specialty drug listing drug... · 2020. 10. 14. · cystadane powd cystagon 50 mg caps cystagon 150...

49
Specialty Drug Listing Report Executed: 10/14/2020 Drug Name Strength Dosage Form Abacavir Sulfate 300 MG TABS Abacavir Sulfate-Lamivudine 600-300 MG Abacavir-Lamivudine-Zidovudine 300-150-300 MG Abiraterone Acetate 250 MG Abraxane 100 MG SUSR Actemra 80 MG/4ML SOLN Actemra 400 MG/20ML SOLN Actemra 162 MG/0.9ML SOSY Actemra 200 MG/10ML SOLN Actemra Actpen 162 MG/0.9ML Acthar 80 UNIT/ML GEL Actimmune 2000000 UNIT/0.5ML SOLN Activase 50 MG SOLR Activase 100 MG SOLR Adagen 250 UNIT/ML SOLN Adakveo 100 MG/10ML Adcetris 50 MG SOLR Adcirca 20 MG TABS Adefovir Dipivoxil 10 MG TABS Adempas 0.5 MG TABS Adempas 1 MG TABS Adempas 1.5 MG TABS Adempas 2 MG TABS Adempas 2.5 MG TABS Advate 1000 UNIT SOLR Advate 1500 UNIT SOLR Advate 2000 UNIT SOLR Advate 250 UNIT SOLR Advate 3000 UNIT SOLR Advate 4000 UNIT SOLR Advate 500 UNIT SOLR Adynovate 250 UNIT SOLR Adynovate 500 UNIT SOLR Adynovate 1000 UNIT SOLR Adynovate 2000 UNIT SOLR Adynovate 750 UNIT SOLR Adynovate 1500 UNIT SOLR Adynovate 3000 UNIT SOLR Afinitor 10 MG TABS Afinitor 2.5 MG TABS Afinitor 5 MG TABS Afinitor 7.5 MG TABS Afinitor Disperz 2 MG TBSO Afinitor Disperz 3 MG TBSO Afinitor Disperz 5 MG TBSO

Upload: others

Post on 26-Jan-2021

3 views

Category:

Documents


0 download

TRANSCRIPT

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Drug Name Strength

    Dosage

    Form

    Abacavir Sulfate 300 MG TABS

    Abacavir Sulfate-Lamivudine 600-300 MG

    Abacavir-Lamivudine-Zidovudine 300-150-300 MG

    Abiraterone Acetate 250 MG

    Abraxane 100 MG SUSR

    Actemra 80 MG/4ML SOLN

    Actemra 400 MG/20ML SOLN

    Actemra 162 MG/0.9ML SOSY

    Actemra 200 MG/10ML SOLN

    Actemra Actpen 162 MG/0.9ML

    Acthar 80 UNIT/ML GEL

    Actimmune 2000000 UNIT/0.5ML SOLN

    Activase 50 MG SOLR

    Activase 100 MG SOLR

    Adagen 250 UNIT/ML SOLN

    Adakveo 100 MG/10ML

    Adcetris 50 MG SOLR

    Adcirca 20 MG TABS

    Adefovir Dipivoxil 10 MG TABS

    Adempas 0.5 MG TABS

    Adempas 1 MG TABS

    Adempas 1.5 MG TABS

    Adempas 2 MG TABS

    Adempas 2.5 MG TABS

    Advate 1000 UNIT SOLR

    Advate 1500 UNIT SOLR

    Advate 2000 UNIT SOLR

    Advate 250 UNIT SOLR

    Advate 3000 UNIT SOLR

    Advate 4000 UNIT SOLR

    Advate 500 UNIT SOLR

    Adynovate 250 UNIT SOLR

    Adynovate 500 UNIT SOLR

    Adynovate 1000 UNIT SOLR

    Adynovate 2000 UNIT SOLR

    Adynovate 750 UNIT SOLR

    Adynovate 1500 UNIT SOLR

    Adynovate 3000 UNIT SOLR

    Afinitor 10 MG TABS

    Afinitor 2.5 MG TABS

    Afinitor 5 MG TABS

    Afinitor 7.5 MG TABS

    Afinitor Disperz 2 MG TBSO

    Afinitor Disperz 3 MG TBSO

    Afinitor Disperz 5 MG TBSO

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Afrezza 60 x 8 UNIT & 30x12 UNIT

    Afrezza 8 UNIT

    Afrezza 12 UNIT

    Afrezza 4 & 8 & 12 UNIT

    Afrezza 30 x 4 UNIT & 60x8 UNIT

    Afrezza 90 x 8 UNIT & 90x12 UNIT

    Afstyla 1500 UNIT KIT

    Afstyla 2500 UNIT KIT

    Afstyla 250 UNIT KIT

    Afstyla 500 UNIT KIT

    Afstyla 1000 UNIT KIT

    Afstyla 2000 UNIT KIT

    Afstyla 3000 UNIT KIT

    Aimovig 140 MG/ML

    Aimovig 70 MG/ML SOAJ

    Aimovig (140 Mg Dose) 70 MG/ML

    Ajovy 225 MG/1.5 ML

    Albendazole 200 MG

    Aldurazyme 2.9 MG/5ML SOLN

    Alecensa 150 MG CAPS

    Alferon N 5000000 UNIT/ML SOLN

    Alimta 100 MG SOLR

    Alimta 500 MG SOLR

    Aliqopa 60 MG SOLR

    Alkeran 50 MG SOLR

    Alkeran 2 MG TABS

    Alphanate/VWF Complex/Human 1000 UNIT SOLR

    Alphanate/VWF Complex/Human 1500 UNIT SOLR

    Alphanate/VWF Complex/Human 2000 UNIT SOLR

    Alphanate/VWF Complex/Human 250 UNIT SOLR

    Alphanate/VWF Complex/Human 500 UNIT SOLR

    Alphanine Sd 500 UNIT SOLR

    Alphanine Sd 1000 UNIT SOLR

    Alphanine Sd 1500 UNIT SOLR

    Alprolix 4000 UNIT SOLR

    Alprolix 1000 UNIT SOLR

    Alprolix 2000 UNIT SOLR

    Alprolix 250 UNIT SOLR

    Alprolix 3000 UNIT SOLR

    Alprolix 500 UNIT SOLR

    Alsuma 6 MG/0.5ML SOAJ

    Alunbrig 30 MG TABS

    Alunbrig 90 MG TABS

    Alunbrig 180 MG TABS

    Alunbrig 90 & 180 MG TABS

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Ambrisentan 5 MG

    Ambrisentan 10 MG

    Amifostine 500 MG SOLR

    Amnesteem 10 MG CAPS

    Amnesteem 20 MG CAPS

    Amnesteem 40 MG CAPS

    Ampyra 10 MG TB12

    Amvisc 12 MG/ML SOLN

    Amvisc Plus 16 MG/ML SOLN

    Amyvid 500-1900 MBQ/ML SOLN

    Angiomax 250 MG SOLR

    Anzemet 100 MG TABS

    Anzemet 50 MG TABS

    Apligraf DISK

    Apokyn 30 MG/3ML SOCT

    Aprepitant 40 MG

    Aprepitant 80 MG

    Aptiom 200 MG

    Aptiom 400 MG

    Aptiom 600 MG

    Aptiom 800 MG

    Aptivus 250 MG CAPS

    Aptivus 100 MG/ML SOLN

    Aralast Np 500 MG SOLR

    Aralast Np 1000 MG SOLR

    Aranesp (Albumin Free) 300 MCG/ML SOLN

    Aranesp (Albumin Free) 10 MCG/0.4ML SOLN

    Aranesp (Albumin Free) 25 MCG/0.42ML SOSY

    Aranesp (Albumin Free) 100 MCG/0.5ML SOSY

    Aranesp (Albumin Free) 100 MCG/ML SOLN

    Aranesp (Albumin Free) 150 MCG/0.3ML SOSY

    Aranesp (Albumin Free) 200 MCG/0.4ML SOSY

    Aranesp (Albumin Free) 200 MCG/ML SOLN

    Aranesp (Albumin Free) 25 MCG/ML SOLN

    Aranesp (Albumin Free) 300 MCG/0.6ML SOSY

    Aranesp (Albumin Free) 40 MCG/0.4ML SOSY

    Aranesp (Albumin Free) 40 MCG/ML SOLN

    Aranesp (Albumin Free) 60 MCG/0.3ML SOSY

    Aranesp (Albumin Free) 60 MCG/ML SOLN

    Aranesp (Albumin Free) 500 MCG/ML

    Arava 10 MG

    Arava 20 MG

    Arcalyst 220 MG SOLR

    Arestin 1 MG MISC

    Argatroban 250 MG/2.5ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Argatroban 125 MG/125ML SOLN

    Argatroban 50 MG/50ML

    Argatroban In Sodium Chloride 50-0.9 MG/50ML-%

    Argatroban In Sodium Chloride 250 MG/250ML SOLN

    Arikayce 590 MG/8.4ML SUSP

    Arranon 5 MG/ML SOLN

    Arsenic Trioxide 10 MG/10ML

    Arsenic Trioxide 12 MG/6ML

    Arzerra 1000 MG/50ML CONC

    Arzerra 100 MG/5ML CONC

    Asacol Hd 800 MG TBEC

    Asceniv 5 GM/50ML

    Astagraf Xl 0.5 MG CP24

    Astagraf Xl 1 MG CP24

    Astagraf Xl 5 MG CP24

    Atazanavir Sulfate 300 MG

    Atgam 50 MG/ML INJ

    Atopavo

    Atripla 600-200-300 MG TABS

    Aubagio 14 MG TABS

    Aubagio 7 MG TABS

    Auryxia 1 GM 210 MG(Fe)

    Austedo 6 MG TABS

    Austedo 9 MG TABS

    Austedo 12 MG TABS

    Avastin 100 MG/4ML SOLN

    Avastin 400 MG/16ML SOLN

    Aveed 750 MG/3ML SOLN

    Avonex 30 MCG KIT

    Avonex Pen 30 MCG/0.5ML AJKT

    Avonex Prefilled 30 MCG/0.5ML PSKT

    Avsola 100 MG

    Ayvakit 100 MG

    Ayvakit 200 MG

    Ayvakit 300 MG

    Azacitidine 100 MG

    Azasan 75 MG TABS

    Azasan 100 MG TABS

    Azathioprine POWD

    Azathioprine 50

    Azathioprine Sodium 100 MG SOLR

    Bafiertam 95 MG

    Balversa 4 MG

    Balversa 5 MG

    Balversa 3 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Banzel 200 MG TABS

    Banzel 40 MG/ML SUSP

    Banzel 400 MG TABS

    Baraclude 0.5 MG TABS

    Baraclude 1 MG TABS

    Baraclude 0.05 MG/ML SOLN

    Bavencio 200 MG/10ML SOLN

    Bebulin 200-1200 UNIT SOLR

    Beleodaq 500 MG SOLR

    Bendamustine HCL 100 MG/4ML

    Bendeka 100 MG/4ML SOLN

    Benefix 1000 UNIT KIT

    Benefix 2000 UNIT KIT

    Benefix 250 UNIT KIT

    Benefix 3000 UNIT KIT

    Benefix 500 UNIT KIT

    Benefix 1000 Unit 1000 UNIT SOLR

    Benefix 2000 Unit 2000 UNIT SOLR

    Benefix 250 Unit 250 UNIT SOLR

    Benefix 3000 Unit 3000 UNIT SOLR

    Benefix 500 Unit 500 UNIT SOLR

    Benlysta 100 MG/4ML SOLN

    Benlysta 120 MG SOLR

    Benlysta 400 MG SOLR

    Benlysta 200 MG/ML SAOJ

    Benlysta 200 MG/ML SOSY

    Beovu 6 MG/0.05ML

    Berinert 500 UNIT KIT

    Besponsa 0.9 MG SOLR

    Betaseron 0.3 MG KIT

    Bethkis

    Bethkis 300 MG/4ML NEBU

    Bexarotene 75 MG CAPS

    Bicalutamide 50 MG TABS

    Bicnu 100 MG SOLR

    Biktarvy

    Bivagam 5 GM/50 ML SOLN

    Bivagam 10 GM/100 ML SOLN

    Bivalirudin 250 MG SOLR

    Bivalirudin RTU 250 MG/50ML

    Bivalirudin Trifluoroacetate 250 MG

    Bleo 15K 1500 IU SOLR

    Bleomycin Sulfate 15 UNIT SOLR

    Bleomycin Sulfate 30 UNIT SOLR

    Blincyto 35 MCG SOLR

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Boniva 3 MG/3ML SOLN

    Bortezomib 3.5 MG SOLR

    Bosentan 62.5 MG

    Bosentan 125 MG

    Bosulif 400 MG TABS

    Bosulif 100 MG TABS

    Bosulif 500 MG TABS

    Botox 100 UNIT SOLR

    Botox 200 UNIT SOLR

    Botox Cosmetic 50 UNIT SOLR

    Botox Cosmetic 100 UNIT SOLR

    Braftovi 75 MG

    Braftovi 50 MG

    Bravelle 75 UNIT SOLR

    Brineura 150MG/5ML KIT

    Briviact 75 mg tablet

    Briviact 10 MG

    Briviact 25 MG

    Briviact 50 MG

    Briviact 100 MG

    Briviact 10 MG/ML

    Briviact 50 MG/5ML

    Brukinsa 80 MG

    Buphenyl 500 MG TABS

    Buphenyl 3 GM/TSP POWD

    Busulfex 6 MG/ML SOLN

    Bynfezia Pen 2500 MCG/ML (2.8 ML)

