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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
PackagingNDCOn This Nbr of 2017 Formularies
PDPsMAPDs
ABSTRAL 100 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
   5788103313220
PDPs
91
MAPDs
ABSTRAL 200 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
   5788103323220
PDPs
91
MAPDs
ABSTRAL 300 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
   5788103333220
PDPs
90
MAPDs
ABSTRAL 400 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
   5788103343220
PDPs
90
MAPDs
ABSTRAL 600 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
   5788103363220
PDPs
90
MAPDs
ABSTRAL 800 MCG TAB SUBLINGUAL
(Fentanyl (sublingual))
   5788103383220
PDPs
91
MAPDs
ACTIQ 1200MCG LOZENGE
(Fentanyl Citrate)
30 BOT634590512302
PDPs
13
MAPDs
ACTIQ 1600MCG LOZENGE
(Fentanyl Citrate)
30 BOT634590516302
PDPs
13
MAPDs
ACTIQ 200MCG LOZENGE
(Fentanyl Citrate)
30 BOT634590502302
PDPs
13
MAPDs
ACTIQ 400MCG LOZENGE
(Fentanyl Citrate)
30 BOT634590504302
PDPs
13
MAPDs
ACTIQ 600MCG LOZENGE
(Fentanyl Citrate)
30 BOT634590506302
PDPs
13
MAPDs
ACTIQ 800MCG LOZENGE
(Fentanyl Citrate)
30 BOT634590508302
PDPs
13
MAPDs
ADRUCIL 50mg/mL 10 VIAL in 1 TRAY / 10 mL in 1 VIAL
(Fluorouracil)
10 VIAL in 1 TRAY / 10 mL  0070330151352
PDPs
233
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)
60 DOSE INHL0017306950050
PDPs
315
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)
60 DOSE BLPK0017306960050
PDPs
315
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)
60 BLPK0017306970050
PDPs
315
MAPDs
ADVAIR HFA INHALER 115;21MCG;MCG 120ACTN INHL
(Fluticasone-Salmeterol)
120ACTN INHL0017307162050
PDPs
314
MAPDs
ADVAIR HFA 230; 21ug/1; ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone-Salmeterol)
120 AEROSOL, METERED in 1  0017307172050
PDPs
314
MAPDs
ADVAIR HFA INHALER 45;21MCG;MCG 120 ACTN INHL
(Fluticasone-Salmeterol)
120 ACTN INHL0017307152050
PDPs
314
MAPDs
AEROSPAN 80 MCG INHALER
(Flunisolide)
   000377590129
PDPs
59
MAPDs
ANCOBON 250MG CAPSULE
(Flucytosine)
100 BOT001873554104
PDPs
10
MAPDs
ANCOBON 500MG CAPSULE
(Flucytosine)
100 BOT001873555104
PDPs
10
MAPDs
ANTARA 30 MG CAPSULE
(Fenofibrate Micronized)
   274370107064
PDPs
31
MAPDs
ANTARA 90 MG CAPSULE
(Fenofibrate Micronized)
   274370108064
PDPs
31
MAPDs
ARIXTRA 10 MG/0.8 ML SYRINGE
(Fondaparinux Sodium)
   674570595002
PDPs
13
MAPDs
ARIXTRA 2.5 MG SYRINGE
(Fondaparinux Sodium)
   674570592001
PDPs
10
MAPDs
ARIXTRA 5 MG/0.4 ML SYRINGE
(Fondaparinux Sodium)
   674570593002
PDPs
13
MAPDs
ARIXTRA 7.5 MG/0.6 ML SYRINGE
(Fondaparinux Sodium)
   674570594002
PDPs
13
MAPDs
ARNUITY ELLIPTA 100 MCG INH
(Fluticasone Furoate)
   0017308741043
PDPs
203
MAPDs
ARNUITY ELLIPTA 200 MCG INH
(Fluticasone Furoate)
   0017308761043
PDPs
203
MAPDs
AURYXIA 210 MG TABLET
(Ferric Citrate)
200 EA  5992206310120
PDPs
135
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)
60 EA  0017308591053
PDPs
300
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)
60 EA  0017308821053
PDPs
298
MAPDs
CAPEX SHA 0.01%
(Fluocinolone Acetonide)
4 FLO IN 6 FLO BOTTLE BOTPL002995500049
PDPs
82
MAPDs
CARAC CREAM
(Fluorouracil)
   0018752003016
PDPs
106
MAPDs
CEREBYX 500 MG PE/10 ML VIAL
(Fosphenytoin Sodium)
   000695474014
PDPs
44
MAPDs
CORDRAN TAPE 4MCG/SQCM 1 X 80 X 3 CTR
(Flurandrenolide)
1 X 80 X 3 CTR5254400448012
PDPs
67
MAPDs
CUTIVATE 0.05% LOTION
(Fluticasone Propionate)
   103370434042
PDPs
9
MAPDs
Dificid 200mg/1 1 BOTTLE per CARTON / 20 FILM COATED TABLETS in BOTTLE
(FIDAXOMICIN)
1 BOTTLE in 1 CARTON / 20  5201500800132
PDPs
226
MAPDs
DIFLUCAN 50MG/5ML SUSPEN
(Fluconazole)
35 ML BOT000493440194
PDPs
10
MAPDs
DIFLUCAN 100MG TABLET
(Fluconazole)
30 BOT000493420304
PDPs
10
MAPDs
DIFLUCAN 150MG TABLET
(Fluconazole)
1 BOT000493500794
PDPs
10
MAPDs
DIFLUCAN 200MG TABLET
(Fluconazole)
30 BOT000493430304
PDPs
10
MAPDs
DIFLUCAN 200MG/5ML SUSPEN
(Fluconazole)
35 ML BOT000493450194
PDPs
10
MAPDs
DIFLUCAN 50MG TABLET
(Fluconazole)
30 BOT000493410304
PDPs
10
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
   759870010033
PDPs
24
MAPDs
DULERA INHALATION AEROSOL
(Mometasone Furoate-Formoterol Fumarate)
120 INHALATION X 1 CANIST CRTN 0008572060131
PDPs
189
MAPDs
DULERA INHALATION AEROSOL
