CVS Specialty® Pharmacy Distribution Drug List
July 2024
Updated Quarterly
CVS Specialty? Pharmacy Distribution Drug List
Providing one of the broadest offerings of specialty pharmaceuticals in the industry
The CVS Specialty Pharmacy Distribution Drug List is a guide of medications available and distributed through CVS Specialty. Our goal is to help make your life better. With more than 40 years of experience, CVS Specialty provides quality care 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 the Accreditation Commission for Health Care (ACHC). These nationally recognized symbols reflect an organization's commitment to meet highest standards of quality, compliance and safety. This list is updated quarterly. Below brand-name products 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 Class Acromegaly
Alcohol/Opioid Dependency Allergen Immunotherapy Alopecia Areata Alpha-1 Antitrypsin Deficiency Amyloidosis Anemia
Asthma
Brand Name
LANREOTIDE SANDOSTATIN SANDOSTATIN LAR SOMATULINE DEPOT SOMAVERT BRIXADI SUBLOCADE VIVITROL ORALAIR XOLAIR LITFULO OLUMIANT ARALAST NP GLASSIA ZEMAIRA AMVUTTRA ONPATTRO VYNDAMAX VYNDAQEL ARANESP ENJAYMO EPOGEN PROCRIT REBLOZYL RETACRIT ZYNTEGLO CINQAIR DUPIXENT FASENRA NUCALA TEZSPIRE XOLAIR
Generic Name octreotide acetate (SANDOSTATIN)
*Indicates Limited Distribution drug distributed only by Coram? CVS Specialty Infusion Services.
Drug Not Stocked
Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member's prescription or medical benefit plan, may
change from time to time. In addition, a member's specific benefit plan design may not cover certain products or categories, regardless of their
appearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subject
to change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical
manufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy.
?2024 CVS Specialty. All rights reserved. 75-CTC14953E July 2024 v06282024 CVS Specialty Pharmacy Distribution Drug List
Page 1 of 19
July 2024
Updated Quarterly
Therapy Class Atopic Dermatitis
Bone Disorders ? Other Botulinum Toxins
Cardiac Disorders Coagulation Disorders Contraceptives
Cryopyrin-Associated Periodic Syndromes Cushing's Cystic Fibrosis
Dermatological Disorders ? Other Dupuytren's Contracture Electrolyte Disorders Endocrine Disorders ? Other Enzyme Deficiency Disorders ? Other Gastrointestinal Disorders ? Other
Gout Growth Hormone & Related Disorders (Continued on next page)
Brand Name
ADBRY CIBINQO DUPIXENT RINVOQ SOHONOS VOXZOGO DAXXIFY DYSPORT MYOBLOC XEOMIN ARCALYST CAMZYOS TIKOSYN CEPROTIN KYLEENA LILETTA MIRENA NEXPLANON SKYLA ARCALYST ILARIS
BETHKIS BRONCHITOL CAYSTON KITABIS PAK PULMOZYME TOBI TOBI PODHALER VYJUVEK XIAFLEX
SAMSCA
ACTHAR CORTROPHIN
RYPLAZIM
DUPIXENT GATTEX IQIRVO MYTESI OCALIVA REZDIFFRA SOLESTA ILARIS KRYSTEXXA EGRIFTA SV GENOTROPIN HUMATROPE
Generic Name
dofetilide (TIKOSYN)
mifepristone tobramycin (BETHKIS) tobramycin nebulizer (TOBI)
dichlorphenamide tolvaptan (SAMSCA) betaine anhydrous nitisinone
*Indicates Limited Distribution drug distributed only by Coram? CVS Specialty Infusion Services.
Drug Not Stocked
Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member's prescription or medical benefit plan, may
change from time to time. In addition, a member's specific benefit plan design may not cover certain products or categories, regardless of their
appearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subject
to change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical
manufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy.
?2024 CVS Specialty. All rights reserved. 75-CTC14953E July 2024 v06282024 CVS Specialty Pharmacy Distribution Drug List
Page 2 of 19
Therapy Class Growth Hormone & Related Disorders (continued) Hematopoietics Hemophilia, Von Willebrand Disease & Related Bleeding Disorders
(Continued on next page)
Brand Name
INCRELEX NGENLA NORDITROPIN NUTROPIN AQ OMNITROPE SAIZEN SEROSTIM SKYTROFA SOGROYA ZOMACTON MOZOBIL ADVATE ADYNOVATE AFSTYLA ALPHANATE ALPHANINE SD ALPROLIX ALTUVIIIO BENEFIX BEQVEZ COAGADEX CORIFACT ELOCTATE ESPEROCT FEIBA FIBRYGA HEMGENIX HEMLIBRA HEMOFIL M HUMATE-P IDELVION IXINITY JIVI KOATE KOATE-DVI KOGENATE FS KOVALTRY NOVOEIGHT NOVOSEVEN RT NUWIQ OBIZUR PROFILNINE PROFILNINE SD REBINYN RECOMBINATE RIASTAP RIXUBIS ROCTAVIAN SEVENFACT
July 2024
Updated Quarterly
Generic Name
plerixafor (MOZOBIL)
*Indicates Limited Distribution drug distributed only by Coram? CVS Specialty Infusion Services.