    Cablivi 11 MG

    Cabometyx 20 MG TABS

    Cabometyx 60 MG TABS

    Cabometyx 40 MG TABS

    Calcium Folinate 100 MG/10ML SOLN

    Calquence 100 CAPS

    Campath 30 MG/ML SOLN

    Camptosar 40 MG/2ML SOLN

    Camptosar 100 MG/5ML SOLN

    Camptosar 300 MG/15ML SOLN

    Capecitabine 500 MG TABS

    Capecitabine 150 MG TABS

    Caprelsa 100 MG TABS

    Caprelsa 300 MG TABS

    Captracin 0.0375-5% PTCH

    Carbaglu 200 MG TABS

    Carboplatin 50 MG/5ML SOLN

    Carboplatin 150 MG/15ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Carboplatin 450 MG/45ML SOLN

    Carboplatin 600 MG/60ML SOLN

    Carimune Nf 12 GM SOLR

    Carimune Nf 6 GM SOLR

    Carmustine 100 MG

    Casodex 50 MG TABS

    Cathflo Activase 2 MG SOLR

    Cayston 75 MG SOLR

    Ceenu 10 MG CAPS

    Ceenu 40 MG CAPS

    Ceenu 100 MG CAPS

    Cellcept 200 MG/ML SUSR

    Cellcept 250 MG CAPS

    Cellcept 500 MG TABS

    Cellcept Intravenous 500 MG SOLR

    Celontin 300 MG

    Ceprotin 500 UNIT SOLR

    Ceprotin 1000 UNIT SOLR

    Cerdelga 84 MG CAPS

    Cerezyme 400 UNIT SOLR

    Cetrotide 0.25 MG KIT

    Chemet 100 MG CAPS

    Chenodal 250 MG TABS

    Cholbam 250 MG CAPS

    Cholbam 50 MG CAPS

    Chorionic Gonadotropin 10000 UNIT SOLR

    Cidofovir 75 MG/ML SOLN

    Cimzia 2 X 200 MG KIT

    Cimzia Prefilled 2 X 200 MG/ML KIT

    Cimzia Starter Kit 6 X 200 MG/ML KIT

    Cinacalcet HCL 30 MG

    Cinacalcet HCL 60 MG

    Cinacalcet HCL 90 MG

    Cinqair 100 MG/10ML SOLN

    Cinryze 500 UNIT SOLR

    Cisplatin 50 MG/50ML SOLN

    Cisplatin 100 MG/100ML SOLN

    Cisplatin 200 MG/200ML SOLN

    Cladribine 10 MG/10ML SOLN

    Claravis 10 MG CAPS

    Claravis 20 MG CAPS

    Claravis 30 MG CAPS

    Claravis 40 MG CAPS

    Clobazam 10 MG

    Clobazam 20 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Clobazam 2.5 MG/ML

    Clofarabine 1 MG/ML

    Clolar 1 MG/ML SOLN

    Clomid 50 MG TABS

    Clomiphene Citrate 50 MG TABS

    Clovique 250 MG

    Coagadex 250 UNIT SOLR

    Coagadex 500 UNIT SOLR

    Cometriq (100 Mg Daily Dose) 1 X 80 & 1 X 20 MG KIT

    Cometriq (140 Mg Daily Dose) 1 X 80 & 3 X 20 MG KIT

    Cometriq (60 Mg Daily Dose) 20 MG KIT

    Complera 200-25-300 MG TABS

    Copaxone 20 MG/ML SOSY

    Copaxone 40 MG/ML SOSY

    Copegus 200 MG TABS

    Copiktra 15 MG Capsule

    Copiktra 25 MG Capsule

    Corifact 1000-1600 UNIT KIT

    Corlopam 10 MG/ML SOLN

    Corlopam 20 MG/2ML SOLN

    Cortrosyn 0.25 MG SOLR

    Cosentyx 150 MG/ML SOSY

    Cosentyx (300 Mg Dose) 150 MG/ML

    Cosentyx Sensoready (300 MG) 150 MG/ML

    Cosentyx Sensoready Pen 150 MG/ML SOAJ

    Cosmegen 0.5 MG SOLR

    Cosyntropin 0.25 MG SOLR

    Cotellic 20 MG TABS

    Creon 12000 UNIT CPEP

    Creon 24000 UNIT CPEP

    Creon 3000-9500 UNIT CPEP

    Creon 36000 UNIT CPEP

    Creon 6000 UNIT CPEP

    Cresemba 372 MG SOLR

    Cresemba 185 MG CAPS

    Crixivan 200 MG CAPS

    Crixivan 400 MG CAPS

    Crysvita 10 MG/ML

    Crysvita 20 MG/ML

    Crysvita 30 MG/ML

    Cuprimine 250 MG CAPS

    Cutaquig 1 GM/6ML

    Cutaquig 2 GM/12ML

    Cutaquig 4 GM/24ML

    Cutaquig 8 GM/48ML

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Cutaquig 1.65 GM/10ML

    Cutaquig 3.3 GM/20ML

    Cuvitru 10 GM/50ML

    Cuvitru 4 GM/20ML

    Cuvitru 2 GM/10ML

    Cuvitru 1 GM/5ML

    Cuvitru 8 GM/40ML SOLN

    Cyclophosphamide 500 MG SOLR

    Cyclophosphamide 1 GM SOLR

    Cyclophosphamide 2 GM SOLR

    Cyclophosphamide 25 MG

    Cyclophosphamide 50 MG

    Cyclophosphamide 1 GM/5ML

    Cyclophosphamide 500 MG/2.5ML

    Cyclosporine 25 MG CAPS

    Cyclosporine 100 MG CAPS

    Cyclosporine 50 MG/ML SOLN

    Cyclosporine Modified 50 MG CAPS

    Cyklokapron 1000 MG/10ML SOLN

    Cyramza 100 MG/10ML SOLN

    Cyramza 500 MG/50ML SOLN

    Cystadane POWD

    Cystagon 50 MG CAPS

    Cystagon 150 MG CAPS

    Cystaran 0.0044 Unit SOLN

    Cytarabine 20 MG/ML SOLN

    Cytarabine (PF) 20 MG/ML SOLN

    Cytarabine (PF) 100 MG/ML SOLN

    Cytogam 50 MG/ML INJ

    Cytovene 500 MG SOLR

    D.H.E. 45 1 MG/ML SOLN

    Dacarbazine 100 MG SOLR

    Dacarbazine 200 MG SOLR

    Daklinza 30 MG TABS

    Daklinza 60 MG TABS

    Daklinza 90 MG TABS

    Dalvance 500 MG SOLR

    Daraprim 25 MG TABS

    Darzalex 100 MG/5ML SOLN

    Darzalex 400 MG/20ML SOLN

    Darzalex (Decitabine)50mg 50 MG SOLR

    Daunorubicin HCL 5 MG/ML INJ

    Daunorubicin HCL 20 MG/4ML

    Daurismo 100 MG

    Daurismo 25 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Ddavp 4 MCG/ML SOLN

    Deferasirox 90 MG

    Deferasirox 180 MG

    Deferasirox 360 MG

    Deferasirox Granules 90 MG

    Deferasirox Granules 180 MG

    Deferasirox Granules 360 MG

    Deferoxamine Mesylate 500 MG SOLR

    Deferoxamine Mesylate 2 GM SOLR

    Delestrogen 10 MG/ML OIL

    Delestrogen 20 MG/ML OIL

    Delestrogen 40 MG/ML OIL

    Delstrigo 100-300-300 MG Tablet

    Depen Titratabs 250 MG TABS

    Depocyt 50 MG/5ML SUSP

    Descovy 200-25 MG TABS

    Desferal 2 GM SOLR

    Desferal 500 MG SOLR

    Desmopressin 4 MCG/ML SOLN

    Dexrazoxane 250 MG SOLR

    Dexrazoxane 500 MG SOLR

    Diacomit 500 MG

    Diacomit 250 MG

    Diacomit 500 MG

    Dibenzyline 10 MG CAPS

    Dificid 200 MG TABS

    Dihydroergotamine Mesylate 1 MG/ML SOLN

    Dihydroergotamine Mesylate 4 MG/ML SOLN

    Dimethyl Fumarate 120 MG

    Dimethyl Fumarate 240 MG

    Docefrez 20 MG SOLR

    Docetaxel 20 MG/ML CONC

    Docetaxel 80 MG/4ML CONC

    Docetaxel 140 MG/7ML CONC

    Docetaxel 160 MG/8ML CONC

    Docetaxel 20 MG/0.5ML CONC

    Docetaxel 80 MG/2ML CONC

    Docetaxel 20 MG/2ML SOLN

    Docetaxel 80 MG/8ML SOLN

    Docetaxel 160 MG/16ML SOLN

    Docetaxel (Non-Alcohol) 20 MG/ML SOLN

    Docetaxel (Non-Alcohol) 80 MG/4ML SOLN

    Docetaxel (Non-Alcohol) 160 MG/8ML SOLN

    Dojolvi 100 %

    Doptelet 20 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Dovato 50-300 MG

    Doxercalciferol 0.5 MCG CAPS

    Doxercalciferol 1 MCG CAPS

    Doxercalciferol 2.5 MCG CAPS

    Doxercalciferol 4 MCG/2ML SOLN

    Doxil 2 MG/ML INJ

    Doxorubicin HCL 2 MG/ML SOLN

    Doxorubicin HCL 10 MG SOLR

    Doxorubicin HCL 50 MG SOLR

    Doxorubicin HCL Liposomal 2 MG/ML INJ

    Droxia 200 MG Capsule

    Droxia 300 MG Capsule

    Droxia 400 MG Capsule

    Duexis 800-26.6

    Duodote 2.1-600 MG SOAJ

    Duopa 4.63-20 MG/ML SUSP

    Dupixent 200 MG/1.14ML SOSY

    Dupixent 300 MG/2ML

    Dupixent 300 MG/2ML

    Durolane 60MG/3ML PRSY

    Durysta 10 MCG

    Dysport 300 UNIT SOLR

    Dysport 500 UNIT SOLR

    Edecrin 25 MG TABS

    Edurant 25 MG TABS

    Efavirenz-Lamivudine-Tenofovir 600-300-300 MG

    Efavirenz-Lamivudine-Tenofovir 400-300-300 MG

    Efudex 0.05 Unit CREA

    Egrifta 1 MG SOLR

    Egrifta 2 MG SOLR

    Elaprase 6 MG/3ML SOLN

    Elelyso 200 UNIT SOLR

    Eligard 7.5 MG KIT

    Eligard 22.5 MG KIT

    Eligard 30 MG KIT

    Eligard 45 MG KIT

    Elitek 1.5 MG SOLR

    Elitek 7.5 MG SOLR

    Ellence 50 MG/25ML SOLN

    Ellence 200 MG/100ML SOLN

    Eloctate 1000 UNIT SOLR

    Eloctate 1500 UNIT SOLR

    Eloctate 2000 UNIT SOLR

    Eloctate 250 UNIT SOLR

    Eloctate 3000 UNIT SOLR

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Eloctate 500 UNIT SOLR

    Eloctate 750 UNIT SOLR

    Eloctate 4000 UNIT SOLR

    Eloctate 5000 UNIT SOLR

    Eloctate 6000 UNIT SOLR

    Eloxatin 50 MG/10ML SOLN

    Eloxatin 100 MG/20ML SOLN

    Eloxatin 200 MG/40ML SOLN

    Emcyt 140 MG CAPS

    Emend 125 MG CAPS

    Emend 150 MG SOLR

    Emend 40 MG CAPS

    Emend 80 MG CAPS

    Emend TRI-Pack 80 & 125 MG CAPS

    Emflaza 18 MG TABS

    Emflaza 22.75 MG/ML SUSP

    Emflaza 30 MG TABS

    Emflaza 36 MG TABS

    Emflaza 6 MG TABS

    Emgality 120 MG/ML

    Emgality 120 MG/ML

    Emgality (300 Mg Dose) 100 MG/ML

    Empliciti 300 MG SOLR

    Empliciti 400 MG SOLR

    Emtricitabine 200 MG

    Emtriva 10 MG/ML SOLN

    Emtriva 200 MG CAPS

    Emverm 100 MG CHEW

    Enbrel 25 MG/0.5ML

    Enbrel 25 SOLR

    Enbrel 25 MG/0.5ML SOSY

    Enbrel 50 MG/ML SOSY

    Enbrel Mini 50 MG/ML SOCT

    Enbrel Sureclick 50 MG/ML SOAJ

    Endari 5 GM Powder

    Endometrin 100 MG INST

    Enhertu 100 MG

    Enspryng 120 MG/ML

    Entyvio 300 MG SOLR

    Envarsus Xr 0.75 MG TB24

    Envarsus Xr 1 MG TB24

    Envarsus Xr 4 MG TB24

    Epclusa 400-100 MG TABS

    Epidiolex 100 MG/ML - SOLN

    Epirubicin HCL 50 MG/25ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Epirubicin HCL 200 MG/100ML SOLN