(Mometasone Furoate-Formoterol Fumarate)
120 INHALATION X 1 CANIST CRTN 0008546100131
PDPs
189
MAPDs
DURAGESIC PATCH 100 MCG/HR
(Fentanyl TD)
1 PATCH X 5 POUCH BOX504580094052
PDPs
10
MAPDs
DURAGESIC PATCH 12.5 MCG/HR
(Fentanyl TD)
1 PATCH X 5 POUCH BOX504580090052
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  504580091052
PDPs
10
MAPDs
DURAGESIC PATCH 50 MCG/HR
(Fentanyl TD)
1 PATCH X 5 POUCH BOX504580092052
PDPs
10
MAPDs
DURAGESIC PATCH 75 MCG/HR
(Fentanyl TD)
1 PATCH X 5 POUCH BOX504580093052
PDPs
10
MAPDs
EFUDEX 5% CREAM
(Fluorouracil)
40 G TUBE001873204471
PDPs
9
MAPDs
FABIOR 0.1% FOAM
(tazarotene topical)
   001450020022
PDPs
30
MAPDs
FABRAZYME 35MG VIAL
(Agalsidase beta For IV)
   5846800400157
PDPs
328
MAPDs
FALMINA-28 TABLET
(Levonorgestrel and Ethinyl Estradiol)
28 EA  1671403590149
PDPs
282
MAPDs
FAMCICLOVIR 125MG TABLET
(Famciclovir)
30 TABLETS BOT0009381175655
PDPs
317
MAPDs
FAMCICLOVIR 250MG TABLET
(Famciclovir)
30 TABLETS BOT0009381185655
PDPs
317
MAPDs
FAMCICLOVIR 500MG TABLET
(Famciclovir)
30 TABLETS BOT0009381195655
PDPs
318
MAPDs
FAMOTIDINE INJECTION 10MG 25 X 2ML VIALSD
(Famotidine)
25 X 2 ML VIALSD6332307391255
PDPs
315
MAPDs
FAMOTIDINE 20MG PIGGYBACK
(Famotidine)
50 ML BAG0033851974142
PDPs
257
MAPDs
FAMOTIDINE 20MG TABLET (500 CT)
(Famotidine)
500 BOT0037830200554
PDPs
324
MAPDs
FAMOTIDINE 40MG TABLET
(Famotidine)
100 BOT0037830400154
PDPs
327
MAPDs
FAMOTIDINE 50 MG/5MLFOR ORAL SUSPENSION
(Famotidine in NaCl 0.9% IV)
50ML BOT 6818001500133
PDPs
237
MAPDs
FAMVIR 125MG TABLET
(Famciclovir)
30 BOT000780366154
PDPs
9
MAPDs
FAMVIR 250MG TABLET
(Famciclovir)
30 BOT000780367154
PDPs
9
MAPDs
FAMVIR 500MG TABLET
(Famciclovir)
30 BOT000780368154
PDPs
9
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA  4306801040255
PDPs
328
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA  4306801130457
PDPs
323
MAPDs
FANAPT 1 MG 60 TABLET BOTTLE
(ILOPERIDONE)
60 EA  0007805952057
PDPs
328
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA  4306801100257
PDPs
328
MAPDs
FANAPT 12 MG 60 TABLET BOTTLE
(ILOPERIDONE)
60 EA  0007806012057
PDPs
328
MAPDs
FANAPT 2 MG 60 TABLET BOTTLE
(ILOPERIDONE)
60 EA  0007805962057
PDPs
328
MAPDs
FANAPT 6 MG 60 TABLET BOTTLE
(ILOPERIDONE)
60 EA  0007805982057
PDPs
328
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA  4306801080257
PDPs
328
MAPDs
FARESTON 60 MG TABLET
(Toremifene Citrate)
   4274703273057
PDPs
328
MAPDs
FARXIGA 10 MG TABLET
(dapagliflozin)
30 EA  0031062103023
PDPs
146
MAPDs
FARXIGA 5 MG TABLET
(dapagliflozin)
30 EA  0031062053023
PDPs
146
MAPDs
FARYDAK 10 MG CAPSULE
(Panobinostat)
6 EA  0007806500657
PDPs
328
MAPDs
FARYDAK 15 MG CAPSULE
(Panobinostat)
6 EA  0007806510657
PDPs
328
MAPDs
FARYDAK 20 MG CAPSULE
(Panobinostat)
6 EA  0007806520657
PDPs
328
MAPDs
FASLODEX 50MG/ML INJECTION
(Fulvestrant)
5ML X 2 SYRGL 0031007201057
PDPs
320
MAPDs
FazaClo 100mg/1 100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE
(Clozapine)
100 TABLET, ORALLY DISINT  188600104108
PDPs
49
MAPDs
FazaClo 12.5mg/1 100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE
(Clozapine)
100 TABLET, ORALLY DISINT  188600101105
PDPs
73
MAPDs
FazaClo 150mg/1 100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE
(Clozapine)
100 TABLET, ORALLY DISINT  188600105109
PDPs
94
MAPDs
FAZACLO 200 MG ODT
(Clozapine)
100 EA  188600106109
PDPs
95
MAPDs
FazaClo 25mg/1 100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE
(Clozapine)
100 TABLET, ORALLY DISINT  188600102108
PDPs
46
MAPDs
FELBAMATE 400 MG TABLET
(Felbamate)
30 EA  6516207340357
PDPs
328
MAPDs
FELBAMATE 600 MG TABLET
(Felbamate)
90 EA  6516207350957
PDPs
328
MAPDs
FELBAMATE 600 MG/5 ML SUSP
(Felbamate)
 6516206869057
PDPs
328
MAPDs
FELBATOL 400MG TABLET
(Felbamate)
100 BOT000370430014
PDPs
17
MAPDs
FELBATOL 600MG TABLET
(Felbamate)
100 BOT000370431012
PDPs
15
MAPDs
FELBATOL 600MG/5ML SUSP
(Felbamate)
32 FLO BOT000370442172
PDPs
17
MAPDs
FELDENE 10MG CAPSULE
(Piroxicam)
100 BOT000693220664
PDPs
9
MAPDs
FELDENE 20MG CAPSULE
(Piroxicam)
100 BOT000693230664
PDPs
9
MAPDs
FELODIPINE ER 10 MG TABLET
(Felodipine)
500 EA  0060335832843
PDPs
312
MAPDs
FELODIPINE ER 2.5 MG TABLET
(Felodipine)
100 EA  0037850110143
PDPs
312
MAPDs
FELODIPINE ER 5 MG TABLET
(Felodipine)
