Pain management for cancer patients Acute Ischemic Stroke. Hemophilia, Von willebrand disease & Bleeding disorders. Infectious Disease

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1 Cigna Specialty Pharmacy Services Limited Distribution and Risk Evaluation Mitigation (RE) Drug List Last updated on 04/06/2015 Medication Brand Name Condition Actemra Rheumatroid Arthritis Acthar Seizure Disorders Actimmune Infectious Disease Actiq Pain management for cancer patients Activase Acute Ischemic Stroke Adcetris Advate Afinitor Aldurazyme Alferon Infectious Disease Alphanate Alphanine SD Alprolix Amicar Infusion Ampyra Apokyn Movement Disorders Arranon Arzerra Aubagio Avastin Aveed Avonex Bebulin Benefix Benlysta Systemic Lupus Erythematosus Bethkis Blincyto Bosulif Botox Botulinum Toxins Calcijex Kidney/low blood calcium Carimune Ceprotin Coagulation Disorders Cerdelga Ceredase Gaucher's Disease

2 Cerezyme Cetuximab Cimzia Cortrosyn Cubicin Cytarabine Inj Cytogam Dacogen Depocyt Diprivan Doxil Dysport Egrifta Elaprase Eloctate Emend Enbrel Entyvio Erbitux Erivedge Esbriet Exjade Extavia Eylea Fabrazyme Fampridine Fentora Feiba Firazyr Follistim Folotyn Foscarnet Foscavir Fulyzag Fusilev Fuzeon Gammagard Gammaplex Inflammatory Bowel Disease/ Rheumatoid Arthritis Infectious Disease Sleep medicine Botulinum Toxins HIV Inflammatory/ Rheumatoid Arthritis Inflammatory Bowel Disease Pulmonary disorders Iron Overload Pain medication for cancer patients Hereditary Angioedema Fertility HIV Herpes treatment Movement Disorders/HIV HIV

3 Gammar-P IV Gamunex Gazyva Gemcitabine Gilenya Glassia Halaven Helixate Hemofile Herceptin Hetlioz Histatrol Hizentra Humate Humira Pediatric Hycamtin Hyperrho Ibrance Ilaris Imovax Rabies Vaccine Inlyta Ipilimumab Iprivask Istodax Iveegam Ixiaro Ixempra Jadenu Jevtana Kadcyla Kalydeco Kepivance Keytruda Koate Kogenate Krystexxa Kuvan Kyprolis Alpha-1 Antitrypsin Deficiency Sleep-wake Disorder Gastrointestinal Disorders Inflammatory Bowel Disease/ psoriasis Cryopyrin-Associated Periodic Syndromes Rabies Preventing blood clots Vaccine Iron Overload Gout Phenylketonuria

4 Lemtrada Letairis Leukine Lioresal Lucentis Lumizyme Macugen Makena Marqibo Kit Mekinist Mirena Monoclate Mononine Mozobil Myozyme Nexavar Nexavir inj Nortrel NovoSeven Nplate Nulojix Nutropin Omontys Oncaspar Opdivo Opsumit Oralair Orencia Otezla Ozurdex Panhematin Panretin gel Perjeta Pertuzumab Plegridy Polygam Pomalyst Prialt Pulmonary Arterial Hypertension / Neutropenia Spasticity Pre-Term Birth/Fertility Intrauterine Device (IUD) Hematopoietics Inflammatory Contraceptives Immune (idiopathic) Thrombocytopenic Purpura Transplant Growth Hormone Disorders Anemia Pulmonary Arterial Hypertension Allergen Immunotherapy Rheumatoid Arthritis Psoriasis/ Rheumatoid Arthritis Acute Porphyria Pain med

5 Privigen Profilnine Prolia Promacta Propoven aka Fresenius Provisc Purixan Reclast Recombivax Recombinate Regranex Reopro Retisert Revlimid Rhogam Plus RiaStap Rituxan Rixubis Sandoglobulin Serostim Skyla Solesta Soliris Somatuline Depot Sotradecol Stelara Stimate Stivarga Supprelin La Sutent Sylatron Synagis Synribo Tafinlar Tasigna Tecfidera Thalomid Thrombate III Osteoporosis Immune (idiopathic) Thrombocytopenic Purpura Anesthesia Joint Degeneration Osteoporosis Diabetic Skin Ulcers Blood disorders Fertility/ immune Deficiencies / Rheumatoid Arthritis HIV/ Growth Hormone Intrauterine Device (IUD) Gastrointestinal Disorders Paroxysmal Nocturnal Hemoglobinuria Acromegaly Sclerosing agent Rheumatoid Arthritis Respiratory Syncytial Virus Thromboembolism

6 Thyrogen Tice Tobi Tobi-Podhaler Tracleer Trelstar Tykerb TYR express Tysabri Valstar Vantas Varithena Velcade Venoglobulin Versed Viadur Vidaza Vistide Visudyne Vivitrol Voraxaze Votrient Vpriv Wilate Xalkori Xeljanz Xeomin Xgeva Xiaflex Xigris Xolair Xtandi Xtyntha Yervoy Zaltrap Zelboraf Zolinza Zorbtive Pulmonary Arterial Hypertension Tyrosinemia /Inflammatory Bowel Disease Sclerosing agent Hypnotiq, sleep agent Alcohol/Opioid Dependency / Rheumatoid Arthritis Botulinum Toxins Dupuytren's Contracture Blood disorders Allergic Asthma Growth Hormone Disorders

7 Zostavax Zuplenz Zyprexa Relprevv Zytiga Shingles vaccine Nausea and vomiting Schizophrenia Cigna, and the Tree of Life" logo are registered service marks and Cigna Specialty Pharmacy Services is a service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries, and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C., and HMO or service company subsidiaries of Cigna Health Corporation. Cigna Specialty Pharmacy Services refers to the specialty drug division of Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C., doing business as Cigna Home Delivery Pharmacy.

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