SPECIALTY PHARMACY INJECTABLE MEDICATION LIST DRUG CLASSIFICATION
PRODUCT NAME(S)
Adrenocortical Steroids
Acthar HP Gel
Antiemetic Agents
Anzemet, Kytril, Zofran
Antiinfective Agents
AmBisome, Levaquin, Vancomycin, Zyvox
Antiparkinsons Agents
Apokyn
Antipsoriatic Agents
Amevive, Enbrel , Humira , Raptiva, Remicade
Antipsychotic Agents
Geodon, Risperdal Consta, Zyprexa
Antiretroviral Agents
Fuzeon
Antithrombotic Agents
Arixtra, Fragmin, Innohep, Lovenox
Asthma Agents
Xolair
Bisphosphonates
Aredia, Zometa
Cardiovascular Agents
Dobutamine
Chelating Agents
Desferal
Coagulation Factors
Advate, Alphanate, AlphaNine-SD, Bebulin VH, BeneFIX, Feiba VH, Helixate-FS, Hemofil M, Humate-P, Koate-DVI, Kogenate FS, Monarc-M, Monoclate-P, Mononine, NovoSeven, Profilnine SD, Proplex T, Recombinate, ReFacto, Xyntha
Colony Stimulating Factors
Leukine, Neulasta , Neupogen
Contraceptive Agents
Depo-Provera
Dystonia Agents
Botox, Myobloc
Endocrine and Metabolic Agents
Sandostatin, Sandostatin LAR, Thyrogen
Enzyme Replacement Therapy
Aldurazyme, Aralast, Cerezyme, Fabrazyme, Myozyme, Prolastin, Zemaira
Glucocorticoids
Solu-Medrol
Gonadotropin Releasing Hormone Analogues
Eligard, Lupron , Plenaxis, Trelstar Depot/LA, Zoladex
♣
♣
♣
♣
♣
♣
♣ ♣
Genotropin, Humatrope, Increlex, Norditropin, Nutropin , Growth Hormone Agents
♣
♣
Nutropin AQ , Omnitrope, Saizen , Serostim, ♣
Tev-Tropin , Zorbtive Growth Hormone Receptor Antagonists
Somavert
Hepatitis C Agents
Infergen, Intron-A, Pegasys , Peg-Intron, Roferon-A
Hormone Deficiency Agents (Androgens & Estrogen)
Delatestryl, Delestrogen, Depo-Estradiol, Depo-Testosterone
♣
♣
Hyaluronic Acid Derivatives ♣
= Preferred Agent
♣
♣
Euflexxa , Hyalgan, Orthovisc , Supartz, Synvisc , SynviscOne 1
♣
SPECIALTY PHARMACY INJECTABLE MEDICATION LIST DRUG CLASSIFICATION
PRODUCT NAME(S)
Immune Globulins
Carimune NF, Flebogamma, Gammagard S/D, Gamunex, Octagam, Panglobulin NF, Polygam S/D, Rhogam, Rhophylac, WinRho SDF ♣
Infertility Agents
Antagon, Cetrotide, Follistim AQ , Gonal-F, Novarel, ♣
Pregnyl , Repronex
Interferons, Miscellaneous
Actimmune, Alferon-N
Migraine Agents
D.H.E. 45, Imitrex
Multiple Sclerosis
Avonex , Betaseron, Copaxone , Novantrone, Rebif , Tysabri
Ophthalmic
Lucentis, Macugen, Visudyne
Osteoporosis Agents
Forteo, Miacalcin
Pituitary Hormone
DDAVP
Recombinant Human Erythropoetin Agents
Aranesp , Epogen, Procrit
Respiratory Syncytial Virus Prophylaxis Agents
Synagis
♣
♣
♣
♣
♣
Rheumatoid Arthritis Agents
♣
Myochrysine, Orencia, Remicade Caverject
Thrombocytopenia Agents
Neumega
= Preferred Agent
♣
Cimzia , Enbrel , Humira , Kineret, Methotrexate,
Sexual Dysfunction Agents
♣
♣
♣
2
♣
CHEMOTHERAPEUTIC AGENTS BRAND NAME(S)
GENERIC NAME(S)
Abraxane
paclitaxel
Adriamycin
doxorubicin
Adrucil
fluorouracil
Alimta
pemetrexed
Alkeran
melphalan
Avastin
bevacizumab
BiCNU
carmustine
Blenoxane
bleomycin
Busulfex
busulfan
Campath
alemtuzumab
Camptosar
irinotecan
Cerubidine
daunorubicin
Clolar
clofarabine
Cosmegen
dactinomycin
Cytoxan
cyclophosphamide
DaunoXome
daunorubicin
DepoCyt
cytarabine liposomal
Doxil
doxorubicin
DTIC-Dome
dacarbazine
Ellence
epirubicin
Eloxatin
oxaliplatin
Elspar
asparaginase
Erbitux
cetuximab
Fludara
fludarabine
FUDR
floxuridine
Gemzar
gemcitabine
Herceptin
trastuzumab
Hycamtin
topotecan
Idamycin
idarubicin
Ifex
ifosfamide
♣
= Preferred Agent
3
CHEMOTHERAPEUTIC AGENTS BRAND NAME(S)
GENERIC NAME(S)
Leustatin
cladribine
Lupron
♣
leuprolide
---
methotrexate
---
mitomycin
Mustargen
mechlorethamine
Mylotarg
gemtuzumab ozogamicin
Navelbine
vinorelbine
Nipent
pentostatin
Novantrone
mitoxantrone
Oncaspar
pegaspargase
Ontak
denileukin diftitox
Paraplatin
carboplatin
Platinol-AQ
cisplatin
Plenaxis
abarelix
Proleukin
aldesleukin
Rituxan
rituximab
Taxol
paclitaxel
Taxotere
docetaxel
TheraCys, TICE BCG
BCG vaccine
Toposar
etoposide
Trelstar Depot/LA
triptorelin
Trisenox
arsenic trioxide
Valstar
valrubicin
Vantas
histrelin
Velcade
bortezomib
Viadur
leuprolide implant kit
Vidaza
azacitidine
---
vinblastine
Vincasar
vincristine
Vumon
teniposide
Zanosar
streptozocin
Zoladex ♣
♣
= Preferred Agent
goserelin
4
CHEMOTHERAPEUTIC ADJUNCTIVE AGENTS
BRAND NAME(S)
GENERIC NAME(S)
Anzemet
dolasetron
Aranesp
♣
darbepoetin alfa
Aredia
pamidronate
Ativan
lorazepam
Epogen
epoetin alfa
Ethyol
amifostine
Kepivance
palifermin
Kytril
granisetron
---
leucovorin
Leukine
sargramostim
Mesnex Neulasta
mesna ♣
Neupogen
pegfilgrastim ♣
filgrastim
Osmitrol
mannitol
Pepcid
famotidine
Procrit
♣
epoetin alfa
Zantac
ranitidine
Zinecard
dexrazoxane
Zofran
ondansetron
Zometa
zoledronic acid
♣
= Preferred Agent
5
© 2010 Prescription Solutions Revised: April, 2010