Blue Cross Blue Shield Of Illinois

Abiraterone 500 Mg

Abrilada Adalimumab Afzb

Abrocitinib

Actemra

Adalimumab Aacf

Adalimumab Adaz

Adalimumab Adbm

Adalimumab Fkjp

Adalimumab Ryvk

Adbry

Adbry Tralokinumab Ldrm

Adcirca

Addyi

Adempas

Adipex P

Afinitor

Afinitor Disperz

Afrezza

Agamree

All Topical Lidocaine Agents For Ohio Members

All Weight Loss Agents Target Agents

Alpelisib Pros

Alprolix

Alvaiz

Alvaiz Eltrombopag

Ambien Cr Zolpidem

Ambien Zolpidem

Ambrisentan

Amifampridine Phosphate

Amikacin Sulfate Liposome Inhalation Suspension

Amitiza

Amitiza Lubiprostone

Amjevita Adalimumab Atto

Andembry

Androgel

Apremilast Tab

Apremilast Tab Er

Apremilast Tab Start Pack

Apremilast Tab Starter Therapy Pack

Aprocitentan

Aqneursa

Aranesp

Arcalyst Rilonacept

Arikayce

Arimoclomol Citrate

Asfotase Alfa

Atogepant

Atrasentan Hcl

Attruby

Aubagio

Aubagio Teriflunomide

Augtyro

Austedo Deutetrabenazine

Austedo Xr Deutetrabenazine Er

Avacopan

Aveed

Azmiro

Bafiertam

Bafiertam Monomethyl Fumarate

Belsomra Suvorexant

Belumosudil Mesylate

Benefix

Benlysta

Benzphetamine

Benzphetamine Hcl

Berdazimer Sodium Gel 10 3

Berinert

Biologic Immunomodulator Agents

Biologic Immunomodulator Agents For Psoriatic Arthritis Psa

Biologic Immunomodulator Agents For Rheumatoid Arthritis Ra

Bonjesta

Bonsity

Bosentan

Bosulif

Brekiya Dihydroergotamine Mesylate

Brexafemme Ibrexafungerp

Brynovin

Budesonide Delayed Release Cap

Budesonide Oral Suspension 2 Mg 10ml

Byetta

Calcitonin Gene Related Peptide Cgrp Agents

Camzyos

Carac Fluorouracil 0 5 Cream

Celexa

Cenegermin Bkbj

Cequa

Cerdelga

Chenodiol

Cibinqo

Ciclopirox Solution 8

Cinryze

Clascoterone Cream 1

Contrave

Copaxone

Copaxone Glatiramer

Corlanor

Cosentyx 300 Mg

Cosentyx Vial 125 Mg 5 Ml

Crenessity

Cresemba Isavuconazole

Crinecerfont

Ctexli

Cyltezo Adalimumab Adbm

Cymbalta

Danicopan

Darbepoetin Alfa

Dawnzera

Daybue

Dayvigo Lemborexant

Depo Testosterone

Dexcom G6

Dexcom G7

Dextromethorphan Hbr Quinidine Sulfate

Diazoxide Choline

Diclegis

Diclofenac 3 Gel

Diclofenac Epolamine Patch

Diethylpropion

Diethylpropion Hcl

Dojolvi

Doptelet

Doxepin Hydrochloride Cream 5

Drizalma

Droxidopa

Duexis

Dupilumab

Dupixent

Duvyzat

Ebglyss

Ebglyss Lebrikizumab Lbkz

Edaravone Oral Suspension

Edluar Zolpidem

Effexor Xr

Efgartigimod Alfa Hyaluronidase Qvfc

Efudex Fluorouracil 5 Cream

Ekterly

Elagolix

Elidel Pimecrolimus Cream

Eliglustat

Elyxyb Celecoxib

Emflaza

Empaveli Pegcetacoplan

Emrosi

Ensifentrine Inhalation Suspension

Enspryng Satralizumab Mwge

Entyvio

Eohilia

Epclusa Sofosbuvir Velpatasvir

