| Section | Status | BlueTeq | Name |
| 05.01.09 | Formulary |  |
Bedaquiline |
| 05.03.03.02 | Restricted Use | |
Elbasvir + Grazoprevir |
| 05.03.03.02 | Restricted Use | |
Ledipasvir + Sofosbuvir |
| 05.03.03.02 | Restricted Use | |
Ombitasvir + paritaprevir + ritonavir Viekirax® |
| 05.03.03.02 | Restricted Use | |
Sofosbuvir |
| 05.03.03.02 | Restricted Use | |
Sofosbuvir + Velpatasvir |