| Alunbrig (brigatinib) |
Alunbrig (brigatinib) |
| Alvaiz (eltrombopag) |
Alvaiz (eltrombopag) |
| Alyftrek (vanzacaftor/tezacaftor/deutivacaftor) |
Alyftrek (vanzacaftor/tezacaftor/deutivacaftor) |
| Amjevita (adalimumab-atto) [Nuvaila], Humira (Abbvie) - PA, NF - Standard Default |
Amjevita (adalimumab-atto), Humira (adalimumab) |
| Amondys 45 (casimersen) - PA, NF |
Amondys 45 (casimersen) |
| Ampyra (dalfampridine) - PA, NF |
Ampyra (dalfampridine) |
| Amtagvi (lifileucel) |
Amtagvi (lifileucel) |
| Amvuttra (vutrisiran) |
Amvuttra (vutrisiran) |
| Angiotensin Receptor Blockers |
Edarbi (azilsartan medoxomil), Edarbyclor (azilsartan and chlorthalidone), Exforge HCT (amlodipine, valsartan, hydrochlorothiazide), Tekturna HCT (aliskiren and hydrochlorothiazide) |
| Anktiva (nogapendekin alfa inbakicept-pmln) |
Anktiva (nogapendekin alfa inbakicept-pmln) |
| Anti-Parkinson’s Agents |
Crexont (carbidopa and levodopa) extended-release capsules, Dhivy (carbidopa-levodopa), Duopa (carbidopa and levodopa) enteral suspension, Gocovri (amantadine) extended-release capsules, Ongentys (opicapone), Osmolex ER (amantadine) extended-release tablets, Rytary (carbidopa and levodopa) extended-release capsules, Vyalev (foscarbidopa and foslevodopa) subcutaneous injection, Xadago (safinamide) tablets |
| Anticonvulsants |
Briviact (brivaracetam), Elepsia XR (levetiracetam extended-release), Eprontia (topiramate oral solution), Motpoly XR (lacosamide extended-release), Oxtellar XR (oxcarbazepine extended-release), Qudexy XR (topiramate extended-release), Trokendi XR (topiramate extended-release), Xcopri (cenobamate) |
| Antiemetics Quantity Limit Overrides |
Akynzeo (netupitant/palonosetron), Anzemet (dolasetron), Emend (aprepitant), Granisetron, Marinol (dronabinol), Sancuso (granisetron transdermal system), Sustol (granisetron injection), Varubi (rolapitant), Zofran (ondansetron) |
| AntiGout Agents |
Allopurinol, Colcrys (colchicine) tablet, Mitigare (colchicine) capsule, Uloric (febuxostat) |
| Antimalarial Agents |
Qualaquin (quinine sulfate) |
| Antipsychotics, Long-Acting Injectable |
Abilify Asimtufii, Abilify Maintena, Aristada, Aristada Initio, Haldol Decanoate, Invega Hafyera, Invega Sustenna, Invega Trinza, Perseris, Risperdal Consta, Rykindo, Uzedy, Zyprexa Relprevv |
| Anzupgo (delgocitinib) |
Anzupgo (delgocitinib) |
| Apomorphine Products |
Apokyn (apomorphine injection), Onapgo (apomorphine injection) |
| Aqneursa (levacetylleucine) |
Aqneursa (levacetylleucine) |
| Arcalyst (rilonacept) |
Arcalyst (rilonacept) injection |