    Epoprostenol Sodium 0.5 MG SOLR

    Epoprostenol Sodium 1.5 MG SOLR

    Erbitux 100 MG/50ML SOLN

    Erbitux 200 MG/100ML SOLN

    Ergomar 2 MG SUBL

    Erivedge 150 MG CAPS

    Erleada 60 MG TABS

    Erlotinib HCL 100 MG

    Erlotinib HCL 25 MG

    Erlotinib HCL 150 MG

    Erwinaze 10000 UNIT SOLR

    Esbriet 267 MG CAPS

    Esbriet 267 MG TABS

    Esbriet 801 MG TABS

    Esperoct 500 UNIT

    Esperoct 1000 UNIT

    Esperoct 1500 UNIT

    Esperoct 2000 UNIT

    Esperoct 3000 UNIT

    Estradiol Valerate 10 MG/ML OIL

    Estradiol Valerate 20 MG/ML OIL

    Estradiol Valerate 40 MG/ML OIL

    Ethacrynate Sodium 50 MG SOLR

    Ethacrynic Acid 25 MG TABS

    Ethyol 500 MG SOLR

    Etopophos 100 MG SOLR

    Etoposide 50 MG CAPS

    Etoposide 100 MG/5ML SOLN

    Etoposide 500 MG/25ML SOLN

    Etoposide 1 GM/50ML SOLN

    Euflexxa 20 MG/2ML SOSY

    Evenity 105 MG/1.17ML

    Evomela 50 MG SOLR

    Evotaz 300-150 MG TABS

    Evrysdi 0.75 MG/ML

    Evzio 0.4 MG/0.4ML SOAJ

    Evzio 2MG/0.4ML SOAJ

    Exjade 125 MG TBSO

    Exjade 250 MG TBSO

    Exjade 500 MG TBSO

    Exondys 51 100 MG/2ML SOLN

    Exondys 51 500 MG/10ML SOLN

    Extavia 0.3 MG KIT

    Eylea 2 MG/0.05ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Eylea 2 MG/0.05ML

    Eylea 2 Mg/0.05ml - Soln 60 MG TABS

    Fabrazyme 5 MG SOLR

    Fabrazyme 35 MG SOLR

    Fanatrex Fusepaq 25 MG/ML

    Farydak 10 MG CAPS

    Farydak 15 MG CAPS

    Farydak 20 MG CAPS

    Fasenra 30 MG/ML Subcutaneous

    Fasenra Pen 30 MG/ML

    Faslodex 250 MG/5ML SOLN

    Favipiravir 200 MG

    Feiba 1000 UNIT SOLR

    Feiba 2500 UNIT SOLR

    Feiba 500 UNIT SOLR

    Ferriprox 100 MG/ML SOLN

    Ferriprox 500 MG TABS

    Ferriprox 1000 MG

    Ferriprox Twice-A-Day 1000 MG

    Ferrlecit 12.5 MG/ML SOLN

    Fintepla 2.2 MG/ML

    Firazyr 30 MG/3ML SOLN

    Firdapse 10 MG

    Firmagon 80 MG SOLR

    First-Progesterone VGS 50 MG

    First-Progesterone VGS 400 MG

    Flebogamma DIF 0.5 GM/10ML SOLN

    Flolan 0.5 MG SOLR

    Flolan 1.5 MG SOLR

    Floxuridine 0.5 GM SOLR

    Fludara 50 MG SOLR

    Fludarabine Phosphate 50 MG/2ML SOLN

    Fludarabine Phosphate 50 MG SOLR

    Fluoroplex 0.01 Unit CREA

    Fluorouracil 500 MG/10ML SOLN

    Fluorouracil 1 GM/20ML SOLN

    Fluorouracil 2.5 GM/50ML SOLN

    Fluorouracil 5 GM/100ML SOLN

    Fluorouracil 2

    Fluorouracil 5

    Flutamide 125 MG CAPS

    Follistim Aq 300 UNT/0.36ML SOLN

    Follistim Aq 900 UNT/1.08ML SOLN

    Follistim Aq 600 UNT/0.72ML SOLN

    Follistim Aq 75 UNT/0.5ML 75 UNT/0.5ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Follistim Aq 900 UNT/0.5ML 75 UNT/0.5ML SOLN

    Folotyn 20 MG/ML SOLN

    Folotyn 40 MG/2ML SOLN

    Forteo 600 MCG/2.4ML

    Foscavir 6000 MG/250ML SOLN

    Fragmin 10000 UNIT/ML SOLN

    Fragmin 2500 UNIT/0.2ML SOLN

    Fragmin 5000 UNIT/0.2ML SOLN

    Fragmin 7500 UNIT/0.3ML SOLN

    Fragmin 12500 UNIT/0.5ML SOLN

    Fragmin 15000 UNIT/0.6ML SOLN

    Fragmin 18000 UNT/0.72ML SOLN

    Fragmin 95000 UNIT/3.8ML SOLN

    Fulphila 6 MG/0.6ML

    Fulvestrant 250 MG/5ML

    Fusilev 50 MG SOLR

    Fuzeon 90 MG SOLR

    Fycompa 0.5mg/ML SUSP

    Fycompa 10 MG

    Fycompa 12 MG

    Fycompa 2 MG

    Fycompa 4 MG

    Fycompa 6 MG

    Fycompa 8 MG

    Gablofen 50 MCG/ML SOSY

    Gablofen 10000 MCG/20ML SOSY

    Gablofen 20000 MCG/20ML SOSY

    Gablofen 40000 MCG/20ML SOSY

    Galafold 123 MG

    Gamastan S/D INJ

    Gamifant 10 MG/2ML

    Gamifant 50 MG/10ML

    Gammagard 1 GM/10ML SOLN

    Gammagard 10 GM/100ML SOLN

    Gammagard 2.5 GM/25ML SOLN

    Gammagard 20 GM/200ML SOLN

    Gammagard 30 GM/300ML SOLN

    Gammagard 5 GM/50ML SOLN

    Gammagard S/D 5 GM SOLR

    Gammagard S/D Less IGA 10 GM SOLR

    Gammaplex 20 GM/400ML SOLN

    Gammaplex 5 GM/100ML SOLN

    Gammaplex 5 GM/50 ML SOLN

    Gammaplex 10 GM/100 ML SOLN

    Gammaplex 20 GM/200 ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Gammaplex 10 Gm/200ml 10 GM/200ML SOLN

    Gammaplex 2.5 Gm/50ml 2.5 GM/50ML SOLN

    Gamunex-C 1 GM/10ML SOLN

    Gamunex-C 2.5 GM/25ML SOLN

    Gamunex-C 5 GM/50ML SOLN

    Gamunex-C 20 GM/200ML SOLN

    Gamunex-C 40 GM/400ML SOLN

    Gamunex-C 10 GM/100ML SOLN

    Ganciclovir 500 MG/250ML

    Ganciclovir Sodium 500 MG/10ML

    Ganciclovir Sodium 500 MG SOLR

    Ganirelix Acetate 250 MCG/0.5ML SOLN

    Gattex 5 MG KIT

    Gazyva 1000 MG/40ML SOLN

    Gel-One 30 MG/3ML PRSY

    Gelsyn-3 16.8 MG/2ML SOSY

    Gemcitabine HCL 200 MG/5.26ML SOLN

    Gemcitabine HCL 1 GM/26.3ML SOLN

    Gemcitabine HCL 2 GM/52.6ML SOLN

    Gemcitabine HCL 200 MG SOLR

    Gemcitabine HCL 1 GM SOLR

    Gemcitabine HCL 2 GM SOLR

    Gemcitabine HCL 1 GM/10 ML SOLN

    Gemcitabine HCL 1.5 GM/15 ML SOLN

    Gemcitabine HCL 2 GM/20 ML SOLN

    Gemcitabine HCL 200 MG/2 ML SOLN

    Gemzar 200 MG SOLR

    Gemzar 1 GM SOLR

    Gengraf 25 MG Capsule

    Gengraf 50 MG Capsule

    Gengraf 100 MG Capsule

    Gengraf 100 MG/ML Solution

    Genotropin 5 MG SOLR

    Genotropin 12 MG SOLR

    Genotropin Miniquick 0.2 MG SOLR

    Genotropin Miniquick 0.4 MG SOLR

    Genotropin Miniquick 0.6 MG SOLR

    Genotropin Miniquick 0.8 MG SOLR

    Genotropin Miniquick 1 MG SOLR

    Genotropin Miniquick 1.4 MG SOLR

    Genotropin Miniquick 1.2 MG SOLR

    Genotropin Miniquick 1.6 MG SOLR

    Genotropin Miniquick 1.8 MG SOLR

    Genotropin Miniquick 2 MG SOLR

    Genvisc 850 25 MG/2.5ML SOSY

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Genvoya 150-150-200-10 MG

    Gilenya 0.25 MG

    Gilenya 0.5 MG CAPS

    Gilotrif 20 MG TABS

    Gilotrif 30 MG TABS

    Gilotrif 40 MG TABS

    Givlaari 189 MG/ML

    Glassia 1000 MG/50ML SOLN

    Glatiramer Acetate 20 MG/ML

    Glatiramer Acetate 40 MG/ML

    Glatopa 40 MG/ML SOSY

    Glatopa 20 MG/ML SOSY

    Gleevec 450 UNT/0.75ML SOLN

    Gleevec 300 UNIT/0.5ML SOLN

    Gleevec 100 MG TABS

    Gleevec 400 MG TABS

    Gleostine 10 MG CAPS

    Gleostine 40 MG CAPS

    Gleostine 100 MG CAPS

    Gleostine 5 MG CAPS

    Gliadel Wafer 7.7 MG WAFR

    Glumetza 500 MG TB24

    Glumetza 1000 MG TB24

    Gocovri 68.5 MG - CP24 CAPS

    Gocovri 137 MG - CP24 CAPS

    Gonal-F 450 UNIT SOLR

    Gonal-F 1050 UNIT SOLR

    Gonal-F RFF 1 MG/2ML SOLN

    Gonal-F RFF 75 UNIT SOLR

    Gonal-F RFF Rediject 300 UNIT/0.5ML SOLN

    Gonal-F RFF Rediject 900 UNIT/1.5ML SOLN

    Gonal-F RFF Rediject 450 UNT/0.75ML SOLN

    Granix 300 MCG/0.5ML SOSY

    Granix 480 MCG/0.8ML SOSY

    Granix 300 MCG/ML

    Granix 480 MCG/1.6ML

    Grastek 2800 BAU SUBL

    Haegarda 2000 UNIT SOLR

    Haegarda 3000 UNIT SOLR

    Halaven 1 MG/2ML SOLN

    Harvoni 90-400 MG TABS

    Harvoni 33.75-150 MG

    Harvoni 45-200 MG

    Healon 10 MG/ML SOLN

    Healon Gv 14 MG/ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Healon5 23 MG/ML SOLN

    Genvoya 150-150-200-10 MG

    Hectorol 0.5 MCG CAPS

    Hectorol 2.5 MCG CAPS

    Hectorol 4 MCG/2ML SOLN

    Hectorol 1 MCG CAPS

    Hectorol 2 MCG/ML SOLN

    Helixate Fs 1000 Unit - Kit 250 UNIT KIT

    Helixate Fs 2000 Unit - Kit 250 UNIT KIT

    Helixate Fs 250 Unit - Kit 250 UNIT KIT

    Helixate Fs 3000 Unit - Kit 250 UNIT KIT

    Helixate Fs 500 Unit - Kit 250 UNIT KIT

    Hemlibra 30MG/ML Subcutaneous

    Hemlibra 60 MG/0.4 ML Subcutaneous

    Hemlibra 105 MG/0.7 ML Subcutaneous

    Hemlibra 150 MG/ML Subcutaneous

    Hemofil M 250 UNIT SOLR

    Hemofil M 500 UNIT SOLR

    Hemofil M 1000 UNIT SOLR

    Hemofil M 1700 UNIT SOLR

    Hemofil M 1000 Unit 250 UNIT KIT

    Hemofil M 1501-2000 Unit 250 UNIT KIT

    Hemofil M 1700 Unit 250 UNIT KIT

    Hemofil M 220-400 Unit 250 UNIT KIT

    Hemofil M 250 Unit 250 UNIT KIT

    Hemofil M 401-800 Unit 250 UNIT KIT

    Hemofil M 500 Unit 250 UNIT KIT

    Hemofil M 801-1500 Unit 250 UNIT KIT

    Hepagam B SOLN

    Hepsera 10 MG TABS

    Herceptin 440 MG SOLR

    Herceptin 150 MG SOLR

    Herceptin 440 Mg 250 UNIT KIT

    Herceptin Hylecta 600-10000 MG-UNT/5ML

    Herzuma 150 MG

    Herzuma 420 MG

    Hetlioz 20 MG CAPS

    Hexalen 50 MG CAPS

    Hiberix 10 MCG SOLR

    Hizentra 1 GM/5ML SOLN

    Hizentra 10 GM/50ML SOLN

    Hizentra 2 GM/10ML SOLN

    Hizentra 4 GM/20ML SOLN

    Humate-P 250-600 UNIT SOLR

    Humate-P 500-1200 UNIT SOLR

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Humate-P 1000-2400 UNIT SOLR

