Medication policy list
Medicare Plans
Part D drug list for Medicare plans
View Medicare formularies, prior authorization, and step therapy criteria by selecting the appropriate plan and county.
Part B Medication Policy for Blue Shield Medicare PPO
Blue Shield Medicare plans follow Medicare guidelines for risk allocation and Medicare national and local coverage guideline.
- Medicare PPO Part B step therapy criteria (PDF, 134 KB)
Commercial Plans
Find medication and treatment policy documents, as well as announcements about formulary and policy changes.
Medical Benefit drug policies for Commercial plans
- Policy Name
- abaloparatide (Tymlos)
- abatacept (Orencia)
- abatacept (Orencia), subcutaneous
- abobotulinumtoxinA (Dysport)
- adalimumab (Humira)
- adalimumab-aacf (Idacio)
- adalimumab-aaty (Yuflyma)
- adalimumab-adaz (Hyrimoz)
- adalimumab-adbm (Cyltezo)
- adalimumab-afzb (Abrilada)
- adalimumab-aqvh (Yusimry)
- adalimumab-bwwd (Hadlima)
- adalimumab-fkjp (Hulio)
- adalimumab-ryvk (Samlandi)
- ADAMTS13, recombinant-krhn (Adzynma)
- ado-trastuzumab emtansine (Kadcyla)
- aducanumab-avwa (Aduhelm)
- afamelanotide (Scenesse)
- afamitresgene autoleucel (Tecelra)
- aflibercept (Eylea, Eylea HD)
- agalsidase beta (Fabrazyme)
- aldesleukin (Proleukin)
- alemtuzumab (Lemtrada)
- alglucosidase alfa (Lumizyme)
- alirocumab (Praluent)
- amivantamab-vmjw (Rybrevant)
- anakinra (Kineret)
- anifrolumab-fnia (Saphnelo)
- antihemophilic factor, human (Koate)
- antihemophilic factor, human, method m, monoclonal purified (Hemofil M)
- antihemophilic factor, recombinant (Advate)
- antihemophilic factor, recombinant (Kogenate FS)
- antihemophilic factor, recombinant (KOVALTRY)
- antihemophilic factor, recombinant (NovoEight)
- antihemophilic factor, recombinant (NUWIQ)
- antihemophilic factor, recombinant (Xyntha Solofuse)
- antihemophilic factor, recombinant (Xyntha)
- antihemophilic factor, recombinant, Fc fusion protein (ELOCTATE)
- antihemophilic factor, recombinant, Fc-VWF-XTEN fusion protein-ehtl (ALTUVIIIO)
- antihemophilic factor, recombinant, glycopegylated-exei (Esperoct)
- antihemophilic factor, recombinant, PEGylated (ADYNOVATE)
- antihemophilic factor, recombinant, PEGylated-aucl (Jivi)
- antihemophilic factor, recombinant, porcine sequence (OBIZUR)
- antihemophilic factor, recombinant, single chain (AFSTYLA)
- antihemophilic factor/von Willebrand factor complex, human (Alphanate)
- antihemophilic factor/von Willebrand factor complex, human (Humate-P)
- anti-inhibitor coagulant complex (FEIBA)
- Anti-thymocte globulin (Atgam)
- apomorphine hydrochloride (Apokyn)
- asfotase-alfa (Strensiq)
- asparaginase erwinia chrysanthemi (recombinant)-rywn (Rylaze)
- atezolizumab (Tecentriq)
- atezolizumab and hyaluronidase-tqjs (Tecentriq Hybreza)
- atidarsagene autotemcel (Lenmeldy)
- avacincaptad pegol (Izervay)
- avalglucosidase alfa-ngpt (Nexviazyme)
- avelumab (Bavencio)
- axicabtagene ciloleucel (Yescarta)
- azacitidine (Vidaza)
- belatacept (Nulojix)
- belimumab (Benlysta), intravenous
- belimumab (Benlysta), subcutaneous
- belinostat (Beleodaq)
- bendamustine (apotex)
- bendamustine (baxter)
- bendamustine (Belrapzo)
- bendamustine (Bendeka)
- bendamustine (Treanda)
- bendamustine (Vivimusta)
- benralizumab (Fasenra), autoinjector
- benralizumab (Fasenra), prefilled syringe
- beremagene geperpavec-svdt (Vyjuvek)
- betibeglogene autotemcel (Zynteglo)
- bevacizumab (Avastin)
- bevacizumab-adcd (Vegzelma)
- bevacizumab-awwb (Mvasi)
- bevacizumab-bvzr (Zirabev)
- bevacizumab-maly (Alymsys)
- bimatoprost implant (Durysta)
- blinatumomab (Blincyto)
- bortezomib (Velcade)
- bremelanotide (Vyleesi)
- brentuximab (Adcetris)
- brexanolone (Zulresso)
- brexucabtagene autoleucel (Tecartus)
- brodalumab (Siliq)
- brolucizumab-dbll (Beovu)
- burosumab-twza (Crysvita)
- C1 esterase inhibitor (Berinert)
- C1 esterase inhibitor (Cinryze)
- C1 esterase inhibitor (Haegarda)
- C1 esterase inhibitor (Ruconest)
- cabazitaxel (Jevtana)
- cabotegravir and rilpivirine (Cabenuva)
- calasparagasepegol-mknl (Asparlas)
- canakinumab (Ilaris)
- cantharidin (Ycanth)
- caplacizumab-yhdp (Cablivi), subsequent doses
- capsaicin patch (Qutenza)
- carfilzomib (Kyprolis)
- casimersen (Amondys 45)
- cemiplimab-rwlc (Libtayo)
- cerliponase alfa (Brineura)
- certolizumab pegol (Cimzia), prefilled syringe
- certolizumab pegol (Cimzia), vials
- cetuximab (Erbitux)
- ciltacabtagene autoleucel (Carvykti)
- cipaglucosidase alfa-atga (Pombiliti)
- clofarabine (Clolar)
- coagulation factor IX, human (AlphaNine SD)
- coagulation factor IX, recombinant (BeneFIX)
- coagulation factor IX, recombinant (Ixinity)
- coagulation factor IX, recombinant (Recombinate)
- coagulation factor IX, recombinant (RIXUBIS)
- coagulation factor IX, recombinant, albumin fusion protein (Idelvion)
- coagulation factor IX, recombinant, Fc fusion protein (Alprolix)
- coagulation factor IX, recombinant, GlycoPEGylated (Rebinyn)
- coagulation factor VIIa, recombinant (NovoSeven)
- coagulation factor VIIa, recombinant-jncw (SEVENFACT)
- coagulation factor X, human (Coagadex)
- coagulation factor XIII A-subunit, recombinant (Tretten)
- collagenase clostridium histolyticum (Xiaflex)
- corticotropin (Acthar)
- corticotropin (Purified Cortropin Gel)
- crizanlizumab-tmca (Adakveo)
- crovalimab-akkz (Piasky)
- cytomegalovirus immune globulin intravenous, human (Cytogam)
- daratumumab (Darzalex)
- daratumumab hyaluronidase-fihj (Darzalex Faspro)
- darbepoetin alfa (Aranesp)
- daunorubicin cytarabine liposome (Vyxeos)
- daxibotulinumtoxinA-lanm (Daxxify)
- decitabine (Dacogen)
- defibrotide (Defitelio)
- degarelix (Firmagon)
- delandistrogene moxeparvovec-rokl (Elevidys)
- denosumab (Prolia)
- denosumab (Xgeva)
- dexamethasone intravitreal implant (Ozurdex)
- dihydroergotamine mesylate injection (D.H.E. 45)
- dinutuximab (Unituxin)
- donanemab-azbt (Kisunla)
- dostarlimab-gxly (Jemperli)
- dupilumab (Dupixent)
