| Renflexis |
| Rozlytrek |
| Saizen |
| Siliq |
| 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 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 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 P2019b |
| Specialty Exceptions Multiple Sclerosis STD ACSF PDPD P2019a |
| Specialty Quantity Limit Actemra P2018a |
| Specialty Quantity Limit Alunbrig 1829 H P2019 |
| Specialty Quantity Limit Cinqair 2469 H P2019 |
| Specialty Quantity Limit Doptelet 2583 H P2019 |
| Specialty Quantity Limit Emflaza 1637 H P2019 |
