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2022 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 B in Alphabetical Order.
Example: Lipitor® is found on letter page "L" as well as letter page "A" for Atorvastatin.

Drug Name
Packaging NDC On This Nbr of 2022 Formularies
PDPs MAPDs
ACANYA 25; 10mg/g; mg/g 1 BOTTLE, PUMP per CARTON / 50 g in 1 BOTTLE, PUMP
(Clindamycin Phosphate-Benzoyl Peroxide)
1 BOTTLE, PUMP in CARTON   13548013250 1
PDPs
2
MAPDs
ALPHAGAN P 0.1% EYE DROPS
(Brimonidine Tartrate Ophth)
5.000 ML   00023932105 63
PDPs
397
MAPDs
ALPHAGAN P 0.15% EYE DROPS
(Brimonidine Tartrate Ophth)
5.000 ML   00023917705 8
PDPs
7
MAPDs
ALUNBRIG 180 MG TABLET
(Brigatinib)
30 EA   63020018030 64
PDPs
403
MAPDs
ALUNBRIG 30 MG TABLET
(Brigatinib)
21 tablets   63020011330 64
PDPs
403
MAPDs
ALUNBRIG 90 MG TABLET
(Brigatinib)
7 tablets   63020009030 64
PDPs
403
MAPDs
ALUNBRIG 90 MG-180 MG TABLET PACK
(Brigatinib)
30 EA   63020019830 62
PDPs
403
MAPDs
APLENZIN ER 174 MG TABLET
(Bupropion Hydrobromide Extended-Release)
    00187581030 0
PDPs
32
MAPDs
APLENZIN ER 348 MG TABLET
(Bupropion Hydrobromide Extended-Release)
    00187581130 0
PDPs
32
MAPDs
APLENZIN ER 522 MG TABLET
(Bupropion Hydrobromide Extended-Release)
    00187581230 0
PDPs
32
MAPDs
ASA-BUTALB-CAFF-COD #3 CAPSULE [Fiorinal with Codeine]
(Butalbital, Acetaminophen, Caffeine)
30 CAPSULES   69238199301 4
PDPs
84
MAPDs
ASCOMP WITH CODEINE CAPSULE
(Butalbital-Aspirin-Caff w/ Codeine)
100.000 EA   51991007401 2
PDPs
73
MAPDs
ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE
(Butalbital-Aspirin-Caff w/ Codeine)
    00591264101 1
PDPs
53
MAPDs
AZOPT 1% EYE DROPS
(Brinzolamide Ophth)
10.000 ML   00065027510 19
PDPs
123
MAPDs
Bacitracin 500 unit/gm Eye Ointment
(Bacitracin Ophth)
    00574402235 64
PDPs
403
MAPDs
BACITRACIN/POLYMYXIN B OINT 500UNT/10000UNT
(Bacitracin-Polymyxin B Ophth)
0.125 OZ (3.5GM) TUBE 24208055555 55
PDPs
393
MAPDs
BACLOFEN 10 MG TABLET
(Baclofen)
1000.000 EA   00172409680 64
PDPs
403
MAPDs
BACLOFEN 20 MG TABLET [Lioresal]
(Baclofen)
90 TABLETS   00527133701 64
PDPs
403
MAPDs
BACLOFEN 5 MG TABLET
(Baclofen)
30 tablets   52817031910 38
PDPs
246
MAPDs
BACTRIM 400-80 MG TABLET
(Sulfamethoxazole-Trimethoprim)
    49708014501 2
PDPs
1
MAPDs
BACTRIM DS 800-160 MG TABLET
(Sulfamethoxazole-Trimethoprim)
    49708014601 2
PDPs
1
MAPDs
BAFIERTAM DR 95 MG CAPSULE DR
(Monomethyl Fumarate)
UNITS   69387000101 8
PDPs
59
MAPDs
BALCOLTRA TABLET
(Ferrous bis-glycinate chelate;Levonorgestrel, Ethinyl Estradiol)
28 TABLETS   75854060203 0
PDPs
11
MAPDs
BALSALAZIDE DISODIUM 750 MG CAPSULE [Colazal]
(Balsalazide Disodium)
270 CAPSULES   00054007928 64
PDPs
403
MAPDs
BALVERSA 3 MG TABLET
(Erdafitinib)
56 TABLETS   59676003056 64
PDPs
403
MAPDs
BALVERSA 4 MG TABLET
(Erdafitinib)
28 TABLETs   59676004056 64
PDPs
403
MAPDs
BALVERSA 5 MG TABLET
(Erdafitinib)
TABLETs   59676005028 64
PDPs
403
MAPDs
Balziva 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT per BLISTER PACK
(Norethindrone & Ethinyl Estradiol)
6 POUCH in 1 CARTON / BP   00555903458 54
PDPs
352
MAPDs
Banzel 200mg/1
(Rufinamide)
    62856058252 9
PDPs
39
MAPDs
BANZEL 400MG TABLET
(Rufinamide)
120 BOT 62856058352 9
PDPs
39
MAPDs
Banzel 40mg/mL
(Rufinamide)
    62856058446 5
PDPs
22
MAPDs
BAQSIMI 3 MG SPRAY ONE PACK
(Glucagon)
2 UNITS   00002614511 27
PDPs
203
MAPDs
BARACLUDE 0.05mg/mL 1 BOTTLE per CARTON / 210 mL in 1 BOTTLE
(Entecavir)
1 BOTTLE in 1 CARTON   00003161412 57
PDPs
302
MAPDs
BARACLUDE 0.5MG TABLET
(Entecavir)
30 BOT 00003161112 2
PDPs
2
MAPDs
BARACLUDE 1MG TABLET
(Entecavir)
30 BOT 00003161212 2
PDPs
2
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin glargine)
3.000 ML   00002771559 19
PDPs
120
MAPDs
BAXDELA 300 MG VIAL
(Delafloxacin Meglumine)
    70842010203 0
PDPs
29
MAPDs
BAXDELA 450 MG TABLET
(Delafloxacin Meglumine)
    70842010101 1
PDPs
123
MAPDs
BCG VACCINE 50mg/1 1 VIAL per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL
(BCG Live Intravesical For)
1 VIAL in 1 CARTON   00052060302 64
PDPs
403
MAPDs
BECONASE AQ 0.042% SPRAY
(Beclomethasone Dipropionate Monohyd Nasal)
180 METERED DOSE BOTGL 00173038879 2
PDPs
18
MAPDs
BELBUCA 150 MCG FILM
(Buprenorphine Hydrochloride)
60 EA   59385002260 5
PDPs
61
MAPDs
BELBUCA 300 MCG FILM
(Buprenorphine Hydrochloride)
60 EA   59385002360 5
PDPs
61
MAPDs
BELBUCA 450 MCG FILM
(Buprenorphine Hydrochloride)
