| 01.05.01 |
Formulary
|
 |
Balsalazide Sodium Colazide ® |
| 10.01.03 |
Restricted Use
|
 |
Certolizumab Pegol Cimzia® |
| 10.03.01 |
Formulary
|
 |
Collagenase clostridium histolyticum Xiapex® |
| 11.04.01 |
Restricted Use
|
 |
Dexamethasone 700mcg Ozurdex® |
| 13.08.01 |
Formulary
|
 |
Diclofenac 3% gel Solaraze® |
| 13.05.03 |
Formulary
|
 |
Dimethyl fumarate Skilarence® |
| 13.04 |
Formulary
|
 |
Flucinolone Acetonide 0.025% Synalar® Gel |
| 13.04 |
Formulary
|
 |
Fludroxycortide tape Previously known as Haelan® |
| 05.03.03.02 |
Formulary
|
 |
Glecaprevir-pibrentasvir Maviret® |
| 01.03.05 |
Formulary
|
 |
Omeprazole Dispersible tablets |
| 08.01.05 |
Restricted Use
|
 |
Paclitaxel albumin-bound Abraxane® |
| 10.01.03 |
Restricted Use
|
 |
Rituximab (rheumatology) MabThera® |
| 08.01.05 |
Formulary
|
 |
Talimogene Iaherparepvec Imlygic® |