Blue Cross Blue Shield Of Montana

Abilify Asimtufii

Abilify Maintena

Abiraterone 500 Mg

Abrilada Adalimumab Afzb

Abrocitinib

Absorica

Absorica Ld

Accrufer

Actemra

Acthar

Adalimumab Aacf

Adalimumab Adaz

Adalimumab Adbm

Adalimumab Fkjp

Adalimumab Ryvk

Adapalene

Adapalene Benzoyl Peroxide

Adapalene Pads

Adcirca

Addyi

Adempas

Adipex P

Afinitor

Afinitor Disperz

Afrezza Insulin Regular Human

Agamree

Aimovig

Ajovy

Aklief

Ala Scalp

Aldara Imiquimod 5 Cream

Alhemo Concizumab Mtci

Alpelisib Pros

Alphagan P

Alprolix

Altreno

Alvaiz

Alvaiz Eltrombopag

Ambien

Ambien Cr

Amifampridine Phosphate

Amikacin Sulfate Liposome Inhalation Suspension

Amitiza Lubiprostone

Amitiza Lubiprostone Brand

Amjevita Adalimumab Atto

Amrix

Andembry

Androgel

Apremilast

Aprocitentan

Aqneursa

Aranesp

Arazlo

Arcalyst

Arikayce

Arimoclomol Citrate

Aristada

Aristada Initio

Aspirin Omeprazole

Atralin

Atrasentan Hcl

Attruby

Aubagio

Aubagio Teriflunomide

Augtyro

Austedo

Austedo Xr

Avacopan

Aveed

Avita

Avsola

Azmiro

Bafiertam

Belbuca

Belsomra

Belumosudil Mesylate

Bempedoic Acid

Bempedoic Acid Ezetimibe

Benefix

Benlysta

Benzphetamine

Benzphetamine Hcl

Berdazimer Sodium Gel 10 3

Berinert

Birch Triterpenes Gel 10

Bonjesta

Bonsity

Bosulif

Brekiya Dihydroergotamine Mesylate

Brexafemme Ibrexafungerp

Budesonide Delayed Release Capsule 4 Mg

Budesonide Oral Suspension 2 Mg 10ml

Buphenyl

Butorphanol Tartrate

Butrans

Bydureon Bcise

Byetta

Bylvay Odevixibat

Calcitonin Gene Related Peptide Cgrp Agents

Camzyos

Cannabidiol

Carac Fluorouracil 0 5 Cream

Celexa Citalopram

Cequa

Cerdelga

Chenodiol

Chorionic Gonadotropin

Cibinqo

Ciclopirox

Cinryze

Clascoterone Cream 1

Contrave

Conzip

Copaxone

Copaxone Glatiramer

Corlanor

Cortrophin Gel Repository Corticotropin

Cosentyx

Cosentyx 125 Mg 5 Ml Vial

Cosentyx 300 Mg

Crenessity

Creon

Cresemba Isavuconazole

Cresemba Isavuconazonium Sulfate Or Isavuconazole

Crinecerfont

Ctexli

Cyltezo Adalimumab Adbm

Cymbalta Duloxetine Delayed Release

Danicopan

Dawnzera

Daybue

Dayvigo

Depo Testosterone

Desvenlafaxine Extended Release Tablet

Dexcom G6

Dexcom G7

Dextromethorphan Hbr Quinidine Sulfate

Diazoxide Choline Extended Release Tablets

Diclegis

Diclofenac 3 Gel

Diethylpropion

Diethylpropion Hcl Er

Diethylpropion Hcl Tab

Differin

Dojolvi Triheptanoin

Doptelet

Doryx

Doryx Mpc

Doxepin Hydrochloride Cream 5

Drizalma Sprinkle Duloxetine Delayed Release Sprinkle Capsul

Droxidopa

Duexis

Dulaglutide Trulicity

Dupilumab

Dupixent

Duvyzat

Ebglyss

Ebglyss Lebrikizumab Lbkz

Edluar

Effexor Xr Venlafaxine Extended Release

Efgartigimod Alf Hyalur Qvfc

Efudex Fluorouracil 5 Cream

Ekterly

Elagolix

Elidel Pimecrolimus Cream

Eliglustat

Elyxyb Celecoxib

Emflaza

Emgality

Empaveli Pegcetacoplan

Emrosi

Endari

Enspryng

Entyvio

Eohilia

Epclusa

Epclusa Sofosbuvir Velpatasvir

Epidiolex

Epiduo

Epiduo Forte

