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2019 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:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z
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

Drug Names Containing the Letter I 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 2019 Formularies
PDPs MAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)		     10631011531 0
PDPs		 16
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)		     10631011631 0
PDPs		 16
MAPDs
ABSORICA 25 MG CAPSULE
(Isotretinoin)		     10631013331 0
PDPs		 14
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)		     10631011731 0
PDPs		 16
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)		     10631013431 0
PDPs		 14
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)		     10631011831 0
PDPs		 16
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1b (E. coli))		 ml   75987011111 62
PDPs		 352
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)		 10 mls   00024592410 1
PDPs		 16
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)		 15 mls   00024592505 1
PDPs		 16
MAPDs
AFREZZA 12 UNIT CARTRIDGE CART INHAL
(insulin)		     47918089190 1
PDPs		 14
MAPDs
AFREZZA 4 UNIT/8 UNIT/12 UNIT
(insulin)		     47918090218 1
PDPs		 14
MAPDs
AFREZZA 4 UNITS CARTRIDGE INH
(insulin)		     47918087490 1
PDPs		 14
MAPDs
AFREZZA 8 UNIT CARTRIDGE CART INHAL
(insulin)		     47918087890 1
PDPs		 14
MAPDs
AFREZZA 90-4 UNIT / 90-8 UNIT
(insulin)		     47918088018 1
PDPs		 14
MAPDs
AFREZZA 90-8 UNIT / 90-12 UNIT CART INHAL
(insulin)		 units   47918089818 1
PDPs		 19
MAPDs
ALDARA 5% CREAM
(Imiquimod)		     99207026012 2
PDPs		 7
MAPDs
AMNESTEEM 10 MG CAPSULE
(Isotretinoin)		     00378661185 49
PDPs		 276
MAPDs
AMNESTEEM 20 MG CAPSULE
(Isotretinoin)		 30 EA   00378661293 49
PDPs		 277
MAPDs
AMNESTEEM 40 MG CAPSULE
(Isotretinoin)		     00378661485 49
PDPs		 277
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)		 10 ML   00088250033 2
PDPs		 32
MAPDs
ARCAPTA NEOHALER 75 MCG CAP
(INDACATEROL MALEATE)		 30 EA   63402067530 3
PDPs		 58
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)		 12.9 GRAMS PER 200 ACT CAN 00597008717 59
PDPs		 303
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)		 30.000 EA   00024585530 4
PDPs		 16
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)		 30 EA   00024585630 4
PDPs		 16
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)		 30 EA   00024585130 4
PDPs		 16
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)		 30.000 EA   00024585230 4
PDPs		 16
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)		 90 EA   00024585090 4
PDPs		 16
MAPDs
AVONEX ADMIN PACK 30 MCG VL
(INTERFERON BETA-1A/ALBUMIN)		 4 EA   59627011103 26
PDPs		 250
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(INTERFERON BETA-1A)		 1 EA   59627033304 26
PDPs		 248
MAPDs
AVONEX PREFILLED SYR 30 MCG KT
(INTERFERON BETA-1A)		 1 EA   59627022205 26
PDPs		 243
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin glargine)		 3.000 ML   00002771559 28
PDPs		 132
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)		 1.000 EA   50419052435 60
PDPs		 311
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)		 180 EA   24338001018 16
PDPs		 179
MAPDs
BIVIGAM LIQUID 10% VIAL
(immune globulin intravenous)		     59730650301 29
PDPs		 221
MAPDs
BONIVA 150 MG TABLET
(Ibandronate Sodium)		 3.000 EA   00004018683 0
PDPs		 4
MAPDs
Cilastatin 250 MG / Imipenem 250 MG Injection
(Imipenem-Cilastatin Intravenous For)		     63323034925 62
PDPs		 350
MAPDs
Cilastatin 500 MG / Imipenem 500 MG Injection
(Imipenem-Cilastatin Intravenous For)		     63323032225 62
PDPs		 349
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)		 30.000 EA   00555105486 56
PDPs		 287
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)		 30.000 EA   00555105586 58
PDPs		 291
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)		 3 BLISTER PACK CARTON   00555105686 54
PDPs		 289
MAPDs
CLARAVIS 40 MG CAPSULE
(Isotretinoin)		 30.000 EA   00555105786 58
PDPs		 291
