Ninlaro (ixazomib citrate) |
Ninlaro (ixazomib citrate) |
Nityr and Orfadin |
Brand Orfadin capsules, Brand Orfadin oral suspension, Generic nitisinone capsules, Nityr (nitisinone) tablets |
Nocdurna (desmopressin) |
Nocdurna (desmopressin acetate sublingual tablet) |
Non-Essential Drug Program – PA, NF |
|
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), Qsymia (phentermine and topiramate), Xenical (orlistat) |
Non-Solid Oral Dosage Forms |
ATORVALIQ, GLOPERBA, INZIRQO, JYLAMVO, LIKMEZ, NORLIQVA, SPIRONOLACTONE, TEZRULY, XATMEP, ZONISADE |
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) |
NonStimulant ADHD Agents Step Therapy - ST, NF |
Intuniv (guanfacine extended-release), Kapvay (clonidine hydrochloride extended-release), Onyda XR (clonidine hydrochloride extended - release oral suspension), Qelbree (viloxazine extended-release), Strattera (atomoxetine) |
Northera (droxidopa) |
Northera (droxidopa) |
Nourianz (istradefylline) |
Nourianz (istradefylline) |
Nplate (romiplostim) |
Nplate (romiplostim) |
Nubeqa (darolutamide) |
Nubeqa (darolutamide) |
Nucala (mepolizumab) |
Nucala (mepolizumab) |
Nuedexta (dextromethorphan HBr/quinidine) |
Nuedexta (dextromethorphan HBr/quinidine) |
Nulibry (fosdenopterin) |
Nulibry (fosdenopterin) |
Nuplazid (pimavanserin) |
Nuplazid (pimavanserin) |
Obesity GLP-1 Agonists – PA, NF |
Saxenda (liraglutide), Wegovy (semaglutide), Zepbound (tirzepatide) Injection |
Ocaliva (obeticholic acid) |
Ocaliva (obeticholic acid) |