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2021 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 F 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 2021 Formularies
PDPs MAPDs
ACTIQ 1200MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459051230 0
PDPs
5
MAPDs
ACTIQ 1600MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459051630 0
PDPs
5
MAPDs
ACTIQ 200MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050230 0
PDPs
5
MAPDs
ACTIQ 400MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050430 0
PDPs
5
MAPDs
ACTIQ 600MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050630 0
PDPs
5
MAPDs
ACTIQ 800MCG LOZENGE
(Fentanyl Citrate)
30 BOT 63459050830 0
PDPs
5
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)
60 DOSE INHL 00173069500 53
PDPs
241
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)
60 DOSE BLPK 00173069600 53
PDPs
241
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)
60 BLPK 00173069700 53
PDPs
241
MAPDs
ADVAIR HFA 230; 21ug/1; ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone-Salmeterol)
120 AEROSOL, METERED   00173071720 57
PDPs
346
MAPDs
ADVAIR HFA INHALER 115;21MCG;MCG 120 ACTN INHL
(Fluticasone-Salmeterol)
120ACTN INHL 00173071620 57
PDPs
346
MAPDs
ADVAIR HFA INHALER 45;21MCG;MCG 120 ACTN INHL
(Fluticasone-Salmeterol)
120 ACTN INHL 00173071520 57
PDPs
346
MAPDs
AIRDUO RESPICLICK 113-14 MCG
(Fluticasone and Salmeterol)
    59310081206 0
PDPs
2
MAPDs
AIRDUO RESPICLICK 232-14 MCG
(Fluticasone and Salmeterol)
    59310082206 0
PDPs
2
MAPDs
AIRDUO RESPICLICK 55-14 MCG
(Fluticasone and Salmeterol)
    59310080506 0
PDPs
2
MAPDs
AJOVY 225 MG/1.5 ML AUTOINJECT
(Fremanezumab)
1.5 mls   51759020210 9
PDPs
92
MAPDs
AJOVY 225 MG/1.5 ML SYRINGE
(Fremanezumab)
1.5 mls   51759020410 9
PDPs
91
MAPDs
ALENDRONATE SODIUM 10 MG TABLET [Fosamax]
(Alendronate Sodium)
30 TABLETS   16714063101 70
PDPs
392
MAPDs
ALENDRONATE SODIUM 35 MG TABLET [Fosamax]
(Alendronate Sodium)
12 tablets   69097022316 70
PDPs
392
MAPDs
ALENDRONATE SODIUM 70 MG TABLET [Fosamax]
(Alendronate Sodium)
4 TABLETS   65862032904 70
PDPs
392
MAPDs
ANCOBON 250MG CAPSULE
(Flucytosine)
100 BOT 00187355410 0
PDPs
2
MAPDs
ANCOBON 500MG CAPSULE
(Flucytosine)
100 BOT 00187355510 0
PDPs
2
MAPDs
ANTARA 30 MG CAPSULE
(Fenofibrate Micronized)
    27437010706 3
PDPs
54
MAPDs
ANTARA 90 MG CAPSULE
(Fenofibrate Micronized)
    27437010806 3
PDPs
54
MAPDs
ARIXTRA 7.5 MG/0.6 ML SYRINGE
(Fondaparinux Sodium)
.600 ML   67457059406 0
PDPs
1
MAPDs
ARNUITY ELLIPTA 100 MCG INH
(Fluticasone Furoate)
    00173087410 64
PDPs
350
MAPDs
ARNUITY ELLIPTA 200 MCG INH
(Fluticasone Furoate)
    00173087610 64
PDPs
350
MAPDs
ARNUITY ELLIPTA 50 MCG INH BLST W/DEV
(Fluticasone Furoate)
units   00173088810 64
PDPs
350
MAPDs
AURYXIA 210 MG TABLET
(Ferric Citrate)
200 EA   59922063101 42
PDPs
249
MAPDs
AZELAIC ACID 15% GEL [Finacea]
(Azelaic Acid)
50 GRAMS   68462062652 32
PDPs
230
MAPDs
AZELASTIN-FLUTIC 137-50MCG SPRAY/PUMP [Dymista]
(Azelastine, Fluticasone Propionate)
23 GRAMS   60505095303 5
PDPs
54
MAPDs
BALCOLTRA TABLET
(Ferrous bis-glycinate chelate;Levonorgestrel, Ethinyl Estradiol)
28 tablets   75854060228 0
PDPs
10
MAPDs
BESER 0.05% LOTION [Cutivate]
(Fluticasone Propionate)
60 mls   43538097060 5
PDPs
42
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)
60 EA   00173085910 62
PDPs
371
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)
60 EA   00173088210 62
PDPs
371
MAPDs
BUTALBITAL COMP-CODEINE #3 CAPSULE [Fiorinal with Codeine]
(Butalbital, Acetaminophen, Caffeine)
30 CAPSULES   00591354601 13
PDPs
99
MAPDs
BUTALBITAL-ASA-CAFFEINE CAPSULE [Fiorinal]
(Butalbital, Aspirin, Caffeine)
30 capsules   00591321901 38
PDPs
177
MAPDs
CAPEX SHA 0.01%
(Fluocinolone Acetonide)
4 FLO IN 6 FLO BOTTLE BOTPL 00299550004 2
PDPs
78
MAPDs
CARAC CREAM
(Fluorouracil)
    00187520030 14
PDPs
71
MAPDs
CIPROFLOX-FLUOCINLN 0.3-0.025% VIAL
()
14 mls   52536008014 7
PDPs
43
MAPDs
CLOZAPINE ODT 100 MG TABLET RAPDIS [Fazaclo]
(Clozapine)
1 unit   00093541901 70
PDPs
392
MAPDs
CLOZAPINE ODT 12.5 MG TABLET RAPDIS [Fazaclo]
(Clozapine)
units   00093541601 70
PDPs
392
MAPDs
CLOZAPINE ODT 150 MG TABLET RAPDIS [Fazaclo]
(Clozapine)
units   00093308601 50
PDPs
354
MAPDs
CLOZAPINE ODT 200 MG TABLET RAPDIS [Fazaclo]
(Clozapine)
units   00093308701 50
PDPs
354
MAPDs
CLOZAPINE ODT 25 MG TABLET RAPDIS [Fazaclo]
(Clozapine)
units   00093541701 70
PDPs
392
MAPDs
CORDRAN 0.025% CREAM (G)
(Flurandrenolide)
GRAMS   16110003412 0
PDPs
14
MAPDs
CORDRAN 0.05% CREAM (G)
(Flurandrenolide)
60 GRAMS   16110003512 0
PDPs
1
MAPDs
CORDRAN 0.05% LOTION
(Flurandrenolide)
MLS   16110005212 0
PDPs
1
MAPDs
CORDRAN 0.05% OINTMENT
(Flurandrenolide)
GRAMS   16110002660 0
PDPs
1
MAPDs
CORDRAN 4 MCG/SQ CM LARGE MED. TAPE
(Flurandrenolide)
1 UNIT   16110058780 2
PDPs
54
MAPDs
CUTIVATE 0.05% LOTION
(Fluticasone Propionate)
    10337043404 0
PDPs
1
MAPDs
CYCLOBENZAPRINE 10 MG TABLET [Flexeril]
(Cyclobenzaprine HCl)
30 TABLETS   52817033200 69
PDPs
389
MAPDs
CYCLOBENZAPRINE 7.5 MG TABLET [Fexmid]