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)		 60 EA   55513080060 62
PDPs		 352
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)		 60 EA   55513081060 62
PDPs		 352
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)		     00469052014 29
PDPs		 122
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)		 360 BOT 00006057143 62
PDPs		 352
MAPDs
CRIXIVAN 400mg, 180 CAPSULE BOTTLE
(Indinavir Sulfate)		 180 CAPSULE in 1 BOTTLE   00006057362 62
PDPs		 352
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)		     75987001003 2
PDPs		 23
MAPDs
DULOXETINE HCL DR 40 MG CAPSULE DR [Irenka]
(Duloxetine)		 30 units   68180029706 20
PDPs		 189
MAPDs
ERTAPENEM 1 GRAM VIAL [Invanz]
(Ertapenem)		 3 mls   55150028220 48
PDPs		 338
MAPDs
EXTAVIA 15 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Interferon Beta-1b For)		 15 BLISTER PACK in 1 CART   00078056912 5
PDPs		 125
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)		 60.000 EA   43068010102 62
PDPs		 352
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)		 60 EA   43068011002 62
PDPs		 352
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)		     43068011202 62
PDPs		 352
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)		 60.000 EA   43068010202 62
PDPs		 352
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)		 60 EA   43068010402 62
PDPs		 352
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)		 60.000 EA   43068010602 62
PDPs		 352
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)		 60 EA   43068010802 62
PDPs		 352
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)		 8 EA   43068011304 62
PDPs		 342
MAPDs
FIASP 100 UNIT/ML FLEXTOUCH INSULN PEN
(Insulin Aspart (Recombinant))		 15 mls   00169320415 25
PDPs		 205
MAPDs
FIASP 100 UNIT/ML VIAL
(Insulin Aspart (Recombinant))		 10 mls   00169320111 25
PDPs		 205
MAPDs
FIRAZYR 30 MG/3 ML SYRINGE
(ICATIBANT ACETATE)		 3.000 ML   54092070203 60
PDPs		 352
MAPDs
FLEBOGAMMA DIF INJECTION
(Immune Globulin (Human) IV)		     61953000501 30
PDPs		 246
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)		 1 BOTTLE, GLASS in CARTON   00944270003 42
PDPs		 305
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOL
(Immune Globulin (Human) IV)		     00944265804 43
PDPs		 284
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLN
(Immune Globulin (Human) IV)		     00944265603 43
PDPs		 284
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)		 10 ML   76125090001 33
PDPs		 221
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)		     64208823506 43
PDPs		 281
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)		     64208823507 43
PDPs		 281
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)		     64208823505 43
PDPs		 281
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)		     64208823403 43
PDPs		 280
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)		 10 mL in 1 VIAL, GLASS   13533080012 54
PDPs		 303
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)		 90 BOT 00078040134 2
PDPs		 15
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)		 30 EA   00078064930 2
PDPs		 15
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))		 3 ML   00002751659 37
PDPs		 150
MAPDs
HUMALOG 100 UNITS/ML VIAL
(Insulin Lispro)		 10 mls   00002751017 37
PDPs		 149
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))		     00002771227 37
PDPs		 148
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))		 3 ML   00002771459 37
PDPs		 144
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))		 3 ML X 5 SYR CRTN 00002879959 37
PDPs		 145
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))		 1 X 10 ML VIAL 00002751201 37
PDPs		 155
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))		 1 X 10ML VIAL 00002751101 37
PDPs		 155
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))		 3 ML X 5 SYR CRTN 00002879859 37
PDPs		 151
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))		 3 ML X 5 SYR CRTN 00002879759 37
PDPs		 151
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))		 3.000 ML   00002880359 37
PDPs		 145
