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April 2018 formulary changes: 2018 Medicare Part D drug lists now updated with 486 new prescription drugs - Part 2 of 5 - Drugs starting with the letters D-H.

Category: Monthly Formulary Changes
Published: Apr, 24 2018 06:04:53


The April, 2018 Medicare Part D plan formulary data (or drug list updates) includes the addition of 737 new National Drug Codes (NDCs) to the Medicare Part D program.  These NDCs represent 486 different drugs, many with multiple strengths. There are so many new NDCs, that we have to split the list into 5 parts. This article will cover drugs starting with the letters D through H. Here are links to A-C, I-M, N-P, and Q-Z.

Fifty-seven new NDC generic equivalents were added, including including DACTINOMYCIN [Cosmegen®], DAPTOMYCIN [Cubicin®], EFAVIRENZ [Sustiva®], ELETRIPTAN HBR [Relpax®], ESCITALOPRAM OXALATE [Lexapro®],ESOMEPRAZOLE MAG [Nexium®], ETHYNODIOL-ETH ESTRA [ZOVIA®], ETODOLAC [LODINE®], FENOFIBRATE [LIPOFEN®], FENOFIBRIC ACID [TRILIPIX®], FOSAMPRENAVIR [Lexiva®], GLATIRAMER [Copaxone®], Hepatitis B Surface Antigen Vaccine [Recombivax®], Human-Bovine Reassortant Rotavirus Oral Vaccine [RotaTeq®], HYDROXYPROGESTERONE [MAKENA®], amongst others. See details in the chart below.

What exactly is an NDC?
As a reminder, the NDC uniquely identifies a particular manufacturer, drug-strength, and packaging combination. The NDC for your medication 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.

Why is there a new NDC?
New NDCs can be added to the Medicare Part D program for a number of reasons including any combination of new manufacturer, drug-strength, delivery form, or packaging. Usually we provide for each NDCs the reason for the NDC addition. With 737 new NDCs, determining the reason was time prohibitive.

More about the newly added NDCs ...
The following chart details the 737 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 Drug Finder (Q1Rx.com) 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.

