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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:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z
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 B 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 2020 Formularies
PDPs MAPDs
ACANYA 25; 10mg/g; mg/g 1 BOTTLE, PUMP per CARTON / 50 g in 1 BOTTLE, PUMP
(Clindamycin Phosphate-Benzoyl Peroxide)		 1 BOTTLE, PUMP in CARTON   13548013250 1
PDPs		 5
MAPDs
ALPHAGAN P 0.1% EYE DROPS
(Brimonidine Tartrate Ophth)		 5.000 ML   00023932105 59
PDPs		 378
MAPDs
ALPHAGAN P 0.15% EYE DROPS
(Brimonidine Tartrate Ophth)		 5.000 ML   00023917705 5
PDPs		 15
MAPDs
ALUNBRIG 180 MG TABLET
(Brigatinib)		 30 EA   63020018030 69
PDPs		 393
MAPDs
ALUNBRIG 30 MG TABLET
(Brigatinib)		 21 tablets   63020011330 69
PDPs		 393
MAPDs
ALUNBRIG 90 MG TABLET
(Brigatinib)		 7 tablets   63020009030 69
PDPs		 393
MAPDs
ALUNBRIG 90 MG-180 MG TABLET PACK
(Brigatinib)		 30 EA   63020019830 67
PDPs		 393
MAPDs
APLENZIN ER 174 MG TABLET
(Bupropion Hydrobromide Extended-Release)		     00187581030 1
PDPs		 83
MAPDs
APLENZIN ER 348 MG TABLET
(Bupropion Hydrobromide Extended-Release)		     00187581130 1
PDPs		 83
MAPDs
APLENZIN ER 522 MG TABLET
(Bupropion Hydrobromide Extended-Release)		     00187581230 1
PDPs		 83
MAPDs
ASCOMP WITH CODEINE CAPSULE
(Butalbital-Aspirin-Caff w/ Codeine)		 100.000 EA   51991007401 5
PDPs		 106
MAPDs
ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE
(Butalbital-Aspirin-Caff w/ Codeine)		     00591264101 3
PDPs		 74
MAPDs
AZOPT 1% EYE DROPS
(Brinzolamide Ophth)		 10.000 ML   00065027510 54
PDPs		 334
MAPDs
Bacitracin 500 unit/gm Eye Ointment
(Bacitracin Ophth)		     00574402235 69
PDPs		 393
MAPDs
BACITRACIN/POLYMYXIN B OINT 500UNT/10000UNT
(Bacitracin-Polymyxin B Ophth)		 0.125 OZ (3.5GM) TUBE 24208055555 62
PDPs		 384
MAPDs
BACLOFEN 10 MG TABLET
(Baclofen)		 1000.000 EA   00172409680 69
PDPs		 393
MAPDs
BACLOFEN 20 MG TABLET [Lioresal]
(Baclofen)		 90 tablets   00172409780 69
PDPs		 393
MAPDs
BACLOFEN 5 MG TABLET
(Baclofen)		 30 tablets   52817031910 21
PDPs		 161
MAPDs
BACTRIM 400-80 MG TABLET
(Sulfamethoxazole-Trimethoprim)		     49708014501 3
PDPs		 7
MAPDs
BACTRIM DS 800-160 MG TABLET
(Sulfamethoxazole-Trimethoprim)		     49708014601 3
PDPs		 7
MAPDs
BALCOLTRA TABLET
(Ferrous bis-glycinate chelate;Levonorgestrel, Ethinyl Estradiol)		 28 tablets   75854060228 0
PDPs		 13
MAPDs
BALSALAZIDE DISODIUM 750 MG CAPSULE [Colazal]
(Balsalazide Disodium)		 270 capsules   60505257507 69
PDPs		 393
MAPDs
BALVERSA 3 MG TABLET
(Erdafitinib)		 56 TABLETs   59676003084 69
PDPs		 392
MAPDs
BALVERSA 4 MG TABLET
(Erdafitinib)		 28 TABLETs   59676004056 69
PDPs		 393
MAPDs
BALVERSA 5 MG TABLET
(Erdafitinib)		 TABLETs   59676005028 69
PDPs		 393
MAPDs
Balziva 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT per BLISTER PACK
(Norethindrone & Ethinyl Estradiol)		 6 POUCH in 1 CARTON / BP   00555903458 60
PDPs		 352
MAPDs
Banzel 200mg/1
(Rufinamide)		     62856058252 69
PDPs		 393
MAPDs
BANZEL 400MG TABLET
(Rufinamide)		 120 BOT 62856058352 69
PDPs		 393
MAPDs
Banzel 40mg/mL
(Rufinamide)		     62856058446 69
PDPs		 393
MAPDs
BAQSIMI 3 MG SPRAY TWO PACK
(Glucagon)		 2 units   00002614527 39
PDPs		 205
MAPDs
BARACLUDE 0.05mg/mL 1 BOTTLE per CARTON / 210 mL in 1 BOTTLE
(Entecavir)		 1 BOTTLE in 1 CARTON   00003161412 61
PDPs		 306
MAPDs
BARACLUDE 0.5MG TABLET
(Entecavir)		 30 BOT 00003161112 3
PDPs		 10
MAPDs
BARACLUDE 1MG TABLET
(Entecavir)		 30 BOT 00003161212 3
PDPs		 10
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin glargine)		 3.000 ML   00002771559 27
PDPs		 122
MAPDs
BAXDELA 300 MG VIAL
(Delafloxacin Meglumine)		     70842010203 4
PDPs		 49
MAPDs
BAXDELA 450 MG TABLET
(Delafloxacin Meglumine)		     70842010101 4
PDPs		 128
MAPDs
BCG VACCINE 50mg/1 1 VIAL per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL
(BCG Live Intravesical For)		 1 VIAL in 1 CARTON   00052060302 68
PDPs		 391
MAPDs
BECONASE AQ 0.042% SPRAY
(Beclomethasone Dipropionate Monohyd Nasal)		 180 METERED DOSE BOTGL 00173038879 2
PDPs		 29
MAPDs
BELBUCA 150 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002260 3
PDPs		 48
MAPDs
BELBUCA 300 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002360 3
PDPs		 48
MAPDs
BELBUCA 450 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002460 3
