Drug Name
|
Packaging |
NDC |
On This Nbr of 2024 Formularies |
PDPs |
MAPDs |
ACULAR 0.5% EYE DROPS (Ketorolac Tromethamine Ophth) |
5 ML BOT |
00023218105 |
0 PDPs |
4 MAPDs |
ACULAR LS 0.4% OPHTH SOLUTION (Ketorolac Tromethamine Ophth) |
5 ML BOTDR |
00023927705 |
0 PDPs |
4 MAPDs |
ACUVAIL 0.45% OPHTH SOLUTION DROPERETTE (Ketorolac Tromethamine Ophth) |
30 UNITS |
00023350731 |
1 PDPs |
2 MAPDs |
CEFAZOLIN 1 GM VIAL [Kefzol] () |
7 MLS |
60505614205 |
54 PDPs |
369 MAPDs |
CEFAZOLIN 10 GM VIAL [Kefzol] () |
ML |
60505614304 |
39 PDPs |
335 MAPDs |
CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [Keflex] (Cephalexin Monohydrate) |
100 MLS |
68180044001 |
54 PDPs |
369 MAPDs |
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [Keflex] (Cephalexin Monohydrate) |
200 MLS |
68180044101 |
54 PDPs |
369 MAPDs |
CLONAZEPAM 0.125 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030602 |
54 PDPs |
369 MAPDs |
CLONAZEPAM 0.25 MG ODT TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030702 |
54 PDPs |
369 MAPDs |
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
30 units |
49884030802 |
54 PDPs |
369 MAPDs |
CLONAZEPAM 0.5 MG TABLET [Klonopin] (Clonazepam) |
30 tablets |
16729013616 |
54 PDPs |
369 MAPDs |
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin] (Clonazepam) |
60 UNITS |
49884030902 |
54 PDPs |
369 MAPDs |
CLONAZEPAM 1 MG TABLET [Klonopin] (Clonazepam) |
60 tablets |
16729013716 |
54 PDPs |
369 MAPDs |
CLONAZEPAM 2 MG ODT TABLET RAPDIS [Klonopin] (Clonazepam) |
30 UNITS |
49884031002 |
54 PDPs |
369 MAPDs |
CLONAZEPAM 2 MG TABLET [Klonopin] (Clonazepam) |
60 tablets |
16729013816 |
54 PDPs |
369 MAPDs |
CLONIDINE HCL ER 0.1 MG TABLET ER 12H [Kapvay] () |
30 TABLETS |
27241010806 |
20 PDPs |
172 MAPDs |
DEXLANSOPRAZOLE DR 30 MG CAPSULE DR BP [Kapidex] () |
30 UNITS |
24979000106 |
15 PDPs |
82 MAPDs |
DEXLANSOPRAZOLE DR 60 MG CAPSULE DR BP [Kapidex] () |
30 UNITS |
49884014811 |
15 PDPs |
82 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 |
54 PDPs |
369 MAPDs |
GRANISETRON HCL 1 MG TABLET [Kytril] () |
30 TABLETS |
51991073520 |
35 PDPs |
336 MAPDs |
JAVYGTOR 100 MG POWDER PACKET [KUVAN] (Sapropterin) |
1 UNIT |
43598009730 |
29 PDPs |
192 MAPDs |
JAVYGTOR 100 MG TABLET SOL [KUVAN] (Sapropterin) |
UNITS |
43598009604 |
33 PDPs |
241 MAPDs |
JAVYGTOR 500 MG POWDER PACKET [KUVAN] (Sapropterin) |
1 UNIT |
43598016230 |
29 PDPs |
193 MAPDs |
KAITLIB FE 0.8-0.025MG CHEWABLE TABLET [Layolis Fe] (norethindrone and ethinyl estradiol and ferrous fumarate) |
28 CHEWABLE TABLETS |
68180090373 |
16 PDPs |
124 MAPDs |
KALETRA 100-25 MG TABLET (Lopinavir-Ritonavir) |
60 TABLETS |
00074300860 |
0 PDPs |
4 MAPDs |
KALETRA 200-50 MG TABLET (Lopinavir-Ritonavir) |
