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2016 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 2016 Formularies
PDPsMAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)
   106310115316
PDPs
41
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)
   106310116316
PDPs
41
MAPDs
ABSORICA 25 MG CAPSULE
(Isotretinoin)
   106310133315
PDPs
43
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
   106310117316
PDPs
45
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)
   106310134315
PDPs
43
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)
   106310118316
PDPs
41
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1B)
.5 ML  4223801110162
PDPs
338
MAPDs
AFREZZA 30-4 UNIT + 60-8 UNIT
(insulin)
90 EA  000245882363
PDPs
34
MAPDs
AFREZZA 4 UNITS CARTRIDGE INH
(insulin)
   000245874903
PDPs
34
MAPDs
AFREZZA 60-4 UNIT + 30-8 UNIT
(insulin)
90 EA  000245884633
PDPs
34
MAPDs
AFREZZA 60-8 UNIT + 30-12 UNIT
(insulin)
90 EA  000245894633
PDPs
29
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  0009367237349
PDPs
304
MAPDs
ALDARA 5% CREAM
(Imiquimod)
   992070260124
PDPs
16
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML  000882500339
PDPs
128
MAPDs
Arcapta Neohaler 75ug/1 30 BLISTER PACK in 1 BOX / 1 CAPSULE per BLISTER PACK
(INDACATEROL MALEATE)
30 BLISTER PACK in 1 BOX  0007806191519
PDPs
108
MAPDs
ATROVENT NASAL SPRAY 0.03%
(Ipratropium Bromide Nasal)
30 ML BOT005970081304
PDPs
15
MAPDs
ATROVENT NASAL SPRAY 0.06%
(Ipratropium Bromide Nasal)
15 ML BOT005970086764
PDPs
15
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN0059700871756
PDPs
330
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
90 EA  000245855906
PDPs
16
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30 EA  000245856306
PDPs
16
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)
30 EA  000245851307
PDPs
16
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)
90 EA  000245852907
PDPs
16
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)
90 EA  000245850907
PDPs
16
MAPDs
AVONEX PREFILLED SYR 30 MCG KT
(INTERFERON BETA-1A)
1 EA  5962702220540
PDPs
279
MAPDs
AVONEX ADMIN PACK 30 MCG VL
(INTERFERON BETA-1A/ALBUMIN)
4 EA  5962701110340
PDPs
278
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(INTERFERON BETA-1A)
1 EA  5962703330440
PDPs
270
MAPDs
BETASERON KIT 0.3MG/VIAL 14 TRAY BOX PKGCOM
(Interferon Beta-1b For)
14 TRAY BOX PKGCOM5041905233551
PDPs
284
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA  2433800101828
PDPs
137
MAPDs
BIVIGAM LIQUID 10% VIAL
(immune globulin intravenous)
   5973065030135
PDPs
188
MAPDs
BONIVA 150MG TABLET
(Ibandronate Sodium)
3 CRTN000040186822
PDPs
18
MAPDs
BONIVA 3mg/3mL SYRINGE
(Ibandronate Sodium)
1 SYRINGE, GLASS in 1 CAR  0000401910913
PDPs
46
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  000097529033
PDPs
46
MAPDs
CARIMUNE NF 6GM VIAL
(Immune Globulin (Human) IV)
6 GM PKGCOM4420604170635
PDPs
241
MAPDs
CEREZYME 400 UNITS VIAL
(Imiglucerase For)
   5846846630162
PDPs
337
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)
100 BLPK0055510545656
PDPs
289
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)
100 BLPK0055510555656
PDPs
289
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0055510568656
PDPs
278
MAPDs
CLARAVIS 40MG CAPSULE
(Isotretinoin)
100 BLPK0055510575656
PDPs
289
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA  5551308006030
PDPs
162
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA  5551308106030
PDPs
162
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)
   0046905201428
PDPs
120
MAPDs
CRESEMBA 372 MG VIAL
(Isavuconazonium Sulfate)
   0046904209928
PDPs
121
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT0000605714362
PDPs
338
MAPDs
CRIXIVAN 400mg, 180 CAPSULE BOTTLE
(Indinavir Sulfate)
180 CAPSULE in 1 BOTTLE  0000605736262
PDPs
338
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
   759870010034
PDPs
25
MAPDs
ELAPRASE 6mg/3mL 1 VIAL, GLASS in 1 BOX / 3 mL in 1 VIAL, GLASS
(Idursulfase)
1 VIAL, GLASS in 1 BOX /  5409207000140
PDPs
243
MAPDs
EXTAVIA 15 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Interferon Beta-1b For)
15 BLISTER PACK in 1 CART  0007805691225
PDPs
157