60 EA   59385002460 5
PDPs
61
MAPDs
BELBUCA 600 MCG FILM
(Buprenorphine Hydrochloride)
60 EA   59385002560 5
PDPs
61
MAPDs
BELBUCA 75 MCG FILM
(Buprenorphine Hydrochloride)
60 EA   59385002160 5
PDPs
61
MAPDs
BELBUCA 750 MCG FILM
(Buprenorphine Hydrochloride)
60 EA   59385002660 5
PDPs
61
MAPDs
BELBUCA 900 MCG FILM
(Buprenorphine Hydrochloride)
60 EA   59385002760 5
PDPs
61
MAPDs
BELSOMRA 10 MG TABLET
(Suvorexant)
    00006003330 30
PDPs
243
MAPDs
BELSOMRA 15 MG TABLET
(Suvorexant)
    00006032530 30
PDPs
243
MAPDs
BELSOMRA 20 MG TABLET
(Suvorexant)
    00006033530 30
PDPs
243
MAPDs
BELSOMRA 5 MG TABLET
(Suvorexant)
    00006000530 30
PDPs
243
MAPDs
BENAZEPRIL HCL 10 MG TABLET
(Benazepril HCl)
100.000 EA   43547033610 64
PDPs
402
MAPDs
BENAZEPRIL HCL 20 MG TABLET
(Benazepril HCl)
100.000 EA   43547033710 64
PDPs
402
MAPDs
BENAZEPRIL HCL 40 MG TABLET
(Benazepril HCl)
100.000 EA   43547033810 64
PDPs
402
MAPDs
BENAZEPRIL HCL 5 MG TABLET
(Benazepril HCl)
100.000 EA   43547033510 64
PDPs
402
MAPDs
BENAZEPRIL-HCTZ 10-12.5 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)
30 TABLETS   00574022701 64
PDPs
399
MAPDs
BENAZEPRIL-HCTZ 20-12.5 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)
90 TABLETS   00574022901 64
PDPs
399
MAPDs
BENAZEPRIL-HCTZ 20-25 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)
90 TABLETS   00574022801 64
PDPs
399
MAPDs
BENAZEPRIL-HCTZ 5-6.25 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)
30 TABLETS   00185023601 64
PDPs
399
MAPDs
BENICAR 20 MG TABLET
(Olmesartan Medoxomil)
30.000 EA   65597010330 2
PDPs
4
MAPDs
BENICAR 40 MG TABLET
(Olmesartan Medoxomil)
30.000 EA   65597010430 2
PDPs
4
MAPDs
BENICAR 5MG TABLET
(Olmesartan Medoxomil)
30 BOT 65597010130 2
PDPs
4
MAPDs
BENICAR HCT 20-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30.000 EA   65597010530 2
PDPs
4
MAPDs
BENICAR HCT 40-25 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30.000 EA   65597010730 2
PDPs
4
MAPDs
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide)
30 BOT 65597010630 2
PDPs
4
MAPDs
BENLYSTA 200 MG/ML AUTOINJECT
(BELIMUMAB)
1 ML   49401008835 61
PDPs
396
MAPDs
BENLYSTA 200 MG/ML SYRINGE
(BELIMUMAB)
1 ML   49401008847 61
PDPs
398
MAPDs
BENZACLIN GEL 50G PUMP
(Clindamycin Phosphate-Benzoyl Peroxide)
50 GM   00187519050 0
PDPs
1
MAPDs
BENZAMYCIN GEL
(Benzoyl Peroxide-Erythromycin)
    00187520546 2
PDPs
1
MAPDs
BENZNIDAZOLE 100 MG TABLET
()
tablets   00642746410 36
PDPs
203
MAPDs
BENZNIDAZOLE 12.5 MG TABLET
()
tablets   00642746312 36
PDPs
203
MAPDs
BENZTROPINE MES 0.5 MG TABLET [Cogentin]
(Benztropine)
60 tablets   00603243721 64
PDPs
403
MAPDs
BENZTROPINE MES 1 MG TABLET [Cogentin]
(Benztropine)
30 tablets   00603243821 64
PDPs
403
MAPDs
BENZTROPINE MES 2 MG TABLET [Cogentin]
(Benztropine Mesylate)
30 TABLETS   69315013810 64
PDPs
403
MAPDs
BEPOTASTINE 1.5% EYE DROPS [Bepreve]
()
5 MLS   24208063005 18
PDPs
208
MAPDs
BEPREVE 1.5% EYE DROPS
(Bepotastine Besilate Ophth)
5.000 ML   24208062902 12
PDPs
101
MAPDs
BERINERT 500 UNIT KIT
(HUMAN C1-ESTERASE INHIBITOR 5001 in 10mL)
1 EA   63833082502 14
PDPs
168
MAPDs
BESER 0.05% LOTION [Cutivate]
(Fluticasone Propionate)
60 mls   43538097060 3
PDPs
33
MAPDs
BESIVANCE BESIFLOACIN OPTHALMIC SUSPENSION 0.6% 5 ML BOTDR
(Besifloxacin HCl Ophth)
5 ML BOTDR 24208044605 39
PDPs
211
MAPDs
Betamethasone Dipropionate 0.64mg/g / 45 g TUBE
(Betamethasone Dipropionate)
1 TUBE in 1 CARTON / 45 g   51672127406 55
PDPs
394
MAPDs
BETAMETHASONE DP 0.05% LOTION
(Betamethasone Dipropionate)
60.000 ML   45802002146 55
PDPs
392
MAPDs
BETAMETHASONE DP 0.05% OINTMENT [Maxivate]
(Betamethasone Dipropionate)
45 GRAMS   00168005646 55
PDPs
391
MAPDs
BETAMETHASONE DP AUG 0.05% CREAM (g) [RRB Pak]
(Augmented Betamethasone Dipropionate)
grams   51672131003 56
PDPs
393
MAPDs
BETAMETHASONE DP AUG 0.05% GEL
(Augmented Betamethasone Dipropionate)
50 GM   51672130903 52
PDPs
366
MAPDs
BETAMETHASONE DP AUG 0.05% LOT LOTION [Diprolene]
(Augmented Betamethasone Dipropionate)
60 MLS   52565002359 53
PDPs
378
MAPDs
BETAMETHASONE DP AUG 0.05% OINTMENT [Diprolene]
(Augmented Betamethasone Dipropionate)
50 GRAMS   68180094702 56
PDPs
388
MAPDs
BETAMETHASONE VA 0.1% CREAM (G) [Valisone]
(Betamethasone Valerate)
45 GRAMS   51672126906 55
PDPs
393
MAPDs
BETAMETHASONE VALER 0.1% LOTION [Valisone]
(Betamethasone Valerate)
60 MLS   00168004160 55
PDPs
391
MAPDs
