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2020 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 I 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
ABSORICA 10 MG CAPSULE
(Isotretinoin)
    10631011531 0
PDPs
4
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)
    10631011631 0
PDPs
4
MAPDs
ABSORICA 25 MG CAPSULE
(Isotretinoin)
    10631013331 0
PDPs
9
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
    10631011731 0
PDPs
2
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)
    10631013431 0
PDPs
9
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)
    10631011831 0
PDPs
4
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1b (E. coli))
ml   75987011111 69
PDPs
396
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 1
PDPs
10
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 1
PDPs
10
MAPDs
AFREZZA 12 UNIT CARTRIDGE CART INHAL
(insulin)
    47918089190 0
PDPs
13
MAPDs
AFREZZA 4 UNIT/8 UNIT/12 UNIT
(insulin)
    47918090218 0
PDPs
13
MAPDs
AFREZZA 4 UNITS CARTRIDGE INH
(insulin)
    47918087490 0
PDPs
13
MAPDs
AFREZZA 8 UNIT CARTRIDGE CART INHAL
(insulin)
    47918087890 0
PDPs
13
MAPDs
AFREZZA 90-4 UNIT / 90-8 UNIT
(insulin)
    47918088018 0
PDPs
13
MAPDs
AFREZZA 90-8 UNIT / 90-12 UNIT CART INHAL
(insulin)
units   47918089818 0
PDPs
13
MAPDs
ALDARA 5% CREAM
(Imiquimod)
    99207026012 3
PDPs
7
MAPDs
AMNESTEEM 20 MG CAPSULE
(Isotretinoin)
30 EA   00378661293 57
PDPs
324
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML   00088250033 1
PDPs
28
MAPDs
ARCAPTA NEOHALER 75 MCG CAP
(INDACATEROL MALEATE)
30 EA   63402067530 0
PDPs
40
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN 00597008717 66
PDPs
333
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30.000 EA   00024585530 4
PDPs
15
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30 EA   00024585630 4
PDPs
15
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)
30 EA   00024585130 4
PDPs
15
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)
30.000 EA   00024585230 4
PDPs
15
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)
90 EA   00024585090 4
PDPs
15
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(INTERFERON BETA-1A)
1 EA   59627033304 29
PDPs
291
MAPDs
AVONEX PREFILLED SYR 30 MCG KT
(INTERFERON BETA-1A)
1 EA   59627022205 30
PDPs
291
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin glargine)
3.000 ML   00002771559 27
PDPs
122
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)
1.000 EA   50419052435 65
PDPs
332
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA   24338001018 16
PDPs
212
MAPDs
BONIVA 150 MG TABLET
(Ibandronate Sodium)
3.000 EA   00004018683 0
PDPs
3
MAPDs
Cilastatin 250 MG / Imipenem 250 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323034925 69
PDPs
394
MAPDs
Cilastatin 500 MG / Imipenem 500 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323032225 69
PDPs
393
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105486 60
PDPs
324
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105586 65
PDPs
337
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK CARTON   00555105686 60
PDPs
327
MAPDs
CLARAVIS 40 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105786 65
PDPs
337
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513080060 69
PDPs
396
MAPDs
CORLANOR 5 MG/5 ML ORAL SOLUTION
(Ivabradine)
mls   55513081328 51
PDPs
322
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513081060 69
PDPs
396
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)
    00469052014 30
PDPs
133
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT 00006057143 69
PDPs
396
MAPDs
CRIXIVAN 400mg, 180 CAPSULE BOTTLE
(Indinavir Sulfate)
180 CAPSULE in 1 BOTTLE   00006057362 69
PDPs
396
MAPDs
