Drugs & Biologicals
SABA
Inhalers
Sabril® (vigabatrin)
Samsca (tolvaptan)
Sancuso Criteria
Santyl (collagenase)
Saphnelo (anifrolumab-fnia)
Saphris
(asenapine)
Sarclisa (isatuximab-irfc)
Sargramostim (GM-CSF, Leukine ®)
Savaysa (edoxaban)
Scemblix (asciminib)
Scenesse (afamelanotide)
Secuado (asenapine) Transdermal System
Sedative Hypnotic Agents: Belsomra (suvorexant), Rozerem (ramelteon), Zolpimist (zolpidem tartrate)
Seebri™ Neohaler® (glycopyrrolate)
Seglentis (celecoxib‐tramadol)
Sernivo™ (betamethasone dipropionate) Spray
Seroquel XR (quetiapine fumarate) extended release tablets
SGLT2 Inhibitors (Steglatro (ertugliflozin), Segluromet (ertugliflozin, metformin))
Shingrix (zoster vaccine recombinant, adjuvanted)
Signifor® (pasireotide)
Signifor LAR (pasireotide)
Siliq (brodalumab) Injection
Simbrinza™ (brinzolamide/brimonidine ophthalmic suspension)
Simponi® (golimumab)
Simponi® Aria™ (golimumab)
Sinuva (mometasone furoate) sinus implant
Sirturo® (bedaquiline)
Sitavig® (acyclovir)
Sivextro (tedizolid phosphate) IV
Skyrizi (risankizumab-rzaa)
Soaanz (torsemide)
Sogroya (somapacitan-beco)
Soliqua™ 100/33 (insulin glargine & lixisenatide), Xultophy® 100/3.6 (insulin degludec & liraglutide)
Soliris (eculizumab)
Solosec (secnidazole)
Somatuline Depot® (lanreotide)
Somavert® (pegvisomant)
Soolantra (ivermectin 1% topical cream)
Soriatane® (acitretin)
Sotret (isotretinoin)
Sotyktu (deucravacitinib)
Sovaldi® (sofosbuvir)
Spevigo (spesolimab-sbzo)
Spinraza™ (nusinersen)
Spravato (esketamine) Nasal Spray
-Aetna-
-Anthem-
-Cigna-
-FloridaBlue-
-Humana-
-Medicare-
-UHC-
Spritam® (levetiracetam)
Sprix®
(ketorolac tromethamine)
Sprycel® (dasatinib)
Statin Products (Lescol XL , Lescol , Lipitor , Pravachol , Zocor Altoprev , Crestor , FloLipid , Ezallor Sprinkle , & Livalo )
Steglatro (ertugliflozin)
Steglujan (ertugliflozin
& sitagliptin)
Ustekinumab (Stelara)
Stivarga® (regorafenib)
Strattera® (atomoxetine)
Strensiq® (asfotase alfa)
Sublingual Grass Pollen Allergen Extract
Sublocade (buprenorphine extended-release)
Sucraid (sacrosidase)
Sunosi (solriamfetol)
Sunlenca (lenacapavir)
Supprelin® LA (histrelin acetate implant)
Sustol® (granisetron)
Susvimo (ranibizumab)
Sutent® (sunitinib)
Syfovre (pegceta-coplan)
Sylatron™ (peginterferon alfa-2b)
Sylvant® (siltuximab)
Symdeko Criteria
Symlin Pen (pramlintide acetate)
Sympazan (clobazam) Oral Film
Symproic (naldemedine)
Synagis (palivizumab)
Synarel® (nafarelin acetate)
Syndros (dronabinol) oral solution
Synera® (lidocaine & tetracaine) topical patch
Synribo (omacetaxine mepesuccinate)
J2353, J9227, J7352, J2502, J1602, C9122, J3490, J1300, J1930, J2326, C9399, S0013, J3490, J3358, C9399, J3590, Q9991, Q9992, J1627, C9399, J9999, J2860, 90378, J9262,
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