pharmacy services 100 n. academy ave. danville, pa 17822

Pharmacy Services 100 N. Academy Ave. Danville, PA 17822-3245 GeisingerHealthPlan.com

Geisinger Health Plan may refer collectively to health care coverage sponsors Geisinger Health Plan, Geisinger Quality Options, Inc., and Geisinger Indemnity Insurance Company, unless otherwise noted. Geisinger Health Plan is part of Geisinger, an integrated health care delivery and coverage organization. HPM50MJK Commercial Specialty List Dev. 5/20 Term. 11/20

Specialty drugs and devices are frequently used to treat complex medical conditions. These products generally require close monitoring, complex handling, and often require education regarding administration. In order to ensure our members are receiving the support they need to successfully manage their conditions; we have partnered with PerformRx to provide these medications through the Specialty Drug Program. Use of the Specialty Drug Program is mandated for our Commercial members when medication will be self-administered by the member at home. For physician-injected medications, the use of the Specialty Pharmacy Drug Program is not mandatory if the physician elects to buy and bill the medication. Medicare Part D members are not mandated to use the Specialty Drug Program, but they may elect to do so. Medicare Part D members are not limited to specific specialty pharmacies, unless the manufacturer limits access to a medication through a specialty pharmacy. Medicare eligible Part B medications which are not bought and billed by a physician are not eligible for Part B coverage. For formulary information for self-administered medications, please visit and select the appropriate formulary: Geisinger.org/health-plan/find/covered-drug-pharmacy If a prior authorization is required, contact the Pharmacy Department. Phone: 800-988-4861 Fax: 570-300-2122 For formulary information for physician-injected medications, please visit: Geisinger.org/health-plan/providers/ghp-clinical-policies/medical-benefit-pharmaceutical-policies If a prior authorization is required, contact the Pharmacy Department. Phone: 800-498-9731 Fax: 570-214-0221 Note that all specialty vendor drugs have a maximum of a one month supply per dispense unless otherwise noted. (*maximum day supply exceeds one month) For Northern Light: For Northern Light, Geisinger Health Plan manages pharmacy benefit (member-injected) drugs only, medical benefit (physician-injected) drugs are not available through the specialty vendor program.

The following medications are included in Geisinger Health Plan Specialty Pharmacy Drug Program:

Abilify Maintena Prefilled Syringe 300 MG Intramuscular

Abilify Maintena Prefilled Syringe 400 MG Intramuscular

Abilify Maintena Suspension Reconstituted ER 300 MG Intramuscular

Abilify Maintena Suspension Reconstituted ER 400 MG Intramuscular

Abilify MyCite Maintenance Kit Tablet 10 MG Oral






Abilify MyCite Starter Kit Tablet 10 MG Oral






Abilify MyCite Tablet 10 MG Oral




https://www.geisinger.org/health-plan/find/covered-drug-pharmacy

https://www.geisinger.org/health-plan/providers/ghp-clinical-policies/medical-benefit-pharmaceutical-policies

https://www.geisinger.org/health-plan/providers/ghp-clinical-policies/medical-benefit-pharmaceutical-policies



Abiraterone Acetate Tablet 250 MG Oral

Abraxane Suspension Reconstituted 100 MG Intravenous

Acitretin Capsule 10 MG Oral

Acitretin Capsule 17.5 MG Oral

Acitretin Capsule 25 MG Oral

Actemra ACTPen Solution Auto-Injector 162 MG/0.9ML Subcutaneous

Actemra SOLUTION 200 MG/10ML Intravenous



Actemra Solution Prefilled Syringe 162 MG/0.9ML Subcutaneous

Acthar Gel 80 UNIT/ML Injection

Acthrel Solution Reconstituted 100 MCG Intravenous

Actimmune Solution 2000000 UNIT/0.5ML Subcutaneous

Activase SOLUTION RECONSTITUTED 100 MG Intravenous

Activase SOLUTION RECONSTITUTED 50 MG Intravenous

Adakveo Solution 100 MG/10ML Intravenous

Adasuve Aerosol Powder Breath Activated 10 MG Inhalation

Adbry Solution Prefilled Syringe 150 MG/ML Subcutaneous

Adcetris Solution Reconstituted 50 MG Intravenous

Adcirca Tablet 20 MG Oral

Adefovir Dipivoxil Tablet 10 MG Oral

Adempas Tablet 0.5 MG Oral

Adempas Tablet 1 MG Oral


Adempas Tablet 2 MG Oral


Aduhelm Solution 170 MG/1.7ML Intravenous

Aduhelm Solution 300 MG/3ML Intravenous

Advate Solution Reconstituted 1000 UNIT Intravenous







Adynovate Solution Reconstituted 1000 UNIT Intravenous

Adynovate SOLUTION RECONSTITUTED 1500 UNIT Intravenous






Afinitor Disperz Tablet Soluble 2 MG Oral



Afinitor Tablet 10 MG Oral

Afinitor Tablet 2.5 MG Oral

Afinitor Tablet 5 MG Oral

Afinitor Tablet 7.5 MG Oral

Afstyla KIT 1000 UNIT Intravenous







Agrylin Capsule 0.5 MG Oral

Aldurazyme SOLUTION 2.9 MG/5ML Intravenous

Alecensa Capsule 150 MG Oral

Alferon N SOLUTION 5000000 UNIT/ML INJECTION

Alimta SOLUTION RECONSTITUTED 100 MG Intravenous

Alimta SOLUTION RECONSTITUTED 500 MG Intravenous

Aliqopa SOLUTION RECONSTITUTED 60 MG Intravenous

Alkeran SOLUTION RECONSTITUTED 50 MG Intravenous

Alphanate Solution Reconstituted 1000 UNIT Intravenous





Alphanate/VWF Complex/Human Solution Reconstituted 1000 UNIT Intravenous Alphanate/VWF Complex/Human Solution Reconstituted 1500 UNIT Intravenous Alphanate/VWF Complex/Human Solution Reconstituted 2000 UNIT Intravenous Alphanate/VWF Complex/Human Solution Reconstituted 250 UNIT Intravenous Alphanate/VWF Complex/Human Solution Reconstituted 500 UNIT Intravenous