()
30 TABLETS   00591333001 5
PDPs
94
MAPDs
DERMA-SMOOTHE-FS SCALP OIL
(Fluocinolone Acetonide)
118.28 MLS   68791010204 0
PDPs
6
MAPDs
DERMOTIC OIL 0.01% EAR DROPS
(Fluocinolone Acetonide (Otic))
20 MLS   68791010320 2
PDPs
13
MAPDs
DEXMETHYLPHENIDATE 10 MG TABLET [Focalin]
(Dexmethylphenidate HCl)
60 tablets   10702010801 61
PDPs
345
MAPDs
DEXMETHYLPHENIDATE 2.5 MG TABLET [Focalin]
(Dexmethylphenidate HCl)
30 TABLETS   10702010601 61
PDPs
345
MAPDs
DEXMETHYLPHENIDATE 5 MG TABLET [Focalin]
(Dexmethylphenidate HCl)
30 tablets   10702010701 59
PDPs
345
MAPDs
DEXMETHYLPHENIDATE ER 15 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)
30 units   00781268401 7
PDPs
140
MAPDs
DEXMETHYLPHENIDATE ER 20 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)
30 units   00781268501 7
PDPs
140
MAPDs
DEXMETHYLPHENIDATE ER 25 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)
30 units   00781268601 6
PDPs
139
MAPDs
DEXMETHYLPHENIDATE ER 30 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)
30 units   00781268701 7
PDPs
140
MAPDs
DEXMETHYLPHENIDATE ER 35 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)
30 UNITS   00781268801 6
PDPs
139
MAPDs
DEXMETHYLPHENIDATE ER 5 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)
30 UNITS   00115991801 7
PDPs
139
MAPDs
Dificid 200mg/1 1 BOTTLE per CARTON / 20 FILM COATED TABLETS in BOTTLE
(FIDAXOMICIN)
20 TAB BOTTLE in 1 CARTON   52015008001 29
PDPs
290
MAPDs
DIFLUCAN 100MG TABLET
(Fluconazole)
30 BOT 00049342030 3
PDPs
8
MAPDs
DIFLUCAN 150MG TABLET
(Fluconazole)
1 BOT 00049350079 3
PDPs
8
MAPDs
DIFLUCAN 200MG TABLET
(Fluconazole)
30 BOT 00049343030 3
PDPs
8
MAPDs
DIFLUCAN 200MG/5ML SUSPEN
(Fluconazole)
35 ML BOT 00049345019 3
PDPs
9
MAPDs
DIFLUCAN 50MG TABLET
(Fluconazole)
30 BOT 00049341030 3
PDPs
8
MAPDs
DIFLUCAN 50MG/5ML SUSPEN
(Fluconazole)
35 ML BOT 00049344019 3
PDPs
9
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
    75987001003 7
PDPs
29
MAPDs
DULERA 50 MCG-5 MCG INHALER HFA AEROSOL AD
(Mometasone Furoate-Formoterol Fumarate)
grams   00085222301 23
PDPs
160
MAPDs
DULERA INHALATION AEROSOL
(Mometasone Furoate-Formoterol Fumarate)
120 INHALATION X 1 CANIST CRTN 00085720601 23
PDPs
166
MAPDs
DULERA INHALATION AEROSOL
(Mometasone Furoate-Formoterol Fumarate)
120 INHALATION X 1 CANIST CRTN 00085461001 23
PDPs
166
MAPDs
DURAGESIC 100 MCG/HR PATCH TD72
(Fentanyl TD)
10 units   50458010605 0
PDPs
1
MAPDs
DURAGESIC 12 MCG/HR PATCH TD72
(Fentanyl TD)
10 units   50458010105 0
PDPs
1
MAPDs
DURAGESIC 25 MCG/HR PATCH TD72
(Fentanyl TD)
10 units   50458010205 0
PDPs
1
MAPDs
DURAGESIC 50 MCG/HR PATCH TD72
(Fentanyl TD)
10 units   50458010405 0
PDPs
1
MAPDs
DURAGESIC 75 MCG/HR PATCH TD72
(Fentanyl TD)
10 units   50458010505 0
PDPs
1
MAPDs
EFUDEX 5% CREAM
(Fluorouracil)
40 G TUBE 00187320447 0
PDPs
2
MAPDs
Ethinyl Estradiol 0.0025 MG / norethindrone acetate 0.5 MG Oral Tablet [Fyavolv]
(norethindrone acetate and ethinyl estradiol)
    68180082713 31
PDPs
289
MAPDs
FABIOR 0.1% FOAM
(tazarotene topical)
50 GM   51862029550 0
PDPs
16
MAPDs
FALMINA-28 TABLET
(Levonorgestrel and Ethinyl Estradiol)
28.000 EA   16714035904 64
PDPs
367
MAPDs
FAMCICLOVIR 125 MG TABLET
(Famciclovir)
30 EA   33342002407 59
PDPs
377
MAPDs
FAMCICLOVIR 250 MG TABLET
(Famciclovir)
30 EA   33342002507 59
PDPs
380
MAPDs
FAMCICLOVIR 500 MG TABLET
(Famciclovir)
30 EA   33342002607 59
PDPs
380
MAPDs
FAMOTIDINE 20 MG TABLET
(Famotidine)
100.000 EA   00172572860 70
PDPs
391
MAPDs
FAMOTIDINE 40 MG TABLET
(Famotidine)
100.000 EA   00172572960 70
PDPs
392
MAPDs
FAMOTIDINE 50 MG/5MLFOR ORAL SUSPENSION
(Famotidine in NaCl 0.9% IV)
50ML BOT 68180015001 60
PDPs
329
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010102 70
PDPs
392
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA   43068011002 70
PDPs
392
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)
    43068011202 70
PDPs
392
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010202 70
PDPs
392
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA   43068010402 70
PDPs
392
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010602 70
PDPs
392
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA   43068010802 70
PDPs
392
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA   43068011304 70
PDPs
385
MAPDs
FARESTON 60 MG TABLET
(Toremifene Citrate)
    42747032730 3
PDPs
12
MAPDs
FARXIGA 10 MG TABLET
(dapagliflozin)
30 EA   00310621030 35
PDPs
267
MAPDs
FARXIGA 5 MG TABLET
(dapagliflozin)
30 EA   00310620530 35
PDPs
267
MAPDs
FARYDAK 10 MG CAPSULE
(Panobinostat)
6 EA   00078065006 70
PDPs
392
MAPDs
FARYDAK 20 MG CAPSULE
(Panobinostat)
6 EA   00078065206 70
PDPs
392
MAPDs
FASENRA 30 MG/ML SYRINGE
(Benralizumab)
    00310173030 25
PDPs
245
MAPDs
FASENRA PEN 30 MG/ML AUTO INJCT
(Benralizumab)
ml   00310183030 24
PDPs
261
MAPDs
FAYOSIM TABLET TBDSPK 3MO [Quartette]
(Ethinyl Estradiol and Levonorgestrel)
units   68180086012 17
PDPs
173
MAPDs
FEBUXOSTAT 40 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS   00378392593 32
