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2019 Medicare Part D Formulary Search By Drug Letter

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Select a Letter below:
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

Top Medicare Drugs (Long List) in Alphabetical Order

Drug Name
Packaging NDC On This Nbr of 2019 Formularies
PDPs MAPDs
ABILIFY 10MG TABLET
(Aripiprazole)
30 BOT 59148000813 2
PDPs
7
MAPDs
ABILIFY 15MG TABLET
(Aripiprazole)
30 BOT 59148000913 2
PDPs
7
MAPDs
ABILIFY 20MG TABLET
(Aripiprazole)
30 BOT 59148001013 2
PDPs
7
MAPDs
ABILIFY 2MG TABLET
(Aripiprazole)
30 BOX 59148000613 2
PDPs
7
MAPDs
ABILIFY 30MG TABLET
(Aripiprazole)
30 BOT 59148001113 2
PDPs
7
MAPDs
ABILIFY 5 MG TABLET
(Aripiprazole)
30 tablets BOT 59148000713 2
PDPs
7
MAPDs
ABILIFY MAINTENA ER 300 MG SYR
(Aripiprazole)
    59148004580 48
PDPs
320
MAPDs
ABILIFY MAINTENA ER 300 MG VL
(Aripiprazole)
1 EA   59148001871 48
PDPs
323
MAPDs
ABILIFY MAINTENA ER 400 MG SYR
(Aripiprazole)
    59148007280 48
PDPs
321
MAPDs
ACTIQ 400MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050430 0
PDPs
8
MAPDs
ACTONEL 150 MG TABLET
(Risedronate)
1 tablet   00430047802 3
PDPs
5
MAPDs
ACTONEL 35 MG TABLET
(Risedronate)
4 tablets   00430047203 3
PDPs
5
MAPDs
ACTONEL 5 MG TABLET
(Risedronate)
tablets   00430047115 3
PDPs
5
MAPDs
ACTOPLUS MET 15MG/500MG TABLET
(Pioglitazone HCl-Metformin HCl)
60 BOT 64764015560 0
PDPs
6
MAPDs
ACTOS 15 MG TABLET
(Pioglitazone HCL)
    64764015104 4
PDPs
13
MAPDs
ACTOS 30 MG TABLET
(Pioglitazone HCL)
    64764030114 4
PDPs
13
MAPDs
ACTOS 45 MG TABLET
(Pioglitazone HCL)
    64764045124 4
PDPs
13
MAPDs
ADDERALL XR 20MG CAPSULE SA
(Amphetamine-Dextroamphetamine)
100 BOT 54092038701 2
PDPs
10
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)
60 DOSE INHL 00173069500 58
PDPs
310
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)
60 DOSE BLPK 00173069600 58
PDPs
310
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)
60 BLPK 00173069700 58
PDPs
310
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)
100 CAPS BOTPL 61570012001 4
PDPs
16
MAPDs
AMLODIPINE BESYLATE 2.5 MG TAB
(Amlodipine Besylate)
90 EA   69097012605 62
PDPs
352
MAPDs
ANDROGEL 1% (50MG) GEL PACKET
(Testosterone)
3O X 5GM PKT CRTN 00051845030 2
PDPs
17
MAPDs
ARICEPT 10MG TABLET
(Donepezil HCL)
30 BOT 62856024630 2
PDPs
7
MAPDs
ARIPIPRAZOLE 1 MG/ML SOLUTION [Abilify]
(Aripiprazole)
150 ML   54838057059 62
PDPs
352
MAPDs
ARIPIPRAZOLE 10 MG TABLET [Abilify]
(Aripiprazole)
30 EA   65162089803 62
PDPs
352
MAPDs
ARIPIPRAZOLE 15 MG TABLET [Abilify]
(Aripiprazole)
30 EA   65162089903 62
PDPs
352
MAPDs
ARIPIPRAZOLE 2 MG TABLET [Abilify]
(Aripiprazole)
30 EA   65162089603 62
PDPs
352
MAPDs
ARIPIPRAZOLE 20 MG TABLET [Abilify]
(Aripiprazole)
30 EA   65162090103 62
PDPs
352
MAPDs
ARIPIPRAZOLE 30 MG TABLET [Abilify]
(Aripiprazole)
30 EA   65162090203 62
PDPs
352
MAPDs
ARIPIPRAZOLE 5 MG TABLET [Abilify]
