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September 2019 Medicare Drug List Updates: Thirty-four (34) Medications Added to 2019 Medicare Part D Drug Plan Formularies

Category: Monthly Formulary Changes
Published on 2019-09-17 13:03:56


We now have the recently released September 2019 Medicare Part D prescription drug plan formulary (drug lists) data online and included in our Formulary Browser and Drug Finder.  The September formulary updates include the addition of 43 new National Drug Codes (NDCs), representing 34 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 September 2019 formulary updates include seven newly-added generic drugs:  The September Medicare Part D drug data includes twenty generic medications, with seven (7) being newly-introduced generic drugs.  These drugs include:

  • BESER [Cutivate®],
  • BOSENTAN [Tracleer®], and
  • CINACALCET [Sensipar®],
  • ERLOTINIB [Tarceva®],
  • INSULIN LISPRO [Humalog KwikPen®],
  • LOTEPREDNOL ETABONATE [Lotemax®], and
  • PENICILLAMINE [Cuprimine®].

You can see our article "September 2019 Drug List Updates: Twenty (20) new generic drugs added to many Medicare Part D plan formularies" found at https://Q1News.com/771.html for more about coverage for all of the new generics.

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

  • DUOBRII®,
  • LEXETTE®,
  • MAYZENT®,
  • RHOFADE®,
  • VARIZIG®, and
  • VYNDAQEL®.
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 43 new NDCs is as follows:

Reason for NDC Addition Occurrences
New Delivery Form 2
New Drug 17
New Drug and Strength 14
New Manufacturer and Delivery Form 1
New Manufacturer and Strength 4
New Strength 5
Total New NDCs 43

The following chart details the 43 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
49908011814ADAPALENE 0.1% SWAB MED. SWAB [Plixda]19New Manufacturer and Delivery Form
69097022316ALENDRONATE SODIUM 35 MG TABLET [Fosamax]62352New Manufacturer and Strength
00023588512ALORA 0.025 MG PATCH TDSW [Vivelle-Dot]548New Drug
00085173302AVELOX 400 MG TABLET27New Drug
43538097060BESER 0.05% LOTION [Cutivate]1273New Drug
68382044714BOSENTAN 125 MG TABLET [Tracleer]54286New Drug and Strength
68382044614BOSENTAN 62.5 MG TABLET [Tracleer]54286New Drug and Strength
23155062102CALCIUM ACETATE 667 MG TABLET [PhosLo]57304New Drug
13811071710CHLORZOXAZONE 375 MG TABLET [Lorzone]147New Drug and Strength
13811071810CHLORZOXAZONE 750 MG TABLET [Lorzone]147New Drug and Strength
00378619793CINACALCET HCL 30 MG TABLET [Sensipar]59335New Drug and Strength
00378619693CINACALCET HCL 60 MG TABLET [Sensipar]59335New Drug and Strength
00378619593CINACALCET HCL 90 MG TABLET [Sensipar]59335New Drug and Strength
00023615004CRINONE 4% GEL GEL/PF APP887New Strength
00187065301DUOBRII 0.01%-0.045% LOTION116New Drug
00254203380EMOQUETTE 28 DAY TABLET [Solia]60331New Drug
00378713293ERLOTINIB HCL 100 MG TABLET [Tarceva]62349New Drug and Strength
00378713393ERLOTINIB HCL 150 MG TABLET [Tarceva]62349New Drug and Strength
00378713193ERLOTINIB HCL 25 MG TABLET [Tarceva]62349New Drug and Strength
00023614601FIORINAL 50-325-40 MG CAPSULE08New Manufacturer and Strength
70370204806INGREZZA INITIATION PACK CAPSULE DS PK797New Delivery Form
66733082259INSULIN LISPRO 100 UNIT/ML INSULN PEN [Humalog KwikPen]1057New Drug and Strength
66733077301INSULIN LISPRO 100 UNIT/ML VIAL [Humalog KwikPen]1056New Drug and Strength
00023601260KADIAN ER 20 MG CAPSULE ER PEL05New Strength
00023601660KADIAN ER 60 MG CAPSULE ER PEL05New Strength
51167060001KALYDECO 25 MG GRANULES PACKET58336New Strength
51862060450LEXETTE 0.05% FOAM113New Drug
50383026510LOTEPREDNOL ETABONATE 0.5% EYE DROPPER [Lotemax]31277New Drug
00078097950MAYZENT 0.25 MG TABLET15130New Drug and Strength
00078098615MAYZENT 2 MG TABLET15130New Drug and Strength
42806005001MEPERIDINE 50 MG TABLET [Meperitab]443New Manufacturer and Strength
00093590786MESALAMINE DR 400 MG CAPSULE (DRTAB) [Delzicol]36251New Drug
10702010201METHYLPHENIDATE 20 MG TABLET [Ritalin]62352New Manufacturer and Strength
00713063437MOMETASONE FUROATE 0.1% CREAM (g) [Elocon]56347New Drug
00254203280ORSYTHIA-28 TABLET [Vienva]58329New Drug
43975030910PENICILLAMINE 250 MG CAPSULE [Cuprimine]13110New Drug
00023530030RHOFADE 1% CREAM (g)09New Drug
50458033001RISPERDAL 3 MG TABLET28New Strength
60432056160TRIAMCINOLONE 0.1% LOTION [Kenalog]57345New Drug
70257012611VARIZIG 125 UNIT/1.2 ML VIAL24144New Drug
62175048737VERAPAMIL ER PM 300 MG CAPSULE 24H PCT [Verelan PM]55338New Drug
00069197540VYNDAQEL 20 MG CAPSULE371New Drug
00078069484ZYKADIA 150 MG TABLET62335New Delivery Form
*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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