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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:
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 S 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
ACITRETIN 10 MG CAPSULE [Soriatane]
()
30 EA   42794008008 61
PDPs
350
MAPDs
ACITRETIN 17.5 MG CAPSULE [Soriatane]
()
30 EA   00093113856 61
PDPs
352
MAPDs
ACITRETIN 25 MG CAPSULE [Soriatane]
()
30 EA   42794008308 61
PDPs
350
MAPDs
ALDACTAZIDE 25/25 TABLET
(Spironolactone & Hydrochlorothiazide)
100 BOT 00025101131 2
PDPs
11
MAPDs
ALDACTAZIDE 50/50 TABLET
(Spironolactone & Hydrochlorothiazide)
100 BOT 00025102131 3
PDPs
51
MAPDs
ALDACTONE 100MG TABLET
(Spironolactone)
100 BOT 00025103131 4
PDPs
11
MAPDs
ALDACTONE 25MG TABLET
(Spironolactone)
100 BOT 00025100131 4
PDPs
11
MAPDs
ALDACTONE 50MG TABLET
(Spironolactone)
100 BOT 00025104131 4
PDPs
11
MAPDs
ATOMOXETINE HCL 10 MG CAPSULE [Strattera]
(Atomoxetine HCl)
30 EA   64980037303 62
PDPs
352
MAPDs
ATOMOXETINE HCL 100 MG CAPSULE [Strattera]
(Atomoxetine HCl)
30 EA   64980037903 62
PDPs
352
MAPDs
ATOMOXETINE HCL 18 MG CAPSULE [Strattera]
(Atomoxetine HCl)
30 EA   64980037403 62
PDPs
352
MAPDs
ATOMOXETINE HCL 25 MG CAPSULE [Strattera]
(Atomoxetine HCl)
30 EA   64980037503 62
PDPs
352
MAPDs
ATOMOXETINE HCL 40 MG CAPSULE [Strattera]
(Atomoxetine HCl)
30 EA   64980037603 62
PDPs
352
MAPDs
ATOMOXETINE HCL 60 MG CAPSULE [Strattera]
(Atomoxetine HCl)
30 EA   64980037703 62
PDPs
352
MAPDs
ATOMOXETINE HCL 80 MG CAPSULE [Strattera]
(Atomoxetine HCl)
30 EA   64980037803 62
PDPs
352
MAPDs
AVC 15% CREAM
(Sulfanilamide)
    00037663104 2
PDPs
62
MAPDs
AZULFIDINE 500 MG TABLET
(Sulfasalazine)
100.000 EA   00013010101 2
PDPs
8
MAPDs
AZULFIDINE ENTAB 500 MG
(Sulfasalazine)
100.000 EA   00013010201 2
PDPs
7
MAPDs
BACTRIM 400-80 MG TABLET
(Sulfamethoxazole-Trimethoprim)
    49708014501 3
PDPs
8
MAPDs
BACTRIM DS 800-160 MG TABLET
(Sulfamethoxazole-Trimethoprim)
    49708014601 3
PDPs
8
MAPDs
BELSOMRA 10 MG TABLET
(Suvorexant)
    00006003330 19
PDPs
143
MAPDs
BELSOMRA 15 MG TABLET
(Suvorexant)
    00006032530 19
PDPs
143
MAPDs
BELSOMRA 20 MG TABLET
(Suvorexant)
    00006033530 19
PDPs
143
MAPDs
BELSOMRA 5 MG TABLET
(Suvorexant)
    00006000530 19
PDPs
143
MAPDs
BETAPACE AF 120 MG TABLET
(Sotalol HCl)
    70515011906 0
PDPs
4
MAPDs
BETAPACE AF 160 MG TABLET
(Sotalol HCl (AFIB/AFL))
    70515011606 0
PDPs
4
MAPDs
BETAPACE AF 80 MG TABLET
(Sotalol HCl)
    70515011506 0
PDPs
4
MAPDs
BLEPH-10 10% EYE DROPS
(Sulfacetamide Sodium Ophth)
5 ML BOT 11980001105 0
PDPs
47
MAPDs
BLEPHAMIDE 10-0.2% EYE OINT
(Sulfacetamide Sodium-Prednisolone Ophth)
3.5 GM TUBE 00023031304 41
PDPs
230
MAPDs
BLEPHAMIDE EYE DROPS
(Sulfacetamide Sodium-Prednisolone Ophth)
5.000 ML   11980002205 14
PDPs
151
MAPDs
BUPHENYL 500 MG TABLET
(Sodium Phenylbutyrate Oral)
250 EA   75987006008 6
PDPs
19
MAPDs
BUPHENYL POWDER
(Sodium Phenylbutyrate Oral)
    75987007009 0
PDPs
5
MAPDs
BUPRENORP-NALOX 12-3 MG SL FILM [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)
7 units   47781035803 56
PDPs
282
MAPDs
BUPRENORP-NALOX 2-0.5 MG SL FILM [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)
30 units   47781035503 56
PDPs
283
MAPDs
BUPRENORP-NALOX 4-1 MG SL FILM [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)
30 units   47781035603 56
PDPs
283
MAPDs
BUPRENORP-NALOX 8-2 MG SL FILM [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)
14 units   47781035703 56
PDPs
281
MAPDs
BUPRENORPHIN-NALOXON 2-0.5 MG SL [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)
30.000 EA   65162041603 52
PDPs
330
MAPDs
BUPRENORPHIN-NALOXON 8-2 MG SL [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)
30.000 EA   65162041503 52
PDPs
330
MAPDs
CARAFATE SUCRALFATE 1G TABLET ORAL
(Sucralfate)
    58914017110 3
PDPs
12
MAPDs
CARAFATE SUS 1GM/10ML
(Sucralfate)
14 BOT 58914017014 18
PDPs
189
MAPDs
CARBIDOPA-LEVODOPA-ENTACAPONE 100 MG [Stalevo]
(Carbidopa-Levodopa-Entacapone)
    00378830201 47
PDPs
325
MAPDs
CARBIDOPA-LEVODOPA-ENTACAPONE 125 MG [Stalevo]
(Carbidopa-Levodopa-Entacapone)
    00378830301 47
PDPs
325
MAPDs
CARBIDOPA-LEVODOPA-ENTACAPONE 200 MG [Stalevo]
(Carbidopa-Levodopa-Entacapone)
    00378830501 47
PDPs
325
MAPDs
CARBIDOPA-LEVODOPA-ENTACAPONE 50 MG [Stalevo]
(Carbidopa-Levodopa-Entacapone)
100 EA   00781561301 47
PDPs
325
MAPDs
CEFIXIME 100 MG/5 ML SUSP [Suprax]
(Cefixime For)
50.000 ML   65862075150 42
PDPs
247
MAPDs
CEFIXIME 200 MG/5 ML SUSP [Suprax]
(Cefixime For)
50.000 ML   65862075250 42
PDPs
245
MAPDs
CHEMET 100 MG CAPSULE
(Succimer)
100 EA   55292020111 54
PDPs
229
MAPDs
CINACALCET HCL 30 MG TABLET [Sensipar]
(Cinacalcet)
30 tablets   00378619793 59
PDPs
335
MAPDs
CINACALCET HCL 60 MG TABLET [Sensipar]
(Cinacalcet)
30 tablets   00378619693 59
PDPs
335
MAPDs
CINACALCET HCL 90 MG TABLET [Sensipar]
(Cinacalcet)
tablets   00378619593 59
PDPs
335
MAPDs
COSENTYX 300 MG DOSE-2 PENS
(Secukinumab)
1.000 ML   00078063941 30
PDPs
217
MAPDs
CYRED EQ 28 DAY TABLET [Solia]
(Desogestrel, Ethinyl Estradiol;Inert)
28 tablets   50102025421 51
PDPs
301
MAPDs
DROSP-EE-LEVOMEF 3-0.02-0.451 TABLET [Beyaz]
(DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM)
28 tablets   68180089411 24
PDPs
146
MAPDs
EFAVIRENZ 200 MG CAPSULE [Sustiva]
(Efavirenz)
90   64980040709 62
PDPs
351
MAPDs
EFAVIRENZ 50 MG CAPSULE [Sustiva]
(Efavirenz)
    64980040603 62
PDPs
351
MAPDs
EFAVIRENZ 600 MG TABLET [Sustiva]
(Efavirenz)
30 EA   00378223393 62
PDPs
351
MAPDs
EMOQUETTE 28 DAY TABLET [Solia]
(DESOGESTREL AND ETHINYL ESTRADIOL)
28 tablets   00254203380 60
PDPs
331
MAPDs
Empagliflozin 5 MG / Metformin hydrochloride 500 MG Oral Tablet [Synjardy]
(Empagliflozin and Metformin Hydrochloride)
    00597015960 54
PDPs
321
MAPDs
EMSAM TRANSDERMAL SYSTEM PATCHES 12MG/24H
(Selegiline TD)
30 PATCHES CRTN 49502090230 62
PDPs
352
MAPDs
EMSAM TRANSDERMAL SYSTEM PATCHES 6MG/24H
(Selegiline TD)
30 PATCHES CRTN 49502090030 62
PDPs
352
MAPDs
EMSAM TRANSDERMAL SYSTEM PATCHES 9MG/24H
(Selegiline TD)
30 PATCHES CRTN 49502090130 62
