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July 12, 2021 PURSUANT TO 13CSR 70-20.030 DRUGS COVERED BY MEDICAID Drugs falling outside the definition of a covered outpatient drug as defined in Section 1927 (k)(2), (k)(3), and (k)(4) of the Social Security Act are excluded. Active Pharmaceutical Ingredients (APIs) and excipients may be considered covered pharmacy services. PURSUANT TO 13CSR 70-20.031 LIST OF DRUGS EXCLUDED FROM COVERAGE UNDER THE MO HEALTHNET PHARMACY PROGRAM Drug or Drug Category Exceptions Reimbursable Drugs used to promote fertility Drugs used to treat sexual dysfunction Drugs used to promote weight loss Drugs used to promote hair growth Drugs used for cosmetic purposes Quazepam Nonlegend Products Limited Coverage of Specific OTC products, available pursuant to a lawful prescription (see list) Key: Green = Products currently under open review. Completion date and conclusion columns are also blank. Blue Bold=Most recent conclusions. Advisory Meeting Month = the month this recommendation will be presented at the quarterly meeting of the Drug PA Committee (Public Hearing) and the quarterly meeting of the Drug Utilization Review (DUR) Board. For additional information on this process please visit http://www.dss.mo.gov/mhd/cs/pharmacy/pdf/newdrug_process.pdf NEW DRUG STATUS Trade Name Strength Dosage Form Date Review Began Date Review Completed Conclusion Advisory Committee Month Kloxxado 8mg Nasal Spray 07/12/2021 Dec/January Nix Ultra Solution 07/05/2021 Dec/January Nymalize 60mg/10ml Solution 07/05/2021 Dec/January Dupixent 200mg/1.14ml Pen 06/28/2021 Sept/Oct Aduhelm 170mg/1.7ml Vial 06/21/2021 Sept/Oct Aduhelm 300mg/3ml Vial 06/21/2021 Sept/Oct Empaveli 1,080mg/20ml Vial 06/21/2021 Sept/Oct Hematogen 66-250-10 Softgel 06/21/2021 Sept/Oct Pancreaze DR 37,000 unit Capsule 06/21/2021 Sept/Oct Regen-Cov 600-600mg/10ml Vial 06/21/2021 Sept/Oct Trikafta 50-25-37.5mg/75mg Tablet 06/21/2021 Sept/Oct Cosentyx 75mg/0.5ml Syringe 06/14/2021 Sept/Oct Myfembree 40mg-1mg-0.5mg Tablet 06/07/2021 Sept/Oct Sotrovimab 500mg/8ml Vial 06/07/2021 Sept/Oct Kimyrsa 1,200mg Vial 05/31/2021 Sept/Oct Definity RT 0.65mg/ml Vial 05/24/2021 Sept/Oct Pancreaze DR 2,600 unit Capsule 05/24/2021 Sept/Oct

PURSUANT TO 13CSR 70-20.030 DRUGS COVERED BY MEDICAID

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Drugs with Coverage Limitations and New Drug Review 07-12-2021PURSUANT TO 13CSR 70-20.030 DRUGS COVERED BY MEDICAID
Drugs falling outside the definition of a covered outpatient drug as defined in Section 1927 (k)(2), (k)(3), and (k)(4) of the Social Security Act are excluded. Active Pharmaceutical Ingredients (APIs) and excipients may be considered covered pharmacy services.
PURSUANT TO 13CSR 70-20.031 LIST OF DRUGS EXCLUDED FROM COVERAGE UNDER THE MO HEALTHNET PHARMACY PROGRAM
Drug or Drug Category Exceptions Reimbursable
Drugs used to promote fertility
Drugs used to treat sexual dysfunction
Drugs used to promote weight loss
Drugs used to promote hair growth
Drugs used for cosmetic purposes
Quazepam
products, available pursuant to a
lawful prescription (see list)
Green = Products currently under open review. Completion date and conclusion columns are also blank.
Blue Bold=Most recent conclusions.
Advisory Meeting Month = the month this recommendation will be presented at the quarterly meeting of the Drug PA
Committee (Public Hearing) and the quarterly meeting of the Drug Utilization Review (DUR) Board. For additional
information on this process please visit http://www.dss.mo.gov/mhd/cs/pharmacy/pdf/newdrug_process.pdf
NEW DRUG STATUS
Date
Review
Began
Nix Ultra Solution 07/05/2021 Dec/January
Nymalize 60mg/10ml Solution 07/05/2021 Dec/January
Dupixent 200mg/1.14ml Pen 06/28/2021 Sept/Oct
Aduhelm 170mg/1.7ml Vial 06/21/2021 Sept/Oct
Aduhelm 300mg/3ml Vial 06/21/2021 Sept/Oct
Empaveli 1,080mg/20ml Vial 06/21/2021 Sept/Oct
Hematogen 66-250-10 Softgel 06/21/2021 Sept/Oct
Pancreaze DR 37,000 unit Capsule 06/21/2021 Sept/Oct
Regen-Cov 600-600mg/10ml Vial 06/21/2021 Sept/Oct
Trikafta 50-25-37.5mg/75mg Tablet 06/21/2021 Sept/Oct
Cosentyx 75mg/0.5ml Syringe 06/14/2021 Sept/Oct
Myfembree 40mg-1mg-0.5mg Tablet 06/07/2021 Sept/Oct Sotrovimab 500mg/8ml Vial 06/07/2021 Sept/Oct Kimyrsa 1,200mg Vial 05/31/2021 Sept/Oct
Definity RT 0.65mg/ml Vial 05/24/2021 Sept/Oct Pancreaze DR 2,600 unit Capsule 05/24/2021 Sept/Oct
Skyrizi 150mg/ml Pen 05/17/2021 07/12/2021 PDL Product Sept/Oct
Skyrizi 150mg/ml Syringe 05/17/2021 07/12/2021 PDL Product Sept/Oct
Ingrezza 60mg Capsule 05/10/2021 07/05/2021 PDL Product Sept/Oct
Xcopri 250mg Tablet 05/10/2021 07/05/2021 Clinical Edit Sept/Oct
Elepsia XR 1,000mg Tablet 05/03/2021 06/28/2021 Open Access Sept/Oct
Elepsia XR 1,500mg Tablet 05/03/2021 06/28/2021 Open Access Sept/Oct
Nextstellis 3mg-14.2mg Tablet 05/03/2021 06/28/2021 Open Access Sept/Oct
Zegalogue 0.6mg/0.6ml Auto Injector 05/03/2021 06/28/2021 PDL Product Sept/Oct
Zegalogue 0.6mg/0.6ml Syringe 05/03/2021 06/28/2021 PDL Product Sept/Oct
Reltone 200mg Capsule 04/26/2021 06/21/2021 PDL Product Sept/Oct
Reltone 400mg Capsule 04/26/2021 06/21/2021 PDL Product Sept/Oct
Nulibry 9.5mg Vial 04/19/2021 06/14/2021 Clinical Edit Sept/Oct
Qelbree ER 100mg Capsule 04/19/2021 06/14/2021 PDL Product Sept/Oct
Qelbree ER 150mg Capsule 04/19/2021 06/14/2021 PDL Product Sept/Oct
Qelbree ER 200mg Capsule 04/19/2021 06/14/2021 PDL Product Sept/Oct
Gemtesa 75mg Tablet 04/12/2021 06/07/2021 PDL Product Sept/Oct
Ozobax 5mg/5ml Solution 04/12/2021 06/07/2021 PDL Product Sept/Oct
Qdolo 5mg/ml Solution 04/12/2021 06/07/2021 PDL Product Sept/Oct
Abecma 460X10EXP6 Infusion Bag 04/05/2021 05/31/2021 Clinical Edit Sept/Oct
Barhemsys 10mg/4ml Vial 04/05/2021 05/31/2021 PDL Product Sept/Oct
Fluorescein-Benoxin 0.3%-0.4% Drops 04/05/2021 05/31/2021 Open Access Sept/Oct
Methadone 5mg/0.5ml Oral Syringe 04/05/2021 05/31/2021 Clinical Edit Sept/Oct
Abilify Mycite 2mg Starter Kit 03/29/2021 05/24/2021 Reference Product
June/July
June/July
June/July
June/July
June/July
June/July
June/July
June/July
June/July
June/July
June/July
June/July
Ponvory 20mg Tablet 03/29/2021 05/24/2021 PDL Product June/July
Glyrx-PF 0.6mg/3ml Syringe 03/22/2021 05/17/2021 Open Access June/July
Tyblume 0.1mg-0.02mg Tablet 03/22/2021 05/17/2021 Open Access June/July
Breyanzi 70x 10exp6 Vial 03/15/2021 05/10/2021 Clinical Edit June/July
Breyanzi CD4 Component 70x 10exp6 Vial 03/15/2021 05/10/2021 Clinical Edit June/July
Breyanzi CD8 Component 70x 10exp6 Vial 03/15/2021 05/10/2021 Clinical Edit June/July
Cosela 300mg Vial 03/15/2021 05/10/2021 PDL Product June/July
Regen-Cov (EUA) 1200mg-1200mg Vial 03/15/2021 05/10/2021 Open Access June/July
Regen-Cov (EUA) 1200mg-1332mg Vial 03/15/2021 05/10/2021 Open Access June/July
Regen-Cov (EUA) 1332mg-1200mg Vial 03/15/2021 05/10/2021 Open Access June/July
Regen-Cov (EUA) 1332mg-1332mg Vial 03/15/2021 05/10/2021 Open Access June/July
Amondys-45 100mg/2ml Vial 03/08/2021 05/03/2021 Clinical Edit June/July
Hetlioz LQ 4mg/ml Suspension 03/08/2021 05/03/2021 PDL Product June/July
Plegridy 125mcg/0.5ml Syringe 03/08/2021 05/03/2021 PDL Product June/July
Xtandi 40mg Tablet 03/08/2021 05/03/2021 PDL Product June/July
Xtandi 80mg Tablet 03/08/2021 05/03/2021 PDL Product June/July
Gamifant 100mg/20ml Vial 03/01/2021 04/26/2021 Clinical Edit June/July
Imcivree 10mg/ml Vial 03/01/2021 04/26/2021 Clinical Edit June/July
Ozempic 1mg/0.75ml Pen 03/01/2021 04/26/2021 PDL Product June/July
Etesevimab 700mg/20ml Vial 02/22/2021 04/19/2021 Open Access June/July
Evkeeza 345mg/2.3ml Vial 02/22/2021 04/19/2021 PDL Product June/July
Evkeeza 1,200mg/8ml Vial 02/22/2021 04/19/2021 PDL Product June/July
Glyrx-PF 1mg/5ml Syringe 02/15/2021 04/12/2021 Open Access June/July
Xeljanz 1mg/ml Solution 02/15/2021 04/12/2021 PDL Product June/July
Zokinvy 50mg Capsule 02/15/2021 04/12/2021 Clinical Edit June/July
Zokinvy 75mg Capsule 02/15/2021 04/12/2021 Clinical Edit June/July
Bronchitol 40mg Inhaled Capsule 02/08/2021 04/05/2021 PA Continued June/July
Vocabria 30mg Tablet 02/08/2021 04/05/2021 PA Continued June/July
Cabenuva 400mg/600mg
June/July
June/July
Lupkynis 7.9mg Capsule 02/01/2021 03/29/2021 PA Continued June/July
Verquvo 2.5mg Tablet 02/01/2021 03/29/2021 Clinical Edit June/July
Verquvo 5mg Tablet 02/01/2021 03/29/2021 Clinical Edit June/July
Verquvo 10mg Tablet 02/01/2021 03/29/2021 Clinical Edit June/July
Vesicare LS 5mg/5ml Suspension 02/01/2021 03/29/2021 PDL Product June/July
Ongentys 25mg Capsule 01/25/2021 03/22/2021 Open Access June/July
Orgovyx 120mg Tablet 01/25/2021 03/22/2021 Open Access June/July
Reditrex 7.5mg/0.3ml Syringe 01/25/2021 03/22/2021 PDL Product June/July
Reditrex 10mg/0.4ml Syringe 01/25/2021 03/22/2021 PDL Product June/July
Reditrex 12.5mg/0.5ml Syringe 01/25/2021 03/22/2021 PDL Product June/July
Reditrex 15mg/0.6ml Syringe 01/25/2021 03/22/2021 PDL Product June/July
Reditrex 17.5mg/0.7ml Syringe 01/25/2021 03/22/2021 PDL Product June/July
Reditrex 20mg/0.8ml Syringe 01/25/2021 03/22/2021 PDL Product June/July
Reditrex 22.5mg/0.9ml Syringe 01/25/2021 03/22/2021 PDL Product June/July
Reditrex 25mg/ml Syringe 01/25/2021 03/22/2021 PDL Product June/July
Olinvyk 1mg/ml Vial 01/11/2021 03/08/2021 Open Access June/July
Olinvyk 2mg/2ml Vial 01/11/2021 03/08/2021 Open Access June/July
Olinvyk 30mg/30ml Vial 01/11/2021 03/08/2021 Open Access June/July
Thyquidity 100mcg/5ml Solution 01/11/2021 03/08/2021 PA Continued June/July
Orladeyo 110mg Capsule 12/14/2020 02/08/2021 PDL Product March/April
Orladeyo 150mg Capsule 12/14/2020 02/08/2021 PDL Product March/April
Dificid 40mg/ml Suspension 12/07/2020 02/01/2021 PDL Product March/April
Nyvepria 6mg/0.6ml Syringe 12/07/2020 02/01/2021 PDL Product March/April
Oxlumo 94.5mg/0.5ml Vial 12/07/2020 02/01/2021 Clinical Edit March/April
Retacrit 20,000unit/ml Vial 12/07/2020 02/01/2021 PDL Product March/April
Casirivimab 300mg/2.5ml Vial 11/30/2020 01/25/2021 Open Access March/April
Casirivimab 1,332mg/11.1ml Vial 11/30/2020 01/25/2021 Open Access March/April
Eysuvis 0.25% Drops 11/30/2020 01/25/2021 PDL Product March/April
Imdevimab 300mg/2.5ml Vial 11/30/2020 01/25/2021 Open Access March/April
Imdevimab 1,332mg/11.1ml Vial 11/30/2020 01/25/2021 Open Access March/April
Retacrit 20,000unit/2ml Vial 11/30/2020 01/25/2021 PDL Product March/April
Monoferric 1,000mg/10ml Vial 11/23/2020 01/18/2021 Step Therapy March/April
Sutab 1.479-0.225-0.188gm Tablet 11/23/2020 01/18/2021 Fiscal Edit March/April
Veklury 100mg Vial 11/23/2020 01/18/2021 PA Continued March/April
Barhemsys 5mg/2ml Vial 11/09/2020 01/04/2021 PDL Product March/April
