Drug - Brand Name (Generic Name) PA Status Class Drug Notes Xofluza (baloxavir) - PA PA ANTIVIRALS Xywav (calcium oxybate / magnesium oxybate / potassium oxybate / sodium oxybate) - PA PA SEDATIVES Xcopri (cenobamate) - PA PA ANTICONVULSANTS Xaciato (clindamycin vaginal gel) - PA PA ANTIBIOTICS Xiaflex (collagenase clostridium histolyticum) - PA PA ENZYMES Xalkori (crizotinib) - PA PA CHEMOTHERAPY Xigduo XR (dapagliflozin / metformin extended-release) DIABETIC AGENTS Xgeva (denosumab-Xgeva) - PA PA BIOLOGICAL Xelstrym (dextroamphetamine transdermal) - PA; See Table 31; See Table 71 PA AMPHETAMINE PREPARATIONS Xtandi (enzalutamide) - PA PA CHEMOTHERAPY Xerava (eravacycline) - PA PA ANTIBIOTICS Xhance (fluticasone propionate 93 mcg nasal spray) - PA PA NASAL PREPARATIONS Xospata (gilteritinib) - PA PA CHEMOTHERAPY "Xembify (immune globulin subcutaneous injection, human-klhw) - PA" PA BIOLOGICAL Xeomin (incobotulinumtoxinA) - PA PA BIOLOGICAL Xultophy (insulin degludec / liraglutide) - PA PA DIABETIC AGENTS Xelpros (latanoprost emulsion) - PA PA OPHTHALMIC PREPARATIONS Xiidra (lifitegrast) - PA PA OPHTHALMIC PREPARATIONS Xatmep (methotrexate oral solution) - PA PA IMMUNOMODULATOR Xolair (omalizumab) - PA PA BIOLOGICAL Xtampza (oxycodone extended-release capsule) - PA PA OPIOID ANALGESICS Xepi (ozenoxacin) - PA PA ANTIBIOTICS Xifaxan (rifaximin 200 mg) ANTIBIOTICS Xifaxan (rifaximin 550 mg) - PA PA ANTIBIOTICS "Xarelto (rivaroxaban 10 mg, 15 mg, 20 mg tablet, starter pack)" ANTICOAGULANTS Xarelto (rivaroxaban 2.5 mg tablet) - PA > 2 units/day PA > 2 units/day ANTICOAGULANTS Xarelto (rivaroxaban suspension) - PA ≥ 18 years PA ≥ 18 years ANTICOAGULANTS Xadago (safinamide) - PA PA ANTIPARKINSON Xpovio (selinexor) - PA PA CHEMOTHERAPY Xermelo (telotristat ethyl) - PA PA ANTIDIARRHEALS Xyosted (testosterone enanthate) - PA PA HORMONE REPLACEMENT THERAPY Xeljanz (tofacitinib) - PA PA IMMUNOMODULATOR Xeljanz XR (tofacitinib extended-release) - PA PA IMMUNOMODULATOR Xuriden (uridine triacetate) - PA PA UNCLASSIFIED DRUG PRODUCTS Xeloda # (capecitabine) A90 CHEMOTHERAPY "A90, #" Xopenex HFA # (levalbuterol inhaler) A90 BRONCHODILATORS "A90, #" Xenazine (tetrabenazine) M90 - PA PA NEUROLOGIC AGENT M90 Xalatan # (latanoprost solution - Xalatan) M90 OPHTHALMIC PREPARATIONS "M90, #" "Xyntha (antihemophilic factor, recombinant-Xyntha) PD" ANTI-HEMOPHILIA AGENTS PD Xerese (acyclovir / hydrocortisone) BP DERMATOLOGICAL BP Xyrem (sodium oxybate) BP - PA PA SEDATIVES BP "Xenical (orlistat) BP, A90 - PA" PA ANTI-OBESITY AGENTS "BP, A90" Xanax # (alprazolam) - PA < 6 years; See Table 69; See Table 71 PA BENZODIAZEPINES # Xanax XR # (alprazolam extended-release) - PA 2 units/day; See Table 69; See Table 71 PA 2 units/day BENZODIAZEPINES # Xylocaine # (lidocaine vial) ANESTHETICS # "Xylocaine-MPF # (lidocaine vial, preservative free)" ANESTHETICS # Xenpozyme (olipudase alfa-rpcp) MB - PA PA MISCELLANEOUS MB Xipere (triamcinolone ophthalmic suspension-Xipere) MB OPHTHALMIC PREPARATIONS MB