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July 2017 summary of the new medications added to Medicare Part D prescription drug plan formularies (drug lists)

Monthly Formulary changes · published Jul 17, 2017

The July, 2017 Medicare Part D plan formulary data (or drug list updates) includes the addition of 114 new National Drug Codes (NDCs) to the Medicare Part D program.  These NDCs represent 70 different drugs, many with multiple strengths.

Two new generic equivalents were added, Lopinavir-Ritonavir, the generic for Kaletra (r), and a new strength of Glyburide/Metformin, the generic for Glucovance (r).

What exactly is an NDC?
As a reminder, the NDC uniquely identifies a particular drug, manufacturer, strength, and packaging combination. The NDC for your medication 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.

Why is there a new NDC?
New NDCs can be added to the Medicare Part D program for a number of reasons and a summary for all 43 new medications is as follows:

Reason for NDC Addition Occurrences
New Delivery Form and Strength 1
New Drug 16
New Drug and Strength 38
New Manufacturer 11
New Manufacturer and Delivery Form 1
New Manufacturer and Strength 24
New Manufacturer, Strength and Delivery Form
 2
New Packaging 4
New Strength 17
Total New NDCs 114

More about the newly added NDCs...
The following chart details the first 114 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) 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
64764015104ACTOS 15 MG TABLETNew Packaging
64764030114ACTOS 30 MG TABLETNew Packaging
64764045124ACTOS 45 MG TABLETNew Packaging
52427049601ADALAT CC 90 MG TABLETNew Manufacturer and Strength
69639010101AKYNZEO 300-0.5 MG CAPSULENew Drug
65862032730ALENDRONATE SODIUM 10 MG TABLETNew Manufacturer and Strength
00115168008ALENDRONATE SODIUM 40 MG TABLETNew Manufacturer and Strength
00115167608ALENDRONATE SODIUM 5 MG TABLETNew Manufacturer and Strength
00409416405AMINOSYN II 10% IV SOLUTIONNew Strength
00023590118ASACOL HD DR 800 MG TABLETNew Drug
65162059606Aspirin-Diphenhydramine ER 25-200 MGNew Drug
60842002201AUVI-Q 0.15 MG AUTO-INJECTORNew Drug and Strength
60842002301AUVI-Q 0.3 MG AUTO-INJECTORNew Drug and Strength
00781194133Azithromycin 500 mg tabletNew Strength
70515010510BETAPACE AF 80 MG TABLETNew Strength
51862053801BUTALBITAL/ACETAMINOPHEN 50-300 tabNew Manufacturer and Strength
23155062102Calcium Acetate 667 mg tabletNew Manufacturer
00187079630CARDIZEM CD 180 MG CAPSULENew Strength
43538017069CLINDACIN PAC KITNew Drug
00527172791CODEINE SULFATE 15 mg tabletNew Drug and Strength
00527169801CODEINE SULFATE 30 mg tabletNew Drug and Strength
00527169901CODEINE SULFATE 60 mg tabletNew Drug and Strength
62756052926Desmopressin ac 4 mcg/ml vialNew Manufacturer and Strength
68180059306Desvenlafaxine Succinate ER 100 mg [Pristiq]New Drug and Strength
00591406030Desvenlafaxine Succinate ER 25 mg tb [Pristiq]New Drug and Strength
68180059206Desvenlafaxine Succinate ER 50 mg tb [Pristiq]New Drug and Strength
42998050203EMFLAZA 18 MG TABLETNew Drug and Strength
42998050521EMFLAZA 22.75 MG/ML ORAL SUSPNew Drug and Strength
42998050303EMFLAZA 30 MG TABLETNew Drug and Strength
42998050403EMFLAZA 36 MG TABLETNew Drug and Strength
42998050101EMFLAZA 6 MG TABLETNew Drug and Strength
00115169549EPINEPHRINE 0.15 MG AUTO-INJECTNew Manufacturer
00115169449EPINEPHRINE 0.3 MG AUTO-INJECTNew Manufacturer
49502010202EPINEPHRINE 0.3 MG AUTO-INJECTNew Strength
51862029510FABIOR 0.1% FOAMNew Drug
43068011202FANAPT 12 MG TABLETNew Strength
00713022360Fluocinolone 0.01% creamNew Drug and Strength
00713032460Fluocinolone 0.025% creamNew Drug and Strength
52565001760Flurandrenolide 0.05% ointment [Cordran]New Manufacturer and Delivery Form
64980016905Hydroxyzine pam 25 mg capNew Manufacturer and Strength
64980017005Hydroxyzine pam 50 mg capNew Manufacturer and Strength
00338051914INTRALIPID 20% IV FAT EMULNew Drug and Strength
00338052013INTRALIPID 30% IV FAT EMULNew Drug and Strength
00085435001INTRON A 10 MILLION UNITS VIALNew Strength
00054025513Irbesartan-hctz 300-12.5 mg tb [Avalide]New Manufacturer and Strength
00078086001KISQALI 200 MG DAILY DOSENew Drug and Strength
00078086742KISQALI 400 MG DAILY DOSENew Drug and Strength
00078087463KISQALI 600 MG DAILY DOSENew Drug and Strength
66758017001KLOR-CON M10 tabletNew Drug and Strength
66758019005KLOR-CON M20 tabletNew Drug and Strength