- durvalumab (Imfinzi)
- ecallantide (Kalbitor)
- eculizumab (Soliris)
- edaravone (Radicava)
- efgartigimod alfa-fcab (Vyvgart)
- efgartigimod alfa-fcab and hyaluronidase-qvfc (Vyvgart Hytrulo)
- eflapegrastim-xnst (Rolvedon)
- elapegademase-lvlr (Revcovi)
- elivaldogene autotemcel (Skysona)
- elosulfase alfa (Vimizim)
- elotuzumab (Empliciti)
- elranatamab-bcmm (Elrexfio)
- emapalumab-lzsg (Gamifant)
- emicizumab-kxwh (Hemlibra)
- enfortumab vedotin-ejfv (Padcev)
- epcoritamab-bysp (Epkinly)
- epoetin alfa (Epogen, Procrit)
- epoetin alfa-eobx (Retacrit)
- epoprostenol (Flolan, Veletri)
- eptinezumab-jjmr (Vyepti)
- erenumab-aoooe (Aimovig)
- eribulin (Halaven)
- esketamine (Spravato)
- etanercept (Enbrel)
- eteplirsen (Exondys 51)
- etranacogene-dezaparvovec (Hemgenix)
- evinacumab-dgnb (Evkeeza)
- evolucumab (Repatha)
- exagamglogene autotemcel (Casgevy)
- factor IX complex (Profilnine SD)
- factor XIII concentrate, human (Corifact)
- fam-trastuzumab deruxtecan-nxki (Enhertu)
- faricimab-svoa (Vabysmo)
- fecal microbiota live-jslm (Rebyota)
- ferric carboxymaltose (Injectafer)
- ferric derisomaltose (Monoferric)
- fibrinogen concentrate, human (RiaSTAP)
- fibrinogen, human (Fibryga)
- fidanacogene-elaparvovec-dzkt (Beqvez)
- filgrastim (Neupogen)
- filgrastim-aafi (Nivestym)
- filgrastim-ayow (Releuko)
- filgrastim-sndz (Zarxio)
- fluocinolone acetonide intravitreal implant (Iluvien, Retisert, Yutiq)
- fosdenopterin (Nulibry)
- fremanezumab-vfrm (Ajovy)
- fulvestrant (Faslodex)
- galcanezumab-gnlm (Emgality)
- galsulfase (Naglazyme)
- gemtuzumab ozogamicin (Mylotarg)
- givosiran (Givlaari)
- glatiramer (Copaxone, Glatopa)
- glofitamab-gxbm (Columvi)
- golimumab (Simponi Aria)
- golimumab (Simponi)
- golodirsen (Vyondys 53)
- grass pollens allergen extract (Oralair)
- growth hormone
- guselkumab (Tremfya), intravenous
- guselkumab (Tremfya), subcutaneous
- histrelin implant (Supprelin LA)
- house dust mite allergen extract (Odactra)
- hyaluronan (Hymovis)
- hyaluronan (Monovisc)
- hylan G-F 20 (Synvisc One)
- hylan G-F 20 (Synvisc)
- ibalizumab-uiyk (Trogarzo)
- icatibant (Firazyr)
- idecabtagene vicleucel (Abecma)
- idursulfase (Elaprase)
- iloprost (Ventavis)
- imetelstat (Rytelo)
- imiglucerase (Cerezyme)
- immune globulin intravenous
- immune globulin intravenous, human (Bivigam)
- immune globulin intravenous, human (Flebogamma DIF)
- immune globulin intravenous, human (Gammagard liquid)
- immune globulin intravenous, human (Gammagard S/D)
- immune globulin intravenous, human (Gammaked)
- immune globulin intravenous, human (Gammaplex)
- immune globulin intravenous, human (Gamunex-C)
- immune globulin intravenous, human (Octagam)
- immune globulin intravenous, human (Privigen)
- immune globulin intravenous, human-ifas (Panzyga)
- immune globulin intravenous, human-slra (Asceniv)
- immune globulin subcutaneous
- immune globulin subcutaneous, human (Cuvitru)
- immune globulin subcutaneous, human (Gammagard liquid)
- immune globulin subcutaneous, human (Gammaked)
- immune globulin subcutaneous, human (Gamunex-C)
- immune globulin subcutaneous, human (Hizentra)
- immune globulin subcutaneous, human with recombinant human hyaluronidase (Hyqvia)
- immune globulin subcutaneous, human-hipp (Cutaquig)
- immune globulin subcutaneous, human-klhw (Xembify )
- inclisiran (Leqvio)
- incobotulinumtoxinA (Xeomin)
- inebilizumab-cdon (Uplizna)
- infliximab (Remicade)
- Infliximab-abda (Renflexis)
- Infliximab-axxq (Avsola)
- Infliximab-dyyb (Inflectra)
- inotersen (Tegsedi)
- inotuzumab ozogamicin (Besponsa)
- interferon beta-1a (Avonex)
- interferon beta-1b (Betaseron, Extavia)
- interferon gamma-1b (Actimmune)
- ipilimumab (Yervoy)
- irinotecan liposome (Onivyde)
- iron dextran (Infed)
- isatuximab-irfc (Sarclisa)
- isavuconazonium sulfate (Cresemba)
- IVIG
- ixabepilone (Ixempra)
- ixekizumab (Taltz)
- ketamine (Ketalar)
- lanadelumab-flyo (Takhzyro)
- lanreotide (Somatuline)
- laronidase (Aldurazyme)
- lecanemab-irmb (Leqembi)
- lenacapavir (Sunlenca)
- letermovir Injection (Prevymis)
- leuprolide (Camcevi)
- leuprolide acetate (Fensolvi)
- levoleucovorin (Fusilev)
- levoleucovorin (Khapzory)
- lifileucel (Amtagvi)
- lisocabtagene maraleucel (Breyanzi)
- lonapegsomatropin-tcgd (Skytrofa)
- loncastuximab tesirine-lpyl (Zynlonta)
- lovotibeglogene autotemcel (Lyfgenia)
- lumasiran (Oxlumo)
- lurbinectedin (Zepzelca)
- luspatercept-aamt (Reblozyl)
- lutetium Lu 177 dotatate (Lutathera)
- lutetium Lu 177 vipivotide tetraxetan (Pluvicto)
- margetuximab-cmkb (Margenza)
- mecasermin (Increlex)
- melphalan (Hepzato)
- mepolizumab (Nucala), prefilled autoinjector and syringe
- mepolizumab (Nucala), vials
- methotrexate(Otrexup, Rasuvo, RediTrex), subcutaneous
- methoxy polyethylene glycol-epoetin beta (Mircera)
- methylnatrexone (Relistor)
- metreleptin (Myalept)
- miglustat (Opfolda)
- mirikizumab-mrkz (Omvoh), intravenous
- mirikizumab-mrkz (Omvoh), subcutaneous
- mirvetuximab soravtansine-gynx (Elahere)
- mogamulizumab-kpkc (Poteligeo)
- mosunetuzumab-axgb (Lunsumio)
- motixafortide (Aphexda)
- nadofaragene firadenovec-vncg (Adstiladrin)
- natalizumab (Tysabri)
- naxitamab-gqgk (Danyelza)
- necitumumab (Portrazza)
- nedosiran (Rivfloza), prefilled syringe
- nedosiran (Rivfloza), vials
- nemolizumab-ilto (Nemluvio)
- nivolumab (Opdivo)
- nivolumab and relatlimab-rmbw (Opdualag)
- nogapendekin alfa inbakicept-pmln (Anktiva)
- nusinersen (Spinraza)
- obinutuzumab (Gazyva)
- ocrelizumab (Ocrevus)
- ocrelizumab and hyaluronidase-ocsq (Ocrevus Zunovo)
- Octreotide (Sandostatin), intravenous
- octreotide (Sandostatin), subcutaneous
- Octreotide LAR (Sandostatin LAR)
- ofatumumab (Kesimpta)
- olipudase alfa-rpcp (Xenpozyme)
- omacetaxine (Synribo)
- omalizumab (Xolair)
- omidubicel-onlv (Omisirge)
- onabotulinumtoxinA (Botox)
- onasemnogene abeparvovecxioi (Zolgensma)
- paclitaxel protein-bound (Abraxane)
- palifermin (Kepivance)
- palivizumab (Synagis)
