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2017 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:

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

Drug Name
Packaging NDC On This Nbr of 2017 Formularies
PDPs MAPDs
ABSTRAL 100 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
    42358010032 20
PDPs
93
MAPDs
ABSTRAL 200 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
    42358020032 20
PDPs
93
MAPDs
ABSTRAL 300 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
    42358030032 20
PDPs
92
MAPDs
ABSTRAL 400 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
    42358040032 20
PDPs
92
MAPDs
ABSTRAL 600 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
    42358060032 20
PDPs
92
MAPDs
ABSTRAL 800 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
    42358080032 20
PDPs
93
MAPDs
ACTIQ 1200MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459051230 2
PDPs
13
MAPDs
ACTIQ 1600MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459051630 2
PDPs
13
MAPDs
ACTIQ 200MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050230 2
PDPs
13
MAPDs
ACTIQ 400MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050430 2
PDPs
13
MAPDs
ACTIQ 600MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050630 2
PDPs
13
MAPDs
ACTIQ 800MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050830 2
PDPs
13
MAPDs
ADRUCIL 50mg/mL 10 VIAL in 1 TRAY / 10 mL in 1 VIAL
(Fluorouracil)
10 VIAL in 1 TRAY / 10 mL   00703301513 54
PDPs
266
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)
60 DOSE INHL 00173069500 52
PDPs
329
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)
60 DOSE BLPK 00173069600 52
PDPs
329
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)
60 BLPK 00173069700 52
PDPs
329
MAPDs
ADVAIR HFA INHALER 115;21MCG;MCG 120ACTN INHL
(Fluticasone-Salmeterol)
120ACTN INHL 00173071620 52
PDPs
328
MAPDs
ADVAIR HFA 230; 21ug/1; ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone-Salmeterol)
120 AEROSOL, METERED in 1   00173071720 52
PDPs
328
MAPDs
ADVAIR HFA INHALER 45;21MCG;MCG 120 ACTN INHL
(Fluticasone-Salmeterol)
120 ACTN INHL 00173071520 52
PDPs
328
MAPDs
AEROSPAN 80 MCG INHALER
(Flunisolide)
    00037759012 9
PDPs
61
MAPDs
AIRDUO RESPICLICK 113-14 MCG
(Fluticasone and Salmeterol)
    59310081206 1
PDPs
8
MAPDs
AIRDUO RESPICLICK 232-14 MCG
(Fluticasone and Salmeterol)
    59310082206 1
PDPs
8
MAPDs
AIRDUO RESPICLICK 55-14 MCG
(Fluticasone and Salmeterol)
    59310080506 1
PDPs
8
MAPDs
ANCOBON 250MG CAPSULE
(Flucytosine)
100 BOT 00187355410 4
PDPs
10
MAPDs
ANCOBON 500MG CAPSULE
(Flucytosine)
100 BOT 00187355510 4
PDPs
10
MAPDs
ANTARA 30 MG CAPSULE
(Fenofibrate Micronized)
    27437010706 4
PDPs
32
MAPDs
ANTARA 90 MG CAPSULE
(Fenofibrate Micronized)
    27437010806 4
PDPs
32
MAPDs
ARIXTRA 10 MG/0.8 ML SYRINGE
(Fondaparinux Sodium)
    67457059500 2
PDPs
15
MAPDs
ARIXTRA 2.5 MG SYRINGE
(Fondaparinux Sodium)
    67457059200 1
PDPs
12
MAPDs
ARIXTRA 5 MG/0.4 ML SYRINGE
(Fondaparinux Sodium)
    67457059300 2
PDPs
15
MAPDs
ARIXTRA 7.5 MG/0.6 ML SYRINGE
(Fondaparinux Sodium)
    67457059400 2
PDPs
15
MAPDs
ARNUITY ELLIPTA 100 MCG INH
(Fluticasone Furoate)
    00173087410 46
PDPs
240
MAPDs
ARNUITY ELLIPTA 200 MCG INH
(Fluticasone Furoate)
    00173087610 46
PDPs
240
MAPDs
AURYXIA 210 MG TABLET
(Ferric Citrate)
200 EA   59922063101 33
PDPs
150
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)
60 EA   00173085910 55
PDPs
312
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)
60 EA   00173088210 55
PDPs
312
MAPDs
CAPEX SHA 0.01%
(Fluocinolone Acetonide)
4 FLO IN 6 FLO BOTTLE BOTPL 00299550004 9
PDPs
83
MAPDs
CARAC CREAM
(Fluorouracil)
    00187520030 18
PDPs
113
MAPDs
CEREBYX 500 MG PE/10 ML VIAL
(Fosphenytoin Sodium)
    00069547401 4
PDPs
53
MAPDs
CORDRAN 4 MCG/SQ CM TAPE LARGE
(Flurandrenolide)
    00023587080 12
PDPs
75
MAPDs
CUTIVATE 0.05% LOTION
(Fluticasone Propionate)
    10337043404 2
PDPs
9
MAPDs
Dificid 200mg/1 1 BOTTLE per CARTON / 20 FILM COATED TABLETS in BOTTLE
(FIDAXOMICIN)
1 BOTTLE in 1 CARTON / 20   52015008001 33
PDPs
229
MAPDs
DIFLUCAN 50MG/5ML SUSPEN
(Fluconazole)
35 ML BOT 00049344019 4
PDPs
10
MAPDs
DIFLUCAN 100MG TABLET
(Fluconazole)
30 BOT 00049342030 4
PDPs
10
MAPDs
DIFLUCAN 150MG TABLET
(Fluconazole)
1 BOT 00049350079 4
PDPs
10
MAPDs
DIFLUCAN 200MG TABLET
(Fluconazole)
30 BOT 00049343030 4
PDPs
10
MAPDs
DIFLUCAN 200MG/5ML SUSPEN
(Fluconazole)
35 ML BOT 00049345019 4
PDPs
10
MAPDs
DIFLUCAN 50MG TABLET
(Fluconazole)