CROMOLYN 20 MG/2 ML NEB SOLN AMPUL-NEB [Intal]
(Cromolyn Sodium)
120 mls   69784020560 69
PDPs
396
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
    75987001003 4
PDPs
26
MAPDs
DULOXETINE HCL DR 40 MG CAPSULE DR [Irenka]
(Duloxetine)
30 units   68180029706 23
PDPs
232
MAPDs
EPLERENONE 25 MG TABLET [Inspra]
(Eplerenone)
30 tablets   59762171002 52
PDPs
377
MAPDs
EPLERENONE 50 MG TABLET [Inspra]
(Eplerenone)
30 tablets   59762172001 52
PDPs
377
MAPDs
ERTAPENEM 1 GRAM VIAL [Invanz]
(Ertapenem)
3 mls   55150028220 49
PDPs
383
MAPDs
EXTAVIA 15 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Interferon Beta-1b For)
15 BLISTER PACK in 1 CART   00078056912 5
PDPs
140
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010102 69
PDPs
396
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA   43068011002 69
PDPs
396
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)
    43068011202 69
PDPs
396
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010202 69
PDPs
396
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA   43068010402 69
PDPs
396
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010602 69
PDPs
396
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA   43068010802 69
PDPs
396
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA   43068011304 69
PDPs
386
MAPDs
FIASP 100 UNIT/ML FLEXTOUCH INSULN PEN
(Insulin Aspart (Recombinant))
15 mls   00169320415 27
PDPs
232
MAPDs
FIASP 100 UNIT/ML VIAL
(Insulin Aspart (Recombinant))
10 mls   00169320111 27
PDPs
232
MAPDs
FIRAZYR 30 MG/3 ML SYRINGE
(ICATIBANT ACETATE)
3.000 ML   54092070203 24
PDPs
121
MAPDs
FLEBOGAMMA DIF INJECTION
(Immune Globulin (Human) IV)
    61953000501 9
PDPs
204
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 38
PDPs
333
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOL
(Immune Globulin (Human) IV)
    00944265804 38
PDPs
315
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLN
(Immune Globulin (Human) IV)
    00944265603 38
PDPs
315
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 25
PDPs
247
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 42
PDPs
311
MAPDs
GAMMAPLEX 10 GRAM/200 ML VIAL
(immune globulin)
50 mls   64208823407 40
PDPs
304
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 42
PDPs
312
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 42
PDPs
312
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 54
PDPs
338
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 3
PDPs
13
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 3
PDPs
13
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))
10 mls   00002751001 36
PDPs
152
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 42
PDPs
165
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 42
PDPs
165
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 42
PDPs
159
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 36
PDPs
150
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 42
PDPs
172
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 42
PDPs
172
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 42
PDPs
169
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 42
PDPs
169
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 42
PDPs
161
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 42
PDPs
170
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 42
PDPs
161
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 42
PDPs
170
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 42
PDPs
169
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 57
PDPs
327
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 57
PDPs
336
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
3 tablets   55111057503 68
PDPs
394
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)
