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Spring 2019 Formulary Changes to the Top Medicare Drugs

Monthly Formulary changes · published Apr 15, 2019

The Spring 2019 Medicare Part D plan formulary (or drug list) updates included 198 new drug codes or NDCs representing 137 different medications in the March 2019 dataset and 70 new drug codes or NDCs representing 42 different medications in the April 2019 dataset.

The NDC uniquely identifies a particular manufacturer, drug-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 drug and strength, and the third set of numbers identifies the packaging.

This article highlights the change for some of the "top Medicare drugs", including their generic equivalents.  The generics included are Atorvastatin [Lipitor®] , Clopidogrel [Plavix®], Escitalopram [Lexapro®], Esomeprazole Sodium [Nexium®], Pioglitazone [Actos®], Risedronate Sodium [Actonel®], Quetiapine Fumarate [Seroquel®], and Valsartan-HCTZ [Diovan HCT®]. 

The changes to the number of formularies covering these medications looks as follows:

Count of 2019 Formularies Covering the Top Medicare Drugs Program-wide
Formulary Count*
Drug Name 2014 End** 2015 End** 2016 End** 2017 End** 2018 End** 2019
Start**
April May June July Aug.
ACTONEL 35 MG 36 DOSE PACK 248 148 25 11 13 8 8



ACTOS 30MG TABLET 75 35 23 16 16 18 16



ADVAIR DISKUS MIS 250/50 347 353 348 371 370 393 386



ATORVASTATIN 10 MG TABLET [Lipitor] 364 394 385 389 394 415 407



CLOPIDOGREL TAB 75MG [Plavix] 364 394 385 389 394 415 407



DIOVAN HCT 160/12.5MG TABLET 80 50 29 21 54 19 17



ESCITALOPRAM 10 MG TABLET [Lexapro] 363 385 385 389 394 415 407



ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium] 253 285 302 305 315 299 300



LANTUS 100U/ML VIAL 350 382 371 382 309 315 307



LEXAPRO 10MG TABLET 55 45 26 12 21 16 14



LIPITOR 10MG TABLET 43 30 21 20 21 21 19



NEXIUM 40MG CAPSULE 211 206 98 33 19 20 19



PIOGLITAZONE HCL 30 MG TABLET [Actos] 364 394 385 389 394 415 407



PLAVIX 75MG TABLET 48 34 20 13 16 11 9



QUETIAPINE FUMARATE 25 MG TAB [SEROQUEL] 364 394 385 389 394 415 407



RISEDRONATE SODIUM 35 MG TABLET [Actonel] 220 246 239 249 289 288



SEROQUEL 25MG TABLET 54 43 26 12 14 11 9



VALSARTAN-HCTZ 160-12.5 MG TAB [Diovan HCT] 343 388 376 382 391 412 404




*The number of formularies counts the unique formularies that offer this medication. As a note, the same formulary can be used by one or many different Medicare Part D plans. The same formulary can be used by both stand-alone prescription drug plans (PDP) and Medicare Advantage plans (MAPD).

**Ending 2014 CMS formulary dataset dated September, 2014. Ending 2015 CMS formulary dataset dated September, 2015. Ending 2016 CMS formulary dataset dated September, 2016. Ending 2017 CMS formulary dataset dated September, 2017. Ending 2018 CMS formulary dataset dated September, 2018. Starting 2019 CMS formulary dataset dated October, 2018 (version 2).

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.