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2019 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
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Drug Names Containing the Letter L 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
ADLYXIN 10-20 MCG STARTER PACK
(Lixisenatide)
    00024574502 0
PDPs
9
MAPDs
ADLYXIN 20 MCG MAINTENANCE PK
(Lixisenatide)
    00024574702 0
PDPs
9
MAPDs
ALOMIDE 0.1% EYE DROPS
(Lodoxamide Tromethamine Ophth)
10 ML BOTDR 00065034510 4
PDPs
96
MAPDs
ALOSETRON HCL 0.5 MG TABLET [Lotronex]
(Alosetron HCl)
30 EA   00054029513 59
PDPs
332
MAPDs
ALOSETRON HCL 1 MG TABLET [Lotronex]
(Alosetron HCl)
30 EA   00054029613 59
PDPs
330
MAPDs
ALREX 0.2% EYE DROPS
(Loteprednol Etabonate Ophth)
5.000 ML   24208035305 24
PDPs
231
MAPDs
ALTAVERA-28 TABLET [Portia]
(Levonorgestrel & Ethinyl Estradiol)
28 tablets   70700011684 56
PDPs
314
MAPDs
ALTOPREV 20 MG TABLET
(Lovastatin)
    70515062830 4
PDPs
46
MAPDs
ALTOPREV 60 MG TABLET
(Lovastatin)
    70515063030 4
PDPs
45
MAPDs
AMBRISENTAN 10 MG TABLET [LETAIRIS]
(Ambrisentan)
10 TABLETs   70710118003 60
PDPs
337
MAPDs
AMBRISENTAN 5 MG TABLET [LETAIRIS]
(Ambrisentan)
TABLETs   70710117903 60
PDPs
337
MAPDs
AMETHIA 0.15-0.03-0.01 MG TABLET
(Levonorgestrel & Ethinyl Estradiol)
91 EA   51862004791 24
PDPs
241
MAPDs
AMETHIA LO TABLET
(Levonorgestrel & Ethinyl Estradiol)
    51862004591 34
PDPs
233
MAPDs
AMITIZA 8MCG CAPSULE
(Lubiprostone)
    64764008060 55
PDPs
282
MAPDs
AMITIZA CAPSULES 24MCG 60 CAP BOT
(Lubiprostone)
60 CAP BOT 64764024060 55
PDPs
282
MAPDs
AMLODIPINE-BENAZEPRIL 10-20 MG Capsule [Lotrel]
(Amlodipine, Benazepril)
30 capsules BOT 00093737301 53
PDPs
346
MAPDs
AMLODIPINE-BENAZEPRIL 10-40 MG Capsule [Lotrel]
(Amlodipine Besylate-Benazepril HCl)
30 capsules   57237014701 53
PDPs
346
MAPDs
AMLODIPINE-BENAZEPRIL 2.5-10 Capsule [Lotrel]
(Amlodipine, Benazepril)
30 capsules   65862058201 53
PDPs
346
MAPDs
AMLODIPINE-BENAZEPRIL 5-10 MG Capsule [Lotrel]
(Amlodipine, Benazepril)
30 capsules BOT 00093737101 53
PDPs
346
MAPDs
AMLODIPINE-BENAZEPRIL 5-20 MG Capsule [Lotrel]
(Amlodipine, Benazepril)
30 capsules BOT 00093737201 53
PDPs
346
MAPDs
AMLODIPINE-BENAZEPRIL 5-40 MG Capsule [Lotrel]
(Amlodipine Besylate-Benazepril HCl)
30 capsules   57237014505 53
PDPs
346
MAPDs
AMMONIUM LACTATE 12% CREAM
(AMMONIUM LACTATE)
140 GM   45802049383 62
PDPs
341
MAPDs
AMMONIUM LACTATE 12% LOTION
(Lactic Acid (Ammonium Lactate))
400 GM BOTPL 45802041926 62
PDPs
347
MAPDs
ARAVA 10MG TABLET
(Leflunomide)
30 BOT 00088216030 0
PDPs
4
MAPDs
ARAVA 20MG TABLET
(Leflunomide)
30 BOT 00088216130 0
PDPs
4
MAPDs
ASHLYNA 0.15-0.03-0.01 MG TAB
(Levonorgestrel and ethinyl estradiol and ethinyl estradiol)
91.000 EA   68462064693 24
PDPs
219
MAPDs
ATIVAN 0.5 MG TABLET
(Lorazepam)
    00187006301 0
PDPs
4
MAPDs
ATIVAN 1 MG TABLET
(Lorazepam)
    00187006401 0
PDPs
4
MAPDs
ATIVAN 1 MG TABLET
(Lovastatin)
    70515062930 4
PDPs
46
MAPDs
ATIVAN 2 MG TABLET
(Lorazepam)
    00187006501 0
PDPs
4
MAPDs
ATORVASTATIN 10 MG TABLET [Lipitor]
(Atorvastatin Calcium)
1000.000 EA   60505257808 62
PDPs
352
MAPDs
ATORVASTATIN 20 MG TABLET [Lipitor]
(Atorvastatin Calcium)
1000.000 EA   60505257908 62
PDPs
352
MAPDs
ATORVASTATIN 40 MG TABLET [Lipitor]
(Atorvastatin Calcium)
1000 EA   60505258008 62
PDPs
352
MAPDs
ATORVASTATIN 80 MG TABLET [Lipitor]
(Atorvastatin Calcium)
90.000 EA   60505267109 62
PDPs
352
MAPDs
AUBRA-28 TABLET
(Levonorgestrel and Ethinyl Estradiol)
28 EA   50102012001 55
PDPs
318
MAPDs
AVIANE 0.1-0.02 TABLET
(Levonorgestrel & Ethinyl Estradiol)
28 TABLETS BOT 00555904558 54
PDPs
337
MAPDs
BIMATOPROST 0.03% EYE DROPS [Lumigan]
(Bimatoprost Ophth)
2.500 ML   68180042901 23
PDPs
197
MAPDs
CAMRESE LO TABLET
(Levonorgestrel / ethinyl estradiol and ethinyl estradiol)
91.000 EA   00093614882 34
PDPs
196
MAPDs
Carbidopa 25mg Tab 100 [Lodosyn]
(Carbidopa)
    47781033201 24
PDPs
205
MAPDs
CARNITOR 100MG/ML ORAL TUBEX
(Levocarnitine)
118 ML, 4 OZ CTR 54482014508 2
PDPs
7
MAPDs
CARNITOR 330MG TABLET
(Levocarnitine)
90 BLPK 54482014407 2
PDPs
7
MAPDs
CHLORZOXAZONE 375 MG TABLET [Lorzone]
(Chlorzoxazone)
60 tablets   13811071710 1
PDPs
47
MAPDs
CHLORZOXAZONE 750 MG TABLET [Lorzone]
(Chlorzoxazone)
21 tablets   13811071810 1
PDPs
47
MAPDs
CIMDUO 300-300 MG TABLET
(Lamivudine, Tenofovir)
tablets   49502045093 62
PDPs
352
MAPDs
COARTEM 20MG-120MG
(Artemether-Lumefantrine)
24 EA   00078056845 60
PDPs
349
MAPDs
COMBIVIR TABLET
(Lamivudine-Zidovudine)
60 EA   49702020218 0
PDPs
9
MAPDs
CONSTULOSE 10 GM/15 ML SOLN
(Lactulose)
946 ML   45963043965 62
PDPs
335
MAPDs
COZAAR 100 MG TABLET
(Losartan Potassium)
30.000 EA   00006096031 4
PDPs
16
MAPDs
COZAAR 25 MG TABLET
(Losartan Potassium)
90 EA   00006095154 4
PDPs
16
MAPDs
COZAAR 50 MG TABLET
(Losartan Potassium)
30.000 EA   00006095231 4
PDPs
16
MAPDs
CYTOMEL 25MCG TABLET
(Liothyronine Sodium)
100 BOTPL 60793011601 2
PDPs
13
MAPDs
CYTOMEL 50MCG TABLET
(Liothyronine Sodium)
100 BOTPL 60793011701 2
PDPs
13
MAPDs
CYTOMEL 5MCG TABLET
(Liothyronine Sodium)
100 BOTPL 60793011501 2
PDPs
13
MAPDs
DELSTRIGO 100-300-300 MG TABLET
(Doravirine, Lamivudine, Tenofovir)
tablets   00006500701 62
PDPs
352
MAPDs
Delyla-28 tablet
(Levonorgestrel and Ethinyl Estradiol)
    51660057286 55
PDPs
314
MAPDs
DIGOXIN 0.05 MG/ML SOLUTION [Lanoxin]
(Digoxin)
60 mL in BOTTLE, DROPPER   00054005746 59
PDPs
328
MAPDs
DIGOXIN 125 MCG TABLET [Lanoxin]
(Digoxin)
100 TABLET BOTTLE   00143124001 62
PDPs
352
MAPDs
DIGOXIN 250 MCG TABLET [Lanoxin]
(Digoxin)
100 EA   00115982201 62
PDPs
350
MAPDs
DOVATO 50-300 MG TABLET
(Dolutegravir, Lamivudine)
tablets   49702024613 61
PDPs
350
MAPDs
DUOPA 4.63 MG-20 MG/ML SUSPENSION
(Levodopa)
    00074301207 2
PDPs
34
MAPDs
ELIGARD 22.5 MG SYRINGE
(Leuprolide Acetate)
    62935022305 21
PDPs
228
MAPDs
ELIGARD 30 MG SYRINGE KIT
(Leuprolide Acetate)
    62935030330 21
PDPs
225
MAPDs
ELIGARD 45 MG SYRINGE KIT
(Leuprolide Acetate)
    62935045345 21
PDPs
222
MAPDs
ELIGARD 7.5 MG SYRINGE KIT
(Leuprolide Acetate)
    62935075375 21
PDPs
228
MAPDs
ENULOSE 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
473 ML   45963043864 62
PDPs
350
MAPDs
EPIVIR 10 MG/ML ORAL SOLUTION
(Lamivudine)
240 ML BOT 49702020548 2
PDPs
18
MAPDs
EPIVIR 150 MG TABLETS
(Lamivudine)
60 BOT 49702020318 2
PDPs
12
MAPDs
EPIVIR 300mg/1 30 FILM COATED TABLETS in BOTTLE
(Lamivudine)
30 TABLET, FILM COATED   49702020413 2
PDPs
12
MAPDs
EPIVIR HBV 100MG TABLET
(Lamivudine)
60 BOT 00173066200 2
PDPs
7
MAPDs
EPIVIR HBV 25MG/5ML TUBEX
(Lamivudine)
240 ML BOT 00173066300 60
PDPs
342
MAPDs
ESCITALOPRAM 10 MG TABLET [Lexapro]
(Escitalopram)
100.000 EA   16729016901 62
PDPs
352
MAPDs
ESCITALOPRAM 20 MG TABLET [Lexapro]
(Escitalopram)
100.000 EA   16729017001 62
PDPs
352
MAPDs
ESCITALOPRAM 5 MG TABLET [Lexapro]
(Escitalopram)
100 EA   68180013701 62
PDPs
352
MAPDs
ESCITALOPRAM OXALATE 5 MG/5 ML [Lexapro]
(Escitalopram)
240 ML   31722056924 62
PDPs
352
MAPDs
ESZOPICLONE 1 MG TABLET [Lunesta]
(Eszopiclone)
30.000 EA   00093553756 9
PDPs
176
MAPDs
ESZOPICLONE 2 MG TABLET [Lunesta]
(Eszopiclone)
100.000 EA   00093553801 9
PDPs
176
MAPDs
ESZOPICLONE 3 MG TABLET [Lunesta]
(Eszopiclone)
100.000 EA   00093553901 9
PDPs
172
MAPDs
ETHINYL ESTRADIOL 0.03 MG / LEVONORGESTREL 0.05 MG ORAL TABLET) / 10 (ETHINYL ESTRADIOL 0.03 MG 6
()
6   00555904758 58
PDPs
330
MAPDs
ETODOLAC 200 MG CAPSULE [LODINE]
(Etodolac)
100.000 EA   60505003901 45
PDPs
343
MAPDs
ETODOLAC 300 MG CAPSULE [LODINE]
(Etodolac)
