Prescription Drug Authorization Forms — Employer Plans, Individual & Family Plans, and FAMIS

Maximum Daily Dosage Limit Exceptions Request Form

Medical Drug Authorization Changes

Medical Drug Authorization Changes

Orally Administered Oncology Medications

Pancreatic Enzyme Utilization Criteria for Cystic Fibrosis

Pharmacy Medical Necessity Request Form

Welcoming Baby OB Registration Form

Abecma (Medical)

Abrysvo

Actemra (diagnosis of Giant Cell Arteritis)

Actemra (diagnosis of Systemic Sclerosis-associated Interstitial Lung Disease)

Actemra IV (Medical)

Actemra IV for diagnosis of Cytokine Release Syndrome (CRS) (Medical)

Actemra SQ (Pharmacy) (Non-Preferred)

Actimmune (Medical)

ActimmuneSQ

Adakveo (Medical)

Adbry

Addyi

Adefovir dipivoxil (ADV, generic Hepsera)

Adsiladrin (Medical)

Aduhelm (Medical)

Afrezza

AirDuo RespiClick | AirDuo Digihaler | budesonide-formoterol | Dulera | fluticasone-salmeterol | fluticasone furoate-vilanterol | Wixela Inhub

Albuterol Inhalers (albuterol HFA (generic ProAir HFA) | albuterol HFA (generic Proventil HFA) | albuterol HFA (generic Ventolin HFA) | lavalbuterol HFA (generic Xopenex) | ProAir Digihaler/HFA/Respiclick | Proventil HFA)

Aldurazyme (Medical)

Alinia

Aliqopa IV (Medical)

Alpha Proteinase Inhibitors (Aralast NP | Glassia | Prolastin-C | Zemaira) (Medical)

Alvesco | ArmonAir Digihaler | fluticasone propionate HFA | Pulmicort

Amvuttra | Onpattro (Medical)

Anticonvulsants | Antiepileptic Drugs | Antiseizure Drugs

Antipsychotics-Children (0-17 yrs) - COMMERCIAL ONLY

Apokyn | Kynmobi

Aranesp | Epogen | Procrit | Retacrit

Arcalyst

Arcapta Neohaler

Arformoterol nebulizer solution (generic Brovana & ABA)

Arikayce

Atypical Antipsychotics (asenapine | Caplyta | Fanapt |lurasidone | paliperidone | Rexulti | Vraylar)

Auryxia | lanthanum chewable tablet | Velphoro

Austedo

Auvelity

Auvi-Q Auto-Injector

Aveed | TestoPel (Medical) (Testosterone Replacement Therapy will be purchased by physician's office)

Azedra (Medical)

Benlysta (Medical)

Benlysta (Pharmacy)

Berinert IV (Medical)

Besponsa IV (Medical)

Bevespi Aerosphere | Breztri | Duaklir Pressair | Utibron Neohaler

Beyfortus (Medical)

BOTOX | Xeomin Injections (Medical) (Cosmetic indications are Excluded)

Botox Injection (Type A) - Chronic Migraine Headache Prophylaxis (Medical)

BOTOX Injections - Chronic Migraine Headache Prophylaxis (Medical) (Cosmetic indications Excluded)

BOTOX Injections - Hyperhidrosis (Medical) (Cosmetic indications Excluded)

BOTOX Injections - Upper Limb Spasticity (ULS) | Lower Limb Spasticity (Medical) (Cosmetic indications Excluded)

Brexafemme

Breyanzi (Medical)

Brineura IV (Medical)

Brixadi│Sublocade

Bronchitol

Bylvay

Cabenuva (Medical)

Cabenuva (Pharmacy)

Cablivi

Camzyos

Candesartan | candesartan-HCTZ | Edarbi | Edarbyclor | Tekturna | Tekturna HCT

Carglumic acid (Carbaglu)

Carvykti (Medical)

