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July 2019 Medicare Drug List Updates: Thirty-three (33) Medications Added to 2019 Medicare Part D Drug Plan Formularies

Category: Monthly Formulary Changes
Published on 2019-07-22 12:13:45


We now have the recently released July 2019 Medicare Part D prescription drug plan formulary (drug lists) data online and included withing our Formulary Browser and Drug Finder.  The July formulary updates include the addition of 57 new National Drug Codes (NDCs), representing 33 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 July 2019 formulary updates include three newly-added generic drugs:  The July Medicare Part D drug data includes fourteen generic medications, with three (3) being newly-introduced generic drugs.  These drugs include:

  • AMBRISENTAN [LETAIRIS®],
  • DEFERASIROX [Exjade®], and
  • SOLIFENACIN [VESIcare®].

You can see our article "July 2019 Drug List Updates: Fourteen (14) new generic drugs added to many Medicare Part D plan formularies" found at https://Q1News.com/761.html for more about coverage for all of the new generics.

The July 2019 Formulary Update Includes Six Newly-Added Brand-Name Drugs:  The July drug data also updates includes the introduction of six (6) newly introduced brand-name drugs, some with multiple strengths. These drugs include:

  • BALVERSA®,
  • EVENITY®,
  • FULPHILA®,
  • QMIIZ®,
  • ROCKLATAN®, and
  • SKYRIZI®.
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) Your Medicare Part D plan will notify you if the plan drops a medication you are currently using.

Reminder: 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: https://Q1FAQ.com/155.html

There are many reasons for NDCs to be added to the Medicare Part D program, a summary for all 57 new NDCs is as follows:

Reason for NDC Addition Occurrences
New Drug 16
New Drug and Strength 25
New Manufacturer 2
New Manufacturer and Strength 5
New Strength 9
Total New NDCs 57

The following chart details the 57 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 Code (NDC) or 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
00023614501ACTIGALL 300 MG CAPSULE28New Drug
00093317431ALBUTEROL HFA 90 MCG INHALER HFA AER AD [Ventolin HFA]18189New Manufacturer
00254100752ALBUTEROL HFA 90 MCG INHALER HFA AER AD [Ventolin HFA]490New Manufacturer
70710118003AMBRISENTAN 10 MG TABLET [LETAIRIS]58336New Drug and Strength
70710117903AMBRISENTAN 5 MG TABLET [LETAIRIS]58336New Drug and Strength
00781578931AZITHROMYCIN 500 MG TABLET [Zithromax Tri-Pak]62354New Drug
59676003084BALVERSA 3 MG TABLET45315New Drug and Strength
59676004056BALVERSA 4 MG TABLET45315New Drug and Strength
59676005028BALVERSA 5 MG TABLET45315New Drug and Strength
50383024971BROMFENAC SODIUM 0.09% EYE DROPS [Xibrom]23246New Drug
45963045430DEFERASIROX 125 MG TABLET DISPER [Exjade]35254New Drug and Strength
45963045530DEFERASIROX 250 MG TABLET DISPER [Exjade]35254New Drug and Strength
45963045630DEFERASIROX 500 MG TABLET DISPER [Exjade]35254New Drug and Strength
50458010605DURAGESIC 100 MCG/HR PATCH TD7204New Strength
50458010105DURAGESIC 12 MCG/HR PATCH TD7204New Strength
50458010405DURAGESIC 50 MCG/HR PATCH TD7204New Strength
50458010505DURAGESIC 75 MCG/HR PATCH TD7204New Strength
52856050203EMFLAZA 18 MG TABLET386New Manufacturer and Strength
52856050303EMFLAZA 30 MG TABLET386New Manufacturer and Strength
52856050403EMFLAZA 36 MG TABLET386New Manufacturer and Strength
52856050101EMFLAZA 6 MG TABLET386New Manufacturer and Strength
00378807593ERYGEL 2% GEL316New Drug
62559063101ERYTHROMYCIN 400 MG/5 ML SUSP Oral Suspension [EryPed]23191New Strength
55513088002EVENITY 210 MG DOSE-2 SYRINGES256New Drug
67877049030EZETIMIBE 10 MG TABLET [Zetia]62354New Drug
62332024490FENOFIBRIC ACID DR 45 MG CAPSULE DR [Trilipix]30229New Manufacturer and Strength
69292072225FLURBIPROFEN 0.03% EYE DROPS [Ocufen]60351New Drug
00093744601FLUVASTATIN ER 80 MG TABLET ER 24H [Lescol XL]11159New Drug
67457083306FULPHILA 6 MG/0.6 ML SYRINGE7151New Drug
59148008213JYNARQUE 15 MG TABLET6133New Strength
59148008313JYNARQUE 30 MG TABLET6133New Strength
00023601360KADIAN ER 30 MG CAPSULE ER PEL05New Strength
00115994108LAMOTRIGINE ODT 100 MG TABLET RAPDIS [Lamictal ODT]14203New Drug and Strength
00115994208LAMOTRIGINE ODT 200 MG TABLET RAPDIS [Lamictal ODT]14202New Drug and Strength
00115994008LAMOTRIGINE ODT 50 MG TABLET RAPDIS [Lamictal ODT]14198New Drug and Strength
69238161006LOPREEZA 1 MG-0.5 MG TABLET [Mimvey ]21124New Drug
76385012901METFORMIN HCL ER 750 MG TABLET ER 24H [Glucophage XR]62354New Drug
16714070701MIRTAZAPINE 15 MG TABLET [Remeron]62354New Drug and Strength
16714070801MIRTAZAPINE 30 MG TABLET [Remeron]62354New Drug and Strength
65597030410MORPHABOND ER 100 MG TABLET ER 12H012New Drug and Strength
65597030110MORPHABOND ER 15 MG TABLET ER 12H012New Drug and Strength
65597030210MORPHABOND ER 30 MG TABLET ER 12H012New Drug and Strength
65597030310MORPHABOND ER 60 MG TABLET ER 12H012New Drug and Strength
13668025230OLMESARTAN-HCTZ 40-12.5 MG TABLET [Benicar HCT]56321New Drug
00603533832PREDNISONE 10 MG TABLET [Sterapred DS]62354New Drug
70720011599QMIIZ ODT 15 MG TABLET RAPDIS02New Drug and Strength
70720017599QMIIZ ODT 7.5 MG TABLET RAPDIS02New Drug and Strength
52817016160QUETIAPINE ER 150 MG TABLET ER 24H [Seroquel XR]49297New Drug and Strength
52817016260QUETIAPINE ER 200 MG TABLET ER 24H [Seroquel XR]49297New Drug and Strength
33342013609QUETIAPINE ER 300 MG TABLET ER 24H [Seroquel XR]49297New Drug and Strength
52817016060QUETIAPINE ER 50 MG TABLET ER 24H [Seroquel XR]49297New Drug and Strength
70727052925ROCKLATAN 0.02%-0.005% EYE DROPS010New Drug
68462044626SEVELAMER HCL 400 MG TABLET [RenaGel]8135New Strength
00074204202SKYRIZI 150 MG DOSE KIT-2 SYRINGEKIT10104New Drug
00093526456SOLIFENACIN 10 MG TABLET [VESIcare]31205New Drug and Strength
00093526356SOLIFENACIN 5 MG TABLET [VESIcare]31205New Drug and Strength
69097052603TADALAFIL 20 MG TABLET [ALYQ]35232New Drug
*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 PDP and MAPD plans.


Our online Formulary Browser and Drug Finder
You can review any Medicare plan formulary using the Q1Medicare.com FormularyBrowser 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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