Drug Name
 |
Packaging |
NDC |
On This Nbr of 2020 Formularies |
PDPs |
MAPDs |
ACULAR 0.5% EYE DROPS (Ketorolac Tromethamine Ophth) |
5 ML BOT |
00023218105 |
4 PDPs |
9 MAPDs |
ACULAR LS 0.4% OPHTH SOLUTION (Ketorolac Tromethamine Ophth) |
5 ML BOTDR |
00023927705 |
4 PDPs |
9 MAPDs |
ACUVAIL 0.45% OPHTH SOLUTION #30X0.4 EA (Ketorolac Tromethamine Ophth) |
#30X0.4 |
00023350730 |
1 PDPs |
39 MAPDs |
CLONAZEPAM 0.125 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030602 |
69 PDPs |
393 MAPDs |
CLONAZEPAM 0.25 MG ODT TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030702 |
69 PDPs |
393 MAPDs |
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030802 |
69 PDPs |
393 MAPDs |
CLONAZEPAM 0.5 MG TABLET [Klonopin] (Clonazepam) |
30 tablets |
16729013616 |
69 PDPs |
393 MAPDs |
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030902 |
69 PDPs |
393 MAPDs |
CLONAZEPAM 1 MG TABLET [Klonopin] (Clonazepam) |
60 tablets |
16729013716 |
69 PDPs |
393 MAPDs |
CLONAZEPAM 2 MG ODT TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884031002 |
69 PDPs |
393 MAPDs |
CLONAZEPAM 2 MG TABLET [Klonopin] (Clonazepam) |
60 tablets |
16729013816 |
69 PDPs |
393 MAPDs |
Diph-Tetanus Tox-Acell Pert adsorbed and IPV vaccine 0.5 ML Prefilled Syringe [Kinrix] (Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine ) |
|
58160081252 |
69 PDPs |
393 MAPDs |
EXTINA 2% FOAM (Ketoconazole) |
50 grams |
00378813650 |
0 PDPs |
3 MAPDs |
K-TAB ER 10 MEQ TABLET [Klotrix] (Potassium Chloride) |
30 tablets |
00074327813 |
5 PDPs |
36 MAPDs |
K-TAB ER 20 MEQ TABLET (Potassium Chloride) |
|
00074302313 |
6 PDPs |
118 MAPDs |
K-TAB ER 8 MEQ TABLET (Potassium Chloride) |
|
00074305846 |
8 PDPs |
125 MAPDs |
KADIAN ER 200 MG CAPSULE ER PEL (Morphine Sulfate) |
60 units |
00023601960 |
1 PDPs |
13 MAPDs |
KADIAN ER 30 MG CAPSULE ER PEL (Morphine Sulfate) |
60 units |
00023601360 |
0 PDPs |
1 MAPDs |
KADIAN ER 40 MG CAPSULE ER PEL (Morphine Sulfate) |
60 units |
00023601460 |
0 PDPs |
2 MAPDs |
KADIAN ER 50 MG CAPSULE PEL (Morphine) |
60 units |
00023601560 |
0 PDPs |
1 MAPDs |
Kaitlib Fe 28 Day Pack (norethindrone and ethinyl estradiol and ferrous fumarate) |
|
68180090313 |
22 PDPs |
169 MAPDs |
KALETRA 100-25 MG TABLET (Lopinavir-Ritonavir) |
60 TABLET, FILM COATED |
00074052260 |
69 PDPs |
393 MAPDs |
KALETRA 50-200MG TABLET (Lopinavir-Ritonavir) |
120 BOT |
00074679922 |
69 PDPs |
393 MAPDs |
KALETRA 80MG/20MG ORAL SOLUTION (Lopinavir-Ritonavir) |
160 ML BOT |
00074395646 |
3 PDPs |
18 MAPDs |
KALYDECO 150 MG TABLET (ivacaftor) |
56.000 EA |
51167020001 |
69 PDPs |
393 MAPDs |
KALYDECO 25 MG GRANULES PACKET (Ivacaftor) |
units |
