Specialty Pharmacy Drug List AWS
Specialty Pharmacy Drug List Specialty medicines are usually prescribed by doctors who treat chronic and complex disease. These medications usually require a higher degree of management, are high in cost and are generally not stocked at retail pharmacies. Most specialty medications can be filled at Fairview Specialty Pharmacy for UCare Choices and Fairview UCare Choices members: • Phone: 612-672-5260 • Fax: 866-347-4939 This list applies to UCare Choices and Fairview UCare Choices only and is updated regularly. Drugs with a NonFormulary status may be covered under your medical benefit. Please go to uCare.org to review coverage criteria.
DRUG
FORMULARY STATUS
ADVATE 801-1,200 UNIT VIAL
N
AFINITOR 10 MG TABLET
Y
AFINITOR 2.5 MG TABLET
Y
AFINITOR 5 MG TABLET
Y
ABRAXANE 100 MG VIAL
N
ACTEMRA 162 MG/0.9 ML SYRINGE
Y
ACTEMRA 200 MG/10 ML VIAL
Y
AFINITOR 7.5 MG TABLET
Y
ACTEMRA 400 MG/20 ML VIAL
Y
N
ACTEMRA 80 MG/4 ML VIAL
Y
AFINITOR DISPERZ 2 MG TABLET
ACTIMMUNE 100 MCG/0.5 ML VIAL
Y
AFINITOR DISPERZ 3 MG TABLET
N
ADCETRIS 50 MG VIAL
N
AFINITOR DISPERZ 5 MG TABLET
N
ADCIRCA 20 MG TABLET
Y
AFSTYLA 1,000 UNIT VIAL
N
ADEFOVIR DIPIVOXIL 10 MG TAB
Y
AFSTYLA 1,500 UNIT RANGE VIAL
N
ADVATE 1,201-1,800 UNIT VIAL
N
AFSTYLA 2,000 UNIT VIAL
N
ADVATE 1,801-2,400 UNIT VIAL
N
AFSTYLA 2,500 UNIT RANGE VIAL
N
ADVATE 2,401-3,600 UNIT VIAL
N
AFSTYLA 250 UNIT VIAL
N
AFSTYLA 3,000 UNIT VIAL
N
ADVATE 200-400 UNIT VIAL
N
AFSTYLA 500 UNIT VIAL
N
ADVATE 3,601-4,800 UNIT VIAL
N
ALDURAZYME 2.9 MG/5 ML VIAL
Y
ADVATE 401-800 UNIT VIAL
N
ALECENSA 150 MG CAPSULE
Y
UC FVC_010518_1 IA (01052018) Updated 12/2017
U7486 (01/18)
ALFERON N 5 MILLION UNITS VIAL
N
ARANESP 300 MCG/ML VIAL
Y
ALIMTA 100 MG VIAL
Y
ARANESP 40 MCG/0.4 ML SYRINGE
Y
ALIMTA 500 MG VIAL
Y
ARANESP 40 MCG/ML VIAL
Y
ALKERAN 2 MG TABLET
N
Y
ALKERAN 50 MG VIAL
N
ARANESP 500 MCG/1 ML SYRINGE
ALPHANATE 1,000-400 UNIT VIAL
N
ARANESP 60 MCG/0.3 ML SYRINGE
Y
ALPHANATE 1,500-600 UNIT VIAL
N
ARANESP 60 MCG/ML VIAL
Y Y
ALPHANATE 2,000-800 UNIT VIAL
N
