrabenazine)
- Austedo (deutetrabenazine)
- Austedo (deutetrabenazine)
- Avonex (interferon beta-1a)
- Avonex (interferon beta-1a)
B
- Bavencio (avelumab)
- Benlysta - Archived on 12/31/2022
- Benlysta (belimumab)
- Benlysta (belimumab)
- Benlysta (belimumab)
- Benlysta (belimumab) - Archived on 07/01/2024
- Benlysta (belimumab) - Archived on 10/19/2022
- Beovu (brolucizumab)
- Beovu (brolucizumab) - Archived on 12/31/2022
- Berinert - Archived on 08/16/2024
- Berinert (C1 Esterase Inhibitor (Human))
- Berinert (C1 esterase inhibitor (human)) - Archived on 12/31/2022
- Betaseron (interferon beta-1b)
- Betaseron (interferon beta-1b)
- Bethkis (tobramycin inhalation solution)
- Biologic and other Ophthalmologic Agents
- Biologic Cholesterol Agents
- Biologic Cholesterol Agents
- Bleeding Disorder Agents - Archived 01/01/2024
- Bleeding Disorder Agents - Archived on 04/01/2023
- Boniva (ibandronate) injection
- Botox - Archived on 04/01/2024
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA)
- Botox (onabotulinumtoxinA) - Archived on 4/21/2023
- Botox (onabotulinumtoxinA) - Archived on 7/1/2022
- Botulinum Toxin Injection
- Breyanzi (lisocabtagene maraleucel) - Archived on 12/31/2022
- Brineura (cerliponase alfa)
- Brineura (cerliponase alfa) - Archived on 10/1/2024
- Brineura (cerliponase alfa) - Archived on 7/1/2022
- Bronchitol (mannitol)
- Bunavail (buprenorphine and naloxone) buccal film
- Bunavail (buprenorphine and naloxone) buccal film Archived on 09/14/2022
- Bylvay (odevixibat) - Archived on 10/1/2022
C
- Cabenuva - Archived on 08/16/2024
- Cabenuva (cabotegravir/rilpivirine) - Archived on 10/19/2022
- Cablivi - Archived on 04/01/2024
- Cablivi (caplacizumab-yhdp) - Archived on 10/19/2022
- Calcium Regulators (Reclast, Zometa, Boniva, Prolia, Forteo, Xgeva)
- Calquence (acalabrutinib)
- Carbaglu (carglumic acid) - Archived on 1/9/2023
- Cayston (aztreonam inhalation solution)
- Cerdelga (eliglustat) - Archived on 10/1/2022
- Cholesterol Lowering Agents for Homozygous Familial Hypercholesterolemia
- Cimzia (certolizumab pegol)
- Cimzia (certolizumab pegol)
- Cinqair (reslizumab)
- Cinqair (reslizumab) - Archived on 04/01/2024
- Cinqair (reslizumab) - Archived on 7/1/2022
- Cinryze - Archived on 08/16/2024
- Cinryze (C1 esterase inhibitor (human))
- Cinryze (C1 esterase inhibitor (human))
- Cinryze (C1 esterase inhibitor (human)) - Archived on 12/31/2022
- Colony Stimulating Factors
- Continuous Glucose Monitors
- Continuous Glucose Monitors - Archived on 7/1/22
- Copaxone (glatiramer acetate)
- Cortrophin Gel (corticotropin) - Archived 01/01/2024
- Cosentyx (secukinumab)
- Cosentyx (secukinumab)
- Crysvita (burosumab-twza)
- Crysvita (burosumab-twza)
- Crysvita (burosumab-twza)
- Crysvita (burosumab-twza) - Archived on 10/1/2022
- Cysteamine (Procysbi, Cystagon, Cystaran and Cystadrops) - Archived on 10/1/2022
- Cystic Fibrosis
- Cytomegalovirus Immune Globulin Intravenous (Cytogam)
- Cytomegalovirus Immune Globulin Intravenous (Cytogam)
D
- Daklinza (daclatasvir)
- Daklinza (daclatasvir)
- Desmopressin Acetate (Stimate) Nasal Spray
- Dispense as Written (DAW) Requests
