Title | Name (for use in forms) |
---|
Actemra | PHARM_ALL_Actemra.pdf |
Adcetris | PHARM_ALL_Adcetris.pdf |
Adempas | PHARM_ALL_Adempas.pdf |
Afinitor | PHARM_ALL_Afinitor.pdf |
Afrezza | PHARM_ALL_Afrezza.pdf |
Alimta | PHARM_ALL_Alimta.pdf |
Ampyra | PHARM_ALL_Ampyra.pdf |
Androgens with QTY | PHARM_ALL_Androgens.pdf |
Antipsychotic Medications Age and Step Therapy | PHARM_ALL_AntipsychoticMedications.pdf |
Aranesp | PHARM_ALL_Aranesp.pdf |
ARBs | PHARM_ALL_ARBs.pdf |
Arixtra | PHARM_ALL_Arixtra.pdf |
Arzerra | PHARM_ALL_Arzerra.pdf |
Aubagio | PHARM_ALL_Aubagio.pdf |
Baraclude | PHARM_ALL_Baraclude.pdf |
Beleodaq | PHARM_ALL_Beleodaq.pdf |
Benlysta | PHARM_ALL_Benlysta.pdf |
Bosulif | PHARM_ALL_Bosulif.pdf |
Brand Ophthalmic Allergy | PHARM_ALL_BrandOphthalmicAllergy.pdf |
Butorphanol Nasal Spray | PHARM_ALL_ButorphanolNasalSpray.pdf |
Caprelsa | PHARM_ALL_Caprelsa.pdf |
Cesamet | PHARM_ALL_Cesamet.pdf |
Cimzia | PHARM_ALL_Cimzia.pdf |
Cipro | PHARM_ALL_Cipro.pdf |
Clindamycin-Tretinoin Combination Products | PHARM_ALL_ClindamycinTretinoinComboAgents.pdf |
Colcrys | PHARM_ALL_Colcrys.pdf |
Cometriq | PHARM_ALL_Cometriq.pdf |
Cosentyx | PHARM_ALL_Cosentyx.pdf |
Cyramza | PHARM_ALL_Cyramza.pdf |
Danazol | PHARM_ALL_Danazol.pdf |
Dificid | PHARM_ALL_Dificid.pdf |
Egrifta | PHARM_ALL_Egrifta.pdf |
Enbrel | PHARM_ALL_Enbrel.pdf |
Entyvio | PHARM_ALL_Entyvio.pdf |
Epivir | PHARM_ALL_Epivir.pdf |
Eraxis | PHARM_ALL_Eraxis.pdf |
Erbitux | PHARM_ALL_Erbitux.pdf |
Erivedge | PHARM_ALL_Erivedge.pdf |
Esbriet | PHARM_ALL_Esbriet.pdf |
Eylea | PHARM_ALL_Eylea.pdf |
Farydak | PHARM_ALL_Farydak.pdf |
Gaucher Disease | PHARM_ALL_GaucherDisease.pdf |
Gazyva | PHARM_ALL_Gazyva.pdf |
Gilenya | PHARM_ALL_Gilenya.pdf |
Gilotrif | PHARM_ALL_Gilotrif.pdf |
Gleevec | PHARM_ALL_Gleevec.pdf |
Gleostine | PHARM_ALL_Gleostine.pdf |
Gonadotropin Releasing Hormone Analogs (GnRH) | PHARM_ALL_GnRH.pdf |
Grastek | PHARM_ALL_Grastek.pdf |
Halaven | PHARM_ALL_Halaven.pdf |
Harvoni | PHARM_ALL_Harvoni.pdf |
Hepsera | PHARM_ALL_Hepsera.pdf |
Hetlioz | PHARM_ALL_Hetlioz.pdf |
HP Acthar | PHARM_ALL_HPActhar.pdf |
Humira | PHARM_ALL_Humira.pdf |
Iclusig | PHARM_ALL_Iclusig.pdf |
Ilaris | PHARM_ALL_Ilaris.pdf |
Imbruvica | PHARM_ALL_Imbruvica.pdf |
Immunoglobulins | PHARM_ALL_ImmuneGlobulin.pdf |
Increlex | PHARM_ALL_Increlex.pdf |
Inlyta | PHARM_ALL_Inlyta.pdf |
Jakafi | PHARM_ALL_Jakafi.pdf |
Juxtapid | PHARM_ALL_Juxtapid.pdf |
Kadcyla | PHARM_ALL_Kadcyla.pdf |
Kalydeco | PHARM_ALL_Kalydeco.pdf |
Kineret | PHARM_ALL_Kineret.pdf |
Korlym | PHARM_ALL_Korlym.pdf |
Kuvan | PHARM_ALL_Kuvan.pdf |
Kynamro | PHARM_ALL_Kynamro.pdf |
Kyprolis | PHARM_ALL_Kyprolis.pdf |
Letairis | PHARM_ALL_Letairis.pdf |
Low Molecular Weight Heparins | PHARM_ALL_LowMolecularWeightHeparins.pdf |
Lucentis | PHARM_ALL_Lucentis.pdf |
Macugen | PHARM_ALL_Macugen.pdf |
Makena | PHARM_ALL_Makena.pdf |
Marinol | PHARM_ALL_Marinol.pdf |
Mekinist (trametinib) | PHARM_ALL_Mekinist.pdf |
Migranal Nasal Spray | PHARM_ALL_Migranal.pdf |
Mircera | PHARM_ALL_Mircera.pdf |
Naglazyme | PHARM_ALL_Naglazyme.pdf |
Narc Analgesic Combo | PHARM_ALL_NarcAnalgesicCombo.pdf |
Narcotic Dup | PHARM_ALL_NarcoticDup.pdf |
Neumega | PHARM_ALL_Neumega.pdf |
Nexavar | PHARM_ALL_Nexavar.pdf |
Non-Pegylated Interferons | PHARM_ALL_Non-PegylatedInterferons.pdf |
Noxafil | PHARM_ALL_Noxafil.pdf |
NSA | PHARM_ALL_NSA.pdf |
Nulojix | PHARM_ALL_Nulojix.pdf |
Nuvigil | PHARM_ALL_Nuvigil.pdf |
Ofev | PHARM_ALL_Ofev.pdf |
Onychomycosis | PHARM_ALL_Onychomycosis.pdf |
Opsumit | PHARM_ALL_Opsumit.pdf |
Oralair | PHARM_ALL_Oralair.pdf |
Orencia | PHARM_ALL_Orencia.pdf |
Orenitram | PHARM_ALL_Orenitram.pdf |
Orlistat | PHARM_ALL_Orlistat.pdf |
Otezla | PHARM_ALL_Otezla.pdf |
Oxandrin | PHARM_ALL_Oxandrin.pdf |
Oxycontin | PHARM_ALL_Oxycontin.pdf |
Perjeta | PHARM_ALL_Perjeta.pdf |
Pomalyst | PHARM_ALL_Pomalyst.pdf |
Pradaxa | PHARM_ALL_Pradaxa.pdf |
Prialt | PHARM_ALL_Prialt.pdf |
Epogen, Procrit, Retacrit | PHARM_ALL_ProcritandEpogen.pdf |
Prolia | PHARM_ALL_Prolia.pdf |
Promacta | PHARM_ALL_Promacta.pdf |
Prostacyclins for PAH | PHARM_ALL_ProstacyclinsforPAH.pdf |
Provenge | PHARM_ALL_Provenge.pdf |
Provigil | PHARM_ALL_Provigil.pdf |
Purixan | PHARM_ALL_Purixan.pdf |
Qualaquin | PHARM_ALL_Qualaquin.pdf |
