Survey
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
Download LDI integrated pharmacy services
Document related concepts
no text concepts found
Transcript
LDI integrated pharmacy services SPECIALTY DRUG LIST Last Updated: April 2014 ACROMEGALY INJECTION SANDOSTATIN SANDOSTATIN LAR DEPOT SOMATULINE DEPOT SOMAVERT TRUVADA TRELSTAR LA NEUPOGEN VIDEX PEDIATRIC VIDEX EC TRELSTAR LA MIXJECT TRELSTAR MIXJECT TBO‐FILGRASTIM VIRACEPT XOFIGO VIRAMUNE VIRAMUNE XR VIREAD ZALTRAP ORAL AFINITOR CENTRAL PRECOCIOUS PUBERTY INJECTION SUPPRELIN LA AIDS / HIV ZERIT AFINITOR DISPERZ CERVICAL DYSTONIA INHALATION NEBUPENT INJECTION cidofovir ZIAGEN zidovudine BOSULIF capecitabine CAPRELSA INJECTION BOTOX MYOBLOC EMCYT CHEMICAL DEPENDENCE flutamide INJECTION VIVITROL EGRIFTA FUZEON PENTAM 300 RETROVIR IV INFUSION SEROSTIM ANEMIA INJECTION ARANESP ALBUMIN FREE EPOGEN PROCRIT ANTICOAGULANT INJECTION VISTIDE ARIXTRA ORAL abacavir enoxaparin sodium abacavir fondaparinux sodium sulfate/lamivudine/zidovudin FRAGMIN e IPRIVASK APTIVUS LOVENOX ATRIPLA COMBIVIR ANTI‐REJECTION GILOTRIF GLEEVEC HEXALEN INLYTA LYSODREN MEKINIST MYLERAN NEXAVAR POMALYST REVLIMID SPRYCEL STIVARGA didanosine ORAL ASTAGRAF XL ZORTRESS EDURANT ASTHMA EMTRIVA EPIVIR TAFINLAR TARCEVA INJECTION TARGRETIN COMPLERA CRIXIVAN EPZICOM INTELENCE INVIRASE XOLAIR CANCER INJECTION SUTENT TABLOID TASIGNA CONDYLOMATA ACUMINATA INJECTION ALFERON N CROHN’S DISEASE INJECTION CIMZIA CIMZIA STARTER KIT HUMIRA PEN‐CROHNS DISEASESTARTER CRYOPYRIN‐ ASSOCIATED PERIODIC SYNDROMES INJECTION ARCALYST ILARIS THALOMID CYSTIC FIBROSIS tretinoin INHALATION TYKERB VOTRIENT XALKORI BETHKIS CAYSTON XELODA TOBI tobramycin ISENTRESS ACTIMMUNE KALETRA adrucil lamivudine lamivudine/zidovudine ELIGARD INTRON‐A LEXIVA INTRON‐A W/DILUENT XTANDI nevirapine NORVIR KADCYLA ZELBORAF PREZISTA KYPROLIS leuprolide acetate ZOLINZA RESCRIPTOR LUPRON DEPOT RETROVIR REYATAZ LUPRON DEPOT‐PED MARQIBO SELZENTRY MOZOBIL stavudine STRIBILD SANDOSTATIN SANDOSTATIN LAR DEPOT SUSTIVA THYROGEN TIVICAY TRELSTAR DEPOT TRIZIVIR TRELSTAR DEPOT MIXJECT ZYTIGA OTHER LEUPROLIDE ACETATE TOPICAL TARGRETIN VALCHLOR CANCER ADJUNCT INJECTION NEULASTA NEUMEGA PULMOZYME ORAL KALYDECO DUPUYTREN'S CONTRACTURE INJECTION XIAFLEX ENDOCRINE AND METABOLIC DISORDERS INJECTION ACTHAR HP ORAL KUVAN ENDOMETRIOSIS NASAL SYNAREL GAUCHER'S DISEASE ORAL ZAVESCA GROWTH HORMONE INJECTION GENOTROPIN GENOTROPIN MINIQUICK HUMATROPE HUMATROPE COMBO PACK INCRELEX NORDITROPIN CARTRIDGE NORDITROPIN FLEXPRO NORDITROPIN NORDIFLEX PEN NUTROPIN NUTROPIN AQ NUSPIN 10 NUTROPIN AQ NUSPIN 20 NUTROPIN AQ NUSPIN 5 NUTROPIN AQ PEN OMNITROPE SAIZEN SAIZEN CLICK.EASY TEV‐TROPIN HEMOPHILIA INJECTION BEBULIN BENEFIX RIXUBIS HEPATITIS B ORAL adefovir dipivoxil BARACLUDE EPIVIR HBV HEPSERA TYZEKA HEPATITIS C INJECTION INFERGEN INTRON‐A INTRON‐A