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2015 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 2015 Formularies
PDPsMAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)
   106310115318
PDPs
51
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)
   106310116318
PDPs
51
MAPDs
ABSORICA 25 MG CAPSULE
(Isotretinoin)
   106310133317
PDPs
50
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
   106310117318
PDPs
50
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)
   106310134317
PDPs
50
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)
   106310118318
PDPs
51
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1B)
.5 ML  4223801110167
PDPs
347
MAPDs
AFREZZA 30-4 UNIT + 60-8 UNIT
(insulin)
90 EA  000245882365
PDPs
41
MAPDs
AFREZZA 4 UNITS CARTRIDGE INH
(insulin)
   000245874905
PDPs
41
MAPDs
AFREZZA 60-4 UNIT + 30-8 UNIT
(insulin)
   000245884635
PDPs
41
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  0009367237352
PDPs
273
MAPDs
ALDARA 5% CREAM
(Imiquimod)
   992070260128
PDPs
34
MAPDs
Amnesteem 10mg/1 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866119358
PDPs
281
MAPDs
Amnesteem 20mg/1 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866129358
PDPs
282
MAPDs
Amnesteem 40mg/1 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866149358
PDPs
281
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML  0008825003315
PDPs
140
MAPDs
Arcapta Neohaler 75ug/1 30 BLISTER PACK in 1 BOX / 1 CAPSULE per BLISTER PACK
(INDACATEROL MALEATE)
30 BLISTER PACK in 1 BOX  0007806191527
PDPs
128
MAPDs
ATROVENT NASAL SPRAY 0.03%
(Ipratropium Bromide Nasal)
30 ML BOT005970081309
PDPs
32
MAPDs
ATROVENT NASAL SPRAY 0.06%
(Ipratropium Bromide Nasal)
15 ML BOT005970086769
PDPs
31
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN0059700871765
PDPs
344
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
90 EA  000245855909
PDPs
27
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30 EA  000245856309
PDPs
27
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)
30 EA  000245851307
PDPs
27
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)
90 EA  000245852907
PDPs
27
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)
90 EA  000245850907
PDPs
27
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(Interferon Beta-1a)
1 EA  5962700030447
PDPs
270
MAPDs
AVONEX ADMIN PACK 30MCG VL
(Interferon Beta-1a)
1 X 4 KITS PKGCOM5962700010347
PDPs
281
MAPDs
AVONEX ADMIN PACK 30MCG SYR
(Interferon Beta-1a)
1 X 4 PKGCOM5962700020547
PDPs
283
MAPDs
BETASERON KIT 0.3MG/VIAL 14 TRAY BOX PKGCOM
(Interferon Beta-1b For)
14 TRAY BOX PKGCOM5041905233546
PDPs
291
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA  2433800101826
PDPs
100
MAPDs
BIVIGAM LIQUID 10% VIAL
(immune globulin intravenous)
   5973065030137
PDPs
182
MAPDs
BONIVA 150MG TABLET
(Ibandronate Sodium)
3 CRTN000040186825
PDPs
28
MAPDs
BONIVA 3mg/3mL SYRINGE
(Ibandronate Sodium)
1 SYRINGE, GLASS in 1 CAR  0000401910917
PDPs
89
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  000097529038
PDPs
70
MAPDs
CARIMUNE NF 6GM VIAL
(Immune Globulin (Human) IV)
6 GM PKGCOM4420604170643
PDPs
253
MAPDs
CEREZYME 400 UNITS VIAL
(Imiglucerase For)
   5846846630164
PDPs
327
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)
100 BLPK0055510545660
PDPs
297
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)
100 BLPK0055510555660
PDPs
297
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0055510568660
PDPs
292
MAPDs
CLARAVIS 40MG CAPSULE
(Isotretinoin)
100 BLPK0055510575660
PDPs
297
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA  5551308006025
PDPs
81
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA  5551308106025
PDPs
81
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)
14 EA  0046903201428
PDPs
114
MAPDs
CRESEMBA 372 MG VIAL
(Isavuconazonium Sulfate)
   0046904209928
PDPs
115
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT0000605714367
PDPs
347
MAPDs
CRIXIVAN 400mg, 180 CAPSULE BOTTLE
(Indinavir Sulfate)
180 CAPSULE in 1 BOTTLE  0000605736267
PDPs
347
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
   759870010035
PDPs
39
MAPDs
ELAPRASE 6mg/3mL 1 VIAL, GLASS in 1 BOX / 3 mL in 1 VIAL, GLASS
(Idursulfase)
1 VIAL, GLASS in 1 BOX /  5409207000145
PDPs
251
MAPDs
EXTAVIA 15 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Interferon Beta-1b For)
15 BLISTER PACK in 1 CART  0007805691235
PDPs
176
MAPDs
Firazyr 30.0mg/3mL 1 SYRINGE, GLASS per CARTON / 3 mL in 1 SYRINGE, GLASS
(ICATIBANT ACETATE)
1 SYRINGE, GLASS in 1 CAR  5409207020267
PDPs
331
MAPDs
FLEBOGAMMA DIF INJECTION
(Immune Globulin (Human) IV)
   6195300050136
PDPs
210
MAPDs
GamaSTAN S/D 0.165g/mL
(Immune Globulin (Human))
   1353306351249