100.000 EA   60505004001 43
PDPs
343
MAPDs
ETODOLAC 400 MG TABLET [LODINE]
(Etodolac)
100 EA   51672401801 46
PDPs
342
MAPDs
ETODOLAC 500 MG TABLET [LODINE]
(Etodolac)
100.000 EA   51672403601 46
PDPs
342
MAPDs
ETODOLAC ER 400 MG TABLET [LODINE]
(Etodolac)
100.000 EA   00093112201 31
PDPs
273
MAPDs
ETODOLAC ER 500 MG TABLET [LODINE]
(Etodolac)
100.000 EA   00093717201 31
PDPs
273
MAPDs
ETODOLAC ER 600 MG TABLET [LODINE]
(Etodolac)
100.000 EA   51672405301 31
PDPs
273
MAPDs
FALMINA-28 TABLET
(Levonorgestrel and Ethinyl Estradiol)
28.000 EA   16714035904 53
PDPs
321
MAPDs
FEMARA 2.5MG TABLET
(Letrozole)
30 BOT 00078024915 2
PDPs
12
MAPDs
FENOFIBRATE 120 MG TABLET [LIPOFEN]
(Fenofibrate)
90 EA   00378439177 9
PDPs
72
MAPDs
FENOFIBRATE 130 MG CAPSULE [LIPOFEN]
(Fenofibrate)
30 EA   00378608993 22
PDPs
178
MAPDs
FENOFIBRATE 134MG CAPSULE [LIPOFEN]
(Fenofibrate)
100 BOT 00115052201 59
PDPs
347
MAPDs
FENOFIBRATE 145 MG TABLET [LIPOFEN]
(Fenofibrate)
90.000 EA   45802013275 60
PDPs
347
MAPDs
FENOFIBRATE 150 MG CAPSULE [LIPOFEN]
(Fenofibrate)
90.000 EA   62559046190 8
PDPs
117
MAPDs
FENOFIBRATE 160 MG TABLET [LIPOFEN]
(Fenofibrate)
90 EA   68180036309 62
PDPs
351
MAPDs
FENOFIBRATE 200 MG CAPSULE [LIPOFEN]
(Fenofibrate)
100 BOT 00115053301 59
PDPs
346
MAPDs
FENOFIBRATE 40 MG TABLET [LIPOFEN]
(Fenofibrate)
90 EA   00378439077 9
PDPs
75
MAPDs
FENOFIBRATE 43 MG CAPSULE [LIPOFEN]
(Fenofibrate)
30 EA   00378608893 20
PDPs
186
MAPDs
FENOFIBRATE 50 MG CAPSULE [LIPOFEN]
(Fenofibrate)
90.000 EA   62559046090 6
PDPs
117
MAPDs
FENOFIBRATE 50 MG ORAL CAPSULE [LIPOFEN]
(Fenofibrate)
    66869013730 3
PDPs
49
MAPDs
FENOFIBRATE 54 MG 90 TABLET BOTTLE [LIPOFEN]
(Fenofibrate)
90 TABLET in 1 BOTTLE   00115551110 61
PDPs
351
MAPDs
FENOFIBRATE 67MG CAPSULE [LIPOFEN]
(Fenofibrate)
100 BOT 00115051101 59
PDPs
347
MAPDs
FETZIMA 20-40 MG TITRATION PAK
(levomilnacipran)
28 EA   00456220228 62
PDPs
350
MAPDs
FETZIMA ER 120 MG CAPSULE
(levomilnacipran)
30 EA   00456221230 62
PDPs
352
MAPDs
FETZIMA ER 20 MG CAPSULE
(levomilnacipran)
30 EA   00456222030 62
PDPs
352
MAPDs
FETZIMA ER 40 MG CAPSULE
(levomilnacipran)
30 EA   00456224030 62
PDPs
352
MAPDs
FETZIMA ER 80 MG CAPSULE
(levomilnacipran)
30 EA   00456228030 62
PDPs
352
MAPDs
FLUVASTATIN ER 80 MG TABLET ER 24H [Lescol XL]
(Fluvastatin Sodium)
30 TABLETs   00093744601 11
PDPs
159
MAPDs
FLUVASTATIN SODIUM 20 MG CAP [Lescol]
(Fluvastatin Sodium)
30.000 EA   00378802093 14
PDPs
190
MAPDs
FLUVASTATIN SODIUM 40 MG CAPSULE [Lescol]
(Fluvastatin Sodium)
    00378802193 14
PDPs
190
MAPDs
FOSAMPRENAVIR 700 MG TABLET [Lexiva]
(Fosamprenavir Calcium)
60 EA   00378352091 62
PDPs
351
MAPDs
FOSRENOL 1,000 MG Chewable Tablet
(Lanthanum Carbonate)
90 chewable tablets   54092025410 2
PDPs
11
MAPDs
FOSRENOL 1,000 MG POWDER PACK
(Lanthanum Carbonate Chew)
90 EA   54092025702 17
PDPs
102
MAPDs
FOSRENOL 500 MG Chewable Tablet
(Lanthanum Carbonate)
90 chewable tablets   54092025245 2
PDPs
10
MAPDs
FOSRENOL 750 MG Chewable Tablet
(Lanthanum Carbonate)
15 chewable tablets   54092025315 2
PDPs
10
MAPDs
FOSRENOL 750 MG POWDER PACKET
(Lanthanum Carbonate Chew)
90 EA   54092025602 17
PDPs
102
MAPDs
GENERLAC 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
473.000 ML   60432003816 62
PDPs
343
MAPDs
GLEOSTINE 10 MG CAPSULE
(Lomustine)
    58181304005 62
PDPs
352
MAPDs
GLEOSTINE 100 MG CAPSULE
(Lomustine)
    58181304205 62
PDPs
345
MAPDs
GLEOSTINE 40 MG CAPSULE
(Lomustine)
    58181304105 62
PDPs
345
MAPDs
HALOBETASOL PROP 0.05% FOAM [LEXETTE]
(Halobetasol Propionate)
50 grams   51862060650 2
PDPs
17
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)
  61958180101 60
PDPs
273
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone Butyrate)
59 mls   68180095102 7
PDPs
81
MAPDs
HYZAAR 100-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074531 4
PDPs
16
MAPDs
HYZAAR 100-25 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074731 4
PDPs
16
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006071731 4
PDPs
16
MAPDs
INBRIJA 42 MG INHALATION CAP CAP W/DEV
(Levodopa)
60 units   10144034260 17
PDPs
102
MAPDs
INTERMEZZO 1.75 MG TAB SUBLING
(zolpidem)
30 EA   59011025630 0
PDPs
3
MAPDs
INTERMEZZO 3.5 MG TAB SUBLING
(zolpidem)
30 EA   59011025530 0
PDPs
3
MAPDs
INVELTYS 1% EYE DROP Eye Dropper
(Loteprednol Etabonate)
2.8 mls   71571012128 5
PDPs
72
MAPDs
JENTADUETO 2.5 MG-1000 MG TAB
(linagliptin/metformin)
60.000 EA   00597014860 49
PDPs
292
MAPDs
JENTADUETO 2.5 MG-500 MG TAB
(linagliptin/metformin)
60.000 EA   00597014660 49
PDPs
292
MAPDs
JENTADUETO 2.5 MG-850 MG TAB
(linagliptin/metformin)
60.000 EA   00597014760 49
PDPs
292
MAPDs
JENTADUETO XR 2.5 MG-1,000 MG
(linagliptin/metformin)
60.000 EA   00597027073 47
PDPs
287
MAPDs
JENTADUETO XR 5 MG-1,000 MG TB
(linagliptin/metformin)
30.000 EA   00597027533 47
PDPs
287
MAPDs
JUXTAPID 10 MG CAPSULE
(lomitapide)
    76431011001 37
PDPs
304
MAPDs
JUXTAPID 20 MG CAPSULE
(lomitapide)
    76431012001 37
PDPs
304
MAPDs
JUXTAPID 30 MG CAPSULE
(lomitapide)
    76431013001 37
PDPs
300
MAPDs
JUXTAPID 40 MG CAPSULE
(lomitapide)
    76431014001 37
PDPs
300
MAPDs
JUXTAPID 5 MG CAPSULE
(lomitapide)
    76431010501 37
PDPs
304
MAPDs
JUXTAPID 60 MG CAPSULE
(lomitapide)
    76431016001 37
PDPs
296
MAPDs
KALETRA 100-25 MG TABLET
(Lopinavir-Ritonavir)
60 TABLET, FILM COATED   00074052260 62
PDPs
352
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT 00074679922 62
PDPs
352
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)
160 ML BOT 00074395646 2
PDPs
26
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)
60 TABLET, FILM COATED   50474059766 2
PDPs
8
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)
16 FLO BOT 50474000148 2
PDPs
8
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)
120 TABS BOT 50474059440 2
PDPs
8
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT 50474059540 2
PDPs
8
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)
120 TABS BOT 50474059640 2
PDPs
8
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)
60 BOT 50474059966 0
PDPs
5
MAPDs
KEPPRA XR 500 MG TABLET ER 24H
(Levetiracetam)
60 BOT 50474059866 0
PDPs
5
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)
    66220071930 5
PDPs
66
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)
    66220072930 6
PDPs
74
MAPDs
LABETALOL HCL 100 MG TABLET
(Labetalol HCl)
100 EA   49884012201 62
PDPs
352
MAPDs
LABETALOL HCL 200 MG TABLET
(Labetalol HCl)
100 EA   00185011701 62
PDPs
352
MAPDs
LABETALOL HCL 300 MG TABLET
(Labetalol HCl)
100.000 EA   00185011801 62
PDPs
352
MAPDs
LACRISERT 5 MG INS
(Artificial Tear Ophth Insert)
60 EA   24208080060 27
PDPs
136
MAPDs
LACTULOSE 10 GM PACKET [Kristalose]
(Lactulose)
30 units   69067001015 7
PDPs
63
MAPDs
LACTULOSE 10 GM/15 ML SOLUTION [Constulose]
()
473 mls   60432003708 62
PDPs
352
MAPDs
LAMICTAL 100MG TABLET
(Lamotrigine)
100 BOT 00173064255 2
PDPs
7
MAPDs
LAMICTAL 150MG TABLET
(Lamotrigine)
60 BOT 00173064360 2
PDPs
7
MAPDs
LAMICTAL 200MG TABLET
(Lamotrigine)
60 BOT 00173064460 2
PDPs
7
MAPDs
LAMICTAL 25MG DISPER TABLET CHEW
(Lamotrigine)
100 BOT 00173052700 2
PDPs
7
MAPDs
LAMICTAL 25MG TABLET
(Lamotrigine)
100 BOT 00173063302 2
PDPs
7
MAPDs
LAMICTAL 25MG TABLET STARTER KIT
(Lamotrigine)
35 BLPK 00173063310 0
PDPs
16
MAPDs
LAMICTAL 25MG/100MG TABLET STARTER KIT
(Lamotrigine)
42 TABLETS BLPK 00173059402 0
PDPs
18
MAPDs
LAMICTAL 5MG DISPER TABLET CHEW
(Lamotrigine)
100 BOT 00173052600 2
PDPs
7
MAPDs
LAMICTAL KIT 100;25MG;MG
(Lamotrigine)
