Drug Name
|
Packaging |
NDC |
On This Nbr of 2018 Formularies |
PDPs |
MAPDs |
ACULAR 0.5% EYE DROPS (Ketorolac Tromethamine Ophth) |
5 ML BOT |
00023218105 |
6 PDPs |
10 MAPDs |
ACULAR LS 0.4% OPHTH SOL (Ketorolac Tromethamine Ophth) |
5 ML BOTDR |
00023927705 |
6 PDPs |
10 MAPDs |
ACUVAIL 0.45% OPHTH SOLUTION #30X0.4 EA (Ketorolac Tromethamine Ophth) |
#30X0.4 |
00023350730 |
7 PDPs |
46 MAPDs |
CLONAZEPAM 0.125 MG DIS TAB RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030602 |
63 PDPs |
339 MAPDs |
CLONAZEPAM 0.25 MG ODT TAB RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030702 |
63 PDPs |
339 MAPDs |
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030802 |
63 PDPs |
339 MAPDs |
CLONAZEPAM 0.5 MG TABLET [Klonopin] (Clonazepam) |
60 tablets |
16714046901 |
63 PDPs |
339 MAPDs |
CLONAZEPAM 1 MG TABLET [Klonopin] (Clonazepam) |
60 tablets |
16714047001 |
63 PDPs |
339 MAPDs |
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
60 units |
00555009796 |
63 PDPs |
338 MAPDs |
CLONAZEPAM 2 MG ODT TAB RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884031002 |
63 PDPs |
338 MAPDs |
CLONAZEPAM 2 MG TABLET [Klonopin] (Clonazepam) |
60 tablets |
00378191405 |
63 PDPs |
339 MAPDs |
Diph-Tetanus Tox-Acell Pert adsorbed and IPV vaccine 0.5 ML Prefilled Syringe [Kinrix] (Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine ) |
|
58160081252 |
63 PDPs |
339 MAPDs |
EXTINA 2% FOAM (Ketoconazole) |
50.000 GM |
40076005150 |
4 PDPs |
7 MAPDs |
IMOGAM RABIES-HT 150 UNIT/ML VIAL [KEDRAB] (Rabies Immune Globulin (Human)) |
|
49281019020 |
14 PDPs |
175 MAPDs |
K-TAB ER 20 MEQ TABLET (Potassium Chloride) |
|
00074302313 |
8 PDPs |
97 MAPDs |
K-TAB 10MEQ 750 MG TABLET SA (Potassium Chloride) |
1000 BOT |
00074780419 |
10 PDPs |
46 MAPDs |
K-tab er 8 meq tablet (Potassium Chloride) |
|
00074305846 |
15 PDPs |
116 MAPDs |
KADCYLA 100 MG VIAL (Trastuzumab Emtansine) |
|
50242008801 |
55 PDPs |
296 MAPDs |
KADCYLA 160 MG VIAL (Ado-Trastuzumab Emtansine) |
|
50242008701 |
55 PDPs |
296 MAPDs |
KADIAN ER 10 MG CAPSULE (Morphine Sulfate) |
|
52544001160 |
4 PDPs |
10 MAPDs |
KADIAN ER 100 MG CAPSULE (Morphine Sulfate) |
|
52544016460 |
4 PDPs |
10 MAPDs |
KADIAN ER 20 MG CAPSULE (Morphine Sulfate) |
|
52544021160 |
4 PDPs |
10 MAPDs |
KADIAN ER 200 MG CAPSULE (Morphine Sulfate) |
|
52544022060 |
5 PDPs |
34 MAPDs |
KADIAN ER 30 MG CAPSULE (Morphine Sulfate) |
|
52544003260 |
4 PDPs |
10 MAPDs |
KADIAN ER 40 MG CAPSULE (Morphine Sulfate) |
|
52544003960 |
5 PDPs |
28 MAPDs |
KADIAN ER 50 MG CAPSULE PEL (Morphine) |
60 units |
00023601560 |
4 PDPs |
10 MAPDs |
KADIAN ER 60 MG CAPSULE (Morphine Sulfate) |
|
52544006360 |