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA  4306801040262
PDPs
338
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA  4306801130462
PDPs
332
MAPDs
FANAPT 1 MG 60 TABLET BOTTLE
(ILOPERIDONE)
60 EA  0007805952062
PDPs
338
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA  4306801100262
PDPs
338
MAPDs
FANAPT 12 MG 60 TABLET BOTTLE
(ILOPERIDONE)
60 EA  0007806012062
PDPs
338
MAPDs
FANAPT 2 MG 60 TABLET BOTTLE
(ILOPERIDONE)
60 EA  0007805962062
PDPs
338
MAPDs
FANAPT 6 MG 60 TABLET BOTTLE
(ILOPERIDONE)
60 EA  0007805982062
PDPs
338
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA  4306801080262
PDPs
338
MAPDs
Firazyr 30.0mg/3mL 1 SYRINGE, GLASS per CARTON / 3 mL in 1 SYRINGE, GLASS
(ICATIBANT ACETATE)
1 SYRINGE, GLASS in 1 CAR  5409207020262
PDPs
338
MAPDs
FLEBOGAMMA DIF INJECTION
(Immune Globulin (Human) IV)
   6195300050130
PDPs
206
MAPDs
GamaSTAN S/D 0.165g/mL
(Immune Globulin (Human))
   1353306351246
PDPs
251
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  0094427000338
PDPs
268
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML  7612509000127
PDPs
169
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
   6420882340347
PDPs
256
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS  1353308001246
PDPs
280
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013439
PDPs
224
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA  0007806493039
PDPs
224
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
   0000275160143
PDPs
177
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  0000275101744
PDPs
206
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 0000287995944
PDPs
203
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL0000275120144
PDPs
207
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL0000275110144
PDPs
207
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287985944
PDPs
206
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287975944
PDPs
206
MAPDs
HUMALOG 100 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
   0000287990143
PDPs
202
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
   0000277122744
PDPs
202
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL0000287150144
PDPs
210
MAPDs
HUMULIN 70-30 PEN
(Insulin Isophane & Regular (Human))
   0000288030142
PDPs
202
MAPDs
HUMULIN N 100 UNITS/ML PEN
(Insulin Isophane (Human))
   0000288050142
PDPs
202
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL0000283150144
PDPs
211
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL0000282150144
PDPs
211
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
   0000288242753
PDPs
255
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL0000285010157
PDPs
285
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
   6050527950052
PDPs
314
MAPDs
IBANDRONATE 3 MG/3 ML VIAL [Boniva]
(Ibandronate Sodium)
   6275602184036
PDPs
228
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)
21 EA  0006901882162
PDPs
338
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)
21 EA  0006901892162
PDPs
338
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)
21 EA  0006901872162
PDPs
338
MAPDs
IBUDONE 10; 200mg/1; mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Hydrocodone Bitartrate and Ibuprofen)
100 TABLET, FILM COATED i  509910579013
PDPs
24
MAPDs
Ibuprofen 100mg/5mL 473 mL in 1 BOTTLE
(Ibuprofen)
473 mL in 1 BOTTLE  4580209524358
PDPs
313
MAPDs
IBUPROFEN 400MG TABLETS
(Ibuprofen)
100 BOXUD 0090458536162
PDPs
338
MAPDs
IBUPROFEN 600mg/1 500 TABLET BOTTLE
(Ibuprofen)
500 TABLET BOTTLE  5374604650562
PDPs
338
MAPDs
Ibuprofen 800mg/1 100 TABLET BOTTLE
(Ibuprofen)
100 TABLET in 1 BOTTLE  5374604660162
PDPs
338
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)
30 EA  7618905353062
PDPs
338
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)
30 EA  7618905343062
PDPs
338
MAPDs
IDAMYCIN PFS 1MG/ML VIAL
(Idarubicin HCl IV)
20 ML VIALPL000132596917
PDPs
70
MAPDs
IDARUBICIN HCL 1MG/ML VIAL
(Idarubicin HCl IV)
1 X 10 ML PKG0070341551155
PDPs
277
MAPDs
IFEX 1g/1 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSE
(Ifosfamide For)
1 INJECTION, POWDER, FOR  003383991012
PDPs
32
MAPDs
IFOSFAMIDE FOR INFECTION 1 GM
(Ifosfamide For)
01 X 1 GM VIALSD6332301421058
PDPs
308
