Medication policy list
Medical Benefit drug policies for Commercial plans
- Policy Name
- abaloparatide (Tymlos)
- abatacept (Orencia), intravenous
- abatacept (Orencia), subcutaneous
- abobotulinumtoxinA (Dysport)
- adalimumab (Humira)
- adalimumab-aacf (Idacio)
- adalimumab-aaty (Yuflyma)
- adalimumab-adaz (Hyrimoz)
- adalimumab-adbm (Cyltezo)
- adalimumab-adbm (Cyltezo)
- adalimumab-afzb (Abrilada)
- adalimumab-aqvh (Yusimry)
- adalimumab-bwwd (Hadlima)
- adalimumab-fkjp (Hulio)
- adalimumab-ryvk (Simlandi)
- ADAMTS13, recombinant-krhn (Adzynma)
- ado-trastuzumab emtansine (Kadcyla)
- afamelanotide (Scenesse)
- afamitresgene autoleucel (Tecelra)
- aflibercept (Eylea, Eylea HD)
- aflibercept-ayyh (Pavblu)
- 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 (Onapgo)
- apomorphine hydrochloride (Apokyn)
- asfotase alfa (Strensiq)
- asfotase-alfa (Strensiq), office administered
- 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)
- axatilimab-csfr (Niktimvo)
- axicabtagene ciloleucel (Yescarta)
- belatacept (Nulojix)
- belimumab (Benlysta), intravenous
- belimumab (Benlysta), subcutaneous
- belinostat (Beleodaq)
- bendamustine (Belrapzo, Bendeka, Treanda, Vivimusta)
- benralizumab (Fasenra), autoinjector
- benralizumab (Fasenra), prefilled syringe
- beremagene geperpavec-svdt (Vyjuvek)
- betibeglogene autotemcel (Zynteglo)
- bevacizumab (Alymsys, Avastin, Mvasi, Vegzelma, Zirabev)
- bimatoprost implant (Durysta)
- blinatumomab (Blincyto)
- bortezomib
- bremelanotide (Vyleesi)
- brentuximab (Adcetris)
- 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)
- 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)
- 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)
- concizumab-mtci (Alhemo)
- 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)
- datopotamab deruxtecan-dlnk (Datroway)
- daunorubicin cytarabine liposome (Vyxeos)
- daxibotulinumtoxinA-lanm (Daxxify)
- defibrotide (Defitelio)
- degarelix (Firmagon)
- delandistrogene moxeparvovec-rokl (Elevidys)
- denosumab (Bildyos, Conexxence, Jubbonti, Prolia, Stoboclo)
- denosumab (Bilprevda, Bomyntra, Osenvelt, Xgeva, Wyost)
- dexamethasone intravitreal implant (Ozurdex)
- dinutuximab (Unituxin)
- donanemab-azbt (Kisunla)
- dostarlimab-gxly (Jemperli)
- dupilumab (Dupixent)
- durvalumab (Imfinzi)
- ecallantide (Kalbitor)
- eculizumab (Bkemv, Epysqli, Soliris)
- edaravone (Radicava)
- efbemalenograstim alfa-vuxw (Ryzneuta)
- 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)
- filgrastim (Neupogen)
- filgrastim-aafi (Nivestym)
- filgrastim-ayow (Releuko)
- filgrastim-sndz (Zarxio)
- filgrastim-txid (Nypozi)
- fitusiran (Qfitlia)
- fluocinolone acetonide intravitreal implant (Iluvien, Retisert, Yutiq)
- foscarbidopa and foslevodopa (Vyalev)
- 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, Sajazir)
- idecabtagene vicleucel (Abecma)
- idursulfase (Elaprase)
- 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 intravenous, human-stwk (Alyglo)
- 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 (Avsola, Inflectra, Remicade, Renflexis)
- 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 (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)
- marstacimab-hncq (Hympavzi)
- 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)
- natalizumab-sztn (Tyruko)
- naxitamab-gqgk (Danyelza)
- necitumumab (Portrazza)
- nedosiran (Rivfloza), prefilled syringe
- nedosiran (Rivfloza), vials
- nemolizumab-ilto (Nemluvio)
- nipocalimab-aahu (Imaavy)
- nivolumab (Opdivo)
- nivolumab and hyaluronidase-nvhy (Opdivo Qvantig)
- nivolumab and relatlimab-rmbw (Opdualag)
- nogapendekin alfa inbakicept-pmln (Anktiva)
- nusinersen (Spinraza)
- obecabtagene autoleucel (Aucatzyl)
- 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)
- 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)
- prademagene zamikeracel (Zevaskyn)
- 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)
- remestemcel-L-rknd (Ryoncil)
- reslizumab (Cinqair)
- retifanlimab-dlwr (Zynyz)
- revakinagene taroretcel-lwey (Encelto)
- rilonacept (Arcalyst)
- rimabotulinumtoxinB (Myobloc)
- risankizumab-rzaa (Skyrizi), intravenous
- 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)
- telisotuzumab vedotin-tllv (Emrelis)
- temsirolimus (Torisel)
- teplizumab-mzwv (Tzield)
- teprotumumab-trbw (Tepezza)
