| Atypical Antipsychotics |
Fanapt (iloperidone), Invega Hafyera (paliperidone palmitate) |
| Authorized Brand Alternative (ABA) Policy |
Besifloxacin ophthalmic suspension 0.6%, Dronabinol solution, Fluticasone and Salmeterol HFA inhalation aerosol, Fluticasone and Vilanterol inhalation powder, Fluticasone Furoate Ellipta, Insulin Aspart 70/30 Injection Solution, Insulin Aspart 70/30 Flexpen, Novolog Relion 70/30, Novolog Relion 70/30 Flexpen, Insulin Aspart Injection Solution, Insulin Aspart Flexpen, Insulin Aspart Penfill, Novolog Relion, Novolog Relion Flexpen, Insulin Degludec Injection Solution, Insulin Degludec Flextouch Injection, Umeclidinum and Vilanterol Ellipta |
| Azole Antifungals - PA, NF |
Cresemba (isavuconazonium sulfate) capsules, Noxafil (posaconazole) oral suspension, Noxafil (posaconazole) tablets, Noxafil PowderMix (posaconazole) for delayed-release oral suspension, Sporanox (itraconazole) capsules, Sporanox (itraconazole) oral solution, Tolsura (itraconazole) capsules, Vfend (voriconazole) oral suspension, Vfend (voriconazole) tablets |
| Banzel (rufinamide) |
Banzel (rufinamide) tablets and oral suspension |
| Basal Insulin - PA, NF |
Basaglar (insulin glargine), Insulin degludec, Levemir (insulin detemir), Semglee (insulin glargine), Semglee (insulin glargine-yfgn), Insulin glargine-yfgn, Rezvoglar (insulin glargine-aglr), Tresiba (insulin degludec) |
| Bendamustine Agents |
Belrapzo, Bendamustine, Bendeka, Treanda, Vivimusta |
| Benlysta (belimumab) |
Benlysta (belimumab IV), Benlysta (belimumab SC) |
| Bevacizumab - PA, NF |
Avastin (bevacizumab), Mvasi (bevacizumab-awwb), Zirabev (bevacizumab-bvzr), Alymsys (bevacizumab-maly), Vegzelma (bevacizumab-adcd) |
| Blood Glucose Monitor & Test Strips - ST, QL, NF |
Blood glucose monitoring systems |
| Bonjesta, Diclegis (doxylamine/pyridoxine) |
Bonjesta, Diclegis (doxylamine succinate and pyridoxine hydrochloride) |
| Bortezomib |
Bortezomib (bortezomib), Boruzu (bortezomib), Velcade (bortezomib) |
| Bosulif (bosutinib) |
Bosulif (bosutinib) |
| Botox (onabotulinumtoxinA) |
Botox (onabotulinumtoxin A), Botox Cosmetic (onabotulinumtoxin A) |
| Bowel Prep Agents |
Moviprep, Plenvu |
| Brand Estradiol Transdermal Systems |
Alora (estradiol transdermal system), Menostar (estradiol transdermal system), Minivelle (estradiol transdermal system), Vivelle-Dot (estradiol transdermal system) |
| Bylvay (odevixibat) |
Bylvay (odevixibat) |
| Cablivi (caplacizumab-yhdp) |
Cablivi (caplacizumab-yhdp) |
| Cabometyx (cabozantinib) |
Cabometyx (cabozantinib) tablets |
| Cabotegravir Containing Agents - PA, NF |
Cabenuva (cabotegravir and rilpivirine) Injection, Vocabria (cabotegravir) Tablet |
| Cannabinoids |
Marinol (dronabinol) capsule, Syndros (dronabinol) oral solution |