- panitumumab (Vectibix)
- pasireotide (Signifor LAR)
- pasireotide (Signifor)
- patisiran (Onpattro)
- peanut (Arachis hypogaea) Allergen Powder-dnfp (Palforzia)
- pegaspargase (Oncaspar)
- pegcetacoplan (Empaveli)
- pegcetacoplan injection (Syfovre)
- Pegfilgrastim (Neulasta)
- Pegfilgrastim-apgf (Nyvepria)
- Pegfilgrastim-bmez (Ziextenzo)
- Pegfilgrastim-cbqv (Udenyca)
- Pegfilgrastim-fpgk (Stimufend)
- Pegfilgrastim-jmdb (Fulphila)
- Pegfilgrastim-pbbk (Fylnetra)
- peginterferon beta-1a (Plegridy)
- pegloticase (Krystexxa)
- pegunigalsidase alfa-iwxj (Elfabrio)
- pegvaliase-pqpz (Palynziq)
- pegvisomant (Somavert)
- pembrolizumab (Keytruda)
- pemetrexed (Alimta, Pemfexy, Pemrydi RTU)
- peramivir (Rapivab)
- pertuzumab (Perjeta)
- pertuzumab, trastuzumab, and hyaluronidase-zzxf (Phesgo)
- plasminogen human-tvmh (Ryplazim)
- plerixafor (Mozobil)
- polatuzumab vedotin-piiq (Polivy)
- posaconazole injection (Noxafil)
- pozelimab-bbfg (Veopoz)
- pralatrexate (Folotyn)
- protein C concentrate, human (Ceprotin)
- radium Ra 223 dichloride (Xofigo)
- ramucirumab (Cyramza)
- ranibizumab (Lucentis)
- ranibizumab intravitreal implant (Susvimo)
- ranibizumab-eqrn (Cimerli)
- ranibizumab-nuna (Byooviz)
- ravulizumab-cwvz (Ultomiris)
- reslizumab (Cinqair)
- retifanlimab-dlwr (Zynyz)
- rilonacept (Arcalyst)
- rimabotulinumtoxinB (Myobloc)
- risankizumab-rzaa (Skyrizi)
- risankizumab-rzaa (Skyrizi), subcutaneous
- rituximab (Rituximab)
- rituximab and hyaluronidase human (Rituxan Hycela)
- rituximab-abbs (Truxima)
- rituximab-arrx (Riabni)
- rituximab-pvvr (Ruxience)
- romidepsin (Istodax)
- romiplostim (Nplate)
- romosozumab-aqqg (Evenity)
- ropeginterferon alfa-2b-njft (Besremi)
- rozanolixizumab-noli (Rystiggo)
- sacituzumab govitecan-hziy (Trodelvy)
- sargramostim (Leukine)
- sarilumab (Kevzara)
- satralizumabmwge (Enspryng)
- SCIG
- sebelipase alfa (Kanuma)
- secukinumab (Cosentyx), intravenous
- secukinumab (Cosentyx), subcutaneous
- selexipag (Uptravi)
- self-administered drugs
- setmelanotide (Imcivree)
- short ragweed pollen allergen extract (Ragwitek)
- sildenafil (Revatio)
- siltuximab (Sylvant)
- sirolimus protein bound particles (Fyarro)
- site of care redirection
- sodium hyaluronate (Durolane)
- sodium hyaluronate (Euflexxa)
- sodium hyaluronate (Gel One)
- sodium hyaluronate (Gelsyn-3)
- sodium hyaluronate (GenVisc 850)
- sodium hyaluronate (Hyalgan)
- sodium hyaluronate (Orthovisc)
- sodium hyaluronate (Supartz FX)
- sodium hyaluronate (Synojoynt)
- sodium hyaluronate (Triluron)
- sodium hyaluronate (TriVisc)
- sodium hyaluronate (Visco-3)
- sodium thiosulfate injection (Pedmark)
- somatropin (Genotropin, Humatrope, Norditropin, Nutropin, Omnitrope, Saizen, Zorbtive, Zomacton)
- somatropin (Serostim)
- sotatercept-csrk (Winrevair)
- spesolimab-sbzo (Spevigo), 300mg subcutaneous
- spesolimab-sbzo (Spevigo), intravenous and 600 mg subcutaneous
- Sumatriptan(Imitrex, Zembrace SymTouch), subcutaneous
- sutimlimab-jome (Enjaymo)
- tafasitamab-cxix (Monjuvi)
- tagraxofusp- erzs (Elzonris)
- taliglucerase alfa (Elelyso)
- talimogene laherparepvec (Imlygic)
- talquetamab-tgvs (Talvey)
- tarlatamab-dlle (Imdelltra)
- tbo-filgrastim(Granix)
- tebentafusp-tebn (Kimmtrak)
- teclistamab-cqyv (Tecvayli)
- teduglutide (Gattex)
- temsirolimus (Torisel)
- teplizumab-mzwv (Tzield)
- teprotumumab-trbw (Tepezza)
- teriparatide (Forteo)
- tesamorelin acetate (Egrifta)
- testosterone enanthate (Xyosted)
- testosterone pellets (Testopel)
- testosterone undecanoate (Aveed)
- tezepelumab-ekko (Tezspire)
- tezepelumab-ekko (Tezspire), prefilled pens
- tildrakizumab-asmn (Ilumya)
- timothy grass pollen allergen extract (Grastek)
- tisagenlecleucel (Kymriah)
- tislelizumab-jsgr (Tevimbra)
- tisotumab vedotin-tftv (Tivdak)
- tocilizumab (Actemra), intravenous
- tocilizumab (Actemra), subcutaneous
- tocilizumab-aazg (Tyenne), intravenous
- tocilizumab-aazg (Tyenne), subcutaneous
- tocilizumab-bavi (Tofidence)
- tofersen (Qalsody)
- toripalimab-tpzi (Loqtorzi)
- trabectedin (Yondelis)
- tralokinumab-ldrm (Adbry)
- trastuzumab (Herceptin)
- trastuzumab and hyaluronidase-oysk (Herceptin Hylecta)-MCAL-UMRx-provider.pdf
- trastuzumab-anns (Kanjinti)
- trastuzumab-dkst (Ogivri)
- trastuzumab-dttb (Ontruzant)
- trastuzumab-pkrb (Herzuma)
- trastuzumab-qyyp (Trazimera)
- travoprost intracameral implant (iDose TR)
- tremelimumab-actl (Imjudo)
- treprostinil (Remodulin)
- treprostinil (Tyvaso)
- trilaciclib (Cosela)
- triptorelin (Triptodur)
- ublituximab-xiiy (Briumvi)
- ustekinumab (Stelara)
- ustekinumab (Stelara), prefilled syringe
- valoctocogene roxaparvovec-rvox (Roctavian)
- vedolizumab (Entyvio)
- vedolizumab (Entyvio), subcutaneous
- velaglucerase alfa (VPRIV)
- velmanase alfa-tycv (Lamzede)
- vestronidase alfa (Mepsevii)
- viltolarsen (Viltepso)
- von willebrand factor, recombinant (Vonvendi)
- von Willebrand factor/coagulation factor VIII complex, Human (Wilate)
- voretigene neparvovec-rzyl (Luxturna)
- vosoritide (Voxzogo)
- vutrisiran (Amvuttra)
- ziconotide (Prialt)
- ziv-aflibercept (Zaltrap)
- zolbetuximab-clzb (Vyloy)
Pharmacy Benefit drug policies for Commercial plans
- Policy Name
- abaloparatide injection (Tymlos)
- abatacept (Orencia)
- abemaciclib (Verzenio)
- abiraterone (Zytiga)
- abiraterone acetate (Yonsa)
- abrocitinib (Cibinqo)
- acalabrutinib (Calquence)
- acetaminophen-caffeine-dihydrocodeine (Trezix)
- acetylsalicylic acid (Durlaza)
- aclidinium bromide inhaler (Tudorza Pressair)
- aclidinium-formoterol (Duaklir)
- acyclovir cream, ointment (Zovirax)
- acyclovir, delayed release (Sitavig)
- acyclovir-hydrocortisone cream ( Xerese)
- adagrasib (Krazati)
- adalimumab (Humira)
- adalimumab-aacf (Idacio)
- adalimumab-aaty (Yuflyma)
- adalimumab-adaz (Hyrimoz)
- adalimumab-adbm (Cyltezo)
- adalimumab-afzb (Abrilada)
- adalimumab-aqvh (Yusimry)
- adalimumab-atto (Amjevita)
- adalimumab-bwwd (Hadlima)
- adalimumab-fkjp (Hulio)
