sign in sign up
<<
Home , Erenumab

Prior Authorization Drug Criteria Cross Reference PA Drug Name Generic Name PA Summary Name Epaned enalapril ACE Inhibitors and Combinations Perindopril perindopril ACE Inhibitors and Combinations Prestalia perindopril/amlodipine ACE Inhibitors and Combinations Qbrelis lisinopril ACE Inhibitors and Combinations Trandolapril/ ER by Greenstone trandolapril/verapamil ER ACE Inhibitors and Combinations Acanya clindamycin/benzoyl peroxide Acne and Rosacea Agents, Topical Aczone dapsone Acne and Rosacea Agents, Topical Altreno, Avita, Tretinoin, Retin-A Micro tretinoin Acne and Rosacea Agents, Topical Azelex, Finacea azelaic acid Acne and Rosacea Agents, Topical Clindamycin, Clindacin, Evoclin clindamycin Acne and Rosacea Agents, Topical Clindamycin 1%/Benzoyl Peroxide 5%, Neuac clindamycin/benzoyl peroxide Acne and Rosacea Agents, Topical Kit, Onexton Differin, Adapalene adapalene Acne and Rosacea Agents, Topical Epiduo, Epidue Forte adalpalene/benzoyl peroxide Acne and Rosacea Agents, Topical Ery Pad, erythromycin pad erythromycin Acne and Rosacea Agents, Topical Erythromycin/Benzoyl Peroxide erythromycin/benzoyl peroxide Acne and Rosacea Agents, Topical Metrogel, Metronidazole, Noritate, Rosadan metronidazole Acne and Rosacea Agents, Topical Fabior, Tazorac tazarotene Acne and Rosacea Agents, Topical Soolantra ivermectin Acne and Rosacea Agents, Topical Ziana tretinoin/clindamycin Acne and Rosacea Agents, Topical BPO Cloths benzoyl peroxide Acne and Rosacea Agents, Topical BP 10-1%, Sulfacetamide Sodium/Sulfur, sodium sulfacetamide/sulfur Acne and Rosacea Agents, Topical Sumaxin Sulfacetamide sodium sulfacetamide sodium Acne and Rosacea Agents, Topical Octreotide, Sandostatin LAR octreotide/octreotide ER Acromegaly Agents Signifor LAR pasireotide ER Acromegaly Agents Somatuline Depot lanreotide ER Acromegaly Agents Somavert pegvisomant Acromegaly Agents Afinitor Afinitor Tekturna aliskiren Aliskiren and Combinations Tekturna HCT aliskiren/HCTZ Aliskiren and Combinations Grastek timothy grass pollen allergen extract Allergic Rhinitis Sublingual Immunotherapy Oralair mixed grass pollen allergen extract Allergic Rhinitis Sublingual Immunotherapy Ragwitek short ragweed pollen allergen extract Allergic Rhinitis Sublingual Immunotherapy Aralast-NP alpha-1 proteinase inhibitor Alpha-1 Proteinase Inhibitors Glassia alpha-1 proteinase inhibitor Alpha-1 Proteinase Inhibitors Prolastin-C alpha-1 proteinase inhibitor Alpha-1 Proteinase Inhibitors Zemaira alpha-1 proteinase inhibitor Alpha-1 Proteinase Inhibitors Donepezil 23 mg donepezil Alzheimer's Agents Memantine oral solution memantine Alzheimer's Agents Memantine ER, Namenda XR Titration Pak memantine extended-release Alzheimer's Agents Namzaric, Titration Pak memantine/donepezil Alzheimer's Agents Tiglutik riluzole Amyotrophic Lateral Sclerosis Agents Arymo ER, Kadian, Morphabond ER, morphine ER Analgesics, Narcotics Long Morphine ER capsules Belbuca buprenorphine Analgesics, Narcotics Long Fentanyl Patch 37.5, 62.5, 87.5 mcg/hour fentanyl Analgesics, Narcotics Long Hydromorphone ER hydromorphone ER Analgesics, Narcotics Long Hysingla ER, Zohydro ER hydrocodone ER Analgesics, Narcotics Long Levorphanol levorphanol Analgesics, Narcotics Long Nucynta ER tapentadol ER Analgesics, Narcotics Long OxyContin oxycodone ER Analgesics, Narcotics Long Oxymorphone ER oxymorphone ER Analgesics, Narcotics Long Acetaminophen/caffeine/dihydrocodeine acetaminophen/caffeine/dihydrocodeine Analgesics, Narcotics Short

Butalbital/Acetaminophen/Caffeine/Codeine butalbital/acetaminophen/caffeine/codeine Analgesics, Narcotics Short Butalbital/Aspirin/Caffeine/Codeine butalbital/aspirin/caffeine/codeine Analgesics, Narcotics Short Butorphanol Nasal Spray QLL butorphanol Analgesics, Narcotics Short Dilaudid Oral Liquid, Hydromorphone Rectal hydromorphone Analgesics, Narcotics Short Suppository Hydrocodone/Ibuprofen, Ibudone hydrocodone/ibuprofen Analgesics, Narcotics Short Meperidine Tablets meperidine Analgesics, Narcotics Short Morphine Rectal Suppository morphine Analgesics, Narcotics Short Nucynta tapentadol Analgesics, Narcotics Short Oxaydo, Oxycodone QLL, Oxycodone oxycodone Analgesics, Narcotics Short Concentrate Oral Solution Oxycodone/Aspirin oxycodone/aspirin Analgesics, Narcotics Short Oxycodone/Ibuprofen oxycodone/ibuprofen Analgesics, Narcotics Short Oxymorphone oxymorphone Analgesics, Narcotics Short Primlev oxycodone/acetaminophen Analgesics, Narcotics Short Diflunisal diflunisal Analgesics, Salicylates Salsalate salsalate Analgesics, Salicylates Testosterone Injection testosterone cypionate Androgenic Agents, Injectable Testosterone Injection, Xyosted testosterone enanthate Androgenic Agents, Injectable Anadrol-50 oxymetholone Androgenic Agents, Oral Android, Methitest, Methyltestosterone, methyltestosterone Androgenic Agents, Oral Testred Danazol danazol Androgenic Agents, Oral Oxandrolone oxandrolone Androgenic Agents, Oral Androderm, Striant, Testosterone testosterone Androgenic Agents, Topical Ttrandermal Benicar, Olmesartan olmesartan Angiotensin Blockers and Combinations Candesartan candesartan Angiotensin Receptor Blockers and Combinations Edarbi azilsartan Angiotensin Receptor Blockers and Combinations Eprosartan eprosartan Angiotensin Receptor Blockers and Combinations Micardis, Telmisartan telmisartan Angiotensin Receptor Blockers and Combinations Amlodipine/Valsartan amlodipine/valsartan Angiotensin Receptor Blockers and Combinations Amlodipine/Valsartan/HCTZ amlodipine/valsartan/HCTZ Angiotensin Receptor Blockers and Combinations Amlodipine/olmesartan amlodipine/olmesartan Angiotensin Receptor Blockers and Combinations Entresto /valsartan Angiotensin Receptor Blockers and Combinations Tribenzor olmesartan/amlodipine/HCTZ Angiotensin Receptor Blockers and Combinations Benicar HCT, Olmesartan/HCTZ olmesartan/HCTZ Angiotensin Receptor Blockers and Combinations Candesartan/HCTZ candesartan/HCTZ Angiotensin Receptor Blockers and Combinations Edarbyclor azilsartan/HCTZ Angiotensin Receptor Blockers and Combinations Micardis, Telmisartan/HCTZ telmisartan/HCTZ Angiotensin Receptor Blockers and Combinations Telmisartan/Amlodipine, Twynsta telmisartan/amlodipine Angiotensin Receptor Blockers and Combinations Albenza albendazole Anthelmintics Egaten triclabendazole Anthelmintics Emverm mebendazole Anthelmintics Stromectol ivermectin Anthelmintics Erleada apalutamide Antiandrogens Xtandi enzalutamide Antiandrogens Yonsa airaterone Antiandrogens Zytiga abiraterone Antiandrogens Dificid fidaxomicin Antibiotics, GI Paromomycin paromomycin Antibiotics, GI Xifaxan rifamixin