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2014 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 2014 Formularies
PDPsMAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)
   1063101153112
PDPs
45
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)
   1063101163112
PDPs
45
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
   1063101173111
PDPs
41
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)
   1063101183111
PDPs
41
MAPDs
ACTIMMUNE SOLUTION FOR INJECTION 100MCG
(Interferon Gamma-1B)
12 X 0.5 ML CRTN641160011122
PDPs
3
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1B)
.5 ML  4223801110175
PDPs
306
MAPDs
IPRATROPIUM BROMIDE and ALBUTEROL SULFATE 2.5; 0.5mg/3mL; mg/3mL 6 POUCH per CARTON / 5 VIAL, PLAS
(Albuterol-Ipratropium Nebu)
6 POUCH in 1 CARTON / 5 V  0009367237361
PDPs
236
MAPDs
ALDARA 5% CREAM
(Imiquimod)
   9920702601215
PDPs
48
MAPDs
Amnesteem 10mg/1 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866119364
PDPs
228
MAPDs
Amnesteem 20mg/1 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866129364
PDPs
228
MAPDs
Amnesteem 40mg/1 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866149364
PDPs
228
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML  0008825003319
PDPs
132
MAPDs
Arcapta Neohaler 75ug/1 30 BLISTER PACK in 1 BOX / 1 CAPSULE per BLISTER PACK
(INDACATEROL MALEATE)
30 BLISTER PACK in 1 BOX  0007806191536
PDPs
113
MAPDs
ATROVENT NASAL SPRAY 0.03%
(Ipratropium Bromide Nasal)
30 ML BOT0059700813016
PDPs
53
MAPDs
ATROVENT NASAL SPRAY 0.06%
(Ipratropium Bromide Nasal)
15 ML BOT0059700867616
PDPs
53
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN0059700871774
PDPs
306
MAPDs
AVALIDE 12.5; 150mg/1; mg/1 90 FILM COATED TABLETS in BOTTLE
(Irbesartan-Hydrochlorothiazide)
90 TABLET, FILM COATED in  0008728753210
PDPs
38
MAPDs
AVALIDE 12.5; 300mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE
(Irbesartan-Hydrochlorothiazide)
30 TABLET, FILM COATED in  0008728763110
PDPs
38
MAPDs
AVAPRO 150MG TABLET
(Irbesartan)
500 BOT0008727721510
PDPs
35
MAPDs
AVAPRO 300MG TABLET
(Irbesartan)
90 BOT0008727733210
PDPs
35
MAPDs
AVAPRO 75MG TABLET (30 CT)
(Irbesartan)
30 BOT0008727713110
PDPs
35
MAPDs
AVONEX ADMIN PACK 30MCG VL
(Interferon Beta-1a)
1 X 4 KITS PKGCOM5962700010368
PDPs
300
MAPDs
AVONEX ADMIN PACK 30MCG SYR
(Interferon Beta-1a)
1 X 4 PKGCOM5962700020568
PDPs
294
MAPDs
BETASERON KIT 0.3MG/VIAL 14 TRAY BOX PKGCOM
(Interferon Beta-1b For)
14 TRAY BOX PKGCOM5041905233556
PDPs
279
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA  2433800101838
PDPs
95
MAPDs
BIVIGAM LIQUID 10% VIAL
(immune globulin intravenous)
   5973065030137
PDPs
147
MAPDs
BONIVA 150MG TABLET
(Ibandronate Sodium)
3 CRTN000040186828
PDPs
48
MAPDs
BONIVA 3mg/3mL SYRINGE
(Ibandronate Sodium)
1 SYRINGE, GLASS in 1 CAR  0000401910945
PDPs
173
MAPDs
Camptosar 20mg/mL 1 VIAL, SINGLE-DOSE per CARTON / 5 mL in 1 VIAL, SINGLE-DOSE
(Irinotecan HCl)
1 VIAL, SINGLE-DOSE in 1  0000975290315
PDPs
88
MAPDs
CARIMUNE NF 3GM VIAL
(Immune Globulin (Human) IV)
3 GM PKGCOM4420604160348
PDPs
236
MAPDs
CEREZYME INJ 200UNIT
(Imiglucerase For)
   5846819830177
PDPs
309
MAPDs
CLARAVIS 10MG CAPSULE
(Isotretinoin)
100 BLPK0055510545664
PDPs
233
MAPDs
CLARAVIS 20MG CAPSULE
(Isotretinoin)
100 BLPK0055510555664
PDPs
233
MAPDs
Claravis 30mg/1 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0055510568664
PDPs
233
MAPDs
CLARAVIS 40MG CAPSULE
(Isotretinoin)
100 BLPK0055510575664
PDPs
233
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT0000605714377
PDPs
309
MAPDs
CRIXIVAN 400mg, 180 CAPSULE BOTTLE
(Indinavir Sulfate)