ARIXTRA 10 MG/0.8 ML SYRINGE
N
ALPHANATE 250-100 UNIT VIAL
N
ARIXTRA 2.5 MG/0.5 ML SYRINGE
Y
ALPHANATE 500-200 UNIT VIAL
N
ARIXTRA 5 MG/0.4 ML SYRINGE
Y
ALPHANINE SD 1,000 UNITS VIAL
N
ARIXTRA 7.5 MG/0.6 ML SYRINGE ARRANON 250 MG/50 ML VIAL
N
ALPHANINE SD 1,500 UNITS VIAL
N
ARZERRA 1,000 MG/50 ML VIAL
N
ALPHANINE SD 500 UNITS VIAL
N
ARZERRA 100 MG/5 ML VIAL
N
ARALAST NP 1,000 MG VIAL
N
ASTAGRAF XL 0.5 MG CAPSULE
N
ARALAST NP 500 MG VIAL
Y
ASTAGRAF XL 1 MG CAPSULE
N
ARANESP 10 MCG/0.4 ML SYRINGE
Y
ASTAGRAF XL 5 MG CAPSULE
N
ARANESP 100 MCG/0.5 ML SYRINGE
Y
ATGAM 50 MG/ML AMPUL
Y
AVASTIN 100 MG/4 ML VIAL
Y
ARANESP 100 MCG/ML VIAL
Y
AVASTIN 400 MG/16 ML VIAL
Y
ARANESP 150 MCG/0.3 ML SYRINGE
Y
AVONEX 30 MCG VIAL KIT
Y
ARANESP 150 MCG/0.75 ML VIAL
Y
AVONEX PEN 30 MCG/0.5 ML KIT
Y
ARANESP 200 MCG/0.4 ML SYRINGE
Y
AVONEX PREFILLED SYR 30 MCG
Y
ARANESP 200 MCG/ML VIAL
Y
AVONEX PREFILLED SYR 30 MCG KT
Y
ARANESP 25 MCG/0.42 ML SYRING
Y
BARACLUDE 0.05 MG/ML SOLUTION
Y
ARANESP 25 MCG/ML VIAL
Y
BARACLUDE 0.5 MG TABLET
N
ARANESP 300 MCG/0.6 ML SYRINGE
Y
BARACLUDE 1 MG TABLET
N
BCG (TICE STRAIN) VIAL
N
CAPECITABINE 150 MG TABLET
N
BCG VACCINE (TICE STRAIN) VIAL
Y
CAPECITABINE 500 MG TABLET
N
BEBULIN 200-1,200 UNITS VIAL
N
CARIMUNE NF 12 GM VIAL
Y
BENEFIX 1,000 UNIT RANGE
N
CARIMUNE NF 6 GM VIAL
Y
BENEFIX 2,000 UNIT RANGE
N
N
BENEFIX 250 UNIT RANGE
N
CELLCEPT 200 MG/ML ORAL SUSP
BENEFIX 3,000 UNIT RANGE
N
CELLCEPT 250 MG CAPSULE
N
BENEFIX 500 UNIT RANGE
N
CELLCEPT 500 MG TABLET
N
BENLYSTA 120 MG VIAL
Y
CELLCEPT 500 MG VIAL
N
BENLYSTA 200 MG/ML AUTOINJECT
N
CEREZYME 400 UNITS VIAL
Y
CETROTIDE 0.25 MG KIT
N
BENLYSTA 200 MG/ML SYRINGE
N
CIMZIA 200 MG VIAL KIT
Y
BENLYSTA 400 MG VIAL
Y
CIMZIA 200 MG/ML STARTER KIT
Y
BERINERT 500 UNIT KIT
N
Y
BETASERON 0.3 MG KIT
Y
CIMZIA 200 MG/ML SYRINGE KIT
BETHKIS 300 MG/4 ML AMPULE
N
CLOLAR 20 MG/20 ML VIAL
N N
BICNU 100 MG VIAL
N
COPAXONE 20 MG/ML SYRINGE
BIVIGAM LIQUID 10% VIAL
N
COPAXONE 40 MG/ML SYRINGE
N
BOTOX 100 UNITS VIAL
N
COPEGUS 200 MG TABLET
N
BOTOX 200 UNITS VIAL
N
Y
BOTOX COSMETIC 100 UNITS VIAL
N