30 BOT 00049341030 4
PDPs
10
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
    75987001003 3
PDPs
25
MAPDs
DULERA INHALATION AEROSOL
(Mometasone Furoate-Formoterol Fumarate)
120 INHALATION X 1 CANIST CRTN 00085720601 31
PDPs
190
MAPDs
DULERA INHALATION AEROSOL
(Mometasone Furoate-Formoterol Fumarate)
120 INHALATION X 1 CANIST CRTN 00085461001 31
PDPs
190
MAPDs
DURAGESIC PATCH 100 MCG/HR
(Fentanyl TD)
1 PATCH X 5 POUCH BOX 50458009405 2
PDPs
10
MAPDs
DURAGESIC PATCH 12.5 MCG/HR
(Fentanyl TD)
1 PATCH X 5 POUCH BOX 50458009005 2
PDPs
10
MAPDs
DURAGESIC 25ug/h 5 POUCH in 1 BOX / 1 PATCH in 1 POUCH / 72 h in 1 PATCH
(Fentanyl TD)
5 POUCH in 1 BOX / 1 PATC   50458009105 2
PDPs
10
MAPDs
DURAGESIC PATCH 50 MCG/HR
(Fentanyl TD)
1 PATCH X 5 POUCH BOX 50458009205 2
PDPs
10
MAPDs
DURAGESIC PATCH 75 MCG/HR
(Fentanyl TD)
1 PATCH X 5 POUCH BOX 50458009305 2
PDPs
10
MAPDs
EFUDEX 5% CREAM
(Fluorouracil)
40 G TUBE 00187320447 1
PDPs
9
MAPDs
FABIOR 0.1% FOAM
(tazarotene topical)
    51862029510 2
PDPs
31
MAPDs
FABRAZYME 35MG VIAL
(Agalsidase beta For IV)
    58468004001 59
PDPs
341
MAPDs
FALMINA-28 TABLET
(Levonorgestrel and Ethinyl Estradiol)
28 EA   16714035901 51
PDPs
296
MAPDs
FAMCICLOVIR 125MG TABLET
(Famciclovir)
30 TABLETS BOT 00093811756 57
PDPs
331
MAPDs
FAMCICLOVIR 250MG TABLET
(Famciclovir)
30 TABLETS BOT 00093811856 57
PDPs
331
MAPDs
FAMCICLOVIR 500MG TABLET
(Famciclovir)
30 TABLETS BOT 00093811956 57
PDPs
332
MAPDs
FAMOTIDINE INJECTION 10MG 25 X 2ML VIALSD
(Famotidine)
25 X 2 ML VIALSD 63323073912 57
PDPs
328
MAPDs
FAMOTIDINE 20MG PIGGYBACK
(Famotidine)
50 ML BAG 00338519741 44
PDPs
264
MAPDs
FAMOTIDINE 20MG TABLET (500 CT)
(Famotidine)
500 BOT 00378302005 56
PDPs
337
MAPDs
FAMOTIDINE 40MG TABLET
(Famotidine)
100 BOT 00378304001 56
PDPs
340
MAPDs
FAMOTIDINE 50 MG/5MLFOR ORAL SUSPENSION
(Famotidine in NaCl 0.9% IV)
50ML BOT 68180015001 33
PDPs
245
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA   43068010402 57
PDPs
341
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA   43068011304 59
PDPs
336
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010102 59
PDPs
341
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA   43068011002 59
PDPs
341
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)
    43068011202 59
PDPs
341
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010202 59
PDPs
341
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010602 59
PDPs
341
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA   43068010802 59
PDPs
341
MAPDs
FARESTON 60 MG TABLET
(Toremifene Citrate)
    42747032730 59
PDPs
341
MAPDs
FARXIGA 10 MG TABLET
(dapagliflozin)
30 EA   00310621030 28
PDPs
178
MAPDs
FARXIGA 5 MG TABLET
(dapagliflozin)
30 EA   00310620530 28
PDPs
178
MAPDs
FARYDAK 10 MG CAPSULE
(Panobinostat)
6 EA   00078065006 59
PDPs
341
MAPDs
FARYDAK 15 MG CAPSULE
(Panobinostat)
6 EA   00078065106 59
PDPs
341
MAPDs
FARYDAK 20 MG CAPSULE
(Panobinostat)
6 EA   00078065206 59
PDPs
341
MAPDs
FASLODEX 50MG/ML INJECTION
(Fulvestrant)
5ML X 2 SYRGL 00310072010 59
PDPs
333
MAPDs
Fayosim tablet
(Ethinyl Estradiol and Levonorgestrel)
    68180086011 13
PDPs
103
MAPDs
FazaClo 100mg/1 100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE
(Clozapine)
100 TABLET, ORALLY DISINT   18860010410 8
PDPs
52
MAPDs
FazaClo 12.5mg/1 100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE
(Clozapine)
100 TABLET, ORALLY DISINT   18860010110 5
PDPs
74
MAPDs
FazaClo 150mg/1 100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE
(Clozapine)
100 TABLET, ORALLY DISINT   18860010510 9
PDPs
95
MAPDs
FAZACLO 200 MG ODT
(Clozapine)
100 EA   18860010610 9
PDPs
96
MAPDs
FazaClo 25mg/1 100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE
(Clozapine)
100 TABLET, ORALLY DISINT   18860010210 8
PDPs
49
MAPDs
FELBAMATE 400 MG TABLET
(Felbamate)
30 EA   65162073403 59
PDPs
341
MAPDs
FELBAMATE 600 MG TABLET
(Felbamate)
90 EA   65162073509 59
PDPs
341
MAPDs
FELBAMATE 600 MG/5 ML SUSP
(Felbamate)
  65162068690 59
PDPs
341
MAPDs
FELBATOL 400MG TABLET
(Felbamate)
100 BOT 00037043001 4
PDPs
18
MAPDs
FELBATOL 600MG TABLET
(Felbamate)
100 BOT 00037043101 2
PDPs
16
MAPDs
FELBATOL 600MG/5ML SUSP
(Felbamate)
32 FLO BOT 00037044217 2
PDPs
18
MAPDs
FELDENE 10MG CAPSULE
(Piroxicam)
100 BOT 00069322066 4
PDPs
9
MAPDs
FELDENE 20MG CAPSULE
(Piroxicam)
100 BOT 00069323066 4
PDPs
9
MAPDs
FELODIPINE ER 10 MG TABLET
(Felodipine)
500 EA   00603358328 45
PDPs
325
MAPDs
FELODIPINE ER 2.5 MG TABLET
(Felodipine)
