Antineoplastics, Newer

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PDL Reference Documents

Drug Use Review Documents

PDL Status Values

Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the Non-Preferred Drugs in Select PDL Classes prior authorization criteria. New drugs will be listed as N until reviewed by the P&T Committee and are subject to the New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.

To request a Prior Authorization, please use this form.

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NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Current Drug Use Criteria
00002481554 VERZENIO abemaciclib TABLET 100 mg Y PA Document
00002533754 VERZENIO abemaciclib TABLET 150 mg Y PA Document
00002621654 VERZENIO abemaciclib TABLET 200 mg Y PA Document
00002448354 VERZENIO abemaciclib TABLET 50 mg Y PA Document
47335040181 YONSA abiraterone acet,submicronized TABLET 125 mg Y PA Document
00143959721 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
00378692078 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
00904694804 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
16714096301 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
43598035804 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
60219116507 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
60505432701 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
60687079011 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
60687079021 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
64980041812 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
68001048907 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
68462013508 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
69238116507 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
71921017820 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
72205003092 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
72205028492 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
72603011001 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
75907022404 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
82009013912 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
82249001012 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
82293000110 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y PA Document
82249001112 ABIRTEGA abiraterone acetate TABLET 250 mg Y PA Document
57894015012 ZYTIGA abiraterone acetate TABLET 250 mg Y PA Document
00378692191 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
43598046860 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
60219175406 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
60505476406 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
68001067306 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
68462088260 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
69238175406 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
71921017706 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
72205028560 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
72603011101 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
72606057301 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
82009014060 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
82293000210 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y PA Document
57894019506 ZYTIGA abiraterone acetate TABLET 500 mg Y PA Document
00310351260 CALQUENCE acalabrutinib maleate TABLET 100 mg Y PA Document
00310451360 CALQUENCE acalabrutinib maleate TABLET 100 mg Y PA Document
80739081218 KRAZATI adagrasib TABLET 200 mg Y PA Document
50242008801 KADCYLA ado-trastuzumab emtansine VIAL 100 mg Y PA Document
50242008701 KADCYLA ado-trastuzumab emtansine VIAL 160 mg Y PA Document
