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August 2014 Summary of the Most Recent Updates for the Medicare Part D Plan Formularies (Drug Lists)

Monthly Formulary changes · published Aug 16, 2014

The most recent (August 2014) Medicare Part D plan formulary data (or drug lists) updates include the addition of 87 new National Drug Codes (NDC) to the Medicare Part D program.  These NDCs represent 58 different drugs, many with multiple strengths or delivery forms.

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 is a follows:

Reason for NDC Addition Occurrences
New Delivery Form 1
New Drug 23
New Drug and Strength 33
New Manufacturer 10
New Manufacturer and Delivery Form 1
New Manufacturer and Strength 9
 New Packaging
 3
New Strength 7
Total New NDCs 87
The following 87 manufacturer / drug / strength / packaging combinations (NDCs) were added to one or more Medicare Part D formularies in the most recent updates. You can click on the Drug Name below to go to our on this site DrugFinder to see the details of how this drug is handled 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
66993088445 Adapalene 0.3% gel New Manufacturer and Strength
00093517244 Alendronate Sodium 35mg, 4 BLISTER PACK in 1 BOX / 1 TABLET per BLISTER PACK New Packaging
43598032130 Amlodipine-Atorvastatin 10-10 mg [Caduet] New Drug and Strength
00378451893 Amlodipine-Atorvastatin 10-20 mg [Caduet] New Drug and Strength
00378451993 Amlodipine-Atorvastatin 10-40 mg [Caduet] New Drug and Strength
43598031330 Amlodipine-Atorvastatin 10-80 mg [Caduet] New Drug and Strength
43598032330 Amlodipine-Atorvastatin 2.5-10 mg [Caduet] New Drug and Strength
43598032030 Amlodipine-Atorvastatin 2.5-20 mg [Caduet] New Drug and Strength
43598031730 Amlodipine-Atorvastatin 2.5-40 mg [Caduet] New Drug and Strength
43598032230 Amlodipine-Atorvastatin 5-10 mg [Caduet] New Drug and Strength
43598031930 Amlodipine-Atorvastatin 5-20 mg [Caduet] New Drug and Strength
43598031630 Amlodipine-Atorvastatin 5-40 mg [Caduet] New Drug and Strength
43598031430 Amlodipine-Atorvastatin 5-80 mg [Caduet] New Drug and Strength
63402020230 APTIOM 200 MG TABLET New Drug and Strength
63402020430 APTIOM 400 MG TABLET New Drug and Strength
63402020660 APTIOM 600 MG TABLET New Drug and Strength
63402020830 APTIOM 800 MG TABLET New Drug and Strength
65162069388 ATOVAQUONE 750 MG/5 ML SUSP [Mepron] New Drug
59730650301 BIVIGAM LIQUID 10% VIAL New Drug
00781716595 Calcipotriene-Betamethasone Dipropionate Ointment [Taclonex] New Drug
43975022010 CARBIDOPA 25 MG TABLET [Lodosyn] New Drug
10122032510 CARDENE-NACL 40 MG/200 ML IV New Strength
00069020101 Cladribine 10 mg/10 ml vial New Drug
55292081155 COSMEGEN 0.5 MG VIAL New Drug
00006057362 CRIXIVAN 400mg, 180 CAPSULE BOTTLE New Packaging
55292010201 DESOXYN 5 MG TABLET New Manufacturer
67457020725 Dexrazoxane 500 mg vial New Drug
66490065020 DIASTAT 2.5 MG PEDI SYSTEM New Drug and Strength
00187065920 DIASTAT ACUDIAL 12.5-15-20 MG New Drug and Strength
00187065820 DIASTAT ACUDIAL 5-7.5-10 MG KT New Drug and Strength
49281022558 DIPHTHERIA-TETANUS TOXOIDS-PED New Drug
00093553756 Eszopiclone 1 mg tablet [Lunesta] New Drug and Strength
68180032301 Eszopiclone 2 mg tablet [Lunesta] New Drug and Strength
