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VA Anthem Common Core Formulary 

Members, if you have questions about the VA Anthem Common Core Formulary, please contact Customer Care at 1-800-901-0020. Hours of operation are Monday through Friday 8 a.m. to 8 p.m.

Providers, if you have questions about the VA Anthem Common Core Formulary, please contact Customer Care at 1-800-901-0020 for more information. Retail Pharmacy requests can be faxed at 1-844-512-7020. Medical Injectables requests can be faxed at 1-844-512-7022. Hours of operation are Monday through Friday 8 a.m. to 8 p.m.

Machine Readable Data for Prescription Drug Formulary: VA Anthem Common Core Formulary Machine Readable File


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*5-Ht4 Receptor Agonists****Adenosine Deaminase Scid Treatment - Agents****Adenosine Receptor Antagonist****Adhd/Anti-Narcolepsy/Anti-Obesity/Anorexiants**Agents For Narcotic Withdrawal****Agents For Opioid Withdrawal****Als Agents - Miscellaneous****Alternative Medicine - Ag's****Alternative Medicine - Da's****Alternative Medicine - La's***Alternative Medicine - Li's****Alternative Medicine - Os****Alternative Medicine - Pe's****Alternative Medicine - Wo's****Alternative Medicines**Amebicides**Amino Acids****Aminoglycosides**Aminolevulinate Synthase 1-Directed Sirna****Aminomethylcyclines****Analgesic Combinations - Topical****Analgesics - Anti-Inflammatory**Analgesics - Nonnarcotic**Analgesics - Opioid**Androgen Combinations****Androgens-Anabolic**Anorectal Agents**Antacids**Anthelmintics**Antianginal Agents**Antianxiety Agents**Antiarrhythmics**Antiasthmatic And Bronchodilator Agents**Anticoagulants - Misc.****Anticoagulants**Anticonvulsants**Antidementia Agent Combinations****Antidepressants**Antidiabetics**Antidiarrheal/Probiotic Agents**Antidiarrheals**Antidote Combinations****Antidotes And Specific Antagonists**Antidotes**Antiemetics**Antifungals**Antihemophilic Products - Monoclonal Antibodies****Antihistamines**Antihyperlipidemics Misc. Combinations****Antihyperlipidemics**Antihypertensives**Anti-Infective Agents - Misc.**Antimalarials**Antimyasthenic Agents**Antimyasthenic/Cholinergic Agents**Antimycobacterial Agents**Antineoplastic - Bcl-2 Inhibitors****Antineoplastic - Bispecific T-Cell Engagers****Antineoplastic - Fgfr Kinase Inhibitors****Antineoplastic - Hormonal And Related Agent Combinations****Antineoplastic - Methyltransferase Inhibitors****Antineoplastic - Tropomyosin Receptor Kinase Inhibitors****Antineoplastic - Xpo1 Inhibitors****Antineoplastic Or Premalignant Lesion Agent - Comb****Antineoplastics And Adjunctive Therapies**Anti-Obesity - Glp-1 Receptor Agonists****Anti-Obesity Agent Combinations***Antiparkinson Agents**Antipsoriatic Combinations****Antipsychotics/Antimanic Agents**Antiretrovirals - Cd4-Directed Post-Attachment Inhibitor****Antiretrovirals Adjuvants****Antisense Oligonucleotide (Aso) Inhibitor Agents****Antiseptics & Disinfectants**Antivirals**Anti-Von Willebrand Factor Agents****Assorted Classes**Atopic Dermatitis - Monoclonal Antibodies****Bacterial Monoclonal Antibodies****B-Complex W/ E & Folic Acid****Beta Blockers**Bile Acid Synthesis Disorder Agents****Biologicals Misc**Biotin W/ Vitamins C & E****Bulk Chemicals - Ku****Bulk Chemicals - Ny****Bulk Chemicals - Os****Bulk Chemicals - Zo's****Calcitonin Gene-Related Peptide (Cgrp) Receptor Antag****Calcitonin Gene-Related Peptide Receptor Antag (Cgrp)****Calcium Channel Blocker-Nsaid Combinations****Calcium Channel Blockers**Cardiotonics**Cardiovascular Agents - Misc.