83205000102 TECELRA afamitresgene autoleucel PLAST. BAG 2.68 x 10exp9 to 10 x 10exp9 cell Y PA Document
00597014130 GILOTRIF afatinib dimaleate TABLET 20 mg Y PA Document
00597013730 GILOTRIF afatinib dimaleate TABLET 30 mg Y PA Document
00597013830 GILOTRIF afatinib dimaleate TABLET 40 mg Y PA Document
50242013001 ALECENSA alectinib HCl CAPSULE 150 mg Y PA Document
00078070151 PIQRAY alpelisib TABLET 200 mg/day (200 mg x 1) Y PA Document
00078070184 PIQRAY alpelisib TABLET 200 mg/day (200 mg x 1) Y PA Document
00078071502 PIQRAY alpelisib TABLET 250 mg/day (200 mg x 1 and 50 mg x 1) Y PA Document
00078071561 PIQRAY alpelisib TABLET 250 mg/day (200 mg x 1 and 50 mg x 1) Y PA Document
00078071591 PIQRAY alpelisib TABLET 250 mg/day (200 mg x 1 and 50 mg x 1) Y PA Document
00078071594 PIQRAY alpelisib TABLET 250 mg/day (200 mg x 1 and 50 mg x 1) Y PA Document
00078070802 PIQRAY alpelisib TABLET 300 mg/day (150 mg x 2) Y PA Document
00078070851 PIQRAY alpelisib TABLET 300 mg/day (150 mg x 2) Y PA Document
00078070890 PIQRAY alpelisib TABLET 300 mg/day (150 mg x 2) Y PA Document
00078070891 PIQRAY alpelisib TABLET 300 mg/day (150 mg x 2) Y PA Document
57894050100 RYBREVANT amivantamab-vmjw VIAL 350 mg/7 mL (50 mg/mL) Y PA Document
57894050101 RYBREVANT amivantamab-vmjw VIAL 350 mg/7 mL (50 mg/mL) Y PA Document
59676060430 ERLEADA apalutamide TABLET 240 mg Y PA Document
59676060012 ERLEADA apalutamide TABLET 60 mg Y PA Document
00078119620 SCEMBLIX asciminib hydrochloride TABLET 100 mg Y PA Document
00078109120 SCEMBLIX asciminib hydrochloride TABLET 20 mg Y PA Document
00078109820 SCEMBLIX asciminib hydrochloride TABLET 40 mg Y PA Document
68727090001 RYLAZE asparaginase Erwinia-rywn VIAL 10 mg/0.5 mL Y PA Document
68727090003 RYLAZE asparaginase Erwinia-rywn VIAL 10 mg/0.5 mL Y PA Document
50242091701 TECENTRIQ atezolizumab VIAL 1,200 mg/20 mL (60 mg/mL) Y PA Document
50242091801 TECENTRIQ atezolizumab VIAL 840 mg/14 mL (60 mg/mL) Y PA Document
50242093301 TECENTRIQ HYBREZA atezolizumab-hyaluronidas-tqjs VIAL 1,875 mg-30,000 unit/15 mL Y PA Document
72064011030 AYVAKIT avapritinib TABLET 100 mg Y PA Document
72064012030 AYVAKIT avapritinib TABLET 200 mg Y PA Document
72064012530 AYVAKIT avapritinib TABLET 25 mg Y PA Document
72064013030 AYVAKIT avapritinib TABLET 300 mg Y PA Document
72064015030 AYVAKIT avapritinib TABLET 50 mg Y PA Document
44087353501 BAVENCIO avelumab VIAL 200 mg/10 mL (20 mg/mL) Y PA Document
71779066002 AVMAPKI avutometinib potassium CAPSULE 0.8 mg Y PA Document
71779062301 AVMAPKI-FAKZYNJA avutometinib/defactinib COMBO. PKG 0.8 mg-200 mg Y PA Document
71287011901 YESCARTA axicabtagene ciloleucel PLAST. BAG Y PA Document
71287011902 YESCARTA axicabtagene ciloleucel PLAST. BAG Y PA Document
00069014501 INLYTA axitinib TABLET 1 mg Y PA Document
00069015111 INLYTA axitinib TABLET 5 mg Y PA Document
59572073007 ONUREG azacitidine TABLET 200 mg Y PA Document
59572074007 ONUREG azacitidine TABLET 300 mg Y PA Document
72893000201 BELEODAQ belinostat VIAL 500 mg Y PA Document
00006533101 WELIREG belzutifan TABLET 40 mg Y PA Document
16729025105 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y PA Document
55150039201 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y PA Document
60505609600 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y PA Document
68001057241 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y PA Document
71288010320 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y PA Document
63459039120 TREANDA bendamustine HCl VIAL 100 mg Y PA Document
16729025003 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y PA Document
55150039101 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y PA Document
60505609500 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y PA Document
68001057141 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y PA Document