68180032401 Eszopiclone 3 mg tablet [Lunesta] New Drug and Strength
40076005100 EXTINA 2% FOAM New Manufacturer
44001032107 FACTIVE 320 MG TABLET New Drug
00006422930 GRASTEK 2;800 BAU SL TABLET New Drug
43068022001 HETLIOZ 20 MG CAPSULE New Drug
62756021840 IBANDRONATE 3 MG/3 ML VIAL New Manufacturer and Strength
00074302313 K-TAB ER 20 MEQ TABLET New Strength
13551010105 KARBINAL ER SUS 4MG/5ML New Drug
24987007501 KAYEXALATE POWDER New Drug
16714040801 LARIN 21 1-20 tablet New Drug
16714040604 LARIN FE 1-20 TABLET New Drug and Strength
16714040504 LARIN FE 1.5-30 TABLET New Drug and Strength
68308022101 Lorcet 5-325 mg tablet New Manufacturer and Strength
68308022301 Lorcet hd 10-325 mg tablet New Drug
50474093201 Lortab 10-325 mg tablet New Strength
50474093001 Lortab 5-325 mg tablet New Strength
50474093101 Lortab 7.5-325 mg tablet New Strength
63323012250 Methotrexate 1 gm vial New Strength
00703367101 Methotrexate 25 mg/ml vial New Manufacturer
00378557393 Modafinil 100 mg tablet New Packaging
00115147154 MOMETASONE FUROATE 0.1% SOLN New Manufacturer and Delivery Form
00409189011 Morphine 2 mg/ml isecure syr New Manufacturer and Strength
00409189111 Morphine 4 mg/ml isecure syr New Manufacturer and Strength
00093738756 MOXIFLOXACIN HCL 400 MG TABLET New Drug
00259110260 NAFTIN 2% CREAM New Delivery Form
60505405803 Nevirapine er 400 mg tablet New Manufacturer and Strength
57664013560 Nimodipine 30 mg capsule New Manufacturer
52544025928 NORINYL 1+35-28 TABLET 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK New Drug
66302030001 ORENITRAM ER 0.125 MG TABLET New Drug and Strength
66302030201 ORENITRAM ER 0.25 MG TABLET New Drug and Strength
66302031001 ORENITRAM ER 1 MG TABLET New Drug and Strength
66302032501 ORENITRAM ER 2.5 MG TABLET New Drug and Strength
59572063027 OTEZLA 10-20-30MG New Manufacturer and Strength
59572063106 OTEZLA 30 MG TABLET New Manufacturer and Strength
55292060101 PEGANONE 250 MG TABLET New Manufacturer
00085130401 PEGINTRON 120 MCG KIT per CARTON New Drug and Strength
00085127901 PEGINTRON 150 MCG KIT per CARTON New Drug and Strength
00085129101 PEGINTRON 80 MCG KIT per CARTON New Drug and Strength
00006542030 RAGWITEK SUBLINGUAL TABLET New Drug
00093729001 Raloxifene HCl 60 mg tablet [Evista] New Drug
68382042306 RANITIDINE HCL 150 MG/6 ML VL New Manufacturer and Strength
68180028501 RIFABUTIN 150 MG CAPSULE New Drug
00378290177 Telmisartan-HCTZ 40-12.5 mg tablet New Drug and Strength
00378290277 Telmisartan-HCTZ 80-12.5 mg tablet New Drug and Strength
00378290377 Telmisartan-HCTZ 80-25 mg tablet New Drug and Strength
55292030301 TRANXENE T-TAB 15 MG New Manufacturer
55292030101 TRANXENE T-TAB 3.75 MG New Manufacturer
55292030201 TRANXENE T-TAB 7.5 MG New Manufacturer
00187014210 VASOTEC 10 MG TABLET New Manufacturer
00187014190 VASOTEC 5 MG TABLET New Manufacturer
00093304301 VERAPAMIL ER 120 MG TABLET New Strength
63323027810 VINBLASTINE 1 MG/ML VIAL New Drug
23635011501 XARTEMIS XR 7.5-325 MG TABLET New Drug
00378334053 Xulane Patch New Drug
You can review any Medicare plan formulary using the on this site FormularyBrowser at on this site or compare how any medication is covered on all Medicare plans in your service area using our on this site.