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2024 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 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 2024 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
1
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
    10631011731 0
PDPs
1
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)
    10631013431 0
PDPs
1
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   72143025130 44
PDPs
337
MAPDs
ACCUTANE 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 CAPSULES   72143025230 44
PDPs
338
MAPDs
ACCUTANE 30 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 CAPSULES   72143023330 44
PDPs
338
MAPDs
ACCUTANE 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 CAPSULES   72143025430 44
PDPs
338
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1b (E. coli))
ml   75987011111 55
PDPs
370
MAPDs
ADALIMUMAB-FKJP(CF) 40 MG SYRINGE KIT [Idacio]
()
1 UNIT   49502041802 0
PDPs
12
MAPDs
ADALIMUMAB-FKJP(CF) PEN 40 MG PEN INJECTOR KIT [Idacio]
()
UNITS   49502041602 0
PDPs
12
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 7
PDPs
71
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 7
PDPs
71
MAPDs
AFREZZA 12 UNIT CARTRIDGE INHALER
(insulin)
    47918089190 0
PDPs
3
MAPDs
AFREZZA 4 UNIT CARTRIDGE INHALER
(insulin)
    47918087490 0
PDPs
3
MAPDs
AFREZZA 4 UNIT/8 UNIT/12 UNIT
(insulin)
    47918090218 0
PDPs
3
MAPDs
AFREZZA 8 UNIT CARTRIDGE INHALER
(insulin)
    47918087890 0
PDPs
3
MAPDs
AFREZZA 90-4 UNIT / 90-8 UNIT
(insulin)
    47918088018 0
PDPs
3
MAPDs
AFREZZA 90-8 UNIT / 90-12 UNIT CARTRIDGE INHALER
(insulin)
units   47918089818 0
PDPs
3
MAPDs
AMNESTEEM 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   00378661193 51
PDPs
310
MAPDs
AMNESTEEM 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 CAPSULES   00378661293 51
PDPs
310
MAPDs
AMNESTEEM 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   00378661493 51
PDPs
310
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML   00088250033 0
PDPs
8
MAPDs
APRACLONIDINE HCL 0.5% DROPS [Iopidine]
()
5 MLS   61314066505 21
PDPs
242
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN 00597008717 55
PDPs
370
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30.000 EA   00024585530 0
PDPs
4
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30 EA   00024585630 0
PDPs
4
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)
30 EA   00024585130 0
PDPs
4
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)
30.000 EA   00024585230 0
PDPs
4
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)
90 EA   00024585090 0
PDPs
4
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(INTERFERON BETA-1A)
1 EA   59627033304 13
PDPs
265
MAPDs
AVONEX PREFILLED SYR 30 MCG KT
(INTERFERON BETA-1A)
1 EA   59627022205 13
PDPs
265
MAPDs
AZATHIOPRINE 50 MG TABLET [Imuran]
()
30 TABLETS   60219107601 55
PDPs
370
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin Glargine)
3.000 ML   00002771559 13
PDPs
97
MAPDs
BASAGLAR TEMPO PEN 100 UNIT/ML INSULIN PEN [Semglee]
(Insulin Glargine)
MLS   00002821405 1
PDPs
12
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)
1.000 EA   50419052435 53
PDPs
316
MAPDs
BIDIL 20 MG-37.5 MG TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
5 TABLETS   24338001009 0
PDPs
8
MAPDs
BIVIGAM 10% VIAL [Panzyga]
(Immune Globulin (Human))
50 MLS   69800650201 16
PDPs
176
MAPDs
Cilastatin 250 MG / Imipenem 250 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323034925 55
PDPs
368
MAPDs
Cilastatin 500 MG / Imipenem 500 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323032225 55
PDPs
368
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105486 55
PDPs
318
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105586 55
PDPs
317
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK CARTON   00555105686 55
PDPs
315
MAPDs
CLARAVIS 40 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105786 55
PDPs
317
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513080060 55
PDPs
370
MAPDs
CORLANOR 5 MG/5 ML ORAL SOLUTION
(Ivabradine)
mls   55513081328 42
PDPs
301
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513081060 55
PDPs
370
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)
56 CAPSULES   00469052002 18
PDPs
96
MAPDs
