| Ninlaro (ixazomib citrate) |
Ninlaro (ixazomib citrate) |
| Nitisinone Products |
Brand Orfadin capsules, Brand Orfadin oral suspension, Generic nitisinone capsules, Harliku (nitisinone), Nityr (nitisinone) tablets |
| Non-Formulary & Excluded Drug Exceptions Process for Drugs of Clinical Concern |
APLENZIN, APTIOM, AUVELITY, AYVAKIT, BRUKINSA, BUPROPION HYDROCHLORIDE ER (XL), CAPLYTA, CITALOPRAM HYDROBROMIDE, COMBIVIR, DELSTRIGO, ELEPSIA XR, EMSAM, EMTRIVA, EPIVIR, EPRONTIA, EPZICOM, ESPEROCT, FINTEPLA, FORFIVO XL, GENVOYA, INTELENCE, JIVI, KALETRA, KCENTRA, LEXIVA, LYBALVI, NORVIR, NUBEQA, NUPLAZID, OXCARBAZEPINE ER, OXTELLAR XR, REBINYN, RETROVIR, RETROVIR IV INFUSION, REYATAZ, RYLAZE, SAVAYSA, SECUADO, SERTRALINE HYDROCHLORIDE, SPRITAM, STRIBILD, SUSTIVA, SYMFI, SYMFI LO, TROGARZO, VENLAFAXINE BESYLATE ER, VIMPAT, VIREAD, XEMBIFY, ZIAGEN, ZONISADE |
| Non-GLP-1 Agonist Anorexiants – PA, NF |
Contrave (naltrexone/bupropion), Generic phentermine, Adipex-P (phentermine), Lomaira (phentermine), generic phentermine-topiramate, Qsymia (phentermine and topiramate), Xenical (orlistat) |
| Non-steroidal Anti-Inflammatory Agents - PA, ST |
Cambia (diclofenac) powder, Celebrex (celecoxib), Fenopron, Indocin, Indomethacin Suspension 25mg/5ml, Lofena, Meloxicam oral suspension 7.5mg/5mL, Pennsaid (diclofenac sodium) topical solution, Sprix (ketorolac tromethamine) nasal spray, Tolectin (tolmetin), Vivlodex, Zipsor (diclofenac potassium), Zorvolex (diclofenac) |
| Nonpreferred Adalimumab - PA, NF - Standard Default |
Drug Name: Abrilada (adalimumab-afzb), Cyltezo (adalimumab-adbm), Hadlima (adalimumab-bwwd), Hulio (adalimumab-fkjp), Hyrimoz (adalimumab-adaz), Idacio (adalimumab-aacf), Simlandi (adalimumab-ryvk), Yuflyma (adalimumab-aaty), Yusimry (adalimumab-aqvh), Amjevita (adalimumab-atto), Humira (adalimumab) |
| Nplate (romiplostim) |
Nplate (romiplostim) |
| Nucala (mepolizumab) |
Nucala (mepolizumab) |
| Nuplazid (pimavanserin) |
Nuplazid (pimavanserin) |
| Obesity GLP-1 Agonists – PA, NF |
Saxenda (liraglutide), Wegovy (semaglutide), Zepbound (tirzepatide) Injection |
| Octreotide Products - PA, NF |
Mycapssa (octreotide capsule, delayed release), Sandostatin (octreotide acetate), Sandostatin LAR Depot (octreotide acetate) |
| Odomzo (sonidegib) |
Odomzo (sonidegib) |
| Ogsiveo (nirogacestat) |
Ogsiveo (nirogacestat) |
| Olumiant (baricitinib) |
Olumiant (baricitinib) |
| Omega-3-Acid Derivatives |
Generic icosapent ethyl, Lovaza (omega-3-acid ethyl esters), Vascepa (icosapent ethyl) |
| Oncology Injectable |
ABECMA, ADCETRIS, ALIQOPA, ARZERRA, AUCATZYL, BAVENCIO, BELEODAQ, BESPONSA, BIZENGRI, BLINCYTO, BREYANZI, CARVYKTI, COLUMVI, CYRAMZA, DANYELZA, DATROWAY, ELAHERE, ELREXFIO, ELZONRIS, EMPLICITI, EMRELIS, ENHERTU, EPKINLY, ERBITUX, ERIBULIN MESYLATE, FIRMAGON, FOLOTYN, FYARRO, GAZYVA, HALAVEN, IMFINZI, IMJUDO, INLEXZO, ISTODAX, JEMPERLI, KADCYLA, KEYTRUDA, KEYTRUDA QLEX, KIMMTRAK, KYMRIAH, KYPROLIS, LIBTAYO, LUMOXITI, LUNSUMIO, LYNOZYFIC, MARGENZA, MONJUVI, MYLOTARG, OPDIVO, OPDIVO QVANTIG, OPDUALAG, PADCEV, PERJETA, PHESGO, POLIVY, PORTRAZZA, POTELIGEO, PRALATREXATE, PROVENGE, ROMIDEPSIN, RYBREVANT, RYLAZE, SARCLISA, TALVEY, TECARTUS, TECENTRIQ, TECENTRIQ HYBREZA, TECVAYLI, TIVDAK, TRODELVY, UNLOXCYT, VYLOY, YERVOY, YESCARTA, ZALTRAP, ZEPZELCA, ZUSDURI, ZYNLONTA, ZYNYZ |
| Onpattro (patisiran) & Tegsedi (inotersen) |
Onpattro (patisiran), Tegsedi (inotersen) |
| Onureg (azacitidine) |
Onureg (azacitidine) |
| Ophthalmic Antihistamines |
ZERVIATE (cetirizine) |
| Ophthalmic NSAIDs |
BROMSITE (bromfenac), ILEVRO (nepafenac), NEVANAC (nepafenac), Prolensa (bromfenac ophthalmic solution) |