ADD/ADHD Agents 7/15/2013
Agents for Hereditary Angioedema 1/1/2020
Alinia (Nitazoxanide) 1/31/2011
Aliskiren-Containing Agents (Except Valturna)

6/18/2012

Allergen Extracts 10/3/2013
Altabax (Retapamulin) 1/31/2011
Antipsychotics 6/14/2011
Anxiolytics and Sedatives/Hynotics 1/31/2011
Arikayce 4/26/2019
Buprenorphine Agents 3/22/2019
Carisoprodol 3/23/2019
CNS Stimulants 1/31/2011
Copaxone (Glatiramer) 7/7/2014
Cyclobenzaprine 5/08/2017
Cystic Fibrosis Agents 1/30/2019
Cytokine and CAM Antagonists 1/1/2020
Desmopressin 5/24/2012
Dextromethorphan Overutilization

7/18/2012

Diclofenac Gel and Topical Solution 1/1/2020
Dupixent 11/9/2017
Duplicate Therapy 5/06/2019
Emflaza 9/27/2017
Enzymes 9/11/2019
Erythropoiesis-Stimulating Agents 8/23/2013
Fentanyl Agents 1/20/2017
Forteo 8/16/2015
Gaucher's Disease Agents 7/15/2019
GI Motility Agents 2/12/2018
GLP-1 Receptor Agonists 4/6/2018
Growth Hormone 1/31/2011
H.P. Acthar 11/24/2014
Hepatitis C Virus (Initial) 1/13/2017
Imiquimod 4/11/2012
Increlex (Mecasermin) 1/31/2011
Injectable Pulmonary HTN Agents 11/24/2014
Ketorolac (Toradol) 7/12/2012
Keveyis (Dichlorphenamide) 3/29/2019
Leukotriene Modifiers 4/23/2015
Lidocaine Patches 1/29/2015
Lovaza (Omega-3-Acid Ethyl Esters) Capsules 6/5/2012
Makena 6/6/2015
Nuplazid 3/29/2019
Morphine Equivalent Dose (MED) Limit 1/30/2019
Opiate Overutilization 1/31/2011
Opiate/Benzodiazepine/Muscle Relaxant Combinations 12/21/2016
OxyContin (Oxycodone ER) 1/31/2011
PCSK9 Inhibitors 11/17/2016
Phosphodiesterase-5 Inhibitors (sildenafil/tadalafil) 1/1/2020
Promethazine/Promethazine Containing Products 2/12/2018
Propylthiouracil 3/9/2011
Ranexa 4/3/2012
Savella 10/22/2015
Sickle Cell Agents (Oxbryta) 1/30/2020
Sodium-Glucose Cotransporter 2 (SGLT2) Inhibitor Combination Agents 1/1/2020
Symlin (Pramlintide Acetate) 1/31/2011
Synagis (Palivizumab) 1/31/2011
Topical Immunomodulators 1/31/2011
Urea Cycle Disorder Agents 1/1/2020
VMAT2 Inhibitors 7/23/2018
Xenical (Orlistat) 2/9/2004
Xifaxan (Rifaximin) 1/31/2011
Xyrem 3/9/2011
Zelboraf 1/8/2014