PDPs
257
MAPDs
FEBUXOSTAT 80 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS   00378392693 34
PDPs
257
MAPDs
FELBAMATE 400 MG TABLET
(Felbamate)
90.000 EA   65162073409 70
PDPs
392
MAPDs
FELBAMATE 600 MG TABLET [Felbatol]
(Felbamate)
50 TABLETS   51672418601 70
PDPs
392
MAPDs
FELBAMATE 600 MG/5 ML ORAL SUSPENSION [Felbatol]
(Felbamate)
150 MLS   51672417201 70
PDPs
392
MAPDs
FELBATOL 400MG TABLET
(Felbamate)
100 BOT 00037043001 0
PDPs
1
MAPDs
FELBATOL 600MG TABLET
(Felbamate)
100 BOT 00037043101 0
PDPs
1
MAPDs
FELDENE 10MG CAPSULE
(Piroxicam)
100 BOT 00069322066 3
PDPs
8
MAPDs
FELDENE 20MG CAPSULE
(Piroxicam)
100 BOT 00069323066 3
PDPs
8
MAPDs
FELODIPINE ER 10 MG TABLET
(Felodipine)
100 EA   13668013401 59
PDPs
360
MAPDs
FELODIPINE ER 2.5 MG TABLET ER 24H [Plendil]
(Felodipine)
30 tablets   13668013201 59
PDPs
360
MAPDs
FELODIPINE ER 5 MG TABLET
(Felodipine)
100 EA   13668013301 59
PDPs
360
MAPDs
FEMARA 2.5MG TABLET
(Letrozole)
30 BOT 00078024915 3
PDPs
8
MAPDs
FEMHRT 2.5; 0.5ug/1; mg/1 72 CARTON in 1 CASE / 5 POUCH in 1 CARTON / 1 BLISTER PACK in 1 POUCH / 2
(Norethindrone Acetate-Ethinyl Estradiol)
72 CARTON in 1 CASE   00430014514 0
PDPs
5
MAPDs
FEMRING 0.05 MG/DAY VAGINAL RING
(Estradiol Acetate Vaginal)
1 unit   72495020105 12
PDPs
111
MAPDs
FEMRING 0.10 MG/DAY VAGINAL RING
(Estradiol Acetate Vaginal)
1 unit   72495020210 12
PDPs
110
MAPDs
FEMYNOR 28 TABLET [VyLibra]
(Inert;Norgestimate, Ethinyl Estradiol)
28 TABLETS   69238155106 61
PDPs
369
MAPDs
FENOFIBRATE 120 MG TABLET [Fenoglide]
()
30 TABLETS   00115152310 3
PDPs
52
MAPDs
FENOFIBRATE 130 MG CAPSULE [Antara]
(Fenofibrate, Micronized)
30 capsules   63304044430 20
PDPs
170
MAPDs
FENOFIBRATE 134 MG CAPSULE [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)
90 CAPSULES   13668043901 65
PDPs
374
MAPDs
FENOFIBRATE 145 MG TABLET [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)
30 tablets   69097045805 68
PDPs
389
MAPDs
FENOFIBRATE 150 MG CAPSULE [LIPOFEN]
(Fenofibrate)
90.000 EA   62559046190 7
PDPs
126
MAPDs
FENOFIBRATE 160 MG TABLET [LIPOFEN]
(Fenofibrate)
90 EA   68180036309 70
PDPs
391
MAPDs
FENOFIBRATE 200 MG CAPSULE [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)
30 CAPSULES   27241012004 68
PDPs
388
MAPDs
FENOFIBRATE 40 MG TABLET [Fenoglide]
()
30 TABLETS   00115152210 3
PDPs
59
MAPDs
FENOFIBRATE 43 MG CAPSULE [Antara]
(Fenofibrate, Micronized)
30 capsules   63304044330 16
PDPs
178
MAPDs
FENOFIBRATE 48 MG TABLET [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)
30 tablets   69097045905 68
PDPs
389
MAPDs
FENOFIBRATE 50 MG CAPSULE [LIPOFEN]
(Fenofibrate)
90.000 EA   62559046090 1
PDPs
126
MAPDs
FENOFIBRATE 50 MG ORAL CAPSULE [LIPOFEN]
(Fenofibrate)
    66869013730 1
PDPs
51
MAPDs
FENOFIBRATE 54 MG 90 TABLET BOTTLE [LIPOFEN]
(Fenofibrate)
90 TABLET in 1 BOTTLE   00115551110 70
PDPs
390
MAPDs
FENOFIBRATE 67 MG CAPSULE [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)
90 CAPSULES   69097089407 68
PDPs
387
MAPDs
FENOFIBRIC ACID DR 135 MG CAPSULE [TRILIPIX]
(Fenofibric Acid)
90 EA   68180012909 36
PDPs
281
MAPDs
FENOFIBRIC ACID DR 45 MG CAPSULE DR [Trilipix]
(Fenofibric Acid)
30 UNITS   00115155410 34
PDPs
277
MAPDs
FENOGLIDE 120 MG TABLET
(Fenofibrate)
    68012049590 0
PDPs
1
MAPDs
FENOGLIDE 40 MG TABLET
(Fenofibrate)
    68012049090 0
PDPs
1
MAPDs
FENOPROFEN 600 MG TABLET [ProFeno]
(Fenoprofen)
30 tablets   42195047101 8
PDPs
104
MAPDs
FENOPROFEN CALCIUM 400 MG CAPSULE
(FENOPROFEN CALCIUM)
90 EA   42195010090 2
PDPs
34
MAPDs
FENTANYL 100 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl TD)
5 EA   00406900076 70
PDPs
391
MAPDs
FENTANYL 12 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl TD)
5 SYSTEM POU 00378911998 70
PDPs
392
MAPDs
FENTANYL 25 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl)
10 units   00406902576 70
PDPs
392
MAPDs
FENTANYL 37.5 MCG/HR PATCH TD72
(Fentanyl TD)
    00378912598 22
PDPs
139
MAPDs
FENTANYL 50 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl TD)
5.000 EA   00406905076 70
PDPs
392
MAPDs
FENTANYL 62.5 MCG/HR PATCH TD72
(Fentanyl TD)
    00378912698 22
PDPs
138
MAPDs
FENTANYL 75 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl TD)
5 EA   00406907576 70
PDPs
392
MAPDs
FENTANYL 87.5 MCG/HR PATCH TD72
(Fentanyl)
1 UNIT   60505708702 22
PDPs
135
MAPDs
FENTANYL CIT 100 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)
1 unit   51862063428 5
PDPs
103
MAPDs
FENTANYL CIT 200 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)
1 unit   51862063528 5
PDPs
105
MAPDs
FENTANYL CIT 400 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)
1 unit   51862063628 5
PDPs
105
MAPDs
FENTANYL CIT 600 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)
units   51862063728 5
PDPs
105
MAPDs
FENTANYL CIT 800 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)
1 unit   51862063828 5
PDPs
105
MAPDs
FENTANYL CIT OTFC 1,200 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)
units   00093786965 70
PDPs
381
MAPDs
FENTANYL CIT OTFC 1,600 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)
