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A+ KIDS
Document name
A+KIDS
Agents for Duchenne Muscular Dystrophy
Document name
Agents for Duchenne Muscular Dystrophy
Antiemetic Agents
Document name
Antiemetic Agents
Antifungal Agents - Vusion
Document name
Antifungal Agents - Vusion
Antinarcolepsy and Antihyperkinesis Agents
Document name
Antinarcolepsy and Antihyperkinesis Agents
Antiparkinsons Agents
Document name
Antiparkinsons Agents
ASAP
Document name
ASAP
Behavioral Health Clinical Criteria Adult
Document name
Behavioral Health Clinical Criteria Adult
Behavioral Health Clinical Criteria Pediatric
Document name
Behavioral Health Clinical Criteria Pediatric
Camzyos
Document name
Camzyos
Cialis
Document name
Cialis
Crinone
Document name
Crinone
Ctexli
Document name
Ctexli
Cystic Fibrosis
Document name
Cystic Fibrosis
Elevidys
Document name
Elevidys
Emflaza
Document name
Emflaza
Epidiolex
Document name
Epidiolex
Epinephrine Auto-Injections
Document name
Epinephrine Auto-Injections
Evrysdi
Document name
Evrysdi
Gattex
Document name
Gattex
GLP-1 Receptor Agonists and Combinations
Document name
GLP-1 Receptor Agonists and Combinations
GLP1s for Weight Management
Document name
GLP1s for Weight Management
Growth Hormones
Document name
Growth Hormones
Hematinics (Procrit, Epogen, Aranesp, Mircera, Retacrit)
Document name
Hematinics (Procrit, Epogen, Aranesp, Mircera, Retacrit)
Hepatitis C Medications
Document name
Hepatitis C Medications
Hereditary Angioedema (HAE) Agents
Document name
Hereditary Angioedema (HAE) Agents
Hetlioz
Document name
Hetlioz
Hormone Therapy for Beneficiaries Under 18
Document name
Hormone Therapy for Beneficiaries Under 18
Immunomodulator PA Criteria
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Actemra
Arcalyst
Avsola
Cibinqo
Cimzia
Cosentyx
Enbrel
Enspryng
Entyvio
Humira
Ilaris
Ilumya
Inflectra
Kevzara
Kineret
Olumiant
Orencia
Otezla
Remicade
Renflexis
Rinvoq
Siliq
Simponi
Simponi Aria
Skyrizi
Spevigo
Stelara
Stelara Infusion
Taltz
Tremfya
Uplizna
Xeljanz
Xeljanz XR
Ivermectin
Document name
Ivermectin
Juxtapid
Document name
Juxtapid
Leqembi
Document name
Leqembi
Lupus Medications
Document name
Lupus Medications
Migraine Therapy - Calcitonin Gene-Related Inhibitors
Document name
Migraine Therapy - Calcitonin Gene-Related Inhibitors
Monoclonal Antibodies
Document name
Monoclonal Antibodies
Movement Disorders
Document name
Movement Disorders
Mu-Opioid Receptor Antagonists, Peripherally-Acting (Relistor)
Document name
Mu-Opioid Receptor Antagonists, Peripherally-Acting (Relistor)
Neuromuscular Blocking Agents (Botox, Myobloc, Dysport, Xeomin)
Document name
Neuromuscular Blocking Agents (Botox, Myobloc, Dysport, Xeomin)
Nexlizet and Nexletol
Document name
Nexlizet and Nexletol
Opioid Analgesics
Document name
Opioid Analgesics
Opioid Dependence Therapy Agents
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Opioid Dependence Therapy Agents
PCSK9 Inhibitors
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PCSK9 Inhibitors
Reblozyl
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Reblozyl
Sedative Hypnotics
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Sedative Hypnotics
SGLT2 Inhibitors and Combinations
Document name
SGLT2 Inhibitors and Combinations
Therapeutic Continuous Glucose Monitoring Systems (CGM) and Related Supplies
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Therapeutic Continuous Glucose Monitoring Systems (CGM) and Related Supplies
Topical Antihistamines
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Topical Antihistamines
Topical Anti-Inflammatories
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Topical Anti-Inflammatories
Topical Local Anesthetics
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Topical Local Anesthetics
Triptans
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Triptans
Vivjoa
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Vivjoa
Vowst
Document name
Vowst
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