PDPs		 48
MAPDs
BELBUCA 600 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002560 3
PDPs		 48
MAPDs
BELBUCA 75 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002160 3
PDPs		 48
MAPDs
BELBUCA 750 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002660 3
PDPs		 48
MAPDs
BELBUCA 900 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002760 3
PDPs		 48
MAPDs
BELSOMRA 10 MG TABLET
(Suvorexant)		     00006003330 42
PDPs		 237
MAPDs
BELSOMRA 15 MG TABLET
(Suvorexant)		     00006032530 42
PDPs		 237
MAPDs
BELSOMRA 20 MG TABLET
(Suvorexant)		     00006033530 42
PDPs		 237
MAPDs
BELSOMRA 5 MG TABLET
(Suvorexant)		     00006000530 42
PDPs		 237
MAPDs
BENAZEPRIL HCL 10 MG TABLET
(Benazepril HCl)		 100.000 EA   43547033610 69
PDPs		 392
MAPDs
BENAZEPRIL HCL 20 MG TABLET
(Benazepril HCl)		 100.000 EA   43547033710 69
PDPs		 392
MAPDs
BENAZEPRIL HCL 40 MG TABLET
(Benazepril HCl)		 100.000 EA   43547033810 69
PDPs		 392
MAPDs
BENAZEPRIL HCL 5 MG TABLET
(Benazepril HCl)		 100.000 EA   43547033510 69
PDPs		 392
MAPDs
BENAZEPRIL HCL-HCTZ TABLET 5-6.25MG (100 CT)
(Benazepril & Hydrochlorothiazide)		 100 BOT 00378472501 66
PDPs		 369
MAPDs
BENAZEPRIL-HCTZ 10-12.5 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)		 30 tablets   60505026201 66
PDPs		 369
MAPDs
BENAZEPRIL-HCTZ 20-12.5 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)		 90 TABLETS   00185021101 66
PDPs		 369
MAPDs
BENAZEPRIL-HCTZ 20-25 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)		 30 tablets   00185027701 66
PDPs		 369
MAPDs
BENICAR 20 MG TABLET
(Olmesartan Medoxomil)		 30.000 EA   65597010330 4
PDPs		 15
MAPDs
BENICAR 40 MG TABLET
(Olmesartan Medoxomil)		 30.000 EA   65597010430 4
PDPs		 15
MAPDs
BENICAR 5MG TABLET
(Olmesartan Medoxomil)		 30 BOT 65597010130 4
PDPs		 15
MAPDs
BENICAR HCT 20-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30.000 EA   65597010530 4
PDPs		 15
MAPDs
BENICAR HCT 40-25 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30.000 EA   65597010730 4
PDPs		 15
MAPDs
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30 BOT 65597010630 4
PDPs		 15
MAPDs
BENLYSTA 200 MG/ML AUTOINJECT
(BELIMUMAB)		 1 ML   49401008835 66
PDPs		 378
MAPDs
BENLYSTA 200 MG/ML SYRINGE
(BELIMUMAB)		 1 ML   49401008847 66
PDPs		 380
MAPDs
BENZACLIN GEL 50G PUMP
(Clindamycin Phosphate-Benzoyl Peroxide)		 50 GM   00187519050 0
PDPs		 3
MAPDs
BENZAMYCIN GEL
(Benzoyl Peroxide-Erythromycin)		     00187520546 3
PDPs		 7
MAPDs
BENZNIDAZOLE 100 MG TABLET
()		 tablets   00642746410 31
PDPs		 207
MAPDs
BENZNIDAZOLE 12.5 MG TABLET
()		 tablets   00642746312 31
PDPs		 207
MAPDs
BENZTROPINE MES 0.5 MG TABLET [Cogentin]
(Benztropine)		 60 tablets   00603243721 69
PDPs		 393
MAPDs
BENZTROPINE MES 1 MG TABLET [Cogentin]
(Benztropine)		 30 tablets   00603243821 69
PDPs		 393
MAPDs
BENZTROPINE MES 2 MG TABLET [Cogentin]
(Benztropine)		 30 tablets   76385010510 69
PDPs		 393
MAPDs
BEPREVE 1.5% EYE DROPS
(Bepotastine Besilate Ophth)		 5.000 ML   24208062902 26
PDPs		 207
MAPDs
BERINERT 500 UNIT KIT
(HUMAN C1-ESTERASE INHIBITOR 5001 in 10mL)		 1 EA   63833082502 27
PDPs		 174
MAPDs
BESER 0.05% LOTION [Cutivate]
(Fluticasone Propionate)		 60 mls   43538097060 6
PDPs		 100
MAPDs
BESIVANCE BESIFLOACIN OPTHALMIC SUSPENSION 0.6% 5 ML BOTDR
(Besifloxacin HCl Ophth)		 5 ML BOTDR 24208044605 43
PDPs		 222
MAPDs
Betamethasone Dipropionate 0.64mg/g / 45 g TUBE
(Betamethasone Dipropionate)		 1 TUBE in 1 CARTON / 45 g   51672127406 62
PDPs		 385
MAPDs
BETAMETHASONE DP 0.05% LOTION
(Betamethasone Dipropionate)		 60.000 ML   45802002146 62
PDPs		 382
MAPDs
BETAMETHASONE DP 0.05% OINTMENT
(Betamethasone Dipropionate)		     00472038145 62
PDPs		 383
MAPDs
BETAMETHASONE DP AUG 0.05% CREAM (g) [RRB Pak]
(Augmented Betamethasone Dipropionate)		 grams   51672131003 62
PDPs		 386
MAPDs
BETAMETHASONE DP AUG 0.05% GEL
(Augmented Betamethasone Dipropionate)		 50 GM   51672130903 60
PDPs		 355
MAPDs
BETAMETHASONE DP AUG 0.05% LOTION
(Augmented Betamethasone Dipropionate)		 60.000 ML   51672134004 62
PDPs		 383
MAPDs
BETAMETHASONE DP AUG 0.05% OINTMENT [Diprolene]
(Augmented Betamethasone Dipropionate)		 15 grams   66993089749 61
PDPs		 378
MAPDs
BETAMETHASONE VA 0.1% CREAM
(Betamethasone Valerate)		 45.000 GM   00472037045 62
PDPs		 384
MAPDs
BETAMETHASONE VALER 0.12% FOAM [Luxiq Foam]
(Betamethasone Valerate)		 100 grams   00378818099 6
