Medication Policies
Ventegra offers quality of care, affordability and choice.
Disclaimer: Medication Policies are developed to help ensure safe, effective and appropriate use of selected medications. They offer a guide to coverage and are not intended to dictate to providers how to practice medicine. Refer to Plan for individual adoption of specific Medication Policies. Providers are expected to exercise their medical judgment in providing the most appropriate care for their patients.
Ventegra Medication Policies
| Therapeutic Class or Brand Name | Generic | Drug Name |
| Afinitor® | everolimus | |
| Akynzeo® | netupitant/palonosetron | |
| Androgens (all dosage forms) | testosterone gel | Androgel® |
| Androgens (all dosage forms) | testosterone undecanoate | Aveed™ |
| Androgens (all dosage forms) | testosterone topical solution | |
| Androgens (all dosage forms) | testosterone cypionate injection | Depo® - Testosterone |
| Androgens (all dosage forms) | testosterone Enanthate Injection | |
| Androgens (all dosage forms) | testosterone undecanoate oral capsules | Jatenzo® |
| Androgens (all dosage forms) | methyltestosterone tablet | Methitest® |
| Androgens (all dosage forms) | testosterone nasal gel | Natesto™ |
| Androgens (all dosage forms) | testosterone gel | Testim® |
| Androgens (all dosage forms) | testosterone cypionate | Testone CIK™ |
| Androgens (all dosage forms) | estosterone pellet | Testopel® |
| Androgens (all dosage forms) | Testosterone Transdermal Gel | |
| Androgens (all dosage forms) | methyltestosterone capsule | |
| Androgens (all dosage forms) | testosterone gel | Vogelxo™ |
| Androgens (all dosage forms) | testosterone enanthate | Xyosted™ |
| Agamree | vamorolone | |
| Anticoagulants (oral) | apixaban | Eliquis® |
| Anticoagulants (oral) | dabigatran | Pradaxa® |
| Anticoagulants (oral) | dabigatran | Savaysa™ |
| Anticoagulants (oral) | rivaroxaban | Xarelto® |
| Antiobesity Medications (AOM) | phentermine | Adipex-P |
| Antiobesity Medications (AOM) | benzphetamine | |
| Antiobesity Medications (AOM) | naltrexone/bupropion | Contrave® ER |
| Antiobesity Medications (AOM) | diethylpropion | |
| Antiobesity Medications (AOM) | diethylpropion ER | |
| Antiobesity Medications (AOM) | phendimetrazine | |
| Antiobesity Medications (AOM) | phendimetrazine ER | |
| Antiobesity Medications (AOM) | Phentermine HCl | Lomaira™ |
| Antiobesity Medications (AOM) | orlistat | Orlistat |
| Antiobesity Medications (AOM) | phentermine/topiramate extended-release | Qsymia® |
| Antiobesity Medications (AOM) | liraglutide | Saxenda® |
| Antiobesity Medications (AOM) | semaglutide | Wegovy™ |
| Antiobesity Medications (AOM) | tirzepatide | Zepbound™ |
| Antiobesity Medications (AOM) | orlistat | Xenical® |
| Antiretrovirals HIV | cabotegravir extended-release injectable suspension | Apretude® |
| Antiretrovirals HIV | cabotegravir extended-release injectable suspension | Apretude® |
| Antiretrovirals HIV | efavirenz/emtricitabine/tenofovir disoproxil fumarate | Atripla® |
| Antiretrovirals HIV | bictegravir/emtricitabine/tenofovir alafenamide | Biktarvy® |
| Antiretrovirals HIV | cabotegravir extended-release injectable suspension/rilpivirine extended-release injectable suspension | Cabenuva™ |
| Antiretrovirals HIV | lamuvidine/tenofovir disoproxil fumarate | Cimduo® |
| Antiretrovirals HIV | emtricitabine/tenofovir alafenamide | Descovy® |