PDPs
352
MAPDs
ENSKYCE 28 TABLET [Solia]
(Ethinyl Estradiol and Desogestrel)
28 tablets   68180089111 52
PDPs
312
MAPDs
ENTRESTO 24 MG-26 MG TABLET
(Sacubitril and Valsartan)
60 EA   00078065920 62
PDPs
352
MAPDs
ENTRESTO 49 MG-51 MG TABLET
(Sacubitril and Valsartan)
60 EA   00078077720 62
PDPs
352
MAPDs
ENTRESTO 97 MG-103 MG TABLET
(Sacubitril and Valsartan)
60 EA   00078069620 62
PDPs
352
MAPDs
EPCLUSA 400 MG-100 MG TABLET
(SOFOSBUVIR/VELPATASVIR)
28.000 EA   61958220101 62
PDPs
298
MAPDs
ERTACZO 2% CREAM
(Sertaconazole Nitrate)
    00187511560 2
PDPs
52
MAPDs
Exelderm 10mg/g 60 g in 1 TUBE
(Sulconazole Nitrate)
60 g in 1 TUBE   10631010160 4
PDPs
66
MAPDs
Exelderm 10mg/mL 30 mL in 1 BOTTLE, PLASTIC
(Sulconazole Nitrate)
30 mL in 1 BOTTLE, PLASTI   10631010030 4
PDPs
66
MAPDs
FLOLIPID 20 MG/5 ML ORAL SUSP
(Simvastatin Oral Suspension)
    29273040104 1
PDPs
11
MAPDs
FLOLIPID 40 MG/5 ML ORAL SUSP
(Simvastatin Oral Suspension)
    29273040204 1
PDPs
11
MAPDs
FLUOCINOLONE 0.025% CREAM (g) [Synalar]
(Fluocinolone)
60 grams   00713070915 34
PDPs
323
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG 00013264681 28
PDPs
211
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00013262681 28
PDPs
209
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT 00013264902 28
PDPs
209
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT 00013265002 28
PDPs
207
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT 00013265102 28
PDPs
207
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT 00013265202 28
PDPs
207
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT 00013265402 28
PDPs
209
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT 00013265502 28
PDPs
209
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT 00013265602 28
PDPs
209
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT 00013265702 28
PDPs
209
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT 00013265302 28
PDPs
209
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT 00013265802 28
PDPs
209
MAPDs
Glucose 50 MG/ML / Potassium Chloride 0.02 MEQ/ML / Sodium Chloride 0.154 MEQ/ML Injectable Solution
()
    00338080304 46
PDPs
304
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00002814801 3
PDPs
107
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL 00002814901 3
PDPs
107
MAPDs
HUMATROPE 5 MG VIAL
(Somatropin For)
1 EA   00002733511 3
PDPs
100
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG 00002814701 3
PDPs
102
MAPDs
HYDROMORPHONE 2 MG/ML ISECURE Syringe [Simplist Dilaudid]
(Hydromorphone HCl)
    00409131210 38
PDPs
191
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
INCASSIA 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)
28 tablets   65862092585 57
PDPs
308
MAPDs
INTRALIPID 20% IV FAT EMUL EMULSION
(Soybean Oil Injection)
    00338051909 62
PDPs
331
MAPDs
INTROVALE 0.15-0.03 MG TABLET TBDSPK 3MO [Setlakin]
()
91 units   70700011787 55
PDPs
326
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
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT 00004024451 62
PDPs
352
MAPDs
ISIBLOOM 28 DAY TABLET [Solia]
(Desogestrel and Ethinyl Estradiol)
28 tablets   70700011384 55
PDPs
312
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
JANUMET 50-1,000 MG TABLET
(Sitagliptin-Metformin HCl)
60.000 EA   00006057761 59
PDPs
335
MAPDs
JANUMET 50-500 MG TABLET
(Sitagliptin-Metformin HCl)
60.000 EA   00006057561 59
PDPs
335
MAPDs
JANUMET XR 100-1,000 MG TABLET
(Sitagliptin-Metformin HCl)
30.000 EA   00006008131 57
PDPs
333
MAPDs
JANUMET XR 50-1,000 MG TABLET
(Sitagliptin-Metformin HCl)
60.000 EA   00006008061 57
PDPs
333
MAPDs
JANUMET XR 50-500 MG TABLET
(Sitagliptin-Metformin HCl)
60.000 EA   00006007861 57
PDPs
333
MAPDs
JANUVIA 25MG TABLET
(Sitagliptin Phosphate)
30 BOT 00006022131 59
PDPs
336
MAPDs
JANUVIA 50 MG TABLET
(Sitagliptin Phosphate)
30.000 EA   00006011231 59
PDPs
336
MAPDs
JANUVIA TABLET 100MG (30 CT)
(Sitagliptin Phosphate)
30 BOT 00006027731 59
PDPs
336
MAPDs
KEVZARA 150 MG/1.14 ML SYRINGE
(Sarilumab)
    00024590801 5
PDPs
126
MAPDs
KEVZARA 200 MG/1.14 ML SYRINGE
(Sarilumab)
    00024591001 5
PDPs
126
MAPDs
KIONEX 15 GM/60 ML SUSPENSION
(Sodium Polystyrene Sulfonate Oral)
473 ML   00574200216 62
PDPs
344
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)
    00187519804 2
PDPs
7
MAPDs
KOMBIGLYZE XR 2.5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
60 EA   00310612560 19
PDPs
94
MAPDs
KOMBIGLYZE XR 5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA   00310614530 19
PDPs
94
MAPDs
KOMBIGLYZE XR 5-500 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA   00310613530 19
PDPs
94
MAPDs
KUVAN 100 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
30.000 EA   68135030122 57
PDPs
289
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)
    68135030002 62
PDPs
352
MAPDs
KUVAN 500 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
30.000 EA   68135048211 57
PDPs
289
MAPDs
LAMOTRIGINE 25 MG TABLET [Subvenite]
(Lamotrigine)
60 tablets   13668004501 62
PDPs
352
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
LEUKINE 250 MCG VIAL
(Sargramostim)
    00024584305 25
PDPs
256
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
METAXALONE 400 MG TABLET [Skelaxin]
()
30 tablets   00115174501 1
PDPs
70
MAPDs
MINOCYCLINE ER 105 MG TABLET ER 24H [Solodyn]
(Minocycline HCl)
tablets   00093774356 2
PDPs
36
MAPDs
MINOCYCLINE ER 55 MG TABLET ER 24H [Solodyn]
(Minocycline HCl)
30 tablets   68682046730 2
PDPs
25
MAPDs
MINOCYCLINE ER 80 MG TABLET ER 24H [Solodyn]
(Minocycline HCl)
30 TABLETs   00093774256 2
PDPs
36
MAPDs
MONTELUKAST SOD 10 MG TABLET [Singulair]
(Montelukast Sodium)
30 EA   31722072630 62
PDPs
352
MAPDs
MONTELUKAST SOD 4 MG GRANULES [Singulair]
(Montelukast Sodium)
30 EA   27241001531 61
PDPs
295
MAPDs
MONTELUKAST SOD 4 MG TAB CHEW [Singulair]
(Montelukast Sodium)
30 EA   57237021230 62
PDPs
351
MAPDs
MONTELUKAST SOD 5 MG TAB CHEW [Singulair]
(Montelukast Sodium)
30 EA   57237021330 62
PDPs
351
MAPDs
NATROBA 0.9% TOPICAL SUSP
