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2013 Medicare Part D Formulary Search By Drug Letter

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Select a Letter below:
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  PR  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY

Drug Names Containing the Letter I in Alphabetical Order.
Example: Lipitor® is found on letter page "L" as well as letter page "A" for Atorvastatin.

Drug Name
PackagingNDCOn This Nbr of 2013 Formularies
PDPsMAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)
   1063101153110
PDPs
44
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)
   1063101163110
PDPs
44
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
   1063101173110
PDPs
45
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)
   1063101183110
PDPs
44
MAPDs
ACTIMMUNE SOLUTION FOR INJECTION 100MCG
(Interferon Gamma-1B)
12 X 0.5 ML CRTN6411600111275
PDPs
260
MAPDs
IPRATROPIUM BROMIDE and ALBUTEROL SULFATE 2.5; 0.5mg/3mL; mg/3mL 6 POUCH in 1 CARTON / 5 VIAL, PLAS
(Albuterol-Ipratropium Nebu)
6 POUCH in 1 CARTON / 5 V  0009367237362
PDPs
185
MAPDs
Amnesteem 10mg/1 3 BLISTER PACK in 1 CARTON / 10 CAPSULE in 1 BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866119362
PDPs
218
MAPDs
Amnesteem 20mg/1 3 BLISTER PACK in 1 CARTON / 10 CAPSULE in 1 BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866129362
PDPs
218
MAPDs
Amnesteem 40mg/1 3 BLISTER PACK in 1 CARTON / 10 CAPSULE in 1 BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866149362
PDPs
218
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML  0008825003335
PDPs
135
MAPDs
Arcapta Neohaler 75ug/1 30 BLISTER PACK in 1 BOX / 1 CAPSULE in 1 BLISTER PACK
(INDACATEROL MALEATE)
30 BLISTER PACK in 1 BOX  0007806191540
PDPs
130
MAPDs
ATROVENT NASAL SPRAY 0.03%
(Ipratropium Bromide Nasal)
30 ML BOT0059700813013
PDPs
70
MAPDs
ATROVENT NASAL SPRAY 0.06%
(Ipratropium Bromide Nasal)
15 ML BOT0059700867613
PDPs
70
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN0059700871772
PDPs
259
MAPDs
AVALIDE 12.5; 150mg/1; mg/1 90 FILM COATED TABLETS in BOTTLE
(Irbesartan-Hydrochlorothiazide)
90 TABLET, FILM COATED in  0008728753210
PDPs
57
MAPDs
AVALIDE 12.5; 300mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE
(Irbesartan-Hydrochlorothiazide)
30 TABLET, FILM COATED in  0008728763110
PDPs
57
MAPDs
AVAPRO 150MG TABLET
(Irbesartan)
500 BOT0008727721510
PDPs
59
MAPDs
AVAPRO 300MG TABLET
(Irbesartan)
90 BOT0008727733210
PDPs
59
MAPDs
AVAPRO 75MG TABLET (30 CT)
(Irbesartan)
30 BOT0008727713110
PDPs
59
MAPDs
AVONEX ADMIN PACK 30MCG VL
(Interferon Beta-1a)
1 X 4 KITS PKGCOM5962700010375
PDPs
256
MAPDs
AVONEX ADMIN PACK 30MCG SYR
(Interferon Beta-1a)
1 X 4 PKGCOM5962700020574
PDPs
249
MAPDs
BETASERON KIT 0.3MG/VIAL 14 TRAY BOX PKGCOM
(Interferon Beta-1b For)
14 TRAY BOX PKGCOM5041905233563
PDPs
227
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA  2433800101835
PDPs
94
MAPDs
BONIVA 150MG TABLET
(Ibandronate Sodium)
3 CRTN0000401868215
PDPs
78
MAPDs
BONIVA 3mg/3mL SYRINGE
(Ibandronate Sodium)
1 SYRINGE, GLASS in 1 CAR  0000401910952
PDPs
205
MAPDs
Camptosar 20mg/mL 1 VIAL, SINGLE-DOSE in 1 CARTON / 5 mL in 1 VIAL, SINGLE-DOSE
(Irinotecan HCl)
1 VIAL, SINGLE-DOSE in 1  0000975290318
PDPs
79
MAPDs
CARIMUNE NF 3GM VIAL
(Immune Globulin (Human) IV)
3 GM PKGCOM4420604160351
PDPs
210
MAPDs
CEREZYME INJ 200UNIT
(Imiglucerase For)
   5846819830175
PDPs
260
MAPDs
CLARAVIS 10MG CAPSULE
(Isotretinoin)
100 BLPK0055510545664
PDPs
226
MAPDs
CLARAVIS 20MG CAPSULE
(Isotretinoin)
100 BLPK0055510555664
PDPs
226
MAPDs
Claravis 30mg/1 3 BLISTER PACK in 1 CARTON / 10 CAPSULE in 1 BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0055510568663
