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April 2020 Medicare Drug List Updates: Sixty-five (65) medications added to 2020 Medicare Part D Drug plan formularies.

Category: Monthly Formulary Changes
Published: Apr, 26 2020 01:04:34


We now have the recently released April 2020 Medicare Part D prescription drug plan formulary (drug lists) data online and included in our Formulary Browser and Drug Finder.  The April formulary updates include the addition of 108 new National Drug Codes (NDCs), representing 65 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 April 2020 Formulary update include thirty-four newly-added generic drugs:   The April Medicare Part D drug data includes 34 new generic medications, 26 of which are newly-introduced generic drugs.  These drugs include:
  • AMPHETAMINE [Adzenys®],
  • BUDESONIDE-FORMOTEROL [Symbicort®],
  • CALCIPOTRIENE-BETAMETH [Taclonex Scalp®],
  • DIAZEPAM [Diastat®],
  • DOXEPIN HCL [Silenor®],
  • ETONOGESTREL-EE [NuvaRing®],
  • EUTHYROX,
  • EVEROLIMUS [Afinitor®],
  • HYDROCODONE ER [Zohydro®],
  • DEXTROAMPHETAMINE [ProCentra®],
  • ELURYNG [NuvaRing®],
  • INSULIN ASPART [NovoLog PenFill®],
  • INSULIN ASPART,
  • INSULIN ASPART PROT-INSULN [NovoLog Mix 70/30®],
  • ISOSORBIDE DINITRATE [Sorbitrate®],
  • MESALAMINE [Apriso®],
  • METHSCOPOLAMINE BROM [Pamine Forte®],
  • METHSCOPOLAMINE BROM [Pamine®],
  • NIKKI [Yaz®],
  • PENICILLAMINE [Depen®],
  • PENTAMIDINE [NebuPent®],
  • PENTAMIDINE [Pentam®],
  • SUCRALFATE [Carafate®],
  • TRAVOPROST [Travatan®],
  • TRIAMCINOLONE [Trianex®], and
  • VERAPAMIL [Calan®].

You can see our article "April 2020 Drug List Updates: Thirty-four (34) new generic drugs added to many Medicare Part D plan formularies" found at https://Q1News.com/823.html for more about coverage the new generics.


The April 2020 Formulary update includes thirty-one (31) newly-added brand-name drugs:  The April drug data updates also include 31 new brand-name drugs, nine (9) of which are newly introduced brand-name drugs, some with multiple strengths. These drugs include:
  • AMZEEQ®,
  • AYVAKIT®,
  • BINOSTO®,
  • BRUKINSA®,
  • OXBRYTA®,
  • RYBELSUS®,
  • SEYSARA®,
  • UBRELVY®, and
  • VUMERITY®.

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: Q1FAQ.com/155

There are many reasons for NDCs to be added to the Medicare Part D program, a summary for all 108 new NDCs is as follows:

Reason for NDC Addition Occurrences
New Delivery Form 5
New Delivery Form and Strength 6
New Drug 28
New Drug and Strength 39
New Manufacturer and Delivery Form 1
New Manufacturer and Strength 8
New Strength 21
Total New NDCs 108

