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2024 Medicare Part D Formulary Search By Drug Letter

 Select a Letter below:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z
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 2024 Formularies
PDPs MAPDs
ABRYSVO 120 MCG / 0.5 ML INJECTION Prefilled Syringe
(Respiratory Syncytial Virus (RSV) Vaccine)		 1   00069034401 54
PDPs		 367
MAPDs
ACIPHEX DR 20 MG TABLET
(Rabeprazole Sodium EC)		 30 UNITS   69784024330 0
PDPs		 1
MAPDs
ACTONEL 150 MG TABLET
(Risedronate)		 1 tablet   00430047801 0
PDPs		 1
MAPDs
ACTONEL 35 MG TABLET
(Risedronate)		 4 tablets   00430047203 0
PDPs		 1
MAPDs
ADEMPAS 0.5 MG TABLET
(Riociguat)		 90 EA   50419025001 55
PDPs		 366
MAPDs
ADEMPAS 1 MG TABLET
(Riociguat)		 90 EA   50419025101 55
PDPs		 366
MAPDs
ADEMPAS 1.5 MG TABLET
(Riociguat)		 90 EA   50419025201 55
PDPs		 366
MAPDs
ADEMPAS 2 MG TABLET
(Riociguat)		 90 EA   50419025301 55
PDPs		 366
MAPDs
ADEMPAS 2.5 MG TABLET
(Riociguat)		 90 EA   50419025401 55
PDPs		 366
MAPDs
AEMCOLO DR 194 MG TABLET DR
(Rifamycin)		 UNITS   57841120001 0
PDPs		 9
MAPDs
ALTABAX 1% OINTMENT
(Retapamulin)		 15 GRAMS   16110051815 0
PDPs		 8
MAPDs
ALTACE 1.25MG CAPSULE
(Ramipril)		 100 CAPS BOTPL 61570011001 0
PDPs		 4
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)		 100 CAPS BOTPL 61570012001 0
PDPs		 4
MAPDs
ALTACE 2.5 MG CAPSULE
(Ramipril)		 100 EA   61570011101 0
PDPs		 4
MAPDs
ALTACE 5MG CAPSULE
(Ramipril)		 100 BOT 61570011201 0
PDPs		 4
MAPDs
ARCALYST 220 MG VIAL
(Rilonacept)		 MLS   73604091404 48
PDPs		 350
MAPDs
AREXVY 120 MCG / 0.5 ML INJECTION SINGLE-DOSE VIAL 0.5 ML
(Respiratory Syncytial Virus Vaccine, Adjuvanted)		 1   58160084811 54
PDPs		 365
MAPDs
ASPRUZYO SPRINKLE ER 1000MG PACK ER GR
(Ranolazine)		 UNITS   47335062560 0
PDPs		 6
MAPDs
ASPRUZYO SPRINKLE ER 500MG PACK ER GR
(Ranolazine)		 UNITS   47335062460 0
PDPs		 6
MAPDs
ATAZANAVIR SULFATE 150 MG CAPSULE [Reyataz]
(Atazanavir Sulfate)		 CAPSULES   65862071160 55
PDPs		 370
MAPDs
ATAZANAVIR SULFATE 200 MG CAPSULE [Reyataz]
(Atazanavir Sulfate)		 CAPSULES   65862071260 55
PDPs		 370
MAPDs
ATAZANAVIR SULFATE 300 MG CAPSULE [Reyataz]
(Atazanavir Sulfate)		 CAPSULES   65862071330 55
PDPs		 370
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 0
PDPs		 4
MAPDs
AZILECT 0.5MG TABLET
(Rasagiline Mesylate)		 30 BOT 68546014256 0
PDPs		 4
MAPDs
AZILECT 1MG TABLET
(Rasagiline Mesylate)		 30 BOT 68546022956 0
PDPs		 4
MAPDs
Banzel 200mg/1
(Rufinamide)		     62856058252 0
PDPs		 5
MAPDs
BANZEL 400MG TABLET
(Rufinamide)		 120 BOT 62856058352 0
PDPs		 5
MAPDs
Banzel 40mg/mL
(Rufinamide)		     62856058446 0
PDPs		 7
MAPDs
BESREMI 500 MCG/ML SYRINGE
(Ropeginterferon Alfa-2b)		 ML   73536050001 55
PDPs		 370
MAPDs
BETAMETHASONE DP AUG 0.05% CREAM (g) [RRB Pak]
(Augmented Betamethasone Dipropionate)		 grams   51672131003 55
PDPs		 369
MAPDs
BUTALB-ACETAMIN-CAFF 50-325-40 TABLET [Repan]
(Butalbital, Acetaminophen, Caffeine)		 30 TABLETS   00527169505 17
PDPs		 202
MAPDs
CALCITRIOL 0.25 MCG CAPSULE [Rocaltrol]
()		 30 CAPSULES   69452020720 55
PDPs		 370
MAPDs
CALCITRIOL 0.5 MCG CAPSULE [Rocaltrol]
()		 90 CAPSULES   69452020820 55
PDPs		 370
MAPDs
CEFTRIAXONE 1 GM VIAL [Rocephin]
(Ceftriaxone)		 1 ML   60505614804 55
PDPs		 369
MAPDs
CEFTRIAXONE 10 GM VIAL [Rocephin]
(Ceftriaxone)		 ML   60505615005 55
PDPs		 369
MAPDs
CEFTRIAXONE 2 GM VIAL [Rocephin]
(Ceftriaxone)		 13 mls   60505614904 55
PDPs		 369
MAPDs
CEFTRIAXONE 250 MG VIAL [Rocephin]
(Ceftriaxone)		 1 ML   00781320695 55
PDPs		 370
MAPDs
CEFTRIAXONE 500 MG VIAL [Rocephin]
(Ceftriaxone)		 1 ML   60505615201 55
PDPs		 370
MAPDs
CHLORZOXAZONE 250 MG TABLET [Remular S]
()		 30 TABLETS   24470092360 1
PDPs		 33
MAPDs
CHLORZOXAZONE 500 MG TABLET [Relax-DS]
()		 90 TABLETS   70954008510 7
PDPs		 151
MAPDs
CORTROPHIN GEL 400 UNIT/5 ML VIAL
(Corticotropin (Porcine))		 MLS   62559086015 2
PDPs		 89
MAPDs
CRESTOR 10 MG TABLET
(Rosuvastatin Calcium)		 30 TABLETS   00310757090 0
PDPs		 4
MAPDs
CRESTOR 20 MG TABLET
(Rosuvastatin Calcium)		 90 TABLETS   00310758090 0
PDPs		 4
MAPDs
CRESTOR 40 MG TABLET
(Rosuvastatin Calcium)		 90 TABLETS   00310759030 0
PDPs		 4
MAPDs
CRESTOR 5 MG TABLET
(Rosuvastatin Calcium)		 90 TABLETS   00310756090 0
PDPs		 4
MAPDs
CYCLOSPORINE 0.05% EYE EMULS DROPERETTE [Restasis]
(Cyclosporine)		 60 UNITS   00378876091 14
PDPs		 165
MAPDs
DALIRESP 250 MCG TABLET
(Roflumilast)		 30 tablets   00310008828 0
PDPs		 17
MAPDs
DALIRESP 500 MCG TABLET
(ROFLUMILAST)		 30 EA   00310009530 0
PDPs		 17
MAPDs
EDURANT 27.5mg/1
(Rilpivirine)		     59676027801 55
PDPs		 370
MAPDs
ELETRIPTAN HBR 20 MG TABLET [Relpax]
(Eletriptan Hydrobromide)		 6 TABLETS   59651010469 5
PDPs		 102
MAPDs
ELETRIPTAN HBR 40 MG TABLET [Relpax]
(Eletriptan Hydrobromide)		 6 TABLETS   59651010569 5
PDPs		 101
MAPDs
ERYTHROMYCIN 0.5% EYE OINTMENT [Romycin]
(Erythromycin Ophth)		 3.5 GRAMS   24208091055 55
PDPs		 370
MAPDs
EVENITY 210 MG DOSE-2 SYRINGES
(Romosozumab)		 mls   55513088002 1
PDPs		 31
MAPDs
EVISTA 60 MG TABLET
(Raloxifene HCl)		 30 EA   00002418430 0
PDPs		 4
MAPDs
EVRYSDI 60 MG/80 ML(0.75MG/ML) SOLUTION RECON
