Formulary Medications - Generic

Inflammatory diseases

• Abaloparatide- Tymlos®
• Abatacept- Orencia®
• Anakinra- Kineret®
• Belimumab- Benlysta®
• Certolizumab Pegol- Cimzia®
• Etanercept- Enbrel®
• Golimumab- Simponi®
• Sarilumab- Kevzara®
• Tocilizumab- Actemra®
• Tofacitinib Citrate- Xeljanz®

Hematology/oncology

• Abemaciclib- Verzenio®
• Abiraterone Acetate- Zytiga®
• Afatinib- Gilotrif®
• Alectinib- Alecensa®
• Altretamine- Hexalen®
• Apalutamide- Erleada™
• Bexarotene- Targretin®
• Binimetinib- Mektovi®
• Bosutinib- Bosulif®
• Brigatinib- Alunbrig®
• Cabozantinib- Cabometyx®
• Capecitabine- Xeloda®
• Ceritinib- Zykadia™
• Chlorambucil- Leukeran®
• Crizotinib- Xalkori®
• Dabrafenib Mesylate- Tafinlar®
• Dasatinib- Sprycel®
• Deferasirox- Exjade®
• Deferasirox- Jadenu®
• Eltrombopag Olamine- Promacta®
• Enzalutamide- Xtandi®
• Erlotinib Hydrochloride- Tarceva®
• Estramustine- Emcyt®
• Etoposide- Vepesid®
• Everolimus- Afinitor®
• Filgrastim-sndz- Zarxio®
• Fostamatinib disodium hexahydrate- Tavalisse™
• Ibrutinib- Imbruvica®
• Idelalisib- Zydelig ™
• Ixazomib- Ninlaro®
• Lapatinib Ditosylate- Tykerb®
• Lenvatinib- Lenvima
• Lomustine- Gleostine®
• Midostaurin- Rydapt®
• Mitotane- Lysodren®
• Nilotinib Hydrochloride- Tasigna®
• Nirparib- Zejula™
• Olaparib- Lynparza™
• Osimertinib- Tagrisso™
• Palbociclib- Ibrance®
• Panobinostat- Farydak®
• Pazopanib Hydrochloride- Votrient®
• Regorafenib- Stivarga®
• Ribociclib- Kisqali®
• Rucaparib- Rubraca®
• Ruxolitinib Phosphate- Jakafi®
• Sorafenib Tosylate- Nexavar®
• Sunitinib Maleate- Sutent®
• Temozolomide- Temodar®
• Topotecan- Hycamtin®
• Trametinib Dimethyl Sulfoxide- Mekinist®
• Trifluridine/Tipiracil- Lonsurf®
• Vemurafenib- Zelboraf™
• Venetoclax- Venclexta®
• Visomodegib- Erivedge®
• Vorinostat- Zolinza®

Inflammatory diseases, Miscellaneous

• Adalimumab- Humira®
• Apremilast- Otezla®
• Infliximab- Remicade®
• Ixekizumab- Taltz®
• Rifaximin- Xifaxan®
• Rituximab- Rituxan®
• Secukinumab- Cosentyx®
• Ustekinumab- Stelara®

Cardiovascular

• Alirocumab- Praluent®
• Evolocumab- Repatha®

Bleeding disorders

• Antihemophilic Factor (Recombinant)- Advate
• Antihemophilic Factor (Recombinant)- Kogenate FS®
• Antihemophilic Factor (Recombinant)- Xyntha®
• Antihemophilic Factor (Recombinant)- Adynovate®
• Antihemophilic Factor (Recombinant)- Novoeight®
• Antihemophilic Factor (Recombinant), Fc Fusion- Eloctate®
• Antihemophilic Factor / Von Willebrand Factor Complex (Human)- Wilate®
• Antihemophilic Factor / Von Willebrand Factor Complex (Human)- Alphanate®
• Antihemophilic Factor VIII (recombinant)- Nuwiq®
• Antihemophilic Factor/von Willebrand Factor- Humate-P®
• Coagulation factor IX- Idelvion®
• Coagulation Factor IX (Recombinant)- Benefix®
• Emicizumab-kxwh- Hemlibra®
• Pegfilgrastim-jmdb- Fulphila™
• Von Willebrand Factor- Vonvendi®

Hematology/oncology, Transplant

• Axitinib- Inlyta®

Endocrinology

• Chorionic Gonadotropin- Novarel®
• Lanreotide- Somatuline Depot®
• Leuprolide Acetate- Lupron®
• Macimorilen- Macrilen™
• Somatropin- Nutropin AQ Nuspin®
• Somatropin- Zomacton®
• Somatropin, E-Coli Derived- Genotropin™
• Somatropin, E-Coli Derived- Norditropin®
• Somatropin, E-Coli Derived- Omnitrope®

Transplant

• Cyclosporine, Modified- Gengraf®
• Everolimus- Zortress®
• Mycophenolate- Cellcept®
• Mycophenolic Acid- Myfortic®
• Sirolimus- Rapamune®
• Tacrolimus- Prograf®
• Tacrolimus ER- Envarsus XR®

Infectious diseases

• Daclatasvir- Daklinza®
• Elbasvir/Grazoprevir- Zepatier™
• Glecaprevir and Pibrentasvir- Mayvret™
• Ledipasvir/Sofosbuvir- Harvoni®
• Ombitasvir/Paritaprevir/Ritonavir/Dasabuvir- Viekira Pak®
• Ribavirin- Ribapak®
• Ribavirin- Ribasphere®
• Simeprevir- Olysio®
• Sofosbuvir- Sovaldi®
• Sofosbuvir, Velpatasvir and Voxilaprevir- Vosevi™
• Sofosbuvir/Velpatasvir- Epclusa®

Neurology

• Dalfampridine- Ampira®
• Deutetrabenazine- Austedo®
• Dimethyl Fumarate- Tecfidera®
• Fingolimod Hydrochloride- Gilenya®
• Glatiramer Acetate- Copaxone®
• Glatiramer Acetate- Glatopa®
• Interferon Beta-1a- Avonex®
• Interferon Beta-1a- Rebif®
• Interferon Beta-1b- Extavia®
• Interferon Beta-1b- Betaseron®
• Ocrelizumab- Ocrevus™
• Peginterferon Beta-1a- Plegridy®
• Valbenazine- Ingrezza®

Pulmonology

• Dornase Alfa- Pulmozyme®
• Ivacaftor- Kalydeco®
• Lumacaftor/Ivacaftor- Orkambi®
• Nintedanib- Ofev®
• Pancrelipase (Amylase/Lipase/Protease)- Viokace®
• Pancrelipase (Amylase/Lipase/Protease)- Zenpep®
• Pancrelipase (Amylase/Lipase/Protease)- Pertzye®
• Pancrelipase (Amylase/Lipase/Protease)- Creon®
• Pirfenidone- Esbriet®
• Tezacaftor/Ivacaftor- Symdeko™
• Tobramycin Inhalation Powder- Tobi® Podhaler™
• Tobramycin Inhalation Solution- Bethkis®
• Tobramycin Inhalation Solution- Tobi®

Allergy/immunology

• Dupilumab- Dupixent®

Women's health

• Hydroxyprogesterone Caproate Injection- Makena®

Hematology/oncology, Inflammatory diseases

• Imatinib Mesylate- Gleevec®

Inflammatory diseases, Hematology/oncology

• Methotrexate- Otrexup®

Miscellaneous

• Obeticholic Acid- Ocaliva®

• Teriparatide- Forteo®