- Dojolvi (triheptanoin) - Archived on 10/1/2022
- Doptelet (avatrombopag)
- Doptelet (avatrombopag) - Archived on 10/1/2022
- Dupixent (dupilumab)
- Dupixent (dupilumab)
- Durolane (sodium hyaluronate)
- Durolane (sodium hyaluronate) - Archived on 10/1/22
- Durysta (bimatoprost intracameral implant)
- Durysta (bimatoprost intracameral implant) - Archived on 07/01/2024
- Durysta (bimatoprost intracameral implant) - Archived on 08/16/2024
- Durysta (bimatoprost intracameral implant) - Archived on 7/1/2022
- Dysport (abobotulinumtoxinA)
- Dysport (abobotulinumtoxinA)
- Dysport (abobotulinumtoxinA) - Archived on 04/01/2024
- Dysport (abobotulinumtoxinA) - Archived on 7/1/2022
E
- Egrifta SV (tesamorelin) - Archived on 10/1/2022
- Elaprase (idursulfase) - Archived on 07/01/2024
- Emflaza (deflazacort)
- Emflaza (deflazacort)
- Emflaza (deflazacort) - Archived on 10/1/2022
- Emgality (galcanezumab-gnlm)
- Empaveli (pegcetacoplan) - Archived on 10/1/2022
- Enbrel (etanercept)
- Enbrel (etanercept)
- Enjaymo (sutimlimab) - Archived 01/01/2024
- Enspryng (satralizumab-mwge) - Archived on 10/1/2022
- Entyvio - Archived on 04/01/2024
- Entyvio (vedolizumab)
- Entyvio (vedolizumab)
- Entyvio (vedolizumab)
- Entyvio (vedolizumab) - Archived on 08/16/2024
- Entyvio (vedolizumab) - Archived on 12/31/2022
- Enzyme replacement for Gaucher disease - Archived on 04/01/2024
- Enzyme Replacement Therapy
- ENZYME REPLACEMENT THERAPY (ERT) FOR GAUCHER DISEASE: Cerezyme (imiglucerase), Elelyso (taliglucerase alfa), Vpriv (velaglucerase alfa) - Archived 01/01/2024
- Enzyme Replacement Therapy and Agents
- Epclusa (sofosbuvir/velpatasvir)
- Epclusa (sofosbuvir/velpatasvir)
- Epclusa (sofosbuvir/velpatasvir)
- Epidiolex (cannabidiol)
- Epogen (epoetin alfa)
- Esbriet (pirfenidone) - Archived on 1/9/2023
- Esbriet (pirfenidone) - Archived on 10/1/2022
- Euflexxa (sodium hyaluronate)
- Euflexxa (sodium hyaluronate) - Archived on 10/1/22
- Evenity (romosozumab-aqqg)
- Evenity (romosozumab-aqqg) - Archived on 10/1/2022
- Evkeeza (evinacumab-dgnb) - Archived 01/01/2024
- Evkeeza (evinacumab-dgnb) - Archived on 7/1/2022
- Evrysdi (risdiplam) - Archived on 10/1/2022
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen)
- Exondys 51 (eteplirsen) - Archived on 4/21/2023
- Extavia (interferon beta-1b)
- Extavia (interferon beta-1b)
- Eylea (aflibercept) - Archived 01/01/2024
- Eylea (aflibercept) - Archived on 04/01/2024
F
- Fabrazyme (agalsidase beta) - Archived on 04/01/2023
- Fasenra (benralizumab)
- Fasenra (benralizumab)
- Fasenra (benralizumab)
- Fasenra (benralizumab) - Archived on 06/18/2024
- Fensolvi - Archived on 10/1/2024
- Fensolvi - Archived on 4/21/2023
- Fensolvi (leuprolide acetate) - Archived on 12/31/2022
- Filgrastim - Archived on 12/02/2024
- Filgrastim - Archived on 4/21/2023
- Fintepla (fenfluramine)
- Firazyr (Icatibant)
- Firazyr (icatibant) - Archived on 12/31/2022
- Firdapse (amifampridine)
- Firdapse (amifampridine) - Archived on 10/1/2022
- Firdapse (amifampridine) - Archived on 7/1/2022
- Forteo (teriparatide injection)
- Fulphila (pegfilgrastim-jmdb)
