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