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  0007805826145
PDPs
262
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)
1.7 ML  0006517500756
PDPs
245
MAPDs
ILOTYCIN 0.5% EYE OINTMENT
(Erythromycin)
1 GM  0057440231135
PDPs
151
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
(Imatinib Mesylate)
90 EA  4733504728157
PDPs
295
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
(Imatinib Mesylate)
30 EA  4733504758357
PDPs
296
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)
90 EA  5796201400962
PDPs
338
MAPDs
IMIPENEM-CILASTATIN 250 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935080162
PDPs
331
MAPDs
IMIPENEM-CILASTATIN 500 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935070161
PDPs
329
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400540162
PDPs
338
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400550162
PDPs
338
MAPDs
IMIPRAMINE HCL 50MG TABLET (100 CT)
(Imipramine HCl)
100 BOT5348903320162
PDPs
338
MAPDs
IMIPRAMINE PAMOATE 100MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402741329
PDPs
230
MAPDs
IMIPRAMINE PAMOATE 125MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402751329
PDPs
230
MAPDs
IMIPRAMINE PAMOATE 150MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402761329
PDPs
230
MAPDs
IMIPRAMINE PAMOATE 75MG CAPSULES
(Imipramine Pamoate)
30 BOT 0005402731329
PDPs
230
MAPDs
IMIQUIMOD 5% CREAM
(Imiquimod)
24 EA  0016804322462
PDPs
338
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK001730737015
PDPs
17
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR001730523007
PDPs
45
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK001730735005
PDPs
17
MAPDs
IMITREX 4MG/0.5ML KIT REFILL
(Sumatriptan Succinate)
2 SYR001730739025
PDPs
41
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR001730524007
PDPs
44
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK001730736015
PDPs
17
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR001730478005
PDPs
30
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL001730449025
PDPs
18
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)
   4928102505162
PDPs
338
MAPDs
IMURAN 50MG TABLET
(Azathioprine)
100 BOT6548305901010
PDPs
44
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  1505410400562
PDPs
337
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
   0017308731036
PDPs
170
MAPDs
Indapamide 1.25mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Indapamide)
100 TABLET, FILM COATED i  0037800690159
PDPs
331
MAPDs
INDAPAMIDE 2.5MG TABLET USP (1000 CT)
(Indapamide)
1000 BOT0037800801059
PDPs
331
MAPDs
INDERAL LA LONG ACTING CAPSULES 120MG 100 BOT
(Propranolol HCl)
100 BOT240900473884
PDPs
15
MAPDs
INDERAL LA LONG ACTING CAPSULES 160MG 100 BOT
(Propranolol HCl)
100 BOT240900479884
PDPs
15
MAPDs
INDERAL LA LONG ACTING CAPSULES 60MG 100 BOT
(Propranolol HCl)
100 BOT240900470884
PDPs
15
MAPDs
INDERAL LA LONG ACTING CAPSULES 80MG 100 BOT
(Propranolol HCl)
100 BOT240900471884
PDPs
15
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)
237 ML BOT422110101114
PDPs
56
MAPDs
INDOMETHACIN 25MG CAPSULES
(Indomethacin)
1000 BOT 0009340291016
PDPs
171
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)
100 EA  3172205430116
PDPs
171
MAPDs
INDOMETHACIN 75MG CAPSULE SA
(Indomethacin)
60 BOTPL0018507206014
PDPs
165
MAPDs
INLYTA 1 MG TABLET
(axitinib)
   0006901450162
PDPs
338
MAPDs
INLYTA 5 MG TABLET
(axitinib)
   0006901511162
PDPs
338
MAPDs
INNOPRAN XL 120 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)
30 EA  240900451857
PDPs
58
MAPDs
INNOPRAN XL 80 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)
30 EA  240900450857
PDPs
59
MAPDs
INSPRA 25MG TABLET
(Eplerenone)
90 TABLETS BOT000251710024
PDPs
15
MAPDs
Inspra 50mg/1 30 FILM COATED TABLETS in BOTTLE
(Eplerenone)
30 TABLET, FILM COATED in  000251720034
PDPs
15
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT5967605700162
PDPs
338
MAPDs
Intelence 200mg/1
(Etravirine)
   5967605710162
PDPs
338
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)
120 EA  5967605720162
PDPs
338
MAPDs
INTRALIPID PHARMACY BULK PACKAGE FAT EMULSION 1.7-1.2-30GM 500ML BAG
(Fat)
500 ML BAG0033805200344
PDPs
239
MAPDs
INTRALIPID 20% IV FAT EMUL
(Fat)
250 ML BAG0033805190260
PDPs
328