PDPs
227
MAPDs
CLARAVIS 40MG CAPSULE
(Isotretinoin)
100 BLPK0055510575664
PDPs
226
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT0000605714375
PDPs
257
MAPDs
CRIXIVAN 400mg/1 90 CAPSULE in 1 BOTTLE
(INDINAVIR SULFATE)
90 CAPSULE in 1 BOTTLE  0000605735475
PDPs
260
MAPDs
DILATRATE-SR 40 MG CAPSULE
(Isosorbide Dinitrate)
100 EA  5224409201023
PDPs
101
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
   759870010039
PDPs
49
MAPDs
DYNACIRC CR TABLETS 10 MG
(Isradipine)
30 BOT0017307850129
PDPs
121
MAPDs
DYNACIRC CR TABLETS 5 MG
(Isradipine)
30 BOT0017307840129
PDPs
121
MAPDs
ELAPRASE 6mg/3mL 1 VIAL, GLASS in 1 BOX / 3 mL in 1 VIAL, GLASS
(Idursulfase)
1 VIAL, GLASS in 1 BOX /  5409207000164
PDPs
227
MAPDs
EXTAVIA 15 BLISTER PACK in 1 CARTON / 1 KIT in 1 BLISTER PACK
(Interferon Beta-1b For)
15 BLISTER PACK in 1 CART  0007805691233
PDPs
137
MAPDs
Firazyr 30.0mg/3mL 1 SYRINGE, GLASS in 1 CARTON / 3 mL in 1 SYRINGE, GLASS
(ICATIBANT ACETATE)
1 SYRINGE, GLASS in 1 CAR  5409207020252
PDPs
155
MAPDs
GamaSTAN S/D 0.165g/mL
(Immune Globulin (Human))
   1353306351242
PDPs
175
MAPDs
GAMMAGARD LIQUID 100mg/mL 1 BOTTLE, GLASS in 1 CARTON / 25 mL in 1 BOTTLE, GLASS
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in 1 CART  0094427000357
PDPs
229
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
   6420882340345
PDPs
157
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS  1353308001248
PDPs
209
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013475
PDPs
260
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381575
PDPs
260
MAPDs
Hizentra 0.2g/mL 1 VIAL, SINGLE-DOSE in 1 CARTON / 5 mL in 1 VIAL, SINGLE-DOSE
(Immune Globulin (Human) Subcutaneous)
1 VIAL, SINGLE-DOSE in 1  442060451011
PDPs
0
MAPDs
HUMALOG 100U/ML VIAL
(Insulin Lispro (Human))
1 X 10 ML VIAL0000275100155
PDPs
219
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 0000287995954
PDPs
204
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL0000275120157
PDPs
220
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL0000275110155
PDPs
217
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287985956
PDPs
204
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287975954
PDPs
202
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL0000287150155
PDPs
209
MAPDs
Humulin 70/30 100[iU]/mL 5 SYRINGE in 1 CARTON / 3 mL in 1 SYRINGE
(Insulin Isophane & Regular (Human))
5 SYRINGE in 1 CARTON / 3  0000287705952
PDPs
196
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL0000283150155
PDPs
209
MAPDs
Humulin N 100[iU]/mL 5 SYRINGE in 1 CARTON / 3 mL in 1 SYRINGE
(Insulin Isophane (Human))
5 SYRINGE in 1 CARTON / 3  0000287305952
PDPs
196
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL0000282150155
PDPs
209
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL0000285010162
PDPs
217
MAPDs
IBANDRONATE SODIUM 150 MG TAB
(Ibandronate Sodium)
   6050527950066
PDPs
234
MAPDs
Ibuprofen 100mg/5mL 473 mL in 1 BOTTLE
(Ibuprofen)
473 mL in 1 BOTTLE  4580209524369
PDPs
235
MAPDs
IBUPROFEN TABLETS
(Ibuprofen)
100 BOXUD 0090458536175
PDPs
260
MAPDs
IBUPROFEN 600mg/1 500 TABLET BOTTLE
(Ibuprofen)
500 TABLET BOTTLE  5374604650575
PDPs
260
MAPDs
IBUPROFEN 800 MG TABLET
(Ibuprofen)
500 EA  0090451874075
PDPs
260
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)
   7618905356074
PDPs
260
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)
   7618905343074
PDPs
260
MAPDs
IDAMYCIN PFS 1MG/ML VIAL
(Idarubicin HCl IV)
20 ML VIALPL0001325969122
PDPs
75
MAPDs
IDARUBICIN HCL 1MG/ML VIAL
(Idarubicin HCl IV)
1 X 10 ML PKG0070341551156
PDPs
198
MAPDs
IFEX INJECTION 3GM/ML 3GM VIALSD
(Ifosfamide For)
3GM VIALSD0033839930142
PDPs
124
MAPDs
IFOSFAMIDE FOR INFECTION 1 GM
