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2017 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:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z
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
 Packaging NDC On This Nbr of 2017 Formularies
PDPs MAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)		     10631011531 2
PDPs		 23
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)		     10631011631 2
PDPs		 23
MAPDs
ABSORICA 25 MG CAPSULE
(Isotretinoin)		     10631013331 2
PDPs		 28
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)		     10631011731 2
PDPs		 23
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)		     10631013431 2
PDPs		 28
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)		     10631011831 2
PDPs		 23
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1B)		 .5 ML   42238011101 59
PDPs		 341
MAPDs
AFREZZA 30-4 UNIT + 60-8 UNIT
(insulin)		     47918088236 5
PDPs		 48
MAPDs
AFREZZA 4 UNITS CARTRIDGE INH
(insulin)		     47918087490 5
PDPs		 48
MAPDs
AFREZZA 4 UNIT/8 UNIT/12 UNIT
(insulin)		     47918090218 5
PDPs		 48
MAPDs
AFREZZA 60-4 UNIT + 30-8 UNIT
(insulin)		     47918088463 5
PDPs		 48
MAPDs
AFREZZA 60-8 UNIT + 30-12 UNIT
(insulin)		     47918089463 5
PDPs		 48
MAPDs
AFREZZA 90-4 UNIT / 90-8 UNIT
(insulin)		     47918088018 5
PDPs		 48
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   00093672373 47
PDPs		 275
MAPDs
ALDARA 5% CREAM
(Imiquimod)		     99207026012 5
PDPs		 11
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)		 10 ML   00088250033 5
PDPs		 78
MAPDs
Arcapta Neohaler 75ug/1 30 BLISTER PACK in 1 BOX / 1 CAPSULE per BLISTER PACK
(INDACATEROL MALEATE)		 30 BLISTER PACK in 1 BOX   00078061915 12
PDPs		 107
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)		 12.9 GRAMS PER 200 ACT CAN 00597008717 55
PDPs		 326
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)		 90 EA   00024585590 6
PDPs		 11
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)		 30 EA   00024585630 6
PDPs		 11
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)		 30 EA   00024585130 6
PDPs		 11
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)		 90 EA   00024585290 6
PDPs		 11
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)		 90 EA   00024585090 6
PDPs		 11
MAPDs
AVONEX PREFILLED SYR 30 MCG KT
(INTERFERON BETA-1A)		 1 EA   59627022205 35
PDPs		 258
MAPDs
AVONEX ADMIN PACK 30 MCG VL
(INTERFERON BETA-1A/ALBUMIN)		 4 EA   59627011103 35
PDPs		 264
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(INTERFERON BETA-1A)		 1 EA   59627033304 35
PDPs		 258
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin glargine)		     00002771501 2
PDPs		 28
MAPDs
BETASERON KIT 0.3MG/VIAL 14 TRAY BOX PKGCOM
(Interferon Beta-1b For)		 14 TRAY BOX PKGCOM 50419052335 49
PDPs		 298
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)		 180 EA   24338001018 24
PDPs		 145
MAPDs
BIVIGAM LIQUID 10% VIAL
(immune globulin intravenous)		     59730650301 34
PDPs		 194
MAPDs
BONIVA 150MG TABLET
(Ibandronate Sodium)		 3 CRTN 00004018682 2
PDPs		 11
MAPDs
BONIVA 3mg/3mL SYRINGE
(Ibandronate Sodium)		 1 SYRINGE, GLASS in 1 CAR   00004019109 11
PDPs		 26
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   00009752903 2
PDPs		 34
MAPDs
CARIMUNE NF 6GM VIAL
(Immune Globulin (Human) IV)		 6 GM PKGCOM 44206041706 35
PDPs		 247
MAPDs
CEREZYME 400 UNITS VIAL
(Imiglucerase For)		     58468466301 59
PDPs		 337
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)		 100 BLPK 00555105456 53
PDPs		 288
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)		 100 BLPK 00555105556 55
PDPs		 288
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)		 3 BLISTER PACK in 1 CARTO   00555105686 55
PDPs		 286
MAPDs
CLARAVIS 40MG CAPSULE
(Isotretinoin)		 100 BLPK 00555105756 55
PDPs		 288
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)		 60 EA   55513080060 25
PDPs		 189
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)		 60 EA   55513081060 25
PDPs		 189
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)		     00469052014 25
PDPs		 132
MAPDs
CRESEMBA 372 MG VIAL
(Isavuconazonium Sulfate)		     00469042099 25
