Adrenalin (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 |
Northera (droxidopa)drugId:4630 |
PA |
ADRENERGICS |
A90 |
phenylephrine ophthalmic solution |
|
ADRENERGICS |
|
Symjepi (epinephrine injection)drugId:7105 |
|
ADRENERGICS |
|
acamprosatedrugId:142 |
|
ALCOHOL AND DRUG CESSATION AGENT |
A90 |
Brixadi (buprenorphine extended-release injection-Brixadi)drugId:8645 |
PA |
ALCOHOL AND DRUG CESSATION AGENT |
|
buprenorphine / naloxone sublingual tablet ≤ 24 mg/daydrugId:2057 |
|
ALCOHOL AND DRUG CESSATION AGENT |
|
buprenorphine / naloxone sublingual tabletdrugId:8978 |
PA > 32 mg/day |
ALCOHOL AND DRUG CESSATION AGENT |
|
buprenorphine / naloxone sublingual tabletdrugId:8977 |
PA > 90 days (> 24 mg/day and ≤ 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-Sublocade)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 |
Suboxone (buprenorphine / naloxone film)drugId:2050 |
PA > 90 days (> 24 mg/day and ≤ 32 mg/day) |
ALCOHOL AND DRUG CESSATION AGENT |
BP, PD |
Suboxone (buprenorphine / naloxone film ≤ 24 mg/day)drugId:2085 |
|
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 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 |
Namenda (memantine titration pack)drugId:7404 |
PA < 6 years and PA > 49 units/28 days |
ALZHEIMER'S THERAPY |
A90 |
NamendadrugId:1139 (memantine tablet)drugId:1139 |
PA < 6 years and PA > 2 units/day |
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:7448 |
PA |
ALZHEIMER'S THERAPY |
BP |
Razadyne ERdrugId:919 (galantamine extended-release capsule)drugId:919 |
PA > 1 unit/day |
ALZHEIMER'S THERAPY |
A90, # |
rivastigmine capsuledrugId:2249 |
PA > 2 units/day |
ALZHEIMER'S THERAPY |
A90 |
Dyanavel XR (amphetamine extended-release chewable tablet)drugId:8525 |
PA |
AMPHETAMINE PREPARATIONS |
|
Xelstrym (dextroamphetamine transdermal)drugId:8546 |
PA |
AMPHETAMINE PREPARATIONS |
|
Exservan (riluzole film)drugId:7881 |
PA |
AMYOTROPHIC LATERAL SCLEROSIS AGENTS |
|
Qalsody (tofersen)drugId:8717 |
PA |
AMYOTROPHIC LATERAL SCLEROSIS AGENTS |
MB |
Radicava (edaravone injection)drugId:6288 |
PA |
AMYOTROPHIC LATERAL SCLEROSIS AGENTS |
|
Radicava ORS (edaravone suspension)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 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 |
|
DuraclondrugId:2750 (clonidine injection)drugId:2750 |
|
ANALGESICS |
# |
Elmiron (pentosan) |
|
ANALGESICS |
|
ergotamine / caffeine suppositorydrugId:6060 |
PA |
ANALGESICS |
A90 |
Migranal (dihydroergotamine nasal spray)drugId:527 |
PA |
ANALGESICS |
A90 |
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 |
|
Aemcolo (rifamycin)drugId:8339 |
PA |
ANTIBIOTICS |
|
amikacindrugId:32 |
|
ANTIBIOTICS |
|
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:6420 (amoxicillin / clavulanate chewable tablet, 200/28.5, 250/62.5, 400/57, 600/42.9 mg/5 mL suspension, tablet)drugId:6420 |
|
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 |
|
Benzamycin (benzoyl peroxide / erythromycin)drugId: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) |
|
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 |
CiprodrugId:5663 (ciprofloxacin injection, suspension, 250 mg, 500 mg, 750 mg tablet)drugId:5663 |
|
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 T (clindamycin lotion)drugId:8980 |
|
ANTIBIOTICS |
BP, A90 |
Cleocin Vaginal Ovule (clindamycin vaginal suppository)drugId:4915 |
|
ANTIBIOTICS |
|
Clindagel (clindamycin gel-Clindagel)drugId:258 |
|
ANTIBIOTICS |
BP |
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 |
# |
CubicindrugId:326 (daptomycin)drugId:326 |
|
ANTIBIOTICS |
# |
Dalvance (dalbavancin)drugId:4623 |
PA |
ANTIBIOTICS |
|
dapsone tabletdrugId:324 |
|
ANTIBIOTICS |
A90 |
daptomycindrugId:6744 |
|
ANTIBIOTICS |
|
demeclocyclinedrugId:337 |
|
ANTIBIOTICS |
A90 |
dicloxacillindrugId:515 |
|
ANTIBIOTICS |
A90 |
Dificid (fidaxomicin)drugId:2283 |
PA |
ANTIBIOTICS |
|
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 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 |
PA |
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 capsule, tabletdrugId:623 |
|
ANTIBIOTICS |
A90 |
erythromycin solutiondrugId:2437 |
|
ANTIBIOTICS |
A90 |
erythromycin stearate tabletdrugId:8022 |
|
ANTIBIOTICS |
A90 |
erythromycin tabletdrugId:624 |
|
ANTIBIOTICS |
A90 |
Evoclin (clindamycin foam)drugId:261 |
PA |
ANTIBIOTICS |
A90 |
Fetroja (cefiderocol)drugId:7392 |
PA |
ANTIBIOTICS |
|
Firvanq (vancomycin oral solution)drugId:6683 |
|
ANTIBIOTICS |
BP, A90 |
Flagyl (metronidazole 375 mg capsule)drugId:1988 |
PA |
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, # |
MacrodantindrugId:1224 (nitrofurantoin macrocrystals)drugId:1224 |
|
ANTIBIOTICS |
A90, # |