CROMOLYN 20 MG/2 ML NEB SOLN AMPUL-NEB [Intal]
(Cromolyn Sodium)
120 MLS   00172640649 55
PDPs
336
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
    75987001003 0
PDPs
5
MAPDs
DULOXETINE HCL DR 40 MG CAPSULE [Irenka]
(Duloxetine)
30 units   68180029706 8
PDPs
144
MAPDs
EPLERENONE 25 MG TABLET [Inspra]
(Eplerenone)
30 TABLETS   16729029310 39
PDPs
342
MAPDs
EPLERENONE 50 MG TABLET [Inspra]
(Eplerenone)
30 TABLETS   51991087833 39
PDPs
342
MAPDs
ERTAPENEM 1 GRAM VIAL [Invanz]
(Ertapenem)
3 mls   55150028220 55
PDPs
370
MAPDs
ETRAVIRINE 100 MG TABLET [INTELENCE]
()
TABLETS   60219172107 55
PDPs
370
MAPDs
ETRAVIRINE 200 MG TABLET [INTELENCE]
()
60 TABLETS   60219172206 55
PDPs
370
MAPDs
EXTAVIA 0.3 MG KIT
(Interferon Beta-1b)
UNITS   00078056912 2
PDPs
64
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010102 55
PDPs
370
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA   43068011002 55
PDPs
370
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)
    43068011202 55
PDPs
370
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010202 55
PDPs
370
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA   43068010402 55
PDPs
370
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010602 55
PDPs
370
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA   43068010802 55
PDPs
370
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA   43068011304 55
PDPs
367
MAPDs
FIASP 100 UNIT/ML FLEXTOUCH INSULIN PEN
(Insulin Aspart (Recombinant))
15 mls   00169320415 14
PDPs
187
MAPDs
FIASP 100 UNIT/ML VIAL
(Insulin Aspart (Recombinant))
10 mls   00169320111 14
PDPs
187
MAPDs
FIASP PENFILL 100 UNIT/ML CART CARTRIDGE
(Insulin Aspart (Recombinant))
mls   00169320515 14
PDPs
186
MAPDs
FIRAZYR 30 MG/3 ML SYRINGE
(ICATIBANT ACETATE)
3.000 ML   54092070203 0
PDPs
7
MAPDs
FLEBOGAMMA DIF 10% VIAL
(Immune Globulin (Human) IV)
50 MLS   61953000501 9
PDPs
217
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 19
PDPs
262
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265804 18
PDPs
248
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265603 18
PDPs
248
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 12
PDPs
200
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 27
PDPs
249
MAPDs
GAMMAPLEX 10 GRAM/200 ML VIAL
(immune globulin)
100 MLS   64208823407 25
PDPs
253
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 27
PDPs
250
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 27
PDPs
253
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 42
PDPs
296
MAPDs
GEFITINIB 250 MG TABLET [Iressa]
()
TABLETS   50742036630 55
PDPs
368
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 0
PDPs
6
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 0
PDPs
6
MAPDs
GUANFACINE HCL ER 1 MG TABLET 24H [Intuniv]
()
30 TABLETS   60505392701 48
PDPs
330
MAPDs
GUANFACINE HCL ER 2 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053401 48
PDPs
330
MAPDs
GUANFACINE HCL ER 3 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   60505392901 48
PDPs
330
MAPDs
GUANFACINE HCL ER 4 MG TABLET 24H [Intuniv]
()
30 TABLETS   60505393001 48
PDPs
330
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))
10 mls   00002751001 36
PDPs
160
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 38
PDPs
195
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 40
PDPs
194
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 38
PDPs
190
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 38
PDPs
192
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 38
PDPs
195
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 38
PDPs
195
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 38
PDPs
194
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 38
PDPs
190
MAPDs
HUMALOG TEMPO PEN 100 UNIT/ML INSULN PEN
(Insulin Lispro (Human))
15 MLS   00002821305 17
PDPs
58
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 41
PDPs
194
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 41
PDPs
195
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 41
PDPs
194
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 41
PDPs
195
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 41
PDPs
195
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 51
PDPs
323
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 51
PDPs
324