(Ifosfamide For)
01 X 1 GM VIALSD6332301421057
PDPs
199
MAPDs
Ilaris 150mg/mL 1 VIAL, SINGLE-USE in 1 CARTON / 1 mL in 1 VIAL, SINGLE-USE
(CANAKINUMAB)
1 VIAL, SINGLE-USE in 1 C  0007805826134
PDPs
110
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)
1.7 ML  0006517500743
PDPs
140
MAPDs
IMIPENEM-CILASTATIN 250 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935080164
PDPs
231
MAPDs
IMIPENEM-CILASTATIN 500 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935070164
PDPs
233
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400540175
PDPs
260
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400550175
PDPs
260
MAPDs
IMIPRAMINE HCL 50MG TABLET (100 CT)
(Imipramine HCl)
100 BOT5348903320175
PDPs
260
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402741360
PDPs
210
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402751360
PDPs
210
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402761360
PDPs
210
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402731360
PDPs
210
MAPDs
IMIQUIMOD 5% CREAM
(Imiquimod)
24 EA  0016804322473
PDPs
259
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK001730737019
PDPs
51
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR0017305230011
PDPs
86
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK001730735009
PDPs
51
MAPDs
IMITREX 4MG/0.5ML KIT REFILL
(Sumatriptan Succinate)
2 SYR0017307390214
PDPs
67
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR0017305240011
PDPs
87
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK001730736019
PDPs
51
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR0017304780014
PDPs
65
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL0017304490213
PDPs
65
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)
   4928102505164
PDPs
229
MAPDs
IMURAN 50MG TABLET
(Azathioprine)
100 BOT6548305901020
PDPs
64
MAPDs
Incivek 375mg/1 4 BOX in 1 CARTON / 7 BLISTER PACK in 1 BOX / 6 FILM COATED TABLETS in BLISTER PA
(TELAPREVIR)
4 BOX in 1 CARTON / 7 BLI  5116701000175
PDPs
257
MAPDs
Increlex 40mg/4mL 1 VIAL, MULTI-DOSE in 1 CARTON / 4 mL in 1 VIAL, MULTI-DOSE
(Mecasermin)
1 VIAL, MULTI-DOSE in 1 C  1505410400575
PDPs
260
MAPDs
Indapamide 1.25mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Indapamide)
100 TABLET, FILM COATED i  0037800690175
PDPs
258
MAPDs
INDAPAMIDE 2.5MG TABLET USP (1000 CT)
(Indapamide)
1000 BOT0037800801075
PDPs
258
MAPDs
INDERAL LA LONG ACTING CAPSULES 120MG 100 BOT
(Propranolol HCl)
100 BOT2409004738810
PDPs
56
MAPDs
INDERAL LA LONG ACTING CAPSULES 160MG 100 BOT
(Propranolol HCl)
100 BOT2409004798810
PDPs
56
MAPDs
INDERAL LA LONG ACTING CAPSULES 60MG 100 BOT
(Propranolol HCl)
100 BOT2409004708810
PDPs
56
MAPDs
INDERAL LA LONG ACTING CAPSULES 80MG 100 BOT
(Propranolol HCl)
100 BOT2409004718810
PDPs
56
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)
237 ML BOT4221101011127
PDPs
97
MAPDs
INDOMETHACIN CAPSULES
(Indomethacin)
1000 BOT 0009340291067
PDPs
222
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)
100 EA  3172205430167
PDPs
222
MAPDs
INDOMETHACIN 75MG CAPSULE SA
(Indomethacin)
60 BOTPL0018507206060
PDPs
211
MAPDs
INFERGEN INJECTION
(Interferon alfacon-1)
6 VIAL PKG 6643502011548
PDPs
205
MAPDs
INLYTA 1 MG TABLET
(axitinib)
   0006901450175
PDPs
260
MAPDs
INLYTA 5 MG TABLET
(axitinib)
   0006901511175
PDPs
260
MAPDs
INNOPRAN CAPSULES EXTENDED RELEASE 120 MG
(Propranolol HCl Sustained-Release Beads)
100 BOT0017307910221
PDPs
82
MAPDs
INNOPRAN CAPSULES EXTENDED RELEASE 80 MG
(Propranolol HCl Sustained-Release Beads)
30 BOT0017307900121
PDPs
83
MAPDs
INSPRA 25MG TABLET
(Eplerenone)
90 TABLETS BOT0002517100210
PDPs
56
MAPDs
Inspra 50mg/1 30 FILM COATED TABLETS in BOTTLE
