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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
PackagingNDCOn This Nbr of 2017 Formularies
PDPsMAPDs
Azacitidine 100 mg vial [Vidaza]
()
   4359803056259
PDPs
331
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)
60 EA  0017308591055
PDPs
312
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)
60 EA  0017308821055
PDPs
312
MAPDs
CALAN 120MG TABLET
(Verapamil HCl)
100 BOT000251861316
PDPs
12
MAPDs
CALAN 80MG TABLET
(Verapamil HCl)
100 BOT000251851314
PDPs
9
MAPDs
CALAN SR 120MG CAPLET SA
(Verapamil HCl)
100 BOT000251901316
PDPs
11
MAPDs
CALAN SR 180MG CAPLET SA
(Verapamil HCl)
100 BOT000251911314
PDPs
9
MAPDs
CALAN SR TABLET 240MG (500 CT)
(Verapamil HCl)
500 BOT000251891514
PDPs
10
MAPDs
CAPRELSA 100mg/1 30 TABLET BOTTLE
(VANDETANIB)
30 TABLET in 1 BOTTLE, PL  0031078203059
PDPs
341
MAPDs
CAPRELSA 300mg/1 30 TABLET BOTTLE
(VANDETANIB)
30 TABLET in 1 BOTTLE, PL  0031078403059
PDPs
341
MAPDs
CHANTIX STARTING MONTH BOX
(Varenicline Tartrate)
53 EA  0006904710359
PDPs
333
MAPDs
CHANTIX 0.5 MG TABLET
(Varenicline Tartrate)
56 TABLETS BOT0006904685659
PDPs
341
MAPDs
CHANTIX 1 MG CONT MONTH BOX
(Varenicline Tartrate)
   0006904690359
PDPs
336
MAPDs
CHANTIX 1 MG TABLET
(Varenicline Tartrate)
56 TABLETS BOT0006904695659
PDPs
341
MAPDs
cidofovir 375 mg/5 ml vial [Vistide]
(Cidofovir IV)
   2315502163130
PDPs
217
MAPDs
CLINDAMYCIN-TRETINOIN 1.2%-0.025% [Veltin, Ziana]
(Clindamycin Phosphate-Tretinoin)
60.000 GM  0047217906011
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  000741564106
PDPs
32
MAPDs
DEPAKENE 250MG CAPSULE
(Valproic Acid)
100 BOT000745681135
PDPs
18
MAPDs
Depakene 250mg/5mL 473 mL in 1 BOTTLE
(Valproic Acid)
473 mL in 1 BOTTLE  000745682162
PDPs
16
MAPDs
DIOVAN HCT 160/12.5MG TABLET
(Valsartan)
90 BOT000780315348
PDPs
14
MAPDs
DIOVAN HCT 320/12.5MG TABLET
(Valsartan)
90 BOT000780471348
PDPs
14
MAPDs
DIOVAN HCT 80/12.5MG TABLET
(Valsartan)
90 BOT000780314348
PDPs
14
MAPDs
DIOVAN 160MG TABLET
(Valsartan)
90 BOT000780359346
PDPs
12
MAPDs
DIOVAN HCT 160/25MG TABLET
(Valsartan)
90 BOT000780383348
PDPs
14
MAPDs
DIOVAN 320MG TABLET
(Valsartan)
90 BOT000780360346
PDPs
12
MAPDs
DIOVAN HCT 320/25MG TABLET
(Valsartan)
90 BOT000780472348
PDPs
14
MAPDs
DIOVAN 40MG TABLET
(Valsartan)
30 BOT000780423156
PDPs
12
MAPDs
DIOVAN 80MG TABLET
(Valsartan)
90 BOX000780358346
PDPs
12
MAPDs
EFFEXOR XR 150 MG CAPSULE
(Venlafaxine HCl)
30 EA  000080836214
PDPs
9
MAPDs
EFFEXOR XR 37.5 MG CAPSULE
(Venlafaxine HCl)
   000080837204
PDPs
9
MAPDs
EFFEXOR XR 75MG CAPSULE ER 15 CAPSULES BOT
(Venlafaxine HCl)
15 CAPSULES BOT000080833204
PDPs
9
MAPDs
ENTRESTO 24 MG-26 MG TABLET
(Sacubitril and Valsartan)
60 EA  0007806592050
PDPs
291
MAPDs
