Claravis | Generic | Acne Therapy | Oral Acne Therapy | - Do not use during pregnancy.
|
isotretinoin | Generic | Acne Therapy | Oral Acne Therapy | - Do not use during pregnancy.
|
Myorisan | Generic | Acne Therapy | Oral Acne Therapy | - Do not use during pregnancy.
|
Zenatane | Generic | Acne Therapy | Oral Acne Therapy | - Do not use during pregnancy.
|
adapalene | Generic | Acne Therapy | Topical Acne Therapy | |
adapalene / benzoyl peroxide | Generic | Acne Therapy | Topical Acne Therapy | |
azelaic acid gel | Generic | Acne Therapy | Topical Acne Therapy | |
benzoyl peroxide | Generic | Acne Therapy | Topical Acne Therapy | |
benzoyl peroxide microspheres | Generic | Acne Therapy | Topical Acne Therapy | |
clindamycin / benzoyl peroxide | Generic | Acne Therapy | Topical Acne Therapy | |
clindamycin phosphate | Generic | Acne Therapy | Topical Acne Therapy | |
clindamycin phosphate/tretinoin | Generic | Acne Therapy | Topical Acne Therapy | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
dapsone 5% gel | Generic | Acne Therapy | Topical Acne Therapy | |
erythromycin base / benzoyl peroxide | Generic | Acne Therapy | Topical Acne Therapy | |
erythromycin base / ethyl alcohol | Generic | Acne Therapy | Topical Acne Therapy | |
erythromycin base / ethyl alcohol gel | Generic | Acne Therapy | Topical Acne Therapy | |
erythromycin base / ethyl alcohol swabs | Generic | Acne Therapy | Topical Acne Therapy | |
ivermectin 1% cream | Generic | Acne Therapy | Topical Acne Therapy | |
metronidazole cream, gel, lotion | Generic | Acne Therapy | Topical Acne Therapy | |
Neuac Gel | Generic | Acne Therapy | Topical Acne Therapy | |
sulfacetamide sodium / sulfur | Generic | Acne Therapy | Topical Acne Therapy | |
sulfacetamide sodium / sulfur / urea | Generic | Acne Therapy | Topical Acne Therapy | |
tazarotene 0.1% cream | Generic | Acne Therapy | Topical Acne Therapy | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
tazarotene gel | Generic | Acne Therapy | Topical Acne Therapy | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
tretinoin | Generic | Acne Therapy | Topical Acne Therapy | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
tretinoin microspheres | Generic | Acne Therapy | Topical Acne Therapy | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Azelex | Brand Name | Acne Therapy | Topical Acne Therapy | |
Finacea foam | Brand Name | Acne Therapy | Topical Acne Therapy | |
cortisone acetate | Generic | Adrenal Hormones | | |
dexamethasone tablet, dose pack | Generic | Adrenal Hormones | | |
fludrocortisone acetate | Generic | Adrenal Hormones | | |
hydrocortisone | Generic | Adrenal Hormones | | |
methylprednisolone | Generic | Adrenal Hormones | | |
prednisolone | Generic | Adrenal Hormones | | |
prednisolone sodium phosphate | Generic | Adrenal Hormones | | |
prednisone | Generic | Adrenal Hormones | | |
Celestone Solution | Brand Name | Adrenal Hormones | | |
Medrol Tablet 2mg | Brand Name | Adrenal Hormones | | |
donepezil | Generic | Alzheimer's Agents | | |
galantamine | Generic | Alzheimer's Agents | | |
memantine | Generic | Alzheimer's Agents | | |
rivastigmine | Generic | Alzheimer's Agents | | |
Namenda Dose Pak | Brand Name | Alzheimer's Agents | | |
Namenda XR | Brand Name | Alzheimer's Agents | | |
Namzaric | Brand Name | Alzheimer's Agents | | |
abiraterone acetate | Generic | Antiandrogens | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
bicalutamide | Generic | Antiandrogens | | - Do not use during pregnancy.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
flutamide | Generic | Antiandrogens | | - Weigh the risk of birth defects or other adverse outcomes.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
nilutamide | Generic | Antiandrogens | | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Xtandi | Brand Name | Antiandrogens | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Mvasi | Brand Name | Anti-Angiogenic Therapy - Biosimilar Cancer Drugs | | |
Zirabev | Brand Name | Anti-Angiogenic Therapy - Biosimilar Cancer Drugs | | |
Riabni | Brand Name | Antibody Therapy - Biosimilar Cancer Drugs | | |
Ruxience | Brand Name | Antibody Therapy - Biosimilar Cancer Drugs | | |
Truxima | Brand Name | Antibody Therapy - Biosimilar Cancer Drugs | | |
carbamazepine | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
carbamazepine XR | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
clobazam | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
clonazepam | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
diazepam kit | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
divalproex sodium | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
divalproex sodium ER | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
divalproex sodium sprinkles | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
ethosuximide | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
felbamate | Generic | Anticonvulsants | | |
gabapentin | Generic | Anticonvulsants | | |
lacosamide | Generic | Anticonvulsants | | |
lamotrigine | Generic | Anticonvulsants | | |
lamotrigine dose pack | Generic | Anticonvulsants | | |
lamotrigine ODT | Generic | Anticonvulsants | | |
lamotrigine XR | Generic | Anticonvulsants | | |
levetiracetam | Generic | Anticonvulsants | | |
levetiracetam XR | Generic | Anticonvulsants | | |
oxcarbazepine | Generic | Anticonvulsants | | |
phenobarbital | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
phenytoin chewable tablet | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
phenytoin extended-release | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
phenytoin suspension | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
pregabalin | Generic | Anticonvulsants | | |
pregabalin ER | Generic | Anticonvulsants | | |
primidone | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
Roweepra | Generic | Anticonvulsants | | |
rufinamide | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
tiagabine | Generic | Anticonvulsants | | |
topiramate | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
topiramate ER | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
valproic acid | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
vigabatrin | Generic | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
zonisamide | Generic | Anticonvulsants | | |
Celontin | Brand Name | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
Dilantin 30mg | Brand Name | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
Epidiolex | Brand Name | Anticonvulsants | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Peganone | Brand Name | Anticonvulsants | | - Weigh the risk of birth defects or other adverse outcomes.
|
cefaclor, ER | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
cefadroxil hydrate | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
cefdinir | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
cefditoren pivoxil | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
cefixime capsule, suspension | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
cefpodoxime proxetil | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
cefprozil | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
ceftibuten | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
cefuroxime axetil | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
cephalexin monohydrate | Generic | Anti-Infectives (Antibiotics) | Oral Cephalosporins | |
azithromycin | Generic | Anti-Infectives (Antibiotics) | Oral Erythromycins and other Macrolides | |
clarithromycin, clarithromycin ER | Generic | Anti-Infectives (Antibiotics) | Oral Erythromycins and other Macrolides | |
erythromycin base | Generic | Anti-Infectives (Antibiotics) | Oral Erythromycins and other Macrolides | |
erythromycin ethylsuccinate / sulfisoxazole acetyl | Generic | Anti-Infectives (Antibiotics) | Oral Erythromycins and other Macrolides | |
erythromycin ethylsuccinate suspension | Generic | Anti-Infectives (Antibiotics) | Oral Erythromycins and other Macrolides | |
erythromycin ethylsuccinate tablet | Generic | Anti-Infectives (Antibiotics) | Oral Erythromycins and other Macrolides | |
erythromycin stearate | Generic | Anti-Infectives (Antibiotics) | Oral Erythromycins and other Macrolides | |
Dificid | Brand Name | Anti-Infectives (Antibiotics) | Oral Erythromycins and other Macrolides | |
amoxicillin trihydrate | Generic | Anti-Infectives (Antibiotics) | Oral Penicillins | |
amoxicillin trihydrate / potassium clavulanate chewable | Generic | Anti-Infectives (Antibiotics) | Oral Penicillins | |
amoxicillin trihydrate / potassium clavulanate suspension | Generic | Anti-Infectives (Antibiotics) | Oral Penicillins | |
amoxicillin trihydrate / potassium clavulanate, ER | Generic | Anti-Infectives (Antibiotics) | Oral Penicillins | |
ampicillin trihydrate | Generic | Anti-Infectives (Antibiotics) | Oral Penicillins | |
dicloxacillin sodium | Generic | Anti-Infectives (Antibiotics) | Oral Penicillins | |
penicillin v potassium | Generic | Anti-Infectives (Antibiotics) | Oral Penicillins | |
Augmentin Suspension 125 - 31.25mg / 5ml | Brand Name | Anti-Infectives (Antibiotics) | Oral Penicillins | |
ciprofloxacin HCl tablet | Generic | Anti-Infectives (Antibiotics) | Oral Quinolones | |
ciprofloxacin suspension | Generic | Anti-Infectives (Antibiotics) | Oral Quinolones | |
levofloxacin | Generic | Anti-Infectives (Antibiotics) | Oral Quinolones | |
moxifloxacin | Generic | Anti-Infectives (Antibiotics) | Oral Quinolones | |
ofloxacin | Generic | Anti-Infectives (Antibiotics) | Oral Quinolones | |
demeclocycline HCl | Generic | Anti-Infectives (Antibiotics) | Oral Tetracyclines | - Weigh the risk of birth defects or other adverse outcomes.
|
doxycycline hyclate capsule | Generic | Anti-Infectives (Antibiotics) | Oral Tetracyclines | - Weigh the risk of birth defects or other adverse outcomes.
|
doxycycline hyclate enteric coated tablet | Generic | Anti-Infectives (Antibiotics) | Oral Tetracyclines | - Weigh the risk of birth defects or other adverse outcomes.
|
doxycycline hyclate tablet | Generic | Anti-Infectives (Antibiotics) | Oral Tetracyclines | - Weigh the risk of birth defects or other adverse outcomes.
|
doxycycline monohydrate | Generic | Anti-Infectives (Antibiotics) | Oral Tetracyclines | - Weigh the risk of birth defects or other adverse outcomes.
|
minocycline HCl | Generic | Anti-Infectives (Antibiotics) | Oral Tetracyclines | - Weigh the risk of birth defects or other adverse outcomes.
|
minocycline HCl ER | Generic | Anti-Infectives (Antibiotics) | Oral Tetracyclines | - Weigh the risk of birth defects or other adverse outcomes.
|
tetracycline HCl | Generic | Anti-Infectives (Antibiotics) | Oral Tetracyclines | - Weigh the risk of birth defects or other adverse outcomes.
|
amantadine | Generic | Antiparkinsonism Agents | | |
benztropine | Generic | Antiparkinsonism Agents | | |
bromocriptine | Generic | Antiparkinsonism Agents | | |
carbidopa | Generic | Antiparkinsonism Agents | | |
carbidopa / levadopa | Generic | Antiparkinsonism Agents | | |
carbidopa / levadopa / entacapone | Generic | Antiparkinsonism Agents | | |
carbidopa / levadopa ER | Generic | Antiparkinsonism Agents | | |
entacapone | Generic | Antiparkinsonism Agents | | |
pramipexole Di-HCl | Generic | Antiparkinsonism Agents | | |
pramipexole ER | Generic | Antiparkinsonism Agents | | |
ropinirole | Generic | Antiparkinsonism Agents | | |
selegiline | Generic | Antiparkinsonism Agents | | |
tolcapone | Generic | Antiparkinsonism Agents | | |
trihexylphenidyl | Generic | Antiparkinsonism Agents | | |
Apokyn | Brand Name | Antiparkinsonism Agents | | |
calcipotriene | Generic | Antipsoriatic / Antiseborrheic | Antipsoriatic / Antiseborrheic Topical Agents | |
calcipotriene / betamethasone | Generic | Antipsoriatic / Antiseborrheic | Antipsoriatic / Antiseborrheic Topical Agents | |
calcitriol ointment | Generic | Antipsoriatic / Antiseborrheic | Antipsoriatic / Antiseborrheic Topical Agents | |
Drithocreme HP | Generic | Antipsoriatic / Antiseborrheic | Antipsoriatic / Antiseborrheic Topical Agents | |
hydrocortisone acetate / pramoxine | Generic | Antipsoriatic / Antiseborrheic | Antipsoriatic / Antiseborrheic Topical Agents | |
selenium sulfide | Generic | Antipsoriatic / Antiseborrheic | Antipsoriatic / Antiseborrheic Topical Agents | |
sodium sulfacetamide | Generic | Antipsoriatic / Antiseborrheic | Antipsoriatic / Antiseborrheic Topical Agents | |
Pramosone | Brand Name | Antipsoriatic / Antiseborrheic | Antipsoriatic / Antiseborrheic Topical Agents | |
doxylamine succinate/ pyridoxine HCl | Generic | Antivertigo and Antiemetic Drugs | | |
granisetron HCl | Generic | Antivertigo and Antiemetic Drugs | | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
ondansetron HCl | Generic | Antivertigo and Antiemetic Drugs | | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
ondansetron ODT | Generic | Antivertigo and Antiemetic Drugs | | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Emend suspension | Brand Name | Antivertigo and Antiemetic Drugs | | |
Adbry | Brand Name | Atopic Dermatitis | Injectable | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Dupixent | Brand Name | Atopic Dermatitis | Injectable | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Cibinqo | Brand Name | Atopic Dermatitis | Oral | |
Rinvoq | Brand Name | Atopic Dermatitis | Oral | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
pimecrolimus cream | Generic | Atopic Dermatitis | Topical | |
tacrolimus ointment | Generic | Atopic Dermatitis | Topical | |
Eucrisa ointment | Brand Name | Atopic Dermatitis | Topical | |
Opzelura cream | Brand Name | Atopic Dermatitis | Topical | |
alfuzosin HCl ER | Generic | Benign Prostate Hyperplasia (BPH) Therapy | | |
doxazosin | Generic | Benign Prostate Hyperplasia (BPH) Therapy | | |
dutasteride | Generic | Benign Prostate Hyperplasia (BPH) Therapy | | - Do not use during pregnancy.
