CVS Specialty Pharmacy Distribution Drug List
April 2021Updated QuarterlyCVS Specialty Pharmacy Distribution Drug ListProviding one of the broadest offerings of specialty pharmaceuticals in the industryThe CVS Specialty Pharmacy Distribution Drug List is a guide of medications available and distributed through CVSSpecialty. Our goal is to help make your life better. With more than 40 years of experience, CVS Specialty provides qualitycare and service. Our network of pharmacies includes certifications and accreditations from the Joint Commission,Utilization Review Accreditation Commission (URAC), the National Association of Boards of Pharmacy (NABP) and theAccreditation Commission for Health Care (ACHC). These nationally recognized symbols reflect an organization’scommitment to meet highest standards of quality, compliance and safety. This list is updated quarterly. Below brand-nameproducts are in CAPS, and generic products are shown in lowercase italics.Prospective Patients: Ready to get started? Enroll to get your medications from CVS Specialty.Health Care Providers: Visit the CVS Specialty website to download enrollment forms or call 1-800-237-2767 (TTY: 711).Therapy ClassAcromegalyAlcohol/Opioid DependencyAllergen ImmunotherapyAlpha-1 Antitrypsin DeficiencyAmyloidosisAnemiaAsthmaAtopic DermatitisBotulinum ToxinsCardiac DisordersBrand NameBYNFEZIA PENSANDOSTATINSANDOSTATIN LARSOMATULINE DEPOTSOMAVERTPROBUPHINE IMPLANT KITSUBLOCADEVIVITROLORALAIRPALFORZIAARALAST ic Nameoctreotide acetate (SANDOSTATIN)dofetilide (TIKOSYN)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 1 of 17
April 2021Updated QuarterlyTherapy ClassBrand pyrin-Associated PeriodicARCALYSTSyndromesILARISCystic FibrosisBETHKISBRONCHITOLCAYSTONKITABIS PAKPULMOZYMETOBITOBI PODHALERElectrolyte DisordersSAMSCAGastrointestinal Disorders - OtherGATTEXMYTESIOCALIVASOLESTAGoutKRYSTEXXAGrowth Hormone & Related Disorders EGRIFTAEGRIFTA TROPIN eticsMOZOBILHemophilia, Von Willebrand DiseaseADVATE& Related Bleeding DisordersADYNOVATEAFSTYLAALPHANATEALPHANINE PEROCTFEIBAFIBRYGAHELIXATE FSGeneric NameCoagulation DisordersContraceptivestobramycin (BETHKIS)tobramycin nebulizer (TOBI)tolvaptan (SAMSCA)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 2 of 17
April 2021Updated QuarterlyTherapy ClassHemophilia, Von Willebrand Disease& Related Bleeding Disorders(cont.)HepatitisBrand NameHEMLIBRAHEMOFIL MHUMATE-PIDELVIONIXINITYJIVIKOATEKOATE-DVIKOGENATE FSKOVALTRYMONONINENOVOEIGHTNOVOSEVEN RTNUWIQOBIZURPROFILNINEPROFILNINE TRETTENVONVENDIWILATEXYNTHABARACLUDEEPCLUSAEPIVIR HBVHARVONIHEPSERAINTRON RONREBETOLREBETOL SOLUTIONRIBASPHERE RIBAPAKSOFOSBUVIR/VELPATASVIRSOVALDIVEMLIDYVIEKIRA PAKVIREADVOSEVIZEPATIERGeneric Nameadefovir dipivoxil (HEPSERA)entecavir (BARACLUDE)lamivudine hbv (EPIVIR HBV)ribasphereribavirin caps (ribasphere, REBETOL)ribavirin tabs (ribasphere, MODERIBA)tenofovir disoproxil fumarate (VIREAD)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 3 of 17
April 2021Updated QuarterlyTherapy ClassHereditary AngioedemaHormonal TherapiesHuman Immunodeficiency VirusBrand TAKHZYROAVEEDELIGARDFENSOLVIFIRMAGONLUPANETA PACKLUPRONLUPRON DEPOTNATPARASUPPRELIN AINTELENCEINVIRASEISENTRESSJULUCAKALETRAKALETRA CRIPTORGeneric Nameicatibant acetate (FIRAZYR)leuprolide acetate (LUPRON)abacavir tab (ZIAGEN)abacavir-lamivudine (EPZICOM)abacavir sulfate-lamivudine-zidovudine(TRIZIVIR)atazanavir sulfate (REYATAZ)didanosine (VIDEX, VIDEX EC)efavirenz (SUSTIVA)efavirenz-emtricitabine-tenofovir df(ATRIPLA)efavirenz-lamivudine-tenofovir df(SYMFI, SYMFI LO)emtricitabine (EMTRIVA)emtricitabine-tenofovir df(TRUVADA)fosamprenavir (LEXIVA)lamivudine (EPIVIR)lamivudine-zidovudine (COMBIVIR)lopinavir-ritonavir sol (KALETRA SOL)nevirapine (VIRAMUNE, VIRAMUNE XR)ritonavir (NORVIR)stavudine (ZERIT)tenofovir disoproxil fumarate (VIREAD)zidovudine (RETROVIR)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 4 of 17