AlphaNine SD Solution Reconstituted 1000 UNIT Intravenous



Alprolix Solution Reconstituted 1000 UNIT Intravenous






Alunbrig Tablet 180 MG Oral



Alunbrig Tablet Therapy Pack 90 & 180 MG Oral

Alyq Tablet 20 MG Oral

Ambrisentan Tablet 10 MG Oral

Ambrisentan Tablet 5 MG Oral

Amondys 45 Solution 100 MG/2ML Intravenous

Ampyra Tablet Extended Release 12 Hour 10 MG Oral

Andexxa Solution Reconstituted 200 MG Intravenous

Apokyn Solution Cartridge 30 MG/3ML Subcutaneous

Aralast NP SOLUTION RECONSTITUTED 1000 MG Intravenous

Aralast NP SOLUTION RECONSTITUTED 500 MG Intravenous

Aranesp (Albumin Free) SOLUTION 100 MCG/ML INJECTION





Aranesp (Albumin Free) Solution Prefilled Syringe 10 MCG/0.4ML Injection







Aranesp (Albumin Free) Solution Prefilled Syringe 500 MCG/ML Injection


Arcalyst Solution Reconstituted 220 MG Subcutaneous

Arikayce Suspension 590 MG/8.4ML Inhalation

Aristada Initio Prefilled Syringe 675 MG/2.4ML Intramuscular

Aristada Prefilled Syringe 1064 MG/3.9ML Intramuscular*

Aristada Prefilled Syringe 441 MG/1.6ML Intramuscular

Aristada Prefilled Syringe 662 MG/2.4ML Intramuscular

Aristada Prefilled Syringe 882 MG/3.2ML Intramuscular*

Arranon Solution 5 MG/ML Intravenous

Arsenic Trioxide Solution 10 MG/10ML Intravenous

Arsenic Trioxide Solution 12 MG/6ML Intravenous

Artesunate Solution Reconstituted 110 MG Intravenous

Arzerra Concentrate 100 MG/5ML Intravenous

Arzerra Concentrate 1000 MG/50ML Intravenous

Asceniv Solution 5 GM/50ML Intravenous

Asparlas Solution 3750 UNIT/5ML Intravenous

Aubagio Tablet 14 MG Oral

Aubagio Tablet 7 MG Oral

Austedo TABLET 12 MG Oral



Avastin Solution 100 MG/4ML Intravenous

Avastin Solution 400 MG/16ML Intravenous

Aveed SOLUTION 750 MG/3ML Intramuscular

Avonex Pen Auto-Injector Kit 30 MCG/0.5ML Intramuscular

Avonex Prefilled Prefilled Syringe Kit 30 MCG/0.5ML Intramuscular

Avsola Solution Reconstituted 100 MG Intravenous*

Ayvakit Tablet 100 MG Oral





AzaCITIDine Suspension Reconstituted 100 MG Injection

Azedra Dosimetric Solution 15 MCI/ML Intravenous

Azedra Therapeutic Solution 15 MCI/ML Intravenous

Bafiertam Capsule Delayed Release 95 MG Oral

Balversa Tablet 3 MG Oral



Baraclude SOLUTION 0.05 MG/ML ORAL

Baraclude Tablet 0.5 MG Oral

Baraclude TABLET 1 MG ORAL

Bavencio Solution 200 MG/10ML Intravenous

Beleodaq Solution Reconstituted 500 MG Intravenous

Bendeka Solution 100 MG/4ML Intravenous

BeneFIX KIT 1000 UNIT Intravenous





Benlysta Solution Auto-Injector 200 MG/ML Subcutaneous

Benlysta Solution Prefilled Syringe 200 MG/ML Subcutaneous

Benlysta SOLUTION RECONSTITUTED 120 MG Intravenous

Benlysta SOLUTION RECONSTITUTED 400 MG Intravenous

Beovu Solution 6 MG/0.05ML Intravitreal

Berinert KIT 500 UNIT Intravenous

Besponsa Solution Reconstituted 0.9 MG Intravenous

Besremi Solution Prefilled Syringe 500 MCG/ML Subcutaneous

Betaseron KIT 0.3 MG Subcutaneous

Bethkis Nebulization Solution 300 MG/4ML Inhalation*

Bevacizumab Solution Prefilled Syringe 2.5 MG/0.1ML Intravitreal

Bevacizumab Solution Prefilled Syringe 2.75 MG/0.11ML Intraocular


Bevacizumab Solution Prefilled Syringe 3.75 MG/0.15ML Intraocular


Bexarotene Capsule 75 MG Oral

BiCNU Solution Reconstituted 100 MG Intravenous

Bivigam Solution 5 GM/50ML Intravenous

Blenrep Solution Reconstituted 100 MG Intravenous

Bleomycin Sulfate Solution Reconstituted 15 UNIT Injection

Bleomycin Sulfate Solution Reconstituted 30 UNIT Injection

Blincyto SOLUTION RECONSTITUTED 35 MCG Intravenous

Bortezomib Solution Reconstituted 3.5 MG Intravenous

Bosentan Tablet 125 MG Oral

Bosentan Tablet 62.5 MG Oral

Bosulif Tablet 100 MG Oral



Botox Cosmetic SOLUTION RECONSTITUTED 100 UNIT Intramuscular*

Botox Cosmetic SOLUTION RECONSTITUTED 50 UNIT Intramuscular*

Botox Solution Reconstituted 100 UNIT Injection*

Botox SOLUTION RECONSTITUTED 200 UNIT Injection*

Braftovi Capsule 75 MG Oral

Brineura Kit 2 X 150 MG/5ML

Bronchitol Capsule 40 MG Inhalation

Brukinsa Capsule 80 MG Oral

Buphenyl Powder 3 GM/TSP Oral

Buphenyl Tablet 500 MG Oral

Busulfan Solution 6 MG/ML Intravenous

Busulfex Solution 6 MG/ML Intravenous

Byfavo Solution Reconstituted 20 MG Intravenous

Bylvay (Pellets) Capsule Sprinkle 200 MCG Oral

Bylvay (Pellets) Capsule Sprinkle 600 MCG Oral

Bylvay Capsule 1200 MCG Oral

Bylvay Capsule 400 MCG Oral

Bynfezia Pen Solution Pen-Injector 2500 MCG/ML (2.8 ML) Subcutaneous

Cabenuva Suspension Extended Release 400 & 600 MG/2ML Intramuscular

Cabenuva Suspension Extended Release 600 & 900 MG/3ML Intramuscular

Cablivi Kit 11 MG Injection

Cabometyx Tablet 20 MG Oral



Calcitonin (Salmon) Solution 200 UNIT/ML Injection

Calquence Capsule 100 MG Oral

Camptosar Solution 100 MG/5ML Intravenous



Capecitabine Tablet 150 MG Oral

Capecitabine Tablet 500 MG Oral

Caprelsa Tablet 100 MG Oral

Caprelsa Tablet 300 MG Oral

Carbaglu Tablet 200 MG Oral

CARBOplatin Solution 150 MG/15ML Intravenous




Carimune NF Solution Reconstituted 12 GM Intravenous

Carimune NF Solution Reconstituted 6 GM Intravenous

Carmustine Solution Reconstituted 100 MG Intravenous

Cayston Solution Reconstituted 75 MG Inhalation

Ceprotin Solution Reconstituted 1000 UNIT Intravenous

Ceprotin Solution Reconstituted 500 UNIT Intravenous

Cerdelga Capsule 84 MG Oral

Cerezyme SOLUTION RECONSTITUTED 400 UNIT Intravenous

Cerianna Solution 4-100 MCI/ML Intravenous

Chenodal TABLET 250 MG Oral

Cholbam CAPSULE 250 MG ORAL

Cholbam CAPSULE 50 MG ORAL

Cimzia KIT 2 X 200 MG Subcutaneous

Cimzia Prefilled KIT 2 X 200 MG/ML Subcutaneous

Cimzia Starter Kit KIT 6 X 200 MG/ML Subcutaneous

Cinacalcet HCl Tablet 30 MG Oral



Cinqair SOLUTION 100 MG/10ML Intravenous

Cinryze Solution Reconstituted 500 UNIT Intravenous

Cinvanti EMULSION 130 MG/18ML Intravenous

CISplatin Solution 100 MG/100ML Intravenous

CISplatin SOLUTION 200 MG/200ML Intravenous

CISplatin Solution 50 MG/50ML Intravenous

CISplatin Solution Reconstituted 50 MG Intravenous

Cladribine Solution 10 MG/10ML Intravenous

Clofarabine Solution 1 MG/ML Intravenous

Clolar Solution 1 MG/ML Intravenous

Clovique Capsule 250 MG Oral

Coagadex Solution Reconstituted 250 UNIT Intravenous

Coagadex Solution Reconstituted 500 UNIT Intravenous

Cometriq (100 MG Daily Dose) Kit 80 & 20 MG Oral

Cometriq (140 MG Daily Dose) Kit 3 x 20 MG & 80 MG Oral

Cometriq (60 MG Daily Dose) Kit 20 MG Oral

Copaxone Solution Prefilled Syringe 20 MG/ML Subcutaneous

Copaxone Solution Prefilled Syringe 40 MG/ML Subcutaneous

Copiktra Capsule 15 MG Oral

Copiktra Capsule 25 MG Oral

Corifact KIT 1000-1600 UNIT Intravenous

Cosela Solution Reconstituted 300 MG Intravenous

Cosentyx (300 MG Dose) Solution Prefilled Syringe 150 MG/ML Subcutaneous*

Cosentyx Sensoready (300 MG) Solution Auto-Injector 150 MG/ML Subcutaneous*

Cosentyx Sensoready Pen Solution Auto-injector 150 MG/ML Subcutaneous

Cosentyx Solution Prefilled Syringe 150 MG/ML Subcutaneous

Cosentyx Solution Prefilled Syringe 75 MG/0.5ML Subcutaneous

Cosmegen SOLUTION RECONSTITUTED 0.5 MG Intravenous

Cotellic TABLET 20 MG ORAL

Crysvita Solution 10 MG/ML Subcutaneous



Cuprimine Capsule 250 MG Oral

Cutaquig Solution 1 GM/6ML Subcutaneous

Cutaquig Solution 1.65 GM/10ML Subcutaneous


Cutaquig Solution 3.3 GM/20ML Subcutaneous



Cuvitru SOLUTION 1 GM/5ML Subcutaneous

Cuvitru Solution 10 GM/50ML Subcutaneous




Cyclophosphamide Capsule 25 MG Oral

Cyclophosphamide Capsule 50 MG Oral

Cyramza SOLUTION 100 MG/10ML Intravenous

Cyramza SOLUTION 500 MG/50ML Intravenous

Cystadane Powder Oral

Cystadrops Solution 0.37 % Ophthalmic

Cystagon Capsule 150 MG Oral

Cystagon Capsule 50 MG Oral

Cystaran SOLUTION 0.44 % Ophthalmic

Cytarabine (PF) Solution 100 MG/ML Injection

Cytarabine (PF) Solution 20 MG/ML Injection

Cytarabine Solution 20 MG/ML Injection

Cytogam Injectable 50 MG/ML Intravenous

Dacarbazine SOLUTION RECONSTITUTED 100 MG Intravenous

Dacarbazine Solution Reconstituted 200 MG Intravenous

Dacogen Solution Reconstituted 50 MG Intravenous

DACTINomycin Solution Reconstituted 0.5 MG Intravenous

Dalfampridine ER Tablet Extended Release 12 Hour 10 MG Oral

Danyelza Solution 40 MG/10ML Intravenous

Daraprim Tablet 25 MG Oral

Darzalex Faspro Solution 1800-30000 MG-UT/15ML Subcutaneous

Darzalex Solution 100 MG/5ML Intravenous

Darzalex Solution 400 MG/20ML Intravenous

DAUNOrubicin HCl Solution 20 MG/4ML Intravenous

DAUNOrubicin HCl Solution 50 MG/10ML Intravenous

Daurismo Tablet 100 MG Oral

Daurismo Tablet 25 MG Oral

Decitabine Solution Reconstituted 50 MG Intravenous

Deferasirox Granules Packet 180 MG Oral



Deferasirox Tablet 180 MG Oral



Deferasirox Tablet Soluble 125 MG Oral



Deflux Prefilled Syringe 50-15 MG/ML Injection

Demser Capsule 250 MG Oral

Depen Titratabs Tablet 250 MG Oral

Dexrazoxane HCl Solution Reconstituted 250 MG Intravenous

Dexrazoxane HCl Solution Reconstituted 500 MG Intravenous

Diacomit Capsule 250 MG Oral

Diacomit Capsule 500 MG Oral

Diacomit Packet 250 MG Oral

Diacomit Packet 500 MG Oral

Dibenzyline Capsule 10 MG Oral

Dimethyl Fumarate Capsule Delayed Release 120 MG Oral

Dimethyl Fumarate Capsule Delayed Release 240 MG Oral

DOCEtaxel Concentrate 160 MG/8ML Intravenous

DOCEtaxel Concentrate 20 MG/ML Intravenous



DOCEtaxel Solution 160 MG/16ML Intravenous



Dojolvi Liquid 100 % Oral

Doptelet Tablet 20 MG Oral

Doxil Injectable 2 MG/ML Intravenous

DOXOrubicin HCl Liposomal Injectable 2 MG/ML Intravenous