meropenemdrugId:1148 |
|
ANTIBIOTICS |
|
MetrodrugId:5640 (metronidazole injection)drugId:5640 |
|
ANTIBIOTICS |
# |
metronidazole 0.75% vaginal geldrugId:4882 |
|
ANTIBIOTICS |
A90 |
metronidazole 250 mg, 500 mg tabletdrugId:1341 |
|
ANTIBIOTICS |
A90 |
Minocin (minocycline injection)drugId:5660 |
|
ANTIBIOTICS |
|
minocycline capsuledrugId:2303 |
|
ANTIBIOTICS |
A90 |
minocycline extended-release 45 mg, 90 mg, 135 mg tabletdrugId:7165 |
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 |
MyambutoldrugId:665 (ethambutol)drugId:665 |
|
ANTIBIOTICS |
A90, # |
Mycobutin (rifabutin)drugId:1429 |
|
ANTIBIOTICS |
BP, A90 |
nafcillindrugId:1421 |
|
ANTIBIOTICS |
|
neomycindrugId:1186 |
|
ANTIBIOTICS |
*, A90 |
nitrofurantoin 50 mg/5 mL suspensiondrugId:8648 |
PA |
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 |
|
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 |
|
SolodyndrugId:1364 (minocycline extended-release 55 mg, 65 mg, 80 mg, 105 mg, 115 mg tablet)drugId:1364 |
|
ANTIBIOTICS |
A90, # |
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 |
|
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 |
|
VibramycindrugId:575 (doxycycline hyclate 100 mg capsule)drugId:575 |
|
ANTIBIOTICS |
A90, # |
Xaciato (clindamycin vaginal gel)drugId:8372 |
PA |
ANTIBIOTICS |
|
Xepi (ozenoxacin)drugId:7917 |
PA |
ANTIBIOTICS |
|
Xerava (eravacycline)drugId:7049 |
PA |
ANTIBIOTICS |
|
Xifaxan (rifaximin 200 mg)drugId:1433 |
|
ANTIBIOTICS |
|
Xifaxan (rifaximin 550 mg)drugId:7140 |
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 injection)drugId:1079 |
PA |
ANTIBIOTICS |
|
Zyvox (linezolid suspension)drugId:1078 |
PA |
ANTIBIOTICS |
BP, A90 |
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 capsule)drugId:5286 |
|
ANTICOAGULANTS |
BP, M90 |
Pradaxa (dabigatran oral pellet)drugId:8575 |
PA |
ANTICOAGULANTS |
|
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 |
Xarelto (rivaroxaban suspension)drugId:8641 |
PA ≥ 18 years |
ANTICOAGULANTS |
|
Aptiom (eslicarbazepine)drugId:2953 |
PA |
ANTICONVULSANTS |
|
Banzel (rufinamide)drugId:1826 |
PA |
ANTICONVULSANTS |
BP, A90 |
Briviact (brivaracetam injection)drugId:8958 |
|
ANTICONVULSANTS |
MB |
Briviact (brivaracetam solution, tablet)drugId:5581 |
PA |
ANTICONVULSANTS |
|
CarbatroldrugId:439 (carbamazepine extended-release)drugId:439 |
PA < 6 years |
ANTICONVULSANTS |
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 |
|
Equetro (carbamazepine extended-release)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 |
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 |
|
MysolinedrugId:1586 (primidone)drugId:1586 |
|
ANTICONVULSANTS |
A90, # |
NeurontindrugId:3480 (gabapentin capsule, solution, tablet)drugId:3480 |
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 |
Qudexy XR (topiramate extended-release capsule-Qudexy XR)drugId:2943 |
PA < 6 years |
ANTICONVULSANTS |
BP, A90 |
Sabril (vigabatrin powder packet, tablet)drugId:1802 |
PA |
ANTICONVULSANTS |
BP, A90 |
Spritam (levetiracetam tablet for oral suspension)drugId:5397 |
PA |
ANTICONVULSANTS |
|
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 |
Aplenzin (bupropion hydrobromide extended-release)drugId:3640 |
PA |
ANTIDEPRESSANTS |
|
Auvelity (dextromethorphan / bupropion)drugId:8522 |
PA |
ANTIDEPRESSANTS |
|
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 tablet for premenstrual dysphoric disorderdrugId: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 |
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:3940 (desvenlafaxine succinate extended-release)drugId:3940 |
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, # |
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 |
|
Symbyax (olanzapine / fluoxetine)drugId:1279 |
PA |
ANTIDEPRESSANTS |
A90 |
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, # |
Wellbutrin XLdrugId:398 (bupropion hydrochloride extended-release 150 mg, 300 mg tablet)drugId:398 |
PA < 6 years and PA > 1 unit/day |
ANTIDEPRESSANTS |
A90, # |
ZoloftdrugId:3820 (sertraline oral concentrate, tablet)drugId:3820 |
PA < 6 years |
ANTIDEPRESSANTS |
A90, # |
Zulresso (brexanolone)drugId:7303 |
PA |
ANTIDEPRESSANTS |
MB |
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 |
|
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 |
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 units/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 125 mg 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 |
BP, A90 |
EmenddrugId:85 (aprepitant 80 mg)drugId:85 |
PA > 4 units/28 days |
ANTIEMETICS |
A90, # |
EmenddrugId:909 (fosaprepitant injection-Emend)drugId:909 |
PA > 2 units/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 |