4 PDPs |
10 MAPDs |
KADIAN ER 80 MG CAPSULE (Morphine Sulfate) |
|
52544089660 |
4 PDPs |
10 MAPDs |
Kaitlib Fe 28 Day Pack (norethindrone and ethinyl estradiol and ferrous fumarate) |
|
68180090313 |
28 PDPs |
135 MAPDs |
KALETRA 100-25 MG TABLET (Lopinavir-Ritonavir) |
60 TABLET, FILM COATED |
00074052260 |
63 PDPs |
339 MAPDs |
KALETRA 50-200MG TABLET (Lopinavir-Ritonavir) |
120 BOT |
00074679922 |
63 PDPs |
339 MAPDs |
KALETRA 80MG/20MG ORAL SOLUTION (Lopinavir-Ritonavir) |
160 ML BOT |
00074395646 |
10 PDPs |
73 MAPDs |
KALYDECO 150 MG TABLET (ivacaftor) |
56.000 EA |
51167020001 |
63 PDPs |
339 MAPDs |
KALYDECO 50 MG GRANULES PACKET (ivacaftor) |
56 EA |
51167030001 |
57 PDPs |
329 MAPDs |
KALYDECO 75 MG GRANULES PACKET (ivacaftor) |
56 EA |
51167040001 |
57 PDPs |
329 MAPDs |
KANUMA 20 MG/10 ML VIAL (Sebelipase Alfa) |
|
25682000701 |
15 PDPs |
135 MAPDs |
KAPVAY ER 0.1 MG TABLET (CLONIDINE HYDROCHLORIDE) |
|
59212065860 |
4 PDPs |
10 MAPDs |
KARBINAL ER 4 MG/ 5 ML SUSP (carbinoxamine maleate) |
|
13551010105 |
1 PDPs |
6 MAPDs |
KARIVA 21-5 TABLET (Desogestrel & Ethinyl Estradiol) |
21ACTIVE,5ETHINYL,2PLACEB BLPK |
00555905058 |
60 PDPs |
322 MAPDs |
KELNOR 1-50 TABLET [Zovia 1/50E] (Ethynodiol Diacetate, Ethinyl Estradiol;Inert) |
28 tablets |
00093807316 |
57 PDPs |
282 MAPDs |
KELNOR 1-35 1-0.035MG TABLET (Ethynodiol Diacetate & Ethinyl Estradiol) |
28 (21+7) BLPK |
00555906458 |
61 PDPs |
316 MAPDs |
KENALOG 0.147 MG/GRAM SPRAY AEROSOL (Triamcinolone Acetonide) |
63 g in 1 CAN |
10631009362 |
6 PDPs |
11 MAPDs |
KENALOG-10 10 MG/ML VIAL (Triamcinolone Acetonide) |
5 ML |
00003049420 |
11 PDPs |
109 MAPDs |
KENALOG-40 40 MG/ML VIAL (Triamcinolone Acetonide) |
1 ML |
00003029305 |
11 PDPs |
106 MAPDs |
KEPIVANCE 6.25 MG VIAL (Palifermin For IV) |
|
66658011203 |
30 PDPs |
194 MAPDs |
KEPPRA 100MG/ML ORAL SOLUTION (Levetiracetam) |
16 FLO BOT |
50474000148 |
6 PDPs |
17 MAPDs |
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC (Levetiracetam) |
60 TABLET, FILM COATED |
50474059766 |
6 PDPs |
17 MAPDs |
KEPPRA 250MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059440 |
6 PDPs |
17 MAPDs |
KEPPRA 500MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059540 |
6 PDPs |
17 MAPDs |
KEPPRA XR 500 MG TABLET ER 24H (Levetiracetam) |
60 BOT |
50474059866 |
4 PDPs |
15 MAPDs |
KEPPRA 750MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059640 |
6 PDPs |
17 MAPDs |
KEPPRA 750MG XR TABLET (Levetiracetam) |
60 BOT |
50474059966 |
4 PDPs |
15 MAPDs |
KERYDIN 5% TOPICAL SOLUTION (Tavaborole) |
10.000 ML |
10337090510 |
1 PDPs |
22 MAPDs |
KETOCONAZOLE 2% FOAM (Ketoconazole) |
100 GM |
45802053233 |
14 PDPs |
