Red-flag medications The following medications will generally trigger a decline for an applicant who takes them. Conversely, not using these drugs doesn’t guarantee approval. This list will be updated over time as medications and indications change.
Red-flag medications
Brand name
Generic/trade name
Adempas
Riociguat
Anoro Ellipta
Umeclidinium-Vilanterol
Antabuse
Disulfiram
Aranesp
Darbepoetin Alfa
Aricept
Donepezil Hcl
Lymphocyte Immune Globulin
Atgam
Austedo
Deutetrabenazine
Autoplex T
Anti Inhibitor Coagulant Complex
Benefix
Coagulation Factor Ix
Benlysta
Belimumab
Bevespi Aerosphere
Glycopyrrolate-Formoterol
Biktarvy
Biktarvy
Calcium Acetate
Calcium Acetate
Campral
Acamprosate Calcium
Coagadex
Coagulation Factor X
Cognex
Tacrine Hydrochloride
Corlanor
Ivabradine Hcl
Cystagon
Cysteamine Bitartrate
Daliresp
Roflumilast
Depade
Naltrexone
Donepezil HCL
Donepezil Hydrochloride
Epogen
Epoetin Alfa
Ergoloid Mesylates
Pirfenidone
Exelon
Rivastigmine
Red-flag medications
Brand name
Generic/trade name
Fentanyl Patch
Duragesic, Abstral, Subsys
Flolan
Epoprostenol Sodium
Galantamine
Razadyne/Er
Granix
Tbo-Filgrastim
Harvoni
Ledipasvir/Sofosbuvir
Hectorol
Doxercalciferol
Methadone HCl
Methadone Hcl
Mononine
Coagulation Factor Ix
Morphine (long-term use)
Avinza, Kadian/Er,Morphabond, Ms Contin, Oramorph, Roxanol/T
Namenda
Memantine
Namzaric
Memantine Hcl-Donepezil Hcl
Neulasta
Pegfilgrastim
Ofev
Nintedanib Esylate
Pegfilgrastim
Tamoxifen
Procrit
Epoetin Alfa
Radicava
Edaravone
Rapamune
Sirolimus
Remodulin
Treprostinil Sodium
ReVia
Naltrexone
Revlimid
Lenalidomide
Rivastigmine Tartrate
Rivastigmine Tartrate
Stiolto Respimat
Tiotropium B romide-Olodaterol Hcl
Suboxone
B uprenorphine/Naloxone
Red-flag medications
Brand name
Generic/trade name
Stalevo
Combo Of: Levodopa, Carbidopa, Entacapone
Sustiva
Efavirenz
Tracleer
Bosentan
Ventavis
Iloprost
Viracept
Nelfinavir
Vivitrol
Naltrexone
Xenazine
Tetrabenazine
Zarxio
Filgrastim-Sndz
Ziagen
Abacavir
Zortress
Everolimus
Page 1 Page 2 Page 3 Page 4Made with FlippingBook - professional solution for displaying marketing and sales documents online