Impeklo 0.05% Lotion 11/09/2020 01/04/2021 PDL Product March/April
Twirla 120-30mcg/day Patch 11/02/2020 12/28/2020 Fiscal Edit March/April
Uplizna 100mg/10ml Vial 11/02/2020 12/28/2020 Clinical Edit March/April
Epclusa 200/50mg Tablet 10/26/2020 12/21/2020 PDL Product March/April
Ultomiris 300mg/3ml Vial 10/26/2020 12/21/2020 PA Continued March/April
Ultomiris 1,100mg/11ml Vial 10/26/2020 12/21/2020 PA Continued March/April
Alkindi Sprinkle 0.5mg Capsule 10/19/2020 12/14/2020 PA Continued March/April
Alkindi Sprinkle 1mg Capsule 10/19/2020 12/14/2020 PA Continued March/April
Alkindi Sprinkle 2mg Capsule 10/19/2020 12/14/2020 PA Continued March/April
Alkindi Sprinkle 5mg Capsule 10/19/2020 12/14/2020 PA Continued March/April
Trelegy Ellipta 200-62.5-25mcg Inhaler 10/12/2020 12/07/2020 PDL Product March/April
Xerava 100mg Vial 10/05/2020 11/30/2020 PDL Product March/April
Xywav 0.5gm/ml Solution 09/28/2020 11/23/2020 Clinical Edit Dec/January
Armonair Digihaler 55mcg Inhaler 09/21/2020 11/16/2020 PDL Product Dec/January
Armonair Digihaler 113mcg Inhaler 09/21/2020 11/16/2020 PDL Product Dec/January
Armonair Digihaler 232mcg Inhaler 09/21/2020 11/16/2020 PDL Product Dec/January
Hemady 20mg Tablet 09/21/2020 11/16/2020 PA Continued Dec/January
Lampit 30mg Tablet 09/21/2020 11/16/2020 Open Access Dec/January
Lampit 120mg Tablet 09/21/2020 11/16/2020 Open Access Dec/January
Natesto 5.5mg/0.122gm Nasal Spray 09/21/2020 11/16/2020 PDL Product Dec/January
Cystadrops 0.37% Drops 09/14/2020 11/09/2020 Open Access Dec/January
Trulicity 4.5mg/0.5ml Pen 09/14/2020 11/09/2020 PDL Product Dec/January
Trulicity 3mg/0.5ml Pen 09/14/2020 11/09/2020 PDL Product Dec/January
Akynzeo 235-0.25mg/20ml Vial 09/07/2020 11/02/2020 PDL Product Dec/January
Ongentys 50mg Capsule 09/07/2020 11/02/2020 Open Access Dec/January
Phexxi 1.8-1-0.4% Gel 09/07/2020 11/02/2020 Open Access Dec/January
Viltepso 250mg/5ml Vial 09/07/2020 11/02/2020 Clinical Edit Dec/January
Airduo Digihaler 55-14mcg Inhaler 08/31/2020 10/26/2020 PDL Product Dec/January
Airduo Digihaler 113-14mcg Inhaler 08/31/2020 10/26/2020 PDL Product Dec/January
Airduo Digihaler 232-14mcg Inhaler 08/31/2020 10/26/2020 PDL Product Dec/January
Kesimpta 20mg/0.4ml Pen 08/31/2020 10/26/2020 PDL Product Dec/January
Enspryng 120mg/ml Syringe 08/24/2020 10/19/2020 Clinical Edit Dec/January
Vancomycin 750mg/150ml Bag 08/24/2020 10/19/2020 Open Access Dec/January
Vancomycin 1.25gm/250ml Bag 08/24/2020 10/19/2020 Open Access Dec/January
Vancomycin 1.75gm/350ml Bag 08/24/2020 10/19/2020 Open Access Dec/January
Evrysdi 0.75mg/ml Solution 08/17/2020 10/12/2020 Clinical Edit Dec/January
Mycapssa DR 20mg Capsule 08/17/2020 10/12/2020 Open Access Dec/January
Bafiertam DR 95mg Capsule 08/10/2020 10/05/2020 PDL Product Dec/January
Breztri Aerosphere 160-9-4.8mcg Inhaler 08/10/2020 10/05/2020 PDL Product Dec/January
Enbrel 25mg/0.5ml Vial 08/03/2020 09/28/2020 PDL Product Dec/January
Tecartus Infusion Bag 08/03/2020 09/28/2020 Clinical Edit Dec/January
Ortikos ER 6mg Capsule 07/27/2020 09/21/2020 PDL Product Dec/January
Ortikos ER 9mg Capsule 07/27/2020 09/21/2020 PDL Product Dec/January
Dojolvi 8.3KCAL/ml Liquid 07/20/2020 09/14/2020 Open Access Dec/January
Sirturo 20mg Tablet 07/20/2020 09/14/2020 Open Access Dec/January
Dupixent 300mg/2ml Pen 07/13/2020 09/07/2020 PDL Product Dec/January
Fintepla 2.2mg/ml Solution 07/13/2020 09/07/2020 Clinical Edit Dec/January
Rukobia ER 600mg
Tablet 07/13/2020 09/07/2020
Kynmobi 10mg Sublingual Film 06/15/2020 08/10/2020 PDL Product Sept/Oct
Kynmobi 15mg Sublingual Film 06/15/2020 08/10/2020 PDL Product Sept/Oct
Kynmobi 20mg Sublingual Film 06/15/2020 08/10/2020 PDL Product Sept/Oct
Kynmobi 25mg Sublingual Film 06/15/2020 08/10/2020 PDL Product Sept/Oct
Kynmobi 30mg Sublingual Film 06/15/2020 08/10/2020 PDL Product Sept/Oct
Zilxi 1.5% Foam 06/15/2020 08/10/2020 PDL Product Sept/Oct
Oriahnn 300-1-0.5mg/300mg Capsule 06/08/2020 08/03/2020 Clinical Edit Sept/Oct
Avsola 100mg Vial 06/01/2020 07/27/2020 PDL Product Sept/Oct
Harvoni 33.75mg-150mg Pellet Pack 06/01/2020 07/27/2020 PDL Product Sept/Oct
Harvoni 45mg-200mg Pellet Pack 06/01/2020 07/27/2020 PDL Product Sept/Oct
Nexlizet 180mg-10mg Tablet 06/01/2020 07/27/2020 PDL Product Sept/Oct
Sovaldi 150mg Pellet Pack 06/01/2020 07/27/2020 PDL Product Sept/Oct
Sovaldi 200mg Pellet Pack 06/01/2020 07/27/2020 PDL Product Sept/Oct
Zeposia 0.23mg-0.46mg Starter Pack 06/01/2020 07/27/2020 PDL Product Sept/Oct
Zeposia 0.23-0.46-0.92mg Kit 06/01/2020 07/27/2020 PDL Product Sept/Oct
Zeposia 0.92mg Capsule 06/01/2020 07/27/2020 PDL Product Sept/Oct
Xcopri 50mg Tablet 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Xcopri 100mg Tablet 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Xcopri 150mg Tablet 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Xcopri 200mg Tablet 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Xcopri 12.5mg-25mg Tab Titration Pk 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Xcopri 50mg-100mg Tab Titration Pk 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Xcopri 150mg-200mg Tab Titration Pk 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Xcopri 250mg Daily Dose Tablet 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Xcopri 350mg Daily Dose Tablet 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Dilaudid 0.2mg/ml Syringe 05/25/2020 07/20/2020 Open Access Sept/Oct
Jynarque 15mg-15mg Tablet 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Jynarque 30mg-15mg Tablet 05/25/2020 07/20/2020 Clinical Edit Sept/Oct
Licart 1.3% Patch 05/25/2020 07/20/2020 PDL Product Sept/Oct
Osmolex ER 322mg/Day Tablet 05/25/2020 07/20/2020 PDL Product Sept/Oct
Durysta 10mcg Implant 05/18/2020 07/13/2020 PDL Product Sept/Oct
Dayvigo 5mg Tablet 05/11/2020 07/06/2020 PDL Product Sept/Oct
Dayvigo 10mg Tablet 05/11/2020 07/06/2020 PDL Product Sept/Oct
Fensolvi 45mg Syringe 05/11/2020 07/09/2020 Open Access Sept/Oct
Nymalize 30mg/5ml Oral Syringe 05/11/2020 07/06/2020 PDL Product Sept/Oct
Nymalize 60mg/10ml Oral Syringe 05/11/2020 07/06/2020 PDL Product Sept/Oct
Isturisa 1mg Tablet 04/20/2020 06/15/2020 Clinical Edit Sept/Oct
Isturisa 5mg Tablet 04/20/2020 06/15/2020 Clinical Edit Sept/Oct
Isturisa 10mg Tablet 04/20/2020 06/15/2020 Clinical Edit Sept/Oct
Koselugo 10mg Capsule 04/20/2020 06/15/2020 Clinical Edit Sept/Oct
Koselugo 25mg Capsule 04/20/2020 06/15/2020 Clinical Edit Sept/Oct
Anjeso 30mg/ml Vial 04/13/2020 06/08/2020 Open Access Sept/Oct
Hizentra 1gm/5ml Syringe 04/13/2020 06/08/2020 Open Access Sept/Oct
Hizentra 2gm/10ml Syringe 04/13/2020 06/08/2020 Open Access Sept/Oct
Hizentra 4gm/20ml Syringe 04/13/2020 06/08/2020 Open Access Sept/Oct
Ajovy 225mg/1.5ml Auto Injector 04/06/2020 06/01/2020 PDL Product Sept/Oct
Nexletol 180mg Tablet 04/06/2020 06/01/2020 PDL Product Sept/Oct
Promacta 25mg Suspension Pckt 04/06/2020 06/01/2020 PDL Product Sept/Oct
Talicia DR 10-250-12.5mg Capsule 03/30/2020 05/25/2020 Fiscal Edit June/July
Teriparatide 620mcg/2.48ml Pen 03/30/2020 05/25/2020 Clinical Edit June/July
Xepi 1% Cream 03/30/2020 05/25/2020 PA Continued June/July
Arazlo 0.045% Lotion 03/23/2020 05/18/2020 PDL Product June/July
Caplyta 42mg Capsule 03/23/2020 05/18/2020 Clinical Edit June/July
Nurtec ODT 75mg Tablet 03/23/2020 05/18/2020 PDL Product June/July
Palforzia Initial Dose Pack 0.5mg to 6mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 3mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 6mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 12mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 20mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 40mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 80mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 120mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 160mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 200mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 240mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Palforzia 300mg Tablet 03/23/2020 05/18/2020 Clinical Edit June/July
Zerviate 0.24% Eye Drop 03/23/2020 05/18/2020 PDL Product June/July
Potassium Phosphates 3mmol/ml Vial 03/16/2020 05/11/2020 Open Access June/July
Trijardy XR 5-2.5-1000mg Tablet 03/16/2020 05/11/2020 PDL Product June/July
Trijardy XR 12.5-2.5-1000mg Tablet 03/16/2020 05/11/2020 PDL Product June/July
Trijardy XR 10-5-1000mg Tablet 03/16/2020 05/11/2020 PDL Product June/July
Trijardy XR 25-5-1000mg Tablet 03/16/2020 05/11/2020 PDL Product June/July
Valtoco 5mg Nasal Spray 03/09/2020 05/04/2020 PA Continued June/July
Valtoco 10mg Nasal Spray 03/09/2020 05/04/2020 PA Continued June/July
Valtoco 15mg Nasal Spray 03/09/2020 05/04/2020 PA Continued June/July
Valtoco 20mg Nasal Spray 03/09/2020 05/04/2020 PA Continued June/July
Vyepti 100mg/ml Vial 03/09/2020 05/04/2020 PDL Product June/July
Jatenzo 158mg Capsule 03/02/2020 04/27/2020 PDL Product June/July
Jatenzo 198mg Capsule 03/02/2020 04/27/2020 PDL Product June/July
Jatenzo 237mg Capsule 03/02/2020 04/27/2020 PDL Product June/July
Bivalirudin 250mg/50ml Vial 02/24/2020 04/20/2020 Open Access June/July
Procysbi DR 75mg Granule Pack 02/24/2020 04/20/2020 PA Continued June/July
Procysbi DR 300mg Granule Pack 02/24/2020 04/20/2020 PA Continued June/July
Fetroja 1gm Vial 02/17/2020 04/13/2020 Open Access June/July
Tramadol Hcl 100mg Tablet 02/17/2020 04/13/2020 PDL Product June/July
Reyvow 50mg Tablet 02/10/2020 04/06/2020 PDL Product June/July
Reyvow 100mg Tablet 02/10/2020 04/06/2020 PDL Product June/July
Asmanex HFA 50mcg Inhaler 02/03/2020 03/30/2020 PDL Product June/July
Dulera 50mcg-5mcg Inhaler 02/03/2020 03/30/2020 PDL Product June/July
Riomet ER 500mg/5ml Suspension 02/03/2020 03/30/2020 PDL Product June/July
Amzeeq 4% Foam 01/27/2020 03/23/2020 PDL Product June/July
Tepezza 500mg Vial 01/27/2020 03/23/2020 PA Continued June/July
Glucagon 1mg Kit 01/20/2020 03/16/2020 PA Continued June/July
Quzyttir 10mg/ml Vial 01/20/2020 03/16/2020 PDL Product June/July
Ubrelvy 50mg Tablet 01/20/2020 03/16/2020 PDL Product June/July
Ubrelvy 100mg Tablet 01/20/2020 03/16/2020 PDL Product June/July
Xeljanz XR 22mg Tablet 01/20/2020 03/16/2020 PDL Product June/July
Divigel 1.25mg Gel Packet 01/13/2020 03/09/2020 Open Access June/July
Recarbrio 1.25gm Vial 01/13/2020 03/09/2020 Open Access June/July
Absorica LD 8mg Capsule 01/06/2020 03/02/2020 PA Continued June/July
Absorica LD 16mg Capsule 01/06/2020 03/02/2020 PA Continued June/July
Absorica LD 24mg Capsule 01/06/2020 03/02/2020 PA Continued June/July
Absorica LD 32mg Capsule 01/06/2020 03/02/2020 PA Continued June/July
Lanoxin 100mcg/ml Vial 12/23/2019 02/17/2020 Open Access March/April
