9 DRUG NAME(S) PREFERRED OPTION(S) PRALUENT REPATHA PREZISTA atazanavir, darunavir PROCYSBI CYSTAGON PROLASTIN-C ARALAST NP, GLASSIA, ZEMAIRA PROMACTA ALVAIZ, DOPTELET RAVICTI sodium phenylbutyrate, PHEBURANE REMODULIN treprostinil RENFLEXIS AVSOLA, ILUMYA, PYZCHIVA INTRAVENOUS, REMICADE, SIMPONI ARIA, SKYRIZI INTRAVENOUS, STELARA INTRAVENOUS, TREMFYA INTRAVENOUS, YESINTEK INTRAVENOUS REVATIO sildenafil, tadalafil, TADLIQ REVLIMID lenalidomide REYATAZ atazanavir, darunavir RIABNI RUXIENCE RITUXAN RUXIENCE RIXUBIS BENEFIX, REBINYN RUBRACA LYNPARZA, ZEJULA SABRIL vigabatrin SANDOSTATIN LAR octreotide acetate kit, SOMATULINE DEPOT SELZENTRY maraviroc SIGNIFOR LAR octreotide acetate kit, SOMATULINE DEPOT SOLIRIS (For Myasthenia Gravis Only) VYVGART, VYVGART HYTRULO SOMAVERT octreotide acetate kit, SOMATULINE DEPOT SPRYCEL dasatinib, imatinib mesylate, nilotinib, BOSULIF, SCEMBLIX STRIBILD efavirenz-emtricitabine-tenofovir disoproxil fumarate, efavirenz-lamivudine- tenofovir disoproxil fumarate, emtricitabine-rilpivirine-tenofovir disoproxil fumarate, BIKTARVY, CABENUVA, DOVATO, GENVOYA, ODEFSEY, SYMTUZA, TRIUMEQ SUPARTZ FX DUROLANE, EUFLEXXA, GELSYN-3, ORTHOVISC SUTENT pazopanib, sunitinib, CABOMETYX, INLYTA, LENVIMA DRUG NAME(S) PREFERRED OPTION(S) SYNAGIS Talk to your doctor SYNVISC, SYNVISC- ONE DUROLANE, EUFLEXXA, GELSYN-3, ORTHOVISC SYPRINE trientine TARGRETIN bexarotene TASIGNA dasatinib, imatinib mesylate, nilotinib, BOSULIF, SCEMBLIX TAVALISSE ALVAIZ, DOPTELET TECFIDERA dimethyl fumarate delayed-rel, fingolimod, glatiramer, teriflunomide, AVONEX, BAFIERTAM, BETASERON, COPAXONE 40 MG/ML, KESIMPTA, MAYZENT, OCREVUS, REBIF, TYSABRI, VUMERITY, ZEPOSIA THIOLA tiopronin THIOLA EC tiopronin delayed-rel TOBI, TOBI PODHALER tobramycin inhalation solution TRACLEER ambrisentan, bosentan, OPSUMIT TRELSTAR MIXJECT ELIGARD TRUVADA abacavir-lamivudine, emtricitabine- tenofovir disoproxil fumarate, lamivudine- zidovudine, APRETUDE, CIMDUO, DESCOVY TRUXIMA RUXIENCE UDENYCA FULPHILA, NYVEPRIA ULTOMIRIS (For Myasthenia Gravis Only) VYVGART, VYVGART HYTRULO VEMLIDY entecavir, lamivudine, tenofovir disoproxil fumarate VIRACEPT atazanavir, darunavir, lopinavir-ritonavir VISCO-3 DUROLANE, EUFLEXXA, GELSYN-3, ORTHOVISC VOTRIENT pazopanib, sunitinib, CABOMETYX, INLYTA, LENVIMA VPRIV CERDELGA, CEREZYME XALKORI CAPSULE ALECENSA, ALUNBRIG, AUGTYRO, IBTROZI, ROZLYTREK, ZYKADIA XENAZINE tetrabenazine, AUSTEDO, INGREZZA XGEVA OSENVELT XYREM LUMRYZ, WAKIX, XYWAV ZARXIO NIVESTYM