W/DILUENT PEGASYS PEGASYS PROCLICK PEG‐INTRON PEG‐INTRON REDIPEN PEG‐INTRON REDIPEN PAK 4 SYLATRON Medications listed in this formulary are subject to your plan coverage. If you have questions regarding what is covered by your plan, please contact LDI at (866)516‐3121. BRANDS all UPPERCASE, generics all lowercase Bold indicates drug is on Limited Distribution 1 ORAL COPEGUS INCIVEK moderiba OLYSIO REBETOL RIBAPAK MACULAR DEGENERATION INJECTION LUCENTIS MACUGEN VISUDYNE ribasphere MULTIPLE SCLEROSIS RIBATAB ribavirin INJECTION AVONEX calcitonin‐salmon PARKINSON DISEASE MICRHOGAM ULTRA‐ FILTERED PLUS RHOGAM ULTRA‐FILTERED PLUS RHOPHYLAC INJECTION WINRHO SDF FORTICAL MIACALCIN APOKYN PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH) SOVALDI AVONEX PEN VICTRELIS BETASERON COPAXONE INJECTION EXTAVIA PRETERM BIRTH PREVENTION HEREDITARY ANGIOEDEMA INJECTION BERINERT CINRYZE FIRAZYR KALBITOR HUNTER SYNDROME INJECTION ELAPRASE HUNTINGTON'S CHOREA ORAL XENAZINE IMMUNODEFICIENCY INJECTION BIVIGAM CARIMUNE NANOFILTERED FLEBOGAMMA FLEBOGAMMA DIF GAMASTAN S/D GAMMAGARD LIQUID GAMMAGARD S/D GAMMAGARD S/D IGA LESS THAN 1MCG/ML GAMMAKED GAMMAPLEX GAMUNEX‐C HIZENTRA OCTAGAM PRIVIGEN REBIF REBIF REBIDOSE REBIF REBIDOSE TITRATION PACK REBIF TITRATION PACK ORAL AMPYRA AUBAGIO GILENYA TECFIDERA TECFIDERA STARTER PACK MYELOFIBROSIS ORAL JAKAFI NAGS DEFICIENCY ORAL CARBAGLU NARCOLEPSY ORAL XYREM NEPHROPATHIC CYSTINOSIS ORAL CYSTAGON PROCYSBI OSTEOARTHRITIS INJECTION EUFLEXXA INFECTION ‐ BACTERIAL HYALGAN INJECTION colistimethate sodium ORTHOVISC SUPARTZ COLY‐MYCIN M INFECTION ‐ VIRAL INJECTION NEXAVIR IRON OVERLOAD ORAL EXJADE FERRIPROX SYNVISC SYNVISC ONE OSTEOPOROSIS INJECTION FORTEO MIACALCIN PROLIA XGEVA NASAL calcitonin salmon SOLIRIS INJECTION MAKENA PSORIASIS INJECTION ENBREL ENBREL SURECLICK HUMIRA PEN‐PSORIASIS STARTER STELARA ORAL 8‐MOP OXSORALEN ULTRA PSORIATIC ARTHRITIS INJECTION SIMPONI RHEUMATOID ARTHRITIS INJECTION ACTEMRA CIMZIA CIMZIA STARTER KIT ENBREL ENBREL SURECLICK HUMIRA HUMIRA PEN KINERET ORENCIA SIMPONI SIMPONI ARIA RSV PREVENTION INJECTION SYNAGIS SHORT BOWEL SYNDROME INJECTION ZORBTIVE SUCRASE DEFICIENCY ORAL SUCRAID PULMONARY ARTERIAL THROMBOCYTOPENIA HYPERTENSION (PAH) INHALATION TYVASO TYVASO REFILL TYVASO STARTER VENTAVIS INJECTION epoprostenol sodium ORAL PROMACTA UREA CYCLE DISORDERS ORAL BUPHENYL RAVICTI sodium phenylbutyrate FLOLAN REMODULIN REVATIO VELETRI ORAL ADCIRCA ADEMPAS LETAIRIS OPSUMIT REVATIO sildenafil citrate TRACLEER RH HEMOLYTIC DISEASE INJECTION HYPERRHO S/D HYPERRHO S/D MINI‐DOSE Medications listed in this formulary are subject to your plan coverage. If you have questions regarding what is covered by your plan, please contact LDI at (866)516‐3121. BRANDS all UPPERCASE, generics all lowercase Bold indicates drug is on Limited Distribution 2
Related documents