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August 2023 Medicare Drug List Updates: Sixty-three (63) medications added to the 2023 Medicare Part D Drug plan formularies.

Category: Monthly Formulary changes
Published: Sep, 06 2023 02:09:09


The August 2023 Medicare Part D prescription drug plan formulary (drug list) data is now online and included in our Formulary Browser and Q1Rx Drug Finder.

The August formulary updates include the addition of 94 new National Drug Codes (NDCs), representing 63 different prescription drugs, many with multiple strengths.

The formulary updates impact both stand-alone Medicare Part D plans (PDPs) and Medicare Advantage plans with drug coverage (MAPDs).


Highlights of the August 2023 Formulary updates include ten (10) newly-introduced brand-name drugs

The August drug data updates include thirty-nine (39) new brand-name drugs, ten (10) of which are newly introduced brand-name drugs, some with multiple strengths. These drugs include:
  • ABILIFY ASIMTUFII®,
  • AUGMENTIN ES®,
  • CUVRIOR®,
  • FILSPARI®,
  • REZVOGLAR®,
  • ROTAVIRUS VACCINE®,
  • UZEDY®,
  • VOWST®,
  • XELSTRYM®, and
  • ZOKINVY®.

The August 2023 Formulary updates include five (5) newly-added generic drugs

The August Medicare Part D drug data also includes twenty-four (24) new generic medications, five (5) of which are newly-introduced generic drugs.  These new generic drugs include:
  • BASAGLAR [SEMGLEE®],
  • KCL-D5W-NACL IV SOLN,
  • TRAMADOL HCL [QDOLO®],
  • TRIAZOLAM [HALCION®], and
  • VANCOMYCIN [FIRVANQ®].
Please note that these new generic and brand-name drugs are not available on all Medicare Part D or Medicare Advantage drug plans - and you can review the chart to see the (often limited) number of plan formularies that now include these drugs.


Reminders about Medicare prescription drug plan formulary changes
  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. In most cases, your Medicare Part D plan will notify you if the plan drops a medication you are currently using.

Good to know: What is the NDC?

The NDC or National Drug Code is used to uniquely identify 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 drug manufacturer, the second set of number identifies the product and strength, and the third set of numbers identifies the packaging.  You can read more here: Q1FAQ.com/155


Summary of August 2023 NDC changes

There are many reasons for NDCs to be added to the Medicare Part D program, a summary for all 94 new August 2023 NDCs is as follows:

Reason for NDC Addition Occurrences
New Delivery Form 10
New Delivery Form and Strength 3
New Drug 23
New Drug and Strength 31
New Drug, Manufacturer and Strength 2
New Manufacturer and Delivery Form 4
New Manufacturer and Strength 9
New Manufacturer, Strength and Delivery Form 2
New Strength 10
Grand Total 94

The following chart details the 94 new manufacturer / drug-strength / packaging combinations (NDCs) that were added to one or more Medicare Part D formularies in the most recent updates -- as you will notices, some drugs are only covered by a few Medicare plans.

You can click on the Drug Name below to go to our Q1Medicare.com Drug Finder (Q1Rx.com) and see the details of how this drug is covered by all Medicare Part D plans (PDPs) in Florida (our example state).  You can then change the state in our search form for details of drug coverage in your service area.


