Drug Name	Indication
ABRAXANE	Cancer
ACTEMRA	Rheumatoid Arthritis
ACTHAR HP	Infantile Spasms
ACTIVASE	Cancer
ADCIRCA	PAH
ADRIAMYCIN	Cancer
ADRUCIL	Cancer
ADVATE	Hemophilia
AFINITOR	Cancer
ALDURAZYME	Enzyme Replacement
ALFERON N	Hepatitis/Cancer
ALIMTA	Cancer
ALKERAN	Cancer
ALOXI	Cancer Adjunct
ALPHANATE (VWF)	Hemophilia
ALPHANINE SD	Hemophilia
AMEVIVE	Psoriasis
AMICAR	Hemorrhage
AMIFOSTINE	Cancer
AMINOCAPROIC ACID	Hemophilia
ANZEMET	Cancer Adjunct
ARALAST NP	Alpha-1 Antitrypsin Deficiency
APTIVUS	AIDS
ARANESP	Anemia
AREDIA	Cancer Adjunct
ARIXTRA	Anticoagulants
ARZERRA	Cancer
ATGAM	Transplant
ATRIPLA	AIDS
AVASTIN	Cancer
AVONEX	MS
AZASAN	Transplant
AZATHIOPRINE	Transplant
BARACLUDE	Hepatitis B
BEBULIN VH	Hemophilia
BENEFIX	Hemophilia
BETASERON	MS
BICNU	Cancer
BLEOMYCIN SULFATE	Cancer
BONIVA IV	Osteoporosis
BOTOX	Cervical Dystonia
BRAVELLE	Infertility
BUSULFEX	Cancer
CAMPATH	Cancer
CAMPTOSAR	Cancer
CARBOPLATIN	Cancer
CARIMUNE NF	IVIG
CASODEX	Cancer
CEENU	Cancer
CELLCEPT	Transplant
CEPROTIN	Protein C Deficiency
CEREDASE	Gauchers
CEREZYME	Gauchers
CETROTIDE	Infertility
CHORIONIC GONADOTROPIN	Infertility
CIMZIA	RA / Crohn's Disease
CISPLATIN	Cancer
CLADRIBINE	Cancer
CLOLAR	Cancer
COMBIVIR	AIDS
COPAXONE	MS
COPEGUS	Hepatitis C
COSMEGEN	Cancer
CRINONE	Infertility
CRIXIVAN	AIDS
CYCLOPHOSPHAMIDE	Cancer
CYCLOSPORINE	Transplant
CYCLOSPORINE MODIFIED	Transplant
CYTARABINE	Cancer
CYTOGAM	IVIG
CYTOVENE	Miscellaneous
CYTOXAN	Cancer
DACARBAZINE	Cancer
DACOGEN	Cancer
DAUNORUBICIN HCL	Cancer
DAUNOXOME	Cancer
DDAVP	Hemophilia
DELESTROGEN	Infertility
DESMOPRESSIN ACETATE	Hemophilia
DEXRAZOXANE	Cancer Adjunct
DIDANOSINE	AIDS
DOXIL	Cancer
DOXORUBICIN HCL	Cancer
ELIGARD	Cancer
ELITEK	Cancer Adjunct
ELLENCE	Cancer
ELOXATIN	Cancer
ELSPAR	Cancer
EMCYT	Cancer
EMEND	Cancer Adjunct
EMTRIVA	AIDS
ENBREL	RA/Psoriasis
EPIVIR	AIDS
EPIVIR HBV	Hepatitis B
EPOGEN	Anemia
EPZICOM	AIDS
ERBITUX	Cancer
ESTRADIOL VALERATE	Infertility
ETHYOL	Cancer Adjunct
ETOPOPHOS	Cancer
ETOPOSIDE	Cancer
EUFLEXXA	Osteoarthritis
EXTAVIA	MS
FABRAZYME	Fabry's Disease
FEIBA VH	Hemophilia
FLEBOGAMMA (DIF)	IVIG
FLUDARABINE PHOSPHATE	Cancer
FLUOROURACIL	Cancer
FLUTAMIDE	Cancer
FOLLISTIM AQ	Infertility
FOLOTYN	Cancer
FORTEO	Osteoporosis
FRAGMIN	Anticoagulants
FUZEON	AIDS
GAMASTAN S/D	IVIG
GAMMAGARD LIQUID	IVIG
GAMMAGARD S/D	IVIG
GAMMAGARD S/D <1 MCG/ML	IVIG
GAMUNEX	IVIG
GANCICLOVIR	AIDS
GANIRELIX ACETATE	Infertility
GEMZAR	Cancer
GENGRAF	Transplant
GENOTROPIN	Growth Hormone
GLEEVEC	Cancer
GONAL-F	Infertility
GRANISETRON HCL	Cancer Adjunct
GRANISOL	Cancer Adjunct
HELIXATE FS	Hemophilia
HEMOFIL M	Hemophilia
HEPAGAM B	Transplant
HEPSERA	Hepatitis B
HERCEPTIN	Cancer
HEXALEN	Cancer
HIVID	AIDS
HUMATE-P	Hemophilia
HUMATROPE	Growth Hormone
