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2017 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:

Drug Names Containing the Letter V 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
Azacitidine 100 mg vial [Vidaza]
()
    43598030562 59
PDPs
331
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)
60 EA   00173085910 55
PDPs
312
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)
60 EA   00173088210 55
PDPs
312
MAPDs
CALAN 120MG TABLET
(Verapamil HCl)
100 BOT 00025186131 6
PDPs
12
MAPDs
CALAN 80MG TABLET
(Verapamil HCl)
100 BOT 00025185131 4
PDPs
9
MAPDs
CALAN SR 120MG CAPLET SA
(Verapamil HCl)
100 BOT 00025190131 6
PDPs
11
MAPDs
CALAN SR 180MG CAPLET SA
(Verapamil HCl)
100 BOT 00025191131 4
PDPs
9
MAPDs
CALAN SR TABLET 240MG (500 CT)
(Verapamil HCl)
500 BOT 00025189151 4
PDPs
10
MAPDs
CAPRELSA 100mg/1 30 TABLET BOTTLE
(VANDETANIB)
30 TABLET in 1 BOTTLE, PL   00310782030 59
PDPs
341
MAPDs
CAPRELSA 300mg/1 30 TABLET BOTTLE
(VANDETANIB)
30 TABLET in 1 BOTTLE, PL   00310784030 59
PDPs
341
MAPDs
CHANTIX STARTING MONTH BOX
(Varenicline Tartrate)
53 EA   00069047103 59
PDPs
333
MAPDs
CHANTIX 0.5 MG TABLET
(Varenicline Tartrate)
56 TABLETS BOT 00069046856 59
PDPs
341
MAPDs
CHANTIX 1 MG CONT MONTH BOX
(Varenicline Tartrate)
    00069046903 59
PDPs
336
MAPDs
CHANTIX 1 MG TABLET
(Varenicline Tartrate)
56 TABLETS BOT 00069046956 59
PDPs
341
MAPDs
cidofovir 375 mg/5 ml vial [Vistide]
(Cidofovir IV)
    23155021631 30
PDPs
217
MAPDs
CLINDAMYCIN-TRETINOIN 1.2%-0.025% [Veltin, Ziana]
(Clindamycin Phosphate-Tretinoin)
60.000 GM   00472179060 11
PDPs
79
MAPDs
Depacon 100mg/mL 10 VIAL, SINGLE-DOSE in 1 PACKAGE / 5 mL in 1 VIAL, SINGLE-DOSE
(Valproate Sodium)
10 VIAL, SINGLE-DOSE in 1   00074156410 6
PDPs
32
MAPDs
DEPAKENE 250MG CAPSULE
(Valproic Acid)
100 BOT 00074568113 5
PDPs
18
MAPDs
Depakene 250mg/5mL 473 mL in 1 BOTTLE
(Valproic Acid)
473 mL in 1 BOTTLE   00074568216 2
PDPs
16
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
EFFEXOR XR 150 MG CAPSULE
(Venlafaxine HCl)
30 EA   00008083621 4
PDPs
9
MAPDs
EFFEXOR XR 37.5 MG CAPSULE
(Venlafaxine HCl)
    00008083720 4
PDPs
9
MAPDs
EFFEXOR XR 75MG CAPSULE ER 15 CAPSULES BOT
(Venlafaxine HCl)
15 CAPSULES BOT 00008083320 4
PDPs
9
MAPDs
ENTRESTO 24 MG-26 MG TABLET
(Sacubitril and Valsartan)
60 EA   00078065920 50
PDPs
294
MAPDs
ENTRESTO 49 MG-51 MG TABLET
(Sacubitril and Valsartan)
60 EA   00078077720 50
PDPs
294
MAPDs
ENTRESTO 97 MG-103 MG TABLET
(Sacubitril and Valsartan)
60 EA   00078069620 50
PDPs
294
MAPDs
EPCLUSA 400 MG-100 MG TABLET
(SOFOSBUVIR/VELPATASVIR)
28.000 EA   61958220101 45
PDPs
253
MAPDs
ERIVEDGE 150 MG CAPSULE
(vismodegib)
28 EA   50242014001 59
PDPs
341
MAPDs
Ezetimibe-Simvastatin 10-10 MG [Vytorin]
(Ezetimibe-Simvastatin)
    00115138508 31
PDPs
202
MAPDs
Ezetimibe-Simvastatin 10-20 MG [Vytorin]
