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Oral Chemotherapy Drugs (effective October 1, 2017) ORAL CHEMOTHERAPY DRUGS A Afinitor (everolimus) Alecensa (alectinib) Alkeran (melphalan) Alunbrig (brigatinib) Arimidex (anastrozole) Aromasin (exemestane) B Bosulif (bosutinib) C Cabometyx (cabozantinib) Caprelsa (vandetanib) Casodex (bicalutamide) Cometriq (cabozantinib) Cotellic (cobimetinib) Cyclophosphamide (cyclophosphamide caps) D Droxia (hydroxyurea) E Emcyt (estramustine) Erivedge (vismodegib) etoposide F Fareston (toremifene citrate) Farydak (panobinostat) Femara (letrozole) flutamide G Gilotrif (afatinib) Gleevec (imatinib) Gleostine (lomustine) H Hexalen (altretamine) Hycamtin (topotecan) Hydrea (hydroxyurea) I Ibrance (palbociclib) Iclusig (ponatinib) Idhifa (enasidenib) Imbruvica (ibrutinib) Inlyta (axitinib) Iressa (gefitinib) J Jakafi (ruxolitinib) K Kisqali (ribociclib) Kisqali Femara Co-Pack (ribociclib and letrozole) L Lenvima (lenvatinib) leucovorin Leukeran (chlorambucil) Lonsurf (trifluridine/tipiracil) Lynparza (olaparib) Lysodren (mitotane) M Matulane (procarbazine) Megace (megestrol acetate) Mekinist (trametinib) mercaptopurine Mesnex (mesna) methotrexate Myleran (busulfan) N Nerlynx (neratinib) Nexavar (sorafenib) Nilandron (nilutamide) Ninlaro (ixazomib) O Odomzo (sonidegib) P Pomalyst (pomalidomide) Purixan (mercaptopurine susp) R Revlimid (lenalidomide) Rubraca (rucaparib) Rydapt (midostaurin) S Soltamox (tamoxifen citrate) Sprycel (dasatinib) Stivarga (regorafenib) Sutent (sunitinib) T Tabloid (thioguanine) Tafinlar (dabrafenib) Tagrisso (osimertinib) tamoxifen Tarceva (erlotinib) Targretin (bexarotene) Tasigna (nilotinib) Temodar (temozolomide) Thalomid (thalidomide) tretinoin Trexall (methotrexate) Tykerb (lapatinib) V Venclexta (venetoclax) Votrient (pazopanib) X Xalkori (crizotinib) Xatmep (methotrexate soln) Xeloda (capecitabine) Xtandi (enzalutamide) Z Zejula (niraparib) Zelboraf (vemurafenib) Zolinza (vorinostat) Zydelig (idelalisib) Zykadia (ceritinib) Zytiga (abiraterone) Brand names are capitalized and generic names are in lower case. Boldface type indicates generic availability. Boldface may not apply to every strength or dosage form under the listed generic name. This list will be updated periodically. Refer to your Evidence of Coverage for details. To learn more about your specific drug benefit, log into My Account at www.carefirst.com/myaccount and click on Drug & Pharmacy Resources under Quick Links or call CareFirst Pharmacy Services at 800-241-3371. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are both independent licensees of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross and Blue Shield Association. ®’ Registered trademark of CareFirst of Maryland, Inc. ©2017. All rights reserved. www.carefirst.com SUM2714-1P (10/01/17)

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  • Oral Chemotherapy Drugs (effective October 1, 2017)

    ORAL CHEMOTHERAPY DRUGS

    A Afinitor (everolimus) Alecensa (alectinib) Alkeran (melphalan) Alunbrig (brigatinib) Arimidex (anastrozole) Aromasin (exemestane)

    B Bosulif (bosutinib)

    C Cabometyx (cabozantinib) Caprelsa (vandetanib) Casodex (bicalutamide) Cometriq (cabozantinib) Cotellic (cobimetinib) Cyclophosphamide

    (cyclophosphamide caps)

    D Droxia (hydroxyurea)

    E Emcyt (estramustine) Erivedge (vismodegib) etoposide

    F Fareston

    (toremifene citrate) Farydak (panobinostat) Femara (letrozole) flutamide

    G Gilotrif (afatinib) Gleevec (imatinib) Gleostine (lomustine)

    H Hexalen (altretamine) Hycamtin (topotecan) Hydrea (hydroxyurea)

    I Ibrance (palbociclib) Iclusig (ponatinib) Idhifa (enasidenib) Imbruvica (ibrutinib) Inlyta (axitinib) Iressa (gefitinib)

    J Jakafi (ruxolitinib)

    K Kisqali (ribociclib) Kisqali Femara Co-Pack

    (ribociclib and letrozole)

    L Lenvima (lenvatinib) leucovorin Leukeran (chlorambucil) Lonsurf (trifluridine/tipiracil) Lynparza (olaparib) Lysodren (mitotane)

    M Matulane (procarbazine) Megace

    (megestrol acetate) Mekinist (trametinib) mercaptopurine Mesnex (mesna) methotrexate Myleran (busulfan)

    N Nerlynx (neratinib) Nexavar (sorafenib) Nilandron (nilutamide) Ninlaro (ixazomib)

    O Odomzo (sonidegib)

    P Pomalyst (pomalidomide) Purixan

    (mercaptopurine susp)

    R Revlimid (lenalidomide) Rubraca (rucaparib) Rydapt (midostaurin)

    S Soltamox

    (tamoxifen citrate) Sprycel (dasatinib) Stivarga (regorafenib)

    Sutent (sunitinib) T Tabloid (thioguanine) Tafinlar (dabrafenib) Tagrisso (osimertinib) tamoxifen Tarceva (erlotinib) Targretin (bexarotene) Tasigna (nilotinib) Temodar (temozolomide) Thalomid (thalidomide) tretinoin Trexall (methotrexate) Tykerb (lapatinib)

    V Venclexta (venetoclax) Votrient (pazopanib)

    X Xalkori (crizotinib) Xatmep (methotrexate soln)Xeloda (capecitabine) Xtandi (enzalutamide)

    Z Zejula (niraparib) Zelboraf (vemurafenib) Zolinza (vorinostat) Zydelig (idelalisib) Zykadia (ceritinib) Zytiga (abiraterone)

    Brand names are capitalized and generic names are in lower case. Boldface type indicates generic availability. Boldface may not apply to every strength or dosage form under the listed generic name. This list will be updated periodically. Refer to your Evidence of Coverage for details. To learn more about your specific drug benefit, log into My Account at www.carefirst.com/myaccount and click on Drug & Pharmacy Resources under Quick Links or call CareFirst Pharmacy Services at 800-241-3371.

    CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are both independent licensees of the Blue Cross and Blue Shield Association.

    Registered trademark of the Blue Cross and Blue Shield Association. Registered trademark of CareFirst of Maryland, Inc.

    2017. All rights reserved. www.carefirst.comSUM2714-1P (10/01/17)

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    NDLA (6/17)

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  • (Hindi) : - 855-258-6518 0 ,

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    (Bengali) : 855-258-6518 0

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    0 6518-258-855

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    . 0 855-258-6518

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    .0 855-258-6518

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    (Traditional Chinese)

    855-258-6518

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    (Korean) : . .

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    CareFirst Oncology 1017 40058 fmt usec apvdNDLA_ENGLISH_Sep2017