100 EA  0037850120143
PDPs
312
MAPDs
FEMARA 2.5MG TABLET
(Letrozole)
30 BOT000780249155
PDPs
11
MAPDs
FEMCON FE CHEWABLE TABLET
(Norethindrone & Ethinyl Estradiol-Fe Chew)
28 EA  004300010057
PDPs
31
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  004300145141
PDPs
26
MAPDs
FEMRING 0.05MG VAGINAL RING
(Estradiol Acetate Vaginal)
1 POU0043062014020
PDPs
136
MAPDs
FEMRING 0.10MG VAGINAL RING
(Estradiol Acetate Vaginal)
1 POU0043062024020
PDPs
136
MAPDs
FENOFIBRATE 120 MG TABLET [LIPOFEN]
(Fenofibrate)
   001151523108
PDPs
96
MAPDs
FENOFIBRATE 130 MG CAPSULE [LIPOFEN]
(Fenofibrate)
30 EA  0037860899326
PDPs
213
MAPDs
FENOFIBRATE 134MG CAPSULE [LIPOFEN]
(Fenofibrate)
100 BOT0011505220153
PDPs
325
MAPDs
FENOFIBRATE 145 MG TABLET [LIPOFEN]
(Fenofibrate)
   6818003610253
PDPs
311
MAPDs
FENOFIBRATE 150 MG CAPSULE [LIPOFEN]
(Fenofibrate)
   612690212907
PDPs
100
MAPDs
FENOFIBRATE 160 MG 90 TABLET BOTTLE [LIPOFEN]
(Fenofibrate)
90 TABLET in 1 BOTTLE  0011555221057
PDPs
327
MAPDs
FENOFIBRATE 200 MG CAPSULE [LIPOFEN]
(Fenofibrate)
100 BOT0011505330153
PDPs
323
MAPDs
FENOFIBRATE 40 MG TABLET [LIPOFEN]
(Fenofibrate)
   001151522108
PDPs
113
MAPDs
FENOFIBRATE 43 MG CAPSULE [LIPOFEN]
(Fenofibrate)
30 EA  0037860889327
PDPs
215
MAPDs
FENOFIBRATE 48 MG TABLET [LIPOFEN]
(Fenofibrate)
500 EA  0037830650553
PDPs
311
MAPDs
FENOFIBRATE 50 MG CAPSULE [LIPOFEN]
(Fenofibrate)
   612690210907
PDPs
100
MAPDs
FENOFIBRATE 50 MG ORAL CAPSULE [LIPOFEN]
(Fenofibrate)
   668690137306
PDPs
23
MAPDs
FENOFIBRATE 54 MG 90 TABLET BOTTLE [LIPOFEN]
(Fenofibrate)
90 TABLET in 1 BOTTLE  0011555111057
PDPs
327
MAPDs
FENOFIBRATE 67MG CAPSULE [LIPOFEN]
(Fenofibrate)
100 BOT0011505110153
PDPs
325
MAPDs
FENOFIBRIC ACID 105 MG TABLET [TRILIPIX]
(Fenofibric Acid)
   6997301059018
PDPs
153
MAPDs
Fenofibric acid dr 135 mg capsule [TRILIPIX]
(Fenofibric Acid)
   0037825907737
PDPs
244
MAPDs
FENOFIBRIC ACID 35 MG TABLET [TRILIPIX]
(Fenofibric Acid)
30 EA  5348906770718
PDPs
160
MAPDs
Fenofibric acid dr 45 mg capsule [TRILIPIX]
(Fenofibric Acid)
   0037825897737
PDPs
244
MAPDs
FENOGLIDE 120 MG TABLET
(Fenofibrate)
   680120495903
PDPs
21
MAPDs
FENOGLIDE 40 MG TABLET
(Fenofibrate)
   680120490903
PDPs
22
MAPDs
FENOPROFEN CALCIUM 400 MG CAP
(FENOPROFEN CALCIUM)
90 EA  421950100905
PDPs
69
MAPDs
FENOPROFEN 600MG TABLET
(Fenoprofen)
100 BOT0037804710118
PDPs
180
MAPDs
FENTANYL CITRATE 200ug/1 30 BLISTER PACK per CARTON / 1 LOZENGE per BLISTER PACK
(Fentanyl Citrate)
30 BLISTER PACK in 1 CART  0040692023051
PDPs
301
MAPDs
FENTANYL CITRATE LOZENGES
(Fentanyl Citrate)
1 X 30 BLPK CRTN 0040692123051
PDPs
298
MAPDs
FENTANYL CITRATE 1600ug/1 30 BLISTER PACK per CARTON / 1 LOZENGE per BLISTER PACK
(Fentanyl Citrate)
30 BLISTER PACK in 1 CART  0040692163051
PDPs
298
MAPDs
FENTANYL CITRATE LOZENGES
(Fentanyl Citrate)
1 X 30 BLPK CRTN 0040692043051
PDPs
302
MAPDs
FENTANYL CITRATE LOZENGES
(Fentanyl Citrate)
1 X 30 BLPK CRTN 0040692063051
PDPs
300
MAPDs
FENTANYL CITRATE LOZENGES
(Fentanyl Citrate)
1 X 30 BLPK CRTN 0040692083051
PDPs
300
MAPDs
FENTANYL 12MCG/HR PATCH TRANSDERMAL 72 HOURS
(Fentanyl TD)
5 SYSTEM POU0037891199857
PDPs
328
MAPDs
FENTANYL 100MCG/HR PATCH TRANSDERMAL 72 HOURS
(Fentanyl TD)
5 SYSTEM CRTN0037891249857
PDPs
326
MAPDs
FENTANYL TRANSDERMAL SYSTEM 25MCG 5 SYSTEMS CRTN
(Fentanyl TD)
5 SYSTEMS CRTN0059131987257
PDPs
328
MAPDs
FENTANYL 37.5 MCG/HR PATCH [DURAGESIC]
(Fentanyl)
   0037891259816
PDPs
152
MAPDs
FENTANYL TRANSDERMAL SYSTEM 50MCG 5 SYSTEMS CRTN
(Fentanyl TD)
5 SYSTEMS CRTN0059132127257
PDPs
328
MAPDs
FENTANYL 62.5 MCG/HR PATCH [DURAGESIC]
(Fentanyl)
   0037891269816
PDPs
152
MAPDs
FENTANYL 75 MCG/HR PATCH
(Fentanyl)
5 EA  0059132137257
PDPs
326
MAPDs
FENTANYL 87.5 MCG/HR PATCH [DURAGESIC]
(Fentanyl)
   0037891279816
PDPs
150
MAPDs
FENTORA TABLET 100MCG
(Fentanyl Citrate)
28 BLPK6345905412819
PDPs
138
MAPDs
FENTORA TABLET 200MCG
(Fentanyl Citrate)
28 BLPK6345905422819
PDPs
147
MAPDs
FENTORA TABLET 400MCG
(Fentanyl Citrate)
28 BLPK6345905442819
PDPs
147
MAPDs
FENTORA TABLET 600MCG
(Fentanyl Citrate)
28 BLPK6345905462819
PDPs
147
MAPDs
FENTORA TABLET 800MCG
(Fentanyl Citrate)
28 BLPK6345905482819
PDPs
147
MAPDs
FERRIPROX 100 MG/ML SOLUTION
(Deferiprone)
   5260945020736
PDPs
222
MAPDs