120 TABLETS |
00074401412 |
0 PDPs |
5 MAPDs |
KALETRA 80MG/20MG ORAL SOLUTION (Lopinavir-Ritonavir) |
160 ML BOT |
00074395646 |
0 PDPs |
4 MAPDs |
KALYDECO 13.4 MG GRANULES PACKET (Ivacaftor) |
UNITS |
51167077001 |
49 PDPs |
356 MAPDs |
KALYDECO 150 MG TABLET (ivacaftor) |
56.000 EA |
51167020001 |
51 PDPs |
365 MAPDs |
KALYDECO 25 MG GRANULES PACKET (Ivacaftor) |
units |
51167060001 |
49 PDPs |
361 MAPDs |
KALYDECO 5.8 MG GRANULES PACKET (Ivacaftor) |
UNITS |
51167078501 |
49 PDPs |
356 MAPDs |
KALYDECO 50 MG GRANULES PACKET (ivacaftor) |
56 EA |
51167030001 |
49 PDPs |
361 MAPDs |
KALYDECO 75 MG GRANULES PACKET (ivacaftor) |
56 EA |
51167040001 |
49 PDPs |
361 MAPDs |
KARIVA 21-5 TABLET (Desogestrel & Ethinyl Estradiol) |
21ACTIVE,5ETHINYL,2PLACEB BLPK |
00555905058 |
51 PDPs |
355 MAPDs |
KATERZIA 1 MG/ML ORAL SUSPENSION (Amlodipine) |
100 mls |
52652500101 |
0 PDPs |
42 MAPDs |
KCL 10 MEQ/L-D5W-0.45% NACL IV SOLUTION () |
MLS |
65219014210 |
46 PDPs |
294 MAPDs |
KCL 20 MEQ IN D5W-LACT RINGER IV SOLUTION () |
mls |
00338081104 |
21 PDPs |
198 MAPDs |
KCL 20 MEQ/L-D5W-0.45% NACL IV SOLUTION () |
500 MLS |
65219014410 |
48 PDPs |
307 MAPDs |
KCL 20 MEQ/L-D5W-0.9% NACL IV SOLUTION () |
MLS |
65219011810 |
29 PDPs |
267 MAPDs |
KCL 30 MEQ/L-D5W-0.45% NACL IV SOLUTION () |
MLS |
65219014610 |
46 PDPs |
295 MAPDs |
KCL 40 MEQ/L-D5W-0.45% NACL IV SOLUTION () |
MLS |
65219014810 |
46 PDPs |
294 MAPDs |
KCL 40 MEQ/L-D5W-0.9% NACL IV SOLUTION () |
MLS |
65219011910 |
29 PDPs |
264 MAPDs |
KELNOR 1-35 1-0.035MG TABLET (Ethynodiol Diacetate & Ethinyl Estradiol) |
28 (21+7) BLPK |
00555906458 |
52 PDPs |
355 MAPDs |
KELNOR 1-50 TABLET [Zovia 1/50E] (Ethynodiol Diacetate, Ethinyl Estradiol;Inert) |
28 tablets |
00093807316 |
54 PDPs |
351 MAPDs |
KENALOG 0.147 MG/GRAM SPRAY AEROSOL (Triamcinolone Acetonide) |
63 GRAMS |
10631009307 |
0 PDPs |
1 MAPDs |
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC (Levetiracetam) |
60 TABLET, FILM COATED |
50474059766 |
0 PDPs |
4 MAPDs |
KEPPRA 100MG/ML ORAL SOLUTION (Levetiracetam) |
16 FLO BOT |
50474000148 |
0 PDPs |
4 MAPDs |
KEPPRA 250MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059440 |
0 PDPs |
4 MAPDs |
KEPPRA 500MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059540 |
0 PDPs |
4 MAPDs |
KEPPRA 750MG TABLET (Levetiracetam) |
120 TABS BOT |
50474059640 |
0 PDPs |
4 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 |
54 PDPs |
369 MAPDs |
KERENDIA 20 MG TABLET (Finerenone) |
30 TABLETS |
50419054101 |
54 PDPs |
369 MAPDs |
KESIMPTA 20 MG/0.4 ML PEN INJECTOR (Ofatumumab) |
MLS |
00078100768 |
30 PDPs |
308 MAPDs |
KETOCONAZOLE 2% CREAM (G) [Nizoral] () |
30 GRAMS |
00093321992 |
