Printable Specialty Drug List
Effective April 2025
| Condition | Brand Name | Generic Brand |
|---|---|---|
| Growth Hormone | ZORBTIVE | somatropin |
| Other | ZORTRESS | everolimus |
| Hematology & Oncology | ZYKADIA | ceritinib |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | ZYMFENTRA | infliximab-dyyb |
| Hematology & Oncology | XTANDI | enzalutamide |
| Hematology & Oncology | YONSA | abiraterone |
| Hepatitis B | ZARXIO | filgrastim-sndz |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology, Multiple Sclerosis | ZEPOSIA | ozanimod |
| HIV | ZIAGEN | abacavir |
| Other | ZILRETTA | triamcinolone acetonide ER |
| Hematology & Oncology | ZIRABEV | bevacizumab-bvzr |
| Hepatitis B | ZIRABVEX | bevacizumab-bvzr |
| Hepatitis B | ZOLADEX | goserelin acetate |
| Hematology & Oncology | ZOLINZA | vorinostat |
| Growth Hormone | ZOMACTON | somatropin |
| Hematology & Oncology | ZOMETA | zoledronic acid |
| Hematology & Oncology | VESANOID | tretinoin (oral) |
| Hematology & Oncology | VIJOICE | alpelisib |
| HIV | VIRAMUNE | nevirapine |
| Hepatitis B | VIREAD | tenofovir disoproxil fumarate |
| Other | VISCO-3 | hyaluronic acid |
| Other | VIVITROL | naltrexone |
| Hepatitis C | VOSEVI | sofosbuvir/velpatasvir/voxilaprevir |
| Hematology & Oncology | VOTRIENT | pazopanib |
| Other | VYVGART* | efgartigimod alfa-fcab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | XELJANZ/XELJANZ XR | tofacitinib |
| Hematology & Oncology | XELODA | capecitabine |
| Other | XENAZINE | tetrabenazine |
| Other | XENPOZYME | olipudase alfa-rpcp |
| Hematology & Oncology, Hematology & Oncology Supplemental Medications | XGEVA | denosumab |
| Other | TRIESENCE | triamcinolone acetonide |
| Other | TRILURON | hyaluronate sodium |
| HIV | TRIUMEQ | abacavir/dolutegravir/lamivudine |
| HIV | TRUVADA | emtricitabine/tenofovir disoproxil fumarate |
| Hematology & Oncology | TRUXIMA | rituximab-abbs |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | TYENNE | tocilizumab-aazg |
| Hematology & Oncology | TYKERB | lapatinib |
| Hematology & Oncology Supplemental Medications | UDENYCA | pegfilgrastim-cbqv |
| Hematology & Oncology | VALSTAR | valrubicin |
| Hematology & Oncology | VELCADE | bortezomib |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | VELSIPITY | etrasimod |
| Hepatitis B | VEMLIDY | tenofovir alafenamide |
| Hematology & Oncology | VEPESID | etoposide |
| Hematology & Oncology | SUTENT | sunitinib |
| HIV | SYMTUZA | darunavir/cobicistat/emtricitabine/tenofovir |
| Other | SYNVISC/SYNVISC ONE | hylan polymers a and b |
| Other | SYPRINE | trientine hydrochloride |
| Hematology & Oncology | TABRECTA | capmatinib |
| Hematology & Oncology | TAFINLAR | dabrafenib |
| Hematology & Oncology | TARGRETIN | bexarotene |
| Hematology & Oncology | TARGRETIN GEL | bexarotene |
| Hematology & Oncology | TASIGNA | nilotinib |
| Hematology & Oncology | TEMODAR | temozolomide |
| Other | THIOLA | tiopronin |
| Hematology & Oncology | THYROGEN | thyrotropin alfa |
| HIV | TIVICAY | dolutegravir |
| Cystic Fibrosis | TOBI/TOBI PODHALER | tobramycin |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | TOFIDENCE | tocilizumab-bavi |
| Pulmonary Hypertension | TRACLEER | bosentan |
| Hematology & Oncology | TRAZIMERA | trastuzumab-qyyp |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | TREMFYA | guselkumab |
| Growth Hormone | SAIZEN | somatropin |
