Drug Name
| Packaging | NDC | On This Nbr of 2013 Formularies |
PDPs | MAPDs |
Actonel 150mg/1 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 1 FILM COATED TABLETS in TRAY (Risedronate Sodium) | 36 DOSE PACK in 1 CASE / | 00430047801 | 49 PDPs | 200 MAPDs |
Actonel 30mg/1 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE (Risedronate Sodium) | 12 BOTTLE in 1 CASE / 30 | 00430047015 | 50 PDPs | 199 MAPDs |
Actonel 35mg/1 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 4 FILM COATED TABLETS in TRAY (Risedronate Sodium) | 36 DOSE PACK in 1 CASE / | 00430047203 | 49 PDPs | 198 MAPDs |
Actonel 5mg/1 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE (Risedronate Sodium) | 12 BOTTLE in 1 CASE / 30 | 00430047115 | 49 PDPs | 200 MAPDs |
ACTOS 15MG TABLET (Pioglitazone HCl) | 500 BOTPL | 64764015106 | 46 PDPs | 161 MAPDs |
Actos 30mg/1 (Pioglitazone HCL) | | 64764030116 | 1 PDPs | 0 MAPDs |
Actos 30mg/90 Tablet Bottle (Pioglitazone HCl) | 90 EA Bottle | 64764030115 | 45 PDPs | 161 MAPDs |
ACTOS 45MG TABLET (Pioglitazone HCl) | 90 BOTPL | 64764045125 | 46 PDPs | 161 MAPDs |
ADVAIR DISKUS MIS 100/50 (Fluticasone-Salmeterol) | 60 DOSE INHL | 00173069500 | 69 PDPs | 257 MAPDs |
ADVAIR DISKUS MIS 250/50 (Fluticasone-Salmeterol) | 60 DOSE BLPK | 00173069600 | 69 PDPs | 257 MAPDs |
ADVAIR DISKUS MIS 500/50 (Fluticasone-Salmeterol) | 60 BLPK | 00173069700 | 69 PDPs | 257 MAPDs |
ATORVASTATIN 10 MG TABLET (Atorvastatin Calcium) | 90 EA | 63304082790 | 75 PDPs | 260 MAPDs |
ATORVASTATIN 20 MG TABLET (Atorvastatin Calcium) | 90 EA | 63304082890 | 75 PDPs | 260 MAPDs |
ATORVASTATIN 40 MG TABLET (Atorvastatin Calcium) | 90 EA | 63304082990 | 75 PDPs | 260 MAPDs |
ATORVASTATIN 80 MG TABLET (Atorvastatin Calcium) | 90 EA | 63304083090 | 75 PDPs | 260 MAPDs |
CLOPIDOGREL 300 MG tablet (Clopidogrel) | | 55111067131 | 54 PDPs | 206 MAPDs |
CLOPIDOGREL TAB 75MG (Clopidogrel) | | 00378362777 | 75 PDPs | 260 MAPDs |
DIOVAN 160MG TABLET (Valsartan) | 90 BOT | 00078035934 | 64 PDPs | 238 MAPDs |
DIOVAN 320MG TABLET (Valsartan) | 90 BOT | 00078036034 | 64 PDPs | 238 MAPDs |
DIOVAN 40MG TABLET (Valsartan) | 30 BOT | 00078042315 | 64 PDPs | 238 MAPDs |
DIOVAN 80MG TABLET (Valsartan) | 90 BOX | 00078035834 | 64 PDPs | 238 MAPDs |
DIOVAN HCT 160/12.5MG TABLET (Valsartan-Hydrochlorothiazide) | 90 BOT | 00078031534 | 32 PDPs | 148 MAPDs |
DIOVAN HCT 320/12.5MG TABLET (Valsartan-Hydrochlorothiazide) | 90 BOT | 00078047134 | 32 PDPs | 148 MAPDs |
DIOVAN HCT 80/12.5MG TABLET (Valsartan-Hydrochlorothiazide) | 90 BOT | 00078031434 | 32 PDPs | 147 MAPDs |
