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2020 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 (Short List) in Alphabetical Order

Drug Name
Packaging NDC On This Nbr of 2020 Formularies
PDPs MAPDs
ABILIFY 10MG TABLET
(Aripiprazole)
30 BOT 59148000813 3
PDPs
7
MAPDs
ABILIFY 15MG TABLET
(Aripiprazole)
30 BOT 59148000913 3
PDPs
7
MAPDs
ABILIFY 20MG TABLET
(Aripiprazole)
30 BOT 59148001013 3
PDPs
7
MAPDs
ABILIFY 2MG TABLET
(Aripiprazole)
30 BOX 59148000613 3
PDPs
7
MAPDs
ABILIFY 30MG TABLET
(Aripiprazole)
30 BOT 59148001113 3
PDPs
7
MAPDs
ABILIFY 5 MG TABLET
(Aripiprazole)
30 tablets BOT 59148000713 3
PDPs
7
MAPDs
ACTONEL 150 MG TABLET
(Risedronate)
1 tablet   00430047801 6
PDPs
5
MAPDs
ACTONEL 35 MG TABLET
(Risedronate)
4 tablets   00430047203 6
PDPs
5
MAPDs
ACTONEL 5 MG TABLET
(Risedronate)
tablets   00430047115 6
PDPs
5
MAPDs
ACTOS 15 MG TABLET
(Pioglitazone HCL)
    64764015104 4
PDPs
12
MAPDs
ACTOS 30 MG TABLET
(Pioglitazone HCL)
    64764030114 4
PDPs
12
MAPDs
ACTOS 45 MG TABLET
(Pioglitazone HCL)
    64764045124 4
PDPs
12
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)
60 DOSE INHL 00173069500 56
PDPs
261
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)
60 DOSE BLPK 00173069600 56
PDPs
261
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)
60 BLPK 00173069700 56
PDPs
261
MAPDs
ARIPIPRAZOLE 1 MG/ML SOLUTION [Abilify]
(Aripiprazole)
30 mls   65162089374 69
PDPs
393
MAPDs
ARIPIPRAZOLE 10 MG TABLET [Abilify]
(Aripiprazole)
30 tablets   13668021830 69
PDPs
393
MAPDs
ARIPIPRAZOLE 15 MG TABLET [Abilify]
(Aripiprazole)
30 EA   65162089903 69
PDPs
393
MAPDs
ARIPIPRAZOLE 2 MG TABLET [Abilify]
(Aripiprazole)
30 tablets   13668021630 69
PDPs
393
MAPDs
ARIPIPRAZOLE 20 MG TABLET [Abilify]
(Aripiprazole)
30 tablets   13668022030 69
PDPs
393
MAPDs
ARIPIPRAZOLE 30 MG TABLET [Abilify]
(Aripiprazole)
30 EA   65162090203 69
PDPs
393
MAPDs
ARIPIPRAZOLE 5 MG TABLET [Abilify]
(Aripiprazole)
30 tablets   13668021730 69
PDPs
393
MAPDs
ARIPIPRAZOLE ODT 10 MG TABLET RAPDIS [Abilify Discmelt]
(Aripiprazole)
30 units   62332010330 69
PDPs
393
MAPDs
ARIPIPRAZOLE ODT 15 MG TABLET RAPDIS [Abilify Discmelt]
(Aripiprazole)
units   62332010430 69
PDPs
391
MAPDs
ATORVASTATIN 10 MG TABLET [Lipitor]
(Atorvastatin Calcium)
1000.000 EA   60505257808 69
PDPs
393
MAPDs
ATORVASTATIN 20 MG TABLET [Lipitor]
(Atorvastatin Calcium)
1000.000 EA   60505257908 69
PDPs
393
MAPDs
ATORVASTATIN 40 MG TABLET [Lipitor]
(Atorvastatin Calcium)
1000 EA   60505258008 69
PDPs
393
MAPDs
ATORVASTATIN 80 MG TABLET [Lipitor]
(Atorvastatin Calcium)
30 tablets   60505267108 69
PDPs
393
MAPDs
CLOPIDOGREL 75 MG TABLET [Plavix]
(Clopidogrel)
30 tablets   65862035705 69
PDPs
393
MAPDs
CRESTOR 10MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075190 3
PDPs
13
MAPDs
CRESTOR 20MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075290 3
PDPs
13
MAPDs
CRESTOR 40mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Rosuvastatin Calcium)
30 TABLET, FILM COATED   00310075430 3
