Abacavir |
Ziagen |
NOC/c |
Abatacept |
Orencia |
Priority |
Abiraterone |
Zytiga |
Priority |
Acamprosate |
Campral |
Standard |
Adalimumab |
Humira |
Standard |
Adefovir |
Hepsera |
Priority |
Afluzosin |
Xatral |
Standard |
Agalsidase alfa |
Replagal |
NOC/c |
Agalsidase beta |
Fabrazyme |
Priority |
Alatrofloxacin |
Trovan (IV) |
Standard |
Alefacept |
Amevive |
Standard |
Alemtuzumab |
Mabcampath |
Standard |
Alglucosidase alfa |
Myozyme |
Priority |
Aliskiren |
Rasilez |
Standard |
Alitretinoin |
Toctino |
Standard |
Alitretinoin |
Panretin |
Standard |
Almotriptan |
Axert |
Standard |
Ambrisentan |
Volibris |
Standard |
Aminolevulinic acid |
Levulan |
Standard |
Amlexanox |
Apthera |
Standard |
Amprenavir |
Agenerase |
NOC/c |
Anakinra |
Kineret |
Priority |
Ancestim |
Stemgen |
Standard |
Anidulafungin |
Eraxis |
Standard |
Anti-thymocyte globulin |
Thymoglobulin |
Standard |
Apixaban |
Eliquis |
Standard |
Aprepitant |
Emend |
Standard |
Argatroban |
Argatroban |
Priority |
Aripiprazole |
Abilify |
Standard |
Atazanavir |
Reyataz |
Priority |
Atomoxetine |
Strattera |
Standard |
Axitinib |
Inlyta |
Standard |
Azacitidine |
Vidaza |
Priority |
Azilsartan |
Edarbi |
Standard |
Aztreonam for inhalation solution |
Cayston |
NOC/c |
Basiliximab |
Simulect |
Priority |
Becaplermin gel |
Regranex |
Standard |
Belimumab |
Benlysta |
Standard |
Bendamustine |
Treanda |
Standard |
Besifloxacin |
Besivance |
Standard |
Bevacizumab |
Avastin |
Priority |
Bicistate |
OncoScint |
Standard |
Bimatoprost |
Lumigan |
Standard |
Bivalirudin |
Angiomax |
Standard |
Boceprevir |
Victrelis |
Priority |
Boceprevir, perinterferon alfa-2b, ribavirin |
Victrelis Triple |
Priority |
Bortezomib |
Velcade |
NOC/c |
Bosentan |
Tracleer |
Priority |
Botulinum toxin type B |
Myobloc |
Standard |
Brinzolamide |
Azopt ophthalmic suspension |
Standard |
Bupropion |
Wellbutrin SR |
Standard |
Cabazitaxel |
Jevtana |
Standard |
Cabergoline |
Dostinex |
Standard |
Canakinumab |
Ilaris |
Priority |
Candesartan |
Atacand |
Standard |
Capecitabine |
Xeloda |
Priority |
Capsular polysaccharide |
Synflorix |
Standard |
Caspofungin |
Cancidas |
Priority |
Catridecacog |
Tretten |
Priority |
Cefdinir |
Omnicef |
Standard |
Ceftobiprole |
Zeftera |
Standard |
Celecoxib |
Celebrex |
Priority |
Cerivastatin |
Baycol |
Standard |
Certolizumab pegol |
Cimzia |
Standard |
Cetrorelix |
Cetrotide |
Standard |
Cetuximab |
Erbitux |
Priority |
Choriogonadotropin alfa |
Ovidrel |
Standard |
Ciclesonide |
Alvesco |
Standard |
Cidofovir |
Vistide |
Standard |
Cinacalcet |
Sensipar |
Priority |
Citalopram |
Celexa |
Standard |
Clevidipine |
Cleviprex |
Standard |
Clofarabine |
Clolar |
Standard |
Clopidogrel |
Plavix |
Standard |
Colesevelam |
Lodalis |
Standard |
Collagenase clostridium histolyticum |
