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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 R 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
ACIPHEX 20MG TABLET EC
(Rabeprazole Sodium EC)
30 BOT 62856024330 0
PDPs
1
MAPDs
ACTONEL 150 MG TABLET
(Risedronate)
1 tablet   00430047801 2
PDPs
1
MAPDs
ACTONEL 35 MG TABLET
(Risedronate)
4 tablets   00430047203 2
PDPs
1
MAPDs
ADEMPAS 0.5 MG TABLET
(Riociguat)
90 EA   50419025001 63
PDPs
401
MAPDs
ADEMPAS 1 MG TABLET
(Riociguat)
90 EA   50419025101 63
PDPs
401
MAPDs
ADEMPAS 1.5 MG TABLET
(Riociguat)
90 EA   50419025201 63
PDPs
401
MAPDs
ADEMPAS 2 MG TABLET
(Riociguat)
90 EA   50419025301 63
PDPs
401
MAPDs
ADEMPAS 2.5 MG TABLET
(Riociguat)
90 EA   50419025401 63
PDPs
401
MAPDs
AEMCOLO DR 194 MG TABLET
(Rifamycin)
UNITS   71068000110 0
PDPs
17
MAPDs
ALTABAX 1% OINTMENT
(Retapamulin)
15 GRAMS   16110051815 0
PDPs
8
MAPDs
ALTACE 1.25MG CAPSULE
(Ramipril)
100 CAPS BOTPL 61570011001 2
PDPs
3
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)
100 CAPS BOTPL 61570012001 2
PDPs
3
MAPDs
ALTACE 2.5 MG CAPSULE
(Ramipril)
100 EA   61570011101 2
PDPs
3
MAPDs
ALTACE 5MG CAPSULE
(Ramipril)
100 BOT 61570011201 2
PDPs
3
MAPDs
ARCALYST 220 MG VIAL
(Rilonacept)
MLS   73604091404 64
PDPs
400
MAPDs
ATAZANAVIR SULFATE 150 MG CAPSULE [Reyataz]
(Atazanavir Sulfate)
CAPSULES   65862071160 64
PDPs
403
MAPDs
ATAZANAVIR SULFATE 200 MG CAPSULE [Reyataz]
(Atazanavir Sulfate)
CAPSULES   65862071260 64
PDPs
403
MAPDs
ATAZANAVIR SULFATE 300 MG CAPSULE [Reyataz]
(Atazanavir Sulfate)
CAPSULES   65862071330 64
PDPs
403
MAPDs
Atelvia 35mg/1 36 DOSE PACK CASE / 4 TABLET, DELAYED RELEASE in 1 DOSE PACK
(RISEDRONATE SODIUM)
36 DOSE PACK in 1 CASE   00430097903 2
PDPs
1
MAPDs
AZILECT 0.5MG TABLET
(Rasagiline Mesylate)
30 BOT 68546014256 2
PDPs
1
MAPDs
AZILECT 1MG TABLET
(Rasagiline Mesylate)
30 BOT 68546022956 2
PDPs
1
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
BETAMETHASONE DP AUG 0.05% CREAM (g) [RRB Pak]
(Augmented Betamethasone Dipropionate)
grams   51672131003 56
PDPs
393
MAPDs
BUTALB-ACETAMIN-CAFF 50-325-40 TABLET [Repan]
(Butalbital, Acetaminophen, Caffeine)
30 TABLETS   00527169505 36
PDPs
221
MAPDs
CALCITRIOL 0.25 MCG CAPSULE [Rocaltrol]
()
30 CAPSULES   69452020720 64
PDPs
403
MAPDs
CALCITRIOL 0.5 MCG CAPSULE [Rocaltrol]
()
90 CAPSULES   69452020820 64
PDPs
403
MAPDs
CEFTRIAXONE 10 GM VIAL [Rocephin]
(Ceftriaxone)
ML   60505615005 59
PDPs
386
MAPDs
CEFTRIAXONE 2 GM VIAL [Rocephin]
(Ceftriaxone)
13 mls   60505614904 64
PDPs
398
MAPDs
CRESTOR 10MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075190 2
PDPs
1
MAPDs
CRESTOR 20MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075290 2
PDPs
1
MAPDs
CRESTOR 40mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Rosuvastatin Calcium)
30 TABLET, FILM COATED   00310075430 2
PDPs
1
MAPDs
CRESTOR 5MG TABLET
(Rosuvastatin Calcium)
90 BOT 00310075590 2
PDPs
1
MAPDs
DALIRESP 250 MCG TABLET
(Roflumilast)
30 tablets   00310008828 64
PDPs
399
MAPDs
DALIRESP 500 MCG TABLET
(ROFLUMILAST)
30 EA   00310009530 64
PDPs
403
MAPDs
DEXCHLORPHENIRAMINE 2 MG/5 ML SYRUP [RyClora]
(Dexchlorpheniramine)
118 mls   69067010204 2
PDPs
9
MAPDs
EDURANT 27.5mg/1
(Rilpivirine)
    59676027801 64
PDPs
403
MAPDs
ELETRIPTAN HBR 20 MG TABLET [Relpax]
(Eletriptan Hydrobromide)
6 TABLETS   59762232101 6
PDPs
129
MAPDs
ELETRIPTAN HBR 40 MG TABLET [Relpax]
(Eletriptan Hydrobromide)
6 TABLETS   59762232201 6
PDPs
129
MAPDs
ERYTHROMYCIN 0.5% EYE OINTMENT [Romycin]
()
3.5 GRAMS   00574402435 64
PDPs
403
MAPDs
EVENITY 210 MG DOSE-2 SYRINGES
(Romosozumab)
mls   55513088002 1
PDPs
77
MAPDs
EVISTA 60 MG TABLET
(Raloxifene HCl)
30 EA   00002418430 2
PDPs
1
MAPDs
EVRYSDI 60 MG/80 ML(0.75MG/ML) SOLUTION RECON
(Risdiplam)
MLS   50242017507 7
PDPs
178
MAPDs
EXELON 13.3 MG/24HR PATCH
(Rivastigmine Tartrate)
30 EA   00078050315 7
PDPs
1
MAPDs
EXELON 4.6MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)
30 CRTN 00078050115 7
PDPs
1
MAPDs
EXELON 9.5MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)
30 CRTN 00078050215 7
PDPs
1
MAPDs
GALANTAMINE ER 16 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074530 62
PDPs
392
MAPDs
GALANTAMINE ER 24 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074630 62
PDPs
392
MAPDs
GALANTAMINE ER 8 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074430 62
PDPs
392
MAPDs
GALANTAMINE HBR 12 MG TABLET [Reminyl]
()
180 TABLETS   57237005160 62
PDPs
393
MAPDs
GALANTAMINE HBR 4 MG TABLET [Reminyl]
()
60 tablets   57237004960 62
PDPs
393
MAPDs
GALANTAMINE HBR 8 MG TABLET [Reminyl]