71288010210 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y PA Document
63459039008 TREANDA bendamustine HCl VIAL 25 mg Y PA Document
42367052125 BELRAPZO bendamustine HCl VIAL 25 mg/mL Y PA Document
10019007901 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg/mL Y PA Document
60505622800 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg/mL Y PA Document
63459034804 BENDEKA bendamustine HCl VIAL 25 mg/mL Y PA Document
24338027001 VIVIMUSTA bendamustine HCl VIAL 25 mg/mL Y PA Document
71225012001 VIVIMUSTA bendamustine HCl VIAL 25 mg/mL Y PA Document
70255001002 MEKTOVI binimetinib TABLET 15 mg Y PA Document
55513016001 BLINCYTO blinatumomab KIT 35 mcg Y PA Document
55513015001 BLINCYTO blinatumomab VIAL 35 mcg Y PA Document
00069101415 BOSULIF bosutinib CAPSULE 100 mg Y PA Document
00069050430 BOSULIF bosutinib CAPSULE 50 mg Y PA Document
00069013501 BOSULIF bosutinib TABLET 100 mg Y PA Document
00069019301 BOSULIF bosutinib TABLET 400 mg Y PA Document
00069013601 BOSULIF bosutinib TABLET 500 mg Y PA Document
51144005001 ADCETRIS brentuximab vedotin VIAL 50 mg Y PA Document
71287022001 TECARTUS brexucabtagene autoleucel PLAST. BAG 1 x 10exp6 to 1 x 10exp8 cell Y PA Document
71287022002 TECARTUS brexucabtagene autoleucel PLAST. BAG 1 x 10exp6 to 1 x 10exp8 cell Y PA Document
71287021901 TECARTUS brexucabtagene autoleucel PLAST. BAG 2 x 10exp6 to 2 x 10exp8 cell Y PA Document
71287021902 TECARTUS brexucabtagene autoleucel PLAST. BAG 2 x 10exp6 to 2 x 10exp8 cell Y PA Document
63020019830 ALUNBRIG brigatinib TAB DS PK 90 mg (7)-180 mg (23) Y PA Document
63020018023 ALUNBRIG brigatinib TABLET 180 mg Y PA Document
63020018030 ALUNBRIG brigatinib TABLET 180 mg Y PA Document
63020011330 ALUNBRIG brigatinib TABLET 30 mg Y PA Document
63020009007 ALUNBRIG brigatinib TABLET 90 mg Y PA Document
63020009030 ALUNBRIG brigatinib TABLET 90 mg Y PA Document
00024582315 JEVTANA cabazitaxel VIAL 10 mg/mL (first dilution) Y PA Document
00024582411 JEVTANA cabazitaxel VIAL 10 mg/mL (first dilution) Y PA Document
42388001214 COMETRIQ cabozantinib s-malate CAPSULE 100 mg/day (80 mg x 1-20 mg x 1/day) Y PA Document
42388001114 COMETRIQ cabozantinib s-malate CAPSULE 140 mg/day (80 mg x 1-20 mg x 3/day) Y PA Document
42388001314 COMETRIQ cabozantinib s-malate CAPSULE 60 mg/day (20 mg x 3/day) Y PA Document
42388002426 CABOMETYX cabozantinib s-malate TABLET 20 mg Y PA Document
42388002446 CABOMETYX cabozantinib s-malate TABLET 20 mg Y PA Document
42388002526 CABOMETYX cabozantinib s-malate TABLET 40 mg Y PA Document
42388002546 CABOMETYX cabozantinib s-malate TABLET 40 mg Y PA Document
42388002326 CABOMETYX cabozantinib s-malate TABLET 60 mg Y PA Document
42388002336 CABOMETYX cabozantinib s-malate TABLET 60 mg Y PA Document
42388002346 CABOMETYX cabozantinib s-malate TABLET 60 mg Y PA Document
72694051501 ASPARLAS calaspargase pegol-mknl VIAL 3,750 unit/5 mL (750 unit/mL) Y PA Document
00310950001 TRUQAP capivasertib TABLET 160 mg Y PA Document
00310950002 TRUQAP capivasertib TABLET 160 mg Y PA Document
00310950101 TRUQAP capivasertib TABLET 200 mg Y PA Document
00310950102 TRUQAP capivasertib TABLET 200 mg Y PA Document
00078070956 TABRECTA capmatinib hydrochloride TABLET 150 mg Y PA Document
00078071656 TABRECTA capmatinib hydrochloride TABLET 200 mg Y PA Document
76075010301 KYPROLIS carfilzomib VIAL 10 mg Y PA Document
76075010201 KYPROLIS carfilzomib VIAL 30 mg Y PA Document
76075010101 KYPROLIS carfilzomib VIAL 60 mg Y PA Document
61755000801 LIBTAYO cemiplimab-rwlc VIAL 350 mg/7 mL (50 mg/mL) Y PA Document
00078069484 ZYKADIA ceritinib TABLET 150 mg Y PA Document
57894011101 CARVYKTI ciltacabtagene autoleucel PLAST. BAG 0.5 x 10exp6 to 1 x 10exp8 cell Y PA Document