- teriparatide (Forteo)
- tesamorelin acetate (Egrifta)
- testosterone cypionate (Azmiro)
- testosterone enanthate (Xyosted)
- testosterone pellets (Testopel)
- testosterone undecanoate (Aveed)
- tezepelumab-ekko (Tezspire), prefilled pens
- tezepelumab-ekko (Tezspire), prefilled syringe and vial
- thiotepa (Tepylute, Tepadina)
- tildrakizumab-asmn (Ilumya)
- timothy grass pollen allergen extract (Grastek)
- tisagenlecleucel (Kymriah)
- tislelizumab-jsgr (Tevimbra)
- tisotumab vedotin-tftv (Tivdak)
- tocilizumab (Actemra), subcutaneous
- tocilizumab (Actemra, Tofidence, Tyenne), intravenous
- tocilizumab-aazg (Tyenne), subcutaneous
- tofersen (Qalsody)
- toripalimab-tpzi (Loqtorzi)
- trabectedin (Yondelis)
- tralokinumab-ldrm (Adbry)
- trastuzumab (Herceptin, Hercessi, Herzuma, Kanjinti, Ogivri, Ontruzant, Trazimera)
- trastuzumab and hyaluronidase-oysk (Herceptin Hylecta)
- travoprost intracameral implant (iDose TR)
- tremelimumab-actl (Imjudo)
- treprostinil (Remodulin)
- treprostinil (Tyvaso)
- trilaciclib (Cosela)
- triptorelin (Triptodur)
- ublituximab-xiiy (Briumvi)
- ustekinumab (Imuldosa, Otulfi, Pyzchiva, Selarsdi, Stelara, Steqeyma, Wezlana, Yesintek), intravenous
- 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)
- zanidatamab-hrii (Ziihera)
- zenocutuzumab-zbco (Bizengri)
- ziconotide (Prialt)
- ziv-aflibercept (Zaltrap)
- zolbetuximab-clzb (Vyloy)
- zopapogene imadenovec-drba (Papzimeos)
Pharmacy Benefit drug policies for Commercial plans
- Policy Name
- abaloparatide injection (Tymlos)
- abatacept (Orencia)
- abemaciclib (Verzenio)
- abiraterone acetate (Yonsa)
- abiraterone (Zytiga)
- abrocitinib (Cibinqo)
- acalabrutinib (Calquence)
- aclidinium bromide inhaler (Tudorza Pressair)
- acoltremon ophthalmic solution (Tryptyr)
- acoramidis hcl (Attruby)
- diclofenac sodium gel
- acyclovir, delayed release (Sitavig)
- 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-benzoyl peroxide-clindamycin (Cabtreo)
- adapalene-benzoyl peroxide (Epiduo and Epiduo Forte)
- adapalene (Plixda)
- adapalene cream, gel (Differin)
- adapalene solution, pad
- afatinib (Gilotrif)
- albuterol-budesonide (Airsupra)
- albuterol sulfate (ProAir Respiclick)
- alectinib (Alecensa)
- alendronate effervescent tablet (Binosto)
- alirocumab (Praluent)
- aliskiren (Tekturna)
- alitretinoin (Panretin)
- timothy grass pollen allergen extract tablet (Grastek)
- dust mite mixed allergen extract (Odactra)
- grass mixed pollens allergen extract (Oralair)
- short ragweed pollen allergen extract (Ragwitek)
- allopurinol 200 mg tablet (Zyloprim)
- almotriptan (Axert)
- alogliptin (Nesina)
- alogliptin-metformin (Kazano)
- alogliptin-pioglitazone (Oseni)
- alosetron (Lotronex)
- alpelisib (Piqray)
- alpelisib (Vijoice)
- amantadine (Gocovri)
- amantadine (Osmolex ER)
- ambrisarten (Letairis)
- amcinonide cream, ointment
- amifampridine phosphate (Firdapse)
- amikacin inhalation (Arikayce)
- mesalamine (Apriso, Asacol HD, Canasa, Delzicol, Lialda, Pentasa, sfRowasa)
- olsalazine (Dipentum)
- amlodipine-atorvastatin (Caduet)
- amlodipine-celecoxib (Consensi)
- amlodipine (Katerzia, Norliqva)
- amphetamine-dextroamphetamine (Mydayis)
- anakinra (Kineret)
- azilsartan (Edarbi)
- azilsartan-chlorthalidone (Edarbyclor)
- telmisartan-amlodipine
- apalutamide (Erleada)
- apomorphine (Apokyn)
- apremilast (Otezla)
- aprocitentan (Tryvio)
- arimoclomol (Miplyffa)
- aripiprazole (Opipza)
- asciminib (Scemblix)
- asenapine (Secuado)
- asfotase alfa (Strensiq)
- aspirin/omeprazole (Yosprala)
- atorvastatin (Atorvaliq)
- atovaquone (Mepron)
- atrasentan (Vanrafia)
- avacopan (Tavneos)
- ayvapritinib (Ayvakit)
- avatrombopag (Doptelet)
- avutometinib-defactinib (Avmapki Fakzynja Co-Pack)
- axitinib (Inlyta)
- azacitidine (Onureg)
- aztreonam (Cayston)
- baricitinib (Olumiant)
- becaplermin (Regranex)
- bedaquiline (Sirturo)
- belimumab (Benlysta)
- belumosudil (Rezurock)
- belzutifan (Welireg)
- bempedoic acid-ezetimibe (Nexlizet)
- bempedoic acid (Nexletol)
- benralizumab (Fasenra)
- benzgalantamine (Zunveyl)
- benzoyl peroxide (Epsolay)
- berdazimer topical gel (Zelsuvmi)
- berotralstat (Orladeyo)
- betamethasone spray (Sernivo)
- bexagliflozin (Brenzavvy)
- bexarotene capsules and gel (Targretin)
- bimekizumab (Bimzelx)
- binimetinib (Mektovi)
- birch triterpenes (Filsuvez)
