Section |
Status |
Black Triangle |
Name |
08.01.05 |
Formulary
|
 |
Abemaciclib Verzenios® |
03.01.04 |
Formulary
|
 |
Aclidinium & formoterol Duaklir®Genuair |
08.01.05 |
Formulary
|
 |
Alectinib hydrochloride Alecensa® |
10.02.01 |
Formulary
|
 |
Amifampridine Firdapse® |
08.01.05 |
Formulary
|
 |
Avelumab Bavencio® |
10.01.03 |
Formulary
|
 |
Baricitinib Olumiant® |
10.01.03 |
Formulary
|
 |
Belimumab Benlysta® |
03.04.02 |
Formulary
|
 |
Benralizumab Fasenra® |
08.02.03 |
Formulary
|
 |
Blinatumomab Blincyto® |
08.01.05 |
Formulary
|
 |
Bosutinib Bosulif® |
08.01.05 |
Formulary
|
 |
Brentuximab vedotin Adcetris® |
08.01.05 |
Formulary
|
 |
Brigatinib Alunbrig® |
04.08.01 |
Formulary
|
 |
Brivaracetam Briviact® |
13.05.03 |
Formulary
|
 |
Brodalumab Kyntheum® |
11.08.02 |
Formulary
|
 |
Brolucizumab Beovu® |
08.01.05 |
Formulary
|
 |
Cabozantinib Cabometyx® |
08.02.03 |
Formulary
|
 |
Caplacizumab Cablivi® |
08.01.05 |
Formulary
|
 |
Carfilzomib Kyprolis® |
08.01.05 |
Formulary
|
 |
Cemiplimab Libtayo® |
08.01.05 |
Formulary
|
 |
Ceritinib Zykadia® |
08.01.05 |
Formulary
|
 |
Crizotinib Xalkori® |
05.03.03.02 |
Formulary
|
 |
Daclatasvir Daklinza® |
08.01.05 |
Formulary
|
 |
Dacomitinib Vizimpro® |
08.01.05 |
Formulary
|
 |
Daratumumab Darzalex® |
08.03.04.02 |
Formulary
|
 |
Darolutamide Nubeqa® |
05.03.03.02 |
Formulary
|
 |
Dasabuvir Sodium Monohydrate Exviera® |
13.05.03 |
Formulary
|
 |
Dupilumab Dupixent® |
08.01.05 |
Formulary
|
 |
Durvalumab Imfinzi® |
02.08.02 |
Formulary
|
 |
Edoxaban Lixiana® |
05.03.03.02 |
Formulary
|
 |
Elbasvir & Grazoprevir Zepatier® |
09.08.01 |
Formulary
|
 |
Elosulfase alfa Vimizim® |
06.01.02.03 |
Formulary
|
 |
Empagliflozin Jardiance▼® |
08.01.05 |
Formulary
|
 |
Encorafenib Braftovi® |
08.01.05 |
Formulary
|
 |
Entrectinib Rozlytrek® |
06.01.02.03 |
Formulary
|
 |
Ertugliflozin Steglatro® |
13.05.03 |
Formulary
|
 |
Etanercept Enbrel®, Benepali®, Erelzi® |
09.05.01.02 |
Formulary
|
 |
Etelcalcetide hydrochloride Parsabiv® |
09.01.01.02 |
Formulary
|
 |
Ferric carboxymaltose Ferinject® |
08.02.04 |
Formulary
|
 |
Fingolimod Gilenya® |
03.02 |
Formulary
|
 |
Fluticasone furoate, vilanterol & umeclidinium Trelegy®Ellipta |
04.07.04.02 |
Formulary
|
 |
Fremanezumab Ajovy® |
04.07.04.02 |
Formulary
|
 |
Galcanezumab Emgality® |
08.01.05 |
Formulary
|
 |
Gemtuzumab ozogamicin Mylotarg® |
08.01.05 |
Formulary
|
 |
Gilteritinib Xospata® |
05.03.03.02 |
Formulary
|
 |
Glecaprevir & Pibrentasvir Maviret® |
03.01.04 |
Formulary
|
 |
Glycopyrronium bromide & Indacaterol Ultibro®Breezhaler |
13.05.03 |
Formulary
|
 |
Guselkumab Tremfya® |
08.01.05 |
Formulary
|
 |
Ibrutinib Imbruvica® |
08.01.05 |
Formulary
|
 |
Idelalisib Zydelig® |
08.01.05 |
Formulary
|
 |
Inotuzumab ozogamicin Besponsa® |
06.01.01.01 |
Formulary
|
 |
Insulin Aspart Fiasp® |
06.01.01.02 |
Formulary
|
 |
Insulin Glargine |
09.01.01.02 |
Formulary
|
 |
Iron dextran CosmoFer® |
09.01.01.02 |
Formulary
|
 |
Iron Isomaltoside Monofer® |
09.01.01.02 |
Formulary
|
 |
Iron sucrose Venofer® |
08.01.05 |
Formulary
|
 |
Isatuximab Sarclisa® |
08.01.05 |
Formulary
|
 |
Ixazomib Ninlaro® |
10.01.03 |
Formulary
|
 |
Ixekizumab Taltz® |
13.05.03 |
Formulary
|
 |
Ixekizumab Taltz® |
03.04.03 |
Formulary
|
 |
Lanadelumab Takhzyro® |
05.03.03.02 |
Formulary
|
 |
Ledipasvir & Sofosbuvir Harvoni® |
08.02.04 |
Formulary
|
 |
Lenalidomide Revlimid® |
08.01.05 |
Formulary