DOXOrubicin HCl Solution 2 MG/ML Intravenous

Duopa SUSPENSION 4.63-20 MG/ML Enteral

Dupixent Solution Pen-Injector 200 MG/1.14ML Subcutaneous

Dupixent Solution Pen-Injector 300 MG/2ML Subcutaneous

Dupixent Solution Prefilled Syringe 200 MG/1.14ML Subcutaneous

Dupixent Solution Prefilled Syringe 300 MG/2ML Subcutaneous

Durolane Prefilled Syringe 60 MG/3ML Intra-articular

Durysta Implant 10 MCG Intraocular

Dysport Solution Reconstituted 300 UNIT Intramuscular*

Dysport SOLUTION RECONSTITUTED 500 UNIT Intramuscular*

Egrifta Solution Reconstituted 1 MG Subcutaneous

Egrifta SV Solution Reconstituted 2 MG Subcutaneous

Elaprase SOLUTION 6 MG/3ML Intravenous

Elelyso SOLUTION RECONSTITUTED 200 UNIT Intravenous

Eligard Kit 22.5 MG Subcutaneous*

Eligard Kit 30 MG Subcutaneous*

Eligard Kit 45 MG Subcutaneous*

Eligard Kit 7.5 MG Subcutaneous

Elitek SOLUTION RECONSTITUTED 1.5 MG Intravenous

Elitek SOLUTION RECONSTITUTED 7.5 MG Intravenous

Ellence Solution 200 MG/100ML Intravenous

Ellence Solution 50 MG/25ML Intravenous

Eloctate Solution Reconstituted 1000 UNIT Intravenous










Elzonris Solution 1000 MCG/ML Intravenous

Emcyt CAPSULE 140 MG ORAL

Emflaza Suspension 22.75 MG/ML Oral

Emflaza Tablet 18 MG Oral




Empaveli Solution 1080 MG/20ML Subcutaneous

Empliciti Solution Reconstituted 300 MG Intravenous

Empliciti Solution Reconstituted 400 MG Intravenous

Enbrel Mini Solution Cartridge 50 MG/ML Subcutaneous

Enbrel Solution 25 MG/0.5ML Subcutaneous

Enbrel Solution Prefilled Syringe 25 MG/0.5ML Subcutaneous

Enbrel Solution Prefilled Syringe 50 MG/ML Subcutaneous

Enbrel SOLUTION RECONSTITUTED 25 MG Subcutaneous

Enbrel SureClick Solution Auto-Injector 50 MG/ML Subcutaneous

Endari Packet 5 GM Oral

Enhertu Solution Reconstituted 100 MG Intravenous

Enspryng Solution Prefilled Syringe 120 MG/ML Subcutaneous

Entecavir Tablet 0.5 MG Oral

Entecavir Tablet 1 MG Oral

Entyvio SOLUTION RECONSTITUTED 300 MG Intravenous*

Epclusa Packet 150-37.5 MG Oral

Epclusa Packet 200-50 MG Oral

Epclusa Tablet 200-50 MG Oral

Epclusa Tablet 400-100 MG Oral

Epidiolex Solution 100 MG/ML Oral

epiRUBicin HCl Solution 200 MG/100ML Intravenous

epiRUBicin HCl Solution 50 MG/25ML Intravenous

Epogen SOLUTION 10000 UNIT/ML INJECTION





Epoprostenol Sodium Solution Reconstituted 0.5 MG Intravenous

Epoprostenol Sodium Solution Reconstituted 1.5 MG Intravenous

Erbitux Solution 100 MG/50ML Intravenous

Erbitux Solution 200 MG/100ML Intravenous

Erivedge CAPSULE 150 MG ORAL

Erleada TABLET 60 MG Oral

Erlotinib HCl Tablet 100 MG Oral



Erwinaze Solution Reconstituted 10000 UNIT Injection

Esbriet CAPSULE 267 MG ORAL

Esbriet Tablet 267 MG Oral

Esbriet TABLET 801 MG Oral

Esperoct Solution Reconstituted 1000 UNIT Intravenous





Ethyol Solution Reconstituted 500 MG Intravenous

Etopophos Solution Reconstituted 100 MG Intravenous

Etoposide CAPSULE 50 MG ORAL

Etoposide Solution 100 MG/5ML Intravenous

Euflexxa Solution Prefilled Syringe 20 MG/2ML Intra-articular

Evenity Solution Prefilled Syringe 105 MG/1.17ML Subcutaneous

Everolimus Tablet 2.5 MG Oral

Everolimus Tablet 5 MG Oral

Everolimus Tablet 7.5 MG Oral

Evkeeza Solution 1200 MG/8ML Intravenous

Evkeeza Solution 345 MG/2.3ML Intravenous

Evomela Solution Reconstituted 50 MG Intravenous

Evrysdi Solution Reconstituted 0.75 MG/ML Oral

Exjade Tablet Soluble 125 MG Oral



Exkivity Capsule 40 MG Oral

Exondys 51 SOLUTION 100 MG/2ML Intravenous

Exondys 51 SOLUTION 500 MG/10ML Intravenous

Exservan Film 50 MG Oral

Extavia KIT 0.3 MG Subcutaneous

Eylea Solution 2 MG/0.05ML Intravitreal*

Eylea Solution Prefilled Syringe 2 MG/0.05ML Intravitreal*

Fabrazyme SOLUTION RECONSTITUTED 35 MG Intravenous

Fabrazyme SOLUTION RECONSTITUTED 5 MG Intravenous

Fareston Tablet 60 MG Oral

Farydak Capsule 10 MG Oral



Fasenra Pen Solution Auto-Injector 30 MG/ML Subcutaneous*

Fasenra Solution Prefilled Syringe 30 MG/ML Subcutaneous*

Faslodex Solution 250 MG/5ML Intramuscular

Feiba Solution Reconstituted 1000 UNIT Intravenous



Fensolvi (6 Month) Kit 45 MG (Ped) Subcutaneous

Feraheme Solution 510 MG/17ML Intravenous

Ferriprox Solution 100 MG/ML Oral

Ferriprox Tablet 1000 MG Oral

Ferriprox Tablet 500 MG Oral

Ferriprox Twice-A-Day Tablet 1000 MG Oral

Ferrlecit SOLUTION 12.5 MG/ML Intravenous

Ferumoxytol Solution 510 MG/17ML Intravenous

Fibryga SOLUTION RECONSTITUTED Intravenous

Fintepla Solution 2.2 MG/ML Oral

Firazyr Solution 30 MG/3ML Subcutaneous

Firdapse Tablet 10 MG Oral

Firmagon (240 MG Dose) Solution Reconstituted 120 MG/VIAL Subcutaneous

Firmagon Solution Reconstituted 80 MG Subcutaneous

Flebogamma DIF SOLUTION 0.5 GM/10ML Intravenous

Flebogamma DIF SOLUTION 10 GM/100ML Intravenous


Flebogamma DIF SOLUTION 2.5 GM/50ML Intravenous





Flolan SOLUTION RECONSTITUTED 0.5 MG Intravenous

Flolan SOLUTION RECONSTITUTED 1.5 MG Intravenous

Floxuridine Solution Reconstituted 0.5 GM Injection

Fludarabine Phosphate Solution 50 MG/2ML Intravenous

Fludarabine Phosphate Solution Reconstituted 50 MG Intravenous

Folotyn Solution 20 MG/ML Intravenous

Folotyn Solution 40 MG/2ML Intravenous

Forteo Solution Pen-Injector 620 MCG/2.48ML Subcutaneous

Fotivda Capsule 0.89 MG Oral

Fotivda Capsule 1.34 MG Oral

Fulphila Solution Prefilled Syringe 6 MG/0.6ML Subcutaneous

Fulvestrant Solution 250 MG/5ML Intramuscular

Fyarro Suspension Reconstituted 100 MG Intravenous

Gablofen Solution 10000 MCG/20ML Intrathecal



Gablofen Solution Prefilled Syringe 10000 MCG/20ML Intrathecal



Gablofen Solution Prefilled Syringe 50 MCG/ML Intrathecal

Galafold Capsule 123 MG Oral

GamaSTAN Injectable Intramuscular

Gamifant Solution 10 MG/2ML Intravenous



Gammagard S/D Less IgA Solution Reconstituted 10 GM Intravenous

Gammagard S/D Less IgA Solution Reconstituted 5 GM Intravenous

Gammagard Solution 1 GM/10ML Injection


Gammagard Solution 2.5 GM/25ML Injection




Gammaked Solution 1 GM/10ML Injection




Gammaplex SOLUTION 10 GM/100ML Intravenous






Gamunex-C SOLUTION 1 GM/10ML INJECTION


Gamunex-C SOLUTION 2.5 GM/25ML INJECTION




Gattex KIT 5 MG Subcutaneous

Gavreto Capsule 100 MG Oral

Gazyva Solution 1000 MG/40ML Intravenous

Gel-One Prefilled Syringe 30 MG/3ML Intra-Articular

Gelsyn-3 Solution Prefilled Syringe 16.8 MG/2ML Intra-articular

GelX Gel Mouth/Throat

Gemcitabine HCl Solution 1 GM/10ML Intravenous

Gemcitabine HCl Solution 1 GM/26.3ML Intravenous

Gemcitabine HCl SOLUTION 1.5 GM/15ML Intravenous

Gemcitabine HCl Solution 2 GM/20ML Intravenous

Gemcitabine HCl Solution 2 GM/52.6ML Intravenous

Gemcitabine HCl Solution 200 MG/2ML Intravenous

Gemcitabine HCl Solution 200 MG/5.26ML Intravenous

Gemcitabine HCl Solution Reconstituted 1 GM Intravenous

Gemcitabine HCl Solution Reconstituted 2 GM Intravenous

Gemcitabine HCl Solution Reconstituted 200 MG Intravenous

Genotropin MiniQuick Solution Reconstituted 0.2 MG Subcutaneous




Genotropin MiniQuick SOLUTION RECONSTITUTED 1 MG Subcutaneous

Genotropin MiniQuick SOLUTION RECONSTITUTED 1.2 MG Subcutaneous




Genotropin MiniQuick SOLUTION RECONSTITUTED 2 MG Subcutaneous

Genotropin SOLUTION RECONSTITUTED 12 MG Subcutaneous

Genotropin SOLUTION RECONSTITUTED 5 MG Subcutaneous

GenVisc 850 Solution Prefilled Syringe 25 MG/2.5ML Intra-articular

Gilenya Capsule 0.25 MG Oral

Gilenya CAPSULE 0.5 MG ORAL

Gilotrif Tablet 20 MG Oral



Gimoti Solution 15 MG/ACT Nasal

Givlaari Solution 189 MG/ML Subcutaneous

Glassia Solution 1000 MG/50ML Intravenous

Glatiramer Acetate Solution Prefilled Syringe 20 MG/ML Subcutaneous

Glatiramer Acetate Solution Prefilled Syringe 40 MG/ML Subcutaneous

Glatopa Solution Prefilled Syringe 20 MG/ML Subcutaneous

Glatopa Solution Prefilled Syringe 40 MG/ML Subcutaneous

Gleevec Tablet 100 MG Oral

Gleevec Tablet 400 MG Oral

Gleostine CAPSULE 10 MG ORAL



Gliadel Wafer Wafer 7.7 MG Implant

Gocovri CAPSULE EXTENDED RELEASE 24 HOUR 137 MG Oral

Gocovri CAPSULE EXTENDED RELEASE 24 HOUR 68.5 MG Oral

Granix Solution 300 MCG/ML Subcutaneous

Granix Solution 480 MCG/1.6ML Subcutaneous

Granix Solution Prefilled Syringe 300 MCG/0.5ML Subcutaneous

Granix Solution Prefilled Syringe 480 MCG/0.8ML Subcutaneous

Haegarda SOLUTION RECONSTITUTED 2000 UNIT Subcutaneous

Haegarda SOLUTION RECONSTITUTED 3000 UNIT Subcutaneous

Halaven SOLUTION 1 MG/2ML Intravenous

Harvoni Packet 33.75-150 MG Oral

Harvoni Packet 45-200 MG Oral

Harvoni Tablet 45-200 MG Oral

Harvoni Tablet 90-400 MG Oral

Hemlibra SOLUTION 105 MG/0.7ML Subcutaneous

Hemlibra SOLUTION 150 MG/ML Subcutaneous

Hemlibra SOLUTION 30 MG/ML Subcutaneous

Hemlibra SOLUTION 60 MG/0.4ML Subcutaneous

Hemofil M SOLUTION RECONSTITUTED 1000 UNIT Intravenous




HepaGam B Solution Injection

Hepsera TABLET 10 MG ORAL

Herceptin Hylecta Solution 600-10000 MG-UNT/5ML Subcutaneous

Herceptin Solution Reconstituted 150 MG Intravenous

Herzuma Solution Reconstituted 150 MG Intravenous

Herzuma Solution Reconstituted 420 MG Intravenous

Hetlioz CAPSULE 20 MG ORAL

Hetlioz LQ Suspension 4 MG/ML Oral

Hizentra Solution 1 GM/5ML Subcutaneous




Hizentra Solution Prefilled Syringe 1 GM/5ML Subcutaneous



Humate-P SOLUTION RECONSTITUTED 1000-2400 UNIT Intravenous



Humatrope SOLUTION RECONSTITUTED 12 MG INJECTION


Humatrope Solution Reconstituted 5 MG Injection


Humira Pediatric Crohns Start Prefilled Syringe Kit 80 MG/0.8ML & 40MG/0.4ML Subcutaneous Humira Pediatric Crohns Start Prefilled Syringe Kit 80 MG/0.8ML Subcutaneous

