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2021 Express Scripts National Preferred Formulary

KEY[INJ] - Injectable DrugBrand-name drugs are listedin CAPITAL drugs are listed in lower case MAINTENA [INJ]acetaminophen/codeineACTEMRA [INJ]acyclovirADEMPASADVAIR HFAADVATE [INJ]ADYNOVATE [INJ]AFSTYLA [INJ]AIMOVIG [INJ]AJOVY [INJ]albuterol nebulizationsolutionalbuterol sulfate hfa (byCipla, Lupin, Par, Perrigo,Proficient Rx & Teva)ALECENSA alendronateallopurinolALPHAGAN P ELLIPTAARALAST NP [INJ]ARIKAYCE aripiprazoleARISTADA [INJ]ARNUITY ELLIPTAASMANEX HFAASMANEX TWISTHALER atenololatenolol/chlorthalidoneatomoxeti neatorvastatinAUBAGIOAUSTEDOAVONEX [INJ]AZASITE azelastine nasal sprayazithromycinBbaclofenBAFIERTAMBAQSI MIBARACLUDE SOLUTIONBAXDELABD AUTOSHIELD DUO NEEDLESBD ULTRAFINE INSULIN SYRINGESBD ULTRAFINE PEN NEEDLESBELBUCA benazeprilbenzonatateBETASERON [INJ]BEVESPI AEROSPHEREBIKTARVY bisoprolol/hctzblisovi feBOSULIFBREO ELLIPTABREZTRI AEROSPHEREBRILINTA budesonide nebulizationsuspensionbupropionbupropion ext-releasebuspironebutalbital/acetamino phen/caffeineBYDUREON [IN]

diphenoxylate/atropine divalproex delayed-release divalproex ext-release DIVIGEL donepezil doxazosin doxycycline hyclate doxycycline monohydrate DUAVEE DULERA duloxetine delayed-release DUPIXENT [INJ] DYANAVEL XR E ELIQUIS ELOCTATE [INJ] EMGALITY [INJ] emtricitabine/tenofovir disoproxil fumarate EMVERM enalapril ENBREL [INJ] ENDOMETRIN

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