Lanoxin 500mcg/2ml Vial 12/23/2019 02/17/2020 Open Access March/April
Secuado 3.8mg/24hr Patch 12/23/2019 02/17/2020 Reference List March/April
Secuado 5.7mg/24hr 3.8mg/24hr 12/23/2019 02/17/2020 Reference List March/April
Secuado 7.6mg/24hr 3.8mg/24hr 12/23/2019 02/17/2020 Reference List March/April
Vyondys-53 100mg/2ml Vial 12/23/2019 02/17/2020 Clinical Edit March/April
Egrifta SV 2mg Vial 12/16/2019 02/10/2020 PDL Product March/April
Eylea 2mg/0.05ml Vial 12/09/2019 02/03/2020 Open Access March/April
Oxbryta 500mg Tablet 12/09/2019 02/03/2020 Clinical Edit March/April
Givlaari 189mg/ml Vial 12/02/2019 01/27/2020 Clinical Edit March/April
Adakveo 100mg/10ml Vial 11/25/2019 01/20/2020 PA Continued March/April
Asceniv 10% Vial 11/25/2019 01/20/2020 Open Access March/April
Nplate 125mcg Vial 11/25/2019 01/20/2020 PDL Product March/April
Pretomanid 200mg Tablet 11/18/2019 01/13/2020 Open Access March/April
Ziextenzo 6mg/0.6ml Syringe 11/18/2019 01/13/2020 PDL Product March/April
Reblozyl 25mg Vial 11/18/2019 01/13/2020 PA Continued March/April
Reblozyl 75mg Vial 11/18/2019 01/13/2020 PA Continued March/April
Dexamethasone 10mg/ml Syringe 11/11/2019 01/06/2020 Open Access March/April
Olumiant 1mg Tablet 11/11/2019 01/06/2020 PDL Product March/April
Vumerity 231mg Capsule 11/11/2019 01/06/2020 PDL Product March/April
Wakix 4.45mg Tablet 11/11/2019 01/06/2020 Clinical Edit March/April
Wakix 17.8mg Tablet 11/11/2019 01/06/2020 Clinical Edit March/April
Gloperba 0.6mg/5ml Solution 11/04/2019 12/30/2019 PDL Product March/April
Trikafta 100/50/75mg-150mg Tablet 10/28/2019 12/23/2019 Clinical Edit March/April
Gvoke 0.5mg/0.1ml Syringe 10/21/2019 12/16/2019 PDL Product March/April
Gvoke 1mg/0.2ml Syringe 10/21/2019 12/16/2019 PDL Product March/April
Gvoke Hypopen 0.5mg/0.1ml Auto Injector 10/21/2019 12/16/2019 PDL Product March/April
Gvoke Hypopen 1mg/0.2ml Auto Injector 10/21/2019 12/16/2019 PDL Product March/April
Tovet 0.05% Foam 10/21/2019 12/16/2019 PDL Product March/April
Proair Digihaler 90mcg Inhaler 10/21/2019 12/16/2019 PDL Product March/April
Vancomycin 500mg/100ml Bag 10/21/2019 12/16/2019 Open Access March/April
Xembify 1g/5ml Vial 10/14/2019 12/09/2019 Open Access March/April
Xembify 2g/10ml Vial 10/14/2019 12/09/2019 Open Access March/April
Xembify 4g/20ml Vial 10/14/2019 12/09/2019 Open Access March/April
Xembify 10g/50ml Vial 10/14/2019 12/09/2019 Open Access March/April
Harvoni 45mg-200mg Tablet 10/14/2019 12/09/2019 PDL Product March/April
Sovaldi 200mg Tablet 10/14/2019 12/09/2019 PDL Product March/April
Aklief 0.005% Cream 10/14/2019 12/09/2019 PDL Product March/April
Fasenra 30mg/ml Auto Injector 10/14/2019 12/09/2019 PDL Product March/April
Beouvu 6mg/0.05ml Vial 10/14/2019 12/09/2019 Open Access March/April
Drizalma Sprinkle 20 mg Capsule 10/07/2019 12/02/2019 PDL Product March/April
Drizalma Sprinkle 30 mg Capsule 10/07/2019 12/02/2019 PDL Product March/April
Drizalma Sprinkle 40 mg Capsule 10/07/2019 12/02/2019 PDL Product March/April
Drizalma Sprinkle 60 mg Capsule 10/07/2019 12/02/2019 PDL Product March/April
Relafen DS 1000 mg Tablet 10/07/2019 12/02/2019 PDL Product March/April
Diluent for Lefamulin Plastic Bag 09/30/2019 11/25/2019 PA Continued Dec/January
Duaklir Pressair 400-12 MCG Inhalation Powder 09/30/2019 11/25/2019 PDL Product Dec/January
Fiasp Penfill 100U/ml Cartridge 09/30/2019 11/25/2019 PDL Product Dec/January
Nourianz 20 mg Tablet 09/30/2019 11/25/2019 PA Continued Dec/January
Nourianz 40 mg Tablet 09/30/2019 11/25/2019 PA Continued Dec/January
Rybelsus 3 mg Tablet 09/30/2019 11/25/2019 PDL Product Dec/January
Rybelsus 7 mg Tablet 09/30/2019 11/25/2019 PDL Product Dec/January
Rybelsus 14 mg Tablet 09/30/2019 11/25/2019 PDL Product Dec/January
Xenleta 600 mg Tablet 09/30/2019 11/25/2019 PA Continued Dec/January
Xenleta 150 mg/15 ml Vial 09/30/2019 11/25/2019 PA Continued Dec/January
Heparin Sodium 5000U/ml Syringe 09/23/2019 11/18/2019 Open Access Dec/January
Memantine HCL 10 mg/5 ml Solution 09/23/2019 11/18/2019 PDL Product Dec/January
Tosymra 10 mg Nasal Spray 09/23/2019 11/18/2019 PDL Product Dec/January
Nayzilam 5 mg Nasal Spray 09/16/2019 11/11/2019 PA Continued Dec/January
Vyndamax 61 mg Capsule 09/02/2019 10/28/2019 Clinical Edit Dec/January
Rinvoq ER 15 mg Tablet 08/26/2019 10/21/2019 PDL Product Dec/January
Cuvitru 10 mg/50 ml Vial 08/26/2019 10/21/2019 Open Access Dec/January
Ferriprox 1000 mg Tablet 08/19/2019 10/14/2019 Open Access Dec/January
Corlanor 5 mg/5ml Solution 08/19/2019 10/14/2019 Clinical Edit Dec/January
Baqsimi 3 mg Spray 08/05/2019 09/30/2019 Open Access Dec/January
Adhansia XR 25 mg Capsule 07/29/2019 09/23/2019 PDL Product Dec/January
Adhansia XR 35 mg Capsule 07/29/2019 09/23/2019 PDL Product Dec/January
Adhansia XR 45 mg Capsule 07/29/2019 09/23/2019 PDL Product Dec/January
Adhansia XR 55 mg Capsule 07/29/2019 09/23/2019 PDL Product Dec/January
Adhansia XR 70 mg Capsule 07/29/2019 09/23/2019 PDL Product Dec/January
Adhansia XR 85 mg Capsule 07/29/2019 09/23/2019 PDL Product Dec/January
Vancomycin 2 gram/400 ml Bag 07/29/2019 09/23/2019 Open Access Dec/January
Katerzia 1 mg/ml Suspension 07/29/2019 09/23/2019 PDL Product Dec/January
Slynd 4 mg Tablet 07/15/2019 09/09/2019 Open Access Dec/January
Symjepi 0.15 mg/0.3 ml Syringe 07/15/2019 09/09/2019 PDL Product Dec/January
Thiola EC 100 mg Tablet 07/15/2019 09/09/2019 PA Continued Dec/January
Thiola EC 300 mg Tablet 07/15/2019 09/09/2019 PA Continued Dec/January
Eveko ODT 5 mg ODT Tablet 07/08/2019 09/02/2019 PDL Product Dec/January
Eveko ODT 10 mg ODT Tablet 07/08/2019 09/02/2019 PDL Product Dec/January
Eveko ODT 15 mg ODT Tablet 07/08/2019 09/02/2019 PDL Product Dec/January
Eveko ODT 20 mg ODT Tablet 07/08/2019 09/02/2019 PDL Product Dec/January
Sunosi 75 mg Tablet 07/08/2019 09/02/2019 Clinical Edit Dec/January
Sunosi 150 mg Tablet 07/08/2019 09/02/2019 Clinical Edit Dec/January
Pyridostigmine BR 30 mg Tablet 07/01/2019 08/26/2019 PA Continued Dec/January
Ezallor Sprinkle 5 mg Capsule 07/01/2019 08/26/2019 PDL Product Dec/January
Ezallor Sprinkle 10 mg Capsule 07/01/2019 08/26/2019 PDL Product Dec/January
Ezallor Sprinkle 20 mg Capsule 07/01/2019 08/26/2019 PDL Product Dec/January
Ezallor Sprinkle 40 mg Capsule 07/01/2019 08/26/2019 PDL Product Dec/January
Symdeko 50/75 mg-75 mg Tablets 07/01/2019 08/26/2019 Clinical Edit Dec/January
Abilify Mycite 2 mg Kit 07/01/2019 08/26/2019 Clinical Edit Dec/January
Abilify Mycite 5 mg Kit 07/01/2019 08/26/2019 Clinical Edit Dec/January
Abilify Mycite 10 mg Kit 07/01/2019 08/26/2019 Clinical Edit Dec/January
Abilify Mycite 15 mg Kit 07/01/2019 08/26/2019 Clinical Edit Dec/January
Abilify Mycite 20 mg Kit 07/01/2019 08/26/2019 Clinical Edit Dec/January
Abilify Mycite 30 mg Kit 07/01/2019 08/26/2019 Clinical Edit Dec/January
Zulresso 100 mg/20ml Vial 07/01/2019 08/26/2019 PA Continued Dec/January
Kenalog-80 80 mg/ml Vial 06/24/2019 08/19/2019 Open Access Sept/October
Qtern 5 mg-5mg Tablet 06/24/2019 08/19/2019 PDL Product Sept/October
Dextenza 0.4 mg Insert 06/24/2019 08/19/2019 PDL Product Sept/October
Lidopure 5% Patch/Kit 06/17/2019 08/12/2019 Fiscal Edit Sept/October
Nucala 100 mg/ml Syringe 06/17/2019 08/12/2019 PDL Product Sept/October
Nucala 100 mg/ml Auto-Injector 06/17/2019 08/12/2019 PDL Product Sept/October
Nuvakaan 2.5%-2.5% Kit 06/17/2019 08/12/2019 PDL Edit Sept/October
Jornay PM 20 mg Capsule 06/17/2019 08/12/2019 PDL Product Sept/October
Jornay PM 40 mg Capsule 06/17/2019 08/12/2019 PDL Product Sept/October
Jornay PM 60 mg Capsule 06/17/2019 08/12/2019 PDL Product Sept/October
Jornay PM 80 mg Capsule 06/17/2019 08/12/2019 PDL Product Sept/October
Jornay PM 100 mg Capsule 06/17/2019 08/12/2019 PDL Product Sept/October
Zolgensma 2.6-3.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 3.1-3.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 3.6-4.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 4.1-4.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 4.6-5.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 5.1-5.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 5.6-6.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 6.1-6.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 6.6-7.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 7.1-7.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 7.6-8.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 8.1-8.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 8.6-9.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 9.1-9.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 9.6-10.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 10.1-10.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 10.6-11.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 11.1-11.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 11.6-12.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 12.1-12.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 12.6-13.0 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept/October
Zolgensma 13.1-13.5 kg Kit 06/17/2019 08/12/2019 Clinical Edit Sept-October
Ruzurgi 10 mg Tablet 06/10/2019 08/05/2019 Clinical Edit Sept/October
Emgality 100 mg/ml Syringe 06/10/2019 08/05/2019 PDL Product Sept/October
Levothyroxine 100 mcg/5 ml Vial 06/03/2019 07/29/2019 Open Access Sept/October
Levothyroxine 200 mcg/5 ml Vial 06/03/2019 07/29/2019 Open Access Sept/October
Levothyroxine 500 mcg/5 ml Vial 06/03/2019 07/29/2019 Open Access Sept/October
Triferic 27.2 mg/5 ml Ampule 06/03/2019 07/29/2019 Open Access Sept/October
Egaten 250 mg Tablet 05/27/2019 07/22/2019 Open Access Sept/October
Beser 0.05% Kit 05/27/2019 07/22/2019 Fiscal Edit Sept/October
Cutaquig 16.5% Vial 05/20/2019 07/15/2019 Open Access Sept/October
Vyndaqel 20 mg Capsule 05/13/2019 07/08/2019 Clinical Edit Sept/October
Skyrizi 150 mg 2 Syringes Kit 05/06/2019 07/01/2019 PDL Product Sept/October
Duobrii 0.01%-0.045% Lotion 05/06/2019 07/01/2019 PDL Product Sept/October
Kalydeco 25 mg Granules Packet 05/06/2019 07/01/2019 Clinical Edit Sept/October
Bevyxxa 80 mg Capsule 05/06/2019 07/01/2019 PDL Product Sept/October
Bevyxxa 40 mg Capsule 05/06/2019 07/01/2019 PDL Product Sept/October
Heparin SOD 5,000 Unit/0.5 ml Syringe 04/29/2019 06/24/2019 Open Access Sept/October
Plenamine 15% Solution 04/29/2019 06/24/2019 Open Access Sept/October
Skyrizi 75 mg/0.83 ml Syringe 04/29/2019 06/24/2019 PDL Product Sept/October
Ingrezza 40mg – 80 mg Pack 04/29/2019 06/24/2019 PA Continued Sept/October
Diacomit 250 mg Capsule 04/22/2019 06/17/2019 Clinical Edit Sept/October
Diacomit 500 mg Capsule 04/22/2019 06/17/2019 Clinical Edit Sept/October
