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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:
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

Top Medicare Drugs (Long List) in Alphabetical Order

Drug Name
Packaging NDC On This Nbr of 2017 Formularies
PDPs MAPDs
ABILIFY 10MG TABLET
(Aripiprazole)
30 BOT 59148000813 5
PDPs
19
MAPDs
ABILIFY 15MG TABLET
(Aripiprazole)
30 BOT 59148000913 5
PDPs
19
MAPDs
ABILIFY 2MG TABLET
(Aripiprazole)
30 BOX 59148000613 5
PDPs
19
MAPDs
ABILIFY 20MG TABLET
(Aripiprazole)
30 BOT 59148001013 5
PDPs
19
MAPDs
ABILIFY 30MG TABLET
(Aripiprazole)
30 BOT 59148001113 5
PDPs
19
MAPDs
ABILIFY MAINTENA ER 300 MG SYR
(Aripiprazole)
    59148004580 59
PDPs
332
MAPDs
ABILIFY MAINTENA ER 300 MG VL
(Aripiprazole)
1 EA   59148001871 59
PDPs
338
MAPDs
ABILIFY MAINTENA ER 400 MG SYR
(Aripiprazole)
    59148007280 59
PDPs
334
MAPDs
ABILIFY 5MG TABLET (OTSUKA)
(Aripiprazole)
30 BOT 59148000713 5
PDPs
19
MAPDs
ACTIQ 400MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050430 2
PDPs
13
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
ACTOPLUS MET 15MG/500MG TABLET
(Pioglitazone HCl-Metformin HCl)
60 BOT 64764015560 1
PDPs
10
MAPDs
ACTOS 15 MG TABLET
(Pioglitazone HCL)
    64764015104 6
PDPs
11
MAPDs
ACTOS 30 MG TABLET
(Pioglitazone HCL)
    64764030114 6
PDPs
11
MAPDs
ACTOS 45 MG TABLET
(Pioglitazone HCL)
    64764045124 6
PDPs
11
MAPDs
ADDERALL XR 20MG CAPSULE SA
(Amphetamine-Dextroamphetamine)
100 BOT 54092038701 4
PDPs
17
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)
60 DOSE INHL 00173069500 52
PDPs
329
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)
60 DOSE BLPK 00173069600 52
PDPs
329
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)
60 BLPK 00173069700 52
PDPs
329
MAPDs
ALPHAGAN P 0.15% EYE DROPS
(Brimonidine Tartrate Ophth)
15 ML BOTDR 00023917715 12
PDPs
45
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)
100 CAPS BOTPL 61570012001 6
PDPs
11
MAPDs
AMLODIPINE BESYLATE 10MG TABLET (90 CT)
(Amlodipine Besylate)
90 BOT 65862010390 59
PDPs
341
MAPDs
AMLODIPINE-BENAZEPRIL 10-40 MG
(Amlodipine Besylate-Benazepril HCl)
100 EA   65862058701 51
PDPs
333
MAPDs
AMLODIPINE BESYLATE-BENAZEPRIL 10MG-20MG CAPSULE
(Amlodipine Besylate)
100 CAP BOT 00093737301 51
PDPs
333
MAPDs
AMLODIPINE BESYLATE 2.5MG TABLET (90 CT)
(Amlodipine Besylate)
90 BOT 65862010190 59
PDPs
341
MAPDs
AMLODIPINE BESYLATE-BENAZEPRIL 2.5MG-10MG CAPSULE
(Amlodipine Besylate)
100 CAP BOT 00093737001 51
PDPs
333
MAPDs
AMLODIPINE BESYLATE 5MG TABLET (90 CT)
(Amlodipine Besylate)
90 BOT 65862010290 59
PDPs
341
MAPDs
AMLODIPINE-BENAZEPRIL 5-40 MG
(Amlodipine Besylate-Benazepril HCl)
500 EA   65862058505 51
PDPs
333
MAPDs
AMLODIPINE BESYLATE-BENAZEPRIL 5-10MG CAPSULE
(Amlodipine Besylate)
100 CAPS BOT 00093737101 51
PDPs
333
MAPDs
AMLODIPINE BESYLATE-BENAZEPRIL 5MG-20MG CAPSULE
(Amlodipine Besylate)
100 CAP BOT 00093737201 51
PDPs