|
dutasteride-tamsulosin | Generic | Benign Prostate Hyperplasia (BPH) Therapy | | - Do not use during pregnancy.
|
finasteride | Generic | Benign Prostate Hyperplasia (BPH) Therapy | | - Do not use during pregnancy.
|
silodosin | Generic | Benign Prostate Hyperplasia (BPH) Therapy | | |
tamsulosin HCl | Generic | Benign Prostate Hyperplasia (BPH) Therapy | | |
terazosin | Generic | Benign Prostate Hyperplasia (BPH) Therapy | | - Weigh the risk of birth defects or other adverse outcomes.
|
Aranesp | Brand Name | Biotechnology Drugs | Erythroid Stimulants | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Procrit | Brand Name | Biotechnology Drugs | Erythroid Stimulants | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Berinert | Brand Name | Biotechnology Drugs | Hereditary Angioedema - C1 Esterase Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Cinryze | Brand Name | Biotechnology Drugs | Hereditary Angioedema - C1 Esterase Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Haegarda | Brand Name | Biotechnology Drugs | Hereditary Angioedema - C1 Esterase Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Ruconest | Brand Name | Biotechnology Drugs | Hereditary Angioedema - C1 Esterase Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Kalbitor | Brand Name | Biotechnology Drugs | Hereditary Angioedema - Plasma Kallikrein Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Takhzyro | Brand Name | Biotechnology Drugs | Hereditary Angioedema - Plasma Kallikrein Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
icatibant | Generic | Biotechnology Drugs | Hereditary Angioedema- Bradykinin Receptor Antagonist | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Purified Cortrophin Gel | Brand Name | Corticotropin Injection (Treatment of Inflammatory Conditions) | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Acthar | Brand Name | Corticotropin Injection (Treatment of Inflammatory Conditions) | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
benazepril HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
captopril | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
enalapril maleate | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
enalapril maleate, oral solution | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
fosinopril sodium | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
lisinopril | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
moexipril HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
perindopril erbumine | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
quinapril | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
ramipril capsules | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
trandolapril | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | ACE Inhibitors | - Weigh the risk of birth defects or other adverse outcomes.
|
aliskiren | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
candesartan | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
candesartan / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
eprosartan mesylate 600mg | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
irbesartan | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
irbesartan / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
losartan / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
losartan potassium | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
olmesartan | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
olmesartan / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
telmisartan | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
telmisartan / HCTZ | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
valsartan | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
valsartan / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Angiotensin II Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
dabigatran etexilate | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Anticoagulants (oral) | |
warfarin | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Anticoagulants (oral) | |
Eliquis | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Anticoagulants (oral) | |
Pradaxa | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Anticoagulants (oral) | |
Savaysa | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Anticoagulants (oral) | |
Xarelto | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Anticoagulants (oral) | |
Praxbind | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antidotes | |
amlodipine / atorvastatin | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
atorvastatin calcium | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
colesevelam powder packet | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
colesevelam tablet | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
ezetimibe/simvastatin | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
fluvastatin, ER | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
lovastatin | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
pravastatin | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
rosuvastatin | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
simvastatin | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antilipidemics - Statin Drugs | |
aspirin / dipyridamole | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antiplatelet Agents (oral) | |
cilostazol | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antiplatelet Agents (oral) | |
clopidogrel bisulfate | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antiplatelet Agents (oral) | |
dipyridamole | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antiplatelet Agents (oral) | |
prasugrel HCI | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antiplatelet Agents (oral) | |
Brilinta | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antiplatelet Agents (oral) | |
Zontivity | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Antiplatelet Agents (oral) | |
acebutolol HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
atenolol | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | - Weigh the risk of birth defects or other adverse outcomes.
|
betaxolol HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
bisoprolol fumarate | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
carvedilol | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
carvedilol ER | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
labetalol HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
metoprolol succinate XL | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
metoprolol tartrate | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
nadolol | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
nebivolol HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
pindolol | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
propranolol HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
propranolol HCl capsule, sustained action 24 hr | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
timolol maleate | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
Hemangeol | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Beta Blockers | |
diltiazem HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Calcium Channel Blockers | |
diltiazem HCl capsule, sustained release 12 hr | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Calcium Channel Blockers | |
diltiazem HCl capsule, sustained release 24 hr | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Calcium Channel Blockers | |
nimodipine | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Calcium Channel Blockers | |
Tiadylt ER | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Calcium Channel Blockers | |
verapamil ER | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Calcium Channel Blockers | |
verapamil ER PM | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Calcium Channel Blockers | |
verapamil HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Calcium Channel Blockers | |
verapamil HCl capsule, 24 hr sustained release pellets | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Calcium Channel Blockers | |
amlodipine besylate | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Dihydropyridines | |
felodipine | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Dihydropyridines | |
isradipine | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Dihydropyridines | |
nicardipine | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Dihydropyridines | |
nifedipine tablet, sustained action | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Dihydropyridines | |
nifedipine tablet, sustained release osmotic push | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Dihydropyridines | |
nisoldipine | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Dihydropyridines | |
isosorbide dinitrate/hydralazine | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Heart Failure Agents | |
Corlanor | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Heart Failure Agents | |
Entresto | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Heart Failure Agents | - Weigh the risk of birth defects or other adverse outcomes.
|
Furoscix | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Heart Failure Agents | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Verquvo | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Heart Failure Agents | - Do not use during pregnancy.
|
Kerendia | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Non-Steroidal Mineralocorticoid Receptor Antagonist (MRA) | |
nitroglycerin patches, ointment | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Long-Acting Nitrates (Topical) | |
cholestyramine / aspartame | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
cholestyramine / sucrose | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
colestipol HCl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
fenofibrate | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
fenofibrate, micronized | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
fenofibrate, nanocrystal | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
fenofibric acid | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
gemfibrozil | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
icosapent ethyl | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
niacin 500mg tablet (Redmont Pharmaceutical) | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
niacin ER | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
omega-3 acid ethyl esters | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Colestid | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
Juxtapid | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Zetia | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Other Antilipidemics | |
Praluent Pen | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | PCSK9 Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Repatha Pushtronex | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | PCSK9 Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Repatha Sureclick | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | PCSK9 Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Repatha Syringe | Brand Name | Cardiovascular (Blood Pressure / Heart / Cholesterol) | PCSK9 Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
amlodipine / olmesartan | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
amlodipine / valsartan | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
amlodipine / valsartan / HCTZ | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
amlodipine besylate / benazepril | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
atenolol / chlorthalidone | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
benazepril HCl / HCTZ | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
bisoprolol fumarate / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | |
captopril / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
enalapril maleate / HCTZ | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
fosinopril / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
lisinopril / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
methyldopa / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | |
metoprolol / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | |
metoprolol succinate/ HCTZ ER | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | |
olmesartan / amlodipine / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
propranolol / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | |
quinapril / hydrochlorothiazide | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
telmisartan / amlodipine | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
trandolapril / verapamil | Generic | Cardiovascular (Blood Pressure / Heart / Cholesterol) | Select Combination Antihypertensives | - Weigh the risk of birth defects or other adverse outcomes.
|
darifenacin hydrobromide | Generic | Drugs to Treat Overactive Bladder | | |
fesoterodine fumerate ER | Generic | Drugs to Treat Overactive Bladder | | |
flavoxate | Generic | Drugs to Treat Overactive Bladder | | |
oxybutynin chloride, ER | Generic | Drugs to Treat Overactive Bladder | | |
solifenacin | Generic | Drugs to Treat Overactive Bladder | | |
tolterodine tartrate, ER | Generic | Drugs to Treat Overactive Bladder | | |
trospium chloride, ER | Generic | Drugs to Treat Overactive Bladder | | |
Myrbetriq | Brand Name | Drugs to Treat Overactive Bladder | | |
ACCU-CHEK Guide Me | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Monitoring Devices | |
ACCU-CHEK Guide Monitor System | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Monitoring Devices | |
Contour Next EZ Monitor | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Monitoring Devices | |
Contour Next Meter | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Monitoring Devices | |
Contour Next Monitor | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Monitoring Devices | |
Contour USB Meter | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Monitoring Devices | |
True Metrix Air Glucose Meter | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Monitoring Devices | |
True Metrix Blood Glucose Meter | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Monitoring Devices | |
ACCU-CHEK Aviva Plus Test Strips | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Test Strips | |
Breeze 2 | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Test Strips | |
Contour Next Test Strips | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Test Strips | |
Contour Test Strips | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Test Strips | |
True Metrix Glucose Test Strips | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Blood Glucose Test Strips | |
Dexcom G6 Receiver | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
Dexcom G6 Sensor | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
Dexcom G6 Transmitter | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
Dexcom G7 Receiver | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
Dexcom G7 Sensor | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
FreeStyle Libre 2 System | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
FreeStyle Libre 3 Sensor | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
FreeStyle Libre 14 Day Reader | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
FreeStyle Libre 14 Day Sensor | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
FreeStyle Libre 14 Day System | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Continuous Glucose Monitoring (CGM) Systems | |
Omnipod Classic | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Wearable Insulin Delivery System | |
Omnipod Dash | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Wearable Insulin Delivery System | |
Omnipod 5 | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Wearable Insulin Delivery System | |
V-Go | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Wearable Insulin Delivery System | |
Amethia, Amethia Lo | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Charlotte 24 Fe | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Cryselle | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
EluRyng | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
etonogestrel-ethinyl estradiol vaginal ring | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Gemmily | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Gianvi | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Gildess 24 FE | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Gildess FE | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Hailey Fe | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Joyeaux | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Junel FE | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
levonorgestrel ethinyl estradiol ferrous bisglycinate | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Lomedia 24 FE | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Loryna | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Merzee | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Mibelas 24 FE | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Microgestin, Microgestin FE | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Necon | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Next Choice | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Next Choice One Dose | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Norethindrone-e.estriadol-iron | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Norgestimate-Ethinyl Estradiol | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Nylia | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Orsythia | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Pirmella | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Previfem | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Rivelsa | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Syeda | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Tri-Previfem | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Wymzya FE | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Xulane Patch | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Zenchent FE | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Ella | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
Lo Loestrin FE | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Contraceptive Agents | - Do not use during pregnancy.
|
saxagliptin HCl | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | DPP-4 Inhibitors | |
saxagliptin HCl/metformin HCl ER | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | DPP-4 Inhibitors | |
Janumet | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | DPP-4 Inhibitors | |
Janumet XR | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | DPP-4 Inhibitors | |
Januvia | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | DPP-4 Inhibitors | |
Jentadueto | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | DPP-4 Inhibitors | |
Jentadueto XR | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | DPP-4 Inhibitors | |
Tradjenta | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | DPP-4 Inhibitors | |
estradiol | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen Patches | - Do not use during pregnancy.