- Blood Glucose Test Strips
- bosentan (Tracleer)
- bosutinib (Bosulif)
- bremelanotide injection (Vyleesi)
- brexpiprazole (Rexulti)
- brigatinib (Alunbrig)
- brimonidine (Mirvaso)
- brivaracetam (Briviact)
- brodalumab (Siliq)
- bromfenac (Prolensa 0.7%)
- bromfenac (Bromsite)
- bromocriptine (Cycloset)
- budesonide (Tarpeyo)
- budesonide (Entocort EC)
- budesonide (Uceris)
- budesonide suspension (Eohilia)
- buprenorphine film (Belbuca)
- buprenorphine patch (Butrans)
- bupropion (Forfivo XL)
- bupropion hydrobromide (Aplenzin)
- buspirone (Bucapsol)
- butalbital-acetaminophen (Allzital, Bupap)
- butalbital-acetaminophen-caffeine (Capacet, Esgic, Fioricet, Phrenilin Forte, Vanatol LQ, Vanatol S, Vtol LQ solution, Zebutal)
- butalbital-acetaminophen-caffeine-codeine (Fioricet C)
- human c1-esterase inhibitor (Haegarda)
- c1 esterase inhibitor (human) (Berinert)
- c1 esterase inhibitor (human) (Cinryze)
- c1 esterase inhibitor (Ruconest)
- cabozantinib (Cabometyx)
- cabozantinib (Cometriq)
- calcifediol (Rayaldee)
- calcipotriene-betamethasone-dipropionate-foam (Enstilar)
- calcipotriene-betamethasone dipropionate cream (Wynzora)
- calcipotriene-betamethasone (Talconex)
- calcipotriene foam (Sorilux)
- canagliflozin (Invokana)
- canagliflozin-metformin (Invokamet/Invokamet XR)
- cannabidiol cbd extract (Epidiolex)
- capivasertib (Truqap)
- caplacizumab (Cablivi)
- capmatinib (Tabrecta)
- carbamazepine 200mg chewable tablet
- carbidopa-levodopa er capsule (Crexont)
- carbidopa-levodopa (Rytary)
- carbinoxamine 6 mg tablet (Ryvent)
- carglumic acid (Carbaglu)
- cariprazine (Vraylar)
- carvedilol (Coreg CR)
- celecoxib (Elyxyb)
- celecoxib-tramadol (Seglentis)
- cenegermin (Oxervate)
- cenobamate (Xcopri)
- 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)
- cinacalcet (Sensipar)
- ciprofloxacin-hydrocortisone otic (Cipro HC)
- citalopram 30 mg capsules (Celexa)
- citric acid-glucono delta-lactone-magnesium carbonate (Renacidin)
- cladribine (Mavenclad)
- clascoterone cream (Winlevi)
- Clemastine syrup
- clindamycin phosphate-benzoyl peroxide gel (Acanya, Onexton)
- clindamycin phosphate foam (Evoclin)
- clindamycin phosphate-tretinoin gel (Veltin, Ziana)
- clobazam (Sympazan)
- clobazam (Onfi)
- clobetasol propionate cream (Impoyz)
- clobetasol 0.05% ophthalmic suspension
- clonidine extended release (Nexiclon XR)
- clonidine (Onyda XR)
- clozapine suspension (Versacloz)
- cobimetinib (Cotellic)
- colchicine (Lodoco)
- colchicine (Gloperba)
- Dexcom (CGM)
- Freestyle Libre (CGM)
- Guardian (CGM)
- Simplera (CGM)
- corticotropin (Acthar, Cortrophin)
- crinecerfont (Crenessity)
- crisaborole (Eucrisa)
- crizotinib (Xalkori)
- crofelemer (Mytesi)
- crotamiton (Crotan)
- cyclobenzaprine (Amrix)
- cyclobenzaprine 7.5 mg (Fexmid)
- cyclosporine 0.05% ophthalmic (Restasis)
- cyclosporine ophthalmic solution 0.09% (Cequa)
- cyclosporine (Veyve)
- cyclosporine (Verkazia)
- cysteamine eye drops (Cystadrops, Cystaran)
- cysteamine (Procysbi)
- dabigatran (Pradaxa)
- dabrafenib (Tafinlar)
- dacomitinib (Vizimpro)
- dalfampridine (Ampyra)
- danicopan (Voydeya)
- dapagliflozin-saxagliptin (Qtern)
- dapsone (Aczone)
- darbepoetin alfa (Aranesp)
- darifenacin (Enablex)
- darolutamide (Nubeqa)
- dasatinib (Sprycel)
- dasiglucagon injection (Zegalogue)
- cedazuridine-decitabine tablet (Inqovi)
- deferasirox sprinkle (Jadenu)
- deferiprone (Ferriprox)
- deflazacort (Emflaza)
- delafloxacin (Baxdela)
- desloratadine (Clarinex and Clarinex-D)
- desvenlafaxine ER (Khedezla)
- deucravacitinib (Sotyktu)
- deuruxolitinib (Leqselvi)
- deutetrabenzine (Austedo)
- dexamethasone dose pack (Dexabliss, Dxevo, HiDex, Taperdex, Zcort)
- dexamethasone (Hemady)
- dexchlopheniramine (Ryclora)
- dextromethorphan-bupropion (Auvelity)
- dextromethorphan-quinidine (Nuedexta)
- diazepam buccal film (Libervant)
- diazepam nasal spray (Valtoco)
- diazoxide choline (Vykat XR)
- dichlorphenamide (Keveyis, Ormalvi)
- diclofenac patch (Flector, Licart)
- diclofenac (Zorvolex)
- diclofenac potassium 25 mg (Lofena)
- diclofenac potassium capsule (Zipsor)
- diclofenac potassium (Cambia)
- diclofenac topical gel (Solaraze)
- diclofenac topical solution (Pennsaid)
- diflorasone (ApexiCon)
- diflunisal (Dolobid)
- dihydroergotamine (D.H.E. 45)
- dihydroergotamine nasal spray (Migranal)