333
MAPDs
ANDROGEL 1% (50MG) GEL PACKET
(Testosterone)
3O X 5GM PKT CRTN 00051845030 14
PDPs
56
MAPDs
ARICEPT 10MG TABLET
(Donepezil HCL)
30 BOT 62856024630 4
PDPs
9
MAPDs
ARIMIDEX 1MG TABLET
(Anastrozole)
30 BLPK 00310020130 5
PDPs
15
MAPDs
ATORVASTATIN 10 MG TABLET [Lipitor]
(Atorvastatin Calcium)
    00378395009 59
PDPs
341
MAPDs
ATORVASTATIN 20 MG TABLET [Lipitor]
(Atorvastatin Calcium)
    00378395109 59
PDPs
341
MAPDs
ATORVASTATIN 40 MG TABLET [Lipitor]
(Atorvastatin Calcium)
    00378395209 59
PDPs
341
MAPDs
ATORVASTATIN 80 MG TABLET [Lipitor]
(Atorvastatin Calcium)
    00378395309 59
PDPs
341
MAPDs
Atripla 600; 200; 300mg/1; mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Efavirenz-Emtricitabine-Tenofovir DF)
30 TABLET, FILM COATED in   15584010101 59
PDPs
341
MAPDs
AVODART 0.5MG SOFTGEL
(Dutasteride)
90 BOT 00173071204 9
PDPs
48
MAPDs
CASODEX 50mg 30 TABLET BOTTLE, PLASTIC
(Bicalutamide)
30 TABLET in 1 BOTTLE, PL   00310070530 5
PDPs
11
MAPDs
CLARINEX 5 MG TABLET
(Desloratadine)
100 BOT 00085126401 1
PDPs
23
MAPDs
CLOPIDOGREL 300 MG TABLET [Plavix]
(Clopidogrel)
    55111067131 25
PDPs
205
MAPDs
CLOPIDOGREL 75 MG TABLET [Plavix]
(Clopidogrel)
30 EA   00093731456 59
PDPs
341
MAPDs
COREG CR 10MG CAPSULE MULTIPHASIC RELEASE 24 HR
(Carvedilol Phosphate)
30 BOT 00007337013 18
PDPs
104
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
CYMBALTA 20MG CAPSULE
(Duloxetine HCl Enteric Coated Pellets)
60 BOT 00002323560 6
PDPs
12
MAPDs
CYMBALTA CAPSULES DELAYED RELEASE 30MG (30 CT)
(Duloxetine HCl Enteric Coated Pellets)
30 BOT 00002324030 6
PDPs
12
MAPDs
Cymbalta 60mg/1 1000 CAPSULE, DELAYED RELEASE in 1 BOTTLE
(Duloxetine HCl Enteric Coated Pellets)
1000 CAPSULE, DELAYED REL   00002327004 6
PDPs
12
MAPDs
DEPAKOTE 500MG TABLET EC
(Divalproex Sodium)
500 BOT 00074621553 5
PDPs
17
MAPDs
DEPAKOTE ER 500MG TABLET
(Divalproex Sodium)
100 BOT 00074712613 5
PDPs
20
MAPDs
DETROL LA 4MG CAPSULE SA
(Tolterodine Tartrate)
90 BOT 00009519102 5
PDPs
13
MAPDs
DIFFERIN 0.1% GEL
(Adapalene)
45 GM TUBE 00299591045 1
PDPs
8
MAPDs
DIOVAN HCT 160/12.5MG TABLET
(Valsartan)
90 BOT 00078031534 8
PDPs
14
MAPDs
DIOVAN HCT 320/12.5MG TABLET
(Valsartan)
90 BOT 00078047134 8
PDPs
14
MAPDs
DIOVAN HCT 80/12.5MG TABLET
(Valsartan)
90 BOT 00078031434 8
PDPs
14
MAPDs
DIOVAN 160MG TABLET
(Valsartan)
90 BOT 00078035934 6
PDPs
12
MAPDs
DIOVAN HCT 160/25MG TABLET
(Valsartan)
90 BOT 00078038334 8
PDPs
14
MAPDs
DIOVAN 320MG TABLET
(Valsartan)
90 BOT 00078036034 6
PDPs
12
MAPDs
DIOVAN HCT 320/25MG TABLET
(Valsartan)
90 BOT 00078047234 8
PDPs
14
MAPDs
DIOVAN 40MG TABLET
(Valsartan)
30 BOT 00078042315 6
PDPs
12
MAPDs
DIOVAN 80MG TABLET
(Valsartan)
90 BOX 00078035834 6
PDPs
12
MAPDs
DULOXETINE HCL DR 20 MG CAPSULE [Cymbalta]
()
    00093754206 59
PDPs
341
MAPDs
DULOXETINE HCL DR 30 MG CAPSULE [Cymbalta]
()
90 EA   68180029509 59
PDPs
341
MAPDs
DULOXETINE HCL DR 40 MG CAPSULE [Cymbalta]
