| Actimmune (interferon gamma-1b) |
Actimmune (interferon gamma-1b) |
| Adakveo (crizanlizumab-tmca) |
Adakveo (crizanlizumab-tmca) |
| Administrative Non-Formulary & Excluded Drug Exceptions Process |
contraception, contraceptive, contraceptives, Excluded drug, Exclusion, non, non-form, non-formulary, Non-formulary drug |
| Afinitor, Afinitor Disperz (everolimus) - PA, NF |
Afinitor (everolimus tablet), Afinitor Disperz (everolimus tablet for oral suspension), Torpenz (everolimus tablet) |
| Afrezza (insulin human, inhalation powder) - PA, NF |
Afrezza (insulin human, inhalation powder) |
| Akeega (niraparib and abiraterone) - PA, NF |
Akeega (niraparib and abiraterone) |
| Aldurazyme (laronidase) |
Aldurazyme (laronidase) |
| Alecensa (alectinib) |
Alecensa (alectinib) |
| Alfa Interferons |
Intron A (interferon alfa-2b), Pegasys (peginterferon alfa-2a) |
| Alpha-1 Proteinase Inhibitors |
Aralast NP (alpha-1-proteinase inhibitor [human]), Glassia (alpha-1-proteinase inhibitor [human]), Prolastin-C (alpha-1-proteinase inhibitor [human]), Prolastin-C liquid (alpha-1-proteinase inhibitor [human]), Zemaira (alpha-1-proteinase inhibitor [human]) |
| Amjevita (adalimumab-atto) - PA, NF - Standard Default |
Amjevita (adalimumab-atto) |
| Ampyra (dalfampridine) - PA, NF |
Ampyra (dalfampridine) |
| Anti-Parkinson’s Agents |
Crexont (carbidopa and levodopa) extended-release capsules, Dhivy (carbidopa-levodopa), Duopa (carbidopa and levodopa) enteral suspension, Gocovri (amantadine) extended-release capsules, Ongentys (opicapone), Osmolex ER (amantadine) extended-release tablets, Rytary (carbidopa and levodopa) extended-release capsules, Vyalev (foscarbidopa and foslevodopa) subcutaneous injection, Xadago (safinamide) tablets |
| Anticonvulsants |
Briviact (brivaracetam) |
| Antidepressants |
Fetzima (levomilnacipran extended-release), Trintellix (vortioxetine) |
| Antiemetics Quantity Limit Overrides |
Akynzeo (netupitant/palonosetron), Anzemet (dolasetron), Emend (aprepitant), Granisetron, Marinol (dronabinol), Sancuso (granisetron transdermal system), Sustol (granisetron injection), Varubi (rolapitant), Zofran (ondansetron) |
| Antigout Agents |
Uloric (febuxostat) |
| Antimalarial Agents |
Qualaquin (quinine sulfate) |
| Antipsychotics, Long-Acting Injectable |
Abilify Asimtufii, Abilify Maintena, Aristada, Aristada Initio, Haldol Decanoate, Invega Hafyera, Invega Sustenna, Invega Trinza, Perseris, Risperdal Consta, Rykindo, Uzedy, Zyprexa Relprevv |
| Apokyn |
Apokyn (apomorphine injection) |
HEALTHY LIVING