| Hematology & Oncology Supplemental Medications | SANDOSTATIN/LAR | octreotide |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | SELARSDI | ustekinumab-aekn |
| HIV | SELZENTRY | maraviroc |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | SKYRIZI | risankizumab |
| Growth Hormone | SKYTROFA | lonapegsomatropin-tcgd |
| Growth Hormone | SOGROYA | somapacitan |
| Hematology & Oncology | SOMATULINE DEPOT | lanreotide |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | SORIATANE** | acitretin |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | SOTYKTU | deucravacitinib |
| Hematology & Oncology | SPRYCEL | dasatinib |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | STELARA | ustekinumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | STEQEYMA | ustekinumab-stba |
| Hematology & Oncology Supplemental Medications | STIMUFEND* | pegfilgrastim-fpgk |
| HIV | STRIBILD | elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate |
| Other | SUPARTZ FX | hyaluronic acid |
| Hematology & Oncology | SUPPRELIN LA | histrelin acetate |
| Hematology & Oncology | PURIXAN | mercaptopurine |
| Other | QULIPTA | atogepant |
| Other | RADICAVA IV | edaravone (generic only) |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | RASUVO** | methotrexate |
| Hepatitis C | REBETOL | ribavirin |
| Multiple Sclerosis | REBIF | interferon b-1a |
| Osteoporosis | RECLAST | zoledronic acid |
| Other | RELISTOR | methylnaltrexone bromide |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | REMICADE | infliximab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | RENFLEXIS | infliximab-abda |
| Other | REPATHA | evolocumab |
| Hematology & Oncology Supplemental Medications | RETACRIT | epoetin alfa-epbx |
| HIV | REYATAZ | atazanavir sulfate |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | RINVOQ | upadacitinib |
| Hematology & Oncology Supplemental Medications | ROLVEDON | eflapegrastim-xnst |
| HIV | RUKOBIA | fostemsavir |
| Hematology & Oncology | RYDAPT | midostaurin |
| Other | SABRIL | vigabatrin |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | OTREXUP** | methotrexate |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | OTULFI | ustekinumab-aauz |
| Hematology & Oncology | OXALIPLATIN | oxaliplatin |
| Hematology & Oncology | PEGASYS | peginterferon a-2a |
| Hematology & Oncology | PEGINTRON REDIPEN | peginterferon a-2b |
| Hematology & Oncology | PIQRAY | alpelisib |
| Multiple Sclerosis | PLEGRIDY | peginterferon b-1a |
| Multiple Sclerosis | PONVORY | ponesimod |
| Other | PRALUENT | alirocumab |
| HIV | PREZCOBIX | darunavir/cobicistat |
| HIV | PREZISTA | darunavir ethanolate |
| Hematology & Oncology Supplemental Medications | PROCRIT | epoetin alfa |
| Hematology & Oncology | PROMACTA | eltrombopag olamine |
| Cystic Fibrosis | PULMOZYME | dornase alfa |
| Other | NOVAREL | chorionic gonadotropin |
| HIV | ODEFSEY | emtricitabine/rilpivirin/tenofovir alafenamide |
| Hematology & Oncology | ODOMZO | sonidegib |
| Hematology & Oncology | OGIVRI | trastuzumab-dkst |
| Growth Hormone | OMNITROPE | somatropin |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | OMVOH | mirikizumab-mrkz |
| Hematology & Oncology | ONTRUZANT | trastuzumab-dttb |
| Hematology & Oncology | ONUREG | azacitadine |
