Drug Name
|
Packaging |
NDC |
On This Nbr of 2022 Formularies |
PDPs |
MAPDs |
ACULAR 0.5% EYE DROPS (Ketorolac Tromethamine Ophth) |
5 ML BOT |
00023218105 |
2 PDPs |
3 MAPDs |
ACULAR LS 0.4% OPHTH SOLUTION (Ketorolac Tromethamine Ophth) |
5 ML BOTDR |
00023927705 |
2 PDPs |
3 MAPDs |
ACUVAIL 0.45% OPHTH SOLUTION DROPERETTE (Ketorolac Tromethamine Ophth) |
30 UNITS |
00023350731 |
1 PDPs |
29 MAPDs |
CEFAZOLIN 1 GM VIAL [Kefzol] () |
7 MLS |
60505614205 |
63 PDPs |
404 MAPDs |
CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [Keflex] (Cephalexin Monohydrate) |
100 MLS |
68180044001 |
63 PDPs |
401 MAPDs |
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [Keflex] (Cephalexin Monohydrate) |
200 MLS |
68180044101 |
63 PDPs |
404 MAPDs |
CLONAZEPAM 0.125 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030602 |
63 PDPs |
404 MAPDs |
CLONAZEPAM 0.25 MG ODT TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030702 |
63 PDPs |
404 MAPDs |
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030802 |
63 PDPs |
404 MAPDs |
CLONAZEPAM 0.5 MG TABLET [Klonopin] (Clonazepam) |
30 tablets |
16729013616 |
63 PDPs |
404 MAPDs |
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
60 UNITS |
49884030902 |
63 PDPs |
404 MAPDs |
CLONAZEPAM 1 MG TABLET [Klonopin] (Clonazepam) |
60 tablets |
16729013716 |
63 PDPs |
404 MAPDs |
CLONAZEPAM 2 MG ODT TABLET RAPDIS [Klonopin] (Clonazepam) |
30 UNITS |
49884031002 |
63 PDPs |
404 MAPDs |
CLONAZEPAM 2 MG TABLET [Klonopin] (Clonazepam) |
60 tablets |
16729013816 |
63 PDPs |
404 MAPDs |
CLONIDINE HCL ER 0.1 MG TABLET ER 12H [Kapvay] () |
30 TABLETS |
27241010806 |
34 PDPs |
216 MAPDs |
DEXLANSOPRAZOLE DR 30 MG CAPSULE BP [Kapidex] () |
30 UNITS |
24979070306 |
17 PDPs |
146 MAPDs |
DEXLANSOPRAZOLE DR 60 MG CAPSULE BP [Kapidex] () |
30 UNITS |
24979070406 |
17 PDPs |
146 MAPDs |
Diph-Tetanus Tox-Acell Pert adsorbed and IPV vaccine 0.5 ML Prefilled Syringe [Kinrix] (Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine ) |
|
58160081252 |
63 PDPs |
404 MAPDs |
GRANISETRON HCL 1 MG TABLET [Kytril] () |
30 TABLETS |
51991073520 |
42 PDPs |
374 MAPDs |
K-TAB ER 10 MEQ TABLET [Klotrix] (Potassium Chloride) |
30 TABLETS |
00074327819 |
4 PDPs |
42 MAPDs |
K-TAB ER 20 MEQ TABLET (Potassium Chloride) |
|
00074302313 |
4 PDPs |
49 MAPDs |
KAITLIB FE 0.8-0.025MG CHEWABLE TABLET [Layolis Fe] (norethindrone and ethinyl estradiol and ferrous fumarate) |
28 CHEWABLE TABLETS |
68180090373 |
19 PDPs |
160 MAPDs |
KALETRA 100-25 MG TABLET (Lopinavir-Ritonavir) |