|
estradiol cream | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (non-oral) | - Do not use during pregnancy.
|
Yuvafem | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (non-oral) | - Do not use during pregnancy.
|
Estring | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (non-oral) | - Do not use during pregnancy.
|
Imvexxy | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (non-oral) | - Do not use during pregnancy.
|
Intrarosa | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (non-oral) | - Do not use during pregnancy.
|
Premarin cream | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (non-oral) | - Do not use during pregnancy.
|
estradiol tablets | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (oral) | - Do not use during pregnancy.
|
Osphena | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (oral) | - Do not use during pregnancy.
|
Premarin tablets | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (oral) | - Do not use during pregnancy.
|
Premphase | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (oral) | - Do not use during pregnancy.
|
Prempro | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Estrogen/ Hormonal Replacement Agents (oral) | - Do not use during pregnancy.
|
Baqsimi | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Glucose Elevating Agents | |
Glucagen HypoKit | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Glucose Elevating Agents | |
Glucagon | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Glucose Elevating Agents | |
Gvoke HypoPen | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Glucose Elevating Agents | |
Gvoke Prefilled Syringe | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Glucose Elevating Agents | |
Zegalogue | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Glucose Elevating Agents | |
Bydureon Bcise | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Hypoglycemic Agents (GLP-1 receptor agonist - Non Oral) | |
Bydureon Pen | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Hypoglycemic Agents (GLP-1 receptor agonist - Non Oral) | |
Byetta | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Hypoglycemic Agents (GLP-1 receptor agonist - Non Oral) | |
Mounjaro | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Hypoglycemic Agents (GLP-1 receptor agonist - Non Oral) | |
Ozempic | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Hypoglycemic Agents (GLP-1 receptor agonist - Non Oral) | |
Trulicity | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Hypoglycemic Agents (GLP-1 receptor agonist - Non Oral) | |
Victoza | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Hypoglycemic Agents (GLP-1 receptor agonist - Non Oral) | |
Rybelsus | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Hypoglycemic Agents (GLP-1 receptor agonist - Oral) | |
Soliqua | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Injectable Insulin / GLP-1 receptor agonist Combination | |
BD Insulin Pen Needle (Becton Dickinson) | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Pen Needle | |
BD Insulin Syringe (Becton Dickinson) | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Syringe | |
Humalog Mix 50-50 | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Intermediate Acting | |
Humalog Mix 75-25 | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Intermediate Acting | |
Humulin 70 / 30 | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Intermediate Acting | |
Humulin 70 / 30 Kwikpen | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Intermediate Acting | |
Humulin N | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Intermediate Acting | |
Humulin N Kwikpen | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Intermediate Acting | |
Insulin lispro Mix 75-25 | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Intermediate Acting | |
Insulin Glargine Solostar (Winthrop US) | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Long Acting | |
Insulin Glargine vial (Winthrop US) | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Long Acting | |
Lantus Solostar | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Long Acting | |
Levemir | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Long Acting | |
Levemir Flexpen | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Long Acting | |
Levemir Flextouch | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Long Acting | |
Toujeo Max Solostar | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Long Acting | |
Toujeo Solostar | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Long Acting | |
Tresiba Flextouch | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Long Acting | |
Afrezza | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Rapid Acting | |
Humalog (cartridge, Junior Kwikpen, Kwikpen, vial) | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Rapid Acting | |
Humalog Tempo Pen | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Rapid Acting | |
Insulin lispro (Junior Kwikpen, Kwikpen, vial) | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Rapid Acting | |
Lyumjev (Kwikpen, vial) | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Rapid Acting | |
Lyumjev Tempo Pen | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Rapid Acting | |
Humulin R | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Short Acting | |
Humulin R Kwikpen | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Insulin Therapy - Short Acting | |
Liletta | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Intrauterine Devices / Subdermal Implants | - Do not use during pregnancy.
- Must be obtained through Accredo.
|
Nexplanon | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Intrauterine Devices / Subdermal Implants | - Do not use during pregnancy.
- Must be obtained through Accredo.
|
Lupaneta | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Miscellaneous OB/GYN Agents (Endometriosis) | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Orilissa | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Miscellaneous OB/GYN Agents (Endometriosis) | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Lupron | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Miscellaneous OB/GYN Agents (Uterine Fibroids) | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Myfembree | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Miscellaneous OB/GYN Agents (Uterine Fibroids) | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Oriahnn | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Miscellaneous OB/GYN Agents (Uterine Fibroids) | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
methyltestosterone capsule | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral / Transdermal Testosterone Replacement Agents | - Do not use during pregnancy.
|
testosterone gel in packet 25mg (1%), 50mg (1%). 1.25gm (1.62%), 2.5gm (1.62%) | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral / Transdermal Testosterone Replacement Agents | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
testosterone gel pump 1.25gm (1%), 10mg (2%), 12.5mg/1.25gm | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral / Transdermal Testosterone Replacement Agents | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
testosterone solution metered pump | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral / Transdermal Testosterone Replacement Agents | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Androderm Patch | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Oral / Transdermal Testosterone Replacement Agents | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Methitest | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Oral / Transdermal Testosterone Replacement Agents | - Do not use during pregnancy.
|
acarbose | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
glimepiride | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
glipizide | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
glipizide ER | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
glipizide / metformin HCl | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
glyburide | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
glyburide / metformin | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
glyburide micronized | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
metformin HCl | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
metformin HCl ER | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
metformin HCl solution | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
miglitol | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
nateglinide | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
pioglitazone HCl | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
pioglitazone / glimepiride | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
pioglitazone / metformin | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
repaglinide | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
repaglinide / metformin | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
tolbutamide | Generic | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
Avandia | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | Oral Hypoglycemic Agents | |
Invokamet | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 - Sodium Glucose Co-transporter Agents | |
Invokamet XR | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 - Sodium Glucose Co-transporter Agents | |
Invokana | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 - Sodium Glucose Co-transporter Agents | |
Jardiance | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 - Sodium Glucose Co-transporter Agents | |
Segluromet | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 - Sodium Glucose Co-transporter Agents | |
Steglatro | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 - Sodium Glucose Co-transporter Agents | |
Synjardy | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 - Sodium Glucose Co-transporter Agents | |
Synjardy XR | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 - Sodium Glucose Co-transporter Agents | |
Glyxambi | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 / DPP4 Inhibitor Combinations | |
Steglujan | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 / DPP4 Inhibitor Combinations | |
Trijardy XR | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2 / DPP4 Inhibitor Combinations | |
Farxiga | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2- Sodium Glucose Co-transporter Agents | |
Xigduo | Brand Name | Endocrine (Diabetes / Hormones / Contraceptives) | SGLT2- Sodium Glucose Co-transporter Agents | |
epinephrine injection, USP autoinjector 0.3mg, 0.15mg (Amneal and Avkare and AS Medication) | Generic | Epinephrine Autoinjectors | | |
epinephrine injection, USP autoinjector 0.3mg, 0.15mg (Mylan and Teva) | Generic | Epinephrine Autoinjectors | | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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EpiPen 0.3mg (Mylan) | Brand Name | Epinephrine Autoinjectors | | |
EpiPen Jr. 0.15mg (Mylan) | Brand Name | Epinephrine Autoinjectors | | |
Symjepi | Brand Name | Epinephrine Autoinjectors | | |
Gavilyte-C | Generic | Gastrointestinal | Bowel Evacuants | |
Gavilyte-G | Generic | Gastrointestinal | Bowel Evacuants | |
Gavilyte-H with bisacodyl | Generic | Gastrointestinal | Bowel Evacuants | |
Gavilyte-N | Generic | Gastrointestinal | Bowel Evacuants | |
PEG 3350 bowel preparation | Generic | Gastrointestinal | Bowel Evacuants | |
Peg-Prep | Generic | Gastrointestinal | Bowel Evacuants | |
sodium sulfate / potassium sulfate / magnesium sulfate 17.5-3.13 gm oral solution | Generic | Gastrointestinal | Bowel Evacuants | |
Trilyte w/ flavor packet | Generic | Gastrointestinal | Bowel Evacuants | |
Clenpiq | Brand Name | Gastrointestinal | Bowel Evacuants | |
Suprep | Brand Name | Gastrointestinal | Bowel Evacuants | |
Sutab | Brand Name | Gastrointestinal | Bowel Evacuants | |
lansoprazole / amoxicillin / clarithromycin | Generic | Gastrointestinal | H-Pylori Agents | |
Pylera | Brand Name | Gastrointestinal | H-Pylori Agents | |
Talicia | Brand Name | Gastrointestinal | H-Pylori Agents | |
lubiprostone | Generic | Gastrointestinal | Irritable Bowel Syndrome | |
Linzess | Brand Name | Gastrointestinal | Irritable Bowel Syndrome | |
Motegrity | Brand Name | Gastrointestinal | Irritable Bowel Syndrome | |
Trulance | Brand Name | Gastrointestinal | Irritable Bowel Syndrome | |
Creon | Brand Name | Gastrointestinal | Pancreatic Enzymes | |
Zenpep | Brand Name | Gastrointestinal | Pancreatic Enzymes | |
calcium acetate | Generic | Gastrointestinal | Phosphate Binders | |
lanthanum carbonate chewable tablet | Generic | Gastrointestinal | Phosphate Binders | |
sevelamer carbonate | Generic | Gastrointestinal | Phosphate Binders | |
cimetidine tablet | Generic | Gastrointestinal | Ulcer Drugs | |
dexlansoprazole DR | Generic | Gastrointestinal | Ulcer Drugs | |
esomeprazole capsule | Generic | Gastrointestinal | Ulcer Drugs | |
esomeprazole magnesium 10, 20, 40 mg suspension | Generic | Gastrointestinal | Ulcer Drugs | |
famotidine, famotidine suspension | Generic | Gastrointestinal | Ulcer Drugs | |
lansoprazole | Generic | Gastrointestinal | Ulcer Drugs | |
misoprostol | Generic | Gastrointestinal | Ulcer Drugs | - Do not use during pregnancy.
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nizatidine | Generic | Gastrointestinal | Ulcer Drugs | |
omeprazole | Generic | Gastrointestinal | Ulcer Drugs | |
pantoprazole granule packets | Generic | Gastrointestinal | Ulcer Drugs | |
rabeprazole tablets | Generic | Gastrointestinal | Ulcer Drugs | |
Nexium OTC | Brand Name | Gastrointestinal | Ulcer Drugs | |
Nexium RX 2.5, 5 mg Suspension | Brand Name | Gastrointestinal | Ulcer Drugs | |
balsalazide disodium | Generic | Gastrointestinal | Ulcerative Colitis Agents | |
mesalamine delayed release capsule | Generic | Gastrointestinal | Ulcerative Colitis Agents | |
mesalamine enema | Generic | Gastrointestinal | Ulcerative Colitis Agents | |
mesalamine enteric coated tablet | Generic | Gastrointestinal | Ulcerative Colitis Agents | |
mesalamine 500mg extended release capsule | Generic | Gastrointestinal | Ulcerative Colitis Agents | |
mesalamine extended release capsule 24 HR | Generic | Gastrointestinal | Ulcerative Colitis Agents | |
mesalamine suppository | Generic | Gastrointestinal | Ulcerative Colitis Agents | |
sulfasalazine | Generic | Gastrointestinal | Ulcerative Colitis Agents | |
Cerezyme | Brand Name | Gaucher Disease | | - Subject to the Client Prior Authorization Program. Call the Benefit Fund at (646) 473-7446.
- Must be obtained through Accredo.
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Vpriv | Brand Name | Gaucher Disease | | - Subject to the Client Prior Authorization Program. Call the Benefit Fund at (646) 473-7446.
- Must be obtained through Accredo.