April 2021Updated QuarterlyTherapy ClassHuman Immunodeficiency Virus(cont.)Immune Deficiencies & RelatedDisordersBrand NameGeneric NameRETROVIRRETROVIR MFISYMFI ADATYBOSTVIDEXVIDEX ECVIDEX SOLVIRACEPTVIRAMUNEVIRAMUNE TOGAMGAMASTANGAMASTAN S/DGAMMAGARD LIQUIDGAMMAGARD S/DGAMMAKEDGAMMAPLEXGAMUNEX CHEPAGAM BHIZENTRAHYPERHEP B S/DHYPERRHO GAMRHOPHYLACSpecialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 5 of 17
April 2021Updated QuarterlyTherapy ClassImmune Deficiencies & RelatedDisorders (cont.)Infectious Disease - OtherInfertilityInflammatory Bowel DiseaseIron OverloadLysosomal Storage DisordersMental Health ConditionsMigraineMiscellaneousMovement DisordersBrand NameVARIZIGWINRHO SDFXEMBIFYACTIMMUNEALFERON NNUZYRAXENLETACETROTIDECHORIONIC GONADOTROPINFOLLISTIM AQGANIRELIX MZIAENTYVIOHUMIRAINFLECTRAREMICADERENFLEXISSIMPONI ARIASTELARA IGAJOVYEMGALITYAPOKYNAUSTEDODUOPAGeneric Namedeferasirox (EXJADE, JADENU)deferoxamine (DESFERAL)miglustatnitisinonedroxidopa (NORTHERA)tetrabenazine (XENAZINE)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 6 of 17
April 2021Updated QuarterlyTherapy ClassMovement Disorders (cont.)Multiple SclerosisNeutropeniaOcular DisordersOncology – InjectableBrand RAASPARLASAVASTINBAVENCIOBELEODAQGeneric Namedalfampridine ER (AMPYRA)dimethyl fumarate (TECFIDERA)glatiramer acetate (COPAXONE,glatopa)mitoxantrone hclazacitidine (VIDAZA)decitabine (DACOGEN)levoleucovorin calciummitoxantrone hcltemsirolimus (TORISEL)valrubicin (VALSTAR)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 7 of 17
April 2021Updated QuarterlyTherapy ClassOncology – Injectable (cont.)Brand NameBELRAPZOBENDAMUSTINE DARZALEXDARZALEX NFUSILEVGAZYVAHALAVENHERCEPTINHERCEPTIN HYLECTAHERZUMAIMFINZIINTRON IGEOPROLEUKINRIABNIRITUXANRITUXAN HYCELAROMIDEPSINRUXIENCEGeneric Namezoledronic acidSpecialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 8 of 17
April 2021Updated QuarterlyTherapy ClassOncology – Injectable (cont.)Oncology – Oral/TopicalBrand EBICIRESSAJAKAFIKISQALIKISQALI IGeneric Nameabiraterone acetate (ZYTIGA)bexarotene (TARGRETIN)capecitabine (XELODA)erlotinib hydrochlorideeverolimus (AFINITOR)imatinib mesylate (GLEEVEC)lapatinib ditosylate (TYKERB)temozolomide (TEMODAR)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 9 of 17
April 2021Updated QuarterlyTherapy ClassOncology – Oral/Topical (cont.)OsteoarthritisBrand NameGeneric L-ONEGELSYN-3GENVISC 850HYALGANHYMOVISMONOVISCORTHOVISCSODIUM HYALURONATESUPARTZSYNVISCSYNVISC ONESpecialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 10 of 17
April 2021Updated QuarterlyTherapy ClassOsteoarthritis (cont.)OsteoporosisParoxysmal NocturnalHemoglobinuriaPhenylketonuriaPre-Term BirthPsoriasisPulmonary Arterial HypertensionPulmonary Disorders - OtherBrand ISESBRIETOFEVGeneric Namezoledronic acid (RECLAST)sapropterin dihydrochloride (KUVAN)hydroxyprogesterone capro (MAKENA)ambrisentan (LETAIRIS)bosentan (TRACLEER)epoprostenol sodium (FLOLAN,VELETRI)sildenafil citrate (REVATIO)tadalafil (ADCIRCA, alyq)treprostinil sodium (REMODULIN)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 11 of 17