FERRIPROX 500 MG TABLET
(Deferiprone)
100 EA  5260900060138
PDPs
279
MAPDs
FETZIMA ER 120 MG CAPSULE
(levomilnacipran)
30 EA  0045622123057
PDPs
328
MAPDs
FETZIMA ER 20 MG CAPSULE
(levomilnacipran)
30 EA  0045622203057
PDPs
328
MAPDs
FETZIMA 20-40 MG TITRATION PAK
(levomilnacipran)
28 EA  0045622022857
PDPs
326
MAPDs
FETZIMA ER 40 MG CAPSULE
(levomilnacipran)
30 EA  0045622403057
PDPs
328
MAPDs
FETZIMA ER 80 MG CAPSULE
(levomilnacipran)
30 EA  0045622803057
PDPs
328
MAPDs
FEXMID 7.5 MG TABLET
(Cyclobenzaprine HCl)
   596300950101
PDPs
6
MAPDs
FIBRICOR 105mg/1 30 TABLET BOTTLE, PLASTIC
(Fenofibric Acid)
30 TABLET in 1 BOTTLE, PL  133100102071
PDPs
14
MAPDs
FIBRICOR 35mg/1 30 TABLET BOTTLE, PLASTIC
(Fenofibric Acid)
30 TABLET in 1 BOTTLE, PL  133100101071
PDPs
14
MAPDs
FINACEA 15% FOAM
(Azelaic Acid)
   5041908290118
PDPs
101
MAPDs
FINACEA 15% GEL
(Azelaic Acid)
50 GM  5041908250221
PDPs
131
MAPDs
FINASTERIDE 5 MG TABLET
(Finasteride)
90 EA  4733507158157
PDPs
328
MAPDs
FIORICET 50-300-40 MG CAPSULE
(Butalbital-Acetaminophen-Caffeine)
100 EA  525440080011
PDPs
7
MAPDs
Fioricet/Codeine 50-300-40-30 CAP
(Butalbital-Acetaminophen-Caff w/ COD)
100 EA  525440082010
PDPs
20
MAPDs
FIORINAL W/CODEINE #3 30MG/50MG/40MG CAPSULE
(Butalbital-Aspirin-Caffeine)
100 BOT525440956010
PDPs
3
MAPDs
Fiorinal 325; 50; 40mg/1; mg/1; mg/1 100 CAPSULE BOTTLE
(Butalbital-Aspirin-Caffeine)
100 CAPSULE in 1 BOTTLE  525440955010
PDPs
3
MAPDs
Firazyr 30.0mg/3mL 1 SYRINGE, GLASS per CARTON / 3 mL in 1 SYRINGE, GLASS
(ICATIBANT ACETATE)
1 SYRINGE, GLASS in 1 CAR  5409207020257
PDPs
328
MAPDs
FIRMAGON 2 X 120 MG KIT
(DEGARELIX)
   5556684030141
PDPs
223
MAPDs
FIRMAGON 80 MG KIT
(DEGARELIX)
   5556683030141
PDPs
223
MAPDs
FLAGYL 250MG TABLET (100 CT)
(Metronidazole)
100 BOT000251831314
PDPs
9
MAPDs
FLAGYL 375MG CAPSULE
(Metronidazole)
50 BOT000251942504
PDPs
9
MAPDs
FLAGYL 500MG TABLET
(Metronidazole)
100 BOT000251821314
PDPs
9
MAPDs
FLAREX 0.1% EYE DROPS
(Fluorometholone Acetate Ophth)
5 ML BOT0006500960512
PDPs
88
MAPDs
FLAVOXATE HCL 100MG TABLET
(Flavoxate HCl)
100 BOT0057401150121
PDPs
169
MAPDs
FLEBOGAMMA DIF INJECTION
(Immune Globulin (Human) IV)
   6195300050129
PDPs
211
MAPDs
FLECAINIDE ACETATE 100 MG TAB #60 EA
(Flecainide Acetate)
60 EA  0005400112157
PDPs
328
MAPDs
FLECAINIDE ACETATE 150 MG TAB 360 EA
(Flecainide Acetate)
60 EA  0005400122157
PDPs
328
MAPDs
FLECAINIDE ACETATE 50 MG TAB
(Flecainide Acetate)
100 EA  6516206411057
PDPs
328
MAPDs
FLECTOR PATCH
(Diclofenac Epolamine)
6 POU CRTN 607930411308
PDPs
99
MAPDs
FLOMAX 0.4 MG CAPSULE
(Tamsulosin HCl)
100 EA  005970058014
PDPs
10
MAPDs
FLOVENT DISKUS 100ug/1 60 POWDER, METERED in 1 INHALER
(Fluticasone Propionate)
60 POWDER, METERED in 1 I  0017306020249
PDPs
309
MAPDs
FLOVENT DISKUS 250ug/1 60 POWDER, METERED in 1 INHALER
(Fluticasone Propionate)
60 POWDER, METERED in 1 I  0017306010249
PDPs
309
MAPDs
FLOVENT DISKUS POWDER 50MCG 60 CTR
(Fluticasone Propionate)
60 CTR0017306000249
PDPs
310
MAPDs
FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED in 1  0017307192049
PDPs
314
MAPDs
FLOVENT HFA 220ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED in 1  0017307202049
PDPs
314
MAPDs
FLOVENT HFA 44ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED in 1  0017307182049
PDPs
314
MAPDs
FLUCONAZOLE 100 MG TABLET
(Fluconazole)
30 EA  0017254114657
PDPs
328
MAPDs
FLUCONAZOLE 150MG TABLETS
(Fluconazole)
12 BLPK BOX 0017254121157
PDPs
328
MAPDs
Fluconazole 200mg/1 30 TABLET BOTTLE
(Fluconazole)
30 TABLET in 1 BOTTLE  0017254134657
PDPs
327
MAPDs
Fluconazole 50mg/1 30 TABLET BOTTLE
(Fluconazole)
30 TABLET in 1 BOTTLE  0017254104657
PDPs
328
MAPDs
FLUCONAZOLE 10MG/ML ORAL SUSPENSION
(Fluconazole in Dextrose)
350 ML BOTPL 0005400028557
PDPs
327
MAPDs
FLUCONAZOLE 40MG/ML ORAL SUSPENSION
(Fluconazole in Dextrose)
1400 ML BOTPL 0005400038557
PDPs
328
MAPDs
FLUCONAZOLE-NACL 200 MG/100 ML
(Fluconazole in NaCl 0.9%)
   0040946881857
PDPs
305
MAPDs
Fluconazole-Dext 400 mg/200 ml
()
   0040946880257
PDPs
326
MAPDs
Flucytosine 250mg/1
(Flucytosine)
   6498001790157
PDPs
325
MAPDs
Flucytosine 500mg/1
(Flucytosine)
   6498001800157
PDPs
327
MAPDs
FLUDARABINE 50MG VIAL
(Fludarabine Phosphate)
1 X 6 ML VIAL0070358540148
PDPs
277
MAPDs