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allopurinol | Generic | Gout Therapy | | |
colchicine tablet | Generic | Gout Therapy | | |
febuxostat | Generic | Gout Therapy | | |
probenecid | Generic | Gout Therapy | | |
probenecid w/ colchicine | Generic | Gout Therapy | | |
Gloperba | Brand Name | Gout Therapy | | |
Krystexxa | Brand Name | Gout Therapy | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
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Mitigare | Brand Name | Gout Therapy | | |
Uloric | Brand Name | Gout Therapy | | |
Granix | Brand Name | Granulocyte Colony Stimulating Factor | Granulocyte Colony Stimulating Factor Products- Filgrastim | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
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Neupogen | Brand Name | Granulocyte Colony Stimulating Factor | Granulocyte Colony Stimulating Factor Products- Filgrastim | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
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Nivestym | Brand Name | Granulocyte Colony Stimulating Factor | Granulocyte Colony Stimulating Factor Products- Filgrastim | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Zarxio | Brand Name | Granulocyte Colony Stimulating Factor | Granulocyte Colony Stimulating Factor Products- Filgrastim | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Fulphila | Brand Name | Granulocyte Colony Stimulating Factor | Granulocyte Colony Stimulating Factor Products- Pegfilgrastim | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Neulasta | Brand Name | Granulocyte Colony Stimulating Factor | Granulocyte Colony Stimulating Factor Products- Pegfilgrastim | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
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Nyvepria | Brand Name | Granulocyte Colony Stimulating Factor | Granulocyte Colony Stimulating Factor Products- Pegfilgrastim | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Udenyca | Brand Name | Granulocyte Colony Stimulating Factor | Granulocyte Colony Stimulating Factor Products- Pegfilgrastim | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
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Ziextenzo | Brand Name | Granulocyte Colony Stimulating Factor | Granulocyte Colony Stimulating Factor Products- Pegfilgrastim | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Egrifta | Brand Name | Growth Hormones | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Humatrope | Brand Name | Growth Hormones | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Nordotropin Flexpro | Brand Name | Growth Hormones | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Skytrofa | Brand Name | Growth Hormones | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Zorbtive | Brand Name | Growth Hormones | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Mayvret | Brand Name | Hepatitis C Antivirals (Direct-Acting / Protease Inhibitors) | Genotype 1 | |
Zepatier | Brand Name | Hepatitis C Antivirals (Direct-Acting / Protease Inhibitors) | Genotype 1 | |
Mayvret | Brand Name | Hepatitis C Antivirals (Direct-Acting / Protease Inhibitors) | Genotype 2 | |
Mayvret | Brand Name | Hepatitis C Antivirals (Direct-Acting / Protease Inhibitors) | Genotype 3 | |
Mayvret | Brand Name | Hepatitis C Antivirals (Direct-Acting / Protease Inhibitors) | Genotype 4 | |
Zepatier | Brand Name | Hepatitis C Antivirals (Direct-Acting / Protease Inhibitors) | Genotype 4 | |
Mayvret | Brand Name | Hepatitis C Antivirals (Direct-Acting / Protease Inhibitors) | Genotype 5, 6 | |
Vosevi | Brand Name | Hepatitis C Antivirals (Direct-Acting / Protease Inhibitors) | Treatment Experienced | |
Rukobia | Brand Name | HIV Antiretroviral Therapy (ART) | Attachment Inhibitors | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Sunlenca | Brand Name | HIV Antiretroviral Therapy (ART) | Capsid Inhibitors | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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maraviroc 150mg & 300mg tablet | Generic | HIV Antiretroviral Therapy (ART) | CCR5 Antagonists | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Selzentry oral solutions | Brand Name | HIV Antiretroviral Therapy (ART) | CCR5 Antagonists | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Selzentry 25mg & 75mg tablet | Brand Name | HIV Antiretroviral Therapy (ART) | CCR5 Antagonists | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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abacavir/lamivudine | Generic | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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abacavir/lamivudine/zidovudine | Generic | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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efavirenz/emtricitabine/tenofovir | Generic | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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efavirenz/lamivudine/tenofovir disoproxil fumarate | Generic | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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emtricitabine/tenofovir | Generic | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Iopinavir/ritonavir | Generic | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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lamivudine/zidovudine | Generic | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Biktarvy | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Cabenuva | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | |
Cimduo | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Complera | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Delstrigo | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Descovy | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Dovato | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Evotaz | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Genvoya | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Juluca | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Odefsey | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Prezcobix | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Stribild | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Symtuza | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Triumeq | Brand Name | HIV Antiretroviral Therapy (ART) | Combination Agents | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Fuzeon | Brand Name | HIV Antiretroviral Therapy (ART) | Fusion Inhibitors | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Isentress | Brand Name | HIV Antiretroviral Therapy (ART) | Integrase Inhibitors | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Isentress HD | Brand Name | HIV Antiretroviral Therapy (ART) | Integrase Inhibitors | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Tivicay | Brand Name | HIV Antiretroviral Therapy (ART) | Integrase Inhibitors | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Vocabria | Brand Name | HIV Antiretroviral Therapy (ART) | Integrase Inhibitors | |
efavirenz | Generic | HIV Antiretroviral Therapy (ART) | Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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etravirine | Generic | HIV Antiretroviral Therapy (ART) | Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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nevirapine | Generic | HIV Antiretroviral Therapy (ART) | Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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nevirapine ER | Generic | HIV Antiretroviral Therapy (ART) | Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Edurant | Brand Name | HIV Antiretroviral Therapy (ART) | Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Intelence | Brand Name | HIV Antiretroviral Therapy (ART) | Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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Pifeltro | Brand Name | HIV Antiretroviral Therapy (ART) | Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
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abacavir | Generic | HIV Antiretroviral Therapy (ART) | Nucleoside Reverse Transcriptase Inhibitors (NRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
emtricitabine capsule | Generic | HIV Antiretroviral Therapy (ART) | Nucleoside Reverse Transcriptase Inhibitors (NRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
lamivudine | Generic | HIV Antiretroviral Therapy (ART) | Nucleoside Reverse Transcriptase Inhibitors (NRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
tenofovir disoproxil fumarate | Generic | HIV Antiretroviral Therapy (ART) | Nucleoside Reverse Transcriptase Inhibitors (NRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
zidovudine | Generic | HIV Antiretroviral Therapy (ART) | Nucleoside Reverse Transcriptase Inhibitors (NRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
Emtriva oral solutions | Brand Name | HIV Antiretroviral Therapy (ART) | Nucleoside Reverse Transcriptase Inhibitors (NRTIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
Tybost | Brand Name | HIV Antiretroviral Therapy (ART) | Pharmacokinetic Enhancers | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
Trogarzo | Brand Name | HIV Antiretroviral Therapy (ART) | Post-Attachment Inhibitors | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
atazanavir sulfate | Generic | HIV Antiretroviral Therapy (ART) | Protease Inhibitors (PIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
darunavir 600mg & 800mg tablet | Generic | HIV Antiretroviral Therapy (ART) | Protease Inhibitors (PIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
fosamprenavir calcium | Generic | HIV Antiretroviral Therapy (ART) | Protease Inhibitors (PIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
Aptivus | Brand Name | HIV Antiretroviral Therapy (ART) | Protease Inhibitors (PIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
Invirase | Brand Name | HIV Antiretroviral Therapy (ART) | Protease Inhibitors (PIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
Prezista oral suspension | Brand Name | HIV Antiretroviral Therapy (ART) | Protease Inhibitors (PIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
Prezista 75mg & 150mg tablet | Brand Name | HIV Antiretroviral Therapy (ART) | Protease Inhibitors (PIs) | - This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
|
Herzuma | Brand Name | Human Epidermal Growth Factor Receptor 2-positive (HER 2+) Biosimilar Cancer Drugs | | |
Kanjinti | Brand Name | Human Epidermal Growth Factor Receptor 2-positive (HER 2+) Biosimilar Cancer Drugs | | |
Ogivri | Brand Name | Human Epidermal Growth Factor Receptor 2-positive (HER 2+) Biosimilar Cancer Drugs | | |
Ontruzant | Brand Name | Human Epidermal Growth Factor Receptor 2-positive (HER 2+) Biosimilar Cancer Drugs | | |
Trazimera | Brand Name | Human Epidermal Growth Factor Receptor 2-positive (HER 2+) Biosimilar Cancer Drugs | | |
calcium gluconate | Generic | Hyperkalemia Agents | | |
Lokelma | Brand Name | Hyperkalemia Agents | | |
Veltassa | Brand Name | Hyperkalemia Agents | | |
Flebogamma DIF | Brand Name | Immunoglobulin Agents (injectables) | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Gamunex-C | Brand Name | Immunoglobulin Agents (injectables) | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Hizentra | Brand Name | Immunoglobulin Agents (injectables) | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Grastek | Brand Name | Immunotherapy (Oral) | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Odactra | Brand Name | Immunotherapy (Oral) | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Oralair | Brand Name | Immunotherapy (Oral) | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Ragwitek | Brand Name | Immunotherapy (Oral) | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
glatiramer acetate 40mg/ml | Generic | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Glatopa 20mg/ml | Generic | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Avonex | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Betaseron | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Copaxone 40mg/ml | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Extavia | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Kesimpta | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Plegridy | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Rebif | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Rebif Rebidose | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Ocrevus | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (IV infusion) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Tysabri | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (IV infusion) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
dimethyl fumarate | Generic | Multiple Sclerosis | Multiple Sclerosis Agents (oral) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
fingolimod HCl | Generic | Multiple Sclerosis | Multiple Sclerosis Agents (oral) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Aubagio | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (oral) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Bafiertam | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (oral) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Mavenclad | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (oral) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Mayzent | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (oral) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Ponvory | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (oral) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Vumerity | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (oral) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Zeposia | Brand Name | Multiple Sclerosis | Multiple Sclerosis Agents (oral) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
baclofen | Generic | Muscle Relaxants | | |
carisoprodol cmpd / codeine | Generic | Muscle Relaxants | | - Weigh the risk of birth defects or other adverse outcomes.
|
cyclobenzaprine, XR | Generic | Muscle Relaxants | | |
dantrolene sodium | Generic | Muscle Relaxants | | |
meprobamate | Generic | Muscle Relaxants | | - Weigh the risk of birth defects or other adverse outcomes.
|
metaxalone | Generic | Muscle Relaxants | | |
methocarbamol | Generic | Muscle Relaxants | | |
orphenadrine citrate | Generic | Muscle Relaxants | | |
tizanidine | Generic | Muscle Relaxants | | |
tramadol | Generic | Narcotic Analgesics (Pain Relievers) | Miscellaneous Analgesic Therapy | |
tramadol / acetaminophen | Generic | Narcotic Analgesics (Pain Relievers) | Miscellaneous Analgesic Therapy | |
tramadol ER tablets | Generic | Narcotic Analgesics (Pain Relievers) | Miscellaneous Analgesic Therapy | |
acetaminophen / butalbital | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | - Weigh the risk of birth defects or other adverse outcomes.
|
acetaminophen / caffeine / butalbital | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | - Weigh the risk of birth defects or other adverse outcomes.
|
aspirin / caffeine / butalbital | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | - Weigh the risk of birth defects or other adverse outcomes.
