Count of 2015 Formularies covering the Top 10 Medicare Drugs Program wide | |||||||||||
Formulary Count* | |||||||||||
NDC | Drug Name | 2013 End** | 2014 Start** | 2014 End** | 2015 Start** | April | May | June | July | Aug. | |
00430047203 | ACTONEL 35 MG 36 DOSE PACK | 233 | 238 | 248 | 140 | 147 | 141 |
142 |
145 |
||
64764030115 | ACTOS 30MG/1 TABLET (90 CT) | 214 | 71 | 75 | 32 | 33 | 31 |
32 |
35 |
||
00173069600 | ADVAIR DISKUS MIS 250/50 | 307 | 330 | 347 | 313 | 351 | 347 |
348 | 348 |
||
63304082790 | ATORVASTATIN 10 MG TABLET [Lipitor] | 316 | 340 | 364 | 350 | 393 | 388 |
389 |
389 | ||
00378362777 | CLOPIDOGREL TAB 75MG [Plavix] | 315 | 340 | 364 | 350 | 393 | |||||
55111019630 | CLOPIDOGREL TAB 75MG [Plavix] | 388 | 389 |
389 | |||||||
00078031534 | DIOVAN HCT 160/12.5MG TABLET | 185 | 78 | 80 | 47 | 48 | 46 |
47 |
50 |
||
00093585101 | ESCITALOPRAM 10 MG TABLET [Lexapro] | 315 | 339 | 363 | 349 | 392 | 387 |
388 |
388 |
||
47335050944 | ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium] | 253 | 235 | 271 | 269 |
270 |
282 |
||||
00088222033 | LANTUS 100U/ML VIAL | 309 | 325 | 350 | 338 | 379 | 374 |
375 |
375 |
||
00456201001 | LEXAPRO 10MG TABLET | 92 | 54 | 55 | 31 | 43 | 41 |
42 |
45 |
||
00071015523 | LIPITOR 10MG TABLET | 68 | 42 | 43 | 28 | 28 | 26 |
27 |
30 |
||
00186504054 | NEXIUM 40MG CAPSULE | 198 | 198 | 211 | 156 | 202 | 199 |
200 |
200 |
||
00378022893 | PIOGLITAZONE HCL 30 MG TABLET [Actos] | 310 | 340 | 364 | 350 | 393 | 388 |
389 |
389 |
||
63653117105 | PLAVIX 75MG TABLET | 109 | 48 | 48 | 31 | 32 | 29 |
30 |
33 |
||
47335090288 | QUETIAPINE FUMARATE 25 MG TAB [SEROQUEL] | 316 | 339 | 364 | 350 | 393 | 388 |
389 |
389 |
||
00310027510 | SEROQUEL 25MG TABLET | 112 | 54 | 54 | 29 | 41 | 39 |
40 |
43 |
||
00378632205 | VALSARTAN-HCTZ 160-12.5 MG TAB [Diovan HCT] | 297 | 319 | 343 | 332 | 386 | 381 |
382 |
382 |