Drug - Brand Name (Generic Name) PA Status Class Drug Notes Kadcyla (ado-trastuzumab) MB - PA PA CHEMOTHERAPY MB Kalbitor (ecallantide) MB - PA PA ENZYMES MB Kaletra # (lopinavir / ritonavir) A90 ANTIVIRALS "A90, #" Kalydeco (ivacaftor) PD - PA PA CYSTIC FIBROSIS AGENTS PD Kanjinti (trastuzumab-anns) MB - PA PA CHEMOTHERAPY MB Kanuma (sebelipase alfa) MB - PA PA ENZYMES MB Kaochlor (potassium chloride-Kaochlor) A90 ELECTROLYTES AND NUTRIENTS A90 Kaon-CL (potassium chloride-Kaon-CL) A90 ELECTROLYTES AND NUTRIENTS A90 Kapspargo (metoprolol extended-release capsule) - PA PA CARDIOVASCULAR Karbinal ER (carbinoxamine extended-release) - PA PA ANTIHISTAMINES Katerzia (amlodipine suspension) - PA PA CARDIOVASCULAR "Kazano (alogliptin / metformin) BP, M90 - PA" PA DIABETIC AGENTS "BP, M90" "Kcentra (prothrombin complex concentrate, human)" HEMOSTATICS "Kedrab (rabies immune globulin IM, human-Kedrab)" BIOLOGICAL Kenalog (triamcinolone spray) A90 - PA PA GLUCOCORTICOIDS A90 Kenalog # (triamcinolone injection) GLUCOCORTICOIDS # Kepivance (palifermin) MB ANTIDOTES MB "Keppra # (levetiracetam injection, solution, tablet) A90" ANTICONVULSANTS "A90, #" Keppra XR # (levetiracetam extended-release-Keppra XR) A90 ANTICONVULSANTS "A90, #" Kerendia (finerenone) - PA PA ALDOSTERONE ANTAGONISTS Kerydin (tavaborole) A90 - PA PA FUNGICIDES A90 Kesimpta (ofatumumab prefilled syringe) - PA PA MULTIPLE SCLEROSIS AGENTS Ketalar (ketamine injection) MB - PA PA ANESTHETICS MB ketamine injection MB - PA PA ANESTHETICS MB "ketoconazole cream, shampoo A90" FUNGICIDES A90 ketoconazole foam A90 - PA PA FUNGICIDES A90 ketoconazole tablet A90 FUNGICIDES A90 ketoprofen A90 NONSTEROIDAL ANTI-INFLAMMATORY A90 ketoprofen extended-release A90 - PA PA NONSTEROIDAL ANTI-INFLAMMATORY A90 ketorolac 0.4% ophthalmic solution A90 OPHTHALMIC PREPARATIONS "A90, #" ketorolac 0.45% ophthalmic solution OPHTHALMIC PREPARATIONS ketorolac 0.5% ophthalmic solution A90 OPHTHALMIC PREPARATIONS "A90, #" ketorolac nasal spray - PA PA NONSTEROIDAL ANTI-INFLAMMATORY ketorolac tablets and injection - PA > 20 units/month PA > 20 units/month NONSTEROIDAL ANTI-INFLAMMATORY "ketotifen *, A90" ANTIHISTAMINES "*, A90" Keveyis (dichlorphenamide) - PA PA UNCLASSIFIED DRUG PRODUCTS Kevzara (sarilumab) - PA PA IMMUNOMODULATOR Keytruda (pembrolizumab) MB - PA PA CHEMOTHERAPY MB Khapzory (levoleucovorin powder for injection) - PA PA ANTIDOTES Kimmtrak (tebentafusp-tebn) MB - PA PA CHEMOTHERAPY MB Kimyrsa (oritavancin) - PA PA ANTIBIOTICS Kineret (anakinra) - PA PA IMMUNOMODULATOR "Kinrix (diphtheria / tetanus toxoids / acellular pertussis / poliovirus, inactivated vaccine) 1" BIOLOGICAL 1 Kisqali (ribociclib) - PA PA CHEMOTHERAPY Kisqali-Femara Co-Pack (ribociclib / letrozole) - PA PA CHEMOTHERAPY "Kitabis Pak (tobramycin inhalation solution-Kitabis Pak) BP, A90" ANTIBIOTICS "BP, A90" Klaron # (sulfacetamide 10% lotion) A90 - PA ≥ 22 years PA ≥ 22 years DERMATOLOGICAL "A90, #" Klonopin # (clonazepam tablet) - PA < 6 years; See Table 69; See Table 71 PA BENZODIAZEPINES # Klor-Con # (potassium chloride-Klor-Con) A90 ELECTROLYTES AND NUTRIENTS "A90, #" Kloxxado (naloxone 8 mg nasal spray) PD ANTIDOTES PD "Koate-DVI (antihemophilic factor, human-Koate-DVI)" ANTI-HEMOPHILIA AGENTS "Kogenate (antihemophilic factor, recombinant-Kogenate) PD" ANTI-HEMOPHILIA AGENTS PD "Kombiglyze XR (saxagliptin / metformin extended-release) BP, M90" DIABETIC AGENTS "BP, M90" Konvomep (omeprazole / sodium bicarbonate suspension) - PA PA ANTI-ULCER PREPARATIONS Korlym (mifepristone 300 mg) - PA PA DIABETIC AGENTS Korsuva (difelikefalin) MB ANTIPRURITIC MB Koselugo (selumetinib) - PA PA CHEMOTHERAPY "Kovaltry (antihemophilic factor, recombinant-Kovaltry) PD" ANTI-HEMOPHILIA AGENTS PD K-phos Neutral (potassium phosphate / dibasic sodium phosphate / monobasic sodium phosphate) A90 ELECTROLYTES AND NUTRIENTS A90 K-phos No.2 (potassium phosphate / sodium phosphate / phosphorus) ELECTROLYTES AND NUTRIENTS Krazati (adagrasib) - PA PA ANTINEOPLASTICS Krintafel (tafenoquine) - PA > 2 units/365 days PA > 2 units/365 days ANTIMALARIALS Krystexxa (pegloticase) MB - PA PA GOUT AGENTS MB K-Tab (potassium chloride-K-Tab) A90 ELECTROLYTES AND NUTRIENTS A90 Kuvan (sapropterin) - PA PA ENZYMES Kyleena (levonorgestrel-releasing intrauterine system 19.5 mg) CONTRACEPTIVES "Kymriah (tisagenlecleucel) CO, MB - PA" PA CHEMOTHERAPY "CO, MB" Kynmobi (apomorphine film) - PA PA ANTIPARKINSON Kyprolis (carfilzomib) MB - PA PA CHEMOTHERAPY MB