PDPs		 156
MAPDs
BETAMETHASONE VALERATE 0.1% LOTION
(Betamethasone Valerate)		   54879000460 62
PDPs		 382
MAPDs
BETAMETHASONE VALERATE OINTMENT USP
(Betamethasone Valerate)		 45 GM TUBE 00472037145 62
PDPs		 384
MAPDs
BETAPACE AF 120 MG TABLET
(Sotalol HCl)		     70515011906 0
PDPs		 3
MAPDs
BETAPACE AF 160 MG TABLET
(Sotalol HCl (AFIB/AFL))		     70515011606 0
PDPs		 3
MAPDs
BETAPACE AF 80 MG TABLET
(Sotalol HCl)		     70515011506 0
PDPs		 3
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)		 1.000 EA   50419052435 65
PDPs		 329
MAPDs
BETAXOLOL 10 MG TABLET
(Betaxolol HCl)		 100.000 EA   10702001301 27
PDPs		 318
MAPDs
BETAXOLOL 20 MG TABLET
(Betaxolol HCl)		 100.000 EA   10702001401 27
PDPs		 318
MAPDs
Betaxolol 5 MG/ML Ophthalmic Solution
(Betaxolol HCl)		     17478070510 61
PDPs		 354
MAPDs
BETHANECHOL 10 MG TABLET
(Bethanechol)		 100.000 EA   65162057210 69
PDPs		 391
MAPDs
BETHANECHOL 25 MG TABLET
(Bethanechol)		 100.000 EA   65162057310 69
PDPs		 391
MAPDs
BETHANECHOL 5 MG TABLET
(Bethanechol)		 100.000 EA   65162057110 69
PDPs		 392
MAPDs
BETHANECHOL 50 MG TABLET
(Bethanechol)		 100.000 EA   65162057410 69
PDPs		 392
MAPDs
BETHKIS 300 MG/4 ML AMPULE
(tobramycin)		 4 ML   10122082056 9
PDPs		 153
MAPDs
BETIMOL 0.25% EYE DROPS
(Timolol Ophth)		     76478000105 14
PDPs		 94
MAPDs
BETIMOL 0.5% EYE DROPS
(Timolol)		     76478000205 14
PDPs		 101
MAPDs
BETOPTIC S OPHTHALMIC SUSPENSION 0.25% 10 ML BOT
(Betaxolol HCl Ophth)		 10 ML BOT 00065024610 30
PDPs		 205
MAPDs
BEVESPI AEROSPHERE INHALER
(Glycopyrrolate and formoterol fumarate)		 10.700 GM   00310460012 24
PDPs		 135
MAPDs
BEXAROTENE 75 MG CAPSULE [Targretin]
(Bexarotene)		 1 capsule   68682000310 69
PDPs		 393
MAPDs
BEXSERO PREFILLED SYRINGE
(Meningococcal group b vaccine)		 ml   58160097602 69
PDPs		 393
MAPDs
Beyaz 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   50419040703 0
PDPs		 5
MAPDs
BICALUTAMIDE 50 MG TABLET
(Bicalutamide)		 30.000 EA   16729002310 69
PDPs		 393
MAPDs
BICILL LA PFS 600MU 1ML PED
(Penicillin G Benzathine Intramuscular)		 TEN 4ML CTG 60793070210 69
PDPs		 383
MAPDs
BICILLIN C-R 1.2MM UNITS SYRINGE 2ML x 10
(Penicillin G Procaine & Benzathine)		     60793060010 21
PDPs		 206
MAPDs
BICILLIN C-R 900/300 SYRINGE 2ML x 10
(Penicillin G Procaine & Benzathine)		     60793060210 21
PDPs		 199
MAPDs
BICILLIN LA PFS 1200MU 2ML
(Penicillin G Benzathine Intramuscular)		 TEN 2ML CTG 60793070110 69
PDPs		 381
MAPDs
BICILLIN LA. 600000UNIT/ML 1ML
(Penicillin G Benzathine Intramuscular)		 TEN 1ML CTG 60793070010 69
PDPs		 384
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)		 180 EA   24338001018 16
PDPs		 209
MAPDs
BIJUVA 1 MG-100 MG CAPSULE
(Estradiol, Progesterone)		 30 capsules   50261021130 0
PDPs		 13
MAPDs
BIKTARVY 50-200-25 MG TABLET
(Bictegravir Sodium, Emtricitabine, and Tenofovir Alafenamide Fumarate )		 30   61958250101 69
PDPs		 393
MAPDs
Biltricide 600mg/1 6 FILM COATED TABLETS in BOTTLE
(Praziquantel)		 6 TABLET, FILM COATED   50419074701 4
PDPs		 26
MAPDs
BIMATOPROST 0.03% EYE DROPS [Lumigan]
(Bimatoprost Ophth)		 2.500 ML   68180042901 23
PDPs		 223
MAPDs
BINOSTO 70 MG EFFERVESCENT TABLET
(Alendronic Acid)		 4 UNITS   17139040004 8
PDPs		 52
MAPDs
BISOPROLOL FUMARATE 10 MG TABLET
(Bisoprolol Fumarate)		 100.000 EA   29300012701 69
PDPs		 390
MAPDs
BISOPROLOL FUMARATE 5 MG TABLET
(Bisoprolol Fumarate)		 100.000 EA   29300012601 69
PDPs		 390
MAPDs
BISOPROLOL-HCTZ 10-6.25 MG TABLET
(Bisoprolol & Hydrochlorothiazide)		 100.000 EA   29300018901 60
PDPs		 382
MAPDs
BISOPROLOL-HCTZ 2.5-6.25 MG TABLET
(Bisoprolol & Hydrochlorothiazide)		 100.000 EA   29300018701 60
PDPs		 382
MAPDs
BISOPROLOL-HCTZ 5-6.25 MG TABLET
(Bisoprolol & Hydrochlorothiazide)		 100 EA   29300018801 60
PDPs		 382
MAPDs
BIVIGAM 10% VIAL [Panzyga]
(Immune Globulin (Human))		 50 MLS   69800650201 25
PDPs		 203
MAPDs
BLEPH-10 10% EYE DROPS
(Sulfacetamide Sodium Ophth)		 5 ML BOT 11980001105 0
PDPs		 46
MAPDs
BLEPHAMIDE 10-0.2% EYE OINTMENT
(Sulfacetamide Sodium-Prednisolone Ophth)		 3.5 GM TUBE 00023031304 38
PDPs		 251
MAPDs
BLEPHAMIDE EYE DROPS
(Sulfacetamide Sodium-Prednisolone Ophth)		 5.000 ML   11980002205 13
PDPs		 175
MAPDs
BLISOVI 24 FE TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)		 28 tablets   68180086473 36
PDPs		 272
MAPDs