PDPs
243
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  0094427000344
PDPs
271
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML  7612509000130
PDPs
162
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
   6420882340351
PDPs
238
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS  1353308001255
PDPs
315
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013467
PDPs
347
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381567
PDPs
347
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
   0000275160146
PDPs
196
MAPDs
Humalog 100[iU]/mL 1 VIAL in 1 CARTON / 3 mL in 1 VIAL
(Insulin Lispro (Human))
1 VIAL in 1 CARTON / 3 mL  0000275101749
PDPs
260
MAPDs
HUMALOG 100 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
   0000287990149
PDPs
247
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 0000287995947
PDPs
250
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
   0000277122746
PDPs
236
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL0000275120149
PDPs
261
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL0000275110149
PDPs
260
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287985949
PDPs
251
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287975949
PDPs
250
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL0000287150151
PDPs
268
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3 ML  0000288035948
PDPs
255
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL0000283150151
PDPs
269
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3 ML  0000288055948
PDPs
255
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL0000282150151
PDPs
269
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL0000285010161
PDPs
290
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
   6050527950060
PDPs
318
MAPDs
IBANDRONATE 3 MG/3 ML Syringe [Boniva]
(Ibandronate Sodium)
   2502108276137
PDPs
223
MAPDs
IBANDRONATE 3 MG/3 ML VIAL [Boniva]
(Ibandronate Sodium)
   6275602184039
PDPs
237
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)
21 EA  0006901882167
PDPs
347
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)
21 EA  0006901892167
PDPs
347
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)
21 EA  0006901872167
PDPs
347
MAPDs
IBUDONE 10; 200mg/1; mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Hydrocodone Bitartrate and Ibuprofen)
100 TABLET, FILM COATED i  509910579016
PDPs
31
MAPDs
Ibuprofen 100mg/5mL 473 mL in 1 BOTTLE
(Ibuprofen)
473 mL in 1 BOTTLE  4580209524361
PDPs
314
MAPDs
IBUPROFEN 400MG TABLETS
(Ibuprofen)
100 BOXUD 0090458536167
PDPs
347
MAPDs
IBUPROFEN 600mg/1 500 TABLET BOTTLE
(Ibuprofen)
500 TABLET BOTTLE  5374604650567
PDPs
347
MAPDs
Ibuprofen 800mg/1 100 TABLET BOTTLE
(Ibuprofen)
100 TABLET in 1 BOTTLE  5374604660167
PDPs
347
MAPDs
IDAMYCIN PFS 1MG/ML VIAL
(Idarubicin HCl IV)
20 ML VIALPL0001325969114
PDPs
97
MAPDs
IDARUBICIN HCL 1MG/ML VIAL
(Idarubicin HCl IV)
1 X 10 ML PKG0070341551161
PDPs
289
MAPDs
IFEX 1g/1 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSE
(Ifosfamide For)
1 INJECTION, POWDER, FOR  0033839910115
PDPs
97
MAPDs
IFOSFAMIDE FOR INFECTION 1 GM
(Ifosfamide For)
01 X 1 GM VIALSD6332301421065
PDPs
313
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  0007805826149
PDPs
260
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)
1.7 ML  0006517500758
PDPs
214
MAPDs
ILOTYCIN 0.5% EYE OINTMENT
(Erythromycin)
1 GM  0057440231141
PDPs
153
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)
90 EA  5796201400967
PDPs
347
MAPDs
IMIPENEM-CILASTATIN 250 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935080167
PDPs
337
MAPDs
IMIPENEM-CILASTATIN 500 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935070166
PDPs
334
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400540167
PDPs
347
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400550167
PDPs
347
MAPDs
IMIPRAMINE HCL 50MG TABLET (100 CT)
(Imipramine HCl)
100 BOT5348903320167
PDPs
347
MAPDs
IMIPRAMINE PAMOATE 100MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402741337
PDPs
243
MAPDs
IMIPRAMINE PAMOATE 125MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402751337
PDPs
243
MAPDs
IMIPRAMINE PAMOATE 150MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402761337
PDPs
243
MAPDs
IMIPRAMINE PAMOATE 75MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402731337
PDPs
243
MAPDs
IMIQUIMOD 5% CREAM
(Imiquimod)
24 EA  0016804322467
PDPs
347
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK001730737018
PDPs
32
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR0017305230010
PDPs
55
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK001730735008
PDPs
29
MAPDs
IMITREX 4MG/0.5ML KIT REFILL
(Sumatriptan Succinate)