| Antiretrovirals HIV | emtricitabine | Emtriva® |
| Antiretrovirals HIV | dolutegravir/rilpivirine | Juluca® |
| Antiretrovirals HIV | elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate | Stribilid® |
| Antiretrovirals HIV | efavirenz/lamivudine/tenofovir disoproxil fumarate | Symfi®, Symfi Lo® |
| Antiretrovirals HIV | darunavir/cobicistat/emtricitabine/tenofovir alafenamide | Symtuza® |
| Antiretrovirals HIV | emtricitabine/tenofovir disoproxil | Truvada® |
| Antiretrovirals HIV | cabotegravir | Vocabria™ |
| Augtyro™ | repotrectinib | |
| Azacitidine | Onureg® | |
| Azacitidine | Vidaza® | |
| Benlysta® | belimumab | |
| Besremi® | Ropeginterferon alfa-2b-njft | |
| Bosulif® | bosutinib | |
| Botulinum Toxins | onabotulinumtoxinA | Botox® |
| Botulinum Toxins | abobotulinumtoxinA | Dysport® |
| Botulinum Toxins | incobotulinumtoxinA | Xeomin® |
| BRAF-MEK Inhibitors | Encorafenib | Braftovi™ |
| BRAF-MEK Inhibitors | Binimetinib | Mektovi® |
| Brand Name Medication | ||
| Breast Cancer Risk Reduction Medications for Zero Copay | tamoxifen | |
| Breast Cancer Risk Reduction Medications for Zero Copay | raloxifene | |
| Breast Cancer Risk Reduction Medications for Zero Copay | Soltamox | |
| Camzyos® | Mavacamten | |
| Caprelsa® | vandetanib | |
| Cayston® | aztreonam | |
| Chronic Constipation | lubiprostone | Amitiza |
| Chronic Constipation | tenapanor | Ibsrela® |
| Chronic Constipation | linaclotide | Linzess®* |
| Chronic Constipation | lubiprostone | |
| Chronic Constipation | prucalopride | Motegrity® |
| Chronic Constipation | naloxegol | Movantik® |
| Chronic Constipation | methylnaltrexone bromide | Relistor® |
| Chronic Constipation | naldemedine | Symprioic® |
| Chronic Constipation | plecanatide | Trulance® |
| Chronic Opioid | morphine | Arymo® ER |
| Chronic Opioid | buprenorphine buccal film | Belbuca™ |
| Chronic Opioid | buprenorphine transdermal system) | Butrans® |
| Chronic Opioid | tramadol hydrochloride | Conzip® |
| Chronic Opioid | hydrocodone bitartrate | Hysingla™ ER |
| Chronic Opioid | morphine | MS Contin® |
| Chronic Opioid | morphine | MorphaBond™ ER |
| Chronic Opioid | tapentadol | Nucynta® ER |
| Chronic Opioid | oxycodone hydrochloride | Oxycontin® |
| Chronic Opioid | oxycodone | Xtampza™ ER |
| Chronic Opioid | hydrocodone | Zohydro® ER |
| Cinqair® | reslizumab | |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | pegfilgrastim-jmdb | Fulphila™ |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | pegfilgrastim-jmdb | Fulphila™ |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | pegfilgrastim-pbbk | Fylnetra™ |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | tbo-filgrastim | Granix® |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | sargramostim | Leukine® |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | pegfilgrastim | Neulasta® / Onpro |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | filgrastim | Neupogen® |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | filgrastim-aafi | Nivestym™ |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | pegfilgrastim-apgf | Nyvepria™ |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | filgrastim-ayow | Releuko™ |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | eflapegrastim-xnst | Rolvedon™ |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | pegfilgrastim-fpgk | Stimufend |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | pegfilgrastim-cbqv | Udenyca™ |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | filgrastim-sndz | Zarxio® |