MAPDs
INTRON A 10MMU VIAL
(Interferon Alfa-2B)
2 ML KIT0008505710262
PDPs
338
MAPDs
INTRON A 18 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA  0008543510162
PDPs
334
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL0008511680162
PDPs
338
MAPDs
INTRON A 50 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA  0008543520162
PDPs
334
MAPDs
Introvale 3 CARTON in 1 BOX / 1 KIT per CARTON
(INTROVALE)
3 CARTON in 1 BOX / 1 KIT  0078155843654
PDPs
286
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL0000638437153
PDPs
328
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA  5045805540155
PDPs
258
MAPDs
INVEGA TRINZA 273 MG/0.875 ML
(Paliperidone Palmitate)
0.875 ML  5045806060162
PDPs
327
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805500155
PDPs
258
MAPDs
INVEGA TRINZA 410 MG/1.315 ML
(Paliperidone Palmitate)
1.315 ML  5045806070162
PDPs
327
MAPDs
INVEGA TRINZA 546 MG/1.75 ML
(Paliperidone Palmitate)
1.75 ML  5045806080162
PDPs
327
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805510155
PDPs
259
MAPDs
INVEGA TRINZA 819 MG/2.625 ML
(Paliperidone Palmitate)
2.625 ML  5045806090162
PDPs
327
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805520155
PDPs
258
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML  5045805620162
PDPs
338
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML  5045805630162
PDPs
338
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML  5045805640162
PDPs
338
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML  5045805600162
PDPs
338
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML  5045805610162
PDPs
338
MAPDs
INVIRASE 200MG CAPSULE
(Saquinavir Mesylate)
270 BOT0000402451562
PDPs
338
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT0000402445162
PDPs
338
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA  5045805436048
PDPs
274
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA  5045805426048
PDPs
274
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA  5045805416048
PDPs
274
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA  5045805406048
PDPs
274
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA  5045801403054
PDPs
291
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA  5045801413054
PDPs
291
MAPDs
IONOSOL B-D5W IV SOLUTION
(Electrolyte-B in D5W)
12 X 1000 ML BAG0040973710932
PDPs
210
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)
24 X 500 ML CTR0040973720333
PDPs
213
MAPDs
IOPIDINE 0.5% EYE DROPS
(Apraclonidine HCl Ophth)
10 ML BOTDR000650665103
PDPs
22
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR0006506601012
PDPs
108
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL4928108601062
PDPs
338
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 0005400454462
PDPs
338
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  0059137983050
PDPs
313
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  2420803991562
PDPs
338
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)
   0009374650560
PDPs
335
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
90 EA  3172207319060
PDPs
335
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)
30 EA  0005402501360
PDPs
335
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TB
(Irbesartan-Hydrochlorothiazide)
30 EA  3334200570759
PDPs
332
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
30 EA  6050536040359
PDPs
332
MAPDs
IRENKA DR 40 MG CAPSULE
(Duloxetine Hydrochloride)
   274370298065
PDPs
95
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA  0031004823062
PDPs
338
MAPDs
irinotecan hcl 100 mg/5 ml vl
(Irinotecan HCl)
 6332301930556
PDPs
291
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
   0000604776162
PDPs
338
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
   0000636036062
PDPs
338
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
   0000604736162
PDPs
338
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT0000602276162
PDPs
338
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG0026477301038
PDPs
238
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)
1000 ML X 12 CASE0026477030039
PDPs
243
MAPDs
ISONIAZID INJ 100MG/ML
(Isoniazid)
10 ML VIALMD0078130567051
PDPs
268
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)