Xiaflex |
Standard |
Crizotinib |
Xalkori |
NOC/c |
Dabigatran |
Pradax |
Standard |
Daclizumab |
Zenaprax |
Priority |
Dadolinium (III) |
Gadolite |
Standard |
Dalfopristin |
Synercid |
Standard |
Daptomycin |
Cubicin |
Standard |
Darbepoetin alpha |
Aranesp |
Standard |
Darifenacin |
Enablex |
Standard |
Darunavir |
Prezista |
Standard |
Dasatinib |
Sprycel |
NOC/c |
Deferasirox |
Exjade |
NOC/c |
Degarelix |
Firmagon |
Standard |
Delavirdine |
Rescriptor |
NOC/c |
Denosumab |
Prolia |
Standard |
Desloratadine |
Aerius |
Standard |
Desvenlafaxine |
Pristiq |
Standard |
Dexlansoprazole |
Dexilant |
Standard |
Dexmedetomidine |
Precedex |
Standard |
Dextromethylphenidate |
Attenade |
Standard |
Dienogest |
Visanne |
Standard |
Docosanol |
Abreva |
Standard |
Doripenem |
Doribax |
Standard |
Doxercalciferol |
Hectorol |
Standard |
Doxycycline |
Efracea |
Standard |
Dronedarone |
Multaq |
Priority |
Drospirenone |
Yasmin 21/28 |
Standard |
Drotrecogin alfa |
Xigris |
Standard |
Dulasteride |
Avodart |
Standard |
Duloxetine |
Cymbalta |
Standard |
Eculizumab |
Soliris |
Priority |
Efalizumab |
Raptiva |
Standard |
Efavirenz |
Sustiva |
Priority |
Eflornithine |
Vaniqa |
Standard |
Eletriptan |
Relpax |
Standard |
Eltrombopag |
Revolade |
Standard |
Elvitgravir, emtricitabine, tenofovir, cobicistat |
Stribild |
Standard |
Emedastine |
Emadine ophthalmic solution |
Standard |
Emtricitabine |
Emtriva |
Standard |
Enfuvirtide |
Fuzeon |
Priority |
Entacapone |
Comtan |
Standard |
Entecavir |
Baraclude |
Priority |
Eplerenone |
Inspra |
Standard |
Eprosartan |
Teveten |
Standard |
Eptifibade |
Integrilin |
Standard |
Eribulin |
Halaven |
Standard |
Erlotinib |
Tarceva |
Priority |
Ertapenem |
Invanz |
Standard |
Escitalopram |
Cipralex |
Standard |
Esomeprazole |
Nexium |
Standard |
Etanercept |
Enbrel |
Priority |
Ethinyl estradiol/etonogestrel |
Nuvaring |
Standard |
Etravirine |
Intelence |
Priority |
Everolimus |
Afinitor |
Standard |
Exemestane |
Aromasin |
Standard |
Exenatide |
Byetta |
Standard |
Ezetimibe |
Ezetrol |
Standard |
Ezogabine |
Potiga |
Standard |
F-Fluorodeoxyglucose |
Cantrace |
Priority |
Fampridine |
Fampyra |
Standard |
Febuxostat |
Uloric |
Standard |
Ferumoxytol |
Feraheme |
Standard |
Fesoterodine |
Toviaz |
Standard |
Fidaxomicin |
Dificid |
Standard |
Fingolimod |
Gilenya |
Standard |
Fluticasone |
Avamys |
Standard |
Fomepizole |
Antizol |
Priority |
Fondaparinux |
Arixtra |
Priority |
Fosamprenavir |
Telzir |
Standard |
Fosaprepitant |
Emend IV |
Standard |
Fosfomycin |
Monurol |
Standard |
Frovatriptan |
Frova |
Standard |
Fulvestrant |
Faslodex |
Standard |
Gadobenate |
Multihance |
Standard |
Gadobutrol |
Gadovist |
Standard |
Gadofosveset |
Vasovist |
Standard |
Gadoversetamide |
Optimark |
Standard |
Gadoxetate |