100 EA   00378501101 45
PDPs
325
MAPDs
FELODIPINE ER 5 MG TABLET
(Felodipine)
100 EA   00378501201 45
PDPs
325
MAPDs
FEMARA 2.5MG TABLET
(Letrozole)
30 BOT 00078024915 5
PDPs
11
MAPDs
FEMHRT 2.5; 0.5ug/1; mg/1 72 CARTON in 1 CASE / 5 POUCH in 1 CARTON / 1 BLISTER PACK in 1 POUCH / 2
(Norethindrone Acetate-Ethinyl Estradiol)
72 CARTON in 1 CASE / 5 P   00430014514 1
PDPs
26
MAPDs
FEMRING 0.05MG VAGINAL RING
(Estradiol Acetate Vaginal)
1 POU 00430620140 22
PDPs
148
MAPDs
FEMRING 0.10MG VAGINAL RING
(Estradiol Acetate Vaginal)
1 POU 00430620240 22
PDPs
148
MAPDs
Femynor 28 tablet
(norgestimate and ethinyl estradiol)
    69238155106 51
PDPs
284
MAPDs
FENOFIBRATE 120 MG TABLET [LIPOFEN]
(Fenofibrate)
90 EA   00378439177 12
PDPs
134
MAPDs
FENOFIBRATE 130 MG CAPSULE [LIPOFEN]
(Fenofibrate)
30 EA   00378608993 28
PDPs
225
MAPDs
FENOFIBRATE 134MG CAPSULE [LIPOFEN]
(Fenofibrate)
100 BOT 00115052201 55
PDPs
338
MAPDs
FENOFIBRATE 145 MG TABLET [LIPOFEN]
(Fenofibrate)
    68180036102 55
PDPs
334
MAPDs
FENOFIBRATE 150 MG CAPSULE [LIPOFEN]
(Fenofibrate)
90.000 EA   62559046190 9
PDPs
112
MAPDs
FENOFIBRATE 160 MG 90 TABLET BOTTLE [LIPOFEN]
(Fenofibrate)
90 TABLET in 1 BOTTLE   00115552210 59
PDPs
340
MAPDs
FENOFIBRATE 200 MG CAPSULE [LIPOFEN]
(Fenofibrate)
100 BOT 00115053301 55
PDPs
336
MAPDs
FENOFIBRATE 40 MG TABLET [LIPOFEN]
(Fenofibrate)
90 EA   00378439077 12
PDPs
138
MAPDs
FENOFIBRATE 43 MG CAPSULE [LIPOFEN]
(Fenofibrate)
30 EA   00378608893 29
PDPs
227
MAPDs
FENOFIBRATE 48 MG TABLET [LIPOFEN]
(Fenofibrate)
500 EA   00378306505 55
PDPs
334
MAPDs
FENOFIBRATE 50 MG ORAL CAPSULE [LIPOFEN]
(Fenofibrate)
    66869013730 6
PDPs
23
MAPDs
FENOFIBRATE 50 MG CAPSULE [LIPOFEN]
(Fenofibrate)
90.000 EA   62559046090 9
PDPs
112
MAPDs
FENOFIBRATE 54 MG 90 TABLET BOTTLE [LIPOFEN]
(Fenofibrate)
90 TABLET in 1 BOTTLE   00115551110 59
PDPs
340
MAPDs
FENOFIBRATE 67MG CAPSULE [LIPOFEN]
(Fenofibrate)
100 BOT 00115051101 55
PDPs
338
MAPDs
FENOFIBRIC ACID 105 MG TABLET [TRILIPIX]
(Fenofibric Acid)
    69973010590 18
PDPs
154
MAPDs
Fenofibric acid dr 135 mg capsule [TRILIPIX]
(Fenofibric Acid)
    00378259077 39
PDPs
252
MAPDs
FENOFIBRIC ACID 35 MG TABLET [TRILIPIX]
(Fenofibric Acid)
30 EA   53489067707 18
PDPs
161
MAPDs
Fenofibric acid dr 45 mg capsule [TRILIPIX]
(Fenofibric Acid)
    00378258977 39
PDPs
252
MAPDs
FENOGLIDE 120 MG TABLET
(Fenofibrate)
    68012049590 3
PDPs
22
MAPDs
FENOGLIDE 40 MG TABLET
(Fenofibrate)
    68012049090 3
PDPs
22
MAPDs
FENOPROFEN CALCIUM 400 MG CAP
(FENOPROFEN CALCIUM)
90 EA   42195010090 7
PDPs
74
MAPDs
FENOPROFEN 600MG TABLET
(Fenoprofen)
100 BOT 00378047101 20
PDPs
192
MAPDs
FENTANYL CITRATE 200ug/1 30 BLISTER PACK per CARTON / 1 LOZENGE per BLISTER PACK
(Fentanyl Citrate)
30 BLISTER PACK in 1 CART   00406920230 59
PDPs
319
MAPDs
FENTANYL CITRATE LOZENGES
(Fentanyl Citrate)
1 X 30 BLPK CRTN 00406921230 59
PDPs
315
MAPDs
FENTANYL CITRATE 1600ug/1 30 BLISTER PACK per CARTON / 1 LOZENGE per BLISTER PACK
(Fentanyl Citrate)
30 BLISTER PACK in 1 CART   00406921630 59
PDPs
315
MAPDs
FENTANYL CITRATE LOZENGES
(Fentanyl Citrate)
1 X 30 BLPK CRTN 00406920430 59
PDPs
320
MAPDs
FENTANYL CITRATE LOZENGES
(Fentanyl Citrate)
1 X 30 BLPK CRTN 00406920630 59
PDPs
318
MAPDs
FENTANYL CITRATE LOZENGES
(Fentanyl Citrate)
1 X 30 BLPK CRTN 00406920830 59
PDPs
318
MAPDs
FENTANYL 12MCG/HR PATCH TRANSDERMAL 72 HOURS
(Fentanyl TD)
5 SYSTEM POU 00378911998 59
PDPs
341
MAPDs
FENTANYL 100MCG/HR PATCH TRANSDERMAL 72 HOURS
(Fentanyl TD)
5 SYSTEM CRTN 00378912498 59
PDPs
338
MAPDs
FENTANYL TRANSDERMAL SYSTEM 25MCG 5 SYSTEMS CRTN
(Fentanyl TD)
5 SYSTEMS CRTN 00591319872 59
PDPs
341
MAPDs
FENTANYL 37.5 MCG/HR PATCH [DURAGESIC]
(Fentanyl)
    00378912598 18
PDPs
168
MAPDs
FENTANYL TRANSDERMAL SYSTEM 50MCG 5 SYSTEMS CRTN
(Fentanyl TD)
5 SYSTEMS CRTN 00591321272 59
PDPs
341
MAPDs
FENTANYL 62.5 MCG/HR PATCH [DURAGESIC]
(Fentanyl)
    00378912698 18
PDPs
168
MAPDs
FENTANYL 75 MCG/HR PATCH
(Fentanyl)
5 EA   00591321372 59
PDPs
338
MAPDs
FENTANYL 87.5 MCG/HR PATCH [DURAGESIC]
(Fentanyl)
    00378912798 18
PDPs
166
MAPDs
FENTORA TABLET 100MCG
(Fentanyl Citrate)
28 BLPK 63459054128 19
PDPs
139
MAPDs
FENTORA TABLET 200MCG
(Fentanyl Citrate)
28 BLPK 63459054228 19
PDPs
148
MAPDs
FENTORA TABLET 400MCG
(Fentanyl Citrate)
28 BLPK 63459054428 19
PDPs
148
MAPDs
FENTORA TABLET 600MCG
(Fentanyl Citrate)
28 BLPK 63459054628 19
PDPs
148
MAPDs
FENTORA TABLET 800MCG
(Fentanyl Citrate)
28 BLPK 63459054828 19
PDPs
148
MAPDs
