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2022 Medicare Part D Formulary Search By Drug Letter

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Select a Letter below:
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  PR  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY

Drug Names Containing the Letter I in Alphabetical Order.
Example: Lipitor® is found on letter page "L" as well as letter page "A" for Atorvastatin.

Drug Name
Packaging NDC On This Nbr of 2022 Formularies
PDPs MAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)
    10631011531 0
PDPs
1
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)
    10631011631 0
PDPs
1
MAPDs
ABSORICA 25 MG CAPSULE
(Isotretinoin)
    10631013331 0
PDPs
2
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
    10631011731 0
PDPs
1
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)
    10631013431 0
PDPs
2
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)
    10631011831 0
PDPs
1
MAPDs
ABSORICA LD 16 MG CAPSULE
(Isotretinoin)
CAPSULES   10631000331 0
PDPs
3
MAPDs
ABSORICA LD 24 MG CAPSULE
(Isotretinoin)
CAPSULES   10631000531 0
PDPs
3
MAPDs
ABSORICA LD 32 MG CAPSULE
(Isotretinoin)
CAPSULES   10631000731 0
PDPs
3
MAPDs
ABSORICA LD 8 MG CAPSULE
(Isotretinoin)
CAPSULES   10631000231 0
PDPs
3
MAPDs
ACCUTANE 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 CAPSULES   72143023130 52
PDPs
360
MAPDs
ACCUTANE 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 CAPSULES   72143023230 52
PDPs
360
MAPDs
ACCUTANE 30 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 CAPSULES   72143023330 50
PDPs
360
MAPDs
ACCUTANE 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 CAPSULES   72143023430 52
PDPs
360
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1b (E. coli))
ml   75987011111 63
PDPs
404
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 0
PDPs
8
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 0
PDPs
8
MAPDs
AFREZZA 12 UNIT CARTRIDGE INHAL
(insulin)
    47918089190 0
PDPs
6
MAPDs
AFREZZA 4 UNIT/8 UNIT/12 UNIT
(insulin)
    47918090218 0
PDPs
6
MAPDs
AFREZZA 4 UNITS CARTRIDGE INH
(insulin)
    47918087490 0
PDPs
6
MAPDs
AFREZZA 8 UNIT CARTRIDGE INHAL
(insulin)
    47918087890 0
PDPs
6
MAPDs
AFREZZA 90-4 UNIT / 90-8 UNIT
(insulin)
    47918088018 0
PDPs
6
MAPDs
AFREZZA 90-8 UNIT / 90-12 UNIT CARTRIDGE INHAL
(insulin)
units   47918089818 0
PDPs
8
MAPDs
AMNESTEEM 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   00378661193 57
PDPs
338
MAPDs
AMNESTEEM 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 CAPSULES   00378661293 57
PDPs
340
MAPDs
AMNESTEEM 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   00378661493 57
PDPs
338
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML   00088250033 0
PDPs
16
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN 00597008717 63
PDPs
404
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30.000 EA   00024585530 2
PDPs
3
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30 EA   00024585630 2
PDPs
3
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)
30 EA   00024585130 2
PDPs
3
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)
30.000 EA   00024585230 2
PDPs
3
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)
90 EA   00024585090 2
PDPs
3
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(INTERFERON BETA-1A)
1 EA   59627033304 24
PDPs
285
MAPDs
AVONEX PREFILLED SYR 30 MCG KT
(INTERFERON BETA-1A)
1 EA   59627022205 24
PDPs
285
MAPDs
AZATHIOPRINE 50 MG TABLET [Imuran]
()
30 TABLETS   60219107601 63
PDPs
404
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin glargine)
3.000 ML   00002771559 20
PDPs
124
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)
1.000 EA   50419052435 62
PDPs
341
MAPDs
BIDIL 20 MG-37.5 MG TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
5 TABLETS   24338001009 10
PDPs
111
MAPDs
BIVIGAM 10% VIAL [Panzyga]
(Immune Globulin (Human))
50 MLS   69800650201 20
PDPs
205
MAPDs
Cilastatin 250 MG / Imipenem 250 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323034925 63
PDPs
401
MAPDs
Cilastatin 500 MG / Imipenem 500 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323032225 63
PDPs
402
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105486 60
PDPs
349
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105586 62
PDPs
349
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK CARTON   00555105686 60