Primovist |
Standard |
Galantamine |
Reminyl |
Standard |
Ganirelix |
Orgalutran |
Standard |
Gatifloxacin |
Tequin |
Standard |
Gefitinib |
Iressa |
NOC/c |
Gemifloxacin |
Factive |
Standard |
Glimepiride |
Amaryl |
Standard |
Glucagon, rDNA origin |
Glucagon |
Standard |
Golimumab |
Simponi |
Standard |
Grepafloxacin |
Raxar |
Standard |
Hetastarch |
Hextend |
Standard |
Histrelin |
Vantas |
Standard |
Human C1 esterase inhibitor |
Berinert |
Standard |
Ibritumomab |
Zevalin |
Priority |
Ibutilide |
Corvert injection |
Standard |
Icodextrin |
Extraneal |
Standard |
Idebenone |
Catena |
NOC/c |
Idursulfase |
Elaprase |
Priority |
Imatinib |
Gleevec |
NOC/c |
Indacaterol |
Onbrez breezhaler |
Standard |
Infliximab |
Remicade |
Standard |
Infliximab |
Remicade |
Priority |
Influenza vaccine |
Flumist |
Standard |
Insulin detemir |
Levemir |
Standard |
Insulin glulisine |
Apidra |
Standard |
Interferon beta-1A |
Rebif |
Standard |
Ioxilan |
Oxilan |
Standard |
Ipilimumab |
Yervoy |
Standard |
Irbesartan |
Avapro |
Standard |
Iron |
Venofer |
Priority |
Ivacaftor |
Kalydeco |
Priority |
Japanese encephalitis vaccine |
Ixiaro |
Standard |
Lacosamide |
Vimpat |
Standard |
Lanreotide |
Somatuline autogel |
Standard |
Lanthanum |
Fosrenol |
Standard |
Lapatinib |
Tykerb |
Standard |
Laronidase |
Aldurazyme |
Priority |
Leflunomide |
Arava |
Standard |
Lenalidomide |
Revlimid |
NOC/c |
Levetiracetam |
Keppra |
Standard |
Levobupivacaine |
Chirocaine |
Standard |
Lexidronam |
Quadramet |
Standard |
Linagliptin |
Trajenta |
Standard |
Linezolid |
Zyvoxam |
Standard |
Lipoprotein-ospA antigen recombinant |
Lymerix |
Priority |
Liraglutide |
Victoza - 1.2 mg pen-injector |
Standard |
Lisdexamfetamine |
Vyvanse |
Standard |
Lopinavir/ritonavir |
Kaletra |
Priority |
Loteprednol |
Alrex |
Standard |
Lumiracoxib |
Prexige |
Standard |
Lurasidone |
Latuda |
Standard |
Lutropin Alfa |
Luveris |
Standard |
Mangafodipir |
Teslascan |
Standard |
Maraviroc |
Celsentri |
Priority |
Melanoma theraccine |
Melacine |
Priority |
Meloxicam |
Mobic |
Standard |
Memantine |
Ebixa |
NOC/c |
Meningococcal group C polysaccharide, tetanus toxoid |
Neisvac-C |
Priority |
Meningococcal oligosaccharides conjugated |
Menveo |
Standard |
Mequinol/tretinoin |
Solage |
Standard |
Methacoline |
Methacoline |
Standard |
Methoxy polyethylene glycol-epoetin beta |
Mircera |
Standard |
Methyl aminolevulinate |
Metvix |
Standard |
Methylnaltrexone |
Relistor |
Priority |
Micafungin |
Mycamine |
Standard |
Miglitol |
Glyset |
Standard |
Miglustat |
Zavesca |
Priority |
Mirtazapine |
Remeron |
Standard |
Modafinil |
Alertec |
Standard |
Montelukast |
Singulair |
Standard |
Moroctocog alpha |
Refacto |
Priority |
Moxifloxacin |
Avelox |
Standard |
Naratriptan |
Amerge |
Standard |
Natalizumab |
Tysabri |
