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Browse alphabetically to medications listed in the Medication Policy:

Medication Policy

Browse policies by brand name:

 

Policy Name Revised
 
A
 Abraxane®, nab paclitaxel 03/01/2017
 Abstral®, fentanyl sublingual tablets 09/01/2016
 Absorica®, isotretinoin 04/01/2016
 Acanya®, benzoyl peroxide / blindamycin 04/01/2016
 Accupril®, quinapril 01/01/2017
 Accuretic™, quinapril/ HCTZ 01/01/2017
 Aceon®, perindopril 01/01/2017
 Aciphex®:, rabeprazole 01/01/2017
 Actemra®, tocilizumab 01/01/2017
 Acthar®; Gel, H.P., repository corticotropin injection 07/01/2016
 Acticlate®, doxycycline hyclate 04/01/2016
 Actiq®, fentanyl citrate oral transmucosal lozenges 09/01/2016
 Actonel®, risedronate 07/01/2016
 Actonal® with Calcium (risedronate sodium w/ calcium carbonate 06/12/2015
 Aczone®, dapsone 03/11/2016
 Adagen®, pegademase bovine 12/01/2016
 Adcetris®, brentuximab 10/01/2016
 Adcirca®, tadalafil 20 mg 07/01/2016
 Addyi™, flibanserin oral 10/01/2016
 Adempas®, riociguat 07/01/2016
 Adlyxin™, lixisenatide 03/06/2017
 Adrenaclick®, epinephrine autoinjector 02/17/2017
 Advair®, fluticasone propionate/salmeterol MDI and DPI 01/01/2017
 Aerospan®, flunisolide MDI 01/01/2017
 Afinitor®, Afinitor® Disperz, everolimus 12/01/2016
 Afrezza®, inhaled insulin 06/01/2016
 Aggrenox®, aspirin/extended-release dipyridamole 10/01/2016
 Akynzeo®, netupitant/palonosetron 08/01/2016
 Aldurazyme®, laronidase 12/01/2016
 Alecensa™, alectinib 03/11/2016
 Alimta®, pemetrexed 03/01/2017
 Aloxi®, palonsetron 08/01/2016
 Alsuma®, sumatriptan 12/11/2015
 Altace®, ramipril 01/01/2017
 Altoprev®, lovastatin ER 10/01/2016
 Alvesco®, ciclesonide MDI 01/01/2017
 Ambien® CR, zolpidem ER 05/01/2016
 Ambien IR, zolpidem 10/01/2016
 Amitiza®:, lubiprostone 02/01/2017
 amphetamine-dextroamphetamine ER 05/01/2016
 Ampyra®, dalfampridine 01/01/2017
 Amrix®, cyclobenzaprine ER 10/01/2016
 Anaprox®/Anaprox® DS, naproxen sodium 03/01/2017
 AndroGel®, AndroGel Pump®, testosterone 1% gel 03/01/2017
 Androderm®, testosterone transdermal patch 03/01/2017
 Android®, methyltestosterone 03/01/2017
 Androxy®, fluoxymesterone 03/01/2017
 Apidra®/ Apidra SoloStar®, insulin 06/01/2016
 Aplenzin™, bupropion hydrobromide 10/01/2016
 Aralast NP, alpha 1 proteinase inhibitor 01/01/2017
 Arcalyst®, rilonacept 11/01/2016
 aripiprazole 04/01/2016
 Arnuity® Ellipta®, fluticasone furoate DPI 01/01/2017
 Arthrotec®, diclofenac-misoprostol 03/01/2017
 Arzerra®, ofatumumab 02/01/2017
 Asacol HD®, mesalamine DR 01/01/2017
 Atacand®, candesartan 01/01/2017
 Atacand HCT®, candesartan/hydrochlorothiazide 01/01/2017
 Atelvia®, risedronate sodium delayed-release 07/01/2016
 Ativan®, lorazepam 10/01/2016
 Atralin®, tretinoin 04/01/2016
 Aubagio®, teriflunomide 01/01/2017
 Auvi-Q®, epinephrine autoinjector 02/17/2017
 Avalide;, irbesartan/ HCTZ 01/01/2017
 Avapro®, irbesartan 01/01/2017
 Avastin®, bevacizumab 03/01/2017
 Aveed®, testosterone undecanoate 03/01/2017
 Avinza®, morphine sulfate ER 10/21/2016
 Avita®, tretinoin topical 06/12/2015
 Avonex®, interferon beta-1a 02/22/2017
 Axert®, almotriptan 01/01/2017
 Axiron®, testosterone topical solution 03/01/2017
 Azor®, olmesartan /amlodipine 01/01/2017
 