- adalimumab-ryvk (Simlandi)
- adapalene (Plixda)
- adapalene cream, gel (Differin)
- adapalene solution, pad
- adapalene-benzoyl peroxide (Epiduo)
- adapalene-benzoyl peroxide-clindamycin (Cabtreo)
- afatinib (Gilotrif)
- albuterol sulfate (ProAir Digihaler, ProAir Respiclick)
- albuterol-budesonide (Airsupra)
- alectinib (Alecensa)
- alendronate (Binosto)
- alirocumab (Praluent)
- aliskiren (Tekturna)
- aliskiren-hydrochlorothiazide (Tekturna HCT)
- alitretinoin (Panretin)
- allergen extracts (Oralair)
- allopurinol 200 mg tablet (Zyloprim)
- almotriptan (Axert)
- alogliptin (Nesina)
- alogliptin-metformin (Kazano)
- alogliptin-pioglitazone (Oseni)
- alosetron (Lotronex)
- alpelisib (Piqray)
- alpelisib (Vijoice)
- alprostadil (Caverject, Edex)
- alprostadil urethral suppository (Muse)
- amantadine (Gocovri)
- amantadine (Osmolex ER)
- ambrisarten (Letairis)
- ambrosia artemisiifolia pollen (Ragwitek)
- amcinonide (Cyclocort)
- amifampridine phosphate (Firdapse)
- amikacin sulfate liposome (Arikayce)
- amlodipine (Norliqva)
- amlodipine oral suspension (Katerzia)
- amlodipine-atorvastatin (Caduet)
- amlodipine-celecoxib (Consensi)
- amphetamine (Dyanavel XR)
- amphetamine extended-release (Adzenys XR, Adzenys XR ODT)
- amphetamine sulfate (Evekeo, Evekeo ODT)
- amphetamine-dexamphetamine capsule, extended-release (Adderall XR)
- amphetamine-dexamphetamine tablet (Adderall)
- amphetamine-dextroamphetamine (Mydayis)
- anakinra (Kineret)
- apalutamide (Erleada)
- apomorphine (Apokyn)
- apremilast (Otezla)
- aprocitentan (Tryvio)
- arimoclomol (Miplyffa)
- aripiprazole (Abilify Mycite)
- armodafinil (Nuvigil)
- asciminib (Scemblix)
- asenapine (Saphris)
- asenapine (Secuado)
- asfotase alfa (Strensiq)
- aspirin/omeprazole (Yosprala)
- atogepant (Qulipta)
- atorvastatin (Atorvaliq)
- atovaquone (Mepron)
- avacopan (Tavneos)
- avanafil (Stendra)
- avatrombopag (Doptelet)
- axitinib (Inlyta)
- ayvapritinib (Ayvakit)
- azacitidine (Onureg)
- AzesChew Prenatal-Postnatal
- Azesco
- azilsartan (Edarbi)
- azilsartan-chlorthalidone (Edarbyclor)
- aztreonam (Cayston)
- baclofen (Lyvispah)
- baclofen (Ozobax)
- baclofen suspension (Fleqsuvy)
- baricitinib (Olumiant)
- becaplermin (Regranex)
- beclomethasone (Beconase AQ, Qnasl)
- bedaquiline (Sirturo)
- belimumab (Benlysta)
- belumosudil (Rezurock)
- belzutifan (Welireg)
- bempedoic acid (Nexletol)
- bempedoic acid-ezetimibe (Nexlizet)
- benralizumab (Fasenra)
- benzhydrocodone-acetaminophen (Apadaz)
- benzoyl peroxide (Epsolay)
- benzphetamine (Didrex)
- berotralstat (Orladeyo)
- betamethasone foam (Luxiq Foam)
- betamethasone spray (Sernivo)
- betamethasone-calcipotriene (Talconex)
- bexagliflozin (Brenzavvy)
- bexarotene (Targretin)
- bimatoprost (Lumigan)
- bimekizumab (Bimzelx)
- binimetinib (Mektovi)
- birch triterpenes (Filsuvez)
- Blood Glucose Test Strips
- bosentan (Tracleer)
- bosutinib (Bosulif)
- bremelanotide injection (Vyleesi)
- brexpiprazole (Rexulti)
- brigatinib (Alunbrig)
- brimonidine tartrate topical
- brinzolamide (Azopt)
- brivaracetam (Briviact)
- brodalumab (Siliq)
- bromfenac (Bromsite)
- bromfenac (Prolensa 0.7%)
- bromocriptine (Cycloset)
- budesonide (Entocort EC)
- budesonide (Tarpeyo)
- budesonide (Uceris)
- budesonide suspension (Eohilia)
- budesonide-glycopyrrolate-formoterol (Breztri)
- buprenorphine (Belbuca, Butrans)
- bupropion (Forfivo XL)
- bupropion hydrobromide (Aplenzin)
- butalbital-acetaminophen (Allzital, Bupap, Tencon)
- butalbital-acetaminophen-caffeine (Capacet, Esgic, Fioricet, Phrenilin Forte, Vanatol LQ, Vanatol S, Vtol LQ solution, Zebutal)
- butalbital-acetaminophen-caffeine-codeine (Fioricet C)
- cabozantinib (Cabometyx)
- cabozantinib (Cometriq)
- calcifediol (Rayaldee)
- calcipotriene foam (Sorilux)
- calcipotriene-betamethasone dipropionate cream (Wynzora)
- calcipotriene-betamethasone-dipropionate-foam (Enstilar)
- calcium-magnesium-potassium-sodium oxybates solution (Xywav)
- canagliflozin (Invokana)
- canagliflozin-metformin (Invokamet/Invokamet XR)
- candesartan (Atacand)
- candesartan-hydrochlorothiazide (Atacand HCT)
- cannabidiol cbd extract (Epidiolex)
- Capex Shampoo
- capivasertib (Truqap)
- caplacizumab (Cablivi)
- capmatinib (Tabrecta)
- carbidopa-levodopa (Rytary)
- carbidopa-levodopa er capsule (Crexont)
- carbinoxamine 6 mg tablet (Ryvent)
- carglumic acid (Carbaglu)
- cariprazine (Vraylar)
- carvedilol (Coreg CR)
- cedazuridine-decitabine tablet (Inqovi)
- celecoxib (Elyxyb)
- celecoxib-tramadol (Seglentis)
- cenegermin (Oxervate)
- cenobamate (Xcopri)
- Cequr Simplicity 2U
- ceritinib (Zykadia)
- certolizumab (Cimzia)
- cetirizine solution (Zerviate)
- cetrorelix acetate (Cetrotide)
- chenodial (Chenodal)
- chlorpromazine oral solution
- chlorthalidone (Thalitone)
- chlorzoxazone (Lorzone, Parafon DSC)
- cholic acid (Cholbam)
- choriogonadotropin alfa (Ovidrel)
- chorionic gonadotropin (Pregnyl, Novarel)
- ciclesonide (Alvesco)
- ciclesonide (Omnaris, Zetonna)
- cinacalcet (Sensipar)
- ciprofloxacin-hydrocortisone otic (Cipro HC)
- citalopram 30 mg capsules (Celexa)
- CitraNatal Harmony
- CitraNatal Rx
- citric acid-glucono delta-lactone-magnesium carbonate (Renacidin)
- cladribine (Mavenclad)
- Clarinex-D
- clascoterone cream (Winlevi)
- Clemastine syrup
- clindamycin phosphate foam (Evoclin)
- clindamycin phosphate-benzoyl peroxide gel (Acanya, Onexton)
- clindamycin phosphate-tretinoin gel (Veltin, Ziana)
- clobazam (Onfi)
- clobazam (Sympazan)
- clobetasol 0.05% ophthalmic suspension
- clobetasol foam (Oluv, Olux-E, Tovet)
- clobetasol liquid (Clobex Spray)
- clobetasol propionate cream (Impoyz)
- clobetasol propionate lotion (Impeklo)
- clocortolone pivalate (Cloderm)
- clonidine (Onyda XR)
- clonidine extended release (Nexiclon XR)
- clozapine suspension (Versacloz)
- cobimetinib (Cotellic)
- codeine phosphate-chlorpheniramine (Tuxarin)
- colchicine (Gloperba)
- colchicine (Lodoco)
- corticotropin (Acthar H.P.)