FERRIPROX 100 MG/ML SOLUTION
(Deferiprone)
    52609450207 38
PDPs
228
MAPDs
FERRIPROX 500 MG TABLET
(Deferiprone)
100 EA   52609000601 40
PDPs
291
MAPDs
FETZIMA ER 120 MG CAPSULE
(levomilnacipran)
30 EA   00456221230 59
PDPs
341
MAPDs
FETZIMA ER 20 MG CAPSULE
(levomilnacipran)
30 EA   00456222030 59
PDPs
341
MAPDs
FETZIMA 20-40 MG TITRATION PAK
(levomilnacipran)
28 EA   00456220228 59
PDPs
339
MAPDs
FETZIMA ER 40 MG CAPSULE
(levomilnacipran)
30 EA   00456224030 59
PDPs
341
MAPDs
FETZIMA ER 80 MG CAPSULE
(levomilnacipran)
30 EA   00456228030 59
PDPs
341
MAPDs
FEXMID 7.5 MG TABLET
(Cyclobenzaprine HCl)
    59630095010 1
PDPs
6
MAPDs
FIBRICOR 105mg/1 30 TABLET BOTTLE, PLASTIC
(Fenofibric Acid)
30 TABLET in 1 BOTTLE, PL   13310010207 1
PDPs
14
MAPDs
FIBRICOR 35mg/1 30 TABLET BOTTLE, PLASTIC
(Fenofibric Acid)
30 TABLET in 1 BOTTLE, PL   13310010107 1
PDPs
14
MAPDs
FINACEA 15% FOAM
(Azelaic Acid)
    50419082901 24
PDPs
115
MAPDs
FINACEA 15% GEL
(Azelaic Acid)
50 GM   50419082502 27
PDPs
144
MAPDs
Finasteride 5 mg tablet
(Finasteride)
    00378503693 59
PDPs
341
MAPDs
FIORICET 50-300-40 MG CAPSULE
(Butalbital-Acetaminophen-Caffeine)
100 EA   52544008001 1
PDPs
7
MAPDs
Fioricet/Codeine 50-300-40-30 CAP
(Butalbital-Acetaminophen-Caff w/ COD)
100 EA   52544008201 0
PDPs
20
MAPDs
FIORINAL W/CODEINE #3 30MG/50MG/40MG CAPSULE
(Butalbital-Aspirin-Caffeine)
100 BOT 52544095601 0
PDPs
3
MAPDs
Fiorinal 325; 50; 40mg/1; mg/1; mg/1 100 CAPSULE BOTTLE
(Butalbital-Aspirin-Caffeine)
100 CAPSULE in 1 BOTTLE   52544095501 0
PDPs
9
MAPDs
Firazyr 30.0mg/3mL 1 SYRINGE, GLASS per CARTON / 3 mL in 1 SYRINGE, GLASS
(ICATIBANT ACETATE)
1 SYRINGE, GLASS in 1 CAR   54092070202 59
PDPs
341
MAPDs
FIRMAGON 2 X 120 MG KIT
(DEGARELIX)
    55566840301 43
PDPs
236
MAPDs
FIRMAGON 80 MG KIT
(DEGARELIX)
    55566830301 43
PDPs
236
MAPDs
FLAGYL 250MG TABLET (100 CT)
(Metronidazole)
100 BOT 00025183131 4
PDPs
9
MAPDs
FLAGYL 375MG CAPSULE
(Metronidazole)
50 BOT 00025194250 4
PDPs
9
MAPDs
FLAGYL 500MG TABLET
(Metronidazole)
100 BOT 00025182131 4
PDPs
9
MAPDs
FLAREX 0.1% EYE DROPS
(Fluorometholone Acetate Ophth)
5 ML BOT 00065009605 12
PDPs
90
MAPDs
FLAVOXATE HCL 100MG TABLET
(Flavoxate HCl)
100 BOT 00574011501 23
PDPs
181
MAPDs
FLEBOGAMMA DIF INJECTION
(Immune Globulin (Human) IV)
    61953000501 29
PDPs
219
MAPDs
FLECAINIDE ACETATE 100 MG TAB #60 EA
(Flecainide Acetate)
60 EA   00054001121 59
PDPs
341
MAPDs
FLECAINIDE ACETATE 150 MG TAB 360 EA
(Flecainide Acetate)
60 EA   00054001221 59
PDPs
341
MAPDs
FLECAINIDE ACETATE 50 MG TAB
(Flecainide Acetate)
100 EA   65162064110 59
PDPs
341
MAPDs
FLECTOR PATCH
(Diclofenac Epolamine)
6 POU CRTN 60793041130 8
PDPs
105
MAPDs
FLOMAX 0.4 MG CAPSULE
(Tamsulosin HCl)
100 EA   00597005801 4
PDPs
10
MAPDs
FLOVENT DISKUS 100ug/1 60 POWDER, METERED in 1 INHALER
(Fluticasone Propionate)
60 POWDER, METERED in 1 I   00173060202 51
PDPs
316
MAPDs
FLOVENT DISKUS 250ug/1 60 POWDER, METERED in 1 INHALER
(Fluticasone Propionate)
60 POWDER, METERED in 1 I   00173060102 51
PDPs
316
MAPDs
FLOVENT DISKUS POWDER 50MCG 60 CTR
(Fluticasone Propionate)
60 CTR 00173060002 51
PDPs
317
MAPDs
FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED in 1   00173071920 51
PDPs
327
MAPDs
FLOVENT HFA 220ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED in 1   00173072020 51
PDPs
327
MAPDs
FLOVENT HFA 44ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED in 1   00173071820 51
PDPs
327
MAPDs
Floxin 0.3% ear drops
(Ofloxacin)
    52427053134 7
PDPs
36
MAPDs
FLUCONAZOLE 100 MG TABLET
(Fluconazole)
30 EA   00172541146 59
PDPs
341
MAPDs
FLUCONAZOLE 150MG TABLETS
(Fluconazole)
12 BLPK BOX 00172541211 59
PDPs
341
MAPDs
Fluconazole 200mg/1 30 TABLET BOTTLE
(Fluconazole)
30 TABLET in 1 BOTTLE   00172541346 59
PDPs
340
MAPDs
Fluconazole 50mg/1 30 TABLET BOTTLE
(Fluconazole)
30 TABLET in 1 BOTTLE   00172541046 59
PDPs
341
MAPDs
FLUCONAZOLE 10MG/ML ORAL SUSPENSION
(Fluconazole in Dextrose)
350 ML BOTPL 00054000285 59
PDPs
340
MAPDs
FLUCONAZOLE 40MG/ML ORAL SUSPENSION
(Fluconazole in Dextrose)
1400 ML BOTPL 00054000385 59
PDPs
341
MAPDs
FLUCONAZOLE-NACL 200 MG/100 ML
(Fluconazole in NaCl 0.9%)
    00409468818 59
PDPs
323
MAPDs
Fluconazole-dext 400 mg/200 ml
()
    00409468816 59
PDPs
339
MAPDs
Flucytosine 250mg/1
(Flucytosine)
    64980017901 59
PDPs
338
MAPDs
Flucytosine 500mg/1
(Flucytosine)
    64980018001 59
PDPs
340
MAPDs
FLUDARABINE 50MG VIAL
(Fludarabine Phosphate)
1 X 6 ML VIAL 00703585401 50
PDPs
292
MAPDs