B
 Beconase AQ®, beclomethasone nasal 03/01/2017
 Beleodaq®, belinostat 10/01/2016
 Belsomra®, suvorexant 05/01/2016
 Benicar HCT®, olmesartan/hydrochlorothiazide 01/01/2017
 Benicar®, olmesartan/hydrochlorothiazide 01/01/2017
 Benlysta®, belimumab 12/01/2016
 Benzaclin®, benzoyl peroxide / clindamycin 04/01/2016
 Berinert®, plasma-derived C1 esterase inhibitor 12/01/2016
 Betaseron®, interferon beta-1b 02/22/2017
 Bivigam®, (Immune Globulin Replacement Therapy) 12/01/2016
 Blincyto™, blinatumomab 10/01/2016
 Bosulif®, bosutinib 02/01/2017
 Botox®, onabotulinumtoxinA Injection 03/01/2017
 Branded extended release metformin (effective 4/1/2016) 10/09/2015
 Breo® Ellipta®, fluticasone furoate/vilanterol DPI 01/01/2017
 Brintellix®, vortioxetine 10/01/2016
 Buphenyl®, sodium phenylbutyrate 08/01/2016
 Butrans®, buprenorphine transdermal 10/21/2016
 Bydureon®, exenatide 06/01/2016
 Byetta®, exenatide 06/01/2016
 Byvalson®, nebivolol/valsartan 01/01/2017
 
C
 Cabometyx™, cabozantinib 05/13/2016
 Caduet®, amlodipine/atorvastatin 10/01/2016
 Cafergot®, ergotamine tartrate/caffeine 01/01/2017
 Cambia® packets, diclofenac, 50mg 03/01/2017
 candesartan, candesartan-HCTZ 01/01/2017
 Caprelsa®, vandetanib 06/01/2016
 Carbaglu®, carglumic acid 12/01/2016
 Carimune® NF (Immune Globulin Replacement Therapy) 12/01/2016
 Celebrex®, celecoxib 03/01/2017
 Cerdelga™, eliglustat 12/01/2016
 Cerezyme®, imiglucerase 12/01/2016
 Cerezyme®, imiglucerase (effective 4-1-2017) 12/01/2016
 Cholbam®, cholic acid 08/01/2016
 Cialis®, tadalafil 2.5 mg, 5 mg, 10 mg, 20 mg 07/01/2016
 Cimzia®, certolizumab pegol 01/01/2017
 Cinryze®, C1 inhibitor (human) 12/01/2016
 Cinqair®, reslizumab 11/01/2016
 Clindagel®, clindamycin 04/01/2016
 Clorpres®, chlorthalidone, clonidine 01/01/2017
 Cometriq®, cabozantinib 05/13/2016
 Compounded Medications 05/01/2016
 Contraceptives, Self-administered 10/01/2016
 Copaxone®, glatiramer acetate 01/01/2017
 Corlanor®, ivabradine 09/01/2016
 Corzide®, nadolol/ bendroflumethiazide 01/01/2017
 Cosentyx™, secukinumab 01/01/2017
 Cotellic™, cobimetinib 06/01/2016
 Cozaar®, losartan 01/01/2017
 Crestor®, rosuvastatin 10/01/2016
 Cuprimine®, penicillamine 10/01/2016
 Cuvitru™, immune globulin 12/01/2016
 Cycle Management Program 11/11/2016
 Cyramza™, ramucirumab 10/01/2016
 
D
 Daklinza™, daclatasvir 03/01/2017
 Darzalex®, daratumumab 08/01/2016
 Daypro®, oxaprozin 03/01/2017
 Delzicol®, mesalamine DR 01/01/2017
 Demser®, metyrosine 07/01/2016
 DermacinRx® Azenase Pak 03/01/2017
 Dexilant®, dexlansoprazole 01/01/2017
 D.H.E. 45®, dihydroergotamine mesylate (effective 5-1-2017) 01/01/2017
 Diabetic Test Supply: Abbott Blood Glucose Meters and Testing Strips (Including, but not limited to FreeStyle and Precision line of products) 01/01/2017
 Diabetic Test Supply: Bayer (including but not limited to the Contour and Breeze) 01/01/2017
 Diabetic Test Supply: Nipro (including, but not limited to the True line and Sidekick) 01/01/2017
 Diabetic Test Supply: Roche (including, but not limited to Accu-Chek) 01/01/2017
 Diovan®, valsartan 01/01/2017
 Diovan HCT®, valsartan/hydrochlorothiazide 01/01/2017
 Dipentum®, olsalazine 01/01/2017
 Doryx® / Doryx® MPC, doxycycline hyclate ER 04/01/2016
 Doxil®, doxorubicin liposomal injection 03/01/2017
 Duac®, benzoyl peroxide / clindamycin 04/01/2016
 Duexis®, ibuprofen/famotidine 03/01/2017
 Duopa®, carbidopa/levodopa enteral infusion 08/01/2016
 Dupixent®, dupilumab 03/10/2017
 Dutoprol Extended Release®, metoprolol, HCTZ 01/01/2017
 Dymista®, fluticasone propionate with azelastine nasal spray 03/01/2017
 Dysport®, abobotulinumtoxinA Injection 03/01/2017
 