Central Nervous System (CNS) Stimulants (Age 19 and Above) (Adhansia XR | Adzenys XR-ODT/ER | amphetamine/dextroamphetamine (Adderall) |amphetamine/dextroamphetamine ER (Adderall XR) | amphetamine sulfate (Evekeo) | Azstarys | Cotempla XR/ODT | dexmethylphenidate (Focalin) | dexmethylphenidate ER (Focalin XR) | dextroamphetamine (Zenzedi) | dextroamphetamine (ProCentra) | dextroamphetamine (Dextrostat) | dextroamphetamine ER (Dexedrine Spansule) | Dyanavel XR | Evekeo ODT | Jornay PM | methamphetamine (Desoxyn) | methylphenidate ER (Aptensio XR) | methylphenidate ER (Concerta) | methylphenidate TID Patch (Daytrana) | methylphenidate ER (Ritalin SR/Metadate ER) | methylphenidate (Ritalin/Methylin) | methylphenidate LA (Ritalin LA) | methylphenidate CD (Metadate CD) | Mydays | Quillichew ER | Quillivant XR | Vyvanse)

Central Nervous System (CNS) Stimulants (Non-Preferred) (Adhansia XR | Adzenys XR-ODT | Adzenys ER Susp | amphetamine sulfate (Evekeo) | Azstarys | Cotempla XR-ODT | Dyanavel XR | Evekeo ODT | Jornay PM | methylphenidate ER (Aptensio XR) | methylphenidate TD Patch (Daytrana) | Mydayis | Quillichew ER | Quillivant XR

Cequa | Lacrisert | Tyrvaya

Cerdelga

Cholbam

Cialis | tadalafil (BPH) ONLY

Cibinqo

Cimzia Lyophilized IV (Medical)

Cimzia SQ (Pharmacy benefit Prefilled syringe)

Cinacalcet (generic Sensipar)

Cinqair IV (Medical)

Compound Drugs

Continuous Glucose Monitors (CGM) & Subcutaneous Insulin Pumps (group specific benefit)

Corlanor

Cosentyx SQ (Pharmacy benefit)

Cresemba (Medical)

Cresemba (Pharmacy)

Crinone

Crysvita Injection (Medical)

Cuvposa

Cuvrior | Syprine | trientine

Cystaran | Cystadrops

D.H.E. 45 | Migranal

Daraprim

Daybue

Deferasirox (generic Exjade) | deferasirox (generic Jadenu)

Deferiprone tablets (generic Ferriprox) | Ferriprox solution | Ferriprox 2-day tablets

Demser | Dibenzyline

Denavir

Depen Titratable tablets | Penicillamine tablets (PREFERRED) | Cuprimine | Penicillamine capsules (NON-PREFERRED)

Dextenza (Medical)

Diacomit

Diclegis

Dificid

Dojolvi

Doptelet

Dry Eye Medications (Cequa | Lacrisert | Miebo | Tyrvaya )

Duavee

Duchenne Muscular Dystrophy Medications (Amondys 45 | Exondys 51 | Viltepso | Vyondys 53) (Medical)

Duexis | Vimovo

Dupixent

Durysta (Medical)

Dysport (Botox Injections) (Medical) (Cosmetic indications Excluded)

Edecrin

Egaten

Egrifta

Elaprase IV (Medical)

Elevidys (Medical)

Elfabrio (Medical)

Elidel

Emflaza

Empaveli (Medical)

Emsam

Emverm

Enbrel

Endari

Enjaymo (Medical)

Enspryng

Entyvio IV (Medical)

Epidiolex

Esbriet

Eucrisa

Evenity (Medical)

Evkeeza (Medical)

Evrysdi

Evzio

Eylea - Retinopathy of Prematurity (ROP)

Ezetimibe/simvastatin (Vytorin)

Fabrazyme IV (Medical)

Fasenra SQ (Medical)

Fasenra SQ (Pharmacy)

Fetzima | Trintellix | Viibryd

Filspari

Fintepla

Firdapse

Flector Patch

Flucytosine

Forteo | Tymlos | teriparatide

Furoscix

Galafold

Gamifant (Medical)

Gastrointestinal Motility Drugs (PREFERRED Drugs require PA - Linzess | Movantik | Symproic) (Non-Preferred - Amitiza | Ibsrela | Motegrity | Relistor | Trulance | Zelnorm)

Gattex

Gaucher Disease Drugs (Enzyme Replacement Therapy) (Cerezyme | Elelyso | Vpriv) (Medical)

Gaucher Disease Drugs (Substrate Reduction Therapy) (Cerdelga | Miglustat) (Pharmacy)

Givlaari (Medical)

Glaucoma Drugs (Betimol | Betoptic-S | Rhopressa | Rocklatan | Simbrinza | travoprost 0.004% | Vyzulta | Zioptan)

