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Drugs & Biologicals
Cabenuva (cabotegravir extended-release; rilpivirine extended-release) Injection
Cablivi (caplacizumab‐yhdp)
Cabometyx (cabozantinib)
Calcitonin gene-related peptide (CGRP) inhibitors: Aimovig, Ajovy, Emgality
Calquence (acalabrutinib)
Camcevi (leuprolide mesylate)
Irinotecan (Camptosar®)
Caplyta (lumateperone)
Caprelsa (vandetanib)
Carbaglu (carglumic acid)
Carbinoxamine 6mg tablet
Carboplatin (Paraplatin®, Paraplatin-AQ®)
CaroSpir® (spironolactone) oral suspension
Carvykti (ciltacabtagene autoleucel)
Caspofungin Acetate (Cancidas)
Levocarnitine (Carnitor®,
L-carnitine®)
SARS-CoV-2 Monoclonal Antibodies (Bamlanivimab; Casirivimab & Imdevimab)
Cayston (aztreonam inhalation solution)
Celecoxib (generic for Celebrex®)
Ceprotin Criteria
Cequa (cyclosporine ophthalmic solution)
Cerdelga (eliglustat)
Ceredase/ Cerezyme
Certain Drugs Distributed by the National Cancer Institute
Cervarix® (human papillomavirus bivalent vaccine)
Chantix (varenicline)
Chenodal (chenodiol)
Cholbam (cholic acid)
Cialis (tadalafil)
Cibinqo (abrocitinib)
Cidofovir
Cimzia (certolizumab pegol)
Reslizumab (Cinqair) Injectable Asthma Medication
Selective Treatment of HAE with Cinryze ™, Berinert ® & Ecallantide
Cinvanti (aprepitant)
Cipro HC (ciprofloxacin_
hydrocortisone)
Claravis (isotretinoin))
Clemastine fumarate syrup
Clindagel (clindamycin phosphate gel)
Clobex (clobetasol)
Clolar (clofarabine)
Clonidine extended-release
Coagadex (Coagulation Factor X (Human))
Dipentum (olsalazine sodium) & Colazal (balsalazide disodium)
Colchicine Capsules & Tablets
Colcrys Criteria
Columvi (glofitamab gxbm)
Cometriq (cabozantinib)
Compounded Drugs
Conjupri (levamlodipine)
Consensi (amlodipine - celecoxib)
Continuous Glucose Monitoring Systems
Contraceptive Medications
Copaxone (glatiramer)
Coreg CR (carvedilol ER)
Corifact (Factor XIII Concentrate [Human])
Corlanor (ivabradine)
Cosentyx
(secukinumab).
Corticosteroid & Long Acting Beta Agonist Combination Inhalers
Corticotropin
Cosela (trilaciclib)
Cough & Cold Codeine Containing Products Criteria
Cough & Cold Medications
COVID-19 Drug & Biologic Therapeutics
Cresemba (isavuconazonium sulfate)
Crofelemer Products
Cromolyn sodium oral solution (generic Gastrocrom)
Crotan (crotamiton)
Cubicin Criteria
Cuvrior (trientine tetrahydro-chloride) tablets
Crysvita (burosumab-twza)
Cycloset (bromocriptine)
Cyklokapron (tranexamic acid)
Cyramza (ramucirumab)
Cystadane (betaine)
Cystaran (cysteamine ophthalmic solution)
Cytogam (cytomegalovirus immune globulin, human)
J1786, J0717, J2786, J0598, J0185, J0584, J3490, J9308, 90291, J0850, J7175, J7180,
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