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April 2018 formulary changes: 2018 Medicare Part D drug lists now updated with 486 new prescription drugs - Part 1 of 5 - Drugs starting with the letters A-C.

Monthly Formulary changes · published Apr 24, 2018

The April, 2018 Medicare Part D plan formulary data (or drug list updates) includes the addition of 737 new National Drug Codes (NDCs) to the Medicare Part D program.  These NDCs represent 486 different drugs, many with multiple strengths. There are so many new NDCs, that we have to split the list into 5 parts. This article will cover Medicare Part D drugs starting with the letters A through C. Here are links to D-H, I-M, N-P, and Q-Z.

Fifty-seven new NDC generic equivalents were added, including ACITRETIN [Soriatane®], ADAPALENE-BNZYL PEROX [EPIDUO®], ALMOTRIPTAN MALATE [Axert®], APREPITANT [Emend®], ARIPIPRAZOLE [Abilify®], ATOMOXETINE HCL [Strattera®], ATORVASTATIN [Lipitor®], ATOVAQUONE-PROGUANIL [Malarone®], Aztreonam [Azactam®], Calcipotriene-Betamethasone Dipropionate [Taclonex®], CARBIDOPA-LEVODOPA-ENTACAPONE [Stalevo®], Cidofovir [Vistide®], and CLOZAPINE [Clozaril®], amongst others. See details in the chart below.

What exactly is an NDC?
As a reminder, the NDC uniquely identifies a particular manufacturer, drug-strength, and packaging combination. The NDC for your medication 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 drug and strength, and the third set of numbers identifies the packaging.

Why is there a new NDC?
New NDCs can be added to the Medicare Part D program for a number of reasons including any combination of new manufacturer, drug-strength, delivery form, or packaging.  Usually we provide for each NDCs the reason for the NDC addition.  With 737 new NDCs, determining the reason was time prohibitive. 

More about the newly added NDCs...
The following chart details the 737 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 on this site Drug Finder ( on this site) 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.