119 MAPDs |
KETOCONAZOLE 2% SHAMPOO (Ketoconazole) |
120.000 ML |
45802046564 |
63 PDPs |
338 MAPDs |
KETOCONAZOLE 200 MG TABLET (Ketoconazole) |
100 EA |
51672402601 |
63 PDPs |
338 MAPDs |
KETOCONAZOLE 2% CREAM (Ketoconazole) |
60 GM |
51672129803 |
63 PDPs |
339 MAPDs |
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS (Ketoprofen) |
100 BOT |
00378820001 |
16 PDPs |
147 MAPDs |
KETOPROFEN 75MG CAPSULE (Ketoprofen) |
100 CAPSULES BOT |
00093319501 |
55 PDPs |
311 MAPDs |
KETOROLAC 0.4% OPHTH SOLUTION (Ketorolac) |
5 ML |
61314001805 |
63 PDPs |
339 MAPDs |
KETOROLAC 0.5% OPHTH SOLUTION (Ketorolac) |
5.000 ML |
17478020910 |
63 PDPs |
339 MAPDs |
KETOROLAC 10MG TABLET (Ketorolac) |
100 TABLETS BOT |
00093031401 |
19 PDPs |
135 MAPDs |
Ketorolac Tromethamine 15 MG/ML 1 ML Injection (Ketorolac Tromethamine) |
|
00409379301 |
13 PDPs |
118 MAPDs |
KETOROLAC TROMETHAMINE 30 mg/mL INJECTION CARTRIDGE (Ketorolac Tromethamine) |
|
00409228761 |
13 PDPs |
115 MAPDs |
Ketorolac Tromethamine 30 MG/ML 1 ML Injection (Ketorolac Tromethamine) |
|
00409379501 |
13 PDPs |
119 MAPDs |
KEVEYIS 50 MG TABLET (Dichlorphenamide) |
|
71090000101 |
6 PDPs |
116 MAPDs |
KEVZARA 150 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024590801 |
4 PDPs |
85 MAPDs |
KEVZARA 200 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024591001 |
4 PDPs |
85 MAPDs |
KEYTRUDA 100 MG/4 ML VIAL (Pembrolizumab) |
|
00006302602 |
60 PDPs |
338 MAPDs |
KHEDEZLA ER 100 MG TABLET (desvenlafaxine) |
30 EA |
65224089031 |
10 PDPs |
74 MAPDs |
KHEDEZLA ER 50 MG TABLET (Desvenlafaxine) |
30 EA |
65224088031 |
10 PDPs |
74 MAPDs |
KIMIDESS 28 DAY TABLET (DESOG-E.ESTRADIOL/E.ESTRADIOL) |
28 EA |
00603751217 |
52 PDPs |
300 MAPDs |
KINERET 100 MG/0.67 ML SYRINGE (Anakinra Subcutaneous) |
.670 ML |
66658023407 |
19 PDPs |
191 MAPDs |
KINRIX VIAL (Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine ) |
|
58160081201 |
63 PDPs |
339 MAPDs |
KIONEX 15 GM/60 ML SUSPENSION (Sodium Polystyrene Sulfonate Oral) |
473 ML |
00574200216 |
63 PDPs |
328 MAPDs |
KISQALI 200 MG DAILY DOSE (Ribociclib) |
|
00078086001 |
63 PDPs |
339 MAPDs |
KISQALI 400 MG DAILY DOSE (Ribociclib) |
|
00078086742 |
63 PDPs |
339 MAPDs |
KISQALI 600 MG DAILY DOSE (Ribociclib) |
|
00078087463 |
63 PDPs |
339 MAPDs |
KISQALI FEMARA 200 MG CO-PACK (Letrozole;Ribociclib) |
49 EA |
00078090961 |
63 PDPs |
332 MAPDs |
KISQALI FEMARA 400 MG CO-PACK (Letrozole;Ribociclib) |
70 EA |
00078091661 |
63 PDPs |
332 MAPDs |
KISQALI FEMARA 600 MG CO-PACK (Letrozole;Ribociclib) |
91 EA |
00078092361 |
63 PDPs |
332 MAPDs |
KLARON 10% LOTION (Sulfacetamide Sodium) |
|
00187519804 |
6 PDPs |
9 MAPDs |