COSENTYX 150 MG/ML PEN INJECT
Y
BOTOX COSMETIC 50 UNITS VIAL
N
COSENTYX 150 MG/ML SYRINGE
Y
BRAVELLE 75 UNIT VIAL
N
COSENTYX 300 MG DOSE-2 PENS
BUSULFEX 60 MG/10 ML VIAL
N
COSENTYX 300 MG DOSE-2 SYRINGE
Y
CALCIUM FOLINATE 10 MG/ML VIAL
Y
COSMEGEN 0.5 MG VIAL
N
CALCIUM FOLINATE POWDER
N
CYTOGAM 2.5 GM/50 ML VIAL
N
CAMPTOSAR 100 MG/5 ML VIAL
N
DACOGEN 50 MG VIAL
N
DAKLINZA 30 MG TABLET
N
CAMPTOSAR 300 MG/15 ML VIAL
N
DAKLINZA 60 MG TABLET
N
CAMPTOSAR 40 MG/2 ML VIAL
N
DAKLINZA 90 MG TABLET
N
DAUNOXOME 50 MG (2 MG/ML) VIAL
N
ELOCTATE 3,000 UNIT NOMINAL
N
DDAVP 0.01% NASAL SPRAY
N
N
DDAVP 0.1 MG TABLET
N
ELOCTATE 4,000 UNIT NOMINAL
DDAVP 0.2 MG TABLET
N
ELOCTATE 5,000 UNIT NOMINAL
N
DDAVP 10 MCG/0.1 ML SOLUTION
N
ELOCTATE 500 UNIT NOMINAL
N
DDAVP 4 MCG/ML AMPUL
N
N
DDAVP 4 MCG/ML VIAL
N
ELOCTATE 6,000 UNIT NOMINAL
DEPOCYT 50 MG/5 ML VIAL
N
ELOCTATE 750 UNIT NOMINAL
N
DESFERAL 2 GRAM VIAL
N
ELOXATIN 100 MG/20 ML VIAL
N
DESFERAL MESYLATE 500 MG VL
N
ELOXATIN 50 MG/10 ML VIAL
N
DOCEFREZ 20 MG VIAL
N
ELSPAR 10,000 UNITS VIAL
N
DOCEFREZ 80 MG VIAL
N
ENBREL 25 MG KIT
Y
DOXIL 2 MG/ML VIAL
N
ENBREL 25 MG/0.5 ML SYRINGE
Y
DUPIXENT 300 MG/2 ML SAFE SYRG
Y
ENBREL 50 MG/ML MINI CARTRIDGE
Y
DYSPORT 300 UNIT VIAL
Y
Y
DYSPORT 500 UNITS VIAL
Y
ENBREL 50 MG/ML SURECLICK SYR
ELAPRASE 6 MG/3 ML VIAL
Y
ENBREL 50 MG/ML SYRINGE
Y
ELIGARD 22.5 MG SYRINGE KIT
N
ENTECAVIR 0.5 MG TABLET
Y
ENTECAVIR 1 MG TABLET
Y
ELIGARD 30 MG SYRINGE KIT
N
ENTYVIO 300 MG VIAL
N
ELIGARD 45 MG SYRINGE KIT
N
N
ELIGARD 7.5 MG SYRINGE KIT
N
ENVARSUS XR 0.75 MG TABLET
ELITEK 1.5 MG VIAL
Y
ENVARSUS XR 1 MG TABLET
N
ELITEK 7.5 MG VIAL
Y
ENVARSUS XR 4 MG TABLET
N
ELLENCE 2 MG/ML VIAL
N
EPCLUSA 400 MG-100 MG TABLET
Y
ELOCTATE 1,000 UNIT NOMINAL
N
EPIVIR HBV 100 MG TABLET
N
ELOCTATE 1,500 UNIT NOMINAL
N
EPIVIR HBV 25 MG/5 ML SOLN
Y Y
ELOCTATE 2,000 UNIT NOMINAL
N
EPOGEN 10,000 UNITS/ML VIAL EPOGEN 2,000 UNITS/ML VIAL
Y
ELOCTATE 250 UNIT NOMINAL
N
EPOGEN 20,000 UNITS/2 ML VIAL
Y
EPOGEN 20,000 UNITS/ML VIAL
Y
FLEBOGAMMA DIF 10% VIAL
N
EPOGEN 3,000 UNITS/ML VIAL
Y
