Guideline | Drug Name |
---|---|
Corlanor (ivabradine) | Corlanor (ivabradine) |
Cosela (trilaciclib) - PA, NF | Cosela (trilaciclib) |
Cosentyx (secukinumab) - PA, NF | Cosentyx IV (secukinumab), Cosentyx SC (secukinumab) |
Cotellic (cobimetinib) | Cotellic (cobimetinib) |
Coverage of Drugs for Off-Label or Non-FDA Approved Indications | |
Crinone Gel 8% Quantity Limit | Crinone Gel 8% |
Crysvita (burosumab-twza) | Crysvita (burosumab-twza) |
Daliresp (roflumilast) | Daliresp (roflumilast) |
Daraprim (pyrimethamine) | Daraprim (pyrimethamine) |
Darzalex (daratumumab), Darzalex Faspro (daratumumab and hyaluronidase-fihj) - PA, NF | Darzalex (daratumumab), Darzalex Faspro (daratumumab and hyaluronidase-fihj) |
Daurismo (glasdegib) | Daurismo (glasdegib) |
DAW Override | DAW override, Dispense, written |
Daxxify (botulinum toxin type a injection) | Daxxify (botulinum toxin type a injection) |
Daybue (trofinetide) - PA, NF | Daybue (trofinetide) |
Deferasirox products | Exjade (deferasirox), deferasirox tablet, Jadenu (deferasirox), Jadenu Sprinkle (deferasirox) |
Demser (metyrosine) | Demser (metyrosine) |
Diabetic Agents | Cycloset (bromocriptine), Riomet (metformin) |
Diabetic GLP-1's | Bydureon BCise, Byetta, Rybelsus, Mounjaro, Ozempic, Trulicity, Victoza |
Diacomit (stiripentol) | Diacomit (stiripentol) |
Dibenzyline (phenoxybenzamine) | Dibenzyline (phenoxybenzamine) |