()
60 TABLETS   57237005060 62
PDPs
393
MAPDs
GLATIRAMER 20 MG/ML SYRINGE [Glatopa]
(Glatiramer)
mls   00378696093 38
PDPs
340
MAPDs
GLYCOPYRROLATE 1 MG TABLET [Robinul]
(Glycopyrrolate)
60 TABLETS   23155060601 61
PDPs
394
MAPDs
GLYCOPYRROLATE 2 MG TABLET [Robinul Forte]
()
60 TABLETS   23155060701 61
PDPs
394
MAPDs
GRISEOFULVIN 125 MG/5 ML ORAL SUSPENSION [Grifulvin V]
(Griseofulvin Microsize)
240 MLS   00472001304 64
PDPs
399
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 9
PDPs
87
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 64
PDPs
403
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)
30 TABLETS   23155050001 53
PDPs
389
MAPDs
IMOVAX RABIES VACCINE VIAL
(Rabies Virus Vaccine, HDC)
ML   49281025251 64
PDPs
403
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
1 unit   00006360361 64
PDPs
403
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
    00006047761 64
PDPs
403
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
    00006047361 64
PDPs
403
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 64
PDPs
403
MAPDs
ISENTRESS HD 600 MG TABLET
(Raltegravir)
tablets   00006308001 64
PDPs
403
MAPDs
JAKAFI 10 MG TABLET
(ruxolitinib)
    50881001060 64
PDPs
403
MAPDs
JAKAFI 15 MG TABLET
(ruxolitinib)
    50881001560 64
PDPs
403
MAPDs
JAKAFI 20 MG TABLET
(ruxolitinib)
    50881002060 64
PDPs
403
MAPDs
JAKAFI 25 MG TABLET
(ruxolitinib)
    50881002560 64
PDPs
403
MAPDs
JAKAFI 5 MG TABLET
(ruxolitinib)
    50881000560 64
PDPs
403
MAPDs
KISQALI 200 MG DAILY DOSE
(Ribociclib)
    00078086001 64
PDPs
403
MAPDs
KISQALI 400 MG DAILY DOSE
(Ribociclib)
    00078086742 64
PDPs
403
MAPDs
KISQALI 600 MG DAILY DOSE
(Ribociclib)
    00078087463 64
PDPs
403
MAPDs
KISQALI FEMARA 200 MG CO-PACK
(Letrozole;Ribociclib)
49 EA   00078090961 64
PDPs
402
MAPDs
KISQALI FEMARA 400 MG CO-PACK
(Letrozole;Ribociclib)
70 EA   00078091661 64
PDPs
402
MAPDs
KISQALI FEMARA 600 MG CO-PACK
(Letrozole;Ribociclib)
91 EA   00078092361 64
PDPs
402
MAPDs
LEVETIRACETAM 500 MG TABLET [Roweepra]
()
60 TABLETS   31722053705 64
PDPs
403
MAPDs
LEVETIRACETAM ER 500 MG TABLET ER 24H [Roweepra]
()
60 TABLETS   68180011707 47
PDPs
391
MAPDs
LEVETIRACETAM ER 750 MG TABLET ER 24H [Roweepra]
()
60 TABLETS   68180011807 47
PDPs
391
MAPDs
M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML
(Measles, Mumps, and Rubella Vaccine)
10 X 0.5 ML VIAL 00006468100 64
PDPs
403
MAPDs
MAXALT 10mg/1 18 POUCH per CARTON / 1 TABLET in 1 POUCH
(Rizatriptan Benzoate)
18 POUCH in 1 CARTON   00006026718 2
PDPs
2
MAPDs
MAXALT MLT 10 MG TABLET
(Rizatriptan Benzoate)
3 EA   00006380118 2
PDPs
2
MAPDs
METHOCARBAMOL 500 MG TABLET [Robaxin]
()
30 TABLETS   70010075401 40
PDPs
290
MAPDs
METHOCARBAMOL 750 MG TABLET [Robaxin]
()
30 TABLETS   70010077001 40
PDPs
290
MAPDs
METHOTREXATE 2.5 MG TABLET [Rheumatrex]
(Methotrexate)
24 tablets   00054455025 64
PDPs
403
MAPDs
METHYLPHENIDATE 10 MG TABLET [Ritalin]
(Methylphenidate HCl)
60 TABLETS   00406114401 64
PDPs
403
MAPDs
METHYLPHENIDATE 20 MG TABLET [Ritalin]
(Methylphenidate HCl)
60 TABLETS   00406114601 64
PDPs
403
MAPDs
METHYLPHENIDATE 5 MG TABLET [Ritalin]
(Methylphenidate HCl)
30 TABLETS   00406114201 64
PDPs
403
MAPDs
METHYLPHENIDATE CD 20 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   00527458037 5
PDPs
163
MAPDs
METHYLPHENIDATE CD 30 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   00527458137 4
PDPs
160
MAPDs
METHYLPHENIDATE CD 40 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   00527458237 5
PDPs
164
MAPDs
METHYLPHENIDATE CD 60 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   00527458437 4
PDPs
162
MAPDs
METHYLPHENIDATE ER 10 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
30 UNITS   42858007545 1
PDPs
22
MAPDs
METHYLPHENIDATE ER 20 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
30 UNITS   42858007745 1
PDPs
22
MAPDs
METHYLPHENIDATE ER 20 MG TABLET [Ritalin SR]
(Methylphenidate HCl)
30 TABLETS   70010004301 51
PDPs
325
MAPDs
METHYLPHENIDATE ER 30 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
UNITS   42858007845 1
PDPs
22
MAPDs
METHYLPHENIDATE ER 40 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
UNITS   42858007945 1
PDPs
22
MAPDs
METHYLPHENIDATE ER 60 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
30 UNITS   42858008145 1
PDPs
22
MAPDs
METHYLPHENIDATE ER 72 MG TABLET ER 24 [RELEXXII]
(Methylphenidate HCl)
30 units   13811071030 1
PDPs
62
MAPDs
METHYLPHENIDATE ER(CD) 10MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate Hydrochloride)
30 UNITS   00406181001 4
PDPs
164
MAPDs