| Colony-Stimulating Factors (CSF)/ Myeloid Growth Factor (MGF) | pegfilgrastim-bmex | Ziextenzo™ |
| Continuous Glucose Monitoring (CGM) Systems | Dexcom® CGMs | |
| Continuous Glucose Monitoring (CGM) Systems | Eversense® | |
| Continuous Glucose Monitoring (CGM) Systems | Freestyle Libre Products | |
| Continuous Glucose Monitoring (CGM) Systems | Guardian Connect® CGM System | |
| Corlanor® | Ivabradine | |
| Cresemba® | isavuconazonium sulfate | |
| Daybue™ | trofenitide | |
| Diacomit® | Stiripentol | |
| Dificid® | fidaxomicin | |
| Disposable Insulin Delivery Systems | Omnipod® 5 | |
| Disposable Insulin Delivery Systems | Omnipod DASH® | |
| Disposable Insulin Delivery Systems | Omnipod Go | |
| Disposable Insulin Delivery Systems | V-GO | |
| Dry Eye Disease | cyclosporine | Cequa® |
| Dry Eye Disease | loteprednol | Eysuvis® |
| Dry Eye Disease | perfluorohexyloctane | Miebo® |
| Dry Eye Disease | cyclosporine | Restasis® |
| Dry Eye Disease | varenicline nasal spray | Tyrvaya® |
| Dry Eye Disease | cyclosporine | Verkazia® |
| Dry Eye Disease | cyclosporine | Vevye® |
| Dry Eye Disease | lifitegrast | Xiidra® |
| Dupixent | Dupilumab | |
| Egrifta® | tesamorelin | |
| Epidiolex® | Cannabidiol | |
| Erivedge® | vismodegib | |
| Erythropoiesis-Stimulating Agents (ESAs) | darbepoetin alfa | Aranesp® |
| Erythropoiesis-Stimulating Agents (ESAs) | epoetin Alfa | Epogen® |
| Erythropoiesis-Stimulating Agents (ESAs) | methoxy polyethylene glycol-epoetin beta | Mircera® |
| Erythropoiesis-Stimulating Agents (ESAs) | epoetin Alfa | Procrit® |
| Erythropoiesis-Stimulating Agents (ESAs) | epoetin Alfa | Retacrit™ |
| Esbriet® | Pirfenidone | |
| Fabhalta | Iptacopan | |
| Fasenra® | Benralizumab | |
| Filsuvez® | Birch triterpenes | |
| Forteo® | Teriparatide | |
| Fruzaqla® | fruquintibib | |
| Fycompa® | Perampanel | |
| Gleevec® | imatinib | |
| Gleostine® | lomustine | |
| GnRH Antagonists | relugolix 40mg, estradiol 1mg, and norethindrone 0.5mg | Myfembree |
| GnRH Antagonists | Elagolix 300 mg, estradiol 1 mg, norethindrone acetate 0.5 mg | Oriahnn™ |
| GnRH Antagonists | Elagolix | Orilissa™ |
| Gonadotropin-Releasing Hormone Agonist | leuprolide mesylate | Camcevi™ |
| Gonadotropin-Releasing Hormone Agonist | leuprolide acetate | Eligard® |
| Gonadotropin-Releasing Hormone Agonist | leuprolide acetate | Fensolvi |
| Gonadotropin-Releasing Hormone Agonist | leuprolide acetate | Lupron® |
| Gonadotropin-Releasing Hormone Agonist | nafarelin | Synarel |
| Gonadotropin-Releasing Hormone Agonist | histrelin | Supprelin LA |
| Gonadotropin-Releasing Hormone Agonist | triptorelin | Trelstar Mixject® |
| Gonadotropin-Releasing Hormone Agonist | triptorelin | Triptodur |
| Gonadotropin-Releasing Hormone Agonist | goserelin | Zoladex |
| Growth Hormone - Adult | ||
| Growth Hormone - Adult | somatropin | Genotropin® |
| Growth Hormone - Adult | somatropin | Humatrope® |
| Growth Hormone - Adult | somatropin | Norditropin® |
| Growth Hormone - Adult | somatropin | Nutropin AQ® |
| Growth Hormone - Adult | somatropin | Omnitrope® |
| Growth Hormone - Adult | somatropin | Saizen® |
| Growth Hormone - Adult | somatropin | Serostim® |
| Growth Hormone - Adult | somapacitian-beco | Sogroya® |