1KIT PKGCOM 00173081728 0
PDPs
18
MAPDs
LAMICTAL ODT 100mg/1 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACK
(Lamotrigine)
30 TABLET, ORALLY DISINTE   00173077602 0
PDPs
7
MAPDs
LAMICTAL ODT 200mg/1 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACK
(Lamotrigine)
30 TABLET, ORALLY DISINTE   00173077702 0
PDPs
7
MAPDs
LAMICTAL ODT 25mg/1 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACK
(Lamotrigine)
30 TABLET, ORALLY DISINTE   00173077202 0
PDPs
7
MAPDs
LAMICTAL ODT 50mg/1 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACK
(Lamotrigine)
30 TABLET, ORALLY DISINTE   00173077402 0
PDPs
7
MAPDs
LAMICTAL XR 100 MG TABLET
(Lamotrigine)
30 EA   00173075600 0
PDPs
4
MAPDs
LAMICTAL XR 200 MG TABLET
(Lamotrigine)
30 EA   00173075700 0
PDPs
4
MAPDs
LAMICTAL XR 25 MG TABLET
(Lamotrigine)
30 EA   00173075400 0
PDPs
4
MAPDs
LAMICTAL XR 250 MG ER 30 TABLET, FILM COATED in BOTTLE
(Lamotrigine)
30 TABLET, FILM COATED, E   00173078100 0
PDPs
4
MAPDs
LAMICTAL XR 300 MG ER 30 TABLET, FILM COATED in BOTTLE
(Lamotrigine)
30 TABLET, FILM COATED   00173076100 0
PDPs
4
MAPDs
LAMICTAL XR 50 MG TABLET
(Lamotrigine)
30 EA   00173075500 0
PDPs
4
MAPDs
LAMICTAL XR START KIT (BLUE)
(Lamotrigine)
28 EA   00173075800 3
PDPs
77
MAPDs
LAMICTAL XR START KIT (GREEN)
(Lamotrigine)
35 EA   00173075900 3
PDPs
77
MAPDs
LAMICTAL XR START KIT (ORANGE)
(Lamotrigine)
35 EA   00173076000 3
PDPs
77
MAPDs
Lamivudine 10 mg/ml oral soln
(LAMIVUDINE)
    54838056670 62
PDPs
352
MAPDs
LAMIVUDINE 150 MG TABLET
(LAMIVUDINE)
60.000 EA   60505325106 62
PDPs
352
MAPDs
LAMIVUDINE 300 MG TABLET
(LAMIVUDINE)
30.000 EA   60505325203 62
PDPs
352
MAPDs
Lamivudine hbv 100 mg tablet
()
    60505325006 62
PDPs
352
MAPDs
LAMIVUDINE-ZIDOVUDINE TABLET
(LAMIVUDINE-ZIDOVUDINE)
60 EA   31722050660 62
PDPs
352
MAPDs
LAMOTRIGINE 150MG TABLET (60 CT)
(Lamotrigine)
60 TABLETS BOT 00093724706 62
PDPs
352
MAPDs
LAMOTRIGINE 200MG TABLET (60 CT)
(Lamotrigine)
60 BOT 00093724806 62
PDPs
352
MAPDs
LAMOTRIGINE 25 MG DISPER TAB CHW DSP [Lamictal CD]
(Lamotrigine)
60 units   55111022601 62
PDPs
352
MAPDs
LAMOTRIGINE 25 MG TABLET [Subvenite]
(Lamotrigine)
60 tablets   13668004501 62
PDPs
352
MAPDs
LAMOTRIGINE 5 MG DISPER TABLET CHW DSP [Lamictal CD]
(Lamotrigine)
30 units   55111022501 62
PDPs
352
MAPDs
LAMOTRIGINE ER 100 MG TABLET
(Lamotrigine)
30 EA   55111071930 20
PDPs
265
MAPDs
LAMOTRIGINE ER 200 MG TABLET
(Lamotrigine)
30 EA   55111072030 20
PDPs
265
MAPDs
LAMOTRIGINE ER 25 MG TABLET
(Lamotrigine)
30 EA   55111071730 20
PDPs
265
MAPDs
LAMOTRIGINE ER 250 MG TABLET
(Lamotrigine)
    49884060411 20
PDPs
265
MAPDs
LAMOTRIGINE ER 300 MG TABLET
(Lamotrigine)
30 EA   55111042830 20
PDPs
265
MAPDs
LAMOTRIGINE ER 50 MG TABLET
(Lamotrigine)
30 EA   55111071830 20
PDPs
265
MAPDs
LAMOTRIGINE ODT 100 MG TABLET RAPDIS [Lamictal ODT]
(Lamotrigine)
30 units   00115994108 14
PDPs
203
MAPDs
LAMOTRIGINE ODT 200 MG TABLET RAPDIS [Lamictal ODT]
(Lamotrigine)
360 units   00115994208 14
PDPs
202
MAPDs
LAMOTRIGINE ODT 25 MG TABLET
(Lamotrigine)
30 EA   43598055030 14
PDPs
198
MAPDs
LAMOTRIGINE ODT 50 MG TABLET RAPDIS [Lamictal ODT]
(Lamotrigine)
30 units   00115994008 14
PDPs
198
MAPDs
LAMOTRIGINE START KIT-BLUE TAB DS PK [Subvenite]
(Lamotrigine)
35 units   69102063909 15
PDPs
175
MAPDs
LAMOTRIGINE START KIT-GREEN TAB DS PK [Subvenite]
(Lamotrigine)
100 units   69102035911 15
PDPs
175
MAPDs
LAMOTRIGINE START KIT-ORANG TAB DS PK [Subvenite]
(Lamotrigine)
49 units   69102013710 15
PDPs
175
MAPDs
LAMOTRIGINE TABLET 100MG (100 CT)
(Lamotrigine)
100 BOT 00093046301 62
PDPs
352
MAPDs
LANOXIN 125 MCG TABLET
(Digoxin)
    59212024255 7
PDPs
46
MAPDs
LANOXIN 250 MCG TABLET
(Digoxin)
30 tablets   59212024975 7
PDPs
42
MAPDs
LANOXIN 62.5 MCG TABLET
(Digoxin)
    59212024055 17
PDPs
92
MAPDs
LANSOPRAZOL-AMOXICIL-CLARITHRO
()
    00781405442 7
PDPs
169
MAPDs
LANSOPRAZOLE DR 15 MG CAPSULE DR [Prevacid]
(Lansoprazole)
30 units   51991077133 38
PDPs
308
MAPDs
LANSOPRAZOLE DR 30 MG CAPSULE [Prevacid]
(Lansoprazole)
30 units   00093735156 38
PDPs
309
MAPDs
LANSOPRAZOLE ODT 15 MG TABLET RAP DR [Prevacid]
(Lansoprazole)
30 units   00093300893 4
PDPs
83
MAPDs
LANSOPRAZOLE ODT 30 MG TABLET RAP DR [Prevacid]
(Lansoprazole)
30 units   00093300993 4
PDPs
84
MAPDs
LANTHANUM CARB 1,000 MG TAB CHEW [Fosrenol]
(Lanthanum Carbonate Chew)
    68180082110 29
PDPs
195
MAPDs
LANTHANUM CARB 500 MG TAB CHEW [Fosrenol]
(Lanthanum Carbonate Chew)
    68180081942 29
PDPs
195
MAPDs
LANTHANUM CARB 750 MG TAB CHEW [Fosrenol]
(Lanthanum Carbonate Chew)
    68180082046 29
PDPs
195
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
LARIN 1.5 MG-30 MCG TABLET
(norethindrone acetate / ethinyl estradiol and ferrous fumarate)
21.000 EA   16714040703 49
PDPs
316
MAPDs
LARIN 21 1-20 TABLET
(norethindrone acetate and ethinyl estradiol)
21.000 EA   16714040803 51
PDPs
321
MAPDs
LARIN FE 1-20 TABLET
(ethinyl estradiol / norethindrone)
28 EA   16714040604 53
PDPs
325
MAPDs
LARIN FE 1.5-30 TABLET
(norethindrone acetate / ethinyl estradiol and ferrous fumarate)
28 EA   16714040504 53
PDPs
322
MAPDs
Larissia-28 tablet
(Levonorgestrel and ethinyl estradiol)
    69238153106 55
PDPs
307
MAPDs
LASIX 20 MG TABLET
(Furosemide)
    30698006701 4
PDPs
11
MAPDs
LASIX 40 MG TABLET
(Furosemide)
    30698006001 4
PDPs
11
MAPDs
LASIX 80 MG TABLET
(Furosemide)
    30698006605 4
PDPs
11
MAPDs
LASTACAFT 2.5mg/mL 1 BOTTLE, PLASTIC per CARTON / 3 mL in 1 BOTTLE, PLASTIC
(ALCAFTADINE)
1 BOTTLE, PLASTIC   00023429003 24
PDPs
131
MAPDs
LATANOPROST 0.005% EYE DROPS
()
2.5 ML   61314054701 62
PDPs
352
MAPDs
LATUDA 120 MG TABLET
(lurasidone)
30 EA   63402031230 62
PDPs
352
MAPDs
LATUDA 20 MG TABLET
(lurasidone)
30 EA   63402030230 62
PDPs
352
MAPDs
LATUDA 40 MG TABLET
(lurasidone)
30.000 EA   63402030430 62
PDPs
352
MAPDs
LATUDA 60 MG TABLET
(lurasidone)
30 EA   63402030630 62
PDPs
352
MAPDs
LATUDA 80 MG TABLET
(lurasidone)
30.000 EA   63402030830 62
PDPs
352
MAPDs
LAYOLIS FE CHEWABLE TABLET
(NORETH-ETHINYL ESTRADIOL/IRON)
28 EA   52544006431 17
PDPs
137
MAPDs
LAZANDA 100 MCG NASAL SPRAY
(fentanyl nasal spray)
    13913000901 18
PDPs
159
MAPDs
LAZANDA 300 MCG NASAL SPRAY
(fentanyl nasal spray)
    13913001301 18
PDPs
154
MAPDs
LAZANDA 400 MCG NASAL SPRAY
(fentanyl nasal spray)
    13913001001 18
PDPs
159
MAPDs
LEDIPASVIR-SOFOSBUVIR 90-400MG TABLET [Harvoni]
(Ledipasvir and Sofosbuvir)
28 tablets   72626260101 11
PDPs
124
MAPDs
LEENA 28 TABLET [Tri-Norinyl]
(Norethindrone-Eth Estradiol)
28 tablets   51862047101 47
PDPs
286
MAPDs
LEFLUNOMIDE 10 MG TABLET
(Leflunomide)
30.000 EA   13811067730 62
PDPs
352
MAPDs
LEFLUNOMIDE 20 MG TABLET
(Leflunomide)
30.000 EA   13811067830 62
PDPs
352
MAPDs
LENVIMA 10 MG DAILY DOSE
(Lenvatinib)
30.000 EA   62856071030 62
PDPs
352
MAPDs
LENVIMA 12 MG DAILY DOSE Capsule
(Lenvatinib)
capsules   62856071205 62
PDPs
352
MAPDs
LENVIMA 14 MG DAILY DOSE
(Lenvatinib)
60.000 EA   62856071430 62
PDPs
352
MAPDs
LENVIMA 18 MG DAILY DOSE
(Lenvatinib)
90.000 EA   62856071830 62
PDPs
352
MAPDs
LENVIMA 20 MG DAILY DOSE
(Lenvatinib)
60.000 EA   62856072030 62
PDPs
352
MAPDs
LENVIMA 24 MG DAILY DOSE
(Lenvatinib)
90.000 EA   62856072430 62
PDPs
352
MAPDs
LENVIMA 4 MG CAPSULE
(Lenvatinib)
5 capsules   62856070405 62
PDPs
352
MAPDs
LENVIMA 8 MG DAILY DOSE
(Lenvatinib)
    62856070830 62
PDPs
352
MAPDs
LESCOL XL 80 MG TABLET
(Fluvastatin Sodium)
30.000 EA   00078035415 0
PDPs
6
MAPDs
Lessina 3 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT per BLISTER PACK
