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2017 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:

Drug Names Containing the Letter R 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
ACIPHEX SPRINKLE DR 10 MG CAP
(Rabeprazole Sodium EC)
    13551021001 2
PDPs
22
MAPDs
ACIPHEX 20MG TABLET EC
(Rabeprazole Sodium EC)
30 BOT 62856024330 2
PDPs
23
MAPDs
ACIPHEX SPRINKLE DR 5 MG CAP
(Rabeprazole Sodium EC)
    13551020501 2
PDPs
22
MAPDs
Actonel 150mg 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 1 FILM COATED TABLETS in TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /   00430047801 2
PDPs
10
MAPDs
Actonel 30mg 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30   00430047015 1
PDPs
16
MAPDs
Actonel 35mg 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 4 FILM COATED TABLETS in TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /   00430047203 1
PDPs
10
MAPDs
Actonel 5mg 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30   00430047115 1
PDPs
10
MAPDs
ADEMPAS 0.5 MG TABLET
(Riociguat)
90 EA   50419025001 59
PDPs
341
MAPDs
ADEMPAS 1 MG TABLET
(Riociguat)
90 EA   50419025101 59
PDPs
341
MAPDs
ADEMPAS 1.5 MG TABLET
(Riociguat)
90 EA   50419025201 59
PDPs
341
MAPDs
ADEMPAS 2 MG TABLET
(Riociguat)
90 EA   50419025301 59
PDPs
341
MAPDs
ADEMPAS 2.5 MG TABLET
(Riociguat)
90 EA   50419025401 59
PDPs
341
MAPDs
ALTACE 1.25MG CAPSULE
(Ramipril)
100 CAPS BOTPL 61570011001 4
PDPs
9
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)
100 CAPS BOTPL 61570012001 6
PDPs
11
MAPDs
ALTACE 2.5 MG CAPSULE
(Ramipril)
100 EA   61570011101 6
PDPs
11
MAPDs
ALTACE 5MG CAPSULE
(Ramipril)
100 BOT 61570011201 6
PDPs
11
MAPDs
ARCALYST INJECTION 220MG/VIAL
(Rilonacept For)
4 VIALSD CRTN 61755000101 59
PDPs
340
MAPDs
Atelvia 35mg/1 36 DOSE PACK CASE / 4 TABLET, DELAYED RELEASE in 1 DOSE PACK
(RISEDRONATE SODIUM)
36 DOSE PACK in 1 CASE /   00430097903 8
PDPs
26
MAPDs
AVANDIA 2 MG TABLET
(Rosiglitazone Maleate)
60 EA   00173086118 10
PDPs
118
MAPDs
AVANDIA 4 MG TABLET
(Rosiglitazone Maleate)
30 EA   00173086313 10
PDPs
118
MAPDs
AZILECT 0.5MG TABLET
(Rasagiline Mesylate)
30 BOT 68546014256 39
PDPs
194
MAPDs
AZILECT 1MG TABLET
(Rasagiline Mesylate)
30 BOT 68546022956 39
PDPs
202
MAPDs
Banzel 200mg/1
(Rufinamide)
    62856058252 59
PDPs
341
MAPDs
Banzel 40mg/mL
(Rufinamide)
    62856058446 59
PDPs
341
MAPDs
BANZEL TABLET 400MG
(Rufinamide)
120 BOT 62856058352 59
PDPs
341
MAPDs
COPEGUS 200MG TABLET
(Ribavirin)
168 BOT 00004008694 2
PDPs
14
MAPDs
CRESTOR 10MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075190 25
PDPs
79
MAPDs
CRESTOR 20MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075290 25
PDPs
79
MAPDs
CRESTOR 40mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Rosuvastatin Calcium)
30 TABLET, FILM COATED in   00310075430 25
PDPs
79
MAPDs
CRESTOR 5MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075590 25
PDPs
80
MAPDs
CYRAMZA 100 MG/10 ML VIAL
(Ramucirumab)
    00002766901 45
PDPs
279
MAPDs
CYRAMZA 500 MG/50 ML VIAL
(Ramucirumab)
    00002767801 45
PDPs
279
MAPDs
DALIRESP 500 MCG TABLET
(ROFLUMILAST)
30 EA   00310009530 59
PDPs
341
MAPDs
EDURANT 27.5mg/1
(Rilpivirine)
    59676027801 59
PDPs
341
MAPDs
Elitek 3 KIT per CARTON / 1 KIT in 1 KIT
(Rasburicase For IV)
3 KIT in 1 CARTON / 1 KIT   00024515010 56
PDPs
332
MAPDs
ELITEK 7.5 MG VIAL
(Rasburicase For IV)
    00024515175 56
PDPs
318
MAPDs
EVISTA 60 MG TABLET
(Raloxifene HCl)
30 EA   00002416530 6
PDPs
17
MAPDs
EXELON 13.3 MG/24HR PATCH
(Rivastigmine Tartrate)
30 EA   00078050315 14
PDPs
51
MAPDs
EXELON 4.6MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)
30 CRTN 00078050115 14
PDPs
52
MAPDs
EXELON 9.5MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)
30 CRTN 00078050215 14
PDPs
52
MAPDs