(Spinosad)
120 ML   52246092904 5
PDPs
10
MAPDs
NEXAVAR TABLETS 200MG 120 BOT
(Sorafenib Tosylate)
120 BOT 50419048858 62
PDPs
352
MAPDs
NISOLDIPINE ER 17 MG TABLET 24H [Sular]
(Nisoldipine)
100 TABLET, FILM COATED   00378209701 18
PDPs
183
MAPDs
NISOLDIPINE ER 20 MG TABLET 24H [Sular]
(Nisoldipine)
    00378222201 10
PDPs
153
MAPDs
NISOLDIPINE ER 25.5 MG TABLET 24H [Sular]
(Nisoldipine)
100 TABLET, FILM COATED   00378209801 18
PDPs
150
MAPDs
NISOLDIPINE ER 30 MG TABLET 24H [Sular]
(Nisoldipine)
    00378222301 10
PDPs
153
MAPDs
NISOLDIPINE ER 34 MG TABLET 24H [Sular]
(Nisoldipine)
100 TABLET, FILM COATED   00378209901 18
PDPs
183
MAPDs
NISOLDIPINE ER 40 MG TABLET 24H [Sular]
(Nisoldipine)
    00378222401 10
PDPs
153
MAPDs
NISOLDIPINE ER 8.5 MG TABLET 24H [Sular]
(Nisoldipine)
100 TABLET, FILM COATED   00378209601 18
PDPs
183
MAPDs
Norditropin 10mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC
(Somatropin For)
1 SYRINGE, PLASTIC   00169770521 15
PDPs
177
MAPDs
Norditropin 15mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC
(Somatropin For)
1 SYRINGE, PLASTIC   00169770821 15
PDPs
169
MAPDs
Norditropin 5mg/1.5mL 1 SYRINGE, PLASTIC per CARTON / 1.5 mL in 1 SYRINGE, PLASTIC
(Somatropin For)
1 SYRINGE, PLASTIC   00169770421 15
PDPs
178
MAPDs
NORDITROPIN FLEXPRO 30 MG/3 ML
(Somatropin For)
3 ML   00169770321 12
PDPs
162
MAPDs
NUTRILIPID 20 % EMULSION
(Soybean Oil)
    00264446010 49
PDPs
294
MAPDs
NUTROPIN AQ NUSPIN 10 INJECTOR
(Somatropin For)
2 ML   50242007401 5
PDPs
109
MAPDs
NUTROPIN AQ NUSPIN 10MG/2ML SOLUTION
(Somatropin For)
2 ML X 1 CTG CRTN 50242007501 5
PDPs
109
MAPDs
NUTROPIN AQ NUSPIN 20 INJECTOR
(Somatropin For)
2 ML   50242007601 5
PDPs
114
MAPDs
ODOMZO 200 MG CAPSULE
(Sonidegib)
    47335030383 62
PDPs
352
MAPDs
OLANZAPINE-FLUOXETINE 12-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025211 11
PDPs
179
MAPDs
OLANZAPINE-FLUOXETINE 12-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025311 11
PDPs
179
MAPDs
OLANZAPINE-FLUOXETINE 3-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
    49884027711 11
PDPs
179
MAPDs
OLANZAPINE-FLUOXETINE 6-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025011 11
PDPs
179
MAPDs
OLANZAPINE-FLUOXETINE 6-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025111 11
PDPs
179
MAPDs
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM
(Somatropin For)
1 BOX PKGCOM 00781400436 24
PDPs
152
MAPDs
ONGLYZA 2.5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610030 22
PDPs
105
MAPDs
ONGLYZA 5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610530 22
PDPs
105
MAPDs
ONZETRA XSAIL 11 MG
(Sumatriptan)
    64597031108 2
PDPs
12
MAPDs
OSMOPREP TABLET 1.5GM
(Sod Phos Mono-Sod Phos Di)
100 BOT 65649070141 5
PDPs
62
MAPDs
OZEMPIC 0.25-0.5 MG DOSE PEN
(Semaglutide)
1.5   00169413212 48
PDPs
288
MAPDs
OZEMPIC 1 MG DOSE PEN
(Semaglutide)
3   00169413602 48
PDPs
289
MAPDs
PILOCARPINE HCL 5 MG TABLET [Salagen]
(Pilocarpine HCl)
90 tablets   00527131301 62
PDPs
352
MAPDs
PILOCARPINE HCL 7.5 MG TABLET [Salagen]
(Pilocarpine HCl)
90 tablets   00527140701 62
PDPs
350
MAPDs
PIMTREA 28 DAY TABLET
(strel / ethinyl estradiol and ethinyl estradiol)
28.000 EA   16714040404 52
PDPs
318
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-4 Tablet [Duetact]
(Pioglitazone, Glimepiride)
30 tablets   66993082230 20
PDPs
192
MAPDs
PREDNISONE 10 MG TABLET [Sterapred DS]
(Prednisone)
20 TABLETs   00603533832 62
PDPs
352
MAPDs
PREPOPIK POWDER PACKET
(sodium picosulfate, magnesium oxide, and anhydrous citric acid)
    55566930002 3
PDPs
67
MAPDs
QUETIAPINE ER 150 MG TABLET ER 24H [Seroquel XR]
(Quetiapine Fumarate)
30 TABLETs   52817016160 49
PDPs
297
MAPDs
QUETIAPINE ER 200 MG TABLET ER 24H [Seroquel XR]
(Quetiapine Fumarate)
30 TABLETs   52817016260 49
PDPs
297
MAPDs
QUETIAPINE ER 300 MG TABLET ER 24H [Seroquel XR]
(Quetiapine Fumarate)
30 TABLETs   33342013609 49
PDPs
297
MAPDs
QUETIAPINE ER 400 MG TABLET [Seroquel]
(Quetiapine Fumarate)
60.000 EA   16729009712 49
PDPs
297
MAPDs
QUETIAPINE ER 50 MG TABLET ER 24H [Seroquel XR]
(Quetiapine Fumarate)
30 TABLETs   52817016060 49
PDPs
297
MAPDs
QUETIAPINE FUMARATE 100 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729014701 62
PDPs
352
MAPDs
QUETIAPINE FUMARATE 200 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729014801 62
PDPs
352
MAPDs
QUETIAPINE FUMARATE 25 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729014501 62
PDPs
352
MAPDs
QUETIAPINE FUMARATE 300 MG TAB [Seroquel]
(Quetiapine Fumarate)
60.000 EA   16729014912 62
PDPs
352
MAPDs
QUETIAPINE FUMARATE 400 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729015001 62
PDPs
352
MAPDs
QUETIAPINE FUMARATE 50 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729014601 62
PDPs
352
MAPDs
RAPAFLO 4 MG CAPSULE
(Silodosin)
30 capsules   00023614730 14
PDPs
106
MAPDs
RAPAFLO 8 MG CAPSULE
(Silodosin)
30 capsules   00023614290 14
PDPs
106
MAPDs
RAPAMUNE 0.5MG TABLETS
(Sirolimus)
100 BOT 00008104005 4
PDPs
36
MAPDs
RAPAMUNE 1MG TABLET
(Sirolimus)
100 BOT 00008104105 4
PDPs
36
MAPDs
RAPAMUNE 1MG/ML ORAL TUBEX
(Sirolimus)
60 ML BOT 00008103006 58
PDPs
249
MAPDs
RAPAMUNE 2MG TABLET
(Sirolimus)
100 BOT 00008104205 4
PDPs
36
MAPDs
RECLIPSEN 28 DAY TABLET [Solia]
(Desogestrel, Ethinyl Estradiol;Inert)
28 tablets   00093330416 58
PDPs
334
MAPDs
RENAGEL 800MG TABLET
(Sevelamer HCl)
    58468002101 3
PDPs
72
MAPDs
RENVELA 800MG TABLET
(Sevelamer Carbonate)
    58468013001 10
PDPs
46
MAPDs
REVATIO 10 MG/ML ORAL SUSP
(Sildenafil Citrate)
112 ML   00069033621 10
PDPs
91
MAPDs
REVATIO 20MG TABLET
(Sildenafil Citrate)
90 BOT 00069419068 1
PDPs
13
MAPDs
Safyral 3 BLISTER PACK in 1 PACKAGE / 1 KIT per BLISTER PACK
(DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM AND LEVOMEFOLATE CALCIUM)
3 BLISTER PACK in 1 PKG   50419040303 0
PDPs
14
MAPDs
SAIZEN 5 MG VIAL
(Somatropin (Non-Refrigerated) For Subcutaneous)
1 KIT in 1 CARTON   44087100502 2
PDPs
93
MAPDs
SAIZEN 8.8 MG SAIZENPREP CARTRIDGE
(Somatropin (Recombinant rhGH))
unit   44087001601 2
PDPs
