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Medications Available - Formulary

Generic Name Sort descending Brand Name Conditions
Abatacept Orencia® Rheumatoid Arthritis
Adalimumab Humira® Miscellaneous
Inflammatory Bowel Disease
Rheumatoid Arthritis
Afatinib Gilotrif® Hematology/Oncology
Alectinib Alecensa® Hematology/Oncology
Alirocumab Praluent® Cardiovascular
Altretamine Hexalen® Hematology/Oncology
Antihemophilic Factor (Recombinant) Kogenate FS® Hemophilia
Antihemophilic Factor (Recombinant) Xyntha® Hemophilia
Antihemophilic Factor (Recombinant) Advate Hemophilia
Antihemophilic Factor (Recombinant), Fc Fusion Eloctate® Hemophilia
Antihemophilic Factor/von Willebrand Factor Humate-P® Hemophilia
Apremilast Otezla® Miscellaneous
Rheumatoid Arthritis
Axitinib Inlyta® Hematology/Oncology
Bedolizumab Entivio® Ulcerative Colitis
Crohn's Disease
Belimumab Benlysta® Miscellaneous
Bexarotene Targretin® Hematology/Oncology
Bosutinib Bosulif® Hematology/Oncology
Capecitabine Xeloda® Hematology/Oncology
Ceritinib Zykadia™ Hematology/Oncology
Certolizumab Pegol Cimzia® Inflammatory Bowel Disease
Rheumatoid Arthritis
Chlorambucil Leukeran® Hematology/Oncology
Chorionic Gonadotropin Novarel® Growth Hormone
Coagulation Factor IX (Recombinant) Benefix® Hemophilia
Crizotinib Xalkori® Hematology/Oncology
Cyclosporine Gengraf® Transplant
Dabrafenib Mesylate Tafinlar® Hematology/Oncology
Daclatasvir Daklinza® Hepatitis-C
Dasatinib Sprycel® Hematology/Oncology
Deferasirox Jadenu® Hematology/Oncology
Deferasirox Exjade® Hematology/Oncology
Dimethyl Fumarate Tecfidera® Multiple Sclerosis
Dornase Alfa Pulmozyme® Cystic Fibrosis
Elbasvir/Grazoprevir Zepatier™ Hepatitis-C
Eltrombopag Olamine Promacta® Hematology/Oncology
Enzalutamide Xtandi® Hematology/Oncology
Erlotinib Hydrochloride Tarceva® Hematology/Oncology
Estramustine Emcyt Hematology/Oncology
Etanercept Enbrel® Miscellaneous
Rheumatoid Arthritis
Etoposide Vepesid® Hematology/Oncology
Everolimus Zortress® Transplant
Everolimus Afinitor® Hematology/Oncology
Evolocumab Repatha® Cardiovascular
Fingolimod Hydrochloride Gilenya® Multiple Sclerosis
Glatiramer Acetate Copaxone® Multiple Sclerosis
Glatiramer Acetate Glatopa® Multiple Sclerosis
Glecaprevir and Pibrentasvir Mayvret™ Hepatitis-C
Golimumab Simponi® Inflammatory Bowel Disease
Rheumatoid Arthritis
Hydroxyprogesterone Caproate Injection Makena® High Risk Obstetrics
Ibrutinib Inbruvica® Hematology/Oncology
Idelalisib Zydelig ™ Hematology/Oncology
Imatinib Mesylate Gleevec® Hematology/Oncology
Infliximab Remicade® Crohn's Disease
Pediatric Crohn's Disease
Ulcerative Colitis
Pediatric Ulcerative Colitis
Rheumatoid Arthritis
Psoriatic Arthritis
Ankylosing Spondylitis
Miscellaneous
Interferon Alfa-2b Intron® A Hepatitis-C
Interferon Beta-1a Rebif® Multiple Sclerosis
Interferon Beta-1a Avonex® Multiple Sclerosis
Interferon Beta-1b Extavia® Multiple Sclerosis
Interferon Beta-1b Betaseron® Multiple Sclerosis
Ivacaftor Kalydeco® Cystic Fibrosis
