| Atypical Antipsychotics |
Caplyta (lumateperone), Fanapt (iloperidone), Invega Hafyera (paliperidone palmitate), Lybalvi (olanzapine and samidorphan), Opipza (aripiprazole), Saphris (asenapine), Secuado (asenapine) |
| Augtyro (repotrectinib) |
Augtyro (repotrectinib) |
| Austedo (deutetrabenazine) |
Austedo (deutetrabenazine), Austedo XR (deutetrabenazine) |
| Authorized Brand Alternative (ABA) Policy |
Besifloxacin ophthalmic suspension 0.6%, Dapagliflozin, Dapagliflozin-Metformin hydrochloride Extended-Release, 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, Insulin Glargine Injection Solution, Insulin Glargine Solostar Injection, Insulin Glargine U-300 Solostar Injection Solution, Insulin Glargine U-300 Max Solostar Injection, Umeclidinum and Vilanterol Ellipta |
| Avmapki Fakzynja Co-Pack (avutometinib/defactinib) |
Avmapki Fakzynja Co-Pack (avutometinib/defactinib) |
| 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) |
| 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) |
| Bonjesta, Diclegis (doxylamine/pyridoxine) |
Bonjesta, Diclegis (doxylamine succinate and pyridoxine hydrochloride) |
| Bortezomib |
Bortezomib (bortezomib), Boruzu (bortezomib), Velcade (bortezomib) |