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1. Injectable Drugs Requiring Pre-Authorization
   • Alpha-1-Antitrypsin
   • Betaseron and Avonex
   • Botox
   • Calcitriol (all forms)
   • Ceredase/Cerezyme
   • Depo-Provera
   • Enbrel
   • Erythropoietin
   • Growth Hormone, all forms including GH Releasing Factors
   • HCG (Human Chorionic Gonadotropin)
   • Hyalgan/Synvisc
   • Imitrex
   • Interferons, injectable - all forms
   • Intravenous Immune Globulin (IVIG)
   • Low Molecular Weight Heparin
   • Lupron/Zolvadex
   • Neupogen
   • Prostacycline
   • Rebetron (all forms)
   • Remicade
   • Sandostatin
   • Synagis/RespiGam
2. Non-injectable Drugs Requiring Pre-authorization
   • Anti-migraine Drugs
   • Toradol
   • Sympathomimetic amines (i.e. Ritalin)
   • Celebrex
   • Vioxx
   • Neuraminidase inhibitors
   • Zyvox

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