Glucagon Analogs (GlucaGen HypoKit | Zegalogue)

Glucagon-like peptide (GLP-1) receptor agonists (Bydureon Bcise | Byetta | Mounjaro | Ozempic | Rybelsus | Trulicity | Victoza)

Gonadotropin-releasing Hormone Agonists (GnRH) (Medical)

Gonadotropin-releasing Hormone Agonists (GnRH) (Pharmacy)

Graft-Versus-Host Disease (GVHD) Drugs (Jakafi | Imbruvica)

Granulocyte Colony-Stimulating Factors (G-CSFs) (Fulphila | Granix | Leukine | Neupogen | Neulasta | Nivestym | Nyvepria | Releuko | Udenyca | Zarxio | Ziextenzo)

Grastex | Oralair

Hemangeol

Hemgenix (Medical)

Hemophilia Factors (IV) (Medical)

Hepatitis-C Antiviral (HCV) Drugs (PREFERRED: sofosbuvir/elpatasvir | ledipasvir/sofobuvir | Mavyret) (NON-PREFERRED: Epclusa | Harvoni | Sovaldi | Viekira Pak | Vosevi | Zepatier)

Hyaluronate Acids (Medical) (PREFERRED - Euflexxa | Synvisc | Synvisc-One) (Non-Preferred - Durolane | Gel-One | Gel-Syn | Genvisc 850 | Hyalgan | Hymovis | Monovisc | Orthovisc | Supartz/FX | SynoJoynt | Triluron | TriVisc | Visco-3)

Icatibant (generic Firazyr) (Medical)

Icatibant | Sajazir (generic Firazyr) (Pharmacy)

Ilaris (sJIA | AOSD) (Medical) (Non-Preferred)

Ilaris (TRAPS | HIDS/MKD | FMF diseases | CAPS) (Medical)

Ilumya (Pharmacy)

Ilumya SQ (Medical) (Ilumya should ONLY be administered by a healthcare provider)

Imcivree

Imlygic (Medical)

Immune Globulin Intravenous (IVIG) (Miscellaneous Sjögren’s Syndrome Neuropathies) (Medical)

Inbrija | Nourianz | Ongentys | tolcapone

Increlex

Infliximab IV (PREFERRED: Renflexis) (Non-Preferred: Avsola | Inflectra | infliximab | Remicade) (Medical)

Ingrezza

Injectable Migraine Treatment (PREFERRED: Aimovig l Emgality) (NON-PREFERRED: Ajovy)

Inpefa

Insomnia Drugs (Belsomra | Dayvigo | quazepam | Quviviq | ramelteon)

INSULINS (Admelog | Apidra vial or SoloSTAR | Basaglar | Fiasp | insulin aspart | insuline lispro | Levemir | Lyumjev/Kwikpen | NovoLIN 70/30 | NovoLIN N | NovoLIN R | NovoLOG vial or FlexPen | NovoLOG Mix 70/30 vial or FlexPen | Semglee | Tresiba)

Isturisa

Ivermectin (generic Stomectol)

IVIG - Multifocal Motor Neuropathy (MMN) (Medical)

IVIG IV PID (Primary Immune Deficiency) (Medical)

IVIG Misc Disorders (Medical) (see form for list of diagnoses)

IVIG_SQ PID (Gammagard | Gamunex-C | Hizentra | Hyqvia | Cuvitru) (Medical)

IVIG-CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) (Medical)

Joenja

Juxtapid

Jynarque

Kalbitor (Medical)

Kalydeco

Kanuma (Medical)

Kazano | KombiglyzeXR | Nesina | Onglyza | Oseni

Kerendia

Keveyis

Kevzara

Keytruda IV (Medical)

Kineret

Korlym

Korsuva (Medical)

Koselugo

Krystexxa IV (Medical)

Kuvan

Kymriah (Medical)

Lampit | benznidazole

Lamzede (Medical)

Lemtrada IV (Medical)

Leqembi (Medical)

Leqvio (Medical)

Litfulo

Livalo | Zypitamag

Livmarli

Livtencity

Lonhala Magnair | Tudorza Pressair | Yupelri

Lotronex | Viberzi

Lumizyme (Medical)

Lupkynis

Lutathera (Medical)

Luxturna (Medical) (Medication should ONLY be administered in a surgical suite under controlled aseptic conditions by a surgeon experienced in intraocular surgery.)