Humira Pen Pen-Injector Kit 40 MG/0.4ML Subcutaneous

Humira Pen Pen-Injector Kit 40 MG/0.8ML Subcutaneous

Humira Pen-CD/UC/HS Starter Pen-Injector Kit 40 MG/0.8ML Subcutaneous

Humira Pen-CD/UC/HS Starter Pen-Injector Kit 80 MG/0.8ML Subcutaneous

Humira Pen-Ps/UV/Adol HS Start Pen-Injector Kit 40 MG/0.8ML Subcutaneous

Humira Pen-Psor/Uveit Starter Pen-Injector Kit 80 MG/0.8ML & 40MG/0.4ML Subcutaneous

Humira Prefilled Syringe Kit 10 MG/0.1ML Subcutaneous





Hyalgan Solution 20 MG/2ML Intra-Articular

Hyalgan Solution Prefilled Syringe 20 MG/2ML Intra-Articular

Hycamtin Capsule 0.25 MG Oral

Hycamtin Capsule 1 MG Oral

Hycamtin Solution Reconstituted 4 MG Intravenous

HYDROXYprogesterone Caproate Oil 250 MG/ML Intramuscular

Hydroxyprogesterone Caproate Solution 1.25 GM/5ML Intramuscular

Hymovis Solution Prefilled Syringe 24 MG/3ML Intra-articular

HyperHEP B Solution 220 UNIT/ML Intramuscular

HyperHEP B Solution Prefilled Syringe 110 UNIT/0.5ML Intramuscular

HyperHEP B Solution Prefilled Syringe 220 UNIT/ML Intramuscular

Hyqvia KIT 10 GM/100ML Subcutaneous

Hyqvia KIT 2.5 GM/25ML Subcutaneous




Ibrance CAPSULE 100 MG ORAL



Ibrance Tablet 100 MG Oral



Icatibant Acetate Solution 30 MG/3ML Subcutaneous

Iclusig Tablet 10 MG Oral




Idamycin PFS SOLUTION 10 MG/10ML Intravenous



IDArubicin HCl Solution 10 MG/10ML Intravenous



Idelvion SOLUTION RECONSTITUTED 1000 UNIT Intravenous



Idelvion Solution Reconstituted 3500 UNIT Intravenous


IDHIFA Tablet 100 MG Oral

IDHIFA Tablet 50 MG Oral

Ifex SOLUTION RECONSTITUTED 1 GM Intravenous

Ifex SOLUTION RECONSTITUTED 3 GM Intravenous

Ifosfamide Solution 1 GM/20ML Intravenous

Ifosfamide Solution 3 GM/60ML Intravenous

Ifosfamide Solution Reconstituted 1 GM Intravenous

Ifosfamide Solution Reconstituted 3 GM Intravenous

Ilaris SOLUTION 150 MG/ML Subcutaneous*

Ilumya Solution Prefilled Syringe 100 MG/ML Subcutaneous*

Iluvien Implant 0.19 MG Intravitreal*

Imatinib Mesylate Tablet 100 MG Oral

Imatinib Mesylate Tablet 400 MG Oral

Imbruvica Capsule 140 MG Oral

Imbruvica Capsule 70 MG Oral

Imbruvica Tablet 140 MG Oral




Imcivree Solution 10 MG/ML Subcutaneous

Imfinzi Solution 120 MG/2.4ML Intravenous

Imfinzi Solution 500 MG/10ML Intravenous

Imlygic SUSPENSION 1000000 UNIT/ML Intralesional

Imlygic SUSPENSION 100000000 UNIT/ML Intralesional

Inbrija Capsule 42 MG Inhalation

Increlex SOLUTION 40 MG/4ML Subcutaneous

Infed Solution 50 MG/ML Injection

Inflectra SOLUTION RECONSTITUTED 100 MG Intravenous*

Infugem Solution 1200-0.9 MG/120ML-% Intravenous










Ingrezza Capsule 40 MG Oral

Ingrezza Capsule 60 MG Oral

Ingrezza CAPSULE 80 MG Oral

Ingrezza Capsule Therapy Pack 40 & 80 MG Oral

Injectafer Solution 750 MG/15ML Intravenous

Inlyta Tablet 1 MG Oral

Inlyta Tablet 5 MG Oral

Inqovi Tablet 35-100 MG Oral

Inrebic Capsule 100 MG Oral

Intron A Solution 10000000 UNIT/ML Injection

Intron A Solution 6000000 UNIT/ML Injection

Intron A Solution Reconstituted 10000000 UNIT Injection



Invega Hafyera Suspension Prefilled Syringe 1092 MG/3.5ML Intramuscular

Invega Hafyera Suspension Prefilled Syringe 1560 MG/5ML Intramuscular

Invega Sustenna Suspension Prefilled Syringe 117 MG/0.75ML Intramuscular

Invega Sustenna Suspension Prefilled Syringe 156 MG/ML Intramuscular




Invega Trinza Suspension Prefilled Syringe 273 MG/0.88ML Intramuscular*




Iressa Tablet 250 MG Oral

Irinotecan HCl Solution 100 MG/5ML Intravenous



Irinotecan HCl SOLUTION 500 MG/25ML Intravenous

Istodax (Overfill) Solution Reconstituted 10 MG Intravenous

Isturisa Tablet 1 MG Oral



Ixempra Kit Solution Reconstituted 15 MG Intravenous

Ixempra Kit Solution Reconstituted 45 MG Intravenous

Ixinity Solution Reconstituted 1000 UNIT Intravenous






Jadenu Sprinkle Packet 180 MG Oral



Jadenu Tablet 180 MG Oral



Jakafi TABLET 10 MG ORAL





Jelmyto Solution Reconstituted 80 (2 x 40) MG

Jemperli Solution 500 MG/10ML Intravenous

Jetrea Solution 0.375 MG/0.3ML Intravitreal

Jevtana SOLUTION 60 MG/1.5ML Intravenous

Jivi Solution Reconstituted 1000 UNIT Intravenous




Juxtapid Capsule 10 MG Oral






Jynarque Tablet 15 MG Oral

Jynarque Tablet 30 MG Oral

Jynarque Tablet Therapy Pack 15 MG Oral

Jynarque Tablet Therapy Pack 30 & 15 MG Oral




Kadcyla SOLUTION RECONSTITUTED 100 MG Intravenous

Kadcyla SOLUTION RECONSTITUTED 160 MG Intravenous

Kalbitor SOLUTION 10 MG/ML Subcutaneous

Kalydeco Packet 25 MG Oral

Kalydeco PACKET 50 MG ORAL

Kalydeco PACKET 75 MG ORAL

Kalydeco Tablet 150 MG Oral

Kanjinti Solution Reconstituted 150 MG Intravenous

Kanjinti Solution Reconstituted 420 MG Intravenous

Kanuma SOLUTION 20 MG/10ML Intravenous

Kcentra KIT 1000 UNIT Intravenous

Kcentra KIT 500 UNIT Intravenous

Kepivance SOLUTION RECONSTITUTED 6.25 MG Intravenous

Kesimpta Solution Auto-Injector 20 MG/0.4ML Subcutaneous

Keveyis Tablet 50 MG Oral

Kevzara Solution Auto-Injector 150 MG/1.14ML Subcutaneous

Kevzara Solution Auto-Injector 200 MG/1.14ML Subcutaneous

Kevzara Solution Prefilled Syringe 150 MG/1.14ML Subcutaneous

Kevzara Solution Prefilled Syringe 200 MG/1.14ML Subcutaneous

Keytruda Solution 100 MG/4ML Intravenous

Khapzory Solution Reconstituted 175 MG Intravenous

Khapzory Solution Reconstituted 300 MG Intravenous

Kineret Solution Prefilled Syringe 100 MG/0.67ML Subcutaneous

Kisqali (200 MG Dose) Tablet Therapy Pack 200 MG Oral



Kisqali Femara (400 MG Dose) Tablet Therapy Pack 200 & 2.5 MG Oral

Kisqali Femara (600 MG Dose) Tablet Therapy Pack 200 & 2.5 MG Oral

Kisqali Femara(200 MG Dose) Tablet Therapy Pack 200 & 2.5 MG Oral

Kitabis Pak Nebulization Solution 300 MG/5ML Inhalation

Koate SOLUTION RECONSTITUTED 1000 UNIT Intravenous



Koate-DVI SOLUTION RECONSTITUTED 1000 UNIT Intravenous

Koate-DVI Solution Reconstituted 500 UNIT Intravenous

Kogenate FS Kit 1000 UNIT Intravenous





Korlym TABLET 300 MG ORAL

Koselugo Capsule 10 MG Oral

Koselugo Capsule 25 MG Oral

Kovaltry Solution Reconstituted 1000 UNIT Intravenous





Krystexxa Solution 8 MG/ML Intravenous

Kuvan Packet 100 MG Oral

Kuvan Packet 500 MG Oral

Kuvan Tablet 100 MG Oral

Kyprolis Solution Reconstituted 10 MG Intravenous

Kyprolis SOLUTION RECONSTITUTED 30 MG Intravenous

Kyprolis SOLUTION RECONSTITUTED 60 MG Intravenous

Lanreotide Acetate Solution 120 MG/0.5ML Subcutaneous

Lartruvo Solution 190 MG/19ML Intravenous

Lartruvo Solution 500 MG/50ML Intravenous

Ledipasvir-Sofosbuvir Tablet 90-400 MG Oral

Lemtrada SOLUTION 12 MG/1.2ML Intravenous*

Lenvima (10 MG Daily Dose) Capsule Therapy Pack 10 MG Oral

Lenvima (12 MG Daily Dose) Capsule Therapy Pack 3 x 4 MG Oral

Lenvima (14 MG Daily Dose) Capsule Therapy Pack 10 & 4 MG Oral