(Ezetimibe-Simvastatin)
    00115138608 31
PDPs
202
MAPDs
Ezetimibe-Simvastatin 10-40 MG [Vytorin]
(Ezetimibe-Simvastatin)
    00115138708 31
PDPs
199
MAPDs
Ezetimibe-Simvastatin 10-80 MG [Vytorin]
(Ezetimibe-Simvastatin)
    00115138808 31
PDPs
201
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)
    70370104001 9
PDPs
89
MAPDs
QUADRACEL DTAP-IPV VIAL
(Diphtheria, Tetanus Toxoids, Acellular Pertussis, and Inactivated Poliovirus Vaccine)
    49281056258 59
PDPs
341
MAPDs
TRANDOLAPRIL-VERAPAMIL ER 1-240 MG
(Trandolapril-Verapamil HCl)
100 BOT 68462029401 17
PDPs
125
MAPDs
TRANDOLAPRIL-VERAPAMIL ER 2-180 MG
(Trandolapril-Verapamil HCl)
100 EA   68462029501 17
PDPs
125
MAPDs
TRANDOLAPRIL-VERAPAMIL ER 2-240 MG
(Trandolapril-Verapamil HCl)
100 EA   68462029601 17
PDPs
125
MAPDs
TRANDOLAPRIL-VERAPAMIL ER 4-240 MG
(Trandolapril-Verapamil HCl)
100 EA   68462032901 17
PDPs
125
MAPDs
TRINTELLIX 10 MG TABLET
(Vortioxetine)
30 EA   64764073030 59
PDPs
341
MAPDs
TRINTELLIX 20 MG TABLET
(Vortioxetine)
30 EA   64764075030 59
PDPs
341
MAPDs
TRINTELLIX 5 MG TABLET
(Vortioxetine)
30 EA   64764072030 59
PDPs
341
MAPDs
VAGIFEM 10 MCG VAGINAL TAB
(Estradiol Vaginal)
18 EA   00169517604 24
PDPs
145
MAPDs
VALACYCLOVIR 1000 MG ORAL TABLET
(Valacyclovir HCl)
    63304090530 59
PDPs
341
MAPDs
VALACYCLOVIR 500 MG ORAL TABLET
(Valacyclovir HCl)
    63304090430 59
PDPs
341
MAPDs
VALCHLOR 0.016% GEL
(Mechlorethamine Hydrochlorid)
60 GM   66215001660 59
PDPs
341
MAPDs
VALCYTE 450MG TABLET
(Valganciclovir HCl)
60 TABLETS BOT 00004003822 5
PDPs
25
MAPDs
VALCYTE FOR ORAL SOLUTION 50MG/ML
(Valganciclovir HCl)
100 ML X 1 BOTGL CRTN 00004003909 44
PDPs
218
MAPDs
VALGANCICLOVIR 450 MG TABLET [Valcyte]
(Valganciclovir HCl)
60 EA   55111076260 59
PDPs
341
MAPDs
VALGANCICLOVIR HCL 50 MG/ML [Valcyte]
(Valganciclovir HCl)
88.000 ML   00591257920 52
PDPs
284
MAPDs
Valium 10mg/1 500 TABLET BOTTLE, PLASTIC
(Diazepam)
500 TABLET in 1 BOTTLE, P   00140000614 1
PDPs
9
MAPDs
Valium 2mg/1 100 TABLET BOTTLE, PLASTIC
(Diazepam)
100 TABLET in 1 BOTTLE, P   00140000401 1
PDPs
9
MAPDs
Valium 5mg/1 500 TABLET BOTTLE, PLASTIC
(Diazepam)
500 TABLET in 1 BOTTLE, P   00140000514 1
PDPs
9
MAPDs
VALPROATE SODIUM 500 mg/5 ml vl
(Valproate Sodium)
    00143963701 59
PDPs
341
MAPDs
Valproic 250mg/1 100 CAPSULE, LIQUID FILLED in 1 BOTTLE
(Valproic)
100 CAPSULE, LIQUID FILLE   00591401201 59
PDPs
341
MAPDs
Valproic Acid 250mg/5mL 473 mL in 1 BOTTLE
(Valproic Acid)
473 mL in 1 BOTTLE   00603184158 59
PDPs
341
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 1GM CAPLET (90 CT)
(Valacyclovir HCl)
90 BOT 00173056510 4
PDPs
9
MAPDs
VALTREX 500MG TABLET
(Valacyclovir HCl)
90 BOT 00173093310 4
PDPs
9
MAPDs
VANATOL LQ ORAL SOLUTION
(Butalbital, Acetaminophen and Caffeine)
    58809082016 2
PDPs
24
MAPDs
VANCOCIN HCL 125 MG CAPSULE