DIOVAN HCT 160/25MG TABLET (Valsartan-Hydrochlorothiazide) | 90 BOT | 00078038334 | 32 PDPs | 148 MAPDs |
DIOVAN HCT 320/25MG TABLET (Valsartan-Hydrochlorothiazide) | 90 BOT | 00078047234 | 32 PDPs | 147 MAPDs |
ESCITALOPRAM 10 MG TABLET (Escitalopram) | | 00093585101 | 75 PDPs | 259 MAPDs |
ESCITALOPRAM 20 MG TABLET (Escitalopram) | | 00093585201 | 75 PDPs | 259 MAPDs |
ESCITALOPRAM 5 MG TABLET (Escitalopram) | | 00093585001 | 75 PDPs | 259 MAPDs |
ESCITALOPRAM OXALATE 5 MG/5 ML (Escitalopram) | | 65162070588 | 75 PDPs | 256 MAPDs |
LANTUS 100U/ML VIAL (Insulin Glargine) | 10 ML VIAL | 00088222033 | 71 PDPs | 258 MAPDs |
LEXAPRO 10MG TABLET (Escitalopram Oxalate) | 10 BOT | 00456201001 | 19 PDPs | 79 MAPDs |
LEXAPRO 20MG TABLET (Escitalopram Oxalate) | 100 TABLETS BOT | 00456202001 | 19 PDPs | 79 MAPDs |
LEXAPRO 5MG TABLET (Escitalopram Oxalate) | 100 BOT | 00456200501 | 19 PDPs | 79 MAPDs |
LEXAPRO 5MG/5ML SOLUTION (Escitalopram Oxalate) | 8 FLO BOT | 00456210108 | 21 PDPs | 115 MAPDs |
LIPITOR 10MG TABLET (Atorvastatin Calcium) | 90 BOT | 00071015523 | 12 PDPs | 58 MAPDs |
LIPITOR 20MG TABLET (5000 CT) (Atorvastatin Calcium) | 5000 BOT | 00071015694 | 12 PDPs | 58 MAPDs |
LIPITOR 40MG TABLET (500 CT) (Atorvastatin Calcium) | 500 BOT | 00071015773 | 13 PDPs | 60 MAPDs |
LIPITOR 80MG TABLET (Atorvastatin Calcium) | 500 BOT | 00071015873 | 13 PDPs | 60 MAPDs |
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE in 1 CARTON (Esomeprazole Magnesium) | 30 GRANULE, DELAYED RELEA | 00186401001 | 49 PDPs | 159 MAPDs |
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET (Esomeprazole Magnesium) | 20 MG PKT X 30 PKT | 00186402001 | 49 PDPs | 161 MAPDs |
NEXIUM 20MG CAPSULE (Esomeprazole Magnesium) | 90 BOT | 00186502054 | 49 PDPs | 166 MAPDs |
NEXIUM DR 2.5 MG PACKET (Esomeprazole Magnesium) | | 00186402501 | 48 PDPs | 151 MAPDs |
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET (Esomeprazole Magnesium) | 40 MG PKT X 30 PKT | 00186404001 | 49 PDPs | 161 MAPDs |
NEXIUM 40MG CAPSULE (Esomeprazole Magnesium) | 90 BOT | 00186504054 | 49 PDPs | 166 MAPDs |
NEXIUM DR 5 MG PACKET (Esomeprazole Magnesium) | | 00186405001 | 48 PDPs | 151 MAPDs |
NEXIUM IV 20MG VIAL (Esomeprazole Sodium For Intravenous) | 10 VIALSD | 00186602001 | 54 PDPs | 178 MAPDs |
NEXIUM IV 40MG VIAL (Esomeprazole Sodium For Intravenous) | 10 VIALSD | 00186604001 | 54 PDPs | 172 MAPDs |
pioglitazone hcl 15 mg tablet (Pioglitazone HCL) | | 00378004877 | 72 PDPs | 259 MAPDs |
pioglitazone hcl 30 mg tablet (Pioglitazone HCL) | | 00378022893 | 72 PDPs | 259 MAPDs |