PDPs
347
MAPDs
CLARAVIS 40 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105786 62
PDPs
348
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513080060 63
PDPs
404
MAPDs
CORLANOR 5 MG/5 ML ORAL SOLUTION
(Ivabradine)
mls   55513081328 51
PDPs
343
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513081060 63
PDPs
404
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)
    00469052014 31
PDPs
139
MAPDs
CROMOLYN 20 MG/2 ML NEB SOLN AMPUL-NEB [Intal]
(Cromolyn Sodium)
120 MLS   00172640649 63
PDPs
359
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
    75987001003 4
PDPs
12
MAPDs
DULOXETINE HCL DR 40 MG CAPSULE [Irenka]
(Duloxetine)
30 units   68180029706 12
PDPs
164
MAPDs
EPLERENONE 25 MG TABLET [Inspra]
(Eplerenone)
30 TABLETS   51991087733 43
PDPs
387
MAPDs
EPLERENONE 50 MG TABLET [Inspra]
(Eplerenone)
30 TABLETS   51991087833 43
PDPs
387
MAPDs
ERTAPENEM 1 GRAM VIAL [Invanz]
(Ertapenem)
3 mls   55150028220 63
PDPs
404
MAPDs
ETRAVIRINE 100 MG TABLET [INTELENCE]
()
TABLETS   60219172107 63
PDPs
401
MAPDs
ETRAVIRINE 200 MG TABLET [INTELENCE]
()
60 TABLETS   60219172206 63
PDPs
401
MAPDs
EXTAVIA 0.3 MG KIT
(Interferon Beta-1b)
UNITS   00078056912 2
PDPs
91
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010102 63
PDPs
404
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA   43068011002 63
PDPs
404
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)
    43068011202 63
PDPs
404
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010202 63
PDPs
404
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA   43068010402 63
PDPs
404
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010602 63
PDPs
404
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA   43068010802 63
PDPs
404
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA   43068011304 63
PDPs
402
MAPDs
FIASP 100 UNIT/ML FLEXTOUCH INSULIN PEN
(Insulin Aspart (Recombinant))
15 mls   00169320415 20
PDPs
237
MAPDs
FIASP 100 UNIT/ML VIAL
(Insulin Aspart (Recombinant))
10 mls   00169320111 20
PDPs
237
MAPDs
FIASP PENFILL 100 UNIT/ML CART CARTRIDGE
(Insulin Aspart (Recombinant))
mls   00169320515 20
PDPs
236
MAPDs
FIRAZYR 30 MG/3 ML SYRINGE
(ICATIBANT ACETATE)
3.000 ML   54092070203 2
PDPs
31
MAPDs
FLEBOGAMMA DIF 10% VIAL
(Immune Globulin (Human) IV)
50 MLS   61953000501 16
PDPs
264
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 25
PDPs
323
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265804 27
PDPs
316
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265603 31
PDPs
316
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 16
PDPs
235
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 31
PDPs
304
MAPDs
GAMMAPLEX 10 GRAM/200 ML VIAL
(immune globulin)
100 MLS   64208823403 29
PDPs
307
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 31
PDPs
305
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 31
PDPs
305
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 40
PDPs
337
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 2
PDPs
3
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 2
PDPs
3
MAPDs
GUANFACINE HCL ER 1 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053301 31
PDPs
330
MAPDs
GUANFACINE HCL ER 2 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053401 31
PDPs
330
MAPDs
GUANFACINE HCL ER 3 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   60505392901 31
PDPs
330
MAPDs
GUANFACINE HCL ER 4 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053801 33
PDPs
330
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))
10 mls   00002751001 42
PDPs
164
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 42
PDPs
164
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 42
PDPs
160
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 42
PDPs
159
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 42
PDPs
163
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 42
PDPs
165
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 42
PDPs
165
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 42
PDPs
164
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 42
PDPs
162
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 42
PDPs
163
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 42
PDPs
164
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 42
PDPs
163
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 42
PDPs
164