1 unit   00093787065 70
PDPs
380
MAPDs
FENTANYL CITRATE OTFC 200 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)
30 units   00093786565 70
PDPs
385
MAPDs
FENTANYL CITRATE OTFC 400 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)
1 unit   00093786665 70
PDPs
386
MAPDs
FENTANYL CITRATE OTFC 600 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)
150 units   00093786765 70
PDPs
381
MAPDs
FENTANYL CITRATE OTFC 800 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)
4 units   00093786865 70
PDPs
381
MAPDs
FENTORA TABLET 100MCG
(Fentanyl Citrate)
28 BLPK 63459054128 1
PDPs
53
MAPDs
FENTORA TABLET 200MCG
(Fentanyl Citrate)
28 BLPK 63459054228 1
PDPs
53
MAPDs
FENTORA TABLET 400MCG
(Fentanyl Citrate)
28 BLPK 63459054428 1
PDPs
53
MAPDs
FENTORA TABLET 600MCG
(Fentanyl Citrate)
28 BLPK 63459054628 1
PDPs
53
MAPDs
FENTORA TABLET 800MCG
(Fentanyl Citrate)
28 BLPK 63459054828 1
PDPs
53
MAPDs
FERRIPROX 1,000 MG TABLET
(Deferiprone)
tablets   52609000705 22
PDPs
242
MAPDs
FERRIPROX 100 MG/ML SOLUTION
(Deferiprone)
    52609450207 19
PDPs
215
MAPDs
FERRIPROX 500 MG TABLET
(Deferiprone)
100 EA   52609000601 22
PDPs
251
MAPDs
FETZIMA 20-40 MG TITRATION PAK
(levomilnacipran)
28 EA   00456220228 70
PDPs
391
MAPDs
FETZIMA ER 120 MG CAPSULE
(levomilnacipran)
30 EA   00456221230 70
PDPs
392
MAPDs
FETZIMA ER 20 MG CAPSULE
(levomilnacipran)
30 EA   00456222030 70
PDPs
392
MAPDs
FETZIMA ER 40 MG CAPSULE
(levomilnacipran)
30 EA   00456224030 70
PDPs
392
MAPDs
FETZIMA ER 80 MG CAPSULE
(levomilnacipran)
30 EA   00456228030 70
PDPs
392
MAPDs
FEXMID 7.5 MG TABLET
(Cyclobenzaprine)
30 tablets   70199001401 2
PDPs
3
MAPDs
FIASP 100 UNIT/ML FLEXTOUCH INSULIN PEN
(Insulin Aspart (Recombinant))
15 mls   00169320415 26
PDPs
227
MAPDs
FIASP 100 UNIT/ML VIAL
(Insulin Aspart (Recombinant))
10 mls   00169320111 26
PDPs
227
MAPDs
FIASP PENFILL 100 UNIT/ML CART CARTRIDGE
(Insulin Aspart (Recombinant))
mls   00169320515 26
PDPs
222
MAPDs
FINACEA 15% FOAM
(Azelaic Acid)
grams   50222030350 27
PDPs
159
MAPDs
FINACEA 15% GEL
(Azelaic Acid)
50 grams   50222050550 4
PDPs
9
MAPDs
FINASTERIDE 5 MG TABLET [Proscar]
(Finasteride)
90 tablets   16729009016 70
PDPs
392
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
FIRAZYR 30 MG/3 ML SYRINGE
(ICATIBANT ACETATE)
3.000 ML   54092070203 4
PDPs
45
MAPDs
FIRDAPSE 10 MG TABLET
(Amifampridine)
10 TABLETs   69616021106 19
PDPs
115
MAPDs
FIRMAGON 2 X 120 MG KIT
(DEGARELIX)
    55566840301 48
PDPs
253
MAPDs
FIRMAGON 80 MG KIT
(DEGARELIX)
    55566830301 48
PDPs
253
MAPDs
FIRVANQ 25 MG/ML SOLUTION SOLUTION RECON
(Vancomycin)
300 mls   65628020510 16
PDPs
175
MAPDs
FIRVANQ 50 MG/ML SOLUTION RECON
(Vancomycin)
150 mls   65628020605 13
PDPs
130
MAPDs
FLAC OTIC OIL 0.01% EAR DROPS [Flac]
(Fluocinolone)
20 mls   39328007920 52
PDPs
257
MAPDs
FLAGYL 250MG TABLET (100 CT)
(Metronidazole)
100 BOT 00025183131 3
PDPs
8
MAPDs
FLAGYL 375MG CAPSULE
(Metronidazole)
50 BOT 00025194250 3
PDPs
8
MAPDs
FLAREX 0.1% EYE DROPS
(Fluorometholone Acetate Ophth)
5 ML BOT 00065009605 13
PDPs
138
MAPDs
FLAVOXATE HCL 100 MG TABLET [Urispas]
()
90 TABLETS   00574011501 16
PDPs
226
MAPDs
FLEBOGAMMA DIF 10% VIAL
(Immune Globulin (Human) IV)
50 MLS   61953000504 15
PDPs
189
MAPDs
FLECAINIDE ACETATE 100 MG TABLET [Tambocor]
(Flecainide Acetate)
60 tablets   62559038101 70
PDPs
392
MAPDs
FLECAINIDE ACETATE 150 MG TABLET [Tambocor]
(Flecainide Acetate)
60 tablets   62559038201 70
PDPs
392
MAPDs
FLECAINIDE ACETATE 50 MG TABLET [Tambocor]
(Flecainide Acetate)
60 tablets   62559038001 70
PDPs
392
MAPDs
FLECTOR 1.3% PATCH TD12
(Diclofenac Epolamine)
30 UNITS   60793013230 1
PDPs
35
MAPDs
FLOLIPID 20 MG/5 ML ORAL SUSP
(Simvastatin Oral Suspension)
    29273040104 0
PDPs
10
MAPDs
FLOLIPID 40 MG/5 ML ORAL SUSP
(Simvastatin Oral Suspension)
    29273040204 0
PDPs
10
MAPDs
FLOMAX 0.4 MG CAPSULE
(Tamsulosin HCl)
30 CAPSULES   00024583701 3
PDPs
10
MAPDs
FLOVENT DISKUS 100ug/1 60 POWDER, METERED in 1 INHALER
(Fluticasone Propionate)
60 POWDER, METERED   00173060202 66
PDPs
362
MAPDs
FLOVENT DISKUS 250ug/1 60 POWDER, METERED in 1 INHALER
(Fluticasone Propionate)
60 POWDER, METERED   00173060102 66
PDPs
362
MAPDs
FLOVENT DISKUS POWDER 50MCG 60 CTR
(Fluticasone Propionate)
60 CTR 00173060002 66
PDPs
362
MAPDs
FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED   00173071920 66
PDPs
364
MAPDs
FLOVENT HFA 220ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED   00173072020 66
PDPs
364
MAPDs
FLOVENT HFA 44ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED   00173071820 66
PDPs
364
MAPDs
FLUCONAZOLE 10 MG/ML ORAL SUSPENSION [Diflucan]
(Fluconazole)
35 MLS   57237014935 70
PDPs
392
MAPDs
FLUCONAZOLE 100 MG TABLET [Diflucan]
(Fluconazole)
3 TABLETS   70710113803 70
PDPs
392
MAPDs
FLUCONAZOLE 150 MG TABLET [Diflucan]
(Fluconazole)
1 TABLET   57237000511 70
PDPs
392
MAPDs
FLUCONAZOLE 200 MG TABLET [Diflucan]
(Fluconazole)
2 TABLETS   57237000630 70
PDPs
392
MAPDs
FLUCONAZOLE 40 MG/ML ORAL SUSPENSION [Diflucan]
(Fluconazole)