86
MAPDs
SAIZEN 8.8 MG VIAL
(Somatropin (Non-Refrigerated) For Subcutaneous)
1 KIT in 1 CARTON   44087108801 2
PDPs
91
MAPDs
Salagen 5mg/1
(Pilocarpine HCl)
    62856070510 2
PDPs
8
MAPDs
Salagen 7.5mg/1
(Pilocarpine HCl)
    62856077510 2
PDPs
8
MAPDs
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN
(Granisetron Transdermal)
1 PATCH CRTN 42747072601 12
PDPs
113
MAPDs
SANDIMMUNE 100MG CAPSULE
(Cyclosporine)
30 PKG 00078024115 2
PDPs
42
MAPDs
SANDIMMUNE 100MG/ML TUBEX
(Cyclosporine)
50 ML BOT 00078011022 58
PDPs
279
MAPDs
SANDIMMUNE 25MG CAPSULE
(Cyclosporine)
30 PKG 00078024015 2
PDPs
42
MAPDs
SANDOSTATIN 0.05MG/ML AMPUL
(Octreotide Acetate)
10 AMP 00078018001 1
PDPs
6
MAPDs
Sandostatin 100ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018101 1
PDPs
6
MAPDs
Sandostatin 500ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018201 1
PDPs
6
MAPDs
SANTYL OINTMENT
(Collagenase)
30 GM   50484001030 62
PDPs
350
MAPDs
SAPHRIS 10 MG TAB SL BLK CHERY
(ASENAPINE SUBLINGUAL [SAPHRIS])
60.000 EA   00456241060 62
PDPs
352
MAPDs
SAPHRIS 2.5 MG TAB SL BLK CHRY
(ASENAPINE SUBLINGUAL [SAPHRIS])
60 EA   00456240260 62
PDPs
352
MAPDs
SAPHRIS 5 MG TAB SL BLK CHERRY
(ASENAPINE SUBLINGUAL [SAPHRIS])
60 EA   00456240560 62
PDPs
352
MAPDs
SARAFEM 10mg/1 72 CARTON in 1 CASE / 4 BLISTER PACK per CARTON / 7 TABLET per BLISTER PACK
(Fluoxetine HCl (PMDD))
72 CARTON in 1 CASE   00430021014 0
PDPs
11
MAPDs
SARAFEM 20mg/1 72 CARTON in 1 CASE / 4 BLISTER PACK per CARTON / 7 TABLET per BLISTER PACK
(Fluoxetine HCl (PMDD))
72 CARTON in 1 CASE   00430022014 0
PDPs
11
MAPDs
SAVAYSA 15 MG TABLET
(Edoxaban Tosylate)
    65597020130 2
PDPs
21
MAPDs
SAVAYSA 30 MG TABLET
(Edoxaban Tosylate)
    65597020230 2
PDPs
21
MAPDs
SAVAYSA 60 MG TABLET
(Edoxaban Tosylate)
    65597020330 2
PDPs
21
MAPDs
SAVELLA TABLETS 100MG 60 COUNT BOT
(Milnacipran HCl)
60 COUNT BOT 00456151060 19
PDPs
232
MAPDs
SAVELLA TABLETS 12.5MG 60 COUNT BOT
(Milnacipran HCl)
60 COUNT BOT 00456151260 19
PDPs
232
MAPDs
SAVELLA TABLETS 25MG 60 COUNT BOT
(Milnacipran HCl)
60 COUNT BOT 00456152560 19
PDPs
232
MAPDs
SAVELLA TABLETS TITRATION PACK KIT 12.5;25;50MG;MG;MG 55 COUNT PKGCOM
(Milnacipran HCl)
55 COUNT PKGCOM 00456150055 19
PDPs
230
MAPDs
SAVELLA TALBETS 50MG 60 COUNT BOT
(Milnacipran HCl)
60 COUNT BOT 00456155060 19
PDPs
232
MAPDs
SCOPOLAMINE 1 MG/3 DAY PATCH [Transderm Scop]
(Scopolamine TD)
4 EA   45802058084 48
PDPs
323
MAPDs
SEASONIQUE 150-30(84) TABLET DOSE PACK 3 MONTHS
(Levonorgestrel & Ethinyl Estradiol (91-Day))
91 TABLETS BLPK 51285008787 2
PDPs
11
MAPDs
SEEBRI NEOHALER 15.6 MCG INHAL CAP W/DEV
(Glycopyrrolate)
6 units   63402081560 1
PDPs
21
MAPDs
SEGLUROMET 2.5-1,000 MG TABLET
(Ertugliflozin, Metformin)
60   00006537303 3
PDPs
30
MAPDs
SEGLUROMET 2.5-500 MG TABLET
(Ertugliflozin, Metformin)
    00006536906 3
PDPs
30
MAPDs
SEGLUROMET 7.5-1,000 MG TABLET
(Ertugliflozin, Metformin)
60   00006537403 3
PDPs
30
MAPDs
SEGLUROMET 7.5-500 MG TABLET
(Ertugliflozin, Metformin)
60   00006537003 3
PDPs
30
MAPDs
SELEGILINE HCL 5 MG TABLET
(Selegiline HCl)
60.000 EA   60505343803 62
PDPs
350
MAPDs
SELEGILINE HCL 5MG CAPSULE
(Selegiline HCl)
    60505005501 57
PDPs
347
MAPDs
SELENIUM SULFIDE 2.5mg/100mL 118 mL in 1 BOTTLE
(Selenium Sulfide)
118 mL in 1 BOTTLE   45802004064 61
PDPs
348
MAPDs
SELZENTRY 150mg/1 60 FILM COATED TABLETS in BOTTLE
(Maraviroc)
60 TABLET, FILM COATED   49702022318 62
PDPs
352
MAPDs
SELZENTRY 20 MG/ML ORAL SOLN
(Maraviroc)
230 ML   49702023755 62
PDPs
352
MAPDs
SELZENTRY 25 MG TABLET
(Maraviroc)
    49702023308 62
PDPs
352
MAPDs
SELZENTRY 300mg/1 60 FILM COATED TABLETS in BOTTLE
(Maraviroc)
60 TABLET, FILM COATED   49702022418 62
PDPs
352
MAPDs
SELZENTRY 75 MG TABLET
(Maraviroc)
    49702023508 62
PDPs
352
MAPDs
SEMPREX-D 8 MG-60 MG CAPSULE
(Acrivastine & Pseudoephedrine)
100 EA   52244040410 3
PDPs
30
MAPDs
SENSIPAR 30MG TABLET
(Cinacalcet HCl)
30 BOT 55513007330 62
PDPs
285
MAPDs
SENSIPAR 60MG TABLET
(Cinacalcet HCl)
60 BOT 55513007430 62
PDPs
285
MAPDs
SENSIPAR 90MG TABLET
(Cinacalcet HCl)
90 BOT 55513007530 62
PDPs
285
MAPDs
SEREVENT DIS AER 50MCG
(Salmeterol Xinafoate)
60 BLPK 00173052100 61
PDPs
352
MAPDs
SEROQUEL 100MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027110 2
PDPs
7
MAPDs
SEROQUEL 200MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027210 2
PDPs
7
MAPDs
SEROQUEL 25MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027510 2
PDPs
7
MAPDs
SEROQUEL 300MG TABLET
(Quetiapine Fumarate)
60 BOT 00310027460 2
PDPs
7
MAPDs
SEROQUEL 400MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027910 2
PDPs
7
MAPDs
SEROQUEL 50MG TABLET (100 CT)
(Quetiapine Fumarate)
100 BOT 00310027810 2
PDPs
7
MAPDs
SEROQUEL XR 150 MG TABLET
(Quetiapine Fumarate)
60.000 EA   00310028160 2
PDPs
19
MAPDs
SEROQUEL XR 200 MG TABLET
(Quetiapine Fumarate)
60.000 EA   00310028260 2
PDPs
19
MAPDs
SEROQUEL XR 300MG TABLET 60X300MG BOT
(Quetiapine Fumarate)
60 X 300 MG BOT 00310028360 2
PDPs
19
MAPDs
SEROQUEL XR 400 MG TABLET
(Quetiapine Fumarate)
60.000 EA   00310028460 2
PDPs
19
MAPDs
SEROQUEL XR 50 MG TABLET
(Quetiapine Fumarate)
60.000 EA   00310028060 2
PDPs
19
MAPDs
Serostim 4mg/mL 1 INJECTION, POWDER, FOR SOLUTION per CARTON
(Somatropin (Non-Refrigerated) For Subcutaneous)
1 INJECTION, POWDER   44087000407 9
PDPs
128
MAPDs
Serostim 5mg/mL 1 INJECTION, POWDER, FOR SOLUTION per CARTON
(Somatropin (Non-Refrigerated) For Subcutaneous)
1 INJECTION, POWDER   44087000507 9
PDPs
128
MAPDs
SERTRALINE 20 MG/ML ORAL CONC
(Sertraline HCl)
60 ML   16714060102 62
PDPs
352
MAPDs
SERTRALINE HCL 100 MG TABLET
(Sertraline HCl)
500.000 EA   65862001305 62
PDPs
352
MAPDs
SERTRALINE HCL 25 MG TABLET
(Sertraline HCl)
90.000 EA   68180035109 62
PDPs
352
MAPDs
SERTRALINE HCL 50 MG TABLET
(Sertraline HCl)
500.000 EA   65862001205 62
PDPs
352
MAPDs
SETLAKIN 0.15 MG-0.03 MG TAB
(Levonorgestrel and Ethinyl Estradiol)
    16714036603 53
PDPs
308
MAPDs
SEVELAMER 0.8 GM POWDER PACKET [RENVELA]
(Sevelamer Carbonate)
90 EA   65862093090 59
PDPs
339
MAPDs