(Risdiplam)		 MLS   50242017507 8
PDPs		 171
MAPDs
EXELON 13.3 MG/24HR PATCH
(Rivastigmine Tartrate)		 30 EA   00078050315 3
PDPs		 4
MAPDs
EXELON 4.6MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)		 30 CRTN 00078050115 3
PDPs		 4
MAPDs
EXELON 9.5MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)		 30 CRTN 00078050215 3
PDPs		 4
MAPDs
EXSERVAN 50 MG FILM
(Riluzole)		 UNITS   70510220102 0
PDPs		 24
MAPDs
GALANTAMINE ER 16 MG CAPSULE 24H PEL [Reminyl]
()		 30 UNITS   65862074530 52
PDPs		 362
MAPDs
GALANTAMINE ER 24 MG CAPSULE 24H PEL [Reminyl]
()		 30 UNITS   65862074630 52
PDPs		 362
MAPDs
GALANTAMINE ER 8 MG CAPSULE 24H PEL [Reminyl]
()		 30 UNITS   65862074430 52
PDPs		 362
MAPDs
GALANTAMINE HBR 12 MG TABLET [Reminyl]
()		 180 TABLETS   57237005160 52
PDPs		 362
MAPDs
GALANTAMINE HBR 4 MG TABLET [Reminyl]
()		 60 tablets   57237004960 52
PDPs		 362
MAPDs
GALANTAMINE HBR 8 MG TABLET [Reminyl]
()		 60 TABLETS   57237005060 52
PDPs		 362
MAPDs
GLATIRAMER 20 MG/ML SYRINGE [Glatopa]
(Glatiramer)		 mls   00378696093 36
PDPs		 312
MAPDs
GLYCOPYRROLATE 1 MG TABLET [Robinul]
(Glycopyrrolate)		 60 TABLETS   23155060601 54
PDPs		 362
MAPDs
GLYCOPYRROLATE 2 MG TABLET [Robinul Forte]
()		 60 TABLETS   23155060701 54
PDPs		 362
MAPDs
GRISEOFULVIN 125 MG/5 ML ORAL SUSPENSION [Grifulvin V]
(Griseofulvin Microsize)		 120 MLS   69097036108 55
PDPs		 369
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)		 5 ML   63004871001 0
PDPs		 81
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))		     00006409302 55
PDPs		 370
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)		 30 TABLETS   23155050001 48
PDPs		 366
MAPDs
IMOVAX RABIES VACCINE VIAL
(Rabies Virus Vaccine, HDC)		 ML   49281025251 55
PDPs		 370
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
JAKAFI 10 MG TABLET
(ruxolitinib)		     50881001060 55
PDPs		 370
MAPDs
JAKAFI 15 MG TABLET
(ruxolitinib)		     50881001560 55
PDPs		 370
MAPDs
JAKAFI 20 MG TABLET
(ruxolitinib)		     50881002060 55
PDPs		 370
MAPDs
JAKAFI 25 MG TABLET
(ruxolitinib)		     50881002560 55
PDPs		 370
MAPDs
JAKAFI 5 MG TABLET
(ruxolitinib)		     50881000560 55
PDPs		 370
MAPDs
KISQALI 200 MG DAILY DOSE
(Ribociclib)		     00078086001 55
PDPs		 370
MAPDs
KISQALI 400 MG DAILY DOSE
(Ribociclib)		     00078086742 55
PDPs		 370
MAPDs
KISQALI 600 MG DAILY DOSE
(Ribociclib)		     00078087463 55
PDPs		 370
MAPDs
KISQALI FEMARA 200 MG CO-PACK
(Letrozole;Ribociclib)		 49 EA   00078090961 55
PDPs		 370
MAPDs
KISQALI FEMARA 400 MG CO-PACK
(Letrozole;Ribociclib)		 70 EA   00078091661 55
PDPs		 370
MAPDs
KISQALI FEMARA 600 MG CO-PACK
(Letrozole;Ribociclib)		 91 EA   00078092361 55
PDPs		 370
MAPDs
LENALIDOMIDE 10 MG CAPSULE [Revlimid]
()		 28 CAPSULES   00480124328 55
PDPs		 370
MAPDs
LENALIDOMIDE 15 MG CAPSULE [Revlimid]
()		 21 CAPSULES   00480124421 55
PDPs		 370
MAPDs
LENALIDOMIDE 2.5 MG CAPSULE [Revlimid]
()		 CAPSULES   43598051663 55
PDPs		 370
MAPDs
LENALIDOMIDE 20 MG CAPSULE [Revlimid]
()		 21 CAPSULES   43598051421 55
PDPs		 370
MAPDs
LENALIDOMIDE 25 MG CAPSULE [Revlimid]
()		 21 CAPSULES   00480124621 55
PDPs		 370
MAPDs
LENALIDOMIDE 5 MG CAPSULE [Revlimid]
()		 21 CAPSULES   00480124228 55
PDPs		 370
MAPDs
LEVETIRACETAM 500 MG TABLET [Roweepra]
()		 60 TABLETS   31722053705 55
PDPs		 370
MAPDs
LEVETIRACETAM ER 500 MG TABLET 24H [Roweepra]
()		 60 TABLETS   68180011707 43
PDPs		 366
MAPDs
LEVETIRACETAM ER 750 MG TABLET 24H [Roweepra]
()		 60 TABLETS   68180011807 43
PDPs		 364
MAPDs
LITFULO 50 MG CAPSULE
(Ritlecitinib)		 CAPSULES   00069033428 1
PDPs		 9
MAPDs
M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML
(Measles, Mumps, and Rubella Vaccine)		 10 X 0.5 ML VIAL 00006468100 55
PDPs		 370
MAPDs
MAXALT 10 MG TABLET
(Rizatriptan Benzoate)		 12 TABLETS   78206014201 0
PDPs		 5
MAPDs
MAXALT MLT 10 MG TABLET RAPDIS
(Rizatriptan Benzoate)		 9 UNITS   78206014301 0
PDPs		 5
MAPDs
METHOCARBAMOL 500 MG TABLET [Robaxin]
()		 30 TABLETS   70010075401 30
PDPs		 264
MAPDs
METHOCARBAMOL 750 MG TABLET [Robaxin]
()		 30 TABLETS   70010077001 30
PDPs		 264
MAPDs
METHOTREXATE 2.5 MG TABLET [Rheumatrex]
(Methotrexate)		 24 TABLETS   16729048601 55
PDPs		 369
MAPDs
METHYLPHENIDATE 10 MG TABLET [Ritalin]
(Methylphenidate HCl)		 60 TABLETS   00406114401 55
PDPs		 370
MAPDs
METHYLPHENIDATE 20 MG TABLET [Ritalin]
(Methylphenidate HCl)		 60 TABLETS   00406114601 55
PDPs		 370
MAPDs
METHYLPHENIDATE 5 MG TABLET [Ritalin]
(Methylphenidate HCl)		 30 TABLETS   00406114201 55
PDPs		 370
MAPDs
METHYLPHENIDATE CD 10 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)		 30 UNITS   00527457937 5
PDPs		 143
MAPDs
METHYLPHENIDATE CD 20 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)		 30 UNITS   00527458037 6
PDPs		 142
MAPDs
METHYLPHENIDATE CD 30 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)		 30 UNITS   00527458137 5
PDPs		 139
MAPDs
METHYLPHENIDATE CD 40 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)		 30 UNITS   00527458237 6
PDPs		 142
MAPDs
METHYLPHENIDATE CD 60 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)		 30 UNITS   00527458437 5
PDPs		 141
MAPDs
