| Alkermes | Aristada, Aristada Initio, Lybalvi, Vivitrol | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-08-13 | 45 days |
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| Amgen | All products | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-06-01 | 45 days |
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| Amphastar | Baqsimi | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-07-01 | 45 days |
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| argenx | Vyvgart Hytrulo PFS | claims submission window, contract pharmacy limits, designation requirements | yes | Not stated | 45 days |
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| Astellas | Xtandi, Myrbetriq, Cresemba, Xospata | designation requirements | no | 2024-07-01 | none stated |
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| AstraZeneca | 19 retail + 4 specialty brands | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-07-06 | 45 days |
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| Bausch + Lomb | Full ophthalmic/otic list incl. generics | claims submission window, contract pharmacy limits, designation requirements | yes | 2024-07-01 | none stated |
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| Bayer | Brand-limited list (incl. Adempas, Nubeqa) | claims submission window, contract pharmacy limits, designation requirements | yes | 2024-04-01 | 45 days |
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| Biogen | Avonex, Plegridy, Zurzuvae; CLD: + Tecfidera, Vumerity | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-08-07 | 45 days |
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| Boehringer Ingelheim | Exhibit A list (Jardiance, Spiriva, OFEV, etc.) | claims submission window, contract pharmacy limits, designation requirements | yes | 2025-05-30 | 45 days |
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| Bristol Myers Squibb | 24 CLD products; IMiDs + specialty networks | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-05-01 | 45 days |
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| Eisai | Aricept, Banzel, Dayvigo, Halaven, Lenvima, Leqembi | contract pharmacy limits, designation requirements | no | 2023-11-01 | none stated |
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| Eli Lilly | All products (3 labeler codes) | claims submission window, contract pharmacy limits, designation requirements | yes | 2024-11-01 | 45 days |
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| EMD Serono | All marketed products | contract pharmacy limits, designation requirements | yes | 2024-03-20 | none stated |
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| Exelixis | Cometriq, Cabometyx | claims submission window, contract pharmacy limits, designation requirements | no | 2025-10-01 | 45 days |
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| Genentech | All except Hemlibra, Evrysdi | claims submission window, contract pharmacy limits, designation requirements | no | 2026-08-31 | 45 days |
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| Gilead | Branded HCV (Epclusa, Harvoni, Sovaldi, Vosevi) | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-07-07 | 45 days |
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| GSK | All PHS-contract products (excl. vaccines, ViiV) | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-07-01 | 45 days |
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| Jazz Pharmaceuticals | Epidiolex | contract pharmacy limits, designation requirements | no | 2026-05-15 | none stated |
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| Johnson & Johnson (JJHCS) | Attachment A (~33 brands) | claims submission window, contract pharmacy limits, designation requirements | no | 2025-04-07 | 45 days |
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| LEO Pharma | Adbry | claims submission window, contract pharmacy limits, designation requirements | no | 2026-06-22 | 45 days |
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| Liquidia | Yutrepia | claims submission window, contract pharmacy limits, designation requirements | yes | 2025-07-01 | 45 days |
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| Merck | 8 primary-care brands + Winrevair | claims submission window, contract pharmacy limits, designation requirements | yes | 2025-03-20 | 45 days |
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| MTPA (Mitsubishi Tanabe) | Radicava ORS | claims submission window, contract pharmacy limits, designation requirements | yes | 2025-10-01 | 45 days |
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| Novartis | Listed products (per 340B ESP) | claims submission window, designation requirements | yes | 2026-07-06 | none stated |
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| Novo Nordisk | All products (3 labeler codes) | claims submission window, contract pharmacy limits, designation requirements | yes | 2024-07-01 | 45 days |
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| Organon | All products (~95 NDCs) | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-08-07 | 45 days |
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| Pfizer | Exhibit A (~20 brands) + VYNDA + DON oncology | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-06-11 | 45 days |
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| Puma Biotechnology | All Puma NDCs (Nerlynx) | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-01-01 | 45 days |
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| Sandoz | Listed brands/biosimilars (incl. Tyruko, Ziextenzo, Cimerli) | claims submission window, contract pharmacy limits, designation requirements | no | 2025-06-04 | none stated |
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| Sobi | Doptelet, Kineret, Vonjo | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-07-01 | 45 days |
|---|
| Stemline Therapeutics | Orserdu | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-05-18 | 45 days |
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| Sumitomo Pharma America (SMPA) | Aptiom, Gemtesa, Myfembree, Orgovyx | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-01-22 | none stated |
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| Takeda | 9 retail brands + 4 LDN oncology | claims submission window, contract pharmacy limits, designation requirements | no | 2025-05-23 | 45 days |
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| Teva | Attachment A (~40 brands) | claims submission window, contract pharmacy limits, designation requirements | no | 2025-04-21 | 45 days |
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| UCB | Entire portfolio | claims submission window, contract pharmacy limits, designation requirements | yes | 2026-06-01 | 45 days |
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| Vertex | All except Casgevy | claims submission window, designation requirements | no | 2024-07-01 | none stated |
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| Viatris | Attachment A (EpiPen, Lyrica, Yupelri, etc.) | designation requirements | yes | 2024-08-28 | none stated |
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