| 09.08.01 |
Formulary
|
 |
Avalglucosidase alfa Nexviadyme ® |
| 03.04.03 |
Formulary
|
 |
Berotralstat dihydrochloride Orladeyo® |
| 03.07 |
Formulary
|
 |
Deutivacaftor , Tezacaftor , Vanzacaftor Alyftrek® |
| 05.03.01 |
Formulary
|
 |
Dolutegravir and Rilpivirine Juluca® |
| 09.08.01 |
Formulary
|
 |
Eladocagene exuparvovec Upstaza® |
| 09.01.03 |
Formulary
|
 |
Exagamglogene autotemcel Casgevy® |
| 07.03.02.03 |
Formulary
|
 |
Intrauterine-Progesterone Levonorgestrel IUD Jaydess® |
| 11.06 |
Formulary
|
 |
Latanoprost - Netarsudil eyedrops Roclanda® |
| 08.01.05 |
Formulary
|
 |
Leniolisib phosphate Joenja® |
| 08.02.04 |
Formulary
|
 |
Lisocabtagene maraleucel Breyanzi® |
| 02.12 |
Formulary
|
 |
Lomitapide capsules Lojuxta® |
| 05.03 |
Formulary
|
 |
Nirmatrelvir with Ritonavir Paxlovid® |
| 10.02 |
Formulary
|
 |
Onasemnogene abeparvovec Zolgensma® |
| 09.08.01 |
Formulary
|
 |
Pegunigalsidase alfa Elafbrio® |
| 06.07.02 |
Formulary
|
 |
Relugolix–estradiol–norethisterone acetate Ryeqo ® |
| 04.08.01 |
Formulary
|
 |
Sodium Valproate Intravenous |
| 04.04 |
Formulary
|
 |
Solriamfetol hydrochloride Sunosi® |
| 03.01.02 |
Formulary
|
 |
Umeclidinium Incruse Ellipta® |
| 11.11 |
Formulary
|
 |
Voretigene Neparvovec Luxturna® |