(Levonorgestrel & Ethinyl Estradiol)
3 POUCH in 1 CARTON / BP   00555901467 58
PDPs
334
MAPDs
LETAIRIS 10 MG TABLET
(Ambrisentan)
30.000 EA   61958080201 41
PDPs
216
MAPDs
LETAIRIS 5 MG TABLET
(Ambrisentan)
30.000 EA   61958080101 41
PDPs
216
MAPDs
LETROZOLE 2.5 MG TABLET
(LETROZOLE)
30.000 EA   00093762056 62
PDPs
352
MAPDs
LEUCOVORIN CALCIUM 10MG TABLET
(Leucovorin Calcium)
24 BOT 00054449710 62
PDPs
350
MAPDs
Leucovorin Calcium 15mg/1 24 TABLET BOTTLE
(Leucovorin Calcium)
24 TABLET in 1 BOTTLE   00054449810 62
PDPs
350
MAPDs
LEUCOVORIN CALCIUM 25MG TABLET
(Leucovorin Calcium)
25 BOT 00555048527 62
PDPs
351
MAPDs
LEUCOVORIN CALCIUM 5 MG TAB
(Leucovorin Calcium)
30.000 EA   00555048401 62
PDPs
352
MAPDs
LEUKERAN 2 MG TABLET
(Chlorambucil)
25 EA   76388063525 62
PDPs
352
MAPDs
LEUKINE 250 MCG VIAL
(Sargramostim)
    00024584305 25
PDPs
256
MAPDs
LEUPROLIDE 2WK 14 MG/2.8 ML KT
(Leuprolide Acetate)
1.000 EA   00781400332 62
PDPs
352
MAPDs
LEVALBUTEROL 0.31 MG/3 ML SOL VIAL-NEB [Xopenex Pediatric]
(Levalbuterol Tartrate)
72 mls   00115993076 17
PDPs
233
MAPDs
LEVALBUTEROL 0.63 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)
72 mls   43598041025 17
PDPs
233
MAPDs
LEVALBUTEROL 1.25 MG/0.5 ML
(Levalbuterol HCl)
1 EA   00378699393 19
PDPs
249
MAPDs
LEVALBUTEROL 1.25 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)
72 mls   43598040925 20
PDPs
250
MAPDs
LEVALBUTEROL TAR HFA 45MCG INH [Xopenex]
(Levalbuterol HCl)
15.000 GM   00591292754 28
PDPs
239
MAPDs
LEVAQUIN 500mg/1 50 FILM COATED TABLETS in BOTTLE
(Levofloxacin)
50 TABLET, FILM COATED   50458092550 1
PDPs
5
MAPDs
LEVAQUIN 750 MG TABLET
(Levofloxacin)
20 EA   50458093020 1
PDPs
5
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
LEVETIRACETAM 1,000 MG TABLET
()
60.000 EA   68180011507 62
PDPs
352
MAPDs
LEVETIRACETAM 100 MG/ML SOLN
()
473.000 ML   31722057447 62
PDPs
352
MAPDs
LEVETIRACETAM 250 MG TABLET
()
120.000 EA   31722053612 62
PDPs
352
MAPDs
LEVETIRACETAM 500 MG TABLET
()
120.000 EA   31722053712 62
PDPs
352
MAPDs
LEVETIRACETAM 750 MG TABLET
()
120 EA   31722053812 62
PDPs
352
MAPDs
LEVETIRACETAM ER 500 MG TABLET
()
60.000 EA   68180011707 34
PDPs
325
MAPDs
LEVETIRACETAM ER 750 MG TABLET
()
60 EA   68180011807 34
PDPs
325
MAPDs
LEVO-T 100 MCG TABLET
(Levothyroxine)
30 tablets   55466010811 39
PDPs
234
MAPDs
LEVO-T 112 MCG TABLET
(Levothyroxine)
    55466010911 39
PDPs
234
MAPDs
LEVO-T 125 MCG TABLET
(Levothyroxine)
    55466011011 39
PDPs
234
MAPDs
LEVO-T 137 MCG TABLET
(Levothyroxine)
    55466011111 39
PDPs
234
MAPDs
LEVO-T 150 MCG TABLET
(Levothyroxine)
    55466011211 39
PDPs
234
MAPDs
LEVO-T 175 MCG TABLET
(Levothyroxine)
    55466011311 39
PDPs
234
MAPDs
LEVO-T 200 MCG TABLET
(Levothyroxine)
    55466011411 39
PDPs
234
MAPDs
LEVO-T 25 MCG TABLET
(Levothyroxine)
    55466010411 39
PDPs
234
MAPDs
LEVO-T 300 MCG TABLET
(Levothyroxine)
    55466011511 39
PDPs
234
MAPDs
LEVO-T 50 MCG TABLET
(Levothyroxine)
    55466010511 39
PDPs
234
MAPDs
LEVO-T 75 MCG TABLET
(Levothyroxine)
    55466010611 39
PDPs
234
MAPDs
LEVO-T 88 MCG TABLET
(Levothyroxine)
    55466010711 39
PDPs
234
MAPDs
LEVOBUNOLOL HYDROCHLORIDE OPHTHALMIC SOLUTION
(Levobunolol HCl Ophth)
5ML X 1 BOTDR CRTN 24208050505 57
PDPs
347
MAPDs
LEVOCARNITINE 1 G/10 ML SOLN
(Levocarnitine)
118 ML   64980050312 60
PDPs
327
MAPDs
LEVOCARNITINE 330 MG TABLET
(Levocarnitine)
90.000 EA   50383017290 62
PDPs
343
MAPDs
LEVOCETIRIZINE 2.5 MG/5 ML SOL
(LEVOCETIRIZINE)
    45802068028 19
PDPs
274
MAPDs
LEVOCETIRIZINE 5 MG TABLET
(LEVOCETIRIZINE)
90.000 EA   68462034690 62
PDPs
352
MAPDs
LEVOFLOXACIN 0.5% EYE DROPS [LEVAQUIN]
(Levofloxacin)
5.000 ML   17478010610 22
PDPs
220
MAPDs
LEVOFLOXACIN 25 MG/ML SOLUTION [LEVAQUIN]
(Levofloxacin)
480.000 ML   50383028616 62
PDPs
347
MAPDs
LEVOFLOXACIN 250 MG TABLET [LEVAQUIN]
(Levofloxacin)
50.000 EA   65862053650 62
PDPs
352
MAPDs
LEVOFLOXACIN 500 MG TABLET [LEVAQUIN]
(Levofloxacin)
50.000 EA   65862053750 62
PDPs
352
MAPDs
LEVOFLOXACIN 500 MG/20 ML VIAL [Levaquin]
(Levofloxacin)
20 mls   55150015620 59
PDPs
344
MAPDs
Levofloxacin 5mg/mL 24 POUCH per CARTON / 1 BAG in 1 POUCH / 100 mL in 1 BAG [LEVAQUIN]
(Levofloxacin)
24 POUCH in 1 CARTON   25021013282 62
PDPs
341
MAPDs
LEVOFLOXACIN 750 MG TABLET [LEVAQUIN]
(Levofloxacin)
20.000 EA   65862053820 62
PDPs
352
MAPDs
LEVOFLOXACIN 750 MG/150 ML-D5W [LEVAQUIN]
(Levofloxacin)
150.000 ML   25021013283 62
PDPs
334
MAPDs
LEVONEST-28 TABLET
(ethinyl estradiol / levonorgestrel)
28 EA   16714034004 58
PDPs
328
MAPDs
LEVONO-E ESTRAD 0.10-0.02-0.01
(Levonorgestrel & Ethinyl Estradiol)
91   00378728485 33
PDPs
244
MAPDs
LEVONOR-ETH ESTRAD 0.09-0.02 MG
(Levonorgestrel & Ethinyl Estradiol)
28 EA   68462063729 26
PDPs
158
MAPDs
LEVONOR-ETH ESTRAD 0.1-0.02 MG
(Levonorgestrel & Ethinyl Estradiol)
28.000 EA   68180085413 60
PDPs
320
MAPDs
LEVONOR-ETH ESTRAD 0.15-0.03
(Levonorgestrel & Ethinyl Estradiol)
28 EA   00378655053 56
PDPs
331
MAPDs
LEVONOR-ETH ESTRAD 0.15-0.03
(Levonorgestrel & Ethinyl Estradiol)
91 EA   00378728153 58
PDPs
330
MAPDs
Levonor-eth Estrad 0.15-0.03-0.01
(Levonorgestrel & Ethinyl Estradiol)
    00378728590 29
PDPs
249
MAPDs
LEVONOR-ETH ESTRAD TRIPHASIC
(Levonorgestrel & Ethinyl Estradiol)
28.000 EA   68180085713 60
PDPs
317
MAPDs
LEVONORG 0.15MG-EE 20-25-30MCG
(Levonorgestrel & Ethinyl Estradiol)
    00378731685 18
PDPs
179
MAPDs
Levora-28 tablet
(Levonorgestrel & Ethinyl Estradiol)
    51862009706 58
PDPs
335
MAPDs
LEVORPHANOL 2 MG TABLET
(Levorphanol Tartrate)
    42358010210 15
PDPs
128
MAPDs
LEVORPHANOL 3 MG TABLET
(Levorphanol Tartrate)
tablets   42358010310 9
PDPs
83
MAPDs
LEVOTHYROXINE 100 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378180910 62
PDPs
352
MAPDs
LEVOTHYROXINE 112 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378181110 62
PDPs
352
MAPDs
LEVOTHYROXINE 125 MCG TABLET
(Levothyroxine Sodium)
90 EA   00378181377 62
PDPs
352
MAPDs
LEVOTHYROXINE 137 MCG TABLET
(Levothyroxine Sodium)
90 EA   00378182377 62
PDPs
352
MAPDs
LEVOTHYROXINE 150 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378181510 62
PDPs
352
MAPDs
LEVOTHYROXINE 175 MCG TABLET
(Levothyroxine Sodium)
1000 EA   00378181710 62
PDPs
352
MAPDs
LEVOTHYROXINE 200 MCG TABLET
(Levothyroxine Sodium)
    00378181977 62
PDPs
352
MAPDs
LEVOTHYROXINE 25 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378180010 62
PDPs
352
MAPDs
LEVOTHYROXINE 300 MCG TABLET
(Levothyroxine Sodium)
90 EA   00378182177 62
PDPs
352
MAPDs
LEVOTHYROXINE 50 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378180310 62
PDPs
352
MAPDs
LEVOTHYROXINE 75 MCG TABLET
(Levothyroxine Sodium)
1000 EA   00378180510 62
PDPs
352
MAPDs
LEVOTHYROXINE 88 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378180710 62
PDPs
352
MAPDs
LEVOXYL 100 MCG TABLET
(Levothyroxine Sodium)
30 tablets   60793085410 60
PDPs
303
MAPDs
LEVOXYL 112 MCG TABLET
(Levothyroxine Sodium)
30 tablets   60793085510 60
PDPs
303
MAPDs
LEVOXYL 125 MCG TABLET
(Levothyroxine Sodium)
100 EA   60793085601 60
PDPs
303
MAPDs
LEVOXYL 137 MCG TABLET
(Levothyroxine Sodium)
100 EA   60793085701 60
PDPs
303
MAPDs
LEVOXYL 150 MCG TABLET
(Levothyroxine Sodium)
30 tablets   60793085810 60
PDPs
303
MAPDs
LEVOXYL 175 MCG TABLET
(Levothyroxine Sodium)
90 tablets   60793085910 60
PDPs
303
MAPDs
LEVOXYL 200 MCG TABLET
(Levothyroxine Sodium)
100 EA   60793086001 60
PDPs
303
MAPDs
LEVOXYL 25 MCG TABLET
(Levothyroxine Sodium)
100 EA   60793085001 60
PDPs
303
MAPDs
LEVOXYL 50 MCG TABLET