NDC Drug Name Number of
PDP Formularies*
Number of
MAPD Formularies*
Notes
59148010280ABILIFY ASIMTUFII 720 MG/2.4ML SUSER SYRINGE33188New Drug and Strength
59148011480ABILIFY ASIMTUFII 960 MG/3.2ML SUSER SYRINGE33188New Drug and Strength
00078073610ALOMIDE 0.1% EYE DROPS283New Drug
55513041301AMJEVITA(CF) 10MG/0.2ML SYRINGE742New Strength
28595024035AUGMENTIN 125-31.25 MG/5 ML ORAL SUSPENSION1465New Drug and Strength
81964000354AUGMENTIN ES-600 ORAL SUSPENSION05New Drug and Strength
68546047156AUSTEDO XR 12 MG TABLET ER 24H15254New Strength
68546047256AUSTEDO XR 24 MG TABLET ER 24H15254New Strength
68546047056AUSTEDO XR 6 MG TABLET ER 24H15254New Strength
82584030703AZASITE 1% EYE DROPS3138New Drug
52536060012BACLOFEN 25 MG/5 ML ORAL SUSPENSION [FLEQSUVY]05New Drug
00002821405BASAGLAR TEMPO PEN 100 UNIT/ML INSULIN PEN[Semglee]426New Drug
82584000105BETIMOL 0.25% EYE DROPS447New Drug and Strength
82584000205BETIMOL 0.5% EYE DROPS447New Drug and Strength
49884015154BISMUTH-METRO-TETR 140-125-125 CAPSULE [Pylera]1297New Drug
45802062786BUDESONIDE 2 MG RECTAL FOAM/APPL [UCERIS Rectal]1113New Drug
74528006001BYLVAY 600 MCG PELLET DSP CP279New Strength
72888011801CEVIMELINE HCL 30 MG CAPSULE [Evoxac]20300New Drug
82584060401COSOPT PF EYE DROPS DROPERETTE02New Drug and Strength
82584060510COSOPT EYE DROPS12New Drug and Strength
81802000172CUVRIOR 300 MG TABLET319New Drug
00713088660DAPSONE 5% GEL [Aczone]428New Manufacturer and Strength
16729043445DAPTOMYCIN 350 MG VIAL [Cubicin RF]33257New Manufacturer and Strength
00009737611DEPO-PROVERA 150 MG/ML SYRINGE12New Drug
00078086225DUREZOL 0.05% EYE DROPS852New Drug
71288041181ENOXAPARIN 120 MG/0.8 ML SYRINGE [Lovenox]62391New Manufacturer and Strength
71288041183ENOXAPARIN 150 MG/ML SYRINGE [Lovenox]62391New Manufacturer and Strength
00548560100ENOXAPARIN 30 MG/0.3 ML SYRINGE [Lovenox]62391New Strength
71288041083ENOXAPARIN 40 MG/0.4 ML SYRINGE [Lovenox]62391New Manufacturer and Strength
71288041087ENOXAPARIN 80 MG/0.8 ML SYRINGE [Lovenox]62391New Manufacturer and Strength
68974020030FILSPARI 200 MG TABLET568New Drug and Strength
68974040030FILSPARI 400 MG TABLET568New Drug and Strength
54838052340FLUOXETINE 20 MG/5 ML SOLUTION [Prozac]62391New Manufacturer, Strength and Delivery Form
50742036630GEFITINIB 250 MG TABLET [Iressa]62389New Drug
00078096589GILENYA 0.25 MG CAPSULE20171New Strength
00002821305HUMALOG TEMPO PEN 100 UNIT/ML INSULN PEN2248New Manufacturer and Delivery Form
51167077001KALYDECO 13.4 MG GRANULES PACKET57376New Strength
65219014210KCL 10 MEQ/L-D5W-0.45% NACL IV SOLUTION55315New Drug and Strength
65219014410KCL 20 MEQ/L-D5W-0.45% NACL IV SOLUTION57328New Drug and Strength
65219011810KCL 20 MEQ/L-D5W-0.9% NACL IV SOLUTION33288New Drug and Strength
65219014610KCL 30 MEQ/L-D5W-0.45% NACL IV SOLUTION55316New Drug and Strength
65219014810KCL 40 MEQ/L-D5W-0.45% NACL IV SOLUTION55313New Drug and Strength
65219011910KCL 40 MEQ/L-D5W-0.9% NACL IV SOLUTION33285New Drug and Strength
55513050450LUMAKRAS 320 MG TABLET62391New Strength
00002823505LYUMJEV TEMPO PEN 100 UNIT/ML INSULIN PEN2137New Delivery Form
00078116147MEKINIST 0.05 MG/ML SOLUTION RECON62390New Delivery Form
70954022810METHSUXIMIDE 300 MG CAPSULE [Celontin]62387New Drug
51672137606NAFTIFINE HCL 2% GEL [Naftin]862New Delivery Form
00071201247NEURONTIN 250 MG/5 ML SOLUTION12New Delivery Form and Strength
70505022060NITISINONE 20 MG CAPSULE [Orfadin]55293New Manufacturer and Strength
00472199208NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [Furadantin]1892New Drug
00074234030NORVIR 100 MG TABLET25New Delivery Form
66302036256ORENITRAM MONTH 2 TITRATION KIT ER DSPK8101New Delivery Form
66302036128ORENITRAM MONTH 1 TITRATION KIT ER DSPK8101New Delivery Form