Ragwitek | PHARM_ALL_Ragwitek.pdf |
Revlimid | PHARM_ALL_Revlimid.pdf |
Ribavirin | PHARM_ALL_Ribavirin.pdf |
Rituxan | PHARM_ALL_Rituxan.pdf |
Ruconest | PHARM_ALL_Ruconest.pdf |
Savella | PHARM_ALL_Savella.pdf |
SGLT2 Inhibitor Step Therapy | PHARM_ALL_SGLT2InhibitorStepTherapy.pdf |
Simponi | PHARM_ALL_Simponi.pdf |
Sivextro | PHARM_ALL_Sivextro.pdf |
Solaraze | PHARM_ALL_Solaraze.pdf |
Soliris | PHARM_ALL_Soliris.pdf |
Sprycel | PHARM_ALL_Sprycel.pdf |
Stelara | PHARM_ALL_Stelara.pdf |
Stivarga | PHARM_ALL_Stivarga.pdf |
Subutex | PHARM_ALL_Subutex.pdf |
Sutent | PHARM_ALL_Sutent.pdf |
Sylatron | PHARM_ALL_Sylatron.pdf |
Sylvant | PHARM_ALL_Sylvant.pdf |
Synagis | PHARM_ALL_Synagis.pdf |
Tadalafil | PHARM_ALL_Tadalafil.pdf |
Tarceva | PHARM_ALL_Tarceva.pdf |
Targretin | PHARM_ALL_Targretin.pdf |
Tasigna | PHARM_ALL_Tasigna.pdf |
Tazarotene Agents | PHARM_ALL_TazaroteneAgents.pdf |
Tecfidera | PHARM_ALL_Tecfidera.pdf |
Temodar | PHARM_ALL_Temodar.pdf |
Thalomid | PHARM_ALL_Thalomid.pdf |
Tracleer | PHARM_ALL_Tracleer.pdf |
Triptan | PHARM_ALL_Triptan.pdf |
Tykerb | PHARM_ALL_Tykerb.pdf |
Vectibix | PHARM_ALL_Vectibix.pdf |
Victrelis | PHARM_ALL_Victrelis.pdf |
Viekira | PHARM_ALL_Viekira.pdf |
Votrient | PHARM_ALL_Votrient.pdf |
Xalkori | PHARM_ALL_Xalkori.pdf |
Xarelto | PHARM_ALL_Xarelto.pdf |
Xeljanz | PHARM_ALL_Xeljanz.pdf |
Xeloda | PHARM_ALL_Xeloda.pdf |
Xgeva | PHARM_ALL_Xgeva.pdf |
Xiaflex | PHARM_ALL_Xiaflex.pdf |
Xifaxan | PHARM_ALL_Xifaxan.pdf |
Xofigo | PHARM_ALL_Xofigo.pdf |
Xolair | PHARM_ALL_Xolair.pdf |
Xtandi | PHARM_ALL_Xtandi.pdf |
Xyrem | PHARM_ALL_Xyrem.pdf |
Yervoy | PHARM_ALL_Yervoy.pdf |
Zaltrap | PHARM_ALL_Zaltrap.pdf |
Zavesca | PHARM_ALL_Zavesca.pdf |
Zelboraf | PHARM_ALL_Zelboraf.pdf |
Zithromax | PHARM_ALL_Zithromax.pdf |
Zolinza | PHARM_ALL_Zolinza.pdf |
Zydelig | PHARM_ALL_Zydelig.pdf |
Zytiga | PHARM_ALL_Zytiga.pdf |
Linezolid (ZYVOX) | PHARM_ALL_Linezolid_Zyvox.pdf |
Iluvien | PHARM_ALL_Iluvien.pdf |
Ozurdex | PHARM_ALL_Ozurdex.pdf |
Stimate | PHARM_ALL_Stimate.pdf |
Stribild | PHARM_ALL_Stribild.pdf |
Tafinlar | PHARM_ALL_Tafinlar.pdf |
Diabetic Test Strips | PHARM_ALL_DiabeticTestStrips.pdf |
Tysabri | PHARM_ALL_Tysabri.pdf |
Lemtrada | PHARM_ALL_Lemtrada.pdf |
Krystexxa | PHARM_ALL_Krystexxa.pdf |
Dihydroergotamine | PHARM_ALL_Dihydroergotamine.pdf |
Arcalyst | PHARM_ALL_Arcalyst.pdf |
Elitek | PHARM_ALL_Elitek.pdf |
Erwinaze | PHARM_ALL_Erwinaze.pdf |
Faslodex | PHARM_ALL_Faslodex.pdf |
Keytruda | PHARM_ALL_Keytruda.pdf |
Lotronex | PHARM_ALL_Lotronex.pdf |
Nplate | PHARM_ALL_Nplate.pdf |
Oncaspar | PHARM_ALL_Oncaspar.pdf |
Oxymorphone | PHARM_ALL_Oxymorphone.pdf |
Transdermal Estrogen | PHARM_ALL_TransdermalEstrogen.pdf |
Velcade | PHARM_ALL_Velcade.pdf |
Argatroban | PHARM_ALL_Argatroban.pdf |
Cholbam | PHARM_ALL_Cholbam.pdf |
Colony Stimulating Factors | PHARM_ALL_ColonyStimulatingFactors.pdf |
Cresemba | PHARM_ALL_Cresemba.pdf |
Daklinza | PHARM_ALL_Daklinza.pdf |
DPP4 Dipeptidyl Peptidase-4 | PHARM_ALL_DPP4.pdf |
Exjade | PHARM_ALL_Exjade.pdf |
IBD | PHARM_ALL_IBD.pdf |
Jadenu | PHARM_ALL_Jadenu.pdf |
Ketorolac Agents | PHARM_ALL_KetorolacAgents.pdf |
Meglitinide Step Therapy | PHARM_ALL_MeglitinideStepTherapy.pdf |
Methotrexate Auto-Injector Agents | PHARM_ALL_MethotrexateAuto-InjectorAgents.pdf |
Natpara | PHARM_ALL_Natpara.pdf |
Opdivo | PHARM_ALL_Opdivo.pdf |
Orkambi | PHARM_ALL_Orkambi.pdf |
Praluent | PHARM_ALL_Praluent.pdf |
Procysbi | PHARM_ALL_Procysbi.pdf |
Rexulti | PHARM_ALL_Rexulti.pdf |
Rilutek | PHARM_ALL_Rilutek.pdf |
Signifor | PHARM_ALL_Signifor.pdf |
Sovaldi | PHARM_ALL_Sovaldi.pdf |
Non-Preferred Statins | PHARM_ALL_Statins.pdf |
Technivie | PHARM_ALL_Technivie.pdf |
Viberzi | PHARM_ALL_Viberzi.pdf |
5 Alpha Reductase Inhibitors | PHARM_ALL_5AlphaReduct.pdf |
Cotellic | PHARM_ALL_Cotellic.pdf |
Inhaled Agents | PHARM_ALL_Inhaled.pdf |
Vytorin | PHARM_ALL_Vytorin.pdf |
Zepatier | PHARM_ALL_Zepatier.pdf |
Zetia | PHARM_ALL_Zetia.pdf |
Alpha-1 Proteinase Inhibitors | PHARM_ALL_Alpha-1ProteinaseInhibitors.pdf |
Contraceptive Products | PHARM_ALL_ContraceptiveProducts.pdf |
Berinert | PHARM_ALL_Berinert.pdf |
Cinryze | PHARM_ALL_Cinryze.pdf |
Corlanor | PHARM_ALL_Corlanor.pdf |
Evekeo | PHARM_ALL_Evekeo.pdf |
