MassHealth Drug List A - Z

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This is a listing of all of the drugs covered by MassHealth. Please select a letter to see drugs listed by that letter, or enter the name of the drug you wish to search for.

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MassHealth Drug List table

Drug - Brand Name (Generic Name)	PA Status	Class	Drug Notes
AdrenalindrugId:606 (epinephrine injection)drugId:606		ADRENERGICS	#
Auvi-Q (epinephrine auto-injection-Auvi-Q)drugId:2718	PA	ADRENERGICS
epinephrine auto-injectiondrugId:6109		ADRENERGICS
EpipendrugId:607 (epinephrine 0.3 mg auto-injection-Epipen)drugId:607		ADRENERGICS	#
Epipen JrdrugId:4680 (epinephrine 0.15 mg auto-injection-Epipen Jr)drugId:4680		ADRENERGICS	#
Gemtesa (vibegron)drugId:7781	PA	ADRENERGICS
midodrine		ADRENERGICS	A90
Myrbetriq (mirabegron extended-release)drugId:2642		ADRENERGICS	BP, A90
Neffy (epinephrine nasal spray)drugId:9160	PA	ADRENERGICS
Northera (droxidopa)drugId:4630	PA	ADRENERGICS	A90
phenylephrine ophthalmic solution		ADRENERGICS
acamprosatedrugId:142		ALCOHOL AND DRUG CESSATION AGENT	A90
Brixadi (buprenorphine extended-release injection)drugId:8645		ALCOHOL AND DRUG CESSATION AGENT	PD
buprenorphine / naloxone sublingual tabletdrugId:8978	PA > 32 mg/day	ALCOHOL AND DRUG CESSATION AGENT
buprenorphine sublingual tabletdrugId:389	PA	ALCOHOL AND DRUG CESSATION AGENT
disulfiramdrugId:549		ALCOHOL AND DRUG CESSATION AGENT	A90
naltrexone tabletdrugId:1425	PA < 6 years	ALCOHOL AND DRUG CESSATION AGENT	A90
Opvee (nalmefene)drugId:8716	PA	ALCOHOL AND DRUG CESSATION AGENT
Sublocade (buprenorphine extended-release injection)drugId:6524		ALCOHOL AND DRUG CESSATION AGENT	PD
Suboxone (buprenorphine / naloxone film)drugId:2049	PA > 32 mg/day	ALCOHOL AND DRUG CESSATION AGENT	BP, PD
Vivitrol (naltrexone injection)drugId:1426		ALCOHOL AND DRUG CESSATION AGENT	PD
Zubsolv (buprenorphine / naloxone sublingual tablet-Zubsolv)drugId:2854	PA	ALCOHOL AND DRUG CESSATION AGENT
AldactonedrugId:1892 (spironolactone tablet)drugId:1892		ALDOSTERONE ANTAGONISTS	M90, #
Carospir (spironolactone suspension)drugId:6280	PA	ALDOSTERONE ANTAGONISTS	M90
Inspra (eplerenone)drugId:609		ALDOSTERONE ANTAGONISTS	BP, M90
Kerendia (finerenone)drugId:8117	PA	ALDOSTERONE ANTAGONISTS
Grastek (timothy grass pollen allergen extract)drugId:8501	PA	ALLERGENS
Odactra (house dust mite allergen extract)drugId:8503	PA	ALLERGENS
Oralair (grass pollen allergen extract)drugId:4789	PA	ALLERGENS
Palforzia (peanut allergen powder-dnfp)drugId:7373	PA	ALLERGENS
Ragwitek (short ragweed pollen allergen extract)drugId:8504	PA	ALLERGENS
Igalmi (dexmedetomidine)		ALPHA-2 ADRENERGIC AGONIST	MB
Lucemyra (lofexidine)drugId:6906	PA	ALPHA-2 ADRENERGIC AGONIST
Adlarity (donepezil patch)drugId:8294	PA	ALZHEIMER'S THERAPY
AriceptdrugId:7399 (donepezil 10 mg tablet)drugId:7399	PA < 6 years and PA > 2 units/day	ALZHEIMER'S THERAPY	A90, #
AriceptdrugId:559 (donepezil 5 mg, 23 mg tablet)drugId:559	PA < 6 years and PA > 1 unit/day	ALZHEIMER'S THERAPY	A90, #
donepezil orally disintegrating tabletdrugId:560	PA < 6 years and PA > 1 unit/day	ALZHEIMER'S THERAPY	A90
Exelon (rivastigmine patch)drugId:1449	PA > 1 unit/day	ALZHEIMER'S THERAPY	BP, A90
galantamine extended-release capsuledrugId:919	PA > 1 unit/day	ALZHEIMER'S THERAPY	A90
galantamine solutiondrugId:2251	PA	ALZHEIMER'S THERAPY	A90
galantamine tabletdrugId:920	PA > 2 units/day	ALZHEIMER'S THERAPY	A90
Kisunla (donanemab-azbt)drugId:9063	PA	ALZHEIMER'S THERAPY
memantine solutiondrugId:7405	PA	ALZHEIMER'S THERAPY	A90
memantine tabletdrugId:1139	PA < 6 years and PA > 2 units/day	ALZHEIMER'S THERAPY	A90
Namenda (memantine titration pack)drugId:7404	PA < 6 years and PA > 49 units/28 days	ALZHEIMER'S THERAPY	A90
Namenda XRdrugId:7447 (memantine extended-release)drugId:7447	PA < 6 years and PA > 1 unit/day	ALZHEIMER'S THERAPY	A90, #
Namzaric (memantine / donepezil extended-release)drugId:5127	PA	ALZHEIMER'S THERAPY	BP, A90
rivastigmine capsuledrugId:2249	PA > 2 units/day	ALZHEIMER'S THERAPY	A90
Zunveyl (benzgalantamine)drugId:9546	PA	ALZHEIMER'S THERAPY
Dyanavel XR (amphetamine extended-release chewable tablet)drugId:8525	PA	AMPHETAMINE PREPARATIONS
Xelstrym (dextroamphetamine transdermal)drugId:8546	PA	AMPHETAMINE PREPARATIONS
edaravonedrugId:9220	PA	AMYOTROPHIC LATERAL SCLEROSIS AGENTS
Exservan (riluzole film)drugId:7881	PA	AMYOTROPHIC LATERAL SCLEROSIS AGENTS
Qalsody (tofersen)drugId:8717	PA	AMYOTROPHIC LATERAL SCLEROSIS AGENTS	MB
Radicava (edaravone)drugId:6288	PA	AMYOTROPHIC LATERAL SCLEROSIS AGENTS
Radicava ORS (edaravone)drugId:8376	PA	AMYOTROPHIC LATERAL SCLEROSIS AGENTS
RilutekdrugId:1435 (riluzole tablet)drugId:1435		AMYOTROPHIC LATERAL SCLEROSIS AGENTS	A90, #
Tiglutik (riluzole suspension)drugId:7010	PA	AMYOTROPHIC LATERAL SCLEROSIS AGENTS
acetaminophendrugId:145	PA > 4 g/day	ANALGESICS	*, A90
aspirin 325 mg, 500 mg, 650 mgdrugId:8221		ANALGESICS	*, A90
aspirin suppositorydrugId:8220		ANALGESICS	*
aspirin with buffersdrugId:99		ANALGESICS	*, A90
butalbital / aspirin / caffeine capsuledrugId:2797	PA < 18 years and PA > 20 units/30 days	ANALGESICS
butalbital / aspirin / caffeine tabletdrugId:6292	PA	ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mg / codeine 30 mgdrugId:2982	PA	ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mgdrugId:2980	PA	ANALGESICS
butalbital 50 mg / acetaminophen 300 mgdrugId:2981	PA	ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg capsuledrugId:8215	PA	ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg tabletdrugId:2118	PA < 18 years and PA > 20 units/30 days	ANALGESICS
butalbital 50 mg / acetaminophen 325 mgdrugId:2621	PA	ANALGESICS
Conzip (tramadol extended-release capsule)drugId:2362	PA	ANALGESICS
dihydroergotamine injectiondrugId:526	PA	ANALGESICS
dihydroergotamine nasal spraydrugId:527	PA	ANALGESICS	A90
DuraclondrugId:2750 (clonidine injection)drugId:2750		ANALGESICS	#
Elmiron (pentosan)		ANALGESICS
ergotamine / caffeine suppositorydrugId:6060	PA	ANALGESICS	A90
ergotaminedrugId:9448	PA	ANALGESICS
Journavx (suzetrigine)drugId:9222	PA < 18 years and PA > 29 units/60 days	ANALGESICS	PD
phenazopyridine		ANALGESICS	A90
Qdolo (tramadol solution)drugId:8401	PA	ANALGESICS
Qutenza (capsaicin high dose patch)drugId:1946	PA	ANALGESICS	MB
Rimso-50 (dimethyl sulfoxide solution)drugId:2694		ANALGESICS
Savella (milnacipran)		ANALGESICS
Seglentis (celecoxib / tramadol)drugId:8211	PA	ANALGESICS
tramadol / acetaminophendrugId:1737	PA < 12 years and PA > 400 mg/day tramadol and PA > 4 g/day acetaminophen	ANALGESICS
tramadol 25 mg, 100 mgdrugId:7359	PA	ANALGESICS
tramadol 50 mgdrugId:1735	PA < 12 years and PA > 400 mg/day	ANALGESICS
tramadol extended-release tabletdrugId:1736	PA	ANALGESICS
testosterone undecanoate capsuledrugId:9119	PA	ANDROGENS
lidocaine 4% patchdrugId:8952	PA > 4 patches/day	ANESTHETIC LOCAL TOPICAL	A90
Zynrelef (bupivacaine / meloxicam)		ANESTHETIC LOCAL TOPICAL	MB
Carbocaine (mepivacaine)		ANESTHETICS	MB
Clorotekal (chloroprocaine injection)drugId:8441		ANESTHETICS	MB
hydrocortisone / pramoxine foamdrugId:2310		ANESTHETICS	A90
Iheezo (chloroprocaine ophthalmic gel)drugId:8719	PA	ANESTHETICS
Ketalar (ketamine injection)drugId:993	PA	ANESTHETICS	MB
lidocaine / prilocainedrugId:1074		ANESTHETICS	A90
lidocaine ointmentdrugId:5604		ANESTHETICS	A90
lidocaine topical jelly, solutiondrugId:7957		ANESTHETICS
lidocaine viscous solutiondrugId:5605		ANESTHETICS
LidodermdrugId:1071 (lidocaine 5% patch)drugId:1071	PA > 3 patches/day	ANESTHETICS	A90, #
Marcaine (bupivacaine)		ANESTHETICS	MB
Naropin (ropivacaine)		ANESTHETICS	MB
Nesacaine (chloroprocaine vial)drugId:2667		ANESTHETICS	MB
Sensorcaine (bupivacaine)		ANESTHETICS	MB
Xylocaine (lidocaine vial)		ANESTHETICS	#
Xylocaine-Epi (lidocaine / epinephrine)		ANESTHETICS	#
Xylocaine-MPF (lidocaine vial, preservative free)		ANESTHETICS	#
Ztlido (lidocaine 1.8% patch)drugId:7015	PA	ANESTHETICS
aluminum hydroxidedrugId:28		ANTACIDS	*, A90
Carafate (sucralfate)		ANTACIDS	A90, #
Cytotec (misoprostol)		ANTACIDS	A90, #
buspironedrugId:399	PA < 6 years	ANTI-ANXIETY AGENT	A90
meprobamatedrugId:1146	PA	ANTI-ANXIETY AGENT
meloxicam capsuledrugId:5404	PA	ANTIARTHRITICS	A90
Defencath (taurolidine/heparin)drugId:9060	PA	ANTIBACTERIAL	MB
HiprexdrugId:938 (methenamine)drugId:938		ANTIBACTERIAL	A90, #
ringers solution, lactated		ANTIBACTERIALS AND ANTISEPTICS
amikacindrugId:32		ANTIBIOTICS
amoxicillin / clavulanate 200/28.5 mg/5 mL, 400/57 mg/ 5 mL suspensiondrugId:6420		ANTIBIOTICS	A90
amoxicillin / clavulanate chewable tabletdrugId:9449	PA	ANTIBIOTICS	A90
amoxicillindrugId:57		ANTIBIOTICS	A90
ampicillindrugId:63		ANTIBIOTICS	A90
Arikayce (amikacin liposome inhalation)drugId:7040	PA	ANTIBIOTICS
Augmentin (amoxicillin / clavulanate 125/31.25 mg/5 mL suspension)drugId:54	PA	ANTIBIOTICS
AugmentindrugId:9450 (amoxicillin / clavulanate 250/62.5 mg/5 mL suspension, tablet)drugId:9450		ANTIBIOTICS	A90, #
Augmentin ESdrugId:9451 (amoxicillin / clavulanate 600/42.9 mg/5 mL suspension)drugId:9451		ANTIBIOTICS	A90, #
Augmentin XR (amoxicillin / clavulanate extended-release)drugId:55	PA	ANTIBIOTICS	A90
Avelox (moxifloxacin injection)drugId:2748		ANTIBIOTICS
Avycaz (ceftazidime / avibactam)drugId:4902	PA	ANTIBIOTICS
AzactamdrugId:120 (aztreonam injection)drugId:120		ANTIBIOTICS	#
bacitracindrugId:1989		ANTIBIOTICS	*, A90
BactrimdrugId:1907 (sulfamethoxazole / trimethoprim tablet)drugId:1907		ANTIBIOTICS	#
Baxdela (delafloxacin injection)drugId:6480	PA	ANTIBIOTICS
Baxdela (delafloxacin tablet)drugId:6481	PA	ANTIBIOTICS
benzoyl peroxide / erythromycindrugId:627	PA	ANTIBIOTICS	A90
Bethkis (tobramycin inhalation solution-Bethkis)drugId:2884	PA	ANTIBIOTICS	BP, A90
Bicillin CR (penicillin G benzathine / penicillin G procaine)drugId:2624		ANTIBIOTICS
Bicillin LA (penicillin G 0.6 million, 1.2 million, 2.4 million units)drugId:2625		ANTIBIOTICS
Cayston (aztreonam)drugId:1955		ANTIBIOTICS
cefaclor capsuledrugId:189		ANTIBIOTICS	A90
cefaclor extended-releasedrugId:190	PA	ANTIBIOTICS	A90
cefadroxil capsule, suspensiondrugId:191		ANTIBIOTICS	A90
cefadroxil tabletdrugId:1986	PA	ANTIBIOTICS	A90
cefazolindrugId:192		ANTIBIOTICS
cefdinirdrugId:193		ANTIBIOTICS	A90
cefepimedrugId:195		ANTIBIOTICS
cefiximedrugId:196	PA	ANTIBIOTICS	A90
cefotetandrugId:5200		ANTIBIOTICS
cefoxitindrugId:198		ANTIBIOTICS
cefpodoxime suspensiondrugId:8039	PA	ANTIBIOTICS	A90
cefpodoxime tabletdrugId:199		ANTIBIOTICS	A90
cefprozildrugId:200		ANTIBIOTICS	A90
ceftazidimedrugId:202		ANTIBIOTICS
ceftriaxonedrugId:204		ANTIBIOTICS
cefuroxime axetildrugId:205		ANTIBIOTICS	A90
cefuroxime sodiumdrugId:206		ANTIBIOTICS
Centany (mupirocin ointment)drugId:2564		ANTIBIOTICS	A90
cephalexin 250 mg, 500 mg capsule, suspensiondrugId:208		ANTIBIOTICS	A90
cephalexin 750 mg capsuledrugId:209	PA	ANTIBIOTICS	A90
chloramphenicoldrugId:217		ANTIBIOTICS	MB
Cipro (ciprofloxacin suspension)drugId:9346		ANTIBIOTICS	BP, A90
CiprodrugId:241 (ciprofloxacin injection, 250 mg, 500 mg, 750 mg tablet)drugId:241		ANTIBIOTICS	A90, #
ciprofloxacin 100 mg tabletdrugId:8040	PA	ANTIBIOTICS	A90
ClaforandrugId:197 (cefotaxime)drugId:197		ANTIBIOTICS	#
clarithromycindrugId:252		ANTIBIOTICS	A90
clarithromycin extended-releasedrugId:253	PA	ANTIBIOTICS	A90
CleocindrugId:2626 (clindamycin capsule, injection, oral solution)drugId:2626		ANTIBIOTICS	A90, #
CleocindrugId:5000 (clindamycin vaginal cream-Cleocin)drugId:5000		ANTIBIOTICS	A90, #
Cleocin TdrugId:8980 (clindamycin lotion)drugId:8980		ANTIBIOTICS	A90, #
Cleocin Vaginal Ovule (clindamycin vaginal suppository)drugId:4915		ANTIBIOTICS
clindamycin gel, solutiondrugId:257		ANTIBIOTICS	A90
clindamycin pledgetsdrugId:256		ANTIBIOTICS	A90
Clindesse (clindamycin vaginal cream-Clindesse)drugId:260	PA	ANTIBIOTICS
Coly-Mycin MdrugId:291 (colistimethate sodium injection)drugId:291		ANTIBIOTICS	#
Dalvance (dalbavancin)drugId:4623		ANTIBIOTICS
dapsone tabletdrugId:324		ANTIBIOTICS	A90
daptomycindrugId:6744		ANTIBIOTICS
demeclocyclinedrugId:337		ANTIBIOTICS	A90
dicloxacillindrugId:515		ANTIBIOTICS	A90
Dificid (fidaxomicin suspension)drugId:9452	PA	ANTIBIOTICS
Dificid (fidaxomicin tablet)drugId:2283	PA	ANTIBIOTICS	BP
Doryx (doxycycline hyclate delayed-release 60 mg, 80 mg, 200 mg tablet)drugId:2900	PA	ANTIBIOTICS	A90
double antibiotic ointment (bacitracin / polymyxin B topical ointment)drugId:6260		ANTIBIOTICS	*, A90
doxycycline hyclate 100 mg capsuledrugId:575		ANTIBIOTICS	A90
doxycycline hyclate 20 mg, 100 mg tabletdrugId:2902		ANTIBIOTICS	A90
doxycycline hyclate 50 mg capsuledrugId:2901		ANTIBIOTICS	A90
doxycycline hyclate 50 mg tabletdrugId:8045	PA	ANTIBIOTICS	A90
doxycycline hyclate 75 mg, 150 mg tabletdrugId:6141		ANTIBIOTICS	A90
doxycycline hyclate delayed-release 50 mg, 75 mg, 100 mg, 150 mg tabletdrugId:574	PA	ANTIBIOTICS	A90
doxycycline hyclate injectiondrugId:2301		ANTIBIOTICS
doxycycline monohydrate 150 mg capsuledrugId:576	PA	ANTIBIOTICS	A90
doxycycline monohydrate 150 mg tabletdrugId:2905	PA	ANTIBIOTICS	A90
doxycycline monohydrate 50 mg, 100 mg capsuledrugId:2899		ANTIBIOTICS	A90
doxycycline monohydrate 50 mg, 75 mg, 100 mg tabletdrugId:2300		ANTIBIOTICS	A90
doxycycline monohydrate 75 mg capsuledrugId:2906	PA	ANTIBIOTICS	A90
doxycycline monohydrate suspensiondrugId:2904		ANTIBIOTICS	A90
ErygeldrugId:5880 (erythromycin gel)drugId:5880		ANTIBIOTICS	A90, #
ErypeddrugId:621 (erythromycin ethylsuccinate suspension)drugId:621		ANTIBIOTICS	A90, #
Erythrocin (erythromycin injection)drugId:2679		ANTIBIOTICS
erythromycin / ethanol pads, pledgetsdrugId:628	PA	ANTIBIOTICS	A90
erythromycin delayed-release tabletdrugId:623		ANTIBIOTICS	A90
erythromycin solutiondrugId:2437		ANTIBIOTICS	A90
erythromycin stearate tabletdrugId:8022		ANTIBIOTICS	A90
erythromycin tabletdrugId:624		ANTIBIOTICS	A90
ethambutoldrugId:665		ANTIBIOTICS	A90
Evoclin (clindamycin foam)drugId:261	PA	ANTIBIOTICS	A90
Fetroja (cefiderocol)drugId:7392	PA	ANTIBIOTICS
FirvanqdrugId:6683 (vancomycin oral solution)drugId:6683		ANTIBIOTICS	A90, #
fosfomycindrugId:911		ANTIBIOTICS	A90
Furadantin (nitrofurantoin 25 mg/5 mL suspension)drugId:1223	PA	ANTIBIOTICS	A90
gentamicin injectiondrugId:2636		ANTIBIOTICS
gentamicin topical cream, ointmentdrugId:5901		ANTIBIOTICS	A90
Gynazole-1 (butoconazole)		ANTIBIOTICS	A90
InvanzdrugId:620 (ertapenem)drugId:620		ANTIBIOTICS	#
isoniaziddrugId:975		ANTIBIOTICS	A90
Kimyrsa (oritavancin)drugId:8191	PA	ANTIBIOTICS
Kitabis Pak (tobramycin inhalation solution-Kitabis Pak)drugId:4781	PA	ANTIBIOTICS	BP, A90
Lampit (nifurtimox)drugId:7598	PA	ANTIBIOTICS
levofloxacindrugId:1044		ANTIBIOTICS	A90
LincocindrugId:2634 (lincomycin)drugId:2634		ANTIBIOTICS	#
Lithostat (acetohydroxamic acid)		ANTIBIOTICS
MacrobiddrugId:1225 (nitrofurantoin monohydrate / macrocrystals)drugId:1225		ANTIBIOTICS	A90, #
meropenemdrugId:1148		ANTIBIOTICS
MetrodrugId:5640 (metronidazole injection)drugId:5640		ANTIBIOTICS	#
metronidazole 0.75% vaginal geldrugId:4882		ANTIBIOTICS	A90
metronidazole 125 mg tabletdrugId:9300	PA	ANTIBIOTICS
metronidazole 250 mg, 500 mg tabletdrugId:1341		ANTIBIOTICS	A90
metronidazole 375 mg capsuledrugId:1988	PA	ANTIBIOTICS	A90
Minocin (minocycline injection)drugId:5660		ANTIBIOTICS
minocycline capsuledrugId:2303		ANTIBIOTICS	A90
minocycline extended-release 105 mg, 135 mg tabletdrugId:9453		ANTIBIOTICS	A90
minocycline extended-release 45 mg, 55 mg, 65 mg, 80 mg, 90 mg, 115 mg tabletdrugId:1364	PA	ANTIBIOTICS	A90
minocycline tabletdrugId:1361	PA	ANTIBIOTICS	A90
moxifloxacin tabletdrugId:1398		ANTIBIOTICS	A90
mupirocin creamdrugId:1406	PA	ANTIBIOTICS	A90
mupirocin ointmentdrugId:1407		ANTIBIOTICS	A90
nafcillindrugId:1421		ANTIBIOTICS
neomycindrugId:1186		ANTIBIOTICS	*, A90
nitrofurantoin 50 mg/5 mL suspensiondrugId:8648	PA	ANTIBIOTICS	A90
nitrofurantoin macrocrystalsdrugId:1224		ANTIBIOTICS	A90
Nuvessa (metronidazole 1.3% vaginal gel)drugId:4948	PA	ANTIBIOTICS
Nuzyra (omadacycline injection)drugId:7101	PA	ANTIBIOTICS
Nuzyra (omadacycline tablet)drugId:7102	PA	ANTIBIOTICS
ofloxacin tabletdrugId:1271	PA	ANTIBIOTICS	A90
Oracea (doxycycline monohydrate 40 mg capsule)drugId:579	PA	ANTIBIOTICS	A90
Orbactiv (oritavancin)drugId:4790	PA	ANTIBIOTICS
oxacillindrugId:1306		ANTIBIOTICS
penicillin VdrugId:1500		ANTIBIOTICS	A90
PfizerpendrugId:1499 (penicillin G 5 million, 20 million units)drugId:1499		ANTIBIOTICS	#
PrimaxindrugId:781 (imipenem / cilastatin)drugId:781		ANTIBIOTICS	#
pyrazinamidedrugId:1611		ANTIBIOTICS	A90
Recarbrio (imipenem / cilastatin / relebactam)drugId:7376	PA	ANTIBIOTICS
rifabutindrugId:1429		ANTIBIOTICS	A90
RifadindrugId:1430 (rifampin)drugId:1430		ANTIBIOTICS	A90, #
SilvadenedrugId:1850 (silver sulfadiazine-Silvadene)drugId:1850		ANTIBIOTICS	A90, #
silver sulfadiazinedrugId:1852		ANTIBIOTICS	A90
Sivextro (tedizolid injection)drugId:4636	PA	ANTIBIOTICS
Sivextro (tedizolid tablet)drugId:4635	PA	ANTIBIOTICS
Solosec (secnidazole)drugId:6523	PA	ANTIBIOTICS
streptomycindrugId:2496		ANTIBIOTICS
sulfadiazinedrugId:1906		ANTIBIOTICS	A90
sulfamethoxazole / trimethoprim injectiondrugId:5661		ANTIBIOTICS
SulfamylondrugId:1113 (mafenide)drugId:1113		ANTIBIOTICS	A90, #
SulfatrimdrugId:5133 (sulfamethoxazole / trimethoprim suspension)drugId:5133		ANTIBIOTICS	A90, #
Teflaro (ceftaroline)drugId:2179		ANTIBIOTICS	BP
Terazol (terconazole)		ANTIBIOTICS	A90, #
tetracycline capsuledrugId:8979		ANTIBIOTICS	A90
tetracycline tabletdrugId:1689	PA	ANTIBIOTICS	A90
TobidrugId:1713 (tobramycin inhalation solution-Tobi)drugId:1713		ANTIBIOTICS	A90, #
Tobi Podhaler (tobramycin inhalation powder)drugId:2794	PA	ANTIBIOTICS
tobramycin injectiondrugId:2630		ANTIBIOTICS
trimethoprim tabletdrugId:4886		ANTIBIOTICS	A90
triple antibiotic ointment (neomycin / bacitracin / polymyxin B topical ointment)drugId:1994		ANTIBIOTICS	*, A90
Tygacil (tigecycline)drugId:1701	PA	ANTIBIOTICS	BP
UnasyndrugId:64 (ampicillin / sulbactam)drugId:64		ANTIBIOTICS	#
VancocindrugId:1787 (vancomycin capsule)drugId:1787		ANTIBIOTICS	A90, #
vancomycin injectiondrugId:1788		ANTIBIOTICS
Vandazole (metronidazole 0.75% vaginal gel-Vandazole)drugId:4887	PA	ANTIBIOTICS
Vibativ (telavancin)drugId:1949	PA	ANTIBIOTICS
Xaciato (clindamycin vaginal gel)drugId:8372	PA	ANTIBIOTICS
Xepi (ozenoxacin)drugId:7917	PA	ANTIBIOTICS
Xerava (eravacycline)drugId:7049	PA	ANTIBIOTICS
Zemdri (plazomicin)drugId:7014	PA	ANTIBIOTICS
Zerbaxa (ceftolozane / tazobactam)drugId:4842	PA	ANTIBIOTICS
Zithromax (azithromycin powder packet)drugId:8041	PA	ANTIBIOTICS	A90
ZithromaxdrugId:2622 (azithromycin)drugId:2622		ANTIBIOTICS	A90, #
ZithromaxdrugId:117 (azithromycin injection, suspension, tablet)drugId:117		ANTIBIOTICS	A90, #
ZosyndrugId:1537 (piperacillin / tazobactam)drugId:1537		ANTIBIOTICS	#
Zyvox (linezolid suspension)drugId:1078	PA	ANTIBIOTICS	BP, A90
ZyvoxdrugId:1079 (linezolid injection)drugId:1079		ANTIBIOTICS	#
ZyvoxdrugId:8038 (linezolid tablet)drugId:8038		ANTIBIOTICS	A90, #
ArixtradrugId:904 (fondaparinux)drugId:904		ANTICOAGULANTS	#
Eliquis (apixaban)drugId:2721		ANTICOAGULANTS
Fragmin (dalteparin)drugId:321		ANTICOAGULANTS
heparindrugId:704		ANTICOAGULANTS
heparin lock flushdrugId:703		ANTICOAGULANTS
LovenoxdrugId:601 (enoxaparin)drugId:601		ANTICOAGULANTS	#
Pradaxa (dabigatran oral pellet)drugId:8575	PA	ANTICOAGULANTS
PradaxadrugId:5286 (dabigatran capsule)drugId:5286		ANTICOAGULANTS	M90, #
Savaysa (edoxaban)drugId:4795	PA	ANTICOAGULANTS
warfarindrugId:1812		ANTICOAGULANTS	A90
Xarelto (rivaroxaban 10 mg, 15 mg, 20 mg tablet, starter pack)drugId:2371		ANTICOAGULANTS	BP
Xarelto (rivaroxaban 2.5 mg tablet)drugId:2384	PA > 2 units/day	ANTICOAGULANTS	BP, A90
Xarelto (rivaroxaban suspension)drugId:8641	PA ≥ 18 years	ANTICOAGULANTS	BP, A90
Aptiom (eslicarbazepine)drugId:2953	PA	ANTICONVULSANTS	A90
Banzel (rufinamide)drugId:1826	PA	ANTICONVULSANTS	BP, A90
Briviact (brivaracetam injection)drugId:8958		ANTICONVULSANTS	MB
Briviact (brivaracetam solution, tablet)drugId:5581	PA	ANTICONVULSANTS
Carbatrol (carbamazepine extended-release)drugId:439	PA < 6 years	ANTICONVULSANTS	BP, A90
CelontindrugId:948 (methsuximide)drugId:948		ANTICONVULSANTS	A90, #
Cerebyx (fosphenytoin)drugId:2681		ANTICONVULSANTS	MB
DepakenedrugId:4506 (valproic acid)drugId:4506	PA < 6 years	ANTICONVULSANTS	A90, #
DepakotedrugId:552 (divalproex delayed-release tablet)drugId:552	PA < 6 years	ANTICONVULSANTS	A90, #
Depakote ERdrugId:550 (divalproex extended-release)drugId:550	PA < 6 years	ANTICONVULSANTS	A90, #
Depakote Sprinkle (divalproex delayed-release capsule)drugId:2315	PA < 6 years	ANTICONVULSANTS	BP, A90
Diacomit (stiripentol)drugId:7132	PA	ANTICONVULSANTS
DilantindrugId:1525 (phenytoin extended 30 mg and 100 mg capsule)drugId:1525		ANTICONVULSANTS	A90, #
Dilantin-125drugId:2938 (phenytoin suspension)drugId:2938		ANTICONVULSANTS	A90, #
Dilantin InfatabdrugId:1523 (phenytoin chewable tablet)drugId:1523		ANTICONVULSANTS	A90, #
Elepsia XR (levetiracetam extended-release-Elepsia XR)drugId:8187	PA	ANTICONVULSANTS
Epidiolex (cannabidiol)drugId:6901	PA	ANTICONVULSANTS
Eprontia (topiramate solution)drugId:8189	PA	ANTICONVULSANTS	A90
Equetro (carbamazepine extended-release-Equetro)drugId:171	PA < 6 years	ANTICONVULSANTS
FelbatoldrugId:465 (felbamate)drugId:465		ANTICONVULSANTS	A90, #
Fintepla (fenfluramine)drugId:7464	PA	ANTICONVULSANTS
Fycompa (perampanel)drugId:7566	PA	ANTICONVULSANTS	BP
gabapentin 100 mg, 400 mg tabletdrugId:9394	PA	ANTICONVULSANTS
Gabitril (tiagabine)drugId:2617	PA	ANTICONVULSANTS	A90
Keppra (levetiracetam injection)drugId:8953		ANTICONVULSANTS	MB
KeppradrugId:1037 (levetiracetam solution, tablet)drugId:1037		ANTICONVULSANTS	A90, #
Keppra XRdrugId:1038 (levetiracetam extended-release-Keppra XR)drugId:1038		ANTICONVULSANTS	A90, #
Lamictal (lamotrigine tablet starter kit)drugId:4284	PA	ANTICONVULSANTS
LamictaldrugId:2216 (lamotrigine dispersible tablet)drugId:2216	PA < 6 years	ANTICONVULSANTS	A90, #
LamictaldrugId:1013 (lamotrigine tablet)drugId:1013	PA < 6 years	ANTICONVULSANTS	A90, #
Lamictal ODT (lamotrigine orally disintegrating tablet)drugId:1014	PA	ANTICONVULSANTS	A90
Lamictal ODT (lamotrigine orally disintegrating tablet starter kit)drugId:1015	PA	ANTICONVULSANTS
Lamictal XR (lamotrigine extended-release tablet)drugId:1017	PA	ANTICONVULSANTS	A90
Lamictal XR (lamotrigine extended-release tablet starter kit)drugId:1018	PA	ANTICONVULSANTS
LyricadrugId:1582 (pregabalin)drugId:1582	PA < 6 years and PA > 600 mg/day	ANTICONVULSANTS	#
Motpoly XR (lacosamide extended-release capsule)drugId:8784	PA	ANTICONVULSANTS
NeurontindrugId:917 (gabapentin capsule, solution, 600 mg, 800 mg tablet)drugId:917	PA < 6 years and PA > 3600 mg/day	ANTICONVULSANTS	#
OnfidrugId:2419 (clobazam suspension, tablet)drugId:2419		ANTICONVULSANTS	#
Oxtellar XR (oxcarbazepine extended-release)drugId:2729	PA	ANTICONVULSANTS	BP, A90
phenytoin extended 200 mg and 300 mg capsuledrugId:1526		ANTICONVULSANTS	A90
phenytoin injectiondrugId:2661		ANTICONVULSANTS	MB
primidonedrugId:1586		ANTICONVULSANTS	A90
Qudexy XRdrugId:2943 (topiramate extended-release capsule-Qudexy XR)drugId:2943	PA < 6 years	ANTICONVULSANTS	A90, #
Sabril (vigabatrin powder packet, tablet)drugId:1802	PA	ANTICONVULSANTS	BP, A90
Spritam (levetiracetam tablet for oral suspension)drugId:5397	PA	ANTICONVULSANTS	BP
Sympazan (clobazam film)drugId:7106	PA	ANTICONVULSANTS
TegretoldrugId:170 (carbamazepine-Tegretol)drugId:170	PA < 6 years	ANTICONVULSANTS	A90, #
Tegretol XR (carbamazepine extended-release)drugId:3220	PA < 6 years	ANTICONVULSANTS	BP, A90
TopamaxdrugId:4504 (topiramate sprinkle capsule)drugId:4504	PA < 6 years	ANTICONVULSANTS	A90, #
TopamaxdrugId:1729 (topiramate tablet)drugId:1729	PA < 6 years	ANTICONVULSANTS	A90, #
Trileptal (oxcarbazepine suspension)drugId:8202	PA < 6 years	ANTICONVULSANTS	BP, A90
TrileptaldrugId:4442 (oxcarbazepine tablet)drugId:4442	PA < 6 years	ANTICONVULSANTS	A90, #
Trokendi XR (topiramate extended-release capsule-Trokendi XR)drugId:2859	PA	ANTICONVULSANTS	BP, A90
valproate injectiondrugId:8956		ANTICONVULSANTS	MB
valproate solutiondrugId:1780		ANTICONVULSANTS
Vigafyde (vigabatrin solution)drugId:9078	PA	ANTICONVULSANTS
Vimpat (lacosamide injection)drugId:8957		ANTICONVULSANTS	MB
VimpatdrugId:1972 (lacosamide tablet, solution)drugId:1972		ANTICONVULSANTS	A90, #
Xcopri (cenobamate)drugId:7406	PA	ANTICONVULSANTS
ZarontindrugId:668 (ethosuximide)drugId:668		ANTICONVULSANTS	A90, #
Zonisade (zonisamide suspension)drugId:8549	PA	ANTICONVULSANTS
zonisamide capsuledrugId:1936		ANTICONVULSANTS	A90
Ztalmy (ganaxolone)drugId:8550	PA	ANTICONVULSANTS
amitriptyline / chlordiazepoxidedrugId:7366	PA	ANTIDEPRESSANTS
amitriptyline tabletdrugId:39	PA < 6 years	ANTIDEPRESSANTS	A90
amoxapinedrugId:56	PA	ANTIDEPRESSANTS	A90
Anafranil (clomipramine)drugId:272	PA	ANTIDEPRESSANTS	A90
Auvelity (dextromethorphan / bupropion)drugId:8522	PA	ANTIDEPRESSANTS
bupropion hydrochloride extended-release 150 mg, 300 mg tabletdrugId:398	PA < 6 years and PA > 1 unit/day	ANTIDEPRESSANTS	A90
bupropion hydrochloride immediate-releasedrugId:3660	PA < 6 years	ANTIDEPRESSANTS	A90
CelexadrugId:248 (citalopram solution, tablet)drugId:248	PA < 6 years	ANTIDEPRESSANTS	A90, #
citalopram capsuledrugId:8183	PA	ANTIDEPRESSANTS	A90
CymbaltadrugId:585 (duloxetine 20 mg, 30 mg, 60 mg capsule)drugId:585	PA < 6 years	ANTIDEPRESSANTS	A90, #
desvenlafaxine extended-releasedrugId:2777	PA	ANTIDEPRESSANTS	A90
doxepin capsule, oral concentratedrugId:2040	PA < 6 years	ANTIDEPRESSANTS	A90
Effexor XRdrugId:3901 (venlafaxine extended-release capsule)drugId:3901	PA < 6 years	ANTIDEPRESSANTS	A90, #
Emsam (selegiline transdermal patch)drugId:1840	PA	ANTIDEPRESSANTS
Fetzima (levomilnacipran)drugId:2886	PA	ANTIDEPRESSANTS
fluoxetine 10 mg, 20 mg tabletdrugId:881	PA < 6 years	ANTIDEPRESSANTS	A90
fluoxetine 60 mg tabletdrugId:4580	PA	ANTIDEPRESSANTS	A90
fluoxetine 90 mg delayed-release capsuledrugId:880	PA	ANTIDEPRESSANTS	A90
fluvoxamine extended-releasedrugId:901	PA	ANTIDEPRESSANTS	A90
fluvoxamine immediate-releasedrugId:900	PA < 6 years	ANTIDEPRESSANTS	A90
Forfivo XL (bupropion hydrochloride extended-release 450 mg tablet)drugId:3681	PA	ANTIDEPRESSANTS	A90
imipramine hydrochloridedrugId:782	PA < 6 years	ANTIDEPRESSANTS	A90
imipramine pamoatedrugId:4080	PA	ANTIDEPRESSANTS	A90
LexaprodrugId:630 (escitalopram)drugId:630	PA < 6 years	ANTIDEPRESSANTS	A90, #
Marplan (isocarboxazid)drugId:2619	PA	ANTIDEPRESSANTS
NardildrugId:1515 (phenelzine)drugId:1515	PA < 6 years	ANTIDEPRESSANTS	A90, #
nefazodonedrugId:1181	PA < 6 years	ANTIDEPRESSANTS	A90
Norpramin (desipramine)drugId:2620	PA	ANTIDEPRESSANTS	A90
olanzapine / fluoxetinedrugId:1279	PA	ANTIDEPRESSANTS	A90
PamelordrugId:1262 (nortriptyline)drugId:1262	PA < 6 years	ANTIDEPRESSANTS	A90, #
PaxildrugId:1484 (paroxetine hydrochloride)drugId:1484	PA < 6 years	ANTIDEPRESSANTS	A90, #
