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May 2014 Summary of the Most Recent Updates for the Medicare Part D Plan Formularies (Drug Lists) Part 2

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. The summary below is reflective of all 285 NDCs, However, since there are so many new NDCs we need to break the NDC details chart into two parts.  Go to the Part 1 blog for the details of the drug in the first 142 new NDCs. This blog details the remaining 143 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 143 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 1 blog for links to the drug in the first 142 new NDCs.

NDC Drug Name Notes
00591352511 Lidocaine 5% patch New Manufacturer and Delivery Form
66582032030 LIPTRUZET 10-10 MG TABLET New Drug and Strength
66582032130 LIPTRUZET 10-20 MG TABLET New Drug and Strength
66582032230 LIPTRUZET 10-40 MG TABLET New Drug and Strength
66582032330 LIPTRUZET 10-80 MG TABLET New Drug and Strength
00143126201 Lisinopril with Hydrochlorothiazide 12.5; 10mg/1; mg/1 100 TABLET BOTTLE, PLASTIC New Manufacturer and Strength
00143126301 Lisinopril with Hydrochlorothiazide 12.5; 20mg/1; mg/1 100 TABLET BOTTLE, PLASTIC New Manufacturer and Strength
00430053714 LO MINASTRIN FE TABLET CHEW New Drug
65162031684 LOMEDIA 24 FE TABLET New Drug
58181303005 LOMUSTINE 10 MG CAPSULE New Drug and Strength
58181303205 LOMUSTINE 100 MG CAPSULE New Drug and Strength
58181303105 LOMUSTINE 40 MG CAPSULE New Drug and Strength
00074105305 LUPANETA PACK 11.25-5 MG 3MO KIT New Drug and Strength
00074105205 LUPANETA PACK 3.75-5 MG 1MO KIT New Drug and Strength
99207085060 LUZU 1% CREAM New Drug
50102010001 LYZA 0.35 MG TABLET New Drug
00703480503 MESNA 100 MG/ML VIAL New Drug
65162055310 METAXALONE 800 MG TABLET New Drug
00093293201 Methyldopa 500mg/1 100 FILM COATED TABLETS in BOTTLE New Manufacturer and Strength
62175031037 METHYLPHENIDATE ER 18 MG TAB New Manufacturer and Strength
23155006625 metronidazole 375 mg capsule New Manufacturer and Strength
00781708035 metronidazole topical 1% gel New Strength
16729010811 MITOMYCIN 20 MG VIAL New Drug
00074319716 Moderiba 200 mg tablet New Drug and Strength
00074323956 Moderiba 400-400 mg dosepack New Drug and Strength
00074328256 Moderiba 600-600 mg dosepack New Drug and Strength
00168027115 MOMETASONE FUROATE 0.1% OINT New Manufacturer and Delivery Form
00832022500 MORPHINE SULFATE ER 10 MG CAP New Manufacturer and Strength
00228309311 MORPHINE SULFATE ER 120 MG CAP New Manufacturer and Strength
00228309011 MORPHINE SULFATE ER 30 MG CAP New Manufacturer
00228311611 MORPHINE SULFATE ER 45 MG CAP New Manufacturer and Strength
00228309111 MORPHINE SULFATE ER 60 MG CAP New Manufacturer
00228311711 MORPHINE SULFATE ER 75 MG CAP New Manufacturer and Strength
00228309211 MORPHINE SULFATE ER 90 MG CAP New Manufacturer and Strength
55292091151 MUSTARGEN 10 MG VIAL New Drug
00378420178 Mycophenolic Acid DR 180 mg tb New Drug and Strength
00378420278 Mycophenolic Acid DR 360 mg tb New Drug and Strength
00259120245 NAFTIN 2% GEL New Delivery Form and Strength
68134036301 NAPROXEN 125 MG/5 ML SUSPEN New Manufacturer and Strength
