Pharmacy Resources for Providers | Ambetter of Illinois

 

Pharmacy

  

We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter Health members. Use our Preferred Drug List to find more information on the drugs that Ambetter Health covers.

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Drug Approval Criteria

Pharmacy Policy List

A-G
H-P
Q-Z
Abaloparatide (Tymlos) (PDF)Halcinonide (Halog) (PDF)Quetiapine Extended-Release (Seroquel XR)
Abemaciclib (Verzenio) (PDF)Halobetasol Propionate (Bryhali, Lexette, Ultravate) (PDF)Quinine Sulfate(Qualaquin) (PDF)
Abiraterone (Zytiga, Yonsa) (PDF)Halobetasol Propionate/Tazarotene (Duobrii) (PDF)Ramucirumab (Cyramza) (PDF)
AbobotulinumtoxinA (Dysport) (PDF)Hemin (Panhematin) (PDF)Ranibizumab (Byooviz, Lucentis, Susvimo) (PDF)
Abrocitinib (Cibinqo) (PDF)Histrelin Acetate (Vantas, Supprelin LA) (PDF)Rasagiline (Azilect) (PDF)
Acyclovir Buccal Tablet (Sitavig) (PDF)Human Growth Hormone (Somapacitan, Somatropin) (PDF)Ravulizumab-cwvz (Ultomiris) (PDF)
Adefovir (Hepsera) (PDF)Hyaluronate Derivatives (PDF)Regorafenib (Stivarga) (PDF)
Ado-Trastuzumab (Kadcyla) (PDF)Hydroxyurea(Siklos) (PDF)Relugolix (Orgovyx),Relugolix/Estradiol/Norethinedrone (Myfembree) (PDF)
Aducanumab-avwa (Aduhelm) (PDF)Ibalizumab-uiyk (Trogarzo) (PDF)Reslizumab (Cinqair) (PDF)
Afamelanotide (Scenesse) (PDF)Ibandronate Injection (Boniva) (PDF)Retifanlimab-dlwr (Zynyz) (PDF)
Afatinib (Gilotrif) (PDF)Ibrutinib (Imbruvica) (PDF)Ribavirin (Copegus, Moderiba, Rebetol, Ribasphere) (PDF)
Aflibercept (Eylea) (PDF)Ibuprofen/Famotidine (Duexis) (PDF)Ribociclib (Kisqali), Ribociclib/Letrozole (Kisqali Femara) (PDF)
Agalsidase Beta (Fabrazyme) (PDF)Idecabtagene Vicleucel (Abecma) (PDF)Ophthalmic Riboflavin (Photrexa, Photrexa Viscous) (PDF)
Alectinib (Alecensa) (PDF)Idelalisib (Zydelig) (PDF)Rifabutin (Mycobutin) (PDF)
Alemtuzumab (Lemtrada) (PDF)Idursulfase (Elaprase) (PDF)Rifamycin(Aemcolo) (PDF)
Alendronate (Binosto, Fosamax Plus D) (PDF)Iloperidone (Fanapt) (PDF)Rifaximin (Xifaxan) (PDF)
Alglucosidase Alfa (Lumizyme) (PDF)Iloprost (Ventavis) (PDF)Rilonacept (Arcalyst) (PDF)
Allogeneic Cultured Keratinocytes and Dermal Fibroblasts in Murine Collagen-dsat (StrataGraft) (PDF)Imatinib (Gleevec) (PDF)RimabotulinumtoxinB (Myobloc) (PDF)
Allogenic Processed Thymus Tissue-agdc (Rethymic) (PDF)Imiglucerase (Cerezyme) (PDF)Rimegepant (Nurtec ODT) (PDF)
Alpelisib (Piqray) (PDF)Immune Globulins (PDF)Riociguat (Adempas) (PDF)
Alpha1-Proteinase Inhibitors (Aralast NP, Glassia, Prolastin-C, Zemaira) (PDF)Inclisiran (Leqvio) (PDF)Ripretinib(Qinlock) (PDF)
Amantadine ER (Gocovri, Osmolex ER) (PDF)IncobotulinumtoxinA (Xeomin) (PDF)Risdiplam(Evrysdi) (PDF)
Amikacin (Arikayce) (PDF)Inebilizumab-cdon (Uplizna) (PDF)Risedronate (Actonel, Atelvia) (PDF)
Amisulpride (Barhemsys) (PDF)Infertility and Fertility Preservation (PDF)Risperidone Long-Acting Injection (Perseris, Risperdal Consta) (PDF)
