• English
    X

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.

    Maryland Department of Health
    Medicaid Pharmacy Program

    ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

    Search By Medication
    Medications
      
    Clinical Criteria
    There are no items to show in this view of the "Clinical Criteria" list.

     Keywords for Search

    A: Abecma (idecabtagene vicleucel), Abilify Asimtufii (aripiprazole), Adakveo (crizanlizumab), Adcirca (tadalafil), Adzenys XR ODT (amphetamine), Aduhelm (aducanumab-avwa intravenous injection), Afinitor (everolimus), Aimovig (erenumab), Ajovy (fremanezumab), Akynzeo (fosnetupitant/ palonosetron), Amitiza (lubiprostone), Amondys 45 (casimersen), Ampyra (dalfampridine), Androderm (testosterone transdermal), Antipsychotics, Aptiom (eslicarbazepine acetate), Arikayce (amikacin liposome inhalation suspension), Aubagio (teriflunomide), Austedo (deutetrabenazine), Aveed (testosterone), Aldurazyme (laronidase), Adbry (trakokinumab)

    B: Bafiertam (monomethyl fumarate DR), Banzel (rufinamide), Belsomra (suvorexant), Benlysta (belimumab), Bethkis (tobramycin), bevacizumab (Avastin, Mvasi, Zirabev), Botulinum Toxin type A or B (Botox, Myobloc), Brenzavvy (bexagliflozin), Breyanzi (lisocabtagene maraleucel), Brisdelle (paroxetine), Briumvi (ublituximab-xiiy)​, Buphenyl (sodium phenylbutyrate), Bylvay (odevixibat)

    C: Campral (acamprosate), ​Caplyta (lumateperone)​​​, Cayston (aztreonam), Cerezym​​e (imiglucerase), Cibinqo™ (abrocitinib), Clotting Factors (Factor IX, Factor VIIA, Antihemophilic Factor, Antihemophilic Factor/Von Willebrand Factor Complex), Cymbalta (duloxetine)

    D: Dayvigo (lemborexant), Depo-Provera (medroxyprogesterone), Diclegis (doxylamine succinate/pyridoxine HCl), Differin (adapalene), Dificid (fidaxomicin), Doptelet (avatrombopag), Drizalma Sprinkle (duloxetine), Dupixent (dupilumab), 

    E: Elelyso (taliglucerase alfa), Emflaza (deflazacort)​, Emgality (galcanezumab), Endari (L-glutamine oral powder), Enspryng (satralizumab), Entadfi (finasteride/tadalafil),​ Enteral Nutritional Supplements, Entresto (sacubitril/valsartan), Epidiolex (cannabidiol), Evenity (romosozumb-aqqg), Evkeeza (evinacumab), Evrysdi (risdiplam), Exondys 51 (eteplirsen), Extavia kit (interferon beta-1b), Entyvio (vedolizumab),

    F: Farxiga (dapagliflozin), Faslodex​ (fulvestrant), Fentanyl, Fentanyl Transmucosal Formulations: (Abstral, Actiq, Fentora, Lazada, Onsolis, Subsys), Fintepla (fenfluramine), Firdapse (amifampridine phosphate), Flector Patch (diclofenac), Forteo (teriparatide), Fycompa (perampanel)​​

    G: Gammagard (immune globulin 10%, human), Gamunex-C (globulin 10%, human purified), Gattex (teduglutide)​, Gilenya (fingolimod), Gilotrif (afatinib dimaleate), Grastek (timothy grass pollen extract), Growth Hormone (somatropin), 

    H: Hepatitis C Therapy, Herceptin (trastuzumab), Hetlioz (tasimelteon), Hetlioz LQ (tasimelteon liquid), Hizentra (immune globulin 20%), Hysingla ER (hydrocodone), Hetlioz capsule (tasimelteon)​

    I: Imbruvica (ibrutinib)​, Ingrezza (valbenazine), Inlyta (axitinib), Intuniv (guanfacine), Invega Hafyera (paliperidone extended-release injectable), Invega Trinza (paliperidone extended-release injectable), Invokamet, Invokamet XR (canagliflozin & metformin), Invokana (canagliflozin)

    J: Jardiance (empagliflozin)​, Javygtor (sapropterin), Juxtapid (lomitapide)​

    K: Kalydeco (ivacaftor), Kapvay (clonidine), Kesimpta (ofatumumab), Kineret (anakinra), Kitabis Pak (tobramycin), Kuvan (sapropterin)

    L:  Lemtrada (alemtuzumab), Leqembi (lecanemab-irmb), Leqvio (inclisiran), Licart topical system (diclofenac epolamine)​, ​ Linzess (linaclotide), Lucemyra (lofexidine)​, Lumryz (sodium oxybate), Lunesta (eszopiclone), Lupkynis (voclosporin), Lupron Depot (leuprorelin), Luzu (luliconazole), Lybalvi (olanzapine and samidorphan)

    M: ​​Marinol (dronabinol), Mavenclad (cladribine), Mayzent (siponimod), Metformin ER, Motegrity (prucalopride), Movantik (naloxegol), Mulpleta (lusutrombopag), Myrbetriq, Myrbetriq Granules (mirabegron)