2 SYR001730739028
PDPs
50
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR0017305240010
PDPs
56
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK001730736018
PDPs
29
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR001730478008
PDPs
39
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL001730449028
PDPs
30
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)
   4928102505167
PDPs
347
MAPDs
IMURAN 50MG TABLET
(Azathioprine)
100 BOT6548305901013
PDPs
64
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  1505410400567
PDPs
347
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
   0017308731020
PDPs
97
MAPDs
Indapamide 1.25mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Indapamide)
100 TABLET, FILM COATED i  0037800690165
PDPs
342
MAPDs
INDAPAMIDE 2.5MG TABLET USP (1000 CT)
(Indapamide)
1000 BOT0037800801065
PDPs
342
MAPDs
INDERAL LA LONG ACTING CAPSULES 120MG 100 BOT
(Propranolol HCl)
100 BOT240900473887
PDPs
29
MAPDs
INDERAL LA LONG ACTING CAPSULES 160MG 100 BOT
(Propranolol HCl)
100 BOT240900479887
PDPs
28
MAPDs
INDERAL LA LONG ACTING CAPSULES 60MG 100 BOT
(Propranolol HCl)
100 BOT240900470887
PDPs
28
MAPDs
INDERAL LA LONG ACTING CAPSULES 80MG 100 BOT
(Propranolol HCl)
100 BOT240900471887
PDPs
29
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)
237 ML BOT422110101117
PDPs
58
MAPDs
INDOMETHACIN 25MG CAPSULES
(Indomethacin)
1000 BOT 0009340291017
PDPs
157
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)
100 EA  3172205430117
PDPs
157
MAPDs
INDOMETHACIN 75MG CAPSULE SA
(Indomethacin)
60 BOTPL0018507206013
PDPs
144
MAPDs
INLYTA 1 MG TABLET
(axitinib)
   0006901450167
PDPs
347
MAPDs
INLYTA 5 MG TABLET
(axitinib)
   0006901511167
PDPs
347
MAPDs
INNOPRAN XL 120 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)
30 EA  2409004518513
PDPs
74
MAPDs
INNOPRAN XL 80 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)
30 EA  2409004508513
PDPs
75
MAPDs
INSPRA 25MG TABLET
(Eplerenone)
90 TABLETS BOT000251710027
PDPs
27
MAPDs
INSPRA 50MG/1 30 FILM COATED TABLETS in BOTTLE
(Eplerenone)
30 TABLET, FILM COATED in  000251720037
PDPs
27
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT5967605700167
PDPs
347
MAPDs
Intelence 200mg/1
(Etravirine)
   5967605710167
PDPs
347
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)
120 EA  5967605720167
PDPs
347
MAPDs
INTRALIPID PHARMACY BULK PACKAGE FAT EMULSION 1.7-1.2-30GM 500ML BAG
(Fat)
500 ML BAG0033805200352
PDPs
249
MAPDs
INTRALIPID 20% IV FAT EMUL
(Fat)
250 ML BAG0033805190263
PDPs
335
MAPDs
INTRON A 10MMU VIAL
(Interferon Alfa-2B)
2 ML KIT0008505710267
PDPs
347
MAPDs
INTRON A 18 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA  0008543510167
PDPs
343
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL0008511680167
PDPs
347
MAPDs
INTRON A 50 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA  0008543520167
PDPs
343
MAPDs
Introvale 3 CARTON in 1 BOX / 1 KIT per CARTON
(INTROVALE)
3 CARTON in 1 BOX / 1 KIT  0078155843661
PDPs
276
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL0000638437163
PDPs
339
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA  5045805540167
PDPs
347
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805500167
PDPs
347
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805510167
PDPs
347
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805520167
PDPs
347
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML  5045805620167
PDPs
347
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML  5045805630167
PDPs
347
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML  5045805640167
PDPs
347
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML  5045805600167
PDPs
347
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML  5045805610167
PDPs
347
MAPDs
INVIRASE 200MG CAPSULE
(Saquinavir Mesylate)
270 BOT0000402451567
PDPs
347
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT0000402445167
PDPs
347
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA  5045805436051
PDPs
277
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA  5045805426051
PDPs
277
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA  5045805416051
PDPs
277
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA  5045805406051
PDPs
277
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA  5045801403054
PDPs
280
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA  5045801413054
PDPs
280
MAPDs
IONOSOL B-D5W IV SOLUTION
(Electrolyte-B in D5W)
12 X 1000 ML BAG0040973710938
PDPs
213
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)
24 X 500 ML CTR0040973720340
PDPs
218
MAPDs
IOPIDINE 0.5% EYE DROPS
(Apraclonidine HCl Ophth)
10 ML BOTDR000650665105
PDPs
54
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR0006506601016