180 CAPSULE in 1 BOTTLE  0000605736275
PDPs
307
MAPDs
CRIXIVAN 400mg/1 90 CAPSULE BOTTLE
(INDINAVIR SULFATE)
90 CAPSULE in 1 BOTTLE  000060573542
PDPs
2
MAPDs
DILATRATE-SR 40 MG CAPSULE
(Isosorbide Dinitrate)
100 EA  5224409201026
PDPs
95
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
   759870010039
PDPs
44
MAPDs
ELAPRASE 6mg/3mL 1 VIAL, GLASS in 1 BOX / 3 mL in 1 VIAL, GLASS
(Idursulfase)
1 VIAL, GLASS in 1 BOX /  5409207000171
PDPs
282
MAPDs
EXTAVIA 15 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Interferon Beta-1b For)
15 BLISTER PACK in 1 CART  0007805691236
PDPs
149
MAPDs
Firazyr 30.0mg/3mL 1 SYRINGE, GLASS per CARTON / 3 mL in 1 SYRINGE, GLASS
(ICATIBANT ACETATE)
1 SYRINGE, GLASS in 1 CAR  5409207020255
PDPs
168
MAPDs
GamaSTAN S/D 0.165g/mL
(Immune Globulin (Human))
   1353306351249
PDPs
214
MAPDs
GAMMAGARD LIQUID 100mg/mL 1 BOTTLE, GLASS per CARTON / 25 mL in 1 BOTTLE, GLASS
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in 1 CART  0094427000368
PDPs
276
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
   6420882340340
PDPs
182
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS  1353308001253
PDPs
262
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013477
PDPs
309
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381577
PDPs
309
MAPDs
HUMALOG 100U/ML VIAL
(Insulin Lispro (Human))
1 X 10 ML VIAL0000275100164
PDPs
254
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 0000287995963
PDPs
248
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL0000275120165
PDPs
257
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL0000275110164
PDPs
258
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287985963
PDPs
247
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287975962
PDPs
248
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL0000287150165
PDPs
261
MAPDs
Humulin 70/30 100[iU]/mL 5 SYRINGE per CARTON / 3 mL in 1 SYRINGE
(Insulin Isophane & Regular (Human))
5 SYRINGE in 1 CARTON / 3  0000287705961
PDPs
241
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL0000283150165
PDPs
261
MAPDs
Humulin N 100[iU]/mL 5 SYRINGE per CARTON / 3 mL in 1 SYRINGE
(Insulin Isophane (Human))
5 SYRINGE in 1 CARTON / 3  0000287305961
PDPs
241
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL0000282150165
PDPs
261
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL0000285010169
PDPs
256
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
   6050527950073
PDPs
283
MAPDs
IBANDRONATE 3 MG/3 ML VIAL [Boniva]
(Ibandronate Sodium)
   6275602184049
PDPs
199
MAPDs
Ibuprofen 100mg/5mL 473 mL in 1 BOTTLE
(Ibuprofen)
473 mL in 1 BOTTLE  4580209524369
PDPs
280
MAPDs
IBUPROFEN 400MG TABLETS
(Ibuprofen)
100 BOXUD 0090458536177
PDPs
309
MAPDs
IBUPROFEN 600mg/1 500 TABLET BOTTLE
(Ibuprofen)
500 TABLET BOTTLE  5374604650577
PDPs
309
MAPDs
Ibuprofen 800 mg tablet
(Ibuprofen)
   5260501230575
PDPs
306
MAPDs
IBUPROFEN 800 MG TABLET
(Ibuprofen)
500 EA  009045187402
PDPs
3
MAPDs
IDAMYCIN PFS 1MG/ML VIAL
(Idarubicin HCl IV)
20 ML VIALPL0001325969124
PDPs
90
MAPDs
IDARUBICIN HCL 1MG/ML VIAL
(Idarubicin HCl IV)
1 X 10 ML PKG0070341551169
PDPs
261
MAPDs
IFEX INJECTION 3GM/ML 3GM VIALSD
(Ifosfamide For)
3GM VIALSD0033839930149
PDPs
176
MAPDs
IFOSFAMIDE FOR INFECTION 1 GM
(Ifosfamide For)
01 X 1 GM VIALSD6332301421071
PDPs
259
MAPDs
Ilaris 150mg/mL 1 VIAL, SINGLE-USE per CARTON / 1 mL in 1 VIAL, SINGLE-USE
(CANAKINUMAB)
1 VIAL, SINGLE-USE in 1 C  0007805826140
PDPs
136
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)
1.7 ML  0006517500750
PDPs
159
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)