FLUDROCORTISONE ACETATE 0.1MG TABLET (100 CT)
(Fludrocortisone Acetate)
100 BOT 00115703301 59
PDPs
341
MAPDs
FLUOCINOLONE OIL 0.01% EAR DRP
(Fludrocortisone Acetate)
    65162070294 46
PDPs
285
MAPDs
FLUOCINOLONE 0.01% BODY OIL
(Fludrocortisone Acetate)
    65162070486 24
PDPs
241
MAPDs
FLUOCINOLONE 0.01% SOLUTION
(Fludrocortisone Acetate)
60 ML BOT 00168005960 48
PDPs
283
MAPDs
FLUOCINOLONE 0.025% OINTMENT
(Fludrocortisone Acetate)
60 GM TUBE 00168006460 36
PDPs
284
MAPDs
Flumadine 100mg/1 100 TABLET BOTTLE
(Rimantadine Hydrochloride)
100 TABLET in 1 BOTTLE   49708052188 1
PDPs
10
MAPDs
FLUNISOLIDE NASAL SOLUTION 0.025% 25ML INHL
(Flunisolide Nasal)
25 ML INHL 24208034425 49
PDPs
313
MAPDs
Fluocinolone 0.01% cream
(Fluocinolone Acetonide)
    00713022360 45
PDPs
302
MAPDs
Fluocinolone 0.025% cream
(Fluocinolone Acetonide)
    00713032460 37
PDPs
284
MAPDs
FLUOCINONIDE-E 0.05% CREAM
(Fluocinonide)
    00093026392 57
PDPs
312
MAPDs
FLUOCINONIDE 0.05% SOLUTION
(Fluocinonide)
60 ML   00168013460 57
PDPs
335
MAPDs
fluocinonide 0.1% cream
(Fluocinonide)
    45802015196 18
PDPs
139
MAPDs
Fluocinonide 0.5mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
(Fluocinonide)
1 TUBE in 1 CARTON / 30 g   51672126402 44
PDPs
289
MAPDs
Fluocinonide 0.5mg/g 1 TUBE per CARTON / 60 g in 1 TUBE
(Fluocinonide)
1 TUBE in 1 CARTON / 60 g   51672125403 59
PDPs
339
MAPDs
Fluocinonide 0.5mg/g 1 TUBE per CARTON / 60 g in 1 TUBE
(Fluocinonide)
1 TUBE in 1 CARTON / 60 g   51672127903 59
PDPs
340
MAPDs
Fluorometholone 0.1% drops
(Fluorometholone Ophth)
    60758088005 57
PDPs
322
MAPDs
FLUOROURACIL CREA 5%
(Fluorouracil)
40 GM TUBE 66530024940 59
PDPs
341
MAPDs
fluorouracil 500 mg/10 ml vial
(Fluorouracil)
    63323011751 59
PDPs
327
MAPDs
FLUOROURACIL 0.5% CREAM
(Fluorouracil)
30 GM   66530025830 16
PDPs
214
MAPDs
FLUOROURACIL 2% TOPICAL SOLN
(Fluorouracil)
10 ML   51672406201 57
PDPs
329
MAPDs
FLUOROURACIL 5% TOP SOLUTION
(Fluorouracil)
10 ML   51672406301 57
PDPs
330
MAPDs
FLUOXETINE CAPSULES 10MG (100 CT)
(Fluoxetine)
100 BOTPL 50111064701 59
PDPs
341
MAPDs
Fluoxetine 10mg/1 30 FILM COATED TABLETS in BOTTLE
(Fluoxetine)
30 TABLET, FILM COATED in   00093718856 53
PDPs
319
MAPDs
Fluoxetine Hydrochloride 20mg/1 100 CAPSULE BOTTLE
(Fluoxetine)
100 CAPSULE BOTTLE   00781282201 59
PDPs
341
MAPDs
Fluoxetine 20mg/5mL 120 mL in 1 BOTTLE, PLASTIC
(Fluoxetine)
120 mL in 1 BOTTLE, PLAST   54838052340 59
PDPs
341
MAPDs
FLUOXETINE 40MG CAPSULE (30 CT)
(Fluoxetine)
30 BOT 55111014930 59
PDPs
340
MAPDs
FLUOXETINE DR 90 MG CAPSULE
(Fluoxetine)
4 EA   55111028448 30
PDPs
228
MAPDs
FLUOXETINE HCL 20 MG TABLET
(Fluoxetine HCl)
30 EA   00378073593 53
PDPs
312
MAPDs
FLUOXETINE HCL 60 MG TABLET
(Fluoxetine HCl)
30 EA   49909000530 19
PDPs
140
MAPDs
FLUPHENAZINE 1MG TABLET
(Fluphenazine)
500 BOT 00378600405 59
PDPs
341
MAPDs
FLUPHENAZINE 10MG TABLET
(Fluphenazine)
500 BOT 00378609705 59
PDPs
341
MAPDs
FLUPHENAZINE 2.5MG/ML VIAL
(Fluphenazine)
10 ML VIALMD 63323028110 59
PDPs
341
MAPDs
FLUPHENAZINE 2.5 MG TABLET
(Fluphenazine)
100.000 EA   00378600901 59
PDPs
341
MAPDs
FLUPHENAZINE 5MG/ML CONC
(Fluphenazine)
120 ML BOT 00121065304 59
PDPs
338
MAPDs
FLUPHENAZINE 5MG TABLET
(Fluphenazine)
500 BOT 00378607405 59
PDPs
341
MAPDs
Fluphenazine Decanoate 25mg/mL
(Fluphenazine Decanoate)
    63323027205 59
PDPs
341
MAPDs
FLUPHENAZINE HCL 2.5MG/5ML ELIXIR
(Fluphenazine HCl)
473 ML BOT 00121065416 59
PDPs
339
MAPDs
Flurandrenolide 0.05% Cream [Cordran]
(Flurandrenolide)
    24470091912 7
PDPs
73
MAPDs
Flurandrenolide 0.05% ointment [Cordran]
(Flurandrenolide)
    52565001760 8
PDPs
63
MAPDs
Flurandrenolide 0.5 MG/ML Topical Lotion [Cordran]
(Flurandrenolide)
    24470092112 6
PDPs
53
MAPDs
Flurazepam Hydrochloride 15mg/1 100 CAPSULE in 1 BOTTLE, PLASTIC
(Flurazepam HCl)
100 CAPSULE in 1 BOTTLE,   00378441501 1
PDPs
88
MAPDs
Flurazepam Hydrochloride 30mg/1 100 CAPSULE in 1 BOTTLE, PLASTIC
(Flurazepam HCl)
100 CAPSULE in 1 BOTTLE,   00378443001 1
PDPs
88
MAPDs
FLURBIPROFEN 0.03% EYE DROP
(Flurbiprofen)
2.5 ML BOT 24208031425 59
PDPs
335
MAPDs
Flurbiprofen 100mg/1 100 BOTTLE in 1 BOTTLE / 100 FILM COATED TABLETS in BOTTLE
(Flurbiprofen)
100 BOTTLE in 1 BOTTLE /   00093071101 53
PDPs
325
MAPDs
FLURBIPROFEN 50MG TABLET
(Flurbiprofen)
100 BOT 00378007601 53
PDPs
325
MAPDs
FLUTAMIDE 125 MG CAPSULE
(Flutamide)
180 EA   49884075313 59
PDPs
341
MAPDs
FLUTICASONE PROPIONATE 50MCG SPRAY SUSPENSION
(Fluticasone Propionate Nasal)
16 G BOTSPR 00054327099 59