21 EA   00069018821 69
PDPs
396
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)
21 EA   00069018921 69
PDPs
396
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)
21 EA   00069018721 69
PDPs
396
MAPDs
IBU 600 MG TABLET [Toxicology Saliva Collection]
(Ibuprofen)
60 tablets   55111068305 69
PDPs
383
MAPDs
IBU 800 MG TABLET [Samson-8]
(Ibuprofen)
30 tablets   55111068405 69
PDPs
385
MAPDs
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [PediaCare Children's Pain Reliever/Fever Reducer IB]
(Ibuprofen)
120 mls   51672138509 59
PDPs
369
MAPDs
IBUPROFEN 400 MG TABLET [Motrin]
(Ibuprofen)
90 tablets   67877031905 69
PDPs
396
MAPDs
IBUPROFEN 600 MG TABLET [Toxicology Saliva Collection]
(Ibuprofen)
60 tablets   67877032005 69
PDPs
396
MAPDs
IBUPROFEN 800 MG TABLET
(Ibuprofen)
500 EA   67877032105 69
PDPs
396
MAPDs
ICATIBANT 30 MG/3 ML SYRINGE [FIRAZYR]
(ICATIBANT ACETATE)
9 mls   00093306693 61
PDPs
323
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)
tablets   63020053530 69
PDPs
396
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)
tablets   63020053430 69
PDPs
396
MAPDs
IDHIFA 100 MG TABLET
(Enasidenib Mesylate)
    59572071030 69
PDPs
396
MAPDs
IDHIFA 50 MG TABLET
(Enasidenib Mesylate)
    59572070530 69
PDPs
396
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)
1.7 ML   00065175007 49
PDPs
328
MAPDs
ILUMYA 100 MG/ML SYRINGE
(Tildrakizumab)
ml   47335017795 2
PDPs
79
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
(Imatinib Mesylate)
90 tablets   00093762998 69
PDPs
396
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
(Imatinib Mesylate)
30 tablets   00093763056 69
PDPs
396
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)
90 EA   57962014009 69
PDPs
396
MAPDs
IMBRUVICA 140 MG TABLET
(Ibrutinib)
tablets   57962001428 64
PDPs
374
MAPDs
IMBRUVICA 280 MG TABLET
(Ibrutinib)
tablets   57962028028 66
PDPs
379
MAPDs
IMBRUVICA 420 MG TABLET
(Ibrutinib)
tablets   57962042028 69
PDPs
396
MAPDs
IMBRUVICA 560 MG TABLET
(Ibrutinib)
tablets   57962056028 69
PDPs
396
MAPDs
IMBRUVICA 70 MG CAPSULE
(Ibrutinib)
capsules   57962007028 69
PDPs
394
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005401 69
PDPs
396
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005501 69
PDPs
396
MAPDs
IMIPRAMINE HCL 50 MG TABLET
(Imipramine HCl)
100.000 EA   49884005601 69
PDPs
396
MAPDs
IMIPRAMINE PAMOATE 100 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
60 capsules   68180031506 16
PDPs
217
MAPDs
IMIPRAMINE PAMOATE 125MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027513 16
PDPs
217
MAPDs
IMIPRAMINE PAMOATE 150 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
capsules   68180031706 16
PDPs
217
MAPDs
IMIPRAMINE PAMOATE 75 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
30 capsules   68180031406 16
PDPs
217
MAPDs
IMIQUIMOD 3.75% CREAM PUMP CRM MD PMP [Zyclara]
(Imiquimod)
7.5 grams   68682027275 3
PDPs
83
MAPDs
IMIQUIMOD 5% CREAM PACKET
(Imiquimod)
24 EA   45802036862 69
PDPs
396
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073701 3
PDPs
7
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR 00173052300 3
PDPs
7
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK 00173073500 3
PDPs
7
MAPDs
IMITREX 4 MG/0.5 ML PEN INJECT
(Sumatriptan Succinate)
1 ML   00173073900 3
PDPs
6
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073601 3
PDPs
7
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR 00173052400 3
PDPs
7
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR 00173047800 3
PDPs
8
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL 00173044902 3
PDPs
8
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)
    49281025051 69
PDPs
396
MAPDs
IMPOYZ 0.025% CREAM (g)
(Clobetasol)
60 grams   69482070060 2
PDPs
5
