| Austedo (deutetrabenazine) |
Austedo (deutetrabenazine), Austedo XR (deutetrabenazine) |
| Authorized Brand Alternative (ABA) Policy |
Besifloxacin ophthalmic suspension 0.6%, Dronabinol solution, Fluticasone and Salmeterol HFA inhalation aerosol, Fluticasone and Vilanterol inhalation powder, Fluticasone Furoate Ellipta, Insulin Aspart 70/30 Injection Solution, Insulin Aspart 70/30 Flexpen, Novolog Relion 70/30, Novolog Relion 70/30 Flexpen, Insulin Aspart Injection Solution, Insulin Aspart Flexpen, Insulin Aspart Penfill, Novolog Relion, Novolog Relion Flexpen, Insulin Degludec Injection Solution, Insulin Degludec Flextouch Injection, Umeclidinum and Vilanterol Ellipta |
| Auvelity (dextromethorphan hydrobromide / bupropion hydrochloride) - PA, ST |
Auvelity (dextromethorphan hydrobromide / bupropion hydrochloride) |
| Avlayah (tividenofusp alfa-eknm) - PA, NF |
Avlayah (tividenofusp alfa-eknm) |
| Avmapki Fakzynja Co-Pack (avutometinib/defactinib) |
Avmapki Fakzynja Co-Pack (avutometinib/defactinib) |
| Awiqli (insulin icodec-abae) |
Awiqli (insulin icodec-abae) |
| Ayvakit (avapritinib) |
Ayvakit (avapritinib) |
| Azole Antifungals - PA, NF |
Cresemba (isavuconazonium sulfate) capsules, Noxafil (posaconazole) oral suspension, Noxafil (posaconazole) tablets, Noxafil PowderMix (posaconazole) for delayed-release oral suspension, Sporanox (itraconazole) capsules, Sporanox (itraconazole) oral solution, Tolsura (itraconazole) capsules, Vfend (voriconazole) oral suspension, Vfend (voriconazole) tablets |
| Bacterial Vaginosis Agents |
Brand Cleocin vaginal cream, Brand Vandazole (metronidazole gel), Cleocin suppository, Nuvessa, Solosec (secnidazole) |
| Balversa (erdafitinib) |
Balversa (erdafitinib) |
| Banzel (rufinamide) |
Banzel (rufinamide) tablets and oral suspension |
| Basal Insulin - ST, NF |
Basaglar Tempo pen (insulin glargine), Semglee (insulin glargine), Semglee (insulin glargine-yfgn), Insulin glargine-yfgn, Tresiba (insulin degludec) |
| Baxfendy (baxdrostat) - PA, NF |
Baxfendy (baxdrostat) |
| Bendamustine Agents |
Belrapzo, Bendamustine, Bendeka, Treanda, Vivimusta |
| Benlysta (belimumab) |
Benlysta (belimumab IV), Benlysta (belimumab SC) |
| Besremi (ropeginterferon alfa-2b-njft) |
Besremi (ropeginterferon alfa-2b-njft) |
| Bevacizumab - PA, NF |
Avastin (bevacizumab), Mvasi (bevacizumab-awwb), Zirabev (bevacizumab-bvzr), Alymsys (bevacizumab-maly), Vegzelma (bevacizumab-adcd), Jobevne (bevacizumab-nwgd) |
| Bimzelx (bimekizumab-bkzx) |
Bimzelx (bimekizumab-bkzx) |
| Blood Glucose Monitor & Test Strips - ST, QL, NF |
Blood glucose monitoring systems |
| Blujepa (gepotidacin) |
Blujepa (gepotidacin) |
HEALTHY LIVING