(Vancomycin HCl For)
20 EA   62559031020 2
PDPs
19
MAPDs
VANCOCIN HCL 250 MG CAPSULE
(Vancomycin HCl For)
20 EA   62559031120 2
PDPs
19
MAPDs
VANCOMYCIN HCL INJECTION 10 X 1GM VIAL (STERILE )
(Vancomycin HCl For)
10 X 1 GM VIALGL 00409653301 59
PDPs
341
MAPDs
VANCOMYCIN HYDROCHLORIDE 100MG/ML 1 VIAL, PHARMACY BULK PACKAGE in 1 CASE / 95 mL in 1 VIAL, PHARMA
(Vancomycin)
1 VIAL, PHARMACY BULK PAC   00409651001 59
PDPs
333
MAPDs
VANCOMYCIN HCL 125 MG CAPSULE
(Vancomycin HCl in Dextrose)
    17478074102 59
PDPs
341
MAPDs
VANCOMYCIN HCL 250 MG CAPSULE
(Vancomycin HCl in Dextrose)
    17478074202 59
PDPs
339
MAPDs
VANCOMYCIN HYDROCHLORIDE 500MG/100ML INJECTION (STERILE)
(Vancomycin HCl For)
100 ML X 10 VIALSD TRAY 00409653401 59
PDPs
330
MAPDs
VANDAZOLE 0.75% GEL WITH APPLICATOR
(Metronidazole Vaginal)
70 GM TUBE 00245086070 55
PDPs
222
MAPDs
VANOS 0.1% CREAM
(Fluocinonide)
60 GM TUBE 99207052560 1
PDPs
8
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 59
PDPs
341
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 59
PDPs
341
MAPDs
Varicella-Zoster Immune Globulin 1.2 ML 104 UNT/ML Injection [Varizig]
(Varicella-Zoster Immune Globulin)
    70504012601 30
PDPs
154
MAPDs
VARIVAX VACCINE W/DILUENT
(Varicella Virus Vaccine Live Subcutaneous)
10X0.5ML(FOR EXPORT ALSO) VIALSD 00006482700 59
PDPs
341
MAPDs
VARUBI 90 MG TABLET
(Rolapitant)
    69656010102 6
PDPs
76
MAPDs
VASCEPA 0.5 GM CAPSULE
(icosapent ethyl)
    52937000340 54
PDPs
245
MAPDs
VASCEPA 1 GM CAPSULE
(icosapent ethyl)
120 EA   52937000120 54
PDPs
248
MAPDs
VASERETIC 10-25 MG TABLET
(Enalapril Maleate & Hydrochlorothiazide)
    00187014601 6
PDPs
11
MAPDs
VASOTEC 10 MG TABLET
(Enalapril Maleate)
    00187014210 4
PDPs
9
MAPDs
VASOTEC 2.5 MG TABLET
(Enalapril Maleate)
90 EA   00187014090 6
PDPs
11
MAPDs
VASOTEC 20 MG TABLET
(Enalapril Maleate)
90 EA   00187014390 4
PDPs
9
MAPDs
VASOTEC 5 MG TABLET
(Enalapril Maleate)
    00187014190 4
PDPs
9
MAPDs
VECAMYL 2.5 MG TABLET
(Mecamylamine Hydrochloride)
    69413055840 11
PDPs
55
MAPDs
Vectibix 100mg/5mL 1 VIAL, SINGLE-USE per CARTON / 5 mL in 1 VIAL, SINGLE-USE
(Panitumumab IV)
1 VIAL, SINGLE-USE in 1 C   55513095401 45
PDPs
234
MAPDs
VECTICAL OINTMENT 3MCG/GM 100 GM TUBE
(Calcitriol Ointment)
100 GM TUBE 00299201210 2
PDPs
30
MAPDs
VELCADE 3.5MG VIAL
(Bortezomib For)
1 VIALSU 63020004901 59
PDPs
341
MAPDs
Velivet Triphasic Regimen 3 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT per BLISTER PACK
(Desogest-Ethin Est)
3 POUCH in 1 CARTON / 1 B   00555905167 57
PDPs
313
MAPDs
VELPHORO 500 MG CHEWABLE TAB
(sucroferric oxyhydroxide)
    49230064551 17
PDPs
119
MAPDs
VELTASSA 16.8 GM POWDER PACKET
(Patiromer)
    53436016830 14
PDPs
146
MAPDs
VELTASSA 25.2 GM POWDER PACKET
(Patiromer)
    53436025201 14
PDPs
146
MAPDs
VELTASSA 8.4 GM POWDER PACKET
(Patiromer)
