MassHealth Drug List A - Z

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

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MassHealth Drug List table

Drug - Brand Name (Generic Name)	PA Status	Class	Drug Notes
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 tabletdrugId:2057	PA	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
Zepbound (tirzepatide)drugId:8792	PA	ALL OTHER ANTIOBESITY PREPS
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
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:5127	PA	ALZHEIMER'S THERAPY
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
Relyvrio (sodium phenylbutyrate / sodium taurursodiol)drugId:8577	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
oxandrolonedrugId:1308	PA	ANABOLIC STEROID
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 100 mgdrugId:7359	PA	ANALGESICS
tramadol extended-release tabletdrugId:1736	PA	ANALGESICS
Ultracet (tramadol / acetaminophen)drugId:1737	PA	ANALGESICS
UltramdrugId:1735 (tramadol 50 mg)drugId:1735	PA < 12 years and PA > 400 mg/day	ANALGESICS	#
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
Synera (lidocaine / tetracaine)drugId:1075	PA > 4 patches/30 days	ANESTHETICS
Xylocaine (lidocaine vial)		ANESTHETICS	#
Xylocaine-MPF (lidocaine vial, preservative free)		ANESTHETICS	#
Ztlido (lidocaine 1.8% patch)drugId:7015	PA	ANESTHETICS
aluminum hydroxidedrugId:28		ANTACIDS	*, A90
Carafate (sucralfate suspension)		ANTACIDS	BP, A90
Carafate (sucralfate tablet)		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
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
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 TdrugId:257 (clindamycin gel, lotion, solution)drugId:257		ANTIBIOTICS	A90, #
Cleocin Vaginal Ovule (clindamycin vaginal suppository)drugId:4915		ANTIBIOTICS
Clindagel (clindamycin gel-Clindagel)drugId:258	PA	ANTIBIOTICS
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 50 mg, 60 mg, 80 mg, 120 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 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 40 mg capsuledrugId:579	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
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
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		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
Minolira (minocycline extended-release 105 mg, 135 mg tablet)drugId:7262	PA	ANTIBIOTICS	A90
MonuroldrugId:911 (fosfomycin)drugId:911		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
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
Solodyn (minocycline extended-release 55 mg, 65 mg, 80 mg, 105 mg, 115 mg tablet)drugId:1364		ANTIBIOTICS	BP, 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, #
Suprax (cefixime)drugId:196	PA	ANTIBIOTICS	A90
Teflaro (ceftaroline)drugId:2179		ANTIBIOTICS	BP
Terazol (terconazole)		ANTIBIOTICS	A90, #
tetracyclinedrugId:1689		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)drugId:4887		ANTIBIOTICS	A90
Vibativ (telavancin)drugId:1949	PA	ANTIBIOTICS
Vibramycin (doxycycline calcium syrup)drugId:2903		ANTIBIOTICS
VibramycindrugId:575 (doxycycline hyclate 100 mg capsule)drugId:575		ANTIBIOTICS	A90, #
VibramycindrugId:2904 (doxycycline monohydrate suspension)drugId:2904		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	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
Xarelto (rivaroxaban 2.5 mg tablet)drugId:2384	PA > 2 units/day	ANTICOAGULANTS
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 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, #
CerebyxdrugId:2681 (fosphenytoin)drugId:2681		ANTICONVULSANTS	#
DepakenedrugId:4506 (valproic acid)drugId:4506	PA < 6 years	ANTICONVULSANTS	A90, #
Depakote (divalproex sprinkle capsule)drugId:3360	PA < 6 years	ANTICONVULSANTS	BP, A90
DepakotedrugId:552 (divalproex immediate-release)drugId:552	PA < 6 years	ANTICONVULSANTS	A90, #
Depakote ERdrugId:550 (divalproex extended-release)drugId:550	PA < 6 years	ANTICONVULSANTS	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
Gabitril (tiagabine)drugId:2617	PA	ANTICONVULSANTS	A90
KeppradrugId:1037 (levetiracetam injection, 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
Lyrica (pregabalin)drugId:1582	PA	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:4443	PA	ANTICONVULSANTS
phenytoin extended 200 mg and 300 mg capsuledrugId:1526		ANTICONVULSANTS	A90
phenytoin injectiondrugId:2661		ANTICONVULSANTS	MB
Qudexy XRdrugId:2943 (topiramate extended-release capsule-Qudexy XR)drugId:2943	PA < 6 years	ANTICONVULSANTS	A90, #
Sabril (vigabatrin)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
valproatedrugId:1780		ANTICONVULSANTS
VimpatdrugId:1972 (lacosamide tablet, solution, vial)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
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	*
Motofen (difenoxin / atropine)drugId:6111	PA	ANTIDIARRHEALS
Mytesi (crofelemer)drugId:5684	PA	ANTIDIARRHEALS
opium tincturedrugId:2423	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)drugId:909	PA > 2 units/28 days	ANTIEMETICS	#
granisetron injectiondrugId:683		ANTIEMETICS
granisetron tabletdrugId:684	PA > 2 units/28 days	ANTIEMETICS	A90
Marinol (dronabinol capsule)drugId:582	PA > 2 units/day	ANTIEMETICS	BP
ondansetron injectiondrugId:1295		ANTIEMETICS
ondansetron orally disintegrating tabletdrugId:1294		ANTIEMETICS	A90
ondansetron solutiondrugId:1293	PA	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)		ANTIEMETICS	A90, #
Sancuso (granisetron transdermal system)drugId:685	PA	ANTIEMETICS
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
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
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, 4 mg tabletdrugId:2267		ANTIHISTAMINES	A90
carbinoxamine 6 mg tabletdrugId:7229	PA	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 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
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
Daraprim (pyrimethamine)drugId:1614	PA	ANTIMALARIALS	BP, A90
hydroxychloroquine		ANTIMALARIALS	A90
Krintafel (tafenoquine)drugId:7261	PA > 2 units/365 days	ANTIMALARIALS
Malarone (atovaquone / proguanil)		ANTIMALARIALS	A90, #
mefloquine		ANTIMALARIALS	A90
primaquine		ANTIMALARIALS	A90
QualaquindrugId:1623 (quinine)drugId:1623		ANTIMALARIALS	A90, #
Anzemet (dolasetron)drugId:8760	PA	ANTINAUSEANTS
Adstiladrin (nadofaragene firadenovec-vncg)drugId:8644	PA	ANTINEOPLASTICS	MB
Akeega (niraparib/abiraterone)drugId:8737	PA	ANTINEOPLASTICS
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
Imjudo (tremelimumab-actl)drugId:8529	PA	ANTINEOPLASTICS	MB
Jemperli (dostarlimab-gxly)drugId:7921	PA	ANTINEOPLASTICS	MB
Jylamvo (methotrexate 2 mg/mL oral solution)drugId:8820	PA	ANTINEOPLASTICS
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-P (phentermine 37.5 mg capsule, tablet)drugId:8662	PA	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	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	ANTI-OBESITY AGENTS
Saxenda (liraglutide-Saxenda)drugId:8670	PA	ANTI-OBESITY AGENTS	PD
Wegovy (semaglutide injection-Wegovy)drugId:8671	PA	ANTI-OBESITY AGENTS	PD
Xenical (orlistat)drugId:8672	PA	ANTI-OBESITY AGENTS	BP, A90
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
Eurax (crotamiton cream)drugId:7338		ANTIPARASITICS
Eurax (crotamiton lotion)drugId:300	PA	ANTIPARASITICS	BP
Likmez (metronidazole suspension)drugId:8783	PA	ANTIPARASITICS
lindane shampoodrugId:1076	PA	ANTIPARASITICS	A90
mebendazoledrugId:5394	PA	ANTIPARASITICS	A90
MeprondrugId:106 (atovaquone)drugId:106		ANTIPARASITICS	A90, #
Natroba (spinosad)drugId:2239	PA	ANTIPARASITICS	A90
Nebupent (pentamidine)		ANTIPARASITICS	A90, #
Ovide (malathion)drugId:1117	PA	ANTIPARASITICS	A90
paromomycindrugId:1482		ANTIPARASITICS	A90
permethrindrugId:1510		ANTIPARASITICS	*, A90
permethrin creamdrugId:4700		ANTIPARASITICS	A90
piperonyl butoxide / pyrethrinsdrugId:1538		ANTIPARASITICS	*, A90
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
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 < 6 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
Abilify Asimtufii (aripiprazole extended-release injection)drugId:8602	PA	ANTIPSYCHOTIC
Abilify Maintena (aripiprazole extended-release injection)drugId:2717	PA	ANTIPSYCHOTIC
Abilify Mycite (aripiprazole tablet with sensor)drugId:7230	PA	ANTIPSYCHOTIC
amitriptyline / perphenazinedrugId:1512	PA	ANTIPSYCHOTIC	A90
aripiprazole orally disintegrating tabletdrugId:92	PA	ANTIPSYCHOTIC	A90
aripiprazole solutiondrugId:4240	PA < 6 years or ≥ 18 years and PA > 25 mL/day	ANTIPSYCHOTIC	A90
Aristada (aripiprazole lauroxil 1,064 mg)drugId:6301	PA < 6 years and PA > 1 injection/56 days	ANTIPSYCHOTIC	PD
Aristada (aripiprazole lauroxil 441 mg, 662 mg, 882 mg)drugId:5241	PA < 6 years and PA > 1 injection/28 days	ANTIPSYCHOTIC	PD
Aristada Initio (aripiprazole lauroxil 675 mg)drugId:6860	PA < 6 years and PA > 1 injection/28 days	ANTIPSYCHOTIC	PD
Caplyta (lumateperone)drugId:7362	PA	ANTIPSYCHOTIC
chlorpromazinedrugId:223	PA < 6 years	ANTIPSYCHOTIC	A90
clozapine orally disintegrating tabletdrugId:282	PA	ANTIPSYCHOTIC	A90
ClozarildrugId:281 (clozapine tablet)drugId:281	PA < 6 years	ANTIPSYCHOTIC	A90, #
droperidol		ANTIPSYCHOTIC
Fanapt (iloperidone)drugId:777	PA	ANTIPSYCHOTIC
fluphenazinedrugId:883	PA < 6 years	ANTIPSYCHOTIC	A90
GeodondrugId:4290 (ziprasidone capsule)drugId:4290	PA < 6 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
GeodondrugId:1925 (ziprasidone injection)drugId:1925		ANTIPSYCHOTIC	#
HaldoldrugId:696 (haloperidol)drugId:696	PA < 6 years	ANTIPSYCHOTIC	A90, #
Invega (paliperidone tablet)drugId:1471	PA	ANTIPSYCHOTIC	A90
Invega Hafyera (paliperidone extended-release 6-month injection)drugId:8114	PA < 6 years and PA > 1 injection/168 days	ANTIPSYCHOTIC	PD
Invega Sustenna (paliperidone extended-release 1-month injection)drugId:1470	PA < 6 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 < 6 years and PA > 1 injection/84 days	ANTIPSYCHOTIC	PD
Latuda (lurasidone)drugId:2174	PA	ANTIPSYCHOTIC	A90
LithobiddrugId:1092 (lithium)drugId:1092	PA < 6 years	ANTIPSYCHOTIC	A90, #
LoxitanedrugId:6324 (loxapine capsule)drugId:6324	PA < 6 years	ANTIPSYCHOTIC	A90, #
Lybalvi (olanzapine / samidorphan)drugId:8120	PA	ANTIPSYCHOTIC
molindonedrugId:1378	PA < 6 years	ANTIPSYCHOTIC	A90
NavanedrugId:1696 (thiothixene)drugId:1696	PA < 6 years	ANTIPSYCHOTIC	A90, #
Nuplazid (pimavanserin)drugId:5588	PA	ANTIPSYCHOTIC
OrapdrugId:1532 (pimozide)drugId:1532	PA < 6 years	ANTIPSYCHOTIC	A90, #
perphenazinedrugId:1511	PA < 6 years	ANTIPSYCHOTIC	A90
Perseris (risperidone 90 mg, 120 mg extended-release subcutaneous injection)drugId:7007	PA < 6 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 < 6 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
RisperdaldrugId:2755 (risperidone 4 mg tablet)drugId:2755	PA < 6 years and PA > 4 units/day	ANTIPSYCHOTIC	A90, #
RisperdaldrugId:1441 (risperidone solution)drugId:1441	PA < 6 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 < 6 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 < 6 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 < 6 years and PA > 3 units/day	ANTIPSYCHOTIC	A90, #
Seroquel XRdrugId:4295 (quetiapine extended-release)drugId:4295	PA < 6 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
thioridazinedrugId:1694	PA < 6 years	ANTIPSYCHOTIC	A90
trifluoperazinedrugId:6330	PA < 6 years	ANTIPSYCHOTIC	A90
Uzedy (risperidone 150 mg, 200 mg, 250 mg extended-release subcutaneous injection)drugId:8611	PA < 6 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 < 6 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:1275 (olanzapine injection)drugId:1275		ANTIPSYCHOTIC	#
ZyprexadrugId:2756 (olanzapine tablet)drugId:2756	PA < 6 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
Zyprexa Relprevv (olanzapine 210 mg, 300 mg extended-release injection)drugId:1277	PA < 6 years and PA > 2 injections/28 days	ANTIPSYCHOTIC
Zyprexa Relprevv (olanzapine 405 mg extended-release injection)drugId:1278	PA < 6 years and PA > 1 injection/28 days	ANTIPSYCHOTIC
Zyprexa ZydisdrugId:7126 (olanzapine 15 mg orally disintegrating tablet)drugId:7126	PA < 6 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
Zyprexa ZydisdrugId:1276 (olanzapine 5 mg, 10 mg, 20 mg orally disintegrating tablet)drugId:1276	PA < 6 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
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 1 mg, 2 mg tabletdrugId:679		ANTISPASMODICS,ANTICHOLINERGIC	A90
glycopyrrolate injectiondrugId:5940	PA	ANTISPASMODICS,ANTICHOLINERGIC
hyoscyamine oraldrugId:768		ANTISPASMODICS,ANTICHOLINERGIC	A90
Librax (chlordiazepoxide / clidinium)drugId:6843	PA	ANTISPASMODICS,ANTICHOLINERGIC
scopolamine		ANTISPASMODICS,ANTICHOLINERGIC	A90
Konvomep (omeprazole / sodium bicarbonate suspension)drugId:8570	PA	ANTI-ULCER PREPARATIONS
Zegerid (omeprazole / sodium bicarbonate powder for oral suspension)drugId:8108	PA	ANTI-ULCER PREPARATIONS	M90
ZegeriddrugId:2988 (omeprazole / sodium bicarbonate capsule)drugId:2988		ANTI-ULCER PREPARATIONS	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
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