FLEBOGAMMA DIF 5% VIAL
N
EPOGEN 4,000 UNITS/ML VIAL
Y
FLOXURIDINE 500 MG VIAL
N
ERBITUX 100 MG/50 ML VIAL
N
FLOXURIDINE POWDER
N
ERBITUX 200 MG/100 ML VIAL
N
FOLLISTIM AQ 150 UNIT VIAL
N
ESBRIET 267 MG CAPSULE
Y
FOLLISTIM AQ 300 UNIT CARTRIDG
N
ESBRIET 267 MG TABLET
Y
FOLLISTIM AQ 600 UNIT CARTRIDG
N
ESBRIET 801 MG TABLET
Y
ETOPOPHOS 100 MG VIAL
N
FOLLISTIM AQ 75 UNIT VIAL
N
EUFLEXXA 20 MG/2 ML SYRINGE
N
FOLLISTIM AQ 900 UNIT CARTRIDG
N
EVOMELA 50 MG VIAL
N
FOLOTYN 20 MG/ML VIAL
N
EXJADE 125 MG TABLET
Y
FOLOTYN 40 MG/2 ML VIAL
N
EXJADE 250 MG TABLET
Y
FORTEO 600 MCG/2.4 ML PEN INJ
Y
EXJADE 500 MG TABLET
Y
FRAGMIN 10,000 UNITS/ML SYRING
Y
EXTAVIA 0.3 MG KIT
Y
EXTAVIA 0.3 MG VIAL
Y
FRAGMIN 12,500 UNITS/0.5 ML
Y
FABRAZYME 35 MG VIAL
Y
FRAGMIN 15,000 UNITS/0.6 ML
Y
FABRAZYME 5 MG VIAL
Y
FRAGMIN 18,000 UNITS/0.72 ML
Y
FASLODEX 250 MG/5 ML SYRINGE
Y
FRAGMIN 2,500 UNITS/0.2 ML SYR
Y
FEIBA NF 1,000 UNIT (NOMINAL)
N
FRAGMIN 25,000 UNITS/ML VIAL
Y
FEIBA NF 1,750-3,250 UNIT VIAL
N
FRAGMIN 5,000 UNITS/0.2 ML SYR
Y
FEIBA NF 2,500 UNIT (NOMINAL)
N
FRAGMIN 7,500 UNITS/0.3 ML SYR
Y
FEIBA NF 400-650 UNIT VIAL
N
Y
FEIBA NF 500 UNIT (NOMINAL)
N
FRAGMIN 95,000 UNITS/3.8 ML VL FUZEON 90 MG VIAL
N
FIRAZYR 30 MG/3 ML SYRINGE
Y
GAMASTAN S-D VIAL
Y
FIRMAGON 2 X 120 MG KIT
N
GAMMAGARD LIQUID 10% VIAL
Y
FIRMAGON 2 X 120 MG VIALS
N
N
FIRMAGON 80 MG KIT
N
GAMMAGARD S-D 10 G (IGA
DRUG
FORMULARY STATUS
ADVATE 801-1,200 UNIT VIAL
N
AFINITOR 10 MG TABLET
Y
AFINITOR 2.5 MG TABLET
Y
AFINITOR 5 MG TABLET
Y
ABRAXANE 100 MG VIAL
N
ACTEMRA 162 MG/0.9 ML SYRINGE
Y
ACTEMRA 200 MG/10 ML VIAL
Y
AFINITOR 7.5 MG TABLET
Y
ACTEMRA 400 MG/20 ML VIAL
Y
N
ACTEMRA 80 MG/4 ML VIAL
Y
AFINITOR DISPERZ 2 MG TABLET
ACTIMMUNE 100 MCG/0.5 ML VIAL
Y
AFINITOR DISPERZ 3 MG TABLET
N
ADCETRIS 50 MG VIAL
N
AFINITOR DISPERZ 5 MG TABLET
N
ADCIRCA 20 MG TABLET
Y
AFSTYLA 1,000 UNIT VIAL
N
ADEFOVIR DIPIVOXIL 10 MG TAB
Y
AFSTYLA 1,500 UNIT RANGE VIAL
N
ADVATE 1,201-1,800 UNIT VIAL
N
AFSTYLA 2,000 UNIT VIAL
N
ADVATE 1,801-2,400 UNIT VIAL
N
AFSTYLA 2,500 UNIT RANGE VIAL
N
ADVATE 2,401-3,600 UNIT VIAL