(Aripiprazole)
30 EA   65162089703 62
PDPs
352
MAPDs
ARIPIPRAZOLE ODT 10 MG TABLET RAPDIS [Abilify Discmelt]
(Aripiprazole)
units   43598073330 62
PDPs
352
MAPDs
ARIPIPRAZOLE ODT 15 MG TABLET RAPDIS [Abilify Discmelt]
(Aripiprazole)
units   43598073430 62
PDPs
350
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
Atripla 600; 200; 300mg/1; mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Efavirenz-Emtricitabine-Tenofovir DF)
30 TABLET, FILM COATED   15584010101 62
PDPs
352
MAPDs
CLARINEX 5 MG TABLET
(Desloratadine)
100 BOT 00085126401 0
PDPs
5
MAPDs
CLOPIDOGREL 75 MG TABLET [Plavix]
(Clopidogrel)
90.000 EA   60505025302 62
PDPs
352
MAPDs
COREG CR 10MG CAPSULE MULTIPHASIC RELEASE 24 HR
(Carvedilol Phosphate)
30 BOT 00007337013 2
PDPs
28
MAPDs
CRESTOR 10MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075190 2
PDPs
17
MAPDs
CRESTOR 20MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075290 2
PDPs
17
MAPDs
CRESTOR 40mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Rosuvastatin Calcium)
30 TABLET, FILM COATED   00310075430 2
PDPs
17
MAPDs
CRESTOR 5MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075590 2
PDPs
17
MAPDs
CYMBALTA 20MG CAPSULE
(Duloxetine HCl Enteric Coated Pellets)
60 BOT 00002323560 2
PDPs
7
MAPDs
CYMBALTA 60 MG CAPSULE
(Duloxetine HCl Enteric Coated Pellets)
30.000 EA   00002327030 2
PDPs
7
MAPDs
CYMBALTA CAPSULES DELAYED RELEASE 30MG (30 CT)
(Duloxetine HCl Enteric Coated Pellets)
30 BOT 00002324030 2
PDPs
7
MAPDs
DEPAKOTE ER 500MG TABLET
(Divalproex Sodium)
100 BOT 00074712613 2
PDPs
10
MAPDs
DIFFERIN 0.1% GEL
(Adapalene)
45 GM TUBE 00299591045 0
PDPs
5
MAPDs
DIOVAN 160MG TABLET
(Valsartan)
90 BOT 00078035934 3
PDPs
17
MAPDs
DIOVAN 320MG TABLET
(Valsartan)
90 BOT 00078036034 3
PDPs
17
MAPDs
DIOVAN 40MG TABLET
(Valsartan)
30 BOT 00078042315 3
PDPs
12
MAPDs
DIOVAN 80MG TABLET
(Valsartan)
90 BOX 00078035834 3
PDPs
12
MAPDs
DIOVAN HCT 160/12.5MG TABLET
(Valsartan)
90 BOT 00078031534 3
PDPs
15
MAPDs
DIOVAN HCT 160/25MG TABLET
(Valsartan)
90 BOT 00078038334 3
PDPs
15
MAPDs
DIOVAN HCT 320/12.5MG TABLET
(Valsartan)
90 BOT 00078047134 3
PDPs
15
MAPDs
DIOVAN HCT 320/25MG TABLET
(Valsartan)
90 BOT 00078047234 3
PDPs
15
MAPDs
DIOVAN HCT 80/12.5MG TABLET
(Valsartan)
90 BOT 00078031434 3
PDPs
15
MAPDs
DULOXETINE HCL DR 20 MG CAPSULE DR [Cymbalta]
(Duloxetine)
30 units   57237001760 62
PDPs
352
MAPDs
DULOXETINE HCL DR 30 MG CAPSULE DR [Cymbalta]
(Duloxetine)
30 units   57237001830 62
PDPs
352
MAPDs
DULOXETINE HCL DR 40 MG CAPSULE DR [Irenka]
(Duloxetine)
30 units   68180029706 20
PDPs
189
MAPDs
DULOXETINE HCL DR 60 MG CAPSULE DR [Cymbalta]
(Duloxetine)
30 units   57237001930 62
PDPs
352
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)
500 BOT 60951060285 61
PDPs
337
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
ESOMEPRAZOLE DR 49.3 MG CAP [Nexium]
()
30   52246040030 3
PDPs
27
MAPDs