Ixazomib Ninlaro® Hematology/Oncology
Lapatinib Ditosylate Tykerb® Hematology/Oncology
Ledipasvir/Sofosbuvir Harvoni® Hepatitis-C
Leuprolide Acetate Lupron®
Lomustine Gleostine® Hematology/Oncology
Lumacaftor/Ivacaftor Orkambi® Cystic Fibrosis
Mitotane Lysodren® Hematology/Oncology
Mycophenolate Cellcept® Transplant
Mycophenolic Acid Myfortic® Transplant
Nilotinib Hydrochloride Tasigna® Hematology/Oncology
Nintedanib Ofev® Idiopathic Pulmonary Fibrosis
Obeticholic Acid Ocaliva® Miscellaneous
Ocrelizumab Ocrevus™ Multiple Sclerosis
Olaparib Lynparza™ Hematology/Oncology
Ombitasvir/Paritaprevir/Ritonavir/Dasabuvir Viekira Pak® Hepatitis-C
Osimertinib Tagrisso™ Hematology/Oncology
Palbociclib Imbrance® Hematology/Oncology
Pancrelipase (Amylase/Lipase/Protease) Pertzye® Cystic Fibrosis
Pancrelipase (Amylase/Lipase/Protease) Creon® Cystic Fibrosis
Panobinostat Farydak® Hematology/Oncology
Pazopanib Hydrochloride Votrient® Hematology/Oncology
Peginterferon Alfa-2a Pegasys® Hepatitis-C
Peginterferon Alfa-2b Pegintron® Hepatitis-C
Peginterferon Beta-1a Plegridy® Multiple Sclerosis
Pirfenidone Esbriet® Idiopathic Pulmonary Fibrosis
Regorafenib Stivarga® Hematology/Oncology
Ribavirin Ribapak® Hepatitis-C
Ribavirin Ribasphere® Hepatitis-C
Rifaximin Xifaxan® Hepatic Encephalopathy
Rituximab Rituxan® Non-Hodgkin's Lymphoma
CD20-Positive Chronic Lymphocytic Leukemia
Rheumatoid Arthritis
Granulomatosis with Polyangiitis (GPA) (Wegner's Granulomatosis)
Microscopic Polyangiitis (MPA)
Rucaparib Rubraca® Hematology/Oncology
Ruxolitinib Phosphate Jakafi® Hematology/Oncology
Secukinumab Cosentyx® Miscellaneous
Rheumatoid Arthritis
Simeprevir Olysio® Hepatitis-C
Sirolimus Rapamune® Transplant
Sofosbuvir Sovaldi® Hepatitis-C
Sofosbuvir, Velpatasvir and Voxilaprevir Vosevi™ Hepatitis-C
Sofosbuvir/Velpatasvi Epclusa® Hepatitis-C
Somatropin Nutropin AQ Nuspin® Growth Hormone
Somatropin, E-Coli Derived Norditropin® Growth Hormone
Somatropin, E-Coli Derived Genotropin™ Growth Hormone
Somatropin, E-Coli Derived Omnitrope® Growth Hormone
Somatropin, E-Coli Derived Humatrope® Growth Hormone
Sorafenib Tosylate Nexavar® Hematology/Oncology
Sunitinib Maleate Sutent® Hematology/Oncology
Tacrolimus Prograf® Transplant
Temozolomide Temodar® Hematology/Oncology
Teriparatide Forteo® Osteoporosis
Tobramycin Inhalation Powder Tobi® Podhaler™ Cystic Fibrosis
Tobramycin inhalation solution Bethkis® Cystic Fibrosis
Tobramycin Inhalation Solution Tobi® Cystic Fibrosis
Tocilizumab Actemra® Rheumatoid Arthritis
Tofacitinib Citrate Xeljanz® Rheumatoid Arthritis
Topotecan Hycamtin® Hematology/Oncology
Trametinib Dimethyl Sulfoxide Mekinist® Hematology/Oncology
Trifluridine/Tipiracil Lonsurf® Hematology/Oncology
Ustekinumab Stelara® Miscellaneous
Inflammatory Bowel Disease
Rheumatoid Arthritis
Vedolizumab Entivio® Ulcerative Colitis
Crohn's Disease
Vemurafenib Zelboraf™ Hematology/Oncology
Venetoclax Venclexta® Hematology/Oncology
Visomodegib Erovedge® Hematology/Oncology
Vorinostat Zolinza® Hematology/Oncology