ENTRESTO 49 MG-51 MG TABLET
(Sacubitril and Valsartan)
60 EA  0007807772050
PDPs
291
MAPDs
ENTRESTO 97 MG-103 MG TABLET
(Sacubitril and Valsartan)
60 EA  0007806962050
PDPs
291
MAPDs
EPCLUSA 400 MG-100 MG TABLET
(SOFOSBUVIR/VELPATASVIR)
28.000 EA  6195822010145
PDPs
253
MAPDs
ERIVEDGE 150 MG CAPSULE
(vismodegib)
28 EA  5024201400159
PDPs
341
MAPDs
Ezetimibe-Simvastatin 10-10 MG [Vytorin]
(Ezetimibe-Simvastatin)
   0011513850831
PDPs
199
MAPDs
Ezetimibe-Simvastatin 10-20 MG [Vytorin]
(Ezetimibe-Simvastatin)
   0011513860831
PDPs
199
MAPDs
Ezetimibe-Simvastatin 10-40 MG [Vytorin]
(Ezetimibe-Simvastatin)
   0011513870831
PDPs
196
MAPDs
Ezetimibe-Simvastatin 10-80 MG [Vytorin]
(Ezetimibe-Simvastatin)
   0011513880831
PDPs
198
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)
   703701040016
PDPs
69
MAPDs
QUADRACEL DTAP-IPV VIAL
(Diphtheria, Tetanus Toxoids, Acellular Pertussis, and Inactivated Poliovirus Vaccine)
   4928105625859
PDPs
341
MAPDs
TRANDOLAPRIL-VERAPAMIL ER 1-240 MG
(Trandolapril-Verapamil HCl)
100 BOT 6846202940117
PDPs
123
MAPDs
TRANDOLAPRIL-VERAPAMIL ER 2-180 MG
(Trandolapril-Verapamil HCl)
100 EA  6846202950117
PDPs
123
MAPDs
TRANDOLAPRIL-VERAPAMIL ER 2-240 MG
(Trandolapril-Verapamil HCl)
100 EA  6846202960117
PDPs
123
MAPDs
TRANDOLAPRIL-VERAPAMIL ER 4-240 MG
(Trandolapril-Verapamil HCl)
100 EA  6846203290117
PDPs
123
MAPDs
TRINTELLIX 10 MG TABLET
(Vortioxetine)
30 EA  6476407303059
PDPs
341
MAPDs
TRINTELLIX 20 MG TABLET
(Vortioxetine)
30 EA  6476407503059
PDPs
341
MAPDs
TRINTELLIX 5 MG TABLET
(Vortioxetine)
30 EA  6476407203059
PDPs
341
MAPDs
VAGIFEM 10 MCG VAGINAL TAB
(Estradiol Vaginal)
18 EA  0016951760424
PDPs
145
MAPDs
VALACYCLOVIR 1000 MG ORAL TABLET
(Valacyclovir HCl)
   6330409053059
PDPs
341
MAPDs
VALACYCLOVIR 500 MG ORAL TABLET
(Valacyclovir HCl)
   6330409043059
PDPs
341
MAPDs
VALCHLOR 0.016% GEL
(Mechlorethamine Hydrochlorid)
60 GM  6621500166059
PDPs
341
MAPDs
VALCYTE 450MG TABLET
(Valganciclovir HCl)
60 TABLETS BOT000040038225
PDPs
25
MAPDs
VALCYTE FOR ORAL SOLUTION 50MG/ML
(Valganciclovir HCl)
100 ML X 1 BOTGL CRTN0000400390944
PDPs
218
MAPDs
VALGANCICLOVIR 450 MG TABLET [Valcyte]
(Valganciclovir HCl)
60 EA  5511107626059
PDPs
341
MAPDs
VALGANCICLOVIR HCL 50 MG/ML [Valcyte]
(Valganciclovir HCl)
88.000 ML  0059125792052
PDPs
284
MAPDs
Valium 10mg/1 500 TABLET BOTTLE, PLASTIC
(Diazepam)
500 TABLET in 1 BOTTLE, P  001400006141
PDPs
9
MAPDs
Valium 2mg/1 100 TABLET BOTTLE, PLASTIC
(Diazepam)
100 TABLET in 1 BOTTLE, P  001400004011
PDPs
9
MAPDs
Valium 5mg/1 500 TABLET BOTTLE, PLASTIC
(Diazepam)
500 TABLET in 1 BOTTLE, P  001400005141
PDPs
9
MAPDs
VALPROATE SODIUM 500 mg/5 ml vl
(Valproate Sodium)
   0014396370159
PDPs
341
MAPDs