Marinol (dronabinol 2.5 mg)drugId:582 |
PA > 2 units/day |
ANTIEMETICS |
BP |
MarinoldrugId:8879 (dronabinol 5 mg, 10 mg)drugId:8879 |
PA > 2 units/day |
ANTIEMETICS |
# |
metoclopramide vial |
PA |
ANTIEMETICS |
|
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 units/28 days |
ANTIEMETICS |
A90 |
palonosetron 0.25 mg/5 mL injectiondrugId:1473 |
PA > 2 units/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 units/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, # |
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, MB |
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, MB |
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 |
|
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 |
|
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, MB |
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 syrup, tabletdrugId:211 |
|
ANTIHISTAMINES |
*, M90 |
chlorpheniraminedrugId:222 |
|
ANTIHISTAMINES |
*, A90 |
Clarinex (desloratadine tablet)drugId:339 |
PA |
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 |
|
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 |
M90 |
levocetirizine tabletdrugId:1043 |
|
ANTIHISTAMINES |
M90, # |
loratadine / pseudoephedrinedrugId:2264 |
|
ANTIHISTAMINES |
*, A90 |
loratadine tablet, solutiondrugId:1099 |
|
ANTIHISTAMINES |
*, M90 |
olopatadine ophthalmic solutiondrugId:1284 |
|
ANTIHISTAMINES |
A90 |
promethazinedrugId:1593 |
|
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 |
|
ondansetron 16 mg orally disintegrating tabletdrugId:9025 |
PA |
ANTINAUSEANTS |
A90 |
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 |
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 |
|
Imdelltra (tarlatamab-dlle)drugId:9023 |
PA |
ANTINEOPLASTICS |
MB |
Imjudo (tremelimumab-actl)drugId:8529 |
PA |
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 |
|
Ojjaara (momelotinib)drugId:8825 |
PA |
ANTINEOPLASTICS |
|
Orserdu (elacestrant)drugId:8534 |
PA |
ANTINEOPLASTICS |
|
Panretin (alitretinoin)drugId:8411 |
PA |
ANTINEOPLASTICS |
|
Proleukin (aldesleukin)drugId:8406 |
PA |
ANTINEOPLASTICS |
|
Talvey (talquetamab-tgvs)drugId:8787 |
PA |
ANTINEOPLASTICS |
MB |
Tecvayli (teclistamab-cqyv)drugId:8543 |
PA |
ANTINEOPLASTICS |
MB |
Vanflyta (quizartinib)drugId:8793 |
PA |
ANTINEOPLASTICS |
|
Vegzelma (bevacizumab-adcd)drugId:8545 |
PA |
ANTINEOPLASTICS |
MB |
Adipex-PdrugId:8662 (phentermine 37.5 mg capsule, tablet)drugId:8662 |
PA < 12 years |
ANTI-OBESITY AGENTS |
# |
benzphetaminedrugId:8663 |
PA |
ANTI-OBESITY AGENTS |
|
diethylpropion extended-releasedrugId:8665 |
PA |
ANTI-OBESITY AGENTS |
|
diethylpropiondrugId:8664 |
PA |
ANTI-OBESITY AGENTS |
|
Lomaira (phentermine 8 mg tablet)drugId:8666 |
PA < 12 years or ≥ 18 years |
ANTI-OBESITY AGENTS |
|
phendimetrazine extended-releasedrugId:8668 |
PA |
ANTI-OBESITY AGENTS |
|
phendimetrazinedrugId:8667 |
PA |
ANTI-OBESITY AGENTS |
|
phentermine 15 mg, 30 mg capsuledrugId:8669 |
PA < 12 years |
ANTI-OBESITY AGENTS |
|
Saxenda (liraglutide-Saxenda)drugId:8670 |
PA |
ANTI-OBESITY AGENTS |
|
Wegovy (semaglutide injection-Wegovy)drugId:8671 |
PA |
ANTI-OBESITY AGENTS |
|
Xenical (orlistat)drugId:8672 |
PA |
ANTI-OBESITY AGENTS |
BP, A90 |
Zepbound (tirzepatide-Zepbound)drugId:8792 |
PA |
ANTI-OBESITY AGENTS |
PD |
albendazoledrugId:166 |
|
ANTIPARASITICS |
A90 |
Alinia (nitazoxanide)drugId:7576 |
PA |
ANTIPARASITICS |
|
benznidazoledrugId:6502 |
|
ANTIPARASITICS |
|
Biltricide (praziquantel)drugId:2358 |
|
ANTIPARASITICS |
BP, 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)drugId:83 |
|
ANTIPARKINSON |
# |
Azilect (rasagiline)drugId:1640 |
PA > 1 unit/day |
ANTIPARKINSON |
A90 |
benztropinedrugId:348 |
|
ANTIPARKINSON |
A90 |
carbidopa / levodopa extended-release tabletdrugId:1997 |
|
ANTIPARKINSON |
A90 |
carbidopa / levodopa orally disintegrating tabletdrugId:174 |
PA |
ANTIPARKINSON |
A90 |
ComtandrugId:602 (entacapone)drugId:602 |
|
ANTIPARKINSON |
A90, # |
Duopa (carbidopa / levodopa enteral suspension)drugId:5104 |
PA |
ANTIPARKINSON |
|
Gocovri (amantadine extended-release capsule)drugId:6402 |
PA |
ANTIPARKINSON |
|
Inbrija (levodopa)drugId:7237 |
PA |
ANTIPARKINSON |
|
Kynmobi (apomorphine film)drugId:7490 |
PA |
ANTIPARKINSON |
|
LodosyndrugId:173 (carbidopa)drugId:173 |
|
ANTIPARKINSON |
A90, # |
MirapexdrugId:1569 (pramipexole)drugId:1569 |
|
ANTIPARKINSON |
A90, # |
Mirapex ER (pramipexole extended-release)drugId:1943 |
PA |
ANTIPARKINSON |
A90 |
Neupro (rotigotine transdermal system)drugId:2643 |
PA > 1 unit/day |
ANTIPARKINSON |
BP |
Nourianz (istradefylline)drugId:7349 |
PA |
ANTIPARKINSON |
A90 |
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, # |
ropiniroledrugId:1453 |