()
    68180029706 25
PDPs
225
MAPDs
DULOXETINE HCL DR 60 MG CAPSULE [Cymbalta]
()
1000 EA   68180029603 59
PDPs
341
MAPDs
EFFEXOR XR 75MG CAPSULE ER 15 CAPSULES BOT
(Venlafaxine HCl)
15 CAPSULES BOT 00008083320 4
PDPs
9
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)
500 BOT 60951060285 59
PDPs
321
MAPDs
ESCITALOPRAM 10 MG TABLET [Lexapro]
(Escitalopram)
    00093585101 59
PDPs
341
MAPDs
ESCITALOPRAM 20 MG TABLET [Lexapro]
(Escitalopram)
    00093585201 59
PDPs
341
MAPDs
ESCITALOPRAM 5 MG TABLET [Lexapro]
(Escitalopram)
    00093585001 59
PDPs
341
MAPDs
ESCITALOPRAM OXALATE 5 MG/5 ML [Lexapro]
(Escitalopram)
    65162070588 59
PDPs
341
MAPDs
ESOMEPRAZOLE MAG DR 20 MG CAPSULE [Nexium]
()
    00093645098 41
PDPs
211
MAPDs
ESOMEPRAZOLE SODIUM 20 MG VIAL [Nexium]
()
1 EA   62756050844 47
PDPs
269
MAPDs
ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium]
()
1 EA   62756050944 49
PDPs
267
MAPDs
ESOMEPRAZOLE DR 49.3 MG CAPSULE [Nexium]
()
    00093645198 40
PDPs
210
MAPDs
FEMARA 2.5MG TABLET
(Letrozole)
30 BOT 00078024915 5
PDPs
11
MAPDs
FENTORA TABLET 100MCG
(Fentanyl Citrate)
28 BLPK 63459054128 19
PDPs
139
MAPDs
FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED in 1   00173071920 51
PDPs
327
MAPDs
FOCALIN XR 5MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078043005 1
PDPs
8
MAPDs
FOSAMAX 70MG TABLET
(Alendronate Sodium)
4 BLPK 00006003144 8
PDPs
11
MAPDs
FOSAMAX PLUS D 70; 5600mg/1; [iU]/1 4 TABLET per BLISTER PACK
(Alendronate Sodium-Cholecalciferol)
4 TABLET in 1 BLISTER PAC   00006027044 7
PDPs
101
MAPDs
Furosemide 10 ML 10 MG/ML Injection
(Furosemide)
    23155052144 59
PDPs
337
MAPDs
Furosemide 10mg/mL 10 CARTON in 1 CONTAINER / 1 SYRINGE, PLASTIC in 1 CARTON / 4 mL in 1 SYRINGE, P
(Furosemide)
10 CARTON in 1 CONTAINER   00409963104 56
PDPs
305
MAPDs
FUROSEMIDE 10MG/ML SOLUTION
(Furosemide)
120 ML BOT 00054329450 59
PDPs
329
MAPDs
FUROSEMIDE 20 MG TABLET
(Furosemide)
100 EA   63304062401 59
PDPs
341
MAPDs
FUROSEMIDE 40 MG TABLET
(Furosemide)
1000 EA   63304062510 59
PDPs
341
MAPDs
FUROSEMIDE 40MG/5ML TUBEX
(Furosemide)
500 ML BOT 00054329863 49
PDPs
291
MAPDs
FUROSEMIDE 80 MG TABLET
(Furosemide)
100 EA   00378023201 59
PDPs
341
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
3 EA   00074379903 58
PDPs
318
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
6 EA   00074379906 58
PDPs
314
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 59
PDPs
341
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 59
PDPs
338
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 38
PDPs
205
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 38
PDPs
206
MAPDs
Hydrocodone Acetaminophen 2.5-325
(Hydrocodone-Acetaminophen)
    13811065710 25
PDPs
231
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 10mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064301 26
PDPs
201
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064801 26
