Showing 101 - 120 of 620 results
Guideline Drug Name
Compounded Drugs Acyclovir 5% Topical Ointment, Arthrotec, Bulk powders, Cambia, Compound, COMPOUNDED DRUGS, Compounds, Cutivate, Diclofenac bulk powder, Diclofenac Ophthalmic Solution, Diclofenac tablets, Doxepin 5% Topical Cream, Dyloject, Elocon, Flector, Flurbiprofen bulk powder, Flurbiprofen tablets, Fluticasone bulk powder, Gabapentin bulk powder, Gralise, Horizant, Ketalar, Ketamine bulk powder, Ketoprofen bulk powder, Ketoprofen capsules, Ketoprofen extended-release capsules, Levocetirizine bulk powder, Mometasone powder, Neurontin, Ocufen, Pennsaid, Prudoxin 5% Topical Cream, Rexaphenac, Solaraze, Voltaren, Xyzal, Zipsor Liquid Filled Capsules, Zonalon 5% Topical Cream, Zorvolex Oral Capsules, Zovirax 5% Topical Ointment
Constipation Agents Amitiza (lubiprostone), Linzess (linaclotide), Motegrity (prucalopride), Movantik (naloxegol), Relistor (methylnaltrexone bromide) injection, Relistor (methylnaltrexone bromide) tablet, Symproic (naldemedine), Trulance (plecanatide)
Continuous Glucose Monitors, Sensors, Transmitters, and Components - PA, NF BIGFOOT UNITY PROGRAM KIT, DEXCOM G6 RECEIVER, DEXCOM G6 SENSOR, DEXCOM G6 TRANSMITTER, 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/SENSOR/FLASH MONITORING SYSTEM, FREESTYLE LIBRE 14 DAY/READER/FLASH MONITORING SYSTEM, FREESTYLE LIBRE 14 DAY/SENSOR/FLASH MONITORING 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 PLUS/SESOR/GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 3/READER/FLASH GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 3/SENSOR/FLASH GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE/READER/FLASH MONITORING SYSTEM, GUARDIAN 4 GLUCOSE SENSOR, GUARDIAN 4 TRANSMITTER KIT, GUARDIAN CONNECT TRANSMITTER, GUARDIAN CONNECT TRANSMITTER KIT, GUARDIAN LINK 3 TRANSMITTER KIT, GUARDIAN REAL-TIME REPLACEMENT MONITOR PEDIATRIC, GUARDIAN SENSOR (3), GUARDIAN SENSOR 3, MINILINK REAL-TIME TRANSMITTER, MINIMED 630G GUARDIAN PRESS STARTER TRANSMITTER KIT, MINIMED GUARDIAN LINK 3 TRANSMITTER, PARADIGM REAL-TIME TRANSMITTER, SIMPLERA SENSOR, SIMPLERA SYNC SENSOR, SIMPLERA SYSTEM
Contraceptives for Non-Contraceptive Use Contraceptives
Copiktra (duvelisib) Copiktra (duvelisib)
Copper Chelating Agents - PA, NF Cuprimine (penicillamine), Cuvrior (trientine tetrahydrochloride), Syprine (trientine)
Cosela (trilaciclib) - PA, NF Cosela (trilaciclib)
Cosentyx (secukinumab) - PA, NF Cosentyx IV (secukinumab), Cosentyx SC (secukinumab)
Cotellic (cobimetinib) Cotellic (cobimetinib)
Coverage of Drugs for Off-Label or Non-FDA Approved Indications
Crenessity (crinecerfont) Crenessity (crinecerfont)
Crinone Gel 8% Quantity Limit Crinone Gel 8%
Crysvita (burosumab-twza) Crysvita (burosumab-twza)
Daliresp (roflumilast) Daliresp (roflumilast)
Daraprim (pyrimethamine) Daraprim (pyrimethamine)
Darzalex (daratumumab), Darzalex Faspro (daratumumab and hyaluronidase-fihj) - PA, NF Darzalex (daratumumab), Darzalex Faspro (daratumumab and hyaluronidase-fihj)
Dasatinib products - PA, NF Sprycel (dasatinib), Phyrago (dasatinib)
Daurismo (glasdegib) Daurismo (glasdegib)
DAW Override DAW override, Dispense, written
Daxxify (botulinum toxin type a injection) Daxxify (botulinum toxin type a injection)