Amivantamab-vmjw (Rybrevant) (PDF)Infigratinib (Truseltiq) (PDF)Rituximab (Rituxan), Rituximab-arrx (Riabni), Rituximab-pvvr (Ruxience), Rituximab-abbs (Truxima), Rituximab-Hyaluronidase (Rituxan Hycela) (PDF)
Anifrolumab-fnia (Saphnelo) (PDF)InhaledAgents for Asthma and COPD (PDF)Rolapitant (Varubi) (PDF)
Anti-Inhibitor Coagulant Complex,Human (Feiba) (PDF)Inotersen (Tegsedi) (PDF)Romidepsin (Istodax) (PDF)
Antithrombin III (ATryn, Thrombate III) (PDF)Inotuzumab Ozogamicin (Besponsa) (PDF)Romiplostim (Nplate) (PDF)
Antithymocyte Globulin (Atgam, Thymoglobulin) (PDF)Insulin Delivery Systems (V-Go, Omnipod, InPen) (PDF)Romosozumab-aqqg (Evenity) (PDF)
Apalutamide (Erleada) (PDF)Insulin Glargine (Rezvoglar, Semglee, Toujeo) (PDF)Ropeginterferon Alfa-2b-njft(BESREMi) (PDF)
Apomorphine (Apokyn, Kynmobi) (PDF)Interferon Beta-1a (Avonex, Rebif) (PDF)Rucaparib (Rubraca) (PDF)
Aripiprazole Long-Acting Injections (Abilify Maintena, Aristada, Aristada Initio) (PDF)Interferon Beta-1b (Betaseron, Extavia) (PDF)Rufinamide (Banzel) (PDF)
Aripiprazole Orally Disintegrating Tablet (PDF)Interferon Gamma-1b (Actimmune) (PDF)Ruxolitinib (Jakafi, Opzelura) (PDF)
Asciminib (Scemblix) (PDF) Sacituzumab Govitecan-hziy (Trodelvy) (PDF)
Asenapine (Saphris, Secuado) (PDF)Ipilimumab (Yervoy) (PDF)Sacubitril/Valsartan (Entresto) (PDF)
Asfotase Alfa (Strensiq) (PDF) Irinotecan Liposome (Onivyde) (PDF)Safinamide (Xadago) (PDF)
Aspirin/Dipyridamole (Aggrenox) (PDF)Iron Sucrose(Venofer) (PDF)Sapropterin Dihydrochloride (Kuvan) (PDF)
Atezolizumab (Tecentriq) (PDF)Isatuximab-irfc (Sarclisa) (PDF)Sarecycline (Seysara) (PDF)
Atogepant (Qulipta) (PDF)Isavuconazonium (Cresemba) (PDF)Sargramostim (Leukine) (PDF)
Avacopan (Tavneos) (PDF)Isotretinoin (Absorica, Absorica LD, Amnesteem, Claravis, Myorisan, Zenatane) (PDF)Satralizumab-mwge(Enspryng) (PDF)
Avalglucosidase Alfa-ngpt (Nexviazyme) (PDF)Itraconazole (Sporanox, Tolsura) (PDF)Sebelipase Alfa (Kanuma) (PDF)
Avapritinib (Ayvakit) (PDF)Ivabradine (Corlanor) (PDF)Secnidazole (Solosec) (PDF)
Avatrombopag (Doptelet) (PDF)
Ivacaftor (Kalydeco) (PDF)Selexipag (Uptravi) (PDF)
Avelumab (Bavencio) (PDF)
Ivermectin (Stromectol, Sklice) (PDF)Selinexor (Xpovio) (PDF)
Axicabtagene Ciloleucel (Yescarta) (PDF)
Ivosidenib (Tibsovo) (PDF)Selpercatinib (Retevmo) (PDF)
Axitinib (Inlyta) (PDF)
Ixazomib (Ninlaro) (PDF)Selumetinib (Koselugo) (PDF)
Azacitidine (Onureg, Vidaza) (PDF)Lacosamide (Vimpat) (PDF)Setmelanotide (Imcivree) (PDF)
Azelaic Acid (Finacea Topical Gel/Foam) (PDF)Lactitol (Pizensy) (PDF)Short Ragweed Pollen Allergen Extract (Ragwitek) (PDF)
Aztreonam (Cayston) (PDF)Lanadelumab-fylo (Takhzyro) (PDF)Sildenafil for ED (Viagra) (PDF)
Baclofen (Gablofen, Lioresal, Lyvispah, Ozobax) (PDF)Lanreotide (Somatuline Depot) (PDF)Siltuximab (Sylvant) (PDF)
 Lapatinib (Tykerb) (PDF)Siponimod (Mayzent) (PDF)
Bedaquiline (Sirturo) (PDF)Laronidase (Aldurazyme) (PDF)Sirolimus Protein-Bound Particles(Fyarro), Topical Gel (Hyftor) (PDF)
