Demonstration Project #07
Select Alphabetically
Abilify® (aripiprazole)
Abraxane® (nab-paclitaxel)
Actemra® (tocilizumab) Intravenous
Actemra® (tocilizumab) Subcutaneous
Actimmune® (interferon gamma-1b)
Adasuve® (loxapine) inhalation powder
Adcetris® (brentuximab vedotin)
Adcirca® (tadalafil)
Adempas® (riociguat)
ADHD Long Acting Stimulants
Aemcolo tablet, delayed release
Afinitor® (everolimus)/Afinitor Disperz® (everolimus tablets for oral suspension)
Afrezza® (insulin human) Inhalation Powder
Aggrenox® (aspirin/dipyridamole)
Aimovig™ (erenumab)
Akynzeo®
Aldurazyme® (laronidase)
Alecensa® (alectinib)
Alferon N® (interferon
alfa-n3)
Alimta® (pemetrexed)
Aliqopa™ (copanlisib)
Aloxi® (palonosetron)
Alpha-1 Proteinase Inhibitors (Aralast NP®, Glassia®)
Alphagan® P (brimonidine)
Alunbrig™ (brigatinib)
AmBisome® (amphotericin B liposome)
Ampyra® (dalfampridine)
Amrix®, Fexmid® (cyclobenzaprine hydrochloride)
Angiotensin Blocking
Agents
Angiotensin-Calcium Channel Blocking Agents
Antipsychotic Utilization Program
Anzemet® (dolasetron)
Apadaz (benzhydrocodone & acetaminophen)
Appropriate Site of Care for Injectable Drugs
Aptiom® (eslicarbazepine acetate)
Aranesp® (darbepoetin
alfa)
Arcalyst® (rilonacept)
Arzerra® (ofatumumab)
Asthma Interleukin Inhibitors (Cinqair, Nucala, Fasenra)
Atgam® (antithymocyte immune globulin, equine)
Aubagio® (teriflunomide)
Auryxia
(ferric citrate) tablet
Austedo™ (deutetrabenazine)
Auvi-Q® (epinephrine injection)
Avastin® (bevacizumab)
Aveed® (testosterone undecanoate)
Avonex® (interferon beta-1a)
AzaSite® (azithromycin ophthalmic solution)
Azilect® (rasagiline)
Balversa (erdafitinib)
Banzel® (rufinamide)
Basaglar® (insulin glargine)
Bavencio® (avelumab)
Beleodaq® (belinostat)
Bendamustine products (Treanda, Bendeka)
Benlysta® (belimumab)
Berinert (human C1 inhibitor)
Besponsa™ (inotuzumab ozogamicin)
Betaseron® [interferon beta-1b]
Bevyxxa® (betrixaban)
Biguanide Agents
Bisphosphonates
Blincyto® (blinatumomab)
Boniva® & generic ibandronate sodium Injection
Bortezomib products (Velcade, bortezomib for injection)
Bosulif® (bosutinib)
Botox® (Botulinum Toxin)
Bowel Prep Agents
BPH
Agents
Braftovi™ (encorafenib) & Mektovi® (binimetinib)
Brineura™ (cerliponase alfa)
Brisdelle® (paroxetine mesylate)
Briviact® (brivaracetam)
Brovana® (arformoterol inhalation solution)
Buprenorphine Containing Products
Bupropion Containing Products (Aplenzin®, Forfivo® XL)
Byvalson™ (nebivolol & valsartan)
Cablivi (caplacizumab‐yhdp)
Cabometyx™ (cabozantinib)
Calquence® (acalabrutinib)
Cambia® (diclofenac)
Caprelsa® (vandetanib)
Carbaglu® (carglumic acid)
CaroSpir® (spironolactone) oral suspension
Cayston® (aztreonam inhalation solution)
Celebrex® (celecoxib)
Celecoxib (generic for Celebrex®)
Cerdelga® (eliglustat)
Cequa (cyclosporine ophthalmic solution)
Cerezyme® (imiglucerase)
Cervarix® (human papillomavirus bivalent vaccine)
Cesamet® (nabilone)
Chenodal® (chenodiol tablets)
Cholbam® (cholic acid)
Cialis® (tadalafil)
Cimzia® (certolizumab pegol)
Cinryze® (human C1 inhibitor)
Cinvanti (aprepitant)
Cipro® HC (ciprofloxacin/hydrocortisone otic suspension)
Coagadex® (Coagulation Factor X [Human])
Colchicine Capsules & Tablets
Cometriq® (cabozantinib)
Compounded Drugs
Compounded Medications
Continuous Glucose Monitoring Systems
Copaxone® (glatiramer)
Corifact® (Factor XIII Concentrate [Human])
Corlanor® (ivabradine)
