List of designated high-cost drugs

Last updated on January 24, 2024

Current list

An asterisk (*) indicates the most recent addition(s). Deletions are listed at the end.

Current list of high-cost drugs

DIN/PIN

Chemical Description

Product Name

Allowable Markup

Effective Date

02506009 ozanimod hydrochloride, 0.23 mg and 0.46 mg oral capsules (7-day starter-pack) Zeposia® 5% Jan 16, 2024
02505991 ozanimod hydrochloride, 0.92 mg oral capsule Zeposia® 5% Jan 16, 2024

02402475

abatacept subcutaneous 125 mg/mL pre-filled syringe (PFS)

Orencia®

5%

Apr 1, 2014

02282097

abatacept 250 mg vial

Orencia®

5%

Apr 1, 2011

02528363

abrocitinib 50 mg tablet

Cibinqo®

5%

Nov 28, 2023

02528371

abrocitinib 100 mg tablet

Cibinqo®

5%

Nov 28, 2023

02528398

abrocitinib 200 mg tablet

Cibinqo®

5%

Nov 28, 2023

02511061*

adalimumab 20 mg/0.4 mL PFS

Abrilada™

5%

Aug 18, 2022

02533472 adalimumab 40 mg/0.4 mL PFS Hadlima® 5% Dec 19, 2023
02533480 adalimumab 40 mg/0.4 mL autoinjector Hadlima® PushTouch® 5% Dec 19, 2023
02535076 adalimumab 80 mg/0.8 mL PFS Yulflyma 5% Dec 19, 2023
02535084 adalimumab 80 mg/0.8 mL autoinjector Yulflyma 5% Dec 19, 2023
02529548 tezepelumab 210 mg/1.91 mL PFS Tezspire 5% Dec 19, 2023
02529556 tezepelumab 210 mg/1.91 mL autoinjector Tezspire 5% Dec 19, 2023
02511053* adalimumab 40 mg/0.8 mL PFS Abrilada™ 5% Aug 18, 2022
02511045* adalimumab 40 mg/0.8 mL pen Abrilada™ 5% Aug 18, 2022

02459310

adalimumab 20 mg/0.4 mL syringe

Amgevita™

5%

Apr 7, 2021

02459299 adalimumab 40 mg/0.8 mL syringe Amgevita™ 5% Apr 7, 2021
02459302 adalimumab 40 mg/0.8 mL autoinjector Amgevita™ 5% Apr 7, 2021

02473097

adalimumab 40 mg/0.8 mL syringe

Hadlima®

5%

Apr 7, 2021

02473100 adalimumab 40 mg/0.8 mL autoinjector Hadlima® 5% Apr 7, 2021

02502380*
 

adalimumab 20 mg/0.4 mL PFS
 

Hulio®

5%

Aug 18, 2022

02502399 adalimumab 40 mg/0.8 mL syringe Hulio® 5% Apr 7, 2021
02502402 adalimumab 40 mg/0.8 mL pen Hulio® 5% Apr 7, 2021

02258595

adalimumab 40 mg/0.8 mL kit

Humira®

5%

Apr 1, 2011

02505258

adalimumab 20 mg/0.4 mL PFS

Hyrimoz®

5%

Apr 7, 2021

02492156 adalimumab 40 mg/0.8 mL autoinjector Hyrimoz® 5% Apr 7, 2021
02492164 adalimumab 40 mg/0.8 mL PFS Hyrimoz® 5% Apr 7, 2021

02502674

adalimumab 40 mg/0.8 mL pen

Idacio®

5%

Apr 7, 2021

02502682

adalimumab 40 mg/0.8 mL PFS

Idacio®

5%

Oct 1, 2021


02523949*
02523965*
02523957*

100 mg/mL high-dose formulation:
adalimumab 40 mg/0.4 mL PFS
adalimumab 80 mg/0.8 mL PFS
adalimumab 40 mg/0.4 mL autoinjector

Simlandi™

5%

Aug 18, 2022


02523779*
02523760*

100 mg/mL high-dose formulation:
adalimumab 40 mg/0.4 mL PFS
adalimumab 40 mg/0.4 mL pen

