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April 2017 summary of the new medications added to Medicare Part D plan formularies (drug lists) Part 2: M-Z

Category: Monthly Formulary Changes
Published: May, 03 2017 04:05:53


The April, 2017 Medicare Part D plan formulary data (or drug lists) includes the addition of 380 new National Drug Codes (NDC) to the Medicare Part D program.  These NDCs represent 250 different drugs, many with multiple strengths. There were so many new NDCs in the April dataset, that we split this article into Part 1 (drugs beginning with the letters A through L) and Part 2 (M through Z) to coverage all of the new medications.

The following generics were added to many 2017 Medicare Part D formularies: NILUTAMIDE [Nilandron], OLMESARTAN MEDOXOMIL [Benicar], OLMSRTN-AMLDPN-HCTZ [TRIBENZOR], OSELTAMIVIR PHOS [Tamiflu], QUETIAPINE ER [Seroquel], and RASAGILINE MESYLATE [Azilect], see links in the chart below for coverage details. 

In addition, the new generics ABACAVIR-LAMIVUDINE  [Epzicom], AMLODIPINE-OLMESARTAN [Azor], APREPITANT [Emend], CLINDAMYCIN PHOSPHATE-BENZOYL PEROXIDE [Benzaclin], CLINDAMYCIN-TRETINOIN [Veltin, Ziana], DAPTOMYCIN [Cubicin],
DROSP-EE-LEVOMEF [Beyaz, Safyral], ETHACRYNIC ACID [Edecrin], ETHYNODIOL-ETH ESTRA [ZOVIA], EZETIMIBE [Zetia], FENOFIBRATE [LIPOFEN], and LEVALBUTEROL TAR HFA [Xopenex HFA], along with all new drugs starting with the letters M through Z can be found in Part 1: A-L.

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 for all 380 new medications is as follows:

Reason for NDC Addition Occurrences
New Delivery Form 6
New Delivery Form and Strength 4
New Drug 95
New Drug and Strength 104
New Drug, Delivery Form and Strength 5
New Manufacturer 15
New Manufacturer and Delivery Form 8
New Manufacturer and Strength 53
New Manufacturer, Strength and Delivery Form
13
New Packaging
6
New Strength 70
New Strength and Packaging
1
Total New NDCs 380

Part 1 (A through L): The following chart details the first 190 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 Code (NDC) below to go to our Q1Medicare.com DrugFinder to see the details of how this drug is covered by all Medicare Part D Plans in Florida -- You can then change the state to your state for details in your service area. A chart of the remaining 190 NDCs (drugs starting with the letters M through Z) can be found in Part 1: A-L.