April 2021Updated QuarterlyTherapy ClassRare Disorders - OtherRenal DiseaseRespiratory Syncytial VirusRheumatoid ArthritisSeizure DisordersSickle Cell DiseaseSleep DisordersSystemic Lupus ErythematosusThrombocytopeniaTransplantBrand RIABNIRINVOQRITUXANSIMPONISIMPONI ARIAXELJANZACTHAREPIDIOLEXSABRIL PWDSABRIL ATEPROMACTAASTAGRAF XLCELLCEPTCELLCEPT INJENVARSUS XRMYFORTICNEORALNULOJIXPROGRAFPROGRAF INJECTABLERAPAMUNESANDIMMUNEZORTRESSGeneric Namecinacalcet hydrochloride (SENSIPAR)vigabatrin pwd (SABRIL PWD)vigabatrin tabs (SABRIL TABS)cyclosporine (gengraf, NEORAL,SANDIMMUNE)everolimus (ZORTRESS)mycophenolate mofetil (CELLCEPT,CELLCEPT INJECTABLE)mycophenolic acid dr (MYFORTIC)sirolimus (RAPAMUNE)tacrolimus (PROGRAF)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 12 of 17
April 2021Updated QuarterlyTherapy ClassUrea Cycle DisordersBrand NameBUPHENYLRAVICTIGeneric Namesodium phenylbutyrate (BUPHENYL)Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 13 of 17
April 2021Updated QuarterlyAlphabetical IndexCVS Specialty Pharmacy Distribution Drug ListABabacavir tababacavir-lamivudineabacavir sulfatelamivudinezidovudineabiraterone VIGAJOVYALDURAZYMEALECENSAALFERON NALPHANATEALPHANINE USARALAST NPARANESPARCALYSTARZERRAASCENIVASPARLASASTAGRAF XLatazanavir A .16.17.18.19.20.21.22.23.24.DACOGENdalfampridine ERDARZALEXDARZALEX STRIGODESCOVYDESFERALdidanosinedimethyl EDURANTefavirenzefavirenzemtricitabinetenofovir df4. efavirenz-lamivudinetenofovir df5. EGRIFTA6. EGRIFTA SV7. ELAPRASE8. ELELYSO9. ELIGARD10. ELOCTATE11. EMGALITY12. icitabineemtricitabinetenofovir RSUS XREPCLUSAEPIDIOLEXEPIVIREPIVIR HBVEPOGENepoprostenol EIBAFENSOLVIFIBRYGAFIRAZYRFIRMAGONFLOLANFOLLISTIM pecialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subjectto change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceuticalmanufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 14 of 17
April 2021Updated 7.18.19.20.21.22.23.24.GAMASTANGAMASTAN S/DGAMIFANTGAMMAGARDLIQUIDGAMMAGARD S/DGAMMAKEDGAMMAPLEXGAMUNEX CGANIRELIX NGENVISC 850GENVOYAGILENYAGLASSIAglatiramer HALAVENHARVONIHELIXATE FSHEMLIBRAHEMOFIL MHEPAGAM eronecaproHYMOVISHYPERHEP B S/DHYPERRHO 4.15.16.17.18.19.20.21.IBRANCEicatibant acetateIDELVIONIDHIFAKADCYLAKALBITORKALETRAKALETRA SQALIKISQALI FEMARAKITABIS PAKKOATEKOATE-DVIKOGENATE ALETAIRISLEUKINEleuprolide pinavir-ritonavir solLORBRENALUCENTISLUMIZYMELUMOXITILUPANETA PACKLUPRONLUPRON statMIRENAmitoxantrone ophenolatemofetilmycophenolic acid .ILARISILUMYAILUVIENimatinib CINTELENCEINTRON udinelamivudine hbvlamivudinezidovudinelapatinib ORTHERANORVIRNOURIANZNOVARELNOVOEIGHTNOVOSEVEN RTNPLATENUBEQANUCALANULOJIXNUPLAZIDNUTROPIN treotide YSPEGINTRONPERJETAPHESGOSpecialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711). for specific medications available through CVS Specialty. Listing issubject to change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks ofpharmaceutical manufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy. 2021 CVS Specialty. All rights reserved. 75-CTC14953E April 2021 v03152021 CVS Specialty Pharmacy Distribution Drug ListPage 15 of 17