Antibiotics, GI Cleocin Ovules, Clindamycin Vaginal Cream clindamycin Antibiotics, Vaginal (7-day) Nuvessa metronidazole Antibiotics, Vaginal Solosec secnidazole Antibiotics, Vaginal Chlordiazepoxide/clidinium chlordiazepoxide/clidinium Anticholinergics-Antispasmodics Cuvposa, Glycate, Glycopyrrolate Injection glycopyrrolate Anticholinergics-Antispasmodics Methscopolamine methscopolamine Anticholinergics-Antispasmodics Proprantheline proprantheline Anticholinergics-Antispasmodics Bevyxxa betrixaban Anticoagulants Savaysa edoxaban Anticoagulants Fondaparinux fondaparinux Anticoagulants Fragmin Syringes dalteparin Anticoagulants Aptiom eslicarbazepine Banzel rufinamide Anticonvulsants Briviact brivaracetam Anticonvulsants Diazepam Rectal diazepam rectal Anticonvulsants Diacomit stiripentol Anticonvulsants Epidiolex cannabidiol Anticonvulsants Felbamate felbamate Anticonvulsants Fycompa perampanel Anticonvulsants Gabitril, Tiagabine tiagabine Anticonvulsants Lamictal Kits/ODT, Lamotrigine ER/ODT/kits lamotrigine Anticonvulsants Levetiracetam ER levetiracetam extended-release Anticonvulsants Lyrica CR pregabalin extended-release Anticonvulsants Nayzilam midazolam Anticonvulsants Oxtellar XR Anticonvulsants Qudexy XR, ER, Trokendi XR topiramate extended-release Anticonvulsants Sabril vigabatrin Anticonvulsants Stavzor, Valproic Acid Capsules valproic acid Anticonvulsants Sympazan clobazam Anticonvulsants Vimpat Injection lacosamide Anticonvulsants Brisdelle, Paxil Suspension, Pexeva paroxetine Antidepressants Escitalopram Oral Solution escitalopram Antidepressants Fluoxetine 10 mg, 20 mg Tablets fluoxetine Antidepressants Fluoxetine 90 mg Delayed-Release fluoxetine DR Antidepressants Fluoxetine [PMDD], Sarafem fluoxetine [PMDD] Antidepressants Fluvoxamine ER fluvoxamine extended-release Antidepressants Paroxetine ER paroxetine extended-release Antidepressants Desvenlafaxine ER desvenlafaxine extended-release Antidepressants Duloxetine 40 mg duloxetine Antidepressants Fetzima levomilnacipran Antidepressants Savella milnacipran Antidepressants Trintellix (previously Brintellix) vortioxetine Antidepressants Venlafaxine ER Tablets venlafaxine extended-release Antidepressants Nefazodone nefazodone Antidepressants Trazodone 300 mg trazodone Antidepressants Viibryd viladazone Antidepressants Emsam selegiline Antidepressants Marplan isocarboxazid Antidepressants Phenylzine phenylzine Antidepressants Tranylcypromine tranylcypromine Antidepressants Capsules imipramine pamoate Antidepressants Protriptyline protriptyline Antidepressants Trimipramine trimipramine Antidepressants Aplenzin, Forfivo XL bupropion extended-release Antidepressants Maprotiline maprotiline Antidepressants Alogliptin 6.25, 12.5mg, Nesina 25mg alogliptin Antidiabetic Agents Alogliptin/Metformin alogliptin/metformin Antidiabetic Agents Alogliptin/Pioglitazone alogliptin/pioglitazone Antidiabetic Agents Janumet XR sitagliptin/metformin ER Antidiabetic Agents Jentadueto XR linagliptin/metformin ER Antidiabetic Agents Prandimet, Repaglinide/Metformin repaglinide/metformin Antidiabetic Agents Fortamet, Metformin ER (generic Fortamet) metformin ER Antidiabetic Agents Glyxambi empagliflozin/linagliptin Antidiabetic Agents Invokamet canagliflozin/metformin Antidiabetic Agents Invokamet XR canagliflozin/metformin ER Antidiabetic Agents Qtern dapagliflozin/saxagliptin Antidiabetic Agents Segluromet ertugliflozin/metformin Antidiabetic Agents Steglatro ertugliflozin Antidiabetic Agents Steglujan ertugliflozin/sitagliptin Antidiabetic Agents Synjardy, Synjardy XR empaglifozin/metformin, ER Antidiabetic Agents Xidguo XR dapagliflozin/metformin ER Antidiabetic Agents Chlorpropamide chlorpropamide Antidiabetic Agents Tolazamide tolazamide Antidiabetic Agents Tolbutamide tolbutamide Antidiabetic Agents Actoplus Met XR pioglitazone/metformin ER Antidiabetic Agents Avandia rosiglitazone Antidiabetic Agents Avandamet rosiglitazone/metformin Antidiabetic Agents Pioglitazone/Glimepride pioglitazone/glimepiride Antidiabetic Agents Pioglitazone/Metformin pioglitazone/metformin Antidiabetic Agents Bydureon/Bydureon BCise ER Antidiabetic Agents Byetta exenatide Antidiabetic Agents Symlin Pen acetate Antidiabetic Agents Victoza Antidiabetic Agents Adlyxin Antidiabetic Agents Cycloset Antidiabetic Agents Ozempic Antidiabetic Agents Soliqua glargine/lixisenatide Antidiabetic Agents Tanzeum Antidiabetic Agents Trulicity Antidiabetic Agents Xultophy /liraglutide Antidiabetic Agents Akynzeo netupitant/palonosetron Antiemetics Anzemet dolasetron Antiemetics Cesamet nabilone Antiemetics Compro prochlorperazine Antiemetics Dronabinol, Syndros dronabinol Antiemetics Emend Suspension aprepitant Antiemetics Granisetron, Sancuso granisetron Antiemetics Ondansetron Injection, Zuplenz ondansetron Antiemetics Promethazine 50 mg Suppositories promethazine Antiemetics Varubi rolapitant Antiemetics Trimethobenzamide trimethobenzamide Antiemetics Cresemba isavuconazonium Antifungals, Oral Flucytosine flucytosine Antifungals, Oral Griseofulvin griseofulvin Antifungals, Oral Lamisil Granules terbinafine Antifungals, Oral Noxafil posaconazole Antifungals, Oral Itraconazole, Omnel, Sporanox Solution Itraconazole Antifungals, Oral Oravig miconazole Antifungals, Oral Vfend Suspension voriconazole Antifungals, Oral Fluconazole Injection fluconazole Antifungals, Injectable Ambisome amphotericin B liposome Antifungals, Injectable Cancidas caspofungin Antifungals, Injectable Voriconazole Injection voriconazole Antifungals, Injectable Bensal HP salicylic acid Antifungals, Topical Ciclodan Kit, CNL8 Kit, Ciclopirox, Loprox Kit ciclopirox Antifungals, Topical Clotrimazole/Betamethasone Lotion clotrimazole/betamethasone Antifungals, Topical Extina, Ketoconazole Foam ketoconazole Antifungals, Topical Jublia efinaconazole Antifungals, Topical Kerydin tavaborole Antifungals, Topical Luzu luliconazole Antifungals, Topical Naftifine naftifine Antifungals, Topical Nystatin/triamcinolone cream nystatin/triamcinolone Antifungals, Topical Vusion miconazole/zinc oxide/petrolatum Antifungals, Topical Clarinex-D desloratadine/pseudoephedrine Antihistamines Clarinex Syrup, Desloratadine desloratadine Antihistamines Karbinal ER, Ryvent carbinoxamine ER Antihistamines Levocetirizine Solution levocetirizine Antihistamines Ryvent carbinoxamine Antihistamines Krintafel tafenoquine Antimalarials Atovaquone/Proguanil, Malarone atovaquone/proguanil Antimalarials Coartem artemether/lumefantrine Antimalarials Quinine Sulfate quinine sulfate Antimalarials Aimovig erenumab-aooe Antimigraine Agents, Other Ajovy -vfrm Antimigraine Agents, Other Emgality -gnlm