- dihydroergotamine spray (Trudhesa)
- dimethyl fumarate (Tecfidera)
- diroximel fumarate (Vumerity)
- donepezil (Aricept)
- donepezil (Adlarity)
- doxazosin extended release (Cardura XL)
- doxepin (Silenor)
- doxepin 5% cream (Prudoxin, Zonalon)
- doxycycline (Oracea)
- doxylamine-pyridoxine (Bonjesta)
- dronabinol solution (Syndros)
- droxidopa (Northera)
- dulaglutide SQ (Trulicity)
- duloxetine delayed-release (Drizalma Sprinkle)
- dupilumab (Dupixent)
- dutasteride-tamsulosin (Jalyn)
- duvelisib (Copiktra)
- edaravone (Radicava ORS)
- edoxaban (Savaysa)
- efgartigimod alfa and hyaluronidase-qvfc (Vyvgart Hytrulo)
- eflapegrastim-xnst (Rolvedon)
- eflornithine (Iwilfin)
- elacestrant (Orserdu)
- elafibranor (Iqirvo)
- elagolix-estradiol-norethisterone (Oriahnn)
- elagolix (Orilissa)
- elapegademase-lvlr (Revcovi)
- elbasvir-grazoprevir (Zepatier)
- elexacaftor-tezacaftor-ivacaftor (Trikafta)
- eliglustat (Cerdelga)
- eltrombopag (Alvaiz)
- eltrombopag (Promacta)
- eluxadoline (Viberzi)
- empagliflozin-linagliptin (Glyxambi)
- empagliflozin-linagliptin-metformin (Trijardy XR)
- pegcetacoplan (Empaveli)
- enasidenib (Idhifa)
- encorafenib (Braftovi)
- ensartinib (Ensacove)
- ensifentrine (Ohtuvayre)
- entrectinib (Rozlytrek)
- enzalutamide (Xtandi)
- epinephrine nasal spray (Neffy)
- eplontersen (Wainua)
- epoetin alfa-epbx (Retacrit)
- epoetin alfa (Epogen)
- erythropoietin (Procrit)
- erdafitinib (Balversa)
- erlotinib (Tarceva)
- ertugliflozin (Steglatro)
- ertugliflozin-metformin (Segluromet)
- ertugliflozin-sitagliptin (Steglujan)
- erythromycin capsule, suspension, tablet
- eslicarbazepine (Aptiom)
- estradiol (Imvexxy)
- etanercept (Enbrel)
- ethacrynic acid (Edecrin)
- etrasimod arginine (Velsipity)
- everolimus tablet (Afinitor, Torpenz)
- everolimus suspension (Afinitor Disperz)
- evolocumab (Repatha)
- exenatide SQ (Byetta)
- minocycline extended-release (Solodyn)
- dapagliflozin (Farxiga)
- dapagliflozin-metformin (Xigduo XR)
- febuxostat (Uloric)
- fecal microbiota (Vowst)
- fedratinib (Inrebic)
- fenfluramine (Fintepla)
- fenofibrate (Antara, Fenoglide, Lipofen)
- fenofibrate micronized (Antara)
- fenofibric acid (Fibricor)
- fenoprofen (Fenortho, Nalfon)
- ferric maltol (Accrufer)
- fezolinetant (Veozah)
- fidaxomicin (Dificid)
- filgrastim (Neupogen)
- filgrastim-aafi (Nivestym)
- filgrastim-ayow (Releuko)
- filgrastim-sndz (Zarxio)
- filgrastim-txid (Nypozi)
- finasteride-tadalafil (Entadfi)
- finerenone (Kerendia)
- fingolimod (Gilenya)
- fingolimod, ODT (Tascenso)
- flibanserin (Addyi)
- flurandrenolide (Cordran)
- fluticasone propionate spray (Xhance)
- fluvastatin extended-release (Lescol XL)
- fluvoxamine extended release (Luvox CR)
- follitropin (Gonal-f, Gonal-F RFF Rediject, Follistim AQ)
- aclidinium-formoterol (Duaklir)
- glycopyrrolate-formoterol fumarate (Bevespi)
- foscarbidopa and foslevodopa (Vyalev)
- fostamatinib (Tavalisse)
- fostemsavir tromethamine (Rukobia)
- frovatriptan (Frova)
- fruquintinib (Fruzaqla)
- furosemide on-body infusor (Furoscix)
- futibatinib (Lytgobi)
- gabapentin enacarbil extended-release (Horizant)
- gabapentin (Gralise)
- gabapentin (Gabarone)
- ganaxolone suspension (Ztalmy)
- ganirelix acetate (Antagon, Fyremadel)
- garadacimab-gxii (Andembry)
- gefitinib (Iressa)
- gepotidacin (Blujepa)
- gilteritinib (Xospata)
- givinostat (Duvyzat)
- glasdegib (Daurismo)
- glatiramer acetate (Copaxone)
- glecaprevir-pibrentasvir (Mavyret)
- glimepiride 3mg
- glutamine (Endari)
- glycopyrrolate (Dartisla ODT)
- glycopyrrolate (Glycate)
- glycopyrrolate liquid (Cuvposa)
- glycopyrronium cloth (Qbrexza)
- golimumab (Simponi)
- granisetron patch (Sancuso)
- griseofulvin (Fulvicin)
- guselkumab injection (Tremfya)
- halcinonide (Halog)
- halobetasol-tazarotene (Duobrii)
- bismuth subcitrate potassium, metronidazole, tetracycline hydrochloride (Pylera)
- omeprazole magnesium, amoxicillin and rifabutin (Talicia)
- lonapegsomatropin (Skytrofa)
- somatropin (Genotropin, Humatrope, Ngenla, Norditropin, Omnitrope, Saizen, Sogroya, Zomacton)
- hydrochlorothiazide (Inzirqo)
- hydrocortisone (Alkindi)
- hydrocortisone (Khindivi)
- hydrocortisone probutate (Pandel)
- hydrocortisone 2.5% solution, lotion
- hydroxychloroquine (Sovuna)
- hydroxyurea (Siklos)
- hydroxyurea (Xromi)
- ibrexafungerp (Brexafemme)
- ibrutinib (Imbruvica)