BETAMETHASONE VALER 0.1% OINTMENT [Valisone]
(Betamethasone Valerate)
45 GRAMS   00168003346 55
PDPs
393
MAPDs
BETAMETHASONE VALER 0.12% FOAM [Luxiq Foam]
()
100 GRAMS   45802005302 2
PDPs
69
MAPDs
BETAPACE AF 120 MG TABLET
(Sotalol HCl)
    70515011906 0
PDPs
1
MAPDs
BETAPACE AF 160 MG TABLET
(Sotalol HCl (AFIB/AFL))
    70515011606 0
PDPs
1
MAPDs
BETAPACE AF 80 MG TABLET
(Sotalol HCl)
    70515011506 0
PDPs
1
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)
1.000 EA   50419052435 63
PDPs
340
MAPDs
BETAXOLOL 10 MG TABLET
(Betaxolol HCl)
100.000 EA   10702001301 30
PDPs
317
MAPDs
BETAXOLOL 20 MG TABLET
(Betaxolol HCl)
100.000 EA   10702001401 30
PDPs
317
MAPDs
BETAXOLOL HCL 0.5% EYE DROPS
(Betaxolol HCl)
5 MLS   61314024501 53
PDPs
356
MAPDs
BETHANECHOL 10 MG TABLET
(Bethanechol)
100.000 EA   65162057210 64
PDPs
403
MAPDs
BETHANECHOL 25 MG TABLET
(Bethanechol)
100.000 EA   65162057310 64
PDPs
403
MAPDs
BETHANECHOL 5 MG TABLET
(Bethanechol)
100.000 EA   65162057110 64
PDPs
403
MAPDs
BETHANECHOL 50 MG TABLET
(Bethanechol)
100.000 EA   65162057410 64
PDPs
403
MAPDs
BETHKIS 300 MG/4 ML AMPULE
(tobramycin)
4 ML   10122082056 1
PDPs
11
MAPDs
BETIMOL 0.25% EYE DROPS
(Timolol Ophth)
    76478000105 4
PDPs
72
MAPDs
BETIMOL 0.5% EYE DROPS
(Timolol)
    76478000205 4
PDPs
79
MAPDs
BETOPTIC S OPHTHALMIC SUSPENSION 0.25% 10 ML BOT
(Betaxolol HCl Ophth)
10 ML BOT 00065024610 22
PDPs
200
MAPDs
BEVESPI AEROSPHERE INHALER
(Glycopyrrolate and formoterol fumarate)
10.700 GM   00310460012 16
PDPs
142
MAPDs
BEXAROTENE 75 MG CAPSULE [Targretin]
(Bexarotene)
1 capsule   68682000310 64
PDPs
403
MAPDs
BEXSERO PREFILLED SYRINGE
(Meningococcal group b vaccine)
0.5 ML   58160097620 64
PDPs
403
MAPDs
Beyaz 3 BLISTER PACK in 1 PACKAGE / 1 KIT per BLISTER PACK
(DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM AND LEVOMEFOLATE CALCIUM)
3 BLISTER PACK in 1 PKG   50419040703 0
PDPs
3
MAPDs
BICALUTAMIDE 50 MG TABLET
(Bicalutamide)
30.000 EA   16729002310 64
PDPs
403
MAPDs
BICILL LA PFS 600MU 1ML PED
(Penicillin G Benzathine Intramuscular)
TEN 4ML CTG 60793070210 63
PDPs
390
MAPDs
BICILLIN C-R 1.2MM UNITS SYRINGE 2ML x 10
(Penicillin G Procaine & Benzathine)
    60793060010 14
PDPs
190
MAPDs
BICILLIN C-R 900/300 SYRINGE 2ML x 10
(Penicillin G Procaine & Benzathine)
    60793060210 14
PDPs
182
MAPDs
BICILLIN LA PFS 1200MU 2ML
(Penicillin G Benzathine Intramuscular)
TEN 2ML CTG 60793070110 63
PDPs
387
MAPDs
BICILLIN LA. 600000UNIT/ML 1ML
(Penicillin G Benzathine Intramuscular)
TEN 1ML CTG 60793070010 64
PDPs
393
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA   24338001018 12
PDPs
186
MAPDs
BIJUVA 1 MG-100 MG CAPSULE
(Estradiol, Progesterone)
30 capsules   50261021130 0
PDPs
11
MAPDs
BIKTARVY 50-200-25 MG TABLET
(Bictegravir Sodium, Emtricitabine, and Tenofovir Alafenamide Fumarate )
30   61958250101 64
PDPs
403
MAPDs
Biltricide 600mg/1 6 FILM COATED TABLETS in BOTTLE
(Praziquantel)
6 TABLET, FILM COATED   50419074701 2
PDPs
1
MAPDs
BIMATOPROST 0.03% EYE DROPS [Lumigan]
(Bimatoprost Ophth)
2.5 MLS   60505058304 17
PDPs
184
MAPDs
BINOSTO 70 MG EFFERVESCENT TABLET
(Alendronic Acid)
4 UNITS   17139040004 2
PDPs
20
MAPDs
BISOPROLOL FUMARATE 10 MG TABLET
(Bisoprolol Fumarate)
100.000 EA   29300012701 64
PDPs
402
MAPDs
BISOPROLOL FUMARATE 5 MG TABLET
(Bisoprolol Fumarate)
100.000 EA   29300012601 64
PDPs
402
MAPDs
BISOPROLOL-HCTZ 10-6.25 MG TABLET
(Bisoprolol & Hydrochlorothiazide)
100.000 EA   29300018901 55
PDPs
394
MAPDs
BISOPROLOL-HCTZ 2.5-6.25 MG TABLET
(Bisoprolol & Hydrochlorothiazide)
100.000 EA   29300018701 55
PDPs
394
MAPDs
BISOPROLOL-HCTZ 5-6.25 MG TABLET
(Bisoprolol & Hydrochlorothiazide)
100 EA   29300018801 55
PDPs
394
MAPDs
BIVIGAM 10% VIAL [Panzyga]
(Immune Globulin (Human))
50 MLS   69800650201 21
PDPs
205
MAPDs
BLEPH-10 10% EYE DROPS
(Sulfacetamide Sodium Ophth)
5 ML BOT 11980001105 1
PDPs
49
MAPDs
BLEPHAMIDE 10-0.2% EYE OINTMENT
(Sulfacetamide Sodium-Prednisolone Ophth)
3.5 GM TUBE 00023031304 23
PDPs
227
MAPDs
BLEPHAMIDE EYE DROPS
(Sulfacetamide Sodium-Prednisolone Ophth)
5.000 ML   11980002205 6
PDPs
136
MAPDs
BLISOVI 24 FE TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 tablets   68180086473 39
PDPs
254
MAPDs
BLISOVI FE 1.5-30 TABLET [Microgestin Fe 1.5/30]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 tablets   68180086673 54
PDPs
349
MAPDs
BONIVA 150 MG TABLET
(Ibandronate Sodium)
3.000 EA   00004018683 0