Yuflyma®

5%

Aug 18, 2022

02418320

alemtuzumab 10 mg/mL (1.2 mL) concentrated solution for IV infusion

Lemtrada®

5%

Apr 12, 2018

02204606

alpha 1-proteinase inhibitor 1000 mg vial

Prolastin-C®

5%

Apr 1, 2011

02307065

ambrisentan 5 mg tablet

Volibris®

5%

Apr 2, 2012

02475375 ambrisentan 5 mg tablet Apo-ambrisentan 5% Feb 2, 2023
02521938 ambrisentan 5 mg tablet Jamp ambrisentan 5% Feb 2, 2023
02526875 ambrisentan 5 mg tablet Sandoz-ambrisentan® tablets 5% Feb 2, 2023

02307073

ambrisentan 10 mg tablet

Volibris®

5%

Apr 2, 2012

02475383 ambrisentan 10 mg tablet Apo-ambrisentan 5% Feb 2, 2023
02521946 ambrisentan 10 mg tablet Jamp ambrisentan 5% Feb 2, 2023
02526883 ambrisentan 10 mg tablet Sandoz-ambrisentan® tablets 5% Feb 2, 2023

02503034

amifampridine 10 mg

Ruzurgi®

5%

May 10, 2023

02245913

anakinra 100 mg/0.67 mL syringe

Kineret®

5%

Apr 1, 2011

02329840

aztreonam 75 mg/vial powder for solution

Cayston™

5%

Sep 13, 2012

02131064

baclofen 2 mg/mL ampule

Lioresal®

5%

Apr 1, 2011

02473232

benralizumab 30 mg/mL in 1 mL syringe

Fasenra®

5%

Apr 1, 2020

02496135

benralizumab 30 mg/mL autoinjector pen

Fasenra®

5%

Apr 28, 2021

02525267

bimekizumab, 160mg/mL pre-filled syringe

Bimzelx®

5%

Jan 31, 2023

02525275

bimekizumab, 160mg/mL autoinjector

Bimzelx®

5%

Jan 31, 2023

02244981

bosentan 62.5 mg tablet

Tracleer®

5%

Apr 1, 2011

02244982

bosentan 125 mg tablet

Tracleer®

5%

Apr 1, 2011

02531577
01981501
02531585

botulinum toxin 50 unit vial
botulinum toxin 100 unit vial
botulinum toxin 200 unit vial

