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May 2015 Summary of the Most Recent Updates for the Medicare Part D Plan Formularies (Drug Lists)

Monthly Formulary changes · published May 20, 2015

The most recent (May 2015) Medicare Part D plan formulary data (or drug lists) updates include the addition of 82 new National Drug Codes (NDC) to the Medicare Part D program.  These represent 45 different drugs, many with multiple strengths.

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 Delivery Form and Strength 1
New Drug 13
New Drug and Package Size
 4
New Drug and Strength 32
New Drug, Manufacturer and Strength 6
New Manufacturer and Strength 10
New Package Size
 4
New Strength 11
Total New NDCs 82

The following 82 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
59148004580 ABILIFY MAINTENA ER 300 MG SYR New Delivery Form
59148007280 ABILIFY MAINTENA ER 400 MG SYR New Delivery Form and Strength
16252052501 ACARBOSE 100 MG TABLET New Manufacturer and Strength
64980016101 BETHANECHOL CHLORIDE 10mg/1 New Manufacturer and Strength
64980016001 BETHANECHOL CHLORIDE 5mg/1 New Manufacturer and Strength
00187204630 CARDIZEM LA 180 MG TABLET New Strength
65862003520 Cefuroxime Axetil 500mg/1 New Manufacturer and Strength
55111019630 CLOPIDOGREL 75 MG TABLET [Plavix] New Strength
00143970001 Cortisone 25 MG Tablet New Drug
00078063941 COSENTYX 300 MG DOSE-2 PENS New Drug
00093555101 DEXMETHYLPHENIDATE ER 10 MG CAP New Strength
00074301207 DUOPA 4.63 MG-20 MG/ML SUSPENSION New Drug
60631008030 EDARBI 80 MG TABLET New Strength
60631042530 EDARBYCLOR 40-25 MG TABLET New Strength
62935022205 ELIGARD 22.5 MG SYRINGE New Drug and Strength
62935030230 ELIGARD 30 MG SYRINGE New Drug and Strength
62935045245 ELIGARD 45 MG SYRINGE New Drug and Strength
62935075275 ELIGARD 7.5 MG SYRINGE New Drug and Strength
64679078102 ENTACAPONE 200 MG TABLET [Comtan Entacapone] New Drug
00093645098 ESOMEPRAZOLE MAG DR 20 MG CAPSULE [Nexium] New Manufacturer and Strength
24338002110 EVEKEO 10 MG TABLET New Drug and Strength
24338002010 EVEKEO 5 MG TABLET New Drug and Strength
00003364111 EVOTAZ 300 MG-150 MG TABLET New Drug
00310620530 FARXIGA 5 MG TABLET New Strength
00603761017 Gildess 24 fe 1-20 Tablet New Strength
58181304005 GLEOSTINE 10 MG CAPSULE New Drug and Strength
58181304205 GLEOSTINE 100 MG CAPSULE New Drug and Strength
58181304105 GLEOSTINE 40 MG CAPSULE New Drug and Strength
00597018230 GLYXAMBI 10 MG-5 MG TABLET New Drug and Strength
00597016430 GLYXAMBI 25 MG-5 MG TABLET New Drug and Strength
16714008105 Hydroxyzine Hydrochloride 10mg/1 500 TABLET BOTTLE New Manufacturer and Strength
00378258801 Hydroxyzine Hydrochloride 50mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC New Manufacturer and Strength
00069018821 IBRANCE 100 MG CAPSULE New Drug and Strength
00069018921 IBRANCE 125 MG CAPSULE New Drug and Strength
00069018721 IBRANCE 75 MG CAPSULE New Drug and Strength
00115152808 Lamotrigine ODT 100 MG Tablet New Drug, Manufacturer and Strength
00115152908 Lamotrigine ODT 200 MG Tablet New Drug, Manufacturer and Strength
00115152608 Lamotrigine ODT 25 MG Tablet New Drug, Manufacturer and Strength
00115152708 Lamotrigine ODT 50 MG Tablet New Drug, Manufacturer and Strength
62756051183 LETROZOLE 2.5mg/1 New Drug
69238125206 LOPREEZA 0.5 MG-0.1 MG TABLET New Drug and Strength
69238125106 LOPREEZA 1 MG-0.5 MG TABLET New Drug and Strength
68001022400 LOVASTATIN 20 MG TABLET New Manufacturer and Strength
63481081560 OPANA ER 15 MG TABLET New Strength
63481081360 OPANA ER 7.5 MG TABLET New Strength
64950035450 OXYCODONE HCL 5 MG/5 ML Solution New Manufacturer and Strength
00065427325 PAZEO 0.7% EYE DROPS New Drug
10572010001 PEG-3350 AND ELECTROLYTES SOLN New Drug
59676057530 PREZCOBIX 800 MG-150 MG TABLET New Drug
51991081901 PROPRANOLOL ER 120 MG CAPSULE New Drug, Manufacturer and Strength
51991082001 PROPRANOLOL ER 160 MG CAPSULE New Drug, Manufacturer and Strength
00228277950 Propranolol Hydrochloride 80mg/1 500 CAPSULE, EXTENDED RELEASE in 1 BOTTLE New Manufacturer and Strength
59310020606 QNASL CHILDREN'S 40 MCG SPRAY New Strength
67253058042 RHEUMATREX 2.5 MG TABLET 8 EA New Drug and Package Size
67253058043 RHEUMATREX 2.5 MG TABLET 12 EA New Drug and Package Size
67253058044 RHEUMATREX 2.5 MG TABLET 16 EA New Drug and Package Size
67253058045 RHEUMATREX 2.5 MG TABLET 20 EA New Drug and Package Size
64896066143 RYTARY ER 23.75 MG-95 MG CAP New Package Size
64896066243 RYTARY ER 36.25 MG-145 MG CAP New Package Size
64896066343 RYTARY ER 48.75 MG-195 MG CAP New Package Size
64896066443 RYTARY ER 61.25 MG-245 MG CAP New Package Size
00078064161 SIGNIFOR LAR 20 MG VIAL New Drug and Strength
00078064261 SIGNIFOR LAR 40 MG VIAL New Drug and Strength
00078064361 SIGNIFOR LAR 60 MG VIAL New Drug and Strength
24338053025 SOTYLIZE 5 MG/ML ORAL SOLUTION New Drug
00187212010 SYPRINE 250 MG CAPSULE New Drug
67857080619 Trianex 0.05% Ointment New Drug
42023012006 Triostat 10ug/mL 6 VIAL in 1 CARTON / 1 mL in 1 VIAL New Drug
60846080501 UNITHROID 100 MCG TABLET New Drug and Strength
60846080601 UNITHROID 112 MCG TABLET New Drug and Strength
60846080701 UNITHROID 125 MCG TABLET New Drug and Strength
60846080901 UNITHROID 150 MCG TABLET New Drug and Strength
60846081001 UNITHROID 175 MCG TABLET New Drug and Strength
60846081101 UNITHROID 200 MCG TABLET New Drug and Strength
60846080101 UNITHROID 25 MCG TABLET New Drug and Strength
60846081201 UNITHROID 300 MCG TABLET New Drug and Strength
60846080201 UNITHROID 50 MCG TABLET New Drug and Strength
60846080301 UNITHROID 75 MCG TABLET New Drug and Strength
60846080401 UNITHROID 88 MCG TABLET New Drug and Strength
61958130201 VITEKTA 150 MG TABLET New Drug and Strength
61958130101 VITEKTA 85 MG TABLET New Drug and Strength
54123098630 ZUBSOLV 8.6-2.1 MG TABLET SL New Strength

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.