Flumadine 100mg/1 100 TABLET BOTTLE
(Rimantadine Hydrochloride)
100 TABLET in 1 BOTTLE   49708052188 1
PDPs
10
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 18
PDPs
120
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
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
ISTODAX 10 MG VIAL
(Romidepsin)
    59572098401 50
PDPs
289
MAPDs
JAKAFI 10 MG TABLET
(ruxolitinib)
    50881001060 59
PDPs
341
MAPDs
JAKAFI 15 MG TABLET
(ruxolitinib)
    50881001560 59
PDPs
341
MAPDs
JAKAFI 20 MG TABLET
(ruxolitinib)
    50881002060 59
PDPs
341
MAPDs
JAKAFI 25 MG TABLET
(ruxolitinib)
    50881002560 59
PDPs
341
MAPDs
JAKAFI 5 MG TABLET
(ruxolitinib)
    50881000560 59
PDPs
341
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
M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML
(Measles, Mumps, and Rubella Vaccine)
10 X 0.5 ML VIAL 00006468100 59
PDPs
341
MAPDs
MAXALT 10mg/1 18 POUCH per CARTON / 1 TABLET in 1 POUCH
(Rizatriptan Benzoate)
18 POUCH in 1 CARTON / 1   00006026718 5
PDPs
11
MAPDs
MAXALT 5mg/1 18 POUCH per CARTON / 1 TABLET in 1 POUCH
(Rizatriptan Benzoate)
18 POUCH in 1 CARTON / 1   00006026618 5
PDPs
11
MAPDs
MAXALT MLT 10 MG TABLET
(Rizatriptan Benzoate)
3 EA   00006380118 5
PDPs
11
MAPDs
MAXALT MLT 5 MG TABLET
(Rizatriptan Benzoate)
3 EA   00006380018 5
PDPs
11
MAPDs
Methotrexate 0.55 ML 50 MG/ML Auto-Injector [Rasuvo]
(Methotrexate Sodium)
    59137054501 9
PDPs
91
MAPDs
Moderiba 200 mg tablet
(ribavirin)
    00074319716 39
PDPs
210
MAPDs
Moderiba 400-400 mg dosepack
(ribavirin)
    00074323956 11
PDPs
116
MAPDs
Moderiba 600-600 mg dosepack
(ribavirin)
    00074328256 11
PDPs
114
MAPDs
MYCOBUTIN 150MG CAPSULE
(Rifabutin)
100 BOT 00013530117 4
PDPs
16
MAPDs
NEUPRO 1 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080103 59
PDPs
336
MAPDs
NEUPRO 2 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080203 59
PDPs
336
MAPDs
NEUPRO 3 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080303 59
PDPs
336
MAPDs
NEUPRO 4 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080403 59
PDPs
336
MAPDs
NEUPRO 6 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080503 59
PDPs
336
MAPDs
NEUPRO 8 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080603 59
PDPs
336
MAPDs
NORVIR 100mg/1 30 CAPSULE BOTTLE
(Ritonavir)
30 CAPSULE in 1 BOTTLE   00074663330 59
PDPs
341
MAPDs
NORVIR 100 MG TABLET
(Ritonavir)
30 EA   00074333330 59
PDPs
341
MAPDs
NORVIR 80MG/ML ORAL SOLUTION
(Ritonavir)
240 ML BOT 00074194063 59
PDPs
341
MAPDs
PRANDIN 1 MG TABLET
(Repaglinide)
    60846088201 4
PDPs
13
MAPDs
PRANDIN 2 MG TABLET
(Repaglinide)
    60846088401 4
PDPs
13
MAPDs
PRIFTIN 150MG TABLET
(Rifapentine)
4 X 8 TABLET POUCHES CRTN 00088210003 59
PDPs
341
MAPDs
RABAVERT RABIES VACCINE VIAL
(Rabies Vaccine, PCEC For)
    58160096412 59
PDPs
341
MAPDs
Rabeprazole Sodium DR 20 MG Tablet [AcipHex]
()
    00378670993 20
PDPs
166
MAPDs
RAGWITEK SUBLINGUAL TABLET
(ragweed pollen allergen extract)
    00006542030 17
PDPs
92
MAPDs
Raloxifene HCl 60 mg tablet [Evista]
(Raloxifene HCl)
    00093729001 59
PDPs
341
MAPDs
RAMIPRIL 1.25MG CAPSULE
(Ramipril)
30 BOT 16252057030 59
PDPs
341
MAPDs
RAMIPRIL 10MG CAPSULE
(Ramipril)
100 BOT 16252057301 59
PDPs
341
MAPDs
RAMIPRIL 2.5MG CAPSULE
(Ramipril)
100 BOT 16252057101 59
PDPs
341
MAPDs
RAMIPRIL 5MG CAPSULE
(Ramipril)
100 BOT 16252057201 59
PDPs
341
MAPDs
RANEXA ER 1,000 MG TABLET
(Ranolazine)
60 EA   61958100401 59
PDPs
341
MAPDs
RANEXA ER 500 MG TABLET
(Ranolazine)
60 EA   61958100301 59
PDPs
341
MAPDs
Ranitidine 15 mg/ml syrup
(Ranitidine)
    70408014134 53
PDPs
337
MAPDs
RANITIDINE 150MG CAPSULE
(Ranitidine)
500 BOT 00781285505 32
PDPs
237
MAPDs
Ranitidine 300mg/1 100 FILM COATED TABLETS in BOTTLE
(Ranitidine)
100 TABLET, FILM COATED i   00172435860 59
PDPs