PDPs
1
MAPDs
BONJESTA ER 20-20 MG TABLET IR DR
()
60 units   55494012060 0
PDPs
4
MAPDs
BOOSTRIX TDAP VACCINE SYRINGE
(Tet Tox-Diph-Acell Pertuss Ad)
    58160084252 64
PDPs
403
MAPDs
BOOSTRIX TDAP VACCINE VIAL
(Tet Tox-Diph-Acell Pertuss Ad)
    58160084211 64
PDPs
403
MAPDs
BOSENTAN 125 MG TABLET [Tracleer]
(Bosentan)
30 tablets   68382044714 34
PDPs
347
MAPDs
BOSENTAN 62.5 MG TABLET [Tracleer]
(Bosentan)
30 tablets   68382044614 34
PDPs
347
MAPDs
BOSULIF 100 MG TABLET
(bosutinib monohydrate)
30 EA   00069013501 64
PDPs
403
MAPDs
BOSULIF 400 MG TABLET
(bosutinib monohydrate)
    00069019301 64
PDPs
403
MAPDs
BOSULIF 500 MG TABLET
(bosutinib monohydrate)
30 EA   00069013601 64
PDPs
403
MAPDs
BRAFTOVI 75 MG CAPSULE
(Encorafenib)
capsules   70255002501 64
PDPs
403
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)
60 EA   00173085910 61
PDPs
381
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)
60 EA   00173088210 61
PDPs
381
MAPDs
BREZTRI AEROSPHERE INHALER HFA AER AD
(Budesonide, Glycopyrrolate, Formoterol)
10.7 GRAMS   00310461612 33
PDPs
296
MAPDs
BRIELLYN TABLET
(NORETHINDRONE AND ETHINYL ESTRADIOL)
28 EA   68462031629 54
PDPs
351
MAPDs
BRILINTA 60 MG TABLET
(TICAGRELOR)
    00186077660 64
PDPs
403
MAPDs
BRILINTA 90mg/1 60 TABLET BOTTLE
(TICAGRELOR)
60 TABLET in 1 BOTTLE   00186077760 64
PDPs
403
MAPDs
BRIMONIDINE 0.2% EYE DROPS [Alphagan]
(Brimonidine Tartrate Ophth)
5 mls   61314014305 64
PDPs
403
MAPDs
BRIMONIDINE TARTRATE 0.15% DROPS
(Brimonidine Tartrate Ophth)
5.000 ML   61314014405 56
PDPs
355
MAPDs
BRINZOLAMIDE 1% EYE DROPS EYE DROPPER [Azopt]
(Brinzolamide Ophth)
10 MLS   00591212779 26
PDPs
243
MAPDs
BRISDELLE 7.5 MG CAPSULE
(paroxetine mesylate)
    54766090753 0
PDPs
1
MAPDs
BRIVIACT 10 MG TABLET
(Brivaracetam)
60 EA   50474037066 64
PDPs
403
MAPDs
BRIVIACT 10 MG/ML ORAL SOLUTION
(Brivaracetam)
300 ML   50474087015 64
PDPs
403
MAPDs
BRIVIACT 100 MG TABLET
(Brivaracetam)
60 EA   50474077066 64
PDPs
403
MAPDs
BRIVIACT 25 MG TABLET
(Brivaracetam)
60 EA   50474047066 64
PDPs
403
MAPDs
BRIVIACT 50 MG TABLET
(Brivaracetam)
60 EA   50474057066 64
PDPs
403
MAPDs
BRIVIACT 75 MG TABLET
(Brivaracetam)
60 EA   50474067066 64
PDPs
403
MAPDs
BROMFENAC SODIUM 0.09% EYE DROPS [Xibrom]
(BROMFENAC SODIUM)
1.7 MLS   62332050817 23
PDPs
274
MAPDs
BROMOCRIPTINE 2.5 MG TABLET [Parlodel]
(Bromocriptine Mesylate)
15 TABLETS   00574010603 64
PDPs
403
MAPDs
BROMOCRIPTINE 5 MG CAPSULE [Parlodel]
()
30 CAPSULES   68382011006 49
PDPs
375
MAPDs
BROMSITE 0.075% EYE DROPS
(BROMFENAC SODIUM)
mls   49708075441 18
PDPs
197
MAPDs
BRONCHITOL 40 MG INHALE CAPSULE W/DEV
(Mannitol)
10 UNITS   10122021256 4
PDPs
74
MAPDs
BROVANA 15MCG/2ML VIAL NEBULIZER
(Arformoterol Tartrate)
30 X 1 VIAL POUCH CRTN 63402091130 5
PDPs
132
MAPDs
BRUKINSA 80 MG CAPSULE
(Zanubrutinib)
CAPSULES   72579001102 64
PDPs
403
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)
60 mls   00187000260 0
PDPs
5
MAPDs
BUDESONIDE 0.25 MG/2 ML SUSP AMPUL-NEB [Pulmicort]
(Budesonide)
60 mls   00093681573 64
PDPs
400
MAPDs
BUDESONIDE 0.5 MG/2 ML SUSP AMPUL-NEB [Pulmicort]
(Budesonide)
60 mls   00093681673 64
PDPs
403
MAPDs
BUDESONIDE 1 MG/2 ML INH SUSP AMPUL-NEB [Pulmicort]
(Budesonide)
60 mls   69097032187 49
PDPs
308
MAPDs
BUDESONIDE EC 3 MG CAPSULE DR - ER [Entocort EC]
(Budesonide)
90 units   65162077810 64
PDPs
403
MAPDs
BUDESONIDE ER 9 MG TABLET TABDR - ER [UCERIS]
()
30 UNITS   00591251030 63
PDPs
357
MAPDs
BUDESONIDE-FORMOTEROL 160-4.5 HFA AER AD [Symbicort]
(Budesonide-Formoterol Fumarate Dihyd)
10.2 GRAMS   00310737020 0
PDPs
56
MAPDs
BUDESONIDE-FORMOTEROL 80-4.5 HFA AER AD [Symbicort]
(Budesonide-Formoterol Fumarate Dihyd)
10.2 GRAMS   00310737220 0
PDPs
56
MAPDs
BUMETANIDE 0.5 MG TABLET [Bumex]
()
30 TABLETS   42799011901 64
PDPs
403
MAPDs
BUMETANIDE 1 MG TABLET [Bumex]
()
30 TABLETS   42799012001 64
PDPs
403
MAPDs
BUMETANIDE 1 MG/4 ML VIAL
(Bumetanide)
2 mls   00641600810 61
PDPs
377
MAPDs
BUMETANIDE 2 MG TABLET [Bumex]
()
30 tablets   42799012101 64
PDPs
403
MAPDs
BUPAP 50 MG-300 MG TABLET
(Butalbital-Acetaminophen)
100 EA   00095300001 0
PDPs
6
MAPDs
BUPHENYL 500 MG TABLET
(Sodium Phenylbutyrate Oral)
250 EA   75987006008 2
PDPs
1
MAPDs
BUPHENYL POWDER
(Sodium Phenylbutyrate Oral)
    75987007009 0
PDPs
1
MAPDs
BUPRENORP-NALOX 12-3 MG SL FILM [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)
7 units   47781035803 57