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
3 tablets   55111057503 55
PDPs
368
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)
21 EA   00069018821 55
PDPs
370
MAPDs
IBRANCE 100 MG TABLET
(Palbociclib)
21 TABLETS   00069048603 55
PDPs
370
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)
21 EA   00069018921 55
PDPs
370
MAPDs
IBRANCE 125 MG TABLET
(Palbociclib)
7 TABLETS   00069068803 55
PDPs
370
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)
21 EA   00069018721 55
PDPs
370
MAPDs
IBRANCE 75 MG TABLET
(Palbociclib)
7 TABLETS   00069028403 55
PDPs
370
MAPDs
IBSRELA 50 MG TABLET
(Tenapanor)
60 TABLETS   73154005060 1
PDPs
6
MAPDs
IBU 600 MG TABLET [Toxicology Saliva Collection]
(Ibuprofen)
60 tablets   55111068305 55
PDPs
363
MAPDs
IBU 800 MG TABLET [Samson-8]
(Ibuprofen)
30 tablets   55111068405 55
PDPs
364
MAPDs
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [PediaCare Children's Pain Reliever/Fever Reducer IB]
(Ibuprofen)
120 MLS   45802095243 46
PDPs
339
MAPDs
IBUPROFEN 400 MG TABLET [Motrin]
(Ibuprofen)
90 tablets   67877031905 55
PDPs
370
MAPDs
IBUPROFEN 600 MG TABLET [Toxicology Saliva Collection]
(Ibuprofen)
60 TABLETS   64380080807 55
PDPs
370
MAPDs
IBUPROFEN 800 MG TABLET [Samson-8]
(Ibuprofen)
30 TABLETS   64380080707 55
PDPs
370
MAPDs
IBUPROFEN-FAMOTIDIN 800-26.6MG TABLET [DUEXIS]
(IBUPROFEN AND FAMOTIDINE)
90 TABLETS   67877062690 2
PDPs
21
MAPDs
ICATIBANT 30 MG/3 ML SYRINGE [FIRAZYR]
(ICATIBANT ACETATE)
9 mls   00093306693 55
PDPs
370
MAPDs
ICLEVIA 0.15 MG-0.03 MG TABLET TBDSPK 3MO [Setlakin]
(Inert;Levonorgestrel, Ethinyl Estradiol)
91 UNITS   65862086583 48
PDPs
296
MAPDs
ICLUSIG 10 MG TABLET
(ponatinib)
TABLETS   63020053630 55
PDPs
370
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)
tablets   63020053530 55
PDPs
370
MAPDs
ICLUSIG 30 MG TABLET
(ponatinib)
TABLETS   63020053330 55
PDPs
370
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)
tablets   63020053430 55
PDPs
370
MAPDs
ICOSAPENT ETHYL 1 GRAM CAPSULE [VASCEPA]
(Icosapent ethyl)
120 CAPSULES   00054050823 34
PDPs
213
MAPDs
ICOSAPENT ETHYL 500 MG CAPSULE [VASCEPA]
(Icosapent ethyl)
30 CAPSULES   00480012649 34
PDPs
216
MAPDs
IDHIFA 100 MG TABLET
(Enasidenib Mesylate)
    59572071030 55
PDPs
370
MAPDs
IDHIFA 50 MG TABLET
(Enasidenib Mesylate)
    59572070530 55
PDPs
370
MAPDs
ILEVRO 0.3% OPHTH DROPS EYE DROPPER
(nepafenac Dosage)
3 MLS   00078074303 23
PDPs
221
MAPDs
ILUMYA 100 MG/ML SYRINGE
(Tildrakizumab)
ml   47335017795 0
PDPs
33
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
()
90 TABLETS   00093762998 55
PDPs
370
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
()
30 tablets   00093763056 55
PDPs
370
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)
90 EA   57962014009 55
PDPs
370
MAPDs
IMBRUVICA 140 MG TABLET
(Ibrutinib)
tablets   57962001428 27
PDPs
262
MAPDs
IMBRUVICA 280 MG TABLET
(Ibrutinib)
tablets   57962028028 33
PDPs
277
MAPDs
IMBRUVICA 420 MG TABLET
(Ibrutinib)
tablets   57962042028 55
PDPs
370
MAPDs
IMBRUVICA 70 MG CAPSULE
(Ibrutinib)
capsules   57962007028 55
PDPs
368
MAPDs
IMBRUVICA 70 MG/ML ORAL SUSPENSION
(ibrutinib)
MLS   57962000712 55
PDPs
370
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005401 55
PDPs
370
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005501 55
PDPs
370
MAPDs
IMIPRAMINE HCL 50 MG TABLET
(Imipramine HCl)
100.000 EA   49884005601 55
PDPs
370
MAPDs
IMIPRAMINE PAMOATE 100 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
60 capsules   68180031506 11
PDPs
133
MAPDs
IMIPRAMINE PAMOATE 125 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
CAPSULES   68180031606 11
PDPs
133
MAPDs
IMIPRAMINE PAMOATE 150 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
capsules   68180031706 11
PDPs
133
MAPDs
IMIPRAMINE PAMOATE 75 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
30 capsules   68180031406 11
PDPs
133
MAPDs
IMIQUIMOD 3.75% CREAM PUMP MD [Zyclara]
(Imiquimod)
7.5 GRAMS   68682027275 2
PDPs
37
MAPDs
IMIQUIMOD 5% CREAM PACKET
(Imiquimod)
24 EA   45802036862 55
PDPs
370
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073701 0
PDPs
4
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR 00173052300 0
PDPs
4
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK 00173073500 0
PDPs
4
MAPDs