METHYLPHENIDATE ER 10 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)		 30 UNITS   42858007545 1
PDPs		 24
MAPDs
METHYLPHENIDATE ER 20 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)		 30 UNITS   42858007745 1
PDPs		 24
MAPDs
METHYLPHENIDATE ER 20 MG TABLET [Ritalin SR]
(Methylphenidate HCl)		 30 TABLETS   70010004301 45
PDPs		 318
MAPDs
METHYLPHENIDATE ER 30 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)		 UNITS   42858007845 1
PDPs		 24
MAPDs
METHYLPHENIDATE ER 40 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)		 UNITS   42858007945 1
PDPs		 24
MAPDs
METHYLPHENIDATE ER 45 MG TABLET ER 24 [RELEXXII]
(Methylphenidate Hydrochloride)		 30 UNITS   13811071130 0
PDPs		 18
MAPDs
METHYLPHENIDATE ER 60 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)		 30 UNITS   42858008145 1
PDPs		 24
MAPDs
METHYLPHENIDATE ER 63 MG TABLET ER 24 [RELEXXII]
(Methylphenidate Hydrochloride)		 30 UNITS   13811070030 0
PDPs		 18
MAPDs
METHYLPHENIDATE ER 72 MG TABLET ER 24 [RELEXXII]
(Methylphenidate HCl)		 30 units   13811071030 0
PDPs		 39
MAPDs
METHYLPHENIDATE LA 10 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)		 30 UNITS   70010001201 5
PDPs		 159
MAPDs
METHYLPHENIDATE LA 20 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)		 30 UNITS   70010001301 7
PDPs		 158
MAPDs
METHYLPHENIDATE LA 30 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)		 30 UNITS   70010001401 7
PDPs		 159
MAPDs
METHYLPHENIDATE LA 40 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)		 30 UNITS   70010001501 7
PDPs		 158
MAPDs
METHYLPHENIDATE LA 60 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)		 30 units   51862061430 7
PDPs		 154
MAPDs
MIRTAZAPINE 15 MG TABLET [Remeron]
(Mirtazapine)		 30 tablets   13107003134 55
PDPs		 370
MAPDs
MIRTAZAPINE 30 MG ODT TABLET RAPDIS [Remeron SolTab]
()		 30 UNITS   57237001206 55
PDPs		 370
MAPDs
MIRTAZAPINE 30 MG TABLET [Remeron]
(Mirtazapine)		 30 tablets   13107000334 55
PDPs		 370
MAPDs
MORPHINE SULF 100 MG/5 ML CONC SOLUTION [Roxanol-T]
()		 30 MLS   00121082501 46
PDPs		 358
MAPDs
MYCOBUTIN 150MG CAPSULE
(Rifabutin)		 100 BOT 00013530117 0
PDPs		 4
MAPDs
MYFEMBREE 40 MG-1 MG-0.5 MG TABLET
(Relugolix, Estradiol, Norethindrone)		 28 TABLETS   72974041501 4
PDPs		 64
MAPDs
NALTREXONE 50 MG TABLET [ReVia]
()		 30 TABLETS   00406117003 55
PDPs		 370
MAPDs
NEUPRO 1 MG/24 HR PATCH
(Rotigotine)		 30 EA   50474080103 37
PDPs		 290
MAPDs
NEUPRO 2 MG/24 HR PATCH
(Rotigotine)		 30 EA   50474080203 37
PDPs		 290
MAPDs
NEUPRO 3 MG/24 HR PATCH
(Rotigotine)		 30 EA   50474080303 37
PDPs		 290
MAPDs
NEUPRO 4 MG/24 HR PATCH
(Rotigotine)		 30 EA   50474080403 37
PDPs		 290
MAPDs
NEUPRO 6 MG/24 HR PATCH
(Rotigotine)		 30 EA   50474080503 37
PDPs		 290
MAPDs
NEUPRO 8 MG/24 HR PATCH
(Rotigotine)		 30 EA   50474080603 37
PDPs		 290
MAPDs
NORVIR 100 MG POWDER PACKET
(Ritonavir)		 units   00074339930 55
PDPs		 370
MAPDs
NORVIR 100 MG TABLET
(Ritonavir)		 30 TABLETS   00074234030 1
PDPs		 5
MAPDs
NURTEC ODT 75 MG TABLET RAPDIS
(Rimegepant)		 8 units   72618300002 50
PDPs		 280
MAPDs
OPZELURA 1.5% CREAM (G)
(Ruxolitinib)		 60 GRAMS   50881000705 0
PDPs		 19
MAPDs
ORGOVYX 120 MG TABLET
(Relugolix)		 30 TABLETS   72974012001 55
PDPs		 370
MAPDs
OXYCODONE HCL (IR) 20 MG TABLET [Roxicodone]
()		 120 TABLETS   42858000401 55
PDPs		 365
MAPDs
OXYCODONE HCL (IR) 5 MG TABLET [Roxybond]
()		 30 TABLETS   00406055201 55
PDPs		 365
MAPDs
OXYCODONE HCL 100 MG/5 ML ORAL CONC [Roxicodone]
()		 30 MLS   00406855730 24
PDPs		 267
MAPDs
OXYCODONE HCL 15 MG TABLET [Roxybond]
(Oxycodone HCl)		 120 tablets   00406851501 55
PDPs		 365
MAPDs
OXYCODONE HCL 30 MG TABLET [Roxybond]
(Oxycodone HCl)		 120 tablets   00406853001 55
PDPs		 365
MAPDs
OXYCODONE HCL 5 MG/5 ML SOLUTION [Roxicodone]
(Oxycodone HCl)		 500 ML   00054039063 38
PDPs		 327
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325 TABLET [Roxicet]
(Oxycodone-Acetaminophen )		 30 TABLETS   00406051205 55
PDPs		 367
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325/5 SOLUTION [Roxicet]
(Oxycodone-Acetaminophen )		 150 MLS   29033040535 5
PDPs		 80
MAPDs
PERSERIS ER 120 MG SYRINGE KIT SUSER SYKT
(Risperidone)		 unit   12496012001 52
PDPs		 351
MAPDs
PERSERIS ER 90 MG SYRINGE KIT SUSER SYKT
(Risperidone)		 unit   12496009001 52
PDPs		 351
MAPDs
PREHEVBRIO 10 MCG/ML VIAL
(Recombinant Hepatitis B Surface Antigen (ISOFORM S/SCI-B-VAC), Recombinant Hepatitis B Surface Antig)		 ML   75052000101 55
PDPs		 370
MAPDs
PRIFTIN 150 MG TABLET
(Rifapentine)		 24   00088210224 55
PDPs		 370
MAPDs
PRIORIX VIAL
(Measels, mumps, and rubella vaccine)		 ML   58160082415 55
PDPs		 370
MAPDs
PROPAFENONE HCL 150 MG TABLET [Rythmol]
(Propafenone HCl)		 90 TABLETS   00591058201 55
PDPs		 370
MAPDs
PROPAFENONE HCL 225 MG TABLET [Rythmol]
(Propafenone HCl)		 90 TABLETS   00603544921 55
PDPs		 370
MAPDs
PROPAFENONE HCL 300 MG TABLET [Rythmol]
(Propafenone HCl)		 90 TABLETS   00603545021 55
PDPs		 370
MAPDs
PROPAFENONE HCL ER 225 MG CAPSULE 12H [Rythmol SR]
()		 60 CAPSULES   68462040860 46
PDPs		 327
MAPDs
PROPAFENONE HCL ER 325 MG CAPSULE 12H [Rythmol SR]
()		 180 CAPSULES   68462040960 46