(Levothyroxine Sodium)
100.000 EA   60793085101 60
PDPs
303
MAPDs
LEVOXYL 75 MCG TABLET
(Levothyroxine Sodium)
90 tablets   60793085210 60
PDPs
303
MAPDs
LEVOXYL 88 MCG TABLET
(Levothyroxine Sodium)
100.000 EA   60793085301 60
PDPs
303
MAPDs
LEXAPRO 10MG TABLET
(Escitalopram Oxalate)
10 BOT 00456201001 4
PDPs
11
MAPDs
LEXAPRO 20MG TABLET
(Escitalopram Oxalate)
100 TABLETS BOT 00456202001 4
PDPs
11
MAPDs
LEXAPRO 5MG TABLET
(Escitalopram Oxalate)
100 BOT 00456200501 4
PDPs
11
MAPDs
LEXETTE 0.05% FOAM
(Halobetasol Propionate)
50 grams   51862060450 1
PDPs
13
MAPDs
LEXIVA 50mg/mL 225 mL in 1 BOTTLE
(Fosamprenavir Calcium)
225 mL in 1 BOTTLE   49702020853 62
PDPs
352
MAPDs
LEXIVA 700MG TABLETS
(Fosamprenavir Calcium)
60 BOT 49702020718 8
PDPs
35
MAPDs
LIALDA 1.2G TABLET DELAYED RELEASE
(Mesalamine)
120 BOT 54092047612 4
PDPs
114
MAPDs
LIDOCAINE 2% VISCOUS SOLN
(Lidocaine)
100.000 ML   50383077504 60
PDPs
340
MAPDs
LIDOCAINE 5% OINTMENT
(Lidocaine HCl)
35.44 GM   52565000814 46
PDPs
306
MAPDs
Lidocaine 5% patch
(Lidocaine)
    00591352511 62
PDPs
352
MAPDs
LIDOCAINE HCL 2% JELLY 30ML TUBE
(Lidocaine)
30 ML TUBE 17478071130 58
PDPs
344
MAPDs
LIDOCAINE HCL IV 4% SOLUTION
(Lidocaine HCl IV)
50 ML   52565000950 56
PDPs
329
MAPDs
LIDOCAINE-PRILOCAINE CREAM
(Lidocaine-Prilocaine)
30 GM 00115146845 60
PDPs
347
MAPDs
LIDODERM 5% PATCH
(Lidocaine)
30 PATCHES X 5 PATCHES CRTN 63481068706 3
PDPs
9
MAPDs
LINDANE SHAMPOO 1MG 2 FLO BOT
(Lindane)
2 FLO BOT 60432083460 35
PDPs
208
MAPDs
Linezolid 20 MG/ML Oral Suspension [Zyvox]
(Linezolid)
    00054031950 62
PDPs
337
MAPDs
LINEZOLID 600 MG TABLET [Zyvox]
(Linezolid)
20 EA   67877041920 62
PDPs
352
MAPDs
LINEZOLID 600 MG/300 ML IV SOL [Zyvox]
(Linezolid)
    55150024251 62
PDPs
352
MAPDs
LINZESS 145 MCG CAPSULE
(linzess)
30 EA   00456120130 58
PDPs
348
MAPDs
LINZESS 290 MCG CAPSULE
(linzess)
30 EA   00456120230 58
PDPs
348
MAPDs
LINZESS 72 MCG CAPSULE
(linzess)
    00456120330 58
PDPs
346
MAPDs
LIOTHYRONINE SOD 25 MCG TAB
(Liothyronine Sodium)
100.000 EA   42794001902 62
PDPs
352
MAPDs
LIOTHYRONINE SOD 5 MCG TAB
(Liothyronine Sodium)
100.000 EA   42794001802 62
PDPs
352
MAPDs
LIOTHYRONINE SOD 50 MCG TABLET [Cytomel]
(Liothyronine)
30 tablets   42794002012 62
PDPs
352
MAPDs
LIPITOR 10MG TABLET
(Atorvastatin Calcium)
90 BOT 00071015523 4
PDPs
16
MAPDs
LIPITOR 20 MG TABLET
(Atorvastatin Calcium)
    00071015623 4
PDPs
13
MAPDs
LIPITOR 40 MG TABLET
(Atorvastatin Calcium)
90.000 EA   00071015723 4
PDPs
13
MAPDs
LIPITOR 80 MG TABLET
(Atorvastatin Calcium)
90.000 EA   00071015823 4
PDPs
13
MAPDs
LIPOFEN 150MG CAPSULES
(Fenofibrate)
90 BOTPL 66869014730 3
PDPs
39
MAPDs
LISINOPRIL 10 MG TABLET
(Lisinopril)
1000 EA   68180098003 62
PDPs
352
MAPDs
LISINOPRIL 2.5 MG TABLET
(Lisinopril)
500.000 EA   68180051202 62
PDPs
352
MAPDs
LISINOPRIL 20 MG TABLET
(Lisinopril)
1000 EA   68180098103 62
PDPs
352
MAPDs
LISINOPRIL 30 MG TABLET
(Lisinopril)
100 EA   68180098201 62
PDPs
352
MAPDs
LISINOPRIL 40 MG TABLET
(Lisinopril)
1000.000 EA   68180051703 62
PDPs
352
MAPDs
LISINOPRIL 5 MG TABLET
(Lisinopril)
1000.000 EA   68180051303 62
PDPs
352
MAPDs
LISINOPRIL-HCTZ 10-12.5 MG TAB
(Lisinopril)
500.000 EA   68180051802 62
PDPs
352
MAPDs
LISINOPRIL-HCTZ 20-12.5 MG TAB
(Lisinopril)
500.000 EA   68180051902 62
PDPs
352
MAPDs
LISINOPRIL-HCTZ 20-25 MG TAB
(Lisinopril)
500.000 EA   68180052002 62
PDPs
352
MAPDs
LITHIUM CARBONATE 150 MG CAP
(Lithium Carbonate)
60 capsules   31722054401 62
PDPs
352
MAPDs
LITHIUM CARBONATE 300 MG Capsule [Eskalith]
(Lithium Carbonate)
60 capsules   62332001431 62
PDPs
352
MAPDs
Lithium Carbonate 300 mg tab
(Lithium Carbonate)
    62756043018 62
PDPs
350
MAPDs
Lithium Carbonate 450mg/1
(Lithium Carbonate)
    68462022401 62
PDPs
352
MAPDs
LITHIUM CARBONATE 600 MG CAP
(Lithium Carbonate)
100 EA   68462022201 62
PDPs
351
MAPDs
LITHIUM CARBONATE ER 300 MG TB
(Lithium Carbonate)
100.000 EA   68462022301 62
PDPs
352
MAPDs
LITHIUM CIT 8MEQ/5ML SYRUP
(Lithium Citrate Oral)
500 ML BOT 00054352763 59
PDPs
349
MAPDs
LITHOBID ER 300 MG TABLET
(Lithium Carbonate)
100 EA   62559028001 2
PDPs
7
MAPDs
LITHOSTAT 250 MG TABLET
(Acetohydroxamic Acid)
100 EA   00178050001 4
PDPs
90
MAPDs
LIVALO 1 MG TABLET
(Pitavastatin Calcium)
90 EA   66869010490 12
PDPs
153
MAPDs
LIVALO 2 MG TABLET
(Pitavastatin Calcium)
90 EA   66869020490 12
PDPs
153
MAPDs
LIVALO 4 MG TABLET
(Pitavastatin Calcium)
90 EA   66869040490 12
PDPs
153
MAPDs
Lo Loestrin Fe 5 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL)
5 BLISTER PACK in CARTON   00430042014 3
PDPs
55
MAPDs
LOCOID 0.1% LIPOCREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
    16781038445 2
PDPs
21
MAPDs
LOCOID 0.1% LOTION
(Hydrocortisone Butyrate)
    16781039204 0
PDPs
5
MAPDs
LOCOID 0.1% SOLUTION
(Hydrocortisone Butyrate)
    16781039160 0
PDPs
3
MAPDs
LODINE 400 MG TABLET
(Etodolac)
30.000 EA   69036050330 0
PDPs
9
MAPDs
LODOSYN TAB 25MG
(Carbidopa)
    25010071115 0
PDPs
4
MAPDs
LOESTRIN 21 1.5/30 TABLET
(Norethindrone Ace & Ethinyl Estradiol)
21 EA   51285012797 3
PDPs
27
MAPDs
LOESTRIN 21 1/20 TABLET
(Norethindrone Ace & Ethinyl Estradiol)
21 EA   51285013197 3
PDPs
26
MAPDs
LOESTRIN FE 1.5/30 TABLET
(Norethindrone Ace & Ethinyl Estradiol-FE)
28 EA   51285012870 3
PDPs
26
MAPDs
LOESTRIN FE 1/20 TABLET
(Norethindrone Ace & Ethinyl Estradiol-FE)
28 EA   51285012570 3
PDPs
26
MAPDs
LOKELMA 10 GRAM POWDER PACKET
(Sodium zirconium cyclosilicate)
30 units   00310111001 8
PDPs
162
MAPDs
LOKELMA 5 GRAM POWDER PACKET
(Sodium zirconium cyclosilicate)
12 units   00310110501 8
PDPs
162
MAPDs
Lomotil 0.025; 2.5mg/1; mg/1 100 TABLET BOTTLE
(Diphenoxylate w/ Atropine)
100 TABLET BOTTLE   00025006131 0
PDPs
5
MAPDs
LONHALA MAGNAIR 25 MCG STARTER VIAL-NEB
(Glycopyrrolate)
60 mls   63402020100 3
PDPs
82
MAPDs
LONSURF 15 MG-6.14 MG TABLET
(Trifluridine and Tipiracil)
20.000 EA   64842102501 62
PDPs
352
MAPDs
LONSURF 20 MG-8.19 MG TABLET
(Trifluridine and Tipiracil)
60.000 EA   64842102003 62
PDPs
352
MAPDs
LOPERAMIDE HCL 2MG CAPSULE
(Loperamide HCl)
100 BOT 00093031101 62
PDPs
352
MAPDs
LOPID 600 MG TABLET
(Gemfibrozil)
60 EA   00071073720 2
PDPs
10
MAPDs
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra]
()
    00527194748 62
PDPs
352
MAPDs
LOPREEZA 1 MG-0.5 MG TABLET [Mimvey]
(Estradiol and Norethindrone)
28 TABLETs   69238161006 21
PDPs
122
MAPDs
LOPRESSOR 100 MG TABLET
(Metoprolol Tartrate)
    30698045901 4
PDPs
11
MAPDs
LOPRESSOR HCT 50-25 TABLET
(Metoprolol & Hydrochlorothiazide)
    30698046001 2
PDPs
7
MAPDs
LOPROX 1% SHAMPOO
(Ciclopirox Olamine)
120 ML BOT 99207001010 2
PDPs
8
MAPDs
LOPROX CREAM 90 GM
(Ciclopirox Olamine)
    43538054090 1
PDPs
4
MAPDs
LORAZEPAM 0.5 MG TABLET
(Lorazepam)
500.000 EA   00591024005 62
PDPs
352
MAPDs
LORAZEPAM 1 MG TABLET
(Lorazepam)
1000 EA   00591024110 62
PDPs
352
MAPDs
LORAZEPAM 2 MG TABLET
(Lorazepam)
100.000 EA   00591024201 62
PDPs
352
MAPDs
LORAZEPAM 2 MG/ML ORAL CONCENT
(Lorazepam)
30 ML   65162068784 46
PDPs
282
MAPDs
LORBRENA 100 MG TABLET
(Lorlatinib)
tablets   00069023101 62
PDPs
352
MAPDs
LORBRENA 25 MG TABLET
(Lorlatinib)
tablets   00069022701 62
PDPs
352
MAPDs
Lorcet plus 7.5-325 mg tablet
(Hydrocodone-Acetaminophen)
    51862058601 47
PDPs
268
MAPDs
LORYNA 3 MG-0.02 MG TABLET [Yaz]
(Drospirenone, Ethinyl Estradiol;Inert)
28 tablets   70700011484 49
PDPs
313
MAPDs
LORZONE 375 MG TABLET
(chlorzoxazone)
100 EA   68025004610 0
PDPs
4
MAPDs
LORZONE 750 MG TABLET
(chlorzoxazone)
100 EA   68025004710 0