    53436008401 14
PDPs
146
MAPDs
VEMLIDY 25 MG TABLET
(TENOFOVIR ALAFENAMIDE FUMARATE)
30.000 EA   61958230101 35
PDPs
230
MAPDs
VENCLEXTA STARTING PACK
(Venetoclax)
    00074057928 59
PDPs
341
MAPDs
VENCLEXTA 10 MG TABLET
(Venetoclax)
    00074056111 59
PDPs
341
MAPDs
VENCLEXTA 100 MG TABLET
(Venetoclax)
    00074057611 59
PDPs
341
MAPDs
VENCLEXTA 50 MG TABLET
(Venetoclax)
    00074056607 59
PDPs
341
MAPDs
VENLAFAXINE HCL 100MG TABLET
(Venlafaxine HCl)
100 BOT 00093738301 59
PDPs
341
MAPDs
VENLAFAXINE HCL 25MG TABLET
(Venlafaxine HCl)
100 BOT 00093019901 59
PDPs
341
MAPDs
VENLAFAXINE HCL 37.5MG TABLET
(Venlafaxine HCl)
100 BOT 00093738001 59
PDPs
341
MAPDs
VENLAFAXINE HCL 50MG TABLET
(Venlafaxine HCl)
100 BOT 00093738101 59
PDPs
341
MAPDs
VENLAFAXINE HCL 75MG TABLET
(Venlafaxine HCl)
100 BOT 00093738201 59
PDPs
341
MAPDs
VENLAFAXINE HYDROCHLORIDE 150MG CAPSULES EXTENDED RELEASE
(Venlafaxine HCl)
90 BOT 00093738698 59
PDPs
341
MAPDs
VENLAFAXINE HYDROCHLORIDE 150MG TABLETS EXTENDED RELEASE
(Venlafaxine HCl)
90 BOT 41616075881 21
PDPs
202
MAPDs
24 HR Venlafaxine 225 MG Extended Release Oral Tablet
(Venlafaxine HCl)
    29033004690 10
PDPs
162
MAPDs
VENLAFAXINE HYDROCHLORIDE 37.5MG CAPSULES EXTENDED RELEASE
(Venlafaxine HCl)
30 BOT 00093738456 59
PDPs
341
MAPDs
VENLAFAXINE HYDROCHLORIDE 37.5MG TABLETS EXTENDED RELEASE
(Venlafaxine HCl)
30 BOT 41616076083 21
PDPs
202
MAPDs
VENLAFAXINE HYDROCHLORIDE 75MG CAPSULES EXTENDED RELEASE
(Venlafaxine HCl)
90 BOT 00093738598 59
PDPs
341
MAPDs
VENLAFAXINE HYDROCHLORIDE 75MG TABLETS EXTENDED RELEASE
(Venlafaxine HCl)
90 BOT 41616075981 21
PDPs
203
MAPDs
Ventavis 0.01mg/mL
(Iloprost)
    66215030230 51
PDPs
267
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
    66215030330 49
PDPs
264
MAPDs
VENTOLIN HFA 90MCG INHALER
(Albuterol Sulfate)
200 METERED INHALATIONS CSTR 00173068220 50
PDPs
294
MAPDs
VERAPAMIL 120MG CAP PELLET
(Verapamil HCl)
100 BOT 00378632001 53
PDPs
329
MAPDs
VERAPAMIL 180MG CAP PELLET
(Verapamil HCl)
100 BOT 00378638001 53
PDPs
329
MAPDs
VERAPAMIL 2.5MG/ML AMPUL
(Verapamil HCl)
5 X 2 ML AMP 00409401101 45
PDPs
251
MAPDs
VERAPAMIL 240MG CAP PELLET
(Verapamil HCl)
100 BOT 00378644001 53
PDPs
329
MAPDs
Verapamil Hydrochloride 240mg/1 500 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(Verapamil HCl)
500 TABLET, FILM COATED,   00378141105 59
PDPs
341
MAPDs
VERAPAMIL 40MG TABLET
(Verapamil HCl)
100 BOT 00591040401 59
PDPs
340
MAPDs
VERAPAMIL ER 100MG CAPSULE 24HR SR PELLETS
(Verapamil HCl)
100 BOT 00378620101 53
PDPs
319
MAPDs
VERAPAMIL ER 120 MG TABLET
(Verapamil HCl)
100 EA   00093304301 57
PDPs
336
MAPDs
VERAPAMIL ER 180 MG TABLET
(Verapamil HCl)
500 EA   00378218005 59
PDPs
341
MAPDs
VERAPAMIL ER 200MG CAPSULE 24HR SR PELLETS (100 CT)
(Verapamil HCl)
100 BOT 00378620201 53
PDPs
319
MAPDs