PDPs
354
MAPDs
BUPRENORPHIN-NALOXON 8-2 MG SL SUSLIGUAL TABLET [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)
14 tablets   00054018913 60
PDPs
381
MAPDs
BUPRENORPHINE 10 MCG/HR PATCH [Butrans]
()
4 PATCHES   00093365740 12
PDPs
189
MAPDs
BUPRENORPHINE 15 MCG/HR PATCH [Butrans]
()
4 patches   42858058640 12
PDPs
189
MAPDs
BUPRENORPHINE 2 MG SUBLIGUAL TABLET [Subutex]
()
60 TABLETS   42858050103 64
PDPs
403
MAPDs
BUPRENORPHINE 20 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)
4 PATCHES   42858083940 12
PDPs
189
MAPDs
BUPRENORPHINE 5 MCG/HR PATCH [Butrans]
()
4 patches   42858075040 12
PDPs
189
MAPDs
BUPRENORPHINE 7.5 MCG/HR PATCH [Butrans]
()
4 patches   42858035340 12
PDPs
191
MAPDs
BUPRENORPHINE 8 MG TABLET SUSLIGUAL [Subutex]
(Buprenorphine)
30 tablets   00054017713 64
PDPs
403
MAPDs
BUPRENORPHINE-NALOX 2-0.5MG FILM [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)
30 UNITS   47781035503 57
PDPs
354
MAPDs
BUPRENORPHINE-NALOX 4-1MG FILM [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)
30 UNITS   47781035603 57
PDPs
354
MAPDs
BUPRENORPHINE-NALOX 8-2MG FILM [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)
14 UNITS   47781035703 57
PDPs
354
MAPDs
BUPRENORPHN-NALOXN 2-0.5 MG TABLET SUSLIGUAL [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)
30 tablets   00054018813 60
PDPs
381
MAPDs
BUPROPION HCL 100 MG TABLET
(Bupropion HCl)
100.000 EA   60505015701 64
PDPs
403
MAPDs
BUPROPION HCL 75 MG TABLET
(Bupropion HCl)
100.000 EA   60505015801 64
PDPs
403
MAPDs
BUPROPION HCL SR 100 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))
30 units   43547028810 64
PDPs
403
MAPDs
BUPROPION HCL SR 150 MG TABLET
(Bupropion HCl (Smoking Deterrent))
60.000 EA   00591354360 64
PDPs
403
MAPDs
BUPROPION HCL SR 150 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))
60 units   43547028910 64
PDPs
403
MAPDs
BUPROPION HCL SR 200 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))
30 UNITS   43547029010 64
PDPs
403
MAPDs
BUPROPION HCL XL 150 MG TABLET
(Bupropion HCl)
500 EA   10370010150 64
PDPs
403
MAPDs
BUPROPION HCL XL 300 MG TABLET ER 24H [Wellbutrin XL]
()
30 TABLETS   70436001102 64
PDPs
403
MAPDs
BUSPIRONE HCL 15 MG TABLET
(Buspirone HCl)
100.000 EA   00093100301 64
PDPs
403
MAPDs
BUSPIRONE HCL 30 MG TABLET
(Buspirone HCl)
60.000 EA   00093520006 64
PDPs
403
MAPDs
BUSPIRONE HCL 5 MG TABLET
(Buspirone HCl)
100.000 EA   00093005301 64
PDPs
403
MAPDs
BUSPIRONE HCL 7.5 MG TABLET
(Buspirone)
60 tablets   64380078706 64
PDPs
402
MAPDs
BUSPIRONE HYDROCHLORIDE 10 MG TABLET
(Buspirone HCl)
100 BOT 00093005401 64
PDPs
403
MAPDs
BUTALB-ACETAMIN-CAFF 50-300-40 CAPSULE [Phrenilin Forte]
(Butalbital, Acetaminophen, Caffeine)
30 CAPSULES   00591264001 9
PDPs
86
MAPDs
BUTALB-ACETAMIN-CAFF 50-325-40 TABLET [Repan]
(Butalbital, Acetaminophen, Caffeine)
30 TABLETS   00527169505 36
PDPs
221
MAPDs
BUTALB-CAFF-ACETAMINOPH-CODEIN
(Butalbital-Acetaminophen-Caff w/ COD)
100.000 EA   51991007301 6
PDPs
116
MAPDs
BUTALBITAL-ACETAMINOPHN 25-325 TABLET [Allzital]
(Butalbital, Acetaminophen)
15 TABLETS   71993030110 1
PDPs
5
MAPDs
BUTALBITAL-ACETAMINOPHN 50-300 CAPSULE
(Butalbital-Acetaminophen)
20 capsules   51862054401 1
PDPs
9
MAPDs
BUTALBITAL-ACETAMINOPHN 50-300 TABLET [ORBIVAN CF]
(Butalbital, Acetaminophen)
30 TABLETS   68682030601 0
PDPs
14
MAPDs
BUTALBITAL-ACETAMINOPHN 50-325 TABLET [Phrenilin]
(Butalbital, Acetaminophen)
30 TABLETS   47781062801 14
PDPs
96
MAPDs
BUTALBITAL-ASA-CAFFEINE CAPSULE [Fiorinal]
(Butalbital, Aspirin, Caffeine)
30 CAPSULES   00527155201 31
PDPs
170
MAPDs
BUTALBITAL/ACETAMINOPHEN/CAFFEINE CAPSULE
(Butalbital-Acetaminophen-Caffeine)
    51862017901 13
PDPs
102
MAPDs
BUTORPHANOL 10 MG/ML SPRAY [Stadol NS]
(Butorphanol Tartrate)
2.5 MLS   00054309036 29
PDPs
242
MAPDs
Butrans 10ug/h
(buprenorphine (transdermal))
    59011075104 5
PDPs
2
MAPDs
BUTRANS 15 MCG/HR PATCH
(buprenorphine (transdermal))
4 EA   59011075804 5
PDPs
2
MAPDs
Butrans 20ug/h
(buprenorphine (transdermal))
    59011075204 5
PDPs
2
MAPDs
Butrans 5ug/h
(buprenorphine (transdermal))
    59011075004 5
PDPs
2
MAPDs
BUTRANS 7.5 MCG/HR PATCH
(buprenorphine (transdermal))
4 EA   59011075704 5
PDPs
2
MAPDs
BYDUREON BCISE 2 MG AUTOINJECT
(Exenatide)
3.4 mls   00310654004 54
PDPs
274
MAPDs
BYETTA 10 MCG DOSE PEN INJ
(Exenatide)
2.4 ML   00310652401 27
PDPs
196
MAPDs
BYETTA 5 MCG DOSE PEN INJ
(Exenatide)
