Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
Drug Name |
Packaging | NDC | On This Nbr of 2017 Formularies | |
PDPs | 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 |
YERVOY 5mg/mL 1 VIAL, SINGLE-USE per CARTON / 50 mL in 1 VIAL, SINGLE-USE (IPILIMUMAB) |
1 VIAL, SINGLE-USE in 1 C | 00003232711 | 59 PDPs |
339 MAPDs |
YF-VAX 1 DOSE VIAL/DILUENT 0.5UNTS/DOSE (Yellow Fever Vaccine Subcutaneous) |
1 DOSE WITH DILUENT X 5 VIAL | 49281091501 | 59 PDPs |
341 MAPDs |
YONDELIS 1 MG VIAL (Trabectedin) |
59676061001 | 45 PDPs |
278 MAPDs |
|
YOSPRALA DR 325-40 MG TABLET (Aspirin and omeprazole) |
70347032530 | 3 PDPs |
16 MAPDs |
|
YOSPRALA DR 81-40 MG TABLET (Aspirin and omeprazole) |
70347008130 | 3 PDPs |
16 MAPDs |
|
Yuvafem 10 mcg vaginal insert (Estradiol) |
42291096208 | 43 PDPs |
279 MAPDs |