PDPs
13
MAPDs
CRESTOR 5MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075590 3
PDPs
13
MAPDs
CYMBALTA 20MG CAPSULE
(Duloxetine HCl Enteric Coated Pellets)
60 BOT 00002323560 3
PDPs
7
MAPDs
CYMBALTA 60 MG CAPSULE
(Duloxetine HCl Enteric Coated Pellets)
30.000 EA   00002327030 3
PDPs
7
MAPDs
CYMBALTA CAPSULES DELAYED RELEASE 30MG (30 CT)
(Duloxetine HCl Enteric Coated Pellets)
30 BOT 00002324030 3
PDPs
7
MAPDs
DIOVAN 160MG TABLET
(Valsartan)
90 BOT 00078035934 4
PDPs
12
MAPDs
DIOVAN 320MG TABLET
(Valsartan)
90 BOT 00078036034 4
PDPs
12
MAPDs
DIOVAN 40MG TABLET
(Valsartan)
30 BOT 00078042315 4
PDPs
12
MAPDs
DIOVAN 80MG TABLET
(Valsartan)
90 BOX 00078035834 4
PDPs
12
MAPDs
DIOVAN HCT 160/12.5MG TABLET
(Valsartan)
90 BOT 00078031534 4
PDPs
15
MAPDs
DIOVAN HCT 160/25MG TABLET
(Valsartan)
90 BOT 00078038334 4
PDPs
15
MAPDs
DIOVAN HCT 320/12.5MG TABLET
(Valsartan)
90 BOT 00078047134 4
PDPs
15
MAPDs
DIOVAN HCT 320/25MG TABLET
(Valsartan)
90 BOT 00078047234 4
PDPs
15
MAPDs
DIOVAN HCT 80/12.5MG TABLET
(Valsartan)
90 BOT 00078031434 4
PDPs
15
MAPDs
DULOXETINE HCL DR 20 MG CAPSULE [Cymbalta]
(Duloxetine)
30 units   57237001760 69
PDPs
393
MAPDs
DULOXETINE HCL DR 30 MG CAPSULE [Cymbalta]
(Duloxetine)
30 units   57237001830 69
PDPs
393
MAPDs
DULOXETINE HCL DR 40 MG CAPSULE [Irenka]
(Duloxetine)
30 units   68180029706 23
PDPs
230
MAPDs
DULOXETINE HCL DR 60 MG CAPSULE [Cymbalta]
(Duloxetine)
30 units   57237001930 69
PDPs
393
MAPDs
ESCITALOPRAM 10 MG TABLET [Lexapro]
(Escitalopram)
100.000 EA   16729016901 69
PDPs
393
MAPDs
ESCITALOPRAM 20 MG TABLET [Lexapro]
(Escitalopram)
100.000 EA   16729017001 69
PDPs
393
MAPDs
ESCITALOPRAM 5 MG TABLET [Lexapro]
(Escitalopram)
100 EA   68180013701 69
PDPs
393
MAPDs
ESCITALOPRAM OXALATE 5 MG/5 ML [Lexapro]
(Escitalopram)
240 ML   31722056924 69
PDPs
393
MAPDs
ESOMEPRAZOLE DR 10 MG SUSPDR PACKET [Nexium]
(Esomeprazole)
30 UNITS   69097052734 12
PDPs
115
MAPDs
ESOMEPRAZOLE DR 20 MG SUSPDR PACKET [Nexium]
(Esomeprazole)
30 UNITS   69097052834 12
PDPs
115
MAPDs
ESOMEPRAZOLE DR 40 MG SUSPDR PACKET [Nexium]
(Esomeprazole)
30 UNITS   69097052934 12
PDPs
115
MAPDs
ESOMEPRAZOLE MAG DR 20 MG CAPSULE [Nexium]
()
30 EA   00378235093 52
PDPs
293
MAPDs
ESOMEPRAZOLE MAG DR 40 MG CAPSULE [Nexium]
()
30.000 EA   00378235193 52
PDPs
305
MAPDs
FUROSEMIDE 10 MG/ML SOLUTION
(Furosemide)
60.000 ML   00054329446 69
PDPs
387
MAPDs
FUROSEMIDE 100 MG/10 ML VIAL
(Furosemide)
30 mls   23155047344 68
PDPs
392
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 67
PDPs
372
MAPDs
FUROSEMIDE 20 MG TABLET
(Furosemide)
100 EA   63304062401 69
PDPs
393
MAPDs
FUROSEMIDE 40 MG TABLET [Lasix]
(Furosemide)
30 tablets   43547040211 69
PDPs
393
MAPDs
FUROSEMIDE 40MG/5ML TUBEX
(Furosemide)
500 ML BOT 00054329863 52
PDPs
339
MAPDs
FUROSEMIDE 80 MG TABLET
(Furosemide)
500.000 EA   00378023205 69
PDPs
393
MAPDs
HYDROCODON-ACETAMINOPH 7.5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012401 69
PDPs
393
MAPDs
