The below is a list of covered drugs and the implemented clinical edits.
- ADHD/ADD Agents
- Agents for Cystic Fibrosis
- Agents for Gaucher's Disease
- Agents for Hereditary Angioedema
- Alina
- Aliskiren-Containing Agents (Except Valturna)
- Allergen Extracts
- Altabax
- Androgenic Agents
- Anticonvulsant agent (Gabapentin)
- Antiemetics/5HT3 Receptor Antagonists & Aprepitant
- Antipsychotics
- Byetta
- Carisoprodol
- Cyclobenzaprine
- Cytokine and CAM Antagonists
- Erythropoises-Stimulating Agents
- Flexeril/Amrix
- Fosrenol
- Growth Hormone Products
- Hepatitis C (initial)
- Hepatitis C (refill)
- Imiquimod
- H.P. Acthar
- Increlex
- Januvia
- Lovaza
- Lidoderm (Lidocaine) Patch
- Nuedexta
- Oxycontin (Narcotic Analgesic)
- PCSK9 Inhibitors
- Promethazine Utilization, Age < 2
- Propylthiouracil
- Provigil
- Pulmonary Arterial Hypertension
- Ranexa
- Relistor
- Revatio
- Suboxone (effective 4/23/13)
- Symlin
- Synagis®
- Topical Immunomodulators
- Victoza
- Xenazine
- Xifaxan
- Xyrem
- Zelboraf