Orilissa (elagolix) |
Orilissa (elagolix) |
Orkambi (lumacaftor/ivacaftor) |
Orkambi (lumacaftor/ivacaftor) |
Orserdu (elacestrant) |
Orserdu (elacestrant) |
Otezla (apremilast) |
Otezla (apremilast) |
Overactive Bladder Agents - Step Therapy |
Gelnique (oxybutynin chloride), Gemtesa (vibegron), Oxytrol (oxybutynin transdermal system), Oxytrol For Women (oxybutynin patch), Toviaz (fesoterodine fumarate), Vesicare LS (solifenacin) Oral Suspension |
Oxervate (cenegermin-bkbj) - PA, QL |
Oxervate (cenegermin-bkbj) |
Oxlumo (lumasiran) |
Oxlumo (lumasiran) injection |
Palforzia [Peanut (Arachis hypogaea)] - PA, NF |
Palforzia [Peanut (Arachis hypogaea) Allergen Powder-dnfp] |
Palynziq (pegvaliase-pqpz) - PA, NF |
Palynziq (pegvaliase-pqpz) |
Pancreatic Enzyme Products |
Pancreaze (pancrelipase), Pertzye (pancrelipase), Viokace (pancrelipase) |
PCSK9 Inhibitors - PA, ST, NF |
Praluent (alirocumab), Repatha (evolocumab) |
Pedmark (sodium thiosulfate injection, solution) |
Pedmark (sodium thiosulfate injection, solution) |
Pemazyre (pemigatinib) - PA, NF |
Pemazyre (pemigatinib) |
Phosphate Binders |
Fosrenol (lanthanum carbonate), Phoslyra (calcium acetate), Velphoro (sucroferric oxyhydroxide) |
Piasky (crovalimab) |
Piasky (crovalimab) |
Piqray (alpelisib) |
Piqray (alpelisib) |
Pomalyst (pomalidomide) |
Pomalyst (pomalidomide) |
Pombiliti (cipaglucosidase alfa-atga) |
Pombiliti (cipaglucosidase alfa-atga) |
Presbyopia Agents - PA, NF |
Qlosi (pilocarpine hydrochloride ophthalmic solution), Vuity (pilocarpine) |
Prior Authorization Administrative Guideline |
Admin, Administrative, albendazole, albenza, Prior Authorization |