- Fulphila (pegfilgrastim-jmdb) - Archived on 08/16/2024
G
- Galafold (migalastat)
- Galafold (migalastat) - Archived on 10/1/2022
- Gamifant (emapalumab-lzsg) - Archived on 04/01/2024
- Gel-One (sodium hyaluronate)
- Gel-One (sodium hyaluronate) - Archived on 10/1/22
- Gelsyn-3 (sodium hyaluronate)
- Gelsyn-3 (sodium hyaluronate) - Archived on 10/1/22
- Gender Identity Hormone Therapy - Archived on 10/19/2022
- Gender–Affirming Hormone Therapy - Archived on 10/1/2022
- Genotropin (somatropin)
- GenVisc 850 (sodium hyaluronate)
- GenVisc 850 (sodium hyaluronate) - Archived on 10/1/22
- Gilenya (fingolimod)
- Gilenya (fingolimod)
- Givlaari (givosiran)
- Givlaari (givosiran) - Archived on 07/01/2024
- Glatopa (glatiramer acetate)
- Granix (tbo-filgrastim)
H
- H.P. Acthar Gel (repository corticotropin injection)
- Haegarda (C1 esterase inhibitor (human)) - Archived on 08/16/2024
- Haegarda (C1 inhibitor (human))
- Haegarda (C1 inhibitor (human))
- Harvoni (ledipasvir/sofosbuvir)
- Harvoni (ledipasvir/sofosbuvir)
- Harvoni (ledipasvir/sofosbuvir)
- Hematopoietic Growth Factors
- Hematopoietic Growth Factors
- Hemophilia and Other Clotting Disorders - Archived 06/01/2024
- Hemophilic Agents
- Hepatitis C - Oral
- Hereditary Angioedema and Pharmacotherapy
- Hetlioz and Hetlioz LQ (tasimelteon) - Archived on 10/1/2022
- Home Infusion Therapy
- Humatrope (somatropin)
- Humira (adalimumab)
- Humira (adalimumab)
- Hyalgan (sodium hyaluronate)
- Hyalgan (sodium hyaluronate) - Archived on 10/1/22
- Hyaluronic Acid Derivative Injection
- Hyaluronic Acid Viscosupplements - Archived on 04/01/2023
- Hymovis (sodium hyaluronate)
- Hymovis (sodium hyaluronate) - Archived on 10/1/22
- Hyperlipidemia Management Policy
I
- Ibrance (palbociclib)
- Idiopathic Pulmonary Fibrosis
- Idiopathic Pulmonary Fibrosis
- Ilaris (canakinumab)
- Ilaris (canakinumab)
- Ilaris (canakinumab)
- Ilaris (canakinumab)
- Ilaris (canakinumab) - Archived on 10/19/2022
- Ilaris (canakinumab) - Archived on 7/1/2022
- Ilumya (tildrakizumab-asmn)
- Ilumya (tildrakizumab-asmn)
- Ilumya (tildrakizumab-asmn)
- Ilumya (tildrakizumab-asmn)
- Ilumya (tildrakizumab-asmn) - Archived on 08/16/2024
- Iluvien (fluocinolone acetonide) - Archived on 04/01/2024
- Imbruvica (ibrutinib) - Archived on 10/1/2022
- Imcivree (setmelanotide) - Archived on 10/1/2022
- Imfinzi (durvalumab)
- Immune (Idiopathic) Thrombocytopenia Purpura (ITP)
- Immune (Idiopathic) Thrombocytopenia Purpura (ITP)
- Immune globulin (IVIG and SCIG) - Archived 01/01/2024
- 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)
- Immune Globulin (IVIG)
- Increlex (mecasermin) - Archived on 10/19/2022
- Inflammatory Bowel Disease: Biological Therapies
- Inflectra (infliximab-dyyb)
- Inflectra (infliximab-dyyb) - Archived 08/20/2024
- Ingrezza (valbenazine)
- Ingrezza (valbenazine)
- Ingrezza (valbenazine)
- Injectable Somatostatin Analogs (First Generation)
- Injectable somatostatin analogs (First generation) - Archived on 10/19/2022
- Isturisa (osilodrostat) - Archived on 1/9/2023
- Isturisa (osilodrostat) - Archived on 10/1/2022
- IV Iron Products - Archived on 07/08/2024
