Drug Name
 |
Packaging |
NDC |
On This Nbr of 2025 Formularies |
PDPs |
MAPDs |
ALOGLIPTIN-METFORMIN 12.5-1000 [Kazano] (Alogliptin / Metformin) |
|
45802021172 |
0 PDPs |
16 MAPDs |
ALOGLIPTIN-METFORMIN 12.5-500 [Kazano] (Alogliptin / Metformin) |
|
45802016972 |
0 PDPs |
16 MAPDs |
DEFERASIROX 180 MG GRANULE PACK [Jadenu] () |
1 UNIT |
67877067684 |
16 PDPs |
214 MAPDs |
DEFERASIROX 180 MG TABLET [Jadenu] () |
TABLETS |
70700027030 |
33 PDPs |
325 MAPDs |
DEFERASIROX 360 MG GRANULE PACK [Jadenu] () |
1 UNIT |
67877067784 |
16 PDPs |
214 MAPDs |
DEFERASIROX 360 MG TABLET [Jadenu] () |
60 TABLETS |
70710127703 |
33 PDPs |
324 MAPDs |
DEFERASIROX 90 MG GRANULE PACK [Jadenu] () |
1 UNIT |
67877067584 |
16 PDPs |
214 MAPDs |
DEFERASIROX 90 MG TABLET [Jadenu] () |
62 TABLETS |
70710127503 |
35 PDPs |
333 MAPDs |
DUTASTERIDE-TAMSULOSIN 0.5-0.4 CPMP 24HR [Jalyn] (Dutasteride-Tamsulosin HCl) |
90 units |
10370028011 |
10 PDPs |
199 MAPDs |
FYAVOLV 0.5 MG-2.5 MCG TABLET [Jevantique] (Ethinyl Estradiol, Norethindrone) |
28 TABLETS |
68180082773 |
15 PDPs |
220 MAPDs |
FYAVOLV 1 MG-5 MCG TABLET [Jinteli 1/5] (Ethinyl Estradiol, Norethindrone) |
28 TABLETS |
68180082873 |
16 PDPs |
228 MAPDs |
IXIARO 6 UNIT(6 MCG)/0.5ML SYRINGE (Japanese Encephalitis Vaccine Inactivated Adsorbed) |
ml |
42515000201 |
40 PDPs |
345 MAPDs |
JADENU 180 MG TABLET (Deferasirox) |
30 EA |
00078065515 |
0 PDPs |
3 MAPDs |
JADENU 360 MG TABLET (Deferasirox) |
30 EA |
00078065615 |
0 PDPs |
3 MAPDs |
JADENU 90 MG TABLET (Deferasirox) |
30 EA |
00078065415 |
0 PDPs |
3 MAPDs |
JADENU SPRINKLE 180 MG (Deferasirox) |
|
00078071315 |
0 PDPs |
3 MAPDs |
JADENU SPRINKLE 360 MG (Deferasirox) |
|
00078072015 |
0 PDPs |
3 MAPDs |
JADENU SPRINKLE 90 MG (Deferasirox) |
|
00078072715 |
0 PDPs |
3 MAPDs |
JAKAFI 10 MG TABLET (ruxolitinib) |
|
50881001060 |
40 PDPs |
345 MAPDs |
JAKAFI 15 MG TABLET (ruxolitinib) |
|
50881001560 |
40 PDPs |
345 MAPDs |
JAKAFI 20 MG TABLET (ruxolitinib) |
|
50881002060 |
40 PDPs |
345 MAPDs |
JAKAFI 25 MG TABLET (ruxolitinib) |
|
50881002560 |
40 PDPs |
345 MAPDs |
JAKAFI 5 MG TABLET (ruxolitinib) |
|
50881000560 |
40 PDPs |
345 MAPDs |
JANTOVEN 1 MG TABLET (Warfarin Sodium) |
100.000 EA |
00832121100 |
40 PDPs |
341 MAPDs |
JANTOVEN 10 MG TABLET (Warfarin Sodium) |
100.000 EA |
00832121900 |
40 PDPs |
341 MAPDs |
JANTOVEN 2 MG TABLET (Warfarin Sodium) |
100.000 EA |
00832121200 |
40 PDPs |
341 MAPDs |
JANTOVEN 2.5MG TABLET (Warfarin Sodium) |
100 BOT |
00832121300 |
40 PDPs |
341 MAPDs |
JANTOVEN 3 MG TABLET (Warfarin Sodium) |
100.000 EA |
00832121400 |
40 PDPs |
341 MAPDs |
JANTOVEN 4 MG TABLET (Warfarin Sodium) |
