| Guideline | Drug Name |
|---|---|
| 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 |
| Oxbryta (voxelotor) - PA, NF | Oxbryta (voxelotor) |
| 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) |
| Prior Authorization Administrative Guideline | Admin, Administrative, albendazole, albenza, Prior Authorization |
| Procysbi (cysteamine bitartrate) | Procysbi (cysteamine bitartrate) |
| Prolia (denosumab) | Prolia (denosumab) |
| Promacta (eltrombopag) | Promacta (eltrombopag) |
| Proton Pump Inhibitors | Aciphex (rabeprazole), Aciphex Sprinkle (rabeprazole), Dexilant (dexlansoprazole), Konvomep (omeprazole and sodium bicarbonate), Nexium (esomeprazole), Prevacid (lansoprazole), Prilosec (omeprazole), Protonix (pantoprazole), Zegerid (omeprazole/sodium bicarbonate) |
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