VERAPAMIL ER 300MG CAPSULE 24HR SR PELLETS
(Verapamil HCl)
500 BOT 00378620305 53
PDPs
319
MAPDs
VERAPAMIL HCL 120MG TABLET
(Verapamil HCl)
1000 BOT 00591034510 59
PDPs
341
MAPDs
VERAPAMIL HCL 360MG CAPSULES SUSTAINED RELEASE
(Verapamil HCl)
11 KG BOT 00591288601 53
PDPs
326
MAPDs
VERAPAMIL HCL 80MG TABLET
(Verapamil HCl)
500 BOT 00591034305 59
PDPs
341
MAPDs
VEREGEN 15% OINTMENT
(Sinecatechins)
    10337045003 8
PDPs
83
MAPDs
VERELAN 120 MG CAP PELLET
(Verapamil HCl)
    62175058037 4
PDPs
10
MAPDs
VERELAN 180 MG CAP PELLET
(Verapamil HCl)
    62175058137 4
PDPs
10
MAPDs
VERELAN 240 MG CAP PELLET
(Verapamil HCl)
    62175058237 4
PDPs
10
MAPDs
VERELAN 360 MG CAP PELLET
(Verapamil HCl)
    62175058337 4
PDPs
10
MAPDs
VERELAN PM 100 MG CAP PELLET
(Verapamil HCl)
    62175057037 4
PDPs
10
MAPDs
VERELAN PM 200 MG CAP PELLET
(Verapamil HCl)
    62175057137 4
PDPs
10
MAPDs
VERELAN PM 300 MG CAP PELLET
(Verapamil HCl)
    62175057237 4
PDPs
10
MAPDs
VERIPRED 20 20 MG/5 ML SOLN
(Prednisolone)
237 ML   23594091508 10
PDPs
92
MAPDs
VERSACLOZ 50 MG/ML SUSPENSION
(clozapine)
100 ML   18860012101 59
PDPs
341
MAPDs
VESICARE 10MG TABLET
(Solifenacin Succinate)
90 BOT 51248015103 42
PDPs
266
MAPDs
VESICARE 5MG TABLET (90 CT)
(Solifenacin Succinate)
90 BOT 51248015003 42
PDPs
266
MAPDs
Vestura 3 mg-0.02 mg tablet
(DROSPIRENONE AND ETHINYL ESTRADIOL)
    52544098228 50
PDPs
271
MAPDs
VFEND 200MG TABLET
(Voriconazole)
30 BOT 00049318030 2
PDPs
18
MAPDs
VFEND 40MG/ML SUSPENSION
(Voriconazole)
45G BOT 00049316044 2
PDPs
16
MAPDs
VFEND 50MG TABLET
(Voriconazole)
30 BOT 00049317030 2
PDPs
18
MAPDs
VFEND IV 200MG VIAL
(Voriconazole)
1 VIAL 00049319028 4
PDPs
13
MAPDs
VIBATIV 750 MG VIAL
(Telavancin HCl)
    62847000101 12
PDPs
64
MAPDs
VIBERZI 100 MG TABLET
(Eluxadoline)
    61874010060 13
PDPs
116
MAPDs
VIBERZI 75 MG TABLET
(Eluxadoline)
    61874007560 13
PDPs
116
MAPDs
VIBRAMYCIN 100MG CAPSULE
(Doxycycline Hyclate)
50 BOT 00069095050 4
PDPs
9
MAPDs
VIBRAMYCIN 25MG/5ML SUSP
(Doxycycline Hyclate)
60 CC BOT 00069097065 1
PDPs
8
MAPDs
VIBRAMYCIN 50MG/5ML SYRUP
(Doxycycline Hyclate)
1 PT BOT 00069097193 15
PDPs
87
MAPDs
VICODIN 5-300 MG TABLET
(Hydrocodone-Acetaminophen)
500 EA   00074304153 23
PDPs
161
MAPDs
VICODIN ES 7.5-300 MG TABLET
(Hydrocodone-Acetaminophen)
100 EA   00074304313 23
PDPs
160
MAPDs
VICODIN HP 10-300 MG TABLET
(Hydrocodone-Acetaminophen)
500 EA   00074305453 23
PDPs
155
MAPDs
VICTOZA 3-PAK 18 MG/3 ML PEN
(Liraglutide)
9ML   00169406013 51
PDPs
315
MAPDs
VIDAZA FOR INJECTION 100MG/VIAL 1 VIALSU
(Azacitidine For)
1 VIALSU 59572010201 2
PDPs
27
MAPDs
VIDEX EC 125MG CAPSULE SA
(Didanosine Chew)
30 BOT 00087667117 5
PDPs
15
MAPDs
VIDEX EC 200MG CAPSULE SA
(Didanosine Chew)
30 BOT 00087667217 5
PDPs
13
MAPDs
VIDEX EC 250MG CAPSULE SA
(Didanosine Chew)
30 BOT 00087667317 5
PDPs
13
MAPDs