Antimigraine Agents, Other Eurax crotamiton Antiparasitics, Topical Lindane lindane Antiparasitics, Topical Malathion, Ovide malathion Antiparasitics, Topical Sklice ivermectin Antiparasitics, Topical Spinosad spinosad Antiparasitics, Topical Apokyn apomorphine Antiparkinson Agents Carbidopa/Levodopa ODT, Rytary carbidopa/levodopa Antiparkinson Agents Gocovri amantadine extended-release Antiparkinson Agents Inbrija levodopa Antiparkinson Agents Mirapex ER, Pramipexole ER pramipexole Antiparkinson Agents Neupro rotigotine Antiparkinson Agents Requip XL, Ropinirole ER ropinirole Antiparkinson Agents Tolcapone tolcapone Antiparkinson Agents Xadago safinamide Antiparkinson Agents Zelapar selegiline Antiparkinson Agents Aspirin/Dipyridamole aspirin/dipyridamole Antiplatelet Drugs Clopidogrel 300 mg clopidogrel Antiplatelet Drugs Yosprala aspirin/omeprazole Antiplatelet Drugs Zontivity vorapaxar Antiplatelet Drugs Alinia Quantity Level Limit nitazoxanide Antiprotozoals Benznidazole benznidazole Antiprotozoals Daraprim pyrimethamine Antiprotozoals Flagyl 375 mg, Metronidazole 375 mg metronidazole Antiprotozoals Tinidazole tinidazole Antiprotozoals Doxepin Cream, Prudoxin, Zonalon doxepin Antipruritics, Topical Calcipotriene ointment, Sorilux calcipotriene Antipsoriatic Agents Calcipotriene/betamethasone, Enstilar, calcipotriene/betamethasone Antipsoriatic Agents Taclonex Calcitriol, Vectical calcitriol Antipsoriatic Agents Methoxsalen methoxsalen Antipsoriatic Agents Valacyclovir QLL valacyclovir Antivirals, Oral Sitavig acyclovir Antivirals, Oral Xofluza baloxivir Antivirals, Oral Acyclovir Ointment acyclovir Antivirals, Topical Denavir penciclovir Antivirals, Topical Xerese acyclovir/hydrocortisone Antivirals, Topical Meprobamate meprobamate Anxiolytics Benzodiazepines and Barbiturates Alprazolam, Alprazolam ER, ODT alprazolam Anxiolytics Benzodiazepines and Barbiturates Chlordiazepoxide chlordiazepoxide Anxiolytics Benzodiazepines and Barbiturates Clonazepam ODT clonazepam Anxiolytics Benzodiazepines and Barbiturates Clorazepate clorazepate Anxiolytics Benzodiazepines and Barbiturates Diazepam diazepam Anxiolytics Benzodiazepines and Barbiturates Lorazepam lorazepam Anxiolytics Benzodiazepines and Barbiturates Oxazepam oxazepam Anxiolytics Benzodiazepines and Barbiturates Estazolam estazolam Anxiolytics Benzodiazepines and Barbiturates Flurazepam flurazepam Anxiolytics Benzodiazepines and Barbiturates Midazolam midazolam Anxiolytics Benzodiazepines and Barbiturates Temazepam temazepam Anxiolytics Benzodiazepines and Barbiturates Triazolam triazolam Anxiolytics Benzodiazepines and Barbiturates Amytal amobarbital Anxiolytics Benzodiazepines and Barbiturates Butisol butabarbital Anxiolytics Benzodiazepines and Barbiturates Phenobarbital Injection phenobarbital Anxiolytics Benzodiazepines and Barbiturates Seconal secobarbital Anxiolytics Benzodiazepines and Barbiturates Arikayce amikacin liposome inhalation suspension Arikayce Anoro Ellipta umeclidinium/vilanterol Asthma and COPD Agents Bevespi Aerosphere glycopyrrolate/formoterol Asthma and COPD Agents Duaklir Pressair aclidinium/formotoerol Asthma and COPD Agents Incruse Ellipta umeclidinium Asthma and COPD Agents Lonhala Magnair, Seebri Neohaler glycopyrrolate Asthma and COPD Agents Spiriva Respimat tiotropium Asthma and COPD Agents Tudorza Pressair aclidinium Asthma and COPD Agents Utibron Neohaler glycopyrrolate/indacaterol Asthma and COPD Agents Yupelri revefenacin Asthma and COPD Agents Albuterol Inhalation 0.021%, 0.042% albuterol Asthma and COPD Agents Albuterol Tablets albuterol Asthma and COPD Agents Arcapta Neohaler indacaterol Asthma and COPD Agents Brovana aformoterol Asthma and COPD Agents Levalbuterol, Xopenex HFA levalbuterol Asthma and COPD Agents Metaproterenol metaproterenol Asthma and COPD Agents Perforomist formoterol Asthma and COPD Agents ProAir Digihaler and Respiclick albuterol Asthma and COPD Agents Striverdi Respimat oladaterol Asthma and COPD Agents Terbutaline terbutaline Asthma and COPD Agents Alvesco ciclesonide Asthma and COPD Agents Armonair Respiclick fluticasone propionate Asthma and COPD Agents Arnuity Ellipta fluticasone furoate Asthma and COPD Agents Asmanex Twisthaler/HFA mometasone Asthma and COPD Agents Qvar Redihaler beclomethasone Asthma and COPD Agents AirDuo, Fluticasone/Salmeterol fluticasone/salmeterol Asthma and COPD Agents Breo Ellipta fluticasone/vilanterol Asthma and COPD Agents Trelegy Ellipta fluticasone/umeclidinium/vilanterol Asthma and COPD Agents Daliresp roflumilast Asthma and COPD Agents Abilify Maintena, Aripiprazole, aripiprazole Atypical Antipsychotics Aristada/Aristada Initio Clozapine, Clozapine ODT, Versacloz clozapine Atypical Antipsychotics Fanapt iloperidone Atypical Antipsychotics Invega Sustenna, Invega Trinza, Paliperidone paliperidone Atypical Antipsychotics Latuda lurasidone Atypical Antipsychotics Nuplazid pimavanserin Atypical Antipsychotics Olanzapine, Zyprexa Relprevv olanzapine Atypical Antipsychotics Olanzapine/Fluoxetine olanzapine/fluoxetine Atypical Antipsychotics Quetiapine IR and ER quetiapine Atypical Antipsychotics Rexulti brexpiprazole Atypical Antipsychotics Risperdal Consta, risperidone Atypical Antipsychotics Saphris asenapine Atypical Antipsychotics Vraylar cariprazine Atypical Antipsychotics Ziprasidone ziprasidone Atypical Antipsychotics Amoxicillin/Clavulanate chewable tablets, amoxicillin/clavulanate Augmentin Products 250/125 mg tablets Amoxicillin/Clavulanate ER amoxicillin/clavulanate extended-release Augmentin Products Amoxicillin/clavulanate 250-62.5 mg/5 ml, amoxicillin/clavulanate Augmentin Products Augmentin 125-31.25 mg/5 mL Aztreonam injection, Azactam Injection aztreonam Aztreonam Balversa larotrectinib Balversa Erivedge vismodegib Basal Cell Carcinoma Agents Odomzo sonidegib Basal Cell Carcinoma Agents Bystolic nebivolol Beta Blockers Coreg CR carvedilol extended-release Beta Blockers Corzide nadolol/bendroflurmethiazide Beta Blockers Innopran XL extended-release Beta Blockers Metoprolol/Hydrochlorothiazide metoprolol/hydrochlorothiazide Beta Blockers Sotylize sotalol Beta Blockers timolol Beta Blockers BiDil isosorbide dinitrate/hydralazine HCl BiDil Cholestyramine, cholestyramine lite, cholestyramine Bile Acid Sequestrants Prevalite powder packets Colestid and colestipol granules and packets colestipol Bile Acid Sequestrants Welchol colesevelam Bile Acid Sequestrants Arcalyst rilonacept Biologic Immunomodulators Benlysta Subcutaneous belimumab Biologic Immunomodulators Enbrel/Mini/SureClick etanercept Biologic Immunomodulators Humira adalimumab Biologic Immunomodulators Ilaris