8 DRUG NAME(S) PREFERRED OPTION(S) FYLNETRA FULPHILA, NYVEPRIA Fyremadel cetrorelix acetate, GANIRELIX ACETATE ganirelix acetate cetrorelix acetate, GANIRELIX ACETATE GEL-ONE DUROLANE, EUFLEXXA, GELSYN-3, ORTHOVISC GENOTROPIN HUMATROPE, NORDITROPIN, SOGROYA GILENYA dimethyl fumarate delayed-rel, fingolimod, glatiramer, teriflunomide, AVONEX, BAFIERTAM, BETASERON, COPAXONE 40 MG/ML, KESIMPTA, MAYZENT, OCREVUS, REBIF, TYSABRI, VUMERITY, ZEPOSIA GLEEVEC dasatinib, imatinib mesylate, nilotinib, BOSULIF, SCEMBLIX GONAL-F FOLLISTIM AQ GRANIX NIVESTYM HERCEPTIN, HERCEPTIN HYLECTA KANJINTI, TRAZIMERA HERZUMA KANJINTI, TRAZIMERA HYALGAN DUROLANE, EUFLEXXA, GELSYN-3, ORTHOVISC HYQVIA CUTAQUIG, XEMBIFY ICLUSIG dasatinib, imatinib mesylate, nilotinib, BOSULIF, SCEMBLIX IMBRUVICA INFLECTRA BRUKINSA, CALQUENCE AVSOLA, ILUMYA, PYZCHIVA INTRAVENOUS, REMICADE, SIMPONI ARIA, SKYRIZI INTRAVENOUS, STELARA INTRAVENOUS, TREMFYA INTRAVENOUS, YESINTEK INTRAVENOUS INTELENCE etravirine IRESSA erlotinib, gefitinib, TAGRISSO IXINITY BENEFIX, REBINYN JADENU deferasirox, deferiprone, deferoxamine JUXTAPID REPATHA JYNARQUE tolvaptan KALETRA TABLET atazanavir, darunavir, lopinavir-ritonavir KITABIS PAK tobramycin inhalation solution KORLYM mifepristone KUVAN sapropterin KYPROLIS bortezomib, NINLARO DRUG NAME(S) PREFERRED OPTION(S) LEMTRADA dimethyl fumarate delayed-rel, fingolimod, glatiramer, teriflunomide, AVONEX, BAFIERTAM, BETASERON, COPAXONE 40 MG/ML, KESIMPTA, MAYZENT, OCREVUS, REBIF, TYSABRI, VUMERITY, ZEPOSIA LETAIRIS ambrisentan, bosentan, OPSUMIT LEUKINE NIVESTYM LILETTA KYLEENA, MIRENA, SKYLA LUCENTIS BYOOVIZ LUPRON DEPOT 7.5 MG, 22.5 MG, 30 MG, 45 MG ELIGARD MAVYRET EPCLUSA (genotypes 1, 2, 3, 4, 5, 6), HARVONI (genotypes 1, 4, 5, 6), VOSEVI MONOVISC DUROLANE, EUFLEXXA, GELSYN-3, ORTHOVISC MULPLETA DOPTELET MYOBLOC DAXXIFY, DYSPORT, XEOMIN NEULASTA, NEULASTA ONPRO FULPHILA, NYVEPRIA NEUPOGEN NIVESTYM NEXAVAR pazopanib, sorafenib, sunitinib, CABOMETYX, INLYTA, LENVIMA NEXTERONE amiodarone NITYR ORFADIN NORTHERA midodrine NORVIR ritonavir NOVAREL PREGNYL NPLATE ALVAIZ, DOPTELET NUCALA LYOPHILIZED POWDER DUPIXENT, FASENRA, NUCALA (except lyophilized powder), TEZSPIRE, XOLAIR NUTROPIN AQ HUMATROPE, NORDITROPIN, SOGROYA OCALIVA IQIRVO OCTAGAM Talk to your doctor OGIVRI KANJINTI, TRAZIMERA OMNITROPE HUMATROPE, NORDITROPIN, SOGROYA ORENCIA INTRAVENOUS AVSOLA, REMICADE, SIMPONI ARIA OVIDREL PREGNYL PEGASYS Talk to your doctor PERJETA PHESGO