NDC Drug Name Notes
68180018506 MEFENAMIC ACID 250 MG CAPSULE New Drug
00054459625 MEPERIDINE 100 MG TABLET New Delivery Form and Strength
30698033701 Meperidine Hydrochloride 100 MG Oral Tablet [Demerol] New Manufacturer and Strength
68382048428 MESALAMINE 800 MG DR TABLET New Manufacturer and Strength
68180033909 Metformin HCL ER tab 1000mg New Strength and Packaging
68084081932 METFORMIN HYDROCHLORIDE 1000 mg ORAL TABLET, EXTENDED RELEASE New Manufacturer
00378600291 24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet New Manufacturer
68180033801 Metformin HCL ER tab 500mg New Manufacturer
55150022310 Methocarbamol 1,000 mg/10 ml New Manufacturer and Strength
61703035037 Methotrexate 50 mg/2 ml vial New Manufacturer and Strength
64720040210 Methylphenidate er 20 mg cap New Manufacturer and Delivery Form
64720040410 Methylphenidate er 40 mg cap New Manufacturer and Delivery Form and Strength
00603459315 METHYLPREDNISOLONE 4 MG DOSEPK New Manufacturer
61314044705 Metipranolol 0.3% eye drops New Drug
00115165201 Metoclopramide 5 mg tablet New Manufacturer
67457067502 MIACALCIN 400 UNIT/2 ML VIAL New Manufacturer and Delivery Form and Strength
54766083504 MICORT HC 2.5% CREAM New Drug
51862000706 Microgestin 21 1-20 tablet New Drug and Strength
51862027906 MICROGESTIN 21 1.5-30 TAB New Drug and Strength
51862001206 Microgestin fe 1-20 tablet New Drug and Strength
51862029206 MICROGESTIN FE 1.5-30 TAB New Drug and Strength
42546077130 Minocycline er 45 mg tablet New Manufacturer and Strength
65862021001 MINOCYCLINE 75 MG CAPSULE New Manufacturer and Strength
43538062030 MORGIDOX 50 MG CAPSULE New Drug
42023017204 Mycophenolate 500 mg vial New Manufacturer and Strength
61748030113 MYORISAN 10 MG CAPSULE New Strength
70564080260 MYTESI 125 MG DR TABLET New Drug
00093101501 NABUMETONE 500 MG TABLET New Drug and Strength
00115165801 Nabumetone 750 mg tablet New Drug and Strength
00456122929 NAMZARIC TITRATION PACK New Packaging
00456122130 NAMZARIC 21 MG-10 MG CAPSULE New Strength
00456120730 NAMZARIC 7 MG-10 MG CAPSULE New Strength
51862031801 Necon 0.5-35-28 tablet New Drug
00378035301 NIFEDIPINE ER 30 MG TABLET New Strength
00378048001 NIFEDIPINE ER 30 MG TABLET New Strength
00378036001 NIFEDIPINE ER 60 MG TABLET New Strength
00378048101 NIFEDIPINE ER 60 MG TABLET New Strength
00378039001 NIFEDIPINE ER 90 MG TABLET New Strength
59212011114 NILANDRON 150 MG TABLET New Drug
62559017331 Nilutamide 150 mg tablet [Nilandron] New Drug
00093213010 NITROFURANTOIN MCR 50 MG CAP New Drug
43598043501 NITROGLYCERIN 0.3 MG TABLET SL New Manufacturer and Strength
59762330401 NITROGLYCERIN 0.4 MG TABLET SL New Manufacturer and Strength
43598043701 NITROGLYCERIN 0.6 MG TABLET SL New Manufacturer and Strength
60846030115 NIZATIDINE 15 MG/ML SOLUTION New Manufacturer and Strength
00378729753 noret-estr-fe 0.4-0.035(21)-75 New Strength
68462013279 norethind-eth estrad 1-0.02 mg New Strength
68180083811 norg-ee 0.18-0.215-0.25/0.035 New Strength
30698000701 NORPRAMIN 10 MG TABLET New Drug and Strength
30698001101 NORPRAMIN 25 MG TABLET New Drug and Strength
00093081305 NORTRIPTYLINE HCL 75 MG CAP New Strength
00316017145 Nyata 100,000 unit/gm powder New Drug
69516001030 OCALIVA 10 MG TABLET New Drug and Strength
69516000530 OCALIVA 5 MG TABLET New Drug and Strength
75834011901 Ofloxacin 300 mg tablet New Manufacturer and Delivery Form and Strength
00378711277 OLMESARTAN MEDOXOMIL 20 MG TAB [Benicar] New Drug and Strength
00378712493 OLMESARTAN MEDOXOMIL 40 MG TAB [Benicar] New Drug and Strength
00378701293 OLMESARTAN MEDOXOMIL 5 MG TAB [Benicar] New Drug and Strength
49884078609 olmsrtn-amldpn-hctz 20-5-12.5 [TRIBENZOR] New Drug and Strength
49884078909 olmsrtn-amldpn-hctz 40-10-12.5 [TRIBENZOR] New Drug and Strength
49884079009 olmsrtn-amldpn-hctz 40-10-25mg [TRIBENZOR] New Drug and Strength
49884078709 olmsrtn-amldpn-hctz 40-5-12.5 [TRIBENZOR] New Drug and Strength
49884078809 olmsrtn-amldpn-hctz 40-5-25 mg [TRIBENZOR] New Drug and Strength