Epogen

Erzofri

Esbriet

Escitalopram Capsule

Eucrisa Crisaborole Ointment

Evrysdi

Exenatide

Exjade

Exjade Deferasirox

Extavia Interferon 1b

Exxua Gepirone Extended Release

Eysuvis

Fabhalta Iptacopan

Fabior

Fasenra Pen

Fecal Microbiota Spores Live Brpk Caps

Fenfluramine Hcl Oral Soln 2 2 Mg Ml

Fentanyl Td Patch

Ferric Maltol

Ferriprox Deferiprone

Fetzima Levomilnacipran Extended Release

Fezolinetant

Filspari

Filsuvez

Fintepla

Firazyr

Firdapse

Fitusiran Sodium

Flector

Fluoroplex

Fluoroplex Fluorouracil 1 Cream

Fluoxetine 60 Mg Tablet

Fluoxetine Delayed Release Capsule

Fluticasone Propionate Nasal Exhaler

Forfivo Xl Bupropion Extended Release

Forteo

Forteo Teriparatide

Fortesta

Freestyle Libre

Freestyle Libre 2

Freestyle Libre 3

Furoscix

Furosemide Subcutaneous Cartridge Kit

Fylnetra Pegfilgrastim Pbbk

Galafold

Gattex

Genotropin

Genotropin Miniquick

Gilenya

Gilenya Fingolimod

Givinostat Hcl Oral Suspension 8 86 Mg Ml

Gleevec

Glumetza

Glutamine Sickle Cell

Gonal F

Gonal F Follitropin Alpha

Gonal F Rff

Gonal F Rff Follitropin Alpha

Gonal F Rff Rediject

Gralise

Granix Tbo Filgrastim

Hadlima Adalimumab Bwwd

Haegarda

Harvoni

Harvoni Ledipasvir Sofosbuvir

Hemlibra Emicizumab Kxwh

Hetlioz

Hetlioz Lq

Horizant

Hulio Adalimumab Fkjp

Humira Adalimumab

Hydrocodone Bitartrate Er

Hydromorphone Hcl Tab Er

Hyftor

Hympavzi

Hyrimoz Adalimumab Adaz

Hysingla Er

Ibsrela Tenapanor

Ibuprofen Famotidine

Icatibant

Icosapent Ethyl

Idacio Adalimumab Aacf

Idelvion

Ilet Insulin Infusion Kit

Ilet Insulin Pump

Ilet Starter Kit Contac

Ilet Starter Kit Inset

Imbruvica Tablets

Imcivree

Imiquimod 5

Imkeldi

Imuldosa

Imuldosa Ustekinumab Srlf

Inflectra

Infliximab

Ingrezza

Invega Hafyera

Invega Sustenna

Invega Trinza

Iqirvo

Iressa

Isturisa Osilodrostat Phosphate

Ivabradine Hcl Oral Solution

Ivabradine Hcl Tablet

Ixifi

Ixinity

Jadenu

Jadenu Deferasirox

Jatenzo

Joenja

Jublia Efinaconazole

Jynarque

Kalbitor

Kalydeco

Kerydin Tavaborole

Kevzara

Klisyri

Klisyri Tirbanibulin 1 Ointment

Korlym

Kuvan Sapropterin Dihydrochloride

Kyzatrex

Ledipasvir Sofosbuvir

Leniolisib Phosphate

Letairis

Levacetylleucine

Levoketoconazole

Lexapro Escitalopram

Licart

Lidocaine Topical Ointment 5

Lidocaine Topical Products General Approval If Member Reside

Lidoderm Lidocaine Patch 5

Liqrev

Liraglutide

Livdelzi

Livmarli Maralixibat

Lonafarnib

Lotilaner Ophthalmic Solution 0 25

Luminopia

Lumryz

Lumryz Starter Pack

Lunesta

Lupkynis

Marstacimab Hncq

Mavacamten

Mavenclad Cladribine

Mavorixafor

Mavyret

Mavyret Glecaprevir Pibrentasvir

Mekinist Oral Solution

Metformin Hydrochloride 625 Mg

Metformin Hydrochloride 750 Mg

Methitest

Methyltestosterone Capsule

Metreleptin

Miebo

Mifepristone

Migalastat Hcl

Miglustat

Miglustat Gaa Deficiency

Migranal Dihydroergotamine Mesylate

Minolira

Miplyffa

Mircera

Morphine Sulfate Er Beads Cap Er