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 42
PDPs
164
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 56
PDPs
358
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 56
PDPs
363
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
3 tablets   55111057503 62
PDPs
402
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)
21 EA   00069018821 63
PDPs
404
MAPDs
IBRANCE 100 MG TABLET
(Palbociclib)
21 TABLETS   00069048603 63
PDPs
404
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)
21 EA   00069018921 63
PDPs
404
MAPDs
IBRANCE 125 MG TABLET
(Palbociclib)
7 TABLETS   00069068803 63
PDPs
404
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)
21 EA   00069018721 63
PDPs
404
MAPDs
IBRANCE 75 MG TABLET
(Palbociclib)
7 TABLETS   00069028403 63
PDPs
404
MAPDs
IBSRELA 50 MG TABLET
(Tenapanor)
60 TABLETS   73154005060 1
PDPs
9
MAPDs
IBU 600 MG TABLET [Toxicology Saliva Collection]
(Ibuprofen)
60 tablets   55111068305 63
PDPs
390
MAPDs
IBU 800 MG TABLET [Samson-8]
(Ibuprofen)
30 tablets   55111068405 63
PDPs
394
MAPDs
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [PediaCare Children's Pain Reliever/Fever Reducer IB]
(Ibuprofen)
120 MLS   45802095243 46
PDPs
363
MAPDs
IBUPROFEN 400 MG TABLET [Motrin]
(Ibuprofen)
90 tablets   67877031905 63
PDPs
404
MAPDs
IBUPROFEN 600 MG TABLET [Toxicology Saliva Collection]
(Ibuprofen)
60 tablets   67877032005 63
PDPs
404
MAPDs
IBUPROFEN 800 MG TABLET [Samson-8]
(Ibuprofen)
30 TABLETS   64380080707 63
PDPs
404
MAPDs
IBUPROFEN-FAMOTIDIN 800-26.6MG TABLET [DUEXIS]
(IBUPROFEN AND FAMOTIDINE)
90 TABLETS   67877062690 6
PDPs
29
MAPDs
ICATIBANT 30 MG/3 ML SYRINGE [FIRAZYR]
(ICATIBANT ACETATE)
9 mls   00093306693 58
PDPs
400
MAPDs
ICLEVIA 0.15 MG-0.03 MG TABLET TBDSPK 3MO [Setlakin]
(Inert;Levonorgestrel, Ethinyl Estradiol)
91 UNITS   65862086583 51
PDPs
324
MAPDs
ICLUSIG 10 MG TABLET
(ponatinib)
TABLETS   63020053630 63
PDPs
404
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)
tablets   63020053530 63
PDPs
404
MAPDs
ICLUSIG 30 MG TABLET
(ponatinib)
TABLETS   63020053330 63
PDPs
404
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)
tablets   63020053430 63
PDPs
404
MAPDs
ICOSAPENT ETHYL 1 GRAM CAPSULE [VASCEPA]
(Icosapent ethyl)
120 CAPSULES   00054050823 38
PDPs
166
MAPDs
IDHIFA 100 MG TABLET
(Enasidenib Mesylate)
    59572071030 63
PDPs
404
MAPDs
IDHIFA 50 MG TABLET
(Enasidenib Mesylate)
    59572070530 63
PDPs
404
MAPDs
ILEVRO 0.3% OPHTH DROPS EYE DROPPER
(nepafenac Dosage)
3 MLS   00078074303 38
PDPs
315
MAPDs
ILUMYA 100 MG/ML SYRINGE
(Tildrakizumab)
ml   47335017795 4
PDPs
57
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
()
90 TABLETS   00093762998 63
PDPs
404
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
()
30 tablets   00093763056 63
PDPs
404
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)
90 EA   57962014009 63
PDPs
404
MAPDs
IMBRUVICA 140 MG TABLET
(Ibrutinib)
tablets   57962001428 31
PDPs
314
MAPDs
IMBRUVICA 280 MG TABLET
(Ibrutinib)
tablets   57962028028 41
PDPs
352
MAPDs
IMBRUVICA 420 MG TABLET
(Ibrutinib)
tablets   57962042028 63
PDPs
404
MAPDs
IMBRUVICA 560 MG TABLET
(Ibrutinib)
tablets   57962056028 63
PDPs
404
MAPDs
IMBRUVICA 70 MG CAPSULE
(Ibrutinib)
capsules   57962007028 63
PDPs
404
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005401 63
PDPs
404
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005501 63
PDPs
404
MAPDs
IMIPRAMINE HCL 50 MG TABLET
(Imipramine HCl)
100.000 EA   49884005601 63
PDPs
404
MAPDs
IMIPRAMINE PAMOATE 100 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
60 capsules   68180031506 15
PDPs
148
MAPDs
IMIPRAMINE PAMOATE 125 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
CAPSULES   68180031606 15
PDPs
148
MAPDs
IMIPRAMINE PAMOATE 150 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
capsules   68180031706 15
PDPs
148
MAPDs
IMIPRAMINE PAMOATE 75 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
30 capsules   68180031406 15
PDPs
148
MAPDs
IMIQUIMOD 3.75% CREAM PACK [Zyclara]
(Imiquimod)
28 UNITS   51672417406 3
PDPs
43
MAPDs
IMIQUIMOD 5% CREAM PACKET
(Imiquimod)
24 EA   45802036862 63
PDPs
404
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073701 2
PDPs
1
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR 00173052300 2
PDPs
1
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK 00173073500 2
PDPs
1
MAPDs
IMITREX 4 MG/0.5 ML PEN INJECT
(Sumatriptan Succinate)