00378141377 OLMESARTAN-HCTZ 20-12.5 MG TAB New Drug and Strength
00378142277 OLMESARTAN-HCTZ 40-12.5 MG TAB New Drug and Strength
00378142577 OLMESARTAN-HCTZ 40-25 MG TAB New Drug and Strength
27241002962 Omeprazole-bicarb 20-1,680 pkt New Manufacturer and Delivery Form and Strength
27241003062 Omeprazole-bicarb 40-1,680 pkt New Manufacturer and Delivery Form and Strength
67877016930 ONDANSETRON HCL 4 MG TABLET New Manufacturer and Strength
00003218851 ORENCIA CLICKJECT 125 MG/ML New Strength
51167070002 ORKAMBI 100 MG-125 MG TABLET New Strength
47781046813 OSELTAMIVIR PHOS 30 MG CAPSULE [Tamiflu] New Drug and Strength
47781046913 OSELTAMIVIR PHOS 45 MG CAPSULE [Tamiflu] New Drug and Strength
47781047013 OSELTAMIVIR PHOS 75 MG CAPSULE [Tamiflu] New Drug and Strength
24338008014 OTOVEL 0.3%-0.025% EAR DROPS New Drug
54436001204 OTREXUP 12.5 MG/0.4 ML AUTOINJ New Strength
60432009216 OXYBUTYNIN 5 MG/5 ML SYRUP New Manufacturer and Delivery Form
00115131601 OXYMORPHONE HCL ER 15 MG TAB New Strength
00115131513 OXYMORPHONE HCL ER 7.5 MG TAB New Manufacturer and Strength
50458034760 PANCREAZE DR 2,600 UNIT CAP New Strength
10888500102 PARICALCITOL 1 MCG CAPSULE [Zemplar] New Manufacturer and Delivery Form and Strength
10888500202 PARICALCITOL 2 MCG CAPSULE [Zemplar] New Manufacturer and Delivery Form and Strength
10888500302 PARICALCITOL 4 MCG CAPSULE [Zemplar] New Manufacturer and Delivery Form and Strength
30698020201 PARLODEL 2.5 MG TABLET New Drug
59212044710 PARNATE 10 MG TABLET New Drug
58160081143 PEDIARIX 0.5 ML SYRINGE New Drug
00187442030 PEPCID 20 MG TABLET New Manufacturer and Delivery Form and Strength
00187444030 PEPCID 40 MG TABLET New Manufacturer and Delivery Form and Strength
59767000401 PERTZYE DR 4,000 UNIT CAPSULE New Strength
00603516621 PHENOBARBITAL 32.4 MG TABLET New Strength
59212056210 PLAQUENIL 200 MG TABLET New Drug
63653117101 PLAVIX 75 MG TABLET New Strength
59630040030 PONSTEL 250 MG KAPSEALS New Drug
00338066304 kcl 5 meq in d5w-0.2% nacl New Strength
10370030611 PRAMIPEXOLE ER 3.75 MG TABLET New Strength
00591544243 Prednisone 10 mg tab dose pack New Packaging
00591544221 Prednisone 10 mg tab dose pack New Packaging
00591505221 Prednisone 5 mg tab dose pack New Packaging
00591505243 Prednisone 5 mg tab dose pack New Packaging
00527123101 PRIMIDONE 250 MG TABLET New Strength
69654050105 PRIMSOL 50 MG/5 ML ORAL SOLN New Drug
00078068415 PROMACTA 12.5 MG TABLET New Strength
69543037210 PROMETRIUM 100 MG CAPSULE New Drug and Strength
69543037310 PROMETRIUM 200 MG CAPSULE New Drug and Strength
00115165901 PROPRANOLOL 10 MG TABLET New Manufacturer and Strength
00378018301 PROPRANOLOL 20 MG TABLET New Manufacturer and Strength
00115166101 PROPRANOLOL 40 MG TABLET New Manufacturer and Strength
00228277811 PROPRANOLOL ER 60 MG CAPSULE New Strength
00228277911 PROPRANOLOL ER 80 MG CAPSULE New Manufacturer and Strength
52652300101 QBRELIS 1MG/ML SOLUTION New Drug
00245107430 QUDEXY XR 100 MG CAPSULE New Drug and Strength
00245107530 QUDEXY XR 150 MG CAPSULE New Drug and Strength
00245107330 QUDEXY XR 200 MG CAPSULE New Drug and Strength
00245107130 QUDEXY XR 25 MG CAPSULE New Drug and Strength
00245107230 QUDEXY XR 50 MG CAPSULE New Drug and Strength
49884093767 QUESTRAN LIGHT POWDER New Drug
49884080602 Quetiapine er 150 mg tablet [Seroquel] New Drug, Delivery Form and Strength
49884080702 Quetiapine er 200 mg tablet [Seroquel] New Drug, Delivery Form and Strength
49884080802 Quetiapine er 300 mg tablet [Seroquel] New Drug, Delivery Form and Strength
16729009712 QUETIAPINE ER 400 MG TABLET [Seroquel] New Drug, Delivery Form and Strength
49884080502 Quetiapine er 50 mg tablet [Seroquel] New Drug, Delivery Form and Strength
43386071009 QUINAPRIL-HCTZ 10-12.5 MG TAB New Manufacturer and Strength
65862061990 QUINAPRIL 20 MG TABLET New Manufacturer and Strength
43386071109 QUINAPRIL-HCTZ 20-12.5 MG TAB New Manufacturer and Strength
43386071209 QUINAPRIL-HCTZ 20-25 MG TAB New Manufacturer and Strength
65862061790 QUINAPRIL 5 MG TABLET New Manufacturer and Strength