PDPs
340
MAPDs
FLUTICASONE PROP 0.05% LOTION
(Fluticasone Propionate)
    68462042702 15
PDPs
150
MAPDs
Fluticasone Propionate 0.05mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
(Fluticasone Propionate)
1 TUBE in 1 CARTON / 30 g   45802022111 57
PDPs
330
MAPDs
Fluticasone Propionate 0.5mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
(Fluticasone Propionate)
1 TUBE in 1 CARTON / 30 g   45802022211 57
PDPs
330
MAPDs
FLUTICASONE-SALMETEROL 113-14 [Advair Diskus, Advair HFA, AIRDUO RESPICLICK]
(Fluticasone and Salmeterol)
    00093360882 4
PDPs
86
MAPDs
FLUTICASONE-SALMETEROL 232-14 [Advair Diskus, Advair HFA, AIRDUO RESPICLICK]
(Fluticasone and Salmeterol)
    00093360982 4
PDPs
86
MAPDs
FLUTICASONE-SALMETEROL 55-14 [Advair Diskus, Advair HFA, AIRDUO RESPICLICK]
(Fluticasone and Salmeterol)
    00093360782 4
PDPs
86
MAPDs
FLUVASTATIN SODIUM 20 MG CAPSULE [Lescol]
(Fluvastatin Sodium)
    00378802077 21
PDPs
188
MAPDs
FLUVASTATIN SODIUM 40 MG CAPSULE [Lescol]
(Fluvastatin Sodium)
    00378802193 21
PDPs
188
MAPDs
FLUVASTATIN ER 80 MG TABLET [Lescol]
(Fluvastatin Sodium)
100 EA   00378512101 15
PDPs
148
MAPDs
fluvoxamine er 100 mg capsule
(Fluvoxamine Maleate)
    10370017511 14
PDPs
188
MAPDs
fluvoxamine er 150 mg capsule
(Fluvoxamine Maleate)
    10370017611 14
PDPs
188
MAPDs
FLUVOXAMINE MALEATE 100MG TABLET
(Fluvoxamine Maleate)
500 BOT 00185015705 59
PDPs
341
MAPDs
Fluvoxamine Maleate 25mg/1 100 BOTTLE, PLASTIC in 1 BOTTLE, PLASTIC / 100 FILM COATED TABLETS in
(Fluvoxamine Maleate)
100 BOTTLE, PLASTIC in 1   00378040701 59
PDPs
341
MAPDs
Fluvoxamine maleate 50mg/1 100 FILM COATED TABLETS in BOTTLE
(Fluvoxamine Maleate)
100 TABLET, FILM COATED i   00185002701 59
PDPs
341
MAPDs
FML FORTE 0.25% EYE DROPS
(Fluorometholone Ophth)
10 ML BOT 11980022810 14
PDPs
127
MAPDs
FML LIQUIFILM 0.1% EYE DROP
(Fluorometholone Ophth)
10 ML BOT 11980021110 4
PDPs
12
MAPDs
FML S.O.P. 0.1% OINTMENT
(Fluorometholone Ophth)
3.5 GM TUBE 00023031604 13
PDPs
137
MAPDs
FOCALIN 10MG TABLET
(Dexmethylphenidate HCl)
100 BOT 00078038205 4
PDPs
7
MAPDs
FOCALIN 2.5MG TABLET
(Dexmethylphenidate HCl)
100 BOT 00078038005 4
PDPs
7
MAPDs
FOCALIN 5MG TABLET
(Dexmethylphenidate HCl)
100 BOT 00078038105 4
PDPs
7
MAPDs
FOCALIN XR 10MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078043105 1
PDPs
9
MAPDs
FOCALIN XR 15MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078049305 1
PDPs
8
MAPDs
FOCALIN XR 20MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078043205 2
PDPs
9
MAPDs
Focalin XR 25mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)
100 CAPSULE BOTTLE   00078060805 3
PDPs
42
MAPDs
FOCALIN XR 30MG CAPSULES
(Dexmethylphenidate HCl)
100 BOT 00078043305 1
PDPs
8
MAPDs
Focalin XR 35mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)
100 CAPSULE BOTTLE   00078060905 3
PDPs
42
MAPDs
Focalin XR 40mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)
100 CAPSULE BOTTLE   00078043405 1
PDPs
8
MAPDs
FOCALIN XR 5MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078043005 1
PDPs
8
MAPDs
FOLOTYN 20mg/mL 1 VIAL, SINGLE-USE per CARTON / 2 mL in 1 VIAL, SINGLE-USE
(PRALATREXATE)
1 VIAL, SINGLE-USE in 1 C   48818000102 36
PDPs
195
MAPDs
Fomepizole 1g/mL 1 VIAL per CARTON / 1.5 mL in 1 VIAL
(Fomepizole)
1 VIAL in 1 CARTON / 1.5   39822071001 32
PDPs
188
MAPDs
Fondaparinux Sodium 10mg/0.8mL 2 SYRINGES per CARTON / 0.8 mL in 1 SYRINGE [Arixtra]
(Fondaparinux Sodium)
2 SYRINGE in 1 CARTON / 0   55111068102 59
PDPs
341
MAPDs
Fondaparinux Sodium 2.5mg/0.5mL 2 SYRINGES per CARTON / 0.5 mL in 1 SYRINGE [Arixtra]
(Fondaparinux Sodium)
2 SYRINGE in 1 CARTON / 0   55111067802 59
PDPs
341
MAPDs
Fondaparinux Sodium 5mg/4mL 2 SYRINGES per CARTON / 0.4 mL in 1 SYRINGE [Arixtra]
(Fondaparinux Sodium)
2 SYRINGE in 1 CARTON / 0   55111067902 59
PDPs
341
MAPDs
Fondaparinux Sodium 7.5mg/0.6mL 2 SYRINGES per CARTON / 0.6 mL in 1 SYRINGE [Arixtra]
(Fondaparinux Sodium)
2 SYRINGE in 1 CARTON / 0   55111068002 59
PDPs
341
MAPDs
FORFIVO XL 450 MG TABLET
(bupropion hydrochloride)
    49909001030 6
PDPs
109
MAPDs
FORTAMET 1000MG TABLET SR OSMOTIC PUSH 24HR
(Metformin HCl)
60 BOT 59630057560 1
PDPs
5
MAPDs
FORTAMET 500MG TABLET SR OSMOTIC PUSH 24HR
(Metformin HCl)
60 BOT 59630057460 1
PDPs
5
MAPDs
FORTAZ 1 GM TWISTVIAL
(Ceftazidime For)
    24987043400 6
PDPs
41
MAPDs
FORTAZ 2 GM TWISTVIAL
(Ceftazidime For)
    24987043500 6
PDPs
35
MAPDs
FORTAZ 6 GM VIAL
(Ceftazidime For)
    24987038237 6
PDPs
18
MAPDs