Paxil CR (paroxetine controlled-release)drugId:1485	PA	ANTIDEPRESSANTS	A90
PristiqdrugId:9227 (desvenlafaxine succinate extended-release 100 mg)drugId:9227	PA < 6 years and PA > 4 units/day	ANTIDEPRESSANTS	A90, #
PristiqdrugId:490 (desvenlafaxine succinate extended-release 25 mg, 50 mg)drugId:490	PA < 6 years and PA > 1 unit/day	ANTIDEPRESSANTS	A90, #
protriptylinedrugId:4140	PA	ANTIDEPRESSANTS	A90
ProzacdrugId:879 (fluoxetine 10 mg, 20 mg, 40 mg capsule, solution)drugId:879	PA < 6 years	ANTIDEPRESSANTS	A90, #
Raldesy (trazodone solution)drugId:9339	PA	ANTIDEPRESSANTS
RemerondrugId:1366 (mirtazapine)drugId:1366	PA < 6 years	ANTIDEPRESSANTS	A90, #
Remeron Sol Tab (mirtazapine orally disintegrating tablet)drugId:1367	PA	ANTIDEPRESSANTS	A90
sertraline capsuledrugId:8125	PA	ANTIDEPRESSANTS	A90
Spravato (esketamine)drugId:7138	PA	ANTIDEPRESSANTS
tranylcyprominedrugId:1741	PA < 6 years	ANTIDEPRESSANTS	A90
trazodone 300 mg tabletdrugId:2062	PA	ANTIDEPRESSANTS	A90
trazodone 50 mg, 100 mg, 150 mgdrugId:1744	PA < 6 years	ANTIDEPRESSANTS	A90
trimipraminedrugId:4160	PA	ANTIDEPRESSANTS	A90
Trintellix (vortioxetine)drugId:2885	PA	ANTIDEPRESSANTS
venlafaxine besylate extended-release tabletdrugId:8305	PA	ANTIDEPRESSANTS	A90
venlafaxine hydrochloride extended-release tabletdrugId:1794	PA	ANTIDEPRESSANTS	A90
venlafaxine immediate-releasedrugId:1796	PA < 6 years	ANTIDEPRESSANTS	A90
Viibryd (vilazodone)drugId:2294	PA	ANTIDEPRESSANTS	A90
Wellbutrin SRdrugId:397 (bupropion hydrochloride sustained-release-Wellbutrin SR)drugId:397	PA < 6 years	ANTIDEPRESSANTS	A90, #
ZoloftdrugId:3820 (sertraline oral concentrate, tablet)drugId:3820	PA < 6 years	ANTIDEPRESSANTS	A90, #
Zurzuvae (zuranolone)drugId:8733	PA	ANTIDEPRESSANTS	PD
bismuth subsalicylatedrugId:366		ANTIDIARRHEALS	*, A90
LomotildrugId:542 (diphenoxylate / atropine)drugId:542		ANTIDIARRHEALS	#
loperamidedrugId:1097		ANTIDIARRHEALS	*
Lotronex (alosetron)drugId:19	PA	ANTIDIARRHEALS	A90
Motofen (difenoxin / atropine)drugId:6111		ANTIDIARRHEALS
Mytesi (crofelemer)drugId:5684	PA	ANTIDIARRHEALS
opium tincturedrugId:2423	PA	ANTIDIARRHEALS
Viberzi (eluxadoline)drugId:5403	PA	ANTIDIARRHEALS
Xermelo (telotristat ethyl)drugId:6108	PA	ANTIDIARRHEALS
Acetadote (acetylcysteine injection)		ANTIDOTES	MB
Anascorp (centruroides immune F(ab’)2, equine)		ANTIDOTES	MB
BAL in Oil (dimercaprol)		ANTIDOTES	MB
Cyanokit (hydroxocobalamin)		ANTIDOTES
Fusilev (levoleucovorin powder for injection)drugId:1047	PA	ANTIDOTES
Kepivance (palifermin)		ANTIDOTES	MB
Khapzory (levoleucovorin powder for injection)drugId:7286	PA	ANTIDOTES
Kloxxado (naloxone 8 mg nasal spray)drugId:7979		ANTIDOTES	PD
leucovorindrugId:1032		ANTIDOTES	A90
levoleucovorin injectiondrugId:4944	PA	ANTIDOTES
Lifems Naloxone (naloxone syringe kit)drugId:8615	PA	ANTIDOTES
Mesnex (mesna injection)		ANTIDOTES	MB
Mesnex (mesna tablet)		ANTIDOTES	BP
naloxone 4 mg nasal spraydrugId:8861		ANTIDOTES
naloxone vial, 0.4 mg/mL syringe, 2 mg/2 mL syringedrugId:1424		ANTIDOTES
Narcan (naloxone 4 mg nasal spray)drugId:5280		ANTIDOTES
Pedmark (sodium thiosulfate)drugId:8576	PA	ANTIDOTES	MB
Rextovy (naloxone 4 mg nasal spray)drugId:9403		ANTIDOTES
Rivive (naloxone 3 mg nasal spray)drugId:8857		ANTIDOTES
Totect (dexrazoxane)		ANTIDOTES
Zimhi (naloxone 5 mg / 0.5 mL syringe)drugId:8266		ANTIDOTES
Zinecard (dexrazoxane)		ANTIDOTES	#
Akynzeo (fosnetupitant / palonosetron injection)drugId:6620	PA > 2 injections/28 days	ANTIEMETICS
Akynzeo (netupitant / palonosetron capsule)drugId:4761	PA > 2 units/28 days	ANTIEMETICS
Antivert (meclizine)		ANTIEMETICS	*, A90, #
aprepitant 40 mg, 125 mg capsuledrugId:7498	PA > 2 units/28 days	ANTIEMETICS	A90
Bonjesta (doxylamine / pyridoxine extended-release)drugId:6680	PA	ANTIEMETICS
Cinvanti (aprepitant injectable emulsion)drugId:6604	PA	ANTIEMETICS
Diclegis (doxylamine / pyridoxine delayed-release)drugId:2778	PA	ANTIEMETICS	BP, A90
Emend (aprepitant powder for oral suspension)drugId:5726	PA > 6 units/28 days	ANTIEMETICS	A90
Emend (aprepitant trifold pack)drugId:87	PA > 2 packs/28 days	ANTIEMETICS	A90
EmenddrugId:85 (aprepitant 80 mg)drugId:85	PA > 4 units/28 days	ANTIEMETICS	A90, #
EmenddrugId:909 (fosaprepitant injection-Emend)drugId:909	PA > 2 injections/28 days	ANTIEMETICS	#
Focinvez (fosaprepitant injection-Focinvez)drugId:9021	PA	ANTIEMETICS
granisetron injectiondrugId:683		ANTIEMETICS
granisetron tabletdrugId:684	PA > 2 units/28 days	ANTIEMETICS	A90
MarinoldrugId:8879 (dronabinol)drugId:8879	PA > 2 units/day	ANTIEMETICS	#
metoclopramide vial	PA	ANTIEMETICS
ondansetron 16 mg orally disintegrating tabletdrugId:9025	PA	ANTIEMETICS	A90
ondansetron 4 mg, 8 mg orally disintegrating tabletdrugId:1294		ANTIEMETICS	A90
ondansetron injectiondrugId:1295		ANTIEMETICS
ondansetron solutiondrugId:1293	PA ≥ 13 years	ANTIEMETICS	A90
palonosetron 0.25 mg/2 mL injectiondrugId:6614	PA > 2 injections/28 days	ANTIEMETICS	A90
palonosetron 0.25 mg/5 mL injectiondrugId:1473	PA > 2 injections/28 days	ANTIEMETICS
prochlorperazine		ANTIEMETICS	A90
Reglan (metoclopramide tablet, solution)		ANTIEMETICS	A90, #
Sancuso (granisetron transdermal system)drugId:685	PA	ANTIEMETICS	BP
Sustol (granisetron extended-release injection)drugId:5767	PA > 2 injections/28 days	ANTIEMETICS
Tigan (trimethobenzamide)		ANTIEMETICS	A90, #
Transderm-Scop (scopolamine transdermal patch)drugId:1835		ANTIEMETICS	BP, A90
ZofrandrugId:1292 (ondansetron tablet)drugId:1292		ANTIEMETICS	A90, #
terbinafine 1% creamdrugId:9193		ANTIFUNGALS	*, A90
Advate (antihemophilic factor, recombinant-Advate)drugId:71		ANTI-HEMOPHILIA AGENTS
Adynovate (antihemophilic factor, recombinant pegylated-Adynovate)drugId:5220		ANTI-HEMOPHILIA AGENTS
Afstyla (antihemophilic factor, recombinant, single chain-Afstyla)drugId:5580		ANTI-HEMOPHILIA AGENTS
Alphanate (antihemophilic factor / von willebrand factor complex, human)drugId:163		ANTI-HEMOPHILIA AGENTS
Alphanine SD (factor IX, human)drugId:454		ANTI-HEMOPHILIA AGENTS
Alprolix (factor IX recombinant, Fc fusion protein)drugId:2922		ANTI-HEMOPHILIA AGENTS
Altuviiio (antihemophilic factor, recombinant, fc-vwf-xten fusion protein-ehtl)drugId:8562		ANTI-HEMOPHILIA AGENTS
Benefix (factor IX human recombinant-Benefix)drugId:458		ANTI-HEMOPHILIA AGENTS	PD
Beqvez (fidanacogene elaparvovec-dzkt)drugId:9020	PA	ANTI-HEMOPHILIA AGENTS	CO
Coagadex (coagulation factor X, human)drugId:5242		ANTI-HEMOPHILIA AGENTS
Corifact (factor XIII concentrate, human)drugId:2675		ANTI-HEMOPHILIA AGENTS
Eloctate (factor VIII recombinant, Fc fusion protein)drugId:4624		ANTI-HEMOPHILIA AGENTS
Esperoct (factor VIII recombinant, glycopegylated-exei)drugId:7348		ANTI-HEMOPHILIA AGENTS
Feiba NF (anti-inhibitor coagulant complex-Feiba NF)drugId:80		ANTI-HEMOPHILIA AGENTS
Fibryga (fibrinogen)drugId:6401		ANTI-HEMOPHILIA AGENTS
Helixate (antihemophilic factor, recombinant-Helixate)drugId:73		ANTI-HEMOPHILIA AGENTS
Hemgenix (etranacogene dezaparvovec-drlb)drugId:8656	PA	ANTI-HEMOPHILIA AGENTS	CO
Hemlibra (emicizumab-kxwh)drugId:6485		ANTI-HEMOPHILIA AGENTS	PD
Hemofil-M (antihemophilic factor, recombinant-Hemofil-M)drugId:77		ANTI-HEMOPHILIA AGENTS
Humate-P (antihemophilic factor, human-Humate-P)drugId:164		ANTI-HEMOPHILIA AGENTS
Hympavzi (marstacimab-hncq)drugId:9221	PA	ANTI-HEMOPHILIA AGENTS
Idelvion (factor IX recombinant, albumin fusion protein)drugId:5408		ANTI-HEMOPHILIA AGENTS
Ixinity (factor IX human recombinant-Ixinity)drugId:4941		ANTI-HEMOPHILIA AGENTS
Jivi (antihemophilic factor, recombinant pegylated-aucl-Jivi)drugId:6904		ANTI-HEMOPHILIA AGENTS	PD
Koate-DVI (antihemophilic factor, human-Koate-DVI)drugId:78		ANTI-HEMOPHILIA AGENTS
Kogenate (antihemophilic factor, recombinant-Kogenate)drugId:74		ANTI-HEMOPHILIA AGENTS	PD
Kovaltry (antihemophilic factor, recombinant-Kovaltry)drugId:5395		ANTI-HEMOPHILIA AGENTS	PD
Mononine (factor IX)drugId:455		ANTI-HEMOPHILIA AGENTS
Novoeight (antihemophilic factor, recombinant-Novoeight)drugId:4785		ANTI-HEMOPHILIA AGENTS
Novoseven (coagulation factor VIIa, recombinant)drugId:459		ANTI-HEMOPHILIA AGENTS
Nuwiq (antihemophilic factor, recombinant-Nuwiq)drugId:5283		ANTI-HEMOPHILIA AGENTS
Obizur (antihemophilic factor, recombinant, porcine sequence-Obizur)drugId:4786		ANTI-HEMOPHILIA AGENTS
Profilnine SD (factor IX complex human-Profilnine SD)drugId:457		ANTI-HEMOPHILIA AGENTS
Qfitlia (fitusiran)drugId:9537	PA	ANTI-HEMOPHILIA AGENTS
Rebinyn (coagulation factor IX recombinant, glycopegylated-Rebinyn)drugId:6960		ANTI-HEMOPHILIA AGENTS
Recombinate (antihemophilic factor, recombinant-Recombinate)drugId:75		ANTI-HEMOPHILIA AGENTS
Riastap (fibrinogen concentrate)drugId:855		ANTI-HEMOPHILIA AGENTS
Rixubis (coagulation factor IX, recombinant)drugId:2848		ANTI-HEMOPHILIA AGENTS
Roctavian (valoctocogene roxaparvovec-rvox)drugId:8653	PA	ANTI-HEMOPHILIA AGENTS	CO
Sevenfact (coagulation factor VIIa, recombinant)drugId:8561		ANTI-HEMOPHILIA AGENTS
Tretten (factor XIII A-subunit recombinant)drugId:2921		ANTI-HEMOPHILIA AGENTS
Vonvendi (von willebrand factor, recombinant)drugId:5597		ANTI-HEMOPHILIA AGENTS
Wilate (von willebrand factor / coagulation factor VIII complex)drugId:165		ANTI-HEMOPHILIA AGENTS
Xyntha (antihemophilic factor, recombinant-Xyntha)drugId:72		ANTI-HEMOPHILIA AGENTS	PD
alcaftadinedrugId:8896		ANTIHISTAMINES	*, A90
azelastine ophthalmic solutiondrugId:114		ANTIHISTAMINES	A90
Benadryl  drugId:541 (diphenhydramine)drugId:541		ANTIHISTAMINES	*, A90, #
Bepreve (bepotastine)drugId:350		ANTIHISTAMINES	BP, A90
carbinoxamine 4 mg/5 mL solution, 6 mg tabletdrugId:7229	PA	ANTIHISTAMINES	A90
carbinoxamine 4 mg tabletdrugId:2267		ANTIHISTAMINES	A90
cetirizine / pseudoephedrinedrugId:2265		ANTIHISTAMINES	*, A90
cetirizine syrupdrugId:211		ANTIHISTAMINES	*, A90
cetirizine tabletdrugId:9194		ANTIHISTAMINES	*, M90
chlorpheniraminedrugId:222		ANTIHISTAMINES	*, A90
ClarinexdrugId:339 (desloratadine tablet)drugId:339		ANTIHISTAMINES	M90, #
Clarinex-D (desloratadine / pseudoephedrine)drugId:474	PA	ANTIHISTAMINES
clemastine syrupdrugId:9036	PA	ANTIHISTAMINES	A90
clemastine tabletdrugId:254		ANTIHISTAMINES	A90
cyproheptadinedrugId:315		ANTIHISTAMINES	A90
desloratadine orally disintegrating tabletdrugId:2749	PA	ANTIHISTAMINES	M90
dexchlorpheniramine solutiondrugId:7220	PA	ANTIHISTAMINES	A90
dimenhydrinate injectiondrugId:2677		ANTIHISTAMINES
epinastinedrugId:605	PA	ANTIHISTAMINES	A90
fexofenadine / pseudoephedrinedrugId:854		ANTIHISTAMINES	*, A90
fexofenadine tabletdrugId:853		ANTIHISTAMINES	*, M90
hydroxyzine hydrochloridedrugId:6000		ANTIHISTAMINES	A90
Karbinal ER (carbinoxamine extended-release)drugId:2962	PA	ANTIHISTAMINES	A90
ketotifendrugId:6208		ANTIHISTAMINES	*, A90
levocetirizine solutiondrugId:5960	PA	ANTIHISTAMINES	A90
levocetirizine tabletdrugId:1043		ANTIHISTAMINES	M90, #
loratadine / pseudoephedrinedrugId:2264		ANTIHISTAMINES	*, A90
loratadine solutiondrugId:9195		ANTIHISTAMINES	*, A90
loratadine tabletdrugId:1099		ANTIHISTAMINES	*, M90
olopatadine ophthalmic solutiondrugId:1284		ANTIHISTAMINES	A90
promethazine solution, tablet, vialdrugId:1593		ANTIHISTAMINES	A90
promethazine suppositorydrugId:9509	PA	ANTIHISTAMINES	A90
VistarildrugId:762 (hydroxyzine pamoate)drugId:762		ANTIHISTAMINES	A90, #
Zerviate (cetirizine ophthalmic solution)drugId:7472	PA	ANTIHISTAMINES
artesunatedrugId:8042	PA	ANTIMALARIALS
chloroquine phosphate		ANTIMALARIALS	A90
Coartem (artemether / lumefantrine)drugId:95	PA > 24 units/365 days	ANTIMALARIALS
hydroxychloroquinedrugId:758		ANTIMALARIALS	A90
Krintafel (tafenoquine)drugId:7261	PA > 2 units/365 days	ANTIMALARIALS
Malarone (atovaquone / proguanil)		ANTIMALARIALS	A90, #
mefloquine		ANTIMALARIALS	A90
primaquine		ANTIMALARIALS	A90
pyrimethaminedrugId:1614	PA	ANTIMALARIALS	A90
QualaquindrugId:1623 (quinine)drugId:1623		ANTIMALARIALS	A90, #
Sovuna (hydroxychloroquine-Sovuna)drugId:9073	PA	ANTIMALARIALS
Anzemet (dolasetron)drugId:8760	PA	ANTINAUSEANTS
Adstiladrin (nadofaragene firadenovec-vncg)drugId:8644	PA	ANTINEOPLASTICS	MB
Akeega (niraparib/abiraterone)drugId:8737	PA	ANTINEOPLASTICS
Anktiva (nogapendekin alfa inbakicept-pmln)drugId:9059	PA	ANTINEOPLASTICS	MB
Augtyro (repotrectinib)drugId:8823	PA	ANTINEOPLASTICS
Columvi (glofitamab-gxbm)drugId:8702	PA	ANTINEOPLASTICS	MB
Datroway (datopotamab deruxtecan-dlnk)drugId:9296	PA	ANTINEOPLASTICS	MB
Elrexfio (elranatamab-bcmm)drugId:8780	PA	ANTINEOPLASTICS	MB
Epkinly (epcoritamab-bysp)drugId:8705	PA	ANTINEOPLASTICS	MB
Erwinase (asparaginase erwinia chrysanthemi)drugId:8407	PA	ANTINEOPLASTICS	MB
Fruzaqla (fruquintinib)drugId:8794	PA	ANTINEOPLASTICS
Grafapex (treosulfan)drugId:9336	PA	ANTINEOPLASTICS	MB
Imdelltra (tarlatamab-dlle)drugId:9023	PA	ANTINEOPLASTICS	MB
Imjudo (tremelimumab-actl)drugId:8529	PA	ANTINEOPLASTICS	MB
Itovebi (inavolisib)drugId:9181	PA	ANTINEOPLASTICS
Ivra (melphalan hydrochloride injection)drugId:9337		ANTINEOPLASTICS	MB
Jemperli (dostarlimab-gxly)drugId:7921	PA	ANTINEOPLASTICS	MB
Krazati (adagrasib)drugId:8530	PA	ANTINEOPLASTICS
Loqtorzi (toripalimab-tpzi)drugId:8824	PA	ANTINEOPLASTICS	MB
Lytgobi (futibatinib)drugId:8531	PA	ANTINEOPLASTICS
methotrexate 5 mg, 7.5 mg, 10 mg, 15 mg tabletdrugId:9507	PA	ANTINEOPLASTICS	A90
Niktimvo (axatilimab-csfr)drugId:9338	PA	ANTINEOPLASTICS	MB
Ojjaara (momelotinib)drugId:8825	PA	ANTINEOPLASTICS
Orserdu (elacestrant)drugId:8534	PA	ANTINEOPLASTICS
Panretin (alitretinoin)drugId:8411	PA	ANTINEOPLASTICS
Proleukin (aldesleukin)drugId:8406	PA	ANTINEOPLASTICS
Romvimza (vimseltinib)drugId:9341	PA	ANTINEOPLASTICS
Talvey (talquetamab-tgvs)drugId:8787	PA	ANTINEOPLASTICS	MB
Tecelra (afamitresgene autoleucel)drugId:9162	PA	ANTINEOPLASTICS	CO
Tecvayli (teclistamab-cqyv)drugId:8543	PA	ANTINEOPLASTICS	MB
Vanflyta (quizartinib)drugId:8793	PA	ANTINEOPLASTICS
Vegzelma (bevacizumab-adcd)drugId:8545	PA	ANTINEOPLASTICS	MB
Voranigo (vorasidenib)drugId:9164	PA	ANTINEOPLASTICS
Adipex-PdrugId:8662 (phentermine 37.5 mg capsule, tablet)drugId:8662	PA < 12 years	ANTI-OBESITY AGENTS	HSNE, #
benzphetaminedrugId:8663	PA	ANTI-OBESITY AGENTS	HSNE
diethylpropion extended-releasedrugId:8665	PA	ANTI-OBESITY AGENTS	HSNE
diethylpropiondrugId:8664	PA	ANTI-OBESITY AGENTS	HSNE
LomairadrugId:8666 (phentermine 8 mg tablet)drugId:8666	PA < 12 years or ≥ 18 years	ANTI-OBESITY AGENTS	HSNE, #
phendimetrazine extended-releasedrugId:8668	PA	ANTI-OBESITY AGENTS	HSNE
phendimetrazinedrugId:8667	PA	ANTI-OBESITY AGENTS	HSNE
phentermine 15 mg, 30 mg capsuledrugId:8669	PA < 12 years	ANTI-OBESITY AGENTS	HSNE
Saxenda (liraglutide-Saxenda)drugId:8670	PA	ANTI-OBESITY AGENTS	HSNE
Wegovy (semaglutide injection-Wegovy for Health Safety Net)drugId:9236	PA	ANTI-OBESITY AGENTS	HSNE
Wegovy (semaglutide injection-Wegovy for MassHealth)drugId:8671	PA	ANTI-OBESITY AGENTS	HSNE
Xenical (orlistat)drugId:8672	PA	ANTI-OBESITY AGENTS	BP, HSNE, A90
Zepbound (tirzepatide-Zepbound for Health Safety Net)drugId:9237	PA	ANTI-OBESITY AGENTS	HSNE
Zepbound (tirzepatide-Zepbound for MassHealth)drugId:8792	PA	ANTI-OBESITY AGENTS	PD, HSNE
albendazoledrugId:166		ANTIPARASITICS	A90
Alinia (nitazoxanide)drugId:7576	PA	ANTIPARASITICS
benznidazoledrugId:6502		ANTIPARASITICS
BiltricidedrugId:2358 (praziquantel)drugId:2358		ANTIPARASITICS	A90, #
Egaten (triclabendazole)drugId:7283	PA	ANTIPARASITICS
ElimitedrugId:4700 (permethrin cream)drugId:4700		ANTIPARASITICS	#
Eurax (crotamiton)drugId:300	PA	ANTIPARASITICS
Likmez (metronidazole suspension)drugId:8783	PA	ANTIPARASITICS
mebendazoledrugId:5394	PA	ANTIPARASITICS	A90
MeprondrugId:106 (atovaquone)drugId:106		ANTIPARASITICS	A90, #
Natroba (spinosad)drugId:2239	PA	ANTIPARASITICS
Nebupent (pentamidine)		ANTIPARASITICS	A90, #
Ovide (malathion)drugId:1117	PA	ANTIPARASITICS
paromomycindrugId:1482		ANTIPARASITICS	A90
permethrindrugId:1510		ANTIPARASITICS	*
piperonyl butoxide / pyrethrinsdrugId:1538		ANTIPARASITICS	*
Reese's Pinworm (pyrantel pamoate)drugId:6217		ANTIPARASITICS
StromectoldrugId:989 (ivermectin tablet)drugId:989		ANTIPARASITICS	#
tinidazoledrugId:1706		ANTIPARASITICS	A90
amantadine immediate-release capsule, solution, tabletdrugId:29		ANTIPARKINSON	A90
ApokyndrugId:83 (apomorphine injection-Apokyn)drugId:83		ANTIPARKINSON	#
Azilect (rasagiline)drugId:1640	PA > 1 unit/day	ANTIPARKINSON	A90
benztropinedrugId:348		ANTIPARKINSON	A90
carbidopa / levodopa / entacaponedrugId:176		ANTIPARKINSON	A90
carbidopa / levodopa extended-release tabletdrugId:1997		ANTIPARKINSON	A90
carbidopa / levodopa orally disintegrating tabletdrugId:174	PA	ANTIPARKINSON	A90
carbidopadrugId:173		ANTIPARKINSON	A90
Crexont (carbidopa / levodopa extended-release capsule- Crexont)drugId:9159	PA	ANTIPARKINSON
Duopa (carbidopa / levodopa enteral suspension)drugId:5104	PA	ANTIPARKINSON
entacaponedrugId:602		ANTIPARKINSON	A90
Gocovri (amantadine extended-release capsule)drugId:6402	PA	ANTIPARKINSON
Inbrija (levodopa)drugId:7237	PA	ANTIPARKINSON
Kynmobi (apomorphine film)drugId:7490	PA	ANTIPARKINSON
Mirapex ER (pramipexole extended-release)drugId:1943	PA	ANTIPARKINSON	A90
Neupro (rotigotine transdermal system)drugId:2643	PA > 1 unit/day	ANTIPARKINSON
Nourianz (istradefylline)drugId:7349	PA	ANTIPARKINSON	A90
Onapgo (apomorphine injection-Onapgo)drugId:9535	PA	ANTIPARKINSON
Ongentys (opicapone)drugId:7564	PA	ANTIPARKINSON
Osmolex ER (amantadine extended-release tablet)drugId:7006	PA	ANTIPARKINSON
ParlodeldrugId:377 (bromocriptine 2.5 mg, 5 mg)drugId:377		ANTIPARKINSON	A90, #
pramipexoledrugId:1569		ANTIPARKINSON	A90
ropiniroledrugId:1453		ANTIPARKINSON	A90
ropinirole extended-releasedrugId:1454		ANTIPARKINSON	A90
Rytary (carbidopa / levodopa extended-release capsule- Rytary)drugId:4950	PA	ANTIPARKINSON	BP
selegiline capsule, tabletdrugId:2378		ANTIPARKINSON	A90
SinemetdrugId:175 (carbidopa / levodopa tablet)drugId:175		ANTIPARKINSON	A90, #
tolcaponedrugId:1722	PA	ANTIPARKINSON	A90
trihexyphenidyldrugId:1762		ANTIPARKINSON	A90
Vyalev (foscarbidopa / foslevodopa)drugId:9166	PA	ANTIPARKINSON
Xadago (safinamide)drugId:6185	PA	ANTIPARKINSON
AgrylindrugId:65 (anagrelide)drugId:65		ANTIPLATELET AGENT	A90, #
aspirin / extended-release dipyridamoledrugId:100		ANTIPLATELET AGENT	M90
aspirin 81 mgdrugId:98		ANTIPLATELET AGENT	*, M90
BrilintadrugId:2359 (ticagrelor)drugId:2359		ANTIPLATELET AGENT	A90, #
cilostazoldrugId:235		ANTIPLATELET AGENT	A90
dipyridamoledrugId:545		ANTIPLATELET AGENT	M90
EffientdrugId:1571 (prasugrel)drugId:1571		ANTIPLATELET AGENT	A90, #
PlavixdrugId:277 (clopidogrel)drugId:277		ANTIPLATELET AGENT	A90, #
Zontivity (vorapaxar)drugId:2950	PA	ANTIPLATELET AGENT
MifeprexdrugId:8043 (mifepristone 200 mg)drugId:8043		ANTIPROGESTIN	#
Korsuva (difelikefalin)		ANTIPRURITIC	MB
AbilifydrugId:90 (aripiprazole tablet)drugId:90	PA < 10 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
Abilify Asimtufii (aripiprazole extended-release injection)drugId:8602	PA	ANTIPSYCHOTIC
Abilify Maintena (aripiprazole extended-release injection)drugId:2717	PA	ANTIPSYCHOTIC
Abilify Mycite (aripiprazole tablet with sensor)drugId:7230	PA	ANTIPSYCHOTIC
amitriptyline / perphenazinedrugId:1512	PA	ANTIPSYCHOTIC	A90
aripiprazole orally disintegrating tabletdrugId:92	PA	ANTIPSYCHOTIC	A90
aripiprazole solutiondrugId:4240	PA < 10 years or ≥ 13 years and PA ≥ 10 mL/day	ANTIPSYCHOTIC	A90
Aristada (aripiprazole lauroxil 1,064 mg)drugId:6301	PA < 10 years and PA > 1 injection/56 days	ANTIPSYCHOTIC	PD
Aristada (aripiprazole lauroxil 441 mg, 662 mg, 882 mg)drugId:5241	PA < 10 years and PA > 1 injection/28 days	ANTIPSYCHOTIC	PD
Aristada Initio (aripiprazole lauroxil 675 mg)drugId:6860	PA < 10 years and PA > 1 injection/28 days	ANTIPSYCHOTIC	PD
Caplyta (lumateperone)drugId:7362	PA	ANTIPSYCHOTIC
chlorpromazinedrugId:223	PA < 10 years	ANTIPSYCHOTIC	A90
clozapine orally disintegrating tabletdrugId:282	PA	ANTIPSYCHOTIC	A90
ClozarildrugId:281 (clozapine tablet)drugId:281	PA < 10 years	ANTIPSYCHOTIC	A90, #
droperidol		ANTIPSYCHOTIC
Erzofri (paliperidone extended-release 1-month injection-Erzofri)drugId:9180	PA <10 years and PA >1 injection/28 days	ANTIPSYCHOTIC	PD
Fanapt (iloperidone)drugId:777	PA	ANTIPSYCHOTIC
fluphenazinedrugId:6322	PA < 10 years	ANTIPSYCHOTIC	A90
GeodondrugId:1926 (ziprasidone capsule)drugId:1926	PA < 10 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
GeodondrugId:1925 (ziprasidone injection)drugId:1925		ANTIPSYCHOTIC	#
HaldoldrugId:696 (haloperidol)drugId:696	PA < 10 years	ANTIPSYCHOTIC	A90, #
InvegadrugId:1471 (paliperidone 1.5 mg, 3 mg, 9 mg tablet)drugId:1471	PA < 10 years and PA > 1 unit/day	ANTIPSYCHOTIC	A90, #
InvegadrugId:8929 (paliperidone 6 mg tablet)drugId:8929	PA < 10 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
Invega Hafyera (paliperidone extended-release 6-month injection)drugId:8113	PA < 10 years and PA > 1 injection/168 days	ANTIPSYCHOTIC	PD
Invega Sustenna (paliperidone extended-release 1-month injection)drugId:1470	PA < 10 years, PA > 2 injections/28 days within the first 28 days of therapy and PA > 1 injection/28 days after 28 days of therapy	ANTIPSYCHOTIC	PD
Invega Trinza (paliperidone extended-release 3-month injection)drugId:5121	PA < 10 years and PA > 1 injection/84 days	ANTIPSYCHOTIC	PD
LatudadrugId:2174 (lurasidone 20 mg, 40 mg, 60 mg, 120 mg)drugId:2174	PA < 10 years and PA > 1 unit/day	ANTIPSYCHOTIC	A90, #
LatudadrugId:8931 (lurasidone 80 mg)drugId:8931	PA < 10 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
LithobiddrugId:1092 (lithium)drugId:1092	PA < 6 years	ANTIPSYCHOTIC	A90, #
LoxitanedrugId:6324 (loxapine capsule)drugId:6324	PA < 10 years	ANTIPSYCHOTIC	A90, #
Lybalvi (olanzapine / samidorphan)drugId:8120	PA	ANTIPSYCHOTIC
molindonedrugId:6325	PA < 10 years	ANTIPSYCHOTIC	A90
NavanedrugId:6329 (thiothixene)drugId:6329	PA < 10 years	ANTIPSYCHOTIC	A90, #
Nuplazid (pimavanserin)drugId:5588	PA	ANTIPSYCHOTIC
Opipza (aripiprazole film)drugId:9185	PA	ANTIPSYCHOTIC
OrapdrugId:6327 (pimozide)drugId:6327	PA < 10 years	ANTIPSYCHOTIC	A90, #
perphenazinedrugId:6326	PA < 10 years	ANTIPSYCHOTIC	A90
Perseris (risperidone 90 mg, 120 mg extended-release subcutaneous injection)drugId:7007	PA < 10 years and > 1 injection/28 days	ANTIPSYCHOTIC	PD
Rexulti (brexpiprazole)drugId:5110	PA	ANTIPSYCHOTIC
RisperdaldrugId:1440 (risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg tablets)drugId:1440	PA < 10 years and PA > 3 units/day	ANTIPSYCHOTIC	A90, #
RisperdaldrugId:2755 (risperidone 4 mg tablet)drugId:2755	PA < 10 years and PA > 4 units/day	ANTIPSYCHOTIC	A90, #
RisperdaldrugId:4287 (risperidone solution)drugId:4287	PA < 10 years and PA > 16 mL/day	ANTIPSYCHOTIC	A90, #
Risperdal Consta (risperidone 12.5 mg, 25 mg, 37.5 mg, 50 mg extended-release intramuscular injection-Risperdal Consta)drugId:1444	PA < 10 years and PA > 2 injections/28 days	ANTIPSYCHOTIC	BP
risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg orally disintegrating tabletdrugId:7122	PA < 10 years and PA > 2 units/day	ANTIPSYCHOTIC	A90
risperidone 3 mg, 4 mg orally disintegrating tabletdrugId:1442	PA	ANTIPSYCHOTIC	A90
Rykindo (risperidone 25 mg, 37.5 mg, 50 mg extended-release intramuscular injection-Rykindo)drugId:8720	PA	ANTIPSYCHOTIC
Saphris (asenapine sublingual tablet)drugId:97	PA	ANTIPSYCHOTIC	A90
Secuado (asenapine transdermal)drugId:7355	PA	ANTIPSYCHOTIC
SeroqueldrugId:1618 (quetiapine)drugId:1618	PA < 10 years and PA > 3 units/day	ANTIPSYCHOTIC	A90, #
Seroquel XRdrugId:1616 (quetiapine extended-release)drugId:1616	PA < 10 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
thioridazinedrugId:6328	PA < 10 years	ANTIPSYCHOTIC	A90
trifluoperazinedrugId:6330	PA < 10 years	ANTIPSYCHOTIC	A90
Uzedy (risperidone 150 mg, 200 mg, 250 mg extended-release subcutaneous injection)drugId:8610	PA < 10 years and PA > 1 injection/56 days	ANTIPSYCHOTIC	PD
Uzedy (risperidone 50 mg, 75 mg, 100 mg, 125 mg extended-release subcutaneous injection)drugId:8608	PA < 10 years and PA > 1 injection/28 days	ANTIPSYCHOTIC	PD
Versacloz (clozapine suspension)drugId:2930	PA	ANTIPSYCHOTIC	A90
Vraylar (cariprazine)drugId:5406	PA	ANTIPSYCHOTIC	PD
ZyprexadrugId:2756 (olanzapine 15 mg, 20 mg tablet)drugId:2756	PA < 10 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
ZyprexadrugId:4298 (olanzapine 2.5 mg, 5 mg, 7.5 mg, 10 mg tablets)drugId:4298	PA < 10 years and PA > 3 units/day	ANTIPSYCHOTIC	A90, #
ZyprexadrugId:1275 (olanzapine injection)drugId:1275		ANTIPSYCHOTIC	#
Zyprexa Relprevv (olanzapine 210 mg, 300 mg extended-release injection)drugId:1277	PA < 10 years and PA > 2 injections/28 days	ANTIPSYCHOTIC
Zyprexa Relprevv (olanzapine 405 mg extended-release injection)drugId:1278	PA < 10 years and PA > 1 injection/28 days	ANTIPSYCHOTIC
Zyprexa ZydisdrugId:7126 (olanzapine 15 mg orally disintegrating tablet)drugId:7126	PA < 10 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
Zyprexa ZydisdrugId:1276 (olanzapine 5 mg, 10 mg, 20 mg orally disintegrating tablet)drugId:1276	PA < 10 years and PA > 1 unit/day	ANTIPSYCHOTIC	A90, #
chlorhexidine gluconatedrugId:1990		ANTISEPTICS	*, A90
hydrogen peroxidedrugId:753		ANTISEPTICS	*, A90
iodinedrugId:1992		ANTISEPTICS	*, A90
isopropyl alcoholdrugId:976		ANTISEPTICS	*, A90
povidonedrugId:1567		ANTISEPTICS	*, A90
Glyrx-PF (glycopyrrolate injection)drugId:9056	PA	ANTISPASMODIC AND ANTICHOLINERGIC AGENTS	MB
Robinul FortedrugId:8955 (glycopyrrolate 2 mg tablet)drugId:8955		ANTISPASMODIC AND ANTICHOLINERGIC AGENTS	A90, #
Vesicare LS (solifenacin suspension)drugId:7887	PA	ANTISPASMODIC AND ANTICHOLINERGIC AGENTS
atropine injection		ANTISPASMODICS,ANTICHOLINERGIC
BentyldrugId:516 (dicyclomine)drugId:516		ANTISPASMODICS,ANTICHOLINERGIC	A90, #
chlordiazepoxide / clidiniumdrugId:6843	PA	ANTISPASMODICS,ANTICHOLINERGIC
Cuvposa (glycopyrrolate oral solution)drugId:2163	PA	ANTISPASMODICS,ANTICHOLINERGIC	A90
Dartisla ODT (glycopyrrolate orally disintegrating tablet)drugId:8206	PA	ANTISPASMODICS,ANTICHOLINERGIC
glycopyrrolate 1.5 mg tabletdrugId:2888	PA	ANTISPASMODICS,ANTICHOLINERGIC	A90
glycopyrrolate injectiondrugId:5940	PA	ANTISPASMODICS,ANTICHOLINERGIC	MB
hyoscyamine oraldrugId:768		ANTISPASMODICS,ANTICHOLINERGIC	A90
RobinuldrugId:679 (glycopyrrolate 1 mg tablet)drugId:679		ANTISPASMODICS,ANTICHOLINERGIC	A90, #
scopolamine		ANTISPASMODICS,ANTICHOLINERGIC	A90
Konvomep (omeprazole / sodium bicarbonate suspension)drugId:8570	PA	ANTI-ULCER PREPARATIONS
Zegerid (omeprazole / sodium bicarbonate powder for oral suspension)drugId:9264	PA	ANTI-ULCER PREPARATIONS	M90
ZegeriddrugId:8108 (omeprazole / sodium bicarbonate capsule)drugId:8108		ANTI-ULCER PREPARATIONS	M90, #
Voquezna (vonoprazan)drugId:8790	PA	ANTI-ULCER PREPS/GASTROINTESTINAL PREPS
abacavir / lamivudinedrugId:138		ANTIVIRALS	A90
acyclovir capsule, tabletdrugId:155		ANTIVIRALS	A90
acyclovir cream, ointmentdrugId:157		ANTIVIRALS
acyclovir injectiondrugId:2744		ANTIVIRALS
Apretude (cabotegravir injection)drugId:8250		ANTIVIRALS	PD