| Growth Hormone - Adult | somatropin | Zomacton™ |
| Growth Hormone - Adult | somatropin | Zorbtive® |
| Growth Hormone - Children | somatropin | Norditropin® |
| Growth Hormone - Children | somatropin | Genotropin® |
| Growth Hormone - Children | somatropin | Humatrope® |
| Growth Hormone - Children | somatropin-ghla | Ngenla™ |
| Growth Hormone - Children | somatropin | Nutropin AQ® |
| Growth Hormone - Children | somatropin | Omnitrope® |
| Growth Hormone - Children | somatropin | Saizen® |
| Growth Hormone - Children | lonapegsomatropin | Skytrofa® |
| Growth Hormone - Children | somapacitian-beco | Sogroya® |
| Growth Hormone - Children | somatropin | Zomacton™ |
| HCV Antivirals | Epclusa® | Sofosbuvir/Velpatasvir |
| HCV Antivirals | Harvoni® | Ledipasvir/Sofosbuvir |
| HCV Antivirals | Mavyret™ | Glecaprevir/Pibrentasvir |
| HCV Antivirals | Sovaldi® | Sofosbuvir |
| HCV Antivirals | Vosevi® | Sofosbuvir/Velpatasvir/Voxilaprevir |
| HCV Antivirals | Zepatier™ | Elbasvir/Grazoprevir |
| Hemgenix | etranacogene dezaparvovec-drlb | |
| Hereditary Angioedema Agents | C1 esterase inhibitor [human] | Berinert® |
| Hereditary Angioedema Agents | C1 esterase inhibitor [human] | Cinryze® |
| Hereditary Angioedema Agents | icatibant | Firazyr® |
| Hereditary Angioedema Agents | C1 esterase inhibitor [human] | Haegarda® |
| Hereditary Angioedema Agents | ecallantide | Kalbitor® |
| Hereditary Angioedema Agents | berotralstat | Orladeyo® |
| Hereditary Angioedema Agents | C1 esterase inhibitor [human] | Ruconest® |
| Hereditary Angioedema Agents | icatibant | Sajazir™ |
| Hereditary Angioedema Agents | lanadelumab-flyo | Takhzyro® |
| H.P.Acthar® | Repository corticotropin injection gel | |
| Hycamtin® | topotecan | |
| Hypercholesterolemia Agents | lomitapide | Juxtapid® |
| Hypercholesterolemia Agents | bempedoic acid | Nexletol® |
| Hypercholesterolemia Agents | bempedoic acid and ezetimibe | Nexlizet™ |
| Hypercholesterolemia Agents | alirocumab | Praluent® |
| Hypercholesterolemia Agents | evolocumab | Repatha™ |
| Iclusig® | ponatinib | |
| Imbruvica | ibrutinib | |
| Imfinzi™ | Durvalumab | |
| Immune Globulin Products | Asceniv® | |
| Immune Globulin Products | Bivigam® | |
| Immune Globulin Products | Carimune® NF | |
| Immune Globulin Products | Cutaquig® | |
| Immune Globulin Products | Cuvitru® | |
| Immune Globulin Products | Flebogamma® DIF | |
| Immune Globulin Products | GamaSTAN® S/D | |
| Immune Globulin Products | Gammagard® | |
| Immune Globulin Products | Gammagard® S/D | |
| Immune Globulin Products | Gammaked™ | |
| Immune Globulin Products | Gammaplex® | |
| Immune Globulin Products | Gamunex® -C | |
| Immune Globulin Products | Hizentra® | |
| Immune Globulin Products | HyQvia® | |
| Immune Globulin Products | Octagam® | |
| Immune Globulin Products | Panzyga® | |
| Immune Globulin Products | Privigen® | |
| Immune Globulin Products | Xembify® | |
| Incretin Mimetics - Diabetes | exenatide | Byetta® |
| Incretin Mimetics - Diabetes | exenatide | Bydureon BCise® |
| Incretin Mimetics - Diabetes | tirzepatide | Mounjaro™ |
| Incretin Mimetics - Diabetes | semaglutide | Ozempic® |
| Incretin Mimetics - Diabetes | semaglutide | Rybelsus® |
| Incretin Mimetics - Diabetes | dulaglutide | Trulicity® |
| Incretin Mimetics - Diabetes | liraglutide | Victoza® |
| Inhaled Tobramycin Products | tobramycin inhalation solution | Bethkis® |