|
ANTIPARKINSON |
A90 |
ropinirole extended-releasedrugId:1454 |
|
ANTIPARKINSON |
A90 |
Rytary (carbidopa / levodopa extended-release capsule)drugId:4950 |
PA |
ANTIPARKINSON |
BP |
selegiline capsule, tabletdrugId:2378 |
|
ANTIPARKINSON |
A90 |
SinemetdrugId:175 (carbidopa / levodopa tablet)drugId:175 |
|
ANTIPARKINSON |
A90, # |
StalevodrugId:176 (carbidopa / levodopa / entacapone)drugId:176 |
|
ANTIPARKINSON |
A90, # |
Tasmar (tolcapone)drugId:1722 |
PA |
ANTIPARKINSON |
A90 |
trihexyphenidyldrugId:1762 |
|
ANTIPARKINSON |
A90 |
Xadago (safinamide)drugId:6185 |
PA |
ANTIPARKINSON |
|
Zelapar (selegiline orally disintegrating tablet)drugId:1839 |
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 |
Brilinta (ticagrelor)drugId:2359 |
|
ANTIPLATELET AGENT |
|
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:91 |
PA < 10 years or ≥ 18 years and PA > 25 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 |
|
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 |
|
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, # |
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 |
Librax (chlordiazepoxide / clidinium)drugId:6843 |
PA |
ANTISPASMODICS,ANTICHOLINERGIC |
|
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 capsule, powder for oral suspension)drugId:8108 |
|
ANTI-ULCER PREPARATIONS |
BP, M90 |
Voquezna (vonoprazan)drugId:8790 |
PA |
ANTI-ULCER PREPS/GASTROINTESTINAL PREPS |
|
acyclovir capsule, tabletdrugId:155 |
|
ANTIVIRALS |
A90 |
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, # |
Beyfortus (nirsevimab-alip)drugId:8621 |
PA ≥ 8 months of age |
ANTIVIRALS |
|
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 |
|
CombivirdrugId:1012 (lamivudine / zidovudine)drugId:1012 |
|
ANTIVIRALS |
A90, # |
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 |
didanosinedrugId:517 |
|
ANTIVIRALS |
A90 |
Dovato (dolutegravir / lamivudine)drugId:7240 |
|
ANTIVIRALS |
PD |
Edurant (rilpivirine)drugId:2284 |
|
ANTIVIRALS |
BP |
efavirenzdrugId:590 |
|
ANTIVIRALS |
A90 |
Emtriva (emtricitabine)drugId:596 |
|
ANTIVIRALS |
BP, A90 |
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, # |
EpzicomdrugId:138 (abacavir / lamivudine)drugId:138 |
|
ANTIVIRALS |
A90, # |
Evotaz (atazanavir / cobicistat)drugId:4768 |
|
ANTIVIRALS |
|
famciclovirdrugId:460 |
|
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 100 mg tabletdrugId:1010 |
PA > 1 unit/day |
ANTIVIRALS |
A90 |
Lexiva (fosamprenavir)drugId:908 |
PA |
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 packet)drugId:6640 |
|
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 |
|
stavudinedrugId:1894 |
|
ANTIVIRALS |
A90 |
Stribild (elvitegravir / cobicistat / emtricitabine / tenofovir disoproxil fumarate)drugId:2648 |
|
ANTIVIRALS |
|
Sunlenca (lenacapavir)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 |
Synagis (palivizumab)drugId:1472 |
PA |
ANTIVIRALS |
|
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 |
TrizivirdrugId:139 (abacavir / lamivudine / zidovudine)drugId:139 |
|
ANTIVIRALS |
A90, # |
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 |
BP, 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 |
|
Zepatier (elbasvir / grazoprevir)drugId:5321 |
PA |
ANTIVIRALS |
|
ZiagendrugId:137 (abacavir)drugId:137 |
|
ANTIVIRALS |
A90, # |
Zovirax (acyclovir cream)drugId:157 |
|
ANTIVIRALS |
BP |
ZoviraxdrugId:156 (acyclovir ointment)drugId:156 |
|
ANTIVIRALS |
# |
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 |
alprazolam orally disintegrating tabletdrugId:24 |
PA |
BENZODIAZEPINES |
|
AtivandrugId:7662 (lorazepam injection)drugId:7662 |
|
BENZODIAZEPINES |
# |
AtivandrugId:4400 (lorazepam solution, tablet)drugId:4400 |
PA < 6 years |
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 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 |
|
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 solution, tablet)drugId:504 |
PA < 6 years |
BENZODIAZEPINES |
# |
Valtoco (diazepam nasal spray)drugId:7384 |
PA > 10 units/30 days |
BENZODIAZEPINES |
|
XanaxdrugId:25 (alprazolam)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 |
|
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 |
|
UrsodrugId:1775 (ursodiol 250 mg tablet)drugId:1775 |
|
BILE THERAPY |
A90, # |
ursodiol 200 mg, 400 mg capsuledrugId:7886 |
PA |
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 < 60 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 |
Bivigam (immune globulin IV, human-Bivigam)drugId:2817 |
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 |
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 |
|
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 |
|
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 |