(Eplerenone)
30 TABLET, FILM COATED in  0002517200310
PDPs
56
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT5967605700175
PDPs
260
MAPDs
Intelence 200mg/1
(Etravirine)
   5967605710175
PDPs
260
MAPDs
INTRALIPID PHARMACY BULK PACKAGE FAT EMULSION 1.7-1.2-30GM 500ML BAG
(Fat)
500 ML BAG0033805200359
PDPs
196
MAPDs
INTRALIPID 20% IV FAT EMUL
(Fat)
250 ML BAG0033805190271
PDPs
245
MAPDs
INTRON A 10MMU VIAL
(Interferon Alfa-2B)
2 ML KIT0008505710275
PDPs
260
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL0008511680175
PDPs
260
MAPDs
Introvale 3 CARTON in 1 BOX / 1 KIT in 1 CARTON
(INTROVALE)
3 CARTON in 1 BOX / 1 KIT  0078155843661
PDPs
209
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL0000638437163
PDPs
232
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA  5045805540175
PDPs
258
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805500175
PDPs
260
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805510175
PDPs
260
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805520175
PDPs
260
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML  5045805620175
PDPs
258
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML  5045805630175
PDPs
258
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML  5045805640175
PDPs
258
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML  5045805600175
PDPs
260
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML  5045805610175
PDPs
259
MAPDs
INVIRASE 200MG CAPSULE
(Saquinavir Mesylate)
270 BOT0000402451575
PDPs
260
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT0000402445175
PDPs
260
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA  5045801403013
PDPs
72
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA  5045801413013
PDPs
72
MAPDs
IONOSOL B-D5W IV SOLUTION
(Electrolyte-B in D5W)
12 X 1000 ML BAG0040973710946
PDPs
166
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)
24 X 500 ML CTR0040973720346
PDPs
174
MAPDs
IOPIDINE 0.5% EYE DROPS
(Apraclonidine HCl Ophth)
10 ML BOTDR0006506651013
PDPs
68
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR0006506601029
PDPs
126
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL4928108601075
PDPs
260
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 0005400454475
PDPs
259
MAPDs
Ipratropium Bromide 0.5mg/2.5mL 1 POUCH in 1 CARTON / 30 VIAL in 1 POUCH / 2.5 mL in 1 VIAL
(Ipratropium Bromide)
1 POUCH in 1 CARTON / 30  0059137983064
PDPs
208
MAPDs
Ipratropium Bromide 42ug/1 1 BOTTLE, SPRAY in 1 CARTON / 165 SPRAY, METERED in 1 BOTTLE, SPRAY
(Ipratropium Bromide)
1 BOTTLE, SPRAY in 1 CART  2420803991575
PDPs
259
MAPDs
Ipratropium Bromide 500ug/2.5mL 30 POUCH in 1 CARTON / 1 VIAL in 1 POUCH / 2.5 mL in 1 VIAL
(Ipratropium Bromide)
30 POUCH in 1 CARTON / 1  003786989641
PDPs
0
MAPDs
IRBESARTAN 150 MG TABLET
(Irbesartan)
   0009374650560
PDPs
228
MAPDs
IRBESARTAN 300 MG TABLET
(Irbesartan)
   0009374669860
PDPs
228
MAPDs
IRBESARTAN 75 MG TABLET
(Irbesartan)
   0009374645660
PDPs
228
MAPDs
Irbesartan-Hctz 150-12.5 mg tb
(Irbesartan-Hydrochlorothiazide)
   0005402542260
PDPs
226
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TB
(Irbesartan-Hydrochlorothiazide)
   0009372399860
PDPs
226
MAPDs
irinotecan hcl 100 mg/5 ml vl
(Irinotecan HCl)
 6332301930556
PDPs
197
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
   0000604776174
PDPs
260
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
   0000604736174
PDPs
260
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT0000602276175
PDPs
260
MAPDs
ISOLYTE H IN 5% DEXTROSE
(Electrolyte-H in D5W)
12 X 1000 ML BAG0026477190057
PDPs
195
MAPDs
ISOLYTE M IN 5% DEXTROSE INJECTION
(Electrolyte-M in D5W)
12 X 1000 ML BAG0026477200054
PDPs
186
