11.04.02 |
Formulary
|
 |
Adalimumab injection Imraldi ® Amgevita ® Humira® |
05.03.01 |
Formulary
|
 |
Bictegravir 50mg emtricitabine 200mg tenofovir alafenamide 25mg Biktarvy |
08.01.05 |
Formulary
|
 |
Dacomitinib monohydrate Vizimpro® |
08.01.05 |
Formulary
|
 |
Dinutuximab beta Qarziba® |
05.03.01 |
Formulary
|
 |
Dolutegravir/lamivudine Dovato® |
05.03.01 |
Formulary
|
 |
Dolutegravir/rilpivine Juluca® |
08.01.05 |
Formulary
|
 |
Gemtuzumab ozogamicin Mylotarg® |
08.02.04 |
Formulary
|
 |
Glatiramer Acetate Copaxone® |
10.02 |
Formulary
|
 |
Interferon beta-1a Avonex®, Rebif® |
10.02.01 |
Formulary
|
 |
Interferon beta-1b Extavia® |
08.01.05 |
Formulary
|
 |
Liposomal cytarabine-daunorubicin Vyxeos® |
03.07 |
Formulary
|
 |
Lumacaftor/Ivacaftor Orkambi® |
08.01.05 |
Formulary
|
 |
Lutetium (177Lu) oxodotretide Lutathera® |
10.02.01 |
Formulary
|
 |
Peginterferon beta 1a Plegridy® |
03.07 |
Formulary
|
 |
Tezacaftor/Ivacaftor Symkevi® |