Epoetin Alfa

Epoetin Alfa Epbx

Epogen

Esbriet

Eucrisa Crisaborole Ointment

Evrysdi

Exenatide

Exjade

Exjade Deferasirox

Extavia Interferon 1b

Exxua

Eysuvis

Fabhalta Iptacopan

Fasenra Pen

Fecal Microbiota Spores Live Brpk Caps

Fenfluramine Hcl

Ferriprox Deferiprone

Fetzima

Fezolinetant

Filspari

Filsuvez Birch Triterpenes Gel 10

Fintepla

Firazyr

Firdapse

Fitusiran Sodium

Flector

Fluoroplex

Fluticasone Propionate Nasal Exhaler

Forfivo Xl

Forteo

Fortesta

Freestyle Libre

Freestyle Libre 2

Freestyle Libre 3

Furoscix

Furosemide Subcutaneous Cartridge Kit

Fylnetra Pegfilgrastim Pbbk

Galafold

Gilenya

Gilenya Fingolimod

Givinostat Hcl

Gleevec

Glumetza

Gralise

Granix Tbo Filgrastim

Hadlima Adalimumab Bwwd

Haegarda

Harvoni

Harvoni Ledipasvir Sofosbuvir

Hepatitis C Direct Acting Antivirals Off Label Indications

Hetlioz

Hetlioz Lq

Horizant

Hulio Adalimumab Fkjp

Humira Adalimumab

Hyftor

Hympavzi

Hyrimoz Adalimumab Adaz

Ibrance

Ibsrela

Ibsrela Tenapanor

Icatibant

Icosapent Ethyl

Idacio Adalimumab Aacf

Idelvion

Il 13 Antagonist Agents

Il 31 Inhibitors

Il 4 Inhibitors

Il 5 Inhibitors

Ilet Insulin Infusion Kit

Ilet Insulin Pump

Ilet Starter Kit Contac

Ilet Starter Kit Inset

Imcivree Setmelanotide Acetate

Imiquimod 5

Imuldosa

Imuldosa Ustekinumab Srlf

Ingrezza Valbenazine

Iqirvo

Iressa

Isturisa Osilodrostat Phosphate

Ivabradine Hcl Oral Soln

Ivabradine Hcl Tab

Ixinity

Jadenu

Jadenu Deferasirox

Janumet

Janumet Xr

Januvia

Jatenzo

Jentadueto

Jentadueto Xr

Joenja

Jublia Efinaconazole

Jynarque

Kalbitor

Kalydeco

Kazano

Kerydin Tavaborole

Kevzara

Kisqali Femara Pack

Klisyri

Kombiglyze Xr

Korlym

Kuvan

Kyzatrex

Ledipasvir Sofosbuvir

Leniolisib Phosphate

Letairis

Levacetylleucine

Levoketoconazole

Lexapro

Librax Chlordiazepoxide Clidinium

Licart

Lidocaine Topical Ointment 5

Lidoderm Lidocaine Patch 5

Linzess

Liqrev

Liraglutide

Livdelzi

Lonafarnib

Lotilaner Ophthalmic Solution 0 25

Lubiprostone

Luminopia

Lumryz

Lumryz Starter Pack

Lunesta Eszopiclone

Lupkynis

Marstacimab Hncq

Mavacamten

Mavenclad Cladribine

Mavorixafor

Mavyret Glecaprevir Pibrentasvir

Mekinist Oral Solution

Metformin Hcl Tab Er 24hr Osmotic 1000 Mg

Metformin Hcl Tab Er 24hr Osmotic 500 Mg

Metformin Hydrochloride 625 Mg Tablet

Metformin Hydrochloride 750 Mg Tablet

Methitest

Methoxy Peg Epoetin Beta

Methyltestosterone Capsule

Miebo

Mifepristone

Migalastat Hcl

Miglustat

Miglustat Gaa Deficiency

Migranal Dihydroergotamine Mesylate

Minolira

Miplyffa

Mircera

Mitapivat Sulfate

Motegrity

Motegrity Prucalopride

Movantik Naloxegol