E
 Edarbi™, azilsartan 04/01/2016
 Edarbyclor™, azilsartan/chlorthalidone 01/01/2017
 Edluar®, zolpidem sublingual tablets 05/01/2016
 Effexor XR®, venlafaxine HCl ER 10/01/2016
 Egrifta®, tesamorelin 12/01/2016
 Elaprase®:, idursulfase 12/01/2016
 Elavil®, amitriptyline 10/01/2016
 Elelyso®, taliglucerase alfa 12/01/2016
 Elelyso®, taliglucerase alfa (effective 4-1-2017) 12/01/2016
 Embeda®, morphine sulfate-naltrexone ER 10/21/2016
 Emflaza™, deflazacort 02/17/2017
 Empliciti®, elotuzumab 08/01/2016
 Enablex®, darifenacin 07/01/2016
 Enbrel®, etanercept 04/01/2016
 Entresto®, sacubitril-valsartan 09/01/2016
 Entyvio®, vedolizumab 04/01/2016
 Enzyme Replacement Therapies 04/01/2016
 Epanova®, omega-3 acid 10/01/2016
 Epclusa®, sofosbuvir-velpatasvir 03/01/2017
 Erbitux®, cetuximab 10/01/2016
 Ergomar®, ergotamine tartrate (effective 5-1-2017) 01/01/2017
 Erivedge®, vismodegib 04/01/2016
 Esbriet®, pirfenidone 12/01/2016
 eprosartan 03/13/2015
 esomeprazole-containing medications 01/01/2017
 eszopiclone 05/01/2016
 Eucrisa™, crisaborole 03/10/2017
 Euflexxa®, 1% sodium hyaluronate 07/01/2016
 Evzio®, naloxone hydrochloride autoinjector 01/13/2017
 Exalgo®, hydromorphone ER 10/21/2016
 Exforge®, valsartan/amlodipine 01/01/2017
 Exforge HCT®, valsartan/amlodipine/hydrochlorothiazide 01/01/2017
 Exondys 51™, eteplirsen 01/13/2017
 Extavia®, interferon beta-1b 02/22/2017
 Eylea®, aflibercept 06/01/2016
 
F
 Fabrazyme®, agalsidase beta 12/01/2016
 Fanapt®, iloperidone 01/01/2017
 Farxiga®, dapagliflozin 03/06/2017
 Farydak®, panobinostat 08/01/2016
 Feldene®, piroxicam 03/01/2017
 Fenortho&trade, fenoprofen 03/01/2017
 fentanyl citrate oral transmucosal lozenges 09/01/2016
 Fentora®, fentanyl citrate buccal tablet 09/01/2016
 Fenortho™, fenoprofen 02/12/2016
 Fetzima™, levomilnacipran 10/01/2016
 Fetzima™, levomilnacipran 10/01/2016
 finasteride 1 mg (generic, Propecia®) 01/01/2017
 Firazyr®, icatibant 12/01/2016
 Flebogamma® DIF (Immune Globulin Replacement Therapy) 12/01/2016
 Flector®, diclofenac topical patch 03/01/2017
 Flovent®, fluticasone propionate MDI and DPI 01/01/2017
 Folotyn®, pralatrexate 10/01/2016
 Forfivo XL™, bupropion XL 10/01/2016
 Fortamet®, metformin HCl ER, osmotic release 10/01/2016
 Forteo®, teriparatide 07/01/2016
 Fortesta®, testosterone topical gel 03/01/2017
 Frova®, frovatriptan 01/01/2017
 Fulyzaq™, crofelemer 10/01/2016
 
G
 Gammagard®/Gammagard S/D® (Immune Globulin Replacement Therapy) 12/01/2016
 Gammaplex®, Immune Globulin Replacement Therapy 12/01/2016
 Gamunex-C®, Immune Globulin Replacement Therapy 12/01/2016
 Gattex®, teduglutide 01/01/2017
 Gazyva®, obinutuzumab 02/01/2017
 Gelnique®, oxybutynin transdermal gel 07/01/2016
 Gel-One®, sodium hyaluronate 07/01/2016
 Gel-Syn™, sodium hyaluronate 07/01/2016
 GenVisc® 850, sodium hyaluronate 07/01/2016
 Genotropin®, somatropin 01/01/2017
 Giazo®, balsalazide 01/01/2017
 Gilenya®, fingolimod 01/01/2017
 Gilotrif®, afatinib 10/01/2016
 Glassia, alpha 1 proteinase inhibitor 01/01/2017
 Gleevec®, imatinib mesylate 02/01/2017
 Glumetza®, metformin HCl ER, modified release 10/01/2016
 Glyxambi®, empagliflozin/linagliptin 03/06/2017
 Gralise®, gabapentin 10/01/2016
 Gralise®, gabapentin (effective 1/1/2017) 10/01/2016
 Grastek®, grass allergen immunotherapy 09/01/2016
 Growth Hormone 01/01/2017
 