HYDROCODON-ACETAMINOPHEN 5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012301 69
PDPs
393
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG TABLET [Norco]
(Hydrocodone Bitartrate, Acetaminophen)
120 tablets   00406012501 69
PDPs
393
MAPDs
HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION [Hycet]
(Hydrocodone Bitartrate, Acetaminophen)
120 mls   00121077216 66
PDPs
366
MAPDs
JANUVIA 25MG TABLET
(Sitagliptin Phosphate)
30 BOT 00006022131 66
PDPs
377
MAPDs
JANUVIA 50 MG TABLET
(Sitagliptin Phosphate)
30.000 EA   00006011231 66
PDPs
377
MAPDs
JANUVIA TABLET 100MG (30 CT)
(Sitagliptin Phosphate)
30 BOT 00006027731 66
PDPs
377
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL 00088222033 52
PDPs
320
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 00088221905 52
PDPs
320
MAPDs
LEVOTHYROXINE 100 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378180910 69
PDPs
393
MAPDs
LEVOTHYROXINE 112 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378181110 69
PDPs
393
MAPDs
LEVOTHYROXINE 125 MCG TABLET
(Levothyroxine Sodium)
90 EA   00378181377 69
PDPs
393
MAPDs
LEVOTHYROXINE 137 MCG TABLET
(Levothyroxine Sodium)
90 EA   00378182377 69
PDPs
393
MAPDs
LEVOTHYROXINE 150 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378181510 69
PDPs
393
MAPDs
LEVOTHYROXINE 175 MCG TABLET
(Levothyroxine Sodium)
1000 EA   00378181710 69
PDPs
393
MAPDs
LEVOTHYROXINE 200 MCG TABLET
(Levothyroxine Sodium)
    00378181977 69
PDPs
393
MAPDs
LEVOTHYROXINE 25 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378180010 69
PDPs
393
MAPDs
LEVOTHYROXINE 300 MCG TABLET
(Levothyroxine Sodium)
90 EA   00378182177 69
PDPs
393
MAPDs
LEVOTHYROXINE 50 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378180310 69
PDPs
393
MAPDs
LEVOTHYROXINE 75 MCG TABLET
(Levothyroxine Sodium)
1000 EA   00378180510 69
PDPs
393
MAPDs
LEVOTHYROXINE 88 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA   00378180710 69
PDPs
393
MAPDs
LEXAPRO 10MG TABLET
(Escitalopram Oxalate)
10 BOT 00456201001 4
PDPs
9
MAPDs
LEXAPRO 20MG TABLET
(Escitalopram Oxalate)
100 TABLETS BOT 00456202001 4
PDPs
9
MAPDs
LEXAPRO 5MG TABLET
(Escitalopram Oxalate)
100 BOT 00456200501 4
PDPs
9
MAPDs
LIPITOR 10MG TABLET
(Atorvastatin Calcium)
90 BOT 00071015523 3
PDPs
13
MAPDs
LIPITOR 20 MG TABLET
(Atorvastatin Calcium)
    00071015623 3
PDPs
10
MAPDs
LIPITOR 40 MG TABLET
(Atorvastatin Calcium)
90.000 EA   00071015723 3
PDPs
10
MAPDs
LIPITOR 80 MG TABLET
(Atorvastatin Calcium)
90.000 EA   00071015823 3
PDPs
10
MAPDs
LISINOPRIL 10 MG TABLET
(Lisinopril)
1000 EA   68180098003 69
PDPs
393
MAPDs
LISINOPRIL 2.5 MG TABLET
(Lisinopril)
500.000 EA   68180051202 69
PDPs
393
MAPDs
LISINOPRIL 20 MG TABLET
(Lisinopril)
1000 EA   68180098103 69
PDPs
393
MAPDs
LISINOPRIL 30 MG TABLET
(Lisinopril)
100 EA   68180098201 69
PDPs
393
MAPDs
LISINOPRIL 40 MG TABLET
(Lisinopril)
1000.000 EA   68180051703 69
PDPs
393
MAPDs
LISINOPRIL 5 MG TABLET
(Lisinopril)
1000.000 EA   68180051303 69
PDPs
393
MAPDs
LISINOPRIL-HCTZ 10-12.5 MG TABLET