    Humatrope 12 MG SOLR

    Humatrope 24 MG SOLR

    Humatrope 5 MG SOLR

    Humatrope 6 MG SOLR

    Humatropen For 12mg

    Humatropen For 24mg

    Humatropen For 6MG

    Humira 10 MG/0.2ML PSKT

    Humira 20 MG/0.4ML PSKT

    Humira 40 MG/0.8ML PSKT

    Humira 40 MG/0.4ML

    Humira 20 MG/0.2ML pfs

    Humira 10 MG/0.1ML - PSKT

    Humira Pediatric Crohns Start 80 MG/0.8ML & 40MG/0.4ML

    Humira Pediatric Crohns Start 80 MG/0.8ML

    Humira Pen 40 MG/0.4ML

    Humira Pen 40 MG/0.8ML PNKT

    Humira Pen-Cd/Uc/Hs Starter 40 MG/0.8ML

    Humira Pen-Cd/Uc/Hs Starter 80 MG/0.8ML

    Humira Pen-Ps/Uv/Adol Hs Start 40 MG/0.8ML

    Humira Pen-Ps/Uv/Adol Hs Start 80 MG/0.8ML & 40MG/0.4ML

    Hyalgan 20 MG/2ML SOLN

    Hycamtin 4 MG SOLR

    Hycamtin 0.25 MG CAPS

    Hycamtin 1 MG CAPS

    Hydrea 500 MG

    Hydroxyprogesterone Caproate 1.25 GM/5ML SOLN

    Hymovis 24 MG/3ML SOSY

    Hyperhep B S/D SOLN

    Hyperrab 1500 UNIT/5 ML SOLN

    Hyperrab 300 UNIT/ML

    Hyperrho S/D 1500 UNIT SOSY

    Hyperrho S/D 250 UNIT SOSY

    Hypertet S/D 250 UNIT/ML INJ

    Hyqvia 10 GM/100ML KIT

    Hyqvia 2.5 GM/25ML KIT

    Hyqvia 20 GM/200ML KIT

    Hyqvia 30 GM/300ML KIT

    Hyqvia 5 GM/25ML KIT

    Ibandronate 3 MG/3 ML SOLN

    Ibrance 75 MG TABS

    Ibrance 100 MG TABS

    Ibrance 125 MG TABS

    Ibrance 100 MG CAPS

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Ibrance 125 MG CAPS

    Ibrance 75 MG CAPS

    Icatibant Acetate 30 MG/3ML

    Iclusig 45 MG TABS

    Iclusig 15 MG TABS

    Idamycin PFS 5 MG/5ML SOLN

    Idamycin PFS 10 MG/10ML SOLN

    Idamycin PFS 20 MG/20ML SOLN

    Idarubicin HCL 5 MG/5ML SOLN

    Idarubicin HCL 10 MG/10ML SOLN

    Idarubicin HCL 20 MG/20ML SOLN

    Idelvion 250 UNIT SOLR

    Idelvion 500 UNIT SOLR

    Idelvion 1000 UNIT SOLR

    Idelvion 2000 UNIT SOLR

    Idelvion 3500 UNIT

    Idhifa 50 MG TABS

    Idhifa 100 MG TABS

    Ifex 1 GM SOLR

    Ifex 3 GM SOLR

    Ifosfamide 1 GM/20ML SOLN

    Ifosfamide 3 GM/60ML SOLN

    Ifosfamide 1 GM SOLR

    Ifosfamide 3 GM SOLR

    Ilaris 150 MG/ML SOLN

    Ilaris 150 MG

    Ilumya 100 MG/ML SOSY

    Iluvien 0.19 MG IMPL

    Imatinib Mesylate 400 Mg 400 MG TABS

    Imbruvica 140 MG CAPS

    Imfinzi 500 MG/10ML SOLN

    Imipenem-Cilastatin 250 MG SOLR

    Imipenem-Cilastatin 500 MG SOLR

    Imitrex 6 MG/0.5ML SOLN

    Imitrex Statdose Refill 4 MG/0.5ML SOCT

    Imitrex Statdose Refill 6 MG/0.5 ML SOCT

    Imitrex Statdose System 6 MG/0.5ML SOAJ

    Imitrex Statdose System 4 MG/0.5ML SOAJ

    Imlygic 100000000 UNIT/ML SUSP

    Imlygic 1000000 UNIT/ML SUSP

    Imogam Rabies-Ht 300 UNIT/2ML SOLN

    Imogam Rabies-Ht 1500 UNIT/10ML

    Implanon 68 MG IMPL

    Inbrija 42 MG

    Increlex 40 MG/4ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Infinzi 120 MG/2.4ML SOLN

    Inflectra 100 MG SOLR

    Infugem 1200-0.9 MG/120ML-%

    Infugem 1300-0.9 MG/130ML-%

    Infugem 1400-0.9 MG/140ML-%

    Infugem 1500-0.9 MG/150ML-%

    Infugem 1600-0.9 MG/160ML-%

    Infugem 1700-0.9 MG/170ML-%

    Infugem 1800-0.9 MG/180ML-%

    Infugem 2000-0.9 MG/200ML-%

    Infugem 2200-0.9 MG/220ML-%

    Ingrezza 40 & 80 MG CAPS

    Ingrezza 80 MG CAPS

    Ingrezza 40 MG

    Inlyta 1 MG TABS

    Inlyta 5 MG TABS

    Inqovi 35-100 MG

    Inrebic 100 MG

    Intelence 100 MG TABS

    Intelence 200 MG TABS

    Intelence 25 MG TABS

    Intron A 10000000 UNIT SOLR

    Intron A 10000000 UNIT/ML SOLN

    Intron A 18000000 UNIT SOLR

    Intron A 50000000 UNIT SOLR

    Intron A 6000000 UNIT/ML SOLN

    Invirase 200 MG CAPS

    Invirase 500 MG TABS

    Iprivask 15 MG SOLR

    Iressa 250 MG TABS

    Irinotecan HCL 40 MG/2ML SOLN

    Irinotecan HCL 100 MG/5ML SOLN

    Irinotecan HCL 500 MG/25ML SOLN

    Irinotecan HCL 300 MG/15ML

    Isentress 100 MG PACK

    Isentress 100 MG Chew CHEW

    Isentress 25 MG Chew CHEW

    Isentress 400 MG TABS

    Isentress Hd 600MG

    Isturisa 1 MG

    Isturisa 5 MG

    Isturisa 10 MG

    Ixempra Kit 15 MG SOLR

    Ixempra Kit 45 MG SOLR

    Ixinity 1500 UNIT SOLR

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Ixinity 500 UNIT SOLR

    Jadenu 180 MG TABS

    Jadenu 360 MG TABS

    Jadenu 90 MG TABS

    Jadenu Sprinkle 90 MG PACK

    Jadenu Sprinkle 180 MG PACK

    Jadenu Sprinkle 360 MG PACK

    Jakafi 20 MG TABS

    Jakafi 10 MG TABS

    Jakafi 15 MG TABS

    Jakafi 25 MG TABS

    Jakafi 5 MG TABS

    Jelmyto 40 MG

    Jetrea 0.375 MG/0.3ML SOLN

    Jetrea 0.5 MG/0.2ML SOLN

    Jevtana 60 MG/1.5ML SOLN

    Jivi 500 UNIT

    Jivi 1000 UNIT

    Jivi 2000 UNIT

    Jivi 3000 UNIT

    Juluca 50/25 mg tablet

    Juxtapid 5 MG CAPS

    Juxtapid 10 MG CAPS

    Juxtapid 20 MG CAPS

    Juxtapid 30 MG CAPS

    Juxtapid 40 MG CAPS

    Juxtapid 60 MG CAPS

    Jynarque 90 & 30 MG

    Jynarque 45 & 15 MG

    Jynarque 60 & 30 MG

    Jynarque 15 MG

    Jynarque 30 MG

    Kadcyla 160 MG SOLR

    Kadcyla 100 MG SOLR

    Kalbitor 10 MG/ML SOLN

    Kaletra 100-25 MG TABS

    Kaletra 200-50 MG TABS

    Kaletra 400-100 MG/5ML SOLN

    Kalydeco 150 MG TABS

    Kalydeco 25 MG

    Kalydeco 50 MG PACK

    Kalydeco 75 MG PACK

    Kanjinti 150 MG

    Kanjinti 420 MG

    Kanuma 20 MG/10ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Kepivance 6.25 MG SOLR

    Kerzara 150 Mg/1.14ml 150 MG/1.14ML SOSY

    Kesimpta 20 MG/0.4ML

    Keveyis 50 MG TABS

    Kevzara 150MG/1.14ML

    Kevzara 200MG/1.14ML

    Kevzara 200 MG/1.14ML SOSY

    Kevzara 150 MG/1.14ML SOSY

    Keytruda 100 MG/4ML SOLN

    Khapzory 175 MG

    Khapzory 300 MG

    Kineret 100 MG/0.67ML SOSY

    Kisqali (200 Mg Dose) 200 MG TBPK

    Kisqali (400 Mg Dose) 200 MG TBPK

    Kisqali (600 Mg Dose) 200 MG TBPK

    Kisqali Femara (400 Mg Dose) 200 & 2.5 MG TBPK

    Kisqali Femara (600 Mg Dose) 200 & 2.5 MG TBPK

    Kisqali Femara(200 Mg Dose) 200 & 2.5 MG TBPK

    Kitabis PAK 300 MG/5ML NEBU

    Koate 250 UNIT SOLR

    Koate 500 UNIT SOLR

    Koate 1000 UNIT SOLR

    Koate-DVI 250 UNIT SOLR

    Koate-DVI 500 UNIT SOLR

    Koate-DVI 1000 UNIT SOLR

    Kogenate Fs 1000 UNIT KIT

    Kogenate Fs 250 UNIT KIT

    Kogenate Fs 3000 UNIT KIT

    Kogenate Fs 500 UNIT KIT

    Kogenate Fs 2000 Unit - Kit 2000 UNIT KIT

    Korlym 300 MG TABS

    Krystexxa 8 MG/ML SOLN

    Kuvan 100 MG TBSO

    Kuvan 100 MG PACK

    Kuvan 500 MG PACK

    Kyleena 19.5 MG IUD

    Kymriah SUSP

    Kynamro 200 MG/ML SOSY

    Kynmobi Titration Kit 10/15/20/25/30 MG

    Kyprolis 10 MG

    Kyprolis 30 MG SOLR

    Kyprolis 60 MG SOLR

    Lamictal ODT 42 x 50 MG & 14x100 MG

    Lamictal ODT 21 x 25 MG & 7 x 50 MG

    Lamictal Xr 21 x 25 MG & 7 x 50 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Lamictal Xr 50 & 100 & 200 MG