90 EA  5796201400977
PDPs
309
MAPDs
IMIPENEM-CILASTATIN 250 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935080173
PDPs
275
MAPDs
IMIPENEM-CILASTATIN 500 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935070173
PDPs
277
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400540177
PDPs
309
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400550177
PDPs
309
MAPDs
IMIPRAMINE HCL 50MG TABLET (100 CT)
(Imipramine HCl)
100 BOT5348903320177
PDPs
309
MAPDs
IMIPRAMINE PAMOATE 100MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402741347
PDPs
220
MAPDs
IMIPRAMINE PAMOATE 125MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402751347
PDPs
220
MAPDs
IMIPRAMINE PAMOATE 150MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402761347
PDPs
220
MAPDs
IMIPRAMINE PAMOATE 75MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402731347
PDPs
220
MAPDs
IMIQUIMOD 5% CREAM
(Imiquimod)
24 EA  0016804322476
PDPs
308
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK0017307370112
PDPs
36
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR0017305230013
PDPs
80
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK0017307350012
PDPs
36
MAPDs
IMITREX 4MG/0.5ML KIT REFILL
(Sumatriptan Succinate)
2 SYR0017307390212
PDPs
59
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR0017305240013
PDPs
81
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK0017307360112
PDPs
36
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR0017304780012
PDPs
47
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL0017304490212
PDPs
38
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)
   4928102505177
PDPs
309
MAPDs
IMURAN 50MG TABLET
(Azathioprine)
100 BOT6548305901012
PDPs
47
MAPDs
Incivek 375mg/1 4 BOX per CARTON / 7 BLISTER PACK in 1 BOX / 6 FILM COATED TABLETS in BLISTER PA
(TELAPREVIR)
4 BOX in 1 CARTON / 7 BLI  5116701000172
PDPs
297
MAPDs
Increlex 40mg/4mL 1 VIAL, MULTI-DOSE per CARTON / 4 mL in 1 VIAL, MULTI-DOSE
(Mecasermin)
1 VIAL, MULTI-DOSE in 1 C  1505410400577
PDPs
309
MAPDs
Indapamide 1.25mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Indapamide)
100 TABLET, FILM COATED i  0037800690174
PDPs
306
MAPDs
INDAPAMIDE 2.5MG TABLET USP (1000 CT)
(Indapamide)
1000 BOT0037800801074
PDPs
306
MAPDs
INDERAL LA LONG ACTING CAPSULES 120MG 100 BOT
(Propranolol HCl)
100 BOT2409004738811
PDPs
37
MAPDs
INDERAL LA LONG ACTING CAPSULES 160MG 100 BOT
(Propranolol HCl)
100 BOT2409004798811
PDPs
37
MAPDs
INDERAL LA LONG ACTING CAPSULES 60MG 100 BOT
(Propranolol HCl)
100 BOT2409004708811
PDPs
37
MAPDs
INDERAL LA LONG ACTING CAPSULES 80MG 100 BOT
(Propranolol HCl)
100 BOT2409004718811
PDPs
37
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)
237 ML BOT4221101011115
PDPs
60
MAPDs
INDOMETHACIN 25MG CAPSULES
(Indomethacin)
1000 BOT 0009340291041
PDPs
184
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)
100 EA  3172205430141
PDPs
184
MAPDs
INDOMETHACIN 75MG CAPSULE SA
(Indomethacin)
60 BOTPL0018507206037
PDPs
177
MAPDs
INFERGEN INJECTION
(Interferon alfacon-1)
6 VIAL PKG 6643502011550
PDPs
210
MAPDs
INLYTA 1 MG TABLET
(axitinib)
   0006901450177
PDPs
309
MAPDs
INLYTA 5 MG TABLET
(axitinib)
   0006901511177
PDPs
309
MAPDs
INNOPRAN CAPSULES EXTENDED RELEASE 120 MG
(Propranolol HCl Sustained-Release Beads)
100 BOT0017307910224
PDPs
76
MAPDs
INNOPRAN XL 80 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)
100 EA  0017307900223
PDPs
75
MAPDs
INNOPRAN CAPSULES EXTENDED RELEASE 80 MG
(Propranolol HCl Sustained-Release Beads)
30 BOT001730790011
PDPs
2
MAPDs
INSPRA 25MG TABLET
(Eplerenone)
90 TABLETS BOT0002517100211
PDPs
35
MAPDs