Belantamab Mafodotin-blmf (Blenrep) (PDF)Larotrectinib (Vitrakvi) (PDF)Sodium Oxybate (Xyrem) and Calcium, Magnesium, Potassium, and Sodium Oxybate (Xywav) (PDF)
Belatacept (Nulojix) (PDF) Latanoprostene Bunod (Vyzulta) (PDF)Sodium Phenylbutyrate (Buphenyl) (PDF)
Belimumab (Benlysta) (PDF)Ledipasvir/Sofosbuvir (Harvoni) (PDF)Sodium Zirconium Cyclosilicate (Lokelma) (PDF)
Belinostat (Beleodaq) (PDF)Lefamulin (Xenleta) (PDF)Sodium-Glucose Co-Transporter 2 (SGLT2) Inhibitors (PDF)
Belumosudil (Rezurock) (PDF)Lenalidomide (Revlimid) (PDF)Sofosbuvir (Sovaldi) (PDF)
Belzutifan (Welireg) (PDF)Lenvatinib (Lenvima) (PDF)Sofosbuvir/Velpatasvir ( Epclusa (PDF)
Bempedoic Acid (Nexletol), Bempedoic Acid/Ezetimibe (Nexlizet) (PDF)Letermovir (Prevymis) (PDF)Sofosbuvir/Velpatasvir/Voxilaprevir (Vosevi) (PDF)
Bendamustine (Belrapzo, Bendeka, Treanda) (PDF)Leucovorin Injection (PDF)Solriamfetol (Sunosi) (PDF)
Benralizumab (Fasenra) (PDF)Leuprolide Acetate (Eligard, Fensolvi, Lupaneta Pack, Lupron Depot, Lupron Depot-Ped), Leuprolide mesylate (Camcevi (PDF)Sonidegib (Odomzo) (PDF)
Benznidazole (PDF)LevodopaInhalation Powder (Inbrija) (PDF)Sorafenib (Nexavar) (PDF)
Betaine (Cystadane) (PDF)Levoketoconazole(Recorlev) (PDF)Sotorasib(Lumakras) (PDF)
Betamethasone Dipropionate Spray (Sernivo) (PDF)Levoleucovorin (Fusilev, Khapzory) (PDF)Spinosad (Natroba) (PDF)
Bevacizumab (Alymsys, Avastin, Avzivi, Jobevne, Mvasi, Vegzelma, Zirabev) (PDF)L-glutamine (Endari) (PDF)Sutimlimab-jome (Enjaymo) (PDF)
Bexarotene (Targretin Capsules, Gel) (PDF)Lifitegrast (Xiidra) (PDF)Sunitinib (Sutent) (PDF)
Bezlotoxumab (Zinplava) (PDF)Linaclotide (Linzess) (PDF)Suvorexant (Belsomra) (PDF)
Bimatoprost Implant (Durysta) (PDF)Linezolid (Zyvox) (PDF)Tadalafil BPH -ED (Cialis) (PDF)
Binimetinib(Mektovi) (PDF)Lisocabtagene Maraleucel (Breyanzi) (PDF)Tafamidis (Vyndaqel, Vyndamax) (PDF)
Biologic and Non-biologic DMARDs (PDF)Lomustine (Gleostine) (PDF)Tafasitamab-cxix (Monjuvi) (PDF)
Blinatumomab (Blincyto) (PDF)Lonafarnib (Zokinvy) (PDF)Talazoparib (Talzenna) (PDF)
Bortezomib(Velcade) (PDF)Loncastuximab Tesirine-lpyl (Zynlonta) (PDF)Taliglucerase Alfa (Elelyso) (PDF)
Bosutinib (Bosulif) (PDF) Talimogene laherepvec (Imlygic) (PDF)
Brand Name Override and Non-Formulary Medications (PDF)Lorlatinib (Lorbrena) (PDF)Tasimelteon (Hetlioz, Hetlioz LQ) (PDF)
Brentuximab Vedotin (Adcetris) (PDF)Loteprednol etabonate (Eysuvis) (PDF)Tavaborole(Kerydin) (PDF)
Brexanolone (Zulresso) (PDF)Luliconazole Cream (Luzu) (PDF)Tazarotene (Arazlo, Fabior, Tazorac) (PDF)
Brexpiprazole (Rexulti) (PDF)Lumacaftor/Ivacaftor (Orkambi) (PDF)Tazemetostat(Tazverik) (PDF)
Brexucabtagene Autoleucel(Tecartus) (PDF)Lumasiran (Oxlumo) (PDF)Tebentafusp-tebn(Kimmtrak) (PDF)
Brigatinib (Alunbrig) (PDF)Lumateperone (Caplyta) (PDF)Tedizolid (Sivextro) (PDF)
Brimonidine Tartrate ( Mirvaso) (PDF)Lurasidone (Latuda) (PDF)Teduglutide (Gattex) (PDF)