    Lamictal Xr 25 & 50 & 100 MG

    Lamivudine 150 MG

    Lamivudine 300 MG

    Lamivudine 100 MG

    Lamivudine 10 MG/ML SOLN

    Lamivudine-Zidovudine 150-300 MG

    Lartruvo 190 MG/19ML SOLN

    Lartruvo 500 MG/50ML SOLN

    Ledipasvir-Sofosbuvir 90-400mg Tablet

    Lemtrada 12 MG/1.2ML SOLN

    Lenvima (12 Mg Daily Dose) 3 x 4 MG

    Lenvima (4 Mg Daily Dose) 4 MG

    Lenvima 10 Mg Daily Dose 10MG DailyDose 10 MG CPPK

    Lenvima 14 Mg Daily Dose 14MG DailyDose 10&4 CPPK

    Lenvima 18 Mg Daily Dose 18MG Daily Dose 10&4 CPPK

    Lenvima 20 Mg Daily Dose 20MG DailyDose 10(2) CPPK

    Lenvima 24 Mg Daily Dose 24MG DailyDose 10(2) CPPK

    Lenvima 8 Mg Daily Dose 8MG Daily Dose 4 (2) CPPK

    Letairis 10 MG TABS

    Letairis 5 MG TABS

    Leucovorin Calcium 50 MG SOLR

    Leucovorin Calcium 100 MG SOLR

    Leucovorin Calcium 200 MG SOLR

    Leucovorin Calcium 350 MG SOLR

    Leucovorin Calcium 500 MG SOLR

    Leucovorin Calcium 500 MG/50ML

    Leucovorin Calcium 5 MG

    Leucovorin Calcium 25 MG

    Leukeran 2 MG TABS

    Leukine 250 MCG SOLR

    Leuprolide Acetate 1 MG/0.2ML KIT

    Levoleucovorin Calcium 50 MG

    Levoleucovorin Calcium 175 MG SOLR

    Levoleucovorin Calcium Pf 175 MG/17.5ML

    Levoleucovorin Calcium Pf 250 MG/25ML SOLN

    Lexiva 50 MG/ML SUSP

    Lexiva 700 MG TABS

    Liletta (52 MG) (52 MG) 18.6 MCG/DAY IUD

    Lioresal 0.05 MG/ML SOLN

    Lioresal 10 MG/20ML SOLN

    Lioresal 10 MG/5ML SOLN

    Lioresal 40 MG/20ML SOLN

    Lipodox 2 MG/ML INJ

    Lipodox 50 2 MG/ML INJ

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Lomustine 10 MG CAPS

    Lomustine 40 MG CAPS

    Lomustine 100 MG CAPS

    Lonsurf 20-8.19 MG TABS

    Lonsurf 15-6.14 MG TABS

    Lorbrena 100 MG

    Lorbrena 25 MG

    Lucentis 0.3 MG/0.05ML

    Lucentis 0.5 MG/0.05ML SOSY

    Lucentis 0.3 MG/0.05ML SOLN

    Lucentis 0.5 MG/0.05ML SOLN

    Lumizyme 50 MG SOLR

    Lupaneta Pack 3.75 & 5 MG KIT

    Lupaneta Pack 11.25 & 5 MG KIT

    Lupron Depot (1-Month) 3.75 MG KIT

    Lupron Depot (1-Month) 7.5 MG KIT

    Lupron Depot (3-Month) 11.25 MG KIT

    Lupron Depot (3-Month) 22.5 MG KIT

    Lupron Depot (4-Month) 30 MG KIT

    Lupron Depot (6-Month) 45 MG KIT

    Lupron Depot-Ped (1-Month) 7.5 MG KIT

    Lupron Depot-Ped (1-Month) 11.25 MG KIT

    Lupron Depot-Ped (1-Month) 15 MG KIT

    Lupron Depot-Ped (3-Month) 11.25 MG (Ped) KIT

    Lupron Depot-Ped (3-Month) 30 MG (Ped) KIT

    Lutathera 370 MBQ/ML SOLN

    Luxturna 5000000000000 VG/ML SUSP

    Lynparza 100 MG TABS

    Lynparza 150 MG TABS

    Lynparza 50 MG CAPS

    Lysodren 500 MG TABS

    Mac Patch 0.0375-5 % PTCH

    Macugen 0.3 MG SOLN

    Makena 250 MG/ML OIL

    Makena 275 MG/1.1ML

    Marinol 2.5 MG CAPS

    Marinol 5 MG CAPS

    Marinol 10 MG CAPS

    Marqibo 5 MG/31ML SUSP

    Matulane 50 MG CAPS

    Mavenclad (10 Tabs) 10 MG

    Mavenclad (4 Tabs) 10 MG

    Mavenclad (5 Tabs) 10 MG

    Mavenclad (6 Tabs) 10 MG

    Mavenclad (7 Tabs) 10 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Mavenclad (8 Tabs) 10 MG

    Mavenclad (9 Tabs) 10 MG

    Mavyret 100-40 MG TABS

    Mayzent 0.25 MG

    Mayzent 2 MG

    Mayzent Starter Pack 0.25 MG

    Mekinist 0.5 MG TABS

    Mekinist 2 MG TABS

    Mektovi 15 MG

    Melphalan HCL 50 MG SOLR

    Menopur 75 UNIT SOLR

    Mepsevii 10 MG/5ML SOLN

    Mercaptopurine 50 MG

    Mesnex 400 MG TABS

    Mesnex 100 MG/ML SOLN

    Methotrexate Sodium 50 MG/2ML SOLN

    Methotrexate Sodium 250 MG/10ML SOLN

    Methotrexate Sodium 1 GM SOLR

    Methotrexate Sodium (PF) 50 MG/2ML SOLN

    Methotrexate Sodium (PF) 200 MG/8ML SOLN

    Methotrexate Sodium (PF) 250 MG/10ML SOLN

    Methotrexate Sodium (PF) 1 GM/40ML SOLN

    Miacalcin 200 UNIT/ML SOLN

    Micrhogam Ultra-Filtered Plus 250 UNIT SOSY

    Miglustat 100 MG

    Migranal 4 MG/ML SOLN

    Mircera 30 MCG/0.3ML SOSY

    Mircera 50 MCG/0.3ML SOSY

    Mircera 75 MCG/0.3ML SOSY

    Mircera 100 MCG/0.3ML SOSY

    Mircera 150 MCG/0.3ML SOSY

    Mircera 200 MCG/0.3ML SOSY

    Mirena (52 MG) (52 MG) 20 MCG/24HR IUD

    Mitomycin 5 MG SOLR

    Mitomycin 20 MG SOLR

    Mitomycin 40 MG SOLR

    Mitoxantrone HCL 20 MG/10ML CONC

    Mitoxantrone HCL 25 MG/12.5ML CONC

    Mitoxantrone HCL 30 MG/15ML CONC

    Moderiba 200 & 400 MG TBPK

    Moderiba 400 & 600 MG

    Moderiba (1200 Mg Pack) 600 MG

    Moderiba (800 Mg Pack) 400 MG

    Moderiba 1200 Dose Pack 600 MG TABS

    Monjuvi 200 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Monoclate-P 1000 UNIT KIT

    Monoclate-P 1500 UNIT KIT

    Monoferric 1000 MG/10ML

    Mononine 500 UNIT SOLR

    Mononine 1000 UNIT SOLR

    Monovisc 88 MG/4ML SOSY

    Mozobil 24 MG/1.2ML SOLN

    Mugard LIQD

    Mulpleta 3 MG

    Mustargen 10 MG SOLR

    Mvasi 100 MG/4ML

    Mvasi 400 MG/16ML

    Myalept 11.3 MG SOLR

    Myfortic 180 MG TBEC

    Myfortic 360 MG TBEC

    Myleran 2 MG TABS

    Mylotarg 4.5 mg SOLR

    Myobloc 2500 UNIT/0.5ML SOLN

    Myobloc 5000 UNIT/ML SOLN

    Myobloc 10000 UNIT/2ML SOLN

    Myozyme 50 MG SOLR

    Mytesi 125 MG TBEC

    Na Ferric Gluc Cplx In Sucrose 12.5 MG/ML SOLN

    Nabi-Hb SOLN

    Naglazyme 1 MG/ML SOLN

    Natpara 25 MCG CART

    Natpara 50 MCG CART

    Natpara 75 MCG CART

    Natpara 100 MCG CART

    Navelbine 10 MG/ML SOLN

    Navelbine 50 MG/5ML SOLN

    Nayzilam 5 MG/0.1ML

    Neoral 100 MG CAPS

    Neoral 100 MG/ML SOLN

    Neoral 25 MG CAPS

    Nerlynx 40 MG TABS

    Neulasta 6 MG/0.6ML SOSY

    Neulasta Onpro 6 MG/0.6ML PSKT

    Neupogen 300 MCG/0.5ML SOSY

    Neupogen 300 MCG/ML SOLN

    Neupogen 480 MCG/0.8ML SOSY

    Neupogen 480 MCG/1.6ML SOLN

    Neuvaxin 0.0375-5 % PTCH

    Nevirapine 200 MG TABS

    Nevirapine 50 MG/5ML SUSP

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Nevirapine Er 100 MG TB24

    Nevirapine Er 400 MG TB24

    Nexavar 200 MG TABS

    Nexlizet 180-10 MG

    Nexplanon 68 MG IMPL

    Nilandron 150 MG TABS

    Ninlaro 2.3 MG CAPS

    Ninlaro 3 MG CAPS

    Ninlaro 4 MG CAPS

    Nipent 10 MG SOLR

    Nityr 10 MG TABS

    Nityr 2 MG TABS

    Nityr 5 MG TABS

    Nivestym 300 MCG/ 0.5mL SOSY

    Nivestym 480 MCG/ 0.8 mL SOSY

    Nivestym 300 MCG/ML

    Nivestym 480 MCG/1.6ML

    Norditropin Flexpro 10 MG/1.5ML

    Norditropin Flexpro 15 MG/1.5ML SOLN

    Norditropin Flexpro 5 MG/1.5ML SOLN

    Norditropin Flexpro 30 MG/3ML SOLN

    Norditropin INJ 80 MG/ML SOLN

    Northera 100 MG CAPS

    Northera 200 MG CAPS

    Northera 300 MG CAPS

    Norvir 100 MG CAPS

    Norvir 100 MG TABS

    Norvir 80 MG/ML SOLN

    Nourianz 20 MG

    Nourianz 40 MG

    Novarel 5000 UNIT SOLR

    Novarel 10000 UNIT SOLR

    Novoeight 500 UNIT

    Novoeight 250 UNIT

    Novoeight 1000 UNIT

    Novoeight 2000 UNIT

    Novoeight 3000 UNIT

    Novoseven Rt 1 MG SOLR

    Novoseven Rt 2 MG SOLR

    Novoseven Rt 5 MG SOLR

    Novoseven Rt 8 MG SOLR

    Noxafil 100 MG TBEC

    Noxafil 40 MG/ML SUSP

    Noxafil 300 MG/16.7ML SOLN

    Nplate 250 MCG SOLR

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Nplate 500 MCG SOLR

    Nplate 250 MG SOLR

    Nubeqa 300 MG

    Nucala 100 MG/ML

    Nucala 100 MG/ML

    Nucala 100 MG SOLR

    Nuplazid 34 MG

    Nuplazid 10 MG

    Nuplazid 17 Mg - Tabs 17 MG TABS

    Nurtec 75 MG

    Nutropin 10 Mg - Solr 10 MG SOLR

    Nuwiq 250 UNIT SOLR

    Nuwiq 500 UNIT SOLR

    Nuwiq 1000 UNIT SOLR

    Nuwiq 2000 UNIT SOLR

    Nuwiq 250 UNIT KIT

    Nuwiq 500 UNIT KIT

    Nuwiq 1000 UNIT KIT

    Nuwiq 2000 UNIT KIT

    Nuwiq 2500 UNIT SOLR

    Nuwiq 3000 UNIT SOLR

    Nuwiq 4000 UNIT

    Nuwiq 2500 UNIT KIT

    Nuwiq 3000 UNIT KIT

    Nuwiq 4000 UNIT KIT

    Nuzyra 150 MG

    Nuzyra 100 MG

    Obizur 500 UNIT SOLR

    Ocaliva 10 MG TABS

    Ocaliva 5 MG TABS

    Ocrevus 300MG/10ML SOLN

    Octagam 1 GM/20ML SOLN

    Octagam 25 GM/500ML SOLN

    Octagam 2 GM/20ML SOLN

    Octagam 30 GM/300ML

    Octreotide Acetate 100 MCG/ML SOLN

    Octreotide Acetate 200 MCG/ML SOLN

    Odefsey 200-25-25 MG TABS

    Odomzo 200 MG CAPS

    Ofev 100 MG CAPS

    Ofev 150 MG CAPS

    Ogivri 150 MG

    Ogivri 420 MG

    Olanzapine 10 MG SOLR

    Olumiant 1 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Olumiant 2 MG TABS