|
buprenorphine HCl film | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
buprenorphine HCl SL tablets | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
buprenorphine patch | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
codeine | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
codeine / acetaminophen | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
codeine / acetaminophen / caffeine / butalbital | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
codeine / aspirin / caffeine / butalbital | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
codeine phosphate / acetaminophen | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
codeine sulfate tablet | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
dihydrocodeine / acetaminophen / caffeine | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
dihydrocodeine / APAP / caffeine | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
fentanyl citrate lozenges | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
fentanyl patch | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
hydrocodone / ibuprofen | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
hydrocodone bit / acetaminophen | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
hydrocodone bitartrate ER | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
hydromorphone | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
hydromorphone ER | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
levorphanol tartrate | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
meperidine tabs, solution | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
methadone | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
morphine sulfate | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
morphine sulfate, sustained action | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
oxycodone / acetaminophen | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
oxycodone / aspirin | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
oxycodone / ibuprofen | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
oxycodone HCl | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
oxymorphone | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
oxymorphone ER | Generic | Narcotic Analgesics (Pain Relievers) | Narcotics | |
Oxycontin | Brand Name | Narcotic Analgesics (Pain Relievers) | Narcotics | |
naloxone nasal spray | Generic | Narcotic Analgesics (Pain Relievers) | Opiate Antagonist-Naloxone Products | |
naloxone syringe | Generic | Narcotic Analgesics (Pain Relievers) | Opiate Antagonist-Naloxone Products | |
naloxone vial | Generic | Narcotic Analgesics (Pain Relievers) | Opiate Antagonist-Naloxone Products | |
Aimovig | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Calcitonin Gene-Related Peptide Inhibitor (CGRP-1) Injectable Migraine Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Ajovy Autoinjector | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Calcitonin Gene-Related Peptide Inhibitor (CGRP-1) Injectable Migraine Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Ajovy Prefilled Syringe | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Calcitonin Gene-Related Peptide Inhibitor (CGRP-1) Injectable Migraine Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Emgality | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Calcitonin Gene-Related Peptide Inhibitor (CGRP-1) Injectable Migraine Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Nurtec ODT | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Calcitonin Gene-Related Peptide Inhibitor (CGRP-I) Oral Migraine Agents | |
Qulipta | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Calcitonin Gene-Related Peptide Inhibitor (CGRP-I) Oral Migraine Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Reyvow | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Calcitonin Gene-Related Peptide Inhibitor (CGRP-I) Oral Migraine Agents | |
Ubrelvy | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Calcitonin Gene-Related Peptide Inhibitor (CGRP-I) Oral Migraine Agents | |
Elyxyb | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Migraine Acute Treatment - Nonsteroidal Anti-Inflammatory Drug | |
almotriptan malate | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
eletriptan HBr | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
frovatriptan succinate | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
naratriptan | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
rizatriptan (tabs, disintegrating tabs) | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
sumatriptan (tabs, nasal spray) | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
sumatriptan injection | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
sumatriptan succinate / naproxen sodium | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
zolmitriptan | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
zolmitriptan 5mg nasal spray | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
zolmitriptan ODT | Generic | Non-Narcotic Analgesics (Pain Relievers) | Migraine / Headache Therapy - Triptans | |
celecoxib | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAID COX-2 Inhibitors | |
diclofenac / misoprostol | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
diclofenac potassium | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
diclofenac sodium | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
diclofenac sodium topical drops, gel, solution metered dose pump | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
etodolac | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
etodolac tablet, sustained release 24 hr | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
fenoprofen calcium 400mg & 600mg | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
flurbiprofen | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
ibuprofen | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
indomethacin | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | |
indomethacin capsule, sustained action | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | |
ketoprofen 50mg and 75mg capsule | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
ketoprofen capsule, 24 hr sustained release pellets | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
ketorolac tablets | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
meclofenamate sodium | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
mefenamic acid | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
meloxicam tablets | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | |
nabumetone | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
naproxen | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
naproxen sodium, ER | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
oxaprozin | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
piroxicam | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
sulindac | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
tolmetin sodium | Generic | Non-Narcotic Analgesics (Pain Relievers) | NSAIDs | - Weigh the risk of birth defects or other adverse outcomes.
|
Euflexxa | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Osteoarthritis Agents (Injectable) | |
Monovisc | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Osteoarthritis Agents (Injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Orthovisc | Brand Name | Non-Narcotic Analgesics (Pain Relievers) | Osteoarthritis Agents (Injectable) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
bacitracin | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
bacitracin / polymyxin B | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
ciprofloxacin drops | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
erythromycin base ointment | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
gatifloxacin | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
gentamicin sulfate ointment, drops | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
levofloxacin | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
moxifloxacin HCL drops | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
neomycin sulfate / bacitracin / polymyxin B ointment | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
neomycin sulfate / gramicidin D / polymyxin B drops | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
ofloxacin drops | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
polymyxin B / trimethoprim drops | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
tobramycin sulfate drops | Generic | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
Ciloxan Oph Ointment | Brand Name | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
Tobrex Oph Ointment | Brand Name | Ophthalmics (Eye Preparations) | Antibiotic-Ophthalmics | |
cyclosporine single use dropperette | Generic | Ophthalmics (Eye Preparations) | Dry Eye Therapy | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Eysuvis | Brand Name | Ophthalmics (Eye Preparations) | Dry Eye Therapy | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Restasis Multidose | Brand Name | Ophthalmics (Eye Preparations) | Dry Eye Therapy | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Xiidra | Brand Name | Ophthalmics (Eye Preparations) | Dry Eye Therapy | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
azelastine | Generic | Ophthalmics (Eye Preparations) | Miscellaneous Ophthalmics-Antihistamine and Mast-Cell Stabilizers | |
bepotastine besilate | Generic | Ophthalmics (Eye Preparations) | Miscellaneous Ophthalmics-Antihistamine and Mast-Cell Stabilizers | |
cromolyn | Generic | Ophthalmics (Eye Preparations) | Miscellaneous Ophthalmics-Antihistamine and Mast-Cell Stabilizers | |
epinastine HCl | Generic | Ophthalmics (Eye Preparations) | Miscellaneous Ophthalmics-Antihistamine and Mast-Cell Stabilizers | |
olopatadine HCl | Generic | Ophthalmics (Eye Preparations) | Miscellaneous Ophthalmics-Antihistamine and Mast-Cell Stabilizers | |
apraclonidine HCL | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Alpha Agonists | |
brimonidine 0.15% | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Alpha Agonists | |
Alphagan-P 0.1% | Brand Name | Ophthalmics (Eye Preparations) | Ophthalmic Alpha Agonists | |
bromfenac sodium | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Anti-Inflammatory Agents (NSAIDs) | |
diclofenac sodium | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Anti-Inflammatory Agents (NSAIDs) | |
flurbiprofen sodium | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Anti-Inflammatory Agents (NSAIDs) | |
ketorolac tromethamine | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Anti-Inflammatory Agents (NSAIDs) | |
betaxolol HCL | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Beta-Blockers | |
carteolol | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Beta-Blockers | |
levobunolol | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Beta-Blockers | |
metipranolol | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Beta-Blockers | |
timolol maleate | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Beta-Blockers | |
brinzolamide | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Carbonic Anhydrase Inhibitors | |
dorzolamide | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Carbonic Anhydrase Inhibitors | |
brimonidine tartrate/timolol | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Combination Alpha Agonists / Beta Antagonists | |
Combigan | Brand Name | Ophthalmics (Eye Preparations) | Ophthalmic Combination Alpha Agonists / Beta Antagonists | |
dorzolamide / timolol | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Combination Carbonic Anhydrase Inhibitors / Beta Antagonists | |
dorzolamide / timolol PF | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Combination Carbonic Anhydrase Inhibitors / Beta Antagonists | |
Cosopt PF | Brand Name | Ophthalmics (Eye Preparations) | Ophthalmic Combination Carbonic Anhydrase Inhibitors / Beta Antagonists | |
Rocklatan | Brand Name | Ophthalmics (Eye Preparations) | Ophthalmic Combination Miotics/Prostagladin Agents | |
Rhopressa | Brand Name | Ophthalmics (Eye Preparations) | Ophthalmic Miotics Agents | |
bimatoprost | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Prostaglandin-Analogues | |
latanoprost | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Prostaglandin-Analogues | |
tafluprost | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Prostaglandin-Analogues | |
neomycin / bacitracin / polymyxin B / HC | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Steroid-Antibiotic Combinations | |
neomycin / polymyxin B / dexamethasone | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Steroid-Antibiotic Combinations | |
neomycin / polymyxin B / HC | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Steroid-Antibiotic Combinations | |
tobramycin-dexamethasone suspension | Generic | Ophthalmics (Eye Preparations) | Ophthalmic Steroid-Antibiotic Combinations | |
TobraDex Oint | Brand Name | Ophthalmics (Eye Preparations) | Ophthalmic Steroid-Antibiotic Combinations | |
dexamethasone | Generic | Ophthalmics (Eye Preparations) | Ophthalmics-Steroids | |
difluprednate | Generic | Ophthalmics (Eye Preparations) | Ophthalmics-Steroids | |
fluorometholone | Generic | Ophthalmics (Eye Preparations) | Ophthalmics-Steroids | |
loteprednol 0.5% gel drops | Generic | Ophthalmics (Eye Preparations) | Ophthalmics-Steroids | |
loteprednol suspension drops | Generic | Ophthalmics (Eye Preparations) | Ophthalmics-Steroids | |
prednisolone acetate | Generic | Ophthalmics (Eye Preparations) | Ophthalmics-Steroids | |
prednisolone sodium phosphate | Generic | Ophthalmics (Eye Preparations) | Ophthalmics-Steroids | |
FML S.O.P. | Brand Name | Ophthalmics (Eye Preparations) | Ophthalmics-Steroids | |
alendronate solutions | Generic | Osteoporosis / Paget's Disease | Bisphosphonates | |
alendronate tab | Generic | Osteoporosis / Paget's Disease | Bisphosphonates | |
alendronate weekly | Generic | Osteoporosis / Paget's Disease | Bisphosphonates | |
ibandronate | Generic | Osteoporosis / Paget's Disease | Bisphosphonates | |
risedronate sodium DR | Generic | Osteoporosis / Paget's Disease | Bisphosphonates | |
risedronate sodium tablet | Generic | Osteoporosis / Paget's Disease | Bisphosphonates | |
calcitonin-salmon injection | Generic | Osteoporosis / Paget's Disease | Calcitonin Salmon Agents | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
calcitonin-salmon nasal spray | Generic | Osteoporosis / Paget's Disease | Calcitonin Salmon Agents | |
Forteo | Brand Name | Osteoporosis / Paget's Disease | Parathyroid Hormone Analogs | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Teriparatide | Brand Name | Osteoporosis / Paget's Disease | Parathyroid Hormone Analogs | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Tymlos | Brand Name | Osteoporosis / Paget's Disease | Parathyroid Hormone Analogs | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
raloxifene HCl | Generic | Osteoporosis / Paget's Disease | Selective Estrogen Receptor Modifiers | - Do not use during pregnancy.
|
alendronate solution | Generic | Osteoporosis / Paget's Disease | | |
alendronate tab | Generic | Osteoporosis / Paget's Disease | | |
alendronate weekly | Generic | Osteoporosis / Paget's Disease | | |
ibandronate | Generic | Osteoporosis / Paget's Disease | | |
risedronate sodium DR | Generic | Osteoporosis / Paget's Disease | | |
risedronate sodium tablet | Generic | Osteoporosis / Paget's Disease | | |
ciprofloxacin/dexamethasone | Generic | Otics (Ear Preparations) | | |
neomycin / polymyxin / HC | Generic | Otics (Ear Preparations) | | |
ofloxacin | Generic | Otics (Ear Preparations) | | |
abiraterone | Generic | Prostate Cancer (Oral Agents) | | - If the indication is CANCER, and the drug is subject to management by eviCore Comprehensive Oncology Management Program, please contact (888) 910-1199 for additional assistance.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Erleada | Brand Name | Prostate Cancer (Oral Agents) | | - If the indication is CANCER, and the drug is subject to management by eviCore Comprehensive Oncology Management Program, please contact (888) 910-1199 for additional assistance.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Nubeqa | Brand Name | Prostate Cancer (Oral Agents) | | - If the indication is CANCER, and the drug is subject to management by eviCore Comprehensive Oncology Management Program, please contact (888) 910-1199 for additional assistance.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Xtandi | Brand Name | Prostate Cancer (Oral Agents) | | - If the indication is CANCER, and the drug is subject to management by eviCore Comprehensive Oncology Management Program, please contact (888) 910-1199 for additional assistance.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Yonsa | Brand Name | Prostate Cancer (Oral Agents) | | - If the indication is CANCER, and the drug is subject to management by eviCore Comprehensive Oncology Management Program, please contact (888) 910-1199 for additional assistance.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
chlorpromazine injection | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
fluphenazine decanoate injection | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
fluphenazine injection | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
haloperidol decanoate injection | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
haloperidol injection | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
haloperidol lactate concentrate | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | |
olanzapine injection | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Aristada | Brand Name | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | |
Aristada Initio | Brand Name | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Risperdal Consta | Brand Name | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Injectable) | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
aripiprazole | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
aripiprazole ODT | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
asenapine maleate | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
chlorpromazine tablet | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
clozapine | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
clozapine ODT | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
fluphenazine | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
haloperidol | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
haloperidol lactate concentrate | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
loxapine | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
lurasidone HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
molindone | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
olanzapine | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
olanzapine ODT | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
olanzapine-fluoxetine | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
paliperidone | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
perphenazine | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
pimozide | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
quetiapine fumarate | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
quetiapine fumarate ER | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
risperidone ODT | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
risperidone tab | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
thioridazine | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
thiothixene | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
trifluoperazine HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
ziprasidone HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Antipsychotics (Oral) | |
alprazolam, alprazolam ER, ODT | Generic | Psychotherapeutics (Anxiety / Depression) | Anxiolytics | - Weigh the risk of birth defects or other adverse outcomes.
