The Centennial Care Preferred Drug List is subject to ...

HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 MG/0.4ML, 40 MG/0.8ML Covered PA; SP; QL (2 EA per 28 days) HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN-INJECTOR KIT 40 MG/0.8ML Covered PA; SP; Approve 1 box quantity of 6 to start initial therapy.; QL (6 EA per 30 days) HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN …

  Humira pen, Humira

Preferred Drug Formulary - Maxor

BD ULTRAFINE PEN NEEDLES BELBUCA benazepril benzonatate BETASERON [INJ] BETHKIS BEVESPI AEROSPHERE BIKTARVY bisoprolol/hctz blisovi fe BOSULIF BREO ELLIPTA BRILINTA budesonide nebulization suspension bupropion bupropion ext-release buspirone butalbital/acetaminophen/caffeine BYDUREON [INJ] BYETTA [INJ] BYSTOLIC C CABOMETYX …