| Specialty Quantity Limit Humira 2270 H P2019 |
| Specialty Quantity Limit hydroxyprogesterone caproate Makena… |
| Specialty Quantity Limit Ibrance 1904 H P2019b |
| Specialty Quantity Limit icatibant Firazyr 3057 H P2019 |
| Specialty Quantity Limit Iclusig 1721 H P2019 |
| Specialty Quantity Limit Ilumya 2543 H P2019 |
| Specialty Quantity Limit imatinib Gleevec 1719 H P2019 |
| Specialty Quantity Limit Imbruvica P2017b |
| Specialty Quantity Limit Inbrija 2864 H P2019a |
| Specialty Quantity Limit Inlyta 2214 H P2019a |
| Specialty Quantity Limit Inrebic 3163 H P2019 |
| Specialty Quantity Limit Jakafi P2017 |
| Specialty Quantity Limit Juxtapid Kynamro P2018 |
| Specialty Quantity Limit Juxtapid Kynamro P2018 |
| Specialty Quantity Limit Jynarque P2018 |
| Specialty Quantity Limit Kalbitor 3058 H P2019 |
| Specialty Quantity Limit Keveyis 2994 H P2019 |
| Specialty Quantity Limit Kevzara P2017b |
| Specialty Quantity Limit Kisqali 1652 H P2019b |
| Specialty Quantity Limit Kisqali Femara Co Pack 2103 H P2019a |