| Inhaled Tobramycin Products | tobramycin inhalation solution | Kitabis® Pak |
| Inhaled Tobramycin Products | tobramycin inhalation solution | TOBI® |
| Inhaled Tobramycin Products | tobramycin inhalation solution | TOBI® Podhaler® |
| Inhaled Tobramycin Products | Tobramycin inhalation solution (generic) | |
| Inlyta® | axitinib | |
| Inqovi® | Decitabine and Cedazuridine | |
| Iron Chelating Agents | deferasirox | Exjade® |
| Iron Chelating Agents | deferiprone | Ferriprox |
| Iron Chelating Agents | Deferasirox | Jadenu |
| Jakafi® | ruxolitinib | |
| Jaypirca® | pirtobrutinib | |
| Joenja® | leniolisib | |
| Kerendia™ | Finerenone | |
| Keytruda® | Pembrolizumab | |
| Kineret® | anakinra | |
| Krazati® | adagrasib | |
| Lampit® | Nifurtimox | |
| Leqembi™ | Lecanemab | |
| Livtencity™ | maribavir | |
| Long-Acting Injectable Atypical Antipsychotics | aripiprazole | Abilify Asimtufii |
| Long-Acting Injectable Atypical Antipsychotics | aripiprazole monohydrate | Abilify Maintena |
| Long-Acting Injectable Atypical Antipsychotics | aripiprazole lauroxil | Aristada |
| Long-Acting Injectable Atypical Antipsychotics | aripiprazole lauroxil | Aristada Initio |
| Long-Acting Injectable Atypical Antipsychotics | paliperidone palmitate | Invega Hafyera |
| Long-Acting Injectable Atypical Antipsychotics | paliperidone palmitate | Invega Sustenna |
| Long-Acting Injectable Atypical Antipsychotics | paliperidone palmitate | Invega Trinza |
| Long-Acting Injectable Atypical Antipsychotics | risperidone | Perseris |
| Long-Acting Injectable Atypical Antipsychotics | risperidone | Risperdal Consta |
| Long-Acting Injectable Atypical Antipsychotics | risperidone | Risvan |
| Long-Acting Injectable Atypical Antipsychotics | risperidone | Rykindo |
| Long-Acting Injectable Atypical Antipsychotics | risperidone | Uzedy |
| Long-Acting Injectable Atypical Antipsychotics | olanzapine pamoate | Zyprexa Relprevv |
| Lynparza™ | Olaparib | |
| Lytgobi® | futibatinib | |
| Medical Necessity | ||
| Mekinist® | Trametinib | |
| Metabolic Dysfunction-Associated Steatohepatitis (MASH) | Resmetirom | Rezdiffra™ |
| Migraine Treatment & Prevention | Erenumab-aooe | Aimovig™ |
| Migraine Treatment & Prevention | fremanezumab-vfrm | Ajovy™ |
| Migraine Treatment & Prevention | galcanezumab-gnlm | Emgality™ |
| Migraine Treatment & Prevention | rimegepant | Nurtec™ ODT |
| Migraine Treatment & Prevention | atogepant | Qulipta™ |
| Migraine Treatment & Prevention | lasmiditan | Reyvow™ |
| Migraine Treatment & Prevention | ubrogepant | Ubrelvy™ |
| Migraine Treatment & Prevention | zavegepant | Zavzpret™ |
| Multiple Sclerosis Agents | Teriflunomide | Aubagio® |
| Multiple Sclerosis Agents | interferon beta-1a | Avonex® |
| Multiple Sclerosis Agents | Monomethyl Fumarate | Bafiertam™ |
| Multiple Sclerosis Agents | interferon beta-1b | Betaseron® |
| Multiple Sclerosis Agents | ublituximab | Briumvi® |
| Multiple Sclerosis Agents | glatiramer | Copaxone® |
| Multiple Sclerosis Agents | interferon beta-1b | Extavia® |
| Multiple Sclerosis Agents | Fingolimod | Gilenya® |
| Multiple Sclerosis Agents | glatiramer | Glatopa™ |
| Multiple Sclerosis Agents | Ofatumumab | Kesimpta® |
| Multiple Sclerosis Agents | alemtuzumab | Lemtrada® |
| Multiple Sclerosis Agents | cladribine | Mavenclad® |
| Multiple Sclerosis Agents | siponimod | Mayzent® |
| Multiple Sclerosis Agents | ocrelizumab | Ocrevus™ |
