Drug Name
 | Packaging | NDC | On This Nbr
of 2009
PDP
Formularies |
ABILIFY 10MG TABLET
(Aripiprazole) | 30 BOT | 59148000813 | 98 |
ACIPHEX 20MG TABLET EC
(Rabeprazole Sodium EC) | 30 BOT | 62856024330 | 46 |
ACTIQ 400MCG LOZENGE
(Fentanyl Citrate) | 30 BOT | 63459050430 | 32 |
ACTONEL 35MG TABLET
(Risedronate Sodium) | 4 CRTN | 00149047201 | 88 |
ACTOPLUS MET 15MG/500MG TABLET
(Pioglitazone HCl-Metformin HCl) | 60 BOT | 64764015560 | 93 |
ACTOS 30MG TABLET (500 CT)
(Pioglitazone HCl) | 500 BOTPL | 64764030116 | 98 |
ADDERALL XR 20MG CAPSULE SA
(Amphetamine-Dextroamphetamine) | 100 BOT | 54092038701 | 67 |
ADVAIR DISKU MIS 250/50
(Fluticasone-Salmeterol) | 60 DOSE BLPK | 00173069600 | 95 |
ALLEGRA-D 12 HOUR TABLET 60-120MG (500 CT)
(Fexofenadine HCl) | 500 BOTPL | 00088109055 | 63 |
ALLEGRA-D 24 HOUR TABLET
(Fexofenadine-Pseudoephedrine) | 100 BOX | 00088109547 | 57 |
ALPHAGAN P 0.15% EYE DROPS
(Brimonidine Tartrate Ophth) | 15 ML BOTDR | 00023917715 | 93 |
ALTACE 10MG CAPSULE (100 CT)
(Ramipril) | 100 CAPS BOTPL | 61570012001 | 34 |
AMBIEN CR 6.25MG TABLET
(Zolpidem Tartrate) | 100'S BOT | 00024550131 | 47 |
ANDROGEL 1%(50MG) GEL PACKET
(Testosterone) | 3O X 5GM PKT CRTN | 00051845030 | 82 |
ARICEPT 10MG TABLET
(Donepezil HCL) | 30 BOT | 62856024630 | 98 |
ARIMIDEX 1MG TABLET
(Anastrozole) | 30 BLPK | 00310020130 | 98 |
ASACOL 400MG TABLET EC
(Mesalamine) | 180 BOT | 00149075215 | 98 |
ASTELIN 137MCG AEROSOL SPRAY W/PUMP
(Azelastine HCl Nasal) | 30 ML BOTSPR | 00037024130 | 96 |
ATACAND 32MG TABLET
(Candesartan Cilexetil) | 90 BOT | 00186003254 | 64 |
ATRIPLA TABLET 600MG/200MG
(Efavirenz-Emtricitabine-Tenofovir DF) | | 15584010101 | 98 |
AVALIDE 300-12.5MG TABLET
(Irbesartan-Hydrochlorothiazide) | 30 BOT | 00087277631 | 63 |
AVANDAMET 2MG/500MG TABLET
(Rosiglitazone Maleate-Metformin HCl) | 60 BOT | 00007316718 | 90 |
AVANDIA 4MG TABLET (90 CT)
(Rosiglitazone Maleate) | 90 BOT | 00029315900 | 92 |
AVAPRO 150MG TABLET
(Irbesartan) | 500 BOT | 00087277215 | 65 |
AVELOX 400MG TABLET
(Moxifloxacin HCl) | 30 BOT | 00085173301 | 83 |
AVINZA 30MG CAPSULE MULTIPHASIC RELEASE 24 HR
(Morphine Sulfate Beads) | 100 BOTPL | 60793060501 | 55 |
AVODART 0.5MG SOFTGEL
(Dutasteride) | 90 BOT | 00173071204 | 94 |
AVONEX ADMIN PACK 30MCG SYR
(Interferon Beta-1a) | 1 X 4 PKGCOM | 59627000205 | 92 |
BENICAR 20MG TABLET
(Olmesartan Medoxomil) | 90 BOT | 65597010390 | 73 |
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide) | 30 BOT | 65597010630 | 73 |
BONIVA 150MG TABLET
(Ibandronate Sodium) | 3 CRTN | 00004018682 | 82 |
BUDEPRION SR 150MG TABLET SA
(Bupropion HCl) | 100 BOT | 00093550201 | 97 |
BUDEPRION XL 300MG TABLET SR 24HR
(Bupropion HCl) | 30 BOT | 00093535156 | 95 |
BYETTA 10MCG/0.04ML PEN INJ