H
 Halaven®, eribulin 03/01/2017
 Harvoni®, ledipasvir-sofosbuvir 03/01/2017
 Hetlioz®, tasimelteon 05/01/2016
 High-cost acne products 04/01/2016
 High-Cost Antidepressant Medications 10/01/2016
 High-Cost Antidepressant Medications (effective 1/1/2017) 10/01/2016
 High-cost atypical antipsychotics 10/09/2015
 High cost drugs with lower cost alternatives 10/01/2016
 High cost drugs with lower cost alternatives (effective 1/1/2017) 10/01/2016
 High-cost Generic Long-acting Opioids 09/01/2016
 High Cost Generically Available Angiotensin Receptor Blocker (ARB) Medications 04/01/2016
 High-cost lipid-modifying medications 10/01/2016
 High-cost nasal corticosteroid-containing products 03/01/2017
 High cost nonsteroidal anti-inflammatory drugs (NSAIDs) 03/01/2017
 Hizentra® (SQ preparation), (Immune Globulin Replacement Therapy) 12/01/2016
 Horizant®, gabapentin enacarbil 10/01/2016
 H.P. Acthar® Gel, repository corticotropin injection 07/01/2016
 Humatrope®, somatropin 01/01/2017
 Humira®, adalimumab 01/01/2017
 Hyalgan®, sodium hyaluronate 07/01/2016
 Hymovis®, high molecular weight hyaluronan 07/01/2016
 Hyqvia®, immune globulin replacement therapy 12/01/2016
 Hysingla™ ER, hydrocodone ER 10/21/2016
 Hyzaar®, losartan/ HCTZ 01/01/2017
 
I
 Ibrance®, palbociclib 04/01/2016
 Iclusig®, ponatinib 02/01/2017
 Ilaris®, canakinumab 02/01/2017
 imatinib-containing products 02/01/2017
 Imbruvica®, ibrutinib 02/01/2017
 Imlygic&trade:, talimogene laherparepvec 03/01/2017
 Immune Globulin Replacement Therapy 05/01/2016
 Increlex®, mecasermin 01/08/2016
 Indera® XL, propranolol HCL ER 01/01/2017
 Inderal® LA, propranolol extended release 01/01/2017
 Infused Medication Alternative Site of Care 08/01/2016
 Inlyta®, axitinib 12/01/2016
 InnoPran® XL, propranolol HCI 01/01/2017
 Intermezzo®, zolpidem SL 05/01/2016
 Invega®, paliperidone 01/01/2017
 Invokana®, canagliflozin 01/01/2017
 Invokamet™, canagliflozin/metformin 01/01/2017
 Iressa®, gefitinib 10/01/2016
 Istodax®, romidepsin 10/01/2016
 IVIG, immune globulin 12/01/2016
 
J
 Jakafi®, ruxolitinib 02/01/2017
 Janumet®/Janumet XR®, sitagliptin/metformin 06/01/2016
 Januvia®, sitagliptin 06/01/2016
 Jardiance®, empagliflozin 01/01/2017
 Jentadueto®, linagliptin/metformin 06/01/2016
 Jevtana®, cabazitaxel 02/01/2017
 Jublia®, efinaconazole 10% 02/01/2017
 Juxtapid™, lomitapide 07/01/2016
 
K
 Kadcyla®, ado-trastuzumab emtansine 06/01/2016
 Kadian®, morphine sulfate ER 10/21/2016
 Kalbitor®, ecallantide 12/01/2016
 Kalydeco®, ivacaftor 03/01/2017
 Kanuma®, sebelipase alfa 12/01/2016
 Kazano®, alogliptin/metformin 06/01/2016
 Kerydin®, tavaborole 5% 02/01/2017
 Keveyis™, dichlorphenamide 12/01/2016
 Keytruda®, pembrolizumab 03/01/2017
 Khedezla, desvenlafaxine 06/01/2016
 Kineret®, anakinra 01/01/2017
 Khedezla™, desvenlafaxine 10/01/2016
 Kombiglyze XR®, saxagliptin/metformin 06/01/2016
 Krystexxa™, pegloticase 04/01/2016
 Kuvan®, sapropterin 09/01/2016
 Kyleena™, levonorgestrel 10/01/2016
 Kynamro™, mipomersen 07/01/2016
 Kyprolis®, carfilzomib 08/01/2016
 