Firazyr | PHARM_ALL_Firazyr.pdf |
Gattex | PHARM_ALL_Gattex.pdf |
Ibrance | PHARM_ALL_Ibrance.pdf |
Kalbitor | PHARM_ALL_Kalbitor.pdf |
Keveyis | PHARM_ALL_Keveyis.pdf |
Sildenafil | PHARM_ALL_Sildenafil.pdf |
ADHD Narcolepsy | PHARM_ALL_ADHDNarcolepsy.pdf |
Blincyto | PHARM_ALL_Blincyto.pdf |
Daraprim | PHARM_ALL_Daraprim.pdf |
Emend Injectable | PHARM_ALL_EmendInjectable.pdf |
Entresto | PHARM_ALL_Entresto.pdf |
Glyxambi | PHARM_ALL_Glyxambi.pdf |
Isotretinoin Agents | PHARM_ALL_IsotretinoinAgents.pdf |
Ivacaftor-Lumacaftor | PHARM_ALL_Ivacaftor-Lumacaftor.pdf |
Lenvima | PHARM_ALL_Lenvima.pdf |
Linzess | PHARM_ALL_Linzess.pdf |
Ninlaro | PHARM_ALL_Ninlaro.pdf |
Smoking Cessation | PHARM_ALL_SmokingCessation.pdf |
Strattera | PHARM_ALL_Strattera.pdf |
Strensiq | PHARM_ALL_Strensiq.pdf |
Vyvanse | PHARM_ALL_Vyvanse.pdf |
Actimmune | PHARM_ALL_Actimmune.pdf |
Amitiza | PHARM_ALL_Amitiza.pdf |
Antiepileptics | PHARM_ALL_Antiepileptics.pdf |
Botulinum Toxin | PHARM_ALL_BotulinumToxin.pdf |
Brand Bupropion | PHARM_ALL_BrandBupropion.pdf |
Cosmetic Anti-Aging | PHARM_ALL_CosmeticAnti-Aging.pdf |
Duopa | PHARM_ALL_Duopa.pdf |
Eloctate | PHARM_ALL_Eloctate.pdf |
Hycamtin | PHARM_ALL_Hycamtin.pdf |
Injectable Triptan Agents Step Therapy | PHARM_ALL_InjectableTriptansStepTherapy.pdf |
Iressa | PHARM_ALL_Iressa.pdf |
Istodax | PHARM_ALL_Istodax.pdf |
Levaquin | PHARM_ALL_Levaquin.pdf |
Lonsurf | PHARM_ALL_Lonsurf.pdf |
Mitigare | PHARM_ALL_Mitigare.pdf |
Movantik | PHARM_ALL_Movantik.pdf |
Narcan Nasal Spray | PHARM_ALL_Narcan.pdf |
Nasal Triptan ST | PHARM_ALL_NasalTriptan.pdf |
Nilandron | PHARM_ALL_Nilandron.pdf |
Nuedexta | PHARM_ALL_Nuedexta.pdf |
Odomzo | PHARM_ALL_Odomzo.pdf |
Oral Antifungals | PHARM_ALL_OralAntifungals.pdf |
Osphena | PHARM_ALL_Osphena.pdf |
Relenza | PHARM_ALL_Relenza.pdf |
Relistor | PHARM_ALL_Relistor.pdf |
Taltz | PHARM_ALL_Taltz.pdf |
Tamiflu | PHARM_ALL_Tamiflu.pdf |
Thiola | PHARM_ALL_Thiola.pdf |
Varubi | PHARM_ALL_Varubi.pdf |
Vidaza | PHARM_ALL_Vidaza.pdf |
Zyflo | PHARM_ALL_Zyflo.pdf |
Zykadia | PHARM_ALL_Zykadia.pdf |
Lumizyme | PHARM_ALL_Lumizyme.pdf |
Ondansetron | PHARM_ALL_Ondansetron.pdf |
Tagrisso | PHARM_ALL_Tagrisso.pdf |
Vfend | PHARM_ALL_Vfend.pdf |
Duexis | PHARM_ALL_Duexis.pdf |
Horizant | PHARM_ALL_Horizant.pdf |
Orfadin | PHARM_ALL_Orfadin.pdf |
Tyzeka | PHARM_ALL_Tyzeka.pdf |
Vimovo | PHARM_ALL_Vimovo.pdf |
Adapalene | PHARM_ALL_Adapalene.pdf |
Ocaliva | PHARM_ALL_Ocaliva.pdf |
Aggrenox | PHARM_ALL_Aggrenox.pdf |
Cabometyx | PHARM_ALL_Cabometyx.pdf |
Ranexa | PHARM_ALL_Ranexa.pdf |
Zontivity | PHARM_ALL_Zontivity.pdf |
Abilify Maintena | PHARM_ALL_Abilify.pdf |
Aristada | PHARM_ALL_Aristada.pdf |
Fuzeon | PHARM_ALL_Fuzeon.pdf |
Invega Sustenna | PHARM_ALL_InvegaSustena.pdf |
Invega Trinza | PHARM_ALL_InvegaTrinza.pdf |
Daliresp | PHARM_ALL_Daliresp.pdf |
Non-Preferred Fluoroquinolone Otic Agents | PHARM_ALL_NPFluoroquinolone.pdf |
Virazole | PHARM_ALL_Virazole.pdf |
Xuriden | PHARM_ALL_Xuriden.pdf |
Xtampza | PHARM_ALL_Xtampza.pdf |
Vimizim | PHARM_ALL_Vimizim.pdf |
Namzaric | PHARM_ALL_Namzaric.pdf |
Fabrazyme | PHARM_ALL_Fabrazyme.pdf |
Doxorubicin Hydrochloride Liposome | PHARM_ALL_DoxHydroLiposome.pdf |
Ixempra | PHARM_ALL_Ixempra.pdf |
Non-Preferred Agents for Actinic Keratosis | PHARM_ALL_NPAgentsforActinicKeratosis.pdf |
Valchlor | PHARM_ALL_Valchlor.pdf |
Venclexta | PHARM_ALL_Venclexta.pdf |
Breo Ellipta | PHARM_ALL_BreoEllipta.pdf |
Abraxane | PHARM_ALL_Abraxane.pdf |
Alecensa | PHARM_ALL_Alecensa.pdf |
Blood Glucose Lancets | PHARM_ALL_BloodGlucoseLancets.pdf |
Epclusa | PHARM_ALL_Epclusa.pdf |
Infliximab/Infliximab-dyyb | PHARM_ALL_InfliximabInfliximab-dyyb.pdf |
Pulmozyme | PHARM_ALL_Pulmozyme.pdf |
Torisel | PHARM_ALL_Torisel.pdf |
Zyclara | PHARM_ALL_Zyclara.pdf |
Dose Optimization | PHARM_ALL_DoseOptimization.pdf |
Durlaza | PHARM_ALL_Durlaza.pdf |
Kanuma | PHARM_ALL_Kanuma.pdf |
Vistogard | PHARM_ALL_Vistogard.pdf |
Zurampic | PHARM_ALL_Zurampic.pdf |
Darzalex | PHARM_ALL_Darzalex.pdf |
Empliciti | PHARM_ALL_Empliciti.pdf |
Xiidra | PHARM_ALL_Xiidra.pdf |
Angiotensin Receptor (ARB)/Thiazide Diuretic Combination Agents Step Therapy | PHARM_ALL_NPARBThiazide.pdf |
Phosphate Binders | PHARM_ALL_PhosphateBinders.pdf |