METHYLPHENIDATE LA 10 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   70010001201 8
PDPs
179
MAPDs
METHYLPHENIDATE LA 20 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   70010001301 8
PDPs
178
MAPDs
METHYLPHENIDATE LA 30 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   70010001401 8
PDPs
178
MAPDs
METHYLPHENIDATE LA 40 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   70010001501 8
PDPs
177
MAPDs
METHYLPHENIDATE LA 60 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 units   51862061430 8
PDPs
158
MAPDs
MIRTAZAPINE 15 MG TABLET [Remeron]
(Mirtazapine)
30 tablets   13107003134 64
PDPs
403
MAPDs
MIRTAZAPINE 30 MG TABLET [Remeron]
(Mirtazapine)
30 tablets   13107000334 64
PDPs
403
MAPDs
MORPHINE SULF 100 MG/5 ML CONC SOLUTION [Roxanol-T]
()
30 MLS   00054051744 53
PDPs
385
MAPDs
MYCOBUTIN 150MG CAPSULE
(Rifabutin)
100 BOT 00013530117 2
PDPs
1
MAPDs
NALTREXONE 50 MG TABLET [ReVia]
()
30 TABLETS   00406117003 64
PDPs
403
MAPDs
NEUPRO 1 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080103 52
PDPs
387
MAPDs
NEUPRO 2 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080203 52
PDPs
387
MAPDs
NEUPRO 3 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080303 52
PDPs
387
MAPDs
NEUPRO 4 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080403 52
PDPs
387
MAPDs
NEUPRO 6 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080503 52
PDPs
387
MAPDs
NEUPRO 8 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080603 52
PDPs
387
MAPDs
NORVIR 100 MG POWDER PACKET
(Ritonavir)
units   00074339930 64
PDPs
403
MAPDs
NORVIR 100 MG TABLET
(Ritonavir)
30 EA   00074333330 3
PDPs
4
MAPDs
NORVIR 80MG/ML ORAL SOLUTION
(Ritonavir)
240 ML BOT 00074194063 64
PDPs
403
MAPDs
NURTEC ODT 75 MG TABLET RAPDIS
(Rimegepant)
8 units   72618300002 12
PDPs
125
MAPDs
ORGOVYX 120 MG TABLET
(Relugolix)
30 TABLETS   72974012001 64
PDPs
403
MAPDs
OXYCODONE HCL 100 MG/5 ML CONC ORAL CONC [Roxicodone]
()
30 MLS   68308002003 28
PDPs
302
MAPDs
OXYCODONE HCL 15 MG TABLET [Roxybond]
(Oxycodone HCl)
120 tablets   00406851501 64
PDPs
401
MAPDs
OXYCODONE HCL 20 MG TABLET [Roxicodone]
(Oxycodone HCl)
100 TABLET in 1 BOTTLE   10702005701 64
PDPs
401
MAPDs
OXYCODONE HCL 30 MG TABLET [Roxybond]
(Oxycodone HCl)
120 tablets   00406853001 64
PDPs
399
MAPDs
OXYCODONE HCL 5 MG TABLET [Roxybond]
(Oxycodone HCl)
100 EA   10702001801 64
PDPs
401
MAPDs
OXYCODONE HCL 5 MG/5 ML SOLUTION [Roxicodone]
(Oxycodone HCl)
500 ML   00054039063 43
PDPs
352
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325 TABLET [Roxicet]
(Oxycodone-Acetaminophen )
30 TABLETS   42858010201 64
PDPs
403
MAPDs
PERSERIS ER 120 MG SYRINGE KIT SUSER SYKT
(Risperidone)
unit   12496012001 59
PDPs
371
MAPDs
PERSERIS ER 90 MG SYRINGE KIT SUSER SYKT
(Risperidone)
unit   12496009001 59
PDPs
371
MAPDs
PRIFTIN 150 MG TABLET
(Rifapentine)
24   00088210224 64
PDPs
403
MAPDs
PROPAFENONE HCL 150 MG TABLET [Rythmol]
(Propafenone HCl)
90 TABLETS   00603544821 64
PDPs
403
MAPDs
PROPAFENONE HCL 300 MG TABLET [Rythmol]
(Propafenone HCl)
90 TABLETS   00603545021 64
PDPs
403
MAPDs
QINLOCK 50 MG TABLET
(Ripretinib)
TABLETS   73207010130 64
PDPs
403
MAPDs
RABAVERT RABIES VACCINE VIAL
(Rabies Vaccine, PCEC For)
    58160096412 64
PDPs
403
MAPDs
RABEPRAZOLE SOD DR 20 MG TABLET DR [AcipHex]
()
30 units   62175030232 25
PDPs
281
MAPDs
RALOXIFENE HCL 60 MG TABLET [Evista]
(Raloxifene HCl)
    00093729001 64
PDPs
403
MAPDs
RAMELTEON 8 MG TABLET [Rozerem]
(Ramelteon)
30 TABLETS   70710134403 38
PDPs
243
MAPDs
RAMIPRIL 1.25 MG CAPSULE
(Ramipril)
30 EA   68382014406 64
PDPs
403
MAPDs
RAMIPRIL 10 MG CAPSULE [Altace]
(Ramipril)
90 CAPSULES   65862047705 64
PDPs
403
MAPDs
RAMIPRIL 2.5 MG CAPSULE [Altace]
(Ramipril)
90 capsules   65862047501 64
PDPs
403
MAPDs
RAMIPRIL 5 MG CAPSULE [Altace]
(Ramipril)
90 CAPSULES   65862047605 64
PDPs
403
MAPDs
RANEXA ER 1,000 MG TABLET
(Ranolazine)
60 EA   61958100401 2
PDPs
4
MAPDs
RANEXA ER 500 MG TABLET
(Ranolazine)
60 EA   61958100301 2
PDPs
4
MAPDs
RANOLAZINE ER 1,000 MG TABLET ER 12H [Ranexa]
(Ranolazine)
60 TABLETS   27241012602 64
PDPs
403
MAPDs
RANOLAZINE ER 500 MG TABLET ER 12H [Ranexa]
(Ranolazine)
60 TABLETS   27241012502 64
PDPs
403
MAPDs
RAPAFLO 4 MG CAPSULE
(Silodosin)
30 capsules   00023614730 2
PDPs
1
MAPDs
RAPAFLO 8 MG CAPSULE
(Silodosin)
30 capsules   00023614230 2
PDPs
1
MAPDs
RAPAMUNE 0.5MG TABLETS
(Sirolimus)
100 BOT 00008104005 0
PDPs
18
MAPDs
RAPAMUNE 1MG TABLET
(Sirolimus)
100 BOT 00008104105 0
PDPs
18
MAPDs
RAPAMUNE 1MG/ML ORAL TUBEX
(Sirolimus)
60 ML BOT 00008103006 2
PDPs
19
MAPDs