- ibuprofen-acetaminophen (Combogesic)
- ibuprofen-famotidine (Duexis)
- ibaticant (Firazyr)
- icosapent ethyl (Vascepa)
- idelalisib (Zydelig)
- iloperidone (Fanapt)
- imatinib (Gleevec, Imkeldi)
- Imiquimod cream (Zyclara)
- inavolisib (Itovebi)
- indomethacin (Indocin)
- infliximab-dyyb (Zymfentra)
- budesonide-glycopyrrolate-formoterol (Breztri)
- ciclesonide (Alvesco)
- fluticasone (Flovent Diskus, and Flovent HFA)
- fluticasone-salmeterol (Advair HFA)
- fluticasone-vilanterol (Breo Ellipta)
- mometasone-formoterol (Dulera)
- erenumab-aooe (Aimovig)
- fremanezumab-vfrm (Ajovy)
- galcanezumab-gnlm (Emgality)
- Inpen (Fiasp, Humalog, Novolog)
- insulin degludec-liraglutide injection (Xultophy)
- insulin glargine-lixisenatide injection (Soliqua)
- insulin regular (Afrezza)
- Cequr Simplicity 2U
- Omnipod
- V-Go
- MODD1 Kit
- interferon beta-1a (Avonex)
- interferon beta-1a (Rebif, Rebif Rebidose)
- interferon beta-1b (Betaseron)
- interferon gamma-1b (Actimmune)
- iptacopan (Fabhalta)
- ferric citrate (Auryxia)
- isavuconazonium (Cresemba)
- isotretinoin (Absorica LD)
- istradefylline (Nourianz)
- itraconazole solution (Sporanox)
- itraconazole (Tolsura)
- ivabradine (Corlanor)
- ivacaftor (Kalydeco)
- ivermectin cream (Soolantra)
- ivosidenib (Tibsovo)
- ixazomib (Ninlaro)
- ixekizumab (Taltz)
- sitagliptin (Januvia)
- sitagliptin-metformin (Janumet, Janumet XR)
- empagliflozin (Jardiance)
- empagliflozin-metformin (Synjardy)
- suzetrigine (Journavx)
- ketoprofen
- ketorolac nasal (Sprix)
- lacosamide (Motpoly XR)
- lactulose (Kristalose)
- lamotrigine (Lamictal XR)
- lamotrigine orally disintegrating tablet (Lamictal ODT)
- lanadelumab-flyo (Takhzyro)
- lanthanum carbonate (Fosrenol)
- lapatinib (Tykerb)
- larotrectinib (Vitrakvi)
- lasmiditan (Reyvow)
- lazertinib (Lazcluze)
- lebrikizumab-lbkz (Ebglyss)
- ledipasvir-sofosbuvir tablet (Harvoni)
- 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)
- levothyroxine (Ermeza)
- lidocaine patch (ZTLido)
- lidocaine topical ointment
- linaclotide (Linzess)
- linagliptin (Tradjenta)
- linagliptin-metformin (Jentadueto/Jentadueto XR)
- linezolid (Zyvox)
- liraglutide (Saxenda)
- liraglutide SQ (Victoza)
- lisinopril solution (Qbrelis)
- lofexidine (Lucemyra)
- lomitapide (Juxtapid)
- lonafarnib (Zokinvy)
- fentanyl patch (Duragesic)
- hydrocodone extended release (Hysingla ER, Zohydro ER)
- hydromorphone extended release (Exalgo)
- levorphanol
- methadone (Dolophine)
- morphine ER (Avinza, Kadian)
- oxycodone extended release (Oxycontin)
- oxymorphone extended release (Opana ER)
- lorazepam extended-release (Loreev XR)
- lorlatinib (Lorbrena)
- losartan suspension (Arbli)
- loteprednol etabonate (Eysuvis)
- loteprednol preservative-free (Inveltys)
- lotilaner (Xdemvy)
- lumacaftor-ivacaftor (Orkambi)
- lumateperone (Caplyta)
- lusutrombopag (Mulpleta)
- pregabalin (Lyrica CR)
- 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)
- menotropins (Menopur)
- mepolizumab (Nucala)
- mercaptopurine suspension (Purixan)
- metaxalone 640 mg tablet
- methocarbamol 1000 mg
- methyltrexate (Jylamvo)
- methotrexate (Jylamvo)
- methotrexate solution (Xatmep)
- methotrexate (Otrexup)
- methotrexate (Rasuvo)
- methoxy polyethylene glycol-epoetin beta (Mircera)
- methylnaltrexone bromide (Relistor)
- metoclopramide (Gimoti)
- metoclopramide orally disintegrating tablet (Metozolv ODT)
- metreleptin (Myalept)
- metronidazole (Noritate)
- miconazole (Oravig)
- midazolam spray (Nayzilam)
- midostaurin (Rydapt)
- mifepristone (Korlym)
- migalastat (Galafold)
- miglustat (Opfolda)
- miglustat (Yargesa, Zavesca)
- milnacipran (Savella)
- miltefosine (Impavido)
- minocycline (Emrosi)
- minocycline foam (Amzeeq)
- minocycline aerosol, foam (Zilxi)
- mirabegron (Myrbetriq)
- mirdametinib (Gomekli)
- mirikizumab-mrkz (Omvoh)
- mitapivat (Pyrukynd)
- momelotinib (Ojjaara)
- monomethyl fumarate (Bafiertam)
- mupirocin cream (Bactroban)
- mycophenolate mofetil (Myhibbin)
- nabumetone (Relafen DS)
- nafarelin (Synarel)
- naldemedine (Symproic)
- naproxen-esomeprazole (Vimovo)
- naproxen (Naprelan CR)
- naproxen suspension (Naprosyn)
- codeine phosphate-chlorpheniramine (Tuxarin)
- guaifenesin-codeine (Guaiatussin AC, GuaiFENesin AC, Maxi-Tuss, Virtussin)
- hydrocodone bitartrate-homatropine methylbromide (Hycodan, Hydromet)