54 PDPs |
369 MAPDs |
KETOCONAZOLE 2% FOAM [Ketodan] () |
50 GRAMS |
45802053232 |
5 PDPs |
74 MAPDs |
KETOCONAZOLE 2% SHAMPOO (Ketoconazole) |
120.000 ML |
45802046564 |
54 PDPs |
369 MAPDs |
KETOCONAZOLE 200 MG TABLET [Nizoral] () |
30 TABLETS |
64380082706 |
54 PDPs |
369 MAPDs |
KETODAN 2% FOAM (Ketoconazole) |
100 grams |
43538053010 |
5 PDPs |
27 MAPDs |
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS (Ketoprofen) |
100 BOT |
00378820001 |
5 PDPs |
52 MAPDs |
KETOPROFEN 25 MG CAPSULE [Orudis] (Ketoprofen) |
120 CAPSULES |
00276050410 |
2 PDPs |
28 MAPDs |
KETOPROFEN 50 MG CAPSULE [Orudis] (Ketoprofen) |
30 CAPSULES |
00276050610 |
3 PDPs |
54 MAPDs |
KETOROLAC 0.4% OPHTH SOLUTION DROPS [Acular LS] (Ketorolac) |
5 mls |
60758077305 |
54 PDPs |
324 MAPDs |
KETOROLAC 0.5% OPHTH SOLUTION DROPS [Acular PF] () |
5 MLS |
61314012605 |
54 PDPs |
369 MAPDs |
KETOROLAC 10MG TABLET (Ketorolac) |
100 TABLETS BOT |
00093031401 |
14 PDPs |
184 MAPDs |
KEVEYIS 50 MG TABLET (Dichlorphenamide) |
|
71090000101 |
0 PDPs |
21 MAPDs |
KEVZARA 150 MG/1.14 ML PEN INJECTOR (Sarilumab) |
MLS |
00024592001 |
10 PDPs |
191 MAPDs |
KEVZARA 150 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024590801 |
10 PDPs |
191 MAPDs |
KEVZARA 200 MG/1.14 ML PEN INJECTOR (Sarilumab) |
MLS |
00024592201 |
10 PDPs |
191 MAPDs |
KEVZARA 200 MG/1.14 ML SYRINGE (Sarilumab) |
|
00024591001 |
10 PDPs |
191 MAPDs |
KINERET 100 MG/0.67 ML SYRINGE (Anakinra Subcutaneous) |
.670 ML |
66658023407 |
10 PDPs |
171 MAPDs |
KIONEX 15 GM/60 ML ORAL SUSPENSION [SPS] (Sodium Polystyrene Sulfonate) |
60 MLS |
62559035660 |
42 PDPs |
296 MAPDs |
KIPROFEN 25 MG CAPSULE [Orudis] () |
CAPSULES |
73352050410 |
1 PDPs |
7 MAPDs |
KISQALI 200 MG DAILY DOSE (Ribociclib) |
|
00078086001 |
54 PDPs |
369 MAPDs |
KISQALI 400 MG DAILY DOSE (Ribociclib) |
|
00078086742 |
54 PDPs |
369 MAPDs |
KISQALI 600 MG DAILY DOSE (Ribociclib) |
|
00078087463 |
54 PDPs |
369 MAPDs |
KISQALI FEMARA 200 MG CO-PACK (Letrozole;Ribociclib) |
49 EA |
00078090961 |
54 PDPs |
369 MAPDs |
KISQALI FEMARA 400 MG CO-PACK (Letrozole;Ribociclib) |
70 EA |
00078091661 |
54 PDPs |
369 MAPDs |
KISQALI FEMARA 600 MG CO-PACK (Letrozole;Ribociclib) |
91 EA |
00078092361 |
54 PDPs |
369 MAPDs |
KITABIS PAK 300 MG/5 ML AMPUL-NEB (Tobramycin) |
MLS |
24492085056 |
1 PDPs |
15 MAPDs |
KLARON 10% LOTION (Sulfacetamide Sodium) |
|
00187519804 |
0 PDPs |
4 MAPDs |
KLISYRI 1% OINTMENT PACKET (Tirbanibulin) |
5 UNITS |
16110039105 |
10 PDPs |
80 MAPDs |
KLONOPIN 0.5 MG TABLET (Clonazepam) |
30 TABLETS |
61269060510 |
0 PDPs |
1 MAPDs |
KLONOPIN 1 MG TABLET (Clonazepam) |
60 TABLETS |
61269061010 |
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 |
26 PDPs |