NP Topical Topical Fluorouracil Agents | PHARM_ALL_NPTopicalTopicalFluorouracilAgents.pdf |
Picato | PHARM_ALL_Picato.pdf |
ViekiraPak XR | PHARM_ALL_ViekiraXR.pdf |
Blood Glucose Test Strips and Monitors Step Therapy | PHARM_ALL_BGStripsMonitors.pdf |
Cerdelga | PHARM_ALL_Cerdelga.pdf |
Elaprase | PHARM_ALL_Elaprase.pdf |
Nuplazid | PHARM_ALL_Nuplazid.pdf |
Probuphine | PHARM_ALL_Probuphine.pdf |
Regranex Gel | PHARM_ALL_RegranexGel.pdf |
Triptan Quantity Limit | PHARM_ALL_TriptanQuantityLimit.pdf |
Zinbryta | PHARM_ALL_Zinbryta.pdf |
Azelaic Acid Agents | PHARM_ALL_AzelaicAcidAgents.pdf |
Non-Preferred Oral Triptans Step Therapy | PHARM_ALL_NPOralTriptans.pdf |
Soolantra | PHARM_ALL_Soolantra.pdf |
Zovirax topical Agents | PHARM_ALL_ZoviraxTopicalAgents.pdf |
Injectable Triptans | PHARM_ALL_InjectableTriptans.pdf |
Aldara | PHARM_ALL_Aldara.pdf |
Aldurazyme | PHARM_ALL_Aldurazyme.pdf |
Arthrotec | PHARM_ALL_Arthrotec.pdf |
Cetylev | PHARM_ALL_Cetylev.pdf |
Crofelemer | PHARM_ALL_Crofelemer.pdf |
Docetaxel | PHARM_ALL_Docetaxel.pdf |
Epiduo, Epiduo Forte | PHARM_ALL_Epiduo.pdf |
Lartruvo | PHARM_ALL_Lartruvo.pdf |
Noritate (metonidazole) Cream | PHARM_ALL_MetonidazoleCream.pdf |
Neupro | PHARM_ALL_Neupro.pdf |
Proton Pump Inhibitors | PHARM_ALL_ProtonPumpInhibitors.pdf |
Rayaldee | PHARM_ALL_Rayaldee.pdf |
Rayos | PHARM_ALL_Rayos.pdf |
Risperdal Consta | PHARM_ALL_RisperdalConsta.pdf |
Tasmar | PHARM_ALL_Tasmar.pdf |
Transmucosal Immediate Release Fentanyl (TIRF) Agents | PHARM_ALL_TIRFAgents.pdf |
Topical and Buccal Agents for Recurrent Herpes Labialis | PHARM_ALL_TopicalBuccalAgentsfoRHerpesLabialis.pdf |
Uloric | PHARM_ALL_Uloric.pdf |
Zyprexa | PHARM_ALL_Zyprexa.pdf |
Brand EpiPen/EpiPen Jr. | PHARM_ALL_BrandEpiPen.pdf |
Calcitriol Agents | PHARM_ALL_CalcitriolAgents.pdf |
Hectorol | PHARM_ALL_Hectorol.pdf |
Non-Preferred Topical Agents for External Anogenital Warts Step Therapy | PHARM_ALL_NPTopicalAnogenitalWartsTherapy.pdf |
Sandostatin | PHARM_ALL_Sandostatin.pdf |
Signifor LAR | PHARM_ALL_SigniforLAR.pdf |
Somatuline Depot | PHARM_ALL_SomatulineDepot.pdf |
Somavert | PHARM_ALL_Somavert.pdf |
Zemplar | PHARM_ALL_Zemplar.pdf |
Testosterone Injectable | PHARM_ALL_TestosteroneInjectable.pdf |
Non-Formulary Prescription Request | PHARM_ALL_NonFormularyPrescriptionRequest.pdf |
Repatha | PHARM_ALL_Repatha.pdf |
Brand Azelastine Nasal Spray Agents | PHARM_ALL_BrandAzelastineNasalSprayAgents.pdf |
Eucrisa | PHARM_ALL_Eucrisa.pdf |
Fusilev | PHARM_ALL_Fusilev.pdf |
Jevtana | PHARM_ALL_Jevtana.pdf |
Metformin extended-release | PHARM_ALL_MetforminExtendedRelease.pdf |
Non-Preferred Ophthalmic NSAIDs | PHARM_ALL_NPOphthalmicNSAIDs.pdf |
Non-Preferred Sedative Hypnotic Agents for Insomnia | PHARM_ALL_NPSedativeHypnoticAgentsForInsomnia.pdf |
Riomet | PHARM_ALL_Riomet.pdf |
Rubraca | PHARM_ALL_Rubraca.pdf |
Sensipar | PHARM_ALL_Sensipar.pdf |
Simvastatin | PHARM_ALL_Simvastatin.pdf |
Tecentriq | PHARM_ALL_Tecentriq.pdf |
Vemlidy | PHARM_ALL_Vemlidy.pdf |
Zinplava | PHARM_ALL_Zinplava.pdf |
Aczone | PHARM_ALL_Aczone.pdf |
Amjevita | PHARM_ALL_Amjevita.pdf |
Carbaglu | PHARM_ALL_Carbaglu.pdf |
Dronabinol agents | PHARM_ALL_DronabinolAgents.pdf |
Erelzi | PHARM_ALL_Erelzi.pdf |
Non-Preferred Skeletal Muscle Relaxants Step Therapy | PHARM_ALL_NPSkeletalMuscleRelaxantsST.pdf |
Non-Preferred Serotonin Norepinephrine Reuptake Inhibitors (SNRIs) | PHARM_ALL_NPSNRIs.pdf |
Samsca | PHARM_ALL_Samsca.pdf |
Santyl | PHARM_ALL_Sanytl.pdf |
Anzemet Quantity Limit | PHARM_ALL_AnzemetQuantityLimit.pdf |
Dose Optimization Mental Health | PHARM_ALL_DoseOpMentalHealth.pdf |
Granisetron Agents Quantity Limit | PHARM_ALL_GranisetronAgentsQuantityLimit.pdf |
Non-Preferred Oral/Transdermal 5-HT3 Receptor Antagonist | PHARM_ALL_NP5-HT3ReceptorAntagonist.pdf |
Non-Preferred Pediculicides for Head Lice | PHARM_ALL_NPPediculicidesHeadLice.pdf |
Non-Preferred Rapid Acting Insulin | PHARM_ALL_NPRapidActingInsulin.pdf |
Ocrevus | PHARM_ALL_Ocrevus.pdf |
Xermelo | PHARM_ALL_Xermelo.pdf |
Cycloset | PHARM_ALL_Cycloset.pdf |
Austedo | PHARM_ALL_Austedo.pdf |
Ingrezza | PHARM_ALL_Ingrezza.pdf |
Abaloparotide | PHARM_ALL_Abaloparotide.pdf |
Alunbrig | PHARM_ALL_Alunbrig.pdf |
Cycloserine | PHARM_ALL_Cycloserine.pdf |