Valproic 250mg/1 100 CAPSULE, LIQUID FILLED in 1 BOTTLE
(Valproic)
100 CAPSULE, LIQUID FILLE  0059140120159
PDPs
341
MAPDs
Valproic Acid 250mg/5mL 473 mL in 1 BOTTLE
(Valproic Acid)
473 mL in 1 BOTTLE  0060318415859
PDPs
341
MAPDs
VALSARTAN 160 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90 EA  5166001429059
PDPs
340
MAPDs
VALSARTAN 320 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90 EA  5166001439059
PDPs
340
MAPDs
VALSARTAN 40 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 EA  5166001403059
PDPs
340
MAPDs
VALSARTAN 80 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90 EA  5166001419059
PDPs
340
MAPDs
VALSARTAN-HCTZ 160-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
500 EA  0037863220557
PDPs
335
MAPDs
VALSARTAN-HCTZ 160-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90 EA  0037863237757
PDPs
335
MAPDs
VALSARTAN-HCTZ 320-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
500 EA  0037863240557
PDPs
335
MAPDs
VALSARTAN-HCTZ 320-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
500 EA  0037863250557
PDPs
335
MAPDs
VALSARTAN-HCTZ 80-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90 EA  0037863217757
PDPs
335
MAPDs
VALTREX 1GM CAPLET (90 CT)
(Valacyclovir HCl)
90 BOT001730565104
PDPs
9
MAPDs
VALTREX 500MG TABLET
(Valacyclovir HCl)
90 BOT001730933104
PDPs
9
MAPDs
VANATOL LQ ORAL SOLUTION
(Butalbital, Acetaminophen and Caffeine)
   588090820162
PDPs
24
MAPDs
VANCOCIN HCL 125 MG CAPSULE
(Vancomycin HCl For)
20 EA  625590310202
PDPs
19
MAPDs
VANCOCIN HCL 250 MG CAPSULE
(Vancomycin HCl For)
20 EA  625590311202
PDPs
19
MAPDs
VANCOMYCIN HCL INJECTION 10 X 1GM VIAL (STERILE )
(Vancomycin HCl For)
10 X 1 GM VIALGL0040965330159
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  0040965100159
PDPs
333
MAPDs
VANCOMYCIN HCL 125 MG CAPSULE
(Vancomycin HCl in Dextrose)
   1747807410259
PDPs
341
MAPDs
VANCOMYCIN HCL 250 MG CAPSULE
(Vancomycin HCl in Dextrose)
   1747807420259
PDPs
339
MAPDs
VANCOMYCIN HYDROCHLORIDE 500MG/100ML INJECTION (STERILE)
(Vancomycin HCl For)
100 ML X 10 VIALSD TRAY 0040965340159
PDPs
330
MAPDs
VANDAZOLE 0.75% GEL WITH APPLICATOR
(Metronidazole Vaginal)
70 GM TUBE0024508607055
PDPs
222
MAPDs
VANOS 0.1% CREAM
(Fluocinonide)
60 GM TUBE992070525601
PDPs
8
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
   0000640950259
PDPs
341
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
   0000640960259
PDPs
341
MAPDs
VARIVAX VACCINE W/DILUENT
(Varicella Virus Vaccine Live Subcutaneous)
10X0.5ML(FOR EXPORT ALSO) VIALSD0000648270059
PDPs
341
MAPDs
VARUBI 90 MG TABLET
(Rolapitant)
   696560101026
PDPs
76
MAPDs
VASCEPA 0.5 GM CAPSULE
(icosapent ethyl)
   5293700034054
PDPs
245
MAPDs
VASCEPA 1 GM CAPSULE
(icosapent ethyl)
120 EA  5293700012054
PDPs