Lyrica CR

Macular Degeneration Drugs IV (PREFERRED: Avastin | bevacizumab 1.25mg/0.05mL) (Non-Preferred: Beovu | Eylea | Lucentis | Susvimo | Vabysmo) (Medical)

Makena (Medical)

Marplan

Mepsevii IV (Medical)

Mesalamine DR 800 mg | Dipentum | budesonide ER 9mg | Uceris (Irritable Bowel Disease) (Non-Preferred Commercial)

Mometasone Sinus Implants (Propel | Sinuva)

Mozobil (Medical)

Mulpleta

Multiple Sclerosis Drugs (Bafiertam | Extavia | Gilenya 0.5mg | Kesimpta | Mavenclad | Mayzent | Ponvory | Vumerity | Zeposia)

Myalept

Myfembree | Oriahnn

Myobloc (Botox Injection, Type B) (Medical) (Cosmetic indications Excluded)

Mytesi (formerly FULYZAQ)

Naglazyme (Medical)

Nasal Corticosteroids (azelastine HCl-fluticasone propionate (Dymista) | Beconase AQ | flunisolide nasal spray | mometasone (Nasonex) | Omnaris | Qnasl | Xhance | Zetonna)

Natpara

Nayzilam | Valtoco

Neumega (Medical)

Neupro

Nexletol | Nexlizet

Nexviazyme (Medical)

Nocdurna

Noninfectious Uveitis (NIU) Drugs (Retisert | Yutiq) (Medical)

Non-Injectable Migraine Treatment (PREFERRED: Nurtec ODT | Qulipta) (Non-Preferred: Reyvow | Ubrelvy | Zavzpret)

Northera

Novarel | Pregnyl | Ovidrel | chorionic gonadotropin

Noxafil

Nplate (Medical)

Nucala - CRSWNP (Chronic Rhinosinusitis with Nasal Polyps) (Medical)

Nucala - CRSWNP (Chronic Rhinosinusitis with Nasal Polyps) (Pharmacy)

Nucala SQ - EGPA (Eosinophilic Granulomatosis Polyangiitis) (Medical)

Nucala SQ - EGPA (Eosinophilic Granulomatosis Polyangiitis) (Pharmacy)

Nucala SQ - HES (Hypereosinophilic Syndome) (Pharmacy)

Nucala SQ - SEA (Severe Eosinophilic Asthma) (Medical)

Nucala SQ - SEA (Severe Eosinophilic Asthma) (Pharmacy)

Nuedexta

Nulibry (Medical)

Nulibry (Pharmacy)

Nulojix (Medical)

Nuplazid

Ocaliva

Ocrevus (Medical)

Ocular Antihistamines (Alocril | Alomide | bepotastine besilate 1.5% (Bepreve) | Lastacaft | Zerviate)

Odactra House Dust Mite Allergen Extract

OFEV

Olumiant

Omisirge (Medical)

Ophthalmic Corticosteroid Injections (Ozurdex | Iluvien | Xipere) (Medical)

Opioids - Commercial Only

Opzelura

Oral Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Oral PPI Drugs (Dexilant | omeprazole/sodium bicarbonate capsules | omeprazole/sodium bicarbonate powder packets)

Oralair

Orencia - Graft Versus Host Disease (GVHD) (Medical)

Orencia IV (Infusion only) (Medical)

Orencia SQ (Pharmacy)

Orfadin | Nityr | nitisinone

Orilissa

Orkambi

Osphena

Otezla

Otrexup | Rasuvo | Reditrex

Overactive Bladder Drugs (Gemtesa | Myrbetriq | Toviaz)

Oxbryta

Oxervate

Oxlumo

Palforzia

Palynziq Injection

Pancreatic Enzymes (Pancreaze | Pertzye | Viokace)

Pluvicto (Medical)

Pradaxa

Praluent | Repatha

Preferred Adalimumab Products (Cyltezo | Humira | Hyrimoz)

Pretomanid

Prevymis (Tablets) (Pharmacy benefit)

Prevymis IV (Medical)

Prialt (Medical)

Procysbi

Promacta

Prophylaxis Hereditary Angiodema Drugs (Medical) (Cinryze | Haegarda | Takhzyro)

Prophylaxis Hereditary Angiodema Drugs (Pharmacy) (Cinryze | Haegarda | Orladeyo | Takhzyro)

