Specialty Drug List

Specialty Drug List
Or
Abatacept
Azacitidine
Chenodiol
Abiraterone Acetate
Aztreonam
CIMZIA
AbobotulinumtoxinA
Baclofen Intrathecal
CISPLATIN
Acitretin
BARACLUDE
CLADRIBINE
ACTHREL
BEBULIN VH
Coagulation Factor IX (Recomb) (rFIXFc)
ACTIMMUNE
Belimumab
Coagulation Factor IX (Recombinant)
Adalimumab
Bendamustine
Coagulation Factor IX
ADRIAMYC
BENEFIX
Coagulation Factor VIIa (Recomb)
ADVATE
BETASERON
COLISTIMETH
Aflibercept
Bevacizumab
Collagenase Clostridium Histolyticum
ALDURAZYME
BLENOXANE
COPAXONE
ALIMTA
BLEOMYCIN
COPEGUS
ALKERAN
Boceprevir
Corticotropin Inj Gel
ALOXI
Bosentan
COSMEGEN
Alpha1-Proteinase Inhibitor (Human)
Brentuximab Vedotin
Crizotinib
ALPHANATE
BUPRENEX
CYTARABINE
ALPHANINE SD
BUSULFEX
Cytarabine Liposome
Alteplase
C1 Esterase Inhibitor (Recombinant)
CYTOGAM
AMEVIVE
C1 Esterase Inhibitor Human
CYTOXAN
AMPYRA
Cabozantinib S-Malate
Dacarbazine
Antihemophilic Factor (Human)
CAMPATH
Dalbavancin
Antihemophilic Factor (Recombinant)
CAMPTOSAR
Darbepoetin Alfa-Polysorbate
Antihemophilic Factor rAHF-PFM
Canakinumab
Dasatinib
Antihemophilic Factor Recombinant PAF
Carboplatin
DAUNORUBICIN
Antihemophilic Factor/VWF (Human)
Carfilzomib
DAUNOXOME
Antithrombin III (Human)
Carglumic
Decitabine
ANZEMET
CARIMUNE
Deferasirox
Apomorphine Hydrochloride
CARIMUNE NF
Deferoxamine Mesylate
Apremilast
Carmustine
Degarelix Acetate
Aprepitant
CEENU
Denosumab
ARANESP
CELLCEPT IV
Desmopressin Acetate Inj
AREDIA
CERDELGA
Desmopressin Acetate Nasal Soln
Asparaginase Erwinia Chrysanthemi
CEREZYME
Dimethyl Fumarate
ATGAM
Certolizumab Pegol
Docetaxel
AVASTIN
CERUBIDINE
Dolutegravir
AVONEX
CETROTIDE
Doxercalciferol
Axitinib
Cetuximab
DOXIL
Doxorubicin
Fosaprepitant Dimeglumine
INFERGEN
Droperidol
GAMMAGARD SD
INNOHEP
Ecallantide
GAMMAR-P IV
Interferon alfacon-1
Eculizumab
GAMUNEX
Interferon Alfa-n3
Efalizumab
Ganciclovir
Interferon Beta-1b
ELIGARD
GANIRELIX
INTRON-A
ELITEK
Gefitinib
Ipilimumab
ELLENCE
Gemcitabine
Irinotecan
Elosulfase Alfa
GEMZAR
Iron Dextran
ELOXATIN
GENOTROPIN
Ivacaftor
ELSPAR
GLEEVEC
Ixabepilone
Eltrombopag Olamine
GONAL-F
KEPIVANCE
EMCYT
GONAL-F RFF
KEYTRUDA
ENBREL
HEALON
KINERET
Enfuvirtide
HEP SOD D5W
KOATE-DVI
Epinephrine
HEPARIN SOD
KOGENATE FS
Epirubicin
Heparin Sodium (Porcine)
KUVAN
EPOGEN
Hepatitis B Immune Globulin (Human)
KYTRIL
Epoprostenol
HEPSERA
Lamivudine
ERBITUX
HERCEPTIN
Lanreotide Acetate Extended Release Inj
Eribulin Mesylate
HEXALEN
Lenalidomide
Erlotinib
Histrelin Acetate (CPP) Implant
LETAIRIS
Etanercept
HUMATE-P
LEUCOVOR CA
ETHYOL
HUMATROPE
LEUKINE
ETOPOPHOS
HUMIRA
LEUPROLIDE
Etoposide
HYALGAN
Leuprolide Acetate
Everolimus
Hyaluronidase Bovine
Levonorgestrel Releasing IUD
FABRAZYME
HYCAMTIN
LIORESAL INT INJ
Factor IX Complex
Hydrocortisone Sodium Succinate
Lomustine