IMITREX 4 MG/0.5 ML PEN INJECT
(Sumatriptan Succinate)
1 ML   00173073900 0
PDPs
5
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073601 0
PDPs
4
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR 00173052400 0
PDPs
4
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR 00173047800 0
PDPs
5
MAPDs
IMOVAX RABIES VACCINE VIAL
(Rabies Virus Vaccine, HDC)
ML   49281025251 55
PDPs
370
MAPDs
IMPAVIDO 50 MG CAPSULE
(Miltefosine)
CAPSULES   69051030001 28
PDPs
124
MAPDs
IMURAN 50 MG TABLET
(Azathioprine)
30   54766059010 0
PDPs
6
MAPDs
IMVEXXY 10 MCG MAINTENANCE PAK INSERT
(Estradiol)
8 units   50261011008 7
PDPs
81
MAPDs
IMVEXXY 10 MCG STARTER PACK INSR DS PK
(Estradiol)
18 units   50261011018 7
PDPs
81
MAPDs
IMVEXXY 4 MCG MAINTENANCE PACK INSERT
(Estradiol)
8 units   50261010408 7
PDPs
81
MAPDs
IMVEXXY 4 MCG STARTER PACK INSR DS PK
(Estradiol)
18 units   50261010418 7
PDPs
81
MAPDs
INBRIJA 42 MG INHALATION CAPSULE W/DEV
(Levodopa)
60 units   10144034260 27
PDPs
228
MAPDs
INCASSIA 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)
28 tablets   65862092585 55
PDPs
351
MAPDs
Increlex 40mg/4mL 1 VIAL, MULTI-DOSE per CARTON / 4 mL in 1 VIAL, MULTI-DOSE
(Mecasermin)
1 VIAL, MULTI-DOSE   15054104005 55
PDPs
370
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 35
PDPs
221
MAPDs
INDAPAMIDE 1.25 MG TABLET [Lozol]
(Indapamide)
90 TABLETS   62559051001 55
PDPs
369
MAPDs
INDAPAMIDE 2.5 MG TABLET [Lozol]
(Indapamide)
90 TABLETS   62559051101 55
PDPs
369
MAPDs
INDERAL LA 120 MG CAPSULE
(Propranolol HCl)
100 EA   62559052201 0
PDPs
16
MAPDs
INDERAL LA 160 MG CAPSULE
(Propranolol HCl)
100 EA   62559052301 0
PDPs
4
MAPDs
INDERAL LA 60 MG CAPSULE
(Propranolol HCl)
100 EA   62559052001 0
PDPs
4
MAPDs
INDERAL LA 80 MG CAPSULE
(Propranolol HCl)
100 EA   62559052101 0
PDPs
4
MAPDs
INDOCIN 25 MG/5 ML ORAL SUSPENSION
(Indomethacin)
237 mls   69344010101 1
PDPs
5
MAPDs
INDOCIN 50 MG SUPPOSITORY SUPP.RECT
(Indomethacin)
60 units   69344010233 0
PDPs
3
MAPDs
INDOMETHACIN 25 MG CAPSULE [Indocin]
()
60 CAPSULES   68462040601 15
PDPs
242
MAPDs
INDOMETHACIN 50 MG CAPSULE [Indocin]
()
30 CAPSULES   68462030201 15
PDPs
242
MAPDs
INDOMETHACIN ER 75 MG CAPSULE ER [Indocin SR]
(Indomethacin)
30 CAPSULES   31722056560 13
PDPs
184
MAPDs
INFANRIX DTAP SYRINGE
(Diph, Acellular Pert & Tet Tox)
ML   58160081052 55
PDPs
370
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)
CAPSULES   70370204001 9
PDPs
189
MAPDs
INGREZZA 60 MG CAPSULE
(Valbenazine)
CAPSULES   70370106001 8
PDPs
189
MAPDs
INGREZZA 80 MG CAPSULE
(Valbenazine)
30 EA   70370108001 9
PDPs
189
MAPDs
INGREZZA INITIATION PACK CAPSULE DS PK
(Valbenazine)
units   70370204806 8
PDPs
165
MAPDs
INLYTA 1 MG TABLET
(axitinib)
    00069014501 55
PDPs
370
MAPDs
INLYTA 5 MG TABLET
(axitinib)
    00069015111 55
PDPs
370
MAPDs
INNOPRAN XL 120 MG CAPSULE ER 24H
(Propranolol HCl Sustained-Release Beads)
capsules   62559059130 0
PDPs
4
MAPDs
INNOPRAN XL 80 MG CAPSULE ER 24H
(Propranolol HCl Sustained-Release Beads)
30 capsules   62559059030 0
PDPs
4
MAPDs
INQOVI 35 MG-100 MG TABLET
(Decitabine, Cedazuridine)
TABLETS   64842072709 55
PDPs
370
MAPDs
INREBIC 100 MG CAPSULE
(Fedratinib)
capsules   59572072012 55
PDPs
370
MAPDs
INSPRA 25 MG TABLET
(Eplerenone)
30 tablets   00025171001 0
PDPs
4
MAPDs
INSPRA 50 MG TABLET
(Eplerenone)
30 tablets   00025172003 0
PDPs
4
MAPDs
INSULIN ASPART 100 UNIT/ML CARTRIDGE
(Insulin Aspart (Recombinant))
15 MLS   73070010215 4
PDPs
92
MAPDs
INSULIN ASPART 100 UNIT/ML INSULIN PEN [NovoLog PenFill]
(Insulin Aspart (Recombinant))
15 MLS   73070010315 4
PDPs
99
MAPDs
INSULIN ASPART 100 UNIT/ML VIAL [NovoLog PenFill]
(Insulin Aspart (Recombinant))
10 MLS   73070010011 4
PDPs
99
MAPDs
INSULIN ASPART PROT-INSULN ASP INSULIN PEN [NovoLog Mix 70/30]
(Insulin Aspart (Recombinant), Insulin Aspart Protamine (Recombinant))
15 MLS   73070020315 4
PDPs
90
MAPDs
INSULIN ASPART PROT-INSULN ASP VIAL [NovoLog Mix 70/30]
(Insulin Aspart (Recombinant), Insulin Aspart Protamine (Recombinant))
10 MLS   73070020011 4
PDPs
99
MAPDs
INSULIN DEGLUDEC 100 UNIT/ML VIAL [Tresiba]
(Insulin Degludec)
10 MLS   73070040011 0
PDPs
11
MAPDs
INSULIN DEGLUDEC PEN (U-100) INSULN PEN [Tresiba]
(Insulin Degludec)
15 MLS   73070040315 0
PDPs
11
MAPDs
INSULIN DEGLUDEC PEN (U-200) INSULN PEN [Tresiba]