100 EA  0055500660262
PDPs
338
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)
1000 EA  0052711091062
PDPs
338
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT4628700090150
PDPs
294
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802031510
PDPs
57
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802041510
PDPs
57
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802061510
PDPs
57
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)
   0018701920111
PDPs
71
MAPDs
ISORDIL TITRADOSE 5 MG TAB
(Isosorbide Dinitrate)
   001870152015
PDPs
17
MAPDs
ISOSORBIDE DN 20MG TABLET
(Isosorbide Dinitrate)
100 BOT0014317720162
PDPs
338
MAPDs
ISOSORBIDE DN 30MG TABLET
(Isosorbide Dinitrate)
1000 BOT4988400091059
PDPs
334
MAPDs
ISOSORBIDE DINITRATE 40MG TABLETS EXTENDED RELEASE
(Isosorbide Dinitrate)
100 BOT 5766406008859
PDPs
334
MAPDs
ISOSORBIDE DN 10 MG TABLET
(Isosorbide Dinitrate)
1000 EA  0078115561062
PDPs
338
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)
100 EA  0014317690162
PDPs
338
MAPDs
ISOSORBIDE MN 10 MG TABLET
(Isosorbide Mononitrate)
100 EA  0022826311159
PDPs
332
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT6217501293762
PDPs
338
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)
100 BOT0014313330159
PDPs
333
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 30MG (100 CT)
(Isosorbide Mononitrate)
100 BOT0014322300162
PDPs
338
MAPDs
ISOSORBIDE MONONITRATE TABLETS EXTENDED RELEASE 60MG 100 TABLETS BOT
(Isosorbide Mononitrate)
100 TABLETS BOT6217501193762
PDPs
338
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG0033805034855
PDPs
277
MAPDs
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)
100 BOT1625205390148
PDPs
294
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)
100 BOT1625205400148
PDPs
294
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
   2420800040131
PDPs
128
MAPDs
ISTODAX KIT 10MG/VIAL
(Romidepsin)
1 PKGCOM 5957209830155
PDPs
279
MAPDs
ITRACONAZOLE 100MG CAPSULE
(Itraconazole)
30 CAPS BOT0018505503062
PDPs
338
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)
20 EA  4279908060162
PDPs
312
MAPDs
IXEMPRA 45 MG KIT
(IXABEPILONE)
1 KIT in 1 PACKAGE, COMBI  0001519111351
PDPs
268
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
0.5ML SYR4251500010162
PDPs
338
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
60 EA  5116702000262
PDPs
338
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA  5116703000155
PDPs
310
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA  5116704000155
PDPs
310
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL0008822203359
PDPs
327
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 0008822190559
PDPs
324
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL0016936871249
PDPs
286
MAPDs
LEVEMIR FLEXTOUCH 100 UNITS/ML
(Insulin Detemir)
3 ML 0016964381049
PDPs
284
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT3069800320162
PDPs
338
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)
100 EA  6174803011144
PDPs
222
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)
100 EA  6174803021146
PDPs
221
MAPDs
Myorisan 30 mg capsule
(Isotretinoin)
   6174803031342
PDPs
217
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)
100 EA  6174803041146
PDPs
221
MAPDs
NINLARO 2.3 MG CAPSULE
(Ixazomib)
   6302000780162
PDPs
338
MAPDs
NINLARO 3 MG CAPSULE
(Ixazomib)
   6302000790162
PDPs
338
MAPDs
NINLARO 4 MG CAPSULE
(Ixazomib)
   6302000800162
PDPs
338
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  0016918371130
PDPs
252
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 VIAL in 1 CARTON / 10 m  0016918341130
PDPs
252
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  0016918331130
PDPs
252
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL0016975011132
PDPs
257
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)
3 ML  0016933031232
PDPs
248
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR0016963391032
PDPs
256
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL0016936851232
PDPs
257
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR0016936961932
PDPs
256
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
   6898208500134
PDPs
185
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
