| 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® | 
                  
                    
                      | 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® |