MAPDs
IMURAN 50 MG TABLET
(Azathioprine)
30   54766059010 3
PDPs
9
MAPDs
IMVEXXY 10 MCG MAINTENANCE PAK INSERT
(Estradiol)
8 units   50261011008 5
PDPs
30
MAPDs
IMVEXXY 10 MCG STARTER PACK INSR DS PK
(Estradiol)
18 units   50261011018 5
PDPs
30
MAPDs
IMVEXXY 4 MCG MAINTENANCE PACK INSERT
(Estradiol)
8 units   50261010408 5
PDPs
30
MAPDs
IMVEXXY 4 MCG STARTER PACK INSR DS PK
(Estradiol)
18 units   50261010418 5
PDPs
30
MAPDs
INBRIJA 42 MG INHALATION CAP CAP W/DEV
(Levodopa)
60 units   10144034260 18
PDPs
111
MAPDs
INCASSIA 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)
28 tablets   65862092585 62
PDPs
363
MAPDs
Increlex 40mg/4mL 1 VIAL, MULTI-DOSE per CARTON / 4 mL in 1 VIAL, MULTI-DOSE
(Mecasermin)
1 VIAL, MULTI-DOSE   15054104005 69
PDPs
396
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 51
PDPs
304
MAPDs
INDAPAMIDE 1.25 MG TABLET [Lozol]
(Indapamide)
30 tablets   00228259711 61
PDPs
385
MAPDs
INDAPAMIDE 2.5 MG TABLET [Lozol]
(Indapamide)
90 tablets   00228257111 61
PDPs
385
MAPDs
INDERAL LA 120 MG CAPSULE
(Propranolol HCl)
100 EA   62559052201 3
PDPs
7
MAPDs
INDERAL LA 160 MG CAPSULE
(Propranolol HCl)
100 EA   62559052301 3
PDPs
7
MAPDs
INDERAL LA 60 MG CAPSULE
(Propranolol HCl)
100 EA   62559052001 3
PDPs
7
MAPDs
INDERAL LA 80 MG CAPSULE
(Propranolol HCl)
100 EA   62559052101 3
PDPs
7
MAPDs
INDOCIN 25 MG/5 ML ORAL SUSPENSION
(Indomethacin)
237 mls   69344010101 1
PDPs
18
MAPDs
INDOCIN 50 MG SUPPOSITORY SUPP.RECT
(Indomethacin)
60 units   69344010233 1
PDPs
48
MAPDs
INDOMETHACIN 25 MG CAPSULE
(Indomethacin)
100.000 EA   31722054201 18
PDPs
194
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)
100 EA   31722054301 18
PDPs
183
MAPDs
INDOMETHACIN ER 75 MG CAPSULE ER [Indocin SR]
(Indomethacin)
30 capsules   10702001606 7
PDPs
135
MAPDs
INFANRIX DTAP VIAL
(Tetanus-Diphtheria Toxoids (Td))
    58160081011 69
PDPs
396
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)
    70370104001 8
PDPs
161
MAPDs
INGREZZA 80 MG CAPSULE
(Valbenazine)
30 EA   70370108001 8
PDPs
155
MAPDs
INGREZZA INITIATION PACK CAPSULE DS PK
(Valbenazine)
units   70370204806 8
PDPs
118
MAPDs
INLYTA 1 MG TABLET
(axitinib)
    00069014501 69
PDPs
396
MAPDs
INLYTA 5 MG TABLET
(axitinib)
    00069015111 69
PDPs
396
MAPDs
INNOPRAN XL 120 MG CAPSULE Capsule ER 24H
(Propranolol HCl Sustained-Release Beads)
capsules   62559059130 4
PDPs
45
MAPDs
INNOPRAN XL 80 MG CAPSULE Capsule ER 24H
(Propranolol HCl Sustained-Release Beads)
30 capsules   62559059030 4
PDPs
47
MAPDs
INREBIC 100 MG CAPSULE
(Fedratinib)
capsules   59572072012 66
PDPs
358
MAPDs
INSPRA 25 MG TABLET
(Eplerenone)
30 tablets   00025171001 3
PDPs
7
MAPDs
INSPRA 50 MG TABLET
(Eplerenone)
30 tablets   00025172003 3
PDPs
7
MAPDs
INSULIN LISPRO 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   66733082259 13
PDPs
68
MAPDs
INSULIN LISPRO 100 UNIT/ML VIAL [Humalog KwikPen]
(Insulin Lispro)
10 mls   66733077301 13
PDPs
68
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT 59676057001 69
PDPs
396
MAPDs
Intelence 200mg/1
(Etravirine)
    59676057101 69
PDPs
396
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)
120 EA   59676057201 69
PDPs
396
MAPDs
INTRALIPID 20% IV FAT EMUL EMULSION
(Soybean Oil Injection)
    00338051909 69
PDPs
382
MAPDs
INTRALIPID 30% IV FAT EMUL
(Fat)
    00338052013 48
PDPs
271
MAPDs
INTRAROSA 6.5 MG VAG INSERT
(Prasterone (Gl701 Or DHEA))
28 units   64011060128 6
PDPs
65
MAPDs
INTRON A 10 MILLION UNITS VIAL
(Interferon Alfa-2B)
    00085435001 69
PDPs
396
MAPDs
INTRON A 18 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435101 69
PDPs
393
MAPDs
INTRON A 25 MILLION UNIT/2.5ML VIAL
(Interferon Alfa-2b)
mls   00085113301 69
PDPs
391
MAPDs
INTRON A 50 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435201 69