|
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 |
|
Menactra (quadrivalent meningococcal conjugate vaccine-Menactra)drugId:1140 |
|
BIOLOGICAL |
1 |
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 |
|
Omvoh (mirikizumab-mrkz auto injection, prefilled syringe)drugId:8945 |
PA |
BIOLOGICAL |
PD |
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 |
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 |
|
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)drugId:8795 |
|
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 |
|
Syfovre (pegcetacoplan 150 mg/mL vial)drugId:8606 |
PA |
BIOLOGICAL |
MB |
Sylvant (siltuximab)drugId:4540 |
PA |
BIOLOGICAL |
MB |
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-fcab and hyaluronidase-qvfc)drugId:8728 |
PA |
BIOLOGICAL |
MB |
Winrho SDF (rho(d) immune globulin IV, human-Winrho SDF)drugId:1650 |
|
BIOLOGICAL |
MB |
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 Digihaler (fluticasone / salmeterol inhalation powder-Airduo Digihaler)drugId:7485 |
PA |
BRONCHODILATORS |
|
Airduo Respiclick (fluticasone / salmeterol inhalation powder-Airduo Respiclick)drugId:6120 |
PA |
BRONCHODILATORS |
BP, 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 |
|
Armonair Digihaler (fluticasone propionate inhalation powder-Armonair Digihaler)drugId:7486 |
PA |
BRONCHODILATORS |
|
Arnuity (fluticasone furoate inhalation powder)drugId:4760 |
|
BRONCHODILATORS |
|
Asmanex HFA (mometasone inhalation aerosol)drugId:5102 |
|
BRONCHODILATORS |
|
Asmanex Twisthaler (mometasone inhalation powder)drugId:2663 |
|
BRONCHODILATORS |
|
Atrovent HFA (ipratropium inhalation aerosol)drugId:833 |
|
BRONCHODILATORS |
|
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 Digihaler (albuterol inhalation powder-Proair Digihaler)drugId:7352 |
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 |
|
BRONCHODILATORS |
|
Ventolin (albuterol inhaler-Ventolin)drugId:3 |
|
BRONCHODILATORS |
BP, A90 |
Xopenex HFAdrugId:1035 (levalbuterol inhaler)drugId:1035 |
|
BRONCHODILATORS |
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 |
AccuprildrugId:1620 (quinapril)drugId:1620 |
|
CARDIOVASCULAR |
M90, # |
AccureticdrugId:1621 (quinapril / hydrochlorothiazide)drugId:1621 |
|
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 |
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, # |
bisoprololdrugId:368 |
|
CARDIOVASCULAR |
M90 |
BreviblocdrugId:631 (esmolol)drugId:631 |
|
CARDIOVASCULAR |
# |
bumetanidedrugId:384 |
|
CARDIOVASCULAR |
M90 |
BystolicdrugId:1179 (nebivolol)drugId:1179 |
|
CARDIOVASCULAR |
M90, # |
Calan SRdrugId:2742 (verapamil sustained-release)drugId:2742 |
|
CARDIOVASCULAR |
M90, # |
Camzyos (mavacamten)drugId:8252 |
PA |
CARDIOVASCULAR |
|
captopril / hydrochlorothiazidedrugId:438 |
PA |
CARDIOVASCULAR |
M90 |
captoprildrugId:437 |
PA |
CARDIOVASCULAR |
M90 |
CardizemdrugId:528 (diltiazem-Cardizem)drugId:528 |
|
CARDIOVASCULAR |
M90, # |
Cardizem CDdrugId:531 (diltiazem extended-release capsule)drugId:531 |
|
CARDIOVASCULAR |
M90, # |
Cardizem LAdrugId:529 (diltiazem extended-release tablet)drugId:529 |
|
CARDIOVASCULAR |
M90, # |
CarduradrugId:565 (doxazosin immediate-release)drugId:565 |
|
CARDIOVASCULAR |
M90, # |
chlorthalidonedrugId:225 |
|
CARDIOVASCULAR |
M90 |
clonidine extended-release 0.17 mg tabletdrugId:8341 |
PA |
CARDIOVASCULAR |
A90 |
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, # |
Demser (metyrosine)drugId:1349 |
|
CARDIOVASCULAR |
BP |
DiovandrugId:1785 (valsartan tablet)drugId:1785 |
|
CARDIOVASCULAR |
M90, # |
Diovan HCTdrugId:1786 (valsartan / hydrochlorothiazide)drugId:1786 |
|
CARDIOVASCULAR |
M90, # |
DiurildrugId:221 (chlorothiazide)drugId:221 |
|
CARDIOVASCULAR |
M90, # |
Edarbi (azilsartan)drugId:2240 |
|
CARDIOVASCULAR |
|
Edarbyclor (azilsartan / chlorthalidone)drugId:2480 |
|
CARDIOVASCULAR |
|
Edecrin (ethacrynic acid tablet)drugId:664 |
PA |
CARDIOVASCULAR |
M90 |
Entresto (sacubitril / valsartan)drugId:5125 |
PA |
CARDIOVASCULAR |
|
Epaned (enalapril solution)drugId:2858 |
PA |
CARDIOVASCULAR |
M90 |
eprosartandrugId:613 |
PA |
CARDIOVASCULAR |
M90 |
ergoloid |
|
CARDIOVASCULAR |
A90 |
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-Flolan)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 |
|
Isordil (isosorbide dinitrate 40 mg tablet)drugId:978 |
PA |
CARDIOVASCULAR |
BP, M90 |
IsordildrugId:6290 (isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tablet)drugId: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 |
LanoxindrugId:524 (digoxin)drugId:524 |
|
CARDIOVASCULAR |
M90, # |
LasixdrugId:916 (furosemide tablet, solution, 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 |
