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June 2012 Summary of the Most Recent Updates for the Medicare Part D Plan Formularies (Drug Lists)

Category: Monthly Formulary Changes
Published on 2012-06-11 10:25:43


The most recent (end of May 2012 ) Medicare Part D plan formulary data (or drug lists) updates include the addition of 58 new National Drug Codes (NDC) to the Medicare Part D program.

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
manufacturer switched 1
new delivery 2
new drug 8
new drug/strength 19
new manufacturer 11
new manufacturer & ER version 3
new manufacturer/form 3
new manufacturer/strength & ER 1
new strength 6
new strength/delivery 1
new XR version 3

The majority of the 58 new NDCs included new drug strengths or manufacturers. In some cases, the new NDCs are replacing the Graceway Pharmaceuticals' medication NDCs that were dropped from the May 2012 data (see second table below).

The following 58 manufacturer / drug / strength / packaging combinations (NDCs) were added to one or more Medicare Part D formularies in the most recent (May 2012) updates. You can click on the NDC or Drug Name below to go to our Q1Medicare.com 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
99207026012 ALDARA 5% CREAM manufacturer switched
61314014410 Brimonidine Tartrate 1.5mg/mL new manufacturer
66780021904 BYDUREON 2 MG VIAL new drug
00310782030 CAPRELSA 100mg/1 30 TABLET in 1 BOTTLE, PLASTIC new drug/strength
00310784030 CAPRELSA 300mg/1 30 TABLET in 1 BOTTLE, PLASTIC new drug/strength
00472040394 CLOBETASOL 0.05% SHAMPOO new manufacturer
00472040494 CLOBETASOL 0.05% TOPICAL LOTION new manufacturer
45802043733 Clobetasol Propionate 0.5mg/g 1 CAN in 1 CARTON / 100 g in 1 CAN new manufacturer
16571060096 CROMOLYN SODIUM 100 MG/5 ML new manufacturer
64764094430 EDARBYCLOR 40-12.5 MG TABLET new drug/strength
64764099430 EDARBYCLOR 40-25 MG TABLET new drug/strength
50242014001 ERIVEDGE 150 MG CAPSULE new drug
45945015702 Gablofen 2000ug/mL 20 mL in 1 VIAL, GLASS new drug/strength
45945015502 Gablofen 500ug/mL 20 mL in 1 VIAL, GLASS new drug/strength
45945015101 Gablofen 50ug/mL 1 mL in 1 SYRINGE, PLASTIC new drug/strength
00069014501 INLYTA 1 MG TABLET new drug/strength
00069015111 INLYTA 5 MG TABLET new drug/strength
00006008182 JANUMET XR 100-1,000 MG TABLET new XR version
00006008082 JANUMET XR 50-1,000 MG TABLET new XR version
00006007882 JANUMET XR 50-500 MG TABLET new XR version
00597014818 JENTADUETO 2.5 MG-1000 MG TAB new drug/strength
00597014618 JENTADUETO 2.5 MG-500 MG TAB new drug/strength
00597014718 JENTADUETO 2.5 MG-850 MG TAB new drug/strength
51167020002 KALYDECO 150 MG TABLET new drug
00173078100 LAMICTAL XR 250mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE new strength
00093538506 LAMIVUDINE-ZIDOVUDINE TABLET new drug
58281056201 Lioresal 0.05mg/mL new drug/strength
58281056001 Lioresal 0.5mg/mL new drug/strength
58281056102 Lioresal 2mg/mL new drug/strength
99207028040 MAXAIR AUTOHALER 0.2 MG AERO new drug
67767020001 METHYLPHENIDATE ER 20 MG CAP new manufacturer & ER version
67767020101 METHYLPHENIDATE ER 30 MG CAP new manufacturer & ER version
67767020201 METHYLPHENIDATE ER 40 MG CAP new manufacturer & ER version
99207013070 METROGEL-VAGINAL 0.75% GEL new drug
99207017002 MINITRAN 0.1 MG/HR PATCH new manufacturer
99207017105 MINITRAN 0.2 MG/HR PATCH new manufacturer
99207017210 MINITRAN 0.4 MG/HR PATCH new manufacturer
99207017315 MINITRAN 0.6 MG/HR PATCH new manufacturer
00781315972 OLANZAPINE 10 MG VIAL new manufacturer
50458019115 Ortho Tri-Cyclen 6 BLISTER PACK in 1 CARTON / 1 KIT in 1 BLISTER PACK new strength
60793052501 OXECTA 5mg/1 new drug/strength
60793052601 OXECTA 7.5mg/1 new drug/strength
00004036030 PEGASYS PROCLICK 135 MCG/0.5 new delivery
50222050247 PICATO 0.015% GEL new drug/strength
50222050347 PICATO 0.05% GEL new drug/strength
00007464313 PROMACTA 12.5 MG TABLET new strength
42747023530 Rectiv 4mg/g 1 TUBE in 1 CARTON / 30 g in 1 TUBE new drug
27437020108 SUPRAX 400 MG TABLET new strength/delivery
60505264807 TIZANIDINE HCL 2 MG CAPSULE new manufacturer/form
60505264907 TIZANIDINE HCL 4 MG CAPSULE new manufacturer/form
60505265007 TIZANIDINE HCL 6 MG CAPSULE new manufacturer/form
47335053788 TRAMADOL ER 300 MG TABLET new manufacturer/strength & ER
52544098231 VESTURA 3 MG-0.02 MG TABLET new drug
61958040401 VIREAD 150 MG TABLET new strength
61958040501 VIREAD 200 MG TABLET new strength
61958040601 VIREAD 250 MG TABLET new strength
61958040301 VIREAD POWDER new delivery
99207027028 ZYCLARA 3.75% CREAM new manufacturer


In addition, 16 manufacturer / drug / strength / packaging combinations (NDCs) were dropped from the Medicare Part D program:

NDC Drug Name
00093725101 FEXOFENADINE HCL 30MG TABLET
00378075501 FEXOFENADINE HCL 180 MG TABLET
29336020025 METRONIDAZOLE VAGINAL GEL 0.75%
29336030102 Minitran 2.5mg/d 30 PATCH in 1 CARTON / 1 d in 1 PATCH
29336030202 Minitran 5mg/d 30 PATCH in 1 CARTON / 1 d in 1 PATCH
29336030302 Minitran 10mg/d 30 PATCH in 1 CARTON / 1 d in 1 PATCH
29336030402 Minitran 15mg/d 30 PATCH in 1 CARTON / 1 d in 1 PATCH
29336030510 TAMBOCOR 50mg/1 100 TABLET in 1 BOTTLE
29336030710 TAMBOCOR 100mg/1 100 TABLET in 1 BOTTLE
29336031410 TAMBOCOR 150mg/1 100 TABLET in 1 BOTTLE
29336054006 Norflex 60mg/2mL 6 AMPULE in 1 BOX / 2.0 mL in 1 AMPULE
29336061012 ALDARA 5% CREAM
29336071028 ZYCLARA CREAM
29336081521 Maxair Autohaler 200ug/1 400 INHALANT in 1 INHALER
51079052920 FEXOFENADINE HCL 60 MG TABLET
65726014435 AXID 150MG PULVULE

Note: 12 of the 16 dropped NDCs listed above were manufactured by Graceway Pharmaceuticals  (29336).

In addition to the above major additions and deletions, individual Medicare Part D plan formularies may have added and/or dropped medications, changed drug tiers, and changed drug usage management requirements.  You can review any Medicare plan formulary using the Q1Medicare.com FormularyBrowser at Q1Medicare.com/FormularyBrowser.






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