N
AFSTYLA 250 UNIT VIAL
N
AFSTYLA 3,000 UNIT VIAL
N
ADVATE 200-400 UNIT VIAL
N
AFSTYLA 500 UNIT VIAL
N
ADVATE 3,601-4,800 UNIT VIAL
N
ALDURAZYME 2.9 MG/5 ML VIAL
Y
ADVATE 401-800 UNIT VIAL
N
ALECENSA 150 MG CAPSULE
Y
UC FVC_010518_1 IA (01052018) Updated 12/2017
U7486 (01/18)
ALFERON N 5 MILLION UNITS VIAL
N
ARANESP 300 MCG/ML VIAL
Y
ALIMTA 100 MG VIAL
Y
ARANESP 40 MCG/0.4 ML SYRINGE
Y
ALIMTA 500 MG VIAL
Y
ARANESP 40 MCG/ML VIAL
Y
ALKERAN 2 MG TABLET
N
Y
ALKERAN 50 MG VIAL
N
ARANESP 500 MCG/1 ML SYRINGE
ALPHANATE 1,000-400 UNIT VIAL
N
ARANESP 60 MCG/0.3 ML SYRINGE
Y
ALPHANATE 1,500-600 UNIT VIAL
N
ARANESP 60 MCG/ML VIAL
Y Y
ALPHANATE 2,000-800 UNIT VIAL
N
ARIXTRA 10 MG/0.8 ML SYRINGE
N
ALPHANATE 250-100 UNIT VIAL
N
ARIXTRA 2.5 MG/0.5 ML SYRINGE
Y
ALPHANATE 500-200 UNIT VIAL
N
ARIXTRA 5 MG/0.4 ML SYRINGE
Y
ALPHANINE SD 1,000 UNITS VIAL
N
ARIXTRA 7.5 MG/0.6 ML SYRINGE ARRANON 250 MG/50 ML VIAL
N
ALPHANINE SD 1,500 UNITS VIAL
N
ARZERRA 1,000 MG/50 ML VIAL
N
ALPHANINE SD 500 UNITS VIAL
N
ARZERRA 100 MG/5 ML VIAL
N
ARALAST NP 1,000 MG VIAL
N
ASTAGRAF XL 0.5 MG CAPSULE
N
ARALAST NP 500 MG VIAL
Y
ASTAGRAF XL 1 MG CAPSULE
N
ARANESP 10 MCG/0.4 ML SYRINGE
Y
ASTAGRAF XL 5 MG CAPSULE
N
ARANESP 100 MCG/0.5 ML SYRINGE
Y
ATGAM 50 MG/ML AMPUL
Y
AVASTIN 100 MG/4 ML VIAL
Y
ARANESP 100 MCG/ML VIAL
Y
AVASTIN 400 MG/16 ML VIAL
Y
ARANESP 150 MCG/0.3 ML SYRINGE
Y
AVONEX 30 MCG VIAL KIT
Y
ARANESP 150 MCG/0.75 ML VIAL
Y
AVONEX PEN 30 MCG/0.5 ML KIT
Y
ARANESP 200 MCG/0.4 ML SYRINGE
Y
AVONEX PREFILLED SYR 30 MCG
Y
ARANESP 200 MCG/ML VIAL
Y
AVONEX PREFILLED SYR 30 MCG KT
Y
ARANESP 25 MCG/0.42 ML SYRING
Y
BARACLUDE 0.05 MG/ML SOLUTION
Y
ARANESP 25 MCG/ML VIAL
Y
BARACLUDE 0.5 MG TABLET
N
ARANESP 300 MCG/0.6 ML SYRINGE
Y
BARACLUDE 1 MG TABLET
N
BCG (TICE STRAIN) VIAL
N
CAPECITABINE 150 MG TABLET
N
BCG VACCINE (TICE STRAIN) VIAL
Y
CAPECITABINE 500 MG TABLET
N
BEBULIN 200-1,200 UNITS VIAL
N
CARIMUNE NF 12 GM VIAL
Y
BENEFIX 1,000 UNIT RANGE
N
CARIMUNE NF 6 GM VIAL
Y
BENEFIX 2,000 UNIT RANGE
N
N
BENEFIX 250 UNIT RANGE
N
CELLCEPT 200 MG/ML ORAL SUSP