Botox®

5%

Apr 1, 2011

02324032

botulinum toxin 100 unit vial

Xeomin®

5%

Apr 1, 2011

02266121

cannabidiol/tetrahydrocannabinol 2.5 mg/2.7 mg per mL spray

Sativex®

5%

Apr 2, 2012

02465574

certolizumab pegol 200 mg/mL auto-injector pre-filled pen

Cimzia®

5%

Feb 1, 2018

02331675

certolizumab pegol 400 mg/2 mL syringe kit

Cimzia®

5%

Apr 1, 2011

02244849

colistimethate sodium 150 mg vial

Colistimethate®

5%

Apr 1, 2011

00476420

colistimethate sodium 150 mg vial

Coly-Mycin®

5%

Apr 1, 2015

02485605

cysteamine ophthalmic solution 0.37%

Cystadrops®

0%

Feb 28, 2022

02452219

deferasirox 90 mg tablet

Jadenu®

5%

Oct 26, 2017

02452227

deferasirox 180 mg tablet

Jadenu®

5%

Oct 26, 2017

02452235

deferasirox 360 mg tablet

Jadenu®

5%

Oct 26, 2017

02287447

deferasirox 500 mg tablet for suspension

Exjade®

5%

Apr 1, 2011

02436558

deferiprone 1000 mg tablet

Ferriprox®

5%

Jan 18, 2017

02436523

deferiprone 100 mg/mL oral solution

Ferriprox®

5%

Jan 18, 2017

02404508

dimethyl fumarate 120 mg capsule

Tecfidera®

5%

Dec 15, 2014

02420201

dimethyl fumarate 240 mg capsule

Tecfidera®

5%

Dec 15, 2014

0249504

dupilumab 200mg/1.14 mL pre-filled syringe

Dupixent®

5%

Nov 23, 2023

02470365

dupilumab 300mg/2 mL pre-filled syringe

Dupixent®

5%

Nov 23, 2023

02510049

dupilumab 300mg/2 mL single-dose pre-filled pen

Dupixent®

5%

Nov 23, 2023

0252452

dupilumab 200mg/1.14 mL single-dose pre-filled pen

Dupixent®

5%

Nov 23, 2023

02475472

edaravone 30 mg/100 mL solution for intravenous use

Radicava®

0%

Aug 19, 2020

02532611

edaravone oral suspension 105 mg/5 mL

Radicava ORS®

0%

Aug 18, 2023

02517140 elexacaftor 100mg/tezacaftor 50mg/ivacaftor 75mg and ivacaftor 150mg oral tablets Trikafta® 0% Oct 5, 2021
02526670 elexacaftor 50 mg/tezacaftor 25 mg/ivacaftor 37.5mg and ivacaftor 75mg oral tablets Trikafta® 0% Oct 5, 2021
02542277 elexacaftor 100mg/tezacaftor 50mg/ivacaftor 75mg and ivacaftor 75mg oral granules Trikafta® 0% Dec 14, 2023
02542285 elexacaftor 80mg/tezacaftor 40mg/ivacaftor 60mg and ivacaftor 59.5mg oral granules Trikafta® 0% Dec 14, 2023

02397447

epoprostenol sodium (arginine) 0.5 mg vial

Caripul

5%

Dec 22, 2014

02397455

epoprostenol sodium (arginine) 1.5 mg vial

Caripul

5%

Dec 22, 2014

02230848

epoprostenol sodium 1.5 mg vial

Flolan®

5%

Apr 1, 2011

02242903

etanercept 25 mg kit

Enbrel®

5%

Apr 1, 2011

02274728

etanercept 50 mg/mL syringe

Enbrel®

5%

Apr 1, 2011

01968017

filgrastim 300 mcg/mL vial

Neupogen®

5%

Apr 1, 2011

02365480

fingolimod 0.5 mg capsule

Gilenya®

5%

Jun 13, 2013

02245619

glatiramer acetate 20 mg kit

Copaxone®

5%

Apr 1, 2011

02467550

glecaprevir-pibrentasvir 100mg-40 mg tablet

Maviret™

2%

Mar 21, 2019

02453304

glycerol phenylbutyrate 1.1 g/mL oral liquid

Ravicti™

5%

Apr 12, 2018

02324776

golimumab 50 mg/0.5 mL pre-filled syringe

Simponi®

5%

Apr 1, 2011

02324784

golimumab 50 mg/0.5 mL auto-injector

Simponi®

5%

Apr 1, 2011

02146118

hydromorphone 20 mg/mL vial

Dilaudid-HP-Plus®

5%

Apr 1, 2011

02145936

hydromorphone 20 mg/mL vial

Hydromorphone HP 20®

5%

Apr 2, 2012

02145863

hydromorphone 50 mg/mL vial

Dilaudid-XP®

5%

Apr 2, 2012

02146126

hydromorphone 50 mg/mL vial

Hydromorphone HP 50®

5%

Apr 1, 2011

02241751

imiglucerase 400 unit vial

Cerezyme®

5%

Apr 1, 2011

02371081

incobotulinumtoxinA (also known as
clostridium botulinum toxin Type A) 50 unit vial

