Antineoplastics, Newer

← Back to Class List

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.

< Return to summary view

NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Carveout
‐ Bill FFS		 Current Drug Use Criteria
00002481554 VERZENIO abemaciclib TABLET 100 mg Y N Pharmacy PA
00002533754 VERZENIO abemaciclib TABLET 150 mg Y N Pharmacy PA
00002621654 VERZENIO abemaciclib TABLET 200 mg Y N Pharmacy PA
00002448354 VERZENIO abemaciclib TABLET 50 mg Y N Pharmacy PA
47335040181 YONSA abiraterone acet,submicronized TABLET 125 mg Y N Pharmacy PA
00143959721 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
00378692078 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
00904694804 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
16714096301 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
43598035804 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
60219116507 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
60505432701 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
60687079011 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
60687079021 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
64980041812 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
68001048907 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
68462013508 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
69238116507 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
71921017820 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
72205003092 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
72205028492 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
72603011001 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
75907022404 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
82009013912 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
82249001012 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
82293000110 ABIRATERONE ACETATE abiraterone acetate TABLET 250 mg Y N Pharmacy PA
82249001112 ABIRTEGA abiraterone acetate TABLET 250 mg Y N Pharmacy PA
57894015012 ZYTIGA abiraterone acetate TABLET 250 mg Y N Pharmacy PA
00378692191 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
43598046860 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
60219175406 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
60505476406 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
68001067306 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
68462088260 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
69238175406 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
71921017706 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
72205028560 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
72603011101 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
72606057301 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
82009014060 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
82293000210 ABIRATERONE ACETATE abiraterone acetate TABLET 500 mg Y N Pharmacy PA
57894019506 ZYTIGA abiraterone acetate TABLET 500 mg Y N Pharmacy PA
00310351260 CALQUENCE acalabrutinib maleate TABLET 100 mg Y N Pharmacy PA
00310451360 CALQUENCE acalabrutinib maleate TABLET 100 mg Y N Pharmacy PA
80739081218 KRAZATI adagrasib TABLET 200 mg Y N Pharmacy PA
50242008801 KADCYLA ado-trastuzumab emtansine VIAL 100 mg Y N Pharmacy PA
50242008701 KADCYLA ado-trastuzumab emtansine VIAL 160 mg Y N Pharmacy PA
83205000102 TECELRA afamitresgene autoleucel PLAST. BAG 2.68 x 10exp9 to 10 x 10exp9 cell Y N Pharmacy PA
00597014130 GILOTRIF afatinib dimaleate TABLET 20 mg Y N Pharmacy PA
00597013730 GILOTRIF afatinib dimaleate TABLET 30 mg Y N Pharmacy PA
00597013830 GILOTRIF afatinib dimaleate TABLET 40 mg Y N Pharmacy PA
50242013001 ALECENSA alectinib HCl CAPSULE 150 mg Y N Pharmacy PA
00078070151 PIQRAY alpelisib TABLET 200 mg/day (200 mg x 1) Y N Pharmacy PA
00078070184 PIQRAY alpelisib TABLET 200 mg/day (200 mg x 1) Y N Pharmacy PA
00078071502 PIQRAY alpelisib TABLET 250 mg/day (200 mg x 1 and 50 mg x 1) Y N Pharmacy PA
00078071561 PIQRAY alpelisib TABLET 250 mg/day (200 mg x 1 and 50 mg x 1) Y N Pharmacy PA
00078071591 PIQRAY alpelisib TABLET 250 mg/day (200 mg x 1 and 50 mg x 1) Y N Pharmacy PA
00078071594 PIQRAY alpelisib TABLET 250 mg/day (200 mg x 1 and 50 mg x 1) Y N Pharmacy PA
00078070802 PIQRAY alpelisib TABLET 300 mg/day (150 mg x 2) Y N Pharmacy PA
00078070851 PIQRAY alpelisib TABLET 300 mg/day (150 mg x 2) Y N Pharmacy PA
00078070890 PIQRAY alpelisib TABLET 300 mg/day (150 mg x 2) Y N Pharmacy PA
00078070891 PIQRAY alpelisib TABLET 300 mg/day (150 mg x 2) Y N Pharmacy PA
57894050100 RYBREVANT amivantamab-vmjw VIAL 350 mg/7 mL (50 mg/mL) Y N Pharmacy PA
57894050101 RYBREVANT amivantamab-vmjw VIAL 350 mg/7 mL (50 mg/mL) Y N Pharmacy PA
59676060430 ERLEADA apalutamide TABLET 240 mg Y N Pharmacy PA
59676060012 ERLEADA apalutamide TABLET 60 mg Y N Pharmacy PA
00078119620 SCEMBLIX asciminib hydrochloride TABLET 100 mg Y N Pharmacy PA
00078109120 SCEMBLIX asciminib hydrochloride TABLET 20 mg Y N Pharmacy PA
00078109820 SCEMBLIX asciminib hydrochloride TABLET 40 mg Y N Pharmacy PA
68727090001 RYLAZE asparaginase Erwinia-rywn VIAL 10 mg/0.5 mL Y N Pharmacy PA
68727090003 RYLAZE asparaginase Erwinia-rywn VIAL 10 mg/0.5 mL Y N Pharmacy PA
50242091701 TECENTRIQ atezolizumab VIAL 1,200 mg/20 mL (60 mg/mL) Y N Pharmacy PA
50242091801 TECENTRIQ atezolizumab VIAL 840 mg/14 mL (60 mg/mL) Y N Pharmacy PA
50242093301 TECENTRIQ HYBREZA atezolizumab-hyaluronidas-tqjs VIAL 1,875 mg-30,000 unit/15 mL Y N Pharmacy PA
72064011030 AYVAKIT avapritinib TABLET 100 mg Y N Pharmacy PA
72064012030 AYVAKIT avapritinib TABLET 200 mg Y N Pharmacy PA
72064012530 AYVAKIT avapritinib TABLET 25 mg Y N Pharmacy PA
72064013030 AYVAKIT avapritinib TABLET 300 mg Y N Pharmacy PA
72064015030 AYVAKIT avapritinib TABLET 50 mg Y N Pharmacy PA
44087353501 BAVENCIO avelumab VIAL 200 mg/10 mL (20 mg/mL) Y N Pharmacy PA
71779066002 AVMAPKI avutometinib potassium CAPSULE 0.8 mg Y N Pharmacy PA
71779062301 AVMAPKI-FAKZYNJA avutometinib/defactinib COMBO. PKG 0.8 mg-200 mg Y N Pharmacy PA
71287011901 YESCARTA axicabtagene ciloleucel PLAST. BAG Y N Pharmacy PA
71287011902 YESCARTA axicabtagene ciloleucel PLAST. BAG Y N Pharmacy PA
00069014501 INLYTA axitinib TABLET 1 mg Y N Pharmacy PA
00069015111 INLYTA axitinib TABLET 5 mg Y N Pharmacy PA
59572073007 ONUREG azacitidine TABLET 200 mg Y N Pharmacy PA
59572074007 ONUREG azacitidine TABLET 300 mg Y N Pharmacy PA
72893000201 BELEODAQ belinostat VIAL 500 mg Y N Pharmacy PA
00006533101 WELIREG belzutifan TABLET 40 mg Y N Pharmacy PA
16729025105 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y N Pharmacy PA
55150039201 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y N Pharmacy PA
60505609600 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y N Pharmacy PA
