Count of 2016 Formularies covering the Top 10 Medicare Drugs Program wide | ||||||||||||
Formulary Count* | ||||||||||||
NDC | Drug Name | 2013 End** | 2014 End** | 2015 Start** | 2015 End** | 2016 Start** | April | May | June | July | Aug. | |
00430047203 | ACTONEL 35 MG 36 DOSE PACK | 233 | 248 | 140 | 148 | 39 | 39 | 39 |
38 | 37 | ||
64764030115 | ACTOS 30MG/1 TABLET (90 CT) | 214 | 75 | 32 | 35 | 22 | 23 | 23 |
23 | 23 | ||
00173069600 | ADVAIR DISKUS MIS 250/50 | 307 | 347 | 313 | 353 | 344 | 341 | 342 | 346 | 348 | ||
63304082790 | ATORVASTATIN 10 MG TABLET [Lipitor] | 316 | 364 | 350 | 394 | 377 | ||||||
00378395009 | ATORVASTATIN 10 MG TABLET [Lipitor] | 377 | 378 |
383 | 385 | |||||||
00378362777 | CLOPIDOGREL TAB 75MG [Plavix] | 315 | 364 | 350 | ||||||||
55111019630 | CLOPIDOGREL TAB 75MG [Plavix] | 394 | ||||||||||
00093731456 | CLOPIDOGREL TAB 75MG [Plavix] | 377 | 377 | 378 |
383 | 385 | ||||||
00078031534 | DIOVAN HCT 160/12.5MG TABLET | 185 | 80 | 47 | 50 | 28 | 29 | 29 |
29 | 29 | ||
00093585101 | ESCITALOPRAM 10 MG TABLET [Lexapro] | 315 | 363 | 349 | 385 | 377 | 377 | 378 |
383 | 385 |
||
47335050944 | ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium] | 253 | 235 | 285 | ||||||||
62756050944 | ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium] | 285 | 288 | 302 | 302 |
300 | 302 | |||||
00088222033 | LANTUS 100U/ML VIAL | 309 | 350 | 338 | 382 | 363 | 363 | 364 |
369 | 371 | ||
00456201001 | LEXAPRO 10MG TABLET | 92 | 55 | 31 | 45 | 20 | 26 | 26 |
26 | 26 | ||
00071015523 | LIPITOR 10MG TABLET | 68 | 43 | 28 | 30 | 20 | 21 | 21 |
21 | 21 | ||
00186504054 | NEXIUM 40MG CAPSULE | 198 | 211 | 156 | 206 | 84 | 98 | 98 |
99 | 98 | ||
00378022893 | PIOGLITAZONE HCL 30 MG TABLET [Actos] | 310 | 364 | 350 | 394 | 377 | 377 | 378 |
383 | 385 | ||
63653117105 | PLAVIX 75MG TABLET | 109 | 48 | 31 | 34 | 19 | 20 | 20 |
20 | 20 | ||
47335090288 | QUETIAPINE FUMARATE 25 MG TAB [SEROQUEL] | 316 | 364 | 350 | 394 | 377 | 377 | 378 |
383 | 385 | ||
00591207539 | RISEDRONATE SODIUM 35 MG TABLET [Actonel] | 195 | 238 | 239 |
240 | 243 | ||||||
00093309844 | RISEDRONATE SODIUM 35 MG TABLET [Actonel] | 220 | 211 | 238 | 239 |
243 | 246 | |||||
47335066868 | RISEDRONATE SODIUM 35 MG TABLET [Actonel] | 213 | 214 |
220 | 223 | |||||||
00310027510 | SEROQUEL 25MG TABLET | 112 | 54 | 29 | 43 | 20 | 26 | 26 |
26 | 26 | ||
00378632205 | VALSARTAN-HCTZ 160-12.5 MG TAB [Diovan HCT] | 297 | 343 | 332 | 388 | 368 | 369 | 370 |
374 | 376 |