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, #
Epivir HBV (lamivudine 5 mg/mL solution)drugId:1011	PA > 20 mL/day	ANTIVIRALS	A90
Epivir HBVdrugId:1010 (lamivudine 100 mg tablet)drugId:1010	PA > 1 unit/day	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
Invirase (saquinavir)drugId:1832		ANTIVIRALS
Isentress (raltegravir)drugId:2701		ANTIVIRALS	BP
Juluca (dolutegravir / rilpivirine)drugId:6781		ANTIVIRALS	PD
KaletradrugId:1098 (lopinavir / ritonavir)drugId:1098		ANTIVIRALS	A90, #
Lexiva (fosamprenavir)drugId:908		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, solution)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
Pegintron (peginterferon alfa-2b)drugId:1490	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	BP, 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
SustivadrugId:590 (efavirenz)drugId:590		ANTIVIRALS	A90, #
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	#
Temixys (lamivudine / tenofovir disoproxil fumarate)drugId:7277	PA	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
Viekira Pak (ombitasvir / paritaprevir / ritonavir / dasabuvir)drugId:4740	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, solution, injectiondrugId:1516		BARBITURATES
Sezaby (phenobarbital 100 mg vial)drugId:8725		BARBITURATES	MB
AvodartdrugId:586 (dutasteride)drugId:586		BENIGN PROSTATIC HYPERPLASIA AGENTS	M90, #
Cardura XL (doxazosin extended-release)drugId:566		BENIGN PROSTATIC HYPERPLASIA AGENTS
Cialis (tadalafil tablet-Cialis)drugId:2373	PA	BENIGN PROSTATIC HYPERPLASIA AGENTS
Entadfi (finasteride / tadalafil)drugId:8296	PA	BENIGN PROSTATIC HYPERPLASIA AGENTS
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 < 6 years and PA > 1 unit/day	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	#
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
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
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
Aduhelm (aducanumab-avwa)drugId:8110	PA	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 < 60 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
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
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
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
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
Nucala (mepolizumab)drugId:5282	PA	BIOLOGICAL
Octagam (immune globulin IV, human-Octagam)drugId:2684	PA	BIOLOGICAL
Panzyga (immune globulin IV, human-ifas)drugId:7104	PA	BIOLOGICAL
Pediarix (diphtheria / tetanus toxoids / acellular pertussis / hepatitis B, recombinant / poliovirus, inactivated vaccine)drugId:700		BIOLOGICAL	1
Pedvaxhib (haemophilus B conjugate vaccine-Pedvaxhib)drugId:694		BIOLOGICAL	1
Pentacel (diphtheria / tetanus / acellular pertussis / poliovirus inactivated / haemophilus B conjugate vaccine)drugId:581		BIOLOGICAL	1
Pneumovax (pneumococcal 23-valent polysaccharide vaccine)drugId:1544		BIOLOGICAL	1
Prevnar 13 (pneumococcal 13-valent conjugate vaccine)drugId:1542		BIOLOGICAL	1
Priorix (measles / mumps / rubella vaccine)drugId:8257		BIOLOGICAL
Privigen (immune globulin IV, human-Privigen)drugId:2197	PA	BIOLOGICAL
Prolia (denosumab-Prolia)drugId:1967	PA	BIOLOGICAL
Proquad (measles / mumps / rubella / varicella virus vaccine)drugId:1122		BIOLOGICAL	1
Rabavert (rabies virus vaccine-Rabavert)drugId:1628		BIOLOGICAL
Recombivax HB (hepatitis B recombinant vaccine)drugId:708		BIOLOGICAL	1
Rhogam (rho(d) immune globulin IM, human-Rhogam)drugId:2747		BIOLOGICAL
Rhophylac (rho(d) immune globulin IV, human-Rhophylac)drugId:1648		BIOLOGICAL	MB
Rotarix (rotavirus vaccine, live, oral)drugId:1823		BIOLOGICAL	1
Rotateq (rotavirus vaccine, live, oral, pentavalent)drugId:1824		BIOLOGICAL	1
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
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	MB
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
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
Zinplava (bezlotoxumab)drugId:5771	PA	BIOLOGICAL
Accolate (zafirlukast)drugId:1816	PA	BRONCHODILATORS	M90
AccunebdrugId:168 (albuterol inhalation solution)drugId:168		BRONCHODILATORS	A90, #
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 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 110 mcg inhalation powder)drugId:2663	PA ≥ 12 years	BRONCHODILATORS
Asmanex Twisthaler (mometasone 220 mcg inhalation powder)drugId:1379	PA < 12 years	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
Lonhala (glycopyrrolate inhalation solution)drugId:6742	PA	BRONCHODILATORS
metaproterenol tablet, syrupdrugId:2196		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, 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
Asclera (polidocanol)drugId:2934	PA	CARDIOVASCULAR	MB
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
Bystolic (nebivolol)drugId:1179		CARDIOVASCULAR	BP, 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
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
FlolandrugId:612 (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:1573 (prazosin)drugId:1573		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
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	BP, 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
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:59	PA < 3 years or ≥ 21 years and PA > 2 units/day	CEREBRAL STIMULANTS	BP
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 XR (dexmethylphenidate extended-release)drugId:3020	PA < 3 years or ≥ 21 years and PA > 2 units/day	CEREBRAL STIMULANTS	BP
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 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 capsule)drugId:1759		CHELATING AGENT	BP, A90
Thiola (tiopronin)		CHELATING AGENT	BP, 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	BP, 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
Aliqopa (copanlisib)drugId:6500	PA	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		CHEMOTHERAPY	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
Docefrez (docetaxel)drugId:2985		CHEMOTHERAPY	MB
docetaxeldrugId:553		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)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
flutamidedrugId:888		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
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
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
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)		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
Marqibo (vincristine liposome)drugId:2890	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
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
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
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
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
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	BP, 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 145 mcg, 290 mcg)drugId:2658		CONSTIPATION AGENTS
Linzess (linaclotide 72 mcg)drugId:8218	PA	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
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 (COVID-19 Pfizer vaccine, COVID EUA – September 11, 2023 for members ≥ 6 months of age)drugId:8310		COVID - 19 related Treatments and Vaccines
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		COVID - 19 related Treatments and Vaccines
Novavax COVID-19 vaccine, adjuvanted (COVID EUA – October 3, 2023 for members ≥ 12 years of age)drugId:8270		COVID - 19 related Treatments and Vaccines
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 for members ≥ 12 years of age)drugId:8581		COVID - 19 related Treatments and Vaccines
Spikevax (COVID-19 Moderna vaccine, COVID EUA – September 11, 2023 for members ≥ 6 months of age)drugId:8312		COVID - 19 related Treatments and Vaccines
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
adapalene 0.1% / benzoyl peroxide 2.5%drugId:160	PA	DERMATOLOGICAL	A90
adapalene 0.3% / benzoyl peroxide 2.5%drugId:8077	PA	DERMATOLOGICAL	A90
adapalenedrugId:7678	PA	DERMATOLOGICAL	A90
Altreno (tretinoin 0.05% lotion)drugId:6900	PA ≥ 22 years	DERMATOLOGICAL
ammonium lactate		DERMATOLOGICAL
Arazlo (tazarotene lotion)drugId:7365	PA	DERMATOLOGICAL
Atralin (tretinoin 0.05% gel)drugId:2432	PA	DERMATOLOGICAL	A90
AvitadrugId:1747 (tretinoin-Avita)drugId:1747	PA ≥ 22 years	DERMATOLOGICAL	A90, #
Benzaclin (clindamycin / benzoyl peroxide-Benzaclin)drugId:263	PA	DERMATOLOGICAL	A90
benzoyl peroxidedrugId:2106		DERMATOLOGICAL	*, A90
benzoyl peroxide 9.8% foamdrugId:2182	PA	DERMATOLOGICAL	A90
brimonidine topical gel, 0.33%drugId:2891	PA	DERMATOLOGICAL	A90
calamine lotion		DERMATOLOGICAL	*
calcipotriene ointmentdrugId:2563	PA > 60 grams/30 days	DERMATOLOGICAL	A90
calcipotriene scalp solutiondrugId:2562		DERMATOLOGICAL	A90
calcitriol ointmentdrugId:424	PA	DERMATOLOGICAL	A90
capsaicin		DERMATOLOGICAL	*, A90
clindamycin 1.2% / benzoyl peroxide 5%drugId:264	PA	DERMATOLOGICAL	A90
colloidal oatmeal		DERMATOLOGICAL	*
CondyloxdrugId:2261 (podofilox)drugId:2261		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
Eucrisa (crisaborole)drugId:6041	PA	DERMATOLOGICAL	PD
Fabior (tazarotene foam)drugId:2841	PA	DERMATOLOGICAL
Finacea (azelaic acid foam)drugId:5106	PA	DERMATOLOGICAL
Finacea (azelaic acid gel)drugId:113	PA	DERMATOLOGICAL	A90
hydrophilic ointmentdrugId:756		DERMATOLOGICAL	*, A90
imiquimod 5% creamdrugId:783		DERMATOLOGICAL	A90
isotretinoindrugId:983	PA ≥ 22 years	DERMATOLOGICAL	A90
ivermectin creamdrugId:4813	PA	DERMATOLOGICAL	A90
KlarondrugId:1899 (sulfacetamide 10% lotion)drugId:1899	PA ≥ 22 years	DERMATOLOGICAL	A90, #
metronidazole 0.75% creamdrugId:1344		DERMATOLOGICAL	A90
metronidazole 0.75% geldrugId:4883		DERMATOLOGICAL	A90
metronidazole 1% geldrugId:1345	PA	DERMATOLOGICAL	A90
metronidazole lotiondrugId:1346	PA	DERMATOLOGICAL	A90
Noritate (metronidazole 1% cream)drugId:1348		DERMATOLOGICAL
Onexton (clindamycin / benzoyl peroxide-Onexton)drugId:4788	PA	DERMATOLOGICAL	A90
Opzelura (ruxolitinib cream)drugId:8123	PA	DERMATOLOGICAL
Oxsoralen (methoxsalen topical)		DERMATOLOGICAL	A90
Oxsoralen-Ultra (methoxsalen capsules)		DERMATOLOGICAL	A90, #
petrolatumdrugId:1513		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 ≥ 22 years	DERMATOLOGICAL	BP, A90
Retin-A Micro (tretinoin microspheres)drugId:1749	PA	DERMATOLOGICAL	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
Sorilux (calcipotriene foam)drugId:2560	PA	DERMATOLOGICAL	A90
tacrolimus topicaldrugId:1919		DERMATOLOGICAL	A90
tazarotene 0.1% cream, geldrugId:1657	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	BP
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		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		DIABETIC AGENTS
Invokamet XR (canagliflozin / metformin extended-release)drugId:5723		DIABETIC AGENTS
Invokana (canagliflozin)drugId:2780		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		DIABETIC AGENTS	BP, 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)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		DIABETIC AGENTS	BP, 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)		ELECTROLYTES AND NUTRIENTS	BP
Cytra-2 (sodium citrate / citric acid)		ELECTROLYTES AND NUTRIENTS	A90
Cytra-3 (potassium citrate / sodium citrate / citric acid)		ELECTROLYTES AND NUTRIENTS	A90
Cytra-K (potassium citrate / citric acid)		ELECTROLYTES AND NUTRIENTS	A90
Dekas Bariatric (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Bariatric)drugId:6605	PA	ELECTROLYTES AND NUTRIENTS	M90
dextrose		ELECTROLYTES AND NUTRIENTS
Dojolvi (triheptanoin)drugId:7488	PA	ELECTROLYTES AND NUTRIENTS
doxercalciferol capsuledrugId:570	PA	ELECTROLYTES AND NUTRIENTS	M90
electrolye solution, pediatric		ELECTROLYTES AND NUTRIENTS	*, A90
Endari (l-glutamine)drugId:6503	PA	ELECTROLYTES AND NUTRIENTS
ergocalciferol capsuledrugId:616		ELECTROLYTES AND NUTRIENTS	M90
folic aciddrugId:902		ELECTROLYTES AND NUTRIENTS	*, M90
FosamaxdrugId:7 (alendronate tablet)drugId:7		ELECTROLYTES AND NUTRIENTS	M90, #
Fosamax Plus D (alendronate / cholecalciferol)drugId:9	PA	ELECTROLYTES AND NUTRIENTS
Fosrenol (lanthanum)		ELECTROLYTES AND NUTRIENTS	A90, #
Hectorol (doxercalciferol injection)drugId:5780		ELECTROLYTES AND NUTRIENTS	MB
ibandronate injectiondrugId:769	PA	ELECTROLYTES AND NUTRIENTS
Infuvite (multivitamin injection)drugId:8860		ELECTROLYTES AND NUTRIENTS
Intralipid (fat emulsions, intravenous- intralipid)		ELECTROLYTES AND NUTRIENTS
Kaochlor (potassium chloride-Kaochlor)		ELECTROLYTES AND NUTRIENTS	A90
Kaon-CL (potassium chloride-Kaon-CL)		ELECTROLYTES AND NUTRIENTS	A90
Klor-Con (potassium chloride-Klor-Con)		ELECTROLYTES AND NUTRIENTS	A90, #
K-phos Neutral (potassium phosphate / dibasic sodium phosphate / monobasic sodium phosphate)		ELECTROLYTES AND NUTRIENTS	A90
K-phos No.2 (potassium phosphate / sodium phosphate / phosphorus)		ELECTROLYTES AND NUTRIENTS
K-Tab (potassium chloride-K-Tab)		ELECTROLYTES AND NUTRIENTS	A90
L-Carnitine (levocarnitine)		ELECTROLYTES AND NUTRIENTS
Liposyn (fat emulsions, intravenous-liposyn)		ELECTROLYTES AND NUTRIENTS	#
melatonin gummy, solution, tabletdrugId:6210		ELECTROLYTES AND NUTRIENTS	*, A90