Mulpleta

Mulpleta Lusutrombopag

Mycapssa Octreotide Acetate

Myfembree

Natesto

Nemluvio

Nemolizumab Ilto

Nesina

Neulasta Pegfilgrastim

Neupogen Filgrastim

Nexavar

Nexletol

Nexlizet

Ngenla

Non Formulary Test Strips

Non Preferred Hepatitis C Direct Acting Antivirals

Northera

Novoseven Rt

Noxafil Posaconazole

Nplate

Nplate Romiplostim

Nucala

Nuedexta

Nuplazid

Nypozi Filgrastim Txid

Ocaliva

Ogsiveo

Ohtuvayre

Olumiant

Omalizumab

Omaveloxolone

Omnipod 5 Dexcom G7g6 Int

Omnipod 5 Dexcom G7g6 Pod

Omnipod 5 G7 Intro Kit

Omnipod 5 G7 Pods

Omnipod 5 Libre2 Plus G6

Omnipod 5 Libre2 Plus G6 Pods

Omnipod Classic Pods

Omnipod Dash Intro Kit

Omnipod Dash Pdm Kit

Omnipod Dash Pods

Omvoh

Omvoh 300 Mg

Onglyza

Opfolda

Opsynvi

Opzelura

Oracea

Oriahnn

Orilissa

Orkambi

Orladeyo

Orlistat

Oseni

Otezla

Otezla Apremilast

Otezla Otezla Xr 28 Day T

Otezla Xr

Otulfi

Otulfi Ustekinumab Aauz

Oxervate

Oxycodone Hydrochloride

Oxycontin

Ozanimod

Ozanimod Hcl

Palopegteriparatide

Palovarotene

Palynziq

Paxil

Paxil Cr

Pcsk9 Inhibitors

Pegvaliase Pqpz

Pennsaid

Phendimetrazine

Phendimetrazine Tartrate

Phentermine

Pimavanserin Tartrate

Pirfenidone

Pitolisant Hcl

Plegridy Peginterferon 1a

Pliaglis Lidocaine 7 Tetracaine Cream 7

Pogo Automatic Test Cartridge

Ponvory Ponesimod

Praluent Alirocumab

Prednisone Delayed Release Tablet

Pristiq

Procrit

Procysbi Cysteamine Bitartrate

Promacta

Promacta Eltrombopag

Prozac

Prudoxin

Pyrukynd

Pyrukynd Taper Pack

Pyzchiva

Pyzchiva Ustekinumab Ttwe

Qbrexza

Qfitlia

Qsymia

Qudexy Xr

Qulipta

Quviviq Daridorexant

Radicava Ors

Radicava Ors Starter Kit

Rayos

Rebinyn

Recorlev

Releuko Filgrastim Ayow

Relistor

Relistor Methylnaltrexone

Relugolix

Remeron

Remeron Soltab

Requested Agent

Requested Agent Factor Ix

Requested Agent Growth Hormone Products

Requested Agent Ohio Members

Requested Agent Pediatric Peer Reviewed Indication Approval

Requested Agent Requiring Trial Of Imatinib

Requested Factor Ix Agent S Included In This Program

Requested Opioid Agent Any

Requested Opioid Agent Non Preferred Vs Xtampza

Resmetirom

Restasis

Retacrit

Revatio

Reyvow Lasmiditan

Rezdiffra

Rezurock

Rifaximin 550mg

Rinvoq

Riomet

Risdiplam For Soln

Risdiplam Tab

Rivfloza Nedosiran Sodium

Rixubis

Roflumilast Cream

Roflumilast Foam

Rolvedon Eflapegrastim Xnst

Rozerem Ramelteon

Ruconest

Ruxolitinib Phosphate

Rybelsus

Ryzneuta Efbemalenograstim Alfa Vuxw

Sacrosidase

Saizen

Sapropterin Dihydrochloride

Saxenda

Semaglutide

Sephience

Sepiapterin

Serostim

Sertraline Capsule

Sevenfact

Seysara

Sildenafil