canakinumab Biologic Immunomodulators Xeljanz tofacitinib Biologic Immunomodulators Xeljanz XR tofacitinib extended-release Biologic Immunomodulators Actemra Subcutaneous tocilizumab Biologic Immunomodulators Cimzia certolizumab Biologic Immunomodulators Cosentyx secukinumab Biologic Immunomodulators Dupixent dupilumab Biologic Immunomodulators Kevzara sarilumab Biologic Immunomodulators Kineret anakinra Biologic Immunomodulators Olumiant baricitinib Biologic Immunomodulators Orencia Subcutaneous abatacept Biologic Immunomodulators Otezla apremilast Biologic Immunomodulators Siliq brodalumab Biologic Immunomodulators Simponi golimumab Biologic Immunomodulators Skyrizi risankizumab Biologic Immunomodulators Stelara ustekinumab Biologic Immunomodulators Taltz ixekizumab Biologic Immunomodulators Tremfya guselkumab Biologic Immunomodulators Enablex darifenacin Bladder Relaxant Preparations Flavoxate flavoxate Bladder Relaxant Preparations Gelnique oxybutunin Bladder Relaxant Preparations Myrbetriq mirabegron Bladder Relaxant Preparations Sanctura XR, Trospium IR and ER trospium Bladder Relaxant Preparations Tolterodine IR, Tolterodine ER tolterodine tartrate Bladder Relaxant Preparations Actonel 5 mg and 30 mg, Atelvia, risedronate Ossification Risedronate Alendronate Oral Solution, Binosto alendronate Bone Ossification Forteo Bone Ossification Fosamax Plus D alendronate with vitamin D Bone Ossification Ibandronate ibandronate Bone Ossification Miacalcin Injection -salmon Bone Ossification Risedronate Delayed-Release risedronate DR Bone Ossification Tymlos Bone Ossification Cardura XL doxazosin BPH Agents Cialis 2.5 mg, 5 mg tadalafil BPH Agents Dutasteride/Tamsulosin dutasteride/tamsulosin BPH Agents Rapaflo silodosin BPH Agents Cabometyx cabozantinib Cabometyx Isradipine isradipine Calcium Channel Blockers Katerzia amlodipine Calcium Channel Blockers Nisoldipine ER nisoldipine ER Calcium Channel Blockers Nymalize nimodipine Calcium Channel Blockers Diltiazem CD 360 mg, Matzim LA diltiazem ER Calcium Channel Blockers Verapamil ER PM verapamil ER Calcium Channel Blockers Capecitabine capecitabine Capecitabine Carbaglu carglumic acid Carbaglu Doribax doripenem Carbapenems Meropenem meropenem Carbapenems Meropenem/Sodium Chloride meropenem/sodium chloride Carbapenems Primaxin, Imipenem/Cilastin imipenem/cilastin Carbapenems Celestone Soluspan betamethasone Celestone Soluspan Cefadroxil Tablets cefadroxil Cephalosporins and Related Antibiotics Cephalexin 750 mg and Tablets cephalexin Cephalosporins and Related Antibiotics Cefaclor ER, Suspension cefaclor Cephalosporins and Related Antibiotics Cefixime, Suprax cefixime Cephalosporins and Related Antibiotics Cefpodoxime cefpodoxime Cephalosporins and Related Antibiotics Avycaz ceftazidime/avibactam Cephalosporins, Injectable Teflaro ceftaroline Cephalosporins, Injectable Zerbaxa ceftolozane/tazobactam Cephalosporins, Injectable Depen Titratabs penicillamine Chelating Agents Ferriprox deferiprone Chelating Agents Jadenu deferasirox Chelating Agents Chenodal chenodiol Chenodal Cholbam cholic acid Cholbam TTS clonidine TTS Clonidine TTS Fulphila pegfilgrastim-jmdb Colony Stimulating Factors Granix tbo filgastrim Colony Stimulating Factors Leukine sargramostim Colony Stimulating Factors Neulasta pegfilgrastim Colony Stimulating Factors Neupogen filgrastim Colony Stimulating Factors Nivestym filgrastim-aafi Colony Stimulating Factors Udenyca pegfilgrastim-cbqv Colony Stimulating Factors Zarxio filgrastim-sndz Colony Stimulating Factors Amethia, Amethia Lo, Amethyst, Camrese, ethinyl /levonorgestrel Contraceptives Camrese Lo, Quartette, generics Aranelle, Leena, generics ethinyl estradiol/norethindrone Contraceptives levonorgestrel/ethinyl estradiol/ferrous Balcoltra Contraceptives biglycinate ethinyl estradiol/drospirenone/ Generics, Safyral Contraceptives levomefolate calcium Gianvi, Ocella, Zarah, generics ethinyl estradiol/drospirenone Contraceptives ethinyl estradiol/norethindrone Layolis FE, Wymza FE, generics Contraceptives acetate/ferrous fumarate ethinyl estradiol/norethindrone Lo Loestrin FE, Minastrin 24 FE Contraceptives acetate/ferrous fumarate Natazia estradiol valerate/dienogest Contraceptives Slynd drospirenone Contraceptives Tri-Lo Estaryll, Tri-Lo Marzia, Tri-Lo Sprintec, ethinyl estradiol/ Contraceptives generics Xulane, generics ethinyl estradiol/norelgestromin Contraceptives Zovia 1/50E, generics ethinyl estradiol/ethynodiol Contraceptives Copiktra duvelisib Copiktra Corlanor ivabradine Corlanor Analpram-HC Cream, hydrocortisone acetate/pramoxine Corticosteroid Combinations Hydrocortisone/Pramoxine, Procort Dexpak, Taperdex dexamethasone Corticosteroids, Oral Emflaza deflazacort Corticosteroids, Oral Millipred, Orapred ODT, Pediapred, prednisolone Corticosteroids, Oral Prednisolone ODT, 10mg/5mL, 20mg/5mL Rayos prednisone delayed-release Corticosteroids, Oral Augmented Betamethasone augmented betamethasone Corticosteroids, Topical Clobetasol, Clobex lotion/shampoo, Clodan clobetasol Corticosteroids, Topical Kit, Olux-E Ultravate X Kit halobetasol/lactic acid Corticosteroids, Topical Bryhali, Halobetasol Aerosol, Ultravate halobetasol Corticosteroids, Topical Lotion Apexicon E, Diflorasone Diacetate diflorasone diacetate Corticosteroids, Topical Alclometasone Dipropionate alclometasone dipropionate Corticosteroids, Topical Cloderm, Clocortolone Pivalate clocortolone pivalate Corticosteroids, Topical Prednicarbate prednicarbate Corticosteroids, Topical Fluticasone fluticasone Corticosteroids, Topical Halog halcinonide Corticosteroids, Topical Mometasone Furoate mometasone furoate Corticosteroids, Topical Hydrocortisone Butyrate hydrocortisone butyrate Corticosteroids, Topical Betamethasone Dipropionate, Sernivo betamethasone dipropionate Corticosteroids, Topical Luxiq, Betamethasone Valerate betamethasone valerate Corticosteroids, Topical Pandel hydrocortisone probutate Corticosteroids, Topical Capex, Synalar/Kit, Fluocinolone Acetonide fluocinolone acetonide Corticosteroids, Topical Texacort hydrocortisone Corticosteroids, Topical Amcinonide amcinonide Corticosteroids, Topical Topicort, Desoximetasone desoximetasone Corticosteroids, Topical Trianex augmented triamcinolone Corticosteroids, Topical Fluocinonide fluocinonide Corticosteroids, Topical Desonide, Desonate desonide Corticosteroids, Topical Cordran Tape, Flurandrenolide flurandrenolide Corticosteroids, Topical Beser Kit fluticasone propionate/emollient cream Corticosteroids, Topical Kenalog, Triamcinolone Acetonide triamcinolone acetonide Corticosteroids, Topical Crinone Crinone Kalydeco ivacaftor Cystic Fibrosis, Oral