60 TABLET, FILM COATED |
00074052260 |
21 PDPs |
85 MAPDs |
KALETRA 50-200MG TABLET (Lopinavir-Ritonavir) |
120 BOT |
00074679922 |
21 PDPs |
85 MAPDs |
KALETRA 80MG/20MG ORAL SOLUTION (Lopinavir-Ritonavir) |
160 ML BOT |
00074395646 |
2 PDPs |
1 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 |
KAPVAY ER 0.1 MG TABLET (CLONIDINE HYDROCHLORIDE) |
|
59212065860 |
0 PDPs |
6 MAPDs |
KARIVA 21-5 TABLET (Desogestrel & Ethinyl Estradiol) |
21ACTIVE,5ETHINYL,2PLACEB BLPK |
00555905058 |
59 PDPs |
389 MAPDs |
KATERZIA 1 MG/ML ORAL SUSPENSION (Amlodipine) |
100 mls |
52652500101 |
2 PDPs |
47 MAPDs |
KCL 20 MEQ IN D5W-0.45% NACL IV SOLUTION () |
500 mls |
00338067104 |
58 PDPs |
342 MAPDs |
KCL 20 MEQ IN D5W-LACT RINGER IV SOLUTION () |
mls |
00338081104 |
31 PDPs |
235 MAPDs |
KCL 20 MEQ-NS 1,000 ML IV SOLUTION () |
mls |
00338069104 |
35 PDPs |
292 MAPDs |
KCL 40 MEQ-NS 1,000 ML IV SOLUTION () |
mls |
00338069504 |
35 PDPs |
281 MAPDs |
KELNOR 1-35 1-0.035MG TABLET (Ethynodiol Diacetate & Ethinyl Estradiol) |
28 (21+7) BLPK |
00555906458 |
61 PDPs |
387 MAPDs |
KELNOR 1-50 TABLET [Zovia 1/50E] (Ethynodiol Diacetate, Ethinyl Estradiol;Inert) |
28 tablets |
00093807316 |
63 PDPs |
382 MAPDs |
KENALOG 0.147 MG/GRAM SPRAY AEROSOL (Triamcinolone Acetonide) |
63 GRAMS |
10631009307 |
0 PDPs |
6 MAPDs |
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC (Levetiracetam) |
60 TABLET, FILM COATED |
50474059766 |
2 PDPs |
1 MAPDs |
KEPPRA 100MG/ML ORAL SOLUTION (Levetiracetam) |
16 FLO BOT |
50474000148 |
2 PDPs |
1 MAPDs |
KEPPRA 250MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059440 |
2 PDPs |
1 MAPDs |
KEPPRA 500MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059540 |
2 PDPs |
1 MAPDs |
KEPPRA 750MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059640 |
2 PDPs |
1 MAPDs |
KEPPRA 750MG XR TABLET (Levetiracetam) |
60 BOT |
50474059966 |
0 PDPs |
1 MAPDs |
KEPPRA XR 500 MG TABLET ER 24H (Levetiracetam) |
60 BOT |
50474059866 |
0 PDPs |
1 MAPDs |
KERENDIA 10 MG TABLET (Finerenone) |
30 TABLETS |
50419054001 |
30 PDPs |
178 MAPDs |
KERENDIA 20 MG TABLET (Finerenone) |
30 TABLETS |
50419054101 |
30 PDPs |
178 MAPDs |
KERYDIN 5% TOPICAL SOLUTION W/APPL (Tavaborole) |
10 MLS |
10337090544 |
0 PDPs |
2 MAPDs |
KESIMPTA 20 MG/0.4 ML PEN INJECTOR (Ofatumumab) |
MLS |
00078100768 |
9 PDPs |
260 MAPDs |
KETOCONAZOLE 2% CREAM (Ketoconazole) |
60 GM |
51672129803 |
63 PDPs |
404 MAPDs |
KETOCONAZOLE 2% FOAM [Ketodan] () |
50 GRAMS |
45802053233 |
3 PDPs |
38 MAPDs |
