01.05.03 |
Formulary
|
 |
Adalimumab Hyrimoz®, Amgevita®, Imraldi®, Hulio®, Humira® |
13.05.03 |
Formulary
|
 |
Adalimumab Hyrimoz®, Amgevita®, Imraldi®, Hulio®, Humira® |
04.12 |
Formulary
|
 |
Botulinum neurotoxin Type A Xeomin® |
04.07.04.02 |
Formulary
|
 |
Botulinum Toxin Type A Botox® |
08.03.04.02 |
Formulary
|
 |
Degarelix acetate Firmagon® |
13.05.03 |
Formulary
|
 |
Dimethyl Fumarate Skilarence® |
13.05.03 |
Formulary
|
 |
Etanercept Enbrel®, Benepali®, Erelzi® |
11.04.01 |
Formulary
|
 |
Fluocinolone acetonide Iluvien® |
01.05.03 |
Formulary
|
 |
Infliximab Flixabi®, Inflectra®, Remicade®, Remsima® |
13.05.03 |
Formulary
|
 |
Infliximab Flixabi®, Inflectra®, Remicade®, Remsima® |
07.04.03 |
Formulary
|
 |
Pentosan polysulfate sodium Elmiron® |