BLISOVI FE 1.5-30 TABLET [Microgestin Fe 1.5/30]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)		 28 tablets   68180086673 60
PDPs		 350
MAPDs
BONIVA 150 MG TABLET
(Ibandronate Sodium)		 3.000 EA   00004018683 0
PDPs		 3
MAPDs
BONJESTA ER 20-20 MG TABLET IR DR
()		 60 units   55494012060 0
PDPs		 6
MAPDs
BOOSTRIX TDAP VACCINE SYRINGE
(Tet Tox-Diph-Acell Pertuss Ad)		     58160084252 69
PDPs		 393
MAPDs
BOOSTRIX TDAP VACCINE VIAL
(Tet Tox-Diph-Acell Pertuss Ad)		     58160084211 69
PDPs		 393
MAPDs
BOSENTAN 125 MG TABLET [Tracleer]
(Bosentan)		 30 tablets   68382044714 51
PDPs		 341
MAPDs
BOSENTAN 62.5 MG TABLET [Tracleer]
(Bosentan)		 30 tablets   68382044614 51
PDPs		 341
MAPDs
BOSULIF 100 MG TABLET
(bosutinib monohydrate)		 30 EA   00069013501 69
PDPs		 393
MAPDs
BOSULIF 400 MG TABLET
(bosutinib monohydrate)		     00069019301 69
PDPs		 393
MAPDs
BOSULIF 500 MG TABLET
(bosutinib monohydrate)		 30 EA   00069013601 69
PDPs		 393
MAPDs
BRAFTOVI 75 MG CAPSULE
(Encorafenib)		 capsules   70255002501 69
PDPs		 393
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)		 60 EA   00173085910 60
PDPs		 373
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)		 60 EA   00173088210 60
PDPs		 373
MAPDs
BRIELLYN TABLET
(NORETHINDRONE AND ETHINYL ESTRADIOL)		 28 EA   68462031629 61
PDPs		 351
MAPDs
BRILINTA 60 MG TABLET
(TICAGRELOR)		     00186077660 69
PDPs		 393
MAPDs
BRILINTA 90mg/1 60 TABLET BOTTLE
(TICAGRELOR)		 60 TABLET in 1 BOTTLE   00186077760 69
PDPs		 393
MAPDs
BRIMONIDINE 0.2% EYE DROPS [Alphagan]
(Brimonidine Tartrate Ophth)		 5 mls   61314014305 69
PDPs		 393
MAPDs
BRIMONIDINE TARTRATE 0.15% DROPS
(Brimonidine Tartrate Ophth)		 5.000 ML   61314014405 63
PDPs		 359
MAPDs
BRISDELLE 7.5 MG CAPSULE
(paroxetine mesylate)		     54766090753 0
PDPs		 2
MAPDs
BRIVIACT 10 MG TABLET
(Brivaracetam)		 60 EA   50474037066 69
PDPs		 393
MAPDs
BRIVIACT 10 MG/ML ORAL SOLUTION
(Brivaracetam)		 300 ML   50474087015 69
PDPs		 393
MAPDs
BRIVIACT 100 MG TABLET
(Brivaracetam)		 60 EA   50474077066 69
PDPs		 393
MAPDs
BRIVIACT 25 MG TABLET
(Brivaracetam)		 60 EA   50474047066 69
PDPs		 393
MAPDs
BRIVIACT 50 MG TABLET
(Brivaracetam)		 60 EA   50474057066 69
PDPs		 393
MAPDs
BRIVIACT 75 MG TABLET
(Brivaracetam)		 60 EA   50474067066 69
PDPs		 393
MAPDs
BROMFENAC SODIUM 0.09% EYE DROPS [Xibrom]
(BROMFENAC SODIUM)		 1.7 mls   50383024971 28
PDPs		 284
MAPDs
BROMOCRIPTINE 2.5 MG TABLET [Parlodel]
(Bromocriptine Mesylate)		 30.000 EA   00781532531 69
PDPs		 393
MAPDs
BROMOCRIPTINE MESYLATE 5MG CAPSULE [Parlodel]
(Bromocriptine Mesylate)		 30 BOT 00378709693 58
PDPs		 368
MAPDs
BROMSITE 0.075% EYE DROPS
(BROMFENAC SODIUM)		 mls   49708075441 16
PDPs		 169
MAPDs
BROVANA 15MCG/2ML VIAL NEBULIZER
(Arformoterol Tartrate)		 30 X 1 VIAL POUCH CRTN 63402091130 10
PDPs		 111
MAPDs
BRUKINSA 80 MG CAPSULE
(Zanubrutinib)		 CAPSULES   72579001102 69
PDPs		 393
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)		 60 mls   00187000260 0
PDPs		 12
MAPDs
BUDESONIDE 0.25 MG/2 ML SUSP AMPUL-NEB [Pulmicort]
(Budesonide)		 60 mls   00093681573 69
PDPs		 389
MAPDs
BUDESONIDE 0.5 MG/2 ML SUSP AMPUL-NEB [Pulmicort]
(Budesonide)		 60 mls   00093681673 69
PDPs		 393
MAPDs
BUDESONIDE 1 MG/2 ML INH SUSP AMPUL-NEB [Pulmicort]
(Budesonide)		 60 mls   69097032187 47
PDPs		 306
MAPDs
BUDESONIDE EC 3 MG CAPSULE DR - ER [Entocort EC]
(Budesonide)		 90 units   65162077810 69
PDPs		 393
MAPDs
BUDESONIDE ER 9 MG TABLET DR - ER [UCERIS]
(Budesonide)		 30 units   00591251030 13
PDPs		 187
MAPDs
BUDESONIDE-FORMOTEROL 160-4.5 HFA AER AD [Symbicort]
(Budesonide-Formoterol Fumarate Dihyd)		 10.2 GRAMS   00310737020 2
PDPs		 49
MAPDs
BUDESONIDE-FORMOTEROL 80-4.5 HFA AER AD [Symbicort]
(Budesonide-Formoterol Fumarate Dihyd)		 10.2 GRAMS   00310737220 2
PDPs		 49
MAPDs
BUMETANIDE 0.5 MG TABLET
(Bumetanide)		 100.000 EA   00185012801 69
PDPs		 393
MAPDs
BUMETANIDE 1 MG TABLET
(Bumetanide)		 100.000 EA   00185012901 69
PDPs		 393
MAPDs
BUMETANIDE 1 MG/4 ML VIAL
(Bumetanide)		 2 mls   00641600810 66
PDPs		 364
MAPDs
BUMETANIDE 2 MG TABLET [Bumex]
(Bumetanide)		 30 tablets   42799012101 69
PDPs		 393
MAPDs
BUNAVAIL 2.1-0.3 MG FILM
(Buprenorphine and Naloxone)		     59385001230 1
PDPs		 17
MAPDs
BUNAVAIL 4.2-0.7 MG FILM
(Buprenorphine and Naloxone)		     59385001430 1
PDPs		 17
MAPDs
BUNAVAIL 6.3-1 MG FILM
(Buprenorphine and Naloxone)		     59385001630 1
PDPs		 17
MAPDs
BUPAP 50 MG-300 MG TABLET
