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April 2016 Formulary Changes to the Top 10 Medicare Drugs Compared to Previous Years

Category: Monthly Formulary Changes
Published on 2016-04-29 15:44:11


The April, 2016 Medicare Part D plan formulary data (or drug lists) release included 56 new drug codes.  See April 2016 summary of the new medications added to Medicare Part D plan formularies (drug lists) for details.

Although this article is about the top 10 Medicare drugs, we include the generic equivalents to the list, thus bringing our list to include 18 drugs.  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 2016 Formularies covering the Top 10 Medicare Drugs Program wide
    Formulary Count*
NDC Drug Name 2013 End** 2014 End** 2015 Start** 2015 End** 2016 Start** April May June July Aug.
00430047203 ACTONEL 35 MG 36 DOSE PACK 233 248 140 148 39 39        
64764030115 ACTOS 30MG/1 TABLET (90 CT) 214 75 32 35 22 23        
00173069600 ADVAIR DISKUS MIS 250/50 307 347 313 353 344 341        
63304082790 ATORVASTATIN 10 MG TABLET [Lipitor] 316 364 350 394 377          
00378395009 ATORVASTATIN 10 MG TABLET [Lipitor]           377        
00378362777 CLOPIDOGREL TAB 75MG [Plavix] 315 364 350              
55111019630 CLOPIDOGREL TAB 75MG [Plavix]       394            
00093731456 CLOPIDOGREL TAB 75MG [Plavix]         377 377        
00078031534 DIOVAN HCT 160/12.5MG TABLET 185 80 47 50 28 29        
00093585101 ESCITALOPRAM 10 MG TABLET [Lexapro] 315 363 349 385 377 377        
47335050944 ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium]   253 235 285            
62756050944 ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium]       285 288 302        
00088222033 LANTUS 100U/ML VIAL 309 350 338 382 363 363        
00456201001 LEXAPRO 10MG TABLET 92 55 31 45 20 26        
00071015523 LIPITOR 10MG TABLET 68 43 28 30 20 21        
00186504054 NEXIUM 40MG CAPSULE 198 211 156 206 84 98        
00378022893 PIOGLITAZONE HCL 30 MG TABLET [Actos] 310 364 350 394 377 377        
63653117105 PLAVIX 75MG TABLET 109 48 31 34 19 20        
47335090288 QUETIAPINE FUMARATE 25 MG TAB [SEROQUEL] 316 364 350 394 377 377        
00591207539 RISEDRONATE SODIUM 35 MG TABLET [Actonel]         195 238        
00093309844 RISEDRONATE SODIUM 35 MG TABLET [Actonel]       220 211 238        
47335066868 RISEDRONATE SODIUM 35 MG TABLET [Actonel]           213        
00310027510 SEROQUEL 25MG TABLET 112 54 29 43 20 26        
00378632205 VALSARTAN-HCTZ 160-12.5 MG TAB [Diovan HCT] 297 343 332 388 368 369        

*The formulary counts include both stand-alone prescription drug plans (PDP) and Medicare Advantage plans (MAPD) in all states and the U.S. territories.
**Ending 2013 CMS formulary dataset dated October, 2013. Ending 2014 CMS formulary dataset dated September, 2014. Starting 2015 CMS formulary dataset dated October, 2014. Ending 2015 CMS formulary dataset dated September, 2015. Starting 2016 CMS formulary dataset dated October, 2015 (Sanctioned plans not included in plan count).

You can review any Medicare plan formulary using the Q1Medicare.com FormularyBrowser at Q1Medicare.com/FormularyBrowser or compare how any medication is covered on all Medicare plans in your service area using our Q1Medicare.com/DrugFinder.






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