| Hematology & Oncology | OPDUALAG | nivolumab/relatlimab-rmbw |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | OPZELURA | ruxolitinib |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | ORENCIA | abatacept |
| Other | ORTHOVISC | hyaluronic acid |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | OTEZLA | apremilast |
| Growth Hormone | NGENLA | somatrogon |
| Hematology & Oncology | NIPENT | pentostatin |
| Hematology & Oncology Supplemental Medications | NIVESTYM | filgrastim-aafi |
| Hematology & Oncology Supplemental Medications | NOLVADEX** | tamoxifen |
| Growth Hormone | NORDITROPIN | somatropin |
| Other | NORTHERA | droxidopa |
| HIV | NORVIR | ritonavir |
| Hematology & Oncology | NOVANTRONE | mitoxantrone |
| Other | MONOFERRIC | ferric derisomaltose |
| Other | REZUROCK* ‡ | belumosudil |
| Other | MONOVISC | hyaluronic acid |
| Other | SPRAVATO† | esketamine |
| Other | SUBLOCADE † ‡ | buprenorphine ER |
| Other | SYNAGIS ‡ | palivizumab |
| Other | MOTEGRITY | prucalopride |
| Hematology & Oncology, Hematology & Oncology Supplemental Medications | MOZOBIL | plerixafor |
| Other | UZEDY | risperidone |
| Other | VABYSMO ‡ | faricimab-svoa |
| Hematology & Oncology | MUTAMYCIN | mitomycin |
| Other | VPRIV | velaglucerase alfa |
| Other | VYEPTI | eptinezumab-jjmr |
| Other | VYNDAQEL* | tafamidis meglumine |
| Other | VYVGART HYTRULO* | efgartigimod alfa-fcab and hyaluronidase-qvfc |
| Other | WAINUA* | eplontersen |
| Hematology & Oncology | MVASI | bevacizumab-awwb |
| Hematology & Oncology Supplemental Medications | NEULASTA | pegfilgrastim |
| Hematology & Oncology Supplemental Medications | NEUPOGEN | filgrastim |
| Other | NEXVIAZYME | avalglucosidase alfa |
| Other | INGREZZA* | valbenazine |
| Pulmonary Hypertension | LETAIRIS | ambrisentan |
| Other | IQIRVO* | elafibranor |
| Other | JESDUVROQ* | daprodustat |
| Other | MIFEPRISTONE ‡ | mifepristone |
| Hematology & Oncology | LEUKERAN | chlorambucil |
| Other | LEUKINE | sargramostim |
| Other | LIVDELZI* | seladelpar |
| Other | LUCENTIS ‡ | ranibizumab |
| Other | LUMIZYME | alglucosidase alfa |
| Other | LUPANETA | leuprolide acetate and norethindrone acetate |
| Hematology & Oncology | LUPRON | leuprolide acetate |
| Other | MAKENA | hydroxyprogesterone caproate |
| Hepatitis C | MAVYRET | glecaprevir/pibrentasvir |
| Other | NOURIANZ ‡ | istradefylline |
| Other | NUZYRA* | omdacycline |
| Other | ONPATTRO ‡ | patisiran |
| Hematology & Oncology | MEKINIST | trametinib |
| Other | OZURDEX | dexamethasone intravitreal |
| Hematology & Oncology Supplemental Medications | MESNEX | mesna |
| Other | BRIXADI † ‡ | buprenorphine ER |
| Other | INVEGA SUSTENNA | paliperidone palmitate |
| Hematology & Oncology | IRESSA* | gefitinib |
| HIV | ISENTRESS | raltegravir |
| HIV | JULUCA | dolutegravir/rilpivirine |
| HIV | KALETRA | lopinavir/ritonavir |
| Hematology & Oncology | KANJINTI | trastuzumab-anns |
| Other | ENDARI ‡ | glutamine |
| Other | ENSPRYNG ‡ | satralizumab |
| Other | EPIDIOLEX ‡ | cannabidiol |
| Other | EPYSQLI | eculizumab |
| Multiple Sclerosis | KESIMPTA | ofatumumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | KEVZARA | sarilumab |
| Hematology & Oncology | KISQALI | ribociclib |
| Other | KISUNLA | donanemab-azbt |
| Other | KRYSTEXXA* | pegloticase |
| Other | HEMLIBRA ‡ | emicizumab |
| Other | KUVAN | sapropterin |
| Other | HYMPAVZI | marstacimab-hncq |
| Other | LEQVIO | inclisiran sodium |
| Multiple Sclerosis | BRIUMVI ‡ | ublituximab-xiiy |