    Omnitrope 5.8 MG SOLR

    Omnitrope Pen 5 INJ Device

    Oncaspar 750 UNIT/ML SOLN

    Onfi 2.5 MG/ML SUSP

    Onivyde 43 MG/10ML INJ

    Onmel 200 MG

    Onmel 200mg - Tabs 200 MG TABS

    Onpattro 10 MG/5ML

    Onureg 200 MG

    Onureg 300 MG

    Opdivo 240 MG/24 ML SOLN

    Opdivo 40 MG/4ML SOLN

    Opdivo 100 MG/10ML SOLN

    Opsumit 10 MG TABS

    Oracea 40 MG - CPDR

    Oralair 300 IR SUBL

    Oralair Childrens Sample Kit 100(3) & 300(6) IR THPK

    Oralair Childrens Starter Pack 100 IR SUBL

    Orencia 125 MG/ML SOSY

    Orencia 250 MG SOLR

    Orencia 50 MG/0.4ML SOSY

    Orencia 87.5 MG/0.7ML SOSY

    Orencia Clickject 125 MG/ML SOAJ

    Orenitram 0.125 MG

    Orenitram 0.25 MG

    Orenitram 1 MG

    Orenitram 2.5 MG

    Orenitram 5 MG

    Orfadin 4 MG/ML SUSP

    Orfadin 20 MG CAPS

    Orfadin 2 MG CAPS

    Orfadin 5 MG CAPS

    Orfadin 10 MG CAPS

    Orkambi 200-125 MG TABS

    Orkambi 100-125 MG TABS

    Orkambi 150-188 MG

    Orkambi 100-125 MG

    Orthovisc 30 MG/2ML SOSY

    Otezla 10 & 20 & 30 MG TBPK

    Otezla 30 MG TABS

    Otrexup 7.5 MG/0.4ML SOAJ

    Otrexup 10 MG/0.4ML SOAJ

    Otrexup 15 MG/0.4ML SOAJ

    Otrexup 25 MG/0.4ML SOAJ

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Otrexup 12.5 MG/0.4ML SOAJ

    Otrexup 17.5 MG/0.4ML SOAJ

    Otrexup 22.5 MG/0.4ML SOAJ

    Ovidrel 250 MCG/0.5ML INJ

    Oxaliplatin 50 MG/10ML SOLN

    Oxaliplatin 100 MG/20ML SOLN

    Oxaliplatin 50 MG SOLR

    Oxaliplatin 100 MG SOLR

    Oxbryta 500 MG TABS

    Oxervate 0.002 %

    Oxtellar Xr 150

    Oxtellar Xr 300

    Oxtellar Xr 600

    Ozurdex 0.7 MG IMPL

    Paclitaxel 30 MG/5ML CONC

    Paclitaxel 100 MG/16.7ML CONC

    Paclitaxel 150 MG/25ML CONC

    Paclitaxel 300 MG/50ML CONC

    Paclitaxel 100 MG/16.67ML

    Padcev 20 MG

    Padcev 30 MG

    Palforzia (12 Mg Daily Dose) 2 x 1 MG & 10 MG

    Palforzia (120 Mg Daily Dose) 20 MG & 100 MG

    Palforzia (160 Mg Daily Dose) 3 x 20 MG & 100 MG

    Palforzia (20 Mg Daily Dose) 20 MG

    Palforzia (200 Mg Daily Dose) 2 x 100 MG

    Palforzia (240 Mg Daily Dose) 2 x 20 MG & 2 x 100 MG

    Palforzia (3 Mg Daily Dose) 3 x 1 MG

    Palforzia (300 Mg Maintenance) 300 MG

    Palforzia (40 Mg Daily Dose) 2 x 20 MG

    Palforzia (6 Mg Daily Dose) 6 x 1 MG

    Palforzia (80 Mg Daily Dose) 4 x 20 MG

    Palforzia Initial Escalation 0.5 & 1 & 1.5 & 3 & 6 MG

    Palynziq 2.5 MG/0.5ML

    Palynziq 10 MG/0.5ML

    Palynziq 20 MG/ML

    Pamidronate Disodium 30 MG/10ML SOLN

    Pamidronate Disodium 6 MG/ML SOLN

    Pamidronate Disodium 90 MG/10ML SOLN

    Pamidronate Disodium 30 MG SOLR

    Pamidronate Disodium 90 MG SOLR

    Pancreaze 4200 UNIT CPEP

    Pancreaze 10500 UNIT CPEP

    Pancreaze 16800 UNIT CPEP

    Pancreaze 21000 UNIT CPEP

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Pancreaze 2600 UNIT CPEP

    Panretin 0.001 Unit GEL

    Panzyga 1 GM/10ML

    Panzyga 2.5 GM/25ML

    Panzyga 5 GM/50ML

    Panzyga 10 GM/100ML

    Panzyga 20 GM/200ML

    Panzyga 30 GM/300ML

    Paragard Intrauterine Copper IUD

    Paraplatin 50 MG/5ML

    Paraplatin 150 MG/15ML

    Paraplatin 450 MG/45ML

    Paraplatin 600 MG/60ML

    Paraplatin 1000 MG/100ML

    Paricalcitol 2 MCG/ML SOLN

    Paricalcitol 5 MCG/ML SOLN

    Parsabiv 10 MG/2 ML SOLN

    Parsabiv 2.5 MG/0.5 ML SOLN

    Parsabiv 5 MG/ML SOLN

    Peganone 250 MG

    Pegasys 180 MCG/ML SOLN

    Pegasys 135 MCG/0.5ML SOLN

    Pegasys 180 MCG/0.5ML SOLN

    Pegintron 50 MCG/0.5ML KIT

    Pegintron 120 MCG/0.5ML KIT

    Pegintron 150 MCG/0.5ML KIT

    Peg-Intron 150 MCG/0.5ML KIT

    Peg-Intron 120 MCG/0.5ML KIT

    Peg-Intron 50 MCG/0.5ML KIT

    Peg-Intron Redipen 120 MCG/0.5ML KIT

    Peg-Intron Redipen 50 MCG/0.5ML KIT

    Peg-Intron Redipen 150 MCG/0.5ML KIT

    Peg-Intron Redipen PAK 4 120 MCG/0.5ML KIT

    Peg-Intron Redipen PAK 4 50 MCG/0.5ML KIT

    Peg-Intron Redipen PAK 4 150 MCG/0.5ML KIT

    Penicillamine 250 MG

    Perjeta 420 MG/14ML SOLN

    Pertzye 8000 UNIT CPEP

    Pertzye 16000 UNIT CPEP

    Pertzye 4000 UNIT CPEP

    Phesgo 60-60-2000 MG-MG-U/ML

    Phesgo 80-40-2000 MG-MG-U/ML

    Photofrin 75 MG SOLR

    Pifeltro 100 MG TABS

    Piqray (200 Mg Daily Dose) 200 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Piqray (250 Mg Daily Dose) 200 & 50 MG

    Piqray (300 Mg Daily Dose) 2 x 150 MG

    Plegridy 125 MCG/0.5ML SOSY

    Plegridy 125 MCG/0.5ML SOPN

    Plegridy Starter Pack 63 & 94 MCG/0.5ML SOPN

    Plegridy Starter Pack 63 & 94 MCG/0.5ML SOSY

    Polivy 140 MG

    Pomalyst 1 MG CAPS

    Pomalyst 2 MG CAPS

    Pomalyst 3 MG CAPS

    Pomalyst 4 MG CAPS

    Portrazza 800 MG/50ML SOLN

    Posaconazole 100 MG

    Poteligeo 20 MG/5ML

    Potiga 50 MG

    Potiga 200 MG

    Potiga 300 MG

    Potiga 400 MG

    Pralidoxime Chloride 600 MG/2ML SOAJ

    Praluent 75 MG/ML SOSY

    Praluent 150 MG/ML SOSY

    Praluent 150 MG/ML

    Praluent 75 MG/ML

    Pregnyl 10000 UNIT SOLR

    Prevymis 240 MG TABS

    Prevymis 480 MG TABS

    Prevymis 240 MG/12 ML SOLN

    Prevymis 480MG/24 ML SOLN

    Prezcobix 800-150 MG TABS

    Prezista 100 MG/ML SUSP

    Prezista 150 MG TABS

    Prezista 600 MG TABS

    Prezista 75 MG TABS

    Prezista 800 MG TABS

    Prialt 500 MCG/20ML SOLN

    Prialt 100 MCG/ML SOLN

    Prialt 500 MCG/5ML SOLN

    Privigen 10 GM/100ML SOLN

    Privigen 20 GM/200ML SOLN

    Privigen 40 GM/400ML SOLN

    Privigen 5 GM/50ML SOLN

    Probuphine Implant Kit 74.2 MG Implant Kit

    Procrit 10000 UNIT/ML SOLN

    Procrit 2000 UNIT/ML SOLN

    Procrit 20000 UNIT/ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Procrit 3000 UNIT/ML SOLN

    Procrit 4000 UNIT/ML SOLN

    Procrit 40000 UNIT/ML SOLN

    Procysbi 25 MG CPDR

    Procysbi 75 MG CPDR

    Procysbi 75 MG

    Procysbi 300 MG

    Profilnine 500 UNIT SOLR

    Profilnine 1000 UNIT SOLR

    Profilnine 1500 UNIT SOLR

    Profilnine Sd 500 UNIT SOLR

    Profilnine Sd 1000 UNIT SOLR

    Profilnine Sd 1500 UNIT SOLR

    Progesterone 50 MG/ML OIL

    Prograf 0.5 MG CAPS

    Prograf 1 MG CAPS

    Prograf 5 MG CAPS

    Prograf 5 MG/ML SOLN

    Prograf 0.2 MG PACK

    Prograf 1 MG PACK

    Prolastin 500 MG SOLR

    Prolastin 1000 MG SOLR

    Prolastin-C 1000 MG SOLR

    Prolastin-C 1000 MG/20ML SOLN

    Proleukin 22000000 UNIT SOLR

    Prolia 60 MG/ML SOLN

    Promacta 25 MG TABS

    Promacta 50 MG TABS

    Promacta 75 MG TABS

    Promacta 12.5 MG TABS

    Promacta 12.5 MG

    Prothelial 0.1 Unit PSTE

    Provenge SUSP

    Provisc 10 MG/ML SOLN

    Pulmozyme 1 MG/ML SOLN

    Purixan 2000 MG/100ML SUSP

    Qinlock 50 MG

    Qroxin 0.0375-5 % PTCH

    Quadramet 1850 MBQ/ML SOLN

    Qutenza 8 % KIT

    Qutenza (2 Patch) 8 % KIT

    Radicava

    Ragwitek 12 AMB A 1-U SUBL

    Rapamune 0.5 MG TABS

    Rapamune 1 MG TABS

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Rapamune 2 MG TABS

    Rapamune 1 MG/ML SOLN

    Rasuvo 30 MG/0.6ML SOAJ

    Rasuvo 10 MG/0.2ML SOAJ

    Rasuvo 12.5 MG/0.25ML SOAJ

    Rasuvo 15 MG/0.3ML SOAJ

    Rasuvo 17.5 MG/0.35ML SOAJ

    Rasuvo 20 MG/0.4ML SOAJ

    Rasuvo 22.5 MG/0.45ML SOAJ

    Rasuvo 25 MG/0.5ML SOAJ

    Rasuvo 27.5 MG/0.55ML SOAJ

    Rasuvo 7.5 MG/0.15ML SOAJ

    Ravicti 1.1 GM/ML LIQD

    Rebetol 200 MG CAPS

    Rebetol 40 MG/ML SOLN

    Rebif 22 MCG/0.5ML SOSY

    Rebif 44 MCG/0.5ML SOSY

    Rebif Rebidose 22 MCG/0.5ML SOAJ

    Rebif Rebidose 44 MCG/0.5ML SOAJ

    Rebif Rebidose Titration Pack 6X8.8 & 6X22 MCG SOAJ

    Rebif Titration Pack 6X8.8 & 6X22 MCG SOSY

    Rebinyn 1000 UNIT SOLR

    Rebinyn 2000 UNIT SOLR

    Rebinyn 500 UNIT SOLR

    Reblozyl 25 MG

    Reclast 5 MG/100ML SOLN

    Recombinate 220-400 UNIT SOLR

    Recombinate 401-800 UNIT SOLR

    Recombinate 801-1240 UNIT SOLR

    Recombinate 1241-1800 UNIT SOLR

    Recombinate 1801-2400 UNIT SOLR

    Rediject 300 Units/0.5ML 300 UNIT/0.5ML SOLN

    Rediject 450 Units/0.75ml 450 UNT/0.75ML SOLN

    Rediject 900 Units/1.5ML 900 UNIT/1.5ML SOLN

    Releevia 0.0375-5 % PTCH

    Releevia Mc 0.0375-5 % PTCH

    Relistor 8 MG/0.4ML SOLN

    Relistor 12 MG/0.6ML SOLN

    Remdesivir 100 MG

    Remdesivir 150 MG

    Remdesivir 100 MG/20ML

    Remicade 100 MG SOLR

    Remodulin 100 MG/20 ML SOLN

    Remodulin 20 MG/20 ML SOLN

    Remodulin 50 MG/20 ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Remodulin 50 MG/20 ML SOLN

    Renflexis 100 MG

    Renovo 0.0375-5 % PTCH

    Repatha 140 MG/ML SOSY

    Repatha Pushtronex System 420 MG/3.5ML SOCT

    Repatha Sureclick 140 MG/ML SOAJ

    Rescriptor 100 MG TABS

    Rescriptor 200 MG TABS

    Retacrit 2000 UNIT/ML Solution

    Retacrit 3000 UNIT/ML Solution

    Retacrit 4000 UNIT/ML Solution

    Retacrit 10000 UNIT/ML Solution

    Retacrit 40000 UNIT/ML Solution

    Retevmo 40 MG

    Retevmo 80 MG

    Retisert 0.59 MG IMPL

    Retrovir 100 MG CAPS

    Retrovir 50 MG/5ML SYRP

    Retrovir 300 MG TABS

    Retrovir 10 MG/ML SOLN

    Revatio 20 MG TABS

    Revatio 10 MG/12.5ML SOLN

    Revatio 10 MG/ML SUSR

    Revcovi 2.4 MG/1.5ML

    Revlimid 15 MG CAPS

    Revlimid 20 MG CAPS

    Revlimid 25 MG CAPS

    Revlimid 10 MG CAPS

    Revlimid 200 MG CAPS

    Revlimid 2.5 MG CAPS

    Revlimid 300 MG CAPS

    Revlimid 5 MG CAPS

    Reyataz 150 MG CAPS

    Reyataz 200 MG CAPS

    Reyataz 300 MG CAPS

    Reyataz 50 MG PACK

    Rhogam Ultra-Filtered Plus 1500 UNIT SOSY

    Rhophylac 1500 UNIT/2ML SOSY

    Riastap SOLR

    Ribasphere 200 MG CAPS

    Ribasphere 200 MG TABS

    Ribasphere Ribapak 200 & 400 MG TABS

    Ribasphere Ribapak 400 MG TABS

    Ribasphere Ribapak 600 MG TABS

    Ribasphere Ribapak 400 & 600 MG TBPK

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Ribasphere Ribapak (1200 Pack) 600 MG