Factor XIII Concentrate (Human)
Hylan Intra-articular
LUCENTIS
FASLODEX
Ibandronate Sodium IV
LUPR DEP-PED
FEIBA VH
Icatibant Acetate
LUPRON DEPOT
Fibrinogen Conc Human
IDARUBICIN
LUVERIS
Fingolimod
Idelalisib
Macitentan
FLEBOGAMMA
Idursulfase
MACUGEN
FLOXURIDINE
IFEXMESNEX
MATULANE
FLUDARABINE
Ifosfamide
Melphalan
Fludarabine Phosphate
Iloprost Inhalation
MENOPUR
Fluorouracil
Immune Globulin (Human)
Menotropins
FOLLISTIM AQ
Immune Globulin Human IV
Mesna
FORTEO
INCRELEX
MESNEX
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Methoxsalen
PAMIDRONATE
RIBAPAK
Metreleptin
PARAPLATIN
Ribavirin
MITOMYCIN
Pazopanib
Rilonacept
Mitoxantrone
Pegademase Bovine
Riociguat
MONARC-M
PEGASYS
RITUXAN
MONOCLATE-P
Peginesatide Acetate
ROFERON-A
MONONINE
Peginterferon alfa-2a
Romidepsin
MUSTARGEN
Peginterferon alfa-2b
Romiplostim
MYOBLOC
PEG-INTRON
Ruxolitinib Phosphate
MYOZYME
Pegloticase
SAIZEN
NABI-HB
Pegvisomant
SANDOSTATIN
NAGLAZYME
Penicillin G Benzathine Procaine
SENSIPAR
Naltrexone For IM Extended Release Susp
Penicillin G Benzathine
SEROSTIM
NAVELBINE
PENTAM
Sildenafil Citrate IV
NEULASTA
Pertuzumab
Siltuximab
NEUMEGA
PHOTOFRIN
Simeprevir
NEUPOGEN
PLATINOL AQ
SIMPONI
NEXAVAR
PLENAXIS
Sodium Hyaluronate Intraocular
NILANDRON
Plerixafor
Sodium Oxybate Oral Solution
Nilotinib
Pralatrexate
Somatropin
NIPENT
PRIALT
SPRYCEL
Nitisinone
PROCHIEVE
SUPARTZ
NORDITROPIN
PROFILNINE
SUTENT
NOVANTRONE
Progesterone IM in Oil
SYNAGIS
NOVAREL
PROLEUKIN
SYNVISC
NOVOSEVEN
PROLIA
Tacrolimus Inj
NUTROPIN
PROMACTA
Tadalafil Tab
NUTROPIN AQ
Protein C Concentrate (Human)
Taliglucerase Alfa
Obinutuzumab
PULMOZYME
TARCEVA
OCTAGAM
Ramucirumab
TARGRETIN
Ofatumumab
REBETOL
Tasimelteon
OMNITROPE
REBIF
TAXOL
OnabotulinumtoxinA
RECLAST
TAXOTERE
ONCASPAR
RECOMBINATE
Tedizolid
ONTAK
REFLUDAN
Telaprevir
ORBACTIV
REMICADE
Telbivudine
ORENCIA
REPRONEX
TEMODAR
ORTHOVISC
REVATIO
Temozolomide
OVIDREL
REVLIMID
Teriflunomide
Oxaliplatin
Rho D Immune Globulin (Human)
Tesamorelin
PACLITAXEL
RHOGAM PLUS
Testosterone Undecanoate IM
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Tetrabenazine
VISUDYNE
Thalidomide
VIVAGLOBIN
THALOMID
VUMON
THERACYS
XELODA
THYMOGLOBULN
XOLAIR
THYROGEN
ZANOSAR
TICE BCG
ZANTAC INJ
TOBI
ZAVESCA
Tobramycin Inhal Cap
ZENAPAX
Tocilizumab
ZINECARD
Tolvaptan
ZOFRAN IN
Topotecan
ZOLADEX
Toremifene Citrate
Zoledronic Acid
TORISEL
ZOLINZA
TRELSTAR DEP
ZOMET INJ
TRELSTAR LA
Treprostinil Inhalation Solution
Treprostinil Sodium Inj
TRETINOIN Caps
Triptorelin Pamoate
TRISENOX
TRIUMEQ
TYKERB
TYSABRI
Ustekinumab
Valrubicin Intravesical Instillation
Vandetanib
VANTAS
VECTIBIX
Vedolizumab
Velaglucerase Alfa
VELCADE
Vemurafenib
VEPESID
VIADUR
Vigabatrin Powd Pack
VINBLASTINE
VINCRISTINE
Vinorelbine Tartrate
Vismodegib
VISTIDE
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