| Other | HYALGAN | hyaluronate sodium |
| Hematology & Oncology | HYCAMTIN | topotecan |
| Hematology & Oncology Supplemental Medications | HYDREA** | hydroxyurea |
| Multiple Sclerosis | MAVENCLAD ‡ | cladribine |
| Multiple Sclerosis | MAYZENT ‡ | siponimod |
| Multiple Sclerosis | OCREVUS ‡ | ocrelizumab |
| Multiple Sclerosis | OCREVUS ZUNOVO ‡ | ocrelizumab/ hyaluronidase |
| Other | HYMOVIS | hyaluronan |
| Multiple Sclerosis | TECFIDERA ‡ | dimethyl fumarate |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | HYRIMOZ | adalimumab-adaz |
| Multiple Sclerosis | VUMERITY ‡ | diroximel fumarate |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | ILUMYA | tildrakizumab-asmn |
| Osteoporosis | PROLIA ‡ | denosumab |
| Other | INFED | iron dextran complex |
| Osteoporosis | TYMLOS ‡ | abaloparatide |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | INFLECTRA | infliximab-dyyb |
| Other | INJECTAFER | ferric carboxymaltose |
| Other | BEOVU ‡ | brolucizumab-dbll |
| HIV | INTELENCE | etravirine |
| Other | GENVISC 850 | hyaluronate sodium |
| Hepatitis C | ZEPATIER | elbasvir/grazoprevir |
| HIV | APRETUDE | cabotegravir |
| HIV | GENVOYA | elvitegravir/cobicistat/ emtricitabine/tenofovir alafenamide |
| HIV | CABENUVA | cabotegravir/rilpivirine |
| Multiple Sclerosis | GILENYA | fingolimod |
| Multiple Sclerosis | GLATOPA | glatiramer acetate |
| Hematology & Oncology | GLEEVEC | imatinib |
| Hematology & Oncology | GLEOSTINE | lomustine |
| Hematology & Oncology Supplemental Medications | GRANIX | tbo-filgrastim |
| Hematology & Oncology | HALAVEN | eribulin mesylate |
| Hepatitis C | HARVONI | ledipasvir/sofosbuvir |
| Other | HEMANGEOL* | propranolol hydrochloride |
| Hepatitis B | HEPSERA | adefovir dipivoxil |
| Hematology & Oncology | HERZUMA | trastuzumab-pkrb |
| HIV | SUSTIVA | efavirenz |
| Other | HETLIOZ | tasimelteon |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | HULIO | adalimumab-fkjp |
| Growth Hormone | HUMATROPE | somatropin |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | HUMIRA | adalimumab |
| Hematology & Oncology Supplemental Medications | EXJADE | deferasirox |
| Multiple Sclerosis | EXTAVIA | interferon b-1b |
| Hematology & Oncology Supplemental Medications | FASLODEX | fulvestrant |
| Hematology & Oncology Supplemental Medications | FEMARA** | letrozole |
| Hematology & Oncology Supplemental Medications | JADENU ‡ | deferasirox |
| Other | FERAHEME | ferumoxytol |
| Growth Hormone, Hematology & Oncology | TRIPTODUR* | triptorelin |
| Other | FERRIPROX | deferiprone ‡ |
| Other | FIRAZYR | icatibant acetate |
| Osteoporosis | FORTEO | teriparatide |
| Hematology & Oncology Supplemental Medications | FULPHILA | pegfilgrastim-jmdb |
| HIV | FUZEON | enfuvirtide |
| Hematology & Oncology Supplemental Medications | XERMELO* | telotristat |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology, Multiple Sclerosis | TYRUKO* | natalizumab-sztn |
| Other | FYREMADEL | ganirelix acetate |
| Other | GEL-ONE | hyaluronate sodium |
| Hepatitis B | ZIEXTENZO ‡ | pegfilgrastim-bmez |
| Other | GELSYN-3 | hyaluronate sodium |
| Hematology & Oncology | GEMZAR | gemcitabine |
| Growth Hormone | GENOTROPIN | somatropin |
| Hematology & Oncology | VANFLYTA* | quizartinib |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | ENBREL | etanercept |
| Hematology & Oncology | VENCLEXTA* | venetoclax |