35 MLS   57237015035 70
PDPs
392
MAPDs
FLUCONAZOLE 50 MG TABLET [Diflucan]
(Fluconazole)
30 tablets   68462010130 70
PDPs
392
MAPDs
FLUCONAZOLE-NACL 200 MG/100 ML PIGGYBACK [Diflucan]
(Fluconazole, Sodium Chloride)
MLS   25021018482 67
PDPs
382
MAPDs
FLUCONAZOLE-NACL 400 MG/200 ML PIGGYBACK [Diflucan]
(Fluconazole, Sodium Chloride)
MLS   25021018487 70
PDPs
392
MAPDs
FLUCYTOSINE 250 MG CAPSULE [Ancobon]
(Flucytosine)
1 CAPSULE   43386077101 70
PDPs
391
MAPDs
FLUCYTOSINE 500 MG CAPSULE [Ancobon]
(Flucytosine)
14 capsules   42494034001 70
PDPs
388
MAPDs
FLUDROCORTISONE 0.1 MG TABLET [Florinef]
()
30 TABLETS   00115703301 70
PDPs
392
MAPDs
FLUNISOLIDE NASAL SOLUTION 0.025% 25ML INHL
(Flunisolide Nasal)
25 ML INHL 24208034425 49
PDPs
345
MAPDs
FLUOCINOLONE 0.01% CREAM (g)
(Fluocinolone Acetonide)
15 grams   52565003160 60
PDPs
380
MAPDs
FLUOCINOLONE 0.01% SCALP OIL [Derma-Smoothe/FS]
()
118.28 MLS   45802048526 33
PDPs
308
MAPDs
FLUOCINOLONE 0.01% SOLUTION [Synalar]
(Fluocinolone)
60 MLS   51672136504 54
PDPs
333
MAPDs
FLUOCINOLONE 0.025% CREAM (G) [Synalar]
(Fluocinolone)
60 GRAMS   00713070915 49
PDPs
353
MAPDs
FLUOCINOLONE 0.025% OINTMENT
(Fluocinolone Acetonide)
60.000 GM   00713022460 50
PDPs
354
MAPDs
FLUOCINOLONE OIL 0.01% EAR DROPS [Flac]
()
20 MLS   45802000910 60
PDPs
340
MAPDs
FLUOCINONIDE 0.05% GEL [Lidex]
(Fluocinonide)
15 GRAMS   47781053372 66
PDPs
366
MAPDs
FLUOCINONIDE 0.05% OINTMENT [Lidex]
(Fluocinonide)
60 grams   51672126403 56
PDPs
360
MAPDs
FLUOCINONIDE 0.05% SOLUTION
(Fluocinonide)
60 ML   51672127304 58
PDPs
380
MAPDs
FLUOCINONIDE 0.1% CREAM (g) [Vanos]
(Fluocinonide)
30 grams   68462050566 3
PDPs
70
MAPDs
FLUOCINONIDE-E 0.05% CREAM
(Fluocinonide)
    00093026392 60
PDPs
377
MAPDs
Fluorometholone 0.1% drops
(Fluorometholone Ophth)
    60758088005 67
PDPs
382
MAPDs
FLUOROPLEX 1% CREAM (G)
(Fluorouracil)
GRAMS   16110081230 7
PDPs
102
MAPDs
FLUOROURACIL 2% TOPICAL SOLUTION
(Fluorouracil)
10 ML   51672406201 61
PDPs
379
MAPDs
FLUOROURACIL 5% CREAM (g) [Efudex]
(Fluorouracil)
40 grams   51672411806 70
PDPs
392
MAPDs
FLUOROURACIL 5% TOPICAL SOLUTION
(Fluorouracil)
10 ML   51672406301 61
PDPs
380
MAPDs
Fluoxetine 20mg/5mL 120 mL in 1 BOTTLE, PLASTIC
(Fluoxetine)
120 mL in 1 BOTTLE, PLAST   54838052340 70
PDPs
392
MAPDs
FLUOXETINE DR 90 MG CAPSULE
(Fluoxetine)
4 EA   55111028448 18
PDPs
156
MAPDs
FLUOXETINE HCL 10 MG CAPSULE [Selfemra]
(Fluoxetine HCl)
30 capsules   65862019201 70
PDPs
392
MAPDs
FLUOXETINE HCL 10 MG TABLET [Sarafem]
(Fluoxetine HCl)
30 TABLETS   55111015001 40
PDPs
232
MAPDs
FLUOXETINE HCL 20 MG CAPSULE
(Fluoxetine HCl)
1000 EA   65862019399 70
PDPs
392
MAPDs
FLUOXETINE HCL 20 MG TABLET [Sarafem]
(Fluoxetine HCl)
30 TABLETS   43598056601 40
PDPs
230
MAPDs
FLUOXETINE HCL 40 MG CAPSULE [Prozac]
(Fluoxetine HCl)
30 capsules   65862019405 70
PDPs
392
MAPDs
FLUOXETINE HCL 60 MG TABLET
(Fluoxetine HCl)
30 tablets   75834014830 7
PDPs
91
MAPDs
FLUPHENAZINE 1 MG TABLET
(Fluphenazine)
100.000 EA   00527178801 70
PDPs
392
MAPDs
FLUPHENAZINE 10 MG TABLET [Prolixin]
(Fluphenazine)
30 tablets   00527179105 70
PDPs
392
MAPDs
FLUPHENAZINE 2.5 MG TABLET
(Fluphenazine)
100.000 EA   00527178901 70
PDPs
392
MAPDs
FLUPHENAZINE 2.5 MG/5 ML ELIX
(Fluphenazine)
60.000 ML   00121065402 69
PDPs
385
MAPDs
FLUPHENAZINE 2.5MG/ML VIAL
(Fluphenazine)
10 ML VIALMD 63323028110 70
PDPs
392
MAPDs
FLUPHENAZINE 5 MG TABLET
(Fluphenazine)
100.000 EA   00527179001 70
PDPs
392
MAPDs
FLUPHENAZINE 5MG/ML CONC
(Fluphenazine)
120 ML BOT 00121065304 70
PDPs
387
MAPDs
FLUPHENAZINE DEC 125 MG/5 ML VIAL [Prolixin Decanoate]
(Fluphenazine Decanoate)
5 mls   00143952901 70
PDPs
392
MAPDs
Flurandrenolide 0.05% Cream [Cordran]
(Flurandrenolide)
    24470091912 2
PDPs
31
MAPDs
Flurandrenolide 0.05% ointment [Cordran]
(Flurandrenolide)
    52565001760 0
PDPs
16
MAPDs
Flurandrenolide 0.5 MG/ML Topical Lotion [Cordran]
(Flurandrenolide)
    24470092112 1
PDPs
20
MAPDs
Flurazepam Hydrochloride 15mg/1 100 CAPSULE in 1 BOTTLE, PLASTIC
(Flurazepam HCl)
100 CAPSULE in 1 BOTTLE   00378441501 3
PDPs
108
MAPDs
Flurazepam Hydrochloride 30mg/1 100 CAPSULE in 1 BOTTLE, PLASTIC
(Flurazepam HCl)
100 CAPSULE in 1 BOTTLE   00378443001 3
PDPs
108
MAPDs
FLURBIPROFEN 0.03% EYE DROPS [Ocufen]
(Flurbiprofen Sodium Ophth)
2.5 mls   69292072225 67
PDPs
389
MAPDs
Flurbiprofen 100mg/1 100 BOTTLE in 1 BOTTLE / 100 FILM COATED TABLETS in BOTTLE
(Flurbiprofen)
100 BOTTLE in 1 BOTTLE   00093071101 54
PDPs
366
MAPDs
FLUTAMIDE 125 MG CAPSULE
(Flutamide)
    69097091591 70
PDPs
392
MAPDs
FLUTICASONE PROP 0.005% OINTMENT [Cutivate]
(Fluticasone Propionate)
grams   45802022137 61
PDPs
357
MAPDs
FLUTICASONE PROP 0.05% LOTION [Cutivate]
(Fluticasone Propionate)
60 MLS   45802044102 2
PDPs
74
MAPDs
Fluticasone Propionate 0.5mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
(Fluticasone Propionate)
1 TUBE in 1 CARTON / 30 g   45802022211 62
PDPs
360
MAPDs
FLUTICASONE PROPIONATE 50 MCG SPRAY SUSPENSION
(Fluticasone Propionate Nasal)
16 G BOTSPR 00054327099 70
PDPs
