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August 2018 Formularies Updates: One Hundred and four (104) Medications Added to Medicare Plan Drug Lists

Monthly Formulary changes · published Aug 29, 2018

The August 2018 Medicare Part D plan formulary (drug lists) data includes the addition of 104 new National Drug Codes (NDCs) to the Medicare Part D program.  These NDCs represent 73 different drugs, many with multiple strengths.

New Generic Drugs Introduced: See our article on this site for highlights of the new generics.

New Brand-Name Drugs Introduced
In addition, 19 new brand-name drugs, some with multiple strengths, were added to Medicare Part D plan formularies.  These drugs include, AIMOVIG®, CETRAXAL®, IMPOYZ®, INTRAROSA®, JYNARQUE®, MATULANE®, ORTHO TRI-CYCLEN®, ORTHO-CYCLEN®, ORTHO-NOVUM®, OSPHENA®, SEEBRI NEOHALER®, SOLOSEC®, SYMFI®, TAVALISSE®, TEXACORT®, TOUJEO MAX SOLOSTAR®, UTIBRON NEOHALER®, VYLIBRA®, and ZYPITAMAG®.

What is the NDC?
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.  You can read more on this site

There are many reasons for NDCs to be added to the Medicare Part D program, a summary for all 104 new NDCs is as follows:

Reason for NDC Addition Occurrences
New Delivery Form 3
New Drug 32
New Drug and Strength 25
New Manufacturer 5
New Manufacturer and Strength 12
New Packaging 3
New Strength 20
New Strength and Delivery Form
1
New Strength and Packaging
3
Total New NDCs 104

Reminder: (1) Medicare Part D plans (PDPs and MAPDs) can change their formulary or drug list during the year and may drop one of your formulary medication mid-year for specific Medicare-allowable reasons (such as a new generic drug is available), but there are steps you can take if your medication is no longer covered by your prescription drug plan. (2) Your Medicare Part D plan will notify you if the plan drops a medication you are currently using.