57894011102 CARVYKTI ciltacabtagene autoleucel PLAST. BAG 0.5 x 10exp6 to 1 x 10exp8 cell Y PA Document
50242071701 COTELLIC cobimetinib fumarate TABLET 20 mg Y PA Document
00069814120 XALKORI crizotinib CAPSULE 200 mg Y PA Document
00069814020 XALKORI crizotinib CAPSULE 250 mg Y PA Document
00069150060 XALKORI crizotinib PEL DSP CP 150 mg Y PA Document
00069025160 XALKORI crizotinib PEL DSP CP 20 mg Y PA Document
00069050760 XALKORI crizotinib PEL DSP CP 50 mg Y PA Document
00078068266 TAFINLAR dabrafenib mesylate CAPSULE 50 mg Y PA Document
00078068166 TAFINLAR dabrafenib mesylate CAPSULE 75 mg Y PA Document
00078115421 TAFINLAR dabrafenib mesylate TAB SUSP 10 mg Y PA Document
00069019730 VIZIMPRO dacomitinib TABLET 15 mg Y PA Document
00069119830 VIZIMPRO dacomitinib TABLET 30 mg Y PA Document
00069229930 VIZIMPRO dacomitinib TABLET 45 mg Y PA Document
57894050505 DARZALEX daratumumab VIAL 100 mg/5 mL (20 mg/mL) Y PA Document
57894050520 DARZALEX daratumumab VIAL 400 mg/20 mL (20 mg/mL) Y PA Document
57894050301 DARZALEX FASPRO daratumumab-hyaluronidase-fihj VIAL 1,800 mg-30,000 unit/15 mL Y PA Document
50419039501 NUBEQA darolutamide TABLET 300 mg Y PA Document
65597080101 DATROWAY datopotamab deruxtecan-dlnk VIAL 100 mg Y PA Document
64842072709 INQOVI decitabine/cedazuridine TABLET 35 mg-100 mg Y PA Document
71779063001 FAKZYNJA defactinib hydrochloride TABLET 200 mg Y PA Document
55566840200 FIRMAGON degarelix acetate VIAL 120 mg Y PA Document
55566840301 FIRMAGON degarelix acetate VIAL 120 mg Y PA Document
55566830301 FIRMAGON degarelix acetate VIAL 80 mg Y PA Document
66302001401 UNITUXIN dinutuximab VIAL 3.5 mg/mL Y PA Document
68727025001 MODEYSO dordaviprone HCl CAPSULE 125 mg Y PA Document
00173089803 JEMPERLI dostarlimab-gxly VIAL 500 mg/10 mL (50 mg/mL) Y PA Document
00310450012 IMFINZI durvalumab VIAL 120 mg/2.4 mL (50 mg/mL) Y PA Document
00310461150 IMFINZI durvalumab VIAL 500 mg/10 mL (50 mg/mL) Y PA Document
73116021528 COPIKTRA duvelisib CAPSULE 15 mg Y PA Document
73116021556 COPIKTRA duvelisib CAPSULE 15 mg Y PA Document
73116022528 COPIKTRA duvelisib CAPSULE 25 mg Y PA Document
73116022556 COPIKTRA duvelisib CAPSULE 25 mg Y PA Document
78670015001 IWILFIN eflornithine HCl TABLET 192 mg Y PA Document
72187010203 ORSERDU elacestrant HCl TABLET 345 mg Y PA Document
72187010103 ORSERDU elacestrant HCl TABLET 86 mg Y PA Document
00003229111 EMPLICITI elotuzumab VIAL 300 mg Y PA Document
00003452211 EMPLICITI elotuzumab VIAL 400 mg Y PA Document
00069252201 ELREXFIO elranatamab-bcmm VIAL 44 mg/1.1 mL (40 mg/mL) Y PA Document
00069252202 ELREXFIO elranatamab-bcmm VIAL 44 mg/1.1 mL (40 mg/mL) Y PA Document
00069449401 ELREXFIO elranatamab-bcmm VIAL 76 mg/1.9 mL (40 mg/mL) Y PA Document
00069449402 ELREXFIO elranatamab-bcmm VIAL 76 mg/1.9 mL (40 mg/mL) Y PA Document
59572071030 IDHIFA enasidenib mesylate TABLET 100 mg Y PA Document
59572070530 IDHIFA enasidenib mesylate TABLET 50 mg Y PA Document
70255002501 BRAFTOVI encorafenib CAPSULE 75 mg Y PA Document
70255002502 BRAFTOVI encorafenib CAPSULE 75 mg Y PA Document
70255002503 BRAFTOVI encorafenib CAPSULE 75 mg Y PA Document
70255002504 BRAFTOVI encorafenib CAPSULE 75 mg Y PA Document
51144002001 PADCEV enfortumab vedotin-ejfv VIAL 20 mg Y PA Document
51144003001 PADCEV enfortumab vedotin-ejfv VIAL 30 mg Y PA Document
50242009130 ROZLYTREK entrectinib CAPSULE 100 mg Y PA Document
50242009490 ROZLYTREK entrectinib CAPSULE 200 mg Y PA Document
50242062301 ROZLYTREK entrectinib PELET PACK 50 mg Y PA Document
50242062342 ROZLYTREK entrectinib PELET PACK 50 mg Y PA Document
00469012599 XTANDI enzalutamide CAPSULE 40 mg Y PA Document
00469062599 XTANDI enzalutamide TABLET 40 mg Y PA Document
00469072560 XTANDI enzalutamide TABLET 80 mg Y PA Document
82705000201 EPKINLY epcoritamab-bysp VIAL 4 mg/0.8 mL Y PA Document