392
MAPDs
FLUTICASONE-SALMETEROL 100-50 BLST W/DEV [Advair]
(Fluticasone and Salmeterol)
60 units   66993058497 19
PDPs
191
MAPDs
FLUTICASONE-SALMETEROL 113-14 [Advair Diskus, Advair HFA, AIRDUO RESPICLICK]
(Fluticasone and Salmeterol)
    00093360882 35
PDPs
202
MAPDs
FLUTICASONE-SALMETEROL 232-14 [Advair Diskus, Advair HFA, AIRDUO RESPICLICK]
(Fluticasone and Salmeterol)
    00093360982 35
PDPs
202
MAPDs
FLUTICASONE-SALMETEROL 250-50 BLST W/DEV [Advair]
(Fluticasone and Salmeterol)
60 units   66993058597 19
PDPs
191
MAPDs
FLUTICASONE-SALMETEROL 500-50 BLST W/DEV [Advair]
(Fluticasone and Salmeterol)
60 units   66993058697 19
PDPs
191
MAPDs
FLUTICASONE-SALMETEROL 55-14 [Advair Diskus, Advair HFA, AIRDUO RESPICLICK]
(Fluticasone and Salmeterol)
    00093360782 35
PDPs
202
MAPDs
FLUVASTATIN ER 80 MG TABLET ER 24H [Lescol XL]
(Fluvastatin Sodium)
90 tablets   00781801731 12
PDPs
184
MAPDs
FLUVASTATIN SODIUM 20 MG CAPSULE [Lescol]
(Fluvastatin Sodium)
30.000 EA   00378802093 31
PDPs
248
MAPDs
FLUVASTATIN SODIUM 40 MG CAPSULE [Lescol]
(Fluvastatin Sodium)
    00378802193 31
PDPs
248
MAPDs
FLUVOXAMINE ER 100 MG CAPSULE
(Fluvoxamine Maleate)
30.000 EA   00228284803 6
PDPs
166
MAPDs
FLUVOXAMINE ER 150 MG CAPSULE
(Fluvoxamine Maleate)
30.000 EA   00228284903 6
PDPs
166
MAPDs
FLUVOXAMINE MALEATE 100 MG TABLET [Luvox]
(Fluvoxamine Maleate)
90 tablets   60505016601 70
PDPs
392
MAPDs
FLUVOXAMINE MALEATE 25 MG TABLET [Luvox]
(Fluvoxamine Maleate)
30 tablets   60505016401 70
PDPs
392
MAPDs
FLUVOXAMINE MALEATE 50 MG TABLET [Luvox]
(Fluvoxamine Maleate)
30 tablets   60505016501 70
PDPs
392
MAPDs
FML FORTE 0.25% EYE DROPS
(Fluorometholone Ophth)
5.000 ML   11980022805 6
PDPs
97
MAPDs
FML LIQUIFILM 0.1% EYE DROP
(Fluorometholone Ophth)
5.000 ML   11980021105 3
PDPs
11
MAPDs
FML S.O.P. 0.1% OINTMENT
(Fluorometholone Ophth)
3.5 GM TUBE 00023031604 5
PDPs
98
MAPDs
FOCALIN 10MG TABLET
(Dexmethylphenidate HCl)
100 BOT 00078038205 3
PDPs
8
MAPDs
FOCALIN 2.5MG TABLET
(Dexmethylphenidate HCl)
100 BOT 00078038005 3
PDPs
8
MAPDs
FOCALIN 5MG TABLET
(Dexmethylphenidate HCl)
100 BOT 00078038105 3
PDPs
8
MAPDs
FOCALIN XR 10MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078043105 0
PDPs
1
MAPDs
FOCALIN XR 15MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078049305 0
PDPs
1
MAPDs
FOCALIN XR 20MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078043205 0
PDPs
1
MAPDs
Focalin XR 25mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)
100 CAPSULE BOTTLE   00078060805 0
PDPs
1
MAPDs
FOCALIN XR 30MG CAPSULES
(Dexmethylphenidate HCl)
100 BOT 00078043305 0
PDPs
1
MAPDs
Focalin XR 35mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)
100 CAPSULE BOTTLE   00078060905 0
PDPs
1
MAPDs
Focalin XR 40mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)
100 CAPSULE BOTTLE   00078043405 0
PDPs
1
MAPDs
FOCALIN XR 5 MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT 00078043005 0
PDPs
1
MAPDs
FONDAPARINUX 10 MG/0.8 ML SYRINGE [Arixtra]
(Fondaparinux )
4 mls   67457058508 67
PDPs
378
MAPDs
FONDAPARINUX 2.5 MG/0.5 ML SYR SYRINGE [Arixtra]
(Fondaparinux )
2.5 MLS   55150023010 67
PDPs
378
MAPDs
FONDAPARINUX 5 MG/0.4 ML SYRINGE [Arixtra]
(Fondaparinux )
ml   67457058304 67
PDPs
378
MAPDs
FONDAPARINUX 7.5 MG/0.6 ML SYRINGE [Arixtra]
(Fondaparinux )
3.6 mls   67457058406 67
PDPs
378
MAPDs
Fondaparinux sodium 10 MG per 0.8 ML Prefilled Syringe [Arixtra]
(Fondaparinux Sodium)
    67457059508 0
PDPs
1
MAPDs
Fondaparinux sodium 2.5 MG in 0.5 ML Prefilled Syringe Prefilled Syringe [Arixtra]
(Fondaparinux Sodium)
    67457059210 0
PDPs
1
MAPDs
Fondaparinux sodium 5 MG in 0.4 ML Prefilled Syringe [Arixtra]
(Fondaparinux Sodium)
    67457059304 0
PDPs
1
MAPDs
FORFIVO XL 450 MG TABLET
(bupropion hydrochloride)
30 EA   52427057530 0
PDPs
25
MAPDs
FORTAMET ER 1,000 MG TABLET ER 24
(Metformin HCl)
60 UNITS   59630057560 2
PDPs
1
MAPDs
FORTAMET ER 500 MG TABLET ER 24
(Metformin HCl)
30 UNITS   59630057460 2
PDPs
1
MAPDs
Forteo 250ug/mL 1 SYRINGE per CARTON / 2.4 mL in 1 SYRINGE
(Teriparatide (Recombinant))
1 SYRINGE in 1 CARTON   00002840001 44
PDPs
343
MAPDs
FORTESTA 10mg/0.5g
(Testosterone topical)
    63481018316 0
PDPs
1
MAPDs
FOSAMAX 70MG TABLET
(Alendronate Sodium)
4 BLPK 00006003144 3
PDPs
8
MAPDs
FOSAMAX PLUS D 70; 5600mg/1; [iU]/1 4 TABLET per BLISTER PACK
(Alendronate Sodium-Cholecalciferol)
4 TABLET in BLISTER PACK   00006027044 2
PDPs
57
MAPDs
FOSAMAX PLUS D 70MG/2800 IU
(Alendronate Sodium-Cholecalciferol)
4 PKT 00006071044 2
PDPs
57
MAPDs
FOSAMPRENAVIR 700 MG TABLET [Lexiva]
(Fosamprenavir Calcium)
60 EA   00378352091 70
PDPs
392
MAPDs
FOSINOPRIL SODIUM 10 MG TABLET [Monopril]
()
90 TABLETS   43547038609 70
PDPs
391
MAPDs
FOSINOPRIL SODIUM 20 MG TABLET [Monopril]
()
90 TABLETS   43547038709 70
PDPs
391
MAPDs
FOSINOPRIL SODIUM 40 MG TABLET [Monopril]
()
90 TABLETS   43547038809 70
PDPs
391
MAPDs
FOSINOPRIL-HCTZ 10-12.5 MG TABLET [Monopril-HCT]
(Fosinopril Sodium & Hydrochlorothiazide)
30 TABLETS   65862030801 58
PDPs
360
MAPDs
