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May 2014 Summary of the Most Recent Updates for the Medicare Part D Plan Formularies (Drug Lists) Part 1

Monthly Formulary changes · published May 29, 2014

The most recent (May 2014) Medicare Part D plan formulary data (or drug lists) updates include the addition of 285 new National Drug Codes (NDC) to the Medicare Part D program.  These represent 170 different drugs, many with multiple strengths or delivery forms. However, since there are so many new NDCs we need to break the NDC details chart into two parts.  This blog details the first 142 new NDCs. Go to the Part 2 blog for links to the remaining NDCs.

The NDC uniquely identifies a particular drug, manufacturer, strength, and packaging combination. The NDC is often shown on your prescription bottle as an 11-digit code (see the charts below) or could be formatted as 00000-0000-00 where the first set of numbers identifies the manufacturer, the second set of number identifies the product and strength, and the third set of numbers identifies the packaging.

There are many reasons for NDCs to be added to the Medicare Part D program, a summary is a follows:

Reason for NDC Addition Occurrences
New Delivery Form 1
New Delivery Form and Strength 7
New Drug 61
New Drug and Strength 116
New Manufacturer 5
New Manufacturer and Delivery Form 3
New Manufacturer and Delivery Form and Strength 6
New Manufacturer and Strength 35
New Strength 51
Total New NDCs 285
The following 285 manufacturer / drug / strength / packaging combinations (NDCs) were added to one or more Medicare Part D formularies in the most recent updates. You can click on the Drug Name below to go to our on this site DrugFinder to see the details of how this drug is handled by all Medicare Part D Plans in Florida -- You can then change the state to your state for details in your service area. Go to the Part 2 blog for links to the remaining 143 NDCs.