Morphine Sulfate Er Cap Er

Motegrity Prucalopride

Movantik Naloxegol

Ms Contin

Mulpleta

Mulpleta Lusutrombopag

Myalept

Mycapssa Octreotide Acetate

Myfembree

Naproxen Esomeprazole

Natesto

Nemluvio

Nemolizumab Ilto

Neulasta Pegfilgrastim

Neupogen Filgrastim

Nexavar

Nexletol

Nexlizet

Ngenla

Nintedanib

Northera

Novarel

Novarel Chorionic Gonadotropin

Novoseven Rt

Noxafil Posaconazole

Nplate

Nplate Romiplostim

Nucala

Nucynta

Nucynta Er

Nuedexta

Nuplazid

Nurtec Odt

Nypozi Filgrastim Txid

Ocaliva

Ofev

Ogsiveo

Ohtuvayre Ensifentrine Inhalation Suspension 3 Mg 2 5 Ml

Olezarsen Sodium Subcutaneous Solution Auto Injector

Olpruva

Olumiant

Omalizumab

Omaveloxolone

Omnipod Classic Pods Gen

Omnipod Dash Intro Kit G

Omnipod Dash Pdm Kit Gen

Omnipod Dash Pods Gen 4

Omnitrope

Omvoh

Omvoh 300 Mg

Opfolda

Opioids Extended Release Formulations

Opsynvi

Opzelura Ruxolitinib Phosphate

Oracea

Oriahnn

Orkambi

Orladeyo

Orlistat

Otezla

Otezla Apremilast

Otezla Xr

Otulfi

Otulfi Ustekinumab Aauz

Oxervate Cenegermin Bkbj Ophth Soln 0 002

Oxycodone Hydrochloride E

Oxycontin

Oxymorphone Hydrochloride Er

Ozanimod

Ozmepic

Palopegteriparatide

Palovarotene

Palynziq Pegvaliase Pqpz

Pancreaze

Paxil Cr Paroxetine Extended Release

Paxil Paroxetine

Pcsk9 Inhibitors

Pegasys

Peginterferon Alfa

Pennsaid

Perseris

Pertzye

Pheburane

Phendimetrazine

Phendimetrazine Tartrate

Phendimetrazine Tartrate Cap Er

Phendimetrazine Tartrate Tab

Phentermine

Pimavanserin Tartrate

Pirfenidone

Pitolisant Hcl

Plegridy Peginterferon 1a

Pliaglis Lidocaine 7 Tetracaine Cream 7

Pogo Automatic Test Cartridge

Ponvory Ponesimod

Praluent Alirocumab

Pristiq Desvenlafaxine Extended Release

Procrit

Procysbi Cysteamine Bitartrate

Profilnine

Promacta

Promacta Eltrombopag

Prozac Fluoxetine

Prudoxin

Pyrukynd

Pyrukynd Taper Pack

Pyzchiva

Pyzchiva Ustekinumab Ttwe

Qbrexza

Qdolo

Qfitlia

Qsymia

Qudexy Xr

Qulipta

Quviviq

Radicava Ors

Radicava Ors Starter Kit

Ravicti

Rayos

Rebinyn

Recorlev

Releuko Filgrastim Ayow

Relistor Methylnaltrexone

Relugolix

Remeron Mirtazapine

Remeron Soltab Mirtazapine Odt

Remicade

Renflexis

Requested Agent

Resmetirom

Restasis

Retacrit

Retin A

Retin A Micro

Retin A Micro Pump

Revatio

Revatio Oral Suspension

Revatio Tablet

Reyvow Lasmiditan

Rezdiffra

Rezurock

Rifaximin 550mg

Rilonacept

Rinvoq

Riomet

Risdiplam

Risperdal Consta

Rivfloza Nedosiran Sodium

Rixubis

Roflumilast Cream 0 15

Roflumilast Cream 0 3

Roflumilast Foam 0 3

Rolvedon Eflapegrastim Xnst

Rozerem

Ruconest

Rybelsus

Rykindo

Ryzneuta Efbemalenograstim Alfa Vuxw

Sacrosidase

Saizen

Satralizumab Mwge

Saxenda

Semaglutide Ozempic

Semaglutide Rybelsus

Sephience Sepiapterin

Serostim

Sertraline Capsule

Setmelanotide Acetate

Sevenfact

Seysara

Sildenafil

Silenor

Siliq

Simponi

Sirolimus Gel 0 2

Skyclarys

Skyrizi

Skytrofa

Sodium Oxybate

Sodium Phenylbutyrate

Sofdra