Doxylamine and Pyridoxine Agents | PHARM_ALL_DoxylaminePyridoxineAgents.pdf |
Dupixent | PHARM_ALL_Dupixent.pdf |
Emflaza | PHARM_ALL_Emflaza.pdf |
Emsam | PHARM_ALL_Emsam.pdf |
Gralise | PHARM_ALL_Gralise.pdf |
Kevzara | PHARM_ALL_Kevzara.pdf |
Lacrisert | PHARM_ALL_Lacrisert.pdf |
Lidoderm (lidocaine) Patch | PHARM_ALL_Lidoderm.pdf |
Rydapt | PHARM_ALL_Rydapt.pdf |
Siliq | PHARM_ALL_Siliq.pdf |
Sirturo | PHARM_ALL_Sirturo.pdf |
Trulance | PHARM_ALL_Trulance.pdf |
Uptravi | PHARM_ALL_Uptravi.pdf |
Vosevi | PHARM_ALL_Vosevi.pdf |
Yosprala | PHARM_ALL_Yosprala.pdf |
Mavyret | PHARM_ALL_Mavyret.pdf |
Topical Onychomycosis | PHARM_ALL_TopicalOnychomycosis.pdf |
Thiazolidinediones Duplicate Therapy | PHARM_ALL_Thiazolidinedionesduptherapy.pdf |
Brineura | PHARM_ALL_Brineura.pdf |
Imfinzi | PHARM_ALL_Imfinzi.pdf |
Tymlos | PHARM_ALL_Tymlos.pdf |
Zejula | PHARM_ALL_Zejula.pdf |
Bavencio | PHARM_ALL_Bavencio.pdf |
Cambia | PHARM_ALL_Cambia.pdf |
Equetro | PHARM_ALL_Equetro.pdf |
Hydroxyprogesterone caproate injection | PHARM_ALL_HydroxyprogCaproateInject.pdf |
Noctiva Intranasal Spray | PHARM_ALL_NoctivaIntranasalSpray.pdf |
Non-Preferred Vaginal Atrophy Agents | PHARM_ALL_NPVaginalEstrogen.pdf |
Tremfya | PHARM_ALL_Tremfya.pdf |
Doxycyclines-Acne | PHARM_ALL_DoxycyclinesAcne.pdf |
Northera | PHARM_ALL_Northera.pdf |
Opioid Analgesic Combo | PHARM_ALL_OpioidAnalgesicCombo.pdf |
Non-Preferred Ciprofloxacin | PHARM_ALL_Non-PreferredCiprofloxacin.pdf |
Haegarda | PHARM_ALL_Haegarda.pdf |
SGLT2- DPP4 Inhibitor Combination | PHARM_ALL_SGLT2DPP4InhibCombo.pdf |
Lynparza | PHARM_ALL_Lynparza.pdf |
Immune Globulins | PHARM_ALL_ImmuneGlobulins.pdf |
Single Agent NSAID Step Therapy | PHARM_ALL_SingleAgentNSAIDStepTherapy.pdf |
Endari | PHARM_ALL_Endari.pdf |
Gocovri ER | PHARM_ALL_Gocovri_ER.pdf |
Non-Preferred Topical Corticosteroid - High Potency | PHARM_ALL_TopicalCorticosteroidsHighPotency.pdf |
Omega-3 Fatty Acid Step Therapy | PHARM_ALL_Omega-3FattyAcid.pdf |
Besponsa | PHARM_ALL_Besponsa.pdf |
Duzallo | PHARM_ALL_Duzallo.pdf |
Idhifa | PHARM_ALL_Idhifa.pdf |
Nerlynx | PHARM_ALL_Nerlynx.pdf |
Nitisinone | PHARM_ALL_Nitisinone.pdf |
Xatmep | PHARM_ALL_Xatmep.pdf |
Verzenio | PHARM_ALL_Verzenio.pdf |
Hyaluronan Injections | PHARM_ALL_Hyaluronan_Injections.pdf |
Glatiramer (Copaxone Glatopa) | PHARM_ALL_Glatiramer.pdf |
Desoxyn | PHARM_ALL_Desoxyn.pdf |
Avsola, Inflectra, Renflexis, Remicade | PHARM_ALL_AvsolaInflectraRenflexisRemicade.pdf |
Non-Preferred Inhaled Corticosteroid (ICS)/Long-Acting Beta-2 Agonist (LABA) Combination Agents | PHARM_ALL_ICS-LABA.pdf |
Aloxi | PHARM_ALL_Aloxi.pdf |
Emcyt | PHARM_ALL_Emcyt.pdf |
Evzio | PHARM_ALL_Evzio.pdf |
Topical Agents for Cutaneous Fungal Infections Step Therapy | PHARM_ALL_TopicalAgentsCutaneousFungal.pdf |
Long-Acting Opioid Analgesics PA-QL | PHARM_ALL_LongActingOpioidAnalgesics.pdf |
Short-Acting Opioid Analgesics for Acute Pain Duration of Use | PHARM_ALL_ShortActingOpioidAnalgesics.pdf |
Aliqopa | PHARM_ALL_Aliqopa.pdf |
Codeine Agents Age Edit | PHARM_ALL_CodeineAgentsAgeEdit.pdf |
Radicava | PHARM_ALL_Radicava.pdf |
Hexalen | PHARM_ALL_Hexalen.pdf |
Kisqali | PHARM_ALL_Kisqali.pdf |
Non-Preferred Epinephrine Injection | PHARM_ALL_NPEpinephrineInjection.pdf |
GLP-1 Long-Acting Insulin Combo | PHARM_ALL_GLP-1InsulinCombo.pdf |
Symdeko | PHARM_ALL_Symdeko.pdf |
Symlin | PHARM_ALL_Symlin.pdf |
Mesnex | PHARM_ALL_Mesnex.pdf |
Ravicti | PHARM_ALL_Ravicti.pdf |
Tramadol Agents Age Limit | PHARM_ALL_TramadolAgentsAge.pdf |
Adenu | PHARM_ALL_Adenu.pdf |
Intravaginal Progesterone | PHARM_ALL_Intravaginal_Progesterone.pdf |
Non-Preferred Nasal Corticosteroids | PHARM_ALL_NonPreferredNasalCorticosteroids.pdf |
Viread | PHARM_ALL_Viread.pdf |
Antihemophilic Clotting Factors | PHARM_ALL_Antihemophilic_ClottingFactors.pdf |
Cinqair, Fasenra, Nucala | PHARM_ALL_CinqairFasenraNucala.pdf |
Crysvita | PHARM_ALL_Crysvita.pdf |
Dementia and Alzheimer's Disease | PHARM_ALL_DementiaAlzheimers.pdf |
Erleada | PHARM_ALL_Erleada.pdf |
GLP-1 Receptor Agonist Step Therapy | PHARM_ALL_GLP1ReceptorAgonistStepTherapy.pdf |
Inhaled Corticosteroids ICS | PHARM_ALL_InhaledCorticosteroidsICS.pdf |
Mepsevii | PHARM_ALL_Mepsevii.pdf |
Mozobil | PHARM_ALL_Mozobil.pdf |
Myalept | PHARM_ALL_Myalept.pdf |