PDPs
4
MAPDs
LOSARTAN POTASSIUM 100 MG TAB
(Losartan Potassium)
1000.000 EA   65862020399 62
PDPs
352
MAPDs
LOSARTAN POTASSIUM 25 MG TAB
(Losartan Potassium)
1000 EA   65862020199 62
PDPs
352
MAPDs
LOSARTAN POTASSIUM 50 MG TAB
(Losartan Potassium)
1000.000 EA   65862020299 62
PDPs
352
MAPDs
LOSARTAN-HCTZ 100-12.5 MG TAB
(Losartan Potassium & Hydrochlorothiazide)
90.000 EA   13668011790 62
PDPs
352
MAPDs
LOSARTAN-HCTZ 100-25 MG TAB
(Losartan Potassium & Hydrochlorothiazide)
90.000 EA   68180021709 62
PDPs
352
MAPDs
LOSARTAN-HCTZ 50-12.5 MG TAB
(Losartan Potassium & Hydrochlorothiazide)
90.000 EA   68180021509 62
PDPs
352
MAPDs
LOSEASONIQUE TABLET
(Levonorgestrel & Ethinyl Estradiol (91-Day))
91 EA   51285009287 2
PDPs
11
MAPDs
LOTEMAX 0.5% EYE DROPS
(Loteprednol Etabonate Ophth)
5.000 ML   24208029905 31
PDPs
269
MAPDs
LOTEMAX 0.5% OPHTHALMIC GEL
(Loteprednol Etabonate Ophth)
    24208050307 31
PDPs
276
MAPDs
Lotemax 5mg/g 1 TUBE per CARTON / 3.5 g in 1 TUBE
(Loteprednol Etabonate Ophth)
1 3.5 g TUBE in 1 CARTON   24208044335 29
PDPs
273
MAPDs
LOTEMAX SM 0.38% OPHTH GEL DROPS
(Loteprednol Etabonate Ophth)
5 grams   24208050707 12
PDPs
142
MAPDs
LOTENSIN 10 MG TABLET
(Benazepril)
30 tablets   30698044801 4
PDPs
14
MAPDs
LOTENSIN 20 MG TABLET
(Benazepril HCl)
    30698044901 4
PDPs
14
MAPDs
LOTENSIN 40 MG TABLET
(Benazepril HCl)
    30698045001 4
PDPs
14
MAPDs
LOTEPREDNOL ETABONATE 0.5% EYE DROPPER [Lotemax]
(Loteprednol Etabonate Ophth)
5 mls   50383026510 31
PDPs
277
MAPDs
LOTREL 10/20MG CAPSULE
(Amlodipine Besylate-Benazepril HCl)
100 BOT 00078036405 0
PDPs
4
MAPDs
LOTREL 10/40MG CAPSULE
(Amlodipine Besylate-Benazepril HCl)
100 BOT 00078037905 0
PDPs
4
MAPDs
LOTREL 5/10MG CAPSULE
(Amlodipine Besylate-Benazepril HCl)
100 BOT 00078040505 0
PDPs
4
MAPDs
LOTREL 5/20MG CAPSULE
(Amlodipine Besylate-Benazepril HCl)
100 BOT 00078040605 0
PDPs
4
MAPDs
LOTRISONE CREAM
(Clotrimazole w/ Betamethasone)
45 GM TUBE 00085092402 3
PDPs
8
MAPDs
LOTRONEX 0.5 MG TABLET
(Alosetron HCl)
30.000 EA   54766089403 2
PDPs
7
MAPDs
LOTRONEX 1 MG TABLET
(Alosetron HCl)
30.000 EA   54766089503 2
PDPs
7
MAPDs
LOVASTATIN 10 MG TABLET
(Lovastatin)
60.000 EA   68180046707 59
PDPs
351
MAPDs
LOVASTATIN 20 MG TABLET
(Lovastatin)
1000.000 EA   68180046803 59
PDPs
351
MAPDs
LOVASTATIN 40 MG TABLET
(Lovastatin)
1000.000 EA   68180046903 59
PDPs
351
MAPDs
LOVAZA 1 GM CAPSULE
(Omega-3-acid Ethyl Esters)
120 EA   00173088408 2
PDPs
7
MAPDs
LOVENOX 100 MG/ML SYRINGE
(Enoxaparin Sodium (Porcine))
10 mls   00075802010 2
PDPs
7
MAPDs
LOVENOX 120 MG/0.8 ML SYRINGE
(Enoxaparin Sodium)
.800 ML   00075291201 2
PDPs
7
MAPDs
LOVENOX 150MG PREFILLED SYR
(Enoxaparin Sodium)
10 X 1 ML SYRINGE CRTN 00075291501 2
PDPs
7
MAPDs
LOVENOX 30MG PREFILLED SYRN
(Enoxaparin Sodium)
10 X 0.3 ML SYR 00075062430 2
PDPs
7
MAPDs
LOVENOX 40MG PREFILLED SYRN
(Enoxaparin Sodium)
10 X 0.4 ML SYR 00075062040 2
PDPs
7
MAPDs
LOVENOX 60MG PREFILLED SYRN
(Enoxaparin Sodium)
10 X 0.6 ML SINGLE DOSE SYR 00075062160 2
PDPs
7
MAPDs
LOVENOX 80 MG/0.8 ML SYRINGE
(Enoxaparin Sodium)
.800 ML   00075062280 2
PDPs
7
MAPDs
LOW-OGESTREL-28 TABLET
(Inert;Norgestrel, Ethinyl Estradiol)
28 tablets   51862056401 61
PDPs
321
MAPDs
LOXAPINE 10 MG CAPSULE
(Loxapine Succinate)
100.000 EA   00378701001 62
PDPs
352
MAPDs
LOXAPINE 25MG CAPSULE (100 CT)
(Loxapine Succinate)
100 BOT 00378702501 62
PDPs
352
MAPDs
LOXAPINE CAPSULES 50MG 100 BOT
(Loxapine Succinate)
100 BOT 00591037201 62
PDPs
352
MAPDs
LOXAPINE CAPSULES 5MG 100 BOT
(Loxapine Succinate)
100 BOT 00591036901 62
PDPs
352
MAPDs
LUCEMYRA 0.18 MG TABLET
(Lofexidine)
96 tablets   27505005096 5
PDPs
117
MAPDs
LULICONAZOLE 1% CREAM (g) [LUZU]
(Luliconazole)
grams   68682085060 1
PDPs
17
MAPDs
LUMIGAN 0.01% EYE DROPS
(Bimatoprost Ophth)
2.500 ML   00023320503 53
PDPs
330
MAPDs
LUNESTA 2MG TABLET
(Eszopiclone)
100 TABLETS BOT 63402019110 1
PDPs
4
MAPDs
LUNESTA 3MG TABLET
(Eszopiclone)
100 TABLETS BOT 63402019310 1
PDPs
4
MAPDs
LUNESTA TABLETS 1MG 30 BOT
(Eszopiclone)
30 BOT 63402019030 1
PDPs
4
MAPDs
LUPANETA PACK 11.25-5 MG 3MO KIT
(leuprolide and norethindrone)
    00074105305 3
PDPs
90
MAPDs
LUPANETA PACK 3.75-5 MG 1MO KIT
(leuprolide and norethindrone)
    00074105205 3
PDPs
90
MAPDs
LUPRON DEPOT 11.25 MG 3MO KIT
(Leuprolide Acetate)
1 KIT in 1 CARTON   00074366303 58
PDPs
346
MAPDs
LUPRON DEPOT 22.5 MG 3MO KIT SYRINGEKIT
(Leuprolide Acetate)
1.5 ML   00074334603 39
PDPs
278
MAPDs
LUPRON DEPOT 3.75 MG KIT
(Leuprolide Acetate)
1 ML   00074364103 62
PDPs
352
MAPDs
LUPRON DEPOT 45 MG 6MO KIT
(Leuprolide Acetate)
1 KIT in 1 CARTON   00074347303 38
PDPs
266
MAPDs
LUPRON DEPOT 7.5 MG KIT
(Leuprolide Acetate)
1 ML   00074364203 43
PDPs
280
MAPDs
LUPRON DEPOT-4 MONTH KIT
(Leuprolide Acetate)
1.5 ML   00074368303 39
PDPs
273
MAPDs
LUTERA-28 TABLET
(Levonorgestrel & Ethinyl Estradiol)
28 EA   51862002806 57
PDPs
331
MAPDs
LUXIQ 0.12% FOAM
(Betamethasone Valerate)
100 grams   00378818701 0
PDPs
3
MAPDs
LUZU 1% CREAM
(luliconazole topical)
    99207085060 0
PDPs
8
MAPDs
LYNPARZA 100 MG TABLET
(Olaparib)
120 EA   00310066812 62
PDPs
352
MAPDs
LYNPARZA 150 MG TABLET
(Olaparib)
120 EA   00310067912 62
PDPs
352
MAPDs
LYRICA 100MG CAPSULE
(Pregabalin)
90 BOT 00071101568 62
PDPs
352
MAPDs
LYRICA 150MG CAPSULE
(Pregabalin)
90 BOT 00071101668 62
PDPs
352
MAPDs
LYRICA 20 MG/ML ORAL SOLUTION
(Pregabalin)
    00071102001 62
PDPs
352
MAPDs
LYRICA 200MG CAPSULE
(Pregabalin)
90 BOT 00071101768 62
PDPs
352
MAPDs
LYRICA 225MG CAPSULE
(Pregabalin)
90 BOT 00071101968 62
PDPs
352
MAPDs
LYRICA 25MG CAPSULE
(Pregabalin)
90 BOT 00071101268 62
PDPs
352
MAPDs
LYRICA 300MG CAPSULE
(Pregabalin)
90 BOT 00071101868 62
PDPs
352
MAPDs
LYRICA 50MG CAPSULE
(Pregabalin)
90 BOT 00071101368 62
PDPs
352
MAPDs
LYRICA 75MG CAPSULE
(Pregabalin)
90 BOT 00071101468 62
PDPs
352
MAPDs
LYRICA CR 165 MG TABLET ER 24H
(Pregabalin)
30   00071102701 23
PDPs
115
MAPDs
LYRICA CR 330 MG TABLET ER 24H
(Pregabalin)
30   00071102901 23
PDPs
115
MAPDs
LYRICA CR 82.5 MG TABLET ER 24H
(Pregabalin)
30   00071102601 23
PDPs
115
MAPDs
LYSODREN 500MG TABLET
(Mitotane)
100 BOT 00015308060 62
PDPs
352
MAPDs
LYSTEDA 650 MG TABLET
(Tranexamic Acid)
    55566211002 0
PDPs
4
MAPDs
LYZA 0.35 MG TABLET
(norethindrone)
    50102010003 60
PDPs
325
MAPDs
MARLISSA-28 TABLET
(Levonorgestrel and Ethinyl Estradiol Tablets)
28 EA   68462038829 58
PDPs
327
MAPDs
MULPLETA 3 MG TABLET
(Lusutrombopag)
tablets   59630055107 6
PDPs
138
MAPDs
NORETHIN-ETH ESTRAD 0.5-2.5
(Norethindrone Ace & Ethinyl Estradiol)
    68462065629 31
PDPs
271
MAPDs
OMEGA-3 ETHYL ESTERS 1 GM CAP [Lovaza]
(Omega-3-acid Ethyl Esters)
120 EA   60505317007 37
PDPs
275
MAPDs
ORKAMBI 100 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112.000 EA   51167070002 60
PDPs
345
MAPDs
ORKAMBI 100-125 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)
units   51167090001 56
PDPs
326
MAPDs
ORKAMBI 150-188 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)
units   51167050002 56
PDPs
326
MAPDs
ORKAMBI 200 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112 EA   51167080901 60
PDPs
350
MAPDs
ORSYTHIA-28 TABLET [Vienva]
(Levonorgestrel & Ethinyl Estradiol)
28 tablets   00254203280 58
PDPs
329
MAPDs
PANCREAZE DR 10,500 UNIT CAPSULE DR
(Pancrelipase (Lip-Prot-Amyl) DR)
90 units   62541040310 2
PDPs
77
MAPDs
PANCREAZE DR 16,800 UNIT CAPSULE DR
(Pancrelipase (Lip-Prot-Amyl) DR)
90 units   62541040410 2
PDPs
77
MAPDs
PANCREAZE DR 2,600 UNIT CAPSULE DR
(Pancrelipase (Lip-Prot-Amyl) DR)