341
MAPDs
Ranitidine Hydrochloride 300mg/1 30 CAPSULE BOTTLE
(Ranitidine)
30 CAPSULE in 1 BOTTLE   00781286531 32
PDPs
237
MAPDs
Ranitidine Hydrochloride 150mg/1 1000 FILM COATED TABLETS in BOTTLE
(Ranitidine HCl)
1000 TABLET, FILM COATED   00781188310 59
PDPs
341
MAPDs
RANITIDINE HCL 50 MG/2 ML VIAL
(Ranitidine HCl)
2 ML   68382042202 46
PDPs
274
MAPDs
RAPAFLO CAPSULES 4MG 30 BOT
(Silodosin)
30 BOT 52544015130 28
PDPs
141
MAPDs
RAPAFLO CAPSULES 8MG 90 BOT
(Silodosin)
90 BOT 52544015219 28
PDPs
141
MAPDs
RAPAMUNE 0.5MG TABLETS
(Sirolimus)
100 BOT 00008104005 5
PDPs
54
MAPDs
RAPAMUNE 1MG TABLET
(Sirolimus)
100 BOT 00008104105 5
PDPs
62
MAPDs
RAPAMUNE 1MG/ML ORAL TUBEX
(Sirolimus)
60 ML BOT 00008103006 59
PDPs
341
MAPDs
RAPAMUNE 2MG TABLET
(Sirolimus)
100 BOT 00008104205 5
PDPs
62
MAPDs
Rasagiline Mesylate 0.5 MG TABLET [Azilect]
(Rasagiline Mesylate)
    47781013830 57
PDPs
327
MAPDs
Rasagiline Mesylate 1 MG TABLET [Azilect]
(Rasagiline Mesylate)
    47781013930 57
PDPs
328
MAPDs
RASUVO 10 MG/0.2 ML AUTOINJ
(Methotrexate)
    59137051004 9
PDPs
91
MAPDs
RASUVO 12.5 MG/0.25 ML AUTOINJ
(Methotrexate)
    59137051504 9
PDPs
91
MAPDs
RASUVO 15 MG/0.3 ML AUTOINJ
(Methotrexate)
    59137052004 9
PDPs
91
MAPDs
RASUVO 17.5 MG/0.35 ML AUTOINJ
(Methotrexate)
    59137052504 9
PDPs
91
MAPDs
RASUVO 20 MG/0.4 ML AUTOINJ
(Methotrexate)
    59137053004 9
PDPs
96
MAPDs
RASUVO 22.5 MG/0.45 ML AUTOINJ
(Methotrexate)
    59137053504 9
PDPs
91
MAPDs
RASUVO 25 MG/0.5 ML AUTOINJ
(Methotrexate)
    59137054004 9
PDPs
91
MAPDs
RASUVO 30 MG/0.6 ML AUTOINJ
(Methotrexate)
    59137055004 9
PDPs
91
MAPDs
RASUVO 7.5 MG/0.15 ML AUTOINJ
(Methotrexate)
    59137050504 9
PDPs
91
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(Glycerol Phenylbutyrate)
25 ML   75987005006 44
PDPs
292
MAPDs
RAYOS DR 1 MG TABLET
(prednisone)
    75987002001 4
PDPs
53
MAPDs
RAYOS DR 2 MG TABLET
(prednisone)
    75987002101 4
PDPs
54
MAPDs
RAYOS DR 5 MG TABLET
(prednisone)
    75987002201 4
PDPs
54
MAPDs
RAZADYNE 12MG TABLET
(Galantamine Hydrobromide)
TABLETS BOT 50458039860 4
PDPs
9
MAPDs
RAZADYNE 4MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT 50458039660 6
PDPs
11
MAPDs
RAZADYNE 8MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT 50458039760 4
PDPs
9
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038830 4
PDPs
9
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038930 4
PDPs
9
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038730 4
PDPs
9
MAPDs
REBETOL 40MG/ML SOLUTION
(Ribavirin)
100 ML BOT 00085131801 23
PDPs
194
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
RECLAST 5MG/100ML INJECTION
(Zoledronic Acid IV)
100 ML BOT 00078043561 1
PDPs
13
MAPDs
RECLIPSEN 0.15-0.03 TABLET
(Desogestrel & Ethinyl Estradiol)
6 X 28 BLPK 52544095428 58
PDPs
306
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 59
PDPs
341
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 59
PDPs
341
MAPDs
RECOMBIVAX HB 5 MCG/0.5 ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409301 59
PDPs
341
MAPDs
RECTIV 0.4% OINTMENT
(Nitroglycerin)
30 GM   58914030180 11
PDPs
95
MAPDs
REGRANEX 0.01% GEL
(Becaplermin)
15 GM   50484081015 47
PDPs
264
MAPDs
RELENZA 5MG DISKHALER
(Zanamivir Aero)
5 X 4 BLPK 00173068101 47
PDPs
310
MAPDs
RELISTOR 12 MG/0.6 ML SYRINGE
(Methylnaltrexone)
.6 ML   65649055103 56
PDPs
326
MAPDs
RELISTOR 12 MG/0.6 ML VIAL
(Methylnaltrexone)
    65649055102 59
PDPs
341
MAPDs
RELISTOR 150 MG TABLET
(Methylnaltrexone)
    65649015090 28
PDPs
212
MAPDs
RELISTOR 8 MG/0.4 ML SYRINGE
(Methylnaltrexone)
.4 ML   65649055204 59
PDPs
331
MAPDs
RELPAX 20MG TABLET
(Eletriptan Hydrobromide)
6 BLPK 00049233045 19
PDPs
103
MAPDs
RELPAX 40MG TABLET 6X2 BLPK
(Eletriptan Hydrobromide)
6 X 2 BLPK 00049234005 19
PDPs
103
MAPDs