Minocycline | PHARM_ALL_NPMinocycline.pdf |
Non-Preferred Ophthalmic Allergy and Mast Cell Stabilizer Agents | PHARM_ALL_NPOphthalmicAllergy.pdf |
Topical Anti-Infective-Benzoyl Peroxide Combo | PHARM_ALL_NPTopicalAnti-InfBenzoylPeroxide.pdf |
Ofloxacin Quantity Limit | PHARM_ALL_Ofloxacin.pdf |
Prevymis | PHARM_ALL_Prevymis.pdf |
Retisert | PHARM_ALL_Retisert.pdf |
Sedative Hypnotic Agents for Insomnia | PHARM_ALL_SedativeHypnoticAgentsInsomnia.pdf |
Solosec | PHARM_ALL_Solosec.pdf |
Tildrakizumab | PHARM_ALL_Tildrakizumab.pdf |
Vancomycin | PHARM_ALL_Vancomycin.pdf |
Non-Preferred Long-Acting Muscarinic Agonist (LAMA) Agents - DNA to WA | PHARM_ALL_NonPreferredLAMAStepTherapy.pdf |
Non-Preferred Short-Acting Beta-2 Agonist (SABA) Agents Step Therapy - DNA to WA | PHARM_ALL_Non-PreferredSABAsAgentStepTherapy.pdf |
Calquence | PHARM_ALL_Calquence.pdf |
Odactra | PHARM_ALL_Odactra.pdf |
Aimovig | PHARM_ALL_Aimovig.pdf |
NP LAMA-LABA | PHARM_ALL_NonPreferredLAMALABAComboStepTherapy.pdf |
Fluoroquinolone Ophthalmics | PHARM_ALL_FluoroquinoloneOphthalmic.pdf |
Jynarque | PHARM_ALL_Jynarque.pdf |
Non-Preferred Topical Corticosteroid - Low Potency | PHARM_ALL_NonpreferredLowPotencyTopicalCorticosteriods.pdf |
Tavalisse | PHARM_ALL_Tavalisse.pdf |
Ellence | PHARM_ALL_Ellence.pdf |
Synribo | PHARM_ALL_Synribo.pdf |
Cyltezo | PHARM_ALL_Cyltezo.pdf |
Impavido | PHARM_ALL_Impavido.pdf |
Epinephrine - Self Injected Agents Quantity Limit | PHARM_ALL_SelfInjectedEpinephrineAgentsQL.pdf |
Symproic | PHARM_ALL_Symproic.pdf |
CaroSpir | PHARM_ALL_CaroSpir.pdf |
Chenodal | PHARM_ALL_Chenodal.pdf |
Pancreatic Enzymes | PHARM_ALL_PancreaticEnzymes.pdf |
Thiazolidinediones Step Therapy | PHARM_ALL_ThiazolidinedioneStepTherapy.pdf |
Trelegy Ellipta | PHARM_ALL_TrelegyEllipta.pdf |
Trogarzo | PHARM_ALL_Trogarzo.pdf |
Axid Oral Solution | PHARM_ALL_AxidOralSolution.pdf |
Doxycycline 40mg Rosacea Agents | PHARM_ALL_DoxycyclineRosaceaAgents.pdf |
Osmolex ER | PHARM_ALL_OsmolexER.pdf |
Pepcid Oral Susp | PHARM_ALL_PepcidOralSuspension.pdf |
Lutathera | PHARM_ALL_Lutathera.pdf |
Doptelet | PHARM_ALL_Doptelet.pdf |
Elidel Protopic | PHARM_ALL_Elidel.pdf |
Olumiant | PHARM_ALL_Olumiant.pdf |
Non-Preferred Selective Serotonin Reuptake Inhibitors (SSRIs) Step Therapy | PHARM_ALL_NonPreferredSSRIs.pdf |
Non-Preferred Topical Anti-Infective/ Benzoyl Peroxide Combination Agents | PHARM_ALL_NPTopicalAntiInfBenzoylPeroxide.pdf |
Palynziq | PHARM_ALL_Palynziq.pdf |
Yonsa | PHARM_ALL_Yonsa.pdf |
Siklos | PHARM_ALL_Siklos.pdf |
Topical NSAID | PHARM_ALL_TopicalNSAID.pdf |
Humulin R U-500 | PHARM_ALL_Humulin.pdf |
Hydrocodone Containing Cough and Cold Agents Age Edit | PHARM_ALL_Hydrocodone.pdf |
Non-Opioid Cough and Cold Agents Age Edit | PHARM_ALL_NonOpioidCoughColdAgentsAgeEdit.pdf |
Proleukin | PHARM_ALL_Proleukin.pdf |
Ilumya | PHARM_ALL_Ilumya.pdf |
Mylotarg | PHARM_ALL_Mylotarg.pdf |
Megestrol acetate | PHARM_ALL_MegestrolAcetate.pdf |
Non-Preferred 5-Aminosalicylic Acid Oral Agents Step Therapy | PHARM_ALL_NP5AminosalicylicOralStepTherapy.pdf |
Rectal Steroid Foam | PHARM_ALL_RectalSteroidFoam.pdf |
Uceris Oral Tablets | PHARM_ALL_UcerisOralTablets.pdf |
Cumulative Morphine Equivalent Dose (MED) for Opioid Analgesic Therapy | PHARM_ALL_CumulativeMEDforOpioidAnalgesicTherapy.pdf |
Growth Hormones | PHARM_ALL_GrowthHormones.pdf |
Non-Preferred Angiotensin Receptor Blocker (ARB) Agents Step Therapy | PHARM_ALL_NonPreferredARBStepTherapy.pdf |
Takhzyro | PHARM_ALL_Takhzyro.pdf |
Braftovi | PHARM_ALL_Braftovi.pdf |
Galafold | PHARM_ALL_Galafold.pdf |
Mektovi | PHARM_ALL_Mektovi.pdf |
Onpattro | PHARM_ALL_Onpattro.pdf |
Tibsovo | PHARM_ALL_Tibsovo.pdf |
Antihypertensive Oral Solution | PHARM_ALL_AntihypertensiveOralSolution.pdf |
GamaSTAN | PHARM_ALL_GamaSTAN.pdf |
Non-Preferred Beta Blocker Step Therapy | PHARM_ALL_NPBetaBlockerStepTherapy.pdf |
Albenza | PHARM_ALL_Albenza.pdf |
Aloquin, Quinja | PHARM_ALL_Aloquin_Quinja.pdf |
Cystaran | PHARM_ALL_Cystaran.pdf |
Demser | PHARM_ALL_Demser.pdf |
Dibenzyline | PHARM_ALL_Dibenzyline.pdf |
Orilissa | PHARM_ALL_Orilissa.pdf |
Sucraid | PHARM_ALL_Sucraid.pdf |
Lyrica CR | PHARM_ALL_Lyrica3.pdf |
Ajovy | PHARM_ALL_Ajovy.pdf |
Consensi | PHARM_ALL_Consensi.pdf |
Emgality | PHARM_ALL_Emgality.pdf |