(Exenatide) | 2.4 ML PEN PKGCOM | 66780021008 | 98 |
CASODEX 50MG TABLET
(Bicalutamide) | | 00310070530 | 98 |
CELEBREX 200MG CAPSULE
(Celecoxib) | 500 BOT | 00025152551 | 87 |
CELLCEPT 500MG TABLET
(Mycophenolate Mofetil) | 500 BOT | 00004026043 | 96 |
CHANTIX STARTING MONTH PAK
(Varenicline Tartrate) | 1 PKG | 00069047197 | 78 |
CLARINEX 5MG TABLET
(Desloratadine) | 100 BOT | 00085126401 | 54 |
COMBIVENT INHALER
(Albuterol-Ipratropium Nebu) | 200 CSTR | 00597001314 | 96 |
COMBIVIR TABLET
(Lamivudine-Zidovudine) | 60 BOT | 00173059500 | 98 |
COREG CR 10MG CAPSULE MULTIPHASIC RELEASE 24 HR
(Carvedilol Phosphate) | 30 BOT | 00007337013 | 72 |
COSOPT PLUS EYE DROPS 22.3 MG/ML 6.8 MG/M
(Dorzolamide-Timolol Ophth) | 10 ML BOTPL | 00006362836 | 83 |
COZAAR 50MG TABLET 10000 BOT
(Losartan Potassium) | 10000 BOT | 00006095287 | 85 |
CRESTOR 10MG TABLET
(Rosuvastatin Calcium) | 90 BOT | 00310075190 | 90 |
CYMBALTA 60MG CAPSULE
(Duloxetine HCl Enteric Coated Pellets) | 1000 BOT | 00002323704 | 98 |
DEPAKOTE 500MG TABLET EC
(Divalproex Sodium) | 500 BOT | 00074621553 | 86 |
DEPAKOTE ER 500MG TABLET
(Divalproex Sodium) | 100 BOT | 00074712613 | 90 |
DETROL LA 4MG CAPSULE SA
(Tolterodine Tartrate) | 90 BOT | 00009519102 | 83 |
DIFFERIN 0.1% GEL
(Adapalene) | 45 GM TUBE | 00299591045 | 55 |
DIOVAN 80MG TABLET
(Valsartan) | 90 BOX | 00078035834 | 89 |
DIOVAN HCT 160/12.5MG TABLET
(Valsartan-Hydrochlorothiazide) | 90 BOT | 00078031534 | 89 |
DORYX 75MG TABLET DR
(Doxycycline Hyclate) | 60 BOT | 00430011120 | 38 |
DURAGESIC 25MCG/HR PATCH
(Fentanyl TD) | 5 SYST/POUCH CRTN | 50458003305 | 32 |
EFFEXOR XR 75MG CAPSULE ER 15 CAPSULES BOT
(Venlafaxine HCl) | 15 CAPSULES BOT | 00008083320 | 87 |
ENABLEX 7.5MG TABLET
(Darifenacin Hydrobromide) | 30 BOT | 00078041915 | 79 |
ENBREL 50MG/ML SURECLICK SYR
(Etanercept Subcutaneous) | | 58406044504 | 85 |
ENBREL INJECTION KIT 25MG 1 DOSE TRAY PKGCOM
(Etanercept Subcutaneous) | 1 DOSE TRAY PKGCOM | 58406042541 | 97 |
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen) | 500 BOT | 60951060285 | 94 |
EPZICOM TABLET
(Abacavir Sulfate-Lamivudine) | 30 BOT | 00173074200 | 98 |
FEMARA 2.5MG TABLET
(Letrozole) | 30 BOT | 00078024915 | 98 |
FENTORA TABLET 100MCG
(Fentanyl Citrate) | 28 BLPK | 63459054128 | 42 |
FLOMAX 0.4MG CAPSULE SA
(Tamsulosin HCl) | 100 BOTPL | 00597005801 | 97 |
FLOVENT HFA 110MCG INHALATION AEROSOL
(Fluticasone Propionate HFA) | | 00173071920 | 94 |
FOCALIN XR 5MG CAPSULE
(Dexmethylphenidate HCl) | 100 BOT | 00078043005 | 42 |
FORTEO INJECTION
(Teriparatide (Recombinant)) | | 00002840001 | 91 |
FOSAMAX 70MG TABLET
(Alendronate Sodium) | 4 BLPK | 00006003144 | 36 |
FOSAMAX PLUS D 70MG-5600 TABLET
(Alendronate Sodium-Cholecalciferol) | | 00006027044 | 57 |
