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April 2019 Formularies Update: Seventy (70) Medications Added to Medicare Plan Drug Lists

Monthly Formulary changes · published Apr 17, 2019

The April 2019 Medicare Part D plan formulary (drug lists) data includes the addition of 70 new National Drug Codes (NDCs) to the Medicare Part D program.  These NDCs represent 42 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, 15 new brand-name drugs, some with multiple strengths, were added to Medicare Part D plan formularies.  These drugs include, DAURISMO®, FIRVANQ®, INVELTYS®, LUXIQ®, NITYR®, OSMOLEX®, OXERVATE®, RETACRIT®, TEGSEDI®, TOLSURA®, UDENYCA®, VITRAKVI®, XELPROS®, XOSPATA®, ZONALON®.

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 70 new NDCs is as follows:

Reason for NDC Addition Occurrences
New Delivery Form 1
New Drug 19
New Drug and Strength 25
New Manufacturer 14
New Manufacturer and Delivery Form 2
New Manufacturer and Strength 3
New Manufacturer, Strength and Delivery Form 1
New Packaging 2
New Strength 3
Total New NDCs 70

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 70 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
50242014301ACTEMRA ACTPEN 162 MG/0.9 ML PEN INJCTRNew Delivery Form
00023599060ANDRODERM 2 MG/24HR PATCHNew Strength
00069153130DAURISMO 100 MG TABLETNew Drug and Strength
00069029860DAURISMO 25 MG TABLETNew Drug and Strength
00006046405EMEND 40 MG CAPSULENew Strength
50222050550FINACEA 15% GELNew Manufacturer and Delivery Form
65628020510FIRVANQ 25 MG/ML SOLUTION SOLN RECONNew Drug and Strength
65628020810FIRVANQ 50 MG/ML SOLUTION SOLN RECONNew Drug and Strength
68462073129HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]New Drug
42543014201HYDROCORTISONE 20 MG TABLET [Cortef]New Drug and Strength
42543014050HYDROCORTISONE 5 MG TABLET [Cortef]New Drug and Strength
42543014101HYDROCORTISONE 10 MG TABLET [Hydrocortone]New Drug and Strength
71571012128INVELTYS 1% EYE DROP Eye DropperNew Drug
70688050202KYNAMRO 200 MG/ML SYRINGENew Packaging
13668004501LAMOTRIGINE 25 MG TABLET [Subvenite]New Drug
00115993076LEVALBUTEROL 0.31 MG/3 ML SOL VIAL-NEB [Xopenex Pediatric]New Manufacturer and Strength
43598041025LEVALBUTEROL 0.63 MG/3 ML SOL VIAL-NEB [Xopenex]New Manufacturer and Strength
43598040925LEVALBUTEROL 1.25 MG/3 ML SOL VIAL-NEB [Xopenex]New Manufacturer and Strength
00378818701LUXIQ 0.12% FOAMNew Drug
00378923093MESALAMINE 1,000 MG SUPP.RECT [Canasa]New Drug
51991061250METHYLPHENIDATE 10 MG/5 ML SOL Solution [Methylin]New Manufacturer, Strength and Delivery Form
51991061150METHYLPHENIDATE 5 MG/5 ML SOLN Solution [Methylin]New Manufacturer and Delivery Form
42806009430POTASSIUM CL 20 MEQ PACKET [Klor-Con]New Drug
16714043901NITROFURANTOIN MONO-MCR 100 MG CAPSULE [Macrobid]New Drug
70709000060NITYR 10 MG TABLETNew Drug and Strength
70709000260NITYR 2 MG TABLETNew Drug and Strength
70709000560NITYR 5 MG TABLETNew Drug and Strength
00378818201OLUX 0.05% FOAMNew Manufacturer
68025007530OSMOLEX ER 129 MG TABLET BP 24HNew Drug and Strength
68025007630OSMOLEX ER 193 MG TABLET BP 24HNew Drug and Strength
68025007730OSMOLEX ER 258 MG TABLET BP 24HNew Drug and Strength
71981002007OXERVATE 0.002% EYE DROPSNew Drug
43598035001PROGESTERONE 200 MG CAPSULE [Prometrium]New Drug
00069130810RETACRIT 10,000 UNIT/ML VIALNew Drug and Strength
00069130510RETACRIT 2,000 UNIT/ML VIALNew Drug and Strength
00069130610RETACRIT 3,000 UNIT/ML VIALNew Drug and Strength
00069130710RETACRIT 4,000 UNIT/ML VIALNew Drug and Strength
00069130904RETACRIT 40,000 UNIT/ML VIALNew Drug and Strength
29300031781RIZATRIPTAN 10 MG TABLET [Maxalt]New Drug and Strength
51991035478RIZATRIPTAN 5 MG TABLET [Maxalt]New Drug and Strength
59651009530SILODOSIN 4 MG CAPSULE [Rapaflo]New Drug and Strength
59651009630SILODOSIN 8 MG CAPSULE [Rapaflo]New Drug and Strength
65862005090SIMVASTATIN 5 MG TABLET [Zocor]New Drug
67457087905SUMATRIPTAN 6 MG/0.5 ML SYRNG Syringe [Sumavel DosePro System]New Drug
72126000701TEGSEDI 284 MG/1.5 ML SYRINGENew Drug
68462020113TELMISARTAN 80 MG TABLET [Micardis]New Strength
71858003004TIROSINT 100 MCG CAPSULENew Manufacturer
71858003504TIROSINT 112 MCG CAPSULENew Manufacturer
71858004004TIROSINT 125 MCG CAPSULENew Manufacturer
71858000504TIROSINT 13 MCG CAPSULENew Manufacturer
71858004504TIROSINT 137 MCG CAPSULENew Manufacturer
71858005004TIROSINT 150 MCG CAPSULENew Manufacturer
71858005504TIROSINT 175 MCG CAPSULENew Manufacturer
71858006004TIROSINT 200 MCG CAPSULENew Manufacturer
71858001004TIROSINT 25 MCG CAPSULENew Manufacturer
71858001504TIROSINT 50 MCG CAPSULENew Manufacturer
71858002004TIROSINT 75 MCG CAPSULENew Manufacturer
71858002504TIROSINT 88 MCG CAPSULENew Manufacturer
51862046260TOLSURA 65 MG CAPSULE SD DSPNew Drug
70700012184TRI-ESTARYLLA TABLET [Trinessa]New Drug
50458051560TYLENOL WITH CODEINE #4 TABLETNew Packaging
70114010101UDENYCA 6 MG/0.6 ML SYRINGENew Drug
69639012001VALCHLOR 0.016% GELNew Manufacturer
00074305413VICODIN HP 10-300 MG TABLET [Xodol]New Drug
71777039101VITRAKVI 100 MG CAPSULENew Drug and Strength
71777039201VITRAKVI 20 MG/ML SOLUTIONNew Drug and Strength
71777039001VITRAKVI 25 MG CAPSULENew Drug and Strength
47335031790XELPROS 0.005% EYE DROPS EMULSNew Drug
00469142590XOSPATA 40 MG TABLETNew Drug
00378812345ZONALON 5% CREAM (g)New Drug

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.

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