    N: naltrexone, Natroba (spinosad), Nexavar (sorafenib), Nexletol (bempedoic acid), Nexlizet (bempedoic acid / ezetimibe), Nicotine gum, Nicotine lozenge, Nicotine patch, Nicotrol Nasal Spray, Nicotrol Inhaler, NITYR (nitisinone), Northera (droxidopa), NPlate (romiplostim), Nuplazid (pimavanserin), Nurtec ODT (rimegepant), Nuvigil (armodafinil),

    O: Ocrevus (ocrelizumab), Olumiant® (baricitinib),  Opsumit (macitentan), Opzelura™ (ruxolitinib),​ ​Oralair (allergen extracts of 5 grass pollens), Orencia (abatacept), Orenitram ER (treprostinil diolamine), Orfadin (nitisinone), Orkambi (ivacaftor, lumacaftor), Orladeyo (berotralstat), Otezla (apremilast), Otrexup (methotrexate), Ovide (malathion), Oxbryta (voxelotor)

    P: Palforzia [Peanut (Arachis hypogaea) Allergen], Palynziq (pegvaliase), Panretin (alitretinoin), Perjeta (pertuzumab), Plegridy (peginterferon beta-1a), Ponvory (ponesimod), Praluent (alirocumab), Procysbi (cysteamine bitartrate), Prolia (denosumab), Promacta (eltrombopag), Provigil (modafinil), Pulmozyme (dornase alfa), Pomalyst (pomalidomide), 

    Q: ​Qudexy XR (topiramate), Qulipta (atogepant), Quviviq™ (daridorexant)​​​​​

    R: Ragwitek (ragweed pollen allergen extract), Ravicti (glycerol phenylbutyrate), Relistor (methylnaltrexone), Repatha (evolocumab), Retin A (tretinoin), Revatio (sildenafil), Rezurock (belumosudil), Revlimid (lenalidomide), Rexulti (brexpiprazole), Reyvow (lasmiditan), Robinul (glycopyrrolate), Ruzurgi (amifampridine), Remodulin (treprostinil)

    S: Segluromet (ertugliflozin & metformin)​​, Serostim (​somatropin), SGLT2-DPP4 (dipeptidyl peptidase 4) Inhibitors Combo, Siklos (hydroxyurea), Sivextro (tedizolid phosphate), Sklice (ivermectin), Skyrizi (risankizumab), ​Sotyktu (deucravacitinib​), Spevigo (spesolimab-sbzo), Spinraza (nusinersen), Spravato (esketamine), Sprycel (dasatinib), Steglatro (ertugliflozin)​, Stelara (ustekinumab), Strattera (atomoxetine), Sublocade (buprenorphine), Subutex (buprenorphine), Sunosi (solriamfetol), Symdeko (tezacaftor/ ivacaftor), Sympazan (clobazam), Symproic (naldemedine), Synagis (palivizumab), Synjardy, Synjardy XR (empagliflozin & metformin),​ Saphnelo (anifrolumab-fnia)​

    T: Taltz (ixekizumab), Targretin (bexarot​ene), Tavalisse (fostamatinib disodium hexahydrate), Tazorac (tazarotene), Tecfidera (dimethyl fumarate), Tecartus (brexucabtagene autoleucel), Tecartus (brexucabtagene autoleucel)​, Temodar (temozolomide), TOBI (tobramycin inhalation solution), TOBI Podhaler​ (tobramycin Inhalation Capsule),​ Tobramycin Inhalation Solution,  Trijardy XR (empagliflozin, linagliptin, and metformin), Trikafta (elexacaftor, tezacaftor, ivacaftor), Trokendi XR (topiramate ER), Trulance (plecanatide), Tykerb (lapatinib ditosylate), Tymlos (abaloparatide), Tysabri (natalizumab), Tyvaso (treprostinil), Twyneo, Tezspire, Thalomid (thalidomide), 

    U: Ubrelvy (ubrogepant), Udenyca (pegfilgrastim), Uplizna (inebilizumab), Uptravi (selexipag)

    V: Velcade (bortezomib), Veltassa (patiromer), Verquvo (vericiguat), Viberzi (eluxadoline), Viltepso (viltolarsen), Vivitrol (naltrexone), Vumerity (diroximel fumarate DR), Vyepti (eptinezumab), Vyondys 53 (golodirsen), Vyvanse chewable tablets (lisdexamfetamine), Vimizim (elosulfase alfa), 

    W: Wakix (pitolisant)

    X: Xarelto 2.5mg (rivaroxaban), Xeljanz (tofacitinib), Xeloda (capecitabine), Xgeva (denosumab), Xifaxan (rifaximin), Xigduo XR (dapagliflozin & metformin), Xyrem (sodium oxybate), Xywav (calcium, magnesium, potassium, sodium oxybates)

    Z: Zeposia​ (ozanimod), Zohydro ER (hydrocodone), Zokinvy (lonafarnib), Zolgensma (onasemnogene abeparvovec), Zostavax (zoster vaccine, live), Zulresso (brexanolone), Zytiga (abiraterone), Zyvox (linezolid)​​