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August 2017 Formulary Changes to the Top Medicare Drugs

Category: Monthly Formulary Changes
Published: Sep, 02 2017 09:09:08

The August, 2017 Medicare Part D plan formulary (or drug list) data included 102 new drug codes or NDCs representing 63 different medications.

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.

This article highlights the change for some of the "top Medicare drugs", including their generic equivalents .  The generics included are Atorvastatin [Lipitor®] , Clopidogrel [Plavix®], Escitalopram [Lexapro®], Esomeprazole Sodium [Nexium®], Pioglitazone [Actos®], Risedronate Sodium [Actonel®], Quetiapine Fumarate [Seroquel®], and Valsartan-HCTZ [Diovan HCT®]. 

The changes to the number of formularies covering these medications looks as follows:

Count of 2017 Formularies covering the Top Medicare Drugs Program wide
    Formulary Count*
NDC Drug Name 2013 End** 2014 End** 2015 End** 2016 End** 2017 Start** April May June July Aug.
00430047203 ACTONEL 35 MG 36 DOSE PACK 233 248 148 25 11 11 11  11  11  11
64764030115 ACTOS 30MG/1 TABLET (90 CT) 214 75 35 23 16 16 16  16  16  16
00173069600 ADVAIR DISKUS MIS 250/50 307 347 353 348 358 362 363  363  363  371
63304082790 ATORVASTATIN 10 MG TABLET [Lipitor] 316 364 394

00378395009 ATORVASTATIN 10 MG TABLET [Lipitor]

385 377 379 380  380  380  389
00378362777 CLOPIDOGREL TAB 75MG [Plavix] 315 364

55111019630 CLOPIDOGREL TAB 75MG [Plavix]


00093731456 CLOPIDOGREL TAB 75MG [Plavix]

385 377 379 380  380  380  389
00078031534 DIOVAN HCT 160/12.5MG TABLET 185 80 50 29 21 21 21  21  21  21
00093585101 ESCITALOPRAM 10 MG TABLET [Lexapro] 315 363 385 385 377 379 380
 380  380  389
47335050944 ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium]
253 285

62756050944 ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium]

285 302 292 296 296
 296  296  305
00088222033 LANTUS 100U/ML VIAL 309 350 382 371 368 372 373
 373  373  382
00456201001 LEXAPRO 10MG TABLET 92 55 45 26 12 12 12
 12  12  12
00071015523 LIPITOR 10MG TABLET 68 43 30 21 20 20 20
 20  20  20
00186504054 NEXIUM 40MG CAPSULE 198 211 206 98 25 33 33
 33  33  33
00378022893 PIOGLITAZONE HCL 30 MG TABLET [Actos] 310 364 394 385 377 379 380
 380  380  389
63653117105 PLAVIX 75MG TABLET 109 48 34 20 13 13 13
 13  13  13
47335090288 QUETIAPINE FUMARATE 25 MG TAB [SEROQUEL] 316 364 394 385 377 379 380
 380  380  389
00591207539 RISEDRONATE SODIUM 35 MG TABLET [Actonel]


00093309844 RISEDRONATE SODIUM 35 MG TABLET [Actonel]

220 246 227 229 230
 230  230  239
47335066868 RISEDRONATE SODIUM 35 MG TABLET [Actonel]

223 237 244 245
 245  245  252
00310027510 SEROQUEL 25MG TABLET 112 54 43 26 12 12 12
 12  12  12
00378632205 VALSARTAN-HCTZ 160-12.5 MG TAB [Diovan HCT] 297 343 388 376 370 372 373
 373  373  382

*The formulary counts include both stand-alone prescription drug plans (PDP) and Medicare Advantage plans (MAPD) in all states and the U.S. territories.
**Ending 2013 CMS formulary dataset dated October, 2013. Ending 2014 CMS formulary dataset dated September, 2014. Ending 2015 CMS formulary dataset dated September, 2015. Ending 2016 CMS formulary dataset dated September, 2016. Starting 2017 CMS formulary dataset dated October, 2016 (Sanctioned plans not included in plan count).

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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