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Please refer to Epic and your local
pharmacy
for available medications.
Provider restrictions
Please review each of these drugs carefully.| ambrisentan |
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| aminolevulinic acid |
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| amphotericin B |
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| amphotericin B liposomal |
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| andexanet alfa |
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| Angiotensin II |
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| anifrolumab-fnia |
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| ARIPiprazole |
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| avibactam-ceftazidime |
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| axicabtagene ciloleucel |
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| belantamab mafodotin |
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| bicalutamide |
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| bosentan |
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| brexucabtagene autoleucel |
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| bupivacaine/meloxicam |
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| calcitonin |
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| caplacizumab |
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| cefiderocol |
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| ceftaroline |
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| ceftolozane-tazobactam |
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| cemiplimab |
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| colistimethate |
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| conivaptan |
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| crizanlizumab-tmca |
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| dalbavancin |
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| DAPTOmycin |
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| Daratumumab |
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| degarelix |
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| durvalumab |
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| eculizumab |
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| edaravone |
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| emapalumab |
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| enfortumab vedotin-ejfv |
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| epoprostenol |
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| eravacycline |
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| esketamine |
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| fam-trastuzumab deruxtecan |
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| fentaNYL |
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| fidaxomicin |
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| fluPHENAZine |
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| glucarpidase |
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| haloperidol |
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| idecabtagene vicleucel |
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| iloprost |
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| imipenem, cilastatin, and relebactam |
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| inotuzumab ozogamicin |
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| isavuconazonium |
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| letermovir |
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| lisocabtagene maraleucel |
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| lurbinectedin |
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| luspatercept-aamt |
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| macitentan |
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| maribavir |
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| meropenem-vaborbactam |
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| methoxsalen |
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| micafungin |
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| Moxetumomab Pasudotox |
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| natamycin ophthalmic |
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| olaratumab |
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| paliperidone |
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| pertuzumab/trastuzumab/hyaluronidase-zzxf |
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| polatuzumab vedotin |
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| polymyxin B sulfate |
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| posaconazole |
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| ravulizumab |
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| remdesivir |
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| riociguat |
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| risperiDONE |
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| riTUXimab |
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| sacituzumab govitecan-hziy |
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| selexipag |
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| Sipuleucel-T |
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| sotalol |
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| sugammadex |
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| tafasitamab-cxix |
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| tagraxofusp-erzs |
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| talimogene laherparepvec |
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| tebentafusp |
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| teprotumumab |
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| tigecycline |
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| tisagenlecleucel |
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| tocilizumab |
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| trastuzumab |
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| trastuzumab and hyaluronidase-oysk |
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| treprostinil |
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| vedolizumab |
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