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Effective DatePolicy NameReviewed Date
1/1/2025 Ibrance (palbociclib)
1/21/2026
1/1/2024 Ibsrela® (tenapanor)
6/17/2026
8/27/2025 Ibtrozi (taletrectinib)
5/20/2026
1/1/2022 Iclusig® (ponatinib)
4/15/2026
5/27/2026 Icotyde™ (icotrokinra)
5/20/2026
1/1/2020 Idhifa® (enasidenib)
10/15/2025
2/28/2024 iDose® TR (travoprost) intracameral implant
5/20/2026
1/1/2026 iDose® TR (travoprost) intracameral implant
3/18/2026
5/24/2023 Igalmi™ (dexmedetomidine)
1/21/2026
8/6/2009 Ilaris® (canakinumab)
11/19/2025
11/22/2023 Ilumya® (tildrakizumab)
5/20/2026
4/2/2015 Iluvien® (fluocinolone acetonide) intravitreal implant
6/17/2026
9/1/2026 Iluvien® (fluocinolone acetonide) intravitreal implant
6/17/2026
9/1/2026 Iluvien® (fluocinolone acetonide) intravitreal implant
6/17/2026
10/22/2025 Imaavy intravenous solution (nipocalimab-aahu)
10/15/2025
10/22/2025 Imaavy intravenous solution (nipocalimab-aahu)
5/20/2026
8/1/2026 Imaavy intravenous solution (nipocalimab-aahu)
5/20/2026
1/1/2025 Imatinib products (Gleevec, Imkeldi)
1/21/2026
1/1/2026 Imbruvica® (ibrutinib)
4/15/2026
8/28/2024 Imdelltra (tarlatamab-dlle)
4/15/2026
7/1/2026 Imdelltra (tarlatamab-dlle)
4/15/2026
7/1/2026 Imdelltra (tarlatamab-dlle)
4/15/2026
7/1/2026 Imdelltra_(tarlatamab-dlle)
4/15/2026
1/1/2025 Imfinzi (durvalumab)
7/15/2026
5/1/2026 Imfinzi (durvalumab)
2/18/2026
5/1/2026 Imfinzi (durvalumab)
2/18/2026
1/1/2025 Imjudo (tremelimumab-actl)
10/15/2025
12/1/2025 Imjudo (tremelimumab-actl)
10/15/2025
12/1/2025 Imjudo (tremelimumab-actl)
10/15/2025
1/1/2020 Imlygic (talimogene laherparepvec)
6/17/2026
1/1/2026 Imlygic (talimogene laherparepvec)
6/17/2026
1/1/2026 Imlygic (talimogene laherparepvec)
6/17/2026
1/1/2022 Inbrija® (inhaled levodopa)
1/21/2026
11/23/2005 Increlex® (mecasermin injection)
1/21/2026
7/1/2024 Indiana Opioid Days' Supply Limitation
6/13/2024
1/1/2022 Ingrezza® & Ingrezza Sprinkle (valbenazine)
8/19/2026
1/1/2025 Inhaled Anticholinergics
10/15/2025
1/1/2026 Inhaled Corticosteroid and Long-Acting Beta Agonist (ICS/LABA) Inhalers
5/21/2025
1/1/2026 Inhaled Corticosteroid and Long-Acting Beta Agonist (ICS/LABA) Inhalers
4/15/2026
1/1/2024 Inhaled Corticosteroids
2/18/2026
12/17/2025 Inlexzo (gemcitabine intravesical system)
12/10/2025
2/1/2026 Inlexzo (gemcitabine intravesical system)
12/10/2025
2/1/2026 Inlexzo (gemcitabine intravesical system)
12/10/2025
11/26/2025 Inluriyo (imlunestrant)
11/19/2025
1/1/2026 Inlyta (axitinib)
4/15/2026
8/23/2023 Inpefa™ (sotagliflozin)
4/15/2026
1/1/2026 Inqovi® (decitabine and cedazuridine)
6/17/2026
1/1/2026 Inrebic® (fedratinib)
5/20/2026
1/1/2026 Intranasal Rhinitis Agents
5/20/2026
1/1/2022 Intravenous Iron Products
8/19/2026
1/1/2024 Intravenous Iron Products
12/10/2025
1/1/2026 Intravenous Iron Products
8/20/2025
1/1/2026 Intravenous Iron Products
8/20/2025
1/1/2019 Intravenous tocilizumab products
6/17/2026
1/1/2025 Invega® (paliperidone extended release)
4/15/2026
9/25/2024 Iqirvo® (elafibranor)
7/15/2026
1/1/2024 Iressa (gefitinib)
1/21/2026
1/1/2022 Isatuximab-irfc Products (Sarclisa, Sarclisa Escena)
5/20/2026
1/1/2023 Istodax (romidepsin)
1/21/2026
3/1/2026 Istodax (romidepsin)
1/21/2026
3/1/2026 Istodax (romidepsin)
1/21/2026
9/16/2020 Isturisa® (osilodrostat)
4/15/2026
12/18/2024 Itovebi (inavolisib)
10/15/2025
1/28/2026 Itvisma (onasemnogene abeparvovec-brve)
1/21/2026
7/1/2024 IVIG (immune globulin)
3/18/2026
1/1/2026 IVIG (immune globulin)
7/15/2026
1/1/2026 IVIG (immune globulin)
3/18/2026
1/1/2026 IVIG (immune globulin)
12/30/2025
2/28/2024 Iwilfin (eflornithine)
1/21/2026
11/1/2025 Ixempra (ixabepilone)
9/17/2025
11/1/2025 Ixempra (ixabepilone)
9/17/2025
1/1/2017 Ixempra® (ixabepilone)
9/17/2025
9/27/2023 Izervay™ (avacincaptad pegol)
12/10/2025
2/1/2026 Izervay™ (avacincaptad pegol)
12/10/2025
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