GEODON 80MG CAPSULE
(Ziprasidone HCl) | 60 BOT | 00049399060 | 98 |
GLEEVEC 400MG TABLET
(Imatinib Mesylate) | 30 BOT | 00078043815 | 98 |
HUMALOG 100U/ML VIAL
(Insulin Lispro (Human)) | 1 X 10 ML VIAL | 00002751001 | 90 |
HUMALOG MIX 75/25 PEN
(Insulin Lispro Prot & Lispro (Human)) | 5 X 3 ML CTG | 00002879459 | 86 |
HUMIRA 40MG/0.8ML SYRINGE
(Adalimumab) | | 00074379902 | 97 |
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human)) | 1 X 10 ML VIAL | 00002871501 | 90 |
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human)) | 10 ML VIAL | 00002831501 | 90 |
HYZAAR 100-25MG TABLET (90 CT)
(Losartan Potassium & Hydrochlorothiazide) | 90 BOT | 00006074754 | 85 |
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone) | 30 BOT | 50458055001 | 98 |
ISENTRESS 400MG TABLET
(Raltegravir Potassium) | 60 BOT | 00006022761 | 98 |
JANUMET 50MG-500MG TABLET
(Sitagliptin-Metformin HCl) | 180 BOT | 00006057562 | 97 |
JANUVIA 25MG TABLET
(Sitagliptin Phosphate) | 30 BOT | 00006022131 | 98 |
KADIAN 200MG CAPSULE SR PELLETS
(Morphine Sulfate) | 100 BOT | 63857037711 | 73 |
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir) | 120 BOT | 00074679922 | 98 |
KEPPRA 500MG TABLET
(Levetiracetam) | 120 TABS BOT | 50474059540 | 86 |
LAMICTAL 100MG TABLET
(Lamotrigine) | 100 BOT | 00173064255 | 54 |
LANTUS 100U/ML VIAL
(Insulin Glargine) | 10 ML VIAL | 00088222033 | 96 |
LANTUS INJECTION
(Insulin Glargine) | 5 X 3ML SYR | 00088222060 | 90 |
LEVAQUIN 500MG TABLET
(Levofloxacin) | 50 BOT | 00045152550 | 91 |
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir) | 1 X 10 ML VIAL | 00169368712 | 97 |
LEXAPRO 10MG TABLET
(Escitalopram Oxalate) | 10 BOT | 00456201001 | 85 |
LIDODERM 5% PATCH
(Lidocaine) | 30 PATCHES X 5 PATCHES CRTN | 63481068706 | 98 |
LIPITOR 10MG TABLET
(Atorvastatin Calcium) | 90 BOT | 00071015523 | 85 |
LOESTRIN 24 FE TABLET
(Norethindrone Ace & Ethinyl Estradiol-FE) | 5 X 28 TABLETS BLPK | 00430053014 | 42 |
LOVENOX 40MG PREFILLED SYRN
(Enoxaparin Sodium) | 10 X 0.4 ML SYR | 00075062040 | 96 |
LUMIGAN 0.03% EYE DROPS
(Bimatoprost Ophth) | 7.5 ML BOTDR | 00023918707 | 86 |
LUNESTA 2MG TABLET
(Eszopiclone) | 100 TABLETS BOT | 63402019110 | 76 |
LYRICA 50MG CAPSULE
(Pregabalin) | 90 BOT | 00071101368 | 98 |
MAXALT 10MG TABLET 12 CRTN
(Rizatriptan Benzoate) | 12 CRTN | 00006026712 | 77 |
MICARDIS 80MG TABLET
(Telmisartan) | 3 X 10 BLPK | 00597004137 | 67 |
MICARDIS HCT 80/12.5MG TABLET
(Telmisartan-Hydrochlorothiazide) | 3 X 10 BLPK | 00597004437 | 66 |
MIRAPEX 0.25MG TABLET
(Pramipexole DiHCL) | 90 BOT | 00597018490 | 94 |
NAMENDA 10MG TABLET
(Memantine HCl) | 60 BOT | 00456321060 | 98 |
NASACORT AQ AER 55MCG/AC
(Triamcinolone Acetonide Nasal) | 16.5 GM BOTSPR | 00075150616 | 61 |
