| Epclusa           | 
              
          
                                                                                        | Harvoni           | 
              
          
                                                                                        | Sovaldi           | 
              
          
                                                                                        | Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a           | 
              
          
                                                                                        | Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a           | 
              
          
                                                                                        | Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a           | 
              
          
                                                                                        | Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a           | 
              
          
                                                                                        | Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a           | 
              
          
                                                                                        | Specialty Quantity Limit Hepatitis C Medications 2184 H P2018a           | 
              
          
                                                                                        | Viekira           | 
              
          
                                                                                        | Vosevi           | 
              
          
                                                                                        | Zepatier           |