FOSINOPRIL-HCTZ 20-12.5 MG TABLET [Monopril-HCT]
(Fosinopril Sodium & Hydrochlorothiazide)
30 TABLETS   65862030901 58
PDPs
360
MAPDs
FOSRENOL 1,000 MG CHEWABLE TABLET
(Lanthanum Carbonate)
270 chewable tablets   54092025490 3
PDPs
9
MAPDs
FOSRENOL 1,000 MG POWDER PACK
(Lanthanum Carbonate Chew)
90 EA   54092025702 18
PDPs
120
MAPDs
FOSRENOL 500 MG CHEWABLE TABLET
(Lanthanum Carbonate)
90 chewable tablets   54092025290 3
PDPs
8
MAPDs
FOSRENOL 750 MG CHEWABLE TABLET
(Lanthanum Carbonate)
90 chewable tablets   54092025390 3
PDPs
8
MAPDs
FOSRENOL 750 MG POWDER PACKET
(Lanthanum Carbonate Chew)
90 EA   54092025602 18
PDPs
120
MAPDs
FRAGMIN 10,000 UNITS SYRINGE
(Dalteparin Sodium)
    00069021702 7
PDPs
163
MAPDs
FRAGMIN 12,500 UNITS SYRINGE
(Dalteparin Sodium)
    00069022002 7
PDPs
162
MAPDs
FRAGMIN 15,000 UNITS SYRINGE
(Dalteparin Sodium)
    00069022302 7
PDPs
162
MAPDs
FRAGMIN 18,000 UNITS SYRINGE
(Dalteparin Sodium)
    00069022802 7
PDPs
162
MAPDs
FRAGMIN 2,500 UNITS SYRINGE
(Dalteparin Sodium)
    00069019502 7
PDPs
159
MAPDs
FRAGMIN 5,000 UNITS SYRINGE
(Dalteparin Sodium)
    00069019602 7
PDPs
159
MAPDs
FRAGMIN 7,500 UNITS/0.3 ML SYRINGE
(Dalteparin Sodium)
    00069020602 7
PDPs
159
MAPDs
FRAGMIN 95,000 UNITS/3.8 ML VIAL
(Dalteparin Sodium)
    00069023201 7
PDPs
158
MAPDs
FREAMINE HBC INJECTION
(Amino Acid Infusion)
6 X 750/1000 ML BOTGL 00264935055 43
PDPs
271
MAPDs
FROVA 2.5MG TABLET
(Frovatriptan Succinate)
BLISTER PACK 1 BOTTLE 63481002509 0
PDPs
1
MAPDs
FROVATRIPTAN SUCC 2.5 MG TABLET [Frova]
(Frovatriptan Succinate)
    68462069497 6
PDPs
81
MAPDs
FULPHILA 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))
ml   67457083306 17
PDPs
199
MAPDs
FUROSEMIDE 10 MG/ML SOLUTION
(Furosemide)
60.000 ML   00054329446 70
PDPs
387
MAPDs
FUROSEMIDE 100 MG/10 ML VIAL
(Furosemide)
3 MLS   36000028425 69
PDPs
391
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 70
PDPs
373
MAPDs
FUROSEMIDE 20 MG TABLET [Lasix]
(Furosemide)
30 TABLETS   00054429725 70
PDPs
390
MAPDs
FUROSEMIDE 40 MG TABLET [Lasix]
(Furosemide)
30 TABLETS   69315011710 70
PDPs
392
MAPDs
FUROSEMIDE 40MG/5ML TUBEX
(Furosemide)
500 ML BOT 00054329863 50
PDPs
339
MAPDs
FUROSEMIDE 80 MG TABLET [Lasix]
(Furosemide)
30 TABLETS   43547040350 70
PDPs
392
MAPDs
FUZEON 90 MG VIAL
(Enfuvirtide For)
60 EA   00004038140 70
PDPs
392
MAPDs
FYAVOLV 1 MG-5 MCG TABLET
(norethindrone acetate and ethinyl estradiol)
    68180082813 31
PDPs
292
MAPDs
FYCOMPA 0.5 MG/ML ORAL SUSP
(perampanel)
340 ML   62856029038 70
PDPs
392
MAPDs
FYCOMPA 10 MG TABLET
(perampanel)
30 EA   62856028030 70
PDPs
392
MAPDs
FYCOMPA 12 MG TABLET
(perampanel)
30 EA   62856028230 70
PDPs
392
MAPDs
FYCOMPA 2 MG TABLET
(perampanel)
30 EA   62856027230 70
PDPs
392
MAPDs
FYCOMPA 4 MG TABLET
(perampanel)
30 EA   62856027430 70
PDPs
392
MAPDs
FYCOMPA 6 MG TABLET
(perampanel)
30 EA   62856027630 70
PDPs
392
MAPDs
FYCOMPA 8 MG TABLET
(perampanel)
30 EA   62856027830 70
PDPs
392
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)
30 EA   00078060715 56
PDPs
384
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(Tbo-Filgrastim)
5 mls   63459091017 23
PDPs
139
MAPDs
GRANIX 300 MCG/ML VIAL
(tbo-filgrastim)
ml   63459091853 22
PDPs
144
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(Tbo-Filgrastim)
5.6 mls   63459091217 23
PDPs
139
MAPDs
GRANIX 480 MCG/1.6 ML VIAL
(tbo-filgrastim)
mls   63459092053 22
PDPs
144
MAPDs
ICATIBANT 30 MG/3 ML SYRINGE [FIRAZYR]
(ICATIBANT ACETATE)
9 mls   00093306693 58
PDPs
353
MAPDs
INREBIC 100 MG CAPSULE
(Fedratinib)
capsules   59572072012 70
PDPs
392
MAPDs
INTRALIPID 20% IV FAT EMULSION
(Soybean Oil Injection)
    00338051909 67
PDPs
375
MAPDs
INTRALIPID 30% IV FAT EMULSION
(Fat)
    00338052013 44
PDPs
264
MAPDs
LANTHANUM CARB 1,000 MG CHEWABLE TABLET [Fosrenol]
(Lanthanum Carbonate)
270 chewable tablets   68180082147 29
PDPs
234
MAPDs
LANTHANUM CARB 500 MG TABLET CHEW [Fosrenol]
(Lanthanum Carbonate Chew)
    68180081942 29
PDPs
234
MAPDs
LANTHANUM CARB 750 MG TABLET CHEW [Fosrenol]
(Lanthanum Carbonate Chew)
    68180082046 29
PDPs
234
MAPDs
LASIX 20 MG TABLET
(Furosemide)
    30698006701 3
PDPs
10
MAPDs
LASIX 40 MG TABLET
(Furosemide)
    30698006001 3
PDPs
10
MAPDs
LASIX 80 MG TABLET
(Furosemide)
    30698006605 3
PDPs
10
MAPDs
LESCOL XL 80 MG TABLET
(Fluvastatin Sodium)
30.000 EA   00078035415 0
PDPs
1
MAPDs
LETROZOLE 2.5 MG TABLET [Femara]
()
10 TABLETS   16729003410 70
PDPs
392
MAPDs
LEXIVA 50mg/mL 225 mL in 1 BOTTLE
(Fosamprenavir Calcium)
225 mL in 1 BOTTLE   49702020853 70
PDPs
392
MAPDs
LEXIVA 700MG TABLETS
(Fosamprenavir Calcium)
60 BOT 49702020718 3
PDPs
11
MAPDs
LIPOFEN 150MG CAPSULES
(Fenofibrate)
90 BOTPL 66869014730 1
PDPs
39
MAPDs
METRONIDAZOLE 250 MG TABLET [Flagyl]
(Metronidazole)
100.000 EA   50111033301 70
PDPs
392
MAPDs
METRONIDAZOLE 375 MG CAPSULE [Flagyl]
(Metronidazole)
50 EA   62332001850 11
PDPs
161
MAPDs
METRONIDAZOLE 500 MG Oral Tablet [Flagyl]
(Metronidazole)
    00025182150 3
PDPs
8
MAPDs
METRONIDAZOLE 500 MG TABLET [Flagyl]
(Metronidazole)