| Hematology & Oncology | VERZENIO* ‡ | abemaciclib |
| Hepatitis C | EPCLUSA | velpatasvir/sofosbuvir |
| Hematology & Oncology | VITRAKVI* | larotrectinib |
| Hematology & Oncology | VONJO* | pacritinib |
| HIV | EPIVIR | lamivudine |
| Hematology & Oncology | WELIREG* | belzutifan |
| Hematology & Oncology | XALKORI* | crizotinib |
| Hematology & Oncology | XOSPATA* | gilteritinib |
| Hematology & Oncology | XPOVIO* | selinexor |
| Hematology & Oncology Supplemental Medications | EPOGEN | epoetin alfa |
| Hematology & Oncology | ZEJULA* | niraparib |
| Hematology & Oncology | ZELBORAF ‡ | vemurafenib |
| Other | ESBRIET | pirfenidone |
| Other | EUFLEXXA | hyaluronate sodium |
| Hematology & Oncology | ZYDELIG* | idelalisib |
| Hematology & Oncology | ZYTIGA ‡ | abiraterone acetate |
| Osteoporosis | EVENITY | romosozumab |
| Hematology & Oncology | STIVARGA* | regorafenib |
| Other | DUROLANE | hyaluronic acid |
| Other | DYSPORT | abobotulinmutoxinA |
| Hematology & Oncology | TAGRISSO* | osimertinib |
| Hematology & Oncology | TALVEY* | talquetamab-tgvs |
| Hematology & Oncology | TALZENNA* | talazoparib |
| Hematology & Oncology | TARCEVA ‡ | erlotinib |
| HIV | EFAVIRENZ | efavirenz |
| Hematology & Oncology | TAVALISSE* | fostamatinib |
| Hematology & Oncology | TAZVERIK* | tazemetostat |
| Hematology & Oncology | TECVAYLI* | teclistamab-cqyv |
| Hematology & Oncology | ELIGARD | leuprolide |
| Hematology & Oncology | TEPMETKO* | tepotnib |
| Hematology & Oncology | TIBSOVO* | ivosidenib |
| Other | EMFLAZA | deflazacort (generic only) |
| Hematology & Oncology, Hematology & Oncology Supplemental Medications | NPLATE | romiplostim |
| Hematology & Oncology | TRUQAP* | capivasertib |
| Hematology & Oncology | TRUSELTIQ* | infigratinib |
| Hematology & Oncology | TUKYSA* | tucatinib |
| Hematology & Oncology | EMPLICITI | elotuzumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | CYLTEZO | adalimumab-adbm |
| Hematology & Oncology | NUBEQA* | darolutamide |
| Hematology & Oncology | CYTOXAN | cyclophosphamide |
| Hematology & Oncology | OGSIVEO* | nirogacestat |
| Hematology & Oncology | OJJAARA* | momelotinib |
| Hematology & Oncology | DARZALEX FASPRO | daratumumab and hyaluronidase-fihj |
| Hematology & Oncology | ORGOVYX* | relugolix |
| Other | DEPEN | penicillamine |
| HIV | DESCOVY | emtricitabine/tenofovir alafenamide |
| Hematology & Oncology | PEMAZYRE* | pemigatinib |
| Other | DIBENZYLINE | phenoxybenzamine |
| Hematology & Oncology | QINLOCK* | ripretinib |
| Hematology & Oncology | RETEVMO ‡ | selpercatinib |
| Hematology & Oncology | REZLIDHIA* | olutasidenib |
| Hematology & Oncology | ROZLYTREK* ‡ | entrectinib |
| Hematology & Oncology | RUBRACA* | rucaparib |
| Hematology & Oncology | RYBREVANT* | amivantamab-vmjw |
| HIV | DOVATO | dolutegravir sodium/lamivudine |
| Hematology & Oncology | SCEMBLIX* | asciminib |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | DUPIXENT | dupilumab |
| Hematology & Oncology | ITOVEBI ‡ | inavolisib |
| Hematology & Oncology | JAKAFI* | ruxolitinib |
| Hematology & Oncology | JAYPIRCA ‡ | pirtobrutinib |
| HIV | COMPLERA | emtricitabine/rilpivirine/tenofovir disoproxil fumarate |
| Hematology & Oncology | KOSELUGO* | selumetinib |
| Hematology & Oncology | KRAZATI* | adagrasib |
| Hematology & Oncology | LAZCLUZE* | lazertinib |