ESOMEPRAZOLE MAG DR 20 MG CAP [Nexium]
()
30 EA   00378235093 46
PDPs
261
MAPDs
ESOMEPRAZOLE MAG DR 40 MG CAP [Nexium]
()
30.000 EA   00378235193 47
PDPs
268
MAPDs
FEMARA 2.5MG TABLET
(Letrozole)
30 BOT 00078024915 2
PDPs
12
MAPDs
FENTANYL CITRATE OTFC 400 MCG [Actiq]
(Fentanyl Citrate)
52 CRTN 00406920430 62
PDPs
330
MAPDs
FENTORA TABLET 100MCG
(Fentanyl Citrate)
28 BLPK 63459054128 25
PDPs
170
MAPDs
FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED   00173071920 57
PDPs
329
MAPDs
FOCALIN XR 5MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078043005 0
PDPs
7
MAPDs
FOSAMAX 70MG TABLET
(Alendronate Sodium)
4 BLPK 00006003144 4
PDPs
10
MAPDs
FOSAMAX PLUS D 70; 5600mg/1; [iU]/1 4 TABLET per BLISTER PACK
(Alendronate Sodium-Cholecalciferol)
4 TABLET in BLISTER PACK   00006027044 2
PDPs
79
MAPDs
FUROSEMIDE 10 MG/ML SOLUTION
(Furosemide)
60.000 ML   00054329446 62
PDPs
346
MAPDs
Furosemide 10 ML 10 MG/ML Injection
(Furosemide)
    23155052144 62
PDPs
351
MAPDs
Furosemide 10mg/mL 10 CARTON in 1 CONTAINER / 1 SYRINGE, PLASTIC in 1 CARTON / 4 mL in 1 SYRINGE, P
(Furosemide)
10 CARTON in 1 CONTAINER   00409963104 57
PDPs
331
MAPDs
FUROSEMIDE 20 MG TABLET
(Furosemide)
100 EA   63304062401 62
PDPs
352
MAPDs
FUROSEMIDE 40 MG TABLET
(Furosemide)
1000 EA   63304062510 62
PDPs
352
MAPDs
FUROSEMIDE 40MG/5ML TUBEX
(Furosemide)
500 ML BOT 00054329863 48
PDPs
307
MAPDs
FUROSEMIDE 80 MG TABLET
(Furosemide)
500.000 EA   00378023205 62
PDPs
352
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 62
PDPs
352
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 62
PDPs
350
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
3 EA   00074379903 62
PDPs
343
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
6 EA   00074379906 62
PDPs
330
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 37
PDPs
149
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 37
PDPs
149
MAPDs
HYDROCODON-ACETAMINOPH 7.5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012401 62
PDPs
352
MAPDs
HYDROCODON-ACETAMINOPHEN 5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012301 62
PDPs
352
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 10mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064301 19
PDPs
169
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064801 19
PDPs
173
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 7.5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064901 19
PDPs
172
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG Tablet [Norco]
(Hydrocodone Bitartrate, Acetaminophen)
120 tablets   00406012510 62
PDPs
352
MAPDs
HYDROCODONE-ACETAMIN 7.5-325/15 Solution [Hycet]
(Hydrocodone-Acetaminophen)
120 mls   64950034047 62
PDPs
323
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 62
PDPs
352
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
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT 00074679922 62
PDPs
352