Mephyton (phytonadione)		ELECTROLYTES AND NUTRIENTS	A90, #
Micro-K (potassium chloride-Micro-K)		ELECTROLYTES AND NUTRIENTS	A90, #
multivitaminsdrugId:1399		ELECTROLYTES AND NUTRIENTS	*, M90
Nascobal (cyanocobalamin nasal spray)drugId:301	PA	ELECTROLYTES AND NUTRIENTS
niacinamidedrugId:1206		ELECTROLYTES AND NUTRIENTS	*, M90
pamidronatedrugId:1474		ELECTROLYTES AND NUTRIENTS
pediatric multivitaminsdrugId:1487		ELECTROLYTES AND NUTRIENTS	*, M90
Phos-Flur (sodium fluoride oral rinse)		ELECTROLYTES AND NUTRIENTS	A90
Phoslyra (calcium acetate)		ELECTROLYTES AND NUTRIENTS
potassium bicarbonate		ELECTROLYTES AND NUTRIENTS	A90
potassium chloride injection		ELECTROLYTES AND NUTRIENTS
potassium phosphate		ELECTROLYTES AND NUTRIENTS	*
prenatal vitaminsdrugId:1583		ELECTROLYTES AND NUTRIENTS	*, M90
Rayaldee (calcifediol)drugId:5765	PA	ELECTROLYTES AND NUTRIENTS
Reclast (zoledronic acid 5 mg)drugId:1927		ELECTROLYTES AND NUTRIENTS	MB
Renagel (sevelamer hydrochloride)		ELECTROLYTES AND NUTRIENTS	A90, #
Renvela (sevelamer carbonate)		ELECTROLYTES AND NUTRIENTS	A90, #
Rocaltrol (calcitriol solution)drugId:8837	PA	ELECTROLYTES AND NUTRIENTS	M90
RocaltroldrugId:426 (calcitriol capsule)drugId:426		ELECTROLYTES AND NUTRIENTS	M90, #
saliva substitute		ELECTROLYTES AND NUTRIENTS	*
sodium bicarbonate		ELECTROLYTES AND NUTRIENTS	*
sodium chloride for inhalation - Non-Drug Product		ELECTROLYTES AND NUTRIENTS	*
sodium chloride solution		ELECTROLYTES AND NUTRIENTS
sodium chloride tablet		ELECTROLYTES AND NUTRIENTS	*
sodium fluoride		ELECTROLYTES AND NUTRIENTS	*, M90
Travasol (amino acid and electrolyte IV infusion)		ELECTROLYTES AND NUTRIENTS
Urocit-K (potassium citrate)		ELECTROLYTES AND NUTRIENTS	A90, #
Velphoro (sucroferric oxyhydroxide)		ELECTROLYTES AND NUTRIENTS
vitamin A (retinol)drugId:1806		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B-1 (thiamine)drugId:1692		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B-12 (cyanocobalamin)drugId:302		ELECTROLYTES AND NUTRIENTS	o, M90
vitamin B-2 (riboflavin)drugId:1428		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B-3 (niacin)drugId:1202		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B-6 (pyridoxine)drugId:1613		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin B complexdrugId:1807		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin C (ascorbic acid)drugId:96		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin DdrugId:227		ELECTROLYTES AND NUTRIENTS	*, M90
vitamin E, oraldrugId:1808		ELECTROLYTES AND NUTRIENTS	*, M90
vitamins, multiple / mineralsdrugId:1402		ELECTROLYTES AND NUTRIENTS	*, M90
vitamins, multipledrugId:1400		ELECTROLYTES AND NUTRIENTS	*, M90
vitamins, pediatricdrugId:1403		ELECTROLYTES AND NUTRIENTS	*, M90
vitamins, prenataldrugId:2061		ELECTROLYTES AND NUTRIENTS	*, M90
Zemplar (paricalcitol capsule)drugId:1481	PA	ELECTROLYTES AND NUTRIENTS	M90
Zemplar (paricalcitol injection)drugId:5781		ELECTROLYTES AND NUTRIENTS	MB
zinc sulfate		ELECTROLYTES AND NUTRIENTS	A90
zoledronic acid 4 mgdrugId:1928		ELECTROLYTES AND NUTRIENTS	MB
Bynfezia (octreotide prefilled syringe)drugId:7658		ENDOCRINE/METABOLIC AGENTS
Isturisa (osilodrostat)drugId:7466	PA	ENDOCRINE/METABOLIC AGENTS
lanreotidedrugId:8502		ENDOCRINE/METABOLIC AGENTS
Mycapssa (octreotide capsule)drugId:7788	PA	ENDOCRINE/METABOLIC AGENTS
Nityr (nitisinone)		ENDOCRINE/METABOLIC AGENTS
Orfadin (nitisinone)		ENDOCRINE/METABOLIC AGENTS	A90, #
SandostatindrugId:1269 (octreotide injection)drugId:1269		ENDOCRINE/METABOLIC AGENTS	#
Sandostatin LAR (octreotide injectable suspension)drugId:2497		ENDOCRINE/METABOLIC AGENTS
Signifor (pasireotide)drugId:2791	PA	ENDOCRINE/METABOLIC AGENTS
Signifor LAR (pasireotide injectable suspension)drugId:4912	PA	ENDOCRINE/METABOLIC AGENTS	MB
Somatuline (lanreotide)drugId:1020		ENDOCRINE/METABOLIC AGENTS
Aldurazyme (laronidase)drugId:1026	PA	ENZYMES	MB
Amphadase (hyaluronidase)		ENZYMES	MB
Aralast NP (alpha-1-proteinase inhibitor, human-Aralast NP)		ENZYMES	MB
Berinert (c1 esterase inhibitor, human-Berinert)drugId:1938	PA	ENZYMES
Buphenyl (sodium phenylbutyrate powder, tablet)drugId:1871		ENZYMES	BP, A90
Carbaglu (carglumic acid)drugId:2161	PA	ENZYMES	BP, PD, A90
Cerdelga (eliglustat)drugId:4764	PA	ENZYMES
Cerezyme (imiglucerase)drugId:780	PA	ENZYMES	MB
Cinryze (c1 esterase inhibitor, human-Cinryze)drugId:416	PA	ENZYMES
Creon DR (pancrelipase-Creon DR)drugId:1082		ENZYMES
Cystagon (cysteamine immediate-release capsule)drugId:316		ENZYMES
Elaprase (idursulfase)drugId:776	PA	ENZYMES	MB
Elelyso (taliglucerase alfa)drugId:2558	PA	ENZYMES	MB
Elfabrio (pegunigalsidase alfa-iwxj)drugId:8655	PA	ENZYMES
Elitek (rasburicase)		ENZYMES	MB
Fabrazyme (agalsidase beta)drugId:162	PA	ENZYMES
Firazyr (icatibant)drugId:2364	PA	ENZYMES
Galafold (migalastat)drugId:6982	PA	ENZYMES
Glassia (alpha-1-proteinase inhibitor, human-Glassia)		ENZYMES	MB
Haegarda (c1 esterase inhibitor, human-Haegarda)drugId:6283	PA	ENZYMES
Hylenex (hyaluronidase, human recombinant)		ENZYMES	MB
Kalbitor (ecallantide)drugId:1941	PA	ENZYMES	MB
Kanuma (sebelipase alfa)drugId:5388	PA	ENZYMES	MB
Kuvan (sapropterin)drugId:1831	PA	ENZYMES
Lamzede (velmanase alfa-tycv)drugId:8571	PA	ENZYMES	MB
Lumizyme (alglucosidase alfa)drugId:11	PA	ENZYMES	MB
Mepsevii (vestronidase alfa-vjbk)drugId:6521	PA	ENZYMES	MB
Naglazyme (galsulfase)drugId:921	PA	ENZYMES	MB
Nexobrid (anacaulase-bcdb)drugId:8573	PA	ENZYMES	MB
Nexviazyme (avalglucosidase alfa-ngpt)drugId:8122	PA	ENZYMES	MB
Nulibry (fosdenopterin)drugId:7883	PA	ENZYMES	MB
Olpruva (sodium phenylbutyrate pellets for suspension)drugId:8659	PA	ENZYMES
Orladeyo (berotralstat)drugId:7720	PA	ENZYMES
Palynziq (pegvaliase-pqpz)drugId:6923	PA	ENZYMES
Pertzye DR (pancrelipase-Pertzye DR)drugId:2730		ENZYMES
Pheburane (sodium phenylbutyrate granules)drugId:8369	PA	ENZYMES
Pombiliti (cipaglucosidase alfa-atga)drugId:8826	PA	ENZYMES	MB
Procysbi (cysteamine delayed-release capsule)drugId:2861	PA	ENZYMES
Procysbi (cysteamine delayed-release granule)drugId:7374	PA	ENZYMES
Prolastin-C (alpha-1-proteinase inhibitor, human-Prolastin-C)		ENZYMES	MB
Pulmozyme (dornase alfa)drugId:562		ENZYMES
Ravicti (glycerol phenylbutyrate)drugId:2789	PA	ENZYMES
Revcovi (elapegademase-lvlr)drugId:7044	PA	ENZYMES
Ruconest (c1 esterase inhibitor, recombinant-Ruconest)drugId:4794	PA	ENZYMES
Strensiq (asfotase alfa)drugId:5300	PA	ENZYMES
Vimizim (elosulfase alfa)drugId:2931	PA	ENZYMES	MB
Viokace (pancrelipase-Viokace)drugId:2597		ENZYMES
Vitrase (hyaluronidase, ovine)		ENZYMES	MB
Vpriv (velaglucerase alfa)drugId:1950	PA	ENZYMES	MB
Xiaflex (collagenase clostridium histolyticum)drugId:1951	PA	ENZYMES
Zavesca (miglustat 100 mg)drugId:1357	PA	ENZYMES	BP
Zemaira (alpha-1-proteinase inhibitor, human-Zemaira)		ENZYMES	MB
Zenpep DR (pancrelipase-Zenpep DR)drugId:1084		ENZYMES
Duavee (estrogens, conjugated/bazedoxifene)		ESTROGENS
Abelcet (amphotericin B lipid complex)drugId:61		FUNGICIDES
AmbisomedrugId:62 (amphotericin B liposome)drugId:62		FUNGICIDES	#
amphotericin BdrugId:2671		FUNGICIDES
Ancobon (flucytosine)drugId:861		FUNGICIDES	BP, A90
Brexafemme (ibrexafungerp)drugId:8019	PA	FUNGICIDES
CancidasdrugId:188 (caspofungin)drugId:188		FUNGICIDES	#
ciclopirox 1% shampoo, 0.77% geldrugId:5128	PA	FUNGICIDES	A90
ciclopirox 8% nail lacquerdrugId:233		FUNGICIDES	A90
clotrimazole / betamethasone creamdrugId:280		FUNGICIDES	A90
clotrimazole / betamethasone lotiondrugId:2856	PA	FUNGICIDES	A90
clotrimazoledrugId:279		FUNGICIDES	*, A90
clotrimazole trochedrugId:1995		FUNGICIDES	A90
Cresemba (isavuconazonium)drugId:4909	PA	FUNGICIDES
DiflucandrugId:860 (fluconazole)drugId:860		FUNGICIDES	A90, #
econazole 1% creamdrugId:588		FUNGICIDES	A90
Eraxis (anidulafungin)drugId:70		FUNGICIDES
Ertaczo (sertaconazole)drugId:1843		FUNGICIDES
Extina (ketoconazole foam)drugId:994	PA	FUNGICIDES	A90
griseofulvin suspension, tabletdrugId:2306		FUNGICIDES	A90
Jublia (efinaconazole)drugId:4628	PA	FUNGICIDES
Kerydin (tavaborole)drugId:4629	PA	FUNGICIDES	A90
ketoconazole cream, shampoodrugId:2047		FUNGICIDES	A90
ketoconazole tabletdrugId:1996		FUNGICIDES	A90
Loprox (ciclopirox 0.77% suspension)drugId:232	PA	FUNGICIDES	A90
LoproxdrugId:5625 (ciclopirox 0.77% cream)drugId:5625		FUNGICIDES	A90, #
Luzu (luliconazole)drugId:2925	PA	FUNGICIDES	A90
Mentax (butenafine)drugId:412		FUNGICIDES
miconazoledrugId:1352		FUNGICIDES	*, A90
MycaminedrugId:1351 (micafungin)drugId:1351		FUNGICIDES	#
Naftin (naftifine)drugId:8166	PA	FUNGICIDES	A90
Noxafil (posaconazole injection)drugId:8099	PA	FUNGICIDES	BP
Noxafil (posaconazole powder for oral suspension)drugId:8533	PA	FUNGICIDES
Noxafil (posaconazole suspension)drugId:8796	PA	FUNGICIDES	A90
NoxafildrugId:2928 (posaconazole tablet)drugId:2928		FUNGICIDES	A90, #
nystatin / triamcinolone cream, ointmentdrugId:1268		FUNGICIDES	A90
nystatin cream, ointment, 100,000 powderdrugId:2898		FUNGICIDES	A90
nystatin oral suspensiondrugId:1266		FUNGICIDES	A90
Oravig (miconazole buccal tablet)drugId:1966	PA	FUNGICIDES
Oxistat (oxiconazole cream)drugId:1312	PA	FUNGICIDES	A90
Oxistat (oxiconazole lotion)drugId:8167	PA	FUNGICIDES
Rezzayo (rezafungin)drugId:8718	PA	FUNGICIDES
Sporanox (itraconazole solution)drugId:7060		FUNGICIDES	BP, A90
SporanoxdrugId:988 (itraconazole 100 mg capsule)drugId:988		FUNGICIDES	A90, #
terbinafine tabletdrugId:1672		FUNGICIDES	A90
tolnaftate cream, powderdrugId:1724		FUNGICIDES	*, A90
Tolsura (itraconazole 65 mg capsule)drugId:7011	PA	FUNGICIDES
Vfend (voriconazole suspension, 50 mg tablet)drugId:1809	PA	FUNGICIDES	A90
VfenddrugId:1810 (voriconazole injection, 200 mg tablet)drugId:1810		FUNGICIDES	#
Vivjoa (oteseconazole)drugId:8307	PA	FUNGICIDES
Vusion (miconazole / zinc oxide ointment)drugId:1353		FUNGICIDES	BP, A90
Gralise (gabapentin extended-release)drugId:8585	PA	GABA ANALOGS
Horizant (gabapentin enacarbil)drugId:8584	PA	GABA ANALOGS
Lyrica CR (pregabalin extended-release)drugId:6608	PA	GABA ANALOGS	BP
Align (bifidobacterium infantis)drugId:6200	PA ≥ 22 years	GASTROINTESTINAL AGENT
aluminum carbonate		GASTROINTESTINAL AGENT	*, A90
Culturelle (lactobacillus rhamnosus GG)drugId:6204	PA ≥ 22 years	GASTROINTESTINAL AGENT
dextrindrugId:6205		GASTROINTESTINAL AGENT	*, A90
Florastor (saccharomyces boulardii)drugId:6207	PA ≥ 22 years	GASTROINTESTINAL AGENT
Gattex (teduglutide injection)drugId:2722	PA	GASTROINTESTINAL AGENT	BP
Gimoti (metoclopramide nasal spray)drugId:8112	PA	GASTROINTESTINAL AGENT
lactase		GASTROINTESTINAL AGENT	*, A90
lactulose solutiondrugId:1008		GASTROINTESTINAL AGENT	A90
Lotronex (alosetron)drugId:19	PA	GASTROINTESTINAL AGENT	A90
magaldrate		GASTROINTESTINAL AGENT	*, A90
Rectiv (nitroglycerin 0.4% ointment)		GASTROINTESTINAL AGENT
simethicone		GASTROINTESTINAL AGENT	*, A90
sodium phosphate		GASTROINTESTINAL AGENT	*, A90
Viberzi (eluxadoline)drugId:5403	PA	GASTROINTESTINAL AGENT
Vowst (fecal microbiota spores, live-brpk)drugId:8622	PA	GASTROINTESTINAL AGENT
Skysona (elivaldogene autotemcel)drugId:8652	PA	GENE THERAPY	CO, MB
Zolgensma (onasemnogene abeparvovec-xioi)drugId:7273	PA	GENE THERAPY	CO, PD, MB
Apriso (mesalamine 0.375 gram extended-release capsule)drugId:1150		GI ANTI-INFLAMMATORY	BP, A90
AzulfidinedrugId:1910 (sulfasalazine)drugId:1910		GI ANTI-INFLAMMATORY	A90, #
Azulfidine EN-TabsdrugId:4864 (sulfasalazine delayed-release)drugId:4864		GI ANTI-INFLAMMATORY	A90, #
CanasadrugId:2095 (mesalamine suppository)drugId:2095		GI ANTI-INFLAMMATORY	A90, #
ColazaldrugId:126 (balsalazide)drugId:126		GI ANTI-INFLAMMATORY	A90, #
Delzicol DR (mesalamine 400 mg delayed-release capsule)drugId:2720	PA	GI ANTI-INFLAMMATORY	A90
Dipentum (olsalazine)drugId:1286		GI ANTI-INFLAMMATORY
Lialda (mesalamine 1.2 gram delayed-release tablet)drugId:1153		GI ANTI-INFLAMMATORY	BP, A90
mesalamine 800 mg delayed-release tabletdrugId:1152	PA	GI ANTI-INFLAMMATORY	A90
Pentasa (mesalamine 250 mg, 500 mg controlled-release capsule)drugId:1154		GI ANTI-INFLAMMATORY	BP, A90
RowasadrugId:2937 (mesalamine enema)drugId:2937		GI ANTI-INFLAMMATORY	A90, #
Rowasa Kit (mesalamine kit)drugId:1149	PA	GI ANTI-INFLAMMATORY	A90
Agamree (vamorolone)drugId:8779	PA	GLUCOCORTICOIDS
alclometasone cream, ointmentdrugId:4		GLUCOCORTICOIDS	A90
Alkindi (hydrocortisone sprinkle capsule)drugId:7639	PA	GLUCOCORTICOIDS
amcinonide creamdrugId:31	PA	GLUCOCORTICOIDS	A90
Anusol-HCdrugId:740 (hydrocortisone hemorrhoidal cream)drugId:740		GLUCOCORTICOIDS	A90, #
Apexicon-E (diflorasone cream / emollient)drugId:520	PA	GLUCOCORTICOIDS	A90
betamethasone augmented geldrugId:5034		GLUCOCORTICOIDS	A90
betamethasone dipropionate, augmented cream, lotiondrugId:2204		GLUCOCORTICOIDS	A90
betamethasone dipropionate creamdrugId:5023		GLUCOCORTICOIDS	A90
betamethasone dipropionate lotion, ointmentdrugId:2992		GLUCOCORTICOIDS	A90
betamethasone valerate creamdrugId:356		GLUCOCORTICOIDS	A90
betamethasone valerate lotiondrugId:5026		GLUCOCORTICOIDS	A90
betamethasone valerate ointmentdrugId:5027		GLUCOCORTICOIDS	A90
Bryhali (halobetasol lotion)drugId:7001	PA	GLUCOCORTICOIDS
budesonide 3 mg delayed-release capsuledrugId:379		GLUCOCORTICOIDS	A90
