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Conditions / Drug List

Conditions / Drug List

Acromegaly

Sandostatin
Sandostatin LAR
Somatuline Depot
Somavert

Allergic Asthma, Severe Eosinophilic Asthma

Nucala
Xolair

Atopic Dermatitis

Dupixent

Botulinum Toxins

Botox
Dyport
Myobloc
Xeomin

Crohn’s Disease and Ulcerative Colitis

Cimizia
Humira
Entyvio
Remicade
Simponi
Stelara
Xeljanz

Cystic Fibrosis

Bethkis
Pulmozyme
TOBI
TOBI Podhaler

Growth Hormone Deficiency and Related Disorders

Genotropin
Humatrope
Norditropin
Nutropin AQ
Omnitrope
Saizen
Serostim
Zorbtive

Hepatitis B

Baraclude
Epivir HBV
Hepsera
Vemlidy

Hepatitis C

Daklinza
Epclusa
Harvoni
Mavyret
Pagasys
Peg-intron
Ribavirin
Sovaldi
Viekira Pak
Vosevi
Zepatier

Hormonal Therapies

Eligard
Firmagon
Lupron Depot
Lupron Depot-Ped
Makena
Supprelin LA
Trelstar Mixjet
Vantas
Zoladex

Hemophilia and Related Bleeding Disorders

Afstyla
AlphaNin SD
Alprolix
Bebulin
Benefix
Corifact
Eloctate
Feiba
Helixate FS
Hemlibra
Hemofil M
Humate-P
Idelvion
Ixinity
Koate-DVI
Kogenate FS
Kovaltry
Monoclate-P
Mononine
NovoEight
NovoSeven RT
Nuwiq
Profilnine
Recombinate
Riastap
Rixubis
Tretten
Vonvendi
Wilate
Xyntha
Xyntha Solofuse

Hereditary Angioedema

Firazyr

HIV

Aptivus
Atripla
Biktarvy
Cimduo
Combivir
Complera
Crixivan
Descovy
Edurant
Egrifta
Emtriva
Epivir
Epzicom
Evotaz
Genvoya
Intelence
Invirase
Isentress
Isentress HD
Juluca
Kaletra
Lexiva
Norvir
Odefsey
Prezcobix
Prezista
Retrovir
Reyataz
Selzentry
Stribild
Sustiva
Symfi
Symfi Lo
Symtuza
Tivicay
Triumeq
Trizivir
Truvada
Tybost
Videx
Viracept
Viramune
Viramune XR
Viread
Vitekta
Zerit
Ziagen

Immune Deficiency and Related Disorders

Carimune NF
Cuvitru
Flebogamma
Gamastan S/D
Gammagard
Gammaked
Gamunex-C
Hizentra
HyperRHO S/D
Hyqvia
Octagam
Privigen
Rhophylac
WinRho SD

Immune Thrombocytopenic Purpura

Promacta

Migraine Headache Prevention

Botox
Aimovig
Ajovy

Multiple Sclerosis

Ampyra
Aubagio
Avonex
Betaseron
Copaxone
Extavia
Gilenya
Glatopa
Lemtrada
Mitoxantrone
Ocrevus
Plegridy
Rebif
Tecfidera
Tysabri

Oncology Oral

Afinitor
Alkeran
Bosulif
Cabometyx
Cyclophosphamide
Etoposide
Farydak
Gleevec
Gleostine
Hycamtin
Ibrance
Inlyta
Kisqali
Kisqali Femara Co-Pack
Leukeran
Mekinist
Nexavar
Nilandron
Ninlaro
Odomzo
Purixan
Rydapt
Sprycel
Sutent
Tabloid
Tafinlar
Tarceva
Targretin
Tasigna
Temodar
Thalomid
Tretinoin
Tykerb
Votrient
Xalkori
Xeloda
Zolinza
Zykadia
Zytiga

Oncology Supportive Care

Pamidronate
Xgeva
Zometa

Osteoarthritis

Durolane
Euflexxa
Gel-One
GelSyn-3
Hyalgan
Hymovis
Monovisc
Orthovisc
Supartz FX
Synvisc
Synvisc One
Visco-3

Plaque Psoriasis

Cimzia
Cosentyx
Enbrel
Humira
Inflectra
Otezla
Remicade
Stelara
Taltz
Tremfya

Psoriatic Arthritis

Cimzia
Cosentyx
Enbrel
Humira
Inflectra
Orencia
Otezla
Remicade
Simponi
Simponi Aria
Stelara
Taltz
Xeljanz

Pulmonary Arterial Hypertension

Adcirca
Revatio

Respiratory Syncytial Virus

Synagis

Transplant

Astagraf XL
Cellcept
Envarsus XR
Gengraf
Myfortic
Neoral
Prograf
Rapamune
Sandimmune
Zortress