The following chart details the 108 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
10631000331 ABSORICA LD 16 MG CAPSULE 0 5 New Strength
10631000531 ABSORICA LD 24 MG CAPSULE 0 5 New Strength
10631000731 ABSORICA LD 32 MG CAPSULE 0 5 New Strength
10631000231 ABSORICA LD 8 MG CAPSULE 0 5 New Strength
16110052660 ACZONE 7.5% GEL W/PUMP 1 5 New Manufacturer and Strength
71297041002 ADAPALENE 0.1% SOLUTION [Plixda] 2 32 New Manufacturer and Delivery Form
64980034003 ALENDRONATE SODIUM 10 MG TABLET [Fosamax] 65 388 New Manufacturer and Strength
16110051830 ALTABAX 1% OINTMENT 0 17 New Drug
62332020630 AMLODIPINE-VALSARTAN 10-160 MG TABLET [Exforge] 60 362 New Manufacturer and Strength
62332020830 AMLODIPINE-VALSARTAN 10-320 MG TABLET [Exforge] 60 364 New Manufacturer and Strength
62332020530 AMLODIPINE-VALSARTAN 5-160 MG TABLET [Exforge] 60 364 New Manufacturer and Strength
62332020730 AMLODIPINE-VALSARTAN 5-320 MG TABLET [Exforge] 60 362 New Manufacturer and Strength
66993036087 AMPHETAMINE ER 1.25 MG/ML SUSP BP 24H [Adzenys] 0 10 New Drug
72356010103 AMZEEQ 4% FOAM 0 2 New Drug
72064011030 AYVAKIT 100 MG TABLET 48 349 New Drug and Strength
72064012030 AYVAKIT 200 MG TABLET 48 349 New Drug and Strength
72064013030 AYVAKIT 300 MG TABLET 48 349 New Drug and Strength
16110086930 AZELEX 20% CREAM (G) 10 68 New Drug
17139040004 BINOSTO 70 MG EFFERVESCENT TABLET 8 50 New Drug
72579001102 BRUKINSA 80 MG CAPSULE 65 388 New Drug
00310737020 BUDESONIDE-FORMOTEROL 160-4.5 HFA AER AD [Symbicort] 2 31 New Drug and Strength
00310737220 BUDESONIDE-FORMOTEROL 80-4.5 HFA AER AD [Symbicort] 2 31 New Drug and Strength
66993093761 CALCIPOTRIENE-BETAMETH DP SUSPENSION [Taclonex Scalp] 5 76 New Drug
69809013505 CLOZARIL 200 MG TABLET 3 11 New Strength
69809013005 CLOZARIL 50 MG TABLET 3 14 New Strength
16110003412 CORDRAN 0.025% CREAM (G) 1 11 New Delivery Form and Strength
16110003512 CORDRAN 0.05% CREAM (G) 1 1 New Delivery Form and Strength
16110005212 CORDRAN 0.05% LOTION 1 2 New Delivery Form and Strength
16110002660 CORDRAN 0.05% OINTMENT 1 1 New Delivery Form and Strength
51672530708 DAPSONE 7.5% GEL W/PUMP [Aczone] 2 35 New Strength
66993035957 DEXTROAMPHETAMINE 5 MG/5 ML SOLUTION [ProCentra] 7 114 New Drug
68682065520 DIAZEPAM 20 MG RECTAL GEL SYST KIT [Diastat] 64 381 New Drug and Strength
68682065020 DIAZEPAM 2.5 MG RECTAL GEL SYST KIT [Diastat] 65 382 New Drug and Strength
68682065220 DIAZEPAM 10 MG RECTAL GEL SYST KIT [Diastat] 64 381 New Drug and Strength
44183010330 DOXEPIN HCL 3 MG TABLET [Silenor] 31 184 New Drug and Strength
44183010630 DOXEPIN HCL 6 MG TABLET [Silenor] 31 184 New Drug and Strength
65162046935 ELURYNG VAGINAL RING [NuvaRing] 27 284 New Drug
24338010603 ERYTHROCIN 250 MG FILMTAB TABLET 49 238 New Drug
66993060536 ETONOGESTREL-EE VAGINAL RING [NuvaRing] 27 287 New Drug
72305010030 EUTHYROX 100 MCG TABLET 49 267 New Drug and Strength
72305011230 EUTHYROX 112 MCG TABLET 49 267 New Drug and Strength
72305012530 EUTHYROX 125 MCG TABLET 49 267 New Drug and Strength
72305013730 EUTHYROX 137 MCG TABLET 49 267 New Drug and Strength
72305015030 EUTHYROX 150 MCG TABLET 49 267 New Drug and Strength
72305017530 EUTHYROX 175 MCG TABLET 49 267 New Drug and Strength
72305020030 EUTHYROX 200 MCG TABLET 49 267 New Drug and Strength
72305002530 EUTHYROX 25 MCG TABLET 49 267 New Drug and Strength
72305005030 EUTHYROX 50 MCG TABLET 49 267 New Drug and Strength
72305007530 EUTHYROX 75 MCG TABLET 49 267 New Drug and Strength
72305008830 EUTHYROX 88 MCG TABLET 49 267 New Drug and Strength
49884011991 EVEROLIMUS 2.5 MG TABLET [Afinitor] 60 337 New Drug and Strength
49884012591 EVEROLIMUS 5 MG TABLET [Afinitor] 60 337 New Drug and Strength
49884012791 EVEROLIMUS 7.5 MG TABLET [Afinitor] 60 337 New Drug and Strength
