Medicaid Formulary Updates Effective 08/1/2025

Date: 07/01/25

Effective August 1, 2025, Arizona Complete Health-Complete Care Plan (AZCH-CCP) will implement AHCCCS formulary changes based on the recommendations from the May 20, 2025, AHCCCS Pharmacy and Therapeutics (P&T) Committee Meeting.

To review the AzCH-CCP Preferred Drug Lists (PDLs) including the recent updates, visit our website at: www.azcompletehealth.comExternal Link > For Providers > Pharmacy > Preferred Drug Lists.

We encourage prescribing clinicians to review our PDLs for preferred formulary alternatives prior to prescribing. The table below highlights some of the upcoming formulary changes. Additionally, there is no exception allowed for current preferred products moving to a non-preferred status.

Drug Class	Drug Name	Preferred Biosimilar Label Name	Preferred Biosimilar Chemical Name	Preferred Biosimilar Manufacturer	Products Moving to Non-Preferred Status
Eylea	Aflibercept	Pavblu	Afilbercept-ayyh	Amgen	New Addition
Humira	Adalimumab	Unbranded Version Hadlima	Adalimumab-fjkp Adalimumab-bwwd	Biocon Biologics Organon	Simlandi Adalimumab-abdm
Avastin	Bevacizumab	Mvasi Zirabev	Bevacizumab-awwb Bevacizumab-bvzr	Amgen Pfizer	No Changes
Soliris	Eculizumab	Epysqli	Eculizumab-aagh	Teva	New Addition
Neupogen	Filgrastim	Releuko Nivestym	Filgastrim-ayow Filgrastim-aafi	Amneal Pfizer	Neupogen
Neulasta	Pegfilgrastim	Fulphila Fylnetra	Pegfilgrastim-jmdb Pegfilgrastim-pbbk	Mylan Amneal	Undenyca Nyvepria Ziextenzo
Lucentis	Ranibizumab	Cimerli	Ranibizumab-eqrun	Sandoz	New Addition
Rituxan	Rituximab	Riabni Ruxience	Rituximab-arrx Rituximab-pvvr	Amgen Pfizer	Truxima
Actemra	Tocilizumab	Tyenne	Tocilizumab-aazg	Fresenius	New Addition
Herceptin	Trastuzumab	Ogivri	Trastuzumab-dkst	Mylan-Biocon Biologics	Kanjinti, Herzuma, Trazimera
Stelara	Ustekinumab	Yesintek	Ustekinumab-kfce	Biocon Biologics	New Addition

 

*AHCCCS P&T determines whether to permit continued use of a non-formulary medication. If it is not permitted, members must switch to the preferred formulary alternative, and a new prescription may be required. (See AHCCCS Policy 310-V).

If you have questions, please contact our Pharmacy Provider Liaison at azch_pharmacyproviderliaison@azcompletehealth.com or 1-888-788-4408 ext. 6031278