(Butalbital-Acetaminophen)		 100 EA   00095300001 0
PDPs		 27
MAPDs
BUPHENYL 500 MG TABLET
(Sodium Phenylbutyrate Oral)		 250 EA   75987006008 3
PDPs		 12
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 58
PDPs		 321
MAPDs
BUPRENORP-NALOX 2-0.5 MG SL FILM [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)		 30 units   47781035503 58
PDPs		 322
MAPDs
BUPRENORP-NALOX 4-1 MG SL FILM [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)		 30 units   47781035603 58
PDPs		 322
MAPDs
BUPRENORP-NALOX 8-2 MG SL FILM [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)		 14 units   47781035703 58
PDPs		 322
MAPDs
BUPRENORPHIN-NALOXON 8-2 MG SL SUSLIGUAL TABLET [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)		 14 tablets   00054018913 61
PDPs		 373
MAPDs
BUPRENORPHINE 10 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 4 patches   42858049340 15
PDPs		 158
MAPDs
BUPRENORPHINE 15 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 4 patches   42858058640 15
PDPs		 158
MAPDs
BUPRENORPHINE 2 MG TABLET SUSLIGUAL [Subutex]
(Buprenorphine)		 30 tablets   00228315603 69
PDPs		 393
MAPDs
BUPRENORPHINE 20 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 4 patches   42858083940 15
PDPs		 158
MAPDs
BUPRENORPHINE 5 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 4 patches   42858075040 15
PDPs		 158
MAPDs
BUPRENORPHINE 7.5 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 4 patches   42858035340 10
PDPs		 156
MAPDs
BUPRENORPHINE 8 MG TABLET SUSLIGUAL [Subutex]
(Buprenorphine)		 30 tablets   00054017713 69
PDPs		 393
MAPDs
BUPRENORPHN-NALOXN 2-0.5 MG TABLET SUSLIGUAL [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)		 30 tablets   00054018813 61
PDPs		 373
MAPDs
BUPROPION HCL 100 MG TABLET
(Bupropion HCl)		 100.000 EA   60505015701 69
PDPs		 393
MAPDs
BUPROPION HCL 75 MG TABLET
(Bupropion HCl)		 100.000 EA   60505015801 69
PDPs		 393
MAPDs
BUPROPION HCL SR 100 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))		 30 units   43547028810 69
PDPs		 393
MAPDs
BUPROPION HCL SR 150 MG TABLET
(Bupropion HCl (Smoking Deterrent))		 60.000 EA   00591354360 69
PDPs		 393
MAPDs
BUPROPION HCL SR 150 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))		 60 units   43547028910 69
PDPs		 393
MAPDs
BUPROPION HCL SR 200 MG TABLET
(Bupropion HCl (Smoking Deterrent))		 60.000 EA   00185111160 69
PDPs		 393
MAPDs
BUPROPION HCL XL 150 MG TABLET
(Bupropion HCl)		 500 EA   10370010150 69
PDPs		 393
MAPDs
BUPROPION HCL XL 300 MG TABLET
(Bupropion HCl)		 500.000 EA   10370010250 69
PDPs		 393
MAPDs
BUPROPION HCL XL 450 MG TABLET ER 24H [Forfivo XL]
(Bupropion Hydrochloride)		 30 tablets   64679083001 1
PDPs		 89
MAPDs
BUSPIRONE HCL 15 MG TABLET
(Buspirone HCl)		 100.000 EA   00093100301 69
PDPs		 393
MAPDs
BUSPIRONE HCL 30 MG TABLET
(Buspirone HCl)		 60.000 EA   00093520006 62
PDPs		 391
MAPDs
BUSPIRONE HCL 5 MG TABLET
(Buspirone HCl)		 100.000 EA   00093005301 69
PDPs		 393
MAPDs
BUSPIRONE HCL 7.5 MG TABLET
(Buspirone)		 60 tablets   64380078706 69
PDPs		 390
MAPDs
BUSPIRONE HYDROCHLORIDE 10 MG TABLET
(Buspirone HCl)		 100 BOT 00093005401 69
PDPs		 393
MAPDs
BUTALB-ACETAMIN-CAFF 50-325-40
(Butalbital-Acetaminophen-Caffeine)		 500 EA   00143178705 36
PDPs		 212
MAPDs
BUTALB-CAFF-ACETAMINOPH-CODEIN
(Butalbital-Acetaminophen-Caff w/ COD)		 100.000 EA   51991007301 9
PDPs		 120
MAPDs
BUTALBITAL COMP-CODEINE #3 CAPSULE
(Butalbital-Acetaminophen-Caff w/ COD)		 100 EA   00527131201 12
PDPs		 116
MAPDs
BUTALBITAL-ACETAMINOPHN 25-325 TABLET [Allzital]
(Butalbital, Acetaminophen)		 15 TABLETS   71993030110 2
PDPs		 11
MAPDs
BUTALBITAL-ACETAMINOPHN 50-300 CAPSULE
(Butalbital-Acetaminophen)		 20 capsules   51862054401 3
PDPs		 20
MAPDs
BUTALBITAL-ASA-CAFFEINE CAPSULE [Fiorinal]
(Butalbital, Aspirin, Caffeine)		 30 capsules   00591321901 32
PDPs		 174
MAPDs
BUTALBITAL/ACETAMINOPHEN 325; 50mg/1; mg/1 100 TABLET BOTTLE
(Butalbital-Acetaminophen)		 100 TABLET in 1 BOTTLE   00603254021 20
PDPs		 123
MAPDs
BUTALBITAL/ACETAMINOPHEN 50-300 TABLET
(Butalbital-Acetaminophen)		     51862053801 2
PDPs		 21
MAPDs
BUTALBITAL/ACETAMINOPHEN/CAFFEINE 50-300-40
(Butalbital-Acetaminophen-Caffeine)		     00591264001 15
PDPs		 95
MAPDs
BUTALBITAL/ACETAMINOPHEN/CAFFEINE CAPSULE
(Butalbital-Acetaminophen-Caffeine)		     51862017901 19
PDPs		 124
MAPDs
BUTORPHANOL 10 MG/ML SPRAY [Stadol NS]