| Multiple Sclerosis Agents | ocrelizumab and hyaluronidase injection | Ocrevus Zunovo |
| Multiple Sclerosis Agents | peginterferon beta-1a | Plegridy® |
| Multiple Sclerosis Agents | interferonbeta-1a | Rebif® |
| Multiple Sclerosis Agents | Dimethyl Fumarate | Tecfidera® |
| Multiple Sclerosis Agents | natalizumab | Tysabri® |
| Multiple Sclerosis Agents | diroximel fumarate | Vumerity™ |
| Multiple Sclerosis Agents | ozanimod | Zeposia® |
| Neupro® | Rotigotine Transdermal System | |
| Nexavar® | sorafenib | |
| Nucala® | Mepolizumab | |
| Nuedexta® | Dextromethorphan/Quinidine | |
| Nuplazid® | Pimavanserin | |
| Ofev® | Nintedanib | |
| Ogsiveo® | Nirogacestat | |
| Opdivo® | Nivolumab | |
| Ophthalmic VEGF Inhibitors | bevacizumab | Avastin™ |
| Ophthalmic VEGF Inhibitors | brolucizumab-dbll | Beovu™ |
| Ophthalmic VEGF Inhibitors | ranibizumab-nuna | Byooviz™ |
| Ophthalmic VEGF Inhibitors | ranibizumab-eqrn | Cimerli™ |
| Ophthalmic VEGF Inhibitors | aflibercept | Eylea™ |
| Ophthalmic VEGF Inhibitors | ranibizumab | Lucentis™ |
| Ophthalmic VEGF Inhibitors | pegaptanib | Macugen™ |
| Ophthalmic VEGF Inhibitors | ranibizumab | Susvimo™ |
| Ophthalmic VEGF Inhibitors | faricimab-svoa | Vabysmo™ |
| Orkambi® | Lumacaftor/Ivacaftor | |
| Orserdu™ | elacestrant | |
| Oxybates | sodium oxybate | Lumryz® |
| Oxybates | sodium oxybate | Xyrem® |
| Oxybates | calcium, magnesium, potassium and sodium oxybates | Xywav® |
| Pegasys® | peginterferon alfa-2a | |
| Phenylbutyrates | sodium phenylbutyrate powder | |
| Phenylbutyrates | sodium phenylbutyrate | Buphenyl® |
| Phenylbutyrates | glycerol phenylbutyrate | Ravicti® |
| Potassium Binders | Sodium Zirconium cyclosilicate | Lokelma® |
| Potassium Binders | Patiromer | Veltassa® |
| Prevymis™ | Letermovir | |
| Prolia® | Denosumab | |
| Promacta® | eltrombopag | |
| Proton Pump Inhibitors | rabeprazole | Aciphex® |
| Proton Pump Inhibitors | dexlansoprazole | Dexilant® |
| Proton Pump Inhibitors | omeprazole/sodium bicarbonate | Konvomep |
| Proton Pump Inhibitors | esomeprazole | Nexium® |
| Proton Pump Inhibitors | lansoprazole | Prevacid® |
| Proton Pump Inhibitors | omeprazole | Prilosec® |
| Proton Pump Inhibitors | pantoprazole | Protonix® |
| Proton Pump Inhibitors | omeprazole/sodium bicarbonate | Zegerid® |
| Pulmonary Hypertension Agents | Tadalafil | Adcirca® |
| Pulmonary Hypertension Agents | Riociguat | Adempas® |
| Pulmonary Hypertension Agents | Tadalafil | Alyq® |
| Pulmonary Hypertension Agents | Epoprostenol | Flolan® |
| Pulmonary Hypertension Agents | Ambrisentan | Letairis® |
| Pulmonary Hypertension Agents | Macitentan | Opsumit® |
| Pulmonary Hypertension Agents | Macitentan-Tadlafil | Opsynvi® |
| Pulmonary Hypertension Agents | Treprostinil | Orenitram® |
| Pulmonary Hypertension Agents | Treprostinil | Remodulin® |
| Pulmonary Hypertension Agents | Sildenafil | Revatio® |
| Pulmonary Hypertension Agents | Tadalafil | Tadliq® |
| Pulmonary Hypertension Agents | Bosentan | Tracleer® |
| Pulmonary Hypertension Agents | Treprostinil | Tyvaso® / Tyvaso DPI® |
| Pulmonary Hypertension Agents | Selexipag | Uptravi® |
| Pulmonary Hypertension Agents | Epoprostenol | Veletri® |
| Pulmonary Hypertension Agents | Iloprost | Ventavis® |
| Pulmonary Hypertension Agents | Sotatercept-csrk | Winrevair™ |
| Pulmonary Hypertension Agents | Ambrisentan (generic) | |