90 units   62541040110 2
PDPs
77
MAPDs
PANCREAZE DR 21,000 UNIT CAPSULE DR
(Pancrelipase (Lip-Prot-Amyl) DR)
90 units   62541040510 2
PDPs
77
MAPDs
PANCREAZE DR 4,200 UNIT CAPSULE DR
(Pancrelipase (Lip-Prot-Amyl) DR)
90 units   62541040210 2
PDPs
77
MAPDs
PORTIA 0.15-0.03 TABLET
(Levonorgestrel & Ethinyl Estradiol)
28 BLPK 00555902058 57
PDPs
335
MAPDs
PREVACID CAPSULES DELAYED RELEASE 15 MG
(Lansoprazole)
30 BOT 64764054130 2
PDPs
7
MAPDs
PREVACID CAPSULES DELAYED RELEASE 30 MG
(Lansoprazole)
100 BOT 64764004613 2
PDPs
7
MAPDs
PREVACID SOLUTAB EXTENDED RELEASE ORALLY DISINTEGRATING 30MG 100 BOXUD
(Lansoprazole)
100 BOXUD 64764054411 0
PDPs
4
MAPDs
PREVACID SOLUTAB TABLETS DELAYED RELEASE ORALLY DISINTEGRATING 15MG 100 BOXUD
(Lansoprazole)
100 BOXUD 64764054311 0
PDPs
4
MAPDs
PREVYMIS 240 MG
(Letermovir)
    00006307502 26
PDPs
194
MAPDs
PREVYMIS 480 MG
(Letermovir)
    00006307602 26
PDPs
194
MAPDs
PRINIVIL 10MG TABLET
(Lisinopril)
90 BOT 00006010654 4
PDPs
14
MAPDs
PRINIVIL 20MG TABLET
(Lisinopril)
90 BOT 00006020754 4
PDPs
14
MAPDs
PRINIVIL 5MG TABLETS
(Lisinopril)
90 BOT 00006001954 4
PDPs
14
MAPDs
PROCENTRA 5 MG/5 ML SOLUTION
(Dextroamphetamine Sulfate)
473 ML   21724070105 4
PDPs
23
MAPDs
QBRELIS 1MG/ML SOLUTION
(Lisinopril)
150.000 ML   52652300101 2
PDPs
40
MAPDs
QUARTETTE TABLET
(levonorgestrel / ethinyl estradiol)
91 EA   51285043165 1
PDPs
29
MAPDs
REVLIMID 10 MG CAPSULE
(Lenalidomide)
28.000 EA   59572041028 62
PDPs
352
MAPDs
REVLIMID 15MG CAPSULE 21 BOT
(Lenalidomide)
21 BOT 59572041521 62
PDPs
352
MAPDs
REVLIMID 2.5 MG CAPSULE
(Lenalidomide)
28.000 EA   59572040228 62
PDPs
352
MAPDs
REVLIMID 20 MG CAPSULE
(Lenalidomide)
21.000 EA   59572042021 62
PDPs
352
MAPDs
REVLIMID 25 MG CAPSULE
(Lenalidomide)
21.000 EA   59572042521 62
PDPs
352
MAPDs
REVLIMID 5 MG CAPSULE
(Lenalidomide)
28.000 EA   59572040528 62
PDPs
352
MAPDs
ROCKLATAN 0.02%-0.005% EYE DROPS
(Netarsudil, Latanoprost)
2.5 mls   70727052925 1
PDPs
17
MAPDs
Roweepra 1,000 mg tablet
(Levetiracetam)
    69102010301 55
PDPs
319
MAPDs
ROWEEPRA 500 MG TABLET
(Levetiracetam)
60 tablets   69102010401 55
PDPs
322
MAPDs
Roweepra 750 mg tablet
(Levetiracetam)
    69102010201 55
PDPs
319
MAPDs
ROWEEPRA XR 500 MG TABLET ER 24H
(Levetiracetam)
60   69102020060 28
PDPs
251
MAPDs
ROWEEPRA XR 750 MG TABLET ER 24H
(Levetiracetam)
60   69102020160 28
PDPs
251
MAPDs
RYTARY ER 23.75 MG-95 MG CAP
(Levodopa and Carbidopa)
100.000 EA   64896066101 10
PDPs
88
MAPDs
RYTARY ER 36.25 MG-145 MG CAP
(Levodopa and Carbidopa)
100.000 EA   64896066201 10
PDPs
88
MAPDs
RYTARY ER 48.75 MG-195 MG CAP
(Levodopa and Carbidopa)
100.000 EA   64896066301 10
PDPs
88
MAPDs
RYTARY ER 61.25 MG-245 MG CAP
(Levodopa and Carbidopa)
100.000 EA   64896066401 10
PDPs
88
MAPDs
SEASONIQUE 150-30(84) TABLET DOSE PACK 3 MONTHS
(Levonorgestrel & Ethinyl Estradiol (91-Day))
91 TABLETS BLPK 51285008787 2
PDPs
11
MAPDs
SETLAKIN 0.15 MG-0.03 MG TAB
(Levonorgestrel and Ethinyl Estradiol)
    16714036603 53
PDPs
308
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)
    00024576105 29
PDPs
196
MAPDs
SOMATULINE DEPOT 120 MG/0.5 ML
(LANREOTIDE ACETATE)
0.5 ML   15054112003 62
PDPs
352
MAPDs
SOMATULINE DEPOT 60 MG/0.2 ML
(Lanreotide Acetate Extended Release)
.200 ML   15054106003 62
PDPs
350
MAPDs
SOMATULINE DEPOT 90 MG/0.3 ML
(Lanreotide Acetate Extended Release)
.300 ML   15054109003 62
PDPs
352
MAPDs
SPRITAM 1,000 MG TABLET
(Levetiracetam)
    43485010460 62
PDPs
352
MAPDs
SPRITAM 250 MG TABLET
(Levetiracetam)
    43485010160 62
PDPs
352
MAPDs
SPRITAM 500 MG TABLET
(Levetiracetam)
    43485010260 62
PDPs
352
MAPDs
SPRITAM 750 MG TABLET
(Levetiracetam)
    43485010360 62
PDPs
352
MAPDs
SRONYX 0.10-0.02 MG TABLET
(Levonorgestrel & Ethinyl Estradiol)
28.000 EA   51862054506 57
PDPs
331
MAPDs
STALEVO 100 TABLET
(Carbidopa-Levodopa-Entacapone)
100 BOT 00078040805 5
PDPs
42
MAPDs
STALEVO 150 TABLET
(Carbidopa-Levodopa-Entacapone)
100 BOT 00078040905 5
PDPs
42
MAPDs
STALEVO 200 50-200-200 TABLET
(Carbidopa-Levodopa-Entacapone)
100 BOT 00078052705 5
PDPs
42
MAPDs
STALEVO 50 TABLET
(Carbidopa-Levodopa-Entacapone)
100 BOT 00078040705 5
PDPs
42
MAPDs
SYMFI 600-300-300 MG TABLET
(Efavirenz, Lamivudine, Tenofovir)
tablets   49502047593 62
PDPs
352
MAPDs
SYMFI LO 400-300-300 MG TABLET
(Efavirenz, Lamivudine, Tenofovir Disoproxil Fumarate)
30   49502042593 62
PDPs
352
MAPDs
SYNTHROID 100 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074662490 50
PDPs
278
MAPDs
SYNTHROID 112 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074929690 50
PDPs
278
MAPDs
SYNTHROID 125 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074706890 50
PDPs
278
MAPDs
Synthroid 137ug/1 90 TABLET BOTTLE
(Levothyroxine Sodium)
90 TABLET in 1 BOTTLE   00074372790 50
PDPs
278
MAPDs
SYNTHROID 150 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074706990 50
PDPs
278
MAPDs
SYNTHROID 175 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074707090 50
PDPs
278
MAPDs
SYNTHROID 200 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074714890 50
PDPs
278
MAPDs
SYNTHROID 25 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074434190 50
PDPs
278
MAPDs
SYNTHROID 300 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074714990 50
PDPs
278
MAPDs
SYNTHROID 50 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074455290 50
PDPs
278
MAPDs
SYNTHROID 75 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074518290 50
PDPs
278
MAPDs
SYNTHROID 88 MCG TABLET
(Levothyroxine Sodium)
90.000 EA   00074659490 50
PDPs
278
MAPDs
TAKHZYRO 300 MG/2 ML VIAL
(Lanadelumab)
mls   47783064401 5
PDPs
158
MAPDs
THYROLAR-1 TABLETS
(Liotrix (T3-T4))
100 BOT 00456005001 7
PDPs
104
MAPDs
THYROLAR-1/2 TABLETS
(Liotrix (T3-T4))
100 BOT 00456004501 7
PDPs
104
MAPDs
THYROLAR-1/4 TABLETS
(Liotrix (T3-T4))
100 BOT 00456004001 7
PDPs
104
MAPDs
THYROLAR-2 TABLETS
(Liotrix (T3-T4))
100 BOT 00456005501 7
PDPs
104
MAPDs
THYROLAR-3 TABLETS
(Liotrix (T3-T4))
100 BOT 00456006001 7
PDPs
104
MAPDs
TIROSINT 100 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858003004 4
PDPs
51
MAPDs
TIROSINT 112 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858003504 4
PDPs
51
MAPDs
TIROSINT 125 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858004004 4
PDPs
51
MAPDs
TIROSINT 13 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858000504 4
PDPs
52
MAPDs
TIROSINT 137 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858004504 4
PDPs
51
MAPDs
TIROSINT 150 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858005004 4
PDPs
51
MAPDs
TIROSINT 175 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858005504 5
PDPs
51
MAPDs
TIROSINT 200 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858006004 5
PDPs
51
MAPDs
TIROSINT 25 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858001004 4
PDPs
51
MAPDs
TIROSINT 50 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858001504 4
PDPs
51
MAPDs
TIROSINT 75 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858002004 4
PDPs
51
MAPDs
TIROSINT 88 MCG CAPSULE
(LEVOTHYROXINE SODIUM)
30 capsules   71858002504 4
PDPs
51
MAPDs
TIROSINT-SOL 100 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
30 mls   71858013005 4
PDPs
33
MAPDs
TIROSINT-SOL 112 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
ml   71858013505 4
PDPs
33
MAPDs
TIROSINT-SOL 125 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
60 mls   71858014005 4
PDPs
33
MAPDs
TIROSINT-SOL 13 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