- beclomethasone (Qnasl)
- ciclesonide (Omnaris, Zetonna)
- nedosiran (Rivfloza)
- nemolizumab-ilto (Nemluvio)
- neomycin-fluocinolone (Neo-Synalar)
- nepafenac (Ilevro 0.3%)
- neratinib (Nerlynx)
- nilotinib (Tasigna)
- nilotinib tartrate (Danziten)
- nimodipine (Nymalize)
- nintedanib (Ofev)
- niraparib tosylate monohydrate-abiraterone acetate (Akeega)
- niraparib (Zejula)
- nirogacestat (Ogsiveo)
- nitazoxanide (Alinia)
- nitisinone (Nityr)
- nitisinone (Orfadin)
- nitrofurantoin 50 mg/5ml oral suspension
- nitroglycerin ointment (Rectiv)
- desmopressin acetate (Nocdurna)
- amphetamine (Dyanavel XR)
- amphetamine extended-release (Adzenys XR, Adzenys XR ODT)
- dextroamphetamine extended-release (Dexedrine Spansule)
- dextroamphetamine transdermal (Xelstrym)
- baclofen (Lyvispah)
- baclofen (Ozobax)
- baclofen suspension (Fleqsuvy)
- insulin degludec (Tresiba)
- insulin detemir (Levemir)
- insulin glargine (Basaglar)
- insulin glargine-aglr (Rezvoglar)
- insulin glargine-yfgn (Semglee)
- PEG 3350 (Clenpiq, Moviprep, Plenvu)
- PEG 3350 (Suflave)
- sodium sulfate-magnesium sulfate-potassium chloride (Sutab)
- dapagliflozin propanediol
- dapagliflozin propanediol-metformin
- desonide foam (Verdeso)
- desonide gel (Desonate)
- doxycycline hyclate (Acticlate, Doryx, Soloxide, Targadox)
- doxycycline monohydrate (Monodoxyne NL)
- epinephrine, auto-injector pen (AuviQ)
- halobetasol (Lexette foam, Bryhali, Ultravate lotion)
- hydrocodone-acetaminophen
- hydrocortisone acetate (Anusol HC)
- insulin aspart (Fiasp, Kirsty, Merilog, Novolog)
- insulin glulisine (Apidra)
- insulin lispro (Admelog, Humalog, Lyumjev)
- insulin human (Novolin N)
- meloxicam (Vivlodex)
- meloxicam oral suspension
- metformin (Fortamet, Glumetza, Riomet, Riomet ER)
- methylphenidate extended-release (Jornay, Relexxii)
- methylphenidate extended-release, chewable (Quillichew ER)
- methylphenidate orally disintegrating tablet (Cotempla XR ODT)
- methylphenidate patch (Daytrana)
- methylphenidate suspension, extended release (Quillivant XR)
- serdexmethylphenidate-dexmethylphenidate (Azstarys)
- metronidazole 125 mg tablet
- metronidazole suspension (Likmez)
- insulin aspart (Novolog 70/30)
- insulin human (Humulin 70/30)
- insulin isophane and regular (Novolin 70/30)
- Insulin lispro (Humalog 75/25 Kwikpen)
- naloxone (Kloxxado nasal spray, Zimhi injection)
- oxybutynin chloride 2.5 mg
- oxybutynin patch (Oxytrol)
- oxycodone (Oxaydo)
- oxycodone (Roxybond)
- insulin regular (Novolin R)
- sitagliptin (Zituvio)
- sitagliptin-metformin (Zituvimet, Zituvimet XR)
- amphetamine sulfate (Evekeo, Evekeo ODT)
- dextroamphetamine (Procentra oral solution, Zenzedi)
- methamphetamine (Desoxyn)
- methylphenidate oral solution (Methylin)
- tramadol (tramadol tablet, Qdolo)
- zolpidem (Edular, Intermezzo)
- Novopen Echo insulin delivery device
- obeticholic acid (Ocaliva)
- ocreotide (Mycapssa)
- octreotide (Sandostatin)
- odevixibat (Bylvay)
- ofatumumab (Kesimpta)
- olanzapine-samidorphan (Lybalvi)
- olaparib (Lynparza)
- olezarsen (Tryngolza)
- olopatadine-mometasone (Ryaltris)
- olutasidenib (Rezlidhia)
- omadacycline (Nuzyra)
- omalizumab (Xolair)
- omaveloxolone (Skyclarys)
- ondansetron 16 mg ODT
- bimatoprost (Lumigan)
- brinzolamide (Azopt)
- latanoprost (Iyuzeh, Xelpros)
- latanoprostene (Vyzulta)
- netarsudil (Rhopressa)
- netarsudil-latanoprost (Rocklatan)
- tafluprost (Zioptan)
- Timolol preservative-free (Timoptic Ocudose)
- travoprost (Travatan Z)
- opicapone (Ongentys)
- atogepant (Qulipta)
- rimegepant sulfate (Nurtec)
- ubrogepant (Ubrelvy)
- naltrexone-bupropion (Contrave)
- orlistat (Xenical)
- phentermine-topiramate (Qsymia)
- daridorexant (Quviviq)
- lemborexant (Dayvigo)
- suvorexant (Belsomra)
- orphenadrine-spirin-caffeine (Norgesic Forte, Orphengesic Forte)
- osilodrostat (Isturisa)
- osimertinib (Tagrisso)
- ospemifene (Osphena)
- oteseconazole (Vivjoa)
- oxaprozin (Coxanto)
- oxcarbazepine (Oxtellar XR)
- calcium-magnesium-potassium-sodium oxybates solution (Xywav)
- oxycodone-acetaminophen (Nalocet, Primlev, Prolate)
- oxycodone extended release (Xtampza ER)
- oxymetazoline hcl cream (Rhofade)
- oxymetazoline hcl ophthalmic solution (Upneeq)
- oxymorphone immediate release (Opana)
- ozanimod hcl capsule (Zeposia)
- pacritinib (Vonjo)