Brinzolamide/Brimonidine (Simbrinza) (PDF)Lurbinectedin (Zepzelca) (PDF)Tegaserod (Zelnorm) (PDF)
Brivaracetam (Briviact) (PDF)Luspatercept-aamt (Reblozyl) (PDF)Telisotuzumab vedotin-tllv (Emrelis) (PDF)
Brolucizumab-dbll(Beovu) (PDF)Lusutrombopag (Mulpleta) (PDF)Telotristat Ethyl (Xermelo) (PDF)
Budesonide (Tarpeyo) (PDF)
Lutetium Lu 177 vipivotide tetraxetan (Pluvicto) (PDF)Temozolomide (Temodar) (PDF)
Budesonide (Uceris) (PDF)Macitentan (Opsumit) (PDF)Temsirolimus (Torisel) (PDF)
Buprenorphine (Subutex) (PDF)Mannitol(Bronchitol) (PDF)Tenapanor (Ibsrela) (PDF)
Buprenorphine/Naloxone (Bunavail, Cassipa,Suboxone, Zubsolv) (PDF)Maralixibat(Livmarli) (PDF)Tenofovir Alafenamide Fumarate (Vemlidy) (PDF)
Bupropion/Naltrexone (Contrave) (PDF)Margetuximab-cmkb (Margenza) (PDF)Tepotinib (Tepmetko) (PDF)
Burosumab-twza (Crysvita) (PDF)Maribavir (Livtencity) (PDF)Teprotumumab (Tepezza) (PDF)
Butorphanol Nasal Spray (PDF)Mecasermin (Increlex) (PDF)Teriflunomide (Aubagio) (PDF)
C1 Esterase Inhibitors (Berinert, Cinryze, Haegarda, Ruconest) (PDF)Mechlorethamine Gel (Valchlor) (PDF)Teriparatide (Forteo) (PDF)
Cabazitaxel (Jevtana) (PDF)Melphalan flufenamide (Pepaxto) (PDF)Tesamorelin (Egrifta SV) (PDF)
Cabotegravir (Apretude), Cabotegravir/Rilpivirine(Cabenuva) (PDF)Memantine ER (Namenda XR), Memantine/Donepezil (Namzaric) (PDF)Testosterone (Androderm) (PDF)
Cabozantinib (Cabometyx, Cometriq) (PDF)Mepolizumab (Nucala) (PDF)Testosterone (Testopel, Jatenzo, Tlando) (PDF)
Calcifediol (Rayaldee) (PDF)Mercaptopurine (Purixan) (PDF)Tetrabenazine (Xenazine) (PDF)
Calcipotriene/Betamethasone Dipropionate Foam (Enstilar) (PDF)Metformin ER (Fortamet, Glumetza) (PDF)Tezacaftor/Ivacaftor; Ivacaftor (Symdeko) (PDF)
Camzyos (mavacamten) (PDF)Methotrexate (Otrexup, Rasuvo, Xatmep, Reditrex) (PDF)Tezepelumab-ekko (Tezspire) (PDF)
Canakinumab (Ilaris) (PDF)Methoxsalen (Uvadex) (PDF)Thalidomide (Thalomid) (PDF)
Cannabidiol (Epidiolex) (PDF)Methoxy Polyethylene Glycol-Epoetin Beta (Mircera) (PDF)Thioguanine (Tabloid) (PDF)
Capecitabine (Xeloda)Methylnaltrexone Bromide (Relistor) (PDF)Thyrotropin Alfa (Thyrogen) (PDF)
  Timothy Grass Pollen Allergen Extract (Grastek) (PDF)
Caplacizumab-yhdp (Cablivi)Metoclopramide (Gimoti) (PDF)Tirzepatide (Zepbound) (PDF)
Capmatinib(Tabrecta) (PDF)Metreleptin (Myalept) (PDF)Tisagenlecleucel (Kymriah) (PDF)
Carbidopa/Levodopa ER Capsules (Rytary),Enteral Suspension (Duopa), IRTablets (Dhivy) (PDF)Midazolam (Nayzilam) (PDF)Tisotumab vedotin-tftv (Tivdak) (PDF)
Carfilzomib (Kyprolis) (PDF)Midostaurin (Rydapt) (PDF)Tivozanib (Fotivda) (PDF)
Carglumic Acid (Carbaglu) (PDF)Mifepristone (Korlym (PDF)Topical Acne Treatment (PDF)
Casimersen (Amondys 45) (PDF)Migalastat (Galafold) (PDF)Topical Immunomodulators (PDF)
Casirivimab and Imdevimab(REGEN-COV) (PDF)Miglustat (Zavesca) (PDF)Topotecan (Hycamtin) (PDF)
Celecoxib (Celebrex, Elyxyb) (PDF)Milnacipran (Savella) (PDF)Trabectedin (Yondelis) (PDF)