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT 50474059540 2
PDPs
8
MAPDs
LAMICTAL 100MG TABLET
(Lamotrigine)
100 BOT 00173064255 2
PDPs
7
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
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
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
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
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
LYRICA 50MG CAPSULE
(Pregabalin)
90 BOT 00071101368 62
PDPs
352
MAPDs
MEMANTINE HCL 10 MG TABLET [Namenda]
(Memantine HCl)
60.000 EA   55111059760 62
PDPs
352
MAPDs
MEMANTINE HCL 2 MG/ML SOLUTION [Namenda]
(Memantine HCl)
    00527194313 61
PDPs
342
MAPDs
MEMANTINE HCL 5 MG TABLET [Namenda]
(Memantine HCl)
    55111059660 62
PDPs
352
MAPDs
MEMANTINE HCL ER 14 MG CAPSULE SPR 24 [Namenda XR]
(Memantine)
30 units   00378543693 45
PDPs
304
MAPDs
MEMANTINE HCL ER 21 MG CAPSULE SPR 24 [Namenda]
(Memantine HCl)
30   65162078403 45
PDPs
304
MAPDs
MEMANTINE HCL ER 28 MG CAPSULE SPR 24 [Namenda]
(Memantine HCl)
30   10370034909 45
PDPs
304
MAPDs
MEMANTINE HCL ER 7 MG CAPSULE SPR 24 [Namenda XR]
(Memantine)
30 units   00378543593 45
PDPs
304
MAPDs
METFORMIN HCL 1,000 MG TABLET
(Metformin HCl)
1000.000 EA   23155010410 62
PDPs
352
MAPDs
METFORMIN HCL 500 MG TABLET
(Metformin HCl)
1000.000 EA   23155010210 62
PDPs
352
MAPDs
METFORMIN HCL 850 MG TABLET
(Metformin HCl)
500 EA   65862000905 62
PDPs
352
MAPDs
METFORMIN HCL ER 1,000 MG TAB
(Metformin HCl)
60 EA   68180033707 6
PDPs
20
MAPDs
METFORMIN HCL ER 500 MG OSM-TB
(Metformin HCl)
60.000 EA   68180033607 8
PDPs
28
MAPDs
METFORMIN HCL ER 500 MG TABLET
(Metformin HCl)
500.000 EA   53746017805 62
PDPs
352
MAPDs
Metformin HCL ER tab 1000mg
(Metformin HCl)
    68180033909 4
PDPs
14
MAPDs
Metformin HCL ER tab 500mg
(Metformin HCl)
    68180033801 7
PDPs
23
MAPDs
METOPROLOL TARTRATE 100 MG TAB
(Metoprolol Tartrate)
1000 EA   00378004710 62
PDPs
352
MAPDs
METOPROLOL TARTRATE 25 MG TAB
(Metoprolol Tartrate)
500.000 EA   00378001805 62
PDPs
352
MAPDs
METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT)
(Metoprolol Tartrate)
1000 BOT 00378003210 62
PDPs
352
MAPDs
MICARDIS 80MG TABLET
(Telmisartan)
3 X 10 BLPK 00597004137 4
PDPs
16
MAPDs
MICARDIS HCT 80/12.5MG TABLET
(Telmisartan-Hydrochlorothiazide)
3 X 10 BLPK 00597004437 4
PDPs
16
MAPDs
MIRAPEX 0.25MG TABLET
(Pramipexole DiHCL)
90 BOT 00597018490 2
PDPs
10
MAPDs
NAMENDA 10MG TABLET
(Memantine HCl)
60 BOT 00456321060 2
PDPs
7
MAPDs
NAMENDA 5-10MG TITRATION PK
(Memantine HCl)
49 COUNT 00456320014 7
PDPs
10
MAPDs
NAMENDA 5MG TABLET
(Memantine HCl)
60 BOT 00456320560 2
PDPs
7
MAPDs
NAMENDA XR 14 MG CAPSULE
(Memantine HCl)
30 EA   00456341433 0
PDPs
12
MAPDs
NAMENDA XR 21 MG CAPSULE
(Memantine HCl)
    00456342133 0
PDPs
12
MAPDs
NAMENDA XR 28 MG CAPSULE
(Memantine HCl)
30.000 EA   00456342833 0
PDPs
12
MAPDs
NAMENDA XR 7 MG CAPSULE
(Memantine HCl)
    00456340733 0
PDPs
12
MAPDs
NAMENDA XR TITRATION PACK