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG0026477301053
PDPs
180
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)
1000 ML X 12 CASE0026477030053
PDPs
181
MAPDs
ISOLYTE S IN 5% DEXTROSE INJECTION
(Electrolyte-S in D5W)
12 X 1000 ML BAG0026477040053
PDPs
187
MAPDs
ISONIAZID INJ 100MG/ML
(Isoniazid)
10 ML VIALMD0078130567057
PDPs
214
MAPDs
ISONIAZID 100MG TABLET
(Isoniazid)
1000 BOT0014312601075
PDPs
260
MAPDs
ISONIAZID TABLETS
(Isoniazid)
1000 BOT 0014312611075
PDPs
260
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT4628700090168
PDPs
236
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802031525
PDPs
111
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802041525
PDPs
111
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802061525
PDPs
111
MAPDs
ISORDIL 40MG TABLET
(Isosorbide Dinitrate)
100 BOT6445501920121
PDPs
104
MAPDs
ISORDIL TABLETS 5MG 100 BOT
(Isosorbide Dinitrate)
   6445501520112
PDPs
66
MAPDs
ISOSORBIDE DN 10MG TABLET
(Isosorbide Dinitrate)
1000 BOT0014317711075
PDPs
260
MAPDs
ISOSORBIDE DN 20MG TABLET
(Isosorbide Dinitrate)
100 BOT0014317720175
PDPs
260
MAPDs
ISOSORBIDE DN 30MG TABLET
(Isosorbide Dinitrate)
1000 BOT4988400091075
PDPs
260
MAPDs
ISOSORBIDE DINITRATE TABLETS EXTENDED RELEASE
(Isosorbide Dinitrate)
100 BOT 5766406008875
PDPs
260
MAPDs
Isosorbide Dinitrate 5mg/1 100 TABLET BOTTLE
(Isosorbide Dinitrate)
100 TABLET BOTTLE  0014317670175
PDPs
258
MAPDs
ISOSORBIDE DINITRATE TABLETS
(Isosorbide Dinitrate)
1000 BOT 0014317691075
PDPs
260
MAPDs
ISOSORBIDE DN 2.5 MG TAB SL
(Isosorbide Dinitrate)
100 EA  0014317650175
PDPs
258
MAPDs
ISOSORBIDE MN 10 MG TABLET
(Isosorbide Mononitrate)
100 EA  0022826311172
PDPs
248
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT6217501293775
PDPs
260
MAPDs
ISOSORBIDE MONONITRATE 20 MG ORAL TABLET [MONOKET]
(Isosorbide Mononitrate)
   0009136200112
PDPs
65
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)
100 BOT0014313330175
PDPs
259
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 30MG (100 CT)
(Isosorbide Mononitrate)
100 BOT0014322300175
PDPs
260
MAPDs
ISOSORBIDE MONONITRATE TABLETS EXTENDED RELEASE 60MG 100 TABLETS BOT
(Isosorbide Mononitrate)
100 TABLETS BOT6217501193775
PDPs
260
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG0033805034859
PDPs
206
MAPDs
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)
100 BOT1625205390170
PDPs
230
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)
100 BOT1625205400170
PDPs
230
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5 ML BOTDR6742500035040
PDPs
142
MAPDs
ISTODAX KIT
(Romidepsin)
1 PKGCOM 5957209830155
PDPs
211
MAPDs
ITRACONAZOLE 100MG CAPSULE
(Itraconazole)
30 CAPS BOT0018505503075
PDPs
259
MAPDs
IXEMPRA 45 MG KIT
(IXABEPILONE)
1 KIT in 1 PACKAGE, COMBI  0001519111355
PDPs
183
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
0.5ML SYR4251500010175
PDPs
260
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
60 EA  5116702000256
PDPs
174
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL0008822203371
PDPs
258
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 0008822190567
PDPs
239
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL0016936871273
PDPs
256
MAPDs
Levemir 14.2mg/mL 5 SYRINGE, PLASTIC in 1 CARTON / 3 mL in 1 SYRINGE, PLASTIC
(Insulin Detemir)
5 SYRINGE, PLASTIC in 1 C  0016964391070
PDPs
238
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT3069800320175
PDPs
260
MAPDs
MONOKET 10MG TABLET
(Isosorbide Mononitrate)
100 BOT0009136100112
PDPs
68
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)
100 EA  6174803011158
PDPs
186
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)
100 EA  6174803021158
PDPs
186
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)