PDPs
396
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL 00085116801 69
PDPs
396
MAPDs
INTROVALE 0.15-0.03 MG TABLET TBDSPK 3MO [Setlakin]
()
91 units   70700011787 64
PDPs
370
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL 00006384371 5
PDPs
24
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055001 10
PDPs
9
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055101 10
PDPs
9
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055201 10
PDPs
9
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA   50458055401 7
PDPs
4
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML   50458056201 69
PDPs
396
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML   50458056301 69
PDPs
396
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML   50458056401 69
PDPs
396
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML   50458056001 69
PDPs
396
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML   50458056101 69
PDPs
396
MAPDs
INVEGA TRINZA 273 MG/0.875 ML
(Paliperidone Palmitate)
0.875 ML   50458060601 68
PDPs
388
MAPDs
INVEGA TRINZA 410 MG/1.315 ML
(Paliperidone Palmitate)
1.315 ML   50458060701 68
PDPs
388
MAPDs
INVEGA TRINZA 546 MG/1.75 ML
(Paliperidone Palmitate)
1.75 ML   50458060801 68
PDPs
388
MAPDs
INVEGA TRINZA 819 MG/2.625 ML
(Paliperidone Palmitate)
2.625 ML   50458060901 68
PDPs
388
MAPDs
INVELTYS 1% EYE DROP Eye Dropper
(Loteprednol Etabonate)
2.8 mls   71571012128 5
PDPs
69
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT 00004024451 69
PDPs
396
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054360 32
PDPs
236
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054260 32
PDPs
236
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054160 32
PDPs
234
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054060 32
PDPs
236
MAPDs
INVOKAMET XR 150-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094301 32
PDPs
232
MAPDs
INVOKAMET XR 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094201 32
PDPs
234
MAPDs
INVOKAMET XR 50-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094101 32
PDPs
234
MAPDs
INVOKAMET XR 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094001 32
PDPs
234
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA   50458014030 32
PDPs
238
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA   50458014130 32
PDPs
238
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)
24 X 500 ML CTR 00409737203 29
PDPs
299
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR 00065066010 1
PDPs
108
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL 49281086010 69
PDPs
396
MAPDs
IPRAT-ALBUT 0.5-3(2.5) MG/3 ML
(Albuterol-Ipratropium Nebu)
    00378967130 52
PDPs
322
MAPDs
IPRATROPIUM 0.06% SPRAY
(Ipratropium Bromide Nasal)
15.000 ML   00054004641 69
PDPs
396
MAPDs
IPRATROPIUM BR 0.02% SOLN
(Ipratropium Bromide)
2.500 ML   00591379883 69
PDPs
396
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 00054004544 69
PDPs
396
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)
90 EA   43547037509 69
PDPs
395
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
30 tablets   43547037609 69
PDPs
395
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)
30 tablets   43547037409 69
PDPs
395
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TABLET [Avalide]
(Irbesartan, Hydrochlorothiazide)
30 tablets   43547033009 69
PDPs
394
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TABLET [Avalide]
(Irbesartan, Hydrochlorothiazide)
30 tablets   43547033109 69
PDPs
394
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 69
PDPs
396
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
1 unit   00006360361 69
PDPs
396
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
    00006047761 69