PDPs		 132
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)		 360 BOT 00006057143 59
PDPs		 341
MAPDs
CRIXIVAN 400mg, 180 CAPSULE BOTTLE
(Indinavir Sulfate)		 180 CAPSULE in 1 BOTTLE   00006057362 59
PDPs		 341
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)		     75987001003 3
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 /   54092070001 36
PDPs		 248
MAPDs
EXTAVIA 15 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Interferon Beta-1b For)		 15 BLISTER PACK in 1 CART   00078056912 18
PDPs		 149
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
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
FLEBOGAMMA DIF INJECTION
(Immune Globulin (Human) IV)		     61953000501 29
PDPs		 219
MAPDs
GamaSTAN S/D 0.165g/mL
(Immune Globulin (Human))		     13533063512 42
PDPs		 261
MAPDs
GAMASTAN S-D 10 ML
(Immune Globulin (Human))		     13533063513 36
PDPs		 240
MAPDs
GAMASTAN S-D 2 ML
(Immune Globulin (Human))		     13533063540 36
PDPs		 240
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   00944270003 33
PDPs		 270
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOL
(Immune Globulin (Human) IV)		     00944265804 33
PDPs		 241
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLN
(Immune Globulin (Human) IV)		     00944265603 33
PDPs		 241
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)		 10 ML   76125090001 30
PDPs		 197
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)		     64208823506 40
PDPs		 241
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)		     64208823503 40
PDPs		 241
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)		     64208823403 44
PDPs		 253
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)		     64208823505 42
PDPs		 246
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)		 10 mL in 1 VIAL, GLASS   13533080012 44
PDPs		 292
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)		 90 BOT 00078040134 12
PDPs		 114
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)		 30 EA   00078064930 12
PDPs		 114
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   00002751017 38
PDPs		 208
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))		 3 ML   00002751659 38
PDPs		 200
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))		 3 ML X 5 SYR CRTN 00002879959 38
PDPs		 204
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))		 1 X 10 ML VIAL 00002751201 38
PDPs		 209
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))		 1 X 10ML VIAL 00002751101 38
PDPs		 209
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))		 3 ML X 5 SYR CRTN 00002879859 38
PDPs		 206
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))		 3 ML X 5 SYR CRTN 00002879759 38
PDPs		 206
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))		     00002771227 38
PDPs		 202
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))		 1 X 10 ML VIAL 00002871501 38
PDPs		 205
MAPDs
HUMULIN 70-30 PEN
(Insulin Isophane & Regular (Human))		     00002880301 36
PDPs		 203
MAPDs
HUMULIN N 100 UNITS/ML PEN
(Insulin Isophane (Human))		     00002880501 36
PDPs		 203
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))		 10 ML VIAL 00002831501 38
PDPs		 206
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))		 1 X 10 ML VIAL 00002821501 38
PDPs		 212
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))		     00002882427 51
PDPs		 278
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))		 1 X 20 ML VIAL 00002850101 55
PDPs		 299
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)		     60505279500 47
PDPs		 281
MAPDs
IBANDRONATE 3 MG/3 ML VIAL [Boniva]
(Ibandronate Sodium)		     62756021840 30
PDPs		 234
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)		 21 EA   00069018821 59
PDPs		 341
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)		 21 EA   00069018921 59
PDPs		 341
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)		 21 EA   00069018721 59
PDPs		 341
MAPDs
IBUDONE 10; 200mg/1; mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Hydrocodone Bitartrate and Ibuprofen)		 100 TABLET, FILM COATED i   50991057901 2
PDPs		 23
MAPDs