REMERON 15MG TABLET
(Mirtazapine)
30 BLPK 00052010530 4
PDPs
9
MAPDs
REMERON SLTABLET 15MG TABLET 30 BLPK CRTN
(Mirtazapine)
30 BLPK CRTN 00052010630 4
PDPs
9
MAPDs
REMERON 30MG TABLET
(Mirtazapine)
30 BOT 00052010730 4
PDPs
9
MAPDs
REMERON SLTABLET 30MG TABLET 30 TABLET S CRTN
(Mirtazapine)
30 TABS CRTN 00052010830 4
PDPs
9
MAPDs
REMERON 45MG TABLET
(Mirtazapine)
30 TABLETS BOT 00052010930 4
PDPs
9
MAPDs
REMERON SLTABLET 45MG TABLET
(Mirtazapine)
30 TABS CRTN 00052011030 4
PDPs
9
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)
20 ML VIALSU 57894003001 58
PDPs
319
MAPDs
REMODULIN 1MG/ML VIAL
(Treprostinil Sodium)
20 VIALMD 66302010101 50
PDPs
278
MAPDs
REMODULIN 10MG/ML VIAL
(Treprostinil Sodium)
20 VIALMD 66302011001 50
PDPs
278
MAPDs
REMODULIN 2.5MG/ML VIAL
(Treprostinil Sodium)
20 VIALMD 66302010201 50
PDPs
278
MAPDs
REMODULIN 5MG/ML VIAL
(Treprostinil Sodium)
20 VIALMD 66302010501 50
PDPs
278
MAPDs
RENAGEL 400MG TABLET
(Sevelamer HCl)
    58468002001 12
PDPs
154
MAPDs
RENAGEL 800MG TABLET
(Sevelamer HCl)
    58468002101 12
PDPs
155
MAPDs
RENVELA 800MG TABLET
(Sevelamer Carbonate)
    58468013001 59
PDPs
332
MAPDs
Repaglinide 0.5 MG Tablet [Prandin]
()
    00574024001 57
PDPs
328
MAPDs
Repaglinide 1 MG Tablet [Prandin]
()
    57664074513 57
PDPs
328
MAPDs
Repaglinide 2 MG Tablet [Prandin]
()
    57664074713 57
PDPs
328
MAPDs
REPAGLINIDE-METFORMIN 1-500 MG [PrandiMet]
(REPAGLINIDE/METFORMIN HCL)
100 EA   68180049001 20
PDPs
145
MAPDs
REPAGLINIDE-METFORMIN 2-500 MG [PrandiMet]
(REPAGLINIDE/METFORMIN HCL)
100 EA   68180049101 20
PDPs
145
MAPDs
REPATHA 140 MG/ML SYRINGE
(Evolocumab)
    55513075001 42
PDPs
271
MAPDs
REPATHA 140 MG/ML SURECLICK
(Evolocumab)
    55513076001 42
PDPs
274
MAPDs
REPATHA 420 MG/3.5ML PUSHTRONX
(Evolocumab)
3.500 ML   55513077001 42
PDPs
257
MAPDs
REQUIP 0.25MG TABLET
(Ropinirole HCL)
100 BOT 00007489020 5
PDPs
11
MAPDs
REQUIP 0.5MG TABLET
(Ropinirole HCL)
100 BOT 00007489120 5
PDPs
11
MAPDs
REQUIP 1MG TABLET
(Ropinirole HCL)
100 BOT 00007489220 7
PDPs
13
MAPDs
REQUIP XL TABLET 12 MG
(Ropinirole HCL)
30 BOT 00007488213 1
PDPs
7
MAPDs
REQUIP 2MG TABLET
(Ropinirole HCL)
100 BOT 00007489320 5
PDPs
11
MAPDs
REQUIP XL 2mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE
(Ropinirole HCL)
30 TABLET, FILM COATED, E   00007488513 1
PDPs
7
MAPDs
REQUIP 3MG TABLET
(Ropinirole HCL)
100 BOT 00007489520 5
PDPs
11
MAPDs
REQUIP 4MG TABLET
(Ropinirole HCL)
100 BOT 00007489620 7
PDPs
13
MAPDs
REQUIP XL 4mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE
(Ropinirole HCL)
30 TABLET, FILM COATED, E   00007488713 1
PDPs
7
MAPDs
REQUIP 5MG TABLET
(Ropinirole HCL)
100 BOT 00007489420 7
PDPs
13
MAPDs
REQUIP XL 6mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE
(Ropinirole Hydrochloride)
30 TABLET, FILM COATED, E   00007488313 1
PDPs
7
MAPDs
REQUIP XL 8mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE
(Ropinirole HCL)
30 TABLET, FILM COATED, E   00007488813 1
PDPs
7
MAPDs
RESCRIPTOR 100mg/1 360 TABLET BOTTLE
(Delavirdine Mesylate)
360 TABLET in 1 BOTTLE   49702020924 59
PDPs
341
MAPDs
RESCRIPTOR 200 MG TABLET
(Delavirdine Mesylate)
180 EA   49702022517 59
PDPs
341
MAPDs
RESTASIS CYCLOSPORINE OPTHALMIC EMULSION .05% 30 X 0.4 ML VIALSU
(Cyclosporine (Ophth))
30 X 0.4 ML VIALSU 00023916330 59
PDPs
341
MAPDs
RESTORIL 15mg/1 100 CAPSULE BOTTLE
(Temazepam)
100 CAPSULE in 1 BOTTLE   00406991601 2
PDPs
12
MAPDs
RESTORIL 22.5mg/1 30 CAPSULE BOTTLE
(Temazepam)
30 CAPSULE in 1 BOTTLE   00406991403 2
PDPs
11
MAPDs
RESTORIL 30mg/1 100 CAPSULE BOTTLE
(Temazepam)
100 CAPSULE in 1 BOTTLE   00406991701 2
PDPs
6
MAPDs
RESTORIL 7.5mg/1 30 CAPSULE BOTTLE
(Temazepam)
30 CAPSULE in 1 BOTTLE   00406991503 2
PDPs
12
MAPDs
RETIN-A 0.01% GEL
(Tretinoin)
    00187517245 4
PDPs
12
MAPDs