PDPs
396
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
    00006047361 69
PDPs
396
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 69
PDPs
396
MAPDs
ISENTRESS HD 600 MG TABLET
(Raltegravir)
tablets   00006308001 69
PDPs
396
MAPDs
ISIBLOOM 28 DAY TABLET [Solia]
(Desogestrel and Ethinyl Estradiol)
28 tablets   70700011385 65
PDPs
366
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG 00264773010 39
PDPs
311
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)
1000 ML X 12 CASE 00264770300 40
PDPs
316
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)
100 EA   00555006602 69
PDPs
396
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)
100.000 EA   00555007102 69
PDPs
396
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT 46287000901 51
PDPs
341
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020315 0
PDPs
6
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020415 0
PDPs
6
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020615 0
PDPs
6
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)
    00187019201 9
PDPs
73
MAPDs
ISORDIL TITRADOSE 5 MG TAB
(Isosorbide Dinitrate)
    00187015201 3
PDPs
13
MAPDs
ISOSORBIDE DINITRATE 20 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 tablets   00143177201 68
PDPs
395
MAPDs
ISOSORBIDE DINITRATE 40MG TABLETS ER
(Isosorbide Dinitrate)
100 BOT 57664060088 50
PDPs
358
MAPDs
ISOSORBIDE DN 10 MG TABLET
(Isosorbide Dinitrate)
100.000 EA   00143177101 68
PDPs
395
MAPDs
ISOSORBIDE DN 30 MG TABLET
(Isosorbide Dinitrate)
100.000 EA   49884000901 61
PDPs
386
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)
100 EA   00143176901 68
PDPs
395
MAPDs
ISOSORBIDE MN ER 30 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   13668010401 69
PDPs
396
MAPDs
ISOSORBIDE MN ER 60 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   23155017801 69
PDPs
396
MAPDs
ISOSORBIDE MONONIT 10 MG TABLET [Monoket]
(Isosorbide Mononitrate)
60 tablets   62175010601 61
PDPs
384
MAPDs
ISOSORBIDE MONONIT 20 MG TABLET [Monoket]
(Isosorbide Mononitrate)
60 tablets   62175010701 61
PDPs
385
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT 62175012937 69
PDPs
396
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 55
PDPs
325
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 57
PDPs
332
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 57
PDPs
322
MAPDs
ISOTRETINOIN 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117403 67
PDPs
340
MAPDs
ISOTRETINOIN 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117503 67
PDPs
340
MAPDs
ISOTRETINOIN 30 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238101703 65
PDPs
339
MAPDs
ISOTRETINOIN 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238117603 67
PDPs
340
MAPDs
ISRADIPINE 2.5 MG CAPSULE [DynaCirc]
(Isradipine)
90 capsules   42806026301 38
PDPs
316
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)
100 BOT 16252054001 38
PDPs
316
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5.000 ML   24208000403 9
PDPs
10
MAPDs
ITRACONAZOLE 10 MG/ML SOLUTION [Sporanox]
(Itraconazole)
150 mls   65162008774 23
PDPs
159
MAPDs
ITRACONAZOLE 100 MG CAPSULE [Sporanox]
(Itraconazole)
60 capsules   65162063003 69
PDPs
396
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)
20 EA   42799080601 69
PDPs
396
MAPDs
Ixekizumab 1ML 80 MG/ML Auto-Injector [Taltz]
(Ixekizumab)
    00002144511 3
PDPs
73
MAPDs
Ixekizumab 1ML 80 MG/ML Prefilled Syringe [Taltz]
(Ixekizumab)
    00002772411 3
PDPs
75
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
0.5ML SYR 42515000101 69
PDPs
396
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
56.000 EA   51167020001 69
PDPs
396
MAPDs
KALYDECO 25 MG GRANULES PACKET
(Ivacaftor)
units   51167060001 63
PDPs
386