(Lisinopril)
500.000 EA   68180051802 69
PDPs
393
MAPDs
LISINOPRIL-HCTZ 20-12.5 MG TABLET
(Lisinopril)
500.000 EA   68180051902 69
PDPs
393
MAPDs
LISINOPRIL-HCTZ 20-25 MG TABLET
(Lisinopril)
500.000 EA   68180052002 69
PDPs
393
MAPDs
MEMANTINE HCL 10 MG TABLET [Namenda]
(Memantine HCl)
60 tablets   29300017216 69
PDPs
393
MAPDs
MEMANTINE HCL 2 MG/ML SOLUTION [Namenda]
(Memantine HCl)
    00527194313 68
PDPs
381
MAPDs
MEMANTINE HCL 5 MG TABLET [Namenda]
(Memantine HCl)
60 tablets   29300017116 69
PDPs
393
MAPDs
MEMANTINE HCL ER 14 MG CAPSULE SPR 24 [Namenda XR]
(Memantine)
7 units   68180024706 50
PDPs
347
MAPDs
MEMANTINE HCL ER 21 MG CAPSULE SPR 24 [Namenda XR]
(Memantine)
30 units   10370034811 50
PDPs
347
MAPDs
MEMANTINE HCL ER 28 MG CAPSULE SPR 24 [Namenda XR]
(Memantine)
30 units   68180024906 50
PDPs
347
MAPDs
MEMANTINE HCL ER 7 MG CAPSULE SPR 24 [Namenda XR]
(Memantine)
30 units   10370034611 50
PDPs
347
MAPDs
METFORMIN HCL 1,000 MG TABLET
(Metformin HCl)
1000.000 EA   23155010410 69
PDPs
393
MAPDs
METFORMIN HCL 500 MG TABLET
(Metformin HCl)
1000.000 EA   23155010210 69
PDPs
393
MAPDs
METFORMIN HCL 850 MG TABLET
(Metformin HCl)
500 EA   65862000905 69
PDPs
393
MAPDs
METFORMIN HCL ER 1,000 MG TABLET
(Metformin HCl)
60 EA   68180033707 6
PDPs
20
MAPDs
METFORMIN HCL ER 500 MG OSM-TABLET
(Metformin HCl)
60.000 EA   68180033607 6
PDPs
30
MAPDs
METOPROLOL TARTRATE 25 MG TABLET
(Metoprolol Tartrate)
500.000 EA   00378001805 69
PDPs
393
MAPDs
METOPROLOL TARTRATE 37.5 MG TABLET
(Metoprolol Tartrate)
60 tablets   52817035810 28
PDPs
134
MAPDs
METOPROLOL TARTRATE 75 MG TABLET
(Metoprolol Tartrate)
60 tablets   52817035910 28
PDPs
136
MAPDs
METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT)
(Metoprolol Tartrate)
1000 BOT 00378003210 69
PDPs
393
MAPDs
NAMENDA 10MG TABLET
(Memantine HCl)
60 BOT 00456321060 3
PDPs
7
MAPDs
NAMENDA 5-10MG TITRATION PK
(Memantine HCl)
49 COUNT 00456320014 5
PDPs
10
MAPDs
NAMENDA 5MG TABLET
(Memantine HCl)
60 BOT 00456320560 3
PDPs
7
MAPDs
NAMENDA XR 14 MG CAPSULE
(Memantine HCl)
30 EA   00456341433 0
PDPs
6
MAPDs
NAMENDA XR 21 MG CAPSULE
(Memantine HCl)
    00456342133 0
PDPs
6
MAPDs
NAMENDA XR 28 MG CAPSULE
(Memantine HCl)
30.000 EA   00456342833 0
PDPs
8
MAPDs
NAMENDA XR 7 MG CAPSULE
(Memantine HCl)
    00456340733 0
PDPs
6
MAPDs
NAMENDA XR TITRATION PACK
(Memantine HCl)
    00456340029 3
PDPs
79
MAPDs
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON
(Esomeprazole Magnesium)
30 GRANULE, DELAYED RELEA   00186401001 10
PDPs
77
MAPDs
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
20 MG PKT X 30 PKT 00186402001 10
PDPs
79
MAPDs
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
40 MG PKT X 30 PKT 00186404001 10
PDPs
79
MAPDs
NEXIUM DR 2.5 MG PACKET
(Esomeprazole Magnesium)
    00186402501 10
PDPs
92
MAPDs
NEXIUM DR 20 MG CAPSULE
(Esomeprazole Magnesium)
30.000 EA   00186502031 3
PDPs
7
MAPDs
NEXIUM DR 40 MG CAPSULE
(Esomeprazole Magnesium)
30.000 EA   00186504031 3
PDPs
7
MAPDs