248
MAPDs
VASERETIC 10-25 MG TABLET
(Enalapril Maleate & Hydrochlorothiazide)
   001870146016
PDPs
11
MAPDs
VASOTEC 10 MG TABLET
(Enalapril Maleate)
   001870142104
PDPs
9
MAPDs
VASOTEC 2.5 MG TABLET
(Enalapril Maleate)
90 EA  001870140906
PDPs
11
MAPDs
VASOTEC 20 MG TABLET
(Enalapril Maleate)
90 EA  001870143904
PDPs
9
MAPDs
VASOTEC 5 MG TABLET
(Enalapril Maleate)
   001870141904
PDPs
9
MAPDs
VECAMYL 2.5 MG TABLET
(Mecamylamine Hydrochloride)
   6941305584011
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  5551309540145
PDPs
234
MAPDs
VECTICAL OINTMENT 3MCG/GM 100 GM TUBE
(Calcitriol Ointment)
100 GM TUBE002992012102
PDPs
30
MAPDs
VELCADE 3.5MG VIAL
(Bortezomib For)
1 VIALSU6302000490159
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  0055590516757
PDPs
313
MAPDs
VELPHORO 500 MG CHEWABLE TAB
(sucroferric oxyhydroxide)
   4923006455117
PDPs
119
MAPDs
VELTASSA 16.8 GM POWDER PACKET
(Patiromer)
   5343601683014
PDPs
146
MAPDs
VELTASSA 25.2 GM POWDER PACKET
(Patiromer)
   5343602520114
PDPs
146
MAPDs
VELTASSA 8.4 GM POWDER PACKET
(Patiromer)
   5343600840114
PDPs
146
MAPDs
VEMLIDY 25 MG TABLET
(TENOFOVIR ALAFENAMIDE FUMARATE)
30.000 EA  6195823010135
PDPs
230
MAPDs
VENCLEXTA STARTING PACK
(Venetoclax)
   0007405792859
PDPs
341
MAPDs
VENCLEXTA 10 MG TABLET
(Venetoclax)
   0007405611159
PDPs
341
MAPDs
VENCLEXTA 100 MG TABLET
(Venetoclax)
   0007405761159
PDPs
341
MAPDs
VENCLEXTA 50 MG TABLET
(Venetoclax)
   0007405660759
PDPs
341
MAPDs
VENLAFAXINE HCL 100MG TABLET
(Venlafaxine HCl)
100 BOT0009373830159
PDPs
341
MAPDs
VENLAFAXINE HCL ER 225 MG TAB
(Venlafaxine HCl)
   1381107153010
PDPs
162
MAPDs
VENLAFAXINE HCL 25MG TABLET
(Venlafaxine HCl)
100 BOT0009301990159
PDPs
341
MAPDs
VENLAFAXINE HCL 37.5MG TABLET
(Venlafaxine HCl)
100 BOT0009373800159
PDPs
341
MAPDs
VENLAFAXINE HCL 50MG TABLET
(Venlafaxine HCl)
100 BOT0009373810159
PDPs
341
MAPDs
VENLAFAXINE HCL 75MG TABLET
(Venlafaxine HCl)
100 BOT0009373820159
PDPs
341
MAPDs
VENLAFAXINE HYDROCHLORIDE 150MG CAPSULES EXTENDED RELEASE
(Venlafaxine HCl)
90 BOT 0009373869859
PDPs
341
MAPDs
VENLAFAXINE HYDROCHLORIDE 150MG TABLETS EXTENDED RELEASE
(Venlafaxine HCl)
90 BOT4161607588121
PDPs
202
MAPDs
VENLAFAXINE HYDROCHLORIDE 37.5MG CAPSULES EXTENDED RELEASE
(Venlafaxine HCl)
30 BOT 0009373845659
PDPs
341
MAPDs
VENLAFAXINE HYDROCHLORIDE 37.5MG TABLETS EXTENDED RELEASE
(Venlafaxine HCl)
30 BOT 4161607608321
PDPs
202
MAPDs
VENLAFAXINE HYDROCHLORIDE 75MG CAPSULES EXTENDED RELEASE
(Venlafaxine HCl)
90 BOT 0009373859859
PDPs
341
MAPDs
VENLAFAXINE HYDROCHLORIDE 75MG TABLETS EXTENDED RELEASE
(Venlafaxine HCl)
90 BOT 4161607598121
PDPs
203
MAPDs
Ventavis 0.01mg/mL
(Iloprost)
   6621503023051
PDPs
267
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