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA   51167030001 63
PDPs
385
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA   51167040001 63
PDPs
385
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL 00088222033 52
PDPs
322
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 00088221905 52
PDPs
322
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL 00169368712 47
PDPs
292
MAPDs
LEVEMIR FLEXTOUCH 100 UNITS/ML
(Insulin Detemir)
3 ML 00169643810 47
PDPs
292
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT 30698003201 69
PDPs
396
MAPDs
MORPHINE 10 MG/ML SYRINGE [Infumorph]
(Morphine)
ml   76045000810 36
PDPs
256
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030113 51
PDPs
312
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030213 51
PDPs
312
MAPDs
Myorisan 30 mg capsule
(Isotretinoin)
    61748030313 49
PDPs
324
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030413 51
PDPs
312
MAPDs
NINLARO 2.3 MG CAPSULE
(Ixazomib)
3.000 EA   63020007802 69
PDPs
396
MAPDs
NINLARO 3 MG CAPSULE
(Ixazomib)
3.000 EA   63020007902 69
PDPs
396
MAPDs
NINLARO 4 MG CAPSULE
(Ixazomib)
3.000 EA   63020008002 69
PDPs
396
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 10 mL VIAL in CARTON   00169183411 29
PDPs
281
MAPDs
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane & Regular (Human))
1 10 mL VIAL in CARTON   00169183711 29
PDPs
281
MAPDs
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Regular (Human))
1 10 mL VIAL in CARTON   00169183311 29
PDPs
281
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)
3 ML   00169330312 32
PDPs
289
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL 00169750111 32
PDPs
289
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR 00169633910 32
PDPs
289
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR 00169369619 32
PDPs
290
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL 00169368512 32
PDPs
290
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 35
PDPs
282
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 35
PDPs
273
MAPDs
PALIPERIDONE ER 1.5 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378397893 67
PDPs
396
MAPDs
PALIPERIDONE ER 3 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378397993 67
PDPs
396
MAPDs
PALIPERIDONE ER 6 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378398093 67
PDPs
396
MAPDs
PALIPERIDONE ER 9 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378398193 67
PDPs
396
MAPDs
PANZYGA 10% (1 G/10 ML) VIAL
(Immune Globulin (Human))
10 mls   68982082001 27
PDPs
174
MAPDs
PANZYGA 10% (10 G/100 ML) VIAL
(Immune Globulin (Human))
10 mls   68982082004 27
PDPs
174
MAPDs
PANZYGA 10% (2.5 G/25 ML) VIAL
(Immune Globulin (Human))
10 mls   68982082002 27
PDPs
174
MAPDs
PANZYGA 10% (20 G/200 ML) VIAL
(Immune Globulin (Human))
10 mls   68982082005 27
PDPs
174
MAPDs
PANZYGA 10% (30 G/300 ML) VIAL
(Immune Globulin (Human))
10 mls   68982082006 27
PDPs
174
MAPDs
PANZYGA 10% (5 G/50 ML) VIAL
(Immune Globulin (Human))
10 mls   68982082003 27
PDPs
174
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)
    50222050247 42
PDPs
329
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)
    50222050347 42
PDPs
329
MAPDs
PLIAGLIS 7%-7% CREAM (g)
()
240 grams   51672530502 0
PDPs
10
MAPDs
PRIMAXIN IV 500; 500mg/100mL; mg/100mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 100 mL in 1 VIAL, SINGLE-DOS
(Imipenem-Cilastatin Intravenous For)
25 VIAL, SINGLE-DOSE   00006351659 0
PDPs
3
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML   44206043820 39
PDPs
295
MAPDs
PROPRANOLOL 80 MG TABLET [Inderal]
(Propranolol)
60 tablets   00115166201 69
PDPs
396
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087002203 12
PDPs
202
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087004403 12
