Formulary Medications - Brand Name

Inflammatory diseases

• Actemra®- Tocilizumab
• Benlysta®- Belimumab
• Cimzia®- Certolizumab Pegol
• Enbrel®- Etanercept
• Kevzara®- Sarilumab
• Kineret®- Anakinra
• Orencia®- Abatacept
• Simponi®- Golimumab
• Tymlos®- Abaloparatide
• Xeljanz®- Tofacitinib Citrate

Bleeding disorders

• Advate- Antihemophilic Factor (Recombinant)
• Adynovate®- Antihemophilic Factor (Recombinant)
• Alphanate®- Antihemophilic Factor / Von Willebrand Factor Complex (Human)
• Benefix®- Coagulation Factor IX (Recombinant)
• Eloctate®- Antihemophilic Factor (Recombinant), Fc Fusion
• Fulphila™- Pegfilgrastim-jmdb
• Hemlibra®- Emicizumab-kxwh
• Humate-P®- Antihemophilic Factor/von Willebrand Factor
• Idelvion®- Coagulation factor IX
• Kogenate FS®- Antihemophilic Factor (Recombinant)
• Novoeight®- Antihemophilic Factor (Recombinant)
• Nuwiq® - Antihemophilic Factor VIII (recombinant)
• Vonvendi®- Von Willebrand Factor
• Wilate®- Antihemophilic Factor / Von Willebrand Factor Complex (Human)
• Xyntha®- Antihemophilic Factor (Recombinant)

Hematology/oncology

• Afinitor®- Everolimus
• Alecensa®- Alectinib
• Alunbrig®- Brigatinib
• Bosulif®- Bosutinib
• Cabometyx®- Cabozantinib
• Emcyt®- Estramustine
• Erivedge®- Visomodegib
• Erleada™- Apalutamide
• Exjade®- Deferasirox
• Farydak®- Panobinostat
• Gilotrif®- Afatinib
• Gleostine®- Lomustine
• Hexalen®- Altretamine
• Hycamtin®- Topotecan
• Ibrance®- Palbociclib
• Imbruvica®- Ibrutinib
• Jadenu®- Deferasirox
• Jakafi®- Ruxolitinib Phosphate
• Kisqali®- Ribociclib
• Lenvima- Lenvatinib
• Leukeran®- Chlorambucil
• Lonsurf®- Trifluridine/Tipiracil
• Lynparza™- Olaparib
• Lysodren®- Mitotane
• Mekinist®- Trametinib Dimethyl Sulfoxide
• Mektovi®- Binimetinib
• Nexavar®- Sorafenib Tosylate
• Ninlaro®- Ixazomib
• Promacta®- Eltrombopag Olamine
• Rubraca®- Rucaparib
• Rydapt®- Midostaurin
• Sprycel®- Dasatinib
• Stivarga®- Regorafenib
• Sutent®- Sunitinib Maleate
• Tafinlar®- Dabrafenib Mesylate
• Tagrisso™- Osimertinib
• Tarceva®- Erlotinib Hydrochloride
• Targretin®- Bexarotene
• Tasigna®- Nilotinib Hydrochloride
• Tavalisse™- Fostamatinib disodium hexahydrate
• Temodar®- Temozolomide
• Tykerb®- Lapatinib Ditosylate
• Venclexta®- Venetoclax
• Vepesid®- Etoposide
• Verzenio®- Abemaciclib
• Votrient®- Pazopanib Hydrochloride
• Xalkori®- Crizotinib
• Xeloda®- Capecitabine
• Xtandi®- Enzalutamide
• Zarxio®- Filgrastim-sndz
• Zejula™- Nirparib
• Zelboraf™- Vemurafenib
• Zolinza®- Vorinostat
• Zydelig ™- Idelalisib
• Zykadia™- Ceritinib
• Zytiga®- Abiraterone Acetate

Neurology

• Ampira®- Dalfampridine
• Austedo®- Deutetrabenazine
• Avonex®- Interferon Beta-1a
• Betaseron®- Interferon Beta-1b
• Copaxone®- Glatiramer Acetate
• Extavia®- Interferon Beta-1b
• Gilenya®- Fingolimod Hydrochloride
• Glatopa®- Glatiramer Acetate
• Ingrezza®- Valbenazine
• Ocrevus™- Ocrelizumab
• Plegridy®- Peginterferon Beta-1a
• Rebif®- Interferon Beta-1a
• Tecfidera®- Dimethyl Fumarate

Pulmonology

• Bethkis®- Tobramycin Inhalation Solution
• Creon®- Pancrelipase (Amylase/Lipase/Protease)
• Esbriet®- Pirfenidone
• Kalydeco®- Ivacaftor
• Ofev®- Nintedanib
• Orkambi®- Lumacaftor/Ivacaftor
• Pertzye®- Pancrelipase (Amylase/Lipase/Protease)
• Pulmozyme®- Dornase Alfa
• Symdeko™- Tezacaftor/Ivacaftor
• Tobi®- Tobramycin Inhalation Solution
• Tobi® Podhaler™- Tobramycin Inhalation Powder
• Viokace®- Pancrelipase (Amylase/Lipase/Protease)
• Zenpep®- Pancrelipase (Amylase/Lipase/Protease)

Transplant

• Cellcept®- Mycophenolate
• Envarsus XR®- Tacrolimus ER
• Gengraf®- Cyclosporine, Modified
• Myfortic®- Mycophenolic Acid
• Prograf®- Tacrolimus
• Rapamune®- Sirolimus
• Zortress®- Everolimus

Inflammatory diseases, Miscellaneous

• Cosentyx®- Secukinumab
• Humira®- Adalimumab
• Otezla®- Apremilast
• Remicade®- Infliximab
• Rituxan®- Rituximab
• Stelara®- Ustekinumab
• Taltz®- Ixekizumab
• Xifaxan®- Rifaximin

Infectious diseases

• Daklinza®- Daclatasvir
• Epclusa®- Sofosbuvir/Velpatasvir
• Harvoni®- Ledipasvir/Sofosbuvir
• Mayvret™- Glecaprevir and Pibrentasvir
• Olysio®- Simeprevir
• Ribapak®- Ribavirin
• Ribasphere®- Ribavirin
• Sovaldi®- Sofosbuvir
• Viekira Pak®- Ombitasvir/Paritaprevir/Ritonavir/Dasabuvir
• Vosevi™- Sofosbuvir, Velpatasvir and Voxilaprevir
• Zepatier™- Elbasvir/Grazoprevir

Allergy/immunology

• Dupixent®- Dupilumab

• Forteo®- Teriparatide

Endocrinology

• Genotropin™- Somatropin, E-Coli Derived
• Lupron®- Leuprolide Acetate
• Macrilen™- Macimorilen
• Norditropin®- Somatropin, E-Coli Derived
• Novarel®- Chorionic Gonadotropin
• Nutropin AQ Nuspin®- Somatropin
• Omnitrope®- Somatropin, E-Coli Derived
• Somatuline Depot®- Lanreotide
• Zomacton®- Somatropin

Hematology/oncology, Inflammatory diseases

• Gleevec®- Imatinib Mesylate

Hematology/oncology, Transplant

• Inlyta®- Axitinib

Women's health

• Makena®- Hydroxyprogesterone Caproate Injection

Miscellaneous

• Ocaliva®- Obeticholic Acid

Inflammatory diseases, Hematology/oncology

• Otrexup®- Methotrexate

Cardiovascular

• Praluent®- Alirocumab
• Repatha®- Evolocumab