Xeomin®

5%

Apr 1, 2014

02496933

infliximab 100 mg vial

Avsola™

5%

Apr 1, 2021

02419475

infliximab 100 mg vial

Inflectra™

5%

Apr 1, 2016

02470373

infliximab 100 mg vial

Renflexis™

5%

Nov 3, 2018

02244016

infliximab 100 mg vial

Remicade®

5%

Apr 1, 2011

02237770

interferon beta-1a  30 mcg /mL kit

Avonex®

5%

Apr 2, 2012

02269201

interferon beta-1a  30 mcg /0.5 mL kit

Avonex® PS

5%

Apr 1, 2011

02281708

interferon beta-1a 8.8 mcg/0.2 mL - 22 mcg/0.5 mL syringe initiation pack

Rebif®

5%

Apr 2, 2012

02237319

interferon beta-1a 22 mcg/0.5 mL syringe

Rebif®

5%

Apr 1, 2011

02237320

interferon beta-1a 44 mcg/0.5 mL syringe

Rebif®

5%

Apr 1, 2011

02318253

interferon beta-1a 66 mcg/1.5 mL cartridge

Rebif®

5%

Apr 1, 2011

02318261

interferon beta-1a 132 mcg/1.5 mL cartridge

Rebif®

5%

Apr 1, 2011

02169649

interferon beta-1b 0.3 mg vial

Betaseron®

5%

Apr 1, 2011

02337819

interferon beta-1b 0.3 mg vial

Extavia®

5%

Apr 1, 2011

02455102

ixekizumab 80 mg/mL autoinjector

Taltz™

5%

Mar 6, 2018

02455110

ixekizumab 80 mg/mL pre-filled syringe

Taltz™

5%

Mar 6, 2018

02432226

ledipasvir/sofosbuvir 90 mg-400 mg tablet

Harvoni®

2%

Mar 1, 2017

02469375

letermovir 240 mg tablet

Prevymis™

5%

May 18, 2021

02469383

letermovir 480 mg tablet

Prevymis™

5%

May 18, 2021

02292165

levodopa/carbidopa intestinal gel 20 mg/mL – 5 mg/mL

Duodopa®

5%

Aug 24, 2017

02505541

luspatercept 25 mg vial

Reblozyl®

5%

March 14, 2023

02505568

luspatercept 75 mg vial

Reblozyl®

5%

March 14, 2023

02449781

mepolizumab 100 mg/mL vial of lyophilized powder for subcutaneous injection

Nucala

5%

Nov 13, 2018

02492989

mepolizumab 100 mg/mL pre-filled autoinjector

Nucala

5%

May 26, 2020

02492997

mepolizumab 100 mg/mL pre-filled safety syringe

Nucala

5%

May 26, 2020

02286386

natalizumab 300 mg/15 mL vial

Tysabri®

5%

Apr 2, 2012

02325926

nimodipine 30 mg tablet

Nimotop®

5%

Apr 2, 2012

02443066

nintedanib 100 mg tablet

Ofev™

5%

Apr 12, 2018

02443074

nintedanib 150 mg tablet

Ofev™

5%

Apr 12, 2018

02458616

nitisinone 2 mg tablet

Nitisinone Tablets

5%

Jan 1, 2021

02457717

nitisinone 2 mg capsule

MDK-Nitisinone

5%

Jan 1, 2021

02459698

nitisinone 2 mg capsule

Orfadin®

5%

Jan 1, 2021

02458624

nitisinone 5 mg tablet

Nitisinone Tablets

5%

Jan 1, 2021

02457725

nitisinone 5 mg capsule

MDK-Nitisinone

5%

Jan 1, 2021

02459701

nitisinone 5 mg capsule

Orfadin®

5%

Jan 1, 2021

02458632

nitisinone 10 mg tablet

Nitisinone Tablets

5%

Jan 1, 2021

02457733

nitisinone 10 mg capsule

MDK-Nitisinone

5%

Jan 1, 2021

02459728

nitisinone 10 mg capsule

Orfadin®

5%

Jan 1, 2021

02470055

nitisinone 20 mg capsule

MDK-Nitisinone

5%

Jan 1, 2021

02459736

nitisinone 20 mg capsule

Orfadin®

5%

Jan 1, 2021

02463121

obeticholic acid 5 mg tablet

Ocaliva

5%

Oct 30, 2018

02463148

obeticholic acid 10 mg tablet

Ocaliva

5%

Oct 30, 2018

02467224

ocrelizumab 30 mg/mL solution for intravenous use (10 mL vial)

