[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-287625-105":53,"doc-detail-287625-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","drugs-requiring-prior-authorization-by-archimedes-list","Drugs Requiring Prior Authorization by Archimedes - List","","Drugs Requiring Prior Authorization by Archimedes provides an alphabetical catalog of prescription drug names and related brand/generic identifiers that typically require prior authorization. The entries include oncology therapies, immune globulins and biologics, hormone and endocrine agents, neuromuscular medications, and specialty injectables. Several items also show active ingredients and formulation details in parentheses, supporting accurate matching during utilization management reviews and coverage checks.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/drugs-requiring-prior-authorization-by-archimedes-list/287625/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/drugs-requiring-prior-authorization-by-archimedes-list/287625.png","ImageObject",442,249,{"name":88,"@type":89},"Dipper","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-21","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What does this document contain?","Question",{"text":108,"@type":109},"It contains a list of drug names that require prior authorization by Archimedes, shown in an alphabetical format with some entries including ingredient and formulation details.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Are generic ingredients included for some drugs?",{"text":113,"@type":109},"Yes. Many entries pair the brand name with the active ingredient (and sometimes additional descriptors such as formulation or administration context).",{"name":115,"@type":106,"acceptedAnswer":116},"How can this list be used during authorization review?",{"text":117,"@type":109},"The list supports identifying whether a requested medication appears on the prior-authorization-required catalog, enabling consistent coverage checks and documentation.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},287625,1789967669,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":73,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":76},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Drugs Requiring Prior Authorization by Archimedes  \nAbraxane (paclitaxel protein-bound particles)  \nActemra (tocilizumab)  \nActhar gel (corticotropin, ACTH)  \nAdagen (pegademase bovine)  \nAdcetris (brentuximab)  \nAdstiladrin (vadofaragene firadenovec)  \nAkynzeo (fosnetupitant/palonosetron)  \nAldurazyme (laronidase)  \nAliqopa (copanlisib)  \nAloxi (palonosetron)  \nAlymsys (bevacizumab-maly)  \nAmtagvi (Lifileucel)  \nAmvuttra (vutrisiran)  \nAralast / Prolastin-C / Zemaira (alpha-1 proteinase inhibitor [Human])  \nAranesp (darbepoetin alfa (non-esrd))  \nArranon (nelarabine)  \nArzerra (ofatumumab)  \nAsceniv (immune globulin (IVIg))  \nAsparlas (calaspargase pegol-mknl)  \nAvastin (bevacizumab) -Ocular Indications Avastin (bevacizumab) -Oncologic Indications Avsola (infliximab)  \nAzedra (iobenguane I 131) Balfaxar (prothrombin)  \nBavencio (avelumab)  \nBeleodaq (belinostat)  \nBendamustine hydrochloride (Apotex)  \nBendamustine hydrochloride (Baxter)  \nBenlysta (belimumab)  \nBeovu (brolucizumab-dbll)  \nBesponsa (inotuzumab ozogamicin)  \nBicnu (carmustine)  \nBivigam (immune globulin (IVIg))  \nMDPHPA2PDN0825  \n1   \nDrugs Requiring Prior Authorization by Archimedes  \nBlenrep (belantamab mafodotin-blmf)  \nBlincyto (blinatumomab) bortezomib  \nBotox (onabotulinumtoxina)  \nBrineura (cerliponase alfa)  \nBriumvi (Ublituximab-xiiy)  \nByooviz (ranibizumab-nuna)  \nCarimune NF, Gammagard S/D (immune globulin (IVIg) Carmustine  \nCarvykti (ciltacabtagene autoleucel)  \nCeredase (alglucerase)  \nCerezyme (imiglucerase)  \nChromic phosphate P-32 suspension Cimerli (ranibizumab-eqrn)  \nCimzia (certolizumab pegol)  \nCinqair (reslizumab)  \nCinvanti (aprepitant)  \nClolar (clofarabine)  \nCrysvita (burosumab-twsa)  \nCyramza (ramucirumab)  \nDactinomycin (actinomycin D, Cosmegen)  \nDanyelza (naxitamab-gqgk)  \nDarzalex (daratumumab)  \nDarzalex Faspro (daratumumab and hyaluronidase-fihj) Denosumab-bbdz  \nDysport (abobotulinumtoxina)  \nElaprase (idursulfase)  \nElelyso (taliglucerase alfa)  \nEligard / Lupron Depot (leuprolide acetate)  \nElitek (rasburicase)  \nElzonris (tagraxofusp-erzs)  \nEmpliciti (elotuzumab)  \nEnhertu (fam-trastuzumab deruxtecan-nxki)  \nEntyvio (vedolizumab)  \nDrugs Requiring Prior Authorization by Archimedes  \nErbitux (cetuximab)  \nErwinaze (asparainase)  \nEuflexxa (hyaluronic acid derivatives)  \nEvenity (romosozumab-aqqg)  \nEylea (aflibercept)  \nFabrazyme (agalsidase beta)  \nFactrel (gonadorelin)  \nFaslodex (fulvestrant)  \nFensolvi (leuprolide)  \nFeraheme (ferumoxytol (ESRD))  \nFeraheme (ferumoxytol (Non-ESRD))  \nFerrlecit (sodium ferric gluconate)  \nFirmagon (degarelix)  \nFlebogamma / Flebogamma DIF (Immune globulin (IVIg)) Flolan / Veletri (epoprostenol sodium)  \nFolotyn (pralatrexate injection)  \nFulphila (pegefilfrastim-jmdb) fulvestrant  \nFusilev (levoleucovorin)  \nGamastan S/D (immune globulin (IVIg))  \nGamifant (emapalumab-lzsg)  \nGammagard Liquid (immune globulin (IVIg))  \nGammaplex (immune globulin (IVIg))  \nGamunex-C / Gammaked (immune globulin (IVIg))  \nGazyva (obinutuzumab)  \nGlassia (alpha-1 proteinase inhibitor [human])  \nGranix (tbo-filgrastim) Halaven (eribulin)  \nHerceptin (trastuzumab)  \nHerceptin Hylecta (trastuzumab and hyaluronidase-oysk) Herzuma (trastuzumab-pkrb)  \nIlaris (canakinumab)  \nIlumya (tildrakizumab)  \nIluvien (fluocinolone acetonide intravitreal implant)  \nDrugs Requiring Prior Authorization by Archimedes  \nImfinzi (durvalumab)  \nImjudo (tremelimumab-actl)  \nImlygic (tamlimogene laherparepvec)  \nInfed (iron dextran)  \nInflectra (infliximab-dyyb)  \nInfugem (gemcitabine)  \nInjectafer (ferric carbomaltose) Iodine I-125, sodium iodide solution Iodine I-131 sodium iodide capsule(s) Iodine I-131 sodium iodide solution Istodax (romidepsin)  \nIxempra (ixabepilone) Jetrea (ocriplasmin)  \nJevtana (cabazitaxel)  \nKadcyla (ado-trastuzumab emtansine)  \nKalbitor (ecallantide)  \nKanjinti (trastuzumab-anns)  \nKcentra (prothrombin complex concentrate (human)) Kepivance (palifermin)  \nKeytruda (pembrolizumab)  \nKhapzory (levoleucovor","cbCaibouZEXfpVuT","https://ap.wps.com/l/cbCaibouZEXfpVuT","pdf",82330,8,"English","# Drug Name List\n## Authorization-Required Drugs","[{\"question\":\"What does this document contain?\",\"answer\":\"It contains a list of drug names that require prior authorization by Archimedes, shown in an alphabetical format with some entries including ingredient and formulation details.\"},{\"question\":\"Are generic ingredients included for some drugs?\",\"answer\":\"Yes. Many entries pair the brand name with the active ingredient (and sometimes additional descriptors such as formulation or administration context).\"},{\"question\":\"How can this list be used during authorization review?\",\"answer\":\"The list supports identifying whether a requested medication appears on the prior-authorization-required catalog, enabling consistent coverage checks and documentation.\"}]","Drugs Requiring Prior Authorization by Archimedes - List | PDF",1789632549]