BENEFIX 3,000 UNIT RANGE
N
CELLCEPT 250 MG CAPSULE
N
BENEFIX 500 UNIT RANGE
N
CELLCEPT 500 MG TABLET
N
BENLYSTA 120 MG VIAL
Y
CELLCEPT 500 MG VIAL
N
BENLYSTA 200 MG/ML AUTOINJECT
N
CEREZYME 400 UNITS VIAL
Y
CETROTIDE 0.25 MG KIT
N
BENLYSTA 200 MG/ML SYRINGE
N
CIMZIA 200 MG VIAL KIT
Y
BENLYSTA 400 MG VIAL
Y
CIMZIA 200 MG/ML STARTER KIT
Y
BERINERT 500 UNIT KIT
N
Y
BETASERON 0.3 MG KIT
Y
CIMZIA 200 MG/ML SYRINGE KIT
BETHKIS 300 MG/4 ML AMPULE
N
CLOLAR 20 MG/20 ML VIAL
N N
BICNU 100 MG VIAL
N
COPAXONE 20 MG/ML SYRINGE
BIVIGAM LIQUID 10% VIAL
N
COPAXONE 40 MG/ML SYRINGE
N
BOTOX 100 UNITS VIAL
N
COPEGUS 200 MG TABLET
N
BOTOX 200 UNITS VIAL
N
Y
BOTOX COSMETIC 100 UNITS VIAL
N
COSENTYX 150 MG/ML PEN INJECT
Y
BOTOX COSMETIC 50 UNITS VIAL
N
COSENTYX 150 MG/ML SYRINGE
Y
BRAVELLE 75 UNIT VIAL
N
COSENTYX 300 MG DOSE-2 PENS
BUSULFEX 60 MG/10 ML VIAL
N
COSENTYX 300 MG DOSE-2 SYRINGE
Y
CALCIUM FOLINATE 10 MG/ML VIAL
Y
COSMEGEN 0.5 MG VIAL
N
CALCIUM FOLINATE POWDER
N
CYTOGAM 2.5 GM/50 ML VIAL
N
CAMPTOSAR 100 MG/5 ML VIAL
N
DACOGEN 50 MG VIAL
N
DAKLINZA 30 MG TABLET
N
CAMPTOSAR 300 MG/15 ML VIAL
N
DAKLINZA 60 MG TABLET
N
CAMPTOSAR 40 MG/2 ML VIAL
N
DAKLINZA 90 MG TABLET
N
DAUNOXOME 50 MG (2 MG/ML) VIAL
N
ELOCTATE 3,000 UNIT NOMINAL
N
DDAVP 0.01% NASAL SPRAY
N
N
DDAVP 0.1 MG TABLET
N
ELOCTATE 4,000 UNIT NOMINAL
DDAVP 0.2 MG TABLET
N
ELOCTATE 5,000 UNIT NOMINAL
N
DDAVP 10 MCG/0.1 ML SOLUTION
N
ELOCTATE 500 UNIT NOMINAL
N
DDAVP 4 MCG/ML AMPUL
N
N
DDAVP 4 MCG/ML VIAL
N
ELOCTATE 6,000 UNIT NOMINAL
DEPOCYT 50 MG/5 ML VIAL
N
ELOCTATE 750 UNIT NOMINAL
N
DESFERAL 2 GRAM VIAL
N
ELOXATIN 100 MG/20 ML VIAL
N
DESFERAL MESYLATE 500 MG VL
N
ELOXATIN 50 MG/10 ML VIAL
N
DOCEFREZ 20 MG VIAL
N
ELSPAR 10,000 UNITS VIAL
N
DOCEFREZ 80 MG VIAL
N
ENBREL 25 MG KIT
Y
DOXIL 2 MG/ML VIAL
N
ENBREL 25 MG/0.5 ML SYRINGE
Y
DUPIXENT 300 MG/2 ML SAFE SYRG
Y
ENBREL 50 MG/ML MINI CARTRIDGE
Y
DYSPORT 300 UNIT VIAL
Y
Y
DYSPORT 500 UNITS VIAL
Y
ENBREL 50 MG/ML SURECLICK SYR
ELAPRASE 6 MG/3 ML VIAL
Y
ENBREL 50 MG/ML SYRINGE
Y
ELIGARD 22.5 MG SYRINGE KIT
N
