08.02.04 |
Formulary
|
 |
Dimethyl fumarate Tecfidera® |
05.03.03.02 |
Formulary
|
 |
Elbasvir/Grazoprevir Zepatier® |
08.02.04 |
Formulary
|
 |
Glatiramer Acetate Copaxone® |
05.03.03.02 |
Formulary
|
 |
Glecaprevir and Pibrentasvir Maviret® |
08.01 |
Formulary
|
 |
Inotuzumab ozogamicin Besponsa® |
08.02.04 |
Formulary
|
 |
Interferon Beta Betaferon® |
05.03.03.02 |
Formulary
|
 |
Ledipasvir and Sofosbuvir Harvoni® |
08.01.05 |
Formulary
|
 |
Lenvatinib Lenvima® and Kisplyx® |
05.03.03.02 |
Formulary
|
 |
Ombitasvir/ paritaprevir/ ritonavir Viekirax® |
08.01.05 |
Formulary
|
 |
Paclitaxel - Albumin Bound Formulation Abraxane® |
05.03.03.02 |
Formulary
|
 |
Sofosbuvir, Velpatasvir and Voxilaprevir Vosevi® |
08.01.05 |
Formulary
|
 |
Trastuzumab emtansine Kadcyla® |