RETIN-A 0.025% CREAM
(Tretinoin)
    00187516045 4
PDPs
12
MAPDs
RETIN-A 0.025% GEL
(Tretinoin)
    00187517045 4
PDPs
12
MAPDs
RETIN-A 0.05% CREAM
(Tretinoin)
    00187516245 4
PDPs
12
MAPDs
RETIN-A 0.1% CREAM
(Tretinoin)
    00187516420 4
PDPs
12
MAPDs
RETIN-A MICRO 0.1% GEL
(Tretinoin Microsphere)
    00187514045 2
PDPs
12
MAPDs
RETIN-A MICRO 0.04% GEL
(Tretinoin)
    00187514445 2
PDPs
12
MAPDs
RETIN-A MICRO PUMP 0.08% GEL
(Tretinoin)
    00187514850 3
PDPs
32
MAPDs
RETROVIR 100mg/1 100 CAPSULE BOTTLE
(Zidovudine)
100 CAPSULE BOTTLE   49702021120 5
PDPs
14
MAPDs
RETROVIR 200 MG/20 ML VIAL
(Zidovudine)
    49702021326 59
PDPs
341
MAPDs
RETROVIR 50mg/5mL 240 mL in 1 BOTTLE
(Zidovudine)
240 mL in 1 BOTTLE   49702021248 5
PDPs
13
MAPDs
REVATIO 0.8 MG/ML 12.5 mL in 1 VIAL, SINGLE-USE
(Sildenafil Citrate)
12.5 mL in 1 VIAL, SINGLE   00069033801 2
PDPs
18
MAPDs
REVATIO 10 MG/ML ORAL SUSP
(Sildenafil Citrate)
112 ML   00069033621 25
PDPs
156
MAPDs
REVATIO 20MG TABLET
(Sildenafil Citrate)
90 BOT 00069419068 2
PDPs
18
MAPDs
REVLIMID 10MG CAPSULE (100 CT)
(Lenalidomide)
100 BOT 59572041000 59
PDPs
341
MAPDs
REVLIMID 15MG CAPSULE 21 BOT
(Lenalidomide)
21 BOT 59572041521 59
PDPs
341
MAPDs
REVLIMID 2.5 MG CAPSULE
(Lenalidomide)
100 EA   59572040200 59
PDPs
341
MAPDs
REVLIMID 20 MG CAPSULE
(Lenalidomide)
100 EA   59572042000 59
PDPs
341
MAPDs
REVLIMID 25MG CAPSULE (100 CT)
(Lenalidomide)
100 BOT 59572042500 59
PDPs
341
MAPDs
REVLIMID 5MG CAPSULE
(Lenalidomide)
100 BOT 59572040500 59
PDPs
341
MAPDs
REXULTI 0.25 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003513 59
PDPs
341
MAPDs
REXULTI 0.5 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003613 59
PDPs
341
MAPDs
REXULTI 1 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003713 59
PDPs
341
MAPDs
REXULTI 2 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003813 59
PDPs
341
MAPDs
REXULTI 3 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003913 59
PDPs
341
MAPDs
REXULTI 4 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148004013 59
PDPs
341
MAPDs
REYATAZ 150MG CAPSULE
(Atazanavir Sulfate)
100 BOT 00003362412 59
PDPs
341
MAPDs
REYATAZ 200MG CAPSULE
(Atazanavir Sulfate)
100 BOT 00003363112 59
PDPs
341
MAPDs
REYATAZ 300MG CAPSULE
(Atazanavir Sulfate)
30 BOT 00003362212 59
PDPs
341
MAPDs
REYATAZ 50 MG POWDER PACKET
(Atazanavir Sulfate)
    00003363810 59
PDPs
341
MAPDs
Ribasphere RibaPak 200-400 mg
(Ribavirin)
    66435010856 9
PDPs
128
MAPDs
RIBASPHERE RibaPak 600mg/1
(Ribavirin)
    66435010799 17
PDPs
146
MAPDs
RIBASPHERE RibaPak
(Ribavirin)
    66435010699 9
PDPs
136
MAPDs
RIBASPHERE 200MG TABLET
(Ribavirin)
168 BOT 66435010216 55
PDPs
296
MAPDs
RIBASPHERE 200 MG CAPSULE
(Ribavirin)
180.000 EA   66435010118 43
PDPs
287
MAPDs
RIBASPHERE RibaPak 400mg/1
(Ribavirin)
    66435010599 17
PDPs
171
MAPDs
RIBASPHERE 400MG TABLET
(Ribavirin)
56 BOT 66435010356 33
PDPs
265
MAPDs
RIBASPHERE 600MG TABLET
(Ribavirin)
56 BOT 66435010456 33
PDPs
251
MAPDs
RIBAVIRIN 200MG TABLET 168 BOT
(Ribavirin)
168 BOT 68382004603 58
PDPs
317
MAPDs
RIBAVIRIN 200 MG CAPSULE
(Ribavirin)
84 EA   00781204304 50
PDPs
317
MAPDs
RIDAURA 3 MG CAPSULE
(Auranofin)
    54766009306 25
PDPs
226
MAPDs
RIFABUTIN 150 MG CAPSULE [Mycobutin]
(Rifabutin)
100 EA   68180028501 59
PDPs
339
MAPDs
RIFADIN 150MG CAPSULE
(Rifampin)
30 BOT 00068051030 4
PDPs
11
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)
60 BOT 00068050960 5
PDPs
80
MAPDs
RIFAMPIN 150MG CAPSULE (30 CT)
(Rifampin)
30 BOTPL 00185080130 59
PDPs
341
MAPDs
RIFAMPIN 300MG CAPSULE
(Rifampin)
60 CAPSULES BOTPL 00185079960 59
PDPs
341
MAPDs
Rifampin IV 600 MG Vial
(Rifampin)
    23155034031 59
PDPs
341
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT 00088057641 45
PDPs
295
MAPDs
RILUTEK 50 MG TABLET
(Riluzole)
