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April 2017 summary of the new medications added to Medicare Part D plan formularies (drug lists) Part 1: A-L

Category: Monthly Formulary Changes
Published on 2017-05-03 16:58:19


The April, 2017 Medicare Part D plan formulary data (or drug lists) includes the addition of 380 new National Drug Codes (NDC) to the Medicare Part D program.  These NDCs represent 250 different drugs, many with multiple strengths. There were so many new NDCs in the April dataset, that we split this article into Part 1 (drugs beginning with the letters A through L) and Part 2 (M through Z) to coverage all of the new medications.

The following generics were added to many 2017 Medicare Part D formularies: ABACAVIR-LAMIVUDINE  [Epzicom], AMLODIPINE-OLMESARTAN [Azor], APREPITANT [Emend], CLINDAMYCIN PHOSPHATE-BENZOYL PEROXIDE [Benzaclin], CLINDAMYCIN-TRETINOIN [Veltin, Ziana], DAPTOMYCIN [Cubicin],
DROSP-EE-LEVOMEF [Beyaz, Safyral], ETHACRYNIC ACID [Edecrin], ETHYNODIOL-ETH ESTRA [ZOVIA], EZETIMIBE [Zetia], FENOFIBRATE [LIPOFEN], and LEVALBUTEROL TAR HFA [Xopenex HFA], see links in the chart below for coverage details. 

In addition, the new generics NILUTAMIDE [Nilandron], OLMESARTAN MEDOXOMIL [Benicar], OLMSRTN-AMLDPN-HCTZ [TRIBENZOR], OSELTAMIVIR PHOS [Tamiflu], QUETIAPINE ER [Seroquel], and RASAGILINE MESYLATE [Azilect], along with all new drugs starting with the letters M through Z can be found in Part 2: M-Z.

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 for all 380 new medications is as follows:

Reason for NDC Addition Occurrences
New Delivery Form 6
New Delivery Form and Strength 4
New Drug 95
New Drug and Strength 104
New Drug, Delivery Form and Strength 5
New Manufacturer 15
New Manufacturer and Delivery Form 8
New Manufacturer and Strength 53
New Manufacturer, Strength and Delivery Form
13
New Packaging
6
New Strength 70
New Strength and Packaging
1
Total New NDCs 380

Part 1 (A through L): The following chart details the first 190 new manufacturer / drug / strength / packaging combinations (NDCs) that were added to one or more Medicare Part D formularies in the most recent updates. You can click on the Drug Code (NDC) below to go to our Q1Medicare.com DrugFinder to see the details of how this drug is covered by all Medicare Part D Plans in Florida -- You can then change the state to your state for details in your service area. A chart of the remaining 190 NDCs (drugs starting with the letters M through Z) can be found in Part 2: M-Z.