51167060001 |
63 PDPs |
383 MAPDs |
KALYDECO 50 MG GRANULES PACKET (ivacaftor) |
56 EA |
51167030001 |
63 PDPs |
382 MAPDs |
KALYDECO 75 MG GRANULES PACKET (ivacaftor) |
56 EA |
51167040001 |
63 PDPs |
382 MAPDs |
KAPVAY ER 0.1 MG TABLET (CLONIDINE HYDROCHLORIDE) |
|
59212065860 |
0 PDPs |
4 MAPDs |
KARIVA 21-5 TABLET (Desogestrel & Ethinyl Estradiol) |
21ACTIVE,5ETHINYL,2PLACEB BLPK |
00555905058 |
64 PDPs |
379 MAPDs |
KATERZIA 1 MG/ML ORAL SUSPENSION (Amlodipine) |
100 mls |
52652500101 |
5 PDPs |
48 MAPDs |
KCL 20 MEQ IN D5W-0.45% NACL IV SOLUTION () |
500 mls |
00338067104 |
69 PDPs |
357 MAPDs |
KCL 20 MEQ IN D5W-LACT RINGER IV SOLUTION () |
mls |
00338081104 |
37 PDPs |
248 MAPDs |
KCL 20 MEQ-NS 1,000 ML IV SOLUTION () |
mls |
00338069104 |
48 PDPs |
292 MAPDs |
KCL 40 MEQ-NS 1,000 ML IV SOLUTION () |
mls |
00338069504 |
48 PDPs |
281 MAPDs |
KELNOR 1-35 1-0.035MG TABLET (Ethynodiol Diacetate & Ethinyl Estradiol) |
28 (21+7) BLPK |
00555906458 |
67 PDPs |
375 MAPDs |
KELNOR 1-50 TABLET [Zovia 1/50E] (Ethynodiol Diacetate, Ethinyl Estradiol;Inert) |
28 tablets |
00093807316 |
68 PDPs |
366 MAPDs |
KENALOG 0.147 MG/GRAM SPRAY AEROSOL (Triamcinolone Acetonide) |
63 g in 1 CAN |
10631009362 |
0 PDPs |
6 MAPDs |
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC (Levetiracetam) |
60 TABLET, FILM COATED |
50474059766 |
3 PDPs |
7 MAPDs |
KEPPRA 100MG/ML ORAL SOLUTION (Levetiracetam) |
16 FLO BOT |
50474000148 |
3 PDPs |
7 MAPDs |
KEPPRA 250MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059440 |
3 PDPs |
7 MAPDs |
KEPPRA 500MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059540 |
3 PDPs |
7 MAPDs |
KEPPRA 750MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059640 |
3 PDPs |
7 MAPDs |
KEPPRA 750MG XR TABLET (Levetiracetam) |
60 BOT |
50474059966 |
0 PDPs |
3 MAPDs |
KEPPRA XR 500 MG TABLET ER 24H (Levetiracetam) |
60 BOT |
50474059866 |
0 PDPs |
3 MAPDs |
KERYDIN 5% TOPICAL SOLUTION (Tavaborole) |
10.000 ML |
10337090510 |
0 PDPs |
22 MAPDs |
KETOCONAZOLE 2% CREAM (Ketoconazole) |
60 GM |
51672129803 |
69 PDPs |
393 MAPDs |
KETOCONAZOLE 2% FOAM (Ketoconazole) |
100 GM |
45802053233 |
7 PDPs |
131 MAPDs |
KETOCONAZOLE 2% SHAMPOO (Ketoconazole) |
120.000 ML |
45802046564 |
69 PDPs |
393 MAPDs |
KETOCONAZOLE 200 MG TABLET (Ketoconazole) |
100 EA |
51672402601 |
69 PDPs |
393 MAPDs |
KETODAN 2% FOAM (Ketoconazole) |
100 grams |
43538053010 |
6 PDPs |
108 MAPDs |
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS (Ketoprofen) |
100 BOT |
00378820001 |
6 PDPs |
144 MAPDs |
KETOPROFEN 25 MG CAPSULE [Orudis] (Ketoprofen) |
90 capsules |
69336012710 |
25 PDPs |
215 MAPDs |
KETOPROFEN 50 MG CAPSULE [Orudis] (Ketoprofen) |