    Ribasphere Ribapak (800 Pack) 400 MG

    Ribavirin 200 MG CAPS

    Ribavirin 200 MG TABS

    Ribavirin 6 GM SOLR

    Rilutek 50 MG

    Riluzole 50 MG

    Rinvoq 15 MG

    Rituxan 100 MG/10ML SOLN

    Rituxan 500 MG/50ML SOLN

    Rituxan Hycela 1400-23400 MG -UT/11.7ML SOLN

    Rituxan Hycela 1600-26800 MG -UT/13.4ML SOLN

    Rozlytrek 100 MG

    Rozlytrek 200 MG

    Rubraca 200 MG TABS

    Rubraca 250 MG TABS

    Rubraca 300 MG TABS

    Ruconest 2100 UNIT SOLR

    Rukobia 600 MG

    Ruxience 100 MG/10ML

    Ruxience 500 MG/50ML

    Ruzurgi 10 MG

    Ryanodex 250 MG SUSR

    Rydapt 25 MG Capsule

    Rytary 23.75-95 MG

    Rytary 36.25-145 MG

    Rytary 48.75-195 MG

    Sabril 500 MG TABS

    Sabril 500 MG PACK

    Saizen 5 MG SOLR

    Saizen 8.8 MG SOLR

    Saizen Click.Easy 8.8 MG SOLR

    Samsca 15 MG TABS

    Samsca 30 MG TABS

    Sancuso 3.1 MG/24HR PTCH

    Sandimmune 50 MG/ML SOLN

    Sandimmune 25 MG CAPS

    Sandimmune 100 MG CAPS

    Sandimmune 100 MG/ML SOLN

    Sandostatin 200 MCG/ML SOLN

    Sandostatin 50 MCG/ML SOLN

    Sandostatin 100 MCG/ML

    Sandostatin 500 MCG/ML SOLN

    Sandostatin 1000 MCG/ML SOLN

    Sandostatin LAR Depot 20 MG KIT

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Sandostatin LAR Depot 30 MG KIT

    Sandostatin LAR Depot 10 MG KIT

    Sarclisa 100 MG/5ML

    Sarclisa 500 MG/25ML

    Scenesse 16 MG

    Sculptra 367.5 MG SUSR

    Selzentry 150 MG TABS

    Selzentry 300 MG TABS

    Selzentry 20 MG/ML SOLN

    Selzentry 25 MG TABS

    Selzentry 75 MG TABS

    Sensipar 30 MG TABS

    Sensipar 60 MG TABS

    Sensipar 90 MG TABS

    Serophene 50 MG TABS

    Serostim 4 MG SOLR

    Serostim 5 MG SOLR

    Serostim 6 MG SOLR

    Shellgel 12 MG/ML SOLN

    Signifor 0.3 MG/ML SOLN

    Signifor 0.6 MG/ML SOLN

    Signifor 0.9 MG/ML SOLN

    Signifor LAR 20 MG SRER

    Signifor LAR 40 MG SRER

    Signifor LAR 60 MG SRER

    Signifor LAR 10 MG

    Signifor LAR 30 MG

    Siklos 1000 MG

    Siklos 100 MG

    Sildenafil Citrate 20 MG TABS

    Sildenafil Citrate 10 MG/12.5ML SOLN

    Siliq 210 MG/1.5ML SOSY

    Simponi 100 MG/ML SOSY

    Simponi 50 MG/0.5ML SOAJ

    Simponi 50 MG/0.5ML SOSY

    Simponi 100 MG/ML SOAJ

    Simponi Aria 50 MG/4ML SOLN

    Simulect 10 MG SOLR

    Simulect 20 MG SOLR

    Sinelee 0.0375-5 % PTCH

    Sirolimus 0.5 MG TABS

    Sirolimus 1 MG TABS

    Sirolimus 2 MG TABS

    Sirturo 20 MG

    Sirturo 100 MG

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Sitavig 50 MG TABS

    Sivextro 200 MG SOLR

    Skyla 13.5 MG IUD

    Skyrizi (150 Mg Dose) 75 MG/0.83ML

    Sodium Edecrin 50 MG SOLR

    Sofosbuvir-Velpatasvir 400-100mg Tablet

    Solesta 50-15 MG/ML GEL

    Soliris 10 MG/ML SOLN

    Somatuline Depot 60 MG/0.2ML SOLN

    Somatuline Depot 90 MG/0.3ML SOLN

    Somatuline Depot 120 MG/0.5ML SOLN

    Somavert 10 MG SOLR

    Somavert 15 MG SOLR

    Somavert 20 MG SOLR

    Somavert 25 MG SOLR

    Somavert 30 MG SOLR

    Sovaldi 400 MG TABS

    Sovaldi 200 MG

    Sovaldi 200 MG

    Sovaldi 150 MG

    Spinraza 12 MG/5ML SOLN

    Spravato (56 Mg Dose) 28 MG/DEVICE

    Spravato (84 Mg Dose) 28 MG/DEVICE

    Spritam 250 MG

    Spritam 500 MG

    Spritam 750 MG

    Spritam 1000 MG

    Sprix 15.75 MG/SPRAY SOLN

    Sprycel 100 MG TABS

    Sprycel 140 MG TABS

    Sprycel 20 MG TABS

    Sprycel 50 MG TABS

    Sprycel 70 MG TABS

    Sprycel 80 MG TABS

    Stavudine 15 MG CAPS

    Stavudine 20 MG CAPS

    Stavudine 30 MG CAPS

    Stavudine 40 MG CAPS

    Stavudine 1 MG/ML SOLR

    Stelara 130 MG/26ML SOLN

    Stelara 45 MG/0.5ML SOLN

    Stelara 45 MG/0.5ML SOSY

    Stelara 90 MG/ML SOSY

    Sterile Diluent Flolan Ph 12 SOLN

    Sterile Diluent For Flolan SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Sterile Diluent/Epoprostenol SOLN

    Stimate 1.5 MG/ML SOLN

    Stivarga 40 MG TABS

    Stodax - Istodax 10 Mg 10 MG SOLR

    Strensiq 18 MG/0.45ML SOLN

    Strensiq 28 MG/0.7ML SOLN

    Strensiq 40 MG/ML SOLN

    Strensiq 80 MG/0.8ML SOLN

    Stribild 150-150-200-300 MG TABS

    Sublocade 100MG/0.5 ML SOSY

    Sublocade 300 MG/1.5 ML SOSY

    Sucraid 8500 UNIT/ML SOLN

    Sumatriptan Succinate 6 MG/0.5ML

    Sumatriptan Succinate 6 MG/0.5ML SOLN

    Sumatriptan Succinate 4 MG/0.5ML SOAJ

    Sumatriptan Succinate 6 MG/0.5ML SOAJ

    Sumatriptan Succinate Refill 6 MG/0.5ML

    Sumatriptan Succinate Refill 4 MG/0.5ML

    Supartz 25 MG/2.5ML SOSY

    Supartz Fx 25 MG/2.5ML SOSY

    Supprelin La 50 MG KIT

    Sustiva 200 MG CAPS

    Sustiva 50 MG CAPS

    Sustiva 600 MG TABS

    Sutent 12.5 MG CAPS

    Sutent 25 MG CAPS

    Sutent 37.5 MG CAPS

    Sutent 50 MG CAPS

    Sylatron 200 MCG KIT

    Sylatron 300 MCG KIT

    Sylatron 600 MCG KIT

    Sylvant 100 MG SOLR

    Sylvant 400 MG SOLR

    Symdeko 50-75 & 75 MG

    Symdeko 100-150 & 150 MG

    Sympazan 5 MG

    Sympazan 10 MG

    Sympazan 20 MG

    Symtuza 800-150-200-10 MG TABS

    Synagis 100 MG/ML SOLN

    Synagis 50 MG/0.5ML SOLN

    Synarel 2 MG/ML SOLN

    Synribo 3.5 MG SOLR

    Synvisc 16 MG/2ML SOSY

    Synvisc One 48 MG/6ML SOSY

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Syprine 250 MG CAPS

    Tabloid 40 MG Capsule

    Tabrecta 150 MG

    Tabrecta 200 MG

    Tacrolimus 0.5 MG

    Tacrolimus 1 MG

    Tacrolimus 5 MG

    Tacrolimus 0.0003 Unit OINT

    Tacrolimus 0.001 Unit OINT

    Tafinlar 50 MG CAPS

    Tafinlar 75 MG CAPS

    Tagrisso 40 MG TABS

    Tagrisso 80 MG TABS

    Takhzyro 300 MG/2 ML SOLN

    Taltz 80 MG/ML SOSY

    Taltz 80 MG/ML SOAJ

    Talzenna 0.25 MG

    Talzenna 1 MG

    Tarceva 100 MG TABS

    Tarceva 150 MG TABS

    Tarceva 25 MG TABS

    Targretin 0.01 Unit GEL

    Targretin 75 MG CAPS

    Tasigna 150 MG CAPS

    Tasigna 200 MG CAPS

    Tasigna 50 MG

    Tavalisse 100 MG Tablet

    Tavalisse 150 MG Tablet

    Taxotere 20 MG/ML CONC

    Taxotere 80 MG/4ML CONC

    Tazverik 200 MG

    Tecartus

    Tecentriq 840 MG/14ML

    Tecentriq 1200 MG/20ML SOLN

    Tecfidera 120 & 240 MG MISC

    Tecfidera 120 MG CPDR

    Tecfidera 240 MG CPDR

    Technivie 12.5-75-50 MG TABS

    Tegsedi 284 MG/1.5ML

    Temodar 100 MG CAPS

    Temodar 250 MG CAPS

    Temodar 140 MG CAPS

    Temodar 180 MG CAPS

    Temodar 20 MG CAPS

    Temodar 5 MG CAPS

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Temodar 100 MG SOLR

    Temozolomide 5 MG CAPS

    Temozolomide 20 MG CAPS

    Temozolomide 100 MG CAPS

    Temozolomide 140 MG CAPS

    Temozolomide 180 MG CAPS

    Temozolomide 250 MG CAPS

    Temsirolimus 25 MG/ML

    Teniposide 10 MG/ML SOLN

    Tenofovir Disoproxil Fumarate 300 MG

    Tepadina 100 MG SOLR

    Tepezza 500 MG

    Teriparatide (Recombinant) 620 MCG/2.48ML

    Testopel 75 MG PLLT

    Tetrabenazine 12.5 MG TABS

    Tetrabenazine 25 MG TABS

    TEV-Tropin 5 MG SOLR

    Thalomid 150 MG CAPS

    Thalomid 100 MG CAPS

    Thalomid 200 MG CAPS

    Thalomid 50 MG CAPS

    Theracys 81 MG/VIAL SUSR

    Thiola 100 MG TABS

    Thiola Ec 300 MG

    Thiola Ec 100 MG

    Thiotepa 15 MG SOLR

    Thrombate Iii 500 UNIT SOLR

    Thrombate Iii 1000 UNIT SOLR

    Thymoglobulin 25 MG SOLR

    Thyrogen 1.1 MG SOLR

    Tibsovo 250 MG TABS

    Tice BCG 50 MG SUSR

    Tiglutik 50 MG/10ML

    Tivicay 10 MG TABS

    Tivicay 25 MG TABS

    Tivicay 50 MG TABS

    Tobi 300 MG/5ML NEBU

    Tobi Podhaler 28 MG CAPS

    Tobramycin 300 MG/5ML NEBU

    Tobramycin PAK 300 MG/5ML NEBU

    Tobramycin Sulfate 10

    Tobramycin Sulfate 80

    Tobramycin Sulfate 1.2

    Tobramycin Sulfate 2

    Tobramycin Sulfate 1.2

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Tolvaptan 30 MG

    Toposar 100 MG/5ML SOLN

    Toposar 500 MG/25ML SOLN

    Toposar 1 GM/50ML SOLN

    Topotecan HCL 4 MG SOLR

    Topotecan HCL 4 MG/4ML SOLN

    Toremifene Citrate 60 MG

    Torisel 25 MG/ML SOLN

    Totect 500 MG SOLR

    Tracleer 62.5 MG TABS

    Tracleer 125 MG TABS

    Tracleer 32 MG TBSO

    Tranexamic Acid 1000 MG/10ML SOLN

    Trazimera 420 MG

    Treanda 100 MG SOLR

    Treanda 25 MG SOLR

    Trelstar Mixject 11.25 MG SUSR

    Trelstar Mixject 22.5 MG SUSR

    Trelstar Mixject 3.75 MG SUSR

    Tremfya 100 MG/ML

    Tremfya 100 MG/ML

    Tretinoin 10 MG CAPS

    Tretten 2000-3125 UNIT SOLR

    Trexall 5 MG Tablet

    Trexall 7.5 MG Tablet

    Trexall 10 MG Tablet

    Trexall 15 MG Tablet

    Trikafta 100-50-75 & 150 MG

    Triptodur SRER

    Trisenox 12 MG/6ML SOLN

    Trisenox 10 MG/10ML SOLN

    Triumeq 600-50-300 MG TABS

    Trizivir 300-150-300 MG TABS

    Trogarzo 200 MG/1.33ML

    Truvada 100-150 MG TABS

    Truvada 133-200 MG TABS

    Truvada 167-250 MG TABS

    Truvada 200-300 MG TABS

    Truxima 100 MG/10ML

    Truxima 500 MG/50ML

    Tukysa 50 MG

    Tukysa 150 MG

    Turalio 200 MG

    Tybost 150 MG TABS

    Tykerb 250 MG TABS

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Tymlos 3120 MCG/1.56 ML Solution