Orkambi lumacaftor/ivacaftor Cystic Fibrosis, Oral Symdeko tezacaftor/ivacaftor and ivacaftor Cystic Fibrosis, Oral elexacaftor/tezacaftor/ivacaftor and Triktafta Cystic Fibrosis, Oral ivacaftor) Cytovene Injection, Ganciclovir Injection ganciclovir Cytomegalovirus Agents Prevymis letermovir Cytomegalovirus Agents Valcyte Powder, Valganciclovir Powder valganciclovir Cytomegalovirus Agents Daurismo glasdegib Daurismo Abbott Test Strips blood glucose test strips Diabetic Supplies Insulin Pens Humalog Pens Diabetic Supplies Insulin Pens Humulin Pens, Novolin Pens insulin Diabetic Supplies Insulin Pens Insulin Syringes insulin syringes Diabetic Supplies Insulin Pens Lancet Device and Lancets lancets Diabetic Supplies Insulin Pens Pen Needles pen needles Diabetic Supplies Insulin Pens Precision Ketone Test Strips ketone test strips Diabetic Supplies Insulin Pens Apidra Pens Diabetic Supplies Insulin Pens Basaglar, Toujeo Pens Diabetic Supplies Insulin Pens Novolog Pens Diabetic Supplies Insulin Pens Tresiba Pens insulin degludec Diabetic Supplies Insulin Pens Alosetron alosetron Diarrhea Agents Mytesi crofelemer Diarrhea Agents Viberzi eluxadoline Diarrhea Agents Xermelo telotristat Diarrhea Agents Bumetanide Bumetanide Diuretics Carospir spirinolactone suspension Diuretics Eplerenone eplerenone Diuretics Ethacrynic Acid ethacryinic acid Diuretics Methychlothiazide methyclothiazide Diuretics Egrifta tesamorelin Egrifta Elaprase idursulfase Elaprase Cerdelga eliglustat Enzymes for Gaucher Disease Cerezyme imiglucerase Enzymes for Gaucher Disease Elelyso taliglucerase Enzymes for Gaucher Disease VPRIV velaglucerase Enzymes for Gaucher Disease Epinephrine injection generics EXCEPT by epinephrine Epinephrine Injection Mylan, EpiPen, Symjepi Epogen, Procrit epoetin alfa Epoetin Aranesp darbepoetin alfa Epoetin Mircera methoxy polyethylene glycol-epoetin beta Epoetin Retacrit epoetin alfa-epbx Epoetin Duavee conjugated /bazedoxifene Estrogen Modifiers Norethindrone/ethinyl estradiol norethindrone/ethinyl estradiol Estrogen Modifiers Divigel, Elestrin estradiol topical gel Estrogen Modifiers Estradiol Patch, Minivelle estradiol transdermal patch Estrogen Modifiers Evamist estradiol topical spray solution Estrogen Modifiers Etoposide, Etopophos, Toposar etoposide Etoposide Galafold migalastat Fabry Disease Agents Femring estradiol acetate Femring QLL Antara, Fenofibrate, Fenoglide, Triglide fenofibrate Fibric Acid Derivatives Fenofibric Acid fenofibric acid Fibric Acid Derivatives Fenofibric Acid DR fenofibric acid delayed-release Fibric Acid Derivatives Firmagon degarelix Firmagon Gattex teduglitide Gattex Amitiza lubiprostone GI Motility, Chronic Kristalose lactulose GI Motility, Chronic Linzess linaclotide GI Motility, Chronic Motegrity prucalopride GI Motility, Chronic Movantik naloxegol GI Motility, Chronic Relistor methylnaltrexone GI Motility, Chronic Symproic naldemedine GI Motility, Chronic Trulance plecanatide GI Motility, Chronic Dalvance dalbavancin Glycopeptides Firvanq vancomycin Glycopeptides Vibativ telavancin Glycopeptides Lupron Depot, Lupron Depot-Ped leuprolide Gonadotropin-Releasing Hormone Agents Orilissa elagolix Gonadotropin-Releasing Hormone Agents Colchicine QLL, Tablets colchicine Gout Agents Uloric febuxostat Gout Agents Genotropin, Humatrope, Norditropin, Nutropin AQ, Omnitrope, Saizen, Zomacton, somatotropin (recombinant) Zorbtive bismuth subsalicylate/ Helidac H Pylori Agents metronidazole/tetracycline Omeclamox amoxicillin/clarithromycin/omeprazole H Pylori Agents

Amoxicillin/Clarithromycin/Lansoprazole amoxicillin/clarithromycin/ lansoprazole H Pylori Agents bismuth subcitrate/metronidazole/ Pylera H Pylori Agents tetracycline Famotidine Oral Suspenion famotidine H2 Antagonists Nizatidine Capsules, Oral Solution nizatidine H2 Antagonists Ranitidine Capsules ranitidine H2 Antagonists Cinryze, Ruconest C1 esterase inhibitor HAE Treatments Takhzyro lanadelumab-flyo HAE Treatments Adynovate, Eloctate, Jivi, Kovaltry, factor VIII recombinant Hemophilia Treatment Recombinate Alprolix, Idelvion, Ixinity, Rebinyn, Rixubis factor IX recombinant Hemophilia Treatment Alphanate, Humate-P von Willebrand factor complex human Hemophilia Treatment Vonvedi von Willebrand factor recombinant Hemophilia Treatment FEIBA antiinhibitor factor complex Hemophilia Treatment Hemlibra emicizumab Hemophilia Treatment Novoseven RT factor VIIa recombinant Hemophilia Treatment Tretten factor VIII A-subunit recombinant Hemophilia Treatment Adefovir adefovir Hepatitis B Agents Vemlidy tenofovir alafenamide Hepatitis B Agents Epclusa sofosbuvir/velpatasvir Hepatitis C Agents Harvoni ledipasvir/sofosbuvir Hepatitis C Agents Mavyret glecaprevir/pibrentasvir Hepatitis C Agents Sovaldi sofosbuvir Hepatitis C Agents Vosevi sofosbuvir/velpatasvir/voxilaprevir Hepatitis C Agents Zepatier elbasvir/grazoprevir Hepatitis C Agents Moderiba Pak, Ribapak, Ribasphere ribavirin Hepatitis C Agents Tegsedi inotersen Hereditary Transthyretin Amloidosis Agents Abacivir/Lamivudine/Zidovudine abacivir/lamivudine/zidovudine HIV-AIDS Aptivus tipranavir HIV-AIDS Complera emtricitabine/rilpivirine/tenofovir HIV-AIDS Crixivan indinavir HIV-AIDS doravirine/lamivudine/tenofovir disoproxil Delstrigo HIV-AIDS fumurate Edurant rilpivirine HIV-AIDS Evotaz atazanavir/cobicistat HIV-AIDS Fuzeon enfuvirtide HIV-AIDS Intelence etavirine HIV-AIDS Invirase saquinavir HIV-AIDS Isentress/Isentress HD raltegravir HIV-AIDS Juluca dolutegravir/rilpivirine HIV-AIDS Lexiva fosamprenavir HIV-AIDS Nevirapine ER nevirapine extended-release HIV-AIDS Norvir Powder ritonavir HIV-AIDS emtricitabine/rilpivirine/tenofovir Odefsey HIV-AIDS alafenamide Pifeltro doravirine HIV-AIDS Prezcobix darunavir/cobicistat HIV-AIDS Prezista darunavir HIV-AIDS Reyataz Powder atazanavir HIV-AIDS Ritonavir Tablets ritonavir HIV-AIDS Selzentry maraviroc HIV-AIDS elvitegravir/cobicistat/emtricitabine/tenofo Stribild HIV-AIDS vir disoproxil fumarate efavirenz/lamivudine/tenofovir disoproxil Symfi/Symfi Lo HIV-AIDS fumarate darunavir/cobicistat/emtricitabine/tenofovir Symtuza HIV-AIDS alafenamide Tivicay dolutegravir HIV-AIDS Tybost cobicistat HIV-AIDS Videx Solution didanosine HIV-AIDS Vitekta elvitegravir HIV-AIDS HP Acthar Gel respiratory corticotropin injection HP Acthar Gel Amphadase bovine hyaluronidase Hyaluronidase Hylenex recombinant hyaluronidase Hyaluronidase Vitrase ovine hyaluronidase Hyaluronidase Qbrexza glycopyrronium Hyperhidrosis Agents Lokelma sodium zirconium cyclosilicate Hyperkalemia Agents Veltassa patiromer Hyperkalemia Agents Afrezza insulin inhaled Hypoglycemics, Insulin and Related Agents Apidra