VIDEX EC 400MG CAPSULE SA
(Didanosine Chew)
30 BOT 00087667417 5
PDPs
13
MAPDs
VIDEX 2GM PEDIATRIC TUBEX
(Didanosine Chew)
1 BOTTLE CRTN 00087663241 59
PDPs
341
MAPDs
VIEKIRA XR TABLET
(Ombitasvir and Paritaprevir and Ritonavir and Dasabuvir)
    00074006328 25
PDPs
118
MAPDs
VIEKIRA PAK
(Dasabuvir and Ombitasvir and Paritaprevir and Ritonavir)
    00074309328 25
PDPs
124
MAPDs
VIENVA-28 TABLET
(levonorgestrel and ethinyl estradiol)
    00781557515 51
PDPs
287
MAPDs
VIGABATRIN 50 MG/ML ORAL SOLUTION [SABRIL]
(Vigabatrin)
    67386021165 59
PDPs
341
MAPDs
VIGABATRIN 500 MG ORAL TABLET [SABRIL]
(Vigabatrin)
    67386011101 59
PDPs
341
MAPDs
VIGAMOX 0.5% EYE DROPS
(Moxifloxacin HCl Ophth)
3 ML BOTPL 00065401303 52
PDPs
314
MAPDs
VIIBRYD 10mg/1 30 FILM COATED TABLETS in BOTTLE
(VILAZODONE HYDROCHLORIDE)
30 TABLET, FILM COATED in   00456111030 59
PDPs
341
MAPDs
VIIBRYD 10-20 MG STARTER PACK
(VILAZODONE HYDROCHLORIDE)
    00456110130 59
PDPs
336
MAPDs
VIIBRYD 20mg/1 30 FILM COATED TABLETS in BOTTLE
(VILAZODONE HYDROCHLORIDE)
30 TABLET, FILM COATED in   00456112030 59
PDPs
341
MAPDs
VIIBRYD 40mg/1 30 FILM COATED TABLETS in BOTTLE
(VILAZODONE HYDROCHLORIDE)
30 TABLET, FILM COATED in   00456114030 59
PDPs
341
MAPDs
VIMOVO 375-20 MG TABLET
(Naproxen-Esomeprazole Magnesium)
    75987003104 4
PDPs
24
MAPDs
VIMOVO 500-20 MG TABLET
(Naproxen-Esomeprazole Magnesium)
    75987003004 4
PDPs
24
MAPDs
Vimpat 10mg/mL 10 VIAL, GLASS per CARTON / 20 mL in 1 VIAL, GLASS
(Lacosamide)
10 VIAL, GLASS in 1 CARTO   00131181067 59
PDPs
341
MAPDs
VIMPAT 10 MG/ML SOLUTION
(Lacosamide)
465 ML   00131541070 59
PDPs
341
MAPDs
Vimpat 100mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED in   00131247835 57
PDPs
341
MAPDs
Vimpat 150mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED in   00131247935 59
PDPs
341
MAPDs
Vimpat 200mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED in   00131248035 59
PDPs
341
MAPDs
Vimpat 50mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED in   00131247735 59
PDPs
341
MAPDs
VINBLASTINE 1 MG/ML VIAL
(Vinblastine)
10 ML   63323027810 50
PDPs
287
MAPDs
VINCRISTINE 1MG/ML VIAL
(Vincristine)
1 X 1 ML VIALSD 61703030906 50
PDPs
288
MAPDs
VINCRISTINE 1MG/ML VIAL
(Vincristine)
1 X 1ML PKG 00703440211 50
PDPs
262
MAPDs
VINORELBINE 10MG/ML VIAL 5ML VIAL
(Vinorelbine Tartrate)
1 X 5 ML VIAL 00703418301 51
PDPs
307
MAPDs
VIOKACE 10,440-39,150 UNITS TB
(pancrelipase)
100 EA   58914011210 14
PDPs
83
MAPDs
VIOKACE 20,880-78,300 UNITS TB
(pancrelipase)
100 EA   58914011710 14
PDPs
83
MAPDs
VIRACEPT 250MG TABLET
(Nelfinavir Mesylate)
300 BOT 63010001030 59
PDPs
341
MAPDs
VIRACEPT 625MG TABLET
(Nelfinavir Mesylate)
120 BOT 63010002770 59
PDPs
341
MAPDs
VIRAMUNE XR 100 MG TABLET
(Nevirapine)
    00597012990 14
PDPs
38
MAPDs
VIRAMUNE 200MG TABLET
(Nevirapine)
60 BOT 00597004660 1