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))		 1 X 10 ML VIAL 00002871501 37
PDPs		 149
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))		 3.000 ML   00002880559 37
PDPs		 145
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))		 10 ML VIAL 00002831501 37
PDPs		 149
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))		 1 X 10 ML VIAL 00002821501 37
PDPs		 149
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))		     00002882427 56
PDPs		 308
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))		 1 X 20 ML VIAL 00002850101 56
PDPs		 319
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)		     60505279500 60
PDPs		 347
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)		 21 EA   00069018821 62
PDPs		 352
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)		 21 EA   00069018921 62
PDPs		 352
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)		 21 EA   00069018721 62
PDPs		 352
MAPDs
Ibuprofen 100mg/5mL 473 mL in 1 BOTTLE
(Ibuprofen)		 473 mL in 1 BOTTLE   45802095243 56
PDPs		 338
MAPDs
IBUPROFEN 400 MG TABLET
(Ibuprofen)		 500.000 EA   53746046405 62
PDPs		 352
MAPDs
IBUPROFEN 600 MG ORAL TABLET
(Ibuprofen)		     55111068309 62
PDPs		 332
MAPDs
IBUPROFEN 600mg/1 500 TABLET BOTTLE
(Ibuprofen)		 500 TABLET BOTTLE   53746046505 62
PDPs		 352
MAPDs
IBUPROFEN 800 MG ORAL TABLET
(Ibuprofen)		     55111068409 62
PDPs		 334
MAPDs
IBUPROFEN 800 MG TABLET
(Ibuprofen)		 500 EA   67877032105 62
PDPs		 352
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)		 30 EA   76189053530 62
PDPs		 352
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)		 30 EA   76189053430 62
PDPs		 352
MAPDs
IDHIFA 100 MG TABLET
(Enasidenib Mesylate)		     59572071030 62
PDPs		 352
MAPDs
IDHIFA 50 MG TABLET
(Enasidenib Mesylate)		     59572070530 62
PDPs		 352
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)		 1.7 ML   00065175007 50
PDPs		 299
MAPDs
ILUMYA 100 MG/ML SYRINGE
(Tildrakizumab)		 ml   47335017795 1
PDPs		 71
MAPDs
IMATINIB MESYLATE 100 MG TAB [Gleevec]
(Imatinib Mesylate)		 90 EA   60505290009 62
PDPs		 352
MAPDs
IMATINIB MESYLATE 400 MG TAB [Gleevec]
(Imatinib Mesylate)		 30 EA   60505290103 62
PDPs		 352
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)		 90 EA   57962014009 62
PDPs		 352
MAPDs
IMBRUVICA 140 MG TABLET
(Ibrutinib)		 tablets   57962001428 59
PDPs		 332
MAPDs
IMBRUVICA 280 MG TABLET
(Ibrutinib)		 tablets   57962028028 59
PDPs		 334
MAPDs
IMBRUVICA 420 MG TABLET
(Ibrutinib)		 tablets   57962042028 62
PDPs		 352
MAPDs
IMBRUVICA 560 MG TABLET
(Ibrutinib)		 tablets   57962056028 62
PDPs		 352
MAPDs
IMBRUVICA 70 MG CAPSULE
(Ibrutinib)		 capsules   57962007028 62
PDPs		 351
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)		 100 BOT 49884005401 62
PDPs		 352
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)		 100 BOT 49884005501 62
PDPs		 352
MAPDs
IMIPRAMINE HCL 50 MG TABLET
(Imipramine HCl)		 100.000 EA   49884005601 62
PDPs		 352
MAPDs
IMIPRAMINE PAMOATE 100MG CAPSULES
(Imipramine Pamoate)		 30 BOT 00054027413 14
PDPs		 191
MAPDs
IMIPRAMINE PAMOATE 125MG CAPSULES
(Imipramine Pamoate)		 30 BOT 00054027513 14
PDPs		 191
MAPDs
IMIPRAMINE PAMOATE 150MG CAPSULES
(Imipramine Pamoate)		 30 BOT 00054027613 14
PDPs		 191
MAPDs
IMIPRAMINE PAMOATE 75MG CAPSULES
(Imipramine Pamoate)		 30 BOT 00054027313 14
PDPs		 191
MAPDs
IMIQUIMOD 3.75% CREAM PUMP CRM MD PMP [Zyclara]
(Imiquimod)		 7.5 grams   68682027275 6
PDPs		 104
MAPDs
IMIQUIMOD 5% CREAM PACKET
(Imiquimod)		 24 EA   45802036862 62
PDPs		 352
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)		 9 BLPK 00173073701 4
PDPs		 12
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)		 6 X 1 UD NASAL SPRAY CTR 00173052300 4
PDPs		 11
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)		 1 BLPK 00173073500 4
PDPs		 12
MAPDs
IMITREX 4 MG/0.5 ML PEN INJECT
(Sumatriptan Succinate)		 1 ML   00173073900 4
PDPs		 11
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)		 9 BLPK 00173073601 4
PDPs		 12
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)		 6 X 1 UNIT DOSE SPRAY CTR 00173052400 4
