| Atypical Antipsychotics - PA, ST |
Caplyta, Erzofri (paliperidone palmitate), Fanapt (iloperidone), Invega Hafyera (paliperidone palmitate), Lybalvi, Nuplazid (pimavanserin), Saphris, Secuado (asenapine) |
| Authorized Brand Alternative (ABA) Policy |
Dapagliflozin, Dapagliflozin-Metformin hydrochloride Extended-Release, Fluticasone and Salmeterol HFA inhalation aerosol, Fluticasone and Vilanterol inhalation powder, Insulin Aspart 70/30 Injection Solution, Insulin Aspart 70/30 Flexpen, Novolog Relion 70/30, Novolog Relion 70/30 Flexpen, Insulin Aspart Injection Solution, Insulin Aspart Flexpen, Insulin Aspart Penfill, Novolog Relion, Novolog Relion Flexpen, Insulin Degludec Injection Solution, Insulin Degludec Flextouch Injection, Insulin Glargine Injection Solution, Insulin Glargine Solostar Injection, Insulin Glargine U-300 Solostar Injection Solution, Insulin Glargine U-300 Max Solostar Injection, Insulin Lispro Kwikpen, Insulin Lispro Jr Kwikpen, Insulin Lispro 75/25 Kwikpen |
| Azole Antifungals - PA, NF |
Cresemba (isavuconazonium sulfate) capsules, Noxafil (posaconazole) oral suspension, Noxafil (posaconazole) tablets, Noxafil PowderMix (posaconazole) for delayed-release oral suspension, Sporanox (itraconazole) capsules, Sporanox (itraconazole) oral solution, Sporanox Pulse Pak (itraconazole), Tolsura (itraconazole) capsules, Vfend (voriconazole) oral suspension, Vfend (voriconazole) tablets |
| Banzel (rufinamide) |
Banzel (rufinamide) tablets and oral suspension |
| Bendamustine Agents |
Belrapzo, Bendamustine, Bendeka, Treanda, Vivimusta |
| Benlysta (belimumab) |
Benlysta (belimumab IV), Benlysta (belimumab SC) |
| Bevacizumab - PA, NF |
Avastin (bevacizumab), Mvasi (bevacizumab-awwb), Zirabev (bevacizumab-bvzr), Alymsys (bevacizumab-maly), Vegzelma (bevacizumab-adcd) |
| Bimzelx (bimekizumab-bkzx) |
Bimzelx (bimekizumab-bkzx) |
| Blood Glucose Monitor & Test Strips - ST, QL, NF |
Blood glucose monitoring systems |
| Bonjesta, Diclegis (doxylamine/pyridoxine) |
Bonjesta, Diclegis (doxylamine succinate and pyridoxine hydrochloride) |
| Bortezomib |
Bortezomib (bortezomib), Velcade (bortezomib) |
| Bosulif (bosutinib) |
Bosulif (bosutinib) |
| Botox (onabotulinumtoxinA) |
Botox (onabotulinumtoxin A), Botox Cosmetic (onabotulinumtoxin A) |
| Bowel Prep Agents |
Moviprep, Osmoprep, Plenvu |
| Cablivi (caplacizumab-yhdp) |
Cablivi (caplacizumab-yhdp) |
| Cabometyx (cabozantinib) |
Cabometyx (cabozantinib) tablets |
| Cabotegravir Containing Agents - PA, NF |
Cabenuva (cabotegravir and rilpivirine) Injection, Vocabria (cabotegravir) Tablet |
| Cannabinoids |
Marinol (dronabinol) capsule, Syndros (dronabinol) oral solution |
| Caprelsa (vandetanib) |
Caprelsa (vandetanib) |
| Cayston (aztreonam for inhalation solution) - PA, NF |
Cayston (aztreonam for inhalation solution) |
HEALTHY LIVING