- corticotropin (Cortrophin)
- crisaborole (Eucrisa)
- crizotinib (Xalkori)
- crofelemer (Mytesi)
- cyclobenzaprine (Amrix)
- cyclobenzaprine 7.5 mg (Fexmid)
- cyclosporine (Verkazia)
- cyclosporine (Veyve)
- cyclosporine 0.05% ophthalmic (Restasis)
- cyclosporine ophthalmic solution 0.09% (Cequa)
- cysteamine (Cystadrops)
- cysteamine (Cystaran)
- cysteamine (Procysbi)
- dabigatran (Pradaxa)
- dabrafenib (Tafinlar)
- dacomitinib (Vizimpro)
- dalfampridine (Ampyra)
- danicopan (Voydeya)
- dapagliflozin (Farxiga)
- dapagliflozin-metformin (Xigduo XR)
- dapagliflozin-saxagliptin (Qtern)
- dapsone (Aczone)
- darbepoetin alfa (Aranesp)
- daridorexant (Quviviq)
- darifenacin (Enablex)
- darolutamide (Nubeqa)
- dasatinib (Sprycel)
- dasiglucagon injection (Zegalogue)
- deferasirox sprinkle (Jadenu)
- deferiprone (Ferriprox)
- deflazacort (Emflaza)
- delafloxacin (Baxdela)
- denosumab injection (Xgeva)
- DermacinRx Pretrate
- dermatophagoides pteronyssinus-dermatophagoides farinae (Odactra)
- desloratadine (Clarinex)
- desmopressin acetate (Nocdurna)
- desonide foam (Verdeso)
- desonide gel (Desonate)
- desonide lotion (Desowen)
- desoximetasone (Topicort)
- desoximetasone liquid (Topicort Spray)
- desvenlafaxine ER (Khedezla)
- deucravacitinib (Sotyktu)
- deutetrabenzine (Austedo)
- dexamethasone (Hemady)
- dexamethasone dose pack (Dexabliss, Dxevo, Taperdex, Zcort)
- dexchlopheniramine (Ryclora)
- Dexcom
- dexlansoprazole (Dexilant)
- dexmethylphenidate extended-release (Focalin XR)
- dexmethylphenidate tablet (generic Focalin)
- dextroamphetamine (Procentra oral solution, Zenzedi)
- dextroamphetamine extended-release (Dexedrine Spansule)
- dextroamphetamine transdermal (Xelstrym)
- dextromethorphan-bupropion (Auvelity)
- dextromethorphan-quinidine (Nuedexta)
- diazepam buccal film (Libervant)
- diazepam nasal spray (Valtoco)
- dichlorphenamide (Keveyis)
- diclofenac (Zorvolex)
- diclofenac patch (Flector, Licart)
- diclofenac potassium (Cambia)
- diclofenac potassium 25 mg
- diclofenac potassium capsule (Zipsor)
- diclofenac sodium gel
- diclofenac solution (Pennsaid)
- diethylpropion (Tenuate)
- diflorasone (ApexiCon E)
- dihydroergotamine (D.H.E. 45)
- dihydroergotamine nasal spray (Migranal)
- dihydroergotamine spray (Trudhesa)
- diroximel fumarate (Vumerity)
- donepezil (Adlarity)
- donepezil (Aricept)
- doxazosin extended release (Cardura XL)
- doxepin (Silenor)
- doxepin 5% cream (Prudoxin, Zonalon)
- doxycycline (Oracea)
- doxycycline hyclate (Acticlate, Doryx, Soloxide, Targadox)
- doxycycline monohydrate (Monodoxyne NL)
- doxylamine-pyridoxine (Bonjesta)
- dronabinol solution (Syndros)
- droxidopa (Northera)
- dulaglutide SQ (Trulicity)
- dupilumab (Dupixent)
- dutasteride-tamsulosin (Jalyn)
- duvelisib (Copiktra)
- econazole (Ecoza)
- edaravone (Radicava ORS)
- edoxaban (Savaysa)
- efinaconazole topical solution (Jublia)
- eflapegrastim-xnst (Rolvedon)
- eflornithine (Iwilfin)
- egvaliase-pqpz (Palynziq)
- elacestrant (Orserdu)
- elafibranor (Iqirvo)
- elagolix (Orilissa)
- elagolix-estradiol-norethisterone (Oriahnn)
- elbasvir-grazoprevir (Zepatier)
- eletriptan (Relpax)
- elexacaftor-tezacaftor-ivacaftor (Trikafta)
- eliglustat (Cerdelga)
- eltrombopag (Alvaiz)
- eltrombopag (Promacta)
- eluxadoline (Viberzi)
- empagliflozin (Jardiance)
- empagliflozin-linagliptin (Glyxambi)
- empagliflozin-linagliptin-metformin (Trijardy)
- empagliflozin-metformin (Synjardy)
- enasidenib (Idhifa)
- encorafenib (Braftovi)
- ensifentrine (Ohtuvayre)
- entrectinib (Rozlytrek)
- enzalutamide (Xtandi)
- epinephrine nasal spray (Neffy)
- epinephrine, auto-injector pen (AuviQ, Symjepi)
- eplontersen (Wainua)
- epoetin alfa (Epogen)
- epoetin alfa-epbx (Retacrit)
- eprosartan 600mg
- erdafitinib (Balversa)
- erenumab-aooe (Aimovig)
- erlotinib (Tarceva)
- ertugliflozin (Steglatro)
- ertugliflozin-metformin (Segluromet)
- ertugliflozin-sitagliptin (Steglujan)
- erythromycin capsule, suspension, tablet
- erythropoietin (Procrit)
- eslicarbazepine (Aptiom)
- esomeprazole (Nexium)
- estradiol (Imvexxy)
- etanercept (Enbrel)
- ethacrynic acid (Edecrin)
- etrasimod arginine (Velsipity)
- everolimus suspension (Afinitor Disperz)
- everolimus tablet (Afinitor, Torpenz)
- evolocumab (Repatha)
- exenatide extended-release SQ (Bydureon)
- exenatide SQ (Byetta)
- febuxostat (Uloric)
- fecal microbiota (Vowst)
- fedratinib (Inrebic)
- fenfluramine (Fintepla)
- fenofibrate (Antara, Fenoglide, Lipofen)
- fenofibrate micronized (Antara)
- fenofibric acid (Fibricor)
- fenoprofen (Fenortho, Nalfon)
- fentanyl buccal (Fentora)
- fentanyl lingual spray (Subsys)
- fentanyl lozenge (Actiq)
- fentanyl patch (Duragesic)
- ferric citrate (Auryxia)
- ferric maltol (Accrufer)
- fezolinetant (Veozah)
- fidaxomicin (Dificid)
- filgrastim (Neupogen)
- filgrastim-aafi (Nivestym)
- filgrastim-ayow (Releuko)
- filgrastim-sndz (Zarxio)
- finasteride-tadalafil (Entadfi)
- finerenone (Kerendia)
- fingolimod, ODT (Tascenso)
- flibanserin (Addyi)
- fluocinonide cream (Vanos)
- fluorouracil (Fluoroplex)
- fluorouracil cream (Carac)
- flurandrenolide (Cordran)
- fluticasone (Armonair Digihaler)
- fluticasone (Flovent Diskus, and Flovent HFA)
- fluticasone lotion (Beser, Cutivate)
- fluticasone propionate spray (Xhance)
- fluticasone-salmeterol (Advair HFA)
- fluticasone-salmeterol (AirDuo Digihaler)
- fluticasone-vilanterol (Breo Ellipta)
- fluvastatin extended-release (Lescol XL)
- fluvoxamine extended release (Luvox CR)
- Folet One
- follitropin (Gonal-f, Gonal-F RFF Rediject, Follistim AQ)
- fostamatinib (Tavalisse)
- fostemsavir tromethamine (Rukobia)
- Freestyle Libre
- fremanezumab-vfrm (Ajovy)
- frovatriptan (Frova)
- fruquintinib (Fruzaqla)
- furosemide on-body infusor (Furoscix)
- futibatinib (Lytgobi)
- gabapentin (Gralise)
- gabapentin enacarbil extended-release (Horizant)
- galcanezumab-gnlm (Emgality)
- ganaxolone suspension (Ztalmy)
- ganirelix acetate (Antagon)
- gefitinib (Iressa)
- gilteritinib (Xospata)
- givinostat (Duvyzat)
- glasdegib (Daurismo)