NEXIUM DR 5 MG PACKET
(Esomeprazole Magnesium)
    00186405001 10
PDPs
92
MAPDs
OMEPRAZOLE DR 20 MG CAPSULE DR [Prilosec]
(Omeprazole)
30 units   55111015810 69
PDPs
393
MAPDs
OMEPRAZOLE DR 40 MG CAPSULE DR [Prilosec]
(Omeprazole)
1000 EA   68462039710 69
PDPs
393
MAPDs
PIOGLITAZONE HCL 15 MG TABLET [Actos]
(Pioglitazone HCL)
30 tablets   16729002015 69
PDPs
393
MAPDs
PIOGLITAZONE HCL 30 MG TABLET [Actos]
(Pioglitazone HCL)
30 tablets   16729002115 69
PDPs
393
MAPDs
PIOGLITAZONE HCL 45 MG TABLET [Actos]
(Pioglitazone HCL)
30 tablets   16729002215 69
PDPs
393
MAPDs
PLAVIX 75 MG TABLET
(Clopidogrel Bisulfate)
30 TABLETs   63653117101 3
PDPs
7
MAPDs
QUETIAPINE ER 150 MG TABLET ER 24H [Seroquel XR]
(Quetiapine Fumarate)
30 tablets   16729010912 56
PDPs
341
MAPDs
QUETIAPINE ER 200 MG TABLET ER 24H [Seroquel XR]
(Quetiapine Fumarate)
30 tablets   16729009512 56
PDPs
341
MAPDs
QUETIAPINE ER 300 MG TABLET ER 24H [Seroquel XR]
(Quetiapine Fumarate)
30 tablets   16729009612 56
PDPs
341
MAPDs
QUETIAPINE ER 400 MG TABLET [Seroquel]
(Quetiapine Fumarate)
60.000 EA   16729009712 52
PDPs
340
MAPDs
QUETIAPINE ER 50 MG TABLET ER 24H [Seroquel XR]
(Quetiapine Fumarate)
30 TABLETs   52817016060 56
PDPs
341
MAPDs
QUETIAPINE FUMARATE 100 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729014701 69
PDPs
393
MAPDs
QUETIAPINE FUMARATE 200 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729014801 69
PDPs
393
MAPDs
QUETIAPINE FUMARATE 25 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729014501 69
PDPs
393
MAPDs
QUETIAPINE FUMARATE 300 MG TABLET [Seroquel]
(Quetiapine Fumarate)
60.000 EA   16729014912 69
PDPs
393
MAPDs
QUETIAPINE FUMARATE 400 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729015001 69
PDPs
393
MAPDs
QUETIAPINE FUMARATE 50 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100.000 EA   16729014601 69
PDPs
393
MAPDs
REVLIMID 10 MG CAPSULE
(Lenalidomide)
28.000 EA   59572041028 69
PDPs
393
MAPDs
REVLIMID 15MG CAPSULE 21 BOT
(Lenalidomide)
21 BOT 59572041521 69
PDPs
393
MAPDs
REVLIMID 2.5 MG CAPSULE
(Lenalidomide)
28.000 EA   59572040228 69
PDPs
393
MAPDs
REVLIMID 20 MG CAPSULE
(Lenalidomide)
21.000 EA   59572042021 69
PDPs
393
MAPDs
REVLIMID 25 MG CAPSULE
(Lenalidomide)
21.000 EA   59572042521 69
PDPs
393
MAPDs
REVLIMID 5 MG CAPSULE
(Lenalidomide)
28.000 EA   59572040528 69
PDPs
393
MAPDs
RISEDRONATE SODIUM 150 MG TABLET [Actonel]
(Risedronate Sodium)
1.000 EA   60505309702 29
PDPs
317
MAPDs
RISEDRONATE SODIUM 30 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA   00093310056 21
PDPs
275
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
    00093309844 26
PDPs
298
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
4 tablets   33342010950 26
PDPs
298
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
4.000 EA   60505316500 26
PDPs
315
MAPDs
RISEDRONATE SODIUM 5 MG TABLET [Actonel]
(Risedronate Sodium)
30 tablets   33342010707 24
PDPs
303
MAPDs
ROSUVASTATIN CALCIUM 10 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 EA   31722088390 69
