Specialty Drug List
Abatacept Azacitidine Chenodiol Abiraterone Acetate Aztreonam CIMZIA AbobotulinumtoxinA Baclofen Intrathecal CISPLATIN Acitretin BARACLUDE CLADRIBINE ACTHREL BEBULIN VH Coagulation Factor IX (Recomb) (rFIXFc) ACTIMMUNE Belimumab Coagulation Factor IX (Recombinant) Adalimumab Bendamustine Coagulation Factor IX ADRIAMYC BENEFIX Coagulation Factor VIIa (Recomb) ADVATE BETASERON COLISTIMETH Aflibercept Bevacizumab Collagenase Clostridium Histolyticum ALDURAZYME BLENOXANE COPAXONE ALIMTA BLEOMYCIN COPEGUS ALKERAN Boceprevir Corticotropin Inj Gel ALOXI Bosentan COSMEGEN Alpha1-Proteinase Inhibitor (Human) Brentuximab Vedotin Crizotinib ALPHANATE BUPRENEX CYTARABINE ALPHANINE SD BUSULFEX Cytarabine Liposome Alteplase C1 Esterase Inhibitor (Recombinant) CYTOGAM AMEVIVE C1 Esterase Inhibitor Human CYTOXAN AMPYRA Cabozantinib S-Malate Dacarbazine Antihemophilic Factor (Human) CAMPATH Dalbavancin Antihemophilic Factor (Recombinant) CAMPTOSAR Darbepoetin Alfa-Polysorbate Antihemophilic Factor rAHF-PFM Canakinumab Dasatinib Antihemophilic Factor Recombinant PAF Carboplatin DAUNORUBICIN Antihemophilic Factor/VWF (Human) Carfilzomib DAUNOXOME Antithrombin III (Human) Carglumic Decitabine ANZEMET CARIMUNE Deferasirox Apomorphine Hydrochloride CARIMUNE NF Deferoxamine Mesylate Apremilast Carmustine Degarelix Acetate Aprepitant CEENU Denosumab ARANESP CELLCEPT IV Desmopressin Acetate Inj AREDIA CERDELGA Desmopressin Acetate Nasal Soln Asparaginase Erwinia Chrysanthemi CEREZYME Dimethyl Fumarate ATGAM Certolizumab Pegol Docetaxel AVASTIN CERUBIDINE Dolutegravir AVONEX CETROTIDE Doxercalciferol Axitinib Cetuximab DOXIL
Or Doxorubicin Fosaprepitant Dimeglumine INFERGEN Droperidol GAMMAGARD SD INNOHEP Ecallantide GAMMAR-P IV Interferon alfacon-1 Eculizumab GAMUNEX Interferon Alfa-n3 Efalizumab Ganciclovir Interferon Beta-1b ELIGARD GANIRELIX INTRON-A ELITEK Gefitinib Ipilimumab ELLENCE Gemcitabine Irinotecan Elosulfase Alfa GEMZAR Iron Dextran ELOXATIN GENOTROPIN Ivacaftor ELSPAR GLEEVEC Ixabepilone Eltrombopag Olamine GONAL-F KEPIVANCE EMCYT GONAL-F RFF KEYTRUDA ENBREL HEALON KINERET Enfuvirtide HEP SOD D5W KOATE-DVI Epinephrine HEPARIN SOD KOGENATE FS Epirubicin Heparin Sodium (Porcine) KUVAN EPOGEN Hepatitis B Immune Globulin (Human) KYTRIL Epoprostenol HEPSERA Lamivudine ERBITUX HERCEPTIN Lanreotide Acetate Extended Release Inj Eribulin Mesylate HEXALEN Lenalidomide Erlotinib Histrelin Acetate (CPP) Implant LETAIRIS Etanercept HUMATE-P LEUCOVOR CA ETHYOL HUMATROPE LEUKINE ETOPOPHOS HUMIRA LEUPROLIDE Etoposide HYALGAN Leuprolide Acetate Everolimus Hyaluronidase Bovine Levonorgestrel Releasing IUD FABRAZYME HYCAMTIN LIORESAL INT INJ Factor IX Complex Hydrocortisone