Pharmacy Drug Policies


A

MEDS007 Actemra (Subcutaneous) (self-administered)
MEDS156 Adbry
MEDS004 Adcirca (Tadalafil)
MEDS004 Adempas
MEDS094 Aemcolo
MEDS091 Afrezza
MEDS113 Aimovig
MEDS113 Ajovy (self-administered)
MEDS055 Amerge
MEDS044 Amitiza
MEDS060 Ampyra
MEDS056 Anzemet
MEDS052 Aubagio
MEDS068 Austedo
MEDS052 Avonex
MEDS055 Axert

B

MEDS052 Bafiertam
MEDS118 Benlysta (Subcutaneous) (self-administered)
MEDS151 Besremi
MEDS052 Betaseron
MEDS074 Brilinta
MEDS138 Bylvay

C

MEDS164 Camzyos
MEDS148 Cibinqo
MEDS007 Cimzia (self-administered)
MEDS143 Continuous Glucose Monitoring (CGMs) Devices
MEDS052 Copaxone
MEDS007 Cosentyx

D

MEDS072 Daliresp
MEDS047 Diclofenac Sodium 3% Topical Gel 
MEDS036 Doptelet
MEDS056 Dronabinol
MEDS101 Dupixent

E

MEDS074 Effient
MEDS056 Emend
MEDS104 Emflaza
MEDS113 Emgality
MEDS007 Enbrel
MEDS131 Enspryng
MEDS092 Epclusa
MEDS090 Esbriet
MEDS102 Eucrisa Ointment
MEDS132 Evrysdi
MEDS005 Exjade
MEDS052 Extavia

F

MEDS126 Farxiga
MEDS119 Fasentra (self-administered)
MEDS047 Flector
MEDS004 Flolan
MEDS107 Forteo
MEDS055 Frova

G

MEDS008 Genotropin
MEDS052 Gilenya
MEDS142 Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists
MEDS093 Glyxambi
MEDS108 Gralise
MEDS056 Granisetron
MEDS087 Grastek

H

MEDS092 Harvoni
MEDS008 Humatrope
MEDS007 Humira

I

MEDS044 Ibsrela
MEDS055 Imitrex
MEDS006 Insulin Products
MEDS062 Intuniv
MEDS125 Isturisa

J

MEDS005 Jadenu
MEDS126 Jardiance
MEDS088 Jublia
MEDS064 Jynarque

K

MEDS122 Kalydeco
MEDS137 Kerendia
MEDS088 Kerydin
MEDS052 Kesimpta
MEDS007 Kevzara
MEDS007 Kineret

L

MEDS004 Letairis
MEDS047 Licart
MEDS015 Lidoderm
MEDS044 Linzess
MEDS145 Livmarli
MEDS152 Livtencity
MEDS044 Lubiprostone
MEDS139 Lupkynis
MEDS018 Lupron (Leuprolide acetate) (self-administered)
MEDS120 Lyrica CR

M

MEDS052 Mavenclad
MEDS092 Mavyret
MEDS055 Maxalt
MEDS052 Mayzent
MEDS055 Migranal
MEDS044 Motegrity
MEDS142 Mounjaro
MEDS045 Movantik
MEDS036 Mulpleta
MEDS114 Myfembree
MEDS082 Mytesi

N

MEDS129 Nityr
MEDS008 Norditropin
MEDS119 Nucala (self-administered)
MEDS008 Nutropin

O

MEDS109 Ocaliva
MEDS090 Ofev
MEDS089 Olumiant
MEDS056 Ondansetron
MEDS105 Opioids (long & short acting)
MEDS004 Opsumit
MEDS141 Opzelura
MEDS087 Oralair
MEDS007 Orencia (Subcutaneous) (self-administered)
MEDS004 Orenitram
MEDS129 Orfadin
MEDS122 Oriahnn
MEDS122 Orilissa
MEDS122 Orkambi
MEDS089 Otezla
MEDS123 Oxbryta
MEDS117 Oxervate

P

MEDS124 Palforzia
MEDS047 Pennsaid
MEDS052 Plegridy
MEDS079 Pomalyst
MEDS052 Ponvory
MEDS095 Praluent
MEDS112 Prevymis
MEDS036 Promacta
MEDS048 Proton Pump Inhibitors
MEDS154 Pyrukynd

Q

R

MEDS157 Radicava ORS
MEDS087 Ragwitek
MEDS130 Ravicti
MEDS052 Rebif
MEDS153 Recorlev
MEDS045 Relistor
MEDS055 Relpax
MEDS004 Remodulin
MEDS095 Repatha
MEDS004 Revatio (Sildenafil)
MEDS079 Revlimid
MEDS136 Rezurock
MEDS089 Rinvoq
MEDS127 Rukobia

S

MEDS008 Saizen
MEDS064 Samsca
MEDS056 Sancuso
MEDS085 Santyl
MEDS065 Savella
MEDS150 Scemblix
MEDS016 Sensipar
MEDS008 Serostim
MEDS007 Siliq
MEDS007 Simponi
MEDS007 Skyrizi
MEDS008 Skytrofa
MEDS089 Sotyktu
MEDS047 Sprix
MEDS007 Stelara (Subcutaneous) (self-administered)
MEDS166 Sunlenca (Oral form)
MEDS122 Symdeco
MEDS045 Symproic
MEDS126 Synjardy

T

MEDS149 Takhzyro
MEDS007 Taltz
MEDS052 Tascenso ODT
MEDS036 Tavalisse
MEDS144 Tavneos
MEDS052 Tecfidera
MEDS116 Tegsedi
MEDS165 Tezspire pre-filled pen (self-administered)
MEDS079 Thalomid
MEDS057 Topical Retinoid Products
MEDS004 Tracleer
MEDS133 Trelegy Ellipta 
MEDS007 Tremfya
MEDS007 Treximet
MEDS122 Trikafta
MEDS044 Trulance
MEDS038 Tykerb
MEDS107 Tymlos
MEDS004 Tyvaso

U

MEDS004 Uptravi

V

MEDS056 Varubi
MEDS004 Veletri
MEDS099 Vemlidy
MEDS004 Ventavis
MEDS135 Verquvo
MEDS030 V-Fend
MEDS098 Viberzi
MEDS092 Vosevi
MEDS148 Voxzogo
MEDS146 Vuity
MEDS052 Vumerity
MEDS121 Vyndamax
MEDS121 Vyndaqel

W

X

MEDS163 Xolair (self-administered)
MEDS089 Xeljanz
MEDS068 Xenazine (Tetrabenazine)
MEDS103 Xermelo
MEDS094 Xifaxan
MEDS078 Xtandi
MEDS083 Xyrem
MEDS083 Xywav

Y

Z

MEDS092 Zepatier
MEDS140 Zeposia
MEDS134 Zokinvy
MEDS020 Zolinza
MEDS008 Zomacton
MEDS055 Zomig
MEDS008 Zorbtive
MEDS015 ZTlido
MEDS078 Zytiga