68001057241 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y N Pharmacy PA
71288010320 BENDAMUSTINE HCL bendamustine HCl VIAL 100 mg Y N Pharmacy PA
63459039120 TREANDA bendamustine HCl VIAL 100 mg Y N Pharmacy PA
16729025003 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y N Pharmacy PA
55150039101 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y N Pharmacy PA
60505609500 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y N Pharmacy PA
68001057141 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y N Pharmacy PA
71288010210 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg Y N Pharmacy PA
63459039008 TREANDA bendamustine HCl VIAL 25 mg Y N Pharmacy PA
42367052125 BELRAPZO bendamustine HCl VIAL 25 mg/mL Y N Pharmacy PA
10019007901 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg/mL Y N Pharmacy PA
60505622800 BENDAMUSTINE HCL bendamustine HCl VIAL 25 mg/mL Y N Pharmacy PA
63459034804 BENDEKA bendamustine HCl VIAL 25 mg/mL Y N Pharmacy PA
24338027001 VIVIMUSTA bendamustine HCl VIAL 25 mg/mL Y N Pharmacy PA
71225012001 VIVIMUSTA bendamustine HCl VIAL 25 mg/mL Y N Pharmacy PA
70255001002 MEKTOVI binimetinib TABLET 15 mg Y N Pharmacy PA
55513016001 BLINCYTO blinatumomab KIT 35 mcg Y N Pharmacy PA
55513015001 BLINCYTO blinatumomab VIAL 35 mcg Y N Pharmacy PA
00069101415 BOSULIF bosutinib CAPSULE 100 mg Y N Pharmacy PA
00069050430 BOSULIF bosutinib CAPSULE 50 mg Y N Pharmacy PA
00069013501 BOSULIF bosutinib TABLET 100 mg Y N Pharmacy PA
00069019301 BOSULIF bosutinib TABLET 400 mg Y N Pharmacy PA
00069013601 BOSULIF bosutinib TABLET 500 mg Y N Pharmacy PA
51144005001 ADCETRIS brentuximab vedotin VIAL 50 mg Y N Pharmacy PA
71287022001 TECARTUS brexucabtagene autoleucel PLAST. BAG 1 x 10exp6 to 1 x 10exp8 cell Y N Pharmacy PA
71287022002 TECARTUS brexucabtagene autoleucel PLAST. BAG 1 x 10exp6 to 1 x 10exp8 cell Y N Pharmacy PA
71287021901 TECARTUS brexucabtagene autoleucel PLAST. BAG 2 x 10exp6 to 2 x 10exp8 cell Y N Pharmacy PA
71287021902 TECARTUS brexucabtagene autoleucel PLAST. BAG 2 x 10exp6 to 2 x 10exp8 cell Y N Pharmacy PA
63020019830 ALUNBRIG brigatinib TAB DS PK 90 mg (7)-180 mg (23) Y N Pharmacy PA
63020018023 ALUNBRIG brigatinib TABLET 180 mg Y N Pharmacy PA
63020018030 ALUNBRIG brigatinib TABLET 180 mg Y N Pharmacy PA
63020011330 ALUNBRIG brigatinib TABLET 30 mg Y N Pharmacy PA
63020009007 ALUNBRIG brigatinib TABLET 90 mg Y N Pharmacy PA
63020009030 ALUNBRIG brigatinib TABLET 90 mg Y N Pharmacy PA
00024582315 JEVTANA cabazitaxel VIAL 10 mg/mL (first dilution) Y N Pharmacy PA
00024582411 JEVTANA cabazitaxel VIAL 10 mg/mL (first dilution) Y N Pharmacy PA
42388001214 COMETRIQ cabozantinib s-malate CAPSULE 100 mg/day (80 mg x 1-20 mg x 1/day) Y N Pharmacy PA
42388001114 COMETRIQ cabozantinib s-malate CAPSULE 140 mg/day (80 mg x 1-20 mg x 3/day) Y N Pharmacy PA
42388001314 COMETRIQ cabozantinib s-malate CAPSULE 60 mg/day (20 mg x 3/day) Y N Pharmacy PA
42388002426 CABOMETYX cabozantinib s-malate TABLET 20 mg Y N Pharmacy PA
42388002446 CABOMETYX cabozantinib s-malate TABLET 20 mg Y N Pharmacy PA
42388002526 CABOMETYX cabozantinib s-malate TABLET 40 mg Y N Pharmacy PA
42388002546 CABOMETYX cabozantinib s-malate TABLET 40 mg Y N Pharmacy PA
42388002326 CABOMETYX cabozantinib s-malate TABLET 60 mg Y N Pharmacy PA
42388002336 CABOMETYX cabozantinib s-malate TABLET 60 mg Y N Pharmacy PA
42388002346 CABOMETYX cabozantinib s-malate TABLET 60 mg Y N Pharmacy PA
72694051501 ASPARLAS calaspargase pegol-mknl VIAL 3,750 unit/5 mL (750 unit/mL) Y N Pharmacy PA
00310950001 TRUQAP capivasertib TABLET 160 mg Y N Pharmacy PA
00310950002 TRUQAP capivasertib TABLET 160 mg Y N Pharmacy PA
00310950101 TRUQAP capivasertib TABLET 200 mg Y N Pharmacy PA
00310950102 TRUQAP capivasertib TABLET 200 mg Y N Pharmacy PA
00078070956 TABRECTA capmatinib hydrochloride TABLET 150 mg Y N Pharmacy PA
00078071656 TABRECTA capmatinib hydrochloride TABLET 200 mg Y N Pharmacy PA
76075010301 KYPROLIS carfilzomib VIAL 10 mg Y N Pharmacy PA
76075010201 KYPROLIS carfilzomib VIAL 30 mg Y N Pharmacy PA
76075010101 KYPROLIS carfilzomib VIAL 60 mg Y N Pharmacy PA
61755000801 LIBTAYO cemiplimab-rwlc VIAL 350 mg/7 mL (50 mg/mL) Y N Pharmacy PA
00078069484 ZYKADIA ceritinib TABLET 150 mg Y N Pharmacy PA
57894011101 CARVYKTI ciltacabtagene autoleucel PLAST. BAG 0.5 x 10exp6 to 1 x 10exp8 cell Y N Pharmacy PA
57894011102 CARVYKTI ciltacabtagene autoleucel PLAST. BAG 0.5 x 10exp6 to 1 x 10exp8 cell Y N Pharmacy PA
50242071701 COTELLIC cobimetinib fumarate TABLET 20 mg Y N Pharmacy PA
00069814120 XALKORI crizotinib CAPSULE 200 mg Y N Pharmacy PA
00069814020 XALKORI crizotinib CAPSULE 250 mg Y N Pharmacy PA
00069150060 XALKORI crizotinib PEL DSP CP 150 mg Y N Pharmacy PA
00069025160 XALKORI crizotinib PEL DSP CP 20 mg Y N Pharmacy PA
00069050760 XALKORI crizotinib PEL DSP CP 50 mg Y N Pharmacy PA
00078068266 TAFINLAR dabrafenib mesylate CAPSULE 50 mg Y N Pharmacy PA
00078068166 TAFINLAR dabrafenib mesylate CAPSULE 75 mg Y N Pharmacy PA
00078115421 TAFINLAR dabrafenib mesylate TAB SUSP 10 mg Y N Pharmacy PA
00069019730 VIZIMPRO dacomitinib TABLET 15 mg Y N Pharmacy PA
00069119830 VIZIMPRO dacomitinib TABLET 30 mg Y N Pharmacy PA
00069229930 VIZIMPRO dacomitinib TABLET 45 mg Y N Pharmacy PA
57894050505 DARZALEX daratumumab VIAL 100 mg/5 mL (20 mg/mL) Y N Pharmacy PA
57894050520 DARZALEX daratumumab VIAL 400 mg/20 mL (20 mg/mL) Y N Pharmacy PA
57894050301 DARZALEX FASPRO daratumumab-hyaluronidase-fihj VIAL 1,800 mg-30,000 unit/15 mL Y N Pharmacy PA
50419039501 NUBEQA darolutamide TABLET 300 mg Y N Pharmacy PA
65597080101 DATROWAY datopotamab deruxtecan-dlnk VIAL 100 mg Y N Pharmacy PA
64842072709 INQOVI decitabine/cedazuridine TABLET 35 mg-100 mg Y N Pharmacy PA
71779063001 FAKZYNJA defactinib hydrochloride TABLET 200 mg Y N Pharmacy PA
55566840200 FIRMAGON degarelix acetate VIAL 120 mg Y N Pharmacy PA
55566840301 FIRMAGON degarelix acetate VIAL 120 mg Y N Pharmacy PA
55566830301 FIRMAGON degarelix acetate VIAL 80 mg Y N Pharmacy PA
66302001401 UNITUXIN dinutuximab VIAL 3.5 mg/mL Y N Pharmacy PA
70710209001 BEIZRAY docetaxel/albumin, human VIAL 80 mg/4 mL (20 mg/mL) Y N Pharmacy PA
70710209103 BEIZRAY-ALBUMIN docetaxel/albumin, human VIAL 80 mg/4 mL (20 mg/mL) Y N Pharmacy PA
70710209304 BEIZRAY-ALBUMIN docetaxel/albumin, human VIAL 80 mg/4 mL (20 mg/mL) Y N Pharmacy PA
68727025001 MODEYSO dordaviprone HCl CAPSULE 125 mg Y N Pharmacy PA
00173089803 JEMPERLI dostarlimab-gxly VIAL 500 mg/10 mL (50 mg/mL) Y N Pharmacy PA
00310450012 IMFINZI durvalumab VIAL 120 mg/2.4 mL (50 mg/mL) Y N Pharmacy PA
00310461150 IMFINZI durvalumab VIAL 500 mg/10 mL (50 mg/mL) Y N Pharmacy PA
73116021528 COPIKTRA duvelisib CAPSULE 15 mg Y N Pharmacy PA
73116021556 COPIKTRA duvelisib CAPSULE 15 mg Y N Pharmacy PA
73116022528 COPIKTRA duvelisib CAPSULE 25 mg Y N Pharmacy PA