Pulmonary Arterial Hypertension Drugs (Medical) (sildenafil IV | epoprostenol IV | treprostinil IV | Uptravi IV)

Pulmonary Arterial Hypertension Drugs (Pharmacy) (sildenafil 20mg | sildenafil oral suspension | tadalafil 20mg | Tadliq | ambrisentan | bosentan | Opsumit | Tracleer | Adempas | Orenitram | Tyvaso | Tyvaso DPI | Uptravi | Ventavis)

Pulmozyme

Purified Cortrophin Gel | HP Acthar Gel (Infantile Spasms)

Purified Cortrophin Gel | HP Acthar Gel (Myositis)

Purified Cortrophin Gel | HP Acthar Gel (Nephrotic Syndrome)

Purified Cortrophin Gel | HP Acthar Gel (Ocular Diseases)

Purified Cortrophin Gel | HP Acthar Gel (Other Indications)

Purified Cortrophin Gel | HP Acthar Gel (Sarcoidosis)

Purified Cortrophin Gel | HP Acthar Gel (Systemic Lupus Erythematosus)

Pyrukynd

Qalsody

Qelbree

Radicava IV (Medical)

Radicava ORS

Ragwitek

Ravicti

Rayaldee

Reblozyl (Medical)

Rebyota (Medical)

Recombinant Growth Hormone (rhGH) (PREFERRED: Omnitrope | Norditropin) (NON-PREFERRED: Genotropin | Humatrope |Ngnela | Nutropin | Nutropin AQ | Saizen | Sogroya |Skytrofa | Zomacton)

Recorlev

Relyvrio

Revcovi (Pharmacy)

Rezurock

Rezzayo (Medical)

Riabni | Rituxan IV | Ruxience | Truxima (Medical) (Non-Preferred)

Rinvoq

Rituxan Hycela IV (Medical - Provided by Physician's office)

Rituxan IV - for Pemphigus Vulgaris (Medical) (Non-Preferred)

Roctavian (Medical)

Ruconest (Pharmacy)

Rukobia.pdf

Ryplazim (Medical)

Rystiggo (Medical)

Sabril | Vigadrone | vigabatrin

Saliva Substitutes (Aquoral | Caphosol | NeutraSal | SalivaMax | Salivate Rx)

Samsca

Saphnelo (Medical)

Savaysa

Savella

Scenesse (Medical)

Serostim

Seysara

SGLT2 (Brenzavvy| Invokana | Invokamet/XR | Qtern | Segluromet | Steglatro | Steguljan|Segluromet)

Siliq Injection (Pharmacy)

Simponi SQ (Pharmacy benefit only)

Simponi® ARIA™ IV (Medical only) (Non-Preferred)

Sinuva Sinus Implant (Medical)

Sirturo

Skyclarys

Skyrizi - Crohn's Disease (CD) (Pharmacy)

Skyrizi - Plaque Psoriasis & Psoriatic Arthritis (PsO & PsA) (Pharmacy)

Skysona (Medical)

Sodium Oxbate Products (Lumryz | Sodium Oxbate oral solution | Xyrem IR oral solution | Xywav low sodium IR oral solution)

Sodium Phenylbutyrate Products (sodium phenylbutyrate (Buphenyl) | Olpruva | Pheburane)

Soliqua | Xultophy

Soliris IV - Atypical Hemolytic Uremic Syndrome (aHUS) (Medical)

Soliris IV - Generalized Myasthenia Gravis (gMG) (Medical)

Soliris IV-Neuromyelitis Optica Spectrum Disorder (NMOSD) (Medical)

Soliris IV-Paroxysmal Nocturnal Hemoglobinuria (PNH) (Medical)

Somatostatin Analog Drugs (Bynfezia | Mycapssa | Sandostatin LAR Depot | Signafor | Somavert) (Pharmacy)

Somatostatin Analog Drugs (lanreotide acetate ER SQ injection | octreotide injection | Sandostatin injection | Signifor LAR SQ injection | Somatuline Depot injection) (Medical)

Sotyktu

Spevigo (Medical)

Spinraza (Medical - provided by Physician's office)

Spravato (Medical - Behavioral Health)

Stadol Nasal Spray

Stelara - Crohn's Disease & Ulcerative Colitis (CD & UC) (Pharmacy)