1 ML   00173073900 2
PDPs
2
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073601 2
PDPs
1
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR 00173052400 2
PDPs
1
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR 00173047800 2
PDPs
2
MAPDs
IMOVAX RABIES VACCINE VIAL
(Rabies Virus Vaccine, HDC)
ML   49281025251 63
PDPs
404
MAPDs
IMPAVIDO 50 MG CAPSULE
(Miltefosine)
CAPSULES   69051030001 33
PDPs
194
MAPDs
IMPEKLO 0.05% LOTION MD PMP
(Prasterone (Gl701 Or DHEA))
GRAMS   49502053735 0
PDPs
1
MAPDs
IMURAN 50 MG TABLET
(Azathioprine)
30   54766059010 2
PDPs
3
MAPDs
IMVEXXY 10 MCG MAINTENANCE PAK INSERT
(Estradiol)
8 units   50261011008 10
PDPs
70
MAPDs
IMVEXXY 10 MCG STARTER PACK INSR DS PK
(Estradiol)
18 units   50261011018 10
PDPs
70
MAPDs
IMVEXXY 4 MCG MAINTENANCE PACK INSERT
(Estradiol)
8 units   50261010408 11
PDPs
70
MAPDs
IMVEXXY 4 MCG STARTER PACK INSR DS PK
(Estradiol)
18 units   50261010418 10
PDPs
70
MAPDs
INBRIJA 42 MG INHALATION CAPSULE W/DEV
(Levodopa)
60 units   10144034260 17
PDPs
163
MAPDs
INCASSIA 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)
28 tablets   65862092585 59
PDPs
379
MAPDs
Increlex 40mg/4mL 1 VIAL, MULTI-DOSE per CARTON / 4 mL in 1 VIAL, MULTI-DOSE
(Mecasermin)
1 VIAL, MULTI-DOSE   15054104005 63
PDPs
404
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 41
PDPs
246
MAPDs
INDAPAMIDE 1.25 MG TABLET [Lozol]
(Indapamide)
90 TABLETS   62559051001 52
PDPs
392
MAPDs
INDAPAMIDE 2.5 MG TABLET [Lozol]
(Indapamide)
90 TABLETS   62559051101 52
PDPs
392
MAPDs
INDERAL LA 120 MG CAPSULE
(Propranolol HCl)
100 EA   62559052201 2
PDPs
14
MAPDs
INDERAL LA 160 MG CAPSULE
(Propranolol HCl)
100 EA   62559052301 2
PDPs
0
MAPDs
INDERAL LA 60 MG CAPSULE
(Propranolol HCl)
100 EA   62559052001 2
PDPs
0
MAPDs
INDERAL LA 80 MG CAPSULE
(Propranolol HCl)
100 EA   62559052101 2
PDPs
0
MAPDs
INDOCIN 25 MG/5 ML ORAL SUSPENSION
(Indomethacin)
237 mls   69344010101 1
PDPs
10
MAPDs
INDOCIN 50 MG SUPPOSITORY SUPP.RECT
(Indomethacin)
60 units   69344010233 1
PDPs
40
MAPDs
INDOMETHACIN 25 MG CAPSULE [Indocin]
()
60 CAPSULES   68462040601 18
PDPs
230
MAPDs
INDOMETHACIN 50 MG CAPSULE [Indocin]
()
30 CAPSULES   68462030201 18
PDPs
230
MAPDs
INDOMETHACIN ER 75 MG CAPSULE ER [Indocin SR]
(Indomethacin)
30 capsules   10702001606 8
PDPs
158
MAPDs
INFANRIX DTAP SYRINGE
(Diph, Acellular Pert & Tet Tox)
ML   58160081052 63
PDPs
400
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)
CAPSULES   70370204001 14
PDPs
223
MAPDs
INGREZZA 60 MG CAPSULE
(Valbenazine)
CAPSULES   70370106001 14
PDPs
222
MAPDs
INGREZZA 80 MG CAPSULE
(Valbenazine)
30 EA   70370108001 14
PDPs
223
MAPDs
INGREZZA INITIATION PACK CAPSULE DS PK
(Valbenazine)
units   70370204806 14
PDPs
165
MAPDs
INLYTA 1 MG TABLET
(axitinib)
    00069014501 63
PDPs
404
MAPDs
INLYTA 5 MG TABLET
(axitinib)
    00069015111 63
PDPs
404
MAPDs
INNOPRAN XL 120 MG CAPSULE ER 24H
(Propranolol HCl Sustained-Release Beads)
capsules   62559059130 2
PDPs
39
MAPDs
INNOPRAN XL 80 MG CAPSULE ER 24H
(Propranolol HCl Sustained-Release Beads)
30 capsules   62559059030 2
PDPs
39
MAPDs
INQOVI 35 MG-100 MG TABLET
(Decitabine, Cedazuridine)
TABLETS   64842072709 63
PDPs
404
MAPDs
INREBIC 100 MG CAPSULE
(Fedratinib)
capsules   59572072012 63
PDPs
404
MAPDs
INSPRA 25 MG TABLET
(Eplerenone)
30 tablets   00025171001 2
PDPs
1
MAPDs
INSPRA 50 MG TABLET
(Eplerenone)
30 tablets   00025172003 2
PDPs
1
MAPDs
INSULIN ASPART 100 UNIT/ML CARTRIDGE
(Insulin Aspart (Recombinant))
15 MLS   73070010215 1
PDPs
78
MAPDs
INSULIN ASPART 100 UNIT/ML INSULIN PEN [NovoLog PenFill]
(Insulin Aspart (Recombinant))
15 MLS   73070010315 1
PDPs
78
MAPDs
INSULIN ASPART 100 UNIT/ML VIAL [NovoLog PenFill]
(Insulin Aspart (Recombinant))
10 MLS   73070010011 1
PDPs
82
MAPDs
INSULIN ASPART PROT-INSULN ASP INSULIN PEN [NovoLog Mix 70/30]
(Insulin Aspart (Recombinant), Insulin Aspart Protamine (Recombinant))
15 MLS   73070020315 1
PDPs
78
MAPDs
INSULIN ASPART PROT-INSULN ASP VIAL [NovoLog Mix 70/30]
(Insulin Aspart (Recombinant), Insulin Aspart Protamine (Recombinant))
10 MLS   73070020011 1
PDPs
78
MAPDs
INSULIN GLARGINE 100 UNIT/ML VIAL [Semglee]
()
10 MLS   00955172901 0
PDPs
6
MAPDs
INSULIN GLARGINE SOLOSTAR U100 INSULN PEN [Semglee]
()
MLS   00955172805 0
PDPs
6
MAPDs
INSULIN GLARGINE-YFGN U100 INSULN PEN [Semglee]
()
15 MLS   49502039475 1
PDPs
13
MAPDs
INSULIN GLARGINE-YFGN U100 VIAL [Semglee]