NDC Drug Name
66993048983 DACTINOMYCIN 0.5 MG VIAL [Cosmegen]
51862034590 D-AMPHETAMINE ER 10 MG CAPSULE
00406896201 D-AMPHETAMINE ER 15 MG CAPSULE
00406896001 D-AMPHETAMINE ER 5 MG CAPSULE
00527136801 DANAZOL 100 MG CAPSULE
00555063502 DANAZOL CAPSULES USP 200MG (100 CT)
47781033331 DAPSONE 25 MG TABLET
51672138708 DAPSONE 5% GEL
00409010601 DAPTOMYCIN 500 MG VIAL [Cubicin]
00409117603 DEMEROL 25 MG/ML CARPUJECT
00009028002 DEPO-MEDROL 40 MG/ML VIAL
00781197301 DESIPRAMINE 50MG TABLET
00781197650 DESIPRAMINE HYDROCHLORIDE 150 MG TABLETS
00378728253 DESOGESTR-ETH ESTRA 0.15-0.03MG
00713066115 DESONIDE 0.05% CREAM
51672126103 Desoximetasone 0.5mg/g 1 TUBE per CARTON / 60 g in 1 TUBE
49884042801 DEXMETHYLPHENIDATE ER 15 MG CP
49884043001 DEXMETHYLPHENIDATE ER 30 MG CP
10702006601 DEXTROAMPHETAMINE 10 MG TAB
10702006501 DEXTROAMPHETAMINE 5 MG TAB
00338007304 DEXTROSE 2.5%-1/2NS IV SOLUTION
00338008503 DEXTROSE 5%-0.45% NACL IV SOLN
00338012504 Dextrose 5%-lr iv solution
00338055118 DEXTROSE 5%-WATER IV SOLN
16571010150 DICLOFENAC 0.1% EYE DROPS
00378247401 DICLOFENAC POT 50 MG TABLET
64980018106 DIFLUNISAL 500 MG TABLET
00115982201 DIGOXIN 250 MCG TABLET
42858023401 DILAUDID 4 MG TABLET
68682099498 DILTIAZEM 24HR ER 180 MG CAP
68682099798 DILTIAZEM 24HR ER 240 MG CAP
64980013301 DIPYRIDAMOLE 25 MG TABLET
64980013401 DIPYRIDAMOLE 50 MG TABLET
64980013501 DIPYRIDAMOLE 75 MG TABLET
29300013801 DIVALPROEX SOD DR 125 MG TAB
62756079713 DIVALPROEX SOD DR 250 MG TAB
65862059505 DIVALPROEX SOD ER 500 MG TAB
68025006730 DIVIGEL 1 MG GEL PACKET
00409020120 DOCETAXEL 160 MG/16 ML VIAL
24979000406 DONEPEZIL HCL 23 MG TABLET
33342003007 DONEPEZIL HCL ODT 10 MG TABLET
33342002907 DONEPEZIL HCL ODT 5 MG TABLET
16729021101 DOXAZOSIN MESYLATE 1 MG TAB
16729021301 DOXAZOSIN MESYLATE 4 MG TAB
49884022201 Doxepin Hydrochloride 150mg/1 100 CAPSULE BOTTLE
23155014101 DOXYCYCLINE HYC DR 75 MG TAB
00143314205 DOXYCYCLINE HYCLATE 100 MG CAP
68180065407 DOXYCYCLINE HYCLATE 150 MG TAB
68180065307 DOXYCYCLINE HYCLATE 75 MG TAB
23155013603 DOXYCYCLINE MONO 150 MG TABLET
00378730053 DROSPIRENONE-EE 3-0.03 MG TAB
64980040603 EFAVIRENZ 50 MG CAPSULE [Sustiva]
00037480135 ELESTRIN 0.06 % Topical Gel
68382092286 ELETRIPTAN HBR 20 MG TABLET [Relpax]
00093831118 ELETRIPTAN HBR 40 MG TABLET [Relpax]
64896066930 EMVERM 100 MG TABLET CHEW
51672403903 ENALAPRIL MALEATE 10 MG TAB
51672404003 ENALAPRIL MALEATE 20 MG TAB
51672403803 ENALAPRIL MALEATE 5 MG TABLET
58160082152 ENGERIX-B 20 MCG/ML SYRN
68992301001 ENVARSUS XR 1 MG TABLET
17478007035 ERYTHROMYCIN 0.5% EYE OINTMENT
50242012205 ESBRIET 267 MG TABLET
68180013701 ESCITALOPRAM 5 MG TABLET [Lexapro]
31722056924 ESCITALOPRAM OXALATE 5 MG/5 ML [Lexapro]
00378235093 ESOMEPRAZOLE MAG DR 20 MG CAP [Nexium]
00093322308 ESTRADIOL 10 MCG VAGINAL INSRT
00378730753 ETHYNODIOL-ETH ESTRA 1MG-35MCG [ZOVIA]
51672401801 ETODOLAC 400 MG TABLET [LODINE]
00002418430 EVISTA 60 MG TABLET
51862029550 FABIOR 0.1% FOAM
33342002407 FAMCICLOVIR 125 MG TABLET
33342002507 FAMCICLOVIR 250 MG TABLET
33342002607 FAMCICLOVIR 500 MG TABLET
68180015001 FAMOTIDINE 50 MG/5MLFOR ORAL SUSPENSION
00310173030 FASENRA 30 MG/ML SYRINGE
13668013401 FELODIPINE ER 10 MG TABLET
53489036801 FELODIPINE ER 2.5 MG TABLET
13668013301 FELODIPINE ER 5 MG TABLET
68180036309 FENOFIBRATE 160 MG TABLET [LIPOFEN]
45802031575 FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET
68180012909 FENOFIBRIC ACID DR 135 MG CAP [TRILIPIX]
00406900076 FENTANYL 100 MCG/HR PATCH
00406907576 FENTANYL 75 MCG/HR PATCH
65162064110 FLECAINIDE ACETATE 50 MG TAB
29273040104 FLOLIPID 20 MG/5 ML ORAL SUSP
29273040204 FLOLIPID 40 MG/5 ML ORAL SUSP
57237014935 FLUCONAZOLE 10 MG/ML SUSP
57237000430 FLUCONAZOLE 100 MG TABLET
57237015035 FLUCONAZOLE 40 MG/ML SUSP
64980017903 FLUCYTOSINE 250 MG CAPSULE
65162070386 FLUOCINOLONE 0.01% SCALP OIL
51672127304 FLUOCINONIDE 0.05% SOLUTION
45802015153 FLUOCINONIDE 0.1% CREAM
16729027638 FLUOROURACIL 5,000 MG/100 ML
65862019399 FLUOXETINE HCL 20 MG CAPSULE
52427057630 FLUOXETINE HCL 60 MG TABLET
69097091591 FLUTAMIDE 125 MG CAPSULE
45802022111 Fluticasone Propionate 0.05mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
45802022211 Fluticasone Propionate 0.5mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
52427057530 FORFIVO XL 450 MG TABLET
00378352091 FOSAMPRENAVIR 700 MG TABLET [Lexiva]
69097085605 FOSINOPRIL SODIUM 10 MG TAB
69097085705 FOSINOPRIL SODIUM 20 MG TAB
69097085805 FOSINOPRIL SODIUM 40 MG TAB
70121138105 FOSPHENYTOIN 100 MG PE/2 ML VL
68180082813 FYAVOLV 1 MG-5 MCG TABLET
69097081412 GABAPENTIN 300 MG CAPSULE
64208823507 GAMMAPLEX 20 GRAM/200 ML VIAL
25021023550 GEMCITABINE HCL 1 GRAM VIAL
69097082112 GEMFIBROZIL 600 MG TABLET
60758018805 GENTAMICIN 3 MG/ML EYE DROPS
00093542362 GIANVI 3 MG-0.02 MG TABLET
00603359049 GILDAGIA 0.4 MG-0.035 MG TAB
00378696032 GLATIRAMER 20 MG/ML SYRINGE [Copaxone]
00378696112 GLATIRAMER 40 MG/ML SYRINGE [Copaxone]
00591084401 GLIPIZIDE 5MG TABLETS EXTENDED RELEASE
00093745601 GLIPIZIDE-METFORMIN 2.5-500MG TABLET
70482017060 GOCOVRI ER 137 MG CAPSULE
70482008560 GOCOVRI ER 68.5 MG CAPSULE
63323031701 Granisetron HCl 0.1 mg/ml vial
63459091015 GRANIX 300 MCG/0.5 ML SAFE SYR
00781551501 GRISEOFULVIN MICRO 500 MG TAB
65162071110 GUANFACINE 1 MG TABLET
45802012932 HALOBETASOL PROP 0.05% CREAM
00703702101 HALOPERIDOL DEC 100 MG/ML VIAL
63323047105 HALOPERIDOL DEC 100 MG/ML VIAL
58160082652 HAVRIX 1,440 UNITS/ML SYRINGE
58160082511 HAVRIX 720 UNITS/0.5 ML VIAL
63739095325 HEPARIN SOD 5,000 UNIT/ML VIAL
00006409302 Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
00002771459 HUMALOG JR 100 UNIT/ML KWIKPEN
00006404720 Human-Bovine Reassortant Rotavirus, live pentavalent (RV5) Oral Vaccine [RotaTeq]
31722051901 HYDRALAZINE 10 MG TABLET
31722052001 HYDRALAZINE 25 MG TABLET
31722052101 HYDRALAZINE 50 MG TABLET
16729018401 HYDROCHLOROTHIAZIDE 50 MG TAB
51672407406 HYDROCORTISONE BUTY 0.1% CREAM
51672129001 HYDROCORTISONE VAL 0.2% CREAM
51672300701 HYDROCORTISONE-ACETIC ACID SOLN
00703011303 HYDROMORPHONE 50 MG/5 ML VIAL
68382009601 HYDROXYCHLOROQUINE 200 MG TAB
67457088605 HYDROXYPROGESTERONE 1.25 G/5ML [MAKENA]
16714008210 HYDROXYZINE HCL 25 MG TABLET

This article covered drugs starting with the letters D through H. Here are links to A-C, I-M, N-P, and Q-Z.

Looking for a way to review any Medicare Part D plan formulary?
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.
*Please remember that a Medicare prescription drug plan can change their plan's formulary at any time throughout the year (adding or dropping drugs) and you can telephone your Medicare plan's Member Services department to learn about the most recent formulary changes - the toll-free number for Member Services is found on your Member ID card.







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