- IV Iron Products - Archived on 10/1/2024
J
K
- Kalbitor - Archived on 08/16/2024
- Kalbitor (Ecallantide)
- Kalbitor (ecallantide) - Archived on 12/31/2022
- Kalydeco (ivacaftor)
- Kalydeco (ivacaftor)
- Kanuma (sebelipase alfa) - Archived on 10/1/2024
- Kanuma (sebelipase alfa) - Archived on 7/1/2022
- Kevzara (sarilumab)
- Kevzara (sarilumab)
- Keytruda (pembrolizumab)
- Kineret (anakinra)
- Kineret (anakinra)
- Kisqali (ribociclib)
- Kitabis Pak (tobramycin inhalation solution)
- Korlym (mifepristone) - Archived on 1/9/2023
- Korlym (mifepristone) - Archived on 10/1/2022
- Korsuva - Archived on 08/16/2024
- Korsuva (difelikefalin) - Archived on 4/21/2023
- Korsuva (difelikefalin) - Archived on 4/21/2023
- Koselugo (selumetinib) - Archived on 10/1/2022
- Krystexxa (pegloticase) - Archived on 12/31/2022
- Kuvan (sapropterin) - Archived on 10/1/2022
- Kymriah (tisagenlecleucel)
- Kymriah (tisagenlecleucel)
- Kymriah (tisagenlecleucel)
- Kymriah (tisagenlecleucel)
- Kymriah (tisagenlecleucel) - Archived on 12/31/2022
L
- Lamzede (velmanase alfa-tycv) - Archived on 10/1/2024
- Lemtrada (alemtuzumab)
- Lemtrada (alemtuzumab) - Archived on 12/31/2022
- Leqembi (lecanemab) - Archived on 04/01/2024
- Leqvio (inclisiran) - Archived on 04/01/2024
- Leqvio (inclisiran) - Archived on 10/1/2024
- Leukine (sargramostim)
- Leukine (sargramostim)
- Livmarli (maralixibat) - Archived on 10/1/2022
- Lucentis (ranibizumab) - Archived 01/01/2024
- Lumizyme (alglucosidase alfa) - Archived on 04/01/2023
- Lumizyme (alglucosidase alfa) - Archived on 04/01/2024
- Lupkynis - Archived on 1/9/2023
- Lupkynis (voclosporin) - Archived on 10/1/2022
- Lupron DEPOT
- Lupron DEPOT
- Lupron Depot and Lupron Depot-PED (leuprolide acetate)
- 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 08/16/2024
- Luxturna (voretigene neparvovec-rzyl) - Archived on 10/1/2024
- Luxturna (voretigene neparvovec-rzyl) intraocular suspension for subretinal injection - Archived on 7/1/2022
M
- MACI (autologous cultured chondrocytes) - Archived on 10/1/2022
- Macrilen (macimorelin) - Archived on 04/01/2024
- Macrilen (macimorelin) - Archived on 08/16/2024
- Macrilen (macimorelin) - Archived on 10/1/2022
- Macugen (pegaptanib) - Archived 01/01/2024
- Makena (hydroxyprogesterone caproate)
- Mavenclad (cladribine)
- Mavyret (glecaprevir and pibrentasvir)
- Mavyret (glecaprevir and pibrentasvir)
- Mavyret (glecaprevir and pibrentasvir)
- Mayzent (siponimod)
- Medical Necessity for Physician Dispense as Written (DAW) Requests
- Medication Assisted Therapy (MAT) (buprenorphine containing agents)
- Medication Assisted Therapy (MAT) (buprenorphine containing agents)
- Mepsevii (vestronidase alfa-vjbk)
- Mepsevii (vestronidase alfa-vjbk) - Archived on 07/01/2024
- Monovisc (sodium hyaluronate)
- Monovisc (sodium hyaluronate) - Archived on 10/1/22
- Mulpleta (lusutrombopag) - Archived on 10/1/2022
- Multiple Sclerosis
- Myalept (metreleptin) - Archived on 10/1/2022
- Mycapssa - Archived on 1/9/2023
- Mycapssa (octreotide) - Archived on 10/1/2022
- Mycapssa (octreotide) - Archived on 10/19/2022