Stelara - Plaque Psoriasis & Psoriatic Arthritis (PsO & PsA) (Pharmacy)

Stendra | vardenafil (Levitra)

Strensiq

Sublocade ER (buprenorphine extended release) (MEDICARE PART B ONLY)

Sucraid

Sunlenca

Sunosi

Syfovre

Symdeko

Synagis (PASynagis)

Syndros Oral Solution

Taltz SQ

Tarpeyo

tasimelteon (Hetlioz)

Tavalisse

Tavneos

Tecartus (Medical)

Tegsedi SQ Injection (Medical)

Tepezza (Medical)

Testosterone (Pharmacy) (PREFERRED - testosterone gel 1%,1.62%, 2% | testosterone injections | testosterone solution | Kyzatrex) (NON-PREFERRED - Androderm | Natesto | Vogelxo 1% | Xyosted injection)

Tezspire (Medical)

Tezspire (Pharmacy)

Thiola | Thiola EC

Tiglutik

Tobi Podhaler

Topical Acne Drugs (PREFERRED: adapalene (generic Differin) | tretinoin (generic Retin-A)) (Non-Preferred: adapalene 0.3%/benzoyl peroxide 2.5% gel | Altreno | Aklief | Amzeeq | Azelex | clindamycin1.2%/benzoyl peroxide 2.5% | dapsone gel 5% | Fabior | Retin-A Micro | tazarotene cream 0.1% | tretinoin gel 0.05% | tretinoin microsphere | Winlevi)

Topical Antibiotics (Altabax | Xepi)

Topical Antifungals (Ertaczo | luliconazole | Mentax | naftifine | Naftin | oxiconazole | sulconazole)

Topical Corticosteroids (amcinonide 0.1% | betamethasone valerate 0.12% foam | calcipotriene/betamethasone | Capex Shampoo | clobetasol proprionate | clocortolone pivalate | Cordran Tape | dexoximetasone 0.05% and 0.25% | diflorasone 0.05% | fluocinonide 0.1% cream | flurandrenolide 0.05% | fluticasone 0.05% | Impoyz | Texacort | triamcinolone spray)

Topical Immunomodulators (Zyclara | imiquimod 3.75% packets/pump | Picato | Klisyri)

Topical Psoriasis Medications (Vtama | Zoryve)

Topical Rosacea Drugs (Mirvaso | Rhofade | Soolantra | Zilxi)

Tremfya

Trikafta

Trogarzo IV (Medical) (Medication will be provided by the Physician's office.)

Tysabri IV (Medical)

Tyvaso (PH-ILD)

Uloric

Ultomiris IV - Atypical Hemolytic Uremic Syndrome (aHUS) (Medical)

Ultomiris IV - Generalized Myasthenia Gravis (gMG) (Medical)

Ultomiris IV-Paroxysmal Nocturnal Hemoglobinuria (PNH) (Medical)

Uplinza (Medical)

Upneeq

Valcyte

Vascepa

Vecamyl (Open Commercial Formulary Only)

Vemlidy

Veozah

Verquvo

Vijoice

Vimizim IV (Medical) (IV Infusion performed ONLY at Sentara Infusion Centers.)

Visudyne (Medical)

Vivjoa

Vowst

Voxzogo

Vtama

Vyepti (Medical)

Vyjuvek (Medical)

Vyleesi

Vyndaqel | Vyndamax

Vyvanse (Binge Eating Disorder)

Vyvgart (Medical)

Wakix

Weight Management Drugs (benzphetamine | Contrave | diethylpropion IR/ER | Lomaira | phendimetrazine IR | phentermine HCL | Qsymia | Saxenda | Xenical | Wegovy) Group Specific Benefit

Xadago

Xdemvy

Xeljanz | Xeljanz XR

Xenazine, tetrabenazine

Xenleta (Medical)

Xenleta (Pharmacy)

Xenpozyme (Medical)

Xiaflex (Medical)

Xifaxan

Xofigo (Medical)

Xolair (Medical)

Xolair (Pharmacy)

Ycanth (Medical)

Yescarta (Medical)

Zeposia

Zevalin (Medical)

Zinplava (Medical)

Zokinvy

Zolgensma IV (Medical)

Zomig Nasal Spray

Zontivity

Zorbtive

Ztalmy

Zulresso Injection (Behavioral Health Medical)

Zyflo | Zileuton ER

Zynteglo (Medical)