233 MAPDs |
KLOR-CON 8 MEQ TABLET (Potassium Chloride) |
30 TABLETS |
00245531511 |
54 PDPs |
312 MAPDs |
KLOR-CON M10 MEQ TABLET [Klotrix] () |
30 TABLETS |
00245531615 |
54 PDPs |
312 MAPDs |
KLOR-CON M10 TABLET ER PRT [Klotrix] () |
30 UNITS |
00245531711 |
54 PDPs |
359 MAPDs |
KLOR-CON M15 TABLET ER PRT (Potassium Chloride) |
30 UNITS |
00245531811 |
51 PDPs |
358 MAPDs |
KLOR-CON M20 TABLET ER PRT [Klor-Con M20] (Potassium Chloride) |
30 UNITS |
00245531911 |
54 PDPs |
358 MAPDs |
KLOXXADO 8 MG NASAL SPRAY (Naloxone Hydrochloride) |
2 UNITS |
59467067901 |
23 PDPs |
171 MAPDs |
KONVOMEP 2-84 MG/ML ORAL SUSPENSION (OMEPRAZOLE/SODIUM BICARBONATE) |
90 MLS |
65628027210 |
0 PDPs |
1 MAPDs |
KORLYM 300 MG TABLET (mifepristone) |
28 TABLETS |
76346007302 |
48 PDPs |
263 MAPDs |
KOSELUGO 10 MG CAPSULE (Selumetinib) |
capsules |
00310061060 |
54 PDPs |
369 MAPDs |
KOSELUGO 25 MG CAPSULE (Selumetinib) |
capsules |
00310062560 |
54 PDPs |
369 MAPDs |
KOURZEQ 0.1% DENTAL PASTE (G) [Oralone] (Triamcinolone) |
5 GRAMS |
82682000105 |
51 PDPs |
312 MAPDs |
KRAZATI 200 MG TABLET (Adagrasib) |
TABLETS |
80739081218 |
54 PDPs |
369 MAPDs |
KRINTAFEL 150 MG TABLET (Tafenoquine) |
tablets |
00173088939 |
3 PDPs |
87 MAPDs |
KRISTALOSE 10 GM PACKET (Lactulose) |
|
66220071930 |
3 PDPs |
18 MAPDs |
KRISTALOSE 20 GM PACKET (Lactulose) |
|
66220072930 |
3 PDPs |
26 MAPDs |
KURVELO-28 TABLET [Portia] (Inert; Levonorgestrel, Ethinyl Estradiol) |
28 tablets |
68180084473 |
51 PDPs |
346 MAPDs |
KUVAN 100 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
30.000 EA |
68135030122 |
0 PDPs |
6 MAPDs |
KUVAN 100MG TABLET SOLUBLE (Sapropterin DiHCL Soluble) |
|
68135030002 |
0 PDPs |
6 MAPDs |
KUVAN 500 MG POWDER PACKET (Sapropterin Dihydrochloride Soluble) |
30.000 EA |
68135048211 |
0 PDPs |
6 MAPDs |
KYLEENA 19.5 MG SYSTEM IUD (Levonorgestrel) |
UNIT |
50419042401 |
0 PDPs |
9 MAPDs |
LACTULOSE 10 GM PACKET [Kristalose] (Lactulose) |
30 units |
69067001015 |
0 PDPs |
29 MAPDs |
LEVETIRACETAM 1,000 MG TABLET [Keppra] () |
60 TABLETS |
31722053960 |
54 PDPs |
369 MAPDs |
LEVETIRACETAM 100 MG/ML SOLUTION [Keppra] () |
60 MLS |
51991065116 |
54 PDPs |
369 MAPDs |
LEVETIRACETAM 250 MG TABLET [Keppra] () |
90 TABLETS |
31722053612 |
54 PDPs |
369 MAPDs |
LEVETIRACETAM 750 MG TABLET [Keppra] () |
60 TABLETS |
31722053812 |
54 PDPs |
369 MAPDs |
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra] () |
|
00527194748 |
54 PDPs |
369 MAPDs |
LOPINAVIR-RITONAVR 100-25MG TABLET [Kaletra] () |
12 TABLETS |
31722060360 |
54 PDPs |
369 MAPDs |
LOPINAVIR-RITONAVR 200-50MG TABLET [Kaletra] () |
12 TABLETS |
31722055612 |
54 PDPs |
369 MAPDs |
MIFEPRISTONE 300 MG TABLET [Korlym] (Mifepristone (RU-486)) |
