A non-government resource for the Medicare community
Powered by Q1Group LLC
A non-government Medicare community resource

July 2016 summary of the new medications added to Medicare Part D plan formularies (drug lists)

Category: Monthly Formulary Changes
Published: Jul, 20 2016 02:07:22

The June, 2016 Medicare Part D plan formulary data (or drug lists) includes the addition of 38 new National Drug Codes (NDC) to the Medicare Part D program.  These NDCs represent 31 different drugs, many with multiple strengths.

What are National Drug Codes or NDCs?
As a reminder, 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 as follows:

Reason for NDC Addition Occurrences
New Delivery Form 2
New Drug 12
New Drug and Strength 10
New Manufacturer 1
New Manufacturer and Strength 1
New Manufacturer, Strength and Delivery Form
New Strength 8
New Strength and Delivery Form
Total New NDCs 38

The following chart details the 38 new manufacturer / drug / strength / packaging combinations (NDCs) that 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 Q1Medicare.com 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.

NDC Drug Name Notes
00037759012 AEROSPAN 80 MCG INHALER New Drug
70362072201 ALLZITAL 25-325 MG TABLET New Drug
49401010201 BENLYSTA 400 MG VIAL New Strength
75987007009 BUPHENYL POWDER New Drug
51672412301 CARBAMAZEPINE ER 100 MG TABLET New Manufacturer, Strength and Delivery Form
63323023710 CEFAZOLIN 1 GM VIAL New Manufacturer
10370017111 DARIFENACIN ER 15 MG TABLET [Enablex] New Drug and Strength
10370017011 DARIFENACIN ER 7.5 MG TABLET [Enablex] New Drug and Strength
00037352001 DEMADEX 20 MG TABLET New Strength
00641617301 DICYCLOMINE 20 MG/2 ML VIAL New Manufacturer, Strength and Delivery Form
40085071645 DOXEPIN 5% CREAM New Manufacturer, Strength and Delivery Form
52054010701 EMVERM 100 MG TABLET CHEW New Drug
40076041560 ERYGEL 2% GEL New Drug
00409468818 FLUCONAZOLE-NACL 200 MG/100 ML New Manufacturer and Strength
68462069497 FROVATRIPTAN SUCC 2.5 MG TABLET [Frova] New Drug
00002882427 HUMULIN R 500 UNITS/ML KWIKPEN New Delivery Form
00591024010 LORAZEPAM 0.5 MG TABLET New Strength
64011024702 MAKENA 250 MG/ML VIAL New Drug
51021033330 METAXALL 800 MG TABLET New Drug
00409177835 METOPROLOL TARTRATE INJ.USP 5MG/5ML CARPUJECT New Strength and Delivery Form
60505083001 MOMETASONE FUROATE 50 MCG SPRY New Delivery Form
61958210101 ODEFSEY TABLET New Drug
68682010230 OMEPRAZOLE-BICARB 20-1,100 CAP New Drug and Strength
68682010430 OMEPRAZOLE-BICARB 40-1,100 CAP New Drug and Strength
00168035860 OXICONAZOLE NITRATE 1% CREAM [Oxistat] New Drug
00085435301 PEGINTRON 50 MCG KIT New Strength
42847010330 SILENOR 3 MG TABLET New Strength
00409508611 TAZICEF 6 GRAM VIAL New Strength
45963061556 TOPOTECAN HCL 4 MG VIAL New Drug
61874017008 VRAYLAR 1.5 MG-3 MG PACK New Strength
00069050130 XELJANZ XR 11 MG TABLET New Strength
67857080937 ZEMBRACE SYMTOUCH 3 MG/0.5 ML New Drug
65224031060 ZOHYDRO ER 10 MG CAPSULE New Drug and Strength
65224031560 ZOHYDRO ER 15 MG CAPSULE New Drug and Strength
65224032060 ZOHYDRO ER 20 MG CAPSULE New Drug and Strength
65224033060 ZOHYDRO ER 30 MG CAPSULE New Drug and Strength
65224034060 ZOHYDRO ER 40 MG CAPSULE New Drug and Strength
65224035060 ZOHYDRO ER 50 MG CAPSULE New Drug and Strength

You can review any Medicare plan formulary using the Q1Medicare.com FormularyBrowser at Q1Medicare.com/FormularyBrowser or compare how any medication is covered on all Medicare plans in your service area using our Q1Medicare.com/DrugFinder.

Medicare Supplements
fill the gaps in your
Original Medicare
1. Enter Your ZIP Code:
» Medicare Supplement FAQs

Pets are Family Too!
Use your drug discount card to save on medications for the entire family ‐ including your pets.

  • No enrollment fee and no limits on usage
  • Everyone in your household can use the same card, including your pets
Your drug discount card is available to you at no cost.

Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • 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.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • 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.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • 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.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.