60 EA   24987070060 2
PDPs
17
MAPDs
riluzole 50 mg tablet [Rilutek]
(Riluzole)
    62756053886 59
PDPs
341
MAPDs
Rimantadine 100mg/1 100 TABLET BOTTLE
(Rimantadine)
100 TABLET in 1 BOTTLE   00115191101 57
PDPs
339
MAPDs
RINGERS 33/30/860 INJECTION
(Ringer's)
1000 ML BAG 00338010504 49
PDPs
283
MAPDs
RINGERS IRRIGATION 860-30 12X1000ML BAG
(Ringers)
12 X 1000 ML BAG 00409614009 28
PDPs
204
MAPDs
RIOMET 500MG/5ML SOLUTION ORAL
(Metformin HCl)
473 ML BOT 10631020602 18
PDPs
124
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
4 EA   47335066868 26
PDPs
233
MAPDs
RISEDRONATE SODIUM 150 MG TABLET [Actonel]
(Risedronate Sodium)
    00378415032 28
PDPs
257
MAPDs
RISEDRONATE SODIUM 30 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA   00093310056 29
PDPs
235
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
    00093309844 27
PDPs
219
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
12 EA   00093309829 27
PDPs
220
MAPDs
RISEDRONATE SODIUM DR 35 MG TABLET [Actonel]
(Risedronate Sodium)
4 EA   00093550944 26
PDPs
165
MAPDs
RISEDRONATE SODIUM 5 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA   00093309956 28
PDPs
235
MAPDs
RISPERDAL M TABLET 0.5MG
(Risperidone)
7 CARDS OF 4 BLPK 50458039528 5
PDPs
17
MAPDs
RISPERDAL 0.25MG TABLET
(Risperidone)
500 BOT 50458030150 5
PDPs
11
MAPDs
RISPERDAL 0.5MG TABLET
(Risperidone)
500 BOT 50458030250 5
PDPs
11
MAPDs
RISPERDAL 1MG/ML SOLUTION
(Risperidone)
30 ML BOT 50458030503 5
PDPs
11
MAPDs
RISPERDAL 1MG TABLET
(Risperidone)
500 BOT 50458030050 5
PDPs
11
MAPDs
RISPERDAL 1MG M-TAB
(Risperidone)
7 CARDS OF 4 TABLETS BLPK 50458031528 5
PDPs
17
MAPDs
RISPERDAL 2MG TABLET
(Risperidone)
500 BOT 50458032050 5
PDPs
11
MAPDs
RISPERDAL M-TAB 2mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
(Risperidone)
7 BLISTER PACK in 1 BOX /   50458032528 5
PDPs
17
MAPDs
RISPERDAL 3 MG TABLET
(Risperidone)
500 EA   50458033050 5
PDPs
11
MAPDs
RISPERDAL M-TAB 3mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
(Risperidone)
7 BLISTER PACK in 1 BOX /   50458033528 5
PDPs
17
MAPDs
RISPERDAL 4 MG TABLET
(Risperidone)
60 EA   50458035006 5
PDPs
11
MAPDs
RISPERDAL M-TAB 4mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
(Risperidone)
7 BLISTER PACK in 1 BOX /   50458035528 5
PDPs
17
MAPDs
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL
(Risperidone Microspheres For)
12.5 MG VIAL DSPK 50458030911 59
PDPs
340
MAPDs
RISPERDAL CONSTA 25MG SYR
(Risperidone Microspheres For)
25 MG VIAL DSPK 50458030611 59
PDPs
341
MAPDs
RISPERDAL CONSTA 37.5MG SYR
(Risperidone Microspheres For)
37.5 MG VIAL DSPK 50458030711 59
PDPs
340
MAPDs
RISPERDAL CONSTA 50MG SYR
(Risperidone Microspheres For)
50 MG VIAL DSPK 50458030811 59
PDPs
341
MAPDs
RISPERIDONE 0.5 MG ODT
(Risperidone)
28 EA   49884031191 59
PDPs
341
MAPDs
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK
(Risperidone)
4 IN 1 BLPK 49884021255 59
PDPs
341
MAPDs
RISPERIDONE 0.25 MG TABLET
(Risperidone)
60 EA   68382011214 59
PDPs
341
MAPDs
RISPERIDONE 0.5 MG 500 TABLET BOTTLE
(Risperidone)
500 TABLET in 1 BOTTLE   13668003605 59
PDPs
341
MAPDs
RISPERIDONE 1 MG/ML 30 mL in 1 BOTTLE
(Risperidone)
30 mL in 1 BOTTLE   55111057930 59
PDPs
341
MAPDs
RISPERIDONE 1 MG TABLET
(Risperidone)
60 EA   43547034106 59
PDPs
341
MAPDs
RISPERIDONE 1 MG 7 BLISTER PACK per CARTON / 4 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
(Risperidone)
7 BLISTER PACK in 1 CARTO   49884031591 59
PDPs
341
MAPDs
RISPERIDONE 2 MG ODT
(Risperidone)
28 EA   00781531208 59
PDPs
339
MAPDs
RISPERIDONE 2 MG 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Risperidone)
60 TABLET, FILM COATED in   00378351291 59
PDPs
341
MAPDs
RISPERIDONE TABLETS 3MG 4 IN 1 BLPK
(Risperidone)
4 IN 1 BLPK 49884040291 59
PDPs
341
MAPDs