1.2 ML   00310651201 27
PDPs
196
MAPDs
Bystolic 10mg/1 30 TABLET BOTTLE
(Nebivolol HCl)
30 TABLET in 1 BOTTLE   00456141030 42
PDPs
336
MAPDs
Bystolic 2.5mg/1 30 TABLET BOTTLE
(Nebivolol HCl)
30 TABLET in 1 BOTTLE   00456140230 42
PDPs
336
MAPDs
BYSTOLIC 20 MG TABLET
(Nebivolol HCl)
30.000 EA   00456142030 42
PDPs
336
MAPDs
Bystolic 5mg 30 TABLET BOTTLE
(Nebivolol HCl)
30 TABLET in 1 BOTTLE   00456140530 42
PDPs
336
MAPDs
CALCIPOTRIENE-BETAMETH DP OINTMENT [Taclonex]
(Calcipotriene)
60 grams   00781716535 3
PDPs
59
MAPDs
CALCIPOTRIENE-BETAMETH DP SUSPENSION [Taclonex Scalp]
(Calcipotriene, Betamethasone)
60 GRAMS   66993093761 4
PDPs
58
MAPDs
CARVEDILOL ER 10 MG CAPSULE
(Carvedilol)
    57664066383 12
PDPs
96
MAPDs
CLARITHROMYCIN 500 MG TABLET [Biaxin]
(Clarithromycin)
28 tablets   00527193206 64
PDPs
403
MAPDs
CLARITHROMYCIN ER 500 MG TABLET ER 24H [Biaxin XL]
(Clarithromycin)
14 TABLETS   00527193006 48
PDPs
360
MAPDs
CLIND PH-BENZOYL PERO 1.2-2.5% GEL W/PUMP [Acanya]
(Clindamycin Phosphate-Benzoyl Peroxide)
50 GRAMS   45802059701 1
PDPs
59
MAPDs
CLIND PH-BENZOYL PEROX 1.2-5% [Benzaclin]
(Clindamycin Phosphate-Benzoyl Peroxide)
45.000 GM   45802073684 10
PDPs
160
MAPDs
CLINDAMYCIN-BENZOYL PEROX 1-5% GEL [BenzaClin]
(Benzoyl Peroxide;Clindamycin)
50 GRAMS   45802050702 23
PDPs
187
MAPDs
COLAZAL 750MG CAPSULE
(Balsalazide Disodium)
280 CAPSULES BOT 65649010102 2
PDPs
3
MAPDs
COMBIGAN 0.2%-0.5% DROPS
(Brimonidine Tartrate-Timolol Maleate Ophth)
5 ML BOTDR 00023921105 60
PDPs
387
MAPDs
CYCLOSET 0.8MG TABLETS
(Bromocriptine Mesylate)
200 BOT 68012025820 19
PDPs
138
MAPDs
CYSTADANE 1 GRAM/1.7 ML POWDER
(Betaine)
180 GM   52276040001 59
PDPs
347
MAPDs
DICYCLOMINE 10 MG CAPSULE [Bentyl]
(Dicyclomine HCl)
90 CAPSULES   00591079401 62
PDPs
400
MAPDs
DICYCLOMINE 20 MG TABLET [Bentyl]
(Dicyclomine HCl)
30 tablets   00591079501 64
PDPs
400
MAPDs
DROSP-EE-LEVOMEF 3-0.02-0.451 [Beyaz, Safyral]
(DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM)
28.000 EA   00781407515 23
PDPs
80
MAPDs
DUAVEE 0.45-20 MG TABLET
(bazedoxifene and conjugated estrogens)
    00008112312 38
PDPs
218
MAPDs
ENTECAVIR 0.5 MG TABLET [Baraclude]
(Entecavir)
30 tablets   31722083330 64
PDPs
403
MAPDs
ENTECAVIR 1 MG TABLET [Baraclude]
(Entecavir)
30 tablets   31722083430 64
PDPs
403
MAPDs
ENTOCORT EC 3 MG CAPSULE
(Budesonide)
100.000 EA   00574985010 0
PDPs
2
MAPDs
ESGIC 50-325-40 MG TABLET
(Butalbital-Acetaminophen-Caffeine)
  68308022001 0
PDPs
6
MAPDs
FASENRA 30 MG/ML SYRINGE
(Benralizumab)
    00310173030 34
PDPs
285
MAPDs
FASENRA PEN 30 MG/ML AUTO INJCT
(Benralizumab)
ml   00310183030 34
PDPs
305
MAPDs
FIORICET 50-300-40 MG CAPSULE
(Butalbital-Acetaminophen-Caffeine)
100 EA   52544008001 0
PDPs
3
MAPDs
Fioricet/Codeine 50-300-40-30 CAPSULE
(Butalbital-Acetaminophen-Caff w/ COD)
100 EA   52544008201 0
PDPs
3
MAPDs
FORFIVO XL 450 MG TABLET
(bupropion hydrochloride)
30 EA   52427057530 2
PDPs
21
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)
5 GM   45802039601 0
PDPs
18
MAPDs
HELIDAC THERAPY PACK COMBO PKG
(Bismuth Subsalicylate;Metronidazole;Tetracycline)
UNITS   70199002114 0
PDPs
4
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
3 tablets   55111057503 63
PDPs
401
MAPDs
Intuniv 1 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)
100 TABLET, EXTENDED RELE   54092051302 0
PDPs
1
MAPDs
Intuniv 2 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)
100 TABLET, EXTENDED RELE   54092051502 0
PDPs
1
MAPDs
Intuniv 3 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)
100 TABLET, EXTENDED RELE   54092051702 0
PDPs
1
MAPDs
Intuniv 4 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)
100 TABLET, EXTENDED RELE   54092051902 0
PDPs
1
MAPDs
LEVOBUNOLOL 0.5% EYE DROPS [Betagan]
(Levobunolol)
5 MLS   24208050505 55
PDPs
393
MAPDs
LOTENSIN 10 MG TABLET
(Benazepril)
30 tablets   30698044801 2
PDPs
3
MAPDs
LOTENSIN 20 MG TABLET
(Benazepril HCl)
    30698044901 2
PDPs
3
MAPDs
LOTENSIN 40 MG TABLET
(Benazepril HCl)
    30698045001 2
PDPs
3
MAPDs
LUMIGAN 0.01% EYE DROPS
(Bimatoprost Ophth)
2.500 ML   00023320503 59
PDPs
390
MAPDs
LUXIQ 0.12% FOAM
(Betamethasone Valerate)
100 grams   00378818701 0
PDPs
1
MAPDs
MEKTOVI 15 MG TABLET
(Binimetinib)
tablets   70255001002 64
PDPs
403
MAPDs
MENTAX 1% CREAM
(Butenafine HCl)
30.000 GM   00378615149 3
PDPs
43
MAPDs
MIRVASO 0.33% GEL PUMP
(Brimonidine Tartrate)
30 GM   00299598035 4