- Myfembree (relugolix, estradiol, and norethindrone acetate) - Archived on 10/1/2022
- Myobloc (rimabotulinumtoxinB)
- Myobloc (rimabotulinumtoxinB)
- Myobloc (rimabotulinumtoxinB)
- Myobloc (rimabotulinumtoxinB)
- Myobloc (rimabotulinumtoxinB) - Archived on 04/01/2024
- Myobloc (rimabotulinumtoxinB) - Archived on 7/1/2022
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 08/16/2024
- Neupogen (filgrastim)
- Neupogen (filgrastim)
- Nexviazyme (avalglucosidase alfa-ngp) - Archived on 04/01/2024
- Nexviazyme (avalglucosidase alfa-ngp) - Archived on 10/1/2022
- Noctiva (desmopressin acetate) - Archived on 10/19/2022
- Noctiva-archived on 12/13/22
- Norditropin (somatropin)
- Novantrone (mitoxantrone)
- Novantrone (mitoxantrone) - Archived on 12/31/2022
- NPlate (romiplostim)
- Nucala (mepolizumab)
- Nucala (mepolizumab)
- Nucala (mepolizumab)
- Nucala (mepolizumab)
- Nucala (mepolizumab) - Archived on 10/19/2022
- Nulibry (fosdenopterin) - Archived on 10/19/2022
- Nutropin AQ (somatropin)
- Nutropin AQ (somatropin)
O
- Ocrevus (ocrelizumab)
- Ocrevus (ocrelizumab)
- Ocrevus (ocrelizumab) - Archived on 12/31/2022
- Ofev (nintedanib) - Archived on 1/9/2023
- Ofev (nintedanib) - Archived on 10/1/2022
- Off-Label Use Consideration and Excluded Indications
- Olumiant (baricitinib)
- Olumiant (baricitinib)
- Omnitrope (somatropin)
- Oncology Medications
- Onpattro - Archived 01/01/2024
- Onpattro (patisiran)
- Onpattro (patisiran) - Archived on 12/31/2022
- Orencia (abatacept)
- Orencia (abatacept)
- Orfadin (nitisinone) - Archived on 10/1/2022
- Orilissa (elagolix)
- Orkambi (lumacaftor/ivacaftor)
- Orkambi (lumacaftor/ivacaftor)
- Orladeyo (berotralstat) - Archived on 10/1/2022
- Orthovisc (sodium hyaluronate)
- Orthovisc (sodium hyaluronate) - Archived on 10/1/22
- Otezla (apremilast)
- Otezla (apremilast)
- Otezla (apremilast)
- Oxbryta (voxelotor) - Archived on 10/1/2022
- Oxbryta (voxelotor) - Archived on 7/1/2022
- Oxervate (cenegermin-bkbj) - Archived on 10/1/2022
- Oxervate (cenegermin-bkbj) - Archived on 7/1/2022
- Oxlumo (lumasiran) - Archived on 04/01/2023
- Oxlumo (lumasiran) - Archived on 04/01/2024
- Oxlumo (lumasiran) - Archived on 07/01/2024
- Oxlumo (lumasiran) - Archived on 10/1/2022
- Oxlumo (lumasiran) - Archived on 10/1/2024
- Ozurdex (dexamethasone) - Archived on 04/01/2024
P
- Palforzia [Peanut (Arachis hypogaea) Allergen Powder-dnfp] - Archived on 10/1/2022
- Palynziq (pegvaliase-pqpz)
- Palynziq (pegvaliase-pqpz) - Archived on 10/1/2022
- Panhematin (hemin for injection) - Archived on 07/01/2024
- Parenteral Calcium Regulators - pamidronate (Aredia), zoledronic acid (Reclast and Zometa), ibandronate (Boniva), denosumab (Prolia and Xgeva), teriparatide (Forteo)
- Pegasys (peginterferon alfa-2a)
- Pegylated and Non-Pegylated Interferon
- Pegylated and Non-Pegylated Interferon
- Plegridy (peginterferon beta-1a)
- Plegridy (peginterferon beta-1a)
- Ponvory (ponesimod) - Archived on 10/1/2022
- Prevymis (letermovir) - Archived on 10/1/2022
- Probuphine (buprenorphine subdermal implant) - Archived on 09/14/2022
- Procrit (epoetin alfa)
- Prolia (denosumab)
