East Region Formulary

Adalimumab

Amgevita 20mg/0.2ml solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Eye	Uveitis

Amgevita 20mg/0.4ml solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Eye	Uveitis

Amgevita 40mg/0.4ml solution for injection pre-filled pens

On formulary for the treatment of:

Therapeutic Area	Condition
Eye	Uveitis

Amgevita 40mg/0.4ml solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Eye	Uveitis

Amgevita 40mg/0.8ml solution for injection pre-filled pens

On formulary for the treatment of:

Therapeutic Area	Condition
Eye	Uveitis

Amgevita 40mg/0.8ml solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Eye	Uveitis

Amgevita 80mg/0.8ml solution for injection pre-filled pens

On formulary for the treatment of:

Therapeutic Area	Condition
Eye	Uveitis

Amgevita 80mg/0.8ml solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Eye	Uveitis

Cladribine

Mavenclad 10mg tablets

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Dimethyl fumarate

Dimethyl fumarate 120mg gastro-resistant capsules

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Dimethyl fumarate 240mg gastro-resistant capsules

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Diroximel fumarate

Vumerity 231mg gastro-resistant capsules

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Fingolimod

Fingolimod 500microgram capsules

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Glatiramer

Glatiramer acetate 20mg/1ml solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Glatiramer acetate 40mg/1ml solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Interferon beta-1a

Avonex 30micrograms/0.5ml (6million units) solution for injection pre-filled pens

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Avonex 30micrograms/0.5ml (6million units) solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Natalizumab

Tyruko 300mg/15ml concentrate for solution for infusion vials

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Tysabri 150mg/1ml solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Tysabri 300mg/15ml concentrate for solution for infusion vials

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Ocrelizumab

Ocrevus 300mg/10ml concentrate for solution for infusion vials

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Ocrevus 920mg/23ml solution for injection vials

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Ofatumumab

Kesimpta Sensoready 20mg/0.4ml solution for injection pre-filled pens

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Ozanimod

Zeposia 0.23mg capsules

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Zeposia 0.23mg/0.46mg capsules treatment initiation pack

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Zeposia 0.46mg capsules

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Peginterferon beta-1a

Plegridy 125micrograms/0.5ml solution for injection pre-filled pens

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Plegridy 125micrograms/0.5ml solution for injection pre-filled syringes

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Plegridy 63micrograms/0.5ml solution for injection pre-filled pens

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Plegridy 94micrograms/0.5ml solution for injection pre-filled pens

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Siponimod

Mayzent 0.25mg tablets

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Mayzent 1mg tablets

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Mayzent 2mg tablets

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Teriflunomide

Teriflunomide 14mg tablets

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis

Ublituximab

Briumvi 150mg/6ml concentrate for solution for infusion vials

On formulary for the treatment of:

Therapeutic Area	Condition
Central nervous system	Multiple sclerosis