(Insulin Degludec)
9 MLS   73070050315 0
PDPs
11
MAPDs
INSULIN GLARGINE 100 UNIT/ML VIAL [Semglee]
(Insulin Glargine)
10 MLS   00955172901 3
PDPs
64
MAPDs
INSULIN GLARGINE SOLOSTAR U100 INSULN PEN [Semglee]
(Insulin Glargine)
MLS   00955172805 3
PDPs
64
MAPDs
INSULIN GLARGINE-YFGN U100 INSULN PEN [Semglee]
(Insulin Glargine)
15 MLS   49502039475 0
PDPs
15
MAPDs
INSULIN GLARGINE-YFGN U100 VIAL [Semglee]
(Insulin Glargine)
10 MLS   49502039380 0
PDPs
15
MAPDs
INSULIN LISPRO 100 UNIT/ML INSULN PEN [LYUMJEV]
(Insulin Lispro)
15 MLS   00002822259 5
PDPs
69
MAPDs
INSULIN LISPRO 100 UNIT/ML VIAL [LYUMJEV]
(Insulin Lispro)
10 MLS   00002773701 20
PDPs
155
MAPDs
INSULIN LISPRO JR 100 UNIT/ML INSULN PEN HF
(Insulin Lispro)
15 mls   00002775205 5
PDPs
69
MAPDs
INSULIN LISPRO MIX 75-25 KWIKPEN INSULN PEN [Humalog KwikPen Mix 75/25]
(Insulin Lispro)
15 mls   00002823305 8
PDPs
69
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT 59676057001 0
PDPs
5
MAPDs
INTELENCE 200 MG TABLET
(Etravirine)
60 TABLETS   59676057101 3
PDPs
22
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)
120 EA   59676057201 55
PDPs
370
MAPDs
INTRALIPID 20% IV FAT EMULSION
(Soybean Oil Injection)
    00338051909 45
PDPs
336
MAPDs
INTRALIPID 30% IV FAT EMULSION
(Fat)
    00338052013 27
PDPs
256
MAPDs
INTRAROSA 6.5 MG VAG INSERT
(Prasterone (Gl701 Or DHEA))
28 UNITS   72495040128 0
PDPs
34
MAPDs
INTROVALE 0.15-0.03 MG TABLET TBDSPK 3MO [Setlakin]
()
91 units   70700011787 50
PDPs
282
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL 00006384371 0
PDPs
4
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055001 0
PDPs
4
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055101 0
PDPs
4
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055201 0
PDPs
4
MAPDs
INVEGA HAFYERA 1,092 MG/3.5 ML SYRINGE
(Paliperidone)
MLS   50458061101 54
PDPs
359
MAPDs
INVEGA HAFYERA 1,560 MG/5 ML SYRINGE
(Paliperidone)
MLS   50458061201 54
PDPs
359
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML   50458056201 55
PDPs
370
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML   50458056301 55
PDPs
370
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML   50458056401 55
PDPs
370
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML   50458056001 55
PDPs
370
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML   50458056101 55
PDPs
370
MAPDs
INVEGA TRINZA 273 MG/0.875 ML
(Paliperidone Palmitate)
0.875 ML   50458060601 54
PDPs
367
MAPDs
INVEGA TRINZA 410 MG/1.315 ML
(Paliperidone Palmitate)
1.315 ML   50458060701 54
PDPs
367
MAPDs
INVEGA TRINZA 546 MG/1.75 ML
(Paliperidone Palmitate)
1.75 ML   50458060801 54
PDPs
367
MAPDs
INVEGA TRINZA 819 MG/2.625 ML
(Paliperidone Palmitate)
2.625 ML   50458060901 54
PDPs
367
MAPDs
INVELTYS 1% EYE DROP EYE DROPPER
(Loteprednol Etabonate)
2.8 MLS   71571012128 7
PDPs
93
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054360 10
PDPs
77
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054260 10
PDPs
77
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054160 10
PDPs
77
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054060 10
PDPs
77
MAPDs
INVOKAMET XR 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094301 10
PDPs
77
MAPDs
INVOKAMET XR 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094201 10
PDPs
77
MAPDs
INVOKAMET XR 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094101 10
PDPs
77
MAPDs
INVOKAMET XR 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094001 10
PDPs
77
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA   50458014030 12
PDPs
79
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA   50458014130 12
PDPs
79
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR 00065066010 0
PDPs
35
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL 49281086010 55
PDPs
370
MAPDs
IPRAT-ALBUT 0.5-3(2.5) MG/3 ML AMPUL-NEB [DuoNeb]
(Albuterol-Ipratropium Nebu)
90 MLS   69097017353 55
PDPs
369
MAPDs
IPRATROPIUM 0.06% SPRAY
(Ipratropium Bromide Nasal)
15.000 ML   00054004641 55
PDPs
370
MAPDs
IPRATROPIUM BR 0.02% SOLUTION [Atrovent]
()
62.5 MLS   00487980125 55
PDPs
370
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 00054004544 55
PDPs
370
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)
90 TABLETS   31722073090 55
PDPs
370