Drug Not Stocked
Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member's prescription or medical benefit plan, may
change from time to time. In addition, a member's specific benefit plan design may not cover certain products or categories, regardless of their
appearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subject
to change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical
manufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy.
?2024 CVS Specialty. All rights reserved. 75-CTC14953E July 2024 v06282024 CVS Specialty Pharmacy Distribution Drug List
Page 3 of 19
July 2024
Updated Quarterly
Therapy Class Hemophilia, Von Willebrand Disease & Related Bleeding Disorders (continued) Hepatitis
Hereditary Angioedema Hormonal Therapies
Human Immunodeficiency Virus
(Continued on next page)
Brand Name
TRETTEN VONVENDI WILATE XYNTHA BARACLUDE EPCLUSA EPIVIR HBV HARVONI LEDIPASVIR-SOFOSBUVIR MAVYRET PEGASYS SOFOSBUVIR/VELPATASVIR SOVALDI VEMLIDY VIREAD VOSEVI ZEPATIER BERINERT CINRYZE FIRAZYR HAEGARDA KALBITOR RUCONEST TAKHZYRO AVEED ELIGARD FENSOLVI FIRMAGON LUPRON LUPRON DEPOT SUPPRELIN LA TRELSTAR ZOLADEX APRETUDE APTIVUS BIKTARVY CABENUVA CIMDUO COMPLERA DELSTRIGO DESCOVY DOVATO EDURANT EMTRIVA EPIVIR EVOTAZ FUZEON GENVOYA INTELENCE
Generic Name
adefovir dipivoxil entecavir (BARACLUDE) lamivudine hbv (EPIVIR HBV) ribavirin caps ribavirin tabs tenofovir disoproxil fumarate (VIREAD)
icatibant acetate (FIRAZYR)
leuprolide acetate (LUPRON)
abacavir tab (ZIAGEN) abacavir-lamivudine atazanavir sulfate (REYATAZ) darunavir (PREZISTA) efavirenz (SUSTIVA) efavirenz-emtricitabine-tenofovir df efavirenz-lamivudine-tenofovir df
(SYMFI, SYMFI LO) emtricitabine (EMTRIVA) emtricitabine-tenofovir df
(TRUVADA) etravirine (INTELENCE) fosamprenavir lamivudine (EPIVIR) lamivudine-zidovudine lopinavir-ritonavir (KALETRA)
*Indicates Limited Distribution drug distributed only by Coram? CVS Specialty Infusion Services.
Drug Not Stocked
Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member's prescription or medical benefit plan, may
change from time to time. In addition, a member's specific benefit plan design may not cover certain products or categories, regardless of their
appearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subject
to change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical
manufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy.
?2024 CVS Specialty. All rights reserved. 75-CTC14953E July 2024 v06282024 CVS Specialty Pharmacy Distribution Drug List
Page 4 of 19
Therapy Class Human Immunodeficiency Virus (continued)
Immune Deficiencies & Related Disorders
(Continued on next page)
Brand Name
ISENTRESS JULUCA KALETRA NORVIR ODEFSEY PIFELTRO PREZCOBIX PREZISTA RETROVIR RETROVIR IV REYATAZ RUKOBIA SELZENTRY STRIBILD SUNLENCA SUSTIVA SYMFI SYMFI LO SYMTUZA TIVICAY TRIUMEQ TROGARZO TRUVADA TYBOST VIRACEPT VIREAD ZIAGEN ASCENIV BIVIGAM CUTAQUIG CUVITRU CYTOGAM FLEBOGAMMA DIF GAMASTAN GAMASTAN S/D GAMMAGARD LIQUID GAMMAGARD S/D GAMMAKED GAMMAPLEX GAMUNEX C HEPAGAM B HIZENTRA HYPERHEP B S/D HYPERRHO S/D HYQVIA MICRHOGAM NABI-HB OCTAGAM PANZYGA
July 2024
Updated Quarterly
Generic Name maraviroc (SELZENTRY) nevirapine ritonavir (NORVIR) stavudine tenofovir disoproxil fumarate (VIREAD) zidovudine (RETROVIR)
*Indicates Limited Distribution drug distributed only by Coram? CVS Specialty Infusion Services.
Drug Not Stocked
Specialty and non-specialty products distributed by CVS Specialty, as well as products covered by a member's prescription or medical benefit plan, may
change from time to time. In addition, a member's specific benefit plan design may not cover certain products or categories, regardless of their
appearance on this document. Call CVS Specialty at 1-800-237-2767 (TTY: 711) for specific medications available through CVS Specialty. Listing is subject
to change. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical
manufacturers not affiliated with CVS Specialty. Fax: 1-800-323-2445; e-Prescribe: CVS Specialty Pharmacy.
?2024 CVS Specialty. All rights reserved. 75-CTC14953E July 2024 v06282024 CVS Specialty Pharmacy Distribution Drug List
Page 5 of 19
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