Office-Administered Specialty Medications List

ACTEMRAᴮ
ACTHREL
ACTIVASE
ADAKVEO
ADBRYᴮ
AKYNZEO
ALDURAZYME
ALOXI
AMONDYS 45
AMVUTTRA
ANZEMET INJECTION
APRETUDE
ARALAST
ARANESP
AREDIA
ATGAM
AVEED
AVSOLA
BENLYSTAᴮ
BEOVU
BERINERTᴮ
BIVIGAM
BONIVA INJECTION
BOTOX
BRINEURA
BRIUMVI
BUSULFEX
BYOOVIZ
CARIMUNE NF
CAMCEVI
CEREZYME
CIMERLI
CIMZIAᴮ
CINQAIR
CINRYZEᴮ
CINVANTI
CRYSVITA
CUTAQUIG
CUVITRUᴮ
CYTOGAM
CYTOVENE
DEXFERRUM
DUPIXENTᴮ
DUROLANE
DURYSTA
DYSPORT
ELAPRASE
ELELYSO
ELIGARD
ELITEK
EMEND
EMPAVELI
ENJAYMO
ENTYVIO
EPOGEN
EPOPROSTENOL SODIUM
EUFLEXXA
EVENITY
EVKEEZA
EXONDYS 51
EYLEA
FABRAZYME
FASENRAᴮ
FENSOLVI
FERAHEME
FERRLECIT
FIRMAGON
FLEBOGAMMA DIF
FLOLAN
FOLOTYN
FULPHILA
FUSILEV
FYLNETRA
GAMASTAN S/D
GAMIFANT
GAMMAGARD
GAMMAKED
GAMMAPLEX
GAMUNEX
GEL-ONE
GENVISC 850
GIVLAARI
GLASSIA
GRANISETRON HCL INJECTION
GRANIX
H.P. ACTHAR
HECTOROL
HEPAGAM B
HIZENTRAᴮ
HYALGAN
HYMOVIS
HYPERHEP B S/D
HYPERRAB S/D
HYPERRHO S/D
HYPERTET S/D
HYQVIAᴮ
ILARIS
ILUMYA
IMLYGIC
IMOGAM RABIES-HT
IMPLANON^A
INFLECTRA
INFLIXIMAB
INJECTAFER
IXIFI
KALBITOR
KANUMA
KEPIVANCE
KHAPZORY
KRYSTEXXA
LAMZEDE
LEMTRADA
LEQVIO
LEUKINE
LILETTA^A
LUCENTIS
LUMIZYME
LUPRON DEPOT
LUTRATE
MACUGEN
MAKENA
MEPSEVII
MIACALCIN
MICRHOGAM ULTRA-FILTERED PLUS
MIRCERA
MIRENA^A
MONOVISC
MOZOBIL
MYOBLOC
NABI-HB
NAGLAZYME
NEULASTA
NEUPOGEN
NEXPLANON^A
NEXVIAZYME
NIVESTYM
NPLATE
NUCALAᴮ
NULIBRY
NULOJIX
NUVARING^A
NYVEPRIA
OCREVUS
OCTAGAM
ONDANSETRON HCL
ONPATTRO
ORENCIA
ORTHOVISC
OXLUMO
OZURDEX
PARAGARD T 380-A^A
PARSABIV
PEDMARK
POTELIGEO
PRIVIGEN
PROBUPHINE
PROCRIT
PROLASTIN
PROLEUKIN
PROLIA
PURIFIED CORTROPHIN GEL
QUTENZA
RADICAVA
REBLOYZL
REBYOTA
RECLAST
RELEUKO
REMICADE
REMODULIN
RENFLEXIS
RETACRIT
RETISERT
RHOGAM ULTRA-FILTERED PLUS
RHOPHYLAC
RIASTAP
ROLVEDON
RUCONESTᴮ
RYPLAZMIN
SANDOSTATIN LAR
SAPHNELO
SCENESSE
SIMPONI ARIA
SKYLA^A
SKYRIZIᴮ
SOLESTA
SOLIRIS
SOMATULINE DEPOT
SPEVIGO
SPINRAZA
SPRAVATO
STELARA
STIMUFEND
SUBLOCADE
SUNLENCA
SUPARTZ FX
SUPPRELIN LA
SUSTOL
SUSVIMO
SYFOVRE
SYLVANT
SYNAGIS*
SYNAREL
SYNOJOYNT
SYNVISC
SYNVISC ONE
TEMODAR INJECTION
TEPEZZA
TESTOPEL
TEZSPIRE
THROMBATE III
THYROGEN
TRELSTAR
TREMFYA
TRILURON
TRIPTODUR
TRIVISC
TROGARZO
TYSABRI
TYVASO
TZIELD
UDENYCA
ULTOMIRIS
UPLIZNA
VABYSMO
VANTAS
VELETRI
VENOFER
VENTAVIS
VILTEPSO
VIMIZIM
VISCO-3
VISUDYNE
VIVITROL
VPRIV
VYJUVEK
VYONDYS 53
VYPETI
VYVGART
VYVGART HYTRULO
WINRHO SDF
XEMBIFY
XENPOZYME
XEOMIN
XIAFLEX
XOLAIRᴮ
XULANE^A
ZARXIO
ZEMAIRA
ZIEXTENZO
ZILRETTA
ZOFRAN INJECTION
ZOLADEX
ZOMETA

*Synagis is only available at CVS Caremark

^APlease note, some medicines may have limited or $0 cost-sharing under the Affordable Care Act. These are indicated on the drug list with the letter ^A. If you do not find the medicine you are searching for, please call Pharmacy Member Services.

^BPlease note, these medicines are office administered OR self-administered but are covered through the medical benefit. These are indicated on the drug list with the letter ᴮ.

This document contains prescription brand name drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with Horizon BCBSNJ or the Blue Cross and Blue Shield Association.

Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross and Blue Shield Association. The
Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross and Blue Shield Association. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey.

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(Revised July 1, 2023)