RISPERIDONE 3 MG 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Risperidone)
60 TABLET, FILM COATED in   00378351391 59
PDPs
341
MAPDs
RISPERIDONE TABLETS 4MG 4 IN 1 BLPK
(Risperidone)
4 IN 1 BLPK 49884040391 59
PDPs
341
MAPDs
RISPERIDONE 4 MG TABLET
(Risperidone)
60 EA   43547034406 59
PDPs
341
MAPDs
RITALIN 10MG TABLET
(Methylphenidate HCl)
100 BOT 00078044005 4
PDPs
10
MAPDs
RITALIN 20MG TABLET
(Methylphenidate HCl)
100 BOT 00078044105 4
PDPs
10
MAPDs
RITALIN 5MG TABLET
(Methylphenidate HCl)
100 BOT 00078043905 4
PDPs
10
MAPDs
RITALIN LA 10MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078042405 7
PDPs
49
MAPDs
RITALIN LA 20MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078037005 1
PDPs
7
MAPDs
RITALIN LA 30MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078037105 1
PDPs
7
MAPDs
RITALIN LA 40MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078037205 1
PDPs
7
MAPDs
RITUXAN 10MG/ML VIAL
(Rituximab For IV)
1 X 50 ML VIAL CRTN 50242005306 59
PDPs
341
MAPDs
RIVASTIGMINE TARTRATE1.5MG CAPSULES
(Rivastigmine Tartrate)
60 BOT 00591320860 58
PDPs
338
MAPDs
RIVASTIGMINE 13.3 MG/24HR PTCH
(Rivastigmine Tartrate)
30 EA   47781040503 50
PDPs
322
MAPDs
RIVASTIGMINE TARTRATE 3MG CAPSULES
(Rivastigmine Tartrate)
60 BOT 00591320960 58
PDPs
338
MAPDs
RIVASTIGMINE TARTRATE 4.5MG CAPSULES
(Rivastigmine Tartrate)
60 BOT 00591321060 58
PDPs
338
MAPDs
RIVASTIGMINE 4.6 MG/24HR PATCH
(Rivastigmine Tartrate)
30 EA   47781030403 50
PDPs
322
MAPDs
RIVASTIGMINE TARTRATE 6MG CAPSULES
(Rivastigmine Tartrate)
60 BOT 00591321160 58
PDPs
338
MAPDs
RIVASTIGMINE 9.5 MG/24HR PATCH
(Rivastigmine Tartrate)
30 EA   47781030503 50
PDPs
322
MAPDs
Rivelsa tablet
(Ethinyl Estradiol and Levonorgestrel)
    00093603182 13
PDPs
101
MAPDs
Rizatriptan 10 mg odt
(Rizatriptan Benzoate)
    00378370259 51
PDPs
314
MAPDs
Rizatriptan 10 mg tablet
(Rizatriptan Benzoate)
    51991035578 59
PDPs
316
MAPDs
Rizatriptan 5 mg odt
(Rizatriptan Benzoate)
    00378370159 51
PDPs
308
MAPDs
Rizatriptan 5 mg tablet
(Rizatriptan Benzoate)
    65862059912 59
PDPs
316
MAPDs
ROBINUL 0.4 MG/2 ML VIAL
(Glycopyrrolate)
    00641610525 1
PDPs
15
MAPDs
ROBINUL 1MG TABLET
(Glycopyrrolate)
100 TABS BOTPL 59630020010 4
PDPs
9
MAPDs
ROBINUL FORTE 2MG TABLET
(Glycopyrrolate)
100 TABS BOTPL 59630020510 4
PDPs
15
MAPDs
Rocaltrol 0.25ug GELATIN COATED 100 CAPSULE BOTTLE
(Calcitriol)
100 CAPSULE BOTTLE   30698014301 6
PDPs
11
MAPDs
Rocaltrol 0.5ug GELATIN COATED 100 CAPSULE BOTTLE
(Calcitriol)
100 CAPSULE BOTTLE   30698014401 6
PDPs
11
MAPDs
Rocaltrol 1ug/mL 15 mL in 1 BOTTLE
(Calcitriol)
15 mL in 1 BOTTLE   30698091115 6
PDPs
11
MAPDs
ROPINIROLE TAB 12MG ER
(Ropinirole)
    00228366103 22
PDPs
166
MAPDs
ROPINIROLE TAB 2MG ER
(Ropinirole)
    00228365809 22
PDPs
166
MAPDs
ROPINIROLE TAB 4MG ER
(Ropinirole)
    00228365903 22
PDPs
166
MAPDs
ROPINIROLE TAB 6MG ER
(Ropinirole)
    00228364003 22
PDPs
166
MAPDs
ROPINIROLE TAB 8MG ER
(Ropinirole)
    00228366003 22
PDPs
166
MAPDs
ROPINIROLE HYDROCLORIDE 0.25MG TABLET
(Ropinirole HCL)
100 BOT 00378552501 59
PDPs
341
MAPDs
ROPINIROLE HCL 0.5MG TABLET
(Ropinirole HCL)
100 BOT 00378555001 59
PDPs
341
MAPDs
ROPINIROLE HCL TABLET 1 MG
(Ropinirole HCL)
100 BOT 00378550101 59
PDPs
341
MAPDs
ROPINIROLE HCL TABLET 2 MG
(Ropinirole HCL)
100 BOT 00378550201 59
PDPs
341
MAPDs
ROPINIROLE HCL TABLET 3 MG
(Ropinirole HCL)
100 BOT 00378550301 59
PDPs
341
MAPDs
ROPINIROLE HCL TABLET 4 MG
(Ropinirole HCL)
100 BOT 00378550401 59
PDPs
341
MAPDs
ROPINIROLE HCL TABLET 5 MG
(Ropinirole HCL)
100 BOT 00378550501 59
PDPs
341
MAPDs
ROSUVASTATIN CALCIUM 10 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 EA   16252061690 54
PDPs
331
MAPDs
ROSUVASTATIN CALCIUM 20 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 EA   16252061790 54