SEVELAMER 2.4 GM POWDER PACKET POWD PACK [Renvela]
(Sevelamer Carbonate)
    65862093190 59
PDPs
341
MAPDs
SEVELAMER CARBONATE 26.7 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
    58468013202 10
PDPs
43
MAPDs
SEVELAMER CARBONATE 40 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
    58468013102 10
PDPs
43
MAPDs
SEVELAMER CARBONATE 800 MG TAB [RENVELA]
(Sevelamer Carbonate)
270 EA   65862092127 60
PDPs
347
MAPDs
SEVELAMER HCL 400 MG TABLET [RenaGel]
(Sevelamer Hydrochloride)
90 TABLETs   68462044626 9
PDPs
134
MAPDs
SEVELAMER HCL 800 MG TABLET [RenaGel]
(Sevelamer Hydrochloride)
90 TABLETs   68462044718 9
PDPs
139
MAPDs
SHAROBEL 0.35 MG TABLET
(Norethindrone)
28.000 EA   16714044104 54
PDPs
321
MAPDs
SHINGRIX VIAL KIT
(Zoster vaccine, inactivated)
    58160081912 62
PDPs
352
MAPDs
Signifor .3 mg/mL
(pasireotide)
    00078063320 62
PDPs
352
MAPDs
Signifor .6 mg/mL
(pasireotide)
    00078063420 62
PDPs
352
MAPDs
Signifor .9 mg/mL
(pasireotide)
    00078063520 62
PDPs
352
MAPDs
SILDENAFIL 20 MG TABLET
(Sildenafil)
90.000 EA   00093551798 62
PDPs
352
MAPDs
SILENOR 3 MG TABLET
(DOXEPIN HYDROCHLORIDE)
30 EA   42847010330 40
PDPs
239
MAPDs
SILENOR 6 MG TABLET
(DOXEPIN HYDROCHLORIDE)
30 EA   42847010630 40
PDPs
241
MAPDs
Siliq 210 mg/1.5 mL
(Brodalumab)
    00187000400 2
PDPs
75
MAPDs
SILODOSIN 4 MG CAPSULE [Rapaflo]
(Silodosin)
30 capsules   59651009530 19
PDPs
181
MAPDs
SILODOSIN 8 MG CAPSULE [Rapaflo]
(Silodosin)
30 capsules   59651009630 19
PDPs
181
MAPDs
SILVER SULFADIAZINE 1% CREAM
(Silver Sulfadiazine)
50.000 GM   67877012450 62
PDPs
352
MAPDs
Silver sulfadiazine 10 MG/ML Topical Cream [Silvadene]
(Silver Sulfadiazine)
    61570013120 3
PDPs
15
MAPDs
SIMBRINZA 1%-0.2% EYE DROPS
(brinzolamide / brimonidine tartrate)
8 ML   00065414727 47
PDPs
293
MAPDs
SIMPONI 100 MG/ML PEN INJECTOR
(Golimumab Subcutaneous)
1 ML   57894007102 3
PDPs
172
MAPDs
SIMPONI 100 MG/ML SYRINGE
(Golimumab Subcutaneous)
1 ML   57894007101 3
PDPs
175
MAPDs
SIMPONI 50 MG/0.5 ML PEN INJEC
(Golimumab Subcutaneous)
0.5 ML   57894007002 3
PDPs
170
MAPDs
SIMPONI GOLIMUMAB INJECTION 50MG/0.5ML 1 50 MG SINGLE DOSE SYR SYR
(Golimumab Subcutaneous)
1 50 MG SINGLE DOSE SYR SYR 57894007001 3
PDPs
181
MAPDs
SIMVASTATIN 10 MG TABLET
(Simvastatin)
1000.000 EA   16729000417 62
PDPs
352
MAPDs
SIMVASTATIN 20 MG TABLET
(Simvastatin)
1000.000 EA   16729000517 62
PDPs
352
MAPDs
SIMVASTATIN 40 MG TABLET
(Simvastatin)
1000.000 EA   16729000617 62
PDPs
352
MAPDs
SIMVASTATIN 5 MG TABLET [Zocor]
(Simvastatin)
90 tablets   65862005090 62
PDPs
352
MAPDs
SIMVASTATIN 80 MG TABLET
(Simvastatin)
90 EA   68180046509 62
PDPs
347
MAPDs
SINEMET 10; 100mg/1; mg/1 100 TABLET BOTTLE
(Carbidopa & Levodopa)
100 TABLET BOTTLE   00006391568 2
PDPs
7
MAPDs
SINEMET 25; 100mg/1; mg/1 100 TABLET BOTTLE
(Carbidopa & Levodopa)
100 TABLET BOTTLE   00006391668 2
PDPs
7
MAPDs
SINEMET 25; 250mg/1; mg/1 100 TABLET BOTTLE
(Carbidopa & Levodopa)
100 TABLET BOTTLE   00006391768 2
PDPs
7
MAPDs
SINEMET CR 25; 100mg/1; mg/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Carbidopa & Levodopa)
100 TABLET BOTTLE   00006391868 2
PDPs
10
MAPDs
SINEMET CR 50; 200mg/1; mg/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Carbidopa & Levodopa)
100 TABLET BOTTLE   00006391968 2
PDPs
7
MAPDs
SINGULAIR 10 MG TABLET
(Montelukast Sodium)
30.000 EA   00006911731 2
PDPs
7
MAPDs
SINGULAIR 4 MG TABLET CHEW
(Montelukast Sodium)
30 EA   00006171131 2
PDPs
7
MAPDs
SINGULAIR 4MG GRANULES
(Montelukast Sodium)
30 PKT 00006384130 2
PDPs
7
MAPDs
SINGULAIR 5 MG TABLET CHEW
(Montelukast Sodium)
30 EA   00006927531 2
PDPs
7
MAPDs
Sirolimus 0.5 MG Tablet [Rapamune]
()
    68382052001 62
PDPs
352
MAPDs
SIROLIMUS 1 MG TABLET [Rapamune]
()
100 EA   55111065301 62
PDPs
352
MAPDs
SIROLIMUS 1 MG/ML SOLUTION [Rapamune]
()
60 mls   66689034702 62
PDPs
344
MAPDs
SIROLIMUS 2 MG TABLET [Rapamune]
()
100 EA   55111065401 58
PDPs
352
MAPDs
SIRTURO 100 MG TABLET
(Bedaquiline Fumarate)
    59676070101 62
PDPs
334
MAPDs
SIVEXTRO 200 MG TABLET
(Tedizolid Phosphate)
6.000 EA   67919004102 45
PDPs
234
MAPDs
SIVEXTRO 200 MG VIAL
(Tedizolid Phosphate)
    67919004001 42
PDPs
225
MAPDs
SKELAXIN 800 MG TABLET
(Metaxalone)
100 EA   60793013601 0
PDPs
4
MAPDs
SKLICE 0.5% LOTION
(ivermectin)
117.000 GM   24338018304 4
PDPs
58
MAPDs
SKYRIZI 150 MG DOSE KIT-2 SYRINGEKIT
(Risankizumab)
2 units   00074204202 11
PDPs
107
MAPDs
SODIUM CHLORIDE 0.45% TUBEX
(Sodium Chloride)
1000 ML BAG 00338004304 62
PDPs
352
MAPDs
SODIUM CHLORIDE 0.9% IRRIG.
(Sodium Chloride)
1000 ML   00338004804 54
PDPs
347
MAPDs
SODIUM CHLORIDE 0.9% IV SOLN
(Sodium Chloride)
1000 mls   63323062374 62
PDPs
352
MAPDs
Sodium Chloride 3g/100mL
(Sodium Chloride)
    00338005403 46
PDPs
282
MAPDs
SODIUM CHLORIDE INJECTION USP 5%
(Sodium Chloride)
500 ML BAG 00338005603 46
PDPs
279
MAPDs
SODIUM LACTATE 5 MEQ/ML VIAL
(Sodium Lactate IV)
25 X 10 ML VIAL 00409666402 20
PDPs
194
MAPDs
SODIUM PHENYLBUTYRATE 500MG TB [Buphenyl]
(Sodium Phenylbutyrate Oral)
250 EA   49884017004 51
PDPs
241
MAPDs
SODIUM PHENYLBUTYRATE POWDER [Buphenyl]
(Sodium Phenylbutyrate)
250 GM   42794008614 47
PDPs
257
MAPDs
SODIUM POLYSTYRENE SULF POWDER
(Sodium Polystyrene Sulfonate Oral)
454 GM   10702003645 62
PDPs
352
MAPDs
SOFOSBUVIR-VELPATASVIR 400-100 TABLET [Epclusa]
(Sofosbuvir, Velpatasvir)
28 tablets   72626270101 11
PDPs
184
MAPDs
SOLIFENACIN 10 MG TABLET [VESIcare]
(Solifenacin)
30 TABLETs   00093526456 33
PDPs
208
MAPDs
SOLIFENACIN 5 MG TABLET [VESIcare]
(Solifenacin)
30 TABLETs   00093526356 33
PDPs
208
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)
    00024576105 29
PDPs
196
MAPDs
Solodyn 105mg/1
(Minocycline HCl)
    99207046730 0
PDPs
6
MAPDs
Solodyn 55mg/1
(Minocycline HCl)
    99207046530 0
PDPs
6
MAPDs
Solodyn 80mg/1
(Minocycline HCl)
    99207046630 0
PDPs
6
MAPDs
SOLODYN ER 115 MG TABLET
(Minocycline HCl)
30 EA   99207046430 0
PDPs
5
MAPDs
SOLODYN ER 65 MG TABLET
(Minocycline HCl)
30 EA   99207046330 0
PDPs
5
MAPDs
SOLOSEC 2 GM GRANULE PACKET GRANDR PKT
