Drug Name
|
Packaging |
NDC |
On This Nbr of 2019 Formularies |
PDPs |
MAPDs |
BROMFENAC SODIUM 0.09% EYE DROPS [Xibrom] (BROMFENAC SODIUM) |
1.7 mls |
50383024971 |
25 PDPs |
245 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/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 |
TETRABENAZINE 12.5 MG TABLET [XENAZINE] (Tetrabenazine) |
112 EA |
47335027723 |
62 PDPs |
350 MAPDs |
TETRABENAZINE 25 MG TABLET [XENAZINE] (Tetrabenazine) |
112 EA |
47335017923 |
62 PDPs |
350 MAPDs |
VICODIN HP 10-300 MG TABLET [Xodol] (Hydrocodone Bitartrate, Acetaminophen) |
60 tablets |
00074305413 |
15 PDPs |
133 MAPDs |
XALATAN EYE DROPS 125MCG 2.5ML BOTPL (Latanoprost Ophth) |
2.5 ML BOTPL |
00013830304 |
0 PDPs |
7 MAPDs |
Xalkori 200mg/1 60 CAPSULE BOTTLE (CRIZOTINIB) |
60 CAPSULE in 1 BOTTLE |
00069814120 |
62 PDPs |
352 MAPDs |
Xalkori 250mg/1 60 CAPSULE BOTTLE (CRIZOTINIB) |
60 CAPSULE in 1 BOTTLE |
00069814020 |
62 PDPs |
352 MAPDs |
XANAX 0.25 MG TABLET (Alprazolam) |
100.000 EA |
00009002901 |
0 PDPs |
4 MAPDs |
Xanax 0.5mg/1 100 TABLET BOTTLE (Alprazolam) |
100 TABLET in 1 BOTTLE |
00009005501 |
0 PDPs |
4 MAPDs |
Xanax 1mg/1 100 TABLET BOTTLE (Alprazolam) |
100 TABLET in 1 BOTTLE |
00009009001 |
0 PDPs |
4 MAPDs |
Xanax 2mg/1 100 TABLET BOTTLE (Alprazolam) |
100 TABLET in 1 BOTTLE |
00009009401 |
0 PDPs |
4 MAPDs |
Xanax XR 0.5mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE (Alprazolam) |
60 TABLET in BOTTLE |
00009005707 |
0 PDPs |
4 MAPDs |
Xanax XR 1mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE (Alprazolam) |
60 TABLET in BOTTLE |
00009005907 |
0 PDPs |
4 MAPDs |
Xanax XR 2mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE (Alprazolam) |
60 TABLET in BOTTLE |
00009006607 |
0 PDPs |
4 MAPDs |
Xanax XR 3mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE (Alprazolam) |
60 TABLET in BOTTLE |
00009006807 |
0 PDPs |
4 MAPDs |
XARELTO 10 MG TABLET (Rivaroxaban) |
30.000 EA |
50458058030 |
61 PDPs |
347 MAPDs |
XARELTO 15 MG TABLET (Rivaroxaban) |
30.000 EA |
50458057830 |
61 PDPs |
347 MAPDs |
XARELTO 2.5 MG TABLET (Rivaroxaban) |
60 tablets |
50458057760 |
61 PDPs |
340 MAPDs |
XARELTO 20 MG TABLET (Rivaroxaban) |
30.000 EA |
50458057930 |
61 PDPs |
347 MAPDs |
XARELTO STARTER PACK (Rivaroxaban) |
51 EA |
50458058451 |
61 PDPs |
338 MAPDs |
XATMEP 2.5 MG/ML ORAL SOLUTION (Methotrexate) |
120 ML |
52652200101 |
62 PDPs |
345 MAPDs |
XELJANZ 10 MG TABLET (Tofacitinib Citrate) |
60 tablets |
00069100201 |
31 PDPs |
250 MAPDs |
XELJANZ 5 MG TABLET (Tofacitinib Citrate) |
60 EA |
00069100101 |
31 PDPs |
250 MAPDs |
XELJANZ XR 11 MG TABLET (Tofacitinib Citrate) |
|
00069050130 |
27 PDPs |
234 MAPDs |
XELPROS 0.005% EYE DROPS EMULS () |
mls |
47335031790 |
1 PDPs |
29 MAPDs |
XENAZINE TABLET 25 MG (Tetrabenazine) |
112 BOT |
67386042201 |
3 PDPs |
17 MAPDs |
XENAZINE TABLETS 12.5MG 112 BOT (Tetrabenazine) |
112 BOT |
67386042101 |
3 PDPs |
17 MAPDs |
XEPI 1% CREAM (g) (Ozenoxacin) |
grams |
70363001130 |
1 PDPs |
17 MAPDs |
XERESE 5%-1% CREAM (acyclovir and hydrocortisone topical) |
5 GM |
00187510401 |
1 PDPs |
31 MAPDs |
XERMELO 250 MG TABLET (Telotristat Ethyl) |
|