Aptivus (tipranavir)drugId:1709		ANTIVIRALS
AtripladrugId:591 (efavirenz / emtricitabine / tenofovir)drugId:591		ANTIVIRALS	A90, #
Baraclude (entecavir solution)drugId:604	PA > 20 mL/day	ANTIVIRALS
BaracludedrugId:603 (entecavir tablet)drugId:603	PA > 1 unit/day	ANTIVIRALS	A90, #
Biktarvy (bictegravir / emtricitabine / tenofovir alafenamide)drugId:6603		ANTIVIRALS	PD
Cabenuva (cabotegravir / rilpivirine)drugId:7719		ANTIVIRALS	PD
cidofovirdrugId:234		ANTIVIRALS
Cimduo (lamivudine / tenofovir disoproxil fumarate)drugId:6780	PA	ANTIVIRALS
Complera (emtricitabine / rilpivirine / tenofovir disoproxil fumarate)drugId:2361		ANTIVIRALS	BP
Delstrigo (doravirine / lamivudine / tenofovir disoproxil fumarate)drugId:6981		ANTIVIRALS	PD
Denavir (penciclovir)drugId:1495		ANTIVIRALS	BP
Descovy (emtricitabine / tenofovir alafenamide)drugId:5381		ANTIVIRALS	PD
Dovato (dolutegravir / lamivudine)drugId:7240		ANTIVIRALS	PD
Edurant (rilpivirine tablet)drugId:2284		ANTIVIRALS	BP
Edurant (rilpivirine tablet for oral suspension)drugId:9391	PA > 6 units/day	ANTIVIRALS
efavirenzdrugId:590		ANTIVIRALS	A90
Emtriva (emtricitabine)drugId:596		ANTIVIRALS	BP, A90
Enflonsia (clesrovimab-cfor)drugId:9531	PA ≥ 8 months of age	ANTIVIRALS	1
Epclusa (sofosbuvir / velpatasvir)drugId:5540	PA	ANTIVIRALS	PD
EpivirdrugId:2541 (lamivudine 10 mg/mL solution)drugId:2541		ANTIVIRALS	A90, #
EpivirdrugId:1009 (lamivudine 150 mg, 300 mg tablet)drugId:1009		ANTIVIRALS	A90, #
Evotaz (atazanavir / cobicistat)drugId:4768		ANTIVIRALS
famciclovirdrugId:460		ANTIVIRALS	A90
fosamprenavirdrugId:908	PA	ANTIVIRALS	A90
foscarnetdrugId:910		ANTIVIRALS	MB
Fuzeon (enfuvirtide)drugId:600		ANTIVIRALS
ganciclovir injectiondrugId:922		ANTIVIRALS
Genvoya (elvitegravir / cobicistat / emtricitabine / tenofovir alafenamide)drugId:5250		ANTIVIRALS	PD
Harvoni (ledipasvir / sofosbuvir)drugId:4600	PA	ANTIVIRALS	PD
HepseradrugId:161 (adefovir)drugId:161	PA > 1 unit/day	ANTIVIRALS	A90, #
Intelence (etravirine)drugId:447		ANTIVIRALS	BP, A90
Isentress (raltegravir)drugId:2701		ANTIVIRALS	BP
Juluca (dolutegravir / rilpivirine)drugId:6781		ANTIVIRALS	PD
KaletradrugId:1098 (lopinavir / ritonavir)drugId:1098		ANTIVIRALS	A90, #
lamivudine / zidovudinedrugId:1012		ANTIVIRALS	A90
lamivudine 100 mg tabletdrugId:1010	PA > 1 unit/day	ANTIVIRALS	A90
Livtencity (maribavir)drugId:8194	PA	ANTIVIRALS
Mavyret (glecaprevir / pibrentasvir)drugId:6360	PA	ANTIVIRALS	PD
nevirapinedrugId:1199		ANTIVIRALS	A90
nevirapine extended-releasedrugId:2295	PA	ANTIVIRALS	A90
Norvir (ritonavir capsule, packet)drugId:6640	PA	ANTIVIRALS
Norvir (ritonavir tablet)drugId:1446		ANTIVIRALS	BP, PD, A90
Odefsey (emtricitabine / rilpivirine / tenofovir alafenamide)drugId:5389		ANTIVIRALS	PD
Pegasys (peginterferon alfa-2a)drugId:2059	PA	ANTIVIRALS
Pifeltro (doravirine)drugId:6986		ANTIVIRALS	PD
Prevymis (letermovir)drugId:6615	PA	ANTIVIRALS
Prezcobix (darunavir / cobicistat)drugId:4792		ANTIVIRALS	PD
PrezistadrugId:330 (darunavir)drugId:330		ANTIVIRALS	A90, #
Relenza (zanamivir)drugId:1818	PA < 5 years and PA > 20 inhalations/ claim and PA > 40 inhalations/ 365 days	ANTIVIRALS
RetrovirdrugId:1820 (zidovudine)drugId:1820		ANTIVIRALS	A90, #
ReyatazdrugId:101 (atazanavir)drugId:101		ANTIVIRALS	A90, #
ribavirin 200 mg capsuledrugId:1652	PA	ANTIVIRALS	A90
ribavirin tabletdrugId:1651		ANTIVIRALS	A90
rimantadine		ANTIVIRALS	A90
Rukobia (fostemsavir)drugId:7494	PA	ANTIVIRALS	PD
Selzentry (maraviroc solution)drugId:7577	PA	ANTIVIRALS
Selzentry (maraviroc tablet)drugId:1119	PA	ANTIVIRALS	A90
Sovaldi (sofosbuvir)drugId:2879	PA	ANTIVIRALS
Stribild (elvitegravir / cobicistat / emtricitabine / tenofovir disoproxil fumarate)drugId:2648		ANTIVIRALS
Sunlenca (lenacapavir-Sunlenca)drugId:8580	PA	ANTIVIRALS
Symfi (efavirenz 600 mg / lamivudine 300 mg / tenofovir disoproxil fumarate 300 mg)drugId:6782	PA	ANTIVIRALS	A90
Symfi Lo (efavirenz 400 mg / lamivudine 300 mg / tenofovir disoproxil fumarate 300 mg)drugId:6783	PA	ANTIVIRALS	A90
Symtuza (darunavir / cobicistat / emtricitabine / tenofovir alafenamide)drugId:6822		ANTIVIRALS	PD
TamifludrugId:1303 (oseltamivir 30mg)drugId:1303	PA > 20 units/ claim and PA > 40 units/ 365 days	ANTIVIRALS	#
TamifludrugId:1305 (oseltamivir 45 mg and 75 mg)drugId:1305	PA > 10 units/ claim and PA > 20 units/ 365 days	ANTIVIRALS	#
TamifludrugId:2314 (oseltamivir suspension)drugId:2314	PA > 180 mL/ claim and PA > 360 mL/ 365 days	ANTIVIRALS	#
Tivicay (dolutegravir tablet)drugId:2852	PA > 1 unit/day	ANTIVIRALS
Tivicay PD (dolutegravir tablet for oral suspension)drugId:7459		ANTIVIRALS
Triumeq (abacavir / dolutegravir / lamivudine)drugId:4642		ANTIVIRALS	PD
Trogarzo (ibalizumab-uiyk)drugId:6687	PA	ANTIVIRALS
TruvadadrugId:597 (emtricitabine / tenofovir disoproxil fumarate)drugId:597		ANTIVIRALS	A90, #
Tybost (cobicistat)drugId:4816		ANTIVIRALS
Valcyte (valganciclovir powder for oral solution)drugId:5560	PA	ANTIVIRALS	A90
ValcytedrugId:1779 (valganciclovir tablet)drugId:1779		ANTIVIRALS	A90, #
ValtrexdrugId:1778 (valacyclovir)drugId:1778		ANTIVIRALS	A90, #
Vemlidy (tenofovir alafenamide)drugId:5768		ANTIVIRALS	PD
Veregen (sinecatechins)drugId:1856	PA	ANTIVIRALS
Viracept (nelfinavir)drugId:1183		ANTIVIRALS
Viread (tenofovir disoproxil fumarate powder)drugId:2489	PA ≥ 13 years	ANTIVIRALS	A90
VireaddrugId:1669 (tenofovir disoproxil fumarate tablet)drugId:1669	PA > 1 unit/day	ANTIVIRALS	A90, #
Vocabria (cabotegravir tablet)drugId:7722		ANTIVIRALS
Vosevi (sofosbuvir / velpatasvir / voxilaprevir)drugId:6364	PA	ANTIVIRALS
Xofluza (baloxavir)drugId:6989	PA	ANTIVIRALS
Yeztugo (lenacapavir-Yeztugo)drugId:9544	PA	ANTIVIRALS
Zepatier (elbasvir / grazoprevir)drugId:5321	PA	ANTIVIRALS
ZiagendrugId:137 (abacavir)drugId:137		ANTIVIRALS	A90, #
ZoviraxdrugId:7997 (acyclovir suspension)drugId:7997		ANTIVIRALS	A90, #
megestrol 40 mg/mL suspensiondrugId:1135		APPETITE STIMULANTS	A90
megestrol 625 mg/5 mL suspensiondrugId:1136	PA	APPETITE STIMULANTS	A90
megestrol tablet		APPETITE STIMULANTS	A90
phenobarbital tablet, solutiondrugId:1516		BARBITURATES
Sezaby (phenobarbital 100 mg injection)drugId:8725		BARBITURATES	MB
Cardura XL (doxazosin extended-release)drugId:566		BENIGN PROSTATIC HYPERPLASIA AGENTS
Cialis (tadalafil tablet-Cialis)drugId:2373	PA	BENIGN PROSTATIC HYPERPLASIA AGENTS
dutasteridedrugId:586		BENIGN PROSTATIC HYPERPLASIA AGENTS	M90
FlomaxdrugId:1922 (tamsulosin)drugId:1922		BENIGN PROSTATIC HYPERPLASIA AGENTS	M90, #
Jalyn (dutasteride / tamsulosin)drugId:1960	PA	BENIGN PROSTATIC HYPERPLASIA AGENTS	M90
ProscardrugId:857 (finasteride)drugId:857		BENIGN PROSTATIC HYPERPLASIA AGENTS	M90, #
Rapaflo (silodosin)drugId:1849	PA	BENIGN PROSTATIC HYPERPLASIA AGENTS	M90
Tezruly (terazosin solution)drugId:9427	PA	BENIGN PROSTATIC HYPERPLASIA AGENTS
alprazolam orally disintegrating tabletdrugId:24	PA	BENZODIAZEPINES
alprazolam solutiondrugId:9256	PA < 6 years and ≥ 13 years	BENZODIAZEPINES
AtivandrugId:7662 (lorazepam injection)drugId:7662		BENZODIAZEPINES	#
Byfavo (remimazolam)drugId:7718	PA	BENZODIAZEPINES	MB
chlordiazepoxidedrugId:4361	PA < 6 years	BENZODIAZEPINES
clonazepam 0.125 mg, 0.25 mg, 0.5 mg, 1 mg orally disintegrating tabletdrugId:273	PA < 6 years and PA > 3 units/day	BENZODIAZEPINES
clonazepam 2 mg orally disintegrating tabletdrugId:2909	PA < 6 years and PA > 2 units/day	BENZODIAZEPINES
clorazepatedrugId:278	PA	BENZODIAZEPINES
DiastatdrugId:503 (diazepam rectal gel)drugId:503	PA > 5 kits (10 syringes)/30 days	BENZODIAZEPINES	#
diazepam 25 mg/5 mL solutiondrugId:9260	PA	BENZODIAZEPINES
diazepam injectiondrugId:7663		BENZODIAZEPINES
Doral (quazepam)drugId:8415	PA	BENZODIAZEPINES
estazolamdrugId:634	PA < 6 years and PA > 1 unit/day	BENZODIAZEPINES
flurazepamdrugId:885	PA	BENZODIAZEPINES
HalciondrugId:1757 (triazolam)drugId:1757	PA < 6 years and PA > 1 unit/day	BENZODIAZEPINES	#
KlonopindrugId:274 (clonazepam tablet)drugId:274	PA < 6 years	BENZODIAZEPINES	#
Libervant (diazepam buccal film)drugId:8943	PA ≥ 6 years and PA > 10 units/30 days	BENZODIAZEPINES
lorazepam solutiondrugId:9259	PA < 6 years and ≥ 13 years	BENZODIAZEPINES
lorazepam tabletdrugId:1100	PA < 6 years	BENZODIAZEPINES
Loreev XR (lorazepam extended-release)drugId:8119	PA	BENZODIAZEPINES
midazolam injectiondrugId:1354		BENZODIAZEPINES	MB
midazolam syrupdrugId:4420	PA < 6 years	BENZODIAZEPINES
Nayzilam (midazolam nasal spray)drugId:7288	PA > 10 units/30 days	BENZODIAZEPINES
oxazepamdrugId:1310	PA	BENZODIAZEPINES
Restoril (temazepam 22.5 mg)drugId:1666	PA	BENZODIAZEPINES
RestorildrugId:1665 (temazepam 7.5 mg, 15 mg, 30 mg)drugId:1665	PA < 6 years and PA > 1 unit/day	BENZODIAZEPINES	#
ValiumdrugId:504 (diazepam 5 mg/5 mL solution, tablet)drugId:504	PA < 6 years	BENZODIAZEPINES	#
Valtoco (diazepam nasal spray)drugId:7384	PA > 10 units/30 days	BENZODIAZEPINES
XanaxdrugId:25 (alprazolam tablet)drugId:25	PA < 6 years	BENZODIAZEPINES	#
Xanax XRdrugId:26 (alprazolam extended-release)drugId:26	PA < 6 years and PA > 2 units/day	BENZODIAZEPINES	#
Bylvay (odevixibat)drugId:8020	PA	BILE THERAPY
chenodioldrugId:1956	PA	BILE THERAPY	A90
Cholbam (cholic acid)drugId:4907	PA	BILE THERAPY
Ctexli (chenodiol-Ctexli)drugId:9529	PA	BILE THERAPY
Iqirvo (elafibranor)drugId:9062	PA	BILE THERAPY
Livdelzi (seladelpar)drugId:9064	PA	BILE THERAPY
Livmarli (maralixibat)drugId:8193	PA	BILE THERAPY
Ocaliva (obeticholic acid)drugId:5589	PA	BILE THERAPY
ursodiol 200 mg, 400 mg capsuledrugId:7886	PA	BILE THERAPY	A90
ursodiol 250 mg tabletdrugId:1775		BILE THERAPY	A90
ursodiol 300 mg capsuledrugId:1774		BILE THERAPY	A90
Urso FortedrugId:1776 (ursodiol 500 mg tablet)drugId:1776		BILE THERAPY	A90, #
Abrysvo (respiratory syncytial virus vaccine)drugId:8619	PA < 18 years	BIOLOGICAL	1
Acthib (haemophilus B conjugate vaccine-Acthib)drugId:693		BIOLOGICAL	1
Adacel (tetanus toxoids / diphtheria / acellular pertussis vaccine)drugId:539		BIOLOGICAL	1
adenovirus live vaccine delayed-release oral tabletsdrugId:2837		BIOLOGICAL
Afluria (influenza virus vaccine-Afluria)drugId:2046		BIOLOGICAL	1
Amondys 45 (casimersen)drugId:7878	PA	BIOLOGICAL
Arcalyst (rilonacept)drugId:1434	PA	BIOLOGICAL
Arexvy (respiratory syncytial virus vaccine, adjuvanted)drugId:8620	PA < 50 years	BIOLOGICAL
Asceniv (immune globulin IV, human-slra)drugId:7327	PA	BIOLOGICAL
Atgam (antithymocyte globulin, equine)drugId:1112		BIOLOGICAL
BCG Vaccine (BCG live vaccine)drugId:5180		BIOLOGICAL
Benlysta (belimumab auto-injection, prefilled syringe)drugId:8382	PA	BIOLOGICAL
Benlysta (belimumab vial)drugId:2238	PA	BIOLOGICAL	MB
Bexsero (meningococcal group B vaccine-Bexsero)drugId:4905		BIOLOGICAL	1
Beyfortus (nirsevimab-alip)drugId:8621	PA ≥ 8 months of age	BIOLOGICAL	1
Bivigam (immune globulin IV, human-Bivigam)drugId:2817	PA	BIOLOGICAL
Bkemv (eculizumab-aeeb)drugId:9527	PA	BIOLOGICAL	MB
Bomyntra (denosumab-bnht)drugId:9528	PA	BIOLOGICAL
Boostrix (tetanus toxoids / diphtheria / acellular pertussis vaccine)drugId:540		BIOLOGICAL	1
Botox (onabotulinumtoxinA)drugId:1290	PA	BIOLOGICAL
Cablivi (caplacizumab-yhdp)drugId:7180	PA	BIOLOGICAL
Capvaxive (pneumococcal 21-valent conjugate vaccine)drugId:8928		BIOLOGICAL
Cinqair (reslizumab)drugId:5586	PA	BIOLOGICAL	MB
Conexxence (denosumab-bnht)drugId:9530	PA	BIOLOGICAL
Crysvita (burosumab-twza)drugId:6740	PA	BIOLOGICAL
Cutaquig (immune globulin subcutaneous injection, human-hipp)drugId:7131	PA	BIOLOGICAL
Cuvitru (immune globulin subcutaneous injection, human-Cuvitru)drugId:5720	PA	BIOLOGICAL
Cytogam (cytomegalovirus immune globulin IV, human)drugId:318		BIOLOGICAL	MB
Daptacel (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:536		BIOLOGICAL	1
Daxxify (daxibotulinumtoxinA-lanm)drugId:9037	PA	BIOLOGICAL
Dupixent (dupilumab)drugId:6101	PA	BIOLOGICAL	PD
Dysport (abobotulinumtoxinA)drugId:141	PA	BIOLOGICAL
Empaveli (pegcetacoplan 1,080 mg/20 mL vial)drugId:7919	PA	BIOLOGICAL
Engerix-B (hepatitis B recombinant vaccine)drugId:2579		BIOLOGICAL	1
Enjaymo (sutimlimab-jome)drugId:8207	PA	BIOLOGICAL	MB
Enspryng (satralizumab-mwge)drugId:7525	PA	BIOLOGICAL
Epysqli (eculizumab-aagh)drugId:9532	PA	BIOLOGICAL	MB
Evenity (romosozumab-aqqg)drugId:7221	PA	BIOLOGICAL
Evrysdi (risdiplam)drugId:7524	PA	BIOLOGICAL
Exondys 51 (eteplirsen)drugId:5721	PA	BIOLOGICAL
Fabhalta (iptacopan)drugId:8939	PA	BIOLOGICAL
Fasenra (benralizumab)drugId:6520	PA	BIOLOGICAL
Flebogamma (immune globulin IV, human-Flebogamma)drugId:786	PA	BIOLOGICAL
Fluad (influenza virus vaccine, adjuvanted)drugId:5386	PA < 65 years	BIOLOGICAL	1
Fluarix (influenza virus vaccine-Fluarix)drugId:796		BIOLOGICAL	1
Flublok (influenza virus vaccine-Flublok)drugId:2863		BIOLOGICAL	1
Flucelvax (influenza virus vaccine-Flucelvax)drugId:2652		BIOLOGICAL	1
Flulaval (influenza virus vaccine-Flulaval)drugId:795		BIOLOGICAL	1
Flumist (influenza virus vaccine-Flumist)drugId:800		BIOLOGICAL	1
Fluzone (influenza virus vaccine, high dose)drugId:798	PA < 65 years	BIOLOGICAL	1
Fluzone (influenza virus vaccine-Fluzone)drugId:797		BIOLOGICAL	1
Gamastan S/D (immune globulin IM, human-Gamastan S/D)drugId:2683	PA	BIOLOGICAL
Gamifant (emapalumab-lzsg)drugId:7223	PA	BIOLOGICAL
Gammagard (immune globulin injection, human-Gammagard)drugId:2198	PA	BIOLOGICAL
Gammagard S/D (immune globulin IV, human-Gammagard S/D)drugId:787	PA	BIOLOGICAL
Gammaked (immune globulin injection, human-Gammaked)drugId:2641	PA	BIOLOGICAL
Gammaplex (immune globulin IV, human-Gammaplex)drugId:2381	PA	BIOLOGICAL
Gamunex-C (immune globulin injection, human-Gamunex-C)drugId:2167	PA	BIOLOGICAL
Gardasil 9 (human papillomavirus 9-valent vaccine)drugId:4770	PA < 9 years and PA ≥ 46 years	BIOLOGICAL	1
Havrix (hepatitis A vaccine, inactivated - Havrix)drugId:2578		BIOLOGICAL	1
Hepagam B (hepatitis B immune globulin IV, human-Hepagam B)drugId:2685		BIOLOGICAL
Heplisav-B (hepatitis B recombinant vaccine, adjuvanted)drugId:6403		BIOLOGICAL	1
Hiberix (haemophilus B conjugate vaccine-Hiberix)drugId:5624		BIOLOGICAL	1
Hizentra (immune globulin subcutaneous injection, human-Hizentra)drugId:1940	PA	BIOLOGICAL
Hyperhep B (hepatitis B immune globulin IM, human-Hyperhep B)drugId:706		BIOLOGICAL
Hyperrab (rabies immune globulin IM, human-Hyperrab)drugId:1625		BIOLOGICAL
Hyperrho (rho(d) immune globulin IM, human-Hyperrho)drugId:1647		BIOLOGICAL
Hypertet (tetanus immune globulin IM, human)drugId:1687		BIOLOGICAL
Hyqvia (immune globulin subcutaneous injection, human / hyaluronidase human recombinant)drugId:4626	PA	BIOLOGICAL
Imaavy (nipocalimab-aahu)drugId:9534	PA	BIOLOGICAL	MB
Imcivree (setmelanotide)drugId:7724	PA	BIOLOGICAL
Imovax Rabies (rabies virus vaccine-Imovax Rabies)drugId:1627		BIOLOGICAL
Infanrix (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:537		BIOLOGICAL	1
Ipol (poliovirus vaccine, inactivated)drugId:1546		BIOLOGICAL	1
Ixiaro (japanese encephalitis vaccine)drugId:2044		BIOLOGICAL
Jubbonti (denosumab-bbdz)drugId:9540	PA	BIOLOGICAL
Jynneos (smallpox / monkeypox vaccine, live)drugId:8927		BIOLOGICAL	1
Kedrab (rabies immune globulin IM, human-Kedrab)drugId:6741		BIOLOGICAL
Kinrix (diphtheria / tetanus toxoids / acellular pertussis / poliovirus, inactivated vaccine)drugId:535		BIOLOGICAL	1
Leqembi (lecanemab-irmb)drugId:8605	PA	BIOLOGICAL
Menquadfi (quadrivalent meningococcal conjugate vaccine-Menquadfi)drugId:7468		BIOLOGICAL	1
Menveo (quadrivalent meningococcal conjugate vaccine-Menveo)drugId:1141		BIOLOGICAL	1
Micrhogam (rho(d) immune globulin IM, human-Micrhogam)drugId:2746		BIOLOGICAL
M-M-R II Vaccine (measles / mumps / rubella vaccine)drugId:1121		BIOLOGICAL	1
Myobloc (rimabotulinumtoxinB)drugId:1436	PA	BIOLOGICAL
Nabi-HB (hepatitis B immune globulin IM, human-Nabi-HB)drugId:707		BIOLOGICAL
Nemluvio (nemolizumab-ilto)drugId:9065	PA	BIOLOGICAL
Nucala (mepolizumab)drugId:5282	PA	BIOLOGICAL
Octagam (immune globulin IV, human-Octagam)drugId:2684	PA	BIOLOGICAL
Osenvelt (denosumab-bmwo)drugId:9536	PA	BIOLOGICAL
Panzyga (immune globulin IV, human-ifas)drugId:7104	PA	BIOLOGICAL
Pediarix (diphtheria / tetanus toxoids / acellular pertussis / hepatitis B, recombinant / poliovirus, inactivated vaccine)drugId:700		BIOLOGICAL	1
Pedvaxhib (haemophilus B conjugate vaccine-Pedvaxhib)drugId:694		BIOLOGICAL	1
Pentacel (diphtheria / tetanus / acellular pertussis / poliovirus inactivated / haemophilus B conjugate vaccine)drugId:581		BIOLOGICAL	1
Pneumovax (pneumococcal 23-valent polysaccharide vaccine)drugId:1544		BIOLOGICAL	1
Prevnar 13 (pneumococcal 13-valent conjugate vaccine)drugId:1542		BIOLOGICAL	1
Priorix (measles / mumps / rubella vaccine)drugId:8257		BIOLOGICAL
Privigen (immune globulin IV, human-Privigen)drugId:2197	PA	BIOLOGICAL
Prolia (denosumab-Prolia)drugId:1967	PA	BIOLOGICAL
Proquad (measles / mumps / rubella / varicella virus vaccine)drugId:1122		BIOLOGICAL	1
Rabavert (rabies virus vaccine-Rabavert)drugId:1628		BIOLOGICAL
Recombivax HB (hepatitis B recombinant vaccine)drugId:708		BIOLOGICAL	1
Rhogam (rho(d) immune globulin IM, human-Rhogam)drugId:2747		BIOLOGICAL
Rhophylac (rho(d) immune globulin IV, human-Rhophylac)drugId:1648		BIOLOGICAL	MB
Rotarix (rotavirus vaccine, live, oral)drugId:1823		BIOLOGICAL	1
Rotateq (rotavirus vaccine, live, oral, pentavalent)drugId:1824		BIOLOGICAL	1
Alyglo (immune globluin IV, human-stwk)drugId:8996	PA	BIOLOGICALS
Saphnelo (anifrolumab-fnia)drugId:8124	PA	BIOLOGICAL	MB
Dengvaxia (dengue tetravalent vaccine, live)drugId:8021		BIOLOGICALS
diphtheria / tetanus toxoids vaccinedrugId:7777		BIOLOGICALS	1
Flumist (influenza virus vaccine, self administered)drugId:9533	PA	BIOLOGICALS
Shingrix (zoster vaccine recombinant, adjuvanted)drugId:6407	PA < 50 years	BIOLOGICAL
Simulect (basiliximab)drugId:2382		BIOLOGICAL	MB
Ixchiq (chikungunya virus vaccine, live)drugId:8735		BIOLOGICALS
Kebilidi (eladocagene exuparvovec-tneq)drugId:9298	PA	BIOLOGICALS	CO
Mresvia (respiratory syncytial virus vaccine suspension)drugId:8944	PA < 60 years	BIOLOGICALS
Soliris (eculizumab)drugId:589	PA	BIOLOGICAL	MB
Penbraya (pentavalent meningococcal groups A, B, C, W and Y vaccine-Penbraya)drugId:8795		BIOLOGICALS
Penmenvy (pentavalent meningococcal groups A, B, C, W and Y vaccine – Penmenvy)drugId:9400		BIOLOGICALS
Spinraza (nusinersen)drugId:6020	PA	BIOLOGICAL	MB
Prehevbrio (hepatitis B recombinant vaccine)drugId:8157		BIOLOGICALS	1
Prevnar 20 (pneumococcal 20-valent conjugate vaccine)drugId:7924		BIOLOGICALS
Quadracel (tetanus toxoids / diphtheria / acellular pertussis / inactivated poliovirus vaccine)drugId:8195		BIOLOGICALS
Stamaril (yellow fever vaccine, live)drugId:6106		BIOLOGICAL
Ticovac (tick-borne encephalitis vaccine)drugId:8025		BIOLOGICALS
Stoboclo (denosumab-bmwo)drugId:9538	PA	BIOLOGICAL
Vimkunya (chikungunya virus vaccine, recombinant)drugId:9197		BIOLOGICALS
Syfovre (pegcetacoplan 150 mg/mL vial)drugId:8606	PA	BIOLOGICAL	MB
Sylvant (siltuximab)drugId:4540	PA	BIOLOGICAL	MB
Synagis (palivizumab)drugId:1472	PA	BIOLOGICAL
Takhzyro (lanadelumab-flyo)drugId:7008	PA	BIOLOGICAL
Tenivac (tetanus toxoid / diphtheria vaccine)drugId:1686		BIOLOGICAL	1
Tepezza (teprotumumab-trbw)drugId:7461	PA	BIOLOGICAL
Tezspire (tezepelumab-ekko)drugId:8197	PA	BIOLOGICAL
Thymoglobulin (antithymocyte globulin, rabbit)drugId:1111		BIOLOGICAL
Trumenba (meningococcal group B vaccine-Trumenba)drugId:4815		BIOLOGICAL	1
Twinrix (hepatitis A, inactivated / hepatitis B recombinant)drugId:2627		BIOLOGICAL	1
Typhim VI (typhoid vaccine injection)drugId:1771		BIOLOGICAL
Ultomiris (ravulizumab-cwvz)drugId:7046	PA	BIOLOGICAL	MB
Uplizna (inebilizumab-cdon)drugId:7570	PA	BIOLOGICAL	MB
Vaqta (hepatitis A vaccine, inactivated-Vaqta)drugId:705		BIOLOGICAL	1
Varivax (varicella virus vaccine)drugId:1790		BIOLOGICAL	1
Varizig (varicella zoster immune globulin, human)drugId:2855		BIOLOGICAL
Vaxchora (cholera vaccine, live, oral)drugId:5594		BIOLOGICAL
Vaxelis (diphtheria / tetanus / acellular pertussis / poliovirus inactivated / haemophilus B conjugate / hepatitis B vaccine)drugId:7571		BIOLOGICAL
Vaxneuvance (pneumococcal 15-valent conjugate vaccine)drugId:7983		BIOLOGICAL
Viltepso (viltolarsen)drugId:7602	PA	BIOLOGICAL
Vivotif Berna (typhoid vaccine capsule)drugId:2628		BIOLOGICAL
Voydeya (danicopan)drugId:8949	PA	BIOLOGICAL
Vyondys 53 (golodirsen)drugId:7496	PA	BIOLOGICAL
Vyvgart (efgartigimod alfa-fcab)drugId:8213	PA	BIOLOGICAL	MB
Vyvgart Hytrulo (efgartigimod alfa / hyaluronidase-qvfc prefilled syringe)drugId:9542	PA	BIOLOGICAL
Vyvgart Hytrulo (efgartigimod alfa-fcab / hyaluronidase-qvfc vial)drugId:8728	PA	BIOLOGICAL	MB
Winrho SDF (rho(d) immune globulin IV, human-Winrho SDF)drugId:1650		BIOLOGICAL	MB
Wyost (denosumab-bbdz)drugId:9543	PA	BIOLOGICAL
Xembify (immune globulin subcutaneous injection, human-klhw)drugId:7336	PA	BIOLOGICAL
Xeomin (incobotulinumtoxinA)drugId:2087	PA	BIOLOGICAL
Xgeva (denosumab-Xgeva)drugId:2180	PA	BIOLOGICAL
Xolair (omalizumab)drugId:1287	PA	BIOLOGICAL
YF-Vax (yellow fever vaccine)drugId:1815		BIOLOGICAL
Zilbrysq (zilucoplan)drugId:8951	PA	BIOLOGICAL
Zinplava (bezlotoxumab)drugId:5771	PA	BIOLOGICAL
Accolate (zafirlukast)drugId:1816	PA	BRONCHODILATORS	M90
Advair (fluticasone / salmeterol inhalation-Advair)drugId:896		BRONCHODILATORS	BP, A90
Airduo Respiclick (fluticasone / salmeterol inhalation powder-Airduo Respiclick)drugId:6120	PA	BRONCHODILATORS	A90
Airsupra (albuterol/budesonide)drugId:8699	PA	BRONCHODILATORS
albuterol / ipratropium inhalation solutiondrugId:835		BRONCHODILATORS	A90
albuterol inhalation solutiondrugId:168		BRONCHODILATORS	A90
albuterol inhalerdrugId:8291	PA	BRONCHODILATORS
albuterol syrup, tabletdrugId:2193		BRONCHODILATORS	A90
Alvesco (ciclesonide inhaler)drugId:230	PA	BRONCHODILATORS
aminophylline		BRONCHODILATORS
Anoro (umeclidinium / vilanterol)drugId:2952		BRONCHODILATORS	BP, A90
Arnuity (fluticasone furoate inhalation powder)drugId:4760		BRONCHODILATORS	BP, A90
Asmanex HFA (mometasone inhalation aerosol)drugId:5102		BRONCHODILATORS
Asmanex Twisthaler (mometasone inhalation powder)drugId:2663		BRONCHODILATORS
Atrovent HFA (ipratropium inhalation aerosol)drugId:833		BRONCHODILATORS	BP
Bevespi (glycopyrrolate / formoterol)drugId:5700	PA	BRONCHODILATORS
Breo (fluticasone / vilanterol)drugId:2860		BRONCHODILATORS	BP, A90
Breztri (budesonide / glycopyrrolate / formoterol)drugId:7487	PA	BRONCHODILATORS
Brovana (arformoterol)drugId:88	PA	BRONCHODILATORS	A90
cafcit (caffeine citrate injection)		BRONCHODILATORS	MB
caffeine citrate solution		BRONCHODILATORS
Combivent (albuterol / ipratropium inhalation spray)drugId:2557		BRONCHODILATORS
cromolyn inhalationdrugId:298		BRONCHODILATORS	A90
Duaklir (aclidinium / formoterol)drugId:7330	PA	BRONCHODILATORS
Dulera (mometasone / formoterol)drugId:1958		BRONCHODILATORS	BP
fluticasone propionate inhalation aerosoldrugId:7940	PA ≥ 12 years	BRONCHODILATORS	A90
fluticasone propionate inhalation powderdrugId:8642	PA	BRONCHODILATORS	A90
Gastrocrom (cromolyn oral)		BRONCHODILATORS	A90, #
Incruse (umeclidinium)drugId:4774		BRONCHODILATORS
ipratropium inhalation solution		BRONCHODILATORS	A90
levalbuterol inhalation solutiondrugId:1036	PA	BRONCHODILATORS	A90
Perforomist (formoterol)drugId:906	PA	BRONCHODILATORS
Proair Respiclick (albuterol inhalation powder-Proair Respiclick)drugId:5109		BRONCHODILATORS
Pulmicort (budesonide inhalation powder)drugId:380		BRONCHODILATORS
PulmicortdrugId:381 (budesonide inhalation suspension)drugId:381	PA ≥ 13 years	BRONCHODILATORS	A90, #
Qvar Redihaler (beclomethasone inhaler)drugId:6580	PA	BRONCHODILATORS
Serevent (salmeterol)drugId:1829		BRONCHODILATORS
Singulair (montelukast granules)drugId:5129	PA	BRONCHODILATORS	M90
SingulairdrugId:1383 (montelukast tablet, chewable tablet)drugId:1383		BRONCHODILATORS	M90, #
Spiriva Handihaler (tiotropium inhalation powder)drugId:1708		BRONCHODILATORS	BP, A90
Spiriva Respimat (tiotropium inhalation solution)drugId:8057		BRONCHODILATORS
Stiolto (tiotropium / olodaterol)drugId:5112	PA	BRONCHODILATORS
Striverdi (olodaterol)drugId:4641	PA	BRONCHODILATORS
Symbicort (budesonide / formoterol)drugId:383		BRONCHODILATORS	BP, PD, A90
terbutaline		BRONCHODILATORS	A90
theophyllinedrugId:1691		BRONCHODILATORS	M90
Trelegy (fluticasone furoate / umeclidinium / vilanterol)drugId:6408	PA	BRONCHODILATORS
Tudorza (aclidinium)drugId:2649	PA	BRONCHODILATORS
Ventolin (albuterol inhaler-Ventolin)drugId:3		BRONCHODILATORS	BP, A90
Xopenex HFA (levalbuterol inhaler)drugId:1035		BRONCHODILATORS	BP, A90
Yupelri (revefenacin)drugId:7051	PA	BRONCHODILATORS
zileuton extended-releasedrugId:8182	PA	BRONCHODILATORS
Zyflo (zileuton)drugId:2337	PA	BRONCHODILATORS
Parsabiv (etelcalcetide)		CALCIMIMETIC	MB
Sensipar (cinacalcet)		CALCIMIMETIC	A90, #
Aimovig (erenumab-aooe)drugId:6661	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR
Ajovy (fremanezumab-vfrm for migraine prophylaxis)drugId:7000	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR	PD
Emgality (galcanezumab-gnlm)drugId:7385	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR	PD
Nurtec (rimegepant)drugId:7394	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR	PD
Qulipta (atogepant)drugId:8160	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR	PD
Ubrelvy (ubrogepant)drugId:7383	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR	PD
Vyepti (eptinezumab-jjmr)drugId:7460	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR	MB
Zavzpret (zavegepant)drugId:8732	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR
Caduet (amlodipine / atorvastatin)drugId:42	PA	CARDIOVASCULAR/STATIN	M90
Accupril (quinapril)drugId:1620	PA	CARDIOVASCULAR	M90
Accuretic (quinapril / hydrochlorothiazide)drugId:1621	PA	CARDIOVASCULAR	M90
acebutololdrugId:144		CARDIOVASCULAR	M90
acetazolamidedrugId:147		CARDIOVASCULAR	A90
Adcirca (tadalafil tablet-Adcirca)drugId:1920	PA	CARDIOVASCULAR	A90
Adempas (riociguat)drugId:2883	PA	CARDIOVASCULAR
AltacedrugId:2588 (ramipril)drugId:2588		CARDIOVASCULAR	M90, #
amiloride / hydrochlorothiazidedrugId:34		CARDIOVASCULAR	M90
amiloridedrugId:33		CARDIOVASCULAR	M90
amiodarone injectiondrugId:37		CARDIOVASCULAR	MB
amiodarone tabletdrugId:38		CARDIOVASCULAR	M90
Arbli (losartan suspension)drugId:9447	PA	CARDIOVASCULAR
Aspruzyo (ranolazine extended-release granules)drugId:8563	PA	CARDIOVASCULAR
Atacand (candesartan)drugId:433	PA	CARDIOVASCULAR	M90
Atacand HCT (candesartan / hydrochlorothiazide)drugId:434	PA	CARDIOVASCULAR	M90
AvalidedrugId:969 (irbesartan / hydrochlorothiazide)drugId:969		CARDIOVASCULAR	M90, #
AvaprodrugId:968 (irbesartan)drugId:968		CARDIOVASCULAR	M90, #
AzordrugId:46 (amlodipine / olmesartan)drugId:46		CARDIOVASCULAR	M90, #
BenicardrugId:1281 (olmesartan)drugId:1281		CARDIOVASCULAR	M90, #
Benicar HCTdrugId:1282 (olmesartan / hydrochlorothiazide)drugId:1282		CARDIOVASCULAR	M90, #
BetapacedrugId:1891 (sotalol tablet)drugId:1891		CARDIOVASCULAR	M90, #
betaxolol tabletdrugId:358		CARDIOVASCULAR	M90
BidildrugId:982 (isosorbide dinitrate / hydralazine)drugId:982		CARDIOVASCULAR	M90, #