PDPs
22
MAPDs
MUPIROCIN 2% CREAM (g) [Bactroban]
(Mupirocin)
15 grams   68462056435 17
PDPs
122
MAPDs
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT
(Bacitracin-Polymyxin-Neomycin-HC Ophth)
3.5 GM TUBE 24208078555 51
PDPs
379
MAPDs
NEXLETOL 180 MG TABLET
(Bempedoic Acid)
30 TABLETS   72426011803 7
PDPs
126
MAPDs
NEXLIZET 180-10 MG TABLET
(Bempedoic Acid, Ezetimibe)
30 TABLETS   72426081803 7
PDPs
126
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)
3.5 GRAM TUBE 24208078055 53
PDPs
386
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TABLET [Benicar]
(Olmesartan Medoxomil)
30 TABLETS   68462043730 61
PDPs
396
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TABLET [Benicar]
(Olmesartan Medoxomil)
30 TABLETS   68462043890 61
PDPs
396
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TABLET [Benicar]
(Olmesartan Medoxomil)
30 TABLETS   68462043630 61
PDPs
396
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 TABLETS   62332014930 61
PDPs
393
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 TABLETS   62332015030 61
PDPs
393
MAPDs
OLMESARTAN-HCTZ 40-25 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 TABLETS   62332015130 61
PDPs
393
MAPDs
OLUMIANT 1 MG TABLET
(Baricitinib)
tablets   00002473230 1
PDPs
91
MAPDs
OLUMIANT 2 MG TABLET
(Baricitinib)
tablets   00002418230 1
PDPs
93
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)
    00187305050 0
PDPs
5
MAPDs
ORLADEYO 110 MG CAPSULE
(Berotralstat)
CAPSULES   72769010201 5
PDPs
119
MAPDs
ORLADEYO 150 MG CAPSULE
(Berotralstat)
CAPSULES   72769010101 5
PDPs
118
MAPDs
ORTIKOS ER 6 MG CAPSULE
(Budesonide)
30 CAPSULES   55566100201 0
PDPs
14
MAPDs
ORTIKOS ER 9 MG CAPSULE
(Budesonide)
30 CAPSULES   55566102001 0
PDPs
14
MAPDs
PARLODEL 2.5 MG TABLET
(Bromocriptine Mesylate)
15 TABLETS   30698020230 0
PDPs
1
MAPDs
PARLODEL 5 MG CAPSULE
(Bromocriptine Mesylate)
30 capsules   30698020130 0
PDPs
1
MAPDs
PRAZIQUANTEL 600 MG TABLET [Biltricide]
(Praziquantel)
1 TABLET   49884023183 55
PDPs
293
MAPDs
PROLENSA 0.07% EYE DROPS
(Bromfenac Sodium)
    24208060203 43
PDPs
258
MAPDs
PULMICORT .25MG/2ML RESPULE
(Budesonide)
30 X 2 ML AMP 00186198804 0
PDPs
6
MAPDs
PULMICORT 1MG/2ML AMPUL FOR NEBULIZATION
(Budesonide)
5 AMP 00186199004 0
PDPs
6
MAPDs
PULMICORT FLEXHALER 180MCG AEROSOL POWDER BREATH ACTIVATED
(Budesonide)
120 METERED DOSES INHL 00186091612 17
PDPs
143
MAPDs
PULMICORT FLEXHALER 90MCG AEROSOL POWDER BREATH ACTIVATED
(Budesonide)
60 METERED DOSES CTR 00186091706 17
PDPs
138
MAPDs
PULMICORT RESPULES 0.5mg/2mL 6 POUCH per CARTON / 5 AMPULE in 1 POUCH / 2 mL in 1 AMPULE
(Budesonide)
6 POUCH in 1 CARTON   00186198904 0
PDPs
6
MAPDs
PYLERA CAPSULE
(Bismuth Subcit-Metronidazole-Tetracycline)
120 EA   58914060120 12
PDPs
107
MAPDs
QNASL 80 MCG NASAL SPRAY HFA AER AD
(contains Beclomethasone)
10.6 grams   59310041012 0
PDPs
12
MAPDs
QNASL CHILDREN'S 40 MCG SPRAY HFA AER AD
(contains Beclomethasone)
4.9 grams   59310040606 0
PDPs
11
MAPDs
QVAR REDIHALER 40 MCG
(Beclomethasone Dipropionate)
10.6 GM   59310030240 18
PDPs
122
MAPDs
QVAR REDIHALER 80 MCG
(Beclomethasone Dipropionate)
10.6 GM   59310030480 18
PDPs
122
MAPDs
REGRANEX 0.01% GEL
(Becaplermin)
15 GM   50484081015 41
PDPs
323
MAPDs
REXULTI 0.25 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003513 64
PDPs
403
MAPDs
REXULTI 0.5 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003613 64
PDPs
403
MAPDs
REXULTI 1 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003713 64
PDPs
403
MAPDs
REXULTI 2 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003813 64
PDPs
403
MAPDs
REXULTI 3 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148003913 64
PDPs
403
MAPDs
REXULTI 4 MG TABLET
(BREXPIPRAZOLE)
30 EA   59148004013 64
PDPs
403
MAPDs
RUFINAMIDE 200 MG TABLET [Banzel]
(Rufinamide)
60 TABLETS   68462071308 64
PDPs
403
MAPDs
RUFINAMIDE 40 MG/ML ORAL SUSPENSION [Banzel]
(Rufinamide)
460 MLS   00054052863 64
PDPs
401
MAPDs
RUFINAMIDE 400 MG TABLET [Banzel]
(Rufinamide)
180 TABLETS   68462071408 64
PDPs
403
MAPDs
SILIQ 210 MG/1.5 ML SYRINGE
(Brodalumab)
0.75 ml   00187000402 1
PDPs
26
MAPDs
SIMBRINZA 1%-0.2% EYE DROPS EYE DROPPER
(Brinzolamide, Brimonidine)
8 MLS   00078090438 43
PDPs
344
MAPDs
SIRTURO 100 MG TABLET
(Bedaquiline Fumarate)
    59676070101 64
PDPs
403
MAPDs
SIRTURO 20 MG TABLET
(Bedaquiline)
TABLETS   59676070260 62
PDPs
396
MAPDs