Diacomit 250 mg Powder Packet 04/22/2019 06/17/2019 Clinical Edit Sept/October
Diacomit 500 mg Powder Packet 04/22/2019 06/17/2019 Clinical Edit Sept/October
Evenity 210 mg 2 Syringe Pack 04/15/2019 06/10/2019 PA Continued Sept/October
Evenity 105 mg/1.17 ml Syringe 04/15/2019 06/10/2019 PA Continued Sept/October
Mavenclad 10 mg Tablet 04/08/2019 06/03/2019 PDL Product Sept/October
Rocklatan 0.02%-0.005% Eye Drop 04/01/2019 05/27/2019 PDL Product Sept/October
Mayzent 2 mg Tablet 04/01/2019 05/27/2019 PDL Product Sept/October
Mayzent 0.25 mg Tablet 04/01/2019 05/27/2019 PDL Product Sept/October
Mayzent 0.25 mg Pack 04/01/2019 05/27/2019 PDL Product Sept/October
Dxevo 11 Day 1.5 mg Tablet 03/25/2019 05/20/2019 PA Continued June/July
Aimovig 140 mg/ml Auto Injector 03/25/2019 05/20/2019 PDL Product June/July
Prograf 1 mg Granule Packet 03/18/2019 05/13/2019 Open Access June/July
Prograf 0.2 mg Granule Packet 03/18/2019 05/13/2019 Open Access June/July
Qmiiz ODT 7.5 mg Tablet 03/18/2019 05/13/2019 PDL Product June/July
Qmiiz ODT 15 mg Tablet 03/18/2019 05/13/2019 PDL Product June/July
Glycopyrrolate 0.2 mg/ml Syringe 03/18/2019 05/13/2019 Open Access June/July
Spravato 28 mg Nasal Spray 03/18/2019 05/13/2019 PA Continued June/July
Spravato 56 mg Nasal Spray Kit 03/18/2019 05/13/2019 PA Continued June/July
Spravato 84 mg Nasal Spray Kit 03/18/2019 05/13/2019 PA Continued June/July
Vancomycin 1 gram/200 ml Bag 03/11/2019 05/06/2019 Open Access June/July
Vancomycin 1.5 gram/300 ml Bag 03/11/2019 05/06/2019 Open Access June/July
Dsuvia 30 mcg Sublingual Tablet 03/11/2019 05/06/2019 Clinical Edit June/July
Nivestym 300 mcg/ml Vial 03/04/2019 04/29/2019 Open Access June/July
Nivestym 480 mcg/1.6 ml Vial 03/04/2019 04/29/2019 Open Access June/July
Lotemax SM 0.38% Ophth Gel 03/04/2019 04/29/2019 PDL Product June/July
Cablivi 11 mg Kit 03/04/2019 04/29/2019 PA Continued June/July
Cablivi 11 mg Vial 03/04/2019 04/29/2019 PA Continued June/July
Tirosint-Sol 13 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 25 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 50 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 75 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 88 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 100 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 112 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 125 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 137 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 150 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 175 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tirosint-Sol 200 mcg/ml Solution 02/25/2019 04/22/2019 PA Continued June/July
Tremfya 100 mg/ml Injector 02/25/2019 04/22/2019 PDL Product June/July
Apadaz 4.08-325 mg Tablet 02/18/2019 04/15/2019 Clinical Edit June/July
Apadaz 6.12-325 mg Tablet 02/18/2019 04/15/2019 Clinical Edit June/July
Apadaz 8.16-325 mg Tablet 02/18/2019 04/15/2019 Clinical Edit June/July
Inbrija 42 mg Inhalation Cap 02/18/2019 04/15/2019 PA Continued June/July
Motegrity 1 mg Tablet 02/18/2019 04/15/2019 PDL Product June/July
Motegrity 2 mg Tablet 02/18/2019 04/15/2019 PDL Product June/July
Oxervate 0.002% Eye drop 02/18/2019 04/15/2019 PA Continued June/July
Nuzyra 150 mg Tablet 02/18/2019 04/15/2019 PDL Product June/July
Nuzyra 100 mg Vial 02/18/2019 04/15/2019 PDL Product June/July
Firdapse 10 mg Tablet 02/18/2019 04/15/2019 PA Continued June/July
Levorphanol 3 mg Tablet 02/04/2019 04/01/2019 Clinical Edit June/July
Afrezza 90-8 / 90-12 Unit 02/04/2019 04/01/2019 PDL Product June/July
Krintafel 150 mg Tablet 01/21/2019 03/18/2019 Open Access June/July
Divigel 0.75 Mg Gel 01/21/2019 03/18/2019 Open Access June/July
Escitalopram Oxalate 10mg/10ml Solution 01/21/2019 03/18/2019 Clinical Edit June/July
D-Penamine 125 mg Tablet 01/21/2019 03/18/2019 Open Access June/July
Emgality 120 mg/ml Syringe 01/14/2019 03/11/2019 Clinical Edit June/July
Udenyca 6 mg/0.6 ml Syringe 01/14/2019 03/11/2019 PDL Product June/July
Gamifant 10 mg/2 ml Vial 01/14/2019 03/11/2019 PA Continued June/July
Gamifant 50 mg/10 ml Vial 01/14/2019 03/11/2019 PA Continued June/July
Yutiq 0.18 mg Implant 01/14/2019 03/11/2109 PDL Product June/July
Dexycu 9% Vial 01/14/2019 03/11/2019 PDL Product June/July
Vancomycin HCL 1.25 gram Vial 01/07/2019 03/04/2019 Open Access June/July
Promacta 12.5 mg Suspension 01/07/2019 03/04/2019 PDL Product June/July
Inveltys 1% Eye Drop 01/07/2019 03/04/2019 PDL Product June/July
Ultomiris 300 mg/30 ml Vial 12/31/2018 02/25/2019 PA Continued Mar/April
Tresiba 100 unit/ml Vial 12/31/2018 02/25/2019 PDL Product Mar/April
Actemra Actpen 162 mg/0.9 ml Pen 12/31/2018 02/25/2019 PDL Product Mar/April
Tirosint 175 mcg Capsule 12/24/2018 02/18/2019 PA Continued Mar/April
Tirosint 200 mcg Capsule 12/24/2018 02/18/2019 PA Continued Mar/April
Vancomycin HCL 1.5 gram Vial 12/17/2018 02/11/2019 Open Access Mar/April
Tolsura 65 mg Capsule 12/17/2018 02/11/2019 Clinical Edit Mar/April
Sympazan 5 mg Film 12/17/2018 02/11/2019 Clinical Edit Mar/April
Sympazan 10 mg Film 12/17/2018 02/11/2019 Clinical Edit Mar/April
Sympazan 20 mg Film 12/17/2018 02/11/2019 Clinical Edit Mar/April
Albuminex 5% Vial 12/10/2018 02/04/2019 Open Access Mar/April
Albuminex 25% Vial 12/10/2018 02/04/2019 Open Access Mar/April
Cequa 0.09% Solution 12/10/2018 02/04/2019 Open Access Mar/April
Khapzory 175 mg Vial 12/03/2018 01/28/2019 PA Continued Mar/April
Khapzory 300 mg Vial 12/03/2018 01/28/2019 PA Continued Mar/April
Yupelri 175 mcg/3ml Solution 11/26/2018 01/21/2019 PDL Product Mar/April
Revcovi 2.4 mg/1.5 ml Vial 11/19/2018 01/14/2019 PA Continued Mar/April
Dexmedetomidine 200 mcg/50 ml-D5W IV 11/19/2018 01/14/2019 Open Access Mar/April
Dexmedetomidine 400 mcg/100 ml-D5W IV 11/19/2018 01/14/2019 Open Access Mar/April
Bryhali 0.01% Lotion 11/19/2018 01/14/2019 PDL product Mar/April
Xolair 75 mg/0.5 ml Syringe 11/12/2018 01/07/2019 Clinical Edit Mar/April
Xolair 150 mg/ml Syringe 11/12/2018 01/07/2019 Clinical Edit Mar/April
Siklos 1,000 mg Tablet 11/12/2018 01/07/2019 PA Continued Mar/April
Xelpros 0.005% Drop 11/12/2018 01/07/2019 PDL Product Mar/April
Xyosted 50 mg/0.5 ml Auto Injector 11/12/2018 01/07/2019 PDL Product Mar/April
Xyosted 75 mg/0.5 ml Auto Injector 11/12/2018 01/07/2019 PDL Product Mar/April
Xyosted 100 mg/0.5 ml Auto injector 11/12/2018 01/07/2019 PDL Product Mar/April
Granix 480 mcg/1.6 ml Vial 11/12/2018 01/07/2019 Open Access Mar/April
Granix 300 mcg/ml Vial 11/12/2018 01/07/2019 Open Access Mar/April
Omegaven 10 gm/100 ml IV 11/12/2018 01/07/2019 Fiscal Edit Mar/April
Tegsedi 284 Mg/1.5 ml Syringe 11/12/2018 01/07/2019 Clinical Edit Mar/April
Lexette 0.05% Foam 11/05/2018 12/31/2018 PDL Product Mar/April
Zortress 1 mg Tablet 10/29/2018 12/24/2018 Open Access Mar/April
Dupixent 200 mg/1.14 ml Syringe 10/29/2018 12/24/2018 PDL Product Mar/April
Xofluza 20 mg Tablet 10/29/2018 12/24/2018 PA Continued Mar/April
Xofluza 40 mg Tablet 10/29/2018 12/24/2018 PA Continued Mar/April
Xerava 50 mg Vial 10/29/2018 12/24/2018 PDL Product Mar/April
Epidiolex 100 mg/ml Vial 10/29/2018 12/24/2018 Clinical Edit Mar/April
Arikayce 590 mg/8.4ml Vial 10/29/2018 12/24/2018 PDL Product Mar/April
Panzyga 10% Vial 10/22/2018 12/17/2018 Open Access Mar/April
Xarelto 2.5 mg Tablet 10/22/2018 12/17/2018 PDL Product Mar/April
Qbrexza 2.4% Cloth 10/15/2018 12/10/2018 PA Continued Mar/April
Tiglutik 50 mg/10 ml Suspension 10/15/2018 12/10/2018 PA Continued Mar/April
Altreno 0.05% Lotion 10/08/2018 12/03/2018 PDL Product Mar/April
Emgality 120 mg/ml Pen 10/08/2018 12/03/2018 PDL Product Mar/April
Nocdurna 55.3 mcg Tablet SL 10/08/2018 12/03/2018 Clinical Edit Mar/April
Nocdurna 27.7 mcg Tablet SL 10/08/2018 12/03/2018 Clinical Edit Mar/April
Palonosetron HCL 0.25 MG/5ML Vial 10/01/2018 11/26/2018 PDL Product Mar/April
Ztlido 1.8% Topical System 09/24/2018 11/19/2018 PDL Product Dec/Jan
Ajovy 225/mg/1.5 ml Syringe 09/24/2018 11/19/2018 Clinical Edit Dec/Jan
Glyrx-PF 0.2 mg / mL Vial 09/17/2018 11/12/2018 Open Access Dec/Jan
Nivestym 300 mcg / 0.5 mL Syringe 09/10/2018 11/05/2018 Open Access Dec/Jan
Nivestym 480 mcg / 0.8 mL Syringe 09/10/2018 11/05/2018 Open Access Dec/Jan
Vancomycin HCL 250 mg Vial 09/10/2018 11/05/2018 Open Access Dec/Jan
Zemdri 500 mg / 10 mL Vial 09/10/2018 11/05/2018 Open Access Dec/Jan
Onpattro 10 mg / 5 mL Vial 09/10/2018 11/05/2018 Clinical Edit Dec/Jan
Doptelet 20 mg Tablet 09/10/2018 11/05/2018 PDL Product Dec/Jan
Galafold 123 mg Capsule 09/10/2018 11/05/2018 Clinical Edit Dec/Jan
Signifor Lar 10 mg Vial Kit 09/03/2018 10/29/2018 Open Access Dec/Jan
Signifor Lar 30 mg Vial Kit 09/03/2018 10/29/2018 Open Access Dec/Jan
Takhzyro 300 mg / 2 mL Vial 09/03/2018 10/29/2018 PDL Product Dec/Jan
Ilumya 100 mg / mL Syringe 08/27/2018 10/22/2018 PDL Product Dec/Jan
Lenvima 12 mg Capsule 08/27/2018 10/22/2018 Fiscal Edit Dec/Jan
Lenvima 4 mg Capsule 08/27/2018 10/22/2018 Fiscal Edit Dec/Jan
Mulpleta 3 mg Tablet 08/27/2018 10/22/2018 PDL Product Dec/Jan
Poteligio 20 mg / 5 mL Vial 08/27/2018 10/22/2018 Open Access Dec/Jan
Perseris ER 90 mg Syringe Kit 08/20/2018 10/15/2018 CE/PDL Dec/Jan
Perseris ER 120 mg Syringe Kit 08/20/2018 10/15/2018 CE/PDL Dec/Jan
Orkambi 100 – 125 mg Granule Packet 08/13/2018 10/08/2018 Clinical Edit Dec/Jan
Orkambi 150 – 188 mg Granule Packet 08/13/2018 10/08/2018 Clinical Edit Dec/Jan
Kyprolis 10 mg Vial 08/13/2018 10/08/2018 Open Access Dec/Jan
Plenvu Powder Packets 140 – 9 – 5.2 Gram Powder Packet 08/13/2018 10/08/2018 Open Access Dec/Jan
Humira Pen CROHN – UC - HS
80 mg Pen Injection 08/06/2018 10/01/2018 PDL Product Dec/Jan
Humira Pen PSOR - UVEI 80 mg – 40 mg Pen Injection 08/06/2018 10/01/2018 PDL Product Dec/Jan
Lokelma 5 gram Powder Packet 08/06/2018 10/01/2018 PDL Product Dec/Jan
Lokelma 10 gram Powder Packet 08/06/2018 10/01/2018 PDL Product Dec/Jan
Tibsovo 250 mg Tablet 07/30/2018 09/24/2018 Fiscal Edit Dec/Jan
Macrilen 60 mg / 120 mL Solution 07/30/2018 09/24/2018 Open access Dec/Jan
Kapspargo Sprinkle 25 mg Capsule 07/30/2018 09/24/2018 PDL Product Dec/Jan
Kapspargo Sprinkle 50 mg Capsule 07/30/2018 09/24/2018 PDL Product Dec/Jan
Kapspargo Sprinkle 100 mg Capsule 07/30/2018 09/24/2018 PDL Product Dec/Jan
Kapspargo Sprinkle 200 mg Capsule 07/30/2018 09/24/2018 PDL Product Dec/Jan
Nuplazid 10 mg Tablet 07/30/2018 09/24/2018 PDL Product Dec/Jan
Nuplazid 34 mg Capsule 07/30/2018 09/24/2018 PDL Product Dec/Jan
Orilissa 150 mg Tablet 07/30/2018 09/24/2018 Clinical Edit Dec/Jan
Orilissa 200 mg Tablet 07/30/2018 09/24/2018 Clinical Edit Dec/Jan
Butalbital - Acetaminophen 50 mg / 300 mg Capsule 07/30/2018 09/24/2018 Clinical Edit Dec/Jan