Inspra 50mg/1 30 FILM COATED TABLETS in BOTTLE
(Eplerenone)
30 TABLET, FILM COATED in  0002517200311
PDPs
35
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT5967605700177
PDPs
309
MAPDs
Intelence 200mg/1
(Etravirine)
   5967605710177
PDPs
309
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)
120 EA  5967605720177
PDPs
309
MAPDs
INTRALIPID PHARMACY BULK PACKAGE FAT EMULSION 1.7-1.2-30GM 500ML BAG
(Fat)
500 ML BAG0033805200360
PDPs
222
MAPDs
INTRALIPID 20% IV FAT EMUL
(Fat)
250 ML BAG0033805190273
PDPs
296
MAPDs
INTRON A 10MMU VIAL
(Interferon Alfa-2B)
2 ML KIT0008505710277
PDPs
309
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL0008511680177
PDPs
309
MAPDs
Introvale 3 CARTON in 1 BOX / 1 KIT per CARTON
(INTROVALE)
3 CARTON in 1 BOX / 1 KIT  0078155843674
PDPs
252
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL0000638437157
PDPs
264
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA  5045805540177
PDPs
309
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805500177
PDPs
309
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805510177
PDPs
309
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805520177
PDPs
309
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML  5045805620177
PDPs
309
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML  5045805630177
PDPs
309
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML  5045805640177
PDPs
309
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML  5045805600177
PDPs
309
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML  5045805610177
PDPs
309
MAPDs
INVIRASE 200MG CAPSULE
(Saquinavir Mesylate)
270 BOT0000402451577
PDPs
309
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT0000402445177
PDPs
309
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA  5045801403033
PDPs
172
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA  5045801413033
PDPs
172
MAPDs
IONOSOL B-D5W IV SOLUTION
(Electrolyte-B in D5W)
12 X 1000 ML BAG0040973710946
PDPs
184
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)
24 X 500 ML CTR0040973720347
PDPs
189
MAPDs
IOPIDINE 0.5% EYE DROPS
(Apraclonidine HCl Ophth)
10 ML BOTDR0006506651012
PDPs
53
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR0006506601025
PDPs
122
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL4928108601077
PDPs
309
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 0005400454474
PDPs
308
MAPDs
Ipratropium Bromide 0.5mg/2.5mL 1 POUCH per CARTON / 30 VIAL in 1 POUCH / 2.5 mL in 1 VIAL
(Ipratropium Bromide)
1 POUCH in 1 CARTON / 30  0059137983060
PDPs
238
MAPDs
Ipratropium Bromide 42ug/1 1 BOTTLE, SPRAY per CARTON / 165 SPRAY, METERED in 1 BOTTLE, SPRAY
(Ipratropium Bromide)
1 BOTTLE, SPRAY in 1 CART  2420803991574
PDPs
308
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)
   0009374650571
PDPs
274
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
   000937466982
PDPs
3
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
100 EA  0009375140569
PDPs
271
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)
   0009374645671
PDPs
274
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
30 EA  0060340881670
PDPs
263
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
30 EA  6050536040370
PDPs
264
MAPDs
irinotecan hcl 100 mg/5 ml vl
(Irinotecan HCl)
 6332301930569
PDPs
263
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
   0000604776177
PDPs
309
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
   0000604736177
PDPs
309
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT0000602276177
PDPs
309
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG0026477301047
PDPs