|
buspirone HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Anxiolytics | |
chlordiazepoxide HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Anxiolytics | - Weigh the risk of birth defects or other adverse outcomes.
|
clorazepate dipotassium | Generic | Psychotherapeutics (Anxiety / Depression) | Anxiolytics | - Weigh the risk of birth defects or other adverse outcomes.
|
diazepam | Generic | Psychotherapeutics (Anxiety / Depression) | Anxiolytics | - Weigh the risk of birth defects or other adverse outcomes.
|
lorazepam | Generic | Psychotherapeutics (Anxiety / Depression) | Anxiolytics | - Weigh the risk of birth defects or other adverse outcomes.
|
oxazepam | Generic | Psychotherapeutics (Anxiety / Depression) | Anxiolytics | - Weigh the risk of birth defects or other adverse outcomes.
|
amphetamine | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
amphetamine and dextroamphetamine salts | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
amphetamine and dextroamphetamine salts ER | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
atomoxetine HCL | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
clonidine ER | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
D-amphetamine tablet | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
D-amphetamine ER | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
dexmethylphenidate | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
dexmethylphenidate ER | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
dextroamphetamine sulfate | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
guanfacine ER | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
lisdexamfetamine dimesylate | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
methylphenidate CD | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
methylphenidate ER | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
methylphenidate LA | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
methylphenidate patch 24 HR | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
methylphenidate tablet, chewable tablet, solution | Generic | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Dyanavel XR | Brand Name | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Mydayis | Brand Name | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Quillichew ER | Brand Name | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Quillivant XR | Brand Name | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Vyvanse | Brand Name | Psychotherapeutics (Anxiety / Depression) | Attention Deficit Hyperactivity Disorder | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
amitriptyline HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
amitriptyline-chlordiazepoxide | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
amitriptyline-perphenazine | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
amoxapine | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
bupropion HCl tablet | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
bupropion HCl tablet, sust. action | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
clomipramine HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
desipramine HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
doxepin HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
duloxetine HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
imipramine HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | - Weigh the risk of birth defects or other adverse outcomes.
|
imipramine pamoate | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | - Weigh the risk of birth defects or other adverse outcomes.
|
maprotiline HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
mirtazapine tablet | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
mirtazapine tablet, rapid dissolve | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
nortriptyline HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
phenylzine sulfate | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
protriptyline HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
tranylcypromine sulfate | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
trazodone HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
trimipramine maleate | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
venlafaxine HCl, ER | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
vilazodone HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
Marplan | Brand Name | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
Nuplazid | Brand Name | Psychotherapeutics (Anxiety / Depression) | Miscellaneous Antidepressants | |
estazolam | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
eszopiclone | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
flurazepam HCl | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
ramelteon | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
tasimelteon capsule | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
temazepam | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
triazolam | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
zaleplon | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
zolpidem SL tablet | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
zolpidem, zolpidem ER | Generic | Psychotherapeutics (Anxiety / Depression) | Oral Hypnotic Agents | |
citalopram HBr | Generic | Psychotherapeutics (Anxiety / Depression) | SSRI Antidepressants | |
escitalopram oxalate | Generic | Psychotherapeutics (Anxiety / Depression) | SSRI Antidepressants | |
fluoxetine DR 90mg | Generic | Psychotherapeutics (Anxiety / Depression) | SSRI Antidepressants | |
fluoxetine HCl capsules, oral solution, tablets | Generic | Psychotherapeutics (Anxiety / Depression) | SSRI Antidepressants | |
fluvoxamine maleate, ER | Generic | Psychotherapeutics (Anxiety / Depression) | SSRI Antidepressants | |
paroxetine HCl | Generic | Psychotherapeutics (Anxiety / Depression) | SSRI Antidepressants | |
sertraline HCl | Generic | Psychotherapeutics (Anxiety / Depression) | SSRI Antidepressants | |
tiotropium bromide inhaler | Generic | Respiratory (Allergy / Asthma / COPD) | Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA) | |
Incruse Ellipta | Brand Name | Respiratory (Allergy / Asthma / COPD) | Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA) | |
Spiriva Inhaler | Brand Name | Respiratory (Allergy / Asthma / COPD) | Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA) | |
Spiriva Respimat | Brand Name | Respiratory (Allergy / Asthma / COPD) | Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA) | |
ipratropium inhalant soln | Generic | Respiratory (Allergy / Asthma / COPD) | Anticholinergic / Muscarinic Agents - Short-Acting Agents | |
Atrovent HFA Inhaler | Brand Name | Respiratory (Allergy / Asthma / COPD) | Anticholinergic / Muscarinic Agents - Short-Acting Agents | |
Arcapta Neohaler | Brand Name | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Long-Acting Beta Agonist (inhalers) | |
Serevent Diskus | Brand Name | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Long-Acting Beta Agonist (inhalers) | |
arformoterol tartrate | Generic | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Long-Acting Beta Agonist (nebulized solutions) | |
formoterol fumerate | Generic | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Long-Acting Beta Agonist (nebulized solutions) | |
albuterol sulfate HFA | Generic | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Short-Acting Beta Agonist (inhalers) | |
levalbuterol tartrate HFA | Generic | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Short-Acting Beta Agonist (inhalers) | |
ProAir HFA | Brand Name | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Short-Acting Beta Agonist (inhalers) | |
ProAir Respiclick | Brand Name | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Short-Acting Beta Agonist (inhalers) | |
Ventolin HFA | Brand Name | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Short-Acting Beta Agonist (inhalers) | |
albuterol sulfate inhalant solution | Generic | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Short-Acting Beta Agonist (nebulized solutions) | |
levalbuterol inhalation solution | Generic | Respiratory (Allergy / Asthma / COPD) | Beta Agonist Agents - Short-Acting Beta Agonist (nebulized solutions) | |
pirfenidone | Generic | Respiratory (Allergy / Asthma / COPD) | Idiopathic Pulmonary Fibrosis | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Ofev | Brand Name | Respiratory (Allergy / Asthma / COPD) | Idiopathic Pulmonary Fibrosis | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
budesonide/formoterol | Generic | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid / Long Acting Beta Agonist | |
fluticasone/salmeterol | Generic | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid / Long Acting Beta Agonist | |
Advair Diskus | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid / Long Acting Beta Agonist | |
Advair HFA | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid / Long Acting Beta Agonist | |
Airduo | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid / Long Acting Beta Agonist | |
Breo Ellipta | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid / Long Acting Beta Agonist | |
Dulera | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid / Long Acting Beta Agonist | |
Symbicort | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid / Long Acting Beta Agonist | |
budesonide soln | Generic | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid Therapy | |
fluticasone propionate HFA | Generic | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid Therapy | |
Alvesco | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid Therapy | |
Arnuity Ellipta | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid Therapy | |
Asmanex HFA | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid Therapy | |
Flovent Diskus | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid Therapy | |
Flovent HFA | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid Therapy | |
Pulmicort Flexhaler | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid Therapy | |
QVAR Redihaler | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid Therapy | |
Breztri Aerosphere | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid/Anticholinergic/Long-acting Beta Agonist Agents | |
Trelegy Ellipta | Brand Name | Respiratory (Allergy / Asthma / COPD) | Inhaled Corticosteroid/Anticholinergic/Long-acting Beta Agonist Agents | |
Anoro Ellipta | Brand Name | Respiratory (Allergy / Asthma / COPD) | Long-Acting Muscarinic / Beta 2 combination Agents | |
Bevespi Aerosphere | Brand Name | Respiratory (Allergy / Asthma / COPD) | Long-Acting Muscarinic / Beta 2 combination Agents | |
Stiolto Respimat | Brand Name | Respiratory (Allergy / Asthma / COPD) | Long-Acting Muscarinic / Beta 2 combination Agents | |
Utibron Neohaler | Brand Name | Respiratory (Allergy / Asthma / COPD) | Long-Acting Muscarinic / Beta 2 combination Agents | |
azelastine/fluticasone | Generic | Respiratory (Allergy / Asthma / COPD) | Nasal Combination Antihistamine/Corticosteroids Agent | |
budesonide | Generic | Respiratory (Allergy / Asthma / COPD) | Nasal Corticosteroids | |
flunisolide | Generic | Respiratory (Allergy / Asthma / COPD) | Nasal Corticosteroids | |
fluticasone propionate | Generic | Respiratory (Allergy / Asthma / COPD) | Nasal Corticosteroids | |
mometasone furoate | Generic | Respiratory (Allergy / Asthma / COPD) | Nasal Corticosteroids | |
triamcinolone acetonide | Generic | Respiratory (Allergy / Asthma / COPD) | Nasal Corticosteroids | |
abrisentan | Generic | Respiratory (Allergy / Asthma / COPD) | Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
bosentan tablet | Generic | Respiratory (Allergy / Asthma / COPD) | Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Opsumit | Brand Name | Respiratory (Allergy / Asthma / COPD) | Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Tracleer tablet for suspension | Brand Name | Respiratory (Allergy / Asthma / COPD) | Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Uptravi | Brand Name | Respiratory (Allergy / Asthma / COPD) | Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist) | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Cinqair | Brand Name | Respiratory (Allergy / Asthma / COPD) | Severe Asthma | |
Dupixent | Brand Name | Respiratory (Allergy / Asthma / COPD) | Severe Asthma | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Fasenra | Brand Name | Respiratory (Allergy / Asthma / COPD) | Severe Asthma | |
Nucala | Brand Name | Respiratory (Allergy / Asthma / COPD) | Severe Asthma | |
Xolair | Brand Name | Respiratory (Allergy / Asthma / COPD) | Severe Asthma | |
Combivent Respimat | Brand Name | Respiratory (Allergy / Asthma / COPD) | Short-Acting Beta Agonist / Anticholinergic Combination Agent | |
Soliris | Brand Name | Myasthenia Gravis | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Adalimumab – ADAZ (Sandoz) | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Amjevita | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Cyltezo | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Enbrel | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Humira | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Hyrimoz | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Inflectra | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Infliximab | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Remicade | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Rinvoq | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | |
Taltz | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Xeljanz | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | |
Xeljanz XR | Brand Name | Select Biologic and Immunologic Agents | Ankylosing Spondylitis Agents | |
Adalimumab – ADAZ (Sandoz) | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Amjevita | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Cyltezo | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Humira | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Humira Pediatric | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Hyrimoz | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Inflectra | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Infliximab | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Remicade | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Skyrizi | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Stelara SC | Brand Name | Select Biologic and Immunologic Agents | Crohn's Disease Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Adalimumab – ADAZ (Sandoz) | Brand Name | Select Biologic and Immunologic Agents | Juvenile Idiopathic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Amjevita | Brand Name | Select Biologic and Immunologic Agents | Juvenile Idiopathic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Cyltezo | Brand Name | Select Biologic and Immunologic Agents | Juvenile Idiopathic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Enbrel | Brand Name | Select Biologic and Immunologic Agents | Juvenile Idiopathic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Humira | Brand Name | Select Biologic and Immunologic Agents | Juvenile Idiopathic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Hyrimoz | Brand Name | Select Biologic and Immunologic Agents | Juvenile Idiopathic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Xeljanz | Brand Name | Select Biologic and Immunologic Agents | Juvenile Idiopathic Arthritis Agents | |
Xeljanz XR | Brand Name | Select Biologic and Immunologic Agents | Juvenile Idiopathic Arthritis Agents | |
Otrexup | Brand Name | Select Biologic and Immunologic Agents | Methotrexate Auto Injectors - Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Rasuvo | Brand Name | Select Biologic and Immunologic Agents | Methotrexate Auto Injectors - Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
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Cimzia | Brand Name | Select Biologic and Immunologic Agents | Non-Radiographic Spondyloarthritis | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Rinvoq | Brand Name | Select Biologic and Immunologic Agents | Non-Radiographic Spondyloarthritis | |
Taltz | Brand Name | Select Biologic and Immunologic Agents | Non-Radiographic Spondyloarthritis | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Adalimumab – ADAZ (Sandoz) | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Amjevita | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Cyltezo | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Enbrel | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Humira | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Hyrimoz | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Inflectra | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Infliximab | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Otezla | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Remicade | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Skyrizi | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Stelara SC | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Taltz | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Tremfya | Brand Name | Select Biologic and Immunologic Agents | Plaque Psoriasis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Adalimumab – ADAZ (Sandoz) | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Amjevita | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Cyltezo | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Enbrel | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Humira | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Hyrimoz | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Inflectra | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Infliximab | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Otezla | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Remicade | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Rinvoq | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | |
Skyrizi | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Stelara SC | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Taltz | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Tremfya | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Xeljanz | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | |
Xeljanz XR | Brand Name | Select Biologic and Immunologic Agents | Psoriatic Arthritis Agents | |
Adalimumab – ADAZ (Sandoz) | Brand Name | Select Biologic and Immunologic Agents | Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Amjevita | Brand Name | Select Biologic and Immunologic Agents | Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Cyltezo | Brand Name | Select Biologic and Immunologic Agents | Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Enbrel | Brand Name | Select Biologic and Immunologic Agents | Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Humira | Brand Name | Select Biologic and Immunologic Agents | Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Hyrimoz | Brand Name | Select Biologic and Immunologic Agents | Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Inflectra | Brand Name | Select Biologic and Immunologic Agents | Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Infliximab | Brand Name | Select Biologic and Immunologic Agents | Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Remicade | Brand Name | Select Biologic and Immunologic Agents | Rheumatoid Arthritis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Adalimumab – ADAZ (Sandoz) | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Amjevita | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Cyltezo | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Entyvio | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Humira | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Hyrimoz | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
- Subject to Quantity Duration Programs.