66302036384ORENITRAM MONTH 3 TITRATION KIT ER DSPK8101New Delivery Form
55494058090OSPHENA 60 MG TABLET14147New Drug
62559032580PANDEL 0.1% CREAM (G)117New Drug
55111066430PARICALCITOL 2 MCG CAPSULE [Zemplar]62381New Manufacturer and Strength
00054044949POSACONAZOLE 200 MG/5 ML ORAL SUSPENSION [Noxafil]42335New Manufacturer, Strength and Delivery Form
52817011710PRIMIDONE 125 MG TABLET61332New Drug
00002898005REZVOGLAR 100 UNIT/ML INSULN KWIKPEN011New Drug
58160074002Rotavirus Vaccine, Live, Oral62385New Drug
00078115421TAFINLAR 10 MG TABLET FOR SUSPENSION62390New Delivery Form and Strength
00409656220TESTOSTERONE CYP 2,000 MG/10ML VIAL [Virilon]62386New Drug, Manufacturer and Strength
00574082001TESTOSTERONE CYP 200 MG/ML VIAL [Virilon]62385New Drug, Manufacturer and Strength
10370036811TOPIRAMATE ER 200 MG CAPSULE 24H [Trokendi XR]427New Manufacturer and Strength
52817061516TRAMADOL HCL 5 MG/ML SOLUTION [QDOLO]017New Drug
70710152101TRIAZOLAM 0.125 MG TABLET [Halcion]7114New Drug and Strength
70710128901TRIAZOLAM 0.25 MG TABLET [Halcion]4110New Drug and Strength
51167044601TRIKAFTA 100-50-75 MG/75MG GRANULES PACKET SQ24280New Delivery Form
51167044501TRIKAFTA 80-40-60MG/59.5MG GRANULES PACKET SQ24280New Delivery Form
65597040720TURALIO 125 MG CAPSULE62391New Strength
70114012001UDENYCA 6 MG/0.6 ML AUTO-INJECTOR16199New Delivery Form
51759052010UZEDY ER 100 MG/0.28 ML SYRINGE28166New Drug and Strength
51759063010UZEDY ER 125 MG/0.35 ML SYRINGE28166New Drug and Strength
51759074010UZEDY ER 150 MG/0.42 ML SYRINGE28166New Drug and Strength
51759085010UZEDY ER 200 MG/0.56 ML SYRINGE28166New Drug and Strength
51759096010UZEDY ER 250 MG/0.7 ML SYRINGE28166New Drug and Strength
51759030510UZEDY ER 50 MG/0.14 ML SYRINGE28166New Drug and Strength
51759041010UZEDY ER 75 MG/0.21 ML SYRINGE28166New Drug and Strength
52536010405VANCOMYCIN 25 MG/ML ORAL SOLUTION RECON [FIRVANQ]5153New Drug
65219019030VORICONAZOLE 200 MG VIAL [VFEND]62391New Manufacturer and Delivery Form
71881040012VOWST CAPSULE257New Drug
68968021503XELSTRYM 13.5 MG/9 HR PATCH03New Drug and Strength
68968022003XELSTRYM 18 MG/9 HR PATCH03New Drug and Strength
68968020503XELSTRYM 4.5 MG/9 HR PATCH03New Drug and Strength
68968021003XELSTRYM 9 MG/9 HR PATCH03New Drug and Strength
82584060930ZIOPTAN 0.0015% EYE DROP DROPERETTE145New Drug
73079005030ZOKINVY 50 MG CAPSULE34130New Drug and Strength
73079007530ZOKINVY 75 MG CAPSULE34130New Drug and Strength
60846238303ZOMIG 2.5 MG TABLET04New Manufacturer and Delivery Form
60846238404ZOMIG 5 MG TABLET04New Manufacturer and Delivery Form
00338963224ZOSYN 2.25 GM/50 ML GALAXY BAG FROZ.PIGGY1140New Drug
00009513604ZYVOX 100 MG/5 ML ORAL SUSPENSION13New Delivery Form and Strength




If your brand-name drug is no longer covered by your Medicare Part D plan, you can use the 30-day notice period (if notice is provided) to:
  • Ask your prescriber about trying the generic.

  • Check for an alternative formulary drug.

  • Ask your plan to cover a non-formulary drug. 
    You will need to work with your doctor or prescriber to explain why you are not able to use the generic medication or why no other formulary drug is acceptable.  If your formulary exception is denied, you have the right to appeal your plan’s decision.

  • Consider using a Special Enrollment Period and move to another Medicare plan that provides coverage of all your prescription and health needs.
Learn more in our article: How a mid-year formulary change can affect your Medicare Part D drug coverage.

Our online Formulary Browser and Drug Finder

You can review any Medicare plan formulary using the Q1Medicare.com Formulary Browser 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: Q1Rx.com.







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