- palbociclib (Ibrance)
- paliperidone (Invega)
- palopegteriparatide (Yorvipath)
- palovarotene (Sohonos)
- pancrelipase (Viokace, Pancreaze, Pertzye)
- paromomycin sulfate (Humatin)
- pasireotide (Signifor)
- patiromer powder (Veltassa)
- pazopanib (Votrient)
- avanafil (Stendra)
- sildenafil (Viagra)
- tadalafil (Cialis)
- vardenafil (Levitra, Staxyn ODT)
- peanut allergen powder (Palforzia)
- pegfilgrastim (Neulasta)
- pegfilgrastim-apgf (Nyvepria)
- pegfilgrastim-bmez (Ziextenzo)
- pegfilgrastim-cbqv (Udenyca)
- pegfilgrastim-fpgk (Stimufend)
- pegfilgrastim-jmdb (Fulphila)
- pegfilgrastim-pbbk (Fylnetra)
- peginterferon alfa-2a (Pegasys)
- peg-interferon beta-1a (Plegridy)
- egvaliase-pqpz (Palynziq)
- pegvisomant (Somavert)
- pemigatinib (Pemazyre)
- penicillamine (Cuprimine)
- penicillamine (Depen)
- perampanel (Fycompa)
- perfluorohyxyloctane (Miebo)
- perindopril-amlodipine (Prestalia)
- pexidartinib (Turalio)
- phenoxybenzamine (Dibenzyline)
- glycerol phenylbutyrate (Ravicti)
- sodium phenylbutyrate (Buphenyl, Olpruva, Pheburane)
- phospholine iodide ophthalmic drops
- pilocarpine eye drops (Qlosi)
- 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)
- 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 delayed-release (Rayos)
- amphetamine-dexamphetamine capsule, extended-release (Adderall XR)
- dexmethylphenidate extended-release (Focalin XR)
- lisdexamfetamine (Vyvanse)
- Methylphenidate capsule, long-acting (Ritalin LA)
- methylphenidate controlled-delivery (Metadate CD)
- methylphenidate extended-release (Aptensio XR, Metadate ER)
- methylphenidate tablet, extended-release (Concerta ER)
- amphetamine-dexamphetamine tablet (Adderall)
- dexmethylphenidate tablet (generic Focalin)
- methylphenidate (Methylin, Ritalin)
- Altrixa
- Azesco
- CitraNatal Harmony
- CitraNatal Rx
- DermacinRx Pretrate
- Embriva
- FolateXcel
- Jenliva Prenatal-Postnatal
- Matervia
- Multi-Mac
- NeoMaterna
- Obstetrix One
- PNV Tabs 20-1
- PNV-DHA+Docusate
- PreGen DHA
- PreGenna
- Prenara
- Prenatol-M
- Prenatrix
- Prenatryl
- Trinaz
- Zalvit
- Ziphex
- progesterone (Crinone 4)
- progesterone (Crinone 8)
- progesterone (Endometrin)
- propranolol SR (Inderal XL, Innopran XL)
- propranolol (Hemangeol)
- alprostadil (Caverject, Edex)
- alprostadil urethral suppository (Muse)
- dexlansoprazole (Dexilant)
- esomeprazole (Nexium)
- lansoprazole ODT (Prevacid Solutab)
- omeprazole packet (Prilosec)
- omeprazole-bicarbonate (Zegerid, Konvomep)
- prucalopride (Motegrity)
- pyrimethamine (Daraprim)
- quetiapine (Seroquel XR)
- quizartinib (Vanflyta)
- ambrosia artemisiifolia pollen (Ragwitek)
- ramelteon (Rozerem)
- ranolazine ER (Aspruzyo)
- regorafenib (Stivarga)
- relugolix-estradiol hemihydrate-norethindrone acetate (Myfembree)
- relugolix (Orgovyx)
- repotrectinib (Augtyro)
- resmetirom (Rezdiffra)
- revefenacin (Yupelri)
- revumenib citrate (Revuforj)
- ribociclib (Kisqali)
- ribociclib-letrozole (Kisqali Femara CoPack)
- rifamyin (Aemcolo)
- rifaximin (Xifaxan)
- rilonacept (Arcalyst)
- riluzole (Tiglutik)
- riociguat (Adempas)
- ripretinib (Qinlock)
- risankizumab-rzaa (Skyrizi)
- risdiplam (Evrysdi)
- risedronate (Actonel 30 mg)
- ritlecitinib (Litfulo)
- rizatriptan-meloxicam (Symbravo)
- roflumilast cream (Zoryve)
- roflumilast (Daliresp)
- roflumilast aerosol foam (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)
- sebetralstat (Ekterly)
- secnidazole (Solosec)
- secukinumab (Cosentyx)
- seladelpar (Livdelzi)
- selexipag (Uptravi)
- selinexor (Xpovio)
- selpercatinib (Retevmo)
- selumetinib (Koselugo)
- semaglutide SQ (Ozempic)
- semaglutide tablet (Rybelsus)
- semaglutide (Wegovy)
- setmelanotide (Imcivree)
- sevelamer carbonate, oral packet (Renvela)
- benzphetamine (Didrex)
- diethylpropion (Tenuate)
- phendimetrazine (Bontril PDM)
- phentermine (Adipex-P, Lomaira)
- sildenafil 20mg (Revatio)
- sildenafil suspension (Liqrev)
- simvastatin suspension (FloLipid)
- sinecatechins ointment (Veregen)
- siponimod (Mayzent)
- sirolimus gel (Hyftor)
- sodium oxybate ER (Lumryz)
- sodium oxybate (Xyrem)
- sofosbuvir (Sovaldi)
- velpatasvir-sofosbuvir (Epclusa)
- sofosbuvir-velpatasvir-voxilaprevir (Vosevi)
- sofpironium topical gel (Sofdra)
- solifenacin (Vesicare LS)
- solriamfetol (Sunosi)
- 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 injection (Zembrace)