73116022556 COPIKTRA duvelisib CAPSULE 25 mg Y N Pharmacy PA
78670015001 IWILFIN eflornithine HCl TABLET 192 mg Y N Pharmacy PA
72187010203 ORSERDU elacestrant HCl TABLET 345 mg Y N Pharmacy PA
72187010103 ORSERDU elacestrant HCl TABLET 86 mg Y N Pharmacy PA
00003229111 EMPLICITI elotuzumab VIAL 300 mg Y N Pharmacy PA
00003452211 EMPLICITI elotuzumab VIAL 400 mg Y N Pharmacy PA
00069252201 ELREXFIO elranatamab-bcmm VIAL 44 mg/1.1 mL (40 mg/mL) Y N Pharmacy PA
00069252202 ELREXFIO elranatamab-bcmm VIAL 44 mg/1.1 mL (40 mg/mL) Y N Pharmacy PA
00069449401 ELREXFIO elranatamab-bcmm VIAL 76 mg/1.9 mL (40 mg/mL) Y N Pharmacy PA
00069449402 ELREXFIO elranatamab-bcmm VIAL 76 mg/1.9 mL (40 mg/mL) Y N Pharmacy PA
59572071030 IDHIFA enasidenib mesylate TABLET 100 mg Y N Pharmacy PA
59572070530 IDHIFA enasidenib mesylate TABLET 50 mg Y N Pharmacy PA
70255002501 BRAFTOVI encorafenib CAPSULE 75 mg Y N Pharmacy PA
70255002502 BRAFTOVI encorafenib CAPSULE 75 mg Y N Pharmacy PA
70255002503 BRAFTOVI encorafenib CAPSULE 75 mg Y N Pharmacy PA
70255002504 BRAFTOVI encorafenib CAPSULE 75 mg Y N Pharmacy PA
51144002001 PADCEV enfortumab vedotin-ejfv VIAL 20 mg Y N Pharmacy PA
51144003001 PADCEV enfortumab vedotin-ejfv VIAL 30 mg Y N Pharmacy PA
50242009130 ROZLYTREK entrectinib CAPSULE 100 mg Y N Pharmacy PA
50242009490 ROZLYTREK entrectinib CAPSULE 200 mg Y N Pharmacy PA
50242062301 ROZLYTREK entrectinib PELET PACK 50 mg Y N Pharmacy PA
50242062342 ROZLYTREK entrectinib PELET PACK 50 mg Y N Pharmacy PA
00469012599 XTANDI enzalutamide CAPSULE 40 mg Y N Pharmacy PA
00469062599 XTANDI enzalutamide TABLET 40 mg Y N Pharmacy PA
00469072560 XTANDI enzalutamide TABLET 80 mg Y N Pharmacy PA
82705000201 EPKINLY epcoritamab-bysp VIAL 4 mg/0.8 mL Y N Pharmacy PA
82705001001 EPKINLY epcoritamab-bysp VIAL 48 mg/0.8 mL Y N Pharmacy PA
59676003056 BALVERSA erdafitinib TABLET 3 mg Y N Pharmacy PA
59676003084 BALVERSA erdafitinib TABLET 3 mg Y N Pharmacy PA
59676004028 BALVERSA erdafitinib TABLET 4 mg Y N Pharmacy PA
59676004056 BALVERSA erdafitinib TABLET 4 mg Y N Pharmacy PA
59676005028 BALVERSA erdafitinib TABLET 5 mg Y N Pharmacy PA
00143916701 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y N Pharmacy PA
00781339194 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y N Pharmacy PA
10019008001 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y N Pharmacy PA
60505628900 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y N Pharmacy PA
68001065641 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y N Pharmacy PA
68462077020 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y N Pharmacy PA
70095008001 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y N Pharmacy PA
81298389001 ERIBULIN MESYLATE eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y N Pharmacy PA
62856038901 HALAVEN eribulin mesylate VIAL 1 mg/2 mL (0.5 mg/mL) Y N Pharmacy PA
00078062651 AFINITOR DISPERZ everolimus TAB SUSP 2 mg Y N Pharmacy PA
00078062661 AFINITOR DISPERZ everolimus TAB SUSP 2 mg Y N Pharmacy PA
00378000532 EVEROLIMUS everolimus TAB SUSP 2 mg Y N Pharmacy PA
00378000585 EVEROLIMUS everolimus TAB SUSP 2 mg Y N Pharmacy PA
51991099028 EVEROLIMUS everolimus TAB SUSP 2 mg Y N Pharmacy PA
51991099077 EVEROLIMUS everolimus TAB SUSP 2 mg Y N Pharmacy PA
51991099099 EVEROLIMUS everolimus TAB SUSP 2 mg Y N Pharmacy PA
60219227901 EVEROLIMUS everolimus TAB SUSP 2 mg Y N Pharmacy PA
60219227902 EVEROLIMUS everolimus TAB SUSP 2 mg Y N Pharmacy PA
00078062751 AFINITOR DISPERZ everolimus TAB SUSP 3 mg Y N Pharmacy PA
00078062761 AFINITOR DISPERZ everolimus TAB SUSP 3 mg Y N Pharmacy PA
00378000632 EVEROLIMUS everolimus TAB SUSP 3 mg Y N Pharmacy PA
00378000685 EVEROLIMUS everolimus TAB SUSP 3 mg Y N Pharmacy PA
51991099128 EVEROLIMUS everolimus TAB SUSP 3 mg Y N Pharmacy PA
51991099177 EVEROLIMUS everolimus TAB SUSP 3 mg Y N Pharmacy PA
51991099199 EVEROLIMUS everolimus TAB SUSP 3 mg Y N Pharmacy PA
60219228001 EVEROLIMUS everolimus TAB SUSP 3 mg Y N Pharmacy PA
60219228002 EVEROLIMUS everolimus TAB SUSP 3 mg Y N Pharmacy PA
00078062851 AFINITOR DISPERZ everolimus TAB SUSP 5 mg Y N Pharmacy PA
00078062861 AFINITOR DISPERZ everolimus TAB SUSP 5 mg Y N Pharmacy PA
00378000732 EVEROLIMUS everolimus TAB SUSP 5 mg Y N Pharmacy PA
00378000785 EVEROLIMUS everolimus TAB SUSP 5 mg Y N Pharmacy PA
51991099228 EVEROLIMUS everolimus TAB SUSP 5 mg Y N Pharmacy PA
51991099277 EVEROLIMUS everolimus TAB SUSP 5 mg Y N Pharmacy PA
51991099299 EVEROLIMUS everolimus TAB SUSP 5 mg Y N Pharmacy PA
60219228101 EVEROLIMUS everolimus TAB SUSP 5 mg Y N Pharmacy PA
60219228102 EVEROLIMUS everolimus TAB SUSP 5 mg Y N Pharmacy PA
00054047021 EVEROLIMUS everolimus TABLET 0.25 mg Y Y N  
49884015802 EVEROLIMUS everolimus TABLET 0.25 mg Y Y N  
49884015852 EVEROLIMUS everolimus TABLET 0.25 mg Y Y N  
51991037906 EVEROLIMUS everolimus TABLET 0.25 mg Y Y N  
51991037960 EVEROLIMUS everolimus TABLET 0.25 mg Y Y N  
51991037999 EVEROLIMUS everolimus TABLET 0.25 mg Y Y N  
67877071831 EVEROLIMUS everolimus TABLET 0.25 mg Y Y N  
67877071833 EVEROLIMUS everolimus TABLET 0.25 mg Y Y N  
70377006911 EVEROLIMUS everolimus TABLET 0.25 mg Y Y N  
00054047121 EVEROLIMUS everolimus TABLET 0.5 mg Y Y N  
49884015902 EVEROLIMUS everolimus TABLET 0.5 mg Y Y N  
49884015952 EVEROLIMUS everolimus TABLET 0.5 mg Y Y N  
51991038006 EVEROLIMUS everolimus TABLET 0.5 mg Y Y N  
51991038060 EVEROLIMUS everolimus TABLET 0.5 mg Y Y N  
51991038099 EVEROLIMUS everolimus TABLET 0.5 mg Y Y N  
67877071931 EVEROLIMUS everolimus TABLET 0.5 mg Y Y N  
67877071933 EVEROLIMUS everolimus TABLET 0.5 mg Y Y N  
70377007011 EVEROLIMUS everolimus TABLET 0.5 mg Y Y N  
00054047221 EVEROLIMUS everolimus TABLET 0.75 mg Y Y N  
49884016002 EVEROLIMUS everolimus TABLET 0.75 mg Y Y N  
49884016052 EVEROLIMUS everolimus TABLET 0.75 mg Y Y N  
51991038106 EVEROLIMUS everolimus TABLET 0.75 mg Y Y N  
51991038160 EVEROLIMUS everolimus TABLET 0.75 mg Y Y N  
51991038199 EVEROLIMUS everolimus TABLET 0.75 mg Y Y N  
67877072031 EVEROLIMUS everolimus TABLET 0.75 mg Y Y N  
67877072033 EVEROLIMUS everolimus TABLET 0.75 mg Y Y N  
70377007111 EVEROLIMUS everolimus TABLET 0.75 mg Y Y N  
00054060421 EVEROLIMUS everolimus TABLET 1 mg Y Y N  
49884028302 EVEROLIMUS everolimus TABLET 1 mg Y Y N  
49884028352 EVEROLIMUS everolimus TABLET 1 mg Y Y N  
67877072131 EVEROLIMUS everolimus TABLET 1 mg Y Y N  
67877072133 EVEROLIMUS everolimus TABLET 1 mg Y Y N  
70377011211 EVEROLIMUS everolimus TABLET 1 mg Y Y N  
00078056751 AFINITOR everolimus TABLET 10 mg Y N Pharmacy PA
00078056761 AFINITOR everolimus TABLET 10 mg Y N Pharmacy PA
00054048213 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
00093776919 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
00093776924 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