(Memantine HCl)
    00456340029 5
PDPs
86
MAPDs
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON
(Esomeprazole Magnesium)
30 GRANULE, DELAYED RELEA   00186401001 14
PDPs
78
MAPDs
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
20 MG PKT X 30 PKT 00186402001 14
PDPs
80
MAPDs
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
40 MG PKT X 30 PKT 00186404001 14
PDPs
80
MAPDs
NEXIUM DR 2.5 MG PACKET
(Esomeprazole Magnesium)
    00186402501 14
PDPs
78
MAPDs
NEXIUM DR 20 MG CAPSULE
(Esomeprazole Magnesium)
30.000 EA   00186502031 6
PDPs
13
MAPDs
NEXIUM DR 40 MG CAPSULE
(Esomeprazole Magnesium)
30.000 EA   00186504031 6
PDPs
13
MAPDs
NEXIUM DR 5 MG PACKET
(Esomeprazole Magnesium)
    00186405001 14
PDPs
78
MAPDs
NUVARING 0.12-0.015 RING VAGINAL
(Etonogestrel-Ethinyl Estradiol VA)
3 POU 00052027303 32
PDPs
246
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
3 X 28 PKG 00555913167 50
PDPs
260
MAPDs
OMEPRAZOLE DR 10 MG CAPSULE DR [Prilosec]
(Omeprazole)
30.000 EA   00781278531 62
PDPs
352
MAPDs
OMEPRAZOLE DR 20 MG CAPSULE DR [Prilosec]
(Omeprazole)
1000 EA   00781279010 62
PDPs
352
MAPDs
OMEPRAZOLE DR 40 MG CAPSULE DR [Prilosec]
(Omeprazole)
1000 EA   68462039710 62
PDPs
351
MAPDs
PATANOL 0.1% EYE DROPS
(Olopatadine HCl Ophth)
5 ML BOT 00065027105 3
PDPs
8
MAPDs
PIOGLITAZONE HCL 15 MG TABLET [Actos]
(Pioglitazone HCL)
30 EA   33342005407 62
PDPs
352
MAPDs
PIOGLITAZONE HCL 30 MG TABLET [Actos]
(Pioglitazone HCL)
30 EA   33342005507 62
PDPs
352
MAPDs
PIOGLITAZONE HCL 45 MG TABLET [Actos]
(Pioglitazone HCL)
30 EA   33342005607 62
PDPs
352
MAPDs
PLAVIX 75 MG TABLET
(Clopidogrel Bisulfate)
30 TABLETs   63653117101 2
PDPs
7
MAPDs
PROVENTIL HFA INHALER 90MCG AE
(Albuterol Sulfate)
6.7 GM (200 INHALATIONS) CSTR 00085113201 3
PDPs
29
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
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
REYATAZ 150MG CAPSULE
(Atazanavir Sulfate)
100 BOT 00003362412 16
PDPs
63
MAPDs
RISEDRONATE SOD DR 35 MG TABLET DR [Atelvia]
(Risedronate)
4 units   59762040704 19
PDPs
199
MAPDs
RISEDRONATE SODIUM 150 MG TAB [Actonel]
(Risedronate Sodium)
1.000 EA   60505309702 22
PDPs
272
MAPDs
RISEDRONATE SODIUM 30 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA   00093310056 20
PDPs
230
MAPDs
RISEDRONATE SODIUM 35 MG TAB [Actonel]
(Risedronate Sodium)
4.000 EA   60505316500 24
PDPs
269
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
    00093309844 24
PDPs
248
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
12 EA   00093309829 24
PDPs
248
MAPDs
RISEDRONATE SODIUM 5 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA   00093309956 20
PDPs
256
MAPDs
ROSUVASTATIN CALCIUM 10 MG TAB [Crestor]
(Rosuvastatin Calcium)
90 EA   31722088390 61
PDPs
352
MAPDs
ROSUVASTATIN CALCIUM 20 MG TAB [Crestor]
(Rosuvastatin Calcium)
90 EA   60505450409 61
PDPs
352
MAPDs
Rosuvastatin Calcium 40 mg Film Coated Tablet [Crestor]