CelestonedrugId:357 (betamethasone injection)drugId:357		GLUCOCORTICOIDS	#
clobetasol propionate cream / emollientdrugId:5035		GLUCOCORTICOIDS	A90
clobetasol propionate gel, solutiondrugId:5080		GLUCOCORTICOIDS	A90
clobetasol propionate lotion, shampoo, spraydrugId:7858		GLUCOCORTICOIDS	A90
clobetasol propionate shampoo kitdrugId:5033	PA	GLUCOCORTICOIDS	A90
Cloderm (clocortolone cream)drugId:270	PA	GLUCOCORTICOIDS	A90
CortefdrugId:736 (hydrocortisone tablet)drugId:736		GLUCOCORTICOIDS	A90, #
CortenemadrugId:2983 (hydrocortisone enema)drugId:2983		GLUCOCORTICOIDS	A90, #
Cortifoam (hydrocortisone foam)drugId:731		GLUCOCORTICOIDS
DecadrondrugId:2491 (dexamethasone solution, tablet)drugId:2491		GLUCOCORTICOIDS	A90, #
Depo-MedroldrugId:966 (methylprednisolone acetate)drugId:966		GLUCOCORTICOIDS	#
Derma-Smoothe-FSdrugId:867 (fluocinolone body oil, scalp oil)drugId:867		GLUCOCORTICOIDS	A90, #
desonide creamdrugId:484		GLUCOCORTICOIDS	A90
desonide lotiondrugId:2528	PA	GLUCOCORTICOIDS	A90
desonide ointmentdrugId:7960		GLUCOCORTICOIDS	A90
desoximetasone 0.25% creamdrugId:7961		GLUCOCORTICOIDS	A90
dexamethasone injectiondrugId:5131		GLUCOCORTICOIDS
dexamethasone tablet packdrugId:492	PA	GLUCOCORTICOIDS	A90
diflorasone creamdrugId:4918	PA	GLUCOCORTICOIDS	A90
diflorasone ointmentdrugId:2207	PA	GLUCOCORTICOIDS	A90
DiprolenedrugId:5022 (betamethasone dipropionate, augmented ointment)drugId:5022		GLUCOCORTICOIDS	A90, #
Duobrii (halobetasol / tazarotene lotion)drugId:7134	PA	GLUCOCORTICOIDS
Emflaza (deflazacort)drugId:6720	PA	GLUCOCORTICOIDS	BP
Enstilar (betamethasone / calcipotriene foam)drugId:5248		GLUCOCORTICOIDS
fludrocortisonedrugId:863		GLUCOCORTICOIDS	A90
fluocinolone 0.01% creamdrugId:2529		GLUCOCORTICOIDS	A90
fluocinonide / emollientdrugId:2910		GLUCOCORTICOIDS	A90
fluocinonide cream, gel, ointment, solutiondrugId:2577		GLUCOCORTICOIDS	A90
flurandrenolide cream, lotiondrugId:5520	PA	GLUCOCORTICOIDS	A90
flurandrenolide ointmentdrugId:5941	PA	GLUCOCORTICOIDS	A90
fluticasone creamdrugId:5065		GLUCOCORTICOIDS	A90
fluticasone lotiondrugId:892	PA	GLUCOCORTICOIDS	A90
fluticasone ointmentdrugId:5066		GLUCOCORTICOIDS	A90
halobetasol cream, ointmentdrugId:2041		GLUCOCORTICOIDS	A90
Halog (halcinonide cream, solution)drugId:695	PA	GLUCOCORTICOIDS	A90
Halog (halcinonide ointment)drugId:7859		GLUCOCORTICOIDS
Hemady (dexamethasone 20 mg tablet)drugId:8023	PA	GLUCOCORTICOIDS
hydrocortisone butyrate cream, ointment, solutiondrugId:2531		GLUCOCORTICOIDS	A90
hydrocortisone cream, lotion, ointmentdrugId:2530		GLUCOCORTICOIDS	*, A90
hydrocortisone solutiondrugId:739	PA	GLUCOCORTICOIDS	A90
hydrocortisone valerate creamdrugId:2048		GLUCOCORTICOIDS	A90
hydrocortisone valerate ointmentdrugId:5025	PA	GLUCOCORTICOIDS	A90
Impeklo (clobetasol propionate lotion pump)drugId:7920	PA	GLUCOCORTICOIDS
Kenalog (triamcinolone spray)drugId:2526	PA	GLUCOCORTICOIDS	A90
KenalogdrugId:6460 (triamcinolone injection)drugId:6460		GLUCOCORTICOIDS	#
Lexette (halobetasol foam)drugId:6983	PA	GLUCOCORTICOIDS	A90
Locoid (hydrocortisone butyrate lotion)drugId:6561	PA	GLUCOCORTICOIDS	A90
Locoid Lipocream (hydrocortisone butyrate / emollient)drugId:5031	PA	GLUCOCORTICOIDS	A90
LuxiqdrugId:355 (betamethasone valerate foam)drugId:355		GLUCOCORTICOIDS	A90, #
MedroldrugId:967 (methylprednisolone)drugId:967		GLUCOCORTICOIDS	A90, #
mometasone cream, solutiondrugId:1382		GLUCOCORTICOIDS	A90
mometasone ointmentdrugId:5024		GLUCOCORTICOIDS	A90
neomycin / fluocinolone cream, cream kitdrugId:2966	PA	GLUCOCORTICOIDS	A90
OluxdrugId:268 (clobetasol propionate foam)drugId:268		GLUCOCORTICOIDS	A90, #
Olux-E (clobetasol propionate foam / emollient)drugId:2532	PA	GLUCOCORTICOIDS	A90
Ortikos (budesonide extended-release capsule)drugId:7493	PA	GLUCOCORTICOIDS
Pandel (hydrocortisone probutate cream)drugId:732		GLUCOCORTICOIDS
PediapreddrugId:1578 (prednisolone 5 mg/5 mL oral solution)drugId:1578		GLUCOCORTICOIDS	A90, #
prednicarbate cream, ointmentdrugId:1574		GLUCOCORTICOIDS	A90
prednisolone 10 mg/5 mL oral solutiondrugId:1575	PA	GLUCOCORTICOIDS	A90
prednisolone 15 mg/5 mL, 25 mg/5 mL oral solutiondrugId:1576		GLUCOCORTICOIDS	A90
prednisolone 20 mg/5 mL oral solutiondrugId:1579	PA	GLUCOCORTICOIDS	A90
prednisolone orally disintegrating tabletdrugId:1577	PA	GLUCOCORTICOIDS	A90
prednisolone tabletdrugId:2199	PA	GLUCOCORTICOIDS	A90
prednisonedrugId:1581		GLUCOCORTICOIDS	A90
Rayos (prednisone delayed-release)drugId:2645	PA	GLUCOCORTICOIDS
Sernivo (betamethasone dipropionate spray)drugId:5396	PA	GLUCOCORTICOIDS
Solu-Cortef (hydrocortisone injection)drugId:729		GLUCOCORTICOIDS
Solu-MedroldrugId:964 (methylprednisolone sodium succinate)drugId:964		GLUCOCORTICOIDS	#
Synalar (fluocinolone cream kit)drugId:5062	PA	GLUCOCORTICOIDS
Synalar (fluocinolone ointment kit)drugId:5063	PA	GLUCOCORTICOIDS
Synalar (fluocinolone solution kit)drugId:5064	PA	GLUCOCORTICOIDS
SynalardrugId:5060 (fluocinolone 0.025% cream)drugId:5060		GLUCOCORTICOIDS	A90, #
SynalardrugId:5061 (fluocinolone ointment)drugId:5061		GLUCOCORTICOIDS	A90, #
SynalardrugId:2632 (fluocinolone solution)drugId:2632		GLUCOCORTICOIDS	A90, #
Taclonex (betamethasone / calcipotriene ointment)drugId:7889	PA	GLUCOCORTICOIDS	A90
Taclonex (betamethasone / calcipotriene scalp suspension)drugId:421	PA	GLUCOCORTICOIDS	BP, A90
Tarpeyo (budesonide 4 mg delayed-release capsule)drugId:8262	PA	GLUCOCORTICOIDS
TemovatedrugId:269 (clobetasol propionate cream, ointment)drugId:269		GLUCOCORTICOIDS	A90, #
Topicort (desoximetasone 0.05% cream, ointment)drugId:5021	PA	GLUCOCORTICOIDS	A90
Topicort (desoximetasone 0.25% ointment, spray, 0.05% gel)drugId:488	PA	GLUCOCORTICOIDS	A90
triamcinolone, oral		GLUCOCORTICOIDS	A90
triamcinolone 0.025% cream, lotiondrugId:1753		GLUCOCORTICOIDS	A90
triamcinolone 0.05% ointmentdrugId:2527	PA	GLUCOCORTICOIDS	A90
triamcinolone 0.1% creamdrugId:5029		GLUCOCORTICOIDS	A90
triamcinolone 0.1% lotion, 0.025% ointmentdrugId:5028		GLUCOCORTICOIDS	A90
triamcinolone 0.1% ointment, 0.5% creamdrugId:5030		GLUCOCORTICOIDS	A90
triamcinolone 0.5% ointmentdrugId:5032		GLUCOCORTICOIDS	A90
triamcinolone pastedrugId:1754		GLUCOCORTICOIDS	A90
Uceris (budesonide extended-release tablet)drugId:2991		GLUCOCORTICOIDS	BP, A90
Uceris (budesonide rectal foam)drugId:4817	PA	GLUCOCORTICOIDS	A90
Ultravate (halobetasol lotion)drugId:5400	PA	GLUCOCORTICOIDS	A90
VanosdrugId:872 (fluocinonide 0.1% cream)drugId:872		GLUCOCORTICOIDS	A90, #
Zilretta (triamcinolone extended-release injectable suspension)drugId:6415	PA	GLUCOCORTICOIDS	MB
allopurinol 200 mg tabletdrugId:8603	PA	GOUT AGENTS	M90
ColcrysdrugId:2162 (colchicine tablet)drugId:2162		GOUT AGENTS	A90, #
Gloperba (colchicine solution)drugId:7331	PA	GOUT AGENTS
Krystexxa (pegloticase)drugId:6294	PA	GOUT AGENTS	MB
Mitigare (colchicine capsule)drugId:4765	PA	GOUT AGENTS	BP, A90
probenecid / colchicinedrugId:287		GOUT AGENTS	M90
probeneciddrugId:1587		GOUT AGENTS	M90
Uloric (febuxostat)drugId:464	PA	GOUT AGENTS	M90
ZyloprimdrugId:17 (allopurinol 100 mg, 300 mg tablet)drugId:17		GOUT AGENTS	M90, #
lansoprazole / amoxicillin / clarithromycindrugId:1023	PA	H. PYLORI AGENTS	A90
Omeclamox-Pak (omeprazole / clarithromycin / amoxicillin)drugId:2582	PA	H. PYLORI AGENTS
Pylera (bismuth subcitrate / metronidazole / tetracycline)drugId:367		H. PYLORI AGENTS	BP, A90
Talicia (omeprazole / amoxicillin / rifabutin)drugId:7380	PA	H. PYLORI AGENTS
Voquezna Dual Pak (vonoprazan / amoxicillin)drugId:8758	PA	H. PYLORI AGENTS
Voquezna Triple Pak (vonoprazan / amoxicillin / clarithromycin)drugId:8759	PA	H. PYLORI AGENTS
cimetidinedrugId:236		H2 ANTAGONISTS	*, M90
famotidine injectiondrugId:5603		H2 ANTAGONISTS
famotidine suspensiondrugId:5602		H2 ANTAGONISTS	A90
nizatidine 150 mg capsuledrugId:1232	PA > 2 units/day	H2 ANTAGONISTS	M90
nizatidine 300 mg capsuledrugId:8116	PA > 1 unit/day	H2 ANTAGONISTS	M90
PepciddrugId:461 (famotidine tablet)drugId:461		H2 ANTAGONISTS	*, M90, #
Accrufer (ferric maltol)drugId:7918	PA	HEMATINIC AGENT
aminocaproic acid		HEMATINIC AGENT	A90
Aranesp (darbepoetin alfa)drugId:327	PA	HEMATINIC AGENT
Auryxia (ferric citrate)drugId:4762	PA	HEMATINIC AGENT
Ceprotin (protein C concentrate)drugId:1605	PA	HEMATINIC AGENT	MB
Dekas Essential (multivitamin-Dekas Essential)drugId:5623	PA	HEMATINIC AGENT	M90
Dekas Plus (multivitamins / minerals / coenzyme Q10-Dekas Plus)drugId:5621	PA	HEMATINIC AGENT	M90
Dekas Plus (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Plus)drugId:5622	PA	HEMATINIC AGENT	M90
Epogen (epoetin alfa-Epogen)drugId:610	PA	HEMATINIC AGENT
Feraheme (ferumoxytol)drugId:849	PA	HEMATINIC AGENT
FerrlecitdrugId:1865 (sodium ferric gluconate complex)drugId:1865		HEMATINIC AGENT	#
ferrous fumaratedrugId:846		HEMATINIC AGENT	*, M90
ferrous gluconatedrugId:847		HEMATINIC AGENT	*, M90
ferrous sulfatedrugId:848		HEMATINIC AGENT	*, M90
Fulphila (pegfilgrastim-jmdb)drugId:6903		HEMATINIC AGENT
Granix (TBO-filgrastim)drugId:2889		HEMATINIC AGENT
Infed (low molecular weight iron dextran)drugId:972		HEMATINIC AGENT
Injectafer (ferric carboxymaltose injection)drugId:2844	PA	HEMATINIC AGENT	MB
Leukine (sargramostim)drugId:1833		HEMATINIC AGENT
Mircera (methoxy polyethylene glycol / epoetin beta)drugId:4784		HEMATINIC AGENT	MB
Monoferric (ferric derisomaltose)drugId:7599	PA	HEMATINIC AGENT
Mozobil (plerixafor)		HEMATINIC AGENT	MB
Neulasta (pegfilgrastim)drugId:1489		HEMATINIC AGENT
Neumega (oprelvekin)drugId:1297		HEMATINIC AGENT
Neupogen (filgrastim)drugId:856		HEMATINIC AGENT
Nivestym (filgrastim-aafi)drugId:6922		HEMATINIC AGENT
Nplate (romiplostim)drugId:1452	PA	HEMATINIC AGENT	MB
Nyvepria (pegfilgrastim-apgf)drugId:7617		HEMATINIC AGENT
Procrit (epoetin alfa-Procrit)drugId:611	PA	HEMATINIC AGENT
Promacta (eltrombopag)drugId:594	PA	HEMATINIC AGENT
Releuko (filgrastim-ayow)drugId:8301		HEMATINIC AGENT
Retacrit (epoetin alfa-epbx)drugId:6820	PA	HEMATINIC AGENT
Triferic (ferric pyrophosphate citrate)drugId:6021		HEMATINIC AGENT	MB
Udenyca (pegfilgrastim-cbqv)drugId:7012		HEMATINIC AGENT
Venofer (iron sucrose)drugId:974		HEMATINIC AGENT	MB
Zarxio (filgrastim-sndz)drugId:5116		HEMATINIC AGENT
Ziextenzo (pegfilgrastim-bmez)drugId:7337		HEMATINIC AGENT
Aphexda (motixafortide)drugId:8817	PA	HEMATINICS & BLOOD CELL STIMULATORS	MB
Casgevy (exagamglogene autotemcel for sickle cell disease)drugId:834	PA	HEMATINICS & BLOOD CELL STIMULATORS	CO, PD, MB
Fylnetra (pegfilgrastim-pbbk)drugId:8527		HEMATINICS & BLOOD CELL STIMULATORS
Jesduvroq (daprodustat)drugId:8782	PA	HEMATINICS & BLOOD CELL STIMULATORS
Lyfgenia (lovotibeglogene autotemcel)drugId:8821	PA	HEMATINICS & BLOOD CELL STIMULATORS	CO, MB
Rolvedon (eflapegrastim-xnst)drugId:8539		HEMATINICS & BLOOD CELL STIMULATORS	MB
Stimufend (pegfilgrastim-fpgk)drugId:8541		HEMATINICS & BLOOD CELL STIMULATORS
Zynteglo (betibeglogene autotemcel)drugId:8551	PA	HEMATINICS & BLOOD CELL STIMULATORS	CO, PD, MB
Adakveo (crizanlizumab-tmca)drugId:7326	PA	HEMATOLOGIC	MB
Doptelet (avatrombopag)drugId:6990	PA	HEMATOLOGIC
Droxia (hydroxyurea capsule)drugId:760		HEMATOLOGIC
Mulpleta (lusutrombopag)drugId:6991	PA	HEMATOLOGIC
Oxbryta (voxelotor)drugId:7350	PA	HEMATOLOGIC
Reblozyl (luspatercept-aamt)drugId:7334	PA	HEMATOLOGIC	MB
Siklos (hydroxyurea tablet)drugId:6821	PA	HEMATOLOGIC
Tavalisse (fostamatinib)drugId:6823	PA	HEMATOLOGIC
Balfaxar (prothrombin complex concentrate, human)		HEMOSTATICS
Kcentra (prothrombin complex concentrate, human)		HEMOSTATICS
Lysteda (tranexamic acid tablet)		HEMOSTATICS	#
Ryplazim (plasminogen, human-tvmh)drugId:8540	PA	HEMOSTATICS
Acthar (corticotropin)drugId:294	PA	HORMONE AGENTS
cabergoline		HORMONE AGENTS	A90
calcitonin salmon nasal spraydrugId:423		HORMONE AGENTS	M90
Camcevi (leuprolide)drugId:8332	PA	HORMONE AGENTS
Cortrophin (corticotropin)drugId:8185	PA	HORMONE AGENTS
danazol		HORMONE AGENTS	A90
DDAVPdrugId:476 (desmopressin-DDAVP)drugId:476		HORMONE AGENTS	A90, #
Fensolvi (leuprolide)drugId:7426	PA	HORMONE AGENTS
Forteo (teriparatide 600 mcg/2.4 mL)drugId:1678	PA	HORMONE AGENTS	BP
Genotropin (somatropin-Genotropin)drugId:1880	PA	HORMONE AGENTS	PD
Humatrope (somatropin-Humatrope)drugId:1881	PA	HORMONE AGENTS
Increlex (mecasermin)drugId:1124	PA	HORMONE AGENTS
Lupron (leuprolide)drugId:1033	PA	HORMONE AGENTS
Miacalcin (calcitonin salmon injection)drugId:4960	PA	HORMONE AGENTS
nandrolone		HORMONE AGENTS
Ngenla (somatrogon-ghla)drugId:8715	PA	HORMONE AGENTS
Nocdurna (desmopressin-Nocdurna)drugId:6984	PA	HORMONE AGENTS
Norditropin (somatropin-Norditropin)drugId:1882	PA	HORMONE AGENTS
Nutropin AQ (somatropin-Nutropin AQ)drugId:1884	PA	HORMONE AGENTS
Omnitrope (somatropin-Omnitrope)drugId:1885	PA	HORMONE AGENTS
Orgovyx (relugolix)drugId:7792	PA	HORMONE AGENTS
Orilissa (elagolix)drugId:6921	PA	HORMONE AGENTS
Saizen (somatropin-Saizen)drugId:1886	PA	HORMONE AGENTS
Serostim (somatropin-Serostim)drugId:1887	PA	HORMONE AGENTS
Skytrofa (lonapegsomatropin-tcgd)drugId:8158	PA	HORMONE AGENTS	PD
Sogroya (somapacitan-beco)drugId:8647	PA	HORMONE AGENTS
Somavert (pegvisomant)drugId:1491	PA	HORMONE AGENTS
Supprelin LA (histrelin)drugId:710	PA	HORMONE AGENTS
Synarel (nafarelin)drugId:1420	PA	HORMONE AGENTS