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE |
00004006801 |
4 PDPs |
13 MAPDs |
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE |
00004005801 |
4 PDPs |
13 MAPDs |
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE |
00004009801 |
4 PDPs |
13 MAPDs |
KLOR-CON SPRINKLE ER 10 MEQ CP (Potassium Chloride) |
100.000 EA |
66758020501 |
51 PDPs |
313 MAPDs |
KLOR-CON 10 MEQ TABLET (Potassium Chloride) |
500.000 EA |
66758016005 |
62 PDPs |
296 MAPDs |
KLOR-CON SPRINKLE ER 8 MEQ CAP (Potassium Chloride) |
100 EA |
66758020201 |
51 PDPs |
314 MAPDs |
KLOR-CON 8 MEQ TABLET (Potassium Chloride) |
500.000 EA |
66758011005 |
62 PDPs |
287 MAPDs |
KLOR-CON M10 tablet (Potassium Chloride Microencapsulated Crys CR) |
|
66758017001 |
63 PDPs |
323 MAPDs |
Klor-Con M15 Tablet (Potassium Chloride Microencapsulated Crys CR) |
|
66758018001 |
50 PDPs |
298 MAPDs |
KLOR-CON 20 MEQ PACKET (Potassium Chloride Microencapsulated Crys CR) |
|
00245036030 |
35 PDPs |
169 MAPDs |
KLOR-CON M20 TABLET TAB ER PRT [Klor-Con M20] (Potassium Chloride Microencapsulated Crys CR) |
|
66758019092 |
63 PDPs |
334 MAPDs |
KOMBIGLYZE XR 2.5-1,000 MG TAB (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
60 EA |
00310612560 |
24 PDPs |
128 MAPDs |
KOMBIGLYZE XR 5-1,000 MG TAB (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
30 EA |
00310614530 |
24 PDPs |
128 MAPDs |
KOMBIGLYZE XR 5-500 MG TABLET (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
30 EA |
00310613530 |
24 PDPs |
128 MAPDs |
KORLYM 300 MG TABLET (mifepristone) |
|
76346007301 |
63 PDPs |
339 MAPDs |
KRISTALOSE 10 GM PACKET (Lactulose) |
|
66220071930 |
11 PDPs |
71 MAPDs |
KRISTALOSE 20 GM PACKET (Lactulose) |
|
66220072930 |
11 PDPs |
71 MAPDs |
KURVELO TABLET (Ethinyl Estradiol and Levonorgestrel) |
28 EA |
68180084413 |
50 PDPs |
291 MAPDs |
KUVAN 100MG TABLET SOLUBLE (Sapropterin DiHCL Soluble) |
|
68135030002 |
63 PDPs |
339 MAPDs |
KUVAN 100 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
30.000 EA |
68135030122 |
55 PDPs |
274 MAPDs |
KUVAN 500 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
30.000 EA |
68135048211 |
55 PDPs |
279 MAPDs |
KYNAMRO 200 MG/ML SYRINGE (Mipomersen) |
|
70688050201 |
39 PDPs |
299 MAPDs |
KYPROLIS 30 MG VIAL (Carfilzomib) |
|
76075010201 |
46 PDPs |
270 MAPDs |
KYPROLIS 60 MG VIAL (Carfilzomib) |
|
76075010101 |
46 PDPs |
270 MAPDs |
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra] () |
|
00527194748 |
63 PDPs |
336 MAPDs |
Nizoral 20mg/mL 120 mL in 1 BOTTLE (Ketoconazole) |
120 mL in 1 BOTTLE |
50458068008 |
6 PDPs |
10 MAPDs |
TRIAMCINOLONE 0.1% LOTION [Kenalog] () |
60 mls |
00713067653 |
60 PDPs |
327 MAPDs |