KETOCONAZOLE 2% SHAMPOO (Ketoconazole) |
120.000 ML |
45802046564 |
63 PDPs |
404 MAPDs |
KETOCONAZOLE 200 MG TABLET [Nizoral] () |
30 TABLETS |
64380082706 |
63 PDPs |
404 MAPDs |
KETODAN 2% FOAM (Ketoconazole) |
100 grams |
43538053010 |
3 PDPs |
32 MAPDs |
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS (Ketoprofen) |
100 BOT |
00378820001 |
3 PDPs |
86 MAPDs |
KETOPROFEN 25 MG CAPSULE [Orudis] (Ketoprofen) |
90 capsules |
69336012710 |
6 PDPs |
80 MAPDs |
KETOROLAC 0.4% OPHTH SOLUTION DROPS [Acular LS] (Ketorolac) |
5 mls |
60758077305 |
62 PDPs |
358 MAPDs |
KETOROLAC 0.5% OPHTH SOLUTION DROPS [Acular PF] () |
5 MLS |
61314012605 |
63 PDPs |
404 MAPDs |
KETOROLAC 10MG TABLET (Ketorolac) |
100 TABLETS BOT |
00093031401 |
17 PDPs |
187 MAPDs |
KETOROLAC 15.75 MG NASAL SPRAY [SPRIX] (Ketorolac) |
5 UNITS |
66993019395 |
0 PDPs |
2 MAPDs |
KEVEYIS 50 MG TABLET (Dichlorphenamide) |
|
71090000101 |
0 PDPs |
99 MAPDs |
KEVZARA 150 MG/1.14 ML PEN INJECTOR (Sarilumab) |
MLS |
00024592001 |
1 PDPs |
109 MAPDs |
KEVZARA 150 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024590801 |
1 PDPs |
109 MAPDs |
KEVZARA 200 MG/1.14 ML PEN INJECTOR (Sarilumab) |
MLS |
00024592201 |
1 PDPs |
109 MAPDs |
KEVZARA 200 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024591001 |
1 PDPs |
109 MAPDs |
KINERET 100 MG/0.67 ML SYRINGE (Anakinra Subcutaneous) |
.670 ML |
66658023407 |
14 PDPs |
112 MAPDs |
KISQALI 200 MG DAILY DOSE (Ribociclib) |
|
00078086001 |
63 PDPs |
404 MAPDs |
KISQALI 400 MG DAILY DOSE (Ribociclib) |
|
00078086742 |
63 PDPs |
404 MAPDs |
KISQALI 600 MG DAILY DOSE (Ribociclib) |
|
00078087463 |
63 PDPs |
404 MAPDs |
KISQALI FEMARA 200 MG CO-PACK (Letrozole;Ribociclib) |
49 EA |
00078090961 |
63 PDPs |
403 MAPDs |
KISQALI FEMARA 400 MG CO-PACK (Letrozole;Ribociclib) |
70 EA |
00078091661 |
63 PDPs |
403 MAPDs |
KISQALI FEMARA 600 MG CO-PACK (Letrozole;Ribociclib) |
91 EA |
00078092361 |
63 PDPs |
403 MAPDs |
KLARON 10% LOTION (Sulfacetamide Sodium) |
|
00187519804 |
2 PDPs |
1 MAPDs |
KLISYRI 1% OINTMENT PACKET (Tirbanibulin) |
5 UNITS |
16110039105 |
5 PDPs |
76 MAPDs |
KLONOPIN 0.5 MG TABLET (Clonazepam) |
30 TABLETS |
61269060510 |
0 PDPs |
1 MAPDs |
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC (Clonazepam) |
100 TABLET in 1 BOTTLE |
00004005801 |
0 PDPs |
1 MAPDs |
KLONOPIN 2 MG TABLET (Clonazepam) |
60 TABLETS |
61269062010 |
0 PDPs |
1 MAPDs |
KLOR-CON 20 MEQ PACKET (Potassium Chloride Microencapsulated Crys CR) |
|
00245036030 |
28 PDPs |
261 MAPDs |