   6621503033049
PDPs
264
MAPDs
VENTOLIN HFA 90MCG INHALER
(Albuterol Sulfate)
200 METERED INHALATIONS CSTR0017306822050
PDPs
294
MAPDs
VERAPAMIL 120MG CAP PELLET
(Verapamil HCl)
100 BOT0037863200153
PDPs
329
MAPDs
VERAPAMIL 180MG CAP PELLET
(Verapamil HCl)
100 BOT0037863800153
PDPs
329
MAPDs
VERAPAMIL 2.5MG/ML AMPUL
(Verapamil HCl)
5 X 2 ML AMP0040940110145
PDPs
251
MAPDs
VERAPAMIL 240MG CAP PELLET
(Verapamil HCl)
100 BOT0037864400153
PDPs
329
MAPDs
Verapamil Hydrochloride 240mg/1 500 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(Verapamil HCl)
500 TABLET, FILM COATED,  0037814110559
PDPs
341
MAPDs
VERAPAMIL 40MG TABLET
(Verapamil HCl)
100 BOT0059104040159
PDPs
340
MAPDs
VERAPAMIL ER 100MG CAPSULE 24HR SR PELLETS
(Verapamil HCl)
100 BOT0037862010153
PDPs
319
MAPDs
VERAPAMIL ER 120 MG TABLET
(Verapamil HCl)
100 EA  0009330430157
PDPs
336
MAPDs
VERAPAMIL ER 180 MG TABLET
(Verapamil HCl)
500 EA  0037821800559
PDPs
341
MAPDs
VERAPAMIL ER 200MG CAPSULE 24HR SR PELLETS (100 CT)
(Verapamil HCl)
100 BOT0037862020153
PDPs
319
MAPDs
VERAPAMIL ER 300MG CAPSULE 24HR SR PELLETS
(Verapamil HCl)
500 BOT0037862030553
PDPs
319
MAPDs
VERAPAMIL HCL 120MG TABLET
(Verapamil HCl)
1000 BOT0059103451059
PDPs
341
MAPDs
VERAPAMIL HCL 360MG CAPSULES SUSTAINED RELEASE
(Verapamil HCl)
11 KG BOT 0059128860153
PDPs
326
MAPDs
VERAPAMIL HCL 80MG TABLET
(Verapamil HCl)
500 BOT0059103430559
PDPs
341
MAPDs
VEREGEN 15% OINTMENT
(Sinecatechins)
   103370450038
PDPs
83
MAPDs
VERELAN 120 MG CAP PELLET
(Verapamil HCl)
   621750580374
PDPs
10
MAPDs
VERELAN 180 MG CAP PELLET
(Verapamil HCl)
   621750581374
PDPs
10
MAPDs
VERELAN 240 MG CAP PELLET
(Verapamil HCl)
   621750582374
PDPs
10
MAPDs
VERELAN 360 MG CAP PELLET
(Verapamil HCl)
   621750583374
PDPs
10
MAPDs
VERELAN PM 100 MG CAP PELLET
(Verapamil HCl)
   621750570374
PDPs
10
MAPDs
VERELAN PM 200 MG CAP PELLET
(Verapamil HCl)
   621750571374
PDPs
10
MAPDs
VERELAN PM 300 MG CAP PELLET
(Verapamil HCl)
   621750572374
PDPs
10
MAPDs
VERIPRED 20 20 MG/5 ML SOLN
(Prednisolone)
237 ML  2359409150810
PDPs
92
MAPDs
VERSACLOZ 50 MG/ML SUSPENSION
(clozapine)
100 ML  1886001210159
PDPs
341
MAPDs
VESICARE 10MG TABLET
(Solifenacin Succinate)
90 BOT5124801510342
PDPs
266
MAPDs
VESICARE 5MG TABLET (90 CT)
(Solifenacin Succinate)
90 BOT5124801500342
PDPs
266
MAPDs
Vestura 3 mg-0.02 mg tablet
(DROSPIRENONE AND ETHINYL ESTRADIOL)
   5254409822850
PDPs
271
MAPDs
VFEND 200MG TABLET
(Voriconazole)
30 BOT000493180302
PDPs
18
MAPDs
VFEND 40MG/ML SUSPENSION
(Voriconazole)
45G BOT000493160442
PDPs
16
MAPDs
VFEND 50MG TABLET
(Voriconazole)
30 BOT000493170302
PDPs
18
MAPDs
VFEND IV 200MG VIAL
(Voriconazole)
1 VIAL000493190284
PDPs
13
MAPDs
VIBATIV 750 MG VIAL
(Telavancin HCl)
