| Otezla, Otezla XR (apremilast) |
Otezla (apremilast), Otezla XR (apremilast ER), Otezla, Otezla XR (apremilast) |
| Overactive Bladder Agents - Step Therapy |
Gelnique (oxybutynin chloride), Gemtesa (vibegron), Oxytrol (oxybutynin transdermal system), Oxytrol For Women (oxybutynin patch), Toviaz (fesoterodine fumarate), Vesicare LS (solifenacin) Oral Suspension |
| Oxervate (cenegermin-bkbj) - PA, QL |
Oxervate (cenegermin-bkbj) |
| Palforzia [Peanut (Arachis hypogaea)] - PA, NF |
Palforzia [Peanut (Arachis hypogaea) Allergen Powder-dnfp] |
| Palsonify (paltusotine) - PA, NF |
Palsonify (paltusotine) |
| Palynziq (pegvaliase-pqpz) - PA, NF |
Palynziq (pegvaliase-pqpz) |
| Pancreatic Enzyme Products |
Pancreaze (pancrelipase), Pertzye (pancrelipase), Viokace (pancrelipase) |
| Papzimeos (zopapogene imadenovec-drba) - PA, NF |
Papzimeos (zopapogene imadenovec-drba) |
| PCSK9 inhibitors - PA, NF |
Lerochol (lerodalcibep-liga), Lipfendra (enlicitide), Praluent (alirocumab) |
| Pedmark (sodium thiosulfate injection, solution) |
Pedmark (sodium thiosulfate injection, solution) |
| Pemazyre (pemigatinib) - PA, NF |
Pemazyre (pemigatinib) |
| Phosphate Binders - ST, NF |
Auryxia (ferric citrate), Ferric citrate, Fosrenol (lanthanum carbonate), Velphoro (sucroferric oxyhydroxide), Xphozah (tenapanor) |
| Piasky (crovalimab) |
Piasky (crovalimab) |
| Piqray (alpelisib) |
Piqray (alpelisib) |
| Pivya (pivmecillinam) |
Pivya (pivmecillinam) |
| Pomalyst (pomalidomide) |
Pomalyst (pomalidomide) |
| Pombiliti (cipaglucosidase alfa-atga) |
Pombiliti (cipaglucosidase alfa-atga) |
| Presbyopia Agents - PA, NF |
Qlosi (pilocarpine hydrochloride ophthalmic solution), Vizz (aceclidine ophthalmic solution), Vuity (pilocarpine), Yuvezzi (carbachol and brimonidine tartrate ophthalmic solution) |
| Primary Hyperoxaluria Agents |
Oxlumo (lumasiran) injection, Rivfloza (nedosiran) |
| Prior Authorization Administrative Guideline |
Admin, Administrative, albendazole, albenza, Prior Authorization |
HEALTHY LIVING