bisoprolol / hydrochlorothiazidedrugId:369		CARDIOVASCULAR	M90
bisoprololdrugId:368		CARDIOVASCULAR	M90
Brevibloc (esmolol)drugId:631		CARDIOVASCULAR	MB
bumetanidedrugId:384		CARDIOVASCULAR	M90
BystolicdrugId:1179 (nebivolol)drugId:1179		CARDIOVASCULAR	M90, #
Camzyos (mavacamten)drugId:8252	PA	CARDIOVASCULAR
captopril / hydrochlorothiazidedrugId:438	PA	CARDIOVASCULAR	M90
captoprildrugId:437	PA	CARDIOVASCULAR	M90
Cardura (doxazosin immediate-release)drugId:5163		CARDIOVASCULAR	BP, M90
chlorothiazide injectiondrugId:9136		CARDIOVASCULAR	MB
chlorthalidonedrugId:225		CARDIOVASCULAR	M90
clonidine patchdrugId:2194	PA	CARDIOVASCULAR	A90
clonidine tabletdrugId:5161	PA < 3 years	CARDIOVASCULAR	A90
CoregdrugId:185 (carvedilol)drugId:185		CARDIOVASCULAR	M90, #
Coreg CR (carvedilol extended-release)drugId:186	PA	CARDIOVASCULAR	M90
CorgarddrugId:1416 (nadolol)drugId:1416		CARDIOVASCULAR	M90, #
Corlanor (ivabradine)drugId:5124	PA	CARDIOVASCULAR	A90
CozaardrugId:1103 (losartan)drugId:1103		CARDIOVASCULAR	M90, #
digoxin 125 mcg, 250 mcg tabletdrugId:524		CARDIOVASCULAR	A90
digoxin 62.5 mcg tabletdrugId:9140	PA	CARDIOVASCULAR	A90
digoxin solutiondrugId:9184	PA ≥ 13 years	CARDIOVASCULAR	A90
diltiazem extended-release capsuledrugId:531		CARDIOVASCULAR	M90
diltiazem extended-release tabletdrugId:529		CARDIOVASCULAR	M90
diltiazem injectiondrugId:9368		CARDIOVASCULAR	MB
diltiazem tabletdrugId:528		CARDIOVASCULAR	M90
DiovandrugId:1785 (valsartan tablet)drugId:1785		CARDIOVASCULAR	M90, #
Diovan HCTdrugId:1786 (valsartan / hydrochlorothiazide)drugId:1786		CARDIOVASCULAR	M90, #
Edarbi (azilsartan)drugId:2240		CARDIOVASCULAR	BP
Edarbyclor (azilsartan / chlorthalidone)drugId:2480		CARDIOVASCULAR
enalapril / hydrochlorothiazidedrugId:599		CARDIOVASCULAR	M90
enalaprildrugId:598		CARDIOVASCULAR	M90
Entresto (sacubitril / valsartan oral pellet)drugId:9229	PA	CARDIOVASCULAR
Entresto (sacubitril / valsartan tablet)drugId:5125	PA	CARDIOVASCULAR	BP
Epaned (enalapril solution)drugId:2858	PA	CARDIOVASCULAR	M90
eprosartandrugId:613	PA	CARDIOVASCULAR	M90
ergoloid		CARDIOVASCULAR	A90
ethacrynic acid tabletdrugId:664	PA	CARDIOVASCULAR	M90
ExforgedrugId:48 (amlodipine / valsartan)drugId:48		CARDIOVASCULAR	M90, #
Exforge HCTdrugId:50 (amlodipine / valsartan / hydrochlorothiazide)drugId:50		CARDIOVASCULAR	M90, #
felodipine extended-releasedrugId:466		CARDIOVASCULAR	M90
flecainidedrugId:859		CARDIOVASCULAR	M90
Flolan (epoprostenol)drugId:612		CARDIOVASCULAR
fosinopril / hydrochlorothiazidedrugId:913		CARDIOVASCULAR	M90
fosinoprildrugId:912		CARDIOVASCULAR	M90
Furoscix (furosemide on-body infusor)drugId:8568	PA	CARDIOVASCULAR
Gonitro (nitroglycerin sublingual powder)drugId:5722	PA	CARDIOVASCULAR
guanfacinedrugId:691	PA < 3 years	CARDIOVASCULAR	A90
Hemangeol (propranolol solution)drugId:2959	PA	CARDIOVASCULAR	M90
hydralazinedrugId:715		CARDIOVASCULAR	M90
hydrochlorothiazide / triamterenedrugId:1755		CARDIOVASCULAR	M90
hydrochlorothiazidedrugId:716		CARDIOVASCULAR	M90
HyzaardrugId:1104 (losartan / hydrochlorothiazide)drugId:1104		CARDIOVASCULAR	M90, #
indapamidedrugId:790		CARDIOVASCULAR	M90
Inderal LAdrugId:1601 (propranolol extended-release)drugId:1601		CARDIOVASCULAR	M90, #
Inderal XL (propranolol long-acting capsule)drugId:6562	PA	CARDIOVASCULAR
Innopran XL (propranolol long-acting capsule)drugId:1602	PA	CARDIOVASCULAR
Inzirqo (hydrochlorothiazide suspension)drugId:9396	PA	CARDIOVASCULAR
isosorbide dinitrate 40 mg tabletdrugId:978	PA	CARDIOVASCULAR	M90
isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tabletdrugId:6290		CARDIOVASCULAR	M90
isosorbide mononitratedrugId:979		CARDIOVASCULAR	M90
isradipine immediate-releasedrugId:987	PA	CARDIOVASCULAR	M90
Kapspargo (metoprolol extended-release capsule)drugId:7135	PA	CARDIOVASCULAR
Katerzia (amlodipine suspension)drugId:7260	PA	CARDIOVASCULAR
labetaloldrugId:1001		CARDIOVASCULAR	M90
Lanoxin (digoxin injection)drugId:9137		CARDIOVASCULAR	MB
LasixdrugId:916 (furosemide tablet, injection)drugId:916		CARDIOVASCULAR	M90, #
Letairis (ambrisentan)drugId:30	PA	CARDIOVASCULAR	A90
levamlodipinedrugId:8200	PA	CARDIOVASCULAR	M90
Liqrev (sildenafil oral suspension-Liqrev)drugId:8713	PA	CARDIOVASCULAR
lisinoprildrugId:1087		CARDIOVASCULAR	M90
Lodoco (colchicine 0.5 mg tablet)drugId:9156	PA	CARDIOVASCULAR
LopressordrugId:1338 (metoprolol immediate-release tablet)drugId:1338		CARDIOVASCULAR	M90, #
LotensindrugId:132 (benazepril)drugId:132		CARDIOVASCULAR	M90, #
Lotensin HCTdrugId:133 (benazepril / hydrochlorothiazide)drugId:133		CARDIOVASCULAR	M90, #
LotreldrugId:44 (amlodipine / benazepril)drugId:44		CARDIOVASCULAR	M90, #
methyldopa / hydrochlorothiazidedrugId:951		CARDIOVASCULAR	M90
methyldopadrugId:950		CARDIOVASCULAR	M90
metolazonedrugId:1335		CARDIOVASCULAR	M90
metoprolol injectiondrugId:9369		CARDIOVASCULAR	MB
metyrosinedrugId:1349		CARDIOVASCULAR
mexiletinedrugId:1350		CARDIOVASCULAR	M90
MicardisdrugId:1660 (telmisartan)drugId:1660		CARDIOVASCULAR	M90, #
Micardis HCTdrugId:1663 (telmisartan / hydrochlorothiazide)drugId:1663		CARDIOVASCULAR	M90, #
milrinone		CARDIOVASCULAR
minoxidildrugId:1365		CARDIOVASCULAR	M90
moexiprildrugId:1375		CARDIOVASCULAR	M90
Multaq (dronedarone)drugId:583		CARDIOVASCULAR	A90
Neptazane (methazolamide)		CARDIOVASCULAR	A90, #
Nexiclon (clonidine extended-release 0.17 mg tablet)drugId:8341	PA	CARDIOVASCULAR	A90
nicardipine capsuledrugId:1207	PA	CARDIOVASCULAR	M90
nicardipine injectiondrugId:8176		CARDIOVASCULAR	MB
nifedipine capsuledrugId:2064		CARDIOVASCULAR	M90
nifedipine tabletdrugId:1213		CARDIOVASCULAR	M90
nimodipine capsuledrugId:2208	PA > 21 days treatment/365 days	CARDIOVASCULAR
Nitro-BiddrugId:1227 (nitroglycerin 2% ointment)drugId:1227		CARDIOVASCULAR	A90, #
Nitro-DurdrugId:1228 (nitroglycerin patch)drugId:1228		CARDIOVASCULAR	M90, #
nitroglycerin injectiondrugId:8676		CARDIOVASCULAR	MB
Nitrolingual (nitroglycerin lingual spray)drugId:1229	PA	CARDIOVASCULAR	BP, A90
NitrostatdrugId:1230 (nitroglycerin sublingual tablet)drugId:1230		CARDIOVASCULAR	A90, #
Norliqva (amlodipine solution)drugId:8255	PA	CARDIOVASCULAR
NorpacedrugId:546 (disopyramide immediate-release)drugId:546		CARDIOVASCULAR	A90, #
Norpace CR (disopyramide controlled-release)drugId:548		CARDIOVASCULAR
NorvascdrugId:41 (amlodipine)drugId:41		CARDIOVASCULAR	M90, #
NymalizedrugId:2847 (nimodipine oral solution)drugId:2847	PA > 21 days treatment/365 days	CARDIOVASCULAR	#
Opsumit (macitentan)drugId:2892	PA	CARDIOVASCULAR
Opsynvi (macitentan / tadalafil)drugId:8946	PA	CARDIOVASCULAR
Orenitram (treprostinil tablet)drugId:2940	PA	CARDIOVASCULAR
pentoxifylline		CARDIOVASCULAR	A90
perindoprildrugId:1509		CARDIOVASCULAR	M90
phenoxybenzaminedrugId:5123	PA	CARDIOVASCULAR	M90
pindololdrugId:1533		CARDIOVASCULAR	M90
prazosindrugId:1573	PA < 6 years	CARDIOVASCULAR	A90
Procardia XLdrugId:1215 (nifedipine extended-release)drugId:1215		CARDIOVASCULAR	M90, #
propafenone extended-releasedrugId:7637		CARDIOVASCULAR	M90
propafenone immediate-releasedrugId:1594		CARDIOVASCULAR	M90
propranolol / hydrochlorothiazidedrugId:1603		CARDIOVASCULAR	M90
propranolol immediate-release tabletdrugId:1600		CARDIOVASCULAR	A90
propranolol injectiondrugId:9370		CARDIOVASCULAR	MB
Qbrelis (lisinopril solution)drugId:5592	PA	CARDIOVASCULAR
quinidine gluconate extended-releasedrugId:7601	PA	CARDIOVASCULAR	A90
quinidine sulfatedrugId:1622		CARDIOVASCULAR	M90
ranolazine extended-release tabletdrugId:1639		CARDIOVASCULAR	A90
Remodulin (treprostinil injection)drugId:1745	PA	CARDIOVASCULAR	BP
Revatio (sildenafil 20 mg tablet)drugId:1848	PA	CARDIOVASCULAR	A90
sildenafil oral suspensiondrugId:4793	PA	CARDIOVASCULAR	A90
Sotradecol (tetradecyl sulfate injection)drugId:2495	PA	CARDIOVASCULAR	MB
Sotylize (sotalol solution)drugId:4913	PA	CARDIOVASCULAR
spironolactone / hydrochlorothiazidedrugId:1893		CARDIOVASCULAR	M90
Sular (nisoldipine)drugId:1219	PA	CARDIOVASCULAR	M90
Tekturna (aliskiren)drugId:13	PA	CARDIOVASCULAR	BP, M90
TenoreticdrugId:103 (atenolol / chlorthalidone)drugId:103		CARDIOVASCULAR	M90, #
TenormindrugId:102 (atenolol)drugId:102		CARDIOVASCULAR	M90, #
terazosin capsuledrugId:1670		CARDIOVASCULAR	M90
terazosindrugId:5165		CARDIOVASCULAR	M90
Thalitone (chlorthalidone)drugId:8168		CARDIOVASCULAR
TikosyndrugId:556 (dofetilide)drugId:556		CARDIOVASCULAR	M90, #
timolol tabletdrugId:5020		CARDIOVASCULAR	M90
Toprol XLdrugId:1337 (metoprolol extended-release tablet)drugId:1337		CARDIOVASCULAR	M90, #
torsemidedrugId:1732		CARDIOVASCULAR	M90
Tracleer (bosentan)drugId:372	PA	CARDIOVASCULAR	BP, A90
trandolapril / verapamildrugId:4812	PA	CARDIOVASCULAR	M90
trandolaprildrugId:1738		CARDIOVASCULAR	M90
triamterene / hydrochlorothiazidedrugId:1756		CARDIOVASCULAR	M90
triamterenedrugId:5247	PA	CARDIOVASCULAR	M90
Tribenzor (amlodipine / olmesartan / hydrochlorothiazide)drugId:1969	PA	CARDIOVASCULAR	M90
Tryvio (aprocitentan)drugId:9163	PA	CARDIOVASCULAR
Twynsta (amlodipine / telmisartan)drugId:1661	PA	CARDIOVASCULAR	M90
Tyvaso (treprostinil inhalation solution)drugId:1746	PA	CARDIOVASCULAR
Tyvaso DPI (treprostinil inhalation powder-Tyvaso DPI)drugId:8304	PA	CARDIOVASCULAR
Uptravi (selexipag)drugId:5401	PA	CARDIOVASCULAR
valsartan solutiondrugId:8623	PA	CARDIOVASCULAR	M90
VeletridrugId:2098 (epoprostenol)drugId:2098		CARDIOVASCULAR	#
Ventavis (iloprost)drugId:778	PA	CARDIOVASCULAR
verapamil extended-releasedrugId:2743		CARDIOVASCULAR	M90
verapamil immediate-release tabletdrugId:1800		CARDIOVASCULAR	M90
verapamil injectiondrugId:9371		CARDIOVASCULAR	MB
verapamil sustained-releasedrugId:2742		CARDIOVASCULAR	M90
Verquvo (vericiguat)drugId:7800	PA	CARDIOVASCULAR
Winrevair (sotatercept-csrk)drugId:8950	PA	CARDIOVASCULAR
ZestoreticdrugId:1090 (lisinopril / hydrochlorothiazide)drugId:1090		CARDIOVASCULAR	M90, #
ZestrildrugId:1088 (lisinopril)drugId:1088		CARDIOVASCULAR	M90, #
cefaclor suspensiondrugId:8338	PA	CEPHALOSPORINS	A90
cephalexin tabletdrugId:9510	PA	CEPHALOSPORINS	A90
AdderalldrugId:3100 (amphetamine salts)drugId:3100	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS	#
Adderall XR (amphetamine salts extended-release-Adderall XR)drugId:3000	PA < 3 years or ≥ 21 years and PA > 2 units/day	CEREBRAL STIMULANTS	BP, PD
Adzenys XR-ODT (amphetamine extended-release orally disintegrating tablet)drugId:5360	PA	CEREBRAL STIMULANTS	BP
amphetamine extended-release 1.25 mg/mL oral suspensiondrugId:6600	PA	CEREBRAL STIMULANTS
amphetamine sulfatedrugId:4901	PA	CEREBRAL STIMULANTS
Aptensio XR (methylphenidate extended-release-Aptensio XR)drugId:5100	PA	CEREBRAL STIMULANTS
Azstarys (serdexmethylphenidate / dexmethylphenidate)drugId:7978	PA	CEREBRAL STIMULANTS
Concerta (methylphenidate extended-release-Concerta)drugId:2662	PA < 3 years or ≥ 21 years and PA > 2 units/day	CEREBRAL STIMULANTS	BP
Cotempla XR-ODT (methylphenidate extended-release orally disintegrating tablet)drugId:6281	PA	CEREBRAL STIMULANTS
Daytrana (methylphenidate transdermal)drugId:3060	PA < 3 years or ≥ 21 years and PA > 1 unit/day	CEREBRAL STIMULANTS	BP
Desoxyn (methamphetamine)drugId:1165	PA	CEREBRAL STIMULANTS
Dexedrine SpansuledrugId:3140 (dextroamphetamine 5 mg, 10 mg, 15 mg capsule)drugId:3140	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS	#
dextroamphetamine 2.5 mg, 7.5 mg, 15 mg, 20 mg, 30 mg tabletdrugId:3121	PA	CEREBRAL STIMULANTS
dextroamphetamine 5 mg, 10 mg tabletdrugId:3120	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS
dextroamphetamine solutiondrugId:3141	PA < 3 years or ≥ 21 years and PA > 40 mL/day	CEREBRAL STIMULANTS
Drizalma (duloxetine sprinkle capsule)drugId:7347	PA	CEREBRAL STIMULANTS
Dyanavel XR (amphetamine extended-release 2.5 mg/mL oral suspension)drugId:5383	PA	CEREBRAL STIMULANTS
Evekeo ODT (amphetamine sulfate orally disintegrating tablet)drugId:7236	PA	CEREBRAL STIMULANTS
FocalindrugId:3101 (dexmethylphenidate)drugId:3101	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS	#
Focalin XRdrugId:3020 (dexmethylphenidate extended-release)drugId:3020	PA < 3 years or ≥ 21 years and PA > 2 units/day	CEREBRAL STIMULANTS	#
Jornay PM (methylphenidate extended-release-Jornay PM)drugId:7238	PA	CEREBRAL STIMULANTS
Methylin oral solutiondrugId:3161 (methylphenidate oral solution)drugId:3161	PA < 3 years or ≥ 21 years and PA > 30 mL/day	CEREBRAL STIMULANTS	#
methylphenidate chewable tabletdrugId:3181	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS
methylphenidate extended-release, CDdrugId:957	PA	CEREBRAL STIMULANTS
methylphenidate extended-release 72 mg tabletdrugId:6610	PA	CEREBRAL STIMULANTS
methylphenidate sustained-release tabletdrugId:963	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS
Mydayis (amphetamine salts extended-release-Mydayis)drugId:6285	PA	CEREBRAL STIMULANTS
Quillichew ER (methylphenidate extended-release chewable tablet)drugId:5391	PA	CEREBRAL STIMULANTS
Quillivant XR (methylphenidate extended-release oral suspension)drugId:3042	PA	CEREBRAL STIMULANTS
RitalindrugId:3201 (methylphenidate-Ritalin)drugId:3201	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS	#
Ritalin LA (methylphenidate-Ritalin LA)drugId:2421	PA	CEREBRAL STIMULANTS
Vyvanse (lisdexamfetamine capsule)drugId:1086	PA < 3 years or ≥ 21 years and PA > 2 units/day	CEREBRAL STIMULANTS	BP
Vyvanse (lisdexamfetamine chewable tablet)drugId:8178	PA	CEREBRAL STIMULANTS	BP
Chemet (succimer)		CHELATING AGENT
Cuvrior (trientine 300 mg tablet)drugId:8604	PA	CHELATING AGENT
Depen (penicillamine tablet)drugId:1497		CHELATING AGENT	BP, A90
DesferaldrugId:334 (deferoxamine)drugId:334		CHELATING AGENT	#
Exjade (deferasirox dispersible tablet)drugId:333	PA	CHELATING AGENT	BP, A90
Ferriprox (deferiprone)drugId:2483	PA	CHELATING AGENT	A90
Jadenu (deferasirox granule packet)drugId:4942	PA	CHELATING AGENT	A90
JadenudrugId:9347 (deferasirox tablet)drugId:9347		CHELATING AGENT	A90, #
Lokelma (sodium zirconium cyclosilicate)drugId:6905	PA > 1 unit/day	CHELATING AGENT
penicillamine capsuledrugId:1496		CHELATING AGENT	A90
sodium polystyrene sulfonatedrugId:1874		CHELATING AGENT
Thiola (tiopronin)		CHELATING AGENT	BP, A90
Thiola EC (tiopronin delayed-release)		CHELATING AGENT	BP, A90
trientine 250 mg capsuledrugId:1759		CHELATING AGENT	A90
trientine 500 mg capsuledrugId:8925	PA	CHELATING AGENT	A90
Veltassa (patiromer)drugId:5320	PA > 1 unit/day	CHELATING AGENT
Abecma (idecabtagene vicleucel)drugId:7877	PA	CHEMOTHERAPY	CO
Abraxane (paclitaxel injectable suspension)drugId:1468		CHEMOTHERAPY	MB
Actimmune (interferon gamma-1b)drugId:829		CHEMOTHERAPY
Adcetris (brentuximab)drugId:2374	PA	CHEMOTHERAPY	MB
Adriamycin (doxorubicin)drugId:571		CHEMOTHERAPY	MB
Afinitor (everolimus 2.5 mg, 5 mg, 7.5 mg, 10 mg)drugId:448	PA	CHEMOTHERAPY	A90
Afinitor Disperz (everolimus tablets for oral suspension)drugId:2795	PA	CHEMOTHERAPY	BP, A90
Alecensa (alectinib)drugId:5221	PA	CHEMOTHERAPY
Alimta (pemetrexed disodium-Alimta)drugId:1492		CHEMOTHERAPY	MB
AloprimdrugId:7545 (allopurinol sodium)drugId:7545		CHEMOTHERAPY	#
Alunbrig (brigatinib)drugId:6180	PA	CHEMOTHERAPY
Alymsys (bevacizumab-maly)drugId:8331	PA	CHEMOTHERAPY	MB
Ameluz (aminolevulinic acid)drugId:6841	PA	CHEMOTHERAPY	MB
Amtagvi (lifileucel)drugId:8918	PA	CHEMOTHERAPY	CO
ArimidexdrugId:69 (anastrozole)drugId:69		CHEMOTHERAPY	A90, #
AromasindrugId:450 (exemestane)drugId:450		CHEMOTHERAPY	A90, #
Arranon (nelarabine)drugId:1182	PA	CHEMOTHERAPY	MB
Arzerra (ofatumumab vial)drugId:1270	PA	CHEMOTHERAPY	MB
Asparlas (calaspargase pegol-mknl)drugId:7328	PA	CHEMOTHERAPY	MB
Aucatzyl (obecabtagene autoleucel)drugId:9216	PA	CHEMOTHERAPY	CO
Avastin (bevacizumab)drugId:360	PA	CHEMOTHERAPY	MB
Avgemsi (gemcitabine vial - Avgemsi)drugId:9389		CHEMOTHERAPY	MB
Axtle (pemetrexed dipotassium)drugId:9217	PA	CHEMOTHERAPY	MB
Ayvakit (avapritinib)drugId:7360	PA	CHEMOTHERAPY
Azedra (iobenguane I 131)drugId:6980		CHEMOTHERAPY	MB
Balversa (erdafitinib)drugId:7129	PA	CHEMOTHERAPY
Bavencio (avelumab)drugId:6100	PA	CHEMOTHERAPY	MB
BCG live, intravesicaldrugId:127		CHEMOTHERAPY	MB
Beleodaq (belinostat)drugId:4621	PA	CHEMOTHERAPY	MB
Belrapzo (bendamustine)drugId:7130		CHEMOTHERAPY	MB
Bendeka (bendamustine)drugId:5380		CHEMOTHERAPY	MB
Besponsa (inotuzumab ozogamicin)drugId:6341	PA	CHEMOTHERAPY	MB
Besremi (ropeginterferon alfa-2b-njft)drugId:8251	PA	CHEMOTHERAPY
bexarotenedrugId:361		CHEMOTHERAPY	A90
Bicnu (carmustine)drugId:183		CHEMOTHERAPY	MB
Bizengri (zenocutuzumab-zbco)drugId:9297	PA	CHEMOTHERAPY	MB
Blenrep (belantamab mafodotin-blmf)drugId:7657	PA	CHEMOTHERAPY
bleomycindrugId:370		CHEMOTHERAPY	MB
Blincyto (blinatumomab)drugId:4763	PA	CHEMOTHERAPY	MB
bortezomibdrugId:6482		CHEMOTHERAPY	MB
Bosulif (bosutinib)drugId:2639	PA	CHEMOTHERAPY	BP
Braftovi (encorafenib)drugId:6800	PA	CHEMOTHERAPY
Breyanzi (lisocabtagene maraleucel)drugId:7778	PA	CHEMOTHERAPY	CO
Brukinsa (zanubrutinib)drugId:7345	PA	CHEMOTHERAPY
Busulfex (busulfan injection)drugId:2537		CHEMOTHERAPY	MB
Cabometyx (cabozantinib tablet)drugId:5585	PA	CHEMOTHERAPY
Calquence (acalabrutinib)drugId:6483	PA	CHEMOTHERAPY
Campath (alemtuzumab 30 mg)drugId:6110		CHEMOTHERAPY
Camptosar (irinotecan)drugId:970		CHEMOTHERAPY	MB
Caprelsa (vandetanib)drugId:2281	PA	CHEMOTHERAPY
carboplatindrugId:179		CHEMOTHERAPY	MB
Carvykti (ciltacabtagene autoleucel)drugId:8204	PA	CHEMOTHERAPY	CO
CasodexdrugId:362 (bicalutamide)drugId:362		CHEMOTHERAPY	A90, #
cisplatindrugId:247		CHEMOTHERAPY	MB
cladribine injectiondrugId:2673		CHEMOTHERAPY	MB
Clolar (clofarabine)drugId:271		CHEMOTHERAPY	MB
Cometriq (cabozantinib capsule)drugId:2719	PA	CHEMOTHERAPY
Copiktra (duvelisib)drugId:7002	PA	CHEMOTHERAPY
Cosela (trilaciclib)drugId:7897	PA	CHEMOTHERAPY	MB
Cosmegen (dactinomycin)drugId:2674		CHEMOTHERAPY	MB
Cotellic (cobimetinib)drugId:5243	PA	CHEMOTHERAPY
cyclophosphamide capsule, tabletdrugId:310		CHEMOTHERAPY	A90
cyclophosphamide injectiondrugId:8364		CHEMOTHERAPY	MB
Cyramza (ramucirumab)drugId:2955	PA	CHEMOTHERAPY	MB
cytarabinedrugId:317		CHEMOTHERAPY	MB
dacarbazinedrugId:319		CHEMOTHERAPY	MB
Danyelza (naxitamab-gqgk)drugId:7725	PA	CHEMOTHERAPY	MB
Danziten (nilotinib tablet)drugId:9219	PA	CHEMOTHERAPY
Darzalex (daratumumab)drugId:5244	PA	CHEMOTHERAPY	MB
Darzalex Faspro (daratumumab / hyaluronidase-fihj)drugId:7387	PA	CHEMOTHERAPY	MB
daunorubicindrugId:2676		CHEMOTHERAPY	MB
Daurismo (glasdegib)drugId:7100	PA	CHEMOTHERAPY
decitabinedrugId:332		CHEMOTHERAPY	MB
diclofenac 3% geldrugId:508		CHEMOTHERAPY	A90
docetaxeldrugId:553		CHEMOTHERAPY	MB
Docivyx (docetaxel)drugId:8938		CHEMOTHERAPY	MB
Doxil (doxorubicin liposomal injection)drugId:2689		CHEMOTHERAPY	MB
Elahere (mirvetuximab soravtansine-gynx)drugId:8567	PA	CHEMOTHERAPY	MB
Eligard (leuprolide-Eligard)drugId:1034	PA	CHEMOTHERAPY
EllencedrugId:608 (epirubicin)drugId:608		CHEMOTHERAPY	#
Elzonris (tagraxofusp-erzs)drugId:7182	PA	CHEMOTHERAPY	MB
Emcyt (estramustine)drugId:656		CHEMOTHERAPY
Empliciti (elotuzumab)drugId:5246	PA	CHEMOTHERAPY	MB
Enhertu (fam-trastuzumab deruxtecan-nxki)drugId:7390	PA	CHEMOTHERAPY	MB
Erbitux (cetuximab)drugId:212		CHEMOTHERAPY	MB
Erivedge (vismodegib)drugId:2481	PA	CHEMOTHERAPY
Erleada (apalutamide)drugId:6682	PA	CHEMOTHERAPY
Etopophos (etoposide phosphate)drugId:7391	PA	CHEMOTHERAPY	MB
etoposide capsuledrugId:446		CHEMOTHERAPY	A90
etoposide injectiondrugId:8365		CHEMOTHERAPY	MB
Evomela (melphalan injection)drugId:5385		CHEMOTHERAPY	MB
FarestondrugId:1731 (toremifene)drugId:1731		CHEMOTHERAPY	A90, #
Faslodex (fulvestrant)drugId:915	PA	CHEMOTHERAPY	MB
FemaradrugId:1031 (letrozole)drugId:1031		CHEMOTHERAPY	A90, #
Firmagon (degarelix)drugId:335	PA	CHEMOTHERAPY
floxuridinedrugId:2680		CHEMOTHERAPY	MB
fludarabinedrugId:2538		CHEMOTHERAPY
fluorouracil 0.5% creamdrugId:876	PA	CHEMOTHERAPY	A90
fluorouracil 5% creamdrugId:2260		CHEMOTHERAPY	A90
fluorouracil injectiondrugId:875		CHEMOTHERAPY	MB
fluorouracil solutiondrugId:877		CHEMOTHERAPY	A90
Folotyn (pralatrexate)drugId:1568		CHEMOTHERAPY	MB
Fotivda (tivozanib)drugId:7882	PA	CHEMOTHERAPY
Gavreto (pralsetinib)drugId:7660	PA	CHEMOTHERAPY
Gazyva (obinutuzumab)drugId:2887	PA	CHEMOTHERAPY	MB
gemcitabine vialdrugId:926		CHEMOTHERAPY	MB
Gilotrif (afatinib)drugId:2843	PA	CHEMOTHERAPY
GleevecdrugId:779 (imatinib)drugId:779		CHEMOTHERAPY	A90, #
Gomekli (mirdametinib)drugId:9395	PA	CHEMOTHERAPY
Halaven (eribulin)drugId:2168	PA	CHEMOTHERAPY	MB
Hepzato (melphalan hepatic delivery system)drugId:8940	PA	CHEMOTHERAPY	MB
Herceptin (trastuzumab)drugId:1742	PA	CHEMOTHERAPY	MB
Herceptin Hylecta (trastuzumab / hyaluronidase-oysk)drugId:7782	PA	CHEMOTHERAPY	MB
Hercessi (trastuzumab-strf)drugId:9299	PA	CHEMOTHERAPY	MB
Herzuma (trastuzumab-pkrb)drugId:7783	PA	CHEMOTHERAPY	MB
Hycamtin (topotecan capsule)drugId:1730		CHEMOTHERAPY
Hycamtin (topotecan injection)drugId:8366		CHEMOTHERAPY	MB
hydroxyurea capsuledrugId:761		CHEMOTHERAPY	A90
Ibrance (palbociclib)drugId:4940	PA	CHEMOTHERAPY	PD
Iclusig (ponatinib)drugId:2724	PA	CHEMOTHERAPY
Idamycin PFS (idarubicin)drugId:2687		CHEMOTHERAPY	MB
Idhifa (enasidenib)drugId:6284	PA	CHEMOTHERAPY
Ifex (ifosfamide)drugId:2457		CHEMOTHERAPY	MB
Imbruvica (ibrutinib)drugId:2927	PA	CHEMOTHERAPY
Imfinzi (durvalumab)drugId:6122	PA	CHEMOTHERAPY	MB
Imlygic (talimogene laherparepvec)drugId:5440	PA	CHEMOTHERAPY	MB
Infugem (gemcitabine premixed infusion)drugId:7284	PA	CHEMOTHERAPY	MB
Inlyta (axitinib)drugId:2484	PA	CHEMOTHERAPY
Inqovi (decitabine / cedazuridine)drugId:7597		CHEMOTHERAPY
Inrebic (fedratinib)drugId:7332	PA	CHEMOTHERAPY
Iressa (gefitinib)drugId:924	PA	CHEMOTHERAPY	A90
Istodax (romidepsin lyophilized)drugId:1959	PA	CHEMOTHERAPY	MB
Iwilfin (eflornithine)drugId:8921	PA	CHEMOTHERAPY
Ixempra (ixabepilone)drugId:990		CHEMOTHERAPY	MB
Jakafi (ruxolitinib tablet)drugId:2418	PA	CHEMOTHERAPY
Jaypirca (pirtobrutinib)drugId:8657	PA	CHEMOTHERAPY
Jelmyto (mitomycin pyelocalyceal solution)drugId:7453	PA	CHEMOTHERAPY	MB
Jevtana (cabazitaxel)drugId:1961	PA	CHEMOTHERAPY	MB
Joenja (leniolisib)drugId:8658	PA	CHEMOTHERAPY
Jylamvo (methotrexate 2 mg/mL oral solution)drugId:8820	PA	CHEMOTHERAPY
Kadcyla (ado-trastuzumab)drugId:2781	PA	CHEMOTHERAPY	MB
Kanjinti (trastuzumab-anns)drugId:7784	PA	CHEMOTHERAPY	MB
Keytruda (pembrolizumab)drugId:4780	PA	CHEMOTHERAPY	MB
Kimmtrak (tebentafusp-tebn)drugId:8209	PA	CHEMOTHERAPY	MB
Kisqali (ribociclib)drugId:6102	PA	CHEMOTHERAPY
Kisqali-Femara Co-Pack (ribociclib / letrozole)drugId:6103	PA	CHEMOTHERAPY
Koselugo (selumetinib)drugId:7467	PA	CHEMOTHERAPY
Kymriah (tisagenlecleucel)drugId:6404	PA	CHEMOTHERAPY	CO
Kyprolis (carfilzomib)drugId:2581	PA	CHEMOTHERAPY	MB
Lazcluze (lazertinib)drugId:9165	PA	CHEMOTHERAPY
Lenvima (lenvatinib)drugId:4943	PA	CHEMOTHERAPY
Leukeran (chlorambucil)drugId:216	PA	CHEMOTHERAPY
Levulan (aminolevulinic acid)drugId:5662	PA	CHEMOTHERAPY	MB
Libtayo (cemiplimab-rwlc)drugId:7005	PA	CHEMOTHERAPY	MB
Lonsurf (trifluridine / tipiracil)drugId:5261	PA	CHEMOTHERAPY
Lorbrena (lorlatinib)drugId:7042	PA	CHEMOTHERAPY
Lumakras (sotorasib)drugId:7980	PA	CHEMOTHERAPY
Lunsumio (mosunetuzumab-axgb)drugId:8572	PA	CHEMOTHERAPY	MB
Lynparza (olaparib)drugId:4783	PA	CHEMOTHERAPY
Lysodren (mitotane)drugId:4881		CHEMOTHERAPY
Margenza (margetuximab-cmkb)drugId:7786	PA	CHEMOTHERAPY	MB
Matulane (procarbazine)drugId:1589		CHEMOTHERAPY
Mekinist (trametinib)drugId:2845	PA	CHEMOTHERAPY
Mektovi (binimetinib)drugId:6802	PA	CHEMOTHERAPY
melphalan hydrochloride injectiondrugId:1138		CHEMOTHERAPY	MB
mercaptopurine tabletdrugId:1147		CHEMOTHERAPY	A90
methotrexate 2.5 mg tabletdrugId:943		CHEMOTHERAPY	A90
methotrexate injectiondrugId:2935		CHEMOTHERAPY
mitomycin injectiondrugId:1370		CHEMOTHERAPY	MB
mitoxantronedrugId:1372		CHEMOTHERAPY	MB
Monjuvi (tafasitamab-cxix)drugId:7492	PA	CHEMOTHERAPY
Mvasi (bevacizumab-awwb)drugId:7787	PA	CHEMOTHERAPY	MB
Myleran (busulfan tablet)drugId:2536		CHEMOTHERAPY
Mylotarg (gemtuzumab ozogamicin)drugId:6342	PA	CHEMOTHERAPY	MB
Nerlynx (neratinib)drugId:6287	PA	CHEMOTHERAPY
Nexavar (sorafenib)drugId:1890	PA	CHEMOTHERAPY	BP, A90
nilutamidedrugId:1217		CHEMOTHERAPY	A90
Ninlaro (ixazomib)drugId:5281	PA	CHEMOTHERAPY
Nipent (pentostatin)drugId:2692		CHEMOTHERAPY	MB
Nubeqa (darolutamide)drugId:7289	PA	CHEMOTHERAPY
Odomzo (sonidegib)drugId:5284	PA	CHEMOTHERAPY
Ogivri (trastuzumab-dkst)drugId:7789	PA	CHEMOTHERAPY	MB
Ogsiveo (nirogacestat)drugId:8922	PA	CHEMOTHERAPY
Ojemda (tovorafenib)drugId:9067	PA	CHEMOTHERAPY
Oncaspar (pegaspargase)drugId:2430		CHEMOTHERAPY	MB
Onivyde (irinotecan liposome)drugId:5285	PA	CHEMOTHERAPY	MB
Ontruzant (trastuzumab-dttb)drugId:7791	PA	CHEMOTHERAPY	MB
Onureg (azacitidine tablet)drugId:7565	PA	CHEMOTHERAPY
Opdivo (nivolumab)drugId:5108	PA	CHEMOTHERAPY	MB
Opdivo Qvantig (nivolumab-hyaluronidase-nvhy)drugId:9301	PA	CHEMOTHERAPY	MB
Opdualag (nivolumab / relatlimab-rmbw)drugId:8256	PA	CHEMOTHERAPY	MB
oxaliplatindrugId:1307		CHEMOTHERAPY	MB
paclitaxel injectiondrugId:1467		CHEMOTHERAPY
Padcev (enfortumab vedotin-ejfv)drugId:7351	PA	CHEMOTHERAPY	MB
Pemazyre (pemigatinib)drugId:7455	PA	CHEMOTHERAPY
pemetrexeddrugId:8267		CHEMOTHERAPY	MB
Pemfexy (pemetrexed-Pemfexy)drugId:8300	PA	CHEMOTHERAPY	MB
Pemrydi RTU (pemetrexed disodium-Pemrydi RTU)drugId:9224	PA	CHEMOTHERAPY	MB
Perjeta (pertuzumab)drugId:2583	PA	CHEMOTHERAPY	MB
Phesgo (pertuzumab / trastuzumab / hyaluronidase-zzxf)drugId:7618	PA	CHEMOTHERAPY	MB
Piqray (alpelisib-Piqray)drugId:7225	PA	CHEMOTHERAPY
Polivy (polatuzumab vedotin-piiq)drugId:7263	PA	CHEMOTHERAPY	MB
Pomalyst (pomalidomide)drugId:2787	PA	CHEMOTHERAPY
Portrazza (necitumumab)drugId:5420	PA	CHEMOTHERAPY	MB
Poteligeo (mogamulizumab-kpkc)drugId:6924	PA	CHEMOTHERAPY	MB
Provenge (sipuleucel-T)drugId:2288	PA	CHEMOTHERAPY	MB
Purixan (mercaptopurine oral suspension)drugId:4632	PA	CHEMOTHERAPY	A90
Qinlock (ripretinib)drugId:7469	PA	CHEMOTHERAPY
Quadramet (samarium Sm 153 lexidronam)		CHEMOTHERAPY	MB
Retevmo (selpercatinib)drugId:7456	PA	CHEMOTHERAPY
Revlimid (lenalidomide)drugId:2298	PA	CHEMOTHERAPY	BP, A90
Revuforj (revumenib)drugId:9302	PA	CHEMOTHERAPY
Rezlidhia (olutasidenib)drugId:8578	PA	CHEMOTHERAPY
Riabni (rituximab-arrx)drugId:7726	PA	CHEMOTHERAPY	MB
Rituxan (rituximab)drugId:1447	PA	CHEMOTHERAPY	MB
Rituxan Hycela (rituximab / hyaluronidase human)drugId:6183	PA	CHEMOTHERAPY	MB
romidepsin non-lyophilizeddrugId:7378	PA	CHEMOTHERAPY	MB
Rozlytrek (entrectinib)drugId:7266	PA	CHEMOTHERAPY
Rubraca (rucaparib)drugId:5980	PA	CHEMOTHERAPY
Ruxience (rituximab-pvvr)drugId:7379	PA	CHEMOTHERAPY	MB
Rybrevant (amivantamab-vmjw)drugId:7982	PA	CHEMOTHERAPY	MB
Rydapt (midostaurin)drugId:6184	PA	CHEMOTHERAPY
Rylaze (asparaginase erwinia chrysanthemi-rywn)drugId:7981	PA	CHEMOTHERAPY	MB
Sarclisa (isatuximab-irfc)drugId:7395	PA	CHEMOTHERAPY	MB
Scemblix (asciminib)drugId:8210	PA	CHEMOTHERAPY
Soltamox (tamoxifen solution)drugId:4980		CHEMOTHERAPY
Sprycel (dasatinib)drugId:331		CHEMOTHERAPY	BP, A90
Stivarga (regorafenib)drugId:2646	PA	CHEMOTHERAPY
Sutent (sunitinib)drugId:1917	PA	CHEMOTHERAPY	BP, A90
