MANUFACTURER BRAND NAME THERAPEUTIC CLASS
|
|
- Iris Lorraine Booker
- 6 years ago
- Views:
Transcription
1 ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC NIASPAN (ORAL) LIPOTROPICS, OTHER ABBVIE US LLC TRICOR (ORAL) LIPOTROPICS, OTHER ABBVIE US LLC TRILIPIX (ORAL) LIPOTROPICS, OTHER ACTAVIS U.S. BR BYSTOLIC (ORAL) BETA-BLOCKERS ACTAVIS U.S. BR FETZIMA (ORAL) ANTIDEPRESSANTS, OTHER ACTAVIS U.S. BR VIIBRYD (ORAL) ANTIDEPRESSANTS, OTHER ACTAVIS U.S. BR VIOKACE (ORAL) PANCREATIC ENZYMES ACTAVIS U.S. BR ZENPEP (ORAL) PANCREATIC ENZYMES ACTELION PHARMA OPSUMIT (ORAL) PAH AGENTS, ORAL AND INHALED ACTELION PHARMA TRACLEER SUSPENSION (ORAL) PAH AGENTS, ORAL AND INHALED ACTELION PHARMA TRACLEER TABLET (ORAL) PAH AGENTS, ORAL AND INHALED ACTELION PHARMA UPTRAVI (ORAL) PAH AGENTS, ORAL AND INHALED ACTELION PHARMA UPTRAVI TABLET DOSE PACK (ORAL) PAH AGENTS, ORAL AND INHALED ACTELION PHARMA VENTAVIS (INHALATION) PAH AGENTS, ORAL AND INHALED ACTIENT PHARMAC LEVATOL (ORAL) BETA-BLOCKERS ADAMAS PHARMA, GOCOVRI (ORAL) ANTIPARKINSON'S AGENTS AEGERION PHARMA JUXTAPID (ORAL) LIPOTROPICS, OTHER AKORN INC. XOPENEX NEB SOLN (INHALATION) BRONCHODILATORS, BETA AGONIST AKRIMAX PHARMAC INNOPRAN XL (ORAL) BETA-BLOCKERS ALLEGIS PHARMAC DURAVENT PE TABLET OTC (ORAL) COUGH AND COLD, COLD ALLEGIS PHARMAC HISTEX-AC SYRUP OTC (ORAL) COUGH AND COLD, NARCOTIC ALLEGIS PHARMAC HISTEX-DM SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC ALLEGIS PHARMAC HISTEX-PE LIQUID OTC (ORAL) COUGH AND COLD, COLD ALLERGAN INC. ZENPEP (ORAL) PANCREATIC ENZYMES ALMATICA PHARMA FORFIVO XL (ORAL) ANTIDEPRESSANTS, OTHER AMARIN PHARMA I VASCEPA (ORAL) LIPOTROPICS, OTHER AMGEN ARANESP DISP SYRIN (INJECTION) ERYTHROPOIESIS STIMULATING PROTEINS AMGEN ARANESP VIAL (INJECTION) ERYTHROPOIESIS STIMULATING PROTEINS AMGEN ENBREL CARTRIDGE (SUBCUTANE.) CYTOKINE AND CAM ANTAGONISTS AMGEN EPOGEN (INJECTION) ERYTHROPOIESIS STIMULATING PROTEINS AMGEN REPATHA PUSHTRONEX (SUBCUTANEOUS) LIPOTROPICS, OTHER AMGEN REPATHA SURECLICK (SUBCUTANEOUS) LIPOTROPICS, OTHER AMGEN REPATHA SYRINGE (SUBCUTANEOUS) LIPOTROPICS, OTHER APTEVO BIOTHERA HEPAGAM B (INTRAMUSC) IMMUNE GLOBULINS APTEVO BIOTHERA VARIZIG (INTRAMUSC) IMMUNE GLOBULINS ARBOR PHARMACEU SOTYLIZE (ORAL) BETA-BLOCKERS ASTRAZENECA BEVESPI AEROSPHERE (INHALATION) COPD AGENTS ASTRAZENECA BYDUREON BCISE (SUBCUTANE.) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS ASTRAZENECA DALIRESP (ORAL) COPD AGENTS ASTRAZENECA FARXIGA (ORAL) HYPOGLYCEMICS, SGLT2 ASTRAZENECA PULMICORT 0.25, 0.5 MG RESPULES (INHALATION) GLUCOCORTICOIDS, INHALED ASTRAZENECA PULMICORT 1 MG RESPULES (INHALATION) GLUCOCORTICOIDS, INHALED ASTRAZENECA PULMICORT FLEXHALER (INHALATION) GLUCOCORTICOIDS, INHALED ASTRAZENECA QTERN (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS ASTRAZENECA SYMBICORT (INHALATION) GLUCOCORTICOIDS, INHALED ASTRAZENECA TUDORZA PRESSAIR (INHALATION) COPD AGENTS ASTRAZENECA XIGDUO XR (ORAL) HYPOGLYCEMICS, SGLT2 B.F ASCHER & CO BENZEDREX INHALER OTC (NASAL) COUGH AND COLD, COLD BAYER,PHARM DIV ADEMPAS (ORAL) PAH AGENTS, ORAL AND INHALED BIO PRODUCTS LA GAMMAPLEX (INTRAVEN) IMMUNE GLOBULINS BIOTEST PHARMAC BIVIGAM (INTRAVEN) IMMUNE GLOBULINS BMS PRIMARYCARE ELIQUIS (ORAL) ANTICOAGULANTS BOEHRINGER ING. ATROVENT HFA (INHALATION) COPD AGENTS BOEHRINGER ING. COMBIVENT RESPIMAT (INHALATION) COPD AGENTS BOEHRINGER ING. JARDIANCE (ORAL) HYPOGLYCEMICS, SGLT2 BOEHRINGER ING. MIRAPEX ER (ORAL) ANTIPARKINSON'S AGENTS BOEHRINGER ING. PRADAXA (ORAL) ANTICOAGULANTS BOEHRINGER ING. SPIRIVA (INHALATION) COPD AGENTS BOEHRINGER ING. SPIRIVA RESPIMAT (INHALATION) COPD AGENTS BOEHRINGER ING. STIOLTO RESPIMAT (INHALATION) COPD AGENTS BOEHRINGER ING. STRIVERDI RESPIMAT (INHALATION) BRONCHODILATORS, BETA AGONIST BOEHRINGER ING. SYNJARDY (ORAL) HYPOGLYCEMICS, SGLT2 BOEHRINGER ING. SYNJARDY XR (ORAL) HYPOGLYCEMICS, SGLT2 CAPELLON LIQUITUSS GG LIQUID OTC (ORAL) COUGH AND COLD, COLD CAPELLON RESCON TABLET OTC (ORAL) COUGH AND COLD, COLD CAPELLON RESCON-DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CAPITAL PHARMAC AQUANAZ OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CAPITAL PHARMAC CAPCOF LIQUID (ORAL) COUGH AND COLD, NARCOTIC CAPITAL PHARMAC CAPMIST DM TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CAPITAL PHARMAC CAPRON DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CAPITAL PHARMAC CAPRON DMT OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CARWIN ASSOCIAT ATUSS DA LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CASPER PHARMA L TRIGLIDE (ORAL) LIPOTROPICS, OTHER CENTURION LABS NINJACOF LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CENTURION LABS NINJACOF-A LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CENTURION LABS NINJACOF-XG LIQUID OTC (ORAL) COUGH AND COLD, NARCOTIC CHIESI BETHKIS (INHALATION) ANTIBIOTICS, INHALED