PDPs
202
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087332201 12
PDPs
197
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087334401 12
PDPs
197
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML   44087018801 12
PDPs
197
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
    44087882201 12
PDPs
200
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)
60 BOT 00068050960 0
PDPs
83
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT 00088057641 39
PDPs
294
MAPDs
SKLICE 0.5% LOTION
(ivermectin)
117.000 GM   24338018304 2
PDPs
68
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)
    00024576105 33
PDPs
221
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)
    00299382345 15
PDPs
49
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT 50458029004 3
PDPs
8
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT 50458029515 0
PDPs
10
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD 00006003220 3
PDPs
13
MAPDs
SUMATRIPTAN SUCC 25 MG TABLET [Imitrex]
()
9 tablets   65862014636 69
PDPs
396
MAPDs
SYMDEKO 100/150 MG-150 MG TABS
(Ivacaftor;Tezacaftor, Ivacaftor)
56   51167066101 48
PDPs
327
MAPDs
SYMDEKO 50/75 MG-75 MG TABLET SEQ
(Ivacaftor;Tezacaftor, Ivacaftor)
units   51167011301 50
PDPs
318
MAPDs
TEGSEDI 284 MG/1.5 ML SYRINGE
(Inotersen)
mls   72126000701 13
PDPs
116
MAPDs
TIBSOVO 250 MG TABLET
(Ivosidenib)
tablets   71334010001 69
PDPs
396
MAPDs
TIVORBEX 20 MG CAPSULE
(Indomethacin)
4 capsules   69344020129 0
PDPs
5
MAPDs
TIVORBEX 40 MG CAPSULE
(Indomethacin)
capsules   69344020229 0
PDPs
5
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)
30 BOT 00406992203 0
PDPs
5
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)
30 BOT 00406992003 0
PDPs
5
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)
30 BOT 00406992103 0
PDPs
5
MAPDs
TOLSURA 65 MG CAPSULE SD DSP
(Itraconazole)
units   51862046260 2
PDPs
24
MAPDs
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN
(Insulin Glargine)
6 mls   00024587102 52
PDPs
314
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)
1.5 ML   00024586903 52
PDPs
314
MAPDs
TRESIBA 100 UNIT/ML VIAL
(Insulin Degludec)
10 mls   00169266211 43
PDPs
298
MAPDs
TRESIBA FLEXTOUCH 100 UNITS/ML
(Insulin Degludec)
    00169266015 43
PDPs
310
MAPDs
TRESIBA FLEXTOUCH 200 UNITS/ML
(Insulin Degludec)
    00169255013 43
PDPs
310
MAPDs
UTIBRON NEOHALER 27.5-15.6 MCG CAP W/DEV
(Indacaterol and glycopyrrolate)
60 units   63402068160 0
PDPs
15
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
    66215030330 57
PDPs
278
MAPDs
VENTAVIS 10 MCG/1 ML SOLUTION AMPUL-NEB
(Iloprost)
ml   66215030200 57
PDPs
278
MAPDs
VERAPAMIL 120 MG TABLET [Isoptin SR]
(Verapamil HCl)
90 tablets   00378077201 69
PDPs
396
MAPDs
VERAPAMIL 40 MG TABLET [Isoptin SR]
(Verapamil HCl)
90 tablets   23155005901 69
PDPs
396
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)
3 ML   00169291115 28
PDPs
245
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)
30 EA   55111013581 50
PDPs
340
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013681 50
PDPs
340
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)
30 EA   55111011381 49
PDPs
341
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013781 50
PDPs
340
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
    99207027675 4
PDPs
120
MAPDs
ZYCLARA 3.75% CREAM PUMP
(Imiquimod)
    99207027175 1
PDPs
63
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)
60 EA   61958170101 69
PDPs
396
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)
60 EA   61958170201 69
PDPs
396
MAPDs



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




Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • 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.