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Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Actemra Acaria Health Acthar Gel Accredo, BioRX, Caremark, Coram, Curascript, US Bioservices, Walgreens Questcor Actimmune Accredo Horizon Pharma Adagen Enzon Adcetris Acaria Health Seattle Genetics Adempas Caremark, Walgreens, Accredo and Diplomat Bayer Afinitor Acaria Health Novartis Afrezza (non-specialty) Physicians Only Dendreon Aldurazyme Acaria Health Genzyme Alecensa* Acaria Health Genentech Aliqopa Bayer Pharma Alprolix Acaria Health Idec Alunbrig Caremark, Biologics, Accredo and Briova (Optum) Arida Pharma Ampyra Accredo, Pharmaceutical Specialties Inc. , IV Solutions/Maxor Acorda Apokyn Accredo Bertek Aralast Accredo Baxter Arcalyst Accredo Regeneron Arestin Accredo (exclusive) OraPharma Aristada Acaria Health Arzerra Acaria Health GSK Atryn GTC Bio and Lundbeck Aubagio Acaria Health Aventis/Genzyme Austedo Cardinal Teva Neuroscience *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Avastin Acaria Health Genentech Aveed Endo Bavencio Serono Beleodaq Spectrum Benlysta Acaria Health GSK Berinert Accredo CSL Behring Besponsa Bethkis Acaria Health Chiesi Bevyxxa Portola Pharma Blincyto Onyx Bosulif Acaria Health Pfizer Brineura Hospitals only Biomarin Pharma Cabometyx Accredo Calquence Astrazeneca Caprelsa Astra Zeneca Carbaglu Accredo (exclusive) Orphan Europe Cayston Acaria Health Gilead Ceprotin (Non Specialty) Accredo Baxter Cerezyme Acaria Health Genzyme Chenodal Retrophin Cinqair TEVA Cinryze Accredo ViroPharma Cometriq Exelixis *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Corifact Acaria Health CSL Behring Cosentyx Acaria Health Novartis Cotellic Accredo, Caremark, Curascript, Walgreens Genentech Cuvitru Accredo, CVS Caremark, Diplomat, OptionCare, Optum RX Baxalta Cyramza Accredo Lilly Cystadane Swedish Orphan International Cystagon Caremark Cystaran Sigma-Tau Pharmaceuticals Dacogen Acaria Health Easai Daraprim Turing Dexeryl Acaria Health Pierre Fabre Pharma Dificid Acaria Health Merck Duopa Accredo Abbvie Dupixent Acaria Health Duzallo Ironwood Pharma Dysport Acaria Health Ipsen Egrifta Acaria Health Theratechnologies Elaprase Acaria Health Shire Elelyso Pfizer Eloctate Acaria Health Biogen Idec Emflaza Us Bioservices Marathon Empliciti Acaria Health B-M SQUIBB U.S. Entyvio Acaria Health Takeda *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer

Accredo, Biofusion, BioRX, BioScrip, Caremark, Coram, Crescent, Curascript, Epoprostenol Walgreens Teva Erivedge* Acaria Health Genentech Erwinaze Nuclear Pharmacies Only EUSA Pharma Esbriet Accredo, Biologics Intermune Exjade Accredo Novartis Exondys Option Care, Orsini Sarepta Eylea Accredo, Diplomat Regeneron Fabrazyme Acaria Health Genzyme Farydak Acaria Health Novartis Oncology Fasenra Acaria Health Astrazeneca Ferriprox Apo Pharma Firazyr Acaria Health Shire Flolan Accredo (exclusive) GSK Folotyn Buy and bill Gattex Accredo, Medical benefits, Shared solution pharmacy NPS Gazyva Acaria Health Genentech Gelclair Accredo Dara Gilenya Acaria Health Novartis Gilotrif Accredo (exclusive) BI Glassia Accredo Baxter Haegarda CSL Behring *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Hemlibra Acaria Health Genentech Herceptin Acaria Health Genentech Hetlioz Walgreens, Acreedo, Diplomate and ACS Vanda Pharma Hizentra Acaria Health CSL Behring Hycamtin Acaria Health GSK Ibrance Acaria Health Pfizer Iclusig Accredo Ariad Idhifa Accredo, Biologics, CVS, Diplomat and Walgreens Celgene Ilaris Accredo Novartis Imbruvica Accredo Pharmcyclics Imfinzi Accredo, Avella, Biologics, Diplomat, CVS, US BioServices Astra Zenca Imlygic Impavido Accredo, CVS, Diplomat Profounda Increlex Accredo Ipsen Ingrezza Orsini and PantherRx Neurocrine Biosciences Inlyta Acaria Health Pfizer Iressa Accredo Astra Zeneca Istodax Acaria Health Celgene Ixempra Oncology clinics and hospitals R-Pharm Jadenu Acaria Health Novartis Jakafi Accredo, BioRX, Caremark, Coram, Curascript, US Bioservices, Walgreens Jetrea Orsini, Option Care(Walgreens) Thrombogenics Juxtapid Accredo Aegerion *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Kadcyla Acaria Health Genentech Kalbitor Caremark, Curascript Shire Kalydeco Acaria Health Vertex Kanuma Acaria Health Alexion Pharma Kcentra Acaria Health CSL Behring Kepivance Curascript, Caremark Amgen Kevzara Acaria Health Sanofi Kineret Sobi Kisqali Acaria Health Novartis Korlym Corcept Therapeutics Krystexxa Acaria Health Savient Kuvan Accredo, Avella 877-546-5779 - PIC Amy Delano BioMarin Kymriah Novartis Kynamro Accredo Genzyme Kyprolis Acaria Health Amgen Lartruvo Accredo Eli Lilly Lemtrada Accredo Aventis/Genzyme Lenvima Accredo Letairis Accredo, OptumRX, Caremark, Walgreens Gilead Levulan Kerastick Acaria Health Dusa Pharma Liletta Accredo (exclusive) Lioresal CuraScript Medtronic

*Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Fairview, Caremark, Accredo, Aetna, Curascript, Pharmacare, Precision RX, Lonsurf Cigna Taiho Pharma. Lucentis Acaria Health Genentech Lumizyme Accredo Genzyme Lynparza Accredo Astra Zeneca Accredo, Aetna, Cigna, Curascript, Caremark, Exactus, Kaiser, RightSource, Macugen Walgreens Bausch + Lomb Makena Acaria Health Ther-Rx Corporation Marqibo (Non Specialty) Retina Specialist Only Talon Therapeutics Matulane Wallgreens Specialty Sigma-Tau Pharmaceuticals Mekinist Acaria Health GSK Mepsevii Accredo Ultrafenyx Pharma Mircera Vifor Mirena Bayer Mozobil Acaria Health Genzyme Mustargen Acaria Health Merck Myalept Accredo (exclusive) Astra Zeneca Mylotarg Pfizer Naglazyme Accredo BioMarin NatPara Accredo Shire Nerlynx Acaria Health Puma Biotech Nexavar Acaria Health Bayer Nexplanon Accredo Merck *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Ninlaro Accredo, Caremark Millennium Nityr Diplomate Cycle Pharmaceuticals Northera Accredo Chelsea Therapeutics NovoEight Acaria Health NovoNordisk NovoSeven Acaria Health NovoNordisk Nplate Acaria Health Amgen Nucala Acaria Health GSK Nuplazid Walgreens, CVS, ACS and Accredo Acadia Pharma Nutropin Acaria Health Genentech Obizur Baxalta Ocaliva Accredo Intercept pharma Ocrevus Acaria Health Genentech Ofev Accredo, CVS Boehringer Opdivo Acaria Health BMS Opsumit Accredo Oralair Greer Orenitram Accredo United Therapeutics Orfadin Swedish Orphan International Orkambi Acaria Health Vertex Otezla Acaria Health Celgene Ozurdex (Non Specialty) Radiology Offices Only Allergan Panhematin Acaria Health Recordati Rare Diseases Perjeta Acaria Health Genentech *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Photofrin (Non Specialty) Physicians Only Pinnacle Biologics Photrexa Averdo Plegridy Acaria Health Biogen Idec Pomalyst Celgene Pomalyst Accredo Celgene Praluent Acaria Health Sanofi Prialt Jazz Probuphine Acaria Health Braeburn Procysbi Accredo (exclusive) Raptor Prolastin-C Walgreens, Caremark, Accredo, Curascript, US Bio, Diplomat Grifols Promacta Acaria Health GSK ProThelial Acaria Health Mueller Medical Provenge (Non Specialty) Physicians Only Dendreon Purixan Nova labroatories Qutenza (Non Specialty) Hospitals Only Neurogesx Radicava Buy and Bill Mitsubishe Tanabe Pharma Ravicti Accredo Horizon Pharma Remodulin We only have access for TX Medicaid. Dohmen Life Sciences is the provider United Therapeutics Repatha Acaria Health Amgen Retisert Physicians Only B&L Revlimid Accredo Celgene RiaStap Accredo CSL Behring Rituxan Acaria Health Genentech *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Rixubis Acaria Health Baxter Rubraca Hospitals only Clovis Oncology Ruconest Accredo Salix Rydapt Acaria Health Novartis Sabril Accredo, CVS, Caremark, Walgreens Specialty Lundbeck Samsca Accredo, BriovaRX, Cigna Specialty, CVA specialty, Walgreens Specialty Otsuka America Serostim Acaria Health Serono Signifor Accredo, Caremark, Curascript Novartis Siliq Acaria Health Valeant Simponi Acaria Health J&J Skyla Bayer Solesta Accredo, Avella, Biologics, CVS, Us Bio Salix Soliris Acaria Health Alexion Somatuline Acaria Health Ipsen Somavert Accredo Pfizer Spinraza Accredo Biogen Stivarga Acaria Health Bayer Strensiq Alexion Sucraid Curascript QOL Medical Supprelin Acaria Health Endo Sutent Acaria Health Pfizer Sylatron Acaria Health Merck Sylvant Accredo J&J *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Synagis Acaria Health Medimmune Synribo Teva Tafinlar Acaria Health GSK Tagrisso Accredo AstraZeneca Taltz Taltz Eli Lilly Tarceva Acaria Health Genentech Tasigna Acaria Health Novartis Tecentriq Acaria Health Genentech Tecfidera Acaria Health Biogen Idec Testopel Auxillium Thalomid Accredo Celgene Thyrogen Acaria Health Genzyme Tikosyn Acaria Health Pfizer Tobi Acaria Health Novartis Tracleer Accredo, Aetna, Caremark, Cigna, Curascript, Walgreens Actelion Tremfya Acaria Health Tretten Acaria Health NovoNordisk Triptodur Arbor Pharma Tykerb Acaria Health GSK Tysabri Acaria Health Biogen Idec Tyvaso Accredo, Caremark, Curascript United Therapeutics Unituxin (Non Specialty) Hospitals Only United Therapeutics Uptravi Accredo Actelion *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Valchlor Acreedo Actelion Valstar Acaria Health Endo Vantas Acaria Health Endo Varithena BTG Pharma Varubi Tesaro Vecamyl Acaria Health United Therapeutics Velcade Acaria Health Millennium Veletri Accredo Actelion Venclexta CVS Caremark, Walgreens Abbvie Ventavis Accredo Actelion Verzenio Cardinal and Biologics in network Eli Lilly Vimizim Accredo BioMarin Vincasar Teva pharma Vistogard Hospitals Only BTG International Visudyne Accredo, Biologics Novartis Vonvendi CVS Caremark Baxalta Voraxaze Acaria Health BTG Pharma Votrient Acaria Health GSK Vpriv Acaria Health Shire Vyxeos Acaria Health Jazz Pharma Xalkori Acaria Health Pfizer Xenazine Accredo, Caremark, Curascript Ovation Xeomin Acaria Health Merz *Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**

Pharmacy Limited Distribution list

Product Distributor/Pharmacy Manufacturer Xermelo Biologics and Diplomat Lexicon Xiaflex Accredo, CVS Caremark Auxilium Xofigo USB Bayer Xolair Acaria Health Genentech Xtandi Acaria Health Astellas Xyrem Accredo (exclusive) Jazz Yervoy Acaria Health BMS Zaltrap Accredo Regeneron Zavesca Actelion Zejula Tesaro Zelboraf* Acaria Health Genentech Zemaira Avella 877-546-5779 - PIC Amy Delano CSL Behring Zevalin (Non Specialty) Accredo, ACS, Avella, CVS,US Bioservices, Biologics, Diplomat, and Walgreens Spectrum Pharmaceuticals Zilretta Acaria Health Felexion Threapeutics Zinbryta Acaria Health Biogen Zinplava Acaria Health Merck Sharp & Dohme Zolinza Acaria Health Merck Zydelig Gilead Zykadia Acaria Health Novartis Oncology Zytiga Acaria Health Janssen

*Managed distribution of Limited Distribution Drugs (LDD) through Genentech Access Solutions (GAS) Benefits where AcariaHealth (AH) has exclusive pharmacy distribution* **Information on this list accurate as of 1/17/18**