| Specialty Exceptions Autoimmune ACSF BAL PDPD VF 3246 D P2020a |
| Specialty Exceptions Autoimmune ACSF BAL PDPD VF 3246 D P2020a |
| Specialty Exceptions Autoimmune ACSF BAL PDPD VF 3246 D P2020a |
| Specialty Exceptions Autoimmune ACSF PDPD VF 2718 D P2019a |
| Specialty Quantity Limit 1699 H Zydelig P2019 |
| Specialty Quantity Limit 1804 H HIV Medications P2019 |
| Specialty Quantity Limit Arcalyst 1744 H P2019 |
| Specialty Quantity Limit Austedo 1725 H P2019 |
| Specialty Quantity Limit Bosulif 1720 H P2019 |
| Specialty Quantity Limit Brukinsa 3413 H P2019 |
| Specialty Quantity Limit Cabometyx 1614 H P2019 |
| Specialty Quantity Limit Caprelsa P2018a |
| Specialty Quantity Limit Cerdelga 1693 H P2019 |
| Specialty Quantity Limit Cerezyme 1695 H P2019 |
| Specialty Quantity Limit CF Medications 1875 H P2019a |
| Specialty Quantity Limit CF Medications 1875 H P2019a |
| Specialty Quantity Limit CF Medications 1875 H P2019a |
| Specialty Quantity Limit CF Medications 1875 H P2019a |
| Specialty Quantity Limit CF Medications 1875 H P2019a |
| Specialty Quantity Limit CF Medications 1875 H P2019a |