Synribo (omacetaxine mepesuccinate)drugId:2659	PA	CHEMOTHERAPY
Tabrecta (capmatinib)drugId:7458	PA	CHEMOTHERAPY
Tafinlar (dabrafenib)drugId:2823	PA	CHEMOTHERAPY
Tagrisso (osimertinib)drugId:5301	PA	CHEMOTHERAPY
Talzenna (talazoparib)drugId:7045	PA	CHEMOTHERAPY
tamoxifen tabletdrugId:1921		CHEMOTHERAPY	M90
Tarceva (erlotinib)drugId:619	PA	CHEMOTHERAPY	A90
Tasigna (nilotinib capsule)drugId:1216		CHEMOTHERAPY	BP
Tazverik (tazemetostat)drugId:7381	PA	CHEMOTHERAPY
Tecartus (brexucabtagene autoleucel)drugId:7495	PA	CHEMOTHERAPY	CO
Tecentriq (atezolizumab)drugId:5593	PA	CHEMOTHERAPY	MB
Tecentriq Hybreza (atezolizumab-hyaluronidase-tqjs)drugId:9167	PA	CHEMOTHERAPY	MB
TemodardrugId:1667 (temozolomide)drugId:1667		CHEMOTHERAPY	A90, #
teniposidedrugId:2699		CHEMOTHERAPY
Tepmetko (tepotinib)drugId:7797	PA	CHEMOTHERAPY
Tevimbra (tislelizumab-jsgr)drugId:9074	PA	CHEMOTHERAPY	MB
Tibsovo (ivosidenib)drugId:6925	PA	CHEMOTHERAPY
Tivdak (tisotumab vedotin-tftv)drugId:8161	PA	CHEMOTHERAPY	MB
ToriseldrugId:1668 (temsirolimus)drugId:1668		CHEMOTHERAPY	#
Trazimera (trastuzumab-qyyp)drugId:7799	PA	CHEMOTHERAPY	MB
Treanda (bendamustine)drugId:134		CHEMOTHERAPY	MB
Trelstar (triptorelin-Trelstar)drugId:1766	PA	CHEMOTHERAPY
tretinoin capsuledrugId:5135		CHEMOTHERAPY	A90
TrisenoxdrugId:2697 (arsenic trioxide)drugId:2697		CHEMOTHERAPY	#
Trodelvy (sacituzumab govitecan-hziy)drugId:7397	PA	CHEMOTHERAPY	MB
Truqap (capivasertib)drugId:8827	PA	CHEMOTHERAPY
Truxima (rituximab-abbs)drugId:7382	PA	CHEMOTHERAPY	MB
Tukysa (tucatinib)drugId:7398	PA	CHEMOTHERAPY
Turalio (pexidartinib)drugId:7279	PA	CHEMOTHERAPY
Tykerb (lapatinib)drugId:1025		CHEMOTHERAPY	BP, A90
Valchlor (mechlorethamine gel)drugId:2893		CHEMOTHERAPY
Valstar (valrubicin)drugId:1784		CHEMOTHERAPY	MB
Vectibix (panitumumab)drugId:1475		CHEMOTHERAPY	MB
Velcade (bortezomib)drugId:371		CHEMOTHERAPY	MB
Venclexta (venetoclax)drugId:5595	PA	CHEMOTHERAPY
Verzenio (abemaciclib)drugId:6410	PA	CHEMOTHERAPY
Vidaza (azacitidine vial)drugId:110		CHEMOTHERAPY	MB
vinblastinedrugId:1803		CHEMOTHERAPY	MB
vincristinedrugId:1804		CHEMOTHERAPY	MB
vinorelbinedrugId:1805		CHEMOTHERAPY
Vitrakvi (larotrectinib)drugId:7047	PA	CHEMOTHERAPY
Vivimusta (bendamustine)drugId:8566		CHEMOTHERAPY	MB
Vizimpro (dacomitinib)drugId:7048	PA	CHEMOTHERAPY
Vonjo (pacritinib)drugId:8308	PA	CHEMOTHERAPY
Votrient (pazopanib)drugId:1486	PA	CHEMOTHERAPY	BP, A90
Vyloy (zolbetuximab-clzb)drugId:9189	PA	CHEMOTHERAPY	MB
Vyxeos (daunorubicin / cytarabine)drugId:6412	PA	CHEMOTHERAPY	MB
Welireg (belzutifan)drugId:8165	PA	CHEMOTHERAPY
Xalkori (crizotinib)drugId:2376	PA	CHEMOTHERAPY
Xatmep (methotrexate 2.5 mg/mL oral solution)drugId:6125	PA	CHEMOTHERAPY
XelodadrugId:435 (capecitabine)drugId:435		CHEMOTHERAPY	A90, #
Xospata (gilteritinib)drugId:7108	PA	CHEMOTHERAPY
Xpovio (selinexor)drugId:7300	PA	CHEMOTHERAPY
Xtandi (enzalutamide)drugId:2651	PA	CHEMOTHERAPY
Yervoy (ipilimumab)drugId:2296	PA	CHEMOTHERAPY	MB
Yescarta (axicabtagene ciloleucel)drugId:6414	PA	CHEMOTHERAPY	CO
Yonsa (abiraterone 125 mg)drugId:6824	PA	CHEMOTHERAPY
Zaltrap (ziv-aflibercept)drugId:2637	PA	CHEMOTHERAPY	MB
Zanosar (streptozocin)drugId:2700		CHEMOTHERAPY	MB
Zejula (niraparib)drugId:6126	PA	CHEMOTHERAPY
Zelboraf (vemurafenib)drugId:2372	PA	CHEMOTHERAPY
Zepzelca (lurbinectedin)drugId:7604	PA	CHEMOTHERAPY	MB
Ziihera (zanidatamab-hrii)drugId:9225	PA	CHEMOTHERAPY	MB
Zirabev (bevacizumab-bvzr)drugId:7801	PA	CHEMOTHERAPY	MB
Zolinza (vorinostat)drugId:1811		CHEMOTHERAPY
Zydelig (idelalisib)drugId:4644	PA	CHEMOTHERAPY
Zykadia (ceritinib)drugId:2951	PA	CHEMOTHERAPY
Zynlonta (loncastuximab tesirine-lpyl)drugId:8027	PA	CHEMOTHERAPY
Zynyz (retifanlimab-dlwr)drugId:8651	PA	CHEMOTHERAPY	MB
Zytiga (abiraterone 250 mg, 500 mg)drugId:8292	PA	CHEMOTHERAPY	A90
Tyrvaya (varenicline nasal spray)drugId:8198	PA	CHOLINERGIC AGONIST
Relexxii (methylphenidate extended-release-Relexxii)drugId:8536	PA	CNS STIMULANTS
cherry syrupdrugId:214		COMPOUNDING AGENT	*
gelatin capsule, emptydrugId:925		COMPOUNDING AGENT	*
glycerindrugId:677		COMPOUNDING AGENT	*
lanolindrugId:1019		COMPOUNDING AGENT	*
Ora-Plus suspending vehicledrugId:1298		COMPOUNDING AGENT	*
Ora-Sweet oral syrupdrugId:1299		COMPOUNDING AGENT	*
Ora-Sweet-SF oral syrupdrugId:1300		COMPOUNDING AGENT	*
simple syrupdrugId:1854		COMPOUNDING AGENT	*
Amitiza (lubiprostone)drugId:1110	PA	CONSTIPATION AGENTS	M90
bisacodyl enema, suppositorydrugId:8222		CONSTIPATION AGENTS	*, A90
bisacodyl tabletdrugId:364		CONSTIPATION AGENTS	*, M90
docusate sodium capsule, tabletdrugId:554		CONSTIPATION AGENTS	*, M90
docusate sodium solution, syrupdrugId:8223		CONSTIPATION AGENTS	*, A90
Enemeez (docusate sodium enema)drugId:555		CONSTIPATION AGENTS	A90
Enemeez Plus (docusate / benzocaine enema)drugId:8675		CONSTIPATION AGENTS	A90
Ibsrela (tenapanor 50 mg tablet)drugId:8208	PA	CONSTIPATION AGENTS
lactulose packetdrugId:1007	PA	CONSTIPATION AGENTS
Linzess (linaclotide)drugId:2658		CONSTIPATION AGENTS
methylcellulosedrugId:5920		CONSTIPATION AGENTS	*, A90
mineral oildrugId:1360		CONSTIPATION AGENTS	*, A90
Motegrity (prucalopride)drugId:7136	PA	CONSTIPATION AGENTS	BP
psyllium capsuledrugId:8224		CONSTIPATION AGENTS	A90
psyllium powderdrugId:1610		CONSTIPATION AGENTS	*, A90
sennosides syrupdrugId:1842		CONSTIPATION AGENTS	*, A90
sennosides tabletdrugId:8225		CONSTIPATION AGENTS	*, M90
Symproic (naldemedine)drugId:6619	PA	CONSTIPATION AGENTS
Annovera (segesterone / ethinyl estradiol)		CONTRACEPTIVES
Balcoltra (levonorgestrel / ethinyl estradiol / ferrous bisglycinate)		CONTRACEPTIVES	M90
Beyaz (ethinyl estradiol / drospirenone / levomefolate-Beyaz)		CONTRACEPTIVES	M90, #
Depo-Provera (medroxyprogesterone injection)		CONTRACEPTIVES	#
Depo-SubQ Provera 104 (medroxyprogesterone injection)		CONTRACEPTIVES
Ella (ulipristal acetate)		CONTRACEPTIVES
Estrostep FE (ethinyl estradiol / norethindrone / ferrous fumarate)		CONTRACEPTIVES	M90, #
ethinyl estradiol / desogestrel		CONTRACEPTIVES	M90
ethinyl estradiol / ethynodiol		CONTRACEPTIVES	M90
ethinyl estradiol / norelgestromin patch		CONTRACEPTIVES	M90
ethinyl estradiol / norethindrone / ferrous fumarate		CONTRACEPTIVES	M90
ethinyl estradiol / norethindrone		CONTRACEPTIVES	M90
ethinyl estradiol / norgestimate		CONTRACEPTIVES	M90
Femlyv ODT (ethinyl estradiol / norethindrone orally disintegrating tablet)		CONTRACEPTIVES
Generess Fe (ethinyl estradiol / norethindrone / ferrous fumarate chewable 0.8 mg / 25 mcg)		CONTRACEPTIVES	M90, #
Kyleena (levonorgestrel-releasing intrauterine system 19.5 mg)		CONTRACEPTIVES
levonorgestrel / ethinyl estradiol 0.10/0.02 mg		CONTRACEPTIVES	M90
levonorgestrel / ethinyl estradiol 0.15/0.03 mg		CONTRACEPTIVES	M90
levonorgestrel / ethinyl estradiol 90/20 mcg		CONTRACEPTIVES	M90
levonorgestrel / ethinyl estradiol triphasic		CONTRACEPTIVES	M90
levonorgestrel 1.5 mg tablet		CONTRACEPTIVES	*
Liletta (levonorgestrel-releasing intrauterine system 52 mg-Liletta)		CONTRACEPTIVES
Lo Loestrin Fe (norethindrone / ethinyl estradiol / ferrous fumarate)		CONTRACEPTIVES
Loseasonique (levonorgestrel / ethinyl estradiol-Loseasonique)		CONTRACEPTIVES	M90, #
Minastrin 24 Fe (ethinyl estradiol / norethindrone / ferrous fumarate chewable-Minastrin 24 Fe)		CONTRACEPTIVES	M90, #
Mirena (levonorgestrel-releasing intrauterine system 52 mg-Mirena)		CONTRACEPTIVES
Natazia (estradiol valerate and estradiol valerate / dienogest)		CONTRACEPTIVES
Nexplanon (etonogestrel implant-Nexplanon)		CONTRACEPTIVES
nonoxynol-9		CONTRACEPTIVES	A90
norethindrone 0.35 mg		CONTRACEPTIVES	M90
norgestrel / ethinyl estradiol 0.3/0.03 mg		CONTRACEPTIVES	M90
Nuvaring (etonogestrel / ethinyl estradiol)		CONTRACEPTIVES	M90, #
Opill (norgestrel tablet-Opill)		CONTRACEPTIVES	A90
Ortho Micronor (norethindrone 0.35 mg)		CONTRACEPTIVES	M90, #
Ortho-Novum (ethinyl estradiol / norethindrone-Ortho-Novum)		CONTRACEPTIVES	M90, #
Ortho Tri-Cyclen (ethinyl estradiol / norgestimate-Ortho Tri-Cyclen)		CONTRACEPTIVES	M90, #
Paragard (copper IUD)		CONTRACEPTIVES
Phexxi (lactic acid / citric acid / potassium bitartrate vaginal gel)		CONTRACEPTIVES
Quartette (levonorgestrel / ethinyl estradiol-Quartette)		CONTRACEPTIVES	M90, #
Safyral (ethinyl estradiol / drospirenone / levomefolate-Safyral)		CONTRACEPTIVES	M90, #
Seasonique (levonorgestrel / ethinyl estradiol-Seasonique)		CONTRACEPTIVES	M90, #
Skyla (levonorgestrel-releasing intrauterine system 13.5 mg)		CONTRACEPTIVES
Slynd (drospirenone)		CONTRACEPTIVES
Taytulla (ethinyl estradiol / norethindrone / ferrous fumarate)		CONTRACEPTIVES	M90, #
Twirla (levonorgestrel / ethinyl estradiol patch)		CONTRACEPTIVES
Tyblume (levonorgestrel / ethinyl estradiol)		CONTRACEPTIVES
Yasmin (ethinyl estradiol / drospirenone-Yasmin)		CONTRACEPTIVES	M90, #
Yaz (ethinyl estradiol / drospirenone-Yaz)		CONTRACEPTIVES	M90, #
Actemra (tocilizumab vial COVID)drugId:7837		COVID - 19 related Treatments and Vaccines	MB
Comirnaty (Pfizer-BioNTech COVID-19 vaccine, mRNA)drugId:8310		COVID - 19 related Treatments and Vaccines	1
Gohibic (vilobelimab COVID EUA - April 4, 2023)drugId:8569		COVID - 19 related Treatments and Vaccines	MB
Lagevrio (molnupiravir COVID EUA – December 23, 2021)drugId:8128	PA	COVID - 19 related Treatments and Vaccines
Mnexspike (Moderna COVID-19 vaccine, mRNA)drugId:9401		COVID - 19 related Treatments and Vaccines	1
Nuvaxovid (Novavax COVID-19 vaccine, adjuvanted)drugId:9402		COVID - 19 related Treatments and Vaccines	1
Olumiant (baricitinib COVID EUA - November 19, 2020 for members 2 to 17 years of age)drugId:7510		COVID - 19 related Treatments and Vaccines	MB
Olumiant (baricitinib for members ≥ 18 years of age COVID)drugId:8214		COVID - 19 related Treatments and Vaccines	MB
Paxlovid (nirmatrelvir / ritonavir 150-100 mg)drugId:8581	PA < 12 years and PA > 20 units/claim	COVID - 19 related Treatments and Vaccines	PD
Paxlovid (nirmatrelvir / ritonavir 300/150-100 mg)drugId:9277	PA < 12 years and > 11 units/claim	COVID - 19 related Treatments and Vaccines	PD
Paxlovid (nirmatrelvir / ritonavir 300-100 mg)drugId:8960	PA < 12 years and PA > 30 units/claim	COVID - 19 related Treatments and Vaccines	PD
Pemgarda (pemivibart COVID EUA – March 22, 2024)drugId:8947	PA	COVID - 19 related Treatments and Vaccines	MB
Spikevax (Moderna COVID-19 vaccine, mRNA)drugId:8312		COVID - 19 related Treatments and Vaccines	1
Veklury (remdesivir)drugId:7509		COVID - 19 related Treatments and Vaccines	MB
Alyftrek (vanzacaftor / tezacaftor / deutivacaftor)drugId:9176	PA	CYSTIC FIBROSIS AGENTS	PD
Kalydeco (ivacaftor)drugId:2487	PA	CYSTIC FIBROSIS AGENTS	PD
Orkambi (lumacaftor / ivacaftor)drugId:5126	PA	CYSTIC FIBROSIS AGENTS	PD
Symdeko (tezacaftor / ivacaftor)drugId:6540	PA	CYSTIC FIBROSIS AGENTS	PD
Trikafta (elexacaftor / tezacaftor / ivacaftor)drugId:7278	PA	CYSTIC FIBROSIS AGENTS	PD
phenylephrine / promethazine		DECONGESTANT	A90
pseudoephedrinedrugId:1607	PA > 240 mg/day	DECONGESTANT	*
Absorica (isotretinoin-Absorica)drugId:2881	PA	DERMATOLOGICAL	BP, A90
Absorica LD (isotretinoin micronized)drugId:7368	PA	DERMATOLOGICAL	A90
acitretindrugId:153		DERMATOLOGICAL	A90
Aklief (trifarotene)drugId:7369	PA	DERMATOLOGICAL
ammonium lactate		DERMATOLOGICAL
AvitadrugId:1747 (tretinoin-Avita)drugId:1747	PA ≥ 21 years	DERMATOLOGICAL	A90, #
benzoyl peroxidedrugId:2106		DERMATOLOGICAL	*, A90
benzoyl peroxide 9.8% foamdrugId:2182	PA	DERMATOLOGICAL	A90
calamine lotion		DERMATOLOGICAL	*
calcipotriene cream, ointmentdrugId:2563	PA > 60 grams/30 days	DERMATOLOGICAL	A90
calcipotriene scalp solutiondrugId:2562		DERMATOLOGICAL	A90
capsaicin		DERMATOLOGICAL	*, A90
clindamycin / benzoyl peroxidedrugId:262	PA	DERMATOLOGICAL	A90
clindamycin / benzoyl peroxide geldrugId:4788	PA	DERMATOLOGICAL	A90
clindamycin / tretinoindrugId:265	PA	DERMATOLOGICAL	A90
clindamycin 1.2% / benzoyl peroxide 5%drugId:264	PA	DERMATOLOGICAL	A90
clindamycin 1% / benzoyl peroxide 5%drugId:263	PA	DERMATOLOGICAL	A90
colloidal oatmeal		DERMATOLOGICAL	*
Condylox (podofilox gel)drugId:2261		DERMATOLOGICAL	BP, A90
dapsone geldrugId:325	PA	DERMATOLOGICAL	A90
Differin (adapalene)drugId:7678	PA	DERMATOLOGICAL	A90
Drysol (aluminum chloride)drugId:8408	PA	DERMATOLOGICAL
Epiduo (adapalene 0.1% / benzoyl peroxide 2.5%)drugId:160	PA	DERMATOLOGICAL	A90
Epiduo Forte (adapalene 0.3% / benzoyl peroxide 2.5%)drugId:8077	PA	DERMATOLOGICAL	A90
Epsolay (benzoyl peroxide-Epsolay)drugId:8314	PA	DERMATOLOGICAL
Eucrisa (crisaborole)drugId:6041	PA	DERMATOLOGICAL	PD
Fabior (tazarotene foam)drugId:2841	PA	DERMATOLOGICAL	BP
Filsuvez (birch triterpenes)drugId:8920	PA	DERMATOLOGICAL
Finacea (azelaic acid foam)drugId:5106	PA	DERMATOLOGICAL	BP
Finacea (azelaic acid gel)drugId:113	PA	DERMATOLOGICAL	A90
hydrophilic ointmentdrugId:756		DERMATOLOGICAL	*, A90
imiquimod 3.75% creamdrugId:1952	PA	DERMATOLOGICAL	A90
imiquimod 5% creamdrugId:783		DERMATOLOGICAL	A90
isotretinoindrugId:983	PA ≥ 21 years	DERMATOLOGICAL	A90
methoxsalen capsuledrugId:945	PA	DERMATOLOGICAL	A90
Metrocream (metronidazole 0.75% cream)drugId:1344		DERMATOLOGICAL	A90
Metrogel (metronidazole 1% gel)drugId:1345	PA	DERMATOLOGICAL	A90
Metrolotion (metronidazole lotion)drugId:1346	PA	DERMATOLOGICAL	A90
metronidazole 0.75% geldrugId:4883		DERMATOLOGICAL	A90
Mirvaso (brimonidine 0.33% topical gel)drugId:2891	PA	DERMATOLOGICAL	A90
Opzelura (ruxolitinib cream)drugId:8123	PA	DERMATOLOGICAL	PD
petrolatumdrugId:1513		DERMATOLOGICAL	*, A90
pimecrolimusdrugId:1531	PA	DERMATOLOGICAL	A90
podofilox solutiondrugId:8985		DERMATOLOGICAL	A90
Prudoxin (doxepin cream-Prudoxin)drugId:568	PA	DERMATOLOGICAL
Qbrexza (glycopyrronium cloth)drugId:6987	PA	DERMATOLOGICAL
Regranex (becaplermin)drugId:8413	PA	DERMATOLOGICAL
Rhofade (oxymetazoline cream)drugId:6105	PA	DERMATOLOGICAL
salicylic aciddrugId:1827		DERMATOLOGICAL	o, A90
Santyl (collagenase)drugId:8414	PA	DERMATOLOGICAL
Scenesse (afamelanotide)drugId:8115	PA	DERMATOLOGICAL	MB
selenium sulfide		DERMATOLOGICAL	*, A90
Sofdra (sofpironium)drugId:9072	PA	DERMATOLOGICAL
Soolantra (ivermectin cream)drugId:4813	PA	DERMATOLOGICAL	A90
Sorilux (calcipotriene foam)drugId:2560	PA	DERMATOLOGICAL	A90
sulfacetamide 10% lotiondrugId:1899	PA ≥ 21 years	DERMATOLOGICAL	A90
tacrolimus topicaldrugId:1919		DERMATOLOGICAL	A90
tazarotene cream, geldrugId:1657	PA	DERMATOLOGICAL	A90
tretinoin 0.05% geldrugId:2432	PA	DERMATOLOGICAL	A90
tretinoin cream, 0.01 % and 0.025% geldrugId:1748	PA ≥ 21 years	DERMATOLOGICAL	A90
tretinoin microspheresdrugId:1749	PA	DERMATOLOGICAL	A90
Twyneo (tretinoin / benzoyl peroxide)drugId:8303	PA	DERMATOLOGICAL
Vectical (calcitriol ointment)drugId:424	PA	DERMATOLOGICAL	A90
Veltin (clindamycin / tretinoin-Veltin)drugId:1970	PA	DERMATOLOGICAL	A90
vitamin A and D ointment		DERMATOLOGICAL	*
Vtama (tapinarof)drugId:8309	PA	DERMATOLOGICAL
Vyjuvek (beremagene geperpavec-svdt)drugId:8727	PA	DERMATOLOGICAL
Winlevi (clascoterone)drugId:8044	PA	DERMATOLOGICAL
witch hazel		DERMATOLOGICAL	*, A90
Ycanth (cantharidin)drugId:8729	PA	DERMATOLOGICAL	PD, MB
Zelsuvmi (berdazimer)drugId:9399	PA	DERMATOLOGICAL
Zevaskyn (prademagene zamikeracel)drugId:9545	PA	DERMATOLOGICAL	CO
zinc oxidedrugId:1924		DERMATOLOGICAL	*
Zonalon (doxepin cream-Zonalon)drugId:569	PA	DERMATOLOGICAL
Zoryve (roflumilast cream, foam)drugId:8337	PA	DERMATOLOGICAL	PD
Actoplus MetdrugId:1536 (pioglitazone / metformin)drugId:1536		DIABETIC AGENTS	M90, #
ActosdrugId:1534 (pioglitazone)drugId:1534		DIABETIC AGENTS	M90, #
Admelog (insulin lispro-Admelog)drugId:6660	PA	DIABETIC AGENTS
Afrezza (insulin human inhalation powder)drugId:4900	PA	DIABETIC AGENTS
Apidra (insulin glulisine)drugId:810	PA	DIABETIC AGENTS
Baqsimi (glucagon nasal powder)drugId:7367		DIABETIC AGENTS	PD
Basaglar (insulin glargine-Basaglar)drugId:5761	PA	DIABETIC AGENTS
Brynovin (sitagliptin solution)drugId:9390	PA	DIABETIC AGENTS
Bydureon Bcise (exenatide extended-release auto-injection)drugId:6940	PA	DIABETIC AGENTS
Byetta (exenatide injection)drugId:8661	PA	DIABETIC AGENTS	BP
Duetact (glimepiride / pioglitazone)drugId:1535	PA	DIABETIC AGENTS	BP, M90
Farxiga (dapagliflozin)drugId:2923		DIABETIC AGENTS	BP, M90
Fiasp (insulin aspart)drugId:6400	PA	DIABETIC AGENTS
glimepiride 1 mg, 2 mg, 4 mgdrugId:931		DIABETIC AGENTS	M90
glimepiride 3 mgdrugId:9183	PA	DIABETIC AGENTS	M90
glipizide / metformindrugId:935		DIABETIC AGENTS	M90
glipizide 2.5 mgdrugId:9367	PA	DIABETIC AGENTS	M90
glipizide 5 mg, 10 mgdrugId:932		DIABETIC AGENTS	M90
Glucagen (glucagon vial-Glucagen)drugId:7370		DIABETIC AGENTS
glucagon vialdrugId:671		DIABETIC AGENTS
glucose productsdrugId:6745	PA ≥ 21 years	DIABETIC AGENTS	A90
Glucotrol XLdrugId:933 (glipizide extended-release)drugId:933		DIABETIC AGENTS	M90, #
Glumetza (metformin extended-release, gastric tablet)drugId:2987	PA	DIABETIC AGENTS	M90
glyburide / metformindrugId:676		DIABETIC AGENTS	M90
glyburidedrugId:674		DIABETIC AGENTS	M90
GlynasedrugId:675 (glyburide, micronized)drugId:675		DIABETIC AGENTS	M90, #
Glyxambi (empagliflozin / linagliptin)drugId:4771	PA	DIABETIC AGENTS
Gvoke (glucagon auto-injection, prefilled syringe, vial-Gvoke)drugId:7363		DIABETIC AGENTS
Humalog (insulin lispro 100 units/mL cartridge)drugId:8104		DIABETIC AGENTS
Humalog (insulin lispro 100 units/mL prefilled syringe, vial-Humalog)drugId:815	PA	DIABETIC AGENTS
Humalog (insulin lispro 200 units/mL)drugId:8105		DIABETIC AGENTS
Humalog (insulin lispro 50/50)drugId:811		DIABETIC AGENTS
Humalog (insulin lispro 75/25 prefilled syringe-Humalog)drugId:814	PA	DIABETIC AGENTS
Humalog (insulin lispro 75/25 vial)drugId:813		DIABETIC AGENTS
Humulin (insulin NPH / regular insulin 70/30)drugId:817		DIABETIC AGENTS
Humulin N (insulin NPH)drugId:1263	PA	DIABETIC AGENTS
Humulin R (insulin regular)drugId:821		DIABETIC AGENTS
Inpefa (sotagliflozin)drugId:8722	PA	DIABETIC AGENTS
insulin aspart 70/30drugId:8107		DIABETIC AGENTS
insulin lispro 100 units/mL prefilled syringe, vialdrugId:8103		DIABETIC AGENTS
insulin lispro 75/25 prefilled syringedrugId:8102		DIABETIC AGENTS
Invokamet (canagliflozin / metformin)drugId:4775	PA	DIABETIC AGENTS
Invokamet XR (canagliflozin / metformin extended-release)drugId:5723	PA	DIABETIC AGENTS
Invokana (canagliflozin)drugId:2780	PA	DIABETIC AGENTS
Janumet (sitagliptin / metformin-Janumet)drugId:1859	PA	DIABETIC AGENTS
Janumet XR (sitagliptin / metformin extended-release-Janumet XR)drugId:2485	PA	DIABETIC AGENTS
Januvia (sitagliptin tablet-Januvia)drugId:1858	PA	DIABETIC AGENTS
Jardiance (empagliflozin)drugId:4627		DIABETIC AGENTS
Jentadueto (linagliptin / metformin)drugId:2486		DIABETIC AGENTS	BP
Jentadueto XR (linagliptin / metformin extended-release)drugId:5724		DIABETIC AGENTS	BP
Kazano (alogliptin / metformin)drugId:2782	PA	DIABETIC AGENTS	M90
Kombiglyze XR (saxagliptin / metformin extended-release)drugId:2103	PA	DIABETIC AGENTS	M90
Korlym (mifepristone 300 mg)drugId:2519	PA	DIABETIC AGENTS	A90
Lantus (insulin glargine-Lantus)drugId:807		DIABETIC AGENTS	BP, PD
Levemir (insulin detemir)drugId:805		DIABETIC AGENTS
Lyumjev (insulin lispro-aabc)drugId:7491	PA	DIABETIC AGENTS
metformin extended-release, osmotic tabletdrugId:1157	PA	DIABETIC AGENTS	M90
metformin extended-release, XR tabletdrugId:1159		DIABETIC AGENTS	M90
metformin immediate-release 500 mg, 850 mg, 1,000 mg tabletdrugId:1158		DIABETIC AGENTS	M90
miglitoldrugId:1356	PA	DIABETIC AGENTS	M90
Mounjaro (tirzepatide-Mounjaro)drugId:8254	PA	DIABETIC AGENTS	PD
nateglinidedrugId:1178		DIABETIC AGENTS	M90
Nesina (alogliptin)drugId:2784	PA	DIABETIC AGENTS	M90
Novolin (insulin NPH / regular insulin 70/30)drugId:819		DIABETIC AGENTS
Novolin N (insulin NPH)drugId:1265		DIABETIC AGENTS
Novolin R (insulin regular)drugId:820		DIABETIC AGENTS
Novolog (insulin aspart)drugId:804	PA	DIABETIC AGENTS
Novolog (insulin aspart 70/30-Novolog)drugId:801	PA	DIABETIC AGENTS
Onglyza (saxagliptin)drugId:1834	PA	DIABETIC AGENTS	M90
Oseni (alogliptin / pioglitazone)drugId:2783	PA	DIABETIC AGENTS	M90
Ozempic (semaglutide injection-Ozempic)drugId:6613	PA	DIABETIC AGENTS
PrecosedrugId:143 (acarbose)drugId:143		DIABETIC AGENTS	M90, #
Proglycem (diazoxide)		DIABETIC AGENTS	BP, A90
Qtern (dapagliflozin / saxagliptin)drugId:6406	PA	DIABETIC AGENTS
repaglinide / metformindrugId:1643	PA	DIABETIC AGENTS	M90
repaglinidedrugId:1642		DIABETIC AGENTS	M90
Rezvoglar (insulin glargine-aglr)drugId:8646	PA	DIABETIC AGENTS
RiometdrugId:1161 (metformin immediate-release solution)drugId:1161	PA ≥ 13 years	DIABETIC AGENTS	M90, #
Riomet ER (metformin extended-release suspension)drugId:7457	PA	DIABETIC AGENTS
Rybelsus (semaglutide tablet)drugId:7427	PA	DIABETIC AGENTS
Segluromet (ertugliflozin / metformin)drugId:6616	PA	DIABETIC AGENTS
Semglee (insulin glargine-yfgn)drugId:7470	PA	DIABETIC AGENTS
Soliqua (insulin glargine / lixisenatide)drugId:5766	PA	DIABETIC AGENTS
Steglatro (ertugliflozin)drugId:6617	PA	DIABETIC AGENTS
Steglujan (ertugliflozin / sitagliptin)drugId:6618	PA	DIABETIC AGENTS
Symlinpen (pramlintide)drugId:1570		DIABETIC AGENTS
Synjardy (empagliflozin / metformin)drugId:5113		DIABETIC AGENTS
Synjardy XR (empagliflozin / metformin extended-release)drugId:6107		DIABETIC AGENTS
Toujeo (insulin glargine-Toujeo)drugId:4914		DIABETIC AGENTS	BP
Tradjenta (linagliptin)drugId:2293		DIABETIC AGENTS	BP
Tresiba (insulin degludec)drugId:5302		DIABETIC AGENTS	BP
Trijardy XR (empagliflozin / linagliptin / metformin extended-release)drugId:7396	PA	DIABETIC AGENTS
Trulicity (dulaglutide)drugId:4814	PA	DIABETIC AGENTS	PD
Victoza (liraglutide-Victoza)drugId:1085	PA	DIABETIC AGENTS	BP
Xigduo XR (dapagliflozin / metformin extended-release)drugId:4841		DIABETIC AGENTS	BP, M90
Xultophy (insulin degludec / liraglutide)drugId:5769	PA	DIABETIC AGENTS
Zituvimet (sitagliptin / metformin - Zituvimet)drugId:9191	PA	DIABETIC AGENTS
Zituvimet XR (sitagliptin / metformin extended-release - Zituvimet XR)drugId:9192	PA	DIABETIC AGENTS	M90
Zituvio (sitagliptin tablet-Zituvio)drugId:8831	PA	DIABETIC AGENTS	BP, M90
Basaglar Tempo (insulin glargine-Basaglar)drugId:8521	PA	DIABETIC THERAPY
Humalog Tempo (insulin lispro 100 units/mL prefilled syringe-Humalog Tempo)drugId:8528	PA	DIABETIC THERAPY
Lyumjev Tempo (insulin lispro-aabc)drugId:8532	PA	DIABETIC THERAPY
metformin immediate-release 625 mg, 750 mg tabletdrugId:8618	PA	DIABETIC THERAPY	M90
Tzield (teplizumab-mzwv)drugId:8544	PA	DIABETIC THERAPY
Binaxnow (COVID-19 antigen self-test)drugId:8169 - Non-Drug Product	PA > 2 tests/28 days	DIAGNOSTICS
Carestart (COVID-19 antigen self-test)drugId:8174 - Non-Drug Product	PA > 2 tests/28 days	DIAGNOSTICS
Cortrosyn (cosyntropin)		DIAGNOSTICS	#
CVS COVID-19 At-Home Test (COVID-19 antigen self-test)drugId:8330 - Non-Drug Product	PA > 2 tests/28 days	DIAGNOSTICS
Flowflex (COVID-19 antigen self-test)drugId:8170 - Non-Drug Product	PA > 2 tests/28 days	DIAGNOSTICS
Genabio (COVID-19 antigen self-test)drugId:8461 - Non-Drug Product	PA > 2 tests/28 days	DIAGNOSTICS
Ihealth (COVID-19 antigen self-test)drugId:8171 - Non-Drug Product	PA > 2 tests/28 days	DIAGNOSTICS
Inteliswab (COVID-19 antigen self-test)drugId:8172 - Non-Drug Product	PA > 2 tests/28 days	DIAGNOSTICS
On-Go (COVID-19 antigen self-test)drugId:8175 - Non-Drug Product	PA > 2 tests/28 days	DIAGNOSTICS
Quickvue (COVID-19 antigen self-test)drugId:8173 - Non-Drug Product	PA > 2 tests/28 days	DIAGNOSTICS
furosemide solutiondrugId:9141	PA ≥ 13 years	DIURETICS	M90
magnesium injectiondrugId:8374		ELECTROLYTES & MISCELLANEOUS NUTRIENTS	MB
magnesium saltsdrugId:1114		ELECTROLYTES AND NUTRIENTS, GI AGENTS	*, A90
Actonel (risedronate)drugId:1439	PA	ELECTROLYTES AND NUTRIENTS	M90
Adek Gummies (multivitamins / zinc gummy)drugId:8674	PA	ELECTROLYTES AND NUTRIENTS	M90
alendronate solutiondrugId:2796	PA	ELECTROLYTES AND NUTRIENTS	M90
Aquasol A (vitamin A injection)drugId:8858		ELECTROLYTES AND NUTRIENTS
Atelvia (risedronate delayed-release)drugId:2101	PA	ELECTROLYTES AND NUTRIENTS	BP, M90
Binosto (alendronate effervescent tablet)drugId:8757	PA	ELECTROLYTES AND NUTRIENTS
calcitriol capsuledrugId:426		ELECTROLYTES AND NUTRIENTS	M90
calcitriol injectiondrugId:425		ELECTROLYTES AND NUTRIENTS	MB
calcium acetate		ELECTROLYTES AND NUTRIENTS	M90
calcium replacementdrugId:428		ELECTROLYTES AND NUTRIENTS	*, M90
Carnitor (levocarnitine injection)		ELECTROLYTES AND NUTRIENTS	MB
Carnitor (levocarnitine tablet, solution)		ELECTROLYTES AND NUTRIENTS	A90, #
citric acid / potassium citrate		ELECTROLYTES AND NUTRIENTS	A90
citric acid / sodium citrate / potassium citrate		ELECTROLYTES AND NUTRIENTS	A90
cod liver oil		ELECTROLYTES AND NUTRIENTS	*, M90
coenzyme Q10drugId:6202	PA ≥ 21 years	ELECTROLYTES AND NUTRIENTS
Cystadane (betaine)		ELECTROLYTES AND NUTRIENTS	BP
Cytra-2 (sodium citrate / citric acid)		ELECTROLYTES AND NUTRIENTS	A90
Cytra-3 (potassium citrate / sodium citrate / citric acid)		ELECTROLYTES AND NUTRIENTS	A90
Cytra-K (potassium citrate / citric acid)		ELECTROLYTES AND NUTRIENTS	A90
Dekas Bariatric (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Bariatric)drugId:6605	PA	ELECTROLYTES AND NUTRIENTS	M90
dextrose		ELECTROLYTES AND NUTRIENTS
Dojolvi (triheptanoin)drugId:7488	PA	ELECTROLYTES AND NUTRIENTS
doxercalciferol capsuledrugId:570	PA	ELECTROLYTES AND NUTRIENTS	M90
electrolye solution, pediatric		ELECTROLYTES AND NUTRIENTS	*, A90
Endari (l-glutamine)drugId:6503	PA	ELECTROLYTES AND NUTRIENTS
ergocalciferol capsuledrugId:616		ELECTROLYTES AND NUTRIENTS	M90
folic aciddrugId:902		ELECTROLYTES AND NUTRIENTS	*, M90
FosamaxdrugId:7 (alendronate tablet)drugId:7		ELECTROLYTES AND NUTRIENTS	M90, #
Fosamax Plus D (alendronate / cholecalciferol)drugId:9	PA	ELECTROLYTES AND NUTRIENTS
Fosrenol (lanthanum)		ELECTROLYTES AND NUTRIENTS	A90, #
Hectorol (doxercalciferol injection)drugId:5780		ELECTROLYTES AND NUTRIENTS	MB
ibandronate injectiondrugId:769	PA	ELECTROLYTES AND NUTRIENTS	MB
ibandronate tabletdrugId:770		ELECTROLYTES AND NUTRIENTS	M90
Infuvite (multivitamin injection)drugId:8860		ELECTROLYTES AND NUTRIENTS
Intralipid (fat emulsions, intravenous- intralipid)		ELECTROLYTES AND NUTRIENTS
Klor-CondrugId:1559 (potassium chloride powder packet, extended-release tablet)drugId:1559		ELECTROLYTES AND NUTRIENTS	A90, #
K-phos Neutral (potassium phosphate / dibasic sodium phosphate / monobasic sodium phosphate)		ELECTROLYTES AND NUTRIENTS	A90
K-phos No.2 (potassium phosphate / sodium phosphate / phosphorus)		ELECTROLYTES AND NUTRIENTS
K-phos Original (potassium phosphate monobasic)		ELECTROLYTES AND NUTRIENTS
K-TabdrugId:1560 (potassium chloride extended-release tablet)drugId:1560		ELECTROLYTES AND NUTRIENTS	A90, #
L-Carnitine (levocarnitine)		ELECTROLYTES AND NUTRIENTS
Liposyn (fat emulsions, intravenous-liposyn)		ELECTROLYTES AND NUTRIENTS	#
melatonindrugId:6210		ELECTROLYTES AND NUTRIENTS	*, A90
Mephyton (phytonadione)		ELECTROLYTES AND NUTRIENTS	A90, #
multivitaminsdrugId:1399		ELECTROLYTES AND NUTRIENTS	*, M90