Priority |
Nateglinide |
Starlix |
Standard |
Nebivolol |
Bystolic |
Standard |
Nelarabine |
Atriance |
NOC/c |
Nelfinavir |
Viracept |
Standard |
Nepafenac |
Nevanac |
Standard |
Nesiritide |
Natrecor |
NOC/c |
Nevirapine |
Viramune |
NOC/c |
Nilotinib |
Tasigna |
NOC/c |
Nitric oxide |
Inomax |
Priority |
Norelgestromin/ethinyl estradiol |
Evra |
Standard |
Ofatumumab |
Arzerra |
Standard |
Olmesartan |
Olmetec |
Standard |
Omalizumab |
Xolair |
Standard |
Orlistat |
Xenical |
Standard |
Oseltamivir |
Tamiflu |
Priority |
Oxaliplatin |
Eloxatin |
Priority |
Oxcarbazepine |
Trileptal |
Standard |
Palifermin |
Kepivance |
Priority |
Paliperidone |
Invega |
Standard |
Paliperidone |
Invega sustenna |
Standard |
Palivizumab |
Synagis |
Standard |
Palonosetron |
Aloxi |
Standard |
Panitumumab |
Vectibix |
NOC/c |
Pantoprazole |
Pantaloc M |
Standard |
Paricalcitol |
Zemplar |
Standard |
Pazopanib |
Votrient |
Standard |
Pegaptanib |
Macugen |
Priority |
Pegfilgrastim |
Neulasta |
Standard |
Peginterferon alfa-2a |
Pegasys |
Standard |
Peginterferon alfa-2a ribavirin |
Pegasys RBV |
Priority |
Peginterferon alfa-2b |
Peg-intron |
Standard |
Peginterferon alfa-2b ribavirin |
Pegetron |
Standard |
Pegvisomant |
Somavert |
Priority |
Pemetrexed |
Alimta |
Priority |
Penciclovir |
Denavir |
Standard |
Perindopril |
Coversyl |
Standard |
Pimecrolimus |
Elidel |
Standard |
Pioglitazone |
Actos |
Priority |
Plerixafor |
Mozobil |
Standard |
Pneumococcal conjugate |
Prevnar |
Priority |
Posaconazole |
Spriafil (Posanol) |
Priority |
Pramipexole |
Mirapex |
Standard |
Prasugrel |
Effient |
Standard |
Pregabalin |
Lyrica |
Standard |
Prucalopride |
Resotran |
Standard |
Rabeprazole |
Pariet |
Standard |
Raloxifene |
Evista |
Standard |
Raltegravir |
Isentress |
NOC/c |
Ranibizumab |
Lucentis |
Priority |
Rasagiline |
Azilect |
Standard |
Rasburicase |
Fasturtec |
Priority |
Recombinant cholera toxin B subunit |
Dukoral |
Priority |
Recombinant factor VIIa |
Niastase |
NOC/c |
Recombinant human papillomavirus |
Cervarix |
Standard |
Recombinant human papillomavirus |
Gardasil |
Priority |
Recombinant-methionyl interferon consensus 1 |
Infergen |
Priority |
Remestemcel-L |
Prochymal |
NOC/c |
Repaglinide |
Gluconorm |
Standard |
Retapamulin |
Altargo |
Standard |
Rilpivirine |
Edurant |
Standard |
Riluzole |
Rilutek |
NOC/c |
Risedronate |
Actonel |
Standard |
Rituximab |
Rituxan |
Priority |
Rivaroxaban |
Xarelto |
Standard |
Rivastigmine |
Exelon patch 10 |
Standard |
Rivastigmine |
Exelon |
Standard |
Rizatriptan |
Maxalt |
Standard |
Rofecoxib |
Vioxx |
Priority |
Roflumilast |
Daxas |
Standard |
Romiplostim |
Nplate |
Priority |
Rosiglitazone |
Avandia |
Priority |
Rosuvastatin |
Crestor |
Standard |
Rotavirus vaccine |
Rotarix |
Standard |
Rotaviruses |
Rotateq |
