Archived Pharmacy Policies
The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.
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A
- Actemra (tocilizumab)
- Actemra (tocilizumab)
- Aimovig (erenumab-aooe)
- Aimovig (erenumab-aooe)
- Ajovy (fremanezumab-vfrm)
- Alpha 1-Proteinase Inhibitor Injection
- Alunbrig (brigatinib)
- Amevive (alefacept)
- Ampyra (dalfampridine)
- Antihemophilic Agents
- Aubagio (teriflunomide)
- Austedo (deutetrabenazine)
- Austedo (deutetrabenazine)
- Avonex (interferon beta-1a)
B
C
D
E
F
G
H
I
K
L
M
N
O
P
R
S
- Seizure Disorders (Repository Corticotropin Injection (H.P. Acthar Gel) and Vigabatrin (Sabril) Oral Solution and Tablets)
- Short Bowel Syndrome (Gattex, Zorbtive)
- Siliq (brodalumab)
- Simponi (golimumab)
- Simponi Aria (golimumab)
- Simponi Aria (golimumab)
- Somatropin Injection
- Sovaldi (sofosbuvir)
- Sovaldi (sofosbuvir)
- Sovaldi (sofosbuvir)
- Spinraza (nusinersen)
- Spinraza (nusinersen)
- Stelara (ustekinumab)
- Sublocade (buprenorphine extended-release) injection, for subcutaneous use
- Supartz FX (sodium hyaluronate)
- Synagis (palivizumab)
- Synagis (palivizumab)
- Synagis (palivizumab)
- Synvisc (sodium hyaluronate)
- Synvisc-One (sodium hyaluronate)