LopressordrugId:1338 (metoprolol)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, # |
MaxzidedrugId:1756 (hydrochlorothiazide / triamterene)drugId:1756 |
|
CARDIOVASCULAR |
M90, # |
methyldopa / hydrochlorothiazidedrugId:951 |
|
CARDIOVASCULAR |
M90 |
methyldopadrugId:950 |
|
CARDIOVASCULAR |
M90 |
metolazonedrugId:1335 |
|
CARDIOVASCULAR |
M90 |
mexiletinedrugId:1350 |
|
CARDIOVASCULAR |
M90 |
MicardisdrugId:1660 (telmisartan)drugId:1660 |
|
CARDIOVASCULAR |
M90, # |
Micardis HCTdrugId:1663 (telmisartan / hydrochlorothiazide)drugId:1663 |
|
CARDIOVASCULAR |
M90, # |
milrinone |
|
CARDIOVASCULAR |
|
MinipressdrugId:8976 (prazosin)drugId:8976 |
PA < 6 years |
CARDIOVASCULAR |
M90, # |
minoxidildrugId:1365 |
|
CARDIOVASCULAR |
M90 |
moexiprildrugId:1375 |
|
CARDIOVASCULAR |
M90 |
Multaq (dronedarone)drugId:583 |
|
CARDIOVASCULAR |
A90 |
Neptazane (methazolamide) |
|
CARDIOVASCULAR |
A90, # |
nicardipine capsuledrugId:1207 |
PA |
CARDIOVASCULAR |
M90 |
nicardipine injectiondrugId:8176 |
|
CARDIOVASCULAR |
|
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 |
|
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, # |
Nymalize (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 |
Procardia XLdrugId:1215 (nifedipine extended-release)drugId:1215 |
|
CARDIOVASCULAR |
M90, # |
propafenone immediate-releasedrugId:1594 |
|
CARDIOVASCULAR |
M90 |
propranolol / hydrochlorothiazidedrugId:1603 |
|
CARDIOVASCULAR |
M90 |
propranolol immediate-releasedrugId:1600 |
|
CARDIOVASCULAR |
M90 |
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 |
Revatio (sildenafil oral suspension-Revatio)drugId:4793 |
PA |
CARDIOVASCULAR |
A90 |
Rythmol SRdrugId:7637 (propafenone extended-release)drugId:7637 |
|
CARDIOVASCULAR |
M90, # |
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 |
Tekturna HCT (aliskiren / hydrochlorothiazide)drugId:14 |
|
CARDIOVASCULAR |
|
TenoreticdrugId:103 (atenolol / chlorthalidone)drugId:103 |
|
CARDIOVASCULAR |
M90, # |
TenormindrugId:102 (atenolol)drugId:102 |
|
CARDIOVASCULAR |
M90, # |
terazosindrugId:1670 |
|
CARDIOVASCULAR |
M90 |
Thalitone (chlorthalidone)drugId:8168 |
|
CARDIOVASCULAR |
|
Tiazac ERdrugId:533 (diltiazem-Tiazac ER)drugId:533 |
|
CARDIOVASCULAR |
M90, # |
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 |
triamterenedrugId:5247 |
PA |
CARDIOVASCULAR |
M90 |
Tribenzor (amlodipine / olmesartan / hydrochlorothiazide)drugId:1969 |
PA |
CARDIOVASCULAR |
M90 |
Twynsta (amlodipine / telmisartan)drugId:1661 |
PA |
CARDIOVASCULAR |
M90 |
Tyvaso (treprostinil inhalation solution)drugId:1746 |
PA |
CARDIOVASCULAR |
|
Tyvaso DPI (treprostinil inhalation powder)drugId:8304 |
PA |
CARDIOVASCULAR |
|
Uptravi (selexipag)drugId:5401 |
PA |
CARDIOVASCULAR |
|
VasereticdrugId:599 (enalapril / hydrochlorothiazide)drugId:599 |
|
CARDIOVASCULAR |
M90, # |
VasotecdrugId:598 (enalapril)drugId:598 |
|
CARDIOVASCULAR |
M90, # |
Veletri (epoprostenol-Veletri)drugId:2098 |
PA |
CARDIOVASCULAR |
|
Ventavis (iloprost)drugId:778 |
PA |
CARDIOVASCULAR |
|
verapamildrugId:1800 |
|
CARDIOVASCULAR |
M90 |
Verelan PMdrugId:2743 (verapamil extended-release)drugId:2743 |
|
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, # |
ZiacdrugId:369 (bisoprolol / hydrochlorothiazide)drugId:369 |
|
CARDIOVASCULAR |
M90, # |
cefaclor suspensiondrugId:8338 |
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 |
|
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 |
|
Cuprimine (penicillamine capsule)drugId:1496 |
|
CHELATING AGENT |
BP, A90 |
Cuvrior (trientine 300 mg tablet)drugId:8604 |
PA |
CHELATING AGENT |
|
DependrugId:1497 (penicillamine tablet)drugId:1497 |
|
CHELATING AGENT |
A90, # |
DesferaldrugId:334 (deferoxamine)drugId:334 |
|
CHELATING AGENT |
# |
Exjade (deferasirox 125 mg, 250 mg, 500 mg)drugId:333 |
|
CHELATING AGENT |
BP, A90 |
Ferriprox (deferiprone)drugId:2483 |
PA |
CHELATING AGENT |
A90 |
JadenudrugId:4942 (deferasirox 90 mg, 180 mg, 360 mg)drugId:4942 |
|
CHELATING AGENT |
A90, # |
Lokelma (sodium zirconium cyclosilicate)drugId:6905 |
PA > 1 unit/day |
CHELATING AGENT |
|
sodium polystyrene sulfonatedrugId:1874 |
|
CHELATING AGENT |
|
Syprine (trientine 250 mg capsule)drugId:1759 |
|
CHELATING AGENT |
BP, A90 |
Thiola (tiopronin) |
|
CHELATING AGENT |
BP, A90 |
Thiola EC (tiopronin delayed-release) |
|
CHELATING AGENT |
BP, 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, MB |
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)drugId:1492 |
|
CHEMOTHERAPY |
MB |
Alkeran (melphalan hydrochloride injection)drugId:1138 |
|
CHEMOTHERAPY |
MB |
AlkerandrugId:5504 (melphalan tablet)drugId:5504 |
|
CHEMOTHERAPY |
A90, # |