(Secnidazole)
1 unit   27437005101 1
PDPs
26
MAPDs
SOLOXIDE DR 150 MG TABLET DR [Doryx]
(Doxycycline Hyclate)
30 units   69668051530 5
PDPs
59
MAPDs
SOLTAMOX 20 MG/10 ML SOLN Solution
(Tamoxifen Citrate)
150   89141012301 62
PDPs
352
MAPDs
SOMA 250 MG TABLET
(Carisoprodol)
30 tablets   00037225030 0
PDPs
3
MAPDs
SOMA 350MG TABLETS
(Carisoprodol)
100 BOTPL 00037200101 0
PDPs
4
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
SOMAVERT 10 MG VIAL
(Pegvisomant For)
    00009716601 62
PDPs
343
MAPDs
SOMAVERT 15 MG VIAL
(Pegvisomant For)
    00009716801 62
PDPs
352
MAPDs
SOMAVERT 20 MG VIAL
(Pegvisomant For)
    00009718801 62
PDPs
352
MAPDs
SOMAVERT 25 MG VIAL
(Pegvisomant For)
    00009719901 62
PDPs
344
MAPDs
SOMAVERT 30 MG VIAL
(Pegvisomant For)
    00009720001 62
PDPs
344
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)
    00299382345 15
PDPs
50
MAPDs
SORIATANE 10MG CAPSULES
(Acitretin)
30 BOT 00145009025 0
PDPs
5
MAPDs
SORIATANE 25MG CAPSULES
(Acitretin)
30 BOT 00145009125 0
PDPs
5
MAPDs
SORILUX 0.005% FOAM
(calcipotriene topical)
60 GM   51862037660 0
PDPs
19
MAPDs
SORINE SOLTALOL HCL TABLETS 240MG 100 BOXUD
(Sotalol HCl)
100 BOXUD 00245001501 59
PDPs
318
MAPDs
SORINE SOTALOL HCL TABLETS 120MG 100 BOXUD
(Sotalol HCl)
100 BOXUD 00245001301 59
PDPs
320
MAPDs
SORINE SOTALOL HCL TABLETS 160MG 100 BOXUD
(Sotalol HCl)
100 BOXUD 00245001401 59
PDPs
318
MAPDs
SORINE SOTALOL HCL TABLETS 80MG 100 BOXUD
(Sotalol HCl)
100 BOXUD 00245001201 59
PDPs
319
MAPDs
SOTALOL 120 MG TABLET [Sorine]
(Sotalol HCl)
60 tablets   10135066201 62
PDPs
344
MAPDs
SOTALOL 160 MG TABLET [Sorine]
(Sotalol HCl)
100.000 EA   00093106201 62
PDPs
352
MAPDs
SOTALOL 240 MG TABLET [Sorine]
(Sotalol HCl)
100.000 EA   60505008200 62
PDPs
352
MAPDs
SOTALOL 80 MG TABLET [Sorine]
(Sotalol HCl)
100.000 EA   60505008000 62
PDPs
352
MAPDs
SOTALOL AF 120 MG TABLET
(Sotalol HCl (AFIB/AFL))
100.000 EA   60505022301 62
PDPs
351
MAPDs
SOTYLIZE 5 MG/ML ORAL SOLUTION
(Sotalol)
    24338053025 8
PDPs
42
MAPDs
SOVALDI 400 MG TABLET
(sofosbuvir)
    61958150101 20
PDPs
130
MAPDs
SPIRIVA 18 MCG CP-HANDIHALER
(Tiotropium Bromide Monohydrate)
30.000 EA   00597007541 40
PDPs
244
MAPDs
SPIRIVA RESPIMAT 1.25 MCG INH
(TIOTROPIUM BROMIDE)
4 GM   00597016061 39
PDPs
265
MAPDs
SPIRIVA RESPIMAT INHAL SPRAY
(Tiotropium Bromide Monohydrate)
4 GM   00597010061 39
PDPs
243
MAPDs
SPIRONOLACTONE 100 MG TABLET
(Spironolactone)
100 EA   59746021801 62
PDPs
351
MAPDs
SPIRONOLACTONE 25 MG TABLET
(Spironolactone)
100 EA   53746051101 62
PDPs
352
MAPDs
SPIRONOLACTONE 50 MG TABLET
(Spironolactone)
100 EA   59746021701 62
PDPs
352
MAPDs
SPIRONOLACTONE-HCTZ 25-25 TAB
(Spironolactone & Hydrochlorothiazide)
100 EA   53489014401 55
PDPs
320
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
SPRINTEC 0.25-0.035 TABLET
(Norgestimate & Ethinyl Estradiol)
28 (21 ACTIVE/7 PLACEBO) BLPK 00555901658 60
PDPs
336
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
SPRYCEL 100mg/1 1 BOTTLE per CARTON / 30 TABLET BOTTLE
(Dasatinib)
30 TAB BOTTLE in CARTON   00003085222 62
PDPs
352
MAPDs
SPRYCEL 140mg/1 1 BOTTLE per CARTON / 30 TABLET BOTTLE
(Dasatinib)
30 TAB BOTTLE in CARTON   00003085722 62
PDPs
352
MAPDs
SPRYCEL 20MG TABLET
(Dasatinib)
60 TABLETS BOT 00003052711 62
PDPs
352
MAPDs
SPRYCEL 50MG TABLET
(Dasatinib)
60 BOT 00003052811 62
PDPs
352
MAPDs
SPRYCEL 70MG TABLET
(Dasatinib)
60 BOT 00003052411 62
PDPs
352
MAPDs
SPRYCEL 80mg/1 1 BOTTLE per CARTON / 30 TABLET BOTTLE
(Dasatinib)
30 TAB BOTTLE in CARTON   00003085522 62
PDPs
352
MAPDs
SPS 15 GM/60 ML SUSPENSION
(Sodium Polystyrene Sulfonate Oral)
473.000 ML   46287000601 60
PDPs
341
MAPDs
SRONYX 0.10-0.02 MG TABLET
(Levonorgestrel & Ethinyl Estradiol)
28.000 EA   51862054506 57
PDPs
331
MAPDs
SSD 1% CREAM
(Silver Sulfadiazine)
50.000 GM   43598021055 62
PDPs
340
MAPDs
STALEVO 100 TABLET
(Carbidopa-Levodopa-Entacapone)
100 BOT 00078040805 5
PDPs
42
MAPDs
STALEVO 125/200 MG/MG TABLETS
(Carbidopa-Levodopa-Entacapone )
100 BOT 00078054505 5
PDPs
42
MAPDs
STALEVO 150 TABLET
(Carbidopa-Levodopa-Entacapone)
100 BOT 00078040905 5
PDPs
42
MAPDs
STALEVO 18.75/75 MG/MG TABLETS
(Carbidopa-Levodopa-Entacapone )
100 BOT 00078054405 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
STARLIX 120MG TABLET
(Nateglinide)
100 BOT 00078035205 4
PDPs
13
MAPDs
STARLIX 60MG TABLET
(Nateglinide)
100 BOT 00078035105 4
PDPs
13
MAPDs
STAVUDINE 15 MG CAPSULE
(Stavudine)
60.000 EA   31722051560 62
PDPs
352
MAPDs
STAVUDINE 20 MG CAPSULE
(Stavudine)
60.000 EA   31722051660 62
PDPs
352
MAPDs
STAVUDINE CAPSULES 30MG 60 BOT
(Stavudine)
60 BOT 31722051760 62
PDPs
352
MAPDs
STAVUDINE CAPSULES 40MG 60 BOT
(Stavudine)
60 BOT 31722051860 62
PDPs
352
MAPDs
STEGLATRO 15 MG TABLET
(Ertugliflozin)
30   00006536403 3
PDPs
30
MAPDs
STEGLATRO 5 MG TABLET
(Ertugliflozin)
30   00006536303 3
PDPs
30
MAPDs
STEGLUJAN 15-100 MG TABLET
(Ertugliflozin and Sitagliptin)
30   00006536803 1
PDPs
23
MAPDs
STEGLUJAN 5-100 MG TABLET
(Ertugliflozin and Sitagliptin)
30   00006536703 1
PDPs
23
MAPDs
STELARA 45 MG/0.5 ML SYRINGE
(Ustekinumab)
0.5ML   57894006003 17
PDPs
165
MAPDs
STELARA 45 MG/0.5 ML VIAL
(Ustekinumab)
    57894006002 17
PDPs
152
MAPDs
STELARA 90 MG/ML SYRINGE
(Ustekinumab)
1ML   57894006103 17
PDPs
165
MAPDs
Sterile Water 6mg/mL 1 INJECTION, SOLUTION per CARTON
(Somatropin (Non-Refrigerated) For Subcutaneous)
1 INJECTION, SOLUTION   44087000607 9
PDPs
128
MAPDs
Stimate 1.5mg/mL 1 BOTTLE, SPRAY per CARTON / 2.5 mL in 1 BOTTLE, SPRAY
(Desmopressin Acetate)
1 BOTTLE, SPRAY in CARTON   00053687100 50
PDPs
248
MAPDs
STIOLTO RESPIMAT INHAL SPRAY
(Tiotropium Bromide and Olodaterol)
4 GM   00597015561 30
PDPs
259
MAPDs
STIVARGA 40 MG TABLET
(regorafenib)
28 EA   50419017103 62
PDPs
352
MAPDs
STRATTERA 100MG CAPSULE
(Atomoxetine HCl)
30 BOT 00002325130 3
PDPs
28
MAPDs
STRATTERA 10MG CAPSULE
(Atomoxetine HCl)
30 BOT 00002322730 3
PDPs
28
MAPDs
STRATTERA 18MG CAPSULE
(Atomoxetine HCl)
30 BOT 00002323830 3
PDPs
28
MAPDs
STRATTERA 25MG CAPSULE
(Atomoxetine HCl)