Ibuprofen 100mg/5mL 473 mL in 1 BOTTLE
(Ibuprofen)		 473 mL in 1 BOTTLE   45802095243 57
PDPs		 323
MAPDs
IBUPROFEN 400MG TABLETS
(Ibuprofen)		 100 BOXUD 00904585361 59
PDPs		 341
MAPDs
IBUPROFEN 600mg/1 500 TABLET BOTTLE
(Ibuprofen)		 500 TABLET BOTTLE   53746046505 59
PDPs		 341
MAPDs
Ibuprofen 800mg/1 100 TABLET BOTTLE
(Ibuprofen)		 100 TABLET in 1 BOTTLE   53746046601 59
PDPs		 341
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)		 30 EA   76189053530 59
PDPs		 341
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)		 30 EA   76189053430 59
PDPs		 341
MAPDs
IDAMYCIN PFS 1MG/ML VIAL
(Idarubicin HCl IV)		 20 ML VIALPL 00013259691 4
PDPs		 37
MAPDs
IDARUBICIN HCL 1MG/ML VIAL
(Idarubicin HCl IV)		 1 X 10 ML PKG 00703415511 50
PDPs		 276
MAPDs
IFEX 1g/1 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSE
(Ifosfamide For)		 1 INJECTION, POWDER, FOR   00338399101 1
PDPs		 24
MAPDs
IFOSFAMIDE FOR INFECTION 1 GM
(Ifosfamide For)		 01 X 1 GM VIALSD 63323014210 51
PDPs		 305
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   00078058261 40
PDPs		 256
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)		 1.7 ML   00065175007 52
PDPs		 264
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
(Imatinib Mesylate)		 90 EA   47335047281 56
PDPs		 301
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
(Imatinib Mesylate)		 30 EA   47335047583 56
PDPs		 301
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)		 90 EA   57962014009 59
PDPs		 341
MAPDs
IMFINZI 120 MG/2.4 ML VIAL
(Durvalumab)		     00310450012 45
PDPs		 279
MAPDs
IMFINZI 500 MG/10 ML VIAL
(Durvalumab)		     00310461150 45
PDPs		 279
MAPDs
IMIPENEM-CILASTATIN 250 MG VL
(Imipenem-Cilastatin Intravenous For)		     00409350801 59
PDPs		 340
MAPDs
IMIPENEM-CILASTATIN 500 MG VL
(Imipenem-Cilastatin Intravenous For)		     00409350701 59
PDPs		 338
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)		 100 BOT 49884005401 59
PDPs		 341
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)		 100 BOT 49884005501 59
PDPs		 341
MAPDs
IMIPRAMINE HCL 50MG TABLET (100 CT)
(Imipramine HCl)		 100 BOT 53489033201 59
PDPs		 341
MAPDs
IMIPRAMINE PAMOATE 100MG CAPSULES
(Imipramine Pamoate)		 30 BOT 00054027413 23
PDPs		 222
MAPDs
IMIPRAMINE PAMOATE 125MG CAPSULES
(Imipramine Pamoate)		 30 BOT 00054027513 23
PDPs		 222
MAPDs
IMIPRAMINE PAMOATE 150MG CAPSULES
(Imipramine Pamoate)		 30 BOT 00054027613 23
PDPs		 222
MAPDs
IMIPRAMINE PAMOATE 75MG CAPSULES
(Imipramine Pamoate)		 30 BOT 00054027313 23
PDPs		 222
MAPDs
IMIQUIMOD 5% CREAM
(Imiquimod)		 24 EA   00168043224 59
PDPs		 341
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)		 9 BLPK 00173073701 5
PDPs		 11
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)		 6 X 1 UD NASAL SPRAY CTR 00173052300 5
PDPs		 29
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)		 1 BLPK 00173073500 5
PDPs		 11
MAPDs
IMITREX 4MG/0.5ML KIT REFILL
(Sumatriptan Succinate)		 2 SYR 00173073902 5
PDPs		 20
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)		 6 X 1 UNIT DOSE SPRAY CTR 00173052400 5
PDPs		 28
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)		 9 BLPK 00173073601 5
PDPs		 11
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)		 2 (STATDOSE) SYR 00173047800 5
PDPs		 13
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)		 5 X 0.5 ML VIAL 00173044902 5
PDPs		 13
MAPDs
IMOGAM RABIES-HT 150 UNIT/ML
(Rabies Immune Globulin (Human) USP)		     49281019058 15
PDPs		 154
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)		     49281025051 59
PDPs		 341
MAPDs
IMURAN 50MG TABLET
(Azathioprine)		 100 BOT 65483059010 8
PDPs		 32
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   15054104005 59
PDPs		 340
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)		     00173087310 40
PDPs		 230
MAPDs
Indapamide 1.25mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Indapamide)		 100 TABLET, FILM COATED i   00378006901 57
PDPs		 335
MAPDs
INDAPAMIDE 2.5MG TABLET USP (1000 CT)
(Indapamide)		 1000 BOT 00378008010 57
PDPs		 335
MAPDs
INDERAL LA LONG ACTING CAPSULES 120MG 100 BOT
(Propranolol HCl)		 100 BOT 24090047388 4
PDPs		 9
MAPDs