100.000 EA |
00832121500 |
40 PDPs |
341 MAPDs |
JANTOVEN 5 MG TABLET [Jantoven] (Warfarin Sodium) |
30 tablets |
00832121610 |
40 PDPs |
341 MAPDs |
JANTOVEN 6MG TABLET (Warfarin Sodium) |
100 BOT |
00832121700 |
40 PDPs |
341 MAPDs |
JANTOVEN 7.5MG TABLET (Warfarin Sodium) |
100 BOT |
00832121800 |
40 PDPs |
341 MAPDs |
JANUMET 50-1,000 MG TABLET (Sitagliptin-Metformin HCl) |
60.000 EA |
00006057761 |
39 PDPs |
333 MAPDs |
JANUMET 50-500 MG TABLET (Sitagliptin-Metformin HCl) |
60.000 EA |
00006057561 |
39 PDPs |
333 MAPDs |
JANUMET XR 100-1,000 MG TABLET (Sitagliptin-Metformin HCl) |
30.000 EA |
00006008131 |
39 PDPs |
333 MAPDs |
JANUMET XR 50-1,000 MG TABLET (Sitagliptin-Metformin HCl) |
60.000 EA |
00006008061 |
39 PDPs |
333 MAPDs |
JANUMET XR 50-500 MG TABLET (Sitagliptin-Metformin HCl) |
60.000 EA |
00006007861 |
39 PDPs |
333 MAPDs |
JANUVIA 25MG TABLET (Sitagliptin Phosphate) |
30 BOT |
00006022131 |
39 PDPs |
334 MAPDs |
JANUVIA 50 MG TABLET (Sitagliptin Phosphate) |
30.000 EA |
00006011231 |
39 PDPs |
334 MAPDs |
JANUVIA TABLET 100MG (30 CT) (Sitagliptin Phosphate) |
30 BOT |
00006027731 |
39 PDPs |
334 MAPDs |
JARDIANCE 10 MG TABLET (Empagliflozin) |
30.000 EA |
00597015230 |
40 PDPs |
344 MAPDs |
JARDIANCE 25 MG TABLET (Empagliflozin) |
30.000 EA |
00597015330 |
40 PDPs |
344 MAPDs |
JASMIEL 3 MG-0.02 MG TABLET [Yaz] (Drospirenone, Ethinyl Estradiol;Inert) |
28 TABLETs |
50102024023 |
39 PDPs |
259 MAPDs |
JATENZO 158 MG CAPSULE (Testosterone Undecanoate) |
60 CAPSULES |
69087015812 |
0 PDPs |
1 MAPDs |
JATENZO 198 MG CAPSULE (Testosterone Undecanoate) |
CAPSULES |
69087019812 |
0 PDPs |
1 MAPDs |
JATENZO 237 MG CAPSULE (Testosterone Undecanoate) |
60 CAPSULES |
69087023712 |
0 PDPs |
1 MAPDs |
JAVYGTOR 100 MG POWDER PACKET [KUVAN] (Sapropterin) |
1 UNIT |
43598009730 |
7 PDPs |
116 MAPDs |
JAVYGTOR 100 MG TABLET SOL [KUVAN] (Sapropterin) |
UNITS |
43598009604 |
7 PDPs |
173 MAPDs |
JAVYGTOR 500 MG POWDER PACKET [KUVAN] (Sapropterin) |
1 UNIT |
43598016230 |
7 PDPs |
118 MAPDs |
JAYPIRCA 100 MG TABLET (Pirtobrutinib) |
TABLETS |
00002702660 |
40 PDPs |
345 MAPDs |
JAYPIRCA 50 MG TABLET (Pirtobrutinib) |
TABLETS |
00002690230 |
40 PDPs |
345 MAPDs |
JENTADUETO 2.5 MG-1000 MG TABLET (linagliptin/metformin) |
60.000 EA |
00597014860 |
38 PDPs |
320 MAPDs |
JENTADUETO 2.5 MG-500 MG TABLET (linagliptin/metformin) |
60.000 EA |
00597014660 |
38 PDPs |
320 MAPDs |
JENTADUETO XR 2.5 MG-1,000 MG (linagliptin/metformin) |
60.000 EA |
00597027073 |
38 PDPs |
320 MAPDs |
JENTADUETO XR 5 MG-1,000 MG TABLET (linagliptin/metformin) |
30.000 EA |
00597027533 |
38 PDPs |
320 MAPDs |