PDPs		 11
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)		 2 (STATDOSE) SYR 00173047800 4
PDPs		 12
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)		 5 X 0.5 ML VIAL 00173044902 4
PDPs		 12
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)		     49281025051 62
PDPs		 352
MAPDs
IMPOYZ 0.025% CREAM (g)
(Clobetasol)		 60 grams   69482070060 0
PDPs		 5
MAPDs
IMURAN 50 MG TABLET
(Azathioprine)		 30   54766059010 2
PDPs		 14
MAPDs
IMVEXXY 10 MCG MAINTENANCE PAK INSERT
(Estradiol)		 8 units   50261011008 5
PDPs		 35
MAPDs
IMVEXXY 10 MCG STARTER PACK INSR DS PK
(Estradiol)		 18 units   50261011018 5
PDPs		 35
MAPDs
IMVEXXY 4 MCG MAINTENANCE PACK INSERT
(Estradiol)		 8 units   50261010408 5
PDPs		 35
MAPDs
IMVEXXY 4 MCG STARTER PACK INSR DS PK
(Estradiol)		 18 units   50261010418 5
PDPs		 35
MAPDs
INBRIJA 42 MG INHALATION CAP CAP W/DEV
(Levodopa)		 60 units   10144034260 17
PDPs		 102
MAPDs
INCASSIA 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)		 28 tablets   65862092585 57
PDPs		 308
MAPDs
Increlex 40mg/4mL 1 VIAL, MULTI-DOSE per CARTON / 4 mL in 1 VIAL, MULTI-DOSE
(Mecasermin)		 1 VIAL, MULTI-DOSE   15054104005 62
PDPs		 352
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)		     00173087310 49
PDPs		 272
MAPDs
Indapamide 1.25mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Indapamide)		 100 TABLET, FILM COATED   00378006901 56
PDPs		 345
MAPDs
INDAPAMIDE 2.5 MG TABLET
(Indapamide)		 100.000 EA   00378008001 56
PDPs		 345
MAPDs
INDERAL LA 120 MG CAPSULE
(Propranolol HCl)		 100 EA   62559052201 2
PDPs		 7
MAPDs
INDERAL LA 160 MG CAPSULE
(Propranolol HCl)		 100 EA   62559052301 2
PDPs		 7
MAPDs
INDERAL LA 60 MG CAPSULE
(Propranolol HCl)		 100 EA   62559052001 2
PDPs		 7
MAPDs
INDERAL LA 80 MG CAPSULE
(Propranolol HCl)		 100 EA   62559052101 2
PDPs		 7
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)		 237 ML BOT 42211010111 1
PDPs		 18
MAPDs
INDOMETHACIN 25 MG CAPSULE
(Indomethacin)		 100.000 EA   31722054201 14
PDPs		 175
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)		 100 EA   31722054301 12
PDPs		 171
MAPDs
INDOMETHACIN ER 75 MG CAPSULE
(Indomethacin)		 60 EA   65162050606 9
PDPs		 128
MAPDs
INFANRIX DTAP VIAL
(Tetanus-Diphtheria Toxoids (Td))		     58160081011 62
PDPs		 352
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)		     70370104001 7
PDPs		 139
MAPDs
INGREZZA 80 MG CAPSULE
(Valbenazine)		 30 EA   70370108001 7
PDPs		 139
MAPDs
INGREZZA INITIATION PACK CAPSULE DS PK
(Valbenazine)		 units   70370204806 7
PDPs		 97
MAPDs
INLYTA 1 MG TABLET
(axitinib)		     00069014501 62
PDPs		 352
MAPDs
INLYTA 5 MG TABLET
(axitinib)		     00069015111 62
PDPs		 352
MAPDs
INNOPRAN XL 120 MG CAPSULE Capsule ER 24H
(Propranolol HCl Sustained-Release Beads)		 capsules   62559059130 1
PDPs		 51
MAPDs
INNOPRAN XL 80 MG CAPSULE Capsule ER 24H
(Propranolol HCl Sustained-Release Beads)		 30 capsules   62559059030 1
PDPs		 51
MAPDs
INSPRA 25 MG TABLET
(Eplerenone)		 30 tablets   00025171002 2
PDPs		 7
MAPDs
INSPRA 50 MG TABLET
(Eplerenone)		 30 tablets   00025172001 2
PDPs		 7
MAPDs
INSULIN LISPRO 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)		 15 mls   66733082259 10
PDPs		 57
MAPDs
INSULIN LISPRO 100 UNIT/ML VIAL [Humalog KwikPen]
(Insulin Lispro)		 10 mls   66733077301 10
PDPs		 56
MAPDs
INTELENCE 100MG TABLET
(Etravirine)		 120 TABLETS BOT 59676057001 62
PDPs		 352
MAPDs
Intelence 200mg/1
(Etravirine)		     59676057101 62
PDPs		 352
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)		 120 EA   59676057201 62
PDPs		 352
MAPDs
INTRALIPID 20% IV FAT EMUL EMULSION
(Soybean Oil Injection)		     00338051909 62
PDPs		 331
MAPDs
INTRALIPID 30% IV FAT EMUL
(Fat)		     00338052013 43
PDPs		 244
MAPDs
INTRAROSA 6.5 MG VAG INSERT
(Prasterone (Gl701 Or DHEA))		 28 units   64011060128 4
PDPs		 50
MAPDs
INTRON A 10 MILLION UNITS VIAL
(Interferon Alfa-2B)		     00085435001 62
PDPs		 352
MAPDs
INTRON A 18 MILLION UNITS VIAL
(Interferon Alfa-2B)		 1 EA   00085435101 62
PDPs		 350
MAPDs
INTRON A 25 MILLION UNIT/2.5ML VIAL