(Butorphanol Tartrate)		 2.5 mls   00378963943 32
PDPs		 261
MAPDs
Butrans 10ug/h
(buprenorphine (transdermal))		     59011075104 6
PDPs		 7
MAPDs
BUTRANS 15 MCG/HR PATCH
(buprenorphine (transdermal))		 4 EA   59011075804 6
PDPs		 7
MAPDs
Butrans 20ug/h
(buprenorphine (transdermal))		     59011075204 6
PDPs		 7
MAPDs
Butrans 5ug/h
(buprenorphine (transdermal))		     59011075004 6
PDPs		 7
MAPDs
BUTRANS 7.5 MCG/HR PATCH
(buprenorphine (transdermal))		 4 EA   59011075704 10
PDPs		 19
MAPDs
BYDUREON 2 MG PEN INJECT
(Exenatide)		 4 EA   00310653004 60
PDPs		 266
MAPDs
BYDUREON BCISE 2 MG AUTOINJECT
(Exenatide)		 3.4 mls   00310654004 60
PDPs		 263
MAPDs
BYETTA 10 MCG DOSE PEN INJ
(Exenatide)		 2.4 ML   00310652401 34
PDPs		 174
MAPDs
BYETTA 5 MCG DOSE PEN INJ
(Exenatide)		 1.2 ML   00310651201 32
PDPs		 174
MAPDs
BYNFEZIA 2,500 MCG/ML PEN INJECTOR
(Octreotide)		 2.8 MLS   62756045236 3
PDPs		 67
MAPDs
Bystolic 10mg/1 30 TABLET BOTTLE
(Nebivolol HCl)		 30 TABLET in 1 BOTTLE   00456141030 52
PDPs		 328
MAPDs
Bystolic 2.5mg/1 30 TABLET BOTTLE
(Nebivolol HCl)		 30 TABLET in 1 BOTTLE   00456140230 52
PDPs		 328
MAPDs
BYSTOLIC 20 MG TABLET
(Nebivolol HCl)		 30.000 EA   00456142030 52
PDPs		 328
MAPDs
Bystolic 5mg 30 TABLET BOTTLE
(Nebivolol HCl)		 30 TABLET in 1 BOTTLE   00456140530 52
PDPs		 328
MAPDs
CALCIPOTRIENE-BETAMETH DP OINTMENT [Taclonex]
(Calcipotriene)		 60 grams   00781716535 5
PDPs		 119
MAPDs
CALCIPOTRIENE-BETAMETH DP SUSPENSION [Taclonex Scalp]
(Calcipotriene, Betamethasone)		 60 GRAMS   66993093761 7
PDPs		 100
MAPDs
CARVEDILOL 12.5 MG TABLET
(Carvedilol)		 500.000 EA   00093729505 69
PDPs		 393
MAPDs
CARVEDILOL ER 10 MG CAPSULE
(Carvedilol)		     57664066383 16
PDPs		 147
MAPDs
CARVEDILOL ER 20 MG CAPSULE
(Carvedilol)		     57664066483 16
PDPs		 147
MAPDs
CARVEDILOL ER 80 MG CAPSULE
(Carvedilol)		     57664066683 16
PDPs		 145
MAPDs
CLARITHROMYCIN 500 MG TABLET [Biaxin]
(Clarithromycin)		 28 tablets   00527193206 69
PDPs		 393
MAPDs
CLARITHROMYCIN ER 500 MG TABLET 24H [Biaxin XL]
(Clarithromycin)		 20 tablets   51862019460 61
PDPs		 354
MAPDs
CLIND PH-BENZOYL PERO 1.2-2.5% GEL W/PUMP [Acanya]
(Clindamycin Phosphate-Benzoyl Peroxide)		 50 grams   68682013250 5
PDPs		 46
MAPDs
CLIND PH-BENZOYL PEROX 1.2-5% [Benzaclin]
(Clindamycin Phosphate-Benzoyl Peroxide)		 45.000 GM   45802073684 12
PDPs		 141
MAPDs
Clindamycin Phosphate and Benzoyl Peroxide 1 KIT
(clindamycin/benzoyl peroxide GEL)		 1 KIT in 1 CARTON   00378868854 27
PDPs		 198
MAPDs
COLAZAL 750MG CAPSULE
(Balsalazide Disodium)		 280 CAPSULES BOT 65649010102 3
PDPs		 9
MAPDs
COMBIGAN 0.2%-0.5% DROPS
(Brimonidine Tartrate-Timolol Maleate Ophth)		 5 ML BOTDR 00023921105 57
PDPs		 368
MAPDs
CYCLOSET 0.8MG TABLETS
(Bromocriptine Mesylate)		 200 BOT 68012025820 22
PDPs		 187
MAPDs
CYSTADANE 1 GRAM/1.7 ML POWDER
(Betaine)		 180 GM   52276040001 66
PDPs		 327
MAPDs
DICYCLOMINE 10 MG CAPSULE [Bentyl]
(Dicyclomine HCl)		 90 capsules   00591079401 67
PDPs		 390
MAPDs
DICYCLOMINE 20 MG TABLET [Bentyl]
(Dicyclomine HCl)		 30 tablets   00591079501 69
PDPs		 391
MAPDs
DROSP-EE-LEVOMEF 3-0.02-0.451 [Beyaz, Safyral]
(DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM)		 28.000 EA   00781407515 23
PDPs		 127
MAPDs
DUAVEE 0.45-20 MG TABLET
(bazedoxifene and conjugated estrogens)		     00008112312 29
PDPs		 178
MAPDs
ENTECAVIR 0.5 MG TABLET [Baraclude]
(Entecavir)		 30 tablets   31722083330 69
PDPs		 393
MAPDs
ENTECAVIR 1 MG TABLET [Baraclude]
(Entecavir)		 30 tablets   31722083430 69
PDPs		 393
MAPDs
ENTOCORT EC 3 MG CAPSULE
(Budesonide)		 100.000 EA   00574985010 0
PDPs		 6
MAPDs
ESGIC 50-325-40 MG TABLET
(Butalbital-Acetaminophen-Caffeine)		   68308022001 0
PDPs		 7
MAPDs
FASENRA 30 MG/ML SYRINGE
(Benralizumab)		     00310173030 30
PDPs		 256
MAPDs
FASENRA PEN 30 MG/ML AUTO INJCT
(Benralizumab)		 ml   00310183030 26
PDPs		 265
MAPDs
FIORICET 50-300-40 MG CAPSULE
(Butalbital-Acetaminophen-Caffeine)		 100 EA   52544008001 0
PDPs		 3
MAPDs
Fioricet/Codeine 50-300-40-30 CAPSULE
(Butalbital-Acetaminophen-Caff w/ COD)		 100 EA   52544008201 0
PDPs		 3
MAPDs
FORFIVO XL 450 MG TABLET
(bupropion hydrochloride)		 30 EA   52427057530 1
PDPs		 46
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)		 5 GM   45802039601 1
PDPs		 26
MAPDs
HELIDAC THERAPY PACK COMBO PKG
(Bismuth Subsalicylate;Metronidazole;Tetracycline)		 UNITS   70199002114 0
PDPs		 10
