Drug Name
|
Packaging |
NDC |
On This Nbr of 2017 Formularies |
PDPs |
MAPDs |
ACULAR 0.5% EYE DROPS (Ketorolac Tromethamine Ophth) |
5 ML BOT |
00023218105 |
4 PDPs |
9 MAPDs |
ACULAR LS 0.4% OPHTH SOL (Ketorolac Tromethamine Ophth) |
5 ML BOTDR |
00023927705 |
4 PDPs |
9 MAPDs |
ACUVAIL 0.45% OPHTH SOLUTION #30X0.4 EA (Ketorolac Tromethamine Ophth) |
#30X0.4 |
00023350730 |
7 PDPs |
63 MAPDs |
EXTINA 2% FOAM (Ketoconazole) |
100 GM |
40076005100 |
1 PDPs |
8 MAPDs |
K-TAB ER 20 MEQ TABLET (Potassium Chloride) |
|
00074302313 |
6 PDPs |
75 MAPDs |
K-TAB 10MEQ 750 MG TABLET SA (Potassium Chloride) |
1000 BOT |
00074780419 |
8 PDPs |
49 MAPDs |
K-tab er 8 meq tablet (Potassium Chloride) |
|
00074305846 |
12 PDPs |
96 MAPDs |
KADCYLA 100 MG VIAL (Trastuzumab Emtansine) |
|
50242008801 |
50 PDPs |
289 MAPDs |
KADIAN ER 10 MG CAPSULE (Morphine Sulfate) |
|
52544001160 |
2 PDPs |
11 MAPDs |
KADIAN ER 100 MG CAPSULE (Morphine Sulfate) |
|
52544016460 |
2 PDPs |
12 MAPDs |
KADIAN ER 20 MG CAPSULE (Morphine Sulfate) |
|
52544021160 |
2 PDPs |
11 MAPDs |
KADIAN ER 200 MG CAPSULE (Morphine Sulfate) |
|
52544022060 |
4 PDPs |
37 MAPDs |
KADIAN ER 30 MG CAPSULE (Morphine Sulfate) |
|
52544003260 |
2 PDPs |
11 MAPDs |
KADIAN ER 40 MG CAPSULE (Morphine Sulfate) |
|
52544003960 |
3 PDPs |
31 MAPDs |
KADIAN ER 50 MG CAPSULE (Morphine Sulfate) |
|
52544005260 |
2 PDPs |
11 MAPDs |
KADIAN ER 60 MG CAPSULE (Morphine Sulfate) |
|
52544006360 |
2 PDPs |
11 MAPDs |
KADIAN ER 80 MG CAPSULE (Morphine Sulfate) |
|
52544089660 |
2 PDPs |
11 MAPDs |
KAITLIB FE CHEWABLE TABLET (norethindrone and ethinyl estradiol and ferrous fumarate) |
|
68180090311 |
29 PDPs |
156 MAPDs |
Kaletra 100; 25mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE (Lopinavir-Ritonavir) |
60 TABLET, FILM COATED in |
00074052260 |
59 PDPs |
341 MAPDs |
KALETRA 50-200MG TABLET (Lopinavir-Ritonavir) |
120 BOT |
00074679922 |
59 PDPs |
341 MAPDs |
KALETRA 80MG/20MG ORAL SOLUTION (Lopinavir-Ritonavir) |
160 ML BOT |
00074395646 |
52 PDPs |
266 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 |
KANUMA 20 MG/10 ML VIAL (Sebelipase Alfa) |
|
25682000701 |
16 PDPs |
124 MAPDs |
KAPVAY ER 0.1 MG TABLET (CLONIDINE HYDROCHLORIDE) |
|
59212065860 |
2 PDPs |
7 MAPDs |
KARBINAL ER 4 MG/ 5 ML SUSP (carbinoxamine maleate) |
|
13551010105 |
1 PDPs |
6 MAPDs |
KARIVA 21-5 TABLET (Desogestrel & Ethinyl Estradiol) |
21ACTIVE,5ETHINYL,2PLACEB BLPK |
00555905058 |
58 PDPs |
325 MAPDs |
KAYEXALATE POWDER (Sodium Polystyrene Sulfonate Oral) |
|
24987007501 |
2 PDPs |
12 MAPDs |
KELNOR 1-35 1-0.035MG TABLET (Ethynodiol Diacetate & Ethinyl Estradiol) |
28 (21+7) BLPK |
00555906458 |
58 PDPs |
311 MAPDs |
Kenalog 0.147mg/g 63 g in 1 CAN (Triamcinolone Acetonide) |
63 g in 1 CAN |
10631009362 |
4 PDPs |
15 MAPDs |
KENALOG-10 10 MG/ML VIAL (Triamcinolone Acetonide) |
5 ML |
00003049420 |
10 PDPs |
63 MAPDs |
KENALOG-40 40 MG/ML VIAL (Triamcinolone Acetonide) |
1 ML |
00003029305 |
10 PDPs |
65 MAPDs |
KEPIVANCE 6.25 MG VIAL (Palifermin For IV) |
|
66658011203 |
30 PDPs |
199 MAPDs |
KEPPRA 100MG/ML ORAL SOLUTION (Levetiracetam) |
16 FLO BOT |
50474000148 |
5 PDPs |
16 MAPDs |
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC (Levetiracetam) |