Nascobal (cyanocobalamin nasal spray)drugId:301	PA	ELECTROLYTES AND NUTRIENTS
niacinamidedrugId:1206		ELECTROLYTES AND NUTRIENTS	*, M90
pamidronatedrugId:1474		ELECTROLYTES AND NUTRIENTS	MB
pediatric multivitaminsdrugId:1487		ELECTROLYTES AND NUTRIENTS	*, M90
Phos-Flur (sodium fluoride oral rinse)		ELECTROLYTES AND NUTRIENTS	A90
Phoslyra (calcium acetate)		ELECTROLYTES AND NUTRIENTS
Pokonza (potassium chloride powder for oral solution)drugId:8923	PA	ELECTROLYTES AND NUTRIENTS
potassium bicarbonatedrugId:1557		ELECTROLYTES AND NUTRIENTS	A90
potassium chloride extended-release capsuledrugId:1561		ELECTROLYTES AND NUTRIENTS	A90
potassium chloride injectiondrugId:2754		ELECTROLYTES AND NUTRIENTS
potassium chloride oral solutiondrugId:1562		ELECTROLYTES AND NUTRIENTS	A90
potassium phosphate		ELECTROLYTES AND NUTRIENTS	*
prenatal vitaminsdrugId:1583		ELECTROLYTES AND NUTRIENTS	*, M90
Rayaldee (calcifediol)drugId:5765	PA	ELECTROLYTES AND NUTRIENTS
Reclast (zoledronic acid 5 mg)drugId:1927		ELECTROLYTES AND NUTRIENTS	MB
Renagel (sevelamer hydrochloride)		ELECTROLYTES AND NUTRIENTS	A90, #
Renvela (sevelamer carbonate)		ELECTROLYTES AND NUTRIENTS	A90, #
Rocaltrol (calcitriol solution)drugId:8837	PA	ELECTROLYTES AND NUTRIENTS	M90
saliva substitute		ELECTROLYTES AND NUTRIENTS	*
sodium bicarbonate		ELECTROLYTES AND NUTRIENTS	*
sodium chloride for inhalation - Non-Drug Product		ELECTROLYTES AND NUTRIENTS	*
sodium chloride solution		ELECTROLYTES AND NUTRIENTS
sodium chloride tablet		ELECTROLYTES AND NUTRIENTS	*
sodium fluoride		ELECTROLYTES AND NUTRIENTS	*, M90
sodium phenylacetate / sodium benzoate		ELECTROLYTES AND NUTRIENTS
Travasol (amino acid and electrolyte IV infusion)		ELECTROLYTES AND NUTRIENTS
Urocit-K (potassium citrate)		ELECTROLYTES AND NUTRIENTS	A90, #
Velphoro (sucroferric oxyhydroxide)		ELECTROLYTES AND NUTRIENTS
vitamin A (retinol)drugId:1806		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B-1 (thiamine)drugId:1692		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B-12 (cyanocobalamin)drugId:302		ELECTROLYTES AND NUTRIENTS	o, M90
vitamin B-2 (riboflavin)drugId:1428		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B-3 (niacin)drugId:1202		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B-6 (pyridoxine)drugId:1613		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B complexdrugId:1807		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin C (ascorbic acid)drugId:96		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin DdrugId:227		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin E, oraldrugId:1808		ELECTROLYTES AND NUTRIENTS	*, M90
vitamins, multiple / mineralsdrugId:1402		ELECTROLYTES AND NUTRIENTS	*, M90
vitamins, multipledrugId:1400		ELECTROLYTES AND NUTRIENTS	*, M90
vitamins, pediatricdrugId:1403		ELECTROLYTES AND NUTRIENTS	*, M90
vitamins, prenataldrugId:2061		ELECTROLYTES AND NUTRIENTS	*, M90
Zemplar (paricalcitol capsule)drugId:1481	PA	ELECTROLYTES AND NUTRIENTS	M90
Zemplar (paricalcitol injection)drugId:5781		ELECTROLYTES AND NUTRIENTS	MB
zinc sulfate		ELECTROLYTES AND NUTRIENTS	A90
zoledronic acid 4 mgdrugId:1928		ELECTROLYTES AND NUTRIENTS	MB
Isturisa (osilodrostat)drugId:7466	PA	ENDOCRINE/METABOLIC AGENTS
lanreotidedrugId:8502		ENDOCRINE/METABOLIC AGENTS
Mycapssa (octreotide capsule)drugId:7788	PA	ENDOCRINE/METABOLIC AGENTS
Nityr (nitisinone tablet-Nityr)		ENDOCRINE/METABOLIC AGENTS
Orfadin (nitisinone)		ENDOCRINE/METABOLIC AGENTS	A90, #
SandostatindrugId:1269 (octreotide injection)drugId:1269		ENDOCRINE/METABOLIC AGENTS	#
Sandostatin LAR (octreotide injectable suspension)drugId:2497		ENDOCRINE/METABOLIC AGENTS	BP
Signifor (pasireotide)drugId:2791	PA	ENDOCRINE/METABOLIC AGENTS
Signifor LAR (pasireotide injectable suspension)drugId:4912	PA	ENDOCRINE/METABOLIC AGENTS	MB
Somatuline (lanreotide)drugId:1020		ENDOCRINE/METABOLIC AGENTS
Adzynma (ADAMTS13, recombinant-krhn)drugId:8917	PA	ENZYMES
Aldurazyme (laronidase)drugId:1026	PA	ENZYMES	MB
Amphadase (hyaluronidase)		ENZYMES	MB
Aqneursa (levacetylleucine)drugId:9177	PA	ENZYMES
Aralast NP (alpha-1-proteinase inhibitor, human-Aralast NP)		ENZYMES	MB
Berinert (c1 esterase inhibitor, human-Berinert)drugId:1938	PA	ENZYMES
Buphenyl (sodium phenylbutyrate powder, tablet)drugId:1871		ENZYMES	BP, A90
Carbaglu (carglumic acid)drugId:2161	PA	ENZYMES	BP, PD, A90
Cerdelga (eliglustat)drugId:4764	PA	ENZYMES
Cerezyme (imiglucerase)drugId:780	PA	ENZYMES	MB
Cinryze (c1 esterase inhibitor, human-Cinryze)drugId:416	PA	ENZYMES
Creon DR (pancrelipase-Creon DR)drugId:1082		ENZYMES
Cystagon (cysteamine immediate-release capsule)drugId:316		ENZYMES
Elaprase (idursulfase)drugId:776	PA	ENZYMES	MB
Elelyso (taliglucerase alfa)drugId:2558	PA	ENZYMES	MB
Elfabrio (pegunigalsidase alfa-iwxj)drugId:8655	PA	ENZYMES
Elitek (rasburicase)		ENZYMES	MB
Fabrazyme (agalsidase beta)drugId:162	PA	ENZYMES
Firazyr (icatibant)drugId:2364	PA	ENZYMES
Galafold (migalastat)drugId:6982	PA	ENZYMES
Glassia (alpha-1-proteinase inhibitor, human-Glassia)		ENZYMES
Haegarda (c1 esterase inhibitor, human-Haegarda)drugId:6283	PA	ENZYMES
Hylenex (hyaluronidase, human recombinant)		ENZYMES	MB
Kalbitor (ecallantide)drugId:1941	PA	ENZYMES	MB
Kanuma (sebelipase alfa)drugId:5388	PA	ENZYMES	MB
Kuvan (sapropterin)drugId:1831	PA	ENZYMES
Lamzede (velmanase alfa-tycv)drugId:8571	PA	ENZYMES	MB
Lumizyme (alglucosidase alfa)drugId:11	PA	ENZYMES	MB
Mepsevii (vestronidase alfa-vjbk)drugId:6521	PA	ENZYMES	MB
Miplyffa (arimoclomol)drugId:9182	PA	ENZYMES
Naglazyme (galsulfase)drugId:921	PA	ENZYMES	MB
Nexobrid (anacaulase-bcdb)drugId:8573	PA	ENZYMES	MB
Nexviazyme (avalglucosidase alfa-ngpt)drugId:8122	PA	ENZYMES	MB
Nulibry (fosdenopterin)drugId:7883	PA	ENZYMES	MB
Olpruva (sodium phenylbutyrate pellets for suspension)drugId:8659	PA	ENZYMES
Orladeyo (berotralstat)drugId:7720	PA	ENZYMES
Palynziq (pegvaliase-pqpz)drugId:6923	PA	ENZYMES
Pertzye DR (pancrelipase-Pertzye DR)drugId:2730		ENZYMES
Pheburane (sodium phenylbutyrate granules)drugId:8369	PA	ENZYMES
Pombiliti (cipaglucosidase alfa-atga)drugId:8826	PA	ENZYMES	MB
Procysbi (cysteamine delayed-release capsule)drugId:2861	PA	ENZYMES
Procysbi (cysteamine delayed-release granule)drugId:7374	PA	ENZYMES
Prolastin-C (alpha-1-proteinase inhibitor, human-Prolastin-C)		ENZYMES
Pulmozyme (dornase alfa)drugId:562		ENZYMES
Ravicti (glycerol phenylbutyrate)drugId:2789	PA	ENZYMES	BP
Revcovi (elapegademase-lvlr)drugId:7044	PA	ENZYMES
Ruconest (c1 esterase inhibitor, recombinant-Ruconest)drugId:4794	PA	ENZYMES
Strensiq (asfotase alfa)drugId:5300	PA	ENZYMES
Vimizim (elosulfase alfa)drugId:2931	PA	ENZYMES	MB
Viokace (pancrelipase-Viokace)drugId:2597		ENZYMES
Vitrase (hyaluronidase, ovine)		ENZYMES	MB
Vpriv (velaglucerase alfa)drugId:1950	PA	ENZYMES	MB
Xiaflex (collagenase clostridium histolyticum)drugId:1951	PA	ENZYMES
Zavesca (miglustat 100 mg)drugId:1357	PA	ENZYMES	BP
Zemaira (alpha-1-proteinase inhibitor, human-Zemaira)		ENZYMES	MB
Zenpep DR (pancrelipase-Zenpep DR)drugId:1084		ENZYMES
erythromycin delayed-release capsuledrugId:9511	PA	ERYTHROMYCINS	A90
Duavee (estrogens, conjugated/bazedoxifene)drugId:2956	PA	ESTROGENS
Abelcet (amphotericin B lipid complex)drugId:61		FUNGICIDES
AmbisomedrugId:62 (amphotericin B liposome)drugId:62		FUNGICIDES	#
amphotericin BdrugId:2671		FUNGICIDES
Brexafemme (ibrexafungerp)drugId:8019	PA	FUNGICIDES
CancidasdrugId:188 (caspofungin)drugId:188		FUNGICIDES	#
ciclopirox 1% shampoo, 0.77% geldrugId:5128	PA	FUNGICIDES	A90
ciclopirox 8% nail lacquerdrugId:233		FUNGICIDES	A90
clotrimazole / betamethasone creamdrugId:280		FUNGICIDES	A90
clotrimazole / betamethasone lotiondrugId:2856	PA	FUNGICIDES	A90
clotrimazoledrugId:279		FUNGICIDES	*, A90
clotrimazole trochedrugId:1995		FUNGICIDES	A90
Cresemba (isavuconazonium)drugId:4909	PA	FUNGICIDES
DiflucandrugId:860 (fluconazole)drugId:860		FUNGICIDES	A90, #
econazole 1% creamdrugId:588		FUNGICIDES	A90
Eraxis (anidulafungin)drugId:70		FUNGICIDES
Extina (ketoconazole foam)drugId:994	PA	FUNGICIDES	A90
flucytosinedrugId:861		FUNGICIDES	A90
griseofulvin suspension, tabletdrugId:2306		FUNGICIDES	A90
ketoconazole cream, shampoodrugId:2047		FUNGICIDES	A90
ketoconazole tabletdrugId:1996		FUNGICIDES	A90
Loprox (ciclopirox 0.77% suspension)drugId:232	PA	FUNGICIDES	A90
LoproxdrugId:5625 (ciclopirox 0.77% cream)drugId:5625		FUNGICIDES	A90, #
Mentax (butenafine)drugId:412		FUNGICIDES
miconazoledrugId:1352		FUNGICIDES	*, A90
MycaminedrugId:1351 (micafungin)drugId:1351		FUNGICIDES	#
Naftin (naftifine)drugId:8166	PA	FUNGICIDES	A90
Noxafil (posaconazole injection)drugId:8099	PA	FUNGICIDES
Noxafil (posaconazole powder for oral suspension)drugId:8533	PA	FUNGICIDES
Noxafil (posaconazole suspension)drugId:8796	PA	FUNGICIDES	A90
NoxafildrugId:2928 (posaconazole tablet)drugId:2928		FUNGICIDES	A90, #
nystatin / triamcinolone cream, ointmentdrugId:1268		FUNGICIDES	A90
nystatin cream, ointment, 100,000 powderdrugId:2898		FUNGICIDES	A90
nystatin oral suspensiondrugId:1266		FUNGICIDES	A90
Oravig (miconazole buccal tablet)drugId:1966	PA	FUNGICIDES
oxiconazole creamdrugId:1312	PA	FUNGICIDES	A90
Oxistat (oxiconazole lotion)drugId:8167	PA	FUNGICIDES
Rezzayo (rezafungin)drugId:8718	PA	FUNGICIDES
Sporanox (itraconazole 100 mg capsule)drugId:988		FUNGICIDES	BP, A90
SporanoxdrugId:9230 (itraconazole solution)drugId:9230		FUNGICIDES	A90, #
tavaboroledrugId:4629	PA	FUNGICIDES	A90
terbinafine tabletdrugId:1672		FUNGICIDES	A90
tolnaftate cream, powderdrugId:1724		FUNGICIDES	*, A90
Tolsura (itraconazole 65 mg capsule)drugId:7011	PA	FUNGICIDES
Vfend (voriconazole suspension)drugId:1810	PA	FUNGICIDES	A90
VfenddrugId:1809 (voriconazole injection, tablet)drugId:1809		FUNGICIDES	#
Vivjoa (oteseconazole)drugId:8307	PA	FUNGICIDES
Vusion (miconazole / zinc oxide ointment)drugId:1353		FUNGICIDES	BP, A90
Gralise (gabapentin extended-release)drugId:8585	PA	GABA ANALOGS
Horizant (gabapentin enacarbil)drugId:8584	PA < 6 years and PA > 1200 mg/day	GABA ANALOGS	BP
Lyrica CR (pregabalin extended-release)drugId:6608	PA	GABA ANALOGS	BP
Align (bifidobacterium infantis)drugId:6200	PA ≥ 21 years	GASTROINTESTINAL AGENT
aluminum carbonate		GASTROINTESTINAL AGENT	*, A90
Culturelle (lactobacillus rhamnosus GG)drugId:6204	PA ≥ 21 years	GASTROINTESTINAL AGENT
dextrindrugId:6205		GASTROINTESTINAL AGENT	*, A90
Florastor (saccharomyces boulardii)drugId:6207	PA ≥ 21 years	GASTROINTESTINAL AGENT
Gattex (teduglutide injection)drugId:2722	PA	GASTROINTESTINAL AGENT	BP
Gimoti (metoclopramide nasal spray)drugId:8112	PA	GASTROINTESTINAL AGENT
lactase		GASTROINTESTINAL AGENT	*, A90
lactulose solutiondrugId:1008		GASTROINTESTINAL AGENT	A90
magaldrate		GASTROINTESTINAL AGENT	*, A90
metoclopramide syringe		GASTROINTESTINAL AGENT
Rectiv (nitroglycerin 0.4% ointment)		GASTROINTESTINAL AGENT
simethicone		GASTROINTESTINAL AGENT	*, A90
sodium phosphate		GASTROINTESTINAL AGENT	*, A90
Vowst (fecal microbiota spores, live-brpk)drugId:8622	PA	GASTROINTESTINAL AGENT
Lenmeldy (atidarsagene autotemcel)drugId:8941	PA	GENE THERAPY	CO
Skysona (elivaldogene autotemcel)drugId:8652	PA	GENE THERAPY	CO
Zolgensma (onasemnogene abeparvovec-xioi)drugId:7273	PA	GENE THERAPY	CO, PD
AzulfidinedrugId:1910 (sulfasalazine)drugId:1910		GI ANTI-INFLAMMATORY	A90, #
Azulfidine EN-TabsdrugId:4864 (sulfasalazine delayed-release)drugId:4864		GI ANTI-INFLAMMATORY	A90, #
balsalazidedrugId:126		GI ANTI-INFLAMMATORY	A90
CanasadrugId:2095 (mesalamine suppository)drugId:2095		GI ANTI-INFLAMMATORY	A90, #
Delzicol DR (mesalamine 400 mg delayed-release capsule)drugId:2720	PA	GI ANTI-INFLAMMATORY	A90
Dipentum (olsalazine)drugId:1286		GI ANTI-INFLAMMATORY
Lialda (mesalamine 1.2 gram delayed-release tablet)drugId:1153	PA	GI ANTI-INFLAMMATORY	A90
mesalamine 0.375 gram extended-release capsuledrugId:1150		GI ANTI-INFLAMMATORY	A90
mesalamine 800 mg delayed-release tabletdrugId:1152	PA	GI ANTI-INFLAMMATORY	A90
Pentasa (mesalamine 250 mg, 500 mg controlled-release capsule)drugId:1154		GI ANTI-INFLAMMATORY	BP, A90
RowasadrugId:2937 (mesalamine enema)drugId:2937		GI ANTI-INFLAMMATORY	A90, #
Rowasa Kit (mesalamine kit)drugId:1149	PA	GI ANTI-INFLAMMATORY	A90
Agamree (vamorolone)drugId:8779	PA	GLUCOCORTICOIDS
alclometasone cream, ointmentdrugId:4		GLUCOCORTICOIDS	A90
Alkindi (hydrocortisone sprinkle capsule)drugId:7639	PA	GLUCOCORTICOIDS
amcinonide creamdrugId:31	PA	GLUCOCORTICOIDS	A90
Apexicon-E (diflorasone cream / emollient)drugId:520	PA	GLUCOCORTICOIDS
betamethasone / calcipotriene ointmentdrugId:7889	PA	GLUCOCORTICOIDS	A90
betamethasone augmented geldrugId:5034		GLUCOCORTICOIDS	A90
betamethasone dipropionate, augmented cream, lotiondrugId:2204		GLUCOCORTICOIDS	A90
betamethasone dipropionate creamdrugId:5023		GLUCOCORTICOIDS	A90
betamethasone dipropionate lotion, ointmentdrugId:2992		GLUCOCORTICOIDS	A90
betamethasone valerate creamdrugId:356		GLUCOCORTICOIDS	A90
betamethasone valerate lotiondrugId:5026		GLUCOCORTICOIDS	A90
betamethasone valerate ointmentdrugId:5027		GLUCOCORTICOIDS	A90
budesonide 3 mg delayed-release capsuledrugId:379		GLUCOCORTICOIDS	A90
budesonide extended-release tabletdrugId:2991		GLUCOCORTICOIDS	A90
budesonide rectal foamdrugId:4817	PA	GLUCOCORTICOIDS	A90
Capex (fluocinolone shampoo)drugId:9116	PA	GLUCOCORTICOIDS
CelestonedrugId:357 (betamethasone injection)drugId:357		GLUCOCORTICOIDS	#
clobetasol propionate 0.025% creamdrugId:9196	PA	GLUCOCORTICOIDS	A90
clobetasol propionate 0.05% creamdrugId:8981		GLUCOCORTICOIDS	A90
clobetasol propionate cream / emollientdrugId:5035		GLUCOCORTICOIDS	A90
clobetasol propionate gel, ointment, solutiondrugId:5080		GLUCOCORTICOIDS	A90
Clobex (clobetasol propionate lotion, shampoo, spray)drugId:7858		GLUCOCORTICOIDS	A90
clocortolone creamdrugId:270	PA	GLUCOCORTICOIDS	A90
CortefdrugId:736 (hydrocortisone tablet)drugId:736		GLUCOCORTICOIDS	A90, #
CortenemadrugId:2983 (hydrocortisone enema)drugId:2983		GLUCOCORTICOIDS	A90, #
Cortifoam (hydrocortisone foam)drugId:731		GLUCOCORTICOIDS
Depo-MedroldrugId:966 (methylprednisolone acetate)drugId:966		GLUCOCORTICOIDS	#
Derma-Smoothe-FSdrugId:867 (fluocinolone body oil, scalp oil)drugId:867		GLUCOCORTICOIDS	A90, #
desonide lotion, ointmentdrugId:2528		GLUCOCORTICOIDS	A90
DesowendrugId:9117 (desonide cream)drugId:9117		GLUCOCORTICOIDS	A90, #
desoximetasone 0.05% creamdrugId:8982	PA	GLUCOCORTICOIDS	A90
desoximetasone 0.25% creamdrugId:7961		GLUCOCORTICOIDS	A90
desoximetasone 0.25% ointment, 0.05% geldrugId:8983	PA	GLUCOCORTICOIDS	A90
dexamethasone injectiondrugId:5131		GLUCOCORTICOIDS
dexamethasone solution, tabletdrugId:2491		GLUCOCORTICOIDS	A90
dexamethasone tablet packdrugId:492	PA	GLUCOCORTICOIDS	A90
diflorasone creamdrugId:4918	PA	GLUCOCORTICOIDS	A90
diflorasone ointmentdrugId:2207	PA	GLUCOCORTICOIDS	A90
DiprolenedrugId:5022 (betamethasone dipropionate, augmented ointment)drugId:5022		GLUCOCORTICOIDS	A90, #
Emflaza (deflazacort)drugId:6720	PA	GLUCOCORTICOIDS	BP
Enstilar (betamethasone / calcipotriene foam)drugId:5248		GLUCOCORTICOIDS
Eohilia (budesonide oral suspension)drugId:8919	PA	GLUCOCORTICOIDS
fludrocortisonedrugId:863		GLUCOCORTICOIDS	A90
fluocinolone 0.01% creamdrugId:2529		GLUCOCORTICOIDS	A90
fluocinonide / emollientdrugId:2910		GLUCOCORTICOIDS	A90
fluocinonide 0.1% creamdrugId:872		GLUCOCORTICOIDS	A90
fluocinonide cream, gel, ointment, solutiondrugId:2577		GLUCOCORTICOIDS	A90
flurandrenolide cream, lotiondrugId:5520	PA	GLUCOCORTICOIDS	A90
flurandrenolide ointmentdrugId:5941	PA	GLUCOCORTICOIDS	A90
fluticasone creamdrugId:5065		GLUCOCORTICOIDS	A90
fluticasone lotiondrugId:892	PA	GLUCOCORTICOIDS	A90
fluticasone ointmentdrugId:5066		GLUCOCORTICOIDS	A90
halobetasol cream, ointmentdrugId:2041		GLUCOCORTICOIDS	A90
Halog (halcinonide 0.1% cream)drugId:695	PA	GLUCOCORTICOIDS	BP, A90
Halog (halcinonide ointment)drugId:7859		GLUCOCORTICOIDS
Halog (halcinonide solution)drugId:9405	PA	GLUCOCORTICOIDS	A90
Hemady (dexamethasone 20 mg tablet)drugId:8023	PA	GLUCOCORTICOIDS
hydrocortisone butyrate cream, ointment, solutiondrugId:2531		GLUCOCORTICOIDS	A90
hydrocortisone cream, lotion, ointmentdrugId:2530		GLUCOCORTICOIDS	*, A90
hydrocortisone hemorrhoidal creamdrugId:740		GLUCOCORTICOIDS	A90
hydrocortisone solutiondrugId:739	PA	GLUCOCORTICOIDS	A90
hydrocortisone valeratedrugId:5025		GLUCOCORTICOIDS	A90
Kenalog (triamcinolone spray)drugId:2526	PA	GLUCOCORTICOIDS	A90
KenalogdrugId:6460 (triamcinolone injection)drugId:6460		GLUCOCORTICOIDS	#
Lexette (halobetasol foam)drugId:6983	PA	GLUCOCORTICOIDS	A90
Locoid (hydrocortisone butyrate lotion)drugId:6561	PA	GLUCOCORTICOIDS	A90
Locoid Lipocream (hydrocortisone butyrate / emollient)drugId:5031	PA	GLUCOCORTICOIDS	A90
LuxiqdrugId:355 (betamethasone valerate foam)drugId:355		GLUCOCORTICOIDS	A90, #
MedroldrugId:967 (methylprednisolone)drugId:967		GLUCOCORTICOIDS	A90, #
mometasone cream, solutiondrugId:1382		GLUCOCORTICOIDS	A90
mometasone ointmentdrugId:5024		GLUCOCORTICOIDS	A90
neomycin / fluocinolone creamdrugId:2966	PA	GLUCOCORTICOIDS	A90
OluxdrugId:268 (clobetasol propionate foam)drugId:268		GLUCOCORTICOIDS	A90, #
Olux-E (clobetasol propionate foam / emollient)drugId:2532	PA	GLUCOCORTICOIDS	A90
Ortikos (budesonide extended-release capsule)drugId:7493	PA	GLUCOCORTICOIDS
Pandel (hydrocortisone probutate cream)drugId:732		GLUCOCORTICOIDS
PediapreddrugId:1578 (prednisolone 5 mg/5 mL oral solution)drugId:1578		GLUCOCORTICOIDS	A90, #
prednicarbate cream, ointmentdrugId:1574		GLUCOCORTICOIDS	A90
prednisolone 10 mg/5 mL oral solutiondrugId:1575	PA	GLUCOCORTICOIDS	A90
prednisolone 15 mg/5 mL, 25 mg/5 mL oral solutiondrugId:1576		GLUCOCORTICOIDS	A90
prednisolone 20 mg/5 mL oral solutiondrugId:1579	PA	GLUCOCORTICOIDS	A90
prednisolone orally disintegrating tabletdrugId:1577	PA	GLUCOCORTICOIDS	A90
prednisolone tabletdrugId:2199	PA	GLUCOCORTICOIDS	A90
prednisonedrugId:1581		GLUCOCORTICOIDS	A90
Rayos (prednisone delayed-release)drugId:2645	PA	GLUCOCORTICOIDS
Sernivo (betamethasone dipropionate spray)drugId:5396	PA	GLUCOCORTICOIDS
Solu-CortefdrugId:729 (hydrocortisone injection)drugId:729		GLUCOCORTICOIDS	#
Solu-MedroldrugId:964 (methylprednisolone sodium succinate)drugId:964		GLUCOCORTICOIDS	#
SynalardrugId:5060 (fluocinolone 0.025% cream)drugId:5060		GLUCOCORTICOIDS	A90, #
SynalardrugId:5061 (fluocinolone ointment)drugId:5061		GLUCOCORTICOIDS	A90, #
SynalardrugId:2632 (fluocinolone solution)drugId:2632		GLUCOCORTICOIDS	A90, #
Taclonex (betamethasone / calcipotriene topical suspension)drugId:421		GLUCOCORTICOIDS	BP, A90
Tarpeyo (budesonide 4 mg delayed-release capsule)drugId:8262	PA	GLUCOCORTICOIDS
Topicort (desoximetasone 0.05% ointment)drugId:5021	PA	GLUCOCORTICOIDS	A90
Topicort (desoximetasone spray)drugId:488	PA	GLUCOCORTICOIDS	A90
triamcinolone, oral		GLUCOCORTICOIDS	A90
triamcinolone 0.025% cream, lotiondrugId:1753		GLUCOCORTICOIDS	A90
triamcinolone 0.05% ointmentdrugId:2527	PA	GLUCOCORTICOIDS	A90
triamcinolone 0.1% creamdrugId:5029		GLUCOCORTICOIDS	A90
triamcinolone 0.1% lotion, 0.025% ointmentdrugId:5028		GLUCOCORTICOIDS	A90
triamcinolone 0.1% ointment, 0.5% creamdrugId:5030		GLUCOCORTICOIDS	A90
triamcinolone 0.5% ointmentdrugId:5032		GLUCOCORTICOIDS	A90
triamcinolone pastedrugId:1754		GLUCOCORTICOIDS	A90
Ultravate (halobetasol lotion)drugId:5400	PA	GLUCOCORTICOIDS
Zilretta (triamcinolone extended-release injectable suspension)drugId:6415	PA	GLUCOCORTICOIDS	MB
allopurinol 200 mg tabletdrugId:8603	PA	GOUT AGENTS	M90
ColcrysdrugId:2162 (colchicine tablet)drugId:2162		GOUT AGENTS	A90, #
Gloperba (colchicine solution)drugId:7331	PA	GOUT AGENTS
Krystexxa (pegloticase)drugId:6294	PA	GOUT AGENTS	MB
Mitigare (colchicine capsule)drugId:4765	PA	GOUT AGENTS	BP, A90
probenecid / colchicinedrugId:287		GOUT AGENTS	M90
probeneciddrugId:1587		GOUT AGENTS	M90
Uloric (febuxostat)drugId:464	PA	GOUT AGENTS	M90
ZyloprimdrugId:17 (allopurinol 100 mg, 300 mg tablet)drugId:17		GOUT AGENTS	M90, #
lansoprazole / amoxicillin / clarithromycindrugId:1023	PA	H. PYLORI AGENTS	A90
Omeclamox-Pak (omeprazole / clarithromycin / amoxicillin)drugId:2582	PA	H. PYLORI AGENTS
Pylera (bismuth subcitrate / metronidazole / tetracycline)drugId:367		H. PYLORI AGENTS	BP, A90
Talicia (omeprazole / amoxicillin / rifabutin)drugId:7380	PA	H. PYLORI AGENTS
Voquezna Dual Pak (vonoprazan / amoxicillin)drugId:8758	PA	H. PYLORI AGENTS
Voquezna Triple Pak (vonoprazan / amoxicillin / clarithromycin)drugId:8759	PA	H. PYLORI AGENTS
cimetidine solutiondrugId:236	PA	H2 ANTAGONISTS	A90
cimetidine tabletdrugId:9017		H2 ANTAGONISTS	*, M90
famotidine injectiondrugId:5603		H2 ANTAGONISTS
famotidine suspensiondrugId:5602		H2 ANTAGONISTS	A90
famotidine tabletdrugId:461		H2 ANTAGONISTS	*, M90
nizatidine 150 mg capsuledrugId:1232	PA > 2 units/day	H2 ANTAGONISTS	M90
nizatidine 300 mg capsuledrugId:8116	PA > 1 unit/day	H2 ANTAGONISTS	M90
Accrufer (ferric maltol)drugId:7918	PA	HEMATINIC AGENT
Alvaiz (eltrombopag choline)drugId:8936	PA	HEMATINIC AGENT
aminocaproic acid		HEMATINIC AGENT	A90
Aranesp (darbepoetin alfa)drugId:327	PA	HEMATINIC AGENT
Auryxia (ferric citrate)drugId:4762	PA	HEMATINIC AGENT	BP, A90
Ceprotin (protein C concentrate)drugId:1605	PA	HEMATINIC AGENT	MB
Dekas Essential (multivitamin-Dekas Essential)drugId:5623	PA	HEMATINIC AGENT	M90
Dekas Plus (multivitamins / minerals / coenzyme Q10-Dekas Plus)drugId:5621	PA	HEMATINIC AGENT	M90
Dekas Plus (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Plus)drugId:5622	PA	HEMATINIC AGENT	M90
Epogen (epoetin alfa-Epogen)drugId:610	PA	HEMATINIC AGENT
Feraheme (ferumoxytol)drugId:849		HEMATINIC AGENT
FerrlecitdrugId:1865 (sodium ferric gluconate complex)drugId:1865		HEMATINIC AGENT	#
ferrous fumaratedrugId:846		HEMATINIC AGENT	*, M90
ferrous gluconatedrugId:847		HEMATINIC AGENT	*, M90
ferrous sulfatedrugId:848		HEMATINIC AGENT	*, M90
Fulphila (pegfilgrastim-jmdb)drugId:6903		HEMATINIC AGENT
Granix (TBO-filgrastim)drugId:2889		HEMATINIC AGENT
Infed (low molecular weight iron dextran)drugId:972		HEMATINIC AGENT
Injectafer (ferric carboxymaltose injection)drugId:2844		HEMATINIC AGENT	MB
Leukine (sargramostim)drugId:1833		HEMATINIC AGENT
Mircera (methoxy polyethylene glycol / epoetin beta)drugId:4784		HEMATINIC AGENT	MB
Monoferric (ferric derisomaltose)drugId:7599		HEMATINIC AGENT
Mozobil (plerixafor)		HEMATINIC AGENT	MB
Neulasta (pegfilgrastim)drugId:1489		HEMATINIC AGENT
Neumega (oprelvekin)drugId:1297		HEMATINIC AGENT
Neupogen (filgrastim)drugId:856		HEMATINIC AGENT
Nivestym (filgrastim-aafi)drugId:6922		HEMATINIC AGENT
Nplate (romiplostim)drugId:1452	PA	HEMATINIC AGENT	MB
Nyvepria (pegfilgrastim-apgf)drugId:7617		HEMATINIC AGENT
Procrit (epoetin alfa-Procrit)drugId:611	PA	HEMATINIC AGENT
Promacta (eltrombopag olamine)drugId:594	PA	HEMATINIC AGENT	BP
Releuko (filgrastim-ayow)drugId:8301		HEMATINIC AGENT
Retacrit (epoetin alfa-epbx)drugId:6820	PA	HEMATINIC AGENT
Udenyca (pegfilgrastim-cbqv)drugId:7012		HEMATINIC AGENT
Venofer (iron sucrose)drugId:974		HEMATINIC AGENT	MB
Zarxio (filgrastim-sndz)drugId:5116		HEMATINIC AGENT
Ziextenzo (pegfilgrastim-bmez)drugId:7337		HEMATINIC AGENT
Aphexda (motixafortide)drugId:8817	PA	HEMATINICS & BLOOD CELL STIMULATORS	MB
Casgevy (exagamglogene autotemcel)drugId:9139	PA	HEMATINICS & BLOOD CELL STIMULATORS	CO, PD
Fylnetra (pegfilgrastim-pbbk)drugId:8527		HEMATINICS & BLOOD CELL STIMULATORS
iron polysaccharide complexdrugId:8897		HEMATINICS & BLOOD CELL STIMULATORS	*, M90
Jesduvroq (daprodustat)drugId:8782	PA	HEMATINICS & BLOOD CELL STIMULATORS	MB
Lyfgenia (lovotibeglogene autotemcel)drugId:8821	PA	HEMATINICS & BLOOD CELL STIMULATORS	CO
Rolvedon (eflapegrastim-xnst)drugId:8539		HEMATINICS & BLOOD CELL STIMULATORS	MB
Stimufend (pegfilgrastim-fpgk)drugId:8541		HEMATINICS & BLOOD CELL STIMULATORS
Vafseo (vadadustat)drugId:9188	PA	HEMATINICS & BLOOD CELL STIMULATORS	MB
Xolremdi (mavorixafor)drugId:9079	PA	HEMATINICS & BLOOD CELL STIMULATORS
Zynteglo (betibeglogene autotemcel)drugId:8551	PA	HEMATINICS & BLOOD CELL STIMULATORS	CO
Adakveo (crizanlizumab-tmca)drugId:7326	PA	HEMATOLOGIC	MB
Doptelet (avatrombopag)drugId:6990	PA	HEMATOLOGIC
Mulpleta (lusutrombopag)drugId:6991	PA	HEMATOLOGIC
Reblozyl (luspatercept-aamt)drugId:7334	PA	HEMATOLOGIC	MB
Rytelo (imetelstat)drugId:9071	PA	HEMATOLOGIC	MB
Siklos (hydroxyurea tablet)drugId:6821	PA	HEMATOLOGIC
Tavalisse (fostamatinib)drugId:6823	PA	HEMATOLOGIC
Xromi (hydroxyurea solution)drugId:9316	PA	HEMATOLOGIC
Balfaxar (prothrombin complex concentrate, human)		HEMOSTATICS
Kcentra (prothrombin complex concentrate, human)		HEMOSTATICS
Lysteda (tranexamic acid tablet)		HEMOSTATICS	#
Ryplazim (plasminogen, human-tvmh)drugId:8540	PA	HEMOSTATICS
Acthar (corticotropin)drugId:294	PA	HORMONE AGENTS
cabergoline		HORMONE AGENTS	A90
calcitonin salmon nasal spraydrugId:423		HORMONE AGENTS	M90
Camcevi (leuprolide-Camcevi)drugId:8332	PA	HORMONE AGENTS
Cortrophin (corticotropin)drugId:8185	PA	HORMONE AGENTS
danazol		HORMONE AGENTS	A90
DDAVPdrugId:476 (desmopressin injection, nasal spray, tablet)drugId:476		HORMONE AGENTS	A90, #
Fensolvi (leuprolide - Fensolvi)drugId:7426	PA	HORMONE AGENTS	PD
Forteo (teriparatide 560 mcg/2.24 mL)drugId:1678	PA	HORMONE AGENTS	BP
Genotropin (somatropin-Genotropin)drugId:1880	PA	HORMONE AGENTS	PD
Humatrope (somatropin-Humatrope)drugId:1881	PA	HORMONE AGENTS
Increlex (mecasermin)drugId:1124	PA	HORMONE AGENTS
Lupron (leuprolide-Lupron)drugId:1033	PA	HORMONE AGENTS
Lutrate (leuprolide-Lutrate)drugId:8942	PA	HORMONE AGENTS
Miacalcin (calcitonin salmon injection)drugId:4960	PA	HORMONE AGENTS
nandrolone		HORMONE AGENTS
Ngenla (somatrogon-ghla)drugId:8715	PA	HORMONE AGENTS
Nocdurna (desmopressin sublingual tablet)drugId:6984	PA	HORMONE AGENTS
Norditropin (somatropin-Norditropin)drugId:1882	PA	HORMONE AGENTS
Nutropin AQ (somatropin-Nutropin AQ)drugId:1884	PA	HORMONE AGENTS
Omnitrope (somatropin-Omnitrope)drugId:1885	PA	HORMONE AGENTS
Orgovyx (relugolix)drugId:7792	PA	HORMONE AGENTS
Orilissa (elagolix)drugId:6921	PA	HORMONE AGENTS
Saizen (somatropin-Saizen)drugId:1886	PA	HORMONE AGENTS
Serostim (somatropin-Serostim)drugId:1887	PA	HORMONE AGENTS
Skytrofa (lonapegsomatropin-tcgd)drugId:8158	PA	HORMONE AGENTS	PD
Sogroya (somapacitan-beco)drugId:8647	PA	HORMONE AGENTS	PD
Somavert (pegvisomant)drugId:1491	PA	HORMONE AGENTS
Supprelin LA (histrelin)drugId:710	PA	HORMONE AGENTS	MB
Synarel (nafarelin)drugId:1420	PA	HORMONE AGENTS
teriparatide 620 mcg/2.48 mLdrugId:7471	PA	HORMONE AGENTS
Triptodur (triptorelin-Triptodur)drugId:6486	PA	HORMONE AGENTS
Tymlos (abaloparatide)drugId:6362	PA	HORMONE AGENTS
Yorvipath (palopegteriparatide)drugId:9190	PA	HORMONE AGENTS
Zomacton (somatropin-Zomacton)drugId:5002	PA	HORMONE AGENTS
Activella (estradiol / norethindrone-Activella)		HORMONE REPLACEMENT THERAPY	M90, #
Alora (estradiol-Alora)		HORMONE REPLACEMENT THERAPY	M90
Androgel (testosterone 1.62% gel packet)drugId:2280	PA	HORMONE REPLACEMENT THERAPY