Forteo 250ug/mL 1 SYRINGE per CARTON / 2.4 mL in 1 SYRINGE
(Teriparatide (Recombinant))
1 SYRINGE in 1 CARTON / 2   00002840001 57
PDPs
341
MAPDs
FORTESTA 10mg/0.5g
(Testosterone topical)
    63481018316 2
PDPs
25
MAPDs
FOSAMAX 70MG TABLET
(Alendronate Sodium)
4 BLPK 00006003144 8
PDPs
11
MAPDs
FOSAMAX PLUS D 70; 5600mg/1; [iU]/1 4 TABLET per BLISTER PACK
(Alendronate Sodium-Cholecalciferol)
4 TABLET in 1 BLISTER PAC   00006027044 7
PDPs
101
MAPDs
FOSAMAX PLUS D 70MG/2800 IU
(Alendronate Sodium-Cholecalciferol)
4 PKT 00006071044 7
PDPs
100
MAPDs
FOSINOPRIL SODIUM 10MG TABLET (90 CT)
(Fosinopril Sodium)
90 BOT 00093722298 57
PDPs
340
MAPDs
FOSINOPRIL SODIUM 20 MG TAB
(Fosinopril Sodium)
90.000 EA   00185004209 57
PDPs
340
MAPDs
Fosinopril Sodium 40mg/1 90 TABLET BOTTLE
(Fosinopril Sodium)
90 TABLET in 1 BOTTLE   00185004709 57
PDPs
340
MAPDs
FOSINOPRIL-HCTZ 10-12.5 MG TAB
(Fosinopril Sodium & Hydrochlorothiazide)
100.000 EA   68462055401 51
PDPs
334
MAPDs
FOSINOPRIL-HCTZ 20-12.5 MG TAB
(Fosinopril Sodium & Hydrochlorothiazide)
100.000 EA   68462055501 51
PDPs
334
MAPDs
Fosphenytoin Sodium 50mg/mL 2 mL in 1 VIAL
(Fosphenytoin Sodium)
2 mL in 1 VIAL   00143978825 43
PDPs
271
MAPDs
FOSRENOL 1000MG TABLET CHEW
(Lanthanum Carbonate Chew)
90 BOT 54092025490 25
PDPs
187
MAPDs
FOSRENOL 1,000 MG POWDER PACK
(Lanthanum Carbonate Chew)
90 EA   54092025702 25
PDPs
155
MAPDs
FOSRENOL 500MG TABLET CHEW
(Lanthanum Carbonate Chew)
90 PKG 54092025290 25
PDPs
186
MAPDs
FOSRENOL 750MG TABLET CHEW
(Lanthanum Carbonate Chew)
90 BOT 54092025390 25
PDPs
186
MAPDs
FOSRENOL 750 MG POWDER PACKET
(Lanthanum Carbonate Chew)
90 EA   54092025602 25
PDPs
155
MAPDs
FRAGMIN 10,000 UNITS SYRINGE
(Dalteparin Sodium)
    00069021702 12
PDPs
163
MAPDs
FRAGMIN 12,500 UNITS SYRINGE
(Dalteparin Sodium)
    00069022002 12
PDPs
157
MAPDs
FRAGMIN 15,000 UNITS SYRINGE
(Dalteparin Sodium)
    00069022302 12
PDPs
157
MAPDs
FRAGMIN 18,000 UNITS SYRINGE
(Dalteparin Sodium)
    00069022802 12
PDPs
157
MAPDs
FRAGMIN 2,500 UNITS SYRINGE
(Dalteparin Sodium)
    00069019502 13
PDPs
164
MAPDs
FRAGMIN 5,000 UNITS SYRINGE
(Dalteparin Sodium)
    00069019602 13
PDPs
164
MAPDs
FRAGMIN 7,500 UNITS/0.3 ML SYR
(Dalteparin Sodium)
    00069020602 12
PDPs
149
MAPDs
FRAGMIN 95,000 UNITS/3.8 ML VL
(Dalteparin Sodium)
    00069023201 13
PDPs
147
MAPDs
FREAMINE HBC INJECTION
(Amino Acid Infusion)
6 X 750/1000 ML BOTGL 00264935055 35
PDPs
226
MAPDs
FROVA 2.5MG TABLET
(Frovatriptan Succinate)
BLISTER PACK 1 BOTTLE 63481002509 3
PDPs
32
MAPDs
FROVATRIPTAN SUCC 2.5 MG TABLET [Frova]
(Frovatriptan Succinate)
    68462069497 9
PDPs
106
MAPDs
FURADANTIN 25 MG/5 ML SUSP 230 ML
(Nitrofurantoin)
    59630045008 1
PDPs
8
MAPDs
Furosemide 10 ML 10 MG/ML Injection
(Furosemide)
    23155052144 59
PDPs
337
MAPDs
Furosemide 10mg/mL 10 CARTON in 1 CONTAINER / 1 SYRINGE, PLASTIC in 1 CARTON / 4 mL in 1 SYRINGE, P
(Furosemide)
10 CARTON in 1 CONTAINER   00409963104 56
PDPs
305
MAPDs
FUROSEMIDE 10MG/ML SOLUTION
(Furosemide)
120 ML BOT 00054329450 59
PDPs
329
MAPDs
FUROSEMIDE 20 MG TABLET
(Furosemide)
100 EA   63304062401 59
PDPs
341
MAPDs
FUROSEMIDE 40 MG TABLET
(Furosemide)
1000 EA   63304062510 59
PDPs
341
MAPDs
FUROSEMIDE 40MG/5ML TUBEX
(Furosemide)
500 ML BOT 00054329863 49
PDPs
291
MAPDs
FUROSEMIDE 80 MG TABLET
(Furosemide)
100 EA   00378023201 59
PDPs
341
MAPDs
FUSILEV I.V. 50 MG VIAL
(Levoleucovorin Calcium)
    68152010100 42
PDPs
212
MAPDs
FUZEON 90 MG VIAL
(Enfuvirtide For)
60 EA   00004038140 59
PDPs
341
MAPDs
FYAVOLV 0.5 MG-2.5 MCG TABLET
(norethindrone acetate and ethinyl estradiol)
    68180082709 17
PDPs
104
MAPDs
FYAVOLV 1 MG-5 MCG TABLET
(norethindrone acetate and ethinyl estradiol)
    68180082809 29
PDPs
187
MAPDs
FYCOMPA 0.5 MG/ML ORAL SUSP
(perampanel)
340 ML   62856029038 59
PDPs
341
MAPDs
FYCOMPA 10 MG TABLET
(perampanel)
30 EA   62856028030 58
PDPs
340
MAPDs
FYCOMPA 12 MG TABLET
(perampanel)
30 EA   62856028230 58
PDPs
340
MAPDs
FYCOMPA 2 MG TABLET
(perampanel)
30 EA   62856027230 59
PDPs
341
MAPDs
FYCOMPA 4 MG TABLET
(perampanel)
30 EA   62856027430 59
PDPs
341
MAPDs
FYCOMPA 6 MG TABLET
(perampanel)
30 EA   62856027630 59
PDPs
341
MAPDs
FYCOMPA 8 MG TABLET
(perampanel)
30 EA   62856027830 59
PDPs
341
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)
30 EA   00078060715 47
PDPs
313
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(tbo-filgrastim)
    63459091011 35
PDPs
246
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(tbo-filgrastim)