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)		 3 tablets   55111057503 68
PDPs		 391
MAPDs
Intuniv 1 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)		 100 TABLET, EXTENDED RELE   54092051302 0
PDPs		 3
MAPDs
Intuniv 2 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)		 100 TABLET, EXTENDED RELE   54092051502 0
PDPs		 3
MAPDs
Intuniv 3 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)		 100 TABLET, EXTENDED RELE   54092051702 0
PDPs		 3
MAPDs
Intuniv 4 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)		 100 TABLET, EXTENDED RELE   54092051902 0
PDPs		 3
MAPDs
LEVOBUNOLOL 0.5% EYE DROPS [Betagan]
(Levobunolol)		 5 MLS   24208050505 62
PDPs		 383
MAPDs
LOTENSIN 10 MG TABLET
(Benazepril)		 30 tablets   30698044801 4
PDPs		 12
MAPDs
LOTENSIN 20 MG TABLET
(Benazepril HCl)		     30698044901 4
PDPs		 12
MAPDs
LOTENSIN 40 MG TABLET
(Benazepril HCl)		     30698045001 4
PDPs		 12
MAPDs
LUMIGAN 0.01% EYE DROPS
(Bimatoprost Ophth)		 2.500 ML   00023320503 59
PDPs		 372
MAPDs
LUXIQ 0.12% FOAM
(Betamethasone Valerate)		 100 grams   00378818701 0
PDPs		 1
MAPDs
MEKTOVI 15 MG TABLET
(Binimetinib)		 tablets   70255001002 69
PDPs		 393
MAPDs
MENTAX 1% CREAM
(Butenafine HCl)		 30.000 GM   00378615149 3
PDPs		 68
MAPDs
MIRVASO 0.33% GEL PUMP
(Brimonidine Tartrate)		 30 GM   00299598035 4
PDPs		 47
MAPDs
MUPIROCIN 2% CREAM (g) [Bactroban]
(Mupirocin)		 15 grams   68462056435 19
PDPs		 163
MAPDs
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT
(Bacitracin-Polymyxin-Neomycin-HC Ophth)		 3.5 GM TUBE 24208078555 59
PDPs		 377
MAPDs
NEXLETOL 180 MG TABLET
(Bempedoic Acid)		 30 TABLETS   72426011803 1
PDPs		 93
MAPDs
NEXLIZET 180-10 MG TABLET
(Bempedoic Acid, Ezetimibe)		 30 TABLETS   72426081803 1
PDPs		 37
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)		 3.5 GRAM TUBE 24208078055 61
PDPs		 383
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 tablets   62332013230 65
PDPs		 372
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 tablets   62332013330 65
PDPs		 372
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 tablets   67877044530 65
PDPs		 372
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 tablets   43547039103 65
PDPs		 371
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 tablets   43547039203 65
PDPs		 371
MAPDs
OLMESARTAN-HCTZ 40-25 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 tablets   43547039303 65
PDPs		 371
MAPDs
OLUMIANT 1 MG TABLET
(Baricitinib)		 tablets   00002473230 3
PDPs		 125
MAPDs
OLUMIANT 2 MG TABLET
(Baricitinib)		 tablets   00002418230 3
PDPs		 125
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)		     00187305050 0
PDPs		 23
MAPDs
PARLODEL 2.5 MG TABLET
(Bromocriptine Mesylate)		     30698020201 0
PDPs		 3
MAPDs
PARLODEL 5 MG CAPSULE
(Bromocriptine Mesylate)		 30 capsules   30698020130 0
PDPs		 3
MAPDs
PRAZIQUANTEL 600 MG TABLET [Biltricide]
(Praziquantel)		 1 TABLET   49884023183 54
PDPs		 261
MAPDs
PROLENSA 0.07% EYE DROPS
(Bromfenac Sodium)		     24208060203 41
PDPs		 256
MAPDs
PULMICORT .25MG/2ML RESPULE
(Budesonide)		 30 X 2 ML AMP 00186198804 0
PDPs		 9
MAPDs
PULMICORT 1MG/2ML AMPUL FOR NEBULIZATION
(Budesonide)		 5 AMP 00186199004 0
PDPs		 9
MAPDs
PULMICORT FLEXHALER 180MCG AEROSOL POWDER BREATH ACTIVATED
(Budesonide)		 120 METERED DOSES INHL 00186091612 22
PDPs		 130
MAPDs
PULMICORT FLEXHALER 90MCG AEROSOL POWDER BREATH ACTIVATED
(Budesonide)		 60 METERED DOSES CTR 00186091706 22
PDPs		 128
MAPDs
PULMICORT RESPULES 0.5mg/2mL 6 POUCH per CARTON / 5 AMPULE in 1 POUCH / 2 mL in 1 AMPULE
(Budesonide)		 6 POUCH in 1 CARTON   00186198904 0
PDPs		 9
MAPDs
PYLERA CAPSULE
(Bismuth Subcit-Metronidazole-Tetracycline)		 120 EA   58914060120 15
PDPs		 115
MAPDs
QNASL 80 MCG NASAL SPRAY HFA AER AD
(contains Beclomethasone)		 10.6 grams   59310041012 0
PDPs		 33
MAPDs
QNASL CHILDREN'S 40 MCG SPRAY HFA AER AD
(contains Beclomethasone)		 4.9 grams   59310040606 0
PDPs		 29
MAPDs
QVAR REDIHALER 40 MCG
(Beclomethasone Dipropionate)		 10.6 GM   59310030240 18
PDPs		 128
MAPDs
QVAR REDIHALER 80 MCG
(Beclomethasone Dipropionate)		 10.6 GM   59310030480 18
PDPs		 128
MAPDs
REGRANEX 0.01% GEL
(Becaplermin)		 15 GM   50484081015 52
PDPs		 327
MAPDs
REXULTI 0.25 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003513 69
PDPs		 393
MAPDs
REXULTI 0.5 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003613 69