   6898208400134
PDPs
183
MAPDs
ONMEL 200 MG TABLET
(itraconazole)
   002591420288
PDPs
48
MAPDs
PALIPERIDONE ER 1.5 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
   0037839789361
PDPs
333
MAPDs
PALIPERIDONE ER 3 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
   0037839799361
PDPs
333
MAPDs
PALIPERIDONE ER 6 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
   0037839809361
PDPs
333
MAPDs
PALIPERIDONE ER 9 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
   0037839819361
PDPs
333
MAPDs
PHYSIOLYTE SOLUTION FOR IRRIGATION
(Irrigation Solution, Physiological)
1000 ML X 16 CASE0026422050019
PDPs
121
MAPDs
PHYSIOSOL IRRIGATION SOL
(Irrigation Solution, Physiological)
24 X 500 ML CTR0040961410319
PDPs
128
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)
   5022205024737
PDPs
203
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)
   5022205034737
PDPs
202
MAPDs
PRIMAXIN IV 250MG VIAL
(Imipenem-Cilastatin Intravenous For)
25 X 10 ML VIAL000063514581
PDPs
22
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  000063516591
PDPs
18
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML  4420604382042
PDPs
258
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  4408700220328
PDPs
217
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  4408700440328
PDPs
217
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
   4408788220127
PDPs
211
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML  4408701880127
PDPs
208
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML  4408733220128
PDPs
209
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML  4408733440128
PDPs
209
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)
20 ML VIALSU5789400300162
PDPs
335
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)
60 BOT000680509607
PDPs
87
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT0008805764145
PDPs
294
MAPDs
SKLICE 0.5% LOTION
(ivermectin)
117 GM  492810183718
PDPs
58
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)
   002993823303
PDPs
37
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT5045802951524
PDPs
137
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
28 (PULSE PACK) BLPK504580290284
PDPs
17
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT504580290044
PDPs
18
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD0000600322018
PDPs
61
MAPDs
TALTZ 80 MG/ML AUTOINJECTOR
(Ixekizumab)
   000021445017
PDPs
66
MAPDs
TALTZ 80 MG/ML SYRINGE
(Ixekizumab)
   000027724017
PDPs
66
MAPDs
TIVORBEX 20 MG CAPSULE
(Indomethacin)
   422110201291
PDPs
10
MAPDs
TIVORBEX 40 MG CAPSULE
(Indomethacin)
   422110202291
PDPs
10
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)
30 BOT004069920032
PDPs
23
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)
30 BOT004069921032
PDPs
23
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)
30 BOT004069922032
PDPs
23
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)
1.5 ML  0002458690357
PDPs
245
MAPDs
TRESIBA FLEXTOUCH 100 UNITS/ML
(Insulin Degludec)
   0016926601523
PDPs
140
MAPDs
TRESIBA FLEXTOUCH 200 UNITS/ML
(Insulin Degludec)
   0016925501323
PDPs
140
MAPDs
VARIZIG 125 UNIT/1.2 ML VIAL
(Immune Globulin)
   5327001260129
PDPs
150
MAPDs
Ventavis 0.01mg/mL
(Iloprost)
   6621503023033
PDPs
188
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
   6621503033031
PDPs
187
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  0000323271162
PDPs
336
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)
30 EA  5511101358142
PDPs
238
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)
   5511101367944
PDPs
239
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)
30 EA  5511101138142
PDPs
230
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)
   5511101377944
PDPs
239
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
   9920702767510
PDPs
107
MAPDs
ZYCLARA 3.75% CREAM
(Imiquimod)
28 EA  9920702702812
PDPs
104
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)
60 EA  6195817010162
PDPs
338
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)
60 EA  6195817020162
PDPs
338
MAPDs



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





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