Drug Name
 |
Packaging |
NDC |
On This Nbr of 2025 Formularies |
PDPs |
MAPDs |
AMPICILLIN-SULBACTAM 15 GM VIAL [Unasyn] (Ampicillin & Sulbactam Sodium For) |
ML |
55150011801 |
24 PDPs |
306 MAPDs |
AMPICILLIN-SULBACTAM 3 GM VIAL [Unasyn] (Ampicillin & Sulbactam Sodium For) |
ML |
00641611710 |
40 PDPs |
345 MAPDs |
ANORO ELLIPTA 62.5-25 MCG INH (umeclidinium and vilanterol inhalation powder) |
|
00173086910 |
37 PDPs |
301 MAPDs |
BUDESONIDE 2 MG RECTAL FOAM/APPL [UCERIS Rectal] () |
33.4 GRAMS |
45802062786 |
0 PDPs |
113 MAPDs |
BUDESONIDE ER 9 MG TABLET ER [UCERIS] () |
30 UNITS |
68682030930 |
40 PDPs |
282 MAPDs |
FEBUXOSTAT 40 MG TABLET [Uloric] (Febuxostat) |
30 TABLETS |
72205002830 |
11 PDPs |
251 MAPDs |
FEBUXOSTAT 80 MG TABLET [Uloric] (Febuxostat) |
90 TABLETS |
00054041413 |
11 PDPs |
251 MAPDs |
FLAVOXATE HCL 100 MG TABLET [Urispas] () |
90 TABLETS |
00574011501 |
2 PDPs |
121 MAPDs |
INCRUSE ELLIPTA 62.5 MCG INH (Umeclidinium) |
|
00173087310 |
32 PDPs |
215 MAPDs |
LEVOTHYROXINE 125 MCG TABLET [Unithroid] (Levothyroxine Sodium) |
90 TABLETS |
00378181310 |
40 PDPs |
345 MAPDs |
LEVOTHYROXINE 200 MCG TABLET [Unithroid] (Levothyroxine Sodium) |
90 TABLETS |
68180097501 |
40 PDPs |
345 MAPDs |
LEVOTHYROXINE 300 MCG TABLET [Unithroid] (Levothyroxine Sodium) |
90 TABLETS |
68180097601 |
40 PDPs |
345 MAPDs |
METHENAMINE HIPP 1 GM TABLET [Urex] (Methenamine) |
60 tablets |
65862078201 |
39 PDPs |
335 MAPDs |
MOEXIPRIL HCL 15 MG TABLET [Univasc] (Moexipril HCl) |
90 TABLETS |
68462020801 |
38 PDPs |
331 MAPDs |
POTASSIUM CITRATE ER 15 MEQ TABLET [Urocit-K] () |
60 TABLETS |
42543040801 |
40 PDPs |
343 MAPDs |
RINVOQ ER 15 MG TABLET ER 24H (Upadacitinib) |
TABLETs |
00074230630 |
39 PDPs |
339 MAPDs |
RINVOQ ER 30 MG TABLET 24H (Upadacitinib) |
TABLETS |
00074231030 |
39 PDPs |
339 MAPDs |
RINVOQ ER 45 MG TABLET ER 24H (Upadacitinib) |
TABLETS |
00074104328 |
39 PDPs |
339 MAPDs |
STELARA 45 MG/0.5 ML SYRINGE (Ustekinumab) |
0.5ML |
57894006003 |
40 PDPs |
345 MAPDs |
STELARA 45 MG/0.5 ML VIAL (Ustekinumab) |
|
57894006002 |
40 PDPs |
345 MAPDs |
STELARA 90 MG/ML SYRINGE (Ustekinumab) |
1ML |
57894006103 |
40 PDPs |
345 MAPDs |
THEOPHYLLINE ER 400 MG TABLET 24H [Uniphyl] (Theophylline, Anhydrous) |
30 TABLETS |
68462038001 |
40 PDPs |
344 MAPDs |
THEOPHYLLINE ER 600 MG TABLET 24H [Uniphyl] (Theophylline, Anhydrous) |
30 TABLETS |
68462035601 |
40 PDPs |
344 MAPDs |
TRAMADOL ER 100 MG TABLET TBMP 24HR [Ultram ER] () |
30 UNITS |
47335053183 |
8 PDPs |
48 MAPDs |
TRAMADOL ER 200 MG TABLET TBMP 24HR [Ultram ER] () |
30 UNITS |
47335053383 |
8 PDPs |
48 MAPDs |
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER] () |
30 UNITS |
47335053783 |
8 PDPs |
49 MAPDs |
TRAMADOL HCL 50 MG TABLET [Ultram] () |
60 TABLETS |
65162062711 |
40 PDPs |
345 MAPDs |
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER] (TRAMADOL) |
30 tablets |
68180069906 |
25 PDPs |
129 MAPDs |
TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet] (Tramadol, Acetaminophen) |
60 TABLETS |
53746061701 |
33 PDPs |
328 MAPDs |
UBRELVY 100 MG TABLET (Ubrogepant) |
10 TABLETS |
00023650110 |
21 PDPs |
294 MAPDs |
UBRELVY 50 MG TABLET (Ubrogepant) |
10 TABLETS |
00023649810 |
21 PDPs |
294 MAPDs |