- sumatriptan-naproxen (Treximet)
- sumatriptan nasal spray (Onzetra Xsail)
- sumatriptan spray (Tosymra)
- sunitinib (Sutent)
- tacrolimus (Envarsus XR)
- tacrolimus (Prograf Packet)
- tadalafil 20mg (Adcirca, Alyq, Tadliq)
- tafamidis capsule (Vyndamax, Vyndaqel)
- tafenoquine (Arakoda)
- talazoparib (Talzenna)
- taletrectinib (Ibtrozi)
- tapentadol (Nucynta)
- tapentadol (Nucynta ER)
- tapinarof cream (Vtama)
- tasimelteon (Hetlioz LQ)
- tasimelteon (Hetlioz)
- tazarotene (Arazlo)
- tazarotene aerosol foam (Fabior)
- tazemetostat (Tazverik)
- tbo-filgrastim (Granix)
- tedizolid (Sivextro)
- teglutide (Gattex)
- telotristat etiprate (Xermelo)
- tenapanor hydrochloride (Ibsrela)
- tenapanor (Xphozah)
- tenofovir-alafenamide (Vemlidy)
- tepotinib (Tepmetko)
- terazosin (Tezruly)
- teriflunomide (Aubagio)
- teriparatide SQ (Forteo, Bonsity)
- tesamorelin (Egrifta)
- methyltestosterone capsule (Methitest)
- testosterone enanthate injection (Xyosted)
- testosterone gel, packet, patch, pump (Androderm, Androgel, Axiron, Fortesta, Testim, Vogelxo)
- testosterone nasal (Natesto)
- testosterone undecanoate capsule (Jatenzo, Kyzatrex, Tlando, Undecatrex)
- tetrabenazine (Xenazine)
- tezacaftor-ivacaftor (Symdeko)
- tezepelumab-ekko autoinjector pen (Tezspire)
- thalidomide (Thalomid)
- tiopronin (Thiola, Thiola EC)
- tiotropium bromide (Spiriva HandiHaler)
- tiotropium-olodaterol (Stiolto Respimat)
- 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)
- tolvaptan (Jynarque)
- tolvaptan (Samsca)
- econazole (Ecoza)
- ketoconazole (Extina, Ketodan, Xolegel)
- luliconazole (Luzu)
- miconazole nitrate-zinc oxide-white petrolatum ointment (Vusion)
- naftifine cream, gel (Naftin)
- oxiconazole (Oxistat)
- sertaconazole (Ertaczo)
- acyclovir cream, ointment (Zovirax)
- acyclovir-hydrocortisone cream ( Xerese)
- penciclovir cream (Denavir)
- betamethasone foam (Luxiq Foam)
- clobetasol foam (Olux-E, Tovet)
- clocortolone pivalate (Cloderm)
- desoximetasone (Topicort)
- fluticasone lotion (Beser, Cutivate)
- hydrocortisone butyrate (Locoid)
- triamcinolone (Kenalog Spray)
- triamcinolone ointment (Trianex)
- efinaconazole topical solution (Jublia)
- tavaborole topical solution (Kerydin)
- topiramate extended release capsule (Qudexy XR)
- topiramate (Eprontia)
- topiramate sprinkle capsule 50 mg
- topiramate er (Trokendi XR)
- torsemide (Soaanz)
- tovorafenib (Ojemda)
- tralokinumab-ldrm (Adbry)
- tramadol extended-release (Conzip, Ryzolt)
- trametinib (Mekinist)
- trazodone oral solution (Raldesy)
- treprostinil (Tyvaso DPI, Yutrepia)
- treprostinil (Orenitram ER)
- tretinoin-benzoyl peroxide cream (Twyneo)
- tretinoin gel (Atralin)
- tretinoin lotion (Altreno)
- tretinoin microsphere (Retin-A Micro)
- tretinoin cream, gel (Retin-A, Avita)
- triameterene (Dyrenium)
- trientine (Syprine)
- trientine tetrahydrochloride (Cuvrior)
- trifarotene (Aklief)
- trifluridine-tipiracil (Lonsurf)
- triheptanoin (Dojolvi)
- eletriptan (Relpax)
- naratriptan (Amerge)
- rizatriptan (Maxalt)
- sumatriptan (Imitrex)
- zolmitriptan tablets (Zomig)
- trofinetide (Daybue)
- tucatinib (Tukysa)
- umeclidinium-vilanterol (Anoro Ellipta)
- upadacitinib (Rinvoq)
- uridine triacetate granule (Xuriden)
- ursodiol (Reltone)
- ustekinumab products (Stelara, Imuldosa, Pyzchiva, Selarsdi, Steqeyma, Wezlana, Yesintek, Otulfi)
- valbenazine (Ingrezza)
- valsartan oral solution
- vamorolone (Agamree)
- vancomycin solution (Firvanq)
- vandetanib (Caprelsa)
- vanzacaftor-tezacaftor-deutivacaftor (Alyftrek)
- varenicline spray (Tyrvaya)
- vedolizumab (Entyvio SQ)
- vemurafenib (Zelboraf)
- venetoclax (Venclexta)
- vericiguat (Verquvo)
- vibegron (Gemtesa)
- vigabatrin (Sabril)
- vigabatrin (Vigafyde)
- vilazodone (Viibryd)
- viloxazine hcl (Qelbree)
- vimseltinib (Romvimza)
- vismodegib (Erivedge)
- voclosporin (Lupkynis)
- vonopazan (Voquezna)
- vorasidenib (Voranigo)
- voriconazole (Vfend)
- vorinostat (Zolinza)
- vortioxetine (Trintellix)
- vosoritide (Voxzogo)
- xanomeline-trospium (Cobenfy)
- zanubrutinib (Brukinsa)
- zavegepant (Zavzpret)
- zileuton (Zyflo)
- zileuton controlled release (Zyflo CR)
- zilucoplan injection (Zilbrysq)
- zolmitriptan nasal spray (Zomig)
- 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.
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.