49884012852 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
49884012891 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
51991082428 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
51991082433 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
51991082499 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
70377001311 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
70377001322 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
70377001323 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
72603025701 EVEROLIMUS everolimus TABLET 10 mg Y N Pharmacy PA
00245082530 TORPENZ everolimus TABLET 10 mg Y N Pharmacy PA
00078059451 AFINITOR everolimus TABLET 2.5 mg Y N Pharmacy PA
00078059461 AFINITOR everolimus TABLET 2.5 mg Y N Pharmacy PA
00054048013 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
00093776619 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
00093776624 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
49884011952 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
49884011991 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
51991082128 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
51991082133 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
51991082199 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
70377001011 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
70377001022 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
70377001023 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
72603025401 EVEROLIMUS everolimus TABLET 2.5 mg Y N Pharmacy PA
00245082230 TORPENZ everolimus TABLET 2.5 mg Y N Pharmacy PA
00078056651 AFINITOR everolimus TABLET 5 mg Y N Pharmacy PA
00078056661 AFINITOR everolimus TABLET 5 mg Y N Pharmacy PA
00054048113 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
00093776719 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
00093776724 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
49884012552 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
49884012591 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
51991082228 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
51991082233 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
51991082299 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
70377001111 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
70377001122 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
70377001123 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
72603025501 EVEROLIMUS everolimus TABLET 5 mg Y N Pharmacy PA
00245082330 TORPENZ everolimus TABLET 5 mg Y N Pharmacy PA
00078062051 AFINITOR everolimus TABLET 7.5 mg Y N Pharmacy PA
00078062061 AFINITOR everolimus TABLET 7.5 mg Y N Pharmacy PA
00054049713 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
00093776819 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
00093776824 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
49884012752 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
49884012791 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
51991082328 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
51991082333 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
51991082399 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
70377001211 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
70377001222 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
70377001223 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
72603025601 EVEROLIMUS everolimus TABLET 7.5 mg Y N Pharmacy PA
00245082430 TORPENZ everolimus TABLET 7.5 mg Y N Pharmacy PA
65597040601 ENHERTU fam-trastuzumab deruxtecn-nxki VIAL 100 mg Y N Pharmacy PA
59572072012 INREBIC fedratinib dihydrochloride CAPSULE 100 mg Y N Pharmacy PA
63020021021 FRUZAQLA fruquintinib CAPSULE 1 mg Y N Pharmacy PA
63020022521 FRUZAQLA fruquintinib CAPSULE 5 mg Y N Pharmacy PA
64842012004 LYTGOBI futibatinib TABLET 12 mg/day (4 mg x 3) Y N Pharmacy PA
64842012021 LYTGOBI futibatinib TABLET 12 mg/day (4 mg x 3) Y N Pharmacy PA
64842012005 LYTGOBI futibatinib TABLET 16 mg/day (4 mg x 4) Y N Pharmacy PA
64842012028 LYTGOBI futibatinib TABLET 16 mg/day (4 mg x 4) Y N Pharmacy PA
64842012006 LYTGOBI futibatinib TABLET 20 mg/day (4 mg x 5) Y N Pharmacy PA
64842012035 LYTGOBI futibatinib TABLET 20 mg/day (4 mg x 5) Y N Pharmacy PA
00469142590 XOSPATA gilteritinib fumarate TABLET 40 mg Y N Pharmacy PA
00069153130 DAURISMO glasdegib maleate TABLET 100 mg Y N Pharmacy PA
00069029860 DAURISMO glasdegib maleate TABLET 25 mg Y N Pharmacy PA
50242012701 COLUMVI glofitamab-gxbm VIAL 10 mg/10 mL Y N Pharmacy PA
50242012501 COLUMVI glofitamab-gxbm VIAL 2.5 mg/2.5 mL Y N Pharmacy PA
57962014009 IMBRUVICA ibrutinib CAPSULE 140 mg Y N Pharmacy PA
57962014012 IMBRUVICA ibrutinib CAPSULE 140 mg Y N Pharmacy PA
57962007028 IMBRUVICA ibrutinib CAPSULE 70 mg Y N Pharmacy PA
57962000712 IMBRUVICA ibrutinib ORAL SUSP 70 mg/mL Y N Pharmacy PA
57962001428 IMBRUVICA ibrutinib TABLET 140 mg Y N Pharmacy PA
57962028028 IMBRUVICA ibrutinib TABLET 280 mg Y N Pharmacy PA
57962042028 IMBRUVICA ibrutinib TABLET 420 mg Y N Pharmacy PA
59572051501 ABECMA idecabtagene vicleucel PLAST. BAG 300 x 10exp6 to 510 x 10exp6 cell Y N Pharmacy PA
59572051502 ABECMA idecabtagene vicleucel PLAST. BAG 300 x 10exp6 to 510 x 10exp6 cell Y N Pharmacy PA
59572051503 ABECMA idecabtagene vicleucel PLAST. BAG 300 x 10exp6 to 510 x 10exp6 cell Y N Pharmacy PA
61958170101 ZYDELIG idelalisib TABLET 100 mg Y N Pharmacy PA
61958170201 ZYDELIG idelalisib TABLET 150 mg Y N Pharmacy PA
82959011101 RYTELO imetelstat sodium VIAL 188 mg Y N Pharmacy PA
82959011201 RYTELO imetelstat sodium VIAL 47 mg Y N Pharmacy PA
50242008408 ITOVEBI inavolisib TABLET 3 mg Y N Pharmacy PA
50242007908 ITOVEBI inavolisib TABLET 9 mg Y N Pharmacy PA
00008010001 BESPONSA inotuzumab ozogamicin VIAL 0.9 mg (0.25 mg/mL initial concentration) Y N Pharmacy PA
00003232822 YERVOY ipilimumab VIAL 200 mg/40 mL (5 mg/mL) Y N Pharmacy PA
00003232711 YERVOY ipilimumab VIAL 50 mg/10 mL (5 mg/mL) Y N Pharmacy PA
00024065401 SARCLISA isatuximab-irfc VIAL 100 mg/5 mL (20 mg/mL) Y N Pharmacy PA
00024065601 SARCLISA isatuximab-irfc VIAL 500 mg/25 mL Y N Pharmacy PA
72694061760 TIBSOVO ivosidenib TABLET 250 mg Y N Pharmacy PA
63020023001 NINLARO ixazomib citrate CAPSULE 2.3 mg Y N Pharmacy PA
63020023002 NINLARO ixazomib citrate CAPSULE 2.3 mg Y N Pharmacy PA
63020023003 NINLARO ixazomib citrate CAPSULE 2.3 mg Y N Pharmacy PA
63020039001 NINLARO ixazomib citrate CAPSULE 3 mg Y N Pharmacy PA
63020039002 NINLARO ixazomib citrate CAPSULE 3 mg Y N Pharmacy PA
63020039003 NINLARO ixazomib citrate CAPSULE 3 mg Y N Pharmacy PA
63020040001 NINLARO ixazomib citrate CAPSULE 4 mg Y N Pharmacy PA
63020040002 NINLARO ixazomib citrate CAPSULE 4 mg Y N Pharmacy PA
63020040003 NINLARO ixazomib citrate CAPSULE 4 mg Y N Pharmacy PA