30 BOT 00002322830 3
PDPs
28
MAPDs
STRATTERA 40MG CAPSULE
(Atomoxetine HCl)
30 BOT 00002322930 3
PDPs
28
MAPDs
STRATTERA 60MG CAPSULE
(Atomoxetine HCl)
30 BOT 00002323930 3
PDPs
28
MAPDs
STRATTERA 80MG CAPSULE
(Atomoxetine HCl)
30 BOT 00002325030 3
PDPs
28
MAPDs
STREPTOMYCIN FOR INJECTION 1GM/VIL
(Streptomycin Sulfate)
    39822070602 55
PDPs
334
MAPDs
STRIANT 30 MG MUCOADHESIVE
(Testosterone)
    52244003060 2
PDPs
30
MAPDs
STRIBILD TABLET
(elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate)
30 EA   61958120101 62
PDPs
352
MAPDs
STRIVERDI RESPIMAT INHAL SPRAY
(Olodaterol Respimat)
4 GM   00597019261 10
PDPs
147
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD 00006003220 2
PDPs
15
MAPDs
SUBOXONE 12 MG-3 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)
    12496121203 39
PDPs
172
MAPDs
Suboxone 2; 0.5mg/1; mg/1 30 POUCH per CARTON / 1 FILM, SOLUBLE in 1 POUCH
(Buprenorphine HCl-Naloxone HCl SL)
30 POUCH in 1 CARTON   12496120203 39
PDPs
173
MAPDs
SUBOXONE 4 MG-1 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)
    12496120403 39
PDPs
173
MAPDs
Suboxone 8; 2mg/1; mg/1 30 POUCH per CARTON / 1 FILM, SOLUBLE in 1 POUCH
(Buprenorphine HCl-Naloxone HCl SL)
30 POUCH in 1 CARTON   12496120803 39
PDPs
174
MAPDs
SUBSYS 1,200 MCG SPRAY
(fentanyl)
    20482000630 3
PDPs
38
MAPDs
SUBSYS 100 MCG SPRAY
(fentanyl)
    20482000110 3
PDPs
38
MAPDs
SUBSYS 200 MCG SPRAY
(fentanyl)
    20482000230 3
PDPs
38
MAPDs
SUBSYS 400 MCG SPRAY
(fentanyl)
    20482000430 3
PDPs
38
MAPDs
SUBSYS 800 MCG SPRAY
(fentanyl)
    20482000830 3
PDPs
38
MAPDs
SUCRAID 8500[iU]/mL
(Sacrosidase)
    67871011104 21
PDPs
154
MAPDs
SUCRALFATE 1GM TABLET
(Sucralfate)
500 BOT 00093221005 62
PDPs
352
MAPDs
SULAR ER 17 MG TABLET ER 24H
(Nisoldipine)
    70515050110 3
PDPs
11
MAPDs
SULAR ER 34 MG TABLET ER 24H
(Nisoldipine)
    70515050310 3
PDPs
8
MAPDs
SULAR ER 8.5 MG TABLET
(Nisoldipine)
    70515050010 3
PDPs
8
MAPDs
SULF-PRED 10-0.23% EYE DROPS
(Sulfacetamide Sodium-Prednisolone Ophth)
5.000 ML   24208031705 60
PDPs
345
MAPDs
SULFACETAMIDE 10% EYE OINTMENT
(Sulfacetamide)
3.5 GM   00574419035 44
PDPs
292
MAPDs
SULFACETAMIDE SOD 10% TOP SUSP
(Sulfacetamide)
118.000 ML   45802089626 57
PDPs
334
MAPDs
SULFACETAMIDE SODIUM OPHTHALMIC SOLUTION USP 10% 15 ML BOT
(Sulfacetamide Sodium Ophth)
15 ML BOT 24208067004 61
PDPs
352
MAPDs
Sulfadiazine 500mg/1 100 TABLET BOTTLE
(Sulfadiazine)
100 TABLET in 1 BOTTLE   00185075701 62
PDPs
352
MAPDs
SULFAMETHOXAZOLE-TMP DS TABLET [Septra DS]
(Sulfamethoxazole-Trimethoprim)
500 EA   65862042005 62
PDPs
352
MAPDs
SULFAMETHOXAZOLE-TMP SS TABLET [Septra]
(Sulfamethoxazole-Trimethoprim)
100.000 EA   53746027101 62
PDPs
352
MAPDs
SULFAMETHOXAZOLE-TMP SUSP Oral Suspension [Sultrex Pediatric]
(Sulfamethoxazole-Trimethoprim)
    65862049647 62
PDPs
352
MAPDs
SULFAMYLON 50G PACKET
(Mafenide Acetate)
    51079062485 3
PDPs
24
MAPDs
SULFAMYLON 8.5% CREAM
(Mafenide Acetate)
56.700 GM   51079062381 34
PDPs
206
MAPDs
SULFASALAZINE 500 MG TABLET
(Sulfasalazine)
100 EA   00591079601 62
PDPs
352
MAPDs
SULFASALAZINE DR 500 MG TAB
(Sulfasalazine)
100.000 EA   59762010401 57
PDPs
346
MAPDs
SULINDAC 150 MG TABLET
(Sulindac)
100 EA   42806001801 61
PDPs
351
MAPDs
SULINDAC 200 MG TABLET
(Sulindac)
100.000 EA   00591566001 61
PDPs
351
MAPDs
Sumatriptan 20 MG/ACTUAT Nasal Spray
()
    00527185943 59
PDPs
299
MAPDs
SUMATRIPTAN 4 MG/0.5 ML CART
()
1 ML   00781317007 60
PDPs
325
MAPDs
Sumatriptan 4 mg/0.5 ml inject
()
    00093201312 60
PDPs
320
MAPDs
Sumatriptan 5 MG/ACTUAT Nasal Spray
()
    00527181843 59
PDPs
296
MAPDs
SUMATRIPTAN 6 MG/0.5 ML INJECT
()
.500 ML   55111069312 60
PDPs
333
MAPDs
SUMATRIPTAN 6 MG/0.5 ML INJECT
()
    00781317207 60
PDPs
324
MAPDs
SUMATRIPTAN 6 MG/0.5 ML SYRNG Syringe [Sumavel DosePro System]
(Sumatriptan)
ml   67457087905 60
PDPs
318
MAPDs
Sumatriptan 6 mg/0.5 ml vial
()
    63323027301 62
PDPs
340
MAPDs
SUMATRIPTAN SUCC 100 MG TABLET
()
9.000 EA   55111029309 62
PDPs
352
MAPDs
SUMATRIPTAN SUCC 50 MG TABLET
()
9.000 EA   55111029209 62
PDPs
352
MAPDs
Sumatriptan Succinate 25mg/1 9 BLISTER PACK per CARTON / 9 TABLET per BLISTER PACK
()
9 BLISTER PACK in CARTON   55111029109 62
PDPs
352
MAPDs
SUMATRIPTAN-NAPROXEN 85-500 MG Tablet [Treximet]
()
9 EA   65862092836 8
PDPs
60
MAPDs
SUPRAX 100 MG TABLET CHEWABLE
(Cefixime For)
    27437020311 42
PDPs
198
MAPDs
SUPRAX 100MG/5ML SUSPENSION RECONSTITUTED ORAL 50ML BOT
(Cefixime For)
50 ML BOT 68180020203 2
PDPs
13
MAPDs
SUPRAX 200 MG TABLET CHEWABLE
(Cefixime For)
    27437020511 42
PDPs
195
MAPDs
SUPRAX 200 MG/5 ML SUSPENSION
(Cefixime For)
50.000 ML   27437020603 2
PDPs
13
MAPDs
SUPRAX 400 MG CAPSULE
(Cefixime For)
10 EA   27437020811 55
PDPs
340
MAPDs
SUPRAX 500 MG/5 ML SUSPENSION
(Cefixime For)
10 ML   27437020702 35
PDPs
187
MAPDs
SUPREP BOWEL PREP KIT SOLN RECON
(SODIUM SULFATE, POTASSIUM SULFATE, MAGNESIUM SULFATE, UNSPECIFIED)
2 BOTTLE, PLASTIC   52268001201 53
PDPs
282
MAPDs
SURMONTIL 100MG CAPSULE
(Trimipramine Maleate)
100 BOT 51285055402 4
PDPs
15
MAPDs
SURMONTIL 25MG CAPSULE
(Trimipramine Maleate)
100 BOT 51285053802 4
PDPs
15
MAPDs
Surmontil 50mg/1 100 CAPSULE BOTTLE
(Trimipramine Maleate)
100 CAPSULE BOTTLE   51285053902 4
PDPs
15
MAPDs
SUSTIVA 200MG CAPSULE
(Efavirenz)
90 BOT 00056047492 7
PDPs
63
MAPDs
SUSTIVA 50MG CAPSULE
(Efavirenz)
30 BOT 00056047030 7
PDPs
61
MAPDs
SUSTIVA 600MG TABLET
(Efavirenz)
30 BOT 00056051030 6
PDPs
62
MAPDs
SUTENT 12.5MG CAPSULE
(Sunitinib Malate)
28 BOT 00069055038 62
PDPs
352
MAPDs
SUTENT 25mg/1 28 CAPSULE BOTTLE
(Sunitinib Malate)
28 CAPSULE in 1 BOTTLE   00069077038 62
PDPs
352
MAPDs
SUTENT 37.5 MG CAPSULE
(Sunitinib Malate)
    00069083038 62
PDPs
352
MAPDs
SUTENT 50MG CAPSULE
(Sunitinib Malate)
28 BOT 00069098038 62
PDPs
352
MAPDs
SYEDA 28 TABLET [Zarah]
(Drospirenone, Ethinyl Estradiol;Inert)
28 tablets   70700011584 56
PDPs
293
MAPDs
SYLATRON 200 MCG KIT
(PEGINTERFERON ALFA-2B)
    00085434701 62
PDPs
352
MAPDs
SYLATRON 300 MCG KIT
(PEGINTERFERON ALFA-2B)
    00085434801 62