(Rosuvastatin Calcium)
30 EA   60505450503 61
PDPs
352
MAPDs
ROSUVASTATIN CALCIUM 5 MG TAB [Crestor]
(Rosuvastatin Calcium)
90 EA   31722088290 61
PDPs
352
MAPDs
SENSIPAR 30MG TABLET
(Cinacalcet HCl)
30 BOT 55513007330 62
PDPs
285
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
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 80 MG TABLET
(Simvastatin)
90 EA   68180046509 62
PDPs
347
MAPDs
SPIRIVA 18 MCG CP-HANDIHALER
(Tiotropium Bromide Monohydrate)
30.000 EA   00597007541 40
PDPs
244
MAPDs
SPIRIVA RESPIMAT INHAL SPRAY
(Tiotropium Bromide Monohydrate)
4 GM   00597010061 39
PDPs
243
MAPDs
STRATTERA 40MG CAPSULE
(Atomoxetine HCl)
30 BOT 00002322930 3
PDPs
28
MAPDs
SUSTIVA 600MG TABLET
(Efavirenz)
30 BOT 00056051030 6
PDPs
62
MAPDs
TARCEVA 150MG TABLET
(Erlotinib)
30 BOT 50242006401 62
PDPs
322
MAPDs
TOBRADEX SUSPENSION OPHTHALMIC 0.1%/0.3% 5ML BOT
(Tobramycin Sulfate)
5 ML BOT 00065064705 3
PDPs
14
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)
100 BOT 00078033705 2
PDPs
8
MAPDs
TRUVADA 200/300MG TABLET
(Emtricitabine-Tenofovir Disoproxil Fumarate)
    61958070101 62
PDPs
352
MAPDs
VALCYTE 450MG TABLET
(Valganciclovir HCl)
60 TABLETS BOT 00004003822 2
PDPs
8
MAPDs
VALSARTAN 160 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 tablets   62332004671 61
PDPs
351
MAPDs
VALSARTAN 320 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 tablets   62332004790 61
PDPs
351
MAPDs
VALSARTAN 40 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 tablets   59746036030 61
PDPs
351
MAPDs
VALSARTAN 80 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 tablets   62332004590 61
PDPs
351
MAPDs
VALSARTAN-HCTZ 160-12.5 MG TAB [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90.000 EA   65862054890 61
PDPs
350
MAPDs
VALSARTAN-HCTZ 160-25 MG TAB [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90.000 EA   65862054990 61
PDPs
350
MAPDs
VALSARTAN-HCTZ 320-12.5 MG TAB [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90.000 EA   65862055090 61
PDPs
350
MAPDs
VALSARTAN-HCTZ 320-25 MG TAB [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90.000 EA   65862055190 61
PDPs
350
MAPDs
VIGAMOX 0.5% EYE DROPS
(Moxifloxacin HCl Ophth)
3 ML BOTPL 00065401303 2
PDPs
35
MAPDs
VIREAD 300MG TABLET
(Tenofovir Disoproxil Fumarate)
    61958040101 4
PDPs
46
MAPDs
VYVANSE 30MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT 59417010310 7
PDPs
114
MAPDs
WELCHOL 625MG TABLET
(Colesevelam HCl)
180 BOTPL 65597070118 16
PDPs
143
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)
2.5 ML BOTPL 00013830304 0
PDPs
7
MAPDs
YASMIN 28 3-0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
21 YELLOW + 7 WHITE X 3 BOX 50419040203 2
PDPs
18
MAPDs
YAZ 3-0.02MG TABLET
(Drospirenone-Ethinyl Estradiol)
24 X 3 BOX 50419040503 3
PDPs
26
MAPDs



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





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