(Interferon Alfa-2b)		 mls   00085113301 62
PDPs		 348
MAPDs
INTRON A 50 MILLION UNITS VIAL
(Interferon Alfa-2B)		 1 EA   00085435201 62
PDPs		 351
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)		 3 ML VIAL 00085116801 62
PDPs		 352
MAPDs
INTROVALE 0.15-0.03 MG TABLET TBDSPK 3MO [Setlakin]
()		 91 units   70700011787 55
PDPs		 326
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)		 10X 1 GM VIAL 00006384371 28
PDPs		 179
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)		 30 BOT 50458055001 6
PDPs		 10
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)		 30 BOT 50458055101 6
PDPs		 10
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)		 30 BOT 50458055201 6
PDPs		 10
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)		 30 TABLET, EXTENDED RELEA   50458055401 6
PDPs		 10
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)		 0.75 ML   50458056201 62
PDPs		 352
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)		 1 ML   50458056301 62
PDPs		 352
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)		 1.5 ML   50458056401 62
PDPs		 352
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)		 0.25 ML   50458056001 62
PDPs		 352
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)		 0.5 ML   50458056101 62
PDPs		 352
MAPDs
INVEGA TRINZA 273 MG/0.875 ML
(Paliperidone Palmitate)		 0.875 ML   50458060601 62
PDPs		 340
MAPDs
INVEGA TRINZA 410 MG/1.315 ML
(Paliperidone Palmitate)		 1.315 ML   50458060701 62
PDPs		 340
MAPDs
INVEGA TRINZA 546 MG/1.75 ML
(Paliperidone Palmitate)		 1.75 ML   50458060801 62
PDPs		 340
MAPDs
INVEGA TRINZA 819 MG/2.625 ML
(Paliperidone Palmitate)		 2.625 ML   50458060901 62
PDPs		 340
MAPDs
INVELTYS 1% EYE DROP Eye Dropper
(Loteprednol Etabonate)		 2.8 mls   71571012128 5
PDPs		 72
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)		 120 BOT 00004024451 62
PDPs		 352
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60 EA   50458054360 29
PDPs		 205
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60 EA   50458054260 29
PDPs		 205
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60 EA   50458054160 29
PDPs		 204
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60 EA   50458054060 29
PDPs		 205
MAPDs
INVOKAMET XR 150-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)		 60.000 EA   50458094301 29
PDPs		 202
MAPDs
INVOKAMET XR 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60.000 EA   50458094201 29
PDPs		 203
MAPDs
INVOKAMET XR 50-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)		 60.000 EA   50458094101 29
PDPs		 203
MAPDs
INVOKAMET XR 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)		 60.000 EA   50458094001 29
PDPs		 203
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)		 30 EA   50458014030 29
PDPs		 212
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)		 30 EA   50458014130 29
PDPs		 212
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)		 24 X 500 ML CTR 00409737203 27
PDPs		 257
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)		 0.1 ML CTR 00065066010 2
PDPs		 93
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)		 10 DOSE VIAL 49281086010 62
PDPs		 352
MAPDs
IPRAT-ALBUT 0.5-3(2.5) MG/3 ML
(Albuterol-Ipratropium Nebu)		     00378967130 45
PDPs		 282
MAPDs
IPRATROPIUM 0.06% SPRAY
(Ipratropium Bromide Nasal)		 15.000 ML   00054004641 62
PDPs		 352
MAPDs
IPRATROPIUM BR 0.02% SOLN
(Ipratropium Bromide)		 2.500 ML   00591379883 62
PDPs		 352
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)		 345 SPRAY CRTN 00054004544 62
PDPs		 352
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)		 90 EA   43547037509 59
PDPs		 351
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)		 90 EA   31722073190 59
PDPs		 351
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)		 90.000 EA   31722072990 59
PDPs		 351
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TABLET [Avalide]
(Irbesartan, Hydrochlorothiazide)		 30 tablets   00054025422 59
PDPs		 350
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TABLET [Avalide]
(Irbesartan, Hydrochlorothiazide)		 30 tablets   00054025513 59