Fulphila 6 mg / 0.6 mL Syringe 07/16/2018 09/10/2018 Open Access Dec/Jan
Aristada Initio ER 675 mg / 2.4 Syringe 07/09/2018 09/03/2018 Clinical Edit Dec/Jan
Xeljanz 10 mg Tablet 06/25/2018 08/20/2018 PDL Product Sept/Oct
Roxybond 15 mg Tablet 06/25/2018 08/20/2018 Clinical Edit Sept/Oct
Roxybond 30 mg Tablet 06/25/2018 08/20/2018 Clinical Edit Sept/Oct
Siklos 100 mg Tablet 06/25/2018 08/20/2018 PA Continued Sept/Oct
Retacrit 40,000 Unit / mL Vial 06/18/2018 08/13/2018 PDL Product Sept/Oct
Olumiant 2 mg Tablet 06/11/2018 08/06/2018 PDL Product Sept/Oct
Kevzara 150 mg / 1.14 mL Pen Injection 06/11/2018 08/06/2018 PDL Product Sept/Oct
Kevzara 200 mg / 1.14 mL Pen Injection 06/11/2018 08/06/2018 PDL Product Sept/Oct
Retacrit 2,000 Units / mL Vial 06/11/2018 08/06/2018 PDL Product Sept/Oct
Retacrit 3,000 Units / mL Vial 06/11/2018 08/06/2018 PDL Product Sept/Oct
Retacrit 4,000 Units / mL Vial 06/11/2018 08/06/2018 PDL Product Sept/Oct
Retacrit 10,000 Units / mL Vial 06/11/2018 08/06/2018 PDL Product Sept/Oct
Palynziq 2.5 mg / 0.5 mL Syringe 06/11/2018 08/06/2018 Clinical Edit Sept/Oct
Palynziq 20 mg / mL Syringe 06/11/2018 08/06/2018 Clinical Edit Sept/Oct
Palynziq 10 mg / 0.5 mL Syringe 06/11/2018 08/06/2018 Clinical Edit Sept/Oct
Gilenya 0.25 mg Capsule 06/04/2018 07/30/2018 PDL Product Sept/Oct
Arnuity Ellipta 50 mcg Inhalation 06/04/2018 07/30/2018 PDL Product Sept/Oct
Lucemyra 0.18 mg Tablet 06/04/2018 07/30/2018 PDL Product Sept/Oct
Goprelto 4% Nasal Solution 06/04/2018 07/30/2018 PA Continued Sept/Oct
Cocaine HCL 4% Nasal Solution 06/04/2018 07/30/2018 PA Continued Sept/Oct
Aimovig 70 mg / ml Auto Injection 05/28/2018 07/23/2018 Clinical Edit Sept/Oct
Osmolex ER 129 mg Tablet 05/28/2018 07/23/2018 Continue PA Sept/Oct
Osmolex ER 193 mg Tablet 05/28/2018 07/23/2018 Continue PA Sept/Oct
Osmolex ER 258 mg Tablet 05/28/2018 07/23/2018 Continue PA Sept/Oct
Zenpep DR 3 – 10 – 14 K Capsule 05/28/2018 07/23/2018 PDL Product Sept/Oct
Baclofen 5 mg Tablet 05/21/2018 07/16/2018 PDL Product Sept/Oct
Zenpep DR 15 – 47 – 63 K Capsule 05/14/2018 07/09/2018 PDL Product Sept/Oct
Rhopressa 0.02 % Ophthalmic
Sept/Oct
Noctiva 0.83 mcg / 0.1 mL Spray 05/14/2018 07/09/2018 Continue PA Sept/Oct
Noctiva 1.66 mcg / 0.1 mL Spray 05/14/2018 07/09/2018 Continue PA Sept/Oct
Luxturna 1.5 X 10 EX 11 Vial 05/14/2018 07/09/2018 Clinical Edit Sept/Oct
Humira 40 mg / 0.4 mL Syringe Kit 05/07/2018 07/02/2018 PDL Product Sept/Oct
Humira Pen 40 mg / 0.4 mL Pen Kit 05/07/2018 07/02/2018 PDL Product Sept/Oct
Humira Pediatric Crohn’s 80 mg / 0.8 mL Syringe Kit 05/07/2018 07/02/2018 PDL Product Sept/Oct
Humira 10 mg / 0.1 mL Syringe Kit 05/07/2018 07/02/2018 PDL Product Sept/Oct
Humira 20 mg / 0.2 mL Syringe Kit 05/07/2018 07/02/2018 PDL Product Sept/Oct
Humira Pediatric Crohn’s 80 mg – 40 mg Syringe Kit 05/07/2018 07/02/2018 PDL Product Sept/Oct
Kymriah 6 x 10 Exp 8 Infusion Bag 05/07/2018 07/02/2018 Clinical Edit Sept/Oct
Jynarque 90 mg – 30 mg Tablet 04/30/2018 06/25/2018 Clinical Edit Sept/Oct
Jynarque 45 mg – 15 mg Tablet 04/30/2018 06/25/2018 Clinical Edit Sept/Oct
Jynarque 60 mg – 30 mg Tablet 04/30/2018 06/25/2018 Clinical Edit Sept/Oct
Crysvita 10 mg / mL Vial 04/30/2018 06/25/2018 Clinical Edit Sept/Oct
Crysvita 20 mg / mL Vial 04/30/2018 06/25/2018 Clinical Edit Sept/Oct
Crysvita 30 mg / mL Vial 04/30/2018 06/25/2018 Clinical Edit Sept/Oct
Balcoltra 0.1 – 0.02 mg Tablet 04/23/2018 06/18/2018 Open Access Sept/Oct
Zenpep DR 10 – 32 – 42 K DR Capsule 04/23/2018 06/18/2018 PDL Product Sept/Oct
Hyperrab 300 Unit / mL Vial 04/23/2018 06/18/2018 Open Access Sept/Oct
Toujeo Max Solostar 300 Unit / mL Insulin Pen 04/09/2018 06/04/2018 PDL Product Sept/Oct
Esomep – EZS Kit 20 mg Kit Cap SP 04/09/2018 06/04/2018 PDL Product Sept/Oct
Lucentis 0.3 mg / 0.05 mL Syringe 04/02/2018 05/28/2018 Open Access Sept/Oct
Zypitamag 1 mg Tablet 03/26/2018 05/21/2018 PDL Product June/July
Zypitamag 2 mg Tablet 03/26/2018 05/21/2018 PDL Product June/July
Zypitamag 4 mg Tablet 03/26/2018 05/21/2018 PDL Product June/July
Daliresp 250 mcg Tablet 03/19/2018 05/14/2018 PDL Product June/July
Tisseel VHSD 2 mL Kit 03/19/2018 05/14/2018 Open Access June/July
Tisseel VHSD 4 mL Kit 03/19/2018 05/14/2018 Open Access June/July
Tisseel VHSD 10 mL Kit 03/19/2018 05/14/2018 Open Access June/July
Tisseel VHSD 2 mL Syringe 03/19/2018 05/14/2018 Open Access June/July
Tisseel VHSD 4 mL Syringe 03/19/2018 05/14/2018 Open Access June/July
Tisseel VHSD 10 mL Syringe 03/19/2018 05/14/2018 Open Access June/July
Bonjesta ER 20 mg / 20 mg Tablet 03/12/2018 05/07/2018 Continue PA June/July
Makena 275 mg / 1.1 mL Auto Injection 03/05/2018 04/30/2018 Open Access June/July
Zenpep DR 5 k – 17 k – 24 k Capsule 02/26/2018 04/23/2018 PDL Product June/July
Zenpep DR 25 k – 79 k – 105 k Capsule 02/26/2018 04/23/2018 PDL Product June/July
Lonhala Magnair 25 mcg Vial – Neb 02/26/2018 04/23/2018 PDL Product June/July
Symdeko 100 / 150 mg – 150
mg Tablet 02/19/2018 04/16/2018 Clinical Edit
June/July
Sinuva 1350 mcg Implant 02/19/2018 04/16/2018 PDL Product June/July
Mepsevii 10 mg / 5 mL Vial 02/19/2018 04/16/2018 Clinical Edit June/July
Yescarta Infusion Bag 02/19/2018 04/16/2018 Clinical Edit June/July
Yescarta Cassette 02/19/2018 04/16/2018 Clinical Edit June/July
Xhance 93 mcg Nasal Spray 02/19/2018 04/16/2018 PDL Product June/July
Gocovri ER 68.5 mg Capsule 02/19/2018 04/16/2018 Open Access June/July
Gocovri ER 137 mg Capsule 02/19/2018 04/16/2018 Open Access June/July
Nityr 10 mg Tablet 02/19/2018 04/16/2018 Continue PA June/July
Nityr 2 mg Tablet 02/19/2018 04/16/2018 Continue PA June/July
Nityr 5 mg Tablet 02/19/2018 04/16/2018 Continue PA June/July
Segluromet 2.5 – 500 mg Tablet 02/12/2018 04/09/2018 PDL Product June/July
Segluromet 7.5 – 500 mg Tablet 02/12/2018 04/09/2018 PDL Product June/July
Segluromet 2.5 – 1000 mg Tablet 02/12/2018 04/09/2018 PDL Product June/July
Segluromet 7.5 – 1000 mg Tablet 02/12/2018 04/09/2018 PDL Product June/July
Endari 5 Gram Powder Pack 02/12/2018 04/09/2018 Open Access June/July
Luxturna With diluent SD Vial 02/05/2018 04/02/2018 Clinical Edit June/July
Eliquis 5 mg Tab DS PK 01/29/2018 03/26/2018 PDL Product June/July
Steglujan 5 mg - 100 mg Tablet 01/29/2018 03/26/2018 PDL Product June/July
Steglujan 15 mg – 100 mg Tablet 01/29/2018 03/26/2018 PDL Product June/July
Adzenys ER 1.25 mg / mL Oral Suspension 01/22/2018 03/19/2018 Clinical Edit June/July
Steglatro 5 mg Tablet 01/15/2018 03/12/2018 PDL Product June/July
Steglatro 15 mg Tablet 01/15/2018 03/12/2018 PDL Product June/July
Xigduo XR 2.5 mg – 1000 mg Tablet 01/15/2018 03/12/2018 PDL Product June/July
Zilretta 32 mg Vial 01/15/2018 03/12/2018 Open Access June/July
Baxdela 450 mg Tablet 01/15/2018 03/12/2018 Open Access June/July
Baxdela 300 mg Tablet 01/15/2018 03/12/2018 Open Access June/July
Duzallo 200 mg – 200 mg Tablet 01/15/2018 03/12/2018 PDL Product June/July
Duzallo 200 mg – 300 mg Tablet 01/15/2018 03/12/2018 PDL Product June/July
Lyrica CR 82.5 mg Tablet 01/08/2018 03/05/2018 PDL Product June/July
Lyrica CR 165 mg Tablet 01/08/2018 03/05/2018 PDL Product June/July
Lyrica CR 330 mg Tablet 01/08/2018 03/05/2018 PDL Product June/July
Solosec 2 gram Granule Packet 01/08/2018 03/05/2018 Open Access June/July
Prolastin – C 1000 mg / 20 mL Vial 01/08/2018 03/05/2018 Open Access June/July
Methylphenidate ER 72 mg Tablet 01/01/2018 02/26/2018 Clinical Edit June/July
Clenpiq 10 – 3.5 / 160 Solution 01/01/2018 02/26/2018 Open Access June/July
Fibryga 700 – 1300 mg Vial 01/01/2018 02/26/2018 Open Access June/July
Clinimix N9G15E 2.75 % - 7.5 % IV Solution 12/25/2017 02/19/2018 Open Access March/April
Clinimix N14G30E 4.25 % - 15 % IV Solution 12/25/2017 02/19/2018 Open Access March/April
Sublocade 100 mg / 0.5 mL Syringe 12/25/2017 02/19/2018 PDL Product March/April
Sublocade 300 mg / 1.5 mL Syringe 12/25/2017 02/19/2018 PDL Product March/April
Zenpep 40,000 Unit DR Capsule 12/11/2017 02/05/2018 PDL Product March/April
Ozempic 0.25 mg - 0.5 mg Pen Injector 12/11/2017 02/05/2018 PDL Product March/April
Ozempic 1 mg / 0.75 mL Pen Injector 12/11/2017 02/05/2018 PDL Product March/April
Prevymis 240 mg Tablet 12/04/2017 01/29/2018 Open Access March/April
Prevymis 480 mg Tablet 12/04/2017 01/29/2018 Open Access March/April
Prevymis 240 mg / 12 mL Vial 12/04/2017 01/29/2018 Open Access March/April
Prevymis 480 mg / 24 mL Vial 12/04/2017 01/29/2018 Open Access March/April
Zenpep 20,000 Unit DR Capsule 12/04/2017 01/29/2018 PDL Product March/April
Vyzulta 0.024 % Ophthalmic
March/April
Cinvanti 130 mg / 18 mL Vial 12/04/2017 01/29/2018 Open Access March/April
Retin-A Micro Pump 0.06 % Gel 11/20/2017 01/15/2018 PDL Product March/April
Fasenra 30 mg / mL Syringe 11/20/2017 01/15/2018 Clinical Edit March/April
Tracleer 32 mg Tablet for Susp 11/20/2017 01/15/2018 PDL Product March/April
Bydureon Bcise 2 mg Auto Inject 11/13/2017 01/08/2018 PDL Product March/April
Qtern 10 mg - 5 mg Tablet 11/13/2017 01/08/2018 PLD Product March/April
Benznidazole 12.5 mg Tablet 11/06/2017 01/01/2018 Open Access March/April
Benznidazole 100 mg Tablet 11/06/2017 01/01/2018 Open Access March/April
Ximino ER 45 mg Capsule 11/06/2017 01/01/2018 PDL Product March/April
Ximino ER 90 mg Capsule 11/06/2017 01/01/2018 PDL Product March/April
Ximino ER 135 mg Capsule 11/06/2017 01/01/2018 PDL Product March/April
Varubi 166.5 mg / 92.5 mL Vial 11/06/2017 01/01/2018 Open Access March/April
Enbrel 50 mg / mL Mini Cartridge 10/30/2017 12/25/2017 PDL Product March/April
Parsabiv 2.5 mg / 0.5 mL Vial 10/30/2017 12/25/2017 Open Access March/April
Parsabiv 5 mg / mL Vial 10/30/2017 12/25/2017 Open Access March/April
Parsabiv 10 mg / 2 mL Vial 10/30/2017 12/25/2017 Open Access March/April
Qvar Redihaler 40 mcg Inhalation 10/23/2017 12/18/2017 PDL Product March/April
Qvar Redihaler 80 mcg Inhalation 10/23/2017 12/18/2017 PDL Product March/April
Ingrezza 80 mg Capsule 10/16/2017 12/11/2017 Continue PA March/April
Fiasp 100 Unit / mL Vial / Flextouch 10/09/2017 12/04/2017 PDL Product March/April
Trelegy Ellipta 100 – 62.5 – 25 Inhalation 10/09/2017 12/04/2017 PDL Product March/April
Zodex 12 - Day 1.5 mg Tablet 10/09/2017 12/04/2017 Continue PA March/April
Symproic 0.2 mg Tablet 10/09/2017 12/04/2017 PDL Product March/April
Vabomere 2 gram Vial 10/09/2017 12/04/2017 Open Access March/April
Nymalize 30 mg / 10 mL Solution 09/25/2017 11/20/2017 PDL Product Dec/Jan
Jetrea 1.25 mg / mL Vial 09/18/2017 11/13/2017 Continue PA Dec/Jan
Kymriah Infusion Bag 09/11/2017 11/06/2017 Continue PA Dec/Jan
Triptodur 22.5 mg Vial / Kit 09/11/2017 11/06/2017 Continue PA Dec/Jan
