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Wholesale Acquisition Cost (WAC)
Information for Colorado Prescribers

Provided Pursuant to Colorado House Bill 19-1131



Marketed Prescription Drug
Colorado WAC Disclosure Form
Alimta® (pemetrexed for injection) WAC Disclosure Sheet
Amyvid® (Florbetapir F18 injection) WAC Disclosure Sheet
Basaglar® (insulin glargine) injection WAC Disclosure Sheet
Cymbalta® (duloxetine delayed-release capsules)
See Prescribing Information, including Boxed Warnings.
WAC Disclosure Sheet
Cyramza® (ramucirumab) injection WAC Disclosure Sheet
Emgality® (galcanezumab-gnlm) injection WAC Disclosure Sheet
Erbitux® (cetuximab) injection
See Prescribing Information, including Boxed Warnings.
WAC Disclosure Sheet
Evista® (raloxifene hydrochloride) tablets
See Prescribing Information, including Boxed Warnings.
WAC Disclosure Sheet
Forteo® (teriparatide) injection WAC Disclosure Sheet
Humalog® (insulin lispro) injection WAC Disclosure Sheet
Humatrope® (somatropin for injection) WAC Disclosure Sheet
Humulin® 70/30 (human insulin isophane suspension and human insulin injection) WAC Disclosure Sheet
Humulin® N (isophane insulin human suspension) WAC Disclosure Sheet
Humulin® R U-500, Humulin® R U-100 (insulin human injection) WAC Disclosure Sheet
Jaypirca® (pirtobrutinib) tablets WAC Disclosure Sheet
Lyumjev® (insulin lispro-aabc) injection WAC Disclosure Sheet
Mounjaro® (tirzepatide) injection
See Prescribing Information, including Boxed Warnings.
WAC Disclosure Sheet
Olumiant® (baricitinib) tablets
See Prescribing Information, including Boxed Warnings.
WAC Disclosure Sheet
Omvoh (mirikizumab-mrkz) injection WAC Disclosure Sheet
Portrazza® (necitumumab) injection
See Prescribing Information, including Boxed Warnings.
WAC Disclosure Sheet
Prozac® (fluoxetine) capsules
See Prescribing Information, including Boxed Warning.
WAC Disclosure Sheet
Retevmo® (selpercatinib) capsules WAC Disclosure Sheet
Reyvow® (lasmiditan (C-V)) tablets WAC Disclosure Sheet
Rezvoglar® (insulin glargine-aglr) injection WAC Disclosure Sheet
Strattera® (atomoxetine) capsules
See Prescribing Information, including Boxed Warnings.
WAC Disclosure Sheet
Taltz® (ixekizumab) injection WAC Disclosure Sheet
Tauvid (flortaucipir F 18 injection) WAC Disclosure Sheet
Trulicity® (dulaglutide) injection
See Prescribing Information, including Boxed Warnings.
WAC Disclosure Sheet
Verzenio® (abemaciclib) tablets WAC Disclosure Sheet
Zepbound (tirzepatide) injection
See Prescribing Information, including Boxed Warnings.
WAC Disclosure Sheet