100 BOTPL 50111033401 70
PDPs
392
MAPDs
METRONIDAZOLE 500 MG/100 ML PIGGYBACK [Flagyl RTU]
()
MLS   00409781124 70
PDPs
392
MAPDs
MONUROL 3 GM SACHET
(Fosfomycin Tromethamine)
1 PACKET BOX 00456430001 5
PDPs
123
MAPDs
NALFON 600 MG TABLET
(Fenoprofen Calcium)
90 tablets   42195068810 0
PDPs
3
MAPDs
NEO-SYNALAR 0.5%-0.025% CREAM
(Neomycin Sulfate and Fluocinolone Acetonide)
    43538094060 1
PDPs
10
MAPDs
NEUPOGEN 300 MCG/ML VIAL
(Filgrastim)
1 ML   55513053010 13
PDPs
124
MAPDs
NEUPOGEN 300MCG/ML VIAL
(Filgrastim)
10 X 1.6 ML VIALSD 55513054610 13
PDPs
124
MAPDs
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE
(Filgrastim)
10 SYRINGE in 1 BOX   55513092410 13
PDPs
127
MAPDs
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR
(Filgrastim)
10 X 0.8 ML SYR 55513020910 13
PDPs
127
MAPDs
NIVESTYM 300 MCG/0.5 ML SYRINGE
(Filgrastim (E. coli))
ml   00069029101 29
PDPs
222
MAPDs
NIVESTYM 300 MCG/ML VIAL
(Filgrastim (E. coli))
ml   00069029310 29
PDPs
215
MAPDs
NIVESTYM 480 MCG/0.8 ML SYRINGE
(Filgrastim (E. coli))
ml   00069029201 29
PDPs
222
MAPDs
NIVESTYM 480 MCG/1.6 ML VIAL
(Filgrastim (E. coli))
mls   00069029410 29
PDPs
215
MAPDs
NOLIX 0.05% CREAM
(Flurandrenolide)
60   57893031060 3
PDPs
26
MAPDs
Nolix 120 mL in 1 BOTTLE
(Flurandrenolide)
    57893031112 0
PDPs
18
MAPDs
OFLOXACIN 0.3% EAR DROPS [Floxin]
(Ofloxacin)
5 mls   60505036301 66
PDPs
392
MAPDs
OFLOXACIN 300 MG TABLET [Floxin]
(Ofloxacin)
20 tablets   75834020050 15
PDPs
156
MAPDs
OFLOXACIN 400 MG TABLET [Floxin]
(Ofloxacin)
1 tablet   75834020150 28
PDPs
247
MAPDs
OTOVEL 0.3%-0.025% EAR DROPS
(Ciprofloxacin and fluocinolone otic)
    24338008014 1
PDPs
6
MAPDs
PEPCID 20 MG TABLET
(Famotidine)
    00187442030 0
PDPs
4
MAPDs
PEPCID 40 MG TABLET
(Famotidine)
    00187444010 0
PDPs
4
MAPDs
PERFOROMIST 20MCG/2ML VIAL NEBULIZER
(Formoterol Fumarate)
60 X 2ML CRTN 49502060561 27
PDPs
158
MAPDs
PIROXICAM 20 MG CAPSULE [Feldene]
()
30 CAPSULES   59762014501 35
PDPs
347
MAPDs
PROSCAR TABLETS 5MG 30 BOT
(Finasteride)
30 BOT 00006007231 3
PDPs
10
MAPDs
PROZAC 10MG PULVULE
(Fluoxetine HCl)
100 BOT 00777310402 3
PDPs
10
MAPDs
PROZAC 20 MG PULVULE CAPSULE
(Fluoxetine)
30 capsules   00777310530 3
PDPs
10
MAPDs
PROZAC 40MG PULVULE
(Fluoxetine HCl)
30 BOT 00777310730 3
PDPs
10
MAPDs
SUBSYS 1,200 MCG SPRAY
(fentanyl)
    20482000630 1
PDPs
19
MAPDs
SUBSYS 100 MCG SPRAY
(fentanyl)
    20482000110 1
PDPs
19
MAPDs
SUBSYS 200 MCG SPRAY
(fentanyl)
    20482000230 1
PDPs
19
MAPDs
SUBSYS 400 MCG SPRAY
(fentanyl)
    20482000430 1
PDPs
19
MAPDs
SUBSYS 800 MCG SPRAY
(fentanyl)
    20482000830 1
PDPs
19
MAPDs
SYNALAR 0.025% CREAM KIT
(Fluocinolone Topical)
    43538090012 0
PDPs
1
MAPDs
TAMSULOSIN HCL 0.4 MG CAPSULE [Flomax]
()
30 CAPSULES   65862059805 70
PDPs
392
MAPDs
TAVALISSE 100 MG TABLET
(Fostamatinib)
tablets   71332000101 6
PDPs
156
MAPDs
TAVALISSE 150 MG TABLET
(Fostamatinib)
tablets   71332000201 6
PDPs
156
MAPDs
TERIPARATIDE 620 MCG/2.48 ML PEN INJECTOR [Forteo]
()
MLS   47781065289 19
PDPs
129
MAPDs
TESTOSTERONE 10 MG GEL MD PUMP [FORTESTA]
()
60 GRAMS   00591236360 2
PDPs
101
MAPDs
TOREMIFENE CITRATE 60 MG TABLET [Fareston]
(Toremifene)
tablets   64980040403 70
PDPs
392
MAPDs
TOVIAZ TABLETS 4MG EXTENDED RELEASE
(Fesoterodine)
30 BOT 00069024230 40
PDPs
226
MAPDs
TOVIAZ TABLETS 8MG EXTENDED RELEASE
(Fesoterodine)
30 BOT 00069024430 40
PDPs
226
MAPDs
TRELEGY ELLIPTA 100-62.5-25
(Fluticasone Furoate, /umeclidinium Bromide and Vilanterol Trifenatate )
60 EA   00173088710 61
PDPs
370
MAPDs
TRICOR 145 MG TABLET
(Fenofibrate)
    00074318990 0
PDPs
1
MAPDs
TRICOR 48 MG TABLET
(Fenofibrate)
    00074317390 0
PDPs
4
MAPDs
TRIGLIDE 160 MG TABLET
(Fenofibrate)
    70199001330 0
PDPs
48
MAPDs
TRILIPIX DR 135 MG CAPSULE
(Fenofibric Acid)
    00074316290 0
PDPs
1
MAPDs
TRILIPIX DR 45 MG CAPSULE
(Fenofibric Acid)
    00074316190 0
PDPs
1
MAPDs
ULORIC TABLETS 40MG 30 BOT
(Febuxostat)
30 BOT 64764091830 0
PDPs
9
MAPDs
ULORIC TABLETS 80MG 30 BOT
(Febuxostat)
30 BOT 64764067730 0
PDPs
9
MAPDs
VANOS 0.1% CREAM
(Fluocinonide)
120.000 GM   99207052510 0
PDPs
1
MAPDs
WIXELA 100-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)
60 units   00378932032 17
PDPs
176
MAPDs
WIXELA 250-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)
60 units   00378932132 17
PDPs
176
MAPDs
WIXELA 500-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)
60 units   00378932232 17
PDPs
176
MAPDs
XHANCE 93 MCG NASAL SPRAY AER BR.ACT
(Fluticasone Propionate)
16 mls   71143037501 3
PDPs
49
MAPDs
ZARXIO 300 MCG/0.5 ML SYRINGE
(Filgrastim-sndz)
mls   61314031810 40
PDPs
328
MAPDs
ZARXIO 480 MCG/0.8 ML SYRINGE
(Filgrastim-sndz)
0.8 ml   61314032610 40
PDPs
328
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data October 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.
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  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
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  • 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.