209
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)
1000 ML X 12 CASE0026477030050
PDPs
214
MAPDs
ISONIAZID INJ 100MG/ML
(Isoniazid)
10 ML VIALMD0078130567064
PDPs
254
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)
100 EA  0055500660275
PDPs
306
MAPDs
ISONIAZID 100MG TABLET
(Isoniazid)
1000 BOT001431260102
PDPs
3
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)
100 EA  0052711090175
PDPs
306
MAPDs
ISONIAZID 300MG TABLETS
(Isoniazid)
1000 BOT 001431261102
PDPs
3
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT4628700090164
PDPs
275
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802031519
PDPs
100
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802041519
PDPs
100
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802061519
PDPs
100
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)
   0018701920121
PDPs
98
MAPDs
ISORDIL 40MG TABLET
(Isosorbide Dinitrate)
100 BOT644550192011
PDPs
2
MAPDs
ISORDIL TABLETS 5MG 100 BOT
(Isosorbide Dinitrate)
   644550152011
PDPs
1
MAPDs
ISORDIL TITRADOSE 5 MG TAB
(Isosorbide Dinitrate)
   0018701520113
PDPs
48
MAPDs
ISOSORBIDE DN 10MG TABLET
(Isosorbide Dinitrate)
1000 BOT001431771102
PDPs
3
MAPDs
ISOSORBIDE DN 20MG TABLET
(Isosorbide Dinitrate)
100 BOT0014317720177
PDPs
309
MAPDs
ISOSORBIDE DN 30MG TABLET
(Isosorbide Dinitrate)
1000 BOT4988400091077
PDPs
309
MAPDs
ISOSORBIDE DINITRATE 40MG TABLETS EXTENDED RELEASE
(Isosorbide Dinitrate)
100 BOT 5766406008874
PDPs
308
MAPDs
ISOSORBIDE DINITRATE 5MG TABLETS
(Isosorbide Dinitrate)
1000 BOT 001431769102
PDPs
3
MAPDs
ISOSORBIDE DN 10 MG TABLET
(Isosorbide Dinitrate)
1000 EA  0078115561075
PDPs
306
MAPDs
ISOSORBIDE DN 2.5 MG TAB SL
(Isosorbide Dinitrate)
100 EA  0014317650174
PDPs
307
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)
100 EA  0014317690175
PDPs
306
MAPDs
ISOSORBIDE MN 10 MG TABLET
(Isosorbide Mononitrate)
100 EA  0022826311173
PDPs
305
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT6217501293777
PDPs
309
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)
100 BOT0014313330174
PDPs
307
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 30MG (100 CT)
(Isosorbide Mononitrate)
100 BOT0014322300177
PDPs
309
MAPDs
ISOSORBIDE MONONITRATE TABLETS EXTENDED RELEASE 60MG 100 TABLETS BOT
(Isosorbide Mononitrate)
100 TABLETS BOT6217501193777
PDPs
309
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG0033805034867
PDPs
252
MAPDs
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)
100 BOT1625205390168
PDPs
270
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)
100 BOT1625205400168
PDPs
270
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5 ML BOTDR6742500035040
PDPs
157
MAPDs
ISTODAX KIT 10MG/VIAL
(Romidepsin)
1 PKGCOM 5957209830166
PDPs
266
MAPDs
ITRACONAZOLE 100MG CAPSULE
(Itraconazole)
30 CAPS BOT0018505503077
PDPs
309
MAPDs
IXEMPRA 45 MG KIT
(IXABEPILONE)
1 KIT in 1 PACKAGE, COMBI  0001519111367
PDPs
234
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
0.5ML SYR4251500010177
PDPs
309
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
60 EA  5116702000260
PDPs
209
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL0008822203369
PDPs
302
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 0008822190567
PDPs
292
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL0016936871272
PDPs
301
MAPDs
Levemir 14.2mg/mL 5 SYRINGE, PLASTIC per CARTON / 3 mL in 1 SYRINGE, PLASTIC
(Insulin Detemir)
5 SYRINGE, PLASTIC in 1 C  0016964391069
PDPs
287
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT3069800320177
PDPs
309
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)