|
Inflectra | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Infliximab | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Remicade | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Renflexis | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Rinvoq | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | |
Stelara SC | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Xeljanz | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | |
Xeljanz XR | Brand Name | Select Biologic and Immunologic Agents | Ulcerative Colitis Agents | |
bupropion HCl tablet, sust. action | Generic | Smoking Cessation | | |
varenicline tartrate | Generic | Smoking Cessation | | |
Nicotrol Inhaler | Brand Name | Smoking Cessation | | |
Nicotrol Nasal Spray | Brand Name | Smoking Cessation | | |
fluorouracil cream 5% | Generic | Topical Actinic Keratosis Agents | | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
fluorouracil solution 2%, 5% | Generic | Topical Actinic Keratosis Agents | | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
imiquimod 3.75%, 5% | Generic | Topical Actinic Keratosis Agents | | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Klisyri | Brand Name | Topical Actinic Keratosis Agents | | |
Picato Gel 0.015%, 0.05% | Brand Name | Topical Actinic Keratosis Agents | | - This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
ciclopirox | Generic | Topical Antifungals | | |
ciclopirox solution | Generic | Topical Antifungals | | |
clotrimazole | Generic | Topical Antifungals | | |
clotrimazole / betamethasone | Generic | Topical Antifungals | | |
econazole nitrate | Generic | Topical Antifungals | | |
ketoconazole | Generic | Topical Antifungals | | |
naftifine 1% gel | Generic | Topical Antifungals | | |
naftifine cream | Generic | Topical Antifungals | | |
nystatin | Generic | Topical Antifungals | | |
nystatin w/ triamcinolone | Generic | Topical Antifungals | | |
oxiconazole nitrate 1% cream | Generic | Topical Antifungals | | |
acyclovir ointment | Generic | Topical Antiviral Therapy | | |
penciclovir cream | Generic | Topical Antiviral Therapy | | |
Denavir Cream | Brand Name | Topical Antiviral Therapy | | |
amcinonide (cream, lotion) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
apexicon E (cream) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
betamethasone dipropionate (cream, gel, lotion, ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
betamethasone DP augmented (cream, lotion) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
betamethasone valerate 0.1% (ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
desoximetasone (cream, ointment, spray 0.25%, gel 0.05%) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
diflorasone diacetate 0.05% (cream) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
fluocinonide (gel, cream, ointment, solution) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
fluocinonide-E (cream) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
halcinonide 0.1% (cream) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
triamcinolone acetonide 0.5% (cream, ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - High Potency | |
alclometasone (cream, ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Low Potency | |
desonide 0.05% (cream, gel, lotion, ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Low Potency | |
fluocinolone (cream, ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Low Potency | |
hydrocortisone (cream, ointment, lotion) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Low Potency | |
Capex Shampoo 0.01% | Brand Name | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Low Potency | |
betamethasone valerate (cream lotion, foam) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
desoximetasone 0.05% (cream, ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
fluocinolone 0.025% (cream, ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
flurandrenolide 0.05% (cream, ointment, lotion) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
fluticasone (cream, ointment, lotion) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
hydrocortisone butyrate (cream, ointment, solution) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
hydrocortisone butyrate / emollient (cream) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
hydrocortisone valerate (cream) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
mometasone 0.1% (cream, ointment, solution) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
prednicarbate 0.1% (cream, ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
triamcinolone 0.025%, 0.1% (cream, ointment, lotion, aerosol) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
Cordran Tape | Brand Name | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Medium Potency | |
betamethasone augmented (ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Very High Potency | |
clobetasol E (cream) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Very High Potency | |
clobetasol propionate (cream, ointment, lotion, solution, spray, foam, gel, shampoo) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Very High Potency | |
clodan shampoo | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Very High Potency | |
diflorasone diacetate (ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Very High Potency | |
halobetasol propionate (cream, ointment) | Generic | Topical Corticosteroids (Topical Skin Products) | Topical Corticosteroids - Very High Potency | |
lidocaine (cream, oint, gel, patch) | Generic | Topical Miscellaneous Anesthetic Preparations | | |
Ferrex 150 Forte | Generic | Vitamins | Iron Supplement Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Ferrex 150 Forte Plus | Generic | Vitamins | Iron Supplement Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Ferrex 28 | Generic | Vitamins | Iron Supplement Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Multigen Plus | Generic | Vitamins | Iron Supplement Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Poly-Iron 150 Forte | Generic | Vitamins | Iron Supplement Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Corvita | Generic | Vitamins | Multivitamin Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
V-C Forte | Generic | Vitamins | Multivitamin Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
PNV-DHA | Generic | Vitamins | Prenatal Vitamin Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Prenatal Plus | Generic | Vitamins | Prenatal Vitamin Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Zatean-PN DHA | Generic | Vitamins | Prenatal Vitamin Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Zatean-PN Plus | Generic | Vitamins | Prenatal Vitamin Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Folbee | Generic | Vitamins | Vitamin B Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Folbee Plus | Generic | Vitamins | Vitamin B Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Folbic | Generic | Vitamins | Vitamin B Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Renal Caps | Generic | Vitamins | Vitamin B Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
Triphrocaps | Generic | Vitamins | Vitamin B Therapy | - All generics are preferred. Only commonly used vitamins are listed.
|
calcitriol | Generic | Vitamins | Vitamin D Analog Agents | - All generics are preferred. Only commonly used vitamins are listed.
|
doxercalciferol | Generic | Vitamins | Vitamin D Analog Agents | - All generics are preferred. Only commonly used vitamins are listed.
|
paricalcitol | Generic | Vitamins | Vitamin D Analog Agents | - All generics are preferred. Only commonly used vitamins are listed.
|
benzphetamine HCL | Generic | Weight Loss Agents | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
diethylpropion HCL, ER | Generic | Weight Loss Agents | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
phendimetrazine tartrate | Generic | Weight Loss Agents | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
phentermine HCL | Generic | Weight Loss Agents | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Contrave ER | Brand Name | Weight Loss Agents | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Qsymia | Brand Name | Weight Loss Agents | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Saxenda | Brand Name | Weight Loss Agents | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
|
Wegovy | Brand Name | Weight Loss Agents | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Xenical | Brand Name | Weight Loss Agents | | - Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
|
Beovu | Brand Name | Vascular Endothelial Growth Factor (VEGF) Inhibitor | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Byooviz | Brand Name | Vascular Endothelial Growth Factor (VEGF) Inhibitor | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Eylea | Brand Name | Vascular Endothelial Growth Factor (VEGF) Inhibitor | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Lucentis | Brand Name | Vascular Endothelial Growth Factor (VEGF) Inhibitor | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Vabysmo | Brand Name | Vascular Endothelial Growth Factor (VEGF) Inhibitor | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
Visudyne | Brand Name | Vascular Endothelial Growth Factor (VEGF) Inhibitor | | - Do not use during pregnancy.
- Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
- Must be obtained through Accredo.
|
NONPREFERRED PRODUCT:Abilify Maintena POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Abilify Mycite POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Accrufer POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Aciphex Sprinkle POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Actemra SC (Juvenile Idiopathic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Actemra SC (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Actoplus Met XR POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Acuvail POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adalimumab-FKJP (Mylan) (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adalimumab-FKJP (Mylan) (Crohn’s Disease indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adalimumab-FKJP (Mylan) (Juvenile Idiopathic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adalimumab-FKJP (Mylan) (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adalimumab-FKJP (Mylan) (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adalimumab-FKJP (Mylan) (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adalimumab-FKJP (Mylan) (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adasuve Inhaler POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adhansia XR POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adlarity POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adlyxin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Admelog POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Admelog Solostar POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adzenys ER POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Adzenys XR-ODT POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Aklief POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Akynzeo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Allzital POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Alocril POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:alogliptin (Perrigo) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:alogliptin-metformin (Perrigo) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:alogliptin-pioglitazone (Perrigo) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Alomide POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Alora POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Alrex POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Altoprev POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Altreno POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:amphetamine ER 1.25mg/ml suspension (Prasco) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Amrix POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Amzeeq POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Anastia POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Annovera POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Antara 30mg, 90mg POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Antivert POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Anzemet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Apadaz POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Apidra POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Apidra Solostar POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Aplenzin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Aptiom POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Arazlo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Armonair Digihaler POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Auvelity POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Auvi-Q POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Avar (foam, pads),Avar-E,Avar LS POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Avastin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Avsola (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Avsola (Crohn’s Disease indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Avsola (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Avsola (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Avsola (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Avsola (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Azasite POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Azeschew POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Azstarys POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:baclofen oral solution (Palmetto Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Bacmin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Balcoltra POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Basaglar Kwikpen POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Basaglar Tempo Pen POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Baxdela POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Beconase AQ POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Belbuca POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Belsomra POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:BenzEFoam POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Besivance POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Betimol POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Betoptic S POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Binosto POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Bivigam POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Brenzavvy POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Briviact POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Bromsite POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Bryhali POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:buproprion 450mg XL tablet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:calcipotriene (Ayurax) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:calcipotriene-betamethasone suspension (LEO Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Caplyta POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Capsinac POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Carac POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cardizem LA 120mg POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cequa POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cimzia (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cimzia (Crohn's Disease Indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cimzia (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cimzia (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cimzia (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cipro HC POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Citranatal Rx POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Clenia Plus POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Clindacin ETZ, Clindacin PAC POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Clodan POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cloderm POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:clozapine ODT 150mg, 200mg (Teva) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:colchicine capsule POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Conjupri POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Conzip POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Coreg CR POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cortisporin-TC POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Corvite POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cosentyx (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cosentyx (Non-Radiographic Spondyloarthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cosentyx (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cosentyx (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cotempla XR-ODT POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cuvitru POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Cycloset POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:dapsone gel with pump 7.5% (Taro) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Daytrana POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dayvigo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dermacinrx Prenatrix POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dermacinrx Prenatryl POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dermacinrx Pretrate POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:desvenlafaxine ER POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dextenza POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dexycu POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dhivy POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Diacomit POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:diclofenac epolamine patch (Greenstone & Teva) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Diclofono Gel Packet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Diclosaicin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Diclovix M POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Differin Lotion POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dimentho POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dipentum POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Divigel POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Doral POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Doryx 80mg DR Tablet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Doryx MPC POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:doxycycline hyclate 80mg enteric coated tablet (Basiem) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:doxycycline IR-DR POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Drizalma Sprinkle POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dsuvia POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Duaklir Pressair POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Duexis POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Duobrii POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Durlaza POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Durolane POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Durysta POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Dutoprol POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:E.E.S. suspension POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ecoza POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Edarbi POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Edarbyclor POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Edluar POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Elelyso POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Elepsia XR POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Elestrin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Emsam POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Enlite Glucose Sensor POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Entadfi POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Enzoclear POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Epclusa (Genotype 1,2,3,4,5,6) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Epiduo Forte POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Epifoam POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Epogen POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Epsolay POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Equetro POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ertaczo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Esomep-EZS POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:esomeprazole strontium POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Estrace Vaginal Cream POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Estrogel POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Evamist POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Eversense E3 Sensor-Holder POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Eversense E3 Smart Transmitter POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Eversense Sensor-Holder POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Eversense Smart Transmitter POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Evkeeza POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Evzio Auto-Injector POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Exelderm POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fabior POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Factive POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fanapt POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Femring POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fenofibrate Capsule (Ani Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fenortho POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fenovar POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fentora POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ferralet 90 POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fetzima POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fiasp POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fiasp Flextouch POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fiasp Penfill POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fintepla POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:First-Lansoprazole POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:First-Omeprazole POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Flarex POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Flector Patch POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fluoroplex POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:fluoxetine 60mg tablet (Edgemont Pharmaceuticals) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:FML-Forte POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Forfivo XL POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fosamax D POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fosrenol Powder Packet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Freestyle (Blood Glucose Monitoring Devices & Test Strips) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Frotek Cream POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Fycompa POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gamastan S-D POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gammagard Liquid POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gammagard S-D POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gammaked POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gammaplex POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gel-One POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gelnique 10% Packets POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gelsyn-3 POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gemtesa POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Genotropin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Genvisc-850 POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gocovri POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Gralise POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Guardian Connect Transmitter POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Guardian Sensor 3 POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hadlima (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hadlima (Crohn’s Disease indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hadlima (Juvenile Idiopathic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hadlima (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hadlima (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hadlima (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hadlima (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:halobetasol propionate foam 0.05% (Mayne Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Halog ointment POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Halog solution POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Harvoni (Genotype 1,4) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Harvoni (Genotype 5,6) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Helidac POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hemady POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Herceptin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Herceptin Hylecta POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hetlioz LQ POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hulio (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hulio (Crohn’s Disease indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hulio (Juvenile Idiopathic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hulio (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hulio (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hulio (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hulio (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hyalgan POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:hydrocortisone/pramoxine 2.35%-1% cream (Scite Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hyftor POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Hymovis POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:HyQvia POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ibsrela POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Idacio (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Idacio (Crohn’s Disease indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Idacio (Juvenile Idiopathic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Idacio (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Idacio (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Idacio (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Idacio (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Igalmi POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ilevro POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ilumya (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Inderal XR POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Indocin Suspension POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:indomethacin capsule (Ayurax) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Innopran XL POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Inpefa POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Aspart (Novo Nordisk) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Aspart Flexpen (Novo Nordisk) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Aspart Mix (Novo Nordisk) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Aspart Penfill (Novo Nordisk) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Degludec pen (Novo Nordisk) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Degludec vial (Novo Nordisk) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Glargine Solostar (A-S Medication) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Glargine Solostar (Mylan) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Glargine vial (A-S Medication) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Insulin Glargine vial (Mylan) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Invega Hafyera POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Invega Sustenna POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Invega Trinza POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Inveltys POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Istalol POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Iyuzeh POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Jatenzo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Jornay PM POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Jublia POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Kadian ER 200mg Capsule POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Kapspargo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Katerzia POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Kazano POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Kerydin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:ketorolac nasal spray (Prasco) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Kevzara (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Kineret (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Klarity POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Kloxxado Nasal Spray POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Kynmobi POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Kyzatrex POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:L.E.T. (LIDO-EPINEPH-TETRA) Gel POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:lacosamide oral solution (Vista Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lamictal XR Dosepak POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lastacaft POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lazanda POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ledipasvir / Sofosbuvir (Genotype 1, 4) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ledipasvir / Sofosbuvir (Genotype 5, 6) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lemtrada POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Leqvio POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Levulan POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lexette POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Licart POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lifems Naloxone POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lipofen POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Livalo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lomaira POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Loprox Cream Kit POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Loreev XR POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lotemax gel drop, ointment POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Luliconazole POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lumigan 0.01% POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Luzu POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lybalvi POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Lyvispah POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Maxidex POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:meloxicam oral solution (Avondale Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Menest POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Menostar POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Mentax POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Metanx Capsule POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:metformin 625 mg tablet (Lifsa Drugs) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:methocarbamol 1000 mg tablet (Mismer Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:miconazole / zinc oxide/petroleum (Mylan) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Minitran Patch POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:minocycline HCl ER 105 & 135 mg tablet (Arminda Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Minolira ER POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Miocohol POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Mircera POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Morgidox POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Morphine sulfate oral syringe POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Moxatag POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Multi-MAC POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Naftin 2% gel POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nalocet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:naproxen/esomeprazole magnesium POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Natacyn POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Natal PNV POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Natazia POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Natesto POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nayzilam POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Neonatal DHA POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Neonatal FE POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Neonatal Plus POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nesina POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Neuac Kit POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Neupro Patch POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nevanac POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nexletol POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nexlizet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nextstellis POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ngenla POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Niacor POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nitro-Dur Patch POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nonpreferred Product POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Noritate POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nourianz POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Novolin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Novolin N Flexpen POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Novolin R Flexpen POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Novolog POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Novolog Mix POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nucaraclinpak (Nucare Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nucararxpak (Nucare Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nucort POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nucynta, Nucynta ER POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nudermrxpak (Nucare Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nutropin AQ Nuspin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nuzyra POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Nymalize POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:OB Complete One POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Octagam POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Olumiant (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Omeclamox-Pak POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Omnaris POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Omnitrope POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:One Touch POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Onexton POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ongentys POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Onzetra Xsail POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Oracea POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Orencia SC (Juvenile Idiopathic Arthritis Indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Orencia SC (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Orencia SC, Orencia Clickject (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Orladeyo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:orlistat capsule (H2 Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Oseni POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Osmolex ER POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:OsmoPrep POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Otovel POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ovace 10% Plus Cleanser POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ovace 10% Plus Cream POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ovace 10% Plus Shampoo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ovace 9.8% Plus Lotion POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ovace Plus Foam POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Oxaydo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Oxistat lotion POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Oxtellar XR POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:oxycodone HCl ER POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Oxytrol POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ozobax POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pacnex HP, LP POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pancreaze POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pandel POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pazeo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pentasa 250 mg Tablet ER POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pertzye POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pexeva POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Phoslyra POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Plenvu POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Plexion POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Plexion NS POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:PNV Tabs 20-1 POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Potaba POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Precision POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pred Mild POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pred-G POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Prednisolone phosphate/Moxifloxacin (Imprimis) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Pregen DHA POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Prenate Essential POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Prilosec Suspension POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Primlev POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Privigen POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:ProAir Digihaler POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Prolate POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Prolensa POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Qbrelis POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Qdolo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Qelbree POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Qnasl POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:QTERN POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:quetiapine fumarate 150 mg tablet (Rising Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Quinixil POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:rabeprazole capsules (Sarras Health) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rayaldee POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rayos POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Relafen DS POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Relexxii POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Renflexis (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Renflexis (Crohn’s Disease indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Renflexis (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Renflexis (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Renflexis (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Renflexis (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Retacrit POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rexulti POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rhofade POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Riomet ER Suspension POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ritalin LA 10mg POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rituxan POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rituxan (Myasthenia Gravis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rituxan Hycela POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Roaoxia POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rosadan POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rosula Cleanser POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Roszet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Roxybond POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ryaltris POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Rytary POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Saizen POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Saizenprep POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sajazir POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sancuso POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Saroxia POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Seglentis POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:SelRx POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Semglee POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sernivo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Serostim POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:sertraline HCl capsule (Almatica Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Seysara POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Silalite Pak POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Siliq (Plaque Psoriasis Indication Only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Simbrinza POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Simponi SC (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Simponi SC (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Simponi SC (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Simponi SC (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Slynd POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sodium Hyaluronate (Teva) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:sodium sulfacetamide 10% cleanser (Method Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:sodium sulfacetamide/sulfur (Scite Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sofosbuvir / Velpatasvir (Genotype 1,2,3,4,5,6) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sorilux POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sotyktu (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sovaldi (Genotype 1,4) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sovaldi (Genotype 2,3) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Spritam POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sprix POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Striverdi Respimat POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Strovite One POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Subsys POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Suflave POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:sulconazole nitrate (JG Pharma) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sumaxin TS POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Supartz Fx POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Suprax chewable tablet, oral suspension POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Susvimo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Sympazan POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Synalar TS, Synalar POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Synojoynt POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Synvisc POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Synvisc-One POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Taperdex tablet, Dosepak POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Targadox POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tarpeyo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tascenso ODT POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Taytulla POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tazorac 0.05% cream (Acne Use Only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tekturna / HCT POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tersi Foam POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Testim POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:testosterone 50mg pellet (Empower Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Texacort POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ticanase POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Timoptic PF 0.25% POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tivorbex POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tlando POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:TobraDex ST POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tolak POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tosymra POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tramadol ER Capsules POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tramadol HCl 100mg tablet (Trupharma) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tretin-X Cream, Kit POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Treximet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Triluron POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Trintellix POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Trivisc POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Trokendi XR 200 mg POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Trudhesa POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tudorza Pressair POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Twirla POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Tyrvaya POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ultravate Lotion POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Valtoco POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vanoxide HC POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Varubi POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Velphoro POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Veltin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:venlafaxine tablet ER 112.5 mg (Almatica Pharmaceutical) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Verdeso POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Verkazia POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Versacloz POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vesicare LS POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vibramycin Syrup POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Viekira Pak (Genotype 1) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Viibryd Dose Pack POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Viokace POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Visco-3 POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vitafol-OB + DHA POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vitafol-One POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vital-D Rx POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vogelxo POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Voquezna Dual Pak POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Voquezna Triple Pak POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vraylar POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vtama POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vuity POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vyepti POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Vyvgart POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Wynzora POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Xadago POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Xcopri POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Xelstrym POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Xerese POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Xolegel POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Xopenex HFA POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Xtampza ER POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Xultophy POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Xyosted POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yuflyma (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yuflyma (Crohn’s Disease indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yuflyma (Juvenile Idiopathic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yuflyma (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yuflyma (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yuflyma (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yuflyma (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yusimry (Ankylosing Spondylitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yusimry (Crohn’s Disease indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yusimry (Juvenile Idiopathic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yusimry (Plaque Psoriasis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yusimry (Psoriatic Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yusimry (Rheumatoid Arthritis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Yusimry (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zalvit POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zcort tablet, Dosepak POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zelapar POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zelnorm POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zembrace Symtouch POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zenzedi 2.5mg, 7.5mg POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zeposia (Ulcerative Colitis indication only) POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zerviate POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zetonna POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ziclocin POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zimhi POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ziphex POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zithranol POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zolpimist POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zomacton POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zomig 2.5 mg Nasal Spray POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zonisade POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zorvolex POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zoryve POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Ztalmy POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zuplenz POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zyclara 2.5% Metered Dose Pump POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zylet POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zypitamag POSSIBLE PREFERRED ALTERNATIVES: | | | | |
NONPREFERRED PRODUCT:Zyprexa Relprevv POSSIBLE PREFERRED ALTERNATIVES: | | | | |