KLOR-CON 8 MEQ TABLET [Slow-K] (Potassium Chloride) |
90 TABLETS |
00245531515 |
62 PDPs |
341 MAPDs |
KLOR-CON M10 MEQ TABLET [Klotrix] () |
30 TABLETS |
00245531615 |
62 PDPs |
344 MAPDs |
KLOR-CON M10 TABLET ER PRT [Klotrix] () |
30 UNITS |
00245531790 |
63 PDPs |
390 MAPDs |
KLOR-CON M15 TABLET ER PRT (Potassium Chloride) |
30 UNITS |
00245531811 |
60 PDPs |
393 MAPDs |
KLOR-CON M20 TABLET ER PRT (Potassium Chloride) |
30 UNITS |
00245531990 |
63 PDPs |
397 MAPDs |
KLOXXADO 8 MG NASAL SPRAY (Naloxone Hydrochloride) |
2 UNITS |
59467067901 |
34 PDPs |
227 MAPDs |
KOMBIGLYZE XR 2.5-1,000 MG TABLET (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
60 EA |
00310612560 |
18 PDPs |
73 MAPDs |
KOMBIGLYZE XR 5-1,000 MG TABLET (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
30 EA |
00310614530 |
18 PDPs |
73 MAPDs |
KOMBIGLYZE XR 5-500 MG TABLET (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
30 EA |
00310613530 |
18 PDPs |
73 MAPDs |
KORLYM 300 MG TABLET (mifepristone) |
28 TABLETS |
76346007302 |
63 PDPs |
404 MAPDs |
KOSELUGO 10 MG CAPSULE (Selumetinib) |
capsules |
00310061060 |
36 PDPs |
269 MAPDs |
KOSELUGO 25 MG CAPSULE (Selumetinib) |
capsules |
00310062560 |
36 PDPs |
269 MAPDs |
KRINTAFEL 150 MG TABLET (Tafenoquine) |
tablets |
00173088939 |
3 PDPs |
131 MAPDs |
KRISTALOSE 10 GM PACKET (Lactulose) |
|
66220071930 |
3 PDPs |
42 MAPDs |
KRISTALOSE 20 GM PACKET (Lactulose) |
|
66220072930 |
3 PDPs |
58 MAPDs |
KURVELO-28 TABLET [Portia] (Inert; Levonorgestrel, Ethinyl Estradiol) |
28 tablets |
68180084473 |
59 PDPs |
373 MAPDs |
KUVAN 100 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
30.000 EA |
68135030122 |
2 PDPs |
14 MAPDs |
KUVAN 100MG TABLET SOLUBLE (Sapropterin DiHCL Soluble) |
|
68135030002 |
2 PDPs |
18 MAPDs |
KUVAN 500 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
30.000 EA |
68135048211 |
2 PDPs |
14 MAPDs |
KYNMOBI 10 MG SL FILM (Apomorphine) |
UNITS |
63402001030 |
30 PDPs |
312 MAPDs |
KYNMOBI 15 MG SL FILM (Apomorphine) |
UNITS |
63402001530 |
30 PDPs |
312 MAPDs |
KYNMOBI 20 MG SL FILM (Apomorphine) |
UNITS |
63402002030 |
30 PDPs |
312 MAPDs |
KYNMOBI 25 MG SL FILM (Apomorphine) |
UNITS |
63402002530 |
30 PDPs |
312 MAPDs |
KYNMOBI 30 MG SL FILM (Apomorphine) |
UNITS |
63402003030 |
30 PDPs |
312 MAPDs |
LACTULOSE 10 GM PACKET [Kristalose] (Lactulose) |
30 units |
69067001015 |
1 PDPs |
39 MAPDs |
LEVETIRACETAM 100 MG/ML SOLUTION [Keppra] () |
60 MLS |
31722057447 |
63 PDPs |
404 MAPDs |
LEVETIRACETAM 250 MG TABLET [Keppra] () |
