| 02459310 | ADALIMUMAB | Amgevita 20mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free) | AMG | 235.6400 | 235.6400 | NO | YES | NO |
| 02459302 | ADALIMUMAB | Amgevita 40mg/0.8mL Inj Sol-0.8mL Pref Autoinj (Preservative-Free) | AMG | 471.2700 | 471.2700 | NO | YES | NO |
| 02459299 | ADALIMUMAB | Amgevita 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free) | AMG | 471.2700 | 471.2700 | NO | YES | NO |
| 02434334 | APREMILAST | Otezla (Off-Formulary Interchangeable) 30mg Tab | AMG | N/A | N/A | YES | NO | NO |
| 02434318 | APREMILAST | Otezla (Off-Formulary Interchangeable) 10mg & 20mg & 30mg Tab-27 Blister Starter Pk | AMG | N/A | N/A | YES | NO | NO |
| 02257157 | CINACALCET | Sensipar (Off-Formulary Interchangeable) 90mg Tab | AMG | 31.9843 | 27.0517 | YES | NO | NO |
| 02257130 | CINACALCET | Sensipar (Off-Formulary Interchangeable) 30mg Tab | AMG | 12.0533 | 10.1947 | YES | NO | NO |
| 02257149 | CINACALCET | Sensipar (Off-Formulary Interchangeable) 60mg Tab | AMG | 21.9800 | 18.5900 | YES | NO | NO |
| 02391791 | DARBEPOETIN ALFA | Aranesp 150mcg/0.3mL Pref Syr-0.3mL Pk | AMG | 402.0000 | 402.0000 | NO | YES | NO |
| 02391805 | DARBEPOETIN ALFA | Aranesp 200mcg/0.4mL Pref Syr-0.4mL Pk | AMG | 701.0200 | 701.0200 | NO | YES | NO |
| 02391821 | DARBEPOETIN ALFA | Aranesp 300mcg/0.6mL Pref Syr-0.6mL Pk | AMG | 1082.9500 | 1082.9500 | NO | YES | NO |
| 02392364 | DARBEPOETIN ALFA | Aranesp 500mcg/1.0mL Pref Syr-1.0mL Pk | AMG | 1804.9400 | 1804.9400 | NO | YES | NO |
| 02343541 | DENOSUMAB | Prolia (Preservative Free) 60mg/mL Inj Sol-Pref Syr | AMG | 440.1000 | 440.1000 | NO | YES | NO |
| 02459779 | EVOLOCUMAB | Repatha 120mg/mL Inj Sol-Pref Cart of 3.5mL Pk | AMG | 587.7500 | 587.7500 | NO | YES | NO |
| 02446057 | EVOLOCUMAB | Repatha 140mg/mL Inj Sol-Pref Syr Autoinj | AMG | 284.8300 | 284.8300 | NO | YES | NO |
| 09853464 | FILGRASTIM | Neupogen 480mcg/1.6mL 1.6mL Vial | AMG | 281.8120 | 281.8120 | NO | YES | NO |
| 01968017 | FILGRASTIM | Neupogen 300mcg/mL 1mL Vial | AMG | 176.1330 | 176.1330 | NO | YES | NO |
| 02496933 | INFLIXIMAB | Avsola 100mg/Vial Pd for Sol-Vial Pk | AMG | 493.0000 | 493.0000 | NO | YES | NO |