| Cayston (aztreonam for inhalation solution) - PA, NF |
Cayston (aztreonam for inhalation solution) |
| Cequa (cyclosporine 0.09%) |
Cequa (cyclosporine 0.09%) ophthalmic solution |
| CGRP Inhibitors - PA, NF |
Aimovig (erenumab-aooe), Ajovy (fremanezumab-vfrm), Vyepti (eptinezumab-jjmr); Qulipta (atogepant), Emgality (galcanezumab-gnlm), Nurtec ODT (rimegepant), Ubrelvy (ubrogepant), Zavzpret (zavegepant) |
| Chenodal (chenodiol) |
Chenodal (chenodiol) |
| Cholbam (cholic acid) |
Cholbam (cholic acid) |
| Cibinqo (abrocitinib) |
Cibinqo (abrocitinib) |
| Cimzia (certolizumab pegol) |
Cimzia (certolizumab pegol) |
| Cinqair (reslizumab) |
Cinqair (reslizumab) |
| Ciprofloxacin-Containing Otic Agents |
Cetraxal (ciprofloxacin otic solution), Ciprodex (ciprofloxacin and dexamethasone otic suspension) |
| Cobenfy (xanomeline and trospium chloride) |
Cobenfy (xanomeline and trospium chloride) |
| Colony-Stimulating Factors (CSFs) - PA, NF |
Fulphila (pegfilgrastim-jmdb, G-CSF), Fylnetra (pegfilgrastim-pbbk), Nyvepria (pegfilgrastim-apgf, G-CSF), Stimufend (pegfilgrastim-fpgk), Ziextenzo (pegfilgrastim-bmez, G-CSF), Granix (tbo-filgrastim, G-CSF), Leukine (sargramostim, GM-CSF), Neulasta, Neulasta Onpro (pegfilgrastim, G-CSF), Neupogen (filgrastim, G-CSF), Nivestym (filgrastim-aafi, G-CSF), Zarxio (filgrastim-sndz, G-CSF), Releuko (filgrastim-ayow), Rolvedon (eflapegrastim-xnst), Udenyca (pegfilgrastim-cbqv, G-CSF) |
| Cometriq (cabozantinib) |
Cometriq (cabozantinib) |
| Commercial MEDLIMIT CDUR Criteria |
cumulative, MED, MEE, morphine, opioid |
| Compounded Drugs |
Acyclovir 5% Topical Ointment, Arthrotec, Bulk powders, Cambia, Compound, COMPOUNDED DRUGS, Compounds, Cutivate, Diclofenac bulk powder, Diclofenac Ophthalmic Solution, Diclofenac tablets, Doxepin 5% Topical Cream, Dyloject, Elocon, Flector, Flurbiprofen bulk powder, Flurbiprofen tablets, Fluticasone bulk powder, Gabapentin bulk powder, Gralise, Horizant, Ketalar, Ketamine bulk powder, Ketoprofen bulk powder, Ketoprofen capsules, Ketoprofen extended-release capsules, Levocetirizine bulk powder, Mometasone powder, Neurontin, Ocufen, Pennsaid, Prudoxin 5% Topical Cream, Rexaphenac, Solaraze, Voltaren, Xyzal, Zipsor Liquid Filled Capsules, Zonalon 5% Topical Cream, Zorvolex Oral Capsules, Zovirax 5% Topical Ointment |
| Constipation Agents |
Amitiza (lubiprostone), Linzess (linaclotide), Motegrity (prucalopride), Movantik (naloxegol), Relistor (methylnaltrexone bromide) injection, Relistor (methylnaltrexone bromide) tablet, Symproic (naldemedine), Trulance (plecanatide) |
| Continuous Glucose Monitors, Sensors, and Transmitters - PA, NF |
BIGFOOT UNITY PROGRAM KIT, DEXCOM G6 RECEIVER, DEXCOM G6 SENSOR, DEXCOM G6 TRANSMITTER, DEXCOM G7 RECEIVER, DEXCOM G7 SENSOR, ENLITE GLUCOSE SENSOR, EVERSENSE E3 SENSOR/HOLDER, EVERSENSE E3 SMART TRANSMITTER, EVERSENSE SENSOR/HOLDER, EVERSENSE SMART TRANSMITTER, FREESTYLE LIBRE 14 DAY/SENSOR/FLASH MONITORING SYSTEM, FREESTYLE LIBRE 14 DAY/READER/FLASH MONITORING SYSTEM, FREESTYLE LIBRE 14 DAY/SENSOR/FLASH MONITORING SYSTEM, FREESTYLE LIBRE 2/READER/FLASH GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 2/SENSOR/FLASH GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 3 PLUS/SENSOR/GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 3 PLUS/SESOR/GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 3/READER/FLASH GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE 3/SENSOR/FLASH GLUCOSE MONITORING SYSTEM, FREESTYLE LIBRE/READER/FLASH MONITORING SYSTEM, GUARDIAN 4 GLUCOSE SENSOR, GUARDIAN 4 TRANSMITTER KIT, GUARDIAN CONNECT TRANSMITTER, GUARDIAN CONNECT TRANSMITTER KIT, GUARDIAN LINK 3 TRANSMITTER KIT, GUARDIAN REAL-TIME REPLACEMENT MONITOR PEDIATRIC, GUARDIAN SENSOR (3), GUARDIAN SENSOR 3, MINILINK REAL-TIME TRANSMITTER, MINIMED 630G GUARDIAN PRESS STARTER TRANSMITTER KIT, MINIMED GUARDIAN LINK 3 TRANSMITTER, PARADIGM REAL-TIME TRANSMITTER |
| Contraceptives - Step Therapy |
Slynd (drospirenone), Taytulla (norethindrone acetate/ethinyl estradiol/ferrous fumarate), Twirla (levonorgestrel/ethinyl estradiol) |
| Contraceptives for Non-Contraceptive Use |
Contraceptives |
| Copiktra (duvelisib) |
Copiktra (duvelisib) |
| Copper Chelating Agents - PA, NF |
Cuprimine (penicillamine), Cuvrior (trientine tetrahydrochloride), Syprine (trientine) |
HEALTHY LIVING