Ocrevus®

5%

Aug 10, 2020

00839205

octreotide acetate 100 mcg/mL ampule

Sandostatin®

5%

Apr 1, 2011

02260565

omalizumab 150 mg vial

Xolair®

5%

Apr 1, 2011

02393751

pirfenidone 267 mg capsule

Esbriet®

5%

Apr 12, 2018

02464500

pirfenidone 801 mg tablet

Esbriet®

5%

Apr 12, 2018

02464489

pirfenidone 267 mg tablet

Esbriet®

5%

Apr 12, 2018

02487454

risankizumab 75 mg/0.83 mL pre-filled syringe

Skyrizi®

5%

May 5, 2020

02519283

risankizumab 150mg/mL pre-filled syringe

Skyrizi® 5% Oct 18, 2022
02519291 risankizumab 150mg/mL pre-filled pen Skyrizi® 5% Oct 18, 2022

02241927

rituximab 10 mg/mL vial

Rituxan®

5%

Apr 1, 2011

02322854

romiplostim 250 mcg/0.5 mL powder

Nplate®

5%

Apr 2, 2012

02322862

romiplostim 500 mcg/mL powder

Nplate®

5%

Apr 2, 2012

02388006

ruxolitinib 5 mg tablet

Jakavi®

5%

Nov 28, 2023

02434814

ruxolitinib 10 mg tablet

Jakavi®

5%

Nov 28, 2023

02350580

sapropterin 100 mg tablet

Kuvan®

0%

Sep 27, 2022

02482207 sapropterin 100 mg sachet Kuvan® 0% Sep 27, 2022
02482215 sapropterin 500 mg sachet Kuvan® 0% Sep 27, 2022