PDPs
204
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 7.5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064901 26
PDPs
209
MAPDs
Hydrocodone Acetaminophen 325; 10mg/1; mg/1 500 TABLET BOTTLE
(Hydrocodone-Acetaminophen)
500 TABLET in 1 BOTTLE   53746011005 59
PDPs
341
MAPDs
Hydrocodone Bitartrate and Acetaminophen 325; 7.5mg/15mL; mg/15mL
(Hydrocodone-Acetaminophen)
    64376064016 56
PDPs
290
MAPDs
HYZAAR 100-25MG TABLET (90 CT)
(Losartan Potassium & Hydrochlorothiazide)
90 BOT 00006074754 7
PDPs
14
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 59
PDPs
341
MAPDs
JANUMET 50MG-500MG TABLET
(Sitagliptin-Metformin HCl)
180 BOT 00006057562 55
PDPs
328
MAPDs
JANUVIA TABLET 100MG (30 CT)
(Sitagliptin Phosphate)
30 BOT 00006027731 55
PDPs
334
MAPDs
JANUVIA 25MG TABLET
(Sitagliptin Phosphate)
30 BOT 00006022131 55
PDPs
334
MAPDs
JANUVIA 50MG TABLET
(Sitagliptin Phosphate)
90 BOT 00006011254 55
PDPs
334
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT 00074679922 59
PDPs
341
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT 50474059540 5
PDPs
16
MAPDs
LAMICTAL 100MG TABLET
(Lamotrigine)
100 BOT 00173064255 5
PDPs
15
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
Levothyroxine 100 mcg tablet
(Levothyroxine Sodium)
    00378180977 59
PDPs
341
MAPDs
LEVOTHYROXINE 100 MCG VIAL
(Levothyroxine Sodium)
    63323064907 12
PDPs
94
MAPDs
LEVOTHYROXINE 112 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00378181177 59
PDPs
341
MAPDs
LEVOTHYROXINE 125 MCG TABLET
(Levothyroxine Sodium)
1000 EA   00378181310 59
PDPs
341
MAPDs
LEVOTHYROXINE 137 MCG TABLET
(Levothyroxine Sodium)
1000 EA   00378182310 59
PDPs
341
MAPDs
LEVOTHYROXINE 150 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378181510 59
PDPs
341
MAPDs
LEVOTHYROXINE 175 MCG TABLET
(Levothyroxine Sodium)
1000 EA   00378181710 59
PDPs
341
MAPDs
LEVOTHYROXINE 200 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378181910 59
PDPs
341
MAPDs
Levothyroxine 25 mcg tablet
(Levothyroxine Sodium)
    00378180077 59
PDPs
341
MAPDs
LEVOTHYROXINE 300 MCG TABLET
(Levothyroxine Sodium)
90 EA   00378182177 59
PDPs
341
MAPDs
LEVOTHYROXINE 50 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378180310 59
PDPs
341
MAPDs
LEVOTHYROXINE 75 MCG TABLET
(Levothyroxine Sodium)
1000 EA   00378180510 59
PDPs
341
MAPDs
LEVOTHYROXINE 88 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00378180777 59
PDPs
341
MAPDs
LEXAPRO 10MG TABLET
(Escitalopram Oxalate)
10 BOT 00456201001 4
PDPs
9
MAPDs
LEXAPRO 20MG TABLET
(Escitalopram Oxalate)
100 TABLETS BOT 00456202001 4
PDPs
9
MAPDs
LEXAPRO 5MG TABLET
(Escitalopram Oxalate)
100 BOT 00456200501 4
PDPs
9
MAPDs
LIPITOR 10MG TABLET
(Atorvastatin Calcium)
90 BOT 00071015523 7
PDPs
14
MAPDs
LIPITOR 20 MG TABLET
(Atorvastatin Calcium)
    00071015623 5
PDPs
12
MAPDs
LIPITOR 40MG TABLET (500 CT)
(Atorvastatin Calcium)
500 BOT 00071015773 5
