netFormulary
 Report : A-Z HCD items in Formulary 05/08/2021 18:24:09
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Section Status BlueTeq Name
08.01.05 Restricted Use BlueTeq Abemaciclib 50mg, 100mg, 150mg 
10.01.03 Restricted Use BlueTeq Adalimumab 40mg Imraldi®, Amgevita®, Humira®
13.05.03 Restricted Use BlueTeq Adalimumab 40mg Imraldi®, Amgevita®, Humira®
08.01.05 Restricted Use BlueTeq Alectinib 150mg Alecensa®
13.05.03 Restricted Use BlueTeq Apremilast titration pack, 30mg Otezla®
08.01.05 Restricted Use BlueTeq Arsenic Trioxide Trisenox®
08.01.05 Restricted Use BlueTeq Atezolizumab 1200mg/20mg 
09.01.04 Formulary BlueTeq Avatrombopag Doptelet® 20mg 
08.01.05 Restricted Use BlueTeq Avelumab 200mg/10mL 
08.01.05 Restricted Use BlueTeq Axicabtagene ciocleucel Yescarta®
08.01.05 Restricted Use BlueTeq Axitinib 1mg, 3mg, 5mg, 7mg 
03.04.02 Restricted Use BlueTeq Benralizumab 30mg/mL 
11.08.02 Restricted Use BlueTeq Bevacizumab 5mg/0.2mL 
08.01.05 Restricted Use BlueTeq Binimetinib 50mg, 75mg 
08.01.05 Restricted Use BlueTeq Blinatumomab 38.5 micrograms 
05.03.03.02 Restricted Use BlueTeq Boceprevir 200mg 
08.01.05 Restricted Use BlueTeq Bosutinib 100mg, 500mg Bosulif®
08.01.05 Restricted Use BlueTeq Brigatinib 30mg, 60mg, 90mg 
13.05.03 Restricted Use BlueTeq Brodalumab 210mg Kyntheum®
08.01.05 Restricted Use BlueTeq Cabozantinib 20mg, 40mg, 60mg 
04.08.01 Formulary BlueTeq Cannabidiol 100mg/mL Epidyolex®
08.01.05 Restricted Use BlueTeq Carfilzomib 10mg, 30mg, 60mg  
08.01.05 Formulary BlueTeq Cemiplimab 350mg 
08.01.05 Formulary BlueTeq Ceritinib 150mg 
13.05.03 Restricted Use BlueTeq Certolizumab pegol 200mg 
08.02.04 Restricted Use BlueTeq Cladribine 10mg Mavenclad®
06.01.06 Restricted Use BlueTeq Continuous glucose monitoring 
08.01.05 Restricted Use BlueTeq Crizotinib 200mg,250mg Xalkori®
08.01.05 Restricted Use BlueTeq Dabrafenib 50mg, 75mg  
05.03.03.02 Restricted Use BlueTeq Daclatasvir 30mg, 60mg Daklinza®
08.01.05 Restricted Use BlueTeq Daratumumab 100mg/5mL, 400mg/20mL 
05.03.03.02 Restricted Use BlueTeq Dasabuvir 250mg Exviera®
13.05.03 Restricted Use BlueTeq Dimethyl fumarate 30mg, 120mg  Skilarence®
08.02.03 Restricted Use BlueTeq Dinutuximab beta 4.5mg/mL Qarziba®
13.05.03 Restricted Use BlueTeq Dupilumab 300mg Dupixent®
08.01.05 Restricted Use BlueTeq Durvalumab 120mg/2.4mL, 500mg/10mL Imfinzi®
05.03.03.02 Restricted Use BlueTeq Elbasvir/Grazoprevir 50mg/100mg Zepatier®
08.01.05 Restricted Use BlueTeq Encorafenib 50mg, 75mg 
13.05.03 Restricted Use BlueTeq Etanercept 25mg, 50mg Enbrel®, Benepali®
11.04.01 Restricted Use BlueTeq Fluocinolone Acetonide 190 micrograms 
04.07.04.02 Formulary BlueTeq Fremanezumab (Ajovy®) 225mg/1.5mL 
08.01.05 Restricted Use BlueTeq Gemtuzumab ozogamicin 5mg 
08.02.04 Restricted Use BlueTeq Glatiramer Acetate 20mg/1mL, 40mg/1mL Copaxone®
05.03.03.02 Restricted Use BlueTeq Glecaprevir/ pibrentasvir 100mg/40mg Maviret®
13.05.03 Restricted Use BlueTeq Guselkumab 100mg Tremfya®
08.01.05 Restricted Use BlueTeq Ibrutinib 140mg 
13.05.03 Restricted Use BlueTeq Infliximab 100mg Inflectra, Remsima, Remicade®
08.01.05 Restricted Use BlueTeq Inotuzumab ozogamicin 1mg Besponsa®
08.02.04 Restricted Use BlueTeq Interferon Beta-1a 6 million units, 22 micrograms/0.5mL Rebif®
08.02.04 Restricted Use BlueTeq Interferon Beta-1a 6million units, 30micrograms/0.5mL Avonex®