2 CONCORDIA PHARM DUTOPROL (ORAL) BETA-BLOCKERS COVIS PHARMACEU ALTOPREV (ORAL) LIPOTROPICS, STATINS CSL BEHRING LLC BERINERT (INTRAVEN) HAE TREATMENTS CSL BEHRING LLC CARIMUNE NF NANOFILTERED (INTRAVEN) IMMUNE GLOBULINS CSL BEHRING LLC CYTOGAM (INTRAVEN) IMMUNE GLOBULINS CSL BEHRING LLC HAEGARDA (SUB-Q) HAE TREATMENTS CSL BEHRING LLC HIZENTRA (SUBCUT.) IMMUNE GLOBULINS CSL BEHRING LLC PRIVIGEN (INTRAVEN) IMMUNE GLOBULINS CUBIST PHARMACE SIVEXTRO (INTRAVEN) LINCOSAMIDES/OXAZOLIDINONES/STREPTOGRAMINS CUBIST PHARMACE SIVEXTRO (ORAL) LINCOSAMIDES/OXAZOLIDINONES/STREPTOGRAMINS DAIICHI SANKYO, SAVAYSA (ORAL) ANTICOAGULANTS DAIICHI SANKYO, WELCHOL POWDER PACK (ORAL) LIPOTROPICS, OTHER DAIICHI SANKYO, WELCHOL TABLET (ORAL) LIPOTROPICS, OTHER DIGESTIVE CARE PERTZYE (ORAL) PANCREATIC ENZYMES ECR PHARM. LODRANE D CAPSULE OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC ED A-HIST DM TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC EDWARDS PHARMAC ED A-HIST LIQUID OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC ED A-HIST PSE TABLET OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC ED A-HIST TABLET OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC ED BRON GP LIQUID OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC ED CHLORPED D DROPS OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC ED-A-HIST DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC EDWARDS PHARMAC RYMED TABLET OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC RYNEX DM SOLUTION OTC (ORAL) COUGH AND COLD, NON-NARCOTIC EDWARDS PHARMAC RYNEX PE SOLUTION OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC RYNEX PSE LIQUID OTC (ORAL) COUGH AND COLD, COLD ELI LILLY & CO. CIALIS (ORAL) BPH TREATMENTS FOREST PHARMACE VIIBRYD DOSE PACK (ORAL) ANTIDEPRESSANTS, OTHER G.M. PHARM NASOPEN PE LIQUID OTC (ORAL) COUGH AND COLD, COLD G.M. PHARM VANACOF AC LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM VANACOF DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM VANACOF LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM VANACOF-8 LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM VANATAB AC TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM VANATAB DM TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC GENENTECH, INC. MIRCERA (INJECTION) ERYTHROPOIESIS STIMULATING PROTEINS GILEAD SCIENCES CAYSTON (INHALATION) ANTIBIOTICS, INHALED GILEAD SCIENCES LETAIRIS (ORAL) PAH AGENTS, ORAL AND INHALED GLAXOSMITHKLINE ADVAIR DISKUS (INHALATION) GLUCOCORTICOIDS, INHALED GLAXOSMITHKLINE ADVAIR HFA (INHALATION) GLUCOCORTICOIDS, INHALED GLAXOSMITHKLINE ANORO ELLIPTA (INHALATION) COPD AGENTS GLAXOSMITHKLINE ARNUITY ELLIPTA (INHALATION) GLUCOCORTICOIDS, INHALED GLAXOSMITHKLINE BREO ELLIPTA (INHALATION) GLUCOCORTICOIDS, INHALED GLAXOSMITHKLINE COREG CR (ORAL) BETA-BLOCKERS GLAXOSMITHKLINE FLOVENT DISKUS (INHALATION) GLUCOCORTICOIDS, INHALED GLAXOSMITHKLINE FLOVENT HFA (INHALATION) GLUCOCORTICOIDS, INHALED GLAXOSMITHKLINE INCRUSE ELLIPTA (INHALATION) COPD AGENTS GLAXOSMITHKLINE JALYN (ORAL) BPH TREATMENTS GLAXOSMITHKLINE LOVAZA (ORAL) LIPOTROPICS, OTHER GLAXOSMITHKLINE SEREVENT (INHALATION) BRONCHODILATORS, BETA AGONIST GLAXOSMITHKLINE TRELEGY ELLIPTA (INHALATION) GLUCOCORTICOIDS, INHALED GLAXOSMITHKLINE VENTOLIN HFA (INHALATION) BRONCHODILATORS, BETA AGONIST GLENDALE INC CODITUSSIN AC LIQUID OTC (ORAL) COUGH AND COLD, NARCOTIC GLENDALE INC CODITUSSIN DAC LIQUID OTC (ORAL) COUGH AND COLD, NARCOTIC GLENDALE INC GLEN PE LIQUID OTC (ORAL) COUGH AND COLD, COLD GLENDALE INC GLENMAX PEB LIQUID OTC (ORAL) COUGH AND COLD, COLD GREER LABORATOR ORALAIR (SUBLINGUAL) ANTI-ALLERGENS, ORAL GRIFOLS THERAPE FLEBOGAMMA DIF (INTRAVEN) IMMUNE GLOBULINS GRIFOLS THERAPE GAMASTAN S-D VIAL (INTRAMUSC) IMMUNE GLOBULINS GRIFOLS THERAPE GAMUNEX-C (INJECTION) IMMUNE GLOBULINS GRIFOLS THERAPE HYPERHEP B S-D SYRINGE (INTRAMUSC) IMMUNE GLOBULINS GRIFOLS THERAPE HYPERHEP B S-D VIAL (INTRAMUSC) IMMUNE GLOBULINS GRIFOLS THERAPE HYPERRAB S-D (INTRAMUSC) IMMUNE GLOBULINS HIKMA AMERICAS, MITIGARE (ORAL) ANTIHYPERURICEMICS HORIZON PHARMA BUPHENYL POWDER (ORAL) UREA CYCLE DISORDERS, ORAL HORIZON PHARMA BUPHENYL TABLET (ORAL) UREA CYCLE DISORDERS, ORAL HORIZON PHARMA KRYSTEXXA (INTRAVEN) ANTIHYPERURICEMICS HORIZON PHARMA RAVICTI (ORAL) UREA CYCLE DISORDERS, ORAL IMPAX PHARMACEU RYTARY (ORAL) ANTIPARKINSON'S AGENTS INDIVIOR INC. SUBLOCADE (SUBCUTANEOUS) OPIATE DEPENDENCE TREATMENTS INTERCEPT PHARM OCALIVA (ORAL) BILE SALTS IRONWOOD PHARMA DUZALLO (ORAL) ANTIHYPERURICEMICS IRONWOOD PHARMA ZURAMPIC (ORAL) ANTIHYPERURICEMICS JANSSEN PHARM. INVOKAMET (ORAL) HYPOGLYCEMICS, SGLT2 JANSSEN PHARM. INVOKAMET XR (ORAL) HYPOGLYCEMICS, SGLT2 JANSSEN PHARM. INVOKANA (ORAL) HYPOGLYCEMICS, SGLT2 JANSSEN PHARM. PANCREAZE (ORAL) PANCREATIC ENZYMES