100 EA  6174803041158
PDPs
186
MAPDs
Novolin 100[USP'U]/mL 1 VIAL in 1 CARTON / 10 mL in 1 VIAL
(Insulin Isophane & Regular (Human))
1 VIAL in 1 CARTON / 10 m  0016918371160
PDPs
235
MAPDs
Novolin 100[iU]/mL 1 VIAL in 1 CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 VIAL in 1 CARTON / 10 m  0016918341160
PDPs
235
MAPDs
Novolin R 100[iU]/mL 1 VIAL in 1 CARTON / 10 mL in 1 VIAL
(Insulin Regular (Human))
1 VIAL in 1 CARTON / 10 m  0016918331160
PDPs
235
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL0016975011166
PDPs
243
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR0016963391061
PDPs
234
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL0016936851266
PDPs
243
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR0016936961963
PDPs
235
MAPDs
ONMEL 200 MG TABLET
(itraconazole)
   002591420289
PDPs
56
MAPDs
PHYSIOLYTE SOLUTION FOR IRRIGATION
(Irrigation Solution, Physiological)
1000 ML X 16 CASE0026422050039
PDPs
101
MAPDs
PHYSIOSOL IRRIGATION SOL
(Irrigation Solution, Physiological)
24 X 500 ML CTR0040961410337
PDPs
96
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)
   5022205024737
PDPs
139
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)
   5022205034737
PDPs
139
MAPDs
PRIMAXIN IV 250MG VIAL
(Imipenem-Cilastatin Intravenous For)
25 X 10 ML VIAL0000635145828
PDPs
115
MAPDs
PRIMAXIN IV 500; 500mg/100mL; mg/100mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 100 mL in 1 VIAL, SINGLE-DOS
(Imipenem-Cilastatin Intravenous For)
25 VIAL, SINGLE-DOSE in 1  0000635165930
PDPs
110
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML  4420604382049
PDPs
177
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS in 1 CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS in 1 CA  4408700220349
PDPs
204
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS in 1 CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS in 1 CA  4408700440349
PDPs
204
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
   4408788220148
PDPs
200
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)
20 ML VIALSU5789400300175
PDPs
260
MAPDs
RIFAMATE CAPSULE
(Isoniazid & Rifampin)
60 BOT0006805096013
PDPs
76
MAPDs
RIFATER TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT0008805764134
PDPs
127
MAPDs
SKLICE 0.5% LOTION
(ivermectin)
117 GM  4928101837122
PDPs
74
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT5045802951542
PDPs
155
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
28 (PULSE PACK) BLPK5045802902811
PDPs
49
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT5045802900412
PDPs
52
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD0000600322067
PDPs
232
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)
30 BOT0040699200311
PDPs
63
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)
30 BOT0040699210311
PDPs
63
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)
30 BOT0040699220311
PDPs
63
MAPDs
TOFRANIL-PM 100MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699240312
PDPs
66
MAPDs
TOFRANIL-PM 125MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699250312
PDPs
66
MAPDs
TOFRANIL-PM 150MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699260312
PDPs
66
MAPDs
TOFRANIL-PM 75MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699230312
PDPs
66
MAPDs
Ventavis 0.01mg/mL
(Iloprost)
   6621503023044
PDPs
188
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
   6621503033038
PDPs
162
MAPDs
YERVOY 5mg/mL 1 VIAL, SINGLE-USE in 1 CARTON / 50 mL in 1 VIAL, SINGLE-USE
(IPILIMUMAB)
1 VIAL, SINGLE-USE in 1 C  0000323271160
PDPs
191
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data )





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