PDPs		 350
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)		 30 EA   00310048230 62
PDPs		 352
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)		     00006360360 62
PDPs		 352
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)		     00006047761 62
PDPs		 352
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)		     00006047361 62
PDPs		 352
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)		 60 BOT 00006022761 62
PDPs		 352
MAPDs
ISENTRESS HD 600 MG TABLET
(Raltegravir)		 tablets   00006308001 62
PDPs		 352
MAPDs
ISIBLOOM 28 DAY TABLET [Solia]
(Desogestrel and Ethinyl Estradiol)		 28 tablets   70700011384 55
PDPs		 312
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)		 24 X 500 ML BAG 00264773010 39
PDPs		 278
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)		 1000 ML X 12 CASE 00264770300 39
PDPs		 283
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)		 100 EA   00555006602 62
PDPs		 352
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)		 100.000 EA   00555007102 62
PDPs		 352
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)		 16 FLO BOT 46287000901 48
PDPs		 306
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)		 15 mL in 1 BOTTLE   00998020315 0
PDPs		 7
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)		 15 mL in 1 BOTTLE   00998020415 0
PDPs		 7
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)		 15 mL in 1 BOTTLE   00998020615 0
PDPs		 7
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)		     00187019201 9
PDPs		 79
MAPDs
ISORDIL TITRADOSE 5 MG TAB
(Isosorbide Dinitrate)		     00187015201 3
PDPs		 27
MAPDs
ISOSORBIDE DINITRATE 40MG TABLETS ER
(Isosorbide Dinitrate)		 100 BOT 57664060088 46
PDPs		 321
MAPDs
ISOSORBIDE DN 10 MG TABLET
(Isosorbide Dinitrate)		 100.000 EA   00143177101 61
PDPs		 351
MAPDs
ISOSORBIDE DN 20 MG TABLET
(Isosorbide Dinitrate)		 100 EA   49884002201 61
PDPs		 351
MAPDs
ISOSORBIDE DN 30 MG TABLET
(Isosorbide Dinitrate)		 100.000 EA   49884000901 55
PDPs		 344
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)		 100 EA   00143176901 61
PDPs		 351
MAPDs
ISOSORBIDE MN 10 MG TABLET
(Isosorbide Mononitrate)		 100 EA   00228263111 56
PDPs		 344
MAPDs
ISOSORBIDE MN ER 30 MG TABLET
(Isosorbide Mononitrate)		 100.000 EA   13668010401 62
PDPs		 352
MAPDs
ISOSORBIDE MN ER 60 MG TABLET
(Isosorbide Mononitrate)		 100.000 EA   23155017801 62
PDPs		 352
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)		 100 BOT 00143133301 56
PDPs		 345
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)		 100 TABLETS BOT 62175012937 62
PDPs		 352
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)		 100 ML BAG 00338050348 49
PDPs		 312
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)		 100 ML   00338050548 49
PDPs		 323
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)		 50 ML   00338050941 49
PDPs		 314
MAPDs
ISOTRETINOIN 10 MG CAPSULE [ZENATANE]
(Isotretinoin)		 30   69238117401 57
PDPs		 286
MAPDs
ISOTRETINOIN 20 MG CAPSULE [ZENATANE]
(Isotretinoin)		 30   69238117501 57
PDPs		 286
MAPDs
ISOTRETINOIN 30 MG CAPSULE [ZENATANE]
(Isotretinoin)		 60 capsules   69238101701 57
PDPs		 285
MAPDs
ISOTRETINOIN 40 MG CAPSULE [ZENATANE]
(Isotretinoin)		 60   69238117601 57
PDPs		 284
MAPDs
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)		 100 BOT 16252053901 32
PDPs		 278
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)		 100 BOT 16252054001 32
PDPs		 278
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)		 5.000 ML   24208000403 13
PDPs		 32
MAPDs
ITRACONAZOLE 10 MG/ML SOLUTION [Sporanox]
(Itraconazole)		 150 mls   65162008774 20
PDPs		 133
MAPDs
ITRACONAZOLE 100 MG CAPSULE [Sporanox]
(Itraconazole)		 60 capsules   16714074302 62
PDPs		 352
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)		 20 EA   42799080601 62
PDPs		 351
MAPDs
Ixekizumab 1ML 80 MG/ML Auto-Injector [Taltz]
(Ixekizumab)		     00002144511 2
PDPs		 69
MAPDs
Ixekizumab 1ML 80 MG/ML Prefilled Syringe [Taltz]
(Ixekizumab)		     00002772411 2
PDPs		 71
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)		 0.5ML SYR 42515000101 62