Nestabs One 38 – 1 – 225 mg Softgel Capsule 09/11/2017 11/06/2017 Open Access Dec/Jan
Carospir 25 mg / 5 mL Oral Suspension 09/04/2017 10/30/2017 Open Access Dec/Jan
Pertzye 24 K – 86.25 K DR Capsule 08/28/2017 10/23/2017 PDL Product Dec/Jan
Humalog Junior 100 Unit / mL KwikPen 08/21/2017 10/16/2017 PDL Product Dec/Jan
Radicava 30 mg / 100 mL Solution 08/21/2017 10/16/2017 Continue PA Dec/Jan
Nerlynx 40 mg Tablet 08/21/2017 10/16/2017 Open Access Dec/Jan
Mavyret 100 – 400 mg Tablet 08/14/2017 10/09/2017 PDL Product Dec/Jan
Armonair Respiclick 55 mcg Aer Pow Ba 08/14/2017 10/09/2017 PDL Product Dec/Jan
Armonair Respiclick 113 mcg Aer Pow Ba 08/14/2017 10/09/2017 PDL Product Dec/Jan
Armonair Respiclick 232 mcg Aer Pow Ba 08/14/2017 10/09/2017 PDL Product Dec/Jan
Cotempla XR-ODT 8.6 mg Tablet 08/07/2017 10/02/2017 Clinical Edit Dec/Jan
Cotempla XR-ODT 17.3 mg Tablet 08/07/2017 10/02/2017 Clinical Edit Dec/Jan
Cotempla XR-ODT 25.9 mg Tablet 08/07/2017 10/02/2017 Clinical Edit Dec/Jan
Totect 500 mg Vial 08/07/2017 10/02/2017 Open Access Dec/Jan
Renflexis 100 mg Vial 07/31/2017 09/25/2017 PDL Product Dec/Jan
Benlysta 200 mg / mL Auto Inject 07/31/2017 09/25/2017 Continue PA Dec/Jan
Benlysta 200 mg / mL Syringe 07/31/2017 09/25/2017 Continue PA Dec/Jan
Vosevi 400 – 100 mg Tablet 07/31/2017 09/25/2017 PDL Product Dec/Jan
Tremfya 100 mg / mL Syringe 07/24/2017 09/18/2017 PDL Product Dec/Jan
Haegarda 2,000 Unit Vial 07/17/2017 09/11/2017 Open Access Dec/Jan
Haegarda 3,000 Unit Vial 07/17/2017 09/11/2017 Open Access Dec/Jan
Jadenu Sprinkle 180 mg Granule 07/03/2017 08/28/2017 Open Access Dec/Jan
Jadenu Sprinkle 360 mg Granule 07/03/2017 08/28/2017 Open Access Dec/Jan
Jadenu Sprinkle 90 mg Granule 07/03/2017 08/28/2017 Open Access Dec/Jan
Elite-OB 50 – 1.25 mg Tablet 07/03/2017 08/28/2017 Open Access Dec/Jan
Afrezza 8 Unit Cartridge Inhaler 07/03/2017 08/28/2017 PDL Product Dec/Jan
Afrezza 12 Unit Cartridge Inhaler 07/03/2017 08/28/2017 PDL Product Dec/Jan
Mydayis ER 12.5 mg Capsule 07/03/2017 08/28/2017 Clinical Edit Dec/Jan
Mydayis ER 25 mg Capsule 07/03/2017 08/28/2017 Clinical Edit Dec/Jan
Mydayis ER 37.5 mg Capsule 07/03/2017 08/28/2017 Clinical Edit Dec/Jan
Mydayis ER 50 mg Capsule 07/03/2017 08/28/2017 Clinical Edit Dec/Jan
Panhematin 350 mg Vial 07/03/2017 08/28/2017 Continue PA Dec/Jan
Ingrezza 40 mg Capsule 07/03/2017 08/28/2017 Continue PA Dec/Jan
Syndros 5 mg / mL Solution 06/26/2017 08/21/2017 Open Access Sept/Oct
Orenitram ER 5 mg Tablet 06/26/2017 08/21/2017 PDL Product Sept/Oct
Aristada ER 1064 mg / 3.9 mL Syringe 06/12/2017 08/07/2017 Clinical Edit Sept/Oct
Brineura 150 mg / 5 mL Injection Kit 06/12/2017 08/07/2017 Clinical Edit Sept/Oct
Gelfoam JMI 5000 Unit Powder Kit 06/05/2017 07/31/2017 Open Access Sept/Oct
Xatmep 2.5 mg / mL Oral Solution 06/05/2017 07/31/2017 PDL Product Sept/Oct
Kevzara 150 mg / 1.14 mL Syringe 05/29/2017 07/24/2017 PDL Product Sept/Oct
Kevzara 200 mg / 1.14 mL Syringe 05/29/2017 07/24/2017 PDL Product Sept/Oct
Xadago 50 mg Tablet 05/29/2017 07/24/2017 Open Access Sept/Oct
Xadago 100 mg Tablet 05/29/2017 07/24/2017 Open Access Sept/Oct
Arymo ER 15 mg Tablet 05/29/2017 07/24/2017 PDL Product Sept/Oct
Arymo ER 30 mg Tablet 05/29/2017 07/24/2017 PDL Product Sept/Oct
Arymo ER 60 mg Tablet 05/29/2017 07/24/2017 PDL Product Sept/Oct
Xermelo 250 mg Tablet 05/29/2017 07/24/2017 Open Access Sept/Oct
Orencia 50 mg / 0.4 mL Syringe 05/22/2017 07/17/2017 PDL Product Sept/Oct
Orencia 87.5 mg / 0.7 mL Syringe 05/22/2017 07/17/2017 PDL Product Sept/Oct
Gelfoam JMI 5000 Unit Sponge Kit 05/22/2017 07/17/2017 Open Access Sept/Oct
Morphabond ER 15 mg Tablet 05/22/2017 07/17/2017 PDL Product Sept/Oct
Morphabond ER 30 mg Tablet 05/22/2017 07/17/2017 PDL Product Sept/Oct
Morphabond ER 60 mg Tablet 05/22/2017 07/17/2017 PDL Product Sept/Oct
Morphabond ER 100 mg Tablet 05/22/2017 07/17/2017 PDL Product Sept/Oct
Brineura 300 mg / 10 mL Vial 05/22/2017 07/17/2017 Clinical Edit Sept/Oct
Narcan 2 mg Nasal Spray 05/15/2017 07/10/2017 PDL Product Sept/Oct
Quflora Fe Ped 0.25 mg / mL Drops 05/08/2017 07/03/2017 Open Access Sept/Oct
Tymlos 80 mcg / 0.04 mL Pen Injector 05/08/2017 07/03/2017 Clinical Edit Sept/Oct
Multivitamin - Fluoride 0.25 mg / mL Drops 05/01/2017 06/26/2017 Open Access Sept/Oct
Multivitamin - Fluoride 0.5 mg / mL Drops 05/01/2017 06/26/2017 Open Access Sept/Oct
Esbriet 267 mg Tablet 04/24/2017 06/19/2017 Continue PA Sept/Oct
Esbriet 801 mg Tablet 04/24/2017 06/19/2017 Continue PA Sept/Oct
Airduo Respiclick 55 – 14 mcg Aer Pow Ba 04/24/2017 06/19/2017 PDL Product Sept/Oct
Airduo Respiclick 113 – 14 mcg Aer Pow Ba 04/24/2017 06/19/2017 PDL Product Sept/Oct
Airduo Respiclick 232 – 14 mcg Aer Pow Ba 04/24/2017 06/19/2017 PDL Product Sept/Oct
Acetaminophen, Caffeine and Dihydrocodeine
Gelnique 10 % Gel Pump 04/17/2017 06/12/2017 PDL Product Sept/Oct
Austedo 6 mg Tablet 04/10/2017 06/05/2017 Continue PA Sept/Oct
Austedo 9 mg Tablet 04/10/2017 06/05/2017 Continue PA Sept/Oct
Austedo 12 mg Tablet 04/10/2017 06/05/2017 Continue PA Sept/Oct
Dupixent 300 mg / 2 mL Syringe 04/03/2017 05/29/2017 PDL Product Sept/Oct
Synjardy XR 10 mg – 1000 mg Tablet 04/03/2017 05/29/2017 PDL Product Sept/Oct
Synjardy XR 5 mg – 1000 mg Tablet 04/03/2017 05/29/2017 PDL Product Sept/Oct
Synjardy XR 25 mg – 1000 mg Tablet 04/03/2017 05/29/2017 PDL Product Sept/Oct
Synjardy XR 12.5 mg – 1000 mg Tablet 04/03/2017 05/29/2017 PDL Product Sept/Oct
Ocrevus 300 mg / 10 mL Vial 04/03/2017 05/29/2017 PDL Product Sept/Oct
Gammaplex 5 Gram / 50 mL Vial 04/03/2017 05/29/2017 Open Access Sept/Oct
Gammaplex 10 Gram / 100 mL Vial 04/03/2017 05/29/2017 Open Access Sept/Oct
Gammaplex 20 Gram / 200 mL Vial 04/03/2017 05/29/2017 Open Access Sept/Oct
Pennsaid 2% Solution Pack 04/03/2017 05/29/2017 PDL Product Sept/Oct
Siliq 210 mg / 1.5 mL Syringe 03/27/2017 05/22/2017 PDL Product June/July
Ellzia Pak 0.1% - 5% Kit 03/13/2017 05/08/2017 PDL Product June/July
Ilaris 150 mg / mL Vial 03/13/2017 05/08/2017 PDL Product June/July
Rhofade 1% Cream (G) 03/13/2017 05/08/2017 Continue PA June/July
Vyvanse 10 mg Chew Tablet 03/13/2017 05/08/2017 Clinical Edit June/July
Vyvanse 20 mg Chew Tablet 03/13/2017 05/08/2017 Clinical Edit June/July
Vyvanse 30 mg Chew Tablet 03/13/2017 05/08/2017 Clinical Edit June/July
Vyvanse 40 mg Chew Tablet 03/13/2017 05/08/2017 Clinical Edit June/July
Vyvanse 50 mg Chew Tablet 03/13/2017 05/08/2017 Clinical Edit June/July
Vyvanse 60 mg Chew Tablet 03/13/2017 05/08/2017 Clinical Edit June/July
Ryvent 6 mg Tablet 02/27/2017 04/24/2017 PDL Product June/July
Emflaza 6 mg Tablet 02/20/2017 04/17/2017 Clinical Edit June/July
Emflaza 18 mg Tablet 02/20/2017 04/17/2017 Clinical Edit June/July
Emflaza 30 mg Tablet 02/20/2017 04/17/2017 Clinical Edit June/July
Emflaza 36 mg Tablet 02/20/2017 04/17/2017 Clinical Edit June/July
Emflaza 22.75 mg / mL Oral SUSP 02/20/2017 04/17/2017 Clinical Edit June/July
Triferic 272 mg Powder Pack 02/20/2017 04/17/2017 Open Access June/July
Yosprala 81 mg – 40 mg Tablet 02/20/2017 04/17/2017 PDL Product June/July
Yosprala 325 mg – 40 mg Tablet 02/20/2017 04/17/2017 PDL Product June/July
Linzess 72 mcg Capsule 02/06/2017 04/03/2017 PDL Product June/July
Prenatal Plus 27 – 1 – 250 mg Combo Pack 02/06/2017 04/03/2017 Open Access June/July
Eucrisa 2% Ointment 01/16/2017 03/13/2017 PDL Product June/July
Primacare 30 – 1 – 300 mg Capsule 01/16/2017 03/13/2017 Open Access June/July
Lucentis 0.5 mg / 0.05 mL Syringe 01/09/2017 03/06/2017 Open Access June/July
Epaned 1 mg / mL Solution 01/09/2017 03/06/2017 PDL Product June/July
Afrezza 4 unit/ 8 unit/12 unit Cart w/Dev 01/02/2017 02/27/2017 PDL Product June/July
Zubsolv 0.7- 0.18 mg Tablet 01/02/2017 02/27/2017 PDL Product June/July
Spinraza 12 mg / 5mL Vial 01/02/2017 02/27/2017 Clinical Edit June/July
Loprox 0.77 % Topical Kit 12/26/2017 02/20/2017 PDL Product March/April
Adlyxin 10-20 mcg Pen Injector 12/19/2017 02/13/2017 PDL Product March/April
Adlyxin 20 mcg / 0.2 mL Pen Injector 12/19/2017 02/13/2017 PDL Product March/April
Soliqua 100 units – 33 mcg Pen Injector 12/19/2017 02/13/2017 PDL Product March/April
Evzio 2 mg / 0.4 mL Pen Injector 12/19/2017 02/13/2017 PDL Product March/April
Xultophy 100 units – 3.6mg/mL Pen Injector 11/28/2016 01/23/2017 PDL Product March/April
Euflexxa 20 mg / 2 mL Syringe 11/21/2016 01/16/2017 Open Access March/April
Vemlidy 25 mg Tablet 11/21/2016 01/16/2017 Open Access March/April
Dexeryl Emollient Cream 11/21/2016 01/16/2017 Open Access March/April
Pertzye 4000 units – lipase DR Capsule 11/21/2016 01/16/2017 PDL Product March/April
Rayaldee ER 30 mcg Capsule 11/14/2016 01/09/2017 Continue PA March/April
Rayaldee ER 30 mcg Capsule 11/14/2016 01/09/2017 Continue PA March/April
Pancreaze 2600 units – lipase DR Capsule 11/14/2016 01/09/2017 PDL Product March/April
Namzaric 7–10 mg / 14-10 mg Cap Dospak 11/07/2016 01/02/2017 PDL Product March/April
Restasis 0.05 % Ophth Soln 11/07/2016 01/02/2017 Continue PA March/April
DEKAs Essential 2000–2000–75-2000 Liquid 10/31/2016 12/26/2017 Open Access March/April
DEKAs Plus Chew Tablet 10/31/2016 12/26/2017 Open Access March/April
Prenatal Formula-DHA 28 – 0.8 – 235 mg Softgel Capsule 10/31/2016 12/26/2017 Open Access March/April
Dexmedetomidine 400 mcg/4 mL Vial 10/31/2016 12/26/2017 Open Access March/April
Dexmedetomidine 1000 mcg/10 mL Vial 10/31/2016 12/26/2017 Open Access March/April
Hydromorphone HCl 1 mg/1 mL Ampule 10/31/2016 12/26/2017 Clinical Edit March/April
Hydromorphone HCl 2 mg/1 mL Ampule 10/31/2016 12/26/2017 Clinical Edit March/April
Hydromorphone HCl 4 mg/1 mL Ampule 10/31/2016 12/26/2017 Clinical Edit March/April
Aggrastat 3.75 mg/15 mL Vial 10/31/2016 12/26/2017 Open Access March/April
Inflectra 100 mg/10 mL Vial 10/24/2016 12/19/2017 PDL Product March/April
Kyleena 17.5 mcg/24 hr IUD 10/17/2016 12/12/2016 Fiscal Edit March/April
Pancreaze 4200 units – lipase DR Capsule 10/17/2016 12/12/2016 PDL Product March/April
Pancreaze 10,500 units – lipase DR Capsule 10/17/2016 12/12/2016 PDL Product March/April
Pancreaze 16,800 units – lipase DR Capsule 10/17/2016 12/12/2016 PDL Product March/April
Pancreaze 21,000 units – lipase DR Capsule 10/17/2016 12/12/2016 PDL Product March/April
Vascepa 0.5 Gram Capsule 10/17/2016 12/12/2016 PDL Product March/April
MiCort - HC 2.5 % Cream 10/17/2016 12/12/2016 PDL Product March/April
BromSite 0.075% Ophth Soln 10/10/2016 12/05/2016 PDL Product March/April
Sustol 10 mg/0.4 mL Syringe 10/10/2016 12/05/2016 PDL Product March/April
Treximet 10 / 60 mg Tablet 10/10/2016 12/05/2016 PDL Product March/April
TriCare Prenatal DHA 5 – 2 - 300 Chew Tablet 10/10/2016 12/05/2016 Open Access March/April