PDPs
118
MAPDs
IPOL SINGLE DOSE SYRINGE
(Poliovirus Vaccine, IPV)
   4928108608864
PDPs
313
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL4928108601067
PDPs
347
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 0005400454467
PDPs
347
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  0059137983053
PDPs
280
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  2420803991567
PDPs
347
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)
   0009374650553
PDPs
301
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
90 EA  3172207319053
PDPs
301
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)
   0009374645653
PDPs
301
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
30 EA  0060340881651
PDPs
292
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
30 EA  6050536040351
PDPs
292
MAPDs
IRENKA DR 40 MG CAPSULE
(Duloxetine Hydrochloride)
   2743702980613
PDPs
139
MAPDs
irinotecan hcl 100 mg/5 ml vl
(Irinotecan HCl)
 6332301930561
PDPs
289
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
   0000604776167
PDPs
347
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
   0000636036067
PDPs
347
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
   0000604736167
PDPs
347
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT0000602276167
PDPs
347
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG0026477301042
PDPs
238
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)
1000 ML X 12 CASE0026477030044
PDPs
248
MAPDs
ISONIAZID INJ 100MG/ML
(Isoniazid)
10 ML VIALMD0078130567052
PDPs
263
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)
100 EA  0055500660267
PDPs
347
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)
1000 EA  0052711091067
PDPs
347
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT4628700090156
PDPs
306
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802031513
PDPs
88
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802041513
PDPs
88
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802061513
PDPs
88
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)
   0018701920117
PDPs
106
MAPDs
ISORDIL TITRADOSE 5 MG TAB
(Isosorbide Dinitrate)
   0018701520110
PDPs
46
MAPDs
ISOSORBIDE DN 20MG TABLET
(Isosorbide Dinitrate)
100 BOT0014317720167
PDPs
347
MAPDs
ISOSORBIDE DN 30MG TABLET
(Isosorbide Dinitrate)
1000 BOT4988400091065
PDPs
343
MAPDs
ISOSORBIDE DINITRATE 40MG TABLETS EXTENDED RELEASE
(Isosorbide Dinitrate)
100 BOT 5766406008865
PDPs
344
MAPDs
ISOSORBIDE DN 10 MG TABLET
(Isosorbide Dinitrate)
1000 EA  0078115561067
PDPs
347
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)
100 EA  0014317690167
PDPs
347
MAPDs
ISOSORBIDE MN 10 MG TABLET
(Isosorbide Mononitrate)
100 EA  0022826311165
PDPs
341
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT6217501293767
PDPs
347
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)
100 BOT0014313330165
PDPs
343
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 30MG (100 CT)
(Isosorbide Mononitrate)
100 BOT0014322300167
PDPs
347
MAPDs
ISOSORBIDE MONONITRATE TABLETS EXTENDED RELEASE 60MG 100 TABLETS BOT
(Isosorbide Mononitrate)
100 TABLETS BOT6217501193767
PDPs
347
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG0033805034859
PDPs
282
MAPDs
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)
100 BOT1625205390154
PDPs
293
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)
100 BOT1625205400154
PDPs
293
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
   2420800040134
PDPs
137
MAPDs
ISTODAX KIT 10MG/VIAL
(Romidepsin)
1 PKGCOM 5957209830161
PDPs
313
MAPDs
ITRACONAZOLE 100MG CAPSULE
(Itraconazole)
30 CAPS BOT0018505503067
PDPs
347
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)
20 EA  4279908060167
PDPs
315
MAPDs
IXEMPRA 45 MG KIT
(IXABEPILONE)
1 KIT in 1 PACKAGE, COMBI  0001519111357
PDPs
274
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
0.5ML SYR4251500010167
PDPs
347
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
60 EA  5116702000249
PDPs
252
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA  5116703000140
PDPs
224
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA  5116704000140
PDPs
224
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL0008822203363
PDPs
338
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 0008822190563
PDPs
332
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL0016936871256
PDPs
304
MAPDs
LEVEMIR FLEXTOUCH 100 UNITS/ML
(Insulin Detemir)
3 ML 0016964381056
PDPs
293
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT3069800320167
PDPs
347
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)
100 EA  6174803011150
PDPs
216
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)