Androgel (testosterone 1% gel packet)drugId:2248	PA	HORMONE REPLACEMENT THERAPY
Angeliq (estradiol / drospirenone)		HORMONE REPLACEMENT THERAPY
Aveed (testosterone undecanoate injection)drugId:2954	PA	HORMONE REPLACEMENT THERAPY	MB
Aygestin (norethindrone 5 mg)		HORMONE REPLACEMENT THERAPY	A90
Azmiro (testosterone cypionate)drugId:9218	PA	HORMONE REPLACEMENT THERAPY
Bijuva (estradiol / progesterone)drugId:7281	PA	HORMONE REPLACEMENT THERAPY
Climara (estradiol-Climara)		HORMONE REPLACEMENT THERAPY	M90, #
Combipatch (estradiol / norethindrone-Combipatch)		HORMONE REPLACEMENT THERAPY
Crinone (progesterone gel)drugId:2587	PA	HORMONE REPLACEMENT THERAPY
Delestrogen (estradiol-Delestrogen)		HORMONE REPLACEMENT THERAPY	#
Depo-estradiol (estradiol-Depo-estradiol)		HORMONE REPLACEMENT THERAPY
Depo-Testosterone (testosterone cypionate)drugId:1680	PA	HORMONE REPLACEMENT THERAPY
Divigel (estradiol-Divigel)		HORMONE REPLACEMENT THERAPY	BP, A90
Elestrin (estradiol-Elestrin)		HORMONE REPLACEMENT THERAPY
Endometrin (progesterone vaginal insert)drugId:8361	PA	HORMONE REPLACEMENT THERAPY
Estrace (estradiol cream-Estrace)		HORMONE REPLACEMENT THERAPY	A90, #
Estrace (estradiol tablet-Estrace)		HORMONE REPLACEMENT THERAPY	M90, #
estradiol gel		HORMONE REPLACEMENT THERAPY	A90
Estring (estradiol-Estring)		HORMONE REPLACEMENT THERAPY
ethinyl estradiol 5 mcg / norethindrone 1 mg		HORMONE REPLACEMENT THERAPY	M90
Evamist (estradiol-Evamist)		HORMONE REPLACEMENT THERAPY
EvistadrugId:1629 (raloxifene)drugId:1629		HORMONE REPLACEMENT THERAPY	M90, #
Femhrt (ethinyl estradiol 2.5 mcg / norethindrone 0.5 mg-Femhrt)		HORMONE REPLACEMENT THERAPY	M90, #
Femring (estradiol-Femring)		HORMONE REPLACEMENT THERAPY
Jatenzo (testosterone undecanoate capsule)drugId:7371	PA	HORMONE REPLACEMENT THERAPY
Menest (estrogens,esterified)		HORMONE REPLACEMENT THERAPY	A90
Menostar (estradiol-menostar)		HORMONE REPLACEMENT THERAPY
methyltestosteronedrugId:1329	PA	HORMONE REPLACEMENT THERAPY
Minivelle (estradiol-Minivelle)		HORMONE REPLACEMENT THERAPY	BP, M90
Natesto (testosterone nasal gel)drugId:7661	PA	HORMONE REPLACEMENT THERAPY
Prefest (estradiol / norgestimate)		HORMONE REPLACEMENT THERAPY
Premarin (estrogens, conjugated)		HORMONE REPLACEMENT THERAPY
Premphase (medroxyprogesterone / estrogens, conjugated-Premphase)		HORMONE REPLACEMENT THERAPY
Prempro (medroxyprogesterone / estrogens, conjugated-Prempro)		HORMONE REPLACEMENT THERAPY
progesterone injectiondrugId:4637		HORMONE REPLACEMENT THERAPY
PrometriumdrugId:1591 (progesterone capsule)drugId:1591		HORMONE REPLACEMENT THERAPY	A90, #
Provera (medroxyprogesterone tablet)		HORMONE REPLACEMENT THERAPY	A90, #
Testim (testosterone 1% gel tube)drugId:1684	PA	HORMONE REPLACEMENT THERAPY	BP
Testopel (testosterone intramuscular pellet)drugId:1685	PA	HORMONE REPLACEMENT THERAPY
testosterone 1.62% gel pumpdrugId:7573	PA	HORMONE REPLACEMENT THERAPY
testosterone 2% gel pumpdrugId:2241	PA	HORMONE REPLACEMENT THERAPY
testosterone 2% solutiondrugId:2237	PA	HORMONE REPLACEMENT THERAPY
testosterone enanthatedrugId:1681	PA	HORMONE REPLACEMENT THERAPY
Tlando (testosterone undecanoate capsule)drugId:8302	PA	HORMONE REPLACEMENT THERAPY
Vagifem (estradiol-Vagifem)		HORMONE REPLACEMENT THERAPY	M90, #
Vivelle-Dot (estradiol-Vivelle-Dot)		HORMONE REPLACEMENT THERAPY	BP, M90
Vogelxo (testosterone 1% gel tube, packet, pump)drugId:2948	PA	HORMONE REPLACEMENT THERAPY
Xyosted (testosterone enanthate)drugId:7050	PA	HORMONE REPLACEMENT THERAPY
Durolane (hyaluronate, stabilized)drugId:6381	PA	HYALURONAN	MB
Euflexxa (hyaluronate-Euflexxa)drugId:4801	PA	HYALURONAN	MB
Gel-One (hyaluronate, crossed-linked)drugId:4802	PA	HYALURONAN	MB
Gelsyn (hyaluronate-Gelsyn)drugId:5620	PA	HYALURONAN	MB
Genvisc (hyaluronate-Genvisc)drugId:5340	PA	HYALURONAN	MB
Hyalgan (hyaluronate-Hyalgan)drugId:4803	PA	HYALURONAN	MB
Hymovis (hyaluronate, modified)drugId:5500	PA	HYALURONAN	MB
Monovisc (hyaluronate-Monovisc)drugId:4805	PA	HYALURONAN	MB
Orthovisc (hyaluronan, high molecular weight)drugId:4808	PA	HYALURONAN	MB
Supartz (hyaluronate-Supartz)drugId:4809	PA	HYALURONAN	MB
Synojoynt (hyaluronate-Synojoynt)drugId:8196	PA	HYALURONAN	MB
Synvisc (hylan G-F20-Synvisc)drugId:4810	PA	HYALURONAN	MB
Synvisc-One (hylan G-F20-Synvisc-One)drugId:4811	PA	HYALURONAN	MB
Triluron (hyaluronate-Triluron)drugId:7268	PA	HYALURONAN	MB
Trivisc (hyaluronate-Trivisc)drugId:6926	PA	HYALURONAN	MB
Visco-3 (hyaluronate-Visco-3)drugId:6411	PA	HYALURONAN	MB
Abrilada (adalimumab-afzb)drugId:8694	PA	IMMUNOMODULATOR
Actemra (tocilizumab auto-injection, prefilled syringe)drugId:8381	PA	IMMUNOMODULATOR
Actemra (tocilizumab vial)drugId:1719	PA	IMMUNOMODULATOR	MB
adalimumab-aacf, unbrandeddrugId:8695	PA	IMMUNOMODULATOR
adalimumab-aaty, unbrandeddrugId:8816	PA	IMMUNOMODULATOR
adalimumab-adaz, unbrandeddrugId:8696	PA	IMMUNOMODULATOR
adalimumab-adbm, unbrandeddrugId:8697	PA	IMMUNOMODULATOR
adalimumab-fkjp, unbrandeddrugId:8698	PA	IMMUNOMODULATOR
adalimumab-ryvk, unbrandeddrugId:8916	PA	IMMUNOMODULATOR
Adbry (tralokinumab-ldrm)drugId:8203	PA	IMMUNOMODULATOR	PD
Amjevita (adalimumab-atto)drugId:8700	PA	IMMUNOMODULATOR
Arava (leflunomide)		IMMUNOMODULATOR	A90, #
Astagraf XL (tacrolimus extended-release capsule)drugId:2838		IMMUNOMODULATOR
Avsola (infliximab-axxq)drugId:7386	PA	IMMUNOMODULATOR
azathioprine 75 mg, 100 mg tabletdrugId:2857	PA	IMMUNOMODULATOR	A90
azathioprine injectiondrugId:5501		IMMUNOMODULATOR	MB
Bimzelx (bimekizumab-bkzx)drugId:8818	PA	IMMUNOMODULATOR
Cellcept (mycophenolate mofetil injection)drugId:9018		IMMUNOMODULATOR	MB
CellceptdrugId:1410 (mycophenolate mofetil capsule, suspension, tablet)drugId:1410		IMMUNOMODULATOR	A90, #
Cibinqo (abrocitinib)drugId:8205	PA	IMMUNOMODULATOR
Cimzia (certolizumab)drugId:210	PA	IMMUNOMODULATOR
Cosentyx (secukinumab auto-injection, prefilled syringe)drugId:8878	PA	IMMUNOMODULATOR
Cosentyx (secukinumab vial)drugId:4908	PA	IMMUNOMODULATOR	MB
Cyltezo (adalimumab-adbm)drugId:8703	PA	IMMUNOMODULATOR
Ebglyss (lebrikizumab-lbkz)drugId:9178	PA	IMMUNOMODULATOR	PD
Enbrel (etanercept)drugId:663	PA	IMMUNOMODULATOR	PD
Envarsus XR (tacrolimus extended-release tablet)drugId:5249	PA	IMMUNOMODULATOR
Fyarro (sirolimus injection)drugId:8298	PA	IMMUNOMODULATOR
gold sodium thiomalate		IMMUNOMODULATOR
Hadlima (adalimumab-bwwd)drugId:8707	PA	IMMUNOMODULATOR
Hulio (adalimumab-fkjp)drugId:8708	PA	IMMUNOMODULATOR
Humira (adalimumab)drugId:158	PA	IMMUNOMODULATOR	BP, PD
Hyftor (sirolimus gel)drugId:8333	PA	IMMUNOMODULATOR
Hyrimoz (adalimumab-adaz)drugId:8709	PA	IMMUNOMODULATOR
Idacio (adalimumab-aacf)drugId:8710	PA	IMMUNOMODULATOR
Ilaris (canakinumab)drugId:432	PA	IMMUNOMODULATOR
Ilumya (tildrakizumab-asmn)drugId:7004	PA	IMMUNOMODULATOR
ImurandrugId:111 (azathioprine 50 mg tablet)drugId:111		IMMUNOMODULATOR	A90, #
Inflectra (infliximab-dyyb)drugId:5763	PA	IMMUNOMODULATOR
infliximab, unbrandeddrugId:8216	PA	IMMUNOMODULATOR
Kevzara (sarilumab)drugId:6181	PA	IMMUNOMODULATOR
Kineret (anakinra)drugId:66	PA	IMMUNOMODULATOR
Litfulo (ritlecitinib)drugId:8712	PA	IMMUNOMODULATOR
Lupkynis (voclosporin)drugId:7785	PA	IMMUNOMODULATOR
MyforticdrugId:1409 (mycophenolic acid)drugId:1409		IMMUNOMODULATOR	A90, #
Myhibbin (mycophenolate mofetil suspension-Myhibbin)drugId:9024	PA	IMMUNOMODULATOR
NeoraldrugId:314 (cyclosporine modified)drugId:314		IMMUNOMODULATOR	A90, #
Nulojix (belatacept)drugId:2286	PA	IMMUNOMODULATOR
Olumiant (baricitinib)drugId:6803	PA	IMMUNOMODULATOR
Omvoh (mirikizumab-mrkz auto injection, prefilled syringe)drugId:8945	PA	IMMUNOMODULATOR	PD
Omvoh (mirikizumab-mrkz vial)drugId:9057	PA	IMMUNOMODULATOR
Orencia (abatacept auto-injection, prefilled syringe)drugId:8383	PA	IMMUNOMODULATOR
Orencia (abatacept vial)drugId:140	PA	IMMUNOMODULATOR	MB
Otezla (apremilast)drugId:2941	PA	IMMUNOMODULATOR
Otrexup (methotrexate subcutaneous injection-Otrexup)drugId:2929	PA	IMMUNOMODULATOR
Otulfi (ustekinumab-aauz prefilled syringe)drugId:9303	PA	IMMUNOMODULATOR
Otulfi (ustekinumab-aauz vial)drugId:9305	PA	IMMUNOMODULATOR	MB
Prograf (tacrolimus granules)drugId:7264	PA	IMMUNOMODULATOR
Prograf (tacrolimus injection)drugId:2741		IMMUNOMODULATOR	MB
PrografdrugId:1918 (tacrolimus immediate-release capsule)drugId:1918		IMMUNOMODULATOR	A90, #
Pyzchiva (ustekinumab-ttwe 130 mg/26 mL vial)drugId:9311	PA	IMMUNOMODULATOR	MB
Pyzchiva (ustekinumab-ttwe prefilled syringe, 45 mg/0.5 mL vial)drugId:9309	PA	IMMUNOMODULATOR
RapamunedrugId:1857 (sirolimus solution, tablet)drugId:1857		IMMUNOMODULATOR	A90, #
Rasuvo (methotrexate subcutaneous injection-Rasuvo)drugId:4633	PA	IMMUNOMODULATOR
Remicade (infliximab-Remicade)drugId:793	PA	IMMUNOMODULATOR
Renflexis (infliximab-abda)drugId:6182	PA	IMMUNOMODULATOR
Ridaura (auranofin)		IMMUNOMODULATOR	BP
Rinvoq (upadacitinib extended-release tablet)drugId:7274	PA	IMMUNOMODULATOR
Rinvoq LQ (upadacitinib solution)drugId:9070	PA	IMMUNOMODULATOR
Sandimmune (cyclosporine injection)drugId:8711		IMMUNOMODULATOR	MB
Sandimmune (cyclosporine solution)drugId:8049	PA	IMMUNOMODULATOR
SandimmunedrugId:2092 (cyclosporine capsule)drugId:2092		IMMUNOMODULATOR	A90, #
Selarsdi (ustekinumab-aekn prefilled syringe)drugId:9306	PA	IMMUNOMODULATOR
Selarsdi (ustekinumab-aekn vial)drugId:9307	PA	IMMUNOMODULATOR	MB
Simlandi (adalimumab-ryvk)drugId:8924	PA	IMMUNOMODULATOR
Simponi (golimumab)drugId:681	PA	IMMUNOMODULATOR
Simponi Aria (golimumab for infusion)drugId:2850	PA	IMMUNOMODULATOR
Skyrizi (risankizumab-rzaa auto-injection, on-body injector, prefilled syringe)drugId:7227	PA	IMMUNOMODULATOR	PD
Skyrizi (risankizumab-rzaa vial)drugId:9058	PA	IMMUNOMODULATOR
Sotyktu (deucravacitinib)drugId:8370	PA	IMMUNOMODULATOR
Spevigo (spesolimab-sbzo)drugId:8371	PA	IMMUNOMODULATOR
Stelara (ustekinumab 130 mg/26 mL vial)drugId:8384	PA	IMMUNOMODULATOR	MB
Stelara (ustekinumab 45 mg/0.5 mL prefilled syringe, 90 mg/mL prefilled syringe, 45 mg/0.5 mL vial)drugId:1777	PA	IMMUNOMODULATOR	PD
Steqeyma (ustekinumab-stba prefilled syringe)drugId:9308	PA	IMMUNOMODULATOR
Steqeyma (ustekinumab-stba vial)drugId:9310	PA	IMMUNOMODULATOR	MB
Taltz (ixekizumab)drugId:5399	PA	IMMUNOMODULATOR	PD
Tavneos (avacopan)drugId:8159	PA	IMMUNOMODULATOR
Thalomid (thalidomide)drugId:1690		IMMUNOMODULATOR
Tofidence (tocilizumab-bavi)drugId:9075	PA	IMMUNOMODULATOR	MB
Tremfya (guselkumab)drugId:6289	PA	IMMUNOMODULATOR
Tyenne (tocilizumab-aazg auto-injection, prefilled syringe)drugId:9076	PA	IMMUNOMODULATOR
Tyenne (tocilizumab-aazg vial)drugId:9077	PA	IMMUNOMODULATOR	MB
ustekinumab, unbranded 130 mg/26 mL vialdrugId:9344	PA	IMMUNOMODULATOR	MB
ustekinumab, unbranded prefilled syringe, 45 mg/0.5 mL vialdrugId:9343	PA	IMMUNOMODULATOR
ustekinumab-aekn, unbranded prefilled syringedrugId:9312	PA	IMMUNOMODULATOR
ustekinumab-ttwe, unbranded prefilled syringedrugId:9314	PA	IMMUNOMODULATOR
ustekinumab-ttwe, unbranded vialdrugId:9315	PA	IMMUNOMODULATOR	MB
Xeljanz (tofacitinib)drugId:2660	PA	IMMUNOMODULATOR	BP
Xeljanz XR (tofacitinib extended-release)drugId:5407	PA	IMMUNOMODULATOR	BP
Yesintek (ustekinumab-kfce 130 mg/26 mL vial)drugId:9318	PA	IMMUNOMODULATOR	MB
Yesintek (ustekinumab-kfce prefilled syringe, 45 mg/0.5 mL vial)drugId:9317	PA	IMMUNOMODULATOR
Yuflyma (adalimumab-aaty)drugId:8730	PA	IMMUNOMODULATOR
Yusimry (adalimumab-aqvh)drugId:8731	PA	IMMUNOMODULATOR
Zortress (everolimus 0.25 mg, 0.5 mg, 0.75 mg, 1 mg)drugId:1974		IMMUNOMODULATOR	BP, A90
Zymfentra (infliximab-dyyb)drugId:8926	PA	IMMUNOMODULATOR
potassium iodidedrugId:8421	PA > 1 mL/day	IODINE THERAPY
calcium polycarbophildrugId:8607		LAXATIVES	*, M90
Clenpiq (sodium picosulfate / magnesium oxide / anhydrous citric acid-Clenpiq)drugId:6380	PA	LAXATIVES
GolytelydrugId:1549 (polyethylene glycol-electrolyte solution)drugId:1549		LAXATIVES	A90, #
Movantik (naloxegol)drugId:4946	PA	LAXATIVES
polyethylene glycol 3350drugId:1547		LAXATIVES	*, A90
polyethylene glycol-electrolyte solutiondrugId:1552		LAXATIVES	A90
Suflave (polyethylene glycol / sodium sulfate / potassium chloride / magnesium sulfate / sodium chloride)drugId:8786	PA	LAXATIVES
Suprep (sodium sulfate / potassium sulfate / magnesium sulfate)drugId:2086		LAXATIVES	BP, A90
Sutab (sodium sulfate / magnesium sulfate / potassium chloride)drugId:7600	PA	LAXATIVES
Altoprev (lovastatin extended-release)drugId:1107	PA	LIPID LOWERING AGENTS
Atorvaliq (atorvastatin suspension)drugId:8564	PA	LIPID LOWERING AGENTS
cholestyramine / aspartamedrugId:228		LIPID LOWERING AGENTS	M90
cholestyramine / sucrosedrugId:229		LIPID LOWERING AGENTS	M90
ColestiddrugId:290 (colestipol)drugId:290		LIPID LOWERING AGENTS	M90, #
CrestordrugId:5601 (rosuvastatin 40 mg)drugId:5601	PA > 1 unit/day	LIPID LOWERING AGENTS	M90, #
CrestordrugId:1459 (rosuvastatin 5 mg, 10 mg, 20 mg)drugId:1459	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90, #
Evkeeza (evinacumab-dgnb)drugId:7880	PA	LIPID LOWERING AGENTS	MB
Ezallor (rosuvastatin sprinkle capsule)drugId:7222	PA	LIPID LOWERING AGENTS
fenofibrate 40 mg, 120 mg tabletdrugId:2986	PA	LIPID LOWERING AGENTS	M90
fenofibrate 43 mg, 67 mg, 130 mg, 134 mg, 200 mg capsuledrugId:5461		LIPID LOWERING AGENTS	M90
fenofibrate 54 mg, 160 mg tabletdrugId:471		LIPID LOWERING AGENTS	M90
fenofibric acid tabletdrugId:473		LIPID LOWERING AGENTS	M90
fluvastatindrugId:899	PA	LIPID LOWERING AGENTS	M90
icosapent ethyldrugId:2733	PA	LIPID LOWERING AGENTS	M90
Juxtapid (lomitapide)drugId:2727	PA	LIPID LOWERING AGENTS
Leqvio (inclisiran)drugId:8192	PA	LIPID LOWERING AGENTS
Lescol XL (fluvastatin extended-release)drugId:898	PA	LIPID LOWERING AGENTS	M90
LipitordrugId:105 (atorvastatin 10 mg, 20 mg, 40 mg tablet)drugId:105	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90, #
LipitordrugId:2933 (atorvastatin 80 mg tablet)drugId:2933	PA > 1 unit/day	LIPID LOWERING AGENTS	M90, #
Lipofen (fenofibrate 50 mg, 150 mg capsule)drugId:5480		LIPID LOWERING AGENTS	M90
Livalo (pitavastatin calcium)drugId:1962	PA	LIPID LOWERING AGENTS	M90
LopiddrugId:927 (gemfibrozil)drugId:927		LIPID LOWERING AGENTS	M90, #
lovastatin 10 mg, 20 mgdrugId:1108	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90
lovastatin 40 mgdrugId:2735	PA > 2 units/day	LIPID LOWERING AGENTS	M90
LovazadrugId:1288 (omega-3 acid ethyl esters)drugId:1288		LIPID LOWERING AGENTS	M90, #
Nexletol (bempedoic acid)drugId:7372	PA	LIPID LOWERING AGENTS
Nexlizet (bempedoic acid / ezetimibe)drugId:7393	PA	LIPID LOWERING AGENTS
niacin extended-release tabletdrugId:1200		LIPID LOWERING AGENTS	M90
nicotinic acid		LIPID LOWERING AGENTS	*
Praluent (alirocumab)drugId:5119	PA	LIPID LOWERING AGENTS
pravastatin 10 mg, 20 mg, 40 mgdrugId:2736	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90
pravastatin 80 mgdrugId:1572	PA > 1 unit/day	LIPID LOWERING AGENTS	M90
Repatha (evolocumab)drugId:5120	PA	LIPID LOWERING AGENTS
simvastatin 80 mgdrugId:1855	PA > 1 unit/day	LIPID LOWERING AGENTS	M90
TricordrugId:467 (fenofibrate 48 mg, 145 mg tablet)drugId:467		LIPID LOWERING AGENTS	M90, #
TrilipixdrugId:837 (fenofibric acid)drugId:837		LIPID LOWERING AGENTS	M90, #
VytorindrugId:453 (ezetimibe / simvastatin)drugId:453	PA > 1 unit/day	LIPID LOWERING AGENTS	M90, #
WelcholdrugId:288 (colesevelam)drugId:288		LIPID LOWERING AGENTS	M90, #
ZetiadrugId:452 (ezetimibe)drugId:452		LIPID LOWERING AGENTS	M90, #
ZocordrugId:2737 (simvastatin 5 mg, 10 mg, 20 mg, 40 mg)drugId:2737	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90, #
Zypitamag (pitavastatin magnesium)drugId:7109	PA	LIPID LOWERING AGENTS
fenofibrate 90 mg capsuledrugId:9016	PA	LIPOTROPICS	M90
Tryngolza (olezarsen)drugId:9342	PA	LIPOTROPICS
levomethylfolate tabletdrugId:8836	PA > 1 unit/day	MEDICAL FOOD
Alhemo (concizumab-mtci)drugId:9265	PA	MISCELLANEOUS
Cobenfy (xanomeline / trospium)drugId:9157	PA	MISCELLANEOUS
compounded pharmaceutical product with a total allowed ingredient cost ≥ $100drugId:8613	PA	MISCELLANEOUS	CP
compounded pharmaceutical product with a total allowed ingredient cost <$100 and non-intradermal/topical/transdermal ROAdrugId:8612		MISCELLANEOUS	CP
compounded pharmaceutical product with intradermal, topical or transdermal ROAdrugId:8614	PA	MISCELLANEOUS	CP
Duvyzat (givinostat)drugId:9061	PA	MISCELLANEOUS
Elevidys (delandistrogene moxeparvovec-rokl)drugId:8704	PA	MISCELLANEOUS	CO
Opfolda (miglustat 65 mg)drugId:8822	PA	MISCELLANEOUS
Piasky (crovalimab-akkz)drugId:9161	PA	MISCELLANEOUS	MB
Rebyota (fecal microbiota, live-jslm)drugId:8535	PA	MISCELLANEOUS
Rezurock (belumosudil)drugId:8024	PA	MISCELLANEOUS
Sohonos (palovarotene)drugId:8785	PA	MISCELLANEOUS
Veopoz (pozelimab-bbfg)drugId:8788	PA	MISCELLANEOUS	MB
Xenpozyme (olipudase alfa-rpcp)drugId:8548	PA	MISCELLANEOUS	MB
acetylcysteine		MUCOLYTICS
Bronchitol (mannitol inhalation powder)drugId:7879	PA	MUCOLYTICS
AmpyradrugId:320 (dalfampridine)drugId:320	PA > 2 units/day	MULTIPLE SCLEROSIS AGENTS	A90, #
AubagiodrugId:2657 (teriflunomide)drugId:2657	PA > 1 unit/day	MULTIPLE SCLEROSIS AGENTS	A90, #
Avonex (interferon beta-1a-Avonex)drugId:825		MULTIPLE SCLEROSIS AGENTS
Bafiertam (monomethyl fumarate)drugId:7717	PA	MULTIPLE SCLEROSIS AGENTS
Betaseron (interferon beta-1b)drugId:827		MULTIPLE SCLEROSIS AGENTS
Briumvi (ublituximab-xiiy)drugId:8565	PA	MULTIPLE SCLEROSIS AGENTS
Copaxone (glatiramer)drugId:930		MULTIPLE SCLEROSIS AGENTS	BP
Kesimpta (ofatumumab prefilled syringe)drugId:7544	PA	MULTIPLE SCLEROSIS AGENTS
Lemtrada (alemtuzumab 12 mg)drugId:4782	PA	MULTIPLE SCLEROSIS AGENTS	MB
Mavenclad (cladribine tablet)drugId:7224	PA	MULTIPLE SCLEROSIS AGENTS
Ocrevus (ocrelizumab)drugId:6104	PA	MULTIPLE SCLEROSIS AGENTS
Ocrevus Zunovo (ocrelizumab / hyaluronidase-ocsq)drugId:9223	PA	MULTIPLE SCLEROSIS AGENTS
Plegridy (peginterferon beta-1a)drugId:4631	PA	MULTIPLE SCLEROSIS AGENTS
Rebif (interferon beta-1a-Rebif)drugId:826		MULTIPLE SCLEROSIS AGENTS
Rystiggo (rozanolixizumab-noli)drugId:8723	PA	MULTIPLE SCLEROSIS AGENTS	MB
TecfideradrugId:2793 (dimethyl fumarate)drugId:2793	PA > 2 units/day	MULTIPLE SCLEROSIS AGENTS	A90, #
Tysabri (natalizumab)drugId:1177		MULTIPLE SCLEROSIS AGENTS
Vumerity (diroximel fumarate)drugId:7572	PA	MULTIPLE SCLEROSIS AGENTS
Amrix (cyclobenzaprine extended-release)drugId:304	PA	MUSCLE RELAXANT	A90
baclofen 15 mg tabletdrugId:9019	PA	MUSCLE RELAXANT
baclofen 5 mg, 10 mg, 20 mg tabletdrugId:124		MUSCLE RELAXANT	A90
carisoprodol / aspirindrugId:181	PA	MUSCLE RELAXANT
chlorzoxazone 250 mg, 375 mg, 750 mgdrugId:2360	PA	MUSCLE RELAXANT	A90
chlorzoxazone 500 mgdrugId:226	PA < 18 years	MUSCLE RELAXANT	A90, #
cyclobenzaprine 5 mg, 10 mgdrugId:305	PA < 15 years	MUSCLE RELAXANT	A90
cyclobenzaprine 7.5 mgdrugId:306	PA	MUSCLE RELAXANT	A90
Dantrium (dantrolene injection solution)drugId:4645		MUSCLE RELAXANT	MB
DantriumdrugId:323 (dantrolene capsule)drugId:323		MUSCLE RELAXANT	A90, #
Fleqsuvy (baclofen suspension)drugId:8297	PA	MUSCLE RELAXANT	A90
GablofendrugId:2166 (baclofen injection)drugId:2166		MUSCLE RELAXANT	#
Lioresal (baclofen intrathecal injection)drugId:125		MUSCLE RELAXANT
Lyvispah (baclofen granules)drugId:8315	PA	MUSCLE RELAXANT
metaxalonedrugId:1156	PA	MUSCLE RELAXANT	A90
methocarbamol 500 mg, 750 mg tabletdrugId:942	PA < 16 years	MUSCLE RELAXANT	A90
orphenadrine / aspirin / caffeinedrugId:7164	PA	MUSCLE RELAXANT	A90
orphenadrinedrugId:1301	PA < 18 years	MUSCLE RELAXANT	A90
Ozobax (baclofen oral solution)drugId:7857	PA	MUSCLE RELAXANT	A90
Ryanodex (dantrolene injection suspension)drugId:4634		MUSCLE RELAXANT	MB
methocarbamol 1,000 mg tabletdrugId:9467	PA	MUSCLE RELAXANTS
Soma (carisoprodol)drugId:180	PA	MUSCLE RELAXANT
RobaxindrugId:9039 (methocarbamol injection)drugId:9039	PA < 16 years	MUSCLE RELAXANTS	#
Zanaflex (tizanidine capsule)drugId:1711	PA	MUSCLE RELAXANT	A90
ZanaflexdrugId:1712 (tizanidine tablet)drugId:1712		MUSCLE RELAXANT	A90, #
NuvigildrugId:94 (armodafinil)drugId:94	PA < 6 years and PA > 1 unit/day	NARCOLEPSY AGENTS	#
ProvigildrugId:1373 (modafinil 100 mg)drugId:1373	PA < 6 years and PA > 1.5 units/day	NARCOLEPSY AGENTS	#
ProvigildrugId:7452 (modafinil 200 mg)drugId:7452	PA < 6 years and PA > 2 units/day	NARCOLEPSY AGENTS	#
Sunosi (solriamfetol)drugId:7267	PA	NARCOLEPSY AGENTS
Wakix (pitolisant)drugId:7356	PA	NARCOLEPSY AGENTS
Roxybond (oxycodone immediate-release-Roxybond)drugId:9038	PA	NARCOTIC ANALGESICS
Atrovent (ipratropium nasal spray)		NASAL PREPARATIONS	A90, #
azelastine 0.15% nasal spraydrugId:116	PA	NASAL PREPARATIONS	A90
azelastine 137 mcg nasal spraydrugId:115		NASAL PREPARATIONS	A90
budesonide OTC nasal spraydrugId:6240	PA > 1 inhaler/30 days	NASAL PREPARATIONS	M90
Dymista (azelastine / fluticasone propionate)drugId:2580		NASAL PREPARATIONS	BP, M90
flunisolide nasal spraydrugId:866	PA	NASAL PREPARATIONS	M90
fluticasone propionate 50 mcg nasal spraydrugId:889	PA > 1 inhaler/30 days	NASAL PREPARATIONS	M90
mometasone nasal spraydrugId:1381	PA	NASAL PREPARATIONS	M90
olopatadine nasal spraydrugId:1283	PA	NASAL PREPARATIONS	A90
Omnaris (ciclesonide 50 mcg nasal spray)drugId:231	PA > 1 inhaler/30 days	NASAL PREPARATIONS
Qnasl (beclomethasone nasal aerosol)drugId:2522	PA	NASAL PREPARATIONS
Ryaltris (olopatadine / mometasone)drugId:8334	PA	NASAL PREPARATIONS
Sinuva (mometasone sinus implant)drugId:6684	PA	NASAL PREPARATIONS
triamcinolone OTC nasal spraydrugId:6241	PA > 1 inhaler/30 days	NASAL PREPARATIONS	M90
Xhance (fluticasone propionate 93 mcg nasal spray)drugId:6488	PA	NASAL PREPARATIONS
Zetonna (ciclesonide 37 mcg nasal aerosol)drugId:2561	PA > 1 inhaler/30 days	NASAL PREPARATIONS
Austedo (deutetrabenazine)drugId:6121	PA	NEUROLOGIC AGENT
Austedo XR (deutetrabenazine extended-release)drugId:8701	PA	NEUROLOGIC AGENT
Ingrezza (valbenazine)drugId:6123	PA	NEUROLOGIC AGENT
Xenazine (tetrabenazine)drugId:1688	PA	NEUROLOGIC AGENT	M90
Nuedexta (dextromethorphan / quinidine)drugId:2177	PA	NMDA RECEPTOR ANTAGONISTS
Cequr Simplicity (insulin bolus delivery patch)drugId:8761 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Dexcom G6 (continuous glucose monitoring system)drugId:8763 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Dexcom G7 (continuous glucose monitoring system)drugId:8764 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Freestyle (test strips, blood glucose, preferred)drugId:8765 - Non-Drug Product	PA > 100 units/30 days	NON-DRUG PRODUCT	PND
Freestyle Insulinx (test strips, blood glucose, preferred)drugId:8766 - Non-Drug Product	PA > 100 units/30 days	NON-DRUG PRODUCT	PND
Freestyle Libre 14 day (continuous glucose monitoring system)drugId:8768 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Freestyle Libre 2 (continuous glucose monitoring system)drugId:8769 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Freestyle Libre 3 (continuous glucose monitoring system)drugId:8770 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Freestyle Lite (test strips, blood glucose, preferred)drugId:8771 - Non-Drug Product	PA > 100 units/30 days	NON-DRUG PRODUCT	PND
Freestyle Neo (test strips, blood glucose, preferred)drugId:8754 - Non-Drug Product	PA > 100 units/30 days	NON-DRUG PRODUCT	PND
Hyper-Sal (sodium chloride 3.5%, 7% for inhalation) - Non-Drug Product		NON-DRUG PRODUCT
Nebusal (sodium chloride 6% for inhalation) - Non-Drug Product		NON-DRUG PRODUCT
Omnipod 5 (insulin continuous subcutaneous infusion pump)drugId:8775 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Omnipod Dash (insulin continuous subcutaneous infusion pump)drugId:8773 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Precision Xtra (test strips, blood glucose, preferred)drugId:8776 - Non-Drug Product	PA > 100 units/30 days	NON-DRUG PRODUCT	PND
Pulmosal (sodium chloride 7% for inhalation) - Non-Drug Product		NON-DRUG PRODUCT
test strips, blood glucose, all other non-preferreddrugId:8778 - Non-Drug Product	PA	NON-DRUG PRODUCT
V-Go (insulin continuous subcutaneous infusion patch)drugId:8777 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
ArthrotecdrugId:514 (diclofenac / misoprostol)drugId:514	PA < 60 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
CelebrexdrugId:207 (celecoxib)drugId:207		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
DayprodrugId:1309 (oxaprozin)drugId:1309		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
diclofenac 1% geldrugId:512		NONSTEROIDAL ANTI-INFLAMMATORY	*, A90
diclofenac 18 mg, 35 mg capsuledrugId:2894	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac 25 mg capsuledrugId:511	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac extended-releasedrugId:513		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac potassium 25 mg tabletdrugId:8186	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac potassium 50 mg tabletdrugId:8199		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac powder for solutiondrugId:1953	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac sodium tabletdrugId:2117		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac topical patchdrugId:509	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diflunisal 250 mg, 375 mgdrugId:9345	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diflunisal 500 mgdrugId:521		NONSTEROIDAL ANTI-INFLAMMATORY	A90
DuexisdrugId:2363 (ibuprofen / famotidine)drugId:2363	PA < 60 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
Elyxyb (celecoxib oral solution)drugId:8188	PA	NONSTEROIDAL ANTI-INFLAMMATORY
etodolacdrugId:443		NONSTEROIDAL ANTI-INFLAMMATORY	A90
etodolac extended-releasedrugId:2065	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
FeldenedrugId:1540 (piroxicam)drugId:1540		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
fenoprofen tabletdrugId:838	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
flurbiprofendrugId:887		NONSTEROIDAL ANTI-INFLAMMATORY	A90
ibuprofendrugId:773		NONSTEROIDAL ANTI-INFLAMMATORY	*, A90
indomethacin 25 mg, 50 mgdrugId:2862		NONSTEROIDAL ANTI-INFLAMMATORY	A90
indomethacin extended-releasedrugId:2066		NONSTEROIDAL ANTI-INFLAMMATORY	A90
indomethacin suppositorydrugId:5130	PA	NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin suspensiondrugId:792	PA	NONSTEROIDAL ANTI-INFLAMMATORY
ketoprofendrugId:997		NONSTEROIDAL ANTI-INFLAMMATORY	A90
ketoprofen extended-releasedrugId:2067	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
ketorolac nasal spraydrugId:2289	PA	NONSTEROIDAL ANTI-INFLAMMATORY
ketorolac tablets and injectiondrugId:2189	PA > 20 units/30 days	NONSTEROIDAL ANTI-INFLAMMATORY
meclofenamatedrugId:1127	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
mefenamic aciddrugId:1133		NONSTEROIDAL ANTI-INFLAMMATORY	A90
meloxicam tabletdrugId:1137		NONSTEROIDAL ANTI-INFLAMMATORY	A90
nabumetone 500 mg, 750 mgdrugId:1415		NONSTEROIDAL ANTI-INFLAMMATORY	A90
Nalfon (fenoprofen capsule)drugId:839	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
Naprelan CR (naproxen controlled-release)drugId:2051	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