| Hematology & Oncology | LENVIMA* | lenvatinib |
| Hematology & Oncology | LONSURF* | trifluridine/tipiracil |
| Hematology & Oncology | LORBRENA* | lorlatinib |
| Hematology & Oncology | LUMAKRAS* | sotorasib |
| Hematology & Oncology | LUNSUMIO | mosunetuzumab-axgb |
| Multiple Sclerosis | COPAXONE | glatiramer acetate |
| Hematology & Oncology | LYNPARZA* | olaparib |
| Hematology & Oncology | LYTGOBI* | futibatinib |
| Other | CRINONE | progesterone |
| Other | CUPRIMINE | penicillamine |
| Hematology & Oncology | NERLYNX* | neratinib |
| Hematology & Oncology | NEXAVAR* | sorafenib |
| Hematology & Oncology | NINLARO* | ixazomib |
| Hematology & Oncology | ENJAYMO | sutimlimab-jome |
| Hematology & Oncology | ERIVEDGE ‡ | vismodegib |
| Hematology & Oncology | ERLEADA ‡ | apalutamide |
| Hematology & Oncology | FOTIVDA* | tivozanib |
| Hematology & Oncology | FRUZAQLA* | fruquintinib |
| Hematology & Oncology | FYARRO | sirolimus protein-bound |
| Hematology & Oncology | GAVRETO ‡ | pralsetinib |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | CIBINQO | abrocitinib |
| Hematology & Oncology | GILOTRIF* | afatinib |
| Other | CIMERLI | ranibizumab-eqrn |
| Hematology & Oncology | GOMEKLI* | mirdametinib |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | CIMZIA | certolizumab |
| Hematology & Oncology | IBRANCE* | palbociclib |
| Hematology & Oncology | IDHIFA ‡ | enasidenib |
| Hematology & Oncology | IMBRUVICA* | ibrutinib |
| Hematology & Oncology | IMKELDI | imatinib |
| Hematology & Oncology | INLYTA* | axitinib |
| Hematology & Oncology | INQOVI* | decitabine/cedazuridine |
| Hematology & Oncology | INREBIC | fedratinib |
| HIV | COMBIVIR | lamivudine/zidovudine |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | BIMZELX | bimekizumab |
| Other | BOTOX | onabotulinumtoxinA |
| Hematology & Oncology | AKEEGA* | niraparib and abiraterone acetate |
| Hematology & Oncology | ALECENSA ‡* | alectinib |
| Hematology & Oncology | ALUNBRIG | brigatinib |
| Hematology & Oncology | AYVAKIT* | avapritinib |
| Hematology & Oncology | BALVERSA*‡ | erdafitinib |
| Other | BYOOVIZ | ranibizumab-nuna |
| Hematology & Oncology | BOSULIF* | bosutinib |
| Hematology & Oncology | BRAFTOVI* | encorafenib |
| Hematology & Oncology | BRUKINSA ‡ | zanubrutinib |
| Hematology & Oncology | CABOMETYX* | cabozantinib |
| Hematology & Oncology | CALQUENCE* | acalabrutinib |
| Hematology & Oncology | COPIKTRA* | duvelisib |
| Hematology & Oncology | COSELA* | trilaciclib |
| Hematology & Oncology | COTELLIC ‡ | cobimetinib |
| Cystic Fibrosis | CAYSTON | aztreonam |
| Hematology & Oncology | DAURISMO* | glasdegib |
| Hematology & Oncology | DOPTELET* | avatrombopag |
| Other | CEREZYME | imiglucerase |
| Hematology & Oncology | AUGTYRO | repotrectinib |
| Other | AUSTEDO/AUSTEDO XR | deutetrabenazine |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | TALTZ ‡ | ixekizumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | TEZPIRE ‡ | tezepelumab |
| Multiple Sclerosis | AVONEX | interferon b-1a |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | AVSOLA | infliximab-axxq |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | WEZLANA | ustekinumab-auub |
| Hepatitis B | BARACLUDE | entecavir |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | XOLAIR ‡ | omalizumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | YESINTEK | ustekinumab-kfce |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | YUFLYMA | adalimumab-aaty |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | YUSIMRY | adalimumab-aqvh |