Standard |
Rubidium chloride rb 82 |
Ruby-fill |
Priority |
Rufinamide |
Banzel |
Standard |
Ruxolitinib |
Jakavia |
Priority |
Sapropterin |
Kuvan |
Priority |
Saxagliptin |
Onglyza |
Standard |
Senapine |
Saphris |
Standard |
Sevelamer |
Renvela |
Standard |
Sevelamer |
Renagel |
Standard |
Sibutramine |
Meridia |
Standard |
Sildenafil |
Viagra |
Standard |
Silodosin |
Rapaflo |
Standard |
Sirolimus |
Rapamune |
Standard |
Sitaglipin |
Januvia |
Standard |
Sitaxsentan |
Thelin |
Standard |
Sodium oxybate |
Xyrem |
Standard |
Solifenacin |
Vesicare |
Standard |
Sorafenib |
Nexavar |
NOC/c |
Stiripentol |
Diacomit |
Standard |
Sulesomab |
Leukoscan |
Standard |
Sulfur hexafluoride |
Sonovue |
Standard |
Sunitnib |
Sutent |
NOC/c |
Tadalafil |
Cialis |
Standard |
Tamsulosin |
Flomax |
Standard |
Tapentadol |
Nucynta CR |
Standard |
Tegafur/uracil and leucovorin calcium |
Orzel |
Standard |
Tegaserod |
Zelnorm |
Standard |
Telaprevir |
Incivek |
Priority |
Telavancin |
Vibativ |
Standard |
Telbivudine |
Sebivo |
Priority |
Telithromycin |
Ketek |
Standard |
Telmisartan |
Micardis |
Standard |
Temozolomide |
Temodal |
Standard |
Temsirolimus |
Torisel |
Priority |
Tenecteplase |
Tnkase |
Standard |
Tenofovir |
Viread |
NOC/c |
Teriparatide |
Forteo |
Priority |
Thrombin alfa |
Recothrom |
Standard |
Thyrotrophin |
Thyrogen |
Standard |
Ticagrelor |
Brilinta |
Priority |
Tigecycline |
Tygacil |
Standard |
Tiotropium |
Spiriva |
Standard |
Tipranavir |
Aptivus |
Priority |
Tirofiban |
Aggrastat |
Standard |
Tizanidine |
Zanaflex |
Standard |
Tocilizumab |
Actemra |
Standard |
Tolterodine |
Detrol |
Standard |
Tolvaptan |
Samsca |
Standard |
Toremifene |
Fareston |
Standard |
Tositumomab |
Bexxar |
Priority |
Trabectedin |
Yondelis |
Standard |
Tramadol |
Tramacet |
Standard |
Trastuzumab |
Herceptin |
Priority |
Travoprost |
Travatan |
Standard |
Treprostinil |
Remodulin |
Priority |
Triptorelin |
Trelstar |
Standard |
Trospium |
Trosec |
Standard |
Trovafloxacin |
Trovan (tablets) |
Standard |
Unoprostone isopropyl |
Rescula |
Standard |
Ustekinumab |
Stelara |
Standard |
Valdecoxib |
Bextra |
Standard |
Valganciclovir |
Valcyte |
Standard |
Valrubicin |
Valstar |
Priority |
Vandetanib |
Caprelsa |
Standard |
Vardenafil |
Levitra |
Standard |
Varenicline |
Champix |
Standard |
Varicella vaccine |
Varivax |
Standard |
Varicella zoster vaccine |
Varilrix |
Priority |
Velaglucerase alfa |
VPRIV |
Standard |
Vemurafenib |
Zelboraf |
Priority |
Verteporfin |
Visudyne |
Priority |
Voriconazole |
Vfend |
Standard |
Vorinostat |
Zolinza |
Standard |
Yttrium-90 |
Yttrium-90 |
Priority |
Zaleplon |
Starnoc |
Standard |
Zanamivir |
Relenza |
NOC/c |
Zoledronic acid |
Zometa |
Priority |
Zolmitriptan |
Zomig |
Standard |
Zucapsaicin |
Civanex (Zuacta) |
Standard |