100 EA  6174803011153
PDPs
174
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)
100 EA  6174803021154
PDPs
174
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)
100 EA  6174803041154
PDPs
174
MAPDs
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane & Regular (Human))
1 VIAL in 1 CARTON / 10 m  0016918371145
PDPs
260
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 VIAL in 1 CARTON / 10 m  0016918341145
PDPs
260
MAPDs
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Regular (Human))
1 VIAL in 1 CARTON / 10 m  0016918331145
PDPs
260
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL0016975011148
PDPs
271
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR0016963391043
PDPs
257
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL0016936851248
PDPs
271
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR0016936961944
PDPs
256
MAPDs
ONMEL 200 MG TABLET
(itraconazole)
   0025914202812
PDPs
56
MAPDs
PHYSIOLYTE SOLUTION FOR IRRIGATION
(Irrigation Solution, Physiological)
1000 ML X 16 CASE0026422050034
PDPs
112
MAPDs
PHYSIOSOL IRRIGATION SOL
(Irrigation Solution, Physiological)
24 X 500 ML CTR0040961410334
PDPs
116
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)
   5022205024740
PDPs
165
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)
   5022205034740
PDPs
165
MAPDs
PRIMAXIN IV 250MG VIAL
(Imipenem-Cilastatin Intravenous For)
25 X 10 ML VIAL0000635145812
PDPs
62
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  0000635165912
PDPs
55
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML  4420604382048
PDPs
198
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS in 1 CA  4408700220353
PDPs
222
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS in 1 CA  4408700440353
PDPs
222
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
   4408788220152
PDPs
219
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)
20 ML VIALSU5789400300177
PDPs
309
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)
60 BOT0006805096016
PDPs
75
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT0008805764164
PDPs
279
MAPDs
SKLICE 0.5% LOTION
(ivermectin)
117 GM  4928101837121
PDPs
77
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT5045802951537
PDPs
162
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
28 (PULSE PACK) BLPK5045802902811
PDPs
36
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT5045802900414
PDPs
44
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD0000600322072
PDPs
267
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)
30 BOT004069920038
PDPs
37
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)
30 BOT004069921038
PDPs
37
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)
30 BOT004069922038
PDPs
37
MAPDs
TOFRANIL-PM 100MG CAPSULE
(Imipramine Pamoate)
30 BOT004069924037
PDPs
40
MAPDs
TOFRANIL-PM 125MG CAPSULE
(Imipramine Pamoate)
30 BOT004069925037
PDPs
40
MAPDs
TOFRANIL-PM 150MG CAPSULE
(Imipramine Pamoate)
30 BOT004069926037
PDPs
40
MAPDs
TOFRANIL-PM 75MG CAPSULE
(Imipramine Pamoate)
30 BOT004069923037
PDPs
40
MAPDs
Ventavis 0.01mg/mL
(Iloprost)
   6621503023041
PDPs
193
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
   6621503033039
PDPs
185
MAPDs
YERVOY 5mg/mL 1 VIAL, SINGLE-USE per CARTON / 50 mL in 1 VIAL, SINGLE-USE
(IPILIMUMAB)
1 VIAL, SINGLE-USE in 1 C  0000323271167
PDPs
243
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
   9920702767524
PDPs
117
MAPDs
ZYCLARA 3.75% CREAM
(Imiquimod)
28 EA  9920702702825
PDPs
125
MAPDs



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





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