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Effective DatePolicy NameReviewed Date
12/1/2025 Vabysmo_(faricimab-svoa)_
10/15/2025
5/25/2022 Vabysmo® (faricimab-svoa)
10/15/2025
1/1/2023 Vabysmo® (faricimab-svoa)
10/15/2025
10/22/2025 Vabysmo® (faricimab-svoa)
10/15/2025
1/1/2025 Vaginal Atrophy Agents
4/16/2025
1/1/2026 Vaginal Atrophy Agents
5/21/2025
1/1/2020 Valchlor® (mechlorethamine)
1/21/2026
1/1/2021 Valstar (valrubicin)
2/19/2025
1/1/2022 Vancomycin
6/19/2024
1/1/2022 Vancomycin capsules
6/19/2024
10/18/2023 Vanflyta (quizartinib)
10/15/2025
1/1/2026 Vanflyta® (quizartinib)
5/21/2025
6/25/2025 Vanrafia (atrasentan) tablets
6/18/2025
1/1/2024 Varizig (varicella zoster immune globulin)
4/16/2025
1/1/2024 Varubi (rolapitant)
6/18/2025
1/1/2024 Vectibix (panitumumab)
12/10/2025
2/1/2026 Vectibix (panitumumab)
12/10/2025
2/1/2026 Vectibix (panitumumab)
12/10/2025
2/1/2026 Vectibix (panitumumab)
12/10/2025
1/1/2025 Velsipity (etrasimod)
6/18/2025
1/1/2025 Veltassa (patiromer)
8/20/2025
1/1/2021 Vemlidy® (tenofovir alafenamide)
7/17/2024
1/1/2022 Venclexta™ (venetoclax)
2/19/2025
1/1/2026 Venclexta™ (venetoclax)
5/21/2025
1/1/2025 Ventavis® (iloprost)
3/19/2025
1/1/2026 Ventavis® (iloprost)
8/20/2025
1/24/2024 Veopoz (pozelimab-bbfg)
12/10/2025
7/1/2024 Veopoz (pozelimab-bbfg)
6/18/2025
7/26/2023 Veozah® (fezolinetant)
6/18/2025
1/1/2021 Veregen® (sinecatechins)
7/17/2024
3/26/2025 Verkazia® (cyclosporine)
3/19/2025
1/1/2026 Verkazia® (cyclosporine)
5/21/2025
4/21/2021 Verquvo® (vericiguat)
5/21/2025
1/1/2024 Verzenio (abemaciclib)
1/21/2026
1/1/2025 Vesicare and Vesicare LS (solifenacin)
5/21/2025
1/1/2009 VFEND® (voriconazole)
10/15/2025
1/1/2025 V-GO Insulin Delivery Device
4/16/2025
1/1/2022 Viberzi® (eluxadoline)
3/20/2024
1/1/2023 Viberzi® (eluxadoline)
1/15/2025
1/1/2026 Viberzi® (eluxadoline)
7/16/2025
1/1/2024 Vigabatrin products
6/18/2025
1/1/2024 Viibryd (vilazodone)
4/16/2025
7/27/2022 Vijoice® (alpelisib)
3/19/2025
1/1/2022 Viltepso™ (viltolarsen)
12/10/2025
3/6/2014 Vimizim® (elosulfase alfa)
1/21/2026
1/1/2020 Vimovo® (naproxen-esomeprazole magnesium)
1/21/2026
7/1/2025 Virginia Short Acting Opioid Days Supply
6/26/2025
1/1/2019 Viscosupplements
5/15/2024
1/1/2024 Viscosupplements
11/19/2025
1/1/2024 Viscosupplements
1/21/2026
7/1/2024 Viscosupplements
11/19/2025
1/1/2026 Viscosupplements
11/19/2025
1/1/2022 Viscosupplements - Multi Injection
1/21/2026
1/1/2022 Viscosupplements - Single Injection
1/21/2026
1/1/2025 Visudyne (verteporfin)
6/18/2025
1/1/2024 Visudyne® (verteporfin)
6/18/2025
2/22/2019 Vitrakvi (larotrectinib)
8/20/2025
1/1/2025 Vivjoa® (oteseconazole)
4/16/2025
12/10/2015 Vivlodex® (meloxicam)
4/17/2024
1/1/2024 Vizimpro (dacomitinib)
1/21/2026
1/20/2017 Von Willebrand Factor (VWF)-Containing Products
12/10/2025
1/1/2026 Vonjo (pacritinib)
5/21/2025
1/1/2025 Voquezna® (vonoprazan)
8/20/2025
9/25/2024 Voranigo (vorasidenib)
12/10/2025
1/1/2025 Vosevi® (sofosbuvir, velpatasvir, and voxilaprevir)
5/21/2025
1/1/2026 Vosevi® (sofosbuvir, velpatasvir, and voxilaprevir)
7/16/2025
1/1/2024 Votrient (pazopanib)
4/16/2025
1/1/2026 Votrient (pazopanib)
5/21/2025
1/1/2025 Vowst (fecal microbiota spores, live-brpk)
1/21/2026
2/23/2022 Voxzogo™ (vosoritide)
10/15/2025
9/25/2024 Voydeya™ (danicopan) tablet
7/16/2025
1/28/2026 Voyxact® (sibeprenlimab-szsi) subcutaneous injection
1/21/2026
1/1/2025 VPRIV® (velaglucerase alfa)
1/21/2026
1/1/2025 Vraylar (cariprazine)
1/21/2026
1/1/2026 Vtama (tapinarof)
5/21/2025
2/26/2025 Vyalev® (foscarbidopa/foslevodopa)
1/21/2026
1/1/2025 Vyepti® (eptinezumab)
9/17/2025
9/27/2023 Vyjuvek™ (beremagene geperpavec-svdt)
9/17/2025
7/1/2024 Vyjuvek™ (beremagene geperpavec-svdt)
6/20/2024
6/25/2025 Vykat XR (diazoxide choline)
6/18/2025
11/27/2024 Vyloy (zolbetuximab-clzb)
8/20/2025
10/1/2025 Vyloy (zolbetuximab-clzb)
8/20/2025
10/1/2025 Vyloy (zolbetuximab-clzb)
8/20/2025
10/1/2025 Vyloy (zolbetuximab-clzb)
8/20/2025
1/1/2021 Vyndaqel®/Vyndamax™ (tafamidis)
12/10/2025
1/1/2025 Vyondys 53 (golodirsen)
5/21/2025
1/1/2021 Vyvanse® (lisdexamfetamine dimesylate)
1/21/2026
7/1/2024 Vyvgart (efgartigimod alfa-fcab) & Vyvgart® Hytrulo (efgartigimod alfa and hyaluronidase-qvfc)
8/20/2025
3/23/2022 Vyvgart® (efgartigimod alfa-fcab) & Vyvgart® Hytrulo (efgartigimod alfa and hyaluronidase-qvfc)
8/20/2025
6/1/2025 Vyvgart® (efgartigimod alfa-fcab) & Vyvgart® Hytrulo (efgartigimod alfa and hyaluronidase-qvfc)
5/1/2025
1/1/2026 Vyvgart® Hytrulo (efgartigimod alfa and hyaluronidase-qvfc)
10/15/2025
10/4/2017 Vyxeos™ (daunorubicin and cytarabine) liposome
3/19/2025
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