Cemiplimab-rwlc(Libtayo) (PDF)Minocycline ER (Solodyn, Ximino, Minolira),Microspheres (Arestin), Foam (Zilxi) (PDF)Tralokinumab-ldrm (Adbry) (PDF)
Cenegermin-bkbj (Oxervate) (PDF)Mitapivat (Pyrukynd) (PDF)Trametinib (Mekinist) (PDF)
Cenobamate (Xcopri) (PDF)Mitomycin for Pyelocalyceal Solution (Jelmyto) (PDF)Trastuzumab/Biosimilars, Trastuzumab-Hyaluronidase (PDF)
Ceritinib (Zykadia) (PDF)Mitoxantrone (Novantrone) (PDF)Treprostinil (Orenitram, Remodulin, Tyvaso) (PDF)
Cerliponase Alfa ( Brineura) (PDF)Sweet Vernal, Orchard, Perennial Rye, Timothy, and Kentucky Blue Grass Mixed Pollens Allergen Extract (Oralair) (PDF)Triamcinolone ER Injection (Zilretta) (PDF)
Cetuximab (Erbitux) (PDF)Mobocertinib(Exkivity) (PDF)Triclabendazole (Egaten) (PDF)
Chenodiol (Chenodal) (PDF)Modafinil (Provigil) (PDF)Trientine (Syprine) (PDF)
Chlorambucil (Leukeran) (PDF)Mogamulizumab-kpkc (Poteligeo) (PDF)Trifluridine/Tipiracil (Lonsurf) (PDF)
Chloramphenicol Sodium Succinate (PDF)Mometasone (Nasonex) (PDF)Triheptanoin (Dojolvi) (PDF)
Cholic Acid (Cholbam) (PDF)Mometasone Furoate(Sinuva) (PDF)Trofinetide (Daybue) (PDF)
Ciclopirox(Penlac) (PDF)Montelukast Oral Granules (Singulair) (PDF)Triptorelin Pamoate (Trelstar, Triptodur) (PDF)
Cinacalcet (Sensipar) (PDF)Nafarelin Acetate (Synarel) (PDF)Tucatinib (Tukysa) (PDF)
Ciprofloxacin/Fluocinolone(Otovel) (PDF)Naltrexone (Vivitrol) (PDF)Ublituximab-xiiy (Briumvi) (PDF)
Ciprofloxacin/Dexamethasone (Ciprodex) (PDF)Naproxen/Esomeprazole(Vimovo) (PDF)Ubrogepant (Ubrelvy) (PDF)
Cladribine (Mavenclad) (PDF)Naproxen Oral Suspension(Naprosyn) (PDF)Ulcer Therapy Combinations (PDF)
Clascoterone (Winlevi) (PDF)Natalizumab (Tysabri, Tyruko) (PDF)Umbralisib (Ukoniq) (PDF)
Clobazam (Onfi, Sympazan) (PDF)Naxitamab-gqgk (Danyelza) (PDF)Uridine Triacetate (Vistogard) (PDF)
CNS Stimulants (PDF)Necitumumab (Portrazza) (PDF)Vadadustat (Vafseo) (PDF)
Cobimetinib (Cotellic) (PDF)Neomycin/Fluocinolone Cream (Neo-Synalar) (PDF)Valbenazine (Ingrezza, Ingrezza Sprinkle) (PDF)
Colchicine (Colcrys) (PDF)Netarsudil (Rhopressa), Netarsudil/Latanoprost (Rocklatan) (PDF)Valganciclovir (Valcyte) (PDF)
Colesevelam (Welchol) (PDF)Nifurtimox (Lampit) (PDF)Valproate Sodium for Intravenous Injection (Depacon) (PDF)
Collagenase Clostridium Histolyticum(Xiaflex) (PDF)Nilotinib (Tasigna) (PDF)Valrubicin (Valstar) (PDF)
Compounded Medications (PDF)Nintedanib (Ofev) (PDF)Vandetanib (Caprelsa) (PDF)
Conjugated Estrogens/Bazedoxifene (Duavee) (PDF)Niraparib (Zejula) (PDF)Vanzacaftor-tezacaftor-deutivacaftor (Alyftrek) (PDF)
Continuous Glucose Monitors (PDF)Nitazoxanide (Alinia) (PDF)Varenicline (Tyrvaya) (PDF)
Copanlisib (Aliqopa) (PDF)Nitisinone(Nityr, Orfadin) (PDF)Velaglucerase Alfa (VPRIV) (PDF)
Corticosteroids for Ophthalmic Injection (Iluvien, Ozurdex, Retisert, Xipere, Yutiq) (PDF)Nivolumab (Opdivo) (PDF)Vemurafenib(Zelboraf) (PDF)
Corticotropin (H.P. Acthar, Purified Cortrophin Gel) (PDF)Non-Calcium Phosphate Binders (PDF)Venetoclax (Venclexta) (PDF)