Silenor Doxepin

Siliq

Simponi

Sirolimus Gel

Skyclarys

Skyrizi

Skytrofa

Sodium Oxybate

Sofdra

Sofosbuvir Velpatasvir

Sogroya

Sohonos

Solodyn

Solriamfetol Hcl

Somavert Pegvisomant

Sovaldi

Sovaldi Sofosbuvir

Sparsentan

Spevigo Spesolimab Sbzo Subcutaneous Solution

Sporanox Itraconazole

Sprycel

Steqeyma Ustekinumab Stba

Stimufend Pegfilgrastim Fpgk

Strensiq

Sucraid

Sunosi

Sutent

Symdeko

Symproic Naldemedine

Synera Lidocaine 70 Mg Tetracaine 70 Mg Patch

Tadalafil

Tadliq

Takhzyro

Tapinarof Cream 1

Tarceva

Target Agent S

Target Short Acting Growth Hormone Agent S

Targretin

Tarpeyo

Tascenso Odt Fingolimod

Tasigna

Tasimelteon Capsule

Tasimelteon Oral Suspension

Tavalisse

Tavneos

Tecfidera

Tecfidera Dimethyl Fumarate

Tegsedi

Temodar

Tenapanor Hcl

Teriparatide

Testim

Testopel

Testosterone Enanthate Intramuscular Injection Solution

Testosterone Gel

Testosterone Topical Solution

Tetracycline Hydrochloride

Tezepelumab Ekko

Tezspire

Tlando

Tolak

Tolsura Itraconazole

Tolvaptan

Tracleer

Tradjenta

Tremfya

Tremfya 200 Mg

Triheptanoin Oral Liquid 100

Trikafta

Trintellix

Trofinetide Oral Soln 200 Mg Ml

Trokendi Xr

Trudhesa Dihydroergotamine Mesylate Hfa

Trulance

Tryngolza Olezarsen Sodium

Tryptyr

Tryvio

Twiist Refill Kit

Twiist Refill Kit Infusio

Twiist Starter Kit

Tykerb

Tymlos Abaloparatide

Tyrvaya

Tyvaso

Udenyca Pegfilgrastim Cbqv

Undecatrex

Ustekinumab

Ustekinumab Aekn

Ustekinumab Products

Ustekinumab Ttwe

Vanrafia

Vascepa

Veozah

Vericiguat

Verkazia

Verquvo

Verzenio

Vevye

Vfend Voriconazole

Victoza

Viibryd

Vijoice

Vimovo

Vivjoa Oteseconazole

Vmat2 Inhibitors

Vogelxo

Vosevi

Vosevi Sofosbuvir Velpatasvir Voxilaprevir

Vosoritide

Votrient

Vowst

Voxzogo

Voydeya

Vtama

Vumerity Diroximel Fumarate

Vykat Xr

Vyleesi

Vyndamax

Vyndaqel

Vyvgart Hytrulo

Wainua

Wakix

Wegovy

Wellbutrin Sr

Wellbutrin Xl

Wezlana

Wilate

Winlevi

Winrevair

Xdemvy

Xeljanz

Xeljanz Xr

Xeloda

Xenazine Tetrabenazine

Xenical

Xhance

Xifaxan

Xiidra

Ximino

Xolair

Xolair Omalizumab

Xolremdi

Xphozah

Xyntha

Xyntha Solofuse

Xyosted

Xyrem

Xywav

Yesintek Ustekinumab Kfce

Yorvipath

Yosprala

Yuflyma Adalimumab Aaty

Yusimry Adalimumab Aqvh

Yutrepia

Zavesca

Zelsuvmi

Zepatier

Zepatier Elbasvir Grazoprevir

Zepbound

Zeposia

Zeposia 7 Day Starter Pac

Zeposia Starter Kit

Ziextenzo Pegfilgrastim Bmez

Zilbrysq Zilucoplan Sodium

Zituvimet

Zituvimet Xr

Zituvio

Zokinvy

Zoloft

Zomacton

Zonalon

Zorbtive

Zoryve

Ztlido Lidocaine Topical System 1 8

Zurzuvae

Zyclara 2 5 Cream

Zyclara Imiquimod 3 75 Cream

Zymfentra

Zytiga

Zytiga 500 Mg