RAPAMUNE 2MG TABLET
(Sirolimus)
100 BOT 00008104205 0
PDPs
18
MAPDs
RASAGILINE MESYLATE 0.5 MG TABLET [Azilect]
(Rasagiline Mesylate)
30 TABLETS   47781068330 64
PDPs
403
MAPDs
RASAGILINE MESYLATE 1 MG TABLET [Azilect]
(Rasagiline Mesylate)
30 TABLETS   47781069030 64
PDPs
403
MAPDs
RASUVO 10 MG/0.2 ML AUTOINJ
(Methotrexate)
    59137051004 5
PDPs
78
MAPDs
RASUVO 12.5 MG/0.25 ML AUTOINJ
(Methotrexate)
    59137051504 5
PDPs
78
MAPDs
RASUVO 15 MG/0.3 ML AUTOINJ
(Methotrexate)
    59137052004 5
PDPs
78
MAPDs
RASUVO 17.5 MG/0.35 ML AUTOINJ
(Methotrexate)
    59137052504 5
PDPs
78
MAPDs
RASUVO 20 MG/0.4 ML AUTOINJ
(Methotrexate)
    59137053004 5
PDPs
78
MAPDs
RASUVO 22.5 MG/0.45 ML AUTOINJ
(Methotrexate)
    59137053504 5
PDPs
78
MAPDs
RASUVO 25 MG/0.5 ML AUTOINJ
(Methotrexate)
    59137054004 5
PDPs
78
MAPDs
RASUVO 30 MG/0.6 ML AUTOINJ
(Methotrexate)
    59137055004 5
PDPs
78
MAPDs
RASUVO 7.5 MG/0.15 ML AUTOINJ
(Methotrexate)
    59137050504 5
PDPs
78
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(Glycerol Phenylbutyrate)
25 ML   75987005006 18
PDPs
255
MAPDs
RAYALDEE ER 30 MCG CAPSULE
(Calcifediol)
    70301100101 16
PDPs
166
MAPDs
RAYOS DR 1 MG TABLET
(prednisone)
    75987002001 0
PDPs
5
MAPDs
RAYOS DR 2 MG TABLET
(prednisone)
    75987002101 0
PDPs
5
MAPDs
RAYOS DR 5 MG TABLET
(prednisone)
    75987002201 0
PDPs
5
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038830 2
PDPs
1
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038930 2
PDPs
1
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038730 2
PDPs
1
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087002203 12
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 12
PDPs
147
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087332201 12
PDPs
142
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087334401 12
PDPs
142
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML   44087018801 12
PDPs
142
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
    44087882201 12
PDPs
144
MAPDs
RECLIPSEN 28 DAY TABLET [Solia]
(Desogestrel, Ethinyl Estradiol;Inert)
28 tablets   00093330416 55
PDPs
375
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 64
PDPs
403
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006499500 64
PDPs
403
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 64
PDPs
403
MAPDs
RECTIV 0.4% OINTMENT
(Nitroglycerin)
30 GM   58914030180 64
PDPs
403
MAPDs
REDITREX 10 MG/0.4 ML SYRINGE
(Methotrexate)
ML   66220081022 1
PDPs
17
MAPDs
REDITREX 12.5 MG/0.5 ML SYRING SYRINGE
(Methotrexate)
ML   66220081222 1
PDPs
17
MAPDs
REDITREX 15 MG/0.6 ML SYRINGE
(Methotrexate)
ML   66220081522 1
PDPs
17
MAPDs
REDITREX 17.5 MG/0.7 ML SYRING SYRINGE
(Methotrexate)
ML   66220081722 1
PDPs
17
MAPDs
REDITREX 20 MG/0.8 ML SYRINGE
(Methotrexate)
ML   66220082022 1
PDPs
17
MAPDs
REDITREX 22.5 MG/0.9 ML SYRING SYRINGE
(Methotrexate)
ML   66220082222 1
PDPs
17
MAPDs
REDITREX 25 MG/ML SYRINGE
(Methotrexate)
ML   66220082522 1
PDPs
17
MAPDs
REDITREX 7.5 MG/0.3 ML SYRINGE
(Methotrexate)
ML   66220080722 1
PDPs
17
MAPDs
REGLAN 10 MG TABLET
(Metoclopramide HCl)
90 TABLETS   62559016601 2
PDPs
1
MAPDs
REGLAN 5 MG TABLET
(Metoclopramide HCl)
90 TABLETS   62559016501 2
PDPs
1
MAPDs
REGRANEX 0.01% GEL
(Becaplermin)
15 GM   50484081015 41
PDPs
323
MAPDs
RELAFEN DS 1,000 MG TABLET
(Nabumetone)
60 TABLETS   15370017030 0
PDPs
4
MAPDs
RELENZA 5MG DISKHALER
(Zanamivir Aero)
5 X 4 BLPK 00173068101 53
PDPs
392
MAPDs
RELEXXII ER 72 MG TABLET ER 24
(Methylphenidate Hydrochloride)
30 units   68025008410 0
PDPs
14
MAPDs
RELISTOR 12 MG/0.6 ML SYRINGE
(Methylnaltrexone)
.6 ML   65649055103 43
PDPs
274
MAPDs
RELISTOR 12 MG/0.6 ML VIAL
(Methylnaltrexone)
    65649055102 43
PDPs
285
MAPDs
RELISTOR 150 MG TABLET
(Methylnaltrexone)
    65649015090 25
PDPs
138
MAPDs
RELISTOR 8 MG/0.4 ML SYRINGE
(Methylnaltrexone)
.4 ML   65649055204 43
PDPs
282
MAPDs
RELPAX 20MG TABLET
(Eletriptan Hydrobromide)
6 BLPK 00049233045 0
PDPs
1
MAPDs
RELPAX 40 MG TABLET
(Eletriptan Hydrobromide)
6.000 EA   00049234045 0
PDPs
1
MAPDs
RELTONE 200 MG CAPSULE
()
CAPSULES   80056014301 0
PDPs
5
MAPDs
RELTONE 400 MG CAPSULE
()
CAPSULES   80056014401 0
PDPs
5
MAPDs
REMERON 15 MG TABLET
(Mirtazapine)
30 TABLETS   00052436401 2
PDPs
3
MAPDs
REMERON 30 MG TABLET
(Mirtazapine)
30 TABLETS   00052436501 2
PDPs
3
MAPDs
REMERON SLTABLET 15MG TABLET 30 BLPK CRTN
(Mirtazapine)
30 BLPK CRTN 00052010630 2
PDPs
3
MAPDs
REMERON SLTABLET 30MG TABLET 30 TABLET S CRTN
(Mirtazapine)
30 TABS CRTN 00052010830 2
PDPs
3
MAPDs
REMERON SLTABLET 45MG TABLET
(Mirtazapine)
