05.03.06 |
Non Formulary
|
 |
Casirivimab with Imdevimab Ronapreve® |
05.03.01 |
Formulary
|
 |
Dolutegravir Sodium & Rilpivirine Hydrochloride Juluca® |
02.11 |
Formulary
|
 |
Etranacogene dezaparvovec Hemgenix® |
09.01 |
Formulary
|
 |
Exagamglogene Autotemcel Casgevy® |
03.07 |
Formulary
|
 |
Lumacaftor and Ivacaftor Orkambi® |
05.01.02.02 |
Formulary
|
 |
Meropenem & vaborbactam Vaborem® |
05.03.06 |
Formulary
|
 |
Nirmatrelvir and Ritonavir Paxlovid® |
09.02.01.01 |
Formulary
|
 |
Patiromer calcium (as Patiromer sorbitex calcium) |
08.01.05 |
Formulary
|
 |
Polatuzumab vedotin Polivy® |
09.02.01.01 |
Formulary
|
 |
Sodium zirconium cyclosilicate Lokelma® |
05.03.06 |
Non Formulary
|
 |
Tixagevimab plus cilgavimab |
08.01.05 |
Non Formulary
|
 |
Trastuzumab deruxtecan Enhertu® |
08.01.05 |
Formulary
|
 |
Trastuzumab deruxtecan Enhertu |
03.04.02 |
Formulary
|
 |
White birch (Betula verrucosa) 12 SQ-Bet* per oral lyophilisate ITULAZAX® 12 SQ-Bet oral lyophilisate |
05.03.04 |
Formulary
|
 |
Zanamivir Injection Dectova® |