teriparatide 620 mcg/0.48 mLdrugId:7471	PA	HORMONE AGENTS
Triptodur (triptorelin-Triptodur)drugId:6486	PA	HORMONE AGENTS
Tymlos (abaloparatide)drugId:6362	PA	HORMONE AGENTS
Vantas (histrelin)drugId:711	PA	HORMONE AGENTS
Zomacton (somatropin-Zomacton)drugId:5002	PA	HORMONE AGENTS
Activella (estradiol / norethindrone-Activella)		HORMONE REPLACEMENT THERAPY	M90, #
Alora (estradiol-Alora)		HORMONE REPLACEMENT THERAPY	M90
Androderm (testosterone patch)drugId:1682	PA	HORMONE REPLACEMENT THERAPY
Androgel (testosterone 1.62% gel packet)drugId:2280	PA	HORMONE REPLACEMENT THERAPY
Androgel (testosterone 1.62% gel pump)drugId:7573	PA	HORMONE REPLACEMENT THERAPY
Androgel (testosterone 1% gel packet)drugId:2248	PA	HORMONE REPLACEMENT THERAPY
Angeliq (estradiol / drospirenone)		HORMONE REPLACEMENT THERAPY
Aveed (testosterone undecanoate injection)drugId:2954	PA	HORMONE REPLACEMENT THERAPY	MB
Aygestin (norethindrone 5 mg)		HORMONE REPLACEMENT THERAPY	A90
Bijuva (estradiol / progesterone)drugId:7281	PA	HORMONE REPLACEMENT THERAPY
Climara (estradiol-Climara)		HORMONE REPLACEMENT THERAPY	M90, #
Combipatch (estradiol / norethindrone-Combipatch)		HORMONE REPLACEMENT THERAPY
Crinone (progesterone gel)drugId:2587	PA	HORMONE REPLACEMENT THERAPY
Delestrogen (estradiol-Delestrogen)		HORMONE REPLACEMENT THERAPY	#
Depo-estradiol (estradiol-Depo-estradiol)		HORMONE REPLACEMENT THERAPY
Depo-Testosterone (testosterone cypionate)drugId:1680	PA	HORMONE REPLACEMENT THERAPY
Divigel (estradiol-Divigel)		HORMONE REPLACEMENT THERAPY	BP, A90
Elestrin (estradiol-Elestrin)		HORMONE REPLACEMENT THERAPY
Estrace (estradiol cream-Estrace)		HORMONE REPLACEMENT THERAPY	A90, #
Estrace (estradiol tablet-Estrace)		HORMONE REPLACEMENT THERAPY	M90, #
estradiol gel		HORMONE REPLACEMENT THERAPY	A90
Estring (estradiol-Estring)		HORMONE REPLACEMENT THERAPY
ethinyl estradiol 5 mcg / norethindrone 1 mg		HORMONE REPLACEMENT THERAPY	M90
Evamist (estradiol-Evamist)		HORMONE REPLACEMENT THERAPY
EvistadrugId:1629 (raloxifene)drugId:1629		HORMONE REPLACEMENT THERAPY	M90, #
Femhrt (ethinyl estradiol 2.5 mcg / norethindrone 0.5 mg-Femhrt)		HORMONE REPLACEMENT THERAPY	M90, #
Femring (estradiol-Femring)		HORMONE REPLACEMENT THERAPY
Fortesta (testosterone 2% gel pump)drugId:2241	PA	HORMONE REPLACEMENT THERAPY
hydroxyprogesterone caproate injection - DelalutindrugId:759	PA	HORMONE REPLACEMENT THERAPY
Jatenzo (testosterone undecanoate capsule)drugId:7371	PA	HORMONE REPLACEMENT THERAPY
Menest (estrogens,esterified)		HORMONE REPLACEMENT THERAPY	A90
Menostar (estradiol-menostar)		HORMONE REPLACEMENT THERAPY
methyltestosteronedrugId:1329	PA	HORMONE REPLACEMENT THERAPY
Minivelle (estradiol-Minivelle)		HORMONE REPLACEMENT THERAPY	M90, #
Natesto (testosterone nasal gel)drugId:7661	PA	HORMONE REPLACEMENT THERAPY
Prefest (estradiol / norgestimate)		HORMONE REPLACEMENT THERAPY
Premarin (estrogens, conjugated)		HORMONE REPLACEMENT THERAPY
Premphase (medroxyprogesterone / estrogens, conjugated-Premphase)		HORMONE REPLACEMENT THERAPY
Prempro (medroxyprogesterone / estrogens, conjugated-Prempro)		HORMONE REPLACEMENT THERAPY
Prometrium (progesterone capsule)		HORMONE REPLACEMENT THERAPY	A90, #
Provera (medroxyprogesterone tablet)		HORMONE REPLACEMENT THERAPY	A90, #
Testim (testosterone 1% gel tube)drugId:1684	PA	HORMONE REPLACEMENT THERAPY	BP
Testopel (testosterone intramuscular pellet)drugId:1685	PA	HORMONE REPLACEMENT THERAPY
testosterone 2% solutiondrugId:2237	PA	HORMONE REPLACEMENT THERAPY
testosterone enanthatedrugId:1681	PA	HORMONE REPLACEMENT THERAPY
Tlando (testosterone undecanoate capsule)drugId:8302	PA	HORMONE REPLACEMENT THERAPY
Vagifem (estradiol-Vagifem)		HORMONE REPLACEMENT THERAPY	M90, #
Vivelle-Dot (estradiol-Vivelle-Dot)		HORMONE REPLACEMENT THERAPY	M90, #
Vogelxo (testosterone 1% gel tube, packet, pump)drugId:2948	PA	HORMONE REPLACEMENT THERAPY
Xyosted (testosterone enanthate)drugId:7050	PA	HORMONE REPLACEMENT THERAPY
Durolane (hyaluronate, stabilized)drugId:6381	PA	HYALURONAN	MB
Euflexxa (hyaluronate-Euflexxa)drugId:4801	PA	HYALURONAN	MB
Gel-One (hyaluronate, crossed-linked)drugId:4802	PA	HYALURONAN	MB
Gelsyn (hyaluronate-Gelsyn)drugId:5620	PA	HYALURONAN	MB
Genvisc (hyaluronate-Genvisc)drugId:5340	PA	HYALURONAN	MB
Hyalgan (hyaluronate-Hyalgan)drugId:4803	PA	HYALURONAN	MB
Hymovis (hyaluronate, modified)drugId:5500	PA	HYALURONAN	MB
Monovisc (hyaluronate-Monovisc)drugId:4805	PA	HYALURONAN	MB
Orthovisc (hyaluronan, high molecular weight)drugId:4808	PA	HYALURONAN	MB
Supartz (hyaluronate-Supartz)drugId:4809	PA	HYALURONAN	MB
Synojoynt (hyaluronate-Synojoynt)drugId:8196	PA	HYALURONAN	MB
Synvisc (hylan G-F20-Synvisc)drugId:4810	PA	HYALURONAN	MB
Synvisc-One (hylan G-F20-Synvisc-One)drugId:4811	PA	HYALURONAN	MB
Triluron (hyaluronate-Triluron)drugId:7268	PA	HYALURONAN	MB
Trivisc (hyaluronate-Trivisc)drugId:6926	PA	HYALURONAN	MB
Visco-3 (hyaluronate-Visco-3)drugId:6411	PA	HYALURONAN	MB
Abrilada (adalimumab-afzb)drugId:8694	PA	IMMUNOMODULATOR
Actemra (tocilizumab auto-injection, prefilled syringe)drugId:8381	PA	IMMUNOMODULATOR
Actemra (tocilizumab vial)drugId:1719	PA	IMMUNOMODULATOR	MB
adalimumab-aacf, unbrandeddrugId:8695	PA	IMMUNOMODULATOR
adalimumab-aaty, unbrandeddrugId:8816	PA	IMMUNOMODULATOR
adalimumab-adaz, unbrandeddrugId:8696	PA	IMMUNOMODULATOR
adalimumab-adbm, unbrandeddrugId:8697	PA	IMMUNOMODULATOR
adalimumab-fkjp, unbrandeddrugId:8698	PA	IMMUNOMODULATOR
Adbry (tralokinumab-ldrm)drugId:8203	PA	IMMUNOMODULATOR
Amjevita (adalimumab-atto)drugId:8700	PA	IMMUNOMODULATOR
Arava (leflunomide)		IMMUNOMODULATOR	A90, #
Astagraf XL (tacrolimus extended-release capsule)drugId:2838		IMMUNOMODULATOR
Avsola (infliximab-axxq)drugId:7386	PA	IMMUNOMODULATOR
azathioprine 75 mg, 100 mg tabletdrugId:2857	PA	IMMUNOMODULATOR	A90
azathioprine injectiondrugId:5501		IMMUNOMODULATOR	MB
Bimzelx (bimekizumab-bkzx)drugId:8818	PA	IMMUNOMODULATOR
CellceptdrugId:1410 (mycophenolate mofetil)drugId:1410		IMMUNOMODULATOR	A90, #
Cibinqo (abrocitinib)drugId:8205	PA	IMMUNOMODULATOR
Cimzia (certolizumab)drugId:210	PA	IMMUNOMODULATOR
Cosentyx (secukinumab)drugId:4908	PA	IMMUNOMODULATOR
Cyltezo (adalimumab-adbm)drugId:8703	PA	IMMUNOMODULATOR
Enbrel (etanercept)drugId:663	PA	IMMUNOMODULATOR	PD
Envarsus XR (tacrolimus extended-release tablet)drugId:5249	PA	IMMUNOMODULATOR
Fyarro (sirolimus injection)drugId:8298	PA	IMMUNOMODULATOR
gold sodium thiomalate		IMMUNOMODULATOR
Hadlima (adalimumab-bwwd)drugId:8707	PA	IMMUNOMODULATOR
Hulio (adalimumab-fkjp)drugId:8708	PA	IMMUNOMODULATOR
Humira (adalimumab)drugId:158	PA	IMMUNOMODULATOR	BP, PD
Hyftor (sirolimus gel)drugId:8333	PA	IMMUNOMODULATOR
Hyrimoz (adalimumab-adaz)drugId:8709	PA	IMMUNOMODULATOR
Idacio (adalimumab-aacf)drugId:8710	PA	IMMUNOMODULATOR
Ilaris (canakinumab)drugId:432	PA	IMMUNOMODULATOR
Ilumya (tildrakizumab-asmn)drugId:7004	PA	IMMUNOMODULATOR
ImurandrugId:111 (azathioprine 50 mg tablet)drugId:111		IMMUNOMODULATOR	A90, #
Inflectra (infliximab-dyyb)drugId:5763	PA	IMMUNOMODULATOR
infliximab, unbrandeddrugId:8216	PA	IMMUNOMODULATOR
Kevzara (sarilumab)drugId:6181	PA	IMMUNOMODULATOR
Kineret (anakinra)drugId:66	PA	IMMUNOMODULATOR
Litfulo (ritlecitinib)drugId:8712	PA	IMMUNOMODULATOR
Lupkynis (voclosporin)drugId:7785	PA	IMMUNOMODULATOR
MyforticdrugId:1409 (mycophenolic acid)drugId:1409		IMMUNOMODULATOR	A90, #
NeoraldrugId:314 (cyclosporine modified)drugId:314		IMMUNOMODULATOR	A90, #
Nulojix (belatacept)drugId:2286	PA	IMMUNOMODULATOR
Olumiant (baricitinib)drugId:6803	PA	IMMUNOMODULATOR
Orencia (abatacept auto-injection, prefilled syringe)drugId:8383	PA	IMMUNOMODULATOR
Orencia (abatacept vial)drugId:140	PA	IMMUNOMODULATOR	MB
Otezla (apremilast)drugId:2941	PA	IMMUNOMODULATOR
Otrexup (methotrexate subcutaneous injection-Otrexup)drugId:2929	PA	IMMUNOMODULATOR
Prograf (tacrolimus granules)drugId:7264	PA	IMMUNOMODULATOR
Prograf (tacrolimus injection)drugId:2741		IMMUNOMODULATOR	MB
PrografdrugId:1918 (tacrolimus immediate-release capsule)drugId:1918		IMMUNOMODULATOR	A90, #
RapamunedrugId:1857 (sirolimus solution, tablet)drugId:1857		IMMUNOMODULATOR	A90, #
Rasuvo (methotrexate subcutaneous injection-Rasuvo)drugId:4633	PA	IMMUNOMODULATOR
Reditrex (methotrexate subcutaneous injection-Reditrex)drugId:7885	PA	IMMUNOMODULATOR
Remicade (infliximab-Remicade)drugId:793	PA	IMMUNOMODULATOR
Renflexis (infliximab-abda)drugId:6182	PA	IMMUNOMODULATOR
Ridaura (auranofin)		IMMUNOMODULATOR
Rinvoq (upadacitinib)drugId:7274	PA	IMMUNOMODULATOR
Sandimmune (cyclosporine injection)drugId:8711		IMMUNOMODULATOR	MB
Sandimmune (cyclosporine solution)drugId:8049	PA	IMMUNOMODULATOR
SandimmunedrugId:2092 (cyclosporine capsule)drugId:2092		IMMUNOMODULATOR	A90, #
Siliq (brodalumab)drugId:6042	PA	IMMUNOMODULATOR
Simponi (golimumab)drugId:681	PA	IMMUNOMODULATOR
Simponi Aria (golimumab for infusion)drugId:2850	PA	IMMUNOMODULATOR
Skyrizi (risankizumab-rzaa)drugId:7227	PA	IMMUNOMODULATOR
Sotyktu (deucravacitinib)drugId:8370	PA	IMMUNOMODULATOR
Spevigo (spesolimab-sbzo)drugId:8371	PA	IMMUNOMODULATOR
Stelara (ustekinumab 130 mg/26 mL vial)drugId:8384	PA	IMMUNOMODULATOR	MB
Stelara (ustekinumab 45 mg/0.5 mL prefilled syringe, 90 mg/mL prefilled syringe, 45 mg/0.5 mL vial)drugId:1777	PA	IMMUNOMODULATOR	PD
Taltz (ixekizumab)drugId:5399	PA	IMMUNOMODULATOR	PD
Tavneos (avacopan)drugId:8159	PA	IMMUNOMODULATOR
Thalomid (thalidomide)drugId:1690		IMMUNOMODULATOR	BP
Tremfya (guselkumab)drugId:6289	PA	IMMUNOMODULATOR
Xatmep (methotrexate 2.5 mg/mL oral solution)drugId:6125	PA	IMMUNOMODULATOR
Xeljanz (tofacitinib)drugId:2660	PA	IMMUNOMODULATOR
Xeljanz XR (tofacitinib extended-release)drugId:5407	PA	IMMUNOMODULATOR
Yuflyma (adalimumab-aaty)drugId:8730	PA	IMMUNOMODULATOR
Yusimry (adalimumab-aqvh)drugId:8731	PA	IMMUNOMODULATOR
ZortressdrugId:1974 (everolimus 0.25 mg, 0.5 mg, 0.75 mg, 1 mg)drugId:1974		IMMUNOMODULATOR	A90, #
SSKI (potassium iodide)drugId:8421	PA > 1 mL/day	IODINE THERAPY
calcium polycarbophildrugId:8607		LAXATIVES	*, M90
Clenpiq (sodium picosulfate / magnesium oxide / anhydrous citric acid-Clenpiq)drugId:6380	PA	LAXATIVES
GolytelydrugId:1549 (polyethylene glycol-electrolyte solution-Golytely)drugId:1549		LAXATIVES	A90, #
Movantik (naloxegol)drugId:4946	PA	LAXATIVES
Moviprep (polyethylene glycol-electrolyte solution-Moviprep)drugId:1551		LAXATIVES	BP, A90
Osmoprep (sodium phosphate)drugId:1873		LAXATIVES
Plenvu (polyethylene glycol-electrolyte solution-Plenvu)drugId:7137		LAXATIVES
polyethylene glycol 3350drugId:1547		LAXATIVES	*, A90
polyethylene glycol-electrolyte solutiondrugId:1552		LAXATIVES	A90
Suflave (polyethylene glycol / sodium sulfate / potassium chloride / magnesium sulfate / sodium chloride)drugId:8786	PA	LAXATIVES
Suprep (sodium sulfate / potassium sulfate / magnesium sulfate)drugId:2086		LAXATIVES	BP, A90
Sutab (sodium sulfate / magnesium sulfate / potassium chloride)drugId:7600	PA	LAXATIVES
Altoprev (lovastatin extended-release)drugId:1107	PA	LIPID LOWERING AGENTS
Atorvaliq (atorvastatin suspension)drugId:8564	PA	LIPID LOWERING AGENTS
cholestyramine / aspartamedrugId:228		LIPID LOWERING AGENTS	M90
cholestyramine / sucrosedrugId:229		LIPID LOWERING AGENTS	M90
ColestiddrugId:290 (colestipol)drugId:290		LIPID LOWERING AGENTS	M90, #
CrestordrugId:5601 (rosuvastatin 40 mg)drugId:5601	PA > 1 unit/day	LIPID LOWERING AGENTS	M90, #
CrestordrugId:1459 (rosuvastatin 5 mg, 10 mg, 20 mg)drugId:1459	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90, #
Evkeeza (evinacumab-dgnb)drugId:7880	PA	LIPID LOWERING AGENTS	MB
Ezallor (rosuvastatin sprinkle capsule)drugId:7222	PA	LIPID LOWERING AGENTS
fenofibrate 30 mg, 90 mg capsuledrugId:468		LIPID LOWERING AGENTS	M90
fenofibrate 43 mg, 67 mg, 130 mg, 134 mg, 200 mg capsuledrugId:5461		LIPID LOWERING AGENTS	M90
fenofibrate 54 mg, 160 mg tabletdrugId:471		LIPID LOWERING AGENTS	M90
fenofibric acid tabletdrugId:473		LIPID LOWERING AGENTS	M90
Fenoglide (fenofibrate 40 mg, 120 mg tablet)drugId:2986	PA	LIPID LOWERING AGENTS	M90
fluvastatindrugId:899	PA	LIPID LOWERING AGENTS	M90
Juxtapid (lomitapide)drugId:2727	PA	LIPID LOWERING AGENTS
Leqvio (inclisiran)drugId:8192	PA	LIPID LOWERING AGENTS
Lescol XL (fluvastatin extended-release)drugId:898	PA	LIPID LOWERING AGENTS	M90
LipitordrugId:105 (atorvastatin 10 mg, 20 mg, 40 mg tablet)drugId:105	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90, #
LipitordrugId:2933 (atorvastatin 80 mg tablet)drugId:2933	PA > 1 unit/day	LIPID LOWERING AGENTS	M90, #
Lipofen (fenofibrate 50 mg, 150 mg capsule)drugId:5480		LIPID LOWERING AGENTS	M90
Livalo (pitavastatin calcium)drugId:1962	PA	LIPID LOWERING AGENTS	M90
LopiddrugId:927 (gemfibrozil)drugId:927		LIPID LOWERING AGENTS	M90, #
lovastatin 10 mg, 20 mgdrugId:1108	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90
lovastatin 40 mgdrugId:2735	PA > 2 units/day	LIPID LOWERING AGENTS	M90
LovazadrugId:1288 (omega-3 acid ethyl esters)drugId:1288		LIPID LOWERING AGENTS	M90, #
Nexletol (bempedoic acid)drugId:7372	PA	LIPID LOWERING AGENTS
Nexlizet (bempedoic acid / ezetimibe)drugId:7393	PA	LIPID LOWERING AGENTS
niacin extended-release tabletdrugId:1200		LIPID LOWERING AGENTS	M90