L
 Lartruvo™, olaratumab 01/13/2017
 Latuda®, lurasidone 01/01/2017
 Lazanda®, fentanyl nasal spray 09/01/2016
 Lemtrada™, alemtuzumab 02/01/2017
 Lenvima®, lenvatinib 10/01/2016
 Lescol®, fluvastatin 10/01/2016
 Lescol XL®, fluvastatin ER 10/01/2016
 Letairis®, ambrisentan 07/01/2016
 Levitra®, vardenafil 07/01/2016
 Lexapro®, escitalopram 10/01/2016
 Liletta™, levonorgestrel 10/01/2016
 Lipitor®, atorvastatin 10/01/2016
 Lipodox®, doxorubicin liposomal injection 03/01/2017
 Livalo®, pitavastatin 10/01/2016
 Lonsurf®, trifluridine/tipiracil 01/01/2017
 Lopressor HCT®, metoprolol/ HCTZ 01/01/2017
 Lotensin HCT®, benazepril/ HCTZ 01/01/2017
 Lotensin®, benazepril 01/01/2017
 Lotrel®, amlodipine/ benazepril 01/01/2017
 Lovaza®, omega-3 acid 10/01/2016
 Lucentis®, ranibizumab 06/01/2016
 Lumigan®, bimatoprost 01/01/2017
 Lumizyme®, alglucosidase alfa 12/01/2016
 Lunesta®, eszopiclone 05/01/2016
 Lynparza™, olaparib 03/01/2017
 Lyrica®, pregabalin 06/01/2016
 
M
 Makena®, hydroxyprogesterone caproate 10/01/2016
 Marqibo®, vincristine sulfate liposome injection 09/01/2016
 Mavik®, trandolapril 01/01/2017
 Medical Exception Criteria for Closed Pharmacy Benefit Designs 05/01/2016
 Medical Exception Criteria for Tiered Benefit Designs with Tier Copay Exceptions 05/01/2016
 Medical Exception Criteria: MAC A and B Benefit Design Differential/ Penalty Exceptions 09/01/2016
 Medication Policy Manual Introduction 07/01/2016
 Mekinist™, trametinib 04/01/2016
 Methitest™, methyltestosterone 03/01/2017
 Micardis®, telmisartan 01/01/2017
 Micardis HCT®, telmisartan/hydrochlorothiazide 01/01/2017
 Migergot®, ergotamine tartrate/caffeine (effective 5-1-2017) 01/01/2017
 Migranal®, dihydroergotamine mesylate (effective 5-1-2017) 01/01/2017
 Minocin®, minocycline 04/01/2016
 Mirena®, levonorgestrel 10/01/2016
 Mirvaso®, brimonidine 02/01/2017
 Mobic®:, meloxicam 03/01/2017
 Monodox®, doxycycline 04/01/2016
 Monovisc®, sodium hyaluronate 07/01/2016
 Morgidox®, doxycycline 04/01/2016
 Movantik™, naloxegol 09/01/2016
 MS Contin®, morphine sulfate ER 10/21/2016
 Myalept®, metreleptin 07/01/2016
 Myobloc®, rimabotulinumtoxin B 03/01/2017
 Myozyme®, alglucosidase alfa 12/01/2016
 Myrbetriq®, mirabegron 07/01/2016
 Mytesi®, crofelemer 10/01/2016
 
N
 Naglazyme®, galsulfase 12/01/2016
 Nalfon®, fenoprofen 03/01/2017
 Nasonex®, mometasone nasal 03/01/2017
 Natesto™, testosterone nasal gel 03/01/2017
 Natpara®, parathyroid hormone 07/01/2016
 Nesina®, alogliptin 06/01/2016
 Neuac®, clindamycin phosphate and benzoyl peroxide 04/01/2016
 Neulasta®, pegfilgrastim 09/01/2016
 Nexavar®, sorafenib 12/01/2016
 Nexium®, esomeprazole 01/01/2017
 Nicotrol® oral inhaler;/Nicotrol NS® nasal solution (nicotine) 02/01/2017
 Nilandron®, nilutamide 10/01/2016
 Ninlaro®, ixazomib 08/01/2016
 Non-Preferred Branded Renin-Aldosterone-SystemAntagonist-Containing Medications 04/01/2016
 Norditropin®, somatropin 01/01/2017
 Noritate®, metronidazole 12/01/2016
 Novacort®, hydrocortisone/pramoxine 10/01/2016
 Novolin N® / Novolin R® / Novolin Mix 70/30, insulin 06/01/2016
 NovoLog® / NovoLog® FlexPen / NovoLog® Mix 70/30 / NovoLog® Mix 70/30 FlexPen 06/01/2016
 Nplate®, romiplostim 05/01/2016
 Nucala™, mepolizumab 11/01/2016
 Nucynta® ER, tapentadol ER 10/21/2016
 Nuplazid™, pimavanserin 06/10/2016
 Nutropin® / Nutropin AQ®, somatropin 01/01/2017
 Nuvigil®, armodafinil 10/01/2016
 