NDC Drug Name Notes
68180028607 Abacavir Sulfate-Lamivudine-Zidovudine tablets New Drug
68462043518 Acamprosate Calcium DR 333 MG tablets New Drug
62856024130 ACIPHEX SPRINKLE DR 10 MG CAP New Delivery Form and Strength
62856024030 ACIPHEX SPRINKLE DR 5 MG CAP New Delivery Form and Strength
00093113556 ACITRETIN 10 MG CAPSULE New Drug and Strength
00093113856 ACITRETIN 17.5 MG CAPSULE New Drug and Strength
00093113656 ACITRETIN 25 MG CAPSULE New Drug and Strength
50242013801 ACTEMRA 162 MG/0.9 ML SYRINGE New Strength
50419070305 Adalat CC 90mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC New Strength
57844012001 ADDERALL 20 MG TABLET New Manufacturer and Delivery Form
42794000308 ADEFOVIR DIPIVOXIL 10 MG TAB New Drug
50419025001 ADEMPAS 0.5 MG TABLET New Drug and Strength
50419025101 ADEMPAS 1 MG TABLET New Drug and Strength
50419025201 ADEMPAS 1.5 MG TABLET New Drug and Strength
50419025301 ADEMPAS 2 MG TABLET New Drug and Strength
50419025401 ADEMPAS 2.5 MG TABLET New Drug and Strength
42023015925 Adrenalin 1 mg/ml vial New Drug
00078062651 AFINITOR DISPERZ 2 MG TABLET New Drug and Strength
00078062751 AFINITOR DISPERZ 3 MG TABLET New Drug and Strength
00078062851 AFINITOR DISPERZ 5 MG TABLET New Drug and Strength
50419048201 ANGELIQ 0.25 MG-0.5 MG TABLET New Strength
00173086910 ANORO ELLIPTA 62.5-25 MCG INH New Drug
27437010706 ANTARA 30 MG CAPSULE New Strength
27437010806 ANTARA 90 MG CAPSULE New Strength
00469064773 ASTAGRAF XL 0.5 MG CAPSULE New Drug and Strength
00469067773 ASTAGRAF XL 1 MG CAPSULE New Drug and Strength
00469068773 ASTAGRAF XL 5 MG CAPSULE New Drug and Strength
43598030562 Azacitidine 100 mg vial New Drug and Strength
00093202694 Azithromycin 200mg/5mL 22.5 mL in 1 BOTTLE New Strength
10122082056 BETHKIS 300 MG/4 ML AMPULE New Drug
50419074701 Biltricide 600mg/1 6 FILM COATED TABLETS in BOTTLE New Drug
00173085910 BREO ELLIPTA 100-25 MCG INH New Drug
64764056030 BRINTELLIX 10 MG TABLET New Drug and Strength
64764058030 BRINTELLIX 20 MG TABLET New Drug and Strength
64764055030 BRINTELLIX 5 MG TABLET New Drug and Strength
68968907503 BRISDELLE 7.5 MG CAPSULE New Drug
00409162301 Butorphanol 1 mg/ml vial New Delivery Form and Strength
00409162602 Butorphanol 2 mg/ml vial New Delivery Form and Strength
59011075804 BUTRANS 15 MCG/HR PATCH New Strength
00781593892 CANDESARTAN CILEXETIL 16 MG TB New Drug and Strength
00781593992 CANDESARTAN CILEXETIL 32 MG TB New Drug and Strength
00781593631 CANDESARTAN CILEXETIL 4 MG TAB New Drug and Strength
00781593731 CANDESARTAN CILEXETIL 8 MG TAB New Drug and Strength
10122031301 CARDENE-NACL 20 MG/200 ML SOLN New Drug
00187079642 CARDIZEM CD 180 MG CAPSULE New Strength
00143993101 Cefotaxime sodium 1 gm vial New Strength
00143993301 Cefotaxime sodium 2 gm vial New Strength
00143993001 Cefotaxime sodium 500 mg vial New Strength
58160083052 CERVARIX VACCINE SYRINGE New Drug
55292020111 CHEMET 100 MG CAPSULE New Drug
00378019701 Chlorpropamide 100mg/1 100 TABLET BOTTLE, PLASTIC New Strength
50419075901 Cipro 2mg/mL 200 mL in 1 BOTTLE, PLASTIC New Strength
00039001810 Claforan 1g/1 10 VIAL in 1 PACKAGE / 1 INJECTION in 1 VIAL New Drug and Strength
00039002425 Claforan 2g/1 25 VIAL in 1 PACKAGE / 1 INJECTION in 1 VIAL New Drug and Strength
00093030912 Clemastine Fumarate 0.5mg/5mL 120 mL in 1 BOTTLE New Manufacturer and Delivery Form and Strength
65862059601 CLINDAMYCIN PEDIATR 75 MG/5 ML New Drug
10370025702 CLONIDINE HCL ER 0.1 MG TABLET New Manufacturer
68546032512 COPAXONE 40 MG/ML SYRINGE New Strength
55111055610 Decitabine 50 mg vial New Drug
00024033705 DEMEROL 100 MG TABLET New Strength
00641036721 Dexamethasone 10 mg/ml vial New Manufacturer and Delivery Form and Strength
49884042801 DEXMETHYLPHENIDATE ER 15 MG CP New Manufacturer and Strength
49884043001 DEXMETHYLPHENIDATE ER 30 MG CP New Manufacturer and Strength
00093556201 DEXMETHYLPHENIDATE ER 40 MG CP New Strength
00115148361 Diclofenac Sodium 3% gel New Manufacturer and Delivery Form and Strength
55111030290 DONEPEZIL HCL 23 MG TABLET New Strength
00054033819 Doxercalciferol 0.5 mcg cap New Drug and Strength
00054038819 Doxercalciferol 1 mcg capsule New Drug and Strength
00054033919 Doxercalciferol 2.5 mcg cap New Drug and Strength
00641615425 Doxercalciferol 4 mcg/2 ml amp New Drug and Strength
00008112312 DUAVEE 0.45-20 MG TABLET New Drug
00093754206 DULOXETINE HCL DR 20 MG CAP New Manufacturer and Strength