60 TABLET, FILM COATED in |
50474059766 |
5 PDPs |
16 MAPDs |
KEPPRA 250MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059440 |
5 PDPs |
16 MAPDs |
KEPPRA 500MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059540 |
5 PDPs |
16 MAPDs |
KEPPRA TABLETS EXTENDED RELEASE 500MG 60 BOT (Levetiracetam) |
60 BOT |
50474059866 |
2 PDPs |
16 MAPDs |
KEPPRA 750MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059640 |
5 PDPs |
16 MAPDs |
KEPPRA 750MG XR TABLET (Levetiracetam) |
60 BOT |
50474059966 |
2 PDPs |
16 MAPDs |
KERYDIN 5% TOPICAL SOLUTION (Tavaborole) |
|
10337090544 |
1 PDPs |
17 MAPDs |
KETOCONAZOLE 2% FOAM (Ketoconazole) |
100 GM |
45802053233 |
13 PDPs |
116 MAPDs |
KETOCONAZOLE SHAMPOO (Ketoconazole) |
118.28ML BOTPL |
00781709004 |
59 PDPs |
340 MAPDs |
Ketoconazole 200mg 100 TABLET BOTTLE (Ketoconazole) |
100 TABLET BOTTLE |
00378026101 |
59 PDPs |
339 MAPDs |
KETOCONAZOLE 2% CREAM (Ketoconazole) |
60 GM |
51672129803 |
59 PDPs |
341 MAPDs |
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS (Ketoprofen) |
100 BOT |
00378820001 |
18 PDPs |
174 MAPDs |
KETOPROFEN 50MG CAPSULE (Ketoprofen) |
100 BOT |
00378407001 |
53 PDPs |
312 MAPDs |
KETOPROFEN 75MG CAPSULE (Ketoprofen) |
100 CAPSULES BOT |
00093319501 |
53 PDPs |
312 MAPDs |
KETOROLAC 0.4% OPHTH SOLUTION (Ketorolac) |
5 ML |
61314001805 |
59 PDPs |
341 MAPDs |
KETOROLAC 0.5% OPHTH SOLUTION (Ketorolac) |
10.000 ML |
17478020911 |
59 PDPs |
341 MAPDs |
KETOROLAC 10MG TABLET (Ketorolac) |
100 TABLETS BOT |
00093031401 |
14 PDPs |
126 MAPDs |
Ketorolac 15 mg/ml vial (Ketorolac) |
|
00641604101 |
10 PDPs |
115 MAPDs |
KETOROLAC TROMETHAMINE 30 mg/mL INJECTION CARTRIDGE (Ketorolac Tromethamine) |
|
00409228761 |
10 PDPs |
111 MAPDs |
Ketorolac Tromethamine Inj 30 MG/ML (Ketorolac Tromethamine) |
|
63323016212 |
10 PDPs |
112 MAPDs |
KEVEYIS 50 MG TABLET (Dichlorphenamide) |
|
71090000101 |
8 PDPs |
116 MAPDs |
KEVZARA 150 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024590801 |
5 PDPs |
54 MAPDs |
KEVZARA 200 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024591001 |
5 PDPs |
54 MAPDs |
KEYTRUDA 100 MG/4 ML VIAL (Pembrolizumab) |
|
00006302601 |
56 PDPs |
338 MAPDs |
KEYTRUDA 50 MG VIAL (Pembrolizumab) |
|
00006302901 |
56 PDPs |
339 MAPDs |
KHEDEZLA ER 100 MG TABLET (desvenlafaxine) |
30 EA |
65224089031 |
13 PDPs |
97 MAPDs |
KHEDEZLA ER 50 MG TABLET (Desvenlafaxine) |
30 EA |
65224088031 |
13 PDPs |
97 MAPDs |
KIMIDESS 28 DAY TABLET (DESOG-E.ESTRADIOL/E.ESTRADIOL) |
28 EA |
00603751217 |
50 PDPs |
298 MAPDs |
KINERET 100 MG/0.67 ML SYRINGE (Anakinra Subcutaneous) |
.670 ML |
66658023407 |
25 PDPs |
228 MAPDs |
KINRIX VIAL (Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine ) |
|
58160081201 |
53 PDPs |
305 MAPDs |
KINRIX TIP-LOK SYRINGE (Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine ) |
|
58160081243 |
53 PDPs |
313 MAPDs |
KIONEX POW USP (Sodium Polystyrene Sulfonate Oral) |
454 GM BOTPL |
00574200416 |
53 PDPs |
324 MAPDs |
KISQALI 200 MG DAILY DOSE (Ribociclib) |
|
00078086001 |
59 PDPs |
341 MAPDs |
KISQALI FEMARA 200 MG CO-PACK (Ribociclib) |
49 EA |
00078090961 |
59 PDPs |
334 MAPDs |