HUMIRA	RA/Psoriasis/Crohn’s Dx
HYALGAN	Osteoarthritis
HYCAMTIN	Cancer
HYDREA	Cancer
HYDROXYUREA	Cancer
HYPERHEP B S/D	Hepatitis B
HYPERRAB S/D	Immune Globulin
HYPERRHO S/D	Immune Globulin
IFEX	Cancer
IFOSFAMIDE	Cancer
IMURAN	Transplant
INCRELEX	Primary IGF-1 Deficiency
INFERGEN	Hepatitis C
INNOHEP	Anticoagulants
INTELENCE	AIDS
INTRON-A	Hepatitis C
INVIRASE	AIDS
IRINOTECAN	Cancer
ISENTRESS	AIDS
IXEMPRA	Cancer
KALETRA	AIDS
KINERET	Rheumatoid Arthritis (RA)
KOATE-DVI	Hemophilia
KOGENATE FS (BIO-SET)	Hemophilia
KUVAN	Phenylketonuria
KYTRIL	Cancer Adjunct
LETAIRIS	Pulmonary Arterial Hypertension (PAH)
LEUCOVORIN CALCIUM	Cancer Adjunct
LEUKERAN	Cancer
LEUKINE	Cancer Adjunct
LEUPROLIDE ACETATE	Cancer
LEUSTATIN	Cancer
LEXIVA	AIDS
LIORESAL INTRATHECAL	Miscellaneous
LOVENOX	Anticoagulants
LUCENTIS	Macular Degeneration
LUPRON DEPOT	Endometriosis/Cancer
LUPRON DEPOT-PED	Precocious Puberty
LUVERIS	Infertility
LYSODREN	Cancer
MACUGEN	Macular Degeneration
MATULANE	Cancer
MENOPUR	Infertility
MERCAPTOPURINE	Cancer
MESNA	Cancer Adjunct
MESNEX	Cancer Adjunct
METHOTREXATE	Cancer/Rheumatoid Arth.
MIACALCIN	Osteoporosis
MICROHOGAM	Immune Globulin
MIRENA	Birth Control (IUD)
MITOXANTRONE HCL	Cancer
MONOCLATE-P	Hemophilia
MONONINE	Hemophilia
MOZOBIL	Cancer Adjunct
MUSTARGEN	Cancer
MYFORTIC	Transplant
MYLERAN	Cancer
MYLOTARG	Cancer
MYOBLOC	Cervical Dystonia
MYOCHRYSINE	Cancer
MYOZYME	Enzyme Replacement
NABI-HB	Hepatitis B
NAGLAZYME	Maroteaux-Lamy Syndrome
NAVELBINE	Cancer
NEBUPENT	AIDS
NEORAL	Transplant
NEULASTA	Cancer Adjunct
NEUMEGA	Cancer Adjunct
NEUPOGEN	Cancer Adjunct
NEXAVAR	Cancer
NIPENT	Cancer
NORDITROPIN	Growth Hormone
NORVIR	AIDS
NOVANTRONE	Cancer
NOVAPLUS NABI-HB	Hepatitis B
NOVAREL	Infertility
NOVOSEVEN RT	Hemophilia
NUTROPIN (AQ)	Growth Hormone
OCTAGAM	IVIG
OCTREOTIDE ACETATE	Acromegaly
OMNITROPE	Growth Hormone
ONCASPAR	Cancer
ONDANSETRON HCL	Cancer Adjunct
ONTAK	Cancer
ONXOL	Cancer
ORENCIA	Rheumatoid Arthritis
ORTHOCLONE OKT3	Transplant
ORTHOVISC	Osteoarthritis
OVIDREL	Infertility
PACLITAXEL	Cancer
PAMIDRONATE DISODIUM	Cancer Adjunct
PARAPLATIN	Cancer
PEGASYS	Hepatitis C
PEG-INTRON	Hepatitis C
PENTOSTATIN	Cancer
PHOTOFRIN	Cancer
PLATINOL AQ	Cancer
PLENAXIS	Cancer
PREGNYL	Infertility
PREZISTA	AIDS
PRIALT	Pain
PRIVIGEN	IVIG
PROCHIEVE	Infertility
PROCRIT	Anemia
PROFILNINE SD	Hemophilia
PROGESTERONE	Infertility
PROGRAF	Transplant
PROLEUKIN	Cancer
PROMACTA	ITP
PULMOZYME	Cystic Fibrosis
PURINETHOL	Cancer
RAPMUNE	Transplant
REBETOL	Hepatitis C
REBIF	MS
RECLAST	Osteoporosis
RECOMBINATE	Hemophilia
REFLUDAN	Anticoagulants
REMICADE	RA/Psoriasis/Crohn’s Dx
REPRONEX	Infertility
RESCRIPTOR	AIDS
RETROVIR	AIDS
REVATIO	PAH
REVLIMID	Cancer
REYATAZ	AIDS
RHEUMATREX	Cancer/Rheumatoid Arth.