INDERAL LA LONG ACTING CAPSULES 160MG 100 BOT
(Propranolol HCl)		 100 BOT 24090047988 4
PDPs		 9
MAPDs
INDERAL LA LONG ACTING CAPSULES 60MG 100 BOT
(Propranolol HCl)		 100 BOT 24090047088 4
PDPs		 9
MAPDs
INDERAL LA LONG ACTING CAPSULES 80MG 100 BOT
(Propranolol HCl)		 100 BOT 24090047188 4
PDPs		 9
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)		 237 ML BOT 42211010111 2
PDPs		 41
MAPDs
Indomethacin 25 mg capsule
(Indomethacin)		     31722054210 14
PDPs		 180
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)		 100 EA   31722054301 13
PDPs		 180
MAPDs
INDOMETHACIN 75MG CAPSULE SA
(Indomethacin)		 60 BOTPL 00185072060 10
PDPs		 164
MAPDs
INFLECTRA 100 MG VIAL
(Infliximab-dyyb)		     00069080901 9
PDPs		 130
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)		     70370104001 9
PDPs		 89
MAPDs
INLYTA 1 MG TABLET
(axitinib)		     00069014501 59
PDPs		 341
MAPDs
INLYTA 5 MG TABLET
(axitinib)		     00069015111 59
PDPs		 341
MAPDs
INNOPRAN XL 120 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)		 30 EA   24090045185 5
PDPs		 53
MAPDs
INNOPRAN XL 80 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)		 30 EA   24090045085 5
PDPs		 53
MAPDs
INSPRA 25MG TABLET
(Eplerenone)		 90 TABLETS BOT 00025171002 4
PDPs		 9
MAPDs
INSPRA 50 MG TABLET
(Eplerenone)		 90 EA   00025172001 4
PDPs		 9
MAPDs
INTELENCE 100MG TABLET
(Etravirine)		 120 TABLETS BOT 59676057001 59
PDPs		 341
MAPDs
Intelence 200mg/1
(Etravirine)		     59676057101 59
PDPs		 341
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)		 120 EA   59676057201 59
PDPs		 341
MAPDs
INTRALIPID 20% IV FAT EMUL
(Fat)		     00338051914 57
PDPs		 304
MAPDs
INTRALIPID 30% IV FAT EMUL
(Fat)		     00338052013 47
PDPs		 229
MAPDs
INTRON A 10 MILLION UNITS VIAL
(Interferon Alfa-2B)		     00085435001 59
PDPs		 338
MAPDs
INTRON A 18 MILLION UNITS VIAL
(Interferon Alfa-2B)		 1 EA   00085435101 59
PDPs		 328
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)		 3 ML VIAL 00085116801 59
PDPs		 341
MAPDs
INTRON A 25 MILLION UNIT/2.5ML
(Interferon Alfa-2B)		 3.2 ML   00085113301 59
PDPs		 335
MAPDs
INTRON A 50 MILLION UNITS VIAL
(Interferon Alfa-2B)		 1 EA   00085435201 59
PDPs		 328
MAPDs
Introvale 3 CARTON in 1 BOX / 1 KIT per CARTON
(INTROVALE)		 3 CARTON in 1 BOX / 1 KIT   00781558436 57
PDPs		 306
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)		 10X 1 GM VIAL 00006384371 49
PDPs		 331
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)		 30 TABLET, EXTENDED RELEA   50458055401 11
PDPs		 63
MAPDs
INVEGA TRINZA 273 MG/0.875 ML
(Paliperidone Palmitate)		 0.875 ML   50458060601 59
PDPs		 333
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)		 30 BOT 50458055001 11
PDPs		 63
MAPDs
INVEGA TRINZA 410 MG/1.315 ML
(Paliperidone Palmitate)		 1.315 ML   50458060701 59
PDPs		 333
MAPDs
INVEGA TRINZA 546 MG/1.75 ML
(Paliperidone Palmitate)		 1.75 ML   50458060801 59
PDPs		 333
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)		 30 BOT 50458055101 11
PDPs		 63
MAPDs
INVEGA TRINZA 819 MG/2.625 ML
(Paliperidone Palmitate)		 2.625 ML   50458060901 59
PDPs		 333
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)		 30 BOT 50458055201 12
PDPs		 63
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)		 0.75 ML   50458056201 59
PDPs		 341
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)		 1 ML   50458056301 59
PDPs		 341
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)		 1.5 ML   50458056401 59
PDPs		 341
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)		 0.25 ML   50458056001 59
PDPs		 341
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)		 0.5 ML   50458056101 59
PDPs		 341
MAPDs
INVIRASE 200MG CAPSULE
(Saquinavir Mesylate)		 270 BOT 00004024515 59
PDPs		 341
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)		 120 BOT 00004024451 59
PDPs		 341
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60 EA   50458054360 47
PDPs		 280
MAPDs
INVOKAMET XR 150-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)		 60.000 EA   50458094301 47
PDPs		 275
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60 EA   50458054260 47
PDPs		 280
MAPDs