82705001001 EPKINLY epcoritamab-bysp VIAL 48 mg/0.8 mL Y PA Document
59676003056 BALVERSA erdafitinib TABLET 3 mg Y PA Document
59676003084 BALVERSA erdafitinib TABLET 3 mg Y PA Document
59676004028 BALVERSA erdafitinib TABLET 4 mg Y PA Document
59676004056 BALVERSA erdafitinib TABLET 4 mg Y PA Document
59676005028 BALVERSA erdafitinib TABLET 5 mg Y PA Document
00143916701 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y PA Document
00781339194 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y PA Document
10019008001 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y PA Document
60505628900 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y PA Document
68001065641 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y PA Document
70095008001 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y PA Document
81298389001 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y PA Document
62856038901 HALAVEN eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y PA Document
00078062651 AFINITOR DISPERZ everolimus TAB SUSP 2 mg Y PA Document
00078062661 AFINITOR DISPERZ everolimus TAB SUSP 2 mg Y PA Document
00378000532 EVEROLIMUS everolimus TAB SUSP 2 mg Y PA Document
00378000585 EVEROLIMUS everolimus TAB SUSP 2 mg Y PA Document
51991099028 EVEROLIMUS everolimus TAB SUSP 2 mg Y PA Document
51991099077 EVEROLIMUS everolimus TAB SUSP 2 mg Y PA Document
51991099099 EVEROLIMUS everolimus TAB SUSP 2 mg Y PA Document
60219227901 EVEROLIMUS everolimus TAB SUSP 2 mg Y PA Document
60219227902 EVEROLIMUS everolimus TAB SUSP 2 mg Y PA Document
00078062751 AFINITOR DISPERZ everolimus TAB SUSP 3 mg Y PA Document
00078062761 AFINITOR DISPERZ everolimus TAB SUSP 3 mg Y PA Document
00378000632 EVEROLIMUS everolimus TAB SUSP 3 mg Y PA Document
00378000685 EVEROLIMUS everolimus TAB SUSP 3 mg Y PA Document
51991099128 EVEROLIMUS everolimus TAB SUSP 3 mg Y PA Document
51991099177 EVEROLIMUS everolimus TAB SUSP 3 mg Y PA Document
51991099199 EVEROLIMUS everolimus TAB SUSP 3 mg Y PA Document
60219228001 EVEROLIMUS everolimus TAB SUSP 3 mg Y PA Document
60219228002 EVEROLIMUS everolimus TAB SUSP 3 mg Y PA Document
00078062851 AFINITOR DISPERZ everolimus TAB SUSP 5 mg Y PA Document
00078062861 AFINITOR DISPERZ everolimus TAB SUSP 5 mg Y PA Document
00378000732 EVEROLIMUS everolimus TAB SUSP 5 mg Y PA Document
00378000785 EVEROLIMUS everolimus TAB SUSP 5 mg Y PA Document
51991099228 EVEROLIMUS everolimus TAB SUSP 5 mg Y PA Document
51991099277 EVEROLIMUS everolimus TAB SUSP 5 mg Y PA Document
51991099299 EVEROLIMUS everolimus TAB SUSP 5 mg Y PA Document
60219228101 EVEROLIMUS everolimus TAB SUSP 5 mg Y PA Document
60219228102 EVEROLIMUS everolimus TAB SUSP 5 mg Y PA Document
00054047021 EVEROLIMUS everolimus TABLET 0.25 mg Y Y  
49884015802 EVEROLIMUS everolimus TABLET 0.25 mg Y Y  
49884015852 EVEROLIMUS everolimus TABLET 0.25 mg Y Y  
51991037906 EVEROLIMUS everolimus TABLET 0.25 mg Y Y  
51991037960 EVEROLIMUS everolimus TABLET 0.25 mg Y Y  
51991037999 EVEROLIMUS everolimus TABLET 0.25 mg Y Y  
67877071831 EVEROLIMUS everolimus TABLET 0.25 mg Y Y  
67877071833 EVEROLIMUS everolimus TABLET 0.25 mg Y Y  
70377006911 EVEROLIMUS everolimus TABLET 0.25 mg Y Y  
00054047121 EVEROLIMUS everolimus TABLET 0.5 mg Y Y  
49884015902 EVEROLIMUS everolimus TABLET 0.5 mg Y Y  
49884015952 EVEROLIMUS everolimus TABLET 0.5 mg Y Y  
51991038006 EVEROLIMUS everolimus TABLET 0.5 mg Y Y  
51991038060 EVEROLIMUS everolimus TABLET 0.5 mg Y Y  
51991038099 EVEROLIMUS everolimus TABLET 0.5 mg Y Y  
67877071931 EVEROLIMUS everolimus TABLET 0.5 mg Y Y  
67877071933 EVEROLIMUS everolimus TABLET 0.5 mg Y Y  
70377007011 EVEROLIMUS everolimus TABLET 0.5 mg Y Y  
00054047221 EVEROLIMUS everolimus TABLET 0.75 mg Y Y  