NDC Drug Name Notes
66993048230 ABACAVIR-LAMIVUDINE 600-300 MG [Epzicom] New Drug
42358010032 ABSTRAL 100 MCG TAB SUBLINGUAL New Drug and Strength
42358020032 ABSTRAL 200 MCG TAB SUBLINGUAL New Drug and Strength
42358030032 ABSTRAL 300 MCG TAB SUBLINGUAL New Drug and Strength
42358040032 ABSTRAL 400 MCG TAB SUBLINGUAL New Drug and Strength
42358060032 ABSTRAL 600 MCG TAB SUBLINGUAL New Drug and Strength
42358080032 ABSTRAL 800 MCG TAB SUBLINGUAL New Drug and Strength
00603233821 ACETAMINOPHEN-COD #3 TABLET New Manufacturer and Strength
50419070110 ADALAT CC 30 MG TABLET New Strength
00024574502 ADLYXIN 10-20 MCG STARTER PACK New Drug and Strength
00024574702 ADLYXIN 20 MCG MAINTENANCE PK New Drug and Strength
52054080302 ADRENACLICK 0.15 MG AUTO-INJCT New Drug and Strength
52054080402 ADRENACLICK 0.3 MG AUTO-INJECT New Drug and Strength
00143954801 Adriamycin 20 mg/10 ml vial New Drug
47918088236 AFREZZA 30-4 UNIT + 60-8 UNIT New Drug and Strength
47918087490 AFREZZA 4 UNITS CARTRIDGE INH New Drug and Strength
47918090218 AFREZZA 4 UNIT/8 UNIT/12 UNIT New Drug and Strength
47918088463 AFREZZA 60-4 UNIT + 30-8 UNIT New Drug and Strength
47918089463 AFREZZA 60-8 UNIT + 30-12 UNIT New Drug and Strength
47918088018 AFREZZA 90-4 UNIT / 90-8 UNIT New Drug and Strength
00316012830 Ala-cort 2.5% cream New Strength
16714063301 ALENDRONATE SODIUM 70 MG TAB New Strength
27437010601 ALINIA 100 MG/5 ML SUSPENSION New Manufacturer and Strength
00143953301 Allopurinol sodium 500 mg vial New Manufacturer and Strength
70515062830 ALTOPREV 20 MG TABLET New Manufacturer and Strength
70515063030 ALTOPREV 60 MG TABLET New Manufacturer and Strength
68462039484 Alyacen 1-35-28 tablet New Drug
68180082911 Amabelz 0.5 mg-0.1 mg tablet New Drug and Strength
68180083011 Amabelz 1 mg-0.5 mg tablet New Drug and Strength
00024542131 AMBIEN 10 MG TABLET New Strength
51862004591 Amethia lo tablet New Drug and Strength
51862004701 Amethia 0.15-0.03-0.01 mg tab New Drug and Strength
00143987501 Amiodarone 150 mg/3 ml ampule New Manufacturer and Strength
57664077383 AMLODIPINE-OLMESARTAN 10-20 MG [Azor] New Drug and Strength
57664077583 AMLODIPINE-OLMESARTAN 10-40 MG [Azor] New Drug and Strength
57664077283 AMLODIPINE-OLMESARTAN 5-20 MG [Azor] New Drug and Strength
57664077483 AMLODIPINE-OLMESARTAN 5-40 MG [Azor] New Drug and Strength
00641611601 ampicillin-sulbactam 1.5 gm vl New Strength
30698012105 ANZEMET 100 MG TABLET New Drug and Strength
30698012005 ANZEMET 50 MG TABLET New Drug and Strength
00781232368 APREPITANT 125 MG CAPSULE [Emend] New Drug and Strength
00781406336 APREPITANT 125-80-80 MG PACK [Emend] New Drug and Strength
00781232151 APREPITANT 40 MG CAPSULE [Emend] New Drug and Strength
00781232268 APREPITANT 80 MG CAPSULE [Emend] New Drug and Strength
00078068306 ARRANON 250 MG VIAL New Drug
70882010803 Azithromycin 500 mg tablet New Manufacturer and Delivery Form
65597011130 AZOR 10-20 MG TABLET New Strength
65597011230 AZOR 5-40 MG TABLET New Strength
00002771501 BASAGLAR 100 UNIT/ML KWIKPEN New Drug
00527135601 Bethanechol 25 mg tablet New Strength
00832051389 Bethanechol 50 mg tablet New Manufacturer and Strength
00310460012 BEVESPI AEROSPHERE INHALER New Drug
58160097606 BEXSERO PREFILLED SYRINGE New Drug
00591354360 BUPROPION HCL SR 150 MG TABLET New Strength
00378116591 BUSPIRONE HCL 15 MG TABLET New Strength
00093005305 Buspirone hcl 5 mg tablet New Strength
00023587430 BYVALSON 5 MG-80 MG TABLET New Drug
00093735301 CALCITRIOL 0.5 MCG CAPSULE New Manufacturer and Strength
13913001203 CAMBIA 50 MG POWDER PACKET New Drug
51862010206 CAMILA 0.35 MG TABLET New Drug
00093614891 Camrese Lo tablet New Drug
00093029205 CARBIDOPA-LEVODOPA 10-100 TAB New Manufacturer and Strength
00228253996 CARBIDOPA-LEVODOPA 25-100 TAB New Manufacturer and Strength