NDC Drug Name
69543012210 ACARBOSE 100 MG TABLET
13107005801 ACETAMINOPHEN-COD #2 TABLET
13107006001 ACETAMINOPHEN-COD #4 TABLET
42794008008 ACITRETIN 10 MG CAPSULE [Soriatane]
42794008308 ACITRETIN 25 MG CAPSULE [Soriatane]
31722077801 ACYCLOVIR 800 MG TABLET
49281040089 ADACEL TDAP SYRINGE
52427049401 ADALAT CC 30 MG TABLET
52427049501 ADALAT CC 60 MG TABLET
00093630195 ADAPALENE 0.1% GEL
00472031038 ADAPALENE-BNZYL PEROX 0.1-2.5% [EPIDUO]
70363000760 AKTIPAK 3%-5% GEL POUCH
16252059944 ALENDRONATE SODIUM 35 MG TAB
00115167608 ALENDRONATE SODIUM 5 MG TABLET
57237011490 ALFUZOSIN HCL ER 10 MG TABLET
67546021221 ALINIA 100 MG/5 ML SUSPENSION
50419038501 ALIQOPA 60 MG VIAL
00378018105 ALLOPURINOL 300 MG TABLET
27241004221 ALMOTRIPTAN MALATE 12.5 MG TAB [Axert]
27241004111 ALMOTRIPTAN MALATE 6.25 MG TAB [Axert]
00228202796 ALPRAZOLAM 0.25 MG TABLET
00228202996 ALPRAZOLAM 0.5 MG TABLET
49884021374 Alprazolam 1mg/1 10 BLISTER PACK per CARTON / 10 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
49884021474 Alprazolam 2mg/1 10 BLISTER PACK per CARTON / 10 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
69452014220 AMANTADINE 100 MG CAPSULE
51862004791 AMETHIA 0.15-0.03-0.01 MG TAB
23155029041 AMIKACIN SULF 500 MG/2 ML VIAL
51672405506 AMIODARONE HCL 100 MG TABLET
69097012605 AMLODIPINE BESYLATE 2.5 MG TAB
65862058201 AMLODIPINE-BENAZEPRIL 2.5-10
00378172293 AMLODIPINE-VALSARTAN 10-160 MG
00378172393 AMLODIPINE-VALSARTAN 5-320 MG
00378661185 AMNESTEEM 10 MG CAPSULE
00378661293 AMNESTEEM 20 MG CAPSULE
00378661485 AMNESTEEM 40 MG CAPSULE
00781610246 AMOX-CLAV 200-28.5 MG/5 ML SUS
00781610446 AMOX-CLAV 400-57 MG/5 ML SUSP
00781194339 AMOX-CLAV ER 1,000-62.5 MG TAB
00143988815 AMOXICILLIN 125 MG/5 ML SUSP
00093310705 AMOXICILLIN 250 MG CAPSULE
00555097102 AMPHETAMINE SALTS 5 MG TAB
44567010410 AMPICILLIN 10 GM VIAL
00781214501 AMPICILLIN CAPSULES 500MG 100 BOT
55150011899 AMPICILLIN-SULBACTAM 15 GM VL
16729011431 Antineoplastic Agent Etoposide 20 mg / mL Intravenous Injection Multiple Dose Vial 5 mL
00781232106 APREPITANT 40 MG CAPSULE [Emend]
00781232246 APREPITANT 80 MG CAPSULE [Emend]
00944281501 ARALAST NP 1,000 MG VIAL
63402067530 ARCAPTA NEOHALER 75 MCG CAP
54838057059 ARIPIPRAZOLE 1 MG/ML SOLUTION [Abilify]
65162089803 ARIPIPRAZOLE 10 MG TABLET [Abilify]
65162089903 ARIPIPRAZOLE 15 MG TABLET [Abilify]
65162089603 ARIPIPRAZOLE 2 MG TABLET [Abilify]
65162090103 ARIPIPRAZOLE 20 MG TABLET [Abilify]
65162090203 ARIPIPRAZOLE 30 MG TABLET [Abilify]
65162089703 ARIPIPRAZOLE 5 MG TABLET [Abilify]
59310071106 ARMONAIR RESPICLICK 113 MCG
59310072206 ARMONAIR RESPICLICK 232 MCG
59310070506 ARMONAIR RESPICLICK 55 MCG
00093075210 ATENOLOL 50 MG TABLET
64980037303 ATOMOXETINE HCL 10 MG CAPSULE [Strattera]
64980037903 ATOMOXETINE HCL 100 MG CAPSULE [Strattera]
64980037403 ATOMOXETINE HCL 18 MG CAPSULE [Strattera]
64980037503 ATOMOXETINE HCL 25 MG CAPSULE [Strattera]
64980037603 ATOMOXETINE HCL 40 MG CAPSULE [Strattera]
64980037703 ATOMOXETINE HCL 60 MG CAPSULE [Strattera]
64980037803 ATOMOXETINE HCL 80 MG CAPSULE [Strattera]
60505258008 ATORVASTATIN 40 MG TABLET [Lipitor]
68462040201 ATOVAQUONE-PROGUANIL 62.5-25 [Malarone]
00378614045 Avita 0.25mg/g 45 g in 1 TUBE
61314030802 AZELASTINE HCL 0.05% DROPS
00781577631 AZITHROMYCIN 250 MG TABLET
50111078751 AZITHROMYCIN 250 MG TABLET
50111078855 AZITHROMYCIN 500 MG TABLET
00781579331 AZITHROMYCIN 600 MG TABLET
00003256016 Aztreonam 1000 MG Injection [Azactam]
00003257016 Aztreonam 2000 MG Injection [Azactam]
00527133701 BACLOFEN 20 MG TABLET
00029152722 BACTROBAN 2% CREAM
70842010203 BAXDELA 300 MG VIAL
70842010101 BAXDELA 450 MG TABLET
59385002260 BELBUCA 150 MCG FILM
59385002360 BELBUCA 300 MCG FILM
59385002460 BELBUCA 450 MCG FILM
59385002560 BELBUCA 600 MCG FILM
59385002160 BELBUCA 75 MCG FILM
59385002760 BELBUCA 900 MCG FILM
49401008835 BENLYSTA 200 MG/ML AUTOINJECT
49401008847 BENLYSTA 200 MG/ML SYRINGE
00187519050 BENZACLIN GEL 50G PUMP
76385010410 BENZTROPINE MES 1 MG TABLET
76385010510 BENZTROPINE MES 2 MG TABLET
00023438510 BETAGAN 0.5% EYE DROPS
29300018801 BISOPROLOL-HCTZ 5-6.25 MG TAB
61703032322 BLEOMYCIN SULFATE 30 UNIT VIAL