Lenvima (18 MG Daily Dose) Capsule Therapy Pack 10 MG & 2 x 4 MG Oral


Lenvima (24 MG Daily Dose) Capsule Therapy Pack 2 x 10 MG & 4 MG Oral

Lenvima (4 MG Daily Dose) Capsule Therapy Pack 4 MG Oral


Letairis Tablet 10 MG Oral

Letairis Tablet 5 MG Oral

Leukeran Tablet 2 MG Oral

Leukine Solution Reconstituted 250 MCG Injection

Leuprolide Acetate Kit 1 MG/0.2ML Injection

LEVOleucovorin Calcium PF Solution 175 MG/17.5ML Intravenous

LEVOleucovorin Calcium PF Solution 250 MG/25ML Intravenous

LEVOleucovorin Calcium Solution Reconstituted 50 MG Intravenous

Libtayo Solution 350 MG/7ML Intravenous

Lioresal Solution 0.05 MG/ML Intrathecal

Lioresal Solution 10 MG/20ML Intrathecal

Lioresal Solution 10 MG/5ML Intrathecal

Livmarli Solution 9.5 MG/ML Oral

Livtencity Tablet 200 MG Oral

Lonsurf TABLET 15-6.14 MG ORAL

Lonsurf TABLET 20-8.19 MG ORAL

Lorbrena Tablet 100 MG Oral

Lorbrena Tablet 25 MG Oral

Lucentis Solution 0.3 MG/0.05ML Intravitreal*

Lucentis Solution 0.5 MG/0.05ML Intravitreal*

Lucentis Solution Prefilled Syringe 0.3 MG/0.05ML Intravitreal*

Lucentis Solution Prefilled Syringe 0.5 MG/0.05ML Intravitreal*

Lumakras Tablet 120 MG Oral

Lumizyme Solution Reconstituted 50 MG Intravenous

Lumoxiti Solution Reconstituted 1 MG Intravenous

Lupaneta Pack Kit 11.25 & 5 MG Combination*

Lupaneta Pack Kit 3.75 & 5 MG Combination

Lupkynis Capsule 7.9 MG Oral

Lupron Depot (1-Month) KIT 3.75 MG Intramuscular

Lupron Depot (1-Month) KIT 7.5 MG Intramuscular

Lupron Depot (3-Month) KIT 11.25 MG Intramuscular*

Lupron Depot (3-Month) KIT 22.5 MG Intramuscular*

Lupron Depot (4-Month) KIT 30 MG Intramuscular*

Lupron Depot (6-Month) KIT 45 MG Intramuscular*

Lupron Depot-Ped (1-Month) Kit 11.25 MG Intramuscular

Lupron Depot-Ped (1-Month) Kit 15 MG Intramuscular

Lupron Depot-Ped (1-Month) Kit 7.5 MG Intramuscular

Lupron Depot-Ped (3-Month) Kit 11.25 MG (Ped) Intramuscular*

Lupron Depot-Ped (3-Month) Kit 30 MG (Ped) Intramuscular*

Lutathera SOLUTION 370 MBQ/ML Intravenous

Luxturna Suspension 5000000000000 VG/ML Intraocular

Lynparza TABLET 100 MG Oral

Lynparza Tablet 150 MG Oral

Lysodren Tablet 500 MG Oral

Macrilen Packet 60 MG Oral

Macugen Solution 0.3 MG Intraocular

Makena Oil 250 MG/ML Intramuscular

Makena Solution Auto-injector 275 MG/1.1ML Subcutaneous

Margenza Solution 250 MG/10ML Intravenous

Marqibo Suspension 5 MG/31ML Intravenous

Matulane Capsule 50 MG Oral

Mavenclad (10 Tabs) Tablet Therapy Pack 10 MG Oral







Mavyret Packet 50-20 MG Oral

Mavyret Tablet 100-40 MG Oral

Mayzent Starter Pack Tablet Therapy Pack 12 x 0.25 MG Oral

Mayzent Tablet 0.25 MG Oral

Mayzent Tablet 2 MG Oral

Mekinist Tablet 0.5 MG Oral

Mekinist Tablet 2 MG Oral

Mektovi Tablet 15 MG Oral

Melphalan HCl Solution Reconstituted 50 MG Intravenous

Mepsevii SOLUTION 10 MG/5ML Intravenous

Metopirone Capsule 250 MG Oral

Miacalcin Solution 200 UNIT/ML Injection

Miglustat Capsule 100 MG Oral

Mircera Solution Prefilled Syringe 100 MCG/0.3ML Injection






MitoMYcin Solution Prefilled Syringe 20 MG/40ML Intravesical

Mitomycin Solution Reconstituted 20 MG Intravenous

MitoMYcin Solution Reconstituted 40 MG Intravenous

MitoMYcin Solution Reconstituted 5 MG Intravenous

Mitoxantrone HCl CONCENTRATE 20 MG/10ML Intravenous

Mitoxantrone HCl CONCENTRATE 25 MG/12.5ML Intravenous

Mitoxantrone HCl CONCENTRATE 30 MG/15ML Intravenous

Monjuvi Solution Reconstituted 200 MG Intravenous

Mononine SOLUTION RECONSTITUTED 1000 UNIT Intravenous

Monovisc Solution Prefilled Syringe 88 MG/4ML Intra-articular

Mozobil SOLUTION 24 MG/1.2ML Subcutaneous

Mulpleta Tablet 3 MG Oral

Mutamycin SOLUTION RECONSTITUTED 20 MG Intravenous



Mvasi Solution 100 MG/4ML Intravenous

Mvasi Solution 400 MG/16ML Intravenous

Myalept Solution Reconstituted 11.3 MG Subcutaneous

Mycapssa Capsule Delayed Release 20 MG Oral

Myleran TABLET 2 MG Oral

Mylotarg Solution Reconstituted 4.5 MG Intravenous

Myobloc SOLUTION 10000 UNIT/2ML Intramuscular*

Myobloc SOLUTION 2500 UNIT/0.5ML Intramuscular*

Myobloc SOLUTION 5000 UNIT/ML Intramuscular*

Nabi-HB Solution 312 UNIT/ML Intramuscular

Naglazyme SOLUTION 1 MG/ML Intravenous

Natpara Cartridge 100 MCG Subcutaneous




Navelbine Solution 10 MG/ML Intravenous

Navelbine Solution 50 MG/5ML Intravenous

Nelarabine Solution 5 MG/ML Intravenous

Nerlynx Tablet 40 MG Oral

Neulasta Onpro Prefilled Syringe Kit 6 MG/0.6ML Subcutaneous

Neulasta Solution Prefilled Syringe 6 MG/0.6ML Subcutaneous

Neupogen SOLUTION 300 MCG/ML INJECTION

Neupogen SOLUTION 480 MCG/1.6ML INJECTION

Neupogen Solution Prefilled Syringe 300 MCG/0.5ML Injection

Neupogen Solution Prefilled Syringe 480 MCG/0.8ML Injection

NeuraCeq Solution 1.4-135 MCI/ML Intravenous

NexAVAR TABLET 200 MG ORAL

Nexviazyme Solution Reconstituted 100 MG Intravenous

Nilandron Tablet 150 MG Oral

Nilutamide Tablet 150 MG Oral

Ninlaro Capsule 2.3 MG Oral

Ninlaro Capsule 3 MG Oral

Ninlaro Capsule 4 MG Oral

Nipent Solution Reconstituted 10 MG Intravenous

Nitisinone Capsule 10 MG Oral



Nityr TABLET 10 MG Oral



Nivestym Solution 300 MCG/ML Injection

Nivestym Solution 480 MCG/1.6ML Injection

Nivestym Solution Prefilled Syringe 300 MCG/0.5ML Injection

Nivestym Solution Prefilled Syringe 480 MCG/0.8ML Injection

Norditropin FlexPro Solution Pen-Injector 10 MG/1.5ML Subcutaneous


Norditropin FlexPro Solution Pen-Injector 30 MG/3ML Subcutaneous


Northera Capsule 100 MG Oral



Nourianz Tablet 20 MG Oral

Nourianz Tablet 40 MG Oral

Novoeight Solution Reconstituted 1000 UNIT Intravenous






NovoSeven RT SOLUTION RECONSTITUTED 1 MG Intravenous




Nplate Solution Reconstituted 125 MCG Subcutaneous

Nplate SOLUTION RECONSTITUTED 250 MCG Subcutaneous

Nplate SOLUTION RECONSTITUTED 500 MCG Subcutaneous

Nubeqa Tablet 300 MG Oral

Nucala Solution Auto-Injector 100 MG/ML Subcutaneous

Nucala Solution Prefilled Syringe 100 MG/ML Subcutaneous

Nucala SOLUTION RECONSTITUTED 100 MG Subcutaneous

Nulibry Solution Reconstituted 9.5 MG Intravenous

Nuplazid Capsule 34 MG Oral

Nuplazid Tablet 10 MG Oral

Nutropin AQ NuSpin 10 Solution Pen-Injector 10 MG/2ML Subcutaneous



Nuwiq Kit 1000 UNIT Intravenous







Nuwiq Solution Reconstituted 1000 UNIT Intravenous







Nymalize Solution 30 MG/10ML Oral

Nymalize Solution 6 MG/ML Oral

Nymalize Solution 60 MG/20ML Oral

Nyvepria Solution Prefilled Syringe 6 MG/0.6ML Subcutaneous

Obizur Solution Reconstituted 500 UNIT Intravenous

Ocaliva TABLET 10 MG ORAL

Ocaliva TABLET 5 MG ORAL

Ocrevus SOLUTION 300 MG/10ML Intravenous*

Octagam Solution 1 GM/20ML Intravenous

Octagam SOLUTION 10 GM/100ML Intravenous



Octagam Solution 2.5 GM/50ML Intravenous