()
10 MLS   49502039380 1
PDPs
13
MAPDs
INSULIN LISPRO 100 UNIT/ML INSULN PEN [LYUMJEV]
()
15 MLS   00002822259 8
PDPs
85
MAPDs
INSULIN LISPRO 100 UNIT/ML VIAL [LYUMJEV]
()
10 MLS   00002773701 8
PDPs
85
MAPDs
INSULIN LISPRO JR 100 UNIT/ML INSULN PEN HF
(Insulin Lispro)
15 mls   00002775205 8
PDPs
85
MAPDs
INSULIN LISPRO MIX 75-25 KWIKPEN INSULN PEN [Humalog KwikPen Mix 75/25]
()
15 mls   00002823305 8
PDPs
84
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT 59676057001 21
PDPs
85
MAPDs
INTELENCE 200 MG TABLET
(Etravirine)
60 TABLETS   59676057101 21
PDPs
85
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)
120 EA   59676057201 63
PDPs
404
MAPDs
INTRALIPID 20% IV FAT EMULSION
(Soybean Oil Injection)
    00338051909 56
PDPs
376
MAPDs
INTRALIPID 30% IV FAT EMULSION
(Fat)
    00338052013 32
PDPs
284
MAPDs
INTRAROSA 6.5 MG VAG INSERT
(Prasterone (Gl701 Or DHEA))
28 UNITS   72495040128 1
PDPs
42
MAPDs
INTRON A 10 MILLION UNITS VIAL
(Interferon Alfa-2B)
    00085435001 63
PDPs
404
MAPDs
INTRON A 18 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435101 63
PDPs
404
MAPDs
INTRON A 50 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435201 63
PDPs
404
MAPDs
INTROVALE 0.15-0.03 MG TABLET TBDSPK 3MO [Setlakin]
()
91 units   70700011787 57
PDPs
367
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL 00006384371 2
PDPs
6
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055001 4
PDPs
1
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055101 4
PDPs
1
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055201 4
PDPs
1
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA   50458055401 2
PDPs
1
MAPDs
INVEGA HAFYERA 1,092 MG/3.5 ML SYRINGE
(Paliperidone)
MLS   50458061101 53
PDPs
313
MAPDs
INVEGA HAFYERA 1,560 MG/5 ML SYRINGE
(Paliperidone)
MLS   50458061201 53
PDPs
313
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML   50458056201 63
PDPs
404
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML   50458056301 63
PDPs
404
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML   50458056401 63
PDPs
404
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML   50458056001 63
PDPs
404
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML   50458056101 63
PDPs
404
MAPDs
INVEGA TRINZA 273 MG/0.875 ML
(Paliperidone Palmitate)
0.875 ML   50458060601 63
PDPs
400
MAPDs
INVEGA TRINZA 410 MG/1.315 ML
(Paliperidone Palmitate)
1.315 ML   50458060701 63
PDPs
400
MAPDs
INVEGA TRINZA 546 MG/1.75 ML
(Paliperidone Palmitate)
1.75 ML   50458060801 63
PDPs
400
MAPDs
INVEGA TRINZA 819 MG/2.625 ML
(Paliperidone Palmitate)
2.625 ML   50458060901 63
PDPs
400
MAPDs
INVELTYS 1% EYE DROP EYE DROPPER
(Loteprednol Etabonate)
2.8 MLS   71571012128 14
PDPs
103
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054360 23
PDPs
140
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054260 23
PDPs
140
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054160 23
PDPs
140
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054060 23
PDPs
140
MAPDs
INVOKAMET XR 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094301 23
PDPs
137
MAPDs
INVOKAMET XR 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094201 23
PDPs
137
MAPDs
INVOKAMET XR 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094101 23
PDPs
137
MAPDs
INVOKAMET XR 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094001 23
PDPs
137
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA   50458014030 27
PDPs
141
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA   50458014130 27
PDPs
141
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR 00065066010 3
PDPs
99
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL 49281086010 63
PDPs
404
MAPDs
IPRAT-ALBUT 0.5-3(2.5) MG/3 ML
(Albuterol-Ipratropium Nebu)
    00378967130 53
PDPs
382
MAPDs
IPRATROPIUM 0.06% SPRAY
(Ipratropium Bromide Nasal)
15.000 ML   00054004641 63
PDPs
404
MAPDs
IPRATROPIUM BR 0.02% SOLUTION [Atrovent]
()
62.5 MLS   00487980125 63
PDPs
404
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 00054004544 63
PDPs
404
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)
90 TABLETS   31722073090 63
PDPs
404
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
90 TABLETS   00955104290 63
PDPs
404
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)
30 TABLETS   00955104090 63
PDPs
404
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
30 TABLETS   00054025422 63