FLUDROCORTISONE ACETATE 0.1MG TABLET (100 CT)
(Fludrocortisone Acetate)
100 BOT0011570330157
PDPs
328
MAPDs
FLUOCINOLONE OIL 0.01% EAR DRP
(Fludrocortisone Acetate)
   6516207029444
PDPs
272
MAPDs
FLUOCINOLONE 0.01% BODY OIL
(Fludrocortisone Acetate)
   6516207048622
PDPs
228
MAPDs
FLUOCINOLONE 0.01% CREAM
(Fludrocortisone Acetate)
60 GM TUBE0016800586043
PDPs
289
MAPDs
FLUOCINOLONE 0.01% SOLUTION
(Fludrocortisone Acetate)
60 ML BOT0016800596046
PDPs
270
MAPDs
FLUOCINOLONE 0.025% CREAM
(Fludrocortisone Acetate)
60 GM TUBE0016800606035
PDPs
271
MAPDs
FLUOCINOLONE 0.025% OINTMENT
(Fludrocortisone Acetate)
60 GM TUBE0016800646034
PDPs
271
MAPDs
Flumadine 100mg/1 100 TABLET BOTTLE
(Rimantadine Hydrochloride)
100 TABLET in 1 BOTTLE  497080521881
PDPs
10
MAPDs
FLUNISOLIDE NASAL SOLUTION 0.025% 25ML INHL
(Flunisolide Nasal)
25 ML INHL2420803442547
PDPs
300
MAPDs
FLUOCINONIDE 0.05% SOLUTION
(Fluocinonide)
60 ML  0016801346055
PDPs
322
MAPDs
fluocinonide 0.1% cream
(Fluocinonide)
   4580201519616
PDPs
127
MAPDs
Fluocinonide 0.5mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
(Fluocinonide)
1 TUBE in 1 CARTON / 30 g  5167212640242
PDPs
276
MAPDs
Fluocinonide 0.5mg/g 1 TUBE per CARTON / 60 g in 1 TUBE
(Fluocinonide)
1 TUBE in 1 CARTON / 60 g  5167212540357
PDPs
326
MAPDs
Fluocinonide 0.5mg/g 1 TUBE per CARTON / 60 g in 1 TUBE
(Fluocinonide)
1 TUBE in 1 CARTON / 60 g  5167212790357
PDPs
327
MAPDs
Fluorometholone 0.1% drops
(Fluorometholone Ophth)
   6075808800555
PDPs
305
MAPDs
FLUOROURACIL CREA 5%
(Fluorouracil)
40 GM TUBE6653002494057
PDPs
328
MAPDs
fluorouracil 500 mg/10 ml vial
(Fluorouracil)
   6332301175157
PDPs
312
MAPDs
FLUOROURACIL 0.5% CREAM
(Fluorouracil)
30 GM  6653002583014
PDPs
199
MAPDs
FLUOROURACIL 2% TOPICAL SOLN
(Fluorouracil)
10 ML  5167240620155
PDPs
315
MAPDs
FLUOROURACIL 5% TOP SOLUTION
(Fluorouracil)
10 ML  5167240630155
PDPs
316
MAPDs
FLUOXETINE CAPSULES 10MG (100 CT)
(Fluoxetine)
100 BOTPL5011106470157
PDPs
328
MAPDs
Fluoxetine 10mg/1 30 FILM COATED TABLETS in BOTTLE
(Fluoxetine)
30 TABLET, FILM COATED in  0009371885651
PDPs
306
MAPDs
Fluoxetine Hydrochloride 20mg/1 100 CAPSULE BOTTLE
(Fluoxetine)
100 CAPSULE BOTTLE  0078128220157
PDPs
328
MAPDs
Fluoxetine 20mg/5mL 120 mL in 1 BOTTLE, PLASTIC
(Fluoxetine)
120 mL in 1 BOTTLE, PLAST  5483805234057
PDPs
328
MAPDs
FLUOXETINE 40MG CAPSULE (30 CT)
(Fluoxetine)
30 BOT5511101493057
PDPs
327
MAPDs
FLUOXETINE DR 90 MG CAPSULE
(Fluoxetine)
4 EA  5511102844828
PDPs
216
MAPDs
FLUOXETINE HCL 20 MG TABLET
(Fluoxetine HCl)
30 EA  0037807359351
PDPs
299
MAPDs
FLUOXETINE HCL 60 MG TABLET
(Fluoxetine HCl)
30 EA  4990900053019
PDPs
132
MAPDs
FLUPHENAZINE 1MG TABLET
(Fluphenazine)
500 BOT0037860040557
PDPs
328
MAPDs
FLUPHENAZINE 10MG TABLET
(Fluphenazine)
500 BOT0037860970557
PDPs
328
MAPDs
FLUPHENAZINE 2.5MG/ML VIAL
(Fluphenazine)
10 ML VIALMD6332302811057
PDPs
328
MAPDs
FLUPHENAZINE 2.5MG TABLET
(Fluphenazine)
100 BOT0078114370157
PDPs
328
MAPDs
FLUPHENAZINE 5MG/ML CONC
(Fluphenazine)
120 ML BOT0012106530457
PDPs
325
MAPDs
FLUPHENAZINE 5MG TABLET
(Fluphenazine)
500 BOT0037860740557
PDPs
328
MAPDs
Fluphenazine Decanoate 25mg/mL
(Fluphenazine Decanoate)
   6332302720557
PDPs
328
MAPDs
FLUPHENAZINE HCL 2.5MG/5ML ELIXIR
(Fluphenazine HCl)
473 ML BOT0012106541657
PDPs
326
MAPDs
Flurandrenolide 0.05% Cream [Cordran]
(Flurandrenolide)
   244700919127
PDPs
66
MAPDs
Flurazepam Hydrochloride 15mg/1 100 CAPSULE in 1 BOTTLE, PLASTIC
(Flurazepam HCl)
100 CAPSULE in 1 BOTTLE,  003784415011
PDPs
85
MAPDs
Flurazepam Hydrochloride 30mg/1 100 CAPSULE in 1 BOTTLE, PLASTIC
(Flurazepam HCl)
100 CAPSULE in 1 BOTTLE,  003784430011
PDPs
85
MAPDs
FLURBIPROFEN 0.03% EYE DROP
(Flurbiprofen)
2.5 ML BOT2420803142557
PDPs
322
MAPDs
Flurbiprofen 100mg/1 100 BOTTLE in 1 BOTTLE / 100 FILM COATED TABLETS in BOTTLE
(Flurbiprofen)
100 BOTTLE in 1 BOTTLE /  0009307110151
PDPs
313
MAPDs
FLURBIPROFEN 50MG TABLET
(Flurbiprofen)
100 BOT0037800760151
PDPs
313
MAPDs
Flutamide 125mg/1 500 CAPSULE BOTTLE
(Flutamide)
500 CAPSULE in 1 BOTTLE  0017249607057
PDPs
328
MAPDs
FLUTICASONE PROPIONATE 50MCG SPRAY SUSPENSION
(Fluticasone Propionate Nasal)
16 G BOTSPR0005432709957
PDPs
327
MAPDs
FLUTICASONE PROP 0.05% LOTION
(Fluticasone Propionate)