30 TABS CRTN 00052011030 2
PDPs
3
MAPDs
RENAGEL 800MG TABLET
(Sevelamer HCl)
    58468002101 0
PDPs
3
MAPDs
RENVELA 800MG TABLET
(Sevelamer Carbonate)
    58468013001 4
PDPs
1
MAPDs
REPAGLINIDE 0.5 MG TABLET [Prandin]
()
90 tablets   57237015701 56
PDPs
394
MAPDs
REPAGLINIDE 1 MG TABLET [Prandin]
()
90 tablets   57237015801 56
PDPs
394
MAPDs
REPAGLINIDE 2 MG TABLET [Prandin]
()
90 TABLETS   57237015901 56
PDPs
394
MAPDs
REPATHA 140 MG/ML SURECLICK PEN INJCTR
(Evolocumab)
2 mls   72511076002 53
PDPs
268
MAPDs
REPATHA 140 MG/ML SYRINGE
(Evolocumab)
2 mls   72511075001 53
PDPs
268
MAPDs
REPATHA 420 MG/3.5ML PUSHTRONX WEAR INJCT
(Evolocumab)
3.5 mls   72511077001 53
PDPs
263
MAPDs
RESTASIS 0.05% EYE EMULSION
(Cyclosporine (Ophth))
60 EA   00023916360 61
PDPs
394
MAPDs
RESTORIL 15mg/1 100 CAPSULE BOTTLE
(Temazepam)
100 CAPSULE in 1 BOTTLE   00406991601 0
PDPs
1
MAPDs
RESTORIL 22.5mg/1 30 CAPSULE BOTTLE
(Temazepam)
30 CAPSULE in 1 BOTTLE   00406991403 0
PDPs
1
MAPDs
RESTORIL 30mg/1 100 CAPSULE BOTTLE
(Temazepam)
100 CAPSULE in 1 BOTTLE   00406991701 0
PDPs
1
MAPDs
RESTORIL 7.5 MG CAPSULE
(Temazepam)
30 capsules   00406991503 0
PDPs
1
MAPDs
RETACRIT 10,000 UNIT/ML VIAL
(Epoetin Alfa)
2 mls   00069130810 39
PDPs
291
MAPDs
RETACRIT 2,000 UNIT/ML VIAL
(Epoetin Alfa)
ml   00069130510 39
PDPs
291
MAPDs
RETACRIT 20,000 UNIT/2 ML VIAL
(Epoetin Alfa)
2 MLS   00069131810 37
PDPs
286
MAPDs
RETACRIT 20,000 UNIT/ML VIAL
(Epoetin Alfa)
4 MLS   00069131110 37
PDPs
290
MAPDs
RETACRIT 3,000 UNIT/ML VIAL
(Epoetin Alfa)
ml   00069130610 39
PDPs
291
MAPDs
RETACRIT 4,000 UNIT/ML VIAL
(Epoetin Alfa)
2 mls   00069130710 39
PDPs
291
MAPDs
RETACRIT 40,000 UNIT/ML VIAL
(Epoetin Alfa)
4 mls   00069130904 39
PDPs
293
MAPDs
RETEVMO 40 MG CAPSULE
(Selpercatinib)
CAPSULES   00002397760 64
PDPs
403
MAPDs
RETEVMO 80 MG CAPSULE
(Selpercatinib)
60 CAPSULES   00002298026 64
PDPs
403
MAPDs
RETIN-A 0.01% GEL
(Tretinoin)
45 grams   00187517215 2
PDPs
8
MAPDs
RETIN-A 0.025% GEL
(Tretinoin)
    00187517015 2
PDPs
8
MAPDs
RETIN-A 0.1% CREAM (g)
(Tretinoin)
45 grams   00187516420 2
PDPs
8
MAPDs
RETIN-A MICRO 0.04% GEL
(Tretinoin)
    00187514445 0
PDPs
8
MAPDs
RETIN-A MICRO 0.1% GEL
(Tretinoin Microsphere)
    00187514045 0
PDPs
8
MAPDs
RETIN-A MICRO PUMP 0.06% GEL
(Tretinoin Microsphere)
    00187514650 1
PDPs
7
MAPDs
RETIN-A MICRO PUMP 0.08% GEL
(Tretinoin)
    00187514850 0
PDPs
11
MAPDs
RETROVIR 100mg/1 100 CAPSULE BOTTLE
(Zidovudine)
100 CAPSULE BOTTLE   49702021120 2
PDPs
2
MAPDs
RETROVIR 50mg/5mL 240 mL in 1 BOTTLE
(Zidovudine)
240 mL in 1 BOTTLE   49702021248 2
PDPs
2
MAPDs
REVATIO 10 MG/ML ORAL SUSP
(Sildenafil Citrate)
112 ML   00069033621 0
PDPs
1
MAPDs
REVATIO 20MG TABLET
(Sildenafil Citrate)
90 BOT 00069419068 0
PDPs
1
MAPDs
REVLIMID 10 MG CAPSULE
(Lenalidomide)
28.000 EA   59572041028 64
PDPs
403
MAPDs
REVLIMID 15MG CAPSULE 21 BOT
(Lenalidomide)
21 BOT 59572041521 64
PDPs
403
MAPDs
REVLIMID 2.5 MG CAPSULE
(Lenalidomide)
28.000 EA   59572040228 64
PDPs
403
MAPDs
REVLIMID 20 MG CAPSULE
(Lenalidomide)
21.000 EA   59572042021 64
PDPs
403
MAPDs
REVLIMID 25 MG CAPSULE
(Lenalidomide)
21.000 EA   59572042521 64
PDPs
403
MAPDs
REVLIMID 5 MG CAPSULE
(Lenalidomide)
28.000 EA   59572040528 64
PDPs
403
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
REYATAZ 150MG CAPSULE
(Atazanavir Sulfate)
100 BOT 00003362412 2
PDPs
1
MAPDs
REYATAZ 200MG CAPSULE
(Atazanavir Sulfate)
100 BOT 00003363112 2
PDPs
1
MAPDs
REYATAZ 300MG CAPSULE
(Atazanavir Sulfate)
30 BOT 00003362212 2
PDPs
1
MAPDs
REYATAZ 50 MG POWDER PACKET
(Atazanavir Sulfate)
    00003363810 64
PDPs
403
MAPDs
REYVOW 100 MG TABLET
(Lasmiditan)
8 TABLETS   00002449108 1
PDPs
69
MAPDs
REYVOW 50 MG TABLET
(Lasmiditan)
8 TABLETS   00002431208 1
PDPs
69
MAPDs
RHOFADE 1% CREAM (G)
(Oxymetazoline)
30 GRAMS   71403000330 0
PDPs
8
MAPDs
RHOPRESSA 0.02% OPHTH SOLUTION Drops
(Netarsudil)
2.5 mls   70727049725 46
PDPs
375
MAPDs
RIBAVIRIN 200 MG CAPSULE
(Ribavirin)
84.000 EA   68382026012 56
PDPs
382
MAPDs
RIBAVIRIN 200 MG TABLET [Ribasphere]
()
140 TABLETS   65862020768 64
PDPs
400
MAPDs
RIDAURA 3 MG CAPSULE
(Auranofin)
    54766009306 20
PDPs
222
MAPDs
RIFABUTIN 150 MG CAPSULE [Mycobutin]
(Rifabutin)
20 CAPSULES   59762135001 64
PDPs
403
MAPDs
RIFAMPIN 150 MG CAPSULE
(Rifampin)
30.000 EA   68180065806 64
PDPs
403
MAPDs
RIFAMPIN 300 MG CAPSULE [Rimactane]
()
60 CAPSULES   68180065907 64
PDPs
403
MAPDs
RIFAMPIN IV 600 MG VIAL [Rifadin]
(Rifampin)
ml   63323035120 61
PDPs
403
MAPDs
RILUTEK 50 MG TABLET
(Riluzole)
    70515070060 0
PDPs
1
MAPDs
RILUZOLE 50 MG TABLET [Rilutek]