70408014134 Ranitidine 15 mg/ml syrup New Manufacturer and Delivery Form and Strength
47781013830 Rasagiline Mesylate 0.5 MG TABLET [Azilect] New Drug and Strength
47781013930 Rasagiline Mesylate 1 MG TABLET [Azilect] New Drug and Strength
65649015090 RELISTOR 150 MG TABLET New Strength
55513077001 REPATHA 420 MG/3.5ML PUSHTRONX New Delivery Form and Strength
66435010118 RIBASPHERE 200 MG CAPSULE New Delivery Form
69660020191 RUBRACA 200 MG TABLET New Drug and Strength
69660020391 RUBRACA 300 MG TABLET New Drug and Strength
00078081881 SANDOSTATIN LAR DEPOT 20 MG KT New Strength
00078082581 SANDOSTATIN LAR DEPOT 30 MG KT New Strength
68645050001 SERTRALINE HCL 100 MG TABLET New Drug and Strength
16714061105 SERTRALINE HCL 25 MG TABLET New Drug and Strength
00378812101 Sertraline hcl 50 mg tablet New Drug and Strength
24338018304 SKLICE 0.5% LOTION New Drug
00024576105 SOLIQUA 100 UNIT-33 MCG/ML PEN New Drug
15054106003 SOMATULINE DEPOT 60 MG/0.2 ML New Strength
15054109003 SOMATULINE DEPOT 90 MG/0.3 ML New Strength
00009716601 SOMAVERT 10 MG VIAL New Drug and Strength
00009716801 SOMAVERT 15 MG VIAL New Drug and Strength
00009718801 SOMAVERT 20 MG VIAL New Drug and Strength
00009719901 SOMAVERT 25 MG VIAL New Drug and Strength
00009720001 SOMAVERT 30 MG VIAL New Drug and Strength
46287000660 SPS 15 GM/60 ML SUSPENSION New Drug
51862054506 SRONYX 0.10-0.02 MG TABLET New Drug
57894005427 STELARA 130 MG/26 ML VIAL New Drug
24208031710 SULF-PRED 10-0.23% EYE DROPS New Drug
59762010402 SULFASALAZINE DR 500 MG TAB New Manufacturer and Strength
00093201312 Sumatriptan 4 mg/0.5 ml inject New Manufacturer
00591247218 TAMOXIFEN 10 MG TABLET New Manufacturer and Strength
69489011160 TARGADOX 50 MG TABLET New Drug
13668015930 TELMISARTAN-HCTZ 40-12.5 MG TB [Micardis] New Manufacturer and Strength
33342012907 TELMISARTAN-HCTZ 80-12.5 MG TAB [Micardis] New Manufacturer and Strength
13668016130 TELMISARTAN-HCTZ 80-25 MG TAB [Micardis] New Manufacturer and Strength
00527131801 TERBUTALINE SULFATE 2.5 MG TAB New Strength
00187090101 TESTRED 10 MG CAPSULE New Drug
63323030502 TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate] New Manufacturer and Strength
00378520001 TOLMETIN SODIUM 400 MG CAP New Strength
65224086009 TREXIMET 10-60 MG TABLET New Strength
51862047006 TRI-NORINYL 28 TABLET New Drug
00955171016 Triamcinolone 55 mcg nasal spr New Manufacturer and Strength
00074318990 TRICOR 145 MG TABLET New Drug and Strength
00074317390 TRICOR 48 MG TABLET New Drug and Strength
69482060060 TRIDESILON 0.05% CREAM New Drug
51862051006 Trivora-28 tablet New Drug
00078067119 TYKERB 250 MG TABLET New Drug
00591257920 VALGANCICLOVIR HCL 50 MG/ML [Valcyte] New Manufacturer and Strength
52937000340 VASCEPA 0.5 GM CAPSULE New Strength
61958230101 VEMLIDY 25 MG TABLET New Drug
13811071530 VENLAFAXINE HCL ER 225 MG TAB New Manufacturer and Delivery Form and Strength
00074006328 VIEKIRA XR TABLET New Drug
00078067066 VOTRIENT 200 MG TABLET New Drug
68180087311 Wymzya fe chewable tablet New Drug
54092060601 XIIDRA 5% EYE DROPS New Drug
17478017130 XOPENEX CONC 1.25 MG/0.5 ML New Strength
63323049750 XYLOCAINE 2% VIAL New Drug
59676061001 YONDELIS 1 MG VIAL New Drug
70347032530 YOSPRALA DR 325-40 MG TABLET New Drug and Strength
70347008130 YOSPRALA DR 81-40 MG TABLET New Drug and Strength
42291096208 Yuvafem 10 mcg vaginal insert New Drug
51862003601 Zarah tablet New Drug
00074003301 ZINBRYTA 150 MG/ML SYRINGE New Drug
00006302500 ZINPLAVA 1,000 MG/40 ML VIAL New Drug
51862026006 ZOVIA 1-35E TABLET New Drug
00310147530 ZURAMPIC 200 MG TABLET New Drug


Related Article:
April 2017 summary of the new medications added to Medicare Part D plan formularies (drug lists) Part 1: (A-L).

You can review any Medicare plan formulary using the Q1Medicare.com FormularyBrowser at FormularyBrowser.com or compare how any medication is covered on all Medicare plans in your service area using our Q1Rx.com.






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