Arizona (AHCCCS) Medicaid
Novmeber 2015 Meeting

MANUFACTURER	BRAND NAME	THERAPEUTIC  CLASS	
ABBVIE US LLC	HUMIRA KIT (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
ABBVIE US LLC	HUMIRA PEN KIT (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
AMGEN	ENBREL KIT (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
AMGEN	ENBREL PEN (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
AMGEN	ENBREL SYRINGE (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
BMS PRIMARYCARE	ORENCIA SYRINGE (SUBCUTANE.)	CYTOKINE AND CAM ANTAGONISTS	
BMS PRIMARYCARE	ORENCIA VIAL (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
CELGENE	OTEZLA (ORAL)	CYTOKINE AND CAM ANTAGONISTS	
CHIESI	BETHKIS (INHALATION)	ANTIBIOTICS, INHALED	
ELI LILLY & CO.	HUMATROPE CARTRIDGE (INJECTION)	GROWTH HORMONE	
ELI LILLY & CO.	HUMATROPE VIAL (INJECTION)	GROWTH HORMONE	
EMD SERONO, INC	SAIZEN CARTRIDGE (INJECTION)	GROWTH HORMONE	
EMD SERONO, INC	SAIZEN VIAL (INJECTION)	GROWTH HORMONE	
EMD SERONO, INC	SEROSTIM VIAL (INJECTION)	GROWTH HORMONE	
EMD SERONO, INC	ZORBTIVE VIAL (INJECTION)	GROWTH HORMONE	
FERRING PH INC	ZOMACTON VIAL (INJECTION)	GROWTH HORMONE	
GENENTECH, INC.	ACTEMRA SYRINGE (SUBCUTANE.)	CYTOKINE AND CAM ANTAGONISTS	
GENENTECH, INC.	ACTEMRA VIAL (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
GENENTECH, INC.	NUTROPIN AQ CARTRIDGE (INJECTION)	GROWTH HORMONE	
GILEAD SCIENCES	CAYSTON (INHALATION)	ANTIBIOTICS, INHALED	
JANSSEN BIOTECH	REMICADE (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
JANSSEN BIOTECH	SIMPONI ARIA VIAL (INTRAVEN.)	CYTOKINE AND CAM ANTAGONISTS	
JANSSEN BIOTECH	SIMPONI PEN INJECTER (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
JANSSEN BIOTECH	SIMPONI SYRINGE (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
JANSSEN BIOTECH	STELARA SYRINGE (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
MYLAN SPECIALTY	EPIPEN (INTRAMUSC)	EPINEPHRINE,  SELF-INJECTED	
MYLAN SPECIALTY	EPIPEN JR (INTRAMUSC)	EPINEPHRINE, SELF-INJECTED	
NOVARTIS	COSENTYX PEN INJECTER (SUBCUTANE.)	CYTOKINE AND CAM ANTAGONISTS	
NOVARTIS	COSENTYX SYRINGE (SUBCUTANE.)	CYTOKINE AND CAM ANTAGONISTS	
NOVARTIS	ILARIS (SUBCUTANE.)	CYTOKINE AND CAM ANTAGONISTS	
NOVARTIS	TOBI (INHALATION)	ANTIBIOTICS, INHALED	
NOVARTIS	TOBI PODHALER (INHALATION)	ANTIBIOTICS, INHALED	
NOVO NORDISK	NORDITROPIN PEN (INJECTION)	GROWTH HORMONE	
PARI RESPIRATOR	KITABIS PAK (INHALATION)	ANTIBIOTICS, INHALED	
PFIZER US PHARM	XELJANZ (ORAL)	CYTOKINE AND CAM ANTAGONISTS	
PFIZER US PHARM	GENOTROPIN CARTRIDGE (INJECTION)	GROWTH HORMONE	
PFIZER US PHARM	GENOTROPIN DISP SYRIN (INJECTION)	GROWTH HORMONE	
REGENERON PHARM	ARCALYST (SUBCUTANE.)	CYTOKINE AND CAM ANTAGONISTS	
SANDOZ	OMNITROPE CARTRIDGE (INJECTION)	GROWTH HORMONE	
SANDOZ	OMNITROPE VIAL (INJECTION)	GROWTH HORMONE	
SANOFI-AVENTIS	AUVI-Q (INTRAMUSC)	EPINEPHRINE, SELF-INJECTED	
SOBI-SWEDISH  OR	KINERET (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
TAKEDA PHARMACE	ENTYVIO (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
UCB PHARMA	CIMZIA KIT (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	
UCB PHARMA	CIMZIA SYRINGE KIT (INJECTION)	CYTOKINE AND CAM ANTAGONISTS	

November 2015 Meeting	Provider Synergies, L.L.C.