The following chart details the first 104 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) or Drug Name 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 Notes
55513084102 AIMOVIG 140 MG DOSE-2 AUTO INJCT New Drug
60842002101 AUVI-Q 0.1 MG AUTO-INJECTOR New Strength
52817031910 BACLOFEN 5 MG TABLET New Manufacturer and Strength
68180087911 BEKYREE 28 DAY TABLET [VIORELE] New Drug
00642746410 BENZNIDAZOLE 100 MG TABLET New Drug and Strength
00642746312 BENZNIDAZOLE 12.5 MG TABLET New Drug and Strength
42858049340 BUPRENORPHINE 10 MCG/HR PATCH [Butrans] New Strength
42858083940 BUPRENORPHINE 20 MCG/HR PATCH [Butrans] New Strength
42858075040 BUPRENORPHINE 5 MCG/HR PATCH [Butrans] New Strength
70860010610 CASPOFUNGIN ACETATE 50 MG VIAL New Drug and Strength
70860010710 CASPOFUNGIN ACETATE 70 MG VIAL New Drug and Strength
66992045014 CETRAXAL 0.2% EAR SOLUTION DROPERETTE New Drug
42195055014 CIPROFLOXACIN 0.2% OTIC SOLN DROPERETTE [Cetraxal] New Drug
67457054620 CLOFARABINE 20 MG/20 ML VIAL [Clolar] New Drug
16714046901 CLONAZEPAM 0.5 MG TABLET [Klonopin] New Manufacturer
16714047001 CLONAZEPAM 1 MG TABLET [Klonopin] New Manufacturer
00378191405 CLONAZEPAM 2 MG TABLET [Klonopin] New Manufacturer
00093541601 CLOZAPINE ODT 12.5 MG TABLET RAPDIS [Fazaclo] New Strength
00115132019 COLESEVELAM 625 MG TABLET [WelChol] New Drug
43975030710 CYCLOPHOSPHAMIDE 25 MG CAPSULE New Drug and Strength
43975030810 CYCLOPHOSPHAMIDE 50 MG CAPSULE New Drug and Strength
67457051305 DACTINOMYCIN 0.5 MG VIAL [Cosmegen] New Drug
63323062461 DEXTROSE 5%-WATER IV SOLN New Manufacturer and Strength
65862031130 DIDANOSINE DR 200 MG CAPSULE DR [Videx EC] New Strength
50742046316 DOCETAXEL 160 MG/16 ML VIAL New Manufacturer and Strength
00006306100 EMEND 150 MG VIAL New Strength and Delivery Form
70700011984 ESTARYLLA 0.25-0.035 MG TABLET [VyLibra] New Drug
00169320415 FIASP 100 UNIT/ML FLEXTOUCH INSULN PEN New Delivery Form
75834014830 FLUOXETINE HCL 60 MG TABLET New Manufacturer and Strength
00115172501 GRISEOFULVIN ULTRA 250 MG Tablet [Gris-Peg] New Manufacturer and Strength
00409272001 HEPARIN SOD 1,000 UNIT/ML VIAL New Strength
00074081702 HUMIRA 10 MG/0.1 ML SYRINGEKIT New Strength and Packaging
00074061602 HUMIRA 20 MG/0.2 ML SYRINGEKIT New Packaging
00074055402 HUMIRA 40 MG/0.4 ML PEN IJ KIT New Packaging
00074024302 HUMIRA 40 MG/0.4 ML SYRINGEKIT New Packaging
00074006702 HUMIRA PEDIATR CROHN'S 80-40MG SYRINGEKIT New Strength and Packaging
00074254003 HUMIRA PED CROHNS 80 MG/0.8 ML SYRINGEKIT New Strength and Packaging
69482070060 IMPOYZ 0.025% CREAM (g) New Drug
64011060128 INTRAROSA 6.5 MG VAG INSERT New Drug
70700011787 INTROVALE 0.15-0.03 MG TABLET TBDSPK 3MO [Setlakin] New Drug
59148008707 JYNARQUE 45 MG-15 MG TABLET SEQ New Drug and Strength
59148008807 JYNARQUE 60 MG-30 MG TABLET SEQ New Drug and Strength
59148008907 JYNARQUE 90 MG-30 MG TABLET SEQ New Drug and Strength
60432003708 LACTULOSE 10 GM/15 ML SOLUTION [Constulose] New Drug
31722054401 LITHIUM CARBONATE 150 MG CAP New Manufacturer and Strength
70700011484 LORYNA 3 MG-0.02 MG TABLET [Yaz] New Drug
54482005401 MATULANE 50 MG CAPSULE New Drug
00548540025 MEDROXYPROGESTERONE 150 MG/ML VIAL [Depo-Provera] New Delivery Form
17478038020 METHADONE HCL 200 MG/20 ML VIAL [Dolophine] New Drug
13811071010 METHYLPHENIDATE ER 72 MG TABLET ER 24 [RELEXXII] New Manufacturer and Strength
51862026201 METHYLPHENIDATE LA 10 MG CAP CPBP 50-50 [Ritalin LA] New Strength
51862026401 METHYLPHENIDATE LA 30 MG CAP CPBP 50-50 [Ritalin LA] New Strength