PDPs
393
MAPDs
ROSUVASTATIN CALCIUM 20 MG TABLET [Crestor]
(Rosuvastatin Calcium)
30 tablets   31722088490 69
PDPs
393
MAPDs
ROSUVASTATIN CALCIUM 40 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 tablets   31722088530 69
PDPs
393
MAPDs
ROSUVASTATIN CALCIUM 5 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 EA   31722088290 69
PDPs
393
MAPDs
SEROQUEL 100MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027110 3
PDPs
7
MAPDs
SEROQUEL 200MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027210 3
PDPs
7
MAPDs
SEROQUEL 25MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027510 3
PDPs
7
MAPDs
SEROQUEL 300MG TABLET
(Quetiapine Fumarate)
60 BOT 00310027460 3
PDPs
7
MAPDs
SEROQUEL 400MG TABLET
(Quetiapine Fumarate)
100 BOT 00310027910 3
PDPs
7
MAPDs
SEROQUEL 50MG TABLET (100 CT)
(Quetiapine Fumarate)
100 BOT 00310027810 3
PDPs
7
MAPDs
SEROQUEL XR 150 MG TABLET
(Quetiapine Fumarate)
60.000 EA   00310028160 3
PDPs
12
MAPDs
SEROQUEL XR 200 MG TABLET
(Quetiapine Fumarate)
60.000 EA   00310028260 3
PDPs
12
MAPDs
SEROQUEL XR 300MG TABLET 60X300MG BOT
(Quetiapine Fumarate)
60 X 300 MG BOT 00310028360 3
PDPs
12
MAPDs
SEROQUEL XR 400 MG TABLET
(Quetiapine Fumarate)
60.000 EA   00310028460 3
PDPs
12
MAPDs
SEROQUEL XR 50 MG TABLET
(Quetiapine Fumarate)
60.000 EA   00310028060 3
PDPs
12
MAPDs
SIMVASTATIN 10 MG TABLET
(Simvastatin)
1000.000 EA   16729000417 69
PDPs
393
MAPDs
SIMVASTATIN 20 MG TABLET
(Simvastatin)
1000.000 EA   16729000517 69
PDPs
393
MAPDs
SIMVASTATIN 40 MG TABLET
(Simvastatin)
1000.000 EA   16729000617 69
PDPs
393
MAPDs
SIMVASTATIN 80 MG TABLET
(Simvastatin)
90 EA   68180046509 69
PDPs
388
MAPDs
SPIRIVA 18 MCG CP-HANDIHALER
(Tiotropium Bromide Monohydrate)
30.000 EA   00597007541 38
PDPs
267
MAPDs
SPIRIVA RESPIMAT INHAL SPRAY
(Tiotropium Bromide Monohydrate)
4 GM   00597010061 38
PDPs
267
MAPDs
VALSARTAN 160 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 tablets   65862057290 68
PDPs
392
MAPDs
VALSARTAN 320 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 tablets   65862057390 68
PDPs
392
MAPDs
VALSARTAN 40 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 tablets   65862057030 68
PDPs
392
MAPDs
VALSARTAN 80 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 tablets   65862057190 68
PDPs
392
MAPDs
VALSARTAN-HCTZ 160-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
30 tablets   33342007510 68
PDPs
391
MAPDs
VALSARTAN-HCTZ 160-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90.000 EA   65862054990 68
PDPs
391
MAPDs
VALSARTAN-HCTZ 320-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
30 tablets   33342007710 68
PDPs
391
MAPDs
VALSARTAN-HCTZ 320-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
30 tablets   33342007810 68
PDPs
391
MAPDs
VALSARTAN-HCTZ 80-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
30 tablets   33342007410 68
PDPs
391
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2020)





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