JINTELI 1 MG-5 MCG TABLET (NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL) |
28.000 EA |
00093312242 |
16 PDPs |
235 MAPDs |
JOENJA 70 MG TABLET (Leniolisib) |
TABLETS |
71274017060 |
2 PDPs |
27 MAPDs |
JOYEAUX-28 TABLET (Ferrous Fumarate;Levonorgestrel, Ethinyl Estradiol) |
28 TABLETS |
70700017785 |
6 PDPs |
18 MAPDs |
JUBLIA 10% TOPICAL SOLUTION (Efinaconazole) |
|
00187540004 |
3 PDPs |
21 MAPDs |
JULEBER 28 DAY TABLET (DESOGESTREL-ETHINYL ESTRADIOL) |
28.000 EA |
16714046404 |
38 PDPs |
310 MAPDs |
JULUCA 50-25 MG TABLET (Dolutegravir Sodium and Rilpivirine Hydrochloride) |
30 EA |
49702024213 |
40 PDPs |
345 MAPDs |
JUNEL 1-0.02MG TABLET (Norethindrone Ace & Ethinyl Estradiol) |
3 X 21 BLPK |
00555902542 |
36 PDPs |
299 MAPDs |
JUNEL 1.5-0.03MG TABLET (Norethindrone Ace & Ethinyl Estradiol) |
3 X 21 BLPK |
00555902742 |
36 PDPs |
298 MAPDs |
JUNEL FE 1-0.02MG TABLET (Norethindrone Ace & Ethinyl Estradiol-FE) |
28 TABLETS BLPK |
00555902658 |
39 PDPs |
308 MAPDs |
JUNEL FE 1.5-0.03MG TABLET (Norethindrone Ace & Ethinyl Estradiol-FE) |
28 BLPK |
00555902858 |
39 PDPs |
305 MAPDs |
JUNEL FE 24 TABLET (Norethindrone Ace & Ethinyl Estradiol-FE) |
28.000 EA |
00093532862 |
29 PDPs |
247 MAPDs |
JUXTAPID 10 MG CAPSULE (lomitapide) |
|
76431011001 |
1 PDPs |
52 MAPDs |
JUXTAPID 20 MG CAPSULE (lomitapide) |
|
76431012001 |
1 PDPs |
52 MAPDs |
JUXTAPID 30 MG CAPSULE (lomitapide) |
|
76431013001 |
1 PDPs |
52 MAPDs |
JUXTAPID 5 MG CAPSULE (lomitapide) |
|
76431010501 |
1 PDPs |
52 MAPDs |
JYLAMVO 2 MG/ML ORAL SOLUTION (Methotrexate) |
60 MLS |
81927020401 |
18 PDPs |
263 MAPDs |
JYNARQUE 15 MG TABLET (Tolvaptan) |
30 TABLETs |
59148008213 |
1 PDPs |
25 MAPDs |
JYNARQUE 15 MG-15 MG TABLET SEQ (Tolvaptan) |
UNITS |
59148007928 |
1 PDPs |
26 MAPDs |
JYNARQUE 30 MG TABLET (Tolvaptan) |
TABLETs |
59148008313 |
1 PDPs |
25 MAPDs |
JYNARQUE 30 MG-15 MG TABLET SEQ (Tolvaptan) |
UNITS |
59148008028 |
1 PDPs |
26 MAPDs |
JYNARQUE 45 MG-15 MG TABLET SEQ (Tolvaptan) |
units |
59148008728 |
1 PDPs |
26 MAPDs |
JYNARQUE 60 MG-30 MG TABLET SEQ (Tolvaptan) |
units |
59148008828 |
1 PDPs |
26 MAPDs |
JYNARQUE 90 MG-30 MG TABLET SEQ (Tolvaptan) |
units |
59148008928 |
1 PDPs |
26 MAPDs |
JYNNEOS 0.5 ML VIAL(STOCKPILE) (Modified Vaccinia Ankara) |
ML |
50632000102 |
40 PDPs |
345 MAPDs |
NORETHIND-ETH ESTRAD 0.5-2.5 TABLET [Jevantique] (Ethinyl Estradiol, Norethindrone) |
28 TABLETS |
75834012929 |
18 PDPs |
227 MAPDs |
VESTURA 3 MG-0.02 MG TABLET [Yaz] (Drospirenone, Ethinyl Estradiol;Inert) |
28 TABLETS |
00093400062 |
39 PDPs |
249 MAPDs |
WARFARIN SODIUM 7.5 MG TABLET [Jantoven] () |
30 TABLETS |
00093172301 |
40 PDPs |
345 MAPDs |