PDPs
331
MAPDs
Rosuvastatin calcium 40 MG TABLET [Crestor]
(Rosuvastatin Calcium)
    16252061830 54
PDPs
331
MAPDs
ROSUVASTATIN CALCIUM 5 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 EA   16252061590 54
PDPs
331
MAPDs
ROTARIX VACCINE SUSPENSION
(live rotavirus vaccine)
    58160085452 59
PDPs
341
MAPDs
ROTATEQ VACCINE
(Rotavirus Vaccine, Live Oral Pentavalent)
10 X 2 ML TUBE 00006404741 59
PDPs
341
MAPDs
Roweepra 1,000 mg tablet
(Levetiracetam)
    69102010301 51
PDPs
292
MAPDs
Roweepra 500 mg tablet
(Levetiracetam)
    69102010101 57
PDPs
292
MAPDs
Roweepra 750 mg tablet
(Levetiracetam)
    69102010201 51
PDPs
292
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)
100 EA   23635058110 5
PDPs
10
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)
    23635058210 5
PDPs
10
MAPDs
ROXICODONE 5 MG TABLET
(Oxycodone HCl)
100 EA   23635058010 5
PDPs
10
MAPDs
ROZEREM 8MG TABLET (100 CT)
(Ramelteon)
100 BOT 64764080510 26
PDPs
241
MAPDs
RUBRACA 200 MG TABLET
(RUCAPARIB CAMSYLATE)
60.000 EA   69660020191 59
PDPs
341
MAPDs
RUBRACA 300 MG TABLET
(RUCAPARIB CAMSYLATE)
    69660020391 59
PDPs
341
MAPDs
RUCONEST 2,100 UNIT VIAL
(C1 Esterase Inhibitor (Recombinant))
    68012035001 14
PDPs
94
MAPDs
RYDAPT 25 MG CAPSULE
(Midostaurin)
    00078069819 59
PDPs
341
MAPDs
RYTARY ER 23.75 MG-95 MG CAP
(Levodopa and Carbidopa)
240 EA   64896066143 14
PDPs
59
MAPDs
RYTARY ER 36.25 MG-145 MG CAP
(Levodopa and Carbidopa)
240 EA   64896066243 14
PDPs
59
MAPDs
RYTARY ER 48.75 MG-195 MG CAP
(Levodopa and Carbidopa)
240 EA   64896066343 14
PDPs
59
MAPDs
RYTARY ER 61.25 MG-245 MG CAP
(Levodopa and Carbidopa)
240 EA   64896066443 14
PDPs
59
MAPDs
RYTHMOL SR 325mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE   00173082418 4
PDPs
9
MAPDs
RYTHMOL SR 225mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE   00173082318 4
PDPs
9
MAPDs
RYTHMOL SR 425mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE   00173082618 4
PDPs
9
MAPDs
RYVENT 6 MG TABLET
(Carbinoxamine Maleate)
    15370013010 0
PDPs
4
MAPDs
SEVELAMER CARBONATE 26.7 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
    58468013202 59
PDPs
316
MAPDs
Sevelamer Carbonate 26.7 MG/ML Oral Suspension [RENVELA]
(Sevelamer Carbonate)
    65862093008 31
PDPs
221
MAPDs
SEVELAMER CARBONATE 40 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
    58468013102 59
PDPs
319
MAPDs
Sevelamer Carbonate 40 MG/ML Oral Suspension [RENVELA]
(Sevelamer Carbonate)
    65862093190 31
PDPs
222
MAPDs
Sirolimus 0.5 MG Tablet [Rapamune]
()
    68382052001 59
PDPs
341
MAPDs
SIROLIMUS 1 MG TABLET [Rapamune]
()
100 EA   55111065301 59
PDPs
341
MAPDs
SIROLIMUS 2 MG TABLET [Rapamune]
()
100 EA   55111065401 59
PDPs
341
MAPDs
Tretinoin 0.0005 MG/MG Topical Gel
(Tretinoin)
    66530026245 17
PDPs
178
MAPDs
VARUBI 90 MG TABLET
(Rolapitant)
    69656010102 6
PDPs
76
MAPDs
XARELTO STARTER PACK
(Rivaroxaban)
51 EA   50458058451 59
PDPs
325
MAPDs
XARELTO 10 MG 10 BLISTER PACK per CARTON / 10 TABLET per BLISTER PACK
(rivaroxaban)
10 BLISTER PACK in 1 CART   50458058010 59
PDPs
339
MAPDs
XARELTO 15 MG TABLET
(rivaroxaban)
100 EA   50458057810 59
PDPs
339
MAPDs
XARELTO 20 MG TABLET
(rivaroxaban)
100 EA   50458057910 59
PDPs
339
MAPDs
XIFAXAN 200MG TABLET
(Rifaximin)
30 BOT 65649030103 28
PDPs
190
MAPDs
XIFAXAN 550MG TABLETS
(Rifaximin)
10 X 6 BLPK CRTN 65649030303 50
PDPs
282
MAPDs
ZANTAC 1,000 MG/40 ML VIAL
(Ranitidine HCl)
    52565009601 1
PDPs
18
MAPDs
ZANTAC 150 MG TABLET
(Ranitidine HCl)
60 EA   00173034442 4
PDPs
9
MAPDs
ZANTAC 300 MG TABLET
(Ranitidine HCl)
30 BOT 00173039340 4
PDPs
9
MAPDs



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


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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.