49884016002 EVEROLIMUS everolimus TABLET 0.75 mg Y Y  
49884016052 EVEROLIMUS everolimus TABLET 0.75 mg Y Y  
51991038106 EVEROLIMUS everolimus TABLET 0.75 mg Y Y  
51991038160 EVEROLIMUS everolimus TABLET 0.75 mg Y Y  
51991038199 EVEROLIMUS everolimus TABLET 0.75 mg Y Y  
67877072031 EVEROLIMUS everolimus TABLET 0.75 mg Y Y  
67877072033 EVEROLIMUS everolimus TABLET 0.75 mg Y Y  
70377007111 EVEROLIMUS everolimus TABLET 0.75 mg Y Y  
00054060421 EVEROLIMUS everolimus TABLET 1 mg Y Y  
49884028302 EVEROLIMUS everolimus TABLET 1 mg Y Y  
49884028352 EVEROLIMUS everolimus TABLET 1 mg Y Y  
67877072131 EVEROLIMUS everolimus TABLET 1 mg Y Y  
67877072133 EVEROLIMUS everolimus TABLET 1 mg Y Y  
70377011211 EVEROLIMUS everolimus TABLET 1 mg Y Y  
00078056751 AFINITOR everolimus TABLET 10 mg Y PA Document
00078056761 AFINITOR everolimus TABLET 10 mg Y PA Document
00054048213 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
00093776919 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
00093776924 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
49884012852 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
49884012891 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
51991082428 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
51991082433 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
51991082499 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
70377001311 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
70377001322 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
70377001323 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
72603025701 EVEROLIMUS everolimus TABLET 10 mg Y PA Document
00245082530 TORPENZ everolimus TABLET 10 mg Y PA Document
00078059451 AFINITOR everolimus TABLET 2.5 mg Y PA Document
00078059461 AFINITOR everolimus TABLET 2.5 mg Y PA Document
00054048013 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
00093776619 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
00093776624 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
49884011952 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
49884011991 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
51991082128 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
51991082133 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
51991082199 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
70377001011 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
70377001022 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
70377001023 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
72603025401 EVEROLIMUS everolimus TABLET 2.5 mg Y PA Document
00245082230 TORPENZ everolimus TABLET 2.5 mg Y PA Document
00078056651 AFINITOR everolimus TABLET 5 mg Y PA Document
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72237010212 XPOVIO selinexor TABLET 80 mg/week (40 mg x 2) Y PA Document
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00310062560 KOSELUGO selumetinib sulfate CAPSULE 25 mg Y PA Document
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73090042101 SYLVANT siltuximab VIAL 400 mg Y PA Document
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80803015350 FYARRO sirolimus protein-bound VIAL 100 mg Y PA Document
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55513048896 LUMAKRAS sotorasib TABLET 120 mg Y PA Document
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55513050450 LUMAKRAS sotorasib TABLET 320 mg Y PA Document
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73535020801 MONJUVI tafasitamab-cxix VIAL 200 mg Y PA Document
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55513005901 IMDELLTRA tarlatamab-dlle VIAL 1 mg Y PA Document
55513010301 IMDELLTRA tarlatamab-dlle VIAL 1 mg Y PA Document
55513006901 IMDELLTRA tarlatamab-dlle VIAL 10 mg Y PA Document