(Riluzole)
60 tablets   67877028660 64
PDPs
403
MAPDs
Rimantadine 100mg/1 100 TABLET BOTTLE
(Rimantadine)
100 TABLET in 1 BOTTLE   00115191101 44
PDPs
360
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)
TABLETs   00074230630 59
PDPs
389
MAPDs
RIOMET 500MG/5ML SOLUTION ORAL
(Metformin HCl)
473 ML BOT 10631020602 0
PDPs
4
MAPDs
RISEDRONATE SODIUM 150 MG TABLET [Actonel]
(Risedronate Sodium)
3 TABLETS   00093777179 22
PDPs
349
MAPDs
RISEDRONATE SODIUM 30 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA   00093310056 20
PDPs
306
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
4 TABLETS   33342010937 22
PDPs
331
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
4 tablets   33342010950 22
PDPs
331
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
4.000 EA   60505316500 22
PDPs
348
MAPDs
RISEDRONATE SODIUM 5 MG TABLET [Actonel]
(Risedronate Sodium)
30 tablets   33342010707 20
PDPs
334
MAPDs
RISEDRONATE SODIUM DR 35 MG TABLET DR [Atelvia]
()
4 UNITS   59762040704 22
PDPs
262
MAPDs
RISPERDAL 0.5 MG TABLET
(Risperidone)
30 tablets   50458030206 2
PDPs
1
MAPDs
RISPERDAL 1 MG TABLET
(Risperidone)
30 tablets   50458030006 2
PDPs
1
MAPDs
RISPERDAL 1MG/ML SOLUTION
(Risperidone)
30 ML BOT 50458030503 2
PDPs
1
MAPDs
RISPERDAL 2 MG TABLET
(Risperidone)
60.000 EA   50458032006 2
PDPs
1
MAPDs
RISPERDAL 3 MG TABLET
(Risperidone)
30 tablets   50458033006 2
PDPs
1
MAPDs
RISPERDAL 4 MG TABLET
(Risperidone)
60 EA   50458035006 2
PDPs
1
MAPDs
RISPERDAL CONSTA 25MG SYR
(Risperidone Microspheres For)
25 MG VIAL DSPK 50458030611 64
PDPs
402
MAPDs
RISPERDAL CONSTA 37.5MG SYR
(Risperidone Microspheres For)
37.5 MG VIAL DSPK 50458030711 64
PDPs
402
MAPDs
RISPERDAL CONSTA 50MG SYR
(Risperidone Microspheres For)
50 MG VIAL DSPK 50458030811 64
PDPs
402
MAPDs
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL
(Risperidone Microspheres For)
12.5 MG VIAL DSPK 50458030911 64
PDPs
402
MAPDs
RISPERIDONE 0.25 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   27241000250 64
PDPs
403
MAPDs
RISPERIDONE 0.5 MG ODT TABLET RAPDIS [Risperdal M-Tab]
(Risperidone)
60 UNITS   59746001032 64
PDPs
403
MAPDs
RISPERIDONE 0.5 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   27241000350 64
PDPs
403
MAPDs
RISPERIDONE 1 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()
30 units   59746002022 64
PDPs
403
MAPDs
RISPERIDONE 1 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   27241000150 64
PDPs
403
MAPDs
RISPERIDONE 1 MG/ML SOLUTION [Risperdal]
(Risperidone)
30 MLS   50458059601 64
PDPs
403
MAPDs
RISPERIDONE 2 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()
30 UNITS   59746003022 64
PDPs
403
MAPDs
RISPERIDONE 2 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   43547034250 64
PDPs
403
MAPDs
RISPERIDONE 3 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()
14 UNITS   59746004022 64
PDPs
403
MAPDs
RISPERIDONE 3 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   43547034350 64
PDPs
403
MAPDs
RISPERIDONE 4 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()
18 UNITS   59746005022 64
PDPs
403
MAPDs
RISPERIDONE 4 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   43547034406 64
PDPs
403
MAPDs
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK
(Risperidone)
4 IN 1 BLPK 49884021255 64
PDPs
403
MAPDs
RITALIN 10MG TABLET
(Methylphenidate HCl)
100 BOT 00078044005 2
PDPs
2
MAPDs
RITALIN 20MG TABLET
(Methylphenidate HCl)
100 BOT 00078044105 2
PDPs
2
MAPDs
RITALIN 5MG TABLET
(Methylphenidate HCl)
100 BOT 00078043905 2
PDPs
2
MAPDs
RITALIN LA 10MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078042405 0
PDPs
1
MAPDs
RITALIN LA 20MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078037005 0
PDPs
1
MAPDs
RITALIN LA 30MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078037105 0
PDPs
1
MAPDs
RITALIN LA 40MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078037205 0
PDPs
1
MAPDs
RITONAVIR 100 MG TABLET [Norvir]
()
30   00054040713 64
PDPs
403
MAPDs
RIVASTIGMINE 1.5 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)
60 capsules   55111035260 63
PDPs
403
MAPDs
RIVASTIGMINE 13.3 MG/24HR PTCH PATCH [Exelon Patch]
()
30 PATCHES   00781731331 55
PDPs
400
MAPDs
RIVASTIGMINE 3 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)
180 capsules   55111035360 63
PDPs
403
MAPDs
RIVASTIGMINE 4.5 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)
180 capsules   55111035460 63
PDPs
403
MAPDs
RIVASTIGMINE 4.6 MG/24HR PATCH
(Rivastigmine Tartrate)
30 EA   47781030403 55
PDPs
400
MAPDs
RIVASTIGMINE 6 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)
