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 |
|
Kisunla™ (donanemab-azbt) injection See Prescribing Information, including Boxed Warnings. | 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 |