| 05.03.03 |
Formulary
|
 |
Adefovir Dipivoxil Hepsera® |
| 13.05.01 |
Formulary
|
 |
Alitretinoin Prescribe generically |
| 05.02 |
Formulary
|
 |
Amphotericin B (liposomal) |
| 08.01 |
Formulary
|
 |
Anhydrous sodium thiosulfate |
| 05.03.01 |
Formulary
|
 |
Atazanavir sulfate and cobicistat Evotaz® |
| 03.04.03 |
Formulary
|
 |
Berotralstat dihydrochloride Orladeyo® |
| 11.04.01 |
Formulary
|
 |
Dexamethasone intravitreal implant Ozurdex® |
| 08.02.04 |
Formulary
|
 |
Dimethyl fumarate Tecfidera® |
| 11.04.01 |
Formulary
|
 |
Fluocinolone intravitreal implant Iluvien® |
| 08.02.04 |
Formulary
|
 |
Ropeginterferon Alfa-2b Besremi® |
| 05.03.03.02 |
Formulary
|
 |
Sofosbuvir and Velpatasvir Epclusa®
|
| 05.03.01 |
Formulary
|
 |
Tenofovir alafenamide, elvitegravir, cobicistat & emtricitabine Genvoya® |
| 11.11 |
Formulary
|
 |
Voretigene Neparvovec Luxturna® |