netFormulary
 Report : A-Z HCD items in Formulary 08/03/2021 08:26:01
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Section Status BlueTeq Name
08.03.04.01 Formulary BlueTeq Abemaciclib tabs
01.05.03 Formulary BlueTeq Adalimumab 
10.01.03 Formulary BlueTeq Adalimumab 
13.05.03.02 Formulary BlueTeq Adalimumab 
11.99.99.99 Formulary BlueTeq Aflibercept 40mg/ml Eylea®
02.12 Formulary BlueTeq Alirocumab Praluent®
13.05.01 Formulary BlueTeq Alitretinoin Toctino®
13.05.03 Formulary BlueTeq Apremilast Otezla®
08.02.04 Formulary BlueTeq Atezolizumab 
08.01.05 Formulary BlueTeq Avelumab injection
03.04.02 Formulary BlueTeq Benralizumab Fasenra
11.08.02 Formulary BlueTeq Bevacizumab intravitreal injection Avastin®
05.03.03.02 Formulary BlueTeq Boceprevir Victrelis®
04.09.03 Formulary BlueTeq Botulinum Toxin Type A Dysport®
04.09.03 Formulary BlueTeq Botulinum Toxin Type A Botox®
08.01.05 Formulary BlueTeq Brigatinib Alunbrig
13.05.03.02 Formulary BlueTeq Brodalumab 
08.01.05 Formulary BlueTeq Cemiplimab 
10.01.03 Formulary BlueTeq Certolizumab Pegol 
13.05.03.02 Formulary BlueTeq Certolizumab pegol Cimzia 200mg/ml injection
09.05.01.02 Formulary BlueTeq Cinacalcet Mimpara®
05.03.03.02 Formulary BlueTeq Daclatasvir  Daklinza®
05.03.03.02 Formulary BlueTeq Dasabuvir Exviera®
11.99.99.99 Formulary BlueTeq Dexamethasone 700mcg Ozurdex®
13.05.03 Formulary BlueTeq Dimethyl fumarate tabs
08.01.05 Formulary BlueTeq Durvalumab Imfinzi
05.03.03.02 Formulary BlueTeq Elbasvir/Grazoprevir Zepatier®
10.01.03 Formulary BlueTeq Etanercept 
13.05.03.02 Formulary BlueTeq Etanercept 
02.12 Formulary BlueTeq Evolocumab Repatha®
11.99.99.99 Formulary BlueTeq Fluocinolone 190mcg/ml Iluvien®
04.07.04.02 Formulary BlueTeq Fremanezumab Ajovy ®
04.07.04.02 Formulary BlueTeq Galcanezumab Emgality
04.07.04.02 Formulary BlueTeq Galcanezumab Emgality
01.05.03 Formulary BlueTeq Golimumab 
10.01.03 Formulary BlueTeq Golimumab 
13.05.03.02 Formulary BlueTeq Guselkumab Tremfya
01.05.03 Formulary BlueTeq Infliximab Inflectra
10.01.03 Formulary BlueTeq Infliximab Inflectra®
13.05.03.02 Formulary BlueTeq Infliximab Inflectra®
13.05.03.02 Formulary BlueTeq Ixekizumab 
05.03.03.02 Formulary BlueTeq Ledipasvir and Sofosbuvir Harvoni®
08.01.05 Formulary BlueTeq Lenvatinib Lenvima®
08.01.05 Formulary BlueTeq Niraparib  caps
08.02.04 Formulary BlueTeq Nivolumab 
08.02.04 Formulary BlueTeq Ocrelizumab Injection
11.99.99.99 Formulary BlueTeq Ocriplasmin 0.5mg/0.2ml  Jetrea®
05.03.03.02 Formulary BlueTeq Ombitasvir/ paritaprevir/ ritonavir Viekirax®
08.03.04.01 Formulary BlueTeq Palbociclib Ibrance
11.99.99.99 Formulary BlueTeq Ranibizumab 10mg/ml Lucentis®
08.03.04.01 Formulary BlueTeq Ribociclib tabs
13.05.03.02 Formulary BlueTeq Risankizumab Skyrizi
10.01.03 Formulary BlueTeq Rituximab (rheumatology) 
10.01.03 Formulary BlueTeq Sarilumab 
10.01.03 Formulary BlueTeq Secukinumab  
13.05.03.02 Formulary BlueTeq Secukinumab 
05.03.03.02 Formulary BlueTeq Simeprevir Olysio®
08.02.04 Formulary BlueTeq Siponimod Mayzent Tablets
05.03.03.02 Formulary BlueTeq Sofosbuvir Sovaldi®
05.03.03.02 Formulary BlueTeq Sofosbuvir/velpatasvir/voxilaprevir Vosevi
05.03.03.02 Formulary BlueTeq Telaprevir Incivo®
06.06.01 Restricted Use BlueTeq Teriparatide injection
13.05.03.02 Formulary BlueTeq Tildrakizumab Ilumetri 100mg/ml injection
10.01.03 Formulary BlueTeq Tocilizumab 
01.05.03 Formulary BlueTeq Tofacitinib 
10.01.03 Formulary BlueTeq Tofacitinib 
06.05.02 Formulary BlueTeq Tolvaptan Jinarc®
01.05.03 Formulary BlueTeq Ustekinumab Gastroenterology
10.01.03 Formulary BlueTeq Ustekinumab  Rheumatology
13.05.03.02 Formulary BlueTeq Ustekinumab 
01.05.03 Formulary BlueTeq Vedolizumab