50419040903 Natazia 3 BLISTER PACK in 1 PACKAGE / 1 KIT in 1 BLISTER PACK New Drug
00093739486 NIACIN ER 1,000 MG TABLET New Drug and Strength
00093739286 NIACIN ER 500 MG TABLET New Drug and Strength
00093739386 NIACIN ER 750 MG TABLET New Drug and Strength
52544016105 NORCO 10-325 TABLET New Strength
00378729253 Norethindrone 0.35 mg tablet New Manufacturer and Strength
00121067816 NORTRIPTYLINE 10 MG/5 ML SOL New Manufacturer and Strength
00085432402 NOXAFIL DR 100 MG TABLET New Delivery Form and Strength
63459021530 NUVIGIL 150 MG TABLET New Drug and Strength
63459022530 NUVIGIL 250 MG TABLET New Drug and Strength
63459020530 NUVIGIL 50 MG TABLET New Drug and Strength
59676022528 OLYSIO 150 MG CAPSULE New Drug
54482030101 Oncaspar 750[iU]/mL 1 VIAL, SINGLE-USE in 1 CARTON / 5 mL in 1 VIAL, SINGLE-USE New Drug
00143989125 Ondansetron HCl 4 mg/2 ml vial New Manufacturer and Strength
67386031321 ONFI 2.5 MG/ML SUSPENSION New Strength
66215050130 OPSUMIT 10 MG TABLET New Drug
00591322202 Orphenadrine 60 mg/2 ml vial New Manufacturer and Delivery Form and Strength
54436001002 OTREXUP 10 MG/0.4 ML AUTO-INJ New Drug and Strength
54436001502 OTREXUP 15 MG/0.4 ML AUTO-INJ New Drug and Strength
54436002002 OTREXUP 20 MG/0.4 ML AUTO-INJ New Drug and Strength
54436002502 OTREXUP 25 MG/0.4 ML AUTO-INJ New Drug and Strength
17772012101 OXTELLAR XR 150 MG TABLET New Drug and Strength
17772012201 OXTELLAR XR 300 MG TABLET New Drug and Strength
17772012301 OXTELLAR XR 600 MG TABLET New Drug and Strength
00054052363 OXYCODONE HCL 5 MG/5 ML SOLN New Manufacturer and Delivery Form and Strength
00093765656 PARICALCITOL 1 MCG CAPSULE New Drug and Strength
00093765756 PARICALCITOL 2 MCG CAPSULE New Drug and Strength
00093765856 PARICALCITOL 4 MCG CAPSULE New Drug and Strength
24987044710 PARNATE 10 MG TABLET New Drug
23635051012 PENNSAID 2% PUMP New Strength
42998096303 PEPCID 20 MG TABLET New Drug and Strength
42998096403 PEPCID 40 MG TABLET New Drug and Strength
00591216139 PHENADOZ 25 MG SUPPOSITORY New Strength
16714040401 PIMTREA 28 DAY TABLET New Drug
68180089313 Pirmella 1-35-28 tablet New Drug
59676030301 PROCRIT 3,000 UNITS/ML VIAL New Strength
59676030401 PROCRIT 4,000 UNITS/ML VIAL New Strength
51285043165 QUARTETTE TABLET New Drug
00378670993 Rabeprazole Sodium DR 20 MG Tablet New Drug
00064081015 REGRANEX 0.01% GEL New Drug
00574024001 Repaglinide 0.5 MG Tablet New Drug and Strength
57664074513 Repaglinide 1 MG Tablet New Drug and Strength
57664074713 Repaglinide 2 MG Tablet New Drug and Strength
59572040200 REVLIMID 2.5 MG CAPSULE New Strength
59572042000 REVLIMID 20 MG CAPSULE New Strength
23635058110 ROXICODONE 15 MG TABLET New Strength
23635058010 ROXICODONE 5 MG TABLET New Strength
57894035001 SIMPONI ARIA 50 MG/4 ML VIAL New Drug
68382052001 Sirolimus 0.5 MG Tablet New Drug
61958150101 SOVALDI 400 MG TABLET New Drug
52244003060 STRIANT 30 MG MUCOADHESIVE New Drug
20482000630 SUBSYS 1,200 MCG SPRAY New Strength
52268090101 SUCLEAR BOWEL PREP KIT New Drug
55111029109 Sumatriptan Succinate 25mg/1 9 BLISTER PACK in 1 CARTON / 9 TABLET in 1 BLISTER PACK New Manufacturer and Strength
65862014736 Sumatriptan Succinate 50 MG TABLET New Manufacturer and Strength