   6846204270215
PDPs
147
MAPDs
Fluticasone Propionate 0.05mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
(Fluticasone Propionate)
1 TUBE in 1 CARTON / 30 g  4580202211155
PDPs
317
MAPDs
Fluticasone Propionate 0.5mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
(Fluticasone Propionate)
1 TUBE in 1 CARTON / 30 g  4580202221155
PDPs
317
MAPDs
FLUVASTATIN SODIUM 20 MG CAPSULE [Lescol]
(Fluvastatin Sodium)
   0037880207721
PDPs
185
MAPDs
FLUVASTATIN SODIUM 40 MG CAPSULE [Lescol]
(Fluvastatin Sodium)
   0037880219321
PDPs
185
MAPDs
FLUVASTATIN ER 80 MG TABLET [Lescol]
(FLUVASTATIN SODIUM)
30 EA  0078153703115
PDPs
145
MAPDs
fluvoxamine er 100 mg capsule
(Fluvoxamine Maleate)
   1037001751114
PDPs
177
MAPDs
fluvoxamine er 150 mg capsule
(Fluvoxamine Maleate)
   1037001761114
PDPs
177
MAPDs
FLUVOXAMINE MALEATE 100MG TABLET
(Fluvoxamine Maleate)
500 BOT0018501570557
PDPs
328
MAPDs
Fluvoxamine Maleate 25mg/1 100 BOTTLE, PLASTIC in 1 BOTTLE, PLASTIC / 100 FILM COATED TABLETS in
(Fluvoxamine Maleate)
100 BOTTLE, PLASTIC in 1  0037804070157
PDPs
328
MAPDs
Fluvoxamine maleate 50mg/1 100 FILM COATED TABLETS in BOTTLE
(Fluvoxamine Maleate)
100 TABLET, FILM COATED i  0018500270157
PDPs
328
MAPDs
FML FORTE 0.25% EYE DROPS
(Fluorometholone Ophth)
10 ML BOT1198002281014
PDPs
119
MAPDs
FML LIQUIFILM 0.1% EYE DROP
(Fluorometholone Ophth)
10 ML BOT119800211104
PDPs
12
MAPDs
FML S.O.P. 0.1% OINTMENT
(Fluorometholone Ophth)
3.5 GM TUBE0002303160413
PDPs
129
MAPDs
FOCALIN 10MG TABLET
(Dexmethylphenidate HCl)
100 BOT000780382054
PDPs
7
MAPDs
FOCALIN 2.5MG TABLET
(Dexmethylphenidate HCl)
100 BOT000780380054
PDPs
7
MAPDs
FOCALIN 5MG TABLET
(Dexmethylphenidate HCl)
100 BOT000780381054
PDPs
7
MAPDs
FOCALIN XR 10MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT000780431051
PDPs
9
MAPDs
FOCALIN XR 15MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT000780493051
PDPs
8
MAPDs
FOCALIN XR 20MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT000780432052
PDPs
9
MAPDs
Focalin XR 25mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)
100 CAPSULE BOTTLE  000780608054
PDPs
47
MAPDs
FOCALIN XR 30MG CAPSULES
(Dexmethylphenidate HCl)
100 BOT 000780433051
PDPs
8
MAPDs
Focalin XR 35mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)
100 CAPSULE BOTTLE  000780609054
PDPs
47
MAPDs
Focalin XR 40mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)
100 CAPSULE BOTTLE  000780434051
PDPs
8
MAPDs
FOCALIN XR 5MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT000780430051
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  4881800010234
PDPs
182
MAPDs
Fomepizole 1g/mL 1 VIAL per CARTON / 1.5 mL in 1 VIAL
(Fomepizole)
1 VIAL in 1 CARTON / 1.5  3982207100130
PDPs
175
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  5511106810257
PDPs
328
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  5511106780257
PDPs
328
MAPDs
Fondaparinux Sodium 5mg/4mL 2 SYRINGES per CARTON / 0.4 mL in 1 SYRINGE [Arixtra]
(Fondaparinux Sodium)
2 SYRINGE in 1 CARTON / 0  5511106790257
PDPs
328
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  5511106800257
PDPs
328
MAPDs
FORADIL AEROLIZER 12 MCG CAP
(Formoterol Fumarate)
60 CAP + 1 AEROLIZER PKGCOM0008514010116
PDPs
135
MAPDs
FORFIVO XL 450 MG TABLET
(bupropion hydrochloride)
   499090010306
PDPs
108
MAPDs
FORTAMET 1000MG TABLET SR OSMOTIC PUSH 24HR
(Metformin HCl)
60 BOT596300575601
PDPs
5
MAPDs
FORTAMET 500MG TABLET SR OSMOTIC PUSH 24HR
(Metformin HCl)
60 BOT596300574601
PDPs
5
MAPDs
FORTAZ 1 GM TWISTVIAL
(Ceftazidime For)
   249870434006
PDPs
38
MAPDs
FORTAZ 2 GM TWISTVIAL
(Ceftazidime For)
   249870435006
PDPs
33
MAPDs
FORTAZ 6 GM VIAL
(Ceftazidime For)
   249870382376
PDPs
16
MAPDs
Forteo 250ug/mL 1 SYRINGE per CARTON / 2.4 mL in 1 SYRINGE
(Teriparatide (Recombinant))
1 SYRINGE in 1 CARTON / 2  0000284000155
PDPs
328
MAPDs
FORTESTA 10mg/0.5g
(Testosterone topical)
   634810183162
PDPs
25
MAPDs
FORTICAL 200 U/DOSE AEROSOL SPRAY W/PUMP
(Calcitonin (Salmon) Nasal)
3.7 ML BOTSPR0024500083540
PDPs
240
MAPDs
FOSAMAX 70MG TABLET
(Alendronate Sodium)
4 BLPK000060031448
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  000060270447
PDPs
93
MAPDs
FOSAMAX PLUS D 70MG/2800 IU
(Alendronate Sodium-Cholecalciferol)
4 PKT000060710447
PDPs