50419039101 VITRAKVI larotrectinib sulfate CAPSULE 100 mg Y N Pharmacy PA
50419039001 VITRAKVI larotrectinib sulfate CAPSULE 25 mg Y N Pharmacy PA
50419039201 VITRAKVI larotrectinib sulfate SOLUTION 20 mg/mL Y N Pharmacy PA
50419039302 VITRAKVI larotrectinib sulfate SOLUTION 20 mg/mL Y N Pharmacy PA
50419039303 VITRAKVI larotrectinib sulfate SOLUTION 20 mg/mL Y N Pharmacy PA
57894024030 LAZCLUZE lazertinib mesylate TABLET 240 mg Y N Pharmacy PA
57894008060 LAZCLUZE lazertinib mesylate TABLET 80 mg Y N Pharmacy PA
62856071005 LENVIMA lenvatinib mesylate CAPSULE 10 mg/day (10 mg x 1) Y N Pharmacy PA
62856071030 LENVIMA lenvatinib mesylate CAPSULE 10 mg/day (10 mg x 1) Y N Pharmacy PA
62856071205 LENVIMA lenvatinib mesylate CAPSULE 12 mg/day (4 mg x 3) Y N Pharmacy PA
62856071230 LENVIMA lenvatinib mesylate CAPSULE 12 mg/day (4 mg x 3) Y N Pharmacy PA
62856071405 LENVIMA lenvatinib mesylate CAPSULE 14 mg/day (10 mg x 1 and 4 mg x 1) Y N Pharmacy PA
62856071430 LENVIMA lenvatinib mesylate CAPSULE 14 mg/day (10 mg x 1 and 4 mg x 1) Y N Pharmacy PA
62856071805 LENVIMA lenvatinib mesylate CAPSULE 18 mg/day (10 mg x 1 and 4 mg x 2) Y N Pharmacy PA
62856071830 LENVIMA lenvatinib mesylate CAPSULE 18 mg/day (10 mg x 1 and 4 mg x 2) Y N Pharmacy PA
62856072005 LENVIMA lenvatinib mesylate CAPSULE 20 mg/day (10 mg x 2) Y N Pharmacy PA
62856072030 LENVIMA lenvatinib mesylate CAPSULE 20 mg/day (10 mg x 2) Y N Pharmacy PA
62856072405 LENVIMA lenvatinib mesylate CAPSULE 24 mg per day (10 mg x 2 and 4 mg x 1) Y N Pharmacy PA
62856072430 LENVIMA lenvatinib mesylate CAPSULE 24 mg per day (10 mg x 2 and 4 mg x 1) Y N Pharmacy PA
62856070405 LENVIMA lenvatinib mesylate CAPSULE 4 mg Y N Pharmacy PA
62856070430 LENVIMA lenvatinib mesylate CAPSULE 4 mg Y N Pharmacy PA
62856070805 LENVIMA lenvatinib mesylate CAPSULE 8 mg/day (4 mg x 2) Y N Pharmacy PA
62856070830 LENVIMA lenvatinib mesylate CAPSULE 8 mg/day (4 mg x 2) Y N Pharmacy PA
61755005600 LYNOZYFIC linvoseltamab-gcpt VIAL 200 mg/10 mL (20 mg/mL) Y N Pharmacy PA
61755005601 LYNOZYFIC linvoseltamab-gcpt VIAL 200 mg/10 mL (20 mg/mL) Y N Pharmacy PA
61755005400 LYNOZYFIC linvoseltamab-gcpt VIAL 5 mg/2.5 mL (2 mg/mL) Y N Pharmacy PA
61755005401 LYNOZYFIC linvoseltamab-gcpt VIAL 5 mg/2.5 mL (2 mg/mL) Y N Pharmacy PA
73153090001 BREYANZI lisocabtagene maraleucel VIAL 1.5 x 10exp6 to 70 x 10exp6 cell/mL Y N Pharmacy PA
73153090108 BREYANZI CD8 COMPONENT lisocabtagene maraleucel,1 of2 VIAL 1.5 x 10exp6 to 70 x 10exp6 cell/mL Y N Pharmacy PA
73153090204 BREYANZI CD4 COMPONENT lisocabtagene maraleucel,2 of2 VIAL 1.5 x 10exp6 to 70 x 10exp6 cell/mL Y N Pharmacy PA
79952011001 ZYNLONTA loncastuximab tesirine-lpyl VIAL 10 mg Y N Pharmacy PA
00069023101 LORBRENA lorlatinib TABLET 100 mg Y N Pharmacy PA
00069022701 LORBRENA lorlatinib TABLET 25 mg Y N Pharmacy PA
00069022703 LORBRENA lorlatinib TABLET 25 mg Y N Pharmacy PA
68727071201 ZEPZELCA lurbinectedin VIAL 4 mg Y N Pharmacy PA
69488000301 LUTATHERA lutetium Lu 177 dotatate VIAL 10 mCi/mL (370 MBq/mL) Y N Pharmacy PA
69488000370 LUTATHERA lutetium Lu 177 dotatate VIAL 10 mCi/mL (370 MBq/mL) Y N Pharmacy PA
00078069802 RYDAPT midostaurin CAPSULE 25 mg Y N Pharmacy PA
00078069819 RYDAPT midostaurin CAPSULE 25 mg Y N Pharmacy PA
00078069851 RYDAPT midostaurin CAPSULE 25 mg Y N Pharmacy PA
00078069899 RYDAPT midostaurin CAPSULE 25 mg Y N Pharmacy PA
82448013042 GOMEKLI mirdametinib CAPSULE 1 mg Y N Pharmacy PA
82448026042 GOMEKLI mirdametinib CAPSULE 2 mg Y N Pharmacy PA
82448026084 GOMEKLI mirdametinib CAPSULE 2 mg Y N Pharmacy PA
82448013442 GOMEKLI mirdametinib TAB SUSP 1 mg Y N Pharmacy PA
82448013484 GOMEKLI mirdametinib TAB SUSP 1 mg Y N Pharmacy PA
72903085301 ELAHERE mirvetuximab soravtansine-gynx VIAL 100 mg/20 mL (5 mg/mL) Y N Pharmacy PA
42747076101 POTELIGEO mogamulizumab-kpkc VIAL 20 mg/5 mL (4 mg/mL) Y N Pharmacy PA
81864010330 OJJAARA momelotinib dihydrochloride TABLET 100 mg Y N Pharmacy PA
81864010230 OJJAARA momelotinib dihydrochloride TABLET 150 mg Y N Pharmacy PA
81864010130 OJJAARA momelotinib dihydrochloride TABLET 200 mg Y N Pharmacy PA
50242015901 LUNSUMIO mosunetuzumab-axgb VIAL 1 mg/mL Y N Pharmacy PA
50242014201 LUNSUMIO mosunetuzumab-axgb VIAL 30 mg/30 mL (1 mg/mL) Y N Pharmacy PA
55566105000 ADSTILADRIN nadofaragene firadenovec-vncg VIAL 3 x 10exp11 viral particles/mL Y N Pharmacy PA
55566105001 ADSTILADRIN nadofaragene firadenovec-vncg VIAL 3 x 10exp11 viral particles/mL Y N Pharmacy PA
73042020101 DANYELZA naxitamab-gqgk VIAL 40 mg/10 mL (4 mg/mL) Y N Pharmacy PA
00002771601 PORTRAZZA necitumumab VIAL 800 mg/50 mL (16 mg/mL) Y N Pharmacy PA
70437024018 NERLYNX neratinib maleate TABLET 40 mg Y N Pharmacy PA
70437024033 NERLYNX neratinib maleate TABLET 40 mg Y N Pharmacy PA
69097003117 NILOTINIB D-TARTRATE nilotinib d-tartrate CAPSULE 150 mg Y N Pharmacy PA
69097003156 NILOTINIB D-TARTRATE nilotinib d-tartrate CAPSULE 150 mg Y N Pharmacy PA
69097003174 NILOTINIB D-TARTRATE nilotinib d-tartrate CAPSULE 150 mg Y N Pharmacy PA
69097003217 NILOTINIB D-TARTRATE nilotinib d-tartrate CAPSULE 200 mg Y N Pharmacy PA
69097003256 NILOTINIB D-TARTRATE nilotinib d-tartrate CAPSULE 200 mg Y N Pharmacy PA
69097003274 NILOTINIB D-TARTRATE nilotinib d-tartrate CAPSULE 200 mg Y N Pharmacy PA
69097003008 NILOTINIB D-TARTRATE nilotinib d-tartrate CAPSULE 50 mg Y N Pharmacy PA
24338015401 DANZITEN nilotinib tartrate TABLET 71 mg Y N Pharmacy PA
24338015402 DANZITEN nilotinib tartrate TABLET 71 mg Y N Pharmacy PA
24338015403 DANZITEN nilotinib tartrate TABLET 71 mg Y N Pharmacy PA
24338015501 DANZITEN nilotinib tartrate TABLET 95 mg Y N Pharmacy PA
24338015502 DANZITEN nilotinib tartrate TABLET 95 mg Y N Pharmacy PA
24338015503 DANZITEN nilotinib tartrate TABLET 95 mg Y N Pharmacy PA
69656010361 ZEJULA niraparib tosylate CAPSULE 100 mg Y N Pharmacy PA
00173090913 ZEJULA niraparib tosylate TABLET 100 mg Y N Pharmacy PA
00173091213 ZEJULA niraparib tosylate TABLET 200 mg Y N Pharmacy PA
00173091261 ZEJULA niraparib tosylate TABLET 200 mg Y N Pharmacy PA
00173091513 ZEJULA niraparib tosylate TABLET 300 mg Y N Pharmacy PA
00173091561 ZEJULA niraparib tosylate TABLET 300 mg Y N Pharmacy PA
57894010060 AKEEGA niraparib/abiraterone TABLET 100 mg-500 mg Y N Pharmacy PA
57894005060 AKEEGA niraparib/abiraterone TABLET 50 mg-500 mg Y N Pharmacy PA
82448010014 OGSIVEO nirogacestat hydrobromide TABLET 100 mg Y N Pharmacy PA
82448015014 OGSIVEO nirogacestat hydrobromide TABLET 150 mg Y N Pharmacy PA
82448005018 OGSIVEO nirogacestat hydrobromide TABLET 50 mg Y N Pharmacy PA
00003377412 OPDIVO nivolumab VIAL 100 mg/10 mL Y N Pharmacy PA
00003375614 OPDIVO nivolumab VIAL 120 mg/12 mL Y N Pharmacy PA
00003373413 OPDIVO nivolumab VIAL 240 mg/24 mL Y N Pharmacy PA
00003377211 OPDIVO nivolumab VIAL 40 mg/4 mL Y N Pharmacy PA
00003612001 OPDIVO QVANTIG nivolumab-hyaluronidase-nvhy VIAL 600 mg-10,000 unit/5 mL Y N Pharmacy PA