PDPs
12
MAPDs
LIPITOR 80MG TABLET
(Atorvastatin Calcium)
500 BOT 00071015873 5
PDPs
12
MAPDs
LISINOPRIL 10MG TABLET (100 CT)
(Lisinopril)
100 BOT 00172375960 59
PDPs
341
MAPDs
Lisinopril with Hydrochlorothiazide 12.5; 10mg/1; mg/1 100 TABLET BOTTLE, PLASTIC
(Lisinopril)
100 TABLET in 1 BOTTLE, P   00143126201 59
PDPs
341
MAPDs
Lisinopril with Hydrochlorothiazide 12.5; 20mg/1; mg/1 100 TABLET BOTTLE, PLASTIC
(Lisinopril)
100 TABLET in 1 BOTTLE, P   00143126301 59
PDPs
341
MAPDs
LISINOPRIL 2.5 MG TABLET
(Lisinopril)
100 EA   00378207201 59
PDPs
341
MAPDs
LISINOPRIL 20 MG TABLET
(Lisinopril)
1000 EA   00378207510 59
PDPs
341
MAPDs
LISINOPRIL-HCTZ 20-25MG TABLET (100 CT)
(Lisinopril)
100 BOT 65862004501 59
PDPs
341
MAPDs
LISINOPRIL 30MG TABLET (100 CT)
(Lisinopril)
100 BOT 00591088501 59
PDPs
341
MAPDs
LISINOPRIL 40MG TABLET (500 CT)
(Lisinopril)
500 BOT 00591040905 59
PDPs
341
MAPDs
Lisinopril 5mg/1 1000 TABLET BOTTLE
(Lisinopril)
1000 TABLET in 1 BOTTLE   00603421032 59
PDPs
341
MAPDs
LYRICA 50MG CAPSULE
(Pregabalin)
90 BOT 00071101368 59
PDPs
341
MAPDs
MEMANTINE HCL 10 MG TABLET [Namenda]
(Memantine HCl)
500 EA   55111059705 59
PDPs
341
MAPDs
MEMANTINE HCL 2 MG/ML SOLUTION [Namenda]
(Memantine HCl)
    00527194313 58
PDPs
324
MAPDs
MEMANTINE HCL 5 MG TABLET [Namenda]
(Memantine HCl)
    55111059660 59
PDPs
341
MAPDs
Metformin HCL ER tab 1000mg
(Metformin HCl)
    68180033909 5
PDPs
42
MAPDs
METFORMIN HCL 1,000 MG TABLET
(Metformin HCl)
500 EA   43547035950 59
PDPs
341
MAPDs
METFORMIN ER 1,000 MG OSM-TAB
(Metformin HCl)
60 EA   00378600191 17
PDPs
128
MAPDs
24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet
(Metformin HCl)
    00378600291 21
PDPs
129
MAPDs
Metformin hcl 500 mg tablet
(Metformin HCl)
    23155010205 59
PDPs
341
MAPDs
Metformin HCL ER tab 500mg
(Metformin HCl)
    68180033801 9
PDPs
51
MAPDs
METFORMIN HCL ER 500 MG TABLET
(Metformin HCl)
100 EA   60505026001 59
PDPs
341
MAPDs
Metformin Hydrochloride 750mg/1
(Metformin HCl)
    60505132901 59
PDPs
341
MAPDs
METFORMIN HYDROCHLORIDE 850mg/1 100 TABLET BOTTLE
(Metformin HCl)
100 TABLET in 1 BOTTLE   57664043551 59
PDPs
341
MAPDs
Metoprolol Tartrate 1mg/mL 3 AMPULE in 1 CARTON / 5 mL in 1 AMPULE
(Metoprolol Tartrate)
3 AMPULE in 1 CARTON / 5   00409228505 48
PDPs
281
MAPDs
METOPROLOL TARTRATE 100 MG TAB
(Metoprolol Tartrate)
1000 EA   00378004710 59
PDPs
341
MAPDs
METOPROLOL TARTRATE 25MG TABLET (100 CT)
(Metoprolol Tartrate)
100 BOT 65862006201 59
PDPs
341
MAPDs
METOPROLOL TARTRATE INJ.USP 5MG/5ML CARPUJECT
(Metoprolol Tartrate)
    00409177835 45
PDPs
245
MAPDs
METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT)
(Metoprolol Tartrate)
1000 BOT 00378003210 59
PDPs
341
MAPDs
MICARDIS 80MG TABLET
(Telmisartan)
3 X 10 BLPK 00597004137 7
PDPs
27
MAPDs
MICARDIS HCT 80/12.5MG TABLET
(Telmisartan-Hydrochlorothiazide)
3 X 10 BLPK 00597004437 7
PDPs
27
MAPDs
MIRAPEX 0.25MG TABLET