PDPs
16
MAPDs
Viramune 400mg/1 30 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Nevirapine)
30 TABLET, EXTENDED RELEA   00597012330 5
PDPs
15
MAPDs
VIRAMUNE 50MG/5ML SUSP
(Nevirapine)
240 ML BOT 00597004724 15
PDPs
71
MAPDs
VIREAD POWDER
(Tenofovir Disoproxil Fumarate)
    61958040301 59
PDPs
341
MAPDs
VIREAD 150 MG TABLET
(Tenofovir Disoproxil Fumarate)
30 EA   61958040401 59
PDPs
341
MAPDs
VIREAD 200 MG TABLET
(Tenofovir Disoproxil Fumarate)
30 EA   61958040501 59
PDPs
341
MAPDs
VIREAD 250 MG TABLET
(Tenofovir Disoproxil Fumarate)
30 EA   61958040601 59
PDPs
341
MAPDs
VIREAD 300MG TABLET
(Tenofovir Disoproxil Fumarate)
    61958040101 59
PDPs
341
MAPDs
VIROPTIC 1% EYE DROPS
(Trifluridine Ophth)
7.5 ML BOX 61570003775 4
PDPs
9
MAPDs
VISTARIL 25MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069541066 0
PDPs
5
MAPDs
VISTARIL 50MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069542066 0
PDPs
5
MAPDs
Vivelle Dot 0.025mg/d 3 PACKET per CARTON / 8 POUCH in 1 PACKET / 1 PATCH in 1 POUCH / 3.5 d in 1
(Estradiol)
3 PACKET in 1 CARTON / 8   00078036545 2
PDPs
42
MAPDs
Vivelle Dot 0.0375mg/d 3 PACKET per CARTON / 8 POUCH in 1 PACKET / 1 PATCH in 1 POUCH / 3.5 d in 1
(Estradiol)
3 PACKET in 1 CARTON / 8   00078034345 2
PDPs
43
MAPDs
Vivelle Dot 0.05mg/d 3 PACKET per CARTON / 8 POUCH in 1 PACKET / 1 PATCH in 1 POUCH / 3.5 d in 1 P
(Estradiol)
3 PACKET in 1 CARTON / 8   00078034445 2
PDPs
43
MAPDs
Vivelle Dot 0.1mg/d 3 PACKET per CARTON / 8 POUCH in 1 PACKET / 1 PATCH in 1 POUCH / 3.5 d in 1 PA
(Estradiol)
3 PACKET in 1 CARTON / 8   00078034645 2
PDPs
43
MAPDs
VIVELLE-DOT 0.075MG PATCH 1X3X8 POUCH CRTN
(Estradiol)
1X3X8 POUCH CRTN 00078034545 2
PDPs
43
MAPDs
VIVITROL INJECTABLE SUSPENSION 380MG/VIAL
(Naltrexone For IM ER)
    65757030001 22
PDPs
120
MAPDs
VIVLODEX 10 MG CAPSULE
(Meloxicam)
    42211020623 2
PDPs
19
MAPDs
VIVLODEX 5 MG CAPSULE
(Meloxicam)
    42211020523 2
PDPs
19
MAPDs
VOGELXO 12.5 MG/1.25 GRAM PUMP
(Testosterone)
    00245087240 2
PDPs
21
MAPDs
VOGELXO 50 MG/5 GRAM GEL
(Testosterone)
    00245087105 3
PDPs
31
MAPDs
VOLTAREN 1% GEL
(Diclofenac Sodium)
    63481068447 37
PDPs
146
MAPDs
VORICONAZOLE 200 MG VIAL
(VORICONAZOLE)
1 EA   00781341694 59
PDPs
341
MAPDs
Voriconazole 200mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(VORICONAZOLE)
30 TABLET, FILM COATED in   00378164093 59
PDPs
341
MAPDs
Voriconazole 40 mg/ml susp
(VORICONAZOLE)
    00378627045 59
PDPs
341
MAPDs
Voriconazole 50mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(VORICONAZOLE)
30 TABLET, FILM COATED in   00378162693 59
PDPs
330
MAPDs
VOTRIENT 200 MG TABLET
(Pazopanib HCl)
    00078067066 59
PDPs
341
MAPDs
VPRIV INJECTION SOLUTION 2.5 MG/ML
(Velaglucerase Alfa For)
4 ML X 1 VIALGL BOX 54092070104 37
PDPs
272
MAPDs
VRAYLAR 1.5 MG CAP
(Cariprazine)
30 EA   61874011530 59