    63459091211 35
PDPs
246
MAPDs
INTRALIPID 20% IV FAT EMUL
(Fat)
    00338051914 57
PDPs
304
MAPDs
INTRALIPID 30% IV FAT EMUL
(Fat)
    00338052013 47
PDPs
229
MAPDs
LASIX 20 MG TABLET
(Furosemide)
    30698006701 4
PDPs
10
MAPDs
LASIX 40 MG TABLET
(Furosemide)
    30698006001 4
PDPs
10
MAPDs
LASIX 80 MG TABLET
(Furosemide)
    30698006605 4
PDPs
10
MAPDs
LAZANDA 100 MCG NASAL SPRAY
(fentanyl nasal spray)
    13913000901 22
PDPs
210
MAPDs
LAZANDA 300 MCG NASAL SPRAY
(fentanyl nasal spray)
    13913001301 22
PDPs
203
MAPDs
LAZANDA 400 MCG NASAL SPRAY
(fentanyl nasal spray)
    13913001001 22
PDPs
207
MAPDs
LESCOL XL 80MG TABLET SA
(Fluvastatin Sodium)
100 BOT 00078035405 4
PDPs
25
MAPDs
LEVOLEUCOVORIN 175 MG/17.5 ML [Fusilev]
(Levoleucovorin Calcium)
    00781320194 40
PDPs
264
MAPDs
Levoleucovorin 50 mg vial [Fusilev]
(Levoleucovorin Calcium)
    00143955801 46
PDPs
305
MAPDs
LEXIVA 50mg/mL 225 mL in 1 BOTTLE
(Fosamprenavir Calcium)
225 mL in 1 BOTTLE   49702020853 59
PDPs
341
MAPDs
LEXIVA 700MG TABLETS
(Fosamprenavir Calcium)
60 BOT 49702020718 59
PDPs
341
MAPDs
LIPOFEN 150MG CAPSULES
(Fenofibrate)
90 BOTPL 66869014730 6
PDPs
23
MAPDs
LOMEDIA 24 FE 24MG TABLET
(norethindrone acetate, ethinyl estradiol, and ferrous fumarate)
28 EA   65162031684 34
PDPs
207
MAPDs
MONUROL 3 GM SACHET
(Fosfomycin Tromethamine)
1 PACKET BOX 00456430001 8
PDPs
91
MAPDs
NEO-SYNALAR 0.5%-0.025% CREAM
(Neomycin Sulfate and Fluocinolone Acetonide)
    43538094060 2
PDPs
13
MAPDs
NEUPOGEN 300 MCG/ML VIAL
(Filgrastim)
1 ML   55513053010 44
PDPs
297
MAPDs
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE
(Filgrastim)
10 SYRINGE in 1 BOX / 0.5   55513092410 44
PDPs
299
MAPDs
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR
(Filgrastim)
10 X 0.8 ML SYR 55513020910 44
PDPs
299
MAPDs
NEUPOGEN 300MCG/ML VIAL
(Filgrastim)
10 X 1.6 ML VIALSD 55513054610 44
PDPs
297
MAPDs
Nolix 120 mL in 1 BOTTLE
(Flurandrenolide)
    57893031112 6
PDPs
44
MAPDs
OCUFEN 0.03% EYE DROPS
(Flurbiprofen Sodium Ophth)
2.5 ML BOT 11980080103 1
PDPs
8
MAPDs
OTOVEL 0.3%-0.025% EAR DROPS
(Ciprofloxacin and fluocinolone otic)
    24338008014 4
PDPs
59
MAPDs
PEPCID 20 MG TABLET
(Famotidine)
    00187442030 1
PDPs
8
MAPDs
PEPCID 40 MG TABLET
(Famotidine)
    00187444030 1
PDPs
8
MAPDs
PEPCID SOLUTION 40MG 24 X 400MG BOT
(Famotidine)
24 X 400 MG BOT 65649021124 1
PDPs
8
MAPDs
PERFOROMIST 20MCG/2ML VIAL NEBULIZER
(Formoterol Fumarate)
60 X 2ML CRTN 49502060561 29
PDPs
145
MAPDs
PROSCAR TABLETS 5MG 30 BOT
(Finasteride)
30 BOT 00006007231 4
PDPs
10
MAPDs
PROZAC 10MG PULVULE
(Fluoxetine HCl)
100 BOT 00777310402 4
PDPs
9
MAPDs
Prozac 20mg/1 100 CAPSULE in 1 BOTTLE
(Fluoxetine HCl)
100 CAPSULE in 1 BOTTLE   00777310502 4
PDPs
9
MAPDs
PROZAC 40MG PULVULE
(Fluoxetine HCl)
30 BOT 00777310730 4
PDPs
9
MAPDs
SUBSYS 100 MCG SPRAY
(fentanyl)
    20482000110 5
PDPs
61
MAPDs
SUBSYS 1,200 MCG SPRAY
(fentanyl)
    20482000630 5
PDPs
61
MAPDs
SUBSYS 200 MCG SPRAY
(fentanyl)
    20482000230 5
PDPs
61
MAPDs
SUBSYS 400 MCG SPRAY
(fentanyl)
    20482000430 5
PDPs
61
MAPDs
SUBSYS 800 MCG SPRAY
(fentanyl)
    20482000830 5
PDPs
61
MAPDs
SYNALAR 0.025% CREAM KIT
(Fluocinolone Topical)
    43538090012 2
PDPs
25
MAPDs
TOLAK 4% CREAM
(Fluorouracil)
    28105042140 10
PDPs
150
MAPDs
TOVIAZ TABLETS 4MG EXTENDED RELEASE
(Fesoterodine)
30 BOT 00069024230 41
PDPs
223
MAPDs
TOVIAZ TABLETS 8MG EXTENDED RELEASE
(Fesoterodine)
30 BOT 00069024430 41
PDPs
223
MAPDs
TRICOR 145 MG TABLET
(Fenofibrate)
    00074318990 1
PDPs
8
MAPDs
TRICOR 48 MG TABLET
(Fenofibrate)
    00074317390 3
PDPs
10
MAPDs
TRIGLIDE 160 MG TABLET
(Fenofibrate)
    70199001330 3
PDPs
39
MAPDs
TRILIPIX DR 135 MG CAPSULE
(Fenofibric Acid)
    00074316290 1
PDPs
9
MAPDs
TRILIPIX DR 45 MG CAPSULE
(Fenofibric Acid)
    00074316190 3
PDPs
11
MAPDs
ULORIC TABLETS 40MG 30 BOT
(Febuxostat)
30 BOT 64764091830 54
PDPs
304
MAPDs
ULORIC TABLETS 80MG 30 BOT
(Febuxostat)
30 BOT 64764067730 54
PDPs
304
MAPDs
VANOS 0.1% CREAM
(Fluocinonide)
60 GM TUBE 99207052560 1
PDPs
8
MAPDs
ZARXIO 300 MCG/0.5 ML SYRINGE
(Filgrastim-sndz)
    61314030401 18
PDPs
194
MAPDs
ZARXIO 480 MCG/0.8 ML SYRINGE
(Filgrastim-sndz)
    61314031210 18
PDPs
194
MAPDs



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


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  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
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  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.