April 2021Updated STAPRIVIGENPROBUPHINEIMPLANT KITPROCRITPROFILNINEPROFILNINE VARAPAMUNERASUVORAVICTIREBETOLREBETOL ISERTRETROVIRRETROVIR TAPribasphereRIBASPHERERIBAPAK30. ribavirin caps31. ribavirin tabs32. TUXANRITUXAN 31.32.33.34.35.36.37.38.39.40.SABRIL PWDSABRIL TABSSAIZENSAMSCASANDIMMUNESANDOSTATINSANDOSTATIN IPARSEROSTIMSEVENFACTsildenafil citrateSILIQSIMPONISIMPONI ATULINE ASTELARA IVSTIMATESTIVARGASTRIBILDSUBLOCADESUPARTZSUPPRELIN MFI LOSYMTUZASYNAGISSYNRIBOSYNVISCSYNVISC R (ORAl)TEMODAR (INJ)temozolomidetemsirolimustenofovir benazineTHALOMIDTHYROGENTIKOSYNTIVICAYTOBITOBI PODHALERtobramycintobramycin RELSTARTREMFYAtreprostinil OTRUVADATRUXIMATYBOSTTYKERBTYMLOS49. TYSABRI50. VISVERZENIOVIDAZAVIDEXVIDEX ECVIDEX SOLVIEKIRA PAKvigabatrin pwdvigabatrin tabsVIMIZIMVIRACEPTVIRAMUNEVIRAMUNE XEOSW1.2.3.WAKIXWILATEWINRHO INEXENLETAXEOMINSpecialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member’s prescription or medical benefit plan, maychange from time to time. In addition, a member’s specific benefit plan design may not cover certain products or categories, regardless of theirappearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711). for specific medications available through CVS Specialty. Listing issubject to change. This document contains r
April 2021 Updated Quarterly Specialty and non-specialty products distributed by CVS Specialty, as well as products covere
allied paper, inc./portage creek/ kalamazoo river superfund site area 1 supplemental remedial investigation report . cvs-10 cvs-09 cvs-08 cvs-07 cvs-04 cvs-06 cvs-05 ff-27 mos el av nue cvs-03 cvs-02 cvs-01 ff-26 ff-22 6 9 6 8 . 5 70 ff-21 6 9. 5 . parchment m-89 u s-1 3 1 g u l l r
Oct 14, 2009 · MM. CVS/pharmacy #9838 – Sun Valley NN. CVS/pharmacy #9840 – Reno OO. CVS/pharmacy #9841 – Reno PP. CVS/pharmacy #9842 – Carson City QQ. CVS/pharmacy #9843 – Fallon . Advanced Care Rx Pharmacy – Las Vegas CC. Prime Pharmacy – Henderson DD. Spring Valley Surgery Center
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Thank you for purchasing a Central Vac brand built-in vacuum system. Please take the time to read this operation manual. This product is designed for household use only. For commercial applications, please contact your nearest Central Vac dealer. This manual covers the following power units. CVS-07 CVS-11 CVS-16 CVS-19 CVS-07DP CVS-11DP CVS .
Pearland, TX 77581 (281) 997-4400 CVS PHARMACY #07120 * 11600 Shadow Creek Pearland, TX 77584 (713) 436-8250 CVS PHARMACY #10461 * 12806 Broadway St Pearland, TX 77584 (713) 436-1298 CVS PHARMACY #10908 * 7110 Magnolia Rd Pearland, TX 77584 (281) 412-4713 CVS PHARMACY #16791 * 3045 Silverlake Village Dr Pearland, TX 77584 (713) 436-2516 FAMILY PHARMACY CARE *
CVS PHARMACY #01869 * 1080 Falmouth Rd Hyannis, MA 02601 (508) 778-4064 CVS PHARMACY #02322 * 176 North St Hyannis, MA 02601 (508) 775-8346 CVS PHARMACY #10852 * 411 Barnstable Rd Hyannis, MA 02601 (508) 771-4753 CVS PHARMACY #17771 * 793 Iyannough Rd Hyannis, MA 02601 (508) 827-3147 * This pharmacy qualifies for dispensing up to a 90-day supply.
CVS PHARMACY #09250 885 A Island Dr Alameda, CA 94502 (510) 865-2155 CVS PHARMACY #09255 931 Marina Village Pkwy Alameda, CA 94501 (510) 523-3504 CVS PHARMACY #17657 2700 5Th St Alameda, CA 94501 (510) 214-0932 SAFEWAY PHARMACY #0951 Berkeley, CA 94704 867 Island Dr Alameda, CA 94502 (510) 747-1647 SAFEWAY PHARMACY #2708
pharmacy, at an out-of-network** local pharmacy or through the CVS Caremark Mail Service Pharmacy) 3 Your prescription benefit plan through CVS Caremark CVS Caremark manages your prescription benefits just like your health insurance company manages your medical benefits. You have choices when it comes to having your prescriptions filled.