O
 Ocaliva™, obeticholic acid 7-15-2016
 Ocrevus®, ocrelizumab 01/01/2017
 Octagam®, Immune Globulin Replacement Therapy 12/01/2016
 Odomzo®, sonidegib 04/01/2016
 Ofev®, nintedanib 12/01/2016
 Olysio®, simeprevir 03/01/2017
 Omnaris®, ciclesonide nasal 03/01/2017
 Omnitrope®, somatropin 01/01/2017
 Omtryg™, Omega-3 acid 10/01/2016
 Onexton™, clindamycin phosphate / benzoyl peroxide 04/01/2016
 Onglyza®, saxagliptin 06/01/2016
 Onivyde™, irinotecan liposome injection 02/01/2017
 Onsolis®, fentanyl buccal soluble film 09/01/2016
 Onzetra&trade: Xsail™ 01/01/2017
 Opana® ER, oxymorphone ER abuse-deterrent 10/21/2016
 Opdivo®, nivolumab 04/01/2016
 Opioids for Chronic Non-Cancer Pain 09/01/2016
 Opsumit®, macitentan 07/01/2016
 Oracea®, doxycycline, modified-release (effective 4-1-2017) 03/01/2017
 Oralair®, grass allergen immunotherapy tablet 09/01/2016
 Orencia®, abatacept 01/01/2017
 Orenitram™, treprostinil 07/01/2016
 Orfadin®:, nitisinone 12/01/2016
 Orkambi™, lumacaftor/ivacaftor 03/01/2017
 Orthovisc®, high molecular weight hyaluronan 07/01/2016
 Oseni®, alogliptin/pioglitazone 06/01/2016
 Otezla®, apremilast 01/01/2017
 OxyContin®, oxycodone ER crush resistant 10/21/2016
 
P
 Pennsaid®, diclofenac topical solution 03/01/2017
 Pentasa®, mesalamine controlled-release 01/01/2017
 Perjeta, pertuzumab® 06/01/2016
 Plegridy®, peginterferon beta-1a 02/22/2017
 Pomalyst®, pomalidomide 08/01/2016
 Portrazza™, necitumumab 03/11/2016
 Praluent&trade, alirocumab 07/01/2016
 Prestalia®, perindopril 01/01/2017
 Prevacid®, lansoprazole 01/01/2017
 Prilosec®, omeprazole 01/01/2017
 Pristiq®, desvenlafaxine 10/01/2016
 Privigen®, Immune Globulin Replacement Therapy 12/01/2016
 Procysbi®, cysteamine delayed-release 07/01/2016
 Prolastin®-C, alpha 1 proteinase inhibitor 01/01/2017
 Prolia®, demosumab 12/01/2016
 Promacta®, eltrombopag 05/01/2016
 Protonix®:, pantoprazole 01/01/2017
 Provenge®, sipuleucel-T 02/01/2017
 Provigil®, modafinil 10/01/2016
 
Q
 Qnasl®, beclomethasone nasal 03/01/2017
 Qtern®, dapagliflozin/saxagliptin 03/06/2017
 Qualaquin®, quinine 11/01/2016
 Qutenza®, capsaicin 8% patch 04/13/2015
 
R
 Ragwitek™, short ragweed allergen immunotherapy 09/01/2016
 Ravicti®, glycerol phenylbutyrate 08/01/2016
 Rayaldee®, calcifediol extended-release 02/17/2017
 Rayos®, prednisone 10/01/2016
 Rebif®, interferon beta-1b 02/22/2017
 Refissa®, tretinoin topical 06/12/2015
 Relenza®, zanamivir 08/01/2016
 Relistor®, methylnaltrexone 09/01/2016
 Relpax®, eletriptan 01/01/2017
 Remicade®, infliximab 01/01/2017
 Remodulin®, treprostinil injectable 07/01/2016
 Renova®, tretinoin topical 06/12/2015
 Repatha™, evolocumab 07/01/2016
 Restasis®, cyclosporine ophthalmic emulsion 0.05% 01/01/2017
 Retin A Micro® Products, tretinoin 04/01/2015
 Revatio®, sildenafil 10/01/2016
 Revlimid®, lenalidomide 08/01/2016
 Rexulti®, brexpiprazole 01/01/2017
 Rhinocort Aqua®, budesonide nasal 03/01/2017
 Rhofade™, oxymetazoline cream 02/01/2017
 Rituxan®, rituximab 05/01/2016
 Rozerem®, ramelteon 05/01/2016
 Rubraca™, rucaparib 03/10/2017
 Ruconest®, recombinant human C1 esterase inhibitor 12/01/2016
 