KISQALI 400 MG DAILY DOSE (Ribociclib) |
|
00078086742 |
59 PDPs |
341 MAPDs |
KISQALI FEMARA 400 MG CO-PACK (Ribociclib) |
70 EA |
00078091661 |
59 PDPs |
334 MAPDs |
KISQALI 600 MG DAILY DOSE (Ribociclib) |
|
00078087463 |
59 PDPs |
341 MAPDs |
KISQALI FEMARA 600 MG CO-PACK (Ribociclib) |
91 EA |
00078092361 |
59 PDPs |
334 MAPDs |
KLARON 10% LOTION (Sulfacetamide Sodium) |
|
00187519804 |
4 PDPs |
8 MAPDs |
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE, P |
00004006801 |
1 PDPs |
9 MAPDs |
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE, P |
00004005801 |
1 PDPs |
9 MAPDs |
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE, P |
00004009801 |
1 PDPs |
9 MAPDs |
Klor-Con 10 MEQ Tablet (Potassium Chloride) |
|
66758016001 |
59 PDPs |
340 MAPDs |
KLOR-CON SPRINKLE ER 10 MEQ CP (Potassium Chloride) |
500 EA |
66758020505 |
45 PDPs |
286 MAPDs |
Klor-Con 8 MEQ Tablet (Potassium Chloride) |
|
66758011001 |
58 PDPs |
287 MAPDs |
KLOR-CON SPRINKLE ER 8 MEQ CAP (Potassium Chloride) |
100 EA |
66758020201 |
45 PDPs |
284 MAPDs |
KLOR-CON M10 tablet (Potassium Chloride Microencapsulated Crys CR) |
|
66758017001 |
59 PDPs |
327 MAPDs |
Klor-Con M15 Tablet (Potassium Chloride Microencapsulated Crys CR) |
|
66758018001 |
45 PDPs |
294 MAPDs |
KLOR-CON M20 tablet (Potassium Chloride Microencapsulated Crys CR) |
|
66758019005 |
59 PDPs |
337 MAPDs |
KOMBIGLYZE XR 2.5-1,000 MG TAB (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
60 EA |
00310612560 |
25 PDPs |
164 MAPDs |
KOMBIGLYZE XR 5-1,000 MG TAB (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
30 EA |
00310614530 |
25 PDPs |
164 MAPDs |
KOMBIGLYZE XR 5-500 MG TABLET (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
30 EA |
00310613530 |
25 PDPs |
164 MAPDs |
KORLYM 300 MG TABLET (mifepristone) |
|
76346007301 |
59 PDPs |
341 MAPDs |
KRISTALOSE 10 GM PACKET (Lactulose) |
|
66220071930 |
11 PDPs |
75 MAPDs |
KRISTALOSE 20 GM PACKET (Lactulose) |
|
66220072930 |
11 PDPs |
75 MAPDs |
KUVAN 100MG TABLET SOLUBLE (Sapropterin DiHCL Soluble) |
|
68135030002 |
59 PDPs |
341 MAPDs |
KUVAN 100 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
1 EA |
68135030111 |
51 PDPs |
275 MAPDs |
KUVAN 500 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
1 EA |
68135048210 |
51 PDPs |
275 MAPDs |
KYNAMRO 200 MG/ML SYRINGE (Mipomersen) |
|
70688050201 |
43 PDPs |
322 MAPDs |
KYPROLIS 30 MG VIAL (Carfilzomib) |
|
76075010201 |
45 PDPs |
276 MAPDs |
KYPROLIS 60 MG VIAL (Carfilzomib) |
|
76075010101 |
45 PDPs |
276 MAPDs |
Lopinavir-Ritonavir 80-20mg/ml [Kaletra] () |
|
00527194748 |
59 PDPs |
337 MAPDs |
Nizoral 20mg/mL 120 mL in 1 BOTTLE (Ketoconazole) |
120 mL in 1 BOTTLE |
50458068008 |
5 PDPs |
9 MAPDs |
POTASSIUM CHLORIDE 20MEQ IN D5W/NACL 0.225% (DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE) |
12 X 1000 ML CTR |
00409790109 |
47 PDPs |
267 MAPDs |
POTASSIUM CHLORIDE 0.15%/D5W/SODIUM CHLORIDE 0.9% 1000ML (DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE) |
1000 ML BAG |
00264765200 |
47 PDPs |
280 MAPDs |
POTASSIUM CHLORIDE 0.3%/D5W/SODIUM CHLORIDE 0.45% 1000ML BAG (DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE) |
1000ML BAG |
00264763800 |
57 PDPs |
311 MAPDs |