02460521

sarilumab 150 mg/1.14 mL pre-filled syringe

Kevzara®

5%

June 30, 2020

02472961

sarilumab 150 mg/1.14 mL pre-filled pen

Kevzara®

5%

June 30, 2020

02460548

sarilumab 200 mg/1.14 mL pre-filled syringe

Kevzara®

5%

June 30, 2020

02472988

sarilumab 200 mg/1.14 mL pre-filled pen

Kevzara®

5%

June 30, 2020

02499681

satralizumab 120 mg/mL pre-filled syringe

Enspryng®

0%

Nov 1, 2023

02438070

secukinumab 150 mg/mL solution for injection

Cosentyx®

5%

Nov 10, 2016

02451158

selexipag 200 mcg tablet

Uptravi®

5%

Oct 30, 2018

02451166

selexipag 400 mcg tablet

Uptravi®

5%

Oct 30, 2018

02451174

selexipag 600 mcg tablet

Uptravi®

5%

Oct 30, 2018

02451182

selexipag 800 mcg tablet

Uptravi®

5%

Oct 30, 2018

02451190

selexipag 1000 mcg tablet

Uptravi®

5%

Oct 30, 2018

02451204

selexipag 1200 mcg tablet

Uptravi®

5%

Oct 30, 2018

02451212

selexipag 1400 mcg tablet

Uptravi®

5%

Oct 30, 2018

02451220

selexipag 1600 mcg tablet

Uptravi®

5%

Oct 30, 2018

02416441

simeprevir sodium 150 mg capsule

Galexos™

2%

Mar 1, 2017

02436663

sodium phenylbutyrate 483 mg/g oral granules

Pheburane®

5%

Apr 12, 2018

02527707

sodium phenylbutyrate 3 g, ursodoxicoltaurine 1 g / per sachet

Albrioza

0%

July 19, 2023

02418355

sofosbuvir 400 mg tablet

Sovaldi®

2%

Mar 1, 2017

02456370

sofosbuvir-velpatasvir

Epclusa™

2%

Mar 21, 2017

02467542

sofosbuvir-velpatasvir-voxilaprevir
400-100-100 mg tablet

Vosevi™

2%

May 25, 2018

02399091

somatropin 5 mg/2 mL cartridge

Nutropin AQ Nuspin 5

5%

Dec 22, 2014

02243078

somatropin 12 mg cartridge

Humatrope®

5%

Apr 1, 2011

02243079

somatropin 24 mg cartridge

Humatrope®

5%

Apr 1, 2011

02334852

somatropin  5 mg/1.5mL pen

Norditropin Nordiflex®

5%

Nov 10, 2016

02334860

somatropin 10 mg/1.5mL pen

Norditropin Nordiflex®

5%

Nov 10, 2016

02334879

somatropin 15 mg/1.5mL pen

Norditropin Nordiflex®

5%

Nov 10, 2016

02529181

somatropin  5 mg/1.5mL pen

Norditropin® Flexpro

5%

July 4, 2023

02529203

somatropin 10 mg/1.5mL pen

Norditropin® Flexpro

5%

July 4, 2023

02529211

somatropin 15 mg/1.5mL pen

Norditropin® Flexpro

5%

July 4, 2023

02376393

somatropin 10 mg/2 mL cartridge

Nutropin® AQ NuSpin

5%

Dec 18, 2012

02350149

somatropin 20 mg/2 mL cartridge

Saizen®

5%

Apr 2, 2012

02399083

somatropin 20 mg/2 mL cartridge

Nutropin® AQ Nuspin 20

5%

Dec 22, 2014

02237971

somatropin 5 mg vial

Saizen®

5%

Apr 1, 2011

02416328

teriflunomide 14 mg tablet

Aubagio®

5%

Mar 2, 2015

02365154

tobramycin 28 mg capsule

Tobi® Podhaler®

5%

Sep 13, 2012

02239630

tobramycin sulphate 300 mg/5 mL solution for inhalation

Tobi®

5%

Sep 13, 2012

02424770

tocilizumab 162mg/0.9 mL pre-filled syringe

Actemra®

5%

July 1, 2016

02350092

tocilizumab 80 mg/4 mL vial

Actemra®

5%

Aug 9, 2011

02483327*

tocilizumab 162 mg/0.9 mL pre-filled syringe autoinjector

Actemra®

5%

Aug 11, 2022

02350106

tocilizumab 200 mg/10 mL vial

Actemra®

5%

Aug 9, 2011

02350114

tocilizumab 400 mg/20 mL vial

Actemra®

5%

Aug 9, 2011

02423898

tofacitinib 5 mg tablet

Xeljanz®

5%

Apr 2, 2017

02480786

tofacitinib 10 mg tablet

Xeljanz®

5%

Dec 5, 2020

02470608

tofacitinib 11 mg extended-release tablet

Xeljanz® XR

5%

Dec 5, 2020

02246552

treprostinil sodium 1 mg/mL vial

Remodulin®

5%

Apr 1, 2011

02246553

treprostinil sodium 2.5 mg/mL vial

Remodulin®

5%

Apr 2, 2012

02246554

treprostinil sodium 5 mg/mL vial

Remodulin®

5%

Apr 1, 2011

02246555

treprostinil sodium 10 mg/mL vial

Remodulin®

5%

Apr 1, 2011

02495155

upadacitinib 15 mg extended-release tablet

Rinvoq®

5%

Nov 28, 2023

02520893

upadacitinib 30 mg extended-release tablet

Rinvoq®

5%

Nov 28, 2023

02320673

ustekinumab 45 mg/0.5 mL vial

Stelara®

5%

Apr 1, 2011

02320681

ustekinumab 90 mg/1 mL vial

Stelara®

5%

Jun 20, 2013

02436841

vedolizumab 300 mg vial

Entyvio®

5%

Aug 24, 2017

66123781

sodium phenyl butyrate powder
Note: unclassed therapeutic non-benefits (SAP)