INVOKAMET XR 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60.000 EA   50458094201 47
PDPs		 275
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60 EA   50458054160 47
PDPs		 280
MAPDs
INVOKAMET XR 50-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)		 60.000 EA   50458094101 47
PDPs		 275
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60 EA   50458054060 47
PDPs		 280
MAPDs
INVOKAMET XR 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60.000 EA   50458094001 47
PDPs		 275
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)		 30 EA   50458014030 49
PDPs		 292
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)		 30 EA   50458014130 49
PDPs		 292
MAPDs
IONOSOL B-D5W IV SOLUTION
(Electrolyte-B in D5W)		 12 X 1000 ML BAG 00409737109 31
PDPs		 213
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)		 24 X 500 ML CTR 00409737203 31
PDPs		 214
MAPDs
IOPIDINE 0.5% EYE DROPS
(Apraclonidine HCl Ophth)		 10 ML BOTDR 00065066510 3
PDPs		 15
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)		 0.1 ML CTR 00065066010 8
PDPs		 112
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)		 10 DOSE VIAL 49281086010 59
PDPs		 341
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)		 345 SPRAY CRTN 00054004544 59
PDPs		 341
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   00591379830 59
PDPs		 341
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   24208039915 59
PDPs		 341
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)		 30.000 EA   43547027803 59
PDPs		 337
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)		 90 EA   31722073190 59
PDPs		 337
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)		 30 EA   00054025013 59
PDPs		 337
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TB [Avalide]
(Irbesartan-Hydrochlorothiazide)		 30 EA   33342005707 55
PDPs		 334
MAPDs
Irbesartan-hctz 300-12.5 mg tb [Avalide]
(Irbesartan-Hydrochlorothiazide)		     00054025513 55
PDPs		 334
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)		 30 EA   00310048230 59
PDPs		 341
MAPDs
irinotecan hcl 100 mg/5 ml vl
(Irinotecan HCl)		   63323019305 50
PDPs		 298
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)		     00006047761 59
PDPs		 341
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)		     00006360360 59
PDPs		 341
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)		     00006047361 59
PDPs		 341
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)		 60 BOT 00006022761 59
PDPs		 341
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)		 24 X 500 ML BAG 00264773010 40
PDPs		 245
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)		 1000 ML X 12 CASE 00264770300 40
PDPs		 249
MAPDs
ISONIAZID INJ 100MG/ML
(Isoniazid)		 10 ML VIALMD 00781305670 46
PDPs		 280
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)		 100 EA   00555006602 59
PDPs		 341
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)		 1000 EA   00527110910 59
PDPs		 341
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)		 16 FLO BOT 46287000901 49
PDPs		 304
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)		 15 mL in 1 BOTTLE   00998020315 6
PDPs		 38
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)		 15 mL in 1 BOTTLE   00998020415 6
PDPs		 38
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)		 15 mL in 1 BOTTLE   00998020615 6
PDPs		 38
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)		     00187019201 9
PDPs		 85
MAPDs
ISORDIL TITRADOSE 5 MG TAB
(Isosorbide Dinitrate)		     00187015201 5
PDPs		 30
MAPDs
ISOSORBIDE DN 20MG TABLET
(Isosorbide Dinitrate)		 100 BOT 00143177201 59
PDPs		 341
MAPDs
ISOSORBIDE DN 30MG TABLET
(Isosorbide Dinitrate)		 1000 BOT 49884000910 57
PDPs		 336
MAPDs
ISOSORBIDE DINITRATE 40MG TABLETS EXTENDED RELEASE
(Isosorbide Dinitrate)		 100 BOT 57664060088 49
PDPs		 315
MAPDs
ISOSORBIDE DN 10 MG TABLET
(Isosorbide Dinitrate)		 1000 EA   00781155610 59
PDPs		 341
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)		 100 EA   00143176901 59
PDPs		 341
MAPDs
ISOSORBIDE MN 10 MG TABLET
(Isosorbide Mononitrate)		 100 EA   00228263111 57
PDPs		 334
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)		 100 TABLETS BOT 62175012937 59