Stelara 130 mg/26 mL Vial 10/03/2016 11/28/2016 PDL Product March/April
Cuvitru 1 Gram/5 mL Vial 10/03/2016 11/28/2016 Open Access March/April
Cuvitru 2 Gram/10 mL Vial 10/03/2016 11/28/2016 Open Access March/April
Cuvitru 4 Gram/20 mL Vial 10/03/2016 11/28/2016 Open Access March/April
Cuvitru 8 Gram/40 mL Vial 10/03/2016 11/28/2016 Open Access March/April
Exondys 51 500 mg/10 mL Vial 09/26/2016 11/21/2016 Continue PA Dec/Jan
Exondys 51 100 mg/2 mL Vial 09/26/2016 11/21/2016 Continue PA Dec/Jan
Taytulla 1 mg-20 mcg Capsule 09/26/2016 11/21/2016 Open Access Dec/Jan
Invokamet XR 50 - 500 mg Tablet 09/26/2016 11/21/2016 PDL Product Dec/Jan
Invokamet XR 50 - 1,000 mg Tablet Tablet 09/26/2016 11/21/2016 PDL Product Dec/Jan
Invokamet XR 150 - 500 mg Tablet 09/26/2016 11/21/2016 PDL Product Dec/Jan
Invokamet XR 150 - 1,000 mg Tablet Tablet 09/26/2016 11/21/2016 PDL Product Dec/Jan
DermacinRX Therazole 1 mg/0.05mg/20% Combo Pack 09/26/2016 11/21/2016 Continue PA Dec/Jan
GoNitro 0.4 mg Powder Pack 09/26/2016 11/21/2016 Continue PA Dec/Jan
Namzaric 7 mg – 10 mg Capsule 09/05/2016 10/31/2016 PDL Product Dec/Jan
Namzaric 21 mg – 10 mg Capsule 09/05/2016 10/31/2016 PDL Product Dec/Jan
Zurampic 200 mg Tablet 08/29/2016 10/24/2016 PDL Product Dec/Jan
Tis-U-Sol Pentalyte 800-40/100 Irrigation Solution 08/29/2016 10/24/2016 Open Access Dec/Jan
Relistor 150 mg Tablet 08/29/2016 10/24/2016 PDL Product Dec/Jan
Orfadin 20 mg Capsule 08/22/2016 10/17/2016 Open Access Dec/Jan
Xtampza ER 9 mg Capsule 08/08/2016 10/03/2016 PDL Product Dec/Jan
Xtampza ER 13.5 mg Capsule 08/08/2016 10/03/2016 PDL Product Dec/Jan
Xtampza ER 18 mg Capsule 08/08/2016 10/03/2016 PDL Product Dec/Jan
Xtampza ER 27 mg Capsule 08/08/2016 10/03/2016 PDL Product Dec/Jan
Xtampza ER 36 mg Capsule 08/08/2016 10/03/2016 PDL Product Dec/Jan
Nuplazid 17 mg Tablet 08/08/2016 10/03/2016 Clinical Edit Dec/Jan
Probuphine 74.2 mg Implant 08/08/2016 10/03/2016 PDL Product Dec/Jan
Ocaliva 5 mg Tablet 08/08/2016 10/03/2016 PDL Product Dec/Jan
Ocaliva 10 mg Tablet 08/08/2016 10/03/2016 PDL Product Dec/Jan
Viekira XR 8.33-50 mg Tablet 08/01/2016 09/26/2016 PDL Product Dec/Jan
Lidortral 3.88% Cream (G) 08/01/2016 09/26/2016 Continue PA Dec/Jan
Emend 125 mg SUSP Recon 07/25/2016 09/19/2016 PDL Product Dec/Jan
Xiidra 5% Droperette 07/25/2016 09/19/2016 Open Access Dec/Jan
Oxycodone 10mg/0.5 mL Syringe 07/25/2016 09/19/2016 Clinical Edit Dec/Jan
Loprox 0.77% Combo Pack 07/18/2016 09/12/2016 PDL Product Dec/Jan
Otrexup 12.5 mg/0.4 mL Auto Injector 07/18/2016 09/12/2016 PDL Product Dec/Jan
Repatha Pushtronex 420 mg/3.5 mL Wear Injector 07/18/2016 09/12/2016 Clinical Edit Dec/Jan
Dermacinrx Cinlone I CPI 40 mg/mL Kit 07/18/2016 09/12/2016 Continue PA Dec/Jan
Zinbryta 150 mg/mL Syringe 07/11/2016 09/05/2016 PDL Product Dec/Jan
Bevespi Aerosphere 9 - 4.58 mcg HFA AER AD 07/11/2016 09/05/2016 PDL Product Dec/Jan
Morgidox 50 mg Kit 07/11/2016 09/05/2016 PDL Product Dec/Jan
Doryx MPC 120 mg Tablet 07/11/2016 09/05/2016 PDL Product Dec/Jan
Epclusa 400 mg – 100 mg Tablet 07/04/2016 08/29/2016 PDL Product Sept/Oct
Orencia 125 mg/mL Auto Injector 06/27/2016 08/22/2016 PDL Product Sept/Oct
Jentadueto XR 2.5 mg – 1,000 mg Tablet 06/27/2016 08/22/2016 PDL Product Sept/Oct
Jentadueto XR 5 mg – 1,000 mg Tablet 06/27/2016 08/22/2016 PDL Product Sept/Oct
Vopac MDS 1.5% Kit 06/27/2016 08/22/2016 PDL Product Sept/Oct
Lazanda 300 mcg Nasal Spray 06/20/2016 08/15/2016 Clinical Edit Sept/Oct
Fycompa 0.5 mg/mL Oral Suspension 06/20/2016 08/15/2016 Clinical Edit Sept/Oct
Tricare Prenatal DHA 4.5 – 1 – 150 Pack 06/13/2016 08/08/2016 Open Access Sept/Oct
Delzicol DR 400 mg Capsule 06/06/2016 08/01/2016 PDL Product Sept/Oct
Venipuncture CPI 2.5% Kit 06/06/2016 08/01/2016 Continue PA Sept/Oct
Dermacin RX ZRM 5%/5% Kit 06/06/2016 08/01/2016 PDL Product Sept/Oct
Hyqvia IG/HY 2.5 gm – 200 Units Injection 05/30/2016 07/25/2016 Open Access Sept/Oct
Hyqvia IG/HY 5 gm – 400 Units Injection 05/30/2016 07/25/2016 Open Access Sept/Oct
Hyqvia IG/HY 10 gm – 800 Units Injection 05/30/2016 07/25/2016 Open Access Sept/Oct
Hyqvia IG/HY 20 gm – 1600 Units Injection 05/30/2016 07/25/2016 Open Access Sept/Oct
Hyqvia IG/HY 30 gm – 2400 Units Injection 05/30/2016 07/25/2016 Open Access Sept/Oct
Cetylev 500 mg Tablet 05/30/2016 07/25/2016 Open Access Sept/Oct
Cetylev 2.5 gm Tablet 05/30/2016 07/25/2016 Open Access Sept/Oct
Orfadin 4mg/mL Oral Suspension 05/30/2016 07/25/2016 Continue PA Sept/Oct
Daklinza 90 mg Tablet 05/23/2016 07/18/2016 PDL Product Sept/Oct
Briviact 10 mg Tablet 05/23/2016 07/18/2016 Clinical Edit Sept/Oct
Briviact 25 mg Tablet 05/23/2016 07/18/2016 Clinical Edit Sept/Oct
Briviact 50 mg Tablet 05/23/2016 07/18/2016 Clinical Edit Sept/Oct
Briviact 75 mg Tablet 05/23/2016 07/18/2016 Clinical Edit Sept/Oct
Briviact 100 mg Tablet 05/23/2016 07/18/2016 Clinical Edit Sept/Oct
Briviact 10 mg/mL Oral Solution 05/23/2016 07/18/2016 Clinical Edit Sept/Oct
Migranow 50 mg Tab-Gel Kit 05/23/2016 07/18/2016 PDL Product Sept/Oct
Mirvaso 0.33% Gel Pump 05/16/2016 07/11/2016 Continue PA Sept/Oct
Viberzi 75 mg Tablet 05/16/2016 07/11/2016 Clinical Edit Sept/Oct
Viberzi 100 mg Tablet 05/16/2016 07/11/2016 Clinical Edit Sept/Oct
Otiprio 6% Vial 05/16/2016 07/11/2016 PDL Product Sept/Oct
Floriva Plus 0.25 mg/mL Drops 05/16/2016 07/11/2016 Open Access Sept/Oct
Spritam 250 mg Tablet 05/16/2016 07/11/2016 Clinical Edit Sept/Oct
Spritam 500 mg Tablet 05/16/2016 07/11/2016 Clinical Edit Sept/Oct
Spritam 750 mg Tablet 05/16/2016 07/11/2016 Clinical Edit Sept/Oct
Spritam 1000 mg Tablet 05/16/2016 07/11/2016 Clinical Edit Sept/Oct
Tolak 4% Cream (G) 05/09/2016 07/04/2016 Open Access Sept/Oct
Ultravate 0.05% Lotion 05/02/2016 06/27/2016 PDL Product Sept/Oct
Oralair 100 – 300 IR Tab SUBL 05/02/2016 06/27/2016 Continue PA Sept/Oct
Renacidin 6.602 g/100 mL Irrigation Solution 04/25/2016 06/20/2016 Open Access Sept/Oct
Onzetra Xsail 11 mg Aer Pow Ba 04/25/2016 06/20/2016 PDL Product Sept/Oct
Aczone 7.5% Gel Pump 04/18/2016 06/13/2016 Continue PA Sept/Oct
Vitafol 3.33 - 0.33 mg Chew Tab 04/18/2016 06/13/2016 Open Access Sept/Oct
Otrexup 17.5 mg/0.4 mL Auto Injector 04/18/2016 06/13/2016 PDL Product Sept/Oct
Otrexup 22.5 mg/0.4 mL Auto Injector 04/18/2016 06/13/2016 PDL Product Sept/Oct
Xrylix 1.5% Kit 04/18/2016 06/13/2016 PDL Product Sept/Oct
Pain Relief Collection 500 mg Kit 04/18/2016 06/13/2016 PDL Product Sept/Oct
Narcan 4 mg Spray 04/18/2016 06/13/2016 PDL Product Sept/Oct
IV Infusion CPI 2.5% Kit 04/11/2016 06/06/2016 Continue PA Sept/Oct
Nexium 24HR 20 mg Tablet 04/04/2016 05/30/2016 PDL Product Sept/Oct
Taltz 80 mg/ mL Auto Inj/Syringe 04/04/2016 05/30/2016 PDL Product Sept/Oct
Sernivo 0.05% Spray 04/04/2016 05/30/2016 PDL Product Sept/Oct
Adzenys XR - ODT 3.1 mg Tablet 03/28/2016 05/23/2016 Clinical Edit June/July
Adzenys XR - ODT 6.3 mg Tablet 03/28/2016 05/23/2016 Clinical Edit June/July
Adzenys XR - ODT 9.4 mg Tablet 03/28/2016 05/23/2016 Clinical Edit June/July
Adzenys XR - ODT 12.5 mg Tablet 03/28/2016 05/23/2016 Clinical Edit June/July
Adzenys XR - ODT 15.7 mg Tablet 03/28/2016 05/23/2016 Clinical Edit June/July
Adzenys XR - ODT 18.8 mg Tablet 03/28/2016 05/23/2016 Clinical Edit June/July
Zembrace Symtouch 3 mg/0.5 mL Pen Injector 03/28/2016 05/23/2016 PDL Product June/July
Makena 250 mg/ mL PF SD Vial 03/21/2016 05/16/2016 Open Access June/July
Humulin R 500 Units/ mL Insulin Pen 03/07/2016 05/02/2016 PDL Product June/July
Xeljanz XR 11 mg Tablet 03/07/2016 05/02/2016 PDL Product June/July
Metoprolol 37.5 mg Tablet 03/07/2016 05/02/2016 PDL Product June/July
Metoprolol 75 mg Tablet 03/07/2016 05/02/2016 PDL Product June/July
Vraylar 1.5 mg Capsule 02/22/2016 04/18/2016 Clinical Edit June/July
Vraylar 3 mg Capsule 02/22/2016 04/18/2016 Clinical Edit June/July
Vraylar 4.5 mg Capsule 02/22/2016 04/18/2016 Clinical Edit June/July
Vraylar 6 mg Capsule 02/22/2016 04/18/2016 Clinical Edit June/July
Vraylar 1.5 mg - 3 mg Pack 02/22/2016 04/18/2016 Clinical Edit June/July
Xeomin 200 Unit Vial 02/08/2016 04/04/2016 Clinical Edit June/July
Zepatier 50 mg - 100 mg Tablet 02/08/2016 04/04/2016 PDL Product June/July
Ticanase 50 mcg - 0.9% Kit 02/08/2016 04/04/2016 PDL Product June/July
Quillichew ER 20 mg Chew Tab 02/01/2016 03/28/2016 Clinical Edit June/July
Quillichew ER 30 mg Chew Tab 02/01/2016 03/28/2016 Clinical Edit June/July
Quillichew ER 40 mg Chew Tab 02/01/2016 03/28/2016 Clinical Edit June/July
Nufera Tablet 01/25/2016 03/21/2016 Continue PA June/July
Dyanaval XR 2.5 mg/ mL Susp 01/25/2016 03/21/2016 Clinical Edit June/July
Pradaxa 110 mg Capsule 01/11/2016 03/07/2016 PDL Product June/July
Enstilar 0.005%-0.064% Foam 01/11/2016 03/07/2016 PDL Product June/July
Nutropin AQ Nuspin 10 mg/2 mL Injector 01/11/2016 03/07/2016 PDL Product June/July
Nutropin AQ Nuspin 20 mg/2 mL Injector 01/11/2016 03/07/2016 PDL Product June/July
OB Complete Gold Softgel 01/11/2016 03/07/2016 Open Access June/July
Uptravi 200 mcg Tablet 01/04/2016 02/29/2016 PDL Product June/July
Uptravi 400 mcg Tablet 01/04/2016 02/29/2016 PDL Product June/July
Uptravi 600 mcg Tablet 01/04/2016 02/29/2016 PDL Product June/July
Uptravi 800 mcg Tablet 01/04/2016 02/29/2016 PDL Product June/July
Uptravi 1,000 mcg Tablet 01/04/2016 02/29/2016 PDL Product June/July
Uptravi 1,200 mcg Tablet 01/04/2016 02/29/2016 PDL Product June/July
Uptravi 1,400 mcg Tablet 01/04/2016 02/29/2016 PDL Product June/July
Uptravi 1,600 mcg Tablet 01/04/2016 02/29/2016 PDL Product June/July
Uptravi 200-800 Titration Pack 01/04/2016 02/29/2016 PDL Product June/July
Vivlodex 5 mg Capsule 12/07/2015 02/08/2016 PDL Product Mar/Apr
Vivlodex 10 mg Capsule 12/07/2015 02/08/2016 PDL Product Mar/Apr
Ferriprox 100 mg/ mL Solution 12/07/2015 02/08/2016 Open Access Mar/Apr
Veltassa 8.4 gm Powder Packet 11/30/2015 02/01/2016 Open Access Mar/Apr
Veltassa 16.8 gm Powder Packet 11/30/2015 02/01/2016 Open Access Mar/Apr
Veltassa 25.2 gm Powder Packet 11/30/2015 02/01/2016 Open Access Mar/Apr
Belbuca 75 mcg Film 11/30/2015 02/01/2016 PDL Product Mar/Apr
Belbuca 150 mcg Film 11/30/2015 02/01/2016 PDL Product Mar/Apr
Belbuca 300 mcg Film 11/30/2015 02/01/2016 PDL Product Mar/Apr
Belbuca 450 mcg Film 11/30/2015 02/01/2016 PDL Product Mar/Apr
Belbuca 600 mcg Film 11/30/2015 02/01/2016 PDL Product Mar/Apr
Belbuca 750 mcg Film 11/30/2015 02/01/2016 PDL Product Mar/Apr
Belbuca 900 mcg Film 11/30/2015 02/01/2016 PDL Product Mar/Apr
Seebri Neohaler 15.6 mcg Cap w/Dev 11/16/2015 01/18/2016 PDL Product Mar/Apr
Utibron Neohaler 27.5 mcg – 15.6 mcg Cap w/Dev 11/16/2015 01/18/2016 PDL Product Mar/Apr
Nucala 100 mg Vial 11/16/2015 01/18/2016 Clinical Edit Mar/Apr