vials insulin glulisine Hypoglycemics, Insulin and Related Agents Novolin vials insulin regular/isophane Hypoglycemics, Insulin and Related Agents Novolog Mix vials insulin aspart/aspart protamine Hypoglycemics, Insulin and Related Agents Tresiba vials insulin degludec Hypoglycemics, Insulin and Related Agents CytoGam cytomegalovirus immune globulin Immune Globulins Bivigam, Carimune, Cutaquig, Cuvitru, Flebogamma, Gamastan, Gammagard, immune globulin Immune Globulins Gammaked, Gammaplex, Gamunex, Hizentra, Hyqvia, Octagam, Panzyga, Privigin HepaGam B hepatitis B immune globulin Immune Globulins Cellcept suspension, mycophenolic mofetil mycophenolic mofetil Immunosuppressives, Oral suspension Astagraf XL, Envarsus XR tacrolimus ER Immunosuppressives, Oral Prograf Granules tacrolimus for oral suspension Immunosuppressives, Oral Zortress everolimus Immunosuppressives, Oral Increlex Increlex Inlyta axitinib Inlyta Invanz ertapenem Invanz Infed iron dextran Iron Parenteral Venofer iron sucrose Iron Parenteral Feraheme ferumoxytol Iron Parenteral Injectafer ferric carboxymaltose Iron Parenteral Sodium Ferric Gluconate Complex sodium ferric gluconate complex Iron Parenteral Absorica, Isotretinoin generics isotretinoin Isotretinoin Jynarque tolvaptan Jynarque Keveyis dichlorphenamide Keveyis Korlym mifepristone Korlym Firdase, Ruzurgi amifampridine Lambert-Eaton Myasthenic Syndrome Agents Lanoxin 0.0625mg, 0.1875mg digoxin Lanoxin Clenpiq, Prepopik sodium picosulfate, magnesium, citric acid Laxatives and Cathartics Gavilyte-H polyethylene glycol, electrolytes, bisacodyl Laxatives and Cathartics polyethylene glycol, sodium, ascorbic acid, Plenvu Laxatives and Cathartics potassium Suprep sodium, potassium, magnesium Laxatives and Cathartics Montelukast Granules montelukast Leukotriene Modifiers Zafirlukast zafirlukast Leukotriene Modifiers Zileuton ER zileuton extended-release Leukotriene Modifiers Zyflo zileuton Leukotriene Modifiers Cubicin, Daptomycin 350 mg daptomycin Juxtapid lomitapide Lipotropics, Other Omega-3-Acid Ethyl Esters omega-3-acid ethyl esters Lipotropics, Other Praluent Lipotropics, Other Repatha Lipotropics, Other Vascepa icosapent ethyl Lipotropics, Other Simvastatin 80mg, Vytorin 10/80mg simvastatin Lipotropics, Statins Altoprev lovastatin Lipotropics, Statins Amlodipine/Atorvastatin amlodipine/atorvastatin Lipotropics, Statins Ezallor rosuvastatin Lipotropics, Statins Fluvastatin fluvastatin Lipotropics, Statins Livalo, Zypitamag pitavastatin Lipotropics, Statins Lonsurf trifluridine/tipiracil Lonsurf Erythromycin Oral erythromycin Macrolides-Ketolides Makena hydroxyprogesterone caproate Makena Megace ES, Megestrol ES megestrol acetate Megace ES Braftovi encorafenib Melanoma Agents Cotellic cobimetinib Melanoma Agents Mekinist trametinib Melanoma Agents Mektovi binimetinib Melanoma Agents Sylatron peginterferon alfa-2b Melanoma Agents Tafinlar dabrafenib Melanoma Agents Zelboraf vemurafenib Melanoma Agents Otrexup, Rasuvo, Xatmep methotrexate Methotrexate Products Metozolv ODT, ODT metoclopramide ODT Metozolv ODT Milrinone milrinone Milrinone Bupap, Butalbital/Acetaminophen 50-300 mg butalbital/acetaminophen Miscellaneous Analgesics Butalbital/Acetaminophen/Caffeine butalbital/acetaminophen/caffeine Miscellaneous Analgesics Capsules, Zebutal Conzip, Tramadol ER tramadol ER Miscellaneous Analgesics Austedo deutetrabenazine Movement Disorder Agents Ingrezza valbenazine Movement Disorder Agents Tetrabenazine tetrabenazine Movement Disorder Agents Mozobil plerixafor Mozobil Multaq dronedarone Multaq Dalfampridine dalfampridine Multiple Sclerosis Agents Copaxone 40mg, Glatiramer 20mg glatiramer Multiple Sclerosis Agents Extavia interferon beta-1b Multiple Sclerosis Agents Mavenclad cladribine Multiple Sclerosis Agents Mayzent siponimod Multiple Sclerosis Agents Plegridy peginterferon beta-1a Multiple Sclerosis Agents Myalept Myalept Narcotic Fill Limit n/a Narcotic Fill Limit Evzio, Narcan Nasal Spray naloxone Naloxone Products Azelastine 0.15% azelastine Nasal Antihistamines Dymista azelastine/fluticasone Nasal Antihistamines Olopatadine 0.6% olopatadine Nasal Antihistamines Beconase AQ, Qnasl beclomethasone Nasal Steroids Budesonide budesonide Nasal Steroids Flunisolide flunisolide Nasal Steroids Mometasone Furoate mometasone furoate Nasal Steroids Omnaris, Zetonna ciclesonide Nasal Steroids Veramyst fluticasone furoate Nasal Steroids Xhance fluticasone propionate Nasal Steroids Natpara Natpara Gralise, Horizant gabapentin Neuropathic Pain Lidoderm, Lidocaine Patch, Lidocaine lidocaine Neuropathic Pain Ointment, ZTLido Prizotral lidocaine/prilocaine Neuropathic Pain Nexavar sorafenib Nexavar Niacor niacin Niacin Products GoNitro, Nitromist nitroglycerin Nitroglycerin Products Northera droxidopa Northera Cambia, Zipsor diclofenac potassium NSAIDs and COX II Celecoxib celecoxib NSAIDs and COX II Diclofenac/Misoprostol diclofenac/misoprostol NSAIDs and COX II Diclofenac ER, Zorvolex diclofenac NSAIDs and COX II Duexis ibuprofen/famotidine NSAIDs and COX II Etodolac ER etodolac NSAIDs and COX II Fenoprofen, Nalfon fenoprofen NSAIDs and COX II Indomethacin ER, Tivorbex indomethacin NSAIDs and COX II Ketoprofen IR, ER ketoprofen NSAIDs and COX II Meclofenamate meclofenamate NSAIDs and COX II Mefenamic Acid mefenamic acid NSAIDs and COX II Naprelan, Naproxen CR, DR naproxen NSAIDs and COX II Oxaprozin oxaprozin NSAIDs and COX II Sprix ketorolac NSAIDs and COX II Tolmetin tolmetin NSAIDs and COX II Vimovo naproxen/esomeprazole NSAIDs and COX II Vivlodex meloxicam NSAIDs and COX II Diclofenac Patch, Diclofenac Solution, diclofenac NSAIDs, Topical Pennsaid 2% Nuedexta dextromethorphan/quinidine Nuedexta Ocaliva obeticholic acid Ocaliva Ibrance palbociclib Oncology, Oral - Breast Kisqali riociclib Oncology, Oral - Breast Kisqali Femara riociclib/letrozole Oncology, Oral - Breast Nerlynx neratinib Oncology, Oral - Breast Pigray alpelisib Oncology, Oral - Breast Talzenna talazoparib Oncology, Oral - Breast Verzenio abemaciclib Oncology, Oral - Breast Bosulif bosutinib Oncology, Oral - Hematologic Calquence acalabrutinib Oncology, Oral - Hematologic Farydak panobinostat Oncology, Oral - Hematologic Iclusig ponatinib Oncology, Oral - Hematologic Idhifa enasidenib Oncology, Oral - Hematologic Imbruvica ibrutinib Oncology, Oral - Hematologic Ninlaro ixazomib Oncology, Oral - Hematologic Pomalyst pomalidomide Oncology, Oral - Hematologic Purixan mercaptopurine Oncology, Oral - Hematologic Rydapt midostaurin Oncology, Oral - Hematologic Sprycel dasatinib Oncology, Oral - Hematologic Tasigna nilotinib Oncology, Oral - Hematologic Venclexta