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Name
Type
Acthar
Pharmacy
Adcetris
Medical & Pharmacy
Stimulants (ADHD and Narcolepsy)
Pharmacy
Alimta
Medical & Pharmacy
Aloxi
Medical & Pharmacy
Ampyra
Pharmacy
Antidepressants Pediatric
Pharmacy
Antipsychotics For Children Younger than 18 years old
Pharmacy
Antiobesity drug
Pharmacy
Atovaquone
Pharmacy
Austedo and Ingrezza
Pharmacy
Avastin & Bevacizumab Biosimilars
Medical & Pharmacy
Benlysta
Medical & Pharmacy
Bone Resorption Suppression and Related Agents
Pharmacy
Botulinum Toxin (Botox)
Medical & Pharmacy
Brineura
Medical & Pharmacy
Calcitonin Gene Related Peptide Receptor Inhibitors and Serotonin (5-HT)1F Receptor
Pharmacy
Carisoprodol
Pharmacy
Gauche Disease: Enzyme Replacement and Substrate Reduction Therapy
Medical & Pharmacy
Chantix
Pharmacy
Chimeric Antigen Receptor T cell (CAR-T) Immunotherapy
Pharmacy
Cholinesterase Inhibitor
Pharmacy
Chronic GI Motility Agents
Pharmacy
Cimzia
Pharmacy
Cinacalcet
Pharmacy
Cough and Cold Medications for Children Less than 4 Years
Pharmacy
Crysvita
Medical & Pharmacy
Cystic Fibrosis Biologic Response Modifiers
Pharmacy
Daraprim
Pharmacy
Diacomit
Pharmacy
Dutasteride
Pharmacy
Emflaza
Pharmacy
Enbrel
Pharmacy
Epidiolex
Pharmacy
Erbitux
Medical & Pharmacy
Erythropoetin Stimulating Agents
Pharmacy
Fabry Disease Medications
Pharmacy
Faslodex
Medical & Pharmacy
Gralise
Pharmacy
Granulocyte Colony-Stimulating Factors
Medical & Pharmacy
Growth Hormone
Pharmacy
Hemophilia/Blood Factor Products
Pharmacy
Hepatitis C Agents
Pharmacy
Herceptin & Trastuzumab Biosimilars
Medical & Pharmacy
Hereditary Angioedema (HAE) Agents
Pharmacy
Humira
Pharmacy
Inhaled LABA Corticosteroid Combination Medications
Pharmacy
Intravenous Immunoglobulin (IVIG) and Subcutaneous Immunoglobulin (SCIG)
Medical & Pharmacy
Intravenous Interleukin 5 Inhibitors
Medical & Pharmacy
Isotretinoin
Pharmacy
IV/Injectable Iron Medications
Medical & Pharmacy
Keytruda
Medical & Pharmacy
Krystexxa
Medical & Pharmacy
Latuda
Pharmacy
Lidocaine Topical Patch
Pharmacy
Lucemyra
Pharmacy
Lumizyme
Medical & Pharmacy
Leuprolide Acetate Products
Medical & Pharmacy
Luxturna
Medical & Pharmacy
Lyrica
Pharmacy
Macular Degeneration Agents
Medical & Pharmacy
Makena (hydroxyprogesterone)
Pharmacy
Multiple Sclerosis Medications
Medical & Pharmacy
Oncology Medications
Medical & Pharmacy
Opioid Analgesics
-CDC Clinical Tools for Opioid Prescribing
Pharmacy
Mozobil
Medical & Pharmacy
PCSK9 Inhibitor Therapy
Pharmacy
Phenylketonuria Medications - Kuvan and Palynziq
Pharmacy
Phosphorous Binders
Pharmacy
Photofrin
Medical & Pharmacy
Prialt
Medical & Pharmacy
Provigil® (modafinil) and Nuvigil® (armodafinil)
Pharmacy
Pulmonary Arterial Hypertension
Pharmacy
Pulmozyme
Pharmacy
Radicava
Pharmacy
Regranex
Pharmacy
Remicade & Infliximab Biosimilars
Medical & Pharmacy
Restasis
Pharmacy
Ocular Rho Kinase Inhibitors
Pharmacy
Rituxan & Rituximab Biosimilars
Medical & Pharmacy
Sandostatin LAR
Medical & Pharmacy
Simponi Aria/Simponi
Pharmacy
SGLT2 Inhibitors and Incretin Mimetics
Pharmacy
Somatuline Depot
Medical & Pharmacy
Spinraza
Medical & Pharmacy
Strensiq
Pharmacy
Sublingual Immunotherapy Medications
Pharmacy
Sublocade
Pharmacy
Supprelin/Vantas
Medical & Pharmacy
Synagis
Pharmacy
Synvisc and Synvisc-One (intra-articular hyaluronan injection)
Pharmacy
Tavalisse
Pharmacy
Testosterone Supplementation
Pharmacy
Thrombopoietin (TPO) Receptor Agonists
Pharmacy
Topical Immunomodulators
Pharmacy
Transmucosal Immediate Release Fentanyl Formulations
Pharmacy
Trogarzo
Pharmacy
Tysabri
Medical & Pharmacy
Vimizim
Medical & Pharmacy
Vyvanse for Binge Eating Disorder
Pharmacy
Xifaxan
Pharmacy
Xolair
Medical & Pharmacy
Xyrem
Pharmacy
Yervoy
Medical & Pharmacy
Zyvox linezolid
Pharmacy
Qbrexa
Pharmacy
Firdapse
Pharmacy
Hyperkalemia Agents
Pharmacy
Nuedextra
Pharmacy
Non-TNF Biologic Therapies
Medical & Pharmacy
Dupixent
Pharmacy
Fentanyl transmucosal transbuccal
Pharmacy
Freestyle Libre
Pharmacy
Tobramycin Inhalation Products
Pharmacy
Spravato
Pharmacy
Compounds
Pharmacy
Zulresso
Pharmacy and Medical
Evenity
Pharmacy
Actimmune
Pharmacy
Gattex
Pharmacy
Zolgensma
Pharmacy
Vyndamax and Vyndaqel
Pharmacy
C5b Complement Inhibitors (Soliris & Ultomiris)
Pharmacy
Ravicti
Pharmacy
Xiaflex
Pharmacy
Duplicate Therapy
Pharmacy
Alpha1-Proteinase Inhibitors
Medical & Pharmacy
Gamifant
Medical & Pharmacy
Myalept
Pharmacy
Onpattro and Tegsedi
Pharmacy
Zoladex
Medical & Pharmacy
Megace(megestrol)
Pharmacy
Marinol(dronabinol)
Pharmacy
Substance P Neurokinin-1 (NKI) Receptor Antagonists
Pharmacy
Advakeo
Pharmacy
Oxbryta
Pharmacy
COVID-19
Pharmacy
Duchenne Muscular Dystrophy Antisense Oligonucleotides
Medical & Pharmacy
Reblozyl
Pharmacy
Non-Formulary Medication/Medical Necessity
Medical & Pharmacy
Palforzia
Medical & Pharmacy
Tepezza
Medical & Pharmacy
Givlaari
Medical & Pharmacy
Orilissa
Pharmacy
Uplizna
Medical & Pharmacy
Cidofovir
Medical & Pharmacy
Oriahnn
Pharmacy
Koselugo
Pharmacy
Isturisa
Pharmacy
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