Octreotide Acetate Solution 100 MCG/ML Injection





Octreotide Acetate Solution Prefilled Syringe 100 MCG/ML Subcutaneous



Odomzo Capsule 200 MG Oral

Ofev CAPSULE 100 MG ORAL

Ofev CAPSULE 150 MG ORAL

Ogivri Solution Reconstituted 150 MG Intravenous

Ogivri Solution Reconstituted 420 MG Intravenous

Olinvyk Solution 1 MG/ML Intravenous

Olinvyk Solution 2 MG/2ML Intravenous

Olinvyk Solution 30 MG/30ML Intravenous

Olumiant Tablet 1 MG Oral

Olumiant Tablet 2 MG Oral

Omnitrope Solution Cartridge 10 MG/1.5ML Subcutaneous

Omnitrope Solution Cartridge 5 MG/1.5ML Subcutaneous

Omnitrope SOLUTION RECONSTITUTED 5.8 MG Subcutaneous

Oncaspar Solution 750 UNIT/ML Injection

Onivyde Injectable 43 MG/10ML Intravenous

Onpattro Solution 10 MG/5ML Intravenous

Ontruzant Solution Reconstituted 150 MG Intravenous

Ontruzant Solution Reconstituted 420 MG Intravenous

Onureg Tablet 200 MG Oral

Onureg Tablet 300 MG Oral

Opdivo Solution 100 MG/10ML Intravenous




Opsumit TABLET 10 MG ORAL

Orencia ClickJect Solution Auto-injector 125 MG/ML Subcutaneous

Orencia Solution Prefilled Syringe 125 MG/ML Subcutaneous

Orencia Solution Prefilled Syringe 50 MG/0.4ML Subcutaneous

Orencia Solution Prefilled Syringe 87.5 MG/0.7ML Subcutaneous

Orencia Solution Reconstituted 250 MG Intravenous

Orenitram Tablet Extended Release 0.125 MG Oral


Orenitram Tablet Extended Release 1 MG Oral


Orenitram Tablet Extended Release 5 MG Oral

Orfadin Capsule 10 MG Oral


Orfadin CAPSULE 20 MG ORAL


Orfadin SUSPENSION 4 MG/ML ORAL

Orgovyx Tablet 120 MG Oral

Orkambi Packet 100-125 MG Oral

Orkambi Packet 150-188 MG Oral

Orkambi TABLET 100-125 MG ORAL

Orkambi TABLET 200-125 MG ORAL

Orladeyo Capsule 110 MG Oral

Orladeyo Capsule 150 MG Oral

OrthoVisc Solution Prefilled Syringe 30 MG/2ML Intra-Articular

Otezla Tablet 30 MG Oral

Otezla Tablet Therapy Pack 10 & 20 & 30 MG Oral

Oxaliplatin Solution 100 MG/20ML Intravenous



Oxaliplatin Solution Reconstituted 100 MG Intravenous

Oxaliplatin Solution Reconstituted 50 MG Intravenous

Oxbryta Tablet 500 MG Oral

Oxbryta Tablet Soluble 300 MG Oral

Oxervate Solution 0.002 % Ophthalmic

Oxlumo Solution 94.5 MG/0.5ML Subcutaneous

Ozurdex IMPLANT 0.7 MG Intravitreal

PACLitaxel Concentrate 100 MG/16.67ML Intravenous

PACLitaxel Concentrate 100 MG/16.7ML Intravenous

PACLitaxel Concentrate 150 MG/25ML Intravenous



Padcev Solution Reconstituted 20 MG Intravenous

Padcev Solution Reconstituted 30 MG Intravenous

Palforzia (12 MG Daily Dose) 2 x 1 MG & 10 MG Oral

Palforzia (120 MG Daily Dose) 20 MG & 100 MG Oral

Palforzia (160 MG Daily Dose) 3 x 20 MG & 100 MG Oral

Palforzia (20 MG Daily Dose) 20 MG Oral

Palforzia (200 MG Daily Dose) 2 x 100 MG Oral

Palforzia (240 MG Daily Dose) 2 x 20 MG & 2 x 100 MG Oral


Palforzia (300 MG Maintenance) Packet 300 MG Oral

Palforzia (300 MG Titration) Packet 300 MG Oral




Palforzia Initial Escalation 0.5 & 1 & 1.5 & 3 & 6 MG Oral

Palynziq Solution Prefilled Syringe 10 MG/0.5ML Subcutaneous

Palynziq Solution Prefilled Syringe 2.5 MG/0.5ML Subcutaneous

Palynziq Solution Prefilled Syringe 20 MG/ML Subcutaneous

Panhematin SOLUTION RECONSTITUTED 350 MG Intravenous

Panretin Gel 0.1 % External

Panzyga Solution 1 GM/10ML Intravenous


Panzyga Solution 2.5 GM/25ML Intravenous




Paraplatin Solution 1000 MG/100ML Intravenous





Parsabiv SOLUTION 10 MG/2ML Intravenous

Parsabiv SOLUTION 2.5 MG/0.5ML Intravenous

Parsabiv SOLUTION 5 MG/ML Intravenous

Pegasys ProClick Solution Auto-Injector 180 MCG/0.5ML Subcutaneous

Pegasys SOLUTION 180 MCG/ML Subcutaneous

Pegasys Solution Prefilled Syringe 180 MCG/0.5ML Subcutaneous

PegIntron Kit 50 MCG/0.5ML Subcutaneous

Pemazyre Tablet 13.5 MG Oral

Pemazyre Tablet 4.5 MG Oral

Pemazyre Tablet 9 MG Oral

Pemfexy Solution 500 MG/20ML Intravenous

penicillAMINE Capsule 250 MG Oral

penicillAMINE Tablet 250 MG Oral

Pepaxto Solution Reconstituted 20 MG Intravenous

Perjeta Solution 420 MG/14ML Intravenous

Perseris Prefilled Syringe 120 MG Subcutaneous

Perseris Prefilled Syringe 90 MG Subcutaneous

Phenoxybenzamine HCl Capsule 10 MG Oral

Phesgo Solution 60-60-2000 MG-MG-U/ML Subcutaneous

Phesgo Solution 80-40-2000 MG-MG-U/ML Subcutaneous

Photofrin SOLUTION RECONSTITUTED 75 MG Intravenous

Photrexa Viscous Solution Prefilled Syringe 0.146-20 % Ophthalmic

Photrexa-Photrexa Viscous Kit Solution Prefilled Syringe 0.146 &0.146-20 % Ophthalmic

Piqray (200 MG Daily Dose) Tablet Therapy Pack 200 MG Oral

Piqray (250 MG Daily Dose) Tablet Therapy Pack 200 & 50 MG Oral

Piqray (300 MG Daily Dose) Tablet Therapy Pack 2 x 150 MG Oral

Plegridy Solution Pen-Injector 125 MCG/0.5ML Subcutaneous

Plegridy Solution Prefilled Syringe 125 MCG/0.5ML Intramuscular

Plegridy Solution Prefilled Syringe 125 MCG/0.5ML Subcutaneous

Plegridy Starter Pack Solution Pen-injector 63 & 94 MCG/0.5ML Subcutaneous

Plegridy Starter Pack Solution Prefilled Syringe 63 & 94 MCG/0.5ML Subcutaneous

Polivy Solution Reconstituted 140 MG Intravenous

Pomalyst CAPSULE 1 MG ORAL




Ponvory Starter Pack Tablet Therapy Pack 2-3-4-5-6-7-8-9 & 10 MG Oral

Ponvory Tablet 20 MG Oral

Portrazza Solution 800 MG/50ML Intravenous

Poteligeo Solution 20 MG/5ML Intravenous

Praxbind SOLUTION 2.5 GM/50ML Intravenous

Prialt Solution 100 MCG/ML Intrathecal

Prialt Solution 500 MCG/20ML Intrathecal

Prialt Solution 500 MCG/5ML Intrathecal

Privigen Solution 10 GM/100ML Intravenous

Privigen SOLUTION 20 GM/200ML Intravenous



Probuphine Implant Kit Implant 74.2 MG Subcutaneous*

Procrit SOLUTION 10000 UNIT/ML INJECTION






Procysbi Capsule Delayed Release 25 MG Oral

Procysbi Capsule Delayed Release 75 MG Oral

Procysbi Packet 300 MG Oral

Procysbi Packet 75 MG Oral

Profilnine SD Solution Reconstituted 500 UNIT Intravenous

Profilnine Solution Reconstituted 1000 UNIT Intravenous



Prolastin-C SOLUTION 1000 MG/20ML Intravenous

Prolastin-C Solution Reconstituted 1000 MG Intravenous

Proleukin Solution Reconstituted 22000000 UNIT Intravenous

Prolia Solution Prefilled Syringe 60 MG/ML Subcutaneous*

Promacta Packet 12.5 MG Oral

Promacta Packet 25 MG Oral

Promacta Tablet 12.5 MG Oral

Promacta Tablet 25 MG Oral



Provenge Suspension 50000000 CELLS Intravenous

Pulmozyme Solution 2.5 MG/2.5ML Inhalation

Purixan SUSPENSION 2000 MG/100ML Oral

Pyrimethamine Tablet 25 MG Oral

Qinlock Tablet 50 MG Oral

Radicava SOLUTION 30 MG/100ML Intravenous

Ravicti Liquid 1.1 GM/ML Oral

Rebif Rebidose Solution Auto-Injector 22 MCG/0.5ML Subcutaneous

Rebif Rebidose Solution Auto-Injector 44 MCG/0.5ML Subcutaneous

Rebif Rebidose Titration Pack Solution Auto-injector 6X8.8 & 6X22 MCG Subcutaneous