Sofosbuvir Velpatasvir

Sogroya

Sohonos

Solodyn

Solriamfetol Hcl

Somavert Pegvisomant

Sovaldi

Sovaldi Sofosbuvir

Sparsentan

Spevigo Spesolimab Sbzo

Sporanox Itraconazole

Sporanox Itraconazole Capsules

Sporanox Itraconazole Solution

Sprycel

Stelara Ustekinumab

Step 1b Agents

Step 2 Agents

Step 3a Agents

Step 3b Agents

Step 3c Agents

Steqeyma Ustekinumab Stba

Stimufend Pegfilgrastim Fpgk

Strensiq Asfotase Alfa

Sucraid

Sunosi

Sutent

Symdeko

Symproic Naldemedine

Synera Lidocaine 70 Mg Tetracaine 70 Mg Patch

Tadalafil

Tadliq

Takhzyro

Tapinarof Cream 1

Tarceva

Targretin

Tarpeyo

Tascenso Odt Fingolimod

Tasigna

Tasimelteon

Tavalisse

Tavneos

Tazarotene

Tazorac

Tecfidera

Tecfidera Dimethyl Fumarate

Teduglutide Rdna

Tegsedi

Temodar

Tenapanor Hcl

Teriparatide

Teriparatide Non Preferred

Testim

Testopel

Testosterone Enanthate Intramuscular Injection Solution

Testosterone Gel

Testosterone Topical Solution

Tetracycline Hydrochloride

Tezepelumab Ekko

Tezspire

Tirbanibulin Ointment 1

Tirzepatide Mounjaro

Tlando

Tobi Podhaler

Tolak

Tolak Fluorouracil 4 Cream

Tolsura Itraconazole

Tolvaptan

Tracleer

Tramadol Hcl Er

Tramadol Hcl Tab

Tremfya

Tremfya 200 Mg

Tretinoin

Tretinoin Benzoyl Peroxide

Treximet

Trifarotene

Trikafta

Trintellix Vortioxetine

Trofinetide Oral Soln 200 Mg Ml

Trokendi Xr

Trudhesa Dihydroergotamine Mesylate Hfa

Trulicity

Tryngolza

Tryptyr

Tryvio

Twiist Refill Kit

Twiist Refill Kit Infusio Disposable Pump Reservoir Infus Se

Twiist Starter Kit

Twyneo

Tykerb

Tymlos Abaloparatide

Tyrvaya

Tyvaso

Ubrelvy

Udenyca Pegfilgrastim Cbqv

Undecatrex

Ustekinumab

Ustekinumab 90 Mg Product

Ustekinumab Aekn

Ustekinumab Iv Product

Ustekinumab Ttwe

Uzedy

Vanrafia

Vascepa

Venlafaxine Extended Release Tablet

Veozah

Vericiguat

Verkazia

Verquvo

Vevye

Vfend Voriconazole

Vibramycin

Victoza

Viibryd Vilazodone

Vijoice

Vimovo

Viokace

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 Bupropion Sustained Release

Wellbutrin Xl Bupropion Extended Release

Wezlana

Wezlana Ustekinumab Auub

Wilate

Winlevi

Winrevair

Xdemvy

Xeljanz

Xeljanz Oral Solution

Xeljanz Xr

Xeloda

Xenazine

Xenical

Xerese

Xhance

Xifaxan 550mg

Xiidra

Ximino

Xolair

Xolair Omalizumab

Xolremdi

Xphozah

Xtampza Er

Xyntha

Xyntha Solofuse

Xyosted

Xyrem

Xywav

Yorvipath

Yosprala

Yuflyma Adalimumab Aaty

Yusimry Adalimumab Aqvh

Yutrepia

Zavesca

Zavzpret

Zegerid

Zelsuvmi

Zembrace Symtouch

Zenpep

Zepatier

Zepatier Elbasvir Grazoprevir

Zepbound

Zeposia

Zeposia 7 Day Starter Pac

Zeposia Ozanimod Hcl Cap

Zeposia Starter Kit

Ziextenzo Pegfilgrastim Bmez

Zilbrysq

Zilucoplan Sodium

Zipsor

Zokinvy

Zoloft Sertraline

Zomacton

Zonalon

Zorbtive

Zoryve

Ztlido Lidocaine Topical System 1 8

Zurzuvae Zuranolone

Zyclara 2 5 Cream

Zyclara Imiquimod 2 5 Cream

Zyclara Imiquimod 3 75 Cream

Zyflo

Zymfentra

Zyprexa Relprevv

Zytiga

Zytiga 500 Mg