60 capsules   55111035560 63
PDPs
403
MAPDs
RIVASTIGMINE 9.5 MG/24HR PATCH
(Rivastigmine Tartrate)
30 EA   47781030503 55
PDPs
400
MAPDs
RIVELSA TABLET TBDSPK 3MO
(Ethinyl Estradiol and Levonorgestrel)
    00093603182 11
PDPs
133
MAPDs
RIZATRIPTAN 10 MG ODT [Maxalt-MLT]
(rizatriptan benzoate)
18.000 EA   51991036378 64
PDPs
400
MAPDs
RIZATRIPTAN 10 MG TABLET [Maxalt]
(Rizatriptan)
9 tablets   67877026218 64
PDPs
400
MAPDs
RIZATRIPTAN 5 MG ODT TABLET RAPDIS [Maxalt-MLT]
(Rizatriptan Benzoate)
9 UNITS   69452015673 64
PDPs
400
MAPDs
RIZATRIPTAN 5 MG TABLET [Maxalt]
(Rizatriptan)
9 TABLETS   33342008745 64
PDPs
400
MAPDs
Rocaltrol 0.25ug GELATIN COATED 100 CAPSULE BOTTLE
(Calcitriol)
100 CAPSULE BOTTLE   30698014301 2
PDPs
1
MAPDs
Rocaltrol 0.5ug GELATIN COATED 100 CAPSULE BOTTLE
(Calcitriol)
100 CAPSULE BOTTLE   30698014401 2
PDPs
1
MAPDs
Rocaltrol 1ug/mL 15 mL in 1 BOTTLE
(Calcitriol)
15 mL in 1 BOTTLE   30698091115 2
PDPs
1
MAPDs
ROCKLATAN 0.02%-0.005% EYE DROPS
(Netarsudil, Latanoprost)
2.5 mls   70727052925 33
PDPs
265
MAPDs
ROPINIROLE HCL 0.25 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547026810 64
PDPs
403
MAPDs
ROPINIROLE HCL 0.5 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547026910 64
PDPs
403
MAPDs
ROPINIROLE HCL 1 MG TABLET [Requip]
(Ropinirole Hydrochloride)
60 tablets   62332003231 64
PDPs
403
MAPDs
ROPINIROLE HCL 2 MG TABLET [Requip]
(Ropinirole Hydrochloride)
60 tablets   62332003331 64
PDPs
403
MAPDs
ROPINIROLE HCL 3 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547027210 64
PDPs
403
MAPDs
ROPINIROLE HCL 4 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547027310 64
PDPs
403
MAPDs
ROPINIROLE HCL 5 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547027410 64
PDPs
403
MAPDs
ROPINIROLE HCL ER 12 MG TABLET ER 24H [Requip XL]
()
30 tablets   55111072830 18
PDPs
234
MAPDs
ROPINIROLE HCL ER 2 MG TABLET ER 24H [Requip XL]
()
30 tablets   55111065930 18
PDPs
234
MAPDs
ROPINIROLE HCL ER 4 MG TABLET ER 24H [Requip XL]
()
30 TABLETS   55111066130 18
PDPs
234
MAPDs
ROPINIROLE HCL ER 6 MG TABLET ER 24H [Requip XL]
()
30 tablets   55111072730 18
PDPs
234
MAPDs
ROPINIROLE HCL ER 8 MG TABLET ER 24H [Requip XL]
()
30 TABLETS   55111066230 18
PDPs
234
MAPDs
ROSUVASTATIN CALCIUM 10 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 TABLETS   72205000390 64
PDPs
403
MAPDs
ROSUVASTATIN CALCIUM 20 MG TABLET [Crestor]
(Rosuvastatin Calcium)
30 TABLETS   72205000490 64
PDPs
403
MAPDs
ROSUVASTATIN CALCIUM 40 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 tablets   31722088530 64
PDPs
403
MAPDs
ROSUVASTATIN CALCIUM 5 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 TABLETS   72205002790 64
PDPs
403
MAPDs
ROSZET 10-10 MG TABLET
(Rosuvastatin, Ezetimibe)
TABLETS   70661000230 2
PDPs
3
MAPDs
ROSZET 20-10 MG TABLET
(Rosuvastatin, Ezetimibe)
TABLETS   70661000330 2
PDPs
3
MAPDs
ROSZET 40-10 MG TABLET
(Rosuvastatin, Ezetimibe)
TABLETS   70661000430 2
PDPs
3
MAPDs
ROSZET 5-10 MG TABLET
(Rosuvastatin, Ezetimibe)
TABLETS   70661000130 2
PDPs
3
MAPDs
ROTARIX VACCINE SUSPENSION
(live rotavirus vaccine)
    58160085452 64
PDPs
403
MAPDs
ROTATEQ VACCINE SOLUTION
(Rotavirus Vaccine, Live Oral Pentavalent)
mls   00006404741 64
PDPs
403
MAPDs
ROWASA 4 GM/60 ML ENEMA KIT
(Mesalamine)
1 UNIT   00037006603 2
PDPs
11
MAPDs
ROWEEPRA 500 MG TABLET
(Levetiracetam)
60 TABLETS   69102010501 59
PDPs
304
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)
100 EA   23635058110 2
PDPs
1
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)
    23635058210 2
PDPs
1
MAPDs
ROXICODONE 5 MG TABLET
(Oxycodone HCl)
100 EA   23635058010 2
PDPs
4
MAPDs
ROZEREM 8 MG TABLET
(Ramelteon)
30.000 EA   64764080530 2
PDPs
4
MAPDs
ROZLYTREK 100 MG CAPSULE
(Entrectinib)
capsules   50242009130 64
PDPs
403
MAPDs
ROZLYTREK 200 MG CAPSULE
(Entrectinib)
capsules   50242009490 64
PDPs
403
MAPDs
RUBRACA 200 MG TABLET
(RUCAPARIB CAMSYLATE)
60.000 EA   69660020191 64
PDPs
403
MAPDs
RUBRACA 250 MG TABLET
(RUCAPARIB CAMSYLATE)
60   69660020291 64
PDPs
403
MAPDs
RUBRACA 300 MG TABLET
(RUCAPARIB CAMSYLATE)
    69660020391 64
PDPs
403
MAPDs
RUCONEST 2,100 UNIT VIAL
(C1 Esterase Inhibitor (Recombinant))
ML   71274035002 12
PDPs
91
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
RUKOBIA ER 600 MG TABLETLET ER 12H
(Fostemsavir)
TABLETS   49702025018 64
PDPs
403
MAPDs
RUZURGI 10 MG TABLET
(Amifampridine)
TABLETS   49938011001 8
PDPs
100
MAPDs
RYBELSUS 14 MG TABLET
(Semaglutide)
30 TABLETS   00169431413 55
PDPs
358
MAPDs
RYBELSUS 3 MG TABLET
(Semaglutide)