Epidiolex | PHARM_ALL_Epidiolex.pdf |
Ethyol | PHARM_ALL_Ethyol.pdf |
Ztlido | PHARM_ALL_Ztlido.pdf |
Non-Preferred Fibrate Agents | PHARM_ALL_NonPreferredFibrateAgents.pdf |
Non-Preferred Topical Corticosteroid - Medium Potency | PHARM_ALL_TopicalCorticosteroidsMediumPotency.pdf |
Non-Preferred Topical Corticosteroid - Very High Potency | PHARM_ALL_TopicalCorticosteroidsVeryHighPotency.pdf |
Copiktra | PHARM_ALL_Copiktra.pdf |
Libtayo | PHARM_ALL_Libtayo.pdf |
Tegsedi | PHARM_ALL_Tegsedi.pdf |
Vizimpro | PHARM_ALL_Vizimpro.pdf |
Lumoxiti | PHARM_ALL_Lumoxiti.pdf |
Akynzeo | PHARM_ALL_Akynzeo.pdf |
Aristada Initio | PHARM_ALL_AristadaInitio.pdf |
Mulpleta | PHARM_ALL_Mulpleta.pdf |
Non-Preferred Anti-Parkinson Agents | PHARM_ALL_NonPreferredAntiParkinsonAgents.pdf |
Parsabiv | PHARM_ALL_Parsabiv.pdf |
Talzenna | PHARM_ALL_Talzenna.pdf |
Non-Preferred Ophthalmic NSAIDs | PHARM_ALL_Non-PreferredOphthalmicNSAIDs.pdf |
Non-Preferred Topical Agents for External Anogenital Warts Step Therapy | PHARM_ALL_NPTopicalAgentsExternalAnogenitalWartsST.pdf |
Perseris | PHARM_ALL_Perseris.pdf |
Noritate | PHARM_ALL_Noritate.pdf |
Daurismo | PHARM_ALL_Daurismo.pdf |
Lorbrena | PHARM_ALL_Lorbrena.pdf |
Reclast | PHARM_ALL_Reclast.pdf |
Sulfonylareas | PHARM_ALL_Sulfonylareas.pdf |
Vitrakvi | PHARM_ALL_Vitrakvi.pdf |
Xospata | PHARM_ALL_Xospata.pdf |
Zometa | PHARM_ALL_Zometa.pdf |
Cyclosporine Ophthalmic (Cequa, Restasis) | PHARM_ALL_CyclosporineOphthalmic.pdf |
Firdapse | PHARM_ALL_Firdapse.pdf |
Interferons for MS | PHARM_ALL_InterferonsMS.pdf |
Penicillamine | PHARM_ALL_Penicillamine.pdf |
Ultomiris | PHARM_ALL_Ultomiris.pdf |
Yutiq | PHARM_ALL_Yutiq.pdf |
Qbrexza Cloth | PHARM_ALL_Qbrexzacloth.pdf |
Hyrimoz | PHARM_ALL_Hyrimoz.pdf |
Bonjesta Diclegis | PHARM_ALL_BonjestaDiclegis.pdf |
Cinvanti | PHARM_ALL_Cinvanti.pdf |
Emend Oral | PHARM_ALL_Emend.pdf |
Motegrity | PHARM_ALL_Motegrity.pdf |
Arikayce | PHARM_ALL_Arikayce.pdf |
Bijuva | PHARM_ALL_Bijuva.pdf |
Oxervate | PHARM_ALL_Oxervate.pdf |
Seysara | PHARM_ALL_Seysara.pdf |
Spravato | PHARM_ALL_Spravato.pdf |
Mayzent | PHARM_ALL_Mayzent.pdf |
Non-Sedating Antihistamines | PHARM_ALL_Non-SedatingAntihistamines.pdf |
Evenity | PHARM_ALL_Evenity.pdf |
Mavenclad | PHARM_ALL_Mavenclad.pdf |
Nuzyra | PHARM_ALL_Nuzyra.pdf |
Aemcolo | PHARM_ALL_Aemcolo.pdf |
Nocdurna | PHARM_ALL_Nocdurna.pdf |
Skyrizi | PHARM_ALL_Skyrizi.pdf |
Elzonris | PHARM_ALL_Elzonris.pdf |
Gamifant | PHARM_ALL_Gamifant.pdf |
Revcovi | PHARM_ALL_Revcovi.pdf |
Tafamidis Agents | PHARM_ALL_Tafamidis.pdf |
Piqray | PHARM_ALL_Piqray.pdf |
Ruzurgi | PHARM_ALL_Ruzurgi.pdf |
Polivy | PHARM_ALL_Polivy.pdf |
Bendamustine | PHARM_ALL_Bendamustine.pdf |
Bevacizumab | PHARM_ALL_Bevacizumab.pdf |
Subcutaneous Hormonal Implants (Formerly Testopel) | PHARM_ALL_SubcutaneousHormonalImplants.pdf |
Amiodarone (Formerly Cordarone) | PHARM_ALL_Amiodarone.pdf |
Asparlas | PHARM_ALL_Asparlas.pdf |
Balversa | PHARM_ALL_Balversa.pdf |
Cablivi | PHARM_ALL_Cablivi.pdf |
Duobrii | PHARM_ALL_Duobrii.pdf |
Gloperba | PHARM_ALL_Gloperba.pdf |
Zulresso | PHARM_ALL_Zulresso.pdf |
Sunosi | PHARM_ALL_Sunosi.pdf |
Nayzilam | PHARM_ALL_Nayzilam.pdf |
Xpovio | PHARM_ALL_Xpovio.pdf |
Ferriprox | PHARM_ALL_Ferriprox.pdf |
Nubeqa | PHARM_ALL_Nubeqa.pdf |
Turalio | PHARM_ALL_Turalio.pdf |
Rinvoq | PHARM_ALL_Rinvoq.pdf |
Inrebic | PHARM_ALL_Inrebic.pdf |
Wakix | PHARM_ALL_Wakix.pdf |
Aklief | PHARM_ALL_Aklief.pdf |
Zelnorm | PHARM_ALL_Zelnorm.pdf |
Trikafta | PHARM_ALL_Trikafta.pdf |
Duloxetine (Previously Cymbalta, Irenka) | PHARM_ALL_Duloxetine.pdf |
Vumerity | PHARM_ALL_Vumerity.pdf |
Trientine | PHARM_ALL_Trientine.pdf |
Multisource Brand MSB Agents | PHARM_ALL_MultisourceBrandAgents.pdf |
Oxbryta | PHARM_ALL_Oxbryta.pdf |
Tiopronin Agents | PHARM_ALL_Tiopronin_Agents.pdf |
Buprenorphine SL Tablets for Medication Assisted Treatment | PHARM_ALL_BuprenorphineSL.pdf |
Ubrelvy | PHARM_ALL_Ubrelvy.pdf |
Azedra | PHARM_ALL_Azedra.pdf |
Brukinsa | PHARM_ALL_Brukinsa.pdf |
Zevalin | PHARM_ALL_Zevalin.pdf |
Non-Preferred Insulin Syringe or Diabetic Syringe | PHARM_ALL_Non-PreferredInsulinSyringeDiabeticSyringe.pdf |
Non-Preferred Insulin Pen Needles | PHARM_ALL_NPreferredInsulinPenNeedles.pdf |
Niacin Agents | PHARM_ALL_NiacinAgents.pdf |