Sodium Succinate Lomustine Factor XIII Concentrate (Human) Hylan Intra-articular LUCENTIS FASLODEX Ibandronate Sodium IV LUPR DEP-PED FEIBA VH Icatibant Acetate LUPRON DEPOT Fibrinogen Conc Human IDARUBICIN LUVERIS Fingolimod Idelalisib Macitentan FLEBOGAMMA Idursulfase MACUGEN FLOXURIDINE IFEXMESNEX MATULANE FLUDARABINE Ifosfamide Melphalan Fludarabine Phosphate Iloprost Inhalation MENOPUR Fluorouracil Immune Globulin (Human) Menotropins FOLLISTIM AQ Immune Globulin Human IV Mesna FORTEO INCRELEX MESNEX
2 Methoxsalen PAMIDRONATE RIBAPAK Metreleptin PARAPLATIN Ribavirin MITOMYCIN Pazopanib Rilonacept Mitoxantrone Pegademase Bovine Riociguat MONARC-M PEGASYS RITUXAN MONOCLATE-P Peginesatide Acetate ROFERON-A MONONINE Peginterferon alfa-2a Romidepsin MUSTARGEN Peginterferon alfa-2b Romiplostim MYOBLOC PEG-INTRON Ruxolitinib Phosphate MYOZYME Pegloticase SAIZEN NABI-HB Pegvisomant SANDOSTATIN NAGLAZYME Penicillin G Benzathine Procaine SENSIPAR Naltrexone For IM Extended Release Susp Penicillin G Benzathine SEROSTIM NAVELBINE PENTAM Sildenafil Citrate IV NEULASTA Pertuzumab Siltuximab NEUMEGA PHOTOFRIN Simeprevir NEUPOGEN PLATINOL AQ SIMPONI NEXAVAR PLENAXIS Sodium Hyaluronate Intraocular NILANDRON Plerixafor Sodium Oxybate Oral Solution Nilotinib Pralatrexate Somatropin NIPENT PRIALT SPRYCEL Nitisinone PROCHIEVE SUPARTZ NORDITROPIN PROFILNINE SUTENT NOVANTRONE Progesterone IM in Oil SYNAGIS NOVAREL PROLEUKIN SYNVISC NOVOSEVEN PROLIA Tacrolimus Inj NUTROPIN PROMACTA Tadalafil Tab NUTROPIN AQ Protein C Concentrate (Human) Taliglucerase Alfa Obinutuzumab PULMOZYME TARCEVA OCTAGAM Ramucirumab TARGRETIN Ofatumumab REBETOL Tasimelteon OMNITROPE REBIF TAXOL OnabotulinumtoxinA RECLAST TAXOTERE ONCASPAR RECOMBINATE Tedizolid ONTAK REFLUDAN Telaprevir ORBACTIV REMICADE Telbivudine ORENCIA REPRONEX TEMODAR ORTHOVISC REVATIO Temozolomide OVIDREL REVLIMID Teriflunomide Oxaliplatin Rho D Immune Globulin (Human) Tesamorelin PACLITAXEL RHOGAM PLUS Testosterone Undecanoate IM
3 Tetrabenazine VISUDYNE Thalidomide VIVAGLOBIN THALOMID VUMON THERACYS XELODA THYMOGLOBULN XOLAIR THYROGEN ZANOSAR TICE BCG ZANTAC INJ
TOBI ZAVESCA
Tobramycin Inhal Cap ZENAPAX
Tocilizumab ZINECARD
Tolvaptan ZOFRAN IN
Topotecan ZOLADEX
Toremifene Citrate Zoledronic Acid
TORISEL ZOLINZA
TRELSTAR DEP ZOMET INJ
TRELSTAR LA
Treprostinil Inhalation Solution
Treprostinil Sodium Inj
TRETINOIN Caps
Triptorelin Pamoate
TRISENOX TRIUMEQ
TYKERB
TYSABRI
Ustekinumab
Valrubicin Intravesical Instillation
Vandetanib
VANTAS
VECTIBIX
Vedolizumab
Velaglucerase Alfa
VELCADE Vemurafenib
VEPESID
VIADUR
Vigabatrin Powd Pack
VINBLASTINE
VINCRISTINE
Vinorelbine Tartrate
Vismodegib
VISTIDE
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