92
MAPDs
FOSINOPRIL SODIUM 20 MG TAB
(FOSINOPRIL SODIUM)
90 EA  3172202019055
PDPs
327
MAPDs
FOSINOPRIL SODIUM 10MG TABLET (90 CT)
(Fosinopril Sodium)
90 BOT0009372229855
PDPs
327
MAPDs
Fosinopril Sodium 40mg/1 90 TABLET BOTTLE
(Fosinopril Sodium)
90 TABLET in 1 BOTTLE  0018500470955
PDPs
327
MAPDs
FOSINOPRIL-HCTZ 10-12.5 MG TAB
(Fosinopril Sodium & Hydrochlorothiazide)
30 EA  5723700263049
PDPs
321
MAPDs
FOSINOPRIL-HCTZ 20-12.5 MG TAB
(Fosinopril Sodium & Hydrochlorothiazide)
30 EA  5723700273049
PDPs
321
MAPDs
Fosphenytoin Sodium 50mg/mL 2 mL in 1 VIAL
(Fosphenytoin Sodium)
2 mL in 1 VIAL  0014397882541
PDPs
258
MAPDs
FOSRENOL 1000MG TABLET CHEW
(Lanthanum Carbonate Chew)
90 BOT5409202549025
PDPs
180
MAPDs
FOSRENOL 1,000 MG POWDER PACK
(Lanthanum Carbonate Chew)
90 EA  5409202570225
PDPs
154
MAPDs
FOSRENOL 500MG TABLET CHEW
(Lanthanum Carbonate Chew)
90 PKG5409202529025
PDPs
179
MAPDs
FOSRENOL 750MG TABLET CHEW
(Lanthanum Carbonate Chew)
90 BOT5409202539025
PDPs
179
MAPDs
FOSRENOL 750 MG POWDER PACKET
(Lanthanum Carbonate Chew)
90 EA  5409202560225
PDPs
154
MAPDs
FRAGMIN 10,000 UNITS SYRINGE
(Dalteparin Sodium)
   0006902170212
PDPs
160
MAPDs
FRAGMIN 12,500 UNITS SYRINGE
(Dalteparin Sodium)
   0006902200212
PDPs
154
MAPDs
FRAGMIN 15,000 UNITS SYRINGE
(Dalteparin Sodium)
   0006902230212
PDPs
154
MAPDs
FRAGMIN 18,000 UNITS SYRINGE
(Dalteparin Sodium)
   0006902280212
PDPs
154
MAPDs
FRAGMIN 2,500 UNITS SYRINGE
(Dalteparin Sodium)
   0006901950213
PDPs
161
MAPDs
FRAGMIN 5,000 UNITS SYRINGE
(Dalteparin Sodium)
   0006901960213
PDPs
161
MAPDs
FRAGMIN 7,500 UNITS/0.3 ML SYR
(Dalteparin Sodium)
   0006902060212
PDPs
146
MAPDs
FRAGMIN 95,000 UNITS/3.8 ML VL
(Dalteparin Sodium)
   0006902320113
PDPs
144
MAPDs
FREAMINE HBC INJECTION
(Amino Acid Infusion)
6 X 750/1000 ML BOTGL0026493505533
PDPs
213
MAPDs
FROVA 2.5MG TABLET
(Frovatriptan Succinate)
BLISTER PACK 1 BOTTLE634810025093
PDPs
31
MAPDs
FROVATRIPTAN SUCC 2.5 MG TABLET [Frova]
(Frovatriptan Succinate)
   684620694979
PDPs
100
MAPDs
FURADANTIN 25 MG/5 ML SUSP 230 ML
(Nitrofurantoin)
   596300450081
PDPs
8
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  0040996310454
PDPs
284
MAPDs
FUROSEMIDE 10MG/ML SOLUTION
(Furosemide)
120 ML BOT0005432945057
PDPs
312
MAPDs
Furosemide 20mg/1 100 TABLET BOTTLE
(Furosemide)
100 TABLET in 1 BOTTLE  5074201040157
PDPs
328
MAPDs
Furosemide 40 mg/4 ml vial
(Furosemide)
   0040961021057
PDPs
324
MAPDs
FUROSEMIDE 40MG/5ML TUBEX
(Furosemide)
500 ML BOT0005432986347
PDPs
278
MAPDs
Furosemide 40mg/1 5000 TABLET BOTTLE, PLASTIC
(Furosemide)
5000 TABLET in 1 BOTTLE,  0060337403457
PDPs
328
MAPDs
FUROSEMIDE 80MG TABLET (500 CT)
(Furosemide)
500 BOT0060337412857
PDPs
328
MAPDs
FUSILEV I.V. 50 MG VIAL
(Levoleucovorin Calcium)
   6815201010043
PDPs
236
MAPDs
FUZEON 90 MG VIAL
(Enfuvirtide For)
60 EA  0000403814057
PDPs
328
MAPDs
FYAVOLV 0.5 MG-2.5 MCG TABLET
(norethindrone acetate and ethinyl estradiol)
   6818008270913
PDPs
94
MAPDs
FYAVOLV 1 MG-5 MCG TABLET
(norethindrone acetate and ethinyl estradiol)
   6818008280927
PDPs
176
MAPDs
FYCOMPA 0.5 MG/ML ORAL SUSP
(perampanel)
340 ML  6285602903857
PDPs
328
MAPDs
FYCOMPA 10 MG TABLET
(perampanel)
30 EA  6285602803056
PDPs
327
MAPDs
FYCOMPA 12 MG TABLET
(perampanel)
30 EA  6285602823056
PDPs
327
MAPDs
FYCOMPA 2 MG TABLET
(perampanel)
30 EA  6285602723057
PDPs
328
MAPDs
FYCOMPA 4 MG TABLET
(perampanel)
30 EA  6285602743057
PDPs
328
MAPDs
FYCOMPA 6 MG TABLET
(perampanel)
30 EA  6285602763057
PDPs
328
MAPDs
FYCOMPA 8 MG TABLET
(perampanel)
30 EA  6285602783057
PDPs
328
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)
30 EA  0007806071545
PDPs
299
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(tbo-filgrastim)
   6345909101135
PDPs
243
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(tbo-filgrastim)
   6345909121135
PDPs
243
MAPDs
INTRALIPID PHARMACY BULK PACKAGE FAT EMULSION 1.7-1.2-30GM 500ML BAG
(Fat)
500 ML BAG0033805200345
PDPs
222
MAPDs
INTRALIPID 20% IV FAT EMUL
(Fat)
250 ML BAG0033805190255
PDPs
297
MAPDs
LASIX 20MG TABLETS
(Furosemide)
100 BOT 000390067104
PDPs
10
MAPDs
LASIX 40MG TABLET
(Furosemide)
100 BOTUD000390060134
PDPs
10
MAPDs
LASIX 80MG TABLETS
(Furosemide)
50 BOT 000390066054
PDPs
10
MAPDs