PDPs		 393
MAPDs
REXULTI 1 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003713 69
PDPs		 393
MAPDs
REXULTI 2 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003813 69
PDPs		 393
MAPDs
REXULTI 3 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003913 69
PDPs		 393
MAPDs
REXULTI 4 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148004013 69
PDPs		 393
MAPDs
SILIQ 210 MG/1.5 ML SYRINGE
(Brodalumab)		 0.75 ml   00187000402 1
PDPs		 77
MAPDs
SIMBRINZA 1%-0.2% EYE DROPS
(brinzolamide / brimonidine tartrate)		 8 ML   00065414727 50
PDPs		 342
MAPDs
SIRTURO 100 MG TABLET
(Bedaquiline Fumarate)		     59676070101 69
PDPs		 367
MAPDs
SODIUM PHENYLBUTYRATE 500MG TB [Buphenyl]
(Sodium Phenylbutyrate Oral)		 250 EA   49884017004 58
PDPs		 278
MAPDs
SODIUM PHENYLBUTYRATE POWDER [Buphenyl]
(Sodium Phenylbutyrate)		 250 GM   42794008614 55
PDPs		 305
MAPDs
SUBOXONE 12 MG-3 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)		     12496121203 22
PDPs		 89
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 22
PDPs		 89
MAPDs
SUBOXONE 4 MG-1 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)		     12496120403 22
PDPs		 89
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 22
PDPs		 83
MAPDs
SYMBICORT 160-4.5MCG HFA AEROSOL WITH ADAPTER
(Budesonide-Formoterol Fumarate Dihyd)		 120 INHL 00186037020 44
PDPs		 274
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 45
PDPs		 274
MAPDs
TARGRETIN 1% GEL
(Bexarotene)		     00187552560 69
PDPs		 393
MAPDs
TARGRETIN 75 MG CAPSULE
(Bexarotene)		 100 EA   00187552675 6
PDPs		 31
MAPDs
Tencon 50-325 MG TABLET
(Butalbital-Acetaminophen)		     11584003001 10
PDPs		 98
MAPDs
TOBRAMYCIN 0.3% EYE DROPS [Tobrex]
()		 5 mls   61314064305 69
PDPs		 393
MAPDs
TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()		 2.000 ML   63323030502 69
PDPs		 345
MAPDs
TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()		 5 ML   65162091446 66
PDPs		 378
MAPDs
TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()		 2.000 ML   63323030602 69
PDPs		 391
MAPDs
TRACLEER 125MG TABLET
(Bosentan)		 60 BOT 66215010206 10
PDPs		 92
MAPDs
TRACLEER 32 MG TABLET FOR SUSP
(Bosentan)		 1 unit   66215010356 38
PDPs		 273
MAPDs
TRACLEER 62.5MG TABLET
(Bosentan)		 60 BOT 66215010106 10
PDPs		 92
MAPDs
UCERIS 2 MG RECTAL FOAM FOAM/APPL
(Budesonide)		 66.8 grams   65649065103 3
PDPs		 165
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)		     68012030930 0
PDPs		 8
MAPDs
VANATOL LQ ORAL SOLUTION
(Butalbital, Acetaminophen and Caffeine)		     58809082016 0
PDPs		 15
MAPDs
VTOL LQ 50-325-40 MG/15 ML SOLUTION
(Butalbital, Acetaminophen, Caffeine)		 MLS   70154011116 1
PDPs		 16
MAPDs
WELLBUTRIN SR 100MG TABLET SA
(Bupropion HCl)		 60 BOT 00173094755 3
PDPs		 7
MAPDs
WELLBUTRIN SR 150MG TABLET SA
(Bupropion HCl)		 60 X 150 MG TABLETS BOT 00173013555 3
PDPs		 7
MAPDs
WELLBUTRIN SR 200MG TABLET SA
(Bupropion HCl)		 60 BOT 00173072200 3
PDPs		 7
MAPDs
WELLBUTRIN XL 150 MG TABLET
(Bupropion HCl)		 30 EA   00187073030 3
PDPs		 7
MAPDs
WELLBUTRIN XL 300 MG TABLET
(Bupropion HCl)		 30 EA   00187073130 3
PDPs		 7
MAPDs
XOFLUZA 20 MG TABLET (40 MG DOSE)
(Baloxavir)		 2 tablets   50242082802 44
PDPs		 277
MAPDs
XOFLUZA 40 MG TABLET (80 MG DOSE)
(Baloxavir)		 2 tablets   50242086002 44
PDPs		 272
MAPDs
ZEBUTAL 50-325-40 MG CAPSULE
(Butalbital-Acetaminophen-Caffeine)		 100 EA   68308055410 13
PDPs		 79
MAPDs
ZIAC 10-6.25 MG TABLET
(Bisoprolol , Hydrochlorothiazide)		 30 tablets   51285004001 3
PDPs		 7
MAPDs
ZIAC 2.5-6.25MG TABLET
(Bisoprolol & Hydrochlorothiazide)		 100 BOT 51285004702 3
PDPs		 7
MAPDs
ZIAC 5-6.25 MG TABLET
(Bisoprolol , Hydrochlorothiazide)		 30 tablets   51285005002 3
PDPs		 7
MAPDs
ZUBSOLV 1.4-0.36 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		 30 EA   54123091430 8
PDPs		 136
MAPDs
ZUBSOLV 11.4-2.9 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		     54123011430 8
PDPs		 136
MAPDs
ZUBSOLV 2.9-0.71 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		     54123092930 8
PDPs		 136
MAPDs
ZUBSOLV 5.7-1.4 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		 30 EA   54123095730 8
PDPs		 136
MAPDs
ZUBSOLV 8.6-2.1 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		     54123098630 8
PDPs		 136
MAPDs



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




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