PDPs		 352
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)		 56.000 EA   51167020001 62
PDPs		 352
MAPDs
KALYDECO 25 MG GRANULES PACKET
(Ivacaftor)		 units   51167060001 58
PDPs		 336
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167030001 58
PDPs		 342
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167040001 58
PDPs		 342
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)		 10 ML VIAL 00088222033 42
PDPs		 271
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)		 3 ML X 5 CRTG CRTN 00088221905 42
PDPs		 270
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)		 1 X 10 ML VIAL 00169368712 43
PDPs		 265
MAPDs
LEVEMIR FLEXTOUCH 100 UNITS/ML
(Insulin Detemir)		 3 ML 00169643810 43
PDPs		 265
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)		 100 BOT 30698003201 62
PDPs		 352
MAPDs
MORPHINE 10 MG/ML SYRINGE [Infumorph]
(Morphine)		 ml   76045000810 33
PDPs		 226
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)		 30.000 EA   61748030113 49
PDPs		 283
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)		 30.000 EA   61748030213 49
PDPs		 283
MAPDs
Myorisan 30 mg capsule
(Isotretinoin)		     61748030313 47
PDPs		 283
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)		 30.000 EA   61748030413 49
PDPs		 283
MAPDs
NINLARO 2.3 MG CAPSULE
(Ixazomib)		 3.000 EA   63020007802 62
PDPs		 352
MAPDs
NINLARO 3 MG CAPSULE
(Ixazomib)		 3.000 EA   63020007902 62
PDPs		 352
MAPDs
NINLARO 4 MG CAPSULE
(Ixazomib)		 3.000 EA   63020008002 62
PDPs		 352
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))		 1 10 mL VIAL in CARTON   00169183411 27
PDPs		 254
MAPDs
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane & Regular (Human))		 1 10 mL VIAL in CARTON   00169183711 27
PDPs		 254
MAPDs
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Regular (Human))		 1 10 mL VIAL in CARTON   00169183311 27
PDPs		 254
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)		 3 ML   00169330312 30
PDPs		 257
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)		 1 X 10ML VIALGL 00169750111 30
PDPs		 257
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)		 5 X 3ML SYR 00169633910 30
PDPs		 257
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))		 5 X 3 ML SYR 00169369619 30
PDPs		 257
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))		 1 VIAL 00169368512 30
PDPs		 257
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)		     68982085001 36
PDPs		 250
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)		     68982084001 36
PDPs		 241
MAPDs
PALIPERIDONE ER 1.5 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)		     00378397893 60
PDPs		 352
MAPDs
PALIPERIDONE ER 3 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)		     00378397993 60
PDPs		 352
MAPDs
PALIPERIDONE ER 6 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)		     00378398093 60
PDPs		 352
MAPDs
PALIPERIDONE ER 9 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)		     00378398193 60
PDPs		 352
MAPDs
PANZYGA 10% (1 G/10 ML) VIAL
(Immune Globulin (Human))		 10 mls   68982082001 24
PDPs		 147
MAPDs
PANZYGA 10% (10 G/100 ML) VIAL
(Immune Globulin (Human))		 10 mls   68982082004 24
PDPs		 142
MAPDs
PANZYGA 10% (2.5 G/25 ML) VIAL
(Immune Globulin (Human))		 10 mls   68982082002 24
PDPs		 142
MAPDs
PANZYGA 10% (20 G/200 ML) VIAL
(Immune Globulin (Human))		 10 mls   68982082005 24
PDPs		 142
MAPDs
PANZYGA 10% (30 G/300 ML) VIAL
(Immune Globulin (Human))		 10 mls   68982082006 24
PDPs		 142
MAPDs
PANZYGA 10% (5 G/50 ML) VIAL
(Immune Globulin (Human))		 10 mls   68982082003 24
PDPs		 142
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)		     50222050247 40
PDPs		 287
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)		     50222050347 40
PDPs		 287
MAPDs
PLIAGLIS 7%-7% CREAM (g)
()		 240 grams   51672530502 0
PDPs		 14
MAPDs
PRIMAXIN IV 500; 500mg/100mL; mg/100mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 100 mL in 1 VIAL, SINGLE-DOS
(Imipenem-Cilastatin Intravenous For)		 25 VIAL, SINGLE-DOSE   00006351659 1
