| Actimmune (interferon gamma-1b) |
Actimmune (interferon gamma-1b) |
| Adakveo (crizanlizumab-tmca) |
Adakveo (crizanlizumab-tmca) |
| Adbry (tralokinumab-ldrm) |
Adbry (tralokinumab-ldrm) |
| Administrative Non-Formulary & Excluded Drug Exceptions Process |
contraception, contraceptive, contraceptives, Excluded drug, Exclusion, non, non-form, non-formulary, Non-formulary drug |
| Afrezza (insulin human, inhalation powder) |
Afrezza (insulin human, inhalation powder) |
| Akeega (niraparib and abiraterone) - PA, NF |
Akeega (niraparib and abiraterone) |
| Aldurazyme (laronidase) |
Aldurazyme (laronidase) |
| Alecensa (alectinib) |
Alecensa (alectinib) |
| Alfa Interferons |
Pegasys (peginterferon alfa-2a) |
| Alpha-1 Proteinase Inhibitors |
Aralast NP (alpha-1-proteinase inhibitor [human]), Glassia (alpha-1-proteinase inhibitor [human]), Prolastin-C (alpha-1-proteinase inhibitor [human]), Prolastin-C liquid (alpha-1-proteinase inhibitor [human]), Zemaira (alpha-1-proteinase inhibitor [human]) |
| Amjevita (adalimumab-atto) [Nuvaila], Humira (Abbvie) - PA, NF - Standard Default |
Amjevita (adalimumab-atto), Humira (adalimumab) |
| Ampyra (dalfampridine) - PA, NF |
Ampyra (dalfampridine) |
| Anticonvulsants |
Briviact (brivaracetam) |
| Antidepressants |
Fetzima (levomilnacipran extended-release), Trintellix (vortioxetine) |
| Antiemetics Quantity Limit Overrides |
Akynzeo (netupitant/palonosetron), Anzemet (dolasetron), Emend (aprepitant), Granisetron, Marinol (dronabinol), Sancuso (granisetron transdermal system), Sustol (granisetron injection), Varubi (rolapitant), Zofran (ondansetron) |
| Antigout Agents |
Uloric (febuxostat) |
| Antimalarial Agents |
Qualaquin (quinine sulfate) |
| Antipsychotics, Long-Acting Injectable |
Abilify Asimtufii, Abilify Maintena, Aristada, Aristada Initio, Erzofri, Haldol Decanoate, Invega Hafyera, Invega Sustenna, Invega Trinza, Perseris, Risperdal Consta, Rykindo, Uzedy, Zyprexa Relprevv |
| Apokyn |
Apokyn (apomorphine injection) |
| Atypical Antipsychotics |
Caplyta (lumateperone), Fanapt (iloperidone), Invega Hafyera (paliperidone palmitate), Lybalvi (olanzapine and samidorphan), Opipza (aripiprazole), Saphris (asenapine), Secuado (asenapine) |
HEALTHY LIVING