08.02.04 Restricted Use BlueTeq Interferon Beta-1b 9.6million units (300micrograms) Extavia®
05.02.01 Formulary BlueTeq Isavuconazole 
05.02.01 Formulary BlueTeq Isavuconazole 200mg  
08.01.05 Restricted Use BlueTeq Ixazomib 2.3mg, 3mg, 4mg 
10.01.03 Restricted Use BlueTeq Ixekizumab 80mg Taltz®
13.05.03 Restricted Use BlueTeq Ixekizumab 80mg Taltz®
03.04.03 Restricted Use BlueTeq Lanadelumab 300mg/2mL 
08.01.05 Formulary BlueTeq Larotrectinib sulfate 20mg/1mL 
08.02.04 Restricted Use BlueTeq Lenalidomide 1.5mg, 5mg, 7.5mg, 10mg, 15mg, 25mg 
08.01.05 Restricted Use BlueTeq Lenvatinib 4mg, 10mg 
08.01.05 Restricted Use BlueTeq Liposomal cytarabine-daunorubicin 44mg/100mg Vyxeos®
08.01.05 Formulary BlueTeq Lorlatinib 25mg, 100mg 
09.01.04 Formulary BlueTeq Lusutrombopag 3mg Mulpleo®<
08.01.05 Restricted Use BlueTeq Lutetium (177Lu) oxodotreotide Lutathera®
10.02 Restricted Use BlueTeq Mexiletine 167mg  Namuscla®
08.01.05 Restricted Use BlueTeq Midostaurin 25mg Rydapt®
08.02.04 Restricted Use BlueTeq Natalizumab 300mg/15mL 
08.01.05 Restricted Use BlueTeq Neratinib 40mg tablet 
08.01.05 Restricted Use BlueTeq Niraparib 100mg Zejula®
08.01.05 Restricted Use BlueTeq Nivolumab 40mg/4mL, 100mg/10mL 
10.02 Restricted Use BlueTeq Nusinersen 12mg / 5mL 
08.02.03 Restricted Use BlueTeq Obinutuzumab 1000mg/40mL 
08.01.01 Restricted Use BlueTeq Ocrelizumab 300mg Ocrevus®
08.02.03 Restricted Use BlueTeq Ofatumumab 100mg, 1000mg 
08.01.05 Formulary BlueTeq Olaparib 100mg, 150mg  
08.03.04.01 Restricted Use BlueTeq Palbociclib 75mg, 100mg, 125mg 
08.02.03 Restricted Use BlueTeq Pembrolizumab 100mg/4mL 
08.02.03 Restricted Use BlueTeq Pembrolizumab 50mg 
08.01.05 Restricted Use BlueTeq Pertuzumab 420mg/14ml 
08.01.05 Restricted Use BlueTeq Ponatinib 
08.01.05 Restricted Use BlueTeq Regorafenib 40mg 
05.03 Formulary BlueTeq Remdesivir 100mg / 20mL 
08.03.04.01 Restricted Use BlueTeq Ribociclib 200mg 
13.05.03 Restricted Use BlueTeq Risankizumab 75mg Skyrizi®
13.05.03 Restricted Use BlueTeq Secukinumab 150mg Cosentyx®
05.03.03.02 Restricted Use BlueTeq Simeprevir 150mg  
08.02.04 Formulary BlueTeq Siponimod 250micrograms, 2mg 
05.03.03.02 Restricted Use BlueTeq Sofosbuvir 400mg 
05.03.03.02 Restricted Use BlueTeq Sofosbuvir/ Velpatasvir 400mg/100mg Epclusa®
05.03.03.02 Restricted Use BlueTeq Sofosbuvir/ velpatasvir/ voxilprevir 400mg/100mg/100mg Vosevi®
05.03.03.02 Restricted Use BlueTeq Sofosbuvir/Ledipasvir 400mg/90mg Harvoni®
08.01.05 Restricted Use BlueTeq Sorafenib 200mg 
05.03.03.02 Restricted Use BlueTeq Telaprevir 375mg 
13.05.03 Restricted Use BlueTeq Tildrakizumab 100mg 
08.01.05 Restricted Use BlueTeq Tisagenlecleucel Kymriah®
08.01.05 Restricted Use BlueTeq Tivozanib 890micrograms, 1340micrograms Fotivda®
10.01.03 Restricted Use BlueTeq Tofacitinib 5mg 
01.05.03 Restricted Use BlueTeq Tofacitinib 5mg, 10mg 
08.01.05 Formulary BlueTeq Trametinib 0.5mg, 2mg  
08.01.05 Restricted Use BlueTeq Trastuzumab emtansine 100mg, 160mg 
08.01 Restricted Use BlueTeq Trifluridine-tipiracil 15mg/6.14mg, 20mg/8.19mg Lonsurf®
13.05.03 Restricted Use BlueTeq Ustekinumab 45mg/0.5mL Stelara®
01.05.03 Restricted Use BlueTeq Ustekinumab 45mg/0.5mL, 90mg/1mL, 130mg/26mL Stelara®
08.01.05 Restricted Use BlueTeq Venetoclax 10mg, 50mg, 100mg 
05.03.03.02 Restricted Use BlueTeq Viekirax 12.5mg/75mg/50mg 
Buckinghamshire Formulary