S
 Saizen®, somatropin 01/01/2017
 Sandostatin® LAR Depot, octreotide long-acting release (effective 7-1-2017) 03/01/2017
 Saphris®, asenapine 01/01/2017
 Savella®, milnacipran 10/01/2016
 Self-administered Contraceptives for Medical Conditions 09/11/2015
 Self-Administered Injectables 05/01/2016
 Seroquel XR®, quetiapine 01/01/2017
 Serostim®, somatropin 01/01/2017
 Signifor® LAR, pasireotide (effective 7-1-2017) 03/01/2017
 Signifor®, pasireotide (effective 7-1-2017) 03/01/2017
 Simcor®, niacin/ simvastatin 10/01/2016
 Simponi®/Simponi® Aria™, golimumab 01/01/2017
 Site of Care 02/01/2017
 Site of Care (effective 4-1-2017) 02/01/2017
 Skyla®, Mirena®, levonorgestrel-containing intrauterine system (LNG-IUS) for Medical Conditions 10/01/2016
 Soliris®, eculizumab 02/01/2017
 Solodyn®, minocycline HCI 04/01/2016
 Soliqua™, ixisenatide/ insulin glargine 03/06/2017
 Somatuline® Depot, lanreotide (effective 7-1-2017) 03/01/2017
 Somavert®, pegvisomant (effective 7-1-2017) 03/01/2017
 Sovaldi®, sofosbuvir 03/01/2017
 Spinraza™, nusinersen 02/17/2017
 Sprix®, ketorolac nasal spray 03/01/2017
 Sprycel®, dasatinib 02/01/2017
 Staxyn®, vardenafil 07/01/2016
 Stelara®, ustekinumab 01/01/2017
 Stendra®, avanafil 07/01/2016
 Strensiq™, asfotase alfa 12/01/2016
 Stivarga®, regorafenib 09/01/2016
 Striant®, testosterone extended release tablets 03/01/2017
 Subsys®, fentanyl sublingual spray 09/01/2016
 Sucraid®, sacrosidase 12/01/2016
 Sumavel®, sumatriptan 01/01/2017
 Supartz®, sodium hyaluronate 07/01/2016
 Sustol®, granisetron extended-release injection 11/11/2016
 Sutent®, sunitinib 12/01/2016
 Sylvant™, situximab 08/01/2016
 Synagis®, palivizumab 09/01/2016
 Synjardy®, empagliflozin 01/01/2017
 Synribo®, omacetaxine mepesuccinate 02/01/2017
 Synvisc® / Synvisc-One®, hylanG-F 20 07/01/2016
 Syprine®, trientine 09/01/2016
 
T
 Tafinlar®, dabrafenib 04/01/2016
 Tagrisso™, osimertinib 02/01/2017
 Taltz®, ixekizumab 01/01/2017
 Tamiflu®, oseltamivir 08/01/2016
 Tanzeum™ albiglutide 03/06/2017
 Tarceva®, erlotinib 10/01/2016
 Targiniq® ER, oxycodone-naloxone ER 10/21/2016
 Tarka®, trandolapril/ verapamil ER 01/01/2017
 Tasigna®, nilotinib 02/01/2017
 Tecentriq™, atezolizumab 07-15-2016
 Tecfidera®, dimethyl fumarate 01/01/2017
 Technivie™, paritaprevir/ritonavir-ombitasvir 03/01/2017
 Tekturna® aliskiren 01/01/2017
 Tekturna HCT®, aliskiren/hydrochlorothiazide 01/01/2017
 telmisartan, telmisartan-amlodipine, telmisartan-HCTZ 01/01/2017
 Temodar®, temozolomide 10/01/2016
 Tenoretic®, atenolol/chlorthalidone 01/01/2017
 Testim Gel®, testosterone topical gel 03/01/2017
 Testopel®, testosterone pellet 03/01/2017
 testosterone products, non-transdermal compounded 03/01/2017
 testosterone products, transdermal compounded 03/01/2017
 Testred®, methyltestosterone 03/01/2017
 Tev-Tropin®, somatropin 01/01/2017
 Teveten®, eprosartan 01/01/2017
 Tivorbex®, indomethacin 03/01/2017
 Toviaz®, fesoterodine 07/01/2016
 Tracleer®, bosentan 07/01/2016
 Tradjenta®, linagliptin 06/01/2016
 Travatan Z®, travoprost-BAK free 0.004% 01/01/2017
 Tretin-X®, tretinoin topical 04/01/2016
 Treximet®, sumatriptan/naproxen 01/01/2017
 Tribenzor®, olmesartan /amlodipine/hydrochlorothiazide 01/01/2017
 Trintellix®, vortioxetine 10/01/2016
 Troxyca® ER, oxycodone-naltrexone ER 10/21/2016
 Trulicity™, dulaglutide 03/06/2017
 Twynsta®, telmisartan/amlodipine 01/01/2017
 Tykerb®, lapatinib 06/01/2016
 Tysabri®, natalizumab 01/01/2017
 Tyvaso®, treprostinil inhalation 07/01/2016
 
 Uceris®, budesonide sustained release 01/01/2017
 Unituxin™, dinutuximab 07/01/2016
 Uptravi®, selexipag 07/01/2016
 