63323072110 Bortezomib 3.5 Mg Intravenous Solution
00069019301 BOSULIF 400 MG TABLET
54766090753 BRISDELLE 7.5 MG CAPSULE
00093360140 BUPRENORPHINE 10 MCG/HR PATCH
42858058640 BUPRENORPHINE 15 MCG/HR PATCH
00228315603 BUPRENORPHINE 2 MG TABLET SL
00093360340 BUPRENORPHINE 20 MCG/HR PATCH
00093360040 BUPRENORPHINE 5 MCG/HR PATCH
00093005401 BUSPIRONE HYDROCHLORIDE 10 MG TABLETS
00143178705 BUTALB-ACETAMIN-CAFF 50-325-40
00310654001 BYDUREON BCISE 2 MG AUTOINJECT
68462050165 CALCIPOTRIENE 0.005% CREAM
00781716595 Calcipotriene-Betamethasone Dipropionate Ointment [Taclonex]
00574011302 CALCIUM ACETATE 667 MG TABLET
00310051260 CALQUENCE 100 MG CAPSULE
33342013310 CANDESARTAN-HCTZ 32-25 MG TAB
58468782003 CAPRELSA 100 MG TABLET
58468784003 CAPRELSA 300 MG TABLET
00143117201 CAPTOPRIL 25 MG TABLET
00093551289 CARBAMAZEPINE ER 100 MG CAP
00093551389 CARBAMAZEPINE ER 200 MG CAP
00093551489 CARBAMAZEPINE ER 300 MG CAP
47781033201 Carbidopa 25mg Tab 100 [Lodosyn]
00378007801 CARBIDOPA-LEVODOPA 10-100 TAB
00378830201 CARBIDOPA-LEVODOPA-ENTACAPONE 100 MG [Stalevo]
00378830301 CARBIDOPA-LEVODOPA-ENTACAPONE 125 MG [Stalevo]
00378830501 CARBIDOPA-LEVODOPA-ENTACAPONE 200 MG [Stalevo]
00781561301 CARBIDOPA-LEVODOPA-ENTACAPONE 50 MG [Stalevo]
00187205090 CARDIZEM LA 420 MG TABLET
46287002001 CAROSPIR 25 MG/5 ML SUSPENSION
61314023805 CARTEOLOL HCL 1% EYE DROPS
57664066683 CARVEDILOL ER 80 MG CAPSULE
63323035610 CASPOFUNGIN ACETATE 50 MG VIAL
63323035810 CASPOFUNGIN ACETATE 70 MG VIAL
00143998601 CEFACLOR 500 MG CAPSULES
65862008301 CEFADROXIL 250 MG/5 ML SUSP
25021010110 CEFAZOLIN 1 GM VIAL 25/Box
00143998303 Cefazolin 10g/1 10 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 PACKAGE
00143992390 CEFAZOLIN 500 MG VIAL
60505083404 CEFEPIME HCL 1 GM VIAL
16714040302 CEFPODOXIME 100 MG/5 ML SUSP
16714040202 CEFPODOXIME 50 MG/5 ML SUSP
00409733201 CEFTRIAXONE 1 GM VIAL
60505067905 CEFTRIAXONE 10 GM VIAL
00409733503 CEFTRIAXONE 2 GM VIAL
68180030320 CEFUROXIME AXETIL 500 MG TAB
00378716001 CELECOXIB 100 MG CAPSULE
00378715001 CELECOXIB 200 MG CAPSULE
00378716591 CELECOXIB 50 MG CAPSULE
00069600110 CEREBYX 500 PE/10 VIAL
49884046565 CHOLESTYRAMINE PACKET
51672131802 CICLOPIROX 0.77% CREAM
23155021631 cidofovir 375 mg/5 ml vial [Vistide]
00409477723 Ciprofloxacin and Dextrose 2mg/mL 24 BAG in 1 CASE / 100 mL in 1 BAG
00703574711 CISPLATIN 50MG/50ML MDV
65862000505 CITALOPRAM HBR 10 MG TABLET
00527193106 CLARITHROMYCIN 250 MG TABLET
55566670000 CLENPIQ 10-3.5/160
00009338202 CLEOCIN 900 MG/D5W/GALAXY
25021011506 CLINDAMYCIN 150mg/ml vl 25x6ml
59762001601 CLINDAMYCIN 75 MG/5 ML SOLN
00591570801 CLINDAMYCIN HCL 150 MG CAPSULE
47781046068 CLINDAMYCIN PH 600 MG/4 ML VL
00338109504 CLINIMIX 4.25%-25% SOLUTION
00338109904 CLINIMIX 5%-15% SOLUTION
00338111904 CLINIMIX E 4.25%-25% SOLUTION
00338114803 CLINIMIX E 5/20 SOLUTION
00338112704 CLINIMIX E 5/25 SOLUTION
00338050206 CLINISOL 15% SOLUTION
00299384802 CLOBEX 0.05% TOPICAL LOTION
67857080445 CLODERM 0.1% CREAM
49884031002 CLONAZEPAM 2 MG ODT
00228424106 CLONIDINE HCL ER 0.1 MG TABLET
68462018135 CLOTRIMAZOLE 1% CREAM
00093440505 CLOZAPINE 200MG TABLET (500 CT)
00378082501 CLOZAPINE 25 MG TABLET [Clozaril]
00009026001 COLESTID GRANULES PACKET
00115521218 COLESTIPOL HCL GRANULES PACKET
39822061702 COLISTIMETHATE 150 MG VIAL
69097084507 CYCLOBENZAPRINE 5 MG TABLET
00025145160 CYTOTEC 100 MCG TABLET
00004694004 CYTOVENE 500 MG VIAL

This article covered drugs starting with the letters A through C. Here are links to D-H, I-M, N-P, and Q-Z.

Looking for a way to review any Medicare Part D plan formulary?
You can review any Medicare plan formulary using the on this site FormularyBrowser at FormularyBrowser.com or compare how any medication is covered on all Medicare plans in your service area using our on this site.
*Please remember that a Medicare prescription drug plan can change their plan's formulary at any time throughout the year (adding or dropping drugs) and you can telephone your Medicare plan's Member Services department to learn about the most recent formulary changes - the toll-free number for Member Services is found on your Member ID card.