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, MB |
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 |
Avastin (bevacizumab)drugId:360 |
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 |
|
Bicnu (carmustine)drugId:183 |
|
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 |
|
Braftovi (encorafenib)drugId:6800 |
PA |
CHEMOTHERAPY |
|
Breyanzi (lisocabtagene maraleucel)drugId:7778 |
PA |
CHEMOTHERAPY |
CO, MB |
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 |
|
Carac (fluorouracil 0.5% cream)drugId:876 |
|
CHEMOTHERAPY |
BP, A90 |
carboplatindrugId:179 |
|
CHEMOTHERAPY |
MB |
Carvykti (ciltacabtagene autoleucel)drugId:8204 |
PA |
CHEMOTHERAPY |
CO, MB |
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 |
Dacogen (decitabine)drugId:332 |
|
CHEMOTHERAPY |
MB |
Danyelza (naxitamab-gqgk)drugId:7725 |
PA |
CHEMOTHERAPY |
MB |
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 |
|
diclofenac 3% geldrugId:508 |
|
CHEMOTHERAPY |
A90 |
docetaxeldrugId:553 |
|
CHEMOTHERAPY |
MB |
Docivyx (docetaxel)drugId:8938 |
|
CHEMOTHERAPY |
MB |
Doxil (doxorubicin liposomal injection)drugId:2689 |
|
CHEMOTHERAPY |
MB |
Efudex (fluorouracil 5% cream)drugId:2260 |
|
CHEMOTHERAPY |
BP, A90 |
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 |
Exkivity (mobocertinib)drugId:8111 |
PA |
CHEMOTHERAPY |
|
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 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, # |
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 |
Herzuma (trastuzumab-pkrb)drugId:7783 |
PA |
CHEMOTHERAPY |
MB |
Hycamtin (topotecan capsule)drugId:1730 |
|
CHEMOTHERAPY |
|
Hycamtin (topotecan injection)drugId:8366 |
|
CHEMOTHERAPY |
MB |
HydreadrugId:761 (hydroxyurea capsule)drugId: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, MB |
Kyprolis (carfilzomib)drugId:2581 |
PA |
CHEMOTHERAPY |
MB |
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 |
|
mercaptopurine tabletdrugId:1147 |
|
CHEMOTHERAPY |
A90 |
methotrexate injectiondrugId:2935 |
|
CHEMOTHERAPY |
|
methotrexate tabletdrugId:943 |
|
CHEMOTHERAPY |
A90 |
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 |
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 |
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 |
|
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 |
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 |
Targretin (bexarotene)drugId:361 |
|
CHEMOTHERAPY |
BP, A90 |
Tasigna (nilotinib)drugId:1216 |
|
CHEMOTHERAPY |
BP |
Tazverik (tazemetostat)drugId:7381 |
PA |
CHEMOTHERAPY |
|
Tecartus (brexucabtagene autoleucel)drugId:7495 |
PA |
CHEMOTHERAPY |
CO, MB |
Tecentriq (atezolizumab)drugId:5593 |
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 |
MB |
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 |
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, MB |
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 |
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 |
|
psyllium capsuledrugId:8224 |
|
CONSTIPATION AGENTS |
*, M90 |
psyllium powderdrugId:1610 |
|
CONSTIPATION AGENTS |
*, A90 |
Relistor (methylnaltrexone)drugId:953 |
PA |
CONSTIPATION AGENTS |
|
sennosides syrupdrugId:1842 |
|
CONSTIPATION AGENTS |
*, A90 |
sennosides tabletdrugId:8225 |
|
CONSTIPATION AGENTS |
*, M90 |
Symproic (naldemedine)drugId:6619 |
PA |
CONSTIPATION AGENTS |
|
Trulance (plecanatide)drugId:6043 |
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 |
|
Novavax (COVID-19 vaccine, adjuvanted)drugId:8270 |
|
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 mg-100 mg)drugId:8581 |
PA < 12 years and PA > 20 units/claim |
COVID - 19 related Treatments and Vaccines |
|
Paxlovid (nirmatrelvir / ritonavir 300-100 mg)drugId:8960 |
PA < 12 years and PA > 30 units/claim |
COVID - 19 related Treatments and Vaccines |
|
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 |
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 |
Acanya (clindamycin / benzoyl peroxide-Acanya)drugId:262 |
PA |
DERMATOLOGICAL |
A90 |
acitretindrugId:153 |
|
DERMATOLOGICAL |
A90 |
Aczone (dapsone gel)drugId:325 |
PA |
DERMATOLOGICAL |
A90 |
Aklief (trifarotene)drugId:7369 |
PA |
DERMATOLOGICAL |
|
Altreno (tretinoin 0.05% lotion)drugId:6900 |
PA ≥ 21 years |
DERMATOLOGICAL |
|
ammonium lactate |
|
DERMATOLOGICAL |
|
Arazlo (tazarotene lotion)drugId:7365 |
PA |
DERMATOLOGICAL |
|
Atralin (tretinoin 0.05% gel)drugId:2432 |
PA |
DERMATOLOGICAL |
BP, A90 |
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 |
Cabtreo (clindamycin / adapalene / benzoyl peroxide)drugId:8937 |
PA |
DERMATOLOGICAL |
|
calamine lotion |
|
DERMATOLOGICAL |
* |
calcipotriene ointmentdrugId:2563 |
PA > 60 grams/30 days |
DERMATOLOGICAL |
A90 |