- Prolia (denosumab) - Archived on 10/1/2022
- Prolia (denosumab) - Archived on 10/1/2024
- Promacta (eltrombopag)
- Promacta (eltrombopag) - Archived on 10/1/2022
- Proton Pump Inhibitors (PPIs)
- Provenge (sipuleucel-T)
- Psoriasis: Biological Therapies
- Pulmonary Arterial Hypertension
- Pulmonary Arterial Hypertension
- Pulmozyme - Archived on 1/9/2023
- Pulmozyme (dornase alfa inhalation solution)
- Pulmozyme (dornase alfa inhalation solution) - Archived on 10/1/2022
- Pulmozyme (dornase alfa inhalation solution) - Archived on 10/19/2022
- Pyrukynd (mitapivat) - Archived on 1/9/2023
Q
R
- Radicava (edaravone injection)
- Radicava (edaravone injection) - Archived on 04/01/2023
- Ravicti (glycerol phenylbuytyrate) - Archived on 10/1/2022
- Rebif (interferon beta-1a)
- Rebif (interferon beta-1a)
- Reblozyl (luspatercept-aamt)
- Reblozyl (luspatercept-aamt) - Archived on 04/01/2023
- Reblozyl (luspatercept-aamt) - Archived on 07/01/2024
- Rebyota (fecal microbiota, live - jslm)
- Recorlev (levoketoconazole) - Archived on 1/9/2023
- Relistor (methylnaltrexone)
- Remicade (infliximab)
- Remicade (infliximab)
- Remicade (infliximab)
- Remicade (infliximab) - Archived 08/20/2024
- Renflexis (infliximab-abda)
- Renflexis (infliximab-abda) - Archived 08/20/2024
- Retisert (fluocinolone acetonide) - Archived on 04/01/2024
- Rezurock (belumosudil) - Archived on 10/1/2022
- Rheumatoid Arthritis, Inflammatory Bowel Disease, Psoriasis and Psoriatic Arthritis: Biological Therapies
- Rinvoq (upadacitinib)
- Rituxan
- Rituxan (Rituximab)
- Rituxan (rituximab)
- Rituxan (rituximab)
- Rituxan (rituximab) - Archived on 12/31/2022
- Rituxan (rituximab) - Archived on 7/1/2022
- Rituxumab (Rituxan, Truxima, Ruxience, Riabni) - Archived on 04/01/2024
- Rivfloza (nedosiran) - Archived on 07/01/2024
- Rivfloza (nedosiran) - Archived on 10/1/2024
- Ruconest (C1 esterase inhibitor (rabbit-derived))
- Ruconest (C1 esterase inhibitor (recombinant)) - Archived on 12/31/2022
- Ruzurgi (amifampridine)
- Ruzurgi (amifampridine) - Archived on 10/1/2022
- Rydapt (midostaurin)
- Ryplazim (plasminogen, human-tvmh) - Archived on 10/1/2024
S
- Sabril (vigabatrin)
- Saizen (somatropin)
- Saphnelo (anifrolumab-fnia) - Archived on 07/01/2024
- Saphnelo (anifrolumab-fnia) - Archived on 12/31/2022
- Scenesse (Afamelanotide)
- Scenesse (Afamelanotide) - Archived on 04/01/2023
- Seizure Disorders (H.P. Acthar Gel (repository corticotropin injection) and Sabril (vigabatrin) oral solution and tablets)
- Serostim (somatropin)
- Short Bowel Syndrome (Gattex, Zorbtive)
- Signifor, Signifor LAR (pasireotide) - Archived on 10/1/2022
- Signifor, Signifor LAR (pasireotide) - Archived on 10/19/2022
- Siliq (brodalumab)
- Siliq (brodalumab)
- Simponi (golimumab)
- Simponi (golimumab)
- Simponi Aria (golimumab)
- Simponi Aria (golimumab)
- Simponi Aria (golimumab)
- Simponi Aria (golimumab)
- Skyrizi (risankizumab-rzaa)
- Skytrofa (lonapegsomatropin) - Archived on 10/1/2022
- Sogroya (somapacitan-beco) - Archived on 10/1/2022
- Soliris (eculizumab)
- Soliris (eculizumab)
- Soliris (eculizumab)
- Soliris (eculizumab)