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
90 TABLETS   33342004910 55
PDPs
370
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)
90 TABLETS   33342004710 55
PDPs
370
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
30 TABLETS   00054025422 55
PDPs
367
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
90 TABLETS   00054025522 55
PDPs
367
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 0
PDPs
28
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
1 unit   00006360361 55
PDPs
370
MAPDs
ISENTRESS 100 MG TABLET CHEWABLE
(Raltegravir Potassium)
    00006047761 55
PDPs
370
MAPDs
ISENTRESS 25 MG TABLET CHEWABLE
(Raltegravir Potassium)
    00006047361 55
PDPs
370
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 55
PDPs
370
MAPDs
ISENTRESS HD 600 MG TABLET
(Raltegravir)
tablets   00006308001 55
PDPs
370
MAPDs
ISIBLOOM 28 DAY TABLET [Solia]
(Desogestrel and Ethinyl Estradiol)
28 tablets   70700011385 46
PDPs
336
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG 00264773010 23
PDPs
255
MAPDs
ISOLYTE S IV SOLUTION PH7.4
(Electrolyte-S (PH 7.4))
500 MLS   00264770700 21
PDPs
245
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)
100 EA   00555006602 55
PDPs
370
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)
100.000 EA   00555007102 55
PDPs
370
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT 46287000901 36
PDPs
352
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)
    00187019201 0
PDPs
1
MAPDs
ISORDIL TITRADOSE 5 MG TABLET
(Isosorbide Dinitrate)
    00187015201 0
PDPs
4
MAPDs
ISOSORBIDE DINITRATE 10 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS   00143177101 55
PDPs
370
MAPDs
ISOSORBIDE DINITRATE 20 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS   00143177201 55
PDPs
370
MAPDs
ISOSORBIDE DINITRATE 40 MG TABLET [Sorbitrate]
(Isosorbide Dinitrate)
90 TABLETS   70710115201 4
PDPs
35
MAPDs
ISOSORBIDE DN 30 MG TABLET
(Isosorbide Dinitrate)
100.000 EA   49884000901 55
PDPs
370
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)
100 EA   00143176901 55
PDPs
370
MAPDs
ISOSORBIDE MN ER 30 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   13668010401 55
PDPs
370
MAPDs
ISOSORBIDE MONONIT 10 MG TABLET [Monoket]
(Isosorbide Mononitrate)
60 TABLETS   00228263111 55
PDPs
369
MAPDs
ISOSORBIDE MONONIT 20 MG TABLET [Monoket]
(Isosorbide Mononitrate)
60 TABLETS   00228262011 55
PDPs
369
MAPDs
ISOSORBIDE MONONIT ER 120 MG TABLET 24H [Imdur]
(Isosorbide Mononitrate)
90 TABLETS   13668010601 55
PDPs
370
MAPDs
ISOSORBIDE MONONIT ER 60 MG TABLET 24H [Isotrate ER]
(Isosorbide Mononitrate)
90 TABLETS   50742017601 55
PDPs
370
MAPDs
ISOSORBIDE-HYDRALAZINE 20-37.5 TABLET [BiDil]
(Isosorbide Dinitrate, Hydralazine Hydrochloride)
90 TABLETS   50742024690 11
PDPs
206
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 36
PDPs
288
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 33
PDPs
285
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 33
PDPs
284
MAPDs
ISOTRETINOIN 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117403 55
PDPs
321
MAPDs
ISOTRETINOIN 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117503 55
PDPs
323
MAPDs
ISOTRETINOIN 25 MG CAPSULE [Absorica]
(Isotretinoin)
CAPSULES   57664002297 29
PDPs
104
MAPDs
ISOTRETINOIN 30 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238101703 55
PDPs
323
MAPDs
ISOTRETINOIN 35 MG CAPSULE [Absorica]
(Isotretinoin)
CAPSULES   57664002497 29
PDPs
104
MAPDs
ISOTRETINOIN 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238117603 55
PDPs
322
MAPDs
ISRADIPINE 2.5 MG CAPSULE [DynaCirc]
(Isradipine)
180 CAPSULES   16252053901 22
PDPs
298
MAPDs
ISRADIPINE 5 MG CAPSULE [DynaCirc]
(Isradipine)
360 CAPSULES   16252054001 22
PDPs
298
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5.000 ML   24208000403 0
PDPs
4
MAPDs
ISTURISA 1 MG TABLET
(Osilodrostat)
20 TABLETS   55292032060 15
PDPs
126
MAPDs
ISTURISA 10 MG TABLET
(Osilodrostat)
20 TABLETS   55292032260 15
PDPs
126
MAPDs
ISTURISA 5 MG TABLET
(Osilodrostat)
20 TABLETS   55292032160 15
PDPs
126
MAPDs
ITRACONAZOLE 10 MG/ML SOLUTION [Sporanox]
(Itraconazole)
150 MLS   10147015001 9
PDPs
132
MAPDs
ITRACONAZOLE 100 MG CAPSULE [Sporanox]
(Itraconazole)
14 CAPSULES   67877045430 55
PDPs
370
MAPDs
IVERMECTIN 1% CREAM (G) [Soolantra]
(Ivermectin)