NASONEX 50MCG NASAL SPRAY
(Mometasone Furoate Nasal) | | 00085128801 | 88 |
NEXIUM 40MG CAPSULE
(Esomeprazole Magnesium) | 90 BOT | 00186504054 | 78 |
NIASPAN ER 500MG TABLET (90 CT)
(Niacin) | 90 BOTPL | 00074307490 | 92 |
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human)) | 1 VIAL | 00169368512 | 91 |
NUVARING 0.12-0.015 RING VAGINAL
(Etonogestrel-Ethinyl Estradiol VA) | 3 POU | 00052027303 | 72 |
OCELLA TABLET
(Drospirenone-Ethinyl Estradiol) | 3 X 28 PKG | 00555913167 | 75 |
OPANA ER 5MG TABLET
(Oxymorphone HCl) | 100 BOT | 63481090770 | 44 |
ORTHO TRI-CYCLEN LO TABLET
(Norgestimate-Eth Estrad) | 6 X 28 DLPK | 00062125115 | 58 |
OXYCONTIN 20MG TABLET SA
(Oxycodone HCl) | 100 BOT | 59011010310 | 72 |
PATANOL 0.1% EYE DROPS
(Olopatadine HCl Ophth) | 5 ML BOT | 00065027105 | 86 |
PEGASYS 180MCG/0.5ML CONV.PK
(Peginterferon alfa-2a) | 1 X 4 PKGCOM | 00004035239 | 98 |
PLAVIX 75MG TABLET
(Clopidogrel Bisulfate) | | 63653117105 | 98 |
PREMPRO 0.625/2.5MG TABLET DIALPK
(Conjugated Estrogen-Medroxyprogest Acetate) | 1 X 3 EZ DIAL DISPENSERS CRTN | 00046087506 | 98 |
PROAIR HFA 90MCG HFA AEROSOL WITH ADAPTER
(Albuterol Sulfate) | 8.5 G CSTR | 59310057920 | 90 |
PROCRIT 40000U/ML VIAL PR
(Epoetin Alfa) | 4 X 1 ML VIALSD | 59676034001 | 95 |
PROGRAF 1MG CAPSULE
(Tacrolimus) | 100 BOT | 00469061773 | 98 |
PROTONIX 40MG TABLET EC
(Pantoprazole Sodium EC) | 90 TABLETS BOT | 00008084181 | 41 |
PROVENTIL HFA INHALER 90MCG AE
(Albuterol Sulfate) | 6.7 GM (200 INHALATIONS) CSTR | 00085113201 | 69 |
PROVIGIL 200MG TABLET
(Modafinil) | 100 BOTPL | 63459020101 | 97 |
RELPAX 40MG TABLET 6X2 BLPK
(Eletriptan Hydrobromide) | 6 X 2 BLPK | 00049234005 | 71 |
REQUIP 1MG TABLET
(Ropinirole HCL) | 100 BOT | 00007489220 | 51 |
REVLIMID 5MG CAPSULE
(Lenalidomide) | 100 BOT | 59572040500 | 98 |
REYATAZ 150MG CAPSULE
(Atazanavir Sulfate) | 100 BOT | 00003362412 | 98 |
RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY
(Budesonide Nasal) | 1 X 8.6 GM CTR | 00186107008 | 69 |
RISPERDAL 1MG TABLET
(Risperidone) | 500 BOT | 50458030050 | 54 |
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL
(Risperidone Microspheres For) | 12.5 MG VIAL DSPK | 50458030911 | 95 |
SENSIPAR 30MG TABLET
(Cinacalcet HCl) | 30 BOT | 55513007330 | 98 |
SEROQUEL 25MG TABLET
(Quetiapine Fumarate) | 100 BOT | 00310027510 | 98 |
SINGULAIR 10MG TABLET
(Montelukast Sodium) | 90 BOT | 00006011754 | 97 |
SKELAXIN 800MG TABLET
(Metaxalone) | 500 BOTPL | 60793013605 | 55 |
SOLODYN 45MG TABLET SR 24HR (100 CT)
(Minocycline HCl) | 100 BOT | 99207046010 | 30 |
SOTRET 40MG CAPSULE
(Isotretinoin) | 100 BOXUD | 10631058677 | 81 |
STRATTERA 40MG CAPSULE
(Atomoxetine HCl) | 30 BOT | 00002322930 | 79 |
SUBOXONE 8MG-2MG TABLET