3 JANSSEN PHARM. PROCRIT (INJECTION) ERYTHROPOIESIS STIMULATING PROTEINS JANSSEN PHARM. XARELTO (ORAL) ANTICOAGULANTS JANSSEN PHARM. XARELTO DOSE PACK (ORAL) ANTICOAGULANTS KASTLE THERAPEU KYNAMRO (SUBCUTANE.) LIPOTROPICS, OTHER KEDRION BIOPHAR GAMMAKED (INTRAVEN) IMMUNE GLOBULINS KOWA PHARMACEUT LIVALO (ORAL) LIPOTROPICS, STATINS KROGER/PERRIGO MUCUS DM MAX TABLET ER 12H OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LARKEN LABS LOHIST-D LIQUID OTC (ORAL) COUGH AND COLD, COLD LARKEN LABS LOHIST-DM LIQUID (ORAL) COUGH AND COLD, NON-NARCOTIC LARKEN LABS NOHIST-DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LARKEN LABS NOHIST-LQ LIQUID OTC (ORAL) COUGH AND COLD, COLD LASER PHARMACEU DALLERGY DROPS OTC (ORAL) COUGH AND COLD, COLD LASER PHARMACEU DALLERGY LIQUID OTC (ORAL) COUGH AND COLD, COLD LASER PHARMACEU DALLERGY TABLET OTC (ORAL) COUGH AND COLD, COLD LASER PHARMACEU DONATUSSIN LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LASER PHARMACEU RESPAIRE-30 CAPSULE OTC (ORAL) COUGH AND COLD, COLD LASER PHARMACEU RONDEC-D (ORAL) COUGH AND COLD, NON-NARCOTIC LEADER DAY MULTI-SYMP FLU-SEVERE COLD POWDER PACK OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LEO PHARMA INC. PROTOPIC (TOPICAL) IMMUNOMODULATORS, ATOPIC DERMATITIS LLORENS PHARM CONEX SOLUTION OTC (ORAL) COUGH AND COLD, COLD LLORENS PHARM TUSNEL PEDIATRIC DROPS OTC (ORAL) COUGH AND COLD, COLD LLORENS PHARM TUSNEL TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LLORENS PHARM TUSNEL-DM PEDIATRIC DROPS OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LUPIN PHARMA SOLOSEC (ORAL) ANTIBIOTICS, GI MAGNA PHARM STAHIST AD LIQUID OTC (ORAL) COUGH AND COLD, COLD MAGNA PHARM STAHIST AD TABLET OTC (ORAL) COUGH AND COLD, COLD MAGNA PHARM ZOLPIMIST (ORAL) SEDATIVE HYPNOTICS MAGNA PHARM Z-TUSS AC OTC (ORAL) COUGH AND COLD, NARCOTIC MANCHESTER PHAR CHOLBAM (ORAL) BILE SALTS MCR/AMERICAN PH MAXIPHEN TABLET OTC (ORAL) COUGH AND COLD, COLD MEDA PHARMACEUT AEROSPAN (INHALATION) GLUCOCORTICOIDS, INHALED MEDA PHARMACEUT EDLUAR (SUBLINGUAL) SEDATIVE HYPNOTICS MERCK SHARP & D ASMANEX (INHALATION) GLUCOCORTICOIDS, INHALED MERCK SHARP & D ASMANEX HFA (INHALATION) GLUCOCORTICOIDS, INHALED MERCK SHARP & D BELSOMRA (ORAL) SEDATIVE HYPNOTICS MERCK SHARP & D DULERA (INHALATION) GLUCOCORTICOIDS, INHALED MERCK SHARP & D PROVENTIL HFA (INHALATION) BRONCHODILATORS, BETA AGONIST MERCK SHARP & D STEGLATRO (ORAL) HYPOGLYCEMICS, SGLT2 MERCK SHARP & D VYTORIN (ORAL) LIPOTROPICS, STATINS MISSION PHARM. FLOWTUSS SOLUTION (ORAL) COUGH AND COLD, NARCOTIC MISSION PHARM. HYCOFENIX SOLUTION (ORAL) COUGH AND COLD, NARCOTIC MIST PHARMACEUT INDERAL XL (ORAL) BETA-BLOCKERS MONARCH PHRM SYNERCID (INJECTION) LINCOSAMIDES/OXAZOLIDINONES/STREPTOGRAMINS MORTON GROVE PH BROMFED DM SYRUP (ORAL) COUGH AND COLD, NON-NARCOTIC MYLAN SPECIALTY EMSAM (TRANSDERMAL) ANTIDEPRESSANTS, OTHER MYLAN SPECIALTY PERFOROMIST (INHALATION) BRONCHODILATORS, BETA AGONIST NEOS THERAPEUTI ADZENYS ER SUSPENSION (ORAL) STIMULANTS AND RELATED AGENTS NOVARTIS LESCOL XL (ORAL) LIPOTROPICS, STATINS NOVARTIS TOBI (INHALATION) ANTIBIOTICS, INHALED NOVARTIS TOBI PODHALER (INHALATION) ANTIBIOTICS, INHALED NOVO NORDISK OZEMPIC (SUBCUTANE.) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS OCTAPHARMA USA OCTAGAM (INTRAVEN) IMMUNE GLOBULINS OHM/SUN PHARMAC XIMINO (ORAL) TETRACYCLINES ORPHAN EUROPE S CARBAGLU (ORAL) UREA CYCLE DISORDERS, ORAL PARI RESPIRATOR KITABIS PAK (INHALATION) ANTIBIOTICS, INHALED PERNIX THERAPEU KHEDEZLA (ORAL) ANTIDEPRESSANTS, OTHER PFIZER US PHARM EUCRISA (TOPICAL) IMMUNOMODULATORS, ATOPIC DERMATITIS PFIZER US PHARM CARDURA XL (ORAL) BPH TREATMENTS PFIZER US PHARM FRAGMIN DISP SYRIN (SUBCUTANE.) ANTICOAGULANTS PFIZER US PHARM FRAGMIN VIAL (SUBCUTANE.) ANTICOAGULANTS PFIZER US PHARM LYRICA CR (ORAL) NEUROPATHIC PAIN PFIZER US PHARM REVATIO SUSPENSION (ORAL) PAH AGENTS, ORAL AND INHALED PHARMACIA/UPJHN LINCOCIN (INJECTION) LINCOSAMIDES/OXAZOLIDINONES/STREPTOGRAMINS PIERRE FABRE PH HEMANGEOL (ORAL) BETA-BLOCKERS POLY PHARM. ALAHIST CF TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. ALA-HIST DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. ALA-HIST IR TABLET OTC (ORAL) COUGH AND COLD, COLD POLY PHARM. ALA-HIST PE TABLET OTC (ORAL) COUGH AND COLD, COLD POLY PHARM. DECONEX DMX TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. DECONEX IR TABLET OTC (ORAL) COUGH AND COLD, COLD POLY PHARM. DURAFLU TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. POLY HIST FORTE TABLET OTC (ORAL) COUGH AND COLD, COLD POLY PHARM. POLY-HIST DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. POLY-HIST PD DROPS OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. POLY-TUSSIN AC LIQUID OTC (ORAL) COUGH AND COLD, NARCOTIC POLY PHARM. POLYTUSSIN DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. POLY-VENT DM TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. POLY-VENT IR TABLET OTC (ORAL) COUGH AND COLD, COLD
4 PRO-PHARMA LLC PRO-RED AC LIQUID (ORAL) COUGH AND COLD, NARCOTIC PURDUE PHARMA L INTERMEZZO (SUBLINGUAL) SEDATIVE HYPNOTICS R.A.MC NEIL CO. CHLO HIST SOLUTION OTC (ORAL) COUGH AND COLD, NON-NARCOTIC R.A.MC NEIL CO. CHLO TUSS LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC R.A.MC NEIL CO. M-CLEAR WC LIQUID (ORAL) COUGH AND COLD, NARCOTIC R.A.MC NEIL CO. M-END DMX LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC R.A.MC NEIL CO. M-END PE LIQUID (ORAL) COUGH AND COLD, NARCOTIC RECKITT BENCKIS CHILD MUCINEX M-S COLD DAY-NTE LIQUID SEQUELES OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS CHILDREN'S MUCINEX LIQUID OTC (C) (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS CHILDREN'S MUCINEX LIQUID OTC (NN) (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS DELSYM COUGH & COLD LIQUID OTC (C) (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS DELSYM SUSPENSION