   6284700010112
PDPs
64
MAPDs
VIBERZI 100 MG TABLET
(Eluxadoline)
   6187401006010
PDPs
116
MAPDs
VIBERZI 75 MG TABLET
(Eluxadoline)
   6187400756010
PDPs
116
MAPDs
VIBRAMYCIN 100MG CAPSULE
(Doxycycline Hyclate)
50 BOT000690950504
PDPs
9
MAPDs
VIBRAMYCIN 25MG/5ML SUSP
(Doxycycline Hyclate)
60 CC BOT000690970651
PDPs
8
MAPDs
VIBRAMYCIN 50MG/5ML SYRUP
(Doxycycline Hyclate)
1 PT BOT0006909719315
PDPs
87
MAPDs
VICODIN 5-300 MG TABLET
(Hydrocodone-Acetaminophen)
500 EA  0007430415323
PDPs
161
MAPDs
VICODIN ES 7.5-300 MG TABLET
(Hydrocodone-Acetaminophen)
100 EA  0007430431323
PDPs
160
MAPDs
VICODIN HP 10-300 MG TABLET
(Hydrocodone-Acetaminophen)
500 EA  0007430545323
PDPs
155
MAPDs
VICTOZA 3-PAK 18 MG/3 ML PEN
(Liraglutide)
9ML  0016940601351
PDPs
315
MAPDs
VIDAZA FOR INJECTION 100MG/VIAL 1 VIALSU
(Azacitidine For)
1 VIALSU595720102012
PDPs
27
MAPDs
VIDEX EC 125MG CAPSULE SA
(Didanosine Chew)
30 BOT000876671175
PDPs
15
MAPDs
VIDEX EC 200MG CAPSULE SA
(Didanosine Chew)
30 BOT000876672175
PDPs
13
MAPDs
VIDEX EC 250MG CAPSULE SA
(Didanosine Chew)
30 BOT000876673175
PDPs
13
MAPDs
VIDEX EC 400MG CAPSULE SA
(Didanosine Chew)
30 BOT000876674175
PDPs
13
MAPDs
VIDEX 2GM PEDIATRIC TUBEX
(Didanosine Chew)
1 BOTTLE CRTN0008766324159
PDPs
341
MAPDs
VIEKIRA XR TABLET
(Ombitasvir and Paritaprevir and Ritonavir and Dasabuvir)
   0007400632825
PDPs
118
MAPDs
VIEKIRA PAK
(Dasabuvir and Ombitasvir and Paritaprevir and Ritonavir)
   0007430932825
PDPs
124
MAPDs
VIENVA-28 TABLET
(levonorgestrel and ethinyl estradiol)
   0078155751551
PDPs
287
MAPDs
VIGABATRIN 50 MG/ML ORAL SOLUTION [SABRIL]
(Vigabatrin)
   6738602116559
PDPs
341
MAPDs
VIGABATRIN 500 MG ORAL TABLET [SABRIL]
(Vigabatrin)
   6738601110159
PDPs
341
MAPDs
VIGAMOX 0.5% EYE DROPS
(Moxifloxacin HCl Ophth)
3 ML BOTPL0006540130352
PDPs
314
MAPDs
VIIBRYD 10mg/1 30 FILM COATED TABLETS in BOTTLE
(VILAZODONE HYDROCHLORIDE)
30 TABLET, FILM COATED in  0045611103059
PDPs
341
MAPDs
VIIBRYD 10-20 MG STARTER PACK
(VILAZODONE HYDROCHLORIDE)
   0045611013059
PDPs
336
MAPDs
VIIBRYD 20mg/1 30 FILM COATED TABLETS in BOTTLE
(VILAZODONE HYDROCHLORIDE)
30 TABLET, FILM COATED in  0045611203059
PDPs
341
MAPDs
VIIBRYD 40mg/1 30 FILM COATED TABLETS in BOTTLE
(VILAZODONE HYDROCHLORIDE)
30 TABLET, FILM COATED in  0045611403059
PDPs
341
MAPDs
VIMOVO 375-20 MG TABLET
(Naproxen-Esomeprazole Magnesium)
   759870031044
PDPs
24
MAPDs
VIMOVO 500-20 MG TABLET
(Naproxen-Esomeprazole Magnesium)
   759870030044
PDPs
24
MAPDs
Vimpat 10mg/mL 10 VIAL, GLASS per CARTON / 20 mL in 1 VIAL, GLASS
(Lacosamide)
10 VIAL, GLASS in 1 CARTO  0013118106759
PDPs
341
MAPDs
VIMPAT 10 MG/ML SOLUTION
(Lacosamide)
465 ML  0013154107059
PDPs
341
MAPDs
Vimpat 100mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED in  0013124783557