Rebif Solution Prefilled Syringe 22 MCG/0.5ML Subcutaneous

Rebif Solution Prefilled Syringe 44 MCG/0.5ML Subcutaneous

Rebif Titration Pack Solution Prefilled Syringe 6X8.8 & 6X22 MCG Subcutaneous

Rebinyn SOLUTION RECONSTITUTED 1000 UNIT Intravenous



Reblozyl Solution Reconstituted 25 MG Subcutaneous

Reblozyl Solution Reconstituted 75 MG Subcutaneous

Reclast Solution 5 MG/100ML Intravenous*

Recombinate Solution Reconstituted 1241-1800 UNIT Intravenous





Recorlev Tablet 150 MG Oral

Remdesivir Solution Reconstituted 100 MG Intravenous

Remicade SOLUTION RECONSTITUTED 100 MG Intravenous*

Remodulin Solution 100 MG/20ML Injection




Renflexis Solution Reconstituted 100 MG Intravenous*

Retacrit Solution 10000 UNIT/ML Injection






Retevmo Capsule 40 MG Oral

Retevmo Capsule 80 MG Oral

Retisert Implant 0.59 MG Intravitreal*

Revatio SOLUTION 10 MG/12.5ML Intravenous

Revatio Suspension Reconstituted 10 MG/ML Oral

Revcovi Solution 2.4 MG/1.5ML Intramuscular

Revlimid CAPSULE 10 MG ORAL


Revlimid CAPSULE 2.5 MG ORAL




Rezurock Tablet 200 MG Oral

RhoGAM Ultra-Filtered Plus Solution Prefilled Syringe 1500 UNIT Intramuscular

Rhophylac Solution Prefilled Syringe 1500 UNIT/2ML Injection

Riabni Solution 100 MG/10ML Intravenous

Riabni Solution 500 MG/50ML Intravenous

RiaSTAP Solution Reconstituted Intravenous

Ribavirin Solution Reconstituted 6 GM Inhalation

Rinvoq Tablet Extended Release 24 Hour 15 MG Oral

Rinvoq Tablet Extended Release 24 Hour 30 MG Oral

RisperDAL Consta Suspension Reconstituted ER 12.5 MG Intramuscular

RisperDAL Consta Suspension Reconstituted ER 25 MG Intramuscular

RisperDAL Consta Suspension Reconstituted ER 37.5 MG Intramuscular

RisperDAL Consta Suspension Reconstituted ER 50 MG Intramuscular

Rituxan Hycela SOLUTION 1400-23400 MG -UT/11.7ML Subcutaneous

Rituxan Hycela SOLUTION 1600-26800 MG -UT/13.4ML Subcutaneous

Rituxan Solution 100 MG/10ML Intravenous

Rituxan Solution 500 MG/50ML Intravenous

Rixubis SOLUTION RECONSTITUTED 1000 UNIT Intravenous





romiDEPsin Solution 27.5 MG/5.5ML Intravenous

romiDEPsin Solution Reconstituted 10 MG Intravenous

Rozlytrek Capsule 100 MG Oral

Rozlytrek Capsule 200 MG Oral

Rubraca TABLET 200 MG Oral



Ruconest Solution Reconstituted 2100 UNIT Intravenous

Ruxience Solution 100 MG/10ML Intravenous

Ruxience Solution 500 MG/50ML Intravenous

Ruzurgi Tablet 10 MG Oral

Rybrevant Solution 350 MG/7ML Intravenous

Rydapt CAPSULE 25 MG Oral

Rylaze Solution 10 MG/0.5ML Intramuscular

Sabril PACKET 500 MG Oral

Sabril Tablet 500 MG Oral

Saizen Solution Reconstituted 5 MG Injection

Saizen SOLUTION RECONSTITUTED 8.8 MG INJECTION

Saizenprep SOLUTION RECONSTITUTED 8.8 MG Injection

Samsca Tablet 15 MG Oral

Samsca Tablet 30 MG Oral

SandoSTATIN LAR Depot Kit 10 MG Intramuscular



SandoSTATIN SOLUTION 100 MCG/ML INJECTION



Saphnelo Solution 300 MG/2ML Intravenous

Sapropterin Dihydrochloride Packet 100 MG Oral

Sapropterin Dihydrochloride Packet 500 MG Oral

Sapropterin Dihydrochloride Tablet 100 MG Oral

Sarclisa Solution 100 MG/5ML Intravenous

Sarclisa Solution 500 MG/25ML Intravenous

Scemblix Tablet 20 MG Oral

Scemblix Tablet 40 MG Oral

Scenesse Implant 16 MG Subcutaneous*

Sensipar Tablet 30 MG Oral



Serostim Solution Reconstituted 4 MG Subcutaneous



Sevenfact Solution Reconstituted 1 MG Intravenous

Sevenfact Solution Reconstituted 5 MG Intravenous

Signifor LAR Suspension Reconstituted ER 10 MG Intramuscular





Signifor Solution 0.3 MG/ML Subcutaneous



Siklos Tablet 100 MG Oral

Siklos Tablet 1000 MG Oral

Sildenafil Citrate Suspension Reconstituted 10 MG/ML Oral

Siliq Solution Prefilled Syringe 210 MG/1.5ML Subcutaneous

Simponi Aria SOLUTION 50 MG/4ML Intravenous*

Simponi Solution Auto-injector 100 MG/ML Subcutaneous

Simponi Solution Auto-injector 50 MG/0.5ML Subcutaneous

Simponi Solution Prefilled Syringe 100 MG/ML Subcutaneous

Simponi Solution Prefilled Syringe 50 MG/0.5ML Subcutaneous

Sirturo TABLET 100 MG ORAL

Sirturo Tablet 20 MG Oral

Skyrizi (150 MG Dose) Prefilled Syringe Kit 75 MG/0.83ML Subcutaneous

Skyrizi Pen Solution Auto-Injector 150 MG/ML Subcutaneous

Skyrizi Solution Prefilled Syringe 150 MG/ML Subcutaneous

Skytrofa Cartridge 11 MG Subcutaneous

Skytrofa Cartridge 13.3 MG Subcutaneous

Skytrofa Cartridge 3 MG Subcutaneous







Sodium Phenylbutyrate POWDER 3 GM/TSP Oral

Sodium Phenylbutyrate TABLET 500 MG Oral

Sofosbuvir-Velpatasvir Tablet 400-100 MG Oral

Solesta Gel 50-15 MG/ML Injection

Soliris SOLUTION 300 MG/30ML Intravenous

Somatuline Depot Solution 120 MG/0.5ML Subcutaneous*



Somavert Solution Reconstituted 10 MG Subcutaneous





Soriatane Capsule 10 MG Oral

Soriatane Capsule 25 MG Oral

Sovaldi Packet 150 MG Oral

Sovaldi Packet 200 MG Oral

Sovaldi Tablet 200 MG Oral

Sovaldi Tablet 400 MG Oral

Spinraza Solution 12 MG/5ML Intrathecal*

Spravato (56 MG Dose) Solution Therapy Pack 28 MG/DEVICE Nasal

Spravato (84 MG Dose) Solution Therapy Pack 28 MG/DEVICE Nasal

Sprycel Tablet 100 MG Oral






Stelara SOLUTION 130 MG/26ML Intravenous

Stelara SOLUTION 45 MG/0.5ML Subcutaneous*

Stelara Solution Prefilled Syringe 45 MG/0.5ML Subcutaneous*

Stelara Solution Prefilled Syringe 90 MG/ML Subcutaneous*

Stivarga Tablet 40 MG Oral

Strensiq SOLUTION 18 MG/0.45ML Subcutaneous


Strensiq SOLUTION 40 MG/ML Subcutaneous


Sublocade Solution Prefilled Syringe 100 MG/0.5ML Subcutaneous

Sublocade Solution Prefilled Syringe 300 MG/1.5ML Subcutaneous

Sucraid Solution 8500 UNIT/ML Oral

Supartz FX Solution Prefilled Syringe 25 MG/2.5ML Intra-articular

Supprelin LA KIT 50 MG Subcutaneous

Sustol Prefilled Syringe 10 MG/0.4ML Subcutaneous

Susvimo (Implant 1st Fill) Solution 10 MG/0.1ML Intravitreal

Susvimo (Implant Refill) Solution 10 MG/0.1ML Intravitreal

Susvimo Ocular Implant Implant Intravitreal

Sutent Capsule 12.5 MG Oral*

Sutent Capsule 25 MG Oral*

Sutent Capsule 37.5 MG Oral*

Sutent Capsule 50 MG Oral*

Sylvant Solution Reconstituted 100 MG Intravenous

Sylvant Solution Reconstituted 400 MG Intravenous

Symdeko Tablet Therapy Pack 100-150 & 150 MG Oral

Symdeko Tablet Therapy Pack 50-75 & 75 MG Oral

Synagis Solution 100 MG/ML Intramuscular

Synagis Solution 50 MG/0.5ML Intramuscular

Synarel SOLUTION 2 MG/ML NASAL

Synribo Solution Reconstituted 3.5 MG Subcutaneous

Synvisc One Solution Prefilled Syringe 48 MG/6ML Intra-Articular

Synvisc Solution Prefilled Syringe 16 MG/2ML Intra-Articular

Syprine Capsule 250 MG Oral

Tabloid TABLET 40 MG Oral

Tabrecta Tablet 150 MG Oral

Tabrecta Tablet 200 MG Oral

Tadalafil (PAH) Tablet 20 MG Oral

Tafinlar Capsule 50 MG Oral

Tafinlar Capsule 75 MG Oral

Tagrisso Tablet 40 MG Oral

Tagrisso Tablet 80 MG Oral

Takhzyro Solution 300 MG/2ML Subcutaneous

Taltz Solution Auto-injector 80 MG/ML Subcutaneous

Taltz Solution Prefilled Syringe 80 MG/ML Subcutaneous

Talzenna Capsule 0.25 MG Oral

Talzenna Capsule 1 MG Oral

Tarceva Tablet 100 MG Oral



Targretin Capsule 75 MG Oral

Targretin Gel 1 % External

Tarpeyo Capsule Delayed Release 4 MG Oral

Tasigna Capsule 150 MG Oral



Tavalisse Tablet 100 MG Oral

Tavalisse Tablet 150 MG Oral

Tavneos Capsule 10 MG Oral

Taxotere Concentrate 20 MG/ML Intravenous

Tazverik Tablet 200 MG Oral

Tecentriq Solution 1200 MG/20ML Intravenous

Tecentriq Solution 840 MG/14ML Intravenous

Tecfidera 120 & 240 MG Oral

Tecfidera Capsule Delayed Release 120 MG Oral

Tecfidera Capsule Delayed Release 240 MG Oral

Tegsedi Solution Prefilled Syringe 284 MG/1.5ML Subcutaneous

Temodar CAPSULE 100 MG Oral

Temodar Capsule 140 MG Oral



Temodar CAPSULE 250 MG Oral


Temodar SOLUTION RECONSTITUTED 100 MG Intravenous

Temozolomide Capsule 100 MG Oral






Temsirolimus Solution 25 MG/ML Intravenous

Teniposide Solution 10 MG/ML Intravenous

Tepadina Solution Reconstituted 100 MG Injection

Tepadina Solution Reconstituted 15 MG Injection

Tepezza Solution Reconstituted 500 MG Intravenous

Tepmetko Tablet 225 MG Oral

Teriparatide (Recombinant) Solution Pen-Injector 620 MCG/2.48ML Subcutaneous

Tetrabenazine Tablet 12.5 MG Oral

Tetrabenazine Tablet 25 MG Oral

Tezspire Solution Prefilled Syringe 210 MG/1.91ML Subcutaneous

Thalomid Capsule 100 MG Oral




Thiola EC Tablet Delayed Release 100 MG Oral

Thiola EC Tablet Delayed Release 300 MG Oral

Thiola Tablet 100 MG Oral

Thiotepa Solution Reconstituted 100 MG Injection

Thiotepa Solution Reconstituted 15 MG Injection

Thyrogen Solution Reconstituted 0.9 MG Intramuscular

Tibsovo Tablet 250 MG Oral

Tice BCG Suspension Reconstituted 50 MG Intravesical

Tiglutik Suspension 50 MG/10ML Oral