- glecaprevir-pibrentasvir (Mavyret)
- glimepiride 3mg
- glutamine (Endari)
- glycerol phenylbutyrate (Ravicti)
- glycopyrrolate (Dartisla ODT)
- glycopyrrolate (Glycate)
- glycopyrrolate (Lonhala Magnair)
- glycopyrrolate liquid (Cuvposa)
- glycopyrrolate-formoterol fumarate (Bevespi)
- glycopyrronium cloth (Qbrexza)
- golimumab (Simponi)
- granisetron patch (Sancuso)
- guaifenesin-codeine (Guaiatussin AC, GuaiFENesin AC, Maxi-Tuss, Virtussin)
- Guardian Connect
- guselkumab injection (Tremfya)
- halcinonide (Halog)
- halobetasol (Lexette foam, Bryhali lotion)
- halobetasol propionate (Ultravate lotion)
- halobetasol-tazarotene (Duobrii)
- human c1-esterase inhibitor (Haegarda)
- hydrocodone bitartrate (Zohydro ER)
- hydrocodone bitartrate-homatropine methylbromide (Hycodan, Hydromet)
- hydrocodone extended release (Hysingla ER, Zohydro ER)
- hydrocodone-acetaminophen
- hydrocortisone (Alkindi)
- hydrocortisone acetate (Anusol HC)
- hydrocortisone butyrate (Locoid)
- hydrocortisone lotion (Ala-Scalp)
- hydrocortisone probutate (Pandel)
- hydromorphone extended release (Exalgo)
- hydroxychloroquine (Sovuna)
- hydroxyurea (Siklos)
- ibaticant (Firazyr)
- ibrexafungerp (Brexafemme)
- ibrutinib (Imbruvica)
- ibuprofen-famotidine (Duexis)
- icosapent ethyl (Vascepa)
- idelalisib (Zydelig)
- iloperidone (Fanapt)
- imatinib (Gleevec)
- Imiquimod cream (Zyclara)
- indomethacin (Indocin)
- indomethacin (Tivorbex)
- infliximab-dyyb (Zymfentra)
- inotersen injection (Tegsedi)
- Inpen (for Fiasp, Humalog, Novolog)
- insulin aspart (Fiasp, Novolog)
- insulin aspart (Novolog 70/30)
- insulin degludec (Tresiba)
- insulin degludec-liraglutide injection (Xultophy)
- insulin detemir (Levemir)
- insulin glargine (Basaglar)
- insulin glargine-aglr (Rezvoglar)
- insulin glargine-lixisenatide injection (Soliqua)
- insulin glargine-yfgn (Semglee)
- insulin glulisine (Apidra)
- insulin human (Humulin 70/30)
- insulin human (Humulin N, Novolin N)
- insulin isophane and regular (Novolin 70/30)
- insulin lispro (Admelog, Humalog, Lyumjev)
- Insulin lispro (Humalog 75/25 Kwikpen)
- insulin regular (Afrezza)
- insulin regular (Humulin R, Novolin R)
- interferon beta-1a (Rebif, Rebif Rebidose)
- interferon gamma-1b (Actimmune)
- iptacopan (Fabhalta)
- isavuconazonium (Cresemba)
- isotretinoin (Absorica LD)
- istradefylline (Nourianz)
- itraconazole (Sporanox, Tolsura)
- ivabradine (Corlanor)
- ivacaftor (Kalydeco)
- ivermectin cream (Soolantra)
- ivosidenib (Tibsovo)
- ixazomib (Ninlaro)
- ixekizumab (Taltz)
- Jenliva Prenatal-Postnatal
- ketoconazole (Extina, Xolegel)
- ketoprofen
- Ketorolac nasal (Sprix)
- lacosamide (Motpoly XR)
- lactulose (Kristalose)
- lamotrigine (Lamictal XR)
- lamotrigine orally disintegrating tablet (Lamictal ODT)
- lanadelumab-flyo (Takhzyro)
- lansoprazole ODT (Prevacid Solutab)
- lanthanum carbonate (Fosrenol)
- lapatinib (Tykerb)
- larotrectinib (Vitrakvi)
- lasmiditan (Reyvow)
- latanoprost (Iyuzeh, Xelpros)
- latanoprostene (Vyzulta)
- lazertinib (Lazcluze)
- lebrikizumab-lbkz (Ebglyss)
- ledipasvir-sofosbuvir tablet (Harvoni)
- lefamulin acetate injection (Xenleta)
- lemborexant (Dayvigo)
- lenacapavir (Sunlenca)
- lenalidomide (Revlimid)
- leniolisib (Joenja)
- lenvatinib (Lenvima)
- letermovir (Prevymis)
- leuprolide acetate (Lupron, Eligard)
- levacetylleucine (Aqneursa)
- levamlodipine (Conjupri)
- levetiracetam (Elepsia XR)
- levetiracetam (Spritam)
- levodopa (Inbrija)
- levoketoconazole (Recorlev)
- levomilnacipran (Fetzima)
- levorphanol
- levothyroxine (Ermeza)
- lidocaine patch (ZTLido)
- lidocaine topical ointment
- linaclotide (Linzess)
- linagliptin (Tradjenta)
- linagliptin-metformin (Jentadueto/Jentadueto XR)
- linezolid (Zyvox)
- liraglutide (Saxenda)
- liraglutide SQ (Victoza)
- lisdexamfetamine (Vyvanse)
- lisinopril solution (Qbrelis)
- lofexidine (Lucemyra)
- lomitapide (Juxtapid)
- lonafarnib (Zokinvy)
- lonapegsomatropin (Skytrofa)
- lorazepam extended-release (Loreev XR)
- lorlatinib (Lorbrena)
- loteprednol etabonate (Eysuvis)
- loteprednol preservative-free (Inveltys)
- lotilaner (Xdemvy)
- lovastatin (Altoprev)
- lumacaftor-ivacaftor (Orkambi)
- lumateperone (Caplyta)
- lusutrombopag (Mulpleta)
- macitentan (Opsumit)
- macitentan-tadalafil (Opsynvi)
- mannitol (Bronchitol)
- maralixibat (Livmarli)
- maribavir (Livtencity)
- mavacamten (Camzyos)
- mavorixafor (Xolremdi)
- mebendazole (Emverm)
- mecasermin (Increlex)
- mechlorethamine hcl (Valchlor)
- meclofenamate
- mefenamic acid (Ponstel)
- meloxicam (Vivlodex)
- meloxicam ODT (Qmiiz)
- meloxicam oral suspension
- menotropins (Menopur)
- mepolizumab (Nucala)
- mercaptopurine suspension (Purixan)
- mesalamine (Apriso, Asacol HD, Canasa, Delzicol, Lialda, Pentasa, sfRowasa)
- metformin (Fortamet, Glumetza, Riomet, Riomet ER)
- methadone (Dolophine)
- methamphetamine (Desoxyn)
- methocarbamol 1000 mg
- methotrexate (Otrexup)
- methotrexate (Rasuvo)
- methotrexate (Reditrex)
- methotrexate solution (Xatmep)
- methoxy polyethylene glycol-epoetin beta (Mircera)
- methylnaltrexone bromide (Relistor)
- methylphenidate (Methylin, Ritalin)
- Methylphenidate capsule, long-acting (Ritalin LA)
- methylphenidate controlled-delivery (Metadate CD)
- methylphenidate extended-release (Aptensio XR, Metadate ER)
- methylphenidate extended-release (Jornay, Relexxii)
- methylphenidate extended-release, chewable (Quillichew ER)
- methylphenidate oral solution (Methylin)
- methylphenidate orally disintegrating tablet (Cotempla XR ODT)
- methylphenidate patch (Daytrana)
- methylphenidate suspension, extended release (Quillivant XR)
- methylphenidate tablet, extended-release (Concerta ER)
- methyltestosterone tablet (Methitest)
- methyltrexate (Jylamvo)
- metoclopramide (Gimoti)
- metoclopramide orally disintegrating tablet (Metozolv ODT)
- metreleptin (Myalept)
- metronidazole (Likmez)
- metronidazole (Noritate)
- miconazole (Oravig)
- miconazole nitrate-zinc oxide-white petrolatum ointment (Vusion)
- midazolam spray (Nayzilam)
- midostaurin (Rydapt)
- mifepristone (Korlym)