PDPs
403
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
30 TABLETS   00093823298 63
PDPs
403
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 63
PDPs
404
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
1 unit   00006360361 63
PDPs
404
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
    00006047761 63
PDPs
404
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
    00006047361 63
PDPs
404
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 63
PDPs
404
MAPDs
ISENTRESS HD 600 MG TABLET
(Raltegravir)
tablets   00006308001 63
PDPs
404
MAPDs
ISIBLOOM 28 DAY TABLET [Solia]
(Desogestrel and Ethinyl Estradiol)
28 tablets   70700011385 57
PDPs
366
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG 00264773010 28
PDPs
317
MAPDs
ISOLYTE S IV SOLUTION PH7.4
(Electrolyte-S (PH 7.4))
500 MLS   00264770700 26
PDPs
301
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)
100 EA   00555006602 63
PDPs
404
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)
100.000 EA   00555007102 63
PDPs
404
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT 46287000901 39
PDPs
354
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020315 0
PDPs
1
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020415 0
PDPs
1
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)
    00187019201 1
PDPs
3
MAPDs
ISORDIL TITRADOSE 5 MG TABLET
(Isosorbide Dinitrate)
    00187015201 2
PDPs
1
MAPDs
ISOSORBIDE DINITRATE 10 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS   00781155601 63
PDPs
404
MAPDs
ISOSORBIDE DINITRATE 20 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS   00781169501 63
PDPs
404
MAPDs
ISOSORBIDE DINITRATE 40 MG TABLET [Sorbitrate]
(Isosorbide Dinitrate)
90 TABLETS   70710115201 12
PDPs
85
MAPDs
ISOSORBIDE DN 30 MG TABLET
(Isosorbide Dinitrate)
100.000 EA   49884000901 55
PDPs
395
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)
100 EA   00143176901 63
PDPs
404
MAPDs
ISOSORBIDE MN ER 30 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   13668010401 63
PDPs
404
MAPDs
ISOSORBIDE MONONIT 10 MG TABLET [Monoket]
(Isosorbide Mononitrate)
60 tablets   62175010601 52
PDPs
392
MAPDs
ISOSORBIDE MONONIT 20 MG TABLET [Monoket]
(Isosorbide Mononitrate)
60 tablets   62175010701 52
PDPs
392
MAPDs
ISOSORBIDE MONONIT ER 60 MG TABLET ER 24H [Isotrate ER]
(Isosorbide Mononitrate)
90 TABLETS   62175011937 63
PDPs
404
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT 62175012937 63
PDPs
404
MAPDs
ISOSORBIDE-HYDRALAZINE 20-37.5 TABLET [BiDil]
(Isosorbide Dinitrate, Hydralazine Hydrochloride)
90 TABLETS   50742024690 11
PDPs
186
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 45
PDPs
321
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 41
PDPs
319
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 41
PDPs
317
MAPDs
ISOTRETINOIN 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117403 60
PDPs
346
MAPDs
ISOTRETINOIN 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117503 60
PDPs
346
MAPDs
ISOTRETINOIN 25 MG CAPSULE [Absorica]
(Isotretinoin)
120 CAPSULES   00591245115 37
PDPs
108
MAPDs
ISOTRETINOIN 30 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238101703 58
PDPs
346
MAPDs
ISOTRETINOIN 35 MG CAPSULE [Absorica]
(Isotretinoin)
CAPSULES   00591250115 37
PDPs
108
MAPDs
ISOTRETINOIN 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238117603 60
PDPs
345
MAPDs
ISRADIPINE 2.5 MG CAPSULE [DynaCirc]
(Isradipine)
180 CAPSULES   16252053901 31
PDPs
328
MAPDs
ISRADIPINE 5 MG CAPSULE [DynaCirc]
(Isradipine)
360 CAPSULES   16252054001 31
PDPs
328
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5.000 ML   24208000403 2
PDPs
1
MAPDs
ISTURISA 1 MG TABLET
(Osilodrostat)
20 TABLETS   55292032060 8
PDPs
130
MAPDs
ISTURISA 10 MG TABLET
(Osilodrostat)
20 TABLETS   55292032260 8
PDPs
130
MAPDs
ISTURISA 5 MG TABLET
(Osilodrostat)
20 TABLETS   55292032160 8
PDPs
130
MAPDs
ITRACONAZOLE 10 MG/ML SOLUTION [Sporanox]
(Itraconazole)
150 MLS   10147015001 22
PDPs
189
MAPDs
ITRACONAZOLE 100 MG CAPSULE [Sporanox]
(Itraconazole)
14 CAPSULES   67877045430 63
PDPs
404
MAPDs
IVERMECTIN 1% CREAM (G) [Soolantra]
(Ivermectin)
45 GRAMS   00591405289 4
PDPs
58
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)
20 EA   42799080601 63
PDPs
404
MAPDs
Ixekizumab 1ML 80 MG/ML Auto-Injector [Taltz]
(Ixekizumab)
    00002144511 21
PDPs
241
MAPDs
Ixekizumab 1ML 80 MG/ML Prefilled Syringe [Taltz]