(Pramipexole DiHCL)
90 BOT 00597018490 6
PDPs
11
MAPDs
NAMENDA XR TITRATION PACK
(Memantine HCl)
    00456340029 47
PDPs
275
MAPDs
NAMENDA 10MG TABLET
(Memantine HCl)
60 BOT 00456321060 10
PDPs
65
MAPDs
NAMENDA XR 14 MG CAPSULE
(Memantine HCl)
30 EA   00456341433 47
PDPs
273
MAPDs
NAMENDA XR 21 MG CAPSULE
(Memantine HCl)
    00456342133 47
PDPs
273
MAPDs
NAMENDA XR 28 MG CAPSULE
(Memantine HCl)
    00456342890 47
PDPs
273
MAPDs
NAMENDA 5MG TABLET
(Memantine HCl)
60 BOT 00456320560 10
PDPs
65
MAPDs
NAMENDA 5-10MG TITRATION PK
(Memantine HCl)
49 COUNT 00456320014 10
PDPs
70
MAPDs
NAMENDA XR 7 MG CAPSULE
(Memantine HCl)
    00456340733 47
PDPs
273
MAPDs
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON
(Esomeprazole Magnesium)
30 GRANULE, DELAYED RELEA   00186401001 31
PDPs
118
MAPDs
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
20 MG PKT X 30 PKT 00186402001 31
PDPs
120
MAPDs
NEXIUM 20MG CAPSULE
(Esomeprazole Magnesium)
90 BOT 00186502054 18
PDPs
15
MAPDs
NEXIUM DR 2.5 MG PACKET
(Esomeprazole Magnesium)
    00186402501 32
PDPs
120
MAPDs
NEXIUM IV 40MG VIAL
(Esomeprazole Magnesium)
10 VIALSD 00186604001 5
PDPs
18
MAPDs
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
40 MG PKT X 30 PKT 00186404001 31
PDPs
120
MAPDs
NEXIUM 40MG CAPSULE
(Esomeprazole Magnesium)
90 BOT 00186504054 18
PDPs
15
MAPDs
NEXIUM DR 5 MG PACKET
(Esomeprazole Magnesium)
    00186405001 32
PDPs
120
MAPDs
NIASPAN ER 500MG TABLET (90 CT)
(Niacin)
90 BOTPL 00074307490 5
PDPs
14
MAPDs
NORVIR 100mg/1 30 CAPSULE BOTTLE
(Ritonavir)
30 CAPSULE in 1 BOTTLE   00074663330 59
PDPs
341
MAPDs
NUVARING 0.12-0.015 RING VAGINAL
(Etonogestrel-Ethinyl Estradiol VA)
3 POU 00052027303 39
PDPs
229
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
3 X 28 PKG 00555913167 51
PDPs
268
MAPDs
OMEPRAZOLE 10MG CAPSULE DELAYED RELEASE (30 CT)
(Omeprazole)
30 BOT 00378521193 59
PDPs
340
MAPDs
Omeprazole 20mg DELAYED RELEASE 100 CAPSULE BOTTLE
(Omeprazole)
100 CAPSULE BOTTLE   00378615001 59
PDPs
341
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAP
(Omeprazole)
30 EA   16714050801 8
PDPs
62
MAPDs
Omeprazole-bicarb 20-1,680 pkt
(Omeprazole)
    27241002962 7
PDPs
64
MAPDs
OMEPRAZOLE CAPSULES DELAYED RELEASE 40 MG
(Omeprazole)
30 BOT 62175013632 59
PDPs
339
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAP
(Omeprazole)
30 EA   13107011630 8
PDPs
62
MAPDs
Omeprazole-bicarb 40-1,680 pkt
(Omeprazole)
    27241003062 7
PDPs
63
MAPDs
PATANOL 0.1% EYE DROPS
(Olopatadine HCl Ophth)
5 ML BOT 00065027105 9
PDPs
63
MAPDs
pioglitazone hcl 15 mg tablet [Actos]
(Pioglitazone HCL)
    00378004877 59
PDPs
341
MAPDs
pioglitazone hcl 30 mg tablet [Actos]
(Pioglitazone HCL)
    00378022893 59
PDPs
341
MAPDs
pioglitazone hcl 45 mg tablet [Actos]
(Pioglitazone HCL)
    00378031877 59
PDPs
341
MAPDs
PLAVIX TABLETS 300MG
(Clopidogrel Bisulfate)
    63653133202 2
PDPs
6
MAPDs
PLAVIX 75 MG TABLET