naproxen capsule, tabletdrugId:1174		NONSTEROIDAL ANTI-INFLAMMATORY	*, A90
naproxen enteric coateddrugId:1978		NONSTEROIDAL ANTI-INFLAMMATORY	A90
naproxen suspensiondrugId:1977	PA ≥ 13 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90
PennsaiddrugId:1944 (diclofenac topical solution)drugId:1944		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
Relafen DS (nabumetone 1000 mg)drugId:7353	PA	NONSTEROIDAL ANTI-INFLAMMATORY
salsalatedrugId:1830	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
sulindacdrugId:1912		NONSTEROIDAL ANTI-INFLAMMATORY	A90
tolmetindrugId:1723	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
VimovodrugId:1971 (naproxen / esomeprazole)drugId:1971	PA <60 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
clonidine extended-release 0.1 mg tabletdrugId:2170	PA < 3 years and PA > 4 units/day	NONSTIMULANT ADHD AGENTS	A90
IntunivdrugId:692 (guanfacine extended-release)drugId:692	PA < 3 years	NONSTIMULANT ADHD AGENTS	A90, #
Onyda XR (clonidine extended-release suspension)drugId:9069	PA	NONSTIMULANT ADHD AGENTS
Qelbree (viloxazine)drugId:7795	PA	NONSTIMULANT ADHD AGENTS
StratteradrugId:104 (atomoxetine)drugId:104	PA < 6 years	NONSTIMULANT ADHD AGENTS	A90, #
Wainua (eplontersen)drugId:8829	PA	OLIGONUCLEOTIDE AGENTS
Gleostine (lomustine)drugId:8405	PA	ONCOLOGY AGENTS
AculardrugId:2270 (ketorolac 0.5% ophthalmic solution)drugId:2270		OPHTHALMIC PREPARATIONS	A90, #
Acular LS (ketorolac 0.4% ophthalmic solution)drugId:2271		OPHTHALMIC PREPARATIONS	BP, A90
Acuvail (ketorolac 0.45% ophthalmic solution)drugId:999		OPHTHALMIC PREPARATIONS
Akten (lidocaine ophthalmic gel)drugId:1072		OPHTHALMIC PREPARATIONS
Alomide (lodoxamide)drugId:1095		OPHTHALMIC PREPARATIONS
Alphagan P (brimonidine 0.1%, 0.15% eye drops)drugId:2505		OPHTHALMIC PREPARATIONS	BP, M90
AlrexdrugId:1105 (loteprednol 0.2%)drugId:1105		OPHTHALMIC PREPARATIONS	A90, #
artificial tearsdrugId:678		OPHTHALMIC PREPARATIONS	*, A90
Azasite (azithromycin ophthalmic solution)drugId:119		OPHTHALMIC PREPARATIONS	BP
Azopt (brinzolamide)drugId:375		OPHTHALMIC PREPARATIONS	BP, M90
bacitracin / polymyxin B ophthalmic ointmentdrugId:123		OPHTHALMIC PREPARATIONS	A90
bacitracin ophthalmic ointmentdrugId:122	PA	OPHTHALMIC PREPARATIONS	A90
Beovu (brolucizumab-dbll)		OPHTHALMIC PREPARATIONS	MB
Besivance (besifloxacin ophthalmic suspension)drugId:351		OPHTHALMIC PREPARATIONS
betaxolol 0.5%drugId:2506		OPHTHALMIC PREPARATIONS	M90
Betimol (timolol-Betimol)drugId:8180	PA	OPHTHALMIC PREPARATIONS	BP
Betoptic S (betaxolol 0.25%)drugId:1981		OPHTHALMIC PREPARATIONS
bimatoprost 0.03% ophthalmic solutiondrugId:4906	PA	OPHTHALMIC PREPARATIONS	M90
brimonidine 0.2% eye dropsdrugId:2209		OPHTHALMIC PREPARATIONS	M90
bromfenac 0.09%drugId:2084		OPHTHALMIC PREPARATIONS	A90
Bromsite (bromfenac 0.075%)drugId:5762	PA	OPHTHALMIC PREPARATIONS	A90
Byooviz (ranibizumab-nuna)		OPHTHALMIC PREPARATIONS	MB
carteololdrugId:184		OPHTHALMIC PREPARATIONS	M90
Cequa (cyclosporine 0.09% ophthalmic solution)drugId:7282	PA	OPHTHALMIC PREPARATIONS
CiloxandrugId:244 (ciprofloxacin ophthalmic ointment, solution)drugId:244		OPHTHALMIC PREPARATIONS	A90, #
Cimerli (ranibizumab-eqrn)		OPHTHALMIC PREPARATIONS	MB
Combigan (brimonidine / timolol, ophthalmic)drugId:374		OPHTHALMIC PREPARATIONS	BP, M90
CosoptdrugId:564 (dorzolamide / timolol)drugId:564		OPHTHALMIC PREPARATIONS	M90, #
Cosopt PF (dorzolamide / timolol, preservative free)drugId:2517	PA	OPHTHALMIC PREPARATIONS	BP, M90
cromolyn ophthalmicdrugId:299		OPHTHALMIC PREPARATIONS	A90
cyclopentolate / phenylephrine		OPHTHALMIC PREPARATIONS
cyclopentolate		OPHTHALMIC PREPARATIONS	A90
Cystadrops (cysteamine 0.37% ophthalmic solution)drugId:7659	PA	OPHTHALMIC PREPARATIONS
Cystaran (cysteamine 0.44% ophthalmic solution)drugId:2818	PA	OPHTHALMIC PREPARATIONS
dexamethasone sodium phosphate ophthalmic solutiondrugId:4919		OPHTHALMIC PREPARATIONS	A90
Dextenza (dexamethasone ophthalmic insert)drugId:7181		OPHTHALMIC PREPARATIONS	MB
diclofenac ophthalmic solutiondrugId:2269		OPHTHALMIC PREPARATIONS	A90
dorzolamidedrugId:563		OPHTHALMIC PREPARATIONS	M90
DurezoldrugId:522 (difluprednate)drugId:522		OPHTHALMIC PREPARATIONS	A90, #
Durysta (bimatoprost implant)drugId:7489	PA	OPHTHALMIC PREPARATIONS	MB
Encelto (revakinagene taroretcel-lwey)drugId:9392	PA	OPHTHALMIC PREPARATIONS	CO
erythromycin ophthalmic ointmentdrugId:625		OPHTHALMIC PREPARATIONS	A90
Eylea (aflibercept 2 mg)		OPHTHALMIC PREPARATIONS	MB
Eylea HD (aflibercept 8 mg)		OPHTHALMIC PREPARATIONS	MB
Eysuvis (loteprednol 0.25% suspension)drugId:7779	PA	OPHTHALMIC PREPARATIONS
Flarex (fluorometholone acetate)drugId:873		OPHTHALMIC PREPARATIONS
fluorescein / benoxinatedrugId:7780		OPHTHALMIC PREPARATIONS	A90
flurbiprofen ophthalmic solutiondrugId:886		OPHTHALMIC PREPARATIONS	A90
FML (fluorometholone 0.1%)drugId:874		OPHTHALMIC PREPARATIONS	BP, A90
FML Forte (fluorometholone 0.25%)drugId:9406		OPHTHALMIC PREPARATIONS	A90
gatifloxacin ophthalmic solutiondrugId:1976		OPHTHALMIC PREPARATIONS	A90
gentamicin ophthalmic solutiondrugId:928		OPHTHALMIC PREPARATIONS	A90
Idose TR (travoprost intracameral implant)drugId:9022	PA	OPHTHALMIC PREPARATIONS	MB
Ilevro (nepafenac 0.3% ophthalmic suspension)drugId:2725	PA	OPHTHALMIC PREPARATIONS
Iluvien (fluocinolone ophthalmic implant-Iluvien)		OPHTHALMIC PREPARATIONS	MB
Inveltys (loteprednol 1% suspension)drugId:7285	PA	OPHTHALMIC PREPARATIONS
IopidinedrugId:84 (apraclonidine)drugId:84		OPHTHALMIC PREPARATIONS	M90, #
Isopto Atropine (atropine ophthalmic)		OPHTHALMIC PREPARATIONS	A90, #
Istalol (timolol-Istalol)drugId:1703		OPHTHALMIC PREPARATIONS	BP, M90
Iyuzeh (latanoprost solution - Iyuzeh)drugId:8724	PA	OPHTHALMIC PREPARATIONS
Izervay (avacincaptad pegol)drugId:8781	PA	OPHTHALMIC PREPARATIONS	MB
levobunololdrugId:1040		OPHTHALMIC PREPARATIONS	M90
levofloxacin ophthalmic solutiondrugId:1046	PA	OPHTHALMIC PREPARATIONS	A90
LotemaxdrugId:7304 (loteprednol 0.5%)drugId:7304		OPHTHALMIC PREPARATIONS	A90, #
Lotemax SM (loteprednol 0.38% gel)drugId:7287	PA	OPHTHALMIC PREPARATIONS
Lucentis (ranibizumab)		OPHTHALMIC PREPARATIONS	MB
Lumigan (bimatoprost 0.01% ophthalmic solution)drugId:363		OPHTHALMIC PREPARATIONS
Luxturna (voretigene neparvovec-rzyl)drugId:7497	PA	OPHTHALMIC PREPARATIONS	CO
Maxidex (dexamethasone ophthalmic suspension)drugId:493		OPHTHALMIC PREPARATIONS
MaxitroldrugId:1191 (neomycin / polymyxin B / dexamethasone ophthalmic ointment, suspension)drugId:1191		OPHTHALMIC PREPARATIONS	A90, #
Miebo (perfluorohexyloctane)drugId:8714	PA	OPHTHALMIC PREPARATIONS
Miochol-E (acetylcholine chloride)drugId:1982		OPHTHALMIC PREPARATIONS	MB
Miostat (carbachol 0.01%)drugId:1984		OPHTHALMIC PREPARATIONS	MB
moxifloxacin ophthalmic solution, twice dailydrugId:2175	PA	OPHTHALMIC PREPARATIONS	A90
Mydriacyl (tropicamide)		OPHTHALMIC PREPARATIONS	A90, #
naphazolinedrugId:1166		OPHTHALMIC PREPARATIONS	*
Naphcon-A (naphazoline / pheniramine)drugId:6212		OPHTHALMIC PREPARATIONS	A90
Natacyn (natamycin)drugId:2753		OPHTHALMIC PREPARATIONS
neomycin / bacitracin / polymyxin B / hydrocortisone ophthalmic ointmentdrugId:1187		OPHTHALMIC PREPARATIONS	A90
neomycin / bacitracin / polymyxin B ophthalmic ointmentdrugId:2273		OPHTHALMIC PREPARATIONS	A90
neomycin / polymyxin B / gramicidindrugId:1192		OPHTHALMIC PREPARATIONS	A90
neomycin / polymyxin B / hydrocortisone ophthalmic suspensiondrugId:1194	PA	OPHTHALMIC PREPARATIONS	A90
Nevanac (nepafenac 0.1% ophthalmic suspension)drugId:1197		OPHTHALMIC PREPARATIONS
OcufloxdrugId:1273 (ofloxacin ophthalmic solution)drugId:1273		OPHTHALMIC PREPARATIONS	A90, #
Omidria (phenylephrine / ketorolac)		OPHTHALMIC PREPARATIONS	MB
Opcon-A (naphazoline / pheniramine)drugId:6213		OPHTHALMIC PREPARATIONS	A90
Oxervate (cenegermin-bkbj)drugId:7103	PA	OPHTHALMIC PREPARATIONS
Ozurdex (dexamethasone intravitreal implant)drugId:494		OPHTHALMIC PREPARATIONS	MB
Phospholine Iodide (echothiophate iodide)drugId:8582		OPHTHALMIC PREPARATIONS
pilocarpine 1%, 2%, 4% ophthalmic solutiondrugId:2635		OPHTHALMIC PREPARATIONS	M90
Pred FortedrugId:1580 (prednisolone acetate 1% ophthalmic suspension)drugId:1580		OPHTHALMIC PREPARATIONS	A90, #
Pred Mild (prednisolone acetate 0.12% ophthalmic suspension)drugId:5001		OPHTHALMIC PREPARATIONS
prednisolone sodium phosphate ophthalmic solutiondrugId:2618		OPHTHALMIC PREPARATIONS	A90
Prolensa (bromfenac 0.07%)drugId:2788		OPHTHALMIC PREPARATIONS	BP, A90
proparacainedrugId:6366		OPHTHALMIC PREPARATIONS	A90
Qlosi (pilocarpine 0.4% ophthalmic solution)drugId:9313	PA	OPHTHALMIC PREPARATIONS
Restasis (cyclosporine 0.05% ophthalmic emulsion)drugId:311		OPHTHALMIC PREPARATIONS	BP, A90
Restasis Multidose (cyclosporine multidose 0.05% ophthalmic emulsion)drugId:7305	PA	OPHTHALMIC PREPARATIONS
Retisert (fluocinolone ophthalmic implant-Retisert)		OPHTHALMIC PREPARATIONS	MB
Rhopressa (netarsudil)drugId:6743	PA	OPHTHALMIC PREPARATIONS
Rocklatan (netarsudil / latanoprost)drugId:7275	PA	OPHTHALMIC PREPARATIONS
Ryzumvi (phentolamine)drugId:9304	PA	OPHTHALMIC PREPARATIONS	MB
Simbrinza (brinzolamide / brimonidine)drugId:2849		OPHTHALMIC PREPARATIONS	BP
sulfacetamide / prednisolone sodium phosphate ophthalmic solutiondrugId:2272		OPHTHALMIC PREPARATIONS	A90
sulfacetamide ophthalmic ointment, solutiondrugId:1901		OPHTHALMIC PREPARATIONS	A90
Susvimo (ranibizumab)		OPHTHALMIC PREPARATIONS	MB
tetracainedrugId:6367		OPHTHALMIC PREPARATIONS	A90
timolol ophthalmic gel forming solutiondrugId:2211	PA	OPHTHALMIC PREPARATIONS	M90
timolol opthalmic solutiondrugId:1704		OPHTHALMIC PREPARATIONS	M90
Timoptic Ocudose (timolol ophthalmic unit dose solution)drugId:9040	PA	OPHTHALMIC PREPARATIONS	BP, M90
TobradexdrugId:1717 (tobramycin 0.3% / dexamethasone 0.1%, ophthalmic ointment, suspension)drugId:1717		OPHTHALMIC PREPARATIONS	A90, #
Tobradex ST (tobramycin 0.3% / dexamethasone 0.05%, ophthalmic suspension)drugId:2088		OPHTHALMIC PREPARATIONS
TobrexdrugId:1715 (tobramycin ophthalmic ointment, solution)drugId:1715		OPHTHALMIC PREPARATIONS	A90, #
Travatan Z (travoprost 0.004% eye drop)drugId:1743		OPHTHALMIC PREPARATIONS	BP, M90
Triesence (triamcinolone ophthalmic suspension-Triesence)		OPHTHALMIC PREPARATIONS	MB
trimethoprim / polymyxin B ophthalmic solutiondrugId:2060		OPHTHALMIC PREPARATIONS	A90
Vabysmo (faricimab-svoa)		OPHTHALMIC PREPARATIONS	MB
Verkazia (cyclosporine 0.1% ophthalmic emulsion)drugId:8336	PA	OPHTHALMIC PREPARATIONS
Vevye (cyclosporine 0.1% ophthalmic solution)drugId:8789	PA	OPHTHALMIC PREPARATIONS
VigamoxdrugId:1397 (moxifloxacin ophthalmic solution-Vigamox)drugId:1397		OPHTHALMIC PREPARATIONS	A90, #
Viroptic (trifluridine)		OPHTHALMIC PREPARATIONS	A90, #
Vuity (pilocarpine 1.25% ophthalmic solution)drugId:8164	PA	OPHTHALMIC PREPARATIONS
Vyzulta (latanoprostene)drugId:6487	PA	OPHTHALMIC PREPARATIONS
XalatandrugId:1027 (latanoprost solution - Xalatan)drugId:1027		OPHTHALMIC PREPARATIONS	M90, #
Xdemvy (lotilaner)drugId:8791	PA	OPHTHALMIC PREPARATIONS
Xelpros (latanoprost emulsion)drugId:7013	PA	OPHTHALMIC PREPARATIONS
Xiidra (lifitegrast)drugId:5681	PA	OPHTHALMIC PREPARATIONS
Xipere (triamcinolone ophthalmic suspension-Xipere)		OPHTHALMIC PREPARATIONS	MB
Yutiq (fluocinolone ophthalmic implant-Yutiq)		OPHTHALMIC PREPARATIONS	MB
Zioptan (tafluprost)drugId:2524	PA	OPHTHALMIC PREPARATIONS	BP, M90
Zirgan (ganciclovir ophthalmic gel)		OPHTHALMIC PREPARATIONS
Zylet (tobramycin / loteprednol ophthalmic suspension)drugId:1718		OPHTHALMIC PREPARATIONS
carisoprodol / aspirin / codeinedrugId:182	PA	OPIOID ANALGESICS/MUSCLE RELAXANTS
acetaminophen / codeinedrugId:146	PA < 12 years and PA > 4 g/day acetaminophen and PA > 360 mg/day codeine	OPIOID ANALGESICS
Apadaz (benzhydrocodone / acetaminophen)drugId:7234	PA	OPIOID ANALGESICS
Astramorph-PF (morphine, injection-Astramorph-PF)drugId:1391	PA > 120 mg/day	OPIOID ANALGESICS
Belbuca (buprenorphine buccal film)drugId:5362	PA	OPIOID ANALGESICS
buprenorphine injectiondrugId:388	PA	OPIOID ANALGESICS
butalbital / aspirin / caffeine / codeinedrugId:411	PA	OPIOID ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg / codeine 30 mgdrugId:2119	PA < 18 years and PA > 20 units/30 days	OPIOID ANALGESICS
butorphanol injection		OPIOID ANALGESICS
butorphanol nasal spraydrugId:414	PA	OPIOID ANALGESICS
Butrans (buprenorphine transdermal)drugId:2160	PA > 20 mcg/hr and PA > 4 patches/28 days	OPIOID ANALGESICS	BP
codeinedrugId:285	PA < 12 years and PA > 360 mg/day	OPIOID ANALGESICS
Demerol (meperidine)drugId:1144	PA	OPIOID ANALGESICS
dihydrocodeine / acetaminophen / caffeinedrugId:5142	PA	OPIOID ANALGESICS
DilaudiddrugId:754 (hydromorphone injection, solution, tablet)drugId:754	PA > 24 mg/day	OPIOID ANALGESICS	#
Duramorph (morphine, injection-Duramorph)drugId:1392	PA > 120 mg/day	OPIOID ANALGESICS
fentanyl 12, 25, 50 mcg/hr transdermal systemdrugId:845	PA > 50 mcg/hr and PA > 10 patches/30 days	OPIOID ANALGESICS
fentanyl 37.5, 62.5, 87.5 mcg/hr transdermal systemdrugId:4769	PA	OPIOID ANALGESICS
fentanyl 75, 100 mcg/hr transdermal systemdrugId:4800	PA	OPIOID ANALGESICS
fentanyl injectiondrugId:842		OPIOID ANALGESICS
fentanyl transmucosal systemdrugId:844	PA	OPIOID ANALGESICS
Fentora (fentanyl buccal tablet)drugId:840	PA	OPIOID ANALGESICS
hydrocodone / acetaminophendrugId:723	PA > 120 mg/day hydrocodone and PA > 4 g/day acetaminophen	OPIOID ANALGESICS
hydrocodone 5 mg, 10 mg / ibuprofendrugId:726	PA	OPIOID ANALGESICS
hydrocodone 7.5 mg / ibuprofendrugId:728	PA > 120 mg/day hydrocodone and PA > 3.2 g/day ibuprofen	OPIOID ANALGESICS
hydrocodone extended-release capsuledrugId:2924	PA	OPIOID ANALGESICS
hydromorphone extended-releasedrugId:1939	PA	OPIOID ANALGESICS
hydromorphone suppositorydrugId:755	PA	OPIOID ANALGESICS
Hysingla ER (hydrocodone extended-release tablet)drugId:4772	PA	OPIOID ANALGESICS
Infumorph (morphine infusion)drugId:1393		OPIOID ANALGESICS
levorphanol tabletdrugId:1064	PA	OPIOID ANALGESICS
methadone injectiondrugId:2738	PA	OPIOID ANALGESICS
methadone oraldrugId:1163	PA	OPIOID ANALGESICS
Methadose (methadone oral)drugId:1164	PA	OPIOID ANALGESICS
morphine extended-release capsuledrugId:1384	PA	OPIOID ANALGESICS
morphine immediate-releasedrugId:1386	PA > 120 mg/day	OPIOID ANALGESICS
morphine suppositoriesdrugId:1387		OPIOID ANALGESICS
MS ContindrugId:1389 (morphine controlled-release tablet)drugId:1389	PA > 120 mg/day	OPIOID ANALGESICS	#
nalbuphine		OPIOID ANALGESICS
oxycodone / acetaminophen 300 mgdrugId:5144	PA	OPIOID ANALGESICS
oxycodone / acetaminophendrugId:1321	PA > 80 mg/day oxycodone and PA > 4 g/day acetaminophen	OPIOID ANALGESICS
oxycodone / aspirindrugId:1460	PA > 80 mg/day oxycodone and PA > 4 g/day aspirin	OPIOID ANALGESICS
Oxycontin (oxycodone extended-release tablet)drugId:1319	PA	OPIOID ANALGESICS	BP
oxymorphone extended-releasedrugId:2912	PA	OPIOID ANALGESICS
oxymorphone immediate-releasedrugId:1463	PA	OPIOID ANALGESICS
pentazocine / naloxonedrugId:1504	PA	OPIOID ANALGESICS
PercocetdrugId:1323 (oxycodone / acetaminophen-Percocet)drugId:1323	PA > 80 mg/day oxycodone and PA > 4 g/day acetaminophen	OPIOID ANALGESICS	#
RoxicodonedrugId:1320 (oxycodone immediate-release-Roxicodone)drugId:1320	PA > 80 mg/day	OPIOID ANALGESICS	#
sufentanil injectiondrugId:2566		OPIOID ANALGESICS
Vabomere (meropenem / vaborbactam)drugId:6363	PA	OTHER ANTIBIOTICS
Filspari (sparsentan)drugId:8706	PA	OTHER ANTIHYPERTENSIVES
Tadliq (tadalafil suspension)drugId:8542	PA	OTHER ANTIHYPERTENSIVES
Vanrafia (atrasentan)drugId:9387	PA	OTHER ANTIHYPERTENSIVES
Corvert (ibutilide)drugId:9404		OTHER CARDIOVASCULAR PREPS	MB
Crenessity (crinecerfont)drugId:9276	PA	OTHER HORMONES
Egrifta SV (tesamorelin)drugId:5626	PA	OTHER HORMONES
Macrilen (macimorelin)drugId:6920		OTHER HORMONES	MB
Myalept (metreleptin)drugId:2965	PA	OTHER HORMONES
Myfembree (relugolix / estradiol / norethindrone)drugId:7922	PA	OTHER HORMONES
Oriahnn (elagolix / estradiol / norethindrone)drugId:7923	PA	OTHER HORMONES
Recorlev (levoketoconazole)drugId:8261	PA	OTHER HORMONES
acetic acid / hydrocortisonedrugId:149		OTIC PREPARATIONS	A90
acetic aciddrugId:148		OTIC PREPARATIONS	A90
carbamide peroxide		OTIC PREPARATIONS	*, A90
ciprofloxacin / dexamethasone otic suspensiondrugId:245	PA	OTIC PREPARATIONS	A90
ciprofloxacin 0.2% otic solutiondrugId:2895	PA	OTIC PREPARATIONS	A90
Cipro HC (ciprofloxacin / hydrocortisone)drugId:246		OTIC PREPARATIONS
Cortisporin-TC (colistin / neomycin / thonzonium / hydrocortisone)drugId:2108		OTIC PREPARATIONS	A90
DermoticdrugId:870 (fluocinolone oil, otic drops)drugId:870		OTIC PREPARATIONS	A90, #
neomycin / polymyxin B / hydrocortisone oticdrugId:2109		OTIC PREPARATIONS	A90
ofloxacin otic solutiondrugId:1272		OTIC PREPARATIONS	A90
Otovel (ciprofloxacin / fluocinolone)drugId:5683	PA	OTIC PREPARATIONS	A90
methylergonovine		OXYTOCICS
bethanecholdrugId:359		PARASYMPATHETIC AGENTS	A90
Evoxac (cevimeline)		PARASYMPATHETIC AGENTS	A90, #
pilocarpine tablet		PARASYMPATHETIC AGENTS	A90
pyridostigmine bromide 30 mg tabletdrugId:7226	PA	PARASYMPATHETIC AGENTS	A90
pyridostigmine bromide solution, 60 mg tablet, 180 mg extended-release tabletdrugId:1612		PARASYMPATHETIC AGENTS	A90
Xphozah (tenapanor 20 mg, 30 mg tablet)drugId:8830	PA	PHOSPHATE ABSORPTION INHIBITOR
albumin, human solutions		PLASMA PROTEINS	MB
Firdapse (amifampridine)drugId:7041	PA	POTASSIUM CHANNEL BLOCKER
AciphexdrugId:1624 (rabeprazole delayed-release tablet)drugId:1624	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90, #
Aciphex Sprinkle (rabeprazole delayed-release capsule)drugId:2882	PA	PROTON PUMP INHIBITORS
Dexilant (dexlansoprazole)drugId:496	PA	PROTON PUMP INHIBITORS	BP, M90
First-Omeprazole (omeprazole suspension compounding kit)drugId:8402	PA	PROTON PUMP INHIBITORS
Nexium (esomeprazole magnesium 2.5 mg, 5 mg, 10 mg suspension)drugId:7272	PA ≥ 2 years and PA > 1 unit/day	PROTON PUMP INHIBITORS	BP, M90
Nexium (esomeprazole magnesium 20 mg, 40 mg suspension)drugId:8109	PA	PROTON PUMP INHIBITORS	BP, M90
NexiumdrugId:632 (esomeprazole magnesium capsule)drugId:632	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90, #
Nexium  IV (esomeprazole sodium IV)drugId:633	PA	PROTON PUMP INHIBITORS
omeprazole 10 mgdrugId:2100	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90
omeprazole 20 mg capsuledrugId:1289	PA > 4 units/day	PROTON PUMP INHIBITORS	M90
omeprazole 40 mgdrugId:2055	PA > 2 units/day	PROTON PUMP INHIBITORS	M90
PrevaciddrugId:1021 (lansoprazole capsule)drugId:1021	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90, #
Prevacid Solutab (lansoprazole orally disintegrating tablet)drugId:1022		PROTON PUMP INHIBITORS	BP, M90
Prilosec (omeprazole suspension)drugId:2054	PA	PROTON PUMP INHIBITORS
Protonix (pantoprazole 40 mg suspension)drugId:2702		PROTON PUMP INHIBITORS	BP, M90
ProtonixdrugId:1476 (pantoprazole tablet)drugId:1476	PA > 4 units/day	PROTON PUMP INHIBITORS	M90, #
Protonix IVdrugId:1477 (pantoprazole IV)drugId:1477		PROTON PUMP INHIBITORS	#
duloxetine 40 mg capsuledrugId:4911	PA	PSYCHOSTIMULANTS-ANTIDEPRESSAN	A90
Esbriet (pirfenidone)drugId:4767	PA	PULMONARY FIBROSIS AGENTS	A90
Ofev (nintedanib)drugId:4787	PA	PULMONARY FIBROSIS AGENTS
Belsomra (suvorexant)drugId:4903	PA	SEDATIVE, NON-BARBITURATE
Dayvigo (lemborexant)drugId:7388	PA	SEDATIVE, NON-BARBITURATE
doxylamine		SEDATIVE, NON-BARBITURATE	*, A90
Hetlioz (tasimelteon)drugId:2960	PA	SEDATIVE, NON-BARBITURATE	BP, A90
Quviviq (daridorexant)drugId:8260	PA	SEDATIVE, NON-BARBITURATE
phenobarbital 65 mg / mL, 130 mg / mL injectiondrugId:8954		SEDATIVE BARBITURATE	MB
AmbiendrugId:1932 (zolpidem 10 mg tablet)drugId:1932	PA < 6 years and PA > 1 unit/day	SEDATIVES	#
AmbiendrugId:1933 (zolpidem 5 mg tablet)drugId:1933	PA < 6 years and PA > 1.5 units/day	SEDATIVES	#
Ambien CRdrugId:1934 (zolpidem extended-release tablet)drugId:1934	PA < 6 years and PA > 1 unit/day	SEDATIVES	#
doxepin tabletdrugId:2082	PA	SEDATIVES	A90
Edluar (zolpidem 5 mg, 10 mg sublingual tablet)drugId:4340	PA	SEDATIVES
eszopiclonedrugId:662	PA < 6 years and PA > 1 unit/day	SEDATIVES
Rozerem (ramelteon)drugId:1631	PA > 1 unit/day	SEDATIVES	BP, A90
Xyrem (sodium oxybate)drugId:1870	PA	SEDATIVES	BP
Xywav (calcium oxybate / magnesium oxybate / potassium oxybate / sodium oxybate)drugId:7603	PA	SEDATIVES
zaleplondrugId:1817	PA < 6 years and PA > 1 unit/day	SEDATIVES
zolpidem 1.75 mg, 3.5 mg sublingual tabletdrugId:2518	PA	SEDATIVES
zolpidem 7.5 mg capsuledrugId:8649	PA	SEDATIVES
Reyvow (lasmiditan)drugId:7377	PA	SEROTONIN RECEPTOR AGENTS
Amvuttra (vutrisiran)drugId:8295	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Givlaari (givosiran)drugId:7504	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Onpattro (patisiran)drugId:6985	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Oxlumo (lumasiran)drugId:7793	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Rivfloza (nedosiran)drugId:9026	PA	SMALL INTERFERING RNA AGENTS
Chantix (varenicline tablet)		SMOKING CESSATION	A90, #
nicotine gum, lozenge, patch		SMOKING CESSATION	*, A90
Nicotrol Inhaler (nicotine inhalation system)		SMOKING CESSATION
Nicotrol NS (nicotine nasal spray)		SMOKING CESSATION
ZybandrugId:4560 (bupropion hydrochloride sustained-release-Zyban)drugId:4560	PA < 6 years	SMOKING CESSATION	A90, #
GilenyadrugId:2102 (fingolimod capsule)drugId:2102	PA > 1 unit/day	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR	A90, #
Mayzent (siponimod)drugId:7184	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Ponvory (ponesimod)drugId:7794	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Tascenso ODT (fingolimod orally disintegrating tablet)drugId:8335	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Velsipity (etrasimod)drugId:8828	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Zeposia (ozanimod for multiple sclerosis)drugId:7463	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Zeposia (ozanimod for ulcerative colitis)drugId:7959	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
cycloserinedrugId:2498		TB PREPARATIONS	A90
pretomaniddrugId:7568	PA > 1 unit/day	TB PREPARATIONS	A90
Priftin (rifapentine)drugId:2501		TB PREPARATIONS
Sirturo (bedaquiline)drugId:2851	PA	TB PREPARATIONS
Trecator (ethionamide)drugId:2499		TB PREPARATIONS
Rezdiffra (resmetirom)drugId:8948	PA	THYROID HORMONE RECEPTOR-BETA AGONIST
Cytomel (liothyronine)		THYROID PREPARATIONS	M90, #
Ermeza (levothyroxine-Ermeza)		THYROID PREPARATIONS
EuthyroxdrugId:7183 (levothyroxine-Euthyrox)drugId:7183		THYROID PREPARATIONS	M90, #
Levo-T (levothyroxine-Levo-T)		THYROID PREPARATIONS	M90, #
levothyroxine		THYROID PREPARATIONS	M90
Levoxyl (levothyroxine-Levoxyl)		THYROID PREPARATIONS	M90, #
propylthiouracil		THYROID PREPARATIONS	M90
Synthroid (levothyroxine-Synthroid)		THYROID PREPARATIONS	M90, #
Tapazole (methimazole)		THYROID PREPARATIONS	M90, #
Thyquidity (levothyroxine-Thyquidity)		THYROID PREPARATIONS
Thyrogen (thyrotropin alfa)drugId:8877		THYROID PREPARATIONS
thyroid		THYROID PREPARATIONS
Tirosint (levothyroxine capsule-Tirosint)drugId:1948	PA	THYROID PREPARATIONS	M90
Unithroid (levothyroxine-Unithroid)		THYROID PREPARATIONS	M90, #
Attruby (acoramidis)drugId:9388	PA	TRANSTHYRETIN STABILIZER
Vyndamax (tafamidis)drugId:7269	PA	TRANSTHYRETIN STABILIZER
Vyndaqel (tafamidis)drugId:7228	PA	TRANSTHYRETIN STABILIZER
sumatriptan / naproxendrugId:1916	PA	TRIPTAN/NON STEROIDAL ANTI-INFLAMMATORY	A90
Symbravo (meloxicam / rizatriptan)drugId:9539	PA	TRIPTAN/NON STEROIDAL ANTI-INFLAMMATORY
almotriptandrugId:18	PA	TRIPTAN	A90
Frova (frovatriptan)drugId:914	PA	TRIPTAN	BP, A90
Imitrex (sumatriptan injection-Imitrex)drugId:1914	PA	TRIPTAN
ImitrexdrugId:1915 (sumatriptan tablet)drugId:1915	PA > 16 units/30 days	TRIPTAN	A90, #
MaxaltdrugId:1451 (rizatriptan tablet)drugId:1451	PA > 16 units/30 days	TRIPTAN	A90, #
Maxalt MLTdrugId:1450 (rizatriptan orally disintegrating tablet)drugId:1450	PA > 16 units/30 days	TRIPTAN	A90, #
naratriptandrugId:1175	PA > 16 units/30 days	TRIPTAN	A90
Relpax (eletriptan)drugId:593	PA	TRIPTAN	A90
sumatriptan 5 mg, 20 mg nasal spraydrugId:1913	PA > 16 units/30 days and PA < 6 years	TRIPTAN	A90
Tosymra (sumatriptan 10 mg nasal spray)drugId:7335	PA	TRIPTAN
Zembrace (sumatriptan injection-Zembrace)drugId:5599	PA	TRIPTAN
zolmitriptan orally disintegrating tabletdrugId:1931	PA	TRIPTAN	A90
Zomig (zolmitriptan nasal spray)drugId:1930	PA	TRIPTAN	A90
ZomigdrugId:1929 (zolmitriptan tablet)drugId:1929	PA > 16 units/30 days	TRIPTAN	A90, #
Daliresp (roflumilast tablet)drugId:2282	PA	UNCLASSIFIED DRUG PRODUCTS	M90
Daybue (trofinetide)drugId:8654	PA	UNCLASSIFIED DRUG PRODUCTS
Entyvio (vedolizumab)drugId:2957	PA	UNCLASSIFIED DRUG PRODUCTS
Keveyis (dichlorphenamide)drugId:5260	PA	UNCLASSIFIED DRUG PRODUCTS
Ohtuvayre (ensifentrine)drugId:9066	PA	UNCLASSIFIED DRUG PRODUCTS
Omisirge (omidubicel-onlv)drugId:8660	PA	UNCLASSIFIED DRUG PRODUCTS	CO
paroxetine mesylate capsuledrugId:2839	PA	UNCLASSIFIED DRUG PRODUCTS	A90
Pyrukynd (mitapivat)drugId:8258	PA	UNCLASSIFIED DRUG PRODUCTS
Ryoncil (remestemcel-l-rknd)drugId:9397	PA	UNCLASSIFIED DRUG PRODUCTS	MB
Skyclarys (omaveloxolone)drugId:8579	PA	UNCLASSIFIED DRUG PRODUCTS
Sucraid (sacrosidase)drugId:8409	PA	UNCLASSIFIED DRUG PRODUCTS
Veozah (fezolinetant)drugId:8726	PA	UNCLASSIFIED DRUG PRODUCTS
Vijoice (alpelisib-Vijoice)drugId:8264	PA	UNCLASSIFIED DRUG PRODUCTS
Voxzogo (vosoritide)drugId:8265	PA	UNCLASSIFIED DRUG PRODUCTS
Xuriden (uridine triacetate)drugId:8410	PA	UNCLASSIFIED DRUG PRODUCTS
Zokinvy (lonafarnib)drugId:7723	PA	UNCLASSIFIED DRUG PRODUCTS
alfuzosin extended-releasedrugId:10		URINARY ANTISPASMODICS	M90
darifenacindrugId:328		URINARY ANTISPASMODICS	A90
DetroldrugId:1726 (tolterodine immediate-release)drugId:1726		URINARY ANTISPASMODICS	A90, #
Detrol LAdrugId:1725 (tolterodine extended-release)drugId:1725		URINARY ANTISPASMODICS	A90, #
flavoxatedrugId:858		URINARY ANTISPASMODICS	A90
oxybutynin extended-release tabletdrugId:1314		URINARY ANTISPASMODICS	A90
oxybutynin immediate-release 2.5 mg tabletdrugId:8574	PA	URINARY ANTISPASMODICS	A90
oxybutynin immediate-release 5 mg tablet, syrupdrugId:1313		URINARY ANTISPASMODICS	A90
oxybutynin solutiondrugId:8583		URINARY ANTISPASMODICS	A90
Oxytrol (oxybutynin transdermal system)drugId:1316		URINARY ANTISPASMODICS
ToviazdrugId:850 (fesoterodine)drugId:850		URINARY ANTISPASMODICS	A90, #
trospium extended-releasedrugId:1769	PA	URINARY ANTISPASMODICS	A90
trospium immediate-releasedrugId:1770		URINARY ANTISPASMODICS	A90
VesicaredrugId:1879 (solifenacin tablet)drugId:1879		URINARY ANTISPASMODICS	A90, #
Jynarque (tolvaptan-Jynarque)drugId:6801	PA	VASOPRESSIN ANTAGONISTS
Samsca (tolvaptan-Samsca)drugId:1728	PA	VASOPRESSIN ANTAGONISTS	A90

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Note: Any drug that does not appear on the List requires prior authorization.

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Last updated 11/24/25