Corticosteroid &Long Acting Beta Agonist Combination Inhalers
Cosentyx® (secukinumab)
Cosopt® (dorzolamide and timolol ophthalmic solution)
Cotellic® (cobimetinib)
Cough & Cold Medications
Cresemba® (isavuconazonium sulfate)
Crofelemer Products
Crotan (crotamiton)
Crysvita® (burosumab-twza)
Cycloset® (bromocriptine)
Cyklokapron® (tranexamic acid)
Cyramza™ (ramucirumab)
Cystaran™ (cysteamine ophthalmic solution)
Cytogam® (cytomegalovirus immune globulin, human)
Dacogen® (decitabine)
Daklinza™ (daclatasvir)
Darzalex® (daratumumab)
Daurismo (glasdegib)
Defitelio® (defibrotide sodium)
Desvenlafaxine Containing Products
Dextroamphetamine/amphetamine extended release
Diabetic Test
Strips & Meters
Diacomit (stiripentol)
Differin® (adapalene) & Epiduo® (adapalene & benzoyl peroxide)
Dificid® (fidaxomicin)
Dipeptidyl Peptidase-4 (DPP-4) Inhibitors
Donepezil Containing Products (Aricept®, Aricept® ODT, & donepezil
23 mg)
Doptelet (Avatrombopag)
Doxil® (doxorubicin liposomal)
Dronabinol (GENERIC)
Duavee (conjugated estrogens/bazedoxifene) tablets
Duexis® (ibuprofen-famotidine)
Duobrii (halobetasol propionate & tazarotene)
Duopa® (carbidopa and levodopa enteral suspension)
Effient® (prasugrel)
Elaprase® (idursulfase)
Elelyso® (taliglucerase alfa)
Elestrin®
(estradiol gel)
Eligard® (leuprolide acetate)
Elitek® (rasburicase)
Elzonris (tagraxofusp‐erzs)
Emend® IV (fosaprepitant)
Emend® Oral (aprepitant)
Emflaza™ (deflazacort)
Empliciti™ (elotuzumab)
Enbrel® (etanercept)
Endari™
(L-glutamine)
Enstilar® (calcipotriene & betamethasone dipropionate)
Entresto® (sacubitril-valsartan)
Entyvio® (vedolizumab)
Epclusa® (sofosbuvir and velpatasvir)
Epipen® (epinephrine)
Epoetin alfa (Procrit®, Epogen®)
Epoprostenol [generic Flolan®]
Erleada™ (apalutamide)
Erwinaze® (asparaginase Erwinia chrysanthemi)
Eskata™ (hydrogen peroxide) topical solution
Eucrisa® (crisaborole)
Evenity (romosozumab‐aqqg)
-Commercial-
Evenity (romosozumab‐aqqg)
-Medicare-
Evomela™ (melphalan)
Evzio® (naloxone)
Exjade® (deferasirox)
Exondys 51™ (eteplirsen)
Extavia® (interferon beta-1b)
Extended-Release Pramipexole Products
Eylea® (aflibercept injection)
Ezetimibe Containing Products
Fabrazyme® (agalsidase beta)
Factor IX Replacement Products (Hemophilia B)
Factor VIII Replacement Products (Hemophilia A)
Fanapt® (iloperidone)
Farydak® (panobinostat)
Faslodex® (fulvestrant)
FazaClo® (clozapine orally disintegrating tablet) & Versacloz® (clozapine oral solution)
FEIBA NF (Anti-Inhibitor Coagulant Complex)
Ferriprox® (deferiprone)
Fetzima® (levomilnacipran)
Fibrate Products
Firazyr (icatibant)
Firdapse (amifampridine phosphate) tablet
Firmagon® (degarelix)
Flector Patch® (diclofenac epolamine patch 1.3%)
Flolan® (epoprostenol)
Folotyn® (pralatrexate)
Fortamet® (metformin, extended release tablets)
Forteo® (teriparatide injection)
Fulphila™ (pegfilgrastim-jmdb)
Fusilev® (levoleucovorin)
Galafold (migalastat)
Gamifant (emapalumab-lzsg)
Gardasil® (human papillomavirus vaccine)
Gattex® (teduglutide)
Gazyva® (obinutuzumab)
Giazo® (balsalazide disodium)
Gilenya® (fingolimod)
Gilotrif® (afatinib)
Gleevec® (imatinib mesylate)
GLP-1
Analogs
Glucagon™ Emergency Kit for Low Blood Sugar
Gocovri™ (amantadine)
Gralise® (gabapentin)
Granix® (tbo-filgrastim)
H.P. Acthar® Gel (repository corticotropin injection)
Haegarda® (C1 esterase inhibitor, human)
Halaven® (eribulin mesylate)
Harvoni® (ledipasvir/sofosbuvir)