| Hematology & Oncology | BENDEKA | bendamustine |
| Other | BESREMI* | ropeginterferon alfa-2b-njft |
| Growth Hormone | NUTROPIN AQ ‡ NUSPIN | somatropin |
| Multiple Sclerosis | BETASERON | interferon b-1b |
| Growth Hormone | SEROSTIM ‡ | somatropin |
| Hematology & Oncology | BICNU | carmustine |
| Hematology & Oncology, Other | CABLIVI* | caplacizumab |
| HIV | BIKTARVY | bictegravir sodium/emtricitabine/tenofovir alafenamide |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | ILARIS*‡ | canakinumab |
| Multiple Sclerosis | AMPYRA | dalfampridine |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | IMULDOSA | ustekinumab-srlf |
| Multiple Sclerosis, Other | AMVUTTRA ‡ | teriflunomide |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | KINERET* | anakinra |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | LITFULO* | ritlecitinib |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | NEMLUVIO ‡ | nemolizumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | NUCALA ‡ | mepolizumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | OLUMIANT ‡ | baricitinib |
| Other | APOKYN | apomorphine |
| Hematology & Oncology Supplemental Medications | ARANESP** | darbapoetin alfa |
| Hematology & Oncology Supplemental Medications | ARIMIDEX ** | anastrozole |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | PYZCHIVA | ustekinumab-ttwe |
| Other | ARISTADA | aripiprazole lauroxil |
| Hematology & Oncology Supplemental Medications | AROMASIN** | exemestane |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | SAPHNELO* | anifrolumab-fnia |
| HIV | ATRIPLA | efavirenz/emtricitabine/tenofovir disoproxil fumarate |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | SILIQ ‡ | brodalumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | SIMLANDI | adalimumab-ryvk |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | SIMPONI ‡ /SIMPONI ARIA | golimumab |
| Other | ABILIFY ASIMTUFII | aripiprazole |
| Cystic Fibrosis | ALYFTREK* | vanzacaftor, tezacaftor, deutivacaftor |
| Cystic Fibrosis | BRONCHITOL ‡ | mannitol |
| Cystic Fibrosis | KALYDECO* | ivacaftor |
| Cystic Fibrosis | ORKAMBI* | lumacaftor/ivacaftor |
| Other | ABILIFY MAINTENA | aripiprazole |
| Hematology & Oncology | ABRAXANE | paclitaxel protein-bound |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | ACTEMRA | tocilizumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | ADBRY ‡ | tralokinumab-ldrm |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | ABRILADA | adalimumab-afzb |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | BENLYSTA ‡ | belimumab |
| Pulmonary Hypertension | ADCIRCA | tadalafil |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | COSENTYX ‡ | secukinumab |
| Hematology & Oncology | ADRUCIL | fluorouracil |
| Hematology & Oncology | AFINITOR | everolimus |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | ENTYVIO IV/SC ‡ | vedolizumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | FASENRA ‡ | benralizumab |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | HADLIMA | adalimumab-bwwd |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | AMJEVITA | adalimumab-atto |
| Dermatology, Gastroenterology, Rheumatology, Asthma, Immunology | IDACIO | adalimumab-aacf |