- Soliris (eculizumab) - Archived on 04/01/2024
- Soliris (eculizumab) - Archived on 10/1/2024
- Somatropin Injection
- Somavert (pegvisomant) - Archived on 10/1/2022
- Sovaldi (sofosbuvir)
- Sovaldi (sofosbuvir)
- Sovaldi (sofosbuvir)
- Spevigo (spesolimab-sbzo) - Archived on 10/1/2024
- Spinraza (nusinersen)
- Spinraza (nusinersen)
- Spinraza (nusinersen) - Archived on 12/31/2022
- Spravato (esketamine)
- Spravato (esketamine)
- Spravato (esketamine) - Archived on 1/1/2023
- Stelara (ustekinumab)
- Stelara (ustekinumab)
- Stelara (ustekinumab)
- Stelara (ustekinumab)
- Stelara (ustekinumab)
- Strensiq (asfotase alfa)
- Strensiq (asfotase alfa) - Archived on 1/9/2023
- Strensiq (asfotase alfa) - Archived on 10/1/2022
- Sublocade (buprenorphine extended-release) injection, for subcutaneous use
- Sublocade (buprenorphine extended-release) injection, for subcutaneous use
- Sublocade (buprenorphine extended-release) injection, for subcutaneous use
- Suboxone (buprenorphine and naloxone) sublingual film, for sublingual or buccal use
- Suboxone (buprenorphine and naloxone) sublingual film, for sublingual or buccal use
- Suboxone (buprenorphine and naloxone) sublingual film, for sublingual or buccal use archived on 1/1/23
- Subutex (buprenorphine)
- Subutex (buprenorphine) - Archived on 09/14/2022
- Supartz FX (sodium hyaluronate)
- Supartz FX (sodium hyaluronate) - Archived on 10/1/22
- Supprelin LA (histrelin acetate) - Archived on 10/1/2024
- Susvimo (ranibizumab) - Archived 01/01/2024
- Symdeko (tezacaftor/ivacaftor)
- Symdeko (tezacaftor/ivacaftor)
- Synagis - Archived 12/1/2023
- Synagis - Archived on 02/07/2023
- Synagis - Archived on 12/31/2022
- Synagis (palivizumab)
- Synagis (palivizumab)
- Synagis (palivizumab)
- Synagis (palivizumab)
- Synagis (palivizumab) - Archived on 10/19/2022
- Synagis (palivizumab) - Archived on 9/20/2022
- Synvisc (sodium hyaluronate)
- Synvisc (sodium hyaluronate) - Archived on 10/1/22
- Synvisc-One (sodium hyaluronate)
- Synvisc-One (sodium hyaluronate) - Archived on 10/1/22
T
- Takhzyro (lanadelumab-flyo)
- Takhzyro (lanadelumab-flyo) - Archived on 08/16/2024
- Taltz (ixekizumab)
- Taltz (ixekizumab)
- Taltz (ixekizumab)
- Tarpeyo (budesonide) - Archived on 10/19/2022
- Tavalisse (fostamatinib disodium hexahydrate) - Archived on 10/1/2022
- Tavneos (avacopan) - Archived on 10/1/2022
- Tecartus (Brexucabtagene Autoleucel)
- Tecartus (Brexucabtagene Autoleucel) - Archived on 7/1/2022
- Tecentriq (atezolizumab)
- Tecfidera (dimethyl fumarate)
- Tecfidera (dimethyl fumarate)
- Tegsedi (inotersen)
- Tegsedi (inotersen) - Archived on 10/1/2022
- Tepezza (teprotumumab-trbw)
- Tepezza (teprotumumab-trbw) - Archived 01/01/2024
- Tepezza (teprotumumab-trbw) - Archived on 7/1/2022
- Tezspire (tezepelumab-eeko) - Archived 06/03/2024
- Tobi (tobramycin inhalation solution)
- Tobi (tobramycin inhalation solution), Tobi Podhaler
- Tocilizumab (Actemra)
- Tremfya (guselkumab)
- Tremfya (guselkumab)
- Tremfya (guselkumab)
- Trikafta (elexacaftor, tezacaftor and ivacaftor tablets; ivacaftor tablets)
- Triptodur (triptorelin)