ER 12H OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX COLD-FLU & SORE THROAT LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX COUGH GRAN PACK OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX D TABLET ER 12H OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX DM TABLET ER 12H OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX DM TABLET ER 12H OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX ER TABLET OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX FAST-MAX COLD-FLU-THROAT CAPSULE OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX COLD-SINUS CAPSULE OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX COLD-SINUS TABLET OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX FAST-MAX CONGEST-COLD TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX CONGEST-COUGH TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX DAY-NITE COLD LIQUID SEQ OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX DAY-NITE COLD TABLET SEQUELS OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX DAY-NITE COLD-FLU CAPSULE OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX DAY-NITE CONG LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX DAY-NITE CONG TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX DM MAX LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX FAST-MAX NITE COLD-FLU LIQUID OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX FAST-MAX SEVERE COLD LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX GRAN PACK OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX SEVERE CONGEST-COUGH LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX SINUS-MAX LIQUID OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX SINUS-MAX TABLET OTC (ORAL) COUGH AND COLD, COLD RETROPHIN, INC. CHENODAL (ORAL) BILE SALTS ROXANE LABS. ALPRAZOLAM INTENSOL (ORAL) ANXIOLYTICS SALIX PHARMACEU RUCONEST (INTRAVEN) HAE TREATMENTS SALLUS LABORATO LORTUSS DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC SALLUS LABORATO LORTUSS LQ LIQUID OTC (ORAL) COUGH AND COLD, COLD SANOFI-AVENTIS ADMELOG SOLOSTAR PEN (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS SANOFI-AVENTIS ADMELOG VIAL (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS SANOFI-AVENTIS DUPIXENT (SUBCUTANE.) IMMUNOMODULATORS, ATOPIC DERMATITIS SANOFI-AVENTIS LOVENOX SYRINGE (SUBCUTANE.) ANTICOAGULANTS SANOFI-AVENTIS LOVENOX VIAL (SUBCUTANE.) ANTICOAGULANTS SANOFI-AVENTIS PRALUENT PEN (SUBCUTANEOUS) LIPOTROPICS, OTHER SANOFI-PASTEUR IMOGAM RABIES-HT (INTRAMUSC) IMMUNE GLOBULINS SANTARUS INC. FENOGLIDE (ORAL) LIPOTROPICS, OTHER SEBELA PHARMACE BRISDELLE (ORAL) ANTIDEPRESSANTS, SSRIs SEBELA PHARMACE PEXEVA (ORAL) ANTIDEPRESSANTS, SSRIs SHIRE US INC. CINRYZE (INTRAVEN) HAE TREATMENTS SHIRE US INC. CUVITRU (SUBCUT.) IMMUNE GLOBULINS SHIRE US INC. FIRAZYR (SUB-Q) HAE TREATMENTS SHIRE US INC. GAMMAGARD LIQUID (INJECTION) IMMUNE GLOBULINS SHIRE US INC. GAMMAGARD S-D (INTRAVEN) IMMUNE GLOBULINS SHIRE US INC. HYQVIA (SUBCUT.) IMMUNE GLOBULINS SHIRE US INC. KALBITOR (SUB-Q) HAE TREATMENTS SOMAXON PHARMAC SILENOR (ORAL) SEDATIVE HYPNOTICS SUN PHARMACEUTICALS DESVENLAFAXINE ER (NO BRAND) (ORAL) ANTIDEPRESSANTS, OTHER SUNOVION PHARMA ALVESCO (INHALATION) GLUCOCORTICOIDS, INHALED SUNOVION PHARMA ARCAPTA NEOHALER (INHALATION) BRONCHODILATORS, BETA AGONIST SUNOVION PHARMA BROVANA (INHALATION) BRONCHODILATORS, BETA AGONIST SUNOVION PHARMA SEEBRI NEOHALER (INHALATION) COPD AGENTS SUNOVION PHARMA UTIBRON NEOHALER (INHALATION) COPD AGENTS SUNOVION PHARMA XOPENEX HFA (INHALATION) BRONCHODILATORS, BETA AGONIST TAKEDA PHARMACE COLCRYS (ORAL) ANTIHYPERURICEMICS TAKEDA PHARMACE ROZEREM (ORAL) SEDATIVE HYPNOTICS TAKEDA PHARMACE TRINTELLIX (ORAL) ANTIDEPRESSANTS, OTHER TAKEDA PHARMACE ULORIC (ORAL) ANTIHYPERURICEMICS TEVA PHARMACEUTICALS AIRDUO RESPICLICK (INHALATION) GLUCOCORTICOIDS, INHALED TEVA PHARMACEUTICALS ARMONAIR RESPICLICK (INHALATION) GLUCOCORTICOIDS, INHALED TEVA PHARMACEUTICALS AZILECT (ORAL) ANTIPARKINSON'S AGENTS TEVA PHARMACEUTICALS PROAIR HFA (INHALATION) BRONCHODILATORS, BETA AGONIST TEVA PHARMACEUTICALS PROAIR RESPICLICK (INHALATION) BRONCHODILATORS, BETA AGONIST TEVA PHARMACEUTICALS QVAR (INHALATION) GLUCOCORTICOIDS, INHALED TEVA PHARMACEUTICALS QVAR REDIHALER (INHALATION) GLUCOCORTICOIDS, INHALED UCB PHARMA NEUPRO (TRANSDERM) ANTIPARKINSON'S AGENTS UNITED THERAPEUTICS ADCIRCA (ORAL) PAH AGENTS, ORAL AND INHALED UNITED THERAPEUTICS ORENITRAM ER (ORAL) PAH AGENTS, ORAL AND INHALED
5 UNITED THERAPEUTICS TYVASO (INHALATION) PAH AGENTS, ORAL AND INHALED US PHARMACEUTIC NOREL AD TABLET OTC (ORAL) COUGH AND COLD, COLD US WORLDMEDS XADAGO (ORAL) ANTIPARKINSON'S AGENTS VALEANT APLENZIN (ORAL) ANTIDEPRESSANTS, OTHER VALEANT ELIDEL (TOPICAL) IMMUNOMODULATORS, ATOPIC DERMATITIS VALEANT RETIN-A MICRO 0.06% PUMP (TOPICAL) ACNE AGENTS, TOPICAL VALEANT TUSSICAPS CAPSULE ER 12H (ORAL) COUGH AND COLD, NARCOTIC VALEANT VYZULTA (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS VALEANT ZELAPAR (ORAL) ANTIPARKINSON'S AGENTS VALIDUS PHARMAC MARPLAN (ORAL) ANTIDEPRESSANTS, OTHER VANDA PHARMACEU HETLIOZ (ORAL) SEDATIVE HYPNOTICS VIROPHARMA/SHIR CINRYZE (INTRAVEN) HAE TREATMENTS WATSON PHARMA RAPAFLO (ORAL) BPH TREATMENTS WYETH PHARM PRISTIQ (ORAL) ANTIDEPRESSANTS, OTHER