V
 Valium®, diazepam 10/01/2016
 Vanos®, fluocinonide 10/01/2016
 varsartan / varsartan-amlodipine / valsartan-amlodipine-HCTZ / valsartan/HCTZ 03/13/2015
 Vascepa®, omega-3-acids 10/01/2016
 Vaseretic®, enalapril/ HCTZ 10/01/2016
 Vasotec®, enalapril 01/01/2017
 Vectibix®, panitumumab 09/01/2016
 Velcade®, bortezomib 08/01/2016
 Veltin®, clindamycin / tretinoin 04/01/2016
 Venclexta™, venetoclax 02/01/2017
 Ventavis®, iloprost inhalation 07/01/2016
 Veramyst®, fluticasone 03/01/2017
 Vesicare®, solifenacin 07/01/2016
 Viagra® 10/01/2016
 Viberzi™, eluxadoline 06/10/2016
 Vibramycin®, doxycycline 04/01/2016
 Victoza®, liraglutide 03/06/2017
 Viekira Pak™, paritaprevir/ritonavir-ombitasvir plus dasabuvir 03/01/2017
 Viekira XR™, dasabuvir/ paritaprevir/ ritonavir-ombitasvir 03/01/2017
 Viibryd®, vilazodone 10/01/2016
 Vimizim®, elosulfase alfa 12/01/2016
 Vimovo®, esomeprazole 03/01/2017
 Vivlodex™, meloxicam 03/01/2017
 Vogelxo®, testosterone topical gel 03/01/2017
 Voltaren® XR, diclofenac ER 03/01/2017
 Votrient®, pazopanib 12/01/2016
 VPRIV®, velaglucerase alfa 12/01/2016
 VPRIV®, velaglucerase alfa (effective 4-1-2017) 12/01/2016
 Vraylar™, cariprazine 01/01/2017
 Vytorin®, simvastatin/ezetimibe 10/01/2016
 Vytorin®, simvastatin/ezetimibe 10/01/2016
 
 Wellbutrin SR®/Wellbutrin XL®:, bupropion HCl SR/XL 10/01/2016
 
X
 Xalkori®, crizotinib 10/01/2016
 Xanax/Zanax XR, alprazolam/alprazolam ER and alprazolam XR 10/01/2016
 Xartemis™, oxycodone-acetaminophen ER 10/21/2016
 Xeljanz® / Xeljanz® ER, tofacitinib 01/01/2017
 Xenazine®, tetrabenazine 04/01/2016
 Xeomin®, incobotulinumtoxinA Injection 03/01/2017
 Xerese®, acyclovir/hydrocortisone 10/01/2016
 Xgeva®, denosumab 04/01/2016
 Xifaxan®, rifaximin 07/01/2016
 Xigduo XR™, dapagliflozin/metformin 03/06/2017
 Xiidra®, lifitegrast ophthalmic solution 5% 01/01/2017
 Xolair®, omalizumab 01/01/2017
 Xtampza ER™, oxycodone ER abuse-deterrent 10/21/2016
 Xtandi®, enzalutamide 02/01/2017
 Xultophy®, liraglutide/ insulin degludec 03/06/2017
 Xuriden™, uridine triacetate 12/01/2017
 Xyrem®, sodium oxybate 12/01/2017
 
Y
 Yervoy®, ipilimumab 06/01/2016
 Yondelis®, trabectedin 02/01/2017
 
Z
 Zaltrap®, ziv-aflibercept 09/01/2016
 Zavesca®, miglustat 12/01/2017
 Zegerid®, omeprazole 01/01/2017
 Zelboraf®, vemurafenib 06/01/2016
 Zemaira®, alpha 1 proteinase inhibitor 01/01/2017
 Zembrace™ SymTouch 01/01/2017
 Zepatier™, grazoprevir-elbasvir 03/01/2017
 Zestoretic®, lisinopril/ HCTZ 01/01/2017
 Zestril®, lisinopril 01/01/2017
 Zetonna®, ciclesonide nasal 03/01/2017
 Ziac®, bisoprolol/ HCTZ 01/01/2017
 Ziana®, clindamycin / tretinoin 04/01/2016
 Zinbryta™, daclizumab 01/01/2017
 Zioptan®, tafluprost 01/01/2017
 Zipsor®, diclofenac 03/01/2017
 Zohydro™ ER, hydrocodone ER 10/21/2016
 Zolinza®, vorinostat 10/01/2016
 Zoloft®, sertraline 10/01/2016
 ZolpiMist®, zolpidem 05/01/2016
 Zomacton™, somatropin 01/01/2017
 Zomig® nasal, zolmitriptan 01/01/2017
 Zorbtive®, somatropin 01/01/2017
 Zorvolex®, diclofenac 03/01/2017
 Zyclara®, Imiquimod 10/01/2016
 Zydelig™, idelalisib 02/01/2017
 Zykadia™, ceritinib 10/01/2016
 Zytiga®, abiraterone 02/01/2017
     
 

 
     

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