    Tysabri 300 MG/15ML CONC

    Tyvaso 0.6 MG/ML SOLN

    Tyzeka 600 Mg - Tabs 600 MG TABS

    Udenyca 6 MG/0.6ML

    Ultomiris 300 MG/30ML

    Unituxin 17.5 MG/5ML SOLN

    Uplizna 100 MG/10ML

    Uptravi 200 MCG TABS

    Uptravi 400 MCG TABS

    Uptravi 600 MCG TABS

    Uptravi 800 MCG TABS

    Uptravi 1000 MCG TABS

    Uptravi 1400 MCG TABS

    Uptravi 1600 MCG TABS

    Uptravi 1200 MCG TABS

    Uptravi 200 & 800 MCG TBPK

    Uvadex 20 MCG/ML SOLN

    Valchlor 0.016 % GEL GEL

    Valcyte 450 MG TABS

    Valcyte 50 MG/ML SOLR

    Valganciclovir HCL 450 MG

    Valganciclovir HCL 50 MG/ML

    Valstar 40 MG/ML SOLN

    Vandetanib 100 MG TABS

    Vandetanib 300 MG TABS

    Vantas 50 MG KIT

    Varithena 180 MG/18ML FOAM

    Varithena Administration Pack

    Varizig 125 UNIT/1.2ML SOLN

    Varubi 166.5MG/92.5 ML EMUL

    Varubi (180 Mg Dose) 2 x 90 MG

    Vecamyl 2.5 MG TABS

    Vectibix 100 MG/5ML SOLN

    Vectibix 400 MG/20ML SOLN

    Velcade 3.5 MG SOLR

    Veletri 1.5 MG SOLR

    Veletri 0.5 MG SOLR

    Velphoro 500mg Chew

    Vemlidy 25 MG TABS

    Venclexta 10 MG TABS

    Venclexta 100 MG TABS

    Venclexta 50 MG TABS

    Venclexta Starting Pack 10 & 50 & 100 MG TBPK

    Ventavis 10 MCG/ML SOLN

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Ventavis 20 MCG/ML SOLN

    Verzenio 50 MG TABS

    Verzenio 100 MG TABS

    Verzenio 150 MG TABS

    Verzenio 200 MG TABS

    Vidaza 100 MG SUSR

    Videx 2 GM SOLR

    Videx 4 GM SOLR

    Videx Ec 125 MG CPDR

    Videx Ec 200 MG CPDR

    Videx Ec 250 MG CPDR

    Videx Ec 400 MG CPDR

    Viekira PAK 12.5-75-50 &250 MG TBPK

    Viekira Xr 200-8.33-50- 33.33 Mg 200-8.33-50-33.33MG TB24

    Vigabatrin 500 MG

    Viltepso 250 MG/5ML

    Vimizim 5 MG/5ML SOLN

    Vimovo 375-20 MG

    Vimovo 500-20 MG

    Vinblastine Sulfate 1 MG/ML SOLN

    Vincasar PFS 1 MG/ML SOLN

    Vincristine Sulfate 1 MG/ML SOLN

    Vinorelbine Tartrate 10 MG/ML SOLN

    Vinorelbine Tartrate 50 MG/5ML SOLN

    Viokace 10440 UNIT TABS

    Viokace 20880 UNIT TABS

    Viracept 250 MG TABS

    Viracept 625 MG TABS

    Viramune 200 MG TABS

    Viramune 50 MG/5ML SUSP

    Viramune Xr 400 MG TB24

    Viramune Xr 100 MG TB24Virazole 6 GM SOLR

    Viread 150 MG TABS

    Viread 200 MG TABS

    Viread 250 MG TABS

    Viread 300 MG TABS

    Viread 40 MG/GM POWD

    Vistogard 10 GM PACK

    Visudyne 15 MG SOLR

    Vitekta 150 MG TABS

    Vitekta 85 MG TABS

    Vitrakvi 25 MG Capsule

    Vitrakvi 100 MG Capsule

    Vitrakvi 20 MG/ML Solution

    Vivitrol 380 MG SUSR

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Vizimpro 15 MG Tablet

    Vizimpro 30 MG Tablet

    Vizimpro 45 MG Tablet

    Volumex 25 MCCI/ML SOSY

    Vonvendi 650 UNIT SOLR

    Vonvendi 1300 UNIT SOLR

    Voraxaze 1000 UNIT SOLR

    Vosevi 400-100-100 MG TABS

    Votrient 200 MG TABS

    Vpriv 400 UNIT SOLR

    Vumerity 231 MG

    Vumerity (Starter) 231 MG

    Vyepti 100 MG/ML

    Vyleesi 1.75 MG/0.3ML

    Vyondys 53 100 MG/2ML

    Vyxeos 44-100 MG SUSR

    Wakix 4.45 MG

    Wakix 17.8 MG

    Wilate 500-500 UNIT KIT

    Wilate 1000-1000 UNIT KIT

    Winrho SDF 2500 UNIT/2.2ML SOLN

    Winrho SDF 5000 UNIT/4.4ML SOLN

    Winrho SDF 1500 UNIT/1.3ML SOLN

    Winrho SDF 15000 UNIT/13ML SOLN

    Xalkori 200 MG CAPS

    Xalkori 250 MG CAPS

    Xatmep 2.5 MG/ML Solution

    Xeljanz 10 MG

    Xeljanz 5 MG TABS

    Xeljanz Xr 11 MG TB24

    Xeljanz Xr 22 MG

    Xembify 2 GM/10ML

    Xembify 4 GM/20ML

    Xembify 10 GM/50ML

    Xembify 1 GM/5ML

    Xenazine 12.5 MG TABS

    Xenazine 25 MG TABS

    Xenleta 600 MG

    Xenleta 150 MG/15ML

    Xeomin 50 UNIT SOLR

    Xeomin 100 UNIT SOLR

    Xeomin 200 UNIT SOLR

    Xermelo 250 MG TABS

    Xgeva 120 MG/1.7ML SOLN

    Xiaflex 0.9 MG SOLR

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Xifaxan 200 MG TABS

    Xifaxan 550 MG TABS

    Xofigo 30 MCCI/ML SOLN

    Xolair 150 MG SOLR

    Xolair 75 MG/0.5ML

    Xolair 150 MG/ML

    Xospata 40 MG TABS

    Xpovio (100 Mg Once Weekly) 20 MG

    Xpovio (40 Mg Once Weekly) 20 MG

    Xpovio (60 Mg Once Weekly) 20 MG

    Xpovio (80 Mg Once Weekly) 20 MG

    Xpovio (80 Mg Twice Weekly) 20 MG

    Xtandi 40 MG CAPS

    Xuriden 2 GM PACK

    Xyntha 250 UNIT KIT

    Xyntha 500 UNIT KIT

    Xyntha 1000 UNIT KIT

    Xyntha 2000 UNIT KIT

    Xyntha Solofuse 250 UNIT KIT

    Xyntha Solofuse 500 UNIT KIT

    Xyntha Solofuse 1000 UNIT KIT

    Xyntha Solofuse 2000 UNIT KIT

    Xyntha Solofuse 3000 UNIT KIT

    Xyrem 500 MG/ML SOLN

    Yervoy 50 MG/10ML SOLN

    Yervoy 200MG/40ML SOLN

    Yescarta SUSP

    Yondelis 1 MG SOLR

    Yonsa 125 MG

    Zaltrap 100 MG/4ML SOLN

    Zaltrap 200 MG/8ML SOLN

    Zanosar 1 GM SOLR

    Zarxio 300 MCG/0.5ML SOSY

    Zarxio 480 MCG/0.8ML SOSY

    Zavesca 100 MG CAPS

    Zejula 100 MG CAPS

    Zelboraf 240 MG TABS

    Zemaira 1000 MG SOLR

    Zembrace Symtouch 3 MG/0.5ML SOAJ

    Zemplar 2 MCG/ML SOLN

    Zemplar 5 MCG/ML SOLN

    Zenatane 10 MG CAPS

    Zenatane 20 MG CAPS

    Zenatane 30 MG CAPS

    Zenatane 40 MG CAPS

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Zenpep 5000-24000 UNIT CPEP

    Zenpep 25000-79000 UNIT CPEP

    Zenpep 3000-14000 UNIT CPEP

    Zenpep 40000-126000 UNIT CPEP

    Zenpep 10000-32000 UNIT CPEP

    Zenpep 15000-47000 UNIT CPEP

    Zenpep 20000-63000 UNIT CPEP

    Zepatier 50-100 MG TABS

    Zeposia 0.92 MG

    Zeposia 7-Day Starter Pack 4 x 0.23MG & 3 x 0.46MG

    Zeposia Starter Kit 0.23MG & 0.46MG & 0.92MG

    Zepzelca 4 MG

    Zerit 15 MG CAPS

    Zerit 20 MG CAPS

    Zerit 30 MG CAPS

    Zerit 40 MG CAPS

    Zerit 1 MG/ML SOLR

    Zevalin Y-90 3.2 MG/2ML KIT

    Ziagen 300 MG TABS

    Ziagen 20 MG/ML SOLN

    Zidovudine 100 MG CAPS

    Zidovudine 300 MG TABS

    Zidovudine 50 MG/5ML SYRP

    Ziextenzo 6 MG/0.6ML

    Zilretta 32 MG

    Zinbryta 150 MG/ML SOSY

    Zinecard 250 MG SOLR

    Zinecard 500 MG SOLR

    Zirabev 100 MG/4ML

    Zirabev 400 MG/16ML

    Zoladex 3.6 MG IMPL

    Zoladex 10.8 MG IMPL

    Zoledronic Acid 4 MG/5ML CONC

    Zoledronic Acid 4 MG/100ML SOLN

    Zoledronic Acid 5 MG/100ML SOLN

    Zoledronic Acid 4 MG SOLR

    Zolgensma 10.1-10.5 Kg 7x8.3 ML

    Zolgensma 10.6-11.0 Kg 2x5.5ML & 6x8.3ML

    Zolgensma 11.1-11.5 Kg 1x5.5ML & 7x8.3ML

    Zolgensma 11.6-12.0 Kg 8x8.3 ML

    Zolgensma 12.1-12.5 Kg 2x5.5ML & 7x8.3ML

    Zolgensma 12.6-13.0 Kg 1x5.5ML & 8x8.3ML

    Zolgensma 13.1-13.5 Kg 9x8.3 ML

    Zolgensma 2.6-3.0 Kg 2x8.3 ML

    Zolgensma 3.1-3.5 Kg 2x5.5ML & 1x8.3ML

  • Specialty Drug Listing

    Report Executed: 10/14/2020

    Zolgensma 3.6-4.0 Kg 1x5.5ML & 2x8.3ML

    Zolgensma 4.1-4.5 Kg 3x8.3 ML

    Zolgensma 4.6-5.0 Kg 2x5.5ML & 2x8.3ML

    Zolgensma 5.1-5.5 Kg 1x5.5ML & 3x8.3ML

    Zolgensma 5.6-6.0 Kg 4x8.3 ML

    Zolgensma 6.1-6.5 Kg 2x5.5ML & 3x8.3ML

    Zolgensma 6.6-7.0 Kg 1x5.5ML & 4x8.3ML

    Zolgensma 7.1-7.5 Kg 5x8.3 ML

    Zolgensma 7.6-8.0 Kg 2x5.5ML & 4x8.3ML

    Zolgensma 8.1-8.5 Kg 1x5.5ML & 5x8.3ML

    Zolgensma 8.6-9.0 Kg 6x8.3 ML

    Zolgensma 9.1-9.5 Kg 2x5.5ML & 5x8.3ML

    Zolgensma 9.6-10.0 Kg 1x5.5ML & 6x8.3ML

    Zolinza 100 MG CAPS

    Zomacton 5 MG SOLR

    Zometa 4 MG/5ML CONC

    Zometa 4 MG/100ML SOLN

    Zorbtive 8.8 MG SOLR

    Zortress 0.5 MG TABS

    Zortress 0.75 MG TABS

    Zortress 0.25 MG TABS

    Zortress 1 MG

    Zulresso 100 MG/20ML

    Zydelig 100 MG TABS

    Zydelig 150 MG TABS

    Zyflo 600 MG TABS

    Zyflo Cr 600 MG TB12

    Zykadia 150 MG CAPS

    Zykadia 150 MG

    Zynbrynta 150 MG/ML SOSY

    Zytiga 250 MG TABS

    Zytiga 500 MG TABS