PDPs		 327
MAPDs
PROPAFENONE HCL ER 425 MG CAPSULE 12H [Rythmol SR]
()		 90 CAPSULES   68462041060 46
PDPs		 327
MAPDs
QINLOCK 50 MG TABLET
(Ripretinib)		 TABLETS   73207010130 55
PDPs		 370
MAPDs
RABAVERT RABIES VACCINE VIAL
(Rabies Vaccine, PCEC For)		     58160096412 55
PDPs		 370
MAPDs
RABEPRAZOLE SOD DR 20 MG TABLET DR [AcipHex]
()		 30 units   62175030232 25
PDPs		 266
MAPDs
RADICAVA ORS STARTER KIT ORAL SUSPENSION
(Edaravone)		 50 MLS   70510232102 4
PDPs		 111
MAPDs
RALOXIFENE HCL 60 MG TABLET [Evista]
()		 90 TABLETS   65162005703 55
PDPs		 370
MAPDs
RAMELTEON 8 MG TABLET [Rozerem]
(Ramelteon)		 30 TABLETS   70710134403 27
PDPs		 213
MAPDs
RAMIPRIL 1.25 MG CAPSULE
(Ramipril)		 30 EA   68382014406 55
PDPs		 370
MAPDs
RAMIPRIL 10 MG CAPSULE [Altace]
(Ramipril)		 90 CAPSULES   65862047705 55
PDPs		 370
MAPDs
RAMIPRIL 2.5 MG CAPSULE [Altace]
(Ramipril)		 90 capsules   65862047501 55
PDPs		 370
MAPDs
RAMIPRIL 5 MG CAPSULE [Altace]
(Ramipril)		 90 CAPSULES   65862047605 55
PDPs		 370
MAPDs
RANOLAZINE ER 1,000 MG TABLET 12H [Ranexa]
(Ranolazine)		 60 TABLETS   27241012602 55
PDPs		 370
MAPDs
RANOLAZINE ER 500 MG TABLET 12H [Ranexa]
(Ranolazine)		 60 TABLETS   27241012502 55
PDPs		 368
MAPDs
RAPAFLO 4 MG CAPSULE
(Silodosin)		 30 capsules   00023614730 0
PDPs		 4
MAPDs
RAPAFLO 8 MG CAPSULE
(Silodosin)		 30 capsules   00023614230 0
PDPs		 4
MAPDs
RAPAMUNE 0.5MG TABLETS
(Sirolimus)		 100 BOT 00008104005 0
PDPs		 6
MAPDs
RAPAMUNE 1MG TABLET
(Sirolimus)		 100 BOT 00008104105 0
PDPs		 6
MAPDs
RAPAMUNE 1MG/ML ORAL TUBEX
(Sirolimus)		 60 ML BOT 00008103006 0
PDPs		 9
MAPDs
RAPAMUNE 2MG TABLET
(Sirolimus)		 100 BOT 00008104205 0
PDPs		 6
MAPDs
RASAGILINE MESYLATE 0.5 MG TABLET [Azilect]
(Rasagiline Mesylate)		 30 TABLETS   67877025930 55
PDPs		 370
MAPDs
RASAGILINE MESYLATE 1 MG TABLET [Azilect]
(Rasagiline Mesylate)		 30 TABLETS   42571022130 55
PDPs		 370
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 2
PDPs		 147
MAPDs
RAYALDEE ER 30 MCG CAPSULE
(Calcifediol)		     70301100101 17
PDPs		 183
MAPDs
RAYOS DR 1 MG TABLET
(prednisone)		     75987002001 0
PDPs		 4
MAPDs
RAYOS DR 2 MG TABLET
(prednisone)		     75987002101 0
PDPs		 4
MAPDs
RAYOS DR 5 MG TABLET
(prednisone)		     75987002201 0
PDPs		 4
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
RECLIPSEN 28 DAY TABLET [Solia]
(Desogestrel, Ethinyl Estradiol;Inert)		 28 tablets   00093330416 45
PDPs		 341
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))		     00006409402 55
PDPs		 370
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))		 ML   00006499541 55
PDPs		 370
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))		 1 ML VIALSD 00006499200 55
PDPs		 370
MAPDs
RECOMBIVAX HB 5 MCG/0.5 ML VL VIAL
(Hepatitis B Vaccine (Recombinant))		 ML   00006498101 55
PDPs		 370
MAPDs
RECORLEV 150 MG TABLET
(Levoketoconazole)		 TABLETS   72065000301 3
PDPs		 74
MAPDs
RECTIV 0.4% OINTMENT
(Nitroglycerin)		 30 GM   58914030180 55
PDPs		 370
MAPDs
REDITREX 15 MG/0.6 ML SYRINGE
(Methotrexate)		 ML   66220081522 1
PDPs		 11
MAPDs
REDITREX 20 MG/0.8 ML SYRINGE
(Methotrexate)		 ML   66220082022 1
PDPs		 11
MAPDs
REDITREX 22.5 MG/0.9 ML SYRING SYRINGE
(Methotrexate)		 ML   66220082222 1
PDPs		 11
MAPDs
REDITREX 25 MG/ML SYRINGE
(Methotrexate)		 ML   66220082522 1
PDPs		 11
MAPDs
REGLAN 10 MG TABLET
(Metoclopramide HCl)		 90 TABLETS   62559016601 0
PDPs		 4
MAPDs
REGLAN 5 MG TABLET
(Metoclopramide HCl)		 90 TABLETS   62559016501 0
PDPs		 4
MAPDs
REGRANEX 0.01% GEL
(Becaplermin)		 15 GM   50484081015 28
PDPs		 275
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 43
PDPs		 361
MAPDs
RELEUKO 300 MCG/0.5 ML SYRINGE
(Filgrastim (E. coli))		 ML   70121156801 0
PDPs		 53
MAPDs
RELEUKO 480 MCG/0.8 ML SYRINGE
(Filgrastim (E. coli))		 ML   70121157001 0
PDPs		 53
MAPDs
RELEXXII ER 45 MG TABLET 24H
(Methylphenidate Hydrochloride)		 30 UNITS   68025008830 0
PDPs		 3
MAPDs
RELEXXII ER 63 MG TABLET 24H
(Methylphenidate Hydrochloride)		 30 UNITS   68025008930 0
PDPs		 3
MAPDs
RELEXXII ER 72 MG TABLET 24H
(Methylphenidate Hydrochloride)		 30 units   68025008410 0
PDPs		 6
MAPDs
RELISTOR 12 MG/0.6 ML SYRINGE
(Methylnaltrexone)		 .6 ML   65649055103 23
PDPs		 239
MAPDs
RELISTOR 12 MG/0.6 ML VIAL
(Methylnaltrexone)		     65649055102 23
PDPs		 242
MAPDs
RELISTOR 150 MG TABLET
(Methylnaltrexone)		     65649015090 14
PDPs		 98
MAPDs
RELISTOR 8 MG/0.4 ML SYRINGE
(Methylnaltrexone)		 .4 ML   65649055204 23
PDPs		 238
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		 43
MAPDs
RELTONE 400 MG CAPSULE
()		 CAPSULES   80056014401 0
PDPs		 43
MAPDs
RELYVRIO 3 GM-1 GM POWDER PACKET
(Sodium Phenylbutyrate, Taurursodiol)		 35 UNITS   73063003503 1
PDPs		 74
MAPDs
REMERON 15 MG TABLET
(Mirtazapine)		 30 TABLETS   78206016001 0
PDPs		 4
MAPDs
REMERON 30 MG TABLET
(Mirtazapine)		 30 TABLETS   78206016101 0
PDPs		 4
MAPDs
REMERON SOLTAB 15 MG TABLET RAPDIS
(Mirtazapine)		 30 UNITS   78206015601 0
PDPs		 4
MAPDs
REMERON SOLTAB 30 MG TABLET RAPDIS
(Mirtazapine)		 30 UNITS   78206015801 0
PDPs		 4
MAPDs
REMERON SOLTAB 45 MG TABLET RAPDIS
(Mirtazapine)		 30 UNITS   78206015901 0
PDPs		 4
MAPDs