15 CAPSULES |
23155002101 |
28 PDPs |
175 MAPDs |
KETOPROFEN 75 MG CAPSULE [Orudis] (Ketoprofen) |
CAPSULES |
23155002201 |
28 PDPs |
179 MAPDs |
KETOROLAC 0.4% OPHTH SOLUTION DROPS [Acular LS] (Ketorolac) |
5 mls |
60758077305 |
69 PDPs |
358 MAPDs |
KETOROLAC 0.5% OPHTH SOLUTION (Ketorolac) |
5.000 ML |
17478020910 |
69 PDPs |
393 MAPDs |
KETOROLAC 10MG TABLET (Ketorolac) |
100 TABLETS BOT |
00093031401 |
18 PDPs |
178 MAPDs |
KEVEYIS 50 MG TABLET (Dichlorphenamide) |
|
71090000101 |
3 PDPs |
99 MAPDs |
KEVZARA 150 MG/1.14 ML PEN INJECTOR (Sarilumab) |
MLS |
00024592001 |
9 PDPs |
142 MAPDs |
KEVZARA 150 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024590801 |
9 PDPs |
144 MAPDs |
KEVZARA 200 MG/1.14 ML PEN INJECTOR (Sarilumab) |
MLS |
00024592201 |
9 PDPs |
142 MAPDs |
KEVZARA 200 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024591001 |
9 PDPs |
144 MAPDs |
KINERET 100 MG/0.67 ML SYRINGE (Anakinra Subcutaneous) |
.670 ML |
66658023407 |
18 PDPs |
156 MAPDs |
KINRIX VIAL (Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine ) |
ml |
58160081211 |
69 PDPs |
390 MAPDs |
KIONEX 15 GM/60 ML SUSPENSION (Sodium Polystyrene Sulfonate Oral) |
473 ML |
00574200216 |
67 PDPs |
382 MAPDs |
KISQALI 200 MG DAILY DOSE (Ribociclib) |
|
00078086001 |
69 PDPs |
393 MAPDs |
KISQALI 400 MG DAILY DOSE (Ribociclib) |
|
00078086742 |
69 PDPs |
392 MAPDs |
KISQALI 600 MG DAILY DOSE (Ribociclib) |
|
00078087463 |
69 PDPs |
392 MAPDs |
KISQALI FEMARA 200 MG CO-PACK (Letrozole;Ribociclib) |
49 EA |
00078090961 |
69 PDPs |
390 MAPDs |
KISQALI FEMARA 400 MG CO-PACK (Letrozole;Ribociclib) |
70 EA |
00078091661 |
69 PDPs |
390 MAPDs |
KISQALI FEMARA 600 MG CO-PACK (Letrozole;Ribociclib) |
91 EA |
00078092361 |
69 PDPs |
390 MAPDs |
KLARON 10% LOTION (Sulfacetamide Sodium) |
|
00187519804 |
3 PDPs |
7 MAPDs |
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE |
00004006801 |
0 PDPs |
3 MAPDs |
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE |
00004005801 |
0 PDPs |
3 MAPDs |
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE |
00004009801 |
0 PDPs |
3 MAPDs |
KLOR-CON 10 MEQ TABLET (Potassium Chloride) |
500.000 EA |
66758016005 |
68 PDPs |
344 MAPDs |
KLOR-CON 20 MEQ PACKET (Potassium Chloride Microencapsulated Crys CR) |
|
00245036030 |
35 PDPs |
244 MAPDs |
KLOR-CON 8 MEQ TABLET (Potassium Chloride) |
500.000 EA |
66758011005 |
68 PDPs |
341 MAPDs |
KLOR-CON M10 TABLET ER PRT [Micro-K Extencaps] (Potassium Chloride Microencapsulated Crys CR) |
30 units |
66758017092 |
67 PDPs |
381 MAPDs |
KLOR-CON M15 TABLET ER PRT [Klor-Con M15] (Potassium Chloride) |
60 UNITS |
66758018001 |
48 PDPs |