30 TABLETS   00169430313 55
PDPs
358
MAPDs
RYBELSUS 7 MG TABLET
(Semaglutide)
30 TABLETS   00169430713 55
PDPs
358
MAPDs
RYCLORA 2 MG/5 ML SOLUTION SYRUP
(Dexchlorpheniramine)
118 mls   15370015004 0
PDPs
3
MAPDs
RYDAPT 25 MG CAPSULE
(Midostaurin)
56 EA   00078069899 64
PDPs
403
MAPDs
RYTARY ER 23.75 MG-95 MG CAP
(Levodopa and Carbidopa)
100.000 EA   64896066101 21
PDPs
137
MAPDs
RYTARY ER 36.25 MG-145 MG CAP
(Levodopa and Carbidopa)
100.000 EA   64896066201 21
PDPs
137
MAPDs
RYTARY ER 48.75 MG-195 MG CAP
(Levodopa and Carbidopa)
100.000 EA   64896066301 21
PDPs
137
MAPDs
RYTARY ER 61.25 MG-245 MG CAP
(Levodopa and Carbidopa)
100.000 EA   64896066401 21
PDPs
137
MAPDs
RYTHMOL SR 225mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE   00173082318 2
PDPs
1
MAPDs
RYTHMOL SR 325mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE   00173082418 2
PDPs
1
MAPDs
RYTHMOL SR 425mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE   00173082618 2
PDPs
1
MAPDs
RYVENT 6 MG TABLET
(Carbinoxamine Maleate)
    15370013010 0
PDPs
4
MAPDs
SEVELAMER 0.8 GM POWDER PACKET [RENVELA]
(Sevelamer Carbonate)
90 EA   65862093090 55
PDPs
347
MAPDs
SEVELAMER 2.4 GM POWDER PACKET POWDER PACK [Renvela]
(Sevelamer Carbonate)
    65862093190 55
PDPs
350
MAPDs
SEVELAMER CARBONATE 26.7 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
    58468013202 4
PDPs
1
MAPDs
SEVELAMER CARBONATE 40 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
    58468013102 4
PDPs
1
MAPDs
SEVELAMER CARBONATE 800 MG TABLET [Renvela]
(Sevelamer Carbonate)
90 TABLETS   65862092127 61
PDPs
396
MAPDs
SEVELAMER HCL 400 MG TABLET [RenaGel]
(Sevelamer Hydrochloride)
90 TABLETs   68462044626 4
PDPs
125
MAPDs
SEVELAMER HCL 800 MG TABLET [RenaGel]
(Sevelamer Hydrochloride)
90 TABLETs   68462044718 3
PDPs
107
MAPDs
SILDENAFIL 10 MG/ML ORAL SUSPENSION [Revatio]
(Sildenafil)
112 MLS   59762205801 7
PDPs
85
MAPDs
SILDENAFIL 20 MG TABLET [Revatio]
(Sildenafil)
30 TABLETS   65862068890 64
PDPs
403
MAPDs
SILODOSIN 4 MG CAPSULE [Rapaflo]
(Silodosin)
30 CAPSULES   27241014401 24
PDPs
238
MAPDs
SILODOSIN 8 MG CAPSULE [Rapaflo]
(Silodosin)
30 CAPSULES   27241014501 24
PDPs
238
MAPDs
Sirolimus 0.5 MG Tablet [Rapamune]
()
    68382052001 64
PDPs
403
MAPDs
SIROLIMUS 1 MG TABLET [Rapamune]
()
100 EA   55111065301 64
PDPs
403
MAPDs
SIROLIMUS 1 MG/ML SOLUTION [Rapamune]
()
60 mls   66689034702 64
PDPs
401
MAPDs
SIROLIMUS 2 MG TABLET [Rapamune]
()
100 EA   55111065401 64
PDPs
403
MAPDs
SKYRIZI 150 MG DOSE KIT-2 SYRINGEKIT
(Risankizumab)
2 units   00074204202 58
PDPs
388
MAPDs
SKYRIZI 150 MG/ML PEN INJECTOR
(Risankizumab)
1 ML   00074210001 58
PDPs
389
MAPDs
SKYRIZI 150 MG/ML SYRINGE
(Risankizumab)
1 ML   00074105001 58
PDPs
389
MAPDs
TALICIA DR 10-250-12.5 MG CAPSULE IR
()
168 UNITS   57841115002 0
PDPs
13
MAPDs
TEMAZEPAM 15 MG CAPSULE [Restoril]
(Temazepam)
30 capsules   67877014601 55
PDPs
378
MAPDs
TEMAZEPAM 22.5 MG CAPSULE [Restoril]
(Temazepam)
30 CAPSULES   00406995903 2
PDPs
89
MAPDs
TEMAZEPAM 30 MG CAPSULE [Restoril]
(Temazepam)
30 CAPSULES   67877014701 55
PDPs
378
MAPDs
TEMAZEPAM 7.5 MG CAPSULE [Restoril]
(Temazepam)
30 CAPSULES   00406996001 13
PDPs
176
MAPDs
TIGLUTIK 50 MG/10 ML Oral Suspension
(Riluzole)
mls   70726030301 3
PDPs
45
MAPDs
Tretinoin 0.0004 MG/MG Topical Gel
(Tretinoin)
    68682051494 2
PDPs
105
MAPDs
Tretinoin 0.25 MG/ML Topical Cream [Retin-A]
(Tretinoin)
    00187516020 2
PDPs
8
MAPDs
Tretinoin 0.5 MG/ML Topical Cream [Retin-A]
(Tretinoin)
    00187516220 2
PDPs
8
MAPDs
TRETINOIN GEL MICRO 0.1% TUBE [Retin-A Micro]
()
45 GRAMS   00378809345 6
PDPs
109
MAPDs
VARUBI 90 MG TABLET
(Rolapitant)
tablets   70720010102 5
PDPs
124
MAPDs
XARELTO 10 MG TABLET
(Rivaroxaban)
30.000 EA   50458058030 62
PDPs
399
MAPDs
XARELTO 15 MG TABLET
(Rivaroxaban)
30.000 EA   50458057830 62
PDPs
399
MAPDs
XARELTO 2.5 MG TABLET
(Rivaroxaban)
60 tablets   50458057760 62
PDPs
396
MAPDs
XARELTO 20 MG TABLET
(Rivaroxaban)
30.000 EA   50458057930 62
PDPs
399
MAPDs
XARELTO STARTER PACK
(Rivaroxaban)
51 EA   50458058451 62
PDPs
396
MAPDs
XIFAXAN 200MG TABLET
(Rifaximin)
30 BOT 65649030103 20
PDPs
250
MAPDs
XIFAXAN 550 MG TABLET
(Rifaximin)
60.000 EA   65649030302 64
PDPs
403
MAPDs
YUPELRI 175 MCG/3 ML SOLUTION VIAL-NEB
(Revefenacin)
MLS   49502080693 2
PDPs
51
MAPDs



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


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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.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • 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.