LAZANDA 100 MCG NASAL SPRAY
(fentanyl nasal spray)
   1391300090122
PDPs
202
MAPDs
LAZANDA 300 MCG NASAL SPRAY
(fentanyl nasal spray)
   1391300130122
PDPs
199
MAPDs
LAZANDA 400 MCG NASAL SPRAY
(fentanyl nasal spray)
   1391300100122
PDPs
200
MAPDs
LESCOL XL 80MG TABLET SA
(Fluvastatin Sodium)
100 BOT000780354054
PDPs
24
MAPDs
LEVOLEUCOVORIN 175 MG/17.5 ML [Fusilev]
(Levoleucovorin Calcium)
   0078132019438
PDPs
249
MAPDs
LEXIVA 50mg/mL 225 mL in 1 BOTTLE
(Fosamprenavir Calcium)
225 mL in 1 BOTTLE  4970202085357
PDPs
328
MAPDs
LEXIVA 700MG TABLETS
(Fosamprenavir Calcium)
60 BOT 4970202071857
PDPs
328
MAPDs
LIPOFEN 150MG CAPSULES
(Fenofibrate)
90 BOTPL 668690147306
PDPs
23
MAPDs
LOFIBRA 134MG CAPSULE
(Fenofibrate)
100 CAPSULES BOT578440323011
PDPs
14
MAPDs
LOFIBRA 160MG TABLET
(Fenofibrate)
90 TABLETS BOT578440692981
PDPs
14
MAPDs
LOFIBRA 200MG CAPSULE
(Fenofibrate)
100 CAPSULES BOT578440324013
PDPs
16
MAPDs
LOFIBRA 54MG TABLET
(Fenofibrate)
90 TABLETS BOT578440691981
PDPs
14
MAPDs
LOFIBRA 67MG CAPSULE
(Fenofibrate)
100 BOT578440322011
PDPs
14
MAPDs
LOMEDIA 24 FE 24MG TABLET
(norethindrone acetate, ethinyl estradiol, and ferrous fumarate)
28 EA  6516203168433
PDPs
192
MAPDs
MONUROL 3 GM SACHET
(Fosfomycin Tromethamine)
1 PACKET BOX 004564300018
PDPs
82
MAPDs
NEO-SYNALAR 0.5%-0.025% CREAM
(Neomycin Sulfate and Fluocinolone Acetonide)
   435380940602
PDPs
12
MAPDs
NEUPOGEN 300 MCG/ML VIAL
(Filgrastim)
1 ML  5551305301039
PDPs
266
MAPDs
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE
(Filgrastim)
10 SYRINGE in 1 BOX / 0.5  5551309241039
PDPs
269
MAPDs
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR
(Filgrastim)
10 X 0.8 ML SYR5551302091039
PDPs
269
MAPDs
NEUPOGEN 300MCG/ML VIAL
(Filgrastim)
10 X 1.6 ML VIALSD5551305461039
PDPs
267
MAPDs
OCUFEN 0.03% EYE DROPS
(Flurbiprofen Sodium Ophth)
2.5 ML BOT119800801031
PDPs
8
MAPDs
PEPCID SOLUTION 40MG 24 X 400MG BOT
(Famotidine)
24 X 400 MG BOT656490211241
PDPs
8
MAPDs
PERFOROMIST 20MCG/2ML VIAL NEBULIZER
(Formoterol Fumarate)
60 X 2ML CRTN4950206056127
PDPs
133
MAPDs
PROSCAR TABLETS 5MG 30 BOT
(Finasteride)
30 BOT000060072314
PDPs
10
MAPDs
PROZAC 10MG PULVULE
(Fluoxetine HCl)
100 BOT007773104024
PDPs
9
MAPDs
Prozac 20mg/1 100 CAPSULE in 1 BOTTLE
(Fluoxetine HCl)
100 CAPSULE in 1 BOTTLE  007773105024
PDPs
9
MAPDs
PROZAC 40MG PULVULE
(Fluoxetine HCl)
30 BOT007773107304
PDPs
9
MAPDs
PROZAC WEEKLY 90MG CAPSULE
(Fluoxetine HCl)
2 X 2 BLPK000023004754
PDPs
6
MAPDs
SUBSYS 100 MCG SPRAY
(fentanyl)
   204820001105
PDPs
60
MAPDs
SUBSYS 1,200 MCG SPRAY
(fentanyl)
   204820006305
PDPs
60
MAPDs
SUBSYS 200 MCG SPRAY
(fentanyl)
   204820002305
PDPs
60
MAPDs
SUBSYS 400 MCG SPRAY
(fentanyl)
   204820004305
PDPs
60
MAPDs
SUBSYS 800 MCG SPRAY
(fentanyl)
   204820008305
PDPs
60
MAPDs
SYNALAR 0.025% CREAM KIT
(Fluocinolone Topical)
   435380901122
PDPs
19
MAPDs
TOLAK 4% CREAM
(Fluorouracil)
   2810504214010
PDPs
149
MAPDs
TOVIAZ TABLETS 4MG EXTENDED RELEASE
(Fesoterodine)
30 BOT0006902423040
PDPs
203
MAPDs
TOVIAZ TABLETS 8MG EXTENDED RELEASE
(Fesoterodine)
30 BOT0006902443040
PDPs
203
MAPDs
TRICOR 145MG TABLET
(Fenofibrate)
90 BOT000746123901
PDPs
8
MAPDs
TRICOR 48MG 90 TABLET BOTTLE
(Fenofibrate)
90 TABLET in 1 BOTTLE  000746122903
PDPs
10
MAPDs
TRIGLIDE 160 MG TABLET
(Fenofibrate)
30 EA  596300485303
PDPs
39
MAPDs
TRILIPIX DELAYED RELEASE CAPSULES 135MG
(Fenofibric Acid)
90 BOTPL000749189901
PDPs
9
MAPDs
TRILIPIX CAPSULE DR 45MG
(Fenofibric Acid)
90 BOT000749642903
PDPs
11
MAPDs
ULORIC TABLETS 40MG 30 BOT
(Febuxostat)
30 BOT6476409183052
PDPs
292
MAPDs
ULORIC TABLETS 80MG 30 BOT
(Febuxostat)
30 BOT6476406773052
PDPs
292
MAPDs
VANOS 0.1% CREAM
(Fluocinonide)
60 GM TUBE992070525601
PDPs
8
MAPDs
VERAMYST 27.5MCG SPRAY SUSPENSION
(Fluticasone Furoate Nasal)
120 BOTGL001730753006
PDPs
70
MAPDs
ZARXIO 300 MCG/0.5 ML SYRINGE
(Filgrastim-sndz)
   6131403040118
PDPs
185
MAPDs
ZARXIO 480 MCG/0.8 ML SYRINGE
(Filgrastim-sndz)
   6131403121018
PDPs
185
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data January 2017)


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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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  • 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.