UCERIS 2 MG RECTAL FOAM/APPL (Budesonide) |
66.8 grams |
65649065103 |
0 PDPs |
5 MAPDs |
UDENYCA 6 MG/0.6 ML AUTO-INJECTOR (Pegfilgrastim (E. coli)) |
ML |
70114012001 |
9 PDPs |
98 MAPDs |
UDENYCA 6 MG/0.6 ML SYRINGE (Pegfilgrastim (E. coli)) |
ml |
70114010101 |
9 PDPs |
100 MAPDs |
UNITHROID 100 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846080501 |
35 PDPs |
276 MAPDs |
UNITHROID 112 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846080601 |
35 PDPs |
274 MAPDs |
UNITHROID 125 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846080701 |
35 PDPs |
276 MAPDs |
UNITHROID 137 MCG TABLET (Levothyroxine Sodium) |
30 TABLETS |
60846080801 |
35 PDPs |
276 MAPDs |
UNITHROID 150 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846080901 |
35 PDPs |
274 MAPDs |
UNITHROID 175 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846081001 |
35 PDPs |
274 MAPDs |
UNITHROID 200 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846081101 |
35 PDPs |
274 MAPDs |
UNITHROID 25 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846080101 |
35 PDPs |
276 MAPDs |
UNITHROID 300 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846081201 |
35 PDPs |
274 MAPDs |
UNITHROID 50 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846080201 |
35 PDPs |
276 MAPDs |
UNITHROID 75 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846080301 |
35 PDPs |
276 MAPDs |
UNITHROID 88 MCG TABLET (Levothyroxine Sodium) |
100 EA |
60846080401 |
35 PDPs |
276 MAPDs |
UPTRAVI 1,000 MCG TABLET (Selexipag) |
|
66215061006 |
6 PDPs |
146 MAPDs |
UPTRAVI 1,200 MCG TABLET (Selexipag) |
|
66215061206 |
6 PDPs |
146 MAPDs |
UPTRAVI 1,400 MCG TABLET (Selexipag) |
|
66215061406 |
6 PDPs |
146 MAPDs |
UPTRAVI 1,600 MCG TABLET (Selexipag) |
|
66215061606 |
6 PDPs |
148 MAPDs |
UPTRAVI 200 MCG TABLET (Selexipag) |
60 TABLETS |
66215060206 |
6 PDPs |
146 MAPDs |
UPTRAVI 200-800 TITRATION PACK (Selexipag) |
|
66215062820 |
6 PDPs |
147 MAPDs |
UPTRAVI 400 MCG TABLET (Selexipag) |
|
66215060406 |
6 PDPs |
146 MAPDs |
UPTRAVI 600 MCG TABLET (Selexipag) |
|
66215060606 |
6 PDPs |
146 MAPDs |
UPTRAVI 800 MCG TABLET (Selexipag) |
|
66215060806 |
6 PDPs |
146 MAPDs |
URSODIOL 200 MG CAPSULE [Reltone] () |
60 CAPSULES |
72887014306 |
0 PDPs |
55 MAPDs |
URSODIOL 250 MG TABLET [Urso 250] () |
30 TABLETS |
68462047301 |
40 PDPs |
345 MAPDs |
URSODIOL 300 MG CAPSULE [Actigall] (Ursodiol) |
60 CAPSULES |
69238154001 |
38 PDPs |
338 MAPDs |
URSODIOL 400 MG CAPSULE [Reltone] () |
60 CAPSULES |
72887014406 |
0 PDPs |
55 MAPDs |
URSODIOL 500 MG TABLET [Urso Forte] (Ursodiol) |
30 TABLETS |
68462047401 |
40 PDPs |
345 MAPDs |
UZEDY ER 100 MG/0.28 ML SYRINGE (Risperidone) |
ML |
51759052010 |
16 PDPs |
191 MAPDs |
UZEDY ER 125 MG/0.35 ML SYRINGE (Risperidone) |
ML |
51759063010 |
16 PDPs |
191 MAPDs |
UZEDY ER 150 MG/0.42 ML SYRINGE (Risperidone) |
ML |
51759074010 |
16 PDPs |
191 MAPDs |
UZEDY ER 200 MG/0.56 ML SYRINGE (Risperidone) |
ML |
51759085010 |
16 PDPs |
191 MAPDs |
UZEDY ER 250 MG/0.7 ML SYRINGE (Risperidone) |
ML |
51759096010 |
16 PDPs |
191 MAPDs |
UZEDY ER 50 MG/0.14 ML SYRINGE (Risperidone) |
ML |
51759030510 |
16 PDPs |
191 MAPDs |
UZEDY ER 75 MG/0.21 ML SYRINGE (Risperidone) |
ML |
51759041010 |
16 PDPs |
191 MAPDs |