90 TABLETS |
31722053612 |
63 PDPs |
404 MAPDs |
LEVETIRACETAM 750 MG TABLET [Keppra] () |
60 TABLETS |
31722053812 |
63 PDPs |
404 MAPDs |
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra] () |
|
00527194748 |
63 PDPs |
404 MAPDs |
LOPINAVIR-RITONAVR 100-25MG TABLET [Kaletra] () |
12 TABLETS |
31722060360 |
63 PDPs |
401 MAPDs |
LOPINAVIR-RITONAVR 200-50MG TABLET [Kaletra] () |
12 TABLETS |
31722055612 |
63 PDPs |
401 MAPDs |
MORPHINE SULFATE ER 20 MG CAPSULE PEL [Kadian] (Morphine) |
60 UNITS |
00832022600 |
1 PDPs |
74 MAPDs |
POTASSIUM CL 10% (20 MEQ/15ML) LIQUID [Kay Ciel] (Potassium Chloride) |
473 MLS |
00603154258 |
63 PDPs |
404 MAPDs |
POTASSIUM CL 20 MEQ PACKET [Klor-Con] (Potassium Chloride Microencapsulated Crys CR) |
30 UNITS |
00603155416 |
26 PDPs |
267 MAPDs |
POTASSIUM CL 20% (40 MEQ/15ML) LIQUID [Kaon-CL] (Potassium Chloride) |
100 MLS |
00603154358 |
42 PDPs |
366 MAPDs |
POTASSIUM CL ER 10 MEQ CAPSULE ER [Micro-K Extencaps] () |
90 CAPSULES |
68180079902 |
61 PDPs |
401 MAPDs |
POTASSIUM CL ER 10 MEQ TABLET [Klotrix] () |
30 TABLETS |
00378456105 |
63 PDPs |
399 MAPDs |
POTASSIUM CL ER 10 MEQ TABLET ER PRT [Klotrix] () |
30 UNITS |
00832532411 |
63 PDPs |
401 MAPDs |
POTASSIUM CL ER 15 MEQ TABLET ER PRT [Klor-Con M15] (Potassium Chloride Microencapsulated Crys CR) |
60 UNITS |
72865019505 |
61 PDPs |
386 MAPDs |
POTASSIUM CL ER 20 MEQ TABLET ER PRT [Klor-Con M20] () |
30 UNITS |
00832532511 |
63 PDPs |
401 MAPDs |
POTASSIUM CL ER 8 MEQ CAPSULE ER [Micro-K Extencaps] () |
30 capsules |
62037055901 |
61 PDPs |
401 MAPDs |
POTASSIUM CL ER 8 MEQ TABLET [Slow-K] () |
90 TABLETS |
00832532211 |
63 PDPs |
404 MAPDs |
SAPROPTERIN 100 MG POWDER PACK [KUVAN] (Sapropterin Dihydrochloride Soluble) |
60 UNITS |
49884094872 |
58 PDPs |
341 MAPDs |
SAPROPTERIN 100 MG TABLET SOL [KUVAN] (Sapropterin Dihydrochloride Soluble) |
UNITS |
49884072008 |
63 PDPs |
396 MAPDs |
SAPROPTERIN 500 MG POWDER PACK [KUVAN] (Sapropterin Dihydrochloride Soluble) |
28 UNITS |
49884087372 |
58 PDPs |
341 MAPDs |
SPRIX 15.75 MG NASAL SPRAY (Ketorolac Tromethamine) |
UNITS |
69344014443 |
0 PDPs |
1 MAPDs |
TAVABOROLE 5% TOPICAL SOLUTION SOL W/APPL [KERYDIN] () |
10 MLS |
21922002012 |
2 PDPs |
23 MAPDs |
TRIAMCINOLONE 0.025% LOTION [Kenalog] () |
60 MLS |
70752012905 |
52 PDPs |
393 MAPDs |
TRIAMCINOLONE 0.1% LOTION [Kenalog] () |
60 MLS |
60432056161 |
54 PDPs |
393 MAPDs |
TRIAMCINOLONE 0.147 MG/G SPRAY AEROSOL [Kenalog] () |
63 GRAMS |
64980042963 |
2 PDPs |
50 MAPDs |