68180029509 DULOXETINE HCL DR 30 MG CAP New Drug and Strength
68180029603 DULOXETINE HCL DR 60 MG CAP New Drug and Strength
44087201102 EGRIFTA 1 MG VIAL New Drug
58160082143 ENGERIX-B 20 MCG/ML SYRN New Strength
52652100101 EPANED 1 MG/ML SOLUTION New Drug
00187511560 ERTACZO 2% CREAM New Drug
57902024905 ERWINAZE 10,000 UNITS VIAL New Drug
47335050844 ESOMEPRAZOLE SODIUM 20 MG VIAL New Drug and Strength
47335050944 ESOMEPRAZOLE SODIUM 40 MG VIAL New Drug and Strength
53746095703 ESOMEPRAZOLE DR 49.3 MG CAP New Manufacturer and Strength
00378334999 ESTRADIOL TDS 0.025 MG/DAY New Strength
00378336099 ESTRADIOL TDS 0.0375 MG/DAY New Strength
00378335099 ESTRADIOL TDS 0.05 MG/DAY New Strength
00378336199 ESTRADIOL TDS 0.06 MG/DAY New Strength
00378335199 ESTRADIOL TDS 0.075 MG/DAY New Strength
00378335299 ESTRADIOL TDS 0.1 MG/DAY New Strength
99207019056 ESTRASORB PACKET New Drug
23635043201 EXALGO ER 32 MG TABLET New Strength
00145002002 FABIOR 0.1% FOAM New Drug
00003142811 FARXIGA 10 MG TABLET New Drug and Strength
00003142711 FARXIGA 5 MG TABLET New Drug and Strength
00378608993 FENOFIBRATE 130 MG CAPSULE New Manufacturer and Strength
00378608893 FENOFIBRATE 43 MG CAPSULE New Manufacturer and Strength
00378259077 fenofibric acid dr 135 mg cap New Drug and Strength
00378258977 fenofibric acid dr 45 mg cap New Drug and Strength
00456221230 FETZIMA ER 120 MG CAPSULE New Drug and Strength
00456222030 FETZIMA ER 20 MG CAPSULE New Drug and Strength
00456220228 FETZIMA 20-40 MG TITRATION PAK New Drug and Strength
00456224030 FETZIMA ER 40 MG CAPSULE New Drug and Strength
00456228030 FETZIMA ER 80 MG CAPSULE New Drug and Strength
45802015196 fluocinonide 0.1% cream New Manufacturer and Strength
24987041200 FORTAZ-ISO-OSMOTIC 1 GM/50 ML New Drug and Strength
24987037934 FORTAZ 2 GM VIAL New Drug and Strength
24987041300 FORTAZ-ISO-OSMOT 2 GM/50 ML New Drug and Strength
24987038237 FORTAZ 6 GM VIAL New Drug and Strength
62856028030 FYCOMPA 10 MG TABLET New Drug and Strength
62856028230 FYCOMPA 12 MG TABLET New Drug and Strength
62856027230 FYCOMPA 2 MG TABLET New Drug and Strength
62856027430 FYCOMPA 4 MG TABLET New Drug and Strength
62856027630 FYCOMPA 6 MG TABLET New Drug and Strength
62856027830 FYCOMPA 8 MG TABLET New Drug and Strength
68180043501 GATIFLOXACIN 0.5% EYE DROPS New Drug
00574410235 Gentamicin 3 mg/gm eye oint New Manufacturer and Strength
00597014130 GILOTRIF 20 MG TABLET New Drug and Strength
00597013730 GILOTRIF 30 MG TABLET New Drug and Strength
00597013830 GILOTRIF 40 MG TABLET New Drug and Strength
00049017001 GLUCOTROL XL 2.5 MG TABLET New Strength
63323031701 Granisetron HCl 0.1 mg/ml vial New Manufacturer and Delivery Form and Strength
63459091011 GRANIX 300 MCG/0.5 ML SYRINGE New Drug and Strength
63459091211 GRANIX 480 MCG/0.8 ML SYRINGE New Drug and Strength
53451010301 HORIZANT ER 300 MG TABLET New Manufacturer and Strength
00591261005 HYDROCODONE/ACETAMINOPHEN 10-650 New Strength
00406036305 HYDROCODONE BITARTRATE AND ACETAMINOPHEN 500; 10mg/1; mg/1 500 TABLET BOTTLE New Strength
53746011110 HYDROCODONE BITARTRATE AND ACETAMINOPHEN 500; 5mg/1; mg/1 1000 TABLET BOTTLE New Strength
00406036201 HYDROCODONE BITARTRATE AND ACETAMINOPHEN 660; 10mg/1; mg/1 100 TABLET BOTTLE New Strength
68462046465 HYDROCORTISONE BUTYRATE 0.1% lipo cream New Drug
57962014009 IMBRUVICA 140 MG CAPSULE New Drug
59676057201 INTELENCE 25 MG TABLET New Strength
59011025630 INTERMEZZO 1.75 MG TAB SUBLING New Drug and Strength
59011025530 INTERMEZZO 3.5 MG TAB SUBLING New Drug and Strength
49884037509 KHEDEZLA ER 100 MG TABLET New Drug and Strength
49884037411 KHEDEZLA ER 50 MG TABLET New Drug and Strength
60505325006 Lamivudine hbv 100 mg tablet New Drug
24987026010 LANOXIN 0.25 MG/ML AMPUL New Manufacturer and Strength
24987024555 LANOXIN 187.5 MCG TABLET New Manufacturer and Strength
24987024055 LANOXIN 62.5 MCG TABLET New Manufacturer and Strength
00093805514 LANSOPRAZOL-AMOXICIL-CLARITHRO New Drug
63402030630 LATUDA 60 MG TABLET New Strength
47335057386 LEVETIRACETAM ER 500 MG TABLET New Manufacturer
63323064907 LEVOTHYROXINE 100 MCG VIAL New Manufacturer
Go to the Part 2 blog for links to the remaining NDCs.

You can review any Medicare plan formulary using the on this site Formulary Browser at on this site or compare how any medication is covered on all Medicare plans in your service area using our on this site.