pioglitazone hcl 45 mg tablet (Pioglitazone HCL) | | 00378031877 | 72 PDPs | 259 MAPDs |
PLAVIX TABLETS 300MG (Clopidogrel Bisulfate) | | 63653133202 | 15 PDPs | 66 MAPDs |
PLAVIX 75MG TABLET (Clopidogrel Bisulfate) | | 63653117105 | 22 PDPs | 88 MAPDs |
QUETIAPINE FUMARATE 100 MG TAB (Quetiapine Fumarate) | 100 EA | 47335090488 | 75 PDPs | 260 MAPDs |
QUETIAPINE FUMARATE 200 MG TAB (Quetiapine Fumarate) | 100 EA | 47335090588 | 75 PDPs | 260 MAPDs |
QUETIAPINE FUMARATE 25 MG TAB (Quetiapine Fumarate) | 100 EA | 47335090288 | 75 PDPs | 260 MAPDs |
QUETIAPINE FUMARATE 300 MG TAB (Quetiapine Fumarate) | 100 EA | 47335090688 | 75 PDPs | 260 MAPDs |
QUETIAPINE FUMARATE 400 MG TAB (Quetiapine Fumarate) | 100 EA | 47335090788 | 75 PDPs | 260 MAPDs |
QUETIAPINE FUMARATE 50 MG TAB (Quetiapine Fumarate) | 100 EA | 47335090388 | 75 PDPs | 260 MAPDs |
SEROQUEL 100MG TABLET (Quetiapine Fumarate) | 100 BOT | 00310027110 | 23 PDPs | 93 MAPDs |
SEROQUEL 200MG TABLET (Quetiapine Fumarate) | 100 BOT | 00310027210 | 23 PDPs | 93 MAPDs |
SEROQUEL 25MG TABLET (Quetiapine Fumarate) | 100 BOT | 00310027510 | 23 PDPs | 88 MAPDs |
SEROQUEL 300MG TABLET (Quetiapine Fumarate) | 60 BOT | 00310027460 | 23 PDPs | 94 MAPDs |
SEROQUEL 400MG TABLET (Quetiapine Fumarate) | 100 BOT | 00310027910 | 23 PDPs | 94 MAPDs |
SEROQUEL 50MG TABLET (100 CT) (Quetiapine Fumarate) | 100 BOT | 00310027810 | 23 PDPs | 85 MAPDs |
SEROQUEL TABLETS EXTENDED RELEASE 150MG 100 CRTN (Quetiapine Fumarate) | 100 CRTN | 00310028139 | 68 PDPs | 240 MAPDs |
SEROQUEL TABLETS EXTENDED RELEASE 200MG 100 X 200 MG CRTN (Quetiapine Fumarate) | 100 X 200 MG CRTN | 00310028239 | 68 PDPs | 241 MAPDs |
SEROQUEL XR 300MG TABLET 60X300MG BOT (Quetiapine Fumarate) | 60 X 300 MG BOT | 00310028360 | 68 PDPs | 241 MAPDs |
SEROQUEL TABLETS EXTENDED RELEASE 400MG 100 X 400 MG CRTN (Quetiapine Fumarate) | 100 X 400 MG CRTN | 00310028439 | 68 PDPs | 241 MAPDs |
SEROQUEL TABLETS EXTENDED RELEASE 50MG 100 TABS CRTN (Quetiapine Fumarate) | 100 TABS CRTN | 00310028039 | 68 PDPs | 240 MAPDs |
VALSARTAN-HCTZ 160-12.5 MG TAB (Valsartan-Hydrochlorothiazide) | 500 EA | 00378632205 | 73 PDPs | 244 MAPDs |
VALSARTAN-HCTZ 160-25 MG TAB (Valsartan-Hydrochlorothiazide) | 90 EA | 00378632377 | 73 PDPs | 244 MAPDs |
VALSARTAN-HCTZ 320-12.5 MG TAB (Valsartan-Hydrochlorothiazide) | 500 EA | 00378632405 | 73 PDPs | 244 MAPDs |
VALSARTAN-HCTZ 320-25 MG TAB (Valsartan-Hydrochlorothiazide) | 500 EA | 00378632505 | 73 PDPs | 244 MAPDs |
VALSARTAN-HCTZ 80-12.5 MG TAB (Valsartan-Hydrochlorothiazide) | 90 EA | 00378632177 | 73 PDPs | 244 MAPDs |