65862077628 MILI 0.25-0.035 MG TABLET [VyLibra] New Drug
67457032325 MOXIFLOXACIN 400 MG/250 ML BAG PIGGYBACK [Avelox I.V.] New Drug
54766077090 NAFTIN 1% GEL New Strength
50742051430 NITRO-DUR 0.2 MG/HR PATCH New Strength
50742051530 NITRO-DUR 0.3 MG/HR PATCH New Strength
50742051630 NITRO-DUR 0.4 MG/HR PATCH New Strength
50742051730 NITRO-DUR 0.6 MG/HR PATCH New Strength
50742051830 NITRO-DUR 0.8 MG/HR PATCH New Strength
00378731553 NORETH-ESTRAD-FE 1-0.02(24)-75 Chewable Tablet [Minastrin] New Drug
00074339930 NORVIR 100 MG POWDER PACKET New Delivery Form
50458019106 ORTHO TRI-CYCLEN 28 TABLET New Drug
50458019706 ORTHO-CYCLEN 28 TABLET New Drug
50458017606 ORTHO-NOVUM 1-35-28 TABLET New Drug and Strength
50458017806 ORTHO-NOVUM 7-7-7-28 TABLET New Drug and Strength
59630058090 OSPHENA 60 MG TABLET New Drug
00703409401 PALONOSETRON 0.25 MG/5 ML VIAL [Aloxi] New Manufacturer and Strength
17478022312 PILOCARPINE 1% EYE DROPS [Pilocar] New Drug and Strength
17478022412 PILOCARPINE 2% EYE DROPS [Pilocar] New Drug and Strength
17478022612 PILOCARPINE 4% EYE DROPS [Pilocar] New Drug and Strength
00406118160 QUETIAPINE ER 150 MG Tablet ER 24H [Seroquel XR] New Drug and Strength
00406118260 QUETIAPINE ER 200 MG Tablet ER 24H [Seroquel XR] New Drug and Strength
33342013609 QUETIAPINE ER 300 MG Tablet ER 24H [Seroquel XR] New Drug and Strength
00406118060 QUETIAPINE ER 50 MG Tablet ER 24H [Seroquel XR] New Drug and Strength
00023614290 RAPAFLO 8 MG CAPSULE New Manufacturer and Strength
00093330428 RECLIPSEN 28 DAY TABLET [Solia] New Drug
63402081506 SEEBRI NEOHALER 15.6 MCG INHAL CAP W/DEV New Drug
63323062374 SODIUM CHLORIDE 0.9% IV SOLN New Manufacturer
27437005101 SOLOSEC 2 GM GRANULE PACKET GRANDR PKT New Drug
70700011584 SYEDA 28 TABLET [Zarah] New Drug
49502047593 SYMFI 600-300-300 MG TABLET New Drug
00597028073 SYNJARDY XR 10-1,000 MG TABLET BP 24H New Strength
00597030045 SYNJARDY XR 12.5-1,000 MG TABLET BP 24H New Strength
00597029578 SYNJARDY XR 25-1,000 MG TABLET BP 24H New Strength
00597029059 SYNJARDY XR 5-1,000 MG TABLET BP 24H New Strength
00078095166 TASIGNA 50 MG CAPSULE New Strength
71332000101 TAVALISSE 100 MG TABLET New Drug and Strength
71332000201 TAVALISSE 150 MG TABLET New Drug and Strength
00178045501 TEXACORT 2.5% SOLUTION New Drug
00781348192 TIGECYCLINE 50 MG VIAL [Tygacil] New Drug and Strength
00024587102 TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN New Drug
65862077728 TRI-MILI 28 TABLET [Trinessa] New Drug
50102023313 TRI-VYLIBRA 28 TABLET [Trinessa] New Drug
00713067653 TRIAMCINOLONE 0.1% LOTION [Kenalog] New Drug
63402068106 UTIBRON NEOHALER 27.5-15.6 MCG CAP W/DEV New Drug
50383079212 VALPROIC ACID 500 MG/10 ML Solution [Depakene] New Manufacturer and Strength
47335076081 VENLAFAXINE HCL ER 37.5 MG TAB ER 24 [Venlafaxine] New Manufacturer and Strength
47335075983 VENLAFAXINE HCL ER 75 MG TABLET 24 [Venlafaxine] New Manufacturer and Strength
50102023513 VYLIBRA 28 TABLET New Drug and Strength
00023611001 ZENPEP DR 10,000 UNIT CAPSULE New Manufacturer
25208020009 ZYPITAMAG 1 MG TABLET New Drug and Strength
25208020109 ZYPITAMAG 2 MG TABLET New Drug and Strength
25208020209 ZYPITAMAG 4 MG TABLET New Drug and Strength

Our online Formulary Browser and Drug Finder
You can review any Medicare plan formulary using the on this site FormularyBrowser found at: FormularyBrowser.com or compare how any medication is covered on all Medicare plans in your Service Area using our Drug Finder found at on this site.