Cosyntropin (Cortrosyn) (PDF)Non-Formulary Test Strips (PDF)Verteporfin (Visudyne) (PDF)
Crisaborole (Eucrisa) (PDF)Nusinersen (Spinraza) (PDF)Vestronidase alfa-vjbk (Mepsevii) (PDF)
Crizanlizumab-tmca (Adakveo) (PDF)Obeticholic Acid (Ocaliva) (PDF)Vigabatrin (Sabril) (PDF)
Crizotinib (Xalkori) (PDF)Obinutuzumab (Gazyva) (PDF)Vilazodone (Viibryd) (PDF)
Cyclosporine (Cequa,Restasis, Verkazia) (PDF)Ocrelizumab (Ocrevus) (PDF)Viloxazine(Qelbree) (PDF)
Cysteamineophthalmic (Cystaran, Cystadrops) (PDF)Octreotide Acetate (Sandostatin, Sandostatin LAR Depot, Bynfezia, Mycapssa) (PDF)Viltolarsen (Viltepso) (PDF)
Cysteamine oral (Cystagon, Procysbi) (PDF)Odevixibat (Bylvay) (PDF)Vincristine Sulfate Liposome Injection (Marqibo) (PDF)
Cytomegalovirus Immune Globulin (CytoGam) (PDF)Ofatumumab (Arzerra, Kesimpta) (PDF)Vismodegib (Erivedge) (PDF)
Dabrafenib (Tafinlar) (PDF)Off-Label Drug Use (PDF)Voclosporin (Lupkynis) (PDF)
Dacomitinib (Vizimpro) (PDF)Olanzapine Long-Acting Injection (Zyprexa Relprevv) (PDF)Vorapaxar (Zontivity) (PDF)
Dalfampridine (Ampyra) (PDF)Olanzapine/Samidorphan (Lybalvi) (PDF)Vorasidenib (Voranigo) (PDF)
Dalteparin (Fragmin) (PDF)Olaparib (Lynparza) (PDF)Voretigene Neparvovec-rzyl (Luxturna) (PDF)
Dapsone (Aczone Gel) (PDF)Olaratumab (Lartruvo) (PDF)Vorinostat (Zolinza) (PDF)
Daptomycin(Cubicin, Cubicin RF) (PDF)Omacetaxine (Synribo) (PDF)Vortioxetine (Trintellix) (PDF)
Daratumumab (Darzalex), Daratumumab/Hyaluronidase-fihj (Darzalex Faspro) (PDF)Omadacycline (Nuzyra) (PDF)Vosoritide (Voxzogo) (PDF)
Darbepoetin Alfa (Aranesp) (PDF)Omacetaxine (Synribo) (PDF)Voxelotor (Oxbryta) (PDF)
Darolutamide(Nubeqa) (PDF)OnabotulinumtoxinA (Botox) (PDF)Vutrisiran (Amvuttra) (PDF)
Dasabuvir/Ombitasvir/Paritaprevir/Ritonavir (Viekira Pak) (PDF)Onasemnogene Abeparvovec (Zolgensma) (PDF)Zanubrutinib (Brukinsa) (PDF)
Dasatinib (Sprycel) (PDF)Ophthalmic Corticosteroids (PDF)Ziv-aflibercept (Zaltrap) (PDF)
Daunorubicin/Cytarabine (Vyxeos) (PDF)Opioid Analgesicss* (PDF)Zolbetuximab-clzb (Vyloy) (PDF)
Decitabine/Cedazuridine (Inqovi) (PDF)Osilodrostat (Isturisa) (PDF)Zoledronic Acid (Reclast, Zometa) (PDF)
Deferasirox (Exjade, Jadenu) (PDF)Osimertinib (Tagrisso) (PDF)Zopapogene Imadenovec (Papzimeos) (PDF)
Deferiprone (Ferriprox) (PDF)Ospemifene(Osphena) (PDF)Zongertinib (Hernexeos) (PDF)
Deferoxamine (Desferal) (PDF)Overactive Bladder Agents (PDF) 
Deflazacort (Emflaza) (PDF)Oxymetazoline (Rhofade, Upneeq) (PDF) 
 Ozanimod (Zeposia) (PDF) 
Degarelix Acetate (Firmagon) (PDF)Ozenoxacin (Xepi) (PDF) 
Delafloxacin (Baxdela) (PDF)Paclitaxel, Protein-Bound (Abraxane) (PDF) 
Denosumab (Prolia, Xgeva and biosimilars) (PDF)Pacritinib(Vonjo) (PDF) 
Desmopressin Acetate (DDAVP, Stimate, Nocdurna, Noctiva) (PDF)Palbociclib (Ibrance) (PDF) 
Deutetrabenazine (Austedo, Austedo XR) (PDF)Paliperidone Long-Acting Injections (Invega Hafyera, Invega Sustenna, Invega Trinza) (PDF) 
Dexlansoprazole (Dexilant) (PDF)Palivizumab (Synagis) (PDF) 