SODIUM PHENYLBUTYRATE 500MG TB [Buphenyl]
(Sodium Phenylbutyrate Oral)
250 EA   49884017004 54
PDPs
296
MAPDs
SODIUM PHENYLBUTYRATE POWDER [Buphenyl]
(Sodium Phenylbutyrate)
250 GM   42794008614 60
PDPs
312
MAPDs
SUBOXONE 12 MG-3 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)
    12496121203 9
PDPs
41
MAPDs
Suboxone 2; 0.5mg/1; mg/1 30 POUCH per CARTON / 1 FILM, SOLUBLE in 1 POUCH
(Buprenorphine HCl-Naloxone HCl SL)
30 POUCH in 1 CARTON   12496120203 9
PDPs
41
MAPDs
SUBOXONE 4 MG-1 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)
    12496120403 9
PDPs
41
MAPDs
Suboxone 8; 2mg/1; mg/1 30 POUCH per CARTON / 1 FILM, SOLUBLE in 1 POUCH
(Buprenorphine HCl-Naloxone HCl SL)
30 POUCH in 1 CARTON   12496120803 9
PDPs
41
MAPDs
SYMBICORT 160-4.5MCG HFA AEROSOL WITH ADAPTER
(Budesonide-Formoterol Fumarate Dihyd)
120 INHL 00186037020 49
PDPs
337
MAPDs
SYMBICORT 80; 4.5ug/1; ug/1 1 POUCH in 1 CARTON / 1 CANISTER in 1 POUCH / 120 AEROSOL in 1 CANISTER
(Budesonide-Formoterol Fumarate Dihyd)
1 POUCH in 1 CARTON   00186037220 49
PDPs
337
MAPDs
TARGRETIN 1% GEL
(Bexarotene)
    00187552560 64
PDPs
403
MAPDs
TARGRETIN 75 MG CAPSULE
(Bexarotene)
100 EA   00187552675 5
PDPs
22
MAPDs
Tencon 50-325 MG TABLET
(Butalbital-Acetaminophen)
    11584003001 9
PDPs
77
MAPDs
TERBUTALINE SULFATE 2.5 MG TABLET [Brethine]
()
30 TABLETS   62559072101 49
PDPs
357
MAPDs
TERBUTALINE SULFATE 5 MG TABLET [Brethine]
()
30 TABLETS   62559072201 49
PDPs
357
MAPDs
TOBRAMYCIN 0.3% EYE DROPS [Tobrex]
()
5 MLS   70069013101 64
PDPs
403
MAPDs
TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()
2.000 ML   63323030502 63
PDPs
356
MAPDs
TOBRAMYCIN 300 MG/4 ML AMPULE-NEB [BETHKIS]
()
224 MLS   00093375028 16
PDPs
162
MAPDs
TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()
5 ML   65162091446 61
PDPs
387
MAPDs
TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()
2.000 ML   63323030602 61
PDPs
403
MAPDs
TRACLEER 125MG TABLET
(Bosentan)
60 BOT 66215010206 4
PDPs
47
MAPDs
TRACLEER 32 MG TABLET FOR SUSPENSION TAB SUSP
(Bosentan)
UNITS   66215010314 26
PDPs
203
MAPDs
TRACLEER 62.5MG TABLET
(Bosentan)
60 BOT 66215010106 4
PDPs
47
MAPDs
UCERIS 2 MG RECTAL FOAM FOAM/APPL
(Budesonide)
66.8 grams   65649065103 2
PDPs
139
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)
    68012030930 0
PDPs
1
MAPDs
VTOL LQ 50-325-40 MG/15 ML SOLUTION
(Butalbital, Acetaminophen, Caffeine)
MLS   70154011116 1
PDPs
9
MAPDs
WELLBUTRIN SR 100MG TABLET SA
(Bupropion HCl)
60 BOT 00173094755 2
PDPs
1
MAPDs
WELLBUTRIN SR 150MG TABLET SA
(Bupropion HCl)
60 X 150 MG TABLETS BOT 00173013555 2
PDPs
1
MAPDs
WELLBUTRIN SR 200MG TABLET SA
(Bupropion HCl)
60 BOT 00173072200 2
PDPs
1
MAPDs
WELLBUTRIN XL 150 MG TABLET
(Bupropion HCl)
30 EA   00187073030 2
PDPs
2
MAPDs
WELLBUTRIN XL 300 MG TABLET
(Bupropion HCl)
30 EA   00187073130 2
PDPs
2
MAPDs
XOFLUZA 20 MG TABLET (40 MG DOSE)
(Baloxavir)
2 tablets   50242082802 42
PDPs
305
MAPDs
XOFLUZA 40 MG TABLET (80 MG DOSE)
(Baloxavir)
2 tablets   50242086002 41
PDPs
299
MAPDs
ZEBUTAL 50-325-40 MG CAPSULE
(Butalbital-Acetaminophen-Caffeine)
100 EA   68308055410 10
PDPs
67
MAPDs
ZIAC 10-6.25 MG TABLET
(Bisoprolol , Hydrochlorothiazide)
30 tablets   51285004001 2
PDPs
1
MAPDs
ZIAC 2.5-6.25MG TABLET
(Bisoprolol & Hydrochlorothiazide)
100 BOT 51285004702 2
PDPs
1
MAPDs
ZIAC 5-6.25 MG TABLET
(Bisoprolol , Hydrochlorothiazide)
30 tablets   51285005002 2
PDPs
1
MAPDs
ZUBSOLV 0.7-0.18 MG SUBLIGUAL TABLET
(buprenorphine hydrochloride and naloxone hydrochloride)
2 TABLETS   54123090730 10
PDPs
89
MAPDs
ZUBSOLV 1.4-0.36 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
30 EA   54123091430 10
PDPs
104
MAPDs
ZUBSOLV 11.4-2.9 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
    54123011430 10
PDPs
104
MAPDs
ZUBSOLV 2.9-0.71 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
    54123092930 10
PDPs
104
MAPDs
ZUBSOLV 5.7-1.4 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
30 EA   54123095730 10
PDPs
104
MAPDs
ZUBSOLV 8.6-2.1 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
    54123098630 10
PDPs
104
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data October 2021)




Tips & Disclaimers
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  • Medicare has neither reviewed nor endorsed the information on our site.
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  • 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.