| Pulmonary Hypertension Agents | Bosentan (generic) | |
| Pulmonary Hypertension Agents | Epoprostenol solution (generic) | |
| Pulmonary Hypertension Agents | Sildenafil (generic) | |
| Pulmonary Hypertension Agents | Tadalafil (generic) | |
| Pulmonary Hypertension Agents | Teprostinil solution (generic) | |
| Pulmozyme® | dornase alfa | |
| Rayos® | prednisone delayed-release | |
| Recorlev® | Levoketoconazole | |
| Rivfloza™ | nedosiran | |
| RET Kinase Inhibitor | Selpercatinib | Gavreto® |
| RET Kinase Inhibitor | Pralsetinib | Retevmo® |
| Revlimid® | lenalidomide | |
| Rezlidhia® | olutasidenib | |
| Roctavian | valoctocogene roxaparvovec-rvox | |
| Rozlytrek® | Entrectinib | |
| Sabril® | vigabatrin | |
| Scemblix® | Asciminib | |
| Sensipar® | Cinacalcet | |
| Sirturo® | Bendaquiline | |
| Skyclarys | omaveloxolone | |
| Smoking Deterrents | nicotine inhalation system | Nicotrol® |
| Smoking Deterrents | nicotine inhalation system | Nicotrol® NS |
| Smoking Deterrents | Bupropion (smoking deterrent) SR (generic) | |
| Smoking Deterrents | Nicotine Gum (generic) | |
| Smoking Deterrents | Nicotine Lozenge (generic) | |
| Smoking Deterrents | Nicotine Patch (generic) | |
| Smoking Deterrents | Varenicline (generic) | |
| Sohonos™ | palovarotene | |
| Spravato® | esketamine | |
| Sprycel® | dasatinib | |
| Stivarga® | regorafenib | |
| Substance Use Disorder | buprenorphine | Brixadi Monthly / Weekly |
| Substance Use Disorder | buprenorphine | Sublocade |
| Substance Use Disorder | naltrexone | Vivitrol |
| Stivarga® | regorafenib | |
| Sutent® | sunitinib | |
| Tafinlar® | Dabrafenib | |
| Tarceva® | erlotinib | |
| Targeted Immune Modulators (TIM) | adalimumab-afbz | Abrilada |
| Targeted Immune Modulators (TIM) | tocilizumab | Actemra® |
| Targeted Immune Modulators (TIM) | Adalimumab-aacf | |
| Targeted Immune Modulators (TIM) | Adalimumab-aaty | |
| Targeted Immune Modulators (TIM) | Adalimumab-adaz | |
| Targeted Immune Modulators (TIM) | Adalimumab-adbm | |
| Targeted Immune Modulators (TIM) | Adalimumab-fkjp | |
| Targeted Immune Modulators (TIM) | tralokinumab-ldrm | Adbry® |
| Targeted Immune Modulators (TIM) | adalimumab-atto | Amjevita™ |
| Targeted Immune Modulators (TIM) | infliximab-axxq | Avsola® |
| Targeted Immune Modulators (TIM) | bimekizumab-bkzx | Bimzelx |
| Targeted Immune Modulators (TIM) | abrocitinib | Cibinqo™ |
| Targeted Immune Modulators (TIM) | certolizumab pegol | Cimzia® |
| Targeted Immune Modulators (TIM) | secukinumab | Cosentyx® |
| Targeted Immune Modulators (TIM) | adalimumab-adb | Cyltezo |
| Targeted Immune Modulators (TIM) | dupilumab | Dupixent® |
| Targeted Immune Modulators (TIM) | lebrikizumab-lbkz | Ebglyss™ |
| Targeted Immune Modulators (TIM) | etanercept | Enbrel® |
| Targeted Immune Modulators (TIM) | vedolizumab | Entyvio® |
| Targeted Immune Modulators (TIM) | adalimumab-bwwd/td> | Hadlima |
| Targeted Immune Modulators (TIM) | adalimumab-fkjp | Hulio |
| Targeted Immune Modulators (TIM) | adalimumab | Humira® |
| Targeted Immune Modulators (TIM) | adalimumab-adaz | Hyrimoz |
| Targeted Immune Modulators (TIM) | adalimumab-aacf | Idacio |
| Targeted Immune Modulators (TIM) | canakinumab | Ilaris® |
| Targeted Immune Modulators (TIM) | tildrakizumab-asmn | Ilumya® |
| Targeted Immune Modulators (TIM) | infliximab-dyyb | Inflectra® |
| Targeted Immune Modulators (TIM) | sarilumab | Kevzara® |