(Buprenorphine HCl-Naloxone HCl SL) | | 12496130602 | 96 |
SUSTIVA 600MG TABLET
(Efavirenz) | 30 BOT | 00056051030 | 98 |
SYMBICORT 80-4.5MCG HFA AEROSOL WITH ADAPTER 60 INHL
(Budesonide-Formoterol Fumarate Dihyd) | 60 INHL | 00186037228 | 93 |
SYNTHROID 100MCG TABLET
(Levothyroxine Sodium) | 1000 BOT | 00074662419 | 87 |
TACLONEX OINTMENT
(Calcipotriene-Betamethasone Dipropionate) | 60 GM TUBE | 00430323015 | 33 |
TAMIFLU 75MG CAPSULE UD
(Oseltamivir Phosphate) | 10 BLPK | 00004080085 | 94 |
TARCEVA 150MG TABLET
(Erlotinib) | 30 BOT | 50242006401 | 98 |
THALOMID 100MG CAPSULE 140 BOX
(Thalidomide) | 140 BOX | 59572021095 | 98 |
TOBRADEX SUSPENSION OPHTHALMIC 0.1%/0.3% 5ML BOT
(Tobramycin Sulfate) | 5 ML BOT | 00065064705 | 84 |
TRICOR 145MG TABLET
(Fenofibrate) | 90 BOT | 00074612390 | 86 |
TRILEPTAL 300MG TABLET
(Oxcarbazepine) | 100 BOT | 00078033705 | 49 |
TRIZIVIR TABLET
(Abacavir Sulfate-Lamivudine-Zidovudine) | 60 S BOT | 00173069100 | 98 |
TRUVADA TABLET
(Emtricitabine-Tenofovir Disoproxil Fumarate) | | 61958070101 | 98 |
ULTRAM ER 100MG TABLET
(Tramadol HCl) | 30 TABS BOT | 00062065330 | 34 |
VALCYTE 450MG TABLET
(Valganciclovir HCl) | 60 TABLETS BOT | 00004003822 | 96 |
VALTREX 500MG TABLET
(Valacyclovir HCl) | 90 BOT | 00173093310 | 94 |
VERAMYST 27.5MCG SPRAY SUSPENSION
(Fluticasone Furoate Nasal) | 120 BOTGL | 00173075300 | 55 |
VESICARE 5MG TABLET (90 CT)
(Solifenacin Succinate) | 90 BOT | 51248015003 | 91 |
VIGAMOX 0.5% EYE DROPS
(Moxifloxacin HCl Ophth) | 3 ML BOTPL | 00065401303 | 87 |
VIREAD 300MG TABLET
(Tenofovir Disoproxil Fumarate) | | 61958040101 | 98 |
VYTORIN 10/20MG TABLET (1000 CT)
(Ezetimibe-Simvastatin) | 1000 BOT | 66582031282 | 72 |
VYVANSE 30MG CAPSULE
(Lisdexamfetamine Dimesylate) | 100 BOT | 59417010310 | 34 |
WELCHOL 625MG TABLET
(Colesevelam HCl) | 180 BOTPL | 65597070118 | 58 |
WELLBUTRIN XL 300MG TABLET
(Bupropion HCl) | 30 BOT | 00173073101 | 40 |
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth) | 2.5 ML BOTPL | 00013830304 | 87 |
XOPENEX 0.63MG/3ML SOLUTION
(Levalbuterol HCl) | 2 X 12 VIAL POUCHES CRTN | 63402051224 | 47 |
XOPENEX HFA 45MCG HFA AEROSOL WITH ADAPTER
(Levalbuterol Tartrate) | 200 INHALATIONS BOX | 63402051001 | 58 |
YASMIN 28 3-0.03MG TABLET
(Drospirenone-Ethinyl Estradiol) | 21 YELLOW + 7 WHITE X 3 BOX | 50419040203 | 49 |
YAZ 3-0.02MG TABLET
(Drospirenone-Ethinyl Estradiol) | 24 X 3 BOX | 50419040503 | 59 |
ZETIA 10MG TABLET (90 CT)
(Ezetimibe) | 90 BOT | 66582041454 | 98 |
ZOMIG 5MG TABLET
(Zolmitriptan) | 3 X 5MG CRTN | 00310021125 | 67 |
ZOVIRAX 5% OINTMENT
(Acyclovir) | 15 GM TUBE | 64455099394 | 82 |
ZYPREXA 5MG TABLET (30 BOT)
(Olanzapine) | 30 BOT | 00002411530 | 98 |
ZYVOX 600MG TABLET
(Linezolid) | 20 BOTPL | 00009513502 | 97 |