ml   71858010505 4
PDPs
33
MAPDs
TIROSINT-SOL 137 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
mls   71858014505 4
PDPs
33
MAPDs
TIROSINT-SOL 150 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
30 mls   71858015005 4
PDPs
33
MAPDs
TIROSINT-SOL 175 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
ml   71858015505 4
PDPs
33
MAPDs
TIROSINT-SOL 200 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
30 mls   71858016005 4
PDPs
33
MAPDs
TIROSINT-SOL 25 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
mls   71858011005 4
PDPs
33
MAPDs
TIROSINT-SOL 50 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
90 mls   71858011505 4
PDPs
33
MAPDs
TIROSINT-SOL 75 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
30 mls   71858012005 4
PDPs
33
MAPDs
TIROSINT-SOL 88 MCG/ML SOLUTION
(LEVOTHYROXINE SODIUM)
ml   71858012505 4
PDPs
33
MAPDs
TRADJENTA 5 MG TABLET
(LINAGLIPTIN)
30.000 EA   00597014030 50
PDPs
300
MAPDs
TRIVORA-28 TABLET
(Inert;Levonorgestrel, Ethinyl Estradiol)
28 tablets   51862051001 58
PDPs
337
MAPDs
TYDEMY TABLET
(Drospirenone, Ethinyl Estradiol, Levomefolate;L-methylfolate calcium)
28 tablets   68180090413 22
PDPs
109
MAPDs
TYKERB 250 MG TABLET
(Lapatinib Ditosylate)
    00078067119 62
PDPs
352
MAPDs
UNITHROID 100 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080501 59
PDPs
297
MAPDs
UNITHROID 112 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080601 60
PDPs
297
MAPDs
UNITHROID 125 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080701 59
PDPs
297
MAPDs
UNITHROID 150 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080901 59
PDPs
292
MAPDs
UNITHROID 175 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081001 59
PDPs
297
MAPDs
UNITHROID 200 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081101 59
PDPs
297
MAPDs
UNITHROID 25 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080101 59
PDPs
297
MAPDs
UNITHROID 300 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081201 59
PDPs
297
MAPDs
UNITHROID 50 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080201 59
PDPs
297
MAPDs
UNITHROID 75 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080301 59
PDPs
297
MAPDs
UNITHROID 88 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080401 59
PDPs
292
MAPDs
VICTOZA 3-PAK 18 MG/3 ML PEN
(Liraglutide)
9ML   00169406013 58
PDPs
334
MAPDs
VIENVA-28 TABLET
(levonorgestrel and ethinyl estradiol)
28 tablets   70700011884 55
PDPs
309
MAPDs
VIMPAT 10 MG/ML SOLUTION
(Lacosamide)
465 ML   00131541070 62
PDPs
352
MAPDs
Vimpat 100mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED   00131247835 62
PDPs
352
MAPDs
Vimpat 150mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED   00131247935 62
PDPs
352
MAPDs
Vimpat 200mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED   00131248035 62
PDPs
352
MAPDs
Vimpat 50mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Lacosamide)
60 TABLET, FILM COATED   00131247735 62
PDPs
352
MAPDs
VITRAKVI 100 MG CAPSULE
(Larotrectinib)
capsules   71777039101 62
PDPs
352
MAPDs
VITRAKVI 20 MG/ML SOLUTION
(Larotrectinib)
mls   71777039201 62
PDPs
352
MAPDs
VITRAKVI 25 MG CAPSULE
(Larotrectinib)
capsules   71777039001 62
PDPs
352
MAPDs
VYVANSE 10 MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 EA   59417010110 7
PDPs
114
MAPDs
VYVANSE 10 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011501 6
PDPs
83
MAPDs
VYVANSE 20 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011601 6
PDPs
83
MAPDs
VYVANSE 30 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011701 6
PDPs
83
MAPDs
VYVANSE 30MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT 59417010310 7
PDPs
114
MAPDs
VYVANSE 40 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011801 6
PDPs
83
MAPDs
VYVANSE 40MG CAPSULE 100 EA
(Lisdexamfetamine Dimesylate)
    59417010410 7
PDPs
114
MAPDs
VYVANSE 50 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417011901 6
PDPs
83
MAPDs
VYVANSE 50MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT 59417010510 7
PDPs
114
MAPDs
VYVANSE 60 MG CHEWABLE TABLET
(Lisdexamfetamine Dimesylate)
100 EA   59417012001 6
PDPs
83
MAPDs
VYVANSE 70MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT 59417010710 7
PDPs
114
MAPDs
VYVANSE CAPSULES 20MG 100 BOT
(Lisdexamfetamine Dimesylate)
100 BOT 59417010210 7
PDPs
114
MAPDs
VYVANSE CAPSULES 60MG 100 BOT
(Lisdexamfetamine Dimesylate)
100 BOT 59417010610 7
PDPs
114
MAPDs
VYZULTA 0.024% OPHTH SOLUTION
(Latanoprostene Bunod)
    24208050405 3
PDPs
43
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)
2.5 ML BOTPL 00013830304 0
PDPs
7
MAPDs
XIIDRA 5% EYE DROPS
(Lifitegrast)
60.000 EA   54092060601 13
PDPs
113
MAPDs
XOPENEX 0.31 MG/3 ML SOLUTION
(Levalbuterol HCl)
3 ML   17478017224 0
PDPs
6
MAPDs
XOPENEX 0.63 MG/3 ML SOLUTION
(Levalbuterol HCl)
    17478017324 0
PDPs
6
MAPDs
XOPENEX 1.25 MG/3 ML SOLUTION
(Levalbuterol HCl)
    17478017424 0
PDPs
6
MAPDs
XOPENEX CONC 1.25 MG/0.5 ML
(Levalbuterol HCl)
    17478017130 0
PDPs
6
MAPDs
XOPENEX HFA 45MCG HFA AEROSOL WITH ADAPTER
(Levalbuterol Tartrate)
200 INHALATIONS BOX 63402051001 14
PDPs
40
MAPDs
ZENPEP DR 10,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
3 units   00023611001 57
PDPs
299
MAPDs
ZENPEP DR 15,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
10 units   00023611101 57
PDPs
295
MAPDs
ZENPEP DR 20,000 UNIT CAPSULE
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
100 EA   00023611201 57
PDPs
291
MAPDs
ZENPEP DR 25,000 UNIT CAPSULE
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
100 EA   00023611601 57
PDPs
288
MAPDs
ZENPEP DR 3,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
90 units   00023611301 57
PDPs
295
MAPDs
ZENPEP DR 40,000 UNIT CAPSULE
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
100 EA   00023611401 57
PDPs
299
MAPDs
ZENPEP DR 5,000 UNIT CAPSULE
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
100 EA   00023611501 57
PDPs
286
MAPDs
ZESTORETIC 10-12.5 MG TABLET
(Lisinopril & Hydrochlorothiazide)
90 EA   52427043590 4
PDPs
14
MAPDs
ZESTORETIC 20-12.5 MG TABLET
(Lisinopril & Hydrochlorothiazide)
90 EA   52427043690 4
PDPs
14
MAPDs
ZESTORETIC 20-25 MG TABLET
(Lisinopril & Hydrochlorothiazide)
90 EA   52427043790 4
PDPs
14
MAPDs
ZESTRIL 10 MG TABLET
(Lisinopril)
90 EA   52427044090 4
PDPs
16
MAPDs
ZESTRIL 2.5 MG TABLET
(Lisinopril)
90 EA   52427043890 4
PDPs
13
MAPDs
ZESTRIL 20 MG TABLET
(Lisinopril)
90 EA   52427044190 4
PDPs
16
MAPDs
ZESTRIL 30 MG TABLET
(Lisinopril)
90 EA   52427044290 4
PDPs
13
MAPDs
ZESTRIL 40 MG TABLET
(Lisinopril)
90 EA   52427044390 4
PDPs
16
MAPDs
ZESTRIL 5 MG TABLET
(Lisinopril)
90 EA   52427043990 4
PDPs
16
MAPDs
ZTLIDO 1.8% TOPICAL SYSTEM PATCH
(Lidocaine)
30 patches   69557011101 0
PDPs
50
MAPDs
ZYLET EYE DROPS
(Loteprednol Etabonate-Tobramycin Ophth)
5.000 ML   24208035805 27
PDPs
223
MAPDs
ZYVOX 100MG/5ML SUSPENSION
(Linezolid)
150 ML BOT 00009513601 2
PDPs
16
MAPDs
ZYVOX 600 MG TABLET
(Linezolid)
20 EA   00009513802 2
PDPs
7
MAPDs
ZYVOX 600MG/300ML IV SOLUTION
(Linezolid)
300 ML BAG 00009514001 3
PDPs
14
MAPDs



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




Tips & Disclaimers
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  • Medicare has neither reviewed nor endorsed the information on our site.
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  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
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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.