ENTECAVIR 0.5 MG TABLET
Y
ENTECAVIR 1 MG TABLET
Y
ELIGARD 30 MG SYRINGE KIT
N
ENTYVIO 300 MG VIAL
N
ELIGARD 45 MG SYRINGE KIT
N
N
ELIGARD 7.5 MG SYRINGE KIT
N
ENVARSUS XR 0.75 MG TABLET
ELITEK 1.5 MG VIAL
Y
ENVARSUS XR 1 MG TABLET
N
ELITEK 7.5 MG VIAL
Y
ENVARSUS XR 4 MG TABLET
N
ELLENCE 2 MG/ML VIAL
N
EPCLUSA 400 MG-100 MG TABLET
Y
ELOCTATE 1,000 UNIT NOMINAL
N
EPIVIR HBV 100 MG TABLET
N
ELOCTATE 1,500 UNIT NOMINAL
N
EPIVIR HBV 25 MG/5 ML SOLN
Y Y
ELOCTATE 2,000 UNIT NOMINAL
N
EPOGEN 10,000 UNITS/ML VIAL EPOGEN 2,000 UNITS/ML VIAL
Y
ELOCTATE 250 UNIT NOMINAL
N
EPOGEN 20,000 UNITS/2 ML VIAL
Y
EPOGEN 20,000 UNITS/ML VIAL
Y
FLEBOGAMMA DIF 10% VIAL
N
EPOGEN 3,000 UNITS/ML VIAL
Y
FLEBOGAMMA DIF 5% VIAL
N
EPOGEN 4,000 UNITS/ML VIAL
Y
FLOXURIDINE 500 MG VIAL
N
ERBITUX 100 MG/50 ML VIAL
N
FLOXURIDINE POWDER
N
ERBITUX 200 MG/100 ML VIAL
N
FOLLISTIM AQ 150 UNIT VIAL
N
ESBRIET 267 MG CAPSULE
Y
FOLLISTIM AQ 300 UNIT CARTRIDG
N
ESBRIET 267 MG TABLET
Y
FOLLISTIM AQ 600 UNIT CARTRIDG
N
ESBRIET 801 MG TABLET
Y
ETOPOPHOS 100 MG VIAL
N
FOLLISTIM AQ 75 UNIT VIAL
N
EUFLEXXA 20 MG/2 ML SYRINGE
N
FOLLISTIM AQ 900 UNIT CARTRIDG
N
EVOMELA 50 MG VIAL
N
FOLOTYN 20 MG/ML VIAL
N
EXJADE 125 MG TABLET
Y
FOLOTYN 40 MG/2 ML VIAL
N
EXJADE 250 MG TABLET
Y
FORTEO 600 MCG/2.4 ML PEN INJ
Y
EXJADE 500 MG TABLET
Y
FRAGMIN 10,000 UNITS/ML SYRING
Y
EXTAVIA 0.3 MG KIT
Y
EXTAVIA 0.3 MG VIAL
Y
FRAGMIN 12,500 UNITS/0.5 ML
Y
FABRAZYME 35 MG VIAL
Y
FRAGMIN 15,000 UNITS/0.6 ML
Y
FABRAZYME 5 MG VIAL
Y
FRAGMIN 18,000 UNITS/0.72 ML
Y
FASLODEX 250 MG/5 ML SYRINGE
Y
FRAGMIN 2,500 UNITS/0.2 ML SYR
Y
FEIBA NF 1,000 UNIT (NOMINAL)
N
FRAGMIN 25,000 UNITS/ML VIAL
Y
FEIBA NF 1,750-3,250 UNIT VIAL
N
FRAGMIN 5,000 UNITS/0.2 ML SYR
Y
FEIBA NF 2,500 UNIT (NOMINAL)
N
FRAGMIN 7,500 UNITS/0.3 ML SYR
Y
FEIBA NF 400-650 UNIT VIAL
N
Y
FEIBA NF 500 UNIT (NOMINAL)
N
FRAGMIN 95,000 UNITS/3.8 ML VL FUZEON 90 MG VIAL
N
FIRAZYR 30 MG/3 ML SYRINGE
Y
GAMASTAN S-D VIAL
Y
FIRMAGON 2 X 120 MG KIT
N
GAMMAGARD LIQUID 10% VIAL
Y
FIRMAGON 2 X 120 MG VIALS
N
N
FIRMAGON 80 MG KIT
N
GAMMAGARD S-D 10 G (IGA