Dexrazoxane (Totect) (PDF)Pancrelipase(Creon, Pancreaze, Pertzye, Viokace, Zenpep) (PDF) 
Dexrazoxane (Zinecard, Totect) (PDF)Panitumumab (Vectibix) (PDF) 
Dextromethorphan-Quinidine (Nuedexta) (PDF)Panobinostat (Farydak) (PDF) 
Diazepam Nasal Spray (Valtoco) (PDF)Parathyroid Hormone (Natpara) (PDF) 
Dichlorphenamide (Keveyis) (PDF)Paricalcitol Injection (Zemplar) (PDF) 
Diclofenac (Cambia, Flector,Licart,Pennsaid, Solaraze, Zipsor, Zorvolex) (PDF)Pasireotide (Signifor, Signifor LAR) (PDF) 
Dimethyl Fumarate (Tecfidera), Diroximel Fumarate (Vumerity), Monomethyl Fumarate (Bafiertam) (PDF)Patiromer (Veltassa) (PDF) 
Dipeptidyl Peptidase-4 (DPP-4) Inhibitors (PDF)Patisiran(Onpattro) (PDF) 
Dolasetron (Anzemet) (PDF)Pazopanib (Votrient) (PDF) 
Dornase Alfa (Pulmozyme) (PDF)Peanut Allergen Powder-dnfp (Palforzia) (PDF) 
Dostarlimab-gxly(Jemperli) (PDF)Pegaspargase (Oncaspar), Calaspargase Pegol-mknl(Asparlas) (PDF) 
DoxycyclineHyclate (Acticlate, Doryx), Doxycycline (Oracea) (PDF)Pegcetacoplan (Empaveli) (PDF) 
Dupilumab (Dupixent) (PDF)Peginterferon Alfa-2a,b (Pegasys, PegIntron, Sylatron) (PDF) 
Duplicate Therapy (PDF)Peginterferon beta-1a (Plegridy) (PDF) 
Durvalumab (Imfinzi) (PDF)Pegloticase (Krystexxa) (PDF) 
Dutasteride (Avodart), Dutasteride/Tamsulosin (Jalyn) (PDF)Pegvaliase-pqpz(Palynziq) (PDF) 
Duvelisib (Copiktra) (PDF)Pegvisomant (Somavert) (PDF) 
Eculizumab (Soliris) (PDF)Pembrolizumab (Keytruda) (PDF) 
Edaravone (Radicava, Radicava ORS) (PDF)Pemetrexed (Alimta, Pemfexy) (PDF) 
Efgartigimod alfa, efgartigimod-hyaluronidase (Vyvgart, Vyvgart Hytrulo) (PDF)Pemigatinib(Pemazyre) (PDF) 
Efinaconazole (Jublia) (PDF)Penicillamine (Cuprimine) (PDF) 
Elagolix (Orilissa), Elagolix/Estradiol/Norethinedrone (Oriahnn) (PDF)Perampanel(Fycompa) (PDF) 
Elapegademase-lvlr (Revcovi) (PDF)Pertuzumab (Perjeta) (PDF) 
Elbasvir/Grazoprevir (Zepatier) (PDF)Pertuzumab/Trastuzumab/Hyaluronidase-zzxf(Phesgo) (PDF) 
Elexacaftor/Ivacaftor/Tezacaftor; Ivacaftor(Trikafta) (PDF)Pexidartinib (Turalio) (PDF) 
Eliglustat (Cerdelga) (PDF)
Phendimetrazine (PDF) 
Elosulfase Alfa (Vimizim) (PDF)Phentermine (Adipex-P, Lomaira) (PDF) 
Elotuzumab (Empliciti) (PDF)Pilocarpine(Vuity) (PDF) 
Eltrombopag (Promacta) (PDF)Pimavanserin (Nuplazid) (PDF) 
Eluxadoline (Viberzi) (PDF)Pirfenidone (Esbriet) (PDF) 
Emapalumab-lzsg(Gamifant) (PDF)Pitolisant (Wakix) (PDF) 
Emicizumab-kxwh(Hemlibra) (PDF)Plasminogen, human-tvmh(Ryplazim) (PDF) 
Emtricitabine/Tenofovir Alafenamide (Descovy) (PDF)Plecanatide (Trulance) (PDF) 
Enasidenib (Idhifa) (PDF)Plerixafor (Mozobil) (PDF) 
Encorafenib (Braftovi) (PDF)Polatuzumab Vedotin-piiq (Polivy) (PDF) 
Enfortumab Vedotin-ejfv (Padcev) (PDF)Pomalidomide (Pomalyst) (PDF) 
Enfuvirtide (Fuzeon) (PDF)Ponatinib (Iclusig) (PDF) 
Entecavir (Baraclude) (PDF)Ponesimod (Ponvory) (PDF) 
Entrectinib (Rozlytrek) (PDF)Potassium Chloride for Oral Solution (Klor-ConPowder) (PDF) 
Enzalutamide (Xtandi) (PDF)Pralatrexate (Folotyn) (PDF) 