| Targeted Immune Modulators (TIM) | anakinra | Kineret® |
| Targeted Immune Modulators (TIM) | anakinra | Nemluvio® |
| Targeted Immune Modulators (TIM) | baricitinib | Olumiant® |
| Targeted Immune Modulators (TIM) | mirzikizumab | Omvoh |
| Targeted Immune Modulators (TIM) | ruxolitinib | Opzelura™ |
| Targeted Immune Modulators (TIM) | abatacept | Orencia® |
| Targeted Immune Modulators (TIM) | apremilast | Otezla® |
| Targeted Immune Modulators (TIM) | infliximab | Remicade® |
| Targeted Immune Modulators (TIM) | infliximab-abda | Renflexis® |
| Targeted Immune Modulators (TIM) | rituximab-arrx | Riabni® |
| Targeted Immune Modulators (TIM) | upadacitinib | Rinvoq® |
| Targeted Immune Modulators (TIM) | upadacitinib | Rinvoq LQ® |
| Targeted Immune Modulators (TIM) | rituximab | Rituxan® |
| Targeted Immune Modulators (TIM) | rituximab-pvvr | Ruxience® |
| Targeted Immune Modulators (TIM) | brodalumab | Siliq® |
| Targeted Immune Modulators (TIM) | golimumab | Simponi® /Simponi Aria® |
| Targeted Immune Modulators (TIM) | risankizumab | Skyrizi® |
| Targeted Immune Modulators (TIM) | deucravacitinib | Sotyktu™ |
| Targeted Immune Modulators (TIM) | spesolimab-sbzo | Spevigo™ |
| Targeted Immune Modulators (TIM) | ustekinumab | Stelara® |
| Targeted Immune Modulators (TIM) | ixekizumab | Taltz® |
| Targeted Immune Modulators (TIM) | tocilizumab-bavi | Tofidence® |
| Targeted Immune Modulators (TIM) | guselkumab | Tremfya® |
| Targeted Immune Modulators (TIM) | rituximab-abbs | Truxima® |
| Targeted Immune Modulators (TIM) | tocilizumab-aazg | Tyenne® |
| Targeted Immune Modulators (TIM) | natalizumab | Tysabri® |
| Targeted Immune Modulators (TIM) | etrasimod | Velsipity |
| Targeted Immune Modulators (TIM) | tofacitinib | Xeljanz® /Xeljanz XR® |
| Targeted Immune Modulators (TIM) | adalimumab-aaty | Yuflyma |
| Targeted Immune Modulators (TIM) | adalimumab-aqvh | Yusimry |
| Targeted Immune Modulators (TIM) | ozanimod | Zeposia® |
| Targeted Immune Modulators (TIM) | infliximab-dyyb | Zymfentra |
| Tasigna® | nilotinib | |
| Tasmar® | Talcapone | |
| Tavneos® | Avacopan | |
| Tecentriq® | Atezolizumab | |
| Tepmetko® | Tepotinib | |
| Tezspire™ | Tezepelumab-ekko | |
| Thalomid® | thalidomide | |
| Thiola® | Tiopronin | |
| Tolvaptan | Tolvaptan | Jynarque® |
| Tolvaptan | Tolvaptan | Samsca® |
| Trikafta | Elexacaftor/tezacaftor/Ivacaftor and Ivacaftor | |
| Tolvaptan | Tolvaptan | Samsca® |
| Tykerb® | lapatinib | |
| Tzield™ | Teplizumab-mzwv | |
| Vanflyta® | quizartinib | |
| Vemlidy® | Tenofovir Alafenamide | |
| Vesicular Monoamine Transporter 2 (VMAT2) Inhibitor | deutetrabenazine | Austedo IR/XR |
| Vesicular Monoamine Transporter 2 (VMAT2) Inhibitor | valbenazine | Ingrezza |
| Vesicular Monoamine Transporter 2 (VMAT2) Inhibitor | tetrabenazine | Xenazine |
| Veozah | fezolinetant | |
| Verquvo® | Vericiguat | |
| Verzenio® | abemaciclib | |
| Viberzi® | Eluxadoline | |
| Vijoice® | alpelisib | |
| Vonjo® | Pacritinib | |
| Votrient® | Pazopanib | |
| Voydeya® | Danicopan | |
| Vyjuvek™ | beremagene geperpavec-svdt | |
| Wakix® | Pitolisant | |
| Wainua™ | eplontersen | |
| Xalkori® | crizotinib | |
| Xdemvy™ | lotilaner | |
| Xgeva® | Denosumab | |
| Xifaxan® | rifaximin | |
| Xolair® | Omalizumab | |
| Xpovio® | selinexor | |
| Xtandi® | enzalutamide | |
| Zelboraf® | vemurafenib | |
| Zurzuvae | zuranolone | |
| Zytiga® | abiraterone |