Hemlibra® (emicizumab-kxwh)
Herceptin® (trastuzumab)
Herceptin Hylecta (trastuzumab & hyaluronidaseoysk)
Hetlioz® (tasimelteon)
High Risk Medications (HRM) in the Elderly
Horizant (gabapentin enacarbil)
Humira® (adalimumab)
Ibrance® (palbociclib)
Iclusig® (ponatinib)
Idhifa® (enasidenib)
Idiopathic Pulmonary Fibrosis Products (Ofev, Esbriet)
Ilaris® (canakinumab)
Iluvien® (fluocinolone acetonide intravitreal implant)
Imbruvica® (ibrutinib)
Imfinzi™ (durvalumab)
Imlygic™ (talimogene laherparepvec)
Inbrija (levodopa) capsule for inhalation
Increlex® (mecasermin injection)
Inflectra (infliximab-dyyb)
Influenza Virus Vaccine
Ingrezza™ (valbenazine) capsules
Inhaled Anticholinergics
Inhaled Corticosteroids
Inlyta® (axitinib)
Intranasal Rhinitis Agents
Intron A® (interferon alfa-2b)
Intuniv® (guanfacine extended-release tablets)
Invega® (paliperidone extended release)
Iressa® (gefitinib)
Istodax® (romidepsin)
IVIG
(immune globulin)
Ixempra® (ixabepilone)
Jadenu (deferasirox)
Jakafi® (ruxolitinib)
Jetrea® (ocriplasmin)
Jevtana® (cabazitaxel)
Juxtapid® (lomitapide)
Jynarque™ (tolvaptan)
Kadcyla® (ado-trastuzumab emtansine)
Kalbitor (ecallantide)
Kalydeco® (ivacaftor)
Kanuma® (sebelipase alfa)
Kapspargo™ Sprinkle (metoprolol succinate)
Kapvay® (extended-release clonidine)
Keppra XR® (levetiracetam extended release)
Keveyis® (dichlorphenamide)
Kevzara® (sarilumab)
Keytruda® (pembrolizumab)
Khedezla™ (desvenlafaxine ER)
Kineret® (anakinra)
Kisqali® (ribociclib)
Korlym® (mifepristone)
Krystexxa® (pegloticase)
Kuvan® (sapropterin)
Kymriah™ (tisagenlecleucel)
Kynamro® (mipomersen)
Kyprolis® (carfilzomib)
Lamictal ODT® (lamotrigine)
Lartruvo™ (olaratumab)
Latuda® (lurasidone)
Ledipasvir-sofosbuvir
Lemtrada® (alemtuzumab)
Lenvima® (lenvatinib)
Letairis® (ambrisentan)
Leukine® (sargramostim/GM-CSF)
Leuprolide
acetate
Levoleucovorin products (Fusilev, Khapzory)
Lidocaine 5% topical ointment
Lidoderm (lidocaine 5% patch)
Limited Day Supply
Livalo® (pitavastatin)
Long Acting Anticholinergics (Seebri Neohaler, Lonhala Magnair)
Long Acting Muscarinic Antagonist / Long Acting Beta Agonist Combination Inhalers
Long Acting Opioids
Long-Acting Beta Agonists
Lonsurf® (trifluridine and tipiracil)
Lorbrena (lorlatinib)
Lorzone® (chlorzoxazone)
Lotronex® (alosetron HCl)
Lovaza® (omega-3-acid ethyl esters)
Lucemyra (lofexidine)
Lucentis® (ranibizumab)
Lumizyme® (alglucosidase alpha)
Lupaneta Pack® (leuprolide acetate & norethindrone acetate)
Lupron® (leuprolide acetate)
Lutathera® (lutetium Lu 177 dotatate)
Luxturna™ (voretigene neparvovec-rzyl)
Luzu® (luliconazole)
Lynparza™ (olaparib)
Lyrica® CR (pregabalin)
Macrilen™ (macimorelin)
Macugen® (pegaptanib octasodium)
Marqibo® (vincristine sulfate liposome injection)
Mavenclad (cladribine)
Mavyret™ (glecaprevir/pibrentasvir)
Mayzent (siponimod) tablets
Medication
Waste
Megace® ES (megestrol acetate)
Mekinist® (trametinib)
Member Cost-Share Waiver: Contraceptives
Mepsevii™ (vestronidase alfa-vjbk)
Minocycline Extended Release
Mirapex ER® (pramipexole)
Mircera® (methoxy polyethylene glycol-epoetin beta)
Mirvaso® (brimonidine topical gel)
Modafinil
Molindone hydrochloride
Motegrity (prucalopride)
Mozobil® (plerixafor)
Mozobil® (plerixafor)
Multi-Source Brands
Myalept® (metreleptin)
Mylotarg® (gemtuzumab ozogamicin)
Myobloc® (Botulinum Toxin)
Myozyme® (alglucosidase alpha)
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