45 GRAMS   00591405289 11
PDPs
88
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)
20 EA   42799080601 55
PDPs
370
MAPDs
Ixekizumab 1ML 80 MG/ML Auto-Injector [Taltz]
(Ixekizumab)
    00002144511 19
PDPs
192
MAPDs
Ixekizumab 1ML 80 MG/ML Prefilled Syringe [Taltz]
(Ixekizumab)
    00002772411 18
PDPs
192
MAPDs
IXIARO 6 UNIT(6 MCG)/0.5ML SYRINGE
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
ml   42515000201 55
PDPs
370
MAPDs
KALYDECO 13.4 MG GRANULES PACKET
(Ivacaftor)
UNITS   51167077001 50
PDPs
356
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
56.000 EA   51167020001 52
PDPs
366
MAPDs
KALYDECO 25 MG GRANULES PACKET
(Ivacaftor)
units   51167060001 50
PDPs
362
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA   51167030001 50
PDPs
362
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA   51167040001 50
PDPs
362
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL 00088222033 44
PDPs
308
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 00088221905 44
PDPs
308
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL 00169368712 13
PDPs
148
MAPDs
LEVEMIR FLEXPEN 100 UNIT/ML INSULIN PEN
(Insulin Detemir)
15 MLS   00169643210 13
PDPs
148
MAPDs
LYUMJEV 100 UNIT/ML KWIKPEN INSULN PEN
(Insulin Lispro)
MLS   00002820705 37
PDPs
150
MAPDs
LYUMJEV 100 UNIT/ML VIAL
(Insulin Lispro)
30 MLS   00002772801 37
PDPs
150
MAPDs
LYUMJEV 200 UNIT/ML KWIKPEN INSULN PEN
(Insulin Lispro)
MLS   00002822827 37
PDPs
150
MAPDs
LYUMJEV TEMPO PEN 100 UNIT/ML INSULIN PEN
(Insulin Lispro)
15 MLS   00002823505 16
PDPs
50
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT 30698003201 55
PDPs
370
MAPDs
NINLARO 2.3 MG CAPSULE
(Ixazomib)
1 CAPSULE   63020023002 55
PDPs
370
MAPDs
NINLARO 3 MG CAPSULE
(Ixazomib)
CAPSULES   63020039002 55
PDPs
370
MAPDs
NINLARO 4 MG CAPSULE
(Ixazomib)
1 CAPSULE   63020040002 55
PDPs
370
MAPDs
NOURIANZ 20 MG TABLET
(Istradefylline)
tablets   42747060290 1
PDPs
67
MAPDs
NOURIANZ 40 MG TABLET
(Istradefylline)
tablets   42747060490 1
PDPs
67
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 10 mL VIAL in CARTON   00169183411 25
PDPs
241
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 25
PDPs
241
MAPDs
NOVOLIN 70-30 FLEXPEN INSULN PEN
(Insulin Regular (Recombinant), Insulin Suspension Isophane (NPH) (Recombinant))
15 MLS   00169300715 26
PDPs
239
MAPDs
NOVOLIN N 100 UNIT/ML FLEXPEN INSULN PEN
(Insulin Isophane (Human))
15 mls   00169300415 25
PDPs
239
MAPDs
NOVOLIN R 100 UNIT/ML FLEXPEN INSULN PEN
(Insulin Regular (Human))
15 mls   00169300315 25
PDPs
239
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 25
PDPs
241
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)
3 ML   00169330312 19
PDPs
161
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL 00169750111 18
PDPs
168
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR 00169633910 19
PDPs
168
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR 00169369619 27
PDPs
197
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL 00169368512 26
PDPs
197
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 16
PDPs
227
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 16
PDPs
227
MAPDs
PALIPERIDONE ER 1.5 MG TABLET 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   43975034903 55
PDPs
370
MAPDs
PALIPERIDONE ER 3 MG TABLET 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   47335076583 55
PDPs
370
MAPDs
PALIPERIDONE ER 6 MG TABLET 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   47335076683 55
PDPs
370
MAPDs
PALIPERIDONE ER 9 MG TABLET 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   47335076783 55
PDPs
370
MAPDs
PANZYGA 10% (1 G/10 ML) VIAL
(Immune Globulin (Human))
10 mls   00069101101 12
PDPs
180
MAPDs
PANZYGA 10% (10 G/100 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069131202 12
PDPs
180
MAPDs
PANZYGA 10% (2.5 G/25 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069110902 12
PDPs
180
MAPDs
PANZYGA 10% (20 G/200 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069141502 12
PDPs
180
MAPDs
PANZYGA 10% (30 G/300 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069155802 12
PDPs
180
MAPDs
PANZYGA 10% (5 G/50 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069122402 12
PDPs
180
MAPDs
ParaGard T 380A IUD
(Copper Intrauterine Device)
  51285020401 0
