Skip to Main Content

 

Search By Title

Keywords for Search: Adcirca, Afinitor, Akynzeo,Amitiza, Ampyra, Androderm, Antipsychotics, Aptiom,  Aubagio ,Austedo, Aveed,  Banzel, Belsomra, Bethkis, Botulinum Toxin, Brisdelle,  Campral, Cayston, Cerezyme,Calcitonin Gene-related Peptide (CGRP) Antagonists, Clotting Factors, Cymbalta, Depo-Provera, Diclegis, Differin, Dificid, Elelyso, Entresto,

 Enteral Nutritional, Entresto, Epidiolex, Evzio, Exondys 51 ,Extavia,  Faslodex, Fentanyl, Fentanyl Transmucosal,Flector Patch, Fycompa,  Forteo, Fulyzaq, Gilenya, Gilotrif,

 , Grastek, Growth Hormone, Harvoni, Herceptin, Hetlioz, Hysingla ER, Imbruvica,

Ingrezza , Inlyta, Intuniv,  Invega Trinza,
Kalydeco, Kapvay,
 
Kineret, Kitabis Pak,  Kuvan, Lemtrada,       Lindane 1% Shampoo, Linzess, Lunesta, Lupron Depot, Luzu,
 Makena, Marinol,Metformin ER ,Motegrity, Movantik, Naltrexone,Natroba, Nicotine gum,  Nicotine lozenge, Nicotine patch, Nicotrol Nasal Spray and Nicotrol Inhaler, Nplate, Northera,  Nuplazid,  Nuvigil, Ocrevus, Opsumit, Onfi, Oralair,ORENCIA  Orenitram ER, Orfadin, Otezla, Otrexup, Ovide, Palynziq, Panretin, Plegridy, Praluent, Procysbi, Prolia, Provigil, Pulmozyme, Qudexy XR, Ragwitek, Ravicti, Retin A,
Relistor Injection & Relistor Oral
,Revatio, Revlimid, Rexulti, Robinul,Serostim, SGLT2-DPP4(dipeptidyl peptidase 4) Inhibitors Combo, SGLT2 (sodium-glucose co-transporter  2 ) Inhibitors ,  Sivextro, Sklice, Sovaldi, Spinraza,Spravato, Sprycel, Stelara, Strattera, , Subutex, Sublocade, Symdeko , Symproic , Synagis, Taltz, Targretin , Tazorac, Tecfidera, Temodar, TOBI, Trulance, Tykerb,Tymlos, Tyvaso, Uptravi, Velcade, Veltassa, Viekira Pak,  Vivitrol,  Xarelto 2.5mg
Xeljantz & Xeljanz XR,
 
Xeloda, Xgeva, Xifaxan,  Xyrem, Zohydro ER, Zostavax, Zyban SR (bupropion SR), Zyvox
 

 Clinical Criteria

 
Use SHIFT+ENTER to open the menu (new window).
  
MedicationsUse SHIFT+ENTER to open the menu (new window).
  
MMCP Clinical Criteria
There are no items to show in this view of the "Clinical Criteria" list.