(Ixekizumab)
    00002772411 24
PDPs
246
MAPDs
IXIARO 6 UNIT(6 MCG)/0.5ML SYRINGE
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
ml   42515000201 63
PDPs
404
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
56.000 EA   51167020001 63
PDPs
404
MAPDs
KALYDECO 25 MG GRANULES PACKET
(Ivacaftor)
units   51167060001 59
PDPs
392
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA   51167030001 59
PDPs
395
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA   51167040001 59
PDPs
395
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL 00088222033 53
PDPs
318
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 00088221905 53
PDPs
318
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL 00169368712 37
PDPs
278
MAPDs
LEVEMIR FLEXTOUCH 100 UNITS/ML
(Insulin Detemir)
3 ML 00169643810 37
PDPs
278
MAPDs
LYUMJEV 100 UNIT/ML KWIKPEN INSULN PEN
(Insulin Lispro)
MLS   00002820705 30
PDPs
107
MAPDs
LYUMJEV 100 UNIT/ML VIAL
(Insulin Lispro)
30 MLS   00002772801 30
PDPs
107
MAPDs
LYUMJEV 200 UNIT/ML KWIKPEN INSULN PEN
(Insulin Lispro)
MLS   00002822827 28
PDPs
107
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT 30698003201 63
PDPs
404
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030113 53
PDPs
328
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030213 53
PDPs
328
MAPDs
Myorisan 30 mg capsule
(Isotretinoin)
    61748030313 51
PDPs
328
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030413 53
PDPs
330
MAPDs
NINLARO 2.3 MG CAPSULE
(Ixazomib)
1 CAPSULE   63020023002 63
PDPs
404
MAPDs
NINLARO 3 MG CAPSULE
(Ixazomib)
CAPSULES   63020039002 63
PDPs
404
MAPDs
NINLARO 4 MG CAPSULE
(Ixazomib)
1 CAPSULE   63020040002 63
PDPs
404
MAPDs
NOURIANZ 20 MG TABLET
(Istradefylline)
tablets   42747060290 1
PDPs
77
MAPDs
NOURIANZ 40 MG TABLET
(Istradefylline)
tablets   42747060490 1
PDPs
77
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 10 mL VIAL in CARTON   00169183411 22
PDPs
277
MAPDs
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane & Regular (Human))
1 10 mL VIAL in CARTON   00169183711 22
PDPs
277
MAPDs
NOVOLIN 70-30 FLEXPEN INSULN PEN
(Insulin Regular (Recombinant), Insulin Suspension Isophane (NPH) (Recombinant))
15 MLS   00169300715 22
PDPs
272
MAPDs
NOVOLIN N 100 UNIT/ML FLEXPEN INSULN PEN
(Insulin Isophane (Human))
15 mls   00169300415 20
PDPs
274
MAPDs
NOVOLIN R 100 UNIT/ML FLEXPEN INSULN PEN
(Insulin Regular (Human))
15 mls   00169300315 20
PDPs
273
MAPDs
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Regular (Human))
1 10 mL VIAL in CARTON   00169183311 22
PDPs
277
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)
3 ML   00169330312 23
PDPs
271
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL 00169750111 23
PDPs
271
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR 00169633910 23
PDPs
271
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR 00169369619 23
PDPs
273
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL 00169368512 23
PDPs
273
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 18
PDPs
276
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 15
PDPs
270
MAPDs
PALIPERIDONE ER 1.5 MG TABLET ER 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   10147095103 61
PDPs
404
MAPDs
PALIPERIDONE ER 3 MG TABLET ER 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   10147095203 61
PDPs
404
MAPDs
PALIPERIDONE ER 6 MG TABLET ER 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   10147095303 61
PDPs
404
MAPDs
PALIPERIDONE ER 9 MG TABLET ER 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   10147095403 61
PDPs
404
MAPDs
PANZYGA 10% (1 G/10 ML) VIAL
(Immune Globulin (Human))
10 mls   00069101101 16
PDPs
186
MAPDs
PANZYGA 10% (10 G/100 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069131202 16
PDPs
186
MAPDs
PANZYGA 10% (2.5 G/25 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069110902 16
PDPs
186
MAPDs
PANZYGA 10% (20 G/200 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069141502 16
PDPs
186
MAPDs
PANZYGA 10% (30 G/300 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069155802 16
PDPs
186
MAPDs
PANZYGA 10% (5 G/50 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069122402 16
PDPs
186
MAPDs
PLIAGLIS 7%-7% CREAM (g)
()
240 grams   51672530502 0
PDPs
4
MAPDs
PRIMAXIN IV 500; 500mg/100mL; mg/100mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 100 mL in 1 VIAL, SINGLE-DOS