PDPs
341
MAPDs
VRAYLAR 1.5 MG-3 MG PACK
(Cariprazine)
    61874017008 49
PDPs
311
MAPDs
VRAYLAR 3 MG CAP
(Cariprazine)
30 EA   61874013030 59
PDPs
341
MAPDs
VRAYLAR 4.5 MG CAP
(Cariprazine)
30 EA   61874014530 59
PDPs
341
MAPDs
VRAYLAR 6 MG CAP
(Cariprazine)
30 EA   61874016030 59
PDPs
341
MAPDs
Vyfemla 28 tablet
(norethindrone and ethinyl estradiol)
28 EA   68180087513 49
PDPs
292
MAPDs
VYTORIN 10/10MG TABLET (1000 CT)
(Ezetimibe-Simvastatin)
1000 BOT 66582031182 23
PDPs
160
MAPDs
VYTORIN 10/20MG TABLET (1000 CT)
(Ezetimibe-Simvastatin)
1000 BOT 66582031282 23
PDPs
160
MAPDs
VYTORIN 10/40MG TABLET (500 CT)
(Ezetimibe-Simvastatin)
500 BOT 66582031374 23
PDPs
161
MAPDs
VYTORIN 10/80MG TABLET 2500 BOT
(Ezetimibe-Simvastatin)
2500 BOT 66582031566 23
PDPs
160
MAPDs
VYVANSE 10 MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 EA   59417010110 7
PDPs
92
MAPDs
VYVANSE 10 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011501 6
PDPs
59
MAPDs
VYVANSE CAPSULES 20MG 100 BOT
(Lisdexamfetamine Dimesylate)
100 BOT 59417010210 7
PDPs
93
MAPDs
VYVANSE 20 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011601 6
PDPs
59
MAPDs
VYVANSE 30MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT 59417010310 7
PDPs
93
MAPDs
VYVANSE 30 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011701 6
PDPs
59
MAPDs
VYVANSE 40MG CAPSULE 100 EA
(Lisdexamfetamine Dimesylate)
    59417010410 7
PDPs
93
MAPDs
VYVANSE 40 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011801 6
PDPs
59
MAPDs
VYVANSE 50MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT 59417010510 7
PDPs
93
MAPDs
VYVANSE 50 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011901 6
PDPs
59
MAPDs
VYVANSE CAPSULES 60MG 100 BOT
(Lisdexamfetamine Dimesylate)
100 BOT 59417010610 7
PDPs
93
MAPDs
VYVANSE 60 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417012001 6
PDPs
59
MAPDs
VYVANSE 70MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT 59417010710 7
PDPs
93
MAPDs
ZELBORAF 240mg/1 1 BOTTLE, PLASTIC per CARTON / 120 FILM COATED TABLETS in BOTTLE, PLASTIC
(VEMURAFENIB)
1 BOTTLE, PLASTIC in 1 CA   50242009001 59
PDPs
341
MAPDs
Zenchent 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(ethinyl estradiol and norethindrone)
6 BLISTER PACK in 1 CARTO   52544095328 53
PDPs
293
MAPDs
ZOLINZA 100MG CAPSULE
(Vorinostat)
120 BOT 00006056840 59
PDPs
341
MAPDs
ZONTIVITY 2.08 MG TABLET
(Vorapaxar)
    70347020830 29
PDPs
152
MAPDs



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


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  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
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  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
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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.