|
 |
Lenvatinib |
05.03.02.02 |
Formulary
|
 |
Letermovir Prevymis® |
05.01.12 |
Formulary
|
 |
Levofloxacin nebuliser solution Quinsair® |
08.01.05 |
Formulary
|
 |
Lorlatinib Lorviqua® |
08.03.04.03 |
Formulary
|
 |
Lutetium (177Lu) oxodotreotide |
08.01.05 |
Formulary
|
 |
Midostaurin Rydapt ® |
01.06.06 |
Formulary
|
 |
Naldemedine Rizmoic® |
08.02.04 |
Formulary
|
 |
Natalizumab Tysabri® |
08.03.04.01 |
Formulary
|
 |
Neratinib Nerlynx® |
08.01.05 |
Formulary
|
 |
Nintedanib esilate |
08.01.05 |
Formulary
|
 |
Niraparib Zejula® |
08.01.05 |
Formulary
|
 |
Nivolumab Opdivo® |
10.02 |
Formulary
|
 |
Nusinersen Spinraza ® |
08.02.03 |
Formulary
|
 |
Obinutuzumab Gazyvaro® |
08.02.03 |
Formulary
|
 |
Ocrelizumab Ocrevus® |
08.01.05 |
Formulary
|
 |
Olaratumab Lartruvo® |
05.03.03.02 |
Formulary
|
 |
Ombitasvir, paritaprevir & ritonavir Viekirax® |
04.09.01 |
Formulary
|
 |
Opicapone Ongentys® |
08.01.05 |
Formulary
|
 |
Osimertinib Tagrisso® |
08.01.05 |
Formulary
|
 |
Palbociclib Ibrance® |
04.06 |
Formulary
|
 |
Palonosetron & netupitant Akynzeo® |
08.01.05 |
Formulary
|
 |
Panobinostat Farydak® |
09.02.01.01 |
Formulary
|
 |
Patiromer calcium Veltassa® |
08.01.05 |
Formulary
|
 |
Pegaspargase Oncaspar® |
08.01.05 |
Formulary
|
 |
Pembrolizumab Keytruda® |
13.08.01 |
Formulary
|
 |
Picato® Ingenol mebutate 150 or 500microgram/g gel |
08.01.02 |
Formulary
|
 |
Pixantrone dimaleate Pixuvri® |
08.01.05 |
Formulary
|
 |
Polatuzumab vedotin Polivy® |
08.02.04 |
Formulary
|
 |
Pomalidomide Imnovid® |
08.01.05 |
Formulary
|
 |
Ponatinib Iclusig® |
07.02.01 |
Restricted Use
|
 |
Prasterone (intravaginal) Intrarosa® |
03.04.02 |
Formulary
|
 |
Reslizumab Cinquil® |
08.01.05 |
Formulary
|
 |
Ribociclib succinate Kisqali® |
13.05.03 |
Formulary
|
 |
Risankizumab Skyrizi® |
10.01.03 |
Formulary
|
 |
Rituximab MabThera®, Rixathon®, Truxima® |
02.08.02 |
Formulary
|
 |
Rivaroxaban Xarelto® |
02.08.02 |
Formulary
|
 |
Rivaroxaban Xarelto® |
02.08.02 |
Formulary
|
 |
Rivaroxaban Xarelto® |
03.03.03 |
Formulary
|
 |
Roflumilast Daxas® |
08.02.04 |
Formulary
|
 |
Rucaparib Rubraca® |
10.01.03 |
Formulary
|
 |
Sarilumab Kevzara® |
10.01.03 |
Formulary
|
 |
Secukinumab Cosentyx® |
13.05.03 |
Formulary
|
 |
Secukinumab Cosentyx® |
06.01.02.03 |
Formulary
|
 |
Semaglutide Ozempic® |
08.02.04 |
Formulary
|
 |
Siponimod Mayzent® |
09.02.01.01 |
Formulary
|
 |
Sodium zirconium cyclosilicate Lokelma® |
05.03.03.02 |
Formulary
|
 |
Sofosbuvir Sovaldi® |
05.03.03.02 |
Formulary
|
 |
Sofosbuvir & Velpatasvir Epclusa® |
05.03.03.02 |
Formulary
|
 |
Sofosbuvir, velpatasvir & voxilaprevir Vosevi® |
08.01.05 |
Formulary
|
 |
Talimogene laherparepvac Imlygic® |
05.03.03.02 |
Formulary
|
 |
Telaprevir Incivo® |
13.05.03 |
Formulary
|
 |
Tildrakizumab Ilumetri® |
03.01.04 |
Formulary
|
 |
Tiotropium & olodaterol Spiolto®Respimat |
08.01.05 |
Formulary
|
 |
Tivozanib Fotivda® |
01.05.03 |
Formulary
|
 |
Tofacitinib Xeljanz® |
10.01.03 |
Formulary
|
 |
Tofacitinib Xeljanz® |
06.05.02 |
Formulary
|
 |
Tolvaptan Jinarc® |
08.01.05 |
Formulary
|
 |
Trametinib Mekinist® |
08.01.05 |
Formulary
|
 |
Trifluridine-tipiracil Lonsurf® |
03.01.02 |
Formulary
|
 |
Umeclidinium Incruse®Ellipta |
03.01.04 |
Formulary
|
 |
Umeclidinium & vilanterol Anoro®Ellipta |
10.01.03 |
Formulary
|
 |
Upadacitinib Rinvoq® |
08.01.05 |
Formulary
|
 |
Venetoclax Venclyxto® |
04.03.03 |
Formulary
|
 |
Vortioxetine |