nicotinic acid		LIPID LOWERING AGENTS	*
Praluent (alirocumab)drugId:5119	PA	LIPID LOWERING AGENTS
pravastatin 10 mg, 20 mg, 40 mgdrugId:2736	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90
pravastatin 80 mgdrugId:1572	PA > 1 unit/day	LIPID LOWERING AGENTS	M90
Repatha (evolocumab)drugId:5120	PA	LIPID LOWERING AGENTS
TricordrugId:467 (fenofibrate 48 mg, 145 mg tablet)drugId:467		LIPID LOWERING AGENTS	M90, #
TrilipixdrugId:837 (fenofibric acid)drugId:837		LIPID LOWERING AGENTS	M90, #
Vascepa (icosapent ethyl)drugId:2733	PA	LIPID LOWERING AGENTS	BP, M90
VytorindrugId:453 (ezetimibe / simvastatin)drugId:453	PA > 1 unit/day	LIPID LOWERING AGENTS	M90, #
WelcholdrugId:288 (colesevelam)drugId:288		LIPID LOWERING AGENTS	M90, #
ZetiadrugId:452 (ezetimibe)drugId:452		LIPID LOWERING AGENTS	M90, #
ZocordrugId:2737 (simvastatin 5 mg, 10 mg, 20 mg, 40 mg)drugId:2737	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90, #
ZocordrugId:1855 (simvastatin 80 mg)drugId:1855	PA > 1 unit/day	LIPID LOWERING AGENTS	M90, #
Zypitamag (pitavastatin magnesium)drugId:7109	PA	LIPID LOWERING AGENTS
levomethylfolate tabletdrugId:8836	PA > 1 unit/day	MEDICAL FOOD
compounded pharmaceutical product with a total allowed ingredient cost ≥ $100drugId:8613	PA	MISCELLANEOUS	CP
compounded pharmaceutical product with a total allowed ingredient cost <$100 and non-intradermal/topical/transdermal ROAdrugId:8612		MISCELLANEOUS	CP
compounded pharmaceutical product with intradermal, topical or transdermal ROAdrugId:8614	PA	MISCELLANEOUS	CP
Elevidys (delandistrogene moxeparvovec-rokl)drugId:8704	PA	MISCELLANEOUS	CO, MB
Opfolda (miglustat 65 mg)drugId:8822	PA	MISCELLANEOUS
Rebyota (fecal microbiota, live-jslm)drugId:8535	PA	MISCELLANEOUS
Rezurock (belumosudil)drugId:8024	PA	MISCELLANEOUS
Sohonos (palovarotene)drugId:8785	PA	MISCELLANEOUS
Veopoz (pozelimab-bbfg)drugId:8788	PA	MISCELLANEOUS	MB
Xenpozyme (olipudase alfa-rpcp)drugId:8548	PA	MISCELLANEOUS	MB
acetylcysteine		MUCOLYTICS
Bronchitol (mannitol inhalation powder)drugId:7879	PA	MUCOLYTICS
AmpyradrugId:320 (dalfampridine)drugId:320	PA > 2 units/day	MULTIPLE SCLEROSIS AGENTS	A90, #
AubagiodrugId:2657 (teriflunomide)drugId:2657	PA > 1 unit/day	MULTIPLE SCLEROSIS AGENTS	A90, #
Avonex (interferon beta-1a-Avonex)drugId:825		MULTIPLE SCLEROSIS AGENTS
Bafiertam (monomethyl fumarate)drugId:7717	PA	MULTIPLE SCLEROSIS AGENTS
Betaseron (interferon beta-1b-Betaseron)drugId:827		MULTIPLE SCLEROSIS AGENTS
Briumvi (ublituximab-xiiy)drugId:8565	PA	MULTIPLE SCLEROSIS AGENTS
Copaxone (glatiramer)drugId:930		MULTIPLE SCLEROSIS AGENTS	BP
Extavia (interferon beta-1b-Extavia)drugId:828	PA	MULTIPLE SCLEROSIS AGENTS
Kesimpta (ofatumumab prefilled syringe)drugId:7544	PA	MULTIPLE SCLEROSIS AGENTS
Lemtrada (alemtuzumab 12 mg)drugId:4782	PA	MULTIPLE SCLEROSIS AGENTS	MB
Mavenclad (cladribine tablet)drugId:7224	PA	MULTIPLE SCLEROSIS AGENTS
Nuedexta (dextromethorphan / quinidine)drugId:2177	PA	MULTIPLE SCLEROSIS AGENTS
Ocrevus (ocrelizumab)drugId:6104	PA	MULTIPLE SCLEROSIS AGENTS
Plegridy (peginterferon beta-1a)drugId:4631	PA	MULTIPLE SCLEROSIS AGENTS
Rebif (interferon beta-1a-Rebif)drugId:826		MULTIPLE SCLEROSIS AGENTS
Rystiggo (rozanolixizumab-noli)drugId:8723	PA	MULTIPLE SCLEROSIS AGENTS	MB
TecfideradrugId:2793 (dimethyl fumarate)drugId:2793	PA > 2 units/day	MULTIPLE SCLEROSIS AGENTS	A90, #
Tysabri (natalizumab)drugId:1177		MULTIPLE SCLEROSIS AGENTS
Vumerity (diroximel fumarate)drugId:7572	PA	MULTIPLE SCLEROSIS AGENTS
Amrix (cyclobenzaprine extended-release)drugId:304	PA	MUSCLE RELAXANT	A90
baclofen oral solutiondrugId:7857	PA	MUSCLE RELAXANT	A90
baclofen tabletdrugId:124		MUSCLE RELAXANT	A90
carisoprodol / aspirindrugId:181	PA	MUSCLE RELAXANT
chlorzoxazone 250 mg, 375 mg, 750 mgdrugId:2360	PA	MUSCLE RELAXANT	A90
chlorzoxazone 500 mgdrugId:226	PA < 18 years	MUSCLE RELAXANT	A90, #
cyclobenzaprine 5 mg, 10 mgdrugId:305	PA < 15 years	MUSCLE RELAXANT	A90
cyclobenzaprine 7.5 mgdrugId:306	PA	MUSCLE RELAXANT	A90
Dantrium (dantrolene injection solution)drugId:4645		MUSCLE RELAXANT	MB
DantriumdrugId:323 (dantrolene capsule)drugId:323		MUSCLE RELAXANT	A90, #
Fleqsuvy (baclofen suspension)drugId:8297	PA	MUSCLE RELAXANT	A90
GablofendrugId:2166 (baclofen injection)drugId:2166		MUSCLE RELAXANT	#
Lioresal (baclofen intrathecal injection)drugId:125		MUSCLE RELAXANT
Lyvispah (baclofen granules)drugId:8315	PA	MUSCLE RELAXANT
orphenadrine / aspirin / caffeinedrugId:7164	PA	MUSCLE RELAXANT	A90
orphenadrinedrugId:1301	PA < 18 years	MUSCLE RELAXANT	A90
RobaxindrugId:942 (methocarbamol)drugId:942	PA < 16 years	MUSCLE RELAXANT	A90, #
Ryanodex (dantrolene injection suspension)drugId:4634		MUSCLE RELAXANT	MB
Skelaxin (metaxalone)drugId:1156	PA	MUSCLE RELAXANT	A90
Soma (carisoprodol)drugId:180	PA	MUSCLE RELAXANT
Zanaflex (tizanidine capsule)drugId:1711	PA	MUSCLE RELAXANT	A90
ZanaflexdrugId:1712 (tizanidine tablet)drugId:1712		MUSCLE RELAXANT	A90, #
NuvigildrugId:94 (armodafinil)drugId:94	PA < 6 years and PA > 1 unit/day	NARCOLEPSY AGENTS	#
ProvigildrugId:1373 (modafinil 100 mg)drugId:1373	PA < 6 years and PA > 1.5 units/day	NARCOLEPSY AGENTS	#
ProvigildrugId:7452 (modafinil 200 mg)drugId:7452	PA < 6 years and PA > 2 units/day	NARCOLEPSY AGENTS	#
Sunosi (solriamfetol)drugId:7267	PA	NARCOLEPSY AGENTS
Wakix (pitolisant)drugId:7356	PA	NARCOLEPSY AGENTS
Atrovent (ipratropium nasal spray)		NASAL PREPARATIONS	A90, #
azelastine 0.15% nasal spraydrugId:116	PA	NASAL PREPARATIONS	A90
azelastine 137 mcg nasal spraydrugId:115		NASAL PREPARATIONS	A90
Beconase AQ (beclomethasone nasal spray)drugId:131	PA > 1 inhaler/30 days	NASAL PREPARATIONS
budesonide OTC nasal spraydrugId:6240	PA > 1 inhaler/30 days	NASAL PREPARATIONS	M90
Dymista (azelastine / fluticasone propionate)drugId:2580		NASAL PREPARATIONS	BP, M90
flunisolide nasal spraydrugId:866	PA	NASAL PREPARATIONS	M90
fluticasone propionate 50 mcg nasal spraydrugId:889	PA > 1 inhaler/30 days	NASAL PREPARATIONS	M90
mometasone nasal spraydrugId:1381	PA	NASAL PREPARATIONS	M90
Omnaris (ciclesonide 50 mcg nasal spray)drugId:231	PA > 1 inhaler/30 days	NASAL PREPARATIONS
Patanase (olopatadine nasal spray)drugId:1283	PA	NASAL PREPARATIONS	A90
Qnasl (beclomethasone nasal aerosol)drugId:2522	PA	NASAL PREPARATIONS
Ryaltris (olopatadine / mometasone)drugId:8334	PA	NASAL PREPARATIONS
Sinuva (mometasone sinus implant)drugId:6684	PA	NASAL PREPARATIONS
triamcinolone OTC nasal spraydrugId:6241	PA > 1 inhaler/30 days	NASAL PREPARATIONS	M90
Xhance (fluticasone propionate 93 mcg nasal spray)drugId:6488	PA	NASAL PREPARATIONS
Zetonna (ciclesonide 37 mcg nasal aerosol)drugId:2561	PA	NASAL PREPARATIONS
Austedo (deutetrabenazine)drugId:6121	PA	NEUROLOGIC AGENT
Austedo XR (deutetrabenazine extended-release)drugId:8701	PA	NEUROLOGIC AGENT
Ingrezza (valbenazine)drugId:6123	PA	NEUROLOGIC AGENT
Xenazine (tetrabenazine)drugId:1688	PA	NEUROLOGIC AGENT	M90
Cequr Simplicity (insulin bolus delivery patch)drugId:8761 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Dexcom G6 (continuous glucose monitoring system)drugId:8763 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Dexcom G7 (continuous glucose monitoring system)drugId:8764 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Freestyle (test strips, blood glucose, preferred)drugId:8765 - Non-Drug Product	PA > 100 units/30 days	NON-DRUG PRODUCT	PND
Freestyle Insulinx (test strips, blood glucose, preferred)drugId:8766 - Non-Drug Product	PA > 100 units/30 days	NON-DRUG PRODUCT	PND
Freestyle Libre 14 day (continuous glucose monitoring system)drugId:8768 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Freestyle Libre 2 (continuous glucose monitoring system)drugId:8769 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Freestyle Libre 3 (continuous glucose monitoring system)drugId:8770 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Freestyle Lite (test strips, blood glucose, preferred)drugId:8771 - Non-Drug Product	PA > 100 units/30 days	NON-DRUG PRODUCT	PND
Freestyle Neo (test strips, blood glucose, preferred)drugId:8754 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Hyper-Sal (sodium chloride 3.5%, 7% for inhalation) - Non-Drug Product		NON-DRUG PRODUCT
Nebusal (sodium chloride 6% for inhalation) - Non-Drug Product		NON-DRUG PRODUCT
Omnipod 5 (insulin continuous subcutaneous infusion pump)drugId:8775 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Omnipod Classic (insulin continuous subcutaneous infusion pump)drugId:8772 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Omnipod Dash (insulin continuous subcutaneous infusion pump)drugId:8773 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Omnipod Go (insulin continuous subcutaneous infusion pump)drugId:8774 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
Precision Xtra (test strips, blood glucose, preferred)drugId:8776 - Non-Drug Product	PA > 100 units/30 days	NON-DRUG PRODUCT	PND
Pulmosal (sodium chloride 7% for inhalation) - Non-Drug Product		NON-DRUG PRODUCT
test strips, blood glucose, all other non-preferreddrugId:8778 - Non-Drug Product	PA	NON-DRUG PRODUCT
V-Go (insulin continuous subcutaneous infusion patch)drugId:8777 - Non-Drug Product	PA	NON-DRUG PRODUCT	PND
ArthrotecdrugId:514 (diclofenac / misoprostol)drugId:514	PA < 60 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
CelebrexdrugId:207 (celecoxib)drugId:207		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
DayprodrugId:1309 (oxaprozin)drugId:1309		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
diclofenac 1% geldrugId:512		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac 18 mg, 35 mg capsuledrugId:2894	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac 25 mg capsuledrugId:511	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac extended-releasedrugId:513		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac potassium 25 mg tabletdrugId:8186	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac potassium 50 mg tabletdrugId:8199		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac powder for solutiondrugId:1953	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac sodium tabletdrugId:2117		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diflunisaldrugId:521		NONSTEROIDAL ANTI-INFLAMMATORY	A90
DuexisdrugId:2363 (ibuprofen / famotidine)drugId:2363	PA < 60 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
Elyxyb (celecoxib oral solution)drugId:8188	PA	NONSTEROIDAL ANTI-INFLAMMATORY
etodolacdrugId:443		NONSTEROIDAL ANTI-INFLAMMATORY	A90
etodolac extended-releasedrugId:2065	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
FeldenedrugId:1540 (piroxicam)drugId:1540		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
fenoprofen tabletdrugId:838	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
Flector (diclofenac topical patch-Flector)drugId:509	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
flurbiprofendrugId:887		NONSTEROIDAL ANTI-INFLAMMATORY	A90
ibuprofendrugId:773		NONSTEROIDAL ANTI-INFLAMMATORY	*, A90
indomethacin 25 mg, 50 mgdrugId:2862		NONSTEROIDAL ANTI-INFLAMMATORY	A90
indomethacin extended-releasedrugId:2066		NONSTEROIDAL ANTI-INFLAMMATORY	A90
indomethacin suppositorydrugId:5130	PA	NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin suspensiondrugId:792	PA	NONSTEROIDAL ANTI-INFLAMMATORY
ketoprofendrugId:997		NONSTEROIDAL ANTI-INFLAMMATORY	A90
ketoprofen extended-releasedrugId:2067	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
ketorolac nasal spraydrugId:2289	PA	NONSTEROIDAL ANTI-INFLAMMATORY
ketorolac tablets and injectiondrugId:2189	PA > 20 units/30 days	NONSTEROIDAL ANTI-INFLAMMATORY
Licart (diclofenac topical patch-Licart)drugId:7454	PA	NONSTEROIDAL ANTI-INFLAMMATORY
meclofenamatedrugId:1127	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
mefenamic aciddrugId:1133		NONSTEROIDAL ANTI-INFLAMMATORY	A90
meloxicam tabletdrugId:1137		NONSTEROIDAL ANTI-INFLAMMATORY	A90
nabumetone 500 mg, 750 mgdrugId:1415		NONSTEROIDAL ANTI-INFLAMMATORY	A90
Nalfon (fenoprofen capsule)drugId:839	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
Naprelan CR (naproxen controlled-release)drugId:2051	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
naproxen capsule, tabletdrugId:1174		NONSTEROIDAL ANTI-INFLAMMATORY	*, A90
naproxen enteric coateddrugId:1978		NONSTEROIDAL ANTI-INFLAMMATORY	A90
naproxen suspensiondrugId:1977	PA ≥ 13 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90
PennsaiddrugId:1944 (diclofenac topical solution)drugId:1944		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
Relafen DS (nabumetone 1000 mg)drugId:7353	PA	NONSTEROIDAL ANTI-INFLAMMATORY
salsalatedrugId:1830	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
sulindacdrugId:1912		NONSTEROIDAL ANTI-INFLAMMATORY	A90
tolmetindrugId:1723	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
VimovodrugId:1971 (naproxen / esomeprazole)drugId:1971	PA <60 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
clonidine extended-release 0.1 mg tabletdrugId:2170	PA < 3 years and PA > 4 units/day	NONSTIMULANT ADHD AGENTS	A90