PDPs
341
MAPDs
Vimpat 150mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED in  0013124793559
PDPs
341
MAPDs
Vimpat 200mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED in  0013124803559
PDPs
341
MAPDs
Vimpat 50mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED in  0013124773559
PDPs
341
MAPDs
VINBLASTINE 1 MG/ML VIAL
(Vinblastine)
10 ML  6332302781050
PDPs
287
MAPDs
VINCRISTINE 1MG/ML VIAL
(Vincristine)
1 X 1 ML VIALSD6170303090650
PDPs
288
MAPDs
VINCRISTINE 1MG/ML VIAL
(Vincristine)
1 X 1ML PKG0070344021150
PDPs
262
MAPDs
VINORELBINE 10MG/ML VIAL 5ML VIAL
(Vinorelbine Tartrate)
1 X 5 ML VIAL0070341830151
PDPs
307
MAPDs
VIOKACE 10,440-39,150 UNITS TB
(pancrelipase)
100 EA  5891401121014
PDPs
83
MAPDs
VIOKACE 20,880-78,300 UNITS TB
(pancrelipase)
100 EA  5891401171014
PDPs
83
MAPDs
VIRACEPT 250MG TABLET
(Nelfinavir Mesylate)
300 BOT6301000103059
PDPs
341
MAPDs
VIRACEPT 625MG TABLET
(Nelfinavir Mesylate)
120 BOT6301000277059
PDPs
341
MAPDs
VIRAMUNE XR 100 MG TABLET
(Nevirapine)
   0059701299014
PDPs
38
MAPDs
VIRAMUNE 200MG TABLET
(Nevirapine)
60 BOT005970046601
PDPs
16
MAPDs
Viramune 400mg/1 30 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Nevirapine)
30 TABLET, EXTENDED RELEA  005970123305
PDPs
15
MAPDs
VIRAMUNE 50MG/5ML SUSP
(Nevirapine)
240 ML BOT0059700472415
PDPs
71
MAPDs
VIREAD POWDER
(Tenofovir Disoproxil Fumarate)
   6195804030159
PDPs
341
MAPDs
VIREAD 150 MG TABLET
(Tenofovir Disoproxil Fumarate)
30 EA  6195804040159
PDPs
341
MAPDs
VIREAD 200 MG TABLET
(Tenofovir Disoproxil Fumarate)
30 EA  6195804050159
PDPs
341
MAPDs
VIREAD 250 MG TABLET
(Tenofovir Disoproxil Fumarate)
30 EA  6195804060159
PDPs
341
MAPDs
VIREAD 300MG TABLET
(Tenofovir Disoproxil Fumarate)
   6195804010159
PDPs
341
MAPDs
VIROPTIC 1% EYE DROPS
(Trifluridine Ophth)
7.5 ML BOX615700037754
PDPs
9
MAPDs
VISTARIL 25MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT000695410660
PDPs
5
MAPDs
VISTARIL 50MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT000695420660
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  000780365452
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  000780343452
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  000780344452
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  000780346452
PDPs
43
MAPDs
VIVELLE-DOT 0.075MG PATCH 1X3X8 POUCH CRTN
(Estradiol)
1X3X8 POUCH CRTN000780345452
PDPs
43
MAPDs
VIVITROL INJECTABLE SUSPENSION 380MG/VIAL
(Naltrexone For IM ER)
   6575703000122
PDPs
120
MAPDs
VIVLODEX 10 MG CAPSULE
(Meloxicam)
   422110206232
PDPs
19
MAPDs
VIVLODEX 5 MG CAPSULE
(Meloxicam)
   422110205232
PDPs
19
MAPDs
VOGELXO 12.5 MG/1.25 GRAM PUMP
(Testosterone)
   002450872402
PDPs
21
MAPDs