100 EA  6174803021151
PDPs
215
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)
100 EA  6174803041151
PDPs
215
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  0016918371137
PDPs
269
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 VIAL in 1 CARTON / 10 m  0016918341137
PDPs
269
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  0016918331137
PDPs
269
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL0016975011140
PDPs
284
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)
3 ML  0016933031238
PDPs
268
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR0016963391038
PDPs
272
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL0016936851240
PDPs
284
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR0016936961938
PDPs
271
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
   6898208500133
PDPs
157
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
500 ML  6746708430533
PDPs
153
MAPDs
ONMEL 200 MG TABLET
(itraconazole)
   002591420289
PDPs
61
MAPDs
PHYSIOLYTE SOLUTION FOR IRRIGATION
(Irrigation Solution, Physiological)
1000 ML X 16 CASE0026422050025
PDPs
128
MAPDs
PHYSIOSOL IRRIGATION SOL
(Irrigation Solution, Physiological)
24 X 500 ML CTR0040961410325
PDPs
132
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)
   5022205024734
PDPs
198
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)
   5022205034734
PDPs
198
MAPDs
PRIMAXIN IV 250MG VIAL
(Imipenem-Cilastatin Intravenous For)
25 X 10 ML VIAL000063514585
PDPs
39
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  000063516595
PDPs
32
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML  4420604382042
PDPs
226
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  4408700220341
PDPs
248
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  4408700440341
PDPs
248
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
   4408788220139
PDPs
239
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML  4408701880139
PDPs
220
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML  4408733220141
PDPs
229
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML  4408733440141
PDPs
229
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)
20 ML VIALSU5789400300167
PDPs
347
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)
60 BOT0006805096013
PDPs
93
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT0008805764145
PDPs
295
MAPDs
SKLICE 0.5% LOTION
(ivermectin)
117 GM  4928101837111
PDPs
65
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)
   002993823305
PDPs
46
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT5045802951528
PDPs
154
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
28 (PULSE PACK) BLPK504580290288
PDPs
30
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT504580290048
PDPs
31
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD0000600322045
PDPs
214
MAPDs
TIVORBEX 20 MG CAPSULE
(Indomethacin)
   422110201292
PDPs
15
MAPDs
TIVORBEX 40 MG CAPSULE
(Indomethacin)
   422110202292
PDPs
15
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)
30 BOT004069920036
PDPs
39
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)
30 BOT004069921036
PDPs
39
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)
30 BOT004069922036
PDPs
39
MAPDs
TOFRANIL-PM 100MG CAPSULE
(Imipramine Pamoate)
30 BOT004069924036
PDPs
35
MAPDs
TOFRANIL-PM 125MG CAPSULE
(Imipramine Pamoate)
30 BOT004069925036
PDPs
35
MAPDs
TOFRANIL-PM 150MG CAPSULE
(Imipramine Pamoate)
30 BOT004069926036
PDPs
35
MAPDs
TOFRANIL-PM 75MG CAPSULE
(Imipramine Pamoate)
30 BOT004069923036
PDPs
35
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)
1.5 ML  0002458690347
PDPs
212
MAPDs
VARIZIG 125 UNIT/1.2 ML VIAL
(Immune Globulin)
   5327001260129
PDPs
162
MAPDs
Ventavis 0.01mg/mL
(Iloprost)
   6621503023032
PDPs
210
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
   6621503033030
PDPs
209
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  0000323271149
PDPs
279
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)
30 EA  5511101358145
PDPs
228
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)
   5511101367946
PDPs
228
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)
30 EA  5511101138136
PDPs
205
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)
   5511101377946
PDPs
229
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
   9920702767514
PDPs
108
MAPDs
ZYCLARA 3.75% CREAM
(Imiquimod)
28 EA  9920702702817
PDPs
124
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)
60 EA  6195817010167
PDPs
347
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)
60 EA  6195817020167
PDPs
347
MAPDs



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





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