28 TABLETS |
00591439096 |
54 PDPs |
363 MAPDs |
MORPHINE SULFATE ER 20 MG CAPSULE PEL [Kadian] (Morphine) |
60 UNITS |
00832022600 |
3 PDPs |
55 MAPDs |
ORMALVI 50 MG TABLET [Keveyis] (Dichlorphenamide) |
100 TABLETS |
70709008510 |
0 PDPs |
13 MAPDs |
POTASSIUM CL 10% (20 MEQ/15ML) LIQUID [Kay Ciel] (Potassium Chloride) |
450 MLS |
69238145902 |
54 PDPs |
369 MAPDs |
POTASSIUM CL 20 MEQ PACKET [Klor-Con] (Potassium Chloride Microencapsulated Crys CR) |
30 UNITS |
72888002407 |
28 PDPs |
244 MAPDs |
POTASSIUM CL 20% (40 MEQ/15ML) LIQUID [Kaon-CL] (Potassium Chloride) |
473 MLS |
69238145802 |
53 PDPs |
366 MAPDs |
POTASSIUM CL ER 10 MEQ CAPSULE ER [Micro-K Extencaps] () |
90 CAPSULES |
68180079902 |
52 PDPs |
366 MAPDs |
POTASSIUM CL ER 10 MEQ TABLET [Klotrix] () |
30 TABLETS |
00378456105 |
54 PDPs |
369 MAPDs |
POTASSIUM CL ER 10 MEQ TABLET PRT [Klotrix] () |
30 UNITS |
00832532410 |
54 PDPs |
366 MAPDs |
POTASSIUM CL ER 15 MEQ TABLET ER PRT [Klor-Con M15] (Potassium Chloride Microencapsulated Crys CR) |
60 UNITS |
72865019505 |
54 PDPs |
359 MAPDs |
POTASSIUM CL ER 20 MEQ TABLET [K-Tab] (Potassium Chloride) |
30 TABLETS |
70436015301 |
54 PDPs |
369 MAPDs |
POTASSIUM CL ER 20 MEQ TABLET PRT [Klor-Con M20] () |
30 UNITS |
00832532510 |
54 PDPs |
366 MAPDs |
POTASSIUM CL ER 8 MEQ CAPSULE ER [Micro-K Extencaps] () |
90 CAPSULES |
70010014701 |
52 PDPs |
366 MAPDs |
POTASSIUM CL ER 8 MEQ TABLET [Slow-K] () |
90 TABLETS |
00832532211 |
54 PDPs |
369 MAPDs |
SAPROPTERIN 100 MG POWDER PACK [KUVAN] (Sapropterin Dihydrochloride Soluble) |
60 UNITS |
49884094872 |
50 PDPs |
314 MAPDs |
SAPROPTERIN 100 MG TABLET SOL [KUVAN] (Sapropterin Dihydrochloride Soluble) |
UNITS |
49884072008 |
54 PDPs |
364 MAPDs |
SAPROPTERIN 500 MG POWDER PACK [KUVAN] (Sapropterin Dihydrochloride Soluble) |
28 UNITS |
49884087372 |
50 PDPs |
314 MAPDs |
SAXAGLIPTIN-METFORMIN ER 2.5-1000 TBMP 24HR [Kombiglyze XR] (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
UNITS |
43598061860 |
5 PDPs |
46 MAPDs |
SAXAGLIPTIN-METFORMIN ER 5-1000 TBMP 24HR [Kombiglyze XR] (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
UNITS |
43598061930 |
5 PDPs |
46 MAPDs |
SAXAGLIPTIN-METFORMIN ER 5-500 TBMP 24HR [Kombiglyze XR] (SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE) |
UNITS |
43598062030 |
5 PDPs |
46 MAPDs |
SPRIX 15.75 MG NASAL SPRAY (Ketorolac Tromethamine) |
UNITS |
69344014443 |
0 PDPs |
2 MAPDs |
TAVABOROLE 5% TOPICAL SOLUTION SOL W/APPL [KERYDIN] () |
10 MLS |
21922002012 |
0 PDPs |
10 MAPDs |
TRIAMCINOLONE 0.025% LOTION [Kenalog] () |
60 MLS |
70752012905 |
54 PDPs |
369 MAPDs |
TRIAMCINOLONE 0.1% LOTION [Kenalog] () |
60 MLS |
60432056161 |
54 PDPs |
368 MAPDs |