RENAGEL 800MG TABLET
(Sevelamer HCl)		     58468002101 0
PDPs		 3
MAPDs
REPAGLINIDE 0.5 MG TABLET [Prandin]
()		 90 tablets   57237015701 55
PDPs		 370
MAPDs
REPAGLINIDE 1 MG TABLET [Prandin]
()		 90 tablets   57237015801 55
PDPs		 370
MAPDs
REPAGLINIDE 2 MG TABLET [Prandin]
()		 90 TABLETS   57237015901 55
PDPs		 370
MAPDs
REPATHA 140 MG/ML SURECLICK PEN INJCTR
(Evolocumab)		 2 mls   72511076002 52
PDPs		 355
MAPDs
REPATHA 140 MG/ML SYRINGE
(Evolocumab)		 2 mls   72511075001 52
PDPs		 353
MAPDs
REPATHA 420 MG/3.5ML PUSHTRONX WEAR INJCT
(Evolocumab)		 3.5 mls   72511077001 52
PDPs		 353
MAPDs
RESTASIS 0.05% EYE EMULSION
(Cyclosporine (Ophth))		 60 EA   00023916360 49
PDPs		 239
MAPDs
RESTASIS MULTIDOSE 0.05% EYE DROPS
(Cyclosporine (Ophth))		 5.5 MLS   00023530105 49
PDPs		 247
MAPDs
RETACRIT 10,000 UNIT/ML VIAL
(Epoetin Alfa)		 2 mls   00069130810 30
PDPs		 276
MAPDs
RETACRIT 2,000 UNIT/ML VIAL
(Epoetin Alfa)		 ml   00069130510 30
PDPs		 276
MAPDs
RETACRIT 20,000 UNIT/2 ML VIAL
(Epoetin Alfa)		 2 MLS   00069131810 29
PDPs		 267
MAPDs
RETACRIT 20,000 UNIT/ML VIAL
(Epoetin Alfa)		 4 MLS   00069131110 29
PDPs		 276
MAPDs
RETACRIT 3,000 UNIT/ML VIAL
(Epoetin Alfa)		 ml   00069130610 30
PDPs		 276
MAPDs
RETACRIT 4,000 UNIT/ML VIAL
(Epoetin Alfa)		 2 mls   00069130710 30
PDPs		 276
MAPDs
RETACRIT 40,000 UNIT/ML VIAL
(Epoetin Alfa)		 4 mls   00069130904 30
PDPs		 276
MAPDs
RETEVMO 40 MG CAPSULE
(Selpercatinib)		 CAPSULES   00002397760 55
PDPs		 370
MAPDs
RETEVMO 80 MG CAPSULE
(Selpercatinib)		 60 CAPSULES   00002298026 55
PDPs		 370
MAPDs
RETIN-A 0.01% GEL
(Tretinoin)		 45 grams   00187517215 0
PDPs		 6
MAPDs
RETIN-A 0.025% GEL
(Tretinoin)		     00187517015 0
PDPs		 6
MAPDs
RETIN-A 0.1% CREAM (g)
(Tretinoin)		 45 grams   00187516420 0
PDPs		 6
MAPDs
RETIN-A MICRO 0.04% GEL
(Tretinoin)		     00187514445 0
PDPs		 3
MAPDs
RETIN-A MICRO 0.1% GEL
(Tretinoin Microsphere)		     00187514045 0
PDPs		 3
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		 6
MAPDs
RETROVIR 100mg/1 100 CAPSULE BOTTLE
(Zidovudine)		 100 CAPSULE BOTTLE   49702021120 0
PDPs		 5
MAPDs
RETROVIR 50mg/5mL 240 mL in 1 BOTTLE
(Zidovudine)		 240 mL in 1 BOTTLE   49702021248 0
PDPs		 5
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
REVCOVI 2.4 MG/1.5 ML VIAL
(Elapegademase)		 MLS   10122050201 30
PDPs		 131
MAPDs
REVLIMID 10 MG CAPSULE
(Lenalidomide)		 28.000 EA   59572041028 29
PDPs		 177
MAPDs
REVLIMID 15MG CAPSULE 21 BOTTLE
(Lenalidomide)		 21 BOT 59572041521 29
PDPs		 177
MAPDs
REVLIMID 2.5 MG CAPSULE
(Lenalidomide)		 28.000 EA   59572040228 28
PDPs		 181
MAPDs
REVLIMID 20 MG CAPSULE
(Lenalidomide)		 21.000 EA   59572042021 28
PDPs		 181
MAPDs
REVLIMID 25 MG CAPSULE
(Lenalidomide)		 21.000 EA   59572042521 29
PDPs		 177
MAPDs
REVLIMID 5 MG CAPSULE
(Lenalidomide)		 28.000 EA   59572040528 29
PDPs		 177
MAPDs
REXULTI 0.25 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003513 55
PDPs		 370
MAPDs
REXULTI 0.5 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003613 55
PDPs		 370
MAPDs
REXULTI 1 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003713 55
PDPs		 370
MAPDs
REXULTI 2 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003813 55
PDPs		 370
MAPDs
REXULTI 3 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003913 55
PDPs		 370
MAPDs
REXULTI 4 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148004013 55
PDPs		 370
MAPDs
REYATAZ 200MG CAPSULE
(Atazanavir Sulfate)		 100 BOT 00003363112 0
PDPs		 4
MAPDs
REYATAZ 300MG CAPSULE
(Atazanavir Sulfate)		 30 BOT 00003362212 0
PDPs		 4
MAPDs
REYATAZ 50 MG POWDER PACKET
(Atazanavir Sulfate)		     00003363810 55
PDPs		 370
MAPDs
REYVOW 100 MG TABLET
(Lasmiditan)		 8 TABLETS   00002449108 1
PDPs		 51
MAPDs
REYVOW 50 MG TABLET
(Lasmiditan)		 8 TABLETS   00002431208 1
PDPs		 51
MAPDs
REZLIDHIA 150 MG CAPSULE
(Olutasidenib)		 CAPSULES   71332000501 55
PDPs		 370
MAPDs
REZUROCK 200 MG TABLET
(Belumosudil)		 TABLETS   79802020030 34
PDPs		 331
MAPDs
REZVOGLAR 100 UNIT/ML INSULN KWIKPEN
(Insulin Glargine)		 15 MLS   00002898005 0
PDPs		 9
MAPDs
RHOFADE 1% CREAM (G)
(Oxymetazoline)		 30 GRAMS   71403000330 0
PDPs		 3
MAPDs
RHOPRESSA 0.02% OPHTH SOLUTION Drops
(Netarsudil)		 2.5 mls   70727049725 41
PDPs		 346
MAPDs
RIBAVIRIN 200 MG CAPSULE [Ribasphere]
()		 16 CAPSULES   65862029084 44
PDPs		 345
MAPDs
RIBAVIRIN 200 MG TABLET [Ribasphere]
()		 140 TABLETS   65862020768 55
PDPs		 367
MAPDs
RIDAURA 3 MG CAPSULE
(Auranofin)		     54766009306 13
PDPs		 197
MAPDs
RIFABUTIN 150 MG CAPSULE [Mycobutin]
(Rifabutin)		 60 CAPSULES   59762135001 55
PDPs		 370
MAPDs
RIFAMPIN 150 MG CAPSULE
(Rifampin)		 30.000 EA   68180065806 55
PDPs		 370
MAPDs
RIFAMPIN 300 MG CAPSULE [Rimactane]
()		 60 CAPSULES   68180065907 55
PDPs		 370
MAPDs
RIFAMPIN IV 600 MG VIAL [Rifadin IV]
(Rifampin)		 ML   67457044560 55
PDPs		 370
MAPDs
RILUTEK 50 MG TABLET
(Riluzole)		     70515070060 0
PDPs		 1
MAPDs
RILUZOLE 50 MG TABLET [Rilutek]
(Riluzole)		 60 tablets   67877028660 55
PDPs		 370
MAPDs
Rimantadine 100mg/1 100 TABLET BOTTLE
(Rimantadine)		 100 TABLET in 1 BOTTLE   00115191101 30
PDPs		 321