70688050201KYNAMRO 200 MG/ML SYRINGENew Drug
60505250301Leflunomide 20 mg tabletNew Strength
00093414864Levalbuterol conc 1.25 mg/0.5New Packaging
00143957401Levetiracetam 500 mg/5 ml vialNew Manufacturer
00456120330LINZESS 72 MCG CAPSULENew Strength
68180050201Meloxicam 15 mg tabletNew Drug and Strength
68180050101Meloxicam 7.5 mg tabletNew Drug and Strength
49281048901MENOMUNE-A/C/Y/W-135 VIALNew Drug
23155010205Metformin hcl 500 mg tabletNew Manufacturer
00406182001Methylphenidate er 20 mg capNew Manufacturer
51862026301Methylphenidate er 20 mg capNew Manufacturer
00406184001Methylphenidate er 40 mg capNew Manufacturer
51862026501Methylphenidate er 40 mg capNew Manufacturer
51862026730Methylphenidate la 60 mg capNew Manufacturer
63323026530Methylprednisolone 125 mg vialNew Manufacturer and Strength
00781313670Methylprednisolone 40 mg/ml vlNew Manufacturer
00781313775Methylprednisolone 80 mg/ml vlNew Strength
68180091113MIBELAS 24 Fe chewable tabletNew Drug
75987009011Migergot suppositoryNew Drug
57237001106Mirtazapine 15 mg odtNew Manufacturer and Strength
65862002306Mirtazapine 45 mg odtNew Strength
65862056790Montelukast sod 4 mg tab chew [Singulair]New Manufacturer and Strength
65862056890Montelukast sod 5 mg tab chew [Singulair]New Manufacturer and Strength
66689003204MORPHINE SULFATE 10 mg/5 ml solnNew Manufacturer, Strength and Delivery Form
00406800312MORPHINE SULFATE 100 mg/5 ml solnNew Delivery Form and Strength
66689003304MORPHINE SULFATE 20 mg/5 ml solnNew Manufacturer, Strength and Delivery Form
00115164301NITROFURANTOIN MACROCRYSTALLINE 50 mg capNew Manufacturer and Strength
52544007101NORCO 5-325 TABLETNew Strength
00703334301OCTREOTIDE 1,000 mcg/ml vialNew Drug and Strength
00703331101OCTREOTIDE ACETATE 100 mcg/ml ampNew Drug and Strength
00703333301OCTREOTIDE ACETATE 200 mcg/ml vlNew Drug and Strength
00703330101OCTREOTIDE ACETATE 50 mcg/ml ampNew Drug and Strength
00703332101OCTREOTIDE ACETATE 500 mcg/ml ampNew Drug and Strength
60505008402Paroxetine hcl 30 mg tabletNew Manufacturer and Strength
55292060201PEGANONE 250 MG TABLETNew Drug
00603154258Potassium cl 10% (20 meq/15 ml)New Manufacturer and Strength
00603154358Potassium cl 20% (40 meq/15 ml)New Manufacturer and Strength
00781572005POTASSIUM CL ER 20 MEQ TABLETNew Manufacturer and Strength
00781571010POTASSIUM CHLORIDE 750MG EXTENDED RELEASE TABLETSNew Manufacturer and Strength
60846088201PRANDIN 1 MG TABLETNew Manufacturer and Strength
42799081201Prednisolone 10 mg/5 ml solnNew Manufacturer and Strength
42799081301Prednisolone 20 mg/5 ml solnNew Manufacturer and Strength
24090068388PRIMLEV 10-300 MG TABLETNew Drug and Strength
24090068188PRIMLEV 5-300 MG TABLETNew Drug and Strength
24090068288PRIMLEV 7.5-300 MG TABLETNew Drug and Strength
00378018701Propranolol 60 mg tabletNew Strength
50222020310PROTOPIC 0.03% OINTMENTNew Drug and Strength
50222021110PROTOPIC 0.1% OINTMENTNew Drug and Strength
49702021326RETROVIR 200 MG/20 ML VIALNew Strength
54766009306RIDAURA 3 MG CAPSULENew Drug
15370013010RYVENT 6 MG TABLETNew Drug
49702023308SELZENTRY 25 MG TABLETNew Strength
49702023508SELZENTRY 75 MG TABLETNew Strength
43538090012SYNALAR 0.025% CREAM KITNew Drug
00378048601Theophylline er 400 mg tabletNew Manufacturer and Strength
00378048701Theophylline er 600 mg tabletNew Manufacturer and Strength
00023590412TRELSTAR 11.25 MG SYRINGENew Drug and Strength
00023590204TRELSTAR 3.75 MG SYRINGENew Drug and Strength
70199001330TRIGLIDE 160 MG TABLETNew Drug
00603624021Trihexyphenidyl 2 mg tabletNew Strength
00074316290TRILIPIX DR 135 MG CAPSULENew Drug and Strength
00074316190TRILIPIX DR 45 MG CAPSULENew Drug and Strength
70183012584XERMELO 250 MG TABLETNew Drug
00143964201Zoledronic acid 4 mg/5 ml vial [Zometa]New Drug

Looking for a way to review any Medicare Part D plan formulary?
You can review any Medicare plan formulary using the on this site FormularyBrowser at FormularyBrowser.com or compare how any medication is covered on all Medicare plans in your service area using our on this site.
*Please remember that a Medicare prescription drug plan can change their plan's formulary at any time throughout the year (adding or dropping drugs) and you can telephone your Medicare plan's Member Services department to learn about the most recent formulary changes - the toll-free number for Member Services is found on your Member ID card.