**Casts, Splints & Accessories****Cephalosporin Combinations****Cephalosporins - Siderophores****Cephalosporins**Chemicals**Cic Agents - Guanylate Cyclase-C (Gc-C) Agonists****Contraceptives**Corticosteroids**Cough/Cold/Allergy**Cyclin-Dependent Kinases (Cdk) Inhibitors****Cystic Fibrosis Agent - Combinations****Dermatologicals**Diagnostic Products**Diagnostic Radiopharmaceuticals - Gases****Dietary Products/Dietary Management Products**Digestive Aids**Digestive Enzyme Cartridge****Digital Therapy****Direct-Acting P2y12 Inhibitors****Diuretics**Dopamine And Norepinephrine Reuptake Inhibitors (Dnris)****Endocrine And Metabolic Agents - Misc.**Erythroid Maturation Agents****Estrogen Combinations****Estrogen-Androgen-Progestin****Estrogens**Estrogen-Selective Estrogen Receptor Modulator Comb****Farnesoid X Receptor (Fxr) Agonists****Fentanyl Combinations****Fluorocyclines****Fluoroquinolones**Gaba Receptor Modulator - Neuroactive Steroid****Gastrointestinal Agents - Misc.**General Anesthetics**Genitourinary Agents - Miscellaneous**Glycopeptides****Gout Agents**Hair Growth Agent - Combinations****Hematological Agents - Misc.**Hematopoietic Agents**Hemoglobin S (Hbs) Polymerization Inhibitors****Hemostatics**Hepatitis C Agent - Combinations****Hereditary Orotic Aciduria Treatment - Agents***Histamine H3-Receptor Antagonist/Inverse Agonists****Hypnotic Combinations****Hypnotics**Hypophosphatasia (Hpp) Agents****Ibs Agent - 5-Ht4 Receptor Partial Agonists****Ibs Agent - Mu-Opioid Receptor Agonists****Immunosuppressive Agents - Topical Combinations****Impotence Agent Combinations****Impotence Agents - Other****In Vitro Anticoagulant Combinations****In Vitro/Lock Anticoagulant Combinations****In Vitro/Lock Anticoagulants****Insulin-Incretin Mimetic Combinations****Insulin-Like Growth Factor-1 Receptor Inhibitors(Igf-1R)****Integrin Receptor Antagonists****Interleukin Antagonists****Interleukin-5 Antagonists (Igg1 Kappa)****Interleukin-5 Antagonists (Igg4 Kappa)****Interleukin-6 (Il-6) Antagonists****Isocitrate Dehydrogenase-1 (Idh1) Inhibitors****Isocitrate Dehydrogenase-2 (Idh2) Inhibitors****Ketone Monitoring Test Supplies****Laxatives**Leptin Analogues****Lhrh/Gnrh Agonist Analog Combinations****Local Anesthetics-Parenteral**Lymphocyte Function-Associated Antigen-1 (Lfa-1) Antag****Lysosomal Acid Lipase (Lal) Deficiency - Agents****Macrolides**Medical Devices**Medication Disposal Systems****Melanocortin Receptor Agonists****Migraine Products**Minerals & Electrolytes**Miscellaneous Therapeutic Classes**Mixed Allergenic Extracts****Monobactams****Mouth/Throat/Dental Agents**Mucopolysaccharidosis Iv (Mps Iv) - Agents****Mucopolysaccharidosis Vii (Mps Vii) - Agents****Multiple Sclerosis Agents - Antimetabolites****Multiple Vitamins & Fluoride-Folic Acid****Multiple Vitamins W/ Minerals & Fluoride-Iron-Folic Acid****Multiple Vitamins With Folic Acid****Multivitamins**Muscular Dystrophy Agents****Musculoskeletal Therapy Agents**Nasal Agents - Systemic And Topical**Nasal Anesthetics****Neprilysin Inhib (Arni)-Angiotensin Ii Recept Antag Comb****Neurogenic Orthostatic Hypotension (Noh) - Agents****Neuromuscular