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)		 TABLETs   00074230630 53
PDPs		 327
MAPDs
RINVOQ ER 30 MG TABLET 24H
(Upadacitinib)		 TABLETS   00074231030 53
PDPs		 324
MAPDs
RINVOQ ER 45 MG TABLET ER 24H
(Upadacitinib)		 TABLETS   00074104328 53
PDPs		 324
MAPDs
RISEDRONATE SODIUM 150 MG TABLET [Actonel]
(Risedronate Sodium)		 3 TABLETS   00093777179 17
PDPs		 322
MAPDs
RISEDRONATE SODIUM 30 MG TABLET [Actonel]
(Risedronate Sodium)		 30 EA   00093310056 15
PDPs		 288
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)		 4 TABLETS   33342010937 16
PDPs		 315
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)		 4 tablets   33342010950 16
PDPs		 315
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)		 4.000 EA   60505316500 16
PDPs		 324
MAPDs
RISEDRONATE SODIUM 5 MG TABLET [Actonel]
(Risedronate Sodium)		 30 tablets   33342010707 16
PDPs		 313
MAPDs
RISEDRONATE SODIUM DR 35 MG TABLET DR [Atelvia]
()		 4 UNITS   59762040704 15
PDPs		 260
MAPDs
RISPERDAL 0.5 MG TABLET
(Risperidone)		 30 tablets   50458030206 0
PDPs		 4
MAPDs
RISPERDAL 1 MG TABLET
(Risperidone)		 30 tablets   50458030006 0
PDPs		 4
MAPDs
RISPERDAL 1MG/ML SOLUTION
(Risperidone)		 30 ML BOT 50458030503 0
PDPs		 4
MAPDs
RISPERDAL 2 MG TABLET
(Risperidone)		 60.000 EA   50458032006 0
PDPs		 4
MAPDs
RISPERDAL 3 MG TABLET
(Risperidone)		 30 tablets   50458033006 0
PDPs		 4
MAPDs
RISPERDAL 4 MG TABLET
(Risperidone)		 60 EA   50458035006 0
PDPs		 4
MAPDs
RISPERDAL CONSTA 25MG SYR
(Risperidone Microspheres For)		 25 MG VIAL DSPK 50458030611 55
PDPs		 370
MAPDs
RISPERDAL CONSTA 37.5MG SYR
(Risperidone Microspheres For)		 37.5 MG VIAL DSPK 50458030711 55
PDPs		 370
MAPDs
RISPERDAL CONSTA 50MG SYR
(Risperidone Microspheres For)		 50 MG VIAL DSPK 50458030811 55
PDPs		 370
MAPDs
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL
(Risperidone Microspheres For)		 12.5 MG VIAL DSPK 50458030911 55
PDPs		 370
MAPDs
RISPERIDONE 0.25 MG TABLET [Risperdal]
(Risperidone)		 30 TABLETS   43547033906 55
PDPs		 370
MAPDs
RISPERIDONE 0.5 MG ODT TABLET RAPDIS [Risperdal M-Tab]
(Risperidone)		 60 UNITS   59746001032 55
PDPs		 370
MAPDs
RISPERIDONE 0.5 MG TABLET [Risperdal]
(Risperidone)		 30 TABLETS   43547034050 55
PDPs		 370
MAPDs
RISPERIDONE 1 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()		 30 units   59746002022 55
PDPs		 370
MAPDs
RISPERIDONE 1 MG TABLET [Risperdal]
(Risperidone)		 30 TABLETS   43547034150 55
PDPs		 370
MAPDs
RISPERIDONE 1 MG/ML SOLUTION [Risperdal]
(Risperidone)		 30 MLS   65162067384 55
PDPs		 370
MAPDs
RISPERIDONE 2 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()		 30 UNITS   59746003022 55
PDPs		 370
MAPDs
RISPERIDONE 2 MG TABLET [Risperdal]
(Risperidone)		 30 TABLETS   43547034250 55
PDPs		 370
MAPDs
RISPERIDONE 3 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()		 14 UNITS   59746004022 55
PDPs		 370
MAPDs
RISPERIDONE 3 MG TABLET [Risperdal]
(Risperidone)		 30 TABLETS   43547034306 55
PDPs		 370
MAPDs
RISPERIDONE 4 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()		 18 UNITS   59746005022 55
PDPs		 370
MAPDs
RISPERIDONE 4 MG TABLET [Risperdal]
(Risperidone)		 30 TABLETS   43547034406 55
PDPs		 370
MAPDs
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK
(Risperidone)		 4 IN 1 BLPK 49884021255 55
PDPs		 370
MAPDs
RITALIN 10MG TABLET
(Methylphenidate HCl)		 100 BOT 00078044005 0
PDPs		 5
MAPDs
RITALIN 20MG TABLET
(Methylphenidate HCl)		 100 BOT 00078044105 0
PDPs		 5
MAPDs
RITALIN 5MG TABLET
(Methylphenidate HCl)		 100 BOT 00078043905 0
PDPs		 5
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 TABLETS   65862068730 55
PDPs		 370
MAPDs
RIVASTIGMINE 1.5 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)		 60 CAPSULES   65862064860 55
PDPs		 370
MAPDs
RIVASTIGMINE 13.3 MG/24HR PATCH [Exelon Patch]
()		 30 PATCHES   00781731331 44
PDPs		 366
MAPDs
RIVASTIGMINE 3 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)		 60 CAPSULES   65862064960 55
PDPs		 370
MAPDs
RIVASTIGMINE 4.5 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)		 180 CAPSULES   65862065060 55
PDPs		 370
MAPDs
RIVASTIGMINE 4.6 MG/24HR PATCH [Exelon Patch]
()		 30 PATCHES   00781730431 44
PDPs		 366
MAPDs
RIVASTIGMINE 6 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)		 180 CAPSULES   65862065160 55
PDPs		 370
MAPDs
RIVASTIGMINE 9.5 MG/24HR PATCH [Exelon Patch]
()		 30 PATCHES   00781730931 44
PDPs		 366
MAPDs
RIVELSA TABLET TBDSPK 3MO
(Ethinyl Estradiol and Levonorgestrel)		     00093603182 17
PDPs		 127
MAPDs
RIZATRIPTAN 10 MG ODT TABLET RAPDIS [Maxalt-MLT]
(Rizatriptan Benzoate)		 9 UNITS   33342009441 55
PDPs		 368
MAPDs
RIZATRIPTAN 10 MG TABLET [Maxalt]
(Rizatriptan)		 9 tablets   67877026218 55
PDPs		 368
MAPDs
RIZATRIPTAN 5 MG ODT TABLET RAPDIS [Maxalt-MLT]
(Rizatriptan Benzoate)		 9 UNITS   33342009341 55
PDPs		 368
MAPDs
RIZATRIPTAN 5 MG TABLET [Maxalt]
(Rizatriptan)		 9 TABLETS   67877026118 55
PDPs		 368
MAPDs
ROBINUL 1 MG TABLET
(Glycopyrrolate)		 60 TABLETS   70199000790 0
PDPs		 2
MAPDs
ROBINUL FORTE 2 MG TABLET
(Glycopyrrolate)		 60 TABLETS   70199000890 0
PDPs		 2
MAPDs
ROCALTROL 0.25 MCG CAPSULE
(Calcitriol)		 30 CAPSULES   30698014323 0