00003712511 OPDUALAG nivolumab-relatlimab-rmbw VIAL 240 mg-80 mg/20 mL Y N Pharmacy PA
83047041004 AUCATZYL obecabtagene autoleucel PLAST. BAG Y N Pharmacy PA
50242007001 GAZYVA obinutuzumab VIAL 1,000 mg/40 mL Y N Pharmacy PA
00078069061 ARZERRA ofatumumab VIAL 1,000 mg/50 mL Y N Pharmacy PA
00078066913 ARZERRA ofatumumab VIAL 100 mg/5 mL Y N Pharmacy PA
00078066961 ARZERRA ofatumumab VIAL 100 mg/5 mL Y N Pharmacy PA
00310056912 LYNPARZA olaparib TABLET 100 mg Y N Pharmacy PA
00310056960 LYNPARZA olaparib TABLET 100 mg Y N Pharmacy PA
00310066812 LYNPARZA olaparib TABLET 100 mg Y N Pharmacy PA
00310066860 LYNPARZA olaparib TABLET 100 mg Y N Pharmacy PA
00310057812 LYNPARZA olaparib TABLET 150 mg Y N Pharmacy PA
00310057860 LYNPARZA olaparib TABLET 150 mg Y N Pharmacy PA
00310067912 LYNPARZA olaparib TABLET 150 mg Y N Pharmacy PA
00310067960 LYNPARZA olaparib TABLET 150 mg Y N Pharmacy PA
71332000501 REZLIDHIA olutasidenib CAPSULE 150 mg Y N Pharmacy PA
73441080004 OMISIRGE omidubicel-onlv PLAST. BAG Y N Pharmacy PA
00310124830 TAGRISSO osimertinib mesylate TABLET 40 mg Y N Pharmacy PA
00310134930 TAGRISSO osimertinib mesylate TABLET 40 mg Y N Pharmacy PA
00310125130 TAGRISSO osimertinib mesylate TABLET 80 mg Y N Pharmacy PA
00310135030 TAGRISSO osimertinib mesylate TABLET 80 mg Y N Pharmacy PA
72482010012 VONJO pacritinib citrate CAPSULE 100 mg Y N Pharmacy PA
00069018821 IBRANCE palbociclib CAPSULE 100 mg Y N Pharmacy PA
00069018921 IBRANCE palbociclib CAPSULE 125 mg Y N Pharmacy PA
00069018721 IBRANCE palbociclib CAPSULE 75 mg Y N Pharmacy PA
00069048603 IBRANCE palbociclib TABLET 100 mg Y N Pharmacy PA
00069048607 IBRANCE palbociclib TABLET 100 mg Y N Pharmacy PA
00069068803 IBRANCE palbociclib TABLET 125 mg Y N Pharmacy PA
00069068807 IBRANCE palbociclib TABLET 125 mg Y N Pharmacy PA
00069028403 IBRANCE palbociclib TABLET 75 mg Y N Pharmacy PA
00069028407 IBRANCE palbociclib TABLET 75 mg Y N Pharmacy PA
00480418489 PAZOPANIB HCL pazopanib HCl TABLET 200 mg Y N Pharmacy PA
59651058208 PAZOPANIB HCL pazopanib HCl TABLET 200 mg Y N Pharmacy PA
60505477907 PAZOPANIB HCL pazopanib HCl TABLET 200 mg Y N Pharmacy PA
63304011613 PAZOPANIB HCL pazopanib HCl TABLET 200 mg Y N Pharmacy PA
82293002210 PAZOPANIB HCL pazopanib HCl TABLET 200 mg Y N Pharmacy PA
00078107766 VOTRIENT pazopanib HCl TABLET 200 mg Y N Pharmacy PA
00006308301 KEYTRUDA QLEX pembrolizum-berahyaluron-pmph VIAL 395 mg-4,800 unit/2.4 mL Y N Pharmacy PA
00006308399 KEYTRUDA QLEX pembrolizum-berahyaluron-pmph VIAL 395 mg-4,800 unit/2.4 mL Y N Pharmacy PA
00006508301 KEYTRUDA QLEX pembrolizum-berahyaluron-pmph VIAL 790 mg-9,600 unit/4.8 mL Y N Pharmacy PA
00006508399 KEYTRUDA QLEX pembrolizum-berahyaluron-pmph VIAL 790 mg-9,600 unit/4.8 mL Y N Pharmacy PA
00006302601 KEYTRUDA pembrolizumab VIAL 100 mg/4 mL (25 mg/mL) Y N Pharmacy PA
00006302602 KEYTRUDA pembrolizumab VIAL 100 mg/4 mL (25 mg/mL) Y N Pharmacy PA
00006302604 KEYTRUDA pembrolizumab VIAL 100 mg/4 mL (25 mg/mL) Y N Pharmacy PA
00409106201 PEMETREXED pemetrexed VIAL 1 gram Y N Pharmacy PA
00480451401 PEMETREXED pemetrexed VIAL 25 mg/mL Y N Pharmacy PA
00480451501 PEMETREXED pemetrexed VIAL 25 mg/mL Y N Pharmacy PA
00480451601 PEMETREXED pemetrexed VIAL 25 mg/mL Y N Pharmacy PA
42367053133 PEMFEXY pemetrexed VIAL 25 mg/mL Y N Pharmacy PA
83831013101 AXTLE pemetrexed dipotassium VIAL 100 mg Y N Pharmacy PA
83831013201 AXTLE pemetrexed dipotassium VIAL 500 mg Y N Pharmacy PA
50881002801 PEMAZYRE pemigatinib TABLET 13.5 mg Y N Pharmacy PA
50881002601 PEMAZYRE pemigatinib TABLET 4.5 mg Y N Pharmacy PA
50881002701 PEMAZYRE pemigatinib TABLET 9 mg Y N Pharmacy PA
50242014501 PERJETA pertuzumab VIAL 420 mg/14 mL (30 mg/mL) Y N Pharmacy PA
50242024501 PHESGO pertuzumab-trastuzumab-hy-zzxf VIAL 1,200 mg-600 mg-30,000 unit/15 mL Y N Pharmacy PA
50242026001 PHESGO pertuzumab-trastuzumab-hy-zzxf VIAL 600 mg-600 mg-20,000 unit/10 mL Y N Pharmacy PA
65597040720 TURALIO pexidartinib hydrochloride CAPSULE 125 mg Y N Pharmacy PA
65597040728 TURALIO pexidartinib hydrochloride CAPSULE 125 mg Y N Pharmacy PA
65597040228 TURALIO pexidartinib hydrochloride CAPSULE 200 mg Y N Pharmacy PA
00002702660 JAYPIRCA pirtobrutinib TABLET 100 mg Y N Pharmacy PA
00002690230 JAYPIRCA pirtobrutinib TABLET 50 mg Y N Pharmacy PA
50242010501 POLIVY polatuzumab vedotin-piiq VIAL 140 mg Y N Pharmacy PA
50242010301 POLIVY polatuzumab vedotin-piiq VIAL 30 mg Y N Pharmacy PA
59572050100 POMALYST pomalidomide CAPSULE 1 mg Y N Pharmacy PA
59572050121 POMALYST pomalidomide CAPSULE 1 mg Y N Pharmacy PA
59572050200 POMALYST pomalidomide CAPSULE 2 mg Y N Pharmacy PA
59572050221 POMALYST pomalidomide CAPSULE 2 mg Y N Pharmacy PA
59572050300 POMALYST pomalidomide CAPSULE 3 mg Y N Pharmacy PA
59572050321 POMALYST pomalidomide CAPSULE 3 mg Y N Pharmacy PA
59572050400 POMALYST pomalidomide CAPSULE 4 mg Y N Pharmacy PA
59572050421 POMALYST pomalidomide CAPSULE 4 mg Y N Pharmacy PA
63020053630 ICLUSIG ponatinib HCl TABLET 10 mg Y N Pharmacy PA
63020053530 ICLUSIG ponatinib HCl TABLET 15 mg Y N Pharmacy PA
63020053330 ICLUSIG ponatinib HCl TABLET 30 mg Y N Pharmacy PA
63020053430 ICLUSIG ponatinib HCl TABLET 45 mg Y N Pharmacy PA
72893000301 FOLOTYN pralatrexate VIAL 20 mg/mL (1 mL) Y N Pharmacy PA
65219055001 PRALATREXATE pralatrexate VIAL 20 mg/mL (1 mL) Y N Pharmacy PA
72893000501 FOLOTYN pralatrexate VIAL 40 mg/2 mL (20 mg/mL) Y N Pharmacy PA
65219055202 PRALATREXATE pralatrexate VIAL 40 mg/2 mL (20 mg/mL) Y N Pharmacy PA
50242021060 GAVRETO pralsetinib CAPSULE 100 mg Y N Pharmacy PA
50242021090 GAVRETO pralsetinib CAPSULE 100 mg Y N Pharmacy PA
71332000660 GAVRETO pralsetinib CAPSULE 100 mg Y N Pharmacy PA
71332000690 GAVRETO pralsetinib CAPSULE 100 mg Y N Pharmacy PA
65597050404 VANFLYTA quizartinib dihydrochloride TABLET 17.7 mg Y N Pharmacy PA
65597050428 VANFLYTA quizartinib dihydrochloride TABLET 17.7 mg Y N Pharmacy PA
65597051104 VANFLYTA quizartinib dihydrochloride TABLET 26.5 mg Y N Pharmacy PA
65597051128 VANFLYTA quizartinib dihydrochloride TABLET 26.5 mg Y N Pharmacy PA
00002766901 CYRAMZA ramucirumab VIAL 100 mg/10 mL (10 mg/mL) Y N Pharmacy PA
00002767801 CYRAMZA ramucirumab VIAL 500 mg/50 mL (10 mg/mL) Y N Pharmacy PA
50419017101 STIVARGA regorafenib TABLET 40 mg Y N Pharmacy PA
50419017103 STIVARGA regorafenib TABLET 40 mg Y N Pharmacy PA
50419017105 STIVARGA regorafenib TABLET 40 mg Y N Pharmacy PA
50419017106 STIVARGA regorafenib TABLET 40 mg Y N Pharmacy PA
72974012001 ORGOVYX relugolix TABLET 120 mg Y N Pharmacy PA
00003416014 AUGTYRO repotrectinib CAPSULE 160 mg Y N Pharmacy PA
00003416060 AUGTYRO repotrectinib CAPSULE 160 mg Y N Pharmacy PA
00003404060 AUGTYRO repotrectinib CAPSULE 40 mg Y N Pharmacy PA
50881000603 ZYNYZ retifanlimab-dlwr VIAL 500 mg/20 mL Y N Pharmacy PA