43376010606 Sumavel DosePro 6mg/0.5mL 6 SYRINGE, GLASS in 1 CARTON / 0.5 mL in 1 SYRINGE, GLASS New Drug
00591329215 Telmisartan 20 MG Tablet New Manufacturer and Strength
00591329315 Telmisartan 40 MG Tablet New Manufacturer and Strength
68180019706 Telmisartan-Amlodipine 40-10 MG New Manufacturer and Strength
68180019606 Telmisartan-Amlodipine 40-5 MG New Manufacturer and Strength
00591329415 Telmisartan 80 MG Tablet New Manufacturer and Strength
68180019906 Telmisartan-Amlodipine 80-10 MG New Manufacturer and Strength
68180019806 Telmisartan-Amlodipine 80-5 MG New Manufacturer and Strength
55111025030 TERBINAFINE HCL 250 MG TABLET New Drug
00052060302 BCG VACCINE 50mg/1 1 VIAL in 1 CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL New Drug
49702022813 TIVICAY 50 MG TABLET New Drug
00093408563 TOBRAMYCIN 300 MG/5 ML AMPULE New Drug
00378340293 Tolterodine Tartrate ER 2 MG CAP New Delivery Form
00378340477 Tolterodine Tartrate ER 4 MG CAP New Delivery Form and Strength
00781271501 TRIAMTERENE/HCTZ 50-25 MG CAP New Strength
59630048530 TRIGLIDE 160 MG TABLET New Drug
17772010315 TROKENDI XR 100 MG CAPSULE New Drug and Strength
17772010415 TROKENDI XR 200 MG CAPSULE New Drug and Strength
17772010115 TROKENDI XR 25 MG CAPSULE New Drug and Strength
17772010215 TROKENDI XR 50 MG CAPSULE New Drug and Strength
00178061001 Urocit-K 10.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE New Strength
00178060001 Urocit-K 5.0000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE New Strength
49230064551 VELPHORO 500 MG CHEWABLE TAB New Drug
18860012101 VERSACLOZ 50 MG/ML SUSPENSION New Drug
52544098228 Vestura 3 mg-0.02 mg tablet New Drug
00378627045 Voriconazole 40 mg/ml susp New Strength
68180087513 Vyfemla 28 tablet New Drug
24987036401 ZANTAC 25 MG/ML VIAL New Strength
52544095328 Zenchent 6 BLISTER PACK in 1 CARTON / 1 KIT in 1 BLISTER PACK New Drug
24987035410 ZINACEF 1.5 GM ADD-VANT VIAL New Drug and Strength
24987040000 ZINACEF 7.5 GM VIAL New Drug and Strength
24987035210 ZINACEF 750 MG ADD-VANT VIAL New Drug and Strength
13913000811 ZIPSOR 25 MG CAPSULE New Drug
43376021010 ZOHYDRO ER 10 MG CAPSULE New Drug and Strength
43376021510 ZOHYDRO ER 15 MG CAPSULE New Drug and Strength
43376022010 ZOHYDRO ER 20 MG CAPSULE New Drug and Strength
43376023010 ZOHYDRO ER 30 MG CAPSULE New Drug and Strength
43376024010 ZOHYDRO ER 40 MG CAPSULE New Drug and Strength
43376025010 ZOHYDRO ER 50 MG CAPSULE New Drug and Strength
60505371800 ZOLMITRIPTAN 2.5 MG ODT New Drug and Strength
60505369300 ZOLMITRIPTAN 2.5 MG TABLET New Drug and Strength
60505371900 ZOLMITRIPTAN 5 MG ODT New Drug and Strength
60505369400 ZOLMITRIPTAN 5 MG TABLET New Drug and Strength
64896068251 ZOMIG 2.5 MG NASAL SPRAY New Strength
42211020329 ZORVOLEX 18 MG CAPSULE New Drug and Strength
42211020429 ZORVOLEX 35 MG CAPSULE New Drug and Strength
54123091430 ZUBSOLV 1.4-0.36 MG TABLET SL New Drug and Strength
54123095730 ZUBSOLV 5.7-1.4 MG TABLET SL New Drug and Strength
99207027675 ZYCLARA 2.5% CREAM PUMP New Strength
Go to the Part 1 blog for the details of the drug in the first 142 new NDCs.

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