| Orgovyx (relugolix) |
Orgovyx (relugolix) |
| Orkambi (lumacaftor/ivacaftor) |
Orkambi (lumacaftor/ivacaftor) |
| Orserdu (elacestrant) |
Orserdu (elacestrant) |
| Otezla, Otezla XR (apremilast) |
Otezla (apremilast), Otezla XR (apremilast ER), Otezla, Otezla XR (apremilast) |
| Oxervate (cenegermin-bkbj) - NF, QL |
Oxervate (cenegermin-bkbj) |
| Piqray (alpelisib) |
Piqray (alpelisib) |
| Piqray (alpelisib) |
Piqray (alpelisib) |
| Pomalyst (pomalidomide) |
Pomalyst (pomalidomide) |
| Prior Authorization Administrative Guideline |
Admin, Administrative, albendazole, albenza, Prior Authorization |
| Promacta (eltrombopag) |
Promacta (eltrombopag olamine) |
| Proton Pump Inhibitors |
Aciphex (rabeprazole), Aciphex Sprinkle (rabeprazole), Dexilant (dexlansoprazole), Konvomep (omeprazole and sodium bicarbonate), Nexium (esomeprazole), Prevacid (lansoprazole), Prilosec (omeprazole), Protonix (pantoprazole), Zegerid (omeprazole/sodium bicarbonate) |
| Proton Pump Inhibitors |
Aciphex (rabeprazole), Aciphex Sprinkle (rabeprazole), Dexilant (dexlansoprazole), Konvomep (omeprazole and sodium bicarbonate), Nexium (esomeprazole), Prevacid (lansoprazole), Prilosec (omeprazole), Protonix (pantoprazole), Zegerid (omeprazole/sodium bicarbonate) |
| Provigil (modafinil), Nuvigil (armodafinil) |
Nuvigil (armodafinil), Provigil (modafinil) |
| Pulmonary Arterial Hypertension Agents |
Adempas (riociguat) Tablets, Alyq (tadalafil) Tablets, Letairis (ambrisentan) Tablets, Liqrev (sildenafil) suspension, Opsumit (macitentan) Tablets, Orenitram (treprostinil) Tablets, Remodulin (treprostinil sodium) Injection, Revatio (sildenafil) Injection, Tablets, Oral Suspension, Tracleer (bosentan) Tablets, Tablets for Suspension, Tyvaso (treprostinil) Inhalation Solution, Tyvaso (treprostinil) DPI Inhalation Powder, Ventavis (iloprost) Inhalation Solution |
| Pulmozyme (dornase alfa inhalation solution) |
Pulmozyme (dornase alpha) Inhalation Solution |
| Qinlock (ripretinib) |
Qinlock (ripretinib) |
| Quantity Limit General |
Quantity, Quantity limit general |
| Rasonque (daraxonrasib) - PA, NF |
Rasonque (daraxonrasib) |
| Reblozyl (luspatercept-aamt) |
Reblozyl (luspatercept-aamt) |
| Regranex (becaplermin) |
Regranex Gel (becaplermin) |
HEALTHY LIVING