IntunivdrugId:692 (guanfacine extended-release)drugId:692	PA < 3 years	NONSTIMULANT ADHD AGENTS	A90, #
Qelbree (viloxazine)drugId:7795	PA	NONSTIMULANT ADHD AGENTS
StratteradrugId:104 (atomoxetine)drugId:104	PA < 6 years	NONSTIMULANT ADHD AGENTS	A90, #
Tegsedi (inotersen)drugId:6988	PA	OLIGONUCLEOTIDE AGENTS
Wainua (eplontersen)drugId:8829	PA	OLIGONUCLEOTIDE AGENTS
Gleostine (lomustine)drugId:8405	PA	ONCOLOGY AGENTS
AculardrugId:2270 (ketorolac 0.5% ophthalmic solution)drugId:2270		OPHTHALMIC PREPARATIONS	A90, #
Acular LSdrugId:2271 (ketorolac 0.4% ophthalmic solution)drugId:2271		OPHTHALMIC PREPARATIONS	A90, #
Acuvail (ketorolac 0.45% ophthalmic solution)drugId:999		OPHTHALMIC PREPARATIONS
Akten (lidocaine ophthalmic gel)drugId:1072		OPHTHALMIC PREPARATIONS
Alocril (nedocromil)drugId:1180		OPHTHALMIC PREPARATIONS
Alomide (lodoxamide)drugId:1095		OPHTHALMIC PREPARATIONS
Alphagan P (brimonidine 0.1%, 0.15% eye drops)drugId:2505		OPHTHALMIC PREPARATIONS	BP, M90
AlrexdrugId:1105 (loteprednol 0.2%)drugId:1105		OPHTHALMIC PREPARATIONS	A90, #
artificial tearsdrugId:678		OPHTHALMIC PREPARATIONS	*, A90
Azasite (azithromycin ophthalmic solution)drugId:119	PA	OPHTHALMIC PREPARATIONS	BP
Azopt (brinzolamide)drugId:375		OPHTHALMIC PREPARATIONS	BP, M90
bacitracin / polymyxin B ophthalmic ointmentdrugId:123		OPHTHALMIC PREPARATIONS	A90
bacitracin ophthalmic ointmentdrugId:122	PA	OPHTHALMIC PREPARATIONS	A90
Beovu (brolucizumab-dbll)		OPHTHALMIC PREPARATIONS	MB
Besivance (besifloxacin ophthalmic suspension)drugId:351		OPHTHALMIC PREPARATIONS
betaxolol 0.5%drugId:2506		OPHTHALMIC PREPARATIONS	M90
Betimol (timolol-Betimol)drugId:8180	PA	OPHTHALMIC PREPARATIONS
Betoptic S (betaxolol 0.25%)drugId:1981		OPHTHALMIC PREPARATIONS
bimatoprost 0.03% ophthalmic solutiondrugId:4906	PA	OPHTHALMIC PREPARATIONS	M90
brimonidine 0.2% eye dropsdrugId:2209		OPHTHALMIC PREPARATIONS	M90
bromfenac 0.09%drugId:2084	PA	OPHTHALMIC PREPARATIONS	A90
Bromsite (bromfenac 0.075%)drugId:5762	PA	OPHTHALMIC PREPARATIONS	A90
Byooviz (ranibizumab-nuna)		OPHTHALMIC PREPARATIONS	MB
carteololdrugId:184		OPHTHALMIC PREPARATIONS	M90
Cequa (cyclosporine 0.09% ophthalmic solution)drugId:7282	PA	OPHTHALMIC PREPARATIONS
CiloxandrugId:244 (ciprofloxacin ophthalmic ointment, solution)drugId:244		OPHTHALMIC PREPARATIONS	A90, #
Cimerli (ranibizumab-eqrn)		OPHTHALMIC PREPARATIONS	MB
Combigan (brimonidine / timolol, ophthalmic)drugId:374	PA	OPHTHALMIC PREPARATIONS	M90
CosoptdrugId:564 (dorzolamide / timolol)drugId:564		OPHTHALMIC PREPARATIONS	M90, #
Cosopt PF (dorzolamide / timolol, preservative free)drugId:2517	PA	OPHTHALMIC PREPARATIONS	BP, M90
cromolyn ophthalmicdrugId:299		OPHTHALMIC PREPARATIONS	A90
cyclopentolate / phenylephrine		OPHTHALMIC PREPARATIONS
cyclopentolate		OPHTHALMIC PREPARATIONS	A90
Cystadrops (cysteamine 0.37% ophthalmic solution)drugId:7659	PA	OPHTHALMIC PREPARATIONS
Cystaran (cysteamine 0.44% ophthalmic solution)drugId:2818	PA	OPHTHALMIC PREPARATIONS
dexamethasone sodium phosphate ophthalmic solutiondrugId:4919		OPHTHALMIC PREPARATIONS	A90
Dextenza (dexamethasone ophthalmic insert)drugId:7181		OPHTHALMIC PREPARATIONS	MB
diclofenac ophthalmic solutiondrugId:2269		OPHTHALMIC PREPARATIONS	A90
DurezoldrugId:522 (difluprednate)drugId:522		OPHTHALMIC PREPARATIONS	A90, #
Durysta (bimatoprost implant)drugId:7489	PA	OPHTHALMIC PREPARATIONS	MB
erythromycin ophthalmic ointmentdrugId:625		OPHTHALMIC PREPARATIONS	A90
Eylea (aflibercept 2 mg)		OPHTHALMIC PREPARATIONS	MB
Eylea HD (aflibercept 8 mg)		OPHTHALMIC PREPARATIONS	MB
Eysuvis (loteprednol 0.25% suspension)drugId:7779	PA	OPHTHALMIC PREPARATIONS
Flarex (fluorometholone acetate)drugId:873		OPHTHALMIC PREPARATIONS
fluorescein / benoxinatedrugId:7780		OPHTHALMIC PREPARATIONS	A90
flurbiprofen ophthalmic solutiondrugId:886		OPHTHALMIC PREPARATIONS	A90
FMLdrugId:874 (fluorometholone)drugId:874		OPHTHALMIC PREPARATIONS	A90, #
gentamicin ophthalmic ointment, solutiondrugId:928		OPHTHALMIC PREPARATIONS	A90
Ilevro (nepafenac 0.3% ophthalmic suspension)drugId:2725	PA	OPHTHALMIC PREPARATIONS
Iluvien (fluocinolone ophthalmic implant-Iluvien)		OPHTHALMIC PREPARATIONS	MB
Inveltys (loteprednol 1% suspension)drugId:7285	PA	OPHTHALMIC PREPARATIONS
IopidinedrugId:84 (apraclonidine)drugId:84		OPHTHALMIC PREPARATIONS	M90, #
Isopto Atropine (atropine ophthalmic)		OPHTHALMIC PREPARATIONS	A90, #
Isopto CarpinedrugId:2635 (pilocarpine 1%, 2%, 4% ophthalmic solution)drugId:2635		OPHTHALMIC PREPARATIONS	M90, #
Istalol (timolol-Istalol)drugId:1703		OPHTHALMIC PREPARATIONS	BP, M90
Iyuzeh (latanoprost solution - Iyuzeh)drugId:8724	PA	OPHTHALMIC PREPARATIONS
Izervay (avacincaptad pegol)drugId:8781	PA	OPHTHALMIC PREPARATIONS	MB
Lacrisert (hydroxypropyl cellulose ophthalmic insert)drugId:2172		OPHTHALMIC PREPARATIONS
levobunololdrugId:1040		OPHTHALMIC PREPARATIONS	M90
levofloxacin ophthalmic solutiondrugId:1046	PA	OPHTHALMIC PREPARATIONS	A90
Lotemax (loteprednol 0.5%)drugId:7304		OPHTHALMIC PREPARATIONS	BP, A90
Lotemax SM (loteprednol 0.38% gel)drugId:7287	PA	OPHTHALMIC PREPARATIONS
Lucentis (ranibizumab)		OPHTHALMIC PREPARATIONS	MB
Lumigan (bimatoprost 0.01% ophthalmic solution)drugId:363		OPHTHALMIC PREPARATIONS
Luxturna (voretigene neparvovec)drugId:7497	PA	OPHTHALMIC PREPARATIONS	CO, MB
Maxidex (dexamethasone ophthalmic suspension)drugId:493		OPHTHALMIC PREPARATIONS
MaxitroldrugId:1191 (neomycin / polymyxin B / dexamethasone ophthalmic ointment, suspension)drugId:1191		OPHTHALMIC PREPARATIONS	A90, #
Miebo (perfluorohexyloctane)drugId:8714	PA	OPHTHALMIC PREPARATIONS
Miochol-E (acetylcholine chloride)drugId:1982		OPHTHALMIC PREPARATIONS	MB
Miostat (carbachol 0.01%)drugId:1984		OPHTHALMIC PREPARATIONS	MB
moxifloxacin ophthalmic solution, twice dailydrugId:2175	PA	OPHTHALMIC PREPARATIONS	A90
Mydriacyl (tropicamide)		OPHTHALMIC PREPARATIONS	A90, #
naphazolinedrugId:1166		OPHTHALMIC PREPARATIONS	*
Naphcon-A (naphazoline / pheniramine)drugId:6212		OPHTHALMIC PREPARATIONS	A90
Natacyn (natamycin)drugId:2753		OPHTHALMIC PREPARATIONS
neomycin / bacitracin / polymyxin B / hydrocortisone ophthalmic ointmentdrugId:1187		OPHTHALMIC PREPARATIONS	A90
neomycin / bacitracin / polymyxin B ophthalmic ointmentdrugId:2273		OPHTHALMIC PREPARATIONS	A90
neomycin / polymyxin B / gramicidindrugId:1192		OPHTHALMIC PREPARATIONS	A90
neomycin / polymyxin B / hydrocortisone ophthalmic suspensiondrugId:1194	PA	OPHTHALMIC PREPARATIONS	A90
Nevanac (nepafenac 0.1% ophthalmic suspension)drugId:1197		OPHTHALMIC PREPARATIONS
OcufloxdrugId:1273 (ofloxacin ophthalmic solution)drugId:1273		OPHTHALMIC PREPARATIONS	A90, #
Omidria (phenylephrine / ketorolac)		OPHTHALMIC PREPARATIONS	MB
Opcon-A (naphazoline / pheniramine)drugId:6213		OPHTHALMIC PREPARATIONS	A90
Oxervate (cenegermin-bkbj)drugId:7103	PA	OPHTHALMIC PREPARATIONS
Ozurdex (dexamethasone intravitreal implant)drugId:494		OPHTHALMIC PREPARATIONS	MB
Phospholine Iodide (echothiophate iodide)drugId:8582		OPHTHALMIC PREPARATIONS
PolytrimdrugId:2060 (trimethoprim / polymyxin B ophthalmic solution)drugId:2060		OPHTHALMIC PREPARATIONS	A90, #
Pred FortedrugId:1580 (prednisolone acetate 1% ophthalmic suspension)drugId:1580		OPHTHALMIC PREPARATIONS	A90, #
Pred-G (gentamicin / prednisolone ophthalmic ointment)drugId:7963	PA	OPHTHALMIC PREPARATIONS
Pred-G (gentamicin / prednisolone ophthalmic suspension)drugId:929		OPHTHALMIC PREPARATIONS
Pred Mild (prednisolone acetate 0.12% ophthalmic suspension)drugId:5001		OPHTHALMIC PREPARATIONS
prednisolone acetate 1% ophthalmic suspensiondrugId:2633		OPHTHALMIC PREPARATIONS	A90
prednisolone sodium phosphate ophthalmic solutiondrugId:2618		OPHTHALMIC PREPARATIONS	A90
Prolensa (bromfenac 0.07%)drugId:2788		OPHTHALMIC PREPARATIONS	BP, A90
proparacainedrugId:6366		OPHTHALMIC PREPARATIONS	A90
Restasis (cyclosporine 0.05% ophthalmic emulsion)drugId:311		OPHTHALMIC PREPARATIONS	BP, A90
Restasis Multidose (cyclosporine multidose 0.05% ophthalmic emulsion)drugId:7305	PA	OPHTHALMIC PREPARATIONS
Retisert (fluocinolone ophthalmic implant-Retisert)		OPHTHALMIC PREPARATIONS	MB
Rhopressa (netarsudil)drugId:6743	PA	OPHTHALMIC PREPARATIONS
Rocklatan (netarsudil / latanoprost)drugId:7275	PA	OPHTHALMIC PREPARATIONS
Simbrinza (brinzolamide / brimonidine)drugId:2849		OPHTHALMIC PREPARATIONS
sulfacetamide / prednisolone sodium phosphate ophthalmic solutiondrugId:2272		OPHTHALMIC PREPARATIONS	A90
sulfacetamide ophthalmic ointment, solutiondrugId:1901		OPHTHALMIC PREPARATIONS	A90
Susvimo (ranibizumab)		OPHTHALMIC PREPARATIONS	MB
tetracainedrugId:6367		OPHTHALMIC PREPARATIONS	A90
TimopticdrugId:1704 (timolol-Timoptic)drugId:1704		OPHTHALMIC PREPARATIONS	M90, #
Timoptic Ocudose (timolol ophthalmic unit dose solution)drugId:2210	PA	OPHTHALMIC PREPARATIONS	BP, M90
Timoptic-XE (timolol ophthalmic gel forming solution)drugId:2211	PA	OPHTHALMIC PREPARATIONS	M90
TobradexdrugId:1717 (tobramycin 0.3% / dexamethasone 0.1%, ophthalmic ointment, suspension)drugId:1717		OPHTHALMIC PREPARATIONS	A90, #
Tobradex ST (tobramycin 0.3% / dexamethasone 0.05%, ophthalmic suspension)drugId:2088		OPHTHALMIC PREPARATIONS
TobrexdrugId:1715 (tobramycin ophthalmic ointment, solution)drugId:1715		OPHTHALMIC PREPARATIONS	A90, #
Travatan Z (travoprost 0.004% eye drop)drugId:1743		OPHTHALMIC PREPARATIONS	BP, M90
Triesence (triamcinolone ophthalmic suspension-Triesence)		OPHTHALMIC PREPARATIONS	MB
TrusoptdrugId:563 (dorzolamide)drugId:563		OPHTHALMIC PREPARATIONS	M90, #
Vabysmo (faricimab-svoa)		OPHTHALMIC PREPARATIONS	MB
Verkazia (cyclosporine 0.1% ophthalmic emulsion)drugId:8336	PA	OPHTHALMIC PREPARATIONS
Vevye (cyclosporine 0.1% ophthalmic solution)drugId:8789	PA	OPHTHALMIC PREPARATIONS
VigamoxdrugId:1397 (moxifloxacin ophthalmic solution-Vigamox)drugId:1397		OPHTHALMIC PREPARATIONS	A90, #
Viroptic (trifluridine)		OPHTHALMIC PREPARATIONS	A90, #
Visudyne (verteporfin)		OPHTHALMIC PREPARATIONS
Vuity (pilocarpine 1.2% ophthalmic solution)drugId:8164	PA	OPHTHALMIC PREPARATIONS
Vyzulta (latanoprostene)drugId:6487	PA	OPHTHALMIC PREPARATIONS
XalatandrugId:1027 (latanoprost solution - Xalatan)drugId:1027		OPHTHALMIC PREPARATIONS	M90, #
Xdemvy (lotilaner)drugId:8791	PA	OPHTHALMIC PREPARATIONS
Xelpros (latanoprost emulsion)drugId:7013	PA	OPHTHALMIC PREPARATIONS
Xiidra (lifitegrast)drugId:5681	PA	OPHTHALMIC PREPARATIONS
Xipere (triamcinolone ophthalmic suspension-Xipere)		OPHTHALMIC PREPARATIONS	MB
Yutiq (fluocinolone ophthalmic implant-Yutiq)		OPHTHALMIC PREPARATIONS	MB
Zioptan (tafluprost)drugId:2524	PA	OPHTHALMIC PREPARATIONS	BP, M90
Zirgan (ganciclovir ophthalmic gel)		OPHTHALMIC PREPARATIONS
Zylet (tobramycin / loteprednol ophthalmic suspension)drugId:1718		OPHTHALMIC PREPARATIONS
ZymaxiddrugId:1976 (gatifloxacin ophthalmic solution)drugId:1976		OPHTHALMIC PREPARATIONS	A90, #
carisoprodol / aspirin / codeinedrugId:182	PA	OPIOID ANALGESICS/MUSCLE RELAXANTS
acetaminophen / codeinedrugId:146	PA < 12 years and PA > 4 g/day acetaminophen and PA > 360 mg/day codeine	OPIOID ANALGESICS
Actiq (fentanyl transmucosal system)drugId:844	PA	OPIOID ANALGESICS
Apadaz (benzhydrocodone / acetaminophen)drugId:7234	PA	OPIOID ANALGESICS
Astramorph-PF (morphine, injection-Astramorph-PF)drugId:1391	PA > 120 mg/day	OPIOID ANALGESICS
Belbuca (buprenorphine buccal film)drugId:5362	PA	OPIOID ANALGESICS
Buprenex (buprenorphine injection)drugId:388	PA	OPIOID ANALGESICS
butalbital / aspirin / caffeine / codeinedrugId:411	PA	OPIOID ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg / codeine 30 mgdrugId:2119	PA < 18 years and PA > 20 units/30 days	OPIOID ANALGESICS
butorphanol injection		OPIOID ANALGESICS
butorphanol nasal spraydrugId:414	PA	OPIOID ANALGESICS
Butrans (buprenorphine transdermal)drugId:2160	PA > 20 mcg/hr and PA > 4 patches/28 days	OPIOID ANALGESICS	BP
codeinedrugId:285	PA < 12 years and PA > 360 mg/day	OPIOID ANALGESICS
Demerol (meperidine)drugId:1144	PA	OPIOID ANALGESICS
dihydrocodeine / acetaminophen / caffeinedrugId:5142	PA	OPIOID ANALGESICS
DilaudiddrugId:754 (hydromorphone)drugId:754	PA > 24 mg/day	OPIOID ANALGESICS	#
Dolophine (methadone oral-Dolophine)drugId:1163	PA	OPIOID ANALGESICS
Duramorph (morphine, injection-Duramorph)drugId:1392	PA > 120 mg/day	OPIOID ANALGESICS
fentanyl 12, 25, 50 mcg/hr transdermal systemdrugId:845	PA > 50 mcg/hr and PA > 10 patches/30 days	OPIOID ANALGESICS
fentanyl 37.5, 62.5, 87.5 mcg/hr transdermal systemdrugId:4769	PA	OPIOID ANALGESICS
fentanyl 75, 100 mcg/hr transdermal systemdrugId:4800	PA	OPIOID ANALGESICS
fentanyl injectiondrugId:842		OPIOID ANALGESICS
Fentora (fentanyl buccal tablet)drugId:840	PA	OPIOID ANALGESICS
hydrocodone / acetaminophen 300 mgdrugId:5143	PA	OPIOID ANALGESICS
hydrocodone / acetaminophendrugId:723	PA > 80 mg/day hydrocodone and PA > 4 g/day acetaminophen	OPIOID ANALGESICS
hydrocodone 5 mg, 10 mg / ibuprofendrugId:726	PA	OPIOID ANALGESICS
hydrocodone 7.5 mg / ibuprofendrugId:728	PA > 80 mg/day hydrocodone and PA > 3.2 g/day ibuprofen	OPIOID ANALGESICS
hydrocodone extended-release capsuledrugId:2924	PA	OPIOID ANALGESICS
hydromorphone extended-releasedrugId:1939	PA	OPIOID ANALGESICS
Hysingla ER (hydrocodone extended-release tablet)drugId:4772	PA	OPIOID ANALGESICS