73555050100 REVUFORJ revumenib citrate TABLET 110 mg Y N Pharmacy PA
73555050200 REVUFORJ revumenib citrate TABLET 160 mg Y N Pharmacy PA
73555050000 REVUFORJ revumenib citrate TABLET 25 mg Y N Pharmacy PA
00078086001 KISQALI ribociclib succinate TABLET 200 mg/day (200 mg x 1) Y N Pharmacy PA
00078088821 KISQALI ribociclib succinate TABLET 200 mg/day (200 mg x 1) Y N Pharmacy PA
00078086714 KISQALI ribociclib succinate TABLET 400 mg/day (200 mg x 2) Y N Pharmacy PA
00078086742 KISQALI ribociclib succinate TABLET 400 mg/day (200 mg x 2) Y N Pharmacy PA
00078089514 KISQALI ribociclib succinate TABLET 400 mg/day (200 mg x 2) Y N Pharmacy PA
00078087421 KISQALI ribociclib succinate TABLET 600 mg/day (200 mg x 3) Y N Pharmacy PA
00078087463 KISQALI ribociclib succinate TABLET 600 mg/day (200 mg x 3) Y N Pharmacy PA
00078090221 KISQALI ribociclib succinate TABLET 600 mg/day (200 mg x 3) Y N Pharmacy PA
00078090961 KISQALI FEMARA CO-PACK ribociclib succinate/letrozole TABLET 200 mg/day (200 mg x 1)-2.5 mg Y N Pharmacy PA
00078091661 KISQALI FEMARA CO-PACK ribociclib succinate/letrozole TABLET 400 mg/day (200 mg x 2)-2.5 mg Y N Pharmacy PA
00078092361 KISQALI FEMARA CO-PACK ribociclib succinate/letrozole TABLET 600 mg/day (200 mg x 3)-2.5 mg Y N Pharmacy PA
73207010130 QINLOCK ripretinib TABLET 50 mg Y N Pharmacy PA
59572096210 ISTODAX romidepsin VIAL 10 mg/2 mL Y N Pharmacy PA
59572098401 ISTODAX romidepsin VIAL 10 mg/2 mL Y N Pharmacy PA
63323092517 ROMIDEPSIN romidepsin VIAL 10 mg/2 mL Y N Pharmacy PA
63323092688 ROMIDEPSIN romidepsin VIAL 10 mg/2 mL Y N Pharmacy PA
00703400401 ROMIDEPSIN romidepsin VIAL 27.5 mg/5.5 mL (5 mg/mL) Y N Pharmacy PA
73536050001 BESREMI ropeginterferon alfa-2b-njft SYRINGE 500 mcg/mL Y N Pharmacy PA
69660020191 RUBRACA rucaparib camsylate TABLET 200 mg Y N Pharmacy PA
82154078301 RUBRACA rucaparib camsylate TABLET 200 mg Y N Pharmacy PA
69660020291 RUBRACA rucaparib camsylate TABLET 250 mg Y N Pharmacy PA
82154078401 RUBRACA rucaparib camsylate TABLET 250 mg Y N Pharmacy PA
69660020391 RUBRACA rucaparib camsylate TABLET 300 mg Y N Pharmacy PA
82154078501 RUBRACA rucaparib camsylate TABLET 300 mg Y N Pharmacy PA
50881001060 JAKAFI ruxolitinib phosphate TABLET 10 mg Y N Pharmacy PA
50881001560 JAKAFI ruxolitinib phosphate TABLET 15 mg Y N Pharmacy PA
50881002060 JAKAFI ruxolitinib phosphate TABLET 20 mg Y N Pharmacy PA
50881002560 JAKAFI ruxolitinib phosphate TABLET 25 mg Y N Pharmacy PA
50881000560 JAKAFI ruxolitinib phosphate TABLET 5 mg Y N Pharmacy PA
55135013201 TRODELVY sacituzumab govitecan-hziy VIAL 180 mg Y N Pharmacy PA
72237010305 XPOVIO selinexor TABLET 100 mg/week (50 mg x 2) Y N Pharmacy PA
72237010315 XPOVIO selinexor TABLET 100 mg/week (50 mg x 2) Y N Pharmacy PA
72237010206 XPOVIO selinexor TABLET 40 mg twice weekly (80 mg/week) (40 mg x 2) Y N Pharmacy PA
72237010216 XPOVIO selinexor TABLET 40 mg twice weekly (80 mg/week) (40 mg x 2) Y N Pharmacy PA
72237010601 XPOVIO selinexor TABLET 40 mg/week (10 mg x 4) Y N Pharmacy PA
72237010611 XPOVIO selinexor TABLET 40 mg/week (10 mg x 4) Y N Pharmacy PA
72237010207 XPOVIO selinexor TABLET 40 mg/week (40 mg x 1) Y N Pharmacy PA
72237010217 XPOVIO selinexor TABLET 40 mg/week (40 mg x 1) Y N Pharmacy PA
72237010103 XPOVIO selinexor TABLET 60 mg twice weekly (120 mg/week) (20 mg x 6) Y N Pharmacy PA
72237010113 XPOVIO selinexor TABLET 60 mg twice weekly (120 mg/week) (20 mg x 6) Y N Pharmacy PA
72237010401 XPOVIO selinexor TABLET 60 mg/week (60 mg x 1) Y N Pharmacy PA
72237010411 XPOVIO selinexor TABLET 60 mg/week (60 mg x 1) Y N Pharmacy PA
72237010104 XPOVIO selinexor TABLET 80 mg twice weekly (160 mg/week) (20 mg x 8) Y N Pharmacy PA
72237010114 XPOVIO selinexor TABLET 80 mg twice weekly (160 mg/week) (20 mg x 8) Y N Pharmacy PA
72237010202 XPOVIO selinexor TABLET 80 mg/week (40 mg x 2) Y N Pharmacy PA
72237010212 XPOVIO selinexor TABLET 80 mg/week (40 mg x 2) Y N Pharmacy PA
00002397760 RETEVMO selpercatinib CAPSULE 40 mg Y N Pharmacy PA
00002298026 RETEVMO selpercatinib CAPSULE 80 mg Y N Pharmacy PA
00002298060 RETEVMO selpercatinib CAPSULE 80 mg Y N Pharmacy PA
00002612060 RETEVMO selpercatinib TABLET 120 mg Y N Pharmacy PA
00002556260 RETEVMO selpercatinib TABLET 160 mg Y N Pharmacy PA
00002534060 RETEVMO selpercatinib TABLET 40 mg Y N Pharmacy PA
00002608260 RETEVMO selpercatinib TABLET 80 mg Y N Pharmacy PA
00310063560 KOSELUGO selumetinib sulfate CAP SPRINK 5 mg Y N Pharmacy PA
00310064060 KOSELUGO selumetinib sulfate CAP SPRINK 7.5 mg Y N Pharmacy PA
00310061028 KOSELUGO selumetinib sulfate CAPSULE 10 mg Y N Pharmacy PA
00310061060 KOSELUGO selumetinib sulfate CAPSULE 10 mg Y N Pharmacy PA
00310062528 KOSELUGO selumetinib sulfate CAPSULE 25 mg Y N Pharmacy PA
00310062560 KOSELUGO selumetinib sulfate CAPSULE 25 mg Y N Pharmacy PA
73090042001 SYLVANT siltuximab VIAL 100 mg Y N Pharmacy PA
73090042101 SYLVANT siltuximab VIAL 400 mg Y N Pharmacy PA
30237890005 PROVENGE sipuleucel-T/lactated ringers PLAST. BAG 50 million cell/250 mL Y N Pharmacy PA
30237890006 PROVENGE sipuleucel-T/lactated ringers PLAST. BAG 50 million cell/250 mL Y N Pharmacy PA
80803015350 FYARRO sirolimus protein-bound VIAL 100 mg Y N Pharmacy PA
47335030383 ODOMZO sonidegib phosphate CAPSULE 200 mg Y N Pharmacy PA
55513048824 LUMAKRAS sotorasib TABLET 120 mg Y N Pharmacy PA
55513048840 LUMAKRAS sotorasib TABLET 120 mg Y N Pharmacy PA
55513048896 LUMAKRAS sotorasib TABLET 120 mg Y N Pharmacy PA
55513051260 LUMAKRAS sotorasib TABLET 240 mg Y N Pharmacy PA
55513050450 LUMAKRAS sotorasib TABLET 320 mg Y N Pharmacy PA
50881001303 MONJUVI tafasitamab-cxix VIAL 200 mg Y N Pharmacy PA
73535020801 MONJUVI tafasitamab-cxix VIAL 200 mg Y N Pharmacy PA
72187040101 ELZONRIS tagraxofusp-erzs VIAL 1,000 mcg/mL Y N Pharmacy PA
00069025230 TALZENNA talazoparib tosylate CAPSULE 0.1 mg Y N Pharmacy PA
00069103130 TALZENNA talazoparib tosylate CAPSULE 0.1 mg Y N Pharmacy PA
00069029630 TALZENNA talazoparib tosylate CAPSULE 0.25 mg Y N Pharmacy PA
00069035330 TALZENNA talazoparib tosylate CAPSULE 0.25 mg Y N Pharmacy PA
00069045430 TALZENNA talazoparib tosylate CAPSULE 0.35 mg Y N Pharmacy PA
00069054630 TALZENNA talazoparib tosylate CAPSULE 0.5 mg Y N Pharmacy PA
00069150130 TALZENNA talazoparib tosylate CAPSULE 0.5 mg Y N Pharmacy PA
00069065530 TALZENNA talazoparib tosylate CAPSULE 0.75 mg Y N Pharmacy PA
00069175130 TALZENNA talazoparib tosylate CAPSULE 0.75 mg Y N Pharmacy PA
00069075730 TALZENNA talazoparib tosylate CAPSULE 1 mg Y N Pharmacy PA
00069119530 TALZENNA talazoparib tosylate CAPSULE 1 mg Y N Pharmacy PA
84651020030 IBTROZI taletrectinib adipate CAPSULE 200 mg Y N Pharmacy PA
84651020093 IBTROZI taletrectinib adipate CAPSULE 200 mg Y N Pharmacy PA
55513007801 IMLYGIC talimogene laherparepvec VIAL 10exp6 (1 million) PFU/mL Y N Pharmacy PA