Oral HIV Antiretrovirals Quantity Limit | PHARM_ALL_OralHIVAntiretroviralsQuantityLimit.pdf |
Pliaglis | PHARM_ALL_Pliaglis.pdf |
Synera | PHARM_ALL_Synera.pdf |
Dovato | PHARM_ALL_Dovato.pdf |
Edurant | PHARM_ALL_Edurant.pdf |
Intelence | PHARM_ALL_Intelence.pdf |
Juluca | PHARM_ALL_Juluca.pdf |
Khapzory | PHARM_ALL_Khapzory.pdf |
Rozyltrek | PHARM_ALL_Rozyltrek_.pdf |
Ancobon | PHARM_ALL_Ancobon.pdf |
Givlaari | PHARM_ALL_Givlaari.pdf |
Beovu | PHARM_ALL_Beovu.pdf |
Influenza VirusV accine Quantity Limit | PHARM_ALL_InfluenzaVirusVaccineQuantityLimit.pdf |
Palforzia | PHARM_ALL_Palforzia.pdf |
Reyvow | PHARM_ALL_Reyvow.pdf |
Glycate | PHARM_ALL_Glycate.pdf |
Valtoco Nasal | PHARM_ALL_ValtocoNasal.pdf |
Lidocaine gel, cream, ointment | PHARM_ALL_LidodermOintment.pdf |
Adakveo | PHARM_ALL_Adakveo.pdf |
Depo-Estradiol | PHARM_ALL_DepoEstradiol.pdf |
Enzyme Replacement Therapy for Gaucher Disease | PHARM_ALL_EnzymeTherapyForGaucherDisease.pdf |
Eticovo | PHARM_ALL_Eticovo.pdf |
Hadlima | PHARM_ALL_Hadlima.pdf |
Ayvakit | PHARM_ALL_Ayvakit.pdf |
Aptivus | PHARM_ALL_Aptivus.pdf |
Amzeeq | PHARM_ALL_Amzeeq.pdf |
Hemady | PHARM_ALL_Hemady.pdf |
Xenleta | PHARM_ALL_Xenleta.pdf |
Buphenyl | PHARM_ALL_Buphenyl.pdf |
Nexletol | PHARM_ALL_Nexletol.pdf |
Nexlizet | PHARM_ALL_Nexlizet.pdf |
Nurtec | PHARM_ALL_Nurtec.pdf |
Katerzia | PHARM_ALL_Katerzia.pdf |
Ortikos | PHARM_ALL_Ortikos.pdf |
Vyepti | PHARM_ALL_Vyepti.pdf |
Chloroquine | PHARM_ALL_Chloroquine.pdf |
Plaquenil | PHARM_ALL_Plaquenil.pdf |
Descovy | PHARM_ALL_Descovy.pdf |
Doxepin Cream | PHARM_ALL_DoxepinCream.pdf |
Duavee | PHARM_ALL_Duavee.pdf |
Herceptin Hylecta | PHARM_ALL_HerceptinHylecta.pdf |
Invega Sustenna | PHARM_ALL_InvegaSustenna.pdf |
Oxsoralen-Ultra | PHARM_ALL_Oxsoralen-Ultra.pdf |
Pretomanid | PHARM_ALL_Pretomanid.pdf |
Reblozyl | PHARM_ALL_Reblozyl.pdf |
Fragmin Quantity Supply | PHARM_ALL_FragminQuantityLimit.pdf |
Scenesse | PHARM_ALL_Scenesse.pdf |
Enhertu | PHARM_ALL_Enhertu.pdf |
Padcev | PHARM_ALL_Padcev.pdf |
Tazverik | PHARM_ALL_Tazverik.pdf |
Teriparatide (Bonsity, Forteo) | PHARM_ALL_teriparatideBonsityForteo.pdf |
Jetrea | PHARM_ALL_Jetrea.pdf |
Koselugo | PHARM_ALL_Koselugo.pdf |
Pemazyre | PHARM_ALL_Pemazyre.pdf |
Tukysa | PHARM_ALL_Tukysa.pdf |
Octreotide | PHARM_ALL_Octreotide.pdf |
Pizensy | PHARM_ALL_Pizensy.pdf |
Sarclisa | PHARM_ALL_Sarclisa.pdf |
Zeposia | PHARM_ALL_Zeposia.pdf |
Continuous Glucose Monitors | PHARM_ALL_ContinuousGlucoseMonitors.pdf |
Qinlock | PHARM_ALL_Qinlock.pdf |
DoxorubicinLiposome | PHARM_ALL_DoxorubicinLiposome.pdf |
Trodelvy | PHARM_ALL_Trodelvy.pdf |
Ibsrela | PHARM_ALL_Ibsrela.pdf |
Oriahnn | PHARM_ALL_Oriahnn.pdf |
Pennsaid | PHARM_ALL_Pennsaid.pdf |
Conjupri | PHARM_ALL_Conjupri.pdf |
Durysta | PHARM_ALL_Durysta.pdf |
Jelmyto | PHARM_ALL_Jelmyto.pdf |
Tabrecta | PHARM_ALL_Tabrecta.pdf |
Abrilada | PHARM_ALL_Abrilada.pdf |
Bafiertam | PHARM_ALL_Bafiertam.pdf |
Breztri | PHARM_ALL_Breztri.pdf |
Dojolvi | PHARM_ALL_Dojolvi.pdf |
Evrysdi | PHARM_ALL_Evrysdi.pdf |
Non-Preferred Overactive Bladder Agents Step Therapy | PHARM_ALL_NonPreferredOveractiveBladderStepTherapy.pdf |
Retevmo | PHARM_ALL_Retevmo.pdf |
Enspryng | PHARM_ALL_Enspryng.pdf |
Kesimpta | PHARM_ALL_Kesimpta.pdf |
Non-Formulary Requests | PHARM_ALL_NonFormularyRequests.pdf |
Rukobia | PHARM_ALL_Rukobia.pdf |
Vesicare | PHARM_ALL_Vesicare.pdf |
Inqovi | PHARM_ALL_Inqovi.pdf |
Upneeq | PHARM_ALL_Upneeq.pdf |
Buprenorphine with Naloxone - NY Policy | PHARM_NYNY_BuprenorphinewithNaloxone.pdf |
Gavreto | PHARM_ALL_Gavreto.pdf |
Non-Preferred Long-Acting Insulin Step Therapy | PHARM_ALL_NPLAInsulinST.pdf |
Xenazine | PHARM_ALL_Xenazine.pdf |
Isturisa | PHARM_ALL_Isturisa.pdf |
Mycapssa | PHARM_ALL_Mycapssa.pdf |
Phesgo | PHARM_ALL_Phesgo.pdf |
Uplizna | PHARM_ALL_Uplizna.pdf |
Zepzelca | PHARM_ALL_Zepzelca.pdf |
Zilretta | PHARM_ALL_Zilretta.pdf |
Apomorphine | PHARM_ALL_Apomorphine.pdf |
Azilect | PHARM_ALL_Azilect.pdf |
Elyxyb | PHARM_ALL_Elyxyb.pdf |
Inbrija | PHARM_ALL_Inbrija.pdf |
Mirapex | PHARM_ALL_Mirapex.pdf |
Nourianz | PHARM_ALL_Nourianz.pdf |
Ongentys | PHARM_ALL_Ongentys.pdf |
RequipXL | PHARM_ALL_RequipXL.pdf |
Rytary | PHARM_ALL_Rytary.pdf |
Xadago | PHARM_ALL_Xadago.pdf |
Zelapar | PHARM_ALL_Zelapar.pdf |