Texas Drug Utilization Review April 28, 2017 Meeting
Texas Drug Utilization Review Meeting ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC NIASPAN (ORAL) LIPOTROPICS, OTHER ABBVIE US LLC TECHNIVIE
Texas Medicaid April 2016
ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC NIASPAN (ORAL) LIPOTROPICS, OTHER ABBVIE
Texas Medicaid April 2015
ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC NIASPAN (ORAL) LIPOTROPICS, OTHER ABBVIE US LLC SIMCOR (ORAL) LIPOTROPICS, STATINS ABBVIE US
Texas Medicaid April 26, 2019 Meeting
ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US LLC HUMIRA PEN KIT (INJECTION)
MANUFACTURER BRAND NAME THERAPEUTIC CLASS
ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US LLC HUMIRA PEN KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US LLC
Texas Medicaid October 28, 2011 Meeting Addendum
ACELLA ENTRE-B (ORAL) COUGH AND COLD, COLD ACELLA ENTRE-S (ORAL) COUGH AND COLD, NON-NARCOTIC ACELLA ESOCOR P OTC (ORAL) COUGH AND COLD, NON-NARCOTIC ALLEGIS ENDACON OTC (ORAL) COUGH AND COLD, NON-NARCOTIC
HHSC Preferred Drug List (PDL) Recommendations April 27, of 19
ANTI-ALLERGENS, ORAL GRASTEK (SUBLINGUAL) NPD NPD ORALAIR (SUBLINGUAL) NPD NPD For this, the Board believed that none of the drugs meet the fiscal requirements of the state RAGWITEK (SUBLINGUAL) NPD NPD
HHSC Preferred Drug List (PDL) Recommendations April 27, of 17
ANTI-ALLERGENS, ORAL GRASTEK (SUBLINGUAL) NPD NPD NPD For this, the Board believed ORALAIR (SUBLINGUAL) NPD NPD NPD that none of the drugs meet the fiscal requirements of the state and are the most safe
Georgia Medicaid Meeting November 6, 2018
ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC VENCLEXTA (ORAL) ONCOLOGY, ORAL - HEMATOLOGIC ABBVIE US LLC VENCLEXTA STARTING PACK (ORAL) ONCOLOGY, ORAL - HEMATOLOGIC ACADIA PHARMACE
Dextromethorphan Overutilization
Texas Prior Authorization Program Clinical Edit Criteria Drug/Drug Class Clinical Edit Information Included in this Document Drugs Requiring PA: the list of drugs requiring prior authorization for this
Schedule 1 Product Category Listing Revision Date:
Schedule 1 400 ACNE AGENTS, TOPICAL ACZONE (TOPICAL) ALLERGAN INC. 400 ACNE AGENTS, TOPICAL AVAR (TOPICAL) & AVAR LS (TOPICAL) MISSION PHARM. 400 ACNE AGENTS, TOPICAL CLINDACIN PAC KIT (TOPICAL) MEDIMETRIKS
Virginia Department of Medical Assistance Services April 19, 2012 Meeting
ABBOTT ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBOTT ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBOTT HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBOTT HUMIRA PEN IJ KIT (INJECTION)
TennCare Product List
ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL)
TOP$ Product Review Listing
ABBOTT LABS. HUMIRA (INJECTION) CYTOKINE AND CAM ANTAGONISTS ACELLA PHARMACE ESOCOR P (ORAL) COUGH AND COLD, NON NARCOTIC ACELLA PHARMACE HALAC (TOPICAL) STEROIDS, TOPICAL VERY HIGH ALCON LABS. ALOMIDE
Dextromethorphan Overutilization
Texas Prior Authorization Program Clinical Edit Criteria Drug/Drug Class Clinical Edit Information Included in this Document Drugs Requiring PA: the list of drugs requiring prior authorization for this
MANUFACTURER BRAND NAME THERAPEUTIC CLASS
ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL)
Texas August 16, 2013 Meeting
ABBVIE US LLC CARDIZEM LA (ORAL) CALCIUM CHANNEL BLOCKERS ACELLA PHARMACE AURAX (OTIC) OTIC ANTI-INFECTIVES & ANESTHETICS ACELLA PHARMACE ENTRE-B OTC (ORAL) COUGH AND COLD, COLD ACELLA PHARMACE ESOCOR
Magellan Medicaid Administration - TOP$
ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC KALETRA SOLUTION
MANUFACTURER BRAND NAME THERAPEUTIC CLASS
ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC KALETRA SOLUTION
MO HealthNet December 2011 Meeting
ACELLA ESOCOR P OTC (ORAL) COUGH AND COLD, NON-NARCOTIC ACTAVIS BETAMETHASONE DIPROPIONATE OINT. (TOPICAL) STEROIDS, TOPICAL HIGH ACTAVIS PROMETHAZINE VC SYRUP (ACTAVIS) (ORAL) COUGH AND COLD, COLD ACTAVIS
Virginia Medicaid April 18, 2013
ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US
Georgia Department of Community Health. May 2018 Meeting
ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US
MANUFACTURER BRAND NAME THERAPEUTIC CLASS
ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL)
TOP$ MULTI-STATE DIVISIONS OF MEDICAID
MANUFACTURER BRAND NAME (ROUTE) THERAPEUTIC CLASS ABBOTT LABS. HUMIRA (INJECTION) CYTOKINE AND CAM ANTAGONISTS ADVANCED VISION NUTRIDOX (ORAL) TETRACYCLINES ALCON LABS. ALOMIDE (OPHTHALMIC) OPHTHALMICS
TOP$ May 2014 Product Listing
ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL)
MO HealthNet September 2012 Meeting
ABBOTT ADVICOR (ORAL) LIPOTROPICS, STATINS ABBOTT CREON (ORAL) PANCREATIC ENZYMES ABBOTT HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBOTT HUMIRA PEN IJ KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS
TennCare Product List
ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CARDIZEM LA
Acyclovir Ointment. Aetna Better Health Virginia Medallion/FAMIS 3.0. Products Affected. acyclovir ointment 5 % external Details.