(Clopidogrel Bisulfate)
90.000 EA   63653117101 5
PDPs
9
MAPDs
PROVENTIL HFA INHALER 90MCG AE
(Albuterol Sulfate)
6.7 GM (200 INHALATIONS) CSTR 00085113201 4
PDPs
77
MAPDs
QUETIAPINE FUMARATE 100 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA   47335090488 59
PDPs
341
MAPDs
24 HR Quetiapine 150 MG Extended Release Oral Tablet [Seroquel]
(Quetiapine Fumarate)
    00406118160 44
PDPs
307
MAPDs
24 HR Quetiapine 200 MG Extended Release Oral Tablet [Seroquel]
(Quetiapine Fumarate)
    00406118260 44
PDPs
307
MAPDs
QUETIAPINE FUMARATE 200 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA   47335090588 59
PDPs
341
MAPDs
QUETIAPINE FUMARATE 25 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA   47335090288 59
PDPs
341
MAPDs
24 HR Quetiapine 300 MG Extended Release Oral Tablet [Seroquel]
(Quetiapine Fumarate)
    52817016360 44
PDPs
307
MAPDs
QUETIAPINE FUMARATE 300 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA   47335090688 59
PDPs
341
MAPDs
QUETIAPINE FUMARATE 400 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA   47335090788 59
PDPs
341
MAPDs
QUETIAPINE ER 400 MG TABLET [Seroquel]
(Quetiapine Fumarate)
60.000 EA   16729009712 45
PDPs
307
MAPDs
24 HR Quetiapine 50 MG Extended Release Oral Tablet [Seroquel]
(Quetiapine Fumarate)
    00406118060 44
PDPs
307
MAPDs
QUETIAPINE FUMARATE 50 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA   47335090388 59
PDPs
341
MAPDs
RELPAX 40MG TABLET 6X2 BLPK
(Eletriptan Hydrobromide)
6 X 2 BLPK 00049234005 19
PDPs
103
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
REYATAZ 150MG CAPSULE
(Atazanavir Sulfate)
100 BOT 00003362412 59
PDPs
341
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 1MG TABLET
(Risperidone)
500 BOT 50458030050 5
PDPs
11
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
SENSIPAR 30MG TABLET
(Cinacalcet HCl)
30 BOT 55513007330 59
PDPs
341
MAPDs
SEROQUEL 100MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027110 4
PDPs
9
MAPDs
SEROQUEL 200MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027210 4
PDPs
9
MAPDs
SEROQUEL 25MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027510 4
PDPs
9
MAPDs
SEROQUEL 300MG TABLET
(Quetiapine Fumarate)
60 BOT 00310027460 4
PDPs
9
MAPDs
SEROQUEL 400MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027910 4
PDPs
9
MAPDs
SEROQUEL 50MG TABLET (100 CT)
(Quetiapine Fumarate)
100 BOT 00310027810 4
PDPs
9
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 150MG 100 CRTN
(Quetiapine Fumarate)
100 CRTN 00310028139 29
PDPs
151
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 200MG 100 X 200 MG CRTN
(Quetiapine Fumarate)
100 X 200 MG CRTN 00310028239 29
PDPs
152
MAPDs
SEROQUEL XR 300MG TABLET 60X300MG BOT
(Quetiapine Fumarate)
60 X 300 MG BOT 00310028360 29
PDPs
152
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 400MG 100 X 400 MG CRTN
(Quetiapine Fumarate)
100 X 400 MG CRTN 00310028439 29
PDPs
149
