Phys_inv_dl915779.pdf

SPECIALTY MEDICATIONS
available through Accredo, Medco’s specialty pharmacy
Call toll-free 1 800 922-8279, 8:00 a.m. to 8:00 p.m., eastern time,
Monday through Friday, to confirm that your medication is covered.
Abraxane® (paclitaxel protein-bound particles) Carimune® NF (immune globulin intravenous [human]) Advate® (antihemophilic factor [recombinant]) Alphanate® (antihemophilic factor [human]) Corifact® (factor XIII concentrate [human]) AlphaNine® SD (coagulation factor IX [human]) CytoGam® (cytomegalovirus immune globulin Apokyn® (apomorphine hydrochloride) Aralast® (alpha[1]-proteinase inhibitor [human]) Cytovene® IV (ganciclovir sodium) ATryn® (antithrombin [recombinant]) BeneFIX® (coagulation factor IX [recombinant]) Berinert® (C1 esterase inhibitor [human]) Hizentra™ (immune globulin subcutaneous [human]) Feiba® VH/NF (anti-inhibitor coagulant complex) Humate-P® (antihemophilic factor/von Willebrandfactor complex [human]) Humatrope® (somatropin [rDNA origin]) Flebogamma® (immune globulin intravenous [human]) Follistim® AQ (follitropin beta, recombinant) HyperRho® S/D (Rho[D] immune globulin [human])
Increlex® (mecasermin [rDNA origin]) Forteo® (teriparatide [rDNA origin]) GamaSTAN® S/D (immune globulin [human]) Gammagard® Liquid (immune globulin infusion[human]) Gammagard® S/D (immune globulin intravenous Gammaked™ (immune globulin, gamma caprylate Gammaplex® (immune globulin intravenous [human]) Gamunex® (immune globulin intravenous [human]) Koate®-DVI (antihemophilic factor [human]) Ganirelix acetate (formerly Antagon™) Kogenate® FS (antihemophilic factor [recombinant]) Genotropin® (somatropin [rDNA origin]) Kuvan® (sapropterin dihydrochloride) Glassia™ (alpha[1]-proteinase inhibitor [human]) Helixate® FS (antihemophilic factor [recombinant]) Hemofil® M (antihemophilic factor [human]) Lupron Depot® (leuprolide acetate) Lupron Depot-PED® (leuprolide acetate) Ovidrel® (choriogonadotropin alfa) Macugen® (pegaptanib sodium injection) Makena™ (hydroxyprogesterone caproate) PEG-Intron® (peginterferon alfa-2b) PEG-Intron® Redipen® (peginterferon alfa-2b) MICRhoGAM® (Rho[D] immune globulin [human])
Pregnyl® (chorionic gonadotropin) Monoclate-P® (antihemophilic factor [human]) Privigen® (immune globulin intravenous [human]) Mononine® (coagulation factor IX [human]) Profilnine® SD (factor IX complex [human]) Norditropin® (somatropin [rDNA origin]) Norditropin/Nordiflex® (somatropin [rDNA origin]) Recombinate™ (antihemophilic factor [recombinant]) Novarel® (chorionic gonadotropin) NovoSeven® RT (coagulation factor VIIa [recombinant]) Retisert® (fluocinolone acetonide) Revatio® injection (sildenafil citrate) Nutropin® (somatropin [rDNA origin]) Revatio® tablets (sildenafil citrate) Nutropin AQ® (somatropin [rDNA origin]) Octagam® (immune globulin intravenous [human]) RhoGAM® (RHo[D] immune globulin [human])
Rhophylac® (RHo[D] immune globulin intravenous
[human])
Orencia® IV (abatacept intravenous) Orencia® SC (abatacept subcutaneous) Saizen® (somatropin [rDNA origin]) Sandostatin® (octreotide acetate) Sensipar® (cinacalcet hydrochloride) Serostim® (somatropin [rDNA origin]) Wilate® (von Willebrand factor/coagulation factor VIIIcomplex [human]) WinRho SDF® (Rho[D] immune globulin intravenous
Supprelin® LA (histrelin acetate) Sutent® capsules (sunitinib malate) Sylatron™ (peginterferon alfa-2b) Xiaflex™ (collagenase clostridium histolyticum) Temodar® injection (temozolomide) Xyntha® (antihemophilic factor [recombinant]) Tev-Tropin® (somatropin [rDNA origin]) Zemaira® (alpha [1]-proteinase inhibitor [human]) Treanda® (bendamustine hydrochloride) All rights in the product names of all third-party products listed, whether or not appearing with the trademark symbol,belong exclusively to their respective owners.
Accredo Health Group, Inc., is a wholly owned subsidiary of Medco Health Solutions, Inc.
2012 Medco Health Solutions, Inc. All rights reserved.

Source: http://www.txhealthpool.com/AppFolder/Accredo%20Health%20Group%20Specialty%20Drug%20List_3812.pdf