PDPs		 5
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)		 200 ML   44206043820 37
PDPs		 263
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)		 12 SYRINGE, GLASS   44087002203 13
PDPs		 184
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)		 12 SYRINGE, GLASS   44087004403 13
PDPs		 184
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)		 0.5 ML   44087332201 13
PDPs		 175
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)		 0.5 ML   44087334401 13
PDPs		 175
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)		 4.2 ML   44087018801 13
PDPs		 175
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)		     44087882201 13
PDPs		 182
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)		 60 BOT 00068050960 1
PDPs		 75
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)		 60 BOT 00088057641 39
PDPs		 265
MAPDs
SKLICE 0.5% LOTION
(ivermectin)		 117.000 GM   24338018304 4
PDPs		 58
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)		     00024576105 29
PDPs		 196
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)		     00299382345 15
PDPs		 50
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)		 30 BOT 50458029004 2
PDPs		 8
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)		 150 ML BOT 50458029515 15
PDPs		 76
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)		 20 X 1 TABLET BOXUD 00006003220 2
PDPs		 15
MAPDs
SYMDEKO 100/150 MG-150 MG TABS
(Ivacaftor;Tezacaftor, Ivacaftor)		 56   51167066101 45
PDPs		 271
MAPDs
TEGSEDI 284 MG/1.5 ML SYRINGE
(Inotersen)		 mls   72126000701 7
PDPs		 85
MAPDs
TIBSOVO 250 MG TABLET
(Ivosidenib)		 tablets   71334010001 62
PDPs		 352
MAPDs
TIVORBEX 20 MG CAPSULE
(Indomethacin)		     42211020129 0
PDPs		 5
MAPDs
TIVORBEX 40 MG CAPSULE
(Indomethacin)		     42211020229 0
PDPs		 5
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)		 30 BOT 00406992203 0
PDPs		 9
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)		 30 BOT 00406992003 0
PDPs		 9
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)		 30 BOT 00406992103 0
PDPs		 9
MAPDs
TOLSURA 65 MG CAPSULE SD DSP
(Itraconazole)		 units   51862046260 3
PDPs		 23
MAPDs
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN
(Insulin Glargine)		 6 mls   00024587102 42
PDPs		 257
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)		 1.5 ML   00024586903 42
PDPs		 263
MAPDs
TRESIBA 100 UNIT/ML VIAL
(Insulin Degludec)		 10 mls   00169266211 39
PDPs		 260
MAPDs
TRESIBA FLEXTOUCH 100 UNITS/ML
(Insulin Degludec)		     00169266015 39
PDPs		 270
MAPDs
TRESIBA FLEXTOUCH 200 UNITS/ML
(Insulin Degludec)		     00169255013 39
PDPs		 270
MAPDs
UTIBRON NEOHALER 27.5-15.6 MCG CAP W/DEV
(Indacaterol and glycopyrrolate)		 60 units   63402068160 1
PDPs		 23
MAPDs
Ventavis 0.01mg/mL
(Iloprost)		     66215030230 54
PDPs		 257
MAPDs
Ventavis 0.02mg/mL
(Iloprost)		     66215030330 54
PDPs		 257
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)		 3 ML   00169291115 28
PDPs		 208
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)		 30 EA   55111013581 46
PDPs		 312
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)		 30.000 EA   55111013681 46
PDPs		 312
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)		 30 EA   55111011381 47
PDPs		 310
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)		 30.000 EA   55111013781 46
PDPs		 312
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)		     99207027675 6
PDPs		 122
MAPDs
ZYCLARA 3.75% CREAM PUMP
(Imiquimod)		     99207027175 6
PDPs		 102
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)		 60 EA   61958170101 62
PDPs		 352
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)		 60 EA   61958170201 62
PDPs		 352
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2019)




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  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
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    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • 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.
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