Buphenyl®

5%

Apr 1, 2011


Deletions

List of deletions

DIN/PIN

Chemical Description

Product Name

Effective Date of Deletion

02452294

asunapravir 

Sunpreva™

Jan 13, 2018

02370816

boceprevir 200 mg capsule

Victrelis™

Apr 6, 2016

02371448

boceprevir/ribavirin/Peg-IFN-alfa-2b
200 mg/200 mg/80 mcg pen injection kit

Victrelis Triple™

Apr 6, 2016

02371456

boceprevir/ribavirin/Peg-IFN-alfa-2b
200 mg/200 mg/100 mcg pen injection kit

Victrelis Triple™

Apr 6, 2016

02371464

boceprevir/ribavirin/Peg-IFN-alfa-2b
200 mg/200 mg/120 mcg pen injection kit

Victrelis Triple™

Apr 6, 2016

02371472

boceprevir/ribavirin/Peg-IFN-alfa-2b
200 mg/200 mg/150 mcg pen injection kit

Victrelis Triple™

Apr 6, 2016

02386194

bosentan 62.5 mg tablet

Co Bosentan

Apr 1, 2015

02444747

daclatasvir 30 mg tablet

Daklinza™

July 29, 2020

02444755

daclatasvir 60 mg tablet

Daklinza™

July 29, 2020

02451131

elbasvir-grazoprevir

Zepatier™

Aug 1, 2022

02455323

etanercept 50 mg/mL syringe

Brenzys®

May 1, 2018

02455331

etanercept 50 mg/mL pen injector

Brenzys®

May 1, 2018

02436027

ombitasvir-paritaprevir-ritonavir and dasabuvir 12.5 mg/75 mg/50 mg and 250 mg tablet

HOLKIRA™ PAK

Mar 21, 2017

02216191

somatropin, kit: 10 mg vial (powder) + 10 mL vial (liquid)

Nutropin®

June 30, 2020

02229722

somatropin 10 mg/2 mL vial

Nutropin® AQ

June 30, 2020

02230694

imiglucerase 200 unit vial

Cerezyme®

June 30, 2020

02240694

interferon alfa-2b 30 million IU recombinant pen injection kit

Intron A®

June 30, 2020

02240695

interferon alfa-2b 60 million IU recombinant pen injection kit

Intron A®

June 30, 2020

02246026

ribavirin/PegIFN-alpha-2b, 200 mg cap/50 mcg/0.5 mL combination pkg

Pegetron®

June 30, 2020

02246027

ribavirin/PegIFN-alpha-2b, 200 mg cap/80 mcg/0.5 mL combination pkg

Pegetron®

June 30, 2020

02246028

ribavirin/PegIFN-alpha-2b, 200 mg cap/100 mcg/0.5 mL combination pkg

Pegetron®

June 30, 2020

02246029

ribavirin/PegIFN-alpha-2b, 200 mg cap/120 mcg/0.5 mL combination pkg

Pegetron®

June 30, 2020

02246030

ribavirin/PegIFN-alpha-2b, 200 mg cap/150 mcg/0.5 mL combination pkg

Pegetron®

June 30, 2020

02249002

somatropin 10 mg/2 mL cartridge

Nutropin®

June 30, 2020

02253410

ribavirin/PegIFN-alpha-2a, 200 mg tablet and 180 mcg/mL combination pkg

Pegasys® RBV

June 30, 2020

02253429

ribavirin/PegIFN-alpha-2a, 200 mg tablet/180 mcg/0.5 mL combination pkg

Pegasys® RBV

June 30, 2020

02254581

ribavirin/PegIFN-alpha-2b, 200 mg cap/80 mcg/0.5 mL pen injection kit

Pegetron®

June 30, 2020

02254603

ribavirin/PegIFN-alpha-2b, 200 mg cap/100 mcg/0.5 mL pen injection kit

Pegetron®

June 30, 2020

02254638

ribavirin/PegIFN-alpha-2b, 200 mg cap/120 mcg/0.5 mL pen injection kit

Pegetron®

June 30, 2020

02254646

ribavirin/PegIFN-alpha-2b, 200 mg cap/150 mcg /0.5 mL pen injection kit

Pegetron®

June 30, 2020

02272083

somatropin 8.8 mg vial

Saizen®

June 30, 2020