Epinephrine (Epipen, Epipen Jr, Neffy, Auvi-Q) (PDF)Pramlintide (Symlin) (PDF) 
Epoetin Alfa (Epogen, Procrit), Epoetin Alfa-epbx (Retacrit) (PDF)Prasterone (Intrarosa) (PDF) 
Eptinezumab-jjmr (Vyepti) (PDF)Pregabalin (Lyrica, Lyrica CR) (PDF) 
Erdafitinib (Balversa) (PDF)Pretomanid (PDF) 
Erenumab-aaoe (Aimovig) (PDF)Progesterone (Crinone, Endometrin, Milprosa) (PDF) 
Eribulin Mesylate (Halaven) (PDF)Propranolol (Hemangeol) (PDF) 
Erlotinib (Tarceva) (PDF)Protein C Concentrate, Human (Ceprotin) (PDF) 
Erwinia Asparaginase (Erwinaze, Rylaze) (PDF)Prucalopride (Motegrity) (PDF) 
Esketamine (Spravato) (PDF)Pyrimethamine (Daraprim) (PDF) 
Estradiol Vaginal Ring (Femring) (PDF)  
Etelcalcetide (Parsabiv) (PDF)  
Eteplirsen (Exondys 51) (PDF)  
Everolimus (Afinitor, Afinitor Disperz, Zortress) (PDF)  
Evinacumab-dgnb(Evkeeza) (PDF)  
Evolocumab (Repatha) (PDF)  
Factor IX Complex, Human (Profilnine) (PDF)  
Factor IX (Human, Recombinant) (PDF)  
Factor VIIa, Recombinant(NovoSeven RT, SevenFact) (PDF)  
Factor VIII (Human, Recombinant) (PDF)  
Factor VIII/von Willebrand Factor Complex (Human –Alphanate, Humate-P, Wilate); von Willebrand Factor (Recombinant – Vonvendi) (PDF)  
Factor XIII, Human(Corifact) (PDF)  
Factor XIII A-Subunit, Recombinant (Tretten) (PDF)  
Fam-Trastuzumab Deruxtecan-nxki (Enhertu) (PDF)  
Faricimab-svoa (Vabysmo) (PDF)  
Febuxostat (Uloric) (PDF)  
Fedratinib (Inrebic) (PDF)  
Fenfluramine (Fintepla) (PDF)  
Fentanyl IR (Actiq, Fentora, Lazanda, Subsys) (PDF)  
Ferric Carboxymaltose (Injectafer) (PDF)  
Ferric Derisomaltose (Monoferric) (PDF)  
Ferric Gluconate (Ferrlecit) (PDF)  
Ferric Maltol (Accrufer) (PDF)  
Ferumoxytol (Feraheme) (PDF)  
Fibrinogen Concentrate [Human](Fibryga, RiaSTAP) (PDF)  
Filgrastim (Neupogen), Filgrastim-sndz (Zarxio), Tbo-filgrastim (Granix), Filgrastim-aafi (Nivestym), Filgrastim-ayow (Releuko) (PDF)  
Finerenone (Kerendia) (PDF)  
Fingolimod (Gilenya, Tascenso ODT) (PDF)  
Flibanserin (Addyi) (PDF)  
Fluorouracil Cream (Tolak) (PDF)  
Fluticasone Propionate (Xhance) (PDF)  
Fondaparinux (Arixtra) (PDF)  
Fosdenopterin (Nulibry) (PDF)  
Fostamatinib (Tavalisse) (PDF)  
Fostemsavir (Rukobia) (PDF)  
Fremanezumab-vfrm (Ajovy) (PDF)  
Fulvestrant (Faslodex Injection) (PDF)  
Furosemide (Furoscix) (PDF)  
Gabapentin ER (Gralise, Horizant) (PDF)  
Galcanezumab-gnlm (Emgality) (PDF)  
Galsulfase (Naglazyme) (PDF)  
Ganaxolone (Ztalmy) (PDF)  
Gefitinib (Iressa) (PDF)  
Gemtuzumab Ozogamicin (Mylotarg) (PDF)  
Gilteritinib (Xospata) (PDF)  
Givosiran (Givlaari) (PDF)  
Glasdegib (Daurismo) (PDF)  
Glatiramer Acetate (Copaxone, Glatopa) (PDF)  
Glecaprevir/Pibrentasvir (Mavyret) (PDF)  
Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists (PDF)  
Glycerol Phenylbutyrate (Ravicti) (PDF)  
Golodirsen (Vyondys 53) (PDF)  
Goserelin Acetate (Zoladex) (PDF)  
Granisetron (Sancuso, Sustol) (PDF)  

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