55513007701 IMDELLTRA tarlatamab-dlle VIAL 10 mg Y PA Document
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51144000301 TIVDAK tisotumab vedotin-tftv VIAL 40 mg Y PA Document
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59676061001 YONDELIS trabectedin VIAL 1 mg Y PA Document
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55513013201 KANJINTI trastuzumab-anns VIAL 420 mg Y PA Document
67457099115 OGIVRI trastuzumab-dkst VIAL 150 mg Y PA Document
83257000111 OGIVRI trastuzumab-dkst VIAL 150 mg Y PA Document
67457084550 OGIVRI trastuzumab-dkst VIAL 420 mg Y PA Document
67457084744 OGIVRI trastuzumab-dkst VIAL 420 mg Y PA Document
83257000311 OGIVRI trastuzumab-dkst VIAL 420 mg Y PA Document
83257000412 OGIVRI trastuzumab-dkst VIAL 420 mg Y PA Document
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78206014799 ONTRUZANT trastuzumab-dttb VIAL 150 mg Y PA Document
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63459030343 HERZUMA trastuzumab-pkrb VIAL 150 mg Y PA Document
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69448001505 HERCESSI trastuzumab-strf VIAL 150 mg Y PA Document
69448001611 HERCESSI trastuzumab-strf VIAL 420 mg Y PA Document
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59137033500 GRAFAPEX treosulfan VIAL 1 gram Y PA Document
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64842102501 LONSURF trifluridine/tipiracil HCl TABLET 15 mg-6.14 mg Y PA Document
64842102502 LONSURF trifluridine/tipiracil HCl TABLET 15 mg-6.14 mg Y PA Document
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64842102001 LONSURF trifluridine/tipiracil HCl TABLET 20 mg-8.19 mg Y PA Document
64842102002 LONSURF trifluridine/tipiracil HCl TABLET 20 mg-8.19 mg Y PA Document
64842102003 LONSURF trifluridine/tipiracil HCl TABLET 20 mg-8.19 mg Y PA Document
51144000212 TUKYSA tucatinib TABLET 150 mg Y PA Document
51144000260 TUKYSA tucatinib TABLET 150 mg Y PA Document
51144000160 TUKYSA tucatinib TABLET 50 mg Y PA Document
58468782003 CAPRELSA vandetanib TABLET 100 mg Y PA Document
58468784003 CAPRELSA vandetanib TABLET 300 mg Y PA Document
50242009002 ZELBORAF vemurafenib TABLET 240 mg Y PA Document
00074057928 VENCLEXTA STARTING PACK venetoclax TAB DS PK 10 mg (14)-50 mg (7)-100 mg (21) Y PA Document
00074056111 VENCLEXTA venetoclax TABLET 10 mg Y PA Document
00074056114 VENCLEXTA venetoclax TABLET 10 mg Y PA Document
00074057611 VENCLEXTA venetoclax TABLET 100 mg Y PA Document
00074057622 VENCLEXTA venetoclax TABLET 100 mg Y PA Document
00074057630 VENCLEXTA venetoclax TABLET 100 mg Y PA Document
00074056607 VENCLEXTA venetoclax TABLET 50 mg Y PA Document
00074056611 VENCLEXTA venetoclax TABLET 50 mg Y PA Document
73207030240 ROMVIMZA vimseltinib CAPSULE 14 mg Y PA Document
73207030340 ROMVIMZA vimseltinib CAPSULE 20 mg Y PA Document
73207030440 ROMVIMZA vimseltinib CAPSULE 30 mg Y PA Document
50242014001 ERIVEDGE vismodegib CAPSULE 150 mg Y PA Document
72694087910 VORANIGO vorasidenib citrate TABLET 10 mg Y PA Document
72694072840 VORANIGO vorasidenib citrate TABLET 40 mg Y PA Document
68727095001 ZIIHERA zanidatamab-hrii VIAL 300 mg Y PA Document
68727095002 ZIIHERA zanidatamab-hrii VIAL 300 mg Y PA Document
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71837100001 BIZENGRI zenocutuzumab-zbco VIAL 375 mg/18.75 mL (20 mg/mL) Y PA Document
71837100002 BIZENGRI zenocutuzumab-zbco VIAL 375 mg/18.75 mL (20 mg/mL) Y PA Document
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00024584101 ZALTRAP ziv-aflibercept VIAL 200 mg/8 mL (25 mg/mL) Y PA Document
00469342510 VYLOY zolbetuximab-clzb VIAL 100 mg Y PA Document
00469442530 VYLOY zolbetuximab-clzb VIAL 300 mg Y PA Document
00597925786 HERNEXEOS zongertinib TABLET 60 mg Y PA Document
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