PDPs		 341
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)		 100 BOT 00143133301 57
PDPs		 335
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 30MG (100 CT)
(Isosorbide Mononitrate)		 100 BOT 00143223001 59
PDPs		 341
MAPDs
ISOSORBIDE MONONITRATE TABLETS EXTENDED RELEASE 60MG 100 TABLETS BOT
(Isosorbide Mononitrate)		 100 TABLETS BOT 62175011937 59
PDPs		 341
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)		 100 ML   00338050548 53
PDPs		 295
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)		 100 ML BAG 00338050348 53
PDPs		 279
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)		 50 ML   00338050941 53
PDPs		 289
MAPDs
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)		 100 BOT 16252053901 40
PDPs		 290
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)		 100 BOT 16252054001 40
PDPs		 290
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)		     24208000401 30
PDPs		 135
MAPDs
ISTODAX 10 MG VIAL
(Romidepsin)		     59572098401 50
PDPs		 289
MAPDs
ITRACONAZOLE 100MG CAPSULE
(Itraconazole)		 30 CAPS BOT 00185055030 59
PDPs		 341
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)		 20 EA   42799080601 59
PDPs		 327
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)		 0.5ML SYR 42515000101 59
PDPs		 341
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)		 56.000 EA   51167020001 59
PDPs		 341
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167030001 53
PDPs		 330
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167040001 53
PDPs		 330
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)		 10 ML VIAL 00088222033 56
PDPs		 337
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)		 3 ML X 5 CRTG CRTN 00088221905 56
PDPs		 334
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)		 1 X 10 ML VIAL 00169368712 44
PDPs		 281
MAPDs
LEVEMIR FLEXTOUCH 100 UNITS/ML
(Insulin Detemir)		 3 ML 00169643810 44
PDPs		 280
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)		 100 BOT 30698003201 59
PDPs		 341
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)		 30.000 EA   61748030113 45
PDPs		 252
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)		 100 EA   61748030211 45
PDPs		 251
MAPDs
Myorisan 30 mg capsule
(Isotretinoin)		     61748030313 42
PDPs		 248
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)		 100 EA   61748030411 45
PDPs		 251
MAPDs
NINLARO 2.3 MG CAPSULE
(Ixazomib)		     63020007801 59
PDPs		 341
MAPDs
NINLARO 3 MG CAPSULE
(Ixazomib)		     63020007901 59
PDPs		 341
MAPDs
NINLARO 4 MG CAPSULE
(Ixazomib)		     63020008001 59
PDPs		 341
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   00169183711 27
PDPs		 239
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))		 1 VIAL in 1 CARTON / 10 m   00169183411 27
PDPs		 239
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   00169183311 27
PDPs		 245
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)		 1 X 10ML VIALGL 00169750111 28
PDPs		 252
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)		 3 ML   00169330312 28
PDPs		 251
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)		 5 X 3ML SYR 00169633910 28
PDPs		 251
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))		 1 VIAL 00169368512 28
PDPs		 252
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))		 5 X 3 ML SYR 00169369619 28
PDPs		 251
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)		     68982085001 35
PDPs		 206
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)		     68982084001 35
PDPs		 204
MAPDs
ONMEL 200 MG TABLET
(itraconazole)		     00259142028 10
PDPs		 59
MAPDs
PALIPERIDONE ER 1.5 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)		     00378397893 57
PDPs		 341
MAPDs
PALIPERIDONE ER 3 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)		     00378397993 57
PDPs		 341
MAPDs
PALIPERIDONE ER 6 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)		     00378398093 57
PDPs		 341
MAPDs
PALIPERIDONE ER 9 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)		     00378398193 57
PDPs		 341
MAPDs
PHYSIOLYTE SOLUTION FOR IRRIGATION