00228254050 CARBIDOPA-LEVODOPA 25-250 TAB New Manufacturer and Strength
00187079630 CARDIZEM CD 180 MG CAPSULE New Strength
00187079742 CARDIZEM CD 240 MG CAPSULE New Strength
51862023803 CAZIANT 28 DAY TABLET New Drug
65862009975 CEFPROZIL 125 MG/5 ML SUSP New Manufacturer and Strength
23155029251 CETIRIZINE HCL 1 MG/ML SOLN New Drug
00069046903 CHANTIX 1 MG CONT MONTH BOX New Packaging
00116200116 CHLORHEXIDINE GLUCONATE 0.12% RINSE New Drug
64980017750 CHLOROQUINE PH 250 MG TABLET New Manufacturer and Strength
49884046667 CHOLESTYRAMINE LIGHT POWDER New Manufacturer
36000001101 Ciprofloxacin 400 mg/40 ml vl New Manufacturer and Strength
00378623101 CITALOPRAM HBR 10 MG TABLET New Manufacturer
00591280560 CLARITHROMYCIN ER 500 MG TAB New Manufacturer and Strength
00093030801 Clemastine fum 2.68 mg tab New Drug
00781716119 Clindamycin Phosphate-Benzoyl Peroxide 1.2-5% [Benzaclin] New Drug
00472179060 CLINDAMYCIN-TRETINOIN 1.2%-0.025% [Veltin, Ziana] New Drug
00228424106 CLONIDINE HCL ER 0.1 MG TABLET New Strength
00023587080 CORDRAN 4 MCG/SQ CM TAPE LARGE New Drug
00703012501 DAPTOMYCIN 500 MG VIAL [Cubicin] New Drug
00023585318 DELZICOL DR 400 MG CAPSULE New Drug
00115164601 Desmopressin acetate 0.1 mg tb New Manufacturer and Delivery Form
00115164701 Desmopressin acetate 0.2 mg tb New Manufacturer and Delivery Form and Strength
00009454102 DETROL 1 MG TABLET New Drug and Strength
00009454402 DETROL 2 MG TABLET New Drug and Strength
00185085301 DEXTROAMP-AMPHETAMIN 20 MG TAB New Manufacturer and Delivery Form
00185086401 DEXTROAMP-AMPHETAMIN 30 MG TAB New Manufacturer and Delivery Form
45963030409 D-AMPHETAMINE ER 10 MG CAPSULE New Manufacturer
00378107201 D-AMPHETAMINE ER 15 MG CAPSULE New Manufacturer
00378107001 D-AMPHETAMINE ER 5 MG CAPSULE New Manufacturer
00378047701 DIAZEPAM 10 MG TABLET New Manufacturer and Delivery Form
00228111709 DILTIAZEM HCL 420MG ER CAPSULE New Manufacturer and Strength
00093312701 DISOPYRAMIDE 100 MG CAPSULE New Strength
51862055960 DORYX MPC DR 120 MG TABLET New Drug and Strength
51862055806 DORYX DR 200 MG TABLET New Drug and Strength
51862055712 DORYX DR 50 MG TABLET New Drug and Strength
00781407515 DROSP-EE-LEVOMEF 3-0.02-0.451 [Beyaz, Safyral] New Drug
59212009730 DUTOPROL 100-12.5 MG TABLET New Drug and Strength
59212008730 DUTOPROL 25-12.5 MG TABLET New Drug and Strength
59212009530 DUTOPROL 50-12.5 MG TABLET New Drug and Strength
70408064434 ELIXOPHYLLIN 80 MG/15 ML ELIX New Drug
00006306603 EMEND 125 MG POWDER PACKET New Delivery Form
00574985010 ENTOCORT EC 3 MG CAPSULE New Drug
61958220101 EPCLUSA 400 MG-100 MG TABLET New Drug
49502010102 EPINEPHRINE 0.15 MG AUTO-INJCT New Manufacturer
00115167573 Epirubicin 200 mg/100 ml vial New Drug
00049011428 ERAXIS(WATER DIL) 50 MG VIAL New Delivery Form and Strength
24470091710 Ergotamine-caffeine 1-100mg tb New Drug
52536013613 Erythromycin 200 mg/5 ml gran New Manufacturer and Strength
68682001110 ETHACRYNIC ACID 25 MG TABLET [Edecrin] New Drug
00378730653 ethynodiol-eth estra 1mg-50mcg [ZOVIA] New Drug
60842005101 EVZIO 2 MG AUTO-INJECTOR New Strength
60923036302 EXONDYS 51 100 MG/2 ML VIAL New Drug and Strength
60923028410 EXONDYS 51 500 MG/10 ML VIAL New Drug and Strength
49884022809 Ezetimibe 10 mg tablet [Zetia] New Drug
43068010102 FANAPT 1 MG TABLET New Strength
43068010202 FANAPT 2 MG TABLET New Strength
43068010602 FANAPT 6 MG TABLET New Strength
69238155106 Femynor 28 tablet New Drug
62559046190 FENOFIBRATE 150 MG CAPSULE [LIPOFEN] New Drug and Strength
62559046090 FENOFIBRATE 50 MG CAPSULE [LIPOFEN] New Drug and Strength
52427053134 Floxin 0.3% ear drops New Drug
00409468816 Fluconazole-dext 400 mg/200 ml New Drug
00093026392 FLUOCINONIDE-E 0.05% CREAM New Manufacturer and Delivery Form
00378600901 FLUPHENAZINE 2.5 MG TABLET New Strength
