Showing 61 - 80 of 318 results
Guideline Drug Name
Continuous Glucose Monitors, Sensors, and Transmitters - PA, NF BIGFOOT UNITY PROGRAM KIT, DEXCOM G6 RECEIVER, DEXCOM G6 SENSOR, DEXCOM G6 TRANSMITTER, DEXCOM G7 15 DAY SENSOR, DEXCOM G7 RECEIVER, DEXCOM G7 SENSOR, ENLITE GLUCOSE SENSOR, EVERSENSE 365 SENSOR/HOLDER, EVERSENSE 365 SMART TRANSMITTER, EVERSENSE E3 SENSOR/HOLDER, EVERSENSE E3 SMART TRANSMITTER, EVERSENSE SENSOR/HOLDER, EVERSENSE SMART TRANSMITTER, FREESTYLE LIBRE 14 DAY/READER/FLASH MONITORING SYSTEM, FREESTYLE LIBRE 14 DAY/SENSOR/FLASH MONITORING SYSTEM, FREESTYLE LIBRE 2 PLUS/SENSOR/FLASH GLUCOSE MONITOR SYSTEM, FREESTYLE LIBRE 2/READER/FLASH GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 2/SENSOR/FLASH GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 3 PLUS/SENSOR/GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 3/READER/FLASH GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 3/SENSOR/FLASH GLUCOSE MONITORING SYSTEM, GUARDIAN 4 GLUCOSE SENSOR, GUARDIAN 4 TRANSMITTER KIT, GUARDIAN CONNECT TRANSMITTER, GUARDIAN CONNECT TRANSMITTER KIT, GUARDIAN LINK 3, GUARDIAN LINK 3 TRANSMITTER KIT, GUARDIAN SENSOR (3), GUARDIAN SENSOR 3, MINIMED 630G GUARDIAN PRESS STARTER TRANSMITTER KIT, MINIMED GUARDIAN LINK 3 TRANSMITTER, SIMPLERA SENSOR, SIMPLERA SYNC SENSOR, SIMPLERA SYSTEM
Contraceptives for Non-Contraceptive Use Contraceptives
Copper Chelating Agents - PA, NF Cuprimine (penicillamine), Cuvrior (trientine tetrahydrochloride), Syprine (trientine)
Cosentyx (secukinumab) - NF Cosentyx IV (secukinumab), Cosentyx SC (secukinumab)
Cotellic (cobimetinib) Cotellic (cobimetinib)
Cotellic (cobimetinib) Cotellic (cobimetinib)
Coverage of Drugs for Off-Label or Non-FDA Approved Indications
Daliresp (roflumilast) Daliresp (roflumilast)
Daraprim (pyrimethamine) Daraprim (pyrimethamine)
Dasatinib products - PA, NF Sprycel (dasatinib), Phyrago (dasatinib)
DAW Override DAW override, Dispense, written
Deferasirox products Exjade (deferasirox), deferasirox tablet, Jadenu (deferasirox), Jadenu Sprinkle (deferasirox)
Deflazacort products - NF Brand Emflaza (deflazacort), generic deflazacort
Demser (metyrosine) Demser (metyrosine)
Denosumab 120mg Products - PA, NF Xgeva (denosumab), Wyost (Denosumab-bbdz), Osenvelt (denosumab-bmwo), Bomyntra (Denosumab-bnht), Bilprevda (denosumab-nxxp), Xtrenbo (denosumab-qbde), Aukelso (denosumab-kyqq)
Denosumab 60mg Products Enoby (denosumab-qbde)
Denosumab 60mg Products Enoby (denosumab-qbde)
Diabetic GLP-1's Bydureon BCise (exenatide extended-release), Byetta (exenatide injection), Mounjaro (tirzepatide), Ozempic (semaglutide), Rybelsus (semaglutide), Trulicity (dulaglutide), Victoza (liraglutide injection)
Diacomit (stiripentol) Diacomit (stiripentol)
Dibenzyline (phenoxybenzamine) Dibenzyline (phenoxybenzamine)