venetoclax Oncology, Oral - Hematologic Xpovio selinexor Oncology, Oral - Hematologic Zolinza vorinostat Oncology, Oral - Hematologic Zydelig idelalisib Oncology, Oral - Hematologic Alecensa alectinib Oncology, Oral - Lung Alunbrig brigatinib Oncology, Oral - Lung Gilotrif afatinib Oncology, Oral - Lung Iressa gefitinib Oncology, Oral - Lung Lobrena lorlatinib Oncology, Oral - Lung Tagrisso osimertinib Oncology, Oral - Lung Tarceva erlotinib Oncology, Oral - Lung Vizimpro dacomitinib Oncology, Oral - Lung Xalkori crizotinib Oncology, Oral - Lung Zykadia ceritinib Oncology, Oral - Lung Lynparza olaparib Oncology, Oral - Ovarian Rubraca rucaparib Oncology, Oral - Ovarian Zejula niraparib Oncology, Oral - Ovarian AzaSite azithromycin Ophthalmic Antibiotics Bacitracin bacitracin Ophthalmic Antibiotics Besivance besifloxacin Ophthalmic Antibiotics Gatifloxacin Ophthalmic gatifloxacin Ophthalmic Antibiotics Levofloxacin Ophthalmic levofloxacin Ophthalmic Antibiotics Natacyn natamycin Ophthalmic Antibiotics Neomycin/Polymyxin B/Gramicidin neomycin/polymyxin B/gramicidin Ophthalmic Antibiotics Ofloxacin Ophthalmic ofloxacin Ophthalmic Antibiotics Lotemax Gel, Lotemax SM Gel loteprednol Ophthlamics Antiinflammatories Acuvail ketorolac Ophthlamics Antiinflammatories Bromfenac, Bromsite, Prolensa bromfenac Ophthlamics Antiinflammatories Nevanac nepafanac Ophthlamics Antiinflammatories Cequa, Restatis Multidose cyclosporine Ophthalmics Antiinflammatory Immunomodulators Xiidra Ophthalmics Antiinflammatory Immunomodulators Zirgan ganciclovir Ophthalmic Antivirals Apraclonidine 0.5% apraclonidine Ophthalmics, Glaucoma Agents Brimonidine P 0.15% brimonidine Ophthalmics, Glaucoma Agents Simbrinza brinzolamide/brimonidine Ophthalmics, Glaucoma Agents Betimol, Istalol, Timoptic Ocudose timolol Ophthalmics, Glaucoma Agents Combigan 10mL timolol/brimonidine Ophthalmics, Glaucoma Agents Cosopt PF timolol/dorzolamide Ophthalmics, Glaucoma Agents Azopt brinzolamide Ophthalmics, Glaucoma Agents Pilocarpine pilocarpine Ophthalmics, Glaucoma Agents Bimatoprost 0.03% bimatoprost Ophthalmics, Glaucoma Agents Travaprost travaprost Ophthalmics, Glaucoma Agents Vyzulta latanoprostene bunod Ophthalmics, Glaucoma Agents Xelpros latanoprost emulsion Ophthalmics, Glaucoma Agents Zioptan tafluprost Ophthalmics, Glaucoma Agents Rhopressa netarsudil Ophthalmics, Glaucoma Agents Rocklatan netarsudil/latanoprost Ophthalmics, Glaucoma Agents Blephamide SOP sulfacetamide/prednisolone ointment Ophthalmic Steroid-Antibiotic Combinations Neomycin/Polymyxin neomycin/polymyxin Ophthalmic Steroid-Antibiotic Combinations B/Bacitracin/Hydrocortisone B/bacitracin/hydrocortisone Neomycin/Polymyxin B/Hydrocortisone neomycin/polymyxin B/hydrocortisone Ophthalmic Steroid-Antibiotic Combinations

TobraDex ST, Tobramycin/Dexamethasone tobramycin/dexamethasone Ophthalmic Steroid-Antibiotic Combinations Alocril nedocromil sodium Ophthalmics for Allergic Conjuctivitis Alomide lodoxamide tromethamine Ophthalmics for Allergic Conjuctivitis Azelastine Ophthalmic azelastine Ophthalmics for Allergic Conjuctivitis Elestat, Epinastine Ophthalmic epinastine Ophthalmics for Allergic Conjuctivitis Emadine emedastine Ophthalmics for Allergic Conjuctivitis Lastacaft alcaftadine Ophthalmics for Allergic Conjuctivitis Olopatadine Ophthalmic, Pataday olopatadine Ophthalmics for Allergic Conjuctivitis Oxervate cenegermin-bkbj Ophthalmics for Neurotrophic Keratitis Bunavail, Buprenorphine/Naloxone, Zubsolv buprenorphine/naloxone Opioid Dependency Agents Lucemyra lofexidine Opioid Dependency Agents Orfadin Suspension nitisinone Orfadin Ciprofloxacin Otic ofloxacin Otic Antibiotics Otovel ciprofloxacin/fluocinolone Otic Antibiotics Sivextro tedizolid Oxazolidinones Zyvox, Linezolid linezolid Oxazolidinones Palynziq pegvaliase-pqpz Palyzniq Pancreaze, Pertzye, Viokace pancrelipase Pancreatic Enzymes Panretin alitretinoin Panretin Kabiven, Perikabiven /electrolytes/dextrose/lipid Parenteral Nutrition Products Intralipid, Omegaven, Smoflipid lipid emulsion Parenteral Nutrition Products Phenoxybenzamine phenoxybenzamine Phenoxybenzamine Auryxia ferric citrate Phosphate Binders Calcium Acetate Tablets, Phoslyra calcium acetate Phosphate Binders Fosrenol Powder, Lanthanum Carbonate lanthanum carbonate Phosphate Binders Renvela sevelamer carbonate Phosphate Binders Sevelamer Hydrochloride 400 mg sevelamer hydrochloride Phosphate Binders Velphoro sucroferric oxyhyroxide Phosphate Binders Procysbi cysteamine DR Procysbi Aciphex Sprinkles, Raberprazole rabeprazole Proton Pump Inhibitors Dexilant dexlansoprazole Proton Pump Inhibitors Esomeprazole Rx, Nexium Rx Granules esomeprazole Proton Pump Inhibitors Lansoprazole Rx, Prevacid Rx Solutab lansoprazole Proton Pump Inhibitors Omeprazole Rx, Prilosec Rx Powder for Oral omeprazole Proton Pump Inhibitors Suspension Omeprazole/Sodium Bicarbonate Rx, Zegerid omeprazole/sodium bicarbonate Proton Pump Inhibitors Rx Powder Pantoprazole, Protonix Pak pantoprazole Proton Pump Inhibitors Adcirca tadalafil Pulmonary Arterial Hypertension Agents Adempas riociguat Pulmonary Arterial Hypertension Agents Flolan, Veletri epoprostenol Pulmonary Arterial Hypertension Agents Opsumit Pulmonary Arterial Hypertension Agents Orenitram, Remodulin, Tyvaso trepostinil Pulmonary Arterial Hypertension Agents Revatio Suspension, Sildenafil sildenafil citrate Pulmonary Arterial Hypertension Agents Tracleer for Oral Suspension Pulmonary Arterial Hypertension Agents Uptravi selexipag Pulmonary Arterial Hypertension Agents Ventavis iloprost Pulmonary Arterial Hypertension Agents Esbriet pirfenidone Pulmonary Fibrosis Agents Ofev nintedinab Pulmonary Fibrosis Agents Pyridostigmine pyridostigmine Pyridostigmine Pyridostigmine Extended-Release pyridostigmine extended-release Pyridostigmine Baxdela delafloxacin Quinolones Levofloxacin oral solution, injection levofloxacin Quinolones Ranolazine ranolazine Ranolazine Ravicti glycerol phenylbutyrate Ravicti Sodium Phenylbutyrate Powder sodium phenylbutyrate Ravicti Rectiv nitroglycerin Rectiv Regranex becaplermin Regranex Santyl collagenase Santyl Ambien, Edular, Zolpidem Sublingual, zolpidem Sedative Hypnotics Zolpimist Ambien CR, Zolpidem ER zolpidem ER Sedative Hypnotics Belsomra Sedative Hypnotics Eszopiclone, Lunesta eszopiclone Sedative Hypnotics Rozerem ramelteon Sedative Hypnotics Sonata zaleplon Sedative Hypnotics Hetlioz tasimelteon Sedative Hypnotics Silenor doxepin Sedative Hypnotics Serostim somatotropin(recombinant) Serostim , Axert almotriptan Serotonin Receptor () , Migranal dihydroergotamine mesylate Serotonin Receptor Agonists (Triptans) Frova