netFormulary
 Report : A-Z HCD items in Formulary 22/04/2021 00:52:59
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Section Status BlueTeq Name
10.01.03 Formulary BlueTeq Abatacept Orencia®
01.05.03 Formulary BlueTeq Adalimumab Imraldi®Amgevita®Humira®
10.01.03 Formulary BlueTeq Adalimumab Imraldi®Amgevita®Humira®
11.08.02 Formulary BlueTeq Aflibercept Eylea®
02.12 Formulary BlueTeq Alirocumab Praluent®
13.05.01 Formulary BlueTeq Alitretinoin 
10.01.03 Formulary BlueTeq Apremilast Otezla®
09.01.04 Formulary BlueTeq Avatrombopag 
10.01.03 Formulary BlueTeq Baricitinib Olumiant®
10.01.03 Formulary BlueTeq Belimumab Benlysta®
11.08.02 Formulary BlueTeq Bevacizumab  Avastin®
11.08.02 Formulary BlueTeq Brolucizumab  Beovu®
03.04.03 Restricted Use BlueTeq C1 esterase inhibitor Cinryze® /Berinert®
10.01.03 Formulary BlueTeq Certolizumab Pegol Cimzia®
09.01.03 Formulary BlueTeq Deferasirox 
09.01.03 Formulary BlueTeq Desferrioxamine Mesilate Injection
11.04.01 Formulary BlueTeq Dexamethasone  Ozurdex®
13.05.02 Formulary BlueTeq Dimethyl Fumarate  Skilarence ®
09.01.04 Formulary BlueTeq Eltrombopag 
10.01.03 Formulary BlueTeq Etanercept Benepali®, Enbrel®,Erelzi®
09.05.01.02 Non Formulary BlueTeq Etelcalcetide 
08.01.05 Formulary BlueTeq Everolimus Votubia®
02.12 Formulary BlueTeq Evolocumab Repatha®
11.04.01 Formulary BlueTeq Fluocinolone Iluvien®
04.07.04.02 Formulary BlueTeq Fremanezumab 
04.07.04.02 Formulary BlueTeq Galcanezumab 
01.05.03 Formulary BlueTeq Golimumab Simponi®
10.01.03 Formulary BlueTeq Golimumab Simponi®
14.05 Formulary BlueTeq Human normal immunoglobulin 
03.04.03 Formulary BlueTeq Icatibant Firazyr®
01.05.03 Formulary BlueTeq Infliximab Remsima®Inflectra®Remicade®
10.01.03 Formulary BlueTeq Infliximab Remsima®Inflectra®Remicade®
08.01.05 Formulary BlueTeq Ixazomib 
10.01.03 Formulary BlueTeq Ixekizumab  Taltz®
09.01.04 Formulary BlueTeq Lusutrombopag 
03.04.02 Non Formulary BlueTeq Mepolizumab Nucala®
03.11 Non Formulary BlueTeq Nintedanib Ofev®
01.09.01 Restricted Use BlueTeq Obeticholic acid Ocaliva®
03.04.02 Formulary BlueTeq Omalizumab Xolair®
03.11 Non Formulary BlueTeq Pirfenidone Esbriet®
11.08.02 Formulary BlueTeq Ranibizumab Lucentis®
03.04.02 Non Formulary BlueTeq Reslizumab Cinqaero®
10.01.03 Formulary BlueTeq Rituximab MabThera®,Truxima®
09.01.04 Formulary BlueTeq Romiplostim 
10.01.03 Formulary BlueTeq Sarilumab Kevzara®
10.01.03 Formulary BlueTeq Secukinumab Cosentyx®
10.01.03 Formulary BlueTeq Tocilizumab RoActemra®
01.05.03 Formulary BlueTeq Tofacitinib citrate Xeljanz®
10.01.03 Formulary BlueTeq Tofacitinib citrate Xeljanz®
10.01.03 Formulary BlueTeq Upadacitinib Rinvoq®
01.05.03 Formulary BlueTeq Ustekinumab Stelara®
10.01.03 Formulary BlueTeq Ustekinumab  Stelara®
01.05.03 Formulary BlueTeq Vedolizumab Entyvio ®