To request a drug prior authorization (PA), contact the Minnesota Health Care Programs Prescription Drug PA Agent at 866-205-2818 (phone) or 866-648-4574 (fax).
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z
Abilify MyCite
Abiraterone
Actemra
Acthar Gel
Actiq-Abstral-Fentora-Lazanda-Onsolis-Subsys
Adakveo
Adcetris
Aduhelm
Agamree
Akynzeo
Alecensa
Aliqopa
Alunbrig
Amondys 45
Ampyra
Amrix
Amvuttra
Annovera
Anti-Obesity Medications
Aptiom
Arcapta
Arikayce
Aristada
Austedo
Ayvakit
Azasite
Balversa
Banzel
Bavencio
Baxdela
Benlysta
Beovu
Besponsa
Beqvez
Bevyxxa
Biosimilars
Blenrep
Bosulif
Botulinum Toxins
Braftovi
Brand Preferred Over Generic
Branded Drugs - DAW
Brexafemme
Brineura
Briviact
Bryhali
Bylvay
Cabometyx
Calquence
Camzyos
Capital and Codeine
Caprelsa
Carisoprodol
CGRP Antagonists
Cholbam
Cibinqo
Cinqair
Cometriq
Copiktra
Corlanor
Cotellic
Crysvita
Cystaran
Darzalex
Daybue
Dayvigo
Desoxyn
Diabetic testing supplies
Diacomit
Dojolvi
Doptelet
Doxylamine-Pyridoxine Fixed Dose Combinations
Drugs with new or expanded indications
Duavee
Dupixent
Durysta
Egaten
Egrifta
Elevidys
Elfabrio
Elzonris
Emflaza
Empliciti
Endari
Enhertu
Enjaymo
Enspryng
Eohilia
Epaned
Epidiolex
Erivedge
Erleada
Erwinaze
Eucrisa
Evekeo
Evenity
Exkivity
Evrysdi
Exondys 51
Eylea
Fabhalta
Farydak
Fasenra
Fenofibrates
Ferriprox
Fexmid
Filsuvez
Fintepla
Fleqsuvy
Fyarro
Fycompa
Galafold
Gattex
Giazo
Gilotrif
Givlaari
GnRH agonists for pubertal suppression
Gocovri
Gralise
Grandfathering Definition and Criteria
Grastek
Growth Hormone
Hemady
Hemangeol
Hemgenix
Hepatitis C (effective beginning 3/1/2023)
Hepatitis C (effective beginning 1/1/2025)
Hereditary Angioedema
Hetlioz and Hetlioz LQ
Hospital discharge transition fill
Ibrance
Iclusig
Idhifa
Ilaris
Imbruvica
Imcivree
Imlygic
Immunomodulators
Ingrezza
Inlyta
Inqovi
Inrebic
Intuniv
Iqirvo
Iressa
Izervay
Kalydeco
Kanuma
Kapvay
Kerendia
Keveyis
Keytruda
Kimmtrak
Kineret
Kisqali
Kisunla
Korlym
Krintafel
Lartruvo
Lemtrada
Lenvima
Leqembi
Libtayo
Lidoderm
Livdelzi
Livmarli
Livtencity
Lokelma
Lonsurf
Lorbrena
Lucemyra
Lucentis
Lumoxiti
Lutathera
Luxturna
Lynparza
Macrilen
Marinol
Mavenclad
Mayzent
Medication Therapy Management
Mekinist
Mektovi
Mepsevii
Monjuvi
Mozobil
Mulpleta
Myalept
Naloxone
Nascobal
Nerlynx
New drugs and new or nonpreferred dosage forms
Nexviazyme
Ninlaro
Nitisinone
Novarel
Nubeqa
Nucala
Nucynta
Nuedexta
Nulojix
Nuplazid
Nursing home transition fill
Nurtec ODT
Nuzyra
Ocaliva
Ocrevus
Odomzo
Oleptro
Omeclamox-Pac
Oncology Drugs
Ongentys
Onmel
Onpattro
Opdivo
Opdualag
Ophthalmic Antihistamines
Opiate Combinations
Opioids Long Acting Pain Management Plan
Oracea
Oralair
Oriahnn
Orilissa
Orkambi
Otrexup
Oxbryta
Padcev
Palforzia
Palynziq
Parsabiv
PCSK9 Inhibitors
Pemazyre
Pemfexy
Phentolamine
Phesgo
PiaSky
Piqray
Polivy
Pomalyst
Potiga
Probuphine
Prolia
Provigil, Nuvigil
Pyrukynd
Radicava
Ragwitek
Rasuvo
Ravicti
Rayaldee
Rebyota
Recorlev
Rectiv
Retevmo
Retroactive eligibility
Revatio, Adcirca
Revcovi
Reyvow
Rezdiffra
Rivfloza
Roctavian
Rozlytrek
Rubraca
Rydapt
Rylaze
Ryplazim
Rystiggo
Samsca
Saphnelo
Sarclisa
Scemblix
Scenesse
Secuado
Seroquel XR (regimen review)
Siklos
Silenor
Sinuva
Sirturo
Soliris
Solosec
Soolantra
Spevigo
Spinraza
Spravato
Stivarga
Strensiq
Sunosi
Susvimo
Symdeko
Synagis - MN policy 2024-2025 season
Tabrecta
Tagrisso
Talzenna
Tarpeyo
Tecentriq
Tepezza
Tezspire
Tibsovo
Tivdak
Trikafta
Triptan quantity limits
Trodelvy
Trogarzo
Trokendi XR
Truseltiq
Tukysa
Tyrvaya
Tysabri
Tzield
Ubrelvy
Ultomiris
Ultram ER, Ryzolt ER, ConZip
Uptravi
Vabysmo
Veltassa
Venclexta
Veozah
Verzenio
Vevye
Vijoice
Viltepso
Vimizim
Vitrakvi
Vivjoa
Vizimpro
Vonjo
Voquezna
Vowst
Voxzogo
Voydeya
Vuity
Vumerity
Vyepti
Vyjuvek
Vyndaqel & Vyndamax
Vyondys 53
Vyvgart
Wainua
Wakix
Welireg
Winrevair
Xalkori
Xcopri
Xenazine
Xenical
Xenleta
Xenpozyme
Xermelo
Xgeva
Xifaxan
Xofluza
Xolair
Xpovio
Xtandi
Xyrem
Xywav
Zanaflex
Zejula
Zelboraf
Zeposia
Zepzelca
Ziana
Zilbrysq
Zinplava
Zolgensma
Zoryve Cream
Ztalmy
Zurzuvae
Zyclara
Zydelig
Zykadia
Zyprexa Relprevv