Serotonin Receptor Agonists (Triptans) Nazatriptan nazatriptan Serotonin Receptor Agonists (Triptans) Onzetra Xsail, Injection, sumatriptan Serotonin Receptor Agonists (Triptans) Sumavel, Zembrace Treximet sumatriptan/naproxen Serotonin Receptor Agonists (Triptans) , Zomig, Zomig ZMT zolmitriptan Serotonin Receptor Agonists (Triptans) Endari l-glutamine Sickle Cell Agents Sicklos hydroxyurea tablets Sickle Cell Agents Signifor pasireotide Signifor Sirturo bedaquiline Sirturo Amrix cyclobenzaprine ER Skeletal Muscle Relaxants Carisoprodol 250mg carisoprodol Skeletal Muscle Relaxants Carisoprodol/aspirin/codeine carisoprodol/aspirin/codeine Skeletal Muscle Relaxants Cyclobenzaprine 7.5mg cyclobenzaprine Skeletal Muscle Relaxants Lorzone chlorzoxazone Skeletal Muscle Relaxants Tizanidine Capsules, Zanaflex Capsules tizanidine Skeletal Muscle Relaxants Adzenys ER/XR, Dyanavel XR, Evekeo amphetamine Stimulants and Related Agents Amphetamine/Dextroamphetamine IR/ER, amphetamine/dextroamphetamine IR/ER Stimulants and Related Agents Mydayis Dextroamphetamine IR/ER, Zenzedi dextroamphetamine IR/ER Stimulants and Related Agents Adhansia XR, Aptensio XR, Concerta, Cotempla XR, Daytrana, Jornay PM, methylphenidate IR/ER Stimulants and Related Agents Methylin, Methylphenidate, Quillichew ER, Quillivant XR, Ritalin LA 10 mg Armodafinil armodafinil Stimulants and Related Agents Atomoxetine atomoxetine Stimulants and Related Agents Clonidine ER clonidine ER Stimulants and Related Agents Desoxyn, Methamphetamine methamphetamine Stimulants and Related Agents Dexmethylphenidate IR/ER, Focalin/Focalin dexmethylphenidate IR/ER Stimulants and Related Agents XR Guanfacine ER guanfacine ER Stimulants and Related Agents Modafinil modafinil Stimulants and Related Agents Sunosi solriamfetol Stimulants and Related Agents Vyvanse lisdexamfetamine Stimulants and Related Agents Stivarga regorafenib Stivarga Strensiq asfotase alfa Strensiq Sulfadiazine sulfadiazine Sulfonamides Sutent sunitinib Sutent Synagis palivizumab Synagis Synribo omacetaxine Synribo Temozolomide temozolomide Temozolomide Doryx, Doryx MCP, Doxycycline Hyclate DR doxycycline hyclate delayed-release Tetracyclines Doxycycline Hyclate IR 75, 150 mg tablets doxycycline hyclate immediate-release Tetracyclines Doxycycline Monohydrate 50 mg tablets, 75 doxycycline monohydrate Tetracyclines mg and 150 mg capsules Doxycycline [rosacea] DR, Oracea doxycycline [rosacea] delayed-release Tetracyclines Minocycline IR tablets, Minocycline ER, minocycline Tetracyclines Minolira, Solodyn Morgidox Kit doxycycline and cleanser Tetracyclines Nuzyra omadacycline Tetracyclines Thiola and Thiola EC tiopronin/tiopronin delayed-release Thiola Mulpleta lusutrombopag Thrombopoiesis Stimulating Proteins Promacta eltrombopag Thrombopoiesis Stimulating Proteins Tavalisse fostamatinib Thrombopoiesis Stimulating Proteins Doptelet avatrombopag Thrombopoiesis Stimulating Proteins Nplate romisplostim Thrombopoiesis Stimulating Proteins Levothyroxine Injection, Tirosint levothyroxine Thyroid Hormones Tibsovo ivosidenib Tibsovo Bupropion [smoking deterrent] bupropion SR Tobacco Cessation Nicotrol Inhaler, Nicotrol Nasal Spray nicotine Tobacco Cessation Tobi Podhaler, Tobramycin Nebulized tobramycin Tobramcyin Inhaled Mupirocin Cream mupirocin Topical Antibacterials Neo-Synalar neomycin/fluocinolone Topical Antibacterials Neo-Synalar Kit neomycin/fluocinolone/emollient cream Topical Antibacterials Valchlor mechlorethamine Topical Antineoplastic and Genital Warts Therapy Diclofenac 3% Gel diclofenac Topical Antineoplastic and Genital Warts Therapy Picato ingenol mebutate Topical Antineoplastic and Genital Warts Therapy Podofilox Solution podofilox Topical Antineoplastic and Genital Warts Therapy Veregen sinecatechins Topical Antineoplastic and Genital Warts Therapy Zyclara imiquimod Topical Antineoplastic and Genital Warts Therapy Tacrolimus Ointment tacrolimus Topical Immunomodulators Tranexamic Acid Injection tranexamic acid Tranexamic Acid Injection Tranexamic Acid tablets tranexamic acid Tranexamic Acid Oral Abstral fentanyl citrate sublingual tablets Transmucosal Fentanyl Citrate Actiq fentanyl citrate oral lozenges Transmucosal Fentanyl Citrate Fentora fentanyl citrate buccal tablets Transmucosal Fentanyl Citrate Onsolis fentanyl citrate buccal films Transmucosal Fentanyl Citrate Subsys fentanyl citrate sublingual spray Transmucosal Fentanyl Citrate Trelstar Depot, Trelstar LA triptorelin pamoate Trelstar Turalio pexidartinib Turalio Tygacil tigecycline Tygacil Cometriq cabozantinib Tyrosine Kinase Inhibitors for Thyroid Cancer Lenvima levatinib Tyrosine Kinase Inhibitors for Thyroid Cancer Caprelsa vandetanib Tyrosine Kinase Inhibitors for Thyroid Cancer Mesalamine DR mesalamine delayed-release Ulcerative Colitis Agents Mesalamine Rectal Enema, SFRowasa mesalamine Ulcerative Colitis Agents Giazo balsalazide Ulcerative Colitis Agents Uceris budesonide Ulcerative Colitis Agents Kerafoam, Kerol, Laxtrix, Umecta, Uralytic, urea Urea Products Uramaxin, Urea Methenamine hippurate methenamine hippurate Urinary Antiinfectives Nitrofurantoin Suspension nitrofurantoin Urinary Antiinfectives Urimar-T, Urogesic Blue hyoscamine combination Urinary Antiinfectives Potassium Citrate ER, Urocit-K potassium citrate Urocit-K Vecamyl mecamylamine Vecamyl Vimizim elosulfase alfa Vimizim Doxercalciferol, Hectorol doxercalciferol Vitamin D and ESRD Products Paricalcitol 4 mcg paricalcitol Vitamin D and ESRD Products Rayaldee calcifediol Vitamin D and ESRD Products Sensipar cinacalet Vitamin D and ESRD Products Aluminum Hydroxide aluminum hydroxide Vitamin D and ESRD Products Calcium Carbonate calcium carbonate Vitamin D and ESRD Products Calcium Lactate calcium lactate Vitamin D and ESRD Products Docusate Calcium docusate calcium Vitamin D and ESRD Products Docusate Sodium docusate sodium Vitamin D and ESRD Products Magnebind calcium carbonate/magnesium carbonate Vitamin D and ESRD Products Magnesium Carbonate magnesium carbonate Vitamin D and ESRD Products Niacin niacin Vitamin D and ESRD Products Pyridoxine pyridoxine Vitamin D and ESRD Products Sodium Bicarbonate sodium bicarbonate Vitamin D and ESRD Products Thiamine Hydrochloride thiamine hydrochloride Vitamin D and ESRD Products Dialyvite, Nephplex Rx, Nephron FA, Renal, Reno Caps, Triphrocaps, Virt-Caps, Virt-Vite vitamin B complex/folic acid and/or zinc Vitamin D and ESRD Products Plus, Vital-D Rx, Vol-Care Rx Vitrakvi larotrectinib Vitrakvi Votrient pazopanib Votrient Vyndaqel, Vyndamax tafamidis Vyndaqel-Vyndamax Xenical orlistat Xenical Xospata gilteritinib Xospata Xyrem sodium oxybate Xyrem