Tiopronin Tablet 100 MG Oral

Tivdak Solution Reconstituted 40 MG Intravenous

Tobi Nebulization Solution 300 MG/5ML Inhalation*

Tobi Podhaler Capsule 28 MG Inhalation*

Tobramycin Nebulization Solution 300 MG/4ML Inhalation*

Tobramycin Nebulization Solution 300 MG/5ML Inhalation*

Tolvaptan Tablet 30 MG Oral

Topotecan HCl Solution 4 MG/4ML Intravenous

Topotecan HCl Solution Reconstituted 4 MG Intravenous

Toremifene Citrate Tablet 60 MG Oral

Torisel Solution 25 MG/ML Intravenous

Totect Solution Reconstituted 500 MG Intravenous

Tracleer Tablet 125 MG Oral

Tracleer Tablet 62.5 MG Oral

Tracleer TABLET SOLUBLE 32 MG Oral

Trazimera Solution Reconstituted 150 MG Intravenous

Trazimera Solution Reconstituted 420 MG Intravenous

Treanda Solution Reconstituted 100 MG Intravenous

Treanda Solution Reconstituted 25 MG Intravenous

Trelstar Mixject Suspension Reconstituted 11.25 MG Intramuscular*

Trelstar Mixject Suspension Reconstituted 22.5 MG Intramuscular*

Trelstar Mixject Suspension Reconstituted 3.75 MG Intramuscular

Tremfya Solution Pen-Injector 100 MG/ML Subcutaneous*

Tremfya Solution Prefilled Syringe 100 MG/ML Subcutaneous*

Treprostinil Solution 100 MG/20ML Injection




Tretinoin Capsule 10 MG Oral

Tretten SOLUTION RECONSTITUTED 2000-3125 UNIT Intravenous

Trientine HCl Capsule 250 MG Oral

Trikafta Tablet Therapy Pack 100-50-75 & 150 MG Oral

Trikafta Tablet Therapy Pack 50-25-37.5 & 75 MG Oral

Triptodur Suspension Reconstituted ER 22.5 MG Intramuscular*

Trisenox Solution 12 MG/6ML Intravenous

TriVisc Solution Prefilled Syringe 25 MG/2.5ML Intra-Articular

Trodelvy Solution Reconstituted 180 MG Intravenous

Truseltiq (100MG Daily Dose) Capsule Therapy Pack 100 MG Oral

Truseltiq (125MG Daily Dose) Capsule Therapy Pack 100 & 25 MG Oral



Truxima Solution 100 MG/10ML Intravenous

Truxima Solution 500 MG/50ML Intravenous

Tukysa Tablet 150 MG Oral

Tukysa Tablet 50 MG Oral

Turalio Capsule 200 MG Oral

Tykerb Tablet 250 MG Oral

Tymlos Solution Pen-injector 3120 MCG/1.56ML Subcutaneous

Tysabri CONCENTRATE 300 MG/15ML Intravenous*

Tyvaso Refill SOLUTION 0.6 MG/ML INHALATION

Tyvaso SOLUTION 0.6 MG/ML INHALATION

Tyvaso Starter SOLUTION 0.6 MG/ML INHALATION

Udenyca Solution Prefilled Syringe 6 MG/0.6ML Subcutaneous

Ukoniq Tablet 200 MG Oral

Ultomiris Solution 1100 MG/11ML Intravenous



Unituxin Solution 17.5 MG/5ML Intravenous

Uplizna Solution 100 MG/10ML Intravenous*

Uptravi Solution Reconstituted 1800 MCG Intravenous

Uptravi TABLET 1000 MCG ORAL








Uptravi Tablet Therapy Pack 200 & 800 MCG Oral

Valchlor Gel 0.016 % External

Valrubicin Solution 40 MG/ML Intravesical

Valstar Solution 40 MG/ML Intravesical

Vantas Kit 50 MG Subcutaneous

VariZIG Solution 125 UNIT/1.2ML Intramuscular

Vectibix Solution 100 MG/5ML Intravenous

Vectibix Solution 400 MG/20ML Intravenous

Veklury Solution 100 MG/20ML Intravenous

Velcade Solution Reconstituted 3.5 MG Injection

Veletri Solution Reconstituted 0.5 MG Intravenous

Veletri Solution Reconstituted 1.5 MG Intravenous

Vemlidy TABLET 25 MG ORAL

Venclexta Starting Pack Tablet Therapy Pack 10 & 50 & 100 MG Oral

Venclexta TABLET 10 MG ORAL

Venclexta Tablet 100 MG Oral

Venclexta TABLET 50 MG ORAL

Venofer Solution 20 MG/ML Intravenous

Ventavis SOLUTION 10 MCG/ML INHALATION

Ventavis SOLUTION 20 MCG/ML INHALATION

Verzenio TABLET 100 MG Oral




Vidaza Suspension Reconstituted 100 MG Injection

Viekira Pak Tablet Therapy Pack 12.5-75-50 &250 MG Oral

Vigabatrin Packet 500 MG Oral

Vigabatrin Tablet 500 MG Oral

Vigadrone Packet 500 MG Oral

Viltepso Solution 250 MG/5ML Intravenous

Vimizim SOLUTION 5 MG/5ML Intravenous

VinBLAStine Sulfate SOLUTION 1 MG/ML Intravenous

vinCRIStine Sulfate Solution 1 MG/ML Intravenous

Vinorelbine Tartrate Solution 10 MG/ML Intravenous

Vinorelbine Tartrate Solution 50 MG/5ML Intravenous

Visco-3 Solution Prefilled Syringe 25 MG/2.5ML Intra-Articular

Vistogard PACKET 10 GM ORAL

Visudyne Solution Reconstituted 15 MG Intravenous

Vitrakvi Capsule 100 MG Oral

Vitrakvi Capsule 25 MG Oral

Vitrakvi Solution 20 MG/ML Oral

Vivitrol SUSPENSION RECONSTITUTED 380 MG Intramuscular

Vizimpro Tablet 15 MG Oral



Vonvendi SOLUTION RECONSTITUTED 1300 UNIT Intravenous

Vonvendi SOLUTION RECONSTITUTED 650 UNIT Intravenous

Voraxaze SOLUTION RECONSTITUTED 1000 UNIT Intravenous

Vosevi TABLET 400-100-100 MG Oral

Votrient Tablet 200 MG Oral

Voxzogo Solution Reconstituted 0.4 MG Subcutaneous



Vpriv Solution Reconstituted 400 UNIT Intravenous

Vumerity (Starter) Capsule Delayed Release 231 MG Oral

Vumerity Capsule Delayed Release 231 MG Oral

Vyepti Solution 100 MG/ML Intravenous

Vyndamax Capsule 61 MG Oral

Vyndaqel Capsule 20 MG Oral

Vyondys 53 Solution 100 MG/2ML Intravenous

Vyvgart Solution 400 MG/20ML Intravenous

Vyxeos Suspension Reconstituted 44-100 MG Intravenous

Wakix Tablet 17.8 MG Oral

Wakix Tablet 4.45 MG Oral

Welireg Tablet 40 MG Oral

Wilate KIT 1000-1000 UNIT Intravenous

Wilate KIT 500-500 UNIT Intravenous

WinRho SDF Solution 1500 UNIT/1.3ML Injection

WinRho SDF Solution 15000 UNIT/13ML Injection



Xalkori Capsule 200 MG Oral

Xalkori Capsule 250 MG Oral

Xaracoll Implant 3 x 100 MG Implant

Xatmep Solution 2.5 MG/ML Oral

Xeljanz Solution 1 MG/ML Oral

Xeljanz Tablet 10 MG Oral

Xeljanz TABLET 5 MG ORAL

Xeljanz XR Tablet Extended Release 24 Hour 11 MG Oral

Xeljanz XR Tablet Extended Release 24 Hour 22 MG Oral

Xeloda Tablet 150 MG Oral

Xeloda Tablet 500 MG Oral

Xembify Solution 1 GM/5ML Subcutaneous




Xenazine TABLET 12.5 MG ORAL

Xenazine TABLET 25 MG ORAL

Xeomin SOLUTION RECONSTITUTED 100 UNIT Intramuscular*

Xeomin SOLUTION RECONSTITUTED 200 UNIT Intramuscular*

Xeomin Solution Reconstituted 50 UNIT Intramuscular*

Xermelo Tablet 250 MG Oral

Xgeva SOLUTION 120 MG/1.7ML Subcutaneous

Xiaflex SOLUTION RECONSTITUTED 0.9 MG INJECTION

Xofigo SOLUTION 30 MCCI/ML Intravenous

Xolair Solution Prefilled Syringe 150 MG/ML Subcutaneous

Xolair Solution Prefilled Syringe 75 MG/0.5ML Subcutaneous

Xolair Solution Reconstituted 150 MG Subcutaneous

Xospata Tablet 40 MG Oral

Xpovio (100 MG Once Weekly) Tablet Therapy Pack 20 MG Oral




Xpovio (40 MG Twice Weekly) Tablet Therapy Pack 20 MG Oral








Xtandi CAPSULE 40 MG ORAL

Xtandi Tablet 40 MG Oral

Xtandi Tablet 80 MG Oral

Xuriden PACKET 2 GM ORAL

Xyntha Kit 1000 UNIT Intravenous




Xyntha Solofuse Kit 1000 UNIT Intravenous





Xyrem Solution 500 MG/ML Oral

Xywav Solution 500 MG/ML Oral

Yervoy Solution 200 MG/40ML Intravenous

Yervoy Solution 50 MG/10ML Intravenous

Yondelis SOLUTION RECONSTITUTED 1 MG Intravenous

Yonsa Tablet 125 MG Oral

Yutiq Implant 0.18 MG Intravitreal*

Zaltrap SOLUTION 100 MG/4ML Intravenous

Zaltrap SOLUTION 200 MG/8ML Intravenous

Zanosar SOLUTION RECONSTITUTED 1 GM Intravenous

Zarxio Solution Prefilled Syringe 300 MCG/0.5ML Injection

Zarxio Solution Prefilled Syringe 480 MCG/0.8ML Injection

Zavesca Capsule 100 MG Oral

Zejula Capsule 100 MG Oral

Zelboraf TABLET 240 MG Oral

Zemaira SOLUTION RECONSTITUTED 1000 MG Intravenous

Zepatier TABLET 50-100 MG ORAL

Zeposia 7-Day Starter Pack Capsule Therapy Pack 4 x 0.23MG & 3 x 0.46MG Oral

Zeposia Capsule 0.92 MG Oral

Zeposia Starter Kit Capsule Therapy Pack 0.23MG & 0.46MG & 0.92MG Oral

Zepzelca Solution Reconstituted 4 MG Intravenous

Zevalin Y-90 Kit 3.2 MG/2ML Intravenous

Ziextenzo Solution Prefilled Syringe 6 MG/0.6ML Subcutaneous

Zinplava Solution 1000 MG/40ML Intravenous

Zirabev Solution 100 MG/4ML Intravenous

Zirabev Solution 400 MG/16ML Intravenous

Zokinvy Capsule 50 MG Oral

Zokinvy Capsule 75 MG Oral

Zoladex IMPLANT 10.8 MG Subcutaneous

Zoladex Implant 3.6 MG Subcutaneous

Zoledronic Acid Concentrate 4 MG/5ML Intravenous

Zoledronic Acid Solution 4 MG/100ML Intravenous

Zoledronic Acid Solution 5 MG/100ML Intravenous

Zolgensma 10.1-10.5 kg Kit 7x8.3 ML Intravenous

Zolgensma 10.6-11.0 kg Kit 2x5.5ML & 6x8.3ML Intravenous





















Zolinza CAPSULE 100 MG ORAL

Zomacton (for Zoma-Jet 10) Solution Reconstituted 10 MG Subcutaneous

Zomacton Solution Reconstituted 10 MG Subcutaneous

Zomacton SOLUTION RECONSTITUTED 5 MG Subcutaneous

Zorbtive SOLUTION RECONSTITUTED 8.8 MG Subcutaneous

Zulresso Solution 100 MG/20ML Intravenous

Zydelig TABLET 100 MG ORAL

Zydelig TABLET 150 MG ORAL

Zykadia Tablet 150 MG Oral

Zynlonta Solution Reconstituted 10 MG Intravenous

ZyPREXA Relprevv Suspension Reconstituted 210 MG Intramuscular



Zytiga Tablet 250 MG Oral

Zytiga Tablet 500 MG Oral

Last Updated February 2022

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