Agents**N-Methyl-D-Aspartic Acid (Nmda) Receptor Antagonists****Nsaid-Dietary Management Combinations****Nsaid-Vitamins And/Or Minerals Combinations****Nutrients**Oncolytic Viral Agents - Hsv1****Ophthalmic Agents**Ophthalmic Gene Therapy****Ophthalmic Kinase Inhibitors - Combinations****Ophthalmic Local Anesthetic - Combinations****Ophthalmic Nerve Growth Factors****Ophthalmic Photoenhancer Combinations****Ophthalmic Rho Kinase Inhibitors****Opioid Antagonist Combinations****Orexin Receptor Antagonists****Otic Agents**Oxaborole-Related Antifungals - Topical****Oxytocics**Pa Endonuclease Inhibitors****Passive Immunizing Agents - Combinations****Passive Immunizing Agents**Pcsk9 Inhibitors****Pediatric Multiple Vitamins & Minerals W/ Fluoride****Penicillins**Peritoneal Dialysis Solutions****Pharmaceutical Adjuvants**Phosphatidylinositol 3-Kinase (Pi3k) Inhibitors****Phosphodiesterase 4 (Pde4) Inhibitors - Topical****Phosphodiesterase 4 (Pde4) Inhibitors****Plasma Kallikrein Inhibitors - Monoclonal Antibodies****Pleuromutilins****Poly (Adp-Ribose) Polymerase (Parp) Inhibitors***Poly (Adp-Ribose) Polymerase (Parp) Inhibitors****Postherpetic Neuralgia (Phn) Combination Agents****Postherpetic Neuralgia (Phn)/Neuropathic Pain Agents****Postherpetic Neuralgia(Phn)/Neuropathic Pain Comb Agents****Potassium Removing Agents****Prenatal Mv & Min W/Fe-Fa & Coenzyme Q10****Prenatal Mv & Minerals W/ Fa Without Iron****Prenatal Mv & Minerals W/ Fa-Omega Fatty Acids W/O Iron****Prenatal Mv & Minerals W/Fa Without Iron****Progestins**Protease-Activated Receptor-1 (Par-1) Antagonists****Protein-Carbohydrate-Lipid With Electrolyte Combinations****Psychotherapeutic And Neurological Agents - Misc.**Pulmonary Fibrosis Agents - Kinase Inhibitors****Pulmonary Fibrosis Agents****Pulmonary Hypertension - Prostacyclin Receptor Agonist****Respiratory Agents - Misc.**Rosacea Combinations****Scar Treatment Products - Combinations****Sclerostin Inhibitors****Seborrheic Keratosis Products***Seizure Monitoring Products****Selectin Blockers****Selective Serotonin Agonists 5-Ht(1F)****Semi Solid Vehicle Combinations***Septal Agents - Ablation***Serotonin 1A Recept Agonist/Serotonin 2A Recept Antag****Serotonin Modulators****Sglt2 Inhibitor - Dpp-4 Inhibitor Combinations****Sinus Node Inhibitors***Small Interfering Ribonucleic Acid (Sirna) Agents****Sodium-Glucose Co-Transporter 2 Inhibitor-Biguanide Comb****Spinal Muscular Atrophy-Antisense Oligonucleotides****Spinal Muscular Atrophy-Gene Therapy Agents****Spleen Tyrosine Kinase (Syk) Inhibitors****Steroids - Mouth/Throat/Dental****Sulfonamides**Surgical Sealants****Tetracyclines**Tetrahydroisoquinolines****Thickened Products****Thyroid Agents**Topical Anesthetic Gases****Toxoids**Transthyretin Stabilizers****Tripeptidyl Peptidase 1 Deficiency Treatment - Agents****Tryptophan Hydroxylase Inhibitors****Ulcer Drugs**Urinary Analgesic Combinations****Urinary Anti-Infectives**Urinary Antispasmodics**Vaccines**Vaginal Products**Vasopressors**Vesicoureteral Reflux (Vur) Agent Combinations****Vitamins A & C****Vitamins A & D W/ K****Vitamins A & D W/ Minerals****Vitamins**X-Linked Hypophosphatemia (Xlh) Treatment - Agents***
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Formulary Id: IN Basic
Formulary Effective Date: 03/19/2020
Updated:
04/2020

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