- Triptodur (triptorelin) - Archived on 10/1/2024
- Trogarzo (ibalizumab-uiyk)
- Trogarzo (ibalizumab-uiyk) - Archived on 07/01/2024
- Trogarzo (ibalizumab-uiyk) - Archived on 10/1/2022
- Tysabri - Archived on 04/01/2024
- Tysabri (natalizumab)
- Tysabri (natalizumab)
- Tysabri (natalizumab)
- Tysabri (natalizumab)
- Tysabri (natalizumab)
- Tysabri (natalizumab) - Archived on 12/31/2022
- Tysabri (Natalizumab) for Treatment of Crohn's Disease
U
- Udenyca (pegfilgrastim-cbqv)
- Ultomiris - Archived on 04/01/2024
- Ultomiris (ravulizumab-cwvz)
- Ultomiris (ravulizumab-cwvz)
- Ultomiris (ravulizumab-cwvz) - Archived on 10/1/2022
- Ultomiris (ravulizumab-cwvz) - Archived on 10/1/2024
- Ultomiris (ravulizumab-cwvz) - Archived on 12/31/2022
- Uplizna (inebilizumab-cdon) - Archived on 04/01/2024
V
- Vabysmo (faricimab-svoa) - Archived 01/01/2024
- Vabysmo (faricimab-svoa) - Archived on 04/01/2024
- Varubi (rolapitant)
- Viltepso (viltolarsen)
- Viltepso (viltolarsen) - Archived on 4/21/2023
- Vimizim (elosulfase alfa) - Archived on 07/01/2024
- Visudyne (verteporfin) - Archived on 04/01/2024
- Vosevi (sofosbuvir/velpatasvir/voxilaprevir)
- Vosevi (sofosbuvir/velpatasvir/voxilaprevir)
- VOXZOGO (vosoritide) - Archived on 10/1/2022
- Vumerity (diroximel fumarate)
- Vyepti (eptinezumab-jjmr)
- Vyepti (eptinezumab-jjmr) - Archived on 04/01/2024
- Vyepti (eptinezumab-jjmr) - Archived on 10/1/2024
- Vyndaqel (tafamidis meglumine) and Vyndamax (tafamidis)
- Vyndaqel (tafamidis meglumine) and Vyndamax (tafamidis) - Archived on 10/1/2022
- Vyondys 53 (golodirsen)
- Vyondys 53 (golodirsen)
- Vyondys 53 (golodirsen)
- Vyondys 53 (golodirsen) - Archived on 4/21/2023
- Vyvgart (efgartigimod alfa-fcab) - Archived on 04/01/2024
W
X
- Xeljanz/Xeljanz XR (tofacitinib)
- Xeljanz/Xeljanz XR (tofacitinib)
- Xeljanz/Xeljanz XR (tofacitinib)
- Xeljanz/Xeljanz XR (tofacitinib)
- Xeljanz/Xeljanz XR (tofacitinib)
- Xenleta - Archived on 08/16/2024
- Xenleta (lefamulin) - Archived on 10/1/2022
- Xenleta (lefamulin) - Archived on 10/19/2022
- Xenpozyme (olipudase alfa-rpcp) - Archived on 10/1/2024
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA) - Archived on 04/01/2024
- Xeomin (incobotulinumtoxinA) - Archived on 7/1/2022
- Xermelo (telotristat ethyl) - Archived on 1/9/2023
- 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) - Archived on 02/05/2024
- Xolair/Nucala/Cinqair
- Xyrem (sodium oxybate)
Y
Z
- Zarxio (filgrastim-sndz)
- Zavesca (miglustat)
- Zavesca (miglustat) - Archived on 10/1/2022
- Zejula (niraparib)
- Zepatier (grazoprevir/elbasvir)
- Zepatier (grazoprevir/elbasvir)
- Zepatier (grazoprevir/elbasvir)
- Zinbryta (daclizumab)
- Zokinvy (lonafarnib) - Archived on 10/1/2022
- Zolgensma (onasemnogene abeparvovec-xioi) archived on 1/1/23
- Zomacton (somatropin)
- Ztalmy (ganaxolone) - Archived on 1/9/2023
- Zubsolv (buprenorphine and naloxone) sublingual tablets for sublingual administration
- Zubsolv (buprenorphine and naloxone) sublingual tablets for sublingual administration archived on 1/1/23
- Zulresso (brexanolone) - Archived on 04/12/23
- Zulresso (brexanolone) - Archived on 4/21/2023