DermacinRx PureFolix 5000 units Tablet 11/09/2015 01/11/2016 Continue PA Mar/Apr
Tresiba Flextouch 200 units/ mL Insulin Pen 11/02/2015 01/04/2016 PDL Product Mar/Apr
Tresiba Flextouch 100 units/ mL Insulin Pen 11/02/2015 01/04/2016 PDL Product Mar/Apr
Strensiq 18mg/0.45 mL Vial 11/02/2015 01/04/2016 Continue PA Mar/Apr
Strensiq 28mg /0.7 mL Vial 11/02/2015 01/04/2016 Continue PA Mar/Apr
Strensiq 40mg/ mL Vial 11/02/2015 01/04/2016 Continue PA Mar/Apr
Strensiq 80mg/0.8 mL Vial 11/02/2015 01/04/2016 Continue PA Mar/Apr
Fusion Sprinkles 7 mg - 250 mcg Powd Pack 10/26/2015 12/28/2016 Open Access Mar/Apr
Keveyis 50 mg Tablet 10/19/2015 12/21/2015 Continue PA Mar/Apr
Aristada ER 441 mg/1.6 mL Syringe 10/12/2015 12/14/2015 Clinical Edit Mar/Apr
Aristada ER 662 mg/2.4 mL Syringe 10/12/2015 12/14/2015 Clinical Edit Mar/Apr
Aristada ER 882 mg/3.2 mL Syringe 10/12/2015 12/14/2015 Clinical Edit Mar/Apr
Spiriva Respimat 1.25 mcg Mist Inhal 10/05/2015 12/07/2015 PDL Product Mar/Apr
Vitafol Fe+ 90 – 1 – 200 mg Capsule 10/05/2015 12/07/2015 Open Access Mar/Apr
DermacinRx Silazone 0.1% Kit 10/05/2015 12/07/2015 Continue PA Mar/Apr
Mucinex 25 – 650/20 Liquid 09/14/2015 11/16/2015 PDL Product Dec/Jan
Brilinta 60 mg Tablet 09/14/2015 11/16/2015 PDL Product Dec/Jan
Zubsolv 11.4 mg – 2.9 mg Tablet 09/14/2015 11/16/2015 PDL Product Dec/Jan
Zubsolv 2.9 mg – 0.71 mg Tablet 09/14/2015 11/16/2015 PDL Product Dec/Jan
Otrexup 7.5 mg – 0.4 mg Auto Injection 09/14/2015 11/16/2015 PDL Product Dec/Jan
Synjardy 5 mg – 500 mg Tablet 09/07/2015 11/09/2015 PDL Product Dec/Jan
Synjardy 12.5 mg – 1,000 mg Tablet 09/07/2015 11/09/2015 PDL Product Dec/Jan
Synjardy 5 mg – 1,000 mg Tablet 09/07/2015 11/09/2015 PDL Product Dec/Jan
Synjardy 12.5 mg – 500 mg Tablet 09/07/2015 11/09/2015 PDL Product Dec/Jan
Repatha 140 mg/mL Syringe 09/07/2015 11/09/2015 Clinical Edit Dec/Jan
Repatha 140 mg/mL Pen Injector 09/07/2015 11/09/2015 Clinical Edit Dec/Jan
Zecuity 6.5 mg/4 HR Patch 08/31/2015 11/02/2015 PDL Product Dec/Jan Finacea 15% Foam 08/24/2015 10/26/2015 Continue PA Dec/Jan Hycofenix 2.5 – 30 – 200/5 mL Solution 08/17/2015 10/19/2015 PDL Product Dec/Jan Daklinza 30 mg Tablet 08/03/2015 10/05/2015 Continue PA Dec/Jan Daklinza 60 mg Tablet 08/03/2015 10/05/2015 Continue PA Dec/Jan Praluent 75 mg/mL Pen/Syringe 08/03/2015 10/05/2015 Clinical Edit Dec/Jan Praluent 150 mg/mL Pen/Syringe 08/03/2015 10/05/2015 Clinical Edit Dec/Jan
Technivie 12.5 – 75 mg Tab DS PK 08/03/2015 10/05/2015 Continue PA Dec/Jan
Epiduo Forte 0.3% - 2.5% Gel Pump 07/27/2015 09/28/2015 PDL Product Dec/Jan
Texavite LQ 7 mg – 0.25 mg/mL Drops 07/27/2015 09/28/2015 Continue PA Dec/Jan
Dermacin RX Surgical 2% - 4% - 5% Kit 07/27/2015 09/28/2015 Continue PA Dec/Jan
Omidria 1% - 3% Vial 07/27/2015 09/28/2015 Continue PA Dec/Jan
Dermacin RX Lexitral 1.5% – 0.025% Cream 07/20/2015 09/21/2015 Continue PA Dec/Jan
Rexulti 0.25 mg Tablet 07/20/2015 09/21/2015 Clinical Edit Dec/Jan
Rexulti 0.5 mg Tablet 07/20/2015 09/21/2015 Clinical Edit Dec/Jan
Rexulti 1 mg Tablet 07/20/2015 09/21/2015 Clinical Edit Dec/Jan
Rexulti 2 mg Tablet 07/20/2015 09/21/2015 Clinical Edit Dec/Jan
Rexulti 3 mg Tablet 07/20/2015 09/21/2015 Clinical Edit Dec/Jan
Rexulti 4 mg Tablet 07/20/2015 09/21/2015 Clinical Edit Dec/Jan
Entresto 24 mg – 26 mg Tablet 07/13/2015 09/14/2015 Clinical Edit Dec/Jan
Entresto 97 mg – 103 mg Tablet 07/13/2015 09/14/2015 Clinical Edit Dec/Jan
Entresto 49 mg – 51 mg Tablet 07/13/2015 09/14/2015 Clinical Edit Dec/Jan
Novolog Diluting Medium Vial 07/13/2015 09/14/2015 Open Access Dec/Jan
Orkambi 22 mg – 125 mg Tablet 07/13/2015 09/14/2015 Clinical Edit Dec/Jan
Ritalin LA 60 mg Capsule 07/06/2015 09/07/2015 Clinical Edit Dec/Jan
Avar LS 10% - 2% Foam 07/06/2015 09/07/2015 Continue PA Dec/Jan
Avar 9.5% - 5% Foam 07/06/2015 09/07/2015 Continue PA Dec/Jan
Ovace Plus 9.8% Foam 07/06/2015 09/07/2015 Continue PA Dec/Jan
Humalog Kwikpen 200 unit/mL Insul Pen 06/29/2015 08/31/2015 PDL Product Sept/Oct
Afrezza 8 unit - 60/12 unit - 30 Cart w/Dev 06/29/2015 08/31/2015 PDL Product Sept/Oct
Dermacin RX Silapak 0.1% - 5% Kit 06/29/2015 08/31/2015 Continue PA Sept/Oct
Breo Ellipta 200 - 25 mcg Blst w/Dev 06/22/2015 08/24/2015 PDL Product Sept/Oct
Tristart DHA 31 – 1 - 200 mg Capsule 06/22/2015 08/24/2015 Open Access Sept/Oct
Poly-Vi-Flor FS 0.25 mg Film 06/22/2015 08/24/2015 Continue PA Sept/Oct
Poly-Vi-Flor FS 0.5 mg Film 06/22/2015 08/24/2015 Continue PA Sept/Oct
Kuvan 500 mg Powd Pack 06/22/2015 08/24/2015 Open Access Sept/Oct
Irenka DR 40 mg Capsule 06/08/2015 08/10/2015 Clinical Edit Sept/Oct
Invega Trinza 273 mg/0.845 mL Syringe 06/08/2015 08/10/2015 Clinical Edit Sept/Oct
Invega Trinza 410 mg/1.315 mL Syringe 06/08/2015 08/10/2015 Clinical Edit Sept/Oct
Invega Trinza 546 mg/1.75 mL Syringe 06/08/2015 08/10/2015 Clinical Edit Sept/Oct
Invega Trinza 816 mg/2.625 mL Syringe 06/08/2015 08/10/2015 Clinical Edit Sept/Oct
Doryx DR 50 mg Tablet 06/08/2015 08/10/2015 PDL Product Sept/Oct
Seroquel XR 50 - 200 - 300 mg Tab DS PK 06/01/2015 08/03/2015 Clinical Edit Sept/Oct
Stiolto Respimat Inhal 2.5 - 2.5 mcg Inhal Spray 06/01/2015 08/03/2015 PDL Product Sept/Oct
Glucagon 1 mg Vial 05/25/2015 07/27/2015 Open Access Sept/Oct
Juxtapid 30 mg Capsule 05/25/2015 07/27/2015 PDL Product Sept/Oct
Juxtapid 40 mg Capsule 05/25/2015 07/27/2015 PDL Product Sept/Oct
Juxtapid 60 mg Capsule 05/25/2015 07/27/2015 PDL Product Sept/Oct
Enbrace HR 1.5 - 8.73 mg Capsule 05/18/2015 07/20/2015 Open Access Sept/Oct
Viibryd 10 - 20 mg Starter Pack 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Saphris 2.5 mg Tab SUBL 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Tivorbex 20 mg Capsule 05/11/2015 07/13/2015 PDL Product Sept/Oct
Tivorbex 40 mg Capsule 05/11/2015 07/13/2015 PDL Product Sept/Oct
Aptensio XR 10 mg Capsule 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Aptensio XR 15 mg Capsule 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Aptensio XR 20 mg Capsule 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Aptensio XR 30 mg Capsule 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Aptensio XR 40 mg Capsule 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Aptensio XR 50 mg Capsule 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Aptensio XR 60 mg Capsule 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Fosrenol 750 mg Powder Packet 05/11/2015 07/13/2015 PDL Product Sept/Oct
Fosrenol 1,000 mg Powder Packet 05/11/2015 07/13/2015 PDL Product Sept/Oct
Midazolam HCL 2.5 mL Syrup 05/11/2015 07/13/2015 Clinical Edit Sept/Oct
Provida DHA 32 – 1.25 mg Capsule 04/27/2015 06/29/2015 Open Access Sept/Oct
Corlanor 5 mg Tablet 04/27/2015 06/29/2015 Clinical Edit Sept/Oct
Corlanor 7.5 mg Tablet 04/27/2015 06/29/2015 Clinical Edit Sept/Oct
Sandostatin LAR Depot 10 mg Vial/Kit 04/20/2015 06/22/2015 Open Access Sept/Oct
Sandostatin LAR Depot 20 mg Vial/Kit 04/20/2015 06/22/2015 Open Access Sept/Oct
Sandostatin LAR Depot 30 mg Vial/Kit 04/20/2015 06/22/2015 Open Access Sept/Oct
Namzaric 14 mg – 10 mg Capsule 04/20/2015 06/22/2015 PDL Product Sept/Oct
Namzaric 28 mg – 10 mg Capsule 04/20/2015 06/22/2015 PDL Product Sept/Oct
Aranesp 10 mcg/0.4 mL Syringe 04/20/2015 06/22/2015 PDL Product Sept/Oct
Jadenu 90 mg Tablet 04/13/2015 06/15/2015 Open Access Sept/Oct
Jadenu 180 mg Tablet 04/13/2015 06/15/2015 Open Access Sept/Oct
Jadenu 360 mg Tablet 04/13/2015 06/15/2015 Open Access Sept/Oct
Proair Respiclick 90 mcg Aer Pow Ba 04/13/2015 06/15/2015 PDL Product Sept/Oct
Pristiq ER 25 mg Tablet 04/06/2015 06/08/2015 Clinical Edit Sept/Oct
Prefera-OB Plus DHA 28-6-1 mg Combo Pack 04/06/2015 06/08/2015 Open Access Sept/Oct
Hydroxyzine 50 mg/25 mL Syrup 04/06/2015 06/08/2015 Open Access Sept/Oct
Avycaz 2.5 g Vial 04/06/2015 06/08/2015 Open Access Sept/Oct
Cholbam 50 mg Capsule 04/06/2015 06/08/2015 PDL Product Sept/Oct
Cholbam 250 mg Capsule 04/06/2015 06/08/2015 PDL Product Sept/Oct
Liletta 18.6 mcg/24 IUD 04/06/2015 06/08/2015 Fiscal Edit Sept/Oct
Natpara 25 mcg Cartridge 04/06/2015 06/08/2015 Clinical Edit Sept/Oct
Natpara 50 mcg Cartridge 04/06/2015 06/08/2015 Clinical Edit Sept/Oct
Natpara 75 mcg Cartridge 04/06/2015 06/08/2015 Clinical Edit Sept/Oct
Natpara 100 mcg Cartridge 04/06/2015 06/08/2015 Clinical Edit Sept/Oct
Mircera 200 mcg/0.3 mL Syringe 03/30/2015 06/01/2015 PDL Product June/July
Cresemba 186 mg Capsule 03/30/2015 06/01/2015 Continued PA June/July
Kalydeco 50 mg Gran Pack 03/23/2015 05/25/2015 Open Access June/July
Kalydeco 75 mg Gran Pack 03/23/2015 05/25/2015 Open Access June/July
Natesto 5.5 mg/0.122 gm Nasal Gel MD Pump
03/16/2015 05/18/2015 PDL Product June/July
Toujeo Solostar 300 units/mL Insulin Pen 03/09/2015 05/11/2015 PDL Product June/July
Nuvessa Vaginal 1.3% Gel 03/09/2015 05/11/2015 PDL Product June/July
Fentanyl 37.5 mcg/hr Patch 03/02/2015 05/04/2015 PDL Product June/July
Fentanyl 62.5 mgc/hr Patch 03/02/2015 05/04/2015 PDL Product June/July
Fentanyl 87.5 mcg/hr Patch 03/02/2015 05/04/2015 PDL Product June/July
Rosula 10%-4.5% Wash 03/02/2015 05/04/2015 PA Continued June/July
Pazeo 0.7% Eye Drops 02/23/2015 04/27/2015 PDL Product June/July
Signifor LAR 20 mg Vial/Kit 02/23/2015 04/27/2015 Open Access June/July
Signifor LAR 40 mg Vial/Kit 02/23/2015 04/27/2015 Open Access June/July
Signifor LAR 60 mg Vial/Kit 02/23/2015 04/27/2015 Open Access June/July
Otezla 10 – 20 – 30 mg TAB DS PK 02/16/2015 04/20/2015 PDL Product June/July
Sotylize 5 mg / mL Solution 02/16/2015 04/20/2015 PDL Product June/July
Zubsolv 8.6 – 2.1 mg Tab SUBL 02/09/2015 04/13/2015 PDL Product June/July
Glyxambi 10 mg – 5 mg Tablet 02/09/2015 04/13/2015 PDL Product June/July
Glyxambi 25 mg – 5 mg Tablet 02/09/2015 04/13/2015 PDL Product June/July
Movantik 25 mg Tablet 02/09/2015 04/13/2015 PA Continued June/July
Movantik 12.5 mg Tablet 02/09/2015 04/13/2015 PA Continued June/July
Cosentyx 150 mg / mL Syringe 02/09/2015 04/13/2015 PDL Product June/July
Cosentyx 150 mg / mL PEN INJCTR 02/09/2015 04/13/2015 PDL Product June/July
Duopa 4.63 mg – 20 mg / mL INT PMP SP 02/09/2015 04/13/2015 PA Continued June/July
Lidocaine HC 0.5 % - 3 % Cream (G) / Appl 02/02/2015 04/06/2015 Open Access June/July
Feriva FA 110 mg – 1 mg Capsule 01/26/2015 03/30/2015 PA Continued June/July
Rytary 61.25 – 245 mg Capsule ER 01/26/2015 03/30/2015 Open Access June/July
Rytary 48.75 – 195 mg Capsule ER 01/26/2015 03/30/2015 Open Access June/July
Rytary 36.25 – 145 mg Capsule ER 01/26/2015 03/30/2015 Open Access June/July
Rytary 23.75 – 95 mg Capsule ER 01/26/2015 03/30/2015 Open Access June/July
Paricalcitol 2 mcg/mL Vial 01/26/2015 03/30/2015 Open Access

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