338 MAPDs |
KLOR-CON M20 TABLET ER PRT (Potassium Chloride Microencapsulated Crys CR) |
|
66758019092 |
68 PDPs |
385 MAPDs |
KOMBIGLYZE XR 2.5-1,000 MG TABLET (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
60 EA |
00310612560 |
22 PDPs |
95 MAPDs |
KOMBIGLYZE XR 5-1,000 MG TABLET (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
30 EA |
00310614530 |
22 PDPs |
95 MAPDs |
KOMBIGLYZE XR 5-500 MG TABLET (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
30 EA |
00310613530 |
22 PDPs |
95 MAPDs |
KORLYM 300 MG TABLET (mifepristone) |
|
76346007301 |
69 PDPs |
393 MAPDs |
KOSELUGO 10 MG CAPSULE (Selumetinib) |
capsules |
00310061060 |
43 PDPs |
292 MAPDs |
KOSELUGO 25 MG CAPSULE (Selumetinib) |
capsules |
00310062560 |
43 PDPs |
292 MAPDs |
KRINTAFEL 150 MG TABLET (Tafenoquine) |
tablets |
00173088939 |
5 PDPs |
129 MAPDs |
KRISTALOSE 10 GM PACKET (Lactulose) |
|
66220071930 |
4 PDPs |
58 MAPDs |
KRISTALOSE 20 GM PACKET (Lactulose) |
|
66220072930 |
7 PDPs |
82 MAPDs |
KURVELO-28 TABLET [Portia] (Inert; Levonorgestrel, Ethinyl Estradiol) |
28 tablets |
68180084473 |
63 PDPs |
362 MAPDs |
KUVAN 100 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
30.000 EA |
68135030122 |
61 PDPs |
340 MAPDs |
KUVAN 100MG TABLET SOLUBLE (Sapropterin DiHCL Soluble) |
|
68135030002 |
69 PDPs |
393 MAPDs |
KUVAN 500 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
30.000 EA |
68135048211 |
61 PDPs |
340 MAPDs |
LACTULOSE 10 GM PACKET [Kristalose] (Lactulose) |
30 units |
69067001015 |
5 PDPs |
58 MAPDs |
LEVETIRACETAM 100 MG/ML SOLUTION [Keppra] () |
90 mls |
51991065116 |
69 PDPs |
393 MAPDs |
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra] () |
|
00527194748 |
69 PDPs |
393 MAPDs |
MORPHINE SULFATE ER 40 MG CAPSULE PEL [Kadian] (Morphine) |
60 units |
00115147901 |
4 PDPs |
112 MAPDs |
POTASSIUM CL 10% (20 MEQ/15ML) Liquid [Kay Ciel] (Potassium Chloride) |
473 mls |
60505618406 |
69 PDPs |
393 MAPDs |
POTASSIUM CL 20 MEQ PACKET [Klor-Con] (Potassium Chloride Microencapsulated Crys CR) |
30 units |
42806009430 |
33 PDPs |
253 MAPDs |
POTASSIUM CL 20% (40 MEQ/15ML) Liquid [Kaon-CL] (Potassium Chloride) |
120 mls |
60505618506 |
52 PDPs |
358 MAPDs |
POTASSIUM CL ER 10 MEQ TABLET [Klotrix] () |
30 tablets |
65862098799 |
69 PDPs |
390 MAPDs |
POTASSIUM CL ER 8 MEQ CAPSULE ER [Micro-K Extencaps] () |
30 capsules |
62037055901 |
67 PDPs |
388 MAPDs |
SPRIX 15.75 MG NASAL SPRAY (Ketorolac Tromethamine) |
UNITS |
69344014443 |
0 PDPs |
13 MAPDs |
TRIAMCINOLONE 0.1% LOTION [Kenalog] () |
60 mls |
60432056160 |
62 PDPs |
383 MAPDs |
XOLEGEL 2% GEL (Ketoconazole) |
45 GRAMS |
16110008045 |
0 PDPs |
1 MAPDs |