RHOGAM	Immune Globulin
RHOPHYLAC	Immune Globulin
RIBAPAK	Hepatitis C
RIBASPHERE	Hepatitis C
RIBAVIRIN	Hepatitis C
RITUXAN	Cancer/Rheumatoid Arth.
SAIZEN	Growth Hormone
SANCUSO	Cancer Adjunct
SANDIMMUNE	Transplant
SANDOSTATIN	Acromegaly
SANDOSTATIN LAR	Acromegaly
SELZENTRY	AIDS
SENSIPAR	Cancer Adjunct
SEROSTIM	AIDS
SIMPONI	RA
SOLIRIS	PNH
SOMATULINE DEPOT	Acromegaly
SOMAVERT	Acromegaly
SPRYCEL	Cancer
STAVUDINE	AIDS
STELARA	Psoriasis
STIMATE	Hemophilia
SUPARTZ	Osteoarthritis
SUPPRELIN LA	Precocious Puberty
SUSTIVA	AIDS
SUTENT	Cancer
SYNAGIS	RSV Prevention
SYNAREL	Precocious Puberty
SYNVISC	Osteoarthritis
SYNVISC ONE	Osteoarthritis
SYPRINE	Wilson’s Disease
TABLOID	Cancer
TARCEVA	Cancer
TARGRETIN	Cancer
TASIGNA	Cancer
TAXOL	Cancer
TAXOTERE	Cancer
TEMODAR	Cancer
TEV-TROPIN	Growth Hormone
THALOMID	Cancer
THERACYS	Cancer
THIOTEPA	Cancer
THYMOGLOBULN	Transplant
THYROGEN	Cancer
TICE BCG	Cancer
TIKOSYN	Atrial fib/flutter
TOBI	Cystic Fibrosis
TOPOSAR	Cancer
TORISEL	Cancer
TOTECT	Cancer Adjunct
TREANDA	Cancer
TRELSTAR	Cancer
TRETINOIN	Cancer
TREXALL	Cancer
TRISENOX	Cancer
TRIZIVIR	AIDS
TRUVADA	AIDS
TYZEKA	Hepatitis B
TYKERB	Cancer
TYSABRI	MS/Crohn’s Dx
VALCYTE	AIDS
VANTAS	Cancer
VECTIBIX	Cancer
VELCADE	Cancer
VESANOID	Cancer
VIDAZA	Cancer
VIDEX	AIDS
VINBLASTINE SULFATE	Cancer
VINCASAR	Cancer
VINCRISTINE SULFATE	Cancer
VINORELBINE TARTRATE	Cancer
VIRACEPT	AIDS
VIRAMUNE	AIDS
VIREAD	AIDS
VISTIDE	AIDS
VISUDYNE	Macular Degeneration
VIVAGLOBIN	IVIG
VIVITROL	Alcohol Dependency
VOTRIENT	Cancer
WINRHO SDF	IVIG
XELODA	Cancer
XYNTHA	Hemophilia
XOLAIR	Asthma
ZANOSAR	Cancer
ZENAPAX	Transplant
ZERIT	AIDS
ZIAGEN	AIDS
ZIDUVUDINE	AIDS
ZINECARD	Cancer Adjunct
ZOFRAN	Cancer Adjunct
ZOLADEX	Cancer
ZOLINZA	Cancer
ZOMETA	Hypercalcemia
ZORBTIVE	Short bowel syndrome
“Preferred” medications are determined based upon PrecisionRx Specialty Solutions’ review of the clinical benefits and economic value of medications. Each patient should review their benefit plan to understand the actual cost share impact to them. PrecisionRx Specialty Solutions may receive payments from manufacturers whose medications are listed as preferred. These payments may or may not be shared with the customer’s benefit plan depending upon the contractual arrangement between the plan and PrecisionRx Specialty Solutions. Depending upon plan design, market conditions, the extent to which manufacturer’s payments are shared with the member’s benefit plan, and other factors as of the date of service, the preferred medication may or may not represent the lowest cost medication within the therapeutic class for the member and/or the benefit plan.