70183012584 |
9 PDPs |
121 MAPDs |
XGEVA 120mg/1.7mL 1 VIAL, SINGLE-USE per CARTON / 1.7 mL in 1 VIAL, SINGLE-USE (DENOSUMAB) |
1 VIAL, SINGLE-USE |
55513073001 |
62 PDPs |
325 MAPDs |
XHANCE 93 MCG NASAL SPRAY AER BR.ACT (Fluticasone Propionate) |
16 mls |
71143037501 |
1 PDPs |
15 MAPDs |
XIFAXAN 200MG TABLET (Rifaximin) |
30 BOT |
65649030103 |
18 PDPs |
216 MAPDs |
XIFAXAN 550 MG TABLET (Rifaximin) |
60.000 EA |
65649030302 |
55 PDPs |
327 MAPDs |
XIGDUO XR 10 MG-1,000 MG TAB (Dapagliflozin and Metformin Hydrochloride) |
30 EA |
00310628030 |
30 PDPs |
159 MAPDs |
XIGDUO XR 10 MG-500 MG TABLET (Dapagliflozin and Metformin Hydrochloride) |
30 EA |
00310627030 |
30 PDPs |
159 MAPDs |
XIGDUO XR 2.5 MG-1,000 MG TABLET (Dapagliflozin and Metformin Hydrochloride) |
60 |
00310622560 |
30 PDPs |
159 MAPDs |
XIGDUO XR 5 MG-1,000 MG TABLET (Dapagliflozin and Metformin Hydrochloride) |
60 EA |
00310626060 |
30 PDPs |
159 MAPDs |
XIGDUO XR 5 MG-500 MG TABLET (Dapagliflozin and Metformin Hydrochloride) |
30 EA |
00310625030 |
30 PDPs |
159 MAPDs |
XIIDRA 5% EYE DROPS (Lifitegrast) |
60.000 EA |
54092060601 |
13 PDPs |
113 MAPDs |
XIMINO ER 135 MG CAPSULE (Minocycline Hydrochloride) |
|
10631033230 |
0 PDPs |
3 MAPDs |
XIMINO ER 45 MG CAPSULE (Minocycline Hydrochloride) |
|
10631033030 |
0 PDPs |
3 MAPDs |
XIMINO ER 90 MG CAPSULE (Minocycline Hydrochloride) |
|
10631033130 |
0 PDPs |
3 MAPDs |
XOFLUZA 20 MG TABLET (40 MG DOSE) (Baloxavir) |
2 tablets |
50242082802 |
35 PDPs |
205 MAPDs |
XOFLUZA 40 MG TABLET (80 MG DOSE) (Baloxavir) |
2 tablets |
50242086002 |
35 PDPs |
205 MAPDs |
XOLAIR 150 MG/ML SYRINGE (Omalizumab (Hamster)) |
2 mls |
50242021501 |
58 PDPs |
328 MAPDs |
XOLAIR 150MG VIAL (Omalizumab For) |
1 X VIAL |
50242004062 |
62 PDPs |
346 MAPDs |
XOLAIR 75 MG/0.5 ML SYRINGE (Omalizumab (Hamster)) |
ml |
50242021401 |
58 PDPs |
328 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 |
XOSPATA 40 MG TABLET (Gilteritinib) |
tablets |
00469142590 |
62 PDPs |
352 MAPDs |
XTAMPZA ER 13.5 MG CAPSULE (Oxycodone) |
|
24510011510 |
9 PDPs |
120 MAPDs |
XTAMPZA ER 18 MG CAPSULE (Oxycodone) |
|
24510012010 |
9 PDPs |
120 MAPDs |
XTAMPZA ER 27 MG CAPSULE (Oxycodone) |
|
24510013010 |
9 PDPs |
120 MAPDs |
XTAMPZA ER 36 MG CAPSULE (Oxycodone) |
|
24510014010 |
9 PDPs |
120 MAPDs |
XTAMPZA ER 9 MG CAPSULE (Oxycodone) |
|
24510011010 |
9 PDPs |
120 MAPDs |
XTANDI 40 MG CAPSULE (enzalutamide) |
|
00469012599 |
62 PDPs |
352 MAPDs |
Xulane Patch (norelgestromin / ethinyl estradiol) |
|
00378334053 |
28 PDPs |
249 MAPDs |
XULTOPHY 100 UNIT-3.6MG/ML PEN (Insulin Degludec and Liraglutide) |
3 ML |
00169291115 |
28 PDPs |
208 MAPDs |
XURIDEN GRANULE PACKET (Uridine Triacetate) |
|
69468015202 |
10 PDPs |
114 MAPDs |
XYOSTED 100 MG/0.5 ML AUTO INJCT (Testosterone Enanthate) |
2 mls |
54436020002 |
1 PDPs |
52 MAPDs |
XYOSTED 50 MG/0.5 ML AUTO INJCT (Testosterone Enanthate) |
mls |
54436025002 |
1 PDPs |
52 MAPDs |
XYOSTED 75 MG/0.5 ML AUTO INJCT (Testosterone Enanthate) |
2 mls |
54436027502 |
1 PDPs |
52 MAPDs |
XYREM 500MG/ML ORAL SOLUTION (Sodium Oxybate Oral) |
180 ML BOT |
68727010001 |
62 PDPs |
352 MAPDs |