| Rocklatan |
| Rosac |
| Rosanil |
| Rosula |
| Simponi |
| Sitavig |
| Solodyn |
| 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 Quantity Limit Cimzia 2267 H P2019 |
| Specialty Quantity Limit Cosentyx 1737 H P2019 |
| Specialty Quantity Limit Simponi 2275 H P2019 |
| Specialty Quantity Limit Stelara 1738 H P2019 |
| Specialty Quantity Limit Taltz 1739 H P2019b |
| Stelara |
| Sumadan |
| Sumaxin |