16110081230 FLUOROPLEX 1% CREAM (G) 1 102 New Drug
00023586111 GELNIQUE 10% GEL SACHET PACKET 2 32 New Drug
47781040960 HYDROCODONE ER 10 MG CAPSULE 12H [Zohydro] 9 65 New Drug and Strength
47781041060 HYDROCODONE ER 15 MG CAPSULE 12H [Zohydro] 9 65 New Drug and Strength
47781041160 HYDROCODONE ER 20 MG CAPSULE 12H [Zohydro] 9 67 New Drug and Strength
47781041260 HYDROCODONE ER 30 MG CAPSULE 12H [Zohydro] 9 65 New Drug and Strength
47781041360 HYDROCODONE ER 40 MG CAPSULE 12H [Zohydro] 9 65 New Drug and Strength
47781041460 HYDROCODONE ER 50 MG CAPSULE 12H [Zohydro] 9 65 New Drug and Strength
69482070099 IMPOYZ 0.025% CREAM (G) 2 5 New Drug
73070010215 INSULIN ASPART 100 UNIT/ML CARTRIDGE 0 64 New Delivery Form
73070010315 INSULIN ASPART 100 UNIT/ML INSULIN PEN [NovoLog PenFill] 0 64 New Delivery Form
73070010011 INSULIN ASPART 100 UNIT/ML VIAL [NovoLog PenFill] 0 62 New Delivery Form
73070020315 INSULIN ASPART PROT-INSULN ASP INSULIN PEN [NovoLog Mix 70/30] 0 65 New Delivery Form
73070020011 INSULIN ASPART PROT-INSULN ASP VIAL [NovoLog Mix 70/30] 0 65 New Delivery Form
70710115201 ISOSORBIDE DINITRATE 40 MG TABLET [Sorbitrate] 18 125 New Drug
24208050505 LEVOBUNOLOL 0.5% EYE DROPS [Betagan] 58 378 New Drug
68682011320 MESALAMINE ER 0.375 GRAM CAPSULE 24H [Apriso] 40 266 New Drug
76385010160 METHSCOPOLAMINE BROM 5 MG TABLET [Pamine Forte] 20 219 New Drug
76385010001 METHSCOPOLAMINE BROM 2.5 MG TABLET [Pamine] 20 221 New Drug
45963067711 METOPROLOL SUCC ER 100 MG TABLET ER 24H [Toprol XL] 65 388 New Manufacturer and Strength
00071201244 NEURONTIN 250 MG/5 ML SOLUTION 3 7 New Delivery Form and Strength
68180088673 NIKKI 3 MG-0.02 MG TABLET [Yaz] 58 350 New Drug
72786010101 OXBRYTA 500 MG TABLET 3 41 New Drug
60505451703 PAXIL 10 MG TABLET 4 9 New Strength
60505451803 PAXIL 20 MG TABLET 4 9 New Strength
60505451903 PAXIL 30 MG TABLET 4 9 New Strength
00254200001 PENICILLAMINE 250 MG TABLET [Depen] 62 367 New Drug
13925052201 PENTAMIDINE 300 MG INHAL POWDER VIAL-NEB [NebuPent] 63 378 New Drug
13925051510 PENTAMIDINE 300 MG VIAL [Pentam] 65 375 New Drug
59767002402 PERTZYE DR 24,000 UNIT CAPSULE DR 2 42 New Strength
71180000330 RHOFADE 1% CREAM (G) 0 8 New Strength
00169431413 RYBELSUS 14 MG TABLET 10 180 New Drug and Strength
00169430313 RYBELSUS 3 MG TABLET 10 180 New Drug and Strength
00169430713 RYBELSUS 7 MG TABLET 10 180 New Drug and Strength
59212070510 SALAGEN 5 MG TABLET 3 7 New Strength
59212077510 SALAGEN 7.5 MG TABLET 3 7 New Strength
16110024630 SEYSARA 100 MG TABLET 0 11 New Drug and Strength
16110024730 SEYSARA 150 MG TABLET 0 11 New Drug and Strength
16110024530 SEYSARA 60 MG TABLET 0 11 New Drug and Strength
63323053075 SODIUM CHLORIDE 3% IV SOLUTION 45 310 New Strength
69344014443 SPRIX 15.75 MG NASAL SPRAY 0 11 New Strength
65162006205 SUCRALFATE 1 GM/10 ML ORAL SUSPENSION [Carafate] 22 225 New Drug and Strength
52817019610 TRAMADOL HCL 100 MG TABLET 14 108 New Manufacturer and Strength
00781618556 TRAVOPROST 0.004% EYE DROPS [Travatan] 52 339 New Drug
21922002411 TRIAMCINOLONE 0.05% OINTMENT [Trianex] 12 111 New Drug
00597012737 TWYNSTA 80-10 MG TABLET 0 6 New Strength
00023650110 UBRELVY 100 MG TABLET 1 20 New Drug and Strength
00023649810 UBRELVY 50 MG TABLET 1 20 New Drug and Strength
16110007160 VELTIN 1.2%-0.025% GEL 0 17 New Strength
23155048601 VERAPAMIL 120 MG TABLET [Calan] 65 388 New Drug
16110011100 VERDESO 0.05% FOAM 0 3 New Strength
64406002003 VUMERITY DR 231 MG CAPSULE DR 1 62 New Drug
00069050230 XELJANZ XR 22 MG TABLET ER 24H 41 275 New Strength
16110008045 XOLEGEL 2% GEL 0 1 New Strength
00049005001 ZOLOFT 20 MG/ML ORAL CONC 3 10 New Delivery Form and Strength




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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