VOGELXO 50 MG/5 GRAM GEL
(Testosterone)
   002450871052
PDPs
21
MAPDs
VOLTAREN 1% GEL
(Diclofenac Sodium)
   6348106844737
PDPs
146
MAPDs
VORICONAZOLE 200 MG VIAL
(VORICONAZOLE)
1 EA  0078134169459
PDPs
341
MAPDs
Voriconazole 200mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(VORICONAZOLE)
30 TABLET, FILM COATED in  0037816409359
PDPs
341
MAPDs
Voriconazole 40 mg/ml susp
(VORICONAZOLE)
   0037862704559
PDPs
341
MAPDs
Voriconazole 50mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(VORICONAZOLE)
30 TABLET, FILM COATED in  0037816269359
PDPs
330
MAPDs
VOTRIENT 200 MG TABLET
(Pazopanib HCl)
   0007806706659
PDPs
341
MAPDs
VPRIV INJECTION SOLUTION 2.5 MG/ML
(Velaglucerase Alfa For)
4 ML X 1 VIALGL BOX5409207010437
PDPs
272
MAPDs
VRAYLAR 1.5 MG CAP
(Cariprazine)
30 EA  6187401153059
PDPs
341
MAPDs
VRAYLAR 1.5 MG-3 MG PACK
(Cariprazine)
   6187401700849
PDPs
311
MAPDs
VRAYLAR 3 MG CAP
(Cariprazine)
30 EA  6187401303059
PDPs
341
MAPDs
VRAYLAR 4.5 MG CAP
(Cariprazine)
30 EA  6187401453059
PDPs
341
MAPDs
VRAYLAR 6 MG CAP
(Cariprazine)
30 EA  6187401603059
PDPs
341
MAPDs
Vyfemla 28 tablet
(norethindrone and ethinyl estradiol)
28 EA  6818008751349
PDPs
292
MAPDs
VYTORIN 10/10MG TABLET (1000 CT)
(Ezetimibe-Simvastatin)
1000 BOT6658203118223
PDPs
161
MAPDs
VYTORIN 10/20MG TABLET (1000 CT)
(Ezetimibe-Simvastatin)
1000 BOT6658203128223
PDPs
161
MAPDs
VYTORIN 10/40MG TABLET (500 CT)
(Ezetimibe-Simvastatin)
500 BOT6658203137423
PDPs
162
MAPDs
VYTORIN 10/80MG TABLET 2500 BOT
(Ezetimibe-Simvastatin)
2500 BOT6658203156623
PDPs
161
MAPDs
VYVANSE 10 MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 EA  594170101107
PDPs
92
MAPDs
VYVANSE CAPSULES 20MG 100 BOT
(Lisdexamfetamine Dimesylate)
100 BOT594170102107
PDPs
93
MAPDs
VYVANSE 30MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT594170103107
PDPs
93
MAPDs
VYVANSE 40MG CAPSULE 100 EA
(Lisdexamfetamine Dimesylate)
   594170104107
PDPs
93
MAPDs
VYVANSE 50MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT594170105107
PDPs
93
MAPDs
VYVANSE CAPSULES 60MG 100 BOT
(Lisdexamfetamine Dimesylate)
100 BOT594170106107
PDPs
93
MAPDs
VYVANSE 70MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT594170107107
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  5024200900159
PDPs
341
MAPDs
Zenchent 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(ethinyl estradiol and norethindrone)
6 BLISTER PACK in 1 CARTO  5254409532853
PDPs
293
MAPDs
ZOLINZA 100MG CAPSULE
(Vorinostat)
120 BOT0000605684059
PDPs
341
MAPDs
ZONTIVITY 2.08 MG TABLET
(Vorapaxar)
   7034702083029
PDPs
152
MAPDs



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


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  • 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.