- migalastat (Galafold)
- miglustat (Opfolda)
- miglustat (Yargesa, Zavesca)
- milnacipran (Savella)
- miltefosine (Impavido)
- minocycline aerosol, foam (Zilxi)
- minocycline extended-release (Minolira, Solodyn, Ximino)
- minocycline foam (Amzeeq)
- mirabegron (Myrbetriq)
- mirabegron granules for suspension (Myrbetriq Granules)
- mirikizumab-mrkz (Omvoh)
- mitapivat (Pyrukynd)
- momelotinib (Ojjaara)
- mometasone-formoterol (Dulera)
- monomethyl fumarate (Bafiertam)
- morphine ER (Arymo ER, Avinza, Kadian, Morphabond)
- morphine sulfate-naltrexone, abuse deterrent (Embeda)
- Multi-Mac
- mupirocin cream (Bactroban)
- mycophenolate mofetil (Myhibbin)
- Mynatal
- nabumetone (Relafen DS)
- nafarelin (Synarel)
- naftifine cream, gel (Naftin)
- naldemedine (Symproic)
- nalmefene nasal spray (Opvee)
- naloxegol oxalate (Movantik)
- naloxone (Kloxxado nasal spray, Zimhi injection)
- naltrexone-bupropion (Contrave)
- naproxen (Naprelan CR)
- naproxen suspension (Naprosyn)
- naproxen-esomeprazole (Vimovo)
- nedosiran (Rivfloza)
- nemolizumab-ilto (Nemluvio)
- neomycin-fluocinolone (Neo-Synalar)
- nepafenac (Ilevro 0.3%)
- neratinib (Nerlynx)
- netarsudil (Rhopressa)
- netarsudil-latanoprost (Rocklatan)
- Nexa Plus
- nilotinib (Tasigna)
- nimodipine (Nymalize)
- nintedanib (Ofev)
- niraparib (Zejula)
- niraparib tosylate monohydrate-abiraterone acetate (Akeega)
- nirogacestat (Ogsiveo)
- nitazoxanide (Alinia)
- nitisinone (Nityr)
- nitisinone (Orfadin)
- nitrofurantoin 50 mg/5ml oral suspension
- nitroglycerin ointment (Rectiv)
- Novopen Echo insulin delivery device
- obeticholic acid (Ocaliva)
- Obstetrix One
- ocreotide (Mycapssa)
- octreotide (Sandostatin)
- odevixibat (Bylvay)
- ofatumumab (Kesimpta)
- olanzapine-samidorphan l-malate (Lybalvi)
- olaparib (Lynparza)
- olmesartan-amlodipine-hydrochlorothiazide (Tribenzor)
- olopatadine-mometasone (Ryaltris)
- olsalazine (Dipentum)
- olutasidenib (Rezlidhia)
- omadacycline (Nuzyra)
- omalizumab (Xolair)
- omaveloxolone (Skyclarys)
- omeprazole packet (Prilosec)
- omeprazole-bicarbonate (Zegerid, Konvomep)
- Omnipod
- ondansetron 16 mg ODT
- opicapone (Ongentys)
- orlistat (Xenical)
- orphenadrine-spirin-caffeine (Norgesic Forte, Orphengesic Forte)
- osilodrostat (Isturisa)
- osimertinib (Tagrisso)
- ospemifene (Osphena)
- oteseconazole (Vivjoa)
- oxaprozin (Coxanto)
- oxcarbazepine (Oxtellar XR)
- oxiconazole (Oxistat)
- oxybutynin (2.5 mg tablet)
- oxybutynin (Gelnique)
- oxybutynin patch (Oxytrol)
- oxycodone (Oxaydo)
- oxycodone (Roxybond)
- oxycodone extended release (Oxycontin, Xtampza ER)
- oxycodone-acetaminophen (Nalocet, Primlev, Prolate)
- oxymetazoline hcl cream (Rhofade)
- oxymetazoline hcl ophthalmic solution (Upneeq)
- oxymorphone extended release (Opana ER)
- ozanimod hcl capsule (Zeposia)
- ozenoxacin (Xepi)
- pacritinib (Vonjo)
- palbociclib (Ibrance)
- paliperidone (Invega)
- palopegteriparatide (Yorvipath)
- palovarotene (Sohonos)
- pasireotide (Signifor)
- patiromer powder (Veltassa)
- pazopanib (Votrient)
- peanut allergen powder (Palforzia)
- PEG 3350 (Clenpiq, Moviprep, Plenvu)
- PEG 3350 (Suflave)
- pegcetacoplan (Empaveli)
- pegfilgrastim (Neulasta)
- pegfilgrastim-apgf (Nyvepria)
- pegfilgrastim-bmez (Ziextenzo)
- pegfilgrastim-cbqv (Udenyca)
- pegfilgrastim-jmdb (Fulphila)
- pegfilgrastim-pbbk (Fylnetra)
- pegflilgrastim-fpgk (Stimufend)
- peginterferon alfa-2a (Pegasys)
- peg-interferon beta-1a (Plegridy)
- pegvisomant (Somavert)
- pemigatinib (Pemazyre)
- penciclovir cream (Denavir)
- penicillamine (Cuprimine)
- penicillamine (Depen)
- penicillamine (D-penamine)
- perampanel (Fycompa)
- perfluorohyxyloctane (Miebo)
- perindopril-amlodipine (Prestalia)
- pexidartinib (Turalio)
- phendimetrazine (Bontril PDM)
- phenoxybenzamine (Dibenzyline)
- phentermine (Adipex-P, Fastin, Lomaira)
- phentermine-topiramate (Qsymia)
- pilocarpine hcl solution (Vuity)
- pimavanserin tartrate (Nuplazid)
- pioglitazone-glimepiride (Duetact)
- pirfenidone (Esbriet)
- pirtobrutinib (Jaypirca)
- pitavastatin (Livalo)
- pitavastatin magnesium (Zypitamag)
- pitolisant (Wakix)
- plecanatide (Trulance)
- plerixafor (Mozobil)
- PNV Tabs 20-1
- PNV-DHA+Docusate
- podofilox (Condylox)
- pomalidomide (Pomalyst)
- ponatinib (Iclusig)
- ponesimod (Ponvory)
- posaconazole (Noxafil)
- potassium chloride powder (Pokonza)
- potassium oral solution
- pralsetinib (Gavreto)
- pramlintide (SymlinPen)
- prasterone (Intrarosa)
- prednisolone (Millipred, Millipred Dose Pack, Orapred ODT, Pediapred solution)
- prednisone tablet (Rayos)
- pregabalin (Lyrica CR)
- PreGen DHA
- PreGenna
- Prenara
- Prenatol-M
- Prenatrix
- Prenatryl
- progesterone (Crinone 4)
- progesterone (Crinone 8)
- progesterone (Endometrin)
- propranolol (Hemangeol)
- propranolol SR (Inderal XL, Innopran XL)
- prucalopride (Motegrity)
- pyrimethamine (Daraprim)
- quetiapine (Seroquel XR)
- quizartinib (Vanflyta)
- rabeprazole sprinkle (Aciphex Sprinkle)
- ramelteon (Rozerem)
- ranolazine (Aspruzyo)
- regorafenib (Stivarga)
- relugolix (Orgovyx)
- relugolix-estradiol hemihydrate-norethindrone acetate (Myfembree)
- repotrectinib (Augtyro)
- resmetirom (Rezdiffra)
- retapamulin (Altabax)
- revefenacin (Yupelri)
- ribociclib (Kisqali)
- ribociclib-letrozole (Kisqali Femara CoPack)
- rifamyin (Aemcolo)
- rifaximin (Xifaxan)
- rilonacept (Arcalyst)
- riluzole (Exservan film, Tiglutik)
- rimegepant sulfate (Nurtec)
- riociguat (Adempas)
- ripretinib (Qinlock)
- risankizumab-rzaa (Skyrizi)
- risdiplam (Evrysdi)
- risedronate (Actonel 30 mg)
- ritlecitinib (Litfulo)
- roflumilast (Daliresp)
- roflumilast aerosol foam (Zoryve)
- roflumilast cream (Zoryve)
- ropeginterferon alfa-2b (Besremi)
- rucaparib (Rubraca)
- rufinamide (Banzel)
- ruxolitinib (Jakafi)
- ruxolitinib (Opzelura)
- sacrosidase (Sucraid)
- sacubitril-valsartan (Entresto Sprinkle)
- safinamide mesylate (Xadago)
- sapropterin (Kuvan)
- sarecycline (Seysara)
- sargramostim (Leukine)
- sarilumab (Kevzara)
- satralizumab (Enspryng)
- saxagliptin (Onglyza)