51672529808 FLURANDRENOLIDE 0.05% LOTION [Cordran] New Manufacturer
00185004209 FOSINOPRIL SODIUM 20 MG TAB New Strength
68462055401 FOSINOPRIL-HCTZ 10-12.5 MG TAB New Drug and Strength
68462055501 FOSINOPRIL-HCTZ 20-12.5 MG TAB New Drug and Strength
13533063513 GAMASTAN S-D 10 ML New Strength
13533063540 GAMASTAN S-D 2 ML New Strength
00944265804 GAMMAGARD S-D 10 G (IGA<1) SOL New Drug and Strength
00944265603 GAMMAGARD S-D 5 G (IGA<1) SOLN New Drug and Strength
00074054130 GENGRAF 50 MG CAPSULE New Strength
00409340201 Gentamicin 10 mg/ml vial New Drug
00093542328 Gianvi 3 mg-0.02 mg tablet New Drug
70007040001 GONITRO 0.4 MG SUBLINGUAL PWD New Drug
17478054602 Granisetron hcl 1 mg/ml vial New Manufacturer
45802096826 GRISEOFULVIN 125 MG/5 ML SUSP New Drug
63323047410 HALOPERIDOL LAC 5 MG/ML VIAL New Manufacturer and Strength
00074433907 HUMIRA PEN PSORIASIS-UVEITIS New Drug
62559013807 HYDROCORTISONE 100 MG/60 ML New Manufacturer and Strength
49281019058 IMOGAM RABIES-HT 150 UNIT/ML New Drug
00069080901 INFLECTRA 100 MG VIAL New Drug
50458094301 INVOKAMET XR 150-1,000 MG TAB New Delivery Form
50458094201 INVOKAMET XR 150-500 MG TABLET New Delivery Form
50458094101 INVOKAMET XR 50-1,000 MG TAB New Delivery Form
50458094001 INVOKAMET XR 50-500 MG TABLET New Delivery Form
43547027803 IRBESARTAN 150 MG TABLET [Avapro] New Manufacturer and Strength
59572098401 ISTODAX 10 MG VIAL New Drug
51167020001 KALYDECO 150 MG TABLET New Delivery Form and Strength
17478020911 KETOROLAC 0.5% OPHTH SOLUTION New Manufacturer and Strength
66658023407 KINERET 100 MG/0.67 ML SYRINGE New Drug
58160081243 KINRIX TIP-LOK SYRINGE New Drug
76075010201 KYPROLIS 30 MG VIAL New Drug and Strength
76075010101 KYPROLIS 60 MG VIAL New Drug and Strength
24987024255 LANOXIN 125 MCG TABLET New Strength
59212024955 LANOXIN 250 MCG TABLET New Strength
59212024055 LANOXIN 62.5 MCG TABLET New Strength
69238153106 Larissia-28 tablet New Drug
00002892601 LARTRUVO 500 MG/50 ML VIAL New Drug
30698006701 LASIX 20 MG TABLET New Drug and Strength
30698006001 LASIX 40 MG TABLET New Drug and Strength
30698006605 LASIX 80 MG TABLET New Drug and Strength
51862047106 LEENA 28 TABLET New Drug
61958080205 LETAIRIS 10 MG TABLET New Drug and Strength
61958080105 LETAIRIS 5 MG TABLET New Drug and Strength
00093414719 LEVALBUTEROL CONC 1.25 MG/0.5 New Manufacturer
00591292754 LEVALBUTEROL TAR HFA 45MCG INH [Xopenex HFA] New Drug
50383017104 LEVOCARNITINE 1 G/10 ML SOLN New Drug and Strength
50383017290 LEVOCARNITINE 330 MG TABLET New Drug and Strength
51862009706 Levora-28 tablet New Drug
00378180977 Levothyroxine 100 mcg tablet New Strength
00378181177 LEVOTHYROXINE 112 MCG TABLET New Strength
00378181510 LEVOTHYROXINE 150 MCG TABLET New Strength
00378181910 LEVOTHYROXINE 200 MCG TABLET New Strength
00378180077 LEVOTHYROXINE 25 MCG TABLET New Strength
00378180310 LEVOTHYROXINE 50 MCG TABLET New Strength
00378180777 LEVOTHYROXINE 88 MCG TABLET New Strength
00054350049 Lidocaine 2% viscous soln New Manufacturer and Strength
00054350547 Lidocaine hcl 4% solution New Manufacturer and Strength
00071015623 LIPITOR 20 MG TABLET New Strength
69036050330 LODINE 400 MG TABLET New Drug
51862058701 Lorcet hd 10-325 mg tablet New Drug
54766089403 LOTRONEX 0.5 MG TABLET New Drug and Strength
54766089503 LOTRONEX 1 MG TABLET New Drug and Strength
51862056401 Low-Ogestrel-28 Tablet New Drug
51862002801 Lutera-28 tablet New Drug


Related Article:
April 2017 summary of the new medications added to Medicare Part D plan formularies (drug lists) Part 2: (M-Z).

You can review any Medicare plan formulary using the Q1Medicare.com FormularyBrowser at FormularyBrowser.com or compare how any medication is covered on all Medicare plans in your service area using our Q1Rx.com.






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