PDPs
352
MAPDs
SYLATRON 600 MCG KIT
(PEGINTERFERON ALFA-2B)
    00085434901 62
PDPs
352
MAPDs
SYMBICORT 160-4.5MCG HFA AEROSOL WITH ADAPTER
(Budesonide-Formoterol Fumarate Dihyd)
120 INHL 00186037020 53
PDPs
284
MAPDs
SYMBICORT 80; 4.5ug/1; ug/1 1 POUCH in 1 CARTON / 1 CANISTER in 1 POUCH / 120 AEROSOL in 1 CANISTER
(Budesonide-Formoterol Fumarate Dihyd)
1 POUCH in 1 CARTON   00186037220 53
PDPs
284
MAPDs
SYMBYAX 12-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323430 0
PDPs
12
MAPDs
Symbyax 25; 3mg/1; mg/1 30 CAPSULE BOTTLE
(Olanzapine-Fluoxetine HCl)
30 CAPSULE in 1 BOTTLE   00002323030 0
PDPs
12
MAPDs
SYMBYAX 6-25MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323130 0
PDPs
9
MAPDs
SYMBYAX 6-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323330 0
PDPs
12
MAPDs
SYMDEKO 100/150 MG-150 MG TABS
(Ivacaftor;Tezacaftor, Ivacaftor)
56   51167066101 45
PDPs
271
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
SYMLINPEN 120 PEN INJECTOR
(Pramlintide Acetate)
2.7 ML   00310662702 36
PDPs
253
MAPDs
SYMLINPEN 60 PEN INJECTOR
(Pramlintide Acetate)
1.5 ML   00310661502 36
PDPs
253
MAPDs
SYMPAZAN 10 MG FILM
(Clobazam)
1 unit   10094021060 62
PDPs
352
MAPDs
SYMPAZAN 20 MG FILM
(Clobazam)
1 unit   10094022060 62
PDPs
352
MAPDs
SYMPAZAN 5 MG FILM
(Clobazam)
1 unit   10094020560 62
PDPs
352
MAPDs
SYMPROIC 0.2 MG TABLET
(Naldemedine)
30 tablets   59630022230 20
PDPs
131
MAPDs
SYMTUZA 800-150-200-10 MG TABLET
(Darunavir, Cobicistat, Emtricitabine, Tenofovir Alafenamide)
30 tablets   59676080030 62
PDPs
352
MAPDs
SYNALAR 0.025% CREAM KIT
(Fluocinolone Topical)
    43538090012 0
PDPs
11
MAPDs
SYNAREL 2MG/ML NASAL SPRAY
(Nafarelin Acetate Nasal)
8 ML BOT 00025016608 61
PDPs
348
MAPDs
SYNDROS 5 MG/ML SOLUTION
(Dronabinol)
    20482033530 4
PDPs
69
MAPDs
SYNJARDY 12.5-1,000 MG TABLET
(Empagliflozin and Metformin Hydrochloride)
60.000 EA   00597016860 54
PDPs
321
MAPDs
SYNJARDY 12.5-500 MG TABLET
(Empagliflozin and Metformin Hydrochloride)
60.000 EA   00597018060 54
PDPs
321
MAPDs
SYNJARDY 5-1,000 MG TABLET
(Empagliflozin and Metformin Hydrochloride)
60.000 EA   00597017560 54
PDPs
321
MAPDs
SYNJARDY XR 10-1,000 MG TABLET BP 24H
(Empagliflozin and Metformin Hydrochloride)
30 units   00597028073 54
PDPs
317
MAPDs
SYNJARDY XR 12.5-1,000 MG TABLET BP 24H
(Empagliflozin and Metformin Hydrochloride)
60 units   00597030045 54
PDPs
315
MAPDs
SYNJARDY XR 25-1,000 MG TABLET BP 24H
(Empagliflozin and Metformin Hydrochloride)
30 units   00597029578 54
PDPs
317
MAPDs
SYNJARDY XR 5-1,000 MG TABLET BP 24H
(Empagliflozin and Metformin Hydrochloride)
60 units   00597029059 54
PDPs
315
MAPDs
SYNRIBO 3.5 MG/ML VIAL
(omacetaxine mepesuccinate)
    63459017714 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
SYPRINE 250 MG CAPSULE
(Trientine HCl)
    00187212010 6
PDPs
36
MAPDs
TOLVAPTAN 15 MG ORAL TABLET [SAMSCA]
(Tolvaptan)
    59148002050 30
PDPs
160
MAPDs
TOLVAPTAN 30 MG ORAL TABLET [SAMSCA]
(Tolvaptan)
    59148002150 30
PDPs
160
MAPDs
TRANSDERM-SCOP 1.5 MG/3 DAY
(Scopolamine TD)
    10019055303 33
PDPs
196
MAPDs
TREXIMET 10-60 MG TABLET
(Sumatriptan-Naproxen Sodium)
    65224086009 2
PDPs
26
MAPDs
TREXIMET 85-500 MG TABLET
(Sumatriptan-Naproxen Sodium)
    65224085009 0
PDPs
5
MAPDs
TRIENTINE HCL 250 MG CAPSULE [Syprine]
()
100   00591491001 62
PDPs
345
MAPDs
UPTRAVI 1,000 MCG TABLET
(Selexipag)
    66215061006 33
PDPs
247
MAPDs
UPTRAVI 1,200 MCG TABLET
(Selexipag)
    66215061206 33
PDPs
247
MAPDs
UPTRAVI 1,400 MCG TABLET
(Selexipag)
    66215061406 33
PDPs
247
MAPDs
UPTRAVI 1,600 MCG TABLET
(Selexipag)
    66215061606 33
PDPs
247
MAPDs
UPTRAVI 200 MCG TABLET
(Selexipag)
    66215060214 33
PDPs
247
MAPDs
UPTRAVI 200-800 TITRATION PACK
(Selexipag)
    66215062820 33
PDPs
241
MAPDs
UPTRAVI 400 MCG TABLET
(Selexipag)
    66215060406 33
PDPs
247
MAPDs
UPTRAVI 600 MCG TABLET
(Selexipag)
    66215060606 33
PDPs
247
MAPDs
UPTRAVI 800 MCG TABLET
(Selexipag)
    66215060806 33
PDPs
247
MAPDs
VELPHORO 500 MG CHEWABLE TAB
(sucroferric oxyhydroxide)
    49230064551 16
PDPs
147
MAPDs
VEREGEN 15% OINTMENT
(Sinecatechins)
    10337045003 2
PDPs
44
MAPDs
VESICARE 10 MG TABLET
(Solifenacin Succinate)
30.000 EA   51248015101 18
PDPs
78
MAPDs
VESICARE 5 MG TABLET
(Solifenacin Succinate)
30.000 EA   51248015001 18
PDPs
78
MAPDs
VIGABATRIN 50 MG/ML ORAL SOLUTION [SABRIL]
(Vigabatrin)
    67386021165 7
PDPs
33
MAPDs
VIGABATRIN 500 MG ORAL TABLET [SABRIL]
(Vigabatrin)
    67386011101 41
PDPs
178
MAPDs
VIGABATRIN 500 MG POWDER PACKET [SABRIL]
(Vigabatrin)
    49884035852 62
PDPs
351
MAPDs
VIGABATRIN 500 MG TABLET [Sabril]
(Vigabatrin)
tablets   00591385101 62
PDPs
346
MAPDs
VOSEVI 400-100-100 MG TABLET
(Sofosbuvir, Velpatasvir, and Voxilaprevir)
28 EA   61958240101 52
PDPs
291
MAPDs
XYREM 500MG/ML ORAL SOLUTION
(Sodium Oxybate Oral)
180 ML BOT 68727010001 62
PDPs
352
MAPDs
ZELAPAR 1.25MG ODT TABLET
(Selegiline HCl)
6 X 10 UNIT BLPK 00187045302 2
PDPs
71
MAPDs
ZEMBRACE SYMTOUCH 3 MG/0.5 ML
(Sumatriptan)
.500 ML   67857080938 2
PDPs
11
MAPDs
ZOCOR 10 MG TABLET
(Simvastatin)
30.000 EA   00006073531 4
PDPs
16
MAPDs
ZOCOR 20 MG TABLET
(Simvastatin)
30.000 EA   00006074031 4
PDPs
13
MAPDs
ZOCOR 40 MG TABLET
(Simvastatin)
30.000 EA   00006074931 4
PDPs
13
MAPDs
ZOCOR 80 MG TABLET
(Simvastatin)
30.000 EA   00006054331 4
PDPs
13
MAPDs
ZOLOFT 100 MG TABLET
(Sertraline HCl)
30 EA   00049491030 4
PDPs
16
MAPDs
ZOLOFT 25MG TABLET
(Sertraline HCl)
30 BOT 00049496030 4
PDPs
16
MAPDs
ZOLOFT 50 MG TABLET
(Sertraline HCl)
30 EA   00049490030 4
PDPs
16
MAPDs
ZOMACTON 10 MG VIAL
(Somatropin)
    55566190101 2
PDPs
66
MAPDs
ZOMACTON 5 MG VIAL
(Somatropin)
    55566180101 2
PDPs
73
MAPDs
Zorbtive 8.8mg/mL 1 INJECTION, POWDER, FOR SOLUTION per CARTON
(Somatropin (Non-Refrigerated) For Subcutaneous)
1 INJECTION, POWDER   44087338807 4
PDPs
120
MAPDs



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




Tips & Disclaimers
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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.