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 50MG 100 TABS CRTN
(Quetiapine Fumarate)
100 TABS CRTN 00310028039 29
PDPs
151
MAPDs
SPIRIVA RESPIMAT INHAL SPRAY
(Tiotropium Bromide Monohydrate)
4 GM   00597010061 42
PDPs
279
MAPDs
STRATTERA 40MG CAPSULE
(Atomoxetine HCl)
30 BOT 00002322930 59
PDPs
339
MAPDs
SUSTIVA 600MG TABLET
(Efavirenz)
30 BOT 00056051030 59
PDPs
341
MAPDs
SYNTHROID 100MCG TABLET
(Levothyroxine Sodium)
1000 BOT 00074662419 51
PDPs
276
MAPDs
TARCEVA 150MG TABLET
(Erlotinib)
30 BOT 50242006401 59
PDPs
341
MAPDs
THALOMID 100MG CAPSULE 140 BOX
(Thalidomide)
140 BOX 59572021095 59
PDPs
341
MAPDs
TOBRADEX SUSPENSION OPHTHALMIC 0.1%/0.3% 5ML BOT
(Tobramycin Sulfate)
5 ML BOT 00065064705 5
PDPs
26
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)
100 BOT 00078033705 5
PDPs
17
MAPDs
TRUVADA 200/300MG TABLET
(Emtricitabine-Tenofovir Disoproxil Fumarate)
    61958070101 59
PDPs
341
MAPDs
VALCYTE 450MG TABLET
(Valganciclovir HCl)
60 TABLETS BOT 00004003822 5
PDPs
25
MAPDs
VALSARTAN 160 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90 EA   51660014290 59
PDPs
340
MAPDs
VALSARTAN 320 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90 EA   51660014390 59
PDPs
340
MAPDs
VALSARTAN 40 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 EA   51660014030 59
PDPs
340
MAPDs
VALSARTAN 80 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90 EA   51660014190 59
PDPs
340
MAPDs
VALSARTAN-HCTZ 160-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
500 EA   00378632205 57
PDPs
335
MAPDs
VALSARTAN-HCTZ 160-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90 EA   00378632377 57
PDPs
335
MAPDs
VALSARTAN-HCTZ 320-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
500 EA   00378632405 57
PDPs
335
MAPDs
VALSARTAN-HCTZ 320-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
500 EA   00378632505 57
PDPs
335
MAPDs
VALSARTAN-HCTZ 80-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90 EA   00378632177 57
PDPs
335
MAPDs
VALTREX 500MG TABLET
(Valacyclovir HCl)
90 BOT 00173093310 4
PDPs
9
MAPDs
VESICARE 5MG TABLET (90 CT)
(Solifenacin Succinate)
90 BOT 51248015003 42
PDPs
266
MAPDs
VIGAMOX 0.5% EYE DROPS
(Moxifloxacin HCl Ophth)
3 ML BOTPL 00065401303 52
PDPs
314
MAPDs
VIREAD 300MG TABLET
(Tenofovir Disoproxil Fumarate)
    61958040101 59
PDPs
341
MAPDs
VYVANSE 30MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT 59417010310 7
PDPs
93
MAPDs
WELCHOL 625MG TABLET
(Colesevelam HCl)
180 BOTPL 65597070118 45
PDPs
292
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)
2.5 ML BOTPL 00013830304 3
PDPs
10
MAPDs
YASMIN 28 3-0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
21 YELLOW + 7 WHITE X 3 BOX 50419040203 5
PDPs
29
MAPDs
YAZ 3-0.02MG TABLET
(Drospirenone-Ethinyl Estradiol)
24 X 3 BOX 50419040503 5
PDPs
32
MAPDs



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





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