PDPs		 5
MAPDs
Rocaltrol 0.5ug GELATIN COATED 100 CAPSULE BOTTLE
(Calcitriol)		 100 CAPSULE BOTTLE   30698014401 0
PDPs		 5
MAPDs
Rocaltrol 1ug/mL 15 mL in 1 BOTTLE
(Calcitriol)		 15 mL in 1 BOTTLE   30698091115 0
PDPs		 5
MAPDs
ROCKLATAN 0.02%-0.005% EYE DROPS
(Netarsudil, Latanoprost)		 2.5 mls   70727052925 40
PDPs		 330
MAPDs
ROFLUMILAST 250 MCG TABLET [Daliresp]
()		 30 TABLETS   72205020132 51
PDPs		 364
MAPDs
ROFLUMILAST 500 MCG TABLET [Daliresp]
()		 30 TABLETS   31722062330 55
PDPs		 370
MAPDs
ROPINIROLE HCL 0.25 MG TABLET
(Ropinirole Hydrochloride)		 100.000 EA   43547026810 55
PDPs		 370
MAPDs
ROPINIROLE HCL 0.5 MG TABLET
(Ropinirole Hydrochloride)		 100.000 EA   43547026910 55
PDPs		 370
MAPDs
ROPINIROLE HCL 1 MG TABLET [Requip]
(Ropinirole Hydrochloride)		 60 tablets   62332003231 55
PDPs		 370
MAPDs
ROPINIROLE HCL 2 MG TABLET [Requip]
(Ropinirole Hydrochloride)		 30 TABLETS   68462025601 55
PDPs		 370
MAPDs
ROPINIROLE HCL 3 MG TABLET
(Ropinirole Hydrochloride)		 100.000 EA   43547027210 55
PDPs		 370
MAPDs
ROPINIROLE HCL 4 MG TABLET
(Ropinirole Hydrochloride)		 100.000 EA   43547027310 55
PDPs		 370
MAPDs
ROPINIROLE HCL 5 MG TABLET
(Ropinirole Hydrochloride)		 100.000 EA   43547027410 55
PDPs		 370
MAPDs
ROPINIROLE HCL ER 12 MG TABLET 24H [Requip XL]
()		 30 tablets   55111072830 16
PDPs		 238
MAPDs
ROPINIROLE HCL ER 2 MG TABLET 24H [Requip XL]
()		 30 tablets   55111065930 16
PDPs		 238
MAPDs
ROPINIROLE HCL ER 4 MG TABLET 24H [Requip XL]
()		 30 TABLETS   55111066130 16
PDPs		 238
MAPDs
ROPINIROLE HCL ER 6 MG TABLET 24H [Requip XL]
()		 30 tablets   55111072730 16
PDPs		 238
MAPDs
ROPINIROLE HCL ER 8 MG TABLET 24H [Requip XL]
()		 30 TABLETS   55111066230 16
PDPs		 238
MAPDs
ROSUVASTATIN CALCIUM 10 MG TABLET [Crestor]
(Rosuvastatin Calcium)		 30 TABLETS   68462026290 55
PDPs		 370
MAPDs
ROSUVASTATIN CALCIUM 20 MG TABLET [Crestor]
(Rosuvastatin Calcium)		 30 TABLETS   72205000490 55
PDPs		 370
MAPDs
ROSUVASTATIN CALCIUM 40 MG TABLET [Crestor]
(Rosuvastatin Calcium)		 90 tablets   31722088530 55
PDPs		 370
MAPDs
ROSUVASTATIN CALCIUM 5 MG TABLET [Crestor]
(Rosuvastatin Calcium)		 90 TABLETS   72205002790 55
PDPs		 370
MAPDs
ROTARIX VACCINE SUSPENSION
(live rotavirus vaccine)		     58160085452 55
PDPs		 370
MAPDs
ROTATEQ VACCINE SOLUTION
(Rotavirus Vaccine, Live Oral Pentavalent)		 mls   00006404741 55
PDPs		 370
MAPDs
Rotavirus Vaccine, Live, Oral
(Rotavirus Vaccine, Live, Oral)		   58160074002 55
PDPs		 370
MAPDs
ROWASA 4 GM/60 ML ENEMA KIT
(Mesalamine)		 1 UNIT   00037006605 0
PDPs		 7
MAPDs
ROWEEPRA 500 MG TABLET
(Levetiracetam)		 60 TABLETS   69102010501 54
PDPs		 280
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)		 100 EA   23635058110 0
PDPs		 4
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)		     23635058210 0
PDPs		 4
MAPDs
ROXYBOND 15 MG TABLET ORL
(Oxycodone HCl)		 30 UNITS   81140010210 0
PDPs		 4
MAPDs
ROXYBOND 30 MG TABLET ORL
(Oxycodone HCl)		 UNITS   81140010310 0
PDPs		 4
MAPDs
ROXYBOND 5 MG TABLET ORL
(Oxycodone HCl)		 30 UNITS   81140010110 0
PDPs		 4
MAPDs
ROZEREM 8 MG TABLET
(Ramelteon)		 30.000 EA   64764080530 0
PDPs		 4
MAPDs
ROZLYTREK 100 MG CAPSULE
(Entrectinib)		 capsules   50242009130 55
PDPs		 370
MAPDs
ROZLYTREK 200 MG CAPSULE
(Entrectinib)		 capsules   50242009490 55
PDPs		 370
MAPDs
RUBRACA 200 MG TABLET
(RUCAPARIB CAMSYLATE)		 60.000 EA   69660020191 55
PDPs		 370
MAPDs
RUBRACA 250 MG TABLET
(RUCAPARIB CAMSYLATE)		 60   69660020291 55
PDPs		 370
MAPDs
RUBRACA 300 MG TABLET
(RUCAPARIB CAMSYLATE)		     69660020391 55
PDPs		 370
MAPDs
RUCONEST 2,100 UNIT VIAL
(C1 Esterase Inhibitor (Recombinant))		 ML   71274035002 1
PDPs		 67
MAPDs
RUFINAMIDE 200 MG TABLET [Banzel]
(Rufinamide)		 30 TABLETS   00054042523 55
PDPs		 370
MAPDs
RUFINAMIDE 40 MG/ML ORAL SUSPENSION [Banzel]
(Rufinamide)		 460 MLS   00054052863 55
PDPs		 368
MAPDs
RUFINAMIDE 400 MG TABLET [Banzel]
(Rufinamide)		 25 TABLETS   00054042623 55
PDPs		 370
MAPDs
RUKOBIA ER 600 MG TABLETLET 12H
(Fostemsavir)		 TABLETS   49702025018 55
PDPs		 370
MAPDs
RYALTRIS 665-25 MCG SPRAY/PUMP
(Olopatadine, Mometasone)		 GRAMS   59467070027 3
PDPs		 10
MAPDs
RYBELSUS 14 MG TABLET
(Semaglutide)		 30 TABLETS   00169431430 50
PDPs		 337
MAPDs
RYBELSUS 3 MG TABLET
(Semaglutide)		 30 TABLETS   00169430330 50
PDPs		 337
MAPDs
RYBELSUS 7 MG TABLET
(Semaglutide)		 30 TABLETS   00169430730 50
PDPs		 337
MAPDs
RYDAPT 25 MG CAPSULE
(Midostaurin)		 56 EA   00078069899 55
PDPs		 370
MAPDs
RYTARY ER 23.75 MG-95 MG CAPSULE
(Levodopa and Carbidopa)		 100.000 EA   64896066101 19
PDPs		 136
MAPDs
RYTARY ER 36.25 MG-145 MG CAPSULE
(Levodopa and Carbidopa)		 100.000 EA   64896066201 19
PDPs		 136
MAPDs
RYTARY ER 48.75 MG-195 MG CAPSULE
(Levodopa and Carbidopa)		 100.000 EA   64896066301 19
PDPs		 136
MAPDs
RYTARY ER 61.25 MG-245 MG CAPSULE
(Levodopa and Carbidopa)		 100.000 EA   64896066401 19
PDPs		 136
MAPDs
RYTHMOL SR 225mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)		 60 CAPSULE, EXTENDED RELE   00173082318 0
PDPs		 4
MAPDs
RYTHMOL SR 325mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)		 60 CAPSULE, EXTENDED RELE   00173082418 0