- saxagliptin-metformin (Kombiglyze XR)
- secnidazole (Solosec)
- secukinumab (Cosentyx)
- seladelpar (Livdelzi)
- selexipag (Uptravi)
- selinexor (Xpovio)
- selpercatinib (Retevmo)
- selumetinib (Koselugo)
- semaglutide (Wegovy)
- semaglutide SQ (Ozempic)
- semaglutide tablet (Rybelsus)
- serdexmethylphenidate-dexmethylphenidate (Azstarys)
- sertaconazole (Ertaczo, Luzu)
- setmelanotide (Imcivree)
- sevelamer carbonate, oral packet (Renvela)
- sildenafil (Viagra)
- sildenafil 20mg (Revatio)
- sildenafil suspension (Liqrev)
- simvastatin suspension (FloLipid)
- sinecatechins ointment (Veregen)
- siponimod (Mayzent)
- sirolimus gel (Hyftor)
- sitagliptin (Januvia, Zituvio)
- sitagliptin-metformin (Janumet, Janumet XR)
- sodium oxybate ER (Lumryz)
- sodium oxybate solution (Xyrem)
- sodium phenylbutyrate (Buphenyl, Olpruva, Pheburane)
- sodium sulfate-magnesium sulfate-potassium chloride (Sutab)
- sofosbuvir (Sovaldi)
- sofosbuvir-velpatasvir-voxilaprevir (Vosevi)
- sofpironium topical gel (Sofdra)
- solifenacin (Vesicare LS)
- solriamfetol (Sunosi)
- somatropin (Genotropin, Humatrope, Ngenla, Norditropin, Nutropin, Nutropin AQ, Omnitrope, Saizen, Sogroya, Zomacton)
- somatropin (Serostim)
- sonidegib (Odomzo)
- sorafenib (Nexavar)
- sotagliflozin (Inpefa)
- sotalol (Sotylize)
- sotatercept-csrk (Winrevair)
- sotorasib (Lumakras)
- sparsentan (Filspari)
- spesolimab-sbzo (Spevigo)
- spironolactone (Carospir)
- stiripentol (Diacomit)
- sucroferric oxyhydroxide (Velphoro)
- sulfacetamide sodium-sulfur (Ovace, Plexion cleanser, cream, lotion, pad)
- sumatriptan (Onzetra Xsail)
- sumatriptan injection (Zembrace)
- sumatriptan spray (Tosymra)
- sumatriptan-naproxen (Treximet)
- sunitinib (Sutent)
- suvorexant (Belsomra)
- tacrolimus (Envarsus XR)
- tacrolimus (Prograf Granules)
- tacrolimus ointment (Protopic)
- tadalafil (Cialis)
- tadalafil 20mg (Adcirca, Alyq, Tadliq)
- tafamidis capsule (Vyndamax)
- tafamidis meglumine capsule (Vyndaqel)
- tafenoquine (Arakoda)
- tafluprost (Zioptan)
- talazoparib (Talzenna)
- tapentadol (Nucynta ER)
- tapentadol hydrochloride (Nucynta)
- tapinarof cream (Vtama)
- tasimelteon (Hetlioz LQ)
- tasimelteon (Hetlioz)
- tavaborole topical solution (Kerydin)
- tazarotene (Arazlo)
- tazarotene aerosol foam (Fabior)
- tazemetostat (Tazverik)
- tbo-filgrastim (Granix)
- tedizolid (Sivextro)
- teglutide (Gattex)
- telmisartan-amlodipine (Twynsta)
- telmisartan-hydrochlorothiazide (Micardis HCT)
- telotristat etiprate (Xermelo)
- tenapanor (Xphozah)
- tenapanor hydrochloride (Ibsrela)
- tenofovir-alafenamide (Vemlidy)
- tepotinib (Tepmetko)
- teriflunomide (Aubagio)
- teriparatide SQ (Forteo)
- tesamorelin (Egrifta)
- testosterone enanthate injection (Xyosted)
- testosterone gel, packet, patch, pump (Androderm, Androgel, Axiron, Fortesta, Testim, Vogelxo)
- testosterone nasal (Natesto)
- testosterone undecanoate capsule (Jatenzo, Kyzatrex, Tlando)
- tetrabenazine (Xenazine)
- tezacaftor-ivacaftor (Symdeko)
- tezepelumab-ekko autoinjector pen (Tezspire)
- thalidomide (Thalomid)
- Timolol preservative-free (Timoptic Ocudose)
- timothy grass pollen allergen extract tablet (Grastek)
- tiopronin (Thiola, Thiola EC)
- tiotropium bromide (Spiriva HandiHaler)
- tiotropium bromide-olodaterol spray (Stiolto)
- tirbanibulin (Klisyri)
- tirzepatide (Mounjaro)
- tirzepatide SQ (Zepbound)
- tivozanib (Fotivda)
- tobramycin inhalation solution (Bethkis, Kitabis, Tobi)
- tocilizumab syringe (Actemra)
- tocilizumab-aazg syringe (Tyenne)
- tofacitinib (Xeljanz/Xeljanz XR, Xeljanz solution)
- tolcapone (Tasmar)
- tolmetin (Tolectin)
- tolterodine (Detrol/Detrol LA)
- tolvaptan (Jynarque)
- tolvaptan (Samsca)
- topiramate (Eprontia)
- topiramate er (Trokendi XR)
- topiramate extended release capsule (Qudexy XR)
- torsemide (Soaanz)
- tovorafenib (Ojemda)
- tralokinumab-ldrm (Adbry)
- tramadol (tramadol 25 mg tablet, Qdolo)
- tramadol extended-release (Conzip, Ryzolt, Ultram ER)
- trametinib (Mekinist)
- travoprost (Travatan Z)
- treprostinil (Orenitram ER)
- treprostinil (Tyvaso DPI)
- tretinoin gel (Atralin)
- tretinoin microsphere gel (Retin-A Micro)
- tretinoin-benzoyl peroxide cream (Twyneo)
- triamcinolone (Kenalog Spray)
- triamcinolone ointment (Trianex)
- triameterene (Dyrenium)
- trientine (Syprine)
- trientine tetrahydrochloride (Cuvrior)
- trifarotene (Aklief)
- trifluridine-tipiracil (Lonsurf)
- triheptanoin (Dojolvi)
- Trinaz
- trofinetide (Daybue)
- trospium XR (Sanctura XR)
- tucatinib (Tukysa)
- ubrogepant (Ubrelvy)
- upadacitinib (Rinvoq)
- uridine triacetate granule (Xuriden)
- ursodiol (Reltone)
- ustekinumab (Stelara)
- valbenazine (Ingrezza)
- valsartan (Diovan)
- vamorolone (Agamree)
- vancomycin solution (Firvanq)
- vandetanib (Caprelsa)
- vardenafil (Levitra, Staxyn ODT)
- varenicline spray (Tyrvaya)
- vedolizumab (Entyvio SQ)
- velpatasvir-sofosbuvir (Epclusa)
- vemurafenib (Zelboraf)
- venetoclax (Venclexta)
- vericiguat (Verquvo)
- V-Go
- vibegron (Gemtesa)
- vigabatrin (Sabril)
- vigabatrin (Vigafyde)
- vilazodone (Viibryd)
- viloxazine hcl (Qelbree)
- vismodegib (Erivedge)
- voclosporin (Lupkynis)
- vonopazan (Voquezna)
- vorasidenib (Voranigo)
- voriconazole (Vfend)
- vorinostat (Zolinza)
- vortioxetine (Trintellix)
- vosoritide (Voxzogo)
- xanomeline-trospium (Cobenfy)
- Zalvit
- zanubrutinib (Brukinsa)
- zavegepant (Zavzpret)
- zileuton (Zyflo)
- zileuton controlled release (Zyflo CR)
- zilucoplan injection (Zilbrysq)
- Ziphex
- zolmitriptan nasal spray (Zomig)
- zolpidem (Edular, Intermezzo)
- zonisamide (Zonisade)
- zuranolone (Zurzuvae)
Medication policy user guide
This brief user guide describes our medication policy, explains terms used, and includes contact info for more information
About medication policy
Find out how our medication policy, which determines if a service will be covered by a plan, is reviewed and updated.
Drug formulary, policy and forms
Search our drug formulary database, get prior authorization forms, and find information on oral and topical drugs, home-injectable drugs and more.