(Irrigation Solution, Physiological)		 1000 ML X 16 CASE 00264220500 21
PDPs		 129
MAPDs
PHYSIOSOL IRRIGATION SOL
(Irrigation Solution, Physiological)		 24 X 500 ML CTR 00409614103 21
PDPs		 131
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)		     50222050247 47
PDPs		 260
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)		     50222050347 47
PDPs		 260
MAPDs
PRIMAXIN IV 250MG VIAL
(Imipenem-Cilastatin Intravenous For)		 25 X 10 ML VIAL 00006351458 1
PDPs		 13
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   00006351659 1
PDPs		 14
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)		 200 ML   44206043820 42
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   44087002203 22
PDPs		 209
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   44087004403 22
PDPs		 206
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)		     44087882201 22
PDPs		 206
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)		 4.2 ML   44087018801 22
PDPs		 196
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)		 0.5 ML   44087332201 22
PDPs		 196
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)		 0.5 ML   44087334401 22
PDPs		 197
MAPDs
Regular Insulin, Human 12 UNT Inhalant Powder [Afrezza]
(insulin)		     47918089190 5
PDPs		 40
MAPDs
Regular Insulin, Human 8 UNT Inhalant Powder [Afrezza]
(insulin)		     47918087890 5
PDPs		 40
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)		 20 ML VIALSU 57894003001 58
PDPs		 319
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)		 60 BOT 00068050960 5
PDPs		 80
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)		 60 BOT 00088057641 45
PDPs		 295
MAPDs
SKLICE 0.5% LOTION
(ivermectin)		 117.000 GM   24338018304 6
PDPs		 62
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)		     00024576105 7
PDPs		 26
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)		     00299382330 12
PDPs		 57
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)		 150 ML BOT 50458029515 22
PDPs		 131
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)		 30 BOT 50458029004 4
PDPs		 11
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)		 20 X 1 TABLET BOXUD 00006003220 11
PDPs		 25
MAPDs
TALTZ 80 MG/ML AUTOINJ (3-PK)
(Ixekizumab)		     00002144509 6
PDPs		 78
MAPDs
TALTZ 80 MG/ML SYRINGE
(Ixekizumab)		     00002772401 6
PDPs		 77
MAPDs
TIVORBEX 20 MG CAPSULE
(Indomethacin)		     42211020129 2
PDPs		 7
MAPDs
TIVORBEX 40 MG CAPSULE
(Indomethacin)		     42211020229 2
PDPs		 7
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)		 30 BOT 00406992003 1
PDPs		 10
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)		 30 BOT 00406992103 1
PDPs		 10
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)		 30 BOT 00406992203 1
PDPs		 10
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)		 1.5 ML   00024586903 54
PDPs		 288
MAPDs
TRESIBA FLEXTOUCH 100 UNITS/ML
(Insulin Degludec)		     00169266015 26
PDPs		 162
MAPDs
TRESIBA FLEXTOUCH 200 UNITS/ML
(Insulin Degludec)		     00169255013 26
PDPs		 162
MAPDs
Ventavis 0.01mg/mL
(Iloprost)		     66215030230 51
PDPs		 267
MAPDs
Ventavis 0.02mg/mL
(Iloprost)		     66215030330 49
PDPs		 264
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   00003232711 59
PDPs		 339
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)		 30 EA   55111013581 41
PDPs		 270
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)		     55111013679 41
PDPs		 271
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)		 30 EA   55111011381 42
PDPs		 276
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)		     55111013779 41
PDPs		 271
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)		     99207027675 9
PDPs		 120
MAPDs
ZYCLARA 3.75% CREAM
(Imiquimod)		 28 EA   99207027028 9
PDPs		 111
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)		 60 EA   61958170101 59
PDPs		 341
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)		 60 EA   61958170201 59
PDPs		 341
MAPDs



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




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  • 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.
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