PDPs		 4
MAPDs
RYTHMOL SR 425mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)		 60 CAPSULE, EXTENDED RELE   00173082618 0
PDPs		 4
MAPDs
SEVELAMER 0.8 GM POWDER PACKET [RENVELA]
(Sevelamer Carbonate)		 90 EA   65862093090 47
PDPs		 322
MAPDs
SEVELAMER 2.4 GM POWDER PACKET POWDER PACK [Renvela]
(Sevelamer Carbonate)		     65862093190 47
PDPs		 324
MAPDs
SEVELAMER CARBONATE 26.7 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)		     58468013202 2
PDPs		 4
MAPDs
SEVELAMER CARBONATE 40 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)		     58468013102 2
PDPs		 4
MAPDs
SEVELAMER CARBONATE 800 MG TABLET [Renvela]
(Sevelamer Carbonate)		 90 TABLETS   65862092127 52
PDPs		 364
MAPDs
SEVELAMER HCL 400 MG TABLET [RenaGel]
(Sevelamer Hydrochloride)		 90 TABLETs   68462044626 2
PDPs		 95
MAPDs
SEVELAMER HCL 800 MG TABLET [RenaGel]
(Sevelamer Hydrochloride)		 90 TABLETs   68462044718 2
PDPs		 65
MAPDs
SILDENAFIL 10 MG/ML ORAL SUSPENSION [Revatio]
(Sildenafil)		 80 MLS   70954016810 3
PDPs		 48
MAPDs
SILDENAFIL 20 MG TABLET [Revatio]
(Sildenafil)		 30 TABLETS   65862068890 55
PDPs		 370
MAPDs
SILODOSIN 4 MG CAPSULE [Rapaflo]
(Silodosin)		 30 CAPSULES   59651009530 28
PDPs		 225
MAPDs
SILODOSIN 8 MG CAPSULE [Rapaflo]
(Silodosin)		 30 CAPSULES   59651009630 28
PDPs		 225
MAPDs
SIROLIMUS 0.5 MG TABLET [Rapamune]
()		     68382052001 55
PDPs		 370
MAPDs
SIROLIMUS 1 MG TABLET [Rapamune]
()		 100 EA   55111065301 55
PDPs		 370
MAPDs
SIROLIMUS 1 MG/ML SOLUTION [Rapamune]
()		 60 mls   66689034702 55
PDPs		 368
MAPDs
SIROLIMUS 2 MG TABLET [Rapamune]
()		 100 EA   55111065401 55
PDPs		 370
MAPDs
SKYRIZI 150 MG/ML PEN INJECTOR
(Risankizumab)		 1 ML   00074210001 53
PDPs		 327
MAPDs
SKYRIZI 150 MG/ML SYRINGE
(Risankizumab)		 1 ML   00074105001 53
PDPs		 327
MAPDs
SKYRIZI 180 MG/1.2 ML ON-BODY WEAR INJCT
(Risankizumab)		 MLS   00074106501 53
PDPs		 327
MAPDs
SKYRIZI 360 MG/2.4 ML ON-BODY WEAR INJCT
(Risankizumab)		 0.8 ML   00074107001 53
PDPs		 327
MAPDs
TALICIA DR 10-250-12.5 MG CAPSULE IR
()		 168 UNITS   57841115002 3
PDPs		 14
MAPDs
TEMAZEPAM 15 MG CAPSULE [Restoril]
(Temazepam)		 30 capsules   67877014601 51
PDPs		 344
MAPDs
TEMAZEPAM 22.5 MG CAPSULE [Restoril]
(Temazepam)		 30 CAPSULES   43547061303 4
PDPs		 71
MAPDs
TEMAZEPAM 30 MG CAPSULE [Restoril]
(Temazepam)		 30 CAPSULES   67877014701 51
PDPs		 344
MAPDs
TEMAZEPAM 7.5 MG CAPSULE [Restoril]
(Temazepam)		 30 CAPSULES   43547061110 19
PDPs		 153
MAPDs
TIGLUTIK 50 MG/10 ML Oral Suspension
(Riluzole)		 mls   70726030301 3
PDPs		 34
MAPDs
Tretinoin 0.0004 MG/MG Topical Gel
(Tretinoin)		     68682051494 2
PDPs		 45
MAPDs
Tretinoin 0.25 MG/ML Topical Cream [Retin-A]
(Tretinoin)		     00187516020 0
PDPs		 6
MAPDs
Tretinoin 0.5 MG/ML Topical Cream [Retin-A]
(Tretinoin)		     00187516220 0
PDPs		 6
MAPDs
TRETINOIN GEL MICRO 0.1% TUBE [Retin-A Micro]
()		 45 GRAMS   00378809345 5
PDPs		 46
MAPDs
URSODIOL 200 MG CAPSULE [Reltone]
()		 60 CAPSULES   72887014306 1
PDPs		 14
MAPDs
URSODIOL 400 MG CAPSULE [Reltone]
()		 60 CAPSULES   72887014406 1
PDPs		 8
MAPDs
UZEDY ER 100 MG/0.28 ML SYRINGE
(Risperidone)		 ML   51759052010 22
PDPs		 195
MAPDs
UZEDY ER 125 MG/0.35 ML SYRINGE
(Risperidone)		 ML   51759063010 22
PDPs		 195
MAPDs
UZEDY ER 150 MG/0.42 ML SYRINGE
(Risperidone)		 ML   51759074010 22
PDPs		 195
MAPDs
UZEDY ER 200 MG/0.56 ML SYRINGE
(Risperidone)		 ML   51759085010 22
PDPs		 195
MAPDs
UZEDY ER 250 MG/0.7 ML SYRINGE
(Risperidone)		 ML   51759096010 22
PDPs		 195
MAPDs
UZEDY ER 50 MG/0.14 ML SYRINGE
(Risperidone)		 ML   51759030510 22
PDPs		 195
MAPDs
UZEDY ER 75 MG/0.21 ML SYRINGE
(Risperidone)		 ML   51759041010 22
PDPs		 195
MAPDs
VARUBI 90 MG TABLET
(Rolapitant)		 tablets   70720010102 1
PDPs		 97
MAPDs
XARELTO 1 MG/ML ORAL SUSPENSION
(Rivaroxaban)		 MLS   50458057501 44
PDPs		 319
MAPDs
XARELTO 10 MG TABLET
(Rivaroxaban)		 30.000 EA   50458058030 55
PDPs		 370
MAPDs
XARELTO 15 MG TABLET
(Rivaroxaban)		 30.000 EA   50458057830 55
PDPs		 370
MAPDs
XARELTO 2.5 MG TABLET
(Rivaroxaban)		 60 tablets   50458057760 55
PDPs		 370
MAPDs
XARELTO 20 MG TABLET
(Rivaroxaban)		 30.000 EA   50458057930 55
PDPs		 370
MAPDs
XARELTO STARTER PACK
(Rivaroxaban)		 51 EA   50458058451 55
PDPs		 370
MAPDs
XIFAXAN 200MG TABLET
(Rifaximin)		 30 BOT 65649030103 20
PDPs		 235
MAPDs
XIFAXAN 550 MG TABLET
(Rifaximin)		 60.000 EA   65649030302 55
PDPs		 370
MAPDs
YUPELRI 175 MCG/3 ML SOLUTION VIAL-NEB
(Revefenacin)		 MLS   49502080693 1
PDPs		 51
MAPDs
ZORYVE 0.3% CREAM (G)
(Roflumilast)		 60 GRAMS   80610013060 0
PDPs		 45
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data November 2023)




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  • 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.
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  • 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.
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  • 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.
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  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
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.