PDPs
7
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 25
PDPs
296
MAPDs
PROPRANOLOL 20 MG TABLET [Inderal]
(Propranolol)
60 TABLETS   00115166003 55
PDPs
370
MAPDs
PROPRANOLOL 40 MG TABLET [Inderal]
(Propranolol)
60 TABLETS   00603548421 55
PDPs
370
MAPDs
PROPRANOLOL 80 MG TABLET [Inderal]
(Propranolol)
60 TABLETS   00115166202 55
PDPs
370
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087002203 2
PDPs
116
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087004403 3
PDPs
116
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087332201 2
PDPs
116
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087334401 2
PDPs
116
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML   44087018801 2
PDPs
116
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
    44087882201 2
PDPs
118
MAPDs
REZVOGLAR 100 UNIT/ML INSULN KWIKPEN
(Insulin Glargine)
15 MLS   00002898005 0
PDPs
9
MAPDs
SAJAZIR 30 MG/3 ML SYRINGE
(Icatibant)
MLS   70709001303 55
PDPs
320
MAPDs
SEMGLEE (YFGN) 100 UNIT/ML INSULN PEN
(Insulin Glargine)
15 MLS   49502025175 2
PDPs
48
MAPDs
SEMGLEE (YFGN) 100 UNIT/ML VIAL
(Insulin Glargine)
10 MLS   49502025080 2
PDPs
48
MAPDs
SKYLA 13.5 MG SYSTEM IUD
(Levonorgestrel)
UNIT   50419042201 0
PDPs
11
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)
    00024576105 36
PDPs
322
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)
    00299382345 0
PDPs
4
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT 50458029004 0
PDPs
5
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT 50458029515 0
PDPs
1
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD 00006003220 0
PDPs
4
MAPDs
SUMATRIPTAN 20 MG NASAL SPRAY [Imitrex]
()
6 UNITS   66993008269 52
PDPs
362
MAPDs
SUMATRIPTAN 5 MG NASAL SPRAY [Imitrex]
()
6 UNITS   66993008169 52
PDPs
361
MAPDs
SUMATRIPTAN SUCC 100 MG TABLET [Imitrex]
()
9 TABLETS   65862014836 55
PDPs
370
MAPDs
SUMATRIPTAN SUCC 25 MG TABLET [Imitrex]
()
9 TABLETS   65862014636 55
PDPs
370
MAPDs
SYMDEKO 100/150 MG-150 MG TABLET
(Ivacaftor;Tezacaftor, Ivacaftor)
56   51167066101 10
PDPs
276
MAPDs
SYMDEKO 50/75 MG-75 MG TABLET SEQ
(Ivacaftor;Tezacaftor, Ivacaftor)
units   51167011301 10
PDPs
278
MAPDs
TEGSEDI 284 MG/1.5 ML SYRINGE
(Inotersen)
mls   72126000701 8
PDPs
91
MAPDs
TIBSOVO 250 MG TABLET
(Ivosidenib)
TABLETS   72694061760 55
PDPs
370
MAPDs
TOLSURA 65 MG CAPSULE SD DSP
(Itraconazole)
units   51862046260 1
PDPs
5
MAPDs
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN
(Insulin Glargine)
6 mls   00024587102 51
PDPs
353
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)
1.5 ML   00024586903 51
PDPs
353
MAPDs
TRESIBA 100 UNIT/ML VIAL
(Insulin Degludec)
10 mls   00169266211 31
PDPs
225
MAPDs
TRESIBA FLEXTOUCH 100 UNITS/ML
(Insulin Degludec)
    00169266015 31
PDPs
225
MAPDs
TRESIBA FLEXTOUCH 200 UNITS/ML
(Insulin Degludec)
    00169255013 31
PDPs
225
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
    66215030330 41
PDPs
243
MAPDs
VENTAVIS 10 MCG/1 ML SOLUTION AMPUL-NEB
(Iloprost)
ml   66215030200 41
PDPs
243
MAPDs
VERAPAMIL 40 MG TABLET [Isoptin SR]
(Verapamil HCl)
90 tablets   23155005901 55
PDPs
370
MAPDs
VERAPAMIL ER 180 MG TABLET [Isoptin SR]
(Verapamil HCl)
90 TABLETS   75834015801 55
PDPs
368
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)
3 ML   00169291115 17
PDPs
216
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)
30 EA   55111013581 50
PDPs
334
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013681 50
PDPs
334
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)
30 EA   55111011381 50
PDPs
334
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013781 50
PDPs
334
MAPDs
ZOLPIDEM TART 1.75 MG SUBLIGUAL TABLET [Intermezzo]
()
30 TABLETS   49884089811 1
PDPs
13
MAPDs
ZOLPIDEM TART 3.5 MG SUBLIGUAL TABLET [Intermezzo]
()
30 TABLETS   49884089911 1
PDPs
13
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
    99207027675 2
PDPs
42
MAPDs
ZYCLARA 3.75% CREAM MD PUMP
(Imiquimod)
7.5 GRAMS   99207027175 0
PDPs
3
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)
60 EA   61958170101 55
PDPs
370
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)
60 EA   61958170201 55
PDPs
370
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data January 2024)





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