(Imipenem-Cilastatin Intravenous For)
25 VIAL, SINGLE-DOSE   00006351659 0
PDPs
1
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML   44206043820 30
PDPs
322
MAPDs
PROPRANOLOL 20 MG TABLET [Inderal]
(Propranolol)
60 TABLETS   00115166003 63
PDPs
404
MAPDs
PROPRANOLOL 40 MG TABLET [Inderal]
(Propranolol)
60 TABLETS   00115166103 63
PDPs
404
MAPDs
PROPRANOLOL 80 MG TABLET [Inderal]
(Propranolol)
60 TABLETS   00115166202 63
PDPs
404
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087002203 11
PDPs
147
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087004403 11
PDPs
147
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087332201 11
PDPs
142
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087334401 11
PDPs
142
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML   44087018801 11
PDPs
142
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
    44087882201 11
PDPs
144
MAPDs
SAJAZIR 30 MG/3 ML SYRINGE
(Icatibant)
MLS   70709001303 58
PDPs
343
MAPDs
SEMGLEE (YFGN) 100 UNIT/ML INSULN PEN
(Insulin Glargine)
15 MLS   49502025175 0
PDPs
4
MAPDs
SEMGLEE (YFGN) 100 UNIT/ML VIAL
(Insulin Glargine)
10 MLS   49502025080 0
PDPs
4
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)
    00024576105 36
PDPs
312
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)
    00299382345 17
PDPs
32
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT 50458029004 2
PDPs
2
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT 50458029515 0
PDPs
2
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD 00006003220 2
PDPs
6
MAPDs
SUMATRIPTAN 20 MG NASAL SPRAY [Imitrex]
()
6 UNITS   00527185943 60
PDPs
393
MAPDs
SUMATRIPTAN SUCC 100 MG TABLET [Imitrex]
()
9 TABLETS   55111029309 63
PDPs
404
MAPDs
SUMATRIPTAN SUCC 25 MG TABLET [Imitrex]
()
9 TABLETS   55111029109 63
PDPs
404
MAPDs
SYMDEKO 100/150 MG-150 MG TABS
(Ivacaftor;Tezacaftor, Ivacaftor)
56   51167066101 43
PDPs
356
MAPDs
SYMDEKO 50/75 MG-75 MG TABLET SEQ
(Ivacaftor;Tezacaftor, Ivacaftor)
units   51167011301 43
PDPs
357
MAPDs
TEGSEDI 284 MG/1.5 ML SYRINGE
(Inotersen)
mls   72126000701 12
PDPs
143
MAPDs
TIBSOVO 250 MG TABLET
(Ivosidenib)
TABLETS   72694061760 63
PDPs
404
MAPDs
TOLSURA 65 MG CAPSULE SD DSP
(Itraconazole)
units   51862046260 1
PDPs
10
MAPDs
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN
(Insulin Glargine)
6 mls   00024587102 53
PDPs
312
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)
1.5 ML   00024586903 53
PDPs
312
MAPDs
TRESIBA 100 UNIT/ML VIAL
(Insulin Degludec)
10 mls   00169266211 40
PDPs
265
MAPDs
TRESIBA FLEXTOUCH 100 UNITS/ML
(Insulin Degludec)
    00169266015 40
PDPs
266
MAPDs
TRESIBA FLEXTOUCH 200 UNITS/ML
(Insulin Degludec)
    00169255013 40
PDPs
266
MAPDs
TRUSELTIQ 100 MG DAILY DOSE PK CAPSULE
(Infigratinib)
CAPSULES   72730011101 63
PDPs
404
MAPDs
TRUSELTIQ 125 MG DAILY DOSE PK CAPSULE
(Infigratinib)
CAPSULES   72730010101 63
PDPs
404
MAPDs
TRUSELTIQ 50 MG DAILY DOSE PK CAPSULE
(Infigratinib)
CAPSULES   72730050601 63
PDPs
404
MAPDs
TRUSELTIQ 75 MG DAILY DOSE PK CAPSULE
(Infigratinib)
CAPSULES   72730020201 63
PDPs
404
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
    66215030330 46
PDPs
283
MAPDs
VENTAVIS 10 MCG/1 ML SOLUTION AMPUL-NEB
(Iloprost)
ml   66215030200 46
PDPs
283
MAPDs
VERAPAMIL 40 MG TABLET [Isoptin SR]
(Verapamil HCl)
90 tablets   23155005901 63
PDPs
404
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)
3 ML   00169291115 24
PDPs
260
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)
30 EA   55111013581 53
PDPs
368
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013681 53
PDPs
368
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)
30 EA   55111011381 52
PDPs
369
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013781 53
PDPs
368
MAPDs
ZOLPIDEM TART 1.75 MG TAB SL SUBLIGUAL TAB [Intermezzo]
()
30 TABLETS   49884089811 1
PDPs
20
MAPDs
ZOLPIDEM TART 3.5 MG SUBLIGUAL TABLET [Intermezzo]
()
30 TABLETS   49884089911 1
PDPs
20
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
    99207027675 2
PDPs
55
MAPDs
ZYCLARA 3.75% CREAM PACK
(Imiquimod)
28 UNITS   99207027028 1
PDPs
9
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)
60 EA   61958170101 63
PDPs
404
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)
60 EA   61958170201 63
PDPs
404
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2022)





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