55513007901 IMLYGIC talimogene laherparepvec VIAL 10exp8 (100 million) PFU/mL Y N Pharmacy PA
57894046901 TALVEY talquetamab-tgvs VIAL 3 mg/1.5 mL (2 mg/mL) Y N Pharmacy PA
57894047001 TALVEY talquetamab-tgvs VIAL 40 mg/mL Y N Pharmacy PA
55513005901 IMDELLTRA tarlatamab-dlle VIAL 1 mg Y N Pharmacy PA
55513010301 IMDELLTRA tarlatamab-dlle VIAL 1 mg Y N Pharmacy PA
55513006901 IMDELLTRA tarlatamab-dlle VIAL 10 mg Y N Pharmacy PA
55513007701 IMDELLTRA tarlatamab-dlle VIAL 10 mg Y N Pharmacy PA
72607010000 TAZVERIK tazemetostat hydrobromide TABLET 200 mg Y N Pharmacy PA
80446040101 KIMMTRAK tebentafusp-tebn VIAL 100 mcg/0.5 mL Y N Pharmacy PA
57894045001 TECVAYLI teclistamab-cqyv VIAL 153 mg/1.7 mL (90 mg/mL) Y N Pharmacy PA
57894044901 TECVAYLI teclistamab-cqyv VIAL 30 mg/3 mL (10 mg/mL) Y N Pharmacy PA
00074105501 EMRELIS telisotuzumab vedotin-tllv VIAL 100 mg Y N Pharmacy PA
00074104401 EMRELIS telisotuzumab vedotin-tllv VIAL 20 mg Y N Pharmacy PA
44087500003 TEPMETKO tepotinib HCl TABLET 225 mg Y N Pharmacy PA
44087500006 TEPMETKO tepotinib HCl TABLET 225 mg Y N Pharmacy PA
00078084619 KYMRIAH tisagenlecleucel PLAST. BAG 0.2 x 10exp6 to 2.5 x 10exp8 cell Y N Pharmacy PA
00078095819 KYMRIAH tisagenlecleucel PLAST. BAG 0.6 x 10exp8 to 6 x 10exp8 cell Y N Pharmacy PA
72579012101 TEVIMBRA tislelizumab-jsgr VIAL 100 mg/10 mL (10 mg/mL) Y N Pharmacy PA
51144000301 TIVDAK tisotumab vedotin-tftv VIAL 40 mg Y N Pharmacy PA
45629008901 FOTIVDA tivozanib HCl CAPSULE 0.89 mg Y N Pharmacy PA
45629008902 FOTIVDA tivozanib HCl CAPSULE 0.89 mg Y N Pharmacy PA
45629013401 FOTIVDA tivozanib HCl CAPSULE 1.34 mg Y N Pharmacy PA
45629013402 FOTIVDA tivozanib HCl CAPSULE 1.34 mg Y N Pharmacy PA
70114034001 LOQTORZI toripalimab-tpzi VIAL 240 mg/6 mL (40 mg/mL) Y N Pharmacy PA
82950001201 OJEMDA tovorafenib SUSP RECON 25 mg/mL Y N Pharmacy PA
82950011210 OJEMDA tovorafenib SUSP RECON 25 mg/mL Y N Pharmacy PA
82950000116 OJEMDA tovorafenib TABLET 400 mg/week (100 mg x 4) Y N Pharmacy PA
82950000120 OJEMDA tovorafenib TABLET 500 mg/week (100 mg x 5) Y N Pharmacy PA
82950000124 OJEMDA tovorafenib TABLET 600 mg/week (100 mg x 6) Y N Pharmacy PA
59676061001 YONDELIS trabectedin VIAL 1 mg Y N Pharmacy PA
00078116147 MEKINIST trametinib dimethyl sulfoxide SOLN RECON 0.05 mg/mL Y N Pharmacy PA
00078110515 MEKINIST trametinib dimethyl sulfoxide TABLET 0.5 mg Y N Pharmacy PA
00078111215 MEKINIST trametinib dimethyl sulfoxide TABLET 2 mg Y N Pharmacy PA
55513014101 KANJINTI trastuzumab-anns VIAL 150 mg Y N Pharmacy PA
55513013201 KANJINTI trastuzumab-anns VIAL 420 mg Y N Pharmacy PA
67457099115 OGIVRI trastuzumab-dkst VIAL 150 mg Y N Pharmacy PA
83257000111 OGIVRI trastuzumab-dkst VIAL 150 mg Y N Pharmacy PA
67457084550 OGIVRI trastuzumab-dkst VIAL 420 mg Y N Pharmacy PA
67457084744 OGIVRI trastuzumab-dkst VIAL 420 mg Y N Pharmacy PA
83257000311 OGIVRI trastuzumab-dkst VIAL 420 mg Y N Pharmacy PA
83257000412 OGIVRI trastuzumab-dkst VIAL 420 mg Y N Pharmacy PA
78206014701 ONTRUZANT trastuzumab-dttb VIAL 150 mg Y N Pharmacy PA
78206014799 ONTRUZANT trastuzumab-dttb VIAL 150 mg Y N Pharmacy PA
78206014801 ONTRUZANT trastuzumab-dttb VIAL 420 mg Y N Pharmacy PA
78206014899 ONTRUZANT trastuzumab-dttb VIAL 420 mg Y N Pharmacy PA
50242007701 HERCEPTIN HYLECTA trastuzumab-hyaluronidase-oysk VIAL 600 mg-10,000 unit/5 mL Y N Pharmacy PA
63459030343 HERZUMA trastuzumab-pkrb VIAL 150 mg Y N Pharmacy PA
63459030547 HERZUMA trastuzumab-pkrb VIAL 420 mg Y N Pharmacy PA
63459030741 HERZUMA trastuzumab-pkrb VIAL 420 mg Y N Pharmacy PA
00069030801 TRAZIMERA trastuzumab-qyyp VIAL 150 mg Y N Pharmacy PA
00069030501 TRAZIMERA trastuzumab-qyyp VIAL 420 mg Y N Pharmacy PA
00069030601 TRAZIMERA trastuzumab-qyyp VIAL 420 mg Y N Pharmacy PA
69448001505 HERCESSI trastuzumab-strf VIAL 150 mg Y N Pharmacy PA
69448001611 HERCESSI trastuzumab-strf VIAL 420 mg Y N Pharmacy PA
00310450525 IMJUDO tremelimumab-actl VIAL 25 mg/1.25 mL (20 mg/mL) Y N Pharmacy PA
00310453530 IMJUDO tremelimumab-actl VIAL 300 mg/15 mL (20 mg/mL) Y N Pharmacy PA
59137033500 GRAFAPEX treosulfan VIAL 1 gram Y N Pharmacy PA
59137033501 GRAFAPEX treosulfan VIAL 1 gram Y N Pharmacy PA
59137036500 GRAFAPEX treosulfan VIAL 5 gram Y N Pharmacy PA
59137036501 GRAFAPEX treosulfan VIAL 5 gram Y N Pharmacy PA
64842102501 LONSURF trifluridine/tipiracil HCl TABLET 15 mg-6.14 mg Y N Pharmacy PA
64842102502 LONSURF trifluridine/tipiracil HCl TABLET 15 mg-6.14 mg Y N Pharmacy PA
64842102503 LONSURF trifluridine/tipiracil HCl TABLET 15 mg-6.14 mg Y N Pharmacy PA
64842102001 LONSURF trifluridine/tipiracil HCl TABLET 20 mg-8.19 mg Y N Pharmacy PA
64842102002 LONSURF trifluridine/tipiracil HCl TABLET 20 mg-8.19 mg Y N Pharmacy PA
64842102003 LONSURF trifluridine/tipiracil HCl TABLET 20 mg-8.19 mg Y N Pharmacy PA
51144000212 TUKYSA tucatinib TABLET 150 mg Y N Pharmacy PA
51144000260 TUKYSA tucatinib TABLET 150 mg Y N Pharmacy PA
51144000160 TUKYSA tucatinib TABLET 50 mg Y N Pharmacy PA
58468782003 CAPRELSA vandetanib TABLET 100 mg Y N Pharmacy PA
58468784003 CAPRELSA vandetanib TABLET 300 mg Y N Pharmacy PA
50242009002 ZELBORAF vemurafenib TABLET 240 mg Y N Pharmacy PA
00074057928 VENCLEXTA STARTING PACK venetoclax TAB DS PK 10 mg (14)-50 mg (7)-100 mg (21) Y N Pharmacy PA
00074056111 VENCLEXTA venetoclax TABLET 10 mg Y N Pharmacy PA
00074056114 VENCLEXTA venetoclax TABLET 10 mg Y N Pharmacy PA
00074057611 VENCLEXTA venetoclax TABLET 100 mg Y N Pharmacy PA
00074057622 VENCLEXTA venetoclax TABLET 100 mg Y N Pharmacy PA
00074057630 VENCLEXTA venetoclax TABLET 100 mg Y N Pharmacy PA
00074056607 VENCLEXTA venetoclax TABLET 50 mg Y N Pharmacy PA
00074056611 VENCLEXTA venetoclax TABLET 50 mg Y N Pharmacy PA
73207030240 ROMVIMZA vimseltinib CAPSULE 14 mg Y N Pharmacy PA
73207030340 ROMVIMZA vimseltinib CAPSULE 20 mg Y N Pharmacy PA
73207030440 ROMVIMZA vimseltinib CAPSULE 30 mg Y N Pharmacy PA
50242014001 ERIVEDGE vismodegib CAPSULE 150 mg Y N Pharmacy PA
72694087910 VORANIGO vorasidenib citrate TABLET 10 mg Y N Pharmacy PA
72694072840 VORANIGO vorasidenib citrate TABLET 40 mg Y N Pharmacy PA
68727095001 ZIIHERA zanidatamab-hrii VIAL 300 mg Y N Pharmacy PA
68727095002 ZIIHERA zanidatamab-hrii VIAL 300 mg Y N Pharmacy PA
72579001102 BRUKINSA zanubrutinib CAPSULE 80 mg Y N Pharmacy PA
72579012201 BRUKINSA zanubrutinib TABLET 160 mg Y N Pharmacy PA
71837100001 BIZENGRI zenocutuzumab-zbco VIAL 375 mg/18.75 mL (20 mg/mL) Y N Pharmacy PA
71837100002 BIZENGRI zenocutuzumab-zbco VIAL 375 mg/18.75 mL (20 mg/mL) Y N Pharmacy PA
00024584001 ZALTRAP ziv-aflibercept VIAL 100 mg/4 mL (25 mg/mL) Y N Pharmacy PA
00024584101 ZALTRAP ziv-aflibercept VIAL 200 mg/8 mL (25 mg/mL) Y N Pharmacy PA
00469342510 VYLOY zolbetuximab-clzb VIAL 100 mg Y N Pharmacy PA
00469442530 VYLOY zolbetuximab-clzb VIAL 300 mg Y N Pharmacy PA
00597925786 HERNEXEOS zongertinib TABLET 60 mg Y N Pharmacy PA
Back to Top ↑