calcipotriene scalp solutiondrugId:2562 |
|
DERMATOLOGICAL |
A90 |
capsaicin |
|
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 |
Differin (adapalene)drugId:7678 |
PA |
DERMATOLOGICAL |
A90 |
DovonexdrugId:420 (calcipotriene cream)drugId:420 |
PA > 60 grams/30 days |
DERMATOLOGICAL |
A90, # |
Drysol (aluminum chloride)drugId:8408 |
PA |
DERMATOLOGICAL |
|
Elidel (pimecrolimus)drugId:1531 |
|
DERMATOLOGICAL |
BP, A90 |
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 5% creamdrugId:783 |
|
DERMATOLOGICAL |
A90 |
isotretinoindrugId:983 |
PA ≥ 21 years |
DERMATOLOGICAL |
A90 |
KlarondrugId:1899 (sulfacetamide 10% lotion)drugId:1899 |
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 |
Noritate (metronidazole 1% cream)drugId:1348 |
|
DERMATOLOGICAL |
|
Onexton (clindamycin / benzoyl peroxide gel)drugId:4788 |
PA |
DERMATOLOGICAL |
A90 |
Onexton (clindamycin/benzoyl peroxide gel pump)drugId:8984 |
PA |
DERMATOLOGICAL |
BP, A90 |
Opzelura (ruxolitinib cream)drugId:8123 |
PA |
DERMATOLOGICAL |
PD |
petrolatumdrugId:1513 |
|
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 |
|
Retin-A (tretinoin-Retin-A)drugId:1748 |
PA ≥ 21 years |
DERMATOLOGICAL |
BP, A90 |
Retin-A Micro (tretinoin microspheres)drugId:1749 |
PA |
DERMATOLOGICAL |
BP, A90 |
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 |
tacrolimus topicaldrugId:1919 |
|
DERMATOLOGICAL |
A90 |
tazarotene cream, geldrugId:1657 |
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 |
Xerese (acyclovir / hydrocortisone)drugId:1973 |
|
DERMATOLOGICAL |
|
Ycanth (cantharidin)drugId:8729 |
PA |
DERMATOLOGICAL |
MB |
Ziana (clindamycin / tretinoin-Ziana)drugId:265 |
PA |
DERMATOLOGICAL |
A90 |
zinc oxidedrugId:1924 |
|
DERMATOLOGICAL |
* |
Zonalon (doxepin cream-Zonalon)drugId:569 |
PA |
DERMATOLOGICAL |
|
Zoryve (roflumilast cream, foam)drugId:8337 |
PA |
DERMATOLOGICAL |
|
Zyclara (imiquimod 2.5%, 3.75% cream)drugId:1952 |
PA |
DERMATOLOGICAL |
BP, A90 |
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 |
|
AmaryldrugId:931 (glimepiride)drugId:931 |
|
DIABETIC AGENTS |
M90, # |
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 |
|
Bydureon Bcise (exenatide extended-release auto-injection)drugId:6940 |
PA |
DIABETIC AGENTS |
|
Byetta (exenatide 10 mcg injection)drugId:8661 |
PA > 2.4 mL/30 days |
DIABETIC AGENTS |
BP |
Byetta (exenatide 5 mcg injection)drugId:451 |
PA > 1.2 mL/30 days |
DIABETIC AGENTS |
BP |
Cycloset (bromocriptine 0.8 mg tablet)drugId:2984 |
|
DIABETIC AGENTS |
|
Duetact (glimepiride / pioglitazone)drugId:1535 |
PA |
DIABETIC AGENTS |
BP, M90 |
Farxiga (dapagliflozin)drugId:2923 |
|
DIABETIC AGENTS |
BP, M90 |
Fiasp (insulin aspart-Fiasp)drugId:6400 |
PA |
DIABETIC AGENTS |
|
glipizide / metformindrugId:935 |
|
DIABETIC AGENTS |
M90 |
glipizidedrugId:932 |
|
DIABETIC AGENTS |
M90 |
Glucagen (glucagon vial-Glucagen)drugId:7370 |
|
DIABETIC AGENTS |
|
glucagon vialdrugId:671 |
|
DIABETIC AGENTS |
|
glucose productsdrugId:6745 |
PA ≥ 19 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 aspartdrugId:8106 |
|
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)drugId:1859 |
|
DIABETIC AGENTS |
|
Janumet XR (sitagliptin / metformin extended-release)drugId:2485 |
|
DIABETIC AGENTS |
|
Januvia (sitagliptin-Januvia)drugId:1858 |
|
DIABETIC AGENTS |
|
Jardiance (empagliflozin)drugId:4627 |
|
DIABETIC AGENTS |
|
Jentadueto (linagliptin / metformin)drugId:2486 |
|
DIABETIC AGENTS |
|
Jentadueto XR (linagliptin / metformin extended-release)drugId:5724 |
|
DIABETIC AGENTS |
|
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 |
|
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 70/30-Novolog)drugId:801 |
PA |
DIABETIC AGENTS |
|
Novolog (insulin aspart-Novolog)drugId:804 |
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 |
|
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 > 2 mL/28 days |
DIABETIC AGENTS |
PD |
Victoza (liraglutide-Victoza)drugId:1085 |
PA >9 mL/30 days |
DIABETIC AGENTS |
BP |
Xigduo XR (dapagliflozin / metformin extended-release)drugId:4841 |
|
DIABETIC AGENTS |
BP, M90 |
Xultophy (insulin degludec / liraglutide)drugId:5769 |
PA |
DIABETIC AGENTS |
|
Zegalogue (dasiglucagon)drugId:7888 |
|
DIABETIC AGENTS |
|
Zituvio (sitagliptin-Zituvio)drugId:8831 |
PA |
DIABETIC AGENTS |
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 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 |
|
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 |
Ammonul (sodium phenylacetate / sodium benzoate) |
|
ELECTROLYTES AND NUTRIENTS |
# |
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 |
|
BonivadrugId:770 (ibandronate tablet)drugId:770 |
|
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) |
|