Infumorph (morphine infusion)drugId:1393		OPIOID ANALGESICS
levorphanol tabletdrugId:1064	PA	OPIOID ANALGESICS
methadone injectiondrugId:2738	PA	OPIOID ANALGESICS
Methadose (methadone oral-Methadose)drugId:1164	PA	OPIOID ANALGESICS
morphine extended-release capsuledrugId:1384	PA	OPIOID ANALGESICS
morphine immediate-releasedrugId:1386	PA > 120 mg/day	OPIOID ANALGESICS
morphine suppositoriesdrugId:1387		OPIOID ANALGESICS
MS ContindrugId:1389 (morphine controlled-release tablet)drugId:1389	PA > 120 mg/day	OPIOID ANALGESICS	#
nalbuphine		OPIOID ANALGESICS
Nucynta (tapentadol)drugId:1923	PA	OPIOID ANALGESICS
Nucynta ER (tapentadol extended-release)drugId:2369	PA	OPIOID ANALGESICS
Olinvyk (oliceridine)drugId:7790	PA	OPIOID ANALGESICS	MB
oxycodone / acetaminophen 300 mgdrugId:5144	PA	OPIOID ANALGESICS
oxycodone / acetaminophendrugId:1321	PA > 80 mg/day oxycodone and PA > 4 g/day acetaminophen	OPIOID ANALGESICS
oxycodone / aspirindrugId:1460	PA > 80 mg/day oxycodone and PA > 4 g/day aspirin	OPIOID ANALGESICS
Oxycontin (oxycodone extended-release tablet)drugId:1319	PA	OPIOID ANALGESICS	BP
oxymorphone extended-release, oraldrugId:2912	PA	OPIOID ANALGESICS
oxymorphone immediate-release, oraldrugId:1463	PA	OPIOID ANALGESICS
pentazocine / naloxonedrugId:1504	PA	OPIOID ANALGESICS
PercocetdrugId:1323 (oxycodone / acetaminophen-Percocet)drugId:1323	PA > 80 mg/day oxycodone and PA > 4 g/day acetaminophen	OPIOID ANALGESICS	#
RoxicodonedrugId:1320 (oxycodone immediate-release)drugId:1320	PA > 80 mg/day	OPIOID ANALGESICS	#
sufentanil injectiondrugId:2566		OPIOID ANALGESICS
Xtampza (oxycodone extended-release capsule)drugId:5598	PA	OPIOID ANALGESICS
Vabomere (meropenem / vaborbactam)drugId:6363	PA	OTHER ANTIBIOTICS
Filspari (sparsentan)drugId:8706	PA	OTHER ANTIHYPERTENSIVES
Tadliq (tadalafil suspension)drugId:8542	PA	OTHER ANTIHYPERTENSIVES
valsartan solutiondrugId:8623	PA	OTHER ANTIHYPERTENSIVES	M90
Egrifta SV (tesamorelin)drugId:5626	PA	OTHER HORMONES
Lupaneta Pack (leuprolide / norethindrone)drugId:2964	PA	OTHER HORMONES
Macrilen (macimorelin)drugId:6920		OTHER HORMONES	MB
Myalept (metreleptin)drugId:2965	PA	OTHER HORMONES
Myfembree (relugolix / estradiol / norethindrone)drugId:7922	PA	OTHER HORMONES
Oriahnn (elagolix / estradiol / norethindrone)drugId:7923	PA	OTHER HORMONES
Recorlev (levoketoconazole)drugId:8261	PA	OTHER HORMONES
acetic acid / hydrocortisonedrugId:149		OTIC PREPARATIONS	A90
acetic aciddrugId:148		OTIC PREPARATIONS	A90
carbamide peroxide		OTIC PREPARATIONS	*, A90
ciprofloxacin / dexamethasone otic suspensiondrugId:245	PA	OTIC PREPARATIONS	A90
ciprofloxacin 0.2% otic solutiondrugId:2895	PA	OTIC PREPARATIONS	A90
Cipro HC (ciprofloxacin / hydrocortisone)drugId:246		OTIC PREPARATIONS
Cortisporin-TC (colistin / neomycin / thonzonium / hydrocortisone)drugId:2108		OTIC PREPARATIONS	A90
Dermotic (fluocinolone oil, otic drops)drugId:870		OTIC PREPARATIONS	BP, A90
neomycin / polymyxin B / hydrocortisone oticdrugId:2109		OTIC PREPARATIONS	A90
ofloxacin otic solutiondrugId:1272		OTIC PREPARATIONS	A90
Otovel (ciprofloxacin / fluocinolone)drugId:5683	PA	OTIC PREPARATIONS	A90
methylergonovine		OXYTOCICS
bethanecholdrugId:359		PARASYMPATHETIC AGENTS	A90
Evoxac (cevimeline)		PARASYMPATHETIC AGENTS	A90, #
Mestinon (pyridostigmine bromide solution)drugId:8269		PARASYMPATHETIC AGENTS	BP, A90
MestinondrugId:1612 (pyridostigmine bromide 60 mg tablet, 180 mg extended-release tablet)drugId:1612		PARASYMPATHETIC AGENTS	A90, #
pilocarpine tablet		PARASYMPATHETIC AGENTS	A90
pyridostigmine bromide 30 mg tabletdrugId:7226	PA	PARASYMPATHETIC AGENTS	A90
Xphozah (tenapanor 20 mg, 30 mg tablet)drugId:8830	PA	PHOSPHATE ABSORPTION INHIBITOR
albumin, human solutions		PLASMA PROTEINS	MB
Firdapse (amifampridine)drugId:7041	PA	POTASSIUM CHANNEL BLOCKER
Endometrin (progesterone vaginal insert)drugId:8361	PA	PROGESTERONE
progesterone injection		PROGESTERONE
AciphexdrugId:1624 (rabeprazole delayed-release tablet)drugId:1624	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90, #
Aciphex Sprinkle (rabeprazole delayed-release capsule)drugId:2882	PA	PROTON PUMP INHIBITORS
Dexilant (dexlansoprazole)drugId:496		PROTON PUMP INHIBITORS	BP, M90
First-Omeprazole (omeprazole suspension compounding kit)drugId:8402	PA	PROTON PUMP INHIBITORS
Nexium (esomeprazole magnesium 10 mg, 20 mg, 40 mg suspension)drugId:8109		PROTON PUMP INHIBITORS	BP, M90
Nexium (esomeprazole magnesium 2.5 mg, 5 mg suspension)drugId:8097	PA	PROTON PUMP INHIBITORS	M90
NexiumdrugId:632 (esomeprazole magnesium capsule)drugId:632	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90, #
Nexium  IV (esomeprazole sodium IV)drugId:633	PA	PROTON PUMP INHIBITORS
omeprazole 10 mgdrugId:2100	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90
omeprazole 20 mg capsuledrugId:1289	PA > 4 units/day	PROTON PUMP INHIBITORS	M90
omeprazole 40 mgdrugId:2055	PA > 2 units/day	PROTON PUMP INHIBITORS	M90
PrevaciddrugId:1021 (lansoprazole capsule)drugId:1021	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90, #
Prevacid Solutab (lansoprazole orally disintegrating tablet)drugId:1022	PA ≥ 2 years	PROTON PUMP INHIBITORS	BP, M90
Prilosec (omeprazole suspension)drugId:2054	PA	PROTON PUMP INHIBITORS
Protonix (pantoprazole 40 mg suspension)drugId:2702	PA	PROTON PUMP INHIBITORS	BP, M90
ProtonixdrugId:1476 (pantoprazole tablet)drugId:1476	PA > 4 units/day	PROTON PUMP INHIBITORS	M90, #
Protonix IVdrugId:1477 (pantoprazole IV)drugId:1477		PROTON PUMP INHIBITORS	#
duloxetine 40 mg capsuledrugId:4911	PA	PSYCHOSTIMULANTS-ANTIDEPRESSAN	A90
Ztalmy (ganaxolone)drugId:8550	PA	PSYCHOSTIMULANTS-ANTIDEPRESSANTS
Esbriet (pirfenidone)drugId:4767	PA	PULMONARY FIBROSIS AGENTS	A90
Ofev (nintedanib)drugId:4787	PA	PULMONARY FIBROSIS AGENTS
Belsomra (suvorexant)drugId:4903	PA	SEDATIVE, NON-BARBITURATE
Dayvigo (lemborexant)drugId:7388	PA	SEDATIVE, NON-BARBITURATE
doxylamine		SEDATIVE, NON-BARBITURATE	*, A90
Hetlioz (tasimelteon)drugId:2960	PA	SEDATIVE, NON-BARBITURATE	BP, A90
Quviviq (daridorexant)drugId:8260	PA	SEDATIVE, NON-BARBITURATE
AmbiendrugId:1932 (zolpidem 10 mg tablet)drugId:1932	PA < 6 years and PA > 1 unit/day	SEDATIVES	#
AmbiendrugId:1933 (zolpidem 5 mg tablet)drugId:1933	PA < 6 years and PA > 1.5 units/day	SEDATIVES	#
Ambien CRdrugId:1934 (zolpidem extended-release tablet)drugId:1934	PA < 6 years and PA > 1 unit/day	SEDATIVES	#
doxepin tabletdrugId:2082	PA	SEDATIVES	A90
Edluar (zolpidem 5 mg, 10 mg sublingual tablet)drugId:4340	PA	SEDATIVES
LunestadrugId:662 (eszopiclone)drugId:662	PA < 6 years and PA > 1 unit/day	SEDATIVES	#
Rozerem (ramelteon)drugId:1631	PA > 1 unit/day	SEDATIVES	BP, A90
Xyrem (sodium oxybate)drugId:1870	PA	SEDATIVES	BP
Xywav (calcium oxybate / magnesium oxybate / potassium oxybate / sodium oxybate)drugId:7603	PA	SEDATIVES
zaleplondrugId:1817	PA < 6 years and PA > 1 unit/day	SEDATIVES
zolpidem 1.75 mg, 3.5 mg sublingual tabletdrugId:2518	PA	SEDATIVES
zolpidem 7.5 mg capsuledrugId:8649	PA	SEDATIVES
Reyvow (lasmiditan)drugId:7377	PA	SEROTONIN RECEPTOR AGENTS
Amvuttra (vutrisiran)drugId:8295	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Givlaari (givosiran)drugId:7504	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Onpattro (patisiran)drugId:6985	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Oxlumo (lumasiran)drugId:7793	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Chantix (varenicline tablet)		SMOKING CESSATION	A90, #
nicotine gum, lozenge, patch		SMOKING CESSATION	*, A90
Nicotrol Inhaler (nicotine inhalation system)		SMOKING CESSATION
Nicotrol NS (nicotine nasal spray)		SMOKING CESSATION
ZybandrugId:4560 (bupropion hydrochloride sustained-release-Zyban)drugId:4560	PA < 6 years	SMOKING CESSATION	A90, #
GilenyadrugId:2102 (fingolimod capsule)drugId:2102	PA > 1 unit/day	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR	A90, #
Mayzent (siponimod)drugId:7184	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Ponvory (ponesimod)drugId:7794	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Tascenso ODT (fingolimod orally disintegrating tablet)drugId:8335	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Velsipity (etrasimod)drugId:8828	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Zeposia (ozanimod for multiple sclerosis)drugId:7463	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Zeposia (ozanimod for ulcerative colitis)drugId:7959	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Capastat (capreomycin)drugId:2490		TB PREPARATIONS
cycloserinedrugId:2498		TB PREPARATIONS	A90
Paser (aminosalicylic acid)drugId:2500		TB PREPARATIONS
pretomaniddrugId:7568		TB PREPARATIONS	A90
Priftin (rifapentine)drugId:2501		TB PREPARATIONS
Sirturo (bedaquiline)drugId:2851	PA	TB PREPARATIONS
Trecator (ethionamide)drugId:2499		TB PREPARATIONS
Lymepak (doxycycline hyclate 100 mg tablet pack)drugId:8616	PA	TETRACYCLINES
Cytomel (liothyronine)		THYROID PREPARATIONS	M90, #
Ermeza (levothyroxine-Ermeza)		THYROID PREPARATIONS
Euthyrox (levothyroxine-Euthyrox)		THYROID PREPARATIONS	M90, #
Levo-T (levothyroxine-Levo-T)		THYROID PREPARATIONS	M90, #
levothyroxine		THYROID PREPARATIONS	M90
Levoxyl (levothyroxine-Levoxyl)		THYROID PREPARATIONS	M90, #
propylthiouracil		THYROID PREPARATIONS	M90
Synthroid (levothyroxine-Synthroid)		THYROID PREPARATIONS	M90, #
Tapazole (methimazole)		THYROID PREPARATIONS	M90, #
Thyquidity (levothyroxine-Thyquidity)		THYROID PREPARATIONS
thyroid		THYROID PREPARATIONS
Tirosint (levothyroxine-Tirosint)		THYROID PREPARATIONS	BP, M90
Unithroid (levothyroxine-Unithroid)		THYROID PREPARATIONS	M90, #
Vyndamax (tafamidis)drugId:7269	PA	TRANSTHYRETIN STABILIZER
Vyndaqel (tafamidis)drugId:7228	PA	TRANSTHYRETIN STABILIZER
sumatriptan / naproxendrugId:1916	PA	TRIPTAN/NON STEROIDAL ANTI-INFLAMMATORY	A90
almotriptandrugId:18	PA	TRIPTAN	A90
Frova (frovatriptan)drugId:914	PA	TRIPTAN	BP, A90
Imitrex (sumatriptan injection-Imitrex)drugId:1914	PA	TRIPTAN
ImitrexdrugId:1913 (sumatriptan 5 mg, 20 mg nasal spray)drugId:1913	PA > 18 units/30 days	TRIPTAN	A90, #
ImitrexdrugId:1915 (sumatriptan tablet)drugId:1915	PA > 18 units/30 days	TRIPTAN	A90, #
MaxaltdrugId:1451 (rizatriptan tablet)drugId:1451	PA > 18 units/30 days	TRIPTAN	A90, #
Maxalt MLTdrugId:1450 (rizatriptan orally disintegrating tablet)drugId:1450	PA > 18 units/30 days	TRIPTAN	A90, #
naratriptandrugId:1175	PA > 18 units/30 days	TRIPTAN	A90
Relpax (eletriptan)drugId:593	PA	TRIPTAN	A90
Tosymra (sumatriptan 10 mg nasal spray)drugId:7335	PA	TRIPTAN
Zembrace (sumatriptan injection-Zembrace)drugId:5599	PA	TRIPTAN
zolmitriptan orally disintegrating tabletdrugId:1931	PA	TRIPTAN	A90
Zomig (zolmitriptan nasal spray)drugId:1930	PA	TRIPTAN	A90
ZomigdrugId:1929 (zolmitriptan tablet)drugId:1929	PA > 18 units/30 days	TRIPTAN	A90, #
Daliresp (roflumilast tablet)drugId:2282	PA	UNCLASSIFIED DRUG PRODUCTS	M90
Daybue (trofinetide)drugId:8654	PA	UNCLASSIFIED DRUG PRODUCTS
Entyvio (vedolizumab)drugId:2957	PA	UNCLASSIFIED DRUG PRODUCTS
Keveyis (dichlorphenamide)drugId:5260	PA	UNCLASSIFIED DRUG PRODUCTS
Omisirge (omidubicel-onlv)drugId:8660	PA	UNCLASSIFIED DRUG PRODUCTS	CO, MB
paroxetine mesylate capsuledrugId:2839	PA	UNCLASSIFIED DRUG PRODUCTS	A90
Pyrukynd (mitapivat)drugId:8258	PA	UNCLASSIFIED DRUG PRODUCTS
Skyclarys (omaveloxolone)drugId:8579	PA	UNCLASSIFIED DRUG PRODUCTS
Sucraid (sacrosidase)drugId:8409	PA	UNCLASSIFIED DRUG PRODUCTS
Veozah (fezolinetant)drugId:8726	PA	UNCLASSIFIED DRUG PRODUCTS
Vijoice (alpelisib-Vijoice)drugId:8264	PA	UNCLASSIFIED DRUG PRODUCTS
Voxzogo (vosoritide)drugId:8265	PA	UNCLASSIFIED DRUG PRODUCTS
Xuriden (uridine triacetate)drugId:8410	PA	UNCLASSIFIED DRUG PRODUCTS
Zokinvy (lonafarnib)drugId:7723	PA	UNCLASSIFIED DRUG PRODUCTS
alfuzosin extended-releasedrugId:10		URINARY ANTISPASMODICS	M90
darifenacindrugId:328	PA > 1 unit/day	URINARY ANTISPASMODICS	A90
DetroldrugId:1726 (tolterodine immediate-release)drugId:1726		URINARY ANTISPASMODICS	A90, #
Detrol LAdrugId:1725 (tolterodine extended-release)drugId:1725		URINARY ANTISPASMODICS	A90, #
Ditropan XLdrugId:1314 (oxybutynin extended-release tablet)drugId:1314		URINARY ANTISPASMODICS	A90, #
flavoxatedrugId:858		URINARY ANTISPASMODICS	A90
Gelnique (oxybutynin gel)drugId:1315		URINARY ANTISPASMODICS	BP
oxybutynin immediate-release 2.5 mg tabletdrugId:8574	PA	URINARY ANTISPASMODICS	A90
oxybutynin immediate-release 5 mg tablet, syrupdrugId:1313		URINARY ANTISPASMODICS	A90
oxybutynin solutiondrugId:8583	PA	URINARY ANTISPASMODICS	A90
Oxytrol (oxybutynin transdermal system)drugId:1316		URINARY ANTISPASMODICS
Toviaz (fesoterodine)drugId:850		URINARY ANTISPASMODICS	BP, A90
trospium extended-releasedrugId:1769	PA	URINARY ANTISPASMODICS	A90
trospium immediate-releasedrugId:1770		URINARY ANTISPASMODICS	A90
VesicaredrugId:1879 (solifenacin tablet)drugId:1879		URINARY ANTISPASMODICS	A90, #
Jynarque (tolvaptan-Jynarque)drugId:6801	PA	VASOPRESSIN ANTAGONISTS
Samsca (tolvaptan-Samsca)drugId:1728	PA	VASOPRESSIN ANTAGONISTS	BP, A90

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

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Last updated 07/11/24