Aetna Better Health Virginia Medallion/FAMIS 3.0 Acyclovir Ointment acyclovir ointment 5 % external Use of oral acyclovir in the previous 130 days 1 Adcirca tadalafil (pah) tablet 20 mg oral Use of sildenafil
TOP$ Product Review Listing
ABBOTT LABS. ADVICOR (ORAL) LIPOTROPICS, STATINS ABBOTT LABS. ANDROGEL (TRANSDERM.) ANDROGENIC AGENTS ABBOTT LABS. CREON (ORAL) PANCREATIC ENZYMES ABBOTT LABS. GENGRAF (ORAL) IMMUNOSUPPRESSIVES, ORAL ABBOTT
TOP$ Medicaid February 2009 Meetings
MANUFACTURER BRAND NAME THERAPEUTIC CLASS ABBOTT LABS. ADVICOR (ORAL) LIPOTROPICS, STATINS ABBOTT LABS. CARDIZEM LA (ORAL) CALCIUM CHANNEL BLOCKERS ABBOTT LABS. DEPAKOTE ER (ORAL) ANTICONVULSANTS ABBOTT
Acyclovir Ointment. Aetna Better Health New Jersey. Products Affected. acyclovir ointment 5 % external Details. Criteria
Acyclovir Ointment acyclovir ointment 5 % external Aetna Better Health New Jersey Use of oral acyclovir or Abreva in the previous 130 days 1 Adcirca tadalafil (pah) tablet 20 mg oral Use of sildenafil
Acyclovir Ointment. Aetna Better Health Kentucky. Products Affected. acyclovir ointment 5 % external Details. Criteria
Acyclovir Ointment acyclovir ointment 5 % external Aetna Better Health Kentucky Use of oral acyclovir or Abreva in the previous 130 days 1 Adcirca ADCIRCA TABLET 20 MG ORAL Use of sildenafil in previous
IPR Rituxan 8,545,843 2-Nov-17 Pfizer, Inc. Biogen, Inc. Denied Pending N/A
Trial Drug (if applicable) Patent No. Filed Date Petitioner(s) Patent Owner(s) Inst. Dec. Outcome Details of FWD
Acyclovir Ointment. Aetna Better Health Louisiana. Products Affected. acyclovir ointment 5 % external Details. Criteria
Acyclovir Ointment acyclovir ointment 5 % external Aetna Better Health Louisiana Use of oral acyclovir in the previous 130 days 1 Adcirca ADCIRCA TABLET 20 MG ORAL Use of sildenafil in previous 30 days
PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. More Details. Last Updated: April 1,
Preventive Drug List Preventive drugs are used to help avoid disease and maintain health. Some insurance plans have a benefit that allows you to buy preventive drugs at a copay. Check your plan details
PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. Last Updated: January 1,
Preventive Drug List Preventive drugs are used to help avoid disease and maintain health. Some insurance plans have a benefit that allows you to buy preventive drugs at a copay. Check your plan details
Foundation; Initiative for Medicines, Access & Eli Lilly & Co.; Avid. Vosevi 7,429, Oct-17
Trial Drug (if applicable) Patent No. Filed Date Petitioner(s) Patent Owner(s) Inst. Dec. Outcome Details of FWD
PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. More Details. Last Update: July 1,
Preventive Drug List Preventive drugs are used to help avoid disease and maintain health. Some insurance plans have a benefit that allows you to buy preventive drugs at a copay. Check your plan details
Preventive Drug List. More Details. Alcohol Dependency Alcohol Dependency acamprosate oral tablet,delayed release (dr/ec) disulfiram oral tablet
Preventive Drug List Preventive drugs are used to help avoid disease and maintain health. Some insurance plans have a benefit that allows you to buy preventive drugs at a copay. Check your plan details
Current as of November 1, 2017
Current as of November 1, 2017 ZYTIGA 500 MG ORAL TABLETS Formulary Addition TIER 5 QL = 2 PER DAY BENLYSTA 200 MG/ML AUTO- INJECTOR Formulary Addition TIER 5 BENLYSTA 200 MG/ML PREFILLED SYRINGE Formulary
MANUFACTURING PROBLEMS AS OF 20th June 2017
MANUFACTURING PROBLEMS AS OF 20th June If you know of any stock Issues that are not on this list please get in touch at ahope@nhs.net The information contained in this bulletin is based on information
Provider Partners Pennsylvania Advantage Plan Offered by Provider Partners Health Plan April 2019 Formulary Addendum
Provider Partners Pennsylvania Advantage Plan Offered by Provider Partners Health Plan April 2019 Formulary Addendum Below is a list formulary changes for the benefit year 2019. This is not a complete
Information for Vermont Prescribers of Prescription Drugs (Long Form)
Information for Vermont Prescribers of Prescription Drugs (Long Form) Cipro (Ciprofloxacin-Ciprofloxacin HCl) This list does not imply that the products on this chart are interchangeable or have the same
Texas Medicaid July 2015
Texas Medicaid ACELLA PHARMACE INFANATE BALANCE (ORAL) PRENATAL VITAMINS ACELLA PHARMACE PNV-DHA (ORAL) PRENATAL VITAMINS ACELLA PHARMACE PRENAISSANCE BALANCE (ORAL) PRENATAL VITAMINS ACELLA PHARMACE PRENAISSANCE
6.25 mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 30 day (DEF)*
DRUG AND TREATMENT Available at: BMC-B BMC-D BMC-N BMC-S Medications Antiarrhythmics amiodarone 200 mg oral tablet (Rx)* 200 mg 2 tab, PO, BID, Duration: 30 day (DEF)* 200 mg 2 tab, PO, BID, Duration:
BALTIC STATES PHARMA MARKET OVERVIEW. Secondary sales analysis
BALTIC STATES PHARMA MARKET OVERVIEW Secondary sales analysis Content Introduction General overview Sales dynamics in Baltic states 2009 2014 Generic / Originator drugs market share in Baltic states 2013
Connecticut Medicaid P&T Meeting Minutes November 19, 2014
The meeting started at 6:07pm Attendance Connecticut Medicaid P&T Meeting Minutes November 19, 2014 Present Members: Carl Sherter, MD Manage Nissanka, MD Emmett Sullivan, RPh Stella Cretella Kevin Chamberlin,
Texas Medicaid July 2016
ACTAVIS U.S. BR CANASA (RECTAL) ULCERATIVE COLITIS AGENTS ACTAVIS U.S. BR DELZICOL (ORAL) ULCERATIVE COLITIS AGENTS ACTAVIS U.S. BR NAMENDA SOLUTION (ORAL) ALZHEIMER'S AGENTS ACTAVIS U.S. BR NAMENDA TABLET
Quarterly pharmacy formulary change notice
Provider Bulletin December 2017 Quarterly pharmacy formulary notice The formulary s listed in the table below apply to all Anthem HealthKeepers Plus members. These s were reviewed and approved at the third
Information for Vermont Prescribers of Prescription Drugs (Long Form)
Information for Vermont Prescribers of Prescription Drugs (Long Form) LONSURF (tipiracil and trifluridine) tablets This list does not imply that the products on this chart are interchangeable or have the
2016 STEP THERAPY CRITERIA
2016 STEP THERAPY CRITERIA Diamante Choice Platino, Diamante Extra Platino, Diamante Excel Platino, Supremo, Único Extra, Elite Ultra, Elite Excel, ELA Relax Oro, ELA Plus Plata, ELA Flex Bronce ST Criteria
HARVARD PILGRIM HEALTH CARE RECOMMENDED MEDICATION REQUEST GUIDELINES
Generic Brand HICL GCN Exception/Other METHYL ANDROID METHITEST METHYL TESTRED 01404 ROUTE MISCELL. CYPIONATE ENANTHATE GUIDELINES FOR USE ANDRODERM ANDROGEL AXIRON FORTESTA NATESTO STRIANT TESTIM VOGELXO
2019 Service Benefit Plan FEP Blue Focus Specialty Drug List
2019 Service Benefit Plan FEP Blue Focus Specialty Drug List If you are a member or health care provider and have questions, please call 1-888-346-3731, or visit fepblue.org/pharmacy. Specialty drugs are
See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Human, Recombinant) Reference Number: CP.CPA.76 Effective Date: 11.16.16 Last Review Date: 08.17 Line of Business: Medicaid Medi-Cal Revision Log See Important Reminder at the end of
Dr. Carl Sherter thanked the attendees for coming and called meeting to order at 6:24 pm.
The meeting started at 6:24pm Attendance Connecticut Medicaid P&T Meeting Minutes April 30, 2014 Present Members: Carl Sherter, MD Charles Thompson, MD Emmett Sullivan, RPh Stella Cretella Kevin Chamberlin,
IPR ,318, Dec-13 PRISM Pharma Co., Ltd. CHOONGWAE PHARMA CORP. N/A Settled pre-institution N/A
Trial Drug (if applicable) Patent No. Filed Date Petitioner(s) Patent Owner(s) Inst. Dec. Outcome Details of FWD
Name of Company Involved. Exact or Estimated Value. Accepted / Refused
202 Simon Duckett Cardiology Consultant 25/09/2017 Sponsorship 232 N/A N/A N/A 06/11/2017 Sponsorship 241 N/A N/A N/A 14/11/2017 Sponsorship 245 N/A N/A N/A 17/11/2017 Sponsorship 246 N/A N/A N/A 17/11/2017
LIGHTHOUSE. Stopper Pop-Up and the Effects on. Container Closure of Sterile Vials. Application Note 101 LIGHTHOUSE
Stopper Pop-Up and the Effects on Container Closure of Sterile Vials Stopper Pop-Up and the Effects on Container Closure of Sterile Vials Introduction Container closure integrity plays an important role
Connecticut Medicaid P&T Meeting Minutes November 18 th, 2015
Connecticut Medicaid P&T Meeting Minutes November 18 th, 2015 The meeting was called to order at 6:29 PM. Attendance: P&T Members Present: DSS: HP/Magellan: Carl Sherter Herman Kranc Jason Young Manage
2017 Drug List for Qualified Health Plans
207 Drug List for Qualified Health Plans HAP Personal Alliance and small group Use this drug list also known as a formulary to learn about the prescription drugs we cover in all qualified health plans.
Qualified Health Plans 2018 Drug Formulary for HMOs and PPOs
Qualified Health Plans 2018 Drug Formulary for HMOs and PPOs THIS DOCUMENT HAS INFORMATION ABOUT THE PRESCRIPTION DRUGS WE COVER FOR QUALIFIED HEALTH PLANS. Qualified Health Plans (QHP) are Affordable
WELLCARE HEALTH PLAN 2015 STEP THERAPY CRITERIA (No Changes Made Since: 10/2014)
WELLCARE HEALTH PLAN 2015 STEP THERAPY CRITERIA (No Changes Made Since: 10/2014) **To get updated information about the drugs covered by WellCare, please visit our website (https://www.wellcare.com) or
MISSISSIPPI MEDICAID 10 November Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 1 of 7
ABBOTT LABS. HUMIRA (INJECTION) CYTOKINE AND CAM ANTAGONISTS ACORDA THERAPEU ZANAFLEX CAPSULES (ORAL) SKELETAL MUSCLE RELAXANTS ACTAVIS KADIAN (ORAL) ANALGESICS, NARCOTICS LONG ALLERGAN INC. ACZONE (TOPICAL)
2018 Year-to-date Formulary Additions and Deletions
Health Choice Generations may add or remove drugs from our formulary during the year. If we remove drugs from our formulary, add prior authorization, quantity limits and/or step therapy restrictions on
MANUFACTURING PROBLEMS AS OF 11th January 2018
3 MANUFACTURING PROBLEMS AS OF 11th January 2018 If you know of any stock Issues that are not on this list please get in touch at ahope@nhs.net Dumfries and Galloway on the date displayed and may not apply
MALE HORMONE THERAPY OPTIONS
MALE HORMONE THERAPY OPTIONS The following tables have been compiled by Women s International Pharmacy staff pharmacists to represent some of the more frequently prescribed regimens for men. The Women
Subject: Hereditary Angioedema Drug Therapy
09-J1000-08 Original Effective Date: 07/15/09 Reviewed: 01/09/18 Revised: 02/15/19 Subject: Hereditary Angioedema Drug Therapy THIS MEDICAL COVERAGE GUIDELINE IS NOT AN AUTHORIZATION, CERTIFICATION, EXPLANATION
Second Quarter 2018 Results Call Corporate Update & Financial Results. August 7, 2018
Second Quarter 2018 Results Call Corporate Update & Financial Results August 7, 2018 Forward-Looking Statements BioCryst s presentation may contain forward-looking statements, including statements regarding
3 Tier Formulary (List of Covered Drugs)
Effective: September 11, 2017 Large Group Non-Qualified Health Plans Small Group Non-Qualified Health Plans 3 Tier Formulary (List of Covered Drugs) What is the Drug List? Also called a formulary by doctors
HAE management and future perspectives
HAE management and future perspectives Marcus Maurer Allergie-Centrum-Charité Department of Dermatology and Allergy Charité - Universitätsmedizin Berlin Germany Disclosure of Significant Relationships
2019 Commercial 5-Tier Formulary (List of Covered Drugs) What is the Drug List?
Effective: January 1, 2019 Large and Small Group Health Plans Individual Health Plans Third Party Administered Health Plans 2019 Commercial 5-Tier Formulary (List of Covered Drugs) What is the Drug List?
Third Party Administered Health Plans 5 Tier Formulary (List of Covered Drugs)
Effective: September 11, 2017 Large Group Non Qualified Health Plans Third Party Administered Health Plans 5 Tier Formulary (List of Covered Drugs) What is the Drug List? Also called a formulary by doctors
with the Use of RABS and Isolators Barcelona, Spain October 27, 2015
Aseptic Processing Barrier Technology Trends with the Use of RABS and Isolators Barcelona, Spain October 27, 2015 Jack Lysfjord, Principal Consultant 952 546 2082 jlysfjord@q.com Agenda Background - Diagrams
QUALIFIED HEALTH PLAN FORMULARY Effective January 2018
QUALIFIED HEALTH PLAN FORMULARY Effective January 2018 Provided by EnvisionRx Introduction The Total Health Care (THC) Qualified Health Plan Formulary was developed to serve as a guide for physicians,
Step Therapy Criteria Last Updated 6/1/2018
Step Therapy Last Updated 6/1/2018 For information on obtaining an updated coverage determination or an exception to a coverage determination please call Freedom Health Member Services at 1-800-401-2740
Signature Advantage (HMO SNP) 2018 Comprehensive Formulary. List of Covered Drugs
Signature Advantage (HMO SNP) 208 Comprehensive Formulary List of Covered Drugs PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission
HealthPartners PreferredRx
HealthPartners PreferredRx 2018 Formulary (List of covered drugs) For current information on the PreferredRx Drug List, visit healthpartners.com/pharmacy. Effective: October 1, 2018 2018 HealthPartners
Individual Qualified Health Plans 5 Tier Commercial Formulary (List of Covered Drugs)
Effective: September 11, 2017 What is the Drug List? Also called a formulary by doctors and pharmacists, the Drug List is an extensive list of safe and effective, FDA-approved, brand name and generic prescription
2018 Commercial 3-Tier Formulary (List of Covered Drugs)
Effective: July 1, 2018 Large Group Health Plans Small Group Health Plans 2018 Commercial 3-Tier Formulary (List of Covered Drugs) What is the Drug List? Also called a formulary by doctors and pharmacists,
Oregon Drug Use Review / Pharmacy & Therapeutics Committee Thursday, September 28, 2017, 1:00-5:00 PM Human Services Building Salem, OR 97301
Drug Use Research & Management Program OHA Health Systems Division 500 Summer Street NE, E35; Salem, OR 97301-1079 Phone 503-947-5220 Fax 503-947-1119 Oregon Drug Use Review / Pharmacy & Therapeutics Committee
Advance Notification of Amendments to the March 2015 Drug Tariff
Advance Notification of Amendments to the March 2015 Drug Tariff ADDITIONS Zero Discount Amiodarone 300mg/10ml solution for injection pre-filled syringes Ampicillin 500mg powder for solution for injection
Appendix *Participating Pfizer Products
Appendix *Participating Pfizer Products 305733023112 THERMACARE Ultra Pain Relieving Cream 2.5oz 302311 2.5oz, 305733023143 THERMACARE Ultra Pain Relieving Cream 4.0oz 302314 4.0oz, 305733041024 THERMACARE
Extra Covered Drugs. The prescription drugs in this list are covered above and beyond the drugs in your plan's Part D Formulary. ECDHLP_SHBP_v1_1901_2
09 Extra Covered s The prescription drugs in this list are covered above and beyond the drugs in your plan's Part D Formulary. Y04_9_34776_I_SHBP 05/0/08 7095MUSENMUB_GA_SHBP ECDHLP_SHBP_v_90_ This booklet
Clinical Policy: Testosterone Reference Number: AZ.CP.PHAR.02 Effective Date: Last Review Date: Line of Business: Arizona Medicaid
Clinical Policy: Reference Number: AZ.CP.PHAR.02 Effective Date: 11.16.16 Last Review Date: 09.12.18 Line of Business: Arizona Medicaid Revision Log See Important Reminder at the end of this policy for
HealthPartners Minnesota Health Care Programs
HealthPartners Minnesota Health Care Programs 2018 Formulary (List of covered drugs) For current information on the Minnesota Health Care Programs Drug List, visit healthpartners.com/pharmacy. Effective:
ATRIO Health Plans 2018 SNP Plans Formulary Change Notice
Formulary ID: 18007 ATRIO Special Needs Plan ATRIO Special Needs Plan (Rogue) ATRIO Special Needs Plan (Willamette) ATRIO Health Plans 2018 SNP Plans Formulary Change Notice ATRIO Health Plans may remove
Memorial Hermann Advantage HMO November 2015 Formulary Addendum
Memorial Hermann Advantage HMO November 2015 Formulary Addendum Changes may have occurred since the printing of your current Medicare Advantage HMO Formulary. Medications may have been added or removed
2017 Drug List for Commercial Health Plans
2017 Drug List for Commercial Health Plans Use this drug list also known as a formulary to learn about the prescription drugs we cover in all commercial health plans. Commercial health plans are a type
Connecticut Medicaid P&T Meeting Minutes November 14, 2012
Connecticut Medicaid P&T Meeting Minutes November 14, 2012 The meeting started at 6:10 pm Attendance Present Members: Carl Sherter, MD Charles Thompson, MD Emmett Sullivan, RPh Stella Cretella Hilda Slivka,
Care Wisconsin 2017 Formulary Addendum
- Non-Formulary, PA - Prior Authorization, HR High Risk Medication, QL Quantity Limit per 30 days, EFFECTIVE 01/01/ ABILIFY MAINT INJ 400 1/26 + ST2 Formulary Enhancement N/A ABILIFY MAINT SUSP 300 1/26
Information for Vermont Prescribers of Prescription Drugs (Long Form)
Information for Vermont Prescribers of Prescription Drugs (Long Form) Beyaz (Drospirenone-Ethinyl Estradiol-Levomefolate Calcium) This list does not imply that the products on this chart are interchangeable
2017 Drug Formulary. List of Covered Drugs for 2017 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN
2017 Drug Formulary Samaritan Everyday Choices & Samaritan Association Plans List of Covered Drugs for 2017 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This is
Cigna Drug and Biologic Coverage Policy
Cigna Drug and Biologic Coverage Policy Subject Hereditary Angioedema (HAE) Therapy Table of Contents Coverage Policy... 1 General Background... 4 Coding/Billing Information... 7 References... 7 Effective
HealthPartners GenericsPlusRx
HealthPartners GenericsPlusRx 2018 Formulary (List of covered drugs) For current information on the GenericsPlusRx Drug List, visit healthpartners.com/pharmacy. Effective: October 1, 2018 2018 HealthPartners
2018 Ohana Medicaid Comprehensive Preferred Drug List (QUEST Integration) (List of Covered Drugs)
2018 Ohana Medicaid Comprehensive referred Drug List (QUEST Integration) (List of Covered Drugs) Ohana Health lan 00 lease read this document. It has details about the drugs we cover for the Ohana QUEST
2018 Service Benefit Plan Specialty Drug List
2018 Service Benefit Plan Specialty Drug List If you are a member or health care provider and have questions, please call 1-888-346-3731, or visit fepblue.org/pharmacy. Specialty drugs are prescribed to
Care Wisconsin 2018 Formulary Addendum
pharmacies, - Non-Formulary, PA - Prior Authorization, QL Quantity Limit per 30 days, ST - Step Therapy EFFECTIVE 01/01/ 0.5 ML SUMATRIPTAN 4 MG CARTRIDGE 0.5 ML SUMATRIPTAN 6 MG Last Updated: 03/24/ Effective
2018 Ohana Medicaid Comprehensive Preferred Drug List (QUEST Integration) (List of Covered Drugs)
2018 Ohana Medicaid Comprehensive referred Drug List (QUEST Integration) (List of Covered Drugs) Ohana Health lan lease read this document. It has details about the drugs we cover for the Ohana QUEST Integration
AETNA BETTER HEALTH Formulary Guide. Aetna Better Health of Florida Florida Healthy Kids Formulary Guide January 2019
AETNA BETTER HEALTH Formulary Guide Aetna Better Health of Florida Florida Healthy Kids Formulary Guide January 2019 AETNA BETTER HEALTH Formulary Guide www.aetnabetterhealth.com/florida What is a Formulary?
MALE HORMONE THERAPY OPTIONS
MALE HORMONE THERAPY OPTIONS The following tables have been compiled by Women s staff pharmacists to represent some of the more frequently prescribed regimens for men. The Women s logo is placed throughout