| Mekinist (trametinib) |
Mekinist (trametinib) |
| Mepsevii (vestronidase alfa-vjbk) |
Mepsevii (vestronidase alfa-vjbk) |
| Migraine Quantity Limit |
Amerge (naratriptan), Frova (frovatriptan), Imitrex (sumatriptan) tablets and nasal spray, Onzetra (sumatriptan), Relpax (eletriptan), Tosymra (sumatriptan), Zembrace SymTouch (sumatriptan), Zomig (zolmitriptan) tablets, Zomig-ZMT (zolmitriptan), Axert (almotriptan), Brekiya (dihydroergotamine mesylate) injection, D.H.E. 45 (dihydroergotamine mesylate) injection, Imitrex (sumatriptan) injection, Maxalt (rizatriptan), Maxalt-MLT (rizatriptan), Migranal (dihydroergotamine mesylate), Nurtec ODT (rimegepant sulfate), RizaFilm (rizatriptan), Symbravo (meloxicam/rizatriptan), Treximet (sumatriptan/naproxen), Trudhesa (dihydroergotamine mesylate), Ubrelvy (ubrogepant), Zavzpret (zavegepant), Zomig (zolmitriptan) nasal spray |
| Mitapivat Products |
Aqvesme (mitapivat), Pyrukynd (mitapivat) |
| Mitapivat Products - PA, NF |
Aqvesme (mitapivat), Pyrukynd (mitapivat) |
| Multiple Sclerosis (MS) Agents - PA, NF |
Aubagio (teriflunomide), Avonex (interferon beta-1a), Bafiertam (monomethyl fumarate), Betaseron (interferon beta-1b), Copaxone (glatiramer acetate), Glatopa (glatiramer acetate), Kesimpta (ofatumumab), Lemtrada (alemtuzumab), Mavenclad (cladribine), Mayzent (siponimod), Ocrevus (ocrelizumab), Plegridy (peginterferon beta-1a), Ponvory (ponesimod), Rebif (interferon beta-1a), Vumerity (diroximel fumarate) |
| Myalept (metreleptin for injection) |
Myalept (metreleptin for injection) |
| Naglazyme (galsulfase injection) |
Naglazyme (galsulfase injection) |
| Natalizumab Products |
Tysabri (natalizumab) |
| Nexavar (sorafenib) |
Nexavar (sorafenib) |
| Nexletol (bempedoic acid) and Nexlizet (bempedoic acid-ezetimibe) |
Nexletol (bempedoic acid), Nexlizet (bempedoic acid-ezetimibe) |
| Nilotinib Products |
Tasigna (nilotinib hydrochloride) |
| Ninlaro (ixazomib citrate) |
Ninlaro (ixazomib citrate) |
| Nitisinone Products |
Generic nitisinone capsules |
| Non-Formulary & Excluded Drug Exceptions Process for Drugs of Clinical Concern |
ABACAVIR, ABACAVIR SULFATE, ABACAVIR SULFATE/LAMIVUDINE, ATAZANAVIR, ATAZANAVIR SULFATE, CABENUVA, DELSTRIGO, DESCOVY, EFAVIRENZ/EMTRICITABINE/TENOFOVIR DISOPROXIL FUMARATE, EFAVIRENZ/LAMIVUDINE/TENOFOVIR DISOPROXIL FUMARATE, EMTRICITABINE, EMTRICITABINE/TENOFOVIR DISOPROXIL, EMTRICITABINE/TENOFOVIR DISOPROXIL FUMARATE, EMTRIVA, EPIVIR, ETRAVIRINE, FOSAMPRENAVIR CALCIUM, GENVOYA, INTELENCE, KALETRA, LAMIVUDINE, LAMIVUDINE/ZIDOVUDINE, LOPINAVIR/RITONAVIR, NEVIRAPINE, NEVIRAPINE ER, NORVIR, RETROVIR, RETROVIR IV INFUSION, REYATAZ, RITONAVIR, STRIBILD, SYMFI, TENOFOVIR DISOPROXIL FUMARATE, TROGARZO, TRUVADA, VIREAD, VOCABRIA, ZIAGEN, ZIDOVUDINE |
| 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) capsule, Fenopron